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.