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HomeMy WebLinkAboutBuilding Permit #192 - 677 SALEM STREET 9/9/2009 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: �LJ A IMPORTANT: Applicant must complete all items on this page p LOCATION 6 Print PROPERTY OWNERi . k r-- V YkA AIA)I A) Print ` MAP NO. PARCEL->'---ZONING DISTRICT: Historic,Distract yesno Machine Shop Village eyes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial AlteraNo. of units: Commercial Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District, Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: ^�9&I C-e­ 6"UN r"'J e Phone: Address: CONTRACTOR Name: - � i'1 c Phone: (o( A— 5 c� I Address: J VT u'­�m { - Supervisor's Construction License: 010 I ? Exp. Date: # Horne Improvement License: ..► gip, Date.__,/ t, ARCHITECT/ENGINEER Phone: Address: 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: $ a/7� 49 FEE: $ Check No.: Receipt No.: a �� NOTE: Persons cont acting with unregistered contractors do not have access to th uaranty fund signature of Agent/Qwner Signature of contract r Building Department F 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: Doc.Building Permit Revised 2008 i 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 OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED ! PLANNING & DEVELOPMENT I COMMENTS CONSERVATION Reviewed on Signature COMMENTS s Fi4EALTH 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 Temp Dumpster on. site yes no Located at 124 Main Street Fire Department signaturedate` COMMENTS 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 I NOTES and DATA– (For department use i i t ❑ Notified for pickup - Date ..---............................_........._......_....................__......_.-_........—_...._......_............._........_......_..............__._.._........................._..........---------.._........._.........._......................................__...---....._......._.._..._......................................_......._..._...._._....................... Doc:.Building Permit Revised 2008 Location 511 No. Date © i MC"T" TOWN OF NORTH ANDOVER 3?0: r A � - w • i ; , Certificate of Occupancy $ CMU,E<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ! 224 Building Inspector xAORTH ® of No. f 20, dover, Mass., 0 LA COCHICHEWICK y�. ORATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......T .iA� ��ni`� .. ............................ .................................. ....... Foundation ............................ has permission to erect......................................:. buildings /on.. ...��'.'....... ...a ...��I..................... Rough to'be occupied as.... ..e .. ....... .�..... a .` :.. :.::::..:::::::::.:.:. ........... Chimney .. . .. . .. . . . . . .provided that the perso accepting this permit shall in evect cont 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 MONTHS Final ELECTRICAL INSPECTOR UNLESS CON STR ST TS Rough ...... ........................................................................................................ Service BUILDING INSPECTOR Final Occupancy'Permit Required to Om4py 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. 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):_T (;(�n Address: �h J -17—,,,, PJ) City/State/Zip: ioc-,U 1AA v1 Q 8 Phone#: Co 05`' 3 4J�:�O / `7 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. EB4 >�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. $ E]Remodeling 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' 13.0 Other comp.insurance required.] *Amy 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 theif 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 Company Name: Policy#or Self-ins. Lic.#: / Expiration Date: Job Site Address: �!�} ( -t'_-t T_ City/State/Zip: /UU A N�G ae Ala S5 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 her by certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: 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#: 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 bum 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 DATE(MMMWYYYY) gCORD_ CERTIFICATE OF LIABILITY INSURANCE OP ID 08/07/09 THE:CERTfFlCATE IS ISSUED AS A MATTER OF INFORMATION PRoDUCeN ONLY AND coNFERs No RIGHTS up THE CERTIFICATE T. A. Sullivan Jim. Agcy, Inc. HOLDER THIS VERTIFE1 ED BY TES moT HE POLICIES BELOW. ALTER THE COVERAGE 344 S. Union St. i awrence, MA 01843 DMIR�AFFORDING COVERAGE NAS Phone: 978-683-47Q0INS RERA: GW,—%-- 6 Assoc of RI Ina, INbY1RED .Assi MBd jFB Vinyl Siding INSURERSMgss.Worluars D/B/ S�onss INSURERC: p 9/:L/ Fsank s son contracting INSURER 0: d� Wincmrp� Drive gppinq0042 C COVERAGES 1pptCATID.NOTWITHSTANDING THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE TO THE INSURED t1AfAED ABOVE CT To M POLICY PERIOD TE MAY BE ISSUED OR ANY REQUIREMENT,TERMOR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO NRBCFN THIS CERTIFICATE MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HHNEIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LJMRS SHOWN MAY HAVE BEEN REDUCED BY PND CLAIMS. POUMY LVAM LTR TVVFOF SIIRANCE POLICYNtMBER DATE EACH OCCURRENCE $1000000 GENERAL LIABILITY04/23/09 0.4/23/10 PREMiSEstEaoonrenoe) $ A ]( COMMERCIAL GENERAL tuelLrTY 3DB5940 NED EXP(Any are Pte) $ CLAMS MADE ®OCCUR PERSONAL&ADV INJURY $1000000 g Omer/Cont Prot. ��Ar£ s2000000 PRODUCTS-commPAGG s2000000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO- LOC COMBINEDSIHMELIMT $ AUTOMOBILE LIABILITY (Esaood) a=imd) ANY AUTO BODILYINJURY $ ALL OWNED AUTOS (P-P—) SCHEDULE AUTOS BODILY INJURY $ HIRED AUTOS (Per mrd) NON-0WNED AUTOS DAMAGE(Pwamiftd $ . AUTO ONLY-EAACCIDENT $ GAMMUMILITY EA ACC E ANY AUTO Z o AGG s EACH OCCURRENCE $ F311ARABRELI A LIA911LITY AGGREGATE $ OCCUR Q CLAIMS MADE $ DEDUCTIBLE s RETENTION $ vr WORKERSCOW43MATM AND R TORY LIMBS ER H ESPLOYERLIAMUTY WC 446-95-91 07/22/09 07/22/10 �-EACHAccmENr $100000 ANY PROPRIETORIPARTNERM(ECUrNE EJ-DMEasE-EAEdPLOYE $100000 OFFICERMEAMBER EXCLUDED? I aew«lbe UFKW E.L.DISEASE-POLICY LIWT $500000 SPECIAL PROVISIONS below - OTHER A Commercial ApPlica 3DH5940 04/23/09 04/23/10 DESCRIPTIOII OF OPERATIONS U LOCATIONS I VeNICLEB I E7tCL nIONs ADDED UT eMDOR=c==QT I ai vinyl siding installation, Minor carpent'y, ham, painting and roofing CERTIFICATE HOLDER C/WCELLATION BHO"ANY OF TINE ABOVE POLICES BE CAMCBMM BEFOM THE EXPMAI DATE THERMF.THE ISSUING INMIRER WLI.ENDEAVOR TO MAR- 10 DAYS WRITTE Tom DeF UGOO NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE moo so SHI General Contractor, LLC BIIPD M NO OBLIGATION OR LNUMM OF ANY RIND UPON THE 9MREK ITS AGENTS OR 22 Dutton Road Pelham MH 03076 TME ` CORPORATION 1 ACORD 25(2001108) 92e rxi�rmnaruerr/ a�/��atocu><ic Board of Building Regulate ns and Standards t HOME IMPROVEMENT CONTRACTOR j Registratidn.: 117756 Expiration:.i,11/15/2010 Tr# 277330 i Type: DBA TOM DEFUSCOGENERAL CONTRACTING THOMAS DEFUSCO i- 23 DUTTON RD { PELHAM,NH 03076 Administrator = •- Massachusetts- Department of Public Safet- Boar(l of Building Regulations and Standards Construction Supervisor License License: CS 71037 Restricted.to: .00. THOMAS A DEFUSCO 23 DUTTON ROAD PELHAM, NH 03076 �--�-��— Expiration: 6118111 ('ouuniasiuncr Tr#: 17284 Page No. of Pages proposal Tom DeFusco 23 Dutton Road Pelham, NH 03076 Home Improvement Reg. # 117756 Tel 603-635-3017 'Constr. Lica#071037 Fax 603 635 3751 E PROPOSAL SUBMITTED TO fPq�fNV G 6` STREET' P JOB NAME CITY,STATE AND ZIP CODE - JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: .:..........._...................................... .......... ......._._..............._._............................................................._..............:................................................:...........................................:................................._.....__..................... . i /t ......; .r°�i... .................. c� f>/Sim cG_ ..... G�G 4 .......... .............................................. ...... . ...... ._ _.v... r,� .S�........... c� a... : _..�............................ . ......... .._. ..... r...._... .............. ti v. r - f "�/S � . ` _L C f' G ✓� S ("__ c f' ` . �.Vf?. t,. .� t"��..A........ ..._........... f � j ........................__................ */_�. r!..f. �.. � .._ �! _ .... �' ' n._...r tt:�►` _.. T� �/,- ._...... ........ ........ ... ................... R. c...._..1' 1 T 0.1.._( Z ............................... ........ .................................................... ......... .. _..... ........ .:..... ......... ........ ....... .................................... ........ .Q .._..... .............3// ..............._�O� ....... f ............................... P 11MYOU hereby to furnish material and labor — complete in accordance with the above specifications, for the sum of: r CJ /�,f� r u l dollars($ Paynient to be made as.follows: qY ( - �. �\ Ti o S O d s' U r P G f All material is.guaranteed to be as specified. All work to be completed in a workmanlike Authorized manner according to standard practices. Any alteration or deviation from above Signature }� specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes, Note:This proposal may be accidents or delays beyond our control. Owner to carry fire,tornado and other necessary withdrawn by us if not accepted within days. insurance. Our workers are fully covered by WoWmen's Compensation Insurance. - Arrryfanrr of JJrupII}3A—The above prices,specifications Signature J i1• ! +I and conditions are satisfactory and hereby accepted. You are authorized to do the W- work as specified. Payment will be made as•outlihed above. Date of Acceptance: Signature _ Location No. f Date NORTh TOWN OF NORTH ANDOVER Oft��e y,ti A Certificate of Occupancy $ + ; Building/Frame Permit Fee $ Foundation Pqrmit Fee $ suNusE Other Permit Fee $ C Sewer Connection Fee $ Water Connection Fee $ _,.--.----- TOTAL $ cc 641�aoBuilding Inspector �Il0 4 0�.a� 25.40 PAID 7227 Div. Public Works PERI IT NCV- ` APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. jXPAGE 1 MAP d40. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE SUB DIV. LOT NO. F O ATIONf RPOSE O OW ER'S NAME ^ eT ,I�n✓J NO. OF STORIES SIZE V�� JJ (e /�—Sc0 11�Z — OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD UILDER'S NAME 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 ILL BUILDING CONFORM TO REQUIREMENTS OF CODE eC IS BUILDING CONNECTED TO TOWN WATER ARD OF APPEALS ACTION. IF ANY �� �•J IS BUILDING CONNECTED TO TOWN SEWER - IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION / LAND COST SEE BOTH SIDES Gc� / . BLDG. COST Soo f6o --2 PAGE I FILL OUT SECTIONS I - 3 EST. BLDG. COST PER SQ. FT. 4 PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. * ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 _ APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLA S MUST BE FIL D D APPROVED BY BUILDING INSPECTOR DATE FILED 6 BOARD OF HEALTH SIGNATUR OF OWNER OR AUTHOFUZIED AGENT F E E OWNER TEL.0___� SIS PLANNING BOARD PERMIT GRANTED CONTR.TEL.# is CONTR.LIC.h h BOARD OF SELECTMEN S BUILDING INSPECTOR 1 r 4 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S;OkIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILL____�_j OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B I 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D _ PIERS PLASTER _ _ DRY WALL UNFIN 3 BASEMENT AREA FULL FIN. B M T AREA _ '/, 1/2 1/1 FIN. ATTIC AREA _ N_O B 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 COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR (_ BRICK ON FRAME CONC. OR CINDER BLK. - p~ STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.) _ GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT I 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 11 NO HEATING l r. . f N 1'OwIL:t7L I 20 Main5ireci OFFICES OF: North Andover. APPEALS .1+ .w: NORTH ANDOVER Massachusetts o 1845 BUILDING t'': ?',r (617)685.47 5 CONSERVATION DIVISION OF HEALTH PUNNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON.DIRECTOR In accordance wit the provisions of MGL c 40, S 54, a condition of Building Permit Number / � 0 is that the debris resulting from this work shall be d disposed of in a properly licensed solid waste disposal facility as defined by %IGL c 111, S . 156A- The 50AThe debris will be disposed of in: (Location of Facility) ` 1 o Sicnature of Pc., it ?.ppiicant G k Date NOTE—: Demolition permit from the Town of North Andover must be obtained for this project throughh the Office of the Building Inspector. • (�R f oVM of over 0 job o - v ;"ATo dower, Mass., y / 0 19 9y �A C oC H I C H En' ATEDD0 B�1 ' BOARD OF HEALTH PERMIT T Food/Kitchen j 1 L Septic System i BUILDING INSPECTOR / 1� ��.�J. ..TOM..II ......�.� 0004......................... THIS CERTIFIES THAT........... Foundation has permission to erect.....00M.6....... buildings on ...6.47.p....140.4.S ..i t...r............... Rough z to be occupied as.............Api �'..M 0.......�.�.��1�Ae....................................................................... Chimney provided that the person tin this ermit shall in ever respect conform to the terms of the application on file inp p g p y 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 STARTS Rough ..........a/ ................................. Service BUILDING P UILD G INSECT OR Final Occupancy Bel nit Required t0 Occupy Buildbig GAS INSPECTOR Display in a Conspicuous Place on the Premises Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT