HomeMy WebLinkAboutMiscellaneous - 49 MAPLE AVENUE 4/30/2018 (3) -49 MAPLE AVENUE �j ����
210/019.0-00340000.0
v -
Date./ ...... .
NORTH
3? �` 0 TOWN OF NORTH ANDOVER
p D
• - PERMIT FOR GAS INSTALLATION
s
o••�`ty
-� SACHUSES
This certifies that . . ':-X%t -:. . . . . . . . . . . . . . . . . .
has permission for gas installation . .Uk. ,t4 . . . . . . . . . . . . . . . . . . . .
in the buildings of . . .13 r o.l. l'.( . . . t ... . . . . . . . . . . . . . . . . . .
at . . . . e?1 Ay!j/ . . . . . . . North Andover, Mass.
Fee. a a . . . . . Lic. No.?:.Y.`!G . . . . . , . . . . .. .. ..^'�'� .. .
GAS INSPECTOR
-Check# /a
6056
MASSACHUSETTS UNIFORM AppucATON FOR.PERMiT TO DO GAS FITTING
(Type or print) Date 7 f 7/07
NORTH ANDOVER,MASSACHUSETTS '' 11
Building Locations L I)v ' c V Permit
Amount$
Owner's Name —9egCc nx , )O/ Ce
New D Renovation Replacement Plans Submitted
w v1
vi U z CY. vi
z H F 00 z x
O w W a O Z w
x z v w m v, z a O a > W
w w v� .. d x a s w w F A E~ x
y p > w99
W > W x z d a m z O z a O
A O x f� A 3 A c7 a VO a > A a F O
SUB -BASEMENT
B A S E M ENT
i 1ST. FLOOR
2ND . FLOOR
3RD . FLOOR
4TH . FLOOR
5TH . FLOOR
6TH . FLOOR
7 T H . F L O O R
8TH . FLOOR
(Print or typ > �_ Che k one: Certificate Installing Company
Name __ ` �' R Corp.
Address l ,�. �,-� �� QW N partner.
Business Telephone 03 _ . Firm/Co.
Name of Licensed Plumber or Gas Fitter s`ax) (4-h i F
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes No 13
If you have checked ves,please indicate the type coverage by checking the appropriate box.
Liability insurance policy 13-11OtherOther type of indemnity Bond 13
Owner's Insurance Waiver: 1 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 0 Agent
1-3
I hereby certify that all of the details and information 1 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 Pe it Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts Sta PIS Code Cha ter 142 of the eral Laws.
By: Signature of Licensddl<umber Or Gas Fitter
Title 0 Plumber �3� � 5)
City/Town Gas Fitter License Number
0 Master
APPROVED(OFFICE USE ONLY) /Journeyman
Location 16 de
No. Date 6 ��
h
�oR,h TOWN OF NORTH ANDOVER
•,hO0.
" p Certificate of Occupancy $ _
a • ; Building/Frame Permit Fee $
Foundation Permit Fee $
.1 CHUSE
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $ _
TOTAL $ .
1 3 1 u 2 Building Inspector
Div. Public Works
r - DEMOLITION
PERMIT NO. Ok v3 PPLICATION FOR PERMIT TO BUILD********NORTH AN OVER, MA
MAP NO. `( 1 LOT NO. 3 2. RECORD OF OWNERSHIP DATE BOOK PAGE
ZONE S SUB DIV.LOT NO.
LOCATION 49 5 1 yyl oplp- Ave
PURPOSE OF BUILDING
OWNER'S NAMENO.OF STORIES SIZE
OWNER'S ADDRESS :tt7 2 S BASEMENT OR SLAB
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1ST 2ND 3RD
BUILDER'S NAME SPAN
DISTANCE TO NEAREST BUILDING in. (� DIMENSIONS OF SILLS
DISTANCE FROM STREET ! , cJ►C'l DIMENSIONS OF POSTS
DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW SIZE OF FOOTING X
IS BUILDING ADDITION MATERIAL OF CHIMNEY
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION,IF ANY IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTUCTIONS 3. PROPERTY INFORMATION LAND COST _
EST.BLDG.COST oZ -i-r �cl
PAGE 1 FILL OUT SECTIONS 1-3 EST.BLDG.COST PER SQ.FT.
