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HomeMy WebLinkAboutMiscellaneous - 37 BUCKLIN ROAD 4/30/2018Date. .. ... . F�p`,�ao ,e ryO9 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION h SAC MUSE�� r' This certifies that ....... .!�... . has permission for gas installation ... in the b 'ldings o/f� aY. i ( .- ! . .... .............. at✓..i, ..� .��.. , North Andover, Mass. 7� z Fee.�a� .... Lic. No,!`-!..... ......................... . x GASINSPECTOR Check # ,/ 4664 MASSACHUSETTS" UNIFORM APPLICATION (Print Of Typel.. g _, G� 11 mrMrv–rs; New ❑ Renovation ..❑ TO DO GASFITTING. LLPermit #�i!1���Uv is Name- of Occupancy.. c�,�1'larl Plans Submitted: Yes© No Business Name of Ucensed Plumber or Gas Fitter, ❑ Corporation - [3 Partnership A FWWCo. 1*ISURANCE: COVERAGE: - I have a cure Iiabillty **wane dol W or Its subs equivalent,which-meets .the requirements ofM--.,MCh. ,142, Yes No ❑ If you have :checbodM#:pteaea indka*&e4ype ge-Ly checking .the appwpdate. box. A liability Insuranoe policy X Other:.type-.ot indemn>ity. ❑. Bond ❑ OWNER'S INSURANCE WAMEW.1 am- awaue that the ficensw does~not:have: tur he Insurance coverage required .by Chapter 142 d the.MasL- Geneni-Laws. and-hat_my signature -on -this -permit application waives this requirement. Check one: Owner❑ Agent Signature of.X)wner.oc:Owmers Agent, I hereby certify that all of the details and information I have submitted (or entered) inabove application arc We and accurate to. the heat of my knowledge and that all plumbing work andinstallations- performed under the permit issued for m corn with an pertinent provisions of the Massachusetts State Cas Code and Chapter 142 of the General/�' BY Tvae of License: 19m. ber Ng—nature o Ucen ' _ Plumber or as fitter Title ttw -- Master Number 31 OCD. man ■i�isi�nii��s����s�t��it11■ Business Name of Ucensed Plumber or Gas Fitter, ❑ Corporation - [3 Partnership A FWWCo. 1*ISURANCE: COVERAGE: - I have a cure Iiabillty **wane dol W or Its subs equivalent,which-meets .the requirements ofM--.,MCh. ,142, Yes No ❑ If you have :checbodM#:pteaea indka*&e4ype ge-Ly checking .the appwpdate. box. A liability Insuranoe policy X Other:.type-.ot indemn>ity. ❑. Bond ❑ OWNER'S INSURANCE WAMEW.1 am- awaue that the ficensw does~not:have: tur he Insurance coverage required .by Chapter 142 d the.MasL- Geneni-Laws. and-hat_my signature -on -this -permit application waives this requirement. Check one: Owner❑ Agent Signature of.X)wner.oc:Owmers Agent, I hereby certify that all of the details and information I have submitted (or entered) inabove application arc We and accurate to. the heat of my knowledge and that all plumbing work andinstallations- performed under the permit issued for m corn with an pertinent provisions of the Massachusetts State Cas Code and Chapter 142 of the General/�' BY Tvae of License: 19m. ber Ng—nature o Ucen ' _ Plumber or as fitter Title ttw -- Master Number 31 OCD. man J � O � W � ! V O � j O = 1 C � O >L � 3 o < W m � 1 1 , W W W Date/��U TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUS� .-..... d%-...... . This certifies that has permission to perfo Afl ....... .... plumbi gain the ui d"n� sof l� . 7� /�/� / ............... . North Andover, Mass. a ...... Fee. :�ULic. No�!!.. .............................. PLUMBING INSPECTOR Check # 5930 MASSACHUSETTS UNIFORM APPLICA IN FOR PERMIT_ TO DO PLUMBING (Print or Type) Mass. Date Permit xn Owner's Name Type of Occupancy r Renovation p Replacement Plans Submitted: Yes 0 No G FIXTURES I. - :.. - r T r 1 —77711 W a- %, ', W. M 7 & a Iff 2 r VA W ME q a 2 Business Telephone Check one: 0 Corporation 0 Partnership Name of Licensed Plumber2 uP►1 . _) (� rr,. _ .,� r�' 2 . riuArr 01SURMCE COVERAGE= Ihave a c unent liability policy or its substantial equivalent which meets the irements of reu Yes)2( No qMGL Ch. 142- If you have checked yes, please indicate the type coverage by checking the appropriate book. A liability insurance policy g Other type of indemnity 0 Bond 0 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. Gametal Laws, and that my signature on this permit application vmivW thisrequirenxft Check one: Swett" of Owner or Owners AWt Owner Agent G WWY certify fust all of the details and information 1 have submitted (or entma in abpKa0fi=bware true and accurate to the beat of my b"wiedw and that all phnnbirng work and installati be in a with all permit issued forthis appliion vrill a p�vvisions of the ssa<e - P '142 "w General Laws• ftnaune of Type of License: mauff L cwm Number / /D�e Y _ y • • - ■■■■■■■■■■■■■■■■■■■■■■■■■■ I. - :.. - r T r 1 —77711 W a- %, ', W. M 7 & a Iff 2 r VA W ME q a 2 Business Telephone Check one: 0 Corporation 0 Partnership Name of Licensed Plumber2 uP►1 . _) (� rr,. _ .,� r�' 2 . riuArr 01SURMCE COVERAGE= Ihave a c unent liability policy or its substantial equivalent which meets the irements of reu Yes)2( No qMGL Ch. 142- If you have checked yes, please indicate the type coverage by checking the appropriate book. A liability insurance policy g Other type of indemnity 0 Bond 0 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. Gametal Laws, and that my signature on this permit application vmivW thisrequirenxft Check one: Swett" of Owner or Owners AWt Owner Agent G WWY certify fust all of the details and information 1 have submitted (or entma in abpKa0fi=bware true and accurate to the beat of my b"wiedw and that all phnnbirng work and installati be in a with all permit issued forthis appliion vrill a p�vvisions of the ssa<e - P '142 "w General Laws• ftnaune of Type of License: mauff L cwm Number / /D�e Y z W 'O m 0 Z o m 0 = Z 0 c o z s 30 - 9 = ; 71 O O r c s z 0 T SO 16 Div. Public Works WK - Location .31 t<L.,I P D No Date t _ Q f o�O;*:,� TOWN OF NORTH ANDOVER 4 Certificate of Occupancy $ Building/Frame 3� Permit Fee $ y cMus `� Foundation Permit Fee $ Other Permit Fee Sewer Connection Fee $ Water Connection Fee $ P TOTAL $ k " Building Inspector T SO 16 Div. Public Works ;Location No. Date—C�—!"�' io- N°RTS TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ -� Foundation Permit Fee $ 4.:. N0 85,07. m Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ Zp??•'5a TOTAL '* $ 20-n Building Ins ector Dif. P lic. Works _ 8-0 15 aa_ Div. Public Works Location - DSK-LAt .t No = Date A ,,°RT„ 0 to TOWN OF NORTH ANDOVER E 4 „ Certificate of Occupancy $ Gb Building/Frame Permit Fee $ Foundation Permit Fee $ co'� Other Permit Fee $ Sewer Connection Fee $19 Water JConnection Fee $ f TOTAL $ 5� R P�%j ( { ' I t"-2-- f Building Inspector _ 8-0 15 aa_ Div. Public Works ' PERMIT NO. t 44APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP K40. LOT NO. 2 RECORD OF OWNERSHIP ;DATE (BOOK ;PAGE ZONE ��� SUB DIV. NO. 5, (T Pe ©LI� c/ / H.I.C. a jLOT LOCATION C / \ f \YC. PURPOSE OF BUILDING OWNER'S NAME y NO. OF STORIES �SIZE OWNER'S ADDRESS �33( r7-" BASEMENT OR SLAB 1qds--epor e-,-, f ARCHITECT'S NAME %`/_ ' f„ y j 4[.ala SIZE OF FLOOR TIMBERS IST ;)X/O 2ND a � -0 3RD BUILDER'S NAMEC,,, f(-L"` SPAN — DISTANCE TO NEARE T BUILDING DIMENSIONS OF SILLS ]/ " POSTS DISTANCE FROM STREET n DISTANCE FROM LOT LINES - SIDES �� REAR GIRDERS /Q AREA OF LOT ,ry f FRONTAGE !/s/,� HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW g y SIZE OF FOOTING f, �U X � 9 IS BUILDING ADDITION -- • MATERIAL OF CHIMNEY Ni:(d - IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND sQ WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER y -e S BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER � s cc IS BUILDING CONNECTED TO NATURAL GAS LINE 'f°J INSTRUCTIONS SEE BOTH SIDES PAGE I FILL OUT SECTIONS I - 3 3 PROPERTY INFORMATION PERMIT FOR FOUNDATION ONLY LAND COST REGULATED BY PARA. 114.8-S. B.C. EST. BLDG. COST 4,+,000 EST. BLDG. COST PER SQ. FT o % PAGE 2 FILL OUT SECTIONS I - 12^ EST. BLDG. COST PER ROOM DATE FEE PAID ��® SEPTIC PERMIT NO. ^ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING CIO q APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR 'DATE FILED �FziCJ SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E R.3fc.Qo PERMIT GRANTED PERMIT FOR FRAME/BUILDING '""c ?JA 19 � S7— DATE: FEE PAID• SUILDING INiPECTOR OWNER TEL. N CONTR. TEL. # CONTR. LIC. a. ©LI� c/ / H.I.C. a BUILDING RECORD 1 OCCUPANCY ! 12 SINGLE FAMILY 6'1 THIS SECTION MUST SHOW EXACT DIMENSIONSOFL•OTyAN-OF FROM Q MULTI. FAMILY �. ''{_r �3-MICEs __� LOT LINES AND EXACT DIMENSIONS OF `BUILDINGS.'- VhITH PORCHES. GA - APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS'REPLACES;PLOT.PLAN. ` • `- CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE PIARDW D PIERS PLASTER -�{I DRY WAIL —� UNFIN. 3 BASEMENT I " AREA FULL_ . FIN, BMT " AREA FIN., ATTIC AREA NO 8 M FIRE PLACES HEAD ROOM MODERN KITCHEN - -- - 4 WALLS I' 9. FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE x �_ WOOD SHINGLES - - EARTH _ ASPHALT SIDING HARDIV D _ ASBESTOS SIDING _ COM/ACN _ VERT. SIDING _ ASPH. TILE _ STUCCO ON MASONRY _ i7 STUCCO ON FRAME, -4,- ^ j BRICK ON MASONRY ' `ATTIC STRS. 8 FLOOR BRICK ON FRAME - CONC. OR CINDER BLK. STONE ON 'MASONRY WIRING STONE ON FRAME _ ti j 3I'." SUPERIOR I POOR ADEpUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) T GAMBREL 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 f 7 r ! LP%''Iq �i r±mj e TILE DADO - 6 FRAMING I 11 HEATING WOOD JOIST. PIPE LESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. A COLS. STEAM STEEL BMS. 8 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 1st "f\ I3d I NO HEATING +.t..w�..4..11 ivuZ m 9 w. Y ..� d m m O o ..« o r' ".-. y °°�- �~ o -� CD .* Lr d O UM oZ c Co CD CS Z CDCD ►�. c ti . « c D C7 Z .y Ci'j a a o'er z O. ra o=rcl- �o mom ^ c a Q� y n m yam. ) � �] o m d >� _'� 0 Lr CD. ob CA F ' a c f0 w m cc C O '��.a E c v, !^ CD O o cr = CD PCD CD � .��► N 3JN CD CD co O C CCD CA 10 CD a O 7 C4 CA CD CO) 0 O CCD O CD nCD C CD H 3 cp o � c�m� ray W a l 03 (WAbo Cr1 ='~ C=3 G y ' c M. (p cn :V Q0C-� � y wo xm C2 .40 m `x m�.�.de _ 2 -� Y ..� d m m O o ..« o r' ".-. y °°�- �~ o -� CD .* Lr d O UM oZ c Co CD CS Z CDCD ►�. c ti . « c D C7 Z .y Ci'j a a o'er z O. ra o=rcl- �o mom ^ c a Q� y n m yam. ) � �] o m d >� _'� 0 Lr CD. ob CA F ' a c f0 w m cc C O '��.a E c v, !^ CD O o cr = CD PCD CD � .��► N 3JN CD CD co O C CCD CA 10 CD a O 7 C4 CA CD CO) 0 O CCD O CD nCD C CD H 3 cp o � c�m� ray W a l 03 (WAbo Cr1 ='~ C=3 G y ' c M. (p cn :V T\ w G aw C" oa w 5- c o °-- G CL p a O Q O o r n C��, cn -.4 x n- �O � x y �tz n W O C L 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. *****************Applican/Tt fills/ out this section***************** A.PPLI CANT : / tol c�i 4(.�IDQ(1/ 1 (0l�i� LOCATION: Assess 1111-e o r's Mao Number Subdivis ion 4-idooZ Street gcwCk f 1 11 Phone Parcel Lots) /7 St. Nu -mer 37 ************************Official Use Only** ****************x**** RECOMMENDAT N OF T WN GENTS: Date Approved Conservation Ad~inistrator Date Rejected Cc=en -: t Date Approved Town Planner Date Rejec-ed Conr„en zs FCO.. ^,=_pe�ctor- :ealth C.7:'.:::er Date Approved Date Rejec:eA Date Approved Date Reiecze_ Pu -__c Wcrt;s - se*aer,'water connections - driveway Fire Decar me. emit Received by Building Inspector Date - � -- N . X � ..;f Jr % No\� i � •� � o '-_ � � •� � , ,/ .rte Q 9212a, sa wo- .. ww— ........... 4 aki .- -4 ---kiar 'i. 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