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HomeMy WebLinkAboutMiscellaneous - 235 FARNUM STREET 4/30/2018 (2) 235 FARNUM STREET 210/107.A-0054-0000.0 - Location_ No. 2 Date NORrh TOWN OF NORTH ANDOVE R a Certificate of Occupancy $ Building/Frame Per �' •OLno•R,y� �ss�cMust� Foundation PermitYff $ Other Permit Fee $ : Sewer Connection Fee $ l o+ Water Connection Fee $ il ..- i; TOTAL $ :R Building Inspector '! 8586 Div. Public Works PER.111T NO. 2,47:2 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP K40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE I SUB DIV. LOT NO.��� i OCATION t�""�� ly' PURPOSE OF BUILDING O��W""NER'S NAME v ,- 1 ���j / NO. OF STORIES SIZE y LpvNER'S ADDRESS �J � f�p l (�!� �'q�• BASEMENT OR SLAB - ARCHITECT'S NAME (� �{T7'I�.N�► Owl \ SIZE OF FLOOR TIMBERS IST 2ND 3RD &,-V-UILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS STANCE FROM LOT LINES-SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW w SIZE OF FOOTING X --'f -BUILDING ADDITION r 1/" 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 ST. BLDG. COST s7o7v -� 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 GARAGFLSMUST CONFORM TO STATE FIRE REGULATIONS PLANS MU DAN AP�R/OVED BY BUILDING INSPECTOR „ATE FI 1 �UILDINQ INSPECTOR SIGN UR F ``ER OR AUTHORIZED AGENT FEE OWNER TEL.# PERMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.# FFA BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I I 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 I I I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION - 8 INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDPLASTER'D — PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ y, 1/1 3/, FIN. ATTIC AREA _ NO B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN — 4 WALLS 119 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D _ ASBESTOS SIDING COM/.AGN 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 _ SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 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 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 _ R EIC LECT ist 1-3rd I NO HEATING ORT 0 of over No. 347 * _ v� 19�� 04 . ,oft dover, MasLAK s., ° COCKIC EWICK � TED PPa\y'� BOARD OF HEALTH q E Food/Kitchen PERM . IT T D Septic System BUILDING INSPECTOR THISCERTIFIES THAT .1 ...... �'....... ..........:...................................................................................... Foundation has permission to erect...,()-)�..... [.buildings on .•.� • zq�. •••••• Rough tobe occupied as..t ��,.�. .......Ff ,�l, I�w. .............................. .... ........................ .............. ............. ... ... 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 Final V PERMIT EXP MONTHS ELECTRICAL INSPECTOR UNLESS CONS U Rough Service BUILDIN SP...CTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal 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. 1' Smoke Det. SEWER/WATER FINAL . DRIVEWAY ENTRY PERMIT €1 .. .�. / � y N.� T. ..pr,..�. P -•^-n rtq.^^ �t � '. F` a,I � r., f Ir J{�y�?t' n ;e'�u,'Y 'N&'YI�J ri T� 5 {f��y � yL ✓t'�ak`Q f i� . v f7 ,ki r tl ♦[ 1. of 4 .a :P` <i, .1— i. a _ ',r ,,� j�V `,�4��Y� ? i - .h _ �,�/�A+�1/ f 5 hl`ri..a.�•L�tY Y�y.�S�' tt�. $ �1,: i ..{'I j F.w� C- .• .l' � t ��• ;,�" a �"rvi �( Llrt ,i H it': � �" t � s f t J''� ✓ w ,.f,� � � 1111�� s, ski I r ' , �, f� sir k k r 1✓A< I/�V(I� �.A� f,� ��. ! � "���;'{yJJ`�� 1/J a 1Al i �1'y') 1'`1 ",ya tat 2„:. � •11 Vb �f 4 a �.+.�� �'n `�J � '';t � � .r Fl� A,r+� 1�/ :,t {� 5�,4 "a '�;T .A A 4. OA 4 2:. 'i �� t•� '�^��� 5 t 7' �� � !� .. O . � 'n �•, UI: Q ,/� '"� i. it sf. ��"�t by fi t � �'�414 8;�''XI Y �. { at.' � � . � �• � �� � M�� 8 �'i s S , � r 1►1M1 ` 1� �n J �' W n"t'Q' '�i�F dd 4 .a'.�i.�a �' '� � ♦ �1 lir — Y/. �� � O + 4 ".A�+ TOWN of NORTH ANDOVER AFFIDAVIT Hnee ]aPMVM31t Caltimtnc law SUFPhMEnt to lit Applicat3,on M�c. 142 A ragm-es that the ' , altmaticn, re nmadm, rgair, I Uatkn, arm3mdm, inpruvsnait, ramal, daolitim, or const =dm of an adfitim to any pre-- edstiug aanw-coafied bdld- irg cmtdu&g at least one bit not urgettifar de]liig units to suwlums finch are adjaoant to slrh residErm or hn]&W'be done by rWstered antraotcxs, Lath certain ocTticw, alag with otbw r0alts. Type of Work: 'C oY, l-4Est. Cost 390 00 Address of Work 2SA��1U►M S� . Owner. Name: Date of Permit Application: 71N f - I hereby certify that: Registration is not required for the following reason(s): Far office Lbe Only Work excluded by law Rxmit No. Job under $1,000 Date Building not owner-occupied Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED OONZRACiORS:- FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARB�TRA- TION PROGRAM OR GUARANTY FUND UNDER MGI. c. 142A. '- Signed u ykr pamlties of perjLmy: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above hereby apply for a permit as the owner of the above prop Date 0wn r Name -4 c r C7—\ 4x55 C f-k � F ` STCA°� i n1C Oo 4 1� oi�l2 1 �( II it Location x.3-5 )5,mivvr�r s?' No. /r, S Date 111,30.11Z • pORTIy o, TOWN OF NORTH ANDOVER o: mss •• 0 p Certificate of Occupancy $ Building/Frame Permit Fee $ o D ° '. s ^° r Foundation Permit Fee $ sAcw Cl F, �)ffp��Fee $ Sewer Connection Fee $ ZPR , �WatM?r�3onnection Fee $ No.A17doOTALVer $ O• [�o Collector G / Building Inspector j Div. Public Works La4ation � 3 Date NORTh TOWN OF NORTH ANDOVER Certificate of Occupancy $ �► Building/Frame Permit Fee $ �ssAcuusE� �� Foundation Permit Fee $ �US�4 r ConneW61n Fee $ WaterIN,nection Fee $ NO,Ando " 011e $ star Building Inspector Div. Public Works Location ?, S rAVA_701-111 ST I No. Date �t N01VTN TOWN OF NORTH ANDOVER O: •' '• OOA p ' Certificate of Occupancy $ 5-0 , 00 . i Building/Frame Permit Fee $ �s usEth Foundation Permit Fee $ /00 , 00 Other Permit Fee' W �� $ jV�Oj� nection Fee $ Qp� J 'Water Connection Fee $ No. TOTAL A�dC-ojl n� ISG r Building Inspector Div. Public Works ZLO c at i 6�45 Fri VA Aw No. Date -- 1� i °RTS TOWN OF NORTH ANDOVER . p Certificate of Occupancy $ Building/Frame Permit Fee $ 4 3 b <�' Foundation Permit Fee $ EQ ' Permit Fee $ {,SewRonnection Fee $ Qpq -1-7water Connection Fee $ -� N �r � l �.A7doVerCollTOTAL $ /cCo, oCJ �tor ,I('-7, f�u'lding f:s`pector '" L�( Dlv. PUbIiC Works ' r I'/ ,5'sIT NO._IdS APPLICATI - . N FOR FElR*U TO 3UILD —m NORTH ANDOVER, MASS. IOP PAG1; 1 EMAP 4-40. LOT NO. 12 RECORD OF OWNER9141P—IDATE (BOOK ;PAGE — \� ` ZONE I SUB DIV. LOT A40. ' W LOCATION �' C, PURPOSE OF BUILDING �a ,�ZZ, � 67 OwNrR'S NAME ME SS_i N e /gyp! C ' NO. OF STORIES (!�SIZE CSS//L6 OWNER'S ADDRESS �� ems' ) , 1j n I C y �V�. LC�� I , BASEMENT OR SLAB �'f C"t dley�p ARCHITECT'S NAME C - 1 ,V� /�.u� SIZE OF FLOOR TIMBERS 1ST /,2'Ti/�.r✓J1�v jc 2ND .7()o 3RD BUILDER'S NAME,� F9� A/� � i �r/� SPAN /5 .44 - DISTANCE TC NEAREST BUILDING JD /V �DIMENSIONS OF SILLS : /�_�/���— DISTANCE FROM STREET �� / POSTS DISTANCE FROM LOT LINES-SIDES �� REAR �i[ / .. GIRDERS b AREA OF LOT el., �'/,� y�_LFRONTAGE/SVV@/ HEIGHT OF FOUNDATION / THICKNESS /�I'✓ IS BUILDING,NEW SIZE OF FOOTING X IS BUILDING ADDITION 1. v�' 16 MATERIAL OF CHIMNEY �16C LP•oc�. IS BUILDING ALTERATION I n IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER a C� BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER C' IS BUILDING CONNECTED TO NATURAL GAS LINE c.5 INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST 240 Y :AGE EE BOTH SIDES EST. BLDG. COST PERMIT FOR FOUNDATION ONLY EST.BLDG. COST PER SQ. FT E 1 FILL OUT SECTIONS 1 - 3 REOULAT.TD,13y PARA: 112.7 S.13.(.EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 DATE: FEE PAID: SEPTIC PERMIT NO. • ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY R ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS OWNER TEL.#� ",S7SS y PLANS MUST ZE FILED AND APPROVED BY BUILDING INSPECTOR CONTR.TEL.#._,,,. CONTR.LIC.#j2!2A OAT ED ; 12- BOARD OF HEALTH- SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE 21`©•�� PLANNING BOARD PERMIT GRANTED t 9 GY d� 0 0 BLDG. PERMIT FEE ..Z�_........._.. ff, L (1,� {; LESS FDA FEE 400 0 o BOARD OF SELECTMEN l.�l_ —PER-PER AOR /BUILDING DQE FRAME PERMIT$ 694, 00 APR ` 3p FEE PAID: BUILDING INSPE R I WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer 61 i f BUILDING RECORD ,--- 1 OCCUPANCY 12 `��9�Tx/� wb tb SINGLE FAMILY STORIES THIS SECTION MUST SH�llX�A (JD,�pIS9l(lNLI'g SOF?k",►h&aW_MCE FROM MULTI. FAMILY oFFlces —" RAGESLOT NETC SUPER MP015ES AND EXACT 0%1 FITS REP NS BEC. CHES. GA- APARTMENTS CONSTRUCTION +T 2 FOUNDATION $ INTERIOR FINISH CONCRETE 3 1 2 I3 CONCRETE BL'K. PINE __ _ BRICK OR STONE HARDW D _ PIERS PLASTER 3 DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 1/1 1/1 3/, FIN. ATTIC AREA T NO B M FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 22 f 3 DROP SIDING CONCRETE I_ WOOD SHINGLES EARTH ASPHALT SIDING HARDV✓D _ ASBESTOS SIDING _ COM&AGN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO,ON"FRAME BRICK ON M RY ATTIC STRS. & FLOOR BRICK ON F I— ` CONC. BLK. STONE RY WIRING STONE ON FRAME _ r SUPERIOR I POOR ONE ADEQUATE 5 ROOF 10 PLUMBINGw GABLE HIP BATH 13 FIX.) G_AM BcREL MANSARD TOILET RM, 12 FIX.I -�'+�-'- FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES - KITCHEN .SINK SLATE NO PLUMBING �_ /� �,`3•"' \ i V v/ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES�J_ _ TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN, TIMBER BMS. &COLS. STEAM ` STEEL BMS. & COLS. HOT W T OR•VAPOR •,D r) # �'_¢. '}� :1Sq .4,,-T m WOOD RAFTERS AIR CONDITIONING RADIANT H'T"G UNIT HEATERS 7 NO. OF ROOMS GAS - `s. I I -.✓ . ' + - . OIL t' B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING ` .J FORM U TOWN OF NORTH ANDOVER LOT RELEASE FORM SUBDIVISION T-iAemum ASSESSORS MAP /-0 7,o'� 3 e- 7 -S - S� q A_ SUBDIVISION LOT(S) PERMANENT ADDRESS ASSIGNED BY U.P.W. STREET APPLICANT p P PHONE g,5 DATE OF APPLICATION 3 / / TOWN USE BELOW THIS LINE PLA N NG BO DATE APPROVED �-- TOWYPLANNIftf �� �. llA'1'E REJECTED CONSERVATION COMMISSION DATE APPROVED CONSERVATION ADMIN. TE REJECTED BOARD OF HEALTH DATE, APPROVED HEALTH S NITARIAN DATE REJECTED DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT4e,,EJ ZW#ftJWATER, CONNECTIO10 �-a A/ Z FIRE DEPT. 6� RECEIVED BY BUILDING INSPECTION DATE APR - 31992 This form shall be signed by the agents, oE�t"he!C^P1a��taing. and .11ealtl� Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. Location ,s jCAXQU01 S?' No. /O Sr. Date NORTh TOWN OF NORTH ANDOVER Certificate of Occupancy $ SO O O i • : Building/Frame Permit Fee $ *���°'�^•'''t�'i Foundation Permit Fee $ /00 - 00 1ss�CHust Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector i 5092 Div. Public Works a CW_E7n1_UV A 0 9"_ 14 A L q Town of A6 0, Andover ii V ENTiFlY P?--P_4 Ari A& 7' - 9A mer Mas 19 C HEWi C 0 R I? BOARD OF HEALTH PERMIT .T LD THIS CERTIFIES THAT In �.O/°�'►........................................... ro.94rmml111BUILDING INSPECTOR has permission to 430.0 ..*r^webuildings on 2.3mr. . . .... Rough Chimney to be occupied ampAvc4g....�Af'`. ........... Final provided that the person accepting this permit shall in every respect conform to the terms of the 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. PERMIT FOR FOUNDATION ONLY Final VIOLATION of the Zoning or Building Regulations Voids thisP it. REGULATED BY PARA: 112.7 S.B.C. H PERMIT EXPIR ES ONTHSDATE:-FEE PAID: ELECTRICAL INSPECTOR Rough UNLESS CONST UCTI ST Service PERMIT FOR FRAME/BUILDING Final . ... ............ ... *�R* DATE: FEE PAID' BUIL G INS GAS INSPECTOR OccupancY Permit Required to Occupy Bui1SLW '7o. 0-0 Rough LESM FM A" 0, o 0 Final DUE FMMjPERMrr$ SF�q"-'00 Display in a. Conspicuous Place on the Premise FIRE DEPT. Do Not Remove Burner ,No Lathing to Be Done Until . Inspected and Approved by Smoke Det. Building Inspector COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY "�- 1010 COMMONWEALTH AVE. OF MASSACHUSETTS BOSTON,MASS.02215 ti ENCLOSE CHECK OR MONEY ORDER LICENSE FOR REQUIRED FEE, EXPIRATION DATE CONSTR. SUPERVISOR 08131/1993 MADE PAYABLE TO RESTRICTIONS 5 EFFECTIVE DATE LIC-NO. ? _ NONE 0$/31 /1991 04231$ jDCOMMISSIONEROFPUBLIC SAFETY" ., m ROBERT A MESSINA (DO NOT SEND CASH). � 84�D 805 WINTER STREET 1 = �{ $ S � NORTH ANDOVER �"A 01845 I �� t PHOTO(BLASTING OPR ONLY) FEE "NAME-11 4s 100.000 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY tULL-ABOVE SIGNATURE LINE ;f , HEIGHT: -. " STAMPED OR SIGNATURE OF THE COMMISSIONER DOB: /1952 08/31 �O NOT DETACH LICENSE STUB ' .�.e f THIS DOCUMENT MUST BE CARRIED ON THE PERSON OF SIGNATURE OF LICENSEE I SIGN NAME IN FULL-ABOVE SIGNATURE LINE THE HOLDER WHEN ENGAG OTHERS RIGHT THUMB PRINT ED IN THIS OCCUPATION COMMISSIONER E`1 o2-r-1--t A u v ov cc.� S M A ss. ' U �o 0 - � I t¢ a �i N 0 � N I THAT c �FS�TS S+-Ie�wF.J Ae-E. �o� THE, 'TFIE. O'r F'SrcTS USE; oF' '"i'1-��... �Ull�i7t►:.16 �uSP�GTt� S%Ad=, til C.oMPI.y Oft_.`/ AtitO �VGH USE+ SS a�'� g W r-r-H THE-Zc>k 1 rU G C�r�T E.Q tilt►,J K-j G GIL.ES Ply l_Ak.1 S o Coy FofLM Ty oiz, 1 +0�1 COP 1 F'oft-M IT`S/ NoI 13872 4f2'I (R2 CERTIFICATE OF USE OCCUPANCY I ri IN V! Building Permit Number 105 Date. JULV 28 , 1992 THIS CERTIFIES THAT THE BUILDING LOCATED ON 235 F A R N U M STREET ( Lot 4A) MAY BE OCCUPIED AS SINGLE FAMILV DWELLING IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY "PLY. OF AO DTH CERTIFICATE ISSUED TO M e z z i n a D e v e t o p m e n t 805 WinteA St. ADDRESS Nr,,jth AwdrjSSACfHuoft - MA U Building Inspector Z. F , F H N'fh W w U ! _ z. wn of o ndover Y - A 14 l=K Aado�er Mas 199 U BOARD OF HEALTH PERMIT T1 BILD VAO oo" % THIS CERTIFIES THATI"L6 ........................................�.......�................ .... has permission to AW*...Aebuildings on 4Z.35...r#9*9#&W- . .W u war....�Afa`.�....mvwt ewc- � Chimney �, J tobe occupied a ... ......... ............ Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in -;s OrN< BIN I PECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of fRou;� p Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY VIOLATION of the Zoning or Building Regulations [Voids this Pe it. I REGULATED BY PARA: 112.7 S.B.C. 1�a.IN�I LX P r'R 5 �° C7 /� I V T I--1 DATE: y��$ FEE PAID: UO. ELECTRICAL INSPECTOR Iffill_ �_S CONST 'U+�1_p�l l ��T/�l - Rough _�-- PERMIT FOR FRAWBUILDING Final Q .. .. .. . .... . ... ............ ... ..... .... DATE: ./` 9 Z FEE PAID: BUIL G INS P cTOR GAS INSPECTOR Occupanc_h Permit Required to Occupy I3ud.011e it,790. v-0 Rough LESS FDA FEE. ,0 ,0' o o in �� 011E FPAME PERMIT$ Display in a Conspicuous Place on the Premises FIRE DEPT. �41Do Not Remove Burner No Lathan to Be Done Until Inspected and Approved b Lathing P PP Y Smoke Det. � Building Inspector i } fMASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTIN (Print or Type) a ,. NORTH ANDOVER Mass. Date r kuilding Location 9?,3S ;aPXxlUry gT Permit # &'2 . I Owners Name ' New ''-1 Renovation D Replacement Plans Submitted D It N • S N W Ct» ac m a = � ' W a vs o 0 47 F' x a► O W H < 0: 2 p N W ;. a W N N W w O O d w H N q W L -. _ t- y 4 WW Z a df W rC Q it UJItr t7 1• SC J h Y t.. W w O O T U. h V -1 h0.. W f. d n: .r H y. N m O 2 w O < ,ter > x W z < c < < o` o w 't o W N is x o c� z U. 0 3 a o :+ v o: y SUR—BS MT. i BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR ?" 4TH FLOOR STH FLOOR " 6TH FLOOR E7TK FLOOR i 8TH FLOOR (forint or ;Type) „,V' • Check one: Certificate Installing 'Company', Name ANDOVER PLBG. & HTG. CO. , INC® Corp. 2122 Address W31 SQ, UNION STREET Partner. LAWRENCE, MA. 01843 Firm/Co. Business Telephone: 978 685-8383 Name..of. Licensed Plumber or Gas Fitter CFnRr,F LAROSF F0lnsurancoo�ewaiaeh , Indicate: the type of insurance coverage by checkih4.,thet.• approprhate .box:�V Pi , .. �r;,ita ,. .. hiability°;insurance policyOther type of indemnity C] Bond Insurance Waiver: I , the undersigned, have been made aware that the licensee of this application _does not have any one of the above three insurance coverages. Signature of owner/agent of property n Owner Agent 1 hereby certify that W of the details and information 1 have submitted (or entered)in above application are true and aeeusate to the best of my trnowledse and that all phumbinig work and Instadatiom paformed under Permit iueed for this appficaUoo with-be In Compliance With all per"ent Provisions of the MassachuseUs State Cas Code and Qsaptes 142 of the Ccneral Lswa• By YPE LICENSE:Plumber Title Gasfitt Si ature of Licensed Gasfitter� 9 City/Town: Master Plumber or .Gasfitter 998 APPROVED (OFFICE USE ONLY) Journeyman License Number 1-7 2826 Date......� .. .. .....A. NpR7M TOWN OF NORTH ANDOVER pf ��io ,gyp o? `p PERMIT FOR GAS INSTALLATION 4 "Izi ,SSACMUSES "� t� 1 U? This certifies that . . . . . . . . . . . . . . .�. has permission for gas installation . . �,1?. .l� . . . . . . . . . . . . . . . . in the buildings of .71 : A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . .. North Andover, Mass. Fee.-?. Lic. No. l Vit. 3. . . . . . . . . . . . . . . . . . . . . . . . . . .. . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer