HomeMy WebLinkAboutMiscellaneous - 14 WEYLAND CIRCLE 4/30/2018Date. ......
NORTH
""I. '... 0
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies thatx, ........
has permission for gas installation
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in the buildings of ......
North Andover, Mass.
at
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FeeQY//... ..'Lic. No.////,,,97 . ...........................
GASINSPECTOR
Check
4612
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
_ (Print or Type)
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�/lfDCA 41401/E_ 2 Mass. Date 2004 Permit
Building Location Ill WCY4W) AR -ch; Owner's Name_ACAJAY 8It/?, 5h K
Type of Occupancy 9SIf
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New p Renovation ❑ I / Replacement
SUB—$SMT.
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
4 4TH FLOOR
STH FLOOR
GTM FLOOR
TTH FLOOR
STH FLOOR
K PLUMBING & HEATING
1 308 MAIN STREET, GROVELAND MA. I
Business Telephone 978 372-6981
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Plans Submitted: Yes❑ Nit
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K PLUMBING & HEATING
1 308 MAIN STREET, GROVELAND MA. I
Business Telephone 978 372-6981
AlaT� of 1 inan��l W��r�.Fwr nr /^_ee C�lfar
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Check one:
O Corporation
❑ . Partnership
0 Firm/Co.
Certificate
2486 C
INSURANCE COVERAGE:
1 have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes O No ❑
If you have. checked Yes, please Indicate the type coverage by checking the appropriate box
A liability insurance policy ❑ Other type of indemnity ❑ Bond O
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:
Owner❑ Agent ❑
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information 1 have submitted (or entered) i application teandccurate to the bestof my
knowledge and that all plumbing work and installations performed under the peri ' for this app'in compliance with all
pertinent provisions of the Massachusetts State.Gas Code' and Chapter 142 of the Ge taws.
eY T of License:
Plumber gnatur o sed ITittet
Title fitter 11027
er License Number
City/Town Joumeyman
APPRr7VF.D f0 I S
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NORTH
Of ..o 410 1
° OL TOWN OF NORTH ANDOVER
p F
X PERMIT FOR GAS INSTALLATION
x /
'This certifies that... 't. 1t IL C. I? A?Al y�i ............
has permission for gas installation ....�, .%�.�Y.r. /: 4 .............
in the buildings of ... k . sA r. )�( ........................ .
at .. /.Y. . I c,-/. � � � . f . !� ..... North Andover, Mass.
Fee. ,34'.: Lic. No.. / /�? 2. -2�. /E- � � :... .
. AS INSPECTOR
Check # 2.
7.i i 9
FIXTURES
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING
b
CitylTownUY}�'1��4 Date: Permilf t##�
Building Locatio, L"�T d -a'1 . Owners Name &b� C�
Type of Occupancy: Commercial° Educational' Industrial' Institutional Residential>
New Alteratioriv t Renovation: Replacement:. Plans Submitted: Yes '.` No .
FIXTURES
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SUB BSMT.
BASEMENT'
1 FLOOR
2 FLOOR
3 FLOOR
e FLOOR
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FLOOR
EP FLOOR
7TR FLOOR
8 TH FLOOR
Check One Only Certificate #
Installing Company Name Stark & Cronk Plumbing Inc -- --.
Co o 12486C
rp ration
Address:i 308 Main Street City/Town Groveland 1 State.; MA `
si Partnership
Business Tel 978-372-6981 Fax g 978 3T4-0837 r -.-. -
Firm/Company
Fitter:,.,-,--,.,,,
Name of Licensed Plumber/Gas Fitter -�
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy.- ✓ Other type of indemnity Bond L --j
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 Fx Agent a
Signature of Owner or Owner's Agent �-
By checking this box ❑; 1 hereby certify that all of the details and information I have sub i d (or entered) regarding this application are true and
accurate to the best of my Knowledge and that all plumbing work and install ns perfo a under the permit issued for this application will be in
compliance with all Pertinent provision of the Massachusetts State Plumb g od and Ch the General Laws.
Type of License:
By Plumber
r Gas Fitter i n ure of Licensed Plumber/Gas Fitter
Title s g
_ Master
3 Journeyman
City/Townt _,.� Y License Number: 11027
APPRnvF fl lnFFICF I vx ICF nlj LP Installer
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8178
V --
Building Inspector
Div. Public Works
4-77
Location
WeY l._Al. o
No.
Date
t
of.�oRTM.
o0
TOWN OF NORTH
ANDOVER
°Y p
Certificate of Occupancy
$
«
:
wilding/Frame Permit Fee
$-L4311+—
s"Acm
Foundation Permit Fee
$
.
r.
Other Permit Fee
$
9
Sewer Connection Fee
$
i
Water Connection Fee
$
TOTAL
$
8178
V --
Building Inspector
Div. Public Works
�ocation s
•, � T �
No. `" Date
C.,
X- °Rr�,
TOWN OF NORTH ANDOVER, x
CL
}
Certificate,of Occupancy $
Building/Frame Permit Fee $
" 'Ss�cHusE`
Foundation Permit Fee $
"
OtherPermit Fee $
A° 7.
Sewer Connection Fee $ _ /6 ca
3 7
•/�
�( I
Water Connection Fee $'
r
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TOTAL ,' $
—Building, Ins 6ctor
F
• ?.tJ
855
1
r Div u Ifc Works
t°
TOWN OF NORTH ANDOVER
Certificate of Occupancy $ S�
Building/Frame Permit Fee $
Foundation Permit Fee $ too —
Other Permit Fee $
_ M
Sewer Connection Fee $
C
-� Water Co4nnection Fee $
TOTAL $ o
+� Q Building Inspector
�,., 8
1 Div. Public Works
PERMIT NO.
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE 1
MAP 4-40.
LOT NO.
I
.►
IG
2 RECORD OF OWNERSHIP IDATE
BOOK ;PAGE
11�0NE
SUB DIV. LOT NO.
CONTR. LIC. #.
99 7� 3 9
LOCATION►4-
_PURPOSE OF BUILDING
e44-7-
OWNER'S NAME�^
/
!
NO. OF STORIES ja IZE
4 �E
tz?Z
OW `IER'S ADDRESS
� 31 41,k I1,
k.�
BASEMENT OR SLAB
� S� �r
� rir /
ARCHITECT'S NAME C 1_ ,a St.
7aw z
SIZE OF FLOOR TIMBERS IST :7X jo 2ND gX f v 3RD
BUILDER'S NAME � V41 / 'A
J � � 1 -
SPAN
DISTANCE TO NEAREST TO NEAREST BUILDING
a
DIMENSIONS OF SILLS
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES -SIDES
2/) REAR"
r v
GIRDERS
.l
AREA OF LOT�a j D
FRONTAGE
goo o
�V
HEIGHT OF FOUNDATION 20
jj
THICKNESS
IS BUILDING NEW yes
SIZE OF FOOTING /B N
X C;2g
IS BUILDING ADDITION
MATERIAL OF CHIMNEY
C
IS BUILDING ALTERATION ---
IS BUILDING ON SOLID OR FILLED LAND
vT
WILL BUILDING CONFORM TO REQUIREMENTS
OF CODE y
/
-e5
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
�J
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE tle5
INSTRUCTIONS
SEE BOTH SIDES
PERMIT FOR FOUNDATION ONLY
REGULATED BY PARA. 114.8-S. B.C. .
PAGE I FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
DATEAlgig--
4 FEE PAID
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING b� e
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
V PLANS MUST•,BE FIL
ED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
SIGNATURE OF OWNER OR AUTH ED A NT
* F E E L
sa 00 cto PERMIT FOR FRAME/BUILDI
PERMIT GRANTED
19 gr— DATE:/FEE PAID
3 PROPERTY INFORMATION
LAND COST - '), 5-01"
EST. BLDG. COSTEST. BLDG. COST G"V -%S
EST. BLDG. COST PER�t22SQEST. BLDG. COST PER SQ. FT. 5-p
EST. BLDG. COST PER ROOM /)�1('��
SEPTIC PERMIT NO. J "
4 APPROVED BY
MV ILjoINQ
H.I.C. #
SLO& PERMIT RE 2 LE -34
�� 5:7LESS FDA F WcI,
ME FAME FUM 8 -1°l
OWNERTEL.k
IG
CONTR. TEL. #
4
r
CONTR. LIC. #.
99 7� 3 9
H.I.C. #
SLO& PERMIT RE 2 LE -34
�� 5:7LESS FDA F WcI,
ME FAME FUM 8 -1°l
BUILDING RECORD t'
.}OCCUPANCY
t
12
'THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS.. OF BUILDINGS. WITH'PORCHES, GA -
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT. PLAN.
---
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SINGLE FAMILY __
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-SroulEs
MULTI. FAMILY _
-OFFICES
_-
APARTMENTS
CONSTRUCTION
2 FOUNDATION
I
8 INTERIOR
FINISH
CONCRETE
_
PINE
d
—
1
y
2 I3..
_
CONCRETE BL'K.
BRICK OR STONE
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HARDW D
PIERS
PLASTER
DRY WALL
UNFIN.
