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HomeMy WebLinkAboutMiscellaneous - 177 HICKORY HILL ROAD 4/30/2018Date R. I./I : (rf ?-- <���� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ... /- .............. has permission to perform .............. . y , plumbing in the buildings of- at. f at..:�.!'."�'. North A er, Mass. Fee--:� ...... Lic. No..... ? i;l�a ........ . . �... ._fir'? j. //.i[..� �j � _ PLUMBING LIWSPECTOR Check # � �lv 5158 V_ I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type ,L, 11�2 (tet' �� d , Mass. Date r Zoc 2 Permit # Building Location / /„�� D Owner's Name � 5 if of Occupancy n F5t S + D -rI fI (- 19 New ❑ Renovation ❑ Replace ''int 2"" Plans Submitted: Yes ❑ No 13 FIXTURES Installing. Company Name kt'�Ele• r (1r1,1l A TA P_ 7 Check one: Certificate Address :n C'oAo4maK) Pj ❑ Corporation /r E l w o_ Al . V1'1 a O I NL/ ❑] Partnership Business Telephone 2-Arm/Co. Name of Licensed Plumber( r 3 F;P T frl SA,�►�Iryl19 tr4 t�� INSURANCE COVERAGE: I have acurrent jabiiity ins ce policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes C1 If you have checked ves. please indicate the type coverage by checking the appropriate box. A liability insurance policy 1d 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: Owner ❑ Agent ❑ 1 hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations ormed under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ' g e and apter of the eral Laws. BY 'V(sL Title re of Licensed Plumber'. Type of License: Master Journeyrn lb ❑ City/Town - APPROVED OF ICE USE ONLY1 License Number_ • V • • • ill • • Installing. Company Name kt'�Ele• r (1r1,1l A TA P_ 7 Check one: Certificate Address :n C'oAo4maK) Pj ❑ Corporation /r E l w o_ Al . V1'1 a O I NL/ ❑] Partnership Business Telephone 2-Arm/Co. Name of Licensed Plumber( r 3 F;P T frl SA,�►�Iryl19 tr4 t�� INSURANCE COVERAGE: I have acurrent jabiiity ins ce policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes C1 If you have checked ves. please indicate the type coverage by checking the appropriate box. A liability insurance policy 1d 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: Owner ❑ Agent ❑ 1 hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations ormed under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ' g e and apter of the eral Laws. BY 'V(sL Title re of Licensed Plumber'. Type of License: Master Journeyrn lb ❑ City/Town - APPROVED OF ICE USE ONLY1 License Number_ J Z O W N W V O cc O W 3 O J W m N Z O F- V W IL N Z J Q Z Z m J C O O O r r o Z Z � m m a o Z W W O C6 O r O W LU IL 0 tt,t Z .1 96 N Z O F- V W IL N Z J Q Z Location No. 7t Date TOWN OF NORTH ANDOVER p Certificate of Occupancy $ i Building/Frame Permit Fee $ j F� y '+,n° ••" t9 �tilt / / �ss�c►,�s•` Foundation Permit Fee i'$ Other Permit Fee $ `/��ewer Connection Fee $ �QG V�r Connection Fee $ I ` "9sJO, cis TOTi, $ X99! ��/J. C) -Y— Building Inspector //L9, ®� Div. Public Works Location �f No. Date r ,.ORTN TOWN OF NORTH ANDOVER •...' _ _ ." OL p Certificate of Occupancy.,, 1$ Building/Frame Permit Fee 1$ �s ^°'nth Foundation Pe mit Fee $ -1 CHuse ,n Oth � 1§0"ee $ `- ;6&wer Connection Fee $ ✓ +7 � �-Wate(% nection Fee , $ l A-Ao o -f 'TOTAL 1 L' �.- $ 2 1 :fit). 0-0 Buildi6g Insp'eEtor ' Div. Public Works PEA\IIT NO. 7 70 1 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. fl /7 / f PAGE 1 MAP +40. ZONE%�I^�^f L• 1 LOT NO. SUB DIV. LOT NO. '� 2 RECORD OF OWNERSHIP IDATE AAW71ICpt II 'YI BOOK 'PAGE / 1 eLgU !rig _l t I LOCATION 'I 11 PURPOSE OF BUILDING _ � kD6"'y?',l�Z S)N G �. Ran, l OWNEWS,FiAME f. _ r�k� _ NO. OF STORIES SIZE oo c.� �? ,tax OW 1ER'S ADDRESS j>,_, BASEMENT OR SLAB Fjii CHITECT'S NAME '�"' ; SIZE OF FLOOR TIMBERS 1ST 2ND 'j x lh 3RD BUILDER'S NAME T1 \ S D,7,:7 `, - SPAN 19"'Ay DIMENSIONS OF SILLS y s , DISTANCE TO NEAREST BUILDING DISTANCE FROM STREET LJ ©/ ,POSTS C DISTANCE FROM LOT LINES - SID_lES REAR 1 "" "" GIRDERS // 1(Z� ZV 10 ```70 4 l AREA OF LOT sJ ��{� Q(T SCJ{t�J FRONTAGE 1 U�;� HEIGHT OF FOUNDATION 1 THICKNESS lV IS BUILDING NEW jI SIZE OF FOOTING 11 X 16 IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND JU WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Ye'`J C 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 SEE BOTH SIDES PERMIT FOR FOUNDATION ONLY REGULATE[ BY PARA: 112.7 S.B.C. PAGE 1 FILL OUT SECTIONS 1 - 3 9arC. l. F1wL- r,A!n. � W PAGE .2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING V ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED �A}N13 APPROVED BY BUILDING INSPECTOR DATE FILED / ,? vl /. /,, I SIGNATURE &F OW R OR AUTHOMIZED AGENT 4 F E E—5,Y.5—, 00 PERMIT GRANTED Qw�3�Rt�i'" 373-�� (67 19 CovT(Z.C�"� 373-('7(.—; 3 PROPERTY INFORMATION LAND COST �y 1 EST. BLDG. COSTCCAG� /��� ae� as EST. BLDG. COST PER SQ. FT. J o, ({�t 0(i►J EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. G• [/ 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING RECORD I OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION I CONCRETE w1 CONCRETE BL'K. BRICK OR STONE PIERS _ 8 INTERIOR FINISH d 1 PINE HARDW D PLASTER DRY WALL UNFIN. 2 13 3 BASEMENT I t AREA FULL -- '/ 1/1 1/1 FIN. B'M'TAREA FIN. ATTIC AREA _ _ NO BMT FIRE PLACES l HEAD ROOM MODE N KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 �_ 3 _ _ DROP SIDING CONCRETE WOOD SHINGL(S EARTH ASPHALT SIDING ASBESTOS SIDING HARD\1J'D COMMCN VERT. SIDING _ ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. 8 FLOOR _ CONC. OR CINDER BILK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF GABLE I I HIP 10 PLUMBING 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 STEEL BMS. & OLS. 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 71st 13rd I NO HEATING 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. SUBDIVISION }'1 ASSESSORS MAP SUBDIVISION LOT(S) PERMANENT ADDRESS STREET W i i -C a" , )T,1 FORM U TOWN OF NORTH ANDOVER LOT RELEASE FOM A,c%SIGNED BY D.P.W. APPLICANTCsM 0.s D�� �t, PHONE -373-1747 DATE OF APPLICATION �o «!G I TOWN USE BELUW THIS LINE PLANNING BOARD DA'L'E APPROVED TOWN PLANNER DATE REJECTED CONSERVATION CUMMIS ION % DA'T'E 11PROVED CONSER ION ADM N. ll�" REJECTED A BOARD OF HEALTH 9ANITARIAN " DEPARTMENT OF PUBLIC WORKS DATE APPROVED DATE REJECTED DRIVEWAY PERMIT IAN& 6. SEWER/WATER CONNECTIONS FIRE ► & RECEIVED BY BUILDING INSPECTION I DATE This form shall be signed by the agents of the Planning and Health Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall. not r.eleive the applicant from the compliance of any applicable Town requirement or Bylaw. �j *�r^� ,r, w.. a'ls;�'-:s'� `."`:: j7�p _- :.r_--�„�-r-'spa. �-�-:.,si,.:� "`^'�•rl1i+�0�'""-' - T� ICKORY 1�1 .I .I_L—1rP-7E>EvgTF .llRcAt!)- 5 L•1 '�- 1 '3 , - LIQ ktka 2�oG''S14 .41 IVy, r l 1 i o x g a A* I 4J O AL M��� I Ili1Q _`J4 EROS i o N C oN T -R 0 L 'Z c� d, S )(0 L-'kn1bs � N G� tiP• • Oj / G� v "• r o2:50- 2 / 2, (Da -i ENVIRONEERSAl ALFRED A. SHABOO, P.E. HICKORY HILL RoP.p, ' N. ANDOVER, . p P.O. Box 516,160 Pleasant Street, North Andover, MA 01845 • 1 RO'P�7S�D ITE DF-VELUPMENT H1cKCRY 1 j1Ii-L Sfr.pT6AA'e4--'k 19q ( JCI�LIs (508) 683-3893 ROAZ) . 1 s iC>' �j *�r^� ,r, w.. a'ls;�'-:s'� `."`:: j7�p _- :.r_--�„�-r-'spa. �-�-:.,si,.:� "`^'�•rl1i+�0�'""-' - T� ICKORY 1�1 .I .I_L—1rP-7E>EvgTF .llRcAt!)- 5 L•1 '�- 1 '3 , - LIQ ktka 2�oG''S14 .41 IVy, r l 1 i o x g a A* I 4J O AL M��� I Ili1Q _`J4 EROS i o N C oN T -R 0 L 'Z c� d, S )(0 L-'kn1bs � N G� tiP• • Oj / G� v "• r o2:50- 2 / ENVIRONEERSf� � :� HICKORY N1LL RoAD, 1 nnrr �. r1N�lER. �'ASI (a ALFREO A. SHAS00,P.E. *.P.O. Box 516,160 Pleasant Street, North Andover, MA 01845 • (508)683-38S3 - �iET_?'TIFIE(�, • I OUNlP)AT1oN 1 L t4 ` c_Ko zy L RgA,r> NovGZ M8 E+2 H , ) 4 Q l SCAB �► + " � 1.4 HIC.K.ORY HA VA F, R04JZ� u� ?> \In' po�tn H- 1••2 1 3C }' -EXIST. eco W N • � Yflip K► I � I t UTILITtS-5 G.AsIs.Mw4 r Z . � 1 t w• 2 A►Jas .-'. y - J. N � � vGG 5.6 2 / 2 �.. ,. ^N,L„. , IN _...T..: -C. RTIFY Ti�AT T4M OFPSETS 3+aoww CoMT-GR'k , '��4 •,��C '„ LNG - - .-- NTN ANoovt2,/"lA. �'��:s:'.,:;:,; .•v�t: _Q F -i= s E'r S .._ r— U. --a 11 S�oW 1V. ARE .. I-oR. T+�E VsE OF �H E �U►LDtN T ••�� RA L5 Q BUILDING DEP RTIC E;- OJi V) ta Cd it 4) u''la I ; z 0 O Q 0 � W o G W O LL. Z Z ? W d W Z Z u z 6w Q m �. < UQ. MUD CA m L C cb E J t 96 cm 3 'RC J t V W L W y O O L C O C O m C p C ` ¢ U ii a: ii CC V) U. ¢ U- m ai m k\ o G ;O y Q A O UQ. C 0 LL. � � D of 4% O O 6 W T • E A //ii�i ids y yL Ul UJ O =r O p Le 61 u o � o 1p W 4n /1 i..l... Q • V Y = •� a WZw U .�+ • C. O y 'Li UAM w V O =,LufZ z `o = and ::D Q Mwd�i W 'y Z e m W cm V v •� O S. MLLJ �Q d•r Q W CL ♦r 'oo L +r 0 I C O{.1..ow .0 cia .. R °_v I1P1 M .. a Q O z V cn O z w I Or In b Z 2 O Q 0 Z O LL O LL t W a m �\ N ' n Q Q W LL, (, W W an LU �m 0 z zld L .Q V 1v N W ` � •� O �� ii J y O \ pW,� z \ \ � ? y u'/ •Ifs htv d ^ H ``' � Q W m oc j� �• uo wo � TT `-� l ¢ U U- C6J O t V Ud 7 t0 m Q 0) LL — 7 O � Y O U)A. Q l L b Z 2 O Q 0 Z O LL O LL t W a m �\ N ' n Q Q W LL, (, W W an LU �m 0 z zld L fu 4) .` �a CL D .� Q •fu — O Z .Q O Q L C 4) C C toow. C w O d E c y. C O C Z •— CL O C C m V fu 4) .` �a CL D .� Q •fu — O Z N�pTM KAREN H.P. NELSON . Town of Director n NORTH ANDOVER BUILDING CONSERVATION 8+CHuDIVISION OF PLANNING PLANNING & COMMUNITY DEVELOPMENT Conservation Commission March 18, 1992 1. Minutes 7:00pm January 22, 1992 (revised minutes to be adopted) March 4, 1992 2. Old Business Rocky Brook Estates (#242-392) - Extension Rosemont - Discussion Lot 64A Haymeadow Rd. (NACC #2) - update Dale St. Sewer (#242-449) - Discussion 3. New Business ABC Bus (#242-256) Lot 4 Holly Ridge Lot 7 Holly Ridge Culvert Clearing - Coventry I and II 120 Main Street, 01845 (508) 682-6483 - Compliance (#242-348) - Modification (#242-348) —Modification Ratification of Emergency Certification (#242-324 and 385) - Discussion 4. Public Hearings 8:00pm Lot 11 Hidden Court - Determination Rea's Pond Trailwork - Determination 5. Decisions Date Due Lot 11 Hidden Court March 30, 1992 Rea's Pond Trailwork April 1, 1992 Campbell Forest 21 days after closing Next meeting- April 1, 1992 • MAR 181992 s s I y M1 0 _ rIi 1 s s 0-E t!�f�74t CATION Town iv of • . •J: 1 'I I If%T'0( IN J IF PLANNING & (;()111AWNYYY D1'N'i'-'L )VAj NT I:A1 1,1 N'' I I.I'. NI :I .ti()N. I )II 11:( ;'I ()I i C11IAINLY APPLICA11014 ANO IT1311 V NEWS NAME: . . I � I ILDER'S NAME:__. .f. WA J l�liitr;iii I'iii�,�•11';iJlti•I' ti; i � 1 x;11(; •l i �'; - SON'S NAME: SON'S ADDRESS: 'ON'S TELEPHONE:_ F.ER1AL OF CHIMNEY: rERIOR CHIMNEY: VX 1 1T i t)It C111A11J1= V WER AND SIZE OF FLUES: : CKNESS OF HEARTH: ' /J �Z eshbnney an. 6i4epeace eon(joam to Vie l(e.qu.i)(elne)1.t:5 u() .the curie and have ,mLn mid jutati.ow been nece.Zved: _F: NATURE OF h1ASON: MIT GRANTED: ;ERT NICETTA LDING INSPECTOR PECTEO: ARKS= FEE Zit. SOLID BLOCK Rll(�Uln;m aniiy r�.. THIS PERMIT WISF BE UISPLAVLO 014 111E I'RLMISLS