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HomeMy WebLinkAboutMiscellaneous - 447 STEVENS STREET 4/30/2018 j 447 STEVENS STREET J 210/096.0-0019-0000.0 pf NO°TM 1N O TOWN OF NORTH ANDOVER 70 PERMIT FOR GAS INSTALLATION ,SSACHUS Et This certifies that . . . ..4e <�� . . . . . . . . . has permission for gas installation . in the buildings of . . . . . . . . . . . . . . at . . ... . .. North Andover, Mass. Fe6:3') Lic. No.-? . . . . . . . . . . . . GAS INSMTDR Check# f3G V0 55u4 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) �1D t1� ANDOV(PL -. Mass. Date 312,0&6, Permit # -" Building Location 4+7 S LE_K)_ ( -T Owner's Name .�lQ�M W-1AC.NE NORTH A (0Vr_k_ Type of Occupancy R ESI OC.,4C17IAt- New ❑ Renovation ❑ Replacements Plans Submitted;/esp No ❑ N N � SG W N N N o z m N U) IX 0 W W C O V t- ~ m z 2 O W 4 ¢ >- O O ~ W m N H W O d IO F- N C N tl W W = = 1- of � R O. W W Z N W < C F- p h tl F- Z J F- Z F. W W tl 0 > W !- V J N W Y 4 W 4 C >• N m Z O 2 WO 2 4 ,w > w = 2. 3 4 ¢ 4 4 O O W a: O p F. C .z O tl U. a c tl .� V C y p a F O SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Luw Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET ?O Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership _ Business Telephone 9 7 b-6 8,7-110 5 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have acu renntt liability ins r❑ ce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. If you have checked ye, 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 abo pplication are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit iss i r this application will N In compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. T e of License: Plumber Signature of Licensed Plumber or Gas Title Gasfitter Master License Number -3 7 4 5. City/Town Journeyman APPROVED OFFICE USE ONLY BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE N0. APPLICATION FOR PERMIT TO,DO GASFITTING NAME TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LiC. NO. PERMIT GRANTED DATE _,19 GA13 INSPECTOR \ Office Use y ul�� �IImmnn>ul:tti ofttttlatt> uttl` Permit No. _ _ w il iBepartmimt Of puhlir i6afaq Occupancy& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 1 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CM t .00/_ / (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date IN* or Town of NORTH ANDOVER To th ns ector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) / f'�wee Owner or Tenant 2Ci6 Tit' 7E92& Owner's Address /.77', Is this permit in conjunction with a building permit: Yes FENo (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps _J Volts Overhead t❑ Undgrnd ❑ No. of Meters New Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Hot Tubs I No. of Transformers Total No. of Lighting Outlets i KVA No. of Lighting Fixtures I Swimming Pooi Above— No. i In- grnd. ' grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets I No. of Oil Burners Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges I No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disoosals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I Soace/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW Local 7 Municipal Connection F-1 Other No. of No. of Low Voltage No. of Water Heaters KW I Signs Sailasts Wiring No. Hydro Massage Tubs ' No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES = NO = I have suomitted valid proof of same to the Office. YES = NO = If you have checked YES. please indicate the type of coverage by checking the appropriate box. INSURANCE BOND Z OTHER = sPlease Specify) �y(Exoration Datel Estimated Value t .e is Work S Work to Start Inspection Date Recuestec: Rough Final Signed under a 7n4zitiesof perjury: FIRM NAME L° N LIC. NO. d L Licensee 1 _LIC. NO. Bus. Tei. No. .��3 ��� Address a Gt Alt. Tel. No. OWNER'S INSURANC WAIVER: I am awa a that the Licensee does not have the insurance coverage or its substantial equivalent as re- ay Mass husetts en ral aws, d y signature on this permit application waives this requirement. Owner Agent (P!ea a the ane) Teleohone No. PERMIT FEE S gnature of Owne nt) x-6565 Location 7 -,.d No. 2-.7 Date NaRTh TOWN OF NORTH ANDOVER 0:� .to ,•'�.y0 ? .. • 0 9 Certificate of Occupancy $ °'t Building/Frame Permit Fee $ MUS Foundation Permit Fee $ Other Permit Fee $ TOTAL • Check # 'i 6 4 3 �/ Building Inspector Date.......:......................... NORTH TOWN OF NORTH ANDOVER 0 p PERMIT FOR WIRING SA US —� v. i This certifies that ..................: fir......, ...... _. . s has permission to perform ... �_ . f f.. .'!.,....... 1.:... ..:.......j...�z...�.� ff�''r�! wiring in the building of..... ... ........................... . . � JJ m a�..J.. . .7`...; ,North Andover,Mass. Fee... ,,`7 ......... Lic.No/ - ' '4-............................................................ ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED. _ M 3l0 � X SIGNATURE: Building Commissioner/1to of Buildings Date SECTION 1-SITE INFORMATION I 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: //1/7 STt~v6Ays ST, q� 9 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Distrid Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided ReqWred Provided 1.7 Water SupplyM.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 �J014A) �C AGf�E�� 11Y7 Sl Lr"&W 57 . Na (P. t) Address for Service: ( - �7 ature Telephone (O t2 Owner of Record: V" Nyo 0 /7e, G Ac�d��eW I'�147 sf2r?le- rs 5 Name P ' t Address for Service: -64(� - M 1ture Telephone 90 ECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ AG 0 Sil Licensed Construction Supervisor: 0 33J License Number /0 �IGG�12 AUL, GUiI, �l✓7)C�7"D� Olflk`� on Address _ 9g-6s-R-4270 E ire' n Date 3 Signature Telephone F 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name /0 76 9() M Registration Number r Address r f 5-h 0 ^ Signature Telephone E iration Date Y/ SECTION 4-WORKERS COMPENSATION(KG.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.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction 11 Existing Building ❑ Repair(s) Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 37AQRS 41X e 10KIR CX1S_r1,V6 5feN-r1_-)v2e11 444b � �i , QC ,,fd6 � ej) yUT -i0/ 'U �XC1r�� ��c I sfi✓UG� �oRC k, SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of 0� �— Construction 3 Plumbing Building Permit fee(a)X (b) 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 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date 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 4 ent Date UR NO. OF STORIES SIZE BASEMENT OR SLAB ST NO SIZE OF FLOOR TIMBERS 1 2 3 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 FORM U LOT RELEASE FORM �n�& r s s INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** i APPLICANT 110Hk1 4e e4cIla A/ PHONE �t6 LOCATION: Assessor's Map Number `'�' PARCELL SUBDIVISION LOT(S) C STREET sr�1e;t16 37- ST. NUMBER ************************************OFFICIAL USE ONLY*********************************** RECO ENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATr%ry DATE APPROVED DATE REJECTED COMMENTS in KLnJ only W o e- � 1 h h ry Ltilr e. cC - 1 lin �c�1An cv ` A TOWN PLANNER DATE APPROVED . DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 im North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant v (/1 C Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector No K rH E Town of And 0 dover, Mass., 3 ADRATE D S H � BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System M.'.R.A.AA BUILDING INSPECTOR THIS CERTIFIES THAT.... Q . . ......... .......INA.)..................................................... Foundation has permission to erect...... ......x4o ....... buildings on .......... ..A......... Rough .. ...l.V.....�1V,s ............. ......... to be occupied as Chimney .... ..................................................................................... . ..............................:..................... . . .. . .. .. . provided that the person accepting this permit shall in every respect con orm to the terms of the application on file in Final this office, and to the provisions of the Codes and By- ws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. ,® ' � ,�� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. S M� Ire o4 pwj+ 4b AA*1 Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION TAR ELECTRICAL INSPECTOR Rough !................................................... Service C( .. .. ... ... . . ..... BUILDING INSPECTOR 1, 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. I SEE REVERSE SIDE Smoke Det. DATE: SCOTT L. GILES FRANK S. GILES II MAY 15, 2003 ZONING DISTRICT R3 FRANK S. GILES SH OF REVISIONS: AREA: 25,000 SURVEYING 0� � MIN. FRONTAGE = 125 50 DEERMEADOW ROAD U a1 41719 co MIN. FRONT SET BACK = 30 FT SCALE: 1 INCH = 10 FEET NO. ANDOVER, MA 01845 A°Ffssto�P� MIN. SIDE SET BACK — 20 FT o' TEL: (978) 683-2645 �aHo suavE�°Q MIN. REAR SET BACK = 30 FT ^, E-MAIL: FrankGilesSurvey@attbi.com MAY 15, 200-31 45.0' PLAN OF LAND W PLATFORM LOCATION Q 447 STEVENS STREET 6.6' SHE N. ANDOVER, MA. v� -12:3, PREPARED FOR JOHN MCEACHERN 9' 6' o ASSESSORS MAP 96' W PARCEL 19 LOT Ecot SUBJECT PROPERTY .AREA — 1,904 S.F. t�Q`` ,,,� JOHN MCEACHERN EXISITNG BUILDING 447 STEVENS ST. #44.7.STEVENS ST. . N. ANDOVER, MA. 4.F 3 ASSESSORS MAP 96 EXISTING PORC ----_ - PARCEL 19 DEED 6417 PG .340 ON 21 3 3' r I STEVENS STREET r THE OFFSETS SHOWN ARE FOR THE USE OF THE BUILDING INSPECTOR ONLY AND SUCH USE'IS FORTHE DETERIVIINATION OF ZONING CONFORMITY OR NON-CONFORMITY WHEN CONSTRUCTED. C:\CLIENTS\MCEACHERN\PLOT PLAN.DRG i