HomeMy WebLinkAboutMiscellaneous - 225 OLD CART WAY 4/30/2018 (4) c
Date . . . .. .. .. ..
MOATM
TOWN OF NORTH ANDOVER
FO 9
• - X PERMIT FOR GAS INSTALLATION
o,
o•." .C9
SACMU5Et .
This certifies that .`. .. . . . . . . . . . . . . . . . . . . . .
has permission for gas installation . . .: . . . . . . . . . . . . . . . . . . . . . . . .
in the buildings of . . St 69 l „ . . . . . . . . . . . . . . . . . . . . . . . . . . . .
at ,`;North Andover, Mass.
Fee. .)- Lic. No.. �.'. .J. . . . t�. 1-1-.'�t
�,.
GAS INSPECTOR
Check#
6081
I
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT/TO DO GASFITTING
(/Print or Type) --
V if rn 0U'e,-,-Mass. .Bate c�eJ l � -7U / Permit (O 02/1
'`- Buff Lov=tic;� .do� �� �r's Namel` l
ype of Occupancy
New ❑ Renovation p Replacement p� Plans Submttted: Yes ED No®/
N
S
C N
W
V Z f.• C
> .W
V W N .W �` •C r Q H S
W •,. s a .C Q O C W W V
W > C W < C < < O O LJ C D at H
o
SUB-11SMT.
SKSEMENT
15TFLOOR
2.ND FLODA I
3RD FLOOR
! I
4TH FLOOR
5TKFLOOR
6TKFLOOR I
7TK FLOOR `
STH FLODR
installing Company Name K�`v fG7l!✓ G7'�x�`��s � /fes Check one: Certificate
Address 4,� n'+e,#v67 _ El' orporation
❑. Partnership
Business Telephone 7RI
Name of Licensed Piumber or Gas Fitter
INSURANCE COVERAGE:
I have a current i' ility 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,coverage by checking the appropriate box.
A Iiability insurance 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 certity that all of the details and information I have submitted for entered)in above application are true and accumte to the best of my
knowledge and that all plumbing work and installations performed under the permft f d for this application will be in compliancewith all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the nera taws.
By T)Me of License:
Plumber atufeollllMnsed PUKibtf or Gttter
Titie Gasfitter
cl Waste[ license Number 1"47
City/Town J Joumevman
WI R:7VED t r I NL 1
BELOW FOR OFFICE U3E ONLY
PROORESSINSPECTIO.N
FINAL INSPECTION SKETCHES "
FEE
11pPLICA710N FOR hERMI7 TO 00 OASFITTINO
NAME A TYPE OF DUILDI"O
LOCAT1611 OF BUILbiNO
PLUMBER OR OAS.EIttER —
LIC. NO.
PERMIT ORANTED
GATE 19
OAS INSPECIOR �.
71.1
`Location 2SS OCD CA(ZT (.OA44
-No. 4C Date d
CM4
Of NORTH TOWN OF NORTH ANDOVER
p Certificate of Occupancy $
r
Building/Frame Permit Fee $ 11 ZS
''s "" t' Foundation Permit Fee $ o « 3
s�cMusE t
r
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
7791 Div. Public Works
Location �-6�" ('�- ZSSOen CAQT WAN
No. Date
P,
,&OR, TOWN OF NORTH ANDOVER
, Certificate of Occupancy $
+ Building/Frame Permit Fee $
�ss�cwusEth Foundation Permit Fee $
Other Permit Fee $
t Sewer Connection Fee $ _
ti
Water Connection Fee $
TOTAL S�
� o
Building Inspector
7644 �'
'" Div. Public Works
r
ry
Location
No. Date
„pRT� TOWN OF NORTH ANDOVER
Otte.° :•X60
Certificate of Occupancy $ _
Building/Frame Permit Fee $ �d
Foundation Permit Fee $
su14 j
Other Permit Fee $ -�
i Sewer Connection Fee $ ---`
-4IFYFLI, Water Connection Fee $ (A'77.
TOTAL $ ..
ng In p clot
A ?12,lq4,6
Div. PUbIIC Works
PER3fIT NO. — APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
MAP 4gO. ;jNr OT NO. 2 RECORD OF OWNERSHIP IDATE BOOK iPAGE
ZONE n SUB DIV. LOT
♦ LOCATIO++N''�- / 0 �� PURPOSE OF BUILDING �iN6lft �M1 �(
OWNER'S NAME ` T
a. l..�R
NO. OF STORIES .2, SIZE / —� f 6 3(o Leo
{ •OWNER'S ADDRESS y+• BASEMENT OR SLAB C•Y
a
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST� yI,,j 2ND )/(d 3RD
,BUILDER'S NAME `` SPAN 4�/l
c DISTANCE TO NEAREST BU DING /A�.� DIMENSIONS OF SILLS)/7� ---
DISTANCE FROM STREET (P�.•„� POSTS
DISTANCE FROM LOT LINES-SIDES REAR �G,.f- I. r GIRDERS
AREA OF LOT % FRONTAGE HEIGHT OF F FOUNDATION C1 �G�� THICKNESS `a f I
IS BUILDING NEW �(„ _ SIZE OF FOOTING '?C- (/ %
IS BUILDING ADDITION IfIY���-ol MATERIAL OF CHIMNEY y f�
IS BUILDING ALTERATION -IV IS BUILDING ON SOLID OR FILLED LAND y t Q
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE /ate_ IS BUILDING CONNECTED TO TOWN WATERJ�,
BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS PERMIT FOR FOUNDATION ONLY B.C. 3 PROPERTY INFORMATION
SEE BOTH SIDES REGULATED BY PARA 114.8_& C _LAND COST �vri%
EST. BLDG. COST /1/-ryW
PAGE 1 FILL OUT SECTIONS 1 - 3 �
EST. BLDG. COST PER SQ. FT.
PAGE 2 FILL OUT SECTIONS 1 - 12 DATE t FEE PAID (°C' EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
FLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
24u&6c��?
' DATE FILED �d�� ` r
ake� ING INSFRCTOR
•SIGNATURE OF OWNER OR AUTHORIZED AGENT
F E E ►,2..`a � I czb OWNER TEL.J/ Z� -
PERMIT GRANTED I0� CONTR.TEL.;// tyle-
r t
9 CONTR.LIC.#
I H.I.C.a
PERMIT FOR FRAME/BUILDING
1
DATE: 12- FEE PAID'
BUILDING RECOWD
1 oA impli 12
SINGLE FAMILY Sr ES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY _ OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES.
APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE B 1 2 I3
CONCRETE BIL'K. PINE C7 ✓
BRICK OR STONE HARDW D
PIERS PLASTER
_ DRY WALL
UNFIN.
3 BASEMENT
AREA FULL FIN. B M AREA _
'/ 1/2 1/ FIN. ATTfC AREA _
NO B M T FIRE PLACES
HEAD ROOM 2 MODERN KITCHEN
4 WALLS 9 FLOORS
CLAPBOARDS B 1 22 f 3
DROP SIDING CONCRETE (—
WOOD SHINGLES EARTH
ASPHALT SIDING HARD"J D
ASBESTOS SIDING _ COMtACN _
_ VERT. SIDING ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK. T
.:'STONE ON MASONRY WIRING r t
t$QNE ON FRAME
— % I
SUPERIOR POOR _
ADEQUATE I� NONE
5 ROOF 10 PLUMBING
GAB LE ,HIP BATH 13 FIX.)
GAMBREL MANSARD TOILET RM. 12 FIX.)
FLAT SHED}' WATER CLOSET
ASPHALT SHINGLES' LAVATORY _
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING
TAR 8 GRAVEL STALL SHOWER
ROLL ROOFING MODERN FIXTURES
TILE FLOOR
LE DADO
LJY
6 FRAMING 11 HEATING _
WOOD JOIST PIPELESS FURNACE
FORCED'.HOT AIR FURN.
TIMBER B EAM `• „y,.r. 1,� ! �
STEEL BM L T W T'R R VAPOR
WOOD RAFTERS AIR CONDIT ONING 7
RADIANT H"G
UNIT HEATER
7 NO. OF ROOMS GAS
OIL
B'M'T d 2nd ELECTRIC
1st 13rd I NO HEATING
.�ORT 1-
own of ! - r v� over
O ..: ,..,�: ,�.,^i��i'cs to
lu
Nei. 4 9 +: .ff; . ::,
i - T�rtLi dover, Mass., 146V. 3 , R'(4- 19
T O ' LAKE 1
COf HIC.HEWICK
D
BOARD OF HEALTH i
Food/Kitchen
Septic System
P DERM T TI
I
BUILDING INSPECTOR
THIS CERTIFIES THAT • rRm%AARD �iZP
.............................................................................................................................................................. Foundation
has permission to erect Q...A��AW...... buildings on ..�&..I....................Z............��.........W..e ....Q3A Rough
to be occupied as S(tl�,�. .. 111 . .^��.....�..�..... {....1.Pl..Z�CI�OR....( QR,�..47t .................................... Chimney
provided that the person accepting this pfirmit shall in every respect conform to the 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. PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit.
REGULATED BY PARA 114.8-5. B.C. Rough
00
Final
PERMIT EXPIRES IN 6 MONA 4� PAID ELECTRICAL INSPECTOR
UNLESS CONS � U ' ) S',..'� rS Rough
.. . ....... . ......... ..... .... . . .... Service
BUILDIN SPECTOR
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 BeDone FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
. Burner
PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det.
SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT
Towno � �
F over
No
• f� .•:ice. _
499
dover, Mass., 1`1.oy. 3 , l�1gc4 19
LAKE
COC HIC HE WICK �
BOARD OF HEALTH
Food/Kitchen
PERMIT T Septic System
BUILDING INSPECTOR
'iZ,3 , r2�c�waa� G'da.P...............................................................................................
THIS CERTIFIES THAT........................................................... Foundation Ok tz`v`g4 e e—
.....on ..V&A ......................... �..... Rough
`� Chimney
to be occupied as Slt�l .. 111�.!�. . t�.. ....4P . .��oQ,...(�Q�,..�►�IZ,....................................
provided that the person accepting this pbrmit shall in every respect conform to the 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. PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit.
REGULATED 8Y PARA. 114.8-5. B.C. Rough
Final
I i 3 FEE PAID
PERMIT E XTIRE S IN 6 MONTR�T ELECTRICAL INSPECTOR
UNLESS CONST J ,T .-fir S" F i hS Rough
PERMIT FOR FRAME/BUILDING ..
Service
BUILDIN SPECTOR
Final
rI °l FEE PAID: 14ZS "
DATE: -- GAS INSPECTOR
Occupancy Permit Required to Occupy Building
Rough
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
PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det.
SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT
i
FORK U LOT RErY.ASE FORM
INSTRUPTIONS: This form is used to verify that all necessary
approvals/permits from Bo'ards 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.
****************App .cant fills out this section*****************
) �) "- 2-
APPLICANT: A Phone
LOCATION: Assessor' s Map Number Parcel
10 ?S-)
Subdivis4Lon 2r�
Street St. Numbe-
dr
************************Official Use
RE:: IONS OF TOWN A�GENTS: Date Aionroved
Ad-i'thistrar-or Date Re-;ected
Comments
VR) Date Approved
Town Planner Date Rejec-_ed
Comments
Date Approved
Food insnector-Health Date Re-;ec-z:ed
J
Date Approved 9115Z
Sd_n-z_' c Insmeczcr-Health Date Re-iected
J
Cor"L7.en'Cs
Pul-,-! -; c Wcr*,-.s - sewer/water connect ions
- dr-vewav pernit
Fire Demartment'_"1,15- CC 6-tx
Se012W17K4@,t,r od lvez )�K^1712 A7 6A-4e-l- J/V V -V 7/-'1W 7;
Received by Building Inspector Date
. r
i,
�JA
' _-- �mvnzanu�ea`l�i n�✓�aclzccae�a Restricted iu: 00
_ DEPARTMENT Of PUBLIC SAEETF
CONSTRUCTION SUPERVISOR LICENSE
Nusber: 00 0B r+att:ssta;aasosss��rn�t
Ezpirm Birt N0 Wrusaalma rre!W*0 tstla►dY r'
4S Birthdate: lA
CS 0148 05/31/1996 05/31/1955 Na " Orly Coda i&cansry for raravpWa�
2 Tamiiy Hoses
Restricted 1°: 00 1G 1 &
a
ROGER J RICHARD
25 EATON COURT
HAVERHIII, MA 01832
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LocationA �� QLD20
No. � " c Date
HORT1TOWN OF NORTH ANDOVER
n 35.O: . o pL
r: p Certificate of Occupancy $
`" • i : Building/Frame Permit Fee $
Foundation Permit Fee $
s�cMus e
Other Permit Fee 4"') Q6(q$ y
r
r
Sewer Connection Fee $
—, Water Connection Fee $
TOTAL $
r,�� Building Inspector
9207Div. Public Works
KAREN H.P. NELSON
0= Town of 120 Main Street, 01845
Dinrr"rNORTH ANDOVER (508) 682-6483
BUILDING
DIVISION OF
CONSERVATION
HE:1LTIi PLANNING & COMMUNITY DEVELOPMENT
CHIMNEY APPLICATION AND PERMIT
DATE 5 PERMITy—
LOCATION
OWNER' S NAME % ► 0 5 e C-\
Ir < <
BUILDER' S NAME
MASON ' S NAME d
MASON ' S ADDRESS , �/ cz�/� ���?�( 'jir e
MASON ' S TELEPHONE
MATERIAL OF CHIMNEY 93 iA
INTE RIOR CHI14NEY EXTERIOR CHIMNEY k
NU14BER AND SIZE OF FLUES
THIC. 2•TESS OF HEARTH (U
Will chimney or fireplace conform to requirements of the code and
have rules and regulations been received:
DATE A �
SIG:;ATURE OF MASON
CONTR. LIC.
EST . CONSTRUCTION COS /CONTRACT PRICE
PERi•:IT GRANTED
ROBERT NICETTA, BUILDING INSPECTOR
I14S PECTED
REI•IARKS
-- 'tip,
SOLID 5RICX RF 6C°i0 tl8 'Oa08S0N1,1 Ss,,��
� Dtl ONtl1Htl0 Gl 0
THIS PERMIT MUST BE DISPLA
3fl00 f 01tlNI938
00 :01 Pa10t11Sa8
I96I/H/60 866T/EO/60 SREH S3
:81PP41118 :Sa11dx3 :!agtnN
3SN33I1 80SIAUHS NOInn81SN0: '
AIIJVS H18nd 30 1018H30
1/0
--- --... —--�_•�_ .►+*+amu -—— —— — �..na�.ww,a.,aa /
• d
KAREN H.P. NELSON �+' 1�a Town of 120 1V)ain Strc2t, 01845
Dirmor ` ' NORTH ANDOVER (508) 682-6483
F :
BUILDING .g
CONSERVATION
SQ•� ��%`� DIV1510\OF
HEALTH PLANNING & COMMUNITY DEVELOPMENT
PLANNING
CHIMNEY APPLICATION AND PERMIT
DATE h - PERMIT
LOCATION >l CL `� `` l
OWNER' S NAME
BUILDER' S NAME
c
MASON ' S NAME
MASON ' S ADDRESS x L-(
MASOI4 ' S TELEPHONE (
MATERIAL OF CHIMNEY G�
I14TERIOR CHIMNEY EXTERIOR CHIMNEY
NUMBER AND SIZE OF FLUES
THICKNESS OF HEARTH /d
Will chimney or fireplace conform to requirements of the code and
have rules and regulations been received:
DATE
—7— � CONTR. LIC.
SIGNATURE OF MASON � '
EST . CONSTRUCTION COST/CONTRACT PRICE
PERMIT GRANTEDt� Ct O- FEE
ROBERT NICETTA, BUILDING INSPECTOR
INSPECTED
REMARKS
;40
6ili0 Hu 0808S9Na.l sos,
SOLID BRICK RE C 3ptl ONtl HO 9l P00
O
THIS PERMIT MUST BE DISPLAY
3800 £ O1tlNI038
00 ;01 PoLOT11So?J
T961/£0/60 666i/H/60 58[£90 SO
:a1ePV111e :salTdz3 :!aganN
3SN3111 HSIA83dn5 NOIlO081SN03
A133VS OI180d 10 1NNISU30
•F
I 0VM orover
t
y.�
0
499
y ?L �( dover, Mass., 146M. 19
T O - LAKE
COCHICHEWJCX
1'•
°R ED PP BOARD OF HEALTH
A
y Food/Kitchen
i Septic System..
PERMIT T.
BUILDING INSPECTOR
THIS CERTIFIES THAT• �%C%AARD �QP r
`g4 eye.
.......................................................................... ......... . ....................................... Foundation QVC 1Z`r.
has permission to erect l�Of,7 (�....FR Q....... buildings on: ':� '4':....... 25 !!...�./ �.... Y. Zmney
��tS <j�: I C
Le4VIC4'
to be occupied as.QA*az..ft(A11.EA.���t . ..(.pll..zCA?......Q1&...
.. in '�1�3�14 �.
provided that the person accepting this pbrmit shall in every respect conform to the tens f fthe application on file in ina
this office, and to the provisions of the Codes and By-Laws relating to the Inspection,A a tloo and Construction of
Buildings-In the Town of North Andover. P 'ITOR FOUNDATION ONLY PLUMBING INSPECTOR
RE I.ATED BY PARA. 114.8-5. B.C.
VIOLATION of the Zoning or Building Regulations Voids this Permit. ROUa`
1 .-
, 11 FEE PAID an a1 -
PERMIT EXPIRES IN 6 MON ELECTRICAL ELECTRICAL INSPECTQR
UNLESS CONS S . �
g
PERMIT FOR FRAMUBUILDING . ....... ..... ... Service
$L7LDIN SPECTOR F j��
-DATE: I FEE PAID: t`I7.8- -
GAS INSPECTOR
Occupancy Permit Required to Occupy BuAng..
Rough
Display in a Conspicuous Place on the Premises — Qd Not Remove Final
No Lathing or. Dry Wall To BeDone FIRE DEPARTMENT
Until Inspected and Approved by the Building is ;cto . , _Bu -�
��� Bur -_.--�
s CONSERVATI FNA . trees -
+.'PLANNING F AL 1
+i i41t + .
�V1 fi Smoke D
f _ SEVVER!WATER 1S NAL DRIVEWAY E Y RMIT
CERTIFICATE OF USE & OCCUPANCY , 1l ,
i
_, Town of North Andover
•}�•,{OV'i1•a+u.,{x M.6t?dS►'+cM.FL +t'SYsri y �t
j # r� 3���I #: .�{ �. � "� �? ,i�.. � r .• I � .- tf.��.� �4.�...«..�r�x,�+. .�` ,
� ti+�s � +r �1
F I+ t i 6 $C
1RrY1.
{ Fj a 4-�Qa �,
rBuiidina Permit Number ��
;,4 .��� b: .It /t1iry
([ T i1', t�tf••i�t+Y y�A �.. �}, , �}{I � � tl.,i �M7 ,�4' � '1 l�t1� L'• 1t!" I i 4 .1 s 7. i �].I�tl 4i1. €`. ,iy, ,. 'y, ,
«I,r' I ,. ..F.'
t 6 1 r
1 �j
S CERTIFIES THAT
.��r' r,/� y i I x � � Y � � '�•
1{. i.. s• �� ti .c, r�.j' I •� �r�� d��.1 �1 WNL � ,. �1��
+ r G t#THE BUILDINGLOCATED ON Y
i rlr, ,+ 0.
•`f� +C .� 1, � + i t„i r , t ►�. a laf + #�� 1 ,
lk
54
MAY BE,,OCCUPI D'A iN6��xin1, I�c�IL u�/ Z Com;6A(L66� IN ACCORDANCE
'. �'.?.;. `� 1'�` �t y., Y,s n _ ,fi ;j. r. ..�, t.•s' , 1{ : i. � I'. 1E�A�1'
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
r � , � `:� iii• ,"s. ',: � � :�.�
y i• � I ri '�il '4. i p.i� fir. •� � +.t i�d�� # i�.y
CERTIFICATE ISSUED TO y. RtC.L{r1W7 �izP
' i ,� ? 1, i 1 +yl �� #�:' .�` � ,L 1+ � #. r :r 'y .i '' •' S, �'1Y to �, f4 'ice a
:�, ��'1 * � ': ADD S ra
• Z t j� ��� y I # I �, ���. .,� .f*�r i� i r Ifii� i {� I�#� ���,� �• +s �1 i(i y�� 1.:t... f�„ � +�� i
r^ + } �,r a �h'E • j, � a I� � ,.. .1 `� I. I
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