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HomeMy WebLinkAboutMiscellaneous - 57 MILL ROAD 4/30/2018 f 57 MILL ROAD 210/107.C-0086-0000.0 S Date. .. .°2 I ..... .. NORTH pf t«io �°1b° 32 �` TOWN OF NO TH ANDOVER A • - PERMIT FOR GAS INSTALLATION 9 39SS^CH 5ESt This certifies that . . . . . . . . . . . . . . . . . . . . . z has permission for gas installation . . . . . . . . . . . . . . . . . . . in the buildings of (. . . . . . . . . . . . . . . . . . . . . . . at . . . O P . . . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. O':''. . Lic. No..//.7/. .? . . . . . . . . . . . 6ASINSPECTOR Check# { 6301 MASSACHUSETTS UNIFORM APPUCATON FOR PERNIIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER MASSACHUSETTS Building Locations A1L� ��� m 7U Permit# J Amount$ 7 0 o 12 mu - Owner's Name New Renovation Replacement Plans Submitted � a w v� w c N a ° z w oc t� w > d lw- z F d x w a w 9 � w z Z , d w a �' r, z O F w a o x 3 a .a o z > o a F o SU B-BASEM ENT BASEMENT 1ST. FLOOR I3 2N D. F L 0 0 R 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR �. 7TH . FLOOR f STH . FLOOR (Print or type) c-� Name V� ( � >� Check one: Certificate Installing Company D Corp. Address f (!f- /- G Partner. BusinessTelephone —0 �. Name of Licensed Plumber'or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance"policy or it's substantial equivalent. YesNo13 If you have checked yes,please in 4imtrtfie type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity D Bond 13 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 D Agent 13 1 hereby certify that all of the details and information I have submitted(or entered)is 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 Mass use State G Code a C eral Laws. gy: ignatur Licensed Plumber Or Gas Fitter Title umber :2 V 47 City/Town, 1:1 Gas Fitter ensC Numd-e—r aster _ APPROVED(OFFICE USE ONLY) Journeyman { Location—57Z No. / 7 / Date to N°RT" TOWN OF NORTH ANDOVER 3? � • OL p Certificate of Occupancy $ .r • �. * : ' Building/Frame Permit Fee $ ss�cMuE h Foundation Permit Fee $ � s� �CEIVED r.A�t�e���C�ermit Fee $ �» Sewer Kection Fee $ [Connection Fee $ [U®• Ca1lit10�/ep TOTAL $ _ o11ector - �wf Building Inspector Div. Public Works PER-MIT NO. l I I APPLICATION FOR PERMIT TO BUILD - NORTH ANDOV911,. MASS. PAGE ' MAP iqO. I LOT NO. 2 RECORD OF OWNERSHIP )DATE BOOK `PAGE — ZONE SUB DIV. LOT NO. �- -OCATION PURPOSE OF BUILDING /ft OWNER'S NAME NO. OF STORIES SIZE ✓OWNER'S ADDRESS r' BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME �� -!�2i' SPAN -- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS �-/7C�./�-. DISTANCE FROM LOT LINES—SIDES 3�� REAR " " GIRDERS AREA OF LOT /e C, FRONTAGE HEIGHT OF FOUNDATION THICKNESS -,"'IS BUILDING NEW ..l SIZE OF FOOTING X ,,.,-IS BUILDING ADDITION /1MATERIAL 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 OARD OF APPEALS ACTION, IF ANY A/0 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 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. 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 t5/2 s _ f ✓/ BOARD OF HEALTH SIGNATURE O OWNER OR AUTHORIZED AGENT �p OWNER TEL. FEE R t CONTR.LIC.# D3 k 3 7 PLANNING BOARD PERMIT GRANTED I 19 V BOARD OF SELECTMEN BUILDING INSPECTOR 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- APART NTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. / CONSTRUCTION 2 FOQWDATION —I 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ tDRY WALL - UNFIN. _ 3 BASEMENT 11 AREA FULL FIN. BM'T'.AREA _ 1/1 1/2 14 FIN. ATTIC AREA _ N_O BM'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 HARDNWD ASBESTOS SIDING _ COMMON _ VERT. SIDING ASPH.TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIORI� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT 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 6 FRAMING I 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 GAS 7 NO. OF ROOMS,,. -OIL B'M'T 2nd _ ELECTRIC 1st rel 3rd NO HEATING FORM U TOWN OF NORTH ANDOVER LOT RELEASE FORM SUBDIVISION ASSESSORS MAP SUBDIVISION LOT(S) PERMANENT ADDRESS (ASSIGNED BY D.P.W. STREET APPLICANT PHONE DATE OF APPLICATION TOWN USE BELOW THIS LINE PLANNING BOARD DATE APPROVED TOWN PLANNER DATE REJECTED CONSERVATION COMMISSION D OVED ' CONSERVATION ADMIN. REJECTED BOARD OF HEALTH DATE APPROVED HEALTH AR DATE REJECTED DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT SEWER/WATER CONNECTIONS FIRE DEPT. RECEIVED BY BUILDING INSPECTION DATE This form shall be signed by the agents of the Planning and Health Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. Ke���er 20\ g� 2 � { . 0 4 Acres t PROPOSED 12'x23' EXISTING 9'x 16' o� C. Zb - : 1 ODI�s� ; .c ZSR y �„�d . , .• �R.1 41 �epl-T C- t 41.3 91. 58 117.10 ROAD MORTGAGE PLOT PLAN SILL ORTH ....ANDOVER Location Scale 1 in. — 40 ft. Date June .1.5, 19.86 Plan reference: Being * .2 . . on a plan by Robert. G.. Qoodwin.,. R...L.S... . . . .. . . dated April. .12 , .1.98.2. . . . . . I*" in Essex .N o...Dist._ . Registry 0 Vis. NOTE: 1 HEREBY CERTIFY THAT THE PREMISES os.pion No. 898.8. SHOWN ON THIS PLAN ARE NOT LOCATED WITH_ ..... ... ..................... ............................................ IN THE FLOOD HAZARD AREA AS DELINEATED 250098 North Andover SUWYN & KIRW1N ASSOC Land Surveyors ON THE MAP ClP COMMUNITY (aCS. ..................... .'......................... 14 Linden Avenue, elrna�t MASS. EFFECTIVE .jUrle. .1.f ..J`,L83................ BY THE DEPARTMENT OF HOIJUNG AND LIMAN 1 berth oartif that the building shown on this DEVELOPMENTADE-RAL INSURAWCE A6MN'ISTRATION Plan is locat con tlt ground gs shown th and that it conforms to the goiling and building laws of the .town -Of. -North. Andover. . . . . when cons c to1. record This P plan +�i: Y�e� rood• i►an in {ns4rumanf wrvol Md is d ier 11N we t "*goo, iw wor►gogo pwpom only. PLAN 611� L, own o 6 n over No. 171 ° = �, RIVEW ® ENTRCT_ E� er, Mass., 199® Y PERMIT AOR SS `. PERM. ITT LD BOARD OF HEALTH • THIS CERTIFIES THAT......... ..�!..+..re. .... b4b.01010M....................i...... has permission to erect ®,� g 7 /��,.. BUILDING INSPECTOR ..... .... buildin s on ....... .... .... .............. Rough , ....DeV40AChimney to be occupied as......?r4-AA91UjP..AoNA*#0@e ....................... 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 ONT S ELECTRICAL INSPECTOR Rough UNLESS CONSTR f RT S° Service Final .... ............. .... ..... .. BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises Do Not Remove Burner FIRE DEPT. No Lathing to Be Done Until Inspected and Approved by Smoke EETNO Building Inspector . 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