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Location
No. Date
W -
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Fo4ndatiorLPerTit Fee $
Ofh�r Peg?'r We
Sewer Connection Fee $
QU-0 T -t I 9t ter Connection Fee
TOTAL
6259
Buildinonspector
Div. Public Works
- -liNo. q_3 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
1,/PAGE I
MAP 4-40.
LOT NO.
2 RECORD OF OWNERSHIP DATE
-n
BOOK !PAGE
— I --
ZONE
SUB DIV. LOT NO.
LOCATION
:q
PURPOSE OF BUILDING
8, �e
OWNER'S NAMIE
NO. OF STORIES SIZE
OWNER'S ADDRESS
BASEMENT OR SLAB
ARCHITECT'S NAME zf)
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME
SPAN
DISTANCE TO NEARYST BUILDING
DIMENSIONS OF SfLLS
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
MATER:AL 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 I FILL OUT SECTIONS 1 3
PAGE 2 FILL OUT SECTIONS 1 12
ELECTRIC METEPS 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 1�13
919-N-ATURE OFOWNP*,OR AUT40RIZED AGENT
F'E- E 0
PERMIT GRANTED
ZA 19
OWNER TEL. #
CONTR. TEL, #
CONTR. LIC. #
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST X 127
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BO�RD
BOARD OF SELECTMEN
BUILDING RECORD
I OCCUPANCY 12
SINGLE FAMILY
S-ORIES
MULTI. FAMILY
[OFoFICES
APARTMENTS
I
CONSTRUCTION
2 FOUNDATION
-
8 INTERIOR FINISH
CONCRETE
-
PINE
3
1
2 13
-
CONCRETE BL'K._
BRICK OR STONE_
_
_
HARDW D
PIERS
PLASTER
'�RY WALL
UNFIN.
3 BASEMENT
AREA FULL
FIN. B M T' AREA
14 1/2 l/.
FIN, ATTIC AREA
t!O BMT
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALL$
9 FLOORS
CLAPBOARDS
B
1
3
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
ASPHALT SIDING_
ASBESTOS SIDING
VERT. SIDING
HARIDNVID
COMMON
-�SPH TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. FLOOR
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRA E
SUPERIOR POOR
-ZEQUATE I NON, E
10 PLUMBING
5 ROOF
GABLE I
BATH (3 FIX.)
AMB.
G --- iElL
I
-dip
MANSARD
TOILET RM. (2 FIX.)
F LAT
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 2n I
Ist I 3rd I
ELECTRIC
NO HEATING
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.
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* 0. - 3 6 '1- Date �S>
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ 0
Foundation Permit Fee $
CHUS
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ o
/bu-ifaing IiW'Pector
12755 0/31/98 09:0o 30-00 ffkblic Works
-Location A U
VNo. Date
TOWN OF NORTH ANDOVER
4w, am& Certificate of Occupancy $
41
Building/Frame Permit Fee $
01 ZOO.", .
MUS Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL
B6ilding Ins'pector
08/31/98 09:00 260.00
PffiD--
Div. Public Works
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CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
Building Permit Number 3101 8 Date —srr / T 17
THIS CERTIFIES THAT
0
THE BUILDING LOCATED ON. 07 07/ Alf 45 %5 .4
MAYBE OCCUPIED AS *5
IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO 04;1*,01AAj
ADDRESS 4qj--4jj0,s,
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*,,O��Bu�ilding�InspecAtor 464,�� IN -il
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AA, SSACHUSETTS. UNIFORM APPUCATION FOR PERMIT TO DO GASFITTING
Print or Type)
[1 All�podg(L_ Mass. Date__I.�363 19(-L7S �Pffmlt*
BuIWIN Locat era Name VAL)
Type of Occupancy_—Le
S'.
New (9/ Renovation Replacement 0 Plans Submitted: Yeso No
Installing Company Name AHERN CONTRACTING Check one: Certificate
Address # 4 ELIOT STREET %I Corporation
SOMERVILLE, MA. 02143 0 Partnership
Business Telephone 628-4551 �O Firm/Co.
Name of Ucensed Plumber or Gas Fitter C,
INSURANCE COVERAGE:
I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes EJ No 11
If you have checked yU, please Indicate the type coverage by checking the appropriate box
A liability Insurance policy IQ Other type of Indemnity 0 Bond 0
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by
Chapter 142 of the Mass. General I.Aws. and that my signature on this permit application waives -this requirement
Check one:
ownerD Agent 0
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 performed under the permit issued for this application will be in gaMpliAnce with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
Tyne of License.
KyAumber of,,"nsed Plum6er or Gas Fitter
Title Gasfitter
Master License Number RQ49
Journeyman
0
t&ORTN
0
Date.// . . I .............
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that . ///,. e �'. . . . ". , - /
e . . . . . x ...........................
has permission for gas installation ... .....................
in the buildings of .................... : .............
at ....... ..............
North Andover, Mass.
Fee. . ... Lic. .................
93 GASINSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
3000' Date/ �� 0,i� ......
j,0RTN TOWN OF NORTH ANDOVER
6,
0
PERMIT FOR GAS INSTALLATION8
This certifies that . Pe /q C, G
............ ......................
has permission for gas installation ............ . ......
in the buildings of ... Z.
..... !� .............................
at ............... No h�dover, Mass.
Fee� Lic. No .. .......
sPECIOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
1 14
4ASSACHUSETrS UNIFORM APPUCATON FOR PERMIT TO DO GAS FMMG
or print)
INUKrH ANDOVER, MASSACHUSETTS
Date 19 7
Building Locations c>17/ Permit 4 0 o
Owner's Name
New F1 Renovation 13/ Replacement 11
Amount S
-.10 -A7
Plans Submitted
(Print or type)
Address
.�2 c
A,1 (E�� "—f—rb
Bus
6 .Cfj
7—j :�v
Check one: Certificate Installing Company
F� Corp.
F� Partner.
r-1 Firm/Co.
-t/
Name of Licensed Plumber or Gas Fitter — I' r� -4e
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes F-1 Nom
If vou have checked ves, please indicate the ty
pe coverage by checking the appropriate box.
Liabili;y insurance policy Other type of indemnity Bond
M El
Owner7s, Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. GI-meral Laws, and that my signature on this permit application waives this requirement.
Check one:
SiQnature of Owner or Owner's Aaent Owner A2ent
1-1 - - 13
i hereby cerTity 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 theMassachusett;0ate Gas Code ayrdThaptVl 42 ot�he General Laws.
itle
ity/Town
APPP
, O'v'E D (o F i-. ic F. i J S F () N 1. Y)
Signature of Licensed Plumber Or Gas Fitter
I—M-11 9 �?
Plumber -eo// S a 40
Gas Fitter License �,Numoer
�Iaste-
r7 Joumeyman
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2.N D F L 0 0 R
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(Print or type)
Address
.�2 c
A,1 (E�� "—f—rb
Bus
6 .Cfj
7—j :�v
Check one: Certificate Installing Company
F� Corp.
F� Partner.
r-1 Firm/Co.
-t/
Name of Licensed Plumber or Gas Fitter — I' r� -4e
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes F-1 Nom
If vou have checked ves, please indicate the ty
pe coverage by checking the appropriate box.
Liabili;y insurance policy Other type of indemnity Bond
M El
Owner7s, Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. GI-meral Laws, and that my signature on this permit application waives this requirement.
Check one:
SiQnature of Owner or Owner's Aaent Owner A2ent
1-1 - - 13
i hereby cerTity 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 theMassachusett;0ate Gas Code ayrdThaptVl 42 ot�he General Laws.
itle
ity/Town
APPP
, O'v'E D (o F i-. ic F. i J S F () N 1. Y)
Signature of Licensed Plumber Or Gas Fitter
I—M-11 9 �?
Plumber -eo// S a 40
Gas Fitter License �,Numoer
�Iaste-
r7 Joumeyman
Date
N� 3873
TOWN OF NORTH ANDOVER
-PERMIT FOR PLUMBING
This certifies that . . < .... P), (-�
.......................
has permission to perform .... A
plumbing in the buildin gs of ... AA.
. . . .................
a t .... .. Orth Andover, Mass.
Fee. 1�7 ?Aic. No.
I Tol
P�LIJMBINGtIN �E TOR
11/23/98 08:53 v 57.50 PAID
WHITE: Applicant . CANARY: Building Dept. PINK: Treasurer
(Type or Print)
Type)
Company Name 0,e�,O-Lj
-e— F (— V C,
NORTH ANDOVER
_.Mass.
Date."'
J<2—
M Building Location
,0;7,,jzS -S ve---
PC t
Firm/Co.
Owners Name
Telephone 66 IAX,9,220-
L
New Renovation
Replacement E] Plans
Sybmitted .. ..................
FlYT1lPf=CZ
. t .
(Print or
Installing
Type)
Company Name 0,e�,O-Lj
-e— F (— V C,
Check one: Certificat@
Y 1) �- Corp.
Address
L)-,,�rJ66 6--cJ
J<2—
Partner.
Firm/Co.
Business
Telephone 66 IAX,9,220-
Name of
Licensed Plumber.:
Insurance Coverag Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy Ef--O--t'her type of indemnity D Bond
Insurance Waiver: 1, the undersigned, have been made aware -that the licle'nsee of i
this application does not have any one of the above three insurqlnce cQVerages,
Signature of ownerlagent of property Owner Agene,.
I �Axbr m6ty 96411 all of dic dcti as &ad Wol"salion I havc subillificd lot gn4cmd) in ANAVC arl4i"doolifi; live le'dw bgM 4d
k"wledge and IMI all plumbing wai k and ins(allations joc# too mcd undcs r"I'lif 146"d (Of Ws Wl"604 wiU bc is 4M owl
TWO" Of " b"16"Amults SWC riumbiag Codc Md Clmptct 142 of flic Gcncsal LzWL
B
Title
City/Town:
A 000i"MM 70FF[CF USE ONLY1
Signature of -Licensed Plumber
.do% Type of Plumbing License
4, /—/S T 7
License Number 0 -IM -*aster 11 Journeym&4
N2 2 i32
Date ... ......
TOWN OF NORTH ANDOVER
0
PERMIT FOR WIRING
_2
- . . ....................................
'16 certifies that/z.-., ...........................
has permission to .......
wiring in the building of ........ �.- ........................................
North Andover, Mass.
.......... ...................................... .
Fe4i .... 67'-) ..... Lic. No��Z?kf . ..............................................................
ELECTRICAL INSPECTOR
11/12/98 13:52 68-00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
ThFC0AA10NWE4LTH0FMASS4ChV= Office Use only
UV4DEPARTMUq0FPVBLJCS4FM permit No. - �-/3 1� L
BOARD OFMEPREVEMONRWHA770AS527CM 12DO Occupancy & Fees Checked
APPUCATIONFORPERAffTOPEURFORM ECTRICALWORK
ALL WORK TO BE PERFORMIED IN ACCORDANCE WITH THE MASSACHUSSTS ELECN AL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Datl_ / 1 1 Cd � -6
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to per -form the electrical work described below.
Location (Street & Number) 7--2( jV1,AGS .6
Owner or Tenant 7�YC) AA CU LA AJ
Owner's Address �', A -,-k K
Is this permit in conjunction with a building permit: Yes 0 --No r7 (Check Appropriate Box)
I
Purpose of Building 14 t Q L f Utility Authorization No.
Existing Service Amps Volts Overhead ED Underground M No. of Meters
New Service qD0 Amps C -W/ ?-YL)VOlts Overhead tn-�Underground r --J No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work .4_ Lok--'qOL�e 1,� L)S
No. of Lighting Outlets
No. of Hot Tubs
No. ofTransformers
Total
3o
KVA
No of Lighting Fixtures
Swimming Pool Above
Below
Generators
KVA
310
ground
1:1
ground
17,
No. ofReceptacle Outlets
No. of Oil Burners
No. of Emergency Lighting Battery Units
!�;D
No. of Switch Outlets
3o
No. of Gas B umers
t
FIRE ALARMS
No. of Zones
No ofRanges
No. of Air Cond. Total
ons
No. ofDetection and
No ofDisposals
No. of Heat Total Total
L
Pumps
Tons
KW
initiating Devices
No. ofSounding Devices
No of Dishwashers
Space Area Heating KW
No. of Self Contained
L
Detect ion/Sound ing Devices
Local Municipal
F-1
Other
No. of Dryers
Heating Devices KW
D Conn
No of Water Heaters KW
No. of No. of
I Signs
Bailasis
No, H)dro Massage Tubs
I No. of Motors
Total HP
OTHER
txlXMW LXW
uAji-, E,;tim&dValue&amtridWctk$ LtOOD-
Rzugh Final
&&.essTCLNh 60�) 3t -z-
0 'C) -T-V V—) T N
AIL el. �a
OWNER'S WAINER, I am not Lam
(Pie -ase check one) Owner F-1 Agent 17
I elephone No. 1-tKIVII I rtt I