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NORTH
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Date ...(J
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TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that ....77 / .. .......... .
has permission for gas installation ....6P(4,' !gs... ( Z.) ..
in the buildings of .:.......... .0 ....................
at . c S % . /1I!Q& 4�"S47X . 5T , North Andover, Mass.
Fee Lic. No. M.3 /.. ........................t��
GAS INSPECTOR
Check # �G
6496
MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING
(Type or print) Date , t
NORTH ANDOVER, MASSACHUSETTS
Building Legations
W–
Owner's Name
Newizi
Renovation 11 Replacement 0
Permit #
LAmount $a lrrJ
Plans Submitted
(Print or Check one: Certificate Installing Company
Name
Corp.
A�ess
rj Partner.
Business I a ep one T ,) —� _ 7 Firm/Co.
Name of Licensed Plumber�or Gas Fittei
-1 Ct 10,
* INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes 13 NoO
If you have checked Les, please indicate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity D Bond 1
Owner's Insurance Waiver: [,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 perm' a lication waives this requirement.
Check nnP• ,
Signature of Owner or Owner's Agent
hereby certify that all of the details and i ormation 1 have
best of my knowledge and that all plumbin
compliance with all pertinent provisions of the Massachuse9P
Title
City/Town.
(APPROVED (OFFICE USE ONLY)
�brryitted ore/ i
ns under
State Gas de and
ZPlumber
Signature of
0
Gas Fitter
Master
Journeyman
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SU B-BASEM ENT
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BASEMENT
1ST. FLOOR
2ND. FLOOR
3RD. FLOOR
4TH. FLOOR
5TH. FLOOR
6TH. FLOOR
7TH. FLOOR
8TH. FLOOR
(Print or Check one: Certificate Installing Company
Name
Corp.
A�ess
rj Partner.
Business I a ep one T ,) —� _ 7 Firm/Co.
Name of Licensed Plumber�or Gas Fittei
-1 Ct 10,
* INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes 13 NoO
If you have checked Les, please indicate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity D Bond 1
Owner's Insurance Waiver: [,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 perm' a lication waives this requirement.
Check nnP• ,
Signature of Owner or Owner's Agent
hereby certify that all of the details and i ormation 1 have
best of my knowledge and that all plumbin
compliance with all pertinent provisions of the Massachuse9P
Title
City/Town.
(APPROVED (OFFICE USE ONLY)
�brryitted ore/ i
ns under
State Gas de and
ZPlumber
Signature of
0
Gas Fitter
Master
Journeyman
clic io are true and accurate to the
f his application will be in
of General Laws.
sed Plumber Or Gas Fitter
_ /6 -jG
(cense Number
PE f IT NO. AM 0 -
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE 1
MAP NO.
LOT NO.
I
2 RECORD OF OWNERSHIP iDATE
BOOK PAGE
ZONE
SUB DIV. LOT NO.�
LOCATION 5 `
PURPOSE OF BUILDING -i- 5-(j,AV
j.6F
d
OWNER'S NAMED _ D./JD�
NO. OF STORIES '
SIZE 16'
l'7
V�
/� /
3
OWNER'S ADDRES �i y ir1�'!/ Ofs- J zl
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND
3RD
BUILDER'S NAME
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
DISTANCE FROM STREET No
'" '" POSTS
DISTANCE FROM LOT LINES - SIDES Y?EAR /6
"" ,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
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED �S
SIGNATORE OF OWNER)0R AUTHORIZED AGENT
F E E
PERMIT GRANTED
7 0 >SJ ,9
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST.. BLDG. COST PER ROOM
PERMIT NO. /
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
ee(. /C _
BUILDING INSPECTOR
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
STORIES
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION
_
8 INTERIOR FINISH
CONCRETE
3
1
_
2
_
13
_
CONCRETE BL'K.
_
PINE
BRICK OR STONE
HARDW'D
PIERS
PLASTER
DRY WALL
_
UNFIN.
3 BASEMENT
AREA FULL
y, 1/1 1/1
FIN. B'M'T' AREA
FIN. ATTIC AREA
_
_
NO B'M'T
HEAD ROOM
FIRE PLACES
MODERN KITCHEN
_
4 WALLS I
9 FLOORS
CLAPBOARDS
CONCRETE
EARTH
HARDV✓'D
COMMON
ASPH. TILE
B
�J
1
2
�_
_
3
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
STUCCO ON MASONRY
_
STUCCO ON FRAME
_
_
_
_
BRICK ON MASONRY
ATTIC STIRS. & FLOOR
_
BRICK ON FRAME
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR I__d POOR
ADEQUATE NONE
5 ROOF
10 PLUMBING
GABLE
HIP
BATH )3 FIX.)
TOILET RM. (2 FIX.)
WATER CLOSET
_
_
_
GAMBREL
FLAT
MANSARD
SHED
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
STEEL BMS. & COLS.
_
HOT W'T'R OR VAPOR
WOOD RAFTERS
_
AIR CONDITIONING
_
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
GASOI
L
B'M'T 2nd _
Ts L 13rd
ELECTRIC
NO HEATING
�ti
Mr. John Costello
255 Middlesex Street
North Andover, Ma.
December 12, 1981
Dear John:
Back in 1975, I inspected your pool and approved it
in its present location. Even though a recent survey shows
the pool to be too close to your rear lot line, no action will
D be taken by the town to correct this situation, since more than
six years have passed when the pool was built and approved.
Very truly yours,
CHARLES H. FOSTER
BAZD'IN&—INSI'iC'T'OR Cs
and
ZONING OFFICER
CHF : of