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Home My WebLink AboutMiscellaneous - 246 RALEIGH TAVERN LANE 4/30/2018Date... TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION �9SSACHUSE� This certifies that .?as ... �� .... ... . . has permission forstallation.. in the buildings of ....�� A at FeeLic. No..1. s Check # �� 4599 .1q=: -14or-th`�'Andover, Mass. .......................... GASINSPECTOR MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTiNG �f (Print or Type) -NO. d N d G !//.' K ,Mass. Gate 19 Permit # Building Location 6 491-X411 TPVeIV-1 Owner's Name YGC7 U2 1" Type of Occupancy D V. New ❑ Renovation ❑ Replacement Plans Submitted: Yes❑ No ❑ Installing Company Name_%7 ��' ��"� �T /=��- Y Check one: Certificate r# Address y�� `� /� t2 l� �� IZ /J ❑ Corporation /4' o G v,4"4 /1�43 S `� v Partnership Business Telephone ❑ Flrm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: if have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes Z No ❑ If you have checked ,ve , please indicate the type coverage by checking the appropriate box. A liability insurance policy E� 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 taws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owners. Agent Owner❑ 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 permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. T e of Ucense: L�� r Plumber Signal e of UcensedPlumber or Gasitt— er Title Gasfilter� Master License Number y/T Cilown Journeyman �Af'P(13WA O C � 1 ........................ �NEENEENNINNEENIMEnnn ONE 0 Omni sommossonsommm NOMINEE MEN Installing Company Name_%7 ��' ��"� �T /=��- Y Check one: Certificate r# Address y�� `� /� t2 l� �� IZ /J ❑ Corporation /4' o G v,4"4 /1�43 S `� v Partnership Business Telephone ❑ Flrm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: if have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes Z No ❑ If you have checked ,ve , please indicate the type coverage by checking the appropriate box. A liability insurance policy E� 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 taws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owners. Agent Owner❑ 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 permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. T e of Ucense: L�� r Plumber Signal e of UcensedPlumber or Gasitt— er Title Gasfilter� Master License Number y/T Cilown Journeyman �Af'P(13WA O C � C 0 ORTM 0 �41 Date./�/�•/ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING. S S s us This certifies that ./z/ .......... ...... .. .... ... ... ........... . has permission to perform ....... .... ...... plumbingu , in the b of A, 6, .... 17 11'1 ...... —North Andover, Mass. Fee./ /: Lic. No.. .............................. PLUMBING INSPECTOR Check # X/X% 5365 MASSACHUSETTS UNIFORM ((Print or Type) 1�O' 14A10 Mass. Date Building Location;? New ❑ Renovation ❑ LPPOICATION FOR.PERMIT TO DO PLUMBING l� 20 "�' `f d61 Permit # U06 0wnar's Name L F e of Occupancy ent Plans. Submitted: 'Yes ❑ No ❑ FIXTURES Installing Company name- n—° /� Check one:- Certificate r? Address 7 6211- C or ❑ Corporation Business Telephone Y 1 3 1 L9° W�-'Partnership Name of Licensed Plumber or Gas Fitter J_ r S1 --f Ph) G1 C�l�F�/`wpa/„ ❑ Firm/Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. 142. Yes 1� . No. ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURNACE 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. Signature of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ 1 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 permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Title Signat a of Licensed Plumber Cttyliown • APPROVED (OFFICE USE ONLY) Type of License: Master ❑Journeyman License Number j �� Location No. Date 4/167 TOWN OF NORTH ANDOVER �01 Certificate of Occupancy Building/Frame Permit Fee $ $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 103/97 13:00 S'r' 1079a 25.00 13"g Inspector Div. Public Works PERMIT NO. / APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. 4 PAGE 1 i MAP d40. ZONEIVht LOT NO. N SUB DIV. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK A�I l/JJS�, 'PAGE A,�jQ� �V LOCATION D N D¢ /gyp VU PURPOSE OF BUILDING�`��- =SIZE OWNER'S NAME e D C 1r 6.e / NO. OF STORIES OWNER'S ADDRESS %1�'✓�rN LAN BASEMENT OR SLAB ,5e"7- ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND N 3RD Q BUILDER'S NAME R A��JJ�1_ . (" `Dl [+ T W ✓ G� J SPAN �J �Q. DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS --_ POSTS 7� DISTANCE FROM STREET/vAl DISTANCE FROM LOT LINES - SIDES REAR Al "' '" GIRDERS AREA OF LOT s' 1A •I'7 /�y FRONTAGE /V ,/ ," HEIGHT OF FOUNDATION `r� it THICKNESS ♦I/ W IS BUILDING NEW // v SIZE OF FOOTING X IS BUILDING ADDITION, /uo MATERIAL OF CHIMNEY /J 11b IS BUILDING ALTERATION[ IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE yes IS BUILDING CONNECTED TO TOWN WATER )9 BOARD OF APPEALS ACTION. IF ANY �(/ ® IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE %Q INSTRUCTIONS SEE BOTH SIDES GAGE 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 eA/)ND APPROVED BY BUILDING INSPECTOR /. DATE FILED / 3 OF OWNEk OR AUTHORIZED FEE PE MIT GRANTED 19 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST /V EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM /' ]A SEPTIC PERMIT NO. �Q 4 APPROVED BY BUILDING INSPECTOR OWNER TEL. # �� /�✓ �� CONTR. TEL. #1 & 04 3)3 ?42 4? 96 CONTR. LIC. # ®-f8 816 H.I.C. # ` a c� -7 7 47 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d 1 2_ 17 fi3 CONCRETE BL'K. _ PINE BRICK OR STONE PIERS HARDW D PLASTER _ DRY WALL { _ _ UNFIN. 3 BASEMENT, VA AREA FULL '/. 1/2 1/1 FIN. 8'M'TAREA FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS FLOORS CLAPBOARDS v 8 1 2 �_ 3 DROP SIDING WOOD SHINGLES CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY HARDV✓'D COMMON ASPH. TILE STUCCO ON FRAME BRICK ON MASONRY BRICK ONJRAME ATTIC STRS. & FLOOR I_ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF #IPVV 10 PLUMBING GABLEHIP GAMBREL BATH 13 FIX.) _ MANSARD TOILET RM. 12 FIX.) FLAT I SHED WATER CLOSET ASPHALT SHINGLES LAVATORY _ _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING I MODERN FIXTURES _ _ TILE FLOOR TILE DADO 6 FRAMING 11,141 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 GAS 7 NO. OF ROO S B'M'T 12nd _ tsr 3rd OIL ELECTRIC NO HEATING 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. v I A M �w o C4 o E ' m c co 94 o z a � O p y C � I Cg_ d ..c g • CL � ocro- � � � U �a w �° � w W m w°' •u w CD CDCA cc m w G w W � w cA z cn . i ° cn �w o E ' m c co L O z V � O p y C � I Cg_ y •� mm O �• w c..3 O V *r 0" v CL c A A p O CD CDCA cc ® C •� � C Q o d m �� Cc EQ -m O CD ;r CE O C. O c _ N 0a _ : � y C. h p t S me Ea0 m m C-0 y cm 3 m •. y •_ mCc O y O O_ Em cmo c cm CLC. �= O 01 C O Q � y moc m V y O 0 c o` CD c _ :04 3 N ~ •O.. ~ y m -COD m r0.. t LL •U) O •E Qt C •y v .0 cccm Z o La a• O y '0.5 5 = tzs- O_ S 0 ,O„ P t R.aim �w E co L O z V � O p y C � I Cg_ y •� mm O �• O O ~ O V *r 0" v p O CD CDCA cc O •� � C Q Cc -m O CD ;r O C. 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