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HomeMy WebLinkAboutMiscellaneous - 105 MASSACHUSETTS AVENUE 4/30/2018 (5)�l Location _yam No. � � � _ s Date Vik" I'MN OF NORTH ANDOVER �° �couECT Certificate of Occupancy $ —� Building/Frame Permit Fee $ ^°' tc�' iTter dation Permit Fee $ Permit Fee $ ' 7J U U Sewer Connection Fee $ -- Water Connection Fee $ . _----_- TOTAL $ % oBuilding Inspector Div. Public Works I I 7- w E O YJ �4 i z ' O O 3 � � O 1 � H E -a +, O H _• \w�l• r� O (n w •rl E 4-3 U ¢ W Q a E �4 , ' O O }4 w � +, O • _• \w�l• r� O (n w •rl E 4-3 U O }4 N ' o v a • +� �4 G a vs • 0 a 3 G • t : v O C!] H Q OD -W • �+ -4 O cn b • a �4 � b � H r -q 'm > • \• v ro vs G 1, ! -,4 v O r, • r -I M �.. • CO w - r� • vs o W N 4J U : Xm x v X 4-) v) �. G ' `'�• E E v r� U) t9: C14 -H o v •� 4-' 1 t ,4i 4—) • vW--I O rH � . • aD G v o ao x ��• a o �• �C v • r4 cV • r -I �• L11 U z v �• • G r -I H Cl) O y o cn a 3 co c • v H v a v a o N O v 4-j C!1 � 4—) 0 O RJ 4J W O 4 O O H to 4-1 � 't7 O H •r-+ v o v z off W w v ¢ cn > 4j 4J 4J a Ha 4-4 ° o z -J SIGN PERMIT.APPLICATION NORTH ANDOVER BUILDING DEPARTMENT Division of Planning & Community Development Date Filed: 1. Site Address ►4ir�s5 nyz S M� ��� 01&-430 2. Owner i �Vi WI �rTAI SyUc� LG VoAjots&1 4/6-7W 3. Applicant ��� yn ��r,-�`� Sl �jlv����e� 1� 2ejvLoc4 oLo 5i7,-ASc O4jLy See roue 4. Number of Signs VGc Size of Sign(s) fie 4#ncj1 S. Site of Proposed Sign(s) ,-ems CJS -7 6. Materials: ;5 -Teel, 7. How attached: (a) Against the wallO/..c R,_6y)r_e,,e4 (�) (b) Roof o�j i?, Qe�L4uA-v�i (�) (c) Ground 6a.c (d) Other ivo,&,e- ( ) 8. Illumination: (a) Not illuminated ( ) (b) Internally illuminated ( ) (c) Illuminated from separate service 9. Proposed Colors: Background yeacull2ce� Lettering. wA,4- Sk Border. &,e, 10. Will sign overhang any public road or walkway: Yes ( ) No (� 11. If Yes, Name of Agency who will provide liability insurance: 11A 12. Attachments: ( '�) -;Photographs of building ( ) Material sample ( ��) Color samples ( ) Site or Plot Plan .(Required for all free-standing signs) ( `/) -'Drawings of proposed sign Other, specify /aa,owM.k4.S 13. Is Board of Ap als decision required? Yes ( ) No (X) ign ure of Applicant 1988 R r • v 0 No- W. 1. 0 N =rCD m C(DO_?m D D 0=0)0 0+. Amo0 (/� ■■ � � j �n"-On `• (D cD W cD -n (D �. � m � I Z :Y»iu^ :,5� m:ti xtin :n;..�{r.J.htis• ..; ivk ;txt:: ..: 'v+sFrxF F x Ym:. :. tint:: Y:FC.•' �A, tix:. i..t:.:...{kSF it AkyL'.:.F FOA..'tAx:; ib'tS..+, "1 :'iiiitlt 'vii •°ttittii L•xY:ti:lti's::'t�tis'it" ist :i:• iFFF�EG•xii: v: ::sticE�St�k�t �E;�R�•vsF�ii '�? t; vx Fv �A•• • sxsvv. v: b:. �:vc�A•t xxvrAv,.xxFw.xx xd 's� 'ttyxs•F.r^��s'ZtiS «.:..n:.u. ^F.»A...Fiwyxix •ax..:.:.i5..� ..^ .^ ...; ii. r • 'E':ti ...•7.L•.:A.:t::.• C7'R:x.:i{••% hAA:.• :. i+r • ti�ysv. s�x.?.�.,�: bt1':v:', ". 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Public Works Location No. G Date ` 40R7" TOWN OF NORTH ANDOVER (� A Certificate of Occupancy $ Building/Frame Permit Fee $ s�cMu� Foundation Permit Fee $ . ,.•- Other Permit Fee "_I $ Sewer Connection Fee $ • W)IAWConnection Fee $ ail. y TOTAL $ nt�1«g_�j? ` 7 r - Building Inspector Div. Public Works s N :k aG I U w � z 0 �4 r- o z x w o d z O 0 O x H Z O H z H QO s1 Ts 491 E 0 Pa Y= U, , ' u V Q Q 1 2 Y �10. CoS Vr r • U N� O.L O w v O o ai Cr- • N z a • U a O � • w H � O r� w a Y E U �4 r- O 0 O �4 W-4 H O p 1 w E U • U > O �4 v o ai • 0i • +� �4 a • U a 3 G • a) O cn H eC, v 4-) aJ c .. �4 p .� to • b �'1• �: > c v ro U) jr r -I ro G .� ro w o oD Cl) M v x U a� • E „ ao • `�• v7 U 4J 4J co 4-1 w o oD p. • a o +) od v CO U �4 • �. r1 O o a 3 ao Q) � a • w a, H a), a v >, o z O V1 G O ro W O 4-) �4 r --i ,- ro m m aJ w W En E v > O I—I cn +.J �4 'CJ O H H v o b z R; E V d a -C � rC > J 1 41 IH (n O O x ro �4 o w o iH H a 41 o z > Y 7. How attached: (a) Against the wall (x) (b) Roofx (c) Ground Roof( ) (d) Other ( ) 8. Illumination: (a) Not illuminated ( ) (b) Internally illuminated ( x) roof only (c),Illuminated from separate service ( ) 9. Proposed Colors: Background white /red Lettering red /dlack Border. 10. Will sign overhang any public road or walkway: Yes ( ) No (x) 11. If Yes, Name of Agency who will provide liability. insurance: 12. Attachments: ( ) -;Photographs of building ( ) Material sample ( ) Color samples ( ) Site or Plot Plan .(Required for all free-standing signs) ( x ) -;Drawings of proposed sign ( ) Other, specify 13. Is—Board of Appeals decision required? Yes ( ) No ( ) Signature of Applicant •:: Zss &7.7 9 0� SIGN PERMIT..APPLICATION NORTH ANDOVER BUILDING DEPARTMENT Division of Planning & Community Development 7-15-93 Date Filed: 1. Site Address 105 Mass. Ave 2. Owner Brothers Machinery Exchange Inc. / Peter Rawlings 3. Applicant Barlo Signs Randy Barlo . 4. Number of Signs 2 y g x 5' Size of Signs) 5 x 15 15 S. Site of Proposed Sign(s) 6 . Materials: Aluminum Evtrusions /lexan, 7. How attached: (a) Against the wall (x) (b) Roofx (c) Ground Roof( ) (d) Other ( ) 8. Illumination: (a) Not illuminated ( ) (b) Internally illuminated ( x) roof only (c),Illuminated from separate service ( ) 9. Proposed Colors: Background white /red Lettering red /dlack Border. 10. Will sign overhang any public road or walkway: Yes ( ) No (x) 11. If Yes, Name of Agency who will provide liability. insurance: 12. Attachments: ( ) -;Photographs of building ( ) Material sample ( ) Color samples ( ) Site or Plot Plan .(Required for all free-standing signs) ( x ) -;Drawings of proposed sign ( ) Other, specify 13. Is—Board of Appeals decision required? Yes ( ) No ( ) Signature of Applicant •:: Zss &7.7 9 0� C z o rr b Z y I -•I O r'h O ti W r-3 ILl y r" rr �-r rr C C11 y (D (D a m C) H a (D n Cr Z a O cD r;• y O Cl ri r7 m H+ o C N C m K7 �-n (D cn cn A) r• H P i r1l, O tx] rr CL) O VI (D Q rt y (D O z N �1 a O `G (D TJ (D y i n m, 't7 cn n oQ v o �* •I� cn H n r, 0 W (D iv nt cn rr c+ n I r• N (D Ki• OQ rr o '0 Q r •�' • .y (D C Uo GQ c7 •� • G O M ~' N• •S p7 rr H r• r* ? (D cn O r '(D cn cn rD .3m cn n ".r• C C' r• cn r r* r (D 0 m (D cn m rt QQ O C r• C �* iD w r H ZD rt C� O cn w (D o (D •� •� O r• O. N m w C. n a. m rt 0 o �c n .. rr (D rt (D r• H N 'ti cn C (D £ 't7 n �Ot O C n { rr r O r• cn C •. rr r• rt, • O O O ri c � d � a Z 3 M H r-3 ILl y � Z �ORr� ,�►°` KAREN H.P. NELSON n Town of Director ' NORTH ANDOVER BUILDING CONSERVATION ecwue DIVISION OF PLANNING PLANNING & COMMUNITY DEVELOPMENT FAX TRANSMISSION DATE: 7/19/93 TIME: TO: RANDY, BARLO GROUP r 120 Main Street, 01845. %* (508)682-6483 Fax: 508-682-2996 _ NO. of PAGES: 2 FROM: WALTER CARTEL, ASS' T BLDG. INSPECTO 4�--, SUBJECT: SIGN PERMIT, 105 MASS. AVE., NORTH ANDOVER FAX NO.: 603-882-7680 REMARKS: REVISED SIGN PERMIT, AS PER OUR PHONE CONVERSATION OF TODAY. SORRY FOR ANY INCONVENIENCE. /9 Location Z No. - Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ 5-c Building/Frame Permit Fee $ %E ��Fdundation Permit Fee Other Permit Fee J�-Sewer Connection Fee ,..-v ' WaterConnection Fee $ Building Inspector Div. Public Works PER -111T NO. Z APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. d PAGE 1 MAP i4O. 6i2 LOT NO. 1C,1 I 2 RECORD OF OWNERSHIP iDATE BOOK iPAGE — ZONE SUB DIV. LOT NO. f� /3-7 LOCATION �: � rt�'�+M.(ks3>;if'S d-✓✓� PURPOSE OF BUILDING Pc► s �3CZ�L.fk�� O( ,� 1' OWNER'S NAME Capt t�.,TYC6 l• NO. OF STORIES' / SIZE I .Z Xyl OWNER'S ADDRESS S�I"M6 BASEMENT OR SLAB ARCHITECT'S NAME ( SIZE OF FLOOR TIMBERS 1ST 2ND 3RD BUILDER'S NAME A-bA-)G Y' SPAN DISTANCE TO NEAREST BUILDING wI DIMENSIONS OF SILLS --- POSTS c - DISTANCE FROM STREET C1 I DISTANCE FROM LOT LINES-OSIDES zi REAR o 17 IOI i`�q " GIRDERS AREA OF LOT rL FRONTAGE s Ii HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW �e ` C•7 SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND 5,0L40 WILL BUILDING CONFORM TO REQUIREMENTS OF CODE//' IS BUILDING CONNECTED TO TOWN WATER /lc) A'l BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER o IS BUILDING CONNECTED TO NATURAL GAS LINE /Jv INSTRUCTIONS / SEE BOTH SIDES «O�fJC'%L - %- sA PAGE I FILL OUT SECTIONS 1 - 3C9 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING tTTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLAN MUST B FILErr1�D A APPROVED BY BUILDING /INSPECTOR ©ATEJLq f v'42 SIG F E E PERMIT GRANTED OR AUTHORIZED AGENT OWNER TEL # CONTR. TEL. # CONTR. LIC. # 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST 9, .� EST. BLDG. COST PER SQ. FT. 7 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY e. BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN I . I -96-1 t, 4:Z-3AIS 5t-fAr",-Y1 y y 'NV -Id 1O.1d S3OV1d32d SIH1 'a3SOdWl2l3dnS '013 'S39VM -VE)'S3HOUOd H11M 'S9NIa11n8 d0 SNOISN3WIa 10VX3 aNV S3NM 107 WOMA 30NV1SIa aNV 1O1d0SNOISN3Wla 10VX3 M0HS1SnW NO11O3S SIH1 z' AONVdn��o L OV0331 JNIaiins JN11V3H ON _ I PIC I 451 JlZ10313 PUZ 1.W.9 sVo 110 SWOON d0 'ON L Sb 1V3H llNf1141CA IM 11 •`J.1.H 1NVIOVa _ `JNINQ111ONOJ dlV Sa31dVa OOOM aOdVA a0 a.l.M lOH _ S10J 8 'SW9 1331S WV31S S10J 18 'Sw9 a39w11 'Nand dl lOH O3J8od 3:JVNbnd SS3l3dId mor OOOM ONUM 11 ( DNIWVNd 9 o0V0 3111 _ a001d 3111 _ S38nim Na3OOw JNHOOa 1104 _ a3MOHS 11V1S 13AVdO 8 aVl _ `JNI9Wnld ON 31Vl§ ANIS N3HJ11JI S30NIHS DOOM kbOlVAV1 S31`0NIHS 1lVHdSV 13SO1J b31VM 03HS 1Vld ('Xid Z 'Wb 131101 OaVSNVW 13a9WVJ 'Xld EI H1V9 dlH 319V0 ON19W111d Ol 4008 9 ivnwov good r-1 3 a01a3dns 3WVad NO 3NO1S ONINIM kdNOSVW NO 3NO1S X19 a3ONIJ b0 'JNOJ _I 3WVbd NO XJla9 b001d 7 'Sb1S JI11V AbNOSVW NO XJIb9 —� 3WVad NO omnisABNOSVW NO omnis_ 3111 'HdSV ONMIS 113A NOWWOJ ON101S 101139SV G,MG"H `JNIOIS 11VHdSV HldV3 S31`JNIHS DOOM 313bJNOJ `JNIOIS dOR E L 1 9 ''(]aVO9dV1J 580014 6 I S11VM v N3HJ11X Na300W .00b OV3H Sl:)Vld MIJ l.W 9 ON V38V JI11V 'N14%a % vi V3aV .1.W,9 'Nld llnd V3" iN3W3SV9 Q _ NIdNn 11 VM Ab0 _ a31SVld Sa3ld O,MOaVH 3NOlS a0 XJI89 3Nld 'X.19 313bJNOJ Z 9 313aJNOJ HSINId 801831NI 8 NOI1VQNnod Z NO110nN1SNOO � S1N3W1bVdV _— S3JId�0 _— AIIWVd 11111w S31a0!S AIIWVd 3l°JNIS 'NV -Id 1O.1d S3OV1d32d SIH1 'a3SOdWl2l3dnS '013 'S39VM -VE)'S3HOUOd H11M 'S9NIa11n8 d0 SNOISN3WIa 10VX3 aNV S3NM 107 WOMA 30NV1SIa aNV 1O1d0SNOISN3Wla 10VX3 M0HS1SnW NO11O3S SIH1 z' AONVdn��o L OV0331 JNIaiins JN11V3H ON _ I PIC I 451 JlZ10313 PUZ 1.W.9 sVo 110 SWOON d0 'ON L Sb 1V3H llNf1141CA IM 11 •`J.1.H 1NVIOVa _ `JNINQ111ONOJ dlV Sa31dVa OOOM aOdVA a0 a.l.M lOH _ S10J 8 'SW9 1331S WV31S S10J 18 'Sw9 a39w11 'Nand dl lOH O3J8od 3:JVNbnd SS3l3dId mor OOOM ONUM 11 ( DNIWVNd 9 o0V0 3111 _ a001d 3111 _ S38nim Na3OOw JNHOOa 1104 _ a3MOHS 11V1S 13AVdO 8 aVl _ `JNI9Wnld ON 31Vl§ ANIS N3HJ11JI S30NIHS DOOM kbOlVAV1 S31`0NIHS 1lVHdSV 13SO1J b31VM 03HS 1Vld ('Xid Z 'Wb 131101 OaVSNVW 13a9WVJ 'Xld EI H1V9 dlH 319V0 ON19W111d Ol 4008 9 ivnwov good r-1 3 a01a3dns 3WVad NO 3NO1S ONINIM kdNOSVW NO 3NO1S X19 a3ONIJ b0 'JNOJ _I 3WVbd NO XJla9 b001d 7 'Sb1S JI11V AbNOSVW NO XJIb9 —� 3WVad NO omnisABNOSVW NO omnis_ 3111 'HdSV ONMIS 113A NOWWOJ ON101S 101139SV G,MG"H `JNIOIS 11VHdSV HldV3 S31`JNIHS DOOM 313bJNOJ `JNIOIS dOR E L 1 9 ''(]aVO9dV1J 580014 6 I S11VM v N3HJ11X Na300W .00b OV3H Sl:)Vld MIJ l.W 9 ON V38V JI11V 'N14%a % vi V3aV .1.W,9 'Nld llnd V3" iN3W3SV9 Q _ NIdNn 11 VM Ab0 _ a31SVld Sa3ld O,MOaVH 3NOlS a0 XJI89 3Nld 'X.19 313bJNOJ Z 9 313aJNOJ HSINId 801831NI 8 NOI1VQNnod Z NO110nN1SNOO � S1N3W1bVdV _— S3JId�0 _— AIIWVd 11111w 4 , xTOn'Y O Q W i LA. 0 O m oe O a H Z Z m L rn c E c � o CL Z Z .jL O c of y Z U J W L V c O C W o, ? t a c G LU m Y o a: U LL Q LL rr CO LL Q lL m co V) w J Z) Mil r9 - FOIttl U TOWN OF NORTH ANDOVER LOT RELEASE FOIUi SUBDIVISION ASSESSORS MAP Cd SUBDIVISION LOT(S) PERMANENT ADDRESS (ASSIGNED BY D.P.W. STREET %pS M ,+ SS /kc F+c1S� HS ATX,. APPLICANT C- .t -F "A -LT-( X051— PHONE DATE OF APPLICATION 6.1 TOWN USE BELOW THIS LINE P N ING BOARD CDATE APPROVED TON PLANNER DATE REJECTED CONSERVATIOV COMMISSION CONSERVATION ADMIN. BOARD OF HEALTH DEPARTMENT OF PUBLIC WORKS I DRIVEWAY PERMIT SEWER/WATER CONNECTIONSrP39e-14/ S .A) ;3�,30FIRE DEPT. RECEIVED BY BUILDING INSPECTION DATE DATE APPROVED DATE REJECTED DATE APPROVED /13`1i1. DATE REJECTED 3/13/ Q This form shall be signed by the agents of the Planning and Ilea]_th Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form stall not reteive the applicant from the compliance of any applicable Town requirement or Bylaw. TELEPHONE 683-3168 uoum of Forth An%ourr 663-3169 00 POLICE DEPARTMENT O' HOFTI{ 1ti O ,• - p SACHUSEt To: Daniel J. Desmond -Pres. Desmond Landscape Contractors Inc. From: Sgt. Timothy J. Crane, Supervisor Traffic/Safety Division RE: Building of greenhouse Date: 03-24-90 Dear Daniel, As per our conversation, this is a letter confirming my visit to your planned site of a proposed greenhouse. I have looked over the area to be built and see no major or minor traffic hazards to the project. It would be my recommendation to the building inspector to allow such project to continue and wish you best of luck in your business. Respectfully Submitted 4X. Sgtt. Tim h J. Crane g Y 158-0515 J a vim. DISTRICT #5 OFFICE 485 MAPLE STREET, DANVERS 01923 PROJECTS - NO. ANDOVER RE: DESMOND LANDSCAPE CONTRACTORS, INC. March 15, 1991 Mr. Daniel J. Desmond . Desmond Landscape Contractors, Inc. -P.O. Box 756 North Andover, MA 01845 Dear Mr. Desmond: In reference to your letter of correspondence dated February 28, 1991, members of my Project staff have reviewed your request concerning the construction of a new poly greenhouse. We have no objections to the proposed greenhouse's location as shown on your locus plan. Also, you should be aware that the proposed expansion will not require a MDPW access permit. Very truly yours, David J. Wilson District Highway Engineer sa - GI This symbol is your assurance x that the product has been engineered to Griffin's exact specifications and standards. GRIFFIN GREENHOUSE AND NURSERY SUPPLIES NEW ENGLAND "21" NEW ENGLAND "27" NEW ENGLAND "30" • 2 Runs of Purlins • 32' Wide Poly • 4 Runs of Purlins • 42' Wide Poly FEATURES All load bearing pipe has a yield strength of 50,000 lbs. psi; posts, bows, purlins and ridge poles are of galvanized steel; 1.900" bow pipes; special post bow inserts for extra strength; simplicity of design for self -installation; 4' bow spacing eliminates pocketing; maximum light penetration. DESIGNED FOR DOUBLE (INFLATED) POLY COVERING er ,�J STOCKsFOR.rIMMbIATE DELIVERY ,Cat. No. - Size x 02;1225 $.F , ,,21� x 48' 02-1250 27' x 96, ; :F'WITHIiV:NORMAL DELIVERY: AREA • 6 Runs of Purlins • 42' Wide Poly ra , Nashoba Valley Garden Center East Pepperell, MA A proven track record, acres put up: without failure from snow and wind! 11 NEW ENGLAND SERIES——, DESIGNED FOR HEAVY SNOWLOAD AREAS 2-27'x 96' Goudreault Farm, Plaistow, N.H. 3-30'x 96' Goudreault Farm, Plaistow, N.H. I.1 • UNIQUE STEEP PITCHED PEAK DESIGN KEEPS SNOW FROM ACCUMULATING • CONSTRUCTED OF VERY HEAVY DUTY TUBING -WITHSTANDS UP TO 50% MORE LOAD AND HIGHER WIND CONDITIONS GATOR SHIELD We can supply 21', 27' and 30' wide "New Eng- land" starting with 32' lengths. All New England Greenhouses are constructed with galvanized steel tubing to weather nature's toughest ex- tremes. 50/55 with exclusive Triple -Layer Corro- sion Protection ensures a smooth, shiny appear- ance and long-term durability ... far superior to pregalvanized tube ... far superior to Schedule 40 galvanized pipe; 43% stronger -50,000 psi yield versus 35,000 psi yield strength; up to 33% greater protection from rust and corrosion. ADDED STRENGTH We use 13GA. 55,000 psi bows and posts. We've engineered superior stability and strength into our New England houses by adding extra purlins. In each house 21' wide—we include 2 runs of purlin; r in each house 27' wide -4 runs of purlin; in each house 30' wide -6 runs of purlin. We also have post inserts and couplings where bow connects to post—added strength. f-7 i. --j ��{D3 [-7E"1(_ -�7 l ) `78 Building Permit Number-, 224.1 Date Noveraber 12, 1975 THIS CERTIFIES THAT THE BUILDING LOCATED ON 105 klassachusetts Avenue MAY BE OCCUPIED AS a. Lumber Storage Shed IN ACCORDANCE WITH THE PROVISIONS OF THE BUILDING BY-LAW AND SUCH OTHER REGULATIONS AS MAY APPLY. :"'=;� CERTIFICATE ISSUED TO Webber°s of North Andover, Inc, ADDRESS 105 i,'Ia.ssachusettsAve., North Andover, Y� Ia35 •x� �' Ja Y .mom f Jin... p®°ev °" o Building Inspector y Is .9 L ® 0 U � LU IL ESIlu 13. p% LN " N . N 4 V a ; Ltd Mp i. Z to ;I N 4 p AR111T NO. 1 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 ::APNO.LOT NO. I 2 RECORD OF OWNERSHIP DATE BOOK PAGE XNE SUB DIV. LOT NO. I_ LOCATION ��sa /C4c/c ,lv, yo, PURPOSE OF BUILDING OWNER'S NAME _%Ly:,pQ'�.y7 is G�A/G4 Arr/yC, NO. OF STORIES SIZE OWNER'S ADDRESS 'I 77 Sr.ryr/i(/��t17ST� rl , I )rCly; 4 o BASEMENT OR SLAB p0Pee.P C ARCHITECT'S NAME y1 Ig07 Vr (�• SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN 1{ V DISTANCE TO NEAREST BUILDING A7 ( DIMENSIONS OF SILLS DISTANCE FROM STREET 2 7� y� iI 11 POSTS L `/ p �� /�� A r� G.-- P/TyoV DISTANCE FROM LOT LINES - SIDES 5 y ? P , REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW y8 -S J SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND CG�, 'J WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Y.C'� LL.• IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY l/ O/I/t IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED -7////7 I ' F I SIGNATURE OF OWNER OR HORIZED AGENT F FEE PERMIT GRANTED l� S 19 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST% O-Ao EST. BLDG. COST PER`PS1Q. FT.. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING INSPECTOR 'NV1d 10'ld S3OV'Id3H SIH1 'a3SOdW12i3df1S 'O13 'S3E)vm -V0 'S3HO2i0d H11M 'S9N1a'11f19 d0 SNOISN3W1a lOVX3 aNV S3NI-1 107 WONA 3ONVISIC CNV 10740SNO1SN3W1a lOVX3 MOHS-LsnW N01103S SIHI • -A 31 I AON Vd n 000 I OUOD3b 0Nlalln9 9NIIV3H ON' I PJC I 45 D181D313 _ P"L 1,W,9 110 SWOON 10 SVO S831V3H 11Nn O.1.H 1NVIOVB 0NINOI11ON0:) 81V _ S83AV8 OOOM BOdVA 80 8.1.M lOH 'S10D B 'SW9 1331S wV31S 'N8n3 81V lOH O3J8od 'S10J I 'SW9 839W11 3JVN8nd SS3l3dld 1SIOf DOOM MUM it II DNIWVBd 9 OOVO 3111 doold 3111 _ S38n1X13 MKOW ONId008 1108 _ 83MOHS 11V1S ON19Wnld ON 13AV89 7 8V1 31V1S _ FINIS N3HX1)I S30NIHS DOOM .1801VAV1 S3lONIHS 11VHdSV 13SOID 831VM O3HS oBVSNVW 1V13 1'X13 ZI W8 131101 1389WVO 'Xld £I H1V9 I d1H J I 319VO 'JN19Wf11d OL 100n 9 �801a-3d 3ns 800d ONI81M 3WV8d NO 9NO1S ABNOSVW NO 3NO1S 'X19 83ONIJ 80 'JNOJ _I 80O1d 8 'S81S JI11V 3WV83 NO XJI89 1.8NOSVW NO )IDI89 —� _ £ E _ _ 9 3111 'HdSV 3WVNO ODJn1S ABNOSVW NO ODJn1S ONIOIS '183A NOWWOJ — ONIOIS SO1S39SV O,MUVH ONIOIS 1lVHdSV H18V3 S310NIHS DOOM 3138DN0D 08o SOdV09dNIGIS VID SBOOId 6 II slivM b N3HJIIX N83OOW S3DVld 3813 V38V DIl1V 'Nld V38V .1.W.9 'Nid W008 OV3H 1.W.9 ON A 1/1 %i llnd V38V I. 1N3W3SV9 £ — C — l d — _ _ 1 — _— 9 N13Nn 11VM .180 i 831SV1d S831d O.M(JBVH 3NO1S 80 )1189 3NId 'X.19 3138DNOD 3136DNOD HSINId MUM 8 NOI1VONnoA Z NOii::)n -LSNOO S1N3W18VdV _I AIWVdI1lnW S3D133o4=--,lIWVJ S318o1S 91ONIS 31 I AON Vd n 000 I OUOD3b 0Nlalln9 To Whom It May Concern: This is to certify that we have delivered to New England Pole Buildings, Inc., c/o Edward Hayes, Falcon Ridge Arabian, Falcon Ridge Road, Rocky Hill, Conn., for utilization per town of North Andover, Mass., specifications, the following items: #2 Dim. - SL Pine- A4S 6 x 6 - 20/16 - 34/20 We further certify that this material was treated with penta- chlorophenol in petroleum to a net retention of not less than 8# solution per cubic foot (0.40# dry salt) in accordance with appli- cable standards of the American Wood Preservers Association. DURABLE WOO© PRESERVERS-, INC. i B. E. Barksdale, Jr. President Sworn To And Subscribed Before tie This 13th Day Of August, 1975. Robert N. Young. Notary Public MY, ;Commission. Expires February 1, 1980 . , • 4 -r� : n'ig:)noO Y,S� II sort! i oT ofoQ bnGfpn3 :,3:: of bD,Eytrob syso sw isdi xitiioo of 2t atdT noors3 mtdaiP. ,,nhtS noornl e20v611 bisv,b3 oho e.o:tl eep0brtuii rti^rott In inr2 not3sstf tau nog e .nnn3 e rf tH VA:)Ml ebsoA OpbN : 2 1,J t 9n3 e zno tiro t'ftaog2 .. z2fiM aigvobnA ZrG - 3nt9 j2 - .ntC SW t)WE- at\M -axa -0- u8 u8 risr.i 2c r :ro,, to r►otinsj,7, ion s of ugro-iloq nt fonorlga-rordo -tfggB rtit•, oonsb^i000n nt (;fr2 Vlb 4A.0) foal otdv3 isq notiuro2 ,nntistoaz2r2-rov"to23^j9 boot: nsot'rgr"A orli �o ab-rsbnsia sfdso .VI e2P3VA323gq NOW 3.l8AAUC .iL ,9fsb2Aie8 .3J.8 ingbtzsn9 . c'.CPI e i 211^r�1 If v sU rt:t£i 2 triT W l 9'10 98 bgd t-ro2du2 bnA pT e iv...2 �. .pnuoY A IieG R ' 1 cart libby says ... uas-r 1 OA!5 ®:F $�5 1\107 7+F, Po L.G 1-0 Hid C w A s d o c5 400'*/sF AS IS 2.9001:,/S c.% Cs c 1lp Ac. c'i I S A%vGG,?t> +fo--(-E: . A"%- oji4 sw-S G +-� �-c� �C, C-� o u -e- q K, Z/�/Jo � A�OA-- .1, 6c) N1 D o (5ce- L-0 �ZeR-- -f;PCi 704 G o0 -pa --Foorikt� iA. I' 774e. --[z VJ cm r -!P,5 5-4: Q'f: '07, CARLQ NEVENGLAND-POLE-BUItDINGS INS, 11755 REGI STO� LUDLOW, MASS. 01056 tl o K V..� TOWN OF NORTH ANDOVER 'L3�dta. MASSACHUSETTS BOARD OF APPEALS Nu?elf &Nl QPLI Mr. John J. Lyons, Town Clerk Town Building North Andover, Ma. Dear Sir: November 12, 1975 Webber's of North Andover 105 Massachusetts Ave. Petition No. 12 -'?5 A public hearing was held by the Board of Appeals on September 15, 1975 upon application of Webber's of North Andover who requested a variation of Sec. 6.2, 6.3 and Table 2 of the Zoning By—Law so as to permit the construction of buildings as shown on plans accom— panying the application and located at 105 Massachusetts Ave. The following members were present and voting: Frank Serio, Jr., Chairman; Alfred E. Frizelle, Vice—Chairman; Wm. N. Salemme, Clerk; Walter Jamitkowski, and Ralph Joyce, Jr. The hearing was advertised in the Lawrence Eagle—Tribune on August 30 and September 6, 1975 and all abutters were duly notified by regular mail. This petition for a variance of Sec. 6.2 and 6.3 of the Zoning By—Law is for three variances to allow construction of three structures — 80' x 101, 54' x 501, and 60' x 20' / at the premises located off Massachusetts Ave. and as described in a Plan of Land of Webber's of North Andover, Inc. dated July 14, 1975 and made a part of this decision. The facts in each instance cited above are the same. The petitioner purchased the pro— perty with an existing structure located with less than the required side setbacks. The frontage does not meet the minimum requirements of the By—Law because of a taking by the Commonwealth of Massachusetts for Interstate highway 495. The petitioner has utilized the structure and outside areas for its lumber business and has requested these variances to allow it to meet the needs of its business. On a motion duly made by Member Frizelle at the Board's meeting of October 20, 1975 and seconded by Mr. Salemme it was unanimously voted to GRANT the requested variances. In applying the requirements of Section 9.5 of the By—Law, the Board found that the petition passed each of the required tests. The land is located at the point where an exit ramp from Interstate 495 intersects Massachusetts Ave. Prior to the taking by the Commonwealth there would have been sufficient frontage to meet the requirements of the By—Law. The building, of substantial size, was placed on the land prior to the purchase November 12, 1975 Page —2- Webber's of N. A. by the petitioner. There is no other alternative but to expand using the framework of the existing structure layout. These conditions affect this parcel of land but do not generally affect the zoning district. The land is zoned for general business which is being conducted at the location. To deny this request would place a financial hardship on the petitioner since it would be limited in its expansion and a denial would perhaps force the petitioner to look elsewhere for the necessary space causing it considerable expense in the process. The relief granted herein does not cause a detriment to the public good and does not nullify nor substantially derogate from the intent and purpose of the By—Law since the relief granted herein allows the future use of the zoning district and conforms to the previous structure plan of the site. Very truly yours, BOARD OF APPEALS Alfred E. Frizelle, Vice—Chairman AEF:gb r>J}NQRT� i pf•. 9ti R t F � AVR147T4 :.b I- k ';' 1 gJr rJ i • �'' k� SSACHLIS� .tt� `�f'WYYY"Tt� TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION Date .0 � . -1975 ...... . Petition No.. 44,#.75 .............. Date of Hearing...." Petitionof ...' ................................................ Premises affected .. OA.W............................................. Referring to the. above petition for a variation from the requirements of the . .............. . so as to permit 'irk t°3 44ton ,or ba � di - � ftl: d� m . (Votes. bA"11 havo loss ' µ Ui0�. a o Wilt, 4 . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . - After a public hearing given on the above date, the Board of Appeals voted to..... the .. ............ and hereby authorize the Building Inspector to issue a permit to ..140UbW # 0$ - -................................................. for the construction of the above work, based upon the following conditions: Signed c PERMIT NO. 4 Cs � , 1 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP NO. LO,T NO. 12 RECORD OF OWNERSHIP iDATE (BOOK PAGE ZONE I SU DIV. LOT NO. LOCATION /1J l �y /� � '1 /r',Jp� PURPOSE OF BUILDING ( OWNER'S NAME _ . J1►Q4�'�.�_L NO. OF STORIES SIZE OWNER'S ADDRESS /�'� �/1�, %1��. 7 �- BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST (Qy.j,UD 3RD BUILDER'S NAME /is ' / /1_ _ �� ' ` A•tlt�M.tl�+T� AAAA SPAN ,.R �.� O/ _ Av�_ _ _ � �. � O DISTANCE TO NEAREST BUILDING l� ,/bi�K-�"-� DIMENSIONS OF SILLS DISTANCE FROM STREET /T�P^���+ `/ rt V _ - -- POSTS DISTANCE FROM LOT LINES — SIDES REAR �f�� v GIRDERS i AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS:? / X v 1 IS BUILDING NEW SIZE OF FOOTING A — A4 X /Q cl IS BUILDING ADDITION t{®� _ f••/"`I MATERSAL OF CHIMNEY Ah"L IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND ,v/` WILL BUILDING CONFORM TO REQUIREMENTS OF CODE /� f / IS BUILDING CONNECTED TO TOWN WATER d BOARD OF APPEALS ACTION, IF ANY % P Bf 13 a ,/ .�P'''� C �9 'Y IS BUILDING CONNECTED TO TOWN SEWER 6-,. /2, !; �'J— IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BEFILEDAND APPROVED BY BUILDING INSPECTOR �9,E DATID Mr,- 4o"A5 SIGNA OF OWNER OR AUTHORIZED AGENT �\ FEE f 0 -co v PERMIT GRANTED19 u 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING INSPECTOR NV1d 101d S30V1d3U SIH1 '43SOdWiM3d(1S '013 'S3JV21 -VE) 'S3H0EI0d H11M 'S9NIa11f19 d0 SNOISN3W1a 10VX3 ONV S3N11 101 WONJ 30NV1S10 4NV 101 d0 SNOISN3WIa 10VX3 MOHS 1SIlW N01103S SIH1 Zl I AONVdf1000 L (31103311 0N1(311na ONIIV3H ON _I Pic 1st P -L 1.W.9 MIalM313 110 SWOON dO SVO Sa31V3H llNn DAM 1NVIOVa ONINOUMNOM aIM aOdVA a0 a.l.M IOH _ Sd31AVd 400M 'SIOJ '8 'SW9 13315 WV31S 'Nana aIM lOH 03MaOd 3MVNan3 SS313dId 11 _ S10:)'8'SW9a39W11 1SIOf DOOM 9NIIV3H LL II SNIWVbi 9 OOVO 3111 a001d 3111 _ S3anlXld Na340W ON1300a 110a _ _ a3MOHS 11V1S ONI9Wnld ON 13AVa0 T aVl 31VIS _ NNIS N3HM11N S30NIHS DOOM A8O1VnV1 S31`MNIHS 11VHdSV 13SO1M a31VM 03HS 1Vld ('Xid LI 'Wa 131101 OaVSNVW 13a9WVo X13 £I H1V9 d1H I I 319VJ JNI9Wnld 01-11 i008 9 3NON 31yn030V I I a00d aOl83dnS SNIHIM 3WV4i NO 9NO1S AMOSVW NO 3NO1S 'N19 a30NIM a0 ':)NOM 3WVal NO NMIa9 _I a001i '8 'ShcS M111V kNNOSVW NO NMIa9 —� _ _ E E L _ I _ 9 3WMa3 NO OMMn1S ANNOSVW NO OMMn1S 3111 'HdSV ONIOIS 'lain NO WOM ONIGIS SO1S39SV O.MGdVH ONIOIS 11VHdSV HldV3 S310NIHS DOOM 313aMNOM ONIOIS dONd SOaV09dVlM Snook 6 S17VM q WOOa OV3H 1.W.9 ON % 1/1 7, Ilnd V3dy N3HM11N •Na300W S3MVld 381A V38V MI11V 'Nld V3aV .i.W.9 'N13 1N3W3SV9 E _ _ N13Nn 831SVld Sa3ld O.MOaVH 3NO1S a0 NMIa9 3Nld 'N.19 313aMNOM RIDNOM HSINIi ZICIN31NI 9 NOIIVONnoi Z N0uonHlSN00 S1NMZIVdV _ S3MIddo _— AIIWVi 'I1lnW S3Iao!S AlIWV3 3loWlS Zl I AONVdf1000 L (31103311 0N1(311na PERMIT NO. 1 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP NO. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE SUB DIV. 1 LOT NO. — e � LOCATION /6' /d '��_ PURPOSE OF BUILDING OWNER'S NAME �' A A �+-�A, (/r .� "��— NO. OF STORIES SIZE ® OWNER'S ADDRESS / S cl,i BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST _ _ 2ND_ 3RD BUILDER'S NAME' F i A {� ,y� � ^ SPAN DISTANCE TO NEARE T BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET /� POSTS CC Fri DISTANCE FROM LOT LINES - SIDES _/ /„ _ �REA.R GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION IC ESS \_ • _ RJ"'"`~• IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER C' e,. IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED /A// 6 r ® �- TURE OF OW NlrR'PR AUTYORIZED AGENT ///. • 4 - E E PERMIT GRANTED 19 l 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING INSPECTOR 'N` -ld 101d S30V-ld3M SIH1 'c33sodWIM3dns '013 's3ovH -V0 'S3H0UOd H11M 'S9Nla11n9 d0 SNOISN3Wia 1:)VX3 ON`d S3N11 10'1 WONA 30N`d1Sla CNV 10'1 JOSNO1SN3Wla 1Z)VX3 MOHS1SnW N01103S SIHl JNIIV3H ON P'£ isl _ I P"Z I.W•9 SWOOA i0 'ON L ~ I r � SN31V3H llNn J.1.H 1NVIOVN JNINOIIIQNOJ 61V _ SN31dVN 400M JNIIV3H ON P'£ isl ZI I AONvdn00o L av0:)3a JNiciins _ I P"Z I.W•9 SWOOA i0 'ON L JIN1J313 110 SVJ SN31V3H llNn J.1.H 1NVIOVN JNINOIIIQNOJ 61V _ SN31dVN 400M NOdVA NO N.1.M IOP SIOJ T 'SW9 1331S WV31S 'N21f13 SIV IOH 03JNOd 'sIOJ'8 'SW9 2139WI1 3JVNNfd SS3l3dld lslor DOOM 9NIIV3H L l II 0NIWVHJ 9 OGVG 3111 NOOId 3111 S301XId NN340W ONI3008 110N N3MOHS 11V1S 13AVNJ 9 NVl ONI9W(lld ON 31V1s XNIS N3HJ11J1 S30NIHS DOOM kNOiVAVI S310NIHS 1lVHdSV 13SO1J d31VM I'Xld LI 'WN 131101 43HI 4NVSNVWI3R3 1Vld WV0 319VO 'Xld £I H1V9 dIH ONI9Wf11d OL 4008 5 3 �I N00d aOl3dos ONI81M 3WVNd NO 9N01S ANNOSVW NO 3NO1S >119 N3CINIJ NO 'JNOJ _I dooli '8 'Sdis JI11V 9WVNd NO )IJIN9 ANNOSVW NO JIJIN9 E k3IDDNOD 3111 'HdSV NOWWOJ 9WVdJ NO OJJf11S ANNOSVW NO OJJf11S `JNIOIS '1N3A ONIGIS SO1S39SV Q.rr\ONVH JNI41S 11VHdSV HldV3 S310NIHS QOOM ONJ 11 SO d09dNIGIS s800li 6 �� snvm v N3HXIN NN340W S3JVld 3NId V3NV JI11V 'NH V38V .i.W.9 'NIA WOON OV3H 1.W.9 ON % t/t 'h llfld V3NV 1N3W3SV9 E £ L _ _ 9 N13N1 Ily7A ANa _ N31SVld S831d O.MaNVH 3NO1S NO >0IN9 3NId NO 11.19 913NJJ 313NJNO5 HSINIi 801831NI 8 NOIIVONnoi Z N0110n HISN00 S1N3WidVdV _ S3JIdd0 A11WVd 'I1lf1W S31N0!s AIIWVJ 316—NIS ZI I AONvdn00o L av0:)3a JNiciins Date.. .-::-'. . . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .......... has permission for gas installationt.................. in the buildings of .......... at . ............... ................... North Andover, Mass. Fee:.l. Lic. 1,4 ............. GAS INSPECTOR Check #- 1 36--0 4ASSACHUS)ETTS UNIFORM APPLICATON FOR PERMIT TO DO G,,kS FITTING or print) tvvxI'II ANDOVER, MASSACHUSETTS Date Building Locations /i` J /" //'G `9 i�G Permit # & �,, ° -r) Amount S / b 0:5, Owner's Name New❑ Renovation Replacements Plans Submitted (Print or type) �' % Check one: Certificate Installing Company Name (� /" ��/r�li�? // iT� Corp. Address Partner. Business Triephonr_� � _.��jG+� .FaFirmiCo. Name oFL,censed Plumber or Gas Fitter Ul✓.�� `/_'�..�G2'�/ �_�7 a INSUR,-kNCE COVERAGE Check o e: I have a current liability Insurance policy or it's substantial equivalent. Yes No M If you have checked ves, please indicate the type coverage by checking the appropriate box. Liability insurance policy � Other tvpe of indemnity Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the ✓lass. �an6 at myeon this permit application waives this requirement. Check one: Signature of 0 err or Owner's Agent Owner Q .bent I herebv cemty that all of the details ana Intormanon I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations pertbrmed under Permit Issued for this application will be in compliance with all pertinent provisions of the :Massachusetts St�a�Cude3n�apter Ithe-a! Laws. By: Title City/Town A,PPPUV ED IUFI IC ii uSE')NLY) Signature of Licensed Plumber Or Gas Fitter .� Plumber— F7 Gas Fitter Icense INumoer 0 Master ❑ Joumeyman It' (Print or type) �' % Check one: Certificate Installing Company Name (� /" ��/r�li�? // iT� Corp. Address Partner. Business Triephonr_� � _.��jG+� .FaFirmiCo. Name oFL,censed Plumber or Gas Fitter Ul✓.�� `/_'�..�G2'�/ �_�7 a INSUR,-kNCE COVERAGE Check o e: I have a current liability Insurance policy or it's substantial equivalent. Yes No M If you have checked ves, please indicate the type coverage by checking the appropriate box. Liability insurance policy � Other tvpe of indemnity Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the ✓lass. �an6 at myeon this permit application waives this requirement. Check one: Signature of 0 err or Owner's Agent Owner Q .bent I herebv cemty that all of the details ana Intormanon I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations pertbrmed under Permit Issued for this application will be in compliance with all pertinent provisions of the :Massachusetts St�a�Cude3n�apter Ithe-a! Laws. By: Title City/Town A,PPPUV ED IUFI IC ii uSE')NLY) Signature of Licensed Plumber Or Gas Fitter .� Plumber— F7 Gas Fitter Icense INumoer 0 Master ❑ Joumeyman