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HomeMy WebLinkAboutMiscellaneous - 44 ASHLAND STREET 4/30/2018 - J -44 ASHLAND STREET ` T 210/017.0-0021-0000.0 f i THENORFOLK ®EDHAiWGROUN i I March 29, 2016 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B Building Commissioner, or Inspector of Buildings c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Board of Health or Board of Selectmen c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Fire Department or Arson Squad c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 RE: Our File No.: P1608377 Insured: JOAN B HOUGHTON Address: 44 ASH STREET, NORTH ANDOVER, MA Policy No.: F0100757 Loss Date: 03/18/2016 Loss Type: Building or Other Structure Damage A 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, Ch. 143, Sec. 6 to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct it to my attention and include a reference to the captioned insured, location, policy number, loss date and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property, and the claim will be paid in our customary manner. Sincerely, William Lamb Manager, Property Claims 1-800-688-1825 x1137 NORFOLK&DEDHAM MUTUAL FIRE INSURANCECO. 222 Ames Street,P.O.Box 9109,Dedham,MA 02027-9109 DORCHESTER MUTUAL INSURANCE CO. Telephone:(800)688-1825 FITCHBURG MUTUAL INSURANCE CO. Fax:(781)329-1818 Date... .... ........./i� tAORT#f 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ? s`4'�CHUSE This certifies that ........................ has permission for gas installation .......... -7 Ile ler—„L.,,,,,, ........... inthe buildings/of .............................. ............................................................................. at.... .............. North Andover, Mass. . ............. Fee!?!�—.... Lic. No. ,2��../ Check# (0 GAS INSPECTOR MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK I OR CITY MA DATE PERMIT#jo q 1 �--- JOBSITE ADDRESS ! � 1L _ __OWNER'S NAME .11tS� GOWNER ADDRESS I TEL—_ _JFAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ® RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: REPLACEMENT:[JaA L LANS SUBMITTED: YES 0 NO APPLIANCES Z FLOORS-- BSM' 1- 2 3 4 5 1 6 7 dV 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT _ OVEN POOL HEATER ROOM/SPACE HEATER r- ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER INSURANCE COVERAGE have a current liability' I y insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES V6NO 1 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY PQ OTHER TYPE INDEMNITY ® 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 0 AGENT [�( SIGNATURE OF OWNER OR AGENT 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 Pertinq t provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME "AWyW-- LICENSE#1 SIGNATURE MPI MGF Ej JP JGF LPGI CORPORATION[]# PARTNERSHIP©# LLC�# COMPANY NAME: ADDRESS �C CITY STATE t11 ZIP _]TELO C2 FAX CELL _ EMAIL `� ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No /7/46 xm THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES . The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 . www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print LeeiblY Name(Business/Organization/Individual): Pa Address: I rT- City/State/Zip: t/Yl d,30 Phone#: Are you an employer?Check the appropriate box: Type of project(required): LF-1 I am a employerwith employees(full and/or part-time).* 7. ❑New construction 2.�7 I am a sole proprietor or partnership and have no employees working for me in 8. E]Remodeling �t any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.❑I am a homeowner doing all work myself[No workers'comp.insurance required.]t ❑4.FII am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. • 12.E]Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ❑ 13.F1 Roof repairs These sub-contractors have employees and have workers'comp.insurance.1 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no.employees.[No workers'comp.insurance required.] *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. #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 workers'comp.policy number. I am an employer tlzat is providing workers'compensation insurance for my employees.'.below is the policy and job site information. Insurance Company Name: pG Policy#or Self-ins.Lie.#: 60 t 7 v©o 2--7 Expiration Date: Job Site Address: `� 145�Q'fnb Z 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 MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DTA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided bove' true and correct. Signature: Date: / 0 Phone#• (co? l 60 10 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#: ` 1 Information and Instructions r Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as ...eve person in the service of another under an contract of hire "...every P Y 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),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. Also 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia N t0COMMOM Si SE SAC ' " . 77$ a , „BOARD:o ?LUMBCn AsdO. GASVil TER? is-�U�S T�;E FOLLOWI f_G CENSE,z L I CENS D AS A JOURNEYMAN RILUhj ER .— ;T&RRYF C F I U-MORE W A B 0 c Kt 5uj i z <N 03051-3 i i`6" •: 2204tt OV 0.1:. 16......: 240686 4 r Location 4 No.- Date TOWN OF NORTH ANDOVER 3?Oai�ao •.�O a op Certificate of Occupancy $ o Q Building/Frame Permit Fee $ - 1'�s" Foundation Permit Fee $ u� Other Permit Fee $ CU Sewer Connection Fee $ Water Connection Fee $ T TOTAL $ m d f/ Building Inspector d s, 10917 Div. Public Works ��ctT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE MAP:l40. � 0 2 RECORD OF OWNERSHIP DATE BOOK -'PAGE con ZONE I LOT NO.SUB DIV. LOT NO. I LOCATION w AkA_LJ1 AS* iA a.t11 PURPOSE OF BUILDING t OWNER'S NAME KVSS/'`,N \Ct-� NO. OF STORIES SIZE OWNER'S ADDRESS sRopacWh'i �c' �." BASEMENT OR SLAB I` I - l�7 i+F'��V v �i ARCHITECT'S NAME NQ A`!' SIZE OF FLOOR TIMBERS IST 2ND 3RD I BUILDER'S NAME R'^j� � W�L�� SPAN - �� ���� •• DISTANCE TO NEAREST BUILDING /MRiP A -McAif; ) DIMENSIONS OF SILLS -_ -- DISTANCE FROM STREET 4 r'l / POSTS 'K DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW „ , 1 SIZE OF FOOTING X IS BUILDING ADDITION N'© /C/� ��'p ,x�S"r1 MATERIAL OF CHIMNEY IS BUILDING ALTERATION (f 0 fy - IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY 7 IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE 3 PROPERTY INFORMATION INSTRUCTIONS LAND COST 1 SEE BOTH SIDES EST. BLDG. COST a/ yGn.ra PAGE 1 FILL OUT SECTIONS i - 9 EST. BLDG. COST PER SQ. FT. " PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND IlAPPROVED BY BUILDING INSPECTOR DATE FILE 'd, �� DUILDINQ INSP[C'TDI! SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E OWNERTEL# PERMIT GRANTED CONTR.TEL# IB CONTR.LIC.# dLA 1 � H.I.C.k MAY 1 4 1997 BUILDING RECORD i OCCUPANCY 12 SINGLE FAMILYs�oR1Es 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. i CONSTRUCTION Sem (G 2 FOUNDATION _ 8 INTERIOR FINISH CONCRETE _ 3 1 2 13 CONCRETE BVK. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL - 'UN—FIN. 3 BASEMENT f 1 AREA FULL 11 FIN. B'M'T' AREA _ 114 1/1 % FIN. ATTIC AREA _ NO B M'T FIRE PLACES 1 HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS li CLAPBOARDS B 1 2 ]�3DROP SIDING CONCRETEWOOD SHINGLES EARTHASPHAIi SIDINGHARDVJ'D ASBESTOS SIDING COMMON VERT. SIDING ASPH.TILE STUCCO ON MASONRY STUCCO ON FRAME ISONRY ATTIC STRS.3 FLOOR _ BRICK ON FRAME CONC.OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR II POOR 11 ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) _ GAMBRELMANSARD TOILET RM. 12 FIX.) FLAT 11 SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROIL ROOFING 11 MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE 1 FORCED HOT AIR FURN. p TIMBER BMS. 3 COLS. STEAM STEEL BMS. &COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G r UNIT.HEATERS 7 NO. OF ROOMS GAS OIL 1 B'M'T 2nd _ ELECTRIC v 1st 1-Y,—dI NO HEATING i PECK ?,E?LAcCMetJT" 44-LIC Ptsi4LAt,4A , a £x 15Ti w G RCa4;:. s moi. 1 MASTS NO'TGI�t✓D `PI-ATl p '>k To ►t rrc or—, QF, r> cK F3ox RAILIMCi n cops _i,. ._ .__,1 '.::1 _ 1`.=•`^-� SZA11..1Nb 6TRuG`CU�.-�a r a; --,} , i I '1 z f �O\S' S {� 1 tTNvTaI HAN 6CRS VOTtj 4e kk At Wk 5a�.vENt2ET� v�6,5 PALL LU t"A FS CK Tv 56 : loess f 6 F F_-4 sTIw rie:CK 17 MUK I UAVt NLU I PLAN 40-42 / 44-46 / 48-50 ASHLAND STREET NORTH ANDOVER, MASSACHUSETTS ' SCALE: l" = 40' BUYER: RUSSELL HERTRICH MARCH 20, 1984 rn Q ir y C Q *�,� u► NOTE: THIS IS NOT A SURVEY AND IS TO BE USED FOR MORTGAGE PURPOSES ONLY. ✓� �;, N.B.- DO NOT USE OFFSETS FOR ESTABLISHING LOT LINES FOR THE ERECTION OF FENCES, WALLS, HEDGES, ETC. roti s T t at I HEREBY CERTIFY THAT THE BUILDINGS ON THIS PROPERTY ARE LOCATED AS SHOWN ON PLAN AND COMPLIED WITH THE LOCAL ZONING SET BACK REQUIREMENTS WHEN CONSTRUCTED. **NOTE: SIDE YARD REQUIREMENT FOR SHED IS TWENTY FEET. CYR ENGINEERING SERVICES, MIC, I TURTHER CERTIFY THAT THE ABOVE DWELLINGS ARE NOT 300 CANAL STREET LOCATED IN A FLOOD HAZARD ZONE. LAWRENCE. MASSACHUSETTS M1.. 0 FORM U - LOT RELEASE FORM i 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: u S S �/7F� Phone { I LOCATION.. Assessor's Map Number 7 Parcel Subdivision c Lot(s) Street ,� V A26664A)D St. Number ********************* Official Use Only************************ RECO AT N AGENTS: ee Date Approved I� Conservationdministrator Date- Rejected Drs r, wm� { ,M � � � • Date Approved r Town Planner Date Rejected Comments ' I i Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit I Fire Department Received by Building Inspector Date '44- - r10RTjy 01" - o - over L No. In m dover, Mass., S-/0%D 19 9s w 9A COCHCHEWICK 1- f'9s off, E o S U BOARD OF HEALTH PERMIT T . D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT.................................................k4S..S...........#Sj"R1..0.. . .......................................... Foundation a on has permission to erect.......�Q�D.I.Z��/..a./�yt... bwWiugson..... If n#..(a. S'f��.,��Q. ./100 ..... Rough tobe occupied as.................................................REAt ...........pe .5................................................... chimney provided that the person accepting 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR Rough ............................... ......... Service ... . ........... ................................... BUILD G INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Location r No. Date NORTh TOWN OF NORTH ANDOVER 0 a Certificate of Occupancy $ A Building/Frame Permit Fee $ Foundation Permit Fee $ sAC 4 Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ R• f� Building Inspector � q-0973 Div. Public Works PERMIT NO. , ' APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE ; MAP LOT NO 2 RECORD OF OWNERSHIP ID TE BOOK 'PAGE t ZONE , SUB DIV. L�O. FLOCAI I - TON � / ,y PURPOSE OF BUILDING .. . .. ..-- -•".::, OWNER'S NAME O f NO. OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE dF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME rl l-1-7 Lkx)oj co SPAN DISTANCE TO NEAREST R'JIILDING 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 t 18 BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND - 1 WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER 18 BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH BIDES •... :'.... .�f. .. " " .. .. ... :�. ;:. EST. BLDG. COST !A. PAGE 1 FILL OUT SECTIONS 1 - 3 [ST. BLDG. COST Pth 914. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM i itPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING SAPPROVED BY S ATTACHED GARAGES MUUT CONFORM TO STATE FIRE REGULATIONS t r PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED ■UtLDINO INSIrLG'TO/ SIGNATURE OF OWNER OR AUTHORIZED AGENT :1 F E E OWNER TEL N PERMIT GRANTED CONTR.TEL/ (0Q>? f "I q 10 . 9 r ` CONTR.LIC.1 /�``v2� 2Y7 7 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY SroR1E5 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MUIII. FAMILY' OFFICES LOT LINE!S AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B' 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HAROW D PIERS 'PLASTER _ DRY WALL _ _ _ `• UNFIN. 3 BASEMENT AREA FULL FIN. B'M'i' AREA _ 1/1 71 '/. FIN. ATTIC:AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS 5. CLAPBOARDS B I 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING I ARD"l O ASBESTOS SIDING COMI+II;N _ VERT. SIDING ASPH. TIIE STUCCO ON MASONRY _ STUCCO ON FRAME - BRICK ON MASONRY ATTIC SIRS. 6 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING - _ STONE ON FRAME SUPERIOR OR ADEQUATE I---I NONE �j ROOF 10 /LUMBING GABLEHIP BATH 13 FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) _ i FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 6 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO E; FUMING 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 _..:. ..... .. .. GAS .. .. _ -._. ..: NO. OF ROOMS -J .. . ._ . OIL B'M'T 12nd I_ ELECTRIC Is, ]rd NO HEATING cfORT Town of eAndover No. - * �.KE dover, Mass., CQ 19 s �09 "co INICHIE CK 'Y 1• 4�qA E D�QP�y S ` BOARD OF HEALTH Food/Kitchen PERMIT Septic System } BUILDING INSPECTOR Ell Wrm—mtc...4...........................................THIS CERTIFIES THAT..................................R..�.s ................ Foundation has permission to x....1.. ... '..6.4.......... buildings on..... .... ........... ............. Rough to be occupied as �. .. ............................................... in y provided that the person accepting this permit sh II 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MON ELECTRICAL INSPECTOR UNLESS CONSTRUCTION Rough 'a Service BUILDING INSPECTOR Final Occupancy Permit Required to ccupy 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. • Smoke Det. i I �, i i II �I I i i , . � .--. P k . ,� r_. i` ♦_,