HomeMy WebLinkAboutMiscellaneous - 45 LACY STREET 4/30/2018 (2) / 45 LACY STREET
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2012 Massachusetts Electrical Code Amendments 527 CMR 72.00§Rule 8: In accordance-with theprovisions of M.G.L.c.143,'§,3L,the
permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed• "
on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.CU c. 166,§32,an
electrical permit shall be issued to the person,firm or corporation stated on the permit application.Such entity shall be responsible for the
notification of completion of the work as required in M.G.L.c.143,§3L.
Permits shall be limited as to the time of ongoing construction.activity,and maybe.deemed_by--thelnspector_of_W-xes abandoned.and.invalid-ne—
or she has detemrined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written
application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written
request of either the owner or the installing entity stated on thq permit application.
The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sectipns.74 and 75 of Chapter 238 of
• the Acts of 2012.The purpose of this act is to promote job;growth and Iong-term economic recovery and the Permit Extension Act furthers this
purpose by establishing an automatic four-year extension to certain-permits and licenses conceming the use or development of real property.With
limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was
"in effect or existence'during the qualifying period beginning on August 15,2008.and extending'tbrough August 15,2012.
ule 8—Permit/Date Closed: '"`�3 "l **Note:Reappl new permi
ermit Extension Act—Permit/Date Closed:
A gORTot
,,aD "°oma TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
CHU
4This certifies that ..... - *......... . ..........................................
haspermission to perform : zr.. ..-..... � ... . �.. ......,.....r-..............
ia
wiring in the building of....... .................................................
at..?.`-J..... "'r.G.., .....................G
.:...,North Andover,Mass.
Fee.9 i.�..... Lic.Nor�.�-���.......... .
j ELECTRICAL INSPECT��
Check # ��73
876
Commonwealth of Massachusetts Official Use Only
Department of Fire Services permit No. R
Occupancy and Fee Checked,!:5�;. J
BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(M C), 7 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORAMTION) Date:
City or Town of-. N, na6wr To the Insie for of Wires:
By this application the undersigned gives notice of his or her in en ion to perform the electrical work described below.
Location(Street&Number) 7
Owner or Tenant C oi Ic Telephone No. 2- g
Owner's Address ..yyIA-
Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box)
Purpose of Building Utility Authorization No. OTL19 Z 62
Existing Service I (� Amps [(n / Z-7p) Volts Overhead Undgrd❑ No.of Meters
New Service Amps / /Z Volts Overhead Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and N ture of Proposed Electric 1 Work: e otl f new Uh Pi' 6hall
S � r
Completion o the followin table may be waived by the Inspector of If'irer.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting
rnd. rnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners o.o Detection an
V Initiating Devices
No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices
No.of Waste Disposers eat Pump umber onso.oSelf-Contained
Totals: "" "' """' ...... Detection/Alerting Devices
f No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security ystems:
No.of Devices or Equivalent
No.of WaterNo.o o.o Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or E uivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Ifires.
Estimated Value of 5lectyicai Work: (When required by municipal policy.)
Work to Start: Q9 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE C VE AGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
ry undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
'i CHECK ONE: INSURANCE a' BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: - flri C ] 1 11,4 LIC.NO.:
Licensee: L'i c ba f d 'Aye- Signature LIC.NO.: 7611
(Ifapplicable,enter"ex mpt"in the license number line.) Bus.Tel.No! 11-0/
Address: 1Z WaSh i C ` 'v l c2 Ve(Llf 1-J Alt.Tel.No.: 9'7f&92 2117
*Security System Contractor Wense required for this work;if applicable,enter the license number here:
OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,1 hereby waive this requirement. I am the(check one)❑owner ❑owner's a ent.
Owner/Agent PERMIT FEE. $
Signature Telephone No.
�gR7Fj .
�4�.y�cy yifnO
A
NORTH ANDOVER BUM DING DEPARTMENT
• �R.STEO •cy - ,1600 Osgood Street
�SSAs-�{IS�'� • • •
North Andover
Tel: 978•-688-9545
Fax: 978-688-9542
DA's:
NAYM: _T 1.
ADDRESS:, LIs-
,ONITGDI-STPUOT:
TYE OF13USINESS.: C�p� c 1- �l L4Cc
BUMDING LAYOUT PROVIDED: YES NO
?ON.Ii GEYLA'sUSAGE: 'SES INTO
E DING WSPEOTOR SXGNATTJPX
BUSINESS FORM FORTOWN CLERK
' I
7,. D Rome Occupation(1989/32)
.An accessory use conducted within a dwelling by a resident wlro resides in the dwelling as his principal
address, vvhich is clearly seconda.Ty to the use.of the building for living pwposes. Home occupations shall
' 'incIude;"but not'limited to the following uses; Personal services such a-.---finished by an artist or ins#raotor
but not occupation involved Ruh motor vehicle repairs, beauty parlors, animal kennels, or the conduct of
retail business,or the mwiufacturing o£goods,which.impacts the residential mature of the neighborhood,
d. For use of a dwelling in any residential district or multi-family district for a home occupation, the
following conditions shall apple.
a. Not more than a total of three (3) people may, eriiployeq•in tlie:.�iome, occupation, one of
whom shall be the owner of the home occupation and residing in said dwelling,
b. The use is carried on strictly v&hinthe principal building;
c. There shall be no exterior alterations, accessory buildings, or display which are not customW
with residential buildings; -
d. Not more than twm-t five (25) percent of the exisfng gross boor area of the dwelling unit.
so used, not to exceed one thou-sand (1.000), square feet; is devoted to'such use. fn
connectionwith '
such use,there is to be.kept no stock in trade, commodities or products which occ4p3r space
beyond these]imits;
e. There will be no display o£goads or wares visiblo.from the street;
f The building or premises occupied shall not be rendered objectionable or detrimental to the
msiderdal character of the neighborhood due to the exterior appearance, emissioxi of odor,
gas, smoke, dust, noise, disturbance, or in;any diher way become objectionable or
detrimental to any residential use within the neighborhood;
g. An.y such building shall include no features of desir.not cus maq M buildings for residential
I
J)WI-ac)5
Signature Date
i -
i
Location—//
No. j Date
AOR,►, TOWN OF NORTH ANDOVER
F � 9
• i �
Certificate of Occupancy $
SJACMUSEt� Building/Frame Permit Fee $
Foundation Permit Fee $
' Other Permit Fee $
TOTAL $
Check # —A
Building Inspector
.✓ 4
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER: DATE ISSUED:
o'Z
SIGNATURE: ✓// ` CCaa�
Buildin Commissioner/19Sfor of Buildings Date
SECTION 1-SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
Map Number Parcel Number
1.3 Zoning lttfotmation: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sf) Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide Regaired Provided Required Provided
1.7 Water Supply M.G.L.C.40. 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 R,,C d
Name(Print)�' ` Address for Service: 9J
V
Sig
natu e Telephone Q
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3-CONSTRUCTION SERVICES 90
3.1 Licensed Construction Supervisor: Not Applicable ❑
Licensed Construction Supervisor:
License Number
Address ti
Z
Expiration Date sate
Signature Telephone ic
3.2 Registered Home Improvement Contractor Not Applicable ❑
Company Name
Registration Number rim"
Address
coma
Expiration Date
Signature Telephone
sr �.
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 buildinE permit.
Signed affidavit Attached Yes.......❑ No.......❑
SECTION 5 Description of Proposed Work check all applicable)
New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be' e: OFFICIAL USE ONLY;
Completed by permit a licant
1. Building (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 I
6 Total 1+2+3+4+5 1 Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMAETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BULDING PERMIT
� a
I, � ( .. jA/ as Owner/Authorized Agent of subject property
Hereby authorize to act on
/ My behalf,in all matters relative tq,Cv autho VeA y this building permit application.
Signature of Owner Gam-- Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
1, as Owner/Authorized Agent of subject
property
Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief
Print Name
Signature of Owner/A ent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR THVIBERS 1 s 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
I
t H°RTN
Town of North Andover ;�o
Building Department A
27 Charles Street
� Y
North Andover MA. 01.845
D. Robert Nicetta
Building Commissioner
(978) 688-9545
.:(978) 688-9542 Fax
HOMEOWNER LICENSE EXEMPTION
Please print.
DATE L t e� b
JOB LOCATION LA C l �`
Number Street dress Map/lot
"HOMEOWNER
Name Home Phone Work Phone
PRESENT MAILING ADDRESS
i
City Town State Zip Code
The current exemption for"homeowners"was extended to include owner-0ccupied dwellings
of two units or less and to allow such homeowners to engage an individual for hire who does.
not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1)
DEFINITION OF HOMEWOWNER:
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which
there is, or is intended to be, a one or two family dwelling, attached or detached structures ac-
cessory to such use and/or farm structures. A person who constructs more than one home in a
two-year period shall not be considered a homeowner.
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
Applicable codes, by-laws, rules and regulations,
The undersigned"homeowner"certifies that he/she unde nds the Town of No.Andover
Building Department minimum inspection procedureond uiremen and that he/she will
comply with said procedures and requirements. f`
9
HOMEOWNER'S SIGNATUREA4— /'/ r'
APPROVAL OF BUILDING OFFICIAL
T40RTH
Town of And
0
No.
over
Z
dover Mass., •d 00/
LA
O'Q COCMIC 1� ,
�i9SDRATE D PP�`�,�5
H �
BOARD OF HEALTH
ERMIT T [Foundation
/Kitchen
c System
THIS CERTIFIES THAT.........�'��`�r'` a /v S BUILDING INSPECTOR
........................................
.......................................................................
• ' .....................................
has permission to erect.....V f� buildings on......4.
......... �... �9...��•�.......�.............................. Rough
to be occupied as..............5
...............�.�A�all
.... Chimney
provided that the person accepting this per ............................................................................................... ..... .. .. .in every respect 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. YVN to
p 1 ` 3 PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Rough
PERMIT' EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUC'T'ION STARTS ELECTRICAL INSPECTOR
.......................M...M... ........ ... ... ....... Rough
• .....:..... ....... ..... ........... Service
BUILDING 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
Until Inspected and Approved b the Buildin Inspector. FIRE DEPARTMENT
Y g
Burner
Street No.
I F�7S7EREVERSE SIDE Smoke Det.
(� office Use only
=v-= The Commonwealth of Massachusetts
Perini[ No.
Department of Public Safety C"
6= (i cupancy S Fee Qoeck
BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 12.00 3/90
(Irave blank)
i
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
•
All work to be performed In accordance with the Mass.achuseru Electrical Code, 527 PR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFOR2SATIL�Vee
DateCity or Town of Aoef4 To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) LA ,2-q S(�-
Owner or Tenant C' .{tse-S
Owner's Address Sq`-&e- iqs, AV)n t `C _
Is this permit in conjunction with a building permit: Yes 9 No ❑ (Check Appropriate Box)
Purpose of Building Z �(�(7!`l A I M lqj C Q!,, Utility Authorization 140.
Existing Service ( Amps f �} / 22 ovolts Overhead 1z Undgrd❑ No. of Meters ON(?,
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and ?rapacity
Location and Nature of Proposed Electrical Work
w tc Cf S SLQ Foca S m
No. of Lighting Outlets Total
f; g No. of Hot Tubs No. of Transformers KVA
No. of Lighting Fixtures Swinuin PAbove In-
gool grnd. ❑ grnd. ❑. Generators KVA
No. of Receptacle Outlets No. of Oil Burners INo. of Emergency Lighting
Battery Units
No. of Switch Outlets No. of Gas Burners FIRE ALARIMS No. of Zones
No. of Ranges Total No. of Detection and
g No. of Air Cond. tons Initiating Devices
No. of Disposals No. of Heat Total Total No. of Sounding Devices
PUMDS Tons KW
No. of Dishwashers Space/Area Heating KW No. of Self Contained
Detection/Sounding Devices
No. of Dryers Heating Devices KW Local❑ Municipal D Other
Connec-S.on
No. of Water Heaters k'W No, of No. o Low Voltage t �
Signs Ballasts Wiring
No. Hydro Massage Tubs No. of Motors Total HP I
OTHER:
„�
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial
equivalent. YESn NO E] I have submitted valid proof of same to this office. YES4 NO 11
If you have checked YES, please indicate the type of coverage by Necking the appropriate box.
INSURANCE �9 BOND ❑ OTHER ❑ (Please Specify) C} ��
/ I Expira 'on ate)
Estimated Value of E ect (cal Work $ (s
/ C
Work to Start 2 (p Inspection Date Requested: Rough .'(/ Final
Signed under the enalties of per'ury:
FIRM NAME LIC. NO.
72
Licensee Signature LIC. NO. 3 �
Address us. Tel. No.
Alt. Tel. No. 1,(7 3Z1 -1��C�/ /� JV
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- 4
stantial equivalent as required by Massachusetts General Laws, and that my signature on this per
application waives this requirement. Owner Agent (Please check one)
Telephone No. PERMIT FEE S
(Signature of Owner or Agent
�.r
Date....7 ........
.. .J6
359
,10RTM
°f< `° :•_�"o ' TOWN OF NORTH ANDOVER j
PERMIT FOR WIRING'
�
At US
This certifies that ...... ......G / ! 0..................6ry CL
.................. ...................
If A—
has permission to perform ..... .. ..( .... ..........f( rt ?.:..........� {
• M
wiring in the building f......
at... .... . .... ......... ........��l....................... ,North Andover,Mass.
. ass
Fee... .. .............. L;tc.No. ............. �............... . mrg....... . .....
/
EL
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1
WHITE:Applicant CANARY: Buildk!D4t. J/P�1K:Treasurer
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73
Z4.1i
T}lE•ZIEC3Y aae77f:'Y '-,W.d7' 7WE
GEOTECHNICAL. CONSUL TMUS
OF MASSACHUSETTS INC.
NORTH
1um.�As Street
NORTH ANDOV€R, W.IkSSACWJS�EM-.471845
���j _7 s�•�1.;,, � y �"""':,7"��';!f.�.r..� �• ,f�.*%'°``;'.�.�.._. �6 t r� �v��'-w �>7C v� ,.
Location
-22��; 1
No. � Date '
°RTM TOWN OF NORTH ANDOVER
uy
F p Certificate of Occupancy $ {
� • � s
Building/Frame Permit Fee $ 7Z1 500
s' E Foundation Permit Fee $
i sAcNus t
m
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $ "
i
TOTAL $
f
P. Ellding Inspector
G 3 9
i Div. Public Works
I
` Location ,�-
N-. r Date
ORTM TOWN OF NORTH ANDOVE
.e I•,
Certificate of Occupancy $
♦ i •
Building/Frame Permit Fee $
�Oe�ne'�,`4
�ss�CMUs•< Foundation Permit Fee $
Other Permit Fee $ "'-
a
Sewer Connection Fee $ a
Water Connection Fee $ _
0
TOTAL �r $
uilding Inspector
Div. Public Works
PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
MAP 440. ��J I LOT NO.�, 2 RECORD OF OWNERSHIP :DATE BOOK :PAGE —
ZONE SUB DIV. LOT NO.
LOCATION PURPOSE OF BUILDING
,S �Re � 3sc�asod �y.cfj -{- k, r�
OWNER'S NAME 6)�A?S NO. OF STORIES SIZE
OWNER'S ADDRESS BASEMENT OR SLAB _
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME p Cpkr C)iVgr SPAN --
DISTANCE TO NEAREST,B UU`ICDING DIMENSIONS OF SILLS
DISTANCE FROM STREET POSTS
DISTANCE,FROM LOT LINES—SIDES REAR GIRDERS
�
AREA OF LOT Ia3! j �An S�CJ FRONTAGE y�Q HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW K'3 [ SIZE OF FOOTING [,(/ X ffC
1
IS BUILDING ADDITION I/ MATERIAL OF CHIMNEY
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE t ,G` IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION, IF ANY J IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES EST. BLDG. COST `3IWr , i'
PAGE t FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
PAGE 2 FILL OUT SECTIONS I - 12
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 APPROVED BY BUILDING INSPECTOR
DATE FILED 4)�.iINN tL 19T
BUILDING INSPzcTOR
SIGNATURE OF OWNER OR AUTHORIZED AGENT G
F E E a 1 15-- OWNER TEL.#
PERMIT GRANTED CONTR.TEL.# G 11 313 0 L
19 r
CONTR.LIC.# � r�b/'5-1
H.I.C.#
BUILDING RECORD
1 OCCUPANCY 12
e
SINGLE FAMILY STORIES THIS SECTION MUSTSHOW EXACT DIMENSIONSOF LOT AND DISTANCE FROM
MULTI. FAMILYOFFICES LOT LINES 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 HARDW-D
PIERS PLASTER _
_ DRY WALL _
UNFIN.
3 BASEMENT
AREA FULL FIN. B'M'TAREA _
'/ '/r FIN. ATTIC AREA _
N_O B MT FIRE PLACES '
HEAD ROOM MODERN KITCHEN `
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH
ASPHALT SIDING HARDW D _
ASBESTOS SIDING _ COMf.1CN
VERT. SIDING ASPH. TILE
STUCCO ON MASONRY �—
STUCCO ON FRAME
BRICK ON--MASONRY ATTIC STRS.-B-€LOORLj_— — - - - —
BRICK ON FRAME }
CONC. OR CINDER BILK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR I� POOR
ADEQUATE NONE
5 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 _
ROLL ROOFING MODERN FIXTURES _
TILE FLOOR
TILE DADO
6 FRAMING I 11 HEATING
WOOD JOIST PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. 6 COLS. STEAM
STEEL BMS. 3 COLS. HOT W'T'R OR VAPOR
WOOD RAFTERS _ AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
GAS
7 NO. OF ROOMS OIL
B'M'T2nd _ ELECTRIC
1st 13rd NO HEATING
� NoKiH
Tow 1 of 6 °L Andover
VIA
.-.
oft 1 11. er, Mass. 7-A; _19pa
C OC.IIC Kt WICK
'PAoR
SS' rG
BOARD OF HEALTH
PERMIT LD
Q
THIS CERTIFIES THAT............. T
�.....C` ..�? - •..
BUILDING INSPECTOR
x..............................
has permission to erect ...P�'.�1. .��. buildings on ..7..E....�.� Rough
• - PP QQ r Chimney
tobe occupied as.......................................1�.....k�` ....... � ��..... .................................. Final
provided that the person accepting this permit shall in every respect conform to t e terms of the application on file in
PLUMBING INSPECTOR
this office,and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Rough
Buildings in the Town of North Andover.
Final
VIOLATION of the Zoning or Building Regulations Voids this Permit.
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
Rough
UNLESS CONSTRUCTION ST Service
Final
................... ...... .... ......................
BUILDING INSPECTOR GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Final
Display in a Conspicuous Place on the Premises
FIRE DEPT.
Do Not Remove Burner
No Lathing to Be Done Until Inspected and Approved by Smoke Det.
Building Inspector
r ,
ra
✓� CONSTRUCT D8PARNjNT OF PUBLIC S
SUPERVISOR APETP
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_ Restricted 04/30/1998 041301195 e;
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GREGORY CARBONS
63 TNOyAS Sr
AWDFORD, NA
02155
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GREGORY CAR90NE
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Medford MA 02155
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