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HomeMy WebLinkAboutMiscellaneous - 35 FERNVIEW AVENUE 4/30/201803 Date .. } .< /11` ......... NORTH pf o 1 ti o� °` o TOWN OF NORTH ANDOVER " PERMIT FOR GAS INSTA LATI o ♦ 9 . C �9SSACHUSES 1r This certifies that ... ...... �................. has permission for, gas installation ..?...................... . in the buildings of :i . . . ..... . . .............. . at .t v t ,North Andover, Mass. Fee... ✓ .. Lic. No.. .. .... ..�5� �- � ...... GASINSPECTOR Check # /lj bG 7229 ra 9 Date...©.`... ... ... . ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............... has permission to perform ......... ............. wiring in the building of ................... ...................................... at ....... 35--lg5�R? .02EIle, ...... 4:97. North Andover, Mass. Fee .,?..�... 777= Lic. No.. /. 7 1f YA4 ....... ELECTRICALINSPECTO Check# j jq_ 7023 14 �&_ EUK vrric:re uac vnLi me The Commonwealth of Massachusetts P,;tNo, ?��. BUM Department of Public Safety lteceip'txo. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 90 All work wUi be performed in sccord:tnce with the MissachuseittGeneral Code. 527 CMR 1Z 'LEASE PRINT IN INK OR TYPE ALL INFORMATION) Date lU Co :ity or Town of Q To the Inspector of Wires: 'he undersigned applies for a permit to perform the eleetrieal work described below: 3�Pref A f ; t W AVt �%� Map, �, Lot;.. -- .ocation (Street and Number) r_ ��n _ )weer or Tenant A h io tom..•--ti_�b' cJ , F e4 s '"" tone • )wner's Address s this perrah in conjunction with a building permit? Purpose of Building _ ( j2A Existing Service ,.,..— Amps I_„� �_ Volts New Service Amps . Volts Yes 0 No (Check Appropriate Bax) Utility Authorization No. Overhead 0, -Underground No. of -Meters Overhead ❑ Underground is No. of Meters Number of Feeders and Ampacity Nature, Pro osed Electrical Work fSS�tf KC�(e�5'e d �� Location and t F p T 1 .o*A �_ nA 1 --r1�1 I, ��lL_ 5 w No. of Lighting Outlets No. of Lighting Fixtures No. of Receptacle Outlets No. of Switch Outlets No. of Ranges No. of Disposals No. of Dishwashers No. of Dryers No. of water Heaters" XW No. of blydro Massage Tubs _ No. of Hot Tubs No. of Transformers Total KVA Swimming Pool Above grnd, d In-grnd. O Ceneratoxs ICpA No. of OR Burners No, of Erherg. Lighting Battery Units OTHER: INSUREINCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws 1 have a current Liability insurance Policy ittciuding Completed Operations Coverage or its substantial equivalent. YES Q NO E) I have submitted valid proof of same to this pffice. YES W01 D If you have checked YES, please indicate the type of coverage by checking the :appropriate box. / Q INSURANCEIRBONb D OTHER ❑ (Please Specify) i tion Unlc) Estimated Value of Electrical Work d Work to Start. 0 Inspection nate Requested: Rough Final Signed under the,penalties of Pe 'u LIC, NO. FIRM NAME ' Signature _ ` LTC N©.. T �r!a-4 Licensee _ Bus. Thl. No. Address 9� �0 C17 SAY 1-90 Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee DOES NOT HAVE the insurance Coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner ❑ Agent O (Please check one) PERMIT FEE S Telephone No. .. No. of Gas Burners FIRE ALS RMS • No. of Zones No. of Air Cond. Total Totts No. of Detection and Initiating Devices o. o Total Tout Heat Pumps . Tons No. of Sounding Devices Space/Arca Heating No. -Of Setf-Contained Heating Devices KW Detection/Sounding Devices No. of Signs No. of Ballasts Local 0 Muneipal Connection © Other_ No. .040t... Total HP Low voltage Wiling OTHER: INSUREINCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws 1 have a current Liability insurance Policy ittciuding Completed Operations Coverage or its substantial equivalent. YES Q NO E) I have submitted valid proof of same to this pffice. YES W01 D If you have checked YES, please indicate the type of coverage by checking the :appropriate box. / Q INSURANCEIRBONb D OTHER ❑ (Please Specify) i tion Unlc) Estimated Value of Electrical Work d Work to Start. 0 Inspection nate Requested: Rough Final Signed under the,penalties of Pe 'u LIC, NO. FIRM NAME ' Signature _ ` LTC N©.. T �r!a-4 Licensee _ Bus. Thl. No. Address 9� �0 C17 SAY 1-90 Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee DOES NOT HAVE the insurance Coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner ❑ Agent O (Please check one) PERMIT FEE S Telephone No. .. s. MASSACHUSETTS UN[FORM APPLICATON FORPERMTI' TO DO GAS FITTING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date.- Building ate Building Locations 3 S' - k f k Al V: fz.)Gy Permit # L ount $ Le Owner's Name J All �y E'.4 v� New 0 Renovation ❑ Replacement Plans Submitted Name of Licensed Plumber or Gas Fitter T n r P. \ -'i n:lr-- i t k one: Certificate Installing Company Corp. Partner. n"irm/Co. INSURANCE COVERAGE I have a current liability Insurance policy or it's substantial equivalent. Check one: If you have checked ye Yes please indicate the type coverage by checking the a LJ No� Liability insurance policy [3 Other type of indemnity appropriate box. Bond 13 Owner's Insurance Waiver: I am aware that the -licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: Agent Owner I hereby certify that all of the details and information I have submitted (or entered) in above pplii . n� a and best of my knowledge and that all plumbing work and in ons perfo ed under permit Is ed for is application curl be in e to the compliance with all pertinent provisions of the Massac setts tate Ga dead Chaer I4 f General Laws BY Signature of Lic" Pl Title ..Plumber umber Or Gas Fitter ® p city/Town [:3 Gas Fitter License Number QgMaster APPROVED (OFFICE USE ONLY) I 0 Journeyman 5 f� i q GU F y W t C W .. > a SUB-BASEM ENT a BASEM ENT IST. FLOOR 2ND. FLOOR 3RD. FLO O 4TH. FLOOR STH. FLOOR 6TH. FLOOR 7TH. FLOOR 8.TH.FLOOR Name of Licensed Plumber or Gas Fitter T n r P. \ -'i n:lr-- i t k one: Certificate Installing Company Corp. Partner. n"irm/Co. INSURANCE COVERAGE I have a current liability Insurance policy or it's substantial equivalent. Check one: If you have checked ye Yes please indicate the type coverage by checking the a LJ No� Liability insurance policy [3 Other type of indemnity appropriate box. Bond 13 Owner's Insurance Waiver: I am aware that the -licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: Agent Owner I hereby certify that all of the details and information I have submitted (or entered) in above pplii . n� a and best of my knowledge and that all plumbing work and in ons perfo ed under permit Is ed for is application curl be in e to the compliance with all pertinent provisions of the Massac setts tate Ga dead Chaer I4 f General Laws BY Signature of Lic" Pl Title ..Plumber umber Or Gas Fitter ® p city/Town [:3 Gas Fitter License Number QgMaster APPROVED (OFFICE USE ONLY) I 0 Journeyman i Name of Licensed Plumber or Gas Fitter T n r P. \ -'i n:lr-- i t k one: Certificate Installing Company Corp. Partner. n"irm/Co. INSURANCE COVERAGE I have a current liability Insurance policy or it's substantial equivalent. Check one: If you have checked ye Yes please indicate the type coverage by checking the a LJ No� Liability insurance policy [3 Other type of indemnity appropriate box. Bond 13 Owner's Insurance Waiver: I am aware that the -licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: Agent Owner I hereby certify that all of the details and information I have submitted (or entered) in above pplii . n� a and best of my knowledge and that all plumbing work and in ons perfo ed under permit Is ed for is application curl be in e to the compliance with all pertinent provisions of the Massac setts tate Ga dead Chaer I4 f General Laws BY Signature of Lic" Pl Title ..Plumber umber Or Gas Fitter ® p city/Town [:3 Gas Fitter License Number QgMaster APPROVED (OFFICE USE ONLY) I 0 Journeyman Date. 1��0 TOWN OF NORTANDOVER PERMIT FOR PLUMBING � This certifies that .... `;%. .......... F ..................... has permission to perform ...... L'`� ................... . plumbing in the buildings of ... f �Ar' ....................... at .. .V....`'.... .. , North Andover, Mass. Fee . 2.° c, �i C .. Lic. No. ... 7--- U✓�'1�,a 1- PLUMBING INSPECTOR Check # / � L/ 862 MASSACHUSETTS UNIFORM APPLICATION FOR PER I`r TO DO PLUMBING (Type or Pte) NORTH ANDOVER, MASSACHUSETTS _ Date � " / '7 �--1 D Building Location - 3 ,�� lt% I f ! Permit Owner Amount / v .�..� New Renovation Replacement Plans Submitted -Yes E No FIXTURES (Pint or type)1 ' Check one: Certificate Installing Name .A Vu 1D r � �N � � � ' 0. Corp. Address 1� c .. m P Business Telephone�— ® 9 y z 13-Firm/Co. Name of Licensed Plumber. A if i-0, `) C— j E7 W Insurance Coveraee: Indicate the type of insurance coverage by checking the appropriate borc Liability insurance policy — Other type of indemnity ❑ Bond Insurance Waiver. L the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature IOwner ❑ Agent rl I hereby certify that all of the details and information I have submitted (or entered) m best of my knowledge and that all plumbing work d ins tions der I compliance with all pertinent provisions of the Mas chus State b' B�Signature of Licensecl Title Type of Plumbing Lie q City/Town ' 1 �zq PZ__ '� Master wn(musEomy on are true and accurate to the r this application will be in of the General Laws. Journeyman \ � 7 Date .. . ........... v . . r.ro TOWN OF NORTH ANDOVER VOW PERMIT FOR GAS INSTALLATION This certifies that ......:...'.:..�:..:�.. `.........:'... .... . xhas permission for gas installation�.. .............. . in the buildings of :..':.... ..........". ................ . 'at .......................... North Andover, Mass. Fee! ...... Lic. No.�!'. . .. � z............ GAS INSPECTOR Check # < \ MASSACHUSETTS (UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) lour -7%j r •7 . Mass. Date _y2 _ ' Permit # 00 7/ Building Location 35 f er- view due- 0,4 I Owner's Name--- z rf c5 �G �fc� h� , ('/• �% A17dd Je,r 6 Y Cc_ Type of Occupancy New p Renovation ❑ Replacement � Plans Submitted: Yes❑ No I SUB—BSMT. BASEMENT 1ST FLOOR 2HD FLOOR 3RD FLOOR a 4TH FLOOR STH FLOOR 6TH FLOOR 0 7TH FLOOR STH FLOOR Installing Company Name ma r l(' <k r kc Vu 6; naj; Akky Address a �7 oZ �e�OZLz s% Business Check one: Certificate ❑ Corporation ❑ . Partnership . _._�.._.._ ❑ Ftrm/e%^ Name of Licensed Plumber or Gas t=itter 00 INSURANCE COVERAGE: I have a current jw6aiiy insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 0, No ❑ If you hal re. checked des. please indicate the type coverage by checking the appropriate box A liability insurance policy 3 Other type of indemnity D Bond ❑ OWNER'S INSURANCE WAVER: I am aware that the licensee does not have the insurance coverage. required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement Check one: Signature of Owner or Owner's Agent Owner❑ Agent [3 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my -knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. / BY•T License:ce�-..f -Plumber Signature of Lcensed Plumber or Gas itter Title Gasfitter er License Number City/Town Journeyman APP*" O t NL 1 •N of W H Y 2 dl N 0 CC y S M ¢ O N_ ^✓"r"p z p u �' < s 2, .__ O }' yr < m N F- y W O d z oIK H 6 O Q W Q= = F Nus > W m 2 U. Z W O W 19 z z' 3 Q' z O fs H. a0': I SUB—BSMT. BASEMENT 1ST FLOOR 2HD FLOOR 3RD FLOOR a 4TH FLOOR STH FLOOR 6TH FLOOR 0 7TH FLOOR STH FLOOR Installing Company Name ma r l(' <k r kc Vu 6; naj; Akky Address a �7 oZ �e�OZLz s% Business Check one: Certificate ❑ Corporation ❑ . Partnership . _._�.._.._ ❑ Ftrm/e%^ Name of Licensed Plumber or Gas t=itter 00 INSURANCE COVERAGE: I have a current jw6aiiy insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 0, No ❑ If you hal re. checked des. please indicate the type coverage by checking the appropriate box A liability insurance policy 3 Other type of indemnity D Bond ❑ OWNER'S INSURANCE WAVER: I am aware that the licensee does not have the insurance coverage. required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement Check one: Signature of Owner or Owner's Agent Owner❑ Agent [3 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my -knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. / BY•T License:ce�-..f -Plumber Signature of Lcensed Plumber or Gas itter Title Gasfitter er License Number City/Town Journeyman APP*" O t NL Date .. %. .1 c?.. C.-. / .... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ... �, ...> ............................... � has permission for gas installation ...�. ? . ............ . in the buildings of . (�. ?. �<eq .. at . , i . s ....1 ..�.. ` . ! .. `. ` North Andover, ...........,Mass. Fee... ...:. Lic. No:..? ....... ....`; ... J ' `..... . GAS INSPECTOR Check # L. %1 G (Print or Type) he-r-Ut,;gTION FOR PERMIT TO DO GASFIiTING r , Mass. Date Zcr! Permit Building Location E—:e:Y /'�� ---•1 ��`n Owner's Name/ c Type of Occuoancv New ❑ Renovation ❑ SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Replacement 2 N N N W N J Y N W O = < ~ o m N F < < C N C W tl = W U < W = W H Z O Of J J r < O Q ¢ W z < 'S W 0 < C ~f' T• N it O tl Y U 3 0 0 N N W N Y ¢ ~ O Z U m S � O r O O O 0 o H a O > K C < C W H W V W 2 0 Z W J U c > p Installing Company Name TQ m mA ..1 0 - Address •T 1 0 Business Telephone 2—(7(7-71 Name of Licensed Plumber or Gas Fitter JLA E P T A M dl - Plans Submitted: Yes ❑ No ❑ :I Check one: ❑ Corporation ❑ Partnership 2-'Firm/Co. Certificate INSURANCE COVERAGE: I have a current I' bility Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes INo ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does no_ the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above knowledge and that all plumbing work and installations performed under the application are true and accurate li the best al my Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 ofd �ner�Lawsh�s plication be in compliance with all BY T of license: Title Plumber n ure of cen u C� tter or itter City/Tow'nI Journeyman license Number 933' N 1 J W N Z Zw J w N D w O V O LL Z O• w O OLL Z H O J Q J w w w m a LL 40 U) w U F - w U) 1 C9 W N Zw J U. O O � Z O• w v H O J Q J a o. d Z_• H H N Q O O a O 1` _F O O W Z d Q O I LL V z 0 Q V J d a SL Q W W LL O F- I V W a O W Z Q c W F O a I W � ~ ~ Q I W I d N 1 t I O O � I W . m � d J N2 2113 Date ®0....... 3?0' TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that...... //./... � -% ,J��wjfI................................... has permission to perform Z ...... ......................................... wiring in the building of—ig-'r? ., -4. ---"e —"' ........................................................................ at .k ........... q.� ............... . North Andover, Mass. Fee O-el . . ... ........ Lic. Nd6Y ......... Z. .. ............................................... ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Office Use Onl alae C1ommonwettltl'j of MUSSUE411serto Permit No. . . Etyarttntnt of Public $afttg occupancy A Fee Cheekedf� ` BOARD OF FiRt PREVENTION REGULATIONS 527 CMR 12.'000 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 2:00 (PLEASE PRINT IN INK OR PE Al INF�J' MATION) Date 1 Ua City or Town of �1.�`' To the Ins actor of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant Owner's Address Is this permit in conjunction with v4 building permit: Purpose of Building Existing Service . Amps _J Volts .S Yes ❑ No fR (Check Appropriate Boz) _._._ Utility Authorization No. Overhead ❑ Undgmd ❑ 171 17-1 No. of Meters Newer a Amps _,J Volts Overhead Undgma No. of Meters Number of Feeders and Ampaclty Location and -Nature of Proposed Electrical Work N" '. 0, 1.1 laalrg`Outleta J No. of Hot Tube Y s+..a.e.«aswsaaa-r.+�.e No. of LlahtinjilAxtures ..a�..svew•wa*.m.-+.. Above Swimming Pool d ❑ �rnd. ❑ Generators • KVA No. of Emergency Lighting , No.kof Receptacle Outlets No. of Op Burners w Battery Units N��of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Tbtal No. of Detection and No. of Ranges No. of Air Conti. tons Initiafrng Devices No. of Otspos.4 No•of pu rips Totns No. of Sounding Devices . No. of soil Convened No. of Dishwashers SpacefArea Hoatlrg KW Ootectlortl3oundlr►g Devices No. of Dryers Heating OrAces KW Local ❑ CCon cctionMuniciOther V No. of� ttzc 0JNo. of Water Heaters KW Batlasts ENo.%Of ng LitNo. Hydro Massage Ribs Motors - lbtal HP _OTHER: -- INSURANCE COVERAGE: Pursuant to the requirements oI Massachusetts general Laws 1 have a current Liability Insurance Poky Including Completed Operations Coverage or Its substantial equivalom YES G NO O 1 have submitted valid proof of same to the Office. YES O NO O If you have checked YES. please Indicate the type of coverage by checking the appropriate box. INSURANCE a BOND. O OTHER 9. (Please Specify) ,11a (Expiration Oats) Estimated Value of work S Work to Start Inspection Date Requested: " Rough Final Signed under the Penalties of perjury: LIC. NO. 1( FIRM NAME Licensee nnnal d A_ Rrnnir4 Signature LIC. NO. • 123 ---- Bus. Tel. No. (Z'f)s) '141-4008 Address 111 Morse Street. Norwood, MA Alt. Tel. No. (781) '278-111131, OWNER'S INSURANCE WAIVER: t am aware that the Licensee does not haw the Insurance coverage or Its substantial equivalent Of is, quired by Massachusetts General Laws. and thrill my signature on this permit Volcauon walves this requirement. Owner Agent (Please check one) ,•, Telephone No. _._.._ PERMIT FEE i . y (J (Signature of Owner or Agent) A,�y Locat on�Fe Na. i co Date 10 11 NORTH TOWN OF NORTH ANDOVER O? •' • OOH Certificate of Occupancy $ * : Building/Frame /Frame Permit Fee $ x° 9 �'��°"'•°''t�' Foundation Perm' Fee $ sACHU Other Permit Fe $ Z- ,-- Sewer Connection Fee $ Water Connection Fee $ TOTAL $ " l Building Inspector 10/20/�9y5 I6' 12 5c.40 PAID C� Ol v Div. Public Works PEWIfiT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP h40. LOT NO. 2 RECORD OF OWNERSHIP '.DATE BOOK PAGE '. ONE SUB DIV. LOT NO. FI tOCATION �� al -o �e� �p � C. PURPOSE OF BUILDING 1 ar , Q4_�[rroo �SIZ�E�+� $WNER'S NAME .dijfiP j C NO. OF STORIES ��•�J�jt� SWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME OF SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME / n� / �r�' SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES — SIDES REAR " " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND -%HILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES A PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND, APPROVED BY BUILDING INSPECTOR DATE FILED 0h /J 1 ✓ /% j- ' SIGNATURE OF OWNER OR 7WTHORIZED AGENT FEE PERMIT GRANTED �Q1 19 v 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY lSPECTOR OWNER TEL.# �Vs) 6s,—7,?62 1-1 CONTR. TEL. # (cog') qqg,' QD� CONTR. LIC. # C5 014( 7 H.I.C. #JA V BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILYS-0 IES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE PINE 3 1 2 13 CONCRETE BL K. BRICK OR STONE HARDW D PLASTER _ DRY WALL UNFIN. PIERS 3 BASEMENT AREA FULL FIN. B M AREA _ 1/1 1/1 1/1 FIN. ATTIC AREA NO B M FIRE PLACES _ _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 �_ 3 _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ CONCRETE EARTH HARD"J'D COMMCN ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK 6rq MASONRY BRICK ON FRAME _ ATTIC STIRS. & FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I I POOR _ ADEQUATE NONE 10 PLUMBING 5 ROOF GABLE HIP BATH (3 FIX.) GAMBRELMANSARD I TOILET RM. (2 FIX.) FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ 10 13rd ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. O F=4 CN T--4 rA rA a w x w A m v u \ w E m cn W 0 w z z a m u C a' U w a w z z G S w' w w O z U w „� ,L cG v u cn w a w z to m C w z x W w v C 7 as z L a L cn Q a o cn S uml zCL z O U 2 z A a J Q z �i r� �S c cm o CO C c oCA : C N O : C vv J G C R R m C := o � : CD m N • E Q m :r Q c N m C o O ccm o M CL O L N Qf m J N m i' Cc = c NA c .o 16-75 c y m � zY CD �r o z o m C -o N r• d O = V y O i O D. C !C=2*m C C Z C N ~ ) Q.-. o m W G �.+ � _ .►- -5 H N a= Z m m N O C12 om�c g v: Q co o � =O N cc ca O =�a� m>0 z O U 2 z A a J Q z �i r� �S +' 6 taee�e of r�i�t►u use bnex� a if g %mc1 remm to: One As lie Rerr 1341 Basun iia. 011+08 Bestricttd Is: 16 Felraro topecssss a current Atassachusom °.} j*0 me"Wnq Code is accs:,r for revocation 00 - Molt or j! - Nasolry ally lb - l 1 2 T ilkilT Nous WJAE IMPROVEMENT CONTRACTOR Rogistratiol IOb811 Typo - DBA ElPiTatios 01/28/96 8lackdo9 Builders K. Bryan ADMWIs�oA 1 Lawsoce Road " Derry NM 03038 I :I -71,6, e =` DEPARTNENT Of PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Neaber: Expires: Birthdate: ., :� li - a1a6/7 N/!1/!111 Oa/J01196/ Restricted To: 16 DAVID R BRYAN 31 LANRENCE RD DERRY, NN 03038 IQ LACIFUCC UlUI L UIU S NNW. ` IMICULS & UAIrw SUMUCCA 5 KELLY RD. #2, SALEM NH 03079 (603) 898-0868 FAX: (603) 898-0821 DATE: October 17,1995 TO: North Andover Building Dept. FROM: Mike Livingston RE: Scope of Work for Jarvis Bathroom Remodel Diane Jarvis 35 Fernview Ave. #4 N. Andover, MA 01810 (508) 687-7369 TEAR -OUT . • Tear out tub, toilet and vanity • Tear out wall and floor tile • Tear out drywall on walls PLUMBING • Install new shower valve • If possible move toilet towards tub in same joist bay (no structural changes) • Hookup fixtures in same locations ELECTRICAL • Add new GFCI outlet • Replace existing surface mount light with two recessed lights FINISH • Apply Drywall • Install new underlayment • Install fixtures in same locations • Tile Floor and 1/2 wall behind sink and toilet �R�►S 14 •. .. 0 SII ScAcr- i,/_ 1, ScAcr- i,/_ 1,