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HomeMy WebLinkAboutMiscellaneous - 109 PHILLIPS COMMON 4/30/2018 109 PHILLIPS COMMON 210/058.0-0044-0000.0 } Date........1. `I.� '.............. OF NORTH TOWN OF NORTH ANDOVER � 9 t PERMIT FOR GAS INSTALLATION CHUS� This certifies that .... ! a R�.-Yz-e.. .... .............................................................. has permission for gas installation ........�-/� '................................................... inthe buildin of.........:........................................................................................................ at../4�.. t.....� ° .4--.t? .tq 0a.................... ... North e� doves,Mass. Fee. .....'�... Lic. No. . g..... ...... ............1.... ............ GAS�INSPECTOR r Check#fQ 10192 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY i v MA DATE; » PERMIT# f��� l JOBSITE ADDRESS /G� � ,. », , „�J,� � `YJG�WNER'S NAME --._ __..... -..._ ..... _ _ .. OWNER ADDRESS 1 TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL u PRINT CLEARLY NEW ; „;, RENOVATION: REPLACEMENT: 1 PLANS SUBMITTED: YES�u NO APPLIANCES Z FLOORS-- BSM 1 2 3 4 5 6 7 8 9 10 11 1 12 13 14 BOILER w. . ., ,.F .,. . » , m BOOSTER _ e 3 — a CONVERSION BURNER r € CJ COOK STOVE ». DIRECT VENT HEATER »». DRYER FIREPLACE FRY _ E � OLATOR ' g t FURNACE _ __ GENERATOR ... _ _ _. GRILLE . ..__ I .. ..:.. .. .:., s INFRARED HEATER LABORATORY COCKS T __. MAKEUP AIR UNIT `..,,,, a1 .,., ... ... ... ., OVEN I . POOL HEATER ROOM I SPACE HEATER je ROOF TOP UNIT 1 ' TEST �.._. j M UNIT HEATER .._._ _.. ___ z F _ UNVENTED ROOM HEATER ." ( s[ a WATER HEATER...... OTHER _.n,. . ». f.. .: INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ,» NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERA BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY .,, OTHER TYPE INDEMNITY BOND OWNER'S INSURANCE WAIVER:I m aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts G,ener La ,an that my signature on this permit application waives this requirement. ., CHECK ONE ONLY: OWNER f AGENT , ,N SIGNATU OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurat the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance wit a e in t pr ision of the Massachusetts State Plumbing Code and Cha ter 142 of�teGeneral LawsPLUMBER- SFITTER NAME l // I'j`f'J� LICENSE#��f�r' 3 NATURE me MGF ,; JP o j JGF LPGI CORPORATION l7 PARTNERSHIP #` LLC #'; a, w,n COMPANY NAMEG/ /�'I'V ! ,QlC6a.P ADDRESS _ t _.. ,.. »m _... ...,... CITY G-G� STATE v,.:.», , . STEL _..z _.._. _ .. .. _._. __ ___ w... __... _ FAX CELLO figz __._ ... .,. . . . ,,,._. __ ..u...,. - 1 4 �' _ .. _ • ' � 4 1 ,� �, ' � �� I®��� �iuL J �� Division of Professional Licensure: License Search Page 1 of 1 The Official Website of the Office of Consumer Affairs and Business Regulation(OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A-Z Topics Home>Division of Professional Licensure> ONLINE SERVICES .................................................................................................................................................................................................................................................... Check a License Check A Professional License Locate a Licensed Professional By the Division of Professional Licensure Online Address Change Contact the Agency LICENSEE t More... Name:WILLIAM M. KANNAN ! REFERENCES& METHUEN,MA RELATED INFO f s NEW SEARCH J i Disclaimer Regarding ' "This Licensee has additional Licenses,click here to view them.** } Website License Searches ._-_ .. ._ Glossary of License Status us Codes Licensing Board: PLUMBERS Et GASFITTERS More... License Type: MASTER PLUMBER License Number: 10286 Status: CURRENT Expiration Date: 5/1/2016 Issue Date: 6/18/1986 Exam Date: School: I t 1 This web site displays disciplinary actions dating back to 1993. j This license has had disciplinary actions taken during this time. 1 Click here to view this information. I The page above has been generated by the Division of Professional Licensure web server on Tuesday,September 29,2015 at 11:20:56 AM. ©2007-2011 Commonwealth of Massachusetts Site Policies Contact Us http://license.reg.state.ma.us/public/pubLicenseQ.asp?board_code=PL&type_Class=_M&li... 9/29/2015 location No. Date 'f Y f No T: N OF NORTH ANDOVER j L ^5 crtific f Occupancy $ -a— jj B�TtQ qg/Fr Permit Fee $ �'Ss�cMus�� OtIoundation Permit Fee $ fv.y --?" der Permit Fee $ Sewer Connection Fee $ f •i f`" Water Connection Fee $ '? -- TOTAL $� (ter y Building Inspector Div. Public Works t ,yn Location U � No. Date Date - roRTMTOWN OF NORTH ANDOVER „ Certificate of Occupancy $ ° ` Building/Frame Permit Fee $ Foundation Permit Fee $ ,SSAemusEtA Z Other Permit Fee $ eO P Sewer Connection Fee $ ` Water Connection Fee $ h�! TOTAL $ oZ /JO 0 o d 3� 1-11-11A A—6/ �w j }a ® Bu(ilf'�d/ing Inspector' 41 � � � �` Div. Public Works Location i No. Date 14 `F „cRrr., TOWN OF NORTH ANDOVER + Certificate of Occupancy $ S0- 0-0— + + Building/Frame Permit Fee ,SSACMUgEt _ *06ndation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ WaterCConnection Fee $ TOTAL Building Inspector Div. Public Works APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. I PAGES 1 I. M MAP 440. LOT NO. Lf2 RECORD OF OWNERSHIP 'DATE BOOK PAGE ZONE I SUB DIV. LOT NO. ' LOCATION PURPOSE OF BUILDING ? �I S- l OWNER'S NAME- til NO. OF S RIES SIZE OWNER'S ADDRES EMENT SLAB S ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 12ND 3RD BUILDER'S NAME �� ���' ,� SPAN C- DISTANCE TO NEAREST BUILDING /r, / DIMENSIONS OF SILLS IV, � --_ DISTANCE FROM STREET (�J " POSTS f DISTANCE FROM LOT LINES-SIDES �1 REAR GIRDER �^'� AREA OF LOT 1.Fj�Z FRONTAGE �00 HEIGHT OF FOUNDATION (}) u THICKNESS IS BUILDING NEW L 5 SIZE OF FOOTING W ( X .IS BUILDING ADDITION , r MATERIAL OF CHIMNEY G. CIL IS BUILDING ALTERATION 1l `Jn IS BUILDING O SOLID 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 64,eJS S - IS BUILDING CONNECTED TO NATURAL GAS LINE �J INSTRUCTIONS 3 PROPER INFORMATION 1 LAND COST SEE BOTH SIDES EST. BLDG. COST f_ 60b PAGE 1 FILL OUT SECTIONS 1 - 3 brn Mrr FOR EST. BLDG. COST PER SQ. FT. ( /1 Gn K �MF✓RUILDING EST. BLDG. COST PER ROOM ) Vj` PAGE 2 FILL OUT SECTIONS 1 - 12 �'f / O � < �(J��'� SEPTIC PERMIT NO. I, ELECTRIC METEPS MUST BE ON OUTSIDE OF� i14 EE PAID 4 APPROVED BY _ ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR .. DATE FILED 3/ N- 1 BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZE GENT 7 FEE o 0 OWNER TEL.# 12-� PLANNING BOARD PERMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.# GAIT FOR FOLIN ATION ONLY MMM BY PAPA 1141& B.C.ej n FDA FE BOARD OF SELECTMEN DAA FEE PAID ®;�® DUE MME PERMIT , o, BUILMNO INRPECTOR x . `B! I,LDING RECORD' 1 OCCUPANCY ", ` 12 j SINGLE FAMILY , srORIES 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 8 INTERIOR FINISH ` V CONCRETE _ 3 1 2 y I33. CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ .� _ DRY WALL _ UNFIN. ` 3 BASEMENT,,--,,' AREA FULL FIN. B'M-TAREA _ 1/1 1/7 1/1 FIN. ATTIC AREA NO B-M'T FIRE PLACES HEAD ROOM _ MODERN KITCHEN 4 WALLS -)g ' ', FLOORS CLAPBOARDS B 1 2 3 _ DROP SIDING CONCRETE WOOD SHINGLES �_ ASPHALT SIDING AARDW-13 _ ASBESTOS SIDING _ COMIAGN VERT. SIDING ASPH. TILE _ STUCCO.ON MASONRY`'• STUCCO ON FRAME ' BRICK erg'MAS NRY V ATTIC STIRS. & FLOOR _ BRICK ON.FRAME, CONC. OR CINDER BL4(. is t• ?;s'^I h . 'F '�r STONE ON`'MASONRY WIRING {,Y. STONE ON FRAME _ i SUPERIOROR _ 1 ADEQUATE I PONONE _ n1' � 5 ROOF 13 ^UMBING ��,..�� /• . e Y i _ ..r--•�•- _ GABLEHIP BATH 13 FIX.) GAMBRELT­j MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK t f 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. N TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS AIR RADIANT DH TOG ING Y.1110 0 sI1=11` �l g i. m UNIT .HEATERS 1 pt � 7 NO. OF ROOMS OIi. � �C r.�..7 .G- l fMAI YBUTAMA B'M'T 2nd ELECTRIC' 1st 13rd I NO HEATING -133 V. i i F 0 lop AUG i OMT NG C,tF:C'-Ffi�ILI AC/�P 0 l Lor '/ o /z,Soo s.F �. 1 ' o. LaT�iS' . 20�GuidE SEcUF_,.2 EioSEmEvT �C/O rte �u v�A T/ON Za—W 71C.l Feay� i S //E.PEBY CE PT/FY TO TyF T/TLE /.�/SUPO P ANO 1,=,z. O T le�L.41v TD THE B�N.Y TNg7' THE OwECG/.v6 /S COCATE� Oc/ TyE COT AS 5,5�0/YN ANO Tf/4T/T ODES 00f/FOPiY/ /N /Y17W TiS/E Zell.✓ OFNO; A./Do Ee zON�Ald PE6//C ATjO vS /I REGA,?OiN6 .SETBAC,!',S F,Paif ST-PEET,S' � LaT [ivES. " /gyp. /'Z,vd�„�,�� �SS -r CUP>/,EP CEPTiFs� Ty.4T T//S 0I IS /OT LnLArEO /N Tiff FEOE.PAG FLOov ff-9ZA.P0 A,PE4. O,��IH�iI/ FO.P �Syat,vN 0iS/ FEM��M�/N/Ty P..fNEL "� '• ;t 2So098 OGbSB �N/GL/PS �o�„�,o, / ✓��da�EvT �' eP FF. 'y cy�v 1p • ���cSS1d��' 7'.///S P�.a^/�,� � ✓r�Q� � P�,PPOSES- LVOT FO.P ,90vvo.Py of �► : _•'•::BoUvogeY/�t/FORiN- /�E�P//H/q��Y Ei}/rj/�t/EEiP/(IG SE.PI�/CES \_- Argo-v r.4,rE,y F,PO�YI E'Xisr�,vc ,PEca,Pos. 6� �q,P,� ST.PEET . ,A.t/OOrE�P, �Y/.4SS,4C.f�l/SETTS 1:2/8/O _ r - 9 FORM U - LOT RELEASE FORK 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: T1one -7 Ph LOCATION: Assessor's Map Number Parcel Subdivision 2z Lot(s) r Street `�,C f5 O �fii/1 �/Yt St. Number V ************************Official Use Only************************ RECOMMENDI NS OF TOWN AGENTS: I�L4 Conse a 'on Administrator Date Approved Date Rejected Comments AAA #11AJ Date Approved lU , c?7-- Town Plan er Date Rejected C mments Health Agent Date Approved Date Rejected Comments Public Works - sewer/water connections ,. j 2 - driveway permit C> Fire Department Received by Building Inspector Date i � WAT FINAL PL N _ R 'FJNA CONS RVATI®N FINAL SEWER/ own o over VIA No. 361 0 MITN )F-11VEWAY ENTRY PER _ ? " E n x er, Mass., 10420 AO C? P�\ - �5.� E P E MIT T 1 BOARD OF HEALTH L 0 THIS CERTIFIES THAT, ....... �....... . .... ....................... ....... BUILDING INSPECTOR has permission to erect 4400 rildings on Al 4vIly .. .144A4 .PYjV,#* Rough R�SASoAN.o4l.AW-CU,�. Chimney to.be occupied as ••••'• Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,.Alteration and Construction of Rough , Buildings in the Town of North Andover. PERMIT FOR FRAME/BUILDING Final VIOLATION of the Zoning or Building Regulations Voids this Permit. DA • - -Lf z FEE PAI D&L-P-0 b PERMIT EXPIRES IN 6 M 0 N T ELECTRICAL INSPECTOR IT FOR FoUNDArIoNWI-ESS CONSTRUCTION STA S * Rough REGULATED By PARA. 114.8•S. B.C. Final . . OWSP .............. BUILDI INSPECTOR GAS INSPECTOR DATE iL' — LL FEE PAID/ 0.(�� Rough Occupancy Permit Required to Occupy Building Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector CERTIFICATE OF USE & OCCUPANCY Town Of North Andover Building Permit Number 361 (1992) Date JANUARY 21 , 1993 THIS CERTIFIES THAT THE BUILDING LOCATED ON 109 PHILLIPS COMMON (LOT #14) MAY BE OCCUPIED AS SINGLE FAMILY DWELLING (Type C) IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING .CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. „OR7F °q, CERTIFICATE ISSUED TO Phillips Common Development Corp. F? = °p 733 Turnpike St . ADDRESS North 'ss"CNUs`` Building Inspector 1L SEWER4A T FINAL PL N INA CONS �VAT1®NkZ FINAL Tomwn o "0 .. ' /�_ over to No. �. ri t. .� iia 7) V1iAY ENTRY PERMIT =SIVE \ c Fdover, Mass.10 , BOARD OF HEALTH THIS CERTIFIES THAT ....... .... BUILDING INSPECTOR 3 has permission to erect 'Q /. �i •• • � ��* w � .... wldings on Roug ��'/W7 Chimney to,be occupied as .. .. �r. A. ...... Fi al provided that the person accepting this permit shall in every respect conform to the terms of the application on file in P LUM NG 1 SPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,.Alteration and Construction of ou � 2 �8 �— PERMIT FOR FRAMUBUILDING LI /Buildings in the .Town of North Andover. / �n / �-- VIOLATION of the Zoning or Building Regulations Voids this Permit. DA '' "�� FEE PAID .4 PERMIT EXPIRES IN 6 MONT ELLACTRICALINSPECTOR MMrtFOR FOUNDATION°bWgESS CONSTRUCTION STAPtTS , Rough � REGULATED BY PARA. 114.8-S. B.C. A Final ] Jam- DATE ' • BUILDI ••INSPECTOR RG,(AC¢ T OR FEE PAID/D0,4V— oOccup� nc_y Permit Required to Occupy Building na Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved b Building Inspector