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HomeMy WebLinkAboutBuilding Permit #322 - 9 ROCK ROAD 11/10/2008 V%ORTM BUILDING PERMIT of TOWN OF NORTH ANDOVER bt.,,, 'd op APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received 9q �AA7E0♦PPy�� �SSACHU`'�t Date Issued: A/ IMPORTANT: Applicant must complete all items on this page LOCATION - Print PROPERTY OWNER C tt �wCDC) Print MAP NO: 'PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village °yes no 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 Y Septic . `Well Floodplain -Wetlands Watershed District Water/Sewer _ f DESCRIPTION OF WORK TO BE PREFORMED: __-4dentificati n Please Type or Print Clearly) n _ OWNER: Name: Phone: Address: CONTRACTOR Name: 0 :Phone: , - G }x. Address: v � Supervisor's Construction License: Exp. Date: Home"Im rovement License: p AiCA - - Exp, Date: { u{1/ 0 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. Ga Total Project Cost: $__: J K, �O 7. FEE: $ /7-? Check No.: C7-7/ Receipt No.:- ,:?/ G �7 40 NOTE: Persons contracting with ui1registqred contractors do not have access to the guaran fund' ignature of4Agent/Owner US.ignature of contractor % �� 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 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 COMMENTS t CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments i 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: 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 r_ Location x XX No. Date TOWN OF NORTH ANDOVER oo t fs ` z a y !� • � ; . Certificate of Occupancy $ Building/Frame Permit Fee $ ' Foundation Permit Fee $ Other Permit Fee $ ' TOTAL $ Check # (� 7 2 6 % 0 Bui dj6g Inspector Nov 04 2008 8: 01AM MIKE SIDMRN 6039345514 P. 1 Vflndow Agreement-Page 1 oft Yi Do JSL Windows,Inc.,dlbla 104 Otis St,Northborough,MA 01532 MA Home improvement Contractor (90d)010-0000-Pax:(509)91e-0903 99r��� ja t License0149001(Expires 1t?Af4010) CustomerService nt Pectora!Tax 1D i183.0404201 (800)573-7606 Ny en. Indiv.Licenses,John Ester(CS#74281), WINDOWIMPtAesultNT mnn.tn..,.ca,4„n, Kathleen alancneM(#149601)ty ProductManopt- N"tom' 4" WindowAgrsement ComracrDates Homeowner("owne''s Name(s): TI-11 P14.4f Gil,t ith 8trost Address: 2 G cit !Town: te: 2l Home Phone: F -4 P Cz Work Phone: Y - 7dL-291 Job Site Address pf different): E-mail Addross: ' 7 e-- 92 14& k a,ca. Materials to be provided and work to be performed by Renewal by Andersen "Contractor" Contractor will fumish and install Renewal by Andersen-approved materials to the following specifications: 1. Date on which Work is Scheduled to Begin:f17� Expected Date of Substantial Completion:1� , 2. Contractor will Install a total of_y_windows in O'wner's home,using the following Individual quantities: Double Hung(DB) VkEqual sash ❑Cottage sash(11310p,2/3 bottom) 0 Oriel sash(213top,113 bottom) Casement(CW) W.Hinge right 414-linge left(as viewed from exterior):)Standard handle ❑Metro handle Double Casement(CDW) ❑Standard handle ❑Metro handle Casement 1 Picture t Casement(CPW) ❑ 1:1:1 or ❑1:2:1 ❑Standard handle Clvtetro handle _2 Lite Gliding Window(GW) - Glider 1 Picture/Glider(GPW) ❑1:1:1 or ❑1:2:1 Awning Window(AW) Picture Window(PW) Bay or Bow Window: 3. gWes 0 No #Windows to be Custom Fit Replacement;_ 4. ❑Yes WNo #of sills to be replaced by C.onlraotor: 5. ❑Yes SY)Co #Windows to be New Construction Full frame(includes new interior&exterior casings):T Exterior casings: ❑Pine ❑Maintenance-free material ❑Factory applied 908 Fibrex brickmold 6. Glazing to be: 2 Fiigh Performance ❑Other If other,please specify: 7. Exterior color to be: ❑White D Sand ❑Canvas &Terratone 6, Interior color to be:. ❑White ❑Sand ❑Canvas j)iYferfatone ❑Wood Note:Interior color can only be white,wood or same color as wderlor, Wood Interiors need to be finished by Owner, 9. Hardware�: White j�tone ❑Canvas❑Brass Double Hung: Install lifts? �f 4es 13 No 10. ❑Yes Contractor will remove metal frames or grilles. #of Units: 11. [3Yes Ro Contractor will install new paint-ready or stain-ready Casings.Inside or outside stops#of openings: Interior casing#of openings: Exterior casings#of op in s:_ ❑Pine ❑Maintenance free material Owner is aware that Contractor does not do any paintino C4aner initials 12_ ❑Yes tato Contractor will wrap exterior casings with alunfurn coil stock of color. Note:Required with storm window removal:removal of storm windows will leave screw holes in casing. 13. New windows to have: ❑Half or aFull screens Screens to be. @Fiberglass ❑Aluminum El TruScene 14. Windows to have grilles: Att'Yes Q No If Yes: ❑Grille Between Glass(GBG)AMemovable Interior Wood(INTW) ❑Full Divided Light(FOL) Grille patterns. #: #: m DH DH OH DH CW1Picture Glider CPW or GPW 'use additional sheet if needed Owner approved(Initials): 16.PLYes ❑No Contractor will insulate,caulk and seal windows with 3-point system to prevent ter and air infiltration, 16. I LYes ❑No A limited warranty shall Issue to Owner upon complelion of the job and payment In full(see reverse side). 17.PLYes d No Buildina Permit-Contractor will secure any and all necessary permits.The fee for the permits)is not included In the Contract Price and a separate check is required at the time of sale for this fee. 18. Additional job details: 19. li[�Yes ❑No Owner has reviewed the Additional Terms and Conditions goveming this Contract on the reverse side. 20. Total Contract Price:$ Vf Regular Retail Price:S J-4OA7 i All available discounts appliod: .Yes ONO 21 Deposit(1/3):$0 paid by❑Cash PInance (Account#:. 6eJ V d d s'r3.4906 PL S/2�� ) Second(1 t3)3 to be paid by Cash at start of job on /1-/ 7-p Y (Es'mated start date). Final(1/3)$ to be paid by Cash at completion of job on 1j. - (Estimated completion date), 22. pd'Yes ❑No Owner agrees to be present on the final day of Installation for final inspection and to deliver final payment, jNa final jDavmentshaff be demanded unlit the contract is corn leled to the sallsfaclron of al! artles. NOTICE: All tome Improvement contractors and subcontractors must be registered. Any inquiries about a contractor or subcontractor relaAing to a registration should be directed to:Registration Division, Program Coordinator,One Ashburton Piave, Room 1301A Bostorr, MA 04109,Te1:_C07 721632003 ext.26239. The parties hereby rnutwailly agree in advance that should a dispute arise regarding this contract,Contractor may submit such dispute to a private arbitration service that has been approved by the Office of the Consumer Affairs Buglness Regulation,and Owner shall be required to submit to such arbitral! as provl ed In CSL c.14 Contractor Signature: y'K / Owner Signature: r NOTICE- The signatures ofthe arties above apply only to their agreement to al nate dispute resolutlon initiated by Contractor.Owner may initiate alternate dispute resolution even where this section is not signed separately by the parties, DO NOT SIGN THIS CONTRACT IF THERE AREANY BLANK SPACES J&L Windows,Inc. Ren at by erten s By: Product Manager I Owner lure Product Manager(Print Name) Owner Si ___ •� Wlita-RanewslbyArdersan Yallow-Installation Pink-Honte3wnar Nov 04 2008 8: 01RM MIKE SIDMAN 6039345514 p. 3 Rene, wal YAfi& -` - �- PrQ per Owner Must Com .fete and S This Sec vn if 119in a • Btffder' L �• �� �2��'�% _ as Owner of the su ' enewaI by Anders (d.b,a. — bje.,tprapertYhereby authorize work authorized b �Windows) to act on my behalf, in all matters relative to y thls building permit application for address ofjob 1 Signatlzr of Owner Date der ®It Videx as A yen$®f.Oer lastLI - CooMulete and Siet,Ths Se�tjoffi as Owner/ uorized Agent I�ereby declare'that the statements and infarmati0 on the foregoing application for: address job. Signed under the pains and.penalties of perjury. Print Dame `Signa of Owner/ ----_ / Date 104 Otis street Northborough,MA,D1532 Phcmc(508)919.0900 Fax(508)919-0903 ' W�3i¢itn•nnrmaiktnnr�rc.n rnm The Commonwealth of Massachusetts Department of Industrial Accidents Office Of Investigations g ons 600 Washington Street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le�ibIv Mme(Business/Organization/Individual): Address: ,SVu. L City/State/Zip: �,r �7 61'd Phone Are you an employer?Check the appropriate box: 1• I am a employer with Q 4 Type of project(required): _ ❑ I am a general contractor and I 2•❑ employees(full and/orpart-time).* have hired the sub-contractors 6• ❑New construction I am a sole proprietor or partner- listed on the attached sheet # J[7. , ]Remodeling ship and have no employees These sub-contractors have 8. []Demolition working for me in any capacity. workers'comp.insurance. ow 9 [N workers'comp.insurance 5. ❑ We are a corporation and its ❑Building addition 3.•❑ required,] officers have exercised their 10.0 Electrical repairs or additions . I am a'homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[No workers'comp, c.152, §1(4),and we have no insurance required]t employees.[No workers' 12.0 Roof repairs comp.insurance required.] 13.0 Other `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. otic info information. lam an employer that is providing workers'compensation insurance for my employees Below is the policy and job site Insurance Company Name: -------------- Ce. Policy#or Self-ins.Lic.#: ;� J Expiration Date: ; Q Job Site Address:__ (—�== City/State/Zip: Attach a copy of the workers' City/State/Zip: policy declaration page(showing the policy number and e 'ra ion Failure to secure coverage as required under Section 25A of MGL C. 152 can lead to the im osition of criminal xprratton date). fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WQRg ORDER and a ofine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby c rtify under th pain andpenalties o rjury that the information provided above is true and correct Si ature: ; Phone Li / A 47 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 i 6.Other i ; Contact Person: I Phone#• I i �= Mwssachusctts•- Department of Public Safety' Board of Building Re,,nulations and Standard's - Construction Supervisor License License: CS 92MS Restricted to: 00 SCOTT PHILLIPPI 58 D STREET WHITINSVILLE,MA01588 Expiration: 6/7/2011 Connnissioner Tr#: 99256 Restricted to: 00 00-.Unrestricted 1G-1 2 Family Homes Failare to possess a current edition of the Massachasetts State Building Code is cause for revocation of this license. Refer to: WWW.Mass.Gov/DPS �'/ze �oomznzoowlea�i o�./1���� Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registr.350ra:t 149601 ENWIRM4/2010 j Tjpepplement Card RENEWAL BY 4NDEESOti1" I° SCOTT PHI LLIPPC1— = yr 104 OTIS STREET`' ;e „,�Q-c .` NORTHBOR0 GH, MA•OT532 Administrator °ATE'" °°"' ' ACORL) , CERTIFICATE OF LIABILITY INSURANCE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Joseph McKeone ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. DOES OR JP McKeone Insurance Agency, Inc. ALTER THEHIS COVERAGECATE AFFORDED BYO THEM ENPOLICIES BELOW. W P.O. Box 333 Ann Arbor, MI 48106-0333 INSURERS AFFORDING COVERAGE NAIC iF INSURED Renewal by Anderson INSURER A: Hartford Insurance Company J&L Windows,Inc. INSURER B: Hermits e 104 Otis St INSURER C: Northborough,MA 01532 INSURER a I INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOL POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MMIDONY) DATE IMMIDDIYYk LIMITS B GENEM LiARIL" HCP 507 404 09/07/2008 09/07/2009 EACH OCCURRENCE S 1.000.000 COMMERCULLGENERAL LIABILITY PREMISES Ea f 100,000 CLAIMS MADE ®OCCUR MED EXP(Anyone person) $ 5,000_ PERSONAL&ADV INJURY f 1,000,000 GENERAL AGGREGATE S 2.000.000 GENLAGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPIOPAGO f 2,000,00D POLICY PRO. LOC JECT A AUTOUORILE LIABILITY 35 MCC XD 639010/01/2007 10101.2008 COMBINED SINGLE LIMR f 1,000,000 ANY AUTO od(Ea oaeng X ALL OWNED AUTOS BOOILYINJURY ' SCHEDULED AUTOS , (Per parson) S HIRED AUTOS BODILY INJURY S NON-0WNEDAUTOS (Par aeddoat) PROPERTY DAMAGE S (Por acadent) GARAGE LlABILTTY AUTO ONLY-EA ACCIDENT f ANYAUTO OTHER THAN EA ACC S AUTO ONLY: AGO f EXCESSJUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE f f DEDUCTIBLE S RETENTION S f 1 WCSTATU- OTH- A WDRIMSCOMPENSATION AND 35 WEC PP 1444 02/17/2008 02/17/2009 IMI EMPLOYERS'LIABILITY E.L.EACH ACCIDENT f 500,000 ANY PROPRMTOR/PARTNERIEXECUTPJE OFFICERIMEMBER EXCLUDED? E.L.DISEAS9-EA EMPLOYEE S 500,000 M yes.desaibe under. SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION INSURED COPY DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR UABDJTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108) �•(�s/©ACORD CORPORATION 1988 Te a.1 • NPRc ` �iFfinM�lpn INoodMpyl Composite Frime ,R.cfiipCarrdte Du-41. Arp 'low E Picture •ENERGY'PERFORMANCE-RATINGS r 'U=Factor PAA P, Solar*keat Gain Coeffictint 5 - -32' a :83.2 _ ADDITIONAL PERFORMANCE RATINGS' j Visibre Transmittance • •IA�n+w.lwr•gid.l..wnM:.•A�1tr�M�n'MYik��r eN:e.+vwihrM1%pbhjjIA+1•pn.dat p�liwMlii..NM�AArr•Aid•en1••err•Il.d�.iNY�YwfAfll.w!J•iMIM•MGAN f•pN PMO,.%36•, ' • N�Ac�ye�lg4rw*M��wP17•Iwt1A��i•�p•Irrn��4.�.1.►RKd1^/M!IIM"M+w�'1"b'•6iy• " . ..' •e•�•Le y.we•�•u•f•1�•w1.w 1•riM•t/,p�V'1r;'!'Iwrn!!'MM�M4'P• .. � E it .DESIGN PRESSUFiE'(P•SFt''' ..r.. 85- 4-02-1 • T 1a1 u. A Y 1 11•!t a i!' �. M ' (k.•uu•...•�.M,6e,,o•Ea,�LCe.a?r61YM.�wi�•nKwow.M•M•.�ke•�4�Fr►�MM .. • . ' FM. r. �:. •� M�� aZi � t or aMnr�nn' -WOO d/Vinyl,Go'rtppshefi'atne _ Dual Pane Argon low E I Casement RE597 _ ENEAGY PERFORMANCE RATINGS, U•Factor U.S/I-P Solar Nea(G•ain Coefficient ' 6 -3 -r i ADDITIONAL PERFORMANCE RATINGS. vis; ` b(e Tran mih'ance '• •• . . ' M�nVhclUnr enpubW hlel tlwi hlhlpr conloriri b�ppNabl�MF.AC'proc.duro's los ananw�lo Knoll • pfodgbl pirfolmulur•pF�C plMpi 1(1 QcIgTkNd(of a Wd,nt if Wokonmemor cowl"eed 1 ipecil(eplodaettlrt.Contllllrniauheluier'>41�nfvr�forolMr radl►d nr 1• �. �0'. P p�Aamanct i otnu1WL P•esigri Pressure(PSS �M�eM /IJu �� tNY1A1 13.O ...L.Hn•.Apina.�lprlyn.i t. �t.yall.11.•In11rIr. a a\/1J4r -1111, :a-b1 Moile a aceedl M.EO...40,4I.1:;XLAir ingltnbon McQuIrirtienle WOMAN, Am•1K eeRllkillon RoOtvn • '. , ., � •.r�.�MI=IN:MfIj, '•1 :��..k:�..`-'n-�'a.4.r - h_ �S.w.. rta•r-.'+, �''... + -�.'i ' :l.r•.,• •• •N;:.•-- ►':'"s^�''•''6,y,-`•�vVt+ - h - •a.• -� :1!�•u„S•i-#•t,":t,�' ' • . ' .-' N brietF ishticr Woodf. C0m¢asiteFrame' • ' 'Argos% Low � �.. .. EXERGYTERFORMAI CE RATIK ', • . U-Factor(U.S)/1-P. Sclar Heat Gain Cbexcient 33'. 9 -3'2' .00 •ADDITIORAL•FERf6RWNCE RATINGS • ' ' .. :Visible fraavhiltanar ' rte. , • -• ' • - _ ,. ' • • • '• � . ••. M•nr4dupl.Ylnd•tq Vrt+h•ripuny.a.Mnne l•.�pgei.kMFACp:..�w••I.e�.l.n�}+y.T.M jy�wr .. - • jt:giirrn■•.'lFAe i=y.=.an y I,ek"A 6r 7 A=dj•r.l M•Mren•nri.�•rld.y=M�.•MI(t pdMl Jh• .• .• -• hfOGd.••A■tA■•wywnd,arpnwef.ed4.sn•l*"Ill$•J.deliU,bA•A,t�nN�.lSnq•1►'dt4'n._ • .C..■YII{Irq.(�elYftf°iAi.I.yUr t•1.111•f(=dwl N'fylf•nc!itl{yw.A:•1, .. . . !: • , , .. •• .' i •• , Wf1Y,11(td.Kg i S. • 'S� - �' • � ,' •' 'S• ' ' .• -.04S1GN PAESS6RE(PSF) :aw .rr. • ' • ' . ['� ' �:.Cs2 .• 100-00270239012 :.. . • X-SS•.�wrsi•ul,tu...tun..0 1.�i•aiiMt,J•r•► •' , r ' , " I,vJNAfII!'M1Gt. •R�1.tylllSWK1UIY•dS • • ,rl�•p•ryt...dM.i.C:C.EC,pI.E.C.�lklltNltAYrpnT'Ir"M'rkYfCNAM+MItiikC,�+hlr.���nwl. i V40RT Town ® Andover No. 3 ZZ -1,7 )*1 J4 LA 0 1dower, Mass.,1111ol6e COCHICHEWICK C ORATED P? BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System CG BUILDING INSPECTOR THISCERTIFIES THAT.............................................. .. .....a) .................. .....................I......!P........ Foundation has permission to erect................. ......�F ....................... buildings on ...*#..�Oz�f... ..... Rough ......................................... to be occupied as.............. ^w 14, ........ ........ ........................ Chimney provided that the person accepting this permit shall in every 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 STARTS Rough ................................... ....... ................ . ....... ..................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS I INSPECTOR Display in" a Conspicuous Place on the Premises — Do .Not Remove nagh FiR 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.