HomeMy WebLinkAboutMiscellaneous - 202 MARBLERIDGE ROAD 4/30/2018 (2)QrCS
SLOW
Date.
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING.
This certifies that ... C ...................
has permission to perform ..... .........................
plumbing in the buildings of ... . '7 11.x . . . . . . . . . . . . . . . . . . .
at.............. North Andover, Mass.
Fee. Pj Lic. No... .......
PLUMBING INSF OR
Check # f
5315
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Pri. 4 of Type,1 -
G
Building
New ❑ Renovation ❑
Date 2a�_ Permit #
` t � g, e wner's Nam
Ah hA0, Yle
Type of Occupancy 7C N 7i r
Replacement Plans Submitted: Yes❑ No ❑
Installing Company Name :2CA teT A . ` 4(ri mA Tri �Q
Address 4 -NI.
AlETNUEiJ 01 A - Ofk �!
Business Telephone 60 1 - y y -7 r
Name of Licensed Plumber or Gas Fitter T
Check one:,
❑ Corporation
❑ Partnership
l7-'Firm/Co.
Certificate
INSURANCE COVERAGE:
I have a current I' bility insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes No ❑
If you have checked Les, please Indicate the type coverage by checking the appropriate box
A liability insurance '
tty policy � 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 ❑
Signature of Owner or Owner's 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 pe ed for this application be in compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of AnelawBy T of License: Plumber ncen u _ or atter
Title tter
er License Number V
APPROVED O IC L Journeyman
i
Installing Company Name :2CA teT A . ` 4(ri mA Tri �Q
Address 4 -NI.
AlETNUEiJ 01 A - Ofk �!
Business Telephone 60 1 - y y -7 r
Name of Licensed Plumber or Gas Fitter T
Check one:,
❑ Corporation
❑ Partnership
l7-'Firm/Co.
Certificate
INSURANCE COVERAGE:
I have a current I' bility insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes No ❑
If you have checked Les, please Indicate the type coverage by checking the appropriate box
A liability insurance '
tty policy � 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 ❑
Signature of Owner or Owner's 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 pe ed for this application be in compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of AnelawBy T of License: Plumber ncen u _ or atter
Title tter
er License Number V
APPROVED O IC L Journeyman
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Location �,,2 U
'SNo. %s Date S�S--5 3
NpRTp TOWN OF NORTH ANDOVER
A Certificate of Occupancy $
Building/Frame Permit Fee $
�ss�cMusEth ` Found tion Permit Fee- $
pt er itee $ 3")
96w r. Connection Fee $
Wat'nection Fee $---"'"�
TOTAL $-� d
�; 19
/ Building Inspector
`� fl 6 U 9 6 Div. Public Works
$ERIfIT+NO. ` 5
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE 1
MAP 4-40.
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK !PAGE
ZONE
SUB DIV. LOT NO.
LOCATION 14
PURPOSE OF BUILDING
OWNER'S NAME
NO. OF STORIES SIZE
OWNER'S ADDRESS �„ _�� Py
(/✓Y�l�
BASEMENT OR SLAB
ARCHITECT'S NAME
-_
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME.. i�'i
L�
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
DISTANCE FROM STREET
- POSTS
DISTANCE FROM LOT LINES - SIDES REAR
" GIRDERS
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING X
IS BUILDING ADDITION
MATERIAL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
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
DATE FILED
FEE r00/1J u
PERMIT GRANTED
ops 19-
OWNER TEL. # �6
CONTR. TEL. #
CONTR. LIC. #.dZ-V&jeQ
3 PROPERTY INFORMATION
LAND COST
EBT. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
i
Zwe
G
(fi/BUILDING INSPECTOR
4
1
OCCUPANCY
SINGLE FAMILY
Si ORIES
MULTI. FAMILY
WIRING
OFFICES
APARTMENTS
_
TIMBER BMS. 3 COLS.
CONSTRUCTION
2 FOUNDATION
STEEL BMS. & COLS.
6 INTERIOR FINISH
CONCRETE
5 ROOF
—I
3
2
CONCRETE 81. K.
I HIP
MANSARD
PINE
_
AT
PFIALT
BRICK OR STONE
SHED
�ITOILET
HARDW D
—
PIERS
PLASTER
_
DRY WALL
—
—
3 BASEMENT II
AREA FULL FIN. B'M'TAREA _
'/. 1/1 % FIN. ATTIC AREA _
N_O B M T FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDSB 1 2 3
DROP SIDING CONCRETE
WOOD SHINGLES EARTH
ASPHALT SIDING HARD"d'D
ASBESTOS SIDING _ COMMON _
VERs. SIDING ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BUILDING RECORD
12
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.
)NC. OR CINDER BLK.
I 11 HEATING
WOOD JOIST
ONE ON MASONRY
WIRING
ONE ON FRAME
_
TIMBER BMS. 3 COLS.
SUPERIOR I� POOR _
ADEQUATE NONE 1#
STEEL BMS. & COLS.
_
HOT W'T'R OR VAPOR
5 ROOF
10 PLUMBING
kEILE
1MBREL
I
I HIP
MANSARD
BATH (3 FIX.)
RM. 12 FIX.)
_
AT
PFIALT
SHINGLES
SHED
�ITOILET
WATER CLOSET
LAVATORY
—
6 FRAMING
I 11 HEATING
WOOD JOIST
PIPE LESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. 3 COLS.
STEAM
STEEL BMS. & COLS.
_
HOT W'T'R OR VAPOR
WOOD RAFTERS
AIR CONDITIONING
7 NO. OF ROOMS OIL
B'M'T 2nd _ ELECTRIC
Ist 13rd I NO HEATING
I t
Castricone Roofing & Siding
REPAIRS FREE ESTIMATES,
Telephone: (508) 682-4266
MARIO CASTRICONE
61 Water Street, No. Andover, Massachusetts 01845
I/we, the owner(s) of the premises mentioned below, hereby contract with and authorize you as contractor, to furnish
all necessary materials, labor and workmanship, to install, construct and place the improvements according to the. following
specifications, ter and conditi ns, on premises below described:
Qwner's Name./rZ'1.-r'..G��r.4.�SPECI_FI.CAT_IONS
.........................................................................................................
Job Address ..7....�?C12.K�u ...............................City%Statei ...........
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`•��,./...�...-�.�..��i�.,rl.-�-s��,••�..�� .c..�..��:"..::�.C�..�..../.1..�^:t/�;...�-t�2...��-°� .?��=:�.:.���=Lam:.....
.....................
.
tiQ/amu
¢�.`'.................................................................................................................................................
:...
...............................................................................................................................
...................................................................................................................................... .
..............................................................................................................................................::...........::::::::::::::::::::::..
.... ....
and balance in ................
Payable ........................ on ..
Materials and labor to cost $...7.......51..........................Y •�•••••• ••���"
n-:cnthly installments of $ .................... each, payable on ........................ day of each and every month thereafter until paid
ill full ( ............ % charge per year is to be added to above cost of labor and materials and is included in monthly payments.)
Contractor will do all of said work in a good workmanlike manner.
Upon completion of above work, all undersigned agree to execute and deliver to contractor, their joint note in accord-
ance with his (their) above obligation and a completion as requested by the contractor. Upon refusal to do so, contractor
may at its option declare the entire contract price or so much as then remains unpaid immediately due and payable. It is
agreed that if permitted by law contractor shall be paid by the owner(s), all reasonable costs, attorney fees and expenses,
in addition to the amount due and unpaid, that shall be incurred in enforcing the terms and conditions of this contract
and/or any lien in connection therewith.
It is further agreed.that this contract may be assigned by contractor; and also that the obligations hereof shall bind
and apply to their heirs, successors or estates of the parties.
The undersigned warrant (s) that he is ( they are) the owner(s) of the above mentioned premises and that legal title
thereto stands of record in his ( their) name(s).
PROVISO: This contract shall be void and of no effort if credit approved of owner(s) is refused.
There are no representations, guaranties or warranties, except such as may be herein incorporated, if any, nor any
agreements collateral hereto, nor is this contract dependent upon or subject to any conditions not herein stated. Any sub-
sequent agreement in reference hereto shall be binding only if in writing and signed by all parties.
Receipt of a copy of this contract is hereby acknowledged, and it is further acknowledged by the undersigned that the
foregoing provisions have been read and the contents thereof understood and that no representation or agreement not here-
in contained shall be binding upon the parties and that all of the agreements and understandings of said parties are con-
tained herein.
Owner or Owners are not responsible for Property Damage or Liability while job is in onerationr.
IN WITNESS WHEREOF, the parties have hereunto signed their names this U.�.��day of ...,1�t..1.........., 19........
�.,
J
Accepted:
(OWNER HAS 3 DAYS IN WHICH TO CANCEL CONTRACT)
Per-�
..J.(......:....�........... -.�..' s'en tativeve
.,t.
� ' ' � Representative
Signed �.....................
Owner
Signed .: ... .................
Owner ' /f
Signed....................................................
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