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HomeMy WebLinkAboutMiscellaneous - 23 BRADFORD STREET 4/30/2018 236RgDFORD STREET 2101061.0-0033-0000.0 _�� I I Date. c y f . :�.,"0 RT;:��oo� TOWN OF NORTH ANDOVER ti 00 PERMIT FOR PLUMBING a ,SSACNUS c(t n' This certifies that . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . ... . . . . . ./7`. . . . . . . . . . . . . . . . . . . . . . at l`./ .. . . . . . . . . . . ., North Andover, Mass. Fee.-,?. . . . . .Lic. No..5. �. . . . . . . . . .� . ... . . . . . . . I PLUMBING INSPECTOR Check # i 69"! 1 -..ke NIHSbACHUSETTS UNIFORM APPLICATION FOR (Print or ype) RMIT TO DO PLUMBING Mass. ate Z0 Building Lo rmi # atio ownerme Y Type of Occupancy New 0 Renovation ❑ Replacements // / Plans Submitted: Yes❑ No❑ FIXTURES B.P. # /'� SEWER,#" SEPTIC # . P to o Z � Z O Lj Z (n < � r Q Z (n LuTLn LLJU z � 20 V) j. Q Ui . Stnt� z a Z ao o: w Oz CL LU = . w ¢ w ¢;t 0w� p O z ti x > O cn cn F- z a O ~ z z W LL Y w m v=i0-4 O _ ¢ O OJ 00 U D = SUB-BSMT " ¢ m o 1-_ l BASEMENT L3RD FLOOR FLOOR FLOOR FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FL00 ,stalling Company Name ` Check one: Certificate ddress ❑ Corporation isiness Telephone 0 Partnership ime of Licensed Plumber or Gas Fitter '� Firm/Co. ------------- ------------- NSURANCE COVERAGE: have a current li bility insurance policy or its substantial equivalent, which meets the requirements of MGLC Yes No 0 h. 142. f you have checked es please Indicate the type of coverage by checking the appropriate box. ' liability insurance policy IQ Other type of indemnity ❑ Bond p OWNER'S INSURNACE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 42 of the Mass.General Laws, and that my signature on this permit application waives this requirement. ignature of Owner or Owner's Agent Check one: Owner Cl Agent 0 reby certify that all of the details and information I have Submitted (or entered)In above•applicatlon are true and accurate to cnowledge and that all plumbing work and installations performed u r the permit Issued for thi a licatlon will be In compliance with ertlnent provisions of the Massachusetts State Plumbing Code4SIgna to 42 of e G oral Lathe best of ByTitle of Licensed Plum er City/Town BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS BIRETCNES 4 PROGRESS INSPECTIONS FEt N0. e APPLICATION FOR PERMIT TO 00 PLUMBINO RAW i TTFE OF ETIILEING LOCATION Of NWLDING ►crwER "MOT GRANTED DATE ;MING INSIECTOQ �,. .!�r ij r-...r*^."+^'}�ri�'.., ..r.*.tom.- �.. .,,.rc�r-. r .;+,'.�.�i-�..,.y..;�+y.++,...i�-n-.�:»i-.-.•Y....:.....,;.,.-...-x.,.;5.w.:,++�e- 6289 _ Date.......:.....'.":© ... NORTPI TOWN OF NORTH ANDOVER • p PERMIT FOR WIRING 2 - �SSACMUS� � L`0 &1 This certifies that .....� C. ..... .. .._ ................................. hask permission to perform mc-' of,...I.,., - ................................................ ..�� ` wiring in the building of.............. G ! ..�......................................... ` .... ....5 at ........4441 North Andover,.. ... .... ......... �.............. f Nr Mass. Lic.No..3........! ELECTRICAL INSPECTOR !� 4=. Check # official Use 01fly f7lIA/ta�llll/dmAG/a 0�/Lfld�AlRCIfNJ�� c Pernut No. & 2 FurPar�ewa>a�a� irearuilea Occupancy and Fee Checked _ BOARD OF FIRE PREVENTION REGULATIONS (Rev, 11/991 (Ica"biank) APPL{ ATiON FOR PERMIT TO PERFO�RI1�It.r #���C.527 CNIR 12-00 TRIC�+L WORK All work to be perfOtnrcd in accatdance with tire. btassachus (PLC,ISE PRINT IN iNK M TYPE 41 L I,yr-'0 jVI.11� N) To 111E Lssl�ccca of 1'Y'ires: — City pt" 1,01d11! of: " - " ���-- ted saves rottcc of lis or her i 14 cion tc Per the ckcctri I work described below. By this application the uttdersigl aa , � � �� Location(Stt'ect& Number) �J A Telephone No. �^ Owner or Tenant Owner's Address ` a No (Clieck Appropt iate 130.0 is tins permit It, cottjuttc n with a btslltliuo perruit', es Utility Autborizatiun No. l'uk-110sc of Building rp,nr is t bolts E.)e crlread El Uudgrd Ni),of deters EvistittbService l _ — -- �� �1•olis Overlmatrt E] llnelgrd No.of Meters � New , er1'lce Att4its / Number of Feeders and Ampacity .— I Location and Nature of Proposed Electrical Work: � Cunrpletinn v_I the viler+'ill fllble Wray br xai►c,l by tlrc errs'cctar o/if/iter. �- -—-- l 0.0 attf No.of Recessed k ixtttt cs No. or Ccil,-Susp.(Paddle}Falls rransformers KVA Generntors 101ANo. of Lighting Outlets No,of flat Tubs ct.o ntergettcy Jig t ng No. of Lighting Fixtures Sly' rod. rnd. D Bittte U111ts N .of 0911 Burners FIRE ALARA,-IS No. of Zoites No.of Receptacle Outlets 190.0 etectra[tan No.of Switches f Gas Burners 1111tlatitt Devices oral No.of Alerting Devices NO.of Ranges leo,Qr Air CaaAd, Tons (-N...-........ No. of eft- orttaitted No.of\Vaste Disposers Deice ti 1Devices )i stats: -m-- c ttttictpal Other No. of Dishwashers space/Asea l'ieating KW Laca1 (� Connection � ecurity Systems. 1 No. of Dryers Heating Appliances 10 No.of Devices or F 'utvalsttt t'� l 0.0 t o. 01' i)at t Wiring:Wiring:g: o, anter KNV 13:11Nsts No.of Devices or E uivalenl Heaters 'l' 5i�rts Total kll' elecantntunicalsans it• ng: No.Hydromassage Bathtubs No, of ltotors io.of Devices or Euivalent OTHER: _ Ailach additional detail i,f desired, oras required b)'the Inspector of ivires. ENSUI2.APICF COVERAGE Unless lvaived by the owner,no perrrltt for the performance of electrical work may issue unless 't ranee including`"completed operation"'coverage or its substantial equivalent. The the licensee provides proof of liability insu urtdcrsigned certifies that such c=BOND in force,sated has exhibited proof of wine to tite permit issuiltg f�ffice. O b CHECK.ONE: INSURANCE [j 0.1-IIER [I (Specify: tEspiratron Date} cry (when required by municipal policy.) Gstintatlyd Value of Electrical �Vot•k: G�._._._...� ted in accordance with MEC Rule 10,and upon cotnpletion. Work to Start: -,Z)-©5 ]ttspcctions to be reques (C'L'I'/tf)', [f1tdL')' /IN(laflt.l If 11 llLlfalltL'S of lle,jllr)', that rice i.lf+»l,,nt'on nn this applicalivu is trite+nitl/cvlttp/c'lll. • 111211 NAME,:: LIC.NO. .'` li/� 1 5igtaalturc _ " frit cost c: a�^ �.d+ --.c Bus.TCI.1n.:. �-.�;.�e.-«..e/ (/jupplir able, enter c.ecmpt"in the license arlruber tine.) C L Alt.Tel. No.: ` Adtlrtss: �^-� 011'(NFFt'S INSU :INCE NVA.iVLI2: S am atvart�ilial rite I,tcettsea dock trot itnl�e the liability inst�anccrca%•erage nors'� lrt. required by la-. 13) my signature below,i hereby waive 11i1S fegll:TenlClll. I aril the(Cl1C�IC OnC}❑ t s owmerlAbctit yelephone No. __. P E'RM I T FE-F- � I Signature t.. Locatipn 4 No'- Date 3 Z:7 9 Sr 'TOWN OF NORTH ANDOVER Certificate of Occupancy $ +' Building/Frame Permit Fee $ �' Foundation Permit F e $ Other Permit Fee W S $ r :Sewer Connection Fee $ Water Connection Fee $ ' ZS•-oa TOTAL $ C/""4^ Building Inspector rl1 -.12 25.00 PAID �'R 9 )G1 Div. Public Works PERMIT NO. 1 "" W-Sx APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP K40. LOT NO. 2 RECORD OF OWNERSHIP IDATE (BOOK PAGE ZON I SUB DIV. LOT NO. I / CA IJ� ,q PURPOSE OF BUILDING o—+ /sem — all c is �1 f OWNER'SNAME NO. OF STORIES SIZE 6�� C .t!�C! OWNER'S ADDRESS BASEMENT OR SLAB r ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD �. BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING 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 3 PROPERTY INFORMATION INSTRUCTIONS LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE I FILL OUT SECTIONS I - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS I • 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 DATE FILED BOARD OF HEALTH SIG ATURE OF OWN&R O UTHORI ED AGENT t FEE PLANNING BOARD PERMIT GRANTED BOARD OF SELECTMEN BUILDING INfPECTOR WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer 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 t FOUNDATION � 8 INTERIOR FINISH CONCRETE B 2 13 CONCRETE BL'K. ----{{{{ PINE BRICK OR STONE HARDWD __ _ PIERSI _l PLASTER _ WALL UNFIN. 3 BASEMENT AREA FULL IN. B'M'T' AREA ih 1/7 -FIN. ATTIC AREA NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD\r✓'D ASBESTOS SIDING COMMCN _ 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 STONE ON FRAME _ SUPERIOR I J POOR _ ADEQUATE I NONE $ ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.( _ GAMBREL MANSARD TOILET RM. (2 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 II 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. _ STEAM SjfEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS GAS -A7 NO. OF ROOMS OIL B'M'T 2nd _ ELECTRIC Ist 1-3rd I NO HEATING i WOOD STOVE INSTALLAHON CHECKLIST F '.gal ►_' 110:' j�.Z-� w•s Permit A building permit is required for the installation of any solid fuel burning appliance. The building permit and installation inspection are limited to the stove installation and-not to the stove construction. Stove (/...i` A. New ° a. aAxsed r^ B. Type/radiant oa circulating C. Manufacturer Lab.No. Name/Model No. S ` ° Collar size Dimensions/Height -3 L/ 3 q �e 2 Length Width Chimney A. New Existing B. Size(flue area) _ C. Other appliances attached to flue(Number and flue size) D. Prefab(Manufacturer—name and type) E. Masonry/Lined F►ue liner type 8 manufacturer) Unlined F. Height(refer to diagrams) cap 'OVER, ICST 2� Mlrl. Z `.tltl. 1 3'MrK 101 7177 ,MRN. 18"miw- _ e , n, HEARTH CHIMNEY HEIGHT Hearth(non-combustibl A. Materials I B. Sub-floor construction-- C. onstruction C. Minimum dimensions(refer to diagram) Clearances and Wail Protection(see stove in-tallaticn clearances chart) A. Type of wall protection provided 8. Clearances(refer to diagrams) i FIREPLACE CORNER WALL/CENTER- 13 • a?,°'�+- ."''�>'i'3.a.":��"�+'4°1.,.+.�s+v.:`i....tixh`-�,.-§�' .r.v�'!::wvJ »:.+.:e�.Y�"..m': •r .. „ Woodstove The HearthStone I Fireplace is an impressive heater Come§teel or cast iron,soapstone absorbs 300% which meets the demands of the most difficult heating more heat and re-radiates that heat over a longer period of situations.With a maximum heat output of 100.000 time.Soapstone is also the preferred material as it radiates BTU/hr,the H-I is perfect for cold climates,large homes, heat in a gentle and even fashion,never harsh or searing F rooms with lots of glass,and similar applications. like a metal stove.Weighing in at a massive 750 lbs.,this E Installed on a fireplace hearth or freestanding,the giant,gentle woodstove will always provide plenty of heat H-I is easy to operate.The large firebox accepts almost yet never drive you away with an overbearing blast. 100 lbs.of wood in lengths up to 26 inches.Logs can be Available with either polished soapstone or brown loaded from the front or.more conveniently.through the soapstone in combination with black matte or a choice of side loading door.Heat output is controlled by the size four porcelainized enamel colors,the H-I is not just the of the fuel load and fire. largest w•oodstove available on today's market but an Constructed of polished soapstone 1-3/16 inches thick attractive,durable and functional addition to any living within a cast iron frame,the H-I takes full advantage of space. soapstone's unique ability to absorb and re-radiate heat. DIMENSIONS • COMBUSTIBLES 33' 21r 23' • I 3? 35' 1C� M'. �Ir'• :s as 34. 27* IE�]7J ! .zs• i .s j 30• 30• }x a•' 2P' • I I i 3a\ -Sa• 6' 31' _ ^3 Fireplace Door.18"w x 14"h Loading Door.11'w x 13"h SPECIFICATIONS Maximum Heat Output(1) 100,000 BTU/hr. Castings Finish Black Matte Cast Iron; Heat Life"m (2) Up to 12 hours Black,Almond,Colonial Blue,or Brown Porcelain Size of Heated Area(1) Mid-sized house Enamel or larger Warranty(5) 3 years Fuel Load(3) 5.2 cu.ft. 95 lbs. (n Based on latest Independent Laboratory test results. (2) HeatLife is a trademark of NHC.Inc.and is defined as thermal capacitance Maximum Log Length 26"IO9s or quantity of heat stored.Used here,it refers not just to burn time,but also NHC, Inc. Stovepipe Size 8"diameter to hours of usable heat obtained from a single load of fuel. Metal Chimney 8"diameter (3) The amount and weight of wood contained per cubic foot of firebox volume HearthStonMasonry Chimney 8"X 12" can vary from 15 to 36 lbs.per cubic foot depending on type of wood• moisture content packing density and other factors.As a constant for P.O.Box 1069 Flue Exit Reversible,top Or rear comparison and test purposes,we are assuming 18 lbs of seasoned Morrisville,VT Actual Weight 750 lbs. hardwood per cubic foot of firebox volume,at a packing density of 80%. 05661 Shipping Weight 785 lbs. (4) Colors of polished stone can vary from grev to grey-green,according to Optional Equipment Rear heat shield natural composition.Colors of brownstone can vary from grey-brown to brown.according to natural composition. (802)888-5232 Soapstone Finish(4) Polished or Brown (5) The Hearthstone door glass.door gasket,enamel.furnace cement and Soapstone porcelain handles are not covered by the limited warmnty.Complete warranty details are available from NHC.Inc. THE STOVE SHOPPE t »�y JCT. 111 &28 ® �L� SALEM, NH 03079 We support the environment. Specifications are subject to change without notice. (603)893-0456 FAX:(603)898-1697 REV.8l9" This paper is recycled. - Location No. 9 t U Date �oRT„ TOWN OF NORTH ANDOVER ,.k,. „ certificate of Occupancy $ ` Building/Frame Permit Fee Foundation Permit Fee $ sACHUg -A''0 hkPermit Fee $ Water Connection Fee $ Y42 f $ G 'If CkM ndover C0jJeCf{.jQ—' BuildingInspector Div. Public Works PEaatrr NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP K-40. LOT NO. 2 RECORD OF OWNERSHIP '.DATE BOOK '.PAGE '32N E I SUB DIV. LOT NO. I �fF- 06CATION PURPOS -i-l� VAITECT'S ON9NER'S NAME / NO. OF STORIES- SIZE DRESS BASEMENT OR SLAB NAME SIZE OF FLOOR TIMBERS 1ST 2ND 3RD AME � IIJ _- S, SPAN _--- DISTANCE TO NEAREST BUILDING 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�UILDING ADDITION MATERIAL OF CHIMNEY IS B ILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND ILL BUILDING CONFORM TO REQUIREMENTS OF CODE •Cy Ih� !- IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY �1 IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE 3 PROPERTY INFORMATION INSTRUCTIONS LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 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 P NS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DASE FILED BOARD OF HEALTH SIGN TORE OF 04V' ER OR AUTHORIZED AGENT OWNER TEL.# FEE CONTR.LIC.# PLANNING BOARD PERMIT GRANTED BOARD OF SELECTMEN BUILDING INSPECTOR i 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 S INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BIL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL T UNFIN. 3 BASEMENT 1I AREA FULL . B'M'T' AREA _ 1/4 1/2 1/1 FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDVJ'D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I I POOR ADEQUATE NONE rj ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ 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 GASOIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING 411VQ r1 v ki I Ivili .�._..�v ilivpAhq rLPII1�V�a4e HNAL5E A 7ATK � FINAL AV NORTown ot ►y F 6 4 0 "d ver No. 496 o M�E er ,WICK Mass., 19 /' A ,V OR Q� PERM I BOARD OF HEALTH s THIS CERTIFIES THAT A040 .. .. .. • BUILDING INSPECTOR has permission to er ......................... buildings on .... ... .. .. ..* Rough OQAChimney tobe occupied as............. ...l... .. .. . .... ..�..... .. . .. ............ Final provided that the person accepting this permit shall in every respect conform to the terms of t e application on file 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. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough UNLESS CONSTRU TION STARTS Service Final ... .�a.. .. .. .............4&uw-ft BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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 SME oet .mok . Building Inspector Date./. "f .. . AORTOI •��o TOWN OF NORTH ANDOVER 4 PERMIT FOR PLUMBING •°••TSD�A„� ,SSACHUSEt This certifies that . . yt7 .�. . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . 1,.k . I. . .°.`. . . . . . . . . . . . . . . . . . . . at. .�. . ��.C:�.l= L,✓;.. . . . . . . . . . . , N_orth Andover, Mass. Fee. .3 . . . . .Lic. Nod:'. . J. . . . . . . . . .1 C� . . :-� `1. . . . . . . . . . PLUMBING INSPECTOR f`fF Check # S. 5499 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING moo,. (Print or T Mass. Dat', .200.1 - Permit # �y Building L ion � � Owner's Name /�, 261e4l; Afla Type of Occupancy " S D E 1, Tf A L— New ❑ Renovation ❑ Replacement Ltd" Plans Submitted. Yes❑ No ❑ FIXTURES A z 2 N Q W Z Y !- 41 0 U < W ]C J Na N O o C: N 2 N Q Q _ _z O 2 N p, O W h- W rt H W _ �- H F- U Y a N d ~ vs _ W fA ¢ a 3 x U = O ac N W ¢�' z p a w Z .s a ¢ 0 a x W y� a N N � J p p �. V 4 _ IL � z S v a O ~ ` d W W Y W z ON W O V 2 d < Q S N H a Q O a J J Q cc OC a 0 a F•- 1 J m N p D J 3 x H H 1L O 1 1— SUB-BSMT. BASEMENT IST FLOOR 2ND FLOOR 4 3RD FLOOR 4TH'FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing.Company Name 0Mel A, ,-'Annm,4- Ae-Q Check one: Certificate Address_ ?it-) ❑ Corporation I P E TN U _ vi•'!A U t rT s�j ❑ Partnership Business Telephone /ff Z-0/177 1 9-hrm/Co. Name of licensed Plumbed; INSURANCE COVERAGE: I have a current flability 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 Ad 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 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 nerformed under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ' g e and apter of the eral Laws. BY v Title re of Licensed Plum er • City/Town Type of License: Master % Journeyman E]_ APPRONM OFFICE USE ONLY) License Number �3 5 BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCIiES 1 PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME do TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED b DATE 19 PLUMBING INSPECTOR