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HomeMy WebLinkAboutMiscellaneous - 65 EQUESTRIAN DRIVE 4/30/2018 (2) 65 EQUESTRIAN DRIVE 210/105.D-0144-0000.0 Date. . . OF NO DTH ,'Y of �' TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION . y C HUSESI( This certifies that . . . ... . . . . . . . . . . . . has permission for gas installation . . rn .-./.? -?.rq r.:T. . . . . . . . . . . . in the buildings of . . . . f. .L � . . . . . . . . . . . . . . . . . . . . . . . . . at .(;tJ )l .. . . . . . . r, North Andover, Mass. Fee.3o .'. . . . Lic. No.&6.F . . 1 . .� -. . I . ... . . . . AAS INSPECTOR Check# y!/� 4 ° 6 Date •1��. ''�� NOR7M o?�.<� •�,;•,�tiao� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 4 ,SS'4 USES 7 This certifies that � . !`. . . . . . . .j . . . . . . . . . . . . . . . . . . . . . . . . too has permission to perform . . . . . . . . plumbing in the buildings of . . .'.? . . . . . . . . . . . . . . atF .�i. . � r .� . . . k� �C' . . . , North Andover, Mass. Fee.3P . . . . .Lic. No.140. . ,?�l!%�• d. ,,. . �fd/�.�j' �-. . . . . . . . . PLUMBING I��NSPECTOR Check # r� 6 2-7 LOT NO 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE E SUB DIV. LOT NO. — G iLOCATION a9� O• PURPOSE OF BUILDING .OWNER'8 NAME / NO. OF STORIES SIZE /O NER'B ADDRESS ��. /1 BASEMENT OR SLAB ARCHITECT'S NAME / SIZE OF FLOOR TIMBERS IST 2ND i 3RD .r BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET ��% POSTS DISTANCE FROM LOT LINES-SIDES/jV ?o REAR ZdO GIRDERS _ AREA OF LOT i � !!//�� FRONTAGE jsO HEIGHT OF FOUNDATION THICKNESS IS BUILDING'NEW Y/'� SIZE OF FOOTING • % 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 18 BUILDING CONNECTED TO TOWN SEWER �® 18 BUILDING CONNECTED TO NATURAL GAS L:N- INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE t FILL OUT SECTIONS t - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO: ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVIED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED04, - �;F - BUILDING INSPECTOR 81GNATUR WNER OR AUAGENT 7= OWNER TELr7? FEE / 00 .#_ PERMIT GRANTED CONTRA. TEL.# '9 — CONTRA. LIC. # H I.C.# ere WHITE: Building Dept. CREAM: Assessors CANARY: ' _ I 1 y' FORM U - IAT RELEASE FORK 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. I ****************Applicant fills out this segtion***************** APPLICANT: Phone -77S-'v f LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) v?�� Street , /,yyu St. Number �S ************************Official Use Only************************ DATIONS OF TOWN AGENTS: Con ervation Administrator Date Approved Date Rejected Comments Town Planner Date Approved Date Rejected Comments Food Inspector-Health Date Approved Date Rejected Date A SeIS°tic Inspector-Health DPProved � Date Refected Comments r Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date .f CERTIFIED FOUNDATIONFLAN LOCATED IN Norz,-K L-J"r2"E'. SCALE"I"_ �—' DA TE.- 11 3 e S.L.GILES R.L.S. L AWRENCE a NORTH ANDOVER i � I a `o t I Soo G.Iw, TA.JIC„ � I ' IUJ:IIr:.`3 z d *lo � Q �s i iI Ou-r oFTA.JIG 04,81 _ �rJJ,117 8'7 I I� D, 8, 1110,72 I c�JY D. d. CJ}IouJ�J Owl"fl-'+ 1 S PLA - / - .J TfL -r- JG- I S rJ E� Gp 5 �- �a4�'1�r+�.Jr'S o F Tl�✓fc. � � u �5-� R. I A.J �1Z I V E. ryl IJoR, +4 Dwaoyr Po.4kcr-rA4 j!o a.tszS7. — I CERT/FY THAT THE OFFSETS SHOWN ARE FOR THE USE OF OFFSETS SHOWN THE BUILDING INSPECTOR ONL Y, 8 SUCH CONFORM TO THE USE IS FOR DETERMINATION OFZONING ZONING B Y L A W OF CONFORMITY OR NON C ONFORMI T Y ���� IA A-Jl�>006Z, WHEN WNSTRUC TED CERTIFIED FOUNDATIONPLAN LOCATED IN NoRTK A.i'ac JEz- SCALE.I"= 4-' DATE' << L! e S.L.GILES R.L.S. L AWRENCE a NORTH ANDOVER i 221 4.1 't G;�q v o Aro 3.s' t IlJU=!l�,43 0 a. o �s 4 buT of T��71Cr .IG.BI too.ItS• -5 !J E 8'1 S d w GOa STR.J4'r`t o� , �Qv! rnF3-.7rS ©F Ti+tc C� v ST R. I ASU �iZ I rJ o Jt-r44 A-srso�cr'i2 N�&4Xrar V E 3oa.