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Home My WebLink AboutMiscellaneous - 385 APPLETON STREET 4/30/2018N 7769 Date. .F/I- l� ...... °� TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION This certifies that J ...... has permission for gas installation .!� �...� 4 ....... in the buildings of ...� klt. .ya �- at......................... at .. ... !t?Id. 1.�� .......... North Andover, Mass. °e... Lic. No. pl� ... ..... ... GAS INSPECTOR t0 N. CIYTI ICCC IX V)Lu Z MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town:21-0, �^� _ MA. Date: Permit# Building Location: '.� 70 O -t— Owners Name: AOL,, SC1 Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential 6 New: ❑ Alteration: ❑ Renovation: ❑ Replacement: E;- Plans Submitted: Yes ❑ No ❑ CIYTI ICCC IX V)Lu Z 6 W ~ a :39 M y V O U = W = W W Z 1— 0O aa (WU Z W } rn Lu Fey- Z W O 0 Lu W W > C0 W Z m 0 1-" 9 W- a I . W 0 IX w 1-- N v O 0 O a = W A- u. Z W W Z =aR2=>O J F H O m Z J 0 ZO u- W Z ZW H W W QU H Ii O a It F- > > > O SUB BSMT. BASEMENT 1 FLOOR —O --FLOOR 3 FLOOR 4 FLOOR 5 FLOOR 6 FLOOR 7 FLOOR 8 FLOOR Installing Company Name: �t � n / � 4-t, +e / V-6��ti" �� / Check One Only Certificate # ?? `� Address�.O 1 40 Y � % City/Town:..% AN� � d'� v r State ,,--,,c: , LLorporation I� El Partnership p Business Tel: ! ) r� F, 11 F 1ti Fax: Name of Licensed Plumber/Gas Fitter: ❑ Firm/Company INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes RT -N -o ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy [jam 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 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner El Agent El By checking this box ❑; i hereby certify that all of the details and information I have submitted (or entered) regarding this 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 rmmnlianra with nii P-4;—# .. .s — ea_____� vVUV anu L.ndpcer -14L Or Ine.ueneral Laws By Type of License: ((lumber , f,...--•' Title ❑ Gas Fitter Signature of Lice s d Plumber/Gas Fitter 941aster Cit❑Journeyman License Number: ��3 b APPROVED ❑ED (OFFICE USE ONLYI LP Installer 0 f.. 1! Date .... A:n4?�.7A.7 ....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that...... /4t)r .............EC ... has permission to perform ......... e.T.-y. ....... ........ wiring in the building of ............ )5740 ......................................................... at ROV ... 5JP.......................... . North Andover, Mass. Lic. No.. ........... Ei:EcrRicAL INspEcToq eL Check# 7195 commonwealth of Massachusetts Official Use Only - Permit Department of Fife Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: /'" --,3 J- 6 Z City or Town of: Aldt 4 4,✓ l � , IZ A— To the Inspector of Wires: By this application the undersigned gives notice of his or Ther intention to perform the electrical work described below. Location (Street & Number) -3 kS �/,J le Ad % Owner or Tenant j'j%kn, /c/ _ Telephone No. Is this permit in conjunction with a building permit? Yes ❑ No ❑ '�� (Check Appropriate Boa) Purpose of Building Utility Authorization No. Existing Service _ Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Y-4� Com letion o the following table maybe waived by the In ector o Wires. ' Q Attach additional detail ydesired, or as required by the .yup -0, �• Estimated Value of Electrical Work: �3 / (When required by municipal policy.) Work to Start: A's /4 Inspections to be requested in accordance with NEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCES BOND ❑ OTHER ❑ (Specify:) I certify, under the pains. and penalties ofperjury, that the information on this application is true and complete. FIRM NAME: ADT Security Services, Inc. LIC. NO.: Licensee: G- ,,7b f /7 pt %AY/c2 -T Signature �` LIC. NO.: J a 5 5 ' 0 �� _ (Ifapplicable, enter "exempt '• in the license number line.) Bus. Tel. No. -&3041-6 P649 Address: Alt. Tel. No.:%OD3-59� 6� *Security System Contractor License required for this work; if applicable, enter the license number herei�6Ce, ®� OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERIIIIT FEE: $ Signature Telephone No. No. of Total No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires AboveIn- Swimming Pool rnd. ❑ rnd. El o. o mergency Lighting Battery Units No. of Receptacle Outlets No. of OR Burners FIRE ALARMS No. of Zones o. of Detection and No. of Switches No. of Gas Burners Initiating Devices No. of Ranges No. of Air Cond. Total No. of Alerting Devices eat Pump Number Tons KW No. o elf- ontained No. of Waste Disposers P Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Sp g Local ❑ Municipal El Other Connection No. of Dryers Heating Appliances KW Security Systems:* JdF No. of Devices or uialent v No. of Water. KW No..of o. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent Tel s Wir.. g: No. Hydromassage Bathtubs No. of Motors Total HP No of Devices o No. of Devices or Equivalent — OTHER: _ a ' Q Attach additional detail ydesired, or as required by the .yup -0, �• Estimated Value of Electrical Work: �3 / (When required by municipal policy.) Work to Start: A's /4 Inspections to be requested in accordance with NEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCES BOND ❑ OTHER ❑ (Specify:) I certify, under the pains. and penalties ofperjury, that the information on this application is true and complete. FIRM NAME: ADT Security Services, Inc. LIC. NO.: Licensee: G- ,,7b f /7 pt %AY/c2 -T Signature �` LIC. NO.: J a 5 5 ' 0 �� _ (Ifapplicable, enter "exempt '• in the license number line.) Bus. Tel. No. -&3041-6 P649 Address: Alt. Tel. No.:%OD3-59� 6� *Security System Contractor License required for this work; if applicable, enter the license number herei�6Ce, ®� OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERIIIIT FEE: $ Signature Telephone No. ,r a F it 3 �. r, y I Date. � - G �. .... . ' TOWN OF NORTH ANDOVER P PERMIT FOR GAS INSTALLATION This certifies that .. FAAo. ' ... ye-< k e.'. l ................. has permission for gas installatio(s%) .F.,�.om et c;: ........... in the buildings of ..t'1? �. �� .�� +` ............................. at .. - (F :^.......... , North Andover, Mass. Fee.,S.a. Lic. No./.YG d; F.. � .� ...... AS INSPECTOR •�� Check # 111'c7 / 5142 MASSACHUSETTS UNIFORM (Type or print) NORTH ANDOVER, MASSACHUS TTS Building Locations FOR PFPW TO DO GAS FITTING Owner's Name New Renovation❑ Replacement Date Permit # -!r / 4 -L- Amount LAmount $ 20 Plans Submitted ❑ (Print or type) /1---� Check one: Certificate Installing Company Name // / r'� i��' ❑ Corp. Address `�' " " �' '❑ Partner. Business Te ep one Z177 s4 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes Gk No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. ❑ Liability insurance policy P 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 of the 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 of the details and intormat[on i nave sut) best of my knowledge and that all plumbing work and installations compliance with all pertinent provisions of the Massachusetts Stat BY: Title City/Town IAPPROVED (OFFICE USE ONLY) p en[ereu) In above app icauun are LIUe anu acc -LrW LIIU p rfor ed under Pe Issued for this application i apter 142 oft ,,General Law 75; r of Licensed Plumber Or Pias Fitter ❑ Plumber / ❑ Gas Fitter tcense Number ❑ Master Journeyman SUB-BASEM ENT TS -T. FLOOR 12ND. FLOOR (Print or type) /1---� Check one: Certificate Installing Company Name // / r'� i��' ❑ Corp. Address `�' " " �' '❑ Partner. Business Te ep one Z177 s4 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes Gk No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. ❑ Liability insurance policy P 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 of the 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 of the details and intormat[on i nave sut) best of my knowledge and that all plumbing work and installations compliance with all pertinent provisions of the Massachusetts Stat BY: Title City/Town IAPPROVED (OFFICE USE ONLY) p en[ereu) In above app icauun are LIUe anu acc -LrW LIIU p rfor ed under Pe Issued for this application i apter 142 oft ,,General Law 75; r of Licensed Plumber Or Pias Fitter ❑ Plumber / ❑ Gas Fitter tcense Number ❑ Master Journeyman r Location't No.Date „°RTN TOWN OF NORTH -ANDOVER Ott.�•o :,ti0 Certificate of Occupancy $ Building/Frame Permit Fee $ 2�"� CHU E h Foundation Permit Fee � s�t cwus $ Other Permit Fee $ (cc(tta -� Se{,�we�+r Connection Fee \\••//A11�1r�7'ater-Co�,i�ection $ Fee $ No• Ando Inspector collector yerBuilding Div. Public Works . _ _ _ _. . __ .<<t i ..»t ,. ;.. P, t APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS PAGE 1 MAP dJO. LOT NO.ZG �4 2 RECORD OF OWNERSHIP i�ATE;°1`' BOOK !PAGE ZONE I SUB DIV. LOT NO. I. LO.Ci<TION Q� P o� a*�vt PURPOSE OF BUILDING U S '. w Li ' / OWNER'S NAME / +L ue 'i� 1oG o Y�f c, NO. OF STORIES SIZE I`�� -y� PC 1+ " r, V7 OWNER'S ADDRESS 9 3 ( 7 rr..� a tri , y BASEMENT OR SLAB I ARCHITECT'S NAME- SIZE OF FLOOR TIMBERS IST 2ND 3R BUILDER'S NAME Ulflwrp�I/"i�� `/"'i ~l 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 4 SIZE OF FOOTING X ' IS BUILDING ADDITIONIIC3 - ! MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING 'CONFORM TO REQUIREMENTS OF CODE V� - 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 r PAGE 1 FILL OUT SECTIONS 1 - 3 '3. A 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 FILED AND � APPROVEDD BY BUILDING INSPECTOR % DATE FILED — -5l VE/ } '} SIGN gREOWNER ORIZED GEN j FE J� PERMIT GRANTED . AWMCD TCI 41 0� ;F CONTR. TEL, CONTR.'LIC. 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY y BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING INSPECTOR l o ~" 01 a p 0 Ally y., rl NV1d 101d S30V1d3M SiH.1 'a3SOdWiH3df1S '013 'S30VU -V9 'S3H:)UOd H11M 'S9NIa'LIf19 d0 SNOISN3WIa 10VX3 ONV S3N11 101 WOMA 30NV1SIa dNV 101 AOSNOISN3WIO 10VX3 MOHSiSf1W N01103S SIHl 1 Zl AONVdf1000 Lc" a1033a JNIaiins 0NIIV3H ON _ I I # PSL 1.W.9 JIalJ313 110 svo SWOON i0 'ON L Sa31V3H 11Nn 0 1.H 1NVIOV8 ONINOI114NOJ 81V 80dVn a0 8.1.M lOH _ sa3liV4 DOOM 'S1oJ 9 'SW9 1331S ' WV31S 'S10J 8 'SW9 MIN11 'Nana 81V lOH C13J8oi 3JVNand sS313d1d 1">IOf OOOM DNIIV3H L L I `JNIWVai - 9 o0V0 3111 8001i 3111 _ S3snixu Na340W ONIi00a 1108 _ a3MOHS 11VIS 13AV80 V "I _ _ ON19Wnld ON NNIS N3HJIIN 31V1S S30NIHS DOOM A8o1VnVl S310NIHS 1lVHdSV " 13SOIJ a31VM 03HS 1Vld (:Xii Z) "WN 1311010aVSNVW F 13a9WVO 'XId £1 H1V9 d1H I I 319V0 ONl9wnld OL loom S LNoN 3 �I mood ao183dns ONIIIIM 3WVad NO 3NO1S ABNOSVW NO 3NOlS 'N19 b30NIJ ao 'JNOJ _I 80013 8 'Sall JI11V 3WVad NO NN&P kdNOSVW NO NJIBQ —� _3111 E L I 9 'HdSV N01^IWOJ 3WVad NO OJJndS ABNOSVW NO OJJf`1S ONIOIS 'lain ONIOIS SOIS39SV Q.PJ\08VH ONIdIS 1lVHdsV H1aV3 S310NIHS DOOM 313dDNOJ `O NIQIS d'Oa0 S"V09dV1J smooli 6 �� SnvM b N3HJ11X Na340W wood OV3H S3JVld 3813 1'.W.9 -ON ..V3dV JI11V 'A V38V .1.W.9 'Nld .. lln,j V,3aV " - I 1N3W3SV9£ £ L I _ 9 NIJNn 1lVM Aa0 .y. -' Sa31d a31SVld 4.MQaVH 3NO1S'do ADM 9NId , . ')1:19 3138JNOJ 3198JNOJ HSINIi VCIgUN1 8 NOI1VGNnoi Z NOi-LonH1SN00 S1N3W1aVdV _— s3Jljjo —_ kiiwvi 'I1lnW S31ao!s AlIWV3 3,9N1 Zl AONVdf1000 Lc" a1033a JNIaiins 1 1� c J d t t A P—M . ",7, -Il 0 z" t (ZL. vi bc) A IA vi bc) M, UA I IA 0? Xz 10 4�V L+ I _4 M, UA I IA 0? Xz 10 L+ I _4 �.e 4 t) i G =3iq .SGAGc" sic/ 7 - This This plan was not prepared from an instrument survey. Offsets and distances shown should not be used to establish property lines. This plan is intended for mortgage. purposes only. I certify that the structure shown on this-� Plan . in conformance with the zoning setbacks in effect at the time of construction. I certify that the parcel shown is --,Io -7- . located within a flood hazard area' as depicted on FEMA Flood Insurance Rate Maps for Community No: zsGo9� 2� Job No. c6c94 �4 9 � ` I MORTGAGE LOAN INSPECTION LOCATION: GGA z� sTA��coycy SCALE: DATE: REGISTRY: TITLE REFERENCE: 5,4—' 00i8 -247 z8 -s PLAN REFERENCE: COREY & DONAHUE. INC. Engineers & Surveyors 198 Cambridge Road, Woburn, MA 03801 11 O ..ww vI to LU Z W S� 1 FE S Z V) Lo V) W J ZD :ca Em Z cc O Q u W W O W Z z z Z W W O o z z m u oc W O T u zo m m _ C -j L J jr- f W 0' '> L �' r Y E ut o CL U LL cc V. Q to U. Q U- ID ILO fn FE S Z V) Lo V) W J ZD :ca Em Z cc