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HomeMy WebLinkAboutMiscellaneous - 25 OGUNQUIT ROAD 4/30/2018Liberty Mutual® INSURANCE June 10, 2014 Town of North Andover Attn: Building Inspector 120 Main Street North Andover, MA 01845 Liberty Mutual Insurance New England Region Central Property Unit 75 Sylvan Street Danvers, MA 01923 Tel: (800)566-0323 Re: Property Address: 25 Ogunquit Rd, North Andover, Ma 01845 Policy Number: H3221212649321 Underwriting Company: Liberty Mutual Fire Insurance Company Claim Number: 029876757-0001 Date of Loss: 5/1/2014 Attn: Town/City Official Pursuant to M.G.L. c. 139, § 3B, please be aware that a homeowners insurance claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch. 143, § 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass. General Laws Ch. 175, §99, if you intend to initiate proceedings designed to perfect alien pursuant to Mass. General Laws, Ch. 139, § 3A & B, or Mass. General Laws, Ch. 143, § 9, or Mass. General Laws, Ch. 111, § 127B. This letter should not be construed as a waiver or estoppel of any of the terms, conditions or defenses afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and include a reference to the above captioned property address, policy number, claim number, and date of loss. Sincerely, Liberty Mutual Support Liberty Mutual Insurance New England Region Central Property Unit 1-800-566-0323 Date. :-;� t ..2 `. - z—.. . ` TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ...:.................. ................... has permission for gas installation . .: - ........... in the buildings of .......' '% ' .. ................. . at .. ,North Andover, Mass. Fee.? ....cLic. oLy�!.'.>....L• �. '- ......... GAS INSPECTOR Check # `I-) e-& - 3 - f0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Tvoe) G /&IeI16U, MA Date r}- 20 G ')— Receipt# Permit# Building Location dS 0 !;il"7— A-41 Owner'sName Map: Lot: Zone: Type of Occupancy New (D/ Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑ 39q "I installing Company Name EASTERN PROPANE & OIL, INC. Address 131 MATER ST DANVERS M_A 01923 Estimate Value of Work: Checkone: Certificate Corporation ❑ Partnership Business Telephone 800-322-6628 ❑ Firm / Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ltY' No ❑ If you have checked yes• please indicate the type coverage by checking the appropriate box. A 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. Checkone: Owner C2 Agent❑ Signature of Owner or Owners 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 the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the GenyqLaws. By Type of License: Plumber Signature censedPlumber orGas Fitter Titre Gasfitter Master License Number City /Town Joumeyman APPROVED (OF7r CE USE ONLY) Revised OW17/00 ■■mo�imi■�o■■o�■a ■ installing Company Name EASTERN PROPANE & OIL, INC. Address 131 MATER ST DANVERS M_A 01923 Estimate Value of Work: Checkone: Certificate Corporation ❑ Partnership Business Telephone 800-322-6628 ❑ Firm / Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ltY' No ❑ If you have checked yes• please indicate the type coverage by checking the appropriate box. A 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. Checkone: Owner C2 Agent❑ Signature of Owner or Owners 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 the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the GenyqLaws. By Type of License: Plumber Signature censedPlumber orGas Fitter Titre Gasfitter Master License Number City /Town Joumeyman APPROVED (OF7r CE USE ONLY) Revised OW17/00 .a - Y J z O LU a) w U LL LL O O LL 3 O J W m z O U w c z_ m h w C7 O CL z O U w a U) z J Z LL W W LL O z O� M C � e Town of �`�__;���+t'• NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT � a�( u udQer s5�� PERMIT NO.: v J PROJECT: 9poom-)d 3 161800Mft DATE: )HA -00 UNIT NO.: FLOOR: REMARKS: E ,54 0CS+ WING: BUILDING NO.: ,l'ot J a C Excavation - depth and soil conditions Framing - Other: Date: -3 '— 02 6 — 0'/ Date: Date: Inspector___ .2/V (6-- Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: � ` 5- Date: Date: Inspector ,�.� C Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector. Inspector Electrical -final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector. Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: —Cof 0# Inspector Inspector. Inspector orm #995 Action Prow, 665-7000 APR -22-2010 06:53 PM LARRY OGDEN 978 352 2858 P.01 LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —332-2858 cell: 978-502-5921 April 22, 2010 t' Mr. Rob Hardacre Travis & Tim. Construction 720 Boxford St. North Andover, Ma.01845 RE: Lot 28 Ogunquit Road, North Andover, Ma, Dear Mr. Hardacre As you requested I visited the site to review the installation of the Engineered Materiaas consisting of LVL beams utilized in the framing of the above project. These are shown on plans prepared by Martha Macinnis, Dated January 6, 2006, revised 2/2/2010 and 2/19/2010 with sheets 7 thru 12 certified by me. I originally visited the site 4/1/2010 and issued a memo dated 4/2/2010 and SK -2 dated 4/5/2010 listing some corrections required. I revisited the site 4/21/2010 to verify these corrections were performed. These items were corrected except that the blocking between the roof rafters were not installed as shown on SK -2 ( copy attached). These were originally shown on Detail 2 sheet 9 braced wall panel additional connections. Based on the above site visits and based on what I could visibly see I can certify that to the best of my knowledge the Engineered members utilized in the framing as shown, on the drawings are installed properly and meet the loading conditions of the Massachusetts State Building Code for 1 &2 Family Residences. This certification assumes that all other framing requirements of the code, including but not limited to materials and nailing schedules, were properly complied with by the licensed construction supervisor responsible for the project. Further the blocking between the roof rafters must be installed. Should you have any questions please do not hesitate to call. Yours truly, Y. Lawrence H. Ogden P.E. Structural 27765 H OF At, WRENcB car � H MOLD M ¢JZZ'Zoto w a 0 _ Travis and Tim Construction Inc. a OG(4 ✓ Q u 11 a AT) Custom Homes S7-1 /-/,, //"I ro r el� JUN 2 7 2001 BUILDING DEPT. l e i e-,-- zl-zfe i7 Peter Breen • 770 Boxford Street • North Andover, MA 01845 4 978-687-7774 N2 3 ru- 3 2 Date......... ......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that has permission to perform ..... wiring in the building of ... .................................................. ....................... . North Andover, Mass. at ..... ................. . . Fee ...... ;7 ............ Lic. No .............. .. ...... ...... ............................ ELECTRIC AL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer TAE091t1 0AW 4LTHOFARMCHUSE77S office Use only DEPARTA10VTOFPVBLICSAFM Permit No.A- BOARD OFFIREPREVEW0NRWUMTI0AS527CMR12:00 Occupancy & Fees Checked S APPUCATTONFOR PERNIlT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE NIASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 3 — 4 �/ Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) ,1,57- 1,2 Owner or Tenant Ti7i9//i,5 f TI.yI l/31�/Sf: /�C� Owner's Address //U Is this permit in conjunction with a building permit: Yes" No (Check Appropriate Box) To the Inspector of Wires: Purpose of Building MI Utility Authorization No. Existing Service Amps / _ Volts Overhead Underground No. of Meters New Service AmpsJg /., dC)Volts Overhead Underground �� No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. oftighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA groundEl ound No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices . No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Locala Municipal Other No. of Dryers Heating Devices KW Connections a No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER It UM=CoM� RM" Ihmeaama>tLmbtddyhstxa=Pohyindud'mgCanptOe Oppations Cotelagecrits sk9andralegtrivalat YES FA'NO IhmestbmirtadvalidpodofsametotheOlfm YES 0 NO IfjcuhseducWYES p{ mmdc* heWcf'wmaWbyd=kirgthe INSURANCE M BOND OTHER (PweSpaafy) WotkioSmatt 323 2 FIRMNAME hpectimD*R4xsted G Dq iratiat Drage Estimated ValuedE1xixal Wodc $ Rough Emal zf",>// M. P, '` FA FRI • i' T. N. i.\ - p7f� 699 —,, d --,5- 3_ Address/%r2 AV-d,� Q N/�- 5�0✓� . /Ji'j� l3% �' c/ .._� AltTelNa OWNER'S INSURANCEWAIVER;IamawatethattheL =dMnut>ceit�tra>oecUe�ecrilsstri�>baleguivalatastegtruedbyMassadtse�Cr�teralLaws and thatmy sigr�btaeon this petmd wain this teguearter>t (Please check one) Owner M Agent Telephone No. PERMIT FEE LocationQ I �aC (a 5"") 1j No. & 117 Date o?� „oR,M TOWN OF NORTH ANDOVER - Certificate of Occupancy $ �',s'••°' E<� s�cMus Building/Frame Permit Fee $ + Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # l Building Inspector TOWN OF NORTH -ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: 6117 DATE ISSUED: _ /3 SIGNATURE: Building Commissioner/Infiwor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address :Ca 1.2 Assessors jMap and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Distrid Proposed Use I.R ArW(s Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Reggired Provide R red Provided R 'red Provided YO o s- 7 -5 '1 � 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: \' Zone Outside Flood Zone AJ 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System Public Private ❑ I SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT I 2.1 Owner of Record &-, 1'4� , -�za 07 - Name (Punt) / Address for Service Signature /P, A ., Telephone 2.2 Owner Name Print i Signature , Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: // Licensed Construction Supervisor: -51-lo t/ ,,,,V s S�4, Address 3.2 Registered Home Improvement Company Name Address Address for Service: �k, 0, Telephone Not Applicable ❑ 05 � � �J� License Number �- -UW Expiration Date Not Applicable ❑ Registration Number Expiration Date SECTION 4 - WORKERS COMPENSATION (1VLG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure in the denial of the issuance of the building permit. 9v -ZVF Signed affidavit Attached Yes .......❑ No ....... ❑ A-74 . SECTION 5 Description of Proposed Work(check au a licabl New Construction Br Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: I SECTION 6 - F,ST MATRn CONSTRUrTION Cn-TC I r �rovide this affidavit will result Addition 0 Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building (a) Building Permit Fee 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 aht, t1UIV /a UW f'4 K AU I HUK1LA 1lUf4 'W ISE CUMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUH.DING 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 SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION Date 1, 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/Agent NO. OF STORIES ,2 BASEMENT OR SLAB 19 S i` Mr Tv SIZE OF FLOOR TIMBERS 0 1 0 SPAN / DIMENSIONS OF SILLS )lam DIMENSIONS OF POSTS a �A DIMENSIONS OF GIRDERS 1112 HEIGHT OF FOUNDATION Y SIZE OF FOOTING c " MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND QJj' IS BUILDING CONNECTED TO NATURAL GAS LINE f� Date SIZE ,Y/0 27 THICKNESS 1 v r X 1 Qa av n I,F FORM - U - LOT RELEASE FORM G INSTRUCTIONS: This form is used to verify that all -necessary approval / permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT PHONE T ASSESSORS MAP NUMBER LOT NUMBER.�0 SUBDIVISION Rock,Iwk I LOT NUMBER 12 STREET & J STREET NUMBER ZS OFFICIAL USE ONLY RECO ND TIONS OF TOWN AGENTS one 0 man 'ba as use DATE APPROVED OVA - - a L 11 DATE REJECTED COMMENTS pot %yL� 7 l� -1 ..�vn/tit u Lirk; J, DATE APPROVED TOWNP R DATE REJECTED COMNfENTS DATE APPROVED FOOD INSPECTOR/HEALTH �-- % DATE REJECTED DATE APPROVED // o -o l S PT�WSPECTQt.-$EALTH - DATE REJECTED COMMENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS /D-IZ-oc) DRTVEWAYIP RMTT �\ ///?'/6TE APPROVED FIRE DEPARTMENT DATE REJECTED CONUV ENTS RECEIVED BY BUILDING INSPECTOR DATE I 11 liUllllllUllWt!dllll Ul /VIdJJdL;llU, fi 11J Department of Industrial Accidents Office of Investigations Boston' Mass, 02111 Workers' Compensation Insurance Affidavit Please Print 0 -600 am a homeowner performing all work myself. am a sole proprietor and have no one working in any capacity fi l I am an employer providing workers' compensation for my employees working on this job. L Company name.• Address City- Phone #: Insurance Co. Policy.# Company name: Address Failure to secure coverage as required under Section ZbA or MUL I 5 can lead to the imposition of criminal penalties of a fine up to $1,500.00 andipr one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is Eve and correct Print Official use only do not write in this area to be completed by city or town official' ❑Check if immediate response is required Building Dept Contact person:_ Phone A- FORM WORKMAN'S COMPENSATION 00 C Building Dept p Licensing Board p Selectman's Office Health Department E Other Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978)688-9545 Fax(978)688-9542 DEBRIS DISPOSAL FORM ti ttORT Q �SLlD 4 0 0 [OCMIC W wK M �9SSACPIUS���� In accordance with the provisions of MGL c 40 s 54, and a 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 debriswillbe disposed of in /at: Facility location 117 Ael Signat 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. GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUIELDING DEPARTMENT This -form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. Permit Applicant Property address ` Map / Parcel V Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit. Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on section 8.7.6 ofthe North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration or reconstruction of a dwelling in existence as of the effective date ofthis bylaw, provided that no additional residential unit is created. The lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals, where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land. For purposes of this section "senior" shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40 %permanent reduction in density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable saes and permanently designated as open space or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the planning board that will ensure its protection. _ This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for a building permit ( all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that year. One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits. Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR NOT S RO S FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PE MIT. c isj-0APPLIC S SIGNA DATE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION t Ilia al . -Ilwwack oeM BOARD I WING REGULATIONS _ License: CO! CTION SUPERVISOR Number: C; 009544 Birthdate: 03 :8 + - Expires: 03 2 Tr. no: 19008 Restricted To: 00 STEPHEN C BREEN 345 STEVENS N ANDOVER, MA 01845 Administrator j i Building Value Calculation - for Property at..... 25'-{3�iurr�qu#t ltd Room Length Width Sq.Ft. Cost per Sq.Ft. Total Cost Kitchen 22 14 308.00 17777r'fi7j $ 20,020.00 Living Room 18 14.5 261.00E $ 16,965.00 Dining Room 14.5 14 203.00 ' 65" $ 13 195.00 Family Room 24 16 384.00 24,960.00 Study 11.5 10 115.00 65 $ 7,475.00 Laundry Garage 22.5 24 3 $ Entry 14 11 154.00 10,010.00 Basement Finished - 65 $ _ Deck 40 6 240.00, ., ; x . v .,j4: $ 2,400.00 Screened Porch z Breakfast Nook -$ Bedroom 1 24 16 384.00 + $ 24,960.00 Bedroom 2 14.5 14 203.00 13,195.00 Bedroom 3 14.5 14 203.00 5g $ 13,195.00 Bedroom 4 15 14 210.00 M 6'i $ 13,650.00 Bedroom 5 A _ Bathroom 1 10 5.5 55.00'5 $ 3,575.00 Bathroom 2 14 12 168.00 ';;.:::,_._::{. s t.6� $ 10,920.00 Bathroom 3 14 13 182.00 $ 1 11,830.00 Bathroom 4 - Bathroom 5 y r - 7 $ 186,350.00 RC9vM5 C, 5'I (S4--'(002 o)N4 -NO �z o�4 CO, b a w o ?o e w ER * * t SO - LL o t, o 01 T1 Q u W Q t0 f`0 C CU `N c o N AQ' : �' .0 Ln ,A v �` Z -gyp � � � .� •� 3 cu • �. ,0 ` N O Q�� He c is }, � o o m u Ln a ( E , cc c aj0tm cu O _e tQ '� la ` m ~ w a 0v> w E Q Q � �! ~ c .� as w W C vii V G1® �. 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C m W c m O Cc • •. d N E f JOE 1=0 cs SOO j o m c L N m .. mob -0 —m •: zoo cc •C = c�c y O O O �1.: m h O I#S=.. O CI Q _� C=, d c = � m L: O L :C�0 0: Z ` •• c a O c a o `vLoimc 'c Z m�, od ._., p N cia120, to = m w o M H Zm W N � = Z .E v h o V Cf y COD a mo� g = eyv om= o CL z 0 w a e y MA E m O m Q cc :7 CO) 0 ca .y O V cc L-1 _cc C. CO2 r—I L 0 V CD CLC031 c CD CM � 'fl m m 0 CD 3� �CD D L O CLd ca c .59042 CO iv Z s G3 CLCA C Location No. Date I TOWN OF NORTH ANDOVER Certificate of Occupancy $ CwuSEt Building/Frame Permit Fee $ JID Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 0 ' Check # Is - 6 i6 Building Inspector