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2101104.D-0071-0000.0
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Location
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No. ', 9 Date 27
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NORTH TOWN OF NORTH ANDOVER
O�•t�ao .a,h
O? • a Op
A Certificate of Occupancy $
> ; ; Building/Frame Permit Fee $
�' b''•a°''<�' Foundation Permit Fee $
�SsncMust
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Ins 4ctor
3A07/22/99 13:16 25.0o PAID
Div. Public Works
P1?12NlIT NO. APPLICATION FOR PERMIT TO BUILD********NORTFI ANDOVE , NIA
MAP NO.,,, /,PV LOT NO. oD 2. RECORDOEOWNERSHIP — DxrL 1 OK PAGE
LONE Still DIV. 1,01 NO.
LO(:A'IION DID
SeAV IP Q { a`J� PURPOSE O IllIL1mwm �f-leaarl/w1 a -
0mvEIt'SNAME. 1111AF� L- l-/'C'v NA OF STORIES �C-Gni /V G SIZE
0"VEIt'S:vUDItFSS /JBASEf,(ENfORSLAB
A It(.I I H L CT'S N A IN I E % SIZE OFFLOOR-1'INIIIERS I 1 2ND 3aD
BUILDER'S NAME TLAV SPAN
D15fANCE TO NEAREST BUILDMCG V �V DIMENSIONS OF SILLS
TILS TANCE FROM STREET DIMENSIONS OF POSTS
DISf.-1NCEFROM LOTLINES-SIDES REAR DIAIENSIONSOFGIRDERS
AREA OF LOT FRONTAGE IIEIGHTOFFOUNDATION IWICKNESS
IS BUWDING NEW SIZE OF FOOTING
IS BUILDING ADDITION MATERIAL.OF CIIrMNEI'
IS BUILDING ALTERATION p��D _ _ (n 1 IS BWLDMG ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WAIER
BOARD OF APPEALS ACTION, IF AN]' IS BUILDING CONNECTED"TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTUCFIONS 3. PROPERTY INFORNIA'FICIN LAND COST
EST. BLDG. COST
PAGE PILL 011"1'SECTIONS 1-3 EST.BLDG.COST PER SQ. FT.
EST. BLDG. COST PER ROOM
ELECTRIC AI ETERS MUST HE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO"
r.
ATKCIIFD AAIt:\GES MIIST CONhORM TOS "E FIRE REGULATIONS 4. APPIZOYED 111"
PLANS MU$tI DEFILED AND APPROVED 131'IllI1LDING INSPECTOR IIIIILDING INSPECTOR
DATE FILED OWNERS TEL/1
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CONTR.TELH
` CONTR.LIC1
SIt:NAI"IIRI° OF OWNER OR A117110121'L.EDAGFNT
FEE 's w/y
P E R M IT G R A N TLD
19
Rcviseil S/5199 .IBI
it,xOIRTH
P0"i
own of 0 ®ver
No. 9
311
t- L 'C Mass.
-tp COCHI gPrt dover,
ORATED P9
BOARD OF HEALTH
Food/Kitchen
R IT T Septic System
BUILDING INSPECTOR
THISCERTIFIES THAT.............. .................. . . ... ...... ... ........................................................ ..................... Foundation
has permission to erect .......... .. .... ..... buildings on ......... ......................... Rough
tobe occupied as.._01L*a�. ........................................................................................I..................................... Chimney
P that the person accepting t mit shall in every respect conform to the terms of the application on file in Final
�g t
or
this office, and to the provisions of 9 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 STELECTRICAL 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'!."DO
N° 4276
TOWN OF NORTH ANDOVER
p PERMIT FOR PLUMBING
49
,SSA USS
This certifies that
has permission to perform . ._..-. ./ . .. .. . . - .. . . . . . . . . . . . . . . .
plumbing in the buildings of,4
at . . . . , North Andover, Mass.
Fee. . .. . . . .Lic. No.. . : . . /I
PLUMB,G I1"SPECTOR
WHITE.Applicant CANARY: Building Dept. PINK: Treasurer
I
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
Mass. Date I Zt� Z�Q Permit #
Building Location J`, (�p-s Owner's Nameh ft-Qct(-1
jType of Occupancy Residential
New ❑ Renovation ❑ Replacement Plans Submitted: Yes o ❑
,l
FIXTURES
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F �, m o z r Wul
O C7 W TS
O W f• W S N Z Z v 4. F-
2 Z
-i f/l fA (/} S -Q ~ (.7 W N Y Q 0. d K
U = O 7 Q N W Ir a W ? 6 N Z Cr S rr '� LL N N N Q�
Cr i ~ r W O o -' N = F. a Y u a x x xi 2 •-1
F u ►_- O = ° ai F x a o z x a W LL x W N 14
a N Z o o j -j 0 — — W <- 0 u z N N •,1
n O Z 3 O N O +3, 3 3
SUB—BSMT.
BASEMENT
1ST FLOOR W
2ND FLOOR IN A
i
3RD FLOOR D IT
4TH FLOORI II T
STH FLOOR R S
6TH FLOOR E
7TH FLOOR C. 9
8TH FLOOR T D
Installing Company Name Heritage Htg. &P1g. Co. Inc. Check one: Certificate
Address 35 Pleasant Street [R Corporation 714
Stoneham, IL,a 02180 Cj Partnership
Business Telephone 781 –4 3 8–7 7 7 6 ❑ Firm/Co.
Name of Licensed Plumber Gordon Switzer
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes ® No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy Z . 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 Owner O Agent El
I
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 the permit issued for this a plication will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing Code an hapter 142 of the Gen al Laws.
By
Title Signature of I ibesed IUm er
City/Town Type of License:Master(R Journeyman
APPROVED(OFFICE USE ONLY) License Number 8322
BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS
FEE
NO.
APPLICATION FOR PERMIT TO DO PLUMBING
NAME&TYPE OF BUILDING
LOCATION OF BUILDING
i
?LUMBER
PERMIT GRANTED
DATE 19
PLUMBING INSPECTOR
JAMES A. TRUDEAU
Adjustment Service Inc.
James Trudeau Thomas Murphy
P.O.Box 208 47 Green River Road
Templeton,MA 01468 Greenfield,MA 01301
Phone:978-939-22515-
Phone: 413-774-5124,
Fax: 978-939-4234 Rax:413-774-5124
Notice of Casualty-Loss of Building ;
Under Massachusetts General Laws,Chapter 139,,Section 3B
June 25,2004
�Buil,ding Inspector
400 Osgood Street
North Andover, MA 01845
Board of Health
400`Osgood Street
North Andover,MA 01845
Fire Department
Dept.of Records
124 Main-Street
North Andover, MA 01845
Insured: Thomas&Jeanne Bianchi.
Loss Location:
Insurance Company: Preferred Mutual Insurance Co. V
Policy No.: PH00100637075:
Date.of Loss: June23,2004
File Number: 04-02910
Claim Number: 04009722
Type of Loss: Water Damage
Claim has been inade involving loss,'dartage, or destruction of the above.captioned property, which may either
exceed $1',000.00 or cause "Mass. Gen. Laws, Chapter 143, Section 6' to be applicable.-- .If any notice under
"Mass.-.Gen. Laws;Chapter 139 Section 3B" is appropriate,.please direct it to the writer and include a reference
to the captioned inSUred,.location,policy number,,date of loss;and file or claim n'umber..
On this date,I cause copies of this notice to be sent to the person(s)named above at the address indicated by first-
class mail.
Sincerely,
� ►�; )
Thomas Murphy ?
Claims Adjuster
ChptrLtr(102)
JAMES'A. TRUDEAU
Adjusf hent Serviee Inc.
.James Trudeau Thomas Murphy
P.:O.Box 208 47 Green River Road
Templeton;MA 0,1468 Greenfield,MA 01301
Phone:'978-939-22M. . ' Phone:413-774-5124
Fax:978-939-4234
Fax:413-774-5124
'Notice of Casualty.Loss of Building
Under'Massachusetts General Laws,Chapter 139,.Secti6n 3B . .
June.25,20.04
Building Inspector
400 Osgood Street
North-Andover,.MA.0.1845
Board of Health
-400`Osgood Street'.
North Andover;.MA.01 8.45
Fire Department
Dept.of Records
124'Main Street-
North Andover,MA 01845
Insured Thomas.&Jeanne.Bianchi.
Loss Location• 20 Bridges Ln.,North Andover,MA 01845
Insurance;
Company:, Preferred lk[utual Insurance Co
Policy No.i PH00100637075 `
Date of Loss: June 23,2004
File Number 04-029.10
Claim Number: 04009722: : . -
TYPe of Loss Water Damage
Claim has`been`made involving loss, damage,dor destruction'of the above captioned property, which may either
exceed� 1 000.00,,or cause "Mass. Gen. Laws. Chapter 143, Section 6" to'be applicable.` .If any notice under
"Mass "Gen:Laws:Chapter 139 Sect_ ion 3B"is'appropriate,please direct it to the writer and'include a reference.
to the_ca'ptioned msured,:.location;policy nu'mber,.date`of loss,46d file of claim;number,,.
On this date; I cause copies of this notice10 be sent to the person(s)named above at the address indicated by first
class mail...
Sincerely,
Thomas Murphy
1? Y
Claims Adjuster
ChptrLtr(ro2)
Date. . . . . . . . . . . . .
R
t
i
N R,,, TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
�'tSACwUSf
!ir
This certifies that. ./. !.��/,.l�`-/�:� .�. /J . . . . .
has permission to perform . . .' '? .
plumbing in the buildings of . . . . . . . . . . . . .
North An
dover, Mass.
Fee';.•.6-dic. No.. 3>? .
PLUMBING INSPECTOR
Check #
62A
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
f
An nLej(,Dass. Date 9Z7 6k Permit# J�.a
j
s Building Location Owner's Name-,
7 71 1 Type of Occupancy Residential
New ❑ Renovation ❑ Replac ryient N Plans Submitted: Yes El No El
FI RES
N N N O Z O lJ b
H N J
W Y J N Y U Q N (7 W rlf
n Z N d Q Q x r N = O Z
J N U1 N N X Q 1- U W x d d W - b - ; Rt i6 /+
a `a Q N > a a m 0 a Q o N
(r W W `� N It J N Q J Y ❑ ❑ W x i4 T�
rW U a x 3 x a X = x a 0 F i z `� W '� x
> ►- 0 ti h z 0 0 _ _ w ►- o
d f• a 4 S h 2 Q d O a J J d ¢ Xa d O
SUB—BSMT.
BASEMENT
IST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
aTH FLOOR
Installing Company Name Heritage Htg. &Pig. CO. Inc.' Check one: Certificate
Address 35 Pleasant Street L%Corporation 714
Stonehamy Ma 02180 ❑ Partnership
Business Telephone 781 -438-7776 Fl Firm/Co.
Name of Licensed Plumber ' Gordon Switzer,
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes ® No ❑
If you have checked Yes, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy IS 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 Owner C) 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 the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts Stale Plumbing Code and Chapla 42 of the General Laws.
By
Title
Signature of Licensed-Plumber
,
Type of License:Master[g Journeyman❑
City/Town
APPROVEb107B 3 2 2
IC S O License Number
,r
f
BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SKETCHES w
FEE PROGRESS INSPECTIONS
" NO.
d
{ APPLICATION FOR PERMIT TO DO PLUMBING
NAME do TYPE OF BUILDING
LOCATION OF BUILDING - -
PLUMBER _'. .
PERMIT GRANTED
DATE 19
f
' PLUMBING INSPECTOR
J