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HomeMy WebLinkAboutMiscellaneous - 78 SUTTON STREET 4/30/201809925 ���tvll�i Date . . . . TOWN OF NORTH ANDOVER " PERMIT FOR PLUMBING This certifies that ..Ld.vt,6.A... ........... ... . has permission to perform. �. plumbing in the buildings of. ........ . . ....... . at .... 1 �(.. tn. T, North Andover, Mass. Fee .. ft 2 Lic. No.A kWl) .. ...Mb .................. ... PLUMBING INSPECTOR Check # '200k f. 10 Division of Professional Licensure: License Search The Official Website of the Office of Consumer Affairs and Business Regulation (OCABR) Division of Professional Licensure Mass.Gov Home State Agencies A -Z Topics Home > Division of Professional Licensure > Check A Professional License By the Division of Professional Licensure LICENSEE Name:EDWARD J. PHELAN NORTH ANDOVER, MA **This Licensee has additional Licenses, click here to view them.** Licensing Board: PLUMBERS @ GASFITTERS License Type: MASTER PLUMBER License Number: 10073 Status: CURRENT Expiration Date: 5/1/2014 Issue Date: 12/27/1984 Exam Date: School: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web server on Monday, May 06, 2013 at 9:24:29 AM. © 2007-2011 Commonwealth of Massachusetts Page 1 of 1 Mass.Gov ONLINE SERVICES Check a License Locate a Licensed Professional Online Address Change Contact the Agency More... REFERENCES & RELATED INFO Disclaimer Regarding Website License Searches Enforcement Process Glossary Glossary of License Status Codes More... Site Policies Contact Us http: //license.reg. state.ma.uslpubLiclpubLicenseQ. asp?board_code=PL&type_class=_M&li... 5/6/2013 `N0RTH ti 9 Date. ...... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .... r . �.../::... P. ...`7 has permission for gas installation ............................ in the buildings of .......................................... at ....�, S ...S �: '"` ............. North Andover, Mass. Fee.. 0,.L Lic. No........... ..... .................... GAS INSPECTOR Check # 5610 U ,V1ASSACHCSEITS UNUORM APPUCATON FOR PEILM TO DO GAS MING (Type or print) Date 2 2 — Qt/ NORTH ANDOVER, MASSACHUSETTS Building Locations 2,; S V f.01 S -f Permit # Amount S 4/ Owner's Yams C�10�3i1C�T�'. New ❑ Renovation Replacement Plans Submitted ❑ (Print or type) Name�� J 1 Address ness tereonone i —,r ns [Mame of Licensed Plumber or Gas Fitter Chff,k one: Certificate Installing Company Corp. B Part Firm/CoEL�n LN SURA.NCE COVERAGE • Check one: I have a current liability Insurance polio r it's substantial equivalent. Yes 0 No❑ If you have checked yes, please in ' ate the type coverage by checking the appropriate box. Liability insurance policy EY 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 sI G oralthat 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 I have submitted (or entered) in above application are true Lind accurate to the hest A my knowledge and that ,dl plumbing ,vork and installations performed under Permit Issued for this application will be in rnpliance with all pertinent provisions of the Massachusettatcs G Chapter I42 of the General Laws. •r tie CitvrTown 1APPROVED •CFFtCE r:cE S' nature of Licensed Plumber Or Gas Fitter r bei O Z3,/ Fitter License Cum er er eyman N� FW -WG DW 0 Doi Fis (Print or type) Name�� J 1 Address ness tereonone i —,r ns [Mame of Licensed Plumber or Gas Fitter Chff,k one: Certificate Installing Company Corp. B Part Firm/CoEL�n LN SURA.NCE COVERAGE • Check one: I have a current liability Insurance polio r it's substantial equivalent. Yes 0 No❑ If you have checked yes, please in ' ate the type coverage by checking the appropriate box. Liability insurance policy EY 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 sI G oralthat 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 I have submitted (or entered) in above application are true Lind accurate to the hest A my knowledge and that ,dl plumbing ,vork and installations performed under Permit Issued for this application will be in rnpliance with all pertinent provisions of the Massachusettatcs G Chapter I42 of the General Laws. •r tie CitvrTown 1APPROVED •CFFtCE r:cE S' nature of Licensed Plumber Or Gas Fitter r bei O Z3,/ Fitter License Cum er er eyman N� Date. `..... . TOWN OF NORTH ANDOVER le •. o� p PERMIT FOR PLUMBING This certifies that •../. t1... .................. • R has permission to perform .1...