HomeMy WebLinkAboutMiscellaneous - 846 CHESTNUT STREET 4/30/2018 (3)Date...
TOWN OF NqR;WANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that.................... ....................... .
has permission for gas insialPtion .......
in the buildings of
at North Andover, Mass.
Fee �.'��. Lic. NoANT- . .........
Check # /0/,(
':-I �, 7 9
MASSACHUSE M UNIFORM APPUCATON FOR PERMIT TO DO GAS FMING
(Type or print) Date 1,21a
NORTH ANDOVER, MASSACHUSETTS
Building Locations Ar%tlo Permit # y %
Amount
Owner's Name �'� � � �l�✓
New ❑ Renovation Ef Replacement ❑ Plans Submitted
(Print or type)
Address `
77
Business Telephone 7 •- ew-� 2
Name of Licensed Plumber or Gas Fitter
Che -k one: Certificate Installing Company
in Corp.
Partner.
Firm/Co.
INSURANCE COVERAGE Check on .
I have a current liability Insurance policy or it's substantial equivalent. Yes LUNo
If you have checked Les, please indicate the type coverage by checking the appropriate box.
Liability insurance policy 1:1 Other type of indemnity 1:1 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 13 Agent 0
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 StateXas Code aQd.QQAja�t 142 -4 tb-w,7eneral Laws.
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
Signature of'.
Plumber
as Fitter
Master
Journeyman
sLd Plumber Or Gas Fitter
Icense Numt7er
09
F
v
a
°
~
x
H
�
9
z
a�
w
w
0
00
�
a
0�°
W
H
W
z
Q
�WW4
a
C
W
g
W
O
A
W
T.
E.
F
z
\
F
z
t
Fw+
W
G7
>
W
Ew,
U
v�
o
w
3
a
°x
>
..a
U
a
a
F
o
SUB -BA SEMEN T
BA SEM ENT
1ST. FLOOR
2ND. FLOOR
3RD. FLOOR
4TH. FLOOR
5TH. FLOOR
6TH. FLOOR
7TH. FLOOR
8TH. FLOOR
(Print or type)
Address `
77
Business Telephone 7 •- ew-� 2
Name of Licensed Plumber or Gas Fitter
Che -k one: Certificate Installing Company
in Corp.
Partner.
Firm/Co.
INSURANCE COVERAGE Check on .
I have a current liability Insurance policy or it's substantial equivalent. Yes LUNo
If you have checked Les, please indicate the type coverage by checking the appropriate box.
Liability insurance policy 1:1 Other type of indemnity 1:1 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 13 Agent 0
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 StateXas Code aQd.QQAja�t 142 -4 tb-w,7eneral Laws.
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
Signature of'.
Plumber
as Fitter
Master
Journeyman
sLd Plumber Or Gas Fitter
Icense Numt7er
Date. Z.
-TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
CHUS
.........
This certifies that ....... ...
has permission to perform
.................
0 'd
plumbing in the buildings of ..............
at ........ North Andover, Mass.
Fee//�e/ ... L *Ic.
No. ........
PLUMBINGINSPE R
Check .1 /42 25 ' P
6%:' 2
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Location
C.
Date 1 &I
)wners Name she /1 y7 Permit
Amount "7' 10,
of Occupancy 4-uu
New 0 Renovation 1;K Replacement 1:1 Plans Submitted Yes 1-3 No 13
(Print or type) / Check one: Certificate
Installing Company Name Z (Xd/ S �FG ,.,, coZI ❑ Corp.
Address .36F eNe&&fev ✓77/x• � Partner.
`L /9
Business Telephone/App
�12'10 Firm/Co.
Name of Licensed Plumber:
Insurance Coverage: Indicate the ty e of insurance coverage by checking the appropriate box:
Liability insurance policy 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 ❑ 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 Massae ate Plqpbiiyg?Lp0_4peChaDter .L42 of the General Laws.
City/Town
APPROVED (OFFICE USE ONLY
Type of Plumbinvicense
0SS9
icense Numuer '� Master 1 7l, Journeyman ❑
1a
.i
--------------------.--�.
=-.t%,Diviooimmmmmmmmmmmmmmmmmmmm......
n.u.......m.-...--..-.---
o, ,
oMNFMUnn�■nmmmmni■nnnMMMM...