I EST.BLDG.COST PER ROOM
ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO.
c
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY:
PLANS MUST BE FILED AND APP OVED BY BUILDING INSPECTOR BUILDING INSPECTOR
DATE FILED p OWNERS TEL#
CONTR.TEL## _ GI�7dti
CONTR.LIC# - -�-q
SIGNATURE OF OWNER OR AUTHORIZED AG T
FEE $
PERMIT GRANTED
(o l d 19
Revised 5/5/99 JM z T • -
Town of North Andover t AORTN ,
OFFICE OF ��o`t '61OOL
COMMUNITY DEVELOPMENT AND SERVICES p
27 Charles Street
North Andover, Massachusetts 01845 �9SSgCHUs�t�y
WILLIAM J. SCOTT
Director
(978)688-9531 Fax(978)688-9542
DEMOLITION OF BUILDING AFFIDAVIT
DATE 1-n Av1
C
OWNER'S NAME &ADDRESS E An1C I CI�"_S r a 5 &";7'e4 CO'-IC v
ii�� die �G✓N��*► ✓�C�CO,✓ia7�l✓ e '°i�� Sr�Z 5,Z1rf011e /q„C .SV`Mtl'l� /?7�
LOCATION OF PROPERTY TO DEMOLISH 12160 le 191t
DESCRIPTION COM - 919^0'5 C 6'/Oocly
CONTRACTOR'S NAME & /ADDRESS J D01,Y eg '#.StI V 5 mf e t/i
�'� 'R V, //c , ✓Y1 '`} Da /y3
G J )-G 66 -- 3.2- DEPARTMENT SIGN-OFFS
DEPT. OF PUBLIC WORKS -WATER:, SEWER:
GAS
✓ELECTRIC f 19.<Ck9'r✓ 61011c
TELEPHONE
CABLE 2,
,--!AXES �ir ✓ ✓A- &'111i W- S
POLICE AyN
IRE 1
EXTERMINATOR
DUMPSTER -ON/OFF STREET
DIG SAFE NUMBER —04'/1'-
DATE
REC'D -BLDG. INSPECTOR
t'
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Town of North Andover NORTH ,
OFFICE OF 3�oh`t" °,y
COMMUNITY DEVELOPMENT AND SERVICES
x
49
� t
27 Charles Street
WILLIAM J. SCOTT
North Andover, Massachusetts 01845 Q <5
9SSACHuS�tSgcH
Director
(978)688-9531 Fax (978) 688-9542
In accordance with the provisions 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 c 11, S
150 A.
The debris will be disposed of4a:4A
� rS DS,9/ �e� t/i res
Ce•✓i�?� S%2 Sp?n e Ryt //(? / /27 '
(Location of Facility)
Signature oO Permit Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
J^,
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 683-9530 HEALTH 688-9540 PLANNING 688-9535
( ; ttCIRTF
'own of ` ®ve
No.
0 ` � dover, 1Vlass.,
'�f T COC MI E�VQ
�S��ATED P'P �•��
BOARD OF HEALTH
PERMIT T IR 71 Fo /Kit n
BUILDING INSPECTOR
THIS CERTIFIES THAT..... . ow ro.............Ao4otg......... ................................ ..............................................
Foundation
has permission to t..... ...... 4...... buildings on ..... S .. lk..... Rough
to be occupied as........ . Y
�' .. 4v �� I ��r �.. Chimney
. . ........................... ............
........................................................
provided that the person accepting this permit shall in everyrespect conform o 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. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
b ' ' 18 A PEIWFF EXPIRES I.0 ES .Ill.V 6 _N/10NI 1 1S Final
UNLESS' � �C 1 ' �`I-� , ELECTRICAL INSPECTOR
Rough
yid�a
0) ...... ............................. Service
.........
BUILDING INSPECTOR
Final
Occupancy Permit Required to Lcci,t Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal
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.