HomeMy WebLinkAboutMiscellaneous - 19 FRANCIS STREET 4/30/2018 19 FRANCIS STREET
2101014.0-0006-0000.0
Date.. /?.`,!`.f. . .. . ...
w
NORTH
pf „ao ,°,ti0
o? TOWN OF /AS
ANDOVER
- ' PERMIT FORSTALLATION
h
SSACHUSESS
This certifies that . . . . . . .. . . . . . . . . . . . . . . . .
has permission for gas installation . J-4-. .h!. . . . . . . . . . . . . . . . . . . .
in the buildings of . . .�1y .�. .�. !. . . . . . . . . . . . . . . . . . . . . . . . .
at ,/��! ,��?� .'. r. . . . :. . , North Andover, Mass.
Fee. O. Lic. No.. ?}3. . . . . . . . . `'} . . . . . . . .
t GAS INSPECTOR
Check# G�U Cj
L�
MASSACHUSETTS UNIFORM APPLICATION FOR*PERMIT TO DO GASFITTING /
(Print or ype)
S3
ass. ' Date 20te
Permit d V
` Building Location owners a �
!� �L, "//IY, L
Type of Occupancy
New Renovation❑ Replacements Plans Submitted: Yes❑ No❑
W
V)
a�
O O m G cn
�--� � f— y. Z Z O
p. O o, w
LLI V) I ° o w
z w } m 0 0 0
2 O 0 X � � � o 6 � U o: > D a O.
SUB-BSM'
BASEMENT
IST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
• STH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR
-Installing Company Name 7r/ )V((_ Check one: Certificate
Address corporation
L�)dndh ."'r C74
Business Telephone 3 Q ❑ P rtnershfp
F o.
Name of Licensed Plumber.or Gas Fitter C A
INSURANCE COVERAGE:
I have a current if fifty insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. 142.
Yes No ❑
If you have checked yes, please indicate the type of coverage by checking the appropriate box.
A liability Insurance policy 12� Other type of indemnity ❑ Bond ❑
OWNER'S INSURNACE 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 pernal lication waives this requirement
Check one:
S gna re of Owner or Owner's Agent Owner ❑ Agent ❑
I hereby certify that all of the details and Information I have submitted for entered)In above application a true and accurate to the best of
my knovNedge and that 211 plumbing work and Installations performed under the perml s ed for this )cation will b in compliance with
all pertinent provisions of the Massachusetts State Cas Code and Chapter 142 of the C 1 vis.
Type of License
By p Plumberre of sed Plumber orCas rtter
Tide C)Gas fitter
Q'ty/TO"'f' ter License Number
APPROVED(OFFICE USE ONLY) ❑Journeyman
NORTh
Ott •• y1MO
ti p
�o Y NORTH ANDOVER BUILDING DEPARTMENT
04 c 0 0 400 Osgood Street
Tel: 978-688-9545
Fax: 978-688-9542
BUSINESS FORM FOR TOWN CLERK
DATE:
2
NAME: v �Q
1
r
ADDRESS: v` y �� 5 VV
L�
ZONING DISTRICT:
TYPE OF BUSINESS:
BUILDING LAYOUT PROVIDED: YES NO
AVAILABLE PARKING SPACES: -)4 4 !�
d
ZONING BY LAW USAGE: /-r YES NO
BUILDING INSPECTOR SIGNATURE
Revised 11.5.04
BUSINESS FORM FOR TOWN CLERK
Location 19 F►'A AJC s S
Ma. 1 3 Date ~ �' r
�aRTM TOWN OF NORTH ANDOVER
3?o�,t`•o •,h�C
�; Certificate of Occupancy $
+ 7
Building/Frame Permit Fee $ `
Foundation Permit Fee $ u
sACNust
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $ Y
TOTAL $ J
Building Inspector
+ -05/19/99 11:15 25.00 pAID
Div. Public Works
PFRIA IT NO. 13 APPLICATION FOR I)I:RM IT TO BUILD* ******NOR'1'11 ANDONIFR, MA
2. Immilmi- mvNilislill-V DATE BOOK PAGE
