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Home My WebLink AboutMiscellaneous - 62 AUTRAN AVENUE 4/30/2018 i r U 0000-«oo-0•svoio�Z - 3nN3AV Nb211nv Z9 Location 6c>� AU rkA.) No. y C Date HQRTIy TOWN OF NORTH ANDOVER f � ' Certificate of Occupancy $ Building/Frame Permit Fee $ HuS Foundation Permit Fee $ \kl b o t7 2 0 r Other Permit Fee Skov h $ `J TOTAL $ Check # Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING so.. .. BUILDING PERMIT NUMBER: , / DATE ISSUED: 0W SIGNATURE: AVt� � I Building Commissioner for of Buildings Date z SECTION i-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O / N V% Map Number Parcel N ber (11..3 Zoning Information: VV 1.4 Property Dimensions: `\ Zoning District Proposed Use Lot Area Fronts R 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided v ' 1.7.Water Supply M.G.L.C.40.§34) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT %+1C, 2.1 Owner of Record Reran Name(Print) Address for Service: C1QVP� �`�� Signature i Telephon -�78-��3-��a w-�16f-5�5 3101 2.2 Own f Record: 1 t Name Print Address for Service: 0 M . Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: 0 License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number M Address _r Expiration Date z Signature r Telephone 0 SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check a0• licable New Construction 9 Existing Building 0 Repair(s) ❑ Alterations(s) 0 Addition 0 Accessory Bldg. 0 Demolition 0 Other ❑ Specify Brief Description of Proposed Work: y_ 1 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OMCIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multi lier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature ot•Owner Date SECTTICON 7b OWNER/AUTHORIZED AGENT DECLARATION r as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are L*ue and accurate,to the best of my knowledge and belief h Print e Siafa"&117e-o(0wner/ARen'-r Date NO. OF STORIES Ont SIZE ` BASEMENT OR SLAB SIZE OF FLOOR TINIBERS 1Sr2ND3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIN ENSIGNS OF GIIZDERS HEIGHT OF FOUNDATION THICKNESS tot' � SIZE OF FOOTING X MATERIAL OF CHNINEY - 1S BUILDING ON SOLID OR FILLED LAID IS BUILDING CONNECTED TO NATURAL GAS LINE YcS . .._..FOOD STOVE INSTALLA I iON CHECKLIST Permit A building permit is required far the installation of any solid fuel burning appliance. The building permit and installation inspection are limited to the stave ins:allation and not to the stove construction. :.y Stove A. New Used ✓ '' ' 8. Type/radiant (UN Circulating C. Manufacturer Ru f%,nQ6 - r. C--re. gib.No. Name/Model No. Numb�l P CXn 1 aG� c.OAb• Collar size y" Dimensions/Height " Length aSr' Width tom" Chimney A. New ✓ Existing 8. Size(flue area) (9r C. Other appliances attached to flue(Number arid flue size) coni D. Prefab(Manufacturer—name and type) 17urt�venk 0' Daub�e t.)G.�, 5 'n�e�5 sue - 0. Masonry/Lined Flue liner Unlined type 4,nanu,acnner► F. Height(refer to diagrams) cap OVER, ICS T i I 3 lN1ty Ill �'r•uri. i — Mac tto" 1 18"1411. (F(;c'_.ASH CV �x GO` HEARTH CHIMNEY HEIGHT Hearth(non-combustible► A. Materials Cen=Lt S. Sub-floor construction rr;nc_Mt:t C. Minimum dimensions(refer to diacraml Clearances and Wall Protection(see stc-je ins;allat:cn c!earances chart) A: Type of wall protection provided B. Clearances(refer to diagrams) :Q)� pttoliun der tv�t ��-tt�'e�S fcc-OrAm ca. ron�• `aot/a„ I(O" t t FIREPLACE "" ";L-0t-IER WALLCENTER. M NORTiy Town of 4Andover T �O LA E C�OVer� Mass.' /r I � _ OO I� COCMICMEWICK 7�ADRATED Cl �y S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System `'� N N �` BUILDING INSPECTOR THIS CERTIFIES THAT......`'✓..0 S`��Q. � ...... .... . ...................... .............................................................. .......... . ,/ Foundation has permission to e+�eek...l. V..... buil ings on 1P. V T l�i�� A Vi. ug � Rough to be occupied as....... S � �'� p 1/!/....... ............................................ Chimney ...................................................................:............................ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in • this office, and to the provisions of the Codes andFz7;q ating to the Inspection, Alteration and Construction of Final M� l Buildings in the Town of North Andover. qPLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRU N TS Rough 1: . .......... ....... ... Service .. . . . . ........ ........ ....... BUILDING INSPECTOR Final Occupancy Permit Required to Oca4py Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove F ough No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Date.. . . . .. . . . ... . Z. . . . NORTH � ?Ory• "ro ,e,ti0 3 TOWN OF NORTH ANDOVER O � F • PERMIT FOR GAS INSTALLATION . " SNC HUSESSy ¢ This certifies than. . . . . ... . . . . . has permission for gas installation 3 in the buildings of . . . . . . . ./. .7. . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . .L.. . . . . . . . . . . . . . .[, - ,: ., . ., North Andover, Mass. Fee' 77"'. . . Lic. Nom 7y S.`. . . . . t GGAS INF C Check# 4125 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Tnz ) Mass. Date Permit # Building Location.. .4v77e*Aj Owner's Name Type of Occupancy residea New ❑ Renovation ❑ Replacements Plans Submitted: Yes❑ No ❑ N cc Y W N NN V CC [L CC N rr N cc W W OC O O N x �' J N VCc fn ~ x !A z O W F- Q CC z O F- W m 4 cc O O „ W W N W Q = z H N d > Q N tZ W = t1 W N W Q OC o. Q W W W N -� Q x a it tl [C W 1- W ~ _ (A OC z Q C f' t- r y a, 0U. z W J � W ur Q m z z o z otu �y x aac 'x O tl U. :3 3: c tl j v � Y a a F- o SUB-BSMT. BASEM£HT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR r 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET X7 Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership c Business Telephone .687-:1105 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes RC No ❑ If you have checked res, please indicate the type coverage by checking the appro nate box. P A liability insurance policy 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'sAgent Owner❑ Agent p , I hereby certify that all of the details and information 1 have submitted(or entered)in abo plication are true and accuWe to the best of my knowledge and that all plumbing work and installations performed under the permit lssu f r this application will n m liance I pertinent rovisions of the p with all p e Massachusetts State Gas Code and Chapter 142 of p the Gene - S. TyQe of License: Title Plumber Signature of Vcensed Plumber or Gas Gasfitter �. 4 Jr City/Town Master License Number O IC SE ONL Journeyman i. BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE - i N0. APPLICATION FOR PERMIT TO ADO GASFITTING c NAME, & TYPE OF BUILDING LOCATION OF BUILDING_ PLUMBER OR GASFITTER LIG. NO. PERMIT GRANTED DATE ...�9 GASINSPECTOR Y