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Home My WebLink AboutMiscellaneous - 16 MARGATE STREET 4/30/2018 / 16 MARGATE STREET 10 210/022.0-0071-0016A Date. r �U. .. . ... . . ,FORTH of TOWN OF NORTH ANDOVER ; PERMIT FOR GAS INSTALLATION �,SSACMUSEt h This certifies that . ./'��1 ! . . . ( ' ? . . . . . . . . . . . . . . has permission for gas installation . � h . . °n `.. in the buildings of . . . .`. : . . . . . . . . at . ,A '00. ,/ . . . . . . . . %; North Andover, Mass. Fee��h �. Lic. No.`.7..... . . . . . . . ... . . . . . GAS INSPECTOR Check# 366 Z 6788 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO UO GASF;TTING (Print or Type) C r dLQk7-1) A�)Dwc4- , Mass. Date Permit # p Building Location /6 MA 6h TL Owner's Name_&A)6t al 2d C SILL A)okTN 4N)9QV(iP2, 11A Type Of Occupancy_/��5,/D� //�i✓ 042/5 New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes[] No ❑ y w ui Y z s t!f D N a: O N = y) J N W V O W Q ¢ D: O O w m N F- y W O a ¢ a H ~ N a N t7 v W x z F- W O. > W W z_ N W Q �cc Wf- o F- S W W 0 0 > U. f- V J h W Z O Z CW. O G1 = \ _ Q W > W Z, Q rt Q SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR I STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET �C] Corporation 1862 LAWRENCE, MA 018 41 - 2312- ❑ Partnership _ Business Telephone 17!B-68,7-- 1105 EXT *306 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery __- INSURANCE COVERAGE: I have a current insoura❑nce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes If you have checked rimes, please indicate the type coverage by checking the appropriate box. A liability insurance policy X 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 ❑ 1 hereby certify that all of the details and information I have submitted (or entered)in abo pplication are true and accur,4te to the best of my knowledge and that all plumbing work and installations performed under the permit issu f r this application will b0 with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. T e of License: Plumber Signature of Licensed Plumber or Gas Title Gasfitter Master License Number -374,5 City/Town Journeyman APPROVED OFFICE USF ONLYI BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION FINAL INSPECTION SKETCHES FEE NO. _. APPLICATION FOR PERMIT TO DO GASFITTING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE .19 GATS INSPECTOR Location No. Date 'y�e!23 a NORT1� TOWN OF NORTH ANDOVER � 9 Certificate of Occupancy $ 'ss�cMustt� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ y TOTAL $ Check # f�' i63 ?`�-�� II - Building Inspectov TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE�,y OR DEMOLISH AONE {.OaR TWO FAMILY DWELLING -+��'��i �a`�A��53��lii "3'".•3 �K� �`xc'3'i z _.n'.' rr�i�� g ,.'•�. ..'�"'"' m BUILDING PERMIT NUMBER: DATE ISSUED. a 3 a ic SIGNATURE: ic Building Commissioner/Inspector of Buildings Date z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel N mber 1.3 Zoning Information: 1.4 Property Dimensions: R rZ> i C p �i? ��V Gf h2-it' C''e C S 1' Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 1.5. Flood Zone Lrfom�ation: 54) 1.8 Sewerage Disposal Sys Public 4 Private 0 Zone Outside Flood Zone Municipal 1K On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Nae(Print) j Address for Service C) `tgnature ` 1 / t r, Telephone Q3.2 Mvneerr of Record F4 G Mame Print Address for Service: O z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES go 3.1 Licensed Construction Supervisor: Not Applicable ❑ C,A ac,Ge S I k- F6 ST-e r Licensed Construction Supervisor: C q16 9 License Number on Address , > Expiration/Date 3 ic Srgnature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ CyLC-G:.c.C'w /A— �T G-,Z� Company Name %6 33 9 HT1 Registration Number r rM G G�z v je5 =cs C�t.� ( u r ��c3✓ Address e �-- l ��' `• Y ��— � y f� Expiration Date Signature Telephone G) SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......0 SECTION 5 Description of Proposed Work check all a licable New Construction ❑ Existing Building W Repair(s) Alterations(s) 0" Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work.- t l� ��✓ e �u��-z(/ht� - aTk -t- L tV- VVX C P— L X D Y. d A- (Z uc SECTION 6-ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost(Dollar)to be OFFICIAL USE"O LY r Completed by permit applicant 1. Building (a) Building Permit Fee C C 0 Multiplier 2 Electrical (b) Estimated Total Cost of 1 C Construction 3 Plumbing ) C Building Permit fee(a) X(b) 4 Mechanical HVAC ° C C 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATICIN TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, C, z (t5 1'k f av' ,as?Oymer/Authorized Agent of subject p property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature o;;mr/A ent Date Rim .. �.,. MEW NO. OF STORIES SIZE R BASEMENT OR SLAB , `r SIZE OF FLOOR TIMBERS P12 ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS �( DIMENSIONS OF GIRDERS x HEIGIIT OF FOUNDATION (y G THICKNESS 1 e" 57-6 n e SIZE OF FOOTING k G �1-e- X MATERIAL,OF CHIMNEY 13 it t t< IS BUILDING ON SOLID OR FILLED LAND 5'o( �� IS BUILDING CONNECTED TO NATURAL GAS LINE Yes . North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that.the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A.. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through.the Office of the Building Inspector i i I I � � ,L '--"n " �.�a..,.__,...,..w...�....,. BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 041071 ' Birthdate: 10/16/1921 ,i Expires: 90/16/2003 Tr.no: 6970 Restricted: 00 f CHARLES H FOSTER' 16A MARGATE RD l � N ANDOVER, MA 01845 Administrator I y I.. 71.&....a o�✓�aeaaeluiQe�a i Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR j Registrati6 n 103237 tt ,£Expiration 7/7/20.04 Type- Ind,ividual CHARLES.H.FOSTER'J , y � des 'Foston; N`Andover,Id1A 01845� A�I.piaSietr�±nr NORTH TE o o y i _A3 -.foo = y `' * dover, Mass., /��) COC MSC w CK V ORATED S 4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System eAO f S O V BUILDING INSPECTOR THIS CERTIFIES THAT...j....... . . .. .................... .... ..... .............8 �� :. Foundation has permission to erect...�/.�'�.o.✓../............ buildings on ....1`.... IR. 'S'' ..... ..,,•.,....,.. . Rough to be occupied as..... %c��I fI oI��= �N/I��✓Y i�/s Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. sa &/ /'/ W /two 60M PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONz '* RTS 0, t � Rough .. ..................................... ........ ........................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. +. LocationI�f j, S - " No. Date "ORTI, TOWN OF NORTH ANDOVER oa 0 } „ Certificate of Occupancy $ + ; + Building/Frame Permit'Fee $ h sE Foundation Permit Fee $ ACHUS �„"► O�tl ger Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works `� ��.PEF&fIT tvo. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE l MAP KJO. _ I LOT NO. 2 RECORD OF OWNERSHIP JDATE BOOK 'PAGE ZONE u SUB DIV. LOT NO. �) LOCA IT ON / PURPOSE OF BUILDING OWNER'S NAME V > NO. OF STORIES SIZE D a 4 c_.2• i ( I Com • ` K`fg OWNER'S'ADDRES6 f/ / � 'z/ BASEMENT OR BLAB ARCHITECT'S NAME r to chi SIZE OF FLOOR TIMBERS IST 2ND SRO BUILDER'S NAME Gf / ' Fvs SPAN . DISTANCE TO NEAREST BUILDING I L DIMENSIONS OF SILLS DISTANCE FROM STREET eLV` tzV4 ` POSTS + DISTANCE FROM LOT LINES—SIDES REAR � � " GIRDERS AREA 5F LOT 6(3 FRONTAGE 6G E HEIGHT OF FOUNDATION THICKNESS IS BOTCO7wG NEW !) Q SIZE OF FOOTING X IS BUILDING ADDITION rii s MATERIAL OF CHIMNEY IS BUIL NaGO,!�.TERATION J IS BUILDING ON SOLID OR FILLED LAND ^� f WILL'BtMIM NG CONFORM TO REQUIREMENTS OF CODES 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 BIDES EST. BLDG. COST JL PAGE 1 FILL OUT SECTIONS 1 - 8 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 9 PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED + ` 691�� r Cj� BUILDING INSPECTOR SIGNATURE OF OWNER OR AUTHORIZED AGENT C FEE / OWNER TEL./ PERMIT GRANTED CONTR.TEL.Ji 6 I9 CONTR.LIC.g C5. Q 1 11f 6 9 H.I.C./t I 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 I3 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. I 3 BASEMENT AREA FULL I FIN. B'M'T' AREA _ '/4'/1 % FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ 1_ ASPHALT SIDING HARDW'D ASBESTOS SIDING COMMON _ VERT. SIDING ASPH.TILE STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON Y ATTIC STRS. 3 FLOOR I_ BRICK ON FRAME CONC,OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIORI� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH 13BATH FIXE_ Ai GAMBRELMANSARD TOILET RM. FIX.1FIX.1 FLAT 7 A SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROIL ROOFING MODERN FIXTURES4 _ TILE FLOOR TILE DADO 8 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 3 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 OIL B'M'T 2nd _ ELECTRIC Lt' ( 3rd I NO HEATING ' NORT/y o t over Town g No. 17 4? * dover, Mass., 09 LAKE �COCMICMEWICK yY�• S E BOARD OF HEALTH Food/Kitchen PERMIT . T D Septic System BUILDING INSPECTOR THISCERTIFIES THAT.............................................. Q(04—G........ �,�.� .(. ................................................................. Foundation has permission to erect.........fq.4l..............4niidings-on ........6 ...........MA-9-G 47*......f�,t�................. Rough to be occupied as.......................... �. ....... .1. �'�.......... ............................................ .....PP.4.............. Chimney ....................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough Service .................................. .............. ........................................................... UILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. d r �.,....-�� 97 Iii Office Use gnly u E LfammunlU ata If .4fia90ar4UB1:}}.,� Permit No. _ 13tvartmot of f uhlic _*afttq Occupancy& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 390 (leave 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 L/.2 17 (MYi or Town of NORTH MOVER __ To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work) described below. Location (Street & Number) Owner or Tenant '00a Owner's Address 0AYa lie, / Is this permit in conjunction with a building permit: YesTZ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service /00 Amps Y,2-0-J azo Volts Overhead Undgrnd ❑ 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 6,e C4C c Or ao No. of TTotal No. of Lighting Outlets I No. of Hot Tubs ransformers KVA Above In- No. of Lighting Fixtures I Swimming Pool grnd. grnd. ❑ I Generators KVA No. of Emergency Lighting 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 Total No. of Detection and No. of Air Cond. No. of Ranges tons Initiating Devices Heat Total Total No.of No. of Disposals Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices i Municipal ❑Other No. of Dryers Heating Devices KW Local 11 Connection No. of No. of Low Voltage No. of Water Heaters KW I Signs Ballasts Wtring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws v_�NO = I I have a current Liability Insurance Policy including Como ted Operations Coverage or its substantial equivalent. YES have submitted valid proof of same to the Office. YES Z NO = If you have checked YES, please indicate the type of coverage by checking the appropriate box. j - - 9 ' INSURANCE = BOND OTHER Z (Please Specify) Gia i (Expiration Date) Estimated Value of,Electrical Work S V/0.00 Work to Start G 9 Inspection Date Requested: Rough Final Signed under, the Penalties of perjury: FIRM NAME Ar _ e �rf e LIC. NO. —� LicenseeSignature LIC. NO. Bus. Tel. No. Address �� e Ld j't eY7 Alt. Tel. No.�.�� AN E WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired INSUR Agent quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner �Ag (Please check one) "'— Telephone No. PERMIT FEE S (Signature of Owner or Agent) x•6565 •p--�-"-.i--...-..v..u;.--•----�.. - -ti.sr^.-r-•w-�^`..._.5,.-.r,..h.,y�p;..��}'.�`''1•r�f1"+--1.'�"'�/y-.--�'�"`_...:._-...-. �. ti.. F T 884 t koRTIJ 1 "° TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUSE� This certifies that ........m.! i.L. s?.t..... .�C...�.=h?.�............... 7 has permission to perform ....l..QR ...... .. '..j..................................... wiring m the building of.........�ou. 0� L�-......... . ....... . ............................ at Pee 6+)..................... .North Andover,Mass. 72).5-co.... Lic.No.-6654.7 .............................................................. . ELECTRICAL INsnc- R . 104/29/97.15:24 35.40 PAID WHITE: Applicant CANARY:Building Dept. PINK:Treasurer