HomeMy WebLinkAboutMiscellaneous - 4 JOHNSON STREET 4/30/20180
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Locatio
No. Date
0
TOWN OF NORTH ANDOVEq
am -4991111h S' Certificate of Occupancy $
Building/Frame Permit Fee $
Foundatip 1 P Fee $
n Trpt i- A_
P e 'rm i tee-e*r—� $
Sewer Connection Fee $
Water Connection Fee $
$
TOTAL
&-,6
'Building lnspdctor
10630 Div. Public Works
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a. ISSN
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Date
(X j Fee Requ iAed (Amount)
( ) No Fee Reguilted
,In accordance with the prtov.us.ionz o6 the Massachusett's State Bui kiting Code, Section
1080, 15, I heteby apply Son a CeAti6icate o6 In6pection Son the betocu-named pn.emizu .Located
at the Sottowing adduzz :
Street and Numbeh �%�►Nr' o'
Name o6 PnemLs ens ' o p 0 pS %)AAIV%
Puhpo,5 e Son Which-T-Leftt6e,6 " U.6ed �2e, E� tx vn.�
L.icerv., a (a) on PeAm t (a) Requited Son VCe Pnemc b
" L.ic.erib e. on PeJilnit "
w� i Kfi:ti, a Vw,p-vN
C 4q- ZE to to be .vs-zue
Add&u s 5q ✓ --c
GwneA o6 Recon o
Addkuls (So kN
Nam e. o S Pnea ent Hof -den o
Name o6 Agent, .is any'_
Ell
y�Uten NvRnmMYE Agericiez:
IS ISSUED OR HIS AUTHQRIZED AGENT
INSTRUCTIONS:
l) Maize check payable to: -Town of *North Andover
21 Retun.n this appt i.cati.on with your check to: Building Dept . , Town Off ice Buildipg�,�_ _
120 Main Street, North Andover, MA 01845
PLEASE NOTE:
J) Appti.catiQn Sown with accompanying bee must be subini.tted Son each building ort ztnucturte
on path thenen 6 to be ce&t i 6 ied.
2) AppZication and See must be tece i.ved beso-te the ce ti s.icate cui U be .is Sued.
3) The building 066.ici.at .bhaU be not,iS.ied within ten (10) days o6 any change in the above
.insorunat.ion.
CERTIFICATE # ..............
EXPIRATION DATE: �-- ?�O-
FORM SBCC-3-74
No.: —'
Date 1218197
I ro%
0. TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
Ala. Building/Frame Permit Fee $
SS C US Foundation Permit Fee $
Other Permit Fee $
CEP,T OF INSPBCTION $40.00
Top of the Scales Restaurant Cu
4 Johnson St
104�&
17-0 Buil-ding or
OFFICE OF Tilt: INSPECTOR OF BUILDINGS
INSPECTION REPORT FORM
G �
�a-::.JSIFICATION PASSES INSPECTION
yesQ no Q DATED
ii it ER
We]
••.Lr LOCATION
.'L OF OCCUPANCY - Day Care Center C1 Aud. D Cafe L% Gym ,Q7 Apt, C
School Q' Common. VicUla ler `5 .'� Liquor L7 Place of Assembly ZSZ----
other
'UPANCY NUMBER (i. iidP
Fl -
`1' S I GN
JHTED EXIT SIGNS operable
MERGENCY LIGHTING SYSTEM
FRINKLER SYSTEM
MOKE DETECTORS
IIRE.EXTINGUISHERS
SUL SYSTEM
IRE ALARM SYST&I
E X I S T I -N G
yes �o C
yes /a.�o Q
operable _ dry cell G7 wet cell LL,
operable L7 gage Pressure yes =no —
L_
operable
yes �--- 0 /-
espiraticn date yes
operable =
.CTRIC EQUIPMENT PROPERLY PROTECTZD
DRESSES LAWFULLY DESIGNATED
I'AIRS PROPERLY RAILED
LLS' AND STAIRWAYS LIGHTLD
DIATOR GUARDS
.IPLIES HANDICAPPED PERSONS LAWS
'E RESISTANT CURTAINS OR DRAPERIES
yes / o
municipal L-7 cs
ti
Y '
L���ye s L�--trt� L
unobstructed yes —,2 —too
yes �ty�io iQ'
y e s
yes :_?
110 -.
yes L7
nu
yes L7
nu=.,
HEATED NO. F11tEPLACES
yes / no L-'
LER ROOM CONDITION
,TILATION
L ITY ROOM - CLOSETS � f�
•1BER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS 2�
::BER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORE -
)PS
Date .lo? a
COMMONWEALTH OF MASSACHUSETTS
TOWN OF North Andover
APPLICATION FOR CERTIFICATE OF INSPECTION
A
(X) Fee Kequ.ve.eii ;„!l�vu✓,,,., 0
( ) No Fee Requ.i,�ced
In accondanee with the pnovisions o6 the Mamaehuzett�s State Buading Code, Section
108, 15, I hereby apply ban a Centi4icate of Inspection bon the below -named pnem-i�se/s Y.ocated
at the 6otZowing add uz :
StAeet and NumbeA
Name o6 Pnem.iza d �� f i as�—
P;,otpo.! e 4o t Which PAe-mLs es ,Lz used ✓ �.1e/r�,a
License(.6) on Pe,,m-ct(.$) Requited jon zhe Pne�-.m Aep� . �vthelr�oVe,%nme,ucr
Licem e on Pehm.i t icy
Alco GW cow„ / vrolva o ons
Ewa Sen Fcc .r f-
CvrL-ti6 cafe to be izzued to
Addnes,s ft -- 1
OwneA o6 Reconcl a ng eti AP
Addne s s "e
Name o-1 Ph es e n -t : o en. o ehtc icate
Name o6 Age2t, tib any
. A)-'� � >- Rt���
IS ISSUED OR HIS AUTHORIZED AGENT
INSTRUCTIONS:
eytC ke/5 :
1) Mae check payable to: Town of North Andover
TITLE
2) RetuAn this apptication with youh check to- Town of North Andover Building Dept.
146 Main Street - Town Hall Annex
North Andover, MA 01845
PLEASE NOTE:
1) Appticati.on 6anm with accompanying {gee must be submitted 6oA each building on..6tAuctun.e
on pant then.eo6 to be eetti6ied.
2) AppZicati.on and 6e.e must be received bejon.e the eekti6icate w U be i6zued.
3) The building o64,Lc,i.a2 sha.0 be noti6ied within ten (10) days o6 any change in the above
injonmatton.
CERTIFICATE �� fm o
EXPIRATION DATE: %7
FORM SBCC-3-74
TOWN OF.M_NUIt_fll Af4D0VER__ _�:� _ INSPECTORS NAME
OFFICE OF -THE--,-INSPECTOR OF -BUILDINGS=--
-INSPECTION REPORT FORM
CLASSIFICATION ASSES INSPECTION yesLy' no, DATED
OWNER
BUILD
STREE
TYPE OF OCCUPANCY - Day Care Center = Aud. /7 Cafe = Gym /__7 Apt. 47'
School Q Common Victualer's 47 Liquor = Place of Assembly ,C�
other
OCCUPANCY NUMBER (illelildp gtories T and ocyn.pancy pgr- floor use r v rGP mid
E X I S T I N G
EXIT SIGN - yes Z��fio G'
LIGHTED EXIT SIGNS operable yes CI no
EMERGENCY LIGHTING SYSTEM operable dry cell /:E3 wet cell L!
SPRINKLER SYSTEM operable 0 gage 'pressure yes L7 no L_ -=-
SMOKE
_-= -
SMOKE DETECTORS operable L� yes [ono /f:'
FIRE EXTINGUISHERS expiraticn date . /_ ? 7 yes 0 no Li
ANSUL SYSTEM
FIRE ALARM SYSTEM
operable ,Ci%!
ELECTRIC EQUIPMENT PROPERLY PROTECTED
EGRESSES LAWFULLY DESIGNATED
STAIRS PROPERLY RAILED -
HALLS AND STAIRWAYS LIGHTED
RADIATOR GUARDS
COMPLIES HANDICAPPED -PERSONS LAWS
FIRE RESISTANT CURTAINS OR DRAPERIES
HOW HEATED N O .
BOILER ROOM CONDITION
VENTILATION
UTILITY ROOM - CLOSETS
yes i« ---r, o l_7
municipal L7 yes U no I --
yes
unobstructed �es
L�n o
��-t--no
L_,
/___7_.`
yes
/ no
ice'
yes
Z:-��no
yes
yes-
yes
no
no
no
f- �
FIREPLACES —yes= no=,
NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS
NUMBER OF
SEPARATE STAIRWAYS
ACCESSIBLE
PER STORY
SHOPS
use reverse for conunents
Location
No. Date
14ORT" TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
ACHU Foundation permit Fee $
1 6 6 ' 0
&I , r J� �ee s -/ - '� v -
Sewer Connection Fee $
Water Connection Fee $
TOTAL
40.00
9435
$
Building Inspector
PAID
Div. Public Works
CUA MONWLAL111 OF I.fASS11QWStIJS
TOWN OF NORTH ANDOVER
APPLICATION FOR CERTIFICATE OF INSPECTION
Dated �e� (X) . Fee Requ,v)Led (Amount) �O
( ) No Fee Requviced
In aceondanee with the pnav"ionz 06 the Ma6sachuz etU State Bu%ed ing Code, Section
108,151 I hereby appty son a Celrti.s.ieate os Impection son the beeow-named pnemizez .located
at the 6otiow.ing add&uz: .,
Street and NumbeA
Name o 6 PAem,us ens
PuApo.Se son Wh,ieh7nejnt e;s .us -6e
L -icen,W.d) on Pe reit (.6) Requited so''.
L.icervs e ok'POuiit
_ I.
57avPwL— G,
e Ph. em.! 3 ens by
kl-v
etc Goveftuvnentat Ag en ops :
Aq enc
cuu k v e .to e�ue to �� F_ �a S �,I��sT vs� r►,� c�F /1� ► S ��T�.�-�,
Addne�s,s �o hN-�,iri —
OwneA os Reco&d o ng '
AddAu,s . .
Name 06 PAe s e�aeA o6 CeAti6icate 41,4.
Name os Agent, 1's any .
IS ISSUED OR HIS AUTHORIZED AGENT
IAILC
l j.Y9y.
INSTRUCTIONS:
1) Make, cheek payabte to: ' Town of North Andover
2) Retwm thus apptieation with your check to: ' Building Dept. , Town Office-Buildi.t
120 -Main Street, North Andover, MA 01845
PLEASE NOTE:.
1) Appticat.iQn saran with accompanying see must be submitAed 60A each bu,i.Lding oA 6t)Luctme
on pant theneo6 to be eent.i6.ied.
2) App.e i:cation and see mint be Aece,ived besoAe the cmti ' icate witt be issued.
3) The bu td,ing 066'ciaz shaZZ be not;is.ied w-ithbi ten (10) days os. any change .in .the above
.insonmation.
CERTIFIJUE #TOO - , 2.9
EXPIRATION DATE: 12:- a/- 96
FORM SBCC- 3- 74