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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, %0 — m a p 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. 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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 0 P,Pd 0 m mn 00 > 0 m ft 0 Z -n 0 omt P -p Cl) > go CL 0 00 0 z 0 Im c cc M (D Oil > rA rA > > tz 0 m mn 00 > 0 m ft 0 Z -n 0 omt P -p Cl) > go CL 0 00 0 z 0 CD D> Cl) P-4. 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