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HomeMy WebLinkAboutMiscellaneous - 72 PHEASANT BROOK ROAD 4/30/2018 (2)2936 Date ..................... cf NO oT "ti TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION, This certifies that ........... r�-�:� :" ..... • • . • • • L . -. has permission for gas installation !���:.... • • ,/ .. F .in the building of-!.�'�. �..1!! z ........... •, ... g. ^ / -` !.:..:............. ........ NUfih Andover, Mass, Fee ...... Lic. N01 / 1�4 , . .......................... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer /IASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING or print) iNUn 1 H ANDOVER, MASSACHUSETTS Building Locations New 1171 Renovation ❑ Date —1 —02 19 9 Nil �/Oc�- �CO 3� Permit# -o'l� ount Owner's Name I Pcf) d Replacement ❑ Plans Submitted (Print or type k Address business ► elepnone (P °-? k AG Name of Licensed Plumber or Gas Fitter is Check one: Certificate Installing Company ❑ Corp. ❑ Partner. Firm/Co. 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. Liability insurance policy r" 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: 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 p compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. tle Iity/Town APPROVED (OFFICE USE ONLY) Signature of Licenlumber r Gas Fitter ❑ Plumber ❑ Gas Fitter LicEnse Number Master f ❑ Joumeyman �dz� z Cn0. a i tz W W V) W ZG w r". n _ W N r .. z SUB -BA SEM ENT BASEM EN"r IST. F L O O R 2N D. FLOG R 3RD. FLOOR 4T 11. FLOGR 5'r H. F L O O R 16T H. F L O O R 7T 11. FLOG R -H 18T H. F L O O R F (Print or type k Address business ► elepnone (P °-? k AG Name of Licensed Plumber or Gas Fitter is Check one: Certificate Installing Company ❑ Corp. ❑ Partner. Firm/Co. 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. Liability insurance policy r" 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: 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 p compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. tle Iity/Town APPROVED (OFFICE USE ONLY) Signature of Licenlumber r Gas Fitter ❑ Plumber ❑ Gas Fitter LicEnse Number Master f ❑ Joumeyman �dz� �, t�_.r_. .-Uy ..�-.y.�, i.-'�"_:1"."�-.-...�-.�...�-����'c'.�'-.�-•y,�,.�ti.,-•--°.�:�+:,,,�.v'*i%^'�sr..—•+•w.r'.^-..-e Date. x'41 3811 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING �JS�cHusE' g This certifies thalla. °""�`"`� . � .. /"-/........ has permission to perform ,,�plurmbingj the buildings of . ( ?.fi ��!'............... at 7o? . ...... ....... ...... , North Andover, Mass. + Fet a..' . Lic. No ~//--'Oq6" . .............................. PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer At MASSACHUSETTS UNIFORM APPLICATION (Type or print) NORTH ANDOVER, KASSA Building Locations %1 he A 'O DO PLUMBING Date _ 2 �L_ P . Amount p Owner's Name—T1--W 71-7 Kft r1 14 New 91 Renovation 1:1 Replacement FIXTURES Plans Submitted I I (Print or type) Check one: Certificate Installing Company Name ©it/ W 0 Corp. ¢Address 7 g Al 19/c ��� Partner. Business Telephone t 4 7 9 1W— LLQ Finn/Co. Name of Licensed Plumber: ., T Awt //O /Y0 (4/701/ Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: ❑ Liability insurance policy im 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 Signature Owner a Agent 0 Maas'ttc is.�a� c��t anis �ll�� la a>1n�'c bmy jmvwledge wA tam all phwork and woand ir pamvd =Aa Pcr=� 1115 >ak�nD 1mr W be est of Im compliance with all pertinent provisions of the M efts to Pl g Code and Chapter�141the General Laws. By: 'SlgnalUre Of i n um er Type of Plumbing license Title % City/Town Licei'Master Journeyman License N mDee�� APPROVED (OFFICE USE ONLY N2 2074 Swaim. Date / . - ?.-ew ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...................................... ... ... has permission to perform ............ . .. ............ wiringin the building of ............................................................................. at.%- . . �:.�.2 ... , North Andover, Mass. —iele— Fee'? -- ..*5 ............. Lic. No.,4,1�1-0 ............................................................... ELECTRICAL INSPECTOR 10/09/98 11:05 35.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Rough Service Final 04c (ffommonwtalth of Massuc4todw Office use Only Department of Public Safety Permit No. 7/ BOARD OF FIRE. PREVENTION REGULATIONS 5 7 CMR 12:00 CheckedOccupancy &Fee Checked t/1 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 12:00 (PLEASE PRINT IN INK OR City or Town of The undersigned- applies Location (Street & Number) Owner or Tenant .To the Inspector of Wires) Owner's Address r Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Existing Service New Service Number of Feeders and Ampacity Amps / Volts Amps / Volts Location and Nature of Proposed Electrical Work Aility, Authorization No. _ Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters OTHER: `. /A 1 1 , / /n / 17y /S iV INSURANCE COVERAGE: Pursuant to the requirements of Massachusties General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES O NO O 1 have submitted valid proof of same to this office. YES ❑ NO LJ • If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work $ Work to Start Signed FIRM Licens Addre! Inspection Date Requested: Rough Final P LIC. NO. LIC.N(�O. 2 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 Massachusm 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) TOTAL No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA Abovein- No. of Lighting Fixtures Swimming Pool gmd. ❑ 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 Detection and Total No. of Ranges No. of Air Conditioners Tons Initiating Devices No. of Sounding Devices. Heat Total Tia No. of Disposals No. of Pumps Tons KW No. of Self Contained Detection/Sounding Devmces No. of Dishwashers S ce/Area HeatingKW nice Municipal Connection ❑Other No. of Dryers Heatin Devices KW Local❑• o. o o. o Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: `. /A 1 1 , / /n / 17y /S iV INSURANCE COVERAGE: Pursuant to the requirements of Massachusties General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES O NO O 1 have submitted valid proof of same to this office. YES ❑ NO LJ • If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work $ Work to Start Signed FIRM Licens Addre! Inspection Date Requested: Rough Final P LIC. NO. LIC.N(�O. 2 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 Massachusm 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) Form 5 !Ij f Commonwealth of Massachusetts F Dr. Robert & Jean F. Smith & To- Phil Ragusa, Trustee, Miano Realty Trust George & Wanda Farr (Name of Applicant) (Name of property owner) 270 Marble ridge Road/,No oad, N1A, An�v Address 4 David Drive, Andover, MA 0181(Address 1685 Salem Street, N; . doYel to DERE File No. 242-455 (To be provided by DEQE) City/Town North Andover Applicant Phil Ragusa,Tr.Miano Realty Trust BOSTON BROOK ESTATES Order of Conditions Massachusetts Wetlands Protection Act G.L. c. 131, §40 sand under the Town of North Andover's Town Bylaw, Chapter 3.5 A&B rnm NORTH ANDOVER CONSERVATION COMMISSION r This Order is issued and delivered as follows:d f t( i. O by hand delivery to applicant or.representative on October 18, 1988 t 1 date►` I ii O by certified mail, return receipt requested on `(date) This project is located at Lots 428 and 41 Off Salem Street The property is recorded at the Registry of Northern Essex Book 1120 & 1087 Page 47 & 314 Certificate (if registered) The'Notice of Intent for this project was filed on March 21, 1988 (date) The public hearing was closed on September 28, 1988 (date) Findings The North Andover Conservation Commission has reviewed the above -referenced Notice of Intent and plans and has held a public hearing on the project. Based on the Information available to the NACC at this time, the NACC has determined that the area on which the proposed work is to be done is significant to the following interests in accordance with the Presumptions of Significance set forth in the regulations and precedent and practice under this Town's ByLaw for each area subject to protection under the Act and ByLaw: d' Public water supply �� Flood control Land containing shellfish Private water supply D Storm damage prevention El,,,Fisheries Ground water supply G� Prevention of pollution 0 Protection of wildlife habitat 5-1