HomeMy WebLinkAboutMiscellaneous - 201 MARBLERIDGE ROAD 4/30/2018 (2),t
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TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that ..-.....:..... ..............
'has permission for gas installation ... .
in the buildings of .. ��'-:� � ' : ' • ............ • • •
............... : �-z' .. io-tth Andover, Mass.
Fee.. " `.. Lic. No�:.// .... _•-�r'��s_. '....... .
GAS INSP96tol
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
p
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO ®O GASFITTING
(Print or Type)//
O fipl A N d (�Date Permit r#
+; Building Location 201 %i%a-vLlgi=tom-- Owner'sName__L���
Map: Lot: Zone: _-- Type of Occupancy__ r es, [ d 4P N l a l
oil
New ❑ Renovation ❑ Ruplacement Q-10, Plans Submitted: Yes ❑ No D
Installing Corn pany�yName _� f 7
Address
Estimate Value of Work:
Business Telephone
Name of Licensed Plumber or Gas Fitter
Check one: Certificate
Q Corporation
CI Partnership _
u—L .Firm / Go.
INSURANCE COVERAGE:
I have a current li ility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes No D
If you have checked yg§., please indicate the type coverage by checking the appropriate box.
A liability insurance policy ice, Other type of indemnity D
Bond D
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 o1 owner or Owner's Agent Owner Q Agent ❑
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 application will be in compliance with
all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
BY Tym of License: I
Plumber Signature of Licensed Plumber or Gas Fillet `
Title Gasfitter
aster License Number
City / Town Journeyman T7—' --
APPROVED (OFFICE USE ONLY)
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NEMMMMMMMENMMMMMM
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NONE
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MENEM
EMMEM
Installing Corn pany�yName _� f 7
Address
Estimate Value of Work:
Business Telephone
Name of Licensed Plumber or Gas Fitter
Check one: Certificate
Q Corporation
CI Partnership _
u—L .Firm / Go.
INSURANCE COVERAGE:
I have a current li ility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes No D
If you have checked yg§., please indicate the type coverage by checking the appropriate box.
A liability insurance policy ice, Other type of indemnity D
Bond D
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 o1 owner or Owner's Agent Owner Q Agent ❑
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 application will be in compliance with
all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
BY Tym of License: I
Plumber Signature of Licensed Plumber or Gas Fillet `
Title Gasfitter
aster License Number
City / Town Journeyman T7—' --
APPROVED (OFFICE USE ONLY)
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Location"
No. r Z Date
&aRTN TOWN OF NORTH
ANDOVER
rizmmsiAbLp Certificate of Occupancy
$
Building/Frame Permit Fee
$ �y• Z
Troe
J�CH c►+ust Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$
' Water Connection Fee
E
$
TOTAL
$
�(A '
04/61/96 16:34
9632
Building Inspector
34.29 PAID
Div. Public Works
PERMIT NOa /
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. ✓ PAGE 1
MAP a40.
LOT NO.
2 RECORD OF OWNERSHIP (DATE
BOOK 'PAGE
ZONE
SUB DIV. LOT Nd.-
O.LOCATION
LOCATION
%/TIS-�tt� O 1;*3CGS
PURPOSE OF BUILDING Lr
GC�
OWNER'S NAME� R - fKA (iLA.AJ CV
NO. OF STORIES �.. SIZE
OWNER'S ADDRESSpo/ME
Ni SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME .T'i7-CK. �/
SPAN ---
DISTANCE TO NEAREST BUILDING /t
C F+
DIMENSIONS OF SILLS ---
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES - SIDES4. ZO REAR
" GIRDERS
AREA OF LOT 3.3 573 C, FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW A/0
SIZE OF FOOTING X
IS
IS BUILDING AQGLXAQU o f `K /a)(34/�.
MATERIAL OF CHIMNEY
IS BUILDING ALTERATION Wo
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �� S
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 FILED AND APPROVED BY BUILDING INSPECTOR
PERMIT GRANTED
19 ��
s" PROPERTY INFORMATION
LAND COST
EST. BLDG. COST O-
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
SUILDING INSCIO
P[CTOR
OWNER TELJ (.4,f 7
CONTR. TEL. # &M40
CONTR. LIC. # ci& 415 W
H.I.C. # / zley t7
IW
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY
SiOkIES
_
MULTI. FAMILY
OFFICES
APARTMENTS
__
CONSTRUCTION
2 FOUNDATION
_
8 INTERIOR FINISH
d I 2 _ (3
PINE _ 1'
HARDW D
_IE
CONCRETE
CONCRETE BL'K.
BRICK OR STONE
PIERS
PLASTER
_
DRY WALL
—z'
_�
_
_
_
UNFIN.
3 BASEMENT 11
AREA FULL
FIN. B M AREA
'/. I/2 '/.FIN.
ATTIC AREA
_
NO B M'T
FIRE PLACES
_
L
HEAD ROOM
_
MODERN KITCHEN
4 WALLS I
9 FLOORS
CLAPBOARDS
DROP SIDING
WOOD SHINGLES
B
1
2 3
�_
_
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
HARDW D
COMMON
VERT. SIDING
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK N,MASONRY
BRICK ON FRAME
CONC. OR CINDER BLK.
ATTIC STRS. & FLOOR Imo✓
WIRING
STONE ON MASONRY
STONE ON FRAME
ADEQUATE I -i ONE
5 ROOF
10 PLUMBING
GABLEHIP
BATH (3 FIX.)
GAMBREL
MANSARD
TOILET RM. (2 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
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & 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
I'M 'T 2nd _
Ise 13rd
ELECTRIC
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.
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�On Call Construction
Weymouth • Massachusetts • 617-340-6997
Customer
Dr. & Mrs. Ramiro Blanco
201 Marb Jeri dge Road
North Andover, MA
DECK
25 March 1996
• Remove all existing decking and railings on 10x13 deck
Construct new deck attached to existing (total size of new
deck approximately 12x34)
1. 1x4 mahoghany decking
2. fir baIlasters and handrails
3. new 1x4 mahogany on stair treads
4. (5) new concrete footing 4' deep
5. 4x4 pressure treated corner and intermediate post
6. Pressure -treated joist
7. Bench seat on 1-12" side
Price includes all permits and removal of all debris
Total Cost of Materials and labor $5275
Deposit required upon receipt of per it to start job 3100
Balance upon completion 2175
Customer Signature
contractor