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HomeMy WebLinkAboutMiscellaneous - 370 SALEM STREET 4/30/2018Date. .'7`t' ">--- - - - - . ! O'10 h° 1 ` TOWN OF NORTH ANDOVER • - PERMIT FOR GAS INSTALLATION y s i a s a This certifies that .......................... has permission for gas installation ! f ... ..... . in the buildings of .. J. c'. i . j h. ............ at ..�.�....5 E.� .. ,..........., North Andover, Mass. Fee. Lic. No. J?./. t: 6 .. ..... �' GAS INSPECTOR Check #� 51173 3.6 ASSACCtiUSETM-,UNIFORM APPUOATIiWFOfI -PERM"TO DO GASFF'MNG - QWt or Type)_ we owner.: NamesTcY T at pocupancy-- New p Renow Um. _p Rte, Plans Submlfxedt! . Yesp NO" .s:1 Z.] - I . 1 hereby cer*, Mita of ft -details and ' kncwled9e and that d rnfonr�ation l "'° submitted iocenter" in. abm application am true and accurate.to:the best.of my pertirrant PIS Mror1c aref 1nsPmfamed under the pertruE issued for this Pcorisions of the Massachusetts Stats Gas Code aid Chapter142 of;Lkw;mNumb;erl will be in compliances with Sit. BY - Tj Title Pkunber _ Gasfitter �cty/Town lter 0(o(D. .o d _ ltd ,d . i Ad 1 Jo c . m.. r Ad do c_s r o 46 44 d ad V _ Y .: am 0. _ W d Z - -- _ Z Location 2 No. Date MORT� TOWN OF NORTH ANDOVER a OL Certificate of Occupancy $ Acs.. t Building/Frame Permit Fee $ '7 Q AC MUg Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # '53 15181 /14 ( 6,—,. Building Inspector i I 3 " j iECTION. 1- SITE INFORMATION i TOWN OF NORTH :0 E BUILDING DEPARTMENT R PPLICATION TO CONSTRUCT. REPAIR, RENOVATE, OR DEMOLISH : A ONE OR T..W.O FAMILY.DWLLLING 3UILDING PERMIT NUMBER: DATE ISSUED: 3IGNATURE: Building Commissioner/I for of Buildin Date j iECTION. 1- SITE INFORMATION 1.1 property Address:/j 1.2 Assessors Map and Parcel Number: G�] n Map Number Parcel Number A/�y� I` _ 1.3 Zoning Information: 1.a Property Diriensiohs: . i� toning District U L.6 :BUILDING SETBACKS (ft) Yard Rear Yard . Front Yard Side Required Provide Provided Required Provided j :'.7 Water Supply ',CG -'—C-40-34) � Zone ts. Rood Zone rnfom anon:.. Outside Flood Zone 0 1.8 Sewerage Disposal system Miwis-iPat D U° S'te'D�sposil System El '' ' � 'ublic 0 Private D _ SECTION 2 - PROPERTY -OWNERSI�P/AUTIHORI�ED AiGLN3 2.1 Owner of Record a e (Pnnt) Address for Service p Signature Telephone 2.2 Owner of Record: Name Print Address for Service: 90r Si nature Tele ;hone.. SECTION.3 - coNSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable o © `7s/��-- daG 3 Licensed Construction Supervi r: License Number l Address d fes. Expiration Date Signature Telephone _ ®e 3.2 Registered Home Improvement Contractor Not Applicable 0 n i Company Name r Registration Number r 'Address Expiration Date Signature Telephone j SECTION 4 -WORKERS COMPENSA`T'ION C 152 § 15t(b) Workers Compensation Insurance affidavit must be completed:and submitted with this.apphc in the denial otion. Failute to provide this affidavit will result f the issuance of the building permit. Si ned affidavit Attached Yes .... ❑ _ ,_Z`Io ❑ SECTION 'Descri hoh .ofP> o osed Work 'check all a I�cahie New Construction 0 Existing Building 0 Re Pauls) Alterations(s) 0 Addition 0 Accessory Bldg. 0 Demolition ` 0 Other 0 Specify Brief Description of Pro sed Work: SECTION 6 - ESTIIlIATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Co I t d by permit applic.nt €: 1 _ Building a �(a) " Building Permrf Fee Multi her 2 Electrical (b) Estimated Total' Cost of Construction 3 Plumber .. Building. Permitfee.ta)..,c tb) 4 : Mechanical.;. HVAC. 5 Fire Protection . 6 ------------ Total, 1+2+3+4+5 Check Number " SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT L as Owner/Authorized Agent of subject property � I Hereby -authorize to act on My behalf, in ail matters relative to work authorized by this building permit application. Si nature of Owner Date SECTION 7b OWNE AU , ORIZED A ENT DECLARATION prorty As Own Authorized Agent of subject pro Hereby declare that the statements and information on the foregoing. application are true and:accurate, to the best of my knowledge and belief Print Name Si iature of Oxvner/A ent ate { i NO. OF STORIES' SIZE BASEMENT OR SLAB SIZE OF FLOOR TR,1BERS I ST 2ND 3 SPAN DEMENSIONS .OF SILLS DITyMNSIONS OF POSTS j DIMENSIONS OF GIRDERS i HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHINrNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 9 M s•. c c :•m c o � C •.+ O v CJ m m C2 C O �� :ms vysca J •� C W 0 :oCLo E CO �. cm m H 2 y C J O O W •� '0O cc :y0CC � c �a 8 _ V N O •5z Cl .: c a a o c Q ID m O = m momC c N C o y CL m t ISL •N•O A W C O F= h ui •E ccs v S •Nc O ® O m S Va m _i -5 C.- •- ca 0 'a f- = r CL. -:a Cc T V O s v CD 0m ca ICD :2 V* O •O •— m m �� CL. *•.a = R� O 0 i _m o �Q �� V J .0 co •C Z O CD C:L C..± H O O C •� •� C d y G y 0 Cn w W w o co a Q , G -ti w° °�° a�' U w O H w �'' °�° n�' x O w H ,.� W a�' cn C x p o n: C w w d v c 1 zcd ci) Q cn c c :•m c o � C •.+ O v CJ m m C2 C O �� :ms vysca J •� C W 0 :oCLo E CO �. cm m H 2 y C J O O W •� '0O cc :y0CC � c �a 8 _ V N O •5z Cl .: c a a o c Q ID m O = m momC c N C o y CL m t ISL •N•O A W C O F= h ui •E ccs v S •Nc O ® O m S Va m _i -5 C.- •- ca 0 'a f- = r CL. -:a Cc T V O s v CD 0m ca ICD :2 V* O •O •— m m �� CL. *•.a = R� O 0 i _m o �Q �� V J .0 co •C Z O CD C:L C..± H O O C •� •� C d y G y 0 Cn w W w or NEW m It W, a IA 1A Q IL t uA W N m La Z3 K < ct1 Q 0 '" 13 Z 0 Z Z Q LL O cL 0 o A W_ < J Z W Z r L 0 IIA m m O W O d>: N oLc 0 Z a m J m W 3 O � o sc O O M� J < La O Z F" FE r S L 0 K W N Z < W IL V W W N F < m m O I I V < z S 5 _+ 9L IJ O tk Z 4 f- 0 m ,�1 1"1 a a W Z < 2 � < p H Q W Z N QW U 0 z O W z O W I t a NEW m It a m m 0 } J Q IL K < Z r '" 0 Z 0 cL 0 0 7 200 Z r U L LU U O IL W 3 O � o sc O U J < La O Z r S L 0 K W N Z < W f V W W N F < m m O I I I m F v Z b J b� 4 0 a } Z t L Z O r u a J W L L L 0 O 0 m m 0 W lr L L r 0%1:Clm d LU LU U W 3 Imo. o � o sc O U U 2 3 V ^ m; ZmZ p D G m Z O To- a'a 0 �On � NO O H 3 H TTR m N':Eg T 00 y�Ap �N<InG�pA mZ\D me Ol r p D Q= D D to 0 0 0 - C n m Q p D A al0 m W p 0 0 '" cIZ m 3m Z n 1 x v v o D p n Z N D r ra �D T TT 80 A hyo m m NSC nn yy� 8" N� 0000 OON,,,N03: Oyy m m p = N Z Z 7o Z 0 0 O_ Q < Z x r T; A Z Z Z �_^ p Z Z N 3• ONi wT G1 p ZD O O N m DT� Z O N < j p N y C1 C 7c < 3 A 0 0 =IIIIII�II_iII�_IIP�IiI N� yO�>�OD OC D inODDO tG 3+ArT Cpa=A C. 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U ^ < ] a 3 0 0� H m V 2 d' W 0 m IA o d Z Z O t N Z .V N W Z m f Q Z 0 0 p < F F m i, 0 W W m W E N m J W 0 O ] W C O < m m J J i 0 D F W W 2 I J 0 N F U N m W W U < Z W N d C W < L O F Z W 0 W N C 0 I F ] C O m W Z 0 IL 0 W d' F Z 0 } a a a A .UJI LU LU V W a 3 0 0� O U V 2 `� I m ti~ O Dm NmZDpTn0NJOO C.) js<=m7(P Nz< IN CJ'FTN^ ppi Zr .y Drp NH 1_ Dg O;V Oc;'N„-IN2 O;g.n:�8D �M. �O AOOOmi O N O � zOOON=O�pmD ;DZ Z O _m.tN3N ZO 0 N pr=zDIA r m aOwmZN NOpm Dz Z ZmOCCN D 3TT T COv S:2,Oir.DZDAO mmo> 0G D 0 DDO T O p z z Z DD y Z C TO nC>_0 JZm T O_ DOp O NZ O;C NCZ ( I Z Z p m Z y 3 DD OZO m 0OC OOmmn� Z tip Z xrnmD OOD Z 7C N C f1 Z a D z 1 1 O Z I I I - /1 c [ ILI OT IIp Z8 po I I I kI I t >0= N NrN Zm n`M,-+ >0 yz �ac �XfA 3>N 040 uAvg MRM -1 z > I(An t110� �Z_ Mom 'Q M MWO r- NsN v r O z 66°or �N- >*> M ?-z A i0 0, 0-1 v m> nz xn MM 00 I �71 11 :9 O tot ?F =o I l 0 U �o `s tE- c �I f� �v 72 � � � k �co vo ! i Y i r c�300 x a 'o s- 4 t f� �v 72 � � � k �co vo i Muckle & Associates Inc. Carpentry for Historic Projects Wood window restoration ... Architectural millwork conservation ... Structural stabilization ... Steeple and tower restoration ... Replication windows, millwork, and cabinetry... Epoxy consolidation Muckle & Associates Inc. projects have won Massachusetts Historical Commission and National Trust preservation awards. The firm is a SOMNX/BA certified WBE, DCPO certified in Historic Building Restoration, bonded, insured, and a member of AGC. 354 Andover Street, Lowell, MA 01852-1403 Phone (508) 937-2747 Fax (508) 937-0423 Muckle & Associates Inc. Fine Building & Restoration AWARDS AND RECOGNITION Lowell Historic Preservation Commission Award, 1995: Pollard Library Massachusetts Preservation Award, 1994: Frank D. Walker Building, Marlborough Massachusetts Preservation Award, 1994: Town Hall Cupola, West Brookfield Massachusetts Preservation Award, 1992: Ayer Mill Clock Tower, Lawrence National Trust For Historic Preservation, Third Prize; Exterior Rehabilitation, 1990: Hutchins House, Chelmsford, MA Elmwood Neighborhood Preservation Award: Brown Residence, Providence, RI PROFESSIONAL ASSOCIATIONS Associated General Contractors of Massachusetts Society for the Preservation of New England Antiquities Association for Preservation Technology National Trust for Historic Preservation, Forum' Boston Society of Achitects, Associate PRESENTATIONS/PUBLICATIONS 1995 Boston Society of Architects, Workshop on Wood Window Conservation "Specifying Wood Window Restoration" 1994 Preservation Week, Lowell - Preservation seminars, architectural tour 1993 Preservation Week, Lowell - Do's and Don't for Historic Buildings PROJECT REFERENCES Lowell House Bell Tower Restoration, Harvard University Chris Hussey AIA, Freeman Brigham Hussey, 30 The Fenway, Boston MA 02110 Judy Selwyn, Preservation Technology; Wm. Finch, Finch and Rose (consulting) - Phase I, Vilna Shul Restoration, Boston Claude E. Menders AIA Architects, Inc. 59 Commercial Wharf, Boston MA 02110 Jack Glassman AIA, Gary Wolf Architects, 145 Hanover St., Boston MA 02108 Ayer Mill Clock Tower, Lawrence;'St. Anne's Churc/Tower, Lowell; Hutchins House, Chelmsford William Barlow IV AIA, National?Park Service, Fort Wadsworth, Staten Island NY 10305 St. Anne's Church, Lowell; Pollard Memorial Library, Lowell Wendall Kalsow, ALAi McGinley Hart Associates 77 N. Washington St. Boston, MA 02114 Frank D. Walker Building, Marlborough Jay Litman, AIA Extrados Architects Ltd. 150 Chestnut St. Providence, RI 02903 St. Anne's Church, Lowell; Boott Mill Belfry, Lowell; Appleton Mill Stairs, Lowell Charles Parrott, AIA, Lowell Historic Preservation 222 Merrimack St.Lowell, MA 01852 V ri O z v'% C � m C 1 O y C L) V ' •� CCU a Cv �.Z O eat .� c OM CA :mac E c cy � c m �o� cm hW � y y y q�3 y A O Em � dao c� m m m � �0 cm C C c _m► o {� C y m O it m C2 h z `o c o cm CL cc x ymc Q m 03 CL H r Cos 4D W Z m •_.. W O H dt W C O Z WE 0 O 4D CD LA �� S O �.2 ami a C�7 4 t 0 a � A w w" cn z V) vi a v w � w° o°G U w a°' w a�• w C � m C 1 O y C L) V ' •� CCU a Cv �.Z O eat .� c OM CA :mac E c cy � c m �o� cm hW � y y y q�3 y A O Em � dao c� m m m � �0 cm C C c _m► o {� C y m O it m C2 h z `o c o cm CL cc x ymc Q m 03 CL H r Cos 4D W Z m •_.. W O H dt W C O Z WE 0 O 4D CD LA �� S O �.2 ami a C�7 4 t 0 O E C L O z CL O y � C CD I CC COD O ;0 C 'E m m CD cl CD a E-= CD �3 O O Q v�cC CD � C O ,w 'o O C Z G) CL V H eO C C c CL D A w w" cn z V) vi O E C L O z CL O y � C CD I CC COD O ;0 C 'E m m CD cl CD a E-= CD �3 O O Q v�cC CD � C O ,w 'o O C Z G) CL V H eO C C c CL D LocationC'1 F .. No Date y N°R7" TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ ,' s�cuus Other Permit FeeA)01— $ (o2 < Sewer Connection Fee $ Water Connection Fee $ oo � TOTAL Z; E. wilding Inspector ti I 8/29ppt9r�5'�1}5*eag-' 212. 0o PRID `. (J l +a' ! Div. 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N 3 m = ... y O _ m =10 � cc N COD y R O m � (e c c W W z o C C) 1L CD as c m ' 0 >� z o CL Q c Q ( W3 o _ co p N R = m LU r N a= R Z W E V� V y cm o C3 m O � C COD _ G CA m O O H o CL., 0 Q U H C/) ►w-� N R- 0 i 0 k FLS 4l co co J Q z o U - co L � c~c G Z C.) � Q O z Im Qf z w >g > Q y c7 = m m CWl� z > C) L co i cc o a 0- CMQ C#* C -p � cv a 'C z .Q o o V3 Z co z o V Q COO C � cc W COD C3 F - z z � J W W C C) TOWN of •'ANDOVER AFFIDAVIT ••n- TRXUAmalt Cantractcr •• ulc I tp'Pamit tffbcatim- ML c• 1 0.. that Un 'bnxsULrtim, Wlamdq4 rm3mdm, rEpWr,n•• _• 1 r. w • armmdm, iqxuAmmt, rmoml,dmlitim, or arsUirtim of .••1 ■ • to aV • - adstirg • _ ••• •� e• hAld- irg cmtair&gat1wstcrebit •t mxet • • 1 1 or x) strmbxms1 • - atealiaxnt to aho:- recliftemaits. r Type of Work: �-o .6 Aja/' _�7,4 )'zo4, S7L Address'of Work L; . Owner ,Name: A/j 2 Date of Permit Application: % I I hereby certify that: Registration is not required for the following reason(s): Work excluded by law -Job under $1,000 Building not owner -occupied X Owner pulling own. permit Other (specify) Est. cost/ Tj�,O__'ILI e-0 -b b Fbr office Lbe Only Rmdt Ni). Date Notice is hereby given that: OWNERS PULLIl3G THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONiRACTDRS:.- FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRA- TION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed ceder paalties of perjLry: _F0R I he eby apply for a permit as the agent ef the owner: Jrl /el Date Contractor Name Registration No. OR: Notwithstanding the above notice., I hereby apply for a permit as the owner of the above prooerty: 1?-!T_,9,s- Date to MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTiNG (Print of Type) Mass.:. -Date Permit Building Location Owner's Name Type of Occupancy New ❑ Renovation ❑ Replacement Plans Submitted• Yes❑ ' No ❑ _(4 Installing Company Business T Name of Licensed Plumber or Gas Fitter Check one: C�"Eorporatlon ❑ Partnership ❑ Firm/Co. Certificate 7 INSURANCE COVERAGE: 1 have a current llabllity insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 19'� No O ' If you have checked ve, please indicate the type coverage by checking the appropriate box A liability insurance policy a3-- Other type of indemnity O Bond O 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: Signature of Owner or OwOwnerO Agent 0ner's Agent _ I hereby certify that all of the details and information I have submitted (or entered) in above apprication are true and accurate to the best of my kncvdedge and that all plumbing work and Instaltations performed under the permit is ed for this application will be In compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the G eral Laws BY TjofUcerns-e: iiimbegnatu o cense um er or Gas titer Title ster �sterUcense NumberCity/To'�n meyman Af'f'fitM: O N N UJ W N N N Y U C of U) W CL J N N W rt O O Q m N } 1-• z Jf c7 F• .0 y = d .O F W d m N H y W O a. C to C t1 W C C C > W Wt.7 W 2 W F' S CJ !- W J ~= �. C h' tW �� N Om 2 O ~ W O N S S O tl S Y. O O Cr J V > SUB—aSMT. BASEMENT ISTFLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Business T Name of Licensed Plumber or Gas Fitter Check one: C�"Eorporatlon ❑ Partnership ❑ Firm/Co. Certificate 7 INSURANCE COVERAGE: 1 have a current llabllity insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 19'� No O ' If you have checked ve, please indicate the type coverage by checking the appropriate box A liability insurance policy a3-- Other type of indemnity O Bond O 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: Signature of Owner or OwOwnerO Agent 0ner's Agent _ I hereby certify that all of the details and information I have submitted (or entered) in above apprication are true and accurate to the best of my kncvdedge and that all plumbing work and Instaltations performed under the permit is ed for this application will be In compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the G eral Laws BY TjofUcerns-e: iiimbegnatu o cense um er or Gas titer Title ster �sterUcense NumberCity/To'�n meyman Af'f'fitM: O �.� Date..! N2 i t. AORTN TOWN OF NORTH ANDOVER - or PERMIT FOR GAS INSTALLATION'. - F P { This certifies that ... ���!`� Z". �!? �? /`% { r has permission for gas installation ..%ae4 el'. ,.: . °` : f—e,.A,!-1 !ye- :• in the buildings of . !v:4�.�. F. /? ...... ................. S....... North Andover, Mass. at .37.�I... .. Fee �/j , . Lic.. No..1 . V.y G .. ... .... ..... . ,e. 11/01/95 16:03 45.00 PAIIGASINSPECTOR ;a r. WHITE: ApplicantCANARY: Building Dept. PINK: Treasurer', GOLD: File