HomeMy WebLinkAboutMiscellaneous - 1159 OSGOOD STREET 4/30/2018 1159OSGOOD STREET
210/035.0-0007-0000.0
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PER3IIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1
I MAP NO. I LOT NO. 12 RECORD OF OWNERSHIP iDATE BOOK PAGE —
ZONE SUB DIV. LOT NO.
LOCATION PURPOSE OF BUILDING S
OWNER'S NAME 7� NO. OF STORIES SIZE
OWNER'S ADDRESS BASEMENT OR SLAB
ARCHITECT'S NAME 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
Of
IS BUILDING NEW 9_ SIZE OF FOOTING X
IS BUILDING ADDITION •I"- 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
EST. BLDG. COST PER SQ. FT.
PAGE 1 FILL OUT SECTIONS 1 - 3 -
EST. BLDG. COST PER ROOM
PAGE 2 FILL OUT SECTIONS 1 - 12
SEPTIC PERMIT NO.
ELECTRIC METERS 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 FI ED
BOARD OF HEALTH
SIGN TURE q/OWNFk OR AUT ORIZED AGENT
FEE /o �CTD
PLANNING BOARD
PERMIT GRANTED
19 �sv
BOARD OF SELECTMEN
IVF-
BUILDING INSPECTOR
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY STORIES THIS SECTION MUSTSHOW EXACT DIMENSIONSOFLOT AND DISTANCE FROM
MULTI. FAMILY oFFICEs LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES. GA-
APARTMENTS I I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
I 2 FOUNDATION 8 INTERIOR FINISH
CONCRETE _ d 1 2 13
CONCRETE BUK. PINE
BRICK OR STONE HARDW'D
PIERS PLASTER
DRY WALL
UNFIN.
3 BASEMENT
AREA FULL FIN. B'M'T' AREA
11 V2 4 FIN. ATTIC AREA !I
NO B M FIRE PLACES _
HEAD ROOM _ MODERN KITCHEN _
4 WALLS II 9 FLOORS
li CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH
ASPHALT SIDING HARDW'D _
ASBESTOS SIDING COMMON
VERT. SIDING ASPH.TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STIRS. & 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
GABLE HIP BATH (3 FIX.) _
GAMBREL MANSARD TOILET RM. (7 FIX.) _
FLAT A SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY _
WOOD SHINGES KITCHEN SINK _
SLATE NO PLUMBING _
TAR & GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES _
TILE FLOOR
TILE DADO j
6 FRAMING II 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
GAS
7 NO. OF ROOMS OIL
B'M'T 2nd _ ELECTRIC
1st 13rd I NO HEATING
t J
Office Use On, !
01 %,ommonwtalt� of Ausaomfts Permit No.
Tl�eariutem of fuhticafeig Occupancy&Fee checked=1=
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3190 peave blank)
APPLICATION FOR PERMIT .-TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
ON or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Numbed
Owner or Tenant
Owner's Address ps El this permit in conjunction with a building permit: Yes No (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead ❑ Undgrnd 7 No. of Meters
New Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters
Number of Feeders and Ampacity /
Location and Nature of Proposed Electrical Work 42i2L
Total
No. of Transfo ars
No. of Lighting Outlets I No. of Hot Tubs / I KVA
No. of Lighting Fixtures I Swimming Pool grndAboveIn
grnd. I Generators KVA
No. of Emergency L' g
No. of Receptacle Outlets No. of Oil Burners / I Battery Units
No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones
l I No. of Air Cond. Total No. of Detection and
No. of Ranges tons Initiating Devices
No.of Heat Total Taial
No. of Disposals Pumos Tons KW No. of Sounding Devices
/ No. of Self Contained
No. of Dishwashers I Soace/Area Heating KW Detection/Sounding Devices
Local — Mar4c pa I❑Other
No. of Dryers Heating Devices ►N/ 111Connection
No. of No. Low Voltage
No. of Water Heaters KW I Signs Ballasts Wiring
No. Hydro Massage Tubs / I `No. of Motors oral HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws _ _
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES _ NO _ I
have submitted valid proof of same to the Office. YES = NO _. If you have checked YES. please indicate the type of coverage by
checking the appropriate box.
INSURANCE — BOND = OTHER _ (Please Specify)
00 (Expiration Date)
Estimated Value of Electrical Work S 30�
Work to Start Inspection Date Requested: Rough Final
Signed under the Penna�lti�s of perjury: �/
FIRM NAME �,�`""` ��� "' � LIC. NO. _ ��� 7
Licenses d9LL� 0 Signature LIC.
Bus. Tel. No.
Alt. Tel. No.
Address
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent
(Please check one)
Telephone No. PERMIT FEE 5
(Signature of Owner or Agent) x-6565
IDate..................................
2675
f NOR7M� -
° "`° TOWN OF NORTH ANDOVER
p PERMIT FOR .WIRING
AcmUS
This certifies that ...... .:.. .... .. ............... ...........................................
F.
has permission to perform ::.....:... ��/ .... .. ......... � �% .
wiring in the buildin f.... . :.:.. :. .. ..............................
at../ �f .:... ( f... � ................... .North Andover;Mass. -
Fee.. ""' Lic.N°""`- - C�
5........, ........:.....:
+ ( ELECTRICAL INSPECTOR
-Y1103�n:03 15.00 PAID .
WHITE: Applicant CANARY: Buildi r asyrer GOLD:.File
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
NORTH ANDOVER, . Maas. Date
S0
,,D y
Building Permit #' o1 7-7
Location
Owner's
Name
New ❑ Renovation EKI Replacement ❑ Plans Submitted: as❑ No ❑
FIXTURES
• at w i
w z s < 1
J M O i s � ti
M i N < i t ;t h at p _ O a
J M Y M rj = ` h U 1lir- M ft • � s 11
h v y o • « h Id 46 i O s e1 s 44
s K Y
O V �c
< t: < i � � � < s s est < O t
3 >t 1 o re o o s � s t• • � s a o s >s s • o
sua-9suT.
tAetMtNT
1sT FLOOR
21410FLOOR
fIRO FLOOR
4TH FLOOR
aTH FLOOR
STH FLOOR.
>iTH FLOOR
eTHFLOOR -
• - Check one: Certificate
Installing pane ane
Q Corp.
Address ❑Partnership
3®2 9 ❑Firm/Co.
Business Telephone Q-q - M-rc sy
Name of Ucensed Plumber C'AA12
INSURANCE COVERAGE: ec
I have a current liability insurance policy or Is substantial equivalent. Yes 3' No ❑
If you have checked yam, please tate 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:
SknOwner ❑ AgerA ❑
stars o Owner a Uvnet a ent
I hereby certify that all of the detaNs and Information I have submitted Ice entered)In above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under the pertnt I for this applicatkm will be in compliance with sA
pertinent provisions of the Massachusetts Stale Plumbing Code and Chapter 142 ori
1
nature
gty/Town ��
Trite Ucense Number ,/o'_q W_
Type of Plumbing License: Master [���
JtF"X VED(OFFICE USE ONLY) Journeyman ❑
1
-- "� Date
11k ° •2677
"0°7:��o TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
o
SSACMus�
This certifies that G % ... . . . . . . . . . . . . . . . .
has permission to perform . . . . {i. .. : . . . . . . . . . .
plumbing in the buildings of . .�. :.. . . . . . . . . . . . . . . . . ...
at. f. . . . .5-.5f z)u 4 . . . . . . . . . ., North Andover, Mass.
Fee. S. Lic. No../. . . . . . . . ,, . V�4ts . . . . . . .
PLUMBING INSPECTOR
11/03/95'(39:55 50.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTIt�tG .
(Print or Type) ."_'
NORTH ANDOVER Mass. Date
iuilding Location IIS,9 Permit # / 6
_. Owners Name ��c7
New '-1 Renovation Replacement Plans Submitted
FIXTURES
a Y
W w
m to o x a C*
os ,
0 i
W � m O CO? q� F. = Co
x I— 4 �' x o r tc
_ d fa tIf f' LU
Q = O O O O W t-
a srt 4 to us 0 ys 0. W .q
rn 0N t3 V w x O R Q O Q > W
w z x � w i- r s
LLS
}W. Z �t w us Ci O > k !-� V _t FO- w
2 d tat N as O O Ifs s
d Stu > C W z Z < G 4
Sua—asmT.
