HomeMy WebLinkAboutMiscellaneous - 103 BRADFORD STREET 4/30/2018 (2)r
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Date ..yj.
TOWN OF NORTH ANDOVER
PERMIT FOR GAS
STALLATION
This certifies that .................. .
has permission for gas installation .... )? 44 :,? . . . . . . . . . . . . . .
in the buildings of ... 'r ...........................
at .?
...... North Andover, Mass.
Fee. ..... Lic. No.. ?-e, 3 6
D
......... .....
K. G�� 'IN'SPE*CT'OR
Check 4 3
596&
MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING
(Type or print)
NORTH
1ST.
FLOOR
2ND.
Date
4 ��
ANDOVER, MASSACHUSETTS
4TH.
FLOOR
5TH.
FLOOR
Building Locations 1(9-3
��Z
7TH.
ITH.
FLOOR
FLOOR
Permit
Owner's Name
s r
Amount $�
New Renovation
Replacement
Plans Submitted
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SU B-BASEM ENT
B A S E M ENT
1ST.
FLOOR
2ND.
FLOOR
3RD.
FLOOR
4TH.
FLOOR
5TH.
FLOOR
6TH.
FLOOR
7TH.
ITH.
FLOOR
FLOOR
(Print or type)
Name_
rift lerL •e ?4
Address
Business I a ep one
Cf=k one: Certificate Installing Company
Corp.
Partner.
u
Flrm/Co.
Name of Licensed Plumber or Gas Fitter U (J S�-e ult �
INSURANCE COVERAGE Check ne:
I have a current liability Insurance policy or it's substantial equivalent. Yes
If you have checked es please in ' ate the type coverage by checkingNO❑
the appropriate box.
Liability insurance policy Other type of indemnity 13 Bond ED
Owner's Insurance Waiver: 1 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:
Signature of Owner or Owner's Agent Owner 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 Permit Issued for this application will be in
compliance with all pert inent-°provisions of the Massachusetts S e as Ce anti Chapter 142 ofd% General Laws.
Title
City/Town
APPROVE (OFFICE USE ONLY)
,�ighature of Licensed Plumber Or Gas Fitter
Plumber 7-6 r?
(10
Gas Fitter (cense um er J
Journeyman
Commonwealth of Massachusetts
City/Town of
System Pumping Record RECEIVED
Form 4
" 11 � `1012
DEP has provided this form'for use by local Boards of Health. Othe�t��s may be used but the
information must be substantially the same as that provided h r��forel4l�i ' I check with your
local Board of Health to determine the form they use. The Sy errHP be submitted to
the local Board of Health or other approving authority.
A. Facility Information
1. System Location: Left / Right fronto house, Left / RlghtY ar of house ng'
s' a of house Left/
Right side of buildiN,-L�Right front of building, Left / Ric fit rear of b�9Fding, Un
2.
Address //' ' f
I
Name
Address (if different from location)
City/rown
B. Pumping Record
1. Date of Pumping
3. Type of system: ❑
❑ Other (describe):
Zip Code
State, p, S�V ,,i qgc
Telephone Number C}
�_a-c-cam
Date 2. Quantity Pumped
Cesspool(s) Septic Tank
4. Effluent Tee Filter present? ❑ Yes No
5. Condition of System:
�^�
6. System Pumped By:
Neil Bateson
Name
Bateson Enterprises Inc
Company
7. Location where contents were disposed:
X l� I r uunll Mhnxfe W-+—
t5form4.doc• 06/03
Gallons
❑ Tight Tank
If yes, was it cleaned? ❑ Yes ❑ No
F5821
Vehicle License Number
System Pumping Record • Page 1 of 1
System Owner
(-Co;TA:�K—Massachusetts nwealth of Massachusetts
►�
System.Pumying Record
ao�
Systern Location
Date of Pumping: _ra—�E'.�� Quantity Pumped: /O�gallons
Cesspool: No f'1 Yes L) Septic Tank: No U Yes
System Pumped by: arwort 46lr avuwj License #
Contents transferrred to : Greater Lawrence Sanitary District
Date:
Inspector:
Commonwealth of Massachusetts
City/Town of RECEIVED
System Pumping Record
sq:
s` Form 4 JUN 2 2 Z009
DEP has provided this form for use by local Boards of Health. Other form 70 W l VER
information must be substantially the same as that provided here. Before s' T' our
local Board of Health to determine the form they use. The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
Important:
When filling out
forms on the
computer, use
only the tab key
to move your.
cursor - do not
use the return
key.
