Loading...
HomeMy WebLinkAboutMiscellaneous - 19 FOXWOOD DRIVE 4/30/2018 I I y_ 0'0000-LZZO-0,590/OLZ 3AIN0 000MX03 6l Date. N2 4897 + TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING S' US c.1 This certifies that -/ . . . . . . . . . . . . has permission to perform . . . `` 1.� f'c � . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . at. .,!'` . �`"~ :4-! c .�. '. .+. . . . . . . . . . ...`, North Andover, Mass. Fee. . r.? . . . .Li c. No.. . /r'{!l. . . . . . . . . ..,. Cf. ._. .,.:�-.,.� -1. . . . . PLUMBING INSPECTOR Check # `l7 V WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING l�/ (Print or Type) i[ , Mass. Date qw / permit Building Locaatiio Owner's Name ` `v y Type of O ncy New ❑ Renovation Jm Replacement ❑ Plans Submitted: Yes ❑ No O B .P .# SEWER# FIXTURES SEPTIC# Z N C in Z Y �. J N O Z �. > �4 14 W Y J N } V < y O Q. W O to Q F- _ O W F W N F¢- V ¢ N a 4J DC G1 x CC O O ¢ rn W ¢ d W ° < N = ¢ a ¢ O Czi W d W s 7i 0 ° _ y < Y W LL cJ �4 < F NN O Z O O V1 _ W Q O 0 •b o SuB—BSMT. BASEMENT / IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR:; STH FLOOR Installing.nmpany Name Check one: Certificate # Address ❑ Corporation ❑ Partnership Busi ess elephone ❑ Firm/Co. Name of Licensed.Plumber INSURANCE COVERAGE: I have aYesc�= I.ableity Ins 0.-ince poiic-y or its subs antiai equivalent which meets the requirements of MGL Ch. 142. rEZ- No If you have checked Yes, please indicate the type coverage by checking theappropriate ro riate 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 one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information 1 ave submitted(or entered)in above application are true and accurate'to the best of my knowiedge and that all plumbing work and installat, need under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State 11bi a and Ch ter 142 of the General Laws. By - Si n re of Ucensed Plumber Title Type of License: Masten,— Journeyman ❑ APP8M'ED 0,FI S ONLY) License Number Lobation 47 x No. Date MORTh TOWN OF NORTH ANDOVER A&LA Certificate of Occupancy $ F} : # 9 Buildin (Frame Permit Fee $ cauSEt Foundation Permit Fee $ Other. Permit Fee OAT $ Sewer Connection Fee C $ Water Connection Fee $ TOTAL $ ��= v.. Building Inspector C° II 03 6.00 PAID Div. Public Works w'S✓•W"�f�,�, +1� ;�'r^'"Y��.^<i'.r.,'Jl/b{^'ii 't p'r Y'�iw�.!1Y..pV�<^''�"F"._ ��+� Location ' No. -� - Date f TOWN OF NORTH ANDOVER Certificate of Occupancy $ Y"� �1"�'► � 70 Building/Frame Permit Fee $ c ..... ;+.^o' < �.�.<. +>• 4 yar . y!:.fit Lf A~ E< : Foundation Permit Fee s�cMus Other Permit Fee $ Sewer Connection Fee $ fir . 2 Water Connection Fee $ + TOTAL $ ... C Building Inspector Div. Public Works ° 804 Location 2- !ci No. '4zDate f5 „°RT„ TOWN OF NORTH ANDOVER ro Certificate of Occupancy $ S� . Building/Frame Permit Fee $ :w ��ssACHU Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL a. $ o Building,Inspector 7449 - Div. Public Works ` = Location t, q a No: C ��;Date CL "ORT1y TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $i Foundation Permit Fee $ SACNUSE "�� Other Permit Fee $ u '�& -Sewer Connection Fee $ Wale(Connection Fee $ ' TOTAL- $ mhe'c'v (i Bub, ng in ector 6989 Div. Public Works i:Ea�ir"ivo. ml APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS 4 . 4 f it f] , PAGE 1 MAP 4.10. LOT NO. Z 2 RECORD OF OWNERSHIP --[CrATE BOOK ;PAGE sZONE SUB DIV. LOT NO. _ F — i LOCATION AN. w PURPOSE OF BUILDING t �c OWNER'S NAME so ` NO. OF STORIES / © SIZE JiNOWNER'S ADDRESS BASEMENT OR SLABs4�(.tu ARCHITECT'S NAME s7J SIZE OF FLOOR TIMBERS 1ST Zy lG�i/fs`•2ND �(O 3RD BUILDER'S NAME u�0o7 Ll�. y SPAN --L� DISTANCE TO NEAREST BUILDING L,l `D ( DIMENSIONS OF SILLS , Z /_ DISTANCE FROM STREET 3o d POSTS +Z`-�C�\�Qa� DISTANCE FROM LOT LINES-SIDES O REAR GIRDERS AREA OF LOT jg T CJ/7 G' f FRONTAGE � dO HEIGHT OF FOUNDATION `lr 16 4THICKNESS lQ IS BUILDING NEW L5 SIZE OF FOOTING D X 2-'f- IS IS BUILDING ADDITION / MATERIAL OF CHIMNEY �e r IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE S IS BUILDING CONNECTED TO TOWN WATER Ye,.5::JJ BOARD OF APPEALS ACTION, IF ANY C IS BUILDING COINNECTED TO TOWN SEWER 7 IS BUILDING CONNECTED TO NATURAL GAS LINE i INSTRUCTIONS PERMIT FOR FRAME/BUILDING 3 PROPERTY INFORMATION LAND COST Q - AEE BOTH SIDES -6' DATE: l� EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 FEE PAID:,. _ EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 - PERMIT FOR FOUNDATION ONLY SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING REGULATED BY PARA 114.8•S. B.C. ' 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS w PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR ""�� ,/�_ DATE 4-&M PA14102 DATE FILED_,-- BOARD OF HEALTH SIGNATURE OF OWNER R AUT ZED A i F E E if /9Sn PLANNING BOARD PERMIT GRANTED OWNER TEL.# Z� 19 CONTR.TEL.#A '12. 3 V c.� .e_ CO OTR. LIC. ff,t yG ��A`t BOARD OF SELECTMEN 'JLU . T X911 i jFtl LESS FDAFES ' r oo DUE FRAME PERMIT$ L�'` ` 1994 �U CS(( s� BUILDING INBPRCTOR ` �* I L C tC� at?7 'A 54_A,':ILDING RECORD E 1 OCCUPANCY 12 f. SINGLE FAMILY. SIOPIES—' r 1' rh & THIS SECTION MUST SHOW EXACT DIMENSIONS'OF LOT AND DISTAL FROM MULTI. FAMILY OFFICES _ . 'LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITM/P,ORCHES, GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. `,; CONSTRUCTION-. 2 FOUNDATION $- INTERIOR FINISH rte`' •�"1 CONCRETE a 1 2 13 —+ CONCRETE BL'K. PINE BRICK OR STONE HARDW D _ — '—•i PIERS 1, PLASTER DR _ Y 11ALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 1/. 1/2 % -FIN. ATTIC AREA' NO BMT FIRE PLACES _ } HEAD ROOM MODERN KITCHEN 4 WALLS _ ^„ 7 I.;9 FLOORS 6 CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE 000ll WOOD SHINGLES EARTH ASPHALT SIDING ' HARDW'D _ ASBESTOS SIDING COMtACN VERT. SIDING ASPH.TILE _ 11 �T• .ti ' •" ' �,'; T!` T STUCCO ON MASONRY _ �.• {a ;_ }r' ° `` STUCCO ON FRAME Iy BRICK ON MASONRT—t ATTIC STRS. 8 FLOOR _ BRICK ON'FRAME I ,s, x !" e :# CONC. OR CINDER ELK. , ;AIt����! .E>r.`�.....,.-•mss-�-•*•^ ' STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR POOR ►aivr: l�t.r�? ff+� s T1, + n�;7 ADEQUATE I-i NONE L:'. t y ,g s •; t 5 ROOF 1 O PLUMBING ,f,,.'[.}}<,„g {a«4 A l V �.!JT 7'l.S J J i 71 GABLEHIP BATH (3 FIX.) GAMBRE MANSARD TOILET RM. (2 FIX.) _ FIAT SHED WATER CLOSET _ It ASPHALT SHINGLES LAVATORY • 01 331 "y_. _._ __ ,�Tf_`,) 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. 8 COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS + 7• NO. OF ROOMS GA ? 1.1 i l'!*•'{ r ._ B'M'T 2nd _ ELECTRIC 1st I3rd I NO HEATING 1 FORM IIs IAT RELME 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: ? D�11 l) d ,��P L/�, C_0 rt2 Phone LOCATION: A_sassor' s Map Number Parcel Subd?vis ion V W 0 0 a Lot(s) r2 — Stere St. Nu-=er Use Only****************xx*xxxxx RECOMMENDATIONS OF TOWN' AGENTS: - P /Date Attroved Consar-:ation Ad~inistratcr, Date Resected Cc=e:a.r Date Approved Town Planner Date Rejected Cc=—eras Date Ancroved i Fco:: _ns:,ec - ealth Date Re-i ected Date Actrcved Sert_c �.ns:ec .cr-^ea_t^ Date Rejected c ;1crk - sewer/water connections / S drivewayer:lit P /SS S Fare Decart.:,en' J1 ! Us,M TJa 4i-cr �� �/ � Received by Building nspector ;F . o I� Data 14199415 'NpRTpp . -� ,. _ . � over orti 2.7 (� 3 Z0r1�� "North-Andover, Mass., 19qf- TED � cj . ' BOARD OF HEALTH p y Food/Kitchen PERMIT T :,- Septic System .4 BUILDING INSPECTOR THIS CERTIFIES THAT �e� r ................................................... Foundation . ..... O>�41•i 00�.. f�0 has permission to erect........*,.A ......... buildings on ........r�..'....�1�. •••••......•.••• •• •• 17 Rough •� '.�T.••••. Chimney to be occupied as �...C.CM!l,t . ................................ r respect conform toXe...ie* rms of the application on file in Final I provided that the person accepting this permit shall in every res p 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 PERMIT FOR FOUNDATION ONLY VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA 114.8-5. B.C. Rough Final PERMIT EXPIRES IN 6 MONTDJA- S _/0.7 �PAID �� ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough I 1tit�,t x'02 �oc�w�Ah't'r o�v , �/ ,,,,,,,,,,,,•,,,,,, Service �- may, BUILDING INSPECTOR 3a Ive . Final t' Occupancy Permit PL'quh-ed t0 Occupy Building GAS INSPECTOR — --------— Rough E. Display in-a Conspicuous Place on the Premises — Do Not-Remove Final No LathingDr Wall To Be Done or y FIRE DEPARTMENT 1' Until Inspected and Approved by the Building Inspector. Burner t PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT ' r sTown of N0" Andover 29 x si No. Y :}} North„.Andover, Mass., _199f 1, 0 T E 10) ,% , 'i SL' � BOARD OF HEALTH PERMIT TO Food/Kitchen q.: Septic System 9, BUILDING INSPECTOR t. THIS CERTIFIES THAT.................... ...(�iseb............C' ` ................................................................ Ss, Foundation r has permission to erect....... ........ buildings on oW..�..�..1.F'. X.........!....... .... . Rough � ♦ nl �/ S/ +� ��'�//' �� Chimney k to be occupied as:W.1 provided that the person accepting this permit shall in ever respect conform to the terms of the application on file in P P P 9 P Y P PP 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. PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8.S. B.C. Rough Final PERMIT EXl'..RES IN 6 MON11 Oaf 'S FEEPPJO °i'” ELECTRICAL INSPECTOR UNLESS Rough PERMIT FOR FRaWE >,.'i Service ....................... .............................................................. ......................... � BUILDING INSPECTOR DATE: 9 FEE PAi jS� - Final OCCi.(E�mi(:)' ��('.11"1111; �L�(�L{lI'('c .(i �_ Cf.:i.{.�.;'}' -3'L{llC:�171fj, GAS INSPECTOR Display n a Conspicuous Place on the Premises — Do Not Remove Rough P Y iFinal 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. /Zy *JI� SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT �I� 0000000000000 P. 02 —,o— enose"zillel, ' I ,II 1 'y Q Iq l , I ;j 4 II, I� I e--,cr/A-Y rO 7, Az D T PW Gar.0 SWA,v Arvo it IAA .�V �iYEr��«�^/ o�.✓o,.:rao✓E� 2GW/N6 ,CEdvGArAa+Ns ,A47AW rr ix sr�r rs,�rar�..��s /✓D :d D!/ � ' *, ;' I .x FO.rsy�.e•I c�Rri�r T•y.�r Y.✓�cs G►+�uiN6 /s,ver II . , LGWrG'O/N 7-"f'E FEAEer Alli .4,W-W. AWAi!'�t/ /cD,Q 4' #VAf pJN SEM i X71-AfNG.0 �sdo?B 449 As i i ;��, �! j doavoRy�TZrRd1/.NA � va�vo.►.rr�.v.��.*r. A/E.E'�P/,�fAGt"E".va�WEE.t"•s+vt6 �.Pi'�iIC�'.s � {;':, 477W rvAfE.y fX-t7i!! GG o°•4Ap .r.WET if"fi ; �f/Odir �f1A fiS4C�YG'SETr�' r.�/ '/O J I! 0000000000000 F. E�•' �', I Id jllu I ill i I I � I', ' I I Ill III hill l:' ��Iidr I I 6 i I III Ila; 1114 ' I 6 I I I'll Ii - f IJo, I II q Pe, III I I' I �.•� �� •.f7^ ' 6 � ( —}++ , 1 ,I I�I I I I r /• � IJ I I, i I JI I IIII,. "4'. yI I', r III, ''I'• (,f � I i' I iil 'I�ti' I!J,I Iii I, I I i` f � n I • {] Iii lllill. I I II I I �� I III III" III IIII I f I j I SII II IIIIIII I I' II I it I� _ I I IIII I I � I I I, II ! 1 Ili II IIII I II II'1;'��! III OA A IIi4"'.+fWAO 7AeV'/7-AVP*S I IAA I 4 III I I' I /�i�f'fid'€rt�gv��• E7,f�`�/d,•,�CwaPi�'E,�' L°GHV/rV1f .C��/�r07it9,i�.,}' I II III i� Aidx�To�.rs° Q. ,s�rr �^ tar c�.as* k ;; irruVl;r dPOVjreV1AW 1s,•41dr III II.I LIC•�r :'�.+/ '7�i'�' tel. � rwz,*eQ 4,ew"w. llo III ► �E'l11'd 'rte.+ '� i r, '"!++/�1�'r. c G 9c�y' I q c°,S 6�o-�,o� II I I 11i 4llll'I IIII alll�i. � 1! .S 6/ 2 2/72i ' f ql fIII I ,��, ,,,;; , 11 I' •- I I ,!II'I,: 1 11; IIII wr 1 11II, I Ill II 6 _ ¢ "�,.rl*tiv,,,1� ,�✓ r li � I i! I I Q Il lu, I y ;' � ,vv. �rr�.�.�lfa4d.� BdtQ.�.�i�}..��.�.�! �����11�� � �E.E°. •�,�'°��. ' IIII;Illii�; .4r/0.v rv,4fly seta r lilff'x' r7lva ';;cws: G6 'Opwe ' III;I;jI!II, �I.`. � � - _ � -�•. "'mss- r- __.�,,�• I� ' "�+II' _�, - -- v_• v" 14`� .r.. ' 4, .'�{� "'`tr ig '.,:"":J '" 471161 1 J�{" -.Sri c�"=�'s .�c.�.c c�.4_rud�rJ�a✓Y'a � '� � 1 � �� r � , I "i. 4-(110 _lam_- ! �" •�. 1 j .17 41 � 3 d eX7/,-- 7► -W4-7-ITe-e Alsel,V.r4.p d Nk';/;;NT Y.w� /��►- 'tG ei mss' eco rt �O rJ.V ; '.+ ;�QT AS,1i4t9A'�/ANO 7�!"/)'•OGtf.� CGWifk'gi' �j/v � i � ' '�D'!3'i!� 7'�1YErvw�'• Oj+�,✓o,, van vE,� s"GWI.v6 'Bs�'6d/�R7't?'✓.S A � ' � I � �, .w .:�7A A-s Ar4sYl sr-rer, fy��z�� r.�.�r�r�r r.�var•r-.r �� �� � i i I r , AG.I AOP/.c r,VE -X4L-,r, Ott � � A.E�'� I ► w�1r� ,+. �.4+- �` s'3-PuAle.4 �. °'r�f!'�t/ f�. ' j Art � � .�►r��.v�s.��'�-�°�.P.srr�trsr �rar�.v��.�r,r..tl,�sd'.�ra s9��.�",t®i�dP�'�`�d�/�E.t�.rs�/�S" , :x'1%5: ' } ' f.4'.v 0000000000000 p JEW vive 'i III I I i r o l i i i I Sl I lili'll I ,•I � I I i� I 11�.9i ill ' I I ; i 1 I III I till ll�i III. I r _ r I• i 111 III Igeti-jotent � � II ' III IG it 733 Turnpike Street: 11''11'111 r 11111 Suite 311 j1'I l II,III;11, North Andover, MA 0184,E i ' qII IIPiI,� I' i,li I1 ;Phone (508) 975-x.420 F (508) 681,1718447 1 j 11 III FAX r ► `{ t Tt T I1 �I I I • , 'll,�I,I�,I �i .. Ij Cate:l - —/1994 Page I of it (Total Inclu ies this gage) r� V li' � II I Ii I I .. VIII i I II Company: ,&�, r I CIt til I'IL'. I� Fax Number I I I'II I � 4Oi�1. `�'1�4:�1a I . �_,a. d.aa�i 1 Linda1 `1`eres�� l uli / . an / )ick / sott 1 I AI 'i I 'i li ! i III II li9il T i I' �i � ' f I. III i,l4 II;I i I [—I�� 5 e ILII I V I I I I I I ' III IIII I 111 it II v• ' i II'I� II - III ''j1'ji G I —^— � I I�Ii III^f!il it Id)i I � ffJ A i / I I Ill yl ll' I I G II I I-7 1 f I I! I Illr'i lil �� '� I• I � 1 I Il,a I, , ' ,1 i I I� I• II I � II �I u,IIl�l I ' 4 II II �• I'' � I I�II ,' Ply 3.1ips Coirizoe�il { Ni,aa��rve�ci Stevens Crossing * Cobblost one Crassi.7kg ° FoxwrC�o� I l..illll�Yll f �I ' 1 .. ' ....w..w-.'sw^r'��r.11•r � ��• � �IIIA �j'I lil Town of th..or 293 No. s / �+ North Andover, Mass., 199f— !; r + BOARD OF HEALTH M PERMIT TO . BUILD Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.....................1- 1�. ...... C1` ................................................................ Fou dation has permission to erect....... 4?0 ......... buildin on ........ .. ..r w �! ...`Po�417 �� er , p oug 4'O (!O�C to be occupied as*J...(cw4r;;. ) ......� �& / ............. Chimney j provided that the person accepting this permit shall in every respect conform to a 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 Buildings in the Town of North Andover. PL PERMIT FOR FOUNDATION ONLY L BIG I SPECTOR /lJy4 c�.rt� I .VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA 114.8-5. B.C. F I ('1=;}J. j,;i DATE7W-T11 FEE PAID ELEC ICAL INSP OR i; 19f 'i A •. Rough I PERMIT FOR FRAME/BUILDING , 4y 1 ...................... �� �� BUILDING INSPECTOR % r DATE: FEE PAID-!6- Final V-3 )3?;; j ;, , Wit. GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FI DEPARTMENT Burner PLAN NI IN AL CONSERVATI FINAA , 0/ Street No. CP1IUPR /11UATFR�/ �} + Smoke Det. /Zy �.Jlef NAI DRIVEWAY E RY PERMIT � �%/��`7 CERTIFICATE OF USE & OCCUPANCY Tiown of McnrlhAndover Building Permit Number 293 Date NOVEMBER 4, 1994 THIS CERTIFIES THAT THE BUILDING LOCATED ON 19 FOXWOOD ROAD - T.OT #2 MAY BE OCCUPIED AS #1 CAMEO/SINGT.F FAMILY DWELLING IN ACCORDANCE i WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Foxwood Realty Trust Turnpike St . ADD SS No th An ov A Building Inspector I Cr NOIITh 1M • 4 KAREN H.P.NELSONrTown of 120 Main Street, 01845 D Director • - � NORTH ANDOVER (508) 682-6483 BUILDING CONSERVATION Be4O""st4 DIVISION OF HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT CHIMNEY APPLICATION AND PERMIT DATE /� ��� PERMIT # LOCATIONa-C> OWNERS NAME BUILDER'S NAME MASON'S NAME MASON'S ADDRESSCa MASON'S TELEPHONE �� MATERIAL OF CHIMNEY INTERIOR CHIMNEY Ck" EXTERIOR CHIMNEY NUMBER AND SIZE OF FLUESO THICKNESS OF HEARTH /eo Will chimney or fireplace conform to requirements of the code and have rules and reg•. ations been received: DATE / ✓ J SIGNATURE OF MASON.; �.c z�2' CONTR. LIC. # dam✓ (� EST. CONSTRUCTION COST/CONTRACT PRICES�Ol� PERMIT GRANTED 9//Z- FEE `LSA ROBERT NICETTA, BUILDING INSPECTOR INSPECTED REMARKS SOLID BRICK REQUIRED THIS PERMIT MUST BE DISPLAYED ON THE PREMISES cc-�3�9 -_ '3-70 7—