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HomeMy WebLinkAboutMiscellaneous - 3100 Harvest Drive Bldg 3 3100 Harvest Drive Bldg#3 BUIMMG HLE
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Town of North Andover
D.B.A. — Zoning Compliance Form
�9SSACHUS 978-688-9545
This form must be reviewed with the Inspector of Buildings.
Office Hours are Monday-Friday 8-10 am,and 1-2 pm Monday-Thursday.
Applicant Name: JO�t/1 ca"SSA Name of Business: 64�SS� ( �IpLS'IIT�4�
Addres's of Business: a U7 H4WA Dr 01;5q f Zoning District : ��-
Map /O Lot 0d 3
Phone: 72O 4. 620. 0015- Email 'S"it a-`SS4 mt a y. cOvrol
Nature of Business: 5p pw �Q W k an &We G�Q S' hgo-
Le
UR do
Do you own this property? Yes X No
If no,written permission is required from your landlord. `�
Will you have clients coming to this property? Yes No X
Will you have any employees? Yes No X
Will you have any major deliveries? Yes No
Description of Business Activity (Must be Completed)
Aovfu &I Jele,SSP
Signature of Applicant
For Signage Refer to North An mg Bylaw Section 6
The proposed use is an allo e se in this zoning district.
Issued By Date d/ 24 ?�1,�
2.4a Horne Oeeupafon(1989132)
An accessorsr use conducted withffi a dwelling by a re4denn a resides xn the dwelting as Iais principal
address, which is clearly Recondaty To the use;-of the b.til ft.for lag purposes. Home occupations shall
'uiclft q,-b6t Rot'Iimited to the following uses; personal service; such as ftu7aished by an artist or instructor,
but not occupation involved with motor -vehicle repairs, beauty parlors, animal kennels, or the conduct of
retail business,or ttie naamAdming of goods,whi
Ad9W1kL Safety Insurance
Wo
PO Box 55098
Boston,MA 02205
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
To: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectman
City Hall City Hall
NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845
RE: Insured: ELIZABETH DESMARAIS
Property Address: 3 HARVEST DR UNIT 104,NORTH ANDOVER, MA
Policy Number: HMA 0384849
Claim Number: BOS00066438
Date of Loss: 8/1/2015
Company: Safety Insurance Company
Claim has been made involving loss, damage or destruction of the above-captioned property,
which may either exceed$1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be
applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate,please
direct it to the attention of the writer and include a reference to the captioned insured, location,
policy number, date of loss and claim number.
Allan Leavitt Claim Examiner 12/16/2015
Safety Insurance Company
Homeowners Claims Unit
P. O. Box 55098
Boston, MA 02205-5098
Phone: (617) 951-0600 EXT 3213
Fax: (617) 531-8891
Email: AllanLeavitt@SafetyInsurance.com
Date...\02iv1-j.......
fC " Sv
OF NOriTH,� TOWN OF NORTH ANDOVER
03�•' `` ••• OOH
y PERMIT FOR PLUMBING
•;+moo•-�^.,'��+:4�*
�BACHUS� �
This certifies that.... ` ....................................... .... ...... ......
has permission to perform......1�A.G�—
plumbing in the buildings of .. .... .
... ...
.. .........................................................
.
...p.�, .....'......., North Andover, Mass.
Fee.. .-....Lic. No. 17 .1.�.. ..........1.!�!'..............................................................
�� ►�/ PLUMBING INSPECTOR
Check# _
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
- _ n
CITY -_-- r. -1.?Y_1,�._ ._ _ _ - MA DATE _ j PERMIT#
JOBSITE ADDRESS OWNER'S NAME
P OWNER ADDRESS TEL F
___ E
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
PRINT 0
CLEARLY NEW:El RENOVATION:0 REPLACEMENT: PLANS SUBMITTED: YESF-1 NOQ
FIXTURES Z FLOOR- BSM ®r—
DEDICATED
2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB _
CROSS CONNECTION DEVICE
SPECIAL WASTE SYSTEMDEDICATED GAS/OIL/SAND SYSTEMa-
DEDICATED GREASE SYSTEM _ M- F
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN -- --' - -- /-
INTERCEPTOR(INTERIOR)
KITCHEN SINK _ —
LAVATORY
ROOF DRAIN
SHOWER STALL - -- - -- -_ - - _ --- �� __
SERVICE I MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER L - __ _- --- ----
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES[ ' NO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW 'T
LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY Q BOND F
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER 0 AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application re true and accur to to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be' o pliano><Al Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME I L,-
no nnCLICENSE# '"�_�'. SIGNATURE
MP JPO CORPORATION[ #PARTNER HIP -_- # LLCO#
COMPANY NAME }-}� ADDRESS Kci
CITY[Ljn STATE 1. ZIP TEL -
- - A4,
FAX
FAX CELL EMAIL
mac ) (i MA'I
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPEC/TIIOON NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
PLAN REVIEW NOTES
r
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street `
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): G' V=. M `7'
Address:
City/State/Zip: �.,� 4 '��' a Phone#: ' 01 67 R 3 kz� g
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
ernployees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have
8. ❑ Demolition
working for me in any capacity. employees and have workers'
comp.insurance.*- 9. ❑ Building addition
[No workers' comp. insurance P-
required.] 5. We are a co oration and its 10.❑ Electrical repairs or additions
❑ corporation ons
P
3.❑ 1 am a homeowner doing all work officers have exercised their 11.[1 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.[] Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No.workers' 13.❑ Other
comp, insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their worker'comp,policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. /
Insurance Company Name: Y1 r tL &T`V I ct S 1 J>C
Policy#or Self-ins. Lic.'#:w C. � tj ro Q p O Expiration Date: O ��
Job Site Address:-4.11. 05/ '41AYZS'r City/State/Zip: .AP046
�,M Q/f
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
1 do hereby cert under the pa' and penalties of perjury that the information provided above is true and correct.
Si ature: ��
Date:
Phone
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone#:
_ _ I
COMMONWEALTH OF MASSACHUSETTS CONINIONWEALTH OF PAASSACHUSETi S
• BOARD OF m �,uh a �, t a��7 - •lr ?
PLUMBERS AND GASF ITTERS ,+�. ` "r> �•.T Jam, � "
ISSUES THE FOLLOWING LICENSE
AS A NIASTEP.-UNRESTRICTED
LICENSED AS A MASTER PLUMBER } S5JES THEAE�oVEuCENZETo
LARRY T GEMMA �, FRE DEP, 1 C':� J MOXHAN
GEM PLUMTNG ':ERVICES
1 WELLINGTON RD L t,IELLINIl TON F'D
LINCOLN Ri 02265-4412
LINCOLN RI 02865-4411
12979 o5/a1/1.6 216782 3875 OS/� 8/14 Io2�23
.COmmof4wFA LTH OF MASSACHUSET#;S
♦ ♦ , , . f , n _COMMONWEALTH OF MA8,8kCH3SE7TS
QSQAM
'� E' 11�IB �ASFfTTE13S a k BOARD OF
PLUMBERS .SND G`ASF ITTERS
r s UE �lE ) ffLLf1�JtGLirt=NSE ISSUES THE FOLLOWING LICENSE �, -
�1111 � € TB1 NG'G{ffRF .:. ?;
r LICENSED _AS A JOURNEYMAN ..PLUMBER
« F
r
x LARRY T GEMMADIM-
1 WELLINGTON RD
0-2LINCOLN R I 028'5-4411
25142 o5/ow6 216779
NM I�11 fl �I� 41h' r,C(` A
[i
c
,Z)flarb of rxegi5tratinn of 2—)Ijeet�4,'t`tetat oL•�er�
37abittg 5atiStiea tfje regttiretnent5 aE,�tla55acl�u5ett5 genera[late
Vjapter 112,Section 237 tbrong[7 23l
Dem lumbing & beating (fa Inc
i5 I)crebv granteb t1)i5 certificate no.490a5 evibencc to practite a5 a
an tl)i5 GO bap of jebrnary 2012
�fn �estimonv#�f;ereaf,is l�creuttto affixes tie name of tltc c-\CCiftille Director of t()e Moarb
r� -
Accepted Plumbing Products Online System by Massachusetts Board of Registration of P... Page I of 2
The Official Website of the Office of Consumer Affairs and Business Regulation(OCABR)
Division of Professional Licensure
Mass.Gov
Mass.GovHorne State Agencies A-Z Topics
Home)Division of Professional Licensure)Board of Registration of Plumbers and Gas Fitters> ONLINE SERVICES
..................................................... ................................ ............. ..............
Check a License
Accepted Plumbing Products Online System Locate a Licensed
Professional
By the Division of Professional Licensure Online Address Change
Contact the Agency
Table. ONLINE PLUMBING PRODUCTS SYSTEM: SEARCH RESULTS More...
Search Criteria: There are 10 record(s)in our database
Type: Plumbing fitting your search criteria. Please note that
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PRODUCT,
DESCRIPTION, MANUFACTURER MODEL ACCEPTED EXPIRES APPROVAL
APPROVAL CONDITION CODE
Marathon
Non-Metallic water Water Heater
Heaters Innovations, Inc MR105238 6/4/1987 10/11/2017 P3-1014-129
Marathon
Non-Metallic water Water Heater
Heaters Innovations, Inc MR105245 6/4/1987 10/1/2017 P3-1014-129
—7-129
Marathon
Non-Metallic water Water Heater MR30245 6/4/1987 10/11/2017 P3-1014
Heaters Innovations, Inc
Marathon
Non-Metallic water Water Heater
Heaters Innovations, Inc MR40245 6/4/1987 10/1/2017 133-1014-129
Marathon
Non-Metallic water Water Heater
Heaters Innovations, Inc MR50238 6/4/1987 10/1/2017 P3-1014-129
Marathon
Non-Metallic water Water Heater
Heaters Innovations, Inc MR50245 6/4/1987 10/11/2017 133-1014-1129
Marathon —
Non-Metallic water Water Heater
Heaters Innovations, Inc MR75245 �6/4/11987 10/1/2017 P3-1014-129
Marathon
Non-Metallic water Water Heater MR85238 6/4/1987 10/1/2017 P3-1014-129
Heaters Innovations, Inc
-Marathon
Non-Metallic water Water Heater
Heaters Innovations, Inc MR85245 6/4/1987 10/1/2017 P3-1014-129
Marathon
Non-Metallic water Water Heater
3-1014-129
Heaters Innovations, Inc MSR50245 6/4/1987 10/1/2017 P
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http://license.reg.state.ma.us/pubLic/Pl_products/Pb—Search.asp?type=P&manufacturer=... 12/29/2014
CHAN KRIEGER & ASSOCIATES 8 Story Street . Cambridge MA 02138 . 617 354 5315 tel 617 354 3252 fax . www.chankrieger.com
ARCHITECTURE and URBAN DESIGN Lawrence A.Chan,AIA
Alex Krieger, FAIA
Tom Sieniewicz,AIA
Alan Mountjoy,AIA
Patrick Tedesco,AIA
AFFIDAVIT
ARCHITECTURE
To: Building Inspector Date: 3/14/06
Town of North Andover
Re: Oakridge Village—Building#3
Subj.: Building completion
I, Thomas M. Sieniewicz, being a registered architect in the Commonwealth of Massachusetts,
attest, as being the architect of record, that I have personally supervised the preparation of
architectural plans and specifications for the project noted above.
To my best knowledge, the plans and specifications comply with the requirements as set forth in
the current Commonwealth of Massachusetts Building Codes.
Myself or a representative of this firm has made approximately 60 site visits to review the
construction and I hereby attest that, to the best of my knowledge, the construction has been
completed in accordance with our plans and specifications.
QED AP,
C
Sincerely, c�° 0.StEN��
C1.) 1.- P10.nsg K
CMfurr u3GE, 01
0MA
yyFq F
Thomas M. Sieniewicz, AIA, AICP
Massachusetts Registration#7969
PLUMBING DESIGN AFFADAVIT
TOWN OF NORTH ANDOVER
I certify that I or my authorized representative have observed the Plumbing work for
Building no. 3 at 3100 Harvest Drive.
