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HomeMy WebLinkAboutMiscellaneous - 526 OSGOOD STREET 4/30/2018 526 OSGOOD STREET 210/102.0-0005-0000.0 Date ./_21 7�Z TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . . . . . . . . A. . . . . . . . . . . . . . . . . has permission for gas inst °11 tion /'. 14R G�'. . . . . . . . . . . . . /'le.5, in the b *Jdm�s of.,�. . .. v .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . � . . . . . . . . . . , No h dove , ass. Fee . . . . . . . . . Lic. No. . . . . . . . . . . . . . GAS INSPECTOR Check# 8525 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITYNORTH ANDOVER � H MA DATE12127/2012 PERMIT# �j JOBSITE ADDRESS[526OSGOOD ST OWNER'S NAME�MESITI . �, .. GOWNERADDRESS TELA^ sa vy FAX „_ TYPE OR OCCUPANCY TYPE COMMERCIAL[^ EDUCATIONAL RESIDENTIALE] PRINT CLEARLY NEW:0 RENOVATION:Ej REPLACEMENT: 1 PLANS SUBMITTED: YES NOO APPLIANCES-1 FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER i I , BOOSTER ..,. , !_... I 1 CONVERSION BURNER __ ..._ ! _........1 COOK STOVE DIRECT VENT HEATER DRYER _.-� _ � _. r ,... M w 11.,.. l FIREPLACE _ � � I e _., ._. _ FRYOLATORg � _ , � _ ' _�; FURNACE GENERATOR r. GRILLE INFRARED HEATER LABORATORY COCKS 1 �__.. 3 MAKEUP AIR UNIT n� ....... OVENt POOL HEATER . ROOM 1 SPACE HEATER ROOF TOP UNITr_ _. . , TEST .. .1. I. e.. ..... . :......� ,. _ UNIT HEATER 3 d UNVENTED ROOM HEATER L tI , ...._F;.... .- . _ t..___. „ .�r.... . WATER HEATER I . . n....._. ... _ r OTHER a-a'.�v' nm eruS4aa �aukok ,^: .....� £( 3 , , INSURANCE COVERAGE ff I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ! OTHER TYPE INDEMNITY E] 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 E] 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 a ccurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in comp' wi all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME,JEFF HUTNICK LICENSE# 15212 ATURE _ - _. r MP MGFI JP JGF , j LPGI CORPORATION #i 2840 PARTNERSHIP # LLC # COMPANY NAME: CALLAHAN AC&HTG ADDRESS 91 BELMONT ST CITY NORTH ANDOVER STATE A-1ZIP,!01845 'TEL 978-q89-9 FAX � CELL _ EMAILI PLUMBING@CALLAHANAC COM � � �J �- -ti. C�3MM©N.WEALTH OF MASSACWUS;ETT&. ' "• + ° =='``: COMMONWEALTH OF MASSACHUSETTS t PL.LCVJBERS AND GA:S lT.TEf S LYMA EN::1=D' .�dURN'.� trI I�LIJIVIF 1CAS A 6. 15SUESTFiEA.8CIVELIC�NSEFO: P ulfIS A .�Na GASFITI"fRs 1�tEC(� �Rr�O AS..,61 PLUMSIIa1`O CORP WFRE1 P HUT;NICK I .SUES, HEA BOUE LICENSE TO: 6 PLh17UTH ST JFfEY P ilUT�rI K EALLAFdAN; A1R CCIDITIgNFJ HEA H` MA. .01$4 + �► 6 BELM IN7` �T NC11TW ANDO�/ '�'►� � _ 1'881 05/O1/14 ': 14fi80� :.-'..i R M'F pp _• f COMMONWEALTH OF MASSACWIlS.ETTS PLUMB1♦Ft� ANDOA FIT ' �,' LfGENSED ►'s A .11i1a STER PL, AMBE;R1�lCJ' y lalb— tiL 15SUES ThIE I E$OF/E LICENSE .. JEFFREY P 1 �LTI`1I(`i' y I Gti PL)'Mt .UTH MA Y184;4 425G SSA i 1G,11�' ' �r1L �1I` GN T � ., 1. �:2jz • 1 ',/0.1/14 d6� � �1 lit �' y, pwvix� '�5 Ills y .. .-- - _ .i �1_` Y �; ti �_ y :,�lt(�^t1'1• �r r i t - # i I t 1 rt 'r",•q, ,- ,-,fir �— � - --'�'.,,,,�.�:,,,�y,.:. '�� ,�-'�� .y, ',.,,�,..:' � .:M1 ...�—�'i5 .,v. .: ae �.' �,^: The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations ' I Congress Street,Suite 100 Boston,MA 02114-2017 wwn.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information / Please Print LeLyibly Business/Organization Name: ell A14WI Address: 911Vr9f l f re f oiyy�' City/State/Zip: %144 1 *11PW tvI Phone V ' z8 /1/3� 0�� Are you an employer?Check the appropriate box: Business Type(required): 1.Kr I am a employer with 6�3' employees(full and/ 5. ❑ Retail or part-time).* 6. ❑ Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑ Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp.insurance required] 8• ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152, §1(4),and we have 10.❑ Manufacturing no employees. [No workers'comp.insurance required]* 4.❑ We are a non-profit organization,staffed by volunteers, 11.❑ Health Care with no employees. [No workers' comp.insurance req.] 12.[aOther `t/P` t G *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy information. Insurance Company Name: G(,lk-To( Insurer's Address: City/State/Zip: 01//1YS /J`74) - DDoZ Policy#or Self-ins.Lic.# G if 35_ooyo2- /7 Expiration Date: /�'✓`�/o�"�'j� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-yeat imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert,under the pains and penalties of perjury that the information provided above is true and correct. Signature: ��/ ,tom G Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: PermitiLicense 14 .Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board S.'5electmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia r location No. 3 4 Date ,.OFT1y TOWN OF NORTH ANDOVER p Certificate of Occupancy $ ` Building/Frame Permit Fee $ yes"CHU'1 Foundation Permit Fee $ s�cNusE Other Permit Fee" $ Sewer Connection Fee $ `— Water Connection Fee $ TOTAL 15:01 15.03 PAID Building Inspector 68p1®p Div. Public Works 1 Location, ;ST No. 3 6;Q Date ` 9 V C7. NOR7h TOWN OF NORTH ANDOVER O? •� • OOA Certificate of Occupancy $ zl3o c!3 } `' Building/Frame Permit Fee $ 3 OW Foundation Permit Fee $ / 0 ,SSACHUSE Other Permit Fee $ -5�%fewer Connection Fee $ 3 3 3 �� Water Connection Fee $ C 3 TOTAL $ n I cc/ c o,< Building Inspector Ito 1 6545 Div. Public Works _acation J Vo. 3 F''y Date $/A C- Z a GRTN Of N40R TOWN OF NORTH ANDOVER Aiii S Certificate of Occupancy $ Building/Frame Permit Fee $ s "" E<� Foundation Permit Fee $ SACMus �. Other Permit Fee $ A Sewer Connection Fee $ 4 "Water Connection Fee $ 00 NOTAL $ 17 0,10Q /J!a-O Cn� Building Inspector T 6387/ Div. Public Works Location No. 3 Date 7 1 + t "ORT" TOWN OF NORTH ANDOVER p p Certificate of Occupancy $ 41 y Building/Frame Permit Fee $ a Foundation Permit Fee $ J�CHUS t /^� r ; Other Permit Fee $ A1Q. '�76 Sewer Connection Fee $ Aw e" 2 75 Water vection Fee $ % � on t 7- 4 ` Buildng Inspector 6452 x� C452 '111 Div,,Public Works i � r PERMIT NOr w J 4 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /'Zl,!, !/ cf t/(PAGE•I t� MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP JDATE BOOK PAGE ZONEI SUB IV. NO. r LOCATION V PURPOSE OF BUILDING _jVN /'OSSGN oD cf a OWNER'S NAME W,6jeeS Pi / �, /T lf"Gr.r- NO. OF STORIES S E OWNER'S ADDRESS j �! t BASEMENT OR SLAB J (� 49 hl pti?