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HomeMy WebLinkAboutMiscellaneous - 255 MIDDLESEX STREET 4/30/2018 (3)r NORTH T G , A Date ...(J 7 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ....77 / .. .......... . has permission for gas installation ....6P(4,' !gs... ( Z.) .. in the buildings of .:.......... .0 .................... at . c S % . /1I!Q& 4�"S47X . 5T , North Andover, Mass. Fee Lic. No. M.3 /.. ........................t�� GAS INSPECTOR Check # �G 6496 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date , t NORTH ANDOVER, MASSACHUSETTS Building Legations W– Owner's Name Newizi Renovation 11 Replacement 0 Permit # LAmount $a lrrJ Plans Submitted (Print or Check one: Certificate Installing Company Name Corp. A�ess rj Partner. Business I a ep one T ,) —� _ 7 Firm/Co. Name of Licensed Plumber�or Gas Fittei -1 Ct 10, * INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 13 NoO If you have checked Les, please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity D Bond 1 Owner's Insurance Waiver: [,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 perm' a lication waives this requirement. Check nnP• , Signature of Owner or Owner's Agent hereby certify that all of the details and i ormation 1 have best of my knowledge and that all plumbin compliance with all pertinent provisions of the Massachuse9P Title City/Town. (APPROVED (OFFICE USE ONLY) �brryitted ore/ i ns under State Gas de and ZPlumber Signature of 0 Gas Fitter Master Journeyman R vi arAM U w Z, � F O m '" O C w w eOa C O z F w z u w z O F a� c OO x > w w � ., t m x a w � W H q E~ � z w > a F CA CQ z p F Z w .a O F W O O x 3 A C�7 4 VO a > o v, F O SU B-BASEM ENT n0. BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or Check one: Certificate Installing Company Name Corp. A�ess rj Partner. Business I a ep one T ,) —� _ 7 Firm/Co. Name of Licensed Plumber�or Gas Fittei -1 Ct 10, * INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 13 NoO If you have checked Les, please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity D Bond 1 Owner's Insurance Waiver: [,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 perm' a lication waives this requirement. Check nnP• , Signature of Owner or Owner's Agent hereby certify that all of the details and i ormation 1 have best of my knowledge and that all plumbin compliance with all pertinent provisions of the Massachuse9P Title City/Town. (APPROVED (OFFICE USE ONLY) �brryitted ore/ i ns under State Gas de and ZPlumber Signature of 0 Gas Fitter Master Journeyman clic io are true and accurate to the f his application will be in of General Laws. sed Plumber Or Gas Fitter _ /6 -jG (cense Number PE f IT NO. AM 0 - APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP NO. LOT NO. I 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE SUB DIV. LOT NO.� LOCATION 5 ` PURPOSE OF BUILDING -i- 5-(j,AV j.6F d OWNER'S NAMED _ D./JD� NO. OF STORIES ' SIZE 16' l'7 V� /� / 3 OWNER'S ADDRES �i y ir1�'!/ Ofs- J zl BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET No '" '" POSTS DISTANCE FROM LOT LINES - SIDES Y?EAR /6 "" ,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 METERS 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 �S SIGNATORE OF OWNER)0R AUTHORIZED AGENT F E E PERMIT GRANTED 7 0 >SJ ,9 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST.. BLDG. COST PER ROOM PERMIT NO. / 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN ee(. /C _ BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY 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. STORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION _ 8 INTERIOR FINISH CONCRETE 3 1 _ 2 _ 13 _ CONCRETE BL'K. _ PINE BRICK OR STONE HARDW'D PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL y, 1/1 1/1 FIN. B'M'T' AREA FIN. ATTIC AREA _ _ NO B'M'T HEAD ROOM FIRE PLACES MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS CONCRETE EARTH HARDV✓'D COMMON ASPH. TILE B �J 1 2 �_ _ 3 DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY _ STUCCO ON FRAME _ _ _ _ BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I__d POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH )3 FIX.) TOILET RM. (2 FIX.) WATER CLOSET _ _ _ GAMBREL FLAT MANSARD SHED ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING II 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 GASOI L B'M'T 2nd _ Ts L 13rd ELECTRIC NO HEATING �ti Mr. John Costello 255 Middlesex Street North Andover, Ma. December 12, 1981 Dear John: Back in 1975, I inspected your pool and approved it in its present location. Even though a recent survey shows the pool to be too close to your rear lot line, no action will D be taken by the town to correct this situation, since more than six years have passed when the pool was built and approved. Very truly yours, CHARLES H. FOSTER BAZD'IN&—INSI'iC'T'OR Cs and ZONING OFFICER CHF : of