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HomeMy WebLinkAboutMiscellaneous - 108 BRENTWOOD CIRCLE 4/30/2018 �108 6RENTWOODCIRGLE 0 0059- 00.0 1064 -- -- - -- - - ---- -- ti p NORTH ANDOVER BUILDING DEPARTMENT .I ,e g°��?S .1600 Osgood Street 7• R•SEv��y �SSAC}ills�� Noah.Andover Tel: 978-688-9545 Fax: 978688-9542 BUSINESS FORMFOflR TOWN CLERK DATE: I i � NAME: ADDRESS: l•O �� �'�- c�� 2_. �. � 3� 5 � ZONINGDISTRIOT: TYPE OFJBUSIIVESS.: 3 BUMDII GLAYOUT PROVIDED: YES INTO AVAIL,ABL-E PARKMG SiAMS: ZONINGBY LAW USAGE: 'YES NO BUDLDING INSPECTOR SIGNATUFIE BUSINESS FORM POP-TOWN CLERX ' w 1 2.40 Home Occupation(1989132) An accessory use conducted within a dwelling by a resident who resides in the dwelling as his principal address, which is clearly secondary to the use.of the building.for living purposes, Home occupations shall 'include,-but iftot limited to the following uses; personal services such as famished by an artist or instructor, but not occupation involved with motor vehicle repairs, beauty parlors, animal fennels, or the conduct of retail business,or the manufacturing of goods,which impacts the residential nature of the neighborhood. 4. For use of a dwelling inany residential district or multi-faintly district for a home occupation, the following conditions shall apply. a. Not more than a total of three (3) people--may be employed in the home occupation, one of whom shall be theJowiier of thd home occupation and residing in said dwelling; b. The use is carried on strictly withinthe principal building, c. There shall be no e)dcrior alterations, accessory buildings, or display which are not customary with residential buildings; . 4 i d. Not more than twent,-five,(25) percent of the existing gross floor area of;the diuell%ng Init. so used, not to exceed one thousand (1000) square feet; is devoted to•such use. In connection with ' such use, there is to be kept no stock in trade, commodities or products which occupy space beyond these limits; e. There will be no display,of goods or wares visible from the street; f The building or premises occupied'shalt not be rendered objectionable or detrimental to the residential character of the neighborhood due to the cAarior appearance;emission of odor, gas, smoke, dust, noise, disturbance, or in any other way become objectionable or detrimental to any residential use within the neighborhood; g, Any such building shall include no features of design not customary in buildings for residential f ( (j 2bl J Signature Date '�— 10140 Date . . . . . . . . . � •_b�q'SLTi TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING - © IvD �� R This certifies that . . . . . . . . . . . . .`��-S. . . . . . . has permission to —te_ p perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of. . . . . . . .�1?.6vh/S. . . . . . . . . . . . . . . at . 1� . B� T�o©D. . �: . . . ,North Aydover, Mass. �� �� . 3 17Z� Fee Lic. No. . . . . . . . . . PLUMBING INSPECTOR t� Check# �� MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITYMA DATE 10 ,`D ( _ PERMIT# JOBSITE ADDRESS OWNER'S NAME _ POWNER ADDRESS _ It TEL�� — FAX _. TYPE OR OCCUPANCY TYPE COMMERCIAL Q EDUCATIONAL Q RESIDENTIAL NO PRINT CLEARLY NEW: ] RENOVATION:@ REPLACEMENT: Q PLANS SUBMITTED: YES 0 NO FIXTURES Z FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM J _____} I .,._____ _�__� -_ _ ( _ _� --__1 f f DEDICATED GAS/OIL/SAND SYSTEM ___1__ _ DEDICATED GREASE SYSTEME JIL _-___f ____J=JI1..._._... E _ f DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM i _ _._..1 ._.__J _J DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN __._._I _—A___I _._-__f SHOWER STALL SERVICE I MOP SINK ._.__) . TOILET WASHING MACHINE CONNECTION WATER HEATER ALL TYPES UbATERPIPING OTHER INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YESKO NO Mj IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 0 OTHER TYPE OF INDEMNITY D BOND �]( 8WNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER .i AGENT SIGNATURE OF OWNER OR AGENT ! hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in comp' nce with Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME '� �ay�� LICENSE# I ` SIGNATURE IMP�]( JP M CORPORATION 0# PARTNERSHIP®# -- _ LLC �Il COMPANY NAME ADDRESS d CITY _ STATE ZIP �$y y TEL FAX ���CELL ��� yZ�-j EMAIL ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ J FEE: $ PERMIT# PLAN REVIEW NOTES i The Commonwealth of Massachusetts Department ofIndustrigl Accidents Office of Investigations Uf 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leaibly Name(Business/Organization/Individual): Address: R4 R City/State/Zip: �� ��> a{����Lft�/ Phone 4: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am 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. ❑Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. E]Building addition [No workers' comp.insurance 5. El 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.