_
3 BASEMEWT
AREA FULL •FIN:, B'M'TAREA
'/ '/p 1/1 FIN. ATTIC AREA
NO B M T
FIRE PLACES
HEAD ROOM
FMODERN KITCHEN
4 WALLS I. 9 FLOORS
CLAPBOARDS
-A
B
1
2
_
3
_
_
_
DROP SIDING
CONCRETE
WOOD SHINGLES
EARTH
ASPHALT SIDING
HARDIIJ'D
ASBESTOS SIDING
VERT. SIDING
STUCCO ON MASONRY
STUCCO ON FRAME•,-
_
—
COMMCN
ASPH. TILE
BRICK ON MAS8Nk'y'�
BRICK ON FRAME-
ATTIC STRS. 8 FLOOR _
CONC. OR.CINDT2R BLK.
WIRING
STONE- ''MASONR,Y %
STONE ON FRAME
OR
SUPERIOR I --I POOE
ADEQUATE)e I
10 PLUMBING
BATH 13 FIX.)
TOILET RM. 12 FIX.)
WATER CLOSET _
5 ROOF
GABLE HIP
GAMBREL MANSARD
FLAT SHED
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING 11
1
MODERN FIXTURES
,TILE FLOOR
-
<
:TILE DADO
6 FRAMING
11 HEATING
WOOD JOIST: '. `
`
^PIPELESS FURNACE -
FORCED HOT AIR FURN.
TIMBER BMS. §L SOLS. :-
STEAM
STEEL BMS. 8 COLS.;•
HOT W'T'R OR VAPOR
WOOD RAFTERS
AIR CONDITIONING•
_
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
GAS
OIL
ELECTRIC
B'M'T 2�d
_
1st 13rd I
NO HEATING
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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: X W 00 /PIOQ �y (or.� Phone to �i- �/�
LOCATION: Assessor's Map Number Parcel
Subdivis ion 6 x W 0 VC/Lot s) ��
Street tel/ �! f c0, CJ CU C f -f St. Number 14
************************O ficial Use Only*******************x****
RECOMMENDA�ZN 0 O AGENTS
Date Ancroved
Conserv a tion ?,d::inis trator Date Rejected
CC,:::an—
ki g C� Date Approved _
Town P'-anner Date Rejected
Co=erts
Food Ins::ed-or- ealth
Sept_c
Corgi e:
Date Approved
Date Resected
Date Approved
Date Reiecte-d
Pu -"l Wcrt:s - set:,er,'water connect-' ns
- driveway pernit
Fire Department V-2�_�
Received
_by--Bu-i.ldinq Inspector Date
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�►�'�'0 SURv�� A•vO4YE.� �J.4S.S.4G'.fU/SE77-5
jig
C
Location 4 my=) ,
r
No. 3J`-. ; Date
M°RT" TOWN OF NORTH ANDOVEFF
i? ♦ l °t ro
F . p Certificate of Occupancy $
�, = • Building/Frame Permit Fee $
M�st<� Foundation Permit Fee $
Other Permit Fee t' $ Z5
Sewer Connection Fee $
Water Connection Fee $ "
TOTAL $ 25 "
OJ& 6
.T4
8257
a- M�
Building Inspector
Div. Public Works
KAREN x P \ELSON , ' , TOWII Of 120 Mauiy5treet 01845 I
D:,Yrror.(508) 682 6483
NORTH.'
AND
BUILDING
t
e
CONSERVATION� n•` — DWISIONOF.
HEALTxPLANNING8' COMMUNITY DEVELOPMENT
PLANNING
OWNER'S NAME
BUILDER'S NA
MASON'S NAME
MASON'S ADDRESS ,?D3 C�ri
MASON'S TELEPHONE �G�O� 6 �''
MATERIAL OF CHIMNEY `�i>> L
INTERIOR CHIMNEY �i EYTERIOR CHIMNEY
NUMBER AND SIZE OF rLTIrc
THICKNESS OF HEARTH
Will chin-nev or fireplace conform to requirements of the code and
have rules and reaulat-ons been received:
DATE' �
SIGNATURE F MASON
CO4TR. LIC. � 4 I /l�
EST. CONSTRUCTION COST'/ CONT. ---".C1' PRICE �Qf
PERMIT GRANTED_
r
ROBERT NIC TTA,
.l INSPECTED
• REMARKS
SOT ID 3RICK REQUIRED
THIS PERMIT MUST BE DISPLAYED ON THE PREMISES
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THIS CERTIFIES THAT
THE BUILDING LOCATED ON 14 WEYLAND CIRCLE (Lot #45) . - Tyl2e 2
MAY BE OCCUPIED AS SINGLE FAMILY RESIDENCE W/2 CAR IN ACCORDANCE
GARAGE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO Fo xwn o d R P a 1 t �� C n r n_
733 Turnpike St.
ADDRESS Mn -rt -l -i Aneinlrp-r, MA 01 845
�s=ACNUBuilding Inspector