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HomeMy WebLinkAboutMiscellaneous - 55 CAMDEN STREET 4/30/2018 (4)/ 55 CAMDEN STREET 2101095.0-0056-0000.0 E i I f I �I r _o _ Datez:�.Z--4. .�e........... i `i �6513 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING �- -E' 1. N << 1 This certifies that.........:::............ � ........................................................ has permission to perform...............I............�..f.............. ........................................ plumbing in the buildings of.. .t`. ..�. : .:...................................................... at............ .................................. North Andover, Mass. Fee... . .:..........Lic. No. .p�..19.......... ................................................................................. ' PLUMBING INSPECTOR I Check# E i MASSACHUSETTS UNIFORM APPLICATION FORA PERMIT TO PERFORM PLUMBING WORK CITY ,- V�'� �Jy'"C( MA. DATE 6 PERMIT# 'n � JOBSITE ADDRESS Cow�Oar( OWNER'S NAME J L C 6(� POWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL CLRINT EARLY NEW..❑ RENOVATION:❑ REPLACEMENT11 PLANS SUBMITTED: YES❑ NO ❑ FIXTURES 1 FLOOR— BSMT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIUSAND SYS DEDICATED GREASE SYS DEDICATD GRAY WATER SYS DEDICATED WATER RECYCLE SYS DRINKING FOUNTAIN DISHWASHER FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECT1 ATER HEATER ALL TYPES WATER PIPING [OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch. 142. Yes[?'No❑ IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY [j� 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE BOX ONLY: OWNER E] AGENT ElSi nature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered) regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the pe it issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapt 4 issued General Laws. PLUMBER NAME 5TEW151.1 C GALIPSKY SIGNATURE LIC# 1034'S MP li�' JP❑ CORPORATION Rf# 1 b PARTNERSHIP ❑# LLC ❑# COMPANYNAME 6t9L43SKY PLI)MOIAjb *- RVATILIC, ADDRESS: P-O- GGX 17011 CITY HAyERKI L-L STATE M-A- ZIP 0183) EMAIL wwW- MIr tKbef Cp m&V TEL CELL .503-5041-T9014 FAX p'75 5,21-kl i i �s ROUGH PLUMBING INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FfNAL INSPECT14N NOTES ' .4 Yes No o��7 - THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES Date;... ........................ NORT►� TOWN OF NORTH ANDOVER moo ft 9 J `�•'`� '' PERMIT FOR GAS INSTALLATION SSAC14 this certifies that ... �-� ��-�+ `"�. has permission for gas installation ..... ............................................ in the buildings of ................................................................................................................. at .��/►^��� North Andover Mass. ....................... . ............... ,.............................., ..... ........ . Fee..-'.'?T.�........... Lic. No�?6!P............ GAS INSPECTOR Check# � �� -I MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY: 0 �l�`�� -- MA. DATE: 0Z' 3 L b PERMIT# G JOBSITE ADDRESS: C �iM(JCo�I OWNER'S NAME: G Q\l f146� 6 OWNER ADDRESS: TEL: FAX: TYp-OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL! PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:Q PLANS SUBMITTED: YES❑ NO❑ APPLIANCESI FLOOR— Bsmt 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCK MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER low- INSURANCE COVERAGE 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES j NO ❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY [� OTHER TYPE INDEMNITY ❑ 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 ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted(or entered)regarding this application are true accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will i com lance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUM BER/GASFITTER NAME:_ S"i'EPNEN C. GALrIgSKY LICENSE# 103y116 SIGNATURE COMPANYNAME: GAL145Kq PLVftiAjAjC + 1404t-IO& ADDRESS: P.U- WX 1701 CITY:— it MEAT H i L-1- STATE: rn-A ZIP: ©I S 31 FAX: 479- 5ai-Zi 131 TEL: 97(s-3?y- 1743 CELL: 5DC- 6t3-- q0q EMAIL: itiY'W w. +tet` `c2mbL' 01 m Alwp MASTER G JOURNEYMAN❑ LPINSTALLER❑ CORPORATION Z ;3I913 PARTNERSHIP❑# LLC ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES �i. Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# -- PLAN REVIEW NOTES Location r E No. ' ' Date � r NORTH TOWN OF NORTH ANDOVER .O:O. A Certificate of Occupancy $ s ; Building/Frame Permit Fee $ ` �+s cMusa'CHU th Foundation Permit Fee $ s� AIU U1` C—H ft,hevr•'Permit Fee $ „ Sewer Connection Fee $ U N 2 3 !�!Water Connection Fee $ Mo. Andover CollMo L $ r ,- Building Inspector tti Div. Public Works PE&1iIT N(3' �� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. b PAGE 1 MAP 4J0. LOT NO. 2 RECORD OF OWNERSHIP 'DATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. LOCATION ca,GZ(al ll,�1 PURPOSE OF BUILDING s T � OWNER'S NAME - NO. OF STORIES SIZE OWNER'S ADDRESS V cc" 1t13-Olj �,+ - BASEMENT OR SLAB ARCHITECT'S NAME 9 `Q�Q SIZE OF FLOOR TIMBERS` 1ST 2-xl•CJ` 2ND �Xt U 3RD ' ( ,�.r•1 BUILDER'S NAME �OJJ �(�, `_ SPAN ' l l _— DISTANCE TO NEAREST BUILDING \-7 Cl R• DIMENSIONS�O-F SILLS �., ( --- DISTANCE FROM STREET yj 1 l J ' POSTS / GA(w DISTANCE FROM LOT LINES-SIDES 3 DLIREAR `��1 "" " GIRDERS ` l 3 AREA OF LOT_ L 0c, U SF, FRONTAGE l HEIGHT OF FOUNDATION 1 6'4 THICKNESS 1 C> 1. c. 1 IS BUILDING NEW ,`© SIZE OF FOOTING X i� IS, BUILDING ADDITION 4/eS MATERIAL OF CHIMNEY 1'k7:'� CC CG IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ��� IS BUILDING CONNECTED TO TOWN WATER VQ C BOARD OF-..APPEALS-ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER V �ob�C IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS _ �2�1L 3 PROPERTY INFORMATION N� T�� LAND COST SEE BOTH SIDES � % EST. BLDG. COST PAGE I FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS i - 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 `� J-► BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZEdAGEN OWN F E E 3a� CONTR.TEL. CONTR. LIC. 9_['?c:3-Lbcj� PLANNING BOARD PERMIT GRANTED 19 BOARD OF SELECTMEN • BUILDING INSPECTOR X531 ¢ . I ADO y BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT WMENISIONS- T AND DISTANCE FROM l MULTI. FAMILY OFFICES. _- LOT LINES AND EXACT DIME S OF BUILDLNGS. TH PORCHES. GA- i APARTMENTS RAGES, ETC. SUPERIMPOS HIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ 3 l 2_j 3 i CONCRETE BL'K. PINE BRICK OR STONE HARDW D 1- PIERS PLASTER'- ,� 1/ Iti"DRY WALL ���`v p� UNFIN. - tl 3 BASEMENT - - - // r " AREA FULL I FIN. B'M'T' AREA _ 4/ 12r(fi)�L ' '/, '/z 3/, FIN. ATTIC AREA 91[[[ ! ` , k NO BMT FIRE PLACES `_V" f' HEAD ROOM _ MODERN KITCHEN ool vK�J 4 WALLS FLOORS CLAPBOARDS B 1 2 3 µC DROP SIDING CONCRETE �_ WOOD SHINGLES 4EARTH ASPHALT SIDING HARDW'D _ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY. ATTIC STIRS. & FLOOR BRICK ON FRAME CONC. OR CINDER BILK. I STONE ON MASONRY WIRING 36 STONE ON FRAME _ SUPERIORI POOR _ ADEQUATE NONE ,e. 5 ROOF 10 PLUMBING �p '('• y GABLE HIP BATH (3 FIX.) Ll�.. GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING L-C _ TAR & GRAVEL STALL SHOWER - ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE �I I r� l`ted tG C lG.s FORCED HOT AIR FURN. ` J 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 I NO HEATING I s � AORTH � Town of " ' Andover `j■�r,{(�`Kr 0 er, Mass., �"� 2 3 197L A C CH MEWICK - OR Pa\ SS .PERMIT T LD BOARD OF HEALTH THIS CERTIFIES THAT........... .......................................... BUILDING INSPECTOR has permission to erect .... C R.9b........ buildings on .. ..S.`... �. ..... .4 ........... Rough to be occupied as.....5`.!Fc1�t ... �"YChimney .... ... ..... .... ......................................... Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTWCAL INSPECTOR Rough UNLESS CONSTRUCTI N ST RTS Service Final ..... ....... .......... ........... . .. BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector I � i 1 �- d r r - - .n } i I I I }I I i } - - - t i c3 J .2?- .i��7-A ,6 P 0. r co II i �• r, ". ���CJ�,C..�,����/ V,��../ 1./ i��f�f/i,�,'•`...'. �'�` f <." ///'��//�� ��}} l ,/ / , q �. - ..G..1$ O If' f l l l /"i r �! 0%j! �P�� OR NAL SCA20 nA7.E"/1 QJV ! FORM U - LOT RELEASE FORM C 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***************** r APPLICANT: ,�� l "l �Zw I is C- is t�hone LOCATION: Assessor' s Map Number s <ct, DParcel Subdivision Lot(s) Street St. Number ************************Official Use only************************ COMMENDATIONS OF TOWN AGENTS: - �� Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Health Agent Date Rejected Comments Public Works - sewer/water connections �-- - driveway permit N��- Fire Department p-- Received by Building Inspector Date I Date./').:.�7.-.�. ? .. ... .. pF e,O oTM 1'Y TOWN OF NORTH ANDOVER p ...,. p • PERMIT FOR GAS INSTALLATION �9 �7S SACMUSEtS This certifies that . t. l. �� r ?`�f... . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . !'. . . .��-��'.-' in the buildings of . . . .1. ./:' .'.�.�. !�. . . . . . . . . . . . . . . . . . . . . at . . . . S. �.� . . 'f �� I,. ���� , ' , Nort Andover, Mass. Fee. D. Lic. No. . . . . . } :✓ :t..e�!.. . : GAV INSPECTOR Check# S)- 4 2 3 21 S)-4232 MASSACHUSETTS UNIFORM APPLICATON FOR PERIVIIT TO DO GAS FTMNG (Type or print) Date U NORTH ANDOVER,MASSACH'U�JSETTS Building Locations 6,4/1 �� .57" Permit# yz 3 2 Amount$ 3 p Owner's Name � �/ /y /Q G HT New❑ Renovation Replacement ❑ Plans Submitted ❑ 0 v d w of O a a H SUB-BASEMENT BASEMENT QST. FLOOR 2-N D. FLOOR 3RD. FLOOR 4'1"H. FLOOR 5TH. FLOOR i 6TH. FLOOR i' 7TH . FLOOR r STH . FLOOR (Print or type) CJ12&one: Certificate Installing Company Name l .0— UC 795C /�L!i 7�' I TG, Corp. Address y/ //!'C/-></�YDDd �16 rli A,r, ❑ Partner. Business Telephone 11/111"0'0 ❑ Firni/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes Er No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy 0 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 above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 1 of the General Laws. By. Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber / :5 '41pA- City/Town ❑ Gas Fitter License Number ❑ Master APPROVED(OFFICE USE ONLY) Journeyman