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Home My WebLink AboutBuilding Permit #259 - 18 CAMPION ROAD 10/5/2006 .� i TOWN OF NORTHANDOVER ,APPLICATION FOR PLAN EXAMINATION ; • ,tee s.. ' y�S34CH � Date Received: !� Permit�+0� Date Issued: a b [ IPORTANT: :1 licant must complete all items on this page r;PROPERTy Print /!i U V1"`iER <<~, L'" Printy I PARCEL: 1 ZONING DISTRICT: HISTORIC DISTRICT YES 0 TYPE AND USE OF BUILDINGHISTORIC USE TYPE OF IMPROVEMENT Residential Non- Residential New Building One family Addition = Two or more family Industrial Alteration No. of units: ===,===========- N BldgCommercial ,Repair, replacement Demolition Others: = Moving(relocation) =Other Foundation only DESCRIPTION DF u OR TO BE PREFORMED Identification Please Type or Print Clearly) Phone: OXVN IER: Name: � �4- n 5 � i Address: �`'� CO�ITR,IMR Name d ' Address: `��J #�" Supervisor's Construction License: /, �� Exp. Date: Home Improvement License: / 77% Exp. Date: Il - �Z:> ARCHITECT. E;vGItiEER N.�mc: Phene: i Address: Reg. No. FEE SCHEM LE:A LDI NG PERMIT.510.,70 PER 31'100.00 OF THE-10T.I L FSTIJI-1 TED COST SASED D,'' '51 �i�PFR�f 77 FEE:$ILq 'T ''- otal Project Cost ` s Cbeck No.: Receipt49 i lla;w 10'4 t= Locationl�" No. «� / Date 14 TOWN OF NORTH ANDOVER c � i 4L ; • certificate of Occupancy $ CMusE< Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ' Check # p � 19650 Building Inspector i I 71 TYPE OF SEW',%RGE DISPOSAL — S"irn Pouts — _ Tannin 61 Body.art -- Public Sewer Tobacco Sales — Food Packaging Sales - Well _ Permanent Dumpster on Site - Electric deter location to Private(septic tank.etc. — project NOTE: Persons contracting with unregistered contractors do not have access toLthteguar, tyf nc Signature of CuntrSignature of Agent;Owner ed PlansPlans SubmittedPlans Wai�'ed �� Certified Plot Plan '' p THE FOLLOWING SECTIONS FOR OFFICE USE ONLY ' INTERDEP. kRTMENTAL SIGN OFF-L' FORM r DATE REJECTED DATE APPROVED V PLANNING &DEVELOPMENT ❑Water Shed Special Permit ❑ Site Plan Special Permit Other CONINIENTS DATE REJECTED DATE APPROVED CONSERVATION C ONINTENTS DATE REJECTED DATE APPROVED I J HEALTH CO'MMENTS zoning Board of Appeals: Variance. Petition No: Lonina Dccisi+m,receipt submitted Planning Board Decision: -------____-- ---conunents C:,nscr�aticn Ducieion: __.—.. V,LtCf Ncr:onnection i;naturc S-,datc T crap Dumpster cn site yes__mi, Fire Department si!-,nature .late— — i Building Permit ApproNcd and Issued by: ,,rt �AORTH Town of No. dover, Mass. 6 D COCHICMEwICK ADRATED S BOARD OF HEALTH Food/Kitchen Septic System • THIS CERTIFIES THAT..... BUILDING INSPECTOR ....... ..�t.��.........5�.��..�'�!..�0..✓............ ............ ........................................ Foundation has permission to ere ........................... ........... buildings on ..Ja..........`,�1. ..... ... .... ........ .... .....?�........... Rough • to be occupied as. 1�.�i� .. ........s L uall. ..RD ..AS........................................... Chimney provided that the perso accepting thi r shall in every respec on to the terms of the application on file in Final 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 PERMIT EXPIRES IN 6 M THS Final UNLESS CONSTRUCTI ST ELECTRICAL INSPECTOR Rough ............... .............. .............................................. Service BUILDING CTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. SEE REVERSE SIDE Smoke Det. Contract Pella Windows& Doors, Inc. 45 FONDI ROAD HAVERHILL MA 01832 i Phone: 978-373-2500 Fax: 978-373-7274 Customer Project/ Ship-To Order STRATOULY, ELAINE STRATOULY/WME/NANDOVER Date 00/00/00 Quote No. STRATOULY Order No. 18 CAMPION RD 18 CAMPION RD Need Date 00/00/00 NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 Sales Rep. Name Johnston, Andrea/WME ESSEX ESSEX Prepared by Payment Terms WELLS Owner: ELAINE STRATOULY Architect Bus. Phone: ( ) - Bus. Phone: Jamb Depth Bus. Fax: ( ) - Home Phone: (978)682- 1076 P.O. No. Cellular: ( ) - Branch Order No. Home Phone: (978)682-1076 Order Type Installed Sales Order Glazing Design 20.00 psf. Pressure Branch Name Pella Windows& Doors, Inc. Branch Address 45 FONDI ROAD Phone 978-373-2500 City HAVERHILL Fax 978-373-7274 State MA 01832 Comments: CONTRACT AMOUNT$9877.35 TO BE PLACED ON WELLS FARGO INITIAL DEPOSIT OF $4938.67 TO BE PLACED ON WELLS FARGO UPON SUBSTANIAL COMPLETION $4938.68 WILL BE BILLED TO WELLS FARGO PERMIT FEE$100.00 ALL PRODUCT TO BE PRIMED ONLY please double check VENTING on these units For information regarding the finishing, maintenance, service, and warranty for all Pella products, visit the Pella Website at www.peila.com. i'. Printed 08/3 1/06 Contract- Page 1 of 2 Pella Windows & Doors, Inc. El 45 Fondi Road Haverhill, MA 01832 Phone: (800) 866-9886 Fax: (978) 373-2500 Change Order CUSTOMER: &P—ftu DATE: OG ORDER #: No,-1524 ORDER DATE: i The Contract is changed as follows: at& nals i The Original Contract Sum was: ZQl OT, The Contract Sum will be changed in the amount of� b 1Q The new Contract Sum including this Change Order is: -I�1 3S i l^ Company pr 5_en�tative Customer Name:' Signatur � � f°"'^ Signature: nature: Date: Date: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 2 J a tion/IndividualD `� W S �S NNameusiness/Orgaruza ): ! l Yi�f�l.�1 Address: 915- City/State/Zip: sCity/State/Zip: � �� Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.� I am a employer with 2. S 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.F-1 Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.El Other comp. insurance required.] "Any applicant that checks box#I 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 lContracton that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. _A Insurance Company Name: 14ar4 AtrJ (vis ura,nCe. 6D!near j Policy#or Self-ins. Lic. #: d'iV(SAIL S 7q `Expiration Date: -7/01 O Job Site Address: �� '"".n J.>^ City/State/Zip: 04) AV- 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 ce under the s an penalties of perjury that the information provided above is true and correct Signa . Date: /0/-,57/a6 Phone 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#• I i I BOARD OF.BUILDING REGULATIONS Llcense�CONSTRUCTION SUPERVISOR Num4iiS 089839 i 1111-972 ares 167 1008 Tr.no: 89839 I Res SCOTT P HOUS / 854 RROADWAY� w ; HAVERHILL, MA 011$32' Commissioner i Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 129774 Expiration:- 11212007 Type-DBA - - I PELLA WINDOM AND DOORS SCOTT HOUSE 45 FONDI RD. � HAVERHILL,MA 01832 Administrator ACORD,. CERTIFICATE OF LIABILITY INSURANCE DAT20061D/YYYY) 07/05/2006 13:54 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fred C.Church ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 41 Wellman Street Connector Park HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Lowell,MA 01851 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Hartford Insurance Company New England Window&Door Inc. 45 Fondi Road INSURER B: Hanover Insurance Company Haverhill,MA 01830 INSURER C: Mass Bay Insurance INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION-LMINSRn TYPE OF INSURANCE LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGEPREMISESS(RENTEDEaoccurence) $500,000 CLAIMS MADE FRI OCCUR MED EXP(Any one person) $10,000 B ZBN8161407 7/1/2006 7/1/2007 PERSONAL BADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000.00 ANY AUTO (Ea accident) X ALL OWNED AUTOS BODILY INJURY $ C SCHEDULED AUTOS ADN8162169 7/1/2006 7/1/2007 (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTYDAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN - AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 9,000,000 _x1 OCCUR 7 CLAIMS MADE AGGREGATE $ 9,000,000 B LJHN8167305 7/l/2006 7/1/2007 $ DEDUCTIBLE $ X RETENTION $ $ WORKERS COMPENSATION AND WC STATU- I OTH- EMPLOYERS'LIABILITY I TORY LIMI ER A ANY PROPRIETOR/PARTNER/EXECUTIVE 08WBNL5742 7/1/2006 7/1/2007 E.L.EACH ACCIDENT $500,000.00 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500,000.00 If yes,describe under 500,000.00 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER Blanket Building&Contents B Property ZBN8161407 7/1/2006 7/1/2007 $5,540,000Deductible$1,000BIanket Business Income$4,500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION New England Window&Door,Inc. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN dba Pella Windows&Doors,Inc. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 45 Fondi Road, Haverhill,MA 01830 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) Client# 2960 Mst# 0607 all lines Cert# Evidence of INsurance C ACORD CORPORATION 1988 i i Building Setback (ft.) ) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided DIMENSION Number of Stories: __Total square feet of floor area, based on Exterior dimensions. ITotal land area, sq. ft.: NOTES and DATA-(For department use) I I 1 i i �.,.� iii_cr•.;^.,•.t_�,r_r.�ice:;:;ia.•,r_�....IE .. EPH:h::�14 f Building Department rtment d out for the appropriate permit to be obtained. The following is 8 list of the required forms to be faile Roofing, Siding, Interior Rehabilitation Permits � Building Permit Application NN'orkers Comp Affidavit Photo Copy Of H.I.C. And/ Or C.S.L. Licenses a � ❑ Copy of Contract Floor Plan Or Proposed Interior Work I Addition Or Decks cks Building Permit Application i ❑ B g Surveyed Plot Plan ❑ Affidavit ❑ Workers Comp Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract f Proposed Work With Sprinkler Plan And Hydrau ❑ 1 1 Floor/Crossection/Elevatile Plan O p Calculations (If Applicable) p 1 livable) ❑ Mass check Energy Compliance Report ('If App New Construction (Single and Two Family) � Building permit' Application 4 ❑ Certified Proposed Plot Plan a ❑ photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit rned) to Include Sprinkler Plan And Two Sets of Building Plans (One To Be Retu alculat ions If Applicable) uydraullc C a Copy-of Contract " Mass check Energy Compliance Report i was required the Town Clerks office must stamp-the h Registry of,on from the Board of Deeds• one oP) and applicant must then get this recorded at In all cases if a variance or special permit 4 appeals that the appeal period is over. The app application proof of recording must be submitted with the building SVR""!'DF.P'Rl ME"":31,F014,105 I'.i^r 4 r 1,3 Location !J l� " 'i J f� • i �' , _ ! l No. Date A 1 of NO;7;,ya TOWN OF NORTH ANDOVER ? .:.., .. C _ f. ►°.3 ;, Certificate of Occupancy $ • # Building/Frame Permit Fee $ ,SJACHl15ES undation Permit Fee $ `v` Other Permit Fee $ - —_ 1,z Sewer Connection Fee $ c., ea�ij(Connection Fee $ e�GOTAL $ Building Inspector Div.Public Works PERMIT NO. A PPLICATIbN FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 I FijAP 4.40. LOT NO. � 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE I SUB DIV. LOT NO. I I LOCATION i PURPOSE OWNER'S NAME �� NO. OF STORIES SIZE �t n L�l OWNER'S ADDRESS /' / _ 1,1 /�` BASEMENT OR SLAB ARCHITECT'S NAME Y �Q !/V SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME L 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 3 PROPERTY INFORMATION LAND COST o.E BOTH SIDES EST. BLDG. COST d �)h;4 / PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. d I v EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12- SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH SIGNATUOWNER OR AUTHOR ED AGENT i FEE la/ pN ' :N_.__ UU (QNTR LSC PLANNING BOARD PERMIT GRANTED 19�Y BOARD OF SELECTMEN I BUILDING INSPECTOR I (6vo�> BUILDING RECORD 1 OCCUPANCY SINGLE FAMILYSTORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETEI3 CONCRETE BL K. PINE _ BRICK OR STONE HARDW —_ _ PIERS PLASTER k _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 7, 1/1 3/4 FIN. ATTIC AREA _ NO 8 M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARD\!✓'D _ ASBESTOS SIDING COMMCN VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR ' BRICK ON FRAME - CONC. OR CINDER ELK. r STONE ON MASONRY WIRING +' STONE ON FRAME _ SUPERIORI� POOR l ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.( GAMBRELMANSARD TOILET RM. (2 FIX.( _ FLAT A 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 OIL B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING FINAL PLANNINi own of 01 n over No. 17 'ua 3sz y � }. � 2 *DRIVEWAY ENTRY PERMITI ' 19q?w - C E Vel KOF I er, Mass., q �V Off, P� BOARD OF HEALTH PERMIT T 0 THIS CERTIFIES THAT... .. ... �I`/.�.... .!a� •. •. •.., ••• BUILDING INSPECTOR has permission t ............ buildings on ... � ... .. ...... .0� ' Rough �� ... • . ... .� Chimney to be occupied as... .... .fr ••• �sit& Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough service Final BUILDING INSPE • R GAS INSPECTOR Oc cupancv Permit Required to Occc.rpj, Budding Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. �� 1 Building Inspector Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption .'lease print) DATE JOB LOCATION Number a Street Address Section of town "HOMEOWNER" 1�v�1`! � �/rr i h P � ��r9 � a 4z /y Name Home Phone Work Phone PRESENT MAILING ADDRESS1)YIAI 4, City Town State Zip code The current exemption for "homeowners" was extended to include owner occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license , provided that the owner acts as supervisor. (State Building Code , Section 109 . 1 . 1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside , on which there is , or is intended to be, a one to six family dwell- ing , attached or detached structures accessory to such use and/or farm structures . A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official , on a form acceptable to the Bulding Official , that he/she shall be responsible for all such work performed udder the building permit . (Section 109 . 1 . 1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes , by-laws , rules and regulations . The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and ; requirements and that he/she will comply with said procedures and requirements . . HOMEOWNER' S SIGNATURE APPROVAL OF BUILDING OFFICIAL MAY i 1992 -Note : Three family dwellings 35 ,000 cubic feet , or larger , will be " required to comply with State Building Code Section 127 .0, Construction +Control . W'" CERTIFICATE OF USE & OCCUPANCY Z8 Building Permit Number 1 75 Date J U L Y 25 , 1 9 9 2 THIS CERTIFIES THAT THE BUILDING LOCATED ON LUT # 1 CAMP 10 N ROAD ( 1 8 ) MAYBE OCCUPIED AS SINGLE F A M I L Y DWELLING IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. OF 40RTH Hti CERTIFICATEISSUEDTO Raine Stnatauty 6 Dean Stxatauxy 18 Campion Raad ADDRESS N ct u t A N d r,v o h , M A wilding Inspect NA L INAL PLA 0 R Town of n over No. 175 0%21M %P 'Iy . 7 DRIVEVV�r'iY ENTRY PERMITG. . ,.,Andover Mass,,,. rn N&W dF op/ C C PERMI BOARD OF HEALTH THIS CERTIFIES THAT... AJ ._C6 ;; BUILDING INSPECTOR has permission to ............. buildings on .. ...... Rough Chimney • to be occupied as.....oar...CeWPIV-I ... -.40*"Aa Final 4W41 provided that the person accepting this permit shall in every respect conform to the terms of the application on rile in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Fin 611 VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTI-IS ElICtRICAI INSPECTOR Rough UNLESS CONSTRUO.TION STARTS Service Final rq/� Wq r6A BUILDING O R 1 GAS INSPECTOR 0(,cui)ati(-.), P ,riiiltReqtilredioO( t-rip,i, Biil'l(il,llg ly" 5 � - 1, 1� 93 Rough H Final Display in a Conspicuous Place on the Premises FIFE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by4-, Smoke Det Building Inspector I �,k