`' ARCHITECT'S NAME I/w SIZE OF FLOOR TIMBERS IST ✓ O 2ND �f X/D 3RD BUILDER'S NAME �t7JVn / u a_ ela_N , SPAN DISTANCE TO NEAREST BUILDING [_ / DIMENSIONS OF SILLS X /„ DISTANCE FROM STREET 3,12 POSTS DISTANCE FROM LOT LINES-SIDES Q t REAR L D t " " GIRDERS L AREA OF LOT O FRONTAGE HEIGHT OF FOUNDATION '��l [! THICKNESS /O IS BUILDING NEW J v SIZE OF FOOTING l off X �U .11 y IS BUILDING ADDITION k MATER:AL OF CHIMNEY /c T IS BUILDING ALTERATION /v , IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE lLL e.5IS BUILDING CONNECTED TO TOWN WATER I `1 BOARD OF APPEALS ACTION. IF ANY h J IS BUILDING CONNECTED TO TOWN SEWER -e s { /1✓. IS BUILDING CONNECTED TO NATURAL GAS LINE `e S INSTRUCTIONS s PROPERTY INFORMATION ��7 �►}��q �/ p� ids ;di, �L-17S sr� LAND COST UUO SEE BOTH SIDES I� • EBT. BLDG. COST �a 0 PAGE 1 FILL OUT SECTIONS 1 - 370 •�+s �� EST. BLDG. COST PER SQ. FT. ZJV 1=+M FRAMErr EST. BLDG. COST PER ROOM 13 S�O� PAGE 2 FILL OUT SECTIONS 1 - 12 ��-C 0 S PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 01 Q SEPTIC,�JMp 4 APPROVED ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH SIGNATURE OF OWNER ORIZED F E E A G PLANNING BOARD PERMIT GRANTED OWNER TEL.# 19 CONTR.TEL.# - f CONTR. LIC.# .2 � BOARD— �sLECrMCN AUG IBM BUILDING INSP[CTOR �r �,,,z R BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY ...���111 STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY . �= OFFICES __. LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS - RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISK CONCRETE 3 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. ` 3 • BASEMENT I s AREA FULL FIN. B'M'T' AREA '/r 1/r 1/. FIN. ATTIC AREA _ NO B M FIRE PLACES \ HEAD ROOM MODERN KITCHEN -4� 4 WALLS I 9 FLOORS CLAPBOARDS B 1 22 f 3 f' DROP SIDING CONCRETE I_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD'✓'D — B ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ STUCCO ON FRAME ^ jU1 BRICK ON MASONRY ATTIC STRS. 6 FLOOR BRICK ON FRAME I s`9'fL9 CONC. OR CINDER BLK. r.s STONE ON MASONRY WIRINGy �3 Sym STONE ON FRAME w +rrera,.�.rvr-ixr•tY3� V'�3 SUPERIORPOOR _ ADEQUATE I - NONE 5 ROOF 10 PLUMBING GABLEHIP BATH Q FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES X LAVATORY _ >t WOOD SHINGES KITCHEN SINK w SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER — ROLL ROOFING Ill MODERN FIXTURES JJJj TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. d COLS. STEAM STEEL BMS. 6 COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS r 7 NO. OF ROOMS GAS tOIL B'M'T 2nd ELECTRIC 1st IT—di NO HEATING Ell 1 � r 1 VIORTH Town of dover 01 . No.3 SO moo' dover, Mass., r4uer" °LS. 1993 COC HIC HE WICH �� �A ADRATED P`f I w{ BOARD OF HEALTH P PERMIT T D Food/Kitchen r Septic System 1� BUILDING INSPECTOR �- THIS CERTIFIES THAT..............:t.O �.S..... !C...... ` ' . ..... ...���l l�� �.....�7'.y �� �... Foundation has permission to erect. °.Q.................. buildings on �07" 5'........Z ... ....•47+ LGA ... Rough to be occupied as...S/ ? C ...1'7 4W.t... .. .h+?t"LC./!? '..w, . ...: 41L.. R'L�'�7A7) . #= ......... Chimney provided that the person accepting this permit shall in eve respect conform to the terms of the application on fileinf P P P 9 P every Final V' this office, and to the provisions of the Codes and By-Laws relating to the Inspectip1r> afiamo f wwwxlq�wBuildings in the Town of North Andover. IREGUTATED BY PAW 1142 PLUMBING INSPECTOR VIOLATION of the,Zoning or Building Regulations Voids this Permit. Rough DAT $-2(.•S3 FEE PAID)V/00 oe Final PERMIT EXPIRES IN 6 MON '�"�j'dY G'.D. ELECTRICAL INSPECTOR tI UNLESS CONSTRUCTION STARTS Rough PERMIT FOR FRAME/BUILDING Service BUILDING INSPECTOR Final DATE: -q-/-/-q3' FEE P ID•'F �ccupancy �'ermit 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 Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT FORM U - LOT RELEASE FORM 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: /II� o rd � '� � �`�' ��s J Phone �_ S'1 -//9 � LOCATION: Assessor's Map Number Parcel subdivisionJ P Gb 95, C7 Lot(s) --=�- Street Ct St. Number ************************Official Use Only************************ RECO ATION OF TOWN AGENTS: Date A �f D Conservation A inistrator pproved Date Rejected Comments Town Planner Date Approved Q Date Rejected Comments Health Agent Date Approved VIA Date Rejected Comments Public Works - sewer/water connect - driveway permit Fire Department Received by Building Inspector rlov� _ p Date '' AUG .z ti 'y �' 1 �. F I .. r � -~\ l _� ! SEP 1 4 1993 , ! .D � � � E" 3 �.�.- Lor $' 43,sw,:;, � o s s� i 42.9, D • 45:/9, / /9.53 lD \'51;�0 A/T6', i Q DCS COdNQq T/C.+/ GOGAT/O!✓1A_ i Er aN>i r �� o S //EREBY CE.cT/FY TO Tye T/TGE 1A1SU.PO,,f , /O -z O/ ,7V Tf/E B.4,V.r 7-1147 T.yE GwELG/•us/S LOCATED ON T//6Gar.9S S.Sbiri'.t/AND T,V14T/TOGIES C0.1/FGZPnf /N JY/T// T.�/E TOw� OFND.ANOO✓t•P 20it//NC ,c�E6!/LATibc%$' /�T� � , .�6v4R0/N6 SE7"BAGt'S FOA!STPEETS� LOT UtiES." /S/ .�OOt/c� �Ste" LOLATEO N T ETfeOEEAL Fi[000 H Z O APEAaT O.PA�Y/V FOiE� '� tSHGWN 0/S/FEM vet//TY P•��tlGL '� /� . ��(tl OF 144f4 250098 0003 C Sr�v�v 5 G E oSS/,t/� I,�°'e�O•�mc lr� �a e.� EFFREY 9113173_ Bovvo.Psi!�"TE h�•c! eo�,vo.ges�/,vco,P�_ �IE.P�('/rtl.9Gf'E'.vG�•dEE.P/•l�6 SE.Pv/SES AT/O(/ TA,rE.y F,PO,N EX/ST�.(/G .eEG'v,PpS. 6(0 �q.P,� ST.PEET JJAA ✓1,,4SS,4e,,Y!/SE77.. o/8/D NORTH NDUVL'!t lWll.l)IN(i •.''-•:..�' ~�' hl71s:�;ii 111i•,c•11•:r1141•I (:()NSI a tVATION DIVI:IC IN 1!1' U i I :1 i)i!i•I i I'LANNIN(i 1'1.i1.NNIN(;. (;t)t1l[►IIINI'1'1' Ul;ti'1si.OL'I1ILN"1' I:.AI;I:I�' I l.l'. NI:IaON. l )Iltia:101t CHIMNEY APPLICAf1ON ANO I'L13111' ATE of 1'l: trl I'r. # )CATION 3 b LINER'S NAME: � a)v ) 1ILDER'S NAME: ISON'S NAME: r.4, zl" > � kSON'S ADDRESS: J ISON'S TELEPHONE: /�jn ��D 3 V .\TERIAL OF CHIMNEY: ITERIOR CHIMNEY: _ EXI LRIOR CHIMNEY: 1MBER AND SIZE OF FLUES: dCY `l IICKNESS OF HEARTH: ' jU :U civDi cey arc. OvAepCace con(juAin to 411e Acqu.i)cemerl"t:3 u( .the culle (1)t11 have nuCe.s and ,gu,Catiom been rceeebed: .TE: .G NATURE OF MASON: :RMIT GRANTED: I`r �� 1•'L1: c) 'BERT NICETTA 'ILDING INSPECTOR .SPECTEO: -- :MARKS: - SOLID FLOCK lZl tIUlltl U THIS PERMIT MUSF GE 1)1SPLAYLO 014 ME PUbli s[ i CERTIFICATE OF USE & OCCUPANCY Town QW NOW Andom va Building Permit Number 380 Date DECEMBER 22 , 1993 THIS CERTIFIES THAT THE BUILDING LOCATED ON 526 Osgood Street (Lot #5) - Type F 3 MAY BE OCCUPIED AS SINGLE FAMILY DWELLING w/2 Car IN ACCORDANCE Garage attached WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND j SUCH OTHER REGULATIONS AS MAY APPLY. 01CERTIFICATE ISSUED TO _ Rogers Park Realty Trust 733 Turnpike ST. ADDRESS s `""5 Building Inspector _ Y x j\, ORTH ToVM o o" over Qj�,�t•,w"jts'y. � No.3 8 ^LA o dover, Mass., I4c,�,Q" 25. 1998 Ap COC HIC HE WICK n A1RATE10) PP -qs. BOARD OF HEALTH Food/Kitchen r PERMIT T D Septic System 7 BUILDING INSPECTOR THIS CERTIFIES THAT............................................. .. �... F6 nction� _ ��`� � �`;� has permission to erect.w.d.°4�.................. buildingson Via' " 5.:.......� .. ....%Vx.•• Rough to be occupied as...5A.3 ... '1 !nt��... ..�, ?CZ(.��uC�-..w ..f���� t '..LT1`!!�. ..� ......... Chimney te:�;.�> »—�3 y e provided that the person accepting this permit shall in every resp ec conform to the terms of the application on file in Final �a, Gv' this office, and to the provisions of the Codes and By-Laws relating to the Inspectoft hof Buildings in the Town of North Andover. ,� PL BING I ,PE T✓ o� � 9 REGULATED BY PARA: ll4 P VIOLATION of the Zonin gor Building Regulations Voids this Permit. ou DAT 82S3 FEE PAID 3 All PERMIT EXPIRES IN 6 MONT S +W - CU. CONSTRUCTION START'S ELECTRIC INSPECTOR pj UNLESS . -- Rough© #, PERMIT FOR FRAME/BUILDING Service OrI�A ir.. .... BUILDING INSPECTOR / L DATE: _24--q-3 FEE PhID! 13 7S• 5V Final /� ? Occup`a cy Permit Required to Occupy Building GAS INSPECTOR �y — Do Not Remove t; 41 ��! Display in a Conspicuous Place on the Premises No Lathing or Dry Wall To Be Done I - Until Inspected and Approved by the Building Inspector. FIRE EPARTMENT� Burner A "I I ci PLANNING �%L CONSERVATI01�t'i�' (` —FI•hfAt,.` `'' 1 °Street No. • '�., "I'.. ! Smoke Det. ` SEWER/WATER iz FINAL DRIVEWAY ENTRY PERMIT PER-111T Nd. c 10 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. I LOT NO. 2 RECORD OF OWNERSHIP DAT BOOK 'PAGE - ZONE SUB DIV. LOT NO. LOC /g PURPOSE OF BUILDING OWNER'S NAME e d� � J NO. OF STORIES SIZE OWNER'S ADDRESS 9 33 ppp�( icjl al/C e N BASEMENT OR SLAB ARCHITECT'S NAME 'S „/ �� SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME :Zi "A au ! n f SPAN - --- DISTANCE TO NEAREST BUILDING N DIMENSIONS OF SILLS DISTANCE FROM STREET "' POSTS DISTANCE FROM LOT LINES-SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X 19 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 INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST �• �la� PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. �G/ CJl1 EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE d _ PERMIT GRANTED OWNER TEL. PLANNING BOARD CONTR.TEL.# 19 CONTR.LIC.# I - BOARD OF SMACTMEN j jo� �j f� BUILDING INtP[CTOR t e + � BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES I THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION S INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY MALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ .4 1/2 °/, FIN. ATTIC AREA _ N_O B M T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD",'D ASBESTOS SIDING COMMON VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK N MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH 13 FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR d GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS IL O B'M'T 2nd _ ELECTRIC 1st I-i-,dj NO HEATING • PAGE 02 � MERRIMACKENGINEERING 09/13/1993 10:11 508-4751448 � Lor?� o• r r � O� i n i i -73 Cb 45'/9 '• /4.53 ,Clr �� `� �OvaIQAT'IO.✓ �dc'.A7+,/JN /�iCii^r7 / C> o 7- r ,vEeY c�,�rrsr m rlJ Y#r� 7a�dq /,r n � �NorEa 'r �r �o ca✓.raesir' rXE earff S4i tWX 4WP 7-A4W,17-,P4" T !Y/YX 7 E � "f Cour u�EJ• �� '7�"/ .Yn�oovl: f; /r.4.ti�:. ,�-,a i ro�•+ec .fd7A- 4c rs �-.�a+r rear rs , p c'A�✓it/ �O.P Y err .e c��rir✓ r o, >' rar-ruins r�.vor y' TXT �''dCA['.r�4 Odld rial�'�,�P A.ri[7■►. uvydhvAl' O/V t/!Ty�,IN.C.0 �TE'v�ill..S �F'r>.r yv.v,i .-- Cc rc�c7.r'.a .c'"'Gn.e•v 2Sa09B Ja)2 C . EFFREY ., <►,ya � .vdT fes' Af�.�.!'/�li4Gt'E".Vdo✓��'.P.dli6 S�.tY/�e"S dcW,vortr "C' .�odsv�x,9.�'ri,�Fvrr✓- G6 P.�.E.f' e7, .vrioK/ rvc�B•y fe�►y �xrtriv�' .eKrcacvs. .�I.VI�OYet'�!'; ,yfgs',�gG',{/�/,x�T'T.3' 0�8i0 Location CSC Cxn ST _ A No. Date 3?,: N° TOWN OF NORTH ANDOVER �ooL amim9dillk p Certificate of Occupancy $ Building/Frame Permit Fee $ w Foundation Permit Fee $ 'SA-alUs Other Permit Fee $ 'Fd� Uj Sewer Connection Fee $ a Water Connection Fee $ TOTAL $ Building Inspector r sop 2/+ Div. Public Works PER111T NO. �zlol APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE ; I SUB DIV. LOT NO. F LOCATIONt c, PURPOSE OF BUILDING _q(� ; y OWNER'S NAME AA � i Lc NO. OF STORIES CY SIZE / OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAMEL � SIZE OF FLOOR TIMBERS IST �x 6 2ND 3RD BUILDER'S NAME :ITa, ,„ _ SPAN I U YvlL+ti _ ---— DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET '" POSTS DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING ,Oir ,f4 X IS BUILDING ADDITION V-64 `� MATERIAL OF CHIMNEY I IS BUILDING ALTERATION V 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 f IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST ( �Q PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ.IFT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE`FILED )AND �APPROVED BY BUILDING INSPECTOR DATE FILED BUILDING INSPMCTOR SIGNATURE Of OWNE R UTHO=ERAG NT OWNER TEL.# 617- 0 1- 7 [ 7 r PERMIT GRANTED ONTR.TEL.a 19 CONTR.LIC.# O 4 41 3 / H.I.C.x to g a 3 BUILDING RECORD ' 1 OCCUPANCY 12 SINGLE FAMILY _ STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M AREA _ '/ V2 �/� FIN. ATTIC AREA _ NO B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I J FLOORS CLAPBOARDS B 1 22 J 3 DROP SIDING CONCRETE I WOOD SHINGLES EARTH _ ASPHALT SIDING HARD\r�'D ASBESTOS SIDING COMMON VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 fLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ GAMBRELMANSARD TOILET RM. 12 FIX.) FLAT A SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO tr._ 6 FRAMING I 11 HEATING �t WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING IAORTfq Town of Andover No. jo IPAI T— 7`ni 6 g'— -ort over, Mass., A- 1 _19ccig- COCLA HIC.EIVICK 0RATED HBOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT...4KAR�......ZE"A tj;........................................................................................................ BUILDING INSPECTOR Foundation has permission to erect'10 ........1(!3S.4& Rough ..... ...... k ........................ buildings on .......5t............................. to be occupied asAOX14.......cp.�,... D.lKr. Chimney .......... ........................................................................ 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-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 Final W(,'t' MQPERMIT EXPIRES—IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS COI� TRUC Rough .. .................. ..... ............... ............ ... ........... Service F . BUILDING P CTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR F ough Display in a Conspicuous Place on the Premises — Do Not Remove nal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT 09/13/1993 10:11 508-4?51448 ,.tE.:,R jmAC.KENGINEER ING Z. 33'13 2 L - or S o• =-.�- g -- Y � 1 n ' V .tom 9� t al/9 C l k^� �1b <Du.I()gT10.✓ L..a.-.d�-VA/ F•r4rv, Q �+ 63 17 w : � _V 's ,vat:tF.1tY elee7lsr 7V rare r/rc.6 1A1fV-4 r c.wo R4 0 7- TD rvF Q4,VX'rW,' rVJ-IAOVZL kW/'f cac.�r�a CA/ /OOV JY/YiV 7i/j, .fLi�/.f�.�6�1.s �I�T ":,OwIS �yOw�! il�tl ft.6+ 1ivilyP,t.vtL .,�rEvs:{rS �'E'�'.f+v.v�: c✓G'�c��'. •�ti": a•v tH-, � FFR / =sa Ste-; .•�� r tea. _t3 . �a� � wor Fat /NE.e.��.+�G4Gt, E.�aorfEE.tays sE.r�rcEs Qavvo rY�+C1� �ossvo y�ii/Fo rr,I- 66 00 4,de ,triou� T.�•�6-S/ f.�'! C'riJrivG .c�z'ncAs. .vDOI'S.�, .h�vS.�oGyvSe'�T-x' oi8io I _ � 1 I 1 L • � ,.ter' f � � � l � -rr.µ+nrw..�;i....r,. w•.+,».,�,. .. .. ....... ......«_ .. 2.710 _' �' _ "fi3 a..ai.�:JMwju.rw+w .,v.. ,... r .•at!k:e.s �I ;w Y. rT - �/ee�oos�xonrueo%G�i t�✓�aesaa�uaell'a HOME IMPROVEMENT CONTRACTOR t Registration ._109239 Type - INDIVIDUAL Expiration 09/08/96 Thomas M. Hickey, Jr. — Tho as M. Hickey �„6 No Main St _ ADMINISTRATOR Charlestown MA 02129 ; COMMONWEALTH r ARTMENT OF PUBLIC SAFETY ` OF ;''G' ASHBORTON PLACE =�Y=� MASSACHUSETTS., y `� 8C-;TON,MA 02108 :CEN •S1_-- EXPIRATION DATE , -5 1 I'' n 1 •:n�•r - - 't ll `:,R. Gi_tP•cVI;=iiF CAUTION ' {! i RESTRICTIONS E'-ECTIVE DATE LIC-NO. t: FOR PROTECTION AGAINST THEFT, PUT RIGHT THUMB i ��� �_'9 044'- PRINT IN APPROPRIATE BOX ON LICENSE. -,:::: i: —•?.. — =;=� :. — - _ ATING O�RATO NI': MEAL. :=T M(/g}�INCLUD2 PH PHOTO(BLASTING OPR ONLr) FEE: I TOWN D HARI.ESTC MA 0 1:-::i - 1 t•t"� w,vALro SIG HEIGHT: f sTAMOEa_ LxENSEEANDOFatcuLLr fSIGf1+E COMMISSIONER _ DOB: X17{ j ,Qf THIS DOCUMENT 1.1U5' CARRIEDONTHEPERSC M1 D./Ar . THE HOLDER WHEN 8F _ _ RE OF L1 OTHERS-RIGHT THUMB PRINT GAGEDINTHISOCCUPAIPr 7 � ' i