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HomeMy WebLinkAboutMiscellaneous - 41 MOODY STREET 4/30/2018 41 MOODY STREET J 210/081.0-0027-0000.0 Date..... ................. OF r10RTy 1 _ � o41'�' "" '�'�°°�, TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 83ACHUS� This certifies that-1� r .. .��.► Qr!► ....... ✓41.. .............. has permission for gas insta altion ..... . ...�......... ....... G ..... .��C_ in the buildings of....... .C....} ... :n1...... .... ....................................................... at..........A ........ .t�.�.t, . ...... .... - '.M........, North Andover, Mass. Fee bo n....... Lic. No. .I � i....l .................................................... GASINSPECTOR -Check#� �= MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK 5', CITY MA DATE 3-2-f -I S- PERMIT# JOBSITE ADDRESS - Vhooc�� ST" e- a� OWNER'S NAME GOWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL[� PRINT CLEARI,Y NEW:❑ RENOVATION:❑ REPLACEMENT:211, PLANS SUBMITTED: YES❑ NO❑- APPLIANCES 7 FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE ........-- INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TESD UNIT HEATER UNVE:NTED ROOM HEATER WATER HEATER OTHER Pfer moje DJ INSURANCE COVERAGE 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 YES [+'NO ❑ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY El' OTHER TYPE INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER: lam 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: OWNER ❑ AGENT ❑ . SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted or entered regarding this application are true and accura a to the m ledge and that all plumbing work and installations performed under the permit issued for this application will be in compliant Pert! vi ' the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. , PLUMBER-GASFITTER NAME LICENSE# �S"6 S ATURE MP[9"MGF❑ JP❑ JGF❑ LPGI❑ CORPORATION B# 36/? PARTNERSHIP❑# LLC D-I COMPANY NAME —F-e<-co e, ces ADDRESS /03 GGeeYTOxJ ST d_ CITY a&40iJ STATE /ti'sA ZIP O'ZtZZ TEL FAX CELL ;sop- 72b-(995; EMAIL cP .tom/£ <e.�¢ h���P� ' v►�I r � • MMONWALTH p • , • F MASSAC}jus P'L1- 1 OMBERS ? SFITTER ISSUES THt,`FOLLOWIj4G S- L ICENSED ASA MASTER L1$IENSE PLUMBER RAVI z: W GARFI .dam > ELF} � . L LOW S°T BROCKTpN r�a �, W 15645 0?301 141 :: OS/o l/16 . 226442 COMMONWEALTH OF MASSACHUSETTS;: BOARD OI< PLUMBERS .A. 0 GASF JTTERS ' ISSUES THE FOLLOW I"CENSE x REO15rtFRED AS A P,LIlMB i NCRP 41 a DAVID W GARFIELD JI, WNEY BRQTHER5" SERVICE, LL.0 21 W I LLQW gyR01;1(7ON M.02301 36fi9 05/01/1;:6 221413 Date.... A.11o.o.... N2 2 3 1%9. 7 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING This certifies that ......�..... 4-...... .. .. ... ............... ......................... % has permission to perform— ............ ........................ C/ wiring in the building of...... ...........M..C.Da.vab..v...31.............. at.....'.+.[........ ........... fe.... .North Andove ass. Fee... Lic.No N5 .....//;r......................... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer TIN TBECOAtVONHIE4LTHOFAL4SS4(71USE77S Office Use only DEPARTME7Vf0FPUBLICS4FM Permit No. :5 O 7 ., BOARD OF FIREPREVEM70NRFfiMTI0AS527CMR12-A7 Occupancy&Fees Checked APPUCARION FOR PA TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Q p �- j Owner or Tenant ��5 Owner's Address Is this permit in conjunction with a building permit: Yes r71 No (Check Appropriate Box) Purpose of Building c n/e�� 1 / 5 ©O� �� Utility Authorization No. Existing Service a o Amps��Volts Overhead Underground No.of Meters �— New ServiceAmps /a�fU Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work _ L(tL- —ayn, /OC97_ TO 7277 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures / Swimming Pool Above Below Generators KVA Jground ground No.of Receptacle Outlets ! D No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and a Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dkers Heating Devices KW local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• Insura=Covwr Pt I*bthelagl�tai oEIvi ad> sGeltaalLaws IlmeatutadLiablidyltsta=Pbbcymdu&gCanpi to CoArdgeorissksbnfaloWhdat YES NO Iha, mbr A vandptoo(ofsame1D&Of»YES n NO IfjwhnedrdodYES,pimeQtdic*thetyWofmwr. ebydudasgthe MJRANCE o BOND o OTHM o Fleme ) EViratim> dr VahtelWak$ WakoStatt - S - hgxci7D*RpxsW Ra>gtt Sigted tayder�ie P�>a1�s ofp ejtey. FIRMNAME LileNa Lir�az9ee% s ch BLsmessTdNa dims � C90 K� S T d 62 Cty Ak.TdNa OWN©t'SINSURANCEWANER;Iarnawmdmttheljoaisedmnot tlavetheitwwxwwm ea-Assamle4uvdkrtasm*medbyMassadas&GmxdL3ws andthatmysgf�mftpamitappficab,MwarAsth'sm msnat (Please check one) Owner Agent a r}I�C Telephone No. q 8 73 3 ' PERMIT FEE$ Location NG. / U Date a NpRTs, TOWN OF NORTH ANDOVER • s . " . Certificate of Occupancy $ S'•••°''<� Building/Frame/Frame Permit Fee $ s�CHuse 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 13 7 v 1) � Building Inspector a TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING W 'S1 y BUILDING PERMIT NUMBER: DATE ISSUED. %W�� MW SIGNATURE: Building Commissioner/lMeeaoro uildin Date SECTION 1-SITE INFORMATION I 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 9 -Mc;,04 f 8 '-Map Number � Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Am 7SaZonin District Pr osed Use LoLos Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record �j�' n.I, �1 y�,��,, � f �rte-$ i t C�O✓�0.. �( � " 1 l / Wo o� Name(Print) Address for Service: Signature Telephone 2.2 fawner of Record: ` Name Print Address for Service: z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: Ic License Number mn Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name M Registration Number r Address Expiration Date Signature Telephone A �i SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......❑ SECTION 5 Description of Proposed Work check au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee JP ®E7 Multiplier 2 Electrical (b) Estimated Total Cost of �/6 0 Construction 3 Plumbing Building Permit fee(a) X(b) 4 Mechanical(HVAC) ^ r 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 � C JC/�`tio-`c�¢i!.� as Owner/Authorized Agent of subject property Hereby authorize to act on s My. alt,in all matters relativeto work autho i d by this building permit application. Signature of OwneY Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION TIf� I, 1 `CM Q.S Z5PC_12, v`� as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief 57 Prin fro c> Si ature of Owner/A Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS I 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL,GAS LINE NORTIy Town of Andover Q No. A o dower, Mass., 69 COC MIC�E w1CK � ADRATE D PPJL\1% S BOARD OF HEALTH Food/Kitchen PERMIT T , D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.... W.............................. ....... ..........Cr4N O v /1 ...................... Foundation has permission to ePW.. N..440 ~.: ... buildin s on .....4//........�O v� &�............. Rough ......................... ...................... �" lI'FC III W Chimney to be occupied as.........................y........................................................................................................................................... provided that the person accepting this permit 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. jn'n 81 P a/7 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough i Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR - UNLESS CONSTRUCTION Rough ................ ......... .. ............................................................................ 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 Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE o ;SmokeDet. � Location No. Date �ORr►, TOWN OF NORTH ANDOVER 0�4t.ao ,°,ti0 F , Certificate of Occupancy $ + Building/Frame Permit Fee $ '' b nFoundation Permit Fee $ ` M� ✓,nn.Iei�tFee G L �- � Sewer Connection Fee $ 2 AM Connection Fee $ �I��• 41WOMe? ?o3fiAL� � � $ (-� 1_Jc—t_.i A Building Inspector £ Div. Public Works PERMIT NO. / APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE I MAP d40. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE — ZONE I SUB DIV. LOT NO. I �( LOCATION %/ / �O&:: N 5y-s PURPOSE OF BUILDING OWNER'S NAME[�7--/ etas A�1//�]/� � 1 NO. OF STORIES ( SIZE'rtC�. OWNER'S ADDRESS, BASEMENT OR SLAB .. ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1ST 2ND 3RD BUILDER'S NAME 9C SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS vlo� DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION [/ THICKNESS IS BUILDING NEW �0� � SIZE OF FOOTING �� X " ` IS BUILDING ADDITION 42/ MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND Cl WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY AA0 IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE 1� INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COSTh�'v VZ, 1 F PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER 8 .{LFT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS 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 1 DATE F-cn '�/D BOARD OF HEALTH SIGNATURE OF OWNE OR AUTHORIZED AGE FEE PLANNING BOARD PERMIT GRANTED BOARD OF SELECTMEN V APR l i ���_,. � '`1 OWNER TEL. CONTR.TEL.# C R-n e- BUILDING INSPECTOR f CONTR.LIC.# BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MUL FA MILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APA MENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ d 1 2 13 CONCRETE BUK. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL . I 3 BASEMENT UNFIN. • AREA FULL FIN. B M TAREA _ - '/. '/p. 1/ FIN. ATTIC AREA N_O B M'T FIRE PLACES _ HEAD ROOM _ MODERN KITCHEN _ 1 4 WALLS I 9 FLOORS `1 CLAPBOARDS B 1 22 f 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDW D ` r ASBESTOS SIDING COMMCN VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO�N FRAME BRICK U. MASONRY ATTIC STRS. & FLOOR BRICK ON FRAME (f CONC. OR CINDER BLK. STONE QN MASONRY WIRING - STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I IP BATH (3 FIX.) 4t GAMBREL MANSARD TOILET RM. (2 FIX.) 0,_ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING N... A TAR & GRAVEL STAR'ST-IOdJEfF 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 A r LD/7�110.N�t/E447H /M(L0NALD Job No. 8810773 • t oT '"3L� r � LOl_ 13 q a 21', 7TV 'I STY WGOD; 1 I cS1re'EBT � �;�1N OF ALeo c ��. /00. 4 �� •` ti PAUL G✓+ r !ic�a J. H /`10040'V f T�e,::-:r " DeSIMONE No.30466 . This plan was not prepared from an instrument MORTGAGE LOAN SPECTION survey. Offsets and distances shown should not LOCATION:4/ r�oovy sre:� r. be used to establish property lines. ,v Q,voo vE,e This plan is intended for mortgage•purposes only. SCALE:-/- = Qo DATE: 12- I 2-I certify that the structure f4l shown on this REGISTRY: NniFS(,EX Plan - WAS__in conformance with the zoning TITLE REFERENCE 13A /83z /V 2.7 setbacks in effect at the time of construction. ' PLAN REFERENCE: $o2Z I certify that the-parcel shown is NOT located within a flood hazard area as depicted COREY & DONAHUE. INC. on FEMA Flood Insurance Rate.Maps for Engineers&Surveyors Community No: 198 Cambridge Road,Woburn,MA 018ol 44, (N'\1 .(awn . 0mi n - oviziL 4VT O io. Pry Mass., 1 9 �'/ iFY ^-MEWIC, - SS BOARD OF HEALTH -P E R M. TL D THIS CERTIFIES THAT..../. 0.41..gn�..�.f�:..�0�VO.��/.... .A.................... BUILDING INSPECTOR has permission to e� Wt*.j1 . e6ings on .....r..'j. �. Rough . .. ............. • Chimney to be occupied as.- s.. . . &OV. �'.... ✓.. .fir S.. /. !� ./ 0.4.4 ..... ,���y� Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR ST TION STARTS Rough UNLESS CON Service / Final ....... .. . ............................................... BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector