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HomeMy WebLinkAboutMiscellaneous - 43 SUTTON PLACE 4/30/2018 43 SUTTON PLACE 210/060.0-0107-0000.0 - ----- - _-`- - Date..12A..... .�. . ...................... CF r►ORTI�,� TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION * y �7 • .d $3ACHU56 S' �� -�—�--4 This certifies that J�...�.......s..�..I .............. has permission for gas installation ....���.! ..........O.-a:"',".................... �.-P � �� ` 10 inthe buildings of.....................�............................ ................................................. �}. S - ��. at...........................u...................... ........................................, North Andover, Mass. Fee.:JC).-...... Lic. No. ........ ..r7. H. ................................................... ' GAS INSPECTOR Check# 9756 QR 1a•� 1Co 1 Lx. q�05��� MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK :07E - _ O�"I 6R, - J CITY N.ANDOVER MA DATE 1211812014 PERMIT# J 0 B S I T E ADDRESS143 SUTTONPLACE OWNER'S NAME BOB LEGROW OWNER ADDRESS F SAME TE L 978 496 5959 - FAX TYPE OR OCCUPANCY TYPE COMMERCIALE] EDUCATIONAL PRINT (�� RESIDENTIAL CLEARLY NEW:[ RENOVATION: REPLACEMENT:[1 PLANS SUBMITTED: YESE] NO[11, i APPLIANCES Z FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER f__ _—..._ - __. r i' BOOSTER CONVERSION BURNER -- COOK STOVE DIRECT VENT HEATER - DRYER _. i r -— -- _ ��� - _j 17 FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT -- T OVEN POOL HEATER L..� 7 71 -- - - ROOM 1 SPACE HEATER F-zjl L' ROOF TOP UNIT TEST UNIT HEATER .,_�." UNVENTED ROOM HEATER WATER HEATER.— I y OTHER GAS LOGS � - - --- �� �.....� I INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES D NOE] IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY o OTHER TYPE INDEMNITY BOND IF 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: OWNER 0 AGENT SIGNATURE OF OWNER OR AGENT 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 compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME BRUCE J.LIPINSKI LICENSE# 3735 SIGNATURE MP 11 MGF I JP f, JGF ED LPGI[j CORPORATION F71,# 99 :]PARTNERSHIP#= LLC # COMPANY NAME: NEW ENGLAND GAS SYSTEMS INC ADDRESS 102 LOCUST ST _ CITY DANVERS STATE MA , ZIP 01923 TEL 978-774 7030 FAX 978 739 4302 CELL 508-843 4724 EMAIL newen land as ahoo.com ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES i Yes No P4416� THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES j.: COMMONWEALTH OF MI#SSACHUSETTS>. PLUMBERS AND GASFITTERS ISSUES THE FOLLOWI 'tICENSE RElIST'EREO ASA GAS CORPORATIO BRUCE J L I P I NSK.I ( ', NEW fN tAtJf]: GAS SYSTEMS IN-C,. MGF,3r <` 102 LOCUST'ST R,ANSVEa`SMA 01923-2204 0 0 l:b 2102 2 COMMONW'"J" s w . OF MASSHUSE.TT BEAR©OF PLUMBEA5 AND GAS,F 1 TTERS . ISSUES THE FOLL VA OWINSNG : LfLEf : LICEIySEq E. MASTER GASF«LTTE "' BRUC LIP J I NSK I 102 LOCUST STREETDA VERS A .o l:: 2; 0. /0j/9{3 2204 - . 2102 --� el Date.w/ / ... . ..... .. V NORTH Of .ao 1ti0 3= '` TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION a 9 + �9SSACHUSE� l This certifies that . . !r. . .� has permission for gas installation .. . . . . . . . . . . . . . in the buildings of . . 2c� (�.: -. . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . 4 . �. . .f' . ... . . . . . . . . .. North Andover, Mass. Fee. .3.° . . . . Lic. �!1... . . . . . . .AS INSPECTOf Check# 7J TI 23 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING & CitylTown Date w Permit# ... ( .w ` ? Building Locatia,: L7 _. ` 2 � ... Owners Name. .. eh% ! Type of Occupancy: Commercial, Educational, � Industrial I Institutionali , ResidentiaX New:,"—, Alteration ' , Renovations Replacement f� Plans Submitted'. Yes µ No i FIXTURES co z w coY Lu 0 to = rn m to m = 0 W W 0 (n ~ to w w O z 1– Z .F W W w0 F- 0 z � 0 W to W m O FQQ a 1- O w _j o- X > W z to C7 ~ W y 0 Q z 0 d M W �' a W W w Z �a rn = W F' U U, J J W COH _ W W W z W rn . J Q Q m W O Z O W U O 0 t=L (9 20 .: x O a Oa' F > > y O SUB BSMT. BASEMENT 1 FLOOR 2 Nu FLOOR 3 Ku FLOOR 4 FLOOR -6TH FLOOR FLOOR 7 FLOOR 8 FLOOR ma e �j e st q h r°rYJ S _ _-0 I 1/16i10_. G _ Check One Only Certificate# Installing Company Name ..__ ..: ._------. _ Corporation % (�•� Address / �fl 1 ]CitylTown�� �� ;State MA .. _ W Partnership i ; Business Tel Q Fax ' ` FirmlCompany! Name of Licensed Plumber/Gas Fitter:.,,; INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes NoE If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity 0 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 _ Owner [ Agent € , Signature of Owner or Owner's Agent 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 compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ype of License: 7APPROVED y ` . _. a Plumber " ✓ Cas Fitter Signatur ` o Lice Plumber/Gas Fitter Master JourneymanityrrownLicense Number: OFFICE USE ONLY LP Installer a Date.rn. . `3• . � N2 4 9 i 5 t o'<"•��T:�4, TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . . . . .� .. . . . . .. . . . . . . . . . . . . . . / J2iz,.C. J�/ has permission to perform-./...-. . . . . . . . . . . . . . • • • • plutianbing in the buildings of . - . ..... . . . . . . . . . . . . . . . . . . . . . . . q. at. . . y - C7t�-` ' . . . . . . :`. f (/ _ . , North Andover, Mass. Fee_ . . . .Lu. No.. . . .. . . . . . . . �/ \ 'PLUMBING I,NSPE-TOR Check # Z 9 WHITE: Applicant CANARY: Building Dept. PINK:Treasurer III MASSACHUSETTS UNIFORM APPLICATION FOR PE_RMM'ITT TTODO PLUMBING (Type or print) NORTH ANDOVER, � yy MASSACHUSETTS Date Building Location Sa dti P/A1C.e- OwnersName Permit 4 Amount 3/ Type of Occupancy New Renovation Replacement Plans Submitted Yes F1 No n FIXTURES r iz con Z Cr w a xd a d H x w Q w A w d A x ' SZBBg1� 8�9�1VIIVT M FI." Z ID FIOCR -IM FIOQt 4M FIDQt 5M ROM 6M ROM 7IH FI.00R gm HDM a (Print or type) / �/[ Check one: Certificate Installing Company Name d /V f o(IPM tL/ / Corp. 1 Address El Partner. i1J •f Y2 Business Telephone Finn/Co. Name ofLicensed Plumber. 0 P AIL- Insurance Coverage: Indicate the Ppe of insurance coverage by checking the appropriate box: Liability insurance policy LJ Other type of indemnity ❑ Bond ❑ InsOurance Waiver. I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent F� �-- 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 Permit Issued for this application will be in compliance with all pertinent provisions of the MassaAhus9tts State F tubing Code and Chapter 142 of the General Laws. By: ign, o LicensedPlumber ype of Plumbing License Title City/Town g um er Master ® Journeyman APPROVED(OFFICE USE ONLY LocationNo. Date Date i N�RTM TOWN OF NORTH ANDOVER + • . Certificate of Occupancy $ �ss"cHustt Building/Frame Permit Fee $ j Foundation Permit Fee $ f Other Permit Fee $ l TOTAL $ J Check #14 / '-' Af 110Building Inspector TOWN OF NORTH ANDOVER BUILDING D EPARTMENT ` APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ,,`E* t i y x •7-" + a BUILDING PERMIT NUMBER: / DATE ISSUED: 9_a Y s .tet SIGNATURE: C Building Cominissioner/I for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 4, Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zonis Distrid 1; .sed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard . Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.LC.40. 54) 1.5. Flood Zone lufomiation: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Nam Print) -.0. Address for Servicee. V Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ r Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 company Name Registration Number address Expiration Date ;t nature Telephone SECTION 4-WORKERS COMPENSATION(1VLG.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.......0 SECTION 5 Description of Proposed Work check aR applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition 0 Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: 12 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost Dollar to be � I Completed b rmit a licant s _ 1. Building �V u (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 (o v J Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER GENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, k aOwner/ thorized Agent of subject property Hereby authorize to act on My beha in all na tterl relative to work authorized by this building permit application. 7 ( 29101._ Si nature of Owner rDate SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, ,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 Print Name Signature of Owner/A ent Date i ms NO. OF STORIES SIZE RD BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 3 SPAN DM41ENSIONS OF SILLS DRAENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH ANEY IS BUILDING ON SOLID OR FILLED LAND j IS BUILDING CONNECTED TO NATURAL GAS LINE Building Department 27 Charles Street North Andover, MA. 01845 D. Robert Nicetta 'ss;C,„j5 AA Building Commissioner (978) 688-9545 978 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE JOB LOCATIO � -3 C C- N—um b�er -Number Street Address / Map lot "HOMEOWNER J t-r Lc' G ns�-j S 7 t) ( �/ S-0 0 j 5 �j'?•� `7 g �-- x'23� Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does. not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1 j DEFINITION OF HOMEWOWNER:: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, oris intended to be, a one or two family dwelling, attached or detached structures ac- cessory.to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner"certifies that h0she understands the Town of No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL o wn ot � E D_ . o _..w-. .. :; Andover No. C% �_ o zo �oCH,c P dower, -o 9-amo �A , Mass., / DRATED 11 BOARD OF HEALTH Food/Kitchen PERMIT Septic System THIS CERTIFIES THAT .......... BUILDING INSPECTOR ...... .... ...................... .. ...cSv7�loiu n�o� ,...,,, buildings on / Foundation has permission to erect.... �e ................................... Rough j to be occupied as on Gm M-x ............................................................................................................................ Chimney i provided that the person accepting this permit shall in every respect:conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Law relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. G � 434'b,— PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough [rrvice BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Shall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT FBurnerNo. SEE REVERSE SIDE Smoke Det. Date.5.- ? S 4045 � V ,� pORTM °� <��-:°;•,',tio°� TOWN OF NORTH ANDOVER ' PERMIT FOR PLUMBING 49 'SSACHUS� This certifies that . . . . ! ". . . . . . . . . . . . , has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . L`'. . . . . . . . . . . . . . . . . . at. . . .�!.3. . . � G l.'. �. . . . . , North Andover, Mass. r' Fee. A.u. r .Lic. No..*:.'/. . .3. . . . . 1i PLUMBING INSPECTOR 05/27/99 14:52 20.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING 1 (Print or Type) Mass. Date 194— Permit # 0 Building Location Ikw Owner's Nam ` 4A21. /� Type of Occupancy �4t S+ D E ti T i t:1 New p Renovation ❑ Replacement l!d Plans Submitted: Yes ❑ No ❑ FIXTURES z Z Y a N O Z N W Y J N Q V f N O QCC N Z N d ¢ ¢ _ z O 2 H G. O W f' W_ y M, V N N W z H O N m °C } < N Z ¢ a c7 a s < 3 x tt W O O Q d N Q '2 < W N G 4 J Z .Q a 0 W W S ~ ~ W 3 O a ' 3' J ¢ G W S H V < S 3 = Z 2 V a O H < Y d W U. Y W 3 Y J m = a d 0 a -+ J d ¢ ¢ ac a 0 < H vi c c J r SU6—SSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name- P1/ o,�,EeT ,a . 1rarrM A TA e 7 Check one: Certificate Address_ 7�f �'C!-}C H/Y1�n 1 r ❑ Corporation fi l A 0p Partnership Business Telephone &f j_i97 1 9-0i"/Co -� Name of Licensed PlumberT rr� SA,�►�rvlr? rr4,o-Oc^ INSURANCE COVERAGE: I have a current Liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes C' No ❑ 10 If you have checked Les, pleaseindicate the type coverage by checking the appropriate box. 1d 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 O 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 owned under the permit' for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ' g e and apter of the erat Laws. Title re of Licensed Pium r Ctty/Town Type of License: Master % Joumeymar ❑ APPROVED(OFFICE USE ONL License Number q33 5 BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME &TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 18 PLUMBING INSPECTOR M Date. . .. .... © '2—.. . . s� Of ,ORTM F '14, O� a TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION � gsss�f MUSEtt v This certifies that . . %'. . .f. . : . . ...: . :.:� . . . . . . . . .. E" has permission for gas installation-.-. .,.,- in nstallation-.-. ..in the buildings of . . . . . . .- .: :-'. . ... . . . . . . . . . . . . . . . . . . . ' at . . ... . .. . . . . . . G. , North Andover, Mass. --GAS INSPECG� Check# 389 MASSACHUShTfS UNIFORM APPLICATON FOR PERMPr TO DO GAS FTITING (Type or print) Date '" Q NORTH ANDOVER,MASSACHUSETTS Building Locations Permit# Amount$ �5"b Owner's Name New❑ Renovation ❑ Replacement ❑ Plans Submitted94 ❑ W rn co� � U W a W W W Oa OU z z " F 1 O W G �' a z U x a w w 0 a w F x H z W� z w w c� U O x 0 z w A C7 a U 09 0 � A F O 1�° SUB -BASEM ENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6 T H . F L O O R 7 T H . F L O O R 8TH . FLOOR ELL] L (Print or type) �j heck one: Certificate Installing Company Names fl 17 Pi1 '. / �' I�1� � Corp. Address L 9- Cr/4/2'10 Z 'Le Partner. 1 Business Telephone C7 7 @ _ 6A C _ S-Y,l e Firm/Co. 1Name of Licensed Plumber or Gas Fitter �7'(J�/ �/�,�j IV INSURANCE COVERAGE Check on . I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked}_es,please indicate the type coverage by checking the appropriate box. 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts to as Code . d Cha ter 142 of the General Laws. Si ature of Licensed Plumber Or Gas Fitter Title ❑ Plumber « 21 City/Town ❑ Gas FittericenLnse Number ❑ Master APPROVED(OFFICE USE ONLY) ❑ Journeyman