HomeMy WebLinkAboutMiscellaneous - 63 CROSSBOW LANE 4/30/2018 (2) 63 CROSSBOW LANE
i 210/106.B-0209-0000.0
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d NORTH
CERTIFICATE USE & OCCUPANCY
TOWN OF RTH ANDOVER
Building Permit Number 480 Date: March 29, 2010
THIS CERTIFIES THAT
THE, BUILDING LOCATED ON 11 Chatham Circle
2 Family Dwelling for Unit #11
IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS
STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY
APPLY.
Certificate Issued to: Ray Realty Von R 1 T
o ea rust
3 Crenshaw Lane
Andover MA 01810
Building Inspector
i
I
` NORTBy �G`®
Town of
No. a __
oy dover, Mass.,
LAKE T
COCHICNE
ADRATED
B ARD OF HE
PERMIT .- T. 00 c
._
c ystem .�
1'BUILDING INSPECTOR
THIS CERTIFIES THAT..............:... .. .........: :. .... . .........:........:.............:....:...:........ .. ....................
has permission to erect........................................ buildings on ....: :.: '::......... :. ........ :.::.'`.... l I _
to be occupied as...................... `. :...:.... ....... . .:.............:. ........:.............. ............................:.....:......
Z imney
provided that the person accepting this permit shall in every respet conform to the terms of the application on file in
this office, and to the provisions of the Codes and By-Laws ralating to the Inspection, Alteration and Construction of �
Buildings in the Town of North Andover. PL BING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. h�//j.��/��a!'C�_
Ega
PER.Nff ' EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION" STARTS r
Rough
..................... ........................................ .. .. .......... .. `q d c C
BUILDING INSPECTOR � Final 6;�4 j
d
Occupancy'Permit Required to Occupy Building GAS INSPECTOR
Display- in a Conspicuous Place on the Premises — Do Not Remove Rough °�
No Lathing or Dry Wall To BeDone FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner '� n
Street No.
SEE' REVERSE SIDE Smoke Det. ;� l ; _ _jo
a �� 114
1
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APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION
Building Permit# �d
ADDRESS/LOCATION OF PROPERTY :
Map Parcel Lot Number
SUBDIVISION
DATE REQUESTED FILED/READY FOR INSPECTION 3 /
CLOSING DATE ON PROPERTY: -3 //o
FIVE (5) 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.
Permit Issued to: gay Man
� Q
Address ,�? Crete S
SIGNED
ROAMING
CONSERVATION
PLANNING a
DPW-WATER METER
I
SEWERIWATER CONNECTION Q
NOTE
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST
DPWW�"1(a,� r
Signature
File: Application for OC form revised Jan 2007.
Date. .
No°'•1�o TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
,SSACHUS�
This certifies that / �!. . .! ! . . . . . . . . . . . . . . . . .
has permission to perform—.-.-�d - "a r
plumbing in the buildings of . . �..
. ..
at. .�. . . — - a--� �' , North Andover, Mass.
Fe�C�. r. .Lic. No.. �a.7 /Z�-� . .
•'PLUMB N INSPECT R
0
Check #
7761
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER,MASSACHUSETTS
BuildingLocation / vDate
toss .(� ,✓ 4 V Owners Name Permit#
yn ��
Type of Occupancy f S, Amount
—
New Renovation Replacement Plans Submitted Yes
❑ No
FIXTURES
Z LC
w �
0
o w
p V)
�Sg1� ❑ Ca �
ST ROM
1N21tiIA�t
3MN-OCIR
4M R-OCIR
MROCR
6MFLOCR .
(Print or type)
InstallingCheck one:Company Name �� Certificate
p Corp.
Address
/yl ❑ Partner.
a
usmess elephone 7
Fim�/Co.
Name of Licensed Plumber: f ��� 'P�
Insurance Covera e• Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy Other type of indemnity Bond
❑ ❑
Insurance Waiver. I,the undersigned,have been made aware that the licensee of this applicati
three insurance on does not have any one of the above
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 toe
best of my knowledge and that all plumbing work and ins 'ons performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massetts State P g C hapter 142 of the General Laws.rit
' ig ure o cense um er
le T e of Plumbing License
yaown cense um e
APPROVED comcE vsE ONLY Master journeyman
Location C1 3 )roS S ,!'a w Al div el
No. Date ":�- b ?
NORTH TOWN OF NORTH ANDOVER
Certificate of Occupancy $ —'
Building/Frame Permit Fee $ a
Foundation Permit Fee $
s�CHust
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ a S
Building Inspector
7
i J 5 : 7/09/99 12:42 25.00 PAI
Div. Public Works
i
P E RM, IT NO. 02 8 Cy APPLICATION FOR PERMIT TO BUILD********NORTH AND VER, MA
CIAP NO. LOT NO. Ck 2. RECORD OF OWNERSUIP DAT' BOOK PAGE
LONE StIll DIV. LOT NO.
LOCATION / C, / PURPOSE OF BUILDING 41R.AA��
C9 •C/� ttt���---
O\\'NER'S NAM E 1C r'\ �\ F NO.OF STORIES SIZE
OWNER'S ADDRESS BASEMEN"COR SLAB
ARCIITTECT'S NAME SIZE OF FLOOR TIMBERS l t 2ND 32D
BUILDER'S NAME SPAN
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS
DISTANCE FROM STREET DIMENSIONS OF POSTS
DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW SIZE OF FOOTING a
1S BUILDING ADDITION MATERIAL OF CHIMNEY
ISBUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER S
BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER 'LCO
IS BUILDING CONNECTED TO NATURAL GAS LINE
INS'FUGTIONS 3. PROPERTY INFORMATION LAND COST
EST. BLDG. COST s
PAGE I FILL OUT SECTIONS 1-3 EST.BLDG.COST PER SQ. FT.
EST. BLDG. COST PER ROOM
ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO.
Al7AC11ED GARAGES MUSTCONFORNI TO STATE FIRE REGULATIONS 4. APPROVE �ofD BY: '^IaZ-
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR
DATE FILED / OWNERS TEL#
CONTR.TEL#
SICN-ITURF. OF-OWNER OIt AUTHORIZED AGENT - CONTIZAACH o r S
$ ! c II.I.0
FEE .#
028• 2 3 I°t
i JUN
f
PERMIT GRANTED �
oZ 19-/y 9
Revised 5/5/99 JNI
FORM U - LOT RELEASE FORM _
y� r
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
*****************************APPLICANT FILLS OUT THIS SECTION***********************
APPLICANT ta,a• PHONE 6g%— '6
LOCATION: Assessor's Map Number f�, ,� PARCEL - `t JUN z 3 109 I r
f
SUBDIVISION LOT (S)
STREET Co3 ST. NUMBER J-�-
*****************************************OFFICIAL USE ONLY*** ******************************
RECOMMENDATIONS OF TOWN AGENTS: ,
r1(�QAS1n
CONSERVATION ADMINISTRATOR DATE APPROVED 7
�
DATE REJECTED
COMMENTS 0��j
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
�(- SE;TIC INSPECTOR-HEALTH DATE APPROVED oZ
DATE REJECTED
COMMENTS
PUBLIC WORKS -SEWERIWATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY'BUILDING INSPECTOR DATE
Revised 9197 jm
IF
L'A
' E
Town of North Andover f AORTH
OFFICE OF �0
y` to OT
C011 MUNITY DEVELOPMENT AND SERVICES ° . 4W44x
27 Charles Street � o . • ,
North Andover, Massachusetts 0]345 ��°^, ° •°"'��`
WILLIAM I SCOTT ' 3ACHus�
Director
(973) 633-9531 Fax (973) 633-9512
In accordance with the provisions of MGL c 40 S 54, a condition of Building
Permit
Number a8h is that the debris resulting from this work shall be disposed
of in ',a properly licensed solid waste disposal facility as defined by MGL c 11, S
150 A.
The debris will be disposed of in:
,., 0 0
(Location of 1=ac ity)
Signature of P l Applicant
Date
NOTE: Demolition permit from the Town.vof North Andover must be obtained for
this project through the Office of the Building Inspector
it
BOARD OF ATPEAL.S 623-9541 BLiLDING 633-9545 CONSEI:V'ATION 685-9530 HE.-.LTH 633-95-40 PLANNING 68S-9535
a
TOWN OF NORTH ANDOVER
AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
MGL c. 142 A requires that the"reconstruction, alteration, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units...or to
structures which are adjacent to such residence or building" be done by registered contractors,
with certain exception, along with other requirements.
Type of Work: R444,-& Est. Cost
Address of Work 61 ce."fx�
Owner Name:
Date of Permit Application:
I hereby certifythat:
Registration is not required for the following reason(s): For office Use Only
Work excluded by law Pemit No. 8
Job under $1,000 Date 7 9�
Building not owner-occupied
Owner pulling own permit
Other (specify)
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS
FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION
PROGRAM OR GUARANTY FIND LINER MGL c. 142A.
Signed under penalties of perjury:
I hereby apply for a permit as the agent of the owner:
Date
Contractor Name Registration No:
OR:
Notwithstanding the above notice, I hereby apply for a permit as the owner of the'above
property:
2�
Da Owner Name ^
,�'os�ph C3�R6RG,4I/o s �_L l
fJ/o
C.( N D /'0/-i`�AI S- 7 o F
/'0/- taa
JOSEPHJ.
0 81Rc.�:;lL.l
/NVE �V1OV�/� �•,
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MORTGAGE INSPECTION
BAY STATE SURVEY'iNQ SERVICE INC.
234 CABOT ST., BEVERLY, MA.
ACATION , 1UO2T1j
� ........... -.J - ntir�iA, 55.r
NOTES
. 4NQ .........
;GALE = I" 4/0 FTDATE - =
• This is a Mortgage inspection survey and not
IEFERENCE .� : f FrS ..C'�►:.�.� ..............
an instrument survey,therefore this plot plan is for
mortgage inspection purposes only,
• This survey is based on survey marks of �
.... others.
To �1�} �l�.l--NJ T{�;,JS,Ir;/?Y/C�`$ - NG,�-- a Bushes,shrubs, fences and tree linea do
hereby certify that I have examined the premises and that the not necessarily indicate property lines.
wilding(a) shown on this plan are located on the ground as
hown and that they conformed to the inning setbacks of the • The building(a) are not located in the special
flood hazard zone,as defined by H.U.D.
when constructed.
185,E
D,ZAiQAGC E�MEiJ�
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,� ►�1,32 — � � �'
NORTuf
Town of OL dover
No.
°�A- oC; E dover, Mass.,
Pay Cl
,p A7ED P'
S SE
7 BOARD OF HEALTH
PERMIT T Food/Kitchen
Septic System
��INN 1 BUILDING INSPECTOR
THIS CERTIFIES THAT....................................5........ ir........... . Foundation
has permission to erect.... .y. ...... buildings on ...........�..3....... hrs s....... .w......1�QN Rough
t0be OCCUpled as........................................ .............................. .............................._........... 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
&uildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
MAP
PERMIT EXPIRES IN 6 MONTHS Final
w, LESS
f�eCi CONSTRUCT a E
L
E
CTRICAL INSPECTOR4NTt T
PARCEL Rough
�
..... ..... .......................... ........ . .... `................. Service333BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises —- Do Not Remove- - Final - - -
Be
- - No Lathing or Dry wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE smoke Det.
6 2 *11 r—
Date.. . ..l..--- .-.0�..
NORT/�
TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
�,SS�CMUS�
` This certifies that 0a'f'-e........4.?�. .... 7 ..........................
has permission to perform ......... /A. .' ... .la�.T..:..4. �
wiring in the building of................ v.r Y. ..............................................
p at.....(,.3.. ........^:�............. .North Andover,Mass.
h '3�/. 7
Fee..2`.$�..'.:'.... Lic.No.............. . .... ........... ..- .............r..... ......
k_ \ ELEcrmcAL INspec ow- �S
i. Check # s-
y6Q.4J1ttY
..f� r] 1'crlt►it ltrt
•[.:,rrrJa►(n,r?n�r, 9,rd ..)crrrrcPa '. �1�,
1
SOA�RDO FIRE I"RFVl=NTl()Nf?F'Ctti! ATI()N�s nsyrantil �aa�^llac>Var�
new
1 r 1/rry9)
� TM^^`..++wn.vn,M,,,�,,Smnrer4'�nl--it•.w�..,•�„�,,,,nT. �m
APPLICATION ��OR Pt..RMIT 'TO PERFORM ELECTRICAL
RKilli 011111 to Ile-peticter,ckI in arrc,►ci:,,lcc'- t "K .\.I,,p,,; '
(t I,�' ' rYT IN INK 01?TYla I1.! 114,0.1!1.11111 � �+ irtt �,rc tnit;t„1,��1�'A►li t]ti0 j
city Ar TMVI1 of. D �` �
k1 t1r,A A lic:� t ./�/_{1 � }� t'o,l►m Irr. ,, -
Y p�1 Ion life rrrtAt rs, tit:rl i�cll nr)f,�r, r:f Irrc !,�i r( arlpr taf I}'ir�S m
Inlettl,c�rt la perlurn,the ciccnlcal�votN 41cribed below,
k,.ocarlurr (►tract �C I�urlrlr�rlT
No.•L•.. i/ .
