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HomeMy WebLinkAboutMiscellaneous - 234 HILLSIDE ROAD 4/30/2018 234 HILLSIDE ROAD 210/025.0-0000-0000-0 i Date. . . . . A., . .... . RTH :Of NO1� TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION s a h �,SS'�C•NU9ESt This certifies that . . . .�: �. ....1- .. ,:. . : ! `"° '. . . . . . . . . . 3fas permission for gas installation_. . !V �. .-.� '.- *. •..t.,. in the buildings of . . . . . . . . .��. . . . . . . . . . . . . . . at . . . . . .. North Andover, Mass. Fee-: 4 .•'. . . Lic. No:j 7�<5.' ' A,. . . . . . . ~GAS INSPECT01i'/ Check# 5f1,,/- 9 MASSACHUSETTS UNIFORM APPLICATION=FOR PERMIT TO DO GASFITTING (Print or Type) �)OR?H J`l�tJ�QVE( Massa Date a Permit # Building Location 234 W 1Z"S I hi✓ Owner's Named LL $> GIZA� fi U(Z►.fs " - (1012T1-1 N ODVF2 HA Type of Occupancy__P„�S f OEA)TI fl t✓ New ❑ Renovation ❑ Replacement ] Plans Submitted: Yes[] No ❑ N H a . Y W W W H v CCz U) a U) D: !- O N = i- O 0: j N W FO U m t' = Jf 2 p U Q Cr Z O F- W ca u) H y Cr O a H W .4 �-. v) �t ca CC W Z V W Vf Z C O' D W W W O J A = a C7 a W ~ W ~ = h a Z < W J < C F� �' Y• N m Z O Z W 1 W Q W > o: W O 2. < ¢ p; NSI Z O ¢ '.= O tl Y U. 3 o t9 v y Q a F- O � SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Effl Installing Company Name BAY STATE. GAS COMPANY Check one: Certificate # A4dr6ss 55 MARSTON STREET X7 Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership Business Telephone q 7 b-687--:1105 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have a current liability 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 liability Insurance policy lf3( Other type of indemnity O 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: Signature of Owner or Owner's Agent , owner[] Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in abovamoplication are true and accur to to the best of my knowledge and that all plumbing work and installations performed under the permit Iss f r this application wil U n mpliance with all pertinent provisions of the Massachusetts State Gas Code.and Chapter 142 of the Gen S. BY Type of Ucense: Plumber Signature o cen Plumber or Gas Title Gasfitter Gtity/ToHm Master Ucense Number 374'5 /1PPFiOVED(OFFI 1Joumeyman BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE N0. t APPLICATION FOR PERMIT TO DO GASFITTING c,r NAMES TYPE OF BUILDING LOCATION OF 8UILDtNG # •i PLUMBER OR GASFITTER LIC. N.O. t. PERMIT GRANTED DATE 3 GAS INSPECTOR MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFIT7'ING (Print or Type). NOR?l /�1JOOV E2 , Mass. Date-ql Permit# Building Location_2 34 W 11,LS IDI✓ Owner's Name -r 13U R.QS "" •• _ KOR.TN Type of OccupancyNew ❑ Renovation ❑ Replacements Plans Submitted: Yes[] No❑ w N ¢ Y WN N N V Z ¢ U) CW au ? N0: 0 0: P )- z Z H ¢ 0 W I- la 0 0 V F Q m N H 4 cc Q ¢ 0 ' C Z H ¢ W -4 W W cc W W W M J Z Q S Cr ¢ CW7 ¢ W r W V Z H�+ ¢ Y Q W 'J Q C H >. M Q z 0 z W J N W M z o z Q o p x (� ¢ S O tl t'i. 3 C tl .6� V C Y p 00 h- O SUB—BSMT. BASEMENT 1 ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name BAY STATE. GAS COMPANY Check one: Certificate # Agdr6ss 55 MARSTON STREET , X7 Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership Business Telephone q 7!B-6 8,7=l 10 5 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: 1 have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142, Yes K No ❑ If you have checked yLes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 18Z 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: Signature of Owner or Ownersgent , . Owner❑ Agent ❑ l� I hereby certify that all of the details and information I have submitted(or entered)in abo plication are true and accur to to the best of my knowledge and that all plumbing work and installations performed under the permit Iss f r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code.and Chapter 142 of the Gene s. Tj of Ucense: Title Plumber 95-nature-o cen Plum er or Gas Gasfitter Master Ucense Number 374•'5 City/Town Journeyman APPROVED(OFFICE BELOW FOR OFFICE USE'ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE ; N0. APPLICATION FOR PERMIT TO ADO GASFITTING c,r NAME TYPE OF BUILDING LOCATION OF BUILDING f •s PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE .19 It GAS INSPECTOR Date. .y. .