❑Other comp.insurance required.] *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 ace 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.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: City/State/Zip: Attach a copy of the workers'compensation-policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder 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. Ido hereby certi under tlt rams and penalties ofperjury that the information provided ab a is ue and correct. - Signature: Date: (� / Phone#: L- A 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#• j 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 ofhire, 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-contractors)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 burn 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: Tho Commonwealth of Massachusetts Department of ladustrial Accidents Office of Investigations 604 Washington Street Boston MA 02111 Tel,#617-727-4900 ext 406 or 1-877rMASSAFB Revised 5-26-05 Faz,#617-727-7749 www.mass,gov1dxa a� j w�d =iiVIASSACHUSETTS� 'Y—a� f PLU�IIEi9ERS ANd (yOURNtYNIANYLUpaS!'I WIRERS' Lat�;f�i�Ef ,AS-A. .! P,A�I I isSUES THE ABOVE LICENSE TO: �.;tOArdn`r GUZM'AN LP01_ll ST IP 11E71'HUEN . MA 0 .l €f44 5 i3 F f Lly 3172.8 n/01/14 1 } s Date....... ....... TOWN OF NORTH ANDOVER o j PERMIT FOR WIRING HU This certifies that ........ ......67,e.A�1.� , k c has permission to perform ........... ............................................ wiring in the building of...... ............................................................ ati) ........ ............................^.........,North Andover,Mass. -7 q Fee....Q..;�t.;..............Lic.No. J. .......... ...........a.... .. ...... ELECTRICAL INSPECt Check# a `+ Cammonwealg of VamacLetb Official Use Only cc� Permit No. l /9/ �j eUepadotenf ofcc77 im Servicee Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE/ MA � FORTION) Date: E3 • 48 .City—or Town,ofi fit i�Q V T,o lbe lnspec_tor,of,Wires: By this application the undersigned gives noti%Aftawcod fhis or her intention to to perform the electrical work described below. Location(Street&Number) 108 C-t RC,140 Owner or Tenant (is bbosw& Telephone No. Owner's Address f Arl C. Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building `Utility Authorization-No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd F1No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: A Aoo&4 Cµ0 i —Completion of thefollowing table may be waived by the Ins ector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans o.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 3 Swimming*01,Above.❑ n- ❑ o.o Emergency Lighting rnd. rnd. Batte Units No-of Receptacle-Outlets 'jNo..of-Oil Burners .FIRE ALARMS .No..of Zones No.of Switchesy No.of Gas Burners No.o Detection and Initiatin Devices No.of Ranges ,, No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers eat Pump um er ons o.of Se[U-Contained Totals:1 Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ElunieConnection 11Other No.of Dryers Heating Appliances KW Security stems:* No.of Devices or Equivalent No.of Water Kms, o.o No.o Data Wiring: Heaters Si s Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent " OTHER: " Attach additional detail if desired,or as required by the Inspector of Wires. a Estimated Valu oEleGe 'cal Work: �I (When required by municipal policy.) Work to Start /G� Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof ofy1fiabilitinsurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that suce is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCOND ❑ 9T R_❑ (_Specify,:) I certify,under the pains ans of per ury,that the infoEmation this application is true and comple FIRM NA a 1.�IVF a..GJAt_4.04LN C. LIC.NO':17 7 Licensee: ` !-f SANN 4X-Uj Signature LIC.NO.:3y4f '?6 (If applicable,enter"exem "int license num li e.) Bus.Tel.No. Address: M N Alt.Tel.N t/ *Per M.G.L.c. 147,s.57-61,security work requires bepartment of Public Safe "S"License: Lic.No. J, -OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ w �� �.. ., i i The aC`ommonweatth ofMassachure& Dega7iment of1ndustpza Acer'dents (1�ce of Mvestagatrons 600 Washington S&eet Boston,A 02111 9 -wriww nmss gov1&a Workers' Compensation Insurance Affa-davit: Builders/Contractors/�+lec�-caa�s/�Iaxa�bers �PUlxca:at ormatzon 3� Please Print Leg%1V Name(Business/Organizationllndividuai): T-Ag`ttL a tjE Addie s: 1® XACkr o -re - ` CAS; -- city/State/Zip: MTU0 ov M A � Qf qif Phare#: q .5, Frequh-edj employer?Check the appropriate box: Type ofproiect(requi ed): employer with_ 4. 0 I am a general contractor and I 6. ❑New construction yees(full•aud/or part time)* have hired the sub-contractors sole proprietor or partner- listed on the attached sheet? 7. []Remodeling . nd have no employees These sub-contractors have 8. []Demolition Working for me is any capacity. workers'comp.insurance. 9. C1 Building addition orkers'comp.insurance S. ❑ Weare a corporation andts 10. Blectrical r airs or additions officers have exercised their 3.Q.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 wehave no 12.[jRoofrepairs insurance required t employees.[No workers' 13.[]Other comp.insmancerequnred-I y applicant that checks box#1 must also SEI outthe section below showing&eir worlflere compensation policy hff,, ation Homeawnem who submit this affidavit in&armg they are doing A work and tFren bite outside contractors must submit anew affidavit indicating such • 1Contraetors that check this box mustattsched an additional sheet showing the name afore sub contractors and theirwodrers'comp.policy information. I inn an employer that isproviding workers'eompensatZan insurance fop my employees Belov&the policy and job site informaffon. Insurance Company Name: N AUTVOOO z rQ S LjOtAN E e ® . Policy#or Self-ins,Lie.#: O 8'•W C�- C M y Expiration Date: NO Il y t 1I q Job Site Address: /0 8 %n e... iw,,j d►nck p: N. AsJoy4t A Attach a copy of the workers compeusatiott 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 . '.ane 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 o£txp 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 D ca 7A for coverage-verification. Ido hereby e rtify der pains andpenahft ofpe*,gy that the irnfojwzeonprovrded above is free and correct. Date: Phone#: 7- -5 Q Offe&I use mvey. Do trot write in eq to be completed by city or town officiat City or Town: PermitMeense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical hTector S.Plumbing Inspector 6.Other iC`ontactPerson• Phone#: Location . B � ' No: 243 Date �Lk MO"T" TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ Ss�cNus Eta Foundation Permit Fee $ Other Permit Feee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ S•b A Building Inspector i. 195 14:27 19.50 PAID �q p g*�O Div. Public Works 833 ,- PER11IT NO. #44 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP i4O. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK :PAGE ZONE SUB DIV. LOT NO. LOCATION 1/ PURPOSE OF BUILDING OWNER'S NAM �( NO. OF STORIES SIZE OWl4ER'S ADDRESS . cry BASEMENT OR SLAB _ ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAM "" / /� / SPAN --- DISTANCE TO NEAREST 79UIL61NG ylK 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 - 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 IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST �O PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST WER SQ. FT. 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 PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR OJD DATE FILED A / BUILDING INSPECTOR AT RE OF I WN R AUT ED AGENT 1 A len F E E OWNER TEL.✓✓I PERMIT GRANTED CONTR.TEL.M �vV 19 CONTR.LIC.# ® � H.I.C.# 3 3� (� l(o A BUILDING RECORD 1 c \ ,OCCUPANCY _ 12 t _ b �> SINGLE FAMILY'.' STORIES 1 AND DISTANCE STANCE FROM MULTI. FAMILY :. .�� oFFices ' Ii THIS SECTION MUST SHOW EXACT'D(MENSIONS.OF'LOT LOT LINES AND EXACT DIMENSIONS. OF-BUILDINGS. WITH PORCHES. GA- APARTMENTS A ' RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION _ 8 INTERIOR FINISH CONCRETE _I d 1 2 13 -- 1. ) s. i ♦ J � �,, CONCRETE BL'K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B M'TAREA _ '/, 1/2 1/1 FIN. ATTIC AREA _ N_O 8 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 HARDVJ'D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH.TILE STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY _r ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR 11 ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET \ ` ASPHALT SHINGLES LAVATORY \\ N \t` WOOD SHINGES KITCHEN SINKA \ ?\ % �_•� \ `� ��? SLATE NO PLUMBING' \ F' TAR & GRAVEL ALL SHOWER J V- ROLL ROOFING MODERN FIXTURES _ 1 TILE FLOOR ] 1 i ^+ ✓ J -� 1 )' . �` r NILE 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 1 RADIANT H'T'G UNIT-HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st I d NO HEATING . F NORTIy � 4 Town of r : Andover o No. 2 4 .11 �Q dover, Mass., Uhw 19QS COCKICKEWICK 7� ORATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System a�e pCABUILDING INSPECTOR THIS CERTIFIES THAT.��4�! .....(�� ' .N�.eAz........................................................................................ Foundation has permission to�wss-.h TER................ buildings on �0S...%OAT.tl�4l ....�Q,...................... Rough t0 be occupied as PF.........aqe(z........I.....��.......�..... . 1�'...�...�.15�................. Chimney that the person accepting this permit shall In etre res ect conform io the terms of the application on file In provided t p p g p ry P 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 (0 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CON UT Rough ................................................ Service UILDING INSPECTOR Final �- Occupancy Permit Required to Occupy Bu7 leo ilding GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough P Y P Final No Lathing or Dry Wall To BeDone 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