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Home My WebLink AboutMiscellaneous - 213 HIGH STREET 4/30/2018It Location No.'- Date 19� TOWN OF NORTH ANDOVER "S. � , 0 Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee CHUS Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL Building Inspector 12 2 YT'11 13:56 25. 00 PAID Div. Public Works I! " -- -1% 1 - Location No. 4 10/13/98 13:56 Date P 6 r� TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 25-00 PAID Building Inspector Div. Public Works �G7 �I yI C S G r/ f v3l 7R Z' •.1 Y C � /1 r v u ^ s Z M v1 �G7 �I yI VI r/ f yN' 7R Z' N l IAJ - v u J M v1 Z z v � 1K Z l Illi 1 o W ^ l W N Z a �4 z Z O - X, lL' J L L Z r Z C t ` rl c J 66 w N VI f yN' 7R CA N N IAJ - I u M v1 yv z v � 1K \ 2t 1 o W W N N a �4 z Z Z F- X, lL' J W L 2 � C Lou: ` J 66 w C L W C J F Z [l VI f yN' 7R y N N IAJ - I M v1 yv v � 1K \ 2t o W W N N a �4 z Z Z Z lL' J W L 2 � C Lou: ` [l 1 e6 w N f 1% N c I M v1 \ 2t o W W N `- a z u M v 2 � C Lou: ` J 66 w C L W C J F Z � H � C: 6- N Z ' v h- W W u W K x W z N < V, cc (L yy L L 7L 1 e6 w N � f % c I M =� \ 2t o W W N `- < z u yWj v C V C z` w C L � C J 3 Z � � f M =� \ 2t o z L � _ 3 HIGH (PUBLIC - 45' WIDE) STREET 80.00' N 0803'20"W 71 0` Dn I 0 a 24.9 _\ I U I I I I p 0 4 JNI-113M0I JNIISIX3 cD Z,1INn I iINn m ip Ul z fn z 1 cD � v IDI_ _ _ _ _1 I+ — �� W S m I I c rD rn 0 cn -� m o OD r3o 0o = W 0 r D 0 W — 1 1 1.23 o Z S 05 05'55°E CD ao � �_ _ vi c 40.00' m o CD 65.98 — 25.98' cn S 05a28`22((E.,. CD D m 'i Z � v cW = c 3 go G)G) M (D a -- �o A W N w — 0 D= D m Z n v D 2 D m D D O Z= D m ;o(n m -{ D N S� -i = p �m m > m Z Dml? n �1 C�O_n v to m -< -0 X z - > cl 'o f > > Z ;u O - C T S:Z 3 D -< (n b 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. cso Type of Work: �� SZ�Q ��inc, � - °l S'EOw2�—Est. Cost 2-(5, . Address of Workr_2L3 0 � Gh Owner Name: Date of Permit Application: In — k-6— q -3 I hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law Job under $1,000 Building not owner -occupied Owner pulling own permit Other (specify) Notice is hereby given that: Pemit No. Date 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 UNER MGL C. 142A. 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: AA � I `1 D Y) A,- I,, Date Owner Na v 0 b d z ON N F W cz ui A*b: c% am O c ;t O_ �. Lac TEE tz o �y0cm CD m L y O 'fl m 2: 3 a =oQc Y: = H CLct r y:m�0 W h Z c � o 7 O a N C d w 03 W CO 4;:s ;; Z c «- y O. O C WE ZS .0 ca V� a m- O� 00 -:34, 6 0 C . L O V Z o. O h D � CD I Ccm 0.— CD.— O.� 'E m m CD CD CL 00 L � O � C 4 c- d O � Co Z CD V h O C ' C c CO) o a a w � 'a � � 'fib � � U � w a+ 'nb o a°' c� x ►� W .� 4 .u � �y w w an ° w ° w ' c4 V"') ° 0 cn ui A*b: c% am O c ;t O_ �. Lac TEE tz o �y0cm CD m L y O 'fl m 2: 3 a =oQc Y: = H CLct r y:m�0 W h Z c � o 7 O a N C d w 03 W CO 4;:s ;; Z c «- y O. O C WE ZS .0 ca V� a m- O� 00 -:34, 6 0 C . L O V Z o. O h D � CD I Ccm 0.— CD.— O.� 'E m m CD CD CL 00 L � O � C 4 c- d O � Co Z CD V h O C ' C c CO) G C/ MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) q 9 r0 4 791 /�Np° U Pf, Mass. Date / 19 / y Permit#► /�f! S7' SUl�¢N /.S �v Building Location Owner's Name /yDl/( Type of Occupancy New ,k] Renovation ❑ Replacement ❑ Plans Submitted Yes ❑ NoA. Installing Company Name 6'PCSL Address b t/ Business Telephone S-bJJ' i-Irr Name of Licensed Plumber or Gas Fitter- Check one: Certificate ❑ Corporation ❑ Partnership X Firm/Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial 'equivalent which meets the requirements of MGL Ch 142. Yes 1W No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy �9 Other type of indemnity ❑ Bond ❑ OWNERS 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 Clrrnar nr C%unnr'c Ane.,* Owner ❑ Agent ❑ nereoy cermy met all or 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 PlumVg g Code and Chapter 142 of the General Laws. By Type of License l] Plumber' Title flourneyman asfitter 4ature of Licen mbar or as Fitter i�cyy _ asterCAPPROVED I U N Y) License Numbe cc C6 Cr ' • .. ' U3 •0 •• , • • .. •W • uj • • ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ME MEN 0 ■■■■■■■■■■■■■■■■■ Installing Company Name 6'PCSL Address b t/ Business Telephone S-bJJ' i-Irr Name of Licensed Plumber or Gas Fitter- Check one: Certificate ❑ Corporation ❑ Partnership X Firm/Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial 'equivalent which meets the requirements of MGL Ch 142. Yes 1W No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy �9 Other type of indemnity ❑ Bond ❑ OWNERS 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 Clrrnar nr C%unnr'c Ane.,* Owner ❑ Agent ❑ nereoy cermy met all or 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 PlumVg g Code and Chapter 142 of the General Laws. By Type of License l] Plumber' Title flourneyman asfitter 4ature of Licen mbar or as Fitter i�cyy _ asterCAPPROVED I U N Y) License Numbe 40 Date ................. 0 * ,ORT04 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION A" � 6 4, This certifies that has permission for gas installation ................... in the buildings of ........ ................... 1. at N A 0 Fee. ..;'. , . . . 2� Lic. No. GAs INSPEc WHITE: Ap�ilca/n(- CANARY.* -buildtltg Dept. PINK: Treasurer GOLD: File