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HomeMy WebLinkAboutMiscellaneous - 123 MARBLEHEAD STREET 4/30/2018 123 MARBLEHEAD STREET 210/009.0-0045-0000.0 r 1 .j r 3463 Date..�!�..�S. . ......... NORTH TOWN OF NORTH ANDOVER 3? �� PERMIT FOR GAS INSTALLATION f ' D • a' _ a t�9SSACMUSEt This certifies that . . .� ll". '1.1. �. . . . ./. . . has permission for gas installation . . . . . `. . .` in the buildings of ;.`1:� . . . l .ice. '. :-1 . • . • . . . . . . . . . . . . . . • at North Andover, Mass. 4 � Fee. j.0 : : . Lie. No.. . J.�. �. ` .. .Ci_.r�. .�c. . . . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer I 1 Y MASSACHUSETTS UNI'ORM APPLICATON FOR PER7Permitg FITTING T ype or print) � 1it7i. NORTH ANDOVER, MASSACHUSETTS Building Locations 3 Amount S 3Q i- Owner's Name E1 New❑ Renovation Replacement ❑ Plans Submitted ❑ n ;2 ;W ri n m Z vi C Z Z Z Z SUB -BA SEM E :NT BA SE .vi E NT ! / 1ST. FLOOR r 2:N D FLOUR 3RD . FLOOR 4T II . FLOGR Tr if FLO O R 6TH . FLOC? R 7T It . F L O O R 3 T 11 F L O O R (Print or type)/' 1 Check one: Certificate Installing Company Name C ,I L%=j 0) h ❑ Corp. Address 6o r t ❑ Partner. Business Telephone_t,,h--9"—&3'� ® Firm/Co. Name of Licensed Plumber or Gas Fitter- INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type 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 Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: El of Owner or Owner's Agent Owner ❑ Agent hereby certify that all of the details and information I have submitted for entered) in above application are true and accurate to the best of my knowledge and that all plumbing work anU"16to l ions pertormed under Pe it l ued for this application will be in compliance with ail pertinent provisions of the Masset ..tate Ga Cod d Ch ter 2 of the General Laws. Bv: Signature ofc nsefi Plumber Or Gas Fitter Title Plumber fG 3G City/Town ❑ Gas Fitter LiEnse i umoer Master APPROVED wFr•icE USE ONLY) ❑ .Journeyman Date. . N° 4389 TOWN OF NORTH ANDOVER ° PERMIT FOR PLUMBING I'SSACMUs� Y This certifies that . .� /./.?'A. �. . . . . .f�. ` • . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . a plumbing in the buildings of . . . . . . . . . . at . . . . . • North Andover, Mass. Fee.C,.S r ' Lic. N o.1. . . . . . . . . . . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer .MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS – l _Date ?666 / Building Location Owners Name NC �ount��6 J1.9 Type of Occu an , - New Renovation r% Replacement [3 PlSub ' ed Yes No 0 FIMTLWS w Cr At w w SWC BtS1 Eq 9 1ST Hsi MOW= r / A Mff-aR 4MHDM smna]R 'nsH m 1=KaR (Print or type) Check one: Certificate Installing Company Name 61 V' '�' [ 0 Corp. Address '` r D Partner. M ® Firm/Co. Business Telephone Lj- Name ofLicensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropnate box Liability insurance policy rM Other type of indemnityEl 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 an 'ons perfiarm Permit Issued for this application will be in compliance with all pertinent provisions of the Mass Phdhb' C e and Chapter 142 of the General Laws. By; Yl—gna-Im ol Li ea rmnloer Type ofPl ing License Title 103Q, ❑ City/Town icenseum er Master Journeyman APPROVED(OFFICE USE ONLY Date.......7 � �d!N° 23Q9 . . l. AOR, °f�"`° '•'"° TOWN OF NORTH ANDOVER = PERMIT FOR WIRING CHUSEt This certifies that ...... . ..... .... ......................... has permission to perform ... .Q. N.+d.P.... �f.:................................. wiring in the building of....M. !� ........................................ at...Z...............1!� .. .2.�?........,� q... :., orth Andover,Mass,v - Fee....7�t.�U. Ltc.NoJ...../.lf�..............