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Home My WebLink AboutBuilding Permit #191-13 - 40 CIDERPRESS WAY 9/7/2012 BUILDING PERMIT NosrN ��t a qti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION b T Permit NO: Date Received Ann, gSSACHUS Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION 41O �k S VAI Print Uc PROPERTY OWNER P6�� Print MAP NO: 104 -PARCEL3- ) _ZONING DISTRICTHistoric District yes Machine Shop Village yes rno TYPE OF IMPROVEMENT PROPOSED USE Reside ' Non- Residential ew Build' Ad ition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Se ti II Floodplain Wetlands Watershed District ater/Se DESCRIPTION OF WORK TO PREFORMED- olaw 4enti ication lease Type or Print Clearly) OWNER: Name: L Phone:�l?�X87" Address: ejj 9,1 AA4 CONTRACTOR Name: 741k r , li Phone: Address: Supervisor's Construction Licenser 17 Exp. Date: //M/ Home Improvement License: Exp. Date: ARCHITECT/ENGINEER /S Phone: 7? 1' �Kl- Address: kgr,( &I Reg. No. 6 4/O FEE SCHEDULE.BOLDING PERMIT.$12.00 4IR$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ -Z-r 7 �Z� FEE: $ '51 9( t •Check No.: ZZ-7 Receipt No.: �J�c�Jf NOTE: Persons contracting with unregistered co actors do not have access to the2gyranty Signature of Agent/Owner. Signature of contractor Location �w (f' No. I f l ate 7 Z� ® ' TOWN OF NORTH ANDOVER s ��,�•rtF.v 16q . a ♦ Certificate of Occupancy $ t, c� — u Building/Frame Permit Fee �o �_ .. 't Foundation Permit Fee $ Other Permit Fee $ TOTAL Check# 3a-2 -7 25688 uilding Inspector + 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 OFFI USE ONLY INTERDEPARTMENTAL IGN OFF - U rpm 1) DA R ECTED APPROVED PLANNING & DEVELOPMENT ` � COMMENTS CONSERVATION Rev' wed on Sin ure COMMENTS L HEALTH Reviewed o Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments r Water & Sewer Connection/Signature$Date Driveway Permit 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: 2 Total square feet of floor area, based on Exterior dimensions! W/O Total land area, sq. ft.: Z ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector /\)J�- 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) 2s 7_6 7- fee Sr 4Tbb -6 V91 . � ❑ 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 � MO oT meq¢ ' 3e.!'.e.•_ .'•doe * a �SSACHO CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 191-13 on 9/7/2012 Date: October 18, 2012 THIS CERTIFIES THAT THE BUILDING LOCATED ON 40 Ciderpress Way MAY BE OCCUPIED AS a single family home_IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Meetinghouse Commons, LLC 115 Carter Field Road North Andover,MA 01845 Building Insl4ector Fee: Pre Paid Receipt: 25688 Check :3227 o0RTN own of 1} Andover o ,, 0 No. a h ver, Mass, ,�Xe- V. �D- coc"Know/c 1t y1. A�RAreo �pP�aS S t] BOARD OF HEALTH Food/KitcheNIA n PERMIT T LD�. ��`,0 ,�/� Septic System THIS CERTIFIES THAT .............,.:'. � :;: .. r 's%3f.. :. .';;7��/! I s:�'.... °. ' ...................... BUILDING INSPECTOR i � Foundationhas permission to erect....."..................... buildings on .��.. ..:..:............. .s.,............................. oug� to be occupied as . o �: .., tJ; {�. .. �.: . ......... ...... .... wl ..................�. . .. .... .... .... .... 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 INS CTOR 11 �� . Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final 4,9et A 10/ z1t 2 PERMIT EXPIRES IN 6 MONTHS HS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION . T RTS JI'-/-/ Service BUILDING INSPECTOR. (9?`qA. i2- GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. .. Smoke Det. v -/�—!Z,-^/Z SEE REVERSE SIDE Enter construction cost for fee cal- North Andover Fee Calculation- Construction Cost $ 257,625.00 m $ - $ 3,091.50 Plumbing Fee $ 386.44 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 386.44 Total fees collected $ 3,964.38 40 Ciderpress Way 191-13 on 9/7/12 One Unit of 4 Unit Townhouse Of NORTIl q �tLID i6 l� *6 p APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ,PA may. I� �9S RArco °a�.�5 BUILDING PERMIT # SACHUSE c� ADDRESS/LOCATION OF PROPERTY: 4c) C 'e j:VVtSS UV9y MapIQgC Parcel 3 1 Lot Number -- SUBDIVISION: m S DATE REQUESTED FILED/READY FOR INSPECTION: CLOSING DATE ON PROPERTY: FIVE 5 DAYS NOTICE PRIOR TO CLOSING TE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE CO ED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLL ($ 0.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CO S J� APPLICANT SIGNATURE Permit Issued to: MI—ee.'k- 4agg M mi U, C Address:11SC-Mie r- �,�� RDm. .�1lre,�� RD�� ROUTING TOWN ENGINEER, SITE PLAN—DRIVE-WAY REVIEW 10 glA CONSERVATION E(1164�u a lrb 4�)fl? A%2qZ-lIIq Ccrnla .tuaza PLANNING N /A ❑ C N•fib 8 DPW-WATER METER SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW SIGNATURE File:Application for OC form revised Jan 2007/2011 AP MCLOT130 � s NOTES: MAP 104C LOT 29 1) THE BOUNDARY INFORMATION SHOWN HEREON WAS TAKEN FROM A 16,33' N/F ESSEX COUNTY PLAN ENTITLED *PLAN OF LAND, MEETINGHOUSE COMMONS AT DISTURB ,� GREENBELT ASSOC.. INC. SMOLAK FARMS, SOUTH BRADFORD STREET, NORTH ANDOVER, ZONE ° MASSACHUSETTS"; SCALE: 1" a 80'; DATE: JULY 20, 2001 BY THIS $ / J �0�y� OFFICE. RECORDED AS PLAN #14828 IN THE ESSEX COUNTY NORTH DISTRICT REGISTRY OF DEEDS. 2) THE INTENT OF THIS PLAN IS TO SHOW THE AS-BUILT LOCATION OF THE FOUNDATION ONLY. 3) THE FOUNDATION SHOWN HEREON IS NOT WITHIN THE 100 YEAR FLOOD ZONE AS TAKEN FROM THE FLOOD INSURANCE RATE MAP FOR THE TOWN OF NORTH ANDOVER MASSACHUSETTS COMMUNITY y / . PANEL NUMBER 250098 0007 C, MAP REVISED: 8/2/83. As-auAT ' ; 4) THE CONCRETE FOUNDATION SHOWN HEREON HAVE BEEN INSTALLED / ct o�CRroF I`�, ►° / ; ` „ SUBSTANTIALLY IN ACCORDANCE WITH THE 408 SITE PLAN AS i / FDUNDAPON / / �r.� / / �> APPROVED BY THE TOWN OF NORTH ANDOVER PLANNING BOARD. MAP 104C � ^J � � � / i ——�� \ `l�`� y°° / I HEREBY CERTIFY THAT THE LOCATION OF THE TOWNHOUSE UNIT .. \ `+\ \ / / NUMBERS 27-30 FOUNDATION SHOWN HEREON IS THE RESULT OF A LOT 28 �� l \ �'� `, \ �` i FIELD SURVEY BY THIS OFFICE MADE ON JUNE 11, 2012. / / \ ,i`�, SHOP '�fY, `� /v �'��-- `+\\ CHR1810PHER if //�� /\ ;y�r..,�, `�`` �`,``��•"/ /// \\`=., NANCHER 0.'3 Ito / ti' EONAL LICENSED LAND SURVEYOR DATE CERTIFIED FOUNDATION PLAN AI` AL MEETINGHOUSE COMMONS TOWNHOUSE UNITS 27-30 AL GRAPHIC SCALE CIDERPRESS LANE 0 13 50 too NORTH ANDOVER, MASSACHUSETTS ' / \ PREPARED FOR AL cg�� / MEETINGHOUSAL (IN FEET) 121TE FIELD COMMONS, LLC I Inchgel bl$ . ROAD 60 !t NORTH ANDOVER, MASSACHUSETTS flow,.saltOns Salem. New e0307 9 (603 893-0710 MW Design Consultants,Inc. ENGINEERS•PLANNERS.SURVEYORS / \\ SCALE: 1" 50 DATE: JUNE 13, 2012 DRAWING NO. DESCRIPTION BY DATE DRAWN BY: CHECKED BY: PROJECT N0. NAME w —i REVISIONS CMF 250508 2508CfP,DWO NORTF/q ° �t IED ib' + APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION �,95 Rrco BUILDING PERMIT # I SACHUS ADDRESS/LOCATION OF PROPERTY: 4D Ci�2c�prtSS VVq Map 10� Parcel 3 Lot Number SUBDIVISION: 2 ^ m S loh�2, DATE REQUESTED FILED/READY FOR INSPECTION: 1 2 CLOSING DATE ON PROPERTY: 1 a[2 A2 FIVE 5 DAYS NOTICE PRIOR TO CLOSING TE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE CO ED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLL ($ 0.00)WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL 3PLICABLE CO S APPLICANT SIGNATURE Permit Issued to: 'ePi CO ffAj �� C- Address: 11 S it, t N), Andn_tG�U`J I D ) ROUTING TOWN ENGINEER, SITE PLAN—DRIVE-WAY REVIEW110 CONSERVATION 1*1? #2.qz-liiq Cal& a d�S mo�ci ie� PLANNING N /A ❑ C 1R DPW-WATER METER SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW SIGNATURE File:Application for OC form revised Jan 2007/2011 MAP 104C I LOT 30 `'e NOTES: J MAP 104C LOT 29 1) THE BOUNDARY INFORMATION SHOWN HEREON WAS TAKEN FROM A 25' NO N/F ESSEX COUNTY PLAN ENTITLED "PLAN OF LAND, MEETINGHOUSE COMMONS AT DISTURBS• / � GREENBELT ASSOC., INC. SMOLAK FARMS, SOUTH BRADFORD STREET, NORTH ANDOVER, ZONE / MASSACHUSETTS"; SCALE: 1" - 80'; DATE: JULY 20, 2001 BY THIS / \ g OFFICE. RECORDED AS PLAN #14828 IN THE ESSEX COUNTY NORTH DISTRICT REGISTRY OF DEEDS. 2) THE INTENT OF THIS PLAN IS TO SHOW THE AS—BUILT LOCATION �i9p� ♦�ory�\ OF THE FOUNDATION ONLY. 3) THE FOUNDATION SHOWN HEREON IS NOT WITHIN THE 100 YEAR N r <� n FLOOD ZONE AS TAKEN FROM THE FLOOD INSURANCE RATE MAP °hti es?� /� FOR THE TOWN OF NORTH ANDOVER MASSACHUSETTS COMMUNITY —r ✓ / ; ` 0 `. r, PANEL NUMBER 250098 0007 C, MAP REVISED: 6/2/83. IOGTON Of . p /r Ir" 4) THE CONCRETE FOUNDATION SHOWN HEREON HAVE BEEN INSTALLED I CONCRETE/ `r„ r ; r <� n� SUBSTANTIALLY IN ACCORDANCE WITH THE 408 SITE PLAN AS FOUNDATION / / r� / /r ) APPROVED BY THE TOWN OF NORTH ANDOVER PLANNING BOARD. / MAP 104C //✓ (——^ I� I HEREBY CERTIFY THAT THE LOCATION OF THE TOWNHOUSE UNIT �^ •._ \ / �, `5 NUMBERS 27-30 FOUNDATION SHOWN HEREON IS THE RESULT OF A LOT 28 �� l ♦ \� `�3 / FIELD SURVEY BY THIS OFFICE MADE ON JUNE 11, 2012. It IIA / E CHRt ,r�i`•� r_ \\ �I SNPHfl a FRMCHER Na 16119 Ire-r•,-r .✓/ \ ,, ,>/ ---`.. ._ fv 1',.� )� y' k ", • ✓ / \ ,,� {I r`� / LICENSED LAND SURVEYOR DATE CERTIFIED FOUNDATION PLAN 'W` AL MEETINGHOUSE COMMONS TOWNHOUSE UNITS 27-30 ` GRAPHIC SCALE CIDERPRESS LANE \• ^J �` �� / / / \ 0 36 w too L NORTH ANDOVER, MASSACHUSETTS J \ AL PREPARED FOR �� MEETINGHOUSE COMMONS, LLC ,` �� ;•�V�i g dy1 J (1N FEET) 121 CARTER FIELD ROAD 1 Inch = 60 ft. NORTH ANDOVER, MASSACHUSETTS `�� '` •%/ / �q� / 34$Dlaa Road.Sulo One IMA purSabin,Now Hompshtn 03070 (003)893-0720 MHF DosIgn Con9ultanb,Inc. ENGINEERS•PLANNERS•SURVEYORS / S$ SCALE: 1" . 50`112 JUNE 13, 2012 DRAWING Vit' ✓ ��/ / NO. DESCRIPTION 8Y DATE DRAWN BY: I CHECKED BY: PROJECT N0. 1 NAME w — --✓ REVISIONSI CMF 250508 1 2505CFP.DWG t%ORTH own of � _E s ndover O 0 No. o h ver, Mass, 2 COC NIC NIWICN 1' A�R�TE� P'V' Cl S V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT <. :! ,,,,,,,,,,,, BUILDING INSPECTOR .. ......... .................. ... ..................... Ci'U Es ;/�,- , ,^ 4 � Foundation has permission to erect .......................... buildings on .!"...............�....................... ............................ � Rough tobe occupied as ...................,. ko..... ..................................................... 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 VIOLATION of the Zoning or Building Regulations Voids this.Permit. Rough Final PERMIT EXPIRES IN 6MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI0N RTSRough Service ...................... ............ .........``:............................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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 _ \it ---��---t MAP 104C LOT 30 ' mss' rTt1m . 1 MAP 104C LOT 29 1) THE BOUNDARY INFORMATION SHOWN HEREON WAS TAKEN FROM A 25' NON/F 16.33' N/F ESSEX COUNTY PLAN ENTITLED "PLAN OF LAND, MEETINGHOUSE COMMONS AT DISTURB / ?�, $h a GREENBELT ASSOC., INC. SMOLAK FARMS, SOUTH BRADFORD STREET, NORTH ANDOVER, � MASSACHUSETTS"; SCALE: 1" - 80'; DATE: JULY 20, 2001 BY THIS OFFICE. RECORDED AS PLAN #1028 IN THE ESSEX COUNTY NORTH DISTRICT REGISTRY OF DEEDS. ss QYF Q ` 2) THE INTENT OF THIS PLAN IS TO SHOW THE AS—BUILT LOCATION OF THE FOUNDATION ONLY. 3) THE FOUNDATION SHOWN HEREON IS NOT WITHIN THE 100 YEAR {A'Q rygt ss7j /' �.�^�� FLOOD ZONE AS TAKEN FROM THE FLOOD INSURANCE RATE MAP FOR THE TOWN OF NORTH ANDOVER MASSACHUSETTS COMMUNITY / , y` '�``�a'`,�r•�� PANEL NUMBER 250098 0007 C. MAP REVISED: 6/2/83. LO IL OF �p `7e /r Jr�`7 4) THE CONCRETE FOUNDATION SHOWN HEREON HAVE BEEN INSTALLED CONCNt7Ej `rte "�D r r 4��r• SUBSTANTIALLY IN ACCORDANCE WITH THE 408 SITE PLAN AS FOUNOATION // / /r.� %r �; APPROVED BY THE TOWN OF NORTH ANDOVER PLANNING BOARD. MAP 104C / _/ l\ T•�`, �� / 1 HEREBY CERTIFY THAT THE LOCATION OF THE TOWNHOUSE UNIT �` \ „ T \ �, / r NUMBERS 27-30 FOUNDATION SHOWN HEREON IS THE RESULT OF A ---- LOT 28 ig < \ y' ,-�� FIELD SURVEY BY THIS OFFICE MADE ON JUNE 11, 2012. AtvJ n / ./`• /� `G'i �[ , ,tit OF,y,1 . CHRSMFHER N0.33110 AL LICENSED LAND SURVEYOR DATE CERTIFIED FOUNDATION PLAN rlllc MEETINGHOUSE COMMONS TOWNHOUSE UNITS 27-30 GRAPHIC SCALE CIDERPRESS LANE 0 26 6o\ 100 NORTH ANDOVER, MASSACHUSETTS y�,��1•a �� `1T— ``� // 31111L\\ 314 PREPARED FOR MEETINGHOUSE COMMONS, LLC AL (1N FEET) 121 CARTER FIELD ROAD 1 inch 60 ft. NORTH ANDOVER, MASSACHUSETTS t�� ✓t r' / / " 146 44 ff ® d,Sulfa One Sa m,Now Hilsooomp hire 03079 71152 (603)493-0720 MHF Design Consultants,Inc. ENOtNEERS•PLANNERS•69RM0114 i r \ SCALE: 1" . 50' DATE: JUNE 13, 2012 DRAWING N0. DESCRIPTION BY GATE DRAWN BY CHECKED BY: PROJECT N0. NAME — —— 1 REVISIONS CMF 250508 1 2505CFP.DWG Ans Submitted Plans Waived❑ Certified Plot Plan ❑ Stamped Plans ❑ = TYPE OF SEWERAGE DISPOSAL Public;sewer Tan_ 9�=ge/Body Art ❑ swimmiAgpools ❑ Wen ❑ Tobacco-Sates ❑ Food Parlm8i ng/sales ❑ P""-ft(Septw ft3k e• E Permanent D=psftr on site ❑ THE FOLLOWING-SECTIONS=FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN 4FF_-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ El COMMENTS , 2$Ar : C .YQ13 CONSERVATION- Reviewed on S' nature COMMENTS12 HEALTH _Reviewed onS��tabure COMMENTS Zoning Board of Appeals:Variance,;Petition-No-.