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TOWN OF NORTH ANDOVER
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PERMIT FO�PVMBING
This certifies t h at . . . . . . . . . . . . . . . . . .
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has permission to perform .........................
plumbing in the buildings of ... 13 .....................
at.-. . .......... North Andoven, Mass.
Fee ... 39 .... Lic. No.. .. ......... .......
PLUMBING INSPECTOR
Check #
7391
B. F. Murphy Plbg. & Htg. Inc
11
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(print or Type) 2Uf� 7
r` b I�i4 � �i�i Maas. Date �
w o�
Permitli 2
Building Location �U i �Ownees Name Q t✓u'-� '
Map: Lot: Zone_ Type of Occupancy ►-" l_
New ❑ Renovation ❑ Replacement � U. Plans Submitted: Yes ❑ No ❑'
FIXTURES
Installing Company Name B.F. Murphy Plumbing & Heating Inc. Check one: Certificate
Address 72 Holten St Danvers, MA. 01923 ❑ Corporation `
Estimate Value of Work: ❑ Partnership .
Business Telephone 978-774-3174 ❑ Firm I Co.
Name of Ucensed Plumber or Gas Fitter Brian F. Murphy
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 yfiai please Indicate the type coverage by checking the appropriate box.
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 Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Owner ❑ Agent ❑
Signature of Owner or Owners 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 knowledge and that all plumbing work and installations performed under the permit issued for this application, will be in oomplianoe with
all pertinent provisions of the Massachusetts State Plumb! n Code and Chapter 142 of the General Laws.
By F
Signawre of Licensed Plumbe
Tile
Type of Ucense: Master Journeyman ❑
City 1 Town
APPROVED OFFICE USE ONLY) Uoense Number 9325
Rem"d &2742
�o�onun�u�onunon�
MEN
Installing Company Name B.F. Murphy Plumbing & Heating Inc. Check one: Certificate
Address 72 Holten St Danvers, MA. 01923 ❑ Corporation `
Estimate Value of Work: ❑ Partnership .
Business Telephone 978-774-3174 ❑ Firm I Co.
Name of Ucensed Plumber or Gas Fitter Brian F. Murphy
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 yfiai please Indicate the type coverage by checking the appropriate box.
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 Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Owner ❑ Agent ❑
Signature of Owner or Owners 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 knowledge and that all plumbing work and installations performed under the permit issued for this application, will be in oomplianoe with
all pertinent provisions of the Massachusetts State Plumb! n Code and Chapter 142 of the General Laws.
By F
Signawre of Licensed Plumbe
Tile
Type of Ucense: Master Journeyman ❑
City 1 Town
APPROVED OFFICE USE ONLY) Uoense Number 9325
Rem"d &2742
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Date. . �A'
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
SACH S
This certifies that .... ................
has permission for gas installation ...
........................
in the buildings of ...........................
at .... � ............. North Andover, Mass.
Fee. Lic. No..
SINSPECTOr
Check#
5996
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
NOor Type)
II V 0 Mh And jU/��� l �r . mass. Date �,� P.e/rrmi`t N
Building Location /0 •&rinaham 9% ownersName
map: Lot: Zone: Type of Occupancy
G
New J Renovation .J Replacement A Plans Submitted: Yes J No J
Installing Company Name B. F. Murphy Plbg. & Ht -q. Inc
Address 72 Holten St_ Danvers, MA 01923
Estimate'ysfue of Work:
Check one: Certificate
J Corporation
L3 Parlrrsrahlit
Business Telephone 978-774-3174 U Firm / Co.
Name of Ucenssd Plumber or Gas Finer Brian F. Murphy
BISURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes U No U
If you have checked yam, please indicate the type coverage by checking the appropriate box.
A liability insurance policy U Omar type of Indemnity J
Bond U
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:
Owner U Agent U
tiignaturs of owner or Owner's Apert
I hereby certify that all of the details and information 1 have submitted (or entered) In above application are true and accurate to the hest of
my knowledge and that all plumbing work and installations performed under the permit issued for this application will be it compliance with
all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
By T of License:
Plumber Signature of Licensed pj
Filter
Tide Gaslitlsr
ter License Number �2 iV
City / Town Joumeyman
APPROVED (OFFICE USE ONLY)
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Date .... . ...........
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that J.,-
..................................
has permission for gas installation .. ............
4
in the buildings of .... ...........................
at ... North Andover, Mass.
Fee.��. Lic. No ...........
Check MPECT`06R,
3734
MASSACHUSETTS UNH ORM APPUCATON FOR PERMIT TO DO GAS FITTING
_, re or print)
NORTH ANDOVER, MASSACHUSETTS
Building Locations ,� U L -J 1z�rl / 4;�'yz aww
(' Owner's Name
New ❑ Renovation ❑ Replacement 1211/
pmdwj
r�l�G�`�'���
4 ' iX73
Permit # ��
Amount $
Plans Submitted ❑
(Print or type)
Address
Business
Name of Licensed Plumber or Gas Fitter )T, -j 0 6-71
ffone: Certificate Installing Company
Corp.
❑ Partner
❑' "FIrm/Co.
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑
If you have checked yes, please indica e the type coverage by checking the appropriate box.
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
Mass. General Laws, and that my signature on this permit application waives this requirement.
('harlr nna•
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have
best of my knowledge and that all plumbing work and insta
compliance with all pertinent provisions of the MassacAsel
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
Owner ❑ Agent ❑
:ed (or entered) in above application are true and accurate to the
performed under Permitued for this application will be in
Gas CQ4e and-ChanterU2 of the Gencm T mgs.
of Licensed Plumber Or Gas Fitter
❑ Plumber
❑ Gas Fitter
0 -Master
❑ Journeyman
9133
License NUMber
at
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&ORT
0 6
TOWN. -OF NORTH. ANDOVEM
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BUILDING DEPAFITMENt
Build. i hg/F(ame.Perm it Fee
SACHU
Fouridfition'Permit ee :$
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OFFICES OF: _ • - :� _ :Town of _ . , zo Maui Street
.. APPE.AL.S _ , - - North Andover.
.�. = NORTH ANDOVER
BUILDING ��'�;� - Mass6chU§etts o 1845
CONSERVATION DM ISION OF
HEALTH
f lei.\
'IN G PLANNING & CO,MMUNITY DEVELOPMENT A
r..
KARE:` H•P. ELS N. iRECTOR
In ac=-rd1znce with ( e ,,. :i^,: S 454. 3 condition of Building' ?e•:^i(
Norther is :hat the dctris resultinc ' -Cra this work shall be
disposed et .n s prone: ;slid -este -'•s,os=: :a -s :..c,: by MGL c 111• S
The debris will be disposer+ cf i:::
Scca:,care o" ..:mit �ppiicnt
Date
/'•
NOV-: Demolition permit fro= the Tou3 of ;forth Andover lust be obtained for
this project through the Office of the Building Inspector.
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Location
No. Date
OF NORTH ANDOVER
Df Occupancy $
ame Permit Fee $
Permit Fee $
it Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL
_LL
*- Building Inspector
IJ4 25.00 PAID -
1 9438 Div. Public Works
PEWMIT�APPLICATION FOR PERMIT TO BUILD - NORTH ANDD'
MAP 4-40. LOT NO.
2 RECORD OF OV
ZONE SUB DIV. LOT NO.
LOCATION
PURPOSE OF BUILDING
OWNER'S NAME A -ANO.
OF STORIES
OWNER'S ADDRESS /.���� D
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBER
BUILDER'S NAME
�dl llSi
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES - SIDES REAR
GIRDEF
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATIO
IS BUILDING NEW
SIZE OF FOOTING
IS BUILDING ADDITION
MATERIAL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID
WILL BUILDING CONFORM TO RE UIREMENTS OF CODE
IS BUILDING CONNECTI
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTI
IS BUILDING CONNECTI
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 AN,`.``D APPROVED BY BUILDING INSPECTOR
DATE FILED V
SIGNATURE OF OWNEWOM AUTHj PIZED AGENT
FEE
PERMIT GRANTED
`/- 3d 19�.�
,f'.
OWNER TEL. #
CONTR. TEL. # `_-'y�
CONTR. LIC. k 03410
H.I.C. 11 1163,317
OCCUPANCY
SINGLE FAMILY
S;OkIES '
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
d t 2 13
PINE
HARDW D
PLASTER
CONCRETE
CONCRETE BL K.
BRICK OR STONE
PIERS
DRY WALL
_
UNFIN.
3 BASEMENT
AREA FULL
FIN. B M AREA
_
1/1 1/1
FIN. ATTIC AREA
_
N_O B M T
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS
B
_
1
22 f 3
I_
_
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
_
HARD1!✓'D
COMMON
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. &
FLOOR
_
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR I� POOR
ADEQUATE NONE
10 PLUMBING
5 ROOF
GABLE
MIP
BATH (3 FIX.)
GAMBQEL
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 I
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM
STEEL BMS. & COLS.
HOT W'T'R OR VAPOR
WOOD RAFTERS
_
AIR CONDITIONING
_
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
GAS
OIL
B'M'T 2nd _
1.f 13rd
ELECTRIC
NO HEATING
BUILDING RECORD
12
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.
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