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HomeMy WebLinkAboutMiscellaneous - 46 MAY STREET 4/30/2018 46 MAY STREET ` 210/018.0-0010-0000.0 Date.01 j.,!..<. . . .�.-... ... . NORTH o� TOWN OF NORTH ANDOVER 41 PERMIT FOR GAS INSTALLATION 'y,SSA C HUSEt This certifies that . . . . .l.: .,. . .>. ?�!.:�!.!�. �'.`.' c has permission for gas installation . . . . . .�.`. . . . . . . . . . . . . . . . . . . . . in the buildings of . . . ... . . ... . . . :: . .E. . . . . . . . . . . . . . . . . . . . . . . . . at . . �.��: . . l?. �`�:/. . . . . . . . . . . . . . . . .. North Andover, Mass. FeeJ.).,. .. . . Lic. No.. .. . . ... . . . . . . . . . . . . ..... . . ... . . . . . . . . GAS INSPECTOR Check# 3 : 5 ��' - -� -(Print stir Type) �-�� 1ti 4j""rvnm " UUATION FOR PERMIT TO DO GASFITTING o� r Alo ` �' . Mass. Date p rmit # Building Location ���%'G Owners Na m Type of Occupanry l_7C.N T r�r New ❑ Renovation ❑ Replacement Plans Submitted: Yes❑ No ❑ N N Q W y N H V Z S pj N ¢ N Q: CC f' S W W ¢ 0 V = < >- Z Z J < m N 1� < O Z ,Q o W < = W f, H d W Uj W = U W N Z < C 0 > W tl W 9) J < ¢ Q W C W $- G F� S Z < W =� < C I- ZF W tl O > U. !- V J M W S Y� N m 2 0 Z W O to S O tl Y u0. 3 o C J toj > o Oa Mme- O SUB—BSMT, BASEMENT 1ST FLOOR 2140 FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR I-H I 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name a�rZ r Q m mA `^' Check one: CertificateME Address �� CC)r� H���� �n I ❑ Corporation 7 1 U k ❑ Partnership Business Telephone /��{Z_() q-7 f Name of Licensed Plumber or Gas Fitter 2-Firm/co.`` F ANCE COVERAGE: a current ability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes [�' No ❑have checked,reS, Please indicate the type coverage by checking the appropriate box A liability insurance policy 0 Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not 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 knowledge and that all plumbing work and installations performed under the application are true and accurate to the best of my pertinent provisions of the Massachusetts State Code and Chapter 142 ofd for this application be in compliance with all � new Laws. T of License: T7Ue Plumber n ure of cen u Iter or itter APPC'�'�0wn I Joumeyman license Number 933 N BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME A TYPE OF BUILDING LOCATION OF BUILDING , PLUMBER OR GASFITTER i LIC. NO. PERMIT GRANTED DATE 19 GASINSPECTOR Date. . . . .. . .! !. . . . . . pAOR*h TOWN OF NORTH ANDOVER gtiOL o PERMIT FOR GAS INSTALLATION 1- p 9SSAGHUSEt r - This certifies that . . . ... . . . . . . . . . . has permission for gas installation in the buildings of . f r. . . . . .' . . . . . . . . . . . . . . . . . at . ! !. .1 i. J `J , North Andover, Mass. Fee.""'r. . Lic No. -? . . . . .. .. . . . . . . . . . . . . . . . �! GAS INSPECTOR �� WHITE:ApplicariL,, CANARY: Building Dept. PINK:Treasurer GOLD:File MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING v (Print or T ) Mass. Date Building c Permit # Location,_a-(,n Aw , Owner's • n( a�(ir�/Ir 0�1 Name jL40,L741' New 0 Renovation 0 Replacement El Plans Submitted: Yes 0 No p a c Y W q S C a c a c o a a s � V J a W H V ® s W Z C Q .7 W < o a r- y c 0 0 0 � W W a W Z < = a M W < C f. O M S H Z t. W W 0 0 > 1� h V J til Q _ f W sue—RSMT. BASEMENT IST FLOOR ZNOFLOOR 3RD FLOOR 4TH FLOOR GTNFLOOR GTN FLOOR -77 TTN FLOOR BTNFLOOR SRT A. SAMMATARO Check one: Certificate Installing Company Names KAYMBING & HEA'TENNG 0 Corp Address 30 COACHMAN LANE d Partnership METHUEN, MA 0184a tY Firm/Co. Business Telephone IW 2 -9 —7 ( II Name of Ucensed Plumber or Gas Fitter rains o r L'S&/V1►'YI��-�.�� INSURANCE COVERAGE: Check on I have a current liability Insurance policy or Its substantial equivalent. Yes [ No 0 If you have checked yes, please Indicate the type coverage by checking the appropriate box A liability insurance policy [B' Other type of Indemnity 0 Bond C 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 Owner 0 Agent❑ 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 permit issued for this application will b in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the ral laws. T of License: Plumber ur cense umb Title fitter aster License Number 9313 City/Town C Journeyman APPPONED(OFFICE USE ONLY) � 1 � 1 I 1 - � • 1 ; 1 � 1 '• BELOW FOR OFFICE USE ONLY t 1 PROGRESS INSPECTION IHZ t FEE •i ; I 1 1 APPLICATION FOR PERMIT TO DO GASFITTING , i 1 I r 1 I 1 o ; 1 NAME A TYPE OF BUILDING 1 s • � 1 1 x LOCATION OF BUILDING m PLUMBER OR GASFITTER � 1 � 1 UC. NO. 1 a 1 PERMIT GRANTED ; 1 1 DATE 1!i ; 1 1 • 1 1 • 1 1 1 1 \ GAS INSPECTOR 1 Location l0 IV "1 ' No. ' Date l U� MORTIy TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ Building/Frame(Frame Permit Fee $ � s�CMusa 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 3 Check # ' i663Z�b <<'`"`- Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING #�tflllJS�Q BUILDING PERMIT NUMBER. DATE ISSUED: � SIGNATURE: Building Commissioner/inspector of Buildings Date Z SECTION 1-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: b my ST, ) G 10 08 // /Y U nD�'n �r�� 1 ' Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage 11 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided RequiredL-4-3 Provided 3 o Q 1.7 Water Supply M.G.L.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 OWNERSHM/AUTHORIZED AGENT Historic District: Yes No m 2.1 Owner of Record N C b E iFs, ®e Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: 0 Namerint Address for Service: z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number wn Address Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 Company Name Registration Number M Address' _r Expiration Date z^ Signature Telephone V 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.......0 SECTION 5 Description of Proposed Work(check all a Ucable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Wo ob SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be tl«F*CIAI USE.p ,y ,Completed by permit applicant 1. Building �y (a) Building Permit Fee /0 1.0 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 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUH DING PERMIT �--� 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 t 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/Agent Date NO. OF STORIESSIZE -=Omni BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS DIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING x MATERIAL OF CHIMNEY IS BUIIDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE CO Aw 03 3 O ❑ � s s,c. ` �f JL— L3� 3b H AGES -� S -r E ET i< ZTF L t2 a3 d' 4. cr- uj Y LL, Y ,- Of � I (n 1 V 1 ti �- y`l - - NORTH Town of And O � Cz - - - - � � lefo3 O A o dover, Mass., COC"L' LICHEWICK AoRAT E D PPS�.(y BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR #j 14L .� to r t THIS CERTIFIES THAT........... ...............................:.......................... q ................................................... Foundation MAYhas permission to erect.....ibuildings on ......... .... . Rough to be occupied as Chimney . ..... Iu.IN.......A..�....•D....w........�o..�c%a.....�+e�� S�i . 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-Law relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. I/ �� PLUMBING INSPECTOR je3 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough �� tCouop�� Service . ............................................................................ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fina, No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.