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Miscellaneous - 934 SALEM STREET 4/30/2018
Date ..... ........... TOWN OF NORTH ANDOVER This certifies that���� ................................................................................................ has permission to perform 4. ....: 5......... .......... ............................ wiring in the building of ... 0. 6�& ............ , .................... ................................................................. at ........ ......... ......... . North Andover, Mass. Fee.:.... I ... �'.L Lic. J J.�.b -- A** Oh* EC , **'TRCA '" *I'" -L- L Checkj--11.4 1,21 3 0 9 - PERMIT FOR WIRING tk Co►nnnotumaitta o f Vamaclwdaf - eLJaioar(,nucnE o��ira Jaraico� BOARD OF FIRE PREVENTION REGULATIONS Official Use Only I Permit No. I �� 1 Occupancy and Fee Checked Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ( CC), 527 CMR €21'00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: to _LU I t. $_ City or Town of: N o4� ,ehltWty 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) „ i ir.Yl'1 itrak Owner or Tenant William kAk a Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps 1 Volts Overhead ❑ Undgrd ❑ No. of Meters New Senice Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install Solar Electric - Photovoltaic (PV) system [ panels rated [ 8.01 kW aC) STC Grid Tied. In conjunction with a Buildina Permit Completion of thefollowing table ntoy be srals ed by the Inspector of TYires. No. of Recessed Luminaires No, of Ceil.-Susp. (Paddle) Fans NO. f Total Transformers KVA No. of Luminaire Outlets No. of Hot Tabs Generators KVA No. of Luminaires SwimmingPool Above ❑ n- E] rnd. grnd. No. ° Emergency Lighting ftttery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. or etection and InitiatingDevices No. of Ranges g No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number 'l'ons KW of SX -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KVV Local Eluntetiom"l El Other Conaechon No. of Dryers Heating Appliances KW ecyystems: NoNo., of ©evicts or Eguivalent No. of Water KW Heaters o. of No. of Signs Ballasts Data Wiling: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, oras required by the Inspector of Ifires. Estimated Value of Electrical Work: (�, �U (When required by municipal policy.) Work to Start: ASAP Inspecti ns 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 certihr, under the paints and penalties ofperjuty, that the h(fornutdon oil this application is true and cornplete FIRM NAME: SOLARCITY CORPORATION LIC. NO.:1136MR Licensee: MATTHEW T. MARKHAM Signature LIC. NO.:1136MR (if applicable, enter "exempt '• in the., license nuneber line) Bus. Tel. No.,., 774-25"18D Address: 24 5T MARTIN DRIVE (SWLDWG' - UNfF 11) MARLBOROUGH, MA 01752 Alt, Tel. No.: 774-26"05 *Per M.G.L. c. 147, s. 57-51, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER- I am aware that the Licensee does not have the liability insurance coverage normally "",ired by law. By my signature below, I hereby waive this requirement. I arm the (check one) [Jowner E]owner's a enL �Ener/Agent PERMIT FEE. $ gnature Telephone Nrs. �1,e 6towilwwwwwwAX, 'i Office of ConSlirner Af aii.` ,11(i BLISiness Regulation i 10 Perk Plaza - Shite 5170 Boston, Massachusetts 021 16 Home Improvement Contractor Registration 'Registration 168572 Type: Supplement Card SOLAR CITY CORPORATION Expiration: 31812017 MATT MARKHAM 3055 CLE.ARVIEW WAY SAN MATEO, CA 54402 *',l l' 0 4iM {AxM ffl►llJir� I- 4. r r -^"w nn•.. r/ . /40..r+f+,FwlPr Office ofConsun►cr Atfitlr, & Iftlsiness Rrgolation k, HOME IMPROVEMENT CONTRACTOR Roplstratfon: 19(t677. Typo: Expiration: 1,120r7 Supplement Card :,C LAR C, T i ( ':l"tN-)R?, i I MATT 24 ST MARTIN S1 RLL, 13LU 2UNE iW(-BOROUGH, MA 01752 14ldersrcretan 9 Update Address god return card. Mark reason for change. Address Renewal Employment Lost Card I •icense or registration► valid ror individ(d use ouly before the expiration date. If found iclurn to: Office of Consumer Affairs and Business Regolation 10 Park P1179 - Suite 5171) Eiostmr.,N1A fly 116 Not valid without signature Em s s.>s a 1 '�, � 00A" Or ELIEURICIa*I�S ISSUE'S THE FOLLOWING LICENSE AS AN REGISTERED MASTER ELECTRICIAN L MATTHEW ateOLARC, 1I�, TY CyI! Rll{/�t�RAI (Elko `14 i A I llEW T A ARWHA i 74 SAINT MARTIN OR SLOU 2 UNITI1 4 IAARLB:;xlt(tOUGF-i* y{y��f]./�•'A/ 017352-' Wj ar `AJ y 5 A 9 The Canimen wealth of Xassado usetts Department of IndrnstrialAccidents Ofill-ce of Intesdgations I Congress Street. Suite 180 TJ Boston, MA 02114-2017 WWW.MgSs g'0V1dla Workers'Compensation Insarance Affidavit; Builders/CuntractvrdElectricians/Plumbelrs Anpiran t InLoMpation Please Paint Legibly NMnC(Busiaess/Qrganixation/fndividuai): SolarCity Corp. Address: 3055 Clearview Way L:i!X�tate/Zjp: San Mateo (A. 94402 phone #: 000-tnZ)-/-4MJ Are you an employer? Check the appropriate box: - Type of project (required): � 1. Lr P am a employer with 5,000 �l. i ant a neral contractor and I 0 6. [j New construction employees (111]1 and/or part-time).* 2. ❑ i am it sole proprietor or partner- have hired the sub -contractors listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub•contraaors have S. Demolition working forme in any capacity. employees and have workers' 9. Buildin addition S [No workers' comp. insurance required.] comp• insurance t 5. C) We are a corporation and its 10.[3 Electrical repairs or additions 3. ❑ l am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions tnybelL [No workers' comp. -fight of exerrtliriinn PDX f-11GI. I2.❑ Roof repairs insurance required,) t c. 152, § 1(4), and we have no employees. [No workers' 13EPther Solar/PV comp. insurance required] *may applicape dtat checks box N t must aka rat out the section below showitsg thtir workcss' eamptoantior► pgifey inforan ntian. t Homeowners who submit this affidavit inflating Way are doing all work and that him otlsitft contrartws most submit anew affidavit tndicoing $ack. rGmtractors than check this box must anached art additional sheet showing the name of the sub-comractors and state whethor or not those Cwhies have employees. If the sub-conlaclas bavc tmployees, they must provide tt k workers' camp policy number. J'atn air employer that isproMng workers' compensation insurance for my employees Below is litepolicy andjob site information. Irtsurarnce Convoy Name. Zurich American Insurance Company Policy tt or Seir-ins. Lic. #: WC0182015-00 Expiration Date: 9/1/2016 /�,, Job Site Address: q.�7�$ Lem S . � City/State/zip: t D✓ 1►i a- � ��y5 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure in secure coverage as required under Section 25A of MOL c. 252 can lead to the imposition of criminal penalties of a fame up to S 1,5110.00 and//or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00-a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby eerlify under the pains andpenalties ofperjury that the informadenprmurter! above js true acid correct. Phone Of*wW ure otsijt, Do not write fa ibis area, to he completed by city a taiga aftk" fat. City or Town: Permit/i.lcense # Issuing Authority (circle one): L Board of Health 2. Building Depariment 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector G. Other Contact Person: Phone M A► Roo CERTIFICATE 4F LIABILITY INSURANCE D08117MMtDDnYYYI CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 0811712015 . THIS CERTIFICATE IS. ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: NAME_._........_.._. MARSHRISK& INSURANCE SERVICES FAX .......... .... ... . _........__..._.. 345 CALIFORNIA STREET, SLATE 1300 1Alxpc.... _..._..._ ... _.............. .. ........i.(AIc, Nol:.............................._..... CALIFORNIA LICENSE NO. 0437153 E-MAIL A D DRESS :...... SAN FRANCISCO, CA 94104 _.. .. _ ................... _. _ ................7........... _. _ . ..... ... Attn: Shannon Scott 415-7434334 INSURERS) AFFORDING COVERAGE .. ... . ................} ... NAIC #._-. -_ 998301-STND-GAW JE•15.16 INSURER A: Zurich American Insurance Company 116535 MED EXP (Any one person) S INSURER B: NIA NIA SolarINSUceity Corporation 3055 Clearview WayINSURER C: NIA (NIA .. ................ San Mateo, CA 94402 I...._ _mSUIzeR.D :American Zuridl Insurance Company - 40142 - INSURER E:. INSURER F: COVERAGES CERTIFICATE NUMBER: SEA -002713836.06 REVISION NUMBERA THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. (NSR ..... ._ _ ._......... ... _... ........... . _.. _ ... pf)L$IIBRT....—............. _.._ ................... _ POLICY EFF � POLICY EXP __ ........... ............ _ LTR TYPE OF INSURANCE POLICY NUMBER I MMIDD : MMIDDiYYYY I LIMITS A X COMMERCMILGENERALLIABILITY IGLOO182016-00 09101/2015 00112016 EACH OCCURRENCE_ S_ 3,ODD,OIiO r 1 X DAMAGE 70 RENTE!) CLAIMS -MADE I .I OCCURI i PREIAAE.S.ES LEA pocurrenceZ ....t_g............._. _.3,000,000 X SIR: $250,000 � : MED EXP (Any one person) S 5,000 PERSONAE & ADV INJURY y S 3,000,000 GEN'(. AGGREGATE LIMIT APPLIES PER- GENERAL AGGREGATE $ 6,000,000 %( POLICY I JEC i....: LOC PRODUCTS . COMPIOP AGG ' $ 6,000,000 i OTHER $ A ; AUTOMOBILE LIABILITY BAP0182017-00 0910112DI5 09101�O1fi :COMBINED SINGLE LIMIT $ 5 F ago 3ccideltt%.......... .... ..:......... .... ... . X ANY AUTO BODILY INJURY (Per person) . $ x.. ALL OWNED X SCHEDULED AUTOS AUTOS _.. . _ . . .. ..... ... � .... .. INJURY (Peracadent) ................. .. NON-OWNED xHIRED AUTOS X AUTOS PRO PERTY DAMAGE [PeraceldentJ r- i . .......... _ ....+ .. ........... _ ......_..... _ COMPICOLL DED: $ $5.000 UMBRELLA LUIB OCCUR j.._ .. : .f. I EACH OCCURRENCE $ .. _. ___.. _.__.. _ .. .... .... .....}. ... ..... .. .... .. .. .. .. .... EXCESS LIA9CLARdS-MADE accREGATE 3 DED RETENTIONS S D WORKERS COMPENSATION `: 'WC0182014-00(AOS) 09101015 09101=6 X ': PERDTH.• onPLOYes LIABILITY YIN: : 0012A WC0182015M (MA) 0912015 6 PROPRtETORIPARTA�EXECUTIVE ,sra ... t _ . _ .. TUT . ERaND . . _ .. ...._........ 1,000,000 ,ANY :0010ERIMEMBEREXCLUDE137 N :NIA( .Tr t - {Mandatoryin NH) i WC DEDUCTIBLE: $500,000 H ,""":':"" : E L DISEASE - EA EMPLOYEE 5 1000,OOII yes, desafe under DESCRIPTION OF OPERATIONS below T1.000,000 E L DISEASE - POLICY LIMIT I S i DESCRIPTION OF OPERATMNS I LOCATIONS I VENiCLES (ACORD 101. Additional Remarks Schedule, maybe attached H more space Is required) Evidence of auurance. CERTIFICATE HOLDER CANrFI t ATlnN Soweity CDrpofafion 3055 Gearview Way SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo, CA 99402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Mlaish Risk & Insurance Services Charles Marmolejo ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD �vN ovzmoc� mO A Omz SnAND� N��p z =:Io��oDz 0;r c 0 0 CA OOZZ��DNF" rF M. 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A•: C .i �m :� m:7:i i V :po :W:t^ < A: W :G ��^'<'O \'O <: 'qN N ;p t O O o o :D: :A: W:�:C Oo '�:m to :iu :N :vi 'W: :H :p :H: .0 :W O :V: m;m:i K + a'J:ap a ;N i :ct': 'O: o o :ET-< C I pi3 [ l 1 'w J fD c- n C; j j N a; : t tD J :,: W :<' :� W f V 7. a j :N ! O :�', { V' :p I O O J :N j N L.....� `- ... CF .W I tp o @: o o.o o 'O' c: < < :A o; :o <: .o t 'o W; :< <: .N NN N [o ofo 000 c 3 •O ln. V i:Do o O i .3 T TI V W O O �• D D C C CD N Cl) N Cn m m O00 CD CD CDy 0 D D !D c y y � N m C In Ul co o A O O CS D CD D C -q C= C/) CO) N H1 0 T O CD O Z O 0 D � C '-h C D 3 (D n• iii N° 35/3 Date... //���d. ... 4 HOR7M TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that `^ .P C r1. B........ Y ........ ........................................... has permission to perform ......................�P�F. ... <.........,�! ` ! .. u��.......... wiring in the building of ........ CAS .... ! !>f.e.................................... ..... at .G CC �l�Gr r S • ....... rth Andover, ve ass. Fee... 5.:. v J.. Lic. No . ......... ................... PEC...OR.................. �) > EC TRicALiNST Check # 7 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer V Commonw'eafik a aseac1Lude1b Official Use Only Permit No. f3�f �a� a1Je�arfnteni' o��ire �ervices Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev. 11/99] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be per(•ormcd in accordance with the Massachusetts Electrical Code (MEQ, 527 CMR 12.00 (PLE.ISE PRINT IN INK OR TYPE ,4LL INFORl1,1770N) Date: %— I— a W 2 - City or Tolyti of: �1.�c9 R`I— A -M Ao 01 To the Inspector- of I•Y'ii•es: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) .y} S,4 t_z1- /-I r Owner or Tenant _fig 1 if 1-t c- If 0 6 1-124-- Telephone No. Owner's Address�- Is this permit in conjunction with a building permit? Yes ❑ No E (Cliecic Alipropriate Boz) Purliose of Building A.✓-r2'Ofn Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ Ne;v Service Anips / Volts Overhead ❑ Undgrd 0 No. of Meters No. of Meters: Number of Feeders and Ampacity Location and Nature of Proposed Electrical York:. Conroletion ofthe folluivinn table nmv hr x•nivrir t„• it. t..: rv:.... No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans 1 0• of Total Transformers KVA No. of Lighting Outlets No. of I3ot Tubs Generators KVA No. of Lighting Fixtures . Sivinin ing Pool above ❑ In- ❑ rnd. grnd. 1 o. o mergency Lighting Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARtl�IS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Devices No. of Ranges TotInitiating No. of Air Cond. Tons No. of Alerting Devices No. of Waste.Disposers Heat Pump Totals: Number Tons I-'***-- ._'_._ KW ___' No. of Self -Contained Detectioii/Alertine Devices No. of Dishwashers Space/Area Heating K'vV Local ❑ ttilunicipal ❑Other Connection No. of Dryers Heating Appliances K\i; Security Systems: No. of Devices or Equivalent No. of Nater Heaters. }V No. of No. of Signs Ballasts Data tiJiriWiring:It No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total IIP Telecommunications WIrincr: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of {Vires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insura» ce 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: INSURf1NCE ET BOND ❑. O•lTiER ❑ (Specify:) (Expiration Date) 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. I certify, under the pilins and penalties of j;&jtny, that 11te information on this application is trite andcomplete. FIRM NAME: BuddyElectric Inc LIC. NO.. 12017: A Licensee: Vircen.t B.. Landers JR Signatur ,� L1C.N0.: 23684 E (If applicable, enter "exempt " in the licensenumber line.) Bus. Tel. No.. 9 75 — 4 4 5 Address: 24 Colgate T)r, T1.Aranupr_- Ma 01R49 0 Alt. Tel. No.: OWNER'S INSUR.20CE NVAIVER: I am aware tliat 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 ❑ One agent. Si-na r/Agent �� v� Signature I'elcphone No. l'I.Ri1I1T TLE: $ , Date..?..'. N2 4312 TOWN OF NORTH ANDOVER ° 9 PERMIT FOR PLUMBING ,SSACMUSE This certifies that ..:S� � .. t .. / � .................... has permission to perform ... J� ......................... plumbing in the buildings of . C' �� . �. 74 "7.7e ............... at ...... ...... �. `... j �.....:... , forth Andover, Mass. Fee. . Lic. No..._ .�:..... . UPLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer .l MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO ®O PLUMBING t>fint or Type' FEB � � 2000 Iy 0 i'1(•; ,f) 0 0 � Mass. Date tg Permit # "/ I? � Building Location oil 3 q Sf� ! �r lS� s Name C / ►1iQ �� / Type of Occupancy New ❑ Renovation ❑ Replacement `ice' Plans Submitted: Yes ❑ No ❑ FIXTURES Pame��,'y Instaliine Company Na C.f r1.� �_ ?Ctx-j-,-,ems � ►'> G AAAmee ( n'Q -r-P i, 7- ic,,v Business Name of Lkensed Piumber ❑ Partnership ❑ Firm/Co. Certificate 33 (1) a _ 01 - INSURANCE COVERAGE: I have a currentlabiiity Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes Q' No ❑ - If you have checked yam, please Indicate the type coverage by checking the appropriate box A Ilabgity Insurance polcy CK' 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 Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: O iflnature of Owner or Owner's Aaent Owner E3 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 knowbdpe and that all plumbing work and installations r/m nder the permit issued for this application will be in compliance with all Pertinent provisions of the Massachusetts State PlumbinChapter 142 o Ge al Laws. BY Title &g4o6rtrof b6ense;dKtrrnffer City/Town Type of License: Master ❑ Journeyman ❑ �'PF�C711ED (O l License Number n -i r z > O > � m � A M p � O ao O �t C � O O C � = r m v z o ; z 0 v 0 r c Z 0 �t m r O O Z 0 m m A m c m m 0 z r •c 3330 Dates%.:. .f...G.(-.... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . V c. n . )�. .:e ................... . has permission for gas installation ..LA,-(/ .................... in the buildings of /2.,f. v. ................ • • . • • • • • at .. I.'-/' cl ..11-V �� . , f . ... .-, North Andover, Mass. Fee./.O.,.-. Lic. No.. GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer f O MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO ©O GASFiTTING f nt or Type) �u n o 1/F- `� .mass. lJate E E 6 1 R7,000 Permit # 3J O Bukding Location ��frs Name CgATt (!) r ) 3 - �O % Type of Occupancy New p Renovation ❑ Reptaoernent (M/ Pians Submitted: Yesp No ❑ Installing Company Business Name of Licensed Plumber or Gas Fitter 1 �— /Check one: l9' Corporation Q l Flt ?Z-=,_ ❑ Partnership -- a (45)s <3L ❑ Firm/Co. ,)(,\I,)(,\I rek" ) b-) 1 em i nQ Certificate �s-C' INSURANCE COVERAGE: \I-1 I have a curre�ntjabpity Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes EY No p If you have checked Ye, please Indicate the type coverage by checking the appropriate box A liability Insurance policy 931, 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 Mass. General taws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent ❑ Signature of Owner or Owner's Agent 1 hereby certify that all of the details and information I have submitted (or entered) in above plication are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit f this applicatio will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ral La BY T of License: Acen umber a ure um or r TOO- Gasfitter may, Master License Number m a LE -7 r r r -�S CityAPPRfT6F Journeyman a z 0 V W OL N z 40 N W 6 tl 0 IL Cf X I If 0 3 0 Date ..B/t.?/o TOWN OF NORTH ANDOVER PERMIT FOR WIRING K -q fl s Thiscertifies that ........................................ P .................................................. ?00 / has permission to perform ............................... wiring in the building of.... 6. !. �) C e at .... . C- . .... S-1 .......... S�� ................. . Nortl4Andover, Mass. Fee ...... ...... Lic. No Q ---- Check # 76S-6 ELEcrRICAL i PS�PECAMR�-C 1h: t.VL1lL 0Al/I:4LTHOFMAS"CflU.SET1S Office Use only3 DEPARTN.LENTOFPUBLICSAFEIY permit No. BOARD OFFIREPREVEMONREGMT70M527C1�fR 12:00 Occupancy & Fees Checked PLICA77ONFOR PERMIT TO PERFORM aECMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date —7-31-02 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. .� - -/�- .. 3 q ��-6g3 616 Location (Street &Number) � /' rn �. Owner or Tenant �; I ( _. 1 e Owner's Address Is this permit in conjunction with a building permit_ Yes ® No M (Check Appropriate Box) Purpose of Building Existing Service Amps NI Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work VV Utility Authorization No. Overhead Underground Q No. of Meters Overhead Underground Q No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground 1:1round No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. ofSwitch Outlets No. of Ranges No. of Air Cond. Total FIRE ALARMS No. of Zones Tons , No. of Disposals No. of Heat Total Total No. of Detection and Pumps Tons KW Initiating Devices No. of Dishwashers Space Area Heating KW No. of Sounding Devices No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local 171 MunicipalOther Connections No, of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs I No. of Motors Total HP r OTTER - IhaNcahnftdvandl axfof=w1othe0ffm YES �CE []3"' BOND a �nralecgn� IYES M"' • NO M If} mimedxd(edYES,pl mmdc*thetMxofoovw,Wbydukittgthe affER F-1 ft=) � ..1rspxfimD*RewmWd .'l� a.,,., Lt /Z A n - Jr 1 tSMMa vakreot]+kdri at Wolk Rao Final OWNER'SINSURANCEWAIVER;Iarnawatethatth Lxmsedomdott theittstaa<neamq andditry sig rnthspelm#�rwms�thismart (Please check one) Owner Agent ' Telephone No. r r , � L=wNo EZeZ% &EirmTel.Na AlTe0,h 7,-V',7�ZV-69 2-Z a'iisst>liegttivaia�astt�edbyMa�dai�C,erre-atiaws / PERMIT FEE $ ZZ 1) Location No. & f Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $� Check # _z ra-~ 15770 r ---Building Inspect r6- TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/I for of Buildings Date JC.4.11UP1 1-3I1L' 11vrUMNA11UIN 1.1 Property Address: 1.3 Zoning Information: 1.2 Assessors Map and Parcel Number: 61.-� 17 a - Map Number 1.4 Property Dimensions: Zoning District Proposed Use Lot Area (so Frontage (11). 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided /0 1.7 Water Supply M.G.L.C.40. 54) 1.3. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Bdl Cra levy, S+f Name (Print) Address for Service (,00G3-�nt4� Signature 2.2 Owner of Record: Name Print SECTION Q CONSTRUCTION SERVICES Telephone T Address for Service: 3.1 Licensed t;onstruction Supervisor: 06ay'kd lle\ClkQG' Licensed Construction Supervisor: nn pp Address ��r l� (t / L� Kt / / 6 ` Cs'r/ 7 signature UTelephone l.2 Registered Home Improvement Contractor k,),, H p r 1 S Ps to C.y et ,ompany Name Adress T Not Applicable 0 0/9//0- License Number 11SId Expiration Date Not Applicable ❑ (n)919,p Registration Number Expiration Date SECTION 4 - WORKERS COMPENSATION (M. G. L. C 152 § 2506) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ....:..0 No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 18'X 3%/ eovNe teA -e Wg ( I V vV\ ` � e r L� 4 row SECTION 6 - ESTIMATED CONSTRUCTION COSTS _ Print Neme- Signature of Owner/A ent NO. OF STORIES Item Estimated Cost (Dollar) to be SIZE OF FLOOR TIMBERS 1 ST 2ND 3RD Completed by permit a plicant DDAENSIONS OF SILLS 1. Building DIMENSIONS OF POSTS (a) Building Permit Fee DUAENSIONS OF GIRDERS n r dd ys 6 CSO Multiplier SIZE OF FOOTING 2 Electrical MATERIAL OF CHIMNEY (b) Estimated Total Cost of IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Construction 3 Plumbing Building Permit fee (a) X (b) Z 0 4 Mechanical HVAC 5 Fire Protection 6 Total (1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I Y P r es as Owner/Authorized Agent of subject property rb Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief a c OGv�0) _ Print Neme- Signature of Owner/A ent NO. OF STORIES Date SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2ND 3RD SPAN DDAENSIONS OF SILLS DIMENSIONS OF POSTS DUAENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE I FORM - U - LOT RELEASE FORM 1 INSTRUCTIONS: This form is used to verify that all -necessary approval / permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. ...............................1............................................. APPLICANT 1> k C r 01 1C, l r e e PHONE ASSESSORS MAP NUMBER 0(0-6"o LOT NUMBER �� 1 SUBDIVISION LOT NUMBER 3 Z STREET S G e rn r e STREET NUMBER 3 .........................................:................................... OFFICIAL USE ONLY ............................................................................ RECOMMENDATIONS OF TOWN AGENTS a7� a N 0 a E m 0 0 0 & m N E x x 0 a 0 a a a 0 ff R 0 a a \A DATE APPROVED C SERVATION ADNIINIS TOR DATE REJECTED DATE APPROVED DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED TIC INSPECTOR - HEALTH _p DATE APPROVED�- DATE REJECTED COMMENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE. U }ti' _fir z �_? i� � of 4:tr bferr� }��«utatto tr I md,9 rntl;trd+ moi—+s7,i'AC a.a N K K H Err e?,t� David Kelii y + s= PO BOX 1' h f sl NUfff r' GS 10191'9$ Birthdate Q7/150152 a'fpTs X07/15/2003 Tr no: 384 Re'strtCW X00 DAVID J KELLEY`t `.. 68 PARK .ST EAST NO R�AD:iNO, MA b1864, " Adoni6istrator �i 3888888E 89888890 oo®00000 8 •• •• ••omQC 00©m000m mumummus mommomml mmm 000© 0mmmmmmm o mm (o /-ts mm F3 /8 8 xxx cnAW o -m o rn x 4 O x W.,.�iv� �N.AN xxr 0 o D v< <� D m 3888888E 89888890 oo®00000 8 •• •• ••omQC 00©m000m mumummus mommomml mmm 000© 0mmmmmmm oa j/�- / (o /-ts - / F3 /8 00 o O o m J o O o .ts o m 0 0 o D v< <� D nrnvZ8D rnN 00 0017rS � 'ron M �ZLnr�-T, Ln ZX r D p OD C)D 0 0 0 0 0 0 0 0 — oa CD< ;u rnO c F Z -Tl v< <� D nrnvZ8D rnN 00 7 � 'ron M �ZLnr�-T, Ln ZX r D p OD C)D 0 �v �Z D — �_ v � z (1 o o• C) o N -� rr-� y o0 opo z 0TM -u � orn z cI F� ■ ;o.Cl: :40: cJ�Qo. •• •o :o D •'Q• ' 1?.Q•Q :� d'd' .�. T -II PO _ ` m Z �•'�•'� Z UI �/y qO � L3 otom; � 'd•d�Q v b • 1> ••4� U U) M M Cf) 0 m CA CD 1 y a Z O O d CL �. O CD o p CL c coo O W 10 CD pme. O 7 LTJ CO) d -N IM d Cl) CD O �F CD a y. CD CA 4%o 00 o 'cc" C N ,. /( ^^ as o CD /VJ m H V / t0 C7- OT C a • C. o N N ca < C N <:f VJ H y� m: CD: p On: O 0 Gr .. c7 0 CD o� O CD o od 0 C CD: Oq tz r:CD �Z ate• C.)d CA o lb pPTJ rfj S 9 r� y r ro o M 0 o gr i co5o vs or3 t �, ='am I m m c m o ca C7 C2 az .00 !_ w .d-► m T rop �to C o fmm m a CD 4%o 00 o 'cc" C N ,. /( ^^ as o CD /VJ m H V / t0 C7- OT C a • C. o N N ca < C N <:f VJ H y� m: CD: p On: O 0 Gr .. c7 0 CD o� O CD o od 0 C CD: Oq tz r:CD �Z ate• C.)d CA o lb omi 0 0 c pPTJ rfj S 9 y r ro o M 0 o rfl y y omi 0 0 c Location �� No. C,_ Date NpRTM pt TOWN OF NORTH ANDOVER "" � •,�O A Certificate of Occupancy $ a ► Building/Frame Permit Fee $ yes''"°' Eta s�cHus Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ 0 Water Connection Fee $ LO .a TOTAL $ _ �f Building Inspector 9777 Div. Public Works c PERMIT NO. 4// APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE MAP h40. /� LOT NO.— /1� 2 RECORD OF OWNERSHIP IDAT�IBOOK PAGE ZONE SUB DIV. LOT —NO. Dow i o4 f LOCATION ` J PURPOSE OF BUILDING t� I OWNER'S NAME 1' !r+ �, r, NO. OF STORIES SIZE OWNER'S ADDRESS 1� rn y� I / 1 BASEMENT OR SLAB e 1 ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST i1��� 2ND 3RD BUILDER'S NAME SPAN_ -- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES�'J REAR ' / 3 GIRDERS AREA OF LOT FRONTAGE/ HEIGHT OF FOUNDATION A THICKNESS IS BUILDING NEW SIZE OF FOOTING /6 xa 0 X IS BUILDING ADDITION�C J /G / MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND SC WILL BUILDING CONFORM TO REQUIREMENTS OF CODE L.A IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY u IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE PERMIT GRANTED / �} `-' ` 3 19 t rid - 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST /o D o EST. BLDG. COST PERS . FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSP[CTOI OWNER TEL# CONTR. TEL. #a Zoizol CONTR. LIC. # H.I.C. # BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY IES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY �FQFLOTLINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. m RIC ES APARTMENTS � � N CONSTRUCTION 2 FOUNDATION INTERIOR FINISH CONCRETE _8 PINE a 1 _ 2 I= _ _ CONCRETE BL K. BRICK OR STONE H_LAS D PIERS PLASTER DRY WALL UNFIN. _ 3 BASEMENT AREA FULL FIN. B M'T' AREA _ y, 1/1 1/1 FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 _ DROP SIDING WOOD SHINGLES CONCRETE EARTH HARD1rJ'D ASPHALT SIDING ASBESTOS SIDING COMMCN VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK N MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPE UA RIOR I� POOR AQl NONE DE _ rj ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX 1FIX 1 GAMBREL MANSARD TOILET RM. (2 FIX) F --- 1-1 SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD $HINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO g FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. b COLS. STEAM STEEL BMS. d COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS B•M'T 2nd _ ,., 13rd I GASOIL ELECTRIC NO HEATING m I A � � N I A MORTGAGE INSPECTION PLOT PLAN 2Eb• LOCATED IN: t�o2T H \XUgOVER DEED BK. L o PG: '6'15, BUYER: cRgg-1REE PLAN NO. -"!)V2)03 •O SCALE: '-Ste' BK. PG. DATE: "AR• I'I Ell) INV. NO. 11 S)l Le -r 3z i t' . 00 i `Yeop ? �Q•cl So + J 0 VA . 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