The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 1267 OSGOOD STREET 4/30/2018 1267 OSGOOD STREET r 210/034.0-0012-0000.0 1 Commonwealth of Massachusetts RECFEE IVE.E.D W City/Town of North Andover System Pumping Record Form 4 .P f DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information Important:When filling out forms 1. System Location: on the computer, LQG3 use only the tab 1 key to move your Address cursor-do not North Andover Ma 01845 use the return City/Town State Zi Code key. p 2. System Owner: fia rn Name iensn Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 0 6 1. Date of Pumping O ,� 2. QuantityPumped: ko p DateGallons 3. Type of system: ❑ Cesspool(s) [Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes J�j No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. m Pumped By: Nam Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: S art's Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835/ Signature of Hauler Date 'd' Signature of Receiving Facil' Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 MASSACHUSEE t TS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING � �� (Print or Type) = ( ) AV 61�zMass. Dat J Cit , Town t_ Permit # Building Owner's AT: Location Name Type of Occupancy:_ Newul, Renovation❑ ReP lacement❑ FI);T U ES Plans Submitted Yes❑ No❑ rc U) U G f— co CC OLU 0 _j Imo' Lu O �� 7. z :_ I; Co � O� uJ Q m [[ICID zl� 1 cc m cn f-- uJ IWC cn0W < -r zOcc0 > ul C) WW C!? W Z ��. rL LJ < W I E- 0 ~ Z C3 > cn INWi -II < '� �- .. C, MZoZW0 jLu 0 0--E LL s 0 ui _I °Ia- > CC 0 o W�ol ❑ SUB-BSMT. �� BASEMENT 1ST FLOORi I 2ND FLOOR I 3RD FLOOR —) I 4TH FLOOR I , 5TH FLOOR (Y I 6TH FLOOR IT-F 7TH FLOOR _ _ cs T H FLOOR I� _I I (Print or Type) Installing Company flame p � Check One: Certificate t=- .kir t.:;e t�+L'Z�et•ki' Address '1 ` f� : �, ` ❑ Corp. ❑ Partnership ❑ Fi.rmlCompany _ Business Telephone ��— Narne of Licen-ed Plumber or Gasfitter I hereby certify that all of the detail and information 1 have s.jbmitted(or,nlerecl)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 Massachusetts state Gas Code and Chapter 142 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of 0,wner/Agent I have a current liability insurance policy to include completed operations coverage. ❑ Signature of Licensed Plumber or Gasfitter L , DMastnl ❑Journeyman ❑Gasfitter cen3,; I-umbEr r• t r;- �• }, Date. .`... . .i :. r NORTH TOWN OF NORTH ANDOVER 0� 5t op _;9,r' fRMIT FOR GAS INSTALLATION ♦ ! p )^KP SAUS This certifies that . . .'.-.-(. . . . . . . has permission for gas installation .�!. !' . . �f<�' . . . . . . . . . in the buildings of .. . . . . . .t'-.! t`. . L.. . . . .. . .. .. . . . . at . .f �.� .�i . :.� rt. North Andover, Mass. Fee. . . . . . . . . Lic. No... . . . . . . . . .. . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File Location /-2- 67 No. ��Z Date /G NORTH TOWN OF NORTH ANDOVER Of41�au a,'bO F „ Certifc`ate of Occupancy $ i Building/Frame Permit Fee $ cHusEt �pdation Permit Fee $ Otheeermit Fee $ tai n' Sewer Con ecti�gn Fee $ p YVaterConnect 60Pee $ ket L � `% Building inspector Pz Ot Div. Public Works PEWHIT NO. �`!/ APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. €'AGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK '.PAGE ZONE I SUB DIV. LOT NO. -I LOCATION s/Z, S�p� gam^ PURPOSE OF BUILDING Opej DPek u!!Tj 36 rywA-LLs OWNER'S NAME /e0e e 1-;4 Xe e I NO. OF STORIES ! SIZE x OWNER'S ADDRESS /" 7 LI) S.� BASEMENT OR SLAB ARCHITECT'S NAME / SIZE OF FLOOR TIMBERS IST I x v 2ND 3RD BUILDER'S NAME ePhle j M- Afels&Nn SPAN .0 le DISTANCE TO NEAREST BUILDING (•/ `9 DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS 31 1.1 1L DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING `.L 10 4 X vp ! IS BUILDING ADDITION Yes MATERIAL OF CHIMNEY /v IS BUILDING ALTERATION /O IS.BUILDING ON SOLID OR FILLED LAND SOL! e WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER es BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER 1 IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST ��DO 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 DATE FILED i' 1 BOARD OF HEALTH SIGN R O ER OR AUTHORIZED-AGENT 1 - OWNER TEL G eS'6/ F E E CONTR.TEL. fiZ-2v CONTR.LIC.#-j2l2 yl PLANNING BOARD PERMIT GRANTED &n 19 9� BOARD OF SELECTMEN BUILDING INSPECTOR I BUILDING RECORD 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 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT il AREN FULL FIN. B'M'TAREA 1/1 1/1 1/1 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 HARDW D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME 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. 12 FIX.) _ FLAT 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 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. _ STEAM F STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING � v i CL iJ ro Ilk. pyv-jr 1_ ,S Poo�So 7 MEDICAL IMAGING CORPORATION MSD , INC . 85 FLAGSHIP DRIVE SUITE K NORTH ANDOVER , MA 01845 611683 - 5901 � r 1 � w,I/ , � Zia ✓iy BX�. a7gnvQ � p(`i�1�� MEDICAL IMAGING CORPORATION MSD ., INC . 85 FLAGSHIP DRIVE • SUITE K NORTH ANDOVER , MA 01845 617683 - 5901 o �XZ a)�noQ } t ++I l 17 a7qnOCi ; i { I i i I S ! MEDICAL IMAGING CORPORATION MSD , INC . 85 FLAGSHIP DRIVE • SUITE K NORTH ANDOVER , MA 01845 611683 - 5901 .,L v nddns 4 y � �vjr(y �-- $x i aza��Q g� y� OS. 4 MEDICAL IMAGING CORPORATION MSD , INC . 85 FLAGSHIP DRIVE • SUITE K NORTH ANDOVER , MA 01845 611683 - 5901 FLANNI�u COI.SEiWATION FINAL 5 WE / VIM r___ _ INAL 49, OWRI 6ndover No. P0 24 107 OI�IVEWAY ENTRY PERMIT - = er, Mass. � _199 ( C HI HE WICK A �V oR pEfimP o BOARD OF HEALTH T T LD THIS CERTIFIES THAT...................... ......... ................... .. ........................... % � aa BUILDING INSPECTOR has permission to erect .....*... .V..,... buildings on ...�.�to ��. .. ..R.. Rou h ... ..... ... .. . .. . to be occupied as..s.... .�.. ' � ....�,. �ii� Chimney . .... ...... "' 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. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU STAR Rough � service Final ......... .................... ......................... BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises Do Not Remove Burner FIRE DEPT. No Lathing to Be Done Until Inspected and Approved by SM SmokeT °' Building Inspector