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Home My WebLink AboutMiscellaneous - 9 CLEVELAND STREET 4/30/20180 N CO O O O N O O O O O t i 9, v° x Y x � Q � M M i`Ci kn U m A R! o ft1 � a s p s b oN 00 Vs} O D\ O C o E o N U i a 3 N to V] ++ r C a w~ ; O Y vi U i i C E � o �y/ 3 G�2 EON C n uc y NA CO Z .0 vFi o °q s E s N C A _ o 3 o y oa pq rn o t C u C U u p�'.�A U U E7 I. 32'13 Date..7.:.�....:... . A pf NORTH TOWN OF NORTH ANDOVER p a PERMIT FOR GAS INSTALLATION p •C This certifies that�.::......�:. ..? ...... . M has permission for gas installation X `..`: d .................. 0 in the buildings of...'`: ."....... ti .......... �................ . at North Andover, Mass. Fee.?-? ..... Lic. No........... ..I r.... ..... . GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer FORWARD MAP PARCEL ___O_�2 Xc'% 4ASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO or print) INUKIH ANDOVER, MASSACHUSETTS Building Locations o'x C\o,,4e\o.N& St Owner's Name New ❑ Renovation Replacement ❑ Date \y'sJ�Vj 190-1 Permit # 2/ 3 Amount S Shea Plans Submitted ❑ (Pamerint typeN) �N�\��G �S sr�.. eck Corp Certifjcaj�Installing Company Address S\ 0 usiness Name of Licensed Plumber or Gas FitterC �-Z J 1--�(�•S\L� ❑ Partner ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Iurance policy or it's substantial equivalent. Yes r7 No r7If you have checked yes, ple e indicate the type coverage by checking the appropriate box. 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's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information 1 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 Ga6,Code aCd Chapter 142 of the General Laws. By: Title City/Town PROVED (OFFICE USE ONLY) Signature of I Plumber Gas Fitter Master ❑ Journeyman NZPlumber Or Gas Fitter 3`? 3s icense I umoer I � (Pamerint typeN) �N�\��G �S sr�.. eck Corp Certifjcaj�Installing Company Address S\ 0 usiness Name of Licensed Plumber or Gas FitterC �-Z J 1--�(�•S\L� ❑ Partner ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Iurance policy or it's substantial equivalent. Yes r7 No r7If you have checked yes, ple e indicate the type coverage by checking the appropriate box. 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's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information 1 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 Ga6,Code aCd Chapter 142 of the General Laws. By: Title City/Town PROVED (OFFICE USE ONLY) Signature of I Plumber Gas Fitter Master ❑ Journeyman NZPlumber Or Gas Fitter 3`? 3s icense I umoer Date. e�111. g /.� ........ TOWN OF NORTH ANDOVER s PERMIT FOR GAS INSTALLATION This certifies that ... C- has permission for gas installation2-...1. ............ . in the buildings of .. at .. 1'. ! ! .r. < <.� .� �.•..:1............. . North Andover, Mass. Fee.. ?.G Lic. No. 3. �,L! /..'. ...�—:: --:7. -1....... . GAS INSPECTOR Check # 3(/" (" ' 6b:,5 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFiTTING (Print or Type) Amp -TN k JDOVEC1 , Mass. Date /516) Permit # G 37 Building Location 9--/1CCt✓UfL��1,J/] �T Owner's Name )-ONky& J0AWj6 CALLAC,N6fL AJOYLTP ti1 DOV6k NI,& Type of Occupancy �AflI L% New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ Installing Company Name BAY STATE GAS COMPANY Address 55 MARSTON STREET LAWRENCE, MA 018 4 1 - 2312 Business Telephone 9 71B- 6 8,7 -110 5 EXT *30/ Name of Licensed Plumber or Gas Fitter Francis X. Corkery Check one: )C7 Corporation ❑ Partnership ❑ Firm/Co. Certificate # 1862 INSURANCE COVERAGE: I have a current liability insoura❑nce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy P< 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: Owner❑ Agent ❑ Signature of Owner or Owner's Agent hereby certify that all of the details and information I have submitted (or entered) in abovepplication are true and accur,4te to the best of my knowledge and that all plumbing work and installations performed under the permit issuf r this application will n,eompliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. �' T e of license: Plumber Signature of Licensed Plumber or Gas Title Gasfitter Master License Number 374-5 City/Town Journeyman APPROVED OFFICE USE ONLY) S - ■�� f� Omni • . . . ■EMEMEEMEMiNIMtN moonsM<NEM INUM Installing Company Name BAY STATE GAS COMPANY Address 55 MARSTON STREET LAWRENCE, MA 018 4 1 - 2312 Business Telephone 9 71B- 6 8,7 -110 5 EXT *30/ Name of Licensed Plumber or Gas Fitter Francis X. Corkery Check one: )C7 Corporation ❑ Partnership ❑ Firm/Co. Certificate # 1862 INSURANCE COVERAGE: I have a current liability insoura❑nce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy P< 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: Owner❑ Agent ❑ Signature of Owner or Owner's Agent hereby certify that all of the details and information I have submitted (or entered) in abovepplication are true and accur,4te to the best of my knowledge and that all plumbing work and installations performed under the permit issuf r this application will n,eompliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. �' T e of license: Plumber Signature of Licensed Plumber or Gas Title Gasfitter Master License Number 374-5 City/Town Journeyman APPROVED OFFICE USE ONLY) ,z 0 Ir a t7 Z_ z f - r LL 0 N J_ LL J p z O O Q O m t7 Q -w LL 0 H 0 M r 0 W H U O 2 LLac LL O Q O w 0 Z z a a ol ¢ 0 O U. LL z G 0 J w a m V J a a a w w LL ,z 0 Ir t7 w z 0 J_ LL N O Q m t7 LL 0 0 z O ¢ w O Q m � Z D ol Location No. ' Date e:-11 e „pR71y ' TOWN OF NORTH ANDOVER 0. A Certificate of Occupancy $ Building/Frame Permit Fee $ ,'T CHUSEt Foundation Permit Fee Other Permit Fee% -v L� Ord $ /0 Sewer Connection Fee $ Q�U 18Y MiQ40onnection Fee $ TOTAL MA'(1 O 1991 $ /0 \ (�5i J Building Andover "Collator Inspector Div. Public Works PERJtIT NO. /7( APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 ✓ MAP K40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZONE SUB DIV. LOT NO. LOCATIONPURPOSE OF BUILDING A�f7 OWNER'S NAME e NO. OF STORIES SIZE OWNER'S ADDRESS %, BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME ,,V`• M 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 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 IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR KATE FILED SIGNATURE OF OWNER OR AUTHORIZED AGENT 2 PERMIT GRANTED OWNER TEL. #._ _ CONTR. TEL. # CONTR. LIC. #435,/0 y<9 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST / / IILf o EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN G mwlL l w rnsrlLuTOR 'NV -Id 101d S30b-ld3M SIH1 'a3S0dWM3df1S '013 'S39V2I -V`J 'S3H0210d H11M 'S9NIa71f19 d0 SNOISN3WIa 17VX3 aNV S3N1'1 101 WOUA 30NV1SIa aNV 10'1 dOSN01SN3W1a lOVX3 MOHS1Sf1W N01103S SIHl Z I I AON Vd f1000 I a10331 JNlalln9 ONIIV3H ON _I P'£ I isl PAZ JIM1J313 110 SWOON i0 svo Sa31V3H 11NI1 O.1.H 1NVIOVM ONINOIIIGNOJ 81V _ Sd314VS OOOM MOdVA 210 d.1.M IOH _ 'S10:) V 'SW9 1331§ 1 ' 1 WM31s 'NMnj MIV IOH 03JMOi ,:""in,SS3l3", 'S10J'8'SW9M39WIl lsior OOoM ONIIV3H II I ONIWVIIi 9 OOvO 3111 MOoli 3111 _ S38n1X1i N830OW ON190OM 110M M3MOHS 11VIS 13AVM0 8 MVl _ `JN19Wnld ON 31V1S _ ANIS N3HJ11X S30NIHS DOOM AMOIVAVI S310NIHS 11VHdSV 13SO1J M31MM 03HS 1Vlj 1'XIA ZI 'WM 131101 OMMSNVW 13M9WVO 'Xlj £1 H1V9 dIH 319V5 ON19W117d OI food 5 �I 3M01M3dns Mood ONIMIM 3WVM4 NO 3NOIS kdNOSVW NO 3NO1S 'X19 830NIJ MO 'ONO:) _I dooli 8 'SMls JIIIV 3WVMj NO XJIM9 AMNOSVW NO )IJIM9 —� _ £ l 9 3WVMj NO OJJnls AMNOSVW NO OJJn1S 3111 'HdSV ONIOIS '1M3n NOV/WOJ ONIOIS SOLS39SM 0 MOMVH ONIGIS 1lVHdSV H1MV3 S310NIHS DOOM 313dJNOJ SOMVI09dVM0 SMOOIi 6 II S1lVM > b N3HJIIX NM300W S3JVld 3M13 V3dV JIIIV 'Nlj V3MV .1.W.9 'Nlj WOOM OV3H 11.W 9 ON %i % 71 llnj M38V 1N3W3SM9 $ — — £ Z — _ 9 NIJNn llVM AMG 831SVld SM31d 3NO1S MO XJI89 G.MOMVH 3NId 'X.19 3134JNOD 313dDNOD HSINIi 80193INI S NOI1VONnoi Z N0110f1 N1SN0O S1N3W1MVdV — S3JIjj0 AIIWVA I1lnW _— S31M0!S kiiWy3 31ONIs Z I I AON Vd f1000 I a10331 JNlalln9 -5 /(,/ e5e- I/ Date ............ c� ........ °� TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This ceillifies that .................. ................ has permission for gas installation ................. in the buildings of ........ at North Andover, Mass. Fee`- q ..... Lic. No. GAS INSPE6iOR' Check # MASSACHUSETTS UNIFORM APPLICATION lf]_: _. __ T..__\ . I'A ._- FOR PERMIT TO DO GASFITTING ?•`--�� Mass. Date_ Z 20 o-1 Permit # Building Location ?-// O -Aye -,I A" S T Owner's Name ,SW6-1 ,60^1 New ❑ Renovation ❑ Replacement Type of Occupancy Plans Submitted: Yes ❑ No ❑ Installing Company Name 6Wn l Flelh / tj 9 Address 200 CornWoy S7- LA/-)�?Nsr a tFyo Business Telephone 7 1 y 6-f d -G Name of Licensed Plumber or Gas Fitter Check one: Certificate # ❑ Corporation ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 1 Yeses' No ❑ If you have checked Yes, please indicate the type coverage by checking the appropriate box. 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: Owner ❑ Agent ❑ Signature of Owner or Owner's 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 installation performed under the 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 Type of License: �BTlumber Title ❑ Gasfitter City/Town ❑ Master APPROVED (OFFICE USE ONLY) ,Journeyman 49 �Z- Signature of Licensed Plumber or Gas Fitter License Number • • • ' ■■ ■■■■EN ■■■■E■M■■M■■■MM� Installing Company Name 6Wn l Flelh / tj 9 Address 200 CornWoy S7- LA/-)�?Nsr a tFyo Business Telephone 7 1 y 6-f d -G Name of Licensed Plumber or Gas Fitter Check one: Certificate # ❑ Corporation ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 1 Yeses' No ❑ If you have checked Yes, please indicate the type coverage by checking the appropriate box. 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: Owner ❑ Agent ❑ Signature of Owner or Owner's 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 installation performed under the 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 Type of License: �BTlumber Title ❑ Gasfitter City/Town ❑ Master APPROVED (OFFICE USE ONLY) ,Journeyman 49 �Z- Signature of Licensed Plumber or Gas Fitter License Number 0 D m Lt m m z 0 'D N 0 m N N z N m 0 -4 0 z N Ir