A. Facility Information
1. System Location: Left front, lef�+1rear, ft side of house. Right fron re ght side of house.
Address ✓
Citylrown State
2. System Owner:
Name
Address (if different from location)
Zip Code
City/Town State j c Zip Code
Telephone Number
B. Pumping Record
1. Date of PumpingDatev� 2. Quantity Pumped: Gallons s6p
3. Type of system: Cesspool(s) U/Septic Tank Tight Tank
Other (describe):
4. Effluent Tee Filter present? El Yes
5. Condition of System:
0 (^\
6. System Pumped By:
Neil Bateson
Name
Bateson Enterprises Inc
Company
7. LocagW where contents were disposed:
of
Lowell Waste Water
If yes, was it cleaned? [ Yes Cj No
F 5821
Vehicle License Number
Date
t5form4.doc• 06/03 ' System Pumping Record • Page 1 of 1
Location
No. . S Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $ lj'`e
Other Permit Fee $
Sewer Connection Fee $
v4-% g� C, ter Connection Fee $
Building Inspector
No. Andover CoU
ctOC Div. Public Works
APFJXATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE 1
/z
`mach
2 RECORD OF OWNERSHIP !DATE
BOOK !PAGE
SNE
S DIV. LOT NO.I
lOCAMON 1&0'3
0 OPD c
IJ"i'
` M.
�U
PURPOSE OF BUILDING OAJ 9 1t A[ S
,{O 1 , �-1
OWNER'S N " E i , 01 p f f
NO. OF STORIES ice, SIZE
OWNER'S DRESS 1 3 6 RAO&) f1 �
1� V 1U`''
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST %Xi 2ND 3RD
1, ce 1
�-
BUILDER'S NAME I��y
SPAN 143
DISTANCE TO NEAREST BUILDING l,Y cv tDIMENSIONDIMENSIONSOF
SILLS
DISTANCE FROM STREET A cv
POSTS
DISTANCE FROM LOT LINES - SIDES , `i' REAR'aC
CC t
"' GIRDERS
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION / THICKNESS [ P
IS BUILDING NEW
SIZE OF FOOTING t C) J, 29, 0 J`X
ll /
IS BUILDING ADDITION
MATERIAL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND 4o `�10
L,Jtc
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER C
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER CJ
IS BUILDING CONNECTED TO NATURAL GAS LINE (%
INSTRUCTIONS �OJ,�DgTiDw )10- 017- D9/o9/Q/j
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 FILEDkA✓ I+ 9'i
SIG N/�TUR40A& IOWNEk A `UTHQRIKED A NTS
F E E V T6/e Cy
PERMIT GRA
19
CONTR. TEL.
CONTR. LIC.
POD^�iSZ
m
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST /7
e'Do,
EST. BLDG. COST PER SQ. FT.V log
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
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Carpentry and Design
GEORGE M. MpLMgERG
(*Wu I6,<der
MA Lic. 040559
Andover, MA 01810 (508) 475-4442
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SUBDIVISION
ASSESSORS MAP
SUBDIVISION LOT(S)
PERMANENT ADDRESS
-STREET I n --;t, 9Q-4
FORM U
TOWN OF NORTH ANDOVER
LOT RELEASE FORM
ASSIGNED—BY D.P.W.
,4PLICANT �� W%PHONE 4- 6 5- 4qf
L,ATE OF APPLICATION • 1 S J
TOWN USE BELOW THIS LINE
PLANNING BOARD AA/
/v
// DATE APPROVED
TOWN PLANNER DATE REJECTED
CONSERVATION COMMISSION
J/ DATE APPROVED qhk
CONSERVATION ADMIN. -O ADMIN.-ODATE REJECTED
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT
SEWER/WATER CONNECTIO,NS�
IRE DEPT. yeti
DATE APPROVED
DATE REJECTED
R604aw
RECEIVED BY BUILDING INSPECTION
DATE 19111 j
This form shall be signed by the agents of the Planning and Health Boards,
the Conservation Commission prior to the issuance of any building permits
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.
I
I
REGISTERED STRUCTURAL ENGINEERS ' `' '
1
DENCO ENGINEERING, INO.
NEW YORK ----------- 37301 37201
BTRUCTuIiAIiENaJ�aaRs
NkINE w9------- .
--
------ 1194
148 Park Street
vaRNDHT ----- »�------- 9009 �/`'.`.'J
CONKS HDSETTB :---------- 9489
CONNECi':cuT •---------- 7497
01864
(017) 844-8440. (1508) 6646788
RHODE I8UWD------------ 7017
KENNETH DENNI80NO 98
NEMER - AMERICAN SOCIETY OV OVIL INGIVIRM
PROFESSIONAL ENGINEERING SERVICE SINCE 1956
Residence Addition
OFA Jos x4.10„ 9
dOoHansen
SH99TNO.�1....,
103 Bradford Street
KFD • 6/29/91
No. Andover, Massachusetts
DRAWx Rr.. DATE
REVISED . ..�.�._ OIITE '•
C 0 1991 DENCO ENGINEERING, INC.
George Malmber Builder CUEN1 - g g
Calculate size required for Glti-Lam ridge beam.for addition.
Reference plan is to be revised by others to show 25 foot wide
addition and notation of correct size of beam.
Design span of ridge beam = 14'-0"
Width of contributory roof area = 25'-0"
Unit Roof Load:
Fiberglass shingles + 15 lb: felt = 5
5/8 CDX sheathing = 2
2x12 @ 16 rafters = 5
h" sheetrock + f.b. + furring = 6
Cedar ceiling = 2
Dead load.=
Snow Load
Total Load
Uniform loading of ridge beam
Roof 50x12.5 = 625
Beam D.L. 25
2.0 lbs/sq. ft.
30 lbs/sq. ft.
50 lbs/sq. ft.
Design Load = 650 lbs/foot lin.
Maximum bending moment = 650x342/8 = 15,925 ft. lbs.
Design Douglas Fir Laminated,Beam Combination 24F
F = 2400 X:1.15 (Short term snow loading factor) = 2.760 psi
Required section modulus = 15,925 x 12/ 2760 = 69.2"3
Try 58 X 12 (8 lams @ 12") E = 1.8x106 I =450"4 S= 75.'W
Check Live Load Deflection w = 30 x 12.5 / 12 = 31.25 lbs/in.
LL Deflect. = 5 x 31.25 x1684---- = 0.400"
384 x 1.8 x 106 x 450
Allowable LL Deflection = 168/360 = 0.467"
CONCLUSION: USE.58 X 12 Douglas Fir Glu -Lam Ridge Beam (8--1 lams)
Date. /-7 . .� .T.... .
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that .. � !�. �! . ..
has permission to perform ....ff fes.. �.................... .
plumbing in the buildings of ....,,f. .r.4.k-: ...............
at .. C ........ , North Andover, Mass.
Fee.) -.j-., Lic. No.. . ........
PLUMBING INSPECTOR
Check # L
5088
n �rwvrw• �vvV
(Print or Typel
11 -UH P
Check one: Certkicate
Installing Company Name A� nfSot)p 4 14 , "r,,,,, (Carp. 2127 -
Address
(ZZAddress 20 1! ARcAn �*; V v-%; t� ❑ Partnership
❑ Firm/Co.
Business Telephone (011b) e R -, 83g__
Name of Licensed Plumber , vqe
INSURANCE COVERAGE: ec e
I have a current Ilabilty Insurance policy or Me substantW equhratent Yes G7 No ❑
It you have checked y", please Indicate the type coverage by checking the appropriate box.
A (lability Insurance policy [il 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 Maas. General Laws, and that my signature on this permit application waives this requirement.
Check one:
gonstuts of 0wnef a OwnersAgent Omer ❑ Agent ❑
I hereby cwrilfy that all of the details and Information I have submitted for en(ved) In above appikation are trw and accurate to the best of my
knawledge and that ae plumbing work and installations Wormed under the p rmlt Issu�Gw�wsi.
plication wit be In compliance with aA
pertinent provisions of the Massachusetts State P}umbing Cade and Chspiw ij2 of fM
This bignatWrol
Gty/Town Ucenss Number
AF'f fUWD (OFF)CE USE ONLY) Type of Plumbing License. Master
Journeyman 0