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HomeMy WebLinkAboutMiscellaneous - 105 PLEASANT STREET 4/30/2018 105 PLEASANT STREET 210/070.0-0005-0000.0 Date.....�.421.I ............... OF V-40 TOWN OF NORTH ANDOVER 0 PERMIT FOR GAS INSTALLATION This certifies that .6LX.w.IU.q.&j..-f.....Pr'C.mL...................................................... ...................... .. ......................... has permission for gas installation ..q.Aj......i.erA- e................................................ inthe buildings of................................................................................................................... at... ........... North A dbv r, Mass. Fee,3().fA.-..-.)..... Lic. No . . .... ..... ... .................................. , AS INSPE4tTOR Check ? 165 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK , CITY I f U 6Y wµ MA DATE .�� . PERMIT# �U S. JOBSITE ADDRESS /Q� O ;OWNER'S NAME L OWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL', EDUCATIONAL , RESIDENTIAL, PRINT CLEARLY NEW:,'• RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO APPLIANCES Z FLOORS-- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER , Pf i CONVERSION BURNER COOK STOVE „ DIRECT VENT HEATER r , j DRYER _ FIREPLACE FRYOLATOR _.: �� , _. ..:. FURNACE GENERATOR _ . GRILLE INFRARED HEATER LABORATORY COCKS v "" MAKEUP AIR UNIT . .... usl OVEN POOL HEATER _ ROOM/SPACE HEATER - ROOF TOP UNIT _....... . _ _. TEST UNIT HEATER - UNVENTED ROOM HEATER � "" " WATER HEATER OTHER a , c z f INSURANCE I have a current liability insurance policy or its substantial equivalent COVERAGE which meets the requirements of MGL.Ch.142 YES 'NO , I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAG CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ._... OTHER TYPE INDEMNITY w" B0ND . . OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Ma/s�s—a'chusetts eneral La ,and that my signature on this permit application waives this requirement. w ; CHECK ONE ONLY: OWNER ', AGENT , SI ATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true andaccurate the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with Pert ntprovision of the Massachusetts State Plumbing Code and Cha ter 142 of the eneral Laws. PLUMBER ASFITTER NAME ` LICENSE#/ k SI NATURE MP; 00, MGF JP JGF LPGI' CORPORATION, a• PARTNERSHIP, " # m" LLC # COMPANY NAME: V7 .., ADDRESS. Gc,�Jf' er ,1/-- _ CITY (� STATE/ ._ZIP TEL:_ "�f��� Dl y7 FAX CELL' °EMAIL= •�s _.�^y � . .� . �. - ,..� ;. �� `� � �� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTINIv (Prtbt or Type) 1 NORTH ANDOVER Mass. Date building Location lO�'" Z,'-- -S At—IV �' -S7^ f 9 Permit # S/ u/6 Owners Name New 7 Renovation 0 Replacement Plans Submitted FI�,I iV N W 0�24 I x x cc N Q N CC O j N Y F ` to a p u x rn sro Id t- a cc z z o Z W d to a) F` 4 rC O ; O O W F- a w 4 t`t W F- N A' a 4 � 4r to a x Cn Q M o Q > W x cc I+ x IW O ? W N C) H W W < a f' >- N aA = o z � O to X 4 cc 4 C o O w O W Ir— cc Cc X O O Y u. O In to J U M y 4 M t— O SUEZ-0SS'.1T. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR TTH FLOOR STH FLOOR (Print or Type) Check one: Certificate Installing Company Name ��-S1-7 °S U Corp. Address —5� i9 l�'-Cl/q E�� � /��./�`�J����� Partner. Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy jj� Other type of indemnity 1� Bond Insurance Waiver: I , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner L� 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 test of my knowledge and that all plumbing work and InstaUalions pesfom►cd under Permit issued to. this application will be In compliance with all peitinent provisions of tho Massachusetts Slate Gas Code and chapter 142 of tho General hs wt. B Y TYPE LICENSE: Plulr�ber Xe--� Title Gasfitter Signature of Licensed City/Town: Master Plumber or Gasfitter Journeyman 72�� APPROVED (OFFICE USE ONLY) License IJumber � o • .' Date.'P"'. . . . . o TbWN OF NORTH ANDOVER HORTN C' 320tt E NAL {LL PERMIT fbR GAS INSTALLATION AS 94 0 - ��' y V This certifies that . . . r:f.'... . .. . 1". . . . . . . . . . . . . has permission for gas installation .�k: *. . r -in the -buildings of r f rr F I~v t . . . . . . . . . . . . . . at !t. ..;. .. . . !. -.. �. . . . . . . . . . .. North Andover, Mass. Fee!/ Lic. No �', . . . . . . . . . . . . . . . . . . . . . . . r GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File �s rd Office Use Only aammonwealo of 1tt Massat oPermit No. •• J u � -0 ttltutttttntt ofubttr f3afittv Occupancy 3 Fee checked �* BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3190 (leave blank) 'N ` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 `t (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date92 �or lbt vn Of ANDOVER � To the Inspector of Wires: the udersighed I pliers for a permit to perform the electrical work described below. �f Lt5catibn (street & Number) Zoo zitit S� Ciwner or Tertiartt P �/< �.�i bnehi Address _/L Is this permit In conjunction with a building permit: Yes ❑ No ❑ (Check Appropriate 8ox) N e -0urpos&of Building e_.::-_-_10yee,G 1^17 Utility Authorization No. r , Existing Service 02 Amps 10 Volts Overhead 93-- Undgrnd ❑ No. of Meters :V, New Servtt:e Amps =001k Volts Overhead _Undgrnd ❑ No. of Meters r Number`of Feeders and Ampacityk `Location antl Nature of Proposed Ele6trical Wo rk _� ( �_ DIJS'e Qt Total N0:of Lighting duttetb No. of Hot Tuba No. of Transformers KVA r Nd of Lighttng Ftittttree Swimming Pool Above in- grnd. ❑ gmd. ❑ Generators KVA 14 No. of Emergency Lighting No of FleCeptsc1-6 Outlets No. of Oil Burners Battery Units No of l3witCft Outfet8 No.of Gas Burners FIRE ALARMS No.of Zones +5 , No-of R6rtdis No. of Air Cond. Total No.of Detection and tons Initiating Devices f r No, of Disposals c No.of Heat Total Total Pumps Tons KW No. of Sounding Devices °t No, of D`I No. of Self Contained F ifs t hwistshbre SpaCelArea Heating KW Detection/Sounding Device$ ° No of Dl�ra Heating Devices KW Local Municipal Other z,b _ ❑ Connection ❑ k Yht „ No. of No. of Low Voltage Nb of M* 4 tare KW Signs Ballasts Wiring t „t4 ;e NO Hydro Message Nibs No. of Motors Tbtal HP All INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I h6i A currbht Liability Insurance.Policy including Completed Operations Coverage or Its substantial equivalent. YES C NO I tw have tiuEfmittbd.`valid proof of sarrief to thet.OHice. YES = NO Z If you have checked YES, please indicate the type of coverage by chseking the ap ro DQ '$ INSURANCE BOND C OTHW C (Please Specify) /��II�C�/J (Expiration Date) Estimated Vdlue of Electrical Work 3 00, � 4 Work to Startf-oZZ-2 Inspection Date Requested: Rough Final Eighdd under the Penalties of perjury: ' , +FIRM NAME _ C. - �i"v LIC. NO.isL�r� - 9Lioensse Signature LIC.NO. � // YK '�© li+/Y _) �li�a� . 6,?OiY Bus. Te. No. Addrebs A Al t Alt. Tel. No. I O"eA'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or Its substantial equivalent as,to- quoted,by Maesabhusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE S (Signature of Owner or Agent) �.- Date. .../.. /..... ...`...? 1025 HORTM °ft"` TOWN OF NORTH.'ANDOVER, PERMIT FOR WIRING ,SSACMUS� s This certifies that ......IAA 4.R....k...... 'e G�..r... w. has permission to perform .....j0.!V0.,4.5:........N�. ............ ....:::.: wiring in the building of........ph.w.e ..... at...�C.?. .. l....... 1."r{�F�l'►.r....� ...........:....... ,North Andover,Mass Fee....'Y.,57-0...... Lic.No.%r.YO.71 ............................................ ....... . ....... yELECTRICAL INSPECTOR j'(° � pF1ID 06/34/97 11:54 50.40 WHITE: Applicant CANARY: Building dept. PINK:Treasurer Location 10 , No 3 t Date /A3— „oRTH v TOWN OF NORTH ANDOVER { p Certificate of Occupancy $ Building/Frame Permit Fee $ IS -- �s Foundation Permit Fee $ a sACHUSE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ t Building Al§ for . �,� +/ •ISR 15.00 RAID 7884 Div. Public Works sr PERMIT NO. o�� APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP KJO. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE I SUB DIV. LOT NO. LOCATION �A PURPOSE OF BUILDING OWNER'S NAME CJ - NO. OF STORIES SIZEg. OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME ,� ,1 //� ' n.., '�y SPAN -- DISTANCE TO NEAREST BUILDING w DIMENSIONS OF SILLS DISTANCE FROM STREET •' POSTS DISTANCE FROM LOT LINES -SIDES REAR •• GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST � /Q PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS ` PLANS MUST BE FILE,p AND APPROVED BY BUILDING INSPECTOR , • DATE FILED r BUILDING INBPKCTOR SIGNATURE OF OWNER OR}�THOGENT .c® CIV/ _ F E E OWNER TEL.# PERMIT GRANTED CONTR.TEL.# ' 3 ,9 9s' 1 T�j CONTR.LIC.# 6s v e H.I.C.# BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY SiOkIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH-'PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN; CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW-D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENTS 11 AREA FULL FIN. B M AREA _ '/, 1/1 3/, FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 - DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D _ ASBESTOS SIDING COMtACN VERT. SIDING ASPH. TILE �{I_ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) - GAMBREL MANSARD TOILET RM. (2 FIX.) ` FLAT SHED WATER CLOSET _ ASPHALT SHINGLES �+ � -LAVATORY A WOOD SHINGES- KITCHEN SINK - SLATE NO PLUMBING .r TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING WOOD JOIST ` PIPELESS FURNACE FORCED HOT AIR FURN. _ TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR 1 WOOD RAFTERS AIR CONDITIONING r- RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC- 3,d I NO HEATING Town of ®ver No. o 3 . �NorthAndover, Mass., �"A� �'.� 19 o A. Jf V A .RATED P`P �`7• .. BOARD OF HEALTH ILD Food/Kitchen Septic System PERMIT T i •/, ,,/ 7 BUILDING INSPECTOR THIS CERTIFIES THAT........... ���..................... ""' Foundation has permission to41M......... �-�.�............ buildings on /a. '.. Rough to be occupied as..5T.tzl.p.. ..... �- /.. .. ...... �S!/�c�¢ .....!�1. t�L././j.(r...... chimney provided that the person accepting this permit shall in every respect nform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO r — Rough i ........................t........................................!-�"`........................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Final Rough P Y No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT S.— 249 ^ N°qT,q a v OFFICES OF: o�` m Town Of 120 Main Street MEMMf►SEALS North Andover, A NORTH ANDOVER BUILDING ;'` o�:'�s Massachusetts O 1845 CONSERVATION ,8s"CMU5 DIVISION OF HEALTH 1-11 ANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number 03 is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector.