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HomeMy WebLinkAboutBuilding Permit #095-2011 - 67 EMPIRE DRIVE 7/30/2010 i BUILDING PERMIT OORoTH qti TOWN OF NORTH ANDOVER F24'`''` "' �° oA APPLICATION FOR PLAN EXAMINATION Permit NO: (10, 0// Date Received l �el v �° `°`" ��SSACH►15 Date Issued: 0//d MP RTANT:Applicant must complete all items on this page II LOCATION 4!�,MokUep x PROPERTY OWNER nn�! Print MAI'210 ,a'C PARCEL:ZONING DISTRICT::Histo-c District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ew Buildiny� One famiI Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain ? Wetlands (J1 Watershed District ('y Water/Sewer _ DESCRIPTION OF WORK TO BE PREFORMED: c &,t 5 N e- F� n1 ! U Po a.,,. �i ,a�l-�I c;k—5-7L.4��� 461iG (AA41C X—A- &,�wm Identification (lease Type or Print Clearly) OWNER: Name: f LL.rA�G LLC Phon07?—SY7— /Q"L Address: E97— PM1, oynwe QX !fib - 01-121 ( CONTRACTOR Name: AECSIAIA Phone: Vf"c�'c��"3�6 ddress: y :SQY-Fd- AP f"A �/�l�"�afT' a�� arcyr MA - t)c1?2..f Supervisor's Construction License: /Ooh q3 Exp. Date:_�-J -3///,Z, • Horne Improvement License: Exp. Date: � l! ARCHITECT/ENGINEE T EN P ` Phone1&-.3Y2-- E?/49 Address: /Z� eg. NoJ s FEE SCHEDULE.BULDING PERMIT:MOO PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 37/ �00 FEE: $ Z/i � Check No.: %, � ? Receipt No.: %26P�7_ NOTE: Persons contracting h~unregis a do not have access to the guaranty fund 1 signature of Agent/Owne Signature of contractor Location No. �/.��d// Date MOR7M TOWN OF NORTH ANDOVER 3?O�,t`•o I`',�O O F ` Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ y / s�cMuse 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �✓�� Check # 1W / c 232 , x. Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans i TYPE OF SEWERAGE DISPOSAL h Public Sewer Swimming Pools Tanning/Massage/Body Art � 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 LANNING & DEVELOPMENT COMMENTS fi CONSERVATION Reviewed on q /� Signature 6 J4 " •' COMMENTS a- � 1�4 iJ ;a` • ., HEALTH - Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes 6 Manning Board Decision: Comments _ Conservation Decision: Comments' ' �,�Le'14 Water & Sewer Connection/Si nat D re Drivewa Permit DPW Town Engineer: Signature: - Xg__� Located 384 Osgood Street FARE DEPARTMENT Temp D1641ster on sit es no Located'at 124 Main Street Fire Department signature/date 2- 7—A COMMENTS L I 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-$1000 fine NOTES and DATA— (For department use t E ISI R I E III ❑ Notified for pickup - Date ... -....-.......... --- . . I Doc.Building Permit Revised 2010 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Per In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2008 I'I M$TM f CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 095-2011 Date: January 21,2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 67 Empire Drive, Lot#22, North Andover, MA 01845 MAY BE OCCUPIED AS single-family IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Orchard Village LLC 44 Great Pond Drive Boxford,MA 01921 Building Inspector Fee: 100.00 previously paid Receipt: 23282 I, „ Rrti CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 095-2011 Date: January 21, 2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 67 Empire Drive, Lot#22, North Andover, MA 01845 MAY BE OCCUPIED AS single-family IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Orchard Village LLC 44 Great Pond Drive Boxford,MA 01921 Building Inspector Fee: 100.00 previously paid Receipt: 23282 MORTH 1 O �t4ao 46. O� 0 71 APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Buildinq Permit#0 ADDRESS/LOCATION OF PROPERTY : (7 e5-M/zk& Map /©7e Parcel A94//y Lot Number 2 Z SUBDIVISION _Dir- Ipi°D 1) 1 LLAGL DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE(5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS$20.00)WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. E IrGI 111 C IJJuGlam. _0 IM&U.0 Address , PoXjo r 1 ue DSC�=nRio MA SIGNED ROUTING CONSERVATION t �. PLANNING DPW WATER METER SEWERNVATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYIINSPECTION REQUEST DPW Signature File: Application for OC form revised Jan 2007 ORTH Tovvn ofAndover t 0 No. _ , dover, Mass., � ^� Q LAKE COCMICNE"fir K %ORATED p'P���� v S BOARD'OF HEALTH Food/Kitchen .PERM IT T D Septic System / DING THIS CERTIFIES THAT............................... BUILDING EC ....................v..... ....................... ................................................. Fou ation / has permission to erect................:....................... buildings on .......6.7... .................... rghto be occupied as...................... -5 �!�!�.(........ `�K�Z..r.l ............................ .................... ................ provided that the person accepting this permit shall in every re ect conform to the terms of the application on file in may' nal .- this office, and to the provisions of the Codes and By-Laws re ating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECT R VIOLATION of the Zoning or Building Regulations'Voids this Permit. ' &Final a �--- PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPE�CTO � UNLESS CONSTRUCTION STARTS — Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR (fk ou h 6CC LGl,)-911e) Display in a Conspicuous Place on the Premises — Do Not Remove ,/l i b, n No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. V► n SEE REVERSE SIDE Smoke Det. ,�`N„� q. 2a 7 o � 70 o? 3 01 e?o ,\r 16 a 90 r _ oft 7,2 /.? v 0/4 i I I MAScheck COMPLIANCE REPORT Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 2 I I I I Checked by/Date I I CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 7-23-2010 DATE OF PLANS: 8/8/09 TITLE: The Franklin PROJECT INFORMATION: Orchard Village, Empire Drive COMPANY INFORMATION: Orchard Village, LLC COMPLIANCE: PASSES Required UA = 592 Your Home = 336 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA -----------------------------------------------7------------------------------- CEILINGS 1232 38 .0 0.0 37 WALLS: Wood Frame, 16" O.C. 2773 '20.0 0.0 164 BSMT: ,Conc. 8 .0' ht/7.0' bg/0. 0' insul 0 0. 0 0.0 0 GLAZING: Windows or Doors 283 0.350 99 DOORS 70 0.000 0 FLOORS: Over Unconditioned Space 1105 30. 0 0. 0 36 HVAC EQUIPMENT: Furnace, 96.0 AFUE HVAC EQUIPMENT: Air Conditioner, 13.0 SEER ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4. 4. Builder/Designer Date Massachusetts Energy Code MAScheck Software Version 2.01 Release 2 The Franklin DATE: 7-23-2010 Bldg. 1 Dept. 1 Use i I CEILINGS: [ ] I 1. R-38 I Comments/Location I WALLS: [ ] I 1. Wood Frame, 16" O.C. , R-20 I Comments/Location I BASEMENT WALLS: [ ] I 1. Conc. 8 .0' ht/7.0' bg/0.0' insul, R-0 (uninsulated) I Comments/Location I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.35 I For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I DOORS: [ ] I 1. U-value: 0 I Comments/Location I I FLOORS: [ ] I 1. Over Unconditioned Space, R-30 I Comments/Location I I HVAC EQUIPMENT: [ ] I 1. Furnace, 96. 0 AFUE or higher I Make and Model Number [ ] 1 2. Air Conditioner, 13.0 SEER or higher I Make and Model Number I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in' the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2 . Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating and I cooling equipment efficiency must be clearly marked on the building I plans or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4 .4 .7.1. I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing air and water systems. I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is I not greater than 1250 of the design load as specified I in Sections 780CMR 1310 and J4. 4. I I SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and I require a cover unless over 200 of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : I I PIPE SIZES (in. ) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2. 0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1. 0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 i CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in. ) : I I PIPE SIZES (in. ) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2 .0+" 1 170-180 0.5 I 1.0 1.5 2. 0 1 140-160 0.5 1 0.5 1.0 1. 5 I 100-130 0.5 1 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only) ------------------------- k Massachusetts- Department of Public Safe" Board of Building Regulations and Standards Construction Supervisor License - License: CS 102931 Restricted to: 1 G ROBERT MESSINA 44 GREAT POND DRIVE BOXFORD, MA 01921 Expiration: 8/31/2012 Tr##: 102931 ('u nuu issiunc r - The Commonwealth o .f Massachusetts -Department o f Industrial Accidents Office ofrnvestib ations 600 fflashin trton Street Boston, 314 62111 RTorkers' Censat€ion Ynsurance A�a �zss°ov/did om P : Builders/ContractorsTiectricians/Pimnbers . A lieant Tnformati.on . PIease Print Legibly Name(Business/Or lranization/Individual): Address: � a 0 e . City/State/Zip: /�Z/ Phone#. ,..3 02 Are you an employer?Check the appropriate boa., 1.❑ I am a employer with 4. ❑ I am a a7ac Type of project(required): . -------= (required)- 11 cemployees(full and/or part-lime},* have hired6•. New eonstracti2• on I am a sole proprietor or partner_ listed on the s,, `` ship and have no employees t•e atta7• ❑Remodeling These sub-contmctors have working for me,in any capacity.'- workers COMP. ' L12.[] olition ' p insurance. [No workers'comp:insurance 5. ❑ We are a:corporation and its ding addition required) officers have exercised their rical repairs oradditions 3.❑ I am a homeowner doing all work right of exmyself [No workers'com . empiion per MGL bing repairs or additions insurance re wired t P c. 152, I(4)�and we have noq ) employees. [No*orken, repairs any�^piican_*3st ch G0$p msurmce required.) ecus box.;;.mt sr=iso I eat'r.'ne secrioa b`eor.^ov::..; y 'F omeowuers who submit this affidavit indicatingth , b U c-rs'CDM;....s_�*:cs...,t: ,, r on +Contractors that chec.,.this box must attached an z'scent aL aorl;and ' , mcn'fii-outside contractor,Must submit a new affidavit indicating such. additroral sheet showing the same of I am an emplryer that isrrsviding workers'compensation insurance or wu and their workcts co mP•Pommy information. uiformation. f. mY ernployeea Below is the policy and job site Insurance Company Name: Policy#or Self-ins.Lir.# Expiration Date: Job Site Address: AttCity/State/Zip: ach a copy of the workers'compensation policy declaration page(showi-g the poky number and expiration sat Failure to secure coverage as required under Section 25A ofi4GrL c. 152 can lead to the itaosition of ea fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a ST P criminal penalties of a Of up to$250,00 a day against the violator. Be advised that a co OP WORg ORDER and a fine Investigations of the DIA for insurance coverage verification. of statement may be forwarded to the Office of Ido hereby certify under the Pains and penalties o er u u that the in or fP j f matron.provided above is true and correct Signature: 01 one Official #: Q Offcial use only. Do not write in this area, to be completed bj,com,or toN,n official City or Town- P_ermit/License# Issukg Authority(circle one): 1. Board of Health 2.Building Department.3.City/Town Clerk 6. Otherrk 4.EIe c trtcal Inspector p or 5.PIumbiag Inspector Contact Person: Phone#: I iforma.tion an— d Instrue dons Massachusetts General Laws chapter 152 requires all.employ<__rs to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every PC---,son 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 t7ae legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,associationaM-other legal entity,employing employees. However the owner of a dwelling house having not more than_three apartnZ_en{s and who resides therein,or the occupant of the dwelling house of another who employs persons to do'mai Mznce,construction or repair work'on such dwelling house or on the grounds or building appurtenant thereto shall not be:cause'of suchemployment 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,alicense or permit to,operate a business or to construct buildings in the connmonwealth for any . applicant who has not produced acceptable evidence of c0impliance 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.pmfoimanee of public work um-tal 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)n' e(s),address(es) and phone numbers)along with their certificate(s) of insurance. Limited Liability Companies(LLC) or.Limited LiabityPartnerships (LLP)vvith.no employees other than the members or partners,.am not required to carry workers'comp eiisation insurance. If an LLC or LLP does have. employees,apolicy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. .Also he Sxxr'e to sign and date the affidavit Tht affidavit should be reit—=d to the city or tcmm that the a pl.Fca.urJu for the.-Crrm tor hCen, Lq being requested,not theD- o-part meat of Industrial Accidents. Should you have any questions regardinLg the lav,or if von are regF fired toobtaia a workers' COiripaFisa4uOnpolicy,please call the Department at the number listed below. Self-insured companies.should enter their self-insurance license number on the appropriate line. - Cite or Town officjals Please be sure.that the affidavit is complete and printed legibly, The Department has provided a space-at the bottom of the of E idavit 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/lir,ensr.number which will 1:3,e-used as a-reference number. In addition;an applicant that must submit multiple pernut/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 offici4Y moped 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 (Le.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office ofInvestigations 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 'Ihe DepFaitinent'.s'ad6ess,telephone.and,f m-number.__._ _ r The Comimonweahk of Massar usatfis ' DcPartment Oflndtustria:IAccidents Office of hVe&*V Paas 640 Wigton Street Boston,MA 02111 Tel. #617-727-4940 ext 406 or 1-8 77 MAS.SAFE Revised 5-26-05 Fax #6.17-72.7-7749 i Vr7rvt'.mass._.govhha. it 10.4' LOT 22 EXISTING FOUNDATION IIS 35.4' m a' m 10.6' �, oFfygss9 mMICHAEL �yG N0.3 91 O ESS�OaP� Sl1RV�0 v FOUNDATION L CA TION I CERTIFYTHAT THE PR/MARYSTRUCTURE SHOWN CONFORMS O TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPLCLIENT.' ORCHARD VILLAGE, LLC (THIS CABLE ICA77O DOESBY-LAOTCONSIDERAS IN EFFECT YOTHERRUCTED. (THIS CERTIF�A710N DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCHAS COVENANTS,WETLANDS,EASEMENTS, THIS CERTIFICATION IS MADEAND LIMITED TO THE ABOVE CLIENT ORDERS OF CONDITIONS,ETC.)THIS DRAWING SHALL NOT BE LOCATION:NORTH ANDOVER,MA. USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVE,EXCEPTWITH THE WRITTEN PERMISSION OF DA TE. 8/0610 SCALE.-1=:30' TNECOPYRSGHT€DEIVE PRGROPERTYOFCHRIST/ANSEN&SERGIINC . AND ANY UNAUTHORIZED USE IS PROHIBITED.CHRISTIANSEN A SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED.USE OF THIS DRAWING OR ANY/NFOR-MATION CONTAINED HEREON. PROFESSIONAL ENGINEERS& LAND SURVEYORS CHRIS TIANSEN & SERGI INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX 978-372-3960 DWG.NO.:06029.001.047 ORTH 0 0 f Andover No. X_ _ _ o 1 _ rMass.,- o dove OI.COCHIC ME W ICK ' ' 7�S RATED 3 BOARD OF HEALTH Food/Kitchen .PERMIT T D Septic System l BUILDING INSPECTOR/ BUI THIS CERTIFIES THAT �/' ��� v 4.................................................' Foundation ation has permission to erect...............I........................ buildings on ......�.. ...��./�'!1�.............��.�p.v.'8.................... Rough to be occupied as � . ...�F �� � L Chimney ....... ................... .. .... .................... ........................................................................... provided that the person accepting this permit shall in every, re ect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws re ating 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 - UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ............................ . :................................. 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.