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HomeMy WebLinkAboutMiscellaneous - 74 BUCKINGHAM ROAD 4/30/2018Date .1.1.t.411!5-.. ..... .................. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION o This certifies thatO—A ....................... ................... ........... ........... ..... .......... has perrrussion for gas* tallation ...................... ........... in the buildings of ........... 705 WS at. -North Andover, Mass. ., ........ ........ . ..... .......... Fee..( ........ Lic. No. ...... ...................................................................... GAS INSPECTOR Ch&k. G TYPE OR PRINT CLEARLY APPLIANCES 7 BOILER BOOSTER CONVERSION E COOK STOVE DIRECT VENT F DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY MA DATE 07 / 2015 PERMIT # JOBSITE ADDRESS I OWNER'S NAME P �`a1 OWNER ADDRESS Same TEF FAX OCCUPANCY TYPE COMMERCIAL® EDUCATIONAL NEW: ® RENOVATION: 0 REPLACEMENT: FLOORS- I BSM RNER TER INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER RESIDENTIAL[i PLANS SUBMITTED: YES[j NDE] m0®® I INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 1 IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY ® BOND YES El NO 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 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 permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. 0��Z,"' PLUMBER-GASFITTER NAME Robert Josey LICENSE # 9185 SIGUAKURE MP ED MGF ® JP ❑ JGF LPGI ® CORPORATION [D# 3788C PARTNERSHIP El#= LLC ®# COMPANY NAME:j RH White Construction Co ADDRESS jil Central St CITY Auburn STATE = ZIP 01501 TEL 508 832-3295 FAX 508-926-4347 JCELLI 508-245-7431 EMAIL i V n X�, ROUGH GAS INSPECTION NOTES I THIS PAGE FOR INSPECTOR USE ONLY Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE; $ PERMIT # PLAN REVIEW NOTES r Q2d� 712�f��—� FINAL INSPECTION NOTES Division of Professional Licensure: License Search arc The Official Website of the Office of Consumer Affairs and Business Regulation (OCABR) Division of Professional Licensure Mass.Gov Home State Agencies A -Z Topics Home > Division of Professional Licensure > .......................................................................-.......... ............................................................. ......................... ............ .......................................................... ........ Check A Professional License By the Division of Professional Licensure LICENSEE Name: ROBERT A. JOSEY E DOUGLAS, MA NEW SEARCH **This Licensee has additional Licenses, click here to view them.** Licensing Board: PLUMBERS £t GASFITTERS License Type: MASTER PLUMBER License Number: 9185 Status: CURRENT Expiration Date: 5/1/2016 Issue Date: Exam Date: School: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web server on Wednesday, July 15, 2015 at 3:20:42 PM. © 2007-2011 Commonwealth of Massachusetts Page 1 of 1 Mass.Gov ONLINE SERVICES Check a License Locate a Licensed Professional Online Address Change Contact the Agency More... REFERENCES & RELATEDINFO Disclaimer Regarding Website License Searches Glossary of License Status Codes More... Site Policies Contact Us http://license.reg. state.ma.us/public/pubLicenseQ.asp?board_code=PL&type class=_M&li... 7/15/2015 NORTH ANDOVER BUILDING DEPARTMENT 1600 Osgood Street North Andover Tel: 978-688-9545 Fax: 978-688-9542 BUSMESS FORMFOR TOWN CLEj?K DATE:9 ad/ .ADDRESS: ZONING DIS TRIOT: V/ I -/- TYPE TYPE OF BUSINESS: u BUILDING LAYOUT PROVIDED: YES r NO AVAILABLE PARKING SPACES: ZONING BYLAW USAGE: YES NO BUILDING INSPECTOR. SIGNATURE BUSINESS FORM FOR TOWN CLERK 2.40 Home Occupation (1989132) .An accessory use conducted within a dwelling by a resident who resides in the dwelling as his principal address, which is clearly secondary to the use -of the building. for living purposes. Home occupations shall include, "but notlimited to the following uses; personal services such as famished by an artist or instructor, but not occupation involved with motor vehicle repairs, beauty parlors, animal kennels, or the conduct of retail business, or the manufacturing of goods, which impacts the residential nature of the neighborhood. 4. For use of a dwelling in any residential district or multi f tmily district for a home occupation, the following conditions shall apply: a. Not more than a total of three (3) people may be employed in the home occupation, one of whom shall be the owner of the home occupation and residing tri said dvveft; b. The use is carried on strictly within the principal building; c. There shall be no exterior alterations, accessory buildings, or display which are not customary with residential buildings; - d. Not more than twent five (25) percent of the existing gross floor area of the dwelling unit so used, not to exceed one thousand (1000) square feet, is devoted to* such use. In connection with such use, there is to be kept no stock in trade, commodities or products which occup3l space beyond these limits; C. There will be no display of goods or wares visible from the street; f. The building or premises occupied shall not be rendered objectionable or detrimental to the residential character of the neighborhood due to the exterior appearance, emission of odor, gas, smoke, dust, noise, disturbance, or in any other way become objectionable or detrimental to any residential use within the neighborhood; g. Ary such building shall include no features of design not customary in buildings for residential use. Location 74 Date - �21 9�— ! i TOWN OF NORTH ANDOVER a 0 „ + Certificate of Occupancy $ i q Building/Frame Permit Fee $ ,SSACMUStt FouPermit Fee $ p® srrz��'4 � �®Otfi'er Permit Feee.,F $ �� �– iviop Fee $ SEp water Coat9tion Fee $ 6c c_ .a Building Inspector Div. Public Works Location No. Date —_1 NORT" TOWN OF NORTH ANDOVER F „ Certificate of Occupancy $ ` y Building/Frame Permit Fee $ E<� Foundation Permit Fee $ sACHus RECENEUr MrMOdle - $ SEP1r Lection Fee $ ater Connection Fee $ No. AndlpTelLCollectc7 $ Building Inspector Div. Public Works PE-RPiiT Ivo. 9�,7 APPLICATION FOR PERMIT TO BUILD —NORTH ANDOVER, MASS. C/ L (/ PAGE I MAP KVO. LOT NO. I 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZO SUB DIV. LOT NO.I O ION [ -. --�.. t�Gt. ..�•--�-_1=.- ~/'Cr�i. PURPOSE OF-BtlDflR. 51 ��G. r y 1 OWNER'S NAME NO. OF STORIES SIZE OWNER'S ADDRESS 11, t N` A wt (1 BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD ILDER'S NAME V LI SPAN DISTANCE TO NEAREST BUILDING 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 ! LW-LDING ADDITION MATER:AL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND ILL BUILDING CONFORM TO REQ IREMENTS OF CODE ` Y 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 SEE BOTH SIDES PAGE i FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 INSTRUCTIONS i ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS �s�NS MUST BE FILED AND APPROVED BY ILDING INSPECTOR `, DA FILED 'L ` I , /�', SIGNATURE OF OWNER OR AUTHORIZED AGENT d FEE PERMIT GRANTED if 19 / Z` b � 9 2 CONTR. TEL. # CONTR. LIC. # i�w AAZZ 3 PROPERTY INFORMATION LAND COST T. BLDG. COST EST. BLDG. COST PER Sid. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO.. 4 APPROVED BY BOARD OF HEALTH .PLANNING BOARD BOARD OF SELECTMEN OVIWYoAY 1NaPAUTUR 1 OCCUPANCY SINGLE FAMILY _ t (- + S iCRIES MULTI. FAMILY CLAPBOARDS _ OFFICES APARTMENTS 1 2 �_ —{I_ �— _ DROP SIDING CONSTRUCTION 2 FOUNDATION WOOD SHINGLES 8 INTERIOR FINISH CONCRETE ASPHALT SIDING ASBESTOS SIDING _ _ 3 1 2 13 CONCRETE BL'K. STUCCO ON FRAME PINE BRICK ON MASONRY BRICK ON FRAME BRICK OR STONE CONC. OR CINDER BLK. HARDW D STONE ON MASONRY STONE ON FRAME PIERS PLASTER 5 ROOF 10 PLUMBING GABLE I GAMBREL] FLAT _ DRY --WALL BATH 13 FIX.) _ M ANSARD TOILET RM. (2 FIX.) UNFIN. WATER CLOSET _ 3 BASEMENT LAVATORY AREA FULL WOOD SHINGES 1 II FIN. B'M'TAREA I r i All- BUILDING ►BUILDING RECORD 12 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. 1/1 1/7 1/1 NO B M HEAD ROOM FIN. ATTIC AREA FIRE PLACES MODERN KITCHEN _ t (- + 4 WALLS II 9 FLOORS CLAPBOARDS B _ 1 2 �_ —{I_ �— 3 _ DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING ASBESTOS SIDING HARDW'D COMMCN ASPH. TILE VERT. SIDING _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STIRS. & FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I GAMBREL] FLAT HIP BATH 13 FIX.) _ M ANSARD TOILET RM. (2 FIX.) 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 1 1 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 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ 1st 13rd -` ELECTRIC NO HEATING w a LAR i m V) �4 (A 3 o ca m v T 3 m m ° c m n H Z M -4 T 3 m< !A m ° c m T ^ o y 19y T m m o C z MM m T 3 a� o � m o c fm v mT M v 0 _ R 1 • 0 c c� I Suggested Affidavit for Home Improvement Contractor Permit Application For Office Use Only NAMEOF CIITY/TOWN Permit No. 42- /y627`� AA&,)!��_ Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142A requires that the "reconstruction, alteration, renovation, repair, modernization, conversion, inprovement, removal demolition, or construction of an addition to.anypre-existing owner -occupied buildine containing at least one but not more than four dwelline units .... or to structures which are adiacent to such residence or building" be done by registered contractors, with certain exceptions, along with other requirements. Type of Work: S+C-i D I -c C'o 'OF Est. Cost , Address of Work J Owner Name:��f u �/ �Ij ,� gg Date of Permit Application:_ (21 -L- I I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law _Job under $1,000 _Building not owner -occupied Y Owner pulling own permit _Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date OR: Contractor Name Registration No. Notwithstanding the above noAc , I hereby apply f a permit as the owner of the above property: zc v Date Owner Name "JD f� 4 SEP 2 BUILD G EPAP ��—­�!T OFFICES OF: APPEALS RUILI'ANG C:ONSERVA'1•ION HEAL1•H PLANNING rO •,• 1 Town of NORTH ANDOVER S44CMUo DIVISION OF PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECYOR 120 Main Street, North A1.1dover, Massachtise'llS O I H45 (6 17) G85.4775 In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number 40- is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL e 111, S 150k The debris will be disposed of in: (Location of Facility) v, Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector.