Loading...
HomeMy WebLinkAboutMiscellaneous - 108 Marblehead Street __ __ I \ } , a3 , Location %No. +/ A.� Date „oR,,, TOWN OR NORTH ANDOVER AL M Certificate of Occupancy } °> « Building/Frame Permit Fee $ Foundation Permit Fee $ s�cHust Other Permit Fee $ z w' Sewer Connection Fee $ Water Connection Fee $ r � $ 1 id' Building Inspector s; Div. Public Works 4 V Iii r r y { Location` AN 65— Date TOWN OF NORTH ANDOVER A' Certificate.of Occupancy $ �.•�-- � I Building/Frame Permit Fee $ �ss�cHusE< Foundation-Permit Fee $ r4 Other Permit Fee $ .�f Sewer Connection Fee $ Y z. Ar Connection Fee $ OTAL $ r Y-� Building Inspector Div. Public Works i PERMIT NO. 7APPLICATION FOR PERMIT TO BUILD ********NORTH ANDOVER, MA MAP NO. LOT.NO. 2. RECORD OF 011'NERSfIIP DATE BOOK ZONE SEIBDIV.LOT NO. PA �E LOCATION Q PURPOSE OF BUILDING OWNER'S NAME K NO.OF STORIES SIZE OWNER'S ADDRESS ®� 1 BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS y I 2 3 0 BUILDER'S NAME J!'/�U� .f // SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONS OF POSTS I DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE HEIGffF OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF Four]NG X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION `ps IS BUILDING ON SOLID OR FILLED LAND WILL.BUILDING CONFORM TO REQUIREMENTS OF CODE Pi 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 INSTUCTIONS 3. PROPERTY INFORMATION ' LAND COST P�4GE I FI LL OUT SECi'IONS 1-3 EST.BLDG.COST EST.BLDG.COST'PERS .FT'. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING EST. BLDG.COST PER ROOM SEIIFIC PERMIT NO. ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS ! 4. APPROVED BY: � G! PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR j BUILDING SPECTOR DATE FILED ��/� f' /J�r ��/- � C) OWNERS TEL# T`i` CONTR.T'ELf�f3 �� a/qS SIGNATURE OF OWNER OR AUTHORIZED AGEa CONTR.LIC# FEE $ t - H.I.C.# PFRMI F GRANTED �49 G i 326 Date.�-... .... . ........ d f 40 RT a ,tio TOWN OF NORTH ANDOVER 3? oPERMIT FOR GAS INSTALLATION � s i • ,SSACHUSES O This certifies that . . . . �. . . . .. . . . . . . .g. has permission for gas installation . . . . . . . . . . . . in the buildings of . . !.`. :�:. . . . . . . . . . . . . . . . . . . . . . at . . ./. />. t.: A.4 . .S��.�:. <.l .�. . ., North Andover, Mass. Fee. .3'. .r. . Lic. No.. ./ s: i.3 . . . . . . . .. . .'. GAS'INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer J MAP > C, b w MASSA CATON FOR PERMIT TO DO GAS FrYMG ype or print) Date / 19 --1,7 NORTH ANDOVER, MASSACHUSETTS Building Locations 10l "'"'44 J /n f 1--d J e 4/6 '9/� f Permit 9 Z Amount S 3 Owner's Name in e New❑ Renovation FT Replacement ❑ Plans Submitted n C Z w t w w z L i L U C- S 1) SU B -BASE .NI ENT B A S E M E ,N 'r IST. FLOOR 2ND . FLOOR 3 R D . F L O O R .4TH . FLOG R ST 11 . F L O 0 R 6T 11 IFL0 0 R 7T 11 F L O O R ST FI F1, 00 R (Print or type) Q Check one: Certificate Installing Company Name /7 O/4�� CZ C cJj M ❑ Corp. Address .3 :!� I' YyrC /n f T A /y► r7 ❑ Parmer. 97� - / �' dYL � -7 f Business Telephone ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter / �J j� L. COs e- LA INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No® If you have checked ves,please indicate 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 vlas eneral a�and ttye v ssia=re�this permit application waives this requirement. v 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 pertinent provisions of the Nlassachuse ate Gas Code andChapter 142 of the General Laws./ Bv: Signature of Licensed Plumber Or Gas Fitter Title Plumber . 1S' 7 City/Town ❑ Gas Fitter License Numner ❑ Master APPROVED(OFFICE USE ONLY) Journeyman Date. .YW� 4142 D w HORTM TOWN OF NORTH ANDOVER ° PERMIT FOR PLUMBING "S US This certifies that . . � �?.<.�`. . . . SJ.S.c. l.,M . . . . . . . . . . . has permission to perform . . .P �'k-U �� ! y .�. . . . . . . . . . . . . . u �/' plumbing in the buildings of . . T.v/t � .-. . . . . . . . . . . . . . . at.� �-/.�. . . i �� ��y.`� . ., North Andover, Mass. $ Fee.SO, Lic. No.. . ./. .� .`7 .?. . . . . .// . . . . - . . . . P&MBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS -f✓}7 Date '?A Building Location 6 llJ M A r d� Owners Name f r.4 rl /�• S�{ w A /hermit# Y Z. Amount Type of Occupancy New Renovation ® Replacement Plans Submitted Yes No FIXTURES Ln Cn z x H w w • E~ a �+ o d r a O x w F W x a0-4 zun d U z Az w w w Q x d x x a F z o oCOO � a a H po TC � a � x H SLRE& T��rr IST.FLDQ2 2N]FLOOR 31m Flint / 4TH FLOOR 5111 FIDQ2 6TH FLD(R 7TH FUXIR 91H FLIoQt (Print or type) / / Check one: Certificate Installing Company Name Ro n d L // !/�i S G 1A O Corp. Address a '7 1, I° Ti? j'YI ❑ Partner. �7X — r, A' AC ')-'7/ Business Telephone El Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ 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 r r--A -0 s ignature 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 pertinent provisions of the Massa,, u s State®Plumbing Code and Cha ter 142 of the General Laws. By: Signature 01 Licenseuer Type of Plumbing License Title City/Townse i um er Master ® Journeyman APPROVED(OFFICE USE ONLY