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HomeMy WebLinkAboutMiscellaneous - 64 HAROLD STREET 4/30/2018 64 HAROLD STREET 21010100000.0 1 I ` 5931 1 Date... ' t HORTM 1 ° <"`° '• "° TOWN OF NORTH ANDOVER O 9 PERMIT FOR WIRING �+ .. A 10 ,SSACMUS� r This certifies that ..... �., .-rr ............ ................................................. �' has permission to perform J awing in the building of......? ...--*.. ....................................................... t at..?! ,J.... .: '.'`' ..... ..��.................. .North Andover Mass. Fee?67p''....... Lic. ..................... G�y ELECTRICAL INSPEPR Check # �O DEPAR1 rOFPUBIxSAFM LemtNcoy BOARDOFFIREPREV.FI TMREGULA11 M527a&1Z� Fees Checked APPLICATTONFOR PERMUTO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED BV ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Daate Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) !�s J Owner or Tenant OPt d Owner's Address C9 U- I-I is this permit in conjunction with a building permit: Yes o No M (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps/Volts Overhead Underground No.of Meters New Service Amps olts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work /'r' h Xm ___ No.of Lighting Outlets t No.of Hot Tubs No.of Transformen Told KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA No.of Receptacle Outlets No.of Oil Burnm No.of Emergency Lighting Battery Units No.of Switch Outlets No.of On Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat TOW Told No.of Detection and Pumps Tons KW Initiating Devices ti No.of Dishwasher Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices _ No.of Dryer Hesting Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of signs Bailasis No.Hydro Massage Tubs No.of Mown Total HP �. OTHER F G i i A-C.t,t 11 Ak C i P-CtA i 1 ftjVe Vr -Ins+.s�taeCo�et•�Ptm�mattbllletec}>ier�atMe®dllsblsCetamlIBWg Iteaaaatllata�tyl�vutaelbicYindtdr�Uorr1pie orsr>belegtivalmt YES NO Ihmeshnikdveldpatofmmiodtt:o�YF�s ff}auhmedrdzdMple=nk*#rWcf by • Il RA M ®bac Btu B*ii D-11-15 bSmtt 7" ! !)� 1 _ Estan*dVatm dEhcWcdWak Wodc 11 hpaclimDeteRoc�mestad Roto 7- l?g Fmd NAME I�malhMofpa,Ny. U d t A � -i c... �pJ C . �' LicezeNa A 9Z9� Lic8t9ee M I L� e-C_ 4�(-CC z� LimwNo BssTdNa AkTdNa 0WNER'SMRANMWAIVFR;Iamaw=dAdieLi=wddmtharelheimazanoecoroa,�ar�sib9arrialagtivalataa byN eus(�aleralLawa arddWnrj9gna wcndrspwnk- aiK:sdf5meq moi (Please check one) Owner Agent ✓ aignature oll Owner or Agent Telephone No. PERMIT FEES Date. . . . . . . . . . 4 , Y NOR7q •��a TOWN OF NORTH ANDOVER 0. PERMIT FOR PLUMBING SSACMUS� � t This certifies thaf'�>t ,�1��_ . . . . . . . . . . . . . ..... . . . . . . . . . . has permission t6perform . A/. . . . . . . . . . . . . ,. ti plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . at /'It/. . . . . . . . . . . . . . . . .< . . . . . . . . ., North Andover, Mass. Fee 7. 0 . . . . .Lic. Noeq.�7'� Q-a P U I �i INSPECTOR Check .75� 6541 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS / Date Building Location c;2f / �f ��� f Owners Name �� 4 b_Jo/ Permit# L Amount r-k7 Type of Occupancy AC+hje- New Renovation Replacement 0 Plans Submitted Yes No ❑ FIXTURES V. S[S)E1aVIC BASEUM 151:FL" i( 3�II FIDCR M Fl" 4IH FLOCK MR" 6IH HDM 71H FIDCR SIH FIDM (Print or type) Check one: Certificate Installing Company Name_,7 - r7l-corp. Address - n` C�(':Y 1� / u❑ Partner. Busm^ e ep e 21�:r'sl Firm/Co. Name of Licensed Plumber. t N t 9 ti- Insurance Coverage: Indicate the type of insurance coveragb by checking theappropriate box: Liability insurance policy Other type of indemnity 0 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 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 perf rmed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State P bi Code and apter 142 of the General Laws. 21 By: MgMrure or Eicenspa Type of PlumbTg i Title cense - City/Town icL eneum D e r Master Journeyman ❑ APPROVED(OFFICE USE ONLY 1744polcl C.--"� Location No. l Date 462, NORTH TOWN OF NORTH ANDOVER I. i 10 R D + o Certificate of Occupancy $ CNUsE<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 3 v Check # 15 8 ) 0 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATF4 OR DEMOLISH A ONE OR TWO FAMILY DWELLING a� e -{��.s� .:�` �� ♦ �i".� <� ',� y�;y � r:a .� V BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/I for of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Sid', / t�41W1161? ,V 01667/5 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: S, (o 60 ' Zoning District Proposed Use Lot Area(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: n Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT F rn 2.1 Owner of Record W ILL(Iltj (JN O -PN(LU P B64?i Q L- -STfe-iCT W, Name(Print) Address for Service Signature Telephone ��18-183 �8�3 2.2 OwLer of Reco : Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number Mn t Address Expiration Date ic Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number r Address r Expiration Date ^^z Signature Telephone YJ sp 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 Descri tion of Proposed Work check iicable New Construction ❑ Existing Building Repair(s) Alterations(s) ❑7Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: "'CTZE-R-AC r 6N V \A/R T_5 R DIA H 0 GJc- b LOO 11 i FLOOP,S _ W I N bo SILL'S STEPS :D00R, NEE� �, SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OMC USE ONLY , Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC 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 I, r �A t L L i P ZrI R TO L as Owner/Authorized Agent of subject property Hereby authorize FPA N K L-A Vo I E to act on My behalf,i 1�rs relative to work au ed by this building permit application. _ $-13 -WO 2 Si nature f Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, FN(L L i P B 6R T—O L as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Brit Lc. i P tBoaiD C_ Print Name t Signature of Owner/Aent Date 71 "" NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 2ND 3RD SPAN DIMENSIONS OF SILLS DWENSIONS OF POSTS DiIviENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CIUMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM 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 ?H 4 LL(� (:'�-� (o °PHONE LOCATION: Assessor's Map Number_ V/ /0 PARCELUUQ SUBDIVISION LOT(S) ,`--STREET �l/��'OL� �?ri�E i ��. NUMBER (P q ************************************OFFICIAL USE ONLY *********************************** REC MENDATIONS OF TWN AGENTS: CO SERVATION ADMINIST OR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED- SEP 'IC EJECTEDSEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT ' FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm CERTIFIED PLOT PLAN Prepared for WILLIAM & PHILIP BARTOL - 64 Harold Street,North Andover, MA a a 8 h O O O O I Z �raoe I'Vo Jai± Po��f1 la N � 67� t� WScale: F'=20' Date: August 8, 2002 Engineers: B&H Engineering E.� N 219 Salem Street a Andover, Ma 01810 LAW I hereby certify that the buildings shown on this plan are located as shown and that they GG conformed to the Zoning-By-Laws of the �i� Town of orth And ver w constructed. North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: 5 xw Y emalwe X�w/ owox't,��,e sel tllnz (Location of Facility) Signature of Permit'Applicant B - f3--zOvT- Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector NORT►y Tow"n oAndover No. i g _ap _ate o�A� dover, Mass., DRATED S H E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....�'v� � ... ... ........ .off .. .................... ............... Foundation has permission to fit.......rP........................ buildings on ........... . ...... ................................................. Rough to be occupied as..1 IV 4*P to lk.... R!v 4 oft+I& �• � �1 ,.f C 0AMA68,0 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 re7306 g to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. /D/� � PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION TARTS ELECTRICAL INSPECTOR � Rough ..................................... 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. 4232 Date..././ .. /.......)..... :�- .... NORTIi °f'"`°;•�"� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING +^° s l � This certifies that ' ..................' ' �-�, ......... . ........... ........ � has permission to perform .::..:: ( ••• .. .............:, ate:. ................. r „ wiring in the building of. .....::L'..: at '..... .................................. .North Andover,Mass. Fee.4-6. ......... Lic. .. .'./� P ......................... ELECTRICAL INSPECTOR -119 Check # 119 04$ Tommianwealt4 of fftsaac4usetto Officee Use Only Department of Public Safety Permit No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Jc� = Occupancy & Fee Checked 3/90 (leave blank) APPLICATIONIWFOto RerfPERin MITanceTO PERFORaMl CodeELECTRICAL WORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date City or Town of /V < 14,41D 4.Vi-ZR To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) L (I 20Lfl) `S7 Owner or Tenant Owner's Address rQQL S ❑ Is this permit in conjunction with a building permit: Yes No KA (Check Appropriate Box) Purpose of Building `/ Utility Authorization No. Existing Service 3 Amps / Volts Overhead ® Undgrd ❑ No. of Meters New Service � Jumps d Volts Overhead� Undgrd ❑ No. of Meters / Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work TOTAL No. of Lighting Outlets { No. of Hot Tubs No. of Transformers KVA AboveIn- No.of Lighting Fixtures SwimmingPool rnd. ❑ rnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Batte Units No. of Switch Outlets ) No. of Gas Burners FIRE ALARMS No. of Zones Total o. of Detection and No. of Ranges No. of Air Conditioners Tons Initiating Devices Heat Total Total No. of Sounding Devices. No.of Disposals No. of Pumps Tons KW No. of Self Contained Detection/Sounding Devices. No. of Dishwashers S ace/Area Heating KWMunicipal Localo, Connection ❑Other No. of Dryers Heating Devices KW No. Of No. o Low Voltage It No. of Water Heaters KW Signs Ballasts -Wiring No. Hydro,Massae Tubs No. of Motors Total HP OTHER: PW10 9 [6d INSURANCE COVERAGE: Pursuant to the requirements of Massachusttes General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent.YESX NO❑ ! have submitted valid proof of same to this office. YES,ca NO ❑ if you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE X BOND ❑ OTHER❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ DCS• Work to Start /163 /0;t, Inspection Date Requested: Rough Final Signed under the penalties of perjury: LIC. NO. FIRM NAME .Licensee �5 4xtES b,Q4f((-V,(tGZ Signatur LIC. NO. �7��y� Address 12 L4AICr'/-OP-0 Q �'6o3-�S Bus. Tel. No. -qC GG 7- 1 7 Alt.Tel. No. ;OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not 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. PERMIT FEE $ (Signature of Owner or Agent)