HomeMy WebLinkAboutMiscellaneous - 547 SALEM STREET 4/30/2018 547 SALEM STREET
210/038.0-0006-0000.0
1
•F kation
No. Date
of &ORT" do TOWN OF NORTH ANDOVER
Certificate of Occupancy $
41
�, + Building/Frame Permit Fee $
,SSA�MUSEt Foundation Permit Fee $
Other Permit Fee $
1
Sewer Connection Fee $
II Water Connection Fee $ J,
r TOTAL $
1997
Building Inspector
12
10821
Lf�J�T"Div. Public Works
IPER311T NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. V-1 PAGE 1
MAP K40. LOT NO. /f, 2 RECORD OF OWNERSHIP JDATE "PAGE -
SUB DIV. LOT NO. IBOOK
(SOB I mz6
LOCATION 4Gw�G.,�� C PURPOSE OF BUILDING AM-0ep
OWNER'S NAMEvi4v NO. OF STORIES /'G SIZE
OWNER'S ADDRESS� r.I BASEMENT OR SLAB
ARCHITECT'S NAME �i SIZE OF FLOOR TIMBERS IST 2ND 3RD
I BUILDER'S NAME e,A�is�i Q w SPAN --
I DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS
DISTANCE FROM STREET POSTS
DISTANCE FROM LOT LINES—SIDES REAR " GIRDERS
I AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW SIZE OF FOOTING X
I
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
j IS BUILDING CONNECTED TO NATURAL GAS LINE
3 PROPERTY INFORMATION
INSTRUCTIONS
i LAND COST I•, .
SEE BOTH SIDES EST. BLDG. COST
I PAGE 1 FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER SQ. FT.
� PAGE 2 FILL OUT SECTIONS I - 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 7
1-1-19
BUILDING INSPECTOR
SIGNATURE OF OWNER OR AUTHORIZED AGENT
F E E OWNER TEL.# cl
PERMIT GRANTED CONTR.TEL.#
C19 T CONTR.LIC.#
I
H.I.C.N
I
� I
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. 1
CONSTRUCTION }
2 FOUNDATION 8 INTERIOR FINISH ..+
CONCRETE _ 3 1 2 I3 t
CONCRETE BL'K.
BRICK OR STONE HARDW'D
PIERS PLASTER
DRY VlALL
UNFIN.
3 BASEMENT I i
AREA FULL FIN. B'M'T' AREA
1/4 '/� s/. FIN. ATTIC AREA _
NO 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 HARDVJ'D _
ASBESTOS SIDING COMMCN �_ y
VERT. SIDING ASPH.TILE —
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK MASONRY ATTIC STRS. & FLOOR I_
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME
SUPERIOR I� POOR _ f+
ADEQUATE NONE
5 ROOF 10 PLUMBING ~
GABLE I HIP BATH (3 FIX.) _
GAMBREL MANSARD TOILET RM. 12 FIX.)
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY _
WOOD SHINGES KITCHEN SINK
SLATE I NO PLUMBING _
TAR 3 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. 3 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 C'AS <
OIL
B'M'T 2nd _ ELECTRIC a'
1st 13rd I NO HEATING
n
_ {
Tof
'Zkn..over
,7, /lei
ocetNEW[ ��1•
r-sil
_; PZU13 u k v s k. �a
BOARD OF �s 6TH
kha
'w
Food/Kitchen
v �cti'
Septic System
, \\ BUILDING INSPECTOR
THISCERTIFIES THAT..................................... ...................................................
(� Foundation
has permission issi r tt............ � ............- �� o ...... .�J. ....,...... .J..4.,f�...��- .......... ..��............ Rough
tobe occupied as .` .. * 1... .................................................................................. Chimney
pravVmd that the person accepting this parmh shall in ever, respeci conform, to the tarmis of the application all file in
Find
this office, and to the provisions of the Code. and By-Laws ret �.ta thei,�sp��ltion, Aiters9lo and Construction of
Buildings in tbo Town of north Andovar. _ FLUM : 7 aSPC—'QR
VIOLATION of the Zoning or BuildiP1Regulations Voids this P6,rm t. Rough
PERM.rr E)WIRES 14x.1't? 6MONTHS Final
` UNTI ESS CONS'l-R 1MON SIS IP-,`�J� ELECTRICAL iNSPECTOR
----_./. Roug?,
......................... ..........,.,........,...,..",....,. Service
. E'��'iE..DiS�Y� �t-'a7'a�5 f:��.�0dFinal
Occupancy,ancy term.¢r Rea to Occcu �y �. it riff T� -_ � GAS 11�SP�,c�OR
Final
Uh `�� or Dry %7alrl To Be Dome
FIRE' DF�r`�1��.s?���F
Until I asp � nuPApprovedthe Building pe tarn
r� �iL:r:1:'.F
Street No.
• Smoke Dee.
Date. . ��lf':.v ... .. ..
Of HORTN ,ti
o� TOWN OF NORTH ANDOVER
f D
' PERMIT FOR GAS INSTALLATION
h
�9SSACHUSE�t
This certifies that . . . . . . . . . . . . . . . . . . . . . . . . .
has permission for gas installation. . ,-� .-�.j: -!�. . . . . . . . .
in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . .
az . . `?� North Andover Mass.
7 :�. . . . . . . ,
Fee . . . . . Lic. No.. . . . . . . . . . . . . . ,
-�
GAS INS CTO
Check
4849
D0
yam\ MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
u%p.
,--_-_
L;L
s. Date � /�. � Permit #
Building Location Lh Owner's Name
Type of Occupancy_./,�
New ❑ Renovation ❑ Replacement 8-- Plans Submitted: Yes[] No ❑
N
N a
X W H
NCC
0 rr cn M 0
W
W N cc () 0
V -J Uj
rz
0¢ L:J d �� ,r 0 = '0 — W
¢ N 1-- :L Ul 0 d C Y 1"
w c; -j z = x u, G W w F- z 0a
J
0 j- X ! z r, W W C7 0 > LL F- U .J }. W
z t W O z a O lif z
¢ '= O V Y LL O d J 0 y o a F- O
SUB—BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
i
+ 5TH FLOOR
6TH FLOOR
7THFLoon
BTH FLOOR
Installing Company Name C&- l �k/ G tCheck one: Certificate #
Address_. l 1� -LJkt()A:7- S7! ❑'Corporation ( C
thy) L- l� ❑ Partnership
Business Telephone_ �{ �f�'/�-� ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter ( �x J+
INSURANCE COVERAGE:
I have a current ll blifiy Insurance policy or tts substantial equivalent which meets the requirements of MGL Ch. 142.
Yes n No ❑
If you have checked yes, please Indicate the type coverage by checking the appropriate box.
,'A liability Insurance policy p— 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 ❑
1 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
knowiedge and that all plumbing work and Installations performed under the permit Issued for thl application will be In compliance with ali
pertinent provisions of the Massachusetts Stale Gas Code and Chapter 142 of t General Laws
BY Type of License:
Title Plumber ignaluo c se um/ger or as titer
- stiller �
Cily/Town aster License Number r (J
N,f'fxMO— TC eTT7-0—nTVJourneyman
BELOW FOR OFFICE USE ONLY
PROGRESS INSPECTION
SKETCHES
FINAL INSPECTION FEE
NO.
APPLICATION FOR PERMIT TO DO OASFI'?TIHQ
NAME & TYPE OF QUILDINO
LOCATION OF BUILDING
PLUMBER OR GASFITTER
LIG NO.
PERMIT GRANTED
DATE -20
GAS INSPECTOR