- ............................... . plumbing in3 the buildings of�"�• at7.-h-4--��.•••••••••••..,North`Andover,Mass. FeLV �.7. w ... Lic. Nb.� `' �,��'/....... PLUWIN,!�NSPECTOR 41 Check N 6965 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date- _ nG Building Location %F S_t Owners Name Ted Pq o,2 6a Permit # / / Amount J Type of Occupancy kcS' '16n7j- t" / New 1-1 Renovation En Replacement ff Plans Submitted Yes F-1 No Kly ILI)' 14/ :.• �rr�r%r �i■i��ii�i�®�iiiMi Maw ..-..®--=M-.--MM-.----sW- (Print or type) Installing Company Name��, ! D . Check one: Certificate Corp. LJ P _". MFirm/Co.A?0234-7 Name of Licensed Plumber: Insurance Coverage: Indicate th a of insurance coverage by checking the appropriate box: Liability insurance policy El Other type of indemnity Bond alnsurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three i��nsuurfrance J Signature ��i' 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 compliance.with all pertinent provisions of the Massachu tts Stat mbi Code and Chapter 142 of the General Laws. By: Si mature or+ g �taeense� u er Type ofplumbing License Title City/ ROVED tor�cE USE orn.Y Tenwn 11 se se um er Master ❑ Journeyman �.1 Location 2e so Talzi -s 7 - No. Date'. 5� „°RTh TOWN OF NORTH ANDOVER Ot�t�a° ,ti0 ra Certificate of Occupancy $ .; # Building/Frame Permit Fee $ ° s�CHug t Foundation Permit Fee $ j r Other Permit Fee � $ Sewer Connection Fee $ � AUG&t&r Milnection Fee $ No. Andover Collector 0 $ ♦" Building Inspector Div. Public Works PER:tIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. AGE 1 MAP K40. LOT NO. 2 RECORD OF OWNERSHIP iDATE IPAGE ZONE SUB DIV. LOT NO. V3 taZ (BOOK I LOCATION 7 PURPOSE OF BUILDING OWNER'S NAME ! 0,�1 iC� d 7 ,7 �9 &777 NO. OF STORIES SIZE OWNER'S ADDRESS O'OV 1J.h BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1ST 2ND 3RD BUILDER'S NAME B ^� , I L' /�� 'r 1 DC��. c/ / SPAN - DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS 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 REQUIREMENTS 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 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 f ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS j PLANS MUST BE FILED AND lAPPROVED BY BUILDING INSPECTOR DATE FILED SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE /c- d v PERMIT GRANTED I/ - 19 ,2:2= Y- ' q1 OWNER TEL. # CONTR. TEL. #10 207 O 6 CONTR. LIC. #--j0jZ7- 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST D 0 EBT. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN .W -mV smal-I iluR BUILD-.ING RECORD 1 OCCUPANCY 12 - - SINGLE FAMILY StORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES. GA- " APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. i CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ _ 3 1 2 (3 CONCRETE BL'K. PINE BRICK OR STONE HARDW'D PIERS PLASTER DRY -WALL _ _ _ _ _ _ _ UNFIN. 3 BASEMENT AREA FULL V, 1/1 3A FIN. B'M'T' AREA FIN. ATTIC AREA _ _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 �_ 3 _ _ DROP SIDING WOOD SHINGLES CONCRETE EARTH HARDV✓'D COMI,nON ASPH. TILE ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY ' BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIORI-d POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE GAMBRELMANSARD I I I HIP BATH (3 FIX.) TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD $HINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & 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. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ 10 13rd ELECTRIC NO HEATING Suggested Affidavit for Home Improvement Contractor Permit Application For Office Use Only NAME OF CITY/TOWN Permit No. &0 , nj iV /P g I/a AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142A requires that the "reconstruction, alteration, renovation, repair, modernization, conversion, inprovement, removal, demolition, or construction of an addition to,any preexisting owner -occupied building containing at least one but not more than four dwelline units .... or to structures which are adjacent to such residence or building" be done by registered contractors, with certain exceptions, along with other requirements. Type of Work: �� / 'j j� (� �, Est. Cost?d ®- Address of Work % if/� X T Owner Name: 77© A V Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law _Job under 51,000 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 FUND UNDER 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: d:2�� Date Owner Name zon 0 00 0, C3 kn !VJ O z t- LU CL z W w I cc lad O 09 6r c 0 O v 0 c o � J � u v •a u ac a 'o = s s _ h y E o d LL z CF a z ? W W O H O u y C 6► w H _ y v z z ? Q c m �w L6 y0. C's y 40 Q:. m LLJ w CID L tm C E J d L 01 LLAL W V O) - o. 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VV) W OA ¢ O ►� W 9 OZ U4 O� o¢ Z y y �- p a N J• o r- E z W Q' W -.I,,.. = � O ' s i H F O 0_ V C V) U M W UJ go LL a y O LL 004 1 Wpm V W O FOLD ALONG 7MV) ONF. i" Z m 0�60 z a �. C V1 NozY fT �wZu `mo O = �3 �zW i M t11 �O O O 1- r 000. H O lL W r' 9 LU m NQ=z O M ���w w LL S 00 W H U.0 W ; J z _ i Z w z n Ohe�z M ff//JJ Z O r O $ f O < OpUW aM�Z at o z m � cr UL X W Z N A LU p¢ N f Date ..,:5 - TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........... ......... E4.eC.l .................................... has permission to perform. A�) R 4 ......... wiring in the building of ...... 7FD . W tF. ................ at .....7K..5&.7 ..A ........ ................ . North Andover, Mass. Lic. No. /K�� .........�.� Fee ..-3.. ... 1. . to ........... 47'70 AL INSPECTOR Check # � 6679 '�rr�i;ai l;Ct)nl, Commonwealth of Massachusetts "- -` - Department of Fire Services j I er,nit °. Yl Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS '[Rev. 9 05] ti,ave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All ,pork to he perforated in accordance s011 tite \lJSSal'l1LlSettS I'lect"ical lode t\iF0. 527 LAIR 12.00 (I'LL ISE PRL TIN INK OR TYPE. ILL I.VFOR.I I, i TION) Date: City or Town of: -[ e a �,JA21 L-42 2 TI,117C h7SI?eL'10r• 0j Wife..' By this .ipplictdion the undersi-ned gives notice' /ot his or her intention to pea•torm the electrical work described below. Location (Street & Number) Owner or Tenant -7-�! i_f Telephone No. Owner's Address r/ 7 l �✓�� y_ �%�. o Gt ! �� /-� Is this permit in conjunction with a building permit? Yes 14 Purpose of Building No ❑ (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: No. of 'deters No. of :Meters <ja C ompleliurr o1*111C 'rdlrnr in > !able ntuti he a an rl i;v the las ;er1,>r ,;/' II',n No. of Recessed Luminaires r No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming pool ,kbove ❑ In ❑ and. end. No. of Emergency Lighting l Battery nits No. of Receptacle Outlets No. of Oil Burners IFIRE ALARMS Noy of Zones No. of Switches r No. of Gas Burners No. of Detection and Initiating Devices No. of Ran Ranges g No. of Air Cond. Total Tons iNo. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW P' g 1i ❑ '�lu11 cipal Local ❑Other Connection No. of Dryers Heating Appliances KW . Security Sy stems:* No. of Devices or Equivalent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Ielecommunications Wiring: No. of Devices or Equivalent IOTH ER: Illcu:h,i,khoeviul ,Iciod If-h';nrccl• oris rr,ltnrc(l hi. lire Ir,)l,cL 11 ,, `�. Estimated Value of Electrical Work: (When required by municipal policy.) �kork to Start: Inspections to be requested in accordance with .\IEC Rule 10, and upon completion. INSLR,•kNCE COVERAGE: Unless waived by the owner. no permit for the perlormance of Clectric,al work may issue rhe licensee provides proof of liability insurance including "completed operation- cover VIC ur its .Substantial CquivalCrt. I h,.• nuler.•igneil ccrtifilC:that such CMCI-a!,C i:> in force.. ;md hos C�• -libited proof of :.;tare to the Permit i:,::•uin office. (.'I IE( K ONE: INS1. R,INCF, M7 BON 1) ❑ a i fFlliR ❑ ltipcCily:} 0 err jjY, under rhe pniu.c lin penuhies al'pgjury, .-hat :he iII n-niation on is 11 -Ile aIle/ c•ova/i•lefe. F1 R IN I N;\NIE: ,�I ll IR c f7 i t �H C. LIC. N 0.4Y�3 /If Licensee: Cwri atur_IC. �O. 3--y--7�� - rh,1.1h1i,,u�li. _ •r�r• .rrry;r ',rr 1/:,.• L� r,:,.ruri�._, iue.� — —------ ,3us. Tel. No.: _ Adairess:/7 31 �rCz ot'� —`l t A . 'Tel. li No.:. '`Security System Contractor license required for this work; if applicable, enter the license number here: OWNER'S INSURANCE NVAIVER: I am aware that rhe Licensee c/0, ' 1701 /ruvu the liability insurance cvv_r;.a� s 11crm,ally --- acquired by law. By my :;"-nature below, I hereby waive this requirenautt. 1;1111 the (check unC) ❑owner ❑owner':; ;agent. Owner/Agent :;igllature 7 .9.tah�,�;c `i �. PF•R.VffT FF F.- e