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
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W A
S[RHM
fl�4�1VII�IC
M FID(1RR
MHDM . 2 I
3MROR
sMFLOCR
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(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
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av , -�
-Ci'cvrr�L _
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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