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HomeMy WebLinkAboutMiscellaneous - 11 PHILLIPS COMMON 4/30/2018 11 PHILLIPS COMMON 210/058.0-0031-0000.0 b z s .i NORT1{ TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,'SSACMus� r 5 This certifies that .. -- ..... .s has permission to perform',.x ()�- *-�. .4-&.--.e . i wiring in the building of ...................................... at..//.... ................................. ........ .... -< North Andover,Mass. a Fee ;nP....-'� Lic.No.k: 2r fiJ ELECTRICI PE R I/ Check # 8 1 7 1. r Official use only Commonwealth of Massachusetts Department of Fire Services Permit No. 07/ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 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 t L " (PLEASE PRINT I1V INK OR TYP ALL INFORMATION) --, Date: W,3 _ ._._..City.or. Town.of, _- . __. To the.Inspector of Wires By this application the undersigivd gives notice of h' or her intention to perform the electrical work described below. Location(Street-& c umber) - Map: Lot: Owner or Tenant Telephone No.M.A Owner's Address Is this permit in conjunc on with a building permit? Yes ❑ No Building Permit# Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps _ / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the followin table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.ofTotal Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA eAbove In- o.o Emergency Lighting No.of Lighting Fixtures Swimming Pool rnd. ❑ 1:1s _ .g. _ . . . rnd. _._ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS iv':;.o.Zoites No.of Detection and No.of Switches No.of Gas Burners Initiating Devices _. .._ . No'. . ___._.. _ _ No. Total of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat PumpNumber Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Munici al No.of Dishwashers p. Space/Area Heating KW Local ❑ Connection El Other No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water KW No.of No.o Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: 1 Attach additional detail if desired, or as required by the Inspector of Wires. . INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE] BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of lec ical Work: (When required by municipal policy.) - Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under pains and penalties of perjury, hat the information on this application is true and complete. FIRM NA 7L LIC.NO.: CC77� _._. _Licensee:HS'_ Signature (Z J,, J a bnn ^L :NO.: daDL) M (Ifapplica ,nter "exem�f in he lic nse n tuber e.) Bus.Tel.No.: J� _ Address; //2 L_c-_n �5 JGYI ��f aoil Alt.Tel.No.: �! 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 a ent. Owner/Agent �J SignatureTelephone No. PERMIT FEE: $ A Inspection Record Date Inspection P/F Inspector Notes i ' l w L id 9 HOttTM ,1' ?0*." . 3 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTILLATION - �9SSAC HUSEt //� ie��This certifies that . . . . . . . . . . . . . . . . . �1.`. . . . . . . has permission for gas installation % . . . . . . . . . . . . . . . . . . . . . . in the buildings-of u+./. . . . . . . . . . . . . . . . . at . . // �`1r�. .. . . . . . . . . . North Andover, Mass. s Fee-?'' . . . . . Lic. No.. . . . . _. . . . n / GAS IN YE*6 OR Check#? 3i 7010 cy MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTiNG' (Prmf or Type) + ii .... .: -Mass DaI.te! - Permit# d� ' t L�-i -s Q r s Name d(L '�5 � Building r:acaUon >��: l�o�teZ. , bt`(3 of Uccu anc !'C 5 / 1L Ocuner Tel# TYPe P Y New Reno�auiyn t�Replacement Plan S�b>Yutted 'Yes ct No ❑ ;: Pt RES �.-:��'.. :.- .. � : - �-.-,.� . ._: .. �:...-.:,.. s:.—'l:,%—.. .. . . = 1, -11�L.� .11 ,....., ��.:: -.�� ",', - I t .1, —�, .. .,�,.'- , - - A . a 9' - I - 'e". -- --�- w1. ° °� v x m F' ° � `$ W11 .� � �U , !:�� ,�A,i ��:�,,,, :, :� .o a a U �y 4� �,. RD 4'" 3Tti .. TM FL OR . TM L 8t"r LOOK., Installing Company Name1:4- . �- �" ' t Check oil ne Cetticate Address .�_ .�` �! o Corporation N ,1 j /C / ( ''G v partnership : Business Telephone# � aeee� 1. 0 ICo Narne of Licensed Plumber or Gas Fitter Ui g",, P /.1 INSURANCE COVERAGE i have A cq,"tft iiity insurani*policy or its substantial equivalent which meets the requfremerrts of MGL:Ch 147 Yes No a If you have checked t'�s please ntltcate the type coverage l y checking the appropn-. box A lietitlity insu` ce policy Other type of�ndemn�ty; d Bond OWNERS SW NCE WAI, I am awa the licensee dce¢not haye1.ahe insurance coverage required by.Ghapter 142 of the' Mass' Ge ral ws and tda sig re pe1.rmit application waives this requirement r : ! 11�—" ' Owner o on Agent tr''` Signa re of Owner onOwner s Agent I hereby certify that All of,the details anP.tl infomtationi have submitted(qr entered)i ove a plication are true a accurate tb the bestof my knowledge and',that all plumbing work and instalii-t i,perforrrretl under the .1 "` issued=for is applicafioii will to compliance with aft ne,rt rovisions of the Massachusetts State Gas:Code and Chapter 142 o Genetal fay Type of License' Gas�-- ---� Plumber Sibnature;Gf Licensed p r or Gas Filter Title` �Ge`s fitter -'� 11-1 fiAas Ltcen Number (�' SI w Cdy/Town umeyman APPROVED(OFFICE USE ONL'l� ?. . .. +, ,. t11, i i'J ' `t ..Scl . t [fit ts,oti,c at.•.: r« Buarr #�,u . , , sa + 't t � i 4 .l I'll ' vt: � 14vFftU ,,: FEa ; i f '.la 4!Gf} lbiI.rlPtjt 3 + ��i�Cr r OlmsTOv 5n -� C�' 1 2 e L,cersaN0 � Eepr ui tea.. _ : 41 i2llf1{• i ".• ui , t• la ti � tl , it ti . � fii�tt'ri ,it ftt,'tkiiit Rc A11 tti„it. iri+t `+t a iii ,:iii Lcn � S9S .e 7 eY. t etis ,N , DItFAr EEEVAN .PARMA' 1. '' 141NAYN ROAD. PfABODY MA 01;960. -. .{„ta i'i'. , -. -' 100997 ��� .. •,- .r� ��{tP 1--.?l.917.48tlf-AOWIl/d Ofn I•'fnxsac>�Zuae(.!d Board>of Building Regulatidni4nd Sfandards HOME IMPROVEMENT CONTRACTOR Registration 160945 Expiration 8/15/2010. Tr# 274725 Type: n lv ual Ri_EViL PAf�MA REEVIir PARMA 44'7 f2D 0 w 0 PEABODY;f1AA Oi960 Administrator L TV 1 w� t� 2 ' DA"�E;IWIMroDIyYYY) "C; ITI�ICATE;kty C��ABILII`Y INUaANE ox�osie PRODUCIit 9768:g$� ". 88 AX (878�$8�1 'a 3x THIS CSRfIFICATfi i$ISSUED ASA MATTER OF INFORMATION Ap�x�sby, Fi � aCe , � ONt�Y ANQ CONFER$NO IK3HT3 i1PON THI*GLRIIFICATI: sill HQLpER,TH18,CERiYFICA`i'�_Qf�B N4T AMEND,�XT�ND OR ` 15� Cona�n> ``'St. „_ ALTE °�THB CO. RAQ�AFi�Oab DIME.'! I:+QI.iCI�S��L(�N. . iM$UREt�t$AFFOROfN3 t'�OVERA(3E roc . .. Ia.,rPlx , �u► ox9xa fN8URHD.% , ;;, ;j INSU)iER A``„II1At>lAa�! :Ct' 8 IIS6YC11itC8 `W Y4788 ' x49 SOii�'E IMIN S� IrasURER s.: '14!>CB11L->g't'9N�,'1�A 9T'�49 Ih18URER c:. •INSURER D• INSURER E; CI1E hOLiCiE3,t IN$URI CE LIS;fED BRt QW HAVE 1 NIS&UEDfiO fiHE INSUREGI NAMED AtlOVE,F012 7HE p01 ICY PERICID,IWDiCAT�D NOTWff HSTAND(N!a ANY;`REQUIREINENT,�7ElM OR G(5NDfl'IOIV:OK ANY CON�'RAG7<7R bTHER,00ClJMENTWiITH RESPEC71'b:WhliCli''I'W18 Cf;ti1'IF)CATE figAY Olr ISSUEd OR, t►4AY,f?i~R�AIN 7HE iN�UFtANCE AFFORDED t3Y tWE I'OLICIIsS; ES,CRIBED HERiIN IS SUdJECt rtt?ALC THE TERMS EXCLOSION$AND CONQI I IONS Of=St1�H PgLiCIES AC3(3i2EGA1 E LIMITS SHAWN MAY NAVE:BEN REDUCED BY RAID CLAIMS ._ tYPE'OP fNSUt>Ju+tDs ,.. POUCY Lu_ P LIINITS ,, �'� OENEIiALfJAtlILfTY =BS OxIA'�� O*�� S'•.�OIO I=ACHOCCUf3RENC� S •'1 ;^,�Q CO)tiAME}RCIAL'.(3ENEltAI'LU181LITY ,: DAMAGE”-,TOR $ :CLAIMS MADE `OUCUR ` MEOfiXP(Anyone),erson)_ S $ �< •� pfi12SONAL&ADV INJURY:. S :Y d90f GENERRLAGGREQATE GRN L AQGREGATE LIMIT ApPG11 S pER PRODUCTS COMP/OP-AOR S ;$ OOOt mo pOLIGY JfcCT L� AUTONID81LEUfA9l)JTY AI9O98948 eYIlO/8609 Oi✓xO/a9xO COINBINEO`sINGLELIMIT s (Eegce om) � ANY AUTO 1L,O9O ALL OWNED AUT09 80bILY INJURY X 8CHEtrilLED AUTO8 (Per person) $ A X HIRED AUTDS 8001LY INJURY S NOP!-OWNED/U705 (Par•eccidaM) PRbPERTYDAMAGE S (Per eccldard) OA*AQdlIA81LItY`. AU ft)ONLY•EA ACCIDENT S ..AUTO OTHER THAN' EA ACC $ - - auTooNLY acc s, EXCESSIUMSRLl LI4 UAtNLi. COO> A4$ O1</0s z 209" 01`/OS/ZOYO EAt;H OCCURRENCE $ x 09A' OCCUR CLAIMS MADE AOOREt1AtE '; S Z 090 gE0UG118LE S RE'IENTfON S 1(O, ' S WOItKBRSOOfYlP@NSA1fONANd� � �S Ox�IOs/Z089 OxJO�iI8919 A oTH- fdWlpfJ3YER8 WABNJTY E L EACH ACCIf)ENT 5 tiOO' t1 A Y.P,Rpf?RiE /PARTNERIEXECUTIVE ; ' """"' OFICER/MFMI;� R EXCLUDED? E L;018EASE ;`ER EM(?LOYE S , , .'. .SOU O i. N :`a dascllbeunder .. . yYee "SPEfr1AL PROVISIONS°b6low ' E L.',O18EA9E�POLICY CIMIT S 5119' ori(�R DBBCRIFMON OF 0pl0110NS i LOCATIOfJA/:VfDi1C�E8/t XOLUSiON8 AfJDtlb f3Y ENbOfiBEMlNT/SPHCIAL pItOVIS10NS SHdULd ANY OF 111E A961IE'DRBCRIEER POUCIHB tiE CANCELLEb 86FbR8 THE :TOWN OF N. ANDOVER ExP)w►tioN oAt tHeReoR,THp IssulNa Mf$URE;a wILL eNOEavbR rDMA1L ATTN: GAS INSPECTOR Dada wameN NottcR rp TIfE cstml iTe HOLflb t NAMEo ro rHE LERr, 146 MAIN ST BUT PAILURH TO MAIL BUQH NOnne swALL IMPOSE Ntl oeLIG1ATION oR;UA91UTv N. ANDOVER, MA 01845 aunloalzu pEpRESENtATIVL Inc ACOR D�5(�Ot11108j ©AGORb CORPORATION 196$ pDF created wi 'pdfFd'dtorji trial , ther.sl0n s fi _ } }� ��" 1 �i 1 F . � r ` .r� A .. Yr _F. .. r , N, ..{ _' .. A `{t i + i' .. t. ._1' _ ... . .. 4 .: 1 r �� . e , _. �'" 1< :�. .«...I a .� .A a ,. I .. . . .. � � -� — ,. � ... .. ' i .:: ., ; r __ _. ; } i i i _ � � � �. I , ! , 3 � � � u i I � 4 � 1 � .. i i__.__. _ _ i .. .. .. .r I 1 � - 1 _`S. `t � .. 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THE<Pt�LICI $QF INSURANCE LIS7D B!~Lb W HANE'8EE N 18$.0 TQ 7HE INSt1R6D NAML�b ABOVE FCR. •POLICY PER n< ANY REQUIREMENT TERM OR GOND1T101�OF:ANYll_ Ib ,INDtCAfED:'NOTWIT _ CONT ' MSTAN RACT OR pTHER QQCUMENT" H RESPECT:TO WHICH 7N1$CERTIFICATE MAY NIAY pERTAiN,THE IN3.URANCEAPFORdEO BY THS PQLICIE8:t/ESCR1f3ED:HEREIN IS SUBJECT TO ALL THE TERM8„EXC"LUSI(1NS ANQCON TtON80 UGH POI(CIES AGGREGATE LIMITS$)10WN MAY HAVE-BEEN„REp, BY;hA1D Gt AIMS I IT-a tMl UhfWCe )+ y p P Y NUttABeR A6NERILL LtA8t1ITY A 0!/Al/ 81 0 E010 EACHOCCUftRENCE f:I MERCIAL OENER)tl LIABILITY' S �� DAA T RENTED ` S � CL....r, AqE OCCUR; A iaonJ s.. - 111 MEDE)IPUN .ongpe1-1 PERSONAL&AISN INJURY 0 1 C§E NERALAd�3REt3A' % g OEN L AR6REQA ft3 LIMITAppUES PER'. POLICY .. , PRO PRODUCTS-COMP/OPAGQ 5 -;: $ , JECT LOC:;, AUTt3N10811.II I UIBtUTY , ANY AUTO (OM � n SINGLE LIMIT, § ALL OWNED'AUTOS , $G1.HEOULERAUTOS ; -- _HIRED AUTOt3' BODILY INJURY tPerperapn) S P7ON•OWNED'AUTQ8 BODILY;INJURY (Pei eacitlenl),, 8 PROPERTY DAMAGE $ tPer accitlenq 6ARAf16LtABIL1T11 1. TO ONLY=SAACCIDENT S ANYAUTO � . -.�...�:��L a �r ER THAN EA ACC $ _. - i..' :_ m ...�. I . ,AUTO ONLY AC(� S E%Ce88 .�.. . 1UIN8R8LL/1 LIABILITY GACH OGCURRENCB $ OCCUR a CLAIMS MAgE AGpRE(3ATE S x DEDUCT181.E __ -1 E qS R!T11 ENTION, S. s W"Rem$COINPETVBATiDN AND . a . I'� , :�. $ EMPLOY@RS`ktA81LITY1. A TH ANY PROPIilE7OR/pAliTNi R/E%ECUTNE E.L,'EACH%1CCIgEN7 S OFFICER/MEMHER EXCI UDE09 pye'e,daBcAbe under . j SPt 1AL PROLISIONS below:^ . E L.g18EA8E.1 EA EMPLOYE S OTIpR 2mSEASE=pOL1CY LIMN. S '. E L ql ;i.. i LL , �.—_ , , ” , d�'.'. -I, �' ­ .­- 1. be8CRl::7'. OF Ot►eRATtbN$1 LOCAT1dA1$/YBNICLB81 B1tCf UOftS AbDED 9Y BNtjOR$HIieNT'/$PBGAL PRCViB/CNS i ,< r. '.. 1. 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( „� rit/iai „ ,. Gityl b ip . . - G1''114 9 - 11D Poltey#or pelf-tns.Ids.# �'� Atter a copy o�qte"t'cozp�n -de�l7pt Dai7. ( r �171 , F' ” a Soot at ZSA o 1dKiL c. tS2 watt tothe imps fine ap tDt,SOIi�Q Nor o�te~ r as we! a»of 'afe ;` x, , a x 1 dv" P 1t�tt1�8 �nfa SSP WCIRK QRi BR end s�ia� ' Y viola,ur l�advia�d that a Y oP his e YI. be,tlrrw tt to the 1, df :. �' .D l o__ l �iitl tion• oda +wby'e+ , �t l td ON .'.'.� 1�11'_ - I ;l "L.. 1 1 , �r fl, _7d � . L:'LL - - - M.. / v al �oVi feat wrlte�tIJd 'arsi�,tobea �dbycl4►ar , Ctl�►;or Town: parmiitlGteete# igA,utlrex`1ty:(�e/Lr�y1�_d �►): y� _ y_ �tw w�f " !� �1t��Mfp�:A1i A�w�.��ri`�� .-R 1., ►b?f'.BsMrr I� �.SAwANSMw=nwwwi.�; Q�w1w �...<.�• AY[tt11'. '.. , -.. - ....::.."a.:. F ce� Q JfA Location r No. Date ,.ORTy TOWN OF NORTH ANDOVER O�i .ao a1ti A Certificate of Occupancy $ +' oe&ing/Frame Permit Fee $ Foundation Permit Fee $ 19 er Pit Fee $ Sewer Ronnection Fee $ %"r ll��►►�a r Connection Fee $ gyp,P��a®fie TOTAL $112 J +� z )0CBuilding Inspector r- Div. Public Works Location �f � C A-3 r . No. 11.3 Date "`" " TOWN OF NORTH ANDOVER Certificate of Occupancy $ IQ 2 /d Iz- + • Building/Frame Permit Fee $ 4� 'ss,C„uS'�" ndation Permit Fee `F° Other Permit Fee $ 1g,ewer Connection Fee $ ?/t �i - 2 �, Wat�Er:Connection Fee $ k 4 NA1aJCOAL $ 3S e�- c Building Inspector 5010 Div. Public Works Lo Location ( ��r `I/ ' a /yl Dom✓ No. 631 Date c 2_ / g Z pORLfy TOWN OF NORTH ANDOVER j Certificate of Occupancy $ �p ' + Building/Frame Permit Fee $ } ArNustt� Foundation Permit Fee $ ' Other Permit Fee $ g' ( (1rx�► -d Sewer,.Connection Fee $ : Water Connection Fee $ l ,.� OTAI? �� $ c?I.SD-. &o /Building Inspector z19 �,✓'r� f Div. Public Works � `4 1 03 1 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE, 1 f AP d-40. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK PAGE aONE r SUB DIV. LOT NO. LOCATION �Us- PURPOSE OF BUILDING OWNER'S NAME SGL/®S �J -/)-At /�` NO. OF STORIES �J J SIZE / Z OWNER'S ADDRESS 71V/JC�.OD,Kt, S 7. s'V/r`�� '_31/ ASEMENT R SLAB- ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1ST; )( 40 2ND /)�y 3RD / l� BUILDER'S NAME (•(/ C�t� � l v/ � SPAN OC O DISTANCE TO NEAREST BUILDING 40 / DIMENgICYNS OF SILLS 41X4 DISTANCE FROM STREET J' "' POSTS f P DISTANCE FROM LOT LINES-SIDES 0 as REAR 20 GIRDERS AREA OF LOT /.2, CU� Fr Z FRONTAGE oo P HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW V L.� SIZE OF FOOTING �j7 �� X IS BUILDING ADDITION w �0 MATERIAL OF CHIMNEY IS BUILDING ALTERATION �A,1 0 IS BUILDING O S LID R FILLEDLAND WILL BUILDING CONFORM TO REQUIREMENTS F CODE L3 IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY w/ IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST gef/,000SEE BOTH SIDES EST. BLDG. COSTI 1/ ,�41, PAGE hfILL OUT SECTIONS 1 3 PERMIT FOR FOUNDATION ONLY EST. BLDG. COST PER SQ. FT. ,r�/'- REGULATED BY PARA: 112.7 S.B.C. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM 12,P5V DATE' FEE PAID: SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS.IWST BE. FILED /AND APPROVED BY BUILDING INSPECTOR DAjE FILED C2 BOARD OF HEALTH SIGNATURE NER OR AUTHORIZED AGENT It QWNFR � Y,^. t^ xt /G FEE " � �` �' 607-11 - PLANNING BOARD PERMIT GR .r9 Z- r1 7F � BOARD OF SELECTMEN ` Q-P R-Ml FOR FRAME/RUILDIN DG. PERMIT FEE 8 63S, o� I� rp { E1 LESS FDA FEE f o-D 0-o I rs FEB Q ry - FEE PAID' DUE FRAME PERMIT$ a� RUILDIN N ECTOR BeJILDI UG DEPARTW E VI BUILDING RECORD 1 -U I Vb;e U'PANCY 12 SINGLE FAMILY STORIES THIS SECTION yMUSTSHOVVSXACT�DI''M-ENSIONSOF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES' AND-EXACTI--DIMENSIONS OF BUILDINGS. WITH"PORCHES, GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d 1 2 (3_ CONCRETE BL'K. PINE BRICK OR STONE HARDW'D PIERS PLASTER DRY'WALL UNFIN. AREA FULL —FIN. B'M'T:..AREA I '/. '/r I/ '. FIN. ATTIC AREA 1 NO BMT T , FIRE PLACES j HEAD ROOM _ MODERN KITCHEN 1 4 WALLS II 19 FLOORS CLAPBOARDS B 1 22 J 3 DROP SIDING CONCRETE —I_ WOOD SHINGLES EARTH ASPHALT SIDING HARD\N'D _ ASBESTOS SIDING _ COM/ACN _ VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ - 1 L STUCCO ON FRAME' ti BRICK ON MASONRY ATTIC STRS. & FLOOR BRICK ON FRAME' CONC. OR CINNER BLK. �• STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR1. POOR _ ADEQUATE NONE $ ROOF 10 PLUMBING GABLEHIP BATH (3 FIX,) GAMB RELI MANSARD TOILET RM. (2 FIX.( FLAT 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. ` f RADIANT H'T'G UNIT'HEATERS' GAS . . 7 NO. OF ROOMS OIL B'M'T 2nd ELECTRIC �. r 1st 13rd I NO HEATING FORM U ! TOWN OF NORTH ANDOVER � LOT RELEASE FORM SUBDIVISION ��G L //fS La�l�Jow ASSESSORS MAP SUBDIVISION LOT(S) coT #/ PERMANr T ADDRESS (ASSIGNED BY D.P.W. STREET �' e c /%S �.y,c9d•✓ APPLICANT ���c�/ll C�y,�/iye.✓ BEV. �� PHONE DATE OF APPLICATION 2 TOWN USE BELOW THIS LINE PLANNING, BOARD DATE APPROVED TOW- PLANN R'� DATE REJECTED CONSERVATION . COM MISSION DATE APPROVED E 1 V CONSERVATION ADMIN. TE REJECTED BOARD OF HEALTH DATE APPROVED '-HEAL '1i SANITARIAN DATE REJECTED DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT SEWER/WATER .CONNECTIONS e Y/k ( S qfiwC, �Z i� FIRE DEPT. , F5 RECEIVED BY BUILDING INSPECTION rr DATE r FFR i d j! f s BVUILD11- U E eAM ME't� This form shall be signed by the agents of the Planning and Health Boards , the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall notreleive the applicant from the compliance of any applicable Town requirement or Bylaw. V_ Ur i i r FEB 2 5 M2 L'p MMa� o0/ 103- 00i:4 03 D0'42 • yg, Z4 1 � \ qo� ply- xO P , w� .ZOZ.1�' O pO . LoT k- 0 2974d; � 1 FOaA p,04TiOAI ,e eo y .qv 1.vs7e411L--A1T SvevEy, �.Z •I"C,8Y CE.eT/FY TO Tye T/TGE/,(/SU.PO.P A,VO �L O T RL/Y N TO ON T/1E LOT AS ShOIY�V ANO T//.oT/T OAFS CO.(/FG�PA1 //(/ !Y/Tf1 T//E raa✓.c/' OFNO.A.vD av�Q ZONrvG ,eE6v[ArbvS - w / /� �,/�'. .. �Ql�6v4.?D/N!s SETBAC�t'S FE0�1 ST.PEETS�fOT f/.aES."' �Y 0.,r/Np0 vE,e� ////9.SS, � 1 FU.rTi!/G.P LE.PT/FY TNiOT T/f/,S OiY'EGf/N6 /.s�t/OT fOG47E0/,4/ r1le FE4E.P.44 FfODO fi'.92AP0 APE.4, O�P/gsYiV fOiP ' SyOWN O/(/FE MMuit//Ty P�CNGG '� -� pf 250D9S OOOS6 �/�/G,L/P„$' �ois7mON �QY6LOP�FNT�.L�7�2P, "q D.vT60 J✓�/E/S/9g.3 /99z sTE ee.s OArE _ �y 4"cr51E� Ti71Uf PLA f GE ,elel-OSES-i107 FO.E' Bovvo.Py riot/ Bouvo.4.eY itiFo�P/yf- �E.P,P/ilf.4Gf'�,f/GidEE�P/,�/6 SE•PI�/l'ES AT/O(/ TA.t�E.S/ F,PO,t1 EX/ST�,�/G .PE-Lo,POS. holo f'q.P�.ST.PEET A.t/00�' ; /yl.4S,S.4G,f///SETTS o/8/O �F I V-0i own oAndover ,r0 a 1 IVFc �y PERMIT TVer, Mass. A PERMIT T LD BOARD OF HEALTH .0% �& 74 THIS CERTIFIES THATCOW VWWo W. BU ......e0ki.eo I LDING INSPECTOR has permission to er O ...R.OW&TIdings Rough, WWW& Chimney to be occupied as �wm& Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY Final VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA: 112.7 S.B.C. PERMIT ESC P I R ES IN v�Q�1T P� FEE PAID: ELECTRICAL INSPECTOR Rough UNLESS COAST tJCTI _ TA S Service PERMIT FOR FRAME/BUILDING Final .. . ................... . . ........ BUILD G I PECTOR DATE: I �� FR PAID• GAS INSPECTOR ccupancy ermit Required to Occupy Buildin ER�f'TFEE ,$-,� Rough -LESS FDA FEF Display in a Conspicuous Place on the Premises FIRE PERMIT FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by STREET W'h Smoke Det. Building Inspector SEWER/Will T1 LAHWnW _ ��' �� - )� NORTH own o ndover O ;rad n•�, � No. 7 )RIVEWAY ENTRY PERMIT " H �E �; e , ass., 1 9 " ICK OR ? SS BOARD OF HEALTH PERMIT THIS CERTIFIES P' . • � BUILDING INSPECTOR has permission to ereuildings on �.�. .. Rough Chimney to be occupied as.... .. ... ... .. Y ............................... Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough PERMIT FOR FOUNDATION ONLY Buildings in the Town of North Andover. REGULATED BY PARA. 114A-& B.C. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. . PERMIT EX P I P E S IN 6 M 0 Nb1ft y FEE PAID /bD. ELECTRICAL INSPECTOR Rough UNLESS CONSTRUCTION TART Service PERMIT FOR FRAME/BUILDING Final BUILDING NSPECT iw GAS INSPECTOR DATE: y�gz FEE PAID.-5 3 6. — BLDG. PERMIT FEE ugh Occupancy Permit .required to Occupy .f3uddinj.jSS FDA FEE /,#v. `y DUE FRAME PERMIT$-5 ' l Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number G s Date R 2 3 THIS CERTIFIES THAT THE BUILDING LOCATED ON MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE �SSACH SETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. r 0 ",°"r", CERTIFICATE ISSUED TO " p ADDRESS 13,3 .7 '°J,C14us B ilding Inspector Ise:@� L o n over owno wb No. '4931 y� s 1 x DRIVEWAY ENTRY FERMI C C I F 1 Kad er, ass., 1 BOARD OF HEALTH P, ER wl THIS CERTIFIES TH •••• •• UI S •a••• ••'• •' uildin s on ....�. • • a Ro has permission to erec � gf•• ••� ' Chim y tobe occupied as.... . . ... . . ... ... .... ................................ Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUM ��NS ECTOR this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Roug ��. PERMIT FOR FOUNDATION ONLY Buildings in the Town of North Andover. RMUU M BY PARA 114.83. B.C. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT Ex L" I P E S IN 6 M n�!" FEE� ,� f y WI "/»• y ELECTRICAL INSPECTOR 1 Rough UNLESS C0['�dS_1^R1'J ;J..1nN "' I AR '-'� Service PERMIT FOR FRAME/bUILUING Final _,t.d BUILDING NSPECf ev GAS INSPECTOR DATE: ��`L FEE PAID- 3�• BLDG. PERW FEE '. ...... —R6'u h Occi,rpcancv Peraiil Required f0occ��upj'll3ta�i/cdirr��FDAt+E /tv. 1'2' -- --- —-- Vv DUE FRAME PERMIT ; a � Display in a Conspicuous Place on the Premises FIRE DEP . Do Not Remove No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector