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Miscellaneous - 163 HICKORY HILL ROAD 4/30/2018
/ 163 HICKORY HILL ROAD 210/062-0000.0 I II I I I i II I Location No. ( Date ca Q a NORTH TOWN OF NORTH ANDOVERpp p Certificate of Occupancy $ LO Y Building/Frame Permit Fee $ "tom Foundation Permit Fee $ Other Permit Feot)ov- $ Sewer Connection Fee $ n Water Connection Fee $ TOTAL $ Building Inspector { l TO i 8222 Div. Public Works PER.l1IT NO. t-71.0 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 e MAP 4-40. I LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE ZONE SUB DIV. LOT NO. 1 1-1 — LOCATIONPURPOSE OF BUILDING 1( (Z4 �kl �cGlC %j 36 '�O W 2 r� • OWNER'S NAME�fG` � r�rllrLi'+6 /l NO. OF STORIES SIZE �/ v JV OWNER'S ADDR SS �_) t' ;fII�'' BASEMENT OR SLAB -- ARCHITECT'S NAME 19 SIZE OF FLOOR TIMBERS 1ST 2ND 3RD BUILDER'S NAME 1/�/� Q� SPAN -- 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 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 goao PAGE 1 FILL OUT SECTIONS I - 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 -3 1-9S- BUILDING INSPECTOR SIGNAL"-�RE OF OWNE OR UTHORIZED AGENT 1y F E - OWNER TEL.# S ` -31 '[ PERMIT GRANTED CONTR.TEL.# LSV' 69't-D Z of 19 1c, CONTR.LIC.# In S-2 7 9 Is- H.I.C.# fez � �Gic� 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 _ d 1 2 13 CONCRETE BL K. PINE ` BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL 11 FIN. B'M'T AREA _ '/. 1/7 '/. FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDVJ 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 FRAMEUPER'_ OPOOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR r TILE DADO r 6 FRAMING I 11 HEATING WOOD JOIST _ PIPE LESS FURNACE FORCED HOT AIR FU RN. 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 NO HEATING c G NORTH Town of �r : LAndover0 t No. 176 s _ h -- dover, Mass., 19c(6 It- LAKE COCHICHEW11 K 1� `� ADRATED P'?a �GJ H BOARD OF HEALTH i Food/Kitchen E M Septic System PRIT T D h � � �A et�v BUILDING INSPECTOR . .. .. .... ........................................................................................................ THIS CERTIFIES THAT. �'.�� i1 ••••••••• Foundation 4 has'permission to er*..�.g2-.......::...... buildings on ..�tA�..��t� .....tt�t`....�..................... Rough r to be occupied as...ax.0Sd!` ,. > ......Al ................................................... 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 . t VIOLATION'of the Zoning or Building Regulations Voids this Permit. Rough l 3�3 PERMIT EXP 6 MONTHS Final t ELECTRICAL INSPECTOR UNLESS CO STR T Rough Service BUILDING S CTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises -- Do Not Remove RoughFinal F No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner > PLANNING FINAL CONSERVATION FINAL Street No. } Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT F A5-BUILT CERTIFIED FOUNDA TION PLAN LOCATED /N SCALE:/* 40' DATE Scott L. Giles R.L.S. . 93 50 Deer Meadow Rood North Andover,Moss. g /160 la- l: � I i I n 14* 1 44 c PCv 1 . / CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE .10 Of THE OFFSETS OF THE BUILDING INSPEC TOR ONLY SHOWN COMPLY AND SUCH USE IS FOR THE s WITH THE ZONING DETERMINATION OF ZONING BY LAWS OF CONFORM/Ty OR NON—CONFOR13972M/TY � o U u FsfEAE WHEN CONSTRUCTED. ` �0'��c WHEN SU/L T. 3 T 'l3 i /.► /tea ..�».�%:•. �sf��:c!ti. 11 ilk I Al I . c� s f � 1 1 i r 1 t tn-.... \ r Location 3 C-e0r, No. '"� Date O NORTIy TOWN OF NORTH ANDOVER 3? ' t F A ` Certificate of Occupancy $ •�'b�,ne���s' ; O 'Ss�cHusE`� Building/Frame Permit Fee $ a Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # a D 3 1 6 ,/ 5 u Building Inspector h TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING Ellr�„Y. 3.;n_.„a _ ,x .. .€ BUILDING PERMIT NUMBER. DATE ISSUED: AM /a - 03., . ,.. i� SIGNATURE: Building ComrMsslon6r/Inspector of Buildings Date Z SECTION 1-SITE INFORMATION I 0 1.1 Property Address- 1.2 Assessors Map and Parcel Number: �1�Y� Map Number Parcel Number p� ` J 1 ) T�1 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 Required 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 ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record ` Name(Punt) Address for Service Signature Telephone W 2.2 Owner of Record: Name Print Address for Service: 0 rn Signature Tel hone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construct Supervisor:, Not Applicable ❑ Licensed ns ction Su rvisor: COLD 91) M License Number Mn Adress �. �^ ,�,, E i tion Date ig to Telephone r 3.2 Re istered Home Improvement Contracto Not Applicable ❑ v Company Name rn Registration Number Address0 ^ r Expiration Date Sin r Telephone f SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and sub itted with this ap lication. Failure to provide this affidavit will result in the denial of the issuance of the building permit. p I 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: L,2\ SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL;USE{}NLY Completed b permit a licant w 1. Building 14. (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee tel X(b) 4 Mechanical HVAC a ©l 5 Fire Protection 6 Total 1+2+3+4+5 I 2� Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT ,�O.R,,CONTRACTOR APPLIESMI FOR BUILDING PERT I, `"`�_ �� as Owner/Authorized Agent of subject property Hereby authorize V U y �Q v f i. /���,, to act on Myrelative t work authorized by this building permit application.I a//S-/o lignaturdoof Owner Date SECTION 7b O\W,,N,ER/AUTHORIZED AGENT DECLARATION I, -N `'"`� ``�' ,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 Na Si ature of Owner/A ent Date I NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST 27 3RD SPAN DIMENSIONS OF SILLS DINIENSIONS OF POSTS DA TENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH ANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE I s DeDOMINIC1 & SONS REMODELING INSURED Kitchen and Bath Specialist 617-524-7173 Home Improvement License#120600 Mass. Builders License#CS060847 Karen & Steve Curito 163 Hickory Hill Road Andover, MA 01845 Tel: 978-794-3199 Date: December 10, 2003 Plumbing: $2,600.00 See attached proposal. Electrical: 3,000.00 See attached proposal. Structural Beam ------ Rough Carpentry: 8,000.00 Take down and remove existing cabinets and counters. Remove tie backsplash including wall- board, open wall to great room and install beam per"McBrie Structural Engineers" design Remove window over sink, provide and install"Anderson"vinyl clad, wood interior, 6 over 6 double hung window with stone screen and hardware into same rough opening (approx. 40" high by 40"wide Provide and install '/" drywall for wall areas opened up, tape and compound to a smooth finish Install sell-ventilating microwave oven range. Bathroom: Take-up existing floor, provide and install new undedayment. Finish Carpentry: 3,200.00 Install kitchen cabinets per"Kitchen Sales" design Provide and install new woodwork for new window(interior and exterior), baseboards and thresholds where necessary Bathroom: Provide and install primed bead board wainscoting, baseboard and threshold. Hardwood Floor: 1,100.00 Option 1: Patch area (approx. 14'x4') in kitchen, adjacent to great room Option 2: Rip up kitchen floor and install new 3/"oak through-out. Sand and Polyurethane est: 2,500.00 Tile. 1,150.00 Install tile backsplash and grout. Install the floor in bathroom and grout Wall and floor adhesives included. Tile and grout provided by customer Dumpster 700.00 20 yd capacity for 6 weeks in driveway (or street: additional permission, permits and cost.) Permits: 350.00 Provide necessary permits, signatures and appointments Special Instructions- Signature: nstructions:Si nature: Date: �3 Signature: Date: Total $20,100.00 1 / BOARD aV SOR License: CONSTRUCTION SUPER Number: CS 060847 Birthdate: 01/20/1962 Expires:01/20/2005 Tr.no: 7267 Restricted: 00. JOSEPH A DEDOMINICI 18 WOOD BOURNE RD _ Administrator JAMAICA PLAIN, MA 02130 i i 00-35,000 cf enclosed space (MGL C.112 S.60L) 1A-Masonry only 1G-1 &2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DIG SAFE CALL CENTER: (888)344-7233 i p� 'fie Board of B�oa��eo�ziaeal a�/�f aaac�iuoett �\ uilding Regulations and Standards 1 - — License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 120600 Board of Building Regulations and Standards Expiration:- 2/6/2004 One Ashburton Place Rm 1301 Type: DBA Boston,Ma.02108 DE DOMINIC&SONS REMODELING i JOSEPH DE DOMINIC JR 18 Wood Bourne Road JAMAICA PLAIN, MA 02130 Administrator of valid without signature i t 186„ f 44" 4 3 � 1 i j t trl � W3036Q ---� i I I j W153 � W093036 - I W36182400 1 I lv f 1324-2S2 TION i ��a DISH. 24 B1RS2 333R REF TF a Ue a - M _ U - -- - m f� BUMP OUT SINK, TALL DOOR CABINETS O SLALD I nno HAVE 3 ROLLOUT IN,ALSO i ANI USING TYPES OF MOULDING, LARGE CROWN, AN i i'w\` !i EGG AND DART, IHT A SUB MOLDING UN R O ` `� NEATH TO ALLOW, TO GO TO:CEILING. a OTHER POSSIBILITIES ARE WINE RACK, k OPEN SHELF CAB., ISLAND TO BE CHERRY/( 1 B18FHRI BD303V 11318FHL M _ J. j 1 . I ► -_ -- 178" -- - — All dimensions_size designations given are F — This is an original design and must not be Designed 917/2003 subject to verification on job site and released Kitchen -released or copied unless applicable fee hasPrinted:9/'+0/'t003 adjustment to fit.job conditions. Kitchen �I been paid or job order placed. I --- -�" -' sia Inc. 1 Carit Ait W `.___j F3 OOR PLANDrawing t/;1 Project#3-157 McBriegl LLC 160 Sylvan Street ��;= !,� ! �'�.,% ' Telephone: 978-646-0097 Danvers, MA 01923 Structural Engineers Fax: 978-646-0087 www.mcbrie.com November 10, 2003 Mr. &Mrs. Carito 163 Hickory Hill Road North Andover,MA 01845-1138 RE: Visual Structural Inspection Carito Residence 163 Hickory Hill Road North Andover, MA 01845-1138 McBrie, LLC Job#3-017 Dear Mr. &Mrs. Spero: Per your request, McBrie, LLC performed a visual inspection of the above reference residence on October 29,2003. The inspection was performed to evaluate the ability to remove of an existing support post in the kitchen area and to provide recommendations for reinforcing. The residence consists of a two story wood framed colonial style structure with an attached cathedral great room. Per review of the existing plans for a similar house in the development,the framing runs front to back with no indication of the post in the kitchen being load bearing. For our design, we will assume the referenced post supports the ridge beam of the cathedral great room. Based upon our calculations,the existing post can be removed provided 2-13/4"x 9'/4"LVL's are installed to support the ridge beam post and the wall between the cathedral great room wall and the 2aa floor closet wall. The beam can be installed above the existing beam provide it is continuous from the existing bearing wall and the exterior wall as indicated on the attached sketch. If the existing beam is spliced over the existing post,the LVL's must be installed in place of the existing beam. Please to not hesitate to contact our office if y 11ditional information. �� N OF Sincerely, MICHAEL L. S7 K FURAL Michael Perham,PE , No.41143 Structural Engineer/Managing Member 9°.�� 'ST `�,`Q NAL 3-157 Visual Structural Inpsection Report Page 1 of 1 McBrie, LLC JOB SHEET NO. OF STRUCTURAL ENGINEERS CALCULATED BY DATE 160 Sylvan Street,Danvers,MA 01923 CHECKED BY DATE Tel:978-646-0097 Fax:978-646-0087 www.mcbrie.com SCALE ---------------- ....... ----------------------- ------------- _J ----------------- ------- ------ ----------------------------- ---------- - ........ -------- ----------- -------------- ------------- ---------- ----------- 1------- V 14 -0 -4,S) ro -------------- ------- 5Z ----------- ---------- ------- --- ------- ------ ------- ------ -------- ---------- -oAo ------------- > -------------- T. ------------- j ------- -------�1 ------------------------------- ----------------- --------------- --- ----------- ------ ...... ---------- -------- ------------ -- ----------- j ------------ -------------- ------- -j North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. ) The debris will be disposed of in: J'� Sol (Locatioh of Facility) U I i ature of Permit Apo p icant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector NORTH Town of And 0 No. -.- o dover, Mass., A- LAK COCMIC ME WICK RATED 1"Pa,`�5 V BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ' THIS CERTIFIES THAT......XAA!� ..... '.....Mew *. . ...........C..;...% BUILDING INSPECTOR . .......d........................................... Foundation has permission to erect..p buildings on ........ I.. .. .... .�`.1�4+�!! ..... ...... ........ Rough to be occupied as L� .q �� 0 b f". O POAD w�4 / Chimney p' ...........ls l.......... N........../.................�...........�✓................................................................ � 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 rel ting to the Inspectio , Alteration and Construction of Buildings in the Town of North Andover. d /a 1 4 �„ PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION S ELECTRICAL INSPECTOR Rough ...... .................... ..... .............. .... . Service 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. Date�r ���'. .. . . ,ORT" TOWN OF N RT ANDOVER Of ••R°;•,�0 V' p PERMIT FOR PLUMBING ,SSACMUS� This certifies that . . ��. I. �!.. . . . . . . 41, . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . Z`:?'` � . . . . . . . . . . . . . . . . . . . . . at . .8� . . �:t'. , . . . . . . . . .. North.Andover, Mass. Fee3 !. . . . .Lic. Nol. qr!. .� . . . . . . . . . . PLUMBING INSPEC Check # 3 yis VVV 7 8 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO D.0 PLUMBIAiv (Print or Type! _ N OOl��(� �, Date D 4� Permit # Building Location f1/GC Owners Name e�/l 0 Type of OccupancyJil1 New ❑ Renovation ❑ Replacement L� Plans Submitted: Yes❑ No G— FIXTURES • x x a, r. m 0 z ►- y n J Y! )• V < O ¢ •O� Vl C. O b S a z 4a r V W O Y < Cl d z d_ ~ ` V = C ' C M W x < N Z p K 0 C < d < O 7[ 4C 62 ¢ � < yr Z ¢ ¢ IL W = ~ ~ W31: O a -• 3r J O C It J p C p •. f' V > F� O S d z z �. Y d O r = Z' < W d x W < h• < < S O q t K O S O O N W O V S ¢ Y J m < J. S UB�-BS MT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR - 7TH FLOOR aTHFLOOR 99 I —I Installing Company Name t4, - Check one:. Certificate Address a ❑ Corporation 7—1 •❑ Partnership Business Telephone — Name of Licensed Plumber INSURANCE COVE GE: I have a current I insurance policy or its substantial equivalent which meets the req Yes No ❑ uirements of MGL Ch. 142: If you have checked yes, please indl a the type coverage by checking the appropriate box A 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 ane: SiQnatcua�frrii awher_s Agent— - - -_ Owner Q:__ Agent_D _ --- — -- !hereby certify that all of the details and rnformatan I have wbmitted for entered)in — - — knowledge and that all u appliation are true and accurate to the best of my Pertinent provisions of the chin State installations Performed and der the 1 or this application will be in compliance with all Plumbing Chapter 1 [E%?tle gnature o Licensed r _ 2vf,Tnwn__- - _Type of License:Master Joumeyman n �� PERMIT #: % a it LOCATIOl � LOW FOR OFFICE USE ON LYI FINAL INSPECTIONS S DATE: FEE— PROGRESS INS .:iECTIONS NO. APPLICATION FOR PERMIT TO 00 PLUMBING • f Y NAME E TYPE OF BUILDING --------------- LOCATION OF BUILDING • I PLUMBER ;i b f PERMIT GRANTED DATE-----_..15 ,i i PLUMBING IN8PEC70R i q i ti i Date. . . . . .... . NORTH pf 4«ao ,°1�0 or TOWN OF NORTH ANDOVER .I � n • - PERMIT FOR GAS INSTALLATION � Sg,�CMUSE This certifies that . . . . . . ./7.. . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . ..,-�-��'- `: . - �' . . . . . . . . . . . . . . in the buildings�of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at �;`-1. . . . . , North.Andover, Mass. Fee. .: . . Lic. No..A171. ../ !. :� . . . . . . . . . ,�-GASINSPECTOR Check# 5752 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING --_ (Print or Type) J0 0 ��� _ hi t/f.(L. , Mass. Date 10111 permit # ' Building Location 163 I ICAO ey 1-I i -, Owner's Name CAI I'(o Type of Occupancy--I& t K 7 r�yC New ❑ Renovation ❑ Replacement p� Plans Submitted: Yes❑ Nocc [� H N W N Y z G nl N C N Q 0 y = h < m H h < ¢ ¢' 0 = O Z h :u W O W < F, y < O W W N W 0J = < Z Q = � ¢ W W h = H Z Y < W J < C H N N O {� h W J �. W < W > ¢ z Z m z 0 z a 0 y = tt 'Z O C7 Z U. 0 3 G O J U C > p 6 H O SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7THFLOOR STH FLOOR Installing Company Name Check one: Certificate Address -� ❑ Corporation ❑. Partnership Business Telephone (0 D---Fir /Co. v Name of Licensed Plumber or.Gas Fitter y INSURANCE COVER E: I have a current I' ity insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked yes, p77* to the type coverage by checking the appropriate box. A liability insurance policy Other type of indemni ❑ dY Bond ❑ OWNER'S INSURANCE WAIVER: 1 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: 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 i tion are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issu or is pertinent provisions of the Massachusetts State.Gas Code and Chapter 142 of the Ge be in compliance with all T of ticen Title Gum er gnature o cens`ed lumber or Gas i own ster LiceAPPROVED nse Number l t - NL ! - BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION i NAL INSPECTION SKETCHES FEE NO. APPLICATION FOR PERMIT TO 00 OASFITTING NAME i TYPE OF BUILDING f LOCAT O OF BUILDING PLUMBER OR OASFITTER LIC. NO. z PERMIT ORANTED 1 � i a GASINSPECTOR C Location 163 ( ��Y �' Pd No. S © Date A NORTFr TOWN OF NORTH ANDOVER Oft•. o , ,ti � 9 Certificate of Occupancy $ • 07 <«sir:.. 4 J ® I. Building/Frame Permit Fee $ s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ f t5 U Check # "( 3 / n `� Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPA15 RENOVATE, OR DEMOLISH. A ONE OR TWO FAMILY DWELLING s ' BUILDING PERMIT NUMBER: DATE ISSUED: r C) m � l SIGNATURE: Building Commissioner/1Ctor of Buildings Date Z SECTION 1-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 163 IliCc6a 11 a ( i2 Map umber Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Distrid Proposed Use Lot Areas Fro nta e(ft), 1.6 BUILDING SETBACKS ft = Front Yard Side Yard Rear Yard Re aired Provide R red Provided R aired Provided Q 1.7 Water Supply M.G.L.C.40.5 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D Public 0 Private 0 Zone - Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 _J SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record /'l Name(Print) Address for Service: 79 - 319 0 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O z e m Si nature Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licen+d Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O � O ) L4-,; / Tr 'Ova b— I License Number 0 Address9;7 �� -- 71Ay2a� '�- S 't7 Expiration Date re Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Q Company Name _�?[ /� �✓G � � 1`i Registration Number �. Address r Q 2 -j2 - o Z ,�Wt� - 7J0 Expiration Date Signa-mre Telephone SECTION 4-WORKERS CO > Workers Com MpENSATION(M.G.L C.152 pensation Insurance affidavit must be completed and submitt a5c(6) in the denial of the issuance of the buildin with this application. Failure to provide this affidavit will result Si ned affidavit Attached Yes......, rmit. SECTION 5 Descri tion ofPro os_ed Work Ocheckan a Hca61e 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 1• Building oiu Ieted b ermit a licant 2 Electrical Sm© (a) Building Permit Fee � Multi lieu (b) Estimated Total Cost of 3 Plumbin Construction 4 Mechanical HVAC Building Permit fee (b) 5 Fire Protection ` 6 Total 1+2+3+4.+ SECTION 7a OWNER AUTHORIZATIONCheck Nuunber OWNERS AGENT OR CONTRACTOR APPLIES FORBUILDED WHEN I, INC PERMIT Hereby authorize as Owner/Authorized Agent of subject property My behalf,in all matters relative to work authorized by this building permit application, to act on Si nature of Owner SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION Date .property E Hereby declare that the statements and in on the foregoing application aAuthorized Agent of subject and belief are true and to the e best of m y knowledge ; Prin e G Si ire of er/A ent — jO " '7 — 3 Date NO. OF STORIES BAS.EIvIENT OR SLAB SIZE SIZE OF FLOOR TIMBERS SPAN 1` 2 DIMENSIONS OF SILLS 3 DIMENSIONS OF POSTS SIM XSIONS OF GIRDERS IEIG OF FOUNDATION iIZE OF FOOTING THICKNESS !t-4TERL/kL OF CHIMNEY X BUILDING ON SOLID OR FILLED LAND �BUIZ,.DING CONNECTED TO NATURAL GAS LINE The Commonwealth of Massachusetts Department of Industrial Accidents 0/ficeflanestigat/ens \A� ` 600 Washington Street . .. Boston,Mass. 02111 Workers' Compensation Insurance Affidavit hcant tnfion4 F n lease RI:-..� eai I name: X f dt N tr 8, Jam/a-a") location: Z! 417�/W r 47 �U C� citya� l7NGl� O J£K dg ❑ I am a homeowner f ll work myself &/1 am a sole proprietor and have no one working in any capacity 7qddroce. -� ,�.-.�.,,;,.,..�.s„employer providing workers' compensation for my employees working onthis job. me: . phone# insurance Co. oiic # r .. ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: Kompan.yname. address: ' phone# insurance co ohc # som any name: address: cityc - phone# insurance co pohcv# t1t a dditigrralheef'i e6essar- �^ Failure to secure coverage as rcywrcd under Section 25A of 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 of me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the its and penalties of perjury that the information provided above is true and correct. Signature Date O — Print name CG� _ ._.._. �� r`'N� �i .. ..�l, Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# nBuilding Department .� �check if immediate response is required pLicensingBoard OSelectmen's Office oHealth Department contact person: phone#; Other `A:' ✓��...'..SLS->.:e3'.�.SuYl:'. DaA .. 3..s7as.,J.:w_.'�'1II'lliwf (revised 3/95 P1A) f! I BOARD OF BUILDING`REGVLATIONS " License:;P-ONSTRUCTIWGURE)ISOR C, Number: CS 058245 B=nW/24/1=9431 :N s 03/24/2',004Tr ix 20021 Restricted00. KENNETH'B KEEN 21 HEINITT AVE NANDOVER,.MA 01845 Adltlil�� ato�.` j Board of Building Regulations and Standards HOME IM�EM!ENT CONTRACTOR Registratl:on 108383 l' U. 8/1812004 ' r Tyke DBA KEEN CONSTRUCTION'CO F Kenneth Keen 21 Hewitt Ave No.Andover, MA 01845 i\ Al(Ilnlnistraw'T i 1 i , i I i oz I I 0 14-1 tV - il +- T I is 1 I-V i y � 1 � i j13a .✓_ �7 I � L It i I Z , I ' I I ; I � � I ! i I I , i i I L.. I _ _ 4 , I ' I , 1 : t ' 1 - - _ - : i. , f - I I ' I , , : , / f KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER,MA 01845 (978)691-5201 Carito, Steve&Karen 163 Hickory Hill Rd. N. Andover, MA 01845 (978) 794-3199 Contract#1536; Appendix A Date:10/6/03 Mud Room: • Create mud room on existing deck(approx. 6' x 8') • Supply& install one Andersen Narrowline 2846 double hung window(to match existing windows in house) • Supply& install cedar clapboards to match existing(except around entry door for future new entry door) • Supply& install insulation and vapor barrier on floor,walls & ceiling to code • Remove existing closet door, frame, and wall returns to create smooth transition from front hall • Remove existing wallboard in closet and hang new blue board from front door through mud room • Skimcoat plaster to match existing • Supply& install electrical outlets to code Supply& install new heat in mud room off of existing zone • Supply& install ceramic tile flooring ($125.00 tile allowance) • Supply& install trim on window and base to match existing Price does not include cost of permit,painting (or staining) or new entry door. 'Dotal Price:$15,750.00 (fifteen thousand seven hundred fifty dollars) Payment schedule:$2000.00 due upon signing contract $8000.00 due when mud room is framed&tight to the weather $3000.00 due when blue board is hung&rough electrical is complete $2750.00 due upon completion of contracted work Custdner Kenneth B. Keen �-7Ld 3 Date Date 1 V W 11 Vl A.!i %e �. J.s.AL%P&v T %wo i o p. .;.,. 1- , - � N, logo 0 D z= Lort dover, Mass., COCHIC HE WICK V AORATED S H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System R S� � ��� � � BUILDING INSPECTOR THISCERTIFIES THAT...... .. ............................................................................ . ••• • ••• •••••••••• Foundation ... .... ............... 04 has permission to erect......�L......1�.. ..�........ buildings on ... . ........ ... ..«!. O.by.............. .....1....�..... Rough to be occupied as.... .V .. .00.1!�U....... .4�f...... �� v. ... .N !0.M&.....�.. �, Chimney h' 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, iteration and Construction of Buildings in the Town of North Andover. I ' � ' 0 PLUMBING INSPECTOR% VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS , ELECTRICAL INSPECTOR Rough Service BUILDING INSPECTOR Final a Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fina, 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. ` Office Use Only ul�e CIummunwralti of ffiggar4ustfts Permit No. Z�O� lREpF[ThItEIIt IIflthlit 'FIfE2U Occupancy& Fee Checked_ BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 1 3/90 (leave blank) (/G ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 2:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date .S 4 „f yyy City or Town of NORTH ANDOVER To the Inspector of Wires: j The udersigned applies for a permit to perform the electrical work ribed below. Location (Street & Number) 6 -3 Owner or Tenant . 5,J ��/ �•R�6` 6 C /BTU Owner's Address Is this permit in conjunction with a building permit: Yes)& No ❑ (Check Appropriate Box) Purpose of Building .J' Utility Authorization No. Existing Service Amps -J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps _/ Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures / Swimming Pool Abovei In- grnd. grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW LocalMunicipal ❑ []Other Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ❑ NO 0 1 have submitted valid proof of same to the Office. YES ;`11 NO G If you have checked YES, please indicate the type f coverage by checking the appropriate box. INSURANCE Q(r_ BOND G OTHER C: (Please Specify) ('—" (Expiration Date) Estimated Value of Electrical Work$ JVO, C)o Work to Start - Inspection Date Requested: Rough c30 Final Signed under the PenaIt' Gespo�f,Perjury: FIRM NAME �s*��/' �v� LIC. NO. Licensee Signature LIC. NO. jd�L`_'Z 79 Bus. Tel. No. S G Z s"�-9 4C1 a Address Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does of have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) x•6565 # Date...... ............................ TOWN OF NORTH ANDOVER 0 FOR WIRING . PERMIT ,SSA CHU o Thiscertifies that ......................... . ................................................................— / / ..........: ..!..a ............. has permission to perform wiring in the building of......... ...... .................. ............. at..... ......... /-North Andover,Mass."o .......... .... . R Fee...,'.-....... ..... Lic.No/.... ........................................................ ..—A ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File Office Use Only. ` �/L u�I: (nmmnn� falt� ofBI3ttt Bl: Permit No. — 1 a J 1� i leIli of� �ent ablic %fE Occupancy A Fee Checked *f BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 no (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 1 0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date (M* or Town of NORTH ANnOVER To the Inspector of Wires: The udersigned applies for a permit to perform th@ electrical wM de ribed below. �3 r Location (Street & Number) �/ 6 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building / Utility Authorization No. Existing Service C23:2 0 Amps I&C 2-.30 Volts Overhead ❑ Undgrnd A7 No. of Meters New Service Amps _J Volts Overhead u Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work / No. of Lighting Outlets i No. cf Hot Tubs I No. of Transformers Total KVA t ` No. of Lighting Fixtures I Swimming Pool Above— In- grnd. L-1gmd. '� I Generators KVA J No. of Emergency Lighting No. of Receptacle Outlets A?/ 1 No. of Oil Burners I Battery Units I No. of Switch Outlets I No. of Gas Burners FERE ALARMS No. of Zones Total No. of Detection and No. of Air Cond. No. of Ranges tons Initiating Devices H at Total Tdtal No. ct Disposals I No.of ' lJI I umps Tons K:`1 No. of Sounding Devices No. of Self Contained No. of Dishwashers i Space!Area Heating KW Detection/Sounding Devices No. of Dryers I Heating lrg Devices KW Local IJ Connection I (Other No. of No. of Low Voltage No. of Water Heaters KW j Signs Ballasts Wirina No. Hycro Massage Tubs No. _f Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operators Coverage or its substantial equivalent. YES = NO = I have suomitted valid proof of same to the Office. YES = NO = If you have checked YES. please indicate the type of coverage by checking the a p priate box. INSURANCE BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of E!ectrical Work S Work to Start Inspection Date Requested: Rough ✓' ✓ Final Signed under the Penatties of enury- FIRM NAME V LIC. NO. Licensee Signature LIC.'N0. C2 Zi 6 Bus. Tei. No. .7 f/ Address Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee doe not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owr Agent (Please check one) Telephone No. PERMIT FEE s (Signature of Owner or Agent) x-6565 Date....." ..... ../�� 4. "5 f ,AORTM 1 TOWN OF NORTH ANDOVER o g '° PERMIT FOR WIRING �,SSACNUSE� t This certifies that ........:J..` C �? ..........................................! has permission to perform ..................................................r/r ^,........... cq r wiring in the building of !�.................. ..r................................... at ,/........ .......................: .... ..L.M.....CA.................. ,North Andover,Mass. Lic.No. ;1:: ............................................................. I ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File Date.-•,- &/. . . 4 �.".°T:'4, TOWN OF NORTH ANDOVER . 3? i .r ...-�• OL p PERMIT FOR PLUMBING �/ SOL*,°•A�'(h ,SSACMUS� / This certifies that L .� has permission to perform ,. . . . . . . . . . . . . . . . plumbing.in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . at ./ , North Andover, Mass. .Lic. No.. / !.(. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR s Check d �./ 5803 MASSACHUSETTS UNIFORM APP=ATION FOR PERMIT TO 00 PLU BINGf,5-�, (Print or Type) , Aiy do ye-m Mass. Date _1�Z 7-O L/ 19 PLUM Permit# � /y � ' BuildingLocation /(0 3 tfi�rc,E o•!, I/,// Kd H Owners Name Type of Occup c/ 'j(0 rdL�' a' C1New DI-Renovation "placement ❑ Pla s Submitted: ❑ Yes ❑ No FIXTURES z z z cn a U r U z z W W U z Q W Q S { z O z 2 Z a O tq U H U Q y LL U z ¢ °° x a w z o a z ¢ aaa.. Q o U _ 0 o W U O o = a z - y a O z:D19 zSOU) z w L- Y w y g m a o 3 = Si < RFrl= W a 0 5 o a s ¢ m o SUB-BSMT. BASEMENT 1ST FLOOR t / 2ND FLOOR 3RD FLOOR 4TH FLOOR heady for Inspection STH FLOOR 6TH FLOOR Date Will Call 7TH FLOOR 8TH FLOOR I FINAL INSPECTIONS ARE MANDATORY Installing Company Name P.J. Dionne Company, Inc. . Check One: Certificate Address P.O. Box 2351 X1 Corporation 2100 Woburn, MA 01888 ❑. Partnership Business Telephone, 781-938-5662 ❑ Firm/Co. Name of Licensed Plumber Paul J. Dionne f� INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. ZYes 0 N If you have checked Yes, please indicate the type of coverage by checking the appropriate box. IX A 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: Signature of Owner or Owner's Agent L] 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 der the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State PI g ode and Chapter 142 of the General Laws. By ./ ` Title Signature of Licensed Plumber City/Town Type of License: 1K Master ❑ Journeyman APPROVED(OFFICE USE ONLY) License Number 11164 i BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES FEE _ PROGRESS INSPECTIONS NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER I PERMIT GRANTED I DATE .19 __ I PLUMBING INSPECTOR I i I 1 i r Date.. U T . ... .. �� HOFTM °f 3� �' TOWN OF NORTH ANDOVER O F PERMIT FOR GAS INSTALLATION SACHUSES ' This certifies that .-! _ . . . . . . . . . . . . has permission for gas installation l .�.1�`. �. . . . . . . . . . . . . in the buildings of . /. . . t.1�>. �.. . . . . . . . . . . . . . . . . . . . / at ./ //t'.. �� .�f ZZ.Arl- .,.North Andover, Mass. Fee...:>�01,ic. No.. .�/L. .�t. . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR Check# _ / a 4616 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTINd (Print or Type) _D ' /r �-f7Vd0Y�� , Mass. Date 2 7 19 Permit # -- ✓ ��� Building Location 163 Ct�C�oi y (7r/� Owner's Na e Ca r , o Type of 1upancy /?2 5 r d kw C 6-�- ' a New ❑ Renovation ❑ Replacement ❑ Plans Submitted: ❑ Yes ❑ No Q YcrWvi Z Q uj U3 cc U) 0 < O w Q 2 O 0 0 Z w x m �- W W Q a x W U = N Z F 2 > Q w cnLLi W Z Q = CC � LLI W O w = CC fQQ- Z J fq.. Z H W W O > LL F- W J H W Q W > 2 W j Z Q CC Q m O O W O W Q = O O = W M 3 o O U Q > o a i- SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR Ready for Inspection 5TH FLOOR 6TH FLOOR Date X11 Call 7TH FLOOR 6TH FLOOR FINAL INSPECTIONS ARE MANDATORY Installing Company Name /0 j-, neo NN L C o Check One: Certificate Address T3 a 1( ;;1,3 3—/ EX Corporation 9/00 W a r3 UK w �v� 0 fr y ❑ Partnership Business Telephone __ �2 Y1 576 G 7- ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter T'11-VL- Dld/Y.1yr INSURANCE COVERAGE: I have a curr ht liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. as ❑ No If you a checked Yes, please indicate the type of coverage by checking the appropriate box. liability insurance policy ❑ Other type of indemnity ❑ Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee aloes 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: 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 a permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State G e nd Chapter 142 of the General Laws. By v Title Signature of Licensed Plu ber t City/Town Type of License: lumber ❑ Gasfitter [Master 13Journeyman APPROVED (OFFICE USE ONLY) License Number ,i { BELOW FOR OFFICE USE ONLY FEE _ PROGRESS INSPECTION NO. APPLICATION FOR PERMIT TO DO GAS FITTING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GAS FITTER LIC. NO. PERMIT GRANTED I DATE 19 l I I Date..� �.`. ..C!.... f NORTI� "o0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING C SS^CMus This certifies that ..MAN L f..�.......(f,.A.,.e...c-.......... ................................ has permission to perform ......KA....... C).`�..f............................ wiring in the building of......t-k,3........N � ....... L .IZ..G..Y.. ..... �S at...KA r:e^�.......0 !^�A.a............................... .!North Andover,Mass. Fee...,.5 ........ Lic.No. A!0 b....... !. .J�!1 TO�U....t�- ! ELECTRICAL- PECR Check # � 49 Official/Use Only Permit No. Dia o��uClte Sa6d�y� Occupancy&Fee Ch6 e� ' BOARD OF FIRE PREVENTION REGU 1j�4TIONS 527 CMR 12:00 APPLICATION FOR PERM�T T PERFORM ELECTRICAL WORK All work to be performed in accordance the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date 2-'`/ d ! To the Inspector of Wires: Town of North Andover The undersigned applies for a permit// 3 to perform the electrical work described below. c ` Location(Street&Number 1 to / V\ , C \c�C�l , J �\ Owner or Tenant \<_.Ar f-10 c A2 i Owner's Address S `1 Is this permit in conjunction with a building permit Yes 0 No 0 (Check Appropriate Box) Purpose of Building E_,_ _E Utility Authorization No. Existing Service �L Amps A VoRs Overhead a Undgmd W No.of Meters d New Service Amps Voits Overhead 0 Undgmd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above 0 In 0 No.of Lighting Fixtures Swimming Pool gmd 0 gmd 0 Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ran es No of Air Cond Tons Initiating Devices Heat Total Total No.of Diposal No. Pumps Tons KW No.of Sounding Devices NoJ of Self Contained No.4f Dishwashers Space/Area Heating KW Detection/Sounding Devices 0 Municipal 0 Other No.oT Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.df Water Heaters KW Signs Baikases Wiring No.Hydro Massage Tuds ( No.of Motors Total HP / OTHER: t1 C I6(.A\ G` 1�>c�� i!J �J `� , VC n C L,_-E Alo cj� INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent NO have submitted valid proof of same to theOffice YES= NO - ff you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE - BOND O E (Please Specify) Estimated Value of.Electrical Works syo, o (Expiration ate) Work to Start 2-3- b y Inspection Date Resquested Z V Rough Final ✓dh r� Signed under the Penalties of perjury: ..NOl S FIRM NAME 1M/'rY1� 1t(E<I 2Q� LIC / Licensee 2eLQ"k �� M fir, 1 Coq /� Signature �� P 1A LIC.NO. I b S �/ n J Bus.Tel No. Address 7�t &6010 021 35 Alt Tel.No. (� t') -7 �L - Z� OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) (Signature of Owner orAgent) Telephone No. PERMIT FEE $ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: Location: City Phone aam 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. Company name: 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 Date Print name Phone# Official use only do not write in this area to be completed by city or town official' E] Building Dept ❑Check if immediate response is required Building Dept p Licensing Board p Selectman's Office Contact person: Phone#: ❑ Health Department Other FORM WORKMAN'S COMPENSATION 1 Location � �tc.o2 tom`, M No. OCA 6 Date Z 5' "ORe T" TOWN OF NORTH ANDOVEF� Oft�a ,•�h. Certificate of Occupancy $ Building/Frame Permit Fee $ s;�cM�s�� Foundation Permit Fee $ Other Permit Fee ON $ +sl.; 19 Sewer Connection Fee $ N Water Connection Fee $ TOTAL Building Inspector a 7978 Div. Public Works PER111T NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 —r MAP KBO. LOT NO.JC / 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE — ZONE SUB DIV. LOT NO. 1r LOCATION /6-5 '�,�,�/_ �� u;I t R_1 PURPOSE OF BUILDING /��i_( 949 erm5 OWNER'S NAME 1/ ja v �l`�0�� yi 0% NO. 1 �� NO. OF STORIES Sh SIZE OWNER'S ADDRESSh 16`1 Ef GIS BASEMENT OR SLAB -- ARCHITECT'S NAME LO `SCJ T7' L G•() SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME ICEEr� Co as'tt�..,r✓-I'laa SPAN -- 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 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 APPROVEDBY BUILDING INSPECTOR `�� DATE FILED 3 - 7 g..l ` v/�.,' \ BUILDING INSPECTOR SIGNATURE OF OWN E OR AUTHORIZED AGENT L FEE OWNER TEL.# PERMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.# o� Q3 H.I.C.# l � V BUILDING.-RECO RD 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 —I 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D —_ —— PIERS — PLASTER — — DRY—WALL UNFIN. 3 BASEMENT AREA FULL FIN. B T AREA _ 1/1 1/7 1/1 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 HARD"J'D ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR II POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) 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 MODERN FIXTURES _ TILE FLOOR TILE DADO - 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS �Al IstNO �T 13nd I ELECTRIC TING i ' ORT o - TO" over0 : No. 096 iflrt dover, Mass., 24 199 COCHIC EWICK\�lt ORATED V, of%y E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System n BUILDING INSPECTOR THIS CERTIFIES THAT.. .... .5� ....4�% �2. ............................................................................... Foundation has permission to ewt..A ?-.................. buildings on ..A.(01....�1.0 ° ..... W .....�............ Rough to be occupied as.* . ,�A!FA* n ..-.. m{4{,��V�....... -......................................................... 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR ` T ; UNLESS CONS 1 Rough I .................:... Service BUILDI SPECTOR 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 PLANNING FINAL CONSERVATION FINAL Street No. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT smoke Det. -RICq'1 i _ COMMONWEALTH &EN OF OF t -M ? MASSACHUSETTS _ "Ilat ops w �.. CENS EXPIRATION DATE 07/331/19c;... r - CAUTION . 'CONSTR. SUPERVISOR M-t-- `� L I- FOR PRO -k- r RESTRICTIONS ECTYVE HATE LIC-W. i TEI iTION AGAINST ,_0 r s , THEFT, PUT IGHT THUMB -�- r-- a 'i X31/1992 8245 �� PRINT IN A�PHOPRIATE �-- - - - n BOX ONi LICENSE. KE ETH B- KEEN � [ w` # 014-32-22781 -, BLASTING 0! PERATORS - 1 HEW I TT AVE � MUST IN PHOTO tOPRONL`) FEE: " ANDOVER #'�A 01$45 CLUDEPHOTO. A. HEIGHT: y` �u t1ANDOFF1Cutlr r CR-SIGNAAM OF TW COM SMONgq \. DOB: THIS DOCUMENT MUST 3- t CARRIEDONTHEPEASON I I SIGN NAME IN FULL ABOVE SIGNATURE UNE i� Cr TM OTHE HOLDER WHEN 4, OF .. B PRINT >GAGEDINTHIS OCCUPAT:CN. - - 'RJV V. AI STH. Z. . - - -- - — �- a�-- +ONE IN4R ,� R,g�SttatNDIV1D14At � .. ; ' • p,, ZyP 061 _ - -, 4 h a. Keen - u,7nnet, .. i �eattt Av HA O1g45 �;�'. ,.� O �Ap �NISSRASF �-•�- } M r i , H Q r�Sv� e r [I(At 3� G'� 143d50� J zc' z l l-72� j O i Jl !. , I c a. I i Location-. Date "ORT" TOWN OF NORTH ANDOVER Ottt� n . 1'y Certificate of Occupancy $ +g`a'l • ,� B V(tn Oufie Permit Fee $ �• ToUrrcld£it�Pe mit Fee $ S�CHU v Other Permit Fee $ Sewer Conry%tan Fee $ MpSatA-annectio.p Fee $ ,TOTAr $ / Building Inspector 1 Div. Public Works Location No. Date - 1'°"T" TOWN OF NORTH ANDOVER F p Certificate of Occupancy $ • • .VP — • Building/Frame Permit Fee $ F undation Permit Fee $ j s�CHus A. {�� � r Permit Fee $ FORTH ANDG`L- Sewer Connection Fee $ - Water Connection Fee $ + 9GA� $ DEC Building Inspector Div. Public Works ` Location +No. • �l I Date f 7-1 —J�� - a AORTPI TOWN OF NORTH ANDOVER p Certificate of Occupancy $ • ,' Building/Frame Permit Fee $ cwusE� Fqundation Permit Fee $ x : `�iMgl\Permit Fee $ � � F 1Aewer Connection Fee $ 1 Water Connection Fee $ l b*Q- 6-0 TOT�� V� Building Inspector Div. Public Wr PEEIr f,ff N,.r ' �5" �' APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. '-/PAGE 1 MAP d40. I LOT NO. i 2 RECORD OF OWNERSHIP iDATE BOOK iPAGE — ZONE �'?� SUB DIV. LOT NO. 13 7 909 / LOCATI r PURPOSE OF BUILDING l �� P sS/ L�F'�� 'p f1? C/1� OWNER'S NAME b. NO. OF STORIES `� SIZE /p�o OWNER'S ADDRESS C'^ , BASEMENT OR SLAB ARCHITECT'S NAME c SIZE OF FLOOR TIMBERS AST ; f� 2ND 3RD ld BUILDER'S NAME t., SPAN f L1 DISTANCE TO NEAREST BUILDIN ' , DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS • DISTANCE FROM LOT LINES--SIDES �� REAF ftjCh),' "' '" GIRDERS f AREA OF LOTI'3 i C' �- FRONTAGE f�1�I� HEIGHT OF FOUNDATION �-j THICKNESS J� t t IS BUILDING NEW �� �3 / G! SIZE OF FOOTING lC (! X ,o t% IS BUILDING ADDITION x MATERIAL OF CHIMNEY ` IS BUILDING ALTERATION ' IS BUILDING ON SOLID OR FhLLED ,LAND 1 2) WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER ,�j BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER l -.r - IS BUILDING CONNECTED TO NATURAL GAS LINE { INSTRUCTIONS 3. -.1 PROPERTY INFORMATION LAND COST SEE BOTH SIDES 4 iflSCs i IZ Ot . EST. BLDG. COST 111 [ ST. BLDG. COST PER SQ. FT. �C-'PAGE 1 FILL OUT SECTIONS 1 - 3 E �] 40 1-7I EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 o SEPTIC PERMIT NO. N ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED B ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS r" PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR a DATE FILED oc BOARD OF HEALTH SIGNATURE OF OWNER AUTHORIZED AGEWT OWNER TEL.# ` F E E f 7. D CONTR.TEL.# CONTR.LIC.# ° , PLANNING BOARD PERMIT GRANTED �• ,73 19 BOARD OF SELECTMEN i M3 2 1992 ?6 +BUILDING INSPECTO R -529 ,9 Jed 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 I 8 INTERIOR FINISH y CONCRETE �JII d 1 22 13 ` CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY VJALL _ UNFIN. - 3 BASEMENT' - AREA FULL o ,l ` FIN. B'M'T' AREA _ r, 1/4 1/2 '/ FIN. ATTIC AREA _ NO BMT FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I - FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ i WOOD SHINGLES EARTH ASPHALT SIDING HARDW'D _ ASBESTOS SIDING _ COMMCN _ VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY r _ STUCCO ON FRAME BRICK ON,JMASOQY 7 ATTIC STRS. & FLOOR BRICK ON FRAME- CONC. O`R_ NDE •-BLK. STONE ON,MASONRY WIRING STONE ON`FRAME _ SUPERIOR I� POOR ADEQUATE NONE �5 ROOF 10 PLUMBING GABLE Idip BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY — fj 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. TIME BM S STEAM STEEL BMS. COL HOT W'T'R OR VAPOR71 WOOD RAFTERS" _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd ELECTRIC 1st 13rd NO HEATING 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: _ � E� ��",{�- f 11C3�(h,� �? Phone LOCATION: Assessor's Map Number � 1 Parcel Subdivision 1 GW Wit, Lot(s) t.�? Street t ��� r, ( / i // < C,l�, , ' I f' ° (11c'1C` St. Number /fp� ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: '�� istDate Approved ConservatioJnA�d^minrat/or Date Rejected Comments u Y LAW* fti Date Approved . a_ Town Pia er Date Rejected Comments Date Approved * Health Agent Date Rejected Comments -o-k Public Works - sewer/water connections��,4-1i� - - driveway permit , . Fire Department d Received by Building Inspector Date L1CC1 'off Cl rp µ1e1 !Q Ht L rI' I d +Oz � 1. y __.---Q m b�S NI . s aNVl ::JQ NV-ld � � x CERTIFIED FOUNDA TION PLAN ' LOCATED /N SCALE /"= 40' DATE Scott L. Gi/es R.L.S. 50 Deer Meadow Rood North Andover,Moss. C- IC.c� $pp 178 46 os�,o oTcrr S L, J/ o- h P D t5 �j P—UILDING DEPARTMENT I CERT/FY THAT OFFSETS SHOWN ARE FOR THE USE THE OFFSETS OF THE BUIL DING/NSPEC TOR ONL Y SHOWN COMPLY AND SUCH USE/S FOR THE -V s WITH THE ZONING DETERMINATION OFZONING G1 . 13872 BY LAWS OF CONFORMITY OR NON-CONFORMITY ►�-t �� WHEN CONSTRUCTED. WHEN SU/L T. 3( q (q3 a � AORTFI I fit . > I 0 0 �� �� 4 over No. 5 fi 1 o �NTort dover, Mass., fit► 07 3 19 �- cocHicMEwiCK ADRATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System I BUILDING INSPECTOR THIS CERTIFIES THAT... 4V.. ...... .. .. .. A......................................................... Foundation has permission to erect.106.04P& V.4fuildings on 4 ..�3. �.�.. �•/ . ••• ••��!�►... p� Rough to be occupied , �� y � himn C e 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-Law relating t the Inspectli0fiRW40 DfAlpVplAf►iONr#Wf Buildings in the Town of North Andover. REGULATED BY PARA. 114A& &C, PLUMBING.INSPECTOR elk VIOLATION of the Zoning or Building Regulations Voids is Permit. Rough Final PERMIT EXPIRES IN 6 MODfY§ . �i ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS ..111W..A&" 20 r - - Rough PERMIT FOR FRAME/BUILDING M.. .................... ...e. . .... .. . ............ ....... Service 'DATE: FEE PAI _`lam BUILDING INSPECTOR Final Occupancy Permit Required t0 Occupy Builcling 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 ?6�' CONSERVATION FINAL Street No. Smoke Det. c,rin►r-n MIATcro 9 SRI\/FWAY FNTRY PERMIT___ —__ _ NORTH . Town of Andover No. 5 6 7' i' Z_:i.-.r j o ;CQr dover, Mass., a 3 19 A4 COCHEW DRATED H G BOARD OF HEALTH Food/Kitchen Septic System . PERMIT T D x 0 T 't .1 BUILDING INSPECTOR THIS CERTIFIES THAT..�ar Q ...... .. .. .I.. Foundation has permission to erect. #. F */ uildings on ! .....34YA.A.Aif0.1�• #04�!�i.../� � Rough to be occupied asuSVA146.4 . r. JV A&46Chimney 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-Law relating t the Inspect@fiR1=4 9W0AfMf6Wf Buildings in the Town of North Andover. REGULATED 8Y PARA. 114Z& a t PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids is Permit. p Rough PERMIT EXPIRES IN 6 MON 1 —� Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR PERMIT FOR FRAME/BUILDINGRoug Ak).J&.. .................... .... .. . ............ ....... Service SATE: FEE PAI . BUILDING INSPECTOR Final Occupancy Permit Required to "Occupy Building GAS INSPECTOR la in a Conspicuous Place on the Premises- — Do Not Remove Rough Display Y P 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. 045 Smoke Det. CFIIUFR /WATER FINAL 5 9 � � 3 DRIVEWAY ENTRY PERMIT j CERTIFICATE OF USE & OCCUPANCY Town ®f North Andover Building Permit Number t (o Date THIS CERTIFIES THAT THE BUILDING LOCATED ON MAYBE OCCUPIED N ACCORDANCE WITH THE PROVISIONS OF THE MASSACH SETTS STA BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Of ti CERTIFICATE ISSUED TO i ` m ADDRESS '23^CNUSEBuilding Inspector I NoRT1y Town of 1� over 0 No.5 ' � 2 ���.�= a 3 19 g� o l �ANord dover, Mass., Coc-c�EwIC r. A°RATED ��S A H BOARD OF HEAL TH r � � Food/Kitchen Septic SystePERMIT T m /)" x o T ' BUILDING INSPECTOR THIS CERTIFIES THAT Ir �rr. 40.......................................................... I Foundation has permission to erect.&N.OP&MI.- ' g IA.. �.. +o.I�! � .../gip• Rough y' wldin son �9 to be occupied as,s'.�lf� .�•..*4W4 r r /!1� !!<�l1. ..I... y'4- p .�I .. i �!/r/li� imn pp Srovided that the person accepting this permit shall in every respect conform to the terms of the application on file in Fi 4 Gv0'- "3 r this office, and to the provisions of the Codes and By-L4wr"tint, e Inspect@E8Wd0Mf4W0NM NgftrVf ��i 4;' -� Buildings in the Town of North Andover. REGULATED BY PARA. 114.8,5 B,G. PLUMB PEc,TOR Re lations VoidPermit. le oug ;k q ����/ VIOLATION of the Zoning or Building gu DAT . ' FEE.PAID J 0 6 o 1 0, PERMIT EXPIRES IN 6 MOI�Jt PE UNLESS CONSTRUCTION START._ ELECTRICAL CTOR j, PERMIT FOR FRAME/BUILDING Rough r { ..... .. .................... ... .. . ............ Service -'DATE S1 FEE PAI& i D BUILDING INSPECTOR Final(9 I � Occupancy Permit Required to Ocatpy Building GAS IN eTo I Al Display in a Conspicuous Place on the Premises — Do Not Remove 91ou No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE EPARTMENT Burner �� CONSERVATIO FIN '� Street No. d PLANNING �tItIAL l `! f v1 V Smoke Det. ! -� (ZMAIM /%MATERVaI7F INA I DRIVEWAY ENTRY PERMIT