-0 . c 4, TOWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING SSACHUSE� This certifies that has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of /. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass. L © � Fee> '. . . . . . .Lic. No.8s! - ..f4— 'h! r. . . . . . . PLUMBING INSPt TOR 6599 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) .KL-1 N A IJ D N C 12, Mass. Date* Permit # Building Location 2,3+ H )LL: 112 E b Owners Namej ILL I�� RIAS I,�S Type of Occupancy i2t S 1 DE N 11-•�._ 4.,New O Renovation ❑ RePI acementM Plans Submitted: Yes O No ❑ . FIXTURES B.P.# SEWER# SEPTIC# z vs z m o z X y 14 W al a 03 -C . aaW � a R xz OZN +J 4J N = Q1 kJC 93 x = 30-1• O W Co d00) U, rt M O 44 W W D . J 0: J p C .� �•�' �J < s 3 o ,~� .Ems• t- a ay o x xx `` �• v as�)� SUB—BS MT. J BASEMENT i IST FLOOR �f✓ 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR t • 7TH FLOOR 7 3;. STH FLOOR Installing Company Name-8&\/ ST A7E GAS MPAL)�L Check one: Certificate # Address_ 5S ❑ Corporation O f 9+1- Z ❑ Partnership Business Telephone - DS E3D6 6N6A ❑ Flrtn/Co• Name Of Licensed Plumber F CSA fJ c IS X INSURANCE COVERAGE: J have a current liability 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. t A liability insurance policy ❑ Other type of indemnity p 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: Signature of Owner or Owner's Agent Owner ❑ Agent❑ 1 hereby certify that all of the details and information I have submitted(or entere above knowledge and that all plumbing work and installations performed under the issued four application are e d accurate to the best of my pertinent provisions of the Massachusetts State Plumbing Code and Chapter Gener aPPt� in compliance with all gY Title Signature o n um r City/Town Type of Ucense:Master�' Journeyman❑ S O Ucense Number _ ��e BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE i .NO. w. APPLICATION`FOR PERMIT TO DO PLUMBING e NAME do TYPE OF BUILDING. LOCATION OF BUILDINQ_i PLUMBER PER GRANTED' _ $ wag L1 _ _ SINNG INSPECTOR i Location No.,-- Date NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy $ 4, "OPIPPOIN 40 " Building/Frame Permit Fee $ Foundation Permit Fee $ Ss�cHusa Other Permit Fee $ ? . R Sewer Connection Fee $ Water Connection Fee $ t TOTAL $ �t Building Inspector 1 G 6 i 0 ovn/98 1o:29 25.00 -P?n Div. Public Works Location No. Date w HORTM TOWN OF NORTH ANDOVER 0?o•`•`•o '•,Moa Certificate of Occupancy $ s Building/Frame Permit Fee $ CHUSEt Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ ► TOTAL $ Building Inspector Div. Public Works PERMIT NO. t5qf APPLICATION FOR PERMIT TO BUILD**"""NORTH ANDOVER, MA 1.11PNO. 2 %O .� /ye z ',o—.> O LOF.NO. Z. RECORDOt OWNERS1111' DATE BOOK PAGE Y 11.0 T 7A1hE ! Still DIvNNo . V I.(>I 1I111N 2 Y A/`�!{5,/,o /D4�� r'/ �(/ Pl1Kl(dE(M Mill DING O\1'NE11'StJAAIE LJ✓�Q.�/ 5URN! SL � I DUC-RAI NO.(XST()ftIES J SIZE OWNER'S ADDRESS f V�`3`r UbG rcLs rD�VI re 0 BASEMENT OR SLAB ARL I111 ECI'S NAA IE SIZE OF FI.00R I IMBERS 1 ST 2 ND 3 RD BI III DER'S NAME STAN DIS IANCETONEARESTBUII.DING DIMFNSIONS OF SILLS DIS I'ANCE FROM STREE F DIMENSIONS OF POS IS INS I ANCE FRCN.I I.OT LINES-SIDES REAR DIMENSIONS OF CIRDERS AREA OF LOT FRONTAGE I IEIGI IF OF FOUNDAI ION THICKNESS SS IS B(IILDING NEW SIZEOF FOOI INC, X ISB1111_DINGADDITION H ' MATERIAL OF CI MONEY IS BIIII.DING ALTERATION IS BUILDING ON SOLID OR FII I-ED LAND Nll 1.BUILDING CONFORM TO REQ(IIREMEN I S OF CODE IS B(IILDING C(NJNECI ED'IO1OWN WA I ER BO.Ak*)OF APPEALS ACTION, IF ANY IS BUlI.DING CCNJNECI ED FO TOWN SEWER IS BUILDING CONNECI FD TO NAI URAL GAS LINE INSilwiIONS 3. PROPER F)'INFORNIA1 ION I.ANDC'OSI Es 1.BI IXi. COSI VU PAGE I FILL OI FF SECTIONS 1-3 ES F. BI DG.COST PER SQ. FT. ESI BIJXi.COSI PERR(X)M EI.EC'FRIC METERS MUST BE ON OtJTSIDE OF BUII DING SE191C PERNII F NO. AfI ACI-IED GARAGES MUST C(NJFORM"FOSFATEFIRE REGUI.AII(NJS a. APPROI'ul)ON': PIANS MUST BE FII.ED AM)APPROVED BY BI III.DING INSPECF(N2 BUILDING INSPEC'FOR DA I E1:111:1) OWNERS TFLa t / C(NJIR.IEI.a v CONJIR.I.1C'a [� SIGN-NIURF:OI:OWNFROR AIF I UZEDAGFNF 11:111.111 GRANFED 19 s TOWN of NORTH ANDOVER YK � AFFIDAVIT Ewe Mopax4EMEnt Carltnrztoc law t 3 3�pIsETIt to Peamt Pgii atina j M .G 142 A Lmgt2s that d-r- 'b=s=rr,m, albmatun, , fir, ' t,.re=01, c�3Ool�tla ac caw rtim. of an a kh dra to any p« eastir'g o hd- `'"' S at least or-b.-rt rct i r tban fax deLl i g tmts...cr to stn txes 4ich are add to ; '!§xh L LC b1 Jdng, be dxp- byrEgistered�W=1 wah ced= e art'a-s, ajQg Y11111 adje of Work: / rt* �t1i✓J Fst. Cast ;. gess of Work i (,S► DE 1n1 Owner rlatDe• , ~ ... ....-Date of Permit Application: .�. ':hereby certify that: y ^Registration is nohe.t required for tfollowing reasor(s): rcr office Llse Q�3ji Work excluded by law emit Pb._ . Job under $1,000 Date Building not owner-occupied OOwwner n i 11 i>g own pelmi t ner (specify) ` Notice is hereby given that: OWNERS P(JII.IlVG 'n= 04+'N Pyr OR DEALING WrI11 UNRBGLS= CXW.IRACIOftS_ FOR APPLICABLE,HCX E T, WORK DO NOT HAVE ACCF_SS TO TSE ARBITRA- TION PROGRAM OR GUARANTY FUM UNDER MGL c_ 142A. Sim u-e-- pe^alties of perjury .�, �;�. .I• hereby apply For Sg permit as the agent of the owner Contractor Name Registration LNo. OR Iatwiths anding the above notice, I hereby apply for a permit as the ;;,,.F . own r of the above propert -17., r ° to Oerner L a e Town of North Andover NORTH OFFICE OF ~ °� •�tioo� COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street ; wII1 JAM I.SCOTT North Andover,Massachusetts 01845 t SACNUS Director In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by NiGL c l 11, S 150A. The debris will be disposed of M." 3F1 RE5IbEA17-hg2.�TFMaOXA0 2G Yd, C0147-AM/Ek (Location of Facility) Signature of Permit Applicant 7/17/ 79 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. ti BOARD OF APPEALS 689-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9533 �� - Town of over No.,-; cj/ 19 29 dover, Mass'Q_'...� 0C.LA11 IC'NEWICK 7�E D BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............... ...................... ....... ...... ......................................................... .............. ....... Foundation .........." ..q0 .. .... Rough has permission to ore .. ......... ..................... . buildings on .......W... -F Chimney to be occupied as ...... .... ... ..................................................................................... .... .. ...... .... ..... ' _ provided that the person accepting is permit shall in every respect conform to the terms of the application on file in o� is Final this office, and to.the provisions o the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION T Rough ...................... ..... ..... . .. ............................................ Service DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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 Street No. Smoke Det. �.10RTN Town of over No.,,; c?/ 0-_i-COCHLAX�_ dover, Mass., 191?y ICNEWICK "?", %%, 0 7'ED BOARD OF HEALTH Food/Kitchen PERMIT T Septic System A BUILDING INSPECTOR 4 THIS CERTIFIES THAT.............. ...................... ......io. ..... ........................................................ jrp................... Foundation has permission to ere .. ......... ....................... buildings onf. .......... Rough tobe occupied as _0te ....... . ..*I.. .... ..................................................................................... Chimney provided that the person accepting is permit shall in every respect conform to the terms of the application on file in Final this office, and to, the provisions o the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION T ELECTRICAL INSPECTORRough Service DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. .- Burner Street No. Smoke Det.