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HomeMy WebLinkAboutMiscellaneous - 22 BUCKLIN ROAD 4/30/20181 4 6/14/2016 20570 This is an e -permit. To learn more, scan this barcode or visit north andoverma.viewpointcloud.com/#/records/20570 OF p1ORTh qti t- ssacrtus� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that Robert A Sammataro has permission to perform dishwasher replacement plumbing in the buildings of CARON, WESLEY at 22 BUCKLIN ROAD , North Andover, Mass. Lic. No. 9333 Date: June 14, 2016 1/1 f-OxbVq Perna Y205M-vK _ ��_ ;,;x •., �.. .... ., .. .. �....r ... .... ,. .m. _ ___....._.. ..._.._ f ^:� C Ct M)s /,Irfft )cJoverma viewpolni iou comlY.,rC-cc��.,J2057q/qtC.�, ._- ..... .. _ .. _ -.-___ --------------._.._....._...._____--._ ___.___- q Town of North Andover, MA 4 _� search 20570 *Plumbing Permit - Replacement of Flztur&Appliance (Commercial or Residentiall TIMELINE VI Anprevals 0 Submission received lun, o. 2016.00:28em Permit Fee OPlumbing Permit Review Total single family per - mProp{ess futures/appliances 52.50 x "'—' -- replacement price - ... ....... ..... .... . _. OPermilfCC 7 ,- Minimum single family Map futures/appliances price $30.00 z i suarre Qpe unit } »dcl Fee Hdo Total Fee Amount: $3250 ! sap some;hirg ahos.:his... gra f= 1ja W 4 €i tC:s6 Pn 6110/2016 Friday, Jun 10, 2016 10:50 AM E 3 C h'�7s://nortliadovama vlewpotntrloud.comJ;;;rxa��/2C5!C ------ g mai roes v�wa-i ..,....�:.....__.�,�.. 8..�.v 6 Twin of North Andover, MA 4 iSea c 20570., *Plumbing Permit - Replacement of Fixture/Appliance (Commercial or Resdentiall WELINE _ - 1 KID\ -- . recenQd _ A . ,: p ■ G6grnttamerc rae ® Eestem SMbCarpasf _. .. ®ubnission iun1Q, 2076 a:1028am �� - Plumbing Permit ReNevi H Progress ` a on aF9•.:art i _nrau O P" -K ree Robert Sammataro ! 22 BUCKUN ROAD, NORTH ANDOVER, 6113-M-0515 ( MA p samataror@mmcas._�er Peanitf` uance CARON, WESLEY . Attachments i Eula_' r j . --.p -OTG3/.O1001F Frijurl 1Q 2Q1fi 1a:5Q:.POr' Primary Contractor Search for your contractor using the search bar below. Either the Firm's Name or l'rcensee6h required. - ..rmi(auvners)leame J:�-,fier;!txrne (u.enze^I• ... - RubenA Sammataro - 9333 Master Plu Iter . . ...-ase ExGf•etirm C..:•: :d:enzeRghre d — �r Q ®SP e%� 9 tb ounIme Friday, Jun 10, 2016 10:50 AM t MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY m . h _� MA DATE (p PERMIT # JOBSITEADDRESS � U� OWNER'S NAM ` P OWNER ADDRESS TE FAX --T-- TYPE OR OCCUPANCY TYPE 20110 COMMERCIAL _ EDUCATIONAL i RESIDENTIAL PRINT CLEARLY NEW: _ RENOVATION: _ REPLACEMENT: PLANS SUBMITTED: YES i NO_ FIXTURES l FLOOR -BSM 1 2 3 4 5 6 7 8 9 10. 11 12 13. ...BATHTUB 14 CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR I AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK. LAVATORY ROOF DRAIN SHOWER STALL SERVICE / MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES 7. WATER PIPING OTHER - INSURANCE COVERnc;F- i nava a uurreni rami-iry insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES ]ZP*"N0 IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW { LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY _ BOND _ OWNER'S INSURANCE WAIVER;1 am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit applicationgives this requirement. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER AGENT I hereby certify that all of the details atil Jnformation I have submitted or entered regarding this application true and accur to the. best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be lance Ith I eminent provisio f the Massachusetts State PI ing Code and Cha ter 142 of the General Laws, PLUMBER'S NAME LICENSE # NATURE MP j" JP-- _ CORPORATION PARTNERSHIP _# LLC _# COMPANY NAMQT,ffi�A CITY' Ll hd*A STATE ZIP f�7 TEL ' FAX J2 M& CELL EMAIII� n` r.