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HomeMy WebLinkAboutMiscellaneous - 950 JOHNSON STREET 4/30/20180 3 0 J �D 0 0 0 0 0 0 0 0 0 ti This certifies that ..... has permission to perform ...... plumbing in the buildings of. at .... .7 ....... North Andover, Mass. Fee',�X. ... Li c. No. 7.4 .. ....... f�1:` 7 f %j . .. . PLUMBING INSPECTOR Check #L—ml U1 PEA MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY _ _ _ r'' _ _ MA DATE _ 2 _1—�'J PERMIT # JOBSITE ADDRESS d Q_�/1 _ . © _ _ ._ OWNE 'S NAME - p OWNER ADDRESS ------------- --- �� FAX - - — - - — TEL ��'�1 — TYPE OR OCCUPANCY TYPE COMMERCIAL ® EDUCATIONAL ® RESIDENTIAL [ PRINT CLEARLY NEW: Ml RENOVATION: REPLACEMENT: 0 PLANS SUBMITTED: YES Q NO[] FIXTURES 'l FLOOR--► BSM 1 2 3 4 5 B 7 8 9 10 11 12 13 14 BATHTUB ` CROSS CONNECTION DEVICE -_ DEDICATED SPECIAL WASTE SYSTEM ._-_-_J -----j ------- DEDICATED DEDICATED GAS/OIUSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM - DEDICATED WATER RECYCLE SYSTEM ! - DISHWASHER DRINKING FOUNTAIN __.__; _. FOOD DISPOSER FLOOR /AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK i _ _J — _ ► J — I .._ .. __-- LAVATORY ROOF DRAIN -- SHOWER STALL _ SERVICE ( MOP SINK TOILET URINAL ----- WASHING MACHINE CONNECTION WATER HEATER ALL TYPES ------ _-- _ —J — _ _ _ --- _ .WATER WATERPIPING OTHER _ .._.._..._.._-.......__....-.. _.._--. _----_._..... __.__.._.I ..-.-- _ -I ._.._.-----_..._ _ -. __- _._ __. _._..__J -- - _..__ I _ ___ _........ .... _....._._ _ i INSURANCE COVERAGE: I have a current Ilablilly nsurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Q OTHER TYPE OF INDEMNITY [] BOND E] OWNER'S INSURANCE WAIVER: I am aware that the licensee d2es 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 0 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 knowledge and that all plumbing work and Installations performed under the permit Issued for this application wail be in complian with II Pertinent pro o of the Massachusetts State Plumbing Code and Chapter 142 of the General laws. V4 PLUMBER'S NAME L_. _. _._ ... _ LICENSE # -�(_ SIGNATURE MPD JP . CORPORATION [# PARTNERSHIP[I# LLC 0#..__ ......... COMPANY NAME ADDRESS J CITY __:_,'STATE ZIP 0_f -�—� TEL -- �.... -. _ .... -. _...`� FAX CELL EMAIL PEA r 0 CONTROL #H384695 IMPORTANT If this license is lost or destroyed, notify your Board at the: Division of Professional Licensure, 1000 Washington St., Suite 710, Boston, MA 02118-6100. If your name or address shown is changed, notify your board of correct name or address to insure proper mailing of next } Renewal Application. Always refer to your license number, " This license is subject to the provisions of the General. Laws as amended. it is a personal privilege, and must not be loaned or assigned to any other person. Keep this license on your person or posted as required by law. Fold, Then Detach Along All Perforations ! I r` 1 " ! Enter construction cost for fee -cal - North Andover Fee Calculation Construction Cost $ 60,000.00 m $ - $ 720.00 Plumbing Fee $ 90.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 90.00 Total fees collected $ 1,000.00 960 Johnson Street 547-13 on 2/1/2013 Replacement Windows, Siding, Kitchen, Repair Existing Deck, Basement Stair Replacement 2nd Floor Laundry LWO ATLANTIC INSURANCE GROUP AGENCY INC 530 ADAMS STREET MILTON, MA o2i86 617-698-2200 W W W.ATLkNTICQUOTES. COM '' nip is theImmoliW DATE: q/j 2 L] TO ,[ .C'1_ _oke -- _ _ FROM: -Lori McLoughlin - PAGES: , -- ---------------------------------------------------------- ----------------------------- -FAX:.....!cc�� 7 '_�°- -1 - 7 ------------ -FAX-,- _§.-Z--696.7j7 --------------------------- PHONE: PHONE6176982200 - ----------------------------------------------------------------------- ____________________ ------ Email.:_Lori@atlanticguotes-com --------------------------------- ----------- -------------------- ----- /--------------------------------------------------------------------------------------------------- ----------------------------------------------------------------- COMMENTS:da Confidentiality Notice This memo contains information from the Insurance Agency of Atlantic Insurance Group, Agency Inc. which is confidential and/or privileged. If you are not the addressee, any disclosure, coping, distribution or use of the contents of these documents is prohibited. If you have received this document in error, please notify us by telephone immediately (collect) so that we can arrange for retrieval of the original documents) at no cost to you. If you have trouble receiving this, or if you did not receive any document(s) or specified number of pages, PLEASE CALL (617) 698-2200 as soon as possible. Thank you. E00/100 -d t89# 8S:9[ £l0E/6l/EO 5LLL969LL9 dnoig aom nsul oiluvpV :woad D N; Plavrc` 5 iS rc> T%,4- L� /7 sci4 3�� Location No. Date 3 F NORTH TOWN OF NORTH ANDOVEk 41 Certificate of Occupancy $ C" # Building/Frame Permit Fee $ S�CHU Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ N 1 TOTAL $ 54Building Inspector -. *� cT® 3203 Div. Public Works PER111T NO. lc - APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP +40. I LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE SUB DIV. LOT NO. I LOCATION PURPOSE OF BUILDING OWNER'S NAME �ENr NO. OF STORIES SIZE OWNER'S ADDRESS G��y, ' O"��� /J v /"J j [! BASEMENT OR SLAB ARCHITECT'S NAME -- SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME`72F1 l a/J �� I` SPAN DISTANCE TO NEAREST BUILDING -- DIMENSIONS OF SILLS "' POSTS DISTANCE FROM STREET 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 I - 3 PAGE 2 FILL OUT SECTIONS I - 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 „ SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE o�S i PERMIT GRANTED c k # lxrr fl tacit 0 -?o-1,63 3 PROPERTY INFORMATION LAND COST EST. BLDG. COS 21 V c=� O EST. BLDG. COST PER 8Q. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY //l ;,;; " A BUILDING INBPIECTOR OWNER TEL. # CONTR. TEL. # CONTR. LIC../X # 0610(o H.I.C. # !l / -z-0 3 BUILDING RECORD 1 OCCUPANCY 12 , SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS __ CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE PINE d 1 2 13 CONCRETE BL'K. BRICK OR STONE HARDW'D _ PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL '/t /Z 1/ FIN. B M'TAREA FIN. ATTIC AREA _ _ N_O B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING B _ N1 1 2 �_ 3 _ _ CONCRETE EARTH HARMU'D COMIACN VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. 8 FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR ADEQUATE NI� POOR _ ONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT 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 11 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 OI l ELECTRIC NO HEATING B'M'T 2nd _ t:t 13rd 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. .i -e- &J (r©loj /� 6_�— 0 z m D O z z D r .v. y C d CA C13 'v O CD n Z H IS - CLCD O C� r � ? y O I = nc= -v O CO') o v CD CD O cr %C a CD Er CD O CCD C CD y Qv y toO cm CD � v CO2 O O O a a C) CD a O C CD Mllm c �O- O. ca 4wMKS y z n co Cl) - O m C2 C2 m 2C Er -=o M Co ae an -�-I =r n " a m �. m ._.moo m 40 _o CO) - N s Wim: m --1 Z Mllm z 0 0-4 CP im H 0 0 c z n C/)7Ctz , W d 3 t7l x tz z 0 0-4 CP im H 0 0 c OFFICES OF: APPEALS BUILDING CONSERVATION HEALTH PLANNING Town of NORTH ANDOVER 4,c„y4,s DIVISION OF PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR 120 Main Street North Andover, Massachusetts o 1845 In accordance with the provisions of MGL c 40. S 54, a condition of Building Permit Number 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. 'lite debris will be disposed of in: V111-1/-1 tion of Facility) icnature 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. _ \ ED 0 [LLL '0'(0 3 t =r.m to m rn M ® m x » . z u�_m. m �, Slt '� •. o V1 B 1 ! fri 2 -0 -u ` z ct ;o O _ .._. c o 5i z Z D O = Z H 3 O i r v v to 3 �nE7 ►'Z W@ -rn Oh3 ' $ o Q+ > 3 ZC =oZ ,» �' 3O DNS En D�}� — O O:ii O0 0incO CA W WO vmnN 190 3: M � m �rR �►-•� � # n _0 m m� r CD j-+ Z Z v t5 ►-- fi € Zoo N m z N -� [!t - 31 t -r v Z r C7 0) O (4 z i - >zc o%D - -- MO coC7 F �j z z Q� v _" _ x x !v "0 tD 0 '. 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