HomeMy WebLinkAboutMiscellaneous - 906 ALDER WAY 4/30/2018w
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TOWN OF NORTH ANDOVER
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OFFICE OF
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BUILDING DEPARTMENT
400 Osgood Street
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4,.0 5
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North Andover, Massachusetts 01845
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 '2 4 �. � � l_ 0/91 /Q i amounts to
$ I,003 Q&k !
,.being theperson 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. V 20 OG
Then personally appeared the able named _T orrr, aLo, %,.,Ater, ; and
Made an oath that the above statement is true.
Before, Me,
A
Notary Public
OFFICIAL USE:
FinalCost: _.,___...�._._.............. ....:_._..__.......__:
Original Estimate cost of genei o work:
Cost Difference: ,.,...._.:..� ,.._., ...._.._,.,....... _..:......_--._ .,....._
Additional Fee Required: u. __ _.... _-._:...:..F�._....,..-........:..._......,
TO AMEND FEE UNDER PERMIT NO.: _.--_......_..._ ..._._..._._-- _ .._ _._ .
Inspectional services Department 2005
F:Tmdcostaffidavitform Strict code enforcement makes the town safer
Before buying, renting, leasing check zoning
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CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 784 6/23/2005) Date: April 26 2006
TRIS CERTIFIES THAT
THE BUILDING LOCATED ON 235' T� a Street Bldg 99 - 6 Units
900 Adler Way
MAY BE OCCUPIED AS Town House - 40B Condo IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
Units 901-902-903-904-905-906
Certificate Issued to: val- Re 4—T-nj L -L&
231 Sutton Street Ste 1B
North Andover MA 01845
Al,
Bunt ing Inspector
,.OR71�
Of 4,.•� ., ,h0
10- 9
'rs CMUS��
Date ...... ' . .......
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ..D ....... 3.EnfA ►?� ..7"5� ............
3• W4QZ A/SAYA '
has permission to perform ..............tet`' Up...�.�t '..... < .1' - ...........
Hiring m the building of.. V%...11 f'q4 ....1/ v L ................
,71
at .. l rt.�C!! T A.f ......OLS Ail,......... , North Andover, Mass.
S�a/.S33c, /�
Fee ."/ '. ' .. Lic. No. 14.2, ........... ....A.4 ~ ' .—
ELECTRICAL INSPECTOR %� 1
Check # 00 74'74/FY!
6586
Commonwealth of Massachusetts Official Use Oniy
-- Permit No. Cv
Department of Fire Services - —
Occupancy and Fee Checked
— /` BOARD OF FIRE PREVENTION REGULATIONS i[Rev. 9105] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (NIEC). 527 CMR 12.00
(PLEASE PRINT hV INK OR TYPE ALL INFORMATION) Date: Z/ /.3 —Q
Citv or Town of: 64.-77.} �,V.?A-- To the Inspector of"Wires:
By this application the undersi�sned dives notice of his or her intention to perform the electrical work described below.
Location (Street & Number) ,t , .-2 v _
Owner or Tenant ± •ems, Telephone No. 74-34-46t,
Owner's Address
Is this permit in conjunction with a building permit?
Purpose of Building
Existing Service Amps / Volts
New Service Amps / Volts
Number of Feeders and Ampacity
Yes ❑ No L2"� (Check Appropriate Box)
Utility Authorization No.
Overhead ❑ Undgrd ❑ No. of Meters
Overhead ❑ Undgrd ❑ No. of Meters
Com letion of the tollowinQ table may be waived by the Inspector ojWires.
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
�—
No. of Luminaires
AboveIn-
Swimming Pool rnd. ❑ ❑
No.
o. o Emergency Lighting
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE AI •ARMS
No. of Zones
No. of Switches
No. of Gas Burners
No. IDcieand
n
nitiatinngg Devices
No. of Ranges
No. of Air Cond. TotaTonal
No. of Alerting Devices
No. of Waste Dis posers
p
Heat Pum
Totals:
Number
I
Tons
KW
No. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Municipal ❑ Other
Connection
No. of Dryers
Y
Heating Appliances KW
Security Systems:*
No. of Devices or E uivalent
No. of Water KW
Heaters
9• �f t`,;,• of
Signs Ballasts
Data Vv iring•
No. of Devices or Equivalent
No. Hvdromassaae Bathtubs
b
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or Equivalent
OTHER:
Attach additional detail ijdesired, or as required by the Inspector nJ I Vires.
vo Estimated Value of Electrical Work:d (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with EIEC 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 covera,ae is in force, and has exhibited proof of same to the permit issuin- office.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:)
1 certify, under the pains and penalties of perjury, that the information on this application is true ant! complete.
FIRM NAME: ADT Securitv Services, Inc. LIC. NO.: 1533 C
Licensee /V J14WSAT/o Signatu a
(1j'applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 601-594-5000
Address: 18 Clinton Drive Hollis N.H. 03049 Alt. Tel. No.: 594-�9 i0
ereOW*Security System Contractor License required for this work; if applicable, enter the license number here-
OWNER'S
NER'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 a«ent.
Owner/Agent PF_RIb1IT FEE: 5
Signature Telephone N,)._---
Completion
o._
•
1�
Commonwealth of Massachusetts official Use only
-- Permit No. Jt`'
Department of Fire Services
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS i(Rev. 9/05) (leave blank)
&-A" 7a27f,Z—
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachuseas Electrical Code (NIEC). 527 CMR 12.00
(PLEASE PRIiVT LIV INK OR TYPE ALL INFORM4TIOtV) Date:
City or Town of: AA4,77� �J- To the Inspector of'Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & Number) ,q�✓�� f- , jf ��, � (.)��t� �N,
Owner or Tenant V4 IN
Owner's Address
X.
Is this permit in conjunction with a building permit?
Purpose of Building
Existing Service Amps / Volts
New Service Amps / Volts
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
Yes ❑ No
Telephone No. 77f -N-46,101
11L ?b L kloS/
(Check Appropriate Boz)
Utility Authorization No.
Overhead ❑ Undgrd ❑
Overhead ❑ Undgrd ❑
No. of Meters
No. of Meters
Completion o(the following table may be waived by the Inspector of Mres.
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle) Fans
TransTotal
Trsformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Above In-
Swimming Poo( rnd. ❑ 2rnd. E]Battery
t o. o Emergency Lighting
Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE AI•ARMS
No. of Zones
No. of D�cecitiatinggon and
No. of Switches
No. of Gas Burners
InnDevices
No. of Ranges
Total
No. of Air Cond. Tons
No. of Alerting Devices
Heat Pump
Number
Tons
KW
No. of Self -Contained
No. of Waste Disposers
P
Totals:
........"'•-_........_
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Municipal
Local ❑ Connection ❑Other
No. of Dryers
Heating Appliances Keri
Security Systems:*
No. of Devices or E uivalent
tNlo. of Water KW
No. of No. of
Data Wiring:
Heaters
Sims Ballasts
No. o.f Devices or Equivalent
No. Hvdromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring`
Ido: of Devices or E tliva�lent
OTHER:
;{[racn aaamonar aerarl (J Ueslreu. ur ua regtureu liv t—
Estimatedmunicipal
..ay�.. •..• •� ••
i
Estimated Value of Electrical Work: �� %� (When re uqired by municP .al P olic Y,•) I.
Work to Start: lnspections to be requested in accordance with \,IEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work [nay issue unless
the licensee provides proof of liability insurance including "completed operation- coverage or its substantial equivalent. The
ttndersi;ned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:)
1 certify, under the pains and penalties of perjury, that the information on this application is true ant/ complete.
FIRM NAME: ADT Security Services, Inc. LIC. NO.: 15" C
Licensee /S,+f AQSignatu ---E • t
(1J•applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 601-594-5900
Address: 18 Clinton Drive Hollis N.H. 03049 Alt. Tel. No.: 910
*Security System Contractor License required for this work; if applicable, enter the license number here�s
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 requirement. l am the (check one) ❑ owner ❑ owner's agent.
Owner/A- PERMIT FEE: r'''
Signature Telephone No. ____
" � o
^ Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: ttiy`C- !"'LCA � (nok-�j INSPECTION DATE: 3'ti ' Oh
UNIT NO.: FLOOR: S WING: BUILDING NO.:
REMARKS: ��AL- c!-- Ce—C7,I:CI1.—,
•
Excavation - depth and soil conditions
Framing -
Other:
Date:
Date:
Date:
Inspector
Inspector
Inspector
Footings and foundations and drains -
Insulation -
Other:
Date:
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:' 2- % - 4�-
Date:
Date:
Inspector ��° S -
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
r
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: �
PROJECT:
`/C'.�"7 INSPECTION DATE: J
Date:
UNIT NO.: .Q0t�
FLOOR: �- r%� 5
WING: A A BUILDING NO.:
Inspector
REMARKS:
r
Excavation - depth and soil conditions
Framing -
Other:
Date:
Date:
Date:
Inspector
Inspector
Inspector
Footings and foundations and drains -
Insulation -
Other:
Date:
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: ' f '
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
t
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.
1400 Hancock St., Quincy, MA 02169
ADDRESS
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
l4 _z� 20_
ROBERT F. KH M JR.
Notary Public
cammoflw alth 01 massachusetts
My Comm"ion Expires
October 24, 2008
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
Then personally appeared the above-named George Dubin and made oath
that the above statement by him/her is true.
Before., me,
4�"' 9
My Commission Expires
Notary Nk
" Common"afth of Massaou"M
My C*wftmEXPk9Aov17,2011
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