Loading...
HomeMy WebLinkAboutBuilding Permit #322 - 58 GLENWOOD STREET 5/1/2018 BUILDING PERMIT °� o°T 6 Ngtio TOWN OF NORTH ANDOVER 3? 01 APPLICATION °� t p APPLICATION FOR PLAN EXAMINATION _ Z..y Date Received Permit Nb: � SSACHUS� Date Issued: IMPORTANT:Applicant must complete all items on this page 10 CATION -RFs ��_-n w o p_ si. Print PROPERTY OWNER Pnrrt MAP NO PARCEL: ZONING DISTRICT: Historic District: yes. no "Machine Shop Village - Yes no TYPE OF IMPROVEMENT PROPOSED USE Residentia Non- Residential New Building One fami Addition wo or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other p oodplain Wetlands �IVatershedDistrict Septic Well FI Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: CO,�,,tGt-e �Ui Idi/1G �✓�7GC-1 Al SC7 ,t Itilb✓Oo�/S/ G� 0✓JVi�Q OGCtJ��CV pElMii'. ,f u- q��`C�t(/ any of W�kir^c�cw� rP,yis�o�ls. Identification Please Type or Print Clearly) OWNER: Name: ti�M It Phone: So is•cl alaa of Address: N°� }� CONTRACTOR Name: _ Yy Phone: - -- ; Address: Yh 2 , Supervisor's Construction License. C)a 4,10 Exp. Date: o Home Improveme•nt•License: [37-4.6 Fxp. Date:- &'91. 1 IS3 ate: 683. IIS3 ARCHITECT/ENGINEER SeoAo I.rnJenPhone: 979 . 3 5 z . rr3I'F Address:z� &4 kh4NoA Andotle✓ 6.,1. ,d . 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: $ FEE: $_ edv, Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agerit%Owner i -- Signature of contractor_. s i Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL 11�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 I DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS i i DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments i i Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit Located at 384 Osgood Street FIRS DEPARTMENT Temp Dumpsteron.site` yes - "no Located:at 124,Maip,,Stre6t Fine.Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: �I ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No j DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use Cj lob 4,, tc.� L. ❑ Notified for pickup - Date L_._............._.___..___....... Doc.Building Permit Revised 2007 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 2.2007 .;,0_` . , invoice AGAPE PROPER'I" No. -34 -07 4 MAINTENANCE CO, INC. 2343 Washington Street,2nd floor,Boston,MA 02119 617.442.9449 INVOICE Customer Misc Name Hossein Ghamary Date October,2007 Address 58 Glenwood Order No. City North Andover State MA ZIP 01845 Rep Phone FOS. ah► ©escr#ption unit Price TOTAL Additions to Contract Price to increase foundation height and other changes fuer encrineer"s drawing and recommendations ; 1 1 Increment of concrete foundation from original 1'11 tor s g 'per the Variance approval 1 Concrete slab on the garage floor 1 Concrete slab on the basement side 1 Perimeter drainage along the foundation wall 1 Access opening from the garage to the basement wit a steel door(36 inches door) 1 A 72 inches door to the back of the house—steel door with semi glass in the middle 1 Windows in few places as discussed 1 A footing for the stair landing from first floor to the basement 1 Construction of stair to the basement 1 Additional Steel column to support the 1 st floor stair in the basement 1 Installation of W10X39 with 6xsx1/2 with bearing plate at garage entrance 1 A W8X35 to replace the garage girder 1 A W6X25 beam at baric door entrance 1 A W1OX45 and W1OX33 to replace all the Steel Column to cant'middle Girder of the basement 1 j3 supportive Steel column to carry the 1-Beam in the middle SubTotal $ 25,000.00 Payment Select One... Comments , Name TOTAL $ 25,000.00 CC# Expires Please remit all payments a , 34A., immediately upon reciapt. -dIA 7-hai4k r au f ryour husiwms sGvutoA o otapade n M D,FS REALTY CONSTRUCTION Contract SUDMITTED FOR: Hussein Ghamary 58 Glenwood St.Andover, MA Contract : Renovate House WORK INCLUDES: • Secure all permits(not included in price). • Demo existing structure as needed. • Install gas line from street. • Frame new house as according to plans. • Add to existing chimney. • Install all windows and doors as shown. • Included relocated existing windows and doors. • Install roofing 30yr,3TAB(Owner's choice). • Entire structure to be resided Vinyl/metal trim. • Install all plumbing fixtures,DFS choice. • Steam sauna room rough only • Build exterior deck off kitchen. • Remodel deck off family room. • Exterior paint or stain not included. • Replace all electrical,200 AMP service. Replace all existing plumbing as needed. • Relocate maintenance room to 1't floor. • Install two unit HVAC 2 Zone. • Gas fit as shown. 0 Install gas fire places. • Insulate house to code. • Entire house to be blue board and plastered. Install kitchen and bath cabinets,$15,500.00 allowance. • Install all finish work,paint grade only. • All interior doors to be six panel masonite. • Paint interior/ceiling and closetif if needed. • Color to be DFS choice. • Install floors/1st floor hardwood/tile bath. Stair to be hard wood. 2nd floor burba carpet,DFS choice. • Bath to be tile. • Install all electric fixtures. • • Fixtures DFS Choice,$710. W14 • Tile allowance is $10.50 sq. Red • Install new driveway to mat . i0 • Pool will have new liner instak • Pool deck will be replaced"-wO • Work�on filter,pumps,el p ftof�la • House will be cleaned oncft • All work according to plan. Not included in our price: • Landscape • Storm doors • Irrigation • Front stairs • EPA boundaries 11$238,000.06 �/�C 4 TERMS. ! • D.F.S Realty will supply all materials and labor to complete pr ed.contract. • D.F.S Realty will leave the housetproperty clean after completion of ritract. • D.F.S Realty will perform all work to mass codes. ' ,, • D.F.S Realty will begin work upon schedule of contract. • Payments made as agreed upon. • Contractors Lie.G.0#042762 HIC#151795 Owner's signature CD-1Contractor's signature Dat • r Date:'E/ ro COMPANY OWNERS FRANK VALADAO & DAVE BUOTE (978)994-5104 (978)569-5375 r FAX (978)455-9920 P.O. Boz 612 Dracut, Mass. 01826 www.dfsrealtyconstruction.com is mmec�r�uEa l� o•..• ! BOARD OF BUILDING REGULATIONS i License: CONSTRUCTION SUPERVISOR Number: CS 084047 Birthdate: 08115/1960 g a ExpUes:08!1512008 Tr.no: 29149 Restricted: 00 SIMEON 0 OLAPADE 36 PITMAN DR READING. MA 01867 Commissioner � ✓/re %orri�raxuca�l/r. c��%�adac/uraollc b-\ Boxrd of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 137468 Z. Expiration: 11/15/2008 Tr# 125027 Type: Private Corporation AGAPE PROPERTY MAINTENANCE CO INC SIMEON OLAPADE 36 PITMAN DRIVE READING.MA 01867 administrator • I i I Z 'd t3Bbz-i�b6-T8G ao><��0 ssauisng 3dW9d d66 :90 LO 02 unr From:Ericka Linares To:Joanne Paris-WiMcs Date:6/20/2007 Time:2:38:58 PM Page 3 of 3 ,...,�eR.•.., ,. :xxexx.:;x ,.:, .,....•., .»xxR::nxra::- -,. .. .... ... :: .,r-..._.._._.... �Ct�RDMaa i' ::,:, :•� MMWDwrI --._—TM^ !FMA\• ��-��_,••ed. '• ,' •XCox ��� RAN_ •M ii T'�!�S • '!P. •i 06/2012007 is .' p,Pn•....,....d.'4:.,::tYW.MA:...'7'Ylth.:1LY..4V...,,..:,,AM.:::nnKcr,::liM.i1::::Fx.:,.,.f•...til. QQI...'dSlf'+`✓F , ..... ....•• . wv ,..... .. .. ..,. DUCE>R Setial IY A16684 THIS CERTIFICATE IS 13-SUED AS A MATTER OF INFORMATION ONLY ON RISK SERVICES,INC.OF FLORIDA HOLDER. T HIS CONFERS TE DOES NOT AMON END,CERTIFICATE XT END AR 001 GRICKELL BAY DRIVE,SUITE#1100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. IIAMI,FL 33131-4937 COMPANIES AFFORDING COVERAGE HONE: 800-743.8180 FAX: 800.522-7314 COWANY NEW HAMPSHIRE INSURANCE COMPANY A JRED LOMPANY ADP TOTALSOURCE,INC. B 10200 SUNSET DRIVE MIAMI,FL 33173 COMPANY 'ALTERNATE EMPLOYER: C _ GRANITE STATE CONSTRUCTION SVC cvMr,nNY — 0 X1656' �: � ,x.. .. ... ,-r .... ...�, . . cs;, ;«• 3xx .,...".:to-..�f.....i�.�•F,,,, ,^x�„y_''�',�:."`"^' �;y.,.,.,k,,.'vymn ,x:.wn-:::i,i.:..sx,..lxx •,>ao-:.iwwsFAw.YNeY....:......::s,...,,,,^w•a�oen,e'x.-.:x.Tr=-=-: y�0,w,.,RS�,>LTa...,.R•,,:.;..:, •�.;• :.uon ,,.... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANniNG ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED e Y 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. POLICYEFFECTIYE FOLICYNMRATION TYPE OF INSURANCE POLICY NUMBER DATE(MMIDo" DATE(MMMOIM LIMITS GENERAL LUMNLITY GE EPN.AC+(*a ,AII• 3 (Y)M IF.RCOLGENERALLIA010Y PRCOLICT::.[.nMI'AIPAGG 1 CI MAWS MADE r 04"i•1IR 1'L•RS0NAL 6 AUv W AAA S OWNER',-)&rxVOPACTOWSPPOT CAU IUi.X1RRLNC:t S H7(:DAMA'AE(Any are aro) S MED EV fAAynnalmm(m) S AUTOMOBILE LIABILITY r,CWtDNICD ONC•LE L!Mfr S ANYAUTO ALL OWNED AUTOS NDLY r a SCHEDULED AUTOS �rPaly>tl HIRED AUTOS I)[111 Y INJURY NONFLTWNED AUTOS 0M) S •• PROPLNIY UAMAUL• S 9ARAOt:LJAl11LtTY J AUTOON Y-t•A ACCM.JJT ANY AUTO OTHER THAN AUTO CM Y —`— __ tA0iAr.CCCNT $ .. '- A(AWLUAIL T EXCE66LW13I1 ITY FAL'HOCCURPFNC.F x UMBRELLA FORM AGGREGATE S OTHER THAN IJWCRELLA CORM i WC STAUb mK WORKERS COMPENSATION AND WC 1108971 NH 07101/2007 07/01/2008 X 1lwY!'MnP LI+ EMPLOYERS'LIABILRY EL LACI IACCnENT 1 1,000,000 ?IT PROF- cwt IHCI EL DISEASE•I'(N,W:Y I.IMR S 1,000, 0 PARINL•NWUlLOtim - - OFFICEIM_ME. LXJ:L ELMEASE•F.A CM'PLOYE-E S 1,000,000 OTHER "TTONUP OP TIONSILOCATIONSMHICLE818PECIALREMS EMPLOYEES WORKING FOR THE ABOVE NAMED CLIENT COMPANY,PAID UNDER ADP TOTALSOURCE,INC.'S PAYROLL,WILL BE COVERED UNDER THE ABOVE TED POLICY.17HE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER TENS POLICY. a j��� c.. xy...,wir.•...:.,• ..:: ,Y'.Y.1—':N',.N••. ..,;•...� n'.f.... �:'n�a•. ^WYRvd.vG.>t✓✓% LM...y.. a� ��QQy��.r� xa,gb{..ti�..,yy...a, ^wiN...... :W :xw.. -vw'�wn.i>'pL'.. •'il�. 1.•.1.: .:9s�4�AR17. R�^ �vcAexc:vieie:•2x15• Y::! ...e:..e,c�Je.at'•.,::•, ,..,,.•,ro,,,,,:d:«i,E=E+56�■�`f.�s.•"•xL !�'.bkm•. .. �7x�::x,�i::���"a..,aaMd,•, ..a'4A i:ix.•,eexmi«auia•»ui#�a•siae•MareF SHOULD ANY OF THE ABOVE DESCRMED POLICIES BE CANCELLED BEFORE THE HOSSEIN GHAMARY 004RATION DATE THEREOF, THE 19BUIN0 COMPANY WALL ENDEAVOR TO MNL 58 GLENWOOD STREET 30 DAYS WRITTEN NOnCETO THECGRTIF1CATENOLDERNAMBOTo THE LEFT, ANDOVER,MA 01845 BUT FAILURE TO MAIL SUCH NcMcE$HALLIAWOSE NO OBLIGATION OR LIABILITY OF ANY tWO UPON THE COMPANY. ITS AGENTS OR REPRE6ENT'ATOAS. AUTHOR___D R PRESENTATIVE AON RISK SERVICES FLORIDA .... ,...,. ,,x,�,,�::�««,:,:-„x,,,nll :.:F,;., a,.--i�`..trl... .. ..., ..:• _..;wv_-.wA,.. ... ,:,x .,c,::,. .�::, .. •x,::.... iI I •�::::Ny,..,� ••�.. .•I�x::: INC. "-�'_'�17��—�'.a6,t...:.,. .W�'.i?tg±,x::•Iwx^.. ,.ce. rrs••'xtw�:�, ::•.:I' i=': .k�:�::�,z:..:ht:i ,..� ZOOBawls a1Tuvia bOZ6Z9CCO9 YV3 bT:OZ LOOZ/OZ/90 JUN-20-2007 03:08P FROM: T0:17619442488 P.1 AGM-70. CERTIFICATE OF LIABILITY INSURANCE 104/20J2007 P1m ucee (761) 562-1600 THE E N—M AS A TIERF WFORMATION , IefO. ONLY AND CONFERS NO WON" UPON TIE CERTIFICATE Cln•tt Ca�eroial rifanra0oe sY WX DIX =8 CERTIFICATE DOES NOT AM6DID0. WO OR 8 II':eoke street ALTER THE CMWRAGR AFFOWED a BELOW. Kinastan Ml 02364- NWURERSAFFORDINOCOVERAOE MAIC* empo Mi URERA:Ins CO- Of state of PA All" Property ULlatenamse, Ino. 6L4NIERa 36 PL4"-- Drive mawme. 0 Audi MIa► 01867- N►lIRtA E COVERAGES 114E POUCIES OF INSURANCE USTED SELMHAVE BMM M WM 10 THE IMBIBED NNEDABDW FORTIEP0 M PERIOD WDICAM.W MIMTOMM ANV REOUMMEM.TERM OIt OMXnON OF ANY OONRMOT OR OWA DOCIMW IA IH RESPECTTO wim THIS CER7IRCATE MAYBE ISSUED OR MAY PERM. T!E INSURANCE AFFORDED 9Y 711E POLIQES 0MCROW MERGN IS SUBJECT•TO ALL THE TERMS.E>GCUMONS AND CCNC"0NS CF BUCK POLICIES AOOREOIATE LNMISSHOWNMAY NNE BEN FdZX=BY PAIDOAMS. 1u11 awl MUM T7PEOr61WIlAMCE aoucY1.e16et WT—E !mmr+Me71rN IAtE umn oOMNNUL ummm / / / / EACHW s •wAmu t coda"tuautY s PERSONAL A ADv INJURY f 0e19tA tAGREWT : aeftAm"WATEUWAppumP9t App i Au7ONOUX A08" / / / / COMBW1fDSYgLItlrfi s AWAM ae..ad.o Au.owlE MRW StWEDUI®AUTOS IFMrI s "m NJ= I / / tWarJeWip s momow mAUTos PROPOM WIYADE 6 �.r.mxa0 aAMADElYORJTY MMO1LY-EAAWDEW S AWAM / / ! / 01"MTIIAN MAW f AUTOONLr. no f 0-m ❑CLANS K&W AMPAXIMf s RETENTION s s A WDm=5ca1M01M77D mm 00687-31-76 06/09/2007 06/08/2008 X t LDVVW L A6NJTY ANY EL EAM ACCIDENT s 500,000 g OFFXXRIVNM EL as�ASE-BA 6 500,000 M�,dmmmo wwm an8mw a1DNNW!m ELOWN -PQUCYUW Is 500,000 WOO ofte FOON OP oreu7nlnLLarrl AODM BY FIONN1101Ts CERTIFICATE HOLDER CANCELUTION ( ) - (478) 699-7240 fa: SNOeMJ) AMI OF TNS AME OE6GNM MUM 08 CANCUM MCME TNe WWATNNI DATE 71ERWF. 711E MMM NNUM WRL ==VCR TO WALL 10 OAV6 WNMW NDTICE 70 711E CBIIMAIR NDLO®1 NUM To?HELM.Mut City of Nocft Autoves FANJYNETo 00 RID CLIA«usvwewo ClLaAT pN ole t1ASlIfY or ANY also uFON TIE 3.600 08igood street NYi{I ITsa6ertroR 7ATNl6 North Andamr, ma 01645 A w A77K ACCRD 254200 Mll 0 ACORD CORPORATION IM �,�;IN9026 Rrtloel C6 BACM0166 LAM R M 4.INC:-PWA27460 Pqp t m 2 E 'd BBt►Z-bb6- IBL aot }�0 SSaUtsnH 3dU9b dOi�:90 LO 02 unC JUN-20-2007 03:09P FROM: TO:17819442488 P.2 AGOA' „ CERTIFICATE OF LIABILITY INSURANCE os le'` o0 PIIOOIRflt (617 965-5151 TITS CERTFICATE IS *Sao AS A MATTER OF WORMA ONLY AMD CONEEMI NO MOATS tlPON Im CERTIFICATE Newton Iaeuranoe AggeneT Ei iTll CDOES ALTO WE gg!MMM ORDED BY 66 OR dE1OW, 66 Ryerson Lane Newton M► 02159- 1 RNSLMM AFFORDM COV@M6E MAIC R "NUFPD INSURER A:C OMMMEM Insuranm CO. Agape property I&JAteaance, Inc. INBURERs 36 Ttitmaa Drive VAURanc WL 01967- +tee COVIRAGIBB TIM POLMMO OF(RSURANN USTEO M M MME BEER=MID 7HE IWU$MO NAKED ABOVE FOR TI!POLICY PENIOD TNON:ATED.N07Vy{7HSTANOINO ANY R wrmm3IR mm OR coNOFTM OF ANY CONTRACT OR aWA OOCUMENT WIM RESPECT TO IM W TMs OER7IRCATE NAY IM loam OR MAY PERTAIN. THE INSMWICE ARKEM by"POUCMS DESMW HEREIN M SUBJECT TO ALL IME TERNS.EXCLLISIONB AND COF X=W OF SUCK POLMEB. AGGREGATE UMTS SHOWN MAY HAVE"Map 111SURAME BEEN REOLICED BY PAIDCLAiLR. N POtJIOYMta11TY A oEMMALLMeRAn DOW00102-8 05/02/2007 OS/02/2009 GICH ecs s 1.000,000 ..� s 56,000 x a„a0 dI„� 5,000 : 1,000,000 MWREWITE , 2,000,000 OIENLAWREMMILIWAPPUENPIM _ AW 1,000,000 Pout f7l Mr M= A A070M000'.ELMd TTY OWISfWO32 11/13/2006 11/13/2007 OOMsN DgMLELmf _ ANY AUTO �fs�ddwq A{La 4MWAIJ10$ / / / / aoa1LYIN.ItAMV s 100,600 X AIMMAMAUTM IPs�P�d , X HSIEDAUMS / / / / BO LY�IIMJURV s 300,000 Z NOMowm wow PROPERTYOOPWAGE s 100,000 QARAOE LIABUTY AUTO ONLY•FA AOCIDEfaf ANV AUTO / / ! / 07M jWX AOC s AUTOO"M AGO s mc .-my / / / / BACHCrcIAI s OCCUR 0 CLAMMOIN AOMMAWf s omucnelr -- im-mmnN s s MIOIIIDcASOOAiEI1tAT1011A1A1 / / / / E W%AMW UAeWry EACH AOG091T s AW ICERAI9NB®t EKMJUCFO7 / / / ! BL DISEASE-SA EMPLOYEE s U/M.AreYl�uNr SPECML PROVI610N6 bow El-ISE/IBE•POLICY Law Is 0EMMIP110IGFOlEUTIONELCIMTO NiADOW PROMOIONO CERTIPICATE HOLDER CANCELLATM 1 1 - (970) 689-7240 fa: 090" ANT OF TMIS AWN OOOGMUD POUCH W CANCEUUM SBMM THE eomTAIII OATE TMOOOOF, THC ■&MIO IMAM WRL 010MV01% TO PAIL 10 OAYS WJfM MUM 70 THIS CORIM011 MOLOW NAY@ TO'THE LM.OW City Of 2TOrtb Andover FAN.UIR TO 00 00 NALL WIPIM NO 9WRATION GR LMOLNIY OF ANY TORO UPON TIO: 1600 Osgood Street t1aA0esroolllldR!•JBITAT1VBt NOrth Andover, Wh 01645 A7"s I ofWORD 26(MIN* o ACORD CORPORATION INI IIIM026 p10ID.Qi E18G7ROM LAGER FORMS,INC.-OWAV46O Ppi al`s ssau i sn8 3dU91J dot+ :90 LO OZ unC NORT1y Town of : t 4Andover No. 3 _ % = LAKE = dover, Mass.,. COCHICHEwICK V 7�ADRATED O`11 �C7 `T BOARD OF HEALTH PERMIT T D- Food/Kitchen Septic System At; BUILDING INSPECTOR . �A••�/ THIS CERTIFIES THAT... :. '�i�� .......... .. Foundation has permission to ere ............. ..................... . buildings on SOL.... . ... . Rough to be occupied as qt1r .... Chimney rovided that the erson acce in this ermit shall in eve res ect conform to the terlhs of thea lication on file in P P accepting P nl P PP 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 IK S ELECTRICAL INSPECTOR UNLESS CONST 'LOF S Rough • ....... .. ........................................................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE s Smoke Det.