HomeMy WebLinkAboutMiscellaneous - 574 OSGOOD STREET 4/30/2018 574 OSGOOD STREET
21.0/101.0-0009-0000.0
I /
8 L� Date. . .91.!�.�! . .... .. ..
HORTM
Of
TOWN OF NORTH ANDOVER
• - PERMIT FOR GAS INSTALLATION .�
"S CH
This certifies that 11?�� . . . . . . . . . . . . i
has permission for gas installation Aelpxemra l . lh� . .
in the buildings of . . . .
�- �s
at . . . . . . .��. . . . �. . . . . . . . . . . . . . .�J'.,/North Andover, Mass.
Fee. . : U,�Lic. No.9 �$�4 Z-- .�G!e'41eerla741A. . . .
GASINSPECTOR
Check# ZClgd�i
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO DO GAS FITTING
CITY/TOWN: .... /�L�'I�.�C.�.LSTATE:MA APPLICATION DATE:;,..-. L,G�..`/.. . .....;
` JOB ADDRESS: . S�7q 0S&—m/b S 7 .
OCCUPANCY TYPE: COMMERCIAL❑ RESIDENTIAL PLANS SUBMITTED: YES❑ NO
NEW❑ ALTERATION❑ REPLACEMENT�REMOVAUDEMOLITION❑
I- NATURAL &.LIQUEFIED PF;TROLEIIM GAS: PIPING-EQUIPMENT-APPLIANCES-SYSTEMS 1
ENTER TOTAL AMOUNT FOR EACH SELECTION(LIMITED TO FIVE(5)NUMERALS
AIR ROTATION UNIT ---_i FURNACE: ALL TYPES TEMP HEATING EQUIPMENT
_�_'
BOILER:ALL TYPES GAS PIPING THERMAL OXIDIZER
BOOSTER '----- ENGINE)
_..; GENERATOR STATIONARY ; TURBINE
BROILER ILLUMINATING APPLIANCE --- UNIT HEATER "-"-
BURNER: ALL TYPES INCINERATOR --`R" WATER HEATER: ALL TYPES I
CO-GENERATION UNIT ---_ } INDUSTRIAL AIR HANDLER --- -= EQUIPMENT OVER 12,500MBH
COFFEE ROASTER `-_- -
, INFRARED HEATER � - -I rOTHER NOT LISTED?
COOK APPLIANCE HOUSEHOLD I -- KILN/GLORY HOLE/CRUCIBLE =:
COOK APPLIANCE COMMERCIAL _-- ' LABORATORY COCKS -_ `- ~---
DECORATIVE APPLIANCE _ MAKEUP AIR UNIT - --�
DIRECT VENT APPLIANCE -- MECHANICAL EXHAUST EQUIPMENT
DRYER: ALL TYPES µ OVEN: ALL TYPES
FIREPLACE.:VENTED 1 UNVENTED POOL HEATER
FRYOLATOR - - 1 ROOF TOP UNIT r—-- —, ---
_._.......
FUEL CELL ROOM HEATER-VENTEDNENTLESS
PLIIA'IBING/GAS FI•I'TING FIRM INFORMA'T'ION CHECK ONE ONLY
NAME: A/} ❑ .orporation Business#
...._ . 4� ..:A rI�J c�` ADDRESS:...
4r
❑Partnership Business#E---..-____..j
CITY: ... IVC)pv�12 STATE::MA ZIP: ....,.C�.I ...
EILLC Business ,
usess ------
TEL: C1:7.�1. .. y�: .3 FAX: EMAIL:'.PLU1�1131�✓(� QqCLJI
❑DBA l Unincorporated
NAME OF LICENSED PLUMBER 1 GAS FITTER: J C F lr
1,C k
INSIIRAN('E('OVERAGF;
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YESP:91NO
If you have checked Yes,please indicate the type of coverage by checking the appropriate box below.
BondA liabilityInsurance oticY Othertypa of indemnit
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
❑Signature of Owner or Owner's Agent OWNER AGENT
OWNER'S NAME: TEL: ,
FAX ....�.. .... .:> _ _, ., ..
I
I hereby certify that all of the details and information I have submitted(or entered)regarding this permit application is true and accurate to
the best of my knowledge.I certify that all plumbing work and installations performed under the permit issued,will be in compliance with
all pertinent provisions of the Massachusetts Uniform State Plumbing Code,and Chapter 142 of the General Laws.
(OFFIC'E I ISE ONLY) I'ypc of I icensc:
Permit# Plumber ❑Gasfitter
jnu
aster Journe man Licensed Plumber/Gas Fitter
Inspector ,� ❑ Y _.. . . . . . ..
Fee:
❑ License Number:
Undiluted LP Installer
_,r. _. . ...:.. ., :. _.:.........................:....
❑Limited LP Installer
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..,KAREN H.P.NELSON `� Y "" �
_„ ,
. � "TO O 0 Mai Street,-01845
' m.. �.Director'
; N0RTH ANDOVER � �` �� ��� �t5os)s8zrt6483�
^' BUILDING.' +,m*. �� x#k'r
CONSERVATION ^' DMSIONOF.?
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HEALTH <. .. ,•..
PLANNING PLANNING & COMMUNITY DEVELOPMENT
P r
:Memorandum F
To: Bob'Nicetta
From: Kathleen Bradley Colwell _
Date: February 13, 1995
Re: Little Richard's Roadhouse
I reviewed the application for site plan review for Little Richard's Roadhouse. The submittal was incomplete,
ie. no site pian submitted. I called "Sam' and told him that the application could not be heard without more
information. I spoke with Richard Lama/tina and he suggested that if he did not change the exterior of the
building but simply added the handicap bathrooms and the foyer,that he may not need to go before the Planning
Board for site plan review. I told him that we would discuss it when you return. Please let me know when you
are available.
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..........yIA`L'.€RELBA.SE FORMS
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INSTRIICTIONS• This form is 1.
used Ener that all iiecessa
a royals ' ^F
PP /peimits.froiBoYards nd 1Departments havingju=isdf coon`
s ur have •been--obtained does
rt ;_
__� notrelieve lthe vapplicantdort _=
landowner from compliance with any applicable local 'o= sta`tep°law = +
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regulations or -requirements': r # �
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**************** pplican afill6';;out�'this section
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`1�APPLI CANT
0ne . :g<o . �
LOCATION: Assessor's Map Number r, Parcel
_, .
Subdivision
Lot(s)
Sreet
/ a v St. Number
Officlal� 'se Only************************
RECOMMEENDATIONS OF TOWN AGENTS:M
Conservation Administrator Date ApprovedDate Rejected
Comments
Approved pproved -
Town Planner Dat _q y
Date Rejected
L
Comments
I
Food Inspector-Health Date Approved
Date Rejected
Septic Inspector-Health Date Approved
Date Rejected
Comments
i }
Public Works sewer/water connections
driveway permit f SS
r Fire Department
�—
s
Building '.Inspector
-- _ i= a . z .- .._ - Date `°-
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4 SEP.. M4 J _ 2 p QCT
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1A"-°-, t. �' J
+ _ INSTR$JC1'IONSfOrmisused Y
Y� oto ,vet-lfY3 that all necessa
f approvals/permits fiom Bc' "' aid �t �.: _.
-' .. ;. X Departments having jurisdiction d
urs :xt, have#,.peen 4 cbtai ned does ;<x _ -" PP f aiid�or ,.
Thsnot� elieve thea licant
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ocal nor testate'-�laW1 anclandowner comP1
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LICANT Ftp ";00 l
` Phone �
. LOCATION: � �. _
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sem.: Map =Parte .
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2i e S 1 l St. Nurj.-er
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RECOM2-ENDATIONS OF TOWN Admus:
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Dal-
; � '• Cc: s=_ :a�_;,n Ad-_:iis tra�cr Date Re]ected
E ' l�iQ Dat= Approved
Tc::n P',_arner Date Rej _
/4
Date Approved /
Fcct -ec- ,ori`�
Date Re�e_-e_
Date
Antrcve-4
w
wcr�a - se:rer,'water ccnnecm_cns
- d__veva_- pew.
., T. V�l re Domar--e-z
Received by Building ins
�ar
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EARL R. FLANSBURGH + ASSOCIATES, INC.
January 7, 1997
Mr. Robert Nicetta
Building Inspector
Earl R.Flansburgh,FAIA Town of North Andover
Michael H.Bourque,FIIDA 146 Main Street- Town Hall Annex
David S.Soleau,AIA North Andover, MA. 01845
Kate M.Brannelly,SMPS RE: Edged Life Care,North Andover, MA.
ERF+A Project No. 8629.00
Duncan P.McClelland,AIA
Alan S.Ross,AIA Dear Mr.Nicetta:
David A.Croteau,AIA
The Owner would like to move into portions of Building 4000 as soon as possible.
It is my understanding that the Contractor has reviewed the plans with you
Edward E.C ,AIA regarding which areas of the building will be occupied and how emergency egress
John P.Campableanll,,AIA will be maintained.
Stephen A.Casentini,AIA
Peter W.Lambert In support of our request for a Temporary Occupancy Permit for portions of
Douglas P.Murray,AIA Building 4000,we certify,to the best of our knowledge and belief,based on our
Christopher A.Sgarzi,AIA field visits,that the portions of Building 4000 to be occupied, are constructed to
Louminda R.Torbett,IIDA conform to the Massachusetts State Building Code, as indicated on the contract
documents.
The areas to be occupied include: First Floor: Office Suite(from K-Line to Q-Line),
the Mechanical Rooms, Electric/Telephone and Emergency Electric Rooms, as well
as the adjacent Corridors and the Stair 4000B. Second Floor: The entire main
Kitchen, Physical Therapy Suite, Employee Lounge Suite, as well as adjacent
Corridors and the Stair 4000B, (no other rooms on the first and second floors are
included for occupancy).
Sincerely,
EAR R. FLANSBURGH + ASSOCIATES, INC.
Vincent E. J. Dube', A. 1. A.
Project Architect
cc: Duncan McClelland Bob Willard
David Durden Norm Fournier
BIbld4let,vejd
9 JAN W ^-7 ARCHITECTURE/MASTER PLANNING SPACE PLANNING INTERIOR DESIGN
'V J 77 NORTH WASHINGTON STREET BOSTON,MASSACHUSETTS 02I14 TEL 617-367-3970 FAx 617-720-7873
' "'"':�..:+Fs'At!�.9'"�'L.-w.�w;""�a�y..�.h�.gs,,.�Yy'�y' i-�i••,:n.,r'�:c:-i-....a..�..y,...
1
Location
No. Date
NpRTM TOWN OF NORTH ANDOVER
. ' „ Certificate of Occupancy $
Building/Frame Permit Fee $
�'�S''••°''�� Foundation Permit Fee $
S�CHUSE
Other Permit Fee $ v�
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ �
Building Inspector
15.00 PAID
6M 1 9 Div. Public Works
4'�gcation-
r +-
No. Date
�.
10RTiy TOWN OF NORTH ANDOVER f �
F j p Certificate of Occupancy $
I' * Building/Frame Permit Fee $ ft6�7 MusEtFoundation Permit Fee $ /
Other Permit Fee $
ewer Connection Fee $Jk
�O�
cue Water Connection Fee $ / - -
.� $TOTAL
�.
1f.5 Bt lding Inspector
140� f l /� 1
6572
Div. Public Works-
'\IV / / _--.P-,+.eT`T.-xFNf°^•N'i-`M--�r"Wt�'..v�^VMi+'r�ob'F-s-+gw..+y"'VrY...r:�..r..
// 1•�' �
!location
No. off Date 3
+ '
�10RTIy TOWN OF NORTH ANDOVER
Ott .ao a1ti0 '.
Certificate of Occupancy $ c5 to.d 0
Building/Frame.Permit Fee $
Foupda%n Perri t.,Fee $ /0,0, Uy
Ot F'e�-&it Fee fi��' $
f Sewet Cl n�r ection F�:,,
R Water Qonne%ttion Fee��
TOTAL c9� i $ ly�"d•U
vv Building Inspector
6550 Div. Public Works
+',':et=:.ii�-•LK.*w�=-t't'�j�srR'�k �;:,.�f aa`"�w:ts ty3+'� „� '# gsr�c,�;,y�<'a:.,<_ t:...us.
Location 57 <y ',
fVo, �/!7'. Date
x
VHORTIy TOWN OF NORTH ANDOVER
„ Certificate of Occupancy $
* Building/Frame Permit Fee $
CMUS tFoundation Permit Fee $
Other Permit, Fee $
v .7`7nr t
s ,,Sewer Cotiechon Fee $ / �
1lWater Conrav`on_,Fee $ !
T�ftAL
11,41
Bu(ding Inspector ,
"'
6461 Di Public Works-
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Y- 1E8IT 1114_ r
.r APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. ��/�� PAGE 1
MAP K40. LOT NO. fl 2 RECORD OF OWNERSHIP iDATE BOOK PAGE
ZONE I SUB DIV. LOT NO. L -I
LOCATION C' l A D PURPOSE OF BUILDING 5l k? /pry �,CdI`
V / may( /
OWNER'S NAME q �V /C�( NO. OF STORIES �a- SIZE �O!/�/ tI-/
OWNER'S ADDRESS 3 3 57 kA BASEMEN OR SLAB -
ARCHITECT'S NAME
f_o®6 Okiin A" Cm SIZE OF FLOOR TIMBERS IST n 2ND 3RD
��C'6O�ly x�o
BUILDER'S NAME �"'' L d �a SPAN
---
DISTANCE TO NEAREST BUILDING C"' DIMENSIONS OF SILLS
DISTANCE FROM STREET 1 f► POSTS
DISTANCE FROM LOT LINES-SIDESVQ"( jbI 1I� REAR tJ` GIRDERS J V l
AREA OF LOT f/ ��'�r /7 - `
�• FRONTAGE �+T t HEIGHT OF FOUNDATION 0THICKNESS
IS BUILDING NEW `� f�' '_gyp 1/V� C ,? SIZE OF FOOTING /® ® X
IS BUILDING ADDITION ✓.�� MATERIAL OF CHIMNEY 14
d akvt
IS BUILDING ALTERATION IS BUILDING ON(S2LID R FILLED LAND
n
t WILL BUILDING CONFORM TO REQUIREMENTS OF CODE to IS BUILDING CONNECTED TO TOWN WATER -PS'
~ BOARD OF APPEALS ACTION, IF ANY VIA IS BUILDING CONNECTED TO TOWN SEWER yv S
x IS BUILDING CONNECTED TO NATURAL GAS LINE S
INSTRUCTIONS 3 PROPERTY INFORMATION
�/�/� xx LAND COST yrODD g
SEE BOTH SIDES Bi.3lil•POW� !V EST. BLDG. COSTtW �
PAGE 1 FILL OUT SECTIONS 1 - 3 �.L�7t7� w4l FM Q AU z) EST. BLDG. COST PER SQ. FT.
Q _ fs
PAGE 2 FILL OUT SECTIONS 1 - 12 0K FRA1 EST. BLDG. COST PER ROOM 7S-1-1
s Q
SEPTIC PERMIT NO. ti-
ELECTRIC
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING lf
4 APPROVED
BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
• 7 Q
DATE FILED
n'
BOARD OF HEALTH
SIGNATURE OF OWN OR AUTHORIZED AGENT
FEE .z 93
,g y�a�,s-Q rJ C7 OWNER TEL.#.fp — J� PLANNING BOARD
PERMIT GRANTED`s CONTR.TEL.#
19 _19 CONTR.LIC.
BOARD OF SELECTMEN
WILDING INSPECTOR
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILYIKI
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 B 1 2 1.3
CONCRETE 81.K. PINE
BRICK OR STONE HARDW D
PIERS PLASTER
_ DRY WALL
UNFIN.
3 BASEMENT
AREA FULL FIN. B M'T' AREA _
1/1 1/2 1/ FIN. ATTIC AREA
NO B M FIRE PLACES T �V
HEAD ROOM _ MODERN KITCHEN L
4 WALLS I 9 FLOORS f
CLAPBOARDS B 1 2 3 T
DROP SIDING CONCRETE �_ ;
WOOD SHINGLES EARTH
ASPHALT SIDING HARDI+J'D
ASBESTOS SIDING COMMON
VERT. SIDING ASPH.TILE _ 1
STUCCO ON MASONRY. _ f
STUCCO ON FRAME \
BRICK N MASONRY ATTIC STRS. & FLOOR _ Y "'
BRICK ON FRAME I ml t,
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING M` $
STONE ON FRAME +
SUPERIORPOOR _
ADEQUATE I NONE
5 ROOF 10 PLUMBING
GABLE HIP BATH Q 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 11 HEATING
WOOD JOIST FORCED
FORCED HOT AIR FURN.
TIMBER BMS. 6 COLS. STEAM
STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR J ! FH
WOOD RAFTERS AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
OIL
B'M'T 2nd _ 1 ELECTRIC
1st 13rd I NO HEATING
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FORM U - IAT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all nen.essary
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: ( ,e L)e VI p Phone
IACATION: Assessor's Map Number Parcel
subdivision `` Lot(s)
Street �J St. Number
************************Official Use Only************************
R--ECCOMMENDATIONS OF TOWN AGENTS:
Date Approved
Conservation Administrator Date Rejected
Comments
Date Approved
Town Planner Date Rejected
Comments
Date Approved
Health Agen Date Rejected
Comments
Public Works sewer/water connections
-. driveway permi
Fire Department
Received by Building Inspector Date
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Town of - �10 Andover
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No. 74
�
o C N?br dower, Mass.,
COCHICHEWICK
��ADRATED APS\
BOARD_OF HEALTH
Food/Kitchen
O
Septic SystemPERMIT T y
Ty.0. r o BUILDING INSPECTOR
THIS CERTIFIES THAT. n..ec ��l4srl,�1Ji�...•C?.�i 4 /'.............................................. Foundation y
has permission to erectbuildings on � QO..�.1 ' ..O.r.9 ............. Rough `1
.. . ,I�11►AIit',AChimney be occupied asX AVi�X.•A / 1Ll .
i rmi 4hal in ever respect conform to the terms of the application on file in •
provided that the person accepting this pe �t y p PP 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. HERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR O
VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8-S. B.C. Rough
PERMIT EXPIRES IN 6 M1 FEE PAID 7/,,J,0,0 0 Final
UNLESS CONSTRUCTION, STARTS �/�v a' 0 Q ELECTRICAL INSPECTOR
FRAME/BUILDING Rough
PERMIT-:FOR
Service
DATE L2ZJJ_FEE PAI .�� BUILDING INSPECTOR .Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR a
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 A
Burner
PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det.
SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT
Tow
{ ' ' ' !1
iVIII,/\I.ti
�1,N1)Uti'L'lt
('.'()NS I:I tVATION �:•` 1 11VI: 11,N I,I: -
(lil iiii"-1 i
rll:nl:rll .
NIN(,. PLANNING (;t)11IAWNITY DIWI-1101'Al "N"l'
1.I '. NJ:I tir )N. I )Iltla; I� )It
CHIMNEY APPLICATION ANO 1'13111-
/ a
PEKMI'1',
.00ATION '
WNER'S NAME:
UI LDER'S NAME:
ASON'S NAME:
ASON'S ADDRESS:
ASON'S TELEPHONE:
• QZ6
'I
ATERIAL OF CHIMNEY: 2
UrERIOR CHIMNEY: LXI EIZIOIZ CHIMNEY:
1 WER AND SIZE OF FLUES:
!HICKNESS OF HEARTH: ---
iU chimney a OiAenCaee eal1(0AIII •Io 41I.e u() .i.Ite code arl(! Irctve -1trCC.5 cur,(
egutatcom been kece-bed: --� 4j
IGNATURE OF MASON: -
'CRMIT GRANTED:- -- ��' — �r FEE 0 C�
)BERT NICETTA
'.IILDING INSPECTOR '
'JSPECTEU:
IEh{ARKS:
�7
SOLID BLOCK .R LQUIRZR'1)
� THIS PERMIT MCISr GE 01SPLAYLU 014 ilIE 1'RLAII SLS
J
CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
Building Permit Number 411 Date DE . .MB .R 21 , 1993
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 574 OSGOOD STREET (Lot #9)
MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/2 CAR IN ACCORDANCE
j GARAGE & DECK
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO Stevens Crossing D ev Corp.
�a •`�_` °� 733 Turnpike St .
° ' ADDRESS North And6ver- MA
"U6 Building Inspector
y.
I
L
NORThf
0 o �` ) 'Andover
r
No. It 0
•�
�O �- A1_ `ort dover, Mass.;..S�/°T/6 19�..
coca+'h" ",
ORATED
'9S BOARD OF HEALTH a
PERMIT T D Food/Kitchen lb
Septic System y
r c A ry�� WILDING INSPECTOR 3
THIS CERTIFIES THAT.�I..��!9F. /�Q•S.C��IJ�... .4�."Qp............................................. G�^-1 ��' �� -� - ��
has permission to erect�GfJ.Q�/...��./r.J!yt.. buildings on .;��,'YQ.�Irir.�.�.�7.s.�'�.!�...O..r. ................
Rough"j, 6,C //o
to be occupied a 1 �. I /!rL.L.. L!��G�.�..// '/d...1.e*A 1104 W4?0AV40' Chimney
P� sSf
provided that the person accepting this ermit'shairin.ever respect conformto the terms of the application on file in
P P P 9 P Y P PP Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of 1�
Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY PLLTNIBING,INSPUCTOR o
REGULATED BY PARA. 114.8-S. B.C. ss
VIOLATION of the Zoning or Building Regulations Voids this Permit. ou y
PERMIT EXPIRES IN 6 M 1 . , FEE PAID'*:_
AI
UNLESS CONSTRUCTION, STARTS. '�V�1Oa ELECTRICAL INSPECTOR
• Rough
'PERMIT FOR FRAME/BUILDING ;(;
Service e
. . ... . .... .... ...
UILDIDA T G L&JJ_FEE PAI .. 3�.=��.�"L Final
Occupancy Permit Required to Occupy Building GAS I SP CTOR E
Display in a Conspicuous Place on the Premises — Do Not Remove
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. FIRE DEP RTMENT
Burner
2
PLANNING A9:jr1ft L CONSERVATION � � � f��, �-�, , _�`�!Street No.
;t�rt Smoke Det.
SEWER/WATER / -/6 FINAL DRIVEWAY ENTRY PERMIT it
r
PIEaJi 0. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1
MAP K40. I LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE
ZONE SUB DIV. LOT NO. —
LOCAT '5 r-T-AIcl
5, URPOSE OF BUILDING
OWNER NA EV '� J NO. OF STORIES SIZE
OWNER'S ADDRESS BASEMENT OR SLAB
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME - j� , _ ♦ a `� /d ' SPAN ---
DISTANCE TO NEAREST BUILDING 1i[ 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
IS BUILDING ADDITION Ay n ,. _ 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 nl-Ts1
PAGE I FILL OUT SECTIONS I - 3 EST. BLDG. COST PER BQ. FT. J
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
BOARD OF HEALTH
SIGNATURE OF OWNER OR AUTHORIZED AGENT .,
0�4
�- OWNER TEL.# �! PLANNING BOARD
PERMIT GRANTED CONTR.TEL.#
19 CONTR.LIC.#
r
BOARD OF SELECTMEN
i I
■UILDINO INSPECTOR
yy, l it \
BUILDING RECORD
1 OCCUPANCY 12
a
SINGLE FAMILYSTORIES 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 t ;
2 FOUNDATION 8 INTERIOR FINISH _
CONCRETE B 2 I3
CONCRETE BL'K. PINE
BRICK OR STONE HARDW'D
PIERS PLASTER _
UNFIN.
3 BASEMENT
AREA FULL FIN. B M'T' AREA _
1/1 1/7 l/, FIN. ATTIC AREA _
NO BMT FIRE PLACES
HEAD ROOM MODERN KITCHEN
4 WALLS-7-7I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE I_
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDW'D _
ASBESTOS SIDING _ COMMCN
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY _
STUCCO ON FRAME
BRICK,ON MASONRY 3 ATTIC STRS. 8 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
GABLE I HIP BATH (3 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 11 HEATING
WOOD JOIST PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. d COLS. STEAM
STEEL BMS. 8 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
/COQ 20
x
� I
i
w� a
t �
np•
�v
i'✓,-�-
4.3,S60 S.F
� I
j
S //FPF�Y CE.cT/FY TO TyE' T/TLE/,�/SU.PD.f'.O,c/O RL O T R1.4...v
TD T.'�E B.4N,r T.s�gT THE OwEC[./.N6'/S EOCATEO O.V
TyE LdT AS S.9G/syt/ANO T,4L4T?Oafs CO,(/FGtPgJ /N
T//E Taw's OF�O,A✓GDyF e 2DN/.vG ,�E6�/GAT.t9.t/`5
'� .QL�6r4.P0/NG SETBAC.t'S FE0�1 ST•PEET•S'�EDT L/.s�ES."' /(e�,�?Tir�/ /�,v1JQ(/E,� �,�!r< .
'� I F//.CTr/E.0 CE.�T/FY TiS�.4T Tis//.S O.Y'ELL/N6 /S it/OT /
LOG4TE0/� T.YE FEOE.PAG fiCObO //gZ.4•P0 A.PE.a. O.PAlt�it/ FO.P
LSydW.v d/t/
' G -�. -?SGS OGtO,��' STEY'trit/.S �.2oxSi.vG �E✓c'•LO.�i),.�i/r Ca.�p
p2 SRL` 'S,,',.• /�/ �6/ -
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Bovvo,Py o�'T ,v_ 8o�/,voves��.vFo.Pn� �E•P.P/r�f.9G�E-.f/GidEE.P�.I/6 ;'SE.P/�/lES
AT/OPV TA,NE.y F,PO�1 Exrsrivc .ee-co,Pvs. 6G f'q,P,(�.ST,PEET
' A.t/ODYEiP, /YJi4SS.4Gs/r/SETTS O/8/O
Location (SPP
No. Date
RT
TOWN OF NORTH ANDOVER ,
O
0~ 9 II
Certificate of Occupancy $
. , .._
. c►oUSEBuilding/Frame Permit Fee $ j
Foundation Permit Fee $
Other Permit Fee < DUP, $ Q' 190
TOTAL $ r
Check #
6 �i 5 o SuWdieg4nspevY5r
"rYi �%vt��ty
71
g Town of North Andover gaRTM
of
Office of the Building Department ?
Community Development and Services Division * i
r
William J. Scott, Division Director
27 Charles Street gss,� 5
North Andover, Massachusetts 01845
D. Robert Nicetta Telephone(978) 688-9545
j Building Com issioner ®�� Fax (978)688-9542
LY APPLICATION AND PERMIT �� e
DATE l 0 3 /►zA P�P -j PERMIT
LOCATION �5i� s �J0/a�D3j
OWNER'S NAME
BUILDER'S NAME
MASON'S NAME
MASON'S ADDRESS
MASON'S TELEPHONE
MATERIAL OF CHIMNEY
INTERIOR CHIMNEY EXTERIOR CHIMNEY
1 ,9
NUMBER AND SIZE OF FLUES
THICKNESS OF HEARTH
Will chimney or fireplace conform to requirements of the code and
have rules and regulations been received:
DATE
SIGNATURE OF MASON CONTR. LIC. #
EST. CONSTRUCTION COST/CONTRACT PRICE
PERMIT GRANTED FEE
ROBERT NICETTA, BUILDING INSPECTOR
INSPECTED
REMARKS
SOLID BRICK REQUIRED
THIS PERMIT MUST BE DISPLAYED ON THE PREMISES
BOARD OF APPEALS 688-9541 BUILDING688-95415 CONSERVATION 68 8-95 30 HEALTH 688-9540 PLANNING 688-9535
WOOD STOVE INSTALL4VION CHECKLIST
till
o
VF
Permit
A building permit is required for the installation of any solid fuel burning appliance. The building permit and
installation inspection are limited to the stove installation and not to the stove construction.
Stove
A. New
Used.
B. Type/radiant 1�d, ;aa 4
---- Circulating
L4.
C. Manufacturer J.) ab. No.
Name/Model No. A f&2 1 Collar size
Dimensions/Height .-,-.?ngth Width
Chimney
A. New Existing A
B. Size(flue area)
C. Other appliances attached to flue(NuMber and flu(3 SiP?) 1_15
D. Prefab(Manufacturer-name and type)
E. Masonry/Lined
Unlined Flue liner,_ /6-1
type 3 manutSciurer)
F Height(refer to diagram dley
cap
OVER I Nitti,
Z MIN. 2 kx,
MiK 101
MIN.
r
HEARTH
CHIMNEY HEIGHT
Hearth(non-corn ,ustjble)
A. Materials. vl.Auqk^. W_
B. Sub-floor construction 24-1
C. Minimum dimensions(refer t6"dia'aram'
Clearances and Wall Protection(see stove installation clearance chart)
,!
A. Type of wall protection provided -e 4 'rB. Clearances(refer to diagrams)
77
FIREPLACE conNER WALUCENIER
T! ♦ , 4 .,
I
780 CMR: STATE BUILDING CODE COMMISSION
!
i
Figure 2109-4
CLEARANCES FOR SOLID FUEL BURNING APPLIANCES
CF.S
CAP
C FACTORY-BUILT CNINNEY
(D
—AOOr SUPPORT
i'
I
a sU►PORT sRACK[T
MON-CONBUSTIBLE A ei
WALL PROTECTION —CONN[croa n►[
A CONN CTOR OVERLAP
1'
1
A \�� WOOOBURNINO
STOVE
A
AIRSPACE \ _
uY
I t Is^
12••
NON=COMBUSTIBLE
FLOOR PROTECTION
STOVE INSTALLATION CLEARANCES
Combustible 6'• Asbestos 1`1111board Concrete/Nason
Stove Components Material Spaced Out 1" ry 4 Brick Veneer
Radiant Stevj i. 3 Foundation Wa{1
--Fr 36 _
Circulating Stove 1.
—Front
Radiant Stove
—side/Back 36" 18"
6"
. C:rcu{at Mg Stout
1 a...
-S tde/eac)c 12" 600
6.. 6..
B. singte NrFT I.
. Connector P1 a la'A 12" 6,A
a•'
Msulated211 211
Connector Pipe 211 211
Chimney :eight
(metal or Masonry) Three (3) feet above •d)rcent roof and
two (2) feet .above an roof ridge within 10 feet -r
. Damper t a damper is not Inciuded In
ch—stove construction.
i. Front: fuel or ash access side.
tt must " Installed In the connector pipe.
2. Thimble required for passage through combustible construction.
3. Nor~-combustible spacers required.
q
4. Clearances on each side of a radiant stove with a heat shield shall be measured as If a clrculatinq type.
I
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ORTH
® ® _ � bAndover
P . F.
No.
.37$ -
- __
11L0 �QL�A Ko � clover Mass.
/�-s: -•�ao 3
COCWCME.CK " >
ADRATED A'P����
SS
Ua BOARD OF HEAL'T'H
PERMIT T D Food/Kitchen
Septic System
THIS CERTIFIES THAT 4.1/..11...........V.V/V !d) BUILDING INSPECTOR
UI
"" Foundation
...... ........ .. ....... .......... .. . . . .. .. . ...
has permission to ereet.14*.................................' .. buildings on ...... ......., .....®.SG .............. ... Rough
to be occupied as...:............. PP.V 4.v-t........�.N.......R 0101 %�C . 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 B -Laws relating to t e 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
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
i��� � Rough
.......,0/l ...... ..... ............................. Service
. ..... ..... . ..
BUILDING INSPECTOR
Final
Occupancy Permit 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 FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE` REVERSE SIDE J1 Smoke Det.