+rzs�. / CERTIFY THAT THE OFFSETS SHOWN ARE FOR THE USE OF jot OFFSETS SHOWN THE SU/LDING INSPECTOR ONLY, a SUCH CONFORM TO THE USE IS FOR DETERMINATION OFZON/NG a . ZONING S Y L A W OF CONFORM/T Y OR NON CONFORM/T Y bJ�rz,— `� A•.rpou, WHEN CONSTRUCTED Town ofy North Andover BUILDING DEPARTMENT Homeowner License Exemption 'Lease print) DATE /9 9 JOB LOCATION- Number.. Street Address Section of town rr /06MEOWNER"�dm� e T home Phone Work Phone ,RESENT MAILING ADDRESS City Town State Zip code The current exemption for "homeowners" was extended to include owner occupied dwellings of six units or less and to allow such homeowners to engage an ! individual for hire who does not possess a license, provided that the owner acts as ' supervisor. (State Building Code, Section 109 . 1 . 1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside , on which there is , or is intended tq_ be•, a one to six family dwell- ing , attached or detached structures accessory t.o such use and/or farm structures . A person who constructs more than one home in a two-year p.eriod shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official , on a form' acceptable to the Bulding Official , that he/she shall be responsible for all such work performed under the building permit . (Section 109. 1 . 1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and .other applicable codes , by-laws , rules and regulations . Phe undersigned "homeowner" certifies that he/she understands the Town of ,orth Andover Building Department minimum inspection procedures and .;quirements and that he/she will comply with said procedures and equirements . iOMEOWNER' S SIGNATURE `,PPROVAL OF BUILDING OFFICIAL ,Jute : Three family dwellings 35 ,000 cubic feet , or larger, will be .-equired to comply with State Building Code Section 127 . 0, Construction . :untrol . ifORT�y ovm Of Andover 0 = m No. iii * - �� 19�� s dover, Mass., • LAKE � '9 COCHICHEWICK LY'�• •9S �q.4 `G BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System -!� �_, BUILDING INSPECTOR THIS CERTIFIES THAT,....'.- ....... O-A MASSACHUSETTS UNIFO , APPLICATON FOR PERiVIE TO DO GAS FITTING/ (Type or print) Date NORTH ANDOVER,MASSAC ETTS / r Building Locations [� 5 r� �� IgAv ' y Permit# Amount$ Owner's Name ' New❑ Renovation ❑ Replacement Plans Submitted ❑ w � � U � 04 !, //� 1'V'J � � t� � z � O F W (/ o z U a � � � A z O F $ o SUB -BASEM ENT BASEMENT 1ST. FLOOR 2ND . F L O O R 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) ` Chec one: Certificate Installing Company Name�.��.a. 2 gkLk C 12 / y �Corp. Address ElLa I7 Partner. usmess Telephone 7 Firm/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 No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. 13Liability insurance policy Other type of indemnity 13Bond 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 142 of the General Laws. By. gnature of Licensed Plu r r as atter Plumber Title Si City/Town Gas Fitter um er ❑ Master APPROVED(OFFICE use ONLY) ❑ Journeyman MASSACHUSETTS UNIFORM APPU TON FOR PERIVIlT TO DO GAS FTrrING (Type or print) Date b�� NORTH ANDOVER,MASSA�CHHUSE' /TS Building Locations 2� �4v T Permit# Amount$ er's Name _� L New❑ Renovation ❑ Replacement Plans Submitted ❑ c a c o° w rn h yy O ►» p0F'imkF a 04 G 0 Oa a 0 LL U a SUB -BASEM ENT BASEM ENT 1ST. FLOOR 2ND . FLOOR J 3RD . F L O O R 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 44- H 8TH . FLOOR (Print or type) _ U one: Certificate Installing Company J - Corp.Name Address 16 d9yvwyt " ❑ Partner. Business Telephone — ❑ Firm/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 M No❑ If you have checked yes, ox. ,please indicate the type coverage by checking the appropriate b ❑ Liability insurance policy 1Other type of indemnity 13Bond 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 anaccurate to the best of my knowledge and that all plumbing work and installations pe rmed under Permit Issued for this appli compliance with all pertinent provisions of the Massachusetts Stat o apter 142 o 4e� ener awjv �ignae of Licensed Plumber Or Gas Fit_ted, By' r �� '. Title City/Town ❑ Gas Fitter tense Number ❑ Master APPROVED(OFFICE Use ONLY) (� Journeyman ti