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HomeMy WebLinkAboutMiscellaneous - 46 MOUNT VERNON STREET 4/30/2018 46 MOUNT VERNON STREET S l 210/067.0-0049-0000.R I. 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accord ance_withth,P,,,i,iOns of Permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications tion shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L 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 may be-deemed.by.the,inspector_of_Wires abandoned_and.invalidsf_he__. ._ or she has determined that the authorized work?-,S&�.not commenced or has not progns~'- .rte' application,an extension of time for completion of work shall be permitted for reasona�., \n request of either the owner or the installing entity stated on the permit application. ' fig the Preceding be terminated period.Upon written `uermit shall be terminated upon the written El The Permit Extension Act was created by Section 173 of Cha ter 240 of the Acts of 2010 and extended by Sections 74 and 75 ofChapter238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this puipose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. 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"duringthe qualifying P P rty With 4 fying period beginning on August 15,2008 and extending-through August 15,2012. ffEl le 8—permit/Date Closed: f Note:Reapply for new perm it�l rmit Extension Act —Permit/Date Closed: Date.,2- .. . .... ......... ...... .... .. Ot NORTH TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING SSACHUS This certifies that ............................ -7' has permission to perform .......... ..........-Q....... ,. ... ,4 ........... ... ............. ........... wiringin the building of...................... ............................................................ North Andovei,Mass. at..... ...................... Fee3d............. Lic.Nokz�W................. LEMICAL INSPECTOR Check # 9297 ppi Official Use Only C'mmonweaCV o f ad ackwe Permit No. <1Je�caFCmen�o��}ire�eavice� � Occupancy and Fee Checke j ✓/ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),52', CI4IR 12.00 (PLEASE PRINT IN INK OR TYPE ALL LAtFORMATION) Date: City or Town oh '�s��� Q..r- To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) y�o �Q t+1n e» ``S�' Parcel ID: Owner or Tenant �e,lp`p Q, A a� �( \1n01 Q� Telephone Nog74 1e%s 11'V jZ3 Owner's Address N`n�c y L r h Cb n %i Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building �%I s Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Uandgrd❑ No,of Meters New Se:dice Amps J Volts Overhead❑ Uindgrd ❑ No.of deters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: . Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fangs No.TransTotal Trsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.o mergency igy ng No.of Luminaires Svrimmiug Pool find. grnd. El Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARtiIs No.of Zones of Detection and No.of Swatches No.of Gas Burners No. InitiatingDevices Totes 1 No.of Ranges No.of Air Cond. Total No.of Alerting Devices - b No.of Waste Disposers Heat Pump Number.. :Tons IOW No.of Self-Contained Totals: _._.... Detection/Alerting Devices No.of Dishwashers Space/Area heating IOW Local Nfunicipal Connection 0 Other No.of Dryers Beating Appliances KW Security Systems:* No.of Devices or Equivalent i No.of Water KW No.of No.of Data Wiring: heaters Si s Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: J E No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector oJ-Iv'ires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical worst may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office- CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certifiy,under the pains anal penalties of perjasy,that the information on this applieadon is true and complete. FIRM NAME: Cry NWllt:'t,n S(Lr Q i ce15 �"c LIC.NO.: I Licensee: � 0 we. �_ Signature_/M41 LIC.NO.: #j 66�) (If applicable,enter "exempt"in the license number line.) ` , Bus.Tel,No_`ASal'221\ "7 Address: '� �,�t'\\�nni a n �4 �..tk�csl� �� Alt.Tel.No. q 32!1'A�%`{! *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage nonmaliy ;yu;s"d by lar✓. By P_:y signature below,A hereby waive this _sir°'z�.___. T rj;a "t' '=>'Q^_£)❑wNeer 1:1 at�ddls.:.'S Owner/Agent fi . � x Signature _ _�Telephone.Nf}...�. _..�_ _�. PE. I I EE. _.,.:_....._....__, i I of i • �\.A� t�^ ��� '''•� e p' ,., n +N • I • f • f I� 9333 Date. . . ../r./IZ . . HORTFr TOWN OF NORTH ANDOVER 3? �!`.r .• OL PERMIT FOR PLUMBING . SSACMUS� This certifies that . . �T�.: . . ��. . . . . . . . . . . . . . . � lam /1 has permission to perform .,�. . . . �T.-. . . . . . .�. . plumbing in the buildings of . . . . . . . . . . . . . . . . at. . . ra . /71?��?¢UPrnph .5' , North Andover, Mass. s�,y / t i, FeeJ.P.�S�.Lic. No..A.6 ?2 f� � r. . . . . . PLUMBING INPECTOR Check # �dG MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITYl_Y ! I}Q a MA. DATE a I o3�&l 001 Q PERMIT# 93 -33 -33 JOBSITE ADDRESS L-I Lo �-}-Veal - OWNER'S NAME�g�rC,t OWNER ADDRESS.U LQ VY�Ol��I- e�nOY7 S`�' TELq 13-Z13_9 FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW:❑ RENOVATION: ❑ REPLACEMENT: PLANS SUBMITTED: YES❑ N0�] FIXTURES 1 FLOOR-+ BSMT 1 2 3 4 5 6 BATHTUB 7 8 9 tU 11 12 13 14 CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GASIOILISAND SYS DEDICATED GREASE SYS DEDICATD.GRAY WATER SYS DEDICATED WATER RECYCLE SYS DRINKING FOUNTAIN DISHWASHER FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK �. LAVATORY ! ROOF DRAIN SHOWER STALL �. SERVICE/MOP SINK ,. TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER \ c n INS I have a current Liability insurance policy or its substantial equivalent wh ch�meets the requirements of MGL Ch.142. Yes L No❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER:1 am aware that the licensee does of have the Insurance Massachusetts General Laws and that a ce coverage required by Chapter 142 of the m signature Y 9 ature on this permit applicatlgn ai es this requirement. Signature of Owner Owners A ent CHECK ONE BOX ONLY: OWNER ❑ AGENT ❑ I hereby certiy 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 Pertinent provision of the Massachusetts.State Plumbing Cod oter 142 of the neral s. PLUMBERNAME Daniel Hun reS5 SIGNATU _ LIC# 10977 MP(� JP❑ CORPORATION ®#-25-49-- PARTNERSHIP ❑#_ LLC ❑# COMPANYNAMiurotoco of MA d/b/a Roto ADDRESS: 175 Maple Street CITY Stoughton Rooter STATE MA ZIP020:72 EMAIL-.dan.huntress rrsc.com TEL �nd� 02021 0 CELL 7A1 _60'A_S41 2 FAX_7R1_341_881 7 I it ROUGH PLUMBING INSPECTION NOTES THIS PAGE FOR.INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES t } � s i INV� a 6 s f i 'r � e- Department of Industrial Accidents Office of Investigations 600 Washington Street • Boston' MA 02111 1 www.massgov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (BusinesslOrganizationandividual):Nt,rot,n, of MA d h a Roto Rooter Services Address:_ 175 Maple Street City/State/Zip: Stoughton MA, 02072 Phone#: 781-297-7049 Are you an employer?Check the appropriate box: Type of project(required): I atm a employer with��- 4. El am a general contractor and I 6 ❑Nom,construction employees(full and/or part-time):have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working forme in any capacity. workers'comp. insurance. 9. ❑ Budding addition [No workers'comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10•❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I110 Plumbing repairs c& additions myself.[No workers' comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.]t employees.[No workers' 13.❑ Other .insuran • >i>p ce required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'sensation PoS'information t Homeowners who submit this affidavit indicating they are doing all work.and teen 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-conuactm and their wolken,comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site Information. Insurance Company Name: Ma rgh USA I Policy#or Self-ins.Lic. #: w c- 9379366-07 Expiration Date: 4-1 -2 012 i Job Site Address:H (_Q c)Yl City/State/Zip:N3ro_� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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$250:00a'dayagainst the-violator.- Be advised Haat a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perJury that the information provided above is true and correct: Suture: Q M ��• 4�`�Il Q�LU Date- i Phone M Oficial use only. Do not write in this area,to be completed by city or town ofj'iciai City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical In 5.Plumbing Inspector 6.Other Contact Person: Phone#• i Date. .... .`. . . . . . . NORTq TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SACH S SSACMUS t This certifies that . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . .``. .... { car'!. . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . y•�' .. . . . . . . . . . . . . at . . l°. . . . . h':. . . .l.f -,"ti'"� -''�`j . , North Andover, Mass. C Fee`t . .Lic. No.��l'•c3 8 _.1. . !� . . . . . . . . . . . . . PLU ING INSPECTOR Check # �Z 8543 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Tow x n 4tbV ky PAA. Date:�S�� o. Permit# eq�� { Building Location:*ACp ,��'!`h�ph S'� Owners Name.bg4 \b1 It hW*4 n O1 Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential�] New: ❑ Alteration: ❑ Renovation: ❑ Replacement: Plans Submitted: Yes ❑ No 91 � or% �� C>� ,^ ��23 FIXTURES I ( ( zI Y l to I N I O u` v3 I (n Q �- J i = 1- LU zi a �� f z r- Y to �'� ¢ ( ¢ 0 z �I 0 M Q W of ¢� 1'I z� � � �i �) z� 0 U) O U CL ¢l o O ( �� _� z e LL s� a� Y ¢ x w wl tu' U >-' �_ can 0 W: �-� U > > Oho O� z z �- i ¢ ¢ _j QI O ¢ ¢� O = � ¢ ¢ ¢ ¢ I ¢I CO m� 0 0 u_ 0 s Y� _j J� �� sn to �- O SUB BSMT. i I BASEMENT � u 1 FLOOR 2 FLOOR I I I f 3 FLOOR ( I { I I I ( I `* 4 FLOOR I 5 FLOOR 6 FLOOR I I I I 7' FLOOR { I I 8 FLOOR tv 1 �-� �l n� Check One Only Certificate Installing Company Name:�", �'� 2 Corporation el� Addresses ��r� + City/Town- ta'5��� State: j1 ❑ Partnership Business Tel:Loi ��°; �` { Fax: tt ❑ Firm/Company Name of Licensed Plumber: �C%r tCv- INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes 7 No❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. I A liability insurance policy Other type of indemnity ❑ Bond ❑ i 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 i Owner ❑ Agent ❑ Signature of Owner or Owner's 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 Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. I, Ey Type of License: Title (� Plumber Signature o icensed Plumber City/T T own © Master I APPROVED OFFICE USE CVLY ❑Journeyman License Number: _` FINAL INSPECTION BE66W FOR.OFFICE USE ONLY PROGRESS INSPECTION(S) FEE: $ PERMIT# APPLICATION FOR PERMIT TO DO PLUMBING NAME.&TYPE OF BUILDING LOCATION OF BUII-.DING SKETCI1 i PLUMBER I LICENSE NUMBER:-, i 7 w 3 7 PERMIT GRANTED DATE' :i PLUMBING INSPECTIOR a ;i Location ee,6 No. h�� Date %ORTPI TOWN OF NORTH ANDOVER 3?0�. .DAL 0 F � R p sa ; Certificate of Occupancy $ = cMu • Building/Frame Permit Fee $ s� st Foundation Permit Fee $ Other Permit Fee $ 3 �d TOTAL $ ' Check # J r 188U7 --Building 1 ector E TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPRENOVAT E, OR DEMOLISH A ONE OR TWO FAMILY DWELLING � - .'.'. . ..,.,��.y'a�Y i"; r,.- .� lx.: ..., .< - `W."."" "$ x..:C'wi,`^, t n F •. � '.w.� ��.Y BUILDING PERMIT NUMBER 0 DATE ISSUED: O�� X a SIGNATURE: , 6m�.4� BuiIt(ing"Tm&0onejMspe=r of Buildings Date Z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 06 . Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lai Area Fronto ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard RegWred Provide Reqttired Provided Re4pired Provided v 1.7 Water Supply M.GL.C.40. 54) 1.3. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zane 0 Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSIIIP/AUTHORIZED AGENT Historic District: Yes No M 2.1 Owner of Record Nam (P t) Address for'Se'r'vice S Signature Telephone 2.2 Owner of Record: Name Print Address for Service: z M Si ture Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor. License Number Address Expiration Date Signature Telephone �. 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name m Registration Number r Address r e Expiration Date z Signature Telephone Y SECTION 4-WORKERS COMPENSATION(MGL 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 it. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction 4VA Et' iftg Building ❑ Repair(s) ❑ Alteratioip(s` EAddition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be r t#FFICIAL USE ONLY g Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X(b) �l 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 I Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 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 SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, o ,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 o,► Q' l v o Print 0 Si e of Owner/Agent Da e NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T MBERS Isr2ND 3FD SPAN DRv ENSIONS OF SILLS DIMENSIONS OF POSTS DIN ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH ANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE IAORTH T0VM Of _ Andover No. 4000 - _ _ A E dover, Mass., ��'11101 If, COCMICMEWICK ADRATED F" �y `r BOARD OF HEALTH PERMIT . T D Food/Kitchen Septic System 00 41 BUILDING INSPECTOR THIS CERTIFIES THAT.. Foundation has permission to ere buildings on .. $... ........ Rough to be occupied as.......... 0...... Chimney provided that the person accepting this permit shall in every resp confo;spectioon,� he tems of the application on file in Final this office, and to the provisions of the Codes and By-Laws relat g to the 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 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ::. :.. .. ...... MLAS"� ..................... Service B R Final Occupancy Permit Required to Occupy 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. SEE REVERSE SIDE Smoke Det. TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts 01845 Gerald A. Brown A Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please Qrint DATE: JOB LOCATION: !' Number adS j1//h0 $sem Map/Lot HOMEOWNER (� / Name Home hone Work Phone !',�� PRESENT MAILING ADDRESS q8 ffli= noO� City Town ttate Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to 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 HOMEOWNER 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 structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures andrequir nts and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Forth Homeowners Exemption NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the rovision of MGL c 40 S 54, a condition of Building Permit at: �— p�_ � is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I OA. The debris will be disposed of in: ati of Facil' Signature of Permit Applicant Fire Department Sign off: Dumpster Permit Date FORM U - LOT RELEASE FORM 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 or requirements. APPLICANT FILLS OUT THIS SECTION APPLICANTPHONE_ LOCATION: Assessor's Map Number PARCEL SUBDIVISION l LOT(S) STREET b 1p��(1� � 11C ST. NUMBER OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE °RT" TOWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING ,SSAGMUSE� This certifies that has permission to perform . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . at . . . /!,. ?� .U. ! North Andover, Mass. Fee. 3.0-7. . .Lic. No..(:>/?))1. . . . . . . . . . _. . . . . . LUMBING INSPE TOR Check # 5808 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or T ) (' Mass. Date v Z_X Permit # ) Building Location yo kl eowners NarnAlt ;✓/"d[Q f c A4� Type of Occupancy'2t S+ D E 1j TI r1( — New ❑ Renovation ❑ R}place ment P"*' Plans Submitted: Yes ❑ No ❑ FIXTURES Pz IN Q Z Y FN- N J N O Z Z W W W Y J N Q V � N 7 C1 ¢ ¢ N Z N Q ¢ ¢ = N `Z O Z Z Q O O J N W y N S N 1- Z W N Y Q N W IL Zd x V Z ¢ m ¢ N W >. Q F N ? O Q Vf z .¢ a. ¢ O L ¢ W H Fr W Q (a O cc 2Q J N ¢ rC J O ¢ a W S W 0 < 2 O Z = x d p H Q Y Q W k Y W 1— V > 1-' O = a :) w z t— Z p O y _z W � p v x ~ S o N W 'Q d p Y J m N O O J 3 Y H N W O O d S C 'm O SUB—BSMT. a BASEMENT 1ST FLOOR t 2ND FLOOR i 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing.Company Name t'�0f' e"r Q �AnlrYY1,4 TA�°� Check one: Certificate Address C'0%}c14m4&) pj ❑ Corporation I?') C!N u ,:::-Ai� Al A S�./ ❑Partnership Business Telephone � , Z-�iq7 A g-A'rm/co. Name of licensed Plumbed? INSURANCE COVERAGE: I have a current I' ility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ ' If you have checked yes, please /indicate the type coverage by checking the appropriate box. A liability insurance policy kd 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 O 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 owned under the permit issu for this application •n i 9 p g pe pp cation will be+ compliance with all pertinent provisions of the Massachusetts State Plumorngeode and qapter of the eral Laws. BY Title re of Licensed Plumber Type of License: Master Journeyman ❑ City/Town APPROVED(OFFICE USE ONLY) License Number Y33 BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME A TYPE OF BUILDING LOCATION OF BUILDING j PLUMBER PERMIT GRANTED DATE 19 PLUMBING INSPECTOR ' I Location No. Date to—Is 3 ^ � �aRTM TOWN OF NORTH ANDOVER t { Certificate of Occupancy $ sACNUSE<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee tPC,0/ $ E TOTAL $ �' I Check # t/- f / Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING SIS; 16r::Offi£1A14.tisi oHI BUILDING PERMIT NUMBER: DATE ISSUED. J X SIGNATURE: � � . Buildin Commissioner/I for of Buildings Date z SECTION 1-SITE INFORMATION O 1.l Property Address: 1.2 Assessors Map and Parcel Number: u e rA) d Map Number Parcel Number f� 1.3 Zoning Information: 1.4 Property Dimensions: \� Zonin g District Proposed.Use Lot Area(so Frontage 11) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Reqwred Provided Re red Provided 1.7 Water Supply M.C.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D Public 0 Private 0 Zone Outside Flood Zoite 0 Municipal 0 On Site Disposal System J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record Name(Print) Address for Service: f� W Signatur Telephone Q � 2.2 Owner of Record: Name Print Address for Service: Z . i Ms Signature Telephone M SECTION 3-CONSYRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervisor: O License Number Address D Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable 0 v I'I Company Name M Registration Number r ` Address r Z Expiration Date ^ Signature Telephone Y � 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....:..t7 No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction 0 Existing Building ❑ Repair(s) 0 Alterations(s) 0 Addition 0 Accessory Bldg. 0 Demolition ❑ Other 0 Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be ��� �� GIALUSEONiy; ;` Completed b mut a licant ,,F ' '4xx 1. Building (a) Building Permit Fee p r e)o Multiplier 2 Electrical (b) Estimated Total Cost of /v Construction 3 Plumbing Al Building Permit fee(a) x (b) �'_ 4 Mechanical HVAC 5 Fire Protection 414 6 Total (1+2+3+4+5) k4 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN ` OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I h as Owner/Authorized Agent of subject property Hereb authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property 1 Hereby d ' are that the statements and information on the foregoing application are true and accurate,to the best of my knowledge ' and belief 1 �- Print Name Si tur Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CI-I NINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE t Mi{�iER5H11' � I3 E u ' 8 3C3R �7 Pest's .P AMM - x_ 0 � -a •t �, •` o { f I I i I I. i 26 27 28 n i le 0 Boulonger and Helen R Bou Ion 9ef Julio R( Johnson `754 /341) Irving G and Genevieve E goy„ ( See Plan No 123 ) ( 6-87 / lo ) Armond G ic b.12 ��.3✓F J ( G�f N 03-00-00 E See (Id _ p� �bM1 13060 —Ch - n; f 052N,089E) 30 1 29 29-V Grav ; D 12,640 S.f. �` .C\j �� �� o o Gro s �•� 1�I' 3 a � z e _ 17E S 03 03 ,06 W �'�� � J Mt Vernon Realty Trust 00 r =. 4207 (1763 /89) 0 '0 r) t z i o . (See Plan No 123 0:0 0 2 unit a "' (IJ I `n ' !y. N . = Julio R tD COhdOTInium N �a N ( Probate No z - Lz0,3 , ---.- . (See Plan in i t.. G C 175 i �. :n 122 20 S n3-00-00 W _ - NORTH E Town of :.V over No. ?A1 'i �r7 CN 06 3 •d ao/ 011A SCH'I Pdover, Mass., DRATE D APa��S S H E BOARD OF HEALTH PERMIT T D . Food/Kitchen Septic System qnm� BUILDING INSPECTOR THIS CERTIFIES THAT...4.0*kTp 4...wACAM.P.84.....A0.4( owele.............................. Foundation has permission to erect......Q0 f 401114wwbuildings on ..... ......... A vrrN*N S 4- Rough .... y� ... ...... ...................................................... to be occupied as J., 07 4#tj. ......... ir��itt�.004a ........pdwe I........................................... 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, Alt ration and Construction of Buildings in the Town of North Andover. 607 "191 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES V S I 6 MONTHS THS Final 1 UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR l Rough . ....................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required t0 Occupy 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. FSEE REVERSE SIDE Smoke Det. Location__�� oUf�� V�72tJv�U S� No. /�� 'J Date TOWN OF NORTH ANDOVER , ,�C - F p Certificate of Occupancy $ * Building/Frame Permit Fee $ c►+us CH Eta. Foundation Permit Fee $ _ s+ , Other,Permit Fee �Depo $ S Sewer,Connection Fee $ Water Connection Fee $ 10 TOTAL $ ,9 93 Building}gsp�ctor t 6039 Div. Public Works Location No. f , Date N°"7" TOWN OF NORTH ANDOVER } r° ; p Certificate of Occupancy $ ,# y • = ' Building/Frame Permit Fee $ Foundation Permit Fee $ s�cHuS e �- Other Permit Fee ►>- $ Sewer Connection Fee $ t _ Water Connection Fee $ V OTAL $ T � Building Inspector U 3:1 Div. Public Works �r PERJi1':iso. ( APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. 1-o-'/PAGE 1 MAP dJO. LOT NO. 12 RECORD OF OWNERSHIP IDATE (BOOK ;PAGE ZONE SUB DIV. LOT NO. �— LOCATION � tY) D� �'�-I-y PURPOSE OF BUILDING , . OSI2pkaS OWNER'S NAME I NO. OF STORIES SIZ�El Ll �' OWNER'S ADDRESS \ BASEMENT OR SLAB - ARCHITECT'S NAME 1 SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME 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 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 IS BUILDING CONNECTED TO NATURAL GAS LINE - INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST j SEE BOTH SIDES � ,_ 1 ''^ � EST. BLDG. COS �JQS' �j IN Ii EST. BLDG. COST PER GQ. FT. PAGE 1 FILL OUT SECTIONS i - 3 EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 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 T BOARD OF HEALTH SIGNATU F OWNER OR AUTHORIZE GENT r FEE 1 PLANNING BOARD PERMIT GRANTED OWNER TEL.#� CONTR. TEL. # 19 CONTR. UC.# tOAMD OF SELECTMEN BU ILDIHO 1 NSPECTOq BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S�OUIEs 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. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE a 1 2 13 CONCRETE BL K. PINE BRICK OR STONE P PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T AREA _ Y. '/p '/ FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS 8 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH __ _ ASPHALT SIDING HARD",/'D _ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ 1STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR ' ,S BRICK ON FRAME I , CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I-j POOR 1 11 ADEQUATE NONE S ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) GAMBRELI'A MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK - SLATE NO PLUMBING •f TAR & GRAVEL STALL SHOWER r ROLL ROOFING MODERN FIXTURES _ j TILE FLOOR TILE DADO 6 FRAMING 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 _ ELECTRIC 1st 13rd I NO HEATING r AORTH Town of over No. 2 c- o � o dover, Mass., / 19'lir 3 COC HIC HE WICH RATED PP Cl 5 BOARD.OF HEALTH Food/Kitchen PER ..M IT T D Septic System A +_ • • 0 BUILDING INSPECTOR THIS CERTIFIES THAT................. ..�...�;....�....W•ND.t...Vllov ... ........................................ Foundation has permission to one*.....b ...... buildings on ...4`......UOR;a....Vd-X -0N. STi Rough to be occupied as................ ....................................... 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 CONSTRUCTIO ART4& ELECTRICAL INSPECTOR Rough ................... ..4........... .......................... .............. Service Qa"iot BUILDING INSPECTOR Final O Ix .Ss'I Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. gFIA/FR /WATFR FINAL DRIVEWAY ENTRY PERMIT I awry 'r........,tia Town of ' OFFICES OF: . 120 plain Street �` API3EAL5 "K• NORTH ANDOVER North An(iover. RUILDINC; •t �'a h1:1tiSi1c'htISCl1S O I ti4 i y (:UNSL RVA'I'lUN S' "" UIVISION(W (617)1iB i•477 i HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIIIEC-1.011 In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number /" 1 is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c ill, S 150A. 'Ile debris will be disposed of in: 1-A I--r--QLJ (Location o! act u / y) ignature of Permit Applicant ale NOTE: Demolition permit from the Town of North Andover must be obtained for this .project through the Office of. the Building Inspec°tor. SCOTT •fry r Pools By Scott POOL REPAIRS&INSTALLATION POOL DECKS-POOL ACCESSORIES FREE ESTIMATES .A,A8West Emerson &-l.....n AAA n'317C. 7 (RIA AAA-7710 kocation ., �No. d Date NGRTM TOWN OF NORTH ANDOVER ,•, 04L sAMLp Certificate of Occupancy $ Building/Frame Permit Fee $ ,S�AGMUSE� .` `• Foundation Permit Fee��/.$ F, Other Permit Fee "7 $ ?5".0 0 S ,vsWonnection Fee $ r 'yWater Connection Fee $ TOTAL $ ["' Building Inspector { 9 e Div. Public Works r PER111T O. � � 0 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /PAGE 1 MAP INO. LOT NO. 2 RECORD OF OWNERSHIP JDATE BOOK .'PAGE ZoN E I SUB DIV. LOT NO. WWNER*S ATION !_ PURPOSE OF BUILDING NAME NO. OF STORIES v SIZED j OWNER'S ADDRESV BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD Oft BUILDER'S NAME V SPAN wAs DISTANCE TO NEAREST BUILDING _ DIMENSIONS OF SILLS DI TANCE FROM STREETf POSTS DISTANCE FROM LOT LINES- SIDES REAR " GIRDERS a AREA OF LOT FRONTAGe U 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 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 IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COBT 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 cT ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS �p NS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR D FILED BOARD OF HEALTH SIGNA RE OF OWNER OR AUTHORIZED AGE FEE 0 IN TEL.# ��� PLANNING BOARD PERMIT GRANTED CONTR.TEL.#.�.j� d•/, �+ 19 /,,CONTR. LIC.# BOARD OF sELECTMEN i �" wlwlNo INSPccroR q.. d BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES 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. CONSTRUCTION 2 FOUNDATION —I 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 FIN. B'M'TAREA _ '/. 1/1 3/. FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDIWD _ ASBESTOS SIDING COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRI K N MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING all GABLE I HIP BATH (3 FIX.) GAMBREL 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 TILE FLOOR b TILE DADO 6 FRAMING 11 HEATING - WOOD JOIST PIPELESS FURNACE _ s FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR a WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS Y OIL B'M'T 2nd _ ELECTRIC 1st 13rd 11 NO HEATING !�} 4 1 49-6 27 28 Z8-1 /? elle 0 Boubnger and Helen R Boulanger ( 754 /341) Julia R Johnson Irving G and Genevieve E Dow, ( See Plan No 123 ) ( 687 / 10 ) 177 Armond Giarr-usso and Evelyn Giarrusso ' I'( to ( 767 / 291 ) N 03-00-00 E I ( See Plan In 230/600 ) I P(td ' 13060 __-_Chain in - n: 052N,089E) 30 29 \ 29-1/2 . Gravel ``�� 12 ,640 s.f. o N and V� 3 Gross °' z Drive 176 S U,3 03 06 W - a - -� V)\ ) Mt Vernon Realty Trust p C__==_ a2 0�- - /r, Z (1763 /89) 60 1. Lo U) (See Plan No 123 ) 9 O ! unit o �O p _ Julia R Holz O �N 00 — N Condominium (\j -zl ON —( Probate No 243728) CD ----- f ?,�---- . S (See Plan In 230/600) L 175 n ' 122 20 S 03-00-00 W - - - - t 7 :i • I I .INS' r ftom Ra 1 fj 4k� .lp �v 1 / • /// �l�Y�\��'� r • � �•� i 4N�. / / •/ / / I �.. '' I i bI� III � /// / / / • � r Ifs III � . NORTH Town ofikndover� ) fn No. 3 f..s . r:- 19 F3 oOCH,C dover, Mass., ADRATED P'P���.(5 '9S H S�� i BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT........omlQ ..0 .... ...........•.•••••••••••••••• • Foundation BUILDING INSPECTOR D has permission to erect.eW.d..L................ buildings on .....4/4sRough to be occupied as...IQ. ... Q.d.�.�... .....�. ,. . .A.!/ �.....�� Ch imney 60 � a....� �. .. 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 STARTS ELECTRICAL INSPECTOR ' Rough .......... .C-4 . .. ............ Service ING INSP CTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove F nal Rough No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL �l�3�5�eS_ CONSERVATION FINAL Street No. .,� ••�.. ,,•,•��•, r-IRIAI / .2 l S npl%JrIAFAV DAITDV OPPRAIT Smoke Det.