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HomeMy WebLinkAboutMiscellaneous - 38 COPLEY CIRCLE 4/30/2018N n O O � m o � Q �_ o � o � o m 0 Columbia Gas - of Massachusetts October 18, 2012 Tom Dionisio Account Number: 38 Copley Cir North Andover MA 01845-4548 Dear Tom Dionisio: A NiSource Company 55 Marston Street P.O. Box 869 Lawrence, MAO 1841-2312 978.687.1105 Fax: 978.688.1875 During a recent visit, our service technician detected a safety problem with your gas fireplace located at 38 Copley Cir., North Andover, MA. Accordingly, we have issued a Warning Tag because of this situation. Fireplace is leaking gas, need plumber to repair. Under the circumstances, we strongly urge you to correct the code violation. In addition, the Massachusetts code pertaining to the installation of gas appliances and gas piping, established under Chapter 737, Acts of 1960, requires that the condition be remedied. If you have any questions, please call our Service Department at 1-800-698-0940 and ask to speak with the Service Supervisor. Please disregard this notice if the condition has been corrected. Sincerely, Customer Service Department Columbia Gas of Massachusetts CRR: CRR# C:\cisupdatedletters\110 10/18/12 Location No. 7 G Date 7—Z/-9 14ORYN, TOWN OF NORTH ANDOVER of o: • e C� Q'O 5�0 Certificate of Occupancy $ + ; + ♦ O� 4 Y Building/Frame Permit Fee $ 3�- �= s�CHus t Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 7 L- t;1 Div. Public Works PEVf IT NO.- APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. LOT NO. Z) 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE [- PURPOSE OF BUILDING `��S ZONE SUB DIV. LOT NO. LOCATION3 ^ -w e� ���lli :l OWNER'S NAME O O� NO. OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB IT ARCHITECT'S NAME �j" h SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME 0 4rS SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS POSTS DISTANCE FROM STREET DISTANCE FROM LOT LINES - SIDES0 ! f REAR a GIRDERS AREA OF LOT �Q „I FRONTAGE Y HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION (I ,A Qc �I. MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Wt b IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY t1 . `moi W� IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 Smra— mmx ril PAGE 2 FILL OUT SECTIONS 1 - 12 �+ So� ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS y PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATA• AILED 17Jll- _she M /�N N` SIGNATURE OF OWNER OR AUTHORIZED AGENT 0 FEE C) OWNER TEL.A flop lize PERMIT GRANTED CONTR. TEL. # 8 23 ju,19 CONTR. LIC. # 0 2 CA5H --��025 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST 1 EST. BLDG. COST PER AQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILYSLORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA - APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. c��rcL�lZoC h etl �lw S y2_ Com. [`r� 21��2 �euwU���la1l� F-1 - 6,4 #w u CONSTRUCTION 2 FOUNDATION _ _ 8 INTERIOR FINISH CONCRETE PINE HA DW D— 3 1 _ 2 I_ CONCRETE Bt K. BRICK OR STONE PIERS PIASTER DRY WAIL UNFIN 3 BASEMENT AREA FULL FIN, B M AREA 114 '/t '/. FIN. ATTIC AREA _ NO B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 �_ _ 3 _ _ DROP SIDING WOOD SHINGLES CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING HARDW D COMMCN ASPH. TILE VERT. SIDING STUCCO ON MASONRY _ STUCCO ON FRAME _ BRICK ON MASONRY BRICK ON FRAME CONC. OR CINDER BLK. ATTIC STRS. & FLOOR _ WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE GAMBREL HIP BATH 13 FIX.) MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ 11 TILE FLOOR _ TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 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_ 1st 13rd ELECTRIC NO HEATING c��rcL�lZoC h etl �lw S y2_ Com. 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Certificate of Occupancy $ •• C Mus E Building/Frame Permit Fee $ sA Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # / �n Building Ins a for TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING �#lioa� fdlr �"I i�se �in�l BUILDING PERMIT NUMBER: DATE ISSUED: l ff C 6A.,6�— SIGNATURE: BuildingCommissione 71rispector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: , 1.2 Assessors Map and Parcel Number: l Map Number Parcel Number 1.3 Zoning Information Zoning Information: 1.4 Property Dimensions: /s Os o2 �Disrict Zoning Prosed Use ot/A�r Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided Required Provided 1.7 Water S1 ly M.GL.C.4U. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record C3,f ell) Name (Print) Address for Service: Signature 1 Telephone 2.2 Owner of Record: C v Na Print Address for Service: -3 9 Si nature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Number i 4���4 Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) 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. Signed affidavit Attached Yes .......❑ No..... SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ 1 Existing Building ❑ I Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ I Demolition ❑ I Other ;1�- Specify Brief Description of Proposed Work: ,II/,�lWAV ILI f i [+ . �i/ %T L L &C rir1L3 A rrn /•/1NCTD1T9`T1rnV lYICTC I ItemEstimated Cost Dollar to be Completed by permit applicant OFFICIAL USE ONLY 1. Building ad (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total (1+2+3+4+5)Check Number SECTION 7a OWNER AUTHORMATIUN TU 15t UUMYU 1 tV W M1N OWNERS AGENT OR CONTRACTOR APPLIES FOR BUELDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date t SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION C,aer uthorized ent of Aubject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief ti of Owner/Agent-"''Date j NO. OF STORIES I SIZE 1105 X ' BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 X 2 ND — 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Q FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval / permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT PHONE ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION Cz9 UAk NUMBER STREET STREET NUMBER O808 FFICIAL USE ONLY INEEMEMENNNOWN RECOMMENDATIONS OF TOWN AGENTS }C/� S ec,Q' i.a ria,• yc!- DATE APPROVED I S CONSERVATION ADMINISTRATOR COMMENTS J ) 6y--CMI�$ u, I \ 6d TOWN PLANNER COMMENTS DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED COMMENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE G - /"z- -"1., MAY -26-00 FRI 14:11 00 0 \ o52 ��. 0.1 / � f ri 611 9 I --_ 100. 00 - r i G o PLE-" C P.01 SCALE: ("z: 4t o DATE: b`T !? y1t'34 CERTIFICATE I CERTIFY that the Wr LLtV<f�-_ shq hereon .-- wt-r� �Nr p�.resent Zor_ing �"�the '"" of oLYt-1 NDoVE ofR ---• o w And further, that the P�'� t [ io.-(.are) .not_ Located wit. in. a .desig- OWNER (S) REGISTRY„�EyC��O�Tt-� DEED: PLAN :" 1232y 2���d Y�tZ:38fo CERT. F TITLE__.__- FROM TO Dionisio 5/26/00 2:14 PM Page 1 w P, a000 Az J z1ze G� • Y�ua/ �-� a ��a> � aii� Lupi /ev� L�� d L�iJ �y��L fin' p� ��2� v 7C)/D/7/S/d QULCL�uyiy � �LO�C�' LG./.l� ,Op A� �fraA � Iry �p F/-21 Toro 7D1e1)1,51e,) zv,4a a.a.oz-e,�� oz�mua /�y�J I' &,e,) �u°�T �1 D tl ons /46 civ yzj-� D i t7 evp,;;Wr� 0�1 T7"qn -, r C/) .Jd m C/) Cl) m H .o CDZ O O �r i� .p O CD o p CL Q CD O "0001 10 CD O L�� CO) d d CO) .p O CO) 9 C) CD O r� CD CD y. CD CO) 0 CCD O CD O C o rD yd 7� y °= r OQ w uFc n F� aq r d ro p'- , / T1 arc 7 0 CIO ^ � A x rb b7 O Ofj n / u V J Cn V O o z Cn cn d b 1 / r c ?� o m 2 O -• H O C di no a W = m9 m C-) Q y 0 d A � M Z =ro H a o 0 �o an d C y H O IE m OCD O r•► 0 oZti R co m c � . EL...,. CD O N O to n m D C CR m m 3 N CL C _ c CL 00 _— o •� H O :T ^� IE o 1 H NCDN '� C -P H p A W4%CD _ C �o�o•. co �� N m _ CD "s . 0 A1 CD K. _ .. 1 m cn 0- Q C o rD yd 7� y °= r OQ w uFc n F� aq r d ro p'- , / T1 arc 7 0 � d tz 0 ^ � A x rb b7 O Ofj W rr 1 % j �u 0 c 7 , location 1 No. 'r > Date s C r- ,.ORTp TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ s "°'�"�h Foundation Permit Fee s+CHust J_^ Other Permit Fee $ Sewer Connection Fee Water Connection Feb i ,7 $ TOTAL $ ' Building Inspector r t-rn �% �% Div. Public Works Location :No. '� � Date w NORTq TOWN OF NORTH ANDOVER Certificate of Occupancy $ S 12 - rte_ ° ; ; Building/Frame Permit Fee $ Foundation Permit Fee SACMUSt $ // l • C� C) Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ - TOTAL $ - Building Inspector i� 17 3 Div. Public Works I Location No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ -— Water Connection Fee $ : TOTAL $ J3,Milding Inspector � If U Div.,06b (c Works PERX.rr NO. . APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. (,//PAGE 1 /r/y� MA 410. �gT— LOT NO.—�2 RECORD OF OWNERSHIP (DATE BOOK PAGE ZONE SUB DIV. LOT NA. rI LOCATIONB C S S � V4� PURPOSE OF BUILDING OWNER'S NAM NO. STORIES LOC> SIZE OWNER'S ADDRESS1�© A "l BASEMENT OR SLAB ARCHITECT'S NAME `7' c••S SIZE OF FLOOR TIMBERS 1ST21^ lO 2ND (\ ( 2 IC) 3RD 2KV BUILDER'S NAME E �f7L� YC. �Y4�S SPAN Z-67 � DISTANCE TO NEAREST BUILDING 30 V DIMENSIONS OF SILLS Y " POSTS C �(� C�(46 c��r _ DISTANCE FROM STREET 3 DISTANCE FROM LOT LINES - SIDES 1 J REAR l `� " GIRDERS I AREA OF LOT VS L)Z FRONTAGE %D v I HEIGHT OF FOUNDATION /_ THICKNESS fO lL�� IS BUILDING NEW y Cl 5> P SIZE OF FOOTING X IS BUILDING ADDITION /( /O MATERIAL OF CHIMNEY ' ale IS BUILDING ALTERATION do IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE y2 5 Z IS BUILDING CONNECTED TO TOWN WATER Y4 s 1R BOARD OF APPEALS ACTION. IF OF APPEALS ACTION, IF ANY I!O 4 �Y IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE 15 INSTRUCTIONS SEE BOTH SIDES � PAGE 1 FILL OUT SECTIONS 1 - 3 dSi �'- PAGE 2 FILL OUT SECTIONS i - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND CA�PPROVED BY BUILDING INSPECTOR d DATE FII fD SIGNATURE OF OWNER OR AUTHORIZED AGENT d F E E t� 7v�' J' b ��� C3OWNER TEL. a9'//d e� PERMIT GR T CONTR. TEL. ,?2-/qoV 19 t MAY 2 4 a� 7,3 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST lj ELI I . 0 p EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY WARD OF HEALTH PLANNING WARD WARD OF SELECTMEN rz e � � r�Fmjpm • w� BUILDING RECORD , 4 1 OCCUPANCY 12 SINGLE FAMILY DORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA - APARTMENTS I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL I FIN. B'M'TAREA _ 1/4 1/2 1/1 FIN. ATTIC AREA _ N_O B M T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I g FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING D ASBESTOS SIDING _ COMMCN ic VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK N MASONRY ATTIC STRS. 6 BRICK ON FRAME CONC. OR CINDER BLK.� STONE ON MASONRY WIRING STONE ON FRAME $ ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.( GAMBREL MANSARD TOILET RM. (2 FIX.( FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER 6 FRAMING 11 HEATING WOOD TIMBER BMISTb COLS. I FORCED HOT AIR FURN.STEAM I UNIT HEATtRS 7 NO. OF ROOMS GAS OIL 2nd ELECTRIC ltt 13rd NO HEATING c r FORM U - LOT RELEASE FORD INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: rS .-- Phone 68 i- / / 7— LOCATION: LOCATION: Assessor's Map Number Parcel Subdivision bbl s , Lot(s) _Ii Street St. Number ************************Official Use Only************************ RECO ATIOIJS OF TOWN AGENTS: Conservation Administrator Comments Date Approved Date Rejected Date Approved Town Planner Date Rejected Comments Date Approved Health Agent Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received b Duild:n s y g inspect Date MAY 2 41994 �l C'6,47 y � lee � E JUN 7.1994 i NIT Z e/EREOY C'eA7X-Y Tb TyE T/TLE /,t/SU.R7.C.4,t/O I'L or Tj% Tf/E B,4N,r T.ygJ' T.vEO�r'ECG/.kC /3' LOCATED 0,V Tii/E LpT.ff -ZfbA► V ANO T.SNT?,PaM% GO.d'ci'Ae ! //V %1'/if1 T,�1ETow^� A.vGbril�zON/NG c�E6!/LAT•19.t/S iQL�6v/.PD/.W JETQ.IC.t'S FGOM SJ"PEE7'.S' 1 LpT G/•vES. 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O � C = y w cr 03 CD CD C') CD CD Cl) w � M D m D O CD 0. y. y o CD m z o co C < z — y � O m CD O � o .Of � CD T O z D C CD m zo n- Cr^0^ 0 0 I 0- rD z C Ctx) d _ s O o O • H O CS co S y r M m C dO C.CD CO) n ` C � .� �.m Q C �cWo'� n p °' x O > O O Z H _ =r -o N M �I =.d.. m La - c a ,� c• o •77 W CD C CD a)O H y N .o 3ECD � a > > co CD -p O � cc O ZC.n O N • CD � z C = y w aEor Cil (^ V) O CA Cn ►—+ o CD m zo n- Cr^0^ 0 0 I 0- rD z ,� rn w s O o m < S y r M m � C O x n ` C � C aR 0 G7 r d O p °' x O > O Ct M r� C� O C CD ►Y i .ocation G No. ✓ C/- Date NORTH TOWN OF NORTH ANDOVER •.. OL Certificate of Occupancy $ Building/Frame Permit Fee $ '�s'^•°•'�� Foundatiermlt Fee $ "-y_ JAcMuse /' Other Por I ee -7 $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ d ?/,7Building Inspector •� "= " 1T3: 0 23. Ca PAID v O l Div. Public Works • 16 ! 1%.4. . \Ia . A111Ia\I S BUILDING c:ONtiI :1 tVA*1'ION ATE �.�.. )CATION J, UNER' S NAME: ALDER'S NAME:''' iSON' S NAME: ksON'S ADDRESS: ♦♦ -r r A& NORTH ANDOVER I'LANN1NG. & (A)AIQIUNI'1'1' Ul;ti�ts1.Ul'A11:N'1' 1::\1;1 ?N I I.P. N1iLSO )N. I )Iltl:(:*l ()It CHIMNEY APPLICAUION ANO I'LRAlI' 1 : , 1 1.1:1111 : t1t'1 1 h„I I I I.� t u l„„ ••1.: llililtilt!i•lii!i . �e•. 1'LK�Il'I'. # Z req iaeo 2 d5 ISON' S TELEPHONE: 6J -J, ,a d 3 q f 1/ \TERIAL OF C(fIh1NEy: ITERIOR CHIMNEY: EXI ERIOR CHIMNEY: lz IMBER AND SIZE OF FLUES: Px (ICKNESS OF HEARTH: A9 :,U chbiney aa G.(hepeaee can(unm to rifle. .the curie (11111 have "ttice.6 and ,guta ti.u)vs been neeebed::�z -- -- .TE: .;:UA.I-URE OF hMON: :liMIT GRANTED: 3 �FEE 'BERT NICETTA t 'ILDING INSPECTOR SPECTEU: 'MARKS: - SOLID BLOCK HL( U� Iltl D THIS PERMIT MUST GE UISPLAYLU 014 111E 1'IZ MISS CERTIFICATE OF USE &OCCUPANCY Building Permit Number 185 THIS CERTIFIES THAT Date AUGUST 8, 1994 THE BUILDING LOCATED ON 39 COPLEY CIRCLE - LOT #21 (Type E) MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/2 CAR GARAGE IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Cobbles tone 733 Turnpike St. ADDRESS North AnHnvPr MA Building Inspector y C= O C7 CD n Z y CD O 'v a r— 0 c c C. _• y DCO O v CD CCD O_ CL _ Cr CD 1 T rn rn IZ I C-) C) CD O CD C/) CD y < CL v y CD y x p �= CD r y v =� O �J � co Z C) w� CD T z C CD Q --CCU ?*R8 d __ O -• N C C N a O 3 CD -0 C-0 O CD CO* O n C7 C]. n T cm 0 Z NCD • d d •=p y -i Oy, .-► O ..► CD O TI �CZ� O T CCD O O CO) N o CDR `D xCD n Cl) ca O m C_ -•. otic CD c co) ilk CL CD O N . CD co CD CD . •► N O yN -- O O - N O. CO) d CD co)o 1 N O CD � =10 Nto O CD �. cli C7 ' CDCA t CD w Z-9 CD co 7 = O co � � O XZ cli r't ZCD = O ? � CD ► 1�! (n cnx G 1 G O C � 21 cp 7 �i m n _ 7 O � � z 7 S O p Pi Q G 4 ro O :Z O a r� , Z d X1\� 7 rD T i ^ G t�7 `O 7. y x zCD v z O • . Date ...... ....... 7...... a TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .... ....... ./.:..: = '.............. . has permission for gas installation.. . f'.........../ ......... in the buildings of ....7 ........................................ at ............. r ...................... , North Andover, Mass. Fee......... Lic. No........... ....................... GAS INSPECTOR Check # L:5._i MASSACHUSETTS UNwoRM APPLICATON FOR PERmrr TO DO GAS FITTING (Type or print) Date /� / G Z NORTH ANDOVER, MASSACHUSETTS Building Locations 3S (D ) Permit # Li 1 t� Amount $ J , Owner's Name New 13"" Renovation ❑ Replacement ❑ Plans Submitted ❑ Name or �)� V ,) ,�i / Pl/I/l�.f � /` p� G 7 Cj�C one: Certificate Installing Company Address x 1) -❑ Partner. i'l. 01 A /v cl () i -e �e_ -Business Name of Licensed Plumber or Gas Fitter i ❑-F'imvco. INSURANCE COVERAGE Check one:, I have a current liability Insurance policy or it's substantial equivalent. Yes [3- No ❑ If you have checked ye—s please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑/ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent [I 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 installaFe under Permit Issued for this ap lication will be in compliance with all pertinent provisions of the Massachusetts S e Gjr pter 14 the Laws. ' (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber ❑ Gas Fitter Zicense um r 0 -Master [:]Journeyman