HomeMy WebLinkAboutMiscellaneous - 27 PHILLIPS COMMON 4/30/20180
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Date. ......... ....
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that ............
..................... ..
fig's permission for gas installation ...........
in the buildings 9,,.f . ................ ...........
at 1;:� ... .... ---)North Andover, Mass.
Lic. No'�*�Z&—... .......
Check # ��6v
49,72
GAS
10
MASSACHUSLTIS UNDDRM JAPIWON FOR PERIVIrr 10 DO GAS FrFf ING
(Type or print) Date
NORTH ANDOVER, MASSACHUSE 'T
Building Locations Permit #
ount $
Owner's Name O'k,
NeWb
Renovation Replacement Plans Submitted \4^
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A EM E N T
SUB -BASEMENT
S B - B S
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9 M E N T
BA S E M EN
1 S T - F Lo 0 R
[3R
2ND. F L 0 0 R
0 0
D . F L 0 0 R
4 T H F L 0 0 R
5 T H F L 0 0 R
6 T H F L 0 0 R
7 T H F L 0 0 R
8 T H - F L 0 0 R
C jec one:. Certifica Installing Company
Corp CNN
0 Partner.
ElFrm/Co.
N -
Name of Licensed Plumber or Gas Fitter
I �ereby 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 Perinit Issued for this application will be in
compliance with all pertinent provisions of the MassfU,,Setts Sta��GaI2§�e ands,,,Chapter 142 of the General Laws.
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
Signature of I
Plumber
Gas Fitter
Master
Joumeyman
sed Plumber Or Gas Fitter
9;-) 3 5
Mcle=nse umber
IlLocatibri—
No. Date 7-2 J"'
VORT01 TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ ZZ 6 Y,
S 4 C s ifflawbn Permit Fee
S 100., f
cp�
'Other Permit Fee $
Connection Fee $ 1-11 2J-
Watpr,\�edaction Fee $
11A. f�
Building Inspector
Div. Public Works
Lod'Mion i "'y /7 7 v
N J Date
vtORTN TOWN OF NORTH ANDOVER
Certificate of Occupancyr $
Building/Frame Permit'Fee $
CHU Foundation Permit Fee $ 0
Other Permit Fee $
V Seyve�.Connection Fee $
Water Connection Fee $
T L
$
�4 A Buildind inspector
Z
... Div. Public Works
Location T7
—21
No. Dat
IND
40RTN TOWN OF NOR,'IM OVER
Certificate of Occupancy $
4L 1- Building/Frame Permit Fee $
Foundation Permit Eee
MUS
Other�Permlt Fee
Sewer Connection Fee $
'WiC
er Connection Fee $
TOTAL
3 3S'
aUilding Inspector
o 11�� 7 7
Div. Public'Works
pft,mr
I zi
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
F�(G E . I
MAP ilO.
LOT NO.
,g
2 RECORD OF OWNERSHIP jDATE
BOOK 'PAGE
ZONE
SUB DIV. LOT N
LOCATION
PURPOSE OF BUILDING
OWNER'S NAME
NO. OF STORIES SIZE 4
Z-1
OWNER'S ADDRE4S
- 3 3 3
R SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3 R'D
BUILDER'S NAME
DISTANCE TO NEAREST BUILDING
SPAN
DIMENS16NS OF Sil LS 4
DISTANCE FROM STREET a C)
POSTS
DISTANCE FROM LOT LINES - SIDES REAR
,2
GIRDER!
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING / o x
.IS BUILDING ADDITION t
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION /Njo
IS BUILDING Of,('SOLIR�bR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE V eS
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY t
IS BUILDING CONNECTED TO TOWN SEWER es -
IS BUILDING CONNECTED TO NATURAL GAS LINi Ve S
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS 1 3
PAGE 2 FILL OUT SECTIONS 1 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF 0 0
AfrACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
ISATE FILED 71211 -zl_
"o oloo
CM. PERM! f
--PERMIT FOR FRAME/BUILDING WW FDA FEC j4 -
DUE FRAME
N
DATE.' -27j�-fEEPAI'D: t-t*16le,444
yel 6
13 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST 1�
I f
EST. BLDG. COST PER SQ..FT
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY r
BOARD OF HEALTH
PLANNING 1110ARD
BOARD OF SELECTMEN
IPIECTOR
_..-,AU..1LD1Nd RECORD
I OCCUPANCY�',.
12
SINGLE FAMILY ORIES JHJS SECTION MUST SHOW EXACT DIMEN! . SIONSOF L6T'AND DISTANCE FROM
MULTI. FAMILY :FICES '.LOT LINES'AND', EXACT ZIM ENSIONS. OF - BUILDIN'GS.. -�IAiITW PORt'HES. GA -
APARTMENTS I 1 0 . :1 1
RAGES, ETC. SUPERIMPOSED. -THIS R'Ef?LACESPLOTPLAN.',
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE _y 3
CONCRETE BL'K._ PINE
BRICK OR STONE HARDW D
PIERS PLASTER
DRY WALL
_61-
NFIN
3 BASEMENT�'.,
AREA FULL FIN. B M'T' AREA
1/1 1/2 1/1 Fl . ATTIC AREA
NO BMT FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALLS FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONC'RETE
WOOD SHINGLES L 'TARTH
ASPHALT SIDING HARDW'D
ASBESTOS SIDING COMIACN
VERT. SIDING _MPH TILE
STUCCO ON MASONRY V
STUCCO ON FRA
2OR
BRICK ON MASONRY ATTIC STRS. & Fl.
BRICK ON FRAME
CONC. OR CINDEkBLK.
STONE ON WASONRY WIRING
STONE ON FRA ME
I SUPERIOR "OR V_
I__k1DEQUATE I ONE
5 ROOF 10 PUMBING
lip BATH (3 FIX.)
AANSARD TOILET RM. 12 FIX.)
FLAT SHED WATER CLOSET
ASPHALT SHINGLES _V5 TAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING
TAR & GRAVEL STALL SHOWER
ROLL ROOFING MODERN FIXTURES
TILE FLOOR
TILE DADO
6 FRAMING HEATIZG
WOOD JOIST PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COILS. _X STEAM
STEEL BMS. & CO I.S. HOT W'T'R OR VAPOR
WOOD RAFTERS 3e AIR CONDITIONING
'G
0�0 RADIANT H'T
UNIT HEATERS
7 NO. OF ROOMS s rM S-vn
OIL
B'M'T ELECTRIC -
,2nd
_q -3, �d,, A All to
NO,HEATING,
IM el -1 T. w
FORM U - LOT RELEASE FOR14
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 local or state law,
regulations or requirements.
****************Applica�nt fills out this section*****************
APPLICANT: BiAL OLD, Phone6-�/7
LOCATION: Assessor's Map Number Parcel
Subdivision 01MA AAA r(h Lot (s)
Street St. Number
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Date Approved
Conservation Administrator Date.Rejected
Comments
YVAAA k I / I I A Ad I Date Approved -7
-r.Lanner Date Rejected
Comments
Date Approved
4W --4�
Health Agent Date Rejected
Comments
Public Works - sewer/water connections 7)6 �2
WN
driveway permit
I � t) A � 9 A
re Department
Received by Building Inspector
Date
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