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HomeMy WebLinkAboutMiscellaneous - 61 COUNTRY CLUB CIRCLE 4/30/2018 (2) 19 6N C � s i Ca i Date.... .-.1.3.--17— ... t ,ORT►, °`<"`° '•1"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACNUS� This certifies that .................t.�....LWT..S......................................... has permission to perform ......... ......4.9 f-.7 '¢ ......... wiring in the building of L IZ/t/ ��. f at........... /......CO�wTi !Q. 2 ...4 ...1 . , rth Andover,Mass. Fee..Uj s Lic.No....... �, .2..7 !..1.. ......... ,. Cs� AICA IN ECTO `t Check # y a3 ZO.-1 V*7 10712 97.)Z ,)� q qla47 a - commonwealth of Massachusetts Official Use Only - a , Department of Fire Serv/ces Permit No. 1�9-712 BOARD OF FIRE PREVENTION REGULATIONS Oev.cc107cyandFeeChecked j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PAWTININKORTYPEALL)NFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice ''off ffls or her intention to perform the electrical work described below. Location(Street&Number) Owner or TenantSJ�C:y fir, Telephone No. Owner's Address S 6-n Is this permit in conjunction with a building permit? Yes ❑ No W- (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service__& Amps 1AQ /!L* Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders anrroplosed pacity Nature Location and o Electrical Work: Completion qf1befollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators ! KVA No.of Luminaires Swimming Pool Above ❑ In- Elo,o mergency Lighting rnd. rnd. Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and InitiatingDevices No,of Ranges No.of Air Cond. Tons l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.—ofSelf-Contained Totals: "W"` ' Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other -+ Connection No.of Dryers Heating Appliances K'VV Security Systeraw. No.of Water No.of Devices or E uivalent Heaters KW No.of No.of Data Wiring: SiRns Ballasts No.of Devices orEquivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No,of Devices or Equivalent OTHER: o� Estimated Value of lectrical Work: fQQO Attach additional detail if desired,or as required by the Inspector of Wires. (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE O GE: Unless waived by the owner,nb permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE & BOND ❑ OTHER ❑ (Specify:) Icertify,under the pains and penalties ofperjary,that the information on this application is true and cortpiete. FIRM NAME: LIC.NO.: Licensee: �i97pj1 y t U'k/t�_Signature LIC.NO.:/32 -- (If applicable enter"exempt""in the license number line.) Bus.Tel.No.:9 2T -M2 Address: _/// G!/,37 r-rL ST &i V �?? 0/91/5— Alt.Tel.No.: 'Per M.G.L c. 147,s.57-61,security work requires Department o Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:,$ MECIRiC L 3?FPMT No. . ' _ ��+GT.��.A3Lr�5���`�'®JET.�.• .. '" -. � . . �'�ssec�•--• _ S�'ailed--[ } �e-iuspeetzon Xequxzec�'($50.OU)�X � hSpectors'commons: t (f'uspectoye 819uature-)ao Af tials) Date MAL)NMCtION., Passed wiled--[ ate-xnspectzox� equzxed($50.00}- [ 7.nspec xs'co -exits: (Ri4ecdors'Npatur@•-.uo iaials) Slate S.UNDER GROIW J N9'FCTZO: Passed--[ ) �afIed--[ � Re�inspeetionxequired($50.00)�[ ] Inspectors'comments: (Inspectors}Siguature•-no Ufials) 7.late 4.INSPECTION—�E �f!CIs'; P.1!L CAL-Irq D S�'.��T±ONMI,0:13 ; Passed--[ x p+`ailed--[ Re-inspectioxixequirec ($50AD)�[ I.rispectbxs'eoxnm.ep�fs: . (Xusp ectors',�zguature zea�cifials) bate 1NSTECTZON-oMR:• 'assed-•[ 1 Y+ailed--[ ) e-inspectzoxtxequixecl($50.00)-[ } aspectoxs'coaiumtenfs: asp ectors' iguature xto znifials) Date 1)QOR T.A.G19:AU TO BE MMED O DI'ASD DEET ON RITE F THE ARRA TO BE INSTECIED 18 NOT .A.CCESSIOM AND.A.R NspwTION ON 950.00Iq TO 131ri,fYFt•ARCST►. . The Commonwealth of Massachusetts Department ofIndustrial Accidents Office of Investigations qu 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizationgndividual . Address:_ /// �l/!ri h6t Sr tf City/State/Zip: gtea4CI y yn,¢ 0/9/,5— Phone#: 57 T1_ Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have Hired the sub-contractors 2.&I am a sole proprietor or partner- listed on the attached sheet.# �• ❑Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. g F1 Building addition [No workers'comp.insurance 5. El We are a corporation and its 1 required.] officers have exercised their 10.K Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' comp.insurance required.) 13.[i Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 77 Insurance Company Name:. 1 /AVC-1"5 Policy#or Self-ins.Lie.#: Expiration Date: -3 / ' Job Site Address: /I/• 1%1h(/W lam/ l�nl / d 0Y'� City/State/Zip: /U. 414 oo t.. �-� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). )Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one=year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the ains and penalties ofperjury that the information provided above is true and correct. Si ature: Date: Phone Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone#: t' Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,• express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current Policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog lidense or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth.of M,9 achuSPtts Department of Industrial Accidents Office o£Iuvestigations 604 Washington Street Boston,MA.02111 Tel,#617-727-4900 oxt 406 or 1-877:MASSAFB Revised 5-26-05 Fax#617-727-7749 w�vwanass,gav/data 6 Date..ZA r�/.!. ...... i. t V ORT" o? TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION SSACMUSE i• / This certifies that . . . . ea. !�.. .� 5!h�(Q.�. . . . . . . . . 1 has permission for gas installation j/: .U-1w's. Ahem. . r . . . . . . in the buildings of . . . . . . .. . ...... . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . f. n . �7 h. .�!?. . . . .. North Andover, Mass. Fee. .�5 Lic. No.l3zao Z. . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR Check# 8076 MASSACHUSETTS UNIFORM APPLICATON FORPERMIT TO DO GAS FITTING (Type or print) Date ��v�✓ NORTH ANDOVER,MASSACHUSETTS Building Locations ' Permit# n Amount$ Owner's Name Yfeye-- 1J�1"Yla New Renovation ❑ Replacement ❑ Plans Submitted ❑ va rn U F C4 z 0F n z w Q z O > W Gva CG z zU W a � W Q � F G F' S U Q W Q CG F E" Y vz m z O z a O i z Q W > W O z Q CG Q Q O O W O W F U z > c o F o SUB-BASEM ENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type)C.J�� nej Check one: Certificate Installing Compar� Name / ❑ Corp. — — Address 6�`rc -� �`�'� ❑ Partner. Business Telephone l ❑ Firm/ o. Name of Licensed Plumber or Gas Fitter 0� INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked}_es,please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owners Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and install tions performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachuse State Gas Code Cha ter 14 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber �3 0c) City/Town ❑ Gas Fitter License um er Master APPROVED(OFFICE USE ONLY) Journeyman The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly (S7�3 7--� n:f=J Name(Business/Organization/Individual): gip( e"s / I Address: �- City/State/Zip: v °((--Z, Phone#: ' z- Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. E] I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E]New construction 24!r—I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. E]Demolition working for in any capacity. employees and have workers' 4. ❑Building addition [No workers'comp.insurance comp.insurance.$ required.] 5. We are a corporation and its 10. Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152,§1(4),and we have no employees.