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HomeMy WebLinkAboutMiscellaneous - 901 ALDER WAY 4/30/20180 A TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .... 1-9 ��' / ......... has permission to perform ................. Pwiring in the buildi4404v�.' .................................. r— -T-"'Vo...................................... at... m.a .... AP. .... k1 Y ............ ,North Andover, Mass. � . Fee ......... L i c. N 0. W. 0% ............... iC . L R TRICAL i�S' P'ECTO Check# 7532 f� Commonwealth of Massachusetts Official Use Only D1 .Permit No. -.S 32- Department 2Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT WINK OR TYPE ALL INFORMATI01V) Date: City or Town of: AbV;� A l' bLhe dL-., To the Inspector of Wires: By this application the undersigned gives notice of hi r her intention to perform the electrical work described below. Location (Street & Number) -9f)/ �X Owner or Tenant Telephone No. --2S7-6 1W Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No�Z (Check Appropriate Boa) Purpose of Building Utility Authorization No. _ Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps 1 Volts Overhead ❑ Undgr d ❑ ITc. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Com letion o the llowing table maybe waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans o. of Total Transformers I{VA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires AboveIn- Swimming Pool rnd. ❑ rnd. ❑ o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection andInitiating Devices No. of Ranges No. of Air Cond. Tons Tot No. of Alerting Devices No. of Waste Dis osers P eat Pump Totals: Number ons KW o. o elf- ontained Detec.tionWerting Devices No. of Dishwashers Space/Area Heating KW Municipal Other Local ❑ ❑ Connection No. of Dryers rY Heating Appliances Kyy Security Systems:* No. of Devices or E uivalent No. of Water. KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or E uivalent No. H dromassa a Bathtubs Y g No. of Motors Total HP eleco.mmunicat_�ens Wiring: No. of Devices or E uivalent OTHER: / el Attach additional detail f desired, oras requirea oy,ne inapc�.v� �� •.. G+. Estimated Value of 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 coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: ADT Security Services, Inc. LIC. NO.: _ Licensee: 7471e210' Signature �f—�� LIC. NO.:_/a 5 5-O (If applicable, enter "exempt " in the license number line.) Bus. Tel. No.- Address: o.Address: - Alt. Tel. No.:- *Security System Contractor License required for this work; if applicable, enter the license number here: 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 agent. Ower/A ent _Telephone No. PERMIT FEE: $ S Signature "ORrH TOWN OF NORTH ANDQVER OFFICE OF s n BUILDING DEPARTMENT ' ; 400 Osgood Street y North Andover, Massachusetts 01845 SACHU5E Telephone (978) 688-9545 Gerald A. Brown Fax (978) 688-9542 Inspector of Buildings AFFIDAVIT FOR FINAL COST OF CONSTRUCTION In accordance with the provisions o the Massachusetts State Building Code, Article 1, Section 110.4. and 114.2, the total estimated cost of the construction including all related construction costs* of the building located at amounts to i being the..person referred to as the owner identified below, do solemnly swear that the statements made herein ' are strictly true and correct and made.in good faith. *Related construction costs included all work done with or concurrently with the work contemplated by the Building Permit including demolition, plumbing, heating, electrical, air conditioning, painting, carpentry, landscaping, site improvement,. etc. Furnishings and portable equipment are not part of the total construction costs. Signature of Owner COMMONWEALTH OF MASSACHUSETTS S. S. wit 20 06 Then personally appeared the able named Thomas L a w.d ekn ; and Made an oath that the above statement is true. Before, Me, Notary Public OFFICIAL USE: Final Cost: ...... .. ,......_...... ...,_._. Original Estimate cost of gene�o work: _.. __ ._.__.___.... . _..: __...__......___....... . CostDifference: �.. _._.._.:..r.,__.. _:,...._.._.:._.,... _....:..._ _....w_......,., Additional Fee Required: TO AMEND FEE UNDER PERMIT NO.: __ _._ _ .._ ._..,..,. _. __ _...__.....:...., _ ...... Inspectional services Departmernt 2005 FA inalcostaffidavitfomn Strict code enforcement makes the town safer Before buying, renting, leasing check zoning 0 4 i,.Cffisi i� ,r Y CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 780 6/23/20051 Date: April 26, 2006 THIS CERTIFIES THAT THE BUILDING LOCATED ON 2357 Tumpike Street Bldg #9 --AU 900 Adler Way MAY BE OCCUPIED AS Tawn House - 40 3 Condo IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Units 901-902-903-904905-906 Certificate Issued t®. valley Realty Trust LLC 231 Sutton Street Ste IB North Andover MA 01845 Buil ing Inspector PLUMBING DESIGN AFFADAVIT TOWN OF NORTH ANDOVER I certify that I or my authorized representative have observed the Plumbing work for Building no. 9 at 900 Alder Way. To the best of my knowledge, information and belief, the work has been done in conformance with the approved plans and the provisions of the Massachusetts State Building Code and all other pertinent laws, rules and regulations of the town of North Andover. George Dubin Dubin Engineers 29370 Engineer MA Reg. No. 40 Willard Street, Quincy, MA 02169 617-376-8877 Address Signature March 10, 2006 Date or .� ISEORGE DUBM Nn aoavn o-�- Then personally appeared the above-named George Dubin and made oath that the above statement by him/her is true. Before, me, My Commission Expires tEv Notary PO4 Lu Commonnahh of Messchua"hN 2011 Commission Exp�es Nov 17, Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: 5810 PROJECT: Irl -- 1ooWS INSPECTION DATE: -1 C(-D(j UNIT NO.: q0 FLOOR: �� nk-S WING: ti A BUILDING NO.: t REMARKS: �� � Dec Gid t, Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: r Date: Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - final Plumbing and/or gas - final Other: Date: Z P - Date: Date: Inspector Inspector Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: C of O # Inspector Inspector Inspector 11 k ioq., Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: � % PROJECT: '"� L O INSPECTION DATE: 3 � UNIT NO.:©FLOOR: U ��� WING: BUILDING NO.: REMARKS: 1: Excavation - depth and soil conditions Date: Inspector Framing - Date: Inspector Other: Date: Inspector Footings and foundations and drains - Date: Inspector Insulation - Date: Inspector Other: Date: Inspector Electrical - rough - Date: Inspector Plumbing and/or gas - rough - Date: Inspector Other: Date: Inspector Electrical - final Date: ' ' ` Inspector Plumbing and/or gas - final Date: Inspector Other: Date: Inspector Fire Dept - oil burner, tank, stove, smoke detectors Date: Final inspection Date: Certificate of Use and Occupancy Date: C of 0# Inspector Inspector Inspector SAM ZAX ASSOCIATES Phone: (617) 479-7415 CONSULTING ELECTRICAL ENGINEERS Fax: (617) 770-1423 E -Mail: mzax@zaxengineering.com 1400 Hancock Street - PO Box 690353 Quincy, MA 02169 ELECTRICAL FINAL AFFIDAVIT I, or my authorized representative, have observed the work associated with Permit No.5810, as in accordance with Section 116. of 780CMR dated 5/24/05, for 900 Alder way (building #9), located in North Andover, Ma. And to the best of my knowledge, information, and belief, the work has been done in conformance with the approved plans and with the provisions of the Massachusetts State Building Code and all other pertinent laws and regulations of the Town of North Andover. James P. Stroke 20068 ENGINEER - MASS. REG. NO. JAMES P. STROKE A 1400 Hancock St., Quincy, MA 02169 y ` ADDRESS No.2000 F� March 13,2006 Date Then personally appeared the above-named James P. Stroke And made oath that the above statement by him is true. Before me, My Commission expires l6 -z�f 20 ROBERT F. K� lhi JR, Notary Public 1UV Cammanwealth of Massadusetts MY Cammission Expires peober 24, 2008 m m m m N m m _v, y COD d O � Z y CLCD O �� � � O d= y a� o m Ov CD g. 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