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HomeMy WebLinkAboutMiscellaneous - 167 LANCASTER ROAD 4/30/2018 a � 167 LANCASTER ROAD 210/104.D-0156-0000.0 ` Date..�...J7 .............. TOWN OF NORTH ANDOVER PERMIT FOR WIRING IH4U This certifies that C 0,-,cz ......................................... ....................-1;.......................... rm��, — has permission to perform oll, .... ............. ...... -1/ wiring in the building of...........)....Ap ............................... ...... .... North Andover,Mass. (1�o 4.................... at ........ ep*... Fee, Lic.No. N4......... . ......... . .. . ... . ........ LEC TM �M 0 ,North SPECTO Check# 11628 Official Use Only Commonwealth of Massachusetts Permit No. I 0- Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ,5:Ai 3 City or Town of: NORTH ANDOVER To the Inspector of fires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 16 7 ,-A/y C457s '2 ko,,9 7 Owner or Tenant M tq,e Ic -t4i k4 ye vZ Telephone No. X17$aSi:'e6W Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Uw e i I i;a 7 Utility Authorization No. Existing Service 260 Amps /70 /-2Yo Volts Overhead❑ Undgrd[�r No.of Meters 1. New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 6 y/V[ I K3 go t Completion of thefollowing table may be waived by the Inspector of Wires. No. of Recessed Luminaires /5 No.of Cell:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In Elo.o mergency ig ting rnd. rnd. Batte 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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g 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 KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 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: S 1311,3 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 9 BOND ❑ OTHER ❑ (Specify:) X certify,tinder the pains and penalties of perjury,that the information on this application is true and complete. FIRM �r NA11lE: LIC.NO.. Licensee: Signature LIC.NO.: ,—lNe.?6 (If apphcablv�,e t exempt"in the license nuAber line.) Bus.Tel.No.- ?7,F-S3S-7P2r 9' Address: ew Ctge e Q �b l Alt.Tel.No.: *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 PERMIT FEE. -$Telephone $ r N�. F ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c.143,§3L,the ' permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§ 32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall.be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit❑ ❑Permit Extension Act—Permit/Date Closed: Trench Inspection Pass 0 Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass 0 Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass M Failed Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: ROUGH CTION: Pass Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: A P FIN SPE TION: t. t SL (a `� i"� Pass 0 Failed Re-In ection Required($.) ❑ Inspectors ments: VV Inspectors Signature: V Date: DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com ,'Grounded, medicated Li*ne TRUE equipment must be grounded. If it shauld malfuncton or break down, grounding provides a hath of least !resistance for e* lectric current to reduc:e the risk of electric shock. TRUE crards (except for cycle adapters) have ars equipment- grounding conductor and a grounding plug. The plug must be plugged into an appropria#e outlet that is projo, er1 installed and grounded in accordance vM#hr all local codes andordinances where you live. Do not use a ground plug adapter to adapt the power mrd to a non-grounded outlet. Do not use a GFCl outlet or GFCJ circuit breaker. A dedicated Ione Will assure that adequate dower is available for safe operation over the life of year TRUE Product. Voltage Voltage required for your unit is located on the serial number, decal (usually on the front of the unit). Depending n where you lige voltager�requirementsdi cier'. Y The Commonwealth ofMassachusetis o De artmint Industrigl ACCidints P .f • Office of Investigations 600 Washington Street Boston,MA 02111 Uf www.massgov1d1a Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): RIC—lud (O_Rq Mo Address: Lec-tet s CaLC IC- city/state/zip: Pe4 b 214 OID-0 6 Phone lh 9 7?6_-16_°7 iz0,9" Are you an employer?Check the appropriate box: - Typo of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part time).* have Hired the sub-contractors 12.[91 am a sole proprietor or partner- listed on the attached sheet.t �• [1 Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. [No workers'comp.insurance 5. El We ❑BWe are a corporation and its El Building addition al repairs or additions required.] officers have exercised their 3.❑ lam a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roofrepairs insurance required.] employees.[No workers' q ]r 13.❑Other comp.insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they ire doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is 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 requiredunder Section 25A ofMGL o.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the 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 maybe forwarded to the Office of Investigations of the DIA.for insurance coverage verification. Ido hereby cert/ undei'trlepains andpenalties ofperjury that the information provided above Is true and correct - Signature: Date: Phone# 7� 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. 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 j oint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwellinghouse se having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employsersons to do maintenance,a cons traction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate 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 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." f 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 certificates)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,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials r Please be sure that the affidavit is complete and printed Iegibly. 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. r 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 permits or licenses. Anew 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Coax MORWealth of Massachusetts Department of Industrial Accidents Office ofjavestigatiw s 600 Washington.Street Boston?MA 02111 W,#617-727,4900 ext 406 or 1.-877-MASSAFB Revised 5-26-05 BaXW 617-727;7749 Location . q s No. A - 4z Date afNO or; TOWN OF NORTH ANDOVER ' _•SOL F p Certificate of Occupancy $ L ; : Building/Frame Permit Fee $ Foundation Permit Fee $ sACHUSE Other Permit Fee $ Sewer Connection Fee $ i Water Connection Fee $ TOTAL $ Z'- Building Inspector 7660 Div. Public Works Location Ar No. ' 44.4-- Date i ,&OR701 TOWN OF NORTH ANDOVER „ Certificate of Occupancy $ --Q # Building/Frame Permit Fee $ Foundation Permit Fee $ JsAtNUSE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ a"j,3 Building Wector 10/12/94 08:51 150.00 PAID r.s 7556 ` Div. Public Works Cocation 11o17 40'. 4-+A-- ti Date a yoRTh TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ s�cNusE`� Foundation Permit Fee $ -? Other Permit Fee $ 657 Sewer Connection Fee $ Water Connection Fee $ TOTAL $ v _ t . L Building Insp ctor 6 9 7 7 1 Div, u00 c Works PE&JfT NO. 1 1 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. %4 PAGE 1 MAP iMO-. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE Z E I SUB DIV. LOT N6. ,.+ LOCATION 167 PURPOSE OF BUILDING OWNER'S NAME _ / 6-1w.11 _ / NO. OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME 'Cn_ `/� SIZE OF FLOOR TIMBERS 1ST -7 X/� 2ND - 3RD BUILDER'S NAME SPAN DISTANCE TO NEARES BUILDING /Q loo, DIMENSIONS OF SILLS _ X C DISTANCE FROM STREET ;LIQ '� POSTS DISTANCE FROM LOT LINES—SIDES REAR GIRDERS �y /`p�x AREA OF LOT / w IJV / FRONTAGE Q HEIGHT OF FOUNDATION �-/'7 THICKNESS IS BUILDING NEW640 512E OF FOOTING x � dl- 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 Lib BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION PERMIT FOR FOUNDATION ONLY LAND COST SEE REGULATED BY PARA 114.$,x, &C '31 8osoo SEE BOTH SIDES EST. BLDG. COS '7 AGE I FILL OUT SECTIONS I - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS I - 12 r^;ITr I0�1v EST. BLDG. COST PER ROOM ----�`L FEE PAID !off —.SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATI MMIT FOR FRA ME/BUILDIN LANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED DATE: - FEE PAID. BUILDING INSPECTOR AIGNATURE OWNER h KCJTHORIZED AGENT F E E /Sg OWNER TEL.# 7S^ . O PERMIT GRANTED PRhli CONTR.TEL.Ji O19 e.T g4_ LESS o n � �-7— oa DUE FSE PW� CONTR.LIC.a. I K irlii� H.I.C.# C #22Co 3 — 7ssc 9 77- II ��me o s 1.mt 3 2 fQloO A& BUILDING RECORD V 1 OCCUPANCY 12 SINGLE FAMILY (i• rO'FF ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY ICES 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 '_�I{ 3 1 1 13 CONCRETE 81.K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ _ DRY VJALL _ UNFIN. 3 BASEMENT 11 AREA FULL !i' FIN. 8'M'TAREA _ '/ 1/2 '/ FIN. ATTIC AREA N_O 8 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 _ COMIAGN _ AS VERs. SIDING PH.TILE �r f A P R "tl STUCCO ON MASONRY 1r(' u ! STUCCO ON FRAME i t BRICK ON MASONRY ATTIC STRS. 8 FLOOR `l �.a� BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME - SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I IF BATH (3 FIX.) �• �1 , GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT H SHED WATER CLOSET ,�,� ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK l SLATE NO PLUMBING TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE $ •d? �'E-� 3'! �� �� j FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM ] AQ3 STEEL BMS. COLS. _ HOT VAPOR TIMM 3 3 3uc WOOD RAFTERS AIR CONDITIONING ITIONING „ RADIANT H'T'G ! UNIT HEATERS 7 NO. OF ROOMS GAS OIL 8'M_ T 12nd I ELECTRIC l7t �' 3rd NO HEATING a A ) FORM U - IAT 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: a r,lr �L f /S6h ,5 Phone �,1' LOCATION: Assessor's Map Number 6 Parcel Subdivision Lots) - ' Street St. Number 167 ************************Official Use Only************************ RECOOENDA OF TOWN AGENTS: Date Approved _A 117L Co servati n Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector---H�ealth Date Rejected ,--�/ Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permi Fire Department Rleceived by Building Inspector �'T Date I . Town ofNor' ' 'th\ Andover N©. 444 -North-,Andover, Mass., CV-1 19w- 10. BtUILD BOARD OF HEALTH PERMIT TO Food/Kitchen Septic System �-- —� ^ — BUILDING INSPECTOR THIS CERTIFIES THAT............... �.v'... tLl! . ..:2 Aws�..�........111� C.1P'...................................... Foundation has permission to erect......l�o9b............. buildings on ../47....44.�•�}.�.J�, -.A^ -m-- .....�.� Rough g to be occupied as.SIN • ... �..�. ... l�w . 1 .�'�'� Chimney provided that the person accepting this permitlshall in every respect co form 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 ii the Town of North Andover. PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8-5. &C. Rough RHP Ili, I I I I ' I I I - I , I 1 I I If DATE/97'/Z4FEE PAID �OV Final ELECTRICAL INSPECTOR PERMIT FOR FRAME/BUILDING ' 1 . Rough l�.t�-��..� R... ............................... Service .............................. . • FEE PAID' / "� BUILDING INSPECTOR Final DATE. GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. gFIAIPP /INATFR FINAI_- DRIVEWAY ENTRY PERMIT CERTIFIED FOUNDA TION PL A All Nov - 7 p94 , w LOCATED IN N0. A NDO VER, M.A. SCALE• / - 40 DATE: 1011919 Scott L. Gi/es R.L.S. 50 Deer Meadow Rood North Andover,Moss. 5417,96 S. F. N M 00 et' i Q1 " 48' LOT 45 3 ' L O T 42 R=350.00 1--- 151. 17 TER ROAD -- LANCAS / CERT/FY THAT OFFSETS SHOWN ARE FOR THE USE THE OFFSETS OF THE BUILDING /NSPEC TOR ONLY SHOWN COMPLY AND SUCH USE/S FOR THE T WITH THE ZONING DETERM/NATION OF ZON/NGS, i 72 BY LAWS OF CONFORMITY OR NON-CONFORMITY F��StEREo �y� A/0. ANDO VER,MA. WHEN CONSTRUCTED. '< LAND g`'Q WHE&I BUIL T. lO/l- / 4 PLAN OF LAND W/ IV 0. ANDOVER, AfA. SCALE; 1140' DA TE: 11-8-93 EDGE \ `� SCOTT L. G/LES R.P.L.S. WETLANDS N � � NO. ANDOVER, MA. NO•CUT NO•BUILD. L'®� \ 5 4,?5�6' S.F. \vo Of G oD 1 \ IL \ SAL 151 I� ,� / f /P�'CPiB is�7� � ��_ N�o•!�r LI*l� IGZ F 1 3� \ IGd F' IIS F( Z41VCA�'e'? Ro \\ ►� 158 ►� 2 b" 1 IS ----------------------- �d i own or l ort,n cover v.0 <. North-fAndover, Mass., 01-e acm i2 19w- • BOARD OF HEALTH Food/Kitchen PERMIT TO BUILD Septic System _ BUILDING INSPECTOR THIS CERTIFIES THAT............... ......'.... 11. ......��....?.��'S 1..x........4; ..K. '........................... Foundation ............ has permission to erect..... vPb. ...�......... buildings on .147"�,.0��`!�.". ,p�La��A TL' ..'���.... Rough to be occupied as..SINt> '"... �. .. yw&—LQ; . . .� . I>� dF 90 .. Chimney .. provided that the person accepting this permit hall in every respect co form to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR REGULATED BY PARA. 114.8-S. B.C. VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT ,,-i�_[11-�. 11'1 6 N/1-� .'� � I DATE/e�-/2• FEE PAID �Ov Final t� �. S �.���1�1`: 1 .� J1 .. I{-�T,,1 ;; 1 '� 1�^I ELECTRICAL INSPECTOR \A: Rough ..................................1... ........... .......................�! ....................... Service BUILDING INSPECTOR Final' Qccparlc y Iic qLf lc(l GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT I Burner PLANNING FINAL CONSERVATION FINAL Street No. � SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT Smoke Det. KAREN H.P. NELSON Town of 120 Main Street,`01845 Director _ NORTH ANDOVER (508) 682-6483 BUILDING CONSERVATION DIVISION OF HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT CHIMNEY APPLICATION AND PERMIT DATEpLr /� !/ PERMIT # LOCATION ��„irs/ , �/C -, -? OWNER' S NAME % J BUILDER'S NAME MASON' S NAME MASON' S ADDRESS S' � �y✓�r ` ( LnP�� MASON ' S TELEPHONE MATERIAL OF CHIMNEY111, INTERIOR CHIMNEY ar �Gu _EXTERIOR CHIMNEY `J L NUMBER AND SIZE OF FLUES THICKNESS OF HEARTH Will chimney or fireplace conform to requirements of the code and have rules and regulation. been received: i DATE E # SIGNATURE OF MASON C LIC. TR. � EST. CONSTRUCTION COST/CONTRACT PRICE PERMIT GRANTED 1 Cyl./ FEE ROBERT NICETTA, BUILDING INSPECTOR � � ) M INSPECTED REMARKS SOLID BRICK REQUIRED 5 THIS PERMIT MUST BE DISPLAYED ON THE PREMISES I NORTH own or 6Andover 0 -111" 11� 1 \ 444 O• LAN Ol.. dower, Mass., GOC NIC NE WICK V %S0RATED 4 BOARD OF HEALTH f Food/Kitchen I Septic System' `� GZA , • BUILDING INSPECTOR THIS CERTIFIES THAT...............R��J '.. N.tL4Cr........ .....31..�........4m/!!C. ....................................... f Foundation has permission to erect... ° ............. buildings on ..I477"'t ' �a 7th ��.... p .. ......!! }..... . RouR I Rtv to be occupied as C#1.1 �R1 ... ... ..., �i-.... ....T' .... . .. .... . nay i k ' ... . provided that the person acceptingrmitthall in ever respect co form to the terms of the application on file inP P Y 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. PERMIT FOR FOUNDATION ONLY P[.UM[3[NG NSI'ECTC R VIOLATION of the Zoning or Building Regulations Voids this Permit. It . REGULATED BY PARA. 114.8-S. B.C. 7 PERMIT EXPIRES IN 6 MON /4P'/Z' FEE PAID I_ ELEC 'R1CAL IN PECT MEU I QS CONSTRUCTION STARTS PERMIT FOR FRAME/BUIL RA 1\ ..... _ .............................. ................................................................... / « BUILDING INSPECTOR / DATL'1107 FEE PAID' ��� Fina Occupancy Permit Required to Occupy Building GAS 14CTO Display in a Conspicuous Place on the Premises — Do Not Remove t,a► 4 No Lathingor Dr Wall To Be Done Y Until Inspected and Approved by the Building Inspect° . BurnerFIR RTMEN 51 2I K ] DEP PLANNING I.P� �FINAL CONSERVATION Fl. L 1 street N<'. b ' Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT a t 1 1 CATE OF USE & OCCUPANCY �? CERTIFI� 4� r1 ; Town of North Andover j ��Building'Permit Number q'4— '�'4 Date A0 � I�14 s' e ; t � i1I THIS CERTIFIES THAT t _j „ 11 {. �. Aiii' 95 I sh• r .�_r �I.,s. �� i, �� .*t#l. �� e fh" 7,'.:' DING LOCATED ON "I t•ICAST�2. Rf� ,:�, ��, ,� . BE OCCUPIED AS 1 1 w N ACCORDANCE j ' p WITH;THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND p '' SUCH,OTHER REGULATIONS AS MAY APPLY. '1'1AILL&T OaAit, Ce'RP CERTIFICATE ISSUED TO 14 I : ADDRESSZB CS"IT ' 0 P too a4eNus �. # �� all lilg 112SpC'CIOI'. � ; : + '* "� a `r�s[��l �±.i�i t d � I�i ! I�4i 1�€a' � t .1• �. ,,�� I�q .°#'E i�.'�f Ii�; tii'{ ��, � , I a i �S( l3 F i'I�k gy]y5s r 4 i + 1 #].�� •'lei ] §� t�+Q11; i