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HomeMy WebLinkAboutMiscellaneous - 500 CHESTNUT STREET 4/30/2018 (2) G Date. f NORTH , °0 TOWN OF NORTH ANDOVER D • `° PERMIT FOR GAS INSTALLATION �4SSACNUSEt a This certifies that h has permission for gas installation/ ,P�G. in the buildi gs of . at , NortlL Andover, Mass. Fee.Z;5.5. !f�-?. Lic. No./Z.���./J/� !.�-5.4:14. . . . GAS INSPECTOR ! Check# p 7847 MASSACHUSETTS UNOF0RN APPLICATION FOR PERMIT TO ®0 GASFITTING (Print or(Type) { _ ;Mass. Date_20 _Permit# ` fBuilding LocationSlbl L � � 111'Owner's Name ffAA )' 2Z%2 CJ�Q/?ir1/ ._Type of Occupancy New ❑ Renovation ❑ Replacement i Plans Submitted Yes ❑ No ❑ I Cl) Y w m o z ¢ c6 LU W W O U m O w Q cr p p F ¢ m w Q W w O U - W Q ,,� W Z w a o > m 0 f- Z co � Z W W > OW LLI t— W —� H W Z ¢+ w ¢ ¢ H r co m Z O z O CO = ¢ W > Q w p z ¢ a: ¢ ¢ O O W EO w i— m = o o =. u_ o co o Cr > o a F O SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Namok c.- i" Check one: Certificate Address t' br <i Ie 411poration ❑ Partnership Business Telephone t ` ,r ❑ FirmlCo. Name of Licensed Plumber or Gas fitter G2 2— (°`u V';'i INSURANCE COVERAGE: I have a curre lability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes Y No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy 0 Other type of indemnity ❑ Bond ❑ OWNERS 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: Owner❑ Agent ❑ Signature of Owner or Owner's A ent I hereby certify that all of the details and information 1 have submitted (or entered) in above 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 provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. i`=_OFnFlGEU,9E T of.License 111YPlumber Title ❑ asfitter +gnature of Licensed Plumber or Gas l=itter uSmeyman License NumberIWM ��`� Y) I � I i i i i CERTIFICATE OF USE & OCCUPANCY Town Of North Andover Building Permit Number q Date THIS/CERTIFIES THAT THE BUILDING LOCATED ON dT �✓�� �°5��v� MAY BE OCCUPIED AS � �1 pSIG�,P�� °� IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. �I Roo jos�a/ 8.4A45 c� S14r/ 11W-'/e CERTIFICATE ISSUED TO 0� yxyK2 W °- p ADDRESS atCN,411V 67(- ZO0 01 veo1 9'S CHUSfBuilding Inspector Town o ;. ®� ®ver4%...... . y 0�A �o��,� dover, Mass., l �® O''ATED p'?IL � BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT.... .�. ........Y 1�'�i, Tr►v�'�' BUILDING INSPECTOR Foundation has permission to erect.... b ildings on on. 6114014 on .C. 1.rrS '/ jW?12_4� .. ........ vi to be occupied as I.J�� F��� y � �Z � So 0 �G^^���a A 4 So aD ............. .............. ...................................... ....................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final/01/ft Q ---- Buildings in the Town of North Andover. PLUMB G SP T VIOLATION of the Zoning or Building Regulations Voids this Permit. h� / � - ® C,g Coo PERMF EXPIRES IN 6 MONTHS UNLESS CONSTRU :70 ^�- � ELECTRICAL,INSPEq/TOR` A Rough,- ff v Serwce .. .... ........... . .................... • BUILD INSPECTOR OCCUPancy Permit Required t® Ocaoy wilding GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove ina No Lathing or Dry Wall To Be Done 1 11 Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. J� 0 ./ -1 SEE REVERSE SIDE Smoke Det. •/� • , � � �v � I f�pS i� � a �- ��� �� � � �� ��� � CERTIFICATE OF USE & OCCUPANCY Town of North Andover -rte ('1d 2 0-2., o 0 Building Permit Number Date THIS CERTIFIES THAT THE BUILDING LOCATED ON. MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. "o*'" CERTIFICATE ISSUED TO ADDRESS Building Inspector rw r CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number q Date 8 �^ THIS/CERTIFIES THAT THE BUILDING LOCATED ON dT� 0�✓D0 cles�v(4 S MAY BE OCCUPIED AS c�/W 6 1 P. /I OW e IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Pao M5/a / g,4 tis /,J 0q "°;'" ,. CERTIFICATE ISSUED TO �� y�� � lel ADDRESS v ''' CMUs`` Building Inspector NORTH 0T0 � . 0 over 'SVTo. % h �A CoCH� dover, Mass., l 1 �,A�DRATE D P11F 5 77 cG 74 - F OF HEALTH PERM i IT T D THIS CERTIFIES THAT.... .�...,. A* VW9 �*Z I T�V164 INSPECTOR ...... ............................................... .......... . . t O� '"has permission to erect . b ildings on .L97......& b.... . ....&14 �,wv . L,,Jurey to be occupied as. � 1 ,ytiC�„�,provided that the arson aces tin . . .: .. .. . . . . .. s o . 0 / P p g this permit shall in everyrespect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. PLUMB 49 G SP VIOLATION of the Zoning or Building Regulations Voids this Permit. h� / /�,'S l PERMIT EXPIRES IN 6 MONTHSlet UNLESS CONSTRU TIO "I' S ELECTRICAL.INSPEC R 1 �' Rough - ' _ Ir Jy .. ........... ....................... Service t. BUILD INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Ling� h No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner � 1 Street No. SEE REVERSE SIDE Smoke Det. G •/�` ' CERTIFICATE OF USE & OCCUPANCY � Town of North Andover Building Permit Number q Date as^ THIS CERTIFIES THAT �L THE BUILDING LOCATED ON �T � C/ S�v L4 S MAY BE OCCUPIED AS N e- 1401 i6lCly"VL4 e IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 5/a / 14 A)// OW gle 04"°"';� CERTIFICATE ISSUED TO y,��K�� •� ADDRESS 14 1V -/(- ZOO 44140"'e SA US� Building Inspector I I I f, i NORTH Twn® of ` D O� over 0 No. f � dover, Mass., ! < <( O COf HI E G, 1 �.AORATE D Is, 77 �G 4 BOARD OF HEALTH PERMIT Food/Kitchen Septic System THIS CERTIFIES THAT.... .1....... .........��� ���. ��i ' T�v�'� BUILDING INSPECTOR t 0� 4j��---- Foundation has permission to erect......... ............ b Ila on. �I......i7 b �C l r r .... ... ...... ..... ....................... Rou to be occupied � ,?� 1 it rh �'1 s t3 + S`F 1 .............. ................... ........................................................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. T VIOLATION of the Zoning or Building Regulations Voids this Permit. PLUMB G I?rSPh / / �,L/00 L PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRU TIO TAR S ELECTRICAL.INSPE R g.... Service • BUILD INSPECTOR 1 ��! _ Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done ina Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner ^ • Street No. SEE REVERSE SIDE Smoke Det. G •/� ' No 2103 Date... ........ MORTM D TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING 40 _arlwq SA HUS This certifies that ............................ ................................................ has permission to perform... wiring in the building of406�%W'It=.................. ........................... at /�........... F�. .. ............... ..North Andover,Mass. Fee—..�-'4...... Lic.No.............. ................ ........... ECECTRICAL INSPEMR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer I 4IJ Office Use Only \N� P a �it N `'nl r,.P 057 occupancy Occupancy&Fee CtieUce�a Do-&-C4 P-4-S•k# U98 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Allworktobeperformedin accordance with the Massachusetts Electrical Cade 5277 CMRJ 12:00 Date / �/ t- 06 (Please Print in ink or type all information) To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number Owner or Tenant Co l til/Sz -t/ Ownefs Address_ / No ❑ (Check Appropriate Box) is this permit in conjunction with a building permit Yes W � r—'11 X/� —Utility Authorization No. �0 Purpose of Bulldino E;dsting Service Arhps Volts Overhead ❑ Undgmd ❑ No,of Meters t� 206 Volts Overhead IJI' Undgmd C3No.of Meters l New Service � © Amps NumW of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No.of U91118ng Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ KVA 37 Swimming Pool and 0 and ❑ Generators No.of Lignting Fixtures Nd.of Emergency Lighting - No.01 Rece5 taGes Outlets No.of Oil Burners Ba Units ENoof ars FIRE ALARMS No.of Zone t E.01 SMtcn Ou lets Total No.of Detection and ir�Cond Tons Initiating Devices _No 01 Ranges No Heat Total Total Pum s Tons KW No.of Sounding Devices t�o of Diposal No.l of Sell Contained S ace/Area Heatin KW DetectiorvSounding Devices No.of Distrwasners / O Municipal O Other ( Heatin Devices KW Local Connection No.of D rs No of No.of Low Voltage No.of Water Heaters KW © Si ns Bailases Wiring N0.H no Massa a Tuds No.of Motors Total HP QTHER' INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massacnusetts General Laws I nave a Current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ . ro c0 0 Rough Work to Start Inspection Date Resquested g ` Signed under the Penalties of p1 186 7' rJ LIC,NO. 6 FIRM NAME : t?C 7✓C.� ^E Signature �� UC.N0. ZZLIL Licensee 1 Bus.Tel No. Address V�v ✓��� 9 l Alt Tal.No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or Its substantial Chivalent one)as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner A9erif Telephone No. PERMIT FEE S_� (Signature of Owner or Agent) Location No. Date /! / b NORTh TOWN OF NORTH ANDOVER `p Certificate of Occupancy $ �d Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ �-t l 3 �//�/L�' cc,, Building Inspector i 5t 5Q Div. Public Works / ,Ca ,t ',(�f=s %/U� f s� 13EIZMI'I' NO. �` APPLICATION FOR PERMIT' l B'lJILD********NO -I ANDOVER, NIA NIAI'No. LOT No. ,,�/ �^ {� 2. RECORD�OFOWN,�E✓RSIIIIIP rn DATE ROnf:. '/ PACE •! ZONE �� stili nlv. LO•rNo .�OV//�� �-ff /3J�1,�C7 ©L� %/!!`�/�. G � �L1H -:7 %�• /��'7/ •dL LOCATION LST S�- �� PURPOSE OFF BUILDING OII'NE:R'S NAME . NO.OF SORIESO %, /�F � I . ✓ - sc��CJ���7p�,.� SILK OWNER'S ADDRESS BASEMENT OR SLAB O All CtII"i'ECT'SNANIE A )r SIZE OF FLOOR TIiVBERS _TJX//'S 1-1 �72ND 31D RUII.DER'SNAME P1U/SQ0I-"T�j -aTOS 0 e� SPAN '�v�� DISTANCE:I'ONEA[ZEST BUILDING P/ DINIENSIONSOFSILLS7Z-o GE 2,' / �� DISTAT NCEFROMSTREET d ! -f DINIENSIONSOFPOSS / Cd' DISTANCE FROM LOT LINES-SIDES 3,c> REAR /�b ! DIMENSIONS OF GIRDERS AREA OP L07 � FRONTAGE S HEIGHT OF FOUNDATION / Q �/ THICKNESS Q IS BUILDING NEW e-.5 SIZE OF FOOTING ltp rJ / x C/ IS BUILDING ADDITION f✓ MATERIAL OF CII ININEI' IS BUILDING ALTERATION A )r/o IS Bl1II_DING ON SOLID OR FILLED LAND WILL,B111LDING CONFORM TO/R✓EQLUIIREN ENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER C' BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEINER IS BUILDING CONNECTED TO NATURAL GAS LINE -INS'lliCT1ONS 3. PROPERTY INFORMATION LAND COST �+ PACE I'ILLOUTSEC'fIONS 1-3 EST. BLDG.COST5?77boo. ' EST.BLDG.COSI'PER SQ. F '56,67 Fl V41 EST. BLDC.COST PER ROON U Fi-ECTRIC METERS MIIS F BE ON OUTSIDE OF BUILDING SEPTIC PERNIIT NO. :\TI'ACIIED GAR:%C.F.S MUST CON FORNI TO STATE FIRE REGULATIONS 4. APPROVED BY: PLANS NIIIST RE FILED AND APPROVED Bl'BUILDING INSPECTOR BUILDING INSPECTOR DATE F11.ED (� LZ OWNERS TEIA9� os' 402_/61yZ Z`r 8�• ^ CONTR.TELH CONTIZAAC# CS 0z1-3 76T� R��� �'oy�•� SICNA"FURE OF/ O\VNkat OR Alll'IIOltlZED AGENT' FEE rERNnTcaAN•rEn VV � . i9 R ", (l sli s1s 9-") .I r 1 - - - - - -- - N/ ^ )St-Fl�� Y-a q 60 3,;6 ® a 1 I. Ali r- 1 i Nora c,,vh�r `►f xa y _33CP 8 Y O �Sr a6_6 -/- 08 rila 3 0 070 19,5 o2N� �n x /Y /yo &S q ! 00 rya 15, j 870 a o 13 2 50 7 6 Y o ZePo C `� 97 POOiso e r ©� r OC C. 1 33 ° yY Growth Management Bylaw Exemption Statement Town of North Andover Building Department This forth shall be used to assist the Building Oepartment in their determination of exemptions under section 8.7.6 of the Town af,North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested'below. Name of Applicant on Euii 'n Permit(below) Address of Proper/-for Permit(below) � _ �� Map and Parcel : Purpose of A icaticn (check below) Phone Number of Applicant: Single Family —Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth- Management Bylaw. I also understand providing.this form does not absolve,me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only offically accepted when the Building,Permit ig issued.. Based on section 8.7.6 of the North Andover Crowth Bylaw the above lot and-the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement restoration,or reconstruction of a dwelling in existence as of the effective date of this by-law,provided that no additional residential unit is.created. _ The lots)werelwas created prior to May 5, 1996 are exempt from the provisions of this Seclion 8-7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the pneitions of 8.7.5.care met and/or represents Owelling units for senior residents,where occupancy of the units is i restricted to senior persons through a properly executed and recorded deed restriction running,with the land. For- purposes of this Section"senior"shall mean-persons-over the age of 55: �It - This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density,(buildable lots),below the density,(buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,conservation Restriction,dedication to the Tcwn,or otner similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an aclacent parcel on the effective date of this section 8.7 shall receive a one-time exemption from the Planned Growth Rate and 0evelopment Scheduling provisions for the purpose of constructing one single family dwelling unit on the par �I. This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be.issued per Year per Development until such Bme as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing beie I attest to the accuracy of the information provided and that the attached building permit is allowed an PTION as cited above. Further I understand that the submittal of misleading and or it u in rtnation, or t off of an above item which does not comply,whether done to my know)N r not is gro refus by the Builcl tq Oepartment to issue a Building Permit. gnature of Owner-or Authon en w' gned the Attached Budding Permit Gate This form must be attach the Building Permit upon application for such permit ' C� V MARbact COMPLIANCE WPOR! _ v Maesachusetts Energy code I Permit t MASchect Software Version 2.01 ! ! I !cheched,byiDats ! I M North Andover M!Massachusetts HDD:632I CO1MdJCFION WE 1 or 2 Family,Detached BE'ATHIO SM TYPE:Other(Moa-Electric Resistance) DAIS: 10-31-1994 Tnu:G)f 8 - PAWO Rff0RF MON: QM SIREET OWN WO1d1ATION: - Mf6QUIi0 BROOK DEVEIOPMEtII W. COMPLIANCE:PEM Regvired Q•567 Your Home•129 Area or Cavity Cont. glasiag/Door Perimeter R-Valve R-Valve U-Valve U ------------------------------------------------------------------------------ cFIL4X5 1110 30.0 0.0 51 CEILDXS:Raised Trues 90 30.0 0.0 3 WAGS:Wood Frame,16'O.C. 2809 19.0 -0.0 169 w� MAZINO:Windows or Doors 3110.320 iW MAZINO:Windows or Doors 67 _ 0.370 25 BOORS 10 D,35D 11 r DOORS 30 0,190 19 nXRS:Over Uocoaditioaed*a 1500 30.0 CA 19 M EQUIPM:Furnace, 86.D AFOE HVAC EQOIPMWNI:Air Ocaditioner,10.0 SEER ------------------------------------------------------------------------------- cOMPLIAHCE MMM: the proposed building design described here is consistent with the building plans,specifications,and other calcvlatiom submitted with the permit application. The proposed building bas been desigped to meet the regvirewents of the Massachusetts Ewrgy Code. Ike heating load for this building,ad the cooligq load if appropriate. has been determined veing the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat_or cool the bvildigq shall be no greater than IM of the design load as specified in Sections 78OW 1310 and AA, Builder4esigner Date 1 4o FORM U - LOT' RELEA&E FORM 'j �sT/v UT � 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 comDiiance with anygipplicable or requirements. p• 3k qAAA, OUT THIS SECTION Z� APPLICANTL F0- la PHONE 4�6 Z`7 LOCATION: Assesso /�� PARCE:i �je/5 SUBDIVISION /?� � LOT (S) _ STREET i ST. NUMBER 500 **+** ** *** * «* ** * *OFFICIAL U S c ONLY*** ****** t***t** k**t*********t* Alegi RECOMMENDATIONS OF TOWN-AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED u' DATE REJECTED COMMENTS FCOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEINER/WATER CONNECTIONS �� T !� V� '` iG�S <71 �U�' lD -lg- -� cam. DRIVEWAY PERMIT FIRE DEPARTMENT I e_QQ,,V� It v� (C ���e�1��- ,'+• ��(�ror tk_b �vi�WW°u ldl l glf RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm �r^ The Commonwealth of Massachusetts r Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit dame Please Print Name' r v�Li� � 0L Location: N y S/ - City ,/W- �/ Phone 0 I am a homeowner perTcrmine all work myself. F7I am a sole proprietor and have no one working in any capa&Ly I am an employer providing workers' compensation for my employees working on this job. Comoanv name: Address City: Phone r Insurance Co Policv m I Comoanv name: Address 4 Citi Phone M' Insurance Co. PClicv 7 Lam Failure to secure coverage as required under Section 25A or iVIGL 152 can lead to the imposition ct cnmir.al penalties of a tine up to 51,Z00.CG anclor one years'impnscnment as ,veil as civil penalties in the form cr a STCP WCRK ORCER and a rine of(3100.00)a day against me. I understand that a copy of statement may be forwarded to the Office of Investigations or;he GIA to coverage verification. I cc hereby cart- c rhe pains an re perjury that the information provided above is'rue and correct. Sianature Date Print name 4Lj�/f '_ N c� Fhone ���GZ�B��Z Official use only do notwrite in this area to be completed by cry or;own criciai City or Town P=emitJUccnsirc Building Dept ❑Check if immediate response is required ❑ Licensing Board ❑ Se!ectman's Office Contact persor: phone. C Health Department ❑ Other 4 ��ie �omvrrco�zulea�i a��aaa�aio� II DEPARTMENT Of PUBLIC SAFETY CONSTRU014SUPERVISOR IICUSE i; Nutter: Expires: Birthdate: ; �} CSIn, 1L/19/1999 11/19/1448 Yom �N ee TERREJtCE,��0'YGE' SS LINCOLN'ST NO ANDOVER, NA 01895 ' r 1453 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. 19_LL Application by the undersigned is hereby made to connect with the town sewer main in �/"( '�;f Ll Street, subject to the rules and regulations of the Division of Public'Works. n The premises are known as No. �� ( �7���� Street or subdivision lot no. 7J J Com zjjZ Owner Address Contractor Add s pp icant's Ign%JT;' •L, ti i PERMIT TO CONNECT WITH SEWER MAIN C The Division of Public Works hereby grants permission to ©C CL to make a connection with the sewer main at Street subject to the rules and regulations of the Division of Public Works.. Division of Public Works BY Inspected by Date See back for rules and regulations U ��� N-0 911 APPLICATION FOR'WATER' SERVICECONNECTION .;North Andover, Mass: 19 ti Application by the undersigned is hereby made'to connect'withthe town water main in ��tit %r n Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. �� uy Street or subdivision lot no. x )z /DA4'z Owner Address Contractor Addr s • . Applicant's Signature100 f PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to �� ( �'( d zz e e 'to make a connection with the water main at Street subject to the rules and regulations of the Division of Public Works. Board of Public Works 3e By ! 'f Inspected by t g Dat c � by See back for rules and regulations co YP 711 allCe ctvt t�t (Y ; l S.. c�. ,�(�.�e � r kl TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone(508)685-0950 NORTH Fax(508)688-9573 f F- p p 1a USSRCNu5S DRIVEWAY PERMIT Date: LOCATION: S,r,0 C�,2�,4 BUILDER: phone: OWNER: `� �� phone: The North Andover Superintendent of Highway Utilities&Operations MUST be notified of the grade and set-back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: .j NORTH Town of D OL Over No. OSA CO L E dover, Mass., ORATE D P?���� S 5�. BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....�.1�........ �� ! !...... i ...... .... V ..... ..... :. .. has permission to erect........... . b ildings on .�� ... .. b . Rough . ... ... R Foundation 1 N FA yI It� f� L 07 �O 1' Chimneto be occupied as... ............'W............. ............. .......................................... ...................."o-11-66, ............................................. y provided that the person accepting this ermit shall in eve res ect conform to the terms of thea lication on file in P P P � g P ry P Pp � 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 CONSTRU T4IPD TAR S ELECTRICAL INSPECTOR Rough ..................... Service BUILD 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. ORTIy own o Andover No. l _ S= o, ndover, Mass., LAKE COC MIC HE WICK ADRATED /'PAC3 SSACHUS� I T FOR EXCAVATION AND FOUNDATION M 9 IN Co THIS CERTIFIES THAT .� ! .f !q111i�� V� P3 has permission to excavate and nour foundation at .I.* Ch.!�,s 4t......... . ....... ............................ -wo for the purpose : . � �..... .....4to.d...... Paul The person accepting this permit must return to the. offc. e of the Build* in Inspector a certified plot plan show � 1 ® of building thereon before Foundation will be inspected. 1 ?®®w►$ VIOLATION of the Zoning or Building Regulations Voids this Permit. 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Vii t. a. lot? 1 III-cs IIIIIjQ21"iI="K xv slog I - . I OWN Aww" coin.L IItInj I14 abAr" 4 Iilk Omar itIIIItoil 7 in 00104,0 I IIjL 4 IIIIIIIIMES Ihit,IIIIIIPTAys via IIIItIIIt XAORTH F A o 0VM of ` OL dover y ( C�OCHI E dover, Mass., ADRATED S 5� BOARD OF HEALTH PERMIT T Food/Kitchen Septic System � BUILDING INSPECTOR THIS CERTIFIES THAT....VIA........�AOY%�.....�'�.�..'. ...... ....��N1��� .......... ......... 4 has ermission to erect........... , b Ildln Foundation p 1.......................... gs on .�,,�t... .C.b ���C � ...� Rough .............. ... ... ..... ................ oft t0 be Occupied as. ~�...`r......F�. �...y ..... .t...Z ... O ��...:.: 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 CO PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRA ... ELECTRICAL INSPECTOR Rough .... . ........... Service BUILD 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 Until Inspected and Approved by the Building Inspector. Burner FlRE DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. Sent bjiG /Nov-04-99 10:55 iron 97837239609509 6853148 Fa3e 0 y ! /0"s LOT A2 LOT 7 LA a LOT 8 EXISTING FOUNDATION ELE1!=268.2 i J �! ca ARG J It LAND FOUNDA RON L OCA TION PLAN f cmm 7wr R smucnw smm awom ro AMNM&E MY-LAM M UnCT WMM ATEA Omar nays Mor ANY OrW s 4$C0ftV=KWAMNFUa" RALPH JOYCE awm ar"°�arae'"M' CLIENT: rMT MOM SAUL NOT Of UM 9Y THE CUENr MR,ANY aWMW MM 7MW FMI ovn#=AM&DAMI carr: rK MIS CERTIFICATION 18 MADE AND UMITED MMM RUMM N aF QMM7WMN A SM N#L TO THE ABOVE CLIEH7, rtrarrrtx�rortr rrrrs aMWIMc 6 rN);=WYMw M PAGFUir ar aa�tt m" A M+rbr/M- ANA ANN vMWjM&VM UM LOCA770N. LOT R GHEMUT STREET IS FRMSM CIMMOnN a MM TA+n Na arsrWMUFY t'aIP Al£ WIiAUIMMM Usr W W oP W MC 0 ANY MW- NORTH ANDOVER, MA MMV CO MMMn SCUE. 1" = 40' DATE: MOVE °R 2. 1858 CHRISTIANSEN &SERGI rQv s Jr. NAYItwMrl &% craw WL ym-j7j-ola rs r:Y Omftnmm a snw AM DRAWING NO, 9401202 3539 Date../'/.a.. ...... ,aORTM TOWN OF NORTH ANDOVER pf „ao ,^,ti0 PERMIT FOR GAS INSTALLATION a � • SAC This certifies that �'�' a' has permission for gas installation .. .�� .o. . .. . . . . .. . .. . .. . in the buildings ofTorth . .. . . . . . . . . .. . .. . at .�� ', ( . . .. . :L-n-. . .�-:� - . Andover, Mass. Lic. No../% .. . . . . . . . Gj.GAS INSP.ECYR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer 1 � . MASSAG FrS Uf LAPP CATON FOR PERMIT TO DO GAS FITTING ��Type or print) 'PARCEL Date O d NORTH A/�8 NDD L' �j Building Locations .( 5-06 dl-5/woL -57/ Permit# �/q� /Amlount S 7S� Owner's Name New0 Renovation ❑ Replacement ❑ Plans Submitted ❑ U z N 4 C .n sJCA — 't C = z =- �+ z =t m - =r i m z C i C ?n - Aj SUB-BA SEM ENT - - - BASEM ENT IST. FLOG R 2ND . FLOUR ��.. 3RD . FLOOR 4T II . F L O O R STH . FLOOR 6T 11 . F L O O R 7T [I . F L O O R 8'r 11 . FLoo R (Print or type) Check one: Certificate Installing Company Name -1 it ❑ Corp. Address P6v,voc �eC ❑ Partner. =)-,e-47 Business Telephone p 3 0 93 yIft— �Firm/Co. Name of Licensed Plumber or Gas Fitter } JOl?CJ 111211- _ INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked ves,please indicate the type coverage by checking the appropriate box. Liability insurance policy � 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 cf Owner or Owner's Agent Owner ❑ Agent ❑ i herebv 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 performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Vlass• hus . State s C e and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Tide Plumber f/`j CityiTown ❑ Gas Fitter 7cense i7urnoer Master APPROVED(OFF•ICF USE t7NLY) ❑ Joumeyman Date.�.�D. 00 No 458 "pa'" TOWN OF NORTH ANDOVER n PERMIT FOR PLUMBING SSA�MUS� This certifies that . . . . . . . . . • • • • • • • • has permission to perform . . . . . . . . . . . . plumbing in the buildings of '.`.�� . .� '.`...." � . • :• • e.',t- - . . . . . . . . . . . . . . '.. .. . . . ., North Andover, Mass. Fee•.� . . . .Lic. No.. . . . . . . . . . .. .. . . . . . . . . . ^PLUMB N54SPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO UMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS pp // (� / Date g Building Location L O� {� �S Owners Name Ola/9c'n Jad P2 Permit"# 25-8 Amount Type of Occupancy ; New Renovation Replacement ® Plans Submitted Yes No FIXTURES h W W x a - a a w a a w W d � � ►� _ A A � cw o F 5M&NE BASDI SII' M ROCK — — M FUM t`i 3M FIOQt 4IH FUM SISI ROM 6IH FIDQt - 7M RaR M H-00R (Print or type) Check one: Certificate Installing Company Name YI ®-Corp. Vdress d ❑ Partner. i O o Business Telephone 6 89 /(a Firm/Co. Name of Licensed Plumber. l7)C5hj Ud Y.— insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 1 Other type of indemnity ElBond 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 installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the s h to Plumbing Code and Chapter 142 of the General Laws. By: i a o i ns um er Type of Plumbing License Title j City/Town 17cense Numuer Master y Journeyman APPROVED(OFFICE USE ONLY NORT►i Town of North Andover °1 4TLBC ,6 . o Building Department 32 ° °c 27 Charles Street ° p North Andover Massachusetts 01845 4( - (978)688-9545 Fax(978)688-9542 ACHUS�S�� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESSbd LOT NUMBER ,LQ 7 SUBDIVISION 4��DATE REQUEST FILED --`�; 1 J�,0 /� Od DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPE EE OFT Y-FIVE($25.)DOLLARS WILL BE CHARGED IF U S OT ET ALL APPLICABLE CODES. SIGNA OF C SE ONLY ROUTING CONSERVATION DATE PLANNING DATE D.P.W. —WA R METER x DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR T_ INSPECTION REQUEST DATE. —GO SIGNA /DP AUTHORIZATION