The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 28 PHILLIPS COMMON 4/30/201800 F- -0 cn 0 0 Date A�--. J.--. N2 4583 �OWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING This certifies thL 5�.I- ......... I has permission to perform ......... plumbing in the buildings o ........... I ......... at ... North/A--nd�aer', Mass. Fee......... Lic . . ........ .............................. PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer N2 4587 This certifies that T. has permission to perfoi Iii Nin ;n thp h"Orf;4 F5 1 .................................. ........ North Andover, Mass. .............. PUOI�CNG INSPECTOR T U Date OF NORTH ANDOVER PERMIT FOR PLUMBING .............. A at.......... A. - Fee........ I Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date �1)z6z�lao Building Location t' �011 W �0��e�rsNameW7-1 �,L- �Qte -�e� Permit # Amount Type of Occupancy New Renovation Replacement Plans Submitted Yes M No FIXTURES (11�rint or type) Check one: Installing Company Name L 444 At c Corp. Address v P7d ,1.( '!5 Partner yLb YT/Vi i) ...1 -612- - LO y L;--rFimi/Co. Name of.LicensedPlumber. li-ola S)�-�,eovt-nL --f Insurance Coverage: Indicate thi type of insurance coverage by checking the appropriate box: Liability insurance policy E]�- Other type of indemnity M Bond Certificate Insurance Waiver 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent F1 I hereby certify that all of the details and information I have submitted (or entered) in #ve appiicatj'gn are true and accurate to the best of my knowledge and that all plumbing work and instaUations p ed on will be in compliance with all pertinent provisions of the Massac s u ng By: SigrOure of LiWn-s—E37umuer Type of Plumbing License 61 Title -4 (.1, City/Town 1,iceme Numoer master a Journeyman El APPROVED (OFFICE USE ONLY Lqcation, J. 2d NO Date 12 TOWN OF NORTH ANDOVER Certificate of Occupancy $ 4, -4WjP,-* % I --- 4L I Building/Frame Permit Fee $ CH FounWion Permit Fee $ 74MC Othq*j Yf Sewer 60 ep!,.., $ NQ 0 )Nater Connection A*L -199e Building Inspector Div. Public Works 1-6cation No. Date TOWN OF NORTH ANDOVER o jsig aw�&Tk Certificate of Occupancy $ 41 Building/Frame Permit Fee $ U oundation Permit Fee $ Y, Other Permit Fee Se. Connection Fee .Oct er Connection Fee TOTAL Bulld7glnsp�eclor Location No. Date 2-3o koRTH e TOWN OF NORTH ANDOVER 01 0 Certificate of Occupancy s �<-4 Bui4ing/Frame Permit Fee $ SSA us S Foundatro-Aermit Fee s //-i 0 'h� Other PS, it Fee Sewer Co7nnedo e i 4 W, $ Water Z%hnection F66 $ TOTAL Building Inspector Div. Public Works Location 2-e No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frw Trd)errnjt6e t I... ,A 4 Iva Foundation Permit Fee CHU Other Permit FeQCT 5 .19921 le5-2-zsew4er Conn%ction Fee $ &0"-, . 4110,11mr r, 1� ,jil -1:11/5-�Iwater ConnectionFee ot 49T TOTAL $ 2000, In ,xf6WI -7 ildlin U Div. Publ IT APPLICATION FOR PERMIT TO BUILD TH ANDOVER, MASS. 4AGE I MAP +40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK !PAGE ZON E SUB DIV. LOT NO.,2 I-- OCATION S tUne!N 4An f CIC� PURPOSE OF -BUILDING OWNER'S NAME -F "I VLA C �'Tn, zs __ , AINOC, NO. OF STORIES IZE 2 v -z j S OWNER'S ADDRESSfl I (�t�ENT�R SLk8_ ARCHITECT'S NAME wcma&c,a� SIZE OF FLOOR TIMBERS IST? 2N 3RD BUILDER'S NAME nt �kkrl OL -AX'A SPAN DISTANCE TO NEAREST BUILDING DIMENSION4 OF SILLS Cc. DISTANCE FROM STREET zo POSTS to DISTANCE FROM LOT LINES - SIDES REAR 2_6 J GIRDERS X 12 - AREA OF LOT sz") FRONTAGE l(k) J HEIGHT OF FOUNDATION 4 THICKNESS 0 IS BUILDING NEW' SIZE OF FOOTING A 2- 2-'T x IS BUILDING ADDITION ,k) e) MATER:AL OF CHIMNEY 1�lc�ck_ IS BUILDING ALTERATION NJ 0 Is BUILDING OCZ2�1�01R FILCED 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 PAqGE I FILL OUT SECTIONS I - 3 PAGE,2 FILL OUT SECTIONS I - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE RRMTV;,.Z�"St" CMJ _/ I PLANS MUST BE FILED AND APPROVED BY BUILDING I 09-0A FEE DATE FILED DUE FRAME PERMIT SIGNATU F E E 6 Le, 0 6 PERMIT GRAN3-ED 19 yr e3 OWNER TEL. # zk, CONTR. TEL. CONTR. LIC. _T� 3 PROPER INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM J 2, A SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN �le, -fl . BUILDING IWO-PIRCTOR OCCUPANCY'-,., SINGLE FAMILY S ' -ORIES MULTI. FAMILY APARTMENTS CONSTRUCTION ., " " 'I'll _� I . 2 FOUNDATION 1 CONCRETE Yj CONCRETE SL K4_ BRICK OR STO 4E PIERS 8 INTEI��FINISN li�E� HARDW� D PLA R DRY VALL UNFIN. 1 2 3 "77, -� 3 BASEZEN AREA FULL 114 1/2 1/1 FIN , B M'T A REA FIN. ATTIC AREA 1�10 8 M T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS ll� -9 FLOORS CLAPBOARDS DROP SIDING B 1 2 3 _�O.CIZETE WOOD SHINGLE fARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING HARD\VD COMNACN _ASPH TILE STUCCO ON MASONRY'�, STUCCO -ON, FRAME BRICK ON,,MASQNRY BRICK ON FRAME, -ATTIC STRS. & FLOOR_j_ CONC. ORCINDER BILK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR POOR ADEQUATE V NONE 5 ROOF lo Pk0MBING GABLE (3 FIX.) 7- GAMBR EL n -dip MANSARD _�ATH TOILET RM. 12 FIX.) F LAT SHED WATER CLOSET ASPHALT SHINGLES V-- LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADC, 6 FRAMING 11 HE ATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COILS. STEAM STEEL BMS. & COILS . HOT Wj*R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. 'OF 'ROOAS" B'M*T I 2nd _13 t X' I 3rd GAS t, A _LLECTRIC NO HEATING B.u_l L 61 4G R E C 0 R D 12 THIS SECTION MUST SHOW EXACT DIMENSIONS OFiLOT AND DISTANCE FROM LOT -,,LINES --AND LEXACT- DIMIEI�M&NS 'b'�r-'i3ulLDINGS.-'WITH-"#OiRdHES. GA- RAGES. EtC. SUPERIMPO SED. THIS REPLACES -PLOT J\ C>\ lc� 0 FORK U LOT RELEME POP .x .INSTRUCTIONS: This form is approvals/p used to verify that all necessary ermits 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 lav, regulations or requirements. ****************Applicant f'lls Out this section************* . APPLICANT: 11 J Phone �0 -7 LOCATION: Assessor's Map Number 0 Parcel Subdivision llr—,,,�.U�- Street Lot(s) 21� St., Number ************************Official Use Ohiy********4*************** IAT�RECOMMENDATWNS OF TOWN AGENTS: dn i n �4.4- 4- Date Approved Conse at.i n Administrator Date Rejected Comments WE #I", , � W- I � 5A *M P127hir ------ Comments Date Approved Date Rejected Hi-ailth Agent, bate Approved Comments Date Rejected -------- Public Works - sewer/water connections 11 10 - driveway permit 7 Fire Department Received by Building Inspector Date r Z 07- *05- kj I I- L ewj 4�7-e 30 IMMIM0 MF A/ 1,VSrZI.111--A17 zm� I i3o 1,=,z- or 1z:,z.4-.,v 7W,47' S11a,'KV,41V,0 7V -A/ 7- /,I/ I -Ile 1,14e,4eo Al JEFFR OF ,47-1041 ri C) Lol.) 41* C5 z Z. mr- a. LL a. >O. - a: z LU LU it 4t *4 * 11% LLI cim led cd 0 0 0 I-. u I.- u of 06 96 0 kn z 1A z 96 0 z u u an -a < CL (A z z z Ln u ad < L6 0 to LU -1 I" z CD 0 Im 0 !E c 0 0 c 0 0 0 0 E cr. u U- ck. cc U) iz cc U. C) Lol.) 41* C5 z Z. mr- a. LL a. >O. - a: z LU LU it 4t *4 * 11% LLI cim cd an Ln < to 0 0 ck. un eg > Lij m = C c .2 c ULU CL Cc Co m LLI ui tmDk q.,z 0 ICR M uj 0 C6 z .j 0 pv bi to Cvd LL rL z LU r it 41bi 4M: it t uc CL. 0, 0 IN - 66 0 INS. 06 - LU Lu us Iz, L C-1 0 cr 'AL a: (n LL in co r it 41bi 4M: it t uc CL. cs cii cc U0 < > LLJ V LLJ co LLJ = ;:� uj uj LA- V c Ed 16, E 0 z Nil 0 CL E CL 4) < hm ma c .0 IV 4) 0 E cc c 0 to c om LU LU us cs cii cc U0 < > LLJ V LLJ co LLJ = ;:� uj uj LA- V c Ed 16, E 0 z Nil 0 CL E CL 4) < hm ma c .0 IV 4) 0 E cc c 0 to c om >E 0 �b LU CA M LL, 0 LU ul u LIE, C)*) Lr) -11 E 2 z MM ?d �o �4 0 �4 0 0 2; Q) (1) �4 4-J U) 0 E Q) E 0 L) In �4 04 r-4 .r -i cn ,a cn 0-4 r- 0 CA E.4 W