� A • / r. (Jla� ✓►l� 17!) /' it fM /� Name Addrt The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston, MA 02114-2017 • .r,� www.massgov/dia NVorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians//Plgmbeiv TO BE FILED WITH THE PERMITTING AUTHORITY. City/State/Zip: OVIK11kone #:__f Are you an employer? Check the appropriate box:, Type of project (required): 1.Q I am a employer with employees (full and/or part-time).* 7. New construction 2.❑ I am a sole proprietor or partnership and have no employees working for me in g. Remodeling any capacity. (No workers' comp. insurance required.] 9. ❑Demolition 3.01 am a homeowner doing all work myself. [No workers' comp. insurance required.]' 10 [3 Building addition 4. [] I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers' compensation insurance or are sole 11.[] Electrical repairs or additions proprietors with no employees. 12. [] Plumbing repairs or additions SCI I am a general contractor and I have hired the sub -contractors listed on the attached sheet. 13. ❑ Roof repairs sub-oontraetors have employees and have workers' comp. insurance? 6.�e are a corporation and its officers have exercised their right of exemption per MGL c. 14. Q Other 152, §1(4), and we have no employees. (No workers' comp. insurance required) •pry applicant that checks box # 1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContr mrs that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is provworkers' compensation insurance for my employees Below is the policy and job site Information. Insurance Company Name: Policy # or Self -ins. Lie. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to $1,500.00 and/or one-year imprisonm"eAtt,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. k copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance eoveraae verification. I do provided above is true and correct. Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Location 'J Date 14ORTol , TOWN OF NORTH ANDOVER 0. Certificate of Occupancy $ Building/Frame Permit.Fee ite 114 U oundation Permit Fee $ Permit Fee $ Sewer, Connection Fee $ 4 Water Connection Fee $ TOTAL $ Building Inspect 04/15/94 15:47 15-00 mtn 7146 Div. Public Works L6cation N No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy 2 /1 Ujq I Building/Frame Permit Fee Foundation Permit Fee $ a-0 Other Permit Fee $ 2 q Sewer Connection Fee $6 /.?-/3 u/1 3 2-7- Water 50nnection Fee $ *1 A, TOTAL $ /Building' inspector -00 PAID 6877 Div. Public Works Locationa� ZZ, No. Date 12� TOWN OF NORTH ANDOVER Certificate of Occupancy $ (�'D , (-) 0 Building/Frame Permit Fee $ - Foundation Permit Fee $ zz!2--- -00) Othe r Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL �—'Inspector /��,�2/30/93 16:23 150.00 Pjuifding D .6836 Div. Public Works Location, 5 No. Date /Z-0-6?3 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 4� Foundation Permit Fee ;$ Other Permit Fee Sewer Alp -3 4-�Z- Water TOTAI 6904 Connection Fee $ &�2v Connection Fee $ $ Building Inspector 1 0 roKw�;A z oez, Xel- D),t W/blic Works �l PER117 NO_ 0 T � R MAP d4,40.0. O til � y APPLICATION FOR PERMIT TO BUILD -NORTH ANDOVER, MASS./�C •SO'v.� PAGE 1 INSTRUCTIONS SEE BOTH SIDESrT _`E 2 �� PAGE 1 FILL OUT SECTIONS 1 - 3 LESS FDA FEE L17 0 PAGE 2 FILL OUT SECTIONS 1 - 12 DUE FRAME PERMIT $ M 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 /19 // /7 SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E�j�,JoZ PERMIT GRANTED/ 19 -ice ( &-T) OWNER TEL # CONTR. TEL # I/ CONTR. LIC. 3 PROPERTY INFORMATION LAND COST EST. BLDG. COS 'T�/ 71 . O EST. BLDG. COST PER SQ. 'FT. 7 C/ EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN //�/ JIK7 44 wNl WgnY Mirfb-lVR I LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE R S DIV NCO. iL 0a `J r — i LOCATION PURPOSE OF BUILDING ✓ /SIZE OWNER'S NAME Q NO. OF STORIES OWNER'S ADDRESS N.N. ' BASEMENT OR SLAB ry - � 41 ARCHITECT'S NAME ��{{ ' (��,�'7� ff�,,J2'� f/�f SIZE OF FLOOR TIMBERS IST a�y0//O 2NDvJCe-W,10 D / /L BUILDER'S NAME a SPAN / DISTANCE TO NEAREST BUILDING / DIMENSIONS OF SILLS DISTANCE FROM STREET /1,0 / POSTS DISTANCE FROM LOT LINES — SIDES 1 REAR / ,r / " GIRDERS / AREA OF LOT �/7>A� FRONTAGE—,/ HEIGHT OF FOUNDATION THICKNESS / IS BUILDING NEW V 9�/��� e S" SIZE OF FOOTING /1 2 X t�� IS BUILDING ADDITION A �` MATER:AL OF CHIMNEY IS BUILDING ALTERATION l IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER OF APPEALS ACTION. IF ANY �, // /, l�BOARD /�Ll IS BUILDING CONNECTED TO TOWN SEWER / IS BUILDING CONNECTED TO NATURAL GAS LINE ( e S INSTRUCTIONS SEE BOTH SIDESrT _`E 2 �� PAGE 1 FILL OUT SECTIONS 1 - 3 LESS FDA FEE L17 0 PAGE 2 FILL OUT SECTIONS 1 - 12 DUE FRAME PERMIT $ M 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 /19 // /7 SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E�j�,JoZ PERMIT GRANTED/ 19 -ice ( &-T) OWNER TEL # CONTR. TEL # I/ CONTR. LIC. 3 PROPERTY INFORMATION LAND COST EST. BLDG. COS 'T�/ 71 . O EST. BLDG. COST PER SQ. 'FT. 7 C/ EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN //�/ JIK7 44 wNl WgnY Mirfb-lVR ti : w f J � BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION—� A $ INTERIOR FINISH CONCRETE PINEHAR 3 1 2 I3 CONCRETE BL K. BRICK OR STONE D PIERS PLASTER 6RY W _ DRY VJAII UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA '/. V? FIN. ATTIC AREA, _ NO B M FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B XI_ 1 22 f 3 �— _ _ DROP SIDING WOOD SHINGLES CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ HARDW'D COMMON ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY _ STONE ON FRAME SUPERIOR_ ADEQUATE POOR I NONE 5 ROOF GABLEHIP 10 PLUMBING BATH (3 FIX.( GAMBREL MANSARD SHED TOILET RM. (2 FIX.) WATER CLOSET / FLAT ASPHALT SHINGLES LAVATORY _T 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 A 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 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. wd;�umia�,.;�,.�...a....-j.+».w+....i,.Y �[ �. k ru•arw.x 4 ' OIL 1 B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING E L FORM U - LOT RELEASE FORTS 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: / COr Phone % 9 LOCATION: Ass�e/ssor's Map Number Parcel Subdivision0._c�/(3� N �t S)(299 /`-1 Street-�C.�l<►/ St. Number ************************Official Use Only************************ RE MMMEKDA5�ONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Health Agent Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department y -Pig ( Received by Building Inspector f2 - 93 Date d I 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: / COr Phone % 9 LOCATION: Ass�e/ssor's Map Number Parcel Subdivision0._c�/(3� N �t S)(299 /`-1 Street-�C.�l<►/ St. Number ************************Official Use Only************************ RE MMMEKDA5�ONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Health Agent Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department y -Pig ( Received by Building Inspector f2 - 93 Date a ,l/oTE • lrouvO.S�Tfoi✓ LOL.vT/p,�/ ��e oiyj fQn/ /•v6reu�+�.vf" .Svc✓e•y� r — ` .1 N v N � ,Et4 E SEME�� -7 ,f pR B �r //EREBY CE.cT/fY 70 T.YE T/TLE 771 74�E Bi4�t/i!' 7�qr T,yEOwE[uoK /S LOC.4TE0 O.V T//E COT AS S.sC�i►,.V ANG rleyr/T oecs eawllw 6w lY/TN T,S/E -Ire-01 - OF .vo. 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CD Q O y I CD � v y O 1 z CD O 0 o CD 0 C CD W. Jim '� WS -0 ? -0 O m 2 S. y O Q N C. O C CD .O CA CD 0 W n NSCLC �. =F'O03 Vl .rt= •Ort CO CO) T CD aid = m G O N 'y y O.-►'O : O CD CDCD a CO) O C 'O7 aa =Z - z5.� ONC)� _CcCL • CDCA CD O N CLCD CD N �� h O N Cs =r cr UP d d��� G N CD N CD CD O N co C-) .► O 0 o- 0 0 = 3' 'ao CD CD . = CD n CO) CD P dd: CL 0 0; CA 4%c o o=' mmq CD,-,�7t, V N. ^'I 10�,,.z Cn 0 V rD rD Q V7 7 7J a I OGQ z -Fy w cp -s < O OC: y � � z 'i7 w g7 G t" fir] w S 0 � -p G n 0' C C/1 O cn ny O ? tz O y �o 4 Evergreen .Management Corp. 733 Turnpike Street ! Suite 311 • North Andover, Massachussetts 01845 • Office 508-975-1420' • Fax 508-681-8447 0 April 15, 1994 Robert Nicetta, Building Inspector Town of N. Andover 120 Main St. N. Andover, MA 01845 RE: Lot 5-Bucklin Rd. ffleadowood Phase II)' Dear Mr. Nicetta, This letter is to infoinnyou that we have removed the dryer exhaust as you instructed within the home at, 22 Bucklin Rd. (a.k.a. Lot 5 Hillside, Meadowood Phase H). As certified below by the seller and the buyer, 'a dryer will not be installed until'the exhaust. is approved by the town of North Andover's building inspector. Sealed as an executed agreement on this fifteenth day of April 1994. Hillside Realty Corp. Richard A. Manager for Hillside Realty Corp. Date' Vincent J. P chanian, Buyer of 22 Bucklin Rd. Date COMMONWEALTH OF MASSACHUSETTS ESSEX, S.S April 15, 1994 Then personally, appeared before me the above named Richard A. Tobin and acknowledged the foregoing instrument to be his own free act and deed as Project Manager on behalf of Hillside Realty COP, before me LINDA E. MARKHAM c CWadU— _ Notary Public 'ESSEX, SS, My Commission Expires February 24, 2000 April 15, 1994 Then personally appeared before me the above named Vincent J. Parechanian and acknowledged -the foregoing instrument to be his own free act and deed individually before me r' y� 0� ' LINDA E. MARKHAM APVeW' Notary Public . o lot5hr.wpS MY commission Expires February 24, 2000' Phillips Common 0 Meadowood 0 Stevens Crossing 0 Cobblestone Crossing •. Foxwood ,. I -.. .. - � � � C '� - _ - �. � � . �, A clothes dryer produces combustible lint and. the area around the clothes dryer should be kept free of lint. It is recommended that the dryer be exhausted to the outside using 4" rigid or flexible metal ducting. When located in a bedroom, bathroom or closet, the dryer must be exhausted to the outside of the dwelling Once location of the exhaust outlet is determined, a 4-1/4" hole should be cut in the wall to accept the exhaust hood. To permit sufficient air circulation under the exhaust hood, there should be no less than a 12" clearance between the bottom of the exhaust hood and the ground. When possible, the exhaust hood should not exhaust directly into a window well. DO NOT terminate exhaust under a house or porch. NOTE: Where the exhaust hood is to be installed through 'masonry, a special masonry saw is necessary to cut the hole. Install the exhaust hood and secure with screws to the outside wall and seal with caulking compound. Install ductwork from the dryer to exhaust hood. All joints must be made so exhaust end of one pipe is inside the intake end of next pipe. On flexible metal ductwork, all joints should be secured with a 3-4630 clamp. DO NOT use sheet metal screws when assembling rigid ducting. These should be taped. ' APSE 5 1994 AI TPAENT 4 FLEXIBLE DUCTWORK LIMITATIONS Flexible metal ductwork should not exceed 34' of straight 4" ducting. The exhaust hood is equivalent to 8' of duct and each 90 degree bend is equivalent to 8'. Asan example, if an exhaust hood is used and two 90 degree bends, the maximum straight run would be 10' NOTE: If the radius•of a bend with 4" duct is 12" or greater, the bend can be considered a straight run. No more than three 90 degree bends should be used in any run with an exhaust hood. RIGID DUCTWORK LIMITATIONS Rigid metal ductwork should not exceed 50' of straight 4" duct: Each 90 degree elbow and the exhaust hood should be considered equivalent to 8' of straight ductwork. For example, if an exhaust hood and two 90 degree elbows are used, the maximum straight duct allowed would be 26'. Not more than three 90 degree elbows should be used in any rigid ductwork run with an exhaust hood. Four feet of straight duct should be allowed between 90 degree elbows. 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