Loading...
HomeMy WebLinkAboutBuilding Permit #432-15 - 124 OLD VILLAGE LANE 11/5/2014 NORTp `,�t�ec q�0 BUILDING PERMIT O ,6 �r O� TOWN OF NORTH ANDOVER ° tTo APPLICATION FOR PLAN EXAMINATIO Permit NO: �� Date Received �9gSArgo Date Issued: l s IMPORTANT:Applicant must complete all items on this page LOCATION /�` v /j�i4 A PROPERTY OWNER / "fe PrintTI�4 Print MAP NO:2/�PARCEL: ZONING DISTRICT: Historic District yeno � I Machine Shop Village ye no _ -- _ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building vS-One family l ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑ Water/Sewer i Identification Please Type or Print Clearly) OWNER: Name: ���� tel;--4 Phone: 'rr,�J/,O7 Address: ��� 0/6 CONTRACTOR Name /- A Phone: Address: Supervisor's Construction License: Exp. Date: /,p 0 Home Improvement License: /70 Exp. Date: ARCH ITECT/ENGIN EER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ yFEE: $ 1. Check No.: Receipt No.: NOTE: Pers o acti gith unregistered contractors do not have acc a guaranty fund ignatu_re of Agent/Owner 3 � 1 mature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE'OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS ifI i CONSERVATION Reviewed on Signature I COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments I - 1 Water & Sewer Connection/Signature& Date Driveway Permit i r DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street = - Fire Department signature/date _ COMMENTS �'' ` Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA — (For department use) i ❑ Notified for pickup Call Email Date Time Contact Name ! Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit 1 ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) 1 ❑ Engineering Affidavits for Engineered products NONE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording ns ust be submitted with the building application Doc:Building Permit Revised 2014 C The Commonwealth of Massachusetts A Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 rW= Boston, MA 02114-2017 b" www mass.gov/dia Workers' Compensation Insurance Affidavit: builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): RENEWAL BY ANDERSEN Address:30 FORBES ROAD City/State/Zip: NORTHBORO, MA 01532 Phone#:508-351-2200 Are you an employer?Check the appropriate box: Type of project(required): 1.® I am a employer with 30 4. ❑ 1 am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ® Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: 9• ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doingall work officers have exercised their l l.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[]Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name:OLD REPUBLIC INS. CO. Policy#or Self-ins. Lic. #:MWC 30293800 Expiration Date: 10/01/15 Job Site Address: �/ t_ City/State/Zip: a Idkl_ o Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certif nder the pains and penalties of perjury that the information provided above is true and correct. Sianature: Date: /,0 — ��`1�4 Phone#: 508-351-220 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• ANDECOR-01 YADAVYO CERTIFICATE OF LIABILITY INSURANCE DATEIMhVDDn'YYY) 10/1/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(iss)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PaoOucER REACT certificates@willis.com Willis of Minnesota,Inc. PHONE c/o 26 Century Blvd ac No Ext:(877)945-7378 ac No:(888)467-2378 P.O.Box 305191 E-MAIL Nashville,TN 37230-5191 Ate' INSURERS AFFORDING COVERAGE NAIC p INSURER A:Old Republic Insurance Company 24147 INSURED INSURER B: Renewal by Andersen Corporation INSURERC: 30 Forbes Road INSURER D: Northborough,MA 01532 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADDLISUBRI POUC EFF POU Y EXP — LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD LIMITS A X COMMERCIAL GENERAL UABIL17Y EACH OCCURRENCE $ 1,000,00 01 CLAIMS-MADE OCCUR WZY302940 10/01/2014 10/01/2015 PREMISES Eaoccurrencea 500,00 MED EXP person) $ 10,00 PERSONINJURY E 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E 4,000,00 X POLICY❑IEo LOC PRODUCTS-COMP/OPAGG E 4,000,00 OTHER: y AUTOMOBILE LIABILITY Ea COMBINED LIMIT $ 5,000,00 A X ANY AUTO MWTB302575 10/0112014 10/01/2015 BODILY INJURY(Per person) E ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED ROPERTY DAMAGE HIREDAUTOSAUTOS Per accident $ a UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORAND EMPLO LIABIIJTY YIN X STATUTE COMPENSATION I ERS A ANY OFFICEOPRIE ER EXCLUDED? FN-] ® NIA MWC30293800 10/01/2014 10/01/2015 E.L.EACH ACCIDENT S 1,000,00 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 II es,desrxibe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached N more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE MTN THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Evidence of Insurance 6s�C�� � ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen isor a License: CS-090125 JAIME L MORINr` 86 GARDINER S1 LYNN MA 0190 F i Expiration Commissioner 10/06/2016 i f6oe of Consumer Affairs&Business RegnlaHpn OME IMPROVEMENT CONTRACTOR t.• Registration; 170810 . Type, ; Expiration: 1y23/2015, Supplement ; RENEWAL BY ANpERSONGORPORATION ` JAIME MORIN 104 OTIS STREET NORTHBOROUGH,MA 0'1532 r' Undersecretary A ne . � � � � �nbaoal� r�easuta�a;!:e �M►n�ua,gbpw„y ' 67" 06m �6 {faoble � - 900-0o�7�'I�-0�o ENERGY PERF® CE RA' Gq U-Facto(U.S)A-P S6&r Neat Cain Coefficient k OMUOii4.I ECS CE■YDQMM %1s1bl®Tfla mftriCe Will Call rtiloaMa�wenrs�/ ��6rabry.eoa �w�eb��/�p . Sur DESIGN PRE65URE( ;F) H- 25 RRA 08 Slope tt Si l OR IK • 1MnY1MliO4K/bYJq�tJ00.R{ Oea M�Mtrw�so�bMtC..C.EF.a{f,RC_ lift aliime� , Renewal MA Home Improvement Contractor` Andersen, I Renewal b Andersen Co oration License 0(Expires 12/ h w,Noow REPIACENlENr aiti:'ei.ra::i:on,{nus � � Feederaderal Tax ID#41-199118 158413; 104 Otis St. Northborouah,MA 01532 (508)351-2200 Fax(508)-986-7072 CUSTOMER WINDOW AND DOOR REMODELING AGREEMENT i Buyer(s)Name Date: MICHAEL FINA - JODI FINA SEPTEMBER 11,2014 Buyer(s)Street Address Ci State Zip Code 124 OLD VILLAGE LANE NORTH ANDOVER FMA 01845 Email Address Home Telephone Number Work/Cell Telephone Number MIKEFINA G COMCAST.NET 978-655-5107 508-560-3342 iBuyer(s)hereby jointly and severally agrees to purchase the goods and/or services of Renewal by Andersen Corporation("Contractor"),in accordance with 'the terms and conditions described on the front and the reverse of this agreement and on the attached specification sheet(s)(collectively,this"Agreement'). iBuyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement i f I Est.Start Date Method of Payment Total Job Amount $ 13,184.00 Amount Financed$ 0.00 Deposit received$ 100.00 Check/Cash f0-12 weeks $4505 additional due.On start$ 4,605.00 Deposit at signing$ 0.00 Check# 2347 Balance on SubstantialAt substantial Est.Install Time Credit Card Completion of Job(33%)$ 4,605.00 completion$ 0.00 1-2 days 11ccard is selected,please see Credit Card Payment form I Buyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings E (changing or modifying any of the terms of this Agreement. No alteration to or deviation from this Agreement will be valid without the signed,written consent iof both Buyer(s)and Contractor. Buyer(s)hereby acknowledges that Buyer(s)1)has read this Agreement,understands the terms of this Agreement,and has I ,received a completed,signed and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was; Wally informed of Buyers right to cancel this Agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. ;Renewal by Andersen Corporation Buyers) Buyer(s) By: Signature of Project Manager Signature Signature i { BRUCE PECK MICHAEL FINA JODI FINA Printed Name of Project Manager Printed Name Printed Name i i I YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. -------------------------------------.-----_--_--__-_--_------_-_---_------_-{ NOTICE OF CANCELLATION NOTICE OF CANCELLATION t I j s Date of Transaction 9/11/11 You may cancel this I Date of Transaction 9/11/14 You may cancel this transaction,without any penalty or obligation,within three business days from the I transaction,without any penalty or obligation,within three business days from the I l above date.If you cancel,any property traded in,any payments made by you under I above date.If you cancel,any property traded in,any payments made by you under the Contract of Sale,and any negotiable instrument executed by you will be the Contract of Sale,and any negotiable instrument executed by you will be I returned within 10 days following receipt by the Contractor("Seller")of your I returned within 10 days following receipt by the Contractor("Seller")of your ':cancellation notice,and any security interest arising out of the transaction will be Icancellation notice,and any security interest arising out of the transaction will be canceled. If you cancel,you must make available to the Seller at your residence,in I canceled. If you cancel,you must make available to the Seller at your residence,in substantially as good condition as when received,any goods delivered to you under I substantially as good condition as when received,any goods delivered to you under *s Contract or Sale;or you may,if you wish,comply with the instructions of the I this Contract or Sale;or you may,if you wish,comply with the instructions of the Seller regarding the return shipment of the goods at the Seller's expeuse and risk. I Seller regarding the return shipment of the goods at the Seller's expense and risk. If you do make the goods available to the Seller and the Seller does not pick them up I If you do make the goods available to the Seller and the Seller does not pick them up within 20 days of the date of your Notice of Cancellation,you may retain or,dispose I within 20 days of the date of your Notice of Cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the goods available I of the goods without any further obligation. If you fail to make the goods available 1.to the Seller,or if you agree to return the goods to the Seller and fail to do so,then I to the Seller,or if you agree to return the goods to the Seller and fail to do so,then ;you remain liable for performance of all obligations under the Contract.To cancel you remain liable for performance of all obligations under the Contract.To cancel i this transaction,mail or deliver a signed and dated copy of this cancellation notice I this transaction,mail or deliver a signed and dated copy of this cancellation notice i or any other written notice,or send a telegram to Contractor:Renewal by Andersen,1 or any other written notice,or send a telegram to Contractoe Renewal by Andersen, 104 Otis St. Northborough,MA 01532,BY NOT LATER THAN MIDNIGHT OF I 104 Otis St.Northborough,MA 01532,BY NOT LATER THAN MIDNIGHT OF .(Date) I HEREBY CANCEL THIS TRANSACTION. .(D..) I HEREBY CANCEL THIS TRANSACTION. ( I _ Buyer's Signature Prim Name Date Buyer's Signature Pnnt Name Date I Re!"lE'VV Renewal bV Andersen Corporation MA Home Improvement Contractor IYAndersena 104 Otis St. Northborough,MA 01532 License#170810 (Expires 12/23/2015) !WINDOW REPLACEMENT (508)351-2200 Fax:(508)-986-7072 Federal ID#41-1918413 Window Specification Sheet lBu er s Name Date of Agreement MICHAEL FINA JODI FINA THU, SEP 11, 2014 i !The buyer(s)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms jdescribed on the Specification Sheet and the front and the reverse of the accompanying CUSTOM WINDOW AND DOOR REMODELING •,AGREEMENT,of which the Specification Sheet is part. WINDOW DETAILS Approx. Exterior/Interior Color Hardware Hardware LowE4/ Grille Grille Glass Room # U.I. Window/Door S le Detail Casin s Ext-Int Color style Screens Smartsun Grilles Sash 1/3 Sash 2 Lifts options Bed 1 2 80 DB sq rail equal insert sloped sill No WH/CV Canvas Standard