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HomeMy WebLinkAboutMiscellaneous - 75 MEADOW LANE 4/30/2018r Date...... `? ...................... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION Thiscertifies that..j....................:'.............................. ................................................... ©� Ve has permission for gas installation (G`..?.'�':.� ' .... in the buildin of... % .................................................................................... at .... °�'^' �--�' North Andover, Mass. 1pc ......... 3 D Fee ...................... Lic. No..............�....... ..................................................................... G GASINSPECTOR Check # I r MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY North Andover MA DATE 5/22/2014 PERMIT # JOBSITE ADDRESS 175 Meadow Ln OWNER'S NAME GOWNER ADDRESS I Same TEL 1FAXI TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ® RESIDENTIAL❑ PRINT CLEARLY NEW: ® RENOVATION: El REPLACEMENT: ® PLANS SUBMITTED: YES[j NDE] APPLIANCES 7 FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER Riplace 1 Gas Meter x acid associatedpi in INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES ONO ❑ I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ❑ OTHER TYPE INDEMNITYE] BOND ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this 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 c liance with all Pertinent provision e Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER GASFITTER NAME Joseph Marino LICENSE # 8736 SI A URE MP ❑ MGF ® JPEI JGF ® LPGI ® CORPORATION Q# 3285C PARTNE IP ❑# LLC ®# COMPANY NAME: RH White Construction Co ADDRESS 141 Central St CITY I Auburn STATE = ZIP I 01501�TEL 1(508 832-3295 .._........_....-•--- FAX 508-926-4347 CELL 508-832-4614 EMAILI JMarino@RHWhite.com W F O z z O H U W PLO CA z Q z w n C ❑ a z z O 4) w � ~ w O W O F a 4tz W za W .. N a w O W Q w N a (� ZO a a a � U x J F °- d Q va Li.i x W LL O z � z 0 H w a d L7 x c� 0 x `y 5 QRD AC ® DATE (MM/DD/Yj^(Y.1- CERTIFICATE OF LIABILITY( INSURANCE Page 1 of z 08/29/2013) THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE; AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder is an ADDITIONAL INSURED, the policy(ies)muGt be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A Statement on this Certificate does not eonferrig hts to the certificate holder In lieu of such endorsement(s). williq 09 Maaaaehueetta, Inc. c/o 26 covitury Blvd. P. 0. Box 305191 Nftmhville, TN 37230-5191 R. K. White ConseriAction Company, Inc. 41 Canrral Street P. 0. Box 257 Auburn, MA Oi3al QKV.SM INSURERA: The CbAxter OakyirA Snauranl^g INSURERS. TravolgrS property Casualty C4 INSURER C; Nati=-Al Union FirO lnsuranea INSURER D; Travelers =nff. rWjty Company INSURER F: ny 25615-001 aP Am 25674-003 y o£ 7.9445-001 25656 -Dal UVLKAGES CERTIFICATE NUMBER: 20187680 REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE= MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMI7S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE A I GENERAL LIAINLITY IMF.RCIAL GENERAL LIABIL17Y CLAIMS -MADE OCCUR ,AGGREGATE LIMITAPPUES PER; B I AUTOMOBILE LIABILITY pXANYAUTO ALI,OWNED sCHFDULEI AUTO$ AUTOS HIREDAUTOS N'Coll NON -OWNS Co DeflAUTOS M. Ded C UMBRELLA LIAR X OCCUR BXCESa LIAR CLAIMS -MADE DED I $ IRETENTION1 20 000 D I WORMERS COMPENSATION AND EMPLOYERS'LIABILITY YjN D ANY PROPRIETORIPARTNF.RIE.XECU71VEjN j NIA OFFICERtmEMSEREXCLUDED7 NIIN 1Myandatory(�y} In NN) TE�lKII8110NU� jI`I:RATIONSnelow OF TE Evidonce of Inaurance VTC2000 977X9998-13 19/1/.2013 '9/1/2014 VTJC.AP 977K955.A-13 9/1/2013 19/1/2014 5);,8766140 19/1/2013 19/1/2014 I— LIMITS EACH OcOURRENCE RVA�RTO RENTF,D i8 6(E9oWJ*nWO _ 300.Q0 MEDEXP(Anyone arson 1Q� OOC PERSONAL&ADV INJURY S 2 pQQ, QOO GENERALAGGREGATE S 4 '_0_0 0, Q00 PRODUCTS-COMP/OPAGG $ 000, 000 AAO.ED SINGLF, LIMIT . imatent) $ 2,000,000 BODILY INJURY(Perpetson) III BODILY INJURY(Peraceldont) ;S VTRKIJB 82057i1a5-13 9/1/207.3 9/1/2014 X VTC2XUB 9203A71A-13 9/3,/3023 9/1/2014 E.L.F E.L. D epeco 1,000,OO 1,000,000 1,000,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THQREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0011:4191604 TPI:1694012 Cert;:20287680 ©1988-2010ACORD CORPORATION. All rights reserved. CORD 25 (2010105) The ACORD name and logo are registered marks of ACORD V i t MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Mass. Date �> Via. 19 7-3 Permit # �� Building Location 7 Name_( "a �. Type of Occupancy+ New ❑-- Renovation ❑ > > % P (n Replacement-Pl­-_ Plans Submitted: Yes ❑ No ❑ FIXTURES Installing Company Name Welch Brothers Co _ , me - Check one: Certificate Address 488 S t. 0 Corporation 1501-C T. n W P 11 , M a. g l 8 51 ❑ Partnership Business Telephone ( 5 0 8) 4 5 3- 210 0 ❑ Firm/Co. Name of Licensed Plumber T t, n m A c p _(a r® y INSURANCE COVERAGE: 1 -have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. -142. Yes ® No ❑ If you have checked rtes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy ® Other type of Indemnity ❑ Bond ❑ OWNP-WS 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 /1 - I hereby certify that all of the details and information I have (or entero ) In knowledge and that all plumbing work and installation orme nder the rmit I pertinent provisions of the Massachusetts State Plu ing Cod d ChaIIte( ley-t1`7�-cam" igna ure of LicensedPlumber Title City/Town Type of Ucense: Master ]� AF'F' O C License Number �_✓ are true and accurate to the best of my !cation will be in compliance with all z to = Z O rn Y a H N N 2 to J Q cc Q ♦• 2 Z O 2 h W W a OJ y W N to X Q ¢ F = L Q 2 yr w N Y 2 a LL O 2 a — a C F 3 X U ¢ = W ¢ m N W Q W N r I Q H J N O Q ¢ 0 J ? ¢ O a ¢ ¢ O O LL FW- V � 3C O z 0 1 3 N I- z O ¢ p == W W LL r LL S k W < !- w ►_ 4 S y N Q Q O ¢ J J of Q 2 Cr M O a O U X Q h Y J m y O O J 3 = ►- N LL V O O Z 3 0_ M O SUB-BSMT. BASEMENT i$T FLOOR 2NOFLOOR 9110 FLOOR ATH FLOOR STH FLOOR STH FLOOR 7TH FLOOR STA FLOOR Installing Company Name Welch Brothers Co _ , me - Check one: Certificate Address 488 S t. 0 Corporation 1501-C T. n W P 11 , M a. g l 8 51 ❑ Partnership Business Telephone ( 5 0 8) 4 5 3- 210 0 ❑ Firm/Co. Name of Licensed Plumber T t, n m A c p _(a r® y INSURANCE COVERAGE: 1 -have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. -142. Yes ® No ❑ If you have checked rtes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy ® Other type of Indemnity ❑ Bond ❑ OWNP-WS 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 /1 - I hereby certify that all of the details and information I have (or entero ) In knowledge and that all plumbing work and installation orme nder the rmit I pertinent provisions of the Massachusetts State Plu ing Cod d ChaIIte( ley-t1`7�-cam" igna ure of LicensedPlumber Title City/Town Type of Ucense: Master ]� AF'F' O C License Number �_✓ are true and accurate to the best of my !cation will be in compliance with all u. z s r z N T m 0 0 z N m m r T O w 0 T T m c N m O z F c ki v z � � � Z z ; o -4 0 0 O m T r I m z 0 m m r T O w 0 T T m c N m O z F c ki Date.. DT + TOWN OF NORTH ANDOVER 0 ' PERMIT FOR PLUMBING This certifies that .......... .. .. .................... . has permission to perform ....... .. plumbing in the buildings of at ... .'.t....... I [ ............... North Andover, Mass. L Fee.. %J...:" Lic. No..... {. Il. .............................. ` rJ PLUMBING INSPECTOR _ter WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File s Location f No. Y Date Z 'r TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Permit Fee $ "on rmit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ • t ,. ,qc0/ 11:54 25.00 RAID Building Inspector Div. Public Works PERMIT NO.__ APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 IAP K40. LOT NO. I 2 RECORD OF OWNERSHIP (DATE BOOK :PAGE ZONE SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING OWNER'S NA NO. OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME qs SPAN DISTANCE TO NEAREST BIALDING r DIMENSIONS OF SILLS POSTS DISTANCE FROM STREET DISTANCE FROM LOT LINES — SIDES REAR " " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQU MENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE I FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 I ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING AATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND ({AAND APPROVED BY BUILDING INSPECTOR DATE_EILED SIGNATURE OF'OWNEJfOR AUTHORIZED AGENT FEE (?� �- PERMIT GRANTED ♦ 19 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY OU ILDINO 1 NSPQCTOR OWNER TEL. # w � CONTR. TEL. # (40 6Q- CONTR. LIC. # a H.I.C.# ` 72 J V BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I I STORIES MULTI. FAMILY OFFICES APARTMENTS __ CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH d 1 2 13 PINE CONCRETE CONCRETE BL K. BRICK OR STONE HARDW D PIERS PLASTER DRY VJAII _ UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ 1/ 1/2 FIN. ATTIC AREA N_O 8 M FIRE PLACES _ _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING B _ 1 2 3 _ _ _ CONCRETE EARTH HARD%V'D COMMC:N VERT. SIDING _ ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. 6 FLOOR _ CONC. OR CINDER BLK. _ WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR _ ADEQUATE NONE 10 PLUMBING 5 ROOF GABLEHIP BATH Q FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.I FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM STEEL BMS. d COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL 8'M'T 2nd _ to 13rd ELECTRIC I NO HEATING IL_. THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. ._,k IF -0-0-M..' Q O to O CD CO) CD a O 7 rzi W 03 O CA 'O O C/) d Cl) CD 0 0 CD CD y� CD CO) v 0 0 CD O G CD cn L-1 O Z cn C CE" O d = O . N O Q N CL 0 C CD .O CD O co Cl) O N CAD d C = 2 =r -0 vi =•+ CA o+ CD C zi ? C aid m CD -i O N O —1 N �=r CD 2 0 CD -1: CA � C = O VfCl) • 0 C ? y ` a oCUOM CL O ? _� .� CD O co" CD O CD . C a � CD N o m N Cr NCL C O CL N CD C CC CD . N O CO) �� _ CD CW N CD 3 C co �. 0 CCD O � 3 N ,rt CSD O r, CD OCD CD .—. N CD CD CD Sb ted: a'o n� o a' a,: c O o =' =co C/) 0 0 C CD 0 :; ptn r� 9 ►z-3 z O rA C) CD O r" y a cn� '-� O a r G) r� a' O a Gb a o C7 O 12 r rDp O CL� d p E G TOWN OF NORTH ANDOVER Building Department 1600 Osgood Street Building 2- Suite 2-36 Building Dept North Andover MA 01845 Tcl: (978) 688-9545 Fax (978) 688-9542 COMPLAINT FOR INVESTIGATION DATE: 04/15/2011 TEL#: NAME OF COMPLA.INTANT: Bill Callahan - 617-833-2308 ADDRESS: 78-80 Union Street. COMPLAINT TYPE: Electrical: Plumbing: Gas: Building: Scaffolding on the big for 5+ years Property Owner: Paul Dubois - 978-557-1183 Address: 75 Meadow Ln.,N. Andover Other: This big has been an eyesore for years and never is finished. There has been scaffolding on the building for years, shingles are off and not replaced. At least three children regularly reside in the house and the scoffolding has to be a safety issue. i have spoken repeatedly to Paul and he never finishes anything. Despite his poor track record, ZBA approved an extra apartment for the unit 3 years ago. Signed:�� -- Complaint Dorm - Revised 6.2007