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HomeMy WebLinkAboutMiscellaneous - 114 MIDDLESEX STREET 4/30/2018 114 MIDDLESEX / 210/020.0-0023-0 000.0 r J � 1 i 77 5 i Date. . . .... .... TM ~?pry. TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION SSACMUSES This certifies that . . .C. o '. . . . .. X .9: . . . . . . . has permission for gas installation . .M C.+-t r. . Acf-r-%:4G C Z-- . . . in the buildings of . . .R 1 L.lA^n,-O. . . . . .0 r-P -n . . . . . . . . . . . . at . .� W. . .nA tPh�e-C?G , . ., North Andover, Mass. Fee��.�: ° . Lic. No.. GAS INSPECTOR Check# MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) ' W RTS AAIDDVC12 , Mass. Date 06ZZ�"12,011 Permit # Building Location 114- M I oL.ES&IC ST. Owner's Name_RICHARD CAR n « AID1912, MA Type of Occupancy SI AjGLE fA 11)Ll New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ N w ui � N o OUV zjm N W Uj a: 0x oFa �=c 4 OyW aW W sajz U, Qoso vZ2ri 0: !W W W (4 A 4 s m a W ¢ w F' W V Z a 0 H Z J !' Z F. W W O > W F- W J W 4 W > a W j Z. d Q NQ m x 0 Z Q O to X a '.z o a z u. 3 a c� � � a y c a o SUB—BSMT. BASEMENT IST FLOOR 2ND FLOOR N 3RD FLOOR 4TH FLOOR N �- STH FLOOR 8TH FLOOR 7TH FLOOR BTHFLOOR Installing Company Name COL.UMIBIA CIAS rF MASSACHU56TTS Check one: Certificate # Address 55 MARSTON STREET Corporation 1862 LAWRENCE, MA 01841 - 2312- ElPartnership _ Business Telephone q 7 8-691- 64-06 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have acu renntt liability InsurNo ance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. If you have checked res, please indicate the type coverage by checking the appropriate box. A liability insurance policy P 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 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 I hereby certify that all of the details and information I have submitted(or entered)in abo pplication are true and accu%te to the best of my knowledge an&that all plumbing work and installations performed under the permit iss f r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. By T e of Ucense: Plumber Signature of censed Plumber or Gas Title Gasfitter Master Ucense Number 3745 City/Town � Journeyman APPROVED O FIC SE ONLY BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE N0. APPLICATION FOR PERMIT TO ADO GASFITTING NAME & TYPE OF BUILDING LOCATION OF BUILDING i PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE _.79 GAS 111SP£CTOR i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASF;TTING (Prins or Type) ' WVT44 ALWVeI2 , Mass. Date I Permit # Building Location o4- H i DDLESE,C ST. Owner's Name _RICHARD CARD MORT H MWV15 , HA Type of Occupancy S/MGIIE at*_ New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes[] No ❑ N cc Z i N W N YZ (A N U � � Z (1 N ct N = O M N Z � V W J N w O >- 8 z o w Q � >- o a LU 4 m of F- y W Occ a C o N n: N O V W S N Z 4 a O. 0 W V W W N Z Q s M gr O cc W W F- J x N W W O > LL }- W J W Z Q W a W O Z. Q Q N m Z O Z O Y Q O W p yy ►- p ¢'.S O t0 LL 3 C C� 0 a Y 0 a F- O v� o SUB—HSMT. BASEMENT IST FLOOR _ 2NDFLOOR N 3RD FLOOR 4TH FLOOR N STH FLOOR 6TH FLOOR i 7TH FLOOR 8TH FLOOR Installing Company Name COLDMgIA «S rF MA55ACHLt5ETf5 Check one: Certificate # Address 55 MARSTON STREET X7 Corporation 1862 LAWRENCE, MA 01841 - 2312- ❑ Partnership _ Business Telephone q 7 8-691- 640 6 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have a current liability insoura❑nce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes If you have checked Yes, please indicate the type coverage by checking the appropriate box. A 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 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 abo ppH tion are true and accurAte to the best of my knowledge and,that all plumbing work and installations performed under the permit issu f r this application wlll n mpliance with all pe" int provisions of the Massachusetts State Gas Code and Chapter 142 of the GeneK Vaws, (/ By T e of License: .Yt Plumber Signature of Licensed Plumber or Gas Title Gasfitter Master License Number_374 5 City/Town Journeyman APPROVED(OFFICE USE ONLY cation d`i IM i$040ze.Sn x o. Date ?//,g Ac .°iORTh TOWN OF NORTH ANDOVER Ott. •° °,'40 jowp Certificate of Occupancy $ • > ; ' Building/Frame Permit Fee $ Foundation Permit Fee $ sAGNUs Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Y /R/ 1 Building Inspector 4, "' �' `' " Div. Public Works PERMIT `. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE ZONE SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIESIZE OWNER'S ADDRESS jun BASEMENT OR SLAB ARCHITECT'S NAME Y SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING 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 � 9r� PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM 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 i 4 DATE FILED SUILDINO INOPtCTOR SIGNATURE OF 07f R ORAUTHORIZED AGENT F E E OWNER TEL.# PERMIT GRANTED CONTR.TEL.# CONTR.LIC.# H.I.C.# ZL 3 3 17 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY _ Si-ORIES I 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 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B M'T AREA _ '14 1/7 '/, 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 HARD DD _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR I_ 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. 12 FIX.( FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK i 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. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS IL O B'M'T 2nd _ ELECTRIC 1st 13rd 11 NO HEATING NORTH ONM Of OdoverL p x�•„i �l, tr y' s;-6'Y t n.._. S. 1j o dover, Mass., COC-CHEWICK DRATED 5 BOARD OF HEALTH Food/Kitchen PER 7 7x Septic System BUILDING INSPECTOR THISCERTIFIES THAT ................................ .....................D..(. .�c......C. ..�J..p............................................... Foundation has permission to erect............. ............... .......... buildings on ......... ......11' 1..1..0..4L ...` . .....�?�i'�..... Rough to be occupied as ...........................................:.....Rt........ Chimney provided that the person accepting this permit shall in every res ect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws rel ing 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIONS ELECTRICAL INSPECTOR Rough ............I......... .. .. ......... .................................... Service UILDING INSPECTOR Final Occupancy Perrnit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises -- Do Not Remove Rough p Y P Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det.