HomeMy WebLinkAboutMiscellaneous - 9 Middleton Street,,Location4--
PNo. Date
°RTM TOWN OF NORTH ANDOVER
Certificate of Occupancy $
141
4.
Building/Frame Permit Fee $
Foundation Permit Fee $
s�CHus
Other -Permit Fee $y74
Sewer Connection Fee $
Ole Water Connection Fee $
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PERMIT
4w APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
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OWNER'S NAME 1' OD berl
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NO. OF STORIES SIZES
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BASEMENT OR SLAB
ARCHITECT'S NAME
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SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME 0
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 I FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED d Q
SIGNATURE OF OWNE�t AUTHORIZED AGENT �-
OWNER TEL. 4
F E E CONTR. TEL #
CONTR. LIC. It
PERMIT GRANTED
19
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
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
BUILDING INSPECTOR
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OFFICES OF:
APPEALS
BUILDING
CONSERVATION
HEALTH
PLANNING
OF "OAT" -
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NORTH ANDOVER
—CMUBe449 DIVISION OF
PLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIREC-FOR
120 Main Street
North Andover,
Massil(1111S(:ItS O 1845
(6 17) (185-4775
In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit
Number 1955/110 is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S
150A.
The debris will be disposed of in:
tion of f-acility)
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.
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
NORTH ANDOVER Mass. Date 7
s 14uilding Location R -D Permit # y3,�
•� Owners Name
New -7 Renovation 1� Replacement Plans Submitted
FIXTURES
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(Print or Type) Check one: Certificate
Installing Company Name /I B1,V z /0Corp.
Address S- b 0
/Q 0 r114 A,, d- /2 � Partner.
�'LI/ �+G, oy✓ h`t�4 (lij� Firm/Co.
Business Telephone: -77V- S/
Name of Licensed Plumber or Gas Fitter D19v -)-�) B14BIy/ r
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy A] Other type of indemnity Q Bond
Insurance Waiver: I, the undersigned, have been made aware that the licensee of
.this application does not have any one of the above three insurance coverages.
Signature of owner/agent of property Owner F-1 Agent M
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1 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 worst and Installations performed under" Permit izwed fo: this application will -be In compliance with ad pertinent
provisions of the Massachusetts State Cas Code and Chapter 142 of tho General Laws.
By
Title
City/Town:
APPROVED (OFFICE USE ONLY)
TYPE LICENSE:
4 Plumber
Gasfitter Signature of Licensed
Master Plumber or Gasfitter
Journeyman 9'Eo20
License Number
SOMEONE
rMEN
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FEAR.'.] -
(Print or Type) Check one: Certificate
Installing Company Name /I B1,V z /0Corp.
Address S- b 0
/Q 0 r114 A,, d- /2 � Partner.
�'LI/ �+G, oy✓ h`t�4 (lij� Firm/Co.
Business Telephone: -77V- S/
Name of Licensed Plumber or Gas Fitter D19v -)-�) B14BIy/ r
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy A] Other type of indemnity Q Bond
Insurance Waiver: I, the undersigned, have been made aware that the licensee of
.this application does not have any one of the above three insurance coverages.
Signature of owner/agent of property Owner F-1 Agent M
�,
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1 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 worst and Installations performed under" Permit izwed fo: this application will -be In compliance with ad pertinent
provisions of the Massachusetts State Cas Code and Chapter 142 of tho General Laws.
By
Title
City/Town:
APPROVED (OFFICE USE ONLY)
TYPE LICENSE:
4 Plumber
Gasfitter Signature of Licensed
Master Plumber or Gasfitter
Journeyman 9'Eo20
License Number
•fir j
Date.!. t
€° 2433 ,
,AORT1y - TOWN OF NORTH ANDOVER R
pFtt.co
2 y� e O
p PERMIT FOR GAS INSTALLATIONS k,
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This certifies that ...13!r1.4e ..... �.�� . f ...... ........
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has permission for gas installation a
in the buildings of .. �. .
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at .. `:� . !.� .�G .... ... rth Andover, Mass.
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Feer. -Lic. No...t. . ... ..... .
GAS INSP T
EC OR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File