To the best of my knowledge, information and belief, the work has been done in
conformance with the approved plans and the provisions of the Massachusetts State
Building Code and all other pertinent laws, rules and regulations of the town of North
Andover.
I?' GEORGE
(o
DUB[N v
i \
NO.29370 Q
day,A
George Dubin �'o��s'
Dubin Engineers 29370
Engineer
Engineer MA Reg. No. Signature
40 Willard Street, Quincy, MA 02169
617-376-8877 March 10, 2006
Address Date
Then personally appeared the above-named George Dubin and made oath
that the above statement by him/her is true.
Befor e,
U 77
My Commission Expires
KAREN J. DUDLEY
Notary Public
Cosa
mmonwealth of Maschusetts
,y V My Commission Expmes Nov 17.2011
ti
4133 SOUTHERLAND
AL9Mr LWAL SOD, HOUSTON TX 77092-4416
Come-Lit
„T PHONE(713)460-7300
SYSTEMS U A. FAX(713)460-7301
March 9,2006
Tocci Buildign Corp.
660 Main Street
Woburn,Ma. 01801
Re: Completion of Mechanical Services—Compliance Certificate
Project: Oakridge Village—Andover,Ma.
Phase I Building 3
The mechanical installation for the building referenced above has been completed using plans and
specifications prepared by this office.
Periodic observations visits were made by qualified individuals from this office to check for general
conformation of this installation with our plans and specifications. In my opinion based on our experience,
knowledge,information and belief. Installation of the mechanical system and operations has been performed
in general conformance with plans and specifications prepared by this office.
We further believe that we have met those requirements in so far as our responsibility for design,review of
shop drawings,and periodic observations of the work for conformance is concerned.
Please feel free to contact us of we may be of further assistance.
spectfully
phex F.Adeokun,P.E.
FELIX IF. G
ADEOKUN
00 MECHANICAL
No.45974
Ado 9FOrsTE�'
�SS10 At
REOPI r.
MAR 1 3 2006
SAM ZAX ASSOCIATES
Phone: (617) 479-7415 CONSULTING ELECTRICAL ENGINEERS Fax: (617) 770-1423
E-Mail: mzax@zaxengineering.com
1400 Hancock Street - PO Box 690353
Quincy, MA 02169
ELECTRICAL FINAL AFFIDAVIT
I, or my authorized representative, have observed the work associated with Permit No.5807, as in accordance
with Section 116. of 780CMR dated 5/24/05, for 3100Harvest Drive (building #3), located in
North Andover, Ma. And to the best of my knowledge, information, and belief, the work has been done in
conformance with the approved plans and with the provisions of the Massachusetts State Building Code and all
other pertinent laws and regulations of the Town of North Andover.
0,DbAAA44 James P. Stroke 20068
OF/�j, �.tp ENGINEER - MASS. REG. NO.
JAMES P. G
STROKE b 1400 Hancock St., Quincy, MA 02169
No. 068 ADDRESS
9 March 13 2006
)ON At���d Date
►V'VV v'q
Then personally appeared the above-named James P. Stroke
And made oath that the above statement by him is true.
Before me,
My Commission expires
!0 '_ —20d Q
ROBERT F.KRW JH,
Notary Public
Commonwealth of Massachusetts
My Commission Expires
VV October 24,200E
r
RobertCu ' i j FPLLC.
181 Bow Bog Road Bow, NH 03304
(603) 224-7453 boWpe(a-comcast.net (603) 224-7467
CONSTRUCTION AFFADAVIT
Subject:
Oakridge Village
Building 3
Route 114
North Andover, MA
certify to the best of my knowledge, information and belief that
the automatic sprinkler system installed to provide protection for
the building are installed in accordance with 780CMR, MSBC 6t"
Edition and NFPA 13 for the garage level and 13R for the
residential unit levels. Work associated with the fire alarm
system is not within the scope of the sprinkler contractor.
Installing Contractor: Hampshire Fire Protection (603) 432-8221
Engineer Name: Robert B. Cummings
Company Name: Robert Cummings & Associates, PLLC
Address: 181 Bow Bog Road
Bow, New Hampshire 03304
Telephone: (603) 224-7453
MA Registration No. : 39299
Date : March 22, 2006
UNAr
o
IRE
v P
% 299 �Q
Is7EP��\`a�
Y
.�........
Of NORTH��
ar <;�`'_..,••, TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
ACMUSE�
zn '!e. /} 7/f(
This certifies that .. ......���.......................... ......1.�.�................................
has permission to perform
...............f� ....1J �`�
.... ...............
wiring in the building of,,..
rat .......�a � . ... N ,
? . ojrth Ando/ver Mass.
7�... Lic.No'7J�............ ... . ...�.r l..� !1 / .........
ELECTRICAL INSP�CTOR ,
Check #
57
Office Use Only
The Commonwealth of Massachusetts ��0
Permit No.
' d Department of Public Safety Occupancy&Fee Checked A 7,
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1 .00 3/90 (leave blank)
APPLICATION FOR PERMIT TO PERF M ELECTRICAL WORK
All work to be performed in accordance with the Massac setts-Electrical Code,527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date May 24, 2005
City or Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work describe bel w.
Location(Street&Number) 2357 Turnpike Street
Owner or Tenant Valley Realty Development LLC
Owner's Address 2357 Turnpike Street, North Andover, MA
Is this permit in conjunction with a building permit: Yes[] No❑X (Check appropriate box)
Purpose of Building Residential Building#3 Utility Authorization No. 161228
Existing Service Amps / Volts Overhead UndgrndF-1 No.of Meters
New Service 1,600 Amps 120/208 Volts Overhead[ UndgrndQ No.of Meters 1 house/38 unit
Number of Feeders and Ampacity 4 sets 750mcm Al/4"C
Location and Nature of Proposed Work Furnish and install Power,Lighting, FA, Telephone for Bldg#3
Total
No.of Lighting Outlets No.of Hot Tubs No.of Transformers KVA
Above in-
No.of Lighting Fixtures Swimming Pool .d and Generators KVA
No.of Emergency Lighting Battery
No.of Receptacle-Outlets No.of Oil Burners units
No.of Switch Outlets No.of Gas Burners FIRE ALARMS No.of Zones
No,of Detection and
No.of Ranges No.of Air Cond. Total tons Initiating Devices
Heat Total Total
No.of Disposals No.of Pumps Tons KW No.of Sounding Devices
No.of Self-Contained
No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices
No.of Dryers Heating Devices KW Local F1 Munic.Conn. Other
No.of No.of Low Voltage
No.of Water Heaters KW sl ns Ballasts Wirin
No.of Hydro Massage Tubs I No.of Motors Total HP
Other:
INSURANCE COVERAGE:Pursuant to the requirements of Massachusetts General Laws:
H YES❑ NO❑ I have a current Liability Insurance Policy Including Completed Operations Coverage or its substantial equivalent.
YES® NO❑ I have submitted valid proof of same to this office.
If you have checked YES,please indicate the type of coverage by checking the appropriate box:
,INSURANCE ® BOND❑ OTHER❑ (Please specify) Carlin Insurance
Expiration Date
Estimated value of electrical work$ $3,963,400(Total Const. Cost)
Work to start Immediately Inspection Date Requested: Rough will call Final will call
Signed under the penalties of perjury:
FIRM NAME Consolidated Electrical Services a division of Cons r Interna ' n LIC.NO. 17502A
Licensee Lawrence Pantano Signature LIC.NO. Same
Address 661 Pleasant St. Norwood, MA 02062-460
Business Telephone No. (781)-769-7110 Alternate Telephone No. (800)-628-7110
OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the insurance coverage or it's substantial equivalent as required
by Massachussets General Laws,and that my signature on this permit application waives this requirement. ❑Owner ❑Agent (check one)
Permit Fee$ 5,945.00
(Signature of Owner or Agent) Telephone No.
Location
a
No. 7� Date 171-A/--0/,
�oRT� TOWN OF NORTH ANDOVER
v f �
D
i y
}^a Certificate of Occupancy $
CH t' Building/Frame Permit Fee $ �nD '
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ C,
Check #
i
5 I 1 tJ Building Ins6D60r
� r
f��teTM.f
�t�•. .A449
SSAC11U5f'
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 778 (6!23/20051 Date: August 24, 2006
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 2357 Turnpike Street Bldg #3 — 38 Units
3100 Harvest Drive - 101,102,103,104, 105,106,107,108,109,110, 111,
112,113,201,202,203,204,205,206,207,208,209,210,211,212,213, 301, 302, 303,304,
305,306,307,308,309,310,311,312
MAY BE OCCUPIED AS 38 Units Bldg- 40B Condo IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: Valley Realty Trust LLC
231 Sutton Street Ste 1B
• North Andover MA 01845
f Building Inspector
I
t
� NORTH
own of over
No. 7 7 ~ '°
oy ` dower, Mass.
o > >
COCMICHEWICK V
ADRATE D P'P5
7 H BOARD OF HEALTH
Food/Kitchen
PERMIT . T Septic System
THIS CERTIFIES THAT........ DING INSPECTOR
.I.!d.�� ... ... l d► A 4 BUIL
....... .`........................ ..................................................................................... G
Foundation
has permission to erect............. .....................:. buildings on .02.36..... ..... �• L.... .... Rough
to be occupied as
••• mit •. • � Chimney y�/ 2
provided that the person accept g this pershall in everyrespect conform to the terms of the application on file in �
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final--
Buildings in the Town of North Andover.
Jobe./
a ; ' 4�
PLUMBING INSPECTOR
VIOLATION3-
of the Zoning or Building Regulations;Voids this Permit. Rough
i+✓s.�. �t` �. t�
COKMOL
CONSTRUCTION PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRU ON TARS ELECTRICAL INSPECTOR
�� Rough Arl+"
... Service
.. . . . .. ............. ....... ..........
BUILDING INSPECTOR
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. A Oki- Burner -(,Q�
Street No. cccTTT vvv l
• SEE REVERSE SIDE Smoke Det.
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gum
4- z /S �2\
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oy
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Tocci Building Corporation
ONTHLY TOOLBox MEETING SCHEDULE
MONTH OF DATE SCHEDULED UPCOMING JOBSITE ACTIVITIES&
TOOL BOX MEETING SUBJECT
PLANNED
WEEK 1
WEEK Z
•
WEEK$
WEEK 4
Construction Managers 130 New Boston Street TEL 617.935.5500
and Builders Woburn,MA 01801 FAX 617.935.1888
40 4
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1
4r 6 CERTIFICATE OF USE & OCCUPANCY r
TOWN OF NORTH ANDOVER
Building Permit Number 778(6/23/2005,) Temporary Permit Date: Apdl 18, 2006
p
THIS CERTIFIES THAT.
THE BUILDING LOCATED ON 2357 Turnpike Street Bldg_#3 --38_Units
3100 Harvest Drive
MAY BE OCCUPIED AS 38 Units Bl 40B Condo IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY;APPLY:
Temporary Permits for units#111, 112, 312,'310, 213, 212,209, 2Q4, 1-02, 311, 309, 307, 305,
304, 302,301, 210, 209,205, 202, 201, 113, 108, 107, 106, 103, 101
Certificate Issued to: Yattey&ft Trust LLC
23i�Suttgn Street Ste 1B
North Andywr MA 01845
Buildiag In r
NORTH
own of over
No. 77f
04
== o h dower Mass. 3
O COCNICMEWICK '
I� V '
7,e ADRA7ED O'Pa �
7 H BOARD OF HEALTH
PERMIT T Food/Kitchen
Septic System
® BUILDING INSPECTOR
THIS CERTIFIES THAT........ .14. !�..Y.......4J..# .......+ ....................�.s................111P.......................
"""" a Foundation
has permission to erect.............I...................... buildings on.A.3S.7....70?W.A lE��.......A.... • Rough
to be occupied as.. ,......�' .. � .........'....
C O A)J Chimney
.. 0 .� 38It
......................................................................................
provided that the person accept g this permit shall in every respect conform to the terms of the application on file in Fid
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. , V ge / dR 10 PLUMBING INSPECTOR r
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
C"Wal Final
PERMU EXPIRES IN 6 MONTHS
UNLESS CONSTRU ON STAR S ELECTRICAL INSPECTOR
Rough
. .............. ........................._.. Service
.. . .. ... . .
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
Town of North Andover
Building Department ItORTN
400 Osgood Street Ot �ao ••,�O
North Andover Ma 01845 3? +�:+_ _ • • O�
►O- 3
iN Vi w t "UV V Vi,iviabad.uuacLw V l".) �
(978) 688-9545 Fax (978) 688-9542 1°0"�«.«A" .•"
APPLICATION FOR CERTIFICATE OF OCCUPANCY I INSPECTION
ADDRESS 31 U0 Hu lr u Lon4 m ue,
LOT NUMBER SUBDIVISION
DATE REQUEST FILED /08 de0_ -/44 � ��� ��7 11
DATE READY FOR INSPECTION
•
TEN(10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME
FRAME. A RE-INSPEMON FEE OF TWENTY-FIVE($25.)DOLLARS WRLL BE
CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES.
SIGNATURE
OFFICIAL USE ONLY
ROUTING
D.P.W.-WATER METER I (QST I DATE all
D.P.W.MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
PRIOR TO THE INSPECTION REQUEST DATE.
V,�
SIGNATURE/DPW AUTHORIZATION
✓ I
%kpRTh ..
Uf
MD
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e
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��SSACHUS
APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
Building Permit # �d
ADDRESS/LOCATION OF PROPERTY : _/w �. 4 m4y
Map Parcel Lot Number
SUBDIVISION
DATE REQUESTED FILED/READY FOR INSPECTION
CLOSING DATE ON PROPERTY:
FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-
INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE
DOES NOT MEET ALL APPLICABLE CODES.
SIGNED
ROUTING
CONSERVATION
PLANNING D
DPW -WATER METER ET�FE �/� 3. S4 F� d
SEWER/WATER CONNECTION +�
NOTE
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST
DPW
Signature
File: OC form revised 2006
1
Town of Noah Andow
BWldingDqwUmffll '
T
400 Osgood Street
North Andover Ms 01345
111Vl W J%uuV Vc4,1r1i�aAlWCtW
(978)688-9545 Fax(978)68&9542
APP`IdCATION FOR_TE OF OCCUP.,�1NCY/II�TSP�CTION
,Zoe.
ADDRESS 3100 I'6(194-
tor
'6r 194-LOT NUMBER //S��UBDMSION
DATE RBQUFST PILE �D� Ae0
DATE READY FOR RaME TION
•
TTm m DAYS NOTICZ MOR TO CLOWNG DATE IS REOUIItED
ALL WORK AND SIGN-OFFS MUST BE CONIPIETED WITIIIIN THIS TIIdE
FRAME.A RE-INSPECTYON FEE OF TWENTY FIVE($25.)DOLLARS WRL BE
• CHARGED IF THE STRUCTURE DOES NOT MEBT ALL APPLICABLE CODES.
SIGNATURE
QFFICIAL USE ONLY
MUM
D.P.W.-WATER METER '�(�STO,��` DATE D b
D.P.W.MUST INDICATE THAT THE WATER MBIER HAS BEEN INSTALLED
PRIOR TO THE INSPECTION REQUEST DATE
SIGNATURE/DPW AUTHORIZATION
I
Location Z2�f�f IIA--;4; ke- /J 3
No.
Date !� oZ13 aS`
,,ORT► TOWN OF NORTH ANDOVER �
/ Z
i Certificate of Occupancy $
,• ,
Building/Frame Permit Fee $ � -_ _ �° � -
s.1i, _ _. �_ r
Foundation Permit Fee $ °
rr4 h
jc�jv
Other Permit Fee $ " f
Rq T "-
TOTAL $ � --7 - ED AP��� dover� Afassol
At
I;
i
Check # C C/ 7� /
3 � BOLD 1
Building Inspector 310 Foo DO
V/ 1�1
1 chug d ,eSt bn�e 81 d/ schen 1
.,UST Uwn of Alio ions of the ermit shall ' ...... U T... ..�� ".. dg#3 j
Codes v '
ION of the Ion• 1 Andover, and By sly resp.. � C �/
~ � 'n9 or B ws re/ati Conform't.. a!V� .. .. 'SPE
t u�ldin9 R �° n9 to the o the ter--i...........� cToR
e9u/Mons olds t f to
Arte a the appj;ICiti � R°ugh ~
PE� ��LRES
his Permit. anon and�onstr on file in Chimney
uCt�on of Final 4{ i
CO3vS7 � 6 MSN p
v �S LBS
ON T� Rough 11V`�•pE�O
29EU-Paaflcy
DiS I p1it E
p a Re LE
Ro ��
�n a Conspicu qurred to p��� 13 L4 .................::..... ugh
No °V s place on 1�' Bui�i�ng SPECRce R
Until Inspec thing or the prem Final
ted and_q D, Y wall T uses , Do
pprQd by t o Be Done Not Remove Iles
he Bulldin R°°� PEc�R
SEE REV g Inspector. Final
ERSE
SI DE FIRE DEP
_ Bunter
Sn'eet vo
Smoke
het.
NORTH
7
Town of ' _ 4 L over%AA
.�
No. 77f ~ -_ _ �o
1 "
'P
o o dower Mass. O
COCMICMEWICK V ' '
ORATED P?p
S H BOARD OF HEALTH
PER �MIT T Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT........ .�� ... ....... ..... .. ....
. ....................................�............0 Pwa, 44C �...... a Foundation
................ .. .
on
has permission to erect....................... ......... buildings on .02.3 ? v & • Rough
. . ... .... ..... ....
��r�a LIS 1� $�' 3 a �0 1+ CoNcl ® ZIA
t0 b8 occupied as................. . . .. Chimney
p �............ .................................t..:. y
provided that the person accept g 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. Jobe / a I) PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
~CONMOL
� � PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTJON TAR S ELECTRICAL INSPECTOR
Rough
... lio ... ........... .... .. .. Service
.. . . . . ... ...... ..... .............................
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove RouFinagh
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
I
I
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
TEMPORARY PERMIT TO OCCUPY
FOR 30 DAYS -July 28, 2006
Building Permit Number 778 6/23/2005)Temporary Permit Date: June 28, 2006
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 2357 Turnpike Street Bldg #3 - 38 Units
3100 Harvest Drive
MAY BE OCCUPIED AS 38 Units Bldg- 40B Condo IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
Temporary Permits for units #111, 1..12, 312, 310, 213, 212, 208, 204, 102, 311, 309, 307, 3051)
304,302,301, 210, 209, 205, 202, 201, 113, 108, 107, 106, 103, 101 (April 18,2006)
June 28, 2006
Temporary Permits for units#104, 105,109,110,203,206,207,211,303,306,308
Certificate Issued to: Valley Realty Trust LLC
231 Sutton Street Ste 1B
North Andover MA 01845
Building inspector
I
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 778(6/23/2005) Tempor.gy Permit Date: April 18, 2006
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 2357 Turnpike Street Bldg #3 — 38 Units
3100 Harvest Drive
MAY BE OCCUPIED AS 38 Units Bldg- 40B Condo IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
Temporary Permits for units #111, 112, 312, 310, 213, 212, 208, 204, 102, 311, 309, 307, 305,
304, 302, 301, 210, 209, 205, 202, 201, 113, 108, 107, 106, 103, 101
Certificate Issued to: valley Reaiw Tnist LLc
231 Sutton Street Ste 1B
North Andover MA 01845
BuildingIn peetor
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: `'~'- ' ' �`-' INSPECTION DATE:
UNIT NO.: FLOOR: '�� WING: �'�/ f' BUILDING NO.:
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: %— s/ Date: Date:
Inspector� Inspector Inspector
Fire Dept-
oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector Inspector
Form#995 Action Press,685-7000
° Town of
i
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: `� © PROJECT: t` � INSPECTION DATE:
UNIT NO.: -) c-) FLOOR: WING: lJf � BUILDING NO.: '—
r
REMARKS:
f �
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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 �l '� Inspector Inspector.
Fire Dept-
oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
O,♦ h,40
:. � Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.:-S-)/'r PROJECT: INSPECTION DATE: 3 j
UNIT NO.: 30. FLOOR: WING: �` � �" BUILDING NO.: �
REMARKS: t- '`-,
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical/final Plumbing and/or gas-final Other:
,1 Date: /3p' -� / , y Date: Date:
` Inspector /J S= 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
61
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: � _ INSPECTION DATE:PROJECT } ! "
t
UNIT NO.: `�`'� FLOOR: WING: /V//) BUILDING NO.:
% /
REMARKS:
r �
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: C of O#
Inspector Inspector Inspector
. o Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: 5�2PROJECT: I" S INSPECTION DATE: 3
UNIT NO.: Sas FLOOR: ��- WING:__AV,1A BUILDING NO.:
REMARKS: i''
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector.
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 - G G Date: Date:
Inspector /r� - .� 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
.'o
-� Town of
'� `;�:�:��'• NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: - � PROJECT: �-�- �� '�= ..5 INSPECTION DATE: 5
UNIT NO.: � FLOOR:-3 , WING: ����� BUILDING NO.:
REMARKS: rn.A it e
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-final Plumbing and/or gas-final Other:
r'
Date: 3 j ' a G Date: Date:
!Inspector. %J 4 S 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
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: Sno7 PROJECT: t= 1� � •�:4ti , INSPECTION DATE:
UNIT NO.: 3-j ? FLOOR: �`? '� WING: ""A BUILDING NO.:
REMARKS: r"o'k l.._ .'1 c ;y L_
J
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-final Plumbing and/or gas-final Other:
r Date: 3 Date: Date:
r
L Inspector /�_.`� r= Inspector Inspector
Fire Dept-
oil burner,tank,stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
Town of
C", NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: INSPECTION DATE:
UNIT NO.: a''3 FLOOR: N WING: A,,/ ' BUILDING NO.:
REMARKS: r .. 4L
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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 •S 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
' •O
Town of
•`''� .�c''. NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: ' PROJECT: ..� INSPECTION DATE:—
UNIT
ATE:UNIT NO.: 'fid FLOOR: `� ` WING: BUILDING NO.:
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 3 `� G Date: Date:
'Inspector d�' '� Inspector Inspector
Fire Dept-
oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
•O
Town of
t_ ! c us`' NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: '�' T PROJECT: - �yt� ' '�� �+� INSPECTION DATE:
UNIT NO.: Jl:� FLOOR: f � WING: /` BUILDING NO.:
REMARKS: '
Ir�'1
4
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 ''?� Date: Date:
_ .)Inspector Inspector Inspector
Fire Dept-
oil burner,tank,stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of 0#
Inspector Inspector Inspector
f'�r Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: ') PROJECT: � (` ( `''.� INSPECTION DATE: »� - `t'
UNIT NO.: —V FLOOR:--)*
LOOR: -' ` ' WING: N/"' BUILDING NO.:—)
REMARKS:
1
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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 i/ -S 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
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
~
PERMIT NO.: s'-�17 PROJECT: INSPECTION DATE:
UNIT NO.: �''l FLOOR: —' `> WING: �t'�� BUILDING NO.:
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-final Plumbing and/or gas-final Other:
y Date: 2: - 3 Date: Date:
L ! Inspector /2 e s 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
•,40
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: ' �' 1 INSPECTION DATE:
UNIT NO.: / FLOOR: WING:—""' `'> BUILDING NO.: -
REMARKS: i r,qt_ L. /� L
f�
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 ' 3p ' a Date: Date:
�J l
;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
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: S7() PROJECT:
e ' INSPECTION DATE:
UNIT NO.: 7 FLOOR: WING: /� /� BUILDING NO.: ti
REMARKS:
`•1
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-final 3 � Plumbing and/or gas-final Other:
Date: '�" S Date: Date:
flnspector '� / Inspector Inspector
Fire Dept-
oil burner, tank,stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
,40
Town of
r
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: �J� PROJECT: —' �1� ' �� ^.1� INSPECTION DATE:
UNIT NO.: FLOOR: WING: Pte`` C BUILDING NO.:
r
REMARKS:
�1
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-final ,y, 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: C of O#
Inspector Inspector. Inspector
I
�.. ., Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.:—../ '� h PROJECT: , -� INSPECTION DATE:
UNIT NO.: '� °-� FLOOR: C "� WING: AZI BUILDING NO.: -�
REMARKS:
� J
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: -3 _ '� Date: Date:
r
(Inspector �� Inspector Inspector
Fire Dept-
oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: �� �'� PROJECT: !"� �s-1J INSPECTION DATE: >+
UNIT NO.: FLOOR: .. WING: BUILDING NO.:
REMARKS: I +tiJ
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 3 i Date: Date:
Inspector F --S 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
.•1yO
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.:--' ' ' r PROJECT: INSPECTION DATE: Z f 2
UNIT NO.: �'Q(-a FLOOR: WING: 110/4 BUILDING NO.:
REMARKS: �� 11 �' C
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: - 3/ - L Date: Date:
/--")Inspector 1 .s 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
: o Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: c 1 �� `� INSPECTION DATE:
UNIT NO.: Zvi FLOOR: �— `� WING: AJ+/� BUILDING NO.:
r
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 Date: Date:
Inspector 47 1�f S 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
O'w h.4o
:. Town of
' NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: -1 < PROJECT: :> INSPECTION DATE: J 7
UNIT NO.: 3 FLOOR: WING: A///, BUILDING NO.: -2
REMARKS:
r
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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:
r (Inspector Inspector Inspector
Fire Dept-
oil burner,tank,stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector Inspector
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: } Jo 7 PROJECT: '` "o 14(, )_ "_j :) INSPECTION DATE: 1� tip
UNIT NO.: �� / FLOOR: " '� WING: /'JA BUILDING NO.:
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: _ l Date: Date:
'Inspector �- �• S � Inspector Inspector
Fire Dept-
oil burner,tank, stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
Town of
..........' NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: '�5J l PROJECT: 1 �1` �" '� "' INSPECTION DATE: 3 ••% ✓`'
UNIT NO.: FLOOR: WING: f` -��'� BUILDING NO.: -.-�
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-final Plumbing and/or gas-final Other:
G
Date: 3 3 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
f Town of
•`�'+��. '. NORTH ANDOVER
BUILDING DIN PERMIT INSPECTION REPORT
PERMIT NO.: , ��' PROJECT: � �-�► -'� ` INSPECTION DATE: J 7
UNIT NO.: I FLOOR: �" .. WING: BUILDING NO.: --�
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: ` 3/ - G k' Date: Date:
Inspector x°0.5- Inspector Inspector
Fire Dept-
oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
Town of
•`''+� sr''. NORTH ANDOVER
� f
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: —PROJECT:PROJECT: � ' ' ` ` INSPECTION DATE: -�
UNIT NO.: t2- FLOOR: WING:_fJ� BUILDING NO.: JT
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-fr��al. Plumbing and/or gas-final Other:
Date: r Date: Date:
!' "Inspector Inspector. Inspector
A
Fire Dept-
oil burner, tank, stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: —Cof 0#
Inspector Inspector. Inspector
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: INSPECTION DATE:
UNIT NO.: FLOOR: WING: �I f`+ BUILDING NO.:
REMARKS: -> - '^--
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3- 3 -4� Date: Date:
fl—)Inspector 17 t`"�S Inspector Inspector
Fire Dept-
oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
f Town of
._ ..Sr.'. NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: `2 - PROJECT: { ` `" `� INSPECTION DATE:
UNIT NO.: �� FLOOR: ,T WING:—, - `` BUILDING NO.:
REMARKS: �ry. �_ y !
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3- 3 / - c G Date: Date:
Inspector Inspector Inspector
Fire Dept-
oil burner, tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
Town of
s::,::r:' NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: °"' / PROJECT: + J INSPECTION DATE:
UNIT NO.: - FLOOR. / ' WING: 1�' BUILDING NO.: �y
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: -� - O Date: Date:
Inspector, - Inspector Inspector
l•_
Fire Dept-
oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
jo Town of
NORTH ANDOVER
- ' BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: / '� "' INSPECTION DATE:
UNIT NO.: �`� -� FLOOR: ' ' WING: ��% BUILDING NO.: '
REMARKS:
1 ,}
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 3/ G Date: Date:
I
Inspector 'S Inspector Inspector
Fire Dept-
oil burner, tank,stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector Inspector
o o'
:. Town of
NORTH ANDOVER
--� BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: J� PROJECT: � %- �� INSPECTION DATE:
UNIT NO.: �`�/ FLOOR: WING: ,�,� � BUILDING NO.:
REMARKS: �� l I�'
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 - 3 a Date: Date:
_. Inspector 4�7' Inspector Inspector.
Fire Dept-
oil burner,tank, stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of 0#
Inspector Inspector. Inspector
Town of
��`�,, NORTH ANDOVER
J ,
BUILDING PERMIT INSPECTION REPORT
j _J -
PERMIT NO.: 7 PROJECT: t!� ^� - —) INSPECTION DATE:
UNIT NO.: �� FLOOR: WING: BUILDING NO.:
l >v
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector.
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-final: 1 Plumbing and/or gas-final Other:
1> - 3�
Date: Date: Date:
Inspector Inspector. Inspector
\,— /Fire Dept-
oil burner, tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
:o> Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: t �` 1' ' '-� INSPECTION DATE:
UNIT NO.: FLOOR: ' ' WING:—"-)/f BUILDING NO.: a
REMARKS:
L `
1
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 ' `c Date: Date:
Inspector Inspector Inspector.
Fire Dept-
oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
:.> Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: t- > > l PROJECT: `' =� INSPECTION DATE:
r �
UNIT NO.: FLOOR: WING: '�- BUILDING NO.:
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: — 3 / L Date: Date:
Inspector l Inspector. Inspector
Fire Dept-
oil burner,tank, stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
o � Town of
r •`'' »sr''. NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: 7 PROJECT: �` r�' ' '�+ INSPECTION DATE:
UNIT NO.: / t. FLOOR: WING:—',1/�`; BUILDING NO.:
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 - 3/ -'511 Ce Date: Date:
Inspector Inspector Inspector.
Fire Dept-
oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
� 4
" O
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: `� �' '� INSPECTION DATE: 2
UNIT NO.: �Q t FLOOR: I'ST WING: BUILDING NO.:
REMARKS: 'J�
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-final Plumbing and/or gas-final Other:
L
Date: � " G Date: Date:
)Inspector i� � S Inspector Inspector.
Fire Dept-
oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
f,moo Town of
NORTH ANDOVER
. i
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: � 7 PROJECT: ` ' "'J`' INSPECTION DATE:
UNIT NO.: r��✓ FLOOR. 'E WING: 2//1 BUILDING NO.: �
REMARKS:
/Y
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: i - Date: Date:
Inspector �4' �, 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
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: f 1 INSPECTION DATE:
UNIT NO.: r�� FLOOR: r ' WING:—�-�� BUILDING NO.:
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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
l
Fire Dept-
oil burner,tank, stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
° Town of
" NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: "/07 PROJECT: INSPECTION DATE:
UNIT NO.: (1/ FLOOR: , WING: /f, BUILDING NO.: -7
REMARKS:
V_.,.
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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 �- r'� Inspector Inspector
—
Fire
Fire Dept-
oil burner, tank,stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
61
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: .J PROJECT: I,. �- ` '� INSPECTION DATE:
UNIT NO.: 40 FLOOR: �' j WING: �'l� �r BUILDING NO.:
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3- ` 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
Town of
NORTH ANDOVER
-! BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: 001< ,dae VdIaeP INSPECTION DATE:
UNIT NO.:5,'e Beloi.J FLOOR: /Sf WING: BUILDING NO.: 3
REMARKS: Alco 3 /3 unli-S
,filar yes-t IJr;ye 310 /Uiarye5j Pl/✓E'
310 310 9
3103 3/l0
310 q 3111
310.5" 3112-
,3106
/123106 3115
a
3/02
(fowelk-te 5<2T
P
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector Inspector
Electrical-final lumbing and/®s gas-final Other:
Date: Date: y' 3 "446 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
Form#995 Action Press,685-7000
• 1111.
f n
Town of
r-
•`�__ *`''• NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: Qa K ad qe v,'110 a P INSPECTION DATE:
UNIT NO.: -Sec below FLOOR: .2n cl_ WING: BUILDING NO.: 3
REMARKS: 2n ct ri-R 13 uni Y S - rINA L
320/ #Aryest DrivE _3208 Harvest' Prio-
3202 10 3209
D-03 3210
32 o Y r 3111
320 s" 210- 1l
3206 11 3213
32-07
comPLete w/ a l! -re.,ni.S se
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector
Footings and�foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector Inspector
Electrical-final Plumbing and/wgas-final Other:
Date: Date: 3-2 9"o 6 Date:
Inspector Inspector `� Inspector
Fire Dept-
oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of 0#
Inspector Inspector Inspector
Form#995 Action Press,685-7000
Towri of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: OQ k r rdq c� 01167!14? INSPECTION DATE:
UNIT NO.: See Be10kI FLOOR: 3t'd WING: BUILDING NO.: 3
REMARKS: 8144? rl'At l-
3 301 94ryP5f Drive 3307 Ilarvest DI'rYe
330,2 11 3305
3303 330 9
336Y 3310
3305 3311
33o6 331 2-
compzete 0 Se+
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector Inspector
Electrical-final Plumbing and/at gas-final Other:
Date: Date: A - 4 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
Form X995 Action Press,685-7000
Town of
r ,
NORTH ANDOVER
�'- BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: a� PROJECT: �iL� � � �` `y ' INSPECTION DATE:
UNIT NO.: ''�� FLOOR: WING: ��/, BUILDING NO.: . 7�
--- 7
REMARKS: '` "/t� �'' (� 1 t `'' 1✓..�v`„+
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector.
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical, fin Plumbing and/or gas-final Other:
Date: �'' &I G/' Date: Date:
f Inspector /�J'Zr Inspector Inspector
Fire Dept-
oil burner,tank, stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
Oakridge Bldg#4
78 units
Enter construction cost for fee cal
Oakridge at$10.00 per 1,000-Construction Cost
$ 239804,000.00 Construction Cost SF Construction cost
Building $ 238,040.00 $ 190,432.00 $ 23,804,000.00
Foundation $ 1,000.00
Building Permit Fee/Paid on receipt 18949 $ 237 040.00
Plumbing Fee $ 35,706.00
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 35,706.00
Total fees collected $ 545,592.00
$ 13,7559978.00 Construction Cost SF Construction cost
Building $ 137,559.78 $ 190,432.00 $ 23,804,000.00
Foundation
Building Permit Fee/Paid on receipt 18949 $ 13-715-5-9-.78
Cit-,c.� `r ���-a .�--✓'� �!
'1
Date. . 512. .. . . ...
NORTH
TOWN OF N TH ANDOVER
a ; PERMIT FOR GAS INSTALLATION
SACMUSEtS
This certifies that . . �. 'fo-el;Z-7. . . . . . . . . . . . . ... . 1 . . . . . . .
has permission for gas installation . .
in the buildings of i. . . . . . . . . . . . . . . . . . . . . . .
at .! 1. , North Andover, Mass.
� . , :
Fee. ,. . .),. :. Lic. No./�GK:3. . . . . . . .
i GAS INSPECTOR
Check#
6463
! l 1 'T �jcrG✓ Mass. uar_e �'/� zu
City, Town Permit # �y3�
Building Owner ' s
AT: Location , _
�f{
__ �
--- Type of Occupancy:_z/- -4
::eve ❑ Renovation ❑ Replacement ❑
Plans Submitted yes ❑ No ❑
Q
� W N
U Z Q N
N "1 U Q ►- Q �y
W W 6 O U
l9 Wi- _ ¢ C
J
a r i s z y O ► ct
d1lm N ►- W uai O O o. ¢ W ►" a
N Cr �' O U W = N z t Q O D } W Q S
V Z Jj ►- i *. W W t7 C > U Ix
-A 0W
IM
Z O Z O Nf I Z
W > G W 8 < ¢ < O O W O W H W p
SUa—BSMT.
BASEMENT
1ST FLOOR
2040 FLOOR
2ND FLOOR
4TK FLOOR
aTK FLOOR
aTK FLOOR
Mt FLOOR
*TKFLOOR
bu t+rltq OMW" Name !J �l �Uw (�Check one: Certificate
Al cila, ❑Partnership
Business Telephone --?p,— 9L,/�f_ aj/ ❑Firm/Co.
Name of Licensed Plumber or Gasfitter=vA Kd
INSURANCE COVERAGE: ec one.
1 have a current liability Msurance policy or Its substantia! equWert. Yes Q/ No ❑
1 you hmm checked yew, please lnd a the type coverage by checking the appropriate box
A Pab� Insurance i [IX Other of uxl U
try policy type emn)ty Bond 0
OWNER'S INSURANCE WAIVER: I am aware that the licensee does r.—N bave the Insurance coverage required by
Chepter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement.
Check one:
Owner ❑ Agent ❑
a s ent
1 hereby outity that all of tM detalk and kdormatlon I have arbrnftted(or entered)In above app4catron aro true and accurate to tM bad or my
knowledge and that all Plumbing work anJ Installations performed under the permit issued for this appUcation wifl be in compliance with all
pertinent provisi m of the Massacfiusetts State Plumbing Code and Chapter 142 of the
9Y �..
Tdle gnap e Of cense um w
Limse Numb
Cty/Town er
Type of PlurnbMq LloBnse:Master U3-----
APPFKNED(OFF1Cf USE ONLY) Journeyman 0
r { `
� ✓ ,�� � I(��3�-'�� ,- \\\CCC!!! 4
� sJs �
S7`3
Ver-
U�
Ck,dl�
o 'e
� Town of
NORTH ANDOVER
' BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: s?(37 PROJECT: /[c��°✓V S INSPECTION DATE:
UNIT NO.: 3? A)/5 FLOOR: CY� ��zi WING: /U BUILDING NO.: .,
REMARKS: �V t GJ,ti �bjq 5� Com, IJ,N
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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
Town of
`;__.��_�'• NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: 5 d7 PROJECT: I"� �"C�A�C'l�S INSPECTION DATE: 3141,96
UNIT NO.3LA2FLOOR: WING: BUILDING NO.: 3
REMARKS: 4, -/y
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: b Date: Date:
Inspector Inspector Inspector
=ire Dept-
oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: —Cof 0#
Inspector Inspector Inspector
Form#995 Action Press,685-7000
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Town of
•`'+,� sc`' NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: �(�Q ` PROJECT: 1 10 INSPECTION DATE:
UNIT NO.: 3� uM*h FLOOR: WING: BUILDING NO.:
REMARKS: IZ 16 00 f%
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Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
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Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
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Electrical- Ir- 3WU IC f Plumbing and/or gas-rough- Other:
Date: d �a�— G Date: Date:
Inspector Inspector Inspector
Electrical-final Plumbing and/or gas-final Other:
Date: Date: Date:
Inspector Inspector. Inspector
ire Dept-
oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
4 0
Town of
NORTH ANDOVER
r BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: " O PROJECT: i+''-�- ��' � 3 INSPECTION DATE:
UNIT NO.: 173 uN" I FLOOR: WING: BUILDING NO.:
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Date: Date: Date:
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Electrical Zu h- Plumbing and/or gas-rough- Other:
Date: .- Date: Date:
Inspector 10�f� Inspector. Inspector
Electrical-final Plumbing and/or gas-final Other:
Date: Date: Date:
Inspector Inspector. Inspector
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oil burner,tank, stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O!1
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BUILDING PERMIT INSPECTION REPORT
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PERMIT NO.: Y30
UNIT NO.: FLOOR: ��� WING: N A BUILDING NO.:
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 x_10 — L Date: Date:
Inspector !Lf1� 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
Form X995 Action Press,655-7000
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: � � PROJECT:_-_ /"� ' ` � �'', INSPECTION DATE:
UNIT NO.: S40 Z- FLOOR: WING: N � BUILDING NO.:
REMARKS:
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Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: —_3 — 3 / — Date: Date:
Inspector Z? ,S 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
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: � PROJECT: INSPECTION DATE:
UNIT NO.: FLOOR: D WING: r BUILDING NO.:
REMARKS: t' �-+� �- le-C_�
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Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
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Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 - 3 / - c Date: Date:
Inspector _� Z° 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
:off Town of
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NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.:S�Or PROJECT: /Ze-lowtrZ11�1SPECTION DATE: -3, 31 - (96
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REMARKS: �.,/ �r1 C-1 C !�
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Date: Date: Date:
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Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 – 3 Date: Date:
Inspector :`z f°, Inspector. Inspector
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Fire Dept-
oil burner,tank,stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
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BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: INSPECTION DATE:
UNIT NO.: ' FLOOR: WING: BUILDING NO.:
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-final Plumbing and/or gas-final Other:
- 4Date: 3 ` 3 /' Date: Date:
Inspector 115�1 ° 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
: o Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: Ott PROJECT: 1 "'l�.r�1 [� INSPECTION DATE:
UNIT NO.: 3©-(' FLOOR: 3WING: N f BUILDING NO.:
REMARKS: rivA L
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: � — 3/ l c 15; Date:
+,r Date:
�. Inspector �' S 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
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Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: 53O? PROJECT: 3 INSPECTION DATE:
UNIT NO.: 3C�> Z FLOOR: 3/�� WING: BUILDING NO.:
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 — Date: Date:
/Inspector -C s Inspector Inspector
Fire Dept-
oil burner,tank, stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: 3 Date: Date: C of 0#
Inspector Inspector. Inspector
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Town of
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BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: Sia 7 PROJECT: ��- / (eR;)o"yS INSPECTION DATE: 3- 319
UNIT NO.: 5`0? FLOOR: .3z i-) WING: N14 Y BUILDING NO.:
REMARKS: ^' dL ��� G/�� C/�► G-
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
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Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
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Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-final Plumbing and/or gas-final Other:
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,Date: 3 3� ' �y Date: Date:
,Inspector P S Inspector Inspector
Fire Dept-
oil burner,tank, stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of 0#
Inspector Inspector. Inspector
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Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: 52?0 PROJECT: �n"j S INSPECTION DATE: –7-So -06
UNIT NO.: FLOOR: WING: BUILDING NO.: 3
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: � — 3 �' Date:
� Date:
l Inspector Inspector Inspector
Fire Dept-
oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
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-� Town of
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BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: s�G PROJECT: u�A>0 INSPECTION DATE: 3 ' 3d
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REMARKS: /�-.�,,.oL,_ S- ry,
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Date: Date: Date:
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Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3- —CL Date: Date:
Inspector � e S Inspector Inspector
Fire Dept-
oil burner,tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: 1 — Date: Date: —Cof 0#
Inspector Inspector Inspector
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• Town of
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BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: ` '?01f PROJECT: � r' "`j4 """ INSPECTION DATE: 3 "30
UNIT NO.: FLOOR: WING: IV114 BUILDING NO.:
REMARKS: l' /L,14'L
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Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 3i G G' Date: Date:
Inspector S 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
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: Sam PROJECT: ' — P�✓�' S INSPECTION DATE:
UNIT NO.: r FLOOR: - �'-� WING: nJ BUILDING NO.: ..�
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-final Plumbing and/or gas-final Other:
,t `Date: 3/ Date: Date:
L ;'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
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Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: ./dCD PROJECT: "/ ` INSPECTION DATE:
UNIT NO.: �-Q FLOOR: 7—"j WING: N/4 BUILDING NO.:
REMARKS: ��✓p� /,aGrzn c t
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
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Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
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Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-final Plumbing and/or gas-final Other:'
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Date: 3` 2/ a Date: Date:
Inspector Inspector Inspector
Fire Dept-
oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
O,• h,4o
Town of
- NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: ' /tom e���� 5 INSPECTION DATE: - _50
UNIT NO.: Z0 Z_ FLOOR: 'ZN'C> WING: BUILDING NO.: 3
REMARKS: �— ►y (�L.,, F_.
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: ? 3 / — v � Date: Date:
Inspector Inspector Inspector.
Fire Dept-
oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
O,w M,4o
-., Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: —PROJECT: i` 4f.Q 1 INSPECTION DATE: 3©"
UNIT NO.: ©3 FLOOR: N WING: A)14 BUILDING NO.:
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector.
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
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Electrical-final Plumbing and/or gas-final Other:
Date: 3 ' 3i —4 Date: Date:
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Fire Dept-
oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: —Cof 0#
Inspector Inspector. Inspector
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: t47 PROJECT: '``� =�'n� INSPECTION DATE: 3' 30
UNIT NO.: ZO `` FLOOR: z WING: N BUILDING NO.: J
REMARKS: F.
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: ,j - 3Date: Date:
Inspector (.0 S Inspector Inspector
Fire Dept-
oil burner,tank,stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of 0#
Inspector Inspector. Inspector
Town of
`'` NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: � PROJECT: "'G + A )OL.13 5 INSPECTION DATE:__' �� -09
UNIT NO.: ZQFLOOR: ZDV�� WING: ti BUILDING NO.:
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: �! 3/ — a G 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#
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BUILDING PERMIT INSPECTION REPORT
PERMIT NO.:_��� PROJECT: / 4/2015 INSPECTION DATE: `� �� '06
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Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-final Plumbing and/or gas-final Other:
Date: 3 3 ^`� Date: Date:
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Fire Dept-
oil burner, tank, stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: -Cof 0#
Inspector Inspector. Inspector
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: cV07 PROJECT: Tr--�_ 41, �„, S INSPECTION DATE: .�` �( (3<
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Date: Date: Date:
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Date: Date: Date:
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Electrical-rough- Plumbing and/or gas-rough- Other:
Date: 3 o' Date: Date:
Inspector /� 5, Inspector Inspector
Electrical-final Plumbing and/or gas-final Other:
Date: Date: Date:
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Fire Dept-
oil burner,tank,stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
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Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: < © _ PROJECT: E �A42— '-`-�A INSPECTION DATE:
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Date: Date: Date:
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Date: Date: Date:
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Electrical-final Plumbing and/or gas-final Other:
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Fire Dept-
oil burner,tank,stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of 0#
Inspector Inspector. Inspector
Town of
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NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: ��O _ PROJECT: 0 A) INSPECTION DATE: 3 - 30 -06
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Date: Date: Date:
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Date: Date: Date:
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Date: Date: Date:
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Electrical-final Plumbing and/or gas-final Other:
Date: Date: Date:
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Fire Dept-
oil burner, tank, stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
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Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: '5,9C37PROJECT: I -tee. X4P-4 o-Ad INSPECTION DATE: 3- -n,
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Date: Date: Date:
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Fire Dept-
oil burner,tank,stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
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BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: lUni�0"VS INSPECTION DATE: F- .30 -U C
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Date: Date: Date:
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oil burner,tank,stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
Town of
NORTH ANDOVER
\ BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: —PROJECT: �'"`'� J 30 `
INSPECTION DATE:
UNIT NO.: 2— FLOOR: ZJV' WING: 6Q BUILDING NO.:
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Date: Date: Date:
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Date: Date: Date:
Inspector Inspector. Inspector
Electrical-final Plumbing and/or gas-final Other:
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Fire Dept-
oil burner, tank,stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
11
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Town of
-
3, us NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: � PROJECT: �24 )) INSPECTION DATE: -3-
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Date: Date: Date:
Inspector Inspector. Inspector
Electrical-final Plumbing and/or gas-final Other:
Date: "5> — 3 —� G Date: Date:
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Fire Dept-
oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: —Cof 0#
Inspector Inspector. Inspector
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Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: —PROJECT: ��- `w`��">� � INSPECTION DATE:
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Electrical-rough- Plumbing and/or gas-rough- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-final Plumbing and/or gas-final Other:
Date: 3 — 3i — Date: Date:
r "')InspectorInspector Inspector.
Fire Dept-
oil burner,tank,stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: —Cof 0#
Inspector Inspector. Inspector
Co 1 1,
.
ore Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: �� PROJECT: ► '^�� � 'A))0, )_ INSPECTION DATE:
UNIT NO.: 1(37— FLOOR: ("3T WING: AJ/�IBUILDING NO.:
REMARKS: tiA L �L7C �� C
! �1
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: '6 Date: Date:
/ InspectorInspector Inspector.
Fire Dept-
oil burner, tank, stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
O ��
Town of
`".. �'�`' NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT:_ 1 ��"' �- DSS INSPECTION DATE:
UNIT NO.: rFLOOR: �� WING: BUILDING NO.:
REMARKS: F 1V✓1.
J
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Electrical-rough- Plumbing and/or gas-rough- Other:
Date: 3 r 3/ — C, Date: Date:
Inspector OP- e— 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: C of O#
Inspector Inspector. Inspector
ol
o
: o Town of
rr
NORTH ANDOVER
�.. j BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: d_' PROJECT: INSPECTION DATE:
UNIT NO.: FLOOR: WING: ZJM BUILDING NO.:
t /
REMARKS: CJS L--
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 — -3 Date: Date:
,Inspector Inspector Inspector
IFire Dept-
oil burner, tank,stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: —Cof 0#
Inspector Inspector. Inspector
4 4
" •O
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
'-'t00f
c
/
PERMIT NO.: O� PROJECT: l r r' 'f5 INSPECTION DATE:
UNIT NO.: 10 57 FLOOR: /5 WING: N/�Y BUILDING NO.:
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 2 1 3 / ' a-(' Date:
Date:
Inspector f° _ Inspector Inspector
Fire Dept-
oil burner,tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
o,
Town of
�ll
NORTH ANDOVER
_f BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: JW . 7 PROJECT: "�-- Q'-X'LAJ ) INSPECTION DATE:
UNIT NO.: FLOOR: ST WING: /_ BUILDING NO.:
ei ie',C rI
REMARKS: /1 i..
C/
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3— 3 _ Date: Date:
Inspector /�- s 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
:. Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: 5007 PROJECT: "eAJG'Q 5 INSPECTION DATE:
UNIT NO.: A) FLOOR: 15 F WING: A J16 BUILDING NO.:
REMARKS: f• NA� �/�C /2, C `^
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector.
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 3 i - v Date: Date:
Inspector �- f S Inspector. Inspector
s
Fire Dept-
oil burner, tank,stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: �"'� �"������ INSPECTION DATE:
UNIT NO.: 0 ) FLOOR: 5 T WING: N/A BUILDING NO.:
REMARKS:
1
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 / ' o G Date: Date:
�. Inspector S 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
: Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: "/� INSPECTION DATE: ✓ " 3� O�
UNIT NO.: FLOOR: Hr WING: BUILDING NO.:
r
REMARKS:
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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
l `
Fire Dept-
oil burner, tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: 5e07 PROJECT: "`� 5 INSPECTION DATE:
UNIT NO.: 1/ FLOOR: f�� WING: BUILDING NO.:
REMARKS: 1— ^j4L.—
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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
•'e
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: " �0 PROJECT: +t-Q- A-te I0"JJ INSPECTION DATE:
UNIT NO.: t FLOOR: /5r WING: BUILDING NO.:
REMARKS: l;vvL fie ,Cry�--
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 " 3 G Date:
Date:
Inspector_ Z Inspector Inspector
Fire Dept-
oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector Inspector
o o'
Town of
f ,
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: S(?o7 PROJECT: -1 - INSPECTION DATE:
UNIT NO.:- FLOOR: S WING: IVIA BUILDING NO.:
REMARKS: AM�-. ��e
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector. Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: 3 ' 3/ — Date: Date:
r Inspector. �, Inspector Inspector
l
Fire Dept-
oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy
Date: Date: Date: C of O#
Inspector Inspector. Inspector
of
o
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: I`^ /Ur- INSPECTION DATE:
UNIT NO.: FLOOR: /5 f WING: N BUILDING NO.:
REMARKS: C(e c72, e,9 t."".'`,
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector 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: '— 3 Date: Date:
llnspector� e4o 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
R11"
� O"�O.e.•,40
Town of "
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: DQ K f Odae Villa a f INSPECTION DATE: 3 - 2-09
UNIT NO.: See BLOW FLOOR: AL I WING: BUILDING NO.: 3
REMARKS: .BL Q #3 Re - res t for get 5 TA 6S
#au5e rreler - 310D HarYc 5 dr,✓e
- 154 fL R - 3101 7`A ro uqA 3113 Na r ve.5-t Dr iyE
2nd Fl-R - 3201 rkro,4 � 32 /3 Harvest Prim-
- 3rd SLR - 3301 Tt,ro,(9h 33/2 t/arve5S , Dr1VE
38 ung 5 PLuS one Nouse lweter e'3`I rA,:5S
Excavation-depth and soil conditions Framing- Other:
Date: Date: Date:
Inspector Inspector Inspector
Footings and foundations and drains- Insulation- Other:
Date: Date: Date:
Inspector Inspector Inspector
Electrical-rough- Plumbing and/ors-=rough Other:
Date: Date: - 9 - 0 6 Date:
I (DInspector 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:
Form X995 Action Press,685-7000
t!
The Commonwealth of Massachusetts office Use Only
i d Permit No.
�~ Department of Public Safety
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1 .00 Occupancy&Fee Checked �7
APPLICATION FOR PERMIT TO PERF M ELECTRICAL WORK
(leave blank)
All work to be performed in accordance with the Massa setts-Electrical Code,527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION)
City or Town of North Andover Date May 24, 2005
The undersigned applies for a permit to perform the electrical work describe bel w. To the Inspector of Wires:
Location(Street&Number) 2357 Turnpike Street
Owner or Tenant Valle Real Deve/o ment LLC
Owner's Address 2357 Turn ike Street, North Andover, MA
Is this permit in conjunction with a building permit:
Purpose of Building Residential Bui/ding#3 Yes❑ No X❑ (Check appropriate box)
Existing ServiceUtility Authorization No. 161228
Amps�_Volts Overh
New Service ead❑ Undgmd❑ No.of Meters
1,600 Am4 sepsts 750-20/208 volts
mcm AI/4"C
Number of Feeders and Amp
ty aci Overhead❑ Undgmd X❑ No.of Meters 1 h0USe/38 unit
Location and Nature of Proposed Work Furnish and Install POWer, Li
No.oNo.of Hot Tubs titin , FA, Telephone for B/d #3
f Lighting Outlets
No.of Lighting FixturesSwimAbove No.of Transformers Total
ming Pool. in. KVA
No.of Receptacle-Outlets r"d rnd Generators KVA
No.of Oil Burners No.of Emergency Lighting Battery
No.of Switch Outlets Units
No.of Gas Burners
of Ranges FIRE ALARMS No.of Zones
No.of Air Cond. Total tons No.of Detection and
N0.of
No.of Disposals Heat Total Total Initiatin Devices
Pumps
No.of Dishwashers Tana KW No.of Sounding Devices
Space/Area Heating KW No.of Self Contained
N0.Of Dryers Devices
Heating Devices DetectioNSoundinKW
No.of Water Heaters No
KW No.or Local Munic.Conn. Other
SI ns .of Low VoRage
No.of Hydro Massage Tubs t3aitasta Mrin
No.of Motors Total HP
Other:
INSURANCE COVERAGE:Pursuant to the requirements of Massachusetts General Laws:
YES❑ NO❑ I have a current Liability Insurance Policy Including Completed Operations Coverage or its substantial equivalent.
YES® NO❑ I have submitted valid proof•of same to this office.
f you have checked YES,please indicate the type of coverage by checking the appropriate box:
NSURANCE ® BOND[] ' OTHER❑ (Please specify) Carlin Insurance
stimated value of electrical work$ $3,963,400(Tota/Const Cost)
Expiration a e
ork to start lmmediately Inspection Date Requested: Rough Will Call
ned under the penalties of Pa 9u ry: Final will Ca//
M NAME Corso//dated Electrical Services a division of Cons r Interna ' n
nsee Lawrence Pantano LIC.NO. 17502A
Signature <
ress 661 Pleasant St Norwood, MA 02062-460 LIC.No. Same
ness Telephone No. (781)-769-7110
ternate
hone
ER's INSURANCE WAIVER.I am aware that the License -7110
e does not have the Insurance clove age or s��bstal�i8al equivalent as required
assachussets General Laws,and that my signature on this permit application waives this requirement.
�\ ❑
_r Owner []Agent (check one)
lure of Owner or Agent) Telephone No. Permit Fee$ 5,945.00
K&W 64*,* 1% &
2-01
r1
O� No°T a 1ti0
TOWN OF NORTH ANDOVER REF F=
Building Department C�'��
1600 Osgood Street
Building 2- Suite 2-36 Building Dept "° y
North Andover MA 01845 �Q/ G D
QEp� 2001
Tel: (978) 688-9545 Fax(978) 688-9542SEP 19
BUILDING DEPT.
COMPLAINT FOR INVESTIGATION
DATE: 9///a , TEL #: /' J-3 ,2-
NAME OF COMPLAINTANT: �l �, S e Aes ,1111-5
ADDRESS: j.z oq /14 R ti e ,5 X.
COMPLAINT TYPE:
Electrical:
Plumbing:
Gas:
Building: 3
e
Pro Owner: f n/, S PA ks 6 ,/0f� % Q i n!J '/ P U.Q ley"
Property
Address: /-I4 /z (/.Ps% J/ /f, n/0o 4 /'C/O v e ler In
Other: — I i s A 42&d y//'A 4- �� �c a -1!�s ^`x —
cv ` h a u .S't-c u .S <Sern . d1 Iff-e- A-cl e uri exiuuS
/0/trnl f C L s'r /=in,9 tS1 C c- 7 0 7 eve L •e4 4-- lam+ itv�ex'/�y
M4At1, C6. A. f-,r,`nl,-fLIlee4- LLil) i 6 IV© 4V,4,-L > re/I/ 4elle
U Y I/ 4 C
0,f 0 .� , o AA A 7 6 e jle Awe
Signed:
Complaint Form-Revised 6.2007
i t
C
f
I
I
i
Date./?�./�.?.. . . ... . .
NORTry
3r0y`
p TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
SACMUSESS
{ 1 This certifies that . .y�a� . . .� � .�. . . . . . . . . . . . . . . . . . . . . . . .
has permission for gas installation f3:,. .`. �. . . . . . . . .
in the buildings of . . . � iA .`-7. . . . . . . . . . . . . . . . . . . . . . . . . . .
at . . . . . . . . . . . . ., North Andover, Mass.
Fee.P?.`. Lic. .. . . . . . . .
GAS INSPECTOR
Check# /a z/ ,/ ?
5360
MASSACHUSETTS UNIFORM APP
UCATION FOR PERMIT TO DO GASF1TTlNG
--
(Print or Type) ,
' �" �1 �� •rem Mass. Date_ t Z — 19 aS- Permit
a
Building Location We- 3 Owner's Name VA L
H A,cv A- fly. v e_
Type of Occupant/ _An'}'
New ®/ Renovation ❑ Replacement Cl Plans Submitted: Yes / No
N W N
N y UO N r
N
H
cW7 LUUJ
V m = n
a u `
c <
Q: W = U tR W < Q Q W -�
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S = D c?
U. D Q U C } D a 4- O Il
SUB—aSMT,
I
BASEMENT
1ST FLOOR I 112 I
2ND FLOOR
380 FLOOR
M
4TH FLOOR 1 f 1
STH FLOOR t
1 r
6TH FLOOR I
TTH FLOOR
STH FLOOR
staAing Company Name Youngblood Co. , Inc. Check one: Certificate
1dress 32 Ashland Street
� Corporation
Haverhill, MA 01830-4143
Partnership
lsiness Telephone 978-373-5607
C1 firm/Co.
ame of Licensed Plumber or,Gas Fitter David Youngblood
SURANCE COVERAGE:
lave a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes IBX No ❑
you have checker yes. please Indicate the-type coverage by checking the appropriate box.
iiability insurance policy C25x Other type of indemnity ❑ Gond ❑
NNEWS INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by
tapter 142 of the Mass. General laws. and that my signature an this permit a
pplication waives this requirement.
Check one:
nature of Owner or Owner s Agent Owner-0 Agent ❑
ireby 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
wledge and that all plumbing work and installations performed under the permit issued for this application will be,n compliance with all
anent provisions of the Massachusetts Stale Gas Code and Ghaoter 142 of the Ganeral Laws.
T�e of License:
r,Ptumber S,gnaturego f Vicen umoerar Gas Fitter
�'Gasfitter '/
,/Town Master License Number (dal - ./
V Soumeyman
BELOW FOR OFFICE USE ONLY
PROGRESS INSPECTION „
FINAL INSPECTION SKETCHES
FEE
{ NO.
APPLICATION FOR PERMIT TO DO OASFITTING
G
NAME A TYPE OF DUILDING
LOCATION OF BUILDING
IG --
PLUMBER OR OASFITTER
I
LIC. NO.
i
i
PERMIT GRANTED
I
DATE to
i
OAS INSPECTOR
Y
4
p'<".� TOWN OF NORTH ANDOVER
a ►
PERMIT FOR PLUMBING
,SSACMUS�
This certifies that .Y.{..c:.�.�.
has permission to perform . . . . . . . . . . . . . . .
plumbing in the buildings of . t0'. �.t:i,, .<. . . . .�.` �.! .�. . . . .
at& . . . . . . . . . . .. North Andover, Mass.
Fee ?-1. .�Lic. No..�. t . `.!. . . . . . . . .
PLUMBING INSPECTOR
Check # /O >�r, C, r
6534
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
tV' r� L.e Mass Date fl
TD Permit #
146 ullding LocaUm I,-,-c'\ r: >Lwna
_c <+ owner's Nara
AAU�j6F
Type of Ccc;panty
News, Renovation ❑ Replacement ❑ Prams Submitted: Yes ❑ No ❑
FIXTURES
y Y <
ra m `a 0 o z
W Y j y U < N W W
O y p y a
J y .� WA O'1 r U W A Y < y W - d - r
_ x
tC W 0 O < W Q 2 < W - Q
W _ < Y 3 3 o Z 2 J y f- < x °
U. Y W
Q < J J < C C < Q < r•
GO O
sua—eSMT. I
BASEMENT , P ( f
IST FLOOR Cz �tlj
2ND FLOOR
3RD FLOOR
ATH FLOOR
STH FLOOR + I + I
aTHFLOOR
7TH FLOOR
STH FLOOR
! 1 �
Installing Comcany Name Youngblood C o . , Inc .
G"tcCc one:. Certificate
Address 3 2 Ashland Street X® C..rporaticn
Haverhill , SIA 01830-4143 -
❑ Pmtncrrhip
Business Tcicphcne 978-373-5607 ❑ FirTtt/Co
Name of Licensed ?lumber David Y o u n,b l o o d
INSURANCE COVERAGE-
1 have a current liability h-.urnc- peiicj or Is sub.star;iai equivaient wniC^ -Herts he requirements cf MGL Gi_ 142:
Yes C'3 X, No C
If you have checked yes, please indicate the type coverage by Q.ec ting the appropriate bcx
A IiabAity Insurance pcllcy 0 other type :.f 4)de.'nnity ❑ saw
)
{
OWNER'S fNSURANCc J1/AI1/E+: ; amay a +} [ tt;e 'icenr
see does net lave ate lnss_ e
^ uranc= cover
q equir y i
-� ptef 74Z i 1e 'viaSS_ ae^G^.al lyyS. „nQ That my signature an this Per at, app11=1cri warve= his re-uire.mcnt
t Check ric:
Signature of 2vner owner agent "mer ^4c^t
i
i hereby carti}y that ail of the det3iLs and anc intarration !have for'. ':3r-Inte(ea) zn above fic=tion xa mie una Yc--rate to Lhe a��r,�v
nowtedge and hat Lt riumbutq worts instaitations
rtcrrneo,=Soar t7Se oerrnit ss_aa for this aco4K—Len .hii be in corruNiartca wrn,rlt
pertinent provisxxu ct :gin rlassac�usacts >.ata PI.rmbing 4 Jae ano C.`.aoter 142 0(the ai Laws.
acrtau:re of —
<:,f/Town
-ype or :J22
F'PRG�FC ( r. c 1
+c_� _�' ;tv�' ;;tensa iVumrrr
Date.�l.` z-. . .... ..
N°RTM
of TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
SACNUSE4<
This certifies that . .�'1.y'!?� . . . �-!�/YI4 h. . . . . . . . . . . . . . . . . .
nE/� ��'
! has permission for gas installation !f. lr'. (�S. ih-e-. . . . . . . . . . .
in the buildings of 7e nni 10 WG r�Y. . . . . . . . . . . . . . . . r
at .13�71 Pr;V-f—. . Un!�. r , North n over Mass.
Fee. Lic. No..10 y�. . :. . .
GAS INSPECTOR
Check#
7997
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING
City/Town: MA. Date:_ — _ Permit#
Building Location:3).!/ 11,4 PWS T "":5' Owners Name: Aew /y C1 /I
Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential ©'
New: ❑ Alteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes❑ No Ej`
FIXTURES
rn
W W Cl)
C0 =
a UO m = 0O CW7 W U to Fes- O = co W
nww
O z Z O a w LuLu � O ~
W CO m O Q a o t�i x
> to U Z cn O w O tQ o = u.
W
> W W Z O J H H O Z -� (7 �- H W IW-. W W l`y�
Z >- W Q Q . m W O Z O � > Z MW t\
V 5 O LL < C7 W _ > O O W z Z w a I—
g O a W I-- > > > R: O �Ql
SUB BSMT.
BASEMENT '
1 ST FLOOR I
2 FLOOR
3 FLOOR
4 THFLOOR
5 FLOOR
6 FLOOR
_7—FLOOR
—Pr—FLOOR
Check One Only Certificate#
Installing Company Name:
Address:/L/.3/ PA-1-C-R 4w L(jkZ'Z ❑Corporation
�F _
� City/Town: �-' State:
❑Partnership
Business Tel:50 5-3 Fax:
❑Firm/Company
Name of Licensed Plumber/Gas Fitter: RA
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes❑ No❑
If you have checked Yes,please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER:I am aw4xq that the licensee does not have the insurance coverage required by Chapter 142 of the
ssachusetts Ge r Laws;' ;1hatVignature on this permit application waives this requirement.
CWk One Only
Owner Rr Agent ❑
Signature of Owner or Owner's Agent
By checking this box ,I hereby certify that all of the details and information I have submitted(or entered)regarding this 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
Type of License:
By ['Plumber
Title
El Gas Fitter[ Master Signature of Licensed Plumber/Gas Fitter
City/Town ❑Journeyman License Number: 0/
APPROVED OFFICE USE ONLY ❑ LP Installer
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of investigations
600 Washington Street
Boston, MA 02111
www.mass:gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Appficant Information Please Print Lezibly
Name (Business/Organization/Individual):
Address: ��}
City/State/Zip: (J/ Phone#:
Are you an employer?Check the appropriate box:
Type of project(required):
[2.
.❑ I am a employer with 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. E]New construction
PrI am a sole proprietor or partner- listed on the attached sheet I ❑Remodeling �`� ) I m�
ship and have no employees These sub=contractors have 8. E]Demolition 10� f4s d'
working for me in any capacity, workers' comp.insurance. l r
[No workers' comp. insurance 9• ❑Building addition
p ce 5. El We are a corporation and its
required.] officers have exercised their 10.❑Electrical repairs r additions
3-0.1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repa• or additions
myself. [No workers' comp. c. 152,§1(4),and we have no 12.0 Roof repairs
insurance required.] t employees. [No workers'
comp.insurance required.] 13.[:]Other
*..ny applicant that checks box#1 must also fill out the section belot•.,shoe W. =x -c.—_-- ti
policy t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submitnew affidavit indicating such.
#Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify un er the pains and p ties of perjury that the information provided above is true and correct
Simature:
U Date.:
Phone#: �Q ' � S_L/ �— �
FOther
only. Do not write in this area, to be completed by city or town officiaL
n: Permit/License#
hority(circle one):
Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing,Inspector
son: Phone#:
e i
Information and Instructions `
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,'§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152;§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub=contractor(s)name(s),addresses)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with'.no employees other than the
members or partners,.are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the app licQuon,for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant..
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business.or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investic at ons
600 Washington Street
Boston,MA 021.11
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Revised 5-26-05 Fax#617-727-7749
wv w.mass.gov/dia
Date. .
9551
4 ".ORT:�� TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
�,SSACMUS� JJ--
This certifies that .t/5-M) G'/?'!. . 0 . . . . . .
t ,
has permission to perform . . . . .G` �/./ 5 . .. . . . .i :. . . . .
I plumbing in the buildings of . .4619,v
j . . .A . . . . . . . . . . . . . . ..
at . ,Q�+ . . .(Jiz�T. .2 ., Noah Andover, Mass.
Fee. ,. .Lic. No. Ae '� . . . ,. . . . . .
PLUMBING iN PECTOR
Check ," /M
--4 ulp-`� MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY /�/od d� _ or'�✓ MA DATE PERMIT#
G
JOBSITE ADDRESS OWNER'S NAME OWNER ADDRESS / TEL _ FAX II
TYPE OR OCCUPANCY TYPE COMMERCIAL Q EDUCATIONAL RESIDENTIAL Q
PRINT
I CLEARLY NEW: RENOVATION: REPLACEMENT:[1 PLANS SUBMITTED: YES -]_I NDE]
APPLIANCES Z FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER )
COOK STOVE I {�.�I.
DIRECT VENT HEATER (y _, ........ ,__
DRYER
FIREPLACEI�-T�.--.
FRYOLATOR �_--�-�L_ i �J 1.— t- L. _T L==1 L-,_=j(
FURNACE I— -I C_._ ==T_-.L_..-,_-�' L - i _i(moi ._ [�-►
GENERATOR _. I- I•-=- -I I_:,__-1—^I -_.I ===z::-�. J .-T--� -- -_� _ .�J __._ >�
GRILLE 1 :- ([__ -.t __�;Eami
INFRARED HEATER -- ===--1 - —_
LABORATORY COCKS
MAKEUP AIR UNIT
OVEN _ f _ h� __ >I__ I_�r► I_,� _I _- 1 I_ L-_POOL HEATER -1
ROOM/SPACE HEATER
ROOF TOP UNIT
TEST
UNIT HEATER
UNVENTED ROOM HEATER _ I, (`_. �h 1 !,—_1
WATER HEATER
OTHER
INSURANCE COVERAGE
have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES JFRNO E
1 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY []I OTHER TYPE INDEMNITY ©.E BOND
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY: OWNER [] AGENT 11
SIGNATURE OF OWNER OR AGENT
hereby certify that all of the details and information I have submitted or entered regarding this 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 rtinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME /� � ��. _ LICENSE ?J1 SIGNATURE
MP 0 MGF E�f JPJGF MI LPGII CORPORATION�#��PARTNERSHIP (# LLC
COMPANY NAME:� - ADDRESS J�__���_ z
CITY <�P � /�� STATE /✓JU ZIP ®] TEL 4 S
FAX ^�CELL ` EMAIL
ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES 1
Yes No Af
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ Q
FEE: $ PERMIT#
PLAN REVIEW NOTES
The Commonwealth of Massachusetts
Department of IndustriqlAccWnts
Office of Investigations
600 Washington Street
.Boston,MA 02111
www mass gov/dia
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): &CA
$ C2,,, " (,//yt �% -Z�rp� 14�,.t
Address: A r _`fir,,,. a J
City/State/Zip: ea ap yam"e 0%3 ; Phone 7_129 S S S
Are you an employer?Check the appropriate box: Type of project(required):
L❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.[.�kI am a sole proprietor or partner- listed on the attached sheet.1 7• ❑Remodeling
ship and'have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. workers'comp.insurance. g, E]Building addition
[No workers'comp.insurance 5. ❑ We are a corporation and its
required.] officers have exercised their 10.❑Electrical repairs or additions
3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions
myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs
insurance required.]t employees.[No workers'
comp.insurance required.] 13.❑Other
Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:.
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required.under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one=year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
Xdo hereby certify under t alns andpenalfies ofperjury that the information provided above is true and correct.
Signature: h Date: — —
I�
Phone#:
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other - -
Contact Person: Phone#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than'three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced-acceptable evidence of compliance with the insurance coverage required"
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. AIso be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or'-permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Comjnaonwoalth of Mossachwetts
Department of Industrial Accidents
Office of Investigations
6.00 Washington.Street
Boston}MA.02111
Tel,#617-727-4900 ext 406 or 1:-877:MASSA.FB
Revised 5-26-05 Fax#617-727-7749
vow mEtss,govldia
7
TOWN OF NORTH ANDOVER BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
for Official Use Ont ic
BUILDING PERMIT NUMBER: �7 n DATE ISSUED: Le 17 ,/
SIGNATURE:
Buildin Commissioner/I or of Buildings Date
1.1 Property Address: 1.2 Assessors Map and Parcel Number.
Z 3-5" 5j-
MIS, �a
Map Number Parcel Number
1.3 Zoning Information: 1. PropertyDimensions: - % v
ZI 1�499-C:
Zoning District Proposed Use Lot Atm Fronto R m
1.6 BUILDING SETBACKS(ft)
Front Yard Side Yard Rear Yard
Required Provide Required Provided ReqWmd Provided
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Iufonnation: 1.8 Sewerage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑
est 'c 1strict: Yes No
2.1 owner of Record
Name(Print) Address for Service:
Signature Telephone
2.2 Authorized Agent
Name Print Address for Service: Z
O
Signature Telephone m
9
3.1 Licensed Construction Supervisor / Not Applicable ❑
Address #S f�D�,t�l^'r�ti✓lQG. �v /�res License Number O
Licensed Constructiu r:
Expiration Date _
-Sigga-ture Telephone - cJ 7—
3.2 Registered Home Improvement Contractor Not Applicable ❑
Company Name Registration Number
m
r
Address r
Expiration Date /Z
Signature Telephone /'1
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the
issuance of the building permit.
Si ned affidavit Attached Yea.......❑ No.......❑
SECTIOAI S PR4 $; IEjQA A�'S>�6 Cit3Ci tVICS lip $ t � 5 51 �<. E
5.1 Registered Architect:
Name.
Address
Signature Telephone
Regt
Name:
Area of Responsibility
I
Address:
Registration Number
r
Signature Total Expiration Date
Not applicable ❑
Name:
I
Address •Registration Number
I -
Signature
Telephone Expiration Date
Name Area of Responsibility V
Address
Registration Number
.f
Signature Telephone Expiration Date
'Name '
Area of Responsibility
Address Registration Number
Signature Telephone
Expiration Date
MAO", 222AM
i
Company
NamNot Applicable ❑
Responsible in ge of Construction
New Construction Existing Building ❑ Repair(s) F ❑ Alterations(s) ❑ Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Descri tion ZPrsed Work:
30 OQ( 5
USE GROUP Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ - IA ❑
A4 ❑ A-5 ❑ IB ❑
B Business ❑ 2A ❑
C Educational ❑ 2B ❑
F Factory ❑ F-I ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
IInstitutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑
M Mercantile ❑Of 4 ❑
R residential R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE
Existing Use Group: Proposed Use Group:
Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34:
BUILDING AREA EXISTING if applicable) PROPOSED
Number of Floors or Stories Include
Basement levels
Floor Area per Floors
Total Area s
Total Height ft i
Independent Structural Engineering Structural Peer Review Reqwred Yes No ❑
SECTION 10a Owner Authorization- TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner of the subject property
H
Hereby authorize �.r tv-f.e.,/ to act on
My behA in all matters relative two work authorized by this building permit application
ture of Owner Date
r
.S _
A
as Owner/Authorized
Agent
Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury
Printame
-3 05-
i ture of Owner/Agent Date
_.. ' � _
Item Estimated Cost(Dollars)to be r � 7
Completed by permit applicant k rt y xA t j y r kF r n s
1. Building (a) Building Permit Fee
Multiplier _
2 Electrical (b) Estimated Total Cost of
Construction from(6)
3 Plumbing Building Permit fee (a)x(b)
4 Mechanical(HVAC) 16
5 Fire Protection
6 Total (1+2+3+4+5) iJ �`/ /� i/�D Check Number
zWJ � t,.f r 'y hz'mt�a^rj�- h'S- :kz „r"t_ `�1tb F'`{.#✓!{n`,r,e r ` �Up .u-3.�"t7s�Y{v,.�1'-'Zy5i,;a?.:yX��r- iv; k r.d .-:.., w1`rk 3' ,:P='.
+.�. i. � �� .v �. � e-F'G��'+��ua"3` k {..- 3r $ •n.�.-> '�?'t- P7'-�� .•l$.4�.u.K't.s.,,..-k 4... df-"�` t.t '� ,�^ kt',� .l�§S�i'�r t?. }� ...,
-.i9!h'.�4'ty,,t�y.;,,t:� `4,i4� �;,�.A. �S -.Y.. t�r •� �..:$u 343 £^ `A6 syi� ,.} J t;. r 7. +? •Y�'� s£Ysrr v"`gyp
S0""i .aaz*tY'
�`�,'kr�, +y4��y�.�G����,
NO.OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TR%4BERS 1 sr 2 ND 3 RD
SPAN
DEMENSIONS OF SILLS Js
DEMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID O FILLED
IS BUILDING CONNECTED TO NATURAL GAS LINE
.?x a.- n *r :L_+'_',.r, g �dcs`' s •S`��w.-^.¢:p; ".'�'?zF: a4s,h.vy:,.- `�_rYk�F_•,+_f`"s'�P '.:��Ck=>�t...��i .�,q r,,�.z,3�xivl`�.s. s,ti .� #. 5.-fi''' .rV�
,
t
t
Location
No.
Date
Ofh•
ORTM TOWN OF NORTH ANDOVER
H„•n :•, G
Certificate of Occupancy $ �
sACMUs t�'' Building/Frame Permit Fee $
Foundation Permit Fee $ •
Other Permit Fee $
TOTAL $
Check # 04W /0 Cl
i 6335 ' '✓ Ll
Building Inspector
05/04/2005 13:06 9783276544 NORTH POINT REALTY PAGE 01/02
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that aN necessary approvals4perrnits from
Boards and Oeporbrm ts•having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from cornpliancS with any applicable or requirerroft.
APPLICANT FILLS OUT THIS SECTtO
APPLICANT V,4 P �TM
7
o
LocATtoN: Mar, 0 C, PARCEL
SUBDIVISION LgA' T.Aj _ !j-g LOT(s). ,39
STAEET6 A � 176le(✓t�j`� idG' ST.NUMBER 6/0! 4z,-
ICTAL USE ONL 331 z"
RECCiftNOATIONS OF TOWN AGENTS:
CONSERVATION ADMINISTRATOR DA'L'E wpPRoym
DATE;RE.IECTED„
COMFITS
TOM PLANNER DATE APPAOVW
DATE RE.I6CTED ""-`—
COMMENTS
FOOD INSPECTOR41EALTH DATE APpROVEp
DATE RE.IECTED
SEPTIC INWECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS
PUBLIC WORKS-sEYYERWATER CQNNECTIONS _�
1
ONVEWAM PERMIT
FIRE DEPARTMENT -y
RECEIVED BY BUILDING IN8PEGTOR DATE_
R�vlwe o�n� .
1378
APPLICATION FOR SERVICE CONNECTIONS
North Andover, Mass. �� -
`� o
Application by the undersigned is hereby made to connect with the town water main in x`t�(�/ Street,
subject to the rules and regulations of the Division of Public Works. 2
The premises are known as No. 1 33 l Z I� ' �r Ve— Street
y�
or subdi ision lot no. iJv
2�I 5,477
Owner Address
Contractor Ad
pplicant's Signature
Q� 4 �L,
6-4r,
� Q
PERMIT TO CONNECT WITH WATER MAIN
The Board of Public Works hereby grants permission to l
to make a connection with the water main at419 ✓G��i �f i VStreet
subject to the rules and regulations of the Division of Public Works.
B and of Public Works
a�
By
Inspected by
Date
See back for rules and regulations
RULES AND REGULATIONS GOVERNING THE INSTALLATION Of WATER SERVICES
1. No persons shall tap or in any way tamper with water mains which are part of the distribution system of the Town
of North Andover without a valid permit from the Division of Public Works.
2. All water services shall be installed a minimum of five feet below the finish grade.
3. No water services shall be backfilled without inspection by a representative of the D.P.W.—Telephone 687-7964.
4. Service connections shall be 1" type k copper tubing.
5. All fittings shall be brass flange type Mueller or equal
H 15202 Corporations
H 15212 Curb stops
H 15402 Three part unions
H 8185 stop and waste valves
6. Curb boxes shall be installed at the property line and shall be of the Erie Type with 4�/z foot rod and brass plug
type cover.
2010
APPLICATION FO�SEWER SERVICE CONNECTION
4v.5
North Andover, Mass. 11--
Application by the undersigned is hereby made to connect with the town sewer main in Street,
subject to the rules and regulations of the Division of Public Works.
The premises are known as No. ✓/D I �J�(Z 1 ��Lk�>� 1/� Street
or subdivision lot no. B2 ` P 1 ✓
6,
Owner Address
Contractor
Applicant's Signature
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to 401Wgr
to make a connection with the sewer main at 0J/I �A L)e, Street
subject to the rules and regulations of the Division of Public Works..
Division of Public Works
By
Inspected by
Date
See back for rules and regulations
J � �
RULES AND REGULATIONS FOR GOVERNING THE INSTALLATION OF SEWER SERVICES
1. No unauthorized person shall uncover, make any connections with or opening into, use, alter, or disturb any public sewer
or appurtenance thereof without first obtaining a written permit from the Division of Public Works.
2. All costs and expense incident to the installation and connections of the building sewer shall be borne by the owner. The
owner shall indemnify the (town) from any loss or damage that may directly or indirectly be occasioned by the installation
of the building sewer.
3. A separate and independent building sewer shall be provided for every building; except where one building stands at the
rear of another on an interior lot and no private sewer is available or can be constructed to the rear building through an
adjoining alley, court, yard, cr driveway, the building sewer from the front building may be extended to the rear building
and the whole considered as one building sewer.
4. Old building sewers may be used in connection with new buildings only when they are found, on examination and test by
the (Superintendent), to meet all requirements of this ordinance.
5. The size, slope, alignment, materials of construction of a building sewer, and the methods to be used in excavating,
placing of the pipe, jointing, testing, and backfilling the trench, shall all conform to the following requirements. The sewer
shall be 6"diameter SDR 35, PVC pipe. Minimum slope shall be 1/8" per foot. The minimum depth of sewer shall be four
feet below finish grade. Sewer pipe shall be installed on a stable trench bottom of hard durable crushed stone to a
minimum (6) inch depth below the pipe. After the pipe has been installed, crushed stone shall be brought up to the crown
of the pipe. Care shall be taken to carefully grade and compact the stone, and prevent pipe displacement. The remainder of
the trench shall then be backfilled in one foot lifts with mechanical tamping after each lift.
6. Whenever possible, the building sewer shall be brought to the building at an elevation below the basement floor. In all
buildings in which any building drain is too low to permit gravity flow to the public sewer, sanitary sewage carried by such
building drain shall be lifted by an approved means and discharged to the building sewer.
7. No person shall make connection of roof downspouts, exterior foundation drains, or other sources of surface runoff or
ground water to a building drain which in turn is connected directly or indirectly to a public sanitary sewer.
B. The applicant for the building sewer permit shall notify the (Superintendent) when the building sewer is ready for
inspection and connection to the public sewer. The connection shall be made under the supervision of the (Superintendent)
or his representative.
9. All excavations for building sewer installation shall be adequately guarded with barricades and lights so as to protect the
public from hazard. Streets, sidewalks, parkways, and other public property disturbed in the course of the work shall be
restored in a manner satisfactory to the (town).
nt By: TOCCI BLDG CORP; 7819355500; Dec-3-04 9:15AM; Page 1/1
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