[No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-cant ractors have employees,they must provide their workers'comp.policy number. n m r that isproviding workers com enation insurance or m employees. Below is the o ' andjob site X am a e playe P g P f YFY J information. AcLInsurance CompanyName: 1�a Policy.#or Self-ins.Lie.#: v S '4`i Expiration Date: -3 li/ J�� V l 1.f7 ci WAAJO Job Site Address: Y ty/State/Zip Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer ' under the pa' an pena ' s of perjury that the information provided above is trueandcorrect Signature: Date: Phone#: J� Z—J "! :PJ11 62. Oficial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: N_ Date.................................. NORT" TOWN OF NORTH ANDOVER o p PERMIT FOR WIRING � ��Ss�c►+usE� 'This certifies that ...-.......................................................` ` �f� .:.....:�.....,{:`.......... � has permission to perform / �` .....................:........................:................................. wiring in the building of t -� .... ,North Andover,Mass. Fee?y ........... Liu.Noah............ : / Z, ..... r.................... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer utricial Permit No. J Nit � r � «t Shy Occupancy&Fee Checked_ BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 Date9 111 -d00 0 (Please Print in ink or type all information) To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number Owner or Tenant !- s�✓� Z c l�U CG Owner's Address Y� � No ❑ (Check Appropriate Box) Is this permit in conjunction with a building permit 0/ 9� c J sr`�a�L� �nm �L r'n Utility Authorization (V•� r Purpose ofBuilding/�/! `, No.of Meters Volts Overhead ❑ Undgrnd ❑ Existing Service Amps s Volts Overhead ❑ Undgrnd C� No.of Meters New Service 2,C, Am Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total fuse No.of Transformers KVA No.of Lighting Outlets No.of Hot Above ❑ in C3 Generators KVA No.of Lighting Fixtures Swimming Pool grnd C1grnd ❑ No.of Emergency Lighting NoEEETNo of Oil Burners BatteryUnits No.of Receptacles Outlets FIRE ALARMS No.of Zone Gas Burners No.of Detection and No.of Switch Outlets Total Air Cord Tons Initiating Devices No.of Ran es Heat Total Total Pum s Tons KW No.of Sounding Devices . No./of Self Contained S ace/Area Hean KW Detection/Sounding Devices ir Heat— No.of Dishwashers ❑ Municipal ❑ Other Heating Devices KW Local Connection r,.of Dryers No.of Low Voltage No.of Wirin No.of Water Heaters KW Si ns Bailases No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy includi ng Coplet YES m NOedits Of rationsou overage YES or please indica itial ndicate type of coverage by checking he appropriate box proof of same to the Office checked =INSURANCEND = OTHER = (Please Specify) (E ation Date) Estimated Value of Electrical Work$ — Rough Q — u ` �(�6Final Work to Stan`. I pection Date Resquested Signed unde a Penalties of erj LIC.N0. FIRM NAME Ly r Pd ElevCd LIC.NO.,F_ �/,2`� Signature Lkense ^ ' Bus.Tel No. �� J Alt Tel.No. Addresssubstantialj, OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its lease Check one) required by Massa uses General Laws.And that my signature on this permit application waives this requirement. OwnerAgent ( �Gj. Telephone No. PERMIT IFEE $ �`` (Signature of Owner or Agent) Town of North Andover „aRTM Office of the Building Department Community Development and Services Division , William J. Scott,Division Director '� �► �� 27 Charles Street D.Robert Nicetta North Andover,Massachusetts 01845 Telephone(978)688-9545 Building Commissioner Fax(978)688..9542 February 6,2001 Mr. John Grasso Grasso Construction Company 865 Turnpike Street North Andover,MA 01845 Re:DiNuccio Residence 61 Country Club Lane North Andover,MA Dear Mr. Grasso: I am in receipt of a letter to you from New England Brickmaster Wmdows&Exteriors,Inc. CBrickmaster")dated November 24,2000. Mr.&Mrs.Frank DiNuncciofaxed a copy of this letter to the building office on January 9,2001.As you may recall it was questioned,many times,why stucco was being applied to the residence without the benefit of expansion joints. You informed me that the sub- contractor-`Brickmaster"stated the material being used did not require expansions.The building department requested material specifications to back up this claim—none have been supplied to date. However,the building department is expected to take for granted the statement of the`Brickmaster" Production Manager(Bruce D. Stewart)as follows—"rhe finish material being applied to the house has a high degree of flexibility and elastomeric qualities that allow it to stretch and flex". Once again no material specification back up. Inspection of the stucco base coat revealed many areas of cracking Is it correct,according to the `Brickmaster"statement,to assume—these cracks will never,in the future,telescope through the finish coat? The building department has doubts and concerns that they may and will. Pursuant to the`Brickmaster"letter"The absence of expansion lines or control joints built into the wall through the sheathing and framing would make any expansion joint applied by New England Brickmaster Windows&Exteriors virtually useless and negatively effect the aesthetic appearance of the house". Through conversation you have informed me that Mr. &Mrs.DiNuccio are in accord with the above- mentioned statement . For future department reference copies of this and the`Brickmaster"letter are to be attached to the building permit application for this location. Yours truly, D.Robert Nicetta Building Commissioner Cc:Mr.&Mrs.Frank DiNuccio William Scott,Director CD&S BOARD OF APPEALS 68&9541 BUILDING 688-9545 CONSERVATION 68879530 HEALTH 688-9540 PLANNING 688-9535 VJ� - s .� NEW ENGLAND BRICKMASTER WINDOWS ; EXTERIORS, 951 EAST STREET- TEWKSBURY,MASSACHUSETTS 01876 TEL:(978)851-5100- FAX:(978)851.9269 WEBSITE:www.bdckmaster.com November 24, 2400 Mr. John Grasso GraM (.0118tn ction ' 865 Turnpike Street N. t%juijover, MA Re: 61 Country Club Dr.,N. Andover,MA To Whom it Mav Concern: New England Brickmaster Windows&Exteriors, Inc. has determined expansion or control joints are not needed at the above mentionedaddress for the following reasons: 1, The a'csence of ai-pansion lines or control joints built into the wall through the sheathing and framing would make arty expansion joint applied by New England Brickmaster Winnows&Exteriors virtually useless and negatively affect the aesthetic appearance of the house. 2. The finish material being applied to the house has a high degree of flexibility and elastomeric qualities that allow it to stretch and flex. If you have any further questions,please call me at my office. _,�jy�rPrpi� e D. Stel#w Production Manager { a5 i MAP Town of d'o NORTH ANDOVER PARCEL • �w ��'��t�' BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: �' , ( INSPECTION DATE: UNIT NO.: FLOOR: WING: BUILDING NO.: REMARKS: vl� '3--au'v +=cam L ,� . 21�w/�-�� 1�' '• � ee`..-" 02.—C? —o ec- m 5 ZL11 -0 N° j J o Date...........:�.�.............. NORTH Ot���a° ..11• TOWN OF NORTH ANDOVER PERMIT FOR WIRING �SACMUS I �1 ,44 This certifies that ...... - .... ` -� ' .—' has permission to perform wiring in the building of. :.' ....`........................... ':...'.. :.......:....... .... ..... at�/.. .....'.: "`:............a..........1......................... .North Andover,Mass. Fee ..'J..... Lic.No) ............ .......... -.......................................... / ELECTRICAL INSPECTOR Check # C WHITE: Applicant CANARY: Building Dept. PINK:Treasurer vuwav+a�cvuy Permit No. �f�Gd?z21�2'15�2ZU��f.L'?�f 6��SS�L'�SC7?S a04VMwt°lr Sado Occupancy&Fee Checke8-1,5 . BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date — / To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Numberll-6v V �� U t'G Owner or Tenant G- (-0-5 0 C(Pr LiC Owner's Address L7\ � ' `r 2 T— Is this permit in conjunction with a building permit Yes ❑ No heck Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Voits Overhead ❑ Undgrnd ❑ No.of Meters New Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters Number of Feeders and Ampacity r Location and Nature of Proposed Electrical Work Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Di sal No. Pumps Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No.dwyers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wirin No.Hydro Massage Tuds No.of Motors Total HP V Cac G.d^ OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy includin Completed Operations Coverage or its substantial equivalent icver NO = d valid proof of same to the Ofri ES NO = If y ed YES le a indicate the type ageby c cking the appropriate box. IN URANCE BOND = OTHER = (Pleas pecify) 0 O (Expiration Date) Estimated Value of Electrical Workb Work to Stag Inspection Date Resquested Rough Final Signed unde e en Iti of „�f�(� FIRM NAME / cir LIC.NO. G�.� .J 7 , Si nature LIC.NO. Lit,ens g [� [� Bus.Tel N — � Q Address r(I U��-1 ► 7� L Q�',�t� i�r/ Alt Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does of have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMITTEE $ (Signature of Owner or Agent) J `r Date k'... 7..: '.. ..�. Of NORTH TOWN OF NORTH ANDOVER or + `p PERMIT FOR GAS INSTALLATION �,SSACHUSES This certifies that . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . at . :. . . . . . . .. . . . . . . . . . �. . . . .. .'." . . . ., North Andover, Mass. Fee.-,-. Lic.-No.:. . . : . . . . . . . . . ... r . . . . . . . . . . . GAS INSPECTOR J WHITE:Applicant CANARY: Building Dept. PINK:Treasurer jl!��yp�e VIASSACHUSETTS UNIFORM APPLICATON FOR PERNUTTO DO GAS FITTINC or print) Date ) / 0 O 19 NORTH ANDOVER, MASSACHUSETTS Locations61 \ ` CA Permit 9 G �u11�1ng , Amount S de-,) n���Cl �2 Owner's Name New Renovation ❑ Replacement ❑ Plans Submitted ❑ A n C Z Z — Z - i n — Z 7CY- V'— su a -a :► sE .vt EN 'r — Is,r. F L 0 0 R 2ND . FLOOR 3 R D . F L O O R .i'r11 . FLOG R 5'r ll . FLOG R 6'r 11 . FLOG R 7'r ii . FLOC) It s'r 11 . FL O O R (Print or type, Check one: Certificate Installing Company NameL1hly��1 ;�QIICi1C�/��12 J�►� =�11��� ir�f; ❑ Corp. Address �� Go Q_ F-1Partner. .J Business �Telephon [1Z _ �� (,l ` ❑ FirmiCo.S E '=1 i Name of Licensed Plumber or Gas Firter INSURANCE COVERAGE Check e: I have a current liability Insurance policy or it's substantial equivalent. YesTj No❑ If you have checked ves. please indicate the type coverage by checking the appropriate bo. Liability insurancepolicy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Klass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ hereby co-rifv that all of the details and information I have submitted (or entered) in above appiicarion are true and accurate to the best of my knowledge and that all plumbing work and install 'on ormed under Permit Issued for this application will be in compliance with all pertinent provisions of the:�lassachus s S a Code and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fltter Title ❑ Plumber 9 City/Town ❑ Gas Fitter icense wumoer Masier Journeyman ATPRO'v-ED usF!)NI.Y1 Town of North Andover ,,oK,,, Office of the Building Department o L Community Development and Services Division -IWRIIWF, William J.Scott,Division Director ;�► ��• 27 Charles Street North Andover,Massachusetts 01845 D.Robert Nicetta Telephone(978)688.9545 Building Commissioner Fax(978)688-9542 February 6,2001 Mr. John Grasso Grasso Construction Company 865 Turnpike Street North Andover,MA 01845 Re:DiNuccio Residence 61 Country Club Lane North Andover,MA Dear Mr. Grasso: I am in receipt of a letter to you from New England Brickin sten Windows&Exteriors,Inc. (`Brickmaster")dated November 24,2000. Mr.&Mrs.Frank DiNuncciofaxed a copy of this letter to the building office on January 9,2001.As you may recall it was questioned,many times,why stucco was being applied to the residence without the benefit of expansion joints. You informed me that the sub- contractor-`Bnckmaster"stated the material being used did not require expansions.The building department requested material specifications to back up this claim—none have been supplied to date. However,the building department is expected to take for granted the statement of the`Brickmaster" Production Manager(Bruce D. Stewart)as follows—"The finish material being applied to the house has a high degree of flexibility and elastomeric qualities that allow it to stretch and flex". Once again no material specification back up. inspection of the stucco base coat revealed many areas of cracking. Is it correct,according to the "Brickmaster"statement,to assume—these cracks will never,in the future,telescope through the finish coat? The building department has doubts and concerns that they may and will. Pursuant to the`Brickmaster"letter"The absence of expansion lines or control joints built into the wall through the sheathing and framing would make any expansion joint applied by New England Bnckmaster Windows&Exteriors virtually useless and negatively effect the aesthetic appearance of the house". Through conversation you have informed me that Mr.&Mrs.DiNuccio are in accord with the above- mentioned statement . For future department reference copies of this and the`Brickmaster"letter are to be attached to the building permit application for this location. Yours truly, D.Robert Nicetta Building Commissioner Cc:Mr.&Mrs.Frank DiNuccio William Scott,Director CD&S BOARD OF APPEALS 688-9541 BUILDING 688- 9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 NEW ENGLAND BRICKMASTER WINDOWS & EXTERIORS, INC. 951 EAST STREET• TEWKSBURY,MASSACHUSETTS 01876 TEL:(978)851-5100• FAX:(978)851-9289• WEBSITE:www.brickmaster.com November 24, 2400 Mr. John Grasso Ch-a3so Constn+ction 865 Turnpike Street N. Pui-.'over, MA Re: 61 ount y Club Dr.,N. Andover,MA To\Whom it May Concern: New England Brickmaster Windows&Exteriors,Inc. has determined expansion or control joints are not needed W,the above mentioned address for the following reasons: 1. The absence of expansion lines or control joints built into the wall through the sheathing aid framing would make any expansion joint applied by New England Bnickmaster Wiivlows&Exteriors virtually useless and negatively affect the aesthetic appearance of the house. 2. The finish material being applied to the house has a high degree of flexibility and elastomeric qualities that allow it to stretch and flex. If you have any further questions,please call me at my office. '�' r.rrnly e D. Stewart Production Manager A Date.1�1.1. . .`. . . . No TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUS� / This certifies that .� . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . at. . .�. . . . PG U�./�� y . .�. -. .�. . . ... . .-North Andover, Mass. r7 L r Fee. y�: .Lie. No.. :: . . . . . . . . . . . . . . . . . . GPLUMBING INSACTOR Check # ') /2 WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PE T TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS 2I f� Date ,7 V Building Location ` \ Owners Name 1 CSC. Permit Amount Type of Occupancy ZeS New Renovation E Replacement IF-1 Plans Submitted Yes No El FIXTURES U Q " d a U a x w a Q w xcon a rA Z a H F x a � a a a Q d a Q cn SLB Hk41v1Hru' MHLM � 1113 11 zu Rjock 3M ILOQ2 4IH R9R SIH PLOCR 6M FLDCR 7M HIM mi HJOM (Print or type) (�, Check one: Certificate Installing Company Name ©1.�1 \�� Q�i�C11�Po_ uw,,43+6�� El Corp. Address Partner. O Business Telephone --lact Firm/Co. w ` Name of.Licensed Plumber \(�11 �A _�. Qy e-m 'e.IZ Insurance Coverage: Indicate th type of insurance coverage by checking the appropriate box: ❑ Liability insurance policy iK Other type of indemnity R Bond Insurance Waiver. L the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations pe rfo ermit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State PI b' e Chapter 142 of the General Laws. By: 6ignature01L1CenSeUr1U1nDer Type of Plumbing License Title City/Town icense NUMDer Master ❑ Journeyman APPROVED(OFFICE USE ONLY MAP ND P 2e-5-5 o Town of NORTH ANDOVER PARCEL • �� T3�c���r�2' BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: s 'v,- INSPECTION DATE: UNIT NO.: FLOOR: WING: BUILDING NO.: REMARKS: d7r /rrO A�.4C�'�`tl.d.,t►aC:" l...oca f-�12t'1'� T.� 1���-44'C S►»c o�. �'1t'�L/ie,G' �.J��.�.R 'C� 30 atm ►vc� t�C('R-uStw► Tuttu�`5 SL`�u c� wA{,(.S (Z�CeI✓/NCr aTu�� . t o 00 N v .4-u I l 05-ate C:NLLr1> 7-0* 282 -z 16 6 1 C A-u87N Toru (124sso /9-ls o 4 ��`L-.(_ S�'c'1*rl.� 'IT, �2 r9��•�' �9-n-�� S� w��ffc'' �/�-�-1 s . I z.-c> MAP Town GL,- PARCEL NORTH ANDOVER 1:3u'L D67 BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: S. INSPECTION DATE: �/�Otl WING: BUILDING NO.: UNIT NO.: FLOOR: • � us � No�' D� `► V�'+iC� T D I'Y! 4- /r!' �'b REMARKS: 0 � � �G • o Std dN A C� M ` L' � ti O`t- c��� wd I4W(' G F' �a 4L -r.,-- .�tt=T Flo ! N 2"�° k"�DS 1• gn at Suprax kV L Iry s s �dg. d,22r�n �- s •� " s7 L R�,wc tam Peon' Yao`i4 of t L4 Pf&7Z �,LL ra��zs►�t. Q�_t� gIvNPSeN Z` hlp C�oNNcfi � • lac� a�.KsbN V1bNvZ kNp4' �r Vw�otr d 6L1.Zo/ov R e�� yrs-c�,�,��n`� c.-7 7�,� t'OS f'��pec,��A, �.,�-�-�j �..A•NC .o.��, _ MAP �O r�o� S Town N NORTH ANDOVER PARCEL f..�►M Q"fLDt—rZ BUILDING PERMIT INSPECTION REPORT INSPECTION DATE: ! ,, PERMIT NO.: PROJECT: UNIT NO.: FLOOR: WING: BUILDING NO.: REMARKS: ptz"'fril-k0l. 54 Lev— ellti Tw W "'(Z PLR-t 1aluPr fZ N� f DS' 05 -0 PrU�t Qoo�= p►ORTH d- 3�o tt !p /6�aO0 Q 7 Qp4T,p�oP`�5 TOWN OF NORTH ANDOVER 4SSACHUSEt APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY : �-0� 4• GO L) A)EKN C 4.04 C rRGk,r-- DATE REQUESTED FILED/READ Y FOR INSPECTION N I/ / o/ CLOSING DATE ON PROPERTY: '_� /S d FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND PERMIT SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY DOLLARD $20.00) WILL BE CHARGED IF THE RUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING CONSERVATION PLANNING t � 6 DPW -WATER METER NOTE: DPW MUST INDICATE THAT WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW Signat re r J'J G - it.Cti.Ci /6--/ Of NOR71y,� O G:• o� t +{ 1S3ACHUSt CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 038 Date 9/11/2001 THIS CERTIFIES THAT THE BUILDING LOCATED ON 61 Country Club Circle MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Andover D&G, LL&Grasso Construction Co Inc ADDRESS 865 Turnpike Street North Andover Ma 01845 l Building Inspector F �C Tal own . of over o� No. 8 �S�t-oc30 2-b2-ego �' M� . &>!2' 2Wz.e> ��A COCH,< E Q ,� dower, Mass., I- 0 ATED P''4¢,��� s 5� 7 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.. ,���.L1.0 f�.r. s , c.�.r� a,� �►�•, A,C . Foundation has permission to erect.....W.-O ,7.................. buildings on ....�. ...AP!4.Nh;L ...��.�c.� � �� ........ ...C�.�re.! ............. ough vtTZ ,tom to be occupied ash. � ..s.iiy&�a�. prw��lw.ew44. ��►►¢�... 3-Cq/2... i �/ ...... Chimney provided that the person accepting this permit , sIll in every respect c nform to the terms of the application on file in Fi - this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. LUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. �'��Lam— PERMIT EXPIRES IN 6 MO V 1 IHS frd 1F �a�sl� N LESSCONSTRUCTION STARTS ELECTRICAL / EC ougNa � 0� scr&V q M Poeoab��+- ' Service . ©. A�,.y � Zku 2C S S c��`�l�` BUILDING INSPECTOR di T>aliM L Occupancy Permit Required t© Occupy Building GAS INSPECTOR a Display in a Conspicuous Place on the Premises — Do Not Remove Rough F' a No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. BurnerFlRE PAR ENT Aa �0 229$$ Street No. �r SEE REVERSE SIDE smoke Det.