----- 9 Decision/receipt submitted yes Planning Board Decision- '` -- Comments Conservation Decision:- 2 �jl t Comments Water&Sewer Connectiontsi_ ne&Date ' 4 uriv wa Permit DPW Town Engineer: - Located 384 Osgood Street FIRE DEPARTMENT Temp on-site yes no Located at 124 Main Street Fire Department_-.,'. COMMENTS FORTH 0 0Andover . lf571 r o , dover, Mass., COC IC EWICK ADRATED 7's U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT'........... Csz....... /JO��,S'E Co s•ge .................................................................. Foundation has permission to erect........................................ buildings on .S., , .f ! n ....................... � . , Rough " D�� r f Chimney to be occupied as............ .................. ...... ..... / .... .......I........... .......................................................................... provided that the person accepting this permit shall In eve respect conform 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ARTS' Rough .e!.�A.................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. Massachusetts-Department of Public Safety ! Board of BuildingRegulations g ions and Standards Construction Supervisor License:CS-055417 THOMAS D ZAHgkUjKO 115 CARTERFIEED RD` N ANDOVER M.f 01845 i /i 14l ` 912—� - Expiration Commissioner 04/05/2014 The CommomvealaDqw*nmof � of I r- Acddet� - 608 Washingtoa S Bos on, MA 02,711 Workers'Co `'"'�'�gav/9& �n€o�mafion 1°P on hmwmce Affidavit:Affidavit:17Rde ComtractOr&Mectri - ADpiiic:��mt - Please Prmrt I---� Name - Add l city , p- of Ail d 1� Phone k - Are yen an om IOW. Check the epprnpriatre be= 1-❑ lama a c mploye<with 4. ❑ I em a ezei cumftanr aad I Type of Prof(regniredj_ . employees(full=Uarpart-time).* have hayed ibe m - 6- XMA CMMvciion 2.® I aan a sae Piopriow otparumi- lisfed as the atlached diect 1 T. ❑ Ship and have no employees Tb=eb- have woffing me in may aaPky_ Wats' g- ❑ [so vow'gyp- x 3. ❑We an a9- ❑ adtiitiam amdiis B 3.0 Mamma d,,,�, w doing an vO& - off==�mod� 10.0IIa�csl nRaas aa,�oms baa per Mm I LO Phubbgr- teams [i'lO mss'�- - c.132,¢I4�and was have no tPs_ jNo dvas' 12.0��as 90n43-muraum mpiruq Oe,� f' W z=-m a� �o�ca� � r _ - -' �atrhe��¢�moeta�mc3mda - tam3�a� a��ymaa�or �:�.�..a. law as mads * _ - -- - p - m} tr�aotzsp > ser 'co .fi+rARY=VARYOm Below is&epv&y andibbAe lnsm we comp®nyNaInm Policy#or Sew-itis.Lac.#: Job SiteAddmm Attach a mPY of the workers' mn P�9 l' (skvwbg i he Fas'imti to , mt'-ebyveraga as msclr�'-g d a 2SA of 1 eY number and cq ), fine Up to SUM-00 andlar amo-yrar. �-i32 caa kad tDAc � . asweIlas pr�ic -�frmn ofa STOP W DER a Of Of Up to Sti0.00 a day egaaas�tim Ba - WORK ORDS sod a fine W* ofBuDIA mss timta py ofthis =mY be firWrded to the Office of l� m,yy e o1P +lWY*QIJic S _ asruemid corner _te- � _ - °ffrQal Trac m4L Da Rot in d*mien,m he Completed -or amm CSfy or Tow= bming Amfimr-ky(circle onek - P L Board of Health Z.Bm'idi *mCeat 3_ 1TowD 6.oak= 't9 t3* `t-Meca=W Inspector i Plmnbh2 Inspe t r Contact Permu.- Phone�:-