�;.. .. .. . -�.......!............. ... (ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 7hE60MMOAN AL7NOFMAMORSE77S Office Use only DEPAR73fflWOFPUBLICS4FM Permit No. 930 BOARD OFF7REPREVEMONREGUMMAS527CMR12*00 Occupancy&Fees Checked CVJPPUCATTONFOR PERMU TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date/ -Y a O Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) i upble Owner or Tenant M °L. Owner's Address 61 Is this permit in conjunction with a building permit: Yes[2 No (Check Appropriate Box) Purpose of Building ���(J`j Utility Authorization No. Existing Service Amps Volts Overhead o Underground Q No.of Meters New Service Amps Volts Overhead Underground No.of Meters " Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 11�. N6.of Lighting Outlets No.of Hot Tubs No.of Transformers Total �1 KVA A.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Q Municipala Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis f_ Jo.Hydro Massage Tubs No.of Motors Total HP OTHER h>,strmroeCo�erag�Pr>tsuat�thetagtrita� sel�GataalLaws � Q IhmeaametLi bildyhtstr&=Pdlicymdu&ECat> W C maWcrits afiv� YES NO Iha%embmftdNWpro*fsa=1ot4eO roe YES rJ NO M Ifjcuha%edvdWYE'S,plemmdc*theMmofwmaa rbydiadmgthe b INSURANCE [;Z BOND OSIER (t' weSpe fy) EViratim Dat- y ^ 4CJ� c>f!mfr cal Wak$ WakoSlmt 2���_ D* ...._"7 .2- Final Signadutxlas ry. )ec U=WNT0. l V FIRMNAME U �— ° Lioa>,see Y 1/'tel �'e��V 1/J Sigtr�ae 'G'�" —fit Lioa�eNo �• EwhsTd.Na _ AILTd OWNER'S WSURANCEWANER;IamamthattheLioar domnut atoem�er�eadssui�a�ial astecAmedby'M�dn>s C Laws 2ndtllattriy9g7ii�i9EQ11IflSp�n4aj7p�iVJBlS��1518C(LHHYIe:rd. �y (Please check one) Owner a Agent ,/i�/ Telephone No. PERMIT FEE �� Location / No. Date �ORT� TOWN OF NORTH ANDOVER 3? ' O[ + Certificate of Occupancy $ �'�s''•°'Eck Building/Frame Permit Fee $ s�cNus Foundation Permit Fee $ Other Permit Fee $ r TOTAL $ ' J � Check # I bbb Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING a�..� .��1� BUILDING PERMIT NUMBER: 06 DATE ISSUED: 3 SIGNATURE: L Auildinig Commissioner/In for of Buildings Date t3j I ILI SECTION 1-SITE INFORMATION 1.1 Property Address: JJ 1.2 Assessors Map and Parcel Number: AJ0 _n P,), /v,9 Map Number Partel umber 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Dish c—t Proposed Use Lot Area(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required— Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record J / / .10�IV Yin e2r�vE r�1 �f�,;,,c.� /.GS MA2� r-1t.*� Sf Name(Print) Address for Service /9.2/ Sig&e Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Number .i Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number Address Expiration Date Signature Telephone G) SECTION 4-WORIERS COMPENSATION(NLG.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.......❑ No.......❑ SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: �T o e�p� Poo 07 S 1/L SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be � 3F)FICIAL>(TSE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of lid a Construction J 3 Plumbing Building Permit fee(e)X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 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 Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date 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 Print Name Signature of Owner/A ent Date M-IMM-M93MM 1. Im BMW NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORT11 Town of O TO No. �- L A O dower, Mass. oho a d COC HICHEWIC 11 ' ' AD'S A T E D `s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System C, BUILDING INSPECTOR THIS CERTIFIES THAT. .�..... ..... .................. t !... " Foundation has permission to wrct.. �.w.0. .:.... buildin on ...... .......... .... ...............� .r.. r .. Rough Chimney to be occupied as....., ........................................ ...... ..&............ !►. ..�I.................................................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS � ELECTRICAL INSPECTOR P &(,5 UNLESS CONSTRUCTION ST TS AA Rough .......... ............................... .... ............. ...... 40009W .... ......:. .... Service r BUILDING INSPECTOR Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Location 2-,z ^' k Z-s- No. kos Date A a a „ORT„ TOWN OF NORTH ANDOVEN t??O'tt`•D I•,�O0 p Certificate of Occupancy $ 9; ^o _ ,, ; Building/Frame Permit Fee $ '- •"`cy 'Ss�cMusEt Foundation Permit Fee $ ti Other Permit Fepg.. $ Sewer Connection Fee $ Water Connection Fee $ a TOTAL $ Building Inspector �•={g 1.6 Div. Public Works y` -82 PERXiIT NO.(v✓ APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP K40. LOT NO. 2 RECORD OF OWNERSHIP DATEBOOK ;PAGE ZONE SUB DIV. LOT NO. LOCATION v ! PURPOSE OF BUILDING OWNER'S NAME V �r NO. OF STORIES SIZE' w OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME fy r`. SPAN DISTANCE TO NEARESyrBUILDING 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 - / 9 : C SEE BOTH SIDES LAND COST EST. BLDG. COS .:�"�oD/�VJ 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 • aalafoz NUILDING INGPECTOR SIG A URE OF OWN OR AUTHORIZED A 9 ENT f� '7 F'E E Z C30 OWNER TEL.# �`v/��/� PERMIT GRANTED CONTR.TEL.# `e I+ u zz 7 I9 l CONTR.LIC.# ®� Y�� 2 � H.I.C.# ��✓ BUILDING RECORD I 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. a CONSTRUCTION 2 FOUNDATION 6 INTERIOR FINISH CONCRETE _ d t 2 I3 CONCRETE BL K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ '/ 1/7 l/, FIN. ATTIC AREA _ NO B 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 HARDV✓'D _ ASBESTOS SIDING COMtAGN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) GAMBREL 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 1 M_ 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 RADIANT H'T'G UNIT HEATERS - 7 NO. OF ROOMS GAS OIL B'M'T 2ndELECTRIC 1st 13rd NO HEATING OFFICES OF: �r� �" Town of a 120 Main Street APPEALSNORTH ANDOVER North Andover, BUILDING '`: _ Massachusetts O 1845 CONSERVATION �""g64 DIVISION OF HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR In accordance with the provisions of 4IGL c =0. S 54, a condition of Building Permit Number 3,j— kos is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as dcGned by MGL c III, S 150A. The debris will be disposed of in: (Location of Facility) Signatu a of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. Location �a IPA �2 Of {I f 4a S t No. Date d �� TOWN OF NORTH ANDOVER 3 �L � 9 ' Certificate of Occupancy $ �'�s'•°•'<� Building/Frame/Frame Permit Fee $ �1 s�cwust 9 Foundation Permit Fee $ t Other Permit Fee $ TOTAL Check # Q 13574 Building Inspector PERMIT NO. 0!0 APPLICATION EOR PERMIT TO BUILD******** RTII ANDOVER, NIA MAP NO. LOT NO. 2. RECORD OF OIVNERSIIIP DATE BOOK PAG E ZONE SU11DIV. LOT NO. LOCATION x 3 - /-25- /-2MA(-`J 2 5- 1e eQ t PURPOSE OF BUILDING / ` _ � PMS ✓1 puSe- � h.9•� OWNER'S NAMEo f NO.OF STORIES � SIZE �o��e2;v� M OWNER'S ADDRESS cSC11�f�� BASEMENTORSLAB ARCHITECT'S NAME SIZE OF FLOOR TIMDEfl$' 1 2ND 301) BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING, DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONS OF POSIS DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONSOFGIRDERS AREA OF LOT FRONTAGE HEIGHTOFFOUNDATION TIIICKNESS IS BUILDING NEW SIZE OF FOOTING IS BUILDING ADDITION fiIATERIALOFCIIlA1NE1' IS BUILDING ALTERATION IS BUILDING ON SOLID Olt FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTS TO TOWN WATER y BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTMTIONS 3. 1`110PEI1TV 1NFOliNIATION LAND COST EST.BLDG.COST PACE l FILt.OUT SEC"TIONS 1-3 EST.BLDG.COST PER SQ. FT. OD law' EST.BLDG,.COST PER ROOM ELECTRIC METERS MUST DE ON OUTSIDE OF BUILDING SEPTIC PERMI r NO. i ATiACIIED GARAGES MUST CONFORM TO STAII-F FIRE REGULATIONS 4. APPROVED BY C PLANS MAST 111.1'ILI:D AND APPROVED BY BUILDING INSPECTOR HOILDING INSPECfOII DATE FILED' 4p 0 Oii'NERS TEI.H O 1,' C l CONTR.TELH g LFEE $ F-OWNER OR AUTHORIZED AGENT CONTR.LICH 1l.LC.Hl"ED / O Revised 5/5/99 JM BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of.MGL c 40 S 54,a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in-a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A " The debris will be disposed of in: Location of Facility Signature of Permit pplicant i Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector f ,, r �J �ofrk TOWN OF NORTH ANDOVER,MASSACHUSETTS DIVISION OF PUBLIC WORKS STREET OPENING PERMIT AND PERFORMANCE BOND AGREEMENT 01/06/00 ��AC#1iS`3� On this day in compliance with North Andover Town Bylaw Chapter 161-3 Street excavation Permit,and subject to all the terms,conditions,and restrictions printed or written below and/or attached,permission is hereby granted to: John McElhiney 123 Marblehead Street,North Andover,MA 01845 to enter upon: place dumpster @ 123 Marblehead for the purpose: demolition of building mes Ra Jr for of Engin nng Division of Public Works,North Andover,MA WHEREAS Pursuant to the provisions of Chapter 161 Section 161-3 of the North Andover Town Bylaws, the Grantee agrees.to provide a plan and a bond in the sum of$10,000.00 bound unto the Town of North Andover and an additional refundable* amount of$ to assure proper performance and completion as defined in the conditions below or as attached. The Grantee must notify and receive approval from the Police Department to block or alter traffic and must notify the Fire Department,Postal Service and School Bus Company if a roadway will be closed because of the proposed excavation. In 'tness whereof the gran ee(s)have here unto executed this agreement. John McElhinev S' ature Print name Signature Print name 978-687-0908 978-688-1721 Day time telephone Emergency(24 hour)telephone 1.Dig Safe Number: 2. Certificate of Insurance on file Yes 3. Expiration Date of Paper Bond: None 4. Amount of Cash Bond: $500.00 Check Number:2648 5.Person whom Cash Bond will be returned to: Same as above North Andover,MA 01845 Place dumpster just off sidewalk,rope area during working hours,clean area daily and remove snow if necessary. CAWORMSTOPENINGSTERM WLTRRO :.d , s .. � .._ v .. ,. � 4 1 + , Y , f t. .. 'I ., .� . +. ! .. �. Town of North Andover t NORTh OFFICE OF 3�0`,,,�o ,,�y0 COMMUNITY DEVELOPMENT AND SERVICES o p 140 . 27 Charles Street North Andover, Massachusetts 01845 �4 ^ .,o•�•'`�y WILLIAM J. SCOTT s A<HUSti� Director (978) 688-9531 Fax (973)638-9542 HOMEOWNER LICENSE E.'=MPTICN Please print. DATE Z C- U `) JOB LOCATION /Number Street address Section of town „HO�tEMV-N-EP, �6 L A i✓!�_Iki✓ l X`Z 70)Z J-2 ' U 9 o Name Home phone Work phone PRESENT MAILING ADDRESS 22Y/4 �'''%^���� S/ City/Town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Sec- tion 109.1.1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures ac- cessory to such use and/or-farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner . Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWiNTRTS SIGNATURE 6/1 APPROVAL OF BUILDING OFFICLU Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. BOARD OF APPEALS 683-9541 BUILDING 683-9545 CONSERVATION 683-9530 HEALTH 688-9540 PLANNING 683-9535 NORTH own, 0 _ :..: . Andover No. 10 10 0% C'0'o ~z== `$ -o dower, Mass. 6 v COC HICHEWICK ' A0"SATED 5 1 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ��� e BUILDING INSPECTOR THIS CERTIFIES THAT......�!!�.�..�.�............f......... ...�.... Ow.. .......... ... ....... ................ Foundation has permission to e�i..�. r�r r. building on .,.. ...�� ......� ..... � .. / Rough to be occupied as �. O.. #040 ,�� • FA�� Chimney ... .. . ....................................................... ....................................... ...... .............. ............................ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough rn Final PERMIT EXPIRES IN 6 MONTHS g4r ELECTRICAL INSPECTOR 10 UNLESS CONSTRUC Rough .. ...........A ........................................................................ Service op'ro�w BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.