BASEMEUT
IST FLOOR
2HOFLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
TTK FLOOR
T. FLOOR
(Print or Type) Check one: Certificate
Installing Company Name ��/T' Q Corp.
Address 96V&2Z2 - - Partner.
Firm/Co.
Business Telephone:
Name of Licensed Plumber or Gas Fitter
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy Other type of indemnity Q 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 coverages.
Signature of owner/agent of property Owner F-1 Agent U
i hereby certify that ahh 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 ash plumbing worst and installations perfonned under't'arnit issued for this application will-be In complivace with aU patinent
provisions of the Massachusetts State Cas Code and Chapter 14:of the General haws. .
By TYP LICENSE:
lumber
Title Gasf'tter Signature of -Licensed
_. . Plumbe�r9, or .Gasfitter
City/Town: ster
Journeyman �o�.��V
APPROVED (OFFICE use ONLY) ---- - License Number �:.':
1 �
t f ,
I*: 1 Date. . .
A�'
ti
ri F
"ORT" TOWN OF NORTH ANDOVER
?O`t�Eo ,e�tiO
p PERMIT FOR GAS INSTALLATION
SSACMUSE
h This certifies that . .`" � u r - - . . .
has permission for gas installation
' in the buildings of . 11 ; ��. . . . . . . . . . . 'g
at . . . . . . . . th Andover, Mass;
Fee ..5rq: . . Lic. U.No.j . .3 .�.�. .
vCx d 1 I(1.'��'' \ GAS INSP
WHITE:Applica.nY,'r CANTi;RY: Building Uept. PINK:Treasurer GOLD:File
Date. . . . .. .I .a �. . ..
`i
,1°RTM
pf 4„ao �",ti0
o� TOWN OF NORTH ANDOVER
r- p
• PERMIT FOR GAS INSTALLATION
y9SSACNU5Et .._
This certifies that . u �. .!�` '�e-. . . . . . . . . . . . . . . . . . . . . . . . . . .
has permission for gas installation
in the buildings of . . l '4.p ! e�-( . . . . . . . . . . . . . . . . . . . . . . . . . . .
Y c,�
at . . . .i. S .t. . . .o S ..p , North Andover, Mass.
i
Fee. .3p Lic. No.. �aa. a ,S. tD2 t`i !'U'!. (
LL����r _ GAS INSPECTOR
Check# "F 0 J
4896
I
MASSACHUSUTIS UNIFORM APPLICA FOR PF RIVllT TO DO GAS Ff rr]NG
(Type or print) Date
NORTH ANDOVER,MASSACHUSETTS
� Building Locations / Permit#
��/
Amount$
ner's Name
New Renovation Replacement Plans Submitted ❑
El
Wa
y v F `�
O
a �a � x
O U F
W Pa
W F "
z o E
O O F
PQ
F a
E~ 0 o
z r� 10 1
�a 3 a o. Oa A a0. H
SUB -BASEM ENT
B A S E M ENT
1ST. FLOOR
2ND . F L O O R
• 3RD . FLOOR
4TH . FLOOR
5TH . F L O O R
6TH . FLOOR
7TH . FLOOR
8TH . FLOOR
(Print or type � Chec one: Certificate Installing Company
Name ❑k Corp.
Address �� ❑ Partne
0,302
Firm/Co.
mess Telephone -- - n
Name of Licensed Plumber or Gas Fitter C,
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy o substantial equivalent. Yes No❑
If you have checked yes,please ind' 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
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 above application are true and accurate to the
best of my knowledge and that all plumbing work and install afi s pe rmed under Permit Issued for this"*cation will be in
compliance with all pertinent provisions of the Massachuse Stat as Co and Chapter 142 of the,Qerrcr
0
ure of Licensed Plumber Or Gas Fitter
By: Plumber �og�
Title
City/Town ❑ Ga kter' License Number
aster
,APPROVED(OFFICE USE ONLY) ❑ Journeyman