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HomeMy WebLinkAboutMiscellaneous - 83 ACADEMY ROAD 4/30/2018North Andover hoard of Assessors Public Access NORTP# Of ti.io +�'`qp # �' b•,no ••� 4y �Sswcwus� Click Seal To Return Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial Page 1 of 1 North Andover Board of Assessors 411) ,ner Name: STEVENS, KATHY CAMPBELL FREEMAN, CROWELL ,ner Address: 83 ACADEMY LANE City: NORTH ANDOVER State: MA Zip: 01845 ighborhood: 7 - 7 Land Area: 2.69 acres Code: 109 -MULTIPLE -RES Total Finished Area: 5260 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR al Value: 636,500 578,700 Ming Value: 388,400 340,200 id Value: 248,100 238,500 rket Land Value: 248,100 inter Land Value: http://csc-ma.us/PROPAPP/display.do?linkld=2253818&town=NandoverPubAce 3/19/2013 t i � o �X U) 6 N t6 NE 9..N� m p (0 N Of t1 0 (1� CL (1), N U) 0. c - 0 to a 2 Lj ;cO M r Ham O N c, 0 0 LL n a m D F- ojii L: ,L7. 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President March 30, 2016 North Andover Building Department North Andover, MA Re: Solar Electric Panels Installation To Whom It May Concern: I hereby certify that I am a Licensed Professional Engineer in the State of Massachusetts. The Solar Photovoltaic System installed at the residence of Cathy Ahearn, 26 Adrian Street, North Andover, MA is installed as per manufacturer's requirements - specifications, and is in compliance with all applicable laws, codes, and ordinances, and specifically, International Residential Code/ IRC 2009 and with Massachusetts Amendments, 2014 NEC, and 2012 ICC Energy Code, and will perform as designed. All penetrations and racking are accomplished per town approved -released drawings and roof is adequate to hold the modules/solar system. This project is acceptable for final approval. Very truly yours, Optimize Engineering Co., LLC 2�✓���H OF MAS SgN* 'T .� OG RICHARD B.7 GRDON -4 N� Richard B. Gordon, P.E. U MECHANICAL Massachusetts P.E. License No. 49993 tdp 49993 �e CIVIL, MECHANCIAL, & ELECTRICAL ENGINEERING A.��CisTE� -,/ Date... .. 1. ............. TOWN OF NORTH ANDOVER PERMIT FOR WIRING A./.IThis certifies that ................................ J ........ ..... ............. .............. has permission to perform ...... 7V.. wiring in the building of ....................................STS VeAIrzI .......................................................................... at ........... ^..,North Andover, , ass. L i c. No. ............... .... .. . /'�// . . .......... Fee ...... 5 . . ............. Check # 7n Conunonwaa& o`cct77/las6aactui6af Official Use Only 1JaParEntanE o�.}ira Jaruico3 Pernut No. �/� 7 _ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/071 (leave blank 0 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL N®RK All work to be performed in accordance with the Massachusetts Electrical Code (ME 4, 517 CMR 12.00 o T(PLEASE PRNT IN INK OR TYPE N=114Date: C Pr/ pU�Ci or Town of: To the InsPa to o Wires By this application the undersigned gives notice of or her intention to perfo thje electrical work described below. Location (Street & Number) (9 / �1' �1 Owner or Tenant Owner's Address Telephone No. Is this permit in conjunction -with a uildiug permit? �pYees [_1 No (Check Appropriate Box) Purpose of Building ( /i/1 f �cC,�rC, 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 Meters No. of Meters Completion of the followinz table may be waived by the Inspector of (Vires. No. of Recessed Luminaires No, of Ceil: Susp. (Paddle) Fans o. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ElIn- ❑ rnd. nd. o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. o electron an Initiating Devices No. of Ranges Total No. of Air Cond. Tons No.. of Alerting Devices No. of Waste Disposers p eat Pump Totats: umber ons K o. oSelf-Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ un ctiip?❑Other Conneection No. of Dryers rY Heating Appliances KW ecNo. ystems: No. of Devices or Equivalent No. of Water Heaters KW o. o No. of Si ns Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP elecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail ifdesired, or as required by the inspector of wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability ' surance including "completed operation" coverage obits substantial equivalent. The undersigned certifies that such cov ge is in force, and has exhibited proof of s e to the pe it issuing o ce. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) 1 �U I certify, under the aitrs a/td pen r of Jury, 1 t the nr rntation on tis appltcall i is true and on e1e �, FIRM NAME: v / X rC 60 � LIC. NO.: , �� Licensee: ._S�Pwj7e h C,)h 4 Signature -( LIC. NO.: (If applicable, ent �"yexem tJ" in the license number li .1 , Bus. Tel. No .• Address: �r 7 n t / { y` Alt. Tel. No.: *Per M.G.L. c. 147, s. 57-61, security w requires Departnknt of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am tine (check one) ❑ owner ❑ owner's aeat. Owner/Agent PERMIT FEE. $ Signature Telephone Na. lea q - C/ At, N I Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .............. CO'WT-1--e-a............Ei..... ..... ............... ......... ................ .. has permission to perform .................. :T^ .. Gl% 'ee ( 7 ................ wiring in the building of .S j .........................A......................................................... �3 f-%c'ADA !` rthAndover Mass. at................................................., Eee ..3 ........... Lic. No.. ] t � F �� .... ......... ..... ... . .. ELECTRICAL INSPECTOR Check # 3 6 2 7573 Commonwealth of Massachusetts Official U-7se Only Permit No. ! -� 31 Department of Fire Services _ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9- ^ ) 3 —O7 City or Town of- ADR-rR 4 A 7)POVF- 12- To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perfor�m the electrical work described below. Location (Street & Number) (93 --AC A Owner or Tenant KA T �)" .5�4rUF /iJ- Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No EJ (Check Appropriate Box) Utility Authorization No. Purpose of Building Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: --yam-� „ftt,o s.,llnw,no tnhte may he waived by the Inspector of Wires. Attach additional detail y deslrea, or as required by the inspeclur u•/ rr ues. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE WX BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: LIC. NO. -Al 1983 Licensee: LOUIS ('ONTINO Signature LIC. NO. -,2S788 (If applicable, enter "exempt" in the license number line.) V L Bus. Tel. No.:9-7 8 _ 3 6 3 _ S 4 2 0 Address: L 1710NO SAN DR WEST NEWBURY-, MA 01985 Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, securitywork requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. No. of Tota No. of Recessed Luminaires 0�5 No. of Ceil.-Susp. (Paddle) Fans Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires 7"'(, O Above n- Swimming Pool rnd. ❑ grind. 0 o. o Emergency ig mg Battery Units No. of Receptacle Outlets rfiLiQ No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. o et an Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Pumum Totals er ons o.o el - ontaine Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection EJ Other No. of Dryers Heating Appliances KW Security Systems:;; No. of Devices or Equivalent No. of WaterKW Heaters o. o o. o Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications ofDevicesr firing: No. of Devices or E uivalent OTHER: Attach additional detail y deslrea, or as required by the inspeclur u•/ rr ues. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE WX BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: LIC. NO. -Al 1983 Licensee: LOUIS ('ONTINO Signature LIC. NO. -,2S788 (If applicable, enter "exempt" in the license number line.) V L Bus. Tel. No.:9-7 8 _ 3 6 3 _ S 4 2 0 Address: L 1710NO SAN DR WEST NEWBURY-, MA 01985 Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, securitywork requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. aa4-4-A ?- c I Date. . �.. . TOWN OF NORTH ANDOVER R ' PERMIT FOR PLUMBING ,SSACNUSEt This certifies that ..0. .4 . � .... • .... . has permission to perform .....a.. plumbing in the buildings of ... .. • .. • • . • • . • ..... � 7 at North Andover, Mass. Fee ' -37 Lic. No. q , t,..�� ............ . (.� PLUMEIN<1INSPECTOR Check # �a �'� 7"65 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS i g Date I <') r7Building Location 93 ' Owners Name Permit # Amount Type of Occupancy New Renovation Replacement Plans Submitted Yes No rl FIXTURES (Print or type) Check one: Certificate Installing Company Name G 'i Corp. Address a` D �l • Partner. �e •> 1 s. V C, Iylc, 0 18 3 Business Telephone q °% 9� — ,t 70, •- y 7 Q Firm/Co. r Name of Licensed Plumber. ke"i ; , m- . Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box; • Liability insurance policy 51 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 1:1 Agent M I hereby certify that all of the details and information I have su mitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and ' ons pe �ed�lindertd ssued this application will be in compliance with all pertinent provisions of the Massa State PI Code C ter of the General Laws. V By: igna 01 LICcuseuum er _Type of P�(ii�mbing License Title � 3 I �� J City/Town icense um er Master Journeyman APPROVED (OFFICE USE ONLY NcaTH Of . �. o •1�'O � O P SS�cHUSEt Date. ,r" .`a.•� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ... !' ......................... . has permission to perform ..... ,! .�P :E:- .�- :�`'......... . plumbing in the buildings of ............. at .. ........ North Andover, Mass. Fee?(� .... Lic. No?.. e: A . v.,ew ,� -� ^,!1� /.............. . PLU GING INSPECTOR Check # 7509 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS a Q Date f/os-A7 Building Location 3 ,�. / �Gr . Owners Name Permit # 1,09 Amount Type of Occupancy New Renovation Replacement Plans Submitted Yes No FIXTURES (Print type) �% /� r1 2C Check one: Installing Company NamF712-Corp. El Partner U Firm/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coveffge b hecking the appropriate box Liability insurance policy Other type of indemnity ❑ Bond ❑ Certificate Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does not have any one of the above threeinsurance P Signature Owner 13 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 install3umsperformed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus lu C e theGeneral Laws. BySignature ol 1:acensoa riumBer Type of Plumbing License Title ` 5-0'7 ? _,4-1 City/Town 1ACellSe iNUMDer Master Journeyman APPROVED (OFFICE USE ONLY 08/14/2006 14:05 FAX 978 685 5900 CARLSON-GMAC 12001/001 TOWN OF NORTH ANDOVER MASSACHUSETTS NORTH ANDOVER OLDE CENTER HISTORIC DISTRICT COMMISSION VIA FACSIMILE 978 6889542 Building Inspection Town of North Andover North Andover, MA 01845 TO WHOM IT MIGHT CONCERN: Please be advised that renovations at 83 Academy Road do not need approval of the Historical District Commission, The renovations are in the rear of the property and therefore do not need approval from the Olde Center Historical District Commission, Any questions please call me at 978 685 5000. Sincerely, George H. Schruender, Jr. Chairman North Andover Historical District Commission Copy: Kathy Stevens Location 'YJ (3: "-Ie 12,-a No. �-9.26 f Date r Maw,. TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ +ss^cHuSEtt� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ *� � Check # e? c Q ` Building InspectC4 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATF OR DEMOLISH A ONE OR TWO FAMILY DWELLING .,. - BUILDING PERMIT NUMBER: DATE ISSUED: > i / / SIGNATURE: Buildin Commission for of buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: COENPY P2.17 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R 'red Provided 1.7 Water Supply M.G.L.C.40. § 34) 1.3. Flood Zone Information: 1.8 Sewerage Disposal System: . Public 0 Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSI3IP/AUTHORIZED AGENT 2.1 Owner of Record VA -//y s:rU JZ F Al -C Q,S fiC- ENY &P, Name ( rint) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ D002 Licensed Construction Supervisor: A0® Sw7 aA) S7, Al 0, r,Vek� License Number Address � A 9 2 Expiration Date �. �b •rn� Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ e ' t__ �} A 17' � J� A S A d 6 A E � C Company Name Registration Number � ss •K' 3 22— Expiration Date Signature Telephone f s s 0 `4 L C n C 2 n i 111111 4C c C ra C. r r 2 G SECTION 4 - WORKERS COMPENSATION (MG.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. Si ned affidavit Attached Yes .:.....0 No..: .... ❑ SECTION 5 Description of Proposed Work chat applicable) New Construction ❑ Existing Building Repair(s) ❑ Alterations(s) ❑ Addition ❑ i Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: EAU F 1 gF.VTTON 6 - RCTYMATRT irnNTCToTr!`T7nw r•ne-rc Item Estimated Cost (Dollar) to be Completed by permit applicant .. p 7, M 1. BuildingR 6 b (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 b b Check Number OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1P C/7'�:3� I C -O ATjE as Owner uthorized Agen 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 Print N ne I ) /- --Ue Signature of Owner/Agent Date 0 Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 DEBRIS DISPOSAL FORM V At4Eo �6r�N0 O ti T G lot—"i�:wc■ 1. 4A°RArgo SPR .dye In accordance with the provisions of MGL c 40 s 54, and a condition of. Building permit 4 the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in /at: + S racinty location .0ai C - Signature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. a -_.. .. �iie �aininzaruisep,� M1 Board of Building RegUlations and. Stam T�rds:: HOME IMPROVEMENT CONTP.ACTOR Regi ration 104569 eOrGiion. 111X3/07. TYPe: PRIVATE COt�FORAT'ION CHVID CAST.PICONE IFti60FII 9 V,cope 7 Hdisije; Ro d BOxford,I�tA � 1'92 •�_ '' t Admin:Strator t a P� as u� a O w cn O co w ba a: v U w a 0 w ao bo bocow rx w a OR w w m a �j� cn w p U z w w w A w m z U) - i cn ui z CL C F 0 X70 p C/) W F�1 0 0 O E CD L O Z co CL O y � C W 01 I Q caC Ea �ECD m m _-� O DO _ L !O O o- o�cC C 0 *- CcC C C Z 0 CL C.3 w O C demo ,lift C cc 0 CO CO w W LU LU /Y � c c m c o � C H O C O Ca L: :O-co CL A W m C := O O L G3 r= cc • L : � C CD t5 Ca CD CL o CD o� 4x CD :mos mi :ate E L N 3 = •. OA C O! N ,p C O ._ m � .L C C N O O N CLC -3 L.: m _N m L Z O Of �3 d� : m cc, Vy O C C C G r H O CL N H C A ~ O r + m r0 Oy=.�m _ W C LL H O C O H H dL Z V O C2 C y a a _caZo=.�o C F 0 X70 p C/) W F�1 0 0 O E CD L O Z co CL O y � C W 01 I Q caC Ea �ECD m m _-� O DO _ L !O O o- o�cC C 0 *- CcC C C Z 0 CL C.3 w O C demo ,lift C cc 0 CO CO w W LU LU /Y � M: .1 Date ... //Z:,//N� 2700 Is f MORTM 1 TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSAC14USEt This certifies that �l �-'` CA �-_ { ` ........................................................................................... has permission to perform ...................C.....Y.:x!................... r wiring in the building of .......... . T .. �./. ..::. ....... ...................................... at J ...!'. .: , North -Andover, - ,/ s 711 Fee ....1 ��.. � �.. Lic. No..,, -L .. .� . �. x!.. ...::../...�.: ...... ELLEEcrkiCAL INSPEZ-T6R Check # / / 1 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer r LPermitNo. ial Use Only ee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 C 12: 'D (Please Print in ink or type all information) Date �J To the Ins cto of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work desCribedbelow. Location (Street & Number Y (' Owner or Tenant 5'ei Owner's Address Is this permit in conjunction with a building permit Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Voits Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps Voits Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 9 No. of Lighting OutletsTotal No. of Hot fuse No. of Transformers KVA No. of Lighting Fixtures Swimming Pool Above ❑ In ❑ grnd ❑ grnd ❑ Generators KVA No. of Receptacles Outlets No. of Oil Burners _ No. of Emergency Lighting Batte Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Initiating Devices No. of Sounding Devices No./ of Self Contained Detection/Sounding Devices ❑ Municipal ❑ Other Local Connection No. of Ranges Total No of Air Cond Tons No. of Di osal Heat Total Total No. Pumps . Tons KW No. of Dishwashers Space/Area HeatingKW No. of Dryers Heating Devices KW No. of Water Heaters KW No. of Signs No. of Bailases Low Voltage Wirin No. Hydro Massage Tuds No. of Motors Total HP INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you checked YES I ase indi ate the type o cc ra a by checking the appropriate box. INSURANCE = BOND = OTHER = (Please Specify) tf/ % / ,� / ]�� nI i Estimated Value of Electrical Work$ (Expirafion/bate) Work to Start Inspection Date esquested Signed underthe Penalties of�iM eq'ury: /+ ) FIRM NAME lIl Y,/�Pi_.�?� inal v LIC. NO. C --" - LIC. NO. n Bus. Tel No�— (j . 6e Address<� i etti i 9 L� OWNER'S INSURANCE WAIVER: I am aware at the Licenses does not have the Alt Tel. No. 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) (Signature of Owner or Agent) Telephone No. PERMITTEE $ /v Date.. •1° 3989 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SCus This certifies that ..... � ......... has permission to perform plumbing in thuildings of . at. ...-.... !�`'� ....... North Andover, Mass. Fed. ..:.. Lic. No.. �. . PLUMBING INSPeO 04/06/99 11;29 25.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date /meq / 0' /U l� �1'� t iC � ��f�Z%��i�' Date `74 C? Building Building Location Owners Name Permit # 9 Amount Type of Occupancy New ❑ Renovation Replacement Plans Submitted Yes El No FIXTURES (Print or type) Q„�.I� 1 �.� PLC € Installing Company Name Address jv1-11'd4F12�'�s Check one: ® Corp. _ Partner. . [3-1irm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the a of insurance coverage by checking the appropriate box: ❑ Liability insurance policy Other type of indemnity Bond Certificate 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 install tions performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus s State 1 bipgl�apter 142 of the General Laws. By:igna ure ot 1-1censea riumner Type of P tubing License Title // City/Town cense Numoer Master 1__! Journeyman ❑ APPROVED (OFFICE USE ONLY • ;��iiiiiiiiiiiiiiiiii�iiiiiii■ (Print or type) Q„�.I� 1 �.� PLC € Installing Company Name Address jv1-11'd4F12�'�s Check one: ® Corp. _ Partner. . [3-1irm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the a of insurance coverage by checking the appropriate box: ❑ Liability insurance policy Other type of indemnity Bond Certificate 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 install tions performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus s State 1 bipgl�apter 142 of the General Laws. By:igna ure ot 1-1censea riumner Type of P tubing License Title // City/Town cense Numoer Master 1__! Journeyman ❑ APPROVED (OFFICE USE ONLY Location r 'r s� lFf, , _ l i' f No. 5 l- Date 3h/ I jPWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other -Permit Fee .�r'f,, ZS -)Iv ronriection Fee VA'ter Connection Fee $ jr C, ©C�AT4- wV $ aw M 10-1 Building Inspector v • Div. Public Works C7 W a �I a a Y _ O 0 m W F- a W � a p� W W Z C O Z Z W G < Q 0 J J W_ O~C O ¢ 0 0 p 0 F Z W N m W I U 4 IL p N L Z m m i H t W d OC Z 0 0 1-- Z V F- IL 0 Q 0 > �. Z 0 N W w FO Z < 0 Z < O 0 m m d W a W W a Z U z z g N O 0 0 CA WI a 0 ¢ M 0 z N F- m N ¢ W m E F ¢ 0 0 J LL U. 0 W N m m m w Z x U x F- 0 Z ¢ O J IF O < m a U Z 0 LL > _Z F 0 0 93 U. 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O z 0 V Q ..a m _O e H L E �. i a. -a C6 W C O 0 b� z _ ,c V C m .= C e Location �' `' /' ' - cJc y `Y e,"g' No. / Date TOWN OF NORTH ANDOVER No. Andwei U,0,1 Div. Public Works n Certificate of Occupancy $ � r Building/Frame Permit Fee $ s;CNUs Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ W-Vaiter Connection Fee $ TOTAL $ / "D 0 10 1991 Building Inspector No. Andwei U,0,1 Div. Public Works 4 a Y O 0 m w F a N d Q X N Ix p� W > Z G 3. 0 Z U. 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