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HomeMy WebLinkAboutMiscellaneous - 79 CORTLAND DRIVE 4/30/2018v n O H R Oro, 0 m err rr, 0 mn P116 R Oro, 0 m err rr, 0 mn m m O C O Q' oA _ ao am y m3m1 1 � a ?v ro" 20, ?'a " a = m m d �a ED�, S ti IEm61(@ a y 0 o� � gW o�C' MCC. A _.. 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O y C O A to ca :q�-ci,mmjo _o 2 W* 0 a 440 O Us 0 v, m c .mm 0 m m y C O � VJ m CL. o _ y m m 'O y� �coa y � y O o .� c o O 0 dC = m as o y ,r y m.8~ W -cm_...0_ LLJ c +r H.� S t 1° c WE �m�� I d m� O- CL = F- L a LZ *.. m E US y C ro O 3 cmI; cp c 0 m 0 CD c c m t O Z O f b m i z O U M --i O L Z CL O y C C o •- p 'o La O O m m p i ccQ ca O cis= c .V C Z0 CL � V y O C ' C W CO3 � f Town of North Andover Building Department NORTH 400 Osgood Street 0F1 �e o North Andover Ma 01845 ?` g`� �° *s �p ~ iwitii ruiuuvci, ivla�,aawuuacua v101rJ (978) 688-9545 Fax (978) 688-9542 APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS _7 '� aj D (• CU i J I j Z 1a) LOT NUMBER SUBDIVISION 1CffM M d�lS DATE REQUEST FILED DATE READY FOR INSPECTION !/2 6,o Cj TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMP4ETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY- ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT/MtEy ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING D.P.W. — WATER METER 16113 / rJ 4 DATE _ / U // _71d J_ D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE / DPW AUTHORIZATION Location .No. Date TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ 'FIsMust MUBuilding /Frame .Buildin /Frame Permit Fee $y�.4 s,+c Foundation Permit Fee $ Other Permit Fee $ TOTAL $ r Check # Building Inspector Location %� Com. �? _��,��•.,�r� No. t' fi Date r ��� el f 40PTM 1 TOWN OF NORTH ANDOVER Certificate of Occupancy $ 'l'y ',S' • Eta' Building/Frame Permit Fee $ s�CMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ r Check # 11'7-' ` Building Inspectwi, It TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT WAM RENOVAT& OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: l 2 cy 0 16,/,� SIGNATURE: Building Commissioner for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 9 Co t�L �ncD . l Yl C) M 1T Z0 I o g C 2( Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 1 5V-I) Co .Knjo W -Z hc. Zoning District Proposed Use Lot Area Fronts R 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred Provided Reatured Provided N 1.7 Water Supply M.GL.C.40. 34) 1.3. blood Zone Infomwion: .8 Sewerage Disposal System: zone Outside Flood Zone ^� Municipal Oa Site Disposal System ❑ Public Private 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT '�''' �'r { �St�lCt; ins �.1C 2.1 Owner of Record Name (Print) Address for Service Si re Telephone 2.2 Owner of Record: I Name Print Address for Service: 1 Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ �`za� Supervisor: S J Licensed Construction License Number Address Expiration Date Sign a Tel phone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Neine Registration Number Address Expiration Date Signature Telephone s 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 tuilding permit. Signed affidavit Attached Yes ...... JK No ....... ❑ SECTION 5 Description of Proposed Work check a9 • bk New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify -- Brief Description of Proposed Work: ST=D CAt'zO — FKf'1VV\.1Z- cos�vR- I SECTION 6 - ESTIMATED CONSTUTTCTInN rneTQ I Item Estimated Cost (Dollar) to be -Completed bpermit applicant OMCUL USE ONLY . 1. Building JS, Oma ' (a) Building Permit Fee Multiplier STORIES i 2 Electrical p �,,,1 tD "vU (b) Estimated Total Cost of Construction 3 Plumbing > Building Permit fee (a) x (b) SPAN ►AA- 4 Mechanical HVAC t 5 Fire Protection 6 Total 1+2+3+4+5 Z. Check Number � A Av I r a nm i alVX%AZ"11 aV1\ 1 V or. t %J1VJL -LLQ l El! W nZfV OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property r Hereby authorize to act on r My behalf, in all matters relative to work authorized is building permit applicatio Signature of Owner Date SECTION 7b OW AUTHORIZED AGENT D$CLARATION 1, Z 4 41A - d Ly %/ Z `--- ll y Lien wW as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are �*ue and accurate, to the best of my knowledge and belief ., L _ ,e- >� �il .ern A . �. Print Name Si ti of Owner/A ent Date STORIES i SIZE ZX BASEMENT OR SLAB 3 SIZE OF FLOOR TIbIDERS 1' 24D�� )1 - SPAN ►AA- DIMENSIONS OF SILLS DIMENSIONS OF POSTS 4,LL DINENSIONS OF G.MERS HEIGHT OF FOUNDATION 71, THICKNESS SIZE OF FOOTING MATERIAL OF CHIMNEY I (- I 12LA t IS BUILDING ON SOLID OR FILLED LAND S L IS BUILDING CONNECTED TO NATURAL GAS LINE A•- < I 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 M 1 ,k C0 . (n07)S LLC PHONE � 8-68�-2635 LOCATION: Assessor's Map Number /�y� PARCEL 3 f SUBDIVISION (" i��iG-(�yjaLS2 Mno7jj _ LOT (S) Zg STREET—. CO -t 1q .D r) M ST. NUMBER_ ***********************************OFFICIAL USE ONLY******** TOWN AGENTS: COMMENTS.0 70 $ FOOD/INS'PECTOR-HEALTH ,TOR DATE APPROVED DATE REJECTED- _ A... ' 1 4,n f DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED_ COMMENTS o NJ W E PUBLIC WORKS - SEWER/WATER CONNECTIONS / /�;sA, DRIVEWAY PER T FIRE DEPARTMENT I r RECEIVED BY BUILDING INSPECTO Revised 9197 jm DATE /ID�; ...c %.gf"&"SvrsrVe"Isn UJ !Y/assacnusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Name (Business/Organization/Individual): Address: LLC City/State/Zip: , ��U e,�, fel n 1-qJJ Phone #: C? 7R- S JZ�3 Are you an employer? Check the appropriate box: I. ❑ I am a employer with 4. ❑ I am a general contractor and I employee's (full and/or part-time).* have hired the sub -contractors 2.,I am a sole proprietor or partner- listed on the attached sheet t ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ 1 am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. jj� New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. El Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other . -•v "YY•••'••••• •••••• ..•...".,.�.,u qui me secnon oeiow snowmg their workers' cornpensatlon policy information." t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the subcontractors and their workers' corm, policy information. I am an employer that is providing workers' compensation insurance for my employee& Below is t information. he policy and job site Insurance Company N Policy # or Self -ins. Lic. #: Job Site Address: Expiration Date: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year t, well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. B advise that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance cov ee veri catinn I do hereby certify under pains and -677- perjury that the information provided ab ve Date: 7/ /r Official use only. Do not write in this area, to be completed by city or town offl ial true and correct City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees Massa person in the service of another under any contract of hire, Pursuant to this statute, an employee is defined as "...every express or implied, oral or written." An employer is defined as 46 an individual, partnership' association, corporation or other legal entity, or any two � re of the foregoing engaged m a Joint enterprise, and including the legal representatives of a deceased employer, receiver or trustee of ah individual, partnership, association or other legal entity, employing employees. However the or the owner of a dwelling house having not more than to d maintenance, cconstructionnd who eorthrepair7wok on suchant of the dw ling house dwelling house of another who employs persons to or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants the boxes Please fill out the workers' compensation affidavit completely,and one number(s) along witha thapply to your certificate(s) of situationand' if by checking necessary, supply sub -contractors) name(s), address(es) p insurance. Limited Liability Companies (LLQ workers' or Limited Liability compensation insurances IfLan)with LLC orLLP does have employees � than the members or partners, are not required to carry mpco employees, a policy is required Be advises that thisaffidavit to sign and date be affidavit. Thethe Department of afiidavitlshould Accidents for confirmation of insurance g license not the be returned to the city or town that the appli uaU � the rdm�g the laww oris if you age rgequmred,to obtainDw workers' of Industrial Accidents. Should you have any q 8s compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the number which will be sed as ahas reference numbers Inadditionthe a applicant applicant Please be sure to 611 in the pdrnut/hcense that must submit multiple permittlicense applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would Me to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give s a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 www.mass.gov/dia {\) >N >K / \ x� >rCD Ch — 0o- \�0CD o -. 8 m7 £ / J$ $ 0 ¢ F q 0 ¢ .Z\, 0 0 0 0 ch % \ \ ) § 77% a I'D S 4 § \ § ® ~\§ m® q§E a % cn 0k\ \ r MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.3 Release lb Data filename: Untitled TITLE: The Nantucket at Meetinghouse Commons CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 07/11/05 DATE OF PLANS: 4/15/05 PROJECT INFORMATION: Meetinghouse Commons North Andover, MA 01845 COMPANY INFORMATION: Meetingohuse Commons LLC COMPLIANCE: Passes Maximum UA = 477 Your Home = 447 6.3% Better Than Code Ceiling 1: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o.c. Window 1: Vinyl Frame, Double Pane with Low -E Door 1: Solid Floor 1: All -Wood Joist/Truss, Over Unconditioned Space Furnace 1: Forced Hot Air, 90 AFUE Air Conditioner 1: Electric Central Air, 10 SEER Permit Number Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA 1628 0.0 30.0 50 2356 0.0 13.0 186 379 0.340 129 35 0.340 12 1628 0.0 19.0 70 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.3 Release lb and to comply with the mandatory requirements listed in the MECcheck Inspection Checklist. The heating load for this building, and the cooling load if Design Conditions found in the Code. The HVAC equip than 125% of the design load as specified in Sections Builder/Designer opriate, has been determined using the applicable Standard selected to heat or cool the building shall be no greater C 1310 and J4.4. Date 7 /11,60 MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.3 Release lb DATE: 07/11/05 TITLE: The Nantucket at Meetinghouse Commons Bldg. Dept. Use [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ l Ceilings: 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 continuous insulation Comments: Above -Grade Walls: 1. Wall 1: Wood Frame, 16" o.c., R-13.0 continuous insulation Comments: Windows: 1. Window 1: Vinyl Frame, Double Pane with Low -E, U -factor: 0.340 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Doors: 1. Door 1: Solid, U -factor: 0.340 Comments: Floors: 1. Floor 1: All -Wood Joist/Truss, Over Unconditioned Space, R-19.0 continuous insulation Comments: Heating and Cooling Equipment: 1. Furnace 1: Forced Hot Air, 90 AFUE or higher Make and Model Number 2. Air Conditioner 1: Electric Central Air, 10 SEER or higher Make and Model Number Air Leakage: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. r [ J I Insulation R -values, glazing U -factors, and heating equipment efficiency must be clearly marked on I the building plans or specifications. I Duct Insulation: [ ] I Ducts shall be insulated per Table J4.4.7.1. I Duct Construction: [ ] I All accessible joints, seams, and connections of supply and return ductwork located outside I conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to I partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I Heating and Cooling Equipment Sizing: [ l I Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I I Swimming Pools: [ ) I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% I of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] ( HVAC piping conveying fluids above 120 V or chilled fluids below 55 OF must be insulated to the I levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2" Runouts l" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature Insulation Thickness in Inches by Pipe Sizes Heated Water Non -Circulating Runouts Circulating Mains and Runouts Temperature ( F) Up to 1" Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2" Runouts l" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) m m m C m m m y m CD CD av t0 CD CO) CD 0 C) H d d O CO) c� 0 y d C7 CD CD CO)CD CD CO) O s. 0' 0 CD 0 rn cn 2 �7 0 cn C 0 O Z m m 0 CL m CO ccC i N O CL Go9 FW 0 d0 lrLm CLCL co F • C O m .► .�• � .=ice �a mom? T y „w O ..►� O � or 2 cn 0 = t o+ . • CLzr ° m� yam ° CL CA m� C Q CL m � C :o � ro ca m m Zito � oma`:. cl `- IC. S h 0 ca Ji` CO Im = '00 .0 1 406, omq 0 0 cn 0 ° ro r ° CL 7d � ro ro ro � x � O omq 0 0 Q N 0 U ISI vJ � 0 0 p I' ^� E N O s E �, N 4 -o Zi T O - - � J I� U Q -o Z Q�9s o^9S az 5 10,Z a-C) t z I 1 Q d � p u N tt T 0 co 9 ce Fonl c' a fly g Q -2.t Q-zz 44, d— Q � � L o N C � C 7 b v � � C 0 E 0 O Ila co Q \ v 44, � Q u u In o ui "D ° �► o Q E N U z J 0 000 00+ GTS 000 00 L1 �n Ln45 a v c \\ O G 0 L-100 0 00 00 00 N N M d 00 —+ d O N m m m p N Q M \10 M r Ln M �U p O, o` Q o �ZU� v� C° ,a' 3 ,fl M s~ co pH � a� n a� IDDn aA tin r. a� r z o IzN.> in Ln :47- Q o w 1 _ � O a I , ]-4F7TT= 7�Q) uZ�l :15 od a I � Q u u s L u 0 0 E N N 0 O �( u " $ U o u � E 4-4 c< Z f--Z�� > C o > N o u Date "ORT" "'Ow--��F NORTH ANDOVER 3: ��t�`•- OL PERMIT FOR PLUMBING o .r•`S9 SACMUS� This certifies that .C3 . d.... ` .. ./ .... ........... . has permission to perform ...... A.,. -f. .. -:'; ......... plumbing in the buildings of .. �%�A P 4.. ........... at ... /. .............. North Andover, Mass. Fee. Lic. No.. 'Z C. 7 .`.: . �--Cfy.--� .... . PLUMBING INSPECTOR Check #7// JzJ�_ L A MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS %11"12 3 or G.Sr -} 11 �/ ] / ,/ Date Building Location / c1 ( etolt-'�'I An'b � 6fiVf)wners Name -folia ��2t�il CIQjJ/C3��/�� Permit # G G Z ��S% Q %, 0 Amount Tvpe of Occupancy (�tt� ' b� NewIZI Renovation Replacement Plans Submitted YesNo FIXTURES (Print or type),(� ` Check one: Certificate Installing Company Name /-w t/C�/✓trCorp. Address ( AoPartner. usiness Telephone - — 3 f 5 Ln 1~irm/Co. Name of Licensed Plumber. rr/1 / VLA. --f r1a / (-1 Insurance Coverage: Indicate the of insurance coverage by checking the appropriate 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 D Agent El 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 Massachusetts Statq,%�mbing Code ,dand CbvjorjQ of the General Laws. y: own LOVED (OFFICE USE ONLY Type of Plumbing License c� License um Master Journeyman (� 0 Date .. ? .c: r........ MORTM Of,—'. , ° TOWN OF NORTH ANDOVER e P ' PERMIT FOR GAS INSTALLATION This certifies that .A.'�71.1-7 41. -. 5`..... .......... has permission for gas installation ... ke .......... . in the buildings of f .................... at ...?.5j...�............ North Andover, Mass. Fee .. ! .q J .. Lic. No. ? C 1.. `.... . I ......... . I' GAS INSPECTOR Check # 7 (/ �: F J I MASSACHUSETTS UNIFORM APPUCATON FOR PERIVIlT TO DO GAS FTITING i (Type or print) Date NORTH ANDOVER, MASSACHUSETTS Building Locations —f) r, V e Permit # Amount $ &0� 71 IVL let Owner's Name New Renovation 1:1 Replacement ❑ Plans Submitted ❑ (F N A Name of Licensed Plumber or Gas Fitter Cone: Certificate Installing Company ec Corp. 0 Partner. ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes D No 13 If you have checked yes, pleasein ' ate the type coverage by checking the appropriate box. 13Liability 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: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the aetans ano mrormauvn r ❑avc NUUi1uu1-,u kUi U,J«.. UU _.= u.,.,•., AFF.—L.— -- ••-- »••� ����•�•� •� 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 Massachuset%state G1s Codd Chap y 0f the General Laws. r. tle VED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber -=�6 % G/ ❑ Gas Fitter License um er Master ffJourneyman - EM -1ST. FLOOR (F N A Name of Licensed Plumber or Gas Fitter Cone: Certificate Installing Company ec Corp. 0 Partner. ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes D No 13 If you have checked yes, pleasein ' ate the type coverage by checking the appropriate box. 13Liability 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: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the aetans ano mrormauvn r ❑avc NUUi1uu1-,u kUi U,J«.. UU _.= u.,.,•., AFF.—L.— -- ••-- »••� ����•�•� •� 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 Massachuset%state G1s Codd Chap y 0f the General Laws. r. tle VED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber -=�6 % G/ ❑ Gas Fitter License um er Master ffJourneyman Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ., �'!f% C........4-.�.�% ...................... ..... ........................................... has permission to perform ........�.....lF✓./.��1:. j....... wiring in the building of ......Z.C.. �c.��........�q.1 ........... e6. gr ....... 1-,-e......... , North Andover, Mass. Fee.5- Lic. No.r� � f%?...........;.�. .',_. , .......... ELECTRICAL INSPECTORa I Check # � 4/0 � J i b LEPAJUMENTOMBUICS4FETY p 3 Lrn*No. BQARDOFFZREPREVF1NIIiDiVRBGULA17r0i1 527aR,aa as ncy di.Fees Checked A.PPLICATTONFOR PERMITTO PERFORMELECTRICAL WORK All. WORK TO BE PERFORMED BV ACCORDANCE WITH THE MASSACHUSSTS ELEMICAL CODE, 52CMR 12:00 tPLEASE PRINT IN INK OR TYPE ALL INFORMATION) Datr-� �L 0 Town of North Andover To the inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street tit Number) -7 � !fo,ti ��q�"� '-(�) A ( f ),, , 2_ �� Owner or Tenant' /` l.-�eJ ' il.. y4... Owner's Address 12, ( CA Ac a Is this permit in conjunction with a building permit: Yes No [:3 (Check Appropriate Bos) Purpose of Building (--s -1-6 ,v1 _ Utility Authorization No Existing Service Ampa....L.V olts Overhead a Underground No. of Meters New Service Amps / ? (aVolts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work WC C No. of Lighdna Outlets No. of Hot Tube No. of Trandwrnea Total KVA No. of Lighting Fixtad Swimming Pooh Above Below Generators KVA around and No. of Emergency Ughrina Battery Units No. of Receptacle Outlets No. of Oil Burner No. of Switch Outlet No. of On Bann FIRE ALARMS No. of Zones No. of Ranges No. of Air Cad. Total Ton No. of Dewcdoa nod No. of Disposals No. of Heat Total Total Panys Ton KW Initialing Devices No. of Sounding Devices No. of Dishwasher Space Area Hewing KW No. of self Camined Detection/Sounding Devices Local muwcipd Other No. of Dryer Heating Devices KW Connections No. of water Heaters KW No. of No. of silo aihws No. Hydro Massae Tubs No. of Motors Total HP OTHER, li %=XeCov W P==lD ht:ra4 onmh fMmndimftQwdLm ]hareatam>ZLa�tligYilstmroeFaiiYridtdr�Cbnlpieb or�su6s��ielegtivalst Ygg NO Iharesthniftdva1dpudbfs=lodz0 kz Y$S Ir),uha,edododYnplsar}dcrr@letyp cfwvwpby BoWan-Da bStaR l� o. 5im*dVakzcfEbcm'c %c&S Wodc ilspecoertD&RgzsWd Ro* l vt,w A C -t.L� nl 55aredvrdcr P�cfoeckir .i: ut.V-uia licm= j - 0WN5VSIlVSURANMWAMRIaihawaei WftLi=wdd=w1 P ardtlaniyOgnancradrs/MRl1� (Please check one) Owner a Agent Signature ol Ow or Agem Lio=iseNo. LioeneNo �Z� � c�� &laMSTKNa ALTt % o k 6 2._ Telephone No, ....PERMIT FEE yW v. r DERU I1QMOFPUBUICMFUT `�L-,�o�OFF�M�5���iees Checked APPUCATIONFOR PERMIT 70 PERFORMELEcnzi , 4L WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSrS MXCMICAL CODE, 527 CMR 12:00 l �tPLEASE PR DU IN INK OR TYPE ALL INFORMATION) D 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) Owner or Tenant , co Owner's Address 17A V� is this permit in conjunction with a building permit: Yea No [3 (Check Appropriate Bos) Purpose of Building Q (r , A, 04— Utility Authorization No. Existing Service Amps. olts Overhead � Underground M No. of Meter New Service Amps[1p / 2,,-edVolts Overhead M Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work U' - c �' S Na of L.iandna Outlets No. of Hot Tubs No. of Tnneftsen Told KVA Na of Lighting Fixtures Swimadng Poor Above Below M Gettaratars KVA No. of Receptacle Outlets No. of OU Burner No. of Emergency Lighting Battery Units No. of Switch Outlet No. of Gas Borers FIRE ALARMS No. of Zones No. of Ranges Na of Air Cad. Totd Tea Na of Defection end No. of Disposals Na of Haat Total Total Ponm Tom KW Initiating Devito Na of Sounding Device �! No. of Dishwasher space Ata Heating KW Na of Sal! Ccs mbW acdNo. Local mwidlw Other of Dryer Heating Device KW Connections No. of Water Neaten KW Na Of No. of sizon allads No. Hydro Massage Tuba Na Of Motors TOW HP Vl� iasanoe0o� Asax�tblhera}ier�otMaarsd181sCsrealLat� ff ff rbnt�rtrlr�tleguivsist lhm=h r&dmMptoafofss�nt:bhe0� YM aypuha+edtadedYBS,pl�sidarCQregPeafao�sagbY BCND p OTS p rm* Dile WodcbShrt l� i>rpecdonDaleRar}�d Ro* t.�,lce . c—c.�afl Fe Wt�dts 19RMNAN1S CSL Iinarb > &d=TdNa ALTdNa �i 3 iS `o t 6 2 -- oWI�R'S WSLJRAi�WANIIiIa'nawfaedletQlelicaaeIs�Iheilrimloeaote�ayasib�mltxfiw�ltgsg�liedbyMesaaci>taeeGaLealLasia a rddarriy9gmincrift'eaA ta�picr�Ictaiumfliare4iim�t (Please check one) Owner a Agent Telephone No. >ERiurr FEE S 12 &e�eA 7-PLFM"- f S�g v FIAC,� L - 8 k, O/ mac_ _ 0z4., o ;" z, �, i (9 - 2 5--o 5-- 19V'-�7 I