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HomeMy WebLinkAboutBuilding Permit #111-13 - 247 OSGOOD STREET 8/8/2012 °�"�� BUILDING PERMIT T 6 TOWN OF NORTH ANDOVER '66 ° ° ice . ...-� .. o APPLICATION FOR PLAN EXAMINATION Permit NO: 1 Date ReceivedArED r RSSACHUS�S 5 Date Issued: IMPORTANT:Applicant must complete all items on this page yC- ..,A•f w et s,.` .F` , `'�.. Y"f,!` '1 ., v' v'. t.. ....- f +Y s:�•...y k _, K t�r rL®CAF ION t'I r�ba� �� _ t =, •.s PROPERTY�OVIINER? M.tICF �a,,� p; Fri i��ul MA-NO- PARCEL ZONIN_ ISTRICT �Histonc Distract ;`, yes' no - - '` Machine ShopVillage TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other . . ,. F` VUatersfed,Disfr'ict`'` ::r Septic Well, Floodplain 'Wetlands _ . r . ,Water/Sewer, 4 DESCRIPTION OF WORK TO BE PREFORMED: �CnMCL BAt14R0001\ �)IZC Alyb ' (ernI3tNCa LOCA-r10k) -ro FlErAA t -7.AM EE 3 M-6 w P&A ni- r, �9fRry tty Asti., 00z Identification Please Type or Print Clearly) OWNER: Name: M I K 9- DAV 15 Phone: 9 7? 68S X53? Address: 2�/ 7 C7 :sT G�ONTR NameArHR� tv3R Phone '`� `-17�J Mi 52� �t4 Y I .D N Arv�z� �?, tMf� (SaF�lr Y Supervisor=s�Construction�License _Df�-1t� S' Expo ib`ate— JJ2 1.2Oa . . , rHome Improvement License .: a� -f. wExp, Date . 1 d.1.3 { ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PE 1000.00 OF THE TOTAL ESTIMATED COST BASED N$125.00 PER S.F. Total Project Cost: $ a FEE: $ Check No.: 1. 9� Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of.Agent/Owne Z gnature of contractor - - Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public SewerTanning/MassageBody 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Siqnature i COMMENTS; 1 HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT,'` Tem Dum ste�:on site ye`s f.iI? �•.p. � n0� '~ *ed;at 1241 x , Locate ,. . Main Stree : _ s Fir006— rtment*91gnature1d5te1 .. 'v,��,s�,k,>+.r `� '` }, ,„ ,it��a.{a.., r ...r ,+,.i-._eft rn'�.rr,-,�� -•"y�. r^z'a f .r-,�-y. ,r u ,,, ., COMMENTS v <. h y. _ .wa. _.n:_ i. t 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) ❑ Notified for pickup - Date Doc-Building Permit Revised 2008 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 ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: 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 must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Location dz)l No. & Date �� • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ ZY Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check#� 25594 vBuilding Inspector rugntrax ui—L U/8/2012 4 : 44 : 30 AM PAGE 2/002 Fax Server CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DD/YYYY) T . IFICATE 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(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: NANCY GREENWOOD SMITH INFHUNL FAX (A/C,No,Ext): 1AIC. 11 HAVERHILL ST ADDRESS- PRODUCER METHUEN,MA 01844 CUSTOMER ID#: 726KN INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA BRICO BUILDING&REMODELING LLC INSURER B: INSURER C: 417 WAVERLEY RD INSURER D:INSURER E: NANDOVER,MA 01845 INSURER F: 1COVERAGES 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. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMDD\YYYY) (MMIDD\YYYY) LIMITS GENERAL LIABILITY ACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR. REMISES(Ea occurrence) ED EXP(Any one person) $ ERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ POLICY PROJECT LOC RODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY OMBINED SINGLE $ ANY AUTO IMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS :Per person) HIRED AUTOS 30DILY INJURY $ NON-OWNED AUTOS Per accident) ROPERTY DAMAGE $ rlPer accident) UMBRELLA LIAB OCCUR nACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE kGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-4618P507-12 04/19/2012 04/19/2013 LIMITS ANY PROPER ITOR/PARTNERIEXECUTNE E.L.EACH ACCIDENT $ 100,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1600 OSGOOD ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT i l N ANDOVER,MA 01845 �* � ACORD 25(2009/09) 1988-20 9 ACORD CORPORATION. All rights reserved. i • fico. Building&Remodeling I Adam Brien CSL 104428 417 Waverly Rd. HIC 168512 North Andover, MA 01845 LLC 978-479-1526 06/04/12 adambricoCgmail CONTRACT Mike and Beth Davis Osgood St North Andover, MA Job Description: Bathroom Renovation • Demolition of entire bathroom down to the existing framing including tile work. Toilet to be removed and reinstalled at completion. Shower to remain intact. • Ceiling over shower to be raised to match remaining g 9 ceiling height. • New insulation to be installed • Walls and ceiling to be sheetrock and plastered • Existing heating to be removed and new baseboard heat applied under bathroom window. • New subfloor to be provided based on flooring product. $320 allowance is given for flooring • Trim to be installed and to match what is in existing house • Vanity to be installed, style and size to be chosen by homeowner. $450.00 allowance is given for vanity. Top to be granite with white porcelain sink to be included. Faucet to be supplied by homeowner • New shutoffs to be installed on toilet, sink, tub spout and shower valve trim. • Mirror, lights and misc hardware to be purchased by homeowner and installed by contractor. • Window to be replaced with "Harvey" replacement, white vinyl window with grids between glass. • Painting to be done by other • All debris to be disposed of at an off site facility The Owner agrees to pay BriCo Building and Remodeling $6030.00, for doing the work outlined above. The following payments will be paid to the contractor in the following manner: Deposit of$2000.00 is due within one week of contract signing or start of work. Final payment, $4030.00 due at completion of contract, and final punch- list. If allowances are not met a credit is to be granted to customer, if allowance is exceeded customer is responsible for the difference. The contractor agrees to perform this work in a competent and skillful manner according to standard industry practices, and all work performed shall be subject to final approval by Owner. All work to be done incompliance with Massachusetts building code. BriCo takes on full responsibility of all necessary inspections Due to the nature of this project any unforeseen problems that should occur due to rot of existing framing or any other problem the homeowner will be made aware of immediately and the appropriate measures will be taken to correctly resolve the issue. BriCo building and remodeling is a fully licensed and insured LLC company. License numbers are provided in the header above and current insurance documentation upon request. All subcontractors hired by BriCo must carry the appropriate licenses and insurance to work in the state of Massachusetts. Dated: 7 Signature of Owner: Signature of Contractor: Massae��setts Home Improvement Sample Contract This form satisfies all basic requirements ofthe state's Home Improvement Contractor Law(MGL chapter 142A),but doesnot include standard language to protect homeowners!iSeelc legal advice if necessary.Any person plaiming home impmveme ata should first obtain a copy of"A Massachusetts Consumer Guide Home Improvement"before agreeing to any work on your residence.You may obtain a flee copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website.. Homeowner Il ormation Contractor Information Name I Company Name SueetAddress(do not use apost OffickBox address) ConLaeror/Salespelson/OwnerName T O n$q UNIT— State ; Zip Code Bs i utas Address(must include a street address) 6 4l WF�V IIID Daytime Phone Evening Phone Ury/fown State Zip Code N MA• o 1V I-/ c Mailing Address Cu different from aboSe) Business PhonCj:jtLM ederat Employer ID m S.S.Number 6 1 e) name (baaauoraea.N®bc Expirvion date ' rm+regvi sautmast hemp imlaovta:mttmtrarto,s have avolidmguimh'onnmahv ���" I 3 � �3 . The Contractor agrees to do the following worst for the Homeowner. (Describe m detail the work to complet'gd,specifying the type,brand,and grade of materials to be used,use additional sheets if neon) tt�ofJC L CXISi rvG :tAThKOOIV , ivft--► 1;,loofks WNUS tivW.,ij5©tiv VAT Required Permits-The follovritrg�building permits are required Proposed Start and Completion Schedule-The following schedule will and will be secured by the contra etOF as the homeowner's agent: be adhered to unless circumstances beyond the contractor's control arise (Owners who secure their taws permits will he excluded from the Guaranty;Land provisions of Date when contractor will begin contracted work MGL chapter 142A.) Data when contracted workwill be substantially completed. i Total Contract Price and Payme»VSchedule The Contractor agrees to perform the worlS famish the material and labor specified above for the total sam of: (c) Payments will be made according tithe following schedule: $ a upon signing contract(not to exceed 1/3 ofthe total contract price,qr the cost of special osier items,whichever is greater) s�00fl by/ orupon completion of .. TAQT Oj Wort $ by/ (_or upon completion of $=I S�Zv•co upon completion of the contrail.(Law forbids demanding full Payment until contrail is letedto both I I �P ply's satisfaction) The following material/equipm�e�nt must be special g to be paid for ordered before the contacted i oak begins in order to meet the completion schelul:(ts) $ to be paid for NOTES:(h Including all finance eh4-(s)Lawrequires that any deposit or down-payment not exceed the greater oft(a)one-third ofthe total commix not by the contractor before work begins may which must price or(b)the actual cost of any special equipment or custom made material special orm�'le'Iced is advance to meet the completion schedule. :�5rpress warranty-isnn xt)rmswarrdntvbeine edbvtheconbMctory ❑N yes(all terms ofthe mrrantymW be attached to the contract) Subcontractors The contractor agrees to be solely responsible for completion joflhe work described Party/subcontractor utilized by the''ntractor.The contractor further a regardless of actions of any third m 'al ab d ant agrees to be solely responsible for all payments to all subcontractors for Contract Acceptance-Upon signing,this doc rent becomes a binding contract under law.Unless otherwise noted within this document,the contract shall not imply that any lien br other security interest has been placed on the carefully before signing this contract) residence,Review the following cautions and notices I; = Don't be p,-essured into si going the contract Take time to read and fimliy understand it Ask questions if something is unclear. • Make sue the contractor has a4%alid Hou Imarovemeat ntractor Regi•.strahon.The law requires most home improvement subcontracxms to be registeredL.'ith the Daector ofHotne Im contractors and registration by writing to the at 10 Park Movement Contractor Registradom You may inquire about contractor laza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757. • Does the contractor have iasaranca?Ask the Contractor for his insurance company information so that you can see a copy of a' conform coverage or ask to �roof ofiosmru(cc,,document • know your rights and responsibilities.Read the Important Infomration on the reverse side of form and get a copy of the Consumer Guide to the Home Impmvemcut Contractor Lag Yon may cancel this agreement if it has been signed at a place other than the contractor's normal lace of busin contractor in writing athis/her mainidffice or branch office by ordinary mail P ass provided you=nothird business day foIlowiag the sigoibg of this a Posted by telegram sent or by delivery,not later tha&eement Seethe attached notice of cancellation form for an explanation of this D O NOT SI IN THIS CONTRACTIFT A Ate,B t i t mwera �� bewmpleadaads LANK SPACES... •guetL one mPyshould 6'a to the` er.The offer eopy.fivumdmx hepc by ibD oonhiGNr. V� HomeownerWish= atr Cuntrctm sS ` iggatnre Date Date I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual) ' Mpbi ! / {, �C Address:. 7 WAVE1L•J ,1?h N.Aw bo✓cg MA D 1845 City/State/Zip: Phone#:—'T-7B y?9 - 1 5?4 Are you an employer?Check the appropriate box: Type of project(required): IN I am a employer with 1 4. ❑ I am a general contractor and I � have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). 7. Remodelin 2.E] I am a sole proprietor or partner- listed on the attached sheet. # 1. g ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 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.❑ Other comp.insurance required.] *Any applicant that checks box#1 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance CompanyName--7"FA i/,6 L f f S — NANCY C rf4i.1WOoh M.M 1Ttl Policy#or Self-ins.Lic.#: _7FTV i6—LI61$P 6 Q Expiration Date: Job Site Address:A47 6:56001> ST City/State/Zip:N. lyppl/L 9 AA o 1 FqS 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. T do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct. Signature: Date: Phone#: 5 A ti 75 MX 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#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax# 617-727-7749 www,mass.gov/dia NORT11 TOwno.f1, Andover No. h ver, Mass, •QA COCMICNl WIC. �d DRATED /'P�,�'�y 1 S U BOARD OF HEALTH I Food/Kitchen PERMITj • LD Septic System THIS CERTIFIES THAT .......Yph. 141014".."W....... "'Q. i ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, BUILDING INSPECTOR .. Foundation has permission to erec ........... ........... buildings on ..... ......� .��. .....� 0, ...... Rough to be occupied as (5160oj •••••••p .... .�. /N!! Chimney provided that the person accepting this permit 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR • UNLESS CONST TI STARTS Rough Service .. . ... .... .............................................................. Final BUILDING INSPECTOR GAS INSPECTOR I Occupancy Permit Reguired 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. SEE REVERSE SIDE I Massachusetts- Department of Puhlic safer% Board-of Building-, Rei-tilatiitits and Standard Construction Supervisor License License: CS 10442E ADAM BRIEN ' 417 WAVERLY ROAD NORTH ANDOVER, MA 01845 , cr Expiration: 5/12/2014 ngmi..imrr - Tr-: 104428 Office of Consumer Affairs&B mess Regulation -`HOME IMPROVEMENT CONTRACTOR Registration: 168512 TYpe: Expiration: 31112013 LLC BRI ZrO BUILDING AND REMODELING LLC ADAM BRIEN 417 WAVERLY RD NORTH ANDOVER,MA.01845 Undersecretary