HomeMy WebLinkAboutMiscellaneous - 328 SUMMER STREET 4/30/2018I�
;)aAL,nuat I IS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBINti
IPrint or Type)
NORTH ANDOVER, Maas. Date
BuildingPermit f y 6"3
Location 1.2- -e S71`-
Owner'a,
Name?J_�e� _ I &� i
New Renovation ❑ Replacement ❑ Plana Submitted: Yes ❑ No ❑
FIXTURES
Installing Company Name P 7`'"
Address�i�
Business Telephone /p �- (o- a x ),.D,
Name of Licensed Plumber � ✓� 40 A -7,z /,U
Check one:
❑ Corp.
❑ Partnership
irm/Co.
INSURANCE COVERAGE:ec—one/
I have a current liability Insurance policy or Ib substantial equhWent. Yes C� No ❑
If you have checked y", please In
dica(e the type coverage by checking the appropriate box
A liability Insurance policy Other type of Indemnity ❑ Bond ❑
Certificate
OWNER'S INSURANCE WAIVER: I am aware that the ilcenies does not have the Insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
• urs of Owner or Owner s Agent Owner ❑ Agent ❑
I hereby certify that all of the details and information I have submttled for entered) In above application are true and aocwate to the best of my
knowledge and the a1 plumbing work and instaMaliona petiotmed under the pemit rI Im this plica will compliance with ail
pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of al
APPnOVED (OFFICE USE ONLY)
We UI!IaRied Plumber
License Number (O
Type of Plumbing license: Master
Journeyman O
BACK X.T.
Installing Company Name P 7`'"
Address�i�
Business Telephone /p �- (o- a x ),.D,
Name of Licensed Plumber � ✓� 40 A -7,z /,U
Check one:
❑ Corp.
❑ Partnership
irm/Co.
INSURANCE COVERAGE:ec—one/
I have a current liability Insurance policy or Ib substantial equhWent. Yes C� No ❑
If you have checked y", please In
dica(e the type coverage by checking the appropriate box
A liability Insurance policy Other type of Indemnity ❑ Bond ❑
Certificate
OWNER'S INSURANCE WAIVER: I am aware that the ilcenies does not have the Insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
• urs of Owner or Owner s Agent Owner ❑ Agent ❑
I hereby certify that all of the details and information I have submttled for entered) In above application are true and aocwate to the best of my
knowledge and the a1 plumbing work and instaMaliona petiotmed under the pemit rI Im this plica will compliance with ail
pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of al
APPnOVED (OFFICE USE ONLY)
We UI!IaRied Plumber
License Number (O
Type of Plumbing license: Master
Journeyman O
� 19
- J l !+%�
T ' 9 i
Date ./ J , v. l../. `f
7y
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
t
This certifies that 41 f,
.... � .. ..
has permission to perform ......... !'l ... ............... .
plumbing in the buildings of ...................:w . !. .. .
,
at . 4.. .. . ! ..' ..t. �......f ..... , North Andover, Mass.
Fee .. t ...... Lic. No....... ? . ............................. .
PLUMBING INSPECTOR
17 01!18194 15:59 32.50 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
`A Off" Use �1►
u4e Cawnw�ealo of n�s Permit tom. 1/ �� .
Eq tt ntm of Public *aftiq. Occupancy & Fie Checked
BOARD OF FIRE PREVENTION REGULATIONS 521 CMR 12:00 3190 peave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massacnusetts Electrical Code, 527 CMR 12.00
(PLEASE PRINT IN. INK OR TYPE ALL INFORMATION) Date
Cei}ir or Town of _NORTH ANnQVFR To the Inspec or of Wins:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) d3a� ._S'vi1'li►9�/L S'^
Owner or Tenant
Owner's Address 3' , 5-UMM4-1L Sr—
Is this permit in conjunction with a building permit: YesNo C (Check Appropriate Box)
Purpose of Building 61 -,Le- 14-7� 14 r7 Utility Authorization No.
7—
Existing Service t— Ampsl..T�Volts Overheady— n— 6grnd ❑ No. of Mears
New Service Amps _! Votts Overhead Unagrno No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
• �l
No. of Lighting Outlets No. of Hot ':ns � No. of Transformers Total
s
No. of Lighting Fixtures I Pc: Swimming SAbove.— In -
01
Igrna. _ grna. I Generators KVA4;:
No. of Emergency Lighting,
No. of Receotacie Outlets I No. of Oil Eurners I Battery Units
Jr
No. of Switch Outlets I No. of Gas Eurners FIRE ALARMS No. of Zones
No. of Ranges I No. of Air Conc. otat No. of Detection and
:cns Initiating Devices
No. of Disposals I No.of Heat Total Total
Pumcs :ons KW No. of Sounding Devices
No. of Setf Contained
No. of Dishwashers SoacerArea Heatir.a KW OetectionJSounoing Devices
No. of Dryers I Heating Devices KW Local i Municipal ^Other
Connection
No. of No. of Low Voltage
No. of Water Heaters KW I Signs ?a lasts Wiring
No. Hydro Massage Tubs I No. of Motors Totai HP 3�
OTHER:
INSURANCE CCVERAGE: Pursuant to the requirements of Massacnt sers ;eneral Laws
1 have a current Liability Insurance Policy incluaing Com c:etecf+aerations Coverage or its substantial equivalent. YES _N—=~ 1
have suomineo valid proof of same to the Office. YES "O = It you nave checuea YES, please indicate the type of coverage Cy
checking the approon cox.
INSURANCE _ BONO = OTHER = (Please Scec:".1
Estimated Value of E!s nca Work S �5—(J` !/(Expiration Dalai
Work to Stan / Insoec:ton Date Aacues:ec: Rougn Final
Signed under the P nattl s of perjury:
FIRM NAME _ UC. NO. G
Licensee i �/ +� _Signa:••re UC. NO. A
J-276 ,� ,..� l���f ��1�[ Sus. Tel. No.
Address l -27E �u�S%�'`�� u y ,� 1 "�'� rii�} G/'� 7 7 All. Tel. No,
OWNER'S INSURANCE WAIVER: I am aware 4riat the Licensee toes not nave the insurance coverage or its substantial equivalent as re-
quirso by Massacnusetts General taws, and that my signature on :tits -.ermii application waives this requirement. Owner Agent
(Please cnecx onel'
7sieonone No. PERMIT FEE S
�7
(Signature of Owner or Agenn
ii46S66
Date.... . .....j,..
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
�/� A
This certifies tha....:.:...............:.....................
has permission to perform % . `". (:,7, �
wiring in the building of..4a....................::�....-%..a............
at.. '.::.:..:.......... ......... , North Andover, Mass.
.
Fee � /j
f ."..... c. No...:......`!. v ........................................
A / ELECTRICALINSPECTOR .................
d-4
09/16/97 13:055 00 P�1)�
WRITE: Applicant CANARY: Building Dept. PIN reasurer
Location
Date _
ot ,.ORT"
TOWN OF NORTH ANDOVER
p
Certificate of Occupancy $
Building/Frame Permit Fee $
SACHUSE
Foundation P66njt Fee $
Other Permit—
Fee- " $
Sewer Connection Fee $
Water Cc r�neot�lrq_'Fee $ T
Building Inspector
`'
`�
Div. Public Works
Ll -
V
C�
L-
. APP,LICAT�tN FOR PERMIT TO BUILD —NORTH ANDOVER, MASS.
MAP +40.LOT
NO.
2 RECORD OF OWNERSHIP DATE
BOOK !PAGE
ZONE
SUB DIV. LOT NO.
F
OCATION 3ZFf Siil�� �� S"�- .
' O
PURPOSE OF BUILDING P(((ost{ 645-4;A
45-; ALs 1 "7-- Q �'�
-- vTT''�y`'t N � � �j
n
NEWS NAME �-pt--T1 Z�o1)-ALoSo
NO. OF STORIES SIZE
OWNER'S ADDRESS 1 .nAO
BASEMENT OR SLAB
ARCHITECT'S NAME
-
SIZE OF FLOOR TIMBERS IST 2ND 3RD
UILDER'S NAME .6 LAAIG,,o15
SPAN
DIMENSIONS OF SILLS
DISTANCE TO NEAREST BUILDING
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES - SIDES REAR
GIRDERS
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING X
IS §UILDING ADDITION
MATERIAL OF CHIMNEY
lli B I,LDING ALTERATION �(��
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 5
IS BUILDING CONNECTED TO TOWN WATER
�RD OF APPEALS ACTION. IF APPEALS ACTION, IF ANY 0
IS BUILDING CONNECTED TO TOWN SEWER ,
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
/P'LANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
C/
DATE FILED 'E� —
SIGNATURE/OF OWNER OR AUTHORIZED AGENT
FEEU
�7/'„j
mel, -
PERMIT GRANTE
` 19
OCT 121993
OWNER TEL #��2-��'/(o
CONTR. TEL. #-5-F02
CONTR. LIC. # G a_ G 6
3 PROPERTY INFORMATION
LAND COST
ST. BLDG. COS
EST. BLDG. coslr PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
BUI ING INSPECTOR
0
FORM U - IAT 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 local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: Phone
LOCATION: Assessor's Map Number Parcel
Subdivision 2 a Lot(s)
Street ✓ y `� S���l E \ ST, St. Number
************************Official Use Only************************
RECOMMENDATIONS OF TOWN,AGENTS:
l Date Approved
Conservation Administrator Date Rejected
• Comments
Town Planner
Comments
Date Approved
Date Rejected
Date Approved 1,5
Health Agent Date Rejected
Comments �/LZJ-J/h/G occ �
Public Works sewer/water connections
- driveway permit
t'�
Fire Department
Received by Building Inspector Date
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Includes:
1 -framing materials
6 -debris removal
7.plumbin
aall necessary pipes
f.F.H.W. radiators
.............................................................................................._......._...................................... _.....................
g one zone valve
h. bone colored fixtures
.........
8.waterproof foundation for walls, labor and material ...._$24.0 all 71
9. suspended ceiling,material, and labor
.. $.900. allowance
10.window window (-material
Does not include electrical pain_ting,1 o_rs,permit,bathroo.m cabin
...
...... .........
Ex t-ra........ply Po.d....... to .......,s..t..a.... i.ra...................................................
. Door... ,hardware...
TIALS)
J. LANGLOIS
odeling • Restoration
Submitted byDate,,&— 19 —{
THIS PAGE BECOMES PARTOF AND IN CONFORMANCE WITH PROPOSAL FOR:
Job Name/No. -Dord.so.n
Accepted by Date
- (INITIALS
Accepted by Date
(INITIALS)
19
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COMMONWEALTH
OF
MASSACHUSETTS
EXPIRATION DATE
01/24/1996
RESTRICTIONS
NONE
SS 4 022-44-0630
OTHERS - RIGHT THUMB PRINT
FE
X00.00
DEPARTMENT OF PUBLIC SAFETY 9 `
ONE ASHBORTON PLACE Z 7c scarrc ;r
BOSTON, MA 02108 rita.::+ettBr; 8
LICENSE ::. ;.oton
C01STR. SUPERVISOR CAUTION
EFFECTIVE DATE LIC -N0. FOR PROTECTION AGAINST
`,i 06/30/1993 026276 THEFT; PUT RIGHT THUMB
P
a STEVEN J LANGLOTS
dThTEI ST
AFF:;;3U1CY MA 01913
NOT VALID UNTIL SIGNED By LICENSEE AND OFFICIALLY
HEIGHT: STAMPED - OR • SIGNATURE OF THE COMMISSIONER
DOB:
01/24/1954
THIS DOCUMENT MUST BE �� •„f�� 7
CARRIED ON THE PERSON OF �- �C -'
THE HOLDER WHEN EN. Ir/A . /4i��SSJONER
IOF
GAGEDINTHISOCCUPATION, `/
F RINT IN APPROPRIATE
0 BOX ON LICENSE.
BLASTING OPERATORS.__
9, i ,,}} MUST, INCLUDE PHOTO. !
1 � if�f •?I /�v'j/�iy � j i
SIGN NAME INF AE 0Ij OIGNATURE LINE
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CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
ammine Permit Number o.ia APRIEL 21, 1994
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 328 Summer Street
MAY BE OCCUPIED AS FINISH BASSENT IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
°'°r' CERTIFICATE ISSUED TO Greta Donaldson
0'6 '—� s�
328 Summer St.
ADDRESS North Andover,, MA
' �..- Building Inspector
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