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HomeMy WebLinkAboutMiscellaneous - 1140 OSGOOD STREET 4/30/2018 0 1140 OSGOOD STREET J 210/035.0-0053-0000.0 I� t II i i it I { I . 7/31/99 ACTION KING ENTERPRISES, INC. SERVICE DA rES DISPOSAL REPORT- NORTH ANDOVER 71/99 =7/31/g3 DATE CUSTOMER DESTONATION EST GALLONS 7/6/99 THE LOFT RESTAURANT FITCHBUIRG 3500 1140 OSGOOD ROAD 7/8/99 BAY STAT_E CHOWDA CORENCO 1500 109 MAIN STREET 7/20/99 MARYLYN MOORE LOWELL 1500 95 SUMMER STREET 7/29/99 JOE FISH SAEFOOD REST. CORENCO 3000 1120 OSGOOD STTREET This is PROPRIETARY and CONFIDENTIAL information which may be used only by the Board of Health for reguiaton/ purposes. ` _ ,-z-o7 Date.................................. i O� NO oTN 1ti 3: ,•t:�` �,� TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING s ;`• ,SSA us This certifies that .....G( '¢ POL ?rR. 4...r-�. r&'C- ....................... ...... ............. has permission to perform .........-:5— ...................................—............................ wiring in the building of T� �..� �T ..................................... ........................................... at......... .11 ,40. ...... f�ep..... S r..... .. ,North Andover,Mass. .. .......... Fee..f .ra......... Lic.No.�.....�/2 5 ....... .......... .... ....... ... } ELECTRICAL INSPEaR Check # 70 7 ,06 .Ararltnenl e,J_fi„r ------ Occup:uuyand Fee C'hc•cl.ed BOARD OF FIRE PREVENTION REGULATIONS I/y9) (IL•IVC hIJnA) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance with the Massachusetts Electrical code(MEC'), 527 CMR 12.(N) (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of Nov e V” To the Inspector of Wires: .� By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) I I yo CSS Owner or"tenant t h,L �,G telephone No. -- _---._—_-- Owner's Address --- Is this permit in conjunction with a building permit? Yes ,,�V,,� (� rF't No I. J1 (Check Appropriate Box) Purpose of Building - Utility Authorization No. Existing Service �� Amps 120 1.20`1 Volts Overhead[] Und rd g �_� No.of Meters New Service Amps Volts Overhead Ll Undgrd[1 No,of Meters Number of Feeders and Ampacity ( — Location and Nature of Proposed Electrical Work: (�y� ,Q t A.±H Vz00 MS Completion ojthe following table may be waived by the Inspector of Wires. No.of Recessed Fixtures s No. of Ceil.-Susp.(Paddle)Fans I No] of Total Transformers K VA No.of Lighting Outlets $ No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above. [l In -i No.o mergency Lighting g gmd. �- ' BatteryUnits } No.of Receptacle Outlets P No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.o Detection and Initiatin Devices No.of Ranges No.of Air Cond. Total 'Pons No.of Alerting Devices No.of Waste Disposers Heat Pump Ntlm¢er. __Tons _ __ ti W _ No,of Self-Contained Totals: DetectiorL/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Municipal t--1 Connection 1_ Other No.of Dryers Heating Appliances 3 KWSecurity ystems: No.of Water N3oco No.of Devices or Equivalent Heaters No.of o.of Data Wiring: KW Si nsD Ballasts No.of evices or Equivalent 2 No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: Z No.of Devices or Equivalent OTHER: \ V2S,\� ( M f� � / _U LCd 1` F,)("4) of (..ems( NIM"( J Atruch uddrt,onn! etad rf desired,oras required h4 ripe lnspec'tor of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee it 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. y CHECK ONE: INSURANCE Y1 BOND OTHER ; (Specify:) ` .q_ k!-,'c�c `1 e I?sfimated Value of Electrical Work: U (tixpuation Date) --— - ---(When required by municipal policy.) Work to Start:._ Inspections[o be requested in accordance with MEC Rule 10.and upon completion- Ins ------ 1 certify, under the pains and penalties of perjurv. thou the information on this appli-cation is nate and complete. FIRM NAME: / s�Ie 106we r Y- 1Zo4- I.icensee: .�1_tC-�4 z� be C:yl,�x� r ------ —LCiv v_ Signature _— �2 t I/npplic'ablr.ruler" Tempt"in tire license number line.) LIC NO.:-- 'l - � _-__- Address42fe/: d Bus Tel. No.:� /�-Yt*!?, Alt. Tel. No.:-?41-C.2 kkJ 2 OWNER'S INSURANCE WAIVE I am aware that the Licensee does not hove the hahility insurance covera2e normally required by law. By my -signature below,I hereby waive this requirement. lain the(check one) owner owner."agent Owner/Agent Signature -----__.._._----------------_ - Telephone No. PF:Rrt{{T FEE: K' - Date. TOWN OF NORM ANDOVER PERMIT F PLUMBING Ss�cHus� This certifies that . . . . . . . . f.`?. . . . . . . . . . . . . . . . . v has permission to perform . . . . .711 " . . . . . . . . . . . . . . plumbing in the buildings of . . . jc� . . . . . . . . . . at . .��.E! . . a S.5.° .•. . . . . . . . . . . . . . . . . Nom Andover, Mass. FeeAL. . . . .Lie. No.. C.)... . . . . . . . . PLUMBING INSPECTOR Check # (I 7 7346 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Datetl d Building Location W-10 0-S(..0,,/,,) Owners Name Jvrh 6 e i Z Permit# 7 Amount Type of Occupancy L New Renovation 0/ Replacement Plans Submitted Yes No FIXTURES H F a w N SLRHM R4SffV1 W M Rfm Li 3 rDFUM 4M ROM Y 5MROCR sM ROCR • 7MFUM siH F10CR (Print or type) Check one: Certificate Installing Company Name ►q(S,),J 3 PL G.-j I i 1. 1-1 Corp. Address J�-1 f- Partner. Business Telephon 1 12 _ I Firm/Co. Name of Licensed Plumber: SPA�J� S Insurance Coverage: Indicate the of insurance coverage by checking the appropriate box: Liability insurance policy L Other type of indemnity El Bond ❑ Insurance Waiver. I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information 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 performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass,aghusettsState Plumbing Code and Chapter 142 of the General Laws. BY Signalu o~ rcens um er Y Type of Plumbing License Title �ail�j City/Town rcense um er Master Joumeyman ❑ APPROVED(OFFICE USE ONLY TOWN OF NORTH ANDOVER OFFICE OF LICENSING COMMISSION 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 f pORTH Donald B. Stewart, Chairman Mark J.T. Caggiano p Telephone(978)688-9500 Thomas Licciardello * FAX(978)688-9557 Rosemary C. Smedile " ' '' James M.Xenakis ��ssACHU t� Memorandum To: Building Inspector Chief of Police Fire Chief U✓�' Board of Health S Commission on Disability Issues =e From: Jane , Assts own Clerk Date: September 19, 2005 Subject: The Loft 1140 Osgood Street Attached please find the plan for Alterations to the Premises, from The Loft, 1140 Osgood Street,North Andover, MA. Please review and respond by Wednesday, September 28, 2005, as this will be on the agenda for the Licensing Commission on Monday, October 3, 2005. My E-mail address is jeaton@townofnorthandover.com if you would like to E-mail your response. Thank you in advance for your immediate attention in this matter. RECED SEP 2 0 2005 BUILDING DEPT. c � The Loft Steakand Chop Mouse, GLC 1140 Osgood Street North Andover, A 01845 I September 15, 2005 To Whom It May Concern: Re: The Loft Steak and Chop House, LLC Let it be known that the below signatories are all in agreement for the renovations to the lobby area at The Loft Steak and Chop House, LLC located at 1140 Osgood Street,North Andover, MA as in conformance with the plans as drawn by Artists Design Woodcarver dated February 12, X005. Michael P. Phillips Member amen Demetri Member Z,,4amesD Member On this day of September, 2005, before me, the undersigned notary public, personally appeared Michael P. Phillips, James Demetri and James Dietz, Members of The Loft Steak and Chop House, LLC proved to me through satisfactory evidence of identification, which was a MA Driver's License, to be the person whose name is signed on the preceding or attached document,and whom swore or affirmed to me that the contents of the document are truthful and accurate to the best of his knowledge and belief. �- Notary Public: Linda E. Lemieux My Commission Expires: February 9, 2007 LINDA E.LEMIEUX Notary Public &MY mn"Ofthof1M 55acComm=ion Expires Ftbruary 9,2007 1 I LL� 1 fl 73 tA / i I i o r l� I o IL ti IL IL o ' 1�tS I - 14-- i l))� 6CE]3R[N M TSI o IS1k1�'TAL"2W- Tp RE �.- i i i �SjCEI C SION=�I:YISSSC-�ILA.N�.—�"" �'1 "— •——— — — — LU�:�StT.�?OOTINGS� I' I , � � Jal�v s � t�-B�iTtS:�tEttt�-_ -- i1F:{L ',IXiDDCAMXIZ Ta!! ,,,�t aa-rnuavrr cn•cion vs+"C7 u s ALS•3)ECOBARIIG _ milt'ooga;; SIHBRIll SUMS $yu nms•tffitwom m ASSMEL LNZM6 rz7� N 77772777 fzzzzq N S.7NIVIAa-ate - ----------------- Y:fGV���fa@"� - � IwtIlY3�M1Gt�l� r: j at 'i .Sind t�r� IVCx �a Beg.No. Name Address Motor No. She Type Date when Installed DATE REMOVED REMOVED BY CAUSE OF REMOVAL DATE RETURNED 1 10 TOWN OF NORTH ANDOVER ` ' INSPECTOR'S NAME fee OFFICE OF THE INSPECTOR OF BUILDINGS MICHAEL MCGUIRE INSPECT-ION-REPORT fORM K to S�7 CLASSIFICA PASSES INSPECTION yes Ono 0 DATED OWNER ]� BUILDING NAME OR-NO. L T STREET LOCATION TYPE OF OCCUPANCY._ -Day mare-Center -0 4ud..0 Gaff -0 -Gyri -0 -Apt. 0 School 0 Common Victualer's 0 Liquor 0 Place of Assembly 04l` Other 0CCUPA":CY NUMeIER 4ine!P,ide-s'Gr+.es-* 9qd mss__ .._•Y �DerAee— - :u—se-Fe-vers -fie EXISTINGS EXIST SIGN yes no LIGHTED EXIT SIGNS eper-able -0 -no EMERGENCY LIGHTING SYSTE M operable 0 dry cell 0 wet cell 0 SPRINKLER SYSTEM /V011 -1,- operable 0 gage pressure yes 0 no 0 SMOKE DETECTOR /t/D n -C_. operable 0 yes 0 no FIRE ALARM SYSTEM X)04 Z��piratien-date -yes -0 -no 11 ANSUL SYSTEM U Dl1li:� 17; 10� yes 0 no 0 FIRE ALARM SYSTEM X16FAe, operable 0 municipal 0 yes 0 no 0 ELECTRIC EQUIPMENT PROPERLY PROTECTED yes 0 no 0 EGRESSES LAWFULLY-DESIGNATE unobstructed 0 -res .11 -no 0 STAIRS PROPERLY RAILED Al N d �/�!/L /fir (J�),<s yes 0 no D HALLS AND STAIRWAYS LIGHTED Y4--< yes& no 0 RADIATOR GUARDS yes G nc COMPLIES HANDICAPPED PERSONS LAWS -yes -no -0 FIRE RESISTANT CURTAINS OR DRAPERIES HOW HEATED d NO. FIREPLACES S- yes no BOILER ROOM CONDITION VENTILATION G UTILITY ROOM - CLOSETS ZS NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY SHOPS Pq vl& U1 y t �34--, 1, ,7/W✓I� UI b 11 1--,`'' 6 r JJO (�k nd Ply oZ1-r,C RC" FOR INSPECTOR USE ONLY Revised 2m jmc, f � r CO3 MONWEA,LTH OFMASSACHUSETTS TOWN OF NORTHANDOVER 27 CHARLES ST APPLICATION FORCERTIFICATEOFINSPECTION Date / (),--fee Required(Amount) D . No Fee Required Accordance with the provisions of the Massachusetts State Building code, Section 108,15, I hereby apply fog Certificate of InsWct en for the-below-named prewses-located-at-thefolloiwng-address: Street and Number ����� �S�Dy� Sv- A/0 Name of / Premises ' si&') S� Purpose for whic Premises is Used �'C' Licenses (s) or Permit-(s) Required for-the P-rem-ises hy-OMer-Governxnenwl Agencies: License or Permit Agency Y 4-1 U cce Certificate to hi issued to I Address t to G ccs S Telephone �7tsGg� ��zW �y. �i,,i � OSS'Dcc( S - `, er of Record of Building �V P �css— Address Name of Pres Holder of Certificate 1,6F771- c,449�-ejc G�, c( C, � Name of Age cy, if any. V ��4 SIGNA TU4 OF PERSONS tO WHOM CERTIFICATE TITLE _ IS JSSjYZ OR HLA'A-UTHOIRIZED AGENT i&/7 Ic 5 DATE INSTRUCTIONS: 1) Make check payable to: Town of North Andover 2) Return this application with your check to: Badday DePL 27 Charles Street,North Andover MA 01845 PLEASE NOTE.- Application OTE.Application form with accompanying FEE must be submitted for each building or structure or part thereof to be cert 3) Application and fee-must be received before the cert tate.will be issued. 4) The building officials shall be notified within ten (10) days of any change in the above information. CERTIFICATE# EXPIRATIONDATE. T 'f SBCC-3-74 REHSEB 2199jmc The Commonwealth of Massachusetts City\Town of New and Renewal Certificate of Inspection In accordance with 780 CMR, Chapter 1 (The Sixth Edition of the Massachusetts State Building Code) and Chapter 304 of the Acts of 2004 (an Act to furthi enhance fire and life safety), this certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to The Loft Restaurant Identify property address including street number, name, city or town and county Certificate Expiration Located at 1140 Osgood Street North Andover , Ma Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group Classifications) Allowable Occupant Load This certificate of inspection is hereby issued by the undersigned to certify that the premise,structure or portion thereof as herein specified has been inspected foi general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place within the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal William V . Dolan Name of Municipal Gerald Brown Date of Fire Chief BuildingCommissioner Inspection Signature of Municipal / Signature of Municipal Date of Fire Chief ��/// �Q� Building Commissioner Issuance ,. -� fps--.�'�..~ •�"'Y i_J..cK.. _ 4,_ a.. -Sw.,a'w'i�..." : �.. .� +, � a .. 1 Date. . . .. . . .. . . 4139 1 NaRTh TOWN OF NORTH ANDOVER of , �ti 3? '.',�`�.. • hoc PERMIT FOR PLUMBING lo S$A US� This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .� : . . . . . . . . . . has permission to perform . . . . .`...` . . . . . . . . . . . . . . . . r plumbing in the buildings o .!'. . . `;. ..'. . . . . . . . . . . . . . . . . . at f. . . `" ". 'r." . . . . . . . . . y .;,� . . . . . . . ., North Andover, Mass. u Fee z- .. . . . . . .Lic. No . . . .. . . . . . . . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS 2 A Date Building Location j/ L/C P C; t�a� �', Owners Name � �hCl�V CL 6I Z��ermit_# 6 P P_ Amount �0 Type of Occupancy K Q5,t"'e" "m New Renovation Replacement 0 Plans Submitted Yes No FIXTURES a rQ� fY w w d W q W Q a A a H d Cq az CA a d w ,.a A A SL13,H C &�SIIVIIVT M Elf= Zu FLDQZ M FLOCIR 4M HIM 5IH FIDQt 6M H M 7IH Fl" SIH FLaR (Print or type) Check one: Certificate Installing Company Name 11 Corp. Address (2 n El Partner. � � 5 Z Business Telephone 27 $' 9-) Firm/Co. Name of Licensed Plumber: \_ Y� I W C.�I cA 0A) Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have-any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information 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 performed under PeMit Issued for this application will be in compliance with all pertinent provisions of thaFh alVbin Code an hapter 142 of the General Laws. By: a o icens um er Type of Plumbing License Title 2 City/Town License Numner — Master ® Journeyman APPROVED(OFFICE USE ONLY 1 Location 4 / ,/'9 No. Date 7 �� r NORTH TOWN OF NORTH ANDOVER 3�0�•(`ao �a,hC 10. R :'e ; ; Certificate of Occupancy $ + ;�s��NUs<� Building/Frame Permit Fee $ L' o Foundation Permit Fee $ ` Other Permit Fee $ TOTAL $ Check # �J 7 i 7699 Building Inspector c TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING rn � m BUILDING PERMIT NUMBER: DATE ISSUED. SIGNATURE: Building Commissioner/I for of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: V C16-3 ry f o a n�� Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred Provided Recpired Provided v 1.7 Water Supply M.G.L.C.40. 34) 1.5. Flood Zone Information: 1.8 sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record ` Name(Print) Address for Service Sig Teleplione 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Tele It 90 SECTION 3-CONSTRUCTION SERVICES 3.01,icensed Construction Supervisor: Not Applicable ❑ Lic'mn edsConstruction Supervisor: 0 —3 O Duval Roofing License Number p_O.Box 637 Addmn re North Reading,MA �a/s— D 01864 /���Y Expiration Date ignature Telephone r■ 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name �t.// C- C> M �� Duval Roofing Registration Number r' P-0,Box 637 r■ Address ��j� ' North Reading,MAdj j � '� 01864 / ��(� 5��� Expir-2/ation D nZ Signature Telephone _/ f SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building rmit. Signed affidavit Attached Yes....... o.......❑ SECTION 5 Description of Proposed Work(check auapplicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE fi FNLt_, Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) X tb> 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 If 12500 — Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property r Hereby authorize to act on M b half,in all matters relative to work authorizeV by As building permit application. Date ZOA SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Duval Roofing P.O.Box 637 North Reading. Print 01864 >P} 6 k Si at e of Owner/Agent Date /(-/e NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3 RD SPAN DM ENSIGNS OF SILLS DMIENSIONS OF POSTS DINIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHWINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE r10RTH own of No. Y� R Adover Mass. O COCKICKEWICK V ' ' A0 ATED S BOARD OF HEALTH PERMIT T D Food/Kitchen e Septic System p ; 1% BUILDING INSPECTOR THISCERTIFIES THAT........ .................................................................................... ...................: ... Foundation P has permission to erect..... .... f es.................. bu"IdZAY.f?7� s on ..... .. 0.....Q�,S. '.m. , ..,.,.,,5 ,,,, Rough Chimney to be occupied as........... .V. ................... .......... ............................................................................ y 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 elating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. SM/45 0:3 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PES EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIO ELECTRICAL INSPECTOR STARTS Rough .... W" "400/ .... Service -� BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner RE DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. N. a The Commonwealth of Massachusetts d Department of Industrial Accidents Mice of Investigations Boston, Mass. 02111 ' �•' Workers'Compensation Insurance Afdawt Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity � I am an employer providing workers' compensation for my employees working on this job. ComDanv name: t Address d �� gS,SIcity, /Y v Phone#: 6g-5-,5— Insurance nsurance Co. P011cv# Comoagy name: Address City: Phone# Insurance Co. Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 and/or one years'imprisonment-as weti_as_civil.penalties in the lam d a.ST.OP.WORK ORDER.and..a.fiine of(3100.0o)-achy against_m e. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signatur Date_/? 0/& Print name Phone# S''� Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensin Building Dept []Check if immediate response is required ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#. ❑ Health Department ❑ Other Page No. of Pages rnA^11 DUVAL ROOFING P.O. Box 637 W., ' No. Reading, MA 01864 (781) 944.1994 - (978) 664-2557 PROP BMITTED TO PHONE DATE STREET JOB NAME A/ l / .YO dz7d CITY, TATE 27�� JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE PPII(JQSP hereby to furnish material and labor—complete in accordance with specifications below,for the sum of: dollars($ ��0®" Payment to be made as follows: 30% Deposit Required Before Ordering Materials. Balance Due Upon Day Of Completion All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from specifications be Authorized Signature -low involving extra costs will be executed only upon written orders, and will become an g extra charge over and above the estimate. All agreements contingent upon strikes, acci- dents or delays beyond our control. Owner to carry fire, tornado and other necessary Note:This proposal may be insurance. Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within days. We hereby submit specifications and estimates for: ... _. .._....._._........._....._.............. ................ ........ _......_..-....... ..__ _......__._....._._...._., .. ........_.. .. .. ....... .......... _....._._.....-..... .......__.._..___. _. .. ._ ._ _.____..........,_...,...'__...__.. _..._._... ......._.... .................. .....__. .._. _._.......__........,.. ...... _. ..._.......... .._..___.,.........__,_.......,_._.,_...._.. .._._._. . .................... "__....... ........._ ......-_... .............. ....._....... _........ ... ... .... ................... ........_.. ......... ._.............._............ ......._.............. ......... .... ............. ........... .......... ........_ .. ., .......... ........._._. .. ..._. ........._.... .._...._...... ......... ......., ....._......._....__. ....... ......... ...., .. ,..-.... ........... ..._...._.. .. .....__........ ....... _...................._...... ........... ......._._...... ........_....................... ........__... _.............. _ ... .-..... .. ....._........ ....._.._ ..._.............. .............. ..............._. .._.... _..__.....,. .....___..., _........_...... ._............ _. _._._........ __.....__...., ......__.. __.,.._,.,. .. .. ..... _._.__....._.....1.. ,....._....... .,._. -.... .. ..,...__....... ................ ....... .-.........._ .............. ....._.... ...,.....,.....,....._.. ,. _._....._,.............,_.., ...-_.,. ......_....._-_. ..._..._. ..._.___... ......... .__.._.__....,... ........... ....... ......_.. _._. _.____. .. ...._.. ,..._-.....,_. ........... ......... .._.... ......_ .. .... _. ..._,__,. .._...... .. _.......___,. _. __._ - -- ... ..._....,... ,, _...._.....,. ...._ ._.__.._. .._........_.., ._....-_._. .. _...... .............. _.... .. _ ._.,..,_-_.._... .__......... ..._................... ___...._............, ..._. .....,....... .. .............. Arreptance of Proposal —The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature Location /M0 DSCy D No. /40 `0 003 Date a-�� O 3 Cg17-, NORTH TOWN OF NORTH ANDOVER 3? . O F G R 9 a Certificate of Occupancy $ •••... Building/Frame Permit Fee $ ° Ss�CHU Foundation Permit Fee $ Other Permit Fee C r $ 0 TOTAL $ yv Check # c2 7/2 c2- 16 / Building Inspector TOWN OF NORTH ANDOVER INSPECTOR'S NAME ' OFFICE OP THE INSPECTOR OF BUILDINGS MICHAEL MCGUIRE INSPECT40N-REPORT FORM CLASSIFICATION PASSES INSPECTION yes 0 no 0 DATED o2 OWNER BUILDING NAME OR-NO. �' P STREET LOCATION 1 I`T U 0,S606D S' TYPE OF OCCUPANCY -Day Ce-Center -0 -AW. 0 -Cafe -0 -Gym E Apt. 0 School 0 Common Victualer's �p Liquor Place of Assembly Other OCCUPANCY NUMBER {+ncltide-Stories-# aM-occupancy jer#loor— use4ever se side �'D EXISTINGS EXIST SIGN yes/S no 0 LIGHTED EXIT SIGNS -eWaMe -yest4 -no -0 EMERGENCY LIGHTING SYSTE M operable 0 dry cell 0 wet cell 0 SPRINKLER SYSTEM operable 0 gage pressure yes 0 no SMOKE DETECTOR operable 0 yes no FIRE ALARM SYSTEM --e)oratien-date -yes -no � ANSUL SYSTEM !Z�d Z yes no 0 FIRE ALARM SYSTEM operable 0 municipal 0 yes 0 no 0 ELECTRIC EQUIPMENT PROPERLY PROTECTED yes f� no D EGRESSES LAWFULLY-DESIGNATE unobstructed 0 -yes 9�-) -no 0 STAIRS PROPERLY RAILED yes no 0 HALLS AND STAIRWAYS LIGHTED yes no D RADIATOR GUARDS yes 0 no COMPLIES HANDICAPPED PERSONS LAWS -yes t1fl' -no 41 FIRE RESISTANT CURTAINS OR DRAPERIES !-IOW HEATED NO. FIREPLACES N�� yes 0 no BOILER ROOM CONDITION A - VENT�L.ATION UTIL.I TY ROOM - CLOSETS y� / NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS VlA Jy G NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY SHOPS FOR INSPECTOR USE ONLY Revised 2199 JMC COMMONWEALTH OFMASSACHUSETTS TOWN OF NORTHANDOVER 27 CHARLES ST APPLICATIONF'OR CERTIFICATE-OF INSPECTION �y V� r Date a- 0 3 Fee Required(Amount) © O No Fee Required Accordance with the provisions of the Massachusetts State Building code, Section 108,15, I hereby apply foi Certificate of Insectaen for the belew-named pr emisesecaed�t the f°ll°w�ng dress: Street and rL Number //YO O 0 6�00b �Si/�CZ7- Name of Premises Tl-� L'� Lc FT L`.STA LORI NT Purpose for which Premises is Used R L`S 17Ao rZA tiT- Licenses (s) or Permit{s)Required for-the Premises by-Other Agovernmental Agencies: License or Permit Agency (-Cly UL EV,52A6-L'- 1 cENsL- Tdw,O OF /JO 12 �U �TI-T YL Lr12 I &v N Of O, N D/S\/erl2_ Certi icate to be issued to Address ( l OS6007 ��/�E' 7- Telephone 'D0 Z� Owner of Record of Building 3)P4 i Lam. H A ME V Address _� �/ sCr0 D IJ �SF NO, AN DQ\Lr4-- - Name of Present Holder of Certificate Name of Agency, if any SIGNATURE OF PERSONS TO WHOM CERTIFICATE TITLE IS ISSUED OR H S A-UTHOIRIZED AGENT cP & -03 DATE INSTRUCTIONS: 1) Make check payable to.- Town of North Andover 2) Return this application with your check to: ffu�Dept 27 Charles Street,North Andover MA 01845 PLEASE NOTE: Application form with accompanying FEE must be submitted for each building or structure or part thereof to' e cert 3) Application and fee-must_be received before.the eeraf4-tate will-be-issued . 4) The building officials shall be notii ed within ten (10) days of any change in the above information. ' CERTIFICATE# EAPIRATIONDATE: FORM SBCC-3-74 RE NSE&1199yme THE COMMONWEALTH OF MASSACHUSETTS r Z , n r � = TOWN OF NORTH ANDOVER d In accordance.with the Massachusetts State Building Code, Section 106.5 this r 'e V CERTIFICATE OF INSPECTION IS ISSUED TO THE LOFT RESTARAUNT I CERTIFY THAT I have inspected the premise known as THE LOFT Located at 1140 OSGOOD STREET in the TOWN of NORTH ANDOVER COUNTY OF ESSEX, Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY Story 1st Capacity 100 Story Capacity Story Capacity Story 2nd Capacity 120 Story Capacity Story Capacity Place of Assembly or structure. Capacity Place of Assembly or structure. Capacity 16160-2003 February20 2003 February 20 2004 -- � ry Certificate Number Date Certificate Issued Date Certificate Expires -tuilding 'cial PERMIT NO. v � APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. AGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP jDATE BOOK ;PAGE ZONE I SUB DIV. LOT NO. F- LOCATION lr ,Lyo D S Goof 5'r. PURPOSE OF BUILDING OWNER'S NAME L)-O 11 ,T�jMvC t NO. OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME IG,y�,) )„ 71 yr- SPAN DISTANCE TO NEAREST BUILDING �L•' �+' �� 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 p IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF IZ60E IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY T 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 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER 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 DATE FILED a I 1 FS BUILDING INSPECTOR SIGNATURE OF OW ER OR AU HORIZED AGENT FEE OWNER TEL.# L G va;; �. PERMIT GRANTED CONTR.TEL.# L g� 7 d i 0 t k 19 C7S 0710 CONTR.LIC.# // H.I.C.N r� BUILDING RECORD ` * 1 OCCUPANCY 12 SINGLE FAMILY _ STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ B 1 2 13 CONCRETE BL'K. PINE _ _ BRICK OR STONE HARDW D __ _ PIERS PLASTER __ _ DRY WALL _ _ _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T' AREA _ 1/1 1/2 % FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDVV D ASBESTOS SIDING COMMCN VERT. SIDING ASPH.TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING own of y over No. S641 7 0 LAKE dover, Mass., Z- ( 19 2E � i ' 9-COC M ICXEWICK y�1• �R;E D�►��A`y 'C� �1 E BOARD OF HEALTH PERMIT T Food/Kitchen Septic System -P BUILDING INSPECTOR THIS CERTIFIES THAT ...................................................... ...................... .C..r......................................................... Foundation has permission to erect..."•". ......I............. buildings on......0Y.0........... ..S.6...6-0-P............................ Rough to be occupied as.................................................................. -Ar.)%_l9 d Chimney provided that the person accepting this permit shall ir, every respect conform to the terms of the application on file in Final this office, and to the provisions of the Lodes and By-Laws relating to the Inspection, Alteration and Construction of. Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAR ELECTRICAL INSPECTOR Rough ............................................... .................... .. ... ..... .......................... Service B D INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove F nagh No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Budding Inspector. Burner Street No. Smoke Det. Location - Nt. J Date NORTH TOWN OF NORTH ANDOVER A Certificate of Occupancy $ Building/Frame Permit Fee $ �ssACH d , Pourtid0VPn Permit Fee $ Dt7✓FgC0w4rm'it Fee $ Sewer Connection Fee $ JVAa -r? Waler-Connection Fee $ $ �r Building Inspector Div. Public Works P&RJIIT filo. ®s-r APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /PAGE 1 MAP +40. LOT NO. 2 RECORD OF OWNERSHIP jDATE BOOK ;PAGE ZO�1'� SUB DIV. LOT NO. LOCATION /I t,tl OSrOUl? PURPOSE OF BUILDING OWNER'S NAME /V, Ai /'R'8v P NO. OF STORIES SIZE OWNER'S ADDRESS /1-110 OS(.oap 5T Yv,Apvl'--�bIfol'iBASEMENT OR SLAB !•`Le-113 ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1576X1 2N�D/X` if 3RD BUILDER'S NAME rG( .> �,� �JY�(/��7.lnl� �, SPAN L.11 DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET " POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY 7 IS BUILDING CONNECTED TO TOWN SEWER 7 IC, IS BUILDING CONNECTED TO NATURAL GAS LINE ',/05 INSTRUCTIONS 3 PROPERTY INFORMATION LA ID COST SEE BOTH BIDES EST. BLDG. COST-J/ J UOU / PAGE t FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER 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 R ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS Py.NS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR G BOARD OF HEALTH SIGN URE F OWNER OR-AUT ORIZED AGENT FEE PERMIT GRANTED OWNER TEL.# 44 PLANNING BOARD / 4 CONTR.TEL.# C,S7c:lO CONTR.LIC.#_U�0�/® V] OMOO C (yJ BOARD OF SELECTMEN 6 �� I �7 J BUILDIN3 INSPECTOR "PUILDING DEPARTMENT" BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY SiORtES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I ES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 I3 CONCRETE BL K. Pi NE ✓ _ BRICK OR STONE HARDW D PIERS PLASTER _ DRY VJALI UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T' AREA _ 1/1 '/r '/ FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS 8 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD"✓'D _ ASBESTOS SIDING _ COMMGN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. d FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ t SUPERIOR I� POOR ADEQUATE NONE i 5 ROOF 10 PLUMBING �} GABLE HIP BATH 13 FIX.1 GAMBREL MANSARD TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY - WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING 11 MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G " • r UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING h ' f O OFFICES OF: . fir' �. Town of 120 htaitl Street APPEALS `�"K' NORTH ANDOVER North A11d0ver, I'31 ILDINC; tV1i1ti5it('htts(a1S O Ifi4 i r ( UNSL' tVA'1'1UN ' )IVItiIUN � (617)1Wj.4775 HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR a a In accordance witli the provisions of MGL c 40, S 54, a condition of Building Permit Number 11 4v oSGoo►) 5—(, is that the dcbris resulting from tllis work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. 71e debris will be disposed of in: �. O (Location of Facility) Signature of Permit App scant 3 b '73 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. o/ 0 ;4S3Ga I � J i i I In O al A, 1 1 1 tt n I t n� X C 3 a �- ^'� r S 9 I sr - a- p f In t _ r C Urd' S n ^a ` • C Z �Ii � I 00-la ;L K w � Iry r -br i � w Page No. of Pages RICHARD FLUET CONTRACTING- INC. 102 Bridle Path Lane METHUEN, MASSACHUSETTS 01844 (508) 685-7010 PROPOSAL SUBMITTED TO PHONE DATE o t ,AVnx*j3013 STREET JOB NAME CITY, STATE AND ZIP CODE JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: • ��� �,�. �a_>_ -�� ao! . R�r�ovc oNc wa,� -haw n ­7 U ` R�YHoJ L �. S-ri�l:rwA.-+S 30C�`s'� ' C01v�?s?uc..T wr,�.v�✓Sud-S�3c�o� -FILL I tJ 02 tz �i wprzrc FL-0,Y, /STS 3uD PL;4, u'?S rar C)e'ctl'l 'i w�.�w5 u� - ' L00 ,'U7 PVC;-7 %AiJlZ/< �a�(1 � q w rf�L?oL✓ AL Lvv✓r�� c� L l / O ► u� . A wu�77 torr CLCC / CbIU/vb -P p cb PEA ao 00 Extras or changes to be completed at a rate il�per hour, per man. / N ATG1v 3t vSC� �eiee' p>. rl jr'R�X fKN- L LoST'. P FropooP hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: Payment to be made as follows: dollars ($ ). All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from above specifica- Authorized 1•' - .-/, .`tions involving involving extra costs will be executed only upon written orders,and will become an Signature extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado and other necessary insurance. Note:This proposal may be Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. L re of thapasal—The above prices, specifications re satisfactory and are hereby accepted. You are authorized Signature s specified. Payment will be made as outlined above. nce: Signature PRODUM 18 3 /Ve Ioc..Groton.Mm 01471.To Order PHONE TOLL FREE 1+800 225 6380 r COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF 1010 COMMONWEALTH AVE. MASSACHUSETTS BOSTON,MA 02215 LICENSE CAUTION EXPIRATION DATE CONSTR. SUPERVISOR 05/31 /1 994 FOR PROTECTION AGAINST RESTRICTIONS ! 234 EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB NONE „05/31/1992 050710 PRINT IN APPROPRIATE 0 ° BOX ON LICENSE. RICHARD A FLUET 10 2 BRIDLE PATH l N BLASTING OPERATORS i SS 0 027-36-1772 Z METHUEN t4A 01844 m MUST INCLUDE PHOTO. PHOTO(BLASTING OFF!ONLY) JE6100 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER ' DOB: r--. 04/22/1956 �� J ' THIS DOCUMENT MUST BE « SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF SIGNATURE OF LICENSEE THE HOLDER WHEN EN- Acqnq OTHERS-RIGHT THUMB PRINT GAGED INTHISOCCUPATION. � COMMISSIONER IIf . 3• �iTH�.�JII ,, �' NORTH ( Ic F �r Town of ` �� .g , Over 5 r � dower, Mass. I 199 COC MIC ME WICK � �ADRATE D '9S C, H '( S BOARD OF HEALTH Food/Kitchen P.ERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............ ............. ..�....rrA-ArS.f1;!")q*.r ................ Foundation � or permission buildings ...#.� y.6...& ... ' Rough t0 be occupied as.. 1 /0. ..�. � 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. y IV r rt #V jr Ar v T� eJ�1►S PLUMBING INSPECTOR VIOLATION of the Zoning or .Building Regulations Voids this Permit. Rough 0044AW&ROVERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR t Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough u h No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL / a � CONSERVATION FINAL Street No. Smoke Det. LFIII/FR /IIUATFR FINAL 4' DRIVEWAY ENTRY PERMIT