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HomeMy WebLinkAboutMiscellaneous - 33 CAMDEN STREET 4/30/2018 (2)N Owl Date. . 0S vORT" TOWN OF NORTH ANDOV PERMIT FOR GAS�NST-, MCATION This certifies that ........... has permission for gas installation--.'.�- ...... ......... in the buildings of ......................... at ...... .......... North Andover, Mass. ....... Fee G ....... Lic. No..... ........ GAS I NSPE; TOR Check # 7,,13 6639 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print). NORTH ANDOVER,IVIASSACHUSETi'S Date // a? )""— O Y Building Locations 33 ` eI74e!l `fir Permit # / f j 9 Amount $ `�A Me S 131''4 l7% X Owner's Name New ❑ Renovation ❑ Replacement © Plans Submitted ❑ (Print or type) LJ Cjle&k one: Certificate Installing Company Name T 114 L L O ri .a --J!�� Corp. Address ./0 d- Q d X S 7 ?, G,/ w#t en/ « 14.-:? !J le �Z FA 0 Name of Licensed Plumber or Gas Fitter 7 Von os ,*lid ?fI r✓ ❑ Partner. ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability insurance policy or it's substantial equivalent. Yes ® No ❑ If you have checked M please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does 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 of Owner or Owner's Agent Owner ❑ Agent i hereby certify that all ofthe details and information I have submitted (or entered) in above appacatnon are true and accurate to me 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 ofthe Massachusetts State Gas Code Chapter 142 ofthe General Laws. (City/Town (OFFICE USE ONLY) Signature ofticensed Plumber Or Gas Fitter ® Plumber a 33 ❑ Gas FitterIcL ense Number ❑ Master ® Journeyman FLOOR i7TH. FLOOR (Print or type) LJ Cjle&k one: Certificate Installing Company Name T 114 L L O ri .a --J!�� Corp. Address ./0 d- Q d X S 7 ?, G,/ w#t en/ « 14.-:? !J le �Z FA 0 Name of Licensed Plumber or Gas Fitter 7 Von os ,*lid ?fI r✓ ❑ Partner. ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability insurance policy or it's substantial equivalent. Yes ® No ❑ If you have checked M please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does 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 of Owner or Owner's Agent Owner ❑ Agent i hereby certify that all ofthe details and information I have submitted (or entered) in above appacatnon are true and accurate to me 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 ofthe Massachusetts State Gas Code Chapter 142 ofthe General Laws. (City/Town (OFFICE USE ONLY) Signature ofticensed Plumber Or Gas Fitter ® Plumber a 33 ❑ Gas FitterIcL ense Number ❑ Master ® Journeyman DateZDOVER e + TOWN OF NORT 3? ooL PERMIT FOR PLUMBING This certifies that ... ... f''• has permission to perform ....... .... . plumbing in the buildings of Zorth .................. .............. ........... Andover, Mass. /Fee'-��. `� .. Lic. No. ? ....... 'c ............ . V PLUM, IN, INSPECTOR Check # 7935 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date z r -O Building Location 33 CdM4e1✓ S'�r- Owners Name /3jt q t)1 `'e y Permit # � O Amount ✓ g Type of Occupancy FL L IW6 NewrlRenovation Replacement ® Plans Submitted Yes No rM (Print or type) `` / Check one: Certificate Installing Company Name �G ®� �jt �/ ❑ Corp. N Address - ©� ?�� S%o� Partner. Business Te ephone ro g ,7-- 1�1:5-0 Firm/Co. Name of Licensed Plumber: _ ✓1.17Aj Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above threeinsurance Signature IOwner 1:1 Agent M 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 Plumbing Code and Chapter 142 of the General Laws. By: igna ure of Licensea rium er Title y 9'33 Type of Plumbing License City/Town License NumDer Master ❑ Journeyman j" APPROVED (OFFICE USE ONLY L:.I • W .i --:A --M--.M-.---------------- M:' OMMMM..--------..---M---.E (Print or type) `` / Check one: Certificate Installing Company Name �G ®� �jt �/ ❑ Corp. N Address - ©� ?�� S%o� Partner. Business Te ephone ro g ,7-- 1�1:5-0 Firm/Co. Name of Licensed Plumber: _ ✓1.17Aj Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above threeinsurance Signature IOwner 1:1 Agent M 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 Plumbing Code and Chapter 142 of the General Laws. By: igna ure of Licensea rium er Title y 9'33 Type of Plumbing License City/Town License NumDer Master ❑ Journeyman j" APPROVED (OFFICE USE ONLY L:.I PER111T NO. I r APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP NO. LOT NO. 12 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE I SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIES SIZE /* ajC;W OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1ST /1 VES • 2 �" U� 3RD BUILDER'S NAME /'� SPAN 6 DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET % Q 11 POSTS DISTANCE FROM LOT LINES -�//SIDES p {/ REAR TQ " GIRDERS% O , AREA OF LOT /J �1,d F FRONTAGE ��Q f HEIGHT OF FOUNDATION THICKNESS 16 IS BUILDING NEW SIZE OF FOOTING 8 X R C� V IS BUILDING ADDITION G� ••7 MATERIAL OF CHIMNEY �,`-/ _ IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND R WILL BUILDING CONFORM TO REQUIREMENTS OF CODE _ �p 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 PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BF�ZILED AND APPROVED BY BUILDING INSPECTOR TE FILED GNATURE OF OWNER OR AUTHORIZED AgIENT FEE q' (a -d , PERMIT GRANTED C ys' 19 i 3 PROPERTY INFORMATION LAND COST Ift EST. BLDG. COST _3 �X{7 EST. BLDG. COST PER S FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING INSPECTOR 'NH'Id 101d S30b'1d3M SIH1 '43SOdW12L3dnS '013 's3ovu -VE) 'S3H0UOd H11M 'SONIa11n9 d0 SNOISN3WI4 104X3 4NV S3N1-I 107 WONA 30NV-LSIa CNV 101-40SNOISN3WI0 1:)VX3 AAOHS1SnW N01103S SIH1 zL I AONedn000 L ail0:)3a 0 N i a i i n a ONIIV3H ON —I Pic I +'I P -L IMA JIM1J313 110 SWOON dO 'ON L SVO SM31V3H llNn O.l.H LNVIOVd ONINOIIIONOJ SIV _ SM3lJVM DOOM MOdVA 210 8.1.M IOH WV31S _ 'S10J '8 'SW9 1331S S10J '8 'SW9 i13 ml 'NMnj NIOH 03J60d 3JVMnj SS313dId _ 1SIOf DOOM ONIIV3H L L II ONIWVBd 9 OGVO 3111 21OOlj 3111 _ S3Nn1X13 Nd300W ONHOON 11021 _ 83MOHS 11V1S 13AV80 '8 MVI _ ' ON19Wnld ON 31VIS FINIS N3HJIDI S30NIHS DOOM AMOIVAVI S310NIHS 11VHdSV 13S01J M31VM 03HS OMVSNVW iylj ('Xlj LI 'WM 131101 I'XIJ EI H1V9 13M9wvo dIH 319VO O awnld 01 40021 S 3�IMOI3dns 3b — M004 00d ONIHIM 3WVMj NO 3NO1S AMNOSVW NO 3NO1S >119 M30NIJ MO 'JNOJ _I MOOIA V 'SM JIIIV 3WVMj NO ADIM9 AMNOSVW NO XJIM9 —� E I 9 3WVMj NO OJJn1S AMNOSVW NO OJJn1S 3111 'HdSV ONIOIS '113A NOl^1WOJ ONIOIS SO1S39SV O,MGMVH ONIGIS 11VHdSV H1dV3 S310NIHS DOOM 313MJNOJ SOMV09dyi5 5210014 6 II 511VM 17 N3HDIIA NM300W S3JVld 3M13' V3MV JIIIV 'NIJ V3MV ,1.W,9 'NH WOOM GV3H 1,W.9 ON % 1/1 IA llnj V3MV 1N3W3SV9 E — — — 9 NIJNn 11VM AMG ; M31SVld Sd31d O.MGMVH 3NO1S MO XJIM9 3NId '>I,19 313MJNo5 313MJNOJ HSINid 110IN31NI 8 NOIIVONnod Z NOIlon?AISN00 S1N3W1MVdV _I S3JHdo Allwvj 'uinw S31M0!SI AIIWVJ 116NIS zL I AONedn000 L ail0:)3a 0 N i a i i n a Location 33 60 i� '/ICS/ No. 3c.,9 Date -7--3-26 f NORTH, TOWN OF NORTH ANDOVER �• a 0 O? „ Certificate of Occupancy $ + i Building/Frame Permit Fee $S Qy JAGMUSE Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ F�L (— _ TOTAL C/(, 437 Buil spector °8_7!10/"0416 l ' X5.00 PAID Div. Public Works PER'mrr NO. :3 M, l APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. 11 PAGE 1 MAP r O.(� LOT NO. ZL� I 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE ny�l i SUB DIV. LOT NO. �) LOCATION Ca�'Y1r1 PURPOSE OF BUILDINGDec-\<. 11c� EIARC� L/L 1, 9JL"Ch OWNER'S NAME JQQC, l �, �l NO. OF STORIES r SIZE I -2LA I OWNER'S ADDRESS 2,'R) `5, ` _ C 7 BASEMENT OR SLAB 1s,v,�h1 ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 3RD PO'ILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING�IS1 IN DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW '/�I ,� SIZE OF FOOTING X IS BUILDING ADDITION y es 11 MATERIAL OF CHIMNEY IS BUILDING ALTERATION 1© IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE "'� IS BUILDING CONNECTED TO TOWN WATERc BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 INSTRUCTIONS ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS /PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR TE FILED 4 arr �Q'k� 7GNATURE OF OWNER OR AUTHORIZED AGENT FEE �- (� PERMIT GRANTED `j'' 19 3 PROPERTY INFORMATION LAND COST 'EST. BLDG. COST drSOQ as EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY OWNER TEL. # CONTR. TEL. # �YILDINa INSP[CTOR CONTR. LIC. # S&7— F- H.I.C. 11 637 -- / 004( -- BUILDING RECORD I OCCUPANCY 12 SINGLE FAMILY S.-ORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH B 1 2 I3 PINE HARDW'D PLASTER CONCRETE CONCRETE BL K. BRICK OR STONE PIERS _ DRY WALL (7NFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ '/, 1/2 1/1 FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS DROP SIDING WOOD SHINGLES B _ 1 2 3 �_ _ _ _ CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING HARDVJ'D COMMON VERT. SIDING _ ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. 8 FLOOR I_ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR (� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) _ GAMBRELMANSARD I TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL ELECTRIC B'M'T 2nd _ 1.r 13rd NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. cz d w d' � o v V) a cn o w C z Q m C wo Q c c U c w O � w z � a C4 c z O u w v' w H w w w C2 Vn c ii x O U Q P4 w° c w z A w v CQ z Un • V) uj O z o o C 5 0 0 C N O C R O vU CL CL cc :m= �- i O m N E¢ m c 'mom := o 0 c. N E C :.0 m o O a=ca m E CD L : m 3 .. Ca C=D J N C_ 'O =N • C a O m 5 - cc MN CO) O 4 N y m ; cr- t L O Q1 J: N m :mom cc -,, go - O a0 V ' Z O O cm :0 E- CO) _ H y C C f— O d O H m y r W _ r+ mCD •L.. N QL m C Z u E V V N o V CD 0-00c v� a m.5 o.o _ tyv L o y O F- L a . m UJ O • U O O E C13 i � o o s Z o CL O y CO CD LA MM �MM 'E W W � H CD L CL .� CD � 0 � �C O a 0- C1 Q y C !d CC v J •rg °r c Z co O O. V C (Q s COO) C I ! +- + 4- --4- -. -4 - ++ i I � I i I I I r I I I I p I 40 16 I Y I j i I I I I I i 1 r i f I � � I � �' -�� _ -. ��__... ._ t _ { r _ 1 -- - � � - .i . _ ..y Y__ ._.. _. ti_ . _ _ } _. �_� I t f 1 --F----F--f-- + � . � —+- - �- - -• v.. .-�_.+ ._... _a r- w �- - � -. -.. - - t a _---.... r r — . .. � _.. ...�._ t 1 .. } - - -•. -� # -- + r } r - �- 1 � 1 _. --�- - - -+ -- -- - --�---._ .. _ 1 i