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Home My WebLink AboutMiscellaneous - 260 BRADFORD STREET 4/30/2018 (2)N r--� Date./�'/) TOWN OF NORTH ANDOVER 0 A PERMIT FOR PLUMBING SACHUS This certifies that ....... ....... has permission to perform plumbing in the buildings of ... ................. at 414� 4 ...... North Andover, Mass. F e e.. L i c. N o. �--? ............. ................ PLUMBING INSPECTOR Check # ('/v'�� 5 8 4 5- MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) _14,24 &I-ic) Ma I ss. Date Permit# !� 0 Building Location owner's Name L)j` n n " 6 'gnQ Type of Occupancy Residential New 0 Renovation 0 Replacement Plans Submitted: Yes 0 No 0 FIXTURES Installing Company Name Heritage Htg.&Plgi Co. Inc. Check one'. Certificate Address 1 35 1 Plea6ant Street EX Corporation 714 Stoneham.' Ma 02180 [1 Partnership Business Telephone F1 Firm/Co. Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: I have a_curreht ilability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 1142� 'Yes 99 No El It you have checked yes, please Indicate the type coverage by checking the appropriate box. A IlAbIlAy nsUrahce policy In Other type of Indemnity 171 Bond IJ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the I nsurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement. Check one: Owner 0 Agent 0 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 Plumbing Code and Chapter the General Laws. By� I , - =�,A, dJ)", S, , f "-?t-n Sipatute or Licensed Plumber Title Cltv/Town Type of License: Master [X Journeyman Ej License Number---- 8 3 2 2 r-4 0 Z W V) _j _j C 0 cc a: x 01 Z 0 _j W W 2: 0 t- 0 U, CL 3: Z cc 0 cc 0 Lt W W 0 W = a < (n 0 Z , K M 0 LLI W �_ < > x W 3: 0 4 3r x V) V) 0 d. V) a Z C: 0 0 ff _j !� W W a 0 LL U I 4 0 J cc M J (a 3: x t- (j) u. n -c Lt ai SUB—BSMT. BASEMENT FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR ?TH FLOOR STH FLoor, Installing Company Name Heritage Htg.&Plgi Co. Inc. Check one'. Certificate Address 1 35 1 Plea6ant Street EX Corporation 714 Stoneham.' Ma 02180 [1 Partnership Business Telephone F1 Firm/Co. Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: I have a_curreht ilability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 1142� 'Yes 99 No El It you have checked yes, please Indicate the type coverage by checking the appropriate box. A IlAbIlAy nsUrahce policy In Other type of Indemnity 171 Bond IJ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the I nsurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement. Check one: Owner 0 Agent 0 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 Plumbing Code and Chapter the General Laws. By� I , - =�,A, dJ)", S, , f "-?t-n Sipatute or Licensed Plumber Title Cltv/Town Type of License: Master [X Journeyman Ej License Number---- 8 3 2 2 0 2 1 0 w 0 w z Jl 4K z LL w z CL 0 0 LL IL z w w 0 u CL w z Jl 4K z LL 0 CL U) z w z j LL IL z w 0 CL U) z U Location No. �-1?2 Date TOWN OF NORTH ANDOVER 07 0 Certificate of Occupancy $ *Ar.o Building/Frame Permit Fee $ 43 C)m4ust Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 17374 Building InSP6(or 4 0 1.1 PtopMyAdkzs-. 12 60 S-11-ee 43 -27 9. Telapbone MpNmnber FWW Number /�,q, 17 Rhawryl-alsle 13 zoninthifbMuftim'. Namaprint Add= for Service - C llqzg) - .2,2;? IA TtTWyffimentians: R -a 5' C�-,ilgzenc. 4 4y000sir I 00 , ZoninaDiMa fll�,Au- Licensed Cansirution Supervisot. IA Afti (sQ ErstOM- 1.6 BURDING SETBACKS (ft) Address Front Yard Side Yard Rear Yard Rc*rod pmvide Roquig�:� Pmvided Required ProvidDd ,30' —,30, 1 TV 3 1.9 Z. O..&MdZ. Y M..Pd Sewm*VDhpoW8j%— C ol sftDapw systemX Expiration Daft SipntUFC Telepbone SECTION 2 - PROPERTY OWNERSEVIAUTHORIZED AGENT 2.1 Owner of Remd Name Address for Service 2, -7, &Ze) -27 9. Telapbone 2.20wwrofR000nk, /�,q, 17 Rhawryl-alsle A/z dadlayel- Namaprint Add= for Service - C llqzg) - .2,2;? 7 SECTION 3 - CONSTRUCTION SERVICES 3.1 limrsed Construefin Supervisw Not AppliodWe 9 Licensed Cansirution Supervisot. LicenseNumber Address F-*mticm Date S]Pat— Tek* - 3.2 Rc&emd lime lmpmvementCmftClW Not Applicable CbmpanyNam Regidration N Addmw Expiration Daft SipntUFC Telepbone m z 0 m 0 z �M 0 r m r r z G) SEC'nON 4 - WORKERS COMPENSATION (MG.L C 152 § 2W6) I Workers Compensation Insurance affidavit must be cornpleted and submitted with this application. Failure to provide this affidavitwill result in the denial of The issuance of Nve bukding 2Mit. Signed affidavitAttachod Yes ... —D No ...... 13 SECTIONS DescriptUlunn Prdposed Work (dwekal opikable) New Construction 0 Existing Building 0 Rqxdr(s) Altemdons(s) 0 A4dition 0 Accessory Bldg. �D Dentolition Other 0 Specify a ne, A6 c Q2,-cA #I c/ -ezk -k Ae 0 �4- 12 x -/c, 4 lei, w �4 Jfm -z -Y-- X4 k Ae a /a I e.- repew-Zyle VCHON 6 - FSTIMATED FoNsTnucrioN mis , - item Edimated Cost (Dollar) to be dMs;w"jr r � eted 2EMtolicant COMPI �,y 1. Building (a) Building Permit Fee M061% 2 Electrical (b) 113hruated Total Collof Construction 3 4 Plumbing Meebanical (HVAC) Building Pcrmit fOC (a) x (b) 5 Fire Protection 6 Tull (14-2+3+4+5) --71-3-2ar-4 Check Number �1-2 z -c) �- 4 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. I*****************************APPLICANT FILLS OUT THIS SECTION************ APPLICANT -111 / /Ze_a/ 4zr i�� 2 n PHONE(fM --aad-22es . _6��,dOd ;7 LOCATION: Assessor's Map Number 1� J7 PARCEL 43 SUBDIVISION LOT (S) STREET. ST. NUMBER I USE I I RE00MMENDATIONS M -TOWN AGENTS: I SERVATION ADMIN COMMENTS DATE APPROVED DATE REJECTED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9197 jm 'kan '640,4 Tel: 978-688-9545 Town of North Andover Building Department 27 Charles Street North Andover MA 01845 HOMEOWNER LICENSE EXEMPTION Please print. DATE— 4,�21LQ� - _� 11 JOB LOCATION 00 SnacIX-ei-d Sll-eel Number Street Address Section of Town "'HOMEOWNER Number Phone Work Phone PRESENT MAILING ADDRESS 260 Fl-adlo_rd S6 -eel c,1-117 W,7661el- 1774 40/'0',415 - City Town State Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 109.1.1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures ac- cessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner' shall submit to the Building Official, a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner' assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner' certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requiremeo. HOMEOWNER'S SIGNA' APPROVAL OF BUILDING OFFICIAL Note: Three family dwelling 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0 Construction Control. E. K SURVEY NC *HAVERHILL, MA 4 Phone 978469 -IM 4 Fax 978-469-7046. MORTGAGOR :DEtD REF. yz?q PG. 199 ADDRESS OF PRINCIPLE BUILDING ;PLAN RE F. PAIE OF INSPECTION XUA-!J t 3. Zoo 3 A.AkQ994 144 SCALE: 1"-5 M 0 L)"V- :s -e A 30 OtLl C- 3> <D Ar L4�X+k 0 0*1 Ar d'-wr z, + tACe— /St�; 00, 6949AX9 AUDEL CERTIFICATION TO: 010. IMO& mamwag he of the principle structure/s This Morloa.lp Pio(Plan was prepared specificalty for 1 RW% mortgage purposes 6* and'A is npt."eWod or represented dit with locl Inpg bytwAs in effect when constricled is.' .1= I to be 2 property line or iandii(t+ glonisnottobeused from violation enforcemned to establish any of the property lInes1A6rA0y—,0 action ur der Mass B.L Tide V111. Chap. 40A, Sec. 7. responsibillty is extended to the land owner or v+00.17c 8 Subject jbut4ing is not in a Flood Hazard Area. This oeffification is based on the locabon of survey marker 0 Subjewbull�llnq h in a Flood Hazard Area. Of others. 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