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HomeMy WebLinkAboutMiscellaneous - 49 BLUEBERRY HILL LANE 4/30/2018 49 BLUEBERRY HILL LANE 210/098.0-0101-0000.0 J i Date. .e . ... . . . . . A ORTM TOWN OF NORTH ANDOVER fe P 0 0 PERMIT FOR PLUMBING 40 S CHUS . . . This certifies that . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . pluM4in the buildings of . . . . . . . . . . . . . . . at . . orth Andover, Mass. Fd,3 9 Lic. N .~ PL .13ING... . . . . . . . . . . . . . . INSPECTOR Check # 7448 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date7 Z 3 0 7 Building Location y% �"C�&�' /kC Owners Name 6111 � ��Ny Permit#. Amount 116a' Type of Occupancy New ❑ Renovation E],-' Replacement ❑ Pians Submitted Yes ❑ No FIXTURES rn E~ rZ E~ W A S[RHM fl�4�1VII�IC M FID(1RR MHDM . 2 I 3MROR sMFLOCR sl HDM 7MHf= 9M HfM (Print or type) nn / Check one: Certificate Installing Company Name �7/1��G �LyM i ❑ Corp. Address G-0 M (�� ✓vl O 3 tJ ❑ Partner.' V rT � Business Telephone '').T- S-J—G U 3 4-2 ❑Firm/Co. Name of Licensed Plumber. f J ��4"t 1 .r Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ k Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent ❑ 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 mstalla ns performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mas ahus State Plb' ode and Chapter 142 of the General Laws. By: Signalurejoi.Licensea VIM= r Type of Plumbing License Title 2 L e)'-)3 City/Town License NumoeFMaster ❑ Journeyman APPROVED(OFFICE USE ONLY Date... .�.°�..:7..-. .7 f MORTM o?; ``°.;•:"ooh TOWN OF NORTH ANDOVER PERMIT FOR WIRING •,,r,o SSACMUS� This certifies that ........ ...... ................................................ has permission to perform .. , /..1..� '. �!�r ........................ wiring in the building of.......r"1.L£!�.!.Y.��.............................................. at......L/I...&.U1CAk , /i`G...Gam... North Andover,Mass. Fee--7�5...'""'.. Lic.No.. . .C12 .Lc........... ._ � .. . ......�!%t.. E CTRICALINSPECfoR Check # 6 7536 Commonwealth of Massachusetts Official Use.,� -5 3 Department of Fire Services Permit v°. anc y Occu 4 � ak t BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Ee Checked _ t [Revs 9lOS] (.teave blank. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORD All work tobe performed in accordance with the Massachusetts Electrical Code(M C),527 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: A Ay 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) Owner or Tenant o L L �! p �'t� Telephone No. .-;;,,e o � Q Owner's Address Is this permit in conjunction with a building permit? YesNo ❑ (Check Appropriate Box) Purpose of Building_ Utility Authorization No. s Existing Service Q00 Amps A20 /,a1,M_Volts Overhead ❑ Undgrd No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Am acit p Y Location and Nature of Proposed Electrical Work: Completion o the ollowin table m be waived the lns ector o Wires. No.of Recessed Luminaires No.of Ceii:Susp.(Paddle)Fans No.of Tota Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ n- ❑ o.o mergency Lighting rnd. rnd. BaLte=Units. No.of Receptacle Outlets No,of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of betection an InitiatingTotaDevices No. of Ranges No.of Air Cond. Tons No. of Alerting Devices No. of Waste Disposerser""., __..eat um um ons _ o. elo -Containe Totals """"'M Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW ecurity ystems: No.of Water No.of Devices or Equivalent Heaters KW o. Signs Ballasts Data Wiring: No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsWiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of EI trica Work: (When required by municipal policy.) Work to Start: ® Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C ERAG : 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 undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. 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: LIC.NO.: Licensee: Signature LIC.NO.: 6;� (lfapplicable, t "exe pt"in the license number It .) Bus.Tel. No.:-9;V 39FVS4_539 Address: X0iAZr- Alt.Tel.No.: *Security System Contractor License required for this ork; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent — Signature TPiPnhnnP Nri �PVRMfT FF.F.! S a d 0 The Commonwealth of Massachusetts 'z, Department of Industrial Accidents Office of Investigations �l' + 600 Washington Street Boston, MA 02111 www..mass.gov/ilia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: ,�j, c� 1`V s ex— City/State/Zip: x -City/State/Zip: Are you an employer?Check the appropriate box: Type of project(required) I. 1 am a employer with 4. ❑ I am a general contractor and l ❑ New construction � employees(full and/or part-time).* have hired the sub-contractors 6. ❑ s 2.X I am a sole proprietor or partner- listed on the attached sheet. * ? El Remodeling ship and have no employees These sub-contractors have 8. _❑ Demolition working for me in any capacity. workers' camp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ElWe are a corporation and its required.] officers have exercised their 10:XElectrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL ILEI Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13:❑ Other comp. insurance required.] *Any applicant that checks box#1 crust also till out the section below slowing their workers'compensation policy information. t kfomeowners 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance far my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Ltc.#: Expiration Date: Job Site Address: 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a tine 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certffy pry that the information provided above is true and correct. Si=nature: Date: Phone#: 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#: i Location q9 G C_UEGEE ZY j AN% No. Date l Y '40RT" TOWN OF NORTH ANDOVER 3? • 0. Certificate of Occupancy $ + + + Building/Frame Permit Fee $ ,SSACNUSEt� Foundation Permit Fee $ Other Permit Fee $ N Sewer Connection Fee $ u; Water Connection Fee $ TOTAL $ �= � Building Inspector cs r SM Div. Public Works m i w ii: PER111T NO. l APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 ,MAP i-40. I LOT NO. 12 RECORD OF OWNERSHIP IDATE BOOK ;PAGE - ZONE SUB DIV. LOT NO. s' fI ,,LOCATION ����, RPOSE OF BUILDING ecK y2y,Z IZV V . WNER'S NAME - � _ NO. OF STORIES SIZE r �T OWNER'S ADDRESS , (� J ; BASEMENT OR SLAB ARCHITECT'S NAME V L,!jXE OF FLOOR TIMBERS 1ST�o/ 2ND 3RD BUILDER'S NAME N l7( !" DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS �1 #STANCE FROM LOT LINES—SIDES REAR D GIRDERS R)e AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW ZE OF FOOTING /j % IS 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 Y--.S IS BUILDING CONNECTED TO TOWN SEWER �� IS BUILDING CONNECTED TO NATURAL GAS LINE 3 PROPERTY INFORMATION INSTRUCTIONS LAND COST SEE BOTH SIDES EST. BLDG. COSTJ`LOoO PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST ER 8Q. FT. 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 Ld�"F� � UILDINa INiP6CTOR - $NGNAT F OWNER ORAAUTHORIZED AGENT i FEE OWNER TEL.k ��� PERMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.J! t H.I.C.# r BUILDING RECORD ' 1 I OCCUPANCY 1 12 •` SINGLE FAMILYSiouIES 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., 1 •. CONSTRUCTION } I �a 2 FOUNDATION 8 INTERIOR'FINIS,11 CONCRETE _ B 1 2-13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER DRY V✓ALL � `,� t ✓, � 3 BASEMENT AREA FULL FIN. B M AREA _ 1/1 1/1 3/ 'FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS I CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDIN'D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY .I '�� ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR ,__ADEQUATE _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.)- FLAT A SHED WATER CLOSET•. _ ASPHALT SHINGLES - LAVATORY WOOD SHINGES KITCHEN SINK/ A" SLATE NO PLUMBING _ TAR & GRAVED STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE FLOOR .--�— -, TKE DADO i 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. , TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR i 1 WOOD RAFTERS AIR CONDITIONING RADIANT.H'T'G r UNIT HEATERS 7 NO. OF ROOMS GAS ' OIL I' B'M'T 2nd ELECTRIC { ► 1st 13rd I NO HEATING 7 pRT g. g t loq" t over. : . 0 No: .. 394 i rt dover, Mass., •19cir N LAKE COCKICKEWICK lei \��• `i °RATED E BOARD OF HEALTH a o Food/KitchenPE ' RM IT T D Septic System ; THIS CERTIFIES THAT,. .. .. . '''� �oiTMt BUILDING INSPECTOR'' .... .a .. ...... . .... .......... . Foundation r . r F , .......:....... buildings on 4 ^� has permission to erect.. �...1�........•• +� *....L Rough tt y, .. Chimney o be occupied as. �7:(?.... 1U.I.Z......... .. ....... .. ........... .................. ..... ... provided that the person accepting th 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 ; Final PERMIT EXPIRE 6 MONTHSELECTRICAL INSPECTOR UNLESS CONS Rough ° Service . BUILDING INSPECTOR 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 , Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT'; . ' •.. a Burner � • PLANNING FINAL CONSERVATION FINAL street No. • s •it4� Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT L 1.2 A x6 r 2x6Mjq 4-o Qq �a�crefc ye„ av , -� -Ci'cvrr�L _ 1 d r s r Town of North Andover E ,.ORTN , OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street KENNETH R.MAHONY North Andover, Massachusetts 01845 9SSACMUSt Director (508) 688-9533 HO`IEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION 7% fflkr: &r'r" l \ljumber //^^ 1 /'Street address Section Section of town "HOisIEOWNER"�t`tP.r, GY- Ae.,- 6�F3 IFl b -79.2'.3913 Name Home phone Work phone PRESENT MAILING ADDRESS � r City/Town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six 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 Sec- tion 109.1.1) DEFINITION OF HOMEOW ER: 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 to six 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-vear period shall not be considered a homeowner . Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes. bv-'_ays, rules and regulations. The undersigned "homeowner" certifies that heishe understands the Town of LNo. Andover Building Department minimum inspe=on procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE T T APPROVAL OF BLILDL�iG OFF IC�L Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D.Robert Nioetta kfxiLael Howard Sandra Starr KaWeen Bradley Colwell TOWN of NORTH ANDOVER AFFIDAVIT Hm a bpmvme nt Qrtmtcr law S wanes to Int A1l3liratim MM c. 142 A requires that the '�:eoastzi>ctian, aUemdn n, ramyatian, repair, ®cleinizati,on, cairn, igxuxm t, rel, demalition, or casbm tim of an additim to any pry adstug held- lrg arnaarnrg at least one but not mxe than far dwelling units...or to s L'fi*es 4drh are adjacent to az:h ra ulmze or hnldirg"be doe by registered axMmac s, with curtain aeras, slag with other rrn rirFrrpnt�, Type of Work: Oec k Est. Cost Address of Work < d /)e?�,�C v /�`� /—Irl I Owner Name: Y/cls'. 94'e-04e,b Cn rl e r Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law IatmitND. Job under $1,000 Date Building not owner-occupied Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WM UNREGISTERED CONTRACMRS: FUR APPLICABLE HOME IlyPROVIIOU WORK DO NOT HAVE ACCESS TO THE ARBITRA- TION PROGRAM OR GUARANTY FUND UNDER MGI. c. 142A. Signed under penalties of perjury: I hereby apply fora permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name Location No. Date jhy 01 „aR*„ TOWN OF NORTH ANDOVER h A Certificate of Occupancy $ Building/Frame Permit Fee $ s �o �cMus°ACHUS Foundation Pe it Fee $ Ss ---�- r Xer i e $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ o? r h r Building Inspector Div. Public Works PERJIIT APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PacE 1 MAP 440. LOT NO. 2 RECORD OF OWNERSHIP iDATE BO K ZONE E ZONE I SUB DIV. LOT NO. LOCATION �/� tl/U�8 /ter/� ///a- /J L� PURPOSE OFAhMM0311116 ' OWNER'S NAME` S — C L/Y�G�/ R.t� NO. OF STORIES L SIZE OWNER'S ADDRESS BASEMENT OR SLAB – ARCHITECT'S NAME .'` / SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME <,JO/W✓y /�./�' SPAN -- DISTANCE TO NEAREST BUILDING c/V, 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 -4W IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND - WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER r 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 ,�eViYl( PAGE t FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. 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 'r PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BUILDING INGPBCTOR SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E OWNER TEL.# S!a Y r PERMIT GRANTED CONTR.TEL.# `S �z 7An / 19 03'({.263 CONTR.LIC.#. H.I.C.# BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S-ORIESTHIS SECTION MUSTSHOW 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 B t 2 13 CONCRETE BL K. PINE _ BRICK OR STONE HARDW PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ '/, 1/1 14 FIN. ATTIC AREA _ NO B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN R' 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D _ ASBESTOS SIDING _ COM/ACN VERT. SIDING ASPH. TILE ~ _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER ELK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIORPOOR _ ADEQUATE I� NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. )2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGE$ KITCHEN SINK \ SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &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 NO HEATING ^t Comm erc�a/,&oo .• I. • Licensed&Insured 'to •Chimneys•Painting•Decks•Additions• � 1-800-WAIT-4 US - Roof Leak Experts • Ca11 Norm or John PROPOSAL SUBMITTED TO PHONE �y DATE STREET JOB NAME CITY;STATE&ZIP CODE JOB LOCATION -.ARCHITECT DATE OF PLANS JOB PHONE '.:'.We Propose hereby to furnish material and labor in accordance with specifications below, for the sum of: JO Payment to be made as follows: Dollars ($ t` 'Ali material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from specifications Authorized below involving extra costs will be executed only upon written orders,and will become an Signature extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control.Owner to carry fire,tornado and other necessary NOTE:This propos I may be Insurance.Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. We hereby submit specifications and estimates for: �- •_111aZIiE 7 /�0%' ' C '1� LG 'f� _ Sf�% "lisp' s�iLC'/S �f A�7` C)i i r I r ew■^ a' ny Acceptance of Proposal — The above prices,t specifications and gdkditions are satisfactory and are hereby.accepted.`You are authorized do the work as specified. Payment will be made as outlined above. ' Signature `— __ aR ;gate of Acceptance: a Signature ORTH� Tow. n of over NO. O Iort i �{ dower, Mass., 19 J Y O COC MIC'E-ICK A�RABUILD BOARD OF HEALTH Food/Kitchen PERMIT To Septic System 70111— BUILDING INSPECTOR THIS CERTIFIES THAT ......... . ...... ... ... .. Foundation has permission to emt.... buildings on ...... ��.... .... . ...... Rough to be occupied as...................... . . .. ......V4...�..-. ...... ... Chimney .... ................................................................... provided that the person accepting thi permit shall in every respect confo 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 EXPIR 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS TR1 JC )r T Rough ... ........ ................ Service BUILDING PECTOR 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 by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT