HomeMy WebLinkAboutMiscellaneous - 86 JOHNSON STREET 4/30/2018�"
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Date .... y2 -s-"0 S
. ........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that MC—T20 ..
PD(, ea.lrja
.........................................................
A.
has permission to perform .......� r r ��5�
...............................................................
wiring in the building of ........ R...... .........................................
at ............ .................. North Andover, Mass.
Fee .R/ ... C�5 .. Lic. No. f' � ...............
ELECTRICAL INSPECTOR'
Check # ,0
8115
04/24/2008 11:38 FAX 508 376 4410 METROPOLITAN CORP
!L11\ Commonwealth of Massachusetts
Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS
Official Use only
Permit No.Y/
Occupancy and Fee Checked
[R` 1/071 (leave blank
0001
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (IvW,,C), 527 CMR 12.00
(PLEASE PAINT IN INK OR TYPE ALL INFORMATION) Date: --Z .opsi
City or Town of: NORTH ANDOVER To theIns*c or o Wires:
By this application the undersigned gives notice of his or her intetttion to perform the electi-ieal work described below.
Location (Street & Number) Y(e Cf
Owner or Tenant JbtAEb;M— 1'14 AVf'&,- Telephone No. 78--408.3-Yl
Owner's Address S'C- MLAfLZsG<_--' g -r- i.>i(j. 14�rt18.t�
Is this permit in conjunction with a building permit? Yes [4 No ❑ (Check Appropriate Box)
Purpose of Building W wewV1 t" - Utility Authorization No. q 10 d `J1 91Z
Existing Service Amps / volts
New Service tb Amps aril% / %{Uvolts
Number of Feeders and Ampacity PWgJJ6_ 9
Overhead ❑ Undgrd ❑ No. of Meters
Overhead ❑ Undgrd No. of Meters
Location and Nature of Proposed Electrical Work,�j jl y f� 4'Ir.,p Al efx-)
M e�V l -AV - "-p-rene—
Cavnnletiam oflhe followlno tahle may he walued Ito tAw hit"-rinr nfWltc
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle) Fans
No. o' ota
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Above -No.
SwimmingPool rnd. El 'a- 1:1Batte
a Emergency mg
Units
No, of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No, of Zones
Na: of Switches .
No. of Gas Bi�r ears
IR—oa, etechon an
Initiating Dwices -
No. of Ranges)
No. of Air Cond. Toes
No_ of Alerting Devices
No. of Waste Disposers
eat. mp
Totals:
umber
.....,,...........
"
ons
...........""'"".........
""" "
o. o - ontaine
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑un pal ElOther
Connection
No. of Dryers
Heating
g Appliances �r
-Security stems:"
tY y
No. of Devices or Equivalent
15 o, of Water,
Heaters
o. o o. of
Si s Ballasts
Data Wiring:
Nu. of Devices or 11 uivalent
No. Hydromassage Bathtubs
No. of Motors Total .RP
Tel ecommunicationsirmgg:
No. of Devices or E ulvalent
OTHER:
Attach additional detail if desired; or mr required by the Inspector of Wires.
Estimated Value of Electrical Work:r (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with NEC Rule 10, and upon completion.
INS )VANCE 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 [l BOND ❑ OTHER ❑ (Specify:)
I certit, under Ute pains and penalties of pcdary, that the informidon on this application & true and complete.
FIRM NAME: e -M0 i1 LIC. NO.: G
Licensee- FD� MAJ(i'r1 Signatu IMC. NO.:
(!f applicablehonto "exe t" in rife license. mimbeT line) � Bus. Tel. No, -&2Af-376' f7
Address: 'b 'LOi�� l'1��Vi.�-S f 020 Alt. TeL No.
*Per M.G.L c. 147, s, 57-61, security work requires Department of Public Safety "S" License: Lie. 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, l hereby waive this regt�irement. 1 am the (check one) 0 owner owner's nnt.
Owner/Agent
Signature _ Telephone No. PERWT FEE: S (�J
04/24/20'08` T1':'38'"FAQ `5u'S iSl6` g41'II'_ vmara�vrvu=. .u�.� •�•_•_�—�— -
Commonwealth of Massachusetts
Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS
Official Usc Only
Permit No.
Occupancy and Fee Checkud
[Ruv. 11071 (leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MT:C), 527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ,23
City or Town of: NORTH ANDOVER To the I»spector of Wires:
By this application the undersigned gives —notice of his or her intention to perform the electrical work described below.
,Location (Street & Number)�-
Owner or Tenant R AC);z MAK9f'&I-- Telephone No. V-40 '3-ta
Owner's Address CICZ Cr -
lit this permit in conjunction with a building permit? Yes 1 No ❑ (Check Appropriate Box)
�
Puruose of Building V we Wt u. ' Utility Authorization No.
Existing Service Amps / Volts
New Service 1A by Amps .Z0 / '(p V01tS
Number of Feeders and AmpacityqUO—
Overbead ❑ Undgrd ❑ No. of Meters
Overhead ❑ Xrndgrd No. of l eters
Location and Nature of Proposed E ectrical Work: L621 me;.; 5 OE 7to AJ t? W
��e---
Gavn Inion o the ollowl table r be valved by the LW—Mr Of Wires.
Aitaeh adc8tlonal detail (f desire4 or as required by the Inspector of {vires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: q-Z14-4Sr Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by tate 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 91 BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury, that lite information on this application is true and complete.
FIRM NAME: 91-9-0LIC. NO.:— 41610
Licensee: IED�•l AV— NX _ Signatu LIC. NO.:
i
applicable eenterr "exe ta"in tin license member line.) Bus. Tel, No.. Orr
Address: 37G" 0
1 �� ►.� •6`t. W% -U 1. 1 �•Jl�l .. 0 2p Alt. Tel, No.:
A
*per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lie. 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 regttiremernt. ! am the (check one) F3 owner Q owner's agent.
Owner/AgentPER1t T FEE: S 12' (7
Signature Telephone No.
No. of Total
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle) Funs
Transformers XVA
Generators KVA
No. of Luminaire Outlets
No. of Hot Tuba ,
No. of Luminaires
bove -
Swimming Pool rad. ❑ rnd. ❑
o. o mergency mg
Ba trV Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS No. of Zones
No. oflYetechon an
No. of Switches
No. of Gas Burners
Initiatina Devices
No. of Ranges
No. of Air Cond. Tons
No_ of Alerting Devices
No. of Waste Disposers
cat. mp um er ons
--mm m P!" " " "" ...........
Totals:
o. a Self-contained
Detection/Alertin Devices
No. of Dishwashers
Space/Area Heating KW
un C pal[JOther
Locai ❑ Connection
Heating Appliances KW
ecurity Systems:"
No. of Devices or Equivalent
No. of Dryers
o. of Water KW
o. o o. of
Ballnsts
Data Wiring:
No. Devices or E uivalent
Heaters
Signs
of
Total ap
e ecommunications irmg:
Equivalent
No. Hydromassage Bathtubs
No. of Motors
No. of Devices or
ATFTG R
Aitaeh adc8tlonal detail (f desire4 or as required by the Inspector of {vires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: q-Z14-4Sr Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by tate 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 91 BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury, that lite information on this application is true and complete.
FIRM NAME: 91-9-0LIC. NO.:— 41610
Licensee: IED�•l AV— NX _ Signatu LIC. NO.:
i
applicable eenterr "exe ta"in tin license member line.) Bus. Tel, No.. Orr
Address: 37G" 0
1 �� ►.� •6`t. W% -U 1. 1 �•Jl�l .. 0 2p Alt. Tel, No.:
A
*per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lie. 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 regttiremernt. ! am the (check one) F3 owner Q owner's agent.
Owner/AgentPER1t T FEE: S 12' (7
Signature Telephone No.
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CIERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 596-2011 Date: June 16, 2011
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 86 Johnson Street, North Andover,. M. A
MA 0 1845
Robert E. M. -aurer
MAY BE OCCUPIED AS single-family IN ACCORDANCE WITH THE PROVISIONS -OF
THE MASSACHUSETTS- STATE BUILDING CODE- AND SUCH OTHER REGULATIONS AS.
MAY APPLY. .
Certificate Issued to. -
Fee: 100,00
Receipt: 21075
Robert E. Maurer
86 Johnson Street
North- Andover, MA 01845
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1Ss�co jsEi APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
Building Permit # s? 6
ADDRESS/LOCATION OF PROPERTY : gG fy h'1Soti S4
Parcel
SUBDIVISION
Lot Number 0/0Z.
DATE REQUESTED FILED/READY FOR INSPECTION
CLOSING DATE ON PROPERTY:
ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-
INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGFn 1F Tu= ero► if -ri ,oc
DOES NOT MEET A
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Address
SIGNED
CODES.
ke v!- (!57 G ✓��
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/✓o ,(/1.. ray. ��. ��F� G
ROUTING
J CONSERVATION
J PLANNING'
DPW, WATER METER
"eSEWERNVATER CONNECTION
NOTE
0
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL
�O�F�THE OCCUPAI11CYhN SPECTI®IV REQUEST
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Signature `
File: Application for OC form revised Jan 2007 ( q -;?a
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FOUNDATION LOCATION PLAN
CLIENT: R. MAURER
THIS CERTIFICATION IS MADE AND LIMITED
TO THE ABOVE CLIENT.
LOCATION. NORTH ANDOVER MA
3
L= 13' +/-
L= 13'
I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO
THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL
APPLICABLE ZONING BY—LAWS IN EFFECT WHEN CONSTRUCTED.
(THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER
RESTRICTIONS SUCH AS COV£NANTS,WETLANDS,EASEM£NTS,
ORDERS OF CONDITIONS,ETC.) THIS DRAWING SHALL NOT BE USED
BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED
ABOVE,EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN
& SERGI INC. FURTHERMORE THIS DRAWING IS THE COPYRIGHTED
PROPERTY OF CHRISTIANSEN & SERGI INC. AND ANY
UNAUTHORIZED USE IS PROHIBITED.CHRISTIANSEN do SERGI TAKES
NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS
DRAWING OR ANY INFOR— RATION CONTAINED HEREON.
DATE; 515108 SCALE. -l!=40"
CHRISTIANSEAI9 SERGI PROFNDI NAL EYORS NGINEERS
160 SUMMER ST HAVERHILL,MA. 01830 TEL. 978-373-0310
@2008 BY CHRISTIANSEN do SERGI INC.
DWG.
70006
Date
TOWN OF NORTH ANDOVER
PERMI F PLUMBING
This certifies that. ` ..141 A`)6 .n r !I
has permission to perform ...%L.� u ,��.'�. `�..................
plumbing in the buildings of . l/17!`1.�-.fit '.�� ....................
at ..:G... �.�.�. r ......... n ,North Andover, Mass.
Fee. Lic. No. 7,-. 2. Y.. ...... -,- .�U......�--�. .........
PLUMBING INSPEITOR
Check # / 0
7722
FIYTI IDFC
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
City/Town: , MA. Date: 7 Permit#
Building Location: Adv 1�-/w J1n S11—Owners Name: ������'c��
-
Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential
- -
New: [Iteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes ❑ No ❑
FIYTI IDFC
INSURANCE COVERAGE:
COVERAGE:
1 have a current Ilat.,i(itjF insurance po?Icy o: v: hic:h meets the requirements rents cf MGL. C. 142 Yes ❑ No ❑
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability 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
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Signature of Owner or OwnePs Agent Owner El Agent E]
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
.�..vv�euWool. —toll Flumumu worn ane mstauauons perrormea under the permit Issued for this application will be in compliance with all
Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
By -
Title
Cityrrown
Type of License:
P1 mber Signat re of iiy nsed Plumber
aster
tOVED OFFICE USE ONLY ❑JLicense Number:
ourneyman
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3 FLOOR
4 FLOOR
5 FLOOR
6 FLOOR
7 FLOOR
8 FLOOR
.r—aura Check One Only Certificate #
Installing Company Name; �l
�, � �
t�-l+brporation '977
Address: / i'o City/Town: State:
partnership
Business Tel: 57T S6 3 3 9/ Fax: ✓`"Q� S (o �f 6Z23
❑ Firm/Company
Name of Licensed Plumber: ✓ `
INSURANCE COVERAGE:
COVERAGE:
1 have a current Ilat.,i(itjF insurance po?Icy o: v: hic:h meets the requirements rents cf MGL. C. 142 Yes ❑ No ❑
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability 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
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Signature of Owner or OwnePs Agent Owner El Agent E]
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
.�..vv�euWool. —toll Flumumu worn ane mstauauons perrormea under the permit Issued for this application will be in compliance with all
Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
By -
Title
Cityrrown
Type of License:
P1 mber Signat re of iiy nsed Plumber
aster
tOVED OFFICE USE ONLY ❑JLicense Number:
ourneyman
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TOWN OF NORTH ANDOVER
-
PERMIT FOR GAS INSTAeLATION
.y
SACNUSEtt
This certifies that .....
1:,. .... R,, e .L� ........... . . .
has permission for
gas installation ...'n -s P.� .:-:...... .
in the buildings of
... . S -. �% � ..........
at ....f 5 .. ?:..L,.°'..f.".
....... , North Andover, Mass,
Fee. 1 d . '~ Lic.
No. ? .j. t .`:...,(.�.-1, �,, ...........
GAS INSPECTOR Y
Check #
6414
I have a current liabi.1i� insurance policy or its substantial Eequivaleni which meets the requirements of MGL. Ch. 142 Yes ❑ No ❑
If you have checked Yes. please indicate the type of coverage by checking the appropriate box below.
A liability 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
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Signature of Owner or Owner's Agent Owner ❑ Agent ❑
By checking this box El; 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
compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
Type of License:
By- ,❑-, PrII b_er
Title II�a er
—`EWaster
City/Town❑Joumeyman
APPROVED (OFFICE USE ONLYI___ I ❑ LP Installer
Plumber/Gas Fitter
License Number: 63 !
7Aca 1-5, rt-
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING
CitylTown: 4 16 b1fYer' , MA. Date: D � Permit# _6 Y / y
Building Location: v IN Owners Name: _ /� a 6 -0r -l- /�%4 ar�,�
Type. of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential
New: Alteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes ❑ No ❑
I have a current liabi.1i� insurance policy or its substantial Eequivaleni which meets the requirements of MGL. Ch. 142 Yes ❑ No ❑
If you have checked Yes. please indicate the type of coverage by checking the appropriate box below.
A liability 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
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Signature of Owner or Owner's Agent Owner ❑ Agent ❑
By checking this box El; 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
compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
Type of License:
By- ,❑-, PrII b_er
Title II�a er
—`EWaster
City/Town❑Joumeyman
APPROVED (OFFICE USE ONLYI___ I ❑ LP Installer
Plumber/Gas Fitter
License Number: 63 !
7Aca 1-5, rt-
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Installing Company Name: �dN �T
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Check One Only Certificate #
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Address -2L K l IFD City/Town:
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Corporation
Business Tel: _ �U 6 3 9/
Fax:
❑ Partnership
❑ Firm/Company
Name of Licensed Plumber/Gas Fitter:
I have a current liabi.1i� insurance policy or its substantial Eequivaleni which meets the requirements of MGL. Ch. 142 Yes ❑ No ❑
If you have checked Yes. please indicate the type of coverage by checking the appropriate box below.
A liability 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
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Signature of Owner or Owner's Agent Owner ❑ Agent ❑
By checking this box El; 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
compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
Type of License:
By- ,❑-, PrII b_er
Title II�a er
—`EWaster
City/Town❑Joumeyman
APPROVED (OFFICE USE ONLYI___ I ❑ LP Installer
Plumber/Gas Fitter
License Number: 63 !
7Aca 1-5, rt-