."'Mu"
MMMMMMMMMMMMMMMMMMMMM����
oe.,
MMMMMMMMMMMMMMMMMMMMMMM��
„
nnnMMnnMnr■nnnnnnnM■
MMMM
■�
„,
mnnnnmnnnnnmnnnnn■
mmmmm.,
1.
smmmmmmmmmmmmmm
mmmmmmmmm
(Print or type) / Check one: Certificate
Installing Company Name Z (Xd/ S �FG ,.,, coZI ❑ Corp.
Address .36F eNe&&fev ✓77/x• � Partner.
`L /9
Business Telephone/App
�12'10 Firm/Co.
Name of Licensed Plumber:
Insurance Coverage: Indicate the ty e of insurance coverage by checking the appropriate box:
Liability insurance policy 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 ❑ 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 Massae ate Plqpbiiyg?Lp0_4peChaDter .L42 of the General Laws.
City/Town
APPROVED (OFFICE USE ONLY
Type of Plumbinvicense
0SS9
icense Numuer '� Master 1 7l, Journeyman ❑
Q.
Date. 3ba/l .
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
r
This certifies that . /,V.(./!�.... ..n. f. °:..°' `."..............
has permission to perform .... R /1 ..... ...................... .
plumbing in the buildings of ... .(. 4
at ... S -.(j. 4.. ..-(............. . North Andover, Mass.
Fee.�O.....Lic. No../. 3>/.... ...... Yt...t.!^.?.rte.........
PLUMBING INSPECTOR
Check #
.r
/` (i r 1
r - j }
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building
j�
Date 3
Name k I �"()►� Permit # C FJ'L
Amount y
Type of Occupancy
New Renovation Replacement ar Plans Submitted Yes ❑ No ❑
(Print or type) 4(av,
Installing Company Name _Y-{ i°. M/' y,
Check one: Certificate
❑ Corp.
Partner,
Firm/Co.
Name of Licensed Plumber: Pr-p.Q fV111.�
r
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy a Other type of indemnity E] Bond
r
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
Nignature Owner 11 Agent 11
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 Massa se s State Pl mbing Code and Chapter 142 of the General Laws.
By: signature Of LIcensea TIMOR
Title
Type
pe of Plumbing License
City/Town Rxnse um er Master Journeyman ❑
APPROVED (OFFICE USE ONLY
1'
MM
MMMMMWWWNWWMMWWWM
..�, •
MMM■
MMMMMNMWWMMWMMNWMMWMM
(Print or type) 4(av,
Installing Company Name _Y-{ i°. M/' y,
Check one: Certificate
❑ Corp.
Partner,
Firm/Co.
Name of Licensed Plumber: Pr-p.Q fV111.�
r
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy a Other type of indemnity E] Bond
r
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
Nignature Owner 11 Agent 11
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 Massa se s State Pl mbing Code and Chapter 142 of the General Laws.
By: signature Of LIcensea TIMOR
Title
Type
pe of Plumbing License
City/Town Rxnse um er Master Journeyman ❑
APPROVED (OFFICE USE ONLY
AV
'I#
4/5' - le'. , 9 �'
Date..................................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ..... t ........ 1� ...... ..........................
has permission to perform ...... ....... ........................................................
wiring in the buildin7of--.-112 .. ..................................
g
at ....... ( .... '�.......... 7.. North Andover, Mass.
Fee ./7 .� .... Lic.
.:'''`,r. ... .................... ........
ELECTRICAL INSPECTOR
Check #
'7J /
IF
A
Commonwealth of Massachusetts i I I 1ll,i>
Department of Fire Services I'"Init %3
. - Occupaw and Fee Checked Y -4s^
BOARD OF FIRE PREVENTION REGULATIONS (Rev. 9 qhhuikl
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORN
\he
L'LE. l.�'E l'Rl.�T l � /.l tiUR T}!III
`
TYPE, �{mice 1 {
FOR TLc),�,,1,;1ehu.<�It� I ll
Date, � u,ie 1 \11:0./-7 CAP I 2.1,A)Cite or Town of: ��0, To the lnspeL'Iol- of 11,7!T.
N.'
this ,Ippki /tion the undersigned ,Ives nuticc ut his ur jh 'r Illtelltion to pul-16'111 the electrical %\ork de crihcd huluw.
Location (Street & Number) �ji /�S Til U7'
Owner or Tenant
Owner's :Address
Is this permit in conjunctio with a building permit? Yes 10
Purpose of Building !>U.S�
clephone Nit).
50?A�a-?
No U (Check ;appropriate Box)
Ltility ,authorization No,
Existing Service Q :\mps *Overhead ❑ Undgrd Fg
New Service Amps / Volts Overhead ❑ Undgrd ❑
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical %'ork:11 iViAe
No. of Meters
No. of .Meters
41111
No. of Recessed luminaires /
.....••. .,..,, .. J
No. of Ceil.-Susp. (Paddle) Fans
r.rmc, tmn l -t 1t lc .'.iS i., I'd' d/ 1
No. o Total
Transformers KNA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires �.
Swimming Pool above ❑ In- 0.0 mergeney Lighting
�rnd. grid. ;Battery I_:Ilits
No. of Receptacle Outlets ad
No. of Oil Burners 'FIRE ALARMS' INo. of Zones
No. of Switches O
No, of Gas Burners No. of Detection and
L_ Initiating Devices
No. of Ranges
TI
f ,kir No. of Alerting Devices
No. oCond. / Tor sI
No, of Waste Disposers
Heat Pump
Number
Tons KW ;No. of Sclf-Contained
Totals:
Detection/.\lerting Deices
No, of Dishwashers
Space/area Heating KW Local ❑ Vlunicipal ❑ Other
Connection
No. of Dryers
Heating Appliances KW Security S stems:*
No. of Water
KW
No, of Devices or Equivalent
o. o No. of
Heaters
Data Wiring:
__ rgns Ballasts No. of Devices or Equivalent
No, of Motors Total LIP
I elecommunications Wiring:
:No. Hydromassage Bathtubs /
No. of Devices or E(ON alent
\I../1:....
/I'�1 iii lt,l .':l ,ill
F: dinated Value or E.le U ic:d 1V.':rk: ��Oa t bt hen rCtlui -Cd Ly municipal policy.)
\1 urk to Start: In: hcctiuns to be rcLiticsted in 1CL01'd;ujCC1.vith SIE(_ Rule i0, ant:l upon cunlpICtiun.
I SSI. RANCE 0A ER: CE: I. nlc',s waived by Ilio omiur. no permit rur the perlornlanCC ,;telt Ij irk Ina) i _ue ttllik
'hClhCCII:;Cc 1'1'1:` ides f'l'our "t llllhlllty Ill;lll' II1CC Illellllllll° Ct?I11pIC[Cl.l 1'pCratlUll C;;bel':I'!C ?t' It' I,II'I•lallhal {lll�.11�'Ill. Ih.
!l.el .I' IhJ'I :,;I'!Itle rh;tt' ICh
cm 1: I: :('1 li,Ivc. „I1d Itih, llrtwt (A '11:1C rt; IIID I'_'tilll I ' Itlr' cttl C.
-uCi IV.
rl
k (dress: Z- -� T f/� %uS. T.A.
>ccuriry ,;�C1�ntrlCti>r +..icer: _ Ind r 2' e?��•
I. �l�-��t. A'�.►. v.��-��7-
{ ur Il i:; t,i. k: !i appliCAA. 010 ;IC liccn_,c ❑u11117er here:
3bVNR R'S (NSI 't,.1.VE 'ti�AIV'Elt: I :Im a,w.u'e that 111,: Cl; ,Ir ..�' r,! l ;,c,c�..ht: �i:IbiLt� insur:nce:� ,� c n• r'n:;!It
Ie.µlired by huv. f3} rug.: n:ltLu'c bcl:l.v. I hrr�hy '. ;rive, this. rt.tluiru111.11t. lam lhl; (,.heck I;nc) ❑ ,;'.�ner ❑ 1.;,,�,icr':, 1'
0wuer.'Aacnt
bila.. 6.T.,,
i4
0"a-lll 6 (9- 6 (. eo-�
Date ... l:.. /. . an .. .
TOWN OF NORTH ANDOVER
• PERMIT FOR GAS INSTALLATION
I�j 7n
This certifies that ,too ` .....
i n f ga
has per(il
r t
in tallatio .y! �.�.....................
in the bi
gs o :..—
'� .1:*.-�� .....................
at ...
� : ..
A. - .. .......
, North Andover, Mass.
Fee,._.
is o..:..1.'!.%..
_.:.:
•'
4c . , .t. ......... .
G
GAS INSikfOR
Check #
:;73C
G
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
N AlVl) ,gVC,11/ , Mass. Date 20 Permit #
Building Location f L16 CA e,syIVvy Sr Owner's Name
Telephone Type of Occupancy /i9 ✓�
New El Renovation ® Replacement El Plans Submitted: Yes ❑ Nor—]
Installing Company Name EUSA Heating & Air 4onditioning Services, Inc. Check one: Certificate
Address 100 Myles Standish Blvd., Suite 101 ❑X Corporation 141C
Taunton, MA 02780 13 Partnership
Business Telephone (800) 822-1300
Name of Licensed Plumber or Gasfitter William Kent Corson (800) 822-1300 X8051 Cell (508) 294-6660
INSURANCE COVERAGE: EUSA Heating & Air Conditioning Services, Inc. & EnergyUSA Propane
havg a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. 142.
- Yes X❑ No
If you have checked ves, please indicate the type of coverage by checking the appropriate box.
A liability insurance policy X❑ Other type of indemnity ❑ Bond 1-1
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:
Owner Agent
Signature of Owner or Owner's 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 the permit
issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Code
and Chapter 142 of the General Laws.
By
Title
City/Town
APPROVED (OFFICE USE ONLY)
Type of License:
Plumber
XXGasfitter Signature of Licensed Plumber or Gasfitter
X❑ Master
Journeyman License Number 3707
v
-. •• -
■■■■■■■■■��■■■■■■■■■■■■■■
.. -
■■■■■■E[I>iii■■■■■■■■■■■■■■■■■
• • -
■■■■■■U!Mz■■■■■■■■■■■■■■■■■
Installing Company Name EUSA Heating & Air 4onditioning Services, Inc. Check one: Certificate
Address 100 Myles Standish Blvd., Suite 101 ❑X Corporation 141C
Taunton, MA 02780 13 Partnership
Business Telephone (800) 822-1300
Name of Licensed Plumber or Gasfitter William Kent Corson (800) 822-1300 X8051 Cell (508) 294-6660
INSURANCE COVERAGE: EUSA Heating & Air Conditioning Services, Inc. & EnergyUSA Propane
havg a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. 142.
- Yes X❑ No
If you have checked ves, please indicate the type of coverage by checking the appropriate box.
A liability insurance policy X❑ Other type of indemnity ❑ Bond 1-1
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:
Owner Agent
Signature of Owner or Owner's 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 the permit
issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Code
and Chapter 142 of the General Laws.
By
Title
City/Town
APPROVED (OFFICE USE ONLY)
Type of License:
Plumber
XXGasfitter Signature of Licensed Plumber or Gasfitter
X❑ Master
Journeyman License Number 3707
v
J
z
O
w
U
m
w
U_
LL
LL
O
w
0
O
J
w
m
z
O
F-
U
W
CL
U)
z_
U)
U)
LU
w
O
O
w
a
W
U
H
W
Y
z
O
H
U
w
a
z_
J
Q
z
EL
LU
W
LL
O
z
cD
z
0
_J
m
LL
O
w
CL
06
w
Q
z
_z
J_
m
LL
O
z
O
Q
U
O
J
w
w
r
LL
CO
Q
O
w
O
w
w
m
J
a
C
w
w
O
H
U
W
Q
O
w
PUBLIC HEALTH DEPARTMENT
Community Development Division
Sandra Skelton
846 Chestnut Street
North Andover, MA 01845
June 30, 2006
Re: Variance request
Dear Ms. Skelton,
This correspondence is in response to your request to the Health Department to appear at the
May 25, 2006 meeting of the Board of Health. At that meeting the members of the Board of
Health approved a variance to the North Andover Subsurface Disposal Regulations 1.07
"Cesspools are failed systems and shall be replaced with a system meeting these regulations and
310 CMR 15.000" a cesspool is a failed system". With this variance the board allows the
property, known as 846 Chestnut Street, to maintain the drywell for the purpose of the laundry
water only.
This variance approval is granted for the home as was approved for a recent addition. It
does not include any future additions to the total number of rooms such as the garage and pool
house. Any further addition of flow to this system would require the installation of a fully
compliant wastewater disposal system or the connection of the home to a municipal sewer and
the proper abandonment of the existing system.
Sinc ,
usan Sawyer, RENS S
Public Health Director
Cc:/Building Dept.
File
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com