HomeMy WebLinkAboutMiscellaneous - 447 STEVENS STREET 4/30/2018 j 447 STEVENS STREET
J 210/096.0-0019-0000.0
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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 ❑
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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
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