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HomeMy WebLinkAboutMiscellaneous - 83 COTUIT STREET 4/30/2018�d CD �z CD CD F� 1� E �N I- p 09 I. sa- R- E� ID I;D. CD E� D C, 61 ��CD ZC;D 2. go ZI 0 0 P. 0 0 cr o pff �44 to pg, "m 9 CD CD CD - � 8— m -a p �-; i co o 0 CD a 11 o cD R 01, co C' 0 C -D - CD D I'Q CD 0 >1 2. 1, ca, E0 CrQ �J v 0" Z 00 "A co Fl .0 0 �(P Ro 0 cp h s Date ..... ?_.. //..C) ............. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .......... .................................................. .......... kas permission to perform ... ............................ e- . ..... wiring in the building z ......................................................... at ... 0. aia ...... 41-4111 —19:616 .......... ................................ . North Andover, Mass. Fee ... 0 . ..... Lic. No.2.7t:y� ........... Check # 8 2 SM 49 • l,ommonweahk o f Mamac4Wetta Official Use Only 2epartment of Jire Serviced Permit No. a- Po Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. ]/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (M�Q, MR 12.00 (PLEASE PRINT IN INK OR T E L INFORMATION) Date: �� City or Town of: To the Inspector of Wires: By this application the undersigkdpives ppticg of his pr he_r,iptention,to perform the electrical work described below. Location (Street & mber) Owner or Tenant W 1 M Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 11 No(Check Appropriate Box) Purpose of Building I Utility Authorization No. 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: I MY1 I Pat(rAIli-lc _ I Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: (Paddle) Fans of Total TransSusp. Trsformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- El rnd. rnd. o Emergency Lighting Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners of No. InDetection and Initiatin Devices No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Number TonsKW1. No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Cyonnection No. of Dryers Heating Appliances KW SecNo. of Devi es or Equivalent No. of Water K`,1, No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP TelecommunicationNo. of Devices or E uivalent OTHER: 1 00 Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Val _ f 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 ov age is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, under pains and penalties of erjury, that the information on this application is true and complete. FIRM NAME ELIC. NO.:U. Licensee: Signatur ' LIC. NO.: (Ifapplicahl enter "exe t" ip the licen numb line. us. Tel. No.: � 3 Address: N Alt. Tel. No.: I I *Per M.G.L. c. 147, s. 57-61, security work 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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ r--- %6 This certifies that ..... R. ��f'XVIQ has permission to perform ........... plumbing in the buildings of. . ..................... at ... a;�� . ................... North Andover, Mass. Fee.-?�i�... Lic. No. ................... ... PLUMBING INSPECTOR Check # 6 C (�?— V\ \,Y MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK " CITY MA DATE PERMIT # -�n� JOBSITE ADDRESS '7� OWNER'S NAME POWNER ADDRESS TEL 772– C)IFAX TYPE OR OCCUPANCY TYPE COMMERCIAL � EDUCATIONAL © RESIDENTIAL PRINT CLEARLY NEW: E]€ RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES Eq NO FIXTURES Z FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 1 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OILISAND SYSTEM i --_.Ji __ _I=! ..u__ DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM f DISHWASHER DRINKING FOUNTAIN _ _I ( __..__J._ --_-- FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK --._J LAVATORY ROOF DRAIN _ I _1 i _ (_ 11—A SHOWER STALL SERVICE / MOP SINK TOILET f .. _I ._.� URINAL 1 .._...___� ._____( __.._._i Wrr,SHING MACHINE CONNECTION '- HATER HEATER ALL TYPES TER PIPING O HER __._..._ INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YESE(' NO �1 IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Ej OTHER TYPE OF INDEMNITY BOND i 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 F 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 ce w all Pe ' e vision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME _ �._ _ 1% . I LICENSE # ! SIGNATURE MP © JP Q CORPORATION M# PARTNERSHIP �J.f # i LLC COMPANY NAME ��,^�� ,ice, ,„ ,cy,'��}, ADDRESS _ CITY — —.-_....__..._ _.__.I STATE ZIP E,DS_ _I TEL, FAX j CELL Z EMAIL V\ \,Y H °z 0 H U W W �r o z N F] } O W p W O W a �* z u LLI f- W OQ a W O > w � W 3co a O z W f= � U � J CL CL Q U) w YE w I-- LL H O z 0 H U �A 'v W a 1 a C�7 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street r Boston, MA. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers 'n_ A__t 7 __ml_ Name (Business/Organizatio0ndividual):. Address: City/State/Zip: �%` �41 Phone #: �7k- 91x' r oZ 07 Are you an employer? Check the appropriate box: L ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* 2. QLISm;�'a sole proprietor or partner- have hired the sub -contractors listed on the attached sheet. ship and'have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. 5. ❑ We are a corporation and its [No workers' comp. insurance required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. insurance required.] t c. 152, § 1(4), and we have no employees. [No pikers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition lo. FJ Electrical repairs or additions 11.C1 Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. i Homeowners who submit this affidavit indicating they ace 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 sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Policy # or Self -ins. Lie. Expiration Date: Job Site Address: 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 requiredunder 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 imprisonment, as 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify-uti�lr grthe pains andfperjury that the information provided above j true and correct. r,, 44. �il�� rr Official use only. Do not write in this area, to be completed by city or town official. 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 #: amou6ig m O; W 0 ca:.. r r+ Nm. N do �- W '.1 Cl) LLW U NW i_-' W O Q w av~i L) c9 z a . LL O w 02 0Ln 4 Om w 0 = .z co 3 � • J N N = CA 3 w ma w uj p Zaaw_ wo w v~i r . • �N _ A w, pC Z • 'O rry:' Z'...W; 0- �;: Z' O G.lJ.I amou6ig m Q N d i_-' W r+ a 4 Om w a O coo E CD „ : Z . � a Z4 3 0 uj p Q NF— w Uj Q w F- cn Z'...W; 0- �;: Z' p G.lJ.I U z V J `• �:, W 9325 DatP?/��//C;�� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ISACHUS This certifies that CGT <��Cf5� r ..................................... has permission to perform �� !� C. A 4-tz—tte,-4 r R, ......................... plunribing in the buildings of P ............................ at. ................... North,A��nddver, Mass. Fee :�� S I -L. Lic. No .......... .... ...... ... ... ....... CheO, it PLUMBING IN PECVR MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY C,Z 1 MA DATE PERMIT #f JOBSITEADDRES" C_Ot�TUT`t— , OWNER`S NAME] /'7`�'v� COO e ! OWNERADDRESS 1 54mt 1 TELT JFAXI TYPE OR OCCUPANCY TYPE COMMERCIAL j [ EDUCATIONAL (, I RESIDENTIAL PRINT CLEARLY NEW: ( I RENOVAT(pN: i I REPLACEMENT PLANS SUBMITTED: YES [ I NOI I FIXTURES -1 FLOOR-' BSM 1 2 3 4 5 6 7 a 9 10 11 12 13 14 BATHTUB i CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIUSAND SYSTEM"- DEDICATED GREASE SYSTEM E DEDICATED GRAY WATER SYSTEM ` DEDICATED WATER RECYCLE SYSTEM- DISHWASHER DRINKING FOUNTAIN .i FOOD DISPOSER i FLOOR (AREA DRAIN l I I INTERCEPTOR INTERIOR i _ .� f . KITCHEN SINK _ -- ..__...- - —_7 _ ....' —. -.._. LAVATORY - ROOF DRAIN _ — SHOWER STALL SERVICE/MOP SINK - ! • TOILET--- URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES. _ 4 WATER PIPING- OTHER INSURANCE COVERAGE: have a currentliab- ility iilsifralice policy.or its substantial equivalent which ineets the requirements of MGL Ch.142. YES[ I NO [ [ IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE.BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY ` [ BOND [. I OWNER'S INSURANCE.WAIVER: Iain 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 requirelitent. CHECK ONE ONLY: OWNER I [ AGENT [ [ SIGNATURE OF OWNER OR AGENT hereby certify Ihat all of lie details and information I have subniilled or entered regardingahis application are true and accurate to the best of my knowledge and that all plumbing work and Installations perforated under the permit issued for this application will be in compliance Lrith, l inert provision of the Massachusetts Stale Plumbing Code and Chapter 142 of Hie General Laws. All I PLUMBER`S NAME dI/t (' �SS� JLICENSE ## 1,3 ( IG ATURE MPj [ JP CORPORATION[ (##� yPARTNERSHIPi I##1 LLC[ I##I / COMPANY NAME M (tf/� �� ADDRESS �(� S((►2 S ((( CITY I STATE 10tu- t ZIP 0j8q`k I TEL I FAX CELL I EMAIL Y1 r� oEI `d D a z LUw to W r F>+ u O F a v J 8. a a S2 x Cd LLI Ls. �e .; D��nx��nteeCv,JE`rucrrafctrrl.•�ecidettfs BOOM, MA 021,11 -Pr6fisth,fil I t L if) AAress'.- W, AM- Y-Ozalilitellillow r? CIJCCTC , [tap )j)"0110(fthm Q Bill R Relleful contr6clor-mith till) al it It sore-proprictorcly paqurL sfilp and lim ito ctup havo Toyem 1110se m,101 moil WO Pre it cbi-Porallbu and Its Uni filibiticownerddilga''ll kjotk 11 1! OVMOLM I [ITO workre collip. if ) -, 12, Ef, Ro o treimh OJ3 C9111P. ills it rattec req4tred.1 Ttriif6ti�wi f;ml rtwl Policy ft .3 Ot Slid A &TO Affnelt 0 COO- #jfQtPXV6k1(dI'S' C01.111161#1 10ft jilliky ktOlaro(roll 111ga. (81kol,W09 (11,61iftlicy 1(0 litl)Rr Mid requited unhdmiomi X5A ofMIJf c. 152dit 10d to (Ito filip ff(10 lip tq'A500.00 andfiIiofm-year rillp rjsojitneiil;. aswl:jtf.ts civil Peliald" III the N -11L Of R SrOP:•klIORKOgj)rR.-da(t,,t,fitly 'at( dwllmoffkeof q R May be fbil.%, I . .11 Offi'v4dw-441-- Pa [TOE wrk*�, it area, to N 6. Other— qO11d trial 0 Worm"m Wad Ingtrai& chapter Po"kilaut A"J'APA) y !S!de -das"AIWW as-.* However (rib otitnes oda ftelliOg-hobso-havilig Itotbiafe tliafi resides i1here occupant ofthe (TWO1019 h011SoOffillbtlier-millo einP16ys,,Pe1So1lg m,dim' . juj:or the . Im, fillen Wee-, coilsfir.tic I [6p or r6pa,jr i'voMkoi I NUCA (Twil I ffig' huiftll 1t, GL'cllaptCr.I32; 6). aIso'*�Os tllac?,OyoiiRi< cal lice, )S11 lCr ake, -e or pDrillitto Gger.�(O -.1 bildiless-or to, dollP h elet WHO]& in ill O'Commoillydalth Folral-ky lip licailEtt7�uced accepfable. eEjjlOjico oreolulffialice Iviti.i. illie, hystirlium Cdverq�ge xequirea?, A d d i t i b ftal MG L t1l 41) to r I A- §25 d(7) *s I-ates IN 6 i t I ier I he� c ol it tj jol 1 1v ea I (I i i i or a ty of its p o I i t i6al -6 ub d [Ws i a ri s7 sha f1 Oit�Y ihfb aity-coiltractforilloper . lormfito of public . ivork- jilitil accepff 6& eviddiiCe, orQoluplra lite 1,1410, I -e ins'l-tran" Ce flieco)i cjiqg ylljok, a fly xdillat-APIA1 -,y61 ' it sittlation mid, if .0-ts alojigwith iheircec#i jibc toll I )I b insurance=. MitiftedDaWity (30111patild (LIC) or-Minited LIAVIfity failfi'dit"litps - (LU) }villi no eujpjgyqs ofteffiAli.ello, loll ins,jr,1111ce" If an-LLCorLLP does haw Accidews,forcoarimintiolloff , i1suralico.coverago. AYsb besilre-to, Sign Alld (late tilb affid"11,11; .1hodfridaWtshould be re[urltetlto the city or toitm .Pplicatioll for the PeTlit or license is bolligr requested, 110 1: ille'Daparmiclit; of bdidPOA-Wou policy, please call belomSolf-fitinue-4 coil p City or Tbivi Officlats Plettseb Wfliplewlut T biffill, thr,- ovellf tbe. of rice; of ril"vestliatiou 1188 to Coldefyou the applicant. j?1eRSe-b6Sllrd to fill in ihepenllitllicensetiuniherivltich will.be tised--,t&,alretcreilcd-fltiiilbat-.. ln*a'd(l'il'Loi),.in'appliciat or f4ti0 i)!A copy of (lie a f H&VIC that has beei . I qfffciall stamped okmark-M bytho city or town may be -provided to llie; r1j5plicant as proof thaf a vafid fiffidavidi6ft fll6forlb luro.'peraiks of licenses. (ke-adoglicellse, oej;�fnnkto burn leavesetc)said person-ISHOTrquireci to coillplere'Ods iffidalit. ,154. of 111wiff0iolls Would JiL-6 t.0-thlut-f6ir fit advallce 'rot yg'.T PoOlidi'Whim, 11,61114,001allo ftlty qltestioll§, iiYcltse do not ho ()free of -11 ivoll"g4 t f0) 1 . fteet TrA. ff 617-727-00 ONO of I-MMAssAlr-,g N Location 03 CA,) 4 'S 4 No. 351 Date / -[C) —0 I 40RTot TOWN OF NORTH ANDOVER 0 0 AL Certificate of Occupancy $ ...... 30 4's. — It Building/Frame Permit Fee $ CH Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # j 3? 161 G 4 M (cp" Building Inspector ou rn M Z O TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING „TiuS; fDl`mdai Ilse c oli �. BUILDING PERMIT NUMBER: DATE ISSUED: l SIGNATURE: 1. Building Commissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 6' Ca ;4 1.2 Assessors Map and Parcel Number: Map Number Parcel Number • /i'Gt � tl P/� 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReWred Provided Required Provided L7 Water Supply M.G.L.C.40. 54) Public 0 Private ❑ I.S. Flood Zone Information: Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Q0. oLj Name (Print) Xi DCq tel, 6 Address for Service -a7- 4o 3 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed C nstruction Supervisor: Address Y Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone ou rn M Z O 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 building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all Hcable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: A t. SIV, DC V A.S 7);1 —TO..IM o SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building 40 L''�/ 4 (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (8) X (b) 4 Mechanical HVAC% 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, 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 1, as Owner/Authorized Agent 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 Name i Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS I IEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MA'T'ERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 01/08/03 I William Matthew Buss have inspected the mechanical room in the basement of 83 Cotuit St. The Furnace room boiler and hotwater. heater use a Btu input of 108,000. The room is sufficient to handle 10,500 BTUs. This leaves a deficit of 97,500 BTUs . Using the guidelines stated in NFPA31 or NFPA30 the room described in attached print needed to have a open vent of 100 square inches. The louvered door has a1080 sq. inches of vent area. 25% of this is 270 square inches. This makes the vent to the room larger than needed by 170 square inches. W Matthew Buss 978-490-0602 license #24341 W ME W IJi CD r an r s T ME 0 cr4 ui cc OC u.. FL- i U- LD 4} fC 0 71 -- U- U- C) C) O) M Q co r lz 41J � N1 0 0 z rA x � x O w v v cn w C7 A o p w O w C U Cd C w w O u; Cd C w" a o a 0.4 w p c2 so y cn C w a o U Aw z C7 O w C w" z a a w 7 ao z cn v Q E cn z 0 w a ��7 y CD .y O CL O O CD Q m CO2 0 V .711 COD V 0 co f+ ev a 3� O C O O a CL c Q C 4-0 C ev cc J 'C O O Z Q CO) C C H 0 U) U) Er w ccw U) c o m c c� ' o ` : C H C �V CL c m c :t c o _ E a' �= v e� o a M c E it 0 a: ; cm m c Ismo�a 10 m .A o a ;cc r 'E m av `amo 's nt,� m N m 03.40:01-zz o os :Coa � 2 N B CL. N o C m .cjy Z C C C Q _ ``nC •O m:m�3 N n o S N m S~ LJJ t p ~" -wCD w �o 2 E L; � m •N O V O c y n o� C CL z 0 w a ��7 y CD .y O CL O O CD Q m CO2 0 V .711 COD V 0 co f+ ev a 3� O C O O a CL c Q C 4-0 C ev cc J 'C O O Z Q CO) C C H 0 U) U) Er w ccw U) 01/08/03 I William Matthew Buss have inspected the mechanical room in the basement of 83 Cotuit St. The Furnace room boiler and hotwater heater use a Btu input of 108,000. The room is sufficient to handle 10,500 BTUs. This leaves a deficit of 97,500 BTUs . Using the guidelines stated in NFPA31 or NFPA30 the room described in attached print needed to have a open vent of 100 square inches. The louvered door has a1080 sq. inches of vent area. 25% of this is 270 square inches. This makes the vent to the room larger than needed by 170 square inches. W Matthew Buss 978-490-0602 license #24341 w ME w to cc cc r En sn ;�j r m = Q ,. ac a M v _ k4 cc: z a A. O U in - Ln 0 c i% C a) O QD A. 0 o o o "SACHU Date ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... ........ r.:.I,-c ..... f ... .......... ..... ... ...... . . ..... ... . ....... has permission to perform .... /-,�/,?S al 1-0 C // oc Ir ............................... .................................. wiring in the building of .... ...................... rc) S ,at .................................................. . .............. �rth /And e ass. -,FeeJ Lic. No/4 ............. r c, d EL AL I PE OR Check 'I THE C0IVIM0NWE4L7H0FM4S94CHUSE1TS Office Use only DEPARTARATOFPUBMSAMY Permit No. LZ BOARDOFFIREPREVEMONREC-L A ONS527CMRI2:Gb Occupancy & Fees Checked APPLICATTONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 O f O Q (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 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) 0 C "Q;1 v ► T-- 6- Q" IVOW .% lit AJ0v4- Cg r or Tenant -To 5 P G i Q (W C c1 3 M J 1(2-A `1-s o W -2 f A Owner's Address ' C o `�� - A vi A oy -f-k Is this permit in conjunction with a / building/ �- permit: Yes Q No ® (Check Appropriate Box) Purpose of Building A S i� /, Utility Authorization No. _ Existing Service Amps / Volts Overhead u Underground M No. of Meters New Service Amps i Volts Overhead r7 Underground =1 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 7 _ rc�7 it -77?% 71 /�i95 h�J iT ��„�,�- �/�,•,7,,,�j No. of Lig�ting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground 0 ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones. No. of Range-, No. of Air Cond. Total Tons No. of Detection and _ No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal _ Othe No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydrdl Massage Tubs I No. of Motors Total HP OTHER �/ Z-- c I- OUT f O f q- �-y G T c L,7 k 7. i/" � E Tet -4 Y TG1 F�1/(, %LI,�- t/ T/�� 0, Inu==Covaage P==tothera4utmer8ofMassaduseMC*nedLaws Ibawacu mtLmh1ityh>;stuar=Pb cyindudulg(infile CoverageorgssksbDt legLnvabt YES M NO Ibawsubnith2dvanddproofofsmrtothe0ffim YES r) If}oubawdmWYES, P1wwindta&-,thetyWcfcovmeby clxcldrlgthe box L.�l �{ SCE M BOI�ID OrII�Tt (P1ea9eSPectfY) L/�!�/,,l/Im _T.,,ic, Rough EturratedVallreof aDc"Wolk $ Rough Final Licensee SigrMire DomseNo 33 B &essTeLNo_ Cl,? c/J 7—. 4j/ Add,,,, a 7 12�-W M,'nQt 'A /? IV,;,aCUT %%%Q. O/Fava At Tel. No. 92L X07— -?.73 OWNER'SINSURANCEWANTR; lam aware 0-atthelio=&6notbavetheinsruarmoovelageorilssul mhalegRval asrnm-edbyMassachasettsGenedLaws and that my signature on this perrmt application waives this requ rerimL ;Please check one) Owner Agent Telephone No. PERMIT FEE $ Signature of Uwner or Agent The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity F] I am an employer providing workers' compensation for my employees working on this job. Company name: Address f City: Phone # e insurance. Co. Policy # Company name: Address City: Phone # Insurance Co. Policv # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to $1,500.00 and/or one years' imprisonment_as_vkeU_as_civil.Renaftiesinsheiorm�fa_STOP]NORK ORDER�nd_afne _($1110M -aiday.against_rrl- I � understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. ! do hereby certYy under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name Phone.# Official use only do not write in this area to be completed by city or town officia)' City or Town PermM-jcensing I] Building Dept ❑Check if immediate response is required Contact .p Licensing Board p Selectman's Office E] Health Department Ei Other