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HomeMy WebLinkAboutMiscellaneous - 94 MAIN STREET 4/30/2018 (2)I r -I Date .... 21.1 ............ TOWN OF NORTH ANDOVER PERMIT FOR WIRING 6P,(Aj wat�A-P ' This certifies that .......................................................................................... has permission to perform .. OVA+- ..................... f.l./ ........ ..... .. .. ..... ... .. wiring in the . .......bulld* g of ....Sk . ,"... ...'..i ....................... .................................................................... at ..............9 ... I....x .................... North Andover,Mass. ............... ........ Fee .............................. I ic. Not q.1% -o . . .......... ELEc*rRiC'AL**iN'SPEc*roR Check # ­ J-- Ili ,a �* Commonwealth of Massachusetts Offi� 1 use Only Permit No. 72 Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank •M 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 INFORMATION) Date: City or Town of: NORTH ANDOVER 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) C( iA(1A�j S �, �. l+v�tSlc2vtf Owner or Tenant t.,1S c- Q h ti k e e n Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No K (Check Appropriate Box) 1 L,� (� 7 Purpose of Building Utility uthorization No. - Existing Service Amps Volts Overhead Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity 0 0, Location and Nature of Proposed Electrical Work: p "�—L�y� Comnletinn nfthe fnllnwino tnhle mini by wniwd by thv A.cnortnr of Wirv.s. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans v No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above Ei In -o. Swimming Pool rnd. rnd. El o mergency Lighting Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and InitiatinLy Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number Tons ............. I KW '"""........"'.."' No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: 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, or as required by the Inspector of Wires. Estimated Value of Electrical Work: '� ,� U G (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. FIl2M NAME:. V-N,\��.�� ��c n LIC. NO.: Licensee: Signature _ LIC. NO.: (Ifapplicable, enter "exempt" in the Iense wz er line.) Bus. Tel. No.• cl l 'S`II"71 U Address: Q..Ic �iA OA. ©\t7sS Alt. Tel. No.: (A Ib -Tl rtiC *Per M.G.L c. 147, S. 57- 1, 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 required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance -with the provisions of M.G.L. c. 143, § 3L, the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall -be limited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses conceming the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending through August 15, 2012. ❑ Rule 8 — Permit/Date Closed: *** Note: Reapply for new permit ❑ ❑ Permit Extension Act — Permit/Date Closed: • Trench Inspection Pass M Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass M Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: . Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass ailed Re- Inspection Required ($.) ❑ Inspectors Comme .4 3 211 Inspectors Signature: ivo ALL Date: ROUGH INSPECTION: Pass 0 Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: FINAL INSPECT ON: Pass Failed Re- Inspection Required ($.) ❑ Inspectors Comments Inspectors Signature: Date: DEB WEINHOLD ... TOWN OF MERRIMAC, MA........dweinhold@townofinerrimac.com r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Uf www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: Phone #:. Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. I ship and'have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ 1 am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, §1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. I -Homeowners who submit this affidavit indicating they a're doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance -for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certto under the pains andpenalties of perjury that the information provided above is true and correct. Signature: Date: Phone #: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other - - - Contact Person: Phone Information and Instructions - Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who, has not produced -acceptable evidence of compliance with the insurance coverage required" Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or' -permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massaah-vse Department of l dustrial ,Accidents Office of Investigations 600 Washington Street Boston} SIA, 02111 Tel # 617-727_4900 ext 406 or 1-877:,MASSAFB Revised 5-26-05 Fay, # 617-727-7749 wW.mass,govaa � ° U) � « 2 .� co a I \ .®o r 1NA OF INORTH ANDOVER Office, Of the •IFANI.N&A kiln �LtY .SAe ``elo� ` 4.Y�L and Se? RTlces 1600 Osgood Strut North Andover, -Niassacbusetts 01845 Gerald Brown Inspector of Buildings March 31. 2009 Lisa Shaheen 3415 Lakeview Blvd Delray FL 33445 RE: 94 Main Street North Andover -1'elcyifiono (97,S) 6188-9545 Please be advised that upon an inspection, requested by the Police Department, of the rear garage structure on March 28th 2008 it has been deemed that the structure is in an unsafe condition which may result in injury to abutters or abutters property, local children or anybody utilizing the structure for its intended use. Please accept this letter as a official notice under the Mass State Building Code (780 CMR) section 121 Unsafe Structure which states in part "The building official immediately upon being informed by report or otherwise that a building or other structure or anything attached thereto or connected therewith is dangerous to life or limb or that any building in that city or town is unused, uninhabited or abandoned, and open to the weather, shall inspect the same; and he shall forthwith in writing notify the owner to remove it or make it safe if it appears to him to be dangerous, or to make it secure if it is unused, uninhabited or abandoned and open to the weather. Please contact me so that we may begin the process to remedy this in a timely fashion, I may be reached between the hours of 8:30 — 10:00 AM at 978-688-9545. The State code also has serious penalties for failure to make a structure safe section 118 states in part ". Whoever violates any provision of 780 CMR, except any specialized code referenced herein, shall be punishable by a fine of not more than $1000, or by imprisonment for not more than one year, or both for each violation. Each day that a violation exists shall constitute a separate offense. Respectfully, Gerald Brown Inspector of Buildings 0 N rn cc M a' 00 N: ch 06 00 is a N 0(D(OD O' JJ 1 s •' .0f M V'd' N Y y 1 ,,.j,,e. co W �' �.. v ao 00 Z .� = O o�� LLC9�cD 1- Quo j. _00 QZ y.: W'Otn� �JJ i.. 20 �.N c O ` O:N V>N DCi.:QQ LL O <0 F' Gi' Z Z OOT LO (MLL Z c0 rl +. w �. (f)`1 O 4 N Z tA7:M N ••" at Q i { G W;OD ao J v) o> V'o w>.:Lf) LO Q a� ' a) a) >mm E— xd Q� w m �tA Z H N Ul O O Q CD M ..'; t 6 O a) ..�5 r O' � N( � •a .`-. Z i' Q N M 1 rL p y` CL N� 0 d `- Z .V) t/): C7 O U CL CO N i'a >:�,, Q E:C7 V 0 m N _I'Q� C E E mr E R U- - C7 Z f -m m o t 00 N r a) Of Q' n omni miL mac+ CLQ LL ' LLQ C.Q C m O p a -O "� Wa-oc <mo �a)�oo 0 ry �.� �N QN r 1t�. 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I LF -T Cie A 7; , �trl. if: L5 14 wow Wool �t,JoewY d DOO NJ . ON Tal All, W, 0, tj , ns YE1 �tvl Poo m _59 Qj I a 2w iR' 4; NIX MFMa 7 7i Kll"— _59 Qj I a 2w iR' 4; NIX .fn251996 FORM U - VERIFICATION 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 local or state law, regulations or requirements. ******************Applicant fills out this section***************** APPLICANT:-r�/�Wi'i/%,�/G%���� Phone6 00. (jc--- 7—r LOCATION: Assessor's Map Number Parcel _ Subdivision Lot (s) Street /�/(P /!'(% St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Town Planner Comments Food Inspector -Health Septic Inspector -Health Comments Public Works - sewer/water connections - driveway permit LWe' Department 4 Received by Building Inspector Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date CN r-1 W w cd W N 7 0 om oz c c CD c cm cm O C 4 cj c� ac M ev o O n"�k �c V: CD L CLCD EE CD tm y _R . m m i 1 y y m 3 sm m _m E " m CD S h m m C O Q C., ca O- Z c � o F- y m C _ m =CD O � a c �y R fC cc �E B., as , y W ` V 'O V Of V GDp 0 !EC_ to Q Co 'F O '6 ca .00 col H L y0. C CO J O occ c v CO C co 0 CL C �C c CO) OO w C/) u v� w GG 'tS O w C rL Ccw U G ii 0� w a w" a O w rte' v > cn i�cz w x O rw w z w v CO z v V) p V) W N 7 0 om oz c c CD c cm cm O C 4 cj c� ac M ev o O n"�k �c V: CD L CLCD EE CD tm y _R . m m i 1 y y m 3 sm m _m E " m CD S h m m C O Q C., ca O- Z c � o F- y m C _ m =CD O � a c �y R fC cc �E B., as , y W ` V 'O V Of V GDp 0 !EC_ to Q Co 'F O '6 ca .00 col H L y0. C CO J O occ c v CO C co 0 CL C �C c CO) CERTIFICATE OF USE & OCCUPANCY Tori of North Andover Building Permit Number Z / Date Ze THIS CERTIFIES THAT THE BUILDING LOCATED ON 9 Gi K4/9-1 14 S 7-- -7- MAY ' MAY BE OCCUPIED AS / S r_ . o P- i2 c 6/-/T 40"1- IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO C 0S - -74� Gf S -7 -- ADDRESS s a CERTIFICATE OF USE & OCCUPANCY Tori of North Andover Building Permit Number Z / Date Ze THIS CERTIFIES THAT THE BUILDING LOCATED ON 9 Gi K4/9-1 14 S 7-- -7- MAY ' MAY BE OCCUPIED AS / S r_ . o P- i2 c 6/-/T 40"1- IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO C 0S - -74� Gf S -7 -- ADDRESS r� O H b` O z C\ r-: .-A Cl) O �o a CD L O o � Z CD CL O y ' cm NA p 'O a CO) O O •g W CD • CL O i L : C� O o O O N _R O Q ii cmQ coo U O = C cc � W O W Z v O d V C acc R C Q xU V) :a CO) Q W ° 'off :GQ z N a E Ea a CD \ m pa E T o U tz o v y0„ H cz Q o a O CD a m u W G ' o 00 V) o a w° U w w w� V) cn .-A Cl) O �o a CD L O o � Z CD CL O y ' cm NA p 'O CO) O O •g W CD • CL O i L : C� O i � O O N _R O Q ii cmQ coo UC O O = C cc V 10 cnco Z v O d V C acc R C Q :CDCD :a CO) Q 'off :GQ N E Ea CD \ m y0„ H O CD o o 0 t CD E c= CIO m co m CL N y CA cm _.: "m N C � cm � ) L C N N ed = 0 N m CQ 0 dC� i cm m • N m � � = L O cm .r = V N O C.) •; Z p R O C HO. CD m y m = C N = CO t r.• O. CO y..+ d iA W C CQ O 'O �• 'Q +�+ umi � 'N m v ecv ...- o N = GL _ Z LLJ � E ow o v a oCDo� Q = R L O`CL y C .a -m C .-A Cl) O CD L O o � Z CD CL O y ' cm NA p 'O CO) O O •g m an CD 0 CD CL L O � O i � O 0 O _R O Q ii cmQ coo O = C cc V 10 cnco Z v O d V C C C CO) Q location ham. Date N°RTH TOWN OF NORTH ANDOVER p Certificate of Occupancy $ plfuilding/Frame Permit Fee $ *• . s 5,IEOundation Permit Fee OR r"L Other Permit Fee $ N , Sewer Connection Fee $ 'iter Connection Fee $, r TOTAL $ Building Inspector' Div. Public Works PERMIT N9._ 612GAP APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /PAGE 1 MAP K40. LOT NO. 2 RECORD OF OWNERSHIP iDATEBOOK PAGE � ZONE COMM. SUB DIV. LOT NO. 1 91 78 ( 1339 784 LOCATION 94 MAIN ST. PURPOSE OF BUILDING RENOVATIONS OWNER'S NAME CBS TRUST//ASA MEY SHAHEEN NO. OF STORIES 3 SIZE OWNER'S ADDRESS 94 MAIN• •L''�Lti' BASEMENT OR SLAB ARCHITECT'S NAME JOSEP�H�� D LAGRASSE SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME EASTMAN WEDGE SPAN DISTANCE TO NEAREST BUILDING rKt>-r(fjq ?)V, �,QIN(�r DIMENSIONS OF SILLS POSTS DISTANCE FROM STREET fol t EkccJ-ro-s(i j3t-x(-0IBJ[, _ _J DISTANCE FROM LOT LINES — SIDES �� {- REAR �OI t GIRDERS AREA OF LOT FRONTAGE ADO 1 {- HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION YES IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE YES IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY N//1 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 rcecm�� u�cnn�ev v.. 1141\ ILL..n r✓ CONTR. TEL. # 603-382-470: CONTR. L!C. #-, 048142 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST $1511000 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY WARD OF HEALTH PLANNING BOARD WARD OF SELECTMEN v f x BUILDING RECORD 1 "OCCUPANCY 12 e SINGLE FAMILY THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. MULTI. FAMILY APARTMENTS S�OkIES OFFICES CONSTRUCTION 2 FOUNDATION—I CONCRETE CONCRETE BL K. BRICK OR STONE PIERS 8 INTERIOR d PINE HARDW D PLASTER DRY WALL UNFIN. FINISH 1 2 13 3 BASEMENT AREA FULL FIN. B'M'TAREA '/ '/r r/ FIN. ATTIC AREA _ N_O B M T HEAD ROOM FIRE PLACES MODERN KITCHEN _ _ 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 �_ 3 _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ CONCRETE EARTH HARDI!d'D COMMON ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MA—S—UN—RY1 BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY _ STONE ON FRAME SUPERIOR II POOR ADEQUATE 1 NONE 10 PLUMBING 5 ROOF GABLE GAMBREL _ HIP BATH Q FIX.) MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR _ TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. 6 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS GAS 7 NO. OF ROOMS OIL ELECTRIC B'M'T 2nd _ lar ( 3rd I NO HEATING 01 r r NAiril'"A •V �-Wry �� NO: i rrr o COMPUTER PERIPHERALS & NETWORKING SOLUTIONS Febuary 1, 1993 To whom it may concern: Please let it be known that CBS Trust has contracted LaGrass & Associates to inspect, certify, and take over supervision of the renovations to 94 Main Street. If I can be of any further assistance please do not hesitate to call. Sincerely, StepWOCBS Shaheen V.P. Trust 94 MAIN STREET • NORTH ANDOVER, MA 01845 TEL (508) 686-9099 686-7671 • FAX (508) 686-7197 Will Z a V ii 2 0 012 z 10 L) Z C4 In D U. ILL, z 20 -24 w Lij lz 0 �Cv oytz < cl ILL > IL LU 0 ILL LU 01. 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V C p m c V3 O' cmCL O = W ` N = CL *z CO Fla vJ IN co O CD O Z 0 O CO) 0o .co) O L a� i 0 v CO) O V .51 CO) 0 m 0 1=- � yO+ CO LLJ CL C Om C z o z W O •C Q co Co m LU U) Z 0 = U m �� Q C � c J Q I.p z O CO J Z Z co Q� y C ui W F— z \ z z cc: 11' Q J_ U) r.•.�aysr� I IQ UNiFORM APPLICATION FOR PEAN11i' TO b0 t3ASF1TTINC3 (Print or Type) NORTH ANDOVER , Mass. Date y t Building Permit Location 2 41 Owner's � Name ' New ❑ Renovation ❑ Replacement ��' Plans Submitted: Yes p No Installing Company All Check one: Certificate J] Corp. . El Partnership ❑ Firm/Co. Business Telephone / Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE:: Check one I have a current liability Insurance poilcy or its substantlel equivalent. ' Yes ❑ No ❑ If you have checked yes, please Indica a type coverage by checking the appropriate box. A itabglty 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 Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: %nature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and Information I have submitted (or entered) M above application are true and accurate to the best of my knowledge and that all plumbing work end Installations performed under the permN Issued for !hi Pertinent provisions of the Massachusetts State Gas Code and Chap of 142 of the ap I{catl n will In compliance with all BY (r' I , T nse: THIS Plumber na urs o nse um er or as er Dasfitter C �[TQ M umeyman Ucense Number APP110VED (OFFICE USE ONLY) 292 Date . 94": /� :. 5:c . „ORTH TOWN OF NORTH ANDOVER pF „ao ,e 1ti0 PERMIT FOR GAS INSTALLATION • ♦w n This certifies that ... tela. .` �' =q (!' .. , l .. ! ............ g has permission for gas installation ... ................. in the buildings of ..S/ t1. el, ......... . ......... . at ... ,` .,l'J , �?/h ... S./-.......... , N th Andover, Mass. Fee. a.(? j Lic. No../.) 3 a U . ... .. ..... AS INSPECT WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: +Mepartmeut of Vuhiij: _+tifetg ' w BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only a � (1 Permit No. J 3 Occupancy & Fee Checked 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date _'"��— c (X* or.Town of__N _AN M_V_F.R To the Inspector of Wires: The udersigned anolies for a permit to perform the electrical work described below. Location (Street 8 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes u No El (Check Appropriate Box) � Purpose of Building A6A4�Ta I �,Uttility Authorization No. Existing Service 00 Amps �� ``—Volts Overhead U Undgrnd ❑ No. of Meters _s5_ New Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location d Nature of Proposed Ele � No. of Lighting outlets No. of L�chting Fixtzares No. of Receptacle Outlets No. of Switch Outlets :o. of Ranges No j*, Disposals No. of Dishwashers ctrical Work _ No. of Hot Tubs Swimming Pool Abuve0 grnd. L_. In- —� grnd. LJ No. of Oil Burners No. of Gas Burners No. of Air Cond. Total tons No.of Heat Total Pumps Tons Total KW Space/Area Heating KW No. of Dryers ` Heating Device. No. of of VWater Heaters -• •_ KW� _ Sions_ No. Hydro Massage Tubs I No. of Motors OTHER: ' No. of Transformers Total KVA Generators KVA No. of Emergency Lighting Battery Units FIRE ALARMS No. of Zees No. of Detection anu Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices KW I Local ''4uni::ip2! r ICthpr L Conn3cticn L No. of Low Voltage Ballasts Wiring Total HP INSURANCE;yyCOVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a cLObnt Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES = NO _ I have submitted valid proof of same to the Office. YES = NO = If you have checked YES, please indicate the type of coverage by checking the appy nate box. INSLkpCE ' OND - OTHER (Please Specify) �v to S� (Expiration Date) Estimated Value of Electrical Work S �%#ill r Work to Start Inspection Okte Requested: Rough Final Signed under the Penalties f perjury: FIRM NAME _ LIC. NOFr �0 Licensee Signature LIC. NOV 46� �s. Tel. No. Address " /Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (PI se check one) //�Q� f� f i Telephon4lN ��v `���ERMIT FEE S - ( gnature of Owner or Agent) X-6565 All fo-) (e (:; g- 9,5�,�� k , 326 HORTp O P • i • ,SSACMUSf Date .... ......%..✓. 1.! TOWN OF NORTH ANDOVER PERMIT FOR WIRING S t` This certifies that ...........� ..!. �.t. vt.`.- .............................. 'Q 1 ,) 1 has permission to perform ..... R�411oj1 •• 0 wiring in the building of .......��... c1.�1. �.e..................... w at .............`` .......... k AC&_%b:1....... .......................... , North Andover, Mass Fee.. .... Lic. No. ,j............................................................... ELECTRICALINSPECTOR C V <$ 1 yll WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Date.. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ............. .............. 11 - has permission to perform plumbing in the buildings of k at .. ?y ................................. North Andover, Mass. Feeel >No..........— , "-- , xt- ......... Lic. ..... /-- - - -L-�-'� ........... PLUMBING INSPECTOR Check # 5120 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building I N 57 ners Name fdC P—r k 1'3NbbU•C9- < Date 2Permit # Amount ,(� °� Type of Occupancy 61,16 g4 M-r-fzc:��— New 0 Renovation ® Replacement 1:1 Plans Submitted Yes ❑ No ❑ FIXTURES i (Print or type) C— c Installing Company Name �lJOL� 802 1 J a Address �- 3 �'4-1 P� Check one: Certificate © Corp. A6 V '�)— ElPartner. ElFirm/Co. Name of Licensed Plumber: A - pPo bbof2-0 Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond Insurance Waiver: threeinsurance It IN] I, the undersigned, have been made aware that the licensee of this application does not have any one of the above Signature IOwner ❑ Agent El 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 knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusettstate Plumbing Code, and Chapter 142 of the General Laws. y: City/Town APPROVED (OFFICE USE ONLY Type of Plumbing License icenseINUMDer Master Ek Journeyman