HomeMy WebLinkAboutMiscellaneous - 890 JOHNSON STREET 4/30/2018O
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TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
,SSACNUS�
This certifies that .... ...��. • .. • . .
has permission to perform ... ...........:........ .
plumbing in the buildings of .. U:� .....................
at ...P...v. ti. f.a L.. C-� .... . , North Andover, Mass.
Fee. SD .... Lic. No.. ?. ....... �....... .
$PUWENG NSPECTOR
Check # 7GL L
GO 1121
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
i City/Town: �� At%11 a 1 &,v MA. Date: -% b O Permit# �Y i ti
Building''' �0�1h�oh S'4 Owners Name: `
Location'i'
��r t� W Q., C, �1
Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential �]
New: ❑ Alteration: ❑ Renovation: ❑ Replacement: ® Plans Submitted: Yes ❑ No
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SUB BSMT.
BASEMENT
1 FLOOR
2 FLOOR
3 Ku FLOOR
4 FLOOR
5 FLOOR
6 FLOOR
7 FLOOR
8 FLOOR
Check One Only Certificate #
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Installin Com Name:
Company��,
an L\ hN
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® Corporation 1
Address�%Vr,k %W. City/Towne �GS�Jh Stater
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F71 Partnership
Business Tel:`-ka\ 63q =k`S y I Fax:
❑Firm/Company
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Name of Licensed Plumber:
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent 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
Owner ❑ Agent ❑
Sionature of Owner or Owner's 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 compliance with all
Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
By
Title _
City/Town
GPPRr1V!
CE USE ONL
Type of License: �__►�'1��1�",�
® Plumber Signature o icensed Plumber
®Master
[]Journeyman License Number: `O
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Location
No. t Date
NORT„ TOWN OF NORTH ANDOVER
`A Certificate of Occupancy $
Building/Frame Permit Fee $ S` 0 v
E•� Foundatioi, Permit Fee $
Other Per ' Fee $
Sewer to ctio ee $
t C�nn e on Fee $
T T
Building Inspector
12754 Div. Public Works
Location (-�%(� j O k
No.
Date
NGRTh TOWN OF NORTH ANDOVER
?o•,f`•D .6., 9
Certificate of Occupancy $
41 Building/Frame Permit Fee $ 7�
. °; ice; • .
Foundation Permit Fee $
SACH
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $�
/Building Inspector t
Div. Public Works
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FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from'compliance with any applicable or requirements.
APPLICANT FILLS OUT THIS SECTION
APPLICANT L/9 I �o�I Le- --
LOCATION: Assessor's Map Number c' 24
SUBDIVISION
STREET5
PHONE _qZZ_&,61 JV2 0
PARCEL
LOT (S)
ST. NUMBER 39 D
* **""**""OFFICIAL USE ONLY""
RECOMMENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINISTRATOR DATE APPROVED
DATE- REJECTED
COMMENTS
TOWN PLANNER ` DATE APPROVED
h, nATF RF_IFCTFr)
COMMENTS J
-• J
FOOD INSPECTOR -HEALTH
SEPTIC INSPECTOR -HEALTH
COMMENTS
PUBLIC WORKS - SEWERIWATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
Town of North Andover
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES
WILLIAM J. SCOTT
Director
August 18, 1998
Mr. Yong Lee
890 Johnson Street
North Andover, MA 01845
VIA CERTIFIED MAIL
146 Main Street
North Andover, Massachusetts 01845
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BIdS, lr\Spc.cfart.
RE. VIOLATION of the Massachusetts Wetlands Protection Act (M.G.L. C.131 S.40)
And the North Andover Wetland Bylaw (C. 178 of the Code of North Andover).
Dear Mr. Lee:
On August 17, 1998, this department visually observed a violation that took place at the
above referenced property within the 100' Buffer Zone of a Bordering Vegetated
Wetland (BVW). The subject violation consists of the construction of a deck/patio area
without the necessary approval through a permitting process through the North
Andover Conservation Commission (NACC).
Any work that is proposed within the Buffer Zone of a BVW is subject to a filing of a
Request For Determination of Applicability or a Notice of Intent, through the NACC
(Sections III and IV of the North Andover Wetland Regulations).
Please be advised that you are in violation of the Massachusetts Wetlands Protection
Act, and the North Andover Wetland Bylaw,, and NO FURTHER WORK IS TO BE
PERFORMED without the proper filings. In addition, you are required to attend a
public meeting before the NACC on September 2, 1998 to discuss this matter. The
meeting takes place at the Department of Public Works located at 384 Osgood Street at
7:OOPM.
Please refer to the attached Enforcement Order. Should you have any questions, feel
free to contact me at (978)688-9530.
Thank you for your anticipated cooperation in this matter.
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530
AM 19M
HEALTH 688-9540 PLANNING 688-9535
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Sincerely,
m4wL
Richelle Martin
Conservation Associate
Cc: Bob Nicetta, Building Inspector
Michael D. Howard, Conservation Administrator
DEP-Nero
NACC members
File
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TOWN OF NORTH ANDOVER
AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
MGL c. 142 A requires that the "reconstruction, alteration, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units ... or to
structures which are adjacent to such residence or building" be done by registered contractors,
with certain exception, along with other requirements.
b
Type of Work: 1��i 6>� ;c� cl„c7�____,�zl"r NFtEst. Costt?
Address of Work
Owner Name:-
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s)
Work excluded by law
Job under $1,000
Building not owner -occupied
Owner pulling own permit
Other (specify)
Notice is hereby _given that:
For office Use Only
Pemit No.
Date
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS
FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION
PROGRAM OR GUARANTY FIND UNER MGL C. 142A.
Signed under penalties of perjury:
I hereby apply for a permit as the agent of the owner:
Date
Contractor Name Registration No.
OR:
Notwithstanding the above notice, I hereby apply for a permit as the owner of the above
property:
Dae er Name
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of No oT a ,ti TOWN OF NORTH ANDOVER
�0 ��� PERMIT FOR Q INSTALLATION
�9SSACHUSEt
This certifies that . .rlj .
f
has permission for installation .J
in the buildings of !/ ..
at .... ..... _ .; North Andover, Mass.
Fee.ii o.4. a ..........................
(J �L(� 4J. 00 PAID 10 INSPECTOR
d�
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
-10
Office Use Only
01�1: LQIIITIIunwralth Elf Mus#M&S Permit No.
IpIIT21 art of Public —AIIftttj Occupancy & Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS 521 MR 12:00 3190(leave blank) ��Jh� i
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 1200
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date t= —
�iji�( or Town of NORTH ANDOVER To the Insp ctor f Wires:
The udersigned applies for a permit
to perform the electrical work described below.
Location (Street & Number)
Owner or Tenant
Owner's Address o t-- -jC
Is this ermit in ccniunction with a building permit: Yes I,- No C (Check Appropriate Box)
Puroose of Building —s'/N� /�/'�%�� y Utility Authorization No.
Existing Service Amos J�1Qlts Overhead '��Undgrnd r No. of Meters
�
New Service Amps _J Voits Overhead � Uncgrne (` No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. of Llgnung Outlets i
No. of Hct -.:bs
i
Totai
No. of transformers KVA
No. of Lighting Fixtures i
At:cve.--
Swimming Pool grna —
1n -
crnc. —
Generators KVA
No. of Recectac:e Outlets I
No. of Oil Burners
No. of Emergency Lighting
Sarery Units
No. at Switch Outlets I
No. cf Gas Burners
FIRE ALARMS No. of Zones
No. of Detection and
Initiating Devices
No. of Sounding Devices
of Serf Contained
Detect:oniSouncing Devices
— Municioai --Other
Locai _ Connec on _
No. of Ranges
Totai
I No. cf Air Cana. tons
No. of Disposals
Heat Total Totai
I No.of Pumas Tons KW
iVo.
No. of Dishwashers SbaceiArea Heating KW
No. of Oryers Heating Devices KW
No. of Water Heaters KW
No. Hydra Massage Tubs
No. of No. of
! Signs Sailasts
i No. of Motors Total HP
Low Vcitage
Winnc _
OTHER:
INSURANCE CCVERAGE: Pursuant to the reautrements at %iassacnusetts general Laws
I have a current Liability Insurance Policy inclucing Cam^:ere� aerations Coverage or its substantial ecuivaient. YES
have suomirtea valid proof of same to the Office. YES V,yp — If you have checxee YES. please :noicate the type of coverage oy
cnecxing the appropriate box.
INSURANCE OTHER j- (Please Scec:fy) (Exbtration Date)
Estimated Value of E!ecal Work s ✓�
Fnal
worx to Start 2- Insbectlon Date Racuestec: Rough
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Signea unser the Pe Ities of perjury:
LIC. NO.
FIRM NAME F
Licensee
A�c � SiLIC. NO. �
•� ,�.� _L , �//j� Bus. 7el. No.
Address ��/�C � �C/ liAlt. —el. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee Coes not have the insurance coverage or its substantial ecuiva)entt as ante
gturea by Massachusetts General Laws, ana that my signature on alis cermet appucation waives this reautrement. Owner 9
(Please cnecx one)
Te)eonone No. PERMIT FEE 5
Signature of owner or Agent) Y -O°