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HomeMy WebLinkAboutMiscellaneous - 61 PATRIOT STREET 4/30/2018 61 PATRIOT STREET 210/013.0-0010-0000.0 bate. 1. . . . ... . .? NORTH TOWN OF NO�,j ANDOVER _ PERMIT FOR PLUMBING ,SSACHUS� This certifies that /-.9. . . . . . . . . . . . . . �. .t. .f. . . . . . . . . . . . . . . . has permission to perform . . L'An C. ( /0 i'. . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . at. . . .v�� ?f!?`.`. .�. . . v . . . . . . . . . ., North Andover, Mass. .� 5 Fee. 7.7.25 .Lic. No.,� ,� ,�:-M:�,.�.. . . . . . P UMBING INSPECTOR Check # 7514 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS p Date _6 /.Z Go-7 Building Location / 'o Owners Name Permit# l Amount 3 7 CE Type of Occupancy Z j/� ,npGy New 0 Renovation Replacement Plans Submitted Yes No FIXTURES rn w ' SCBM R 9RVM lSl;HOIR 2N I HDD 3R[I HDM 4IH KOR 57 HDM 6M ROM 7M ROCR SII3 HAllt (Print or type) / � �� �� Check one: Certificate Installing Company Name�.�AstliYlGe G1d4�eyi9A,d-iP, P tyl ct I`D, Corp. Address Partner., Business Telephone Finn/Co. Name of Licensed Plumber- Insurance lumberInsurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Er Other type of indemnity 1:1 Bond Insurance Waiver. I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature OwnerEl Agent El 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 performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts S Plumbing Code and Cha er 142 o the General Laws. � r By: Signa 31 LlCen= um er Type of Plumbing License Title City/Townicense Numoer Master Journeyman ❑ APPROVED(OFFICE USE ONLY Date. .' NORTH pf ao 11.0 02 TOWN OF NORTH ► DOVER 40 PERMIT FOR GAS INSTALLATION SACHUSE • This certifies that . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . r5 C.'ri. . . . . . . . . . in the buildings of � . . . . . . . . . . . . . . . . . . . . . at . . .6. 1. . . /=7 ; . . . . . . . . . . . . ... North Andover, Mass. r Fee. . U. � Lic. No.. .1 .` . .. ..�.. . :, GAS NSPECTOR Y� Check# ') 6159 N 31 MASSACHUSETTS UNIFORM APPLICATION FOR PERNIlT TO DO GAS FITTING G � (Type or print) Date ��� app 7 NORTH ANDOVER,MASSACHUSETTS Building Locations4 1d 7-.977 C-7 Permit# Amount$ Owner's Name r'�L New❑ Renovation ❑ Replacement fJ Plans Submitted ❑ u a u� U Z vi O = a w U t: X w W O ,O a O z F a U w x �, z F o a > W Cw7 H z z x w a w W w H w H x x z e w Q a = H > ° �° 'z o z a o x W x 'o u C > a a F o SU B-BASEM ENT BASEM ENT IST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR r (Print or a) Check one: Certificate Installing Company Name 8� �t L.T . (ni'Corp. Address ElPartner. BusinessTelephone— ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter �iC° r4 V. INSURANCE COVERAGE Check one: I have a current liability Insurance,policy or it's substantial equivalent. Yes ❑ No 1:1 If you have checked Yes,please in icate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: lam 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 installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State G Code and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas fitter Title ❑ Plumber `o�le?9 City/Town ❑ Gas Fitter License NumBer ❑-Master APPROVED(OFFICE USE ONLY) 0 Journeyman Daniel J.Parker,A.I.A. A R C H I T E C T 158 Gale Avenue Bradford,MA 01835 Architecture ♦ Planning ♦ Project Development Voice/Fax:978-373-2446 October 17,2007 Shaun Twomey TWOMEY&LEGARE CONTRACTING P.O. Box 366 North Andover,MA 01845 Re: Twomey Addition 61 Patriot Street North Andover,MA Framing Inspection Dear Shaun, Per your request, I visited the Project on 10/17/07 to review the framing of the addition for the Project noted above. During the visit I reviewed all framing members including the LVUs, beams, rafters and joists and observed that the materials and connections installed to be consistent with the Project specifications and the installation to be in compliance with the details shown on the construction drawings that were submitted for the building permit. It is my opinion that the framing appears complete per the construction drawings. If you should have any questions, please feel free to give me a call and I'll be glad to discuss them with you. Yours y, 0 Ap HAVERS: . Daniel J.Parker, A. Architect Date........... ©.7 s f NORTq ° t"`°;•�"� TOWN OF NORTH ANDOVER as PERMIT FOR WIRING, SSACMUS� This certifies thatP ,r�!. .... � / .f C �'... .... ................ ......... ............... has permission to perform Xw? ..... . ............. wiring in the building ofiuQ M{ '� + ��% ST................... North Andover,Mass. at................. ....................................... Fee..�. -r-�'' Lic.No.A/14.3 4............. •f..... ....... E ECTRICALINSPECTAR v:. : Check # 7� 7744 Pcrmil No, 7 Official Use Only Commonwealth of Massachusetts I�fli y Department of Fire Services T_ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATION8, . Rev, 11/99)" Icave blunk APPLICATION FOR PERMIT TO REE FORM ELECTRICAVWQRK All work to be performed In iccordtncc with the Massochwcits Bitchiest Codc(MCC),527 CMR 12,00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /,11 /7 b7 City or Town of: /(� ,Do To I11r' flivnerrr7r of flf/il'r„c: By this application the undersigns 6d gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 61 40,n $� Owner or Tenant SQ(�,C,/ 7'7s/Dl Telephone No, Owner's Address Is this permit in conjunction,with a building permit? Yes No ❑ (Check Appropriate Boz) Purpose of Building Utility Authorvation No. ExJsting Service Amps I Volts Overhead ❑ Undgrd ❑ No, of Meters New Service Amps I Volts Overhead ❑ Undgrd ❑ No, of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /04!5- 40 1770V Can hetion of III I,follmwn nrhle riot be nultrJ by lAc In.t�cclnr a/lY; r, 0, 0 oIM No, of Recessed Futures g No, of Cell,-$usp, (Paddle) Fans / Transformers K VA No. br Lighting Outlets No, of Hot Tubs Geaeralors KYA I OYC n• 0, 0 mcrgcncy g nig No. of Lighting Fixtures Swimming Pool rnd, end, Bnttcry Units No. of Receptacle Outlets 20 No,.or,Qil•Burners FIRE ALARMS No, of Zones o, of Detec(lon an No. of Switches /0 No, of Gas­Burners Initiating Devlces No. of Rangcs No, of Air Cond, To Tons No, of Alerting Devices ff—eo-t Pump Rumber Tons u, erti o e - unto nc No. of Waste Disposers i P Tot Detection/Aln Devices No. of Dishwashers Space/Area Heating 1<W Local ❑ Cunniecptlun ❑ Other No. of D cis Heating Appliances KW Security Systems: ry No,of Devices or E uivolent No. o aterKyy o, o o. o Data Wiringg; Heaters Signs Ballasts No. of Deviccs or E uivolent droroassa a Bathtubs No, of Motors Total HP a eco .or cut ons wiring, No. H y g N f tvlCt or uivolent OTHER; 4rJ anoeA oddlNonot derolt Vduired,or o4 required by rhe hupecior o/rY(rcj INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of clechr cal work may issue unless the licensee provides proof of liability insurance including"completed operation”coverage or its substantial equivalent. The undersigned certifies that such coycra is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: NSURA BOND ❑ OTHER ❑ (Specify) ;q oa r ,.i,• - ( xpiration Datcl Estimated Value of Electrical Work: Gds (When required by municipal policy.) Work to Start: Inspections to be regyested in accordance with MEC Rule 10, and upon completion. I terrify, under(lie pains and penalties of perjury, Ilial the Information on Ihls app(learion Is rare and complerc. FIRM NAME: LIC, NO.> IWC 34 Licensee: �4t/lU f gcyb _ Signature LIC. NO.: (IJ opplicuble, enter"e.rempt"to the license number line _ i Bus, TeL N01:3?7 68 2 - (0zro Z Address: LT56k./b Sr- 4� -` M ��� Alt, Tel. No,.21r 37 2- f'1 OWNER'S INS RA CE WAIVER; I am aware that the Licensee does not A.ove 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 PERMIT FEE; ,S Signature Telephone No, � �,o 2634 Date../ TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies that ............................................................................................. has permission to perform .. /.d.......... ......................................... ............... .. .... III wiring in the building of...... ............................................. at......... ......................;North And ass. 'Z- Fee...... Lic.No/.'�3..)K ... .. ... ./ x.�� ................ ELECTRICAL INSPECTOR Check ,, I WHITE: Applicant CANARY: Building Dept. PINK:Treasurer C,ommonweaf9 o/M1s9acltudeltj Official Use Only a 2"P <7, Permit No. eParf nrenf J o` ire ervice� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev- 11,99] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be per('ormed in accordance with the Massachusetts Electrical Code(i%0EC),527 CMR 12.00 (PLE.ISE PRINT LV INK OR TYPE ALL INF- ium710N) City or Town of: To the Inspector of wires: By,this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) Owner or Tenant 56R,A! Telephone No. Owner's Address �G Is this permit in conjunction with a building permit? Yes 2 No ❑ (Cl ecl:Appropriate Box) Purliose of Building Utility Authorization No. Existing Service Anrps / ?c Id Volts Overhead Undgrd ❑ No.of tAleters 2,' New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters. Number of Feeders and Ampacity Location and Nature of Proposed Electrical York:. i Completion of the(ollorvine[able ntay be waived bti the Ins cctor of Wires. INONo.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Falls Tr s Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No."of Lighting Fixtures Swimming Pool Above ❑ In- ❑ t o.o mergence Lighting rnd. grnd. Batteg Units No2of Receptacle Outlets No.of Oil Burners FIRE ALARNIS No:of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No, of Alertina Devices Tons Heat Pump Number _Tons KW _ No. of Self-Contained No.of Waste Disposers Totals: Detection/Alertina Devices I unicipal No.of Dishwashers Space/Area Heating KW Local`❑ Connection ❑ Other >� Healing liances Security Systems: a No.of Dryers ^App. I{1i• No.of Devices or Equivalent No.of Nater KWNo.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total IIP "Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required 6v the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no 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 cover a is iii force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) • l� � (Expiration Date) Estimated Value of Electrical Work:' dU (When required by municipal policy.) Work to Start: l�.//'e� Inspections to be requested in accordance with MEC Rule 10,and upon completion. I t:ertifj•, under the pains alrti penalties of perjury,that the itrformatiou at is application is trite and complete. FIRM NAME: l t �'� LIC.NO.: Licensee: / ,'jt�'� Signature LIC.NO.: (If applicable, enter ••e.xempt•'in the license number line.) Bus.Tel.No.: 2'� �'- Address: ��Gi'P.Z•� STL�J1vr'�bZ-+Ccs n� �lnlc Alt.Tel.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,1 hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent Owner/Agent Signature Telephone No. FPj_-RMIT T,E- S Location No. �/ Vii, !`�.a. Date . <� 'c/ NORTh TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ ;�s''^°•E Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ yr Check # 1 4 1 8 1 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ave" BUILDING PERMIT NUMBER. �q DATE ISSUED. SIGNATURE: AVM Building Commissioner/IpsMtor of Buildings Date Z SECTION 1-SITE INFORMATION O LI Property Address: � 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Distrid Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RaIttired Provided R red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record NameTint) Address for Service: 1 1,121 Sign re Telephone 2.2 Owner of Record: Flame Print Address for Service: O Z Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number i dress } ,� G Earp rai/hon Date / — ic Sig re Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 Company Name M Registration Number r Address / P Expiration Date ^� Si nature Telephone G) 1 R SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. -Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check afl applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be fIFFICIAL USE'00T' Completed by permit applicant h 1. Building �C (a) Building Permit Fee Multi lien 2 Electrical (b) Estimated Total Cost of �v U Construction 3 Plumbing Building Permit fee(e)X (b) 4 Mechanical HVAC O 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize�� to act on My behalf,in all mer l 1ative to ork authorized by this building permit application. Signature ot"Mmer Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, �.�v� as Owner/Authorized Agent of subject r propert Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief �v Print Name Si at e of Owner/A ent Dat NO.OF STORIES j SIZE BASEMENT OR SLAB SIZE OF FLOOR TUVIBERS /C7 1sr2ND 3 RD SPAN X DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS 211 v HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING 'V X MATERIAL OF CHIMNEY -A�o IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL,GAS LINE tGS' r J t Town of North Andover of NORTH 6, o o Building Department o 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax(978) 688-9542 7 �ggt9D nP`y t5 �SSgCHLU) r DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and.a condition of Building permit# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in/at: Facility location Signature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. FORM — U — LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained.This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT PHONE ASSESSORS MAP NUMBER f)/ LOT NUMBER OGM _ SUBDIVISION LOT NUMBER STREET STREET NUMBER OFFICIAL USE ONLY so MEMNON RECOMMENDATIONS OF TOWN AGENTS /■■ V(".....t.... ................................................. NOON... V DATE APPROVED CONSERVATION AD TRATOR DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED CON94ENIS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE NORTH Town ofAndover 0 . No. 490 M o z� A o y dower Mass. q O COCHICHEWICK V 1 ADRATED S H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT 5.ho.mo ,� 0y ..... .......�........ ............... ............... Foundation ' �p R has permission to erect.... y. x�� buildings on ....... S ............... Rough .. .. . . .. to be occupied as......R!!O db U*r 6 W41f D&CA j ' V- 3 S VA AGA) �e0� Chimney .................................................. ............................ ................................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STAR,TS !' .. ........................................ Rough ..........,��I� ...... .............. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in. a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner FlRE DEPARTMENT Street No. SEE REVERSE SIDE smoke Det. 236 Date. .� S.l........ E NORTH , TOWN OF NORTH ANDOVER t PERMIT FOR GAS INSTALLATION-0 • °� _.� • �9SSACMUSEtth Q • G This certifies that . . Es l' J .t`�? . . . . . . . . . . . . . . ..� has permission for gas installation . . . . . . . . . . . . . . . .u Ji n the buildings of . . . . . . . .. . . . . .`". . . at . .i�. . . . . . . . .. North Andover, Mass. Fee. .,f .'. Lic. No..A?2 Y.� . . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR } WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File °' 0 X MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Town of 1104M, Massachusetts Date l 19-Permit#X60 N• A Permit Fee 10 i Building Location 40 Q647-Z(DT -S.-r- Owner's Name 9A�?I/a,f !v/d,/4i0 s t4d wU to u( czt"_ Type of Occupancy New ❑ Renovation ❑ Replacements Plans Submitted: Yes[] No ❑ V) �J ¢ N W n Y Z ¢ N N N U ¢ }. x N ¢ N ¢ O N W W W O U m F = n t7 J '� ¢ = p u F Q ¢ o ? .'a r W 4 ¢ O r- a m � t- y W O a ¢ m ¢ WQ f. W > a N ¢ W Z U W = to Z Q ¢ O O W W W N J = Q S a n: 0 ¢ W t.- W H _ a 0 F Z J " Z f W W O > U. h W J W Z Q W Q m H r H m Z O 2 ¢ O to I Q W > ¢ W 7 Z a ¢ Q a O O W O pr F ¢ = O t7 Y W 7 3 O C7 J U tL > cl a l~ O SUB-BSMT, BASEMENT 1STFLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name ��c/C(A �j\ Check one: Certificate Address 6.) 3 c� ❑ Corporation O Partnership Business Telephone (,/7 ys��`7(p� f'Flrm/Co. Name of Licensed Plumber or Gas Fitter J ,u t INSURANCE COVERAGE: I have a current II bllity 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 coverage by checking the appropriate box. A liability Insurance policy ❑ 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 Mass. General Laws. and that my signature on this permit application waives this requirement. Check one: Owner[1 Agent ❑ Signature of Owner or Owners Agent I hereby certify that all of the details and information I have submitted(or entered)in ove ap i ation are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the per 't i s ed f happlication will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of tie e a al BY T o of License: Plumber gignatwe o ice um er or as itler Title Gasfitter Master License Number C,ity/Tow Journeyman < A►T• D(OFFICE USF ONLY) !A Inspection Date Requested it a j i BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION t FEE NO. ' APPLICATION FOR PERMIT TO DO GASFITTING 1 •� t } NAME & TYPE OF BUILDING i i i LOCATION OF BUILDING PLUMBER OR GASFITTER t ' t LIC. NO. PERMIT GRANTED DATE 19 GASINSPECTOR Data!.Q ',-? ;.F/ 1,42 3853 4, TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING49 A .: • . Q �,SSAcmus� This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . plumbing ' ,e buildings ofZortkndover, . . . . . . . . . . . at. . �I' x�= Z�! . rd-:� . . . . . . .. Mass. FeeCh `t ... . .. .Lic. No.,�Xep' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N PLUMBING INSPECTOR CU a WHITE:Applicant CANARY: Building Dept. PINK:Treasurer 9jr: MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING Type or print) �. A.1NORTH ANDOVER, SSACHUSETTS DateOG ,uilding Locations (Q rAjT;G'T' .S7,-kr rr Permit # ?5 Amount �� Owner's Name `Sri e.�f New Renovation Replacement 1:1 Plans Submitted I l FIXTURES rAa En w a En a a w a W a w SUMM fl45IIV)F1VT 1SE film 1' M FLUB M FI OM 4IH FLOCK 5M FLOCK 61H R M 7M FLOOR SPH ium (Print or type) > Check one: Certificate Installing Company Name67RA4t1&& 1u.vt B4 F om• Address 1�� CRr4yi�lLle Li¢n El Partner. Business Telephone �78 -,,i�' 9 �S ,e,' Firm/Co. Name of Licensed Plumber: A4?ae>49 'W Insurance Coverage: Indicate the type of insurance coverage b cher mg the appropriate box: ❑ Liability insurance policy V 7 Other type of indemnity Bond Insurance Waiver: I,the undersigned,have been made aware tHat the licensee of this application does not have any one of the above three insurance ft Ignature Owner O Agent il4�=d-1bMa7Aetbei amai t !aa naaia+c ��ca�ac. aiat WU best of my IwNAe*aria that aR plumbing wo&aria p baa P omit�Suea iu itis canm compliance with all pertinent provisions of the Massachusju State Plumbing Code and Chapter 142 of the General Laws. J. By: 'Sig—nature o I n mer Type ofPlumbing licrose itle �l8F City/Town ice1mer Ma ster � Journeyman Tty1" El APPROVED(OFFICE USE ONLY 2981 Date..i� F NORTH TOWN OF NORTH ANDOVER O PERMIT FOR GAS INSTALLATIONER F f SSACHUSEt This certifies that ..-- . .,, ..•.. . .'. . • • /• • • • • 4 has permission for gas installation . . . . . . : . '` . .: • in the buildings,of:_ '-py. . � • • • • • • • • • • • • •� v C a" at . -� � ! North Andover, Mass. Fee � . . Lic. No.A-Ve.q . . . . . . . . . . . . . . . . . . . . . . . .. . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer ti > MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS F=G ype or print) Date dc r J.1 19 NORTH ANDOVER, MASSACHUSETTS Building Locations � ;� 7XAQ T S"7'Er-'7 Permit# r9 p�D" Amount S Owner's Name SA140-d ���� New❑ Renovation Ell" Replacement ❑ Plans Submitted ❑ n � ryj n z F w w n cn w =e C z F. Gn n L v J�j n 7_ �; Z Z :tel ;rJ '`.". i Z �t ti - !C r i� n Z t sl C z SU B -BASENI ENT BASEMENT Isf FLOOR 2ND . FLOOR 3RD . FLOOR 1T H . FLOOR 5TH . FLOG R 6'r It . F L O O R 7T If FLOG R 3'r if FLO G R (Print or e) D/ Check one: Certificate Installing Company Name ANOWM&�/L l.�B ag, --y-ZL , e L?� . Corp. Address A ❑ Parmer. 8� PJ Business Telephone 78— ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter . Fr�js INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked ves,please indicate the type coverage by checking the appropriate box. Liao,ility insurance policy 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 Maes.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 installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the\Massachusetts State Gas ode and Chapter 142 oft e General Laws. r Bv: Signature of Licensed Plumber Or Gas F er Title ❑ Plumber �a�8 City/Town ® Gas Fitter License i umuer aster �.kPPROVED wFr•IcF USE ONI.v) ❑ Journeyman ;_ocation a � No. Date a , NORT1y TOWN OF NORTH ANDOVER 3j :�,�•OOL n Certificate of Occupancy $ ' ' Building/Frame Permit Fee $ Foundation Permit Fee $ a, Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ c,71 J Building Inspector j 3,s.00 12865 10/27/96 10:28 Divv.. Public Works Pcation No. Date 1 �� F / NORTH TOWN OF NORTH ANDOVER F p Certificate of Occupancy $ 41 Building/Frame Permit Fee $ Foundation Permit Fee $ s�CHuso r, Other Permit Fee $ • Sewer Connection Fee $ 11� k Water Connection Fee $ f TOTAL Building Inspector `� f ` 1_'!27/98 10:28 K-08 PA i Div. Public Works Ill-AIM IT NO. � APPLICATION LIGATION hOIZ PERM TO BUILD N012TI1 ANDOVER, MA nl\PNo. /' U LOI'.NO, 2. RECORD OFO\1'NLR511tP DATE E300K PACE / Z(1NE SUB DIV. 1.0I'NO. Jar /`//// 'X LD(:.♦TION / L PURPOSE OF BIM IANC; / / / //✓/ �� `mss�"/� r/ I OWNER'S NAMEC!/ r O� No. OP STORIES OWNER'S ADDRESS BASEMENT OR SLAB ST RD AR('111TEC1'S NAME it /V J_ / SIZE Of--FLOOR I IMBERS z ) 3 1-11111 DER'SNAME O SPAN DISI ANCE l O NEAREST BUILDING {J DIMENSIONS OF SILLS DIS FANCE 1.1401.1 STREFi F DIMENSIONS(N POS I S DISTANCE FROM LOT LINES-SIDES / REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE UEIGI IT OF FOUNDATION THICKNESS KNESS IS Bt11LDING NEW SIZE OF F(X7FING X IS BFIILDING ADDI-I[ON MAIERIAL OF CHIMNEY IS BUILDING ALTERATION //lG� `v IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TOREQt11REML'NTSOFCODE BC 1SBt)ILDINGCONNECFEDIOTOWN WATER BOARD OF APPEALS ACTION, IF ANY G \7 IS BFIILDING CCNJNECI'ED To TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSFUU1'IONS 3. PROPERTI' INFORIIIA'HON LAND COSI EST. BLDG.COS F G5 V PAGE I FILL O(IT SECTT(NIS 1-3 EST. BLDG. COS I PER SQ. FT. ESI. BI.D6. COST PER R(X)M EI FCTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. AF(ACt1EDGARAGESMUST C(NNFORMTOSTATE FIRE REGOLAT1(NJS a. APPROVED BY' PIANS MUST BE FILED AND APPROVED BY BUILDING INSPECTCN( - BUILDING INSPECTOR DA'1f1:FII E1) Agif014'NERS"TF:I'�l f4 �t..' .� li _16 CONTR. Et 4 -Z-' ��6' Q� C(NJ'1'R.1.1 C✓� SIGNAI(IRLOFOWNI:RORAL1111OR14:DA(,I '1 PI-Rn11T GRANT ED 0 19 nl /2-vC I c) c} S� gqe eomUnz vm" al✓�awacluaeiM 4i . v �I DEPARTMENT OF PUBLIC SAFETY I .. CONSTRUCTION:SUPERVISOR LICENSE NU6 . ` 1. Expires. Birthdate; CS 067560: 10125/1999 1012511966 Restricted To; 00 -X cW SHAWN M TWOMEY 2 LAKE JOY RD ANDOVER, MA 01810 HOME IMPROVEMENT CONTRACTOR Registration 122479 Type DBA Ezp iration 09/10/00 TWOMEY CONSTRUCTION SN M. TWOMEY 4VE JOY RD ADMINISTRATOR ANDOVER MA 01810 it j.10RTown of T/y s t _ Andover No. - * Z - i dover, Mass., 19 O - _ LAKE OCMICHE WICK E D v �G BOARD OF HEALTH PER IT T D Food/Kitchen Septic System N D BUILDING INSPECTOR THIS CERTIFIES THAT.... ....... .... ............................................... ........ rFoundation has permission to �sel. `C .O !.!. .... build756 .... /......... .. ... 1�./..0 ,.....Q.. .... Rough t0 be Occupied as...... . ......... .............................................� ...�............. Chimney Ch' provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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. PLUMBING INSPECTOR SVIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Rvoc *6 1aR4FRmrr EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRU I't1 AR � Rough ..................................................... .............................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. N2 2 104 Date...1d1Cq..11Fi- TOWN OF NORTH ANDOVER PERMIT FOR WIRING SACHU This certifies that ..... ................................................. has permission to perform ....... \..J. .....f... .....ef wiring in the building of.... ......rwmm.�.../........................ ...(.....)Q'T-//?,-�d../....�t............................ .North Andover,Mass. Fee....L10,do Tic.No.:+i��Pi........................................................ .................. ELECTRICAL INSPECTOR w27/98 13,37 40.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Office Use Only �\ � Ir C�IImmunurPttltfl >1f fa,55#115dt Permit No. (J fi9eVartment of Igublir —0,afetg Occupancy A Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 2:00 (PLEASE PRINT IN INK OR TYPE ALL INF RM TION) Date City or Town of &Z Iv &9 2064 To the Inspector of Wires: The udersigned applies for a permit to pe orm the electrical work described below. Location (Street & Number) D Ot/•© .S . Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building nn Utility Authorization,No. Existing Service d Amps 23IQ Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work a No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA No, of Emergency Lighting No. of Receptacle Outlets �(' No. of Oil Burners Battery Units No. of Switch Outlets •No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals ' No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained '-No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW Local [:] Municipal El Other Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: R W�� � � / E!� /• /�E/'� „L//i1/r�"� /`� �•7'"'!/ 11�' //�D�/� r INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES NO C 1 have submitted valid proof of same to the Office. YES CX NO G If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ]] BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Electrical Work$ (Expiration Date) Work to Start inspection Date Requested: Rough Final Signed under the Penalties of perjury: FIRM NAME M D P Inc. MOtti Electric o. r. NO.A8424 Licensee M_ PnpiCin Signat a LIC. NO. 20529 E 10 Peacock Hill Sharon, 2 Bus. Tel. No.7A1_82$_8547 Address Alt.Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Ow Agent (Please check one) Telephone No. PERMIT FEE$ (Signature of Owner or Agent) x-6565