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HomeMy WebLinkAboutMiscellaneous - 1324 SALEM STREET 4/30/2018 1324 SALEM STREET 210/106.A-0161-0000.0 Date.................................. + TOWN OF NORTH ANDOVER PERMIT FOR WIRING ss�CHUS ............ This certifies that has permission to perform ........... T-4 ........................................ wiring in the building of.......M. M.e.:17.q4.0.................................... at... ....... .7................. .......'North Andover,Mass. -Fec7- . . Lic.No. 7-�....... .26,.r . ........ ..... -.Ts. .... ... ELEm' Check 'I 8001 Commonwealth of Massachusetts Official Use Only .P Department of Fire Services Permit No. r BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. l/07] ]eaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 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) ,3 1�y S C P M. 5)i� }— Owner or Tenant ry)%yr, A+ Telephone No. Owner's Address /3 Qi-.l 54j,, Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building 5 Utility Authorization No. Existing Service a 60 Amps /;10 l9 LIZ Volts Overhead�— rd Und g ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters t Number of Feeders and Ampacity 4 Location and Nature of Proposed Electrical Work: A(,� „ �55'J- Completion of the ollowin table maybe waived by the Inspector of Wires. No.of Recessed Luminaires / 7 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 3 No.of Hot Tubs Generators KVA ' No.of Luminaires Swimming Pool Above ❑ In- ❑ o.of Emergency.Lighting nd. grnd. Battery 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 InitiatingTotDevices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: .............. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No. t Heaters KW o.oSi ns Ballasts . Data Wiring: No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsWiring: No.of Devices or Equivalent OTHER: 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: 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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the�ains andpenalties of perjury,that the information on this application is true and complete. FIRM NAME: XY,4e/ T,r,zaa,o LIC.',NO.:1111q-7—3 Licensee: yyl,,, 7ellA 97at,c� Signature s LIC.NO.: I%'1r17(3 (If applicable, "exempt"in the license number line) Bus.Tel.No.: 47r 3G O so 33 Address: / "7 1?e i-- by J O✓►' r,Gdd , W 6 Alt.Tel.No.: M 'WI 54'72 *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.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. PERMIT FEE:$ `t...� ' �, 4 /1. .1� 4 �� or2 � -tea -� �� �. } - r ,, t� M .J r The Commonwealth of Massachusetts ki f Department of Industrial Accidents I � Office of Investigations 600 TEashington Street s,��t r Q % Boston, MA 02111 www.»wss.g ov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/lndividual); &44,J 7 ,T7'i/-/-F 2 7 1-1;le-eD- lZs,A bat _r, City/State/Zip: 6 r"m llr�, W p U J 3 5— Phone#: . �7��' 3 6'o 5-a 3 3 _ Are you an employer?Check the appropriate box: Type of project(required): L❑ 1 am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.Q-1 am a.sole proprietor or partner- listed on the attached sheet. i 7• ❑ Remodeling ship and have no employees These suit-contractors have 8. Q Demolition working for me.in any capacity. workers' comp. insurance. g. Building addition t [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10•❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I LD Plumbing repairs or additions myself,[No-worke'rs'comp. c. 1.52, §1(4),'and we have no 12,❑ Roof repairs insurance required.]t employees. [No workers' 1311 Other comp.insurance required.] *Any applicant that checks bort#I must also fill out the section below showing their workers'compensation policy information, Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy inforntation. I am an employer that ls.providing workers'compensation insurance for my employees. Below is the policy and job site information. 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$1,504.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of investigations of the DIA for insurance coverage verification. I do hereby ceV under the pains and penalties of perjury that lite information provided above is true and correct Signature: Y Date: j Phone#: S 3 y a Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. '1 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 bustee 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 it license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence.of compliance with the insurance'coverage required." Additionally, MGL chapter I52,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should � be returned to the city or town that the application for the permit or license is being requested,noftheDeP artment of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self.-insured companies should enter their Self-insurance license number on the appropriate iine, City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future pennits 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 Invest 44 tions 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. # 617-7274900 ext 406 or 1-977-MASSAFE Revised 5-26-05 Fax#617-727-7744 www.mass.gov/dia / a S NpRTM TOWN OF NORTH A D ER s . ; PERMIT FOR GAS INST CATION 9 ;c.•' ty �,SSACHUSE� - ti This certifies that . . . . . . . . . . . . . has permission for gas installation . .P.I.to F t! ` . .. . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . at North Andover, Mass. Fee.3.°�.�. . Lic. No.P./.G °. . . � .AAs I GAS INSPECTA Check# / 6617 _: IQ MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING Cityffown:K)o -+\� Ayl1wQ r , MA. Date: Permit# jC1 7 Building Location: 132y Sc- Q-vv� S� \L Owners Name: �ka-rck0.r-'O� Type of Occupancy: Commercial ❑ Educational❑ Industrial❑ Institutional ❑ Residential[� New: D, Alteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes❑ No FIXTURES IX CO) v� Z iw. CO) V = lZ O W O N c = N N Z H Q Z J } W Z at ..0 W j O at W CO) W m 0 Q d IW— W W X m > w z O to N 0 it N 0 w 0 W Z = w p > U W Z J 1W— F- O Z J 0 u_ Fes- = W H W W z w �- � (a Q Q m w O z 0 0 > z _ U G 3w 0 tQ9 �U' _ _ > O Q O z z w a g O a > > > o SUB BSMT. BASEMENT 1 FLOOR 1 2 NuFLOOR 3 FLOOR WH FLOOR 5 FLOOR 6 FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate# Installing Company Name: PAQVV\6'VVz t ���nQ ❑Corporation Address: �-o•re A S Q k City/Town:No,''V�A Ay\6&jzrState: ' _'-(06 ❑Partnership Business Tel: `�'��- 6�l- Fax: 39$-L b$ --f*4 6 6 ❑FirMCompany t Name of Licensed Plumber/Gas Fitter:1� c;` � ovv� v\ho,�- INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes[i/No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy N(I 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box 0;1 hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. T e of License: ©� BY lumber Title ❑ as Fitter Signature of Licensed Plumber/Gas Fitter Raster City/Town []journeyman License Number: �0 t b 0 APPROVED OFFICE USE ONLY) ❑LP Installer Date. . . . . . . . . . . . . NORTH TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING SSA�MUS D This certifies that .'!�'� .). .S# f�`.� . . ��.�. . . . . . . . . . has permission to perform �'`A. . J-g. . . .'k plumbing in the buildings of . .M `t1.1./.Q. . . . . . . . . . . . . . . . . . . . . . at . . . 1.'a L>l. . . . . 5, ��'"?. . . �. . . . .. North'Andover, Mass. " Fee. 7'"".Lu. No.. 3(�' . . ./��. .`.' ,e i►. . . . . . . PLUMBING INSPECTOR Check # 1651 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date 2-11 (�p Building Location 3 4�t/ Owners Name r�®tfo lo Permit# Type of Occupancy zl)t4-1 L� y(+� Amount New ri Renovation Replacement Plans Submitted Yes ❑ No ❑ FIXTURES w x 0 o w w 0 0 o w a A A w w a ww U W A A a x a a A a a KREM g4gffvM M FLO R lz 4MFLO t 5MFLOCR 6MRam } 'MFLOCILt sly HAOCR (Print or type) // Check one: Certificate Installing Company Name_ VC --<�i 1 f ❑ Corp. Address ,�� k i31' 1-'U �L 4�/� ❑ Partner. u e�ss elephone G -24-19 Al.,-0 K y v 13—Firm/Co. Name of Licensed Plumber: � � vr2 �y 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' llations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mas ch efts ate Plumb' g Code Chapte 42 of the General Laws. B y Signature 01 Licensecieer Title Type of Plumbing License City/Town -3 APPROVED(OFFICE USE ONLY 17en um er Master Journeyman ❑ v Ledge Road Newbury,2 Silver L g MA 01951 Office: 978-462-4331 • Cell: 978-973-2366• Fax: 978-462-5528. email: jfix@comeast.net February 14,2008 Inspector of Buildings—'Town of North.Andover 1600 Osgood Street North Andover,MA 01845 Re: Residential construction at 1324 Salem Street,North Andover,MA Dear Building Inspector: On February 14,2008,I visited the Mottola residence at 1324 Salem Street in North Andover to observe the construction of the renovation. During my site visit I observed that the structural work(including the LVL beam,posts,and Lally column)appeared to have been constructed in general accordance with the design drawings,dated 8/01/07,prepared and stamped by structural engineer Francis Collopy,P.F. If you have any questions,please feel free to contact me. Sincerely, FIX r STRUCTURAL No.34051 oseph P. Fix,P.B. �a�oW tKv i j NORTH Town of 'A -4 Andover 0 . VOO E o dov r, Mass., J��/o COC NIC ME WIC DRATE D P '9S BOARD OF HEALTH Food/Kitchen Septic System PE �K �M� IT T ���.N....�............ BUILDING INSPECTOR THIS CERTIFIES THAT..... �..� .. ... . ........ Foundation has permission to erect....43.4r00/.'j'.�.. buildings �..... ....... .....8' .t4 s........��............. Rough ED..' to be occupied as �N 40/0 a r, Chimney................................. ...................... .......................... .. ........... ..... ...................................................... provided that the person accepting this permit shall in every respect o th terms of the applicatio file in Final this office, and to the provisions of the Codes and By-Laws relating he Inspect' n, Alteration and C r tion of Buildings in the Town of North Andover. iD 6 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Per OZ Rough • Final PERMIT EXP S 6 MONTHS ELECTRICAL INSPECTOR UN ONSTRU ON STQ Rough ....... Service BUI ING PECTOR Final Occup ncy Permit Re o Occu Building GAS INSPECTOR Rough Display in a Cons ' uous Place on the mises — Do Remove Final No hing or Dry I To Be Done FIRE DEPARTMENT Until Inspected and Approved y the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. i GENERAL BUILDING NOTES/CHECKLIST-NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain-pipe/stone/fabric filter/cover and outlet connection. FRAME:Fireblock-over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. Ridge&Hip-Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. Girls-solid brick or steel plate bearing at foundations '/" air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams Attic Access. (min. 22x30 w/3'headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit). Firecode S/R wood frame of"0"clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. '/of required glazing shall be openable. Bedrooms required min.20x24 egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber- Finish Smooth parging, clean joints, 8"solid @ combust. Surf. DECKS: Separate permit required: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 6"on center. Over 8'above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re-inspection fee-$25.00(Be Ready). Certificate of occupancy required prior to occupying structure. 32om7XT of NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED: �.. M SIGNATURE: t Building Commissioner for of Buildings Date SECTION 1-SITE INFORMATION I Z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: N i Zoning District ProDosed Use Lot A­ 1.6 e ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required IProvided 1.7 Water S M.G.L.C.40. S4 1.5. Flood Zone Information: Supply ) 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT I 2.1 Owner of Record )32,1- Name(Print) Address for Service b I' Signature g Telephone � d 2.2 Owner of Record: d Name Print Address for Service: O ' Z Signature Tele hone rn SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ C)W �VC ". Licensed Construction Supervisor: U G 9: 1 Z O 2,'7 V q I -t License Number Address 3 /_7 /ZtC C � Expiration Date Signature Telephone pr- yo4c-3 r 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 C �+L Q-n54,,ack-, Company Name ' r Z-7 Registration Number r Address r Expiration Date �^ Signature Telephone Y I I � i 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 permit. 1 Signed affidavit Attached Yes.......❑ No.......0 SECTION 5 Description of Proposed Work check all a liable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) K Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description ption of Proposed Work: �P�n drv:n► Ird3=7ACr SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be �FICCAL USE ONLY "` Completed by permit applicant 1. Building (a) Building Permit Fee �i Multi lien 2 Electrical Z/ G o (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical HVAC 5 Fire Protection • 6 Total 1+2+3+4+5 d G tl Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 ,as Owner/Authorized Agent of subject property Hereby authorize Vw !�S 1.y�'� 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 1 t*,l '4C �— L v c%e 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/Agent tS� Date NO. OF STORIES SIZE BASEMENT OR SLAB RD SIZE OF FLOOR TTIVIBERS 1 2 3 SPAN DIMENSIONS OF SILLS DM ENSIONS OF POSTS DMIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIIv1NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE . • TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING IN y� "�Y Y Y4 `NY, wv .xaW''�, �3•L r -xtx o-8v - .,., 11 , TWA- BUILDING PEPMT NUMBER. / DATE ISSUED: Sob /® m p SIGNATURE: C a� Building Commissioner for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Dis1rid Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWrcd Provided R red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record 1 Name(Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ C-))Ci,e zj p � VC � ZLicensed Construction Supervisor: Z License Number 0" Address 7 c4e'l,cd Expiration Dat Signature Telephone �+ ?r— Y,S k- 3.2 Registered Home Improvement Contractor 9 Not Applicable ❑ C)9-L C-It IN 54-11'a Company Name 'oZ / S I M Z-7 ` v� C Registration Number r Address @ J r Expiration Date /1 Signature Telephone �I Jr. , 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 permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Pro osed Work check all a h'cable New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) Addition 0 Accessory Bldg. ❑ Demolition ❑ Other 0 Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be �OFTCIAIUSE"QNLY Completed by permit applicant 1. Building (a) Building Permit Fee G 4 e` Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection ` 6 Total 1+2+3+4+5 a✓ Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUH.DING 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. Si nature of Owner Date SECTION 7bOWNER/AUTHORIZED AGENT DECLARATION I, L--.AO�r't� /T` 1.�c% 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 Ow lei Print Name Mature of Owner/Agent DateNO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TMERS IST 2 3 RD SPAN DINIENSIONS OF SILLS DIMENSIONS OF POSTS DMIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHD NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE I , FORM - U - LOT RELEASE FORM ' INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT A- 11 p �� PHONE aS 8 311 3 ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION ( LOT NUMBER , r STREET S STREET NUMBER ........................................................................... OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS DATE APPROVED CONSERVATION ADMINISTRATOR DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALTji DATE REJECTED `eeDATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTNIENT DATE REJECTED COMNIENTS RECEIVED BY BUILDING INSPECTOR DATE pp Ta S x � ¢ ____ oil {��s���P► „ �/ �^� �� 7�j � 4,1144 XQJ 1 � E -4yp S i Err Z- !� WN ONE IMPROVEHENT CONTRACTOR ° Registration: Expiration: 129151 TYPe: 084 10/28/01 <� C• A. L. CONSTRUCTION ADMINISTRATOR eS Luc Ib Vale St. _ — Teyksbury _. — ---NA O181b BOARD OF BUILDING REGULATIONS r: License: CONSTRUCTION SUPERVISOR Number: CS 064112 I Birthdate: 03/07/1961 j Expires: 03/07/2002 Tr.no: 18390 Restricted To:. 00 CHARLES A LUCIA 276 VALE ST TEWKSBURY, MA 01876 ! Administrator The Commonwealth of Massachusetts ' Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit I I Please Print Name: OW Location: 13 Z`f- SCi City /U Phone 97b/ of-0; 1-1 am a homeowner performing all work myself 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. Company name: j Address City Phone#: Insurance Co. Policy# Company name: Address City Phone#: Insurance Co Policy# 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 well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature C� Date r 2� Print name OhG,ki 14— r�cl Phone# 97i' Official use only do not write in this area to be completed by city or town official' ❑ Building Dept []Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: phone#: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION NORTH Town of _ 4Andover No.Q11 doves Mass.' ' T L ' COC HIC CHE WICK V A0RATED PV C7 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System y BUILDING INSPECTOR THISCERTIFIES THAT...... .. .N.... .............�. 4... ...................................................... Foundation hasermission to erect.... . , p . ....rbuildings on ....... a al �.................... Rough .... ............. ........ ............. ........ �� 0 Chimney to be occupied as....... N....c3.............�`.� ...................................................................................................................... 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. 6 /4 P / ` / PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. *-/SOZRough • PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST ELECTRICAL INSPECTOR S Rough a .o. w....... ................................................... 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. ' SEE REVERSE SIDE smoke Det. ,O� Date...` .... pp N° 2332 e ...rte........ ... NORTH °`<<``° '•�"� TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACNUS� This certifies that..r.....:.......'............... ---- .. ........... ............................... has permission to perform ..— - -•.-. ::- ,... ......................................... f wiring in the building of ........................................... at....XJ ....................•• ,North Andover,Mass. * Fee.`/&.. �.... Lic.No: a ....... ...(&. 2................... ELECTRICAL INSPECTOR Check # / 7 WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THEC0MM0AWFALTH0FMtM(MSE77S Office Use only i DEPART LENTOFPUBLIC&4F= Permit No. d BOARD OFFMPREVENHONRBGULATTOAN527(M]2-09 C Occupancy&Fees Checked ;I APPLICATTONFORPERAET TOPERFORMELE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 p (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date k5, -�l'PX) Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. INW PARCEL Location(Street&Number) / p�y CA IP✓i't S�— Owner or Tenant jail ok Owner's Address 44"a P Is this permit in conjunction wibuilding permit: Yes EIZI No E3 (Check Appropriate Box) Purpose of Building t Utility Authorization No. Existing Service Amps / Volts Overhead Underground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 00'M e- Z Arig t4- / +A No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground and No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Bumcts 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 Municipal Other_ Conncctiom No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER- - h�anocCo�aagr,.PtasuartttotheregmanaisofMassada�LsGa�dlLaws Ihaveaa>aartLiatAlityhntuamel rgCar>pl�e Coritsa>bslarrialegnvalart YES NO Ihav %hni edvdlidpudbfm=totbe0ffi=YES NO F1 YyubawdvdmdYES,ple=n k*&typeofornaagebydradorlgthe p INSURANCE M BOND OMM (Please Specify) v fZ 16 EiDAe Etrn*dVa1wdElecbca1 We&$ WaktoSlartt i� -I;-- 7'/» h rD*Requestd Rough F"mal Signedumdcr ePaial xsofperjuny: Fff?NC LAME Lioa>seNo 7�7 SS 35 ei /V a. 8 �0 AkTeLNa OIA E SINSURAN&WAIVER;IatnawaredvitheLioaredoes mtirawibeiasawreomaaWcritswbsbtmaiecpwJcri asm4=dbyMhwdwcUsGaijaiLaws � (Please pleas )�Owner thtsregmanart 1:1 Telephone No. PERMIT FEE Signature ot Owner or Agent Date.• dN° 4420 D TOWN OF NORTH ANDOVER . o 0 PERMIT FOR PLUMBING ,SSAC MuS� This certifies that . . ; . has permission to perform . :. .�. ... .. a . . . . . �. �� . : . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . at . , ..:F'%'.:�. --.., . . . . . . , North Andover, Mass. 4FCd:. . Lic. No::, . ..?. . . . . . . ' ' PLUMBINGNSPECTOR — MrrF7- ppIicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS , } � ` . Date �� Building Location JY�e�, Owners Name ft- 6e �I'lo{ y� Permit# yy Amount �G � r Type of Occupancy New Er Renovation Replacement Plans Submitted Yes No FIXTURES wa HCn Ln a z 1A a W C4 W A 04 H H d a A En a p, a F drA E'' W rA 0-4 SLRHM Rk9RWM C. IST ROM M RaR 3MFIDM MMM 5M FI M 6M H M 7M FIOQt SIH HIM (Print or type) ( Check one: Certificate Installing Company Name . i✓ \lux 4�11 Corp. Address (e-Jrj.i �-� Partner. t ,30 Business Telephone _ O Firm/Co. Name of Licensed Plumber. 13 (f C _h< 6 y r,<-/ Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver: L 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 A 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 ,Q compliance with all pertinent provisions of the Massachstate Plumbg C, and Chapter 142 of the General Laws. By: 1gna=e 01 LICenSeaer Type of Plumbing icense Title City/Town icens��� eer Master ❑ Journeyman APPROVED(OFFICE USE ONLY Location ',�--'7 No. ��7 Date �p^Th TOWN OF NORTH ANDOVER 0: .•o :•1y0 F R ~ A }�o Certificate of Occupancy $� CN�S Building/Frame Permit Fee $ c 'S Foundation Permit Fee $ Other Permit Fee $ h TOTAL $ S 13731 3731 �'— Buildin g Inspiector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ;� ,` ., a' 5 v �"V�,w�, .~ ♦ v? ._ .; Kik. ds " x '+'" _- r BUILDING PERMIT NUMBER. 7 DATE ISSUED: / -) /40 1SIGNATURE; M". e C400 Buildirrg Commissioner/IREREtor of Buildings Date SECTION 1-SITE INFORMATION 91 . 1.1 Property Address: 1.2 Assessors Map and Parcel Number: J 3d, S�► e� S�- ap Number Parcel Number .1.3 Zoning Information: 1.4 Property Dimensions: 4 Zoning District Proposed Use Lot Area(so Franta e ft 1.6 BUILDING SETBACKS 11 Front Yard Side Yard Rear Yard Required Provide R red Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zane 0 Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name(Print) /G Address for Service: v 3 )3. h Signature Telephone V' 2.2 Owner of Record: RDA � Name Print Address for Service: I - �' FM 2 Signature Telephone SECTION 3-CONSTRUCTION SERVICES - , 3.1 Licensed Construction Supervisor: Not Applicable ❑ � JN Licensed Construction Supervisor: �! l ,y. O License Number Address Expiration Date Signature Telephone *,Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number Address t3 ,�. ' `✓' fid. Expiration Date ^ Signature Telephone !�I T 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 permit. Signed affidavit Attached Yes.......0 No.......❑ SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ AccessoryI Ix ❑ Demolition ❑ Other ❑ Specify Bldg.g 1�fY Brief Description of Proposed Work.- q a n� Ct3 n 5a' c Z G� f c ------------------- h�d'�ctr SECTION 6-ESTMUMD CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be t>FFICIAL USE.ONLY Completed by permit applicant I. Building S J o (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTIO OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNE ENT OR CONTRACTOR APPLIES FOR BUILDINGPERMIT as Owner/Authorized Agent of subject property Hereby a rize. l e s LQ�"CILtoact on M. bel ' all m rs a tive to work authorized by this building permit application. c�t,2'L 1,ZJ3t3'� Si nature f Owner Date SECTION 7b OWNER/AUT,HHORIZED AGENT DECLARATION I, S /' r 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 �'l,a,l-p-S 0- Lv Print Name C Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINIBERS 1 ST 2ND 3PD SPAN DIlvIENSIONS 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 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 or requirements. :t-Fit^-t-ktiri—kx-1-1-:fk�- t**** -t.t-.t-�-k:" I `` C C t-t-t-kr:Ftt-c:t-k:t-k-.t-k:kt:4-.t-Y-ttyc AI✓PLICANT FILLS OUT THIS' APFLIC;,�aT _���2JCs PHONE r� LOCATION: Assess&s Niap Number / '0 PARCEL SUBDIVISION LOT (S) STREET 13ST. NUMEER * **-*— "`1 0 F F 1 C lA L USE ONLY***** * RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED otb� DATE REJECTED-- - — -- -/ COMMENTS �/75UJ1 /C°/e/2t- / <IreQr,�JS More_ tO n -7 76 A4/,- V64 PUELIC WORKS -SEWERMIATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPAR i NIENT � RECEIVED EY EUILDING ii 1SPECTCR DATE I Revised 9'.7 im i DEPARTMENT OF PUBLIC SAF iY S CONSTRUCTION SUPERVISOR LICENSE 5 WWI- �i Expires Birthdate CS �d_T1f2'603/07/2000 '03/01/1961 ResiclTo 00 CN A Sk A ;LUCIA r- 276;VALE..ST. TEIKSBURY, MA 01876 " �l1ie�anunaan��ea/� a�./l�avaac�iuvellb OME IMPROVEMENT CONTRACTOR r Registration: 129751 Expiration: 10/28/01 Type: DBA C. A, L. CONSTRUCTION Gemco 7�' . es facia d ADMINISTRATOR 76 Vale St. wa Tewksbury MA 01876 CERTIFIED FOUNDATIONPLAN LOCATED /N L o T 4.4 SCALE/"= 4o DATE' 4 L- a S.L.G/LES R.L.S. L AWRENCE Q NORTH ANDOVER 0 L oT 3 v V ,F.►�, V 7)b i-1 IS4.14- 15���.» /• ou-r 153.96 1 �S 3'B8 L 9 � h,ao Tcsr S A, c _ cERriFY rHAr rHE OFFSETS SHOWN ARE FOR THE USE Or OFFSE TS SHOWN THE BUIL DING INSPECTOR ONL Y, a SUCH CONFORM rO THE USE IS FOR DETERMINATION OFZON/NG. ZONING B Y L A W OF CONFORMITY OR NON CONFORMITY ►:f � Ne r a WHEN TAKE N f BUILDING DEPARTIENT DEBRIS DISPOSAL FORM In accordance with theprovisions 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 property 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 Applicant _ re?� SII ' Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of . the Building Inspector a . i n� T The Commonwealth of Massachuse!ts Department of Industral�'cc;c'ents _` W =1 GF,ice cf Investigations Eoston, Mass. 02111 ✓VcrkerC Comcensairon InsuranC�.�',i Ca'/ii Name Please ..c •� �5 � �-vc.:�- 1 dame: L(c-ticn Ci�1 �ia�� Phone 12m a r.GmecWrer perifiling all work myself. I am a scie prcpreteranal have no one 'NCr<ine in any c-pac:hi I am an =m-Ocyer prevlClnc werkers' c:zmpensat!cn fcr iTv emplcyees`NCrxiric cn:fiiS fcb. Ccmcanv name: Aderess Cihr Phcne 7 Insurance Co. PCliC•/ T Comcanv name: A�cress Cihr °hone Insuranc- Cc. PCIIC-/ Failure to sec::re ccverace :s recuirec urger Se✓:.cn Z°A or w1GL ;SC can lege to the,mcg icn cr cnmirai cenaities or a fire up to Si 9CO.CC ander one yearsirrcrscrce.^:t as ,ve!! as cmi penalties in :he rcrm cr a S CP'/`/CRK CRCE?. arc a:ire cf(S;CO.CC) a day a,airs;^e. I understand that a CCC7 Cr;hiS stc,,ement.ma`/to Fcrv2rr-eC to the Off-,,c2 of Invesccaticrs C:';"e iA or cCveraCe vermc3ticn. I cc nerecy csrt,fy uncsr:he Gains and ceena/Ues/oo zequv Thar`he i,^rcrrradcn prcvided accve s ZOO ' Print name `�--` `°''l�3 G"1'_ ` C:•d F^Cre= 7?f' fW Zi14 Cffic:al use only cc not ,vrrte in this area to to ccmcietec ty c::y cr:o:m cmc:ai C:ty or TC.vn Perm:UL cenz,rc C Euridir,Q Celt [C,`ec.'{rf;rrrmediare re .ccnse is required lJ LcansinC 5card Se!ec'-man's Oric� C.;nrac:rer..cn: c`�c,^e- � i-'ec/t`l7 Uejialill",e^( tither x 4 3�� kti e r ' a F/oor ja,s f max( drti�Ie n�ad�! 1 IA Sr %CL<t fox /18 C et d oo {{ 3 'i r r d �'-to s�' �-f-�; c_t.0�. r �- �.����....�,•�`���s� .___.�,�__� ctrl � �`��� SIT? TAORTH Town of Andover O No. o dover, Mass. 3 d n COCMICME WICK ADRATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..... rl ►N.K.. -....m..A..r...... ..r..s .....> .t' ........f?.'.1�................ . Foundation has permission to erect... .. .�..C. .... buildings on .........�..3 a 1..... ..'.!p. ........... . ..6........ Rough . ) Tr�`/ Chimney to be occupied as................ ...... .................... . ... ........................................................................................... 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 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 ` UNLESS CONSTRUCTI S TS Rough . ... .... ... .............. Service 6f SI 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.