HomeMy WebLinkAboutMiscellaneous - 206 PLEASANT STREET 4/30/2018r ON
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Location
No. % 5-U 6o Date
-OCT
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
tiFtjundation Per mi Fge $
'^Other Permit Fee r� { $
Sewer Connection Fee
6 -,�,%: ilVater Connection Fee
-* * 19g4 -TOTAL
6614
Building Inspector
Div. Public Works
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE 1
MAP 4-40.
ZONE
I LOT NO.
SUB DIV. LOT NO.
2 RECORD OF OWNERSHIP IDATE
(BOOK PAGE —
LOCATION
PURPOSE OF BUILDING e�
d,. woa sl�V`r
OWNER'S NAME 0`
' G�l
NO: OF STORIES SIZE
OWNER'S ADDRESS a O l / �IIpJ� fU H
j
(
BASEMENT OR SLAB --
ARCHITECT'S NAME �- JG
SIZE OF FLOOR TIMBERS IST 2ND
3RD
BUILDER'S NAME
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 Ga%Le f�/QG
I✓
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 / FILL OUT SECTIONS 1 - 3
I PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
f ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED 1� Z / J
n
TORE OF OWNER
FE'EdyIS" CQ() v
PERMIT GRANTED �J '
19 ! �_
3 PROPERTY INFORMATION
LAND COST
EST. 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
WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer
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.93.. - . I -
PERMIT. #
I -!I) m;1ill "'iwil
I It
)CATION— a 0 Cle�g A17 -S'(
UNER'S NAME:
JILDERIS NAME:
SON' S NAME:
%SON'S ADDRESS: Sq,,4 e-
%SONIS TELEPHONE:-
JERIAL OF CHIMNEY: 2( Cc) J� c
ITERIOR CHIMNEY: GIek\l EXILRIOR CHIMNEY:
IMBER AND SIZE OF FLUES: c;) f? e- e
_—______--
IICKNESS OF HEARTIN
: U civDiney oa ()iAep.Cace con(jaAm to Vie uO the curie culd litive allcm alld
,-gutat,Zow been /Lecv-Zved:-
1E:
.GRA
-RMIT GRANTED:
'BERT NICETTA
JLVING INSPECTOR
SPECTEO:
'MARKS:
FEE
SOLID BLOCK HLQUIRE'D
THIS PERMIT MUSF GE VISPLAVLO 014 IVE 1'U1,11 S[
Location
--
I
650ni
Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee
.v Sewer Connection Fee
Water Connection Fee
;PiTOTAL
�0/
Building Inspector
Div. Public Works
PERMIT Ne. a _
u
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
/ ,PAGE 1
MAP 4-40.
LOT NO.
2 RECORD OF OWNERSHIP '.DATE
BOOK '.PAGE
ZONE
SUB DIV. LOT NO.
OCATION
V
'v
PURPOSE OF BUILDING
ue Le
c
OWNER'S NAME '�'
t
�S ! ., S j, z
6
/
OWNER'S ADDRESS . o -
S
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND
3RD
lg'UILDER'S NAME �j
V
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
frrE FILED_ -zz/
LL/���AGN TURE OF #NER OR AUTHORIZED AGENT
F E E
PERMIT GRANTED r7
19 .0t
I
OWNER TEL.
CONTR. TEL. #_
CONTR. LIC. #
m
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST ^o,-noo
EST. BLDG. COST P SQ. FT. G�
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
w �GY�nV �ry�rsfiwR
1
OCCUPANCY
SINGLE FAMILY
STORIES
MULTI. FAMILY
_
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION—I
8 INTERIOR FINISH
CONCRETE
STEAM
B
1
2 13
CONCRETE BL K.
WOOD RAFTERS
PINE
_
BRICK OR STONE
HARDW D
UNIT HEATERS
7 NO. OF ROOMS
PIERS
_
PLASTER
_
_
DRY WALL
UNFIN.
3 BASEMENT
HEAD ROOM
4 WALLS
CLAPBOARDS
DROP SIDING
WOOD SHINGLES
VERT. SIDING
STUCCO ON MASOP
STUCCO ON FRAME
STONE ON FRAME
5 ROOF
GABLE HIP
GAMBRELMANSARD
FLAT I SHED
ASPHALT SHINGLES
WOOD SHINGES
SLATE
FIN. B'M'T' AREA _
FIN. ATTIC AREA _
FIRE PLACES _
MODERN KITCHEN
9 FLOORS
B 1 2 3
CONCRETE �_
EARTH _
HARDV✓'D _
COMMON
ASPH. TILE _
ATTIC STIRS. & FLOOR
WIRING
SUPERIOR I__� POOR
ADEQUATE NONE
10 PLUMBING
LAVATORY
RN FI
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.
6 FRAMING I
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
B'M'T 2nd _
1st 13rd JI
ELECTRIC
NO HEATING
80.00 4/
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,,ORTM TOWN OF NORTH ANDOVER
PERMIT FOR GAS .*NW& 1�bN
A a
REC
*SSACNUSES
�� jVUK � h NryuiJV tK
OLLECTOR
This certifies that a.. C....:...... .
has permission for gas installation ........
in the buildings of ....... 3 ..... ........................... .
at ..... , North Andover, Mass.
Fee: t...... Lic. Noe .'X ! 0. ..........................
GAS INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICAT(ON FOR PERMIT TO DO, ASFITTIt1G
(Print or Type) lJ9 t
NORTH ANDOVER Ma s. Date
wilding Location Permit # c�
' Owners Name
> f New '—t Renovation D Replacement � Plans Submitted
FIXTUPES
(Print or Type) Check one: Certificate
Installing Company Name �orp.
Address / - - 'j r = Partner.
/Gl L1 Firm/Co.
Business Telephone: 6,
Name of Licensed Plumber or Gas Fitter
Insurance Coverage: Indicate the type of insurance coverage by checking the
1 appropriate box:
Liability insurance policy [other type of indemnity Q Bond
a 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 U Agent M
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 worst and Installations performed under Permit issued for this application will -be in compliance with all pertinent
provisions of the Massachusetts Slate Gas Code and ChApter 142 of the Genual Laws.
By
Title
City/Town:
APPROVED (OFFICE use ONLY)
TYPE LICENSE:
Plumber
asfi.tter- Signature of Licensed
ster Plumber or Gasfitter
Journeyman"��
License Number
I
Y
Y
/�e��tl�l���Ot�■/�i/�0���/�■
.. -
■NEEMEN
NEEMMI/tE■»ER■■EM
(Print or Type) Check one: Certificate
Installing Company Name �orp.
Address / - - 'j r = Partner.
/Gl L1 Firm/Co.
Business Telephone: 6,
Name of Licensed Plumber or Gas Fitter
Insurance Coverage: Indicate the type of insurance coverage by checking the
1 appropriate box:
Liability insurance policy [other type of indemnity Q Bond
a 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 U Agent M
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 worst and Installations performed under Permit issued for this application will -be in compliance with all pertinent
provisions of the Massachusetts Slate Gas Code and ChApter 142 of the Genual Laws.
By
Title
City/Town:
APPROVED (OFFICE use ONLY)
TYPE LICENSE:
Plumber
asfi.tter- Signature of Licensed
ster Plumber or Gasfitter
Journeyman"��
License Number
S
'TI) + 2 2 3 5 Date . 7 .. !�� . �% .... .
E j
O
NORTH TOWN OF NORTH ANDOVER
pF co ,e 1tip
0 5• pp PERMIT FOR GAS INSTALLATION S
O
d
This certifies that .:j .o.... , , .....
�!.:. ... .��:��-.fes �": . R
has permission for gas installation
in the buildings of .. y �?� s ...Q.'.`z< ( ............ o
at 4Y"t:'E9 rea -,, _f. ..........Andover, Mass.
Fee.64,.7... Lic. No.15) Y.�� ... .. .... �/1/' .......
GAS INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
4, 0, —
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTIi11v
(Print or Type) r 1
NORTH ANDOVER Mass. Date_
4uilding Location a jea" fL elq-5,4 ry% S%'— Permit #',2 t,3s
Owners Name
New renovation EJ Replacement 'E] Plans Submitted
FIXTURES
(.Print or Type) Check one: Certificate
Installing Company Name !eL eHv [,.� !-orp.
Address ve j//-e�2el"�'_ j Partner.
irmiCo.
Rt,siness Telephone:-_ 3
1:ame of L!,?ensed Plumber or vas Fitter —tl9,y .6r'[ �!/f3RLeyv
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy 0 Other type of indemnity Q Bond 0
Irisuroce iver: 1, the undersigned, have been made aware that the licensee of
t is applica Ion does iliota have any one of the above three insurance coverages.
nature of wner/age t of property Owner Agent El
1 hcteby certify that all of the details and infotmation 1 have submitted (or entered) in above application are,e and aoeutate�to the best of my
knowledge and that all plumbing worst and instillations petformed under'Petmit issued for this application W.
�� taeat
provisions of the Massachusetts State Gas Code and Chapter 142 of the Genual Laws,
By
Title
City/Town:
APPROVED (OFFICE USE ONLY)
TYPE LICENSE:
Plumber
Gasfitter
.aster
Journeyman
Signature of Licensed
Pluutber or Gasfitter
License Number
Y
W
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6TH FLOOR
TTR FLOOR
8TH FLOOR
(.Print or Type) Check one: Certificate
Installing Company Name !eL eHv [,.� !-orp.
Address ve j//-e�2el"�'_ j Partner.
irmiCo.
Rt,siness Telephone:-_ 3
1:ame of L!,?ensed Plumber or vas Fitter —tl9,y .6r'[ �!/f3RLeyv
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy 0 Other type of indemnity Q Bond 0
Irisuroce iver: 1, the undersigned, have been made aware that the licensee of
t is applica Ion does iliota have any one of the above three insurance coverages.
nature of wner/age t of property Owner Agent El
1 hcteby certify that all of the details and infotmation 1 have submitted (or entered) in above application are,e and aoeutate�to the best of my
knowledge and that all plumbing worst and instillations petformed under'Petmit issued for this application W.
�� taeat
provisions of the Massachusetts State Gas Code and Chapter 142 of the Genual Laws,
By
Title
City/Town:
APPROVED (OFFICE USE ONLY)
TYPE LICENSE:
Plumber
Gasfitter
.aster
Journeyman
Signature of Licensed
Pluutber or Gasfitter
License Number
f
Tn 2614
Date.... �... (.. .
0
0
0
TOWN OFA c1g1_ VER
PERMIT FOR I! INSTALLATION
This certifies that .. ! .
has permission for gg
in the buildi=s. QL ._.,,
nstalla ofu W3 V -S.. ' ,.
"P,, .C,! � ...............
v...
� ....... , North Andover. Mass.
gee.. .�..kic. No.
WHITE: ApC CANARY
GAS INSPECTOR
.....—,P+NK: Treasurer GOLD: File
Al
r Office Use Only
0140 LfIIMMnnWralt� 11f fa95a r4USEf 0 Permit No.
i3epartment of Public _tifetil Occupancy & Fee Checked �So
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 a/so (leave blank) ite
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date t /0- Q(0
(M* or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street 8
Owner or Tenant
Owner's Address C,—
Is this permit in conjunction with a building permit: Yes ❑ No (Check Apprcp to Box) /0
Purpose of Building Utility Authorization No.
P g Q/VFi
Existing Service `aG Amps 12e4 c*6 Volts Overhead ik Undgrnd ❑ No. of Meters
New Service C/ Amps 4��Q Volts `` Overhead Undgrnd ❑ No. of Meters dNE
Number of Feeders and Ampacity G �,/�A�PS
Location and Nature of Proposed Electrical Work H SAIL i
No. of Lighting Outlets
No. of Lighting Fixtures
No. of Receptacle Outlets
No. of Switch Outlets
No. of Ranges
No. of Disposals
No. of Dishwashers
No. of Dryers
No. of Water Heaters
No. Hydro Massage Tubs
OTHER:
No. of Hot Tubs
Above— In -
Swimming In-
Swimming Pool grnd L-1grnd. ❑
No. of Oil Burners
No. of Gas Burners
Total
No. of Air Cond. tons
No.of Heat Total Total
Pumps Tons KW
Space/Area Heating KW
Heating Devices KW
KW
INo. of No. of
Signs Ballasts
No. of Motors Total HP
Total
No. of Transformers KVA
Generators KVA
No. of Emergency Lighting
Battery Units
FIRE ALARMS No. of Zones
No. of Detection and
Initiating Devices
No. of Sounding Devices
No. of Self Contained
Detection/Sounding Devices
Local Municipal ❑ Other
11 Connection
Low Voltage
Wiring
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws:—
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES _ NO I
have submitted valid proof of same to the Office. YES = NO _ If you have checked YES, please indicate the type of coverage by
checking the appropriate box.
INSURANCE .= BOND ` OTHER —_ (Please Specify) (Expiration Date)
Estimated Value of Electrical Work S
Work to Start
Signed under the Penalties of perjury:
FIRM NAME
7Y! i
Licensee
Inspection Date Requested: Rough
nature
Final
LIC. NO.
LIC. NO.
Bus. Tel. No.
Address Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts Gener I Laws, and that my signature on this permit application waives this requirement. Owner Agent
(Please check one �%f 9
Telephone No. �7�`- jj,Z q PERMIT FEE S
r(Signal ure f O r or Agent) x•5565