HomeMy WebLinkAboutMiscellaneous - 36 MEADOWOOD ROAD 4/30/2018Date .��, >..:.G. 3 .... .
/oi,.c e OL
TOWN OF NORTH ANDOVER
o � A
t - PERMIT FOR GAS INSTALLATION
3 .ty
This certifies that ... (,..1.;x.1 �.�!...f/�/'.:...
j.
has permission for gas installation ................
in the buildings of . ;c . r a.�;? ,�............................
at Q c........ , North Andover, Mass.
Fee.,.,). :... Lic. No.
GASINSPECTOR
V
Check # 2 Z 3
4300
G
11
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING Z d
(Print or Type)
Dote
Building 3Permit # Y� o U r- 3
Location �_y%1/ C ('/' L�� J ( f -
Owner's r �
Name
Replacement p/ Plans Submitted: Yes ❑ No ❑
Building Pe mit No.
New ❑ Renovation ❑
Check one
Installing Company Name WATER HEATER 'NS-TALLERS .' EllCorp.
Address 14 DARTMOUTH STREET ❑ Partnership
WIMEN' MA 02148 ❑ Firm/Co.
Business Telephone
Nome of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE: Checkon
I have a current liability insurance policy or its substantial equivalent. Yes i7 No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy El"' Other type of indemnity ❑ Bond ❑
Certificate
,3,0
OWNER'S INSURANCE WAIVER: I am aware that the licensee 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:
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
hereby certify that all of the details and information I have submitted (or entered) in the above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent
provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
Fee
Check #
Date _
APPROVED (Office Use Only)
Type of License:
❑ Plumber 6? lia—ago
❑ Gasfitter Sign Are of Licensed Plumber 6T Gas Fitter
� Master
❑ Journeyman License Number J J7
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Check one
Installing Company Name WATER HEATER 'NS-TALLERS .' EllCorp.
Address 14 DARTMOUTH STREET ❑ Partnership
WIMEN' MA 02148 ❑ Firm/Co.
Business Telephone
Nome of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE: Checkon
I have a current liability insurance policy or its substantial equivalent. Yes i7 No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy El"' Other type of indemnity ❑ Bond ❑
Certificate
,3,0
OWNER'S INSURANCE WAIVER: I am aware that the licensee 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:
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
hereby certify that all of the details and information I have submitted (or entered) in the above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent
provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
Fee
Check #
Date _
APPROVED (Office Use Only)
Type of License:
❑ Plumber 6? lia—ago
❑ Gasfitter Sign Are of Licensed Plumber 6T Gas Fitter
� Master
❑ Journeyman License Number J J7
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;Location
No. �-.� �' Date -/.S-
NORTh TOWN OF NORTH ANDOVER
3?O',?`,D •,MOOt
Certificate of Occupancy $
Building/Frame Permit Fee $
-Founogi ion Permit Fee $ ze
" G+-► r
Other Tarmit Fee $
Sewer Connection Fee $
'JUL" i 5 iConnection Fee
n � TAL $
0/7 J
Building Inspector
tl-
6280 Div. Public Works
Location .
No. Date 1 'Y
'TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame. Permit Fee $
F radation•Permit Fee- �`
$
0$ �fd'&nMit Fee $
Sewer Connection Fee $
water C,ON
TOTA P • $ U • U U
0 10/11
`I/ I G Building Inspector
`w
6M
Div. Public Works
Location
5
I
No. Date
f NORTH �� TOWN
HANDOVER
pOL t kSJQf%tl�
Certificate of Occupancy-
+ ; • BuildinglFra a Pern jt Fee $
cMus��h , Foundation
Other PermiMe
j�-4 561 , Sewer Connection Fee T $'
Water Connection Fee $ �•
TOTAL $
t
/V/
Building Inspector
<1 1"dUht
U3 Div//Pulific Works
PERMIT N 62-3APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. ion PAGE 1
MAP 4.46. I LOT NO. /
ZONE SUB DIV. LOT NO.—I
LOCATION ^ a
v
2 RECORD OF OWNERSHIP jDATE BOOK 'PAGE -
PURPOSE OF BUILDING
r
OWNER'S NAME
NO. OF STORIES
�SIIZZE
OWNER'S ADDRESS71
,$ASEMENT OR SLAB
(SIZE
ARCHITECT'S NAME I ! -
BUILDER'S NAME Lay
L1
I r
OF FLOOR TIMBERS
IST TJX ��y 2ND n X �l1 3RD
SPAN
DISTANCE TO NEAREST BUILDING 6� /
DIMENSIONS OF SILLS
V
DISTANCE FROM STREET /7/➢t -
"' POSTS
DISTANCE FROM LOT LINES - SIDES
% REAR /.G I
GIRDERS
w
`%
AREA OF LOT /I�/� )aZ
FRONTAGE �J'` %
HEIGHT OF FOUNDATION
/ THICKNESS �J� //
CO
IS BUILDING NEW
SIZE OF FOOTING
/1%/ X //
U
IS BUILDING ADDITION
MATERIAL OF CHIMNEY
-
IS BUILDING ALTERATION /1
IS BUILDING O OLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS
OF CODE
C�
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LI E L' ,
INSTRUCTIONS
SEE BOTH SIDES BLDG, PERM14 KE 1
MA HE /1)d,o�7
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 BE FILLED A APP 0y ED BY BUILDING INSPECTOR
+ DATE FILED S �-s
SIGNATURE OW IZED AGENT
FEET^J
PERMIT GRANTE%}f,l `�
her Te/ 0 97..s
&,9T,9 � A 1, 2292-
,.
�t 0 P9C34.t�
_D€tvG DEP/
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EST. BLDG. COST PER SQ. FT. , QI
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO. VVi 4'XJ
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
WwlL snY msrac,-rvw
BUILDING RECORD
I OCCUPANCY 12
SINGLE FAMILY
SiORIES
MULTI. FAMILY
OFFICES,
APARTMENTS
CONSTRUCTION
2 FOUNDATION
INTERIOR FINISH
a 1 2 13
PINE
CONCRETE
CONCRETE 8L K.
BRICK OR STONE
HARDW D
XX
PIERS
PLASTER
DRY WALL
UNFIN.
3 BASEMENTS
AREA FULL
'FIN„ B'M T' AkEA,'_L.
114
FIN7_ATTIC AREA
t!O BM -7
FIRE PL -ACES*,*-.
HEAD ROOM
MODERN KITCHEN
4 WALLS
FLOORS
CLAPBOARDS 16gU
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
A
AB
1
2
3
CONCRETE
EARTH
HARDVV'D
COMMON
_ASPH. TILE
STUCCO ON MASONRY`-,
STUCCO ON FRAME : � '
BRICK ON MASONRY,? -:ATTIC
BRICK ON FRAME
STRS. & FLOOR
CONC. OR CINDER gLi(.
WIRING
STONE ON,._MASONRVm
STONE ON' 'FRAME-\.-
SUPERIOROOR
ADEQUATE NONE 1
5 ROOF
10 PLUMBING
GABLE
GAMBREL
I HIP
BATH (3 FIX.)
MANSARD
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
B'M'T 2nd
ELECTRIC
1 I
1st
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.
4
FORM Q - LOT RFI LSE 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: &&&uPhone / •�.�
LOCATION: Assessor's Map Number Parcel
Subdivision /�-�-�%�� Lot(s)
Street !tel -,4, rm St. Number
************************Official Use Only************************
R11C OF TOWN AGENTS:
Conservation Administrator
Comments
Town Planner
Comments
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Health Agent Date Rejected
Comments
Public Works - sewer/water connections :77;�a�,,e�/,i�
- driveway permit
Fire Department
Received by Building Inspector
V
Date
Y
/I
Z-07--* l
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KA}�R�E�N�,�H.P. NELSON (.u,4j
Town of 120 Main Street, 01845
Li7GGfV7 NORTH ANDOVER (508) 682-6483
SUILr{NG
CONSERVATION DMSION OF
PLANN1.ING PLANNING & COMMUNITY DEVELOPMENT
December 10, 1993
Mr. 'Thomas laudani
Meadowood Realty TYust
733 'Turnpike St., No. Andover, MA
Dear Mr. Taudani:
I have been informed by the Bay State Gas Company that they
have performed work at your address.
A red tag has been placed on your gas appliance or piping
because of an existing defective condition.
In your best interest and for your safety, please have your
Plumber or gas fitter notify this office so that your gas
applicance may be inspected as to conformity with the
Massachusett Fuel Gas Code.
L
truly,
L. Diozzi,ing & Gas Inspector
JLD;gab
1) #36 Meadowood Rd. has been red tagged due to condition of lack of make-up
air and detection of carbon monoxide. This condition possibly exists in all
26 houses in the Meadowood Development. Please contact this Office in order
that corrective measu-Jes may be outlined.
2) When the problems are corrected these systems are to be tested by an inde-
pendent contractor and a copy of his/her report stating the levels, if any,
of carbon monoxide and presssure readings taken in each basement forwarded
to my attention.
3) Above work is to commence immediately and completed no later than Dec. 15,
1993. A reinspection fee of $20.00 is due on each dwelling unit.
JLD:gb
c/R. Nicetta, Bldg. Insp.
K. Nelson, Dir. PCD
Delivered in Hand, '-2//--Z') ,3
Recd by:
Wcation3 61, �e ��
No. l / % Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $ rd cJ
-
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $ /.S 0 y
Sewer Connection Fee $ �—
Water Connection Fee $
TOTAL $ �� S • �� '�
FA V3.51 Building Inspector
6879
65.00 PATO
Div. Public Works
P>RauT Ito. 7 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
6hAGE i
MAP 4-40.
LOT NO.
2 RECORD OF OWNERSHIP (DATE
BOOK 'PAGE
ZONE
SUB DIV. LOT NO.
F -
LOCATION �y�l/
PURPOSE OF BUILDING fll/ct/
N JTZ
OWNER'S NAME �!� jG , , 1Q� �i�lyy; A
NO. OF STORIES 2 SIZE
OWNER'S ADDRESSW(1
SEMENTR SLAB
ARCHITECT'S NAME
BUILDER'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
POSTS
DISTANCE FROM STREET
DISTANCE FROM LOT LINES - SIDES REAR
GIRDERS
AREA OF LOT 2-2-125P d ✓ FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW y
lye
SIZE OF FOOTING X
IS BUILDING ADDITION A /o
MATERIAL OF CHIMNEY
IS BUILDING ALTERATION ,/t {
IS BUILDING ON SOLID OR FILLED LAND
W-ILL�BUILDING CONFORM TO R`REQUUIREMENTS OF CODE T�S
IS BUILDING CONNECTED TO TOWN WATER
iC
BOARD OF APPEALS ACTION. IF ANY
o
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINEY;r
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
PLANS MUST BE FILJ-eO AND APPROVED BY BUILDING INSPECTOR
DATE FILE
SIGNATURE OF/OV
PERMIT GRANTED
F E E
n
19 r _
OWNER TEL. #A& --A2 CONTR. TEL. #
CONTR. LIC. #
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST .ADD, &4,0
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
Azi
■UILDING INSPECTOR
I
1 OCCUPANCY
SINGLE FAMILY S�OkIES _
MULTI. FAMILY OFFICES
APARTMENTS
CONSTRUCTION
2 FOUNDATION —I 8 INTERIOR FINISH
CONCRETE a 1 2 (_
CONCRETE BL K. PINE _
BRICK OR STONE HARDW D
PIERS PIASTER
_ DRY WALL
UNFIN.
3 BASEMENT
AREA FULL FIN. B M AREA _
1/1 1/7 1/1 FIN. ATTIC AREA _
N_O B M T FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS II 9 FLOORS
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
STUCCO ON MASOD
STUCCO ON FRAME
STONE ON A
STONE ON•F
B 1 22 J 3
CONCRETE I_
EARTH _
HARDW D _
-COM I,ICN
ASPH. TILE _
ATTIC STRS. & FLOOR
WIRING
SUPERIOR POOR
ADEQUATE I� NONE
5 ROOF
10 PLUMBING
GABLE
GAMBREL
FLAT
HIP
MANSARD
SHED
PIPELESS FURNACE
BATH 13
M. (
TOILET RFI 12 FIX.)
TIMBER BMS. & COLS.
WATER CLOSET
ASPHALT SHINGLES
STEEL BMS. & COLS.
LAVATORY
WOOD SHINGES
WOOD RAFTERS
KITCHEN SINK
SLATE
_
7 NO. OF ROOMS
NO PLUMBING
TAR & GRAVEL
GAS
STALL SHOWER
ROLL ROOFING
ELECTRIC
MODERN FIXTURES
NO HEATING
TILE FLOOR
6 FRAMING II
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURL
TIMBER BMS. & COLS.
STEAM
STEEL BMS. & COLS.
_
HOT W'T'R OR VAPOR
WOOD RAFTERS
_
AIR CONDITIONING
_
7 NO. OF ROOMS
RADIANT H'T'G
UNIT HEATERS
GAS
OIL
B'M'T 2nd
ELECTRIC
_
1st 13rd I
NO HEATING
BUILDING RECORD
12
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.
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