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Home My WebLink AboutMiscellaneous - 26 ANNIS STREET 4/30/2018.. 1- / ,-. J J V Date.., TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ............. . �r has permission for gas installation .........:.j .............. in the buildings of .....- ....•..-! .................. . at ....... ^t : ................ North Andover, Mass. FeeA�J..... Lic. No.u. 7 ... : % ;r te........... . GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. `PINK: Treasurer <� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Printf orr' Type) OV C1 DO ✓ fL , Mass. Date !� ' A/ =2,004 Permit Building Location _ 46 21ifi/t)/S 7 Owner's Na a [s L(, ?ie—WE4, `" .. Type of Occ ncy i'(_S;d1_X b % G 110 New ❑ Renovation ❑ Replacements] Plans Submitted: Yes❑ No ❑ Installing Company Name BAY STATE GAS COMPANY Address 55 MARSTON STREET LAWRENCE, MA 01840 Business Telephone__979 79 — 6 8 7 -110 5 Name of Licensed Plumber or Gas Fitter Francis X. Corkery Check one: DC7 Corporation ❑ Partnership ❑ Firm/Co. Certificate # 1862 INSURANCE COVERAGE: I 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 Yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy K 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 Owner's Agent Owners] Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in&-s. ation are true and aa��te to the best of my knowledge and that all plumbing work and installations performed under the permit iapplication will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Ge (/ i T e of License: Plumber Signature of Licensed Plumber or Gas Title Gasfitter Master License Number 8697 City/Town Journeyman APPRC)VEO O FIC USF ONLY ■�f��t�s��■t�■ Seal MEN NEEK IS No .. ■��i��tt��t�MEN«N NOW.". -00101001 on own .. ■��son an0 NOOSE Installing Company Name BAY STATE GAS COMPANY Address 55 MARSTON STREET LAWRENCE, MA 01840 Business Telephone__979 79 — 6 8 7 -110 5 Name of Licensed Plumber or Gas Fitter Francis X. Corkery Check one: DC7 Corporation ❑ Partnership ❑ Firm/Co. Certificate # 1862 INSURANCE COVERAGE: I 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 Yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy K 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 Owner's Agent Owners] Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in&-s. ation are true and aa��te to the best of my knowledge and that all plumbing work and installations performed under the permit iapplication will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Ge (/ i T e of License: Plumber Signature of Licensed Plumber or Gas Title Gasfitter Master License Number 8697 City/Town Journeyman APPRC)VEO O FIC USF ONLY Z O r U W CL N z N to W IY 0 O a CL N� W X: U w I W x N ol l CI z F- r LL N J (y Z � O N O � r W U � U. O w • o � a " a ar 0 0 {L LL � 2 G O F W w in Q U a a Q w w LL N� W X: U w I W x N ol l A, Location U, No. = r n Date ';�-7 _ r1 7- ORTIy TOWN OF NORTH ANOOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 'ss�cHuSEt�' Foundation Permit Fee $ ;Ott er�Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ 1 . TOTAL $ 1 =a � t] J �.J ,V,RN Building Inspector Div. Public Works Location fi<[•� Date NORTpy TOWN OF NORTH ANDOVER •.. OL p Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee Sewer Connection Fee Water Connection Fee TOTAL Building Inspector Div. Public Works OF: nl'I'lii\I.� I3l 11I .I)IN( (:()NSI' ItVA"FJON IIF,AI; I I 1 1'I,/\NNIN(; DATE 3. Town of NORTAI ANDOVER 1'I,ANNIN(; R: (;Ol11f�I1!NI"1'1' UI's�'1sLO1'i111;N"1' I:.\I{I?N 11.1'. NI: .I .ti( )N, 1 )Iltl C I OIt CHIMNEY APPLICAVION ANO PERMIT I ZI I NN011 SIIccl No i11I ,1ii m-r�i. �I;Ititiru'I lusc'IIti U I fi4 i 17) G854775 / PERMIT # lJ• Q LOCATION.��%�,� �r OWNER'S NAME: BUILDER'S NAME: MASON'S NAME: MASON'S ADDRESS: 6 ��,, %, z �, MASON'S TELEPHONE:_ 1�5,66 MATERIAL OF CHIMNEY: j,�`�G INTERIOR CHIMNEY: NUMBER AND SIZE OF FLUES: 4x,1,, THICKNESS OF HEARTH: EXIERIOR CHIMNEY: pliU chimney on. ()vAep.Eace eon(joam to tale Ae-ju.Aemeiits o�) .tile code cold (lave Au Lea and Aegutatiou been Aece- .ved: Iil- Z -- DATE: SIGNATURE OF MAS N: PERMIT GRANTED: ROBERT NICETTA BUILDING INSPECTOR INSPECTED: REMARKS: S SOLID BLOCK REQUIRED F'EE THIS PERMIT !JUST BE DISPLAYED ON THE PREMISES ., I PER31IM40. 0/0 APPLICATION FOR PERMIT TO BUILD -NORTH ANDOVER, MASS. V PAGE 1 MAP K,iO. j/AI LOT NO. Y- I 2 RECORD OF OWNERSHIP IDATE PAGE ZONE SUB DIV. LOT NO. JBOOK LOCATION / PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIES SIZE OWNER'S ADDRESS ✓ BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME 11 U SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES REAR "" 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 I - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVE6 BY BUILDING INSPECTOR DATE FILED Q V L /� L PERMIT GRANTED 19 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY ILDINO OWNER TEL. # CONTR. TEL. # O 01- CONTR. LIC. # � 3 `7 v �� H.I.C. # / o J3 l < BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS _ _ CONSTRUCTION 2 FOUNDATION I 8 INTERIOR FINISH 3 1 2 I3 PINE CONCRETE_JIf CONCRETE BL'K. BRICK OR STONE HARDW D _ PIERS PLASTER DRY WALL _ _ UNFIN. 3 BASEMENT AREA FULL FIN. B M'T' AREA _ '14 1/1 �/, FIN. ATTIC AREA N_O 8 M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 3 �_ _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING CONCRETE EARTH HARDW D COMMCN 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 I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE GAMBQEL_ I HIP BATH (3 FIX.) MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR 6 GRAVEL STALL SHOWER _ ROIL ROOFING MODERN FIXTURES _ TILE FLOOR TILE GADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. 8 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd ELECTRIC _ 10 13rd 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. ,4 Cl nv • � O C N : O C w.. O �,' 7 j •d C O ea ;= O O � m CD C _ a :... D CL N C CD CD o� 0 O, mi CL= E ca m m ci O co to ca 4D 3 Ql m H m O y O O G Eo CDH m 1= '_= O cm �7 d=.= m m C � V dJ 0 O A � 0 C C C �C = o 0=4D 3 N F' D W O C w •� •dl 06mC Z E = : v C) LU CJ CM H O' m� O� J _ N CD s O C C [� zC/) °z 0 �z w00 r�l Z �i i A as O E 16- 0 O Z CD C. 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