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HomeMy WebLinkAboutMiscellaneous - 187 ROSEMONT DRIVE 4/30/2018Late .. TOWN OF&JORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .. d9 !' ' v......... .............. „ . has permission for gas installation .. .................. in the buildings of ..'`. d..t................................... at 11�...... { North Andover, Mass. Fee..Lic. No., .'31 �.4 ... i,...-^-��,—,_....... . )GAS INSPECTOR Check # 5874 1'i„ -OF .4 Late .. TOWN OF&JORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .. d9 !' ' v......... .............. „ . has permission for gas installation .. .................. in the buildings of ..'`. d..t................................... at 11�...... { North Andover, Mass. Fee..Lic. No., .'31 �.4 ... i,...-^-��,—,_....... . )GAS INSPECTOR Check # 5874 30 - MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or 7 ) 1 L Mass. Date / ,Yg Permit #—)P07 !I Building Location Owner's Name e i Type of Occupancy -4W New Renovation ❑ Replacement [ Plans Submitted: Yes❑ No ❑ Installing Company Name���l}�1©l� '� ��� LJIC- Address ,oc Business Telephone �Cn Name of Licensed Plumber or. Gas Fitter Check one: t� Corporation ❑ . Partnership ❑ Firm/Co. Certificate -I . INSURANCE COVERAGE: I have a curren {iability insurance policy or its substantial equivalent which rneets the requirements of MGL Ch. 142. Yes No ❑ If you have checkedryes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 9 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 ❑ C:nnni ire of rlamnr nr ilLAor•[ Anpnt 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 installations performed under the permit issued for this applica 11 be i fiance wi II pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. sy. Tof License: tGasfitter umber Signature of lum r as Fitter Title aster License Number 31 0(Q City/Town ourneyman APPAONED (OFFICE USE NL ONE No MEN I ST FLOOR MEN MEN Sam 3RD FLOOR MEMMUMENER on so EMN Installing Company Name���l}�1©l� '� ��� LJIC- Address ,oc Business Telephone �Cn Name of Licensed Plumber or. Gas Fitter Check one: t� Corporation ❑ . Partnership ❑ Firm/Co. Certificate -I . INSURANCE COVERAGE: I have a curren {iability insurance policy or its substantial equivalent which rneets the requirements of MGL Ch. 142. Yes No ❑ If you have checkedryes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 9 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 ❑ C:nnni ire of rlamnr nr ilLAor•[ Anpnt 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 installations performed under the permit issued for this applica 11 be i fiance wi II pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. sy. Tof License: tGasfitter umber Signature of lum r as Fitter Title aster License Number 31 0(Q City/Town ourneyman APPAONED (OFFICE USE NL z 0 F U W CL N 2 N N W cc d 0 a Y J Z' O W N W LL O O Lf - 0 0 J W 0 W W I.- 46 < W Q Z W O � Z111 j d 6 J . A fob;' . / C✓ Location. '-� No. L Date — Z 0 n TOWN OF NORTH ANDOVER S Certificate of Occupancy 0 $ ` Building/Frame Permit Fee $ Foundation Permit Fee $ l DO -- Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ �„ Bwlding Inspector 12:11 150.00 PAID i<2 9577 Div. Public Works Locatio%i •' " 1i'st o: Date Z_ /Z--7& Ln "ORT" TOWN OF NORTH ANDOVER N 3?a oL _ A Certificate of Occupancy it Building/Frame Permit Fee $ s�cMust� Foundation Permit Fee $ Other Permit Fee $ z%05" Sewer Connection Fee $ moo, Cid Water Connection Fee. $11 4 3.0 TOTAL $ 03105/96 12• 1,440.00 PAID �euild' y Insp t Div. ub is Works I V WIF IV V1 t\VI I I I I f1I�i/V V &.■ ■ Certificate of Occupancy $ r� r rA Building/Frame Permit Fee $ 13z?, a Foundation Permit -Fee $ Other Permit Fee- $' Sewer Connection Fee $ _ Water Connectjon.Fee $ _ U TOTAL $ M r0 Building Inspector Div. Public Works r PERMIT Nw- r APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP d-40. V!?I LOT NO. � j5`b 2 RECORD OF OWNERSHIP DATE BOOK PAGE ZONE RZ SUB DIV. LOT NO. 28 I LOCATION ����l�dt�� 1 ✓Ip7�1 .p PURPOSE OF BUILDING R'S NAME OWNER'S NAME M4 Jt��/,,-Ao i� NO. OF STORIES a S'IZlk/ OWNER'S ADDRESS 3iD�P�/�T��. �UNT�����A4. BASEMENT OR SLAB ARCHITECT'S NAME / Q�C fps SIZE OF FLOOR TIMBERS IST ax1O 2ND a�(�O 3RD BUILDER'S NAME 76115&?-//tFj��/C 4 'r SPAN /s r/ "0 DISTANCE TO NEAREST BUILDING -- DIMENSIONS OF SILLS a�(b DISTANCE FROM STREET Y " POSTS 1 DISTANCE FROM LOT LINES - SIDES REAR k,Q,"�. " GIRDERS AREA OF LOT IS, Qkq- FRONTAGE HEIGHT OF FOUNDATION 8 1 THICKNESS off IS BUILDING NEwV > ( SIZE OF FOOTING $�1 X ZD^ IS BUILDING ADDITION NO MATER:AL OF CHIMNEY =ems � IS BUILDING ALTERATION N V IS BUILDING O SOLID R FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE %ir."', 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 'PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FIL /j AN APPROVED BY BUILDING INSPECTOR DATE FILED �/ 231 G6 SIGNATURE OF OWNER OR,,AWTH,OjtIZED FEE ` � % -f-S(/� PERMIT GRANTED Z~� 19 -/ 6 BLDG. PERMIT FEE $, �, ? LESS FDA FEE. 0 _.,. DUE FRAME PERMIT $ 194/3,9z. 3 PROPERTY INFORMATION LAND COST Ile EST. BLDG. COST f R;tA OSS EST. BLDG. COST PER SQ. PT. 6s _ EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSP[CTOR OWNER TEL. # CONTR. TEL. # �B 68x`•2429' CONTR. LIC. # CS oba966 H.I.C. # f BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S-ORIES 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 7 _ 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ 3 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER ORY WALL _ UNFIN. 1f/ _ 4 3 BASEMENT . 71, s AREA FULL FIN. B M AREA. '/, 1/7 '/ 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 _ COMMON p VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIORI�POON_ OR ADEQUATE NE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES _ LAVATORY- _ WOOD $HINGES .KITCHEN SINK -. SLATE NO PLUMBING _ TAR & GRAVEL STALL -SHOWER ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING - WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. / 'STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR } 3 :i.i�# ;�� WOOD RAFTERS• AIR CONDITIONING �"—�"• �"" "" "� RADIANT H'T'G ! •� UNIT HEATERS ...�... ......, _ Y " , __ ,�� GAS(. { 7 NO. OF ROOMS - --- - - 1S OIL B -M -T 2nd _ I ELECTRIC 1st!'j 13rd NO HEATING 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: At+,1 i&r t9EJ LAAW CCNt. Da2ft-f-rPhone SM_G82-2449 _ LOCATION: Assessor's Map Number Parcel Subdivision NO&TH AN 4VLJR_ XS77+7AF-5, Lot(s) 2 � Street loRia&" St. Number fe ************************Official Use Only************************ f RECND IO S OF TOWN AGENTS: Date Approved C nsery #ion Administrator Date Rejected Comments Town Planner Comments Food Inspector -Health Septic Inspector -Health Comments Date Approved 2 A k2 Date Rejected Date Approved Date Rejected // Date Approved /Z 4 Date Rejected Public Works - sewer/water connections driveway permit _ :1) 2-/2 Fire Dep rtment /!. R ceived by Building In pector Date FROM : LAND PLANNING BELLINGHAM LOT 27 Q� 37.4,,, 372_ �1 370 —/ 30.32 368 366' PHONE NO. : `'508 966 5054 P02 r x 382 - �- — 380 1- --378 --376 --_--374 ----372 LOT 29 -----370 ----366 — ---364 4 -A RO,SEMONT DRI VE' __,.,� (50' WIDE APP WAY) NOTE: ALL UTILITY LOCATIONS ARE TO BE FIELD VERIFIED BY THE -SITE CONTRACTOR. EATON FEDERAL SETBACKS: F-20' R-20' S-20' btwn bldgs. --------------------- LAND PLANNING ` ENGINEERING & SURVEY 167 HARTFORD AVENUF, BELUNGHAM, MA 0201® (508) 998--4130 . FAX (008) 888-5054 360 GRADING / SITE PLAN LOCATM AT LOT 28 NORTH ANDOVER ESTATES NORTH ANDOVER, MA PREPAM PDDR TOLL BROTHERS, INC. 1800 WEST PARK DRIVE IYEMORO, MA 01581 2/13/96 1 1"=40' I NAE -20__ K- r FROM : LAND PLANNING BELLINGHAM' PHONE NO. : 508 966 5054 P01 LOT 27 N ROSEMONT DRIVE (50' WIDE APP WA17 SETBACKS: F-20' S-0' R-20' (20' betty. bfdgs.) I CERTIFY THAT THE STRUCTURE SHOWN 15 LOCATED ON THE LOT AS SHOWN ON THIS PLAN AND THE LOCATION DOES CONFORM WITH THE FRONT, SIDE, AND REAR SETBACK REQUIREMENTS SET FORTH IN THE TOWN'S ZONING BYLAWS AT THE TIME OF CONSTRUCTION. I FURTHER CERTIFY THAT THE STRUCTURE IS NOT LOCATED IN THE SPECIAL 100 YEAR FLOOD HAZARD ZONE. THIS PLAN IS NOT TO BE USED FOR THE ESTABLISHMENT OF PROPERTY LINES, ERECTION OF FENCES, OR CONSTRUCTION OF ADDITIONAL STRUCTURES ON THE LOT. MAP NO. 0006C COM NO. 250098 DATE: 6/2/93 LOT 29 FOUNDATION AS -BUILT LOCAM AT LOT 2& NORTH ANDOVER ESTATES NOR`1'H ANDOVER, MA PRlSrmm Full TOLL BROTHERS, INC. 1600 WEST PARK DRIVE WES'iBORO, MA 01581 LAND PLANNING ENGUMRING do SURVEY 169 RAM"IM IM AVQ1Vr. NZUAM)lA16 KA 0RU18 (509) 99e-6130 TATE (5W) 988-5056 119/96 1 1"=40' NAE -08 'O C NC CC CA c'"I co Z Co! CD o -o :z r C'j. ��..CO) O cm CD 0 CD O CD CD o CD = C" 9. C CD CO2 o,. C7 ch o ca o CD v y o � Z co 2 a CD CD 0 C CD 0� CD CD CD O a to O CD CD C o� 0 CA N C 0 N C O d = _G O CD N O CD CO7 m n N CD C �, �2y� Carn N T CD a?� = m O O Co N O y m m a O O Cn.« O - z O N C7 �0CD_ �Zt a 4c CD CD CD N O CD CD - d CD ' C y CD m CD w CD CD CO C,,� O O CD O N m O s y CD � o o m Cl) r O d c o � m co 0 c ..r '"3 -• V � to co 0 c MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTI ' (Print or Type) NORTH ANDOVER Mass. Building Location /d% Owners New I -t Renovation D Replacement Plar r Date �— Permit # 2 2 02• 0 ''V Name/ Submitted kr-rnnL or 1 ype) _ Check one: Certificate Installing Company Na e Q Corp. Address Partner. F-1 Firm/Co. Business Telephone:Z—o9f —02 IF Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy J� 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-] Agent El I hereby ccrtiry that all of the dcuils and information I have submitted (or entered) in above application are true and accurate to the best of my knowtcdge and that all plumbing work and Installations perfomied under'Permit kwed for this application will -be comp' cc '!l tinent provisions of the Massachusetts State Cas Code and cltapter 14I of tho Genual Laws. — By TYPE LICENSE: �- Title Plumber Gasfitter- Signature of Licensed City/Town: Master Plumberor Gasfitter APPROVED (OFFICE USE ONLY) Journeyman Z�a' jp License Number MENNEN OEM OEM E 00 MEN 0 OEM, ME No M ME MONEEMSEEM kr-rnnL or 1 ype) _ Check one: Certificate Installing Company Na e Q Corp. Address Partner. F-1 Firm/Co. Business Telephone:Z—o9f —02 IF Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy J� 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-] Agent El I hereby ccrtiry that all of the dcuils and information I have submitted (or entered) in above application are true and accurate to the best of my knowtcdge and that all plumbing work and Installations perfomied under'Permit kwed for this application will -be comp' cc '!l tinent provisions of the Massachusetts State Cas Code and cltapter 14I of tho Genual Laws. — By TYPE LICENSE: �- Title Plumber Gasfitter- Signature of Licensed City/Town: Master Plumberor Gasfitter APPROVED (OFFICE USE ONLY) Journeyman Z�a' jp License Number 'LTi) �� Date :, l !� .1�.. . t NORTH TOWN OF NORTH'ANDOVER PERMIT FOR GAS INSTALLATIONa. Al ♦ 9 • :. �• " y w t �9SSACHUSE� _ r This certifies that .i 777 has permission .for gas installation in the buildings o ..��...y at North Andover,.MassS wk Fee. .7..lJ. .. Lic. No.:<d: 3 7. �p GAS INSPECTOR WHITE: Applicant CANAR' Building Dept. PINK: Treasurer GOLD: File