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Home My WebLink AboutMiscellaneous - 5 West Bradstreet i i l C`w _!� Lu'„ation % . No. __ Date r 1,9- .' 2 NORTIy TOWN OF NORTH AND®VE5 Certificate of Occupancy $ + Building/Frame Permit Fee $ Foundation Permit Fee $ o Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ _ TOTAL $ 1�3 15 Building Inspector Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD********NORTH ANDOVER, MA ALU NO. LOT NO. 2. RECORD OFOWNERSHIP DATE BOOK PAGE 7.0NE SLI►3 DIV. LOT NO. LOCATION PURPOSE OF BIIILDINC r 2r�� S/i7, %uJ% LlSrr:�GL= OWNER'S NAME ! NO.OF STORIES SIZE ihl i7d�1 sl - SC/�-L 'i 1/A rl ONt1El2'S ADDRESS BASEMENT OR SLA13 ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAMETSPAN, 17 '�FiU�S r R Sc,rl DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONS OF POSTS DISTANCE FROM LOT IANES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING h IS BUILDING ADDITION MATERIAL OF CIIININEV IS BUILDING ALI'ERA"PION l I; ILF(r`�S t Z2 7 Too{ 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 ANN' IS BUILDING CONNECTED TO TOWN SEVER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTUCTIONS 3. PROPERTY INFORMATION LAND COST EST. BLDG.COST p O w PAGI.' I F1t.1,OUT SECTIONS I-3 EST.BLDG. COST PER SQ. FT. cw EST. BLDG. COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERNIFU NO. ATl'A`C'IIF.D GARAGES MUSTCONFORNI TO S'T'ATE FIRE REGULATIONS 4. APPROVED BY: I'1.1NS NIIIST BE FILED AND APPROVED BV BUILDING INSPECTOR BUILDING INSPECTOR DATE FILED OWNERS TEL# d y,� L,15 � r /� CONTR.TE1.# V SIGNATURE OF OWNER OR AUTHORIZED AGENT / ' CONTRAAC# I E E PEWMITGRANTED p p 19 7 9 Revised 5/5/99 JAI North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number 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. The debris will be disposed of in: (Location of Facility) Q � 4��Signat�u—re of Permi pplicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector .r RAYMOND E. DAMPROUSSE, JR. AND SODS ROOFING CO., INC. BOX 431 LAWRENCE P.O. MA. CONSTRUCTION LAWRENCE, MA 01842 SUPERVISOR LIC. #046636 -TEL: 683-4588 HOME IMPROVEMENT REG. #101862 ROOFING — SIDING — INSULATION - -1 Date =.,. __:i From: �1 �A (JL Z_�LA19 N L (Name) (Address) To: RAYMOND E. DAIVDOUSSE, JR. AND SONS ROOFMC CO., INC., BOX 431 LAWRENCE P.O., LAWRENCE, MASSACHUSETTS 01842 1 (we) hereby authorize the Contractor to furnish all materials and labor necessary to install, construct and place the improvements described below in-on building located at No. ori 7 13 0 - Street, City Al t') ;2 State Ifl.f ! in accordance with the following specifications: LU C.rJ ; L LS i.� , l' i9 L L _C,1-1 ',,4 t L,,-f r7�; . �y.� cr.� f�,�t?d! _ C. T 112 i 13 GD G F x-9 P,241 ,� r9 0>,� c r;�� r ��✓ �f ��1;�,� �,� Y2 t , ��%(l•/-1 G-G�— J yYCs�.�ill(' y iC�¢r'l c}tib �� 1 � �CJ U .:.� Lt %� ,C_ v 14 7-6, .- -2�,-f-Z= /-2c _r €fir "h' !/.9, cY.0 Uri All of the above work to be done in a good an wo an•If a manner. All men and equipment insured. Premises to be left clean upon completion of work. For the total sum ofI dollars. Entire Sum to be paid immediately upon completion in accordance with plan as shown below. f� TOTAL CASH SELLING PNCE . . . . . . . . . . E DOWN PAYMENT IN CASH . . . . . . . . . . . . . _ DEFERRED BALANCE C UPON COMPLETION . . . . . . . . . . . . . . . . . . The undersigned agrees to keep property mentioned in this agreement properly insured against loss by fire including the Contractor's interest therein. This agreement shall become binding only upon the written acceptance hereof by said Contractor, and upon such acceptance this shall constitute the entire contract and be binding upon the-parties hereto, there being no covenants, promises or agreements, written or oral except as herein set forth. It is the intention of the parties hereto that this contract shall be binding upon their respective heirs, executors, administrators, successors and assigns. Customer agrees to pay a reasonable sum as attorney's fees and Court Costs if placed in hands of attorney for collection. The owner further agrees that in event of cancellation of this contract after acceptance by the contractor and before the work is commenced the OWNER agrees to pay 20% of the total consideration herein named as liquidated damages for breach of contract. Said contractor shall not be responsible for damage or delay due to strikes, fires, accidents, or other causes beyond his reasonable control. We, the undersigned, certify that we are the sole owners of the property herein described on which said work or repairs are to be performed. IN WITNESS WHEREOF, the undersigned has (have) hereunto set his (their) hand(s) and seal(s) t day and year written above. ! Accepted By Husban RAYMOND E. DAMPHOUSSE, JR. AND SONS Wife �C t ROOFING CO., INC. Mail Address /(%U r/J?C ?/�.ti �2Q• D 4?yes�f (It different from above) (Signature an it le of O ` iaI) ORT#ONM inn o v e r f - kn . 0 Yn dover Mass. ®'F COC MIC E Iii( � � � �. A0"QATED � S H BOARD OF HEALTH rERM IT Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... ............................... ............................................. Foundation has permission to erect ...... ........ ................. buildings on . .... Rough • t0be Occupied as..... .. . .......... . ........ I ................................................................................................................... Chimney provided that the person accepting is per hall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Cod 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 _ PERI 171 EXPIRES I1 6 MONTHS Final UNLESS CONSTRUCTJQN STACK'S ELECTRICAL INSPECTOR �- Rough .... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal 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.