•�T{
1i 11>iS #,,crluit 111 toll}ertrcN,/ r1tit .1 Is 6111111,;
1'ur!„,te a! lAuftrii,rM ,�� 1� �(/j/► fS �� !gyp A ►A rr
Wil• �•r•�-..�.-..— Urtlit I ObiffAfA 0pxs
C1Ixl111g.jCl lief ,luthuri�niiuit fVrr,
--.�••„, 1 s � ..1'r,II� :tlt
f'±sa !ia . ~•.._., n„rf,t �, .,,.,,i.,,,•.... , ;IIr1J�rtltm. l No. trIAlalars
._._... ....,_ alta U,rrbr.ul �� LtrrJ�rd� �,.--,••.,.�,
r�ur111,ar rat F”Jars :lrf,l A,)lllscily Ian, r+f,\latafi�.
1..oa, t'ut► arty ,� t ................._..._�..,.._....__....,..�,,.�,,, "...,."""'°”'
ure of �'�osert f lir Irical 11'or k:
hoprnhls rq
ittcccssat� IFitteres . ,r,
(r,1. .Of �'N- !T'^rh!* to r r 'fill
No. of lAghlinfl C imptAut lt„ rr � �lt�
rpt'p, Of L121lling Rujill r1�._. _. ._.._ _... .. _..._ I Jf1►r 11 rarrrr,rifors 9 rA.„
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��.of 0 lr,rn X11
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f ^1M„Rmn*,nM �r1A �
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t`i't►. of flatr�aa __ ._. __�,...__._.� . .._.._....� 910}
No.Qf Air
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Pf''�:"alnfnrn—s
pact!l,lrra l�l1l i� 11'11' gr1r". R41.f1,"�o. of�)ryar.� ... .,.�.- _.._ . __._ �.M-.. _..... ,......__ f..a� llgtCtnl
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14trlrnrna3sA�
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I,YS#.tAt alvf'+�• C't)1 {tint
Unless valved by the or�nel, Irt?pr:m,! fcrrl tile.
Ifrc tica'rlaee r v off, n�r,.t flog„irrAb� Nin/rrRyrlA'� �rr��/rva
p o t`A'^fi 3�rpo�ol lrab�lrtq,t, .iva includ';t � perfrarmsnt;c Qiattcrriesl tv
'lticlersignct>?refftflcs that R1rrh cove ars lit (D,cc, I14 cnnrnfelrct r/rcral,grt"savary at ork n►ay issua unla'brl
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alr:llprr I J,tt flr,�(r}u,h n •j cc” 0211 ,/�,^r
Date/,:,, . ./9- `. .
NpRTN
�•<.�•° •1"c TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
1SSACMUS�
This certifies that .? . . . . . . . . . . . . . . .
has permission to perform . . ./!u
plumbing in the buildings of r. .... . . . . . . . . . . . . . . . . . . . . .
at. . .. . . . . . . . . . . . . ., North Andover, Mass.
Fee. Lic. No..,-� .'.l.t. . . . . . . . . . .. . .- ?. . . . . . . . . .
PLUMBING INSPECTOR
Check # ?� ~
4S . 4
21
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)414 r L6 And 0 C
ass. Date Permit # /�yn
Building Location 6-3 ( Owner'sName
Type of Occupy Residential"
New fJ Renovation ❑ eplacement Plans Submitted: Yes ❑ No ❑
i
FIXTU A 'S
Z =
N Z x h O C7 W rd
N N o ZLo J
1 �.
W Y -j (n Q U FQ °) 7 O W tr 1a l
m Z a Q cc Z o Z z m N N
r- x rt va — 41
o Z o c N N W a w X a a rn a s p x
d N ur ri J z O Q U.
wU Q S r a0. 2 x r Y O Z Y W f" O u N rl
Q r a Q = cn N Q Q O Q 0 OJ O-j Q tt CL D Q C
3 X -j m y o o 3 x r- N u. v a Q >- c: ai rtf rd rd rti
33 33 �'
Sul3-BSMT.
BASEMENT
! iSTFL00R
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR L
Installing Company Name Heritage Htg. &Plg. Co. inc• Check one: Cerfificaie
Address 35 Pleasant Street IX Corporation 714
Stoneham, Ma 02180 ❑ Partnership
Business Telephone 781 _43$-7776— Fl Firm/Co. _
Name of Licensed Plumber Gordon Switzer
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes �9 No 0
If you have checked des, please indicate the type coverage by checking the appropriate box.
A Ilabl* insurance policy X 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 ❑ Agent❑
Signature of Owner or Owner's Agent
1 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 the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State PlumWnq Code and Chapter 142 of the General Laws.
By_---- Signature o Uce Plumber
Title _—._
-J-— _ Type of License: Master(g Journeyman❑
City/Town $3 2 2
APPROVE� TC
O� E 17S ONLY) License Number.__
i
i
BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS
FEE
NO.
APPLICATION FOR PERMIT TO DO PLUMBING
NAME&TYPE OF BUILDING
LOCATION OF BUILDING
PLUMBER
PERMIT GRANTED
DATE 19
PLUMBING INSPECTOR
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type) 6/
NORTH ANDOVER
Mass. Date 4—2 4 19 96 Permit # Z_C54&
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I
Building Location 63 Crossbow Laane Owner's Name Dennis Duffy
Type of Occupancy Residential
New ❑ Renovation ❑ Replacement 3 Plans Submitted: Yes❑ Nc ❑
I FIXTURES
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4TH FLOOR
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8TH FLOOR
Heritage Htg. &Plg. Co. Inc.
Installing Company Name Check one: Certificate
' Address 35 Pleasant Street 1 Corporation 714
Stoneham, MA 02180 ❑ partnership
Business Telephone 617-438-7776 ❑ Firm/Co.
Name of,Licensed Plumber Gordon Switzer
INSURANCE COVERAGE:
l have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes KI No ❑
! If you have checked Yes, please indicate the type coverage by checking the appropriate box.
t
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 ❑ Agent❑
Signature of Owner or Owner's Agent
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 the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbin Co a and C apter 142 of the#General Laws.
By
Signature of Licensed Plumber - -
' Title :• �- •__.
I Type of.License:Master Journeyman❑ - - -
City/Town ;
j APPROVED 0 (& L' ) � License Number 8322
I
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BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS
FEE
NO.
APPLICATION FOR PERMIT TO DO PLUMBING
NAME do TYPE OF BUILDING
LOCATION OF BUILDING
PLUMBER
PERMIT GRANTED
DATE 19
PLUMBING INSPECTOR.'
a Date. .
;a 2309
A
�, gORfl�
3?�.<��•°„•��oo� TOWN OF NORTH ANDOVER pp
0 9 O
PERMIT FOR PLUMBING N
sS�CHUS
This certifies that ! EiI1f�t "4. .!
has permission to perform
M
plumbing in theabuildings of . . ,4 t j. . }
—>�
/ J
at /?... . . . ., North Andover, Mass.
Fee. ,. .'. .Lic. No.Lt .37 2 .
PLUMBING INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File
Date.
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
49
i o M
�► +D+•r�o•A��th
SS HUS
This certifies that —r %_/. . .j` . . . . . . . . . . . .
has permission to perform . . . . . . .
plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . .
at .4forth Andover, Mass.
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Fe Lic. No.. �` . . . _r_`:.% ��//� .�. . . . . . . . . . . . . .
_��...�•� PLVMBING INSPECTOR
Check #
6646
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
a��( j3j T ve vtass. Date (t�-L Permit #
Building Location 6a L-z� - nr,J 14na owner's Name/
// Resi ential
Type of Occupancy
New ❑ Renovation ❑ Replacement Plans Submitted: Yes❑ No ❑
FIXTURES
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2ND FLOOR
hRD.FLOOR
4TH FLOOR
5TH FLOOR `
6TH FLOOR
4 7TH FLOOR
STH FLOOR
o Heritage Ht &P1g. Co. Inc.
Installing Company Name g g• 9 Check one: Certificate
Address 35 Pleasant Street CR Corporation 714
Stoneham, Ma ' 02180 ❑ Partnership
Business Telephone 781 '-438-7776 fl Firm/Co.
i
Name of Licensed Plumber Gordon Switzer
INSURANCE COVERAGE:
I have a current I14ility 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 IN 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 ❑ Agent❑
Signature of Owner or Owners 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 the permit Issued for this application will be in compliance with all .
pertinent provisions of the Massachusetts State Plumbing Code and Chaptertl 42 of the General Laws.
By j
gnature of LicensedPlumber
Title
City/Town Type of License: Master[X Journeyman❑
APPRCNE O ORM— License Number 8 3.2 2
%z"Watts 9D bfp on Water line to water boiler
BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS
FEE
NO.
APPLICATION FOR PERMIT TO DO PLUMBING
NAME&TYPE'OF BUILDING
LOCATION OF BUILDING
PLUMBER
PERMIT GRANTED
DATE 19
PLUMBING INSPECTOR
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175
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s1f BOARD OF FIRE PIEVENTION
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�y REGULATIONS 527 CHAR 12:60 Oaetapar,tey t Fee
Sino (tears blunt)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL IA/ORK
N wet Io to 98 Il Ile 4e slat b i iieW W u 00MCM Craw,SV Gulf 00
12
(PLEASE PRINT INIINK OR TYPE ALL INFORMATION Qate zv'�J_-54
City or Town of64n/{)r:^ t2-
-The undersigned applies for a permit to perform the eek d
lectrical worsstnbed below. To the Inspector of Vires:
Location (Street d Num C',� S S�-k-4,) 6,v
Owner or Tenant
Owner's Address__ 01/1
Is this permit in conjunction with a building peomit )es ❑
(Ch"%k Appropriate Box)
Purpose of Building
_—lilt ity Authorization No.
Existing Service temps r volts Overhead ❑ undgrd ❑ No. of Meters-:`_
New Service Amps` .rvolis Overhead ❑ Undgld ❑ No. of Meters:
Number of Feeders and Ampaciry
Location and Nar,e of Proposed Eivctricat W W S 0� io.�r,� ,�Q •� '� r
No. of fighting Outlets No. of Not Tubs No.of Transformers TOTAL.
KVA
No.of Willing Fxtures Swifflowng Pool I Aft"r ❑ rnd❑ Gerlernors
INA
Batt
No.at Rsceoacfo Outten No.of Olt Burners 11M of Emuergency Lighting
nits
No. of Switch Outlets No. of Gas Burners ARE ALARMS No.of Zonas
No.of A eaTOTAL No. of Detection and
No. of Alt Conditioners TONS Initiating Devices
No.of pisoosals HEAT TOTAL TOTAL No. of Soun"Devices —�
No.of Purttca TONS KW No.of Solt Contained
No. of Dishwashers Soace/Ares Meeting KW OetecticnfSowtding oe„iCas
No.of 0 n Head"Devices KWMunicipal
Local ❑ Connection.❑Other
No.of No. of
No.of Water Neaten KW NO.
urn VonaQe
u
Na.of""to Massa Tuba ISimsNo. of Motors Total HP
OTHER: MAY - 3 19,96
INSURANCE COVERAGE: Punuant to the requirements.of Massuflusm General Laws
1 here a current LiatnIfty Insurance Policy Ingluding Completed Operations Caverage or its substantial puivalant. YES CLUG$1 heave submitted
rand moot of airs to this of ice.YQg-p_iQ Q
if you haw Mocked YES. pia Kate the type of Coverage by checking the appropriate b".
INSURANCE a BOND ❑ OTHER ❑ (Plaaae Special)
(Expiraftri Oats)
Esdlnated value of Electrical Work t
Work to St Inapoaion Date Requested: Rough Final
Signed under the penalties of perjury:_
ARM NAM
licensee S �r �Z, UC. NO. ��G
""' Signature
�^�( LIC. KO_
Address_ iS i�-�. .. -r• S%. z�v e Pt� � 1 _Bus. tat. No.
Aft. Tel. No.
OWNEWS INSURANCE WAIVER: t ant aware that the Licensee does not have the insurance
I Coverage Or its substantial equivalent as required by
""ChuseM General Laws. and Inat my signature on this applieanon waives this requirement, Owner
Agent (Please check check one)
(Signature of O1rner or A..mt% TNephon0 No
TO 2604 Date.. ��3.��17.. .. .
3?ONO DT e.°�OL TOWN 0,�NORTH ANDOVER
A
PERMIT FOR �INSTALLATIONR !
i
i
♦ o ♦ U7
9SSACH USEt
. . wt/�!!?C-'/
This certifies thata
.9 �, .
has permission for Ms m tallation . . . . . . . . . . . . . . . '" !
S
in the build" gs of . . . . . . . . . . . . . . . . . . . . . . . . . .S
at . . Cf!1f . . .>. . . . . . . . . ., North Andover, Mass'
00
Fee. 115'. Lic. I 1 &. . . . . . . . .
GAS INSPECTOR
WHITE:App icl" ant ARY: Building Dept. PINK:Treasurer GOLD: File a