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Date . - /` �<.� ..........
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION ,
This certifies that ... ..` ......S .. .............
has permission for gas installation
in the buildings of
at .. - .?.� .. Gid? .� ....... , North Andover, Mass,.
:.
Fee.�.,.�. Lic. No.:3 S .s,.
GASINSPECTOR
Check # jeG
8"172
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(P
1ri
'nt or Type)
IV � \
kV A O DD u �K, , Mass. Date 7i Permit #
I:ti
Building Location�-21 UILDW Owner's Name 9LA J6 L aVITT
h(O?-TH�I����E �� Type of Occupancy
New ❑ Renovation ❑ Replacement ❑ _Plans ubmitted: Yes❑ No ❑
— -- _ _
Installing Company Name COLUMBIA (S&S qF MASSACHUSETTS Check one: Certificate #
Addr6ss 55 MARSTON STREET X7 Corporation 1862
LAWRENCE, MA 01841-2312- ElPartnership
Business Telephone 9 7 8' 691- 64-0 6 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter Francis X. Corkery
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes 9, No ❑
If you have checked ye, please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy P< 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 El
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 iss f r this application will n r4mpliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. (/ %
By T e of License:
Plumber
Title Gasfitter Signature of Licensed Plumber or Gas
Master License Number 3745
City/Town PJourneyman
APPRd1/ED O FICE USE ONLY n
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Installing Company Name COLUMBIA (S&S qF MASSACHUSETTS Check one: Certificate #
Addr6ss 55 MARSTON STREET X7 Corporation 1862
LAWRENCE, MA 01841-2312- ElPartnership
Business Telephone 9 7 8' 691- 64-0 6 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter Francis X. Corkery
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes 9, No ❑
If you have checked ye, please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy P< 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 El
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 iss f r this application will n r4mpliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. (/ %
By T e of License:
Plumber
Title Gasfitter Signature of Licensed Plumber or Gas
Master License Number 3745
City/Town PJourneyman
APPRd1/ED O FICE USE ONLY n
J,�
Date .. ......
OF .HORTM ,�
3� ! TOWN OF NORTH ANDOVER
% .PERMIT FOR GAS INSTALLATION
y,SSACMU5Et
This certifies that .. ,/.,... A-!. ( .7 .z!�................ .
3
has permission for gas installation ... T� . ..................
in the buildings ofe : f �....................... .
at..':.C. ............... .............. (( North Andover, Mass.
Fee: 2U:.� Lic. No../.):/?.
GAS INSPECTOR
Check # �) L
6748
MASSACHUSE'T'TS UNIFORM APPLICATON FOR PERMIT TO DO GAS SING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Loqations
Owner's Name
New Renovation Replacement D
Date P
Permit #
Amount $ Z�
4 -
Plans Submitted 1
rA to W O O F x F
W W F W C p = ° Z W
m V Q w ° F
14 a dF y 4 W
U F Z Q x 4 w C a ° q W
Z Q w t C .F. F W O > w W U
a s 'o fz ;d3 c Q o °o W S °
SUB-BASEM ENT -� U > q d
BASEMENT
i 1ST. FLOOR
2ND. FLOOR
3RD. FLO0 R
4TH. FLOOR
5TH. FLOOR
6TH. FLOOR
7TH• .FLOOR
8TH. FLOOR.
(Print or type)
Name—/ dT (/V /LP �� fJ� Check one: Certificate Installing Company
Corp.
Address i/
Panner.
usme s 'e ep one
c n
Lia Firm/Co.
Name of Licensed Plumber ,��A
or Gas Fitter 10 L%, //„
INSURANCE COVERAGE
I have a current liability Insurance, policy or it's substantial equivalent Check on
"You
have checked es please i tate the a cove y Yes No
Liability insurance policy �P rage b checking the appropriate box.
P Y Other type of indemnity D13u Bond
Owner's Insurance Waiver. l.am aware that the licensee does_ not�Ve the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Signature of Owner or Owner's Agent Check one:
hereby certify that all of the details and information I have submitted (or entered) in above Agent 13 are and
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
accurate to the
compliance with all pertinent provisions of the Massachusetts State Gas Codd C pter 14 f t �eneral Laws.
By:
Title Signature of Licensed Plumber Or Gas Fitter
e 0 Plumber
Cityaz%wn, Fitter
i icense um er
Master
APPROVED (OFFICE USE ONLY)Journeyman
Date .1o0/. 4)
TOWN OF NORTH ANDOVER
:.`. .
PERMIT FOR PLUMBING
• o� • f
,SSACMUS�
This certifies that .... .f9.G.f O !E?.*7 ......................
has permission to perform ..... LA- I ... �7............:..... .
plumbing in the buildings of ...................
at ... ?� ..G..�<l c.�.1.4, .....:....... . North Andover, Mass.
Fee. 2Z..... Li c. No. Z `�. `� 3.� ..... Q. L . ..........
PLUMBING INSP CTOR
Check #
789
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Location p2 5- Z,44COA-1 5"r Owners Name'�
Z4�zf. Ze,111,'17 Date 91-d r p y
permit # q
1c
TypeofOccupanu 1 141&111iv l Amount
New ri Renovation ri Replacement r
P ® Plans Submitted Yes � No
FTYTTTR Tc
(Print or type)
Installing Company Name/3/fl�✓��1
Address �a �% 1 ata 5r
Check one: Certificate
13 Corp.
❑ Partner.
Firm/Co.
Name of Licensed Plumber: -7-041 HA .jlp f4 .,- '
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy M Other type of indemnity ❑ Bond
F1
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
Signature Owner ED 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 Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts PlumbingCode and Chapter 142 of the General Laws.
By. igna ure o icense um er
Title
Type of Plumbing License
City/Town icense um er ❑
(OFFICE USE ONLY Master
1. APPROVED Journeyman
.J
i
-a
9 I
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N�
(Print or type)
Installing Company Name/3/fl�✓��1
Address �a �% 1 ata 5r
Check one: Certificate
13 Corp.
❑ Partner.
Firm/Co.
Name of Licensed Plumber: -7-041 HA .jlp f4 .,- '
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy M Other type of indemnity ❑ Bond
F1
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
Signature Owner ED 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 Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts PlumbingCode and Chapter 142 of the General Laws.
By. igna ure o icense um er
Title
Type of Plumbing License
City/Town icense um er ❑
(OFFICE USE ONLY Master
1. APPROVED Journeyman
Date .......
TOWN OF NORTH ANDOVER
A PERMIT FOR GAS INSTALLATION
SSACHUS*
This certifies that ...../6..`... ..........
has permission. for gas installation L,4.14 ..... I ............
in the buildings of ... I,,,.i.J7 .........................
Z
at ........... North Andover Mass.
Fee.
. .......... .........
Lic. No—Af.k..? I INSPECTOR
Check# % L 3
6560
MASSSACHUSEIIS UNIFORM APPLICATONFORPERMTrTODO GAS F FrING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date / - Z
Building Locations �� �%��/Ifl-
Permit # C )-Co
_ Amount $ 2(
Owner's Name
New ❑ Renovation ❑ Replacement Plans Submitted ❑
(Print or type) �yy Check one: Certificate Installing Company
Name 1%l�i 1012A A/ P4 ❑ Corp.
Address �L oeq, C 57— ❑ Partner.
Business Telephone j 576 j ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter /0 01 MAIllp,-f
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes ® No ❑
If ou have checked yes please indicate the type coverage by checking the appropriate box.
YI
13Liability insurance policy � Other type of indemnity 13Bond
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
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapteer 142 of the General Laws.
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Fitter
' Plumber a �,/101 3 13
❑ Gas Fitter License Number
❑ Master
® Journeyman
'1ST. FLOOR
6TH. FLOOR
(Print or type) �yy Check one: Certificate Installing Company
Name 1%l�i 1012A A/ P4 ❑ Corp.
Address �L oeq, C 57— ❑ Partner.
Business Telephone j 576 j ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter /0 01 MAIllp,-f
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes ® No ❑
If ou have checked yes please indicate the type coverage by checking the appropriate box.
YI
13Liability insurance policy � Other type of indemnity 13Bond
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
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapteer 142 of the General Laws.
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Fitter
' Plumber a �,/101 3 13
❑ Gas Fitter License Number
❑ Master
® Journeyman
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,.LIAM J. SCOTT
Director
Town of North Andover
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES
146 Main Street
North Andover, Massachusetts 01845
In accordance with the provisions oi' MGL c40, S 54, a condition of Building Permit
Number e9911V is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
c 111, S 150A.
The debris will be disposed of in:
t
(Location of Facility)
/A, Zz=' 7z
Signature of Permit Applicant
m
Date
vis
NOTE: Demolition permit from the Town df North Andover must be obtained for this
project through the Office of the BuAlding Inspector.
130ARU OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
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The len ', .. '-_.._�......,_..._:_....__....;..____, ...... .
, d with all of the buildings 'thereon situated ih said North
Andover, being shown as lot numbered one hundred twIaaty-tiro on plan
District of Es
iland of George N. Russell, Rsyuire, recorded in•the North
i sex Registry of reeds at the and of Book 182, bounded
%'-I and described as followss
'NORTHERLY Fifty (50) feet by land of owners unknown]
EASTERLY; One Hundred (100)
on said plant feet by lot number 123 as shown
iSOUTFigRLY Fifty (SO) feet by Lincoln
str
sett ar4
'WEsTERLY One Hundred (100) feet by lot nu
on said plan. mber 121 as shown
Being the same
' F. Leavitt by deed ofs8ar ara Fourier,latneal., dated June 8,197e T. Leavitt and 7
and recorded at Essex North Registry of Deeds Book 1310 Page 418.
See deed of Ronald F. Leavitt to Elaine Leavitt, also known as
Elaine T. Leavitt, dated August
8
• �Ju 1989
Registry ► and racor
ded
4.
g o!
• rY ....Deeds Book 2999 Page 294. at ]:sgex North
1 ,1•�I.1/t
' •1. MI.•
v
MORTGAGE PLOT PLAN
EK SURVEY
17 ROYAL STREET, LAWRENCE, MA. 01541. Tel.. 508--975,1413
MORTOACOR LEAVATT DEED REF; 418 PC, 262
2¢QDR OF PRINCIPLE BUILDING PLAN REF. 0262
r 7 2 INCOZN ST. DATE OF INSPEC11ON _ AUGUST 27t^ 1993
N. ' SCALE: 111 = 20'
LOQ" 121
50'
LOT 122,
5,000 a.f.
g� 2
�- STORY
WOOD
�n
50'
LOT 123
LINCOLN STREET
7
. _ • ,.
NOTA This mortgage Inspoctlon was prVured ��*i I M13714M SATE THAT IN MY PRar ONJLL,
spoof ally for mortgage purposes and Is not toc c .�' ANION the prinolple structure/s and accessory
be relied upon as a surwy& EK ZUIrVt;y aacnpts T T. outbundtngs, CONFORM
AUDEL
no reepatu0blItty ft Bann est with the setback requkwmants of the low
rellonal b dt No. �6dh(r
y yane other an the -mold mortgagee �,a {. ;ening otbinances, and that ho enoh►ooct►mertts
and Rs vssfyna h acnneatl4h Mfth Its proposed *,fir 9161311. �° �vw of major knprowments tither way am**
mortgage financing to sold mortgagor, JyONA -- 0 5� property lines ewmpt as *%own,
t�RMCAT10N TO: l LAR
o:
01. Property Is not Ih a Flood Hazard Mea
Thle cartifteVon is based on the lowilon at vvmy maker, 0 Z' Property Is In a Mood Hazard Area.
of others, and does not represent d property sutve there tat�e 13 3- Information 19 Inautliclent to .detumlne Flood Haxord.
affa+tts shown am not to be peed for the istabllshment of Flood Hazard dotehnihad from Ow ii biiA Redval plow
Prowy Ithm Insurance Rdta Map Panel f
T 'd s a i J a s 00ZXUJNUS 0000 6c3.8 l=6, 0E ' 6 nd j