l sAlgb s0-`/ Z 5 5�
ZOhE SUUUIV. L(11'N11. �^
IM A I MN I 'r2P,mc r5 !>'r PURPOSE(11-111111 I)IfI(: L ( 7-1 A16 Z;le-e r— (Frwyr)
OWNEIt'SNAt,E zp� COmpT J I)(). (A Sr()IULs l SIZE
()WNf:R'SADORESS 10) F7-IF,Ve:I S ', S T HAS FI,IEl'If OIL SI.ALI �A,SQIAraV (- _
.A I((I IIT E Cf'S NAA If- 514w1C SI71:OF II0A IIMEiERS 1 2 HD3
1UIII I)t_l('sNAI,IL SA. � SPAN
f)LSIANCE 10HI:ARESI IIUII DH IG, 3 DIMFNS1(NJsOF sit I S
)ISIANCEIR(M1SIIZIA-f 3C + UIMLfISI(N1IS(M:l10SIS
I)ISIANCE FItOh1 Lor LINKS-SIDES REAR /V/14 DIMENSIONS OF GIRDERS
AM AOF LOf ? I(Z 54 fT I IMI IIAGE '7� IIk:IGlfl (i FCARJI)ATIOI1 I I IICKNI:SS
Is HNIIAMIG NEW Al SoZE01 I(XIIINC, _ X
IS Ill)IIA)ING AIMI I ION AV NIAI I-RIAI.OF Cl IIMNEY
IS 11MI.DING AI_l LRATI00 f�J IS L1U11.1)INri OrI SO1JD(-VTI[t EO I-AN11 /�J
%k:111.131)11f)INGCO44F(A(MIORI-"11RE-ME1JISOFCOI)E c ISHl11LUINGCONNECfENJ0101VNWATLit 1f(v5
W)ARO OF APPEALS ACTION, IF AIJY IS BURA)I HG C(NJNECI 1:I)10 rOWII SEWER 053
1
IS FILM 1)11 IG COIJNECi LI)10 NA I URAL GAS I IIJL �E 5
INS I"I W1 IONS 3. PROPER IY INF0IlMAIION I.AIJI)COS I
/?e G# /308 el" Ls I. Lit IX,. cosr fop
I'4GE I FII L CR I r SLC11(NJS 1-3 �a 3 EST. UI DG. COS I PLR SII. FT.
ES 1. 111 DG. COS I PL It RI Ot'i
EI EC-MIC ME:I LRS MUS F HL(kJ O(I I SII)E(N IILIILI)ING SLPI IC PLRf•11 I N0.
AI"IACIILN(',ARA(;EShI11Sl"C(NJFORM MSFATEFIRL•REGM,A11(NJS a ki,ntOvEU UY: Gf
PIANS M11ST BEI-11 EO ANI)APPROVEI)13Y lit111.1)ING INSPECTOR UI111.1)ING INSPEC I Oil
I)AIF�111:0 6 Z OWNERS"IEIN" r
CotIIR.I1.111
ow I R.I 101 .
SIGMAIIllil:0I UWNI"1((11(All IIiORIZI:I)AGI lit
"
I I 1 b I1.1 01
1/L/" 19 ((ice
NORTH
Town of over
No.
C%
0 0 C.I.mr: rt dover, Mass., 45
4 ,y
C
00ATE D J"? .2
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
THIS CERTIFIES THAT......... tr^ BUILDING INSPECTOR
14......................................................................................... Foundation
has permission to erect..Tb.Q............ buildings on ........... ....... ........F , c i..�.........iL 4w Rough
14 Chimney
to be occupied as..:!!�...9:!�. 14...........0
.................... .....
............W....... ..............................
provided that the person accepting this permit shall in every respect conform to i'lie"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
Rei PERMIT EXPIRES IN 6 MONTHS Final
8 UNLESS CONSTRUCqjqN S SELECTRICALINSPECTOR
Rough
....... ...... .... ................................. Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building Rough GAS_WSPECTOR
•
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.
SEE REVERSE SIDE Smoke Det.
MORI'GAGE INSPECr(,ION PLAN
NORTHERN ASSOCIATES, INC.
342 N.MAIN STREET ANDOVER MA 01810 TEL: (978) 474-4410 FAX.- (978) 474-5057
MORTGAGOR: ROY R.CROMPTON JR. DEED REF: 3657 PG: 344
1,0C `F1ON: 19 FRANCIS STREET PLAN REP: # 4508
CI'I'Y,STATE: NORTH ANDOVER MA JOB#: 98/05456
DA'L'E: APRIL 13,1998 SCALE:_ 1" = 20' ,
LOT O
74.B6
!_OT P
7,11.2 sf.+/-
deck
F9-
141 ±
porch 1 1: Si(/'W,
Q, W109
deck o
# 19
1
I
30' +�
I V
1
74.86'
..+.�........M
FRANCIS a I-REF. T
CERTIFIED TO: NORT11 AMERICAN MORTGAGE CO.
IIOTEt Thls mortgage Ltspectiou was prepared 'Phis uunttyuye inspection was p[epa ed 1n accotdanca
specifically for mortgage purposes only and with the '1'eclunicul ,itaulutds tut Ilutlyage Loan
Is not to be relied upon as a laud or property Inspections as adopted by the llassachusetts hoard of
lin. survey, used for recording, preparing deed POtt OF Alf 1[eylul:rutlun of N otessloual F.nyineu[s end land
descriptions, or construction. lie corners were E. �y/ Surveyors 2511 C/III 6115.
set. Building location and offsets are �� �y 1 fill state that In my professional opinion that
approximately located on the ground and CARMEN G
the utructu'us shown contain ulth the loco) sunlny horlronte�
are shown specifically for toning determination A , dimensional selhuck requirements at the time of constructiou
only and are not to be used to establish property T y are exempt under provisions of N.G.L. Cit. 411-A Sec. 7.
lines. The matters shown hereon are based oil
cllent-furnlshed Information and may he subject Q !I.Property/house is not In a Flood Hazard.
to turth.r out-sales, takings, easements and rights O i
of way, and other netters of record and prescriptive ritd �FC(STEPE� 14 [12.Property/house is In a Flood Ilazard Area.
or other rlgqlits. Northern Associates, Inc. assumes no Jj� SJQ (•.13.Inf ormaLloll Is insufficient t0 determine
responsibility herein to the land owner or occupant, N4( ip110, Flood Ilazurd.
accepts no responsibility for damages resulting from said ►�"� "'' �3 lqN Flood Ilaza1 deLermined from latest Federal Flood
reliant. by .nyoue other then the said mortgagee and its assigns ` !j/ Insurance Na Le Nap Panel Z.`009ig om>I
/n connect on with Its proposed mortgage flnanclrnyto said murtgago pate _ �__�=N3 zone *-Z-
Location C/ S 3 /
No. x �� Date
MORT11 TOWN OF NORTH ANDOVER
Certificate of Occupancy $
` Building/Frame Permit Fee $ 5
MUSt Foundation Permit Fee $
JtC
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ -5
Building Inspector
ti 07/13/99 14:48 25.00 Qgjn
Div. Public Works
PERMIT NO. 9' APPLICATION FOR PERMIT TO BUILD********NOR H DOVER, MA
nl:►1'NO. LOT NO. i 2. RECORD OFONNERS1111' DATE HOOK PAGE
_V)NE SUB DIV. LOT NO. -5'D/4 i S S'
LOCATION PURPOSE OF BUILDING � �� � !/If [ ,
`"1WNER'S NAME gD 1�` c�/.K� -T7 NO.OF STORIES / SIZE 8 1
OWNER'S ADDRESS (� +-1��/��� �S �- `IZ BASEMENT OR SLAB
ARCIIITECT'S NAM E S 1� T SIZE OF FLOOR TINIBERS I I 2 D 3R _
BUII.DER'S NAME C � SPAN
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS
DISTANCE FROM STREET DIMENSIONS OF POSTS
DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW f SIZE OF FOOTING x
IS BUILDING ADDITION ✓ MATERIAL Or CHIMNEY
IS BUILDING ALTERATION ES IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE (, IS BUILDING CONNECTED TO TOWN WATER
BO.RD OF APPEALS ACTION,IF ANY IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTUCTIONS 3. PROPERTY INFORMATION LAND COST
EST.BLDG.COSTSQ�i G rU
PAGE 1 FILL OUT SECTIONS 1-3 is EST.BLDG.COST PER SQ. FT.
EST. BLDG.COST PER ROOM
ELECTRIC NI ETERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO.
ATI'ACIIED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS d. APPROVED BY:
PLANS MAST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR
DATE FILED OWNERS TEL#
-7 AY 9
CONTR.TEL#
SIGNATURE OF OWNER OR AUTHORIZED AGENT W*t)
r CONTRAAC#
FEE $ a II.I.C.#
PERn11T GRANTED +
'7 / 7 19
i7;,isul5/5/99 JM
FORM U - LOT 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 or requirements.
*****************************APPLICANT FILLS OUT THIS SECTION*—********************
APPLICANT cmp--- N PHONE
LOCATION: Assessor's Map Number 14 PARCEL_
SUBDIVISION LOT (S)
STREET 1'`Aa C-I-s <S4- ST. NUMBER_
*****************************************OFFICIAL USE
RECOMMENDATIONS OF TOWN AGENTS: ej X I O arr A T
CONSERVATION ADMINISTRATOR DATE APPROVED
DATE REJECTED
COMMENTS S S bkt.0
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS
PUBLIC WORKS -SEWERIWATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9197 jm
NORTH
Town of - OL dover
No.a01 _
43
Dcoc.iI E1f \\. dover, Mass.,
ORATED P, -`Cl
S 5`
BOARD OF HEALTH
Food/Kitchen
PERMIT T Septic System
THIS CERTIFIES THAT... .... ............C. io tj BUILDING INSPECTOR
.... ....................................................................................... Foundation
has permission to erect..... .X.... buildings on .......Vq........rtAgo4........`6... .................... Rough
to be occupied as......`l. yr '�.....5^ .....t o N r b V` fAA%A)+&IN s�a���, himney
provided that the arson accepting tir�this ermit...n. ..................................�'i.�............................................................
p p g p shall in every respect conform to the terms of the application on file in Final
thil 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
i q PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTI S ARTS ELECTRICAL INSPECTOR
C Rough
jZ�t O
1 3 � .... .. . .. . .. ......... ......... .............. ......................................... 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.
IWORTG•AGE _cNSPECrIjON PLAN
NORTHERN ASSOCIATES, INC.
342 N.AM11V STREET ANDOVER AM 01810 TEL: (978) 474-4410 FAX: (978) 474-5067
MORTGAGOR: ROY R.CROMPTON JR. DEED REP: 3657 PG: 344
1,0CATION: 19 FRANCIS STREET Pf AN REP: # 4508
CITY,STA`I'E: NORTH ANDOVER MA J0139 : 98/05456
DATE: APRIL 1.3,1998 SCA1,E: 1" = 20'
f LOT G
r
74.86
SHEL1
Lar P
7,1.1."L sf.+/-
deck
• [x)rch 1 11/p
o k(WD
deck
# 19
I
�T I
I
I
I
1
1 30' ±
l I
I
i
74.86'~ ---
F19 v.vIS S7REET
CER`1'IPIED TO: WRTH AMERICAN MORTGAGE CO.
IIOTCt Thle mortgage lnspectiou was preI,ated 'Phis mutlyuya luupecllou wns ptultatud In eccutdance
spaelflcally for mortgage purposes only and with the 'I'echuicul 6tandut du Int IluliyatJe Loen
Is not to be reliud upon as a laud or property
Inspuctlnns as udupled by lite Ilnssnchusetts nuet'd of
line survey, used for recording, preparing duel `�N Of qJ,� Ileylul.l ulluu uJ Pt ul esslnnul F.nt
descrlptlo11 or construction. ho corners weru �,�P f(� y Jlnauls and Lend
'uurvu wl-/: 2511 Cflll 6n5,
set. building location and offsets are
Y ground and O CARMEN yG I further dale that lu my pt ofesslnoel opinion that
approximately located on the v the sLruclures shuun coulutm with the local zonloy horizonte
are shown are
specifically lie for toning es detertolnetler A dlmunsIonul set buck Ietulretneuts at the time of construction
only utJ ere not to be used re esare bah pf oil L T N nib exanytt under novJslous of N.G.L. CIL 40-A Sec. 7.
linea. The natters shown hereon are based on 1
client-lurnl shed Inlorpetlon and may ba subject t
to further out-soles, takings, easements end rights �O� Q�1.1'roperty/Ilouse is not In a Flood llazard.
o! way, end other petters of record and prescrlptive Fd �FCI$TEREO J� C12.Prolterty/Ilouse Is In a Flood Hazard Area,
or other rlyyll northern Associates, Inc. assumes no `l'/0 SJP 1-17•lntnnnntlon is insufficient to deterlalne y
responslblllty hareln to ti,
land owner or occupant, �..NQ( IAli� Flood Ilazurd.
accepts no reeponelblllty for damages resulting from sold 3 q Flood Ilazard deCeCmined from latest Federal Flood
j� ' ! {}�
reilaoc• b anyone other than the &alit mortgagee and Its aeslyne ` f/ Insut'ance hate Ifap Panel Z�`C��q�' Qral
In connacttun wit Ch Its proposed mortgnye Ilttanelny to said Purl yayo Da Le _ t< - _? 2011e �-
'