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Home My WebLink AboutMiscellaneous - 40 SURREY DRIVE 4/30/2018 �• 40 SURREY DRIVE / �" 210/074.0-0036-0000.0 --- MASSA CHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING AR e" (Print or Type41 AA 1,6e4if V ) Mass. Date zCO3 Permit # Building Location A7416 Owner's Name Aa 4z t Type of Occupancy__ ESi 7[r-N 71 r- New p Renovation ❑ Replacement Plans Submitted: Yesp No p N N W W N Z ¢ v; Y ZN dzalar W ' 0Jam3 N U D: W 0 m W x O 4. H0 b 10 Ito u °o rt 2 W 4 N Zt> W WHW V a W W 0 Cr rt us } O > o a- ffl Z O Z O N Z a W > W O Z. < a < oC W ® o O SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name 'j r,► (2 T A . ` AM MA T r)X20 Check one: Certificate Address 3C ❑ Corporation Ale T H U E IJ r11 rl 0 l y ❑ Partnership Business Telephone 10 92 —9 9- f p�irm/Co. Name of Licensed Plumber or Gas Fitter --R o a E P T A- 5 A M m H i A P > l &SURANCE COVERAGE: J have a current (jability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. ' Yes INo ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box A 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 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 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 the pe"i i ed for this application be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ZA Laws;�-4,By T of License: TG� Plumber n ure of cen u _ or Gas Fitter Title Iter er license Number. 9333 City/Town (OFFICE NL Journeyman BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES I PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING I NAME A TYPE OF BUILDING f LOCATION OF BUILDING PLUMBER OR GASFITTER LIQ NO. PERMIT GRANTED DATE 19 OAS INSPECTOR . _ � Date.. N°RrM pf"„ 10 3r �` TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION SACHUSEtA This certifies that . . . . . . . . ...`':. . . { . . .:`. .!. . . . . . . . . . . . . . . has permission for gas installation ... . . . . . . . . . • . • • . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . �.` at .`.f. . . :.�- �:� �I —�-'. . .. , North Andover, Mass. Fee? . . . . . . Lic. Noo./�. . . . . .: .:SAT *.� . . . . . . . . . . . GAS INSPECTOR Check 453 PlEkIfIT NO. � APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP dd0. LOT NO. 2 RECORD OF OWNERSHIP :DATE BOOK :PAGE ZONE I SUB DIV. LOT NO. LOCATION �I , PURPOSE QUORA"AmOdOG I� L OWNER'S NAME ` f`(a r� ] NO. OF STORIES t OWNER'S ADDRESS /G/.Ay v�1[yn�� 11Y1 BASEMENT OR SLAB f/ ARCHITECT'S NAME `7 �✓" SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME (r+'' (,'�1 SPAN -- DISTANCE TO NEAREST BUILDING 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 SIZE OF FOOTING X dS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION Cs IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 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 3 PROPERTY INFORMATION LAND COST K7 SEE BOTH SIDES EST. BLDG. DOST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQf FT. EST. BLDG. COST PER ROOM 4-AGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BUILDING INSPECTOR SIGNATURE OF OWN A AUTHORIZED aLr: F E 4—'1- S3 1 OL�LOWNER TEL.a PERMIT GRANTED `�`L. �- 1 le(: tom L� CONTR.TEL.# ��✓ �� s o� 19 74— �a-/<j��L:"tom? Lr y�� • CONTR.LIC.# I l H.I.C.# O 2O ` � � ► e.� � s6s 3 r , l 2 AUG 5 1994 f , OCCUPANCY 12 BUILDING RECORD 1 SINGLE FAMILY SiOkIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ B 1 2 13 CONCRETE BL'K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT I ,� AREA FULL FIN. 8'M'T AREA _ 1/1 1/1 °/, FIN. ATTIC AREA r NO B M T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARD"✓D _ ASBESTOS SIDING _COMf.ACN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY . STUCCO ON FRAME- BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. _ STONE ON MASONRY WIRING - STONE ON FRAMESUPERI_ ADEQUOR I� POOR NONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 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 I 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 1st 13rd NO HEATING Location 4p Su i2,t? I ,z a✓c No. Date 40R, ti TOWN OF NORTH ANDOVER . o? �' '••ore Certificate of Occupancy $ -- ov # Building/Frame Permit Fee $ IC 'I'�s'•^°''nth Foundation'Permit Fee $ s�CHUS Other Permit Fee $ Sewer Connection Fee $ ' Water Connection Fee $ TOTAL $ 0 Buildin�in5 ector t =.3 Q IQ 19 A Div. Public Works t . �' o �o lAndover Town el I ri, 13 No. 363 n,.Nort iLdover, Mass., t �- ; A�RATE0 ll BOARD OF HEALTH Food/Kitchen PERMIT T ILD Septic System BUILDING INSPECTOR THIS CERTIFIES THAT................................. .........454................................... �.................... Foundation • St.I,,RRCY.... V. 1.✓G .......... Rough has permission to ent.......h�.�- ............ buildings on .......... ....... • Jf ., `CQ//j-/ Q.N.�oo�C. �2•� �1� �/�t ��... /N bow& Chimney to be occupied as1l.I�YL..... . !.!? ,. .. . . .......... ............. .............,,................... provided that the person accepting this permi shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR i VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR • Rough T..7..�......... Service .. . ... .. .. .. .. ....... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT 1 and Approved b the Building Inspector. 0 Until Inspected a pp y 9 P Burner 0 PLANNING FINAL CONSERVATION FINAL Street No. } Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT �n :�4 Z t ' §4� s . .. h,wr.. x :w �w�St�air}i, '� :y•r ,+` :.; �T.G,� �atwfs=.-ii.s _ jw.4—�"`r:,Tr3'J''.+..L '" _ _ - fir. ,n•.t.,.t�,t" . :+a-.�• s.,i -e-.`�.. CBfiee(508)689.2159Res>ildon (643 329.5519 ' FF .,,;:r.�� - ��'yQ ppa�y� - 1`i� •'•'�•.yy-5^�£y ` `�'`.�3. 's ? X: . JOE BRAD[SH Vinyl and Aluminum Siding=and.Roofing, P.O. Box 448,Starwood Drive. East Hampstead, New Hampshire 03826 PROPOSAL'SUBMITTED TO PHONE DATE 731 ;c, STREET JOB NAME CITY,STATE and ZIP COD JOB LOCATION ti L . .4 . ARC ITECT DATE OF PLANS JOB PHONE We hereby submit estimates for. 164-zL T� j2� n��`• i�+ �,�Tlei�.�; 17 du 5 � w o / v //v `Tn ,,vG / v /LI-- AW—A C, AW—AC, �,,�U•? lam'�i�-t- \�?,i H puv�5' b W@ PYOpOS@ hereby to furnish material and labor—complete in accordance with above specifications,for the sum of: dollars($ ) Payment to be made as follows: (A j" /T,✓ CIL All material is guaranteed to be as spectfled.All work to be completed in a i` � tp workmanlike manner according to standard practices.. Any:,alteration or - Authorized deviation from above specifications involving extw.costs will be executed Signature only upon written orders,and will become an extra charge over andabove the estimate.All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. NOT is proposal may be, _ Our workers are fully covered by Workmen's Compensation Insurance. wit i'awn by us if not accepie8 within days. ` Aoegg nce of P a d — The above prices, specifics ions and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified. Payment Signature will be made as outlined above. Date of Acceptance: Signature - c -..._ 'A'4�- 'k`, ! .. ...,,p. i - >- -. �i�-T�•xy.•xx F.+.,.�'�.JY..+V�'+—, A'R:�if�"�'. 3... �..r..-r-:�-w«eY. .i. �1;� v ., •.�`Ol` '7 a aswN.M;;eJ[;'.`l'= i4 '� �c KOv v V •F�:rah 7..L .,n `'ti`t`t �a i^'. 11`t'•-Z •va �. I Laa ra *>;i t iV.'sta ��. 'r ` y�(' - e •.1: i ivl ..° \ ` .+)+., .'l 1, Oji. `�t.x '�.' `.•�y/��):J.= .;Y` -1 j.� G`L��:��.:1.�..�at a �J t'��"`clic:.-.,.-\•.��._�, .t. .' ;':•, � „ �`.ti`.11,c. :;c`i� �i..,i:+y` 'a., .'.r.{,`i? ♦ b.• � ��x�'l tilt{4`•rpy'!1,? ,. '�. 2, •� ``. jY*.,.,�{'tip,-"�� '''`:9`.�... i '•� <, a'`. ., -1 1,..'\i •,C' S/ .ti' v u ,tit:..j.. '.�1 jr �`.i..�.V�,�Y�n`, a`. IvZ• �"\yGjl jyo:.n' X11,.', v �=..y�.,�\ -'.t.•',yS,'¢•� !. _ i •i- '�1•'1 _ .�i a 11 -�a, t`1 '.�id.V\ 4 i4. �. 5 � .. to ,i `. a, `'� OSv Z- ♦.. e)\v 7,1. q ,)<. �t b -, t �i - � . .l i 1 a \',•', I- \:\S t��e t 1\r ` �.�/�#�, i\i ,�` `1Y 't s 5 v., •�', �i,i` .1 i - , ` .5 ,w •5. �� y.j ?-�,v11 �_i5 �'t,� 5\ti�i`v�lT o i' f - AL - '�♦ �f- '1'.i 5 ' QMMOWEALTHs 1 x., OF, • ` ENTbFIJSUC NE AS SAFETY NWFITON PLACE bSTOW,-MA Q21o8 - EXPIRATION DATE _ �n ... C 0 N S T R LICENSE P 05/21/1996 ERYISOR RESTRICTIONS ? 'EFFECTIVE DATE NONE = LIC N0. 06/30/103 021295 JOSEPH P BIADISN E SS 4 016-34-1990. # : STARWOOD DR o PHOTO(BLASTING OPq ONLY) `1, . E HAMPSTEA NH J3826 z E� m Fi00. 01 NOT VALID i� ��/.,.' -'''• HEIGHT: ALDUNTIL SIGNED BY LICENSE?G' •p ry1! STAMPED- _/!j' N Y '•rte: •'.• ST OR-SIGNATURE OF THEI\. D , 's r 05/11 /1945, ;d'+Si�S:,•115\t�:_-�_ ./ . i,\:\.�,.'x,•,_,-'�: THIS DOCUMENT MUST BE r \• •`\`tib.." CARRIED ON THE PERSONOF ! OTHERS- THE HOLDER WHEN EN- SIr• RIGHT Ti'IUAIB PA INT GAGEDINTHIS --_ OCCUPATION. IONER �. H��fPR9YE41EQF�@14�#8k Repistratioa 102097 ' Type - INDIVIDUAL Expiration 06/30/96 ` Joseph P: Bradish, Jr Starwood Or - P.O. Box 448 D E. Haipstead NH 03826 Ge�a�i c-o�i �itd ADMINISTRATOR