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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