Loading...
HomeMy WebLinkAboutMiscellaneous - 110 BLUE RIDGE ROAD 4/30/2018 110 BLUE RIDGE ROAD 2101065.0-0202-0000.0 ........... V v �pORTM� do TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING sSAC14 This certifies that.........7e. ......... ....!... ................................. ................... ` has permission to perform........... , " `. -e.ria ...... ............................................................ s plumbing int e buildi s �h5.............................. at........ ..l. � ..:............. North Andover, Mass. .............................................. ............. .. Fee.41- 7......Lic. No. ....�.�.��+. ................................................................................. PLUMBING INSPECTOR Check# ►l�'`I MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY —III MA DATE _ PERMIT# e " JOBSITE ADDRESS _--- � OWNER'S NAME POWNER ADDRESS ! TEL _11FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL Q RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: REPLACEMENT: ] PLANS SUBMITTED: YES® NO DI FIXTURES Z FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM ) _,_._._ _ i _.-� - ! �__E ---J1--JI ___( J1 ( -.,_,,.( DEDICATED GREASE SYSTEM L= DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM I DISHWASHER „m l -_-._� 1 ( _._� I .-__...J S J � __.._( _..._... ._.._.__i I DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) ► _.___i ._.__. 6 __r __.__.II __.___I ____.� _._ i -__..__.) _._.__.1 ..__.....� -_i .__.__i KITCHEN SINK I _.J 4 _. _._i 1 I I � ..__.._G ( ! LAVATORY ( _-__l __ _._-- --- ) --..__-_1 __._._.I __J __._ ► I ROOF DRAIN S OWER STALL SERVICE/MOP SINK U'RINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERA( have a current liability insurance policy or its substantial equivalent which meets i IF YOU CHECKED YES,PLEASE INDICATE THE TYP F COVERAGE BY CHECKING THE AR LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY 0 OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insure age required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER Q AGENT IEII SIGNATURE 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 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 compli nce w'h all P i PY,pr ision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. � IILICENSE# / PLUMBER'S NAME � SIGNAT RE IUIP JP 1 - CORPORATION R'f�PARTNERSHIPF# _ Q LLC 1 � COMPANY NAME 9'� U"-� �/11 ____;.ADDRESS f.$Oe _I CITY ...__..._I STATE -- ! ZIP �� � — TEL FAX CELL AIL RO PLUMBING INSPECTWAOTFS BELOW FOR OFFICE USE ONLY FINAL INSPECTION O S Q Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES f MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ' CITYy� _ . MA DATE PERMIT# JOBSITEADDRESS OWNER'S NAME POWNER ADDRESS ( TELE— 11FAX TYPE OR OCCUPANCY TYPE COMMERCIAL DI EDUCATIONAL ® RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES Q NODI FIXTURES Z FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB _k CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM _.1 ._ _ 1 _._( _-_( k DEDICATED GAS/OIL/SAND SYSTEM ( ._ ( .( 4 _ ( �-_ _ —1 . _I E-111--i I =1 DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM i _._.....J __.__( ____.., _..—_1 ....__._1 ! _._ l .__! DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK _-_- LAVATORY ROOF DRAIN SOWER STALL _( l r_. f __.�( _.__.._ I J _.—_I SERVICE/MOP SINK UtNAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER ____ f i f ------f -_._-( ( --—I ( ._._._ - ..--. —A1 --J -..---j _ . I INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES -.( 0 IF YOU CHECKED YES,PLEASE INDICATE THE TYP COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY Lj BOND 0 OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER _( AGENT 10 SIGNATURE 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 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 compli nce w h all P i_epepr ision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME' LICENSE# / SIGNAT RE IVIP JPk CORPORATIONPARTNERSHIP®# s LLC �j COMPANY NAME j�__-- ADDRESS I CITY `T—�I� 1. I STATE ZIP I TEL FAX i CELL �' AIIL The Commonwealth of Massachusetts F Department of IndustrialAccidents I Congress Street,Suite 100 Boston,MA 02114-2017 �< www mass.gov/dia Workers"Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTAORiTY- please Print Le <bl A ''licant Information Name(Business/Oigabization/lndividual): Address: Phone City/State/Zip: R� Type of project(required): Are you an employer?Check the propriate box: 1, a employer with ( em to full and/or part-time).* 7. [1Nd*'d6nstr6ction P y ees 2,F]I am a sole proprietor or partnership and have no employees working for me in 8. chug any capacity.[Noworkers'comp.insurance required.] 9. ElDemolition 3.0 lam a homeowner doing all work myself[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 11[]Electrical repairs or additions ensure that all contractors either have workers'compensation insurance or are sole 12T 4 Pli�lnmbing repairs or additions proprietors with no employees. 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13•• Roof repair§ These sub-contractors have employees and have workers'comp.insurance.$ 14.Q Other 6•❑We are a corporation and its,officers have exercised their right of exemption per MGL c. empldydes.[No workers'comp.insurance required.] 1(4),and we have no *Arty applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: i Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities,have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. ; 'compensation insurance for my employees. Below is the policy and job site X am an employer that is providing workers information. Insurance Company Name- Expiration Date' Policy#or Self-ins.Lic.#: ip: Job Site Address: Attach a copy of tbe,workers' compensation policy de c aration page(showing the policy number and expiration.date). olation punishable by a falb up to 0-00 Failure to secure coverage as required l us civiil enalties?inthe form of25A is a aSTOPnal 1WORK ORDER and a fine f up to $200.00 a and/or one-year imprisonment,as well as p day against the violator.A copy of this statement maybe forwarded to the Office of Investigations of the DIA.for insurance coverage verification. X do hereby cert under tliepains and pe ti ofperjur auttl information provided above is true and torr t. Date- Si ature: Phone#: Official use only. Do not write in this area,to be completed by city or town official. Permit/License City or Town- # Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#• Contact Person: v A OMMONWEALTH OF MASSACHUSETTS BOARD OF PLUMBERS SND GASF.:ITTER;S ISSUES THE FOLLOWING `LICENSE t LICENSED AS A MASTER PLUMBER SCOTT' R TAFT 12 LARSON' AVE TYNGSBORO MA 01879-1121 11579 05/01/16 210067 Date/�.: ^. .... � f HORTN� TOWN OF NORTH ANDOVER 3? �.,� ....,_• of p PERMIT FOR WIRING ��sS�cMusE� This certifies that .........1.r has permission to perform ............................................................................... wiring in the building of. � - ' at.. � �.. . -�•u c_.......f.r.�''� ':�.. > ,North Andover,Mass. Fee ............ Lic.No `<yS."... ...................... J w......... . .... ... ELEcrRicAL INSPECTOR,' a Check # v�' YI 9n Commonwealth of Massachusetts Official Use Only tK Permit No. Department of Fire Services � Occupancy and Fee Checked � w BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: �— V- 07 City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice is or her int tion Xform the electrical work described below. Location(Street&Number) V I UC Owner or Tenant k Telephone No. Owner's Address :�qm Ir— Is this permit in conjunction ith a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building4' \t F 4OA/ aL Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �,(�,� � Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires / No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- El o.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets —3 No.of Oil Burners FIRE ALARMS No.of Zones No.of SwitchesNo.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pum Number Tons KW No.of Self-Contained No.of Waste Disposers Totals Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: --D Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE g- BOND ❑ OTHER ❑ (Specify:) �Z Xhl 111`0i✓ I certify,under the pains and penalti s of perjury,that the information on this application is true and complete. FIRM NAME: LIC. NO.: s Licensee: Signature —LIC. NO.: 70 FP IV V (Ifapplicable, enter `e nipt-in the licensA�jnumber line // q Bus.Tel. No.:97�-I3'�D�/p Address: b A if 4 Q ef)4© �(P�n t AM// t7 �/ Alt.Tel. No.: 4 *Security System Contractor License required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent Q ?l ey Signature Telephone No. PERMIT FEE: Ad Date� e`3/G�. . �. . oTM�� TOWN OF NORTH ANDOVER 3j •` •°0 PERMIT FOR PLUMBING SSACHUSE� This certifies that tf.4^ !�.�.�!�!%Y' . . . f" '.! . . . . . . . . . . . . . . . has permission to perform . . . , plumbing in the buildings of . . . . . ., -- !?t.. . . . . . . . . . at .. . . . ..116). . . . . .. V . . . . . . ./.North Andover, Mass. Fee Via: R. .Lic. No.. Yl�t ��.!/. . . .� . ./.` . . . . . . . . . . . . . . PLUMBING INSPECTOR Check # 7293 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Dater �.P.:?A0 > Building Location Owners NameC2s�s ��e• Permit# V Amount Type of Occupancy New Renovation Replacement [3"" Plans Submitted Yes No C] FIXTURES rA } a SLBEM &�91V)F1�II' M HIM 4 f ra Flax 3M FUM MHUR 5MHIM 6M FUM 7MFLOM sM FUM (Print or type) Check one: Certificate Installing Company Name_ j0l a gg 14A,4,1 w.) p,F!.� ❑ Corp. Address -�lc,.. ,r?a 1A) qq 7- Partner. A4"."oe�4ypn d .1/ Business Telephone n ,� 7e 4aAn, aFirm/Co. Name of Licensed Plumber -,h- Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy El`�— Other type of indemnity 11 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 Signature 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 MassachWVs State PluMong Code and Chapter 142 of the General Laws. By: uuturu 61 EiceriM rtumoer Title Type of Plumbing License F [APPROVED Zceennsed NumDer Master Journeyman PPROVED(OFFICE USE ONLY VW" Date No r r u ".O RT:��o TOWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING s � r ,SSAcHUSE� / This certifies that /, . . . . ... .. . ." . . . . . . . . . . . . . . . . . . . . . . . . • i has permission to perform 'f''!. . �`'` . '' `:• •y�:y •'- ` Plumbingg in the buildings . . . . . . . . . . � - . 1 . . . . . lat/ . <.•. . . . . . .'... . . . . .`... ., North Andover, Mass. Fee . . . . .Lic. No.. . . ' ' = .". . . . . . . . . . . . . PLUMBING INSPECTOR Check 'I yG'?/ WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTttS Q Building Location O c� -C Qd• Owners Name Date SSS t� "�!f S C Permit f Amount ,�/�--� dov T e of Occupancy New Renovation Replacement Plans Submitted Yes No El FIXTURES r PA a a w H w a �9av>E'1� >ST� 6MROM 7MFLOCR (Print or type) Check one: Certificate Installing Company Name /`0G p j4 L ^l� ElCorp. Address LAC , T �T Partrrer. Business Telephone ) Z 3 0Fitm/Co. c Nkme of.Licensed Plumber. 9/1;>0 C2 ti Insurance Coverage: Indicat,e..�the/*a of insurance coverage by chdicking the appropriate box: Liability insurance policy f j 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 insurance i gnature 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 be' 'of my knowledge and that all plumbing work and installatio a er Permit Issued for this application will be in compliance with all pertinent provisions of the Massac setts S I b� ode and C pter 142 of the General Laws. By: igna i ns er Type of PlumbinjZicense Title —`[ - I City/Town icese Number— Master Ioumeyman APPROVED(OFFICE USE ONLY I i Location �� D t e.� _ /r / 3 Z') No. Date /1 MORTIy TOWN OF NORTH ANDOVER p? +' • OAn Certificate of Occupancy $ 1` r Building/Frame Permit Fee $ • '�b.r...��,. cHusEth cj 46 Foundation Permit Fee $-- -- rr Other Permit Fee $ b a Sewer Connection Fee $ �y'1 /-3Water Connection Fee $ TOTAL $ JV e �fi -✓� Building Inspector k 6857 Div. Public Works -,Location J a, � No. 4 Date -/ -49 3 rORTM TOWN OF NORTH ANDOVER O? •' ' , 'BOOR A Certificate of Occupancy $ �5 l U Q + ; Building/Frame Permit Fee $ �'��°'�•°�'t� Foundation Permit Fee $ SSACMUSE AV Other Permit Fee $ -� Sewer Connection Fee $ Water Connection Fee $ r TOTAL $ 5� •�l ^ Building Inspector '3-9 �- n iD�` Div. Public Works Location o /k ' No. SG Date "� } 4 MORT Iy TOWN OF NORTH ANDOVER k p Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ s�CHue v Other Permit Fee $ Sewer Connection Fee $ =.,97 Water Connection Fee $ ll'� TOTAL $ � J ,r �; ( 4uIlld!rig Inspector �. J!: r 1� Div. Public Works -;tri lw• APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. IZ!I PAGE 1 MAP 4-40. �v I LOT NO. 2 RECORD OF OWNERSHIP (DATE (BOOK 'PAGE — - .. ` ZONE SUB DIV. LOT NO. �— I ti LOCATION Ilo PURPOSE OF BUILDING 5-,a/ /e E22 OWNER'S NAME NO. OF STORIES T SIZE y _ OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME G ,� SIZE OF FLOOR TIMBERS dIST W-=%L!! 2NOAt/ 3RD! BUILDER'S NAME SPAN SPAN DISTANCE TO NEAREST BUILDING ' DIMENSIONS OF SILLS DISTANCE FROM STREETf POSTS DISTANCE FROM LOT LINES-SIDES /,V/ REAR 7/, �Q " GIRDERS AREA OF LOT �`����,�y FRONTAGE 4ij r© HEIGHT OF FOUNDATION THICKNESS �DO IS BUILDING NEW z f h Lei C/ T 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 r IS BUILDING CONNECTED TO TOWN WATER ��' BOARD OF APPEALS ACTION. IF ANY y)D J IS BUILDING CONNECTED TO TOWN SEWER \v I� IS BUILDING CONNECTED TO NATURAL GAS LINE„L r INSTRUCTIONS 3 PROPERTY INFORMATION + _ / LAND COST OD f�` "�, yS" d C) SEE BOTH SIDES mm a Fa 1� /e� s �j •we.��;k„!** EST. BLDG. COST 2!6 •-s`J� ° PAGE 1 FILL OUT SECTIONS 1 - 3 II�Vr,7 f%f E - � D G v c) EST. BLDG. COST PER SQ. FT. r MME WOM@ S 6), EST. BLDG. COST PER ROOM �C� „�qA PAGE 2 FILL OUT SECTIONS 1 - 12 w�� �1 +� GK/ SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED � BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT � 1 M1 FEE � �� 'd PLANNING BOARD PERMIT GRANTED_(/ OWNER TEL.# 5"SCJ� CONTR.TEL.# 6KI-7 7F �. Is _ CONTR.LIC.#01 BOARD OF SELECTMEN lee o �7v � l V BUILDING INSPECTOR � _ � r r L ' BUILDING RECORD r 1 OCCUPANCY 12 SINGLE FAMILY STORIES 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 CONCRETE 3 t 2 I3 CONCRETE BL'K. PINE _ BRICK OR STONE D PIERS PLASTELASTS R _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ '/_ 1/1 1/. FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN -7­74 WALLS I 9 FLOORS Ilk CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW'D _ r ASBESTOS SIDING _ COMMON VERT. SIDING ASPH.TILE _ L STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR BRICK ON FRAME I s," ssi! • CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER (41 ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO j t 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. S COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G i UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1sl 13rd I NO HEATING r r C r FORM U - IAT RELEASE FORM ]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: 11 -� -7. l�U57' Phones LOCATION: Assessor's Map Number Parcel Subdivision L Lots) 3Z Street P/420 lee St. Number ll ************************Official Use Only************************ RECOMMENDATII{O�NS OF TOWN AGENTS: l �I"bmz`�"' Date Approved Conservation Administrator Date Rejected Comments Date Approved �C3 Town Planne Date Rejected Comments _ Date Approved Food Inspector-Health Date Rejected �f'/9 p Date Approved / Septic Inspector-Health Date Rejected Comments S Public Works - sewer/water connections(-XKIWI VS J 5yo A eh �( 1 - driveway permit i IA � //,//-V Fire Department oQc,C� (, l/l��l% ///?/g,) Received by Building Inspector Date A_ 1' - � � � _ v , � 4 r4�'-Y. � �o tom► „�' t� • ,rv-ti r7' _x IL1J IJ81 �J`�1 t .. S;l• iL1h S54.Qr?r—!07... N_t—r—W FLI YC,5 b �y_E CBlz� 4D f -'tt y �4 I �J�• h b NORT Town u•. over 0 VIA dower, Mass.,_AACe. f C OC MIC ME WICK �1' AoRA T E D PPa\ '�CJ S �-I _ BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...........l�.T. ... .................................................. ...�. ...�.� Foundation has permission to erectl40000t& uildings on ..1J.&JO.L.4I.4. 0000AM................ Rough to be occupied as.*.I../.JOAAr../..�i. ^1. .....01i10Ait.W6.,w...1. . ZOWAW Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final i this office, and to the provisions of the Codes and By-Laws relating to the InspectiopEfflMjaFqftjft&jdNt� Buildings in the Town of North Andover. LI REGULATED BY PARA. 114." &C► PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough �PA� �� ^ Final PERMIT EXPIRES IN 6 MONp 16 019a v ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS PERMIT FOR FRAMUBUILDING Rough / Service 11i BUILDING INSPECTOR DATE: // FEE PAID* C�. ���?' Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT Professional Land Surveyors Et Civil Engineers _ ESSEX SURVEY SERVICE. 1958 - 1986 OSBORN PALMER 1911 - 1970 BRADFORD & WEED 1885 - 1972 PLOT PLAN OF LAND LOCATED IN �o. 11r.19ov Ez , MASS. p.I 0) 1 •,r X1027� 15� e� O oy ti 3 � or o N zv � a Geo V� c 0 nJJ I hereby certify to the • AN ��2- Building Inspector that I have SCALE: I - = C-o' examined the premises and the buildings are located on the ground as shown, and buildings DATE: "7 shown conf the dimensional zoning 1 Ptrb s9�, ooJEti ,MA REFERENCE: BK PG when co cted ti LC C- '3 c.C)03 o CHRISTOMER GNB This Plan has been prepared for Building LLO permitting purposes only for the above party, and is not to be used for boundary measurements, land conveyancying or mortgage loan inspections or N TE yo plot plans. Chr' ophe LS 31317 104 LOWELL STREET PEABODY, MASS.01960 (508)531-8121 FAX:(508)531-5920 ()1:1:I(:la U.: t: Town Of I;t1u.1)IN( - NORTH ANDOVLIt r. l�ll ;► i <:c)Ntil?ItV VA-1 I11\'I:iI11N111' Ililillii�!i Ii k - IIIANNINc; 111,ANN1NG & (;O1 IAWNITY Ul'sVl:l,Ol'l111 N'1' I:A ;I:N 11.1 N1:1 SON. Jill tl:c:I On t CHIAINL'Y APPLICAI'1014 LINO ITNA111- I . - L"� - .00ATION / WNER'S NAME: UILDER'S NAME: ASON'S NAME: ASON'S ADDRESS: ASON'S TELEPHONE:_ ATERIAL OF CHIMNEY: , VTERIOR CHIMNEY: 'XILRIOR CHIMNEY: IllX(WER AND SIZE OF FLUES: THICKNESS OF HEARTH: Lct chbliney an. 6-AepCaee con(j )nul to Vm ite.qu.ihetile 114,16 u() .the code and have ,ull'e.s and Zguta ,ioja been ucebed: � kTE: t(INATURE OF MASON: :,cA{IT GRANTED: Q? 1'LE ,.ERT NICETTA GILDING INSPECTOR ,.PECTEU: ,w BARKS: • _ /j����� SOLID (LUCK ltl!QU11ZlU r4 ��cD THIS PERMIT MLISV GE. UISPLAYC") 0 ''; "k1—:1,`t�'s � 'fie e tr t ociatej, Ate. 16 LCMAR PARK DRIVE PEPPERELL, MASSACHUSETTS 01463 1508)433.8671 FAX(508)649-9450 August 31, 1994 Ronald Pi.tochelli- PMG Properties 50 Copley Drive Methuen, RA 02544 RE: Lot #132 Elueridge Dear Ron: As per our conversation, I have placed on order a fresh air kit to install for the oil fined boiler at the above noted location. This will completely alleviate the problem and concern of basement fresh air as is a concern to the building inspector. If you should have any further question or comment pertaining to this matter, please do not hesitate to contact me. In this matter, I remain, Sincerely yours, Kevin Henderson KH:ds cc: fax 686-5061 rP CV1 Fti } ',fT * *END+:»:r• CERTIFICATE OF USE & OCCUPANCY �urr,, cl North Andover Building Permit Number 564 (1993) Date SFPTFMRFR 1 , 1994 THIS CERTIFIES THAT THE BUILDING LOCATED ON 110 BLUE RIDGE ROAD (Lot #132) MAY BE OCCUPIED AS SINGLE FAMILY DWELTTNG W/1 CAR GARAG IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Ron Pitochelli 50 Copley Drive ADDRESS Methuen MA !VLf uilding nspector N, over Town of �� �-A '�-Nort dover,LA Mass., Y ' LF.Tt 1 Y �i)C 111(MY WIC Ic � �\ A0 RA T E O P'P �-'�� PERMIT TO BUILD BOA D O HEALTH Food itchen Septic Sys e BUILDI G INSPECTO .......... Foun3ation THIS CERTIFIES THAT........... ............................................ 1 Z i ull g l�..O.. �.II. .. ................... Rough r has permission to erect4� � din son . 41 TX7•c�'iat ✓isc+w T� Chimney a to be occupied as-ItI � AA10'. ... � . .. I� I�. Y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 'D this office, and to the provisions of the Codes and By-Laws relating to the lnspectloPEA1KIqaP9ft4*A9ftdfft16 Buildings in the Town of North Andover. REGULATED BY PARA. 114.M &C, PLUMBING I SPEC R N of the Zoning or Building Regulations Voids this Permit. VIOLATION g E PAn�G' D n � IES 11*� 6 MOA �3/ PERMIT Ey. AI, INSPECTOR ELECTRIC UNLESS ESS CONSTRUC-11-ON STARTS Rou .�.., PERMIT FOR FRAMUBUILDING ��s . -- 0Aj ... ° s . BUILDING INSPECTOR ,.•• al Fin DATE:/Z-/-//-q4FEE PAID•. I � �- � �7' r Occupancy Permit Required to Occ vpy Building GAS INSPECTOR � remises — Do Not Remove Rough Gov' Display in a Conspicuous Place on the P Final /v No Lathing or Dry Wall To Be Done FIRE DEP �IRTMENT Until Inspected and Approved by the Building Inspector. Burner �./� t,�7� v�JFI A Street No. PLANNING BIJAL CONSERVATION—* 9'�� Smoke Det. t CCM/CD /1AIATCD- 1 ' 1,/ l=inial DRIVFWAY FNTRY PER MIT__-�f