HomeMy WebLinkAboutMiscellaneous - 274 OLD CART WAY 4/30/2018 (2)-7 1
1)37,/
Date. ......
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that ... F , -" )) - 1.,r I L. - :. . .//; I r
........... ... . . .................
has permission for gas installation . .........
in the buildings of . . . ....... I. ..........................
I e'-� 1'4 -`
at ..................... 1-4 North Andover, Mass.
Fee. Lic. No. . .............. ...............
GASINSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MAP
PARCEL
&ASSACHUSET]rS UNIFORM APPLICATON FOR PERMIT TO DO GAS FMING
� or print)
NORTH ANDOVER, MASSACHUSETTS
Building Locations
ji, 1q-11d01,1e_4e_ Owner's Name
New 12 Renovation 11 Replacement M
Date
19
Permit# 33 � 7
Amount $
Plans Submitted 0
(Print or type) CA��: Certificate Installing Company
Name— POO C, e g LAICorp.
Address P n B to Partner.
/_V� /02
Buginess Telephone Aror3) / - 0 Firm/Co
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one -
I have a current liability Insurance policy or it's substantial equivalent. Yes ff Noo
If you have checked M, please indicate the type coverage by checking the appropriate box.
Liability insurance policy M Other type of indemnity 0 Bond
Owner's Insurance Waiver: I am aware that the licensee dGes not have the Insurance coverage required by Chapter 142 ofthe
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature ofOwner or Owner's 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 Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State (IV (;We anj"
, pter 142 of the General Laws.
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Fitter
ffZrnber
P
Gas Fitter License Number
Master
F:j'Joumeyman
ST. FLOOR
2ND._FLOOR
4TH. FLOOR
(Print or type) CA��: Certificate Installing Company
Name— POO C, e g LAICorp.
Address P n B to Partner.
/_V� /02
Buginess Telephone Aror3) / - 0 Firm/Co
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one -
I have a current liability Insurance policy or it's substantial equivalent. Yes ff Noo
If you have checked M, please indicate the type coverage by checking the appropriate box.
Liability insurance policy M Other type of indemnity 0 Bond
Owner's Insurance Waiver: I am aware that the licensee dGes not have the Insurance coverage required by Chapter 142 ofthe
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature ofOwner or Owner's 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 Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State (IV (;We anj"
, pter 142 of the General Laws.
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Fitter
ffZrnber
P
Gas Fitter License Number
Master
F:j'Joumeyman
Location 214
(3�,b CA ZIC LA)AY
No. Date
T
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee s
1080
ACHUSt
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
co
It
Water Connection Fee $
TOTAL $
9D
Building Inspector
7398
Div. Public
Works
Location Z-14%- QUO CAOT-(-uhY
4 �
No. A 2->-1 Date
.1
TOWN OF NORTH ANDOVER
0
;L
Certificate of Occupancy $
Building/Frame Permit Fee $
0 S-4=-.1�1.
S? CHUS
Foundation Permit Fee $ too
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ a-0
Building Inspector
4 B,
4
19-00 PAID
Div. Public Works
Location
No. Ite
TOWN OF NORTH ANDOVER
Certificate of Occupancy s
K-
Building3l/fame Permit Fee $
2 "US Fo6n'�itlon Permit Fee $
Other Permit Fee $
Sewer Connection Fee $ .....
4:3 7� water Connection Fee s
TOTAL $
A - -
Ans ctor
Ing I
Div. Publk �Vorks
8 4 0 C
1�,-,APER11IT NO.
MAP +40.
�ZONE
APPPF!!��PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
INSTRUCTIONS PERMIT FOR FOUNDATION ONLy 3 PROPERTY INFORMATION
LAND COST 2 5,
REGULATED BY PARA. 1144& Rt
SEE BOTH SIDES EST. BLDG. COST
PAGE I FILL OUT SECTIONS 1 3 EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
PAGE 2 FILL OUT SECTIONS 1 12 DATE 44EE
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPEMMIT FOR FRAME/BUILDING
DATE 7�0� � � ((
E PAID:-
-FE
SIGNA'TURIE OF OWNER OR AUTHORIZED AGENT
It -ISO
F E E
+ CIO
PERMIT GRANTED
tmFUFM
Ly romm.
19
SEP 2 9 M4
4 APPROVED BY
OWNER TEL. #
CONTR. TEL. #
CONTR.LIC.# (2601?14-2,
H.I.C. #
-I i;" - 7vtB
LOT NO. Sp
2 RECORD OF OWNERSHIP IDATE
BOOK PAGE
SUB DIV., E Or?4Q--
I
I
LOCATION -29,6,
OLD" (2: —t
W A:�j
PURPOSE OF BUILDING
:OWNER'S NAME
NO. OF STORIES z SIZE 4zoo sr- at
OWNER'S ADDRESS
v
d Aild-lilco)
BASEMENT OR SLAB +
ARCHITECT'S NAME
vt� Lo
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME
)l e'*'c,
SPAN
DIMENSIONS OF SILLS z
POSTS
-�rr- –
DISTANCE TO NEAREST BUILDING zoo
DISTANCE FROM STREET
DISTANCE FROM LOT LINES - SIDES
REAR
GIRDERS
AREA OF LOT
FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
/off
IS BUILDING NEW
SIZE OF FOOTING x
IS BUILDING ADDITION
MATER:AL OF CHIMNEY c
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND I-Scl
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER !f -c s
BOARD OF APPEALS ACTION. IF ANY Ail 0
IS BUILDING CONNECTED TO TOWN SEWER . pj c>
IS BUILDING CONNECTED TO NATURAL GAS LINE ��
(u 0
INSTRUCTIONS PERMIT FOR FOUNDATION ONLy 3 PROPERTY INFORMATION
LAND COST 2 5,
REGULATED BY PARA. 1144& Rt
SEE BOTH SIDES EST. BLDG. COST
PAGE I FILL OUT SECTIONS 1 3 EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
PAGE 2 FILL OUT SECTIONS 1 12 DATE 44EE
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPEMMIT FOR FRAME/BUILDING
DATE 7�0� � � ((
E PAID:-
-FE
SIGNA'TURIE OF OWNER OR AUTHORIZED AGENT
It -ISO
F E E
+ CIO
PERMIT GRANTED
tmFUFM
Ly romm.
19
SEP 2 9 M4
4 APPROVED BY
OWNER TEL. #
CONTR. TEL. #
CONTR.LIC.# (2601?14-2,
H.I.C. #
-I i;" - 7vtB
BUILDING RECORD
occ��Ncy 12
SINGLE FAMILY I S.OPIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA -
APARTMENTS 1-1 RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
.1 C,
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m
a
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CONSTRUCTION
2 FOUNDATION
CONCRETE
CONCRETE BL K.
BRICK OR STONE
PIERS
8 INTERIOR FINISH
3 2 13
",E
HAIRDW D
PLASTER
-FIRY WALL
UNFIN,
3 BASEMENT
AREA FULL
FIN B M T AREA
7, 1/1 /.
FIN. ATTIC AREA
�LO 8 M T
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALLS FLOORS
CLAPBOARDS
B
1
2
3
DROP SIDING
WOOD SHINGLES_
ASPHALT SIDING__
ASBESTOS SIDING
CONCRETE
EARTH
HARDVJ D
COMfACN
VERT. SIDING
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
1,_XDEQUATE
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STIRS. & FLOOR
CONC. OR CINDE�--BLK
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR POOR
NONE
I
5 qpp
10 PLUMBING
GABLE
HIP
BATH f3 FIX.)
TOILET RM. 12 FIX.)
6�MBIELJ
MANS RD
FLAT
SHED
WATER CLOSET
ASPHALT SHINGLE
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING
M ERN FIXTURES
—1
TILE FLOOR
TILE DADO
6 FRAMING
HEATING
WOOD JOIST
PIPELESS FURNACE
oFORCED HOT AIR FURN.—
TIMBER BMS. & COILS.
STEAM
STEEL BMS. & COLS.
oHOT W T'R OR VAPOR
WOOD RAFTERS
AIR CONDITIONING
RADIANT H'T G
UNIT HEATERS
7 NO. OF ROOMS
A
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/IV
FORM U - LOT RELEASE FORM
Z(,.7 -7
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
Jandowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: Phone .6 c'z�
LOCATION: Assessor's Map Number J 0 Parcel
Subdivision U-) P � 0 13 W \4 P_ Lot(s)
a
Street St. Number
************************Official Use Only************************
RECOMMEN4TIONSL 0
-9-E-MORN AGENTS:
Date Approved
,,-<o_Wei�v�llon A�Kinistrator Date Rejected
Comments
6 a (MR I L_,� LO Date Approved
Town Planner Date Rejected
Comments
Food Inspector -Health
Sdp-tic'Inspector-Health
Comments
Date Approved
Date Rejected
Date Approved
Date Rejected
Public Works - /water connection# 0�_-Ak(14
- driveway permit W) 17 -74
Fire Department
jk� �_e
Received by Building Inspector Date
Me\ COMMONWEALTH
-Mill.
'Vkj OF
MASSACHUSETTS
EXPIRATION DATE
-?97
RESTRICTIONS
,14 0 N E
p" J. N-
K
DEPARTMENT OF PUBLIC SAFETY
EMIL
ONE ASHBORTON PLACE
BOSTON, MA 02108
LICENSE
CONSTR.,SUPERVISOR
EFFECTIVE DATE LIC -NO.
08/03/1993 06C963
0
1
a LEONAP0 3 GETTI
9z 34 HIGH ST
a
0
z
C)
AW)OVER MA r,181C
m
PHOTO (BLASTING OPR ONLY)
-FEE: r
00
_�. NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY
HEIGHT: STAMPED - OR - SIGNATURE OF THE COMMISSIONER
DOB:
Q4/30/1963)
THIS DOCUMENT MUST BE
CARRIED ON THE PERSON OF SIGNATURE OF LICENSEE
THE HOLDER WHEN EN -
OTHERS - RIGHT THUMB PRINT
GAGED IN THISOCCUPATION. -11- min ER
FOR"
THE,
P
BL.
Wr
Godolat
SIGN NAME ll`�
- , . - , '-J,- _ " , , , � I --, - . , . - -. - " . - . - _ .- , . ., � I . -I- ( - - -",
Location LO+ I-) ()C-� CA(L-r W��
No. A c- . Date ��ZL"
I
7823
Div. Public Works
EE
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fe $
Sewer Connection Fee $
Water Connection Fee $
CU
TOTAL (TV), $
Building Inspector
Div. Public Works
* �0.1' 0
0
KAREN H.P. NELS02*4 Town of 120 Main Street, 01845
Dircaor
(508) 682-6483
NORTH ANDOVER
BU-ILDINIG
CONSERVATION DIVISION OF
HEALTH
PLANNING PLANNING & COMMUNITY DEVELOPMENT
CHIMNEY APPLICATION AND PERMIT
DATE 124�6 �� f/4�
LOCATION /,/"
/�Z
OWNER'S NAME
BUILDER'S NAME
.e&. 3��l
MASON'S NAME
MASON'S ADDRESS
MASON'S TELEPHONE — '�70'7 V
MATERIAL OF CHIMNEY A',-4,1-1
INTERIOR CHIMNEY EXTERIOR CHIMNEY
NUMBER AND SIZE OF FLUES
THICKNESS OF HEARTH '/z)
PERMIT #
Will chimney or fireplace conform to requirements of the code and
have rules and regulations been received:
DATE -
SIGNATURE OF MASON
CONTR. LIC.
# :�W
PRICE
EST. CONSTRUCTION
COST/CONTRACT
(2
PERMIT GRANTED 1-4ztjq4
FEE 22�_—
ROBERT NICETTA, BUILDING INSPECTO
INSPECTED
REMARKS
SOLID BRICK REQUIRED
THIS PERMIT MUST BE DISPLAYED ON THE PREMISES
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