HomeMy WebLinkAboutMiscellaneous - 224 MARBLEHEAD STREET 4/30/2018 Ilz V) Q v1 U MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (617)723-3800 Ma Only 18001392-6108,FAX(800)851-8424 RECEIVE® 1112012008 DEC 0 12008 Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws,Ch.139,Sec.313 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT NORTH ANDOVER HEALTH DEPT. NORTH ANDOVER TOWN HALL NORTH ANDOVER MA 01845 Re: Insured: WILLIAM&GILDA BLACKSTOCK TRUSTEES OF Property Address: 224 MARBLEHEAD STREET,NORTH ANDOVER,MA 01845 Policy Number: 0605616 Type Loss: Vandalism Date of Loss: 1110512008 Claim Number: 257301 Claim has been made involving loss,damage or destruction of the above captioned propert,which may either exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured,location,policy number,date of loss and claim or file number. MPIUA Claims Division A CMA00021 Location IVB. Date 7/,7 7 y NORTH TOWN OF NORTH ANDOVER 0 „ Certificate of Occupancy $ soo # L ` Building/Frame Permit Fee $ Foundation Permit Fee $ s�CMuSE Other Permit Fee $ . 1-11 f� Sew ir Cbnnectiori'Fee $ Water Connection Fee $ TOTAL � `�'�` $ Building Inspector { Div. Public Works PER-WITNQ=. 15 3 % APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. �GE 1 MAP 7J0. LOT NO. 12 RECORD OF OWNERSHIP DATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. LOCATION /'�� 'J PURPOSE OF BUILDING .�� OWNER'S NAME NO. OF STORIES SIZE OWNER'S ADDRES&T BASEMENT OR SLAB �Z! ARCHITECT'S NAME 7 F A SIZE OF FLOOR TIMBERS 1ST 2ND 3RD BUILDER'S NAME �. //�`-// SPAN -- DISTANCE TO NEAREST BUILDING �(/�4•#' 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 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 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 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT.v EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 l SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS a ' PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR 07 DATE LED -? / /P �z,— e BOARD OF HEALTH SIGNATURE OF O OR AUTHORI AGENT FEE Z^� OWNER TEL.#(�! __- PLANNING BOARD PERMIT GRANTED CONTR.TEL.# .. e. CONTR.LIC.#-4;� ���426 19 BOARD OF SELECTMEN bli B 1 NG INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES 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 3 1 2 13 CONCRETE BL K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M AREA _ '14 '/i '/, FIN. ATTIC AREA _ N_O B-M'T FIRE PLACES - HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH -----yy1_ ASPHALT SIDING HARDI'✓'D ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIORI-1 POOR ' ADEQUATE NONE } 5 ROOF 10 PLUMBING _ GABLE I HIP BATH (3BATH (3 FIXE ! GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY 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. & 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 NO HEATING 1 r COMMONWEALTH DEPAIT;MLN I'OF PUBLIC SAFETY OF 1010 COMMONWEALTH AVE. MASSACHUSETTS BOSTON,MASS.02215 ' ENCLOSE CHECK OR MONEY ORDER LICENSE FOR REQUIRED FEE, EXPIRATIONDAT � kr:� CONSTR. SUPERVISOR 06/30/1993 MADE PAYABLE TO o EFFECTIVE DATE LIC-NO. RESTRICTIONS "COMMISSIONER OF PUBLIC SAFETY" NONE = 06/30/1971 022680 ARTHUR J WALSH JR (DO NOT SEND CASH). 55 PLEASANT ST SS N 013-30-8376 N ANDOVER MA 01845 P EASE NOTE FEE INCREASE PHOTO (BUSTING OPR ONLY( FEE: 100.00 E FECTIVE FEB. ' 1, . 1989 HEIGHT: NO.' VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY STAMPED OR SIGNATURE OF THE COMMISSIONER DOB: 06/09/1939 4 �,� D NOT DETACH LICENSE ' STUB .. - THIS DOCUMENT MUST BE .^� SIGN URE OF LICENSEE « SIGN NAME IN FULL-ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF THE HOLDER WHEN ENGAG- OTHERS 1-'RIGHT,;THII,MB.�PRINT ED IN THIS OCCUPATION COMMISSIONER 20OM-2-87-81429 - - .✓fin, lOO MrmraarnunlL���.:/-ln:Janr�naa/fJ HOME IMPROVEMENT CONTRACTOR Registration iO3s5b Type - PRIVATE CORPORATION Expiration 07/07/94 A. J. Walsh & Sons Arthur J. Walsh 55 Pleasant St. ADMINISTRATOR N. Andover MA 01845 pppp,- S CPU BIL"6t,"i i VJ�Za"f L, PLANNING FINAL F, L r Town of ortlif�_\Andover No. 3 3 1U over, ass. 1992 0 1p" F.11J Tr-7 1P, 4_7 11'. 6ict nd M 1 " 0 PERMIT T 0 0 1-U L BOARD OF HEALTH THIS CERTIFIES THAT.... .. ....... ............................................ BUILDING INSPECTOR (A — AAJ A..i.-- haspermission . 9.. _ .................... Rough 4 ................... ......................... Chimney to be occupied as a .. .....d.0%ow.o., —A Final provided that the person accepting this permit shall in every respect conform to the terms of the application on rile in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. I)TWIT EXI)WES I['\] G M01AlIS ELECTRICAL INSPECTOR Rough M-H-E-51S `,J"A111' Service Final BUILDING INSP TOR GAS INSPECTOR Occiponcr Perm 'Ni I -ed to Ocewpy lhtildiiu� Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by ST EET N0. ke Det. X, Building Inspector 3 i 6 3 Date..Lf ... .g.... MOR7M TOWN OF NORTH ANDOVER Of to PERMIT FOR GAS INSTALLATION � A ,SSACHUSEt This certifies that . . . . . . . . has permission for gas installation . . . . . . • • • • • • • • • in the buildings of / . . . . . . . . . . . . . . . . . . . . at , . ?.`. :.�'.>�•� ;/;" • �;� �.f {, North Andover, Mass. Fee.41 .. . . Lic. No.. C : . . . . . . . . . . . . . . . ... . . GASINSPECTOR ,/ WHITE:Applicant CANARY:Building Dept. PINK:Treasurer 5 ! 63 Date,:'. .. �..� •r,GG�ae MORTM TOWN OF NORTH ANDOVER p ...,. n PERMIT FOR GAS INSTALLATION ♦ s ,SSACHUSEt This certifies that . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . !:.'.! . `. . . . . . . . . . . 7 f in the buildings of . . /, !.: . . .t . : . :. . . . . . . . . . . . . . . . . . . . . at ?.`. .�� �'�.° '. :.: . . !. �'; '� , North Andover, Mass. Fee. lid:. . . . Lic. No.. .). : . . . . . . . . . .. . . . .. . . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer 3 0 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING Type or print) Date 12— 19 NORTH ANDOVER, MASSACHUSETTS Building Locations Z. Z' �*/l 1/e I e4y,(/ Permit# !/ G'3 Amount$ 11- j G Owner's Name !'/ �. -�y r, Ir- New❑ Renovation ❑ Replacement El--- Plans Submitted ❑ ryj n rn C n C F_ w _ W 't C ,� i W WV] W Z � s7 ` rp W N W C .+ Z 'C W -t 'r V] Z C 7_ `� C V1 -1 W ^ ^' W Z SUB-BASENI ENT BASEM ENT 1ST. FLOOR 2rND . FLOOR 3U D . FLOOR 4111 . FLOOR 5T•11 . FLOOR 6111 . FLOG R 7T 11 . FLOOR 8 T H . F L O O R (Print or type) . ^ /� Check one: Certificate Installing Company Name 1 Corp. ( r r Address oi) k 0 bL e` l ❑ Partner. Business Telephone t2 4—L d ` Z ©'"Firm/Co. Name of Licensed Plumber or Gas Fitter j`SCJ 147 j INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes E3 No❑ If you have checked ves,please indicate the type coverage by checking the appropriate box. 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: Signature of Owner or Owner's Agent Owner ❑ Aaent ❑ 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 inst�iati s p ormed u 'er Permit sued for this application will be in compliance with all pertinent provisions of the Massach sett�Stat Gas Code d Chap 142 of the General Laws. By: Signature o Licensed Plumber Or Gas Fitter Title Plumber . D -� (- City/Town ❑ Gas Fitter License Murrber Master APPROVED(OFFICE USE ONLY) ❑ Journeyman -�. Date. .`..... .. 3793 �f "cRr: TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SACMU This certifies that . .. .Y � -} - - - .� 7` . . . . . . has permission to perform . . . . . . . . . . . . plumbing in the buildings of /. . . . at �7��/. . ?.:`- �- ".'—` 7. . ., North Andover, Mass. Lic. No?2.6. . . . . . . . . . . . . . . . . . :. . . . . . . . . : . . . . . } PLUMBING INSPECTOR s 08/21/98 16.03 25.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer U9 (T, MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT T O PLUMBING ype or print) NORTH ANDOVER,MASSACHUSETTS Date �uilding Locations Z Z LI ��d 4� Permit # -c j�. " Amount Owner's Name k New Renovation Replacement Plans Submitted n FIXTURES wrA arA rz a AEn a A w w w a � w a d H d F Z A A SMBM B�g11'F1�IT M FWM M FLOM 3M FUM 4M FLOOR 5M RfM 6M HIM 7M ROM 9M FWM (Print or type) ,C Check one: Certificate Installing Company Com an Name �`P ! Corp. —_� Address .,<—D I3 u PV' l FlPartner. Business Telephone j;Lgyp 0 Firm/Co. Name of Licensed Plumber: / ? o 6 5 �t ez-r-e Gam-' Insurance Coverape: Indicate the type of insurance coverage by checking the appropriate box: El insurance policy Other type of indemnity ❑ Bond Insurance Waiver: 1,the undersigned,have been m9de aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent 0 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 inions rf staorme under Perm' Issued for this application will be in compliance with all pertinent provisions of the Massachu s St mbi Code and apter of the General Laws. By: igna re ot Licenseder Type of Plumbing License Title ^/ City/Town t—icl=umuer Master Joumeyman APPROVED(OFFICE USE ONLY �-+ ,., . 9 2 6 Date..F.. �..��..... NORTH TOWN OF NORTH ANDOVER 3? '� PERMIT FOR GAS INSTALLATION F A �O+•.�o err'4h SAfHUSES J This certifies that . . . . `. . . . .. . .r..� .L. . . . . . . . . . .. . . . . . . . . . . . . has ?permission for gas installation . .. . . ... .. . : . in the buildings of . . . . ... :'. "` . . . . . . . . . . . . . . . . . at .1Y ` . : . . . . . . . . . . :. . .n. ..�J., North Andover, Mass. Fee! . . . Lic. %96/98•16: 03 . . . . . . . . . . . . . .. . IS. Sl R WHITE:Applicant CANARY:Building Dept. PINK:Treasurer M d MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING Type or print) Date /2v 19 NORTH ANDOVER,MASSACHUSETTS _D �`�-- Building Locations 2 Y 'Z �� `-� ( Permit# �� Amount$ Owner's Name �/k c Ste o k— New❑ Renovation ❑ Replacement Plans Submitted ❑ u a W C m x �a z o He a z o z w C w x z C > w w w � w � e x x x w � w F w F x x c7 E, z w h w w c7 p w E~ a F F z C z o x dz w > w z '� a s p 0 C w .. cG x C c7 x w x 3 c C7 U x > A a H O SUB-BASEM ENT BASEMENT A 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5T11 . FLOOR 6TH . FLOOR 7T11 . FLOOR 8T 11 . FLOOR or type / L Check one: Certificate Installing Company Name ❑ Co� 1 Address DI fy 11—` S j ❑ Partner. �`. 'YL O 4-,,ca ,�2 °�Lu vr<t_ o/� 'l(— Business Telephone 61 (,�Q &V0 13-firm/Co. Name of Licensed Plumber or Gas Fitter f3D ,6 66 INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked Les,please indicate the type coverage by checking the appropriate box. Liability insurance policy Er� 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 ❑ 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 test of my knowledge and that all plumbing work and installations performed and r Permit IS?&d for thi application will be in compliance with all pertinent provisions of the Massachusett ate s Code an Chapter l 2 of the neral Laws. By: Signature of Licens d Plumber Or Gas Fitter Title 0-Plumber Fig b City/Town ❑ Gas Fitter License Ni7mber Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Location-, ,D-ga(-f A)ApUek arf' No. o703 Date 5-117-D �aR,M TOWN OF NORTH ANDOVER Gf � o , 1ti 0 Certificate of Occupancy $ c usE`� Building/Frame Permit Fee $ Foundation Permit Fee $ ` Other Permit Fee $ TOTAL $ a' ,-- Check # 3� 14 5 i r - J Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUII,DING PERMIT NUMBER: c�2 C3 DATE ISSUED: Mlil-y. MOAN -/� SIGNATURE: 4W Building Commissie(ner/I for of Buildings Date z SECTION 1-SITE INFORMATION 1.1 Property Address: � 1.2 Assessors Map and Parcel Number: d �Irt�9✓'r `Q� , Map Number Parcel Nu ben 1.3 Zoning Information: 1.4 Property Dimensions: V Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R 'red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT F M 2.1 Owner of Record a1 Name(Print) Address for Service J Signature Telephone Q 2.2 Owner of Record: Name Print Address for Service: z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ `33 / 7 Licensed Construction Supervisor: License Number Address 1 Expiration Date S gnature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number Address z Expiration Date Gy Signature Telephone �,@ I' SECTION 4-WORKERS COMPENSATION(NLG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: ZVI; SECTION 6-ESTIMATED CONSTRUCTION COSTS a,5 x sus+, ¢ Item Estimated Cost(Dollar)to beFOU � GSL t1 ON, �� � Completed by permit applicant �} r 1. Building t1 Q� (a) Building Permit Fee p Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si ature of Owner/A ent Date a NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE I Nl }1 Tlie`Commottwenitlt ofA7assachuse!! dK' - ol Department of Industrial Accidems °i � • Olflcedl/nyesllgat/nns 0 600•lVashirrgtolt Street y' Boston;Mass. 02111 1Vorkers'iCor>ipensatton.Insuran.cc AffiiJnvil 1 _-.. [] 1'arn,who:me6wnenpe�forming'all.work my elf. (] I am�,aysote i ropr)et r and faave no�:one wgrk�ing;inlan Hca,5c.i. t Y P y, [] liam amerriplo er rovidin. worke _ Y P g rs corn'"ensation fol m; e P m to y p yees working on this job. • �.i�alse r s coniOn -. '. ... a :.. ... fill p ilam�a�solep or pctetor Pgenerel contracfor; ome wue{clic one)a d—1 vi hired the contii�btors li'sted�below who liavb the following worker`s' compensationlli'ces . Y : „ a - ?. . r s t lirstranc�co tpsltsy�#� Failure to`secure coverage e�€requlrediintler$cction 25k:ofINGL'152 cwn lend�to[he�impo�l'lonoferlroiaaFpeeeltleb of n fineu `io St^,560:00 end%or one years'Imprisonment as,well ns civil"penalties in the lormrof w$ op V1'ORK ORDER rnil a tine'of S166.0o a day egsiest mepl understand fbN a copy of this stafemeot mays6t forwarded.to the Office of lnvistigmtion3•'ofih'e D1A for coverage verification. I do hdreby certify under lht palns'e" :pmnldes of per ry that 11tE 1nfor►»61ton prdvlded'above is Ince anff correct. Signature r "� •.ate h Pint name " one Phb f I > _ `7 �offielai-use°only do.noi�wrlte'lin this area to be completed by city of town 0111cial city or town: permitAicense N08611ding Department p check if Immediate response is required pLfeenAng hoard C]Mictmen's Omee eontact person: _ pllealth Departmeni Phone q; -Other (4026d 7195 hA). 4'.." . s 1 i � �/ee�o��vniont�eal�i o�✓��6ac/utaeCCe I HOME IMPROVEMENT CONTRACTOR x Registration 103317 > Type - DBA Expiration 07/07/00 CASTRICONE ROOFING & SIDING C Ratib T. Castricone G� &rtru r t-St. ADMINISTRATOR N. Andover MA 01845 ,,; �M��Y �1ze �oon�nonuiea�i o�'../�aaaa�ueelta 2 BOARD OF BUILDING REGULATIONS 5 License CONSTRUCTION SUPERVISOR f- Number: CS. 034049 Birthdate: 12/08/1923 k 4 Expires:.1.2/08/2001 Tr.no: 10391 Restricted,To: 00 MARIO T CASTRICONE 31 COURT ST. N ANDOVER, MA 018'45 Administrator .. I i "K' t. Town of North Andover a by O Building Department o 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax.(978) 688-9542 `°`M`wwK• °A�Tea rPay�S �SSACHUS�� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, anda condition of Building permit# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in/at: Facility location Signature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. NORTH Town , o4 over CON O - -L A O Clover, Mass., COCMICMEWICK AORATE0 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT..�tSkfa . .,��► to A.............. ..... ... ..........���.................. �...... ............. ... has permission to erect... . ........, buildings on �.l Foundation 4Mw f e S Rough to be occupied as.... ... pA .,,�.,, �idl i ... WxIIov 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, Iteration and Construction of Buildings in the Town of North Andover. ( V Pt rc( * _ PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 9� Rough PEIT RMEXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION START ELECTRICAL INSPECTOR Rough fv*A ........ .1..................................... Service �LLD5iliNGSPECTOR 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner R Street No. SEE REVERSE SIDE smoke Det.