HFG SmartSur GBG 3/2 3/2 Office 2 80 DB sq rail equal insert sloped sill No WH/CV Canvas Standard HFG SmartSur GBG 3/2 3/2 Bed 2 2 80 DB sq rail equal insert sloped sill No WH/CV Canvas Standard HFG Smartsur GBG 3/2 3/2 Bed 3 3 80 DB sq rail equal insert sloped sill No WH/Cv Canvas Standard HFG 15martSur GBG 3/2 3/2 Total 9 BAY&BOW DETAILS *See Ba /Bow Measure Sheet Style Detail/ Approx. Approx. Number Frame Window End Center LowE/ Roof/ Hardware Room Count Style___ Flankers U.I. Casings Angle Lites Interior Ext/Int Color Grilles sashes sashes Screens Smartsun Soffit Color SPECIALTY WINDOW DETAILS Full/ Approx. Lowe/ BAY/BOW ADDITIONAL WORK NOTES Specialty Room Count ale Insert U.I. Smartsun Grilles Grille§tYle Ext/Int Color Customer i­­that with ba,/N­h.indrn under 72 indhes thcrc will lx�si hifcant lass lase. ADDITIONAL WORK DETAILS: Addiiinn;J de writ due$4505 and then 34605,,swn and 8 4605 n h iletion No Contractor will wrap exterior casings with coil stock color of Owner is aware that Contractor does not do any painting/staining or removal/installation of alarm system or window treatments/hardware.It is the responsibility of the homeowner to have the alarm system and window treatments/hardware removed prior to installation. We make no guarantee as to 2 whether alarms or window treatments/hardware will fit after replacement. Customer is also aware in some cases there will be glass loss. If there is,the amount will be dependent on the type of existing windows,type of installation and window style.We make no guarantee as to the amount of glass loss. Customer is aware and understands any and all unseen rot is not included in this contract.Should any rot be found there will be an additional charge for time and materials unless so stated in this contract. 3 Yes Contractor will insulate,caulk and seal windows with 3-point system to prevent water and air infiltration.Removal and disposal of all job related debris, j windows,doors,storm windows and vacuum nightly included. Upon completion of the job and payment in full,a limited warranty shall be issued. s 4 yes Building Permit--Contractor will secure any and all necessary permits. The fee for the permit(s)is not included in the Contract Price and a separate check is required at the time of sale for this fee. Check# 2348 $ 160 5 yes All discounts have been applied to this agreement. 6 Yes . No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment/finance form(s). �"is agreed and understood by and between the parties that this Specification Sheet,along with the CUSTOM WINDO\V AND DOOR REMODEDNG AGRE.EIM:Nf;constitutes the !entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms.This Specification Sheet may not be changed or its terms !modified or varied in any way unless such changes arc in writing and signed by both the Buyer(s)and Contractor. Buyer(s)hereby acknowledge that Buycr{s)has mead this Specification (Sheet. !Renewal by Andersen Corporation Buycr(s) Buyci(s) Signature of Project Manager Signature Signature BRUCE PECK MICHAEL FINA JODI FINA Print Name of Project Manager Print Name Print Name t%ORTH I Town of 2 y. Andover h ver, Mass, COCKI:D"'41 R T S U BOARD OF HEALTH Food/Kitchen .PERMIT T LD Septic System e �THIS CERTIFIES THAT BUILDING INSPECTOR has permission to erect ... .................. buildings on ...1'. ......... .. 'k, .,.. .,,.,... Foundation . . .......... Rough to be occupied as .... .....:. . .......... ........ ............... p� �...............'�.. ..(V ................. Chimney provided that the pers accepting this per it shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO - Rough Service ...................... ..................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. 1 Location c/d Na —I Date r I • - TOWN OF NORTH ANDOVER • 'SD'16y� . 9" Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ �a Other Permit Fee $ TOTAL $ Check# G o 2 2 L Building Inspector