HomeMy WebLinkAboutMiscellaneous - 61 WENTWORTH AVENUE 4/30/2018a�
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CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER.
Building Permit Number 94(8/g/06) Date; November 12, 2008
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 61 Wentworth Avenue
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: E&F Builders Inc
PO Boz 398
North Andover MA 0845
Building In pector
S Nov 06 08 10:34a NORTH ANDOVER 9786889542 P.1
APPLICATION FOR CERTIFICATE OF OCC UPANCYIINSPECTION
Building
> Permit #
ADDRESS/LOCATION OF PROPERTY:
Map Parcel Lot Number
SUBDIVISION
DATE REQUESTED FILED/READY FOR INSPECTION /` sLd��
CLOSING DATE ON PROPERTY:
FIVE I51 DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-
INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE
DOES NOT MEET ALL APPLICABLE CODES.
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Permit Issued to:
Address U-U�c ��� ��� M f4
O TING
Rl � I
CONSERVATION
PLANNING D
DPW - WATER METER
SEWERIWATER CONNECTION
NOTE
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCYIINSPECTION REQUEST
DPW
Signature
File: Application for OC form revised Jan 2007
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Date ...... P` �.
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that .. I :cj 0.. L° �... !'. !�1.. , .............. .
a s
has permission for gas installation . ! 1 ��► .
in the buildings o ' , North�Andorv�-e.r, Mass. 01!� )W�
Fee. 10.0) OPLic. No. . .. .
GAS INSPECTOR moi
Check #
MASSACHUSETTS UNIFORM APPUCATON FOR PERNIIT TO DO GAS FITTING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date L4 v9- -o'i
Building Locations to �QLAI�0;,14-1', Permit #
Amount $ A-6
Owner's Name � .�.. �
New ® Renovation Replacement Plans Submitted D
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BASEMENT
I
I
1ST. FLOOR
2ND. FLOOR
I
3RD. FLOOR
I
4TH. FLOOR
STH. FLOOR
6TH. FLOOR
7TH. FLOOR
8TH. FLOOR
(Print or type)
Ch k one: Certificate Installing Company
Name -- '► CC." 3"C-
-� SC Corp. >0
Address � • o - 6c)- b 1 1 )((a Cn,�.�- Y�/� .� ��= V Partner.
Business Telephone
77 -77777 f; 7 7't Firm/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes ® No13
If you have checked Les, please indicate the type coverage by checking the appropriate box.
Liability insurance policy ® Other type of indemnity ED Bond 13
Owner's Insurance Waiver: 1 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
hereby certify that all of the details and information 1 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 Code and Chapter 142 of the General Laws.
,
(APPROVED (OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Fitter
®Plumber
1 �)�
Gas Fitter (cense Number
Master
Journeyman
Date.:!.. G
of "•� �7 14, TOWN OF NORTH ANDOVER
° PERMIT FOR PLUMBING
s � •' a
�SSACNU`�E� J 9
This certifies that ....... J
....i..:.... ,......... .
has permission to perform . . 'G". ........ • .
plumbing in the buildings of ..�................... `.' .... ... .
at .r / ...%a <." �.''�. tom': , North Andover, Mass.
Fee .441.... Lic. No. .......... ......
PLUMBING INSPECTOR
Check # �� �� • U
7360
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date V - '
Building Location 6 Owners Name t�E +-i= ` 5{-,ry L -j u -*j Permit # �
Amount
Type of Occupancy iS
New Renovation Replacement 1:1 Plans Submitted Yes No
FIXTURES
(Print or type) Check one: Certificate
Installing Company Name��i -� ,L'� t l Q, 4A iV-Z.-IC o Corp. �(a
+ Address O (2.'o x 1 k, I V f Ac v Partner.
t'nA-• ij i 12,
G El
I Business Telephone Gill G , G Sl 1-7 �' ❑ Firm/Co
Name of Licensed Plumber:
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy El Other type of indemnity 11 Bond
Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
threeinsurance
Signature Owner El 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 Stat Plumbing Code arrd thapter 142 of the General Laws.
By: Srgnaiur�e ofLicensea riumoer
Type of Plumbing License
Title i ?i5 �r
City/Town Zicense Numoer Master ® Journeyman ❑
APPROVED (OFFICE USE ONLY
�..� .. dDate ....... ......
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
LGL -r7"'
This certifies that ..................... ....m!�..........................................................
iVeltU yr-lPU�,-'.
has permission to perform
wiring in the building of ................� 't F,,, v!Ll�F,eS
.......................................................
4'
at ..................... .................. .!e%-............................ , North Andover, Mass.
Feet i......... Lic. N0.fr..................., .......................
ELECTRICAL MpECTOR
Check 11
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BOARD OF FIRE PREVENTION REGULATIONS
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tvbaAa�a:
Occupancy s Fee
APPLICATION FOR PER= TO PERFORM EL.FrIMCAL WORK
(ALL VIM TO U MWJMM W H nM MASSAiail)$EM FZECMMAL Cam 527 Oa 12..001
PLEASE PRINT IN INK OR TYPE ALL INFORMATION pate;_ 7 - 2 / r/ 7
— City or Town of;- &��. '4"'1" ,,�/fZ To the Inspector of Wires:
By this application the undersigned m the gives notice of hes-or her intention to peeftrelectrical work described below.
Location: (Street & Number)t./Vii_ �'� d r Th ��i -C„
Owner or Tenant: /0 zL ZZ; a= r --
Owner's Address:
is this permit in conjunction with a Building Permit? Yes c No D (Check Appropriate Box)
Purpose of Building: . '� .� Utility Authorization _ /� 2 — -7Z
Eyisting Service: Amps ffoits Overhead Undi>srgrnund. D # of Meters
New Service: Zvi Amps /Ld f Z4/a Volts Overhead ®,--' Underground.0 # of Meters:
Number of Feeders and Ampacity:
Location and Nature of Proposed Electrical Work-
No.
ork
No. of Reamed Fommm
No. of Cali, -Stop. (Paddle) Fans
No, of Tnnstormers Total KVA
No. Of Ughting OL Mets
No. of Hot Tubs
Generators KVA
No. of Lrghting Fbctures
$winning Pod: Above ground o In Orwnd a
# of Emergency Lighting Battery Untts
No, of Recetxsede Outsets
No, of an awnem
Fire Alarms # of Tones
# of Detection 8 Initiating Devices
# of Sounding Devices:
# of Self Contained
DencotNSotutdhtg
Local o Municipal Conn n o Other o
No. of Swages
No. of tial Burners
Na. of Ranges
Na. of Air Conditioners TOTAL TONS:
No. of Wane Disposals
Haat Pump Tatels:
Number: TONS: KW:
Seanny Syssana:
No. of Dw*w or Equivalent
No. of Dishwashers
Space IAna Heating: KIN
Data Wiring, No. of Devices or Equivalent
No. of Dryers _ _
Hea*M Appliances KW
Tolocormnunications W uirp: No of DeWces or
Emmatent
No. of Water Heatere KW
No. of B►gns: # of Ballasts
OTHER;
# of Hydro Message Tubs
No. of Motors TQMI HP
INSURANCE COVERAGE: Uniass waived by the owner, no permit for ttte performance of OWKA lcel wort Wray tasue unless the licensee
including 'completed opmetlon* coverage or ft substa AW aquivalaWt TJta undersigned aarfifias tint such Pees proof of f $11 ry instance
r+j'/ eovera�ge is In fonx. and has wctublted proof of same to the rxrt
issuing oleos. CHECK ONE: INSURANCE BOND O OTHER 0 Please specliy:
E:stt=led Value of Electrical Work S (When required by municipal policy)
Work to Starr ✓/7 2 / — d % Utspectione to be requested in accordance wM MEC Rule 10, and upon
I certify, under the paint and perialtlw of perjury, that We lafwtnation on this application is true and complefa,
Firm Name: `Ti �c v �
,sA99'-7-7
9 y
/ LIC. #
Licensee: Ovv/s s / ��-+ //r Signature: UC. # A9 9 -7 .7
(if applicable, ants exam In the Ucense rufi1J&w tinal
Tel # 4LZ .2f D$e' Alt. TeL #
OWNBIVII IIIOIJRANCS WAIVURt i em swan that the 6ieanaee dose net haw tM OabiAy inwrIMM awmWe normally required by law. By my 94MUJM oerow. i rare
wet" IMIA MQWJI iWNf1b 161111 W4 (94M alto) OwIter 0 OR Atent 0
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