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HomeMy WebLinkAboutMiscellaneous - 124 HICKORY HILL ROAD 4/30/2018 124 HICKORY HILL ROAD 210/062.0-0107-0000.0 i i I I I i I F Date. . a' 1+ TOWN OF R H A10 PERMIT F R PLU ,SSACNUSE� This certifies that .� �,-�. . . - . . . . . . . . . . . . . . . . has permission to perform . . . . . � .1. :� �!�, . - . . . . . . . . . plumbing in the buildings of . . . . . . . { - . . . . . . . . . . . . . at. '�-y. . . u. . . . . . � . . . , No h ndover, Mass. Fee,�-,ZS. : Lic. No.. . . . . . . . . . . . . / PLUMBING I CTOR Check # ��•Sr 6 '178 MASSACHUSETTS US TTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING s C't?vt:f) U�0 Date 9--/Y-OL/ Bui ding Location oZ y Hl CKc r'y /j1i// Owners Name TO//// �eV t7-7 ' Permit# Amount T of Occupancy New Renovation �� Replacement Plans Submitted Yes E] No FIXTURES F F x a a a Ww A 4 a J w A, d w stl�vTc ISMOOR M RDM ° 3MRim 4M H.M 5M Fl" 6M HIM 7M FUM gm HDD (Print or type) n Check one: Certificate Installing Company Name �'S O A Pjq/�Q/��/ � Corp. SCS Address U �7�t i K AQ Partner. Business Telephone ��� �Q © �� Firm/Co. a Name of Licensed Plumber: s A m Insurance Coveraee: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0- Other type of indemnity D 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' ations rfo under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass ch e Stat 1 b' Code and Chapter 142 of the General Laws. By: Signature-or LIcense um er Title Type of Plumbing License . / . City/Town Icense NumDer Masteroumeyman ❑ PPROVED(OFFICE USE ONLY Date..4..?".r...rn....... ORT#1 °t,N"`° A" TOWN OF NORTH ANDOVER p PERMIT FOR WIRING t CMUSE� This certifies that ''--� f has permission to perform ..........r.L�....... ..................................................... wiring in the building of.... -- -4 1.................................. at... :..;/ �� ... ....�............ ..�-:'.�..............................North Andover,.Mass. Fee'.- '.... ....... Lic.No. ...... ELECTRICAL INSPECTOR � Check Commonwealth of Massachusetts y ' Official Use Only �I �r Department of Fire ServicesPermit No- Occupancy Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (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 PRINTWINK OR TYPE ALL INFORMATION) Date: 3 / �� City or Town of: NORTH ANDOVER 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) J2 Ur.)V?v mn Owner or Tenant P//(,L 1 i. �� Telephone No. Owner's Address b hA Is this permit in conjunction with a building permit? yes ❑ No � (Check Appropriate Boa) Purpose of Building b14 I M (11• Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Und rd g ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: -&UAC -� Completion of the followin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ in- ❑ o.o mergency ig g d. rud. . Batt- Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and InitiatingDevices Tons No.of Ranges No.of Air Cond. C-9. Total � No.of Alerting Devices No.of Waste Disposers Heat Pump Number -Tons KW No.of Self- ontained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* - No.of Water No.of No.of Devices or Equivalent Heaters KW No,of Data Wiring; Si s Ballasts No.of Devices or E uivalent f No.Hydromassage Bathtubs No.of Motors Total Hp Telecommunications Wiring: No.of Devices or E OTHER: uivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start• 0a__ NtOq 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 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 10 BOND ❑ OTHER ❑ (Specify:) I certify, p p �'') under the pains and pe alties of perjury, that the information on this applicado7 is true and complete. FIRM NAME: �°rG7Q.c� > I cE,Ca�����,�?� L ft-cc, ai�i Licensee: LIC.NO.: ,S�bQ o ,u ��-moo (If applic le, eQnterempt"in t ice number line.) Signature �� LIC.NO.: Address: �9UD3� /�� / �- y�q D�6'Q¢ Bus.Tel.No.: 9&-5W *Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Alt L c.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 agent. Owner/Agent Signature Telephone No. i �' I r i `. ., The Commonwealth of Massachusetts k� ! Department of Industrial Accidents 1 ` Office of Investigations 600 Washington Street "',i Boston, MA 02111 �'j www.mass.gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers At Plicant Information Please Print Lt-iblv Name(Business/Organizafion/Individual): �,/-I Addres i r' City/State/Zip4��T�� (5, Phone k �'����'"� -G d;---9f4- Are you an employer?Check.the appropriate box: I am a employer with.. 4. C3 am a general contractor and I Type of project(required): 2.lmployees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction am asole proprietor or partner- listed on the attached sheet.x 7. ❑Remodeling / ship and have no employees These sub-contractors have 8. Q Demolition working for me.in any capacity. workers' comp.insurance. [No workers'comp. insurance 5. ❑ We are a corporation and its 9. Building addition required.] officers have exercised their 10.f Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I I.Q Plumbing repairs or additions myself. [No•workers'comp. c. 1.52, §1(4),and we have no.ees12,7 Roof airs insurance required.]t ..employees.P Y [No workers' 13.❑.Other comp. iresutance required_] 'Any applicant that checks bo)C#l must also fill out the section below showing their workers'6ommsation policy information, t homeowners who submit this affildavit indicating they are daring all work and than hire outside contractors must submit a new affidavit indicatin such. ;Contractors that check this box_mustAtached an addr'tional g sheetshowi the name orthe sub-r n t� tractors and their workers'comp.policy inibmanon. I am anemployer that ' u- rovrdin :worke p g rs compensation insurancefor my employees: Below is thein}ormation. policy and!ob site Insurance Company Name: Policy#or Self-ins.Lie.#: 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 required under 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 farm of a STOP WORK ORDER and a fine l 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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Si tore: Date: 3 ®f Phone#: / 8 z e? FBoard useonly. Do not write in this area,to be completed by city or town official n: Permit/License# use one): I. ealth 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector son: Phone#• 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 of hire, 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 it 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-contractor(s)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,nofthe 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 numberlisted 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 lnvestigations has to contact you regarding the applicant Please be sure to fill in the permittlicense number which NwilI 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 bum 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: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel.#617-727-4900 ext 406 or 1-8.77-MASSAFE Fax#617-727-7745 Revised 5-26-05 www.mass.gov/dia Date 7J �i. L O r . ..... �l . .�G NpRTM TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION SACMUSEt This certifies that . ! l:1 /-t: :. 2.{ N has permission for gas installation 4 1,. . . . . . . . in the buildings of . .�� /� . . . . . . . . . . . . . . . . . . . . . . . . . at North Andover, Mass. Fee.A.,. r . . . Lic. No../ /.&,. . _. .'. .::: * ?. . . .. . . . GAS INSPECTOR! WHITE:Applicant CANARY: Building Dept. PINK:Treasurer ` i a • I > MASSACHUSETTS UINWORM APPLICATON FOR PERMIT TO DO F1TI'ING Type or print) ate U — f 'I.4 2—a a G NORTH ANDOVER, MASSACHUSETTS Building Locations °Z 1 I C-kcla.� /9)LL !J - Permit# �� O Amount S C /VC. A•y�rvC/�r /'1/� Owner's Name New❑ Renovation ❑ Replacement rM Plans Submitted ❑ m Ld ri Cn C Z n F C CC)W C12 z — .:.3 i".si-. SUB -B :ILSEM ENT BASEM ENT IST. FLUOR 2ND . FLOUR 3RD . FLOUR 4T it . FLOG R silt . FLU O R 6T It . F L O U R 7T If . F L U O R 8T 11 . F1, 0 U R (Print or typ Check one: Certificate Installing Company Name / er p��c�se P-1 t /ATG ❑ Com- Address Len/ 17 ❑ Partner. Business Telephone Gr 7 -�]C� L� _ 3 G 1-3 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter S rf INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes Fm No❑ If you have checked ves,please indicate the type coverage by checking the appropriate box. Liability insurance policy �j} Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver. 1 am aware that the licensee does not have the Insurance coverage required by Chapter l42 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: ❑ Signature of Owner or Owner's Agent 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 ticompliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title © Plumber CityiTu\vn ❑ Gas Fitter (cense i4umoe. ❑ Master Journeyman APPROVED(OFFICH USE ONLY) � Location No. Date "T" TOWN OF NORTH ANDOVER p Certificate of Occupancy $ ° Building/Frame Permit Fee $ 76' f,f Foundation Permit Fee s�cMus �,iar___A d Other Permit Fee $ ` ---W Sewer Conneid(kin,Fee $ i Water Connection FeeO ,I�93_ TOTAL ,� $ �/�•U t1 Building Inspector v .^ 6287 Div. Public Works Location ��' �'. �G�Or �# d � .k No. Date G.9`�� 40RT'eTOWN OF N6RTH ANDOVER Ot .eo „ Certificate of Occupancy $ ` y /Frame Buildin it Fee $ Building/Frame �,'SSACNUS S� Foundation Perjnit Ve Other Permit F 11 11 ee S73 Sewer Connection Fee $ Water Connection Fee $ TOTAL � ) /$ Building Inspegtor .� �7 6429 Div.?ublil Works PE12%!IT,NO. ; a As APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. 7,�f j� /7/ I/ PAGE 1 MAP a40. �� LOT NO. 2 1 RECORD OF OWNERSHIP DATE BOOK PAGE ZONE I SUB DIV. LOT NO. �_ ! �O+�c►s.I3• LOCATIO � 1_l� 1J I�� PURPOSE OF BUILD s aN� � � �� ®��n OWNER'S NAME Tko W�1 o fol NO. OF STORIES SIZE 177 7 OWNER'S ADDRESS ag7tj BASEMENT OR SLAB ARCHITECT'S NAME r SIZE OF FLOOR TIMBERS IST Z1�`. 2ND n�,r� 8RD BUILDER'S NAME I ` 74 SPAN v QL•� ����� DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS 2,t nT DISTANCE FROM STREET : y �1 '" POSTS ff—�f/�'G DISTANCE FROM LOT LINES-SIDES ,',,, REAR r� GIRDERS 7 V<10 I` AREA OF LOT �!7 �I I/ I FRONTAGE GG///►V�� �' HEIGHT OF FOUNDATION 1 "` THICKNESS )0" IS BUILDING NEW G� )tp SIZE OF FOOTING 'S� 0 X j 1 V IS BUILDING ADDITION 1,00 MATERIAL OF CHIMNEY kg I I. / IS BUILDING ALTERATION N-34D IS BUILDING ON SOLID OR FILLED LAND sw- I WILL BUILDING CONFORM TO REQUIREMENTS OF CODE A' P IS BUILDING CONNECTED TO TOWN WATER ;)e� BOARD OF APPEALS ACTION. IF ANY i.t A ,C•2• IS BUILDING CONNECTED TO TOWN SEWER r��+s /� )T IS BUILDING CONNECTED TO NATURAL GAS LINE MT INSTRUCTIONS 3 PROPERTY INFORMATION Q V w, LAND COST r : SEE BOTH SIDES fE �' w _ 6 '��w cc EBT. BLDG. COST ` � � I 4.,to. PAGE 1 FILL OUT SECTIONS 1 - 3 tmrm EST. BLDG. COST PER SQ. FT. `? PAGE 2 FILL OUT SECTIONS 1 - 12 • MIT s"�"��"" U EST. BLDG. COST PER ROOM I /1N i ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. k,)4 APPROVED BY 1 1 ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS - PLANS MUST BE 711 FILED AND APPROVED BY BUILDING INSPECTOR �� DATE FILED /// 11� BOARD OF HEALTH S ATURE OF OW R AUTHORIZED A NT FEE � `� C.2Q C OWNER TEL.N kWS--S/70, PLANNING BOARD PERMIT GRANTED C0NTR.TEL.# ..> I9 CONTR.LIC. BOARD OF SELECTMEN BUILDING INSPECTOR r 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 VJAII UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T AREA _ 1/1 1/7 FIN. ATTIC AREA NO BMT FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 I DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME "` `""""" •x�i+ BRICK ON MASONRY ATTIC STRS. 8 FLOOR I_ _ BRICK ON FRAME CONN. OR CINDERfa� 1. STONE ON MASONRYY WIRING """"""' •�—� �2a• � STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE 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 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE - _ FORCED HOT AIR FURN. TIMBE BMS 8 COLS. STEAM - STEEL BW. as COL r-- 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 t , r FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: T�6 mro 7-aill 1 Phone Cx5 �`z6 f LOCATION: Assessor's Map Number G-Z Parcel Subdivision C�tOa �,/ / Lot(s) _ Street �� C �./''`� V- St. Numbe61 rC ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: ffiaaLl— - Date Approved Conservation A ministrator Date Rejected Comments Town Planner Date Approved Date Rejected 37 11.1 qI Comments Health Date Approved Agent Date Rejected _ -omments� ; wl i t Publ -ic.)Works - sewer/water connections Mt - - - driveway permit l Fire Department Received by Building Inspector Date Ap x t., CERT/F/E f , k D" FOUNDA TION PLAN 4 ; µ LOCATED IN nl�.A�troVE�.ti M A" x;� }fir SCALE 1"i DATE: i S S3 Scott L. Gi/es R.L.S. tYi1l �r,, .w., �:)�{!µ ,yf� •.�,' 4:' 50 Deer Meadow Road rt North Andover,Mass. R { Zs ' } L07 23 . �-?.A-. r rV• 12— ,r ! {yr 3 }�. yz � �.. t - / ... •" ". °� -t; g�fd�"'•"(*y +"h�>F,,y�{Yx .,r J F L.•• ' ry .F+ N{[ • '�-�' _Y/ t° S dq"s ul t•�rt#�ij'YyTr fi. tN {`I!`!O (� Dc' � C6'"/QT/FY'THAT OFFSETS°' SHOWN ARE FOR THE USE a� x'. .THE.OF.FSETS OF THE BU/L DING/NSPEC TOR ONLY .�5HOWN COMPLY AND SUCH.USE/S FOR THE W/TH_ 'HEZON/NG DETERM/NAT/ON' OFZON/NG s 6Y AWS OF : WHEN CMI T Y. OR NON—CONFORMITY CONSTRUCTED.mA cstEa y� WHEN SOIL T. C y� P NQRTH -.. 1Town o 1y"� over c Y'. /V ,,y.N� No. 3 - ;COCH� rt dower, Mass., 19 7 A0RATE0 '9S H �( BOARD OF HEALTH Food/Kitchen Septic System PERMIT T BUILDING INSPECTOR THIS CERTIFIES THAT ��..� .... ....rim.. .�i/.�.....e Foundation has permission to erectQ � uildings on , ° .y �1 � ./�r �L.�►... .....•.... Rough • to be occupied Chimney provided that the person accepting this permit shall in ev�ryrespect 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 PERMIT EXPIRES IN 6 MONTHS Final PERMIT FOR FRAME/WIL S CONSTRUCTION STARTS ELECTRICAL INSPECTOR ' Rough Service DATE:7� FEE PA BUILDING INSP CTOR Final Occupan''cy 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 PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. cQ%ArQQ /IA►ATI:R FIKIAI DRIVEWAY ENTRY PERMIT CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 315 Date DECEMBER 13, 1993 THIS CERTIFIES THAT THE BUILDING LOCATED ON 124 HICKORY HILL ROAD (Lot #23) MAY BE OCCUPIED AS SINGLE FAMILY DWELIING W/2 CAR GARAGE IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. V CERTIFICATE ISSUED TO Thomas D. Zahoruiko "''•�° 185 Hickory Hill Rd. ADDRESS North AnjovPr, MA Building Inspector 7tAORTh_ . Town of over 0 No. 315 f�o� rA► Qrt�i ndover, Mass., t�y � � �� 19 �A A0 RATED P ,`C) S^ „ H, S� BOARD OF HEALTH PERMIT T I -LD Food/Kitchen Septic System i BUILDING INSPECTOR THIS CERTIFIES THAT...... V-.vooro*�,�....10 .....elo....4"� Foundation lG.......... Rough� �- . has permission to erect�/.� j���,1�il� � uildings on /� ��/1�'.��.I.�.� �r . .. ���. ... ' - .. to be occupied as.4T1A 4#4.4C.��/ '�I .. ....� �*r�,l 1 .!��:.�. .../...... #649 Chimn ' ey 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. PLUMB,I,NG,ZPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. oug PERMIT EXPIRES IN 6 MONTHS in PERMIT FOR FRAMUMILAWS CONSTRUCTION STARTS ELEC ICA'L INSPECTOR � , Rough�� ! ` • � I DATE— FEE PA /`.�.. . .... ...... Service 0 0 ,e) BUILDING INSP CTOR Final Occupancy Permit Required to Ocatpy Buildirig 41 AS INSPECTOR K Display in a Conspicuous Place on the Premises — Do Not Remove P Y No Lathing or Dry Wall To Be Done FI E DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner v / PLANNING 1213 NAL � CONSERVATIONIf 1Z1� ,� Street No. �t y `^ � , Smoke Det. CFIIVFR /1AIATFR �Igvi�FINAI_ �a�� DRIVEWAY ENTRY PERMITS