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HomeMy WebLinkAboutMiscellaneous - 58 EMPIRE DRIVE 4/30/2018 ._ } �{��n1��/PL' TJ� d���J O� t LED 6�I. APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ��SsqcH„S�t�y BUILDING PERMIT # 405-a6)2- ADDRESS/LOCATION OF PROPERTY: )L?4EM Plk,�-- Map G Parcel 2- Lot Number 13 i SUBDIVISION:p ft-D �j.LLAGE DATE REQUESTED FILED/READY FOR INSPECTION: 7__ CLOSING DATE ON PROPERTY: /'� Z• FIVE(5)DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00)WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. APPLICANT SIGNATURE Permit Issued to:0kcD Oq R> !1�_ 6 t LLQ AddressV3,NsN110 ON9 ce ROUTING TOWN ENGINEER, SITE PLA — DRIVE-WAY REVIEW /� CONSERVATION 0 �� PLANNING /# DPW-WATER METER SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYANSPECTION REQUEST DPW (� SIGNATURE File:Application for OC form revised Jan 2007/2011 NORTH ® of 10 No. dover, Mass.,. o — LAKE 1• CocH MEWICK �. ?ps RATED P �(C 7 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System G/.�.�� !/ ✓ � ..;. .........#............................�................................ .............. B DING I1�T�PECTOR THIS CERTIFIES THAT........ ............................................... .! oundati i �1 has permission to erect........................................ buildings oug g ep. 1 to be occupied as....... i NO R TI-f Town o _ Andover , 0 No. 620 o - it LAKE o lover, Mass.). ✓� CoCMICMEWICK �. ADRATED P �(5 S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �,�.�� !/ ✓ � �.....�............................................................ .............. B DING II�T�PECTOR -. THIS CERTIFIES THAT........ ' �....... . _ ouriclanug has permission to erect........................................ buildings on tobe occupied as.......ly/ ..� . 'A '!%� .................................. .. .........................fir-�.. ................................ C ney provided that the person accepting this permit shill in every respect conform to the terms of the application on file in nal- this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of :%9G'l Buildings in the Town of North Andover. —PLUMBING PECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough]44/" WFinal .7 ��/ z PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S TS u 'fir`'....................... e rvi ................................. ... ..... . BUILDING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSEC, OR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final .3/gid/ice No Lathing or Dry Wall To Be Done FIRE-DEPARTMENT. Until Inspected and Approved by the Building Inspector. Burner - Street No. A113" Smoke Det. SEE REVERSE SIDE �! --� Of N�pTM 1 f •y � SSACNU`' CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number #405-2012 Date: March 9, 2012 THIS CERTIFIES THAT THE BUILDING LOCATED ON 58 Empire Drive (Lot 13),North Andover, MA 01845 MAY BE OCCUPIED AS A Single Family Home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Orchard Village LLC 277 Washington Street Groveland,MA 01834 Building Inspector Fee: 100.00 PREVIOUSLY PAID Receipt#24802 LAWRENCE H.OGDEN,P.E. 198 EAST MAIN STREET 978-3524318 fay 978—351=2858 cell: 978-501=5921. January 30,2012 Mr.Robert Messina Orchard Village LLG: 277 Washington Street Groveland,Ma O,1834 RE: THE:ELLOW GB#.6213 Lot 13 Empire Drive;North Andover;Ma 01845 Dear Mr. Messina As you requested I visitedthe site U3fl/i2 to review the installation of the Engineered IVlaterials consisting of-LVLs and Engineered Joist utilized inthe framing of the above project These are shown vn plans prepared,by G.J:Bruno and Associates A- I to,A-5: Dated`7/30/04 with the frarxiing sheets certified by me 6115/10,and;sketch SK .1 dated'2/15/11. Based on the above site visit and based on wha#I could visibly seeprovided the above additional work is completed I can certify that to the best of my knowledge the LVL9 members anti Engineered Joist utilized to the:framing as shown on the:tlrawings are installed properly and.meet the loading conditions of:the7th Edition of the Massachusetts State Building Code for 1&2 Family Residences.All other framing requirements of the drawings and code;including but not_limited to materials,nailing Spit edules,blocking, connections and other details are.the responsibility of the licensed construction su ery sor re p sports ble for the: ,90ct P J. , Should you have any questions please do not hesitate to call_ Yours truly, wrence H. Ogden P E. Structural 27755 p 3 t cDE C3 CO� Cc: Mr. Gerry Brun©Mr. Jeff Horne nbs a Copy mailed to 11/Mr.Robert Messina ��fn;s; �ioriiAt �� Date... ...3.................... f NORTH °.t TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ssAcMU�h This certifies that ................ ..... ...................................................... has permission to perform �' ��'"" wiring in the building of...P� .....l y/t.Ss..".'L .................................. at.../�a `..� ....... ....-�. ./L.'/fiEUPCAL .. Not th Andover,Mass. Fee.4< z ..:�' Lic.NoA.993 ............. cmIINsrR Check #�`;�- - � 0632 . Commonwealth of Massachus eftS Official Use Only Department of Fire Services Pmt N°• - j'° �-� Z BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked - . ---- APPLICATION FOR PERAtI .� �• 1/07J ieaveblank • �T TO PERFORM ELECTRICAL WORK All work to be performed in accordance with (PLS PRINT IY NK OR TYPE the Massachusetts EIectrical Code{MEC),527 CMR 12.00 City or Town of: NORTH • novi gT10N} Date: _ 3,7 By this application the undersigned gives notice off hissoo1r h intention to To the Inspector of Wires:- Location - (Street&Number) div rm electrical work desciibed below. _Ownetr or-Tenant o ._ . ` Owner's Address 2, !y Telephone No. Is t&ie permit in g Permit? conjunction with a bail s A �• i .. Purpose of Building yes t No (Check Appropriate Bos) `7 Utility Authorization No. EBisting Service s _ }/ Voltsl� New_ g � �G� Overhead[� Undgrd n No.of Meters Y `fps O Volts Overhead Undgrd "�Na.of Meters . Number of Feeders and:Ampacity Locatiou and Nature of proposed Electrical Work: ' No.of Recessed L + letion o rhe ollowin -table be , Luminaires waiv es ed b the No.of Cet'l.:SIm ctor o Wires - P•(Peddie}Fans o•o o No.of Luminaire OratiPt-s ansf - _ NO.4 Hot:T::z:� Trormers - KVA SwimmingPool Above E33In- o.o mergency No.of Receptacle Outlets No.of Ba IImts - Oil Burners - d. - No.of Switches ME ALARMS No:of Zones No.of Gas Burners o..o et on an No.of Ranges - Initis ' Devices No.of Air Co d. o - No.of Waste Disposers Tons No.of Alerting Devices -4 — Totals: er one o.ofII ontained , No.of Dishwashers Deteetion/Ale ' Devices Space/Area Heating KW uni • - t No.of Dryers - al L°�❑ Connection ' Heating Appliances Secnri i o.of ater_ KW ty Systems: Heaters KW o.ofo.of - No.of Devices or E uivalent - S. s Data W' + No.Hydromassage Bathtubs Ballasts. No.of D vices or E nivaient No.of Motors Total HP ecommwnicatione oT� _ No.of Devices or E euvalent W Estimated Value of Electrical Work: Attach additional detail ifdesired,oras required by ihe7»spector of Wires Work to Start; /-j G_- (When required by municipal policy,) _ ,�,__Inspections to be requested in accordance with MEC Rule 10 - INSIIRANCE COVERAGE. Unless waived by the owner,no ,and upon completion. the Iieensee-provides proof of liability insurance including« - permit for the performance of electrical work may issue unless undersigned certifies that such coverage>$ ' and Completed operation"coverage or its substantial equivalent. The CHEM-ONE: INSURANCE �exhibited Proof of same to the permit issuing o ff ce. I certify,under the pains and penalties o ❑ OTHER (] (Spel FI12M NAME: '� fP�!?1'�t the ueformation on this application is true and complete. Licensee: le � LIC.NO.� ,���,� t7faPPlicabl', •� ,• '' ( Signature Address: ezept 'n the license►iutnber line.) LIC.NO.- Bus.Tel.No: *Per M.G.L c. 147,s.57-61,security work requires D Alt Tel,Na.: OWNER'S INSURANCE W at the ern Public Safety"S"License: Lic.No. AIVER: I am aware that the Licensee doe,not have the liability required by law. By my signature below,I hereby waive this re tY insurance coverage normally Owner/Agent requirement I am the(check one)[]owner Signature ❑owner's agent Telephone No. PERMI?'FEE:$ ELECTRICAL PERMIT NO. INSPECTION REPORT: ELECTRICAL INSPECTOR-DOUG SMALL F ROUGH INSPECTION: ssed— Failed—[ ] Re-inspection required($50.00)_[ ) spectors'comments: - ---I- E (Inspectors'Signature--no initials) Date 2.FINAL INSPECTION: Passed— Failed—[ J Re-inspection required($50.00) Inspectors'comments: (Inspectors'Signature-no initi ) Date 3. UNDER GROUND INSPECTION: Passed— . Failed—[ J Re-inspection required($50.00) Inspectors'comments: (Inspectors'Signature-no initials) Date 4.INSPECTION—SERVICE: DATE CALLED NATIONAL GRID: NAME: Passed— Failed— [ J Re-inspection required{$50.00) Inspectors'comments: (Inspectors'Signature-no initials) Date 5.INSPECTION-OTHER: Passed—I ) Failed—[ ) Re—inspection required($50.00) Inspectors' comments: {Inspectors'Signature-no initials) Date DOOR TAGS ARE TO BE FILLED OUT AND LEFT ON SITE IF T�AREA TO BE INSPECTED IS NOT ACCESSIBLE AND A RE-INSPECTION OF$50.00 IS TO BE CHARGED. MASSACHUSETTS UNIFORMP A PLICATI ON FOR A PERMIT TO PERFORM GAS FITTING WORK CITY: —1-- 0y d-' P ou-r MA. DATE: 1-`� - ZO a PERMIT# JOBSITE ADDRESS: Ply (DfAAe— OWNER'S NAME:6NC t0 GOWNER ADDRESS: TEL: FAX: TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW:� RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ APPLIANCESZ F LOOR-i Bsmt BOILER BOOSTER Date.. 11 2r CONVERSION BURNER COOK STOVE DIRECT VENT HEATER ,ORTk DRYER ��y' °�� TOWN OF NORTH ANDOVER FIREPLACE 1 p FRYOLATOR 1 , PERMIT FOR GAS INSTALLATION FURNACE .,-. .. GENERATOR �Iss C14U5Etty GRILLE INFRARED HEATER This certifies that . 1� l_!' ? �`,!. . ��L�'`�^ I t-�G • . • • • • • rOV ORATORY COCK N ���` EUP AIR UNIT has permission for gas installation . N in the buildings of . U� ` `AvILL , , , , , , . . . . L HEATER _ . . . . . . . . ROOM/SPACE HEATER at . . . . . . . . . . . . Norah Arf�lo r, .Mass. ROOF TOP UNIT TEST Fee. .IpQ-.ta. Lic. No..!ON g . . � !. . . . GAS INSPECTOR UNIT HEATER Ll UNVENTED ROOM HEATER Check# `1 WATER HEATER 8010 INSURANCE COVERAGE 1 have a current liabilitv insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES NO ❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY g OTHER TYPE INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER [IAGENT ❑ SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compli ce with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUM BER/GAS FITTER NAME: $T E PN EN C. G AL r NS KY LICENSE# 1031419 SIGNAT COMPANYNAME: GAL143- KkI PLWA610C t }C-Kf-l0& ADDRESS: P.Q. Pox 1701 CITY: 0AVERHII-L. STATE: n1-14- ZIP: 01831 FAX: 97g- 5ot1-NISI TEL: 979-37H- 1743 CELL: 5-o4 - 6b4- 6goy EMAIL: W'VV W• mrQI U W%benm)xo1, MASTER[j JOURNEYMAN❑ LP INSTALLER❑ CORPORATION[�# 31�1(- PARTNERSHIP❑# LLC❑# i ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES 9264 Date. 71t .- t.-1, . TOWN OF NORTH ANDOVER �:•` °� PERMIT FOR PLUMBING E a _ ,SSACHUSE� This certifies that , , , , _ , , , , , has permission to perform . . ' .� w ��°"�.t. . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . , . . . . .. .. . . ... AC\� is at. . . .5.$. . .G- . ... . r 1'��e_ 6ith An"d�,�er, Mass. Fee N 32:ua. .Lic. No.! o 34.8. . . . . . . . . . �v+-. . . . . . . C PLUMBING 1 SPECTOR Check AR -7 LI 0 -C-\ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY A46 NEI-k 87'�J�x J'�r MA. DATE ( ' c, - Z,0 t'Z PERMIT# JOBSITE ADDRESS `5 o L M `,` L� znw-t- OWNER'S NAME O&COOsCLO -A,4 Lt,Vft& POWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL[!� PRINT NEW:d RENOVATION:❑ REPLACEMENT: ❑ PLANS SUBMITTED. YES❑ NO ❑ CLEARLY RDEDICATED FLOOR— BSMT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ECTION DEVICE ECIAL WASTE SYS S/OIUSAND SYS EASE SYS DEDICATD GRAY WATER SYS DEDICATED WATER RECYCLE SYS DRINKING FOUNTAIN DISHWASHER FOOD DISPOSER 1 t FLOOR/AREA DRAIN INTERCEPTOR{INTERIOR) KITCHEN SINK LAVATORY 2 ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET I y, URINAL , WASHING MACHINE CONNECTION ' WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch.142. Yes FN.❑ IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY [ OTHER TYPE OF INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER:)am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE BOX ONLY: OWNER E3 AGENT ElSi nature of Owner or Owner's Agent I hereby certify that all of the details and information 1 have submitted (or entered) regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Ch pter 142 of the General Laws. PLUMBER NAME STEPFfEN C. GAUPSKY SIGNATURE LIC# 1034 S MP JP❑ CORPORATION 3 iq b PARTNERSHIP ❑# LLC ❑# COMPANYNAME &ALI1J5KY pLUMDfIJb *- RVAT11. G ADDRESS: P.D. GQX 1701 CITY FIsAVERMiLI STATE rA•4- ZIP 01831 EMAIL wwvv. m ymbefWl , Cov.1 TEL 0*7Y'37H- 1?jt 3 CELL 508-50`I--5q0,4 FAX q7$-5"al-kl 3f ROUGH PLUNIBING INSPECTION NOTES TH IS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES A$THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES