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Home My WebLink AboutMiscellaneous - 193 BERRY STREET 4/30/2018 (2) BUILDING FILE Location 1R71 �-�`�• Wo. Date NORTM TOWN OF NORTH ANDOVER op Certificate of Occupancy $ cry Building/Frame Permit Fee $ to Foundation Permit Fee $ swcHus Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ ? TOTAL $ �. Building Inspector ;;,�"f,� . 98-00 PAID Div. Public Works tir1J '� PERMIT NO. t�� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP d40./Or LOT NO.—� 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE v I SUB DIV. LOT NO.�� I LOCATION / Q i C�Y r C PURPOSE OF BUILDING Q es OWNER'S NAME 7j� �e//J�r NO. OF STORIES GV uD �7 Q��C�� r•�/� OWNER'S ADDRESS e` �" S ; BASEMENT OR SLAB ARCHITECT'S NAME .. Tr v e ,J �b�f.q-Lp SIZE OF FLOOR TIMBERS IST 1�JL s/ 2ND / 3RD BUILDER'S NAME 31/°e L,,•.,v iC� vl i SPAN b �O DISTANCE TO NEAREST /BUILDING 1 r/O_I T DIMENSIONS OF SILLS DISTANCE FROM STREET od�J J POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT IFC Irs FRONTAGE /Y8 7 T HEIGHT OF FOUNDATION n _�`,�. �A,�, THICKNESS IS BUILDING NEW X-1 c) SIZE OF FOOTING Z.O[ X IS BUILDING ADDITION F MATERIAL OF CHIMNEY T 1`` /• IS BUILDING ALTERATION XV. IS BUILDING ON SOLID OR FILLED LAND C' y WILL BUILDING CONFORM TO REQUIREMENTS OF CODE C; IS BUILDING CONNECTED TO TOWN WATER ,OJ A-10-1 0 BOARD OF APPEALS ACTION. IF ANY p ® / IS BUILDING CONNECTED TO TOWN SEWER '�`1•' 0 �V IS BUILDING CONNECTED TO NATURAL GAS LINE Al c) INSTRUCTIONS L 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST / COST PER SQ BLDG. . PAGE i FILL OUT SECTIONS 1 - 3 EST. ' 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 13- BUILDING INiPRCTOR SIGNATURE F OWNER OR AUTHORIZED AGENT p FEE OWNER TEL.a 1 PERMIT GRANTED CONTR.TEL.N vice 19 •�' CONTR.LIC./1. H.I.C.# /J BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S-ORtEs 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 V d 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ V DRY WALL UNFIN. 3 BASEMENT il AREA FULL V FIN. B M T AREA _ '{ '/, '/ FIN. ATTIC AREA NO 8 MT FIRE PLACES HEAD ROOM MODERN KITCHEN ✓ 4 WALLS II 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDIQ D _ ASBESTOS SIDING COMMCN VV VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING r ST01.E ON FRAME SUPERIOR f POOR _ ADEQUATE I NONE I S.A ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. )2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING t 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. %00_ STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING too, V RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIELL B'M'T 2nd ECTRIC lsr 13rd I NO HEATING tAORTy < tTown of y tAndover No. Z o 7 0 m sLAKE dover, Mass., 19318 �y-.�.: w 9z'0CHICHEWICK �• 0'Z' `V T E D►PP �(� BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System / � BUILDING INSPECTOR THIS CERTIFIES THAT........................... ......................A-p.E..//##It O .................................................................................... Foundation has permission to erect......./. 0.0(07. 1..0.!4... buildings on ...../3.3...........046.R.JAY............... 7............ Rough to be occupied as.................... ............ Q.d R........ �.5?.l. N......'f...2-.....C.°'}R....... #Ygo .4a c....... 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR Rough .................................. ... .. . ...... .. . ............INSPECTOR.......................... Service BUIL ING Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough - No Lathing or Dry Wall To Be Done Final ' Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. Pl PERMIT NO. � � c APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. +/� PAGE 1 MAP i4O.�®d I LOT NO. Ct 2 RECORD OF OWNERSHIPDATE BOOK ;PAGE — I ZC'+'� -Z SUB DIV. LOT N— �+O. 9 L 3 OCATION 9 `� 7 ,Y r � PURPOSE OF BUILDING jl e.S P� �c C T w OWNER'S NAME Be 7v �ei/ NO. OF STORIES GO l!f��• �C'�'� „A OWNER'S ADDRESS 3 f Y�a S1 , BASEMENT OR SLAB ARCHITECT'S NAME True a'o l t ip SIZE OF FLOOR TIMBERS IST ^I 3 p 2ND "°]� � 3RD (V� BUILDER'S NAME e ��`� I /t f Lp. � `� SPAN --xyz-W sr DISTANCE TO NEAREST //BUILDING '1 y�0� T DIMENSIONS OF SILLS DISTANCE FROM STREET •�p a POSTS r DISTANCE FROM LOT LINES-SIDES REAR s ' GIRDERS AREA OF LOT 3 I4C w+` FRONTAGE c� / 4 HEIGHT OF FOUNDATION THICKNESS 6, THICKNESS IS BUILDING NEW Jy 0 / SIZE OF FOOTING X IS BUILDING ADDITION D MATER;AL OF CHIMNEY - .� `P C .. IS BUILDING ALTERATION Y S IS BUILDING ON SOLID OR FILLED LAND Gr "l WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ^��.5 IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY / IS BUILDING CONNECTED TO TOWN SEWER dJ IS BUILDING CONNECTED TO NATURAL GAS LINE �+✓� INSTRUCTIONS L 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST COST PER SQ BLDG. . PAGE 1 FILL OUT SECTIONS 1 - 3 EST. ' PAGE 2 FILL OUT SECTIONS 1 - 92 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. - ELECTRIC METERS 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 1 �\�? �c�QUTHRiff� BUILDING INSPECTOR SIGNATURE F OWNER OR AUTHORIZED AGENT F E E OWNER TEL.a PERMIT GRANTED CONTR.TEL.# CONTR.LIC.N. H.I.C.H 1 TOWN OF NORTH ANDOVER AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142 A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units...or to structures which are adjacent to such residence or building" be done by registered contractors, with certain exception, along with other requirements. Type of Work: A4IS 11 Est. Cost �dC� Address of Work 0 e7 Owner Name: i'v(v 0 to / *,z 0 Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law Pemit No. EDW��'_ipng our $1,000 Date not owner-occupied wer pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FIND LINER MGL c. 142A. r Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: ate Owner Name FORM U - LOT RELEASE FORM 'INSTRUCTIO'NS: This form is used to verify that all necessary approvals/permts from Boards and—partments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. '**""*"APPLICANT FILLS OUT THIS SECTION APPLICANT 2_4.ba( PAVI DC7 PHONE Z a-'l°1 Qc3 'be� C-e 3;ODp� { LOCATION: Assessors Map Number 1 CO t 01� PARCEL I SUBDIVISION LOT (S) ; I • STREET `C ST. NUMBER *"OFFICIAL USE ONLY 7z7 DATIONS OF OWN AGENTS: ' jj CONSERVATION ADMINISTRATOR DATE APPROVED �D/fATE REJECTED I COMMENTS UL U T7 �/� 0 i TOWN PLANNER DATE APPROVED { DATE REJECTED COMMENTS i FOOD INSPECTO - EALTH DATE APPROVED DATE REJECTED IOR-HEALT DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER(WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE I I ._ WATER AT 9�--i- WATER AT 1 EL.= So,g _ TESTS CONDUC7FD BY MF_RR/M.QCA(�IVC�/VE.E,p�j�/Cs SERV/CES PE'eC. 7-,ES7-5 COA/OLICTLD AND w1r1vZ RSED gy TOWN A1,FA4r,41 A4,=-NT. 1 DEEP OBS&kV.47'1oN HOLE 7-E575 CONOUCT�D SND WITNESSED B y TbWN ,�,IEAtrf/ AGEivr. I �7 95 DATA SE t - 1 � 50„ t r t 5toly' _ 6 ,w`1 LO)o 01 J L BY DEe 'All 4 � p � X001 T �II 85 9�( m 1a 00 ,00 1 _ ?:.!- I ,� 9.17 tx i it ri' BEAM ABOVE ' ` PROPOSED BASEMENT PLAN N t DEPRESS TOP FDN, WALL FOR 3'-0' WIDE DOOR ar 4' THICK GARAGE SLAB PITCH TO DRAIN MIN, 1/8' PER FT, ALTERNATIVE BEAM LOCATION � I I I + � s l 1'-6• co f POURED CONCRETE FOOTING 30' X48' X12' DP � 9'-7' R.O. (CONCRETE) 0 9'-0. O.H. DOUR CTYPICAL? EXISTIP coI s � IIS i I I EXISTING OVERHEAD I I DOOR PADBMTI 7'-0' 10'-6' 28'-6' I ' LINE OF PORCH ABOVE T � � 4 � � i r {208'.: NOTE : The cor►-iyuratior• of this Iot is fror) the plan or record whit.h dare NOT fit t;ir dc(-j de.scription. 9 � !ter• NOTE : variance- No. 1I-714 O<<! SVD J y MORTGAGE SURVEY PLOT PLAN �•5'j� ha is r tor,ttgage 3,wn wgmtlou nuwl for nwil8a8'e Fxp,0,Vj owy MORTOAGF:RI'ttVF:Y COSSULT,lNT.%+,Wa 3.19 No. Main Street, Andover, MA 01810 2.0CA'E10N NORT14 AtiDUVLR , MASSACHUSETTS DAT: D(�canbt•r 10, i 38j SCALE.: E inchfeet Uly te Tow,; tib CM DEED AND PLAN AFFERENCF.: is herel,y code its ESSEX NORTH DISTRICT FAI&u7 of Dft& Crith Fr.dt:ra1 Sdvin.l5 "--- th�t tl,a er't :,g 6rnxt,tm %V .wu on cu. plan are Plug sitoarrd on tht Int desigsv,tr-,I in cnroytat,-a with the 75 c1 �Ry� �� 3- rpl.!:cat,let a•r: ,g hyt,tivs of t1,r ,nuni6pality whrrr n A, ANCHOR BOLTS/STRAPS AT 4' O,C, SLOPE FINISH GRADE z TO DRAIN AWAY FROM 4' CONCRETE SLAB FDN, WALL PITCH TO DRAIN 1/8' PER FT, z 0'-10" w E e O I �- POURED CONCRETE FOOTING & FOUNDATION CONFIRM SUITABLE 1 -$� FOUNDATION SOIL BEARING CAPACITY TYPICAL CRSS SECTION Location /,> - -►�^ �. "'ENo. Date YM <,M°,oThr�Y TOWN OF NORTH ANDOVER c? •'`, ooh 9 Certificate of Occupancy $ bi + s Building/Frame Permit Fee $ 'ssACMUSE� Four�dation�P�ermit Fee $ a Other ermit Fee $ Sewer Connection Fee $ Water Connection Fee j $ TOTAL $�� z 1.4 Building Inspector 2 A 5 Div. Public Works PERMIT NO. dam' APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER MA . /PAGE 1 SS MAP 640. LOT NO. 2 RECORD OF OWNERSHIP IIATE BOOK ;PAGE Z E SUB DIV. LOT NO. LOCATION /y C' � PURPOSE OF BUILDING WNER'S NAME ,��rn�Jw 1 I � w e (� NO. OF STORIES SIZE _� CI h v _ WNER'S ADDRESS 42/&- `�G m �G� (J`/T BASEMENT OR SLAB - ARCHITECT'S NAME S r/ n ` o 61vI SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME 1/1 e Q G�n� /� n u SPAN -- DISTANCE TO NEAREST BUILDING Y' / C 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 MATER:AL 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 C70 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 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 IMTLED '�'/ ll BOARD OF HEALTH SI NATURE OF OWNER OR THORIZED AGENT FEE I v�1 PLANNING BOARD PERMIT GRANTED vCONTR. .# 19 (.CONTR.LIC.# . BOARD OF SELECTMEN i � SUILDI10 INSPECTOR • BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY $TORIES 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 a 1 2 13 CONCRETE Ill.K. PINE BRICK OR STONE HgRDw D _ PIERS PLASTER _ DRY WALL UNFIN 3 BASEMENT AREA FULL FIN. B M AREA _ V, '/t '/. FIN. ATTIC AREA NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES —EARTH— ASPHALT ARTHASPHALT SIDING HARDVJ D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING 1 GABLEHIP BATH (3BATH (3 FIXE a GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 8 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 I NO HEATING I PROPOSAL pc� YYA 11 PROPOSAL NO. al SHEET NO, S.- PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: -OF �AM A=% mAss R ADDRESS . , 7—RRY —7==- N ZQ. ...... DATE OF PLANS .... L_hMj PRESSURE TRFATU)_13X22JFXX_INf UZaW PHONE NO. ARCHITECT STAIRS 77777 Wci hereby,pecpos*b'tc furnish the i-riAterials:an' p '.rf,)ft the fa&b'Vnbciei•„&Y for the letf6n'(')f_____ ...... pc:z 'cle)Z AL 4 ........... c L ��. % � ," _ __-1 All material is guaranteed to be as specified, and the above work to be performed in accordance with thr- .drawings and c'itinn.s submitted for above work an C111pleted in a sulbstaritial workmanlike manner for the Gum �Izq�t-�f Z_ Dollars FvAth payments to be made as follows. Dt' o S I i /,DA ////47 If e. e C) 61 e , Respectfully submitted_. or dr.,ofi!D11 fV_AI1'_tb0'A S0=ICifICrt!'Ckr3 10 b0sXCCLJMIJ Only LIV/7';I V'Pintm ordc-,@ml v.,ill haccrn--,an extra cn rye C."C,r-,'nc. ebcnle the esfitn5te..Magro0rentes sontingent u�jon qtr:res,ac- Per AAXe A-1 44 0(;C�r;ta,v delays be;-..ntj our Note—This xopcml may bc, withdrawn by us if not accepted within—_days. ACCEPTANCE The above. prices, specifications and conditjorvs are satisfactory ;;Ind are hereby acre-ptod. You are authori7ed to do thr.) work a.s Specified. Payrnents will be made as outlined above. Sign,94ire— Date_ SignatUr-e ........ NC OFFICES OF: 1. WI>E:UL 1zoMainShed, NorthAPPEALS (U.-S NORTH ANDOVER Mass Andover. Massachusetts O 1845 BUILDING (61716854- 5CONSERVATION DIVISION OF HEALTH PUNNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR �• J W In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number 4/ 2-2- is that the dcbris resulting from this work shall be disposed of n a properiv liccnscd solid waste disposal facility as dcfincd by MGL c 111, S 150A. The debris will be disposed of in: L ri LQ A C C (Location of Facility) Signature of Fermij. ppiicant Date NOT=: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. Mr. Gary Marchessau/t, G & S Home Improvements, 556 Andover St., Lawrence, Mass. (01843) May 10, 1994 Gary. The attached$1800.00 check, (Number 225779)is 50% of what you required on your proposal to replace the deck at 193 Berry St., N. Andover Mass. I will forward the remainder upon completion! Please notify me and Tom Zappala when the replacement is complete. Do replace the deck as soon as possible!! Sincerely; Raymond L. Barnes 4718 Hamilton St., Sacramento, Calif. 95841 e Y o _ No V's e 110 tellcl �v C Afv?(y co cr Joest �� `' Town of �oz over 0 1.� No. 17 2 �= - - o Abort dower, Mass., dV Of 19 CO(HICHEw CK A7=Esp 01L.D BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ . ....I�OIrj�....... .. ►.......��. �................... Foundation has permission to enrt.4r4buildings on .�. , A ... >:,ts►t1 ..'y Rough to be occupied as.....� i. �.ri ` .� �..!X �� Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file m 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 E LP11.TS IN 6 MONTH UNLESS CONS RUC I- ON ST VFTS ELECTRICAL INSPECTOR � Rough ................................ ....... ........... .. 'Service BUIL41iNGTNI,4SP�"EC�TOR Final 0CCLtijv1).CV Pci i111C RqI urc t to UCI j)y .Bti ildl•t,g 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. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT 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: 4Qed "Or - Pap Phone.S000 41H--Ilt y LOCATION: Assessor' s Map Numberlobj�) Parcel '7" Subdivision Lot(s) D Street �/� �e r: Y� S I W JU c.2 St. Number ************************Official Use Only************************ RECOMMENDATI NS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-health Date Rejected _ LZ � �/� ILA Date Approved Septic Inspector-health Date Rejected Comments Public Works - sewer/water connections _ - dr4vewav permit Fire Department Received by Building Inspector Date i I 5 �w cl (15Y UEIr-C) ( N.T. rlA i" Lo yon V cis}�- - joSrro �o�osecj 9E�'7ie_ �� - _.�--- -. ..,•,`\ ��`,. `,y`'�k ` `I � � � _..._ .�.. � _"__ -_- � t �'1.r•I1,��U f','�, I TL��= � , ID NO eo V2 { WeLL tl 1 I In,t 1� f • �� f��-S C��. (� �i � Com-5 G�l�Gi. �