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HomeMy WebLinkAboutMiscellaneous - 51 INGLEWOOD STREET 4/30/2018 51 INGLEWOOD STREET Date. .aZ !/ G qt' NORTH o? TOWN OF NORTH ANDOVER j ' PERMIT FOR.GAS INSTALLATION s i gs9SSAC MUSEt�h - This certifies that . . . . . . . .r. . . . . . . . . . . . has permission for gas installation .1441�. . . . in the buildings of . .14%c• 7 :. . . . . . . . . . . . . . . . . . . . . . _ at . . . .T t-. ...'. . . . . . . . . . . . . North Andover Mass. o �� ;SPECTOR I Check# )e))-; h 6650 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) ` ILORIN AL)GOVEiZ , Mass. Date 2 0 2.Cn ` Permit # f6 Building Location 51 —5.3i ISI -k L(all Xyl i 'I, Owner's Name& �J=� Yc E]7- UV i�10 N �r6v , MAType of Occupancy RE-SI06UT1,^L New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes[] No ❑ N N W U7 N N V Z Q ' Z N O ? N = z u W W a O () t m Z S J1 z O W ~ Q CC z O r w Q m rn F- W W o o 0 f- cC N 0 W Q4L) W = z v) a tl >61 X R W W M W z Q S rt W � W CC 0 W F' z 1' Q W J Q C ~ 1- >- M O Z LL }. W o �N. W M z O z o L� x W W 2• Q Q Q < o O W W �y '.= O tl z te. a 3 c tl .j V ¢ o a F O SUB—BSMT. 777 BASEMENT i 1ST FLOOR 2ND FLOOR 3RD FLOOR _ 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET X] Corporation 1862 LAWRENCE, MA 01841 - 23 JZ ❑ Partnership Business Telephone q76-68.7-:1105 exi #-3®6 s ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: i have a current liability insoura❑nce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes If you have checked Yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy N( 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' agent s Owner❑ Agent ❑ hereby certify that all of the details and information 1 have submitted(or entered)in abo plication are true and acmate to the best of my knowledge and that all plumbing work and installations performed under the permit iss i r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. BY T e of license: Plumber Signature of LicensedPlumber or Gas CMmV Title Gasfitter Cit /Town Master License Number 374"5 Journeyman IC S_O BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE N0. APPLICATION FOR PERMIT TO;DO GASFITTING r. NAME TYPE OF 13UILDING LOCATION OF BUILDING i PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED . DATE.�.�.....�9 GA13 INSPECTOR • a„ a �J Location No.` _ Date &ORTTOWN OF NORTH ANDOVER f � �- • L9 Certificate of Occupancy $ SACMUSEt� Building/Frame Permit Fee $ 4/kS , Foundation Permit Fee $ Other Permit Fee $ _ " TOTAL $ Check ' 15008 /! Building Inspectprf <�/7) TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING r .{p < 7'r E ::-.,. ."i% •.:q�j`e' ,�, s „� '.. a r�"r� ��_ ,_ �I�la` �tic��y y yY .,d.<� 'y 3 ay�,�' "� .,d� � � ::: BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: zk Building Commissioner/ins6ector of Buildings Date SECTION:1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: o /J , a3 A Old- d J e-r ' �jl fs Map Number Parcel Number 1.3 Zoning Informatirni: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard . Side Yard Rear Yard Required Provide Required Provided R red Provided 1.5. Flood Zone Information: 1.8 1.7 Water Supply M.G.L.C.40. 54) Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Tn C:)C/ S� Name(Print) Address for Servi . i I 1 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES Ra 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: D6 5—,791 License Number Addres G�e�Cai( Expiration Date Signature Tele one 3.2 Registered Home Improvement Contractor Not Applicable ❑ S,LyC Company Name /20 3 3 Y Registration Number Addr i C/ Expiration Date Signature ele hone 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 buildin tt. Signed affidavit Attached Yes....... No.......❑ SECTION 5 Description of Proposed Work check au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition Other ❑ Specify Brief Description of Proposed Work: 1641 �� �rS✓.lG� /7(®�t/' �-1 / �ciS P ��/,,Oy P Pyi�.�1 �/l� /�/<<! r 1-2i,1, 0'4e - SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be as O FICfALUSE ONI:Y Completed by permit applicant ,? r fr F' 1. Building Qv (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) 1 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property ` Hereby authorize to act on f My behalf,in all matters relative to work authorized by this building permit application. -Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, 1 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 Print Name Si attire of Owner/A ent ` Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIVIBERS ' ' 1 .2ND, 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE t 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. *****************************APPLIC/ANT FILLS OUT THIS SECTION*********************** APPLICANT SPn 11�//dale // PHONE LOCATION: Assessor's Map Number 07 PARCEL C)a�3 SUBDIVISION LOT(S) STREET--5" QIP wcjad S ST. NUMBER *****************************************OFFICIAL USE ONLY*********************************** RfbP9 MMENDATI NS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED R a t O I DATE REJECTED COMMENTS U.Pi_ —"' 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 i DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 im I I I The Commonwealth of Massachusetts I m Department of Industrial Accidents Office of Investigations Boston Mass. 02111 5�lb Workers'Compensation Insurance Affidavit i II r Name Please Print I Name: � ���- r Location: City /f/ /04�� a/FYS Phone # am a homeowner performing all work myself. iI am a sole rietor and have no one working in any capacity 0 i I am an employer providing workers'compensation for my employees working on this job. r Company name: '�►AA A:oo , 13,) (S ' Address 12 H ! I 1 (I PA I?d On: C-,-)6J or-1; MCI ($7 C Phone# a SS G U / n 1 Insurance Ca..�ss �� .ldh�uS�l�Cs dl� i�� Policv:# ,.V �04 o a��l a U I o? Uc)U �010fVr Co. Coman ; p Y name: Address. A ��/C/l✓f �o� City /l�/�3���r_ /`l4rs %Jlg? 6 Phone#: Insuran.6e.00. ,/1A00 h 1"&! PSS _I Me., ua:!k CU Policy# 00 49 U.3 V�,�7, a F`ailt veto seCUre coverage as req61red underSection 25A or'MGL 182 can lead'to the in posipon of criminal penalties of aVifie up to$1,5;*: and/or one yea rs'imprisonment as weD as-civil penalties.iniheiwn nfA P_W-ORK ORDER..and-:aline_cf-011 =alay_s4Wnstme. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DlAfor coverage verification. I do hereby certify un er the pains and penalties of p ury at rnforr»ation provided above is true and correct. Si nature �� Date g ,s Print name '!v Ce� /r �Si �L vc Phone. Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing El Building Dept OCheck if immediate response is required 0 Licensing Board p Selectman's Office Contact person: Phone#: Health Department Other , - ✓Itn V497t-97149LIflG'C1%ttiZ0���/�1.(Xr1;1C2'!{ll14@�6 � i ( BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 065791 Birthdate: 11/28/1970 Expires: 11/28/2002 Tr.no: 5076 t I Restricted To: 00 EMANUEL A SILVA _ 26 GLEDHILL AVE � i EVERETT, MA 02149 Administrator • � ��'�mtxax�c�r�p�..l�7rt-iYic-�ir[.sc+ll3 NONE IflPROVEMENT CONTRACTOR { Re4istrtion: 120334 Expirafior I1/26/Oi I �- Type: 08A 1 SILVA LIGHTNING BUILDERS t EFIANUEL SILVA I GT.EONILL AVE. L�un•��i-a �°��RTT AMAINISTRATI.R $A 42144 1 I I� S f . i i � I s ' MORTGAGE INSPECTION PLAN NORTHERN ASSOCIATES, INC. 342 N.MAIN STNEET AMOOVER MA 01910 TEL: (9781 474-4410 FAX.- (978) 474-6067 i MORTGAGOR:MARY T.VARANO & JENNIFER HAIMWELL DEED REF: 1836184 LOCATION. SI INGLEWOOD ST PLAN REF.• #463 CITY, STATE: N. ANDOVER MA JOB #: 99/05396 DATE: am 16,1,999 SCALE: 1"=30' N LOT 115 LOT 114 LOT 113 i 11510 LOT 123 LOTS' 121,122, LOT 120 PT. OF 120 8.5' �I 11500 sf± +� 0 2 STORY o WOOD # 51 LOT 124 24.5" i 115 INGLEWOOD ST i NOTE: THIS PLOT PLAN IS OVER 6 MONTHS OLD. NORTHERN ASSOCIATES ACCEPTS NO CERTIFIED TO: INTERATE NATIONAL MORTGAGE CORP. RESPONSIBILITY FOR ANY CHANGES TO THIS PLOT PLAN. fif/TF1 -Tnl■ wortgsge Inspection use prepared Thi■ ■ortyage Inspection vn■ p,c{rat nd In accord■„ce aDsCl(leally for oortPa. goo I ,e only and with tits Tochulcal AtendarJa 101 Ihn[416,19 loan is net to b ::lied upon sae land or property 1N OF Iunpectlnne os w1vitted by the nnesechu■att■ Board of lips survey, uasd for recording, preparing deed nayintratlon 0t irofus{m,al Cnylneure and 1.■nd descrlptlone, or eonetructlon. po oeniar6 r '! surveyors 250 Cwa 4103. not. 6 111 pg least an and Vita:!■ ere CARMEN I turner state that to wy proreswlonal npinlotl that ■pproslwetaly levet■d on the ground and A. the structures"si,uwn eoutoro with lits Ioeal tot111ty herltollt are all aPeelfleally for toning determination STA diwaaslonsl ■etbaek requirements at the time of conatructle, only and are net to be used to establish pr:parcY are 6woopt under provlslo„■ of ,l.c.6. en, ao-A sec. 7. Ilnea. Thr wafter: shown heron are basad on client-Iuralsp:it lnforsetlan and way be subject ► p el.�flouse is not In ■ Flood lisaard, to further out-seles, takings, easements and rights �'Qf/TET' 01.Props rty0miew in (1, a Flood Iletard Area. at Of otnitand rl btser matters of record northern Associates, IMe"asapm■aeno de�QNALIAMO C7}•7nforwetlon 1e lneufflcleut to determine napa/e1b11Tty henln to taw lam ovMr or oceu{rent, Flood Hazard. a:;Iota no responsibility ter damage, raaulting Frew --id Flnod petard determined ftyw 1eta4�Fadoraj j•lood ,ellen@ by anyone ether than the said wortgegae and Its ea■Igns `71T7 insurance e a i 1 penal, �/� /f9 4= t� ��sit rJ LWTE: ZCvVr= K(,WS(-' PEQJ)C ' I 07 /�G ss /C/"- JC1,127���,� Thd�sti�� Pile- lao"'c'e> /� 4p< aS OUP �,I�i��'� rP� �•��w� p� ���. 674-10 1T�An0(/P Cay/J/�%� /��/��/I �P��l. ��OITe� ;/UC//��5 / TUOT."ny jy Y1 � t � 1r4oaj P. Q 1> r eSk 77 � � � ,SSS/ • o�.S/ � %� ops ��/ /ISG✓ -------DIOv�...___ ._..__�v.__. __.._�•�i_...Sr'�-- - c�/J���i�lP, -- --- - ,/l� 3 ov, ------------ -90 � I l J u � � N"T\ NORTH Town of `E° � over No. / 38 A_0 �oCHIC � ,�y dover, Mass., 9' s ADRATED S H E BOARD OF HEALTH PERMIT T D . Food/Kitchen Septic System —7— BUILDING INSPECTOR THIS CERTIFIES THAT............-Y...�.N............... ...... d�,�D Gv e ...................../.....................................�.......... Foundation has permission to w*....11.�ri....�!^............... buildings on.... 1... N..� /..> ..4v.e�o ......c .._'........... Rough p d� h- r... 's l/4 L��.. 00/` ��GPI�.C!C...W jA)��w . .. . .... .....�r.1-21144 Chimney to be occupied as.. ,�... ..... � r�i4 provided that the person accepting this permit shall in every respect:conform to the terms of the application on file in BOO Final this office, and to the provisions of the Codes and By-Laws relatin to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. r�/�� ��-- PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR e Rough UI ....................... Service BLDING 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. S c. Location -0Y No. oZ Date g_oZ TOWN OF NORTH ANDOVER Certificate of Occupancy $ C Building/Frame Permit Fee $ MU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # X • 17668 ,,p (Cr Building Inspector r TOWN OF NORTH ANDOVER BUILDING DEPAR'TMEN'T' APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING aa® ,4 ,i 3RD pix r r �xf , y BUELDING PERMIT NUMBER: ` DATE ISSUED: (� /, ic T- SIGNATURE: "i Building Commissioner/Inspector of Buildings Date z SECTION t-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: yalewool 5YecetJ 9 210 ce .0-.00. 3 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: l Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Reqpired Provide Required Provided Re red Provided 1.7 Water SupplyM.GL.C.40. 54) 1.5- Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 'SICMG Ulistrict: YDs NO M 2.1 Owner of Record .� Name(Print) Address for Service Signature Telephone 2.2 Ow1mer of Record: Name Print Address for Service: z M Signature Telephone 1 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: tq ra Ave License Number Address .1 C),3/1(,Ail GQ 9 Expiration Dae Signature Telephone 3.2Registered Home Improvement Contractor Not Applicable ❑ G'-�1��-c�,'o✓� Copy�fi?�ct,�J La�'A. !y 3So3 M Company Name �� ��yS3 Registration Number �" _i e , r Address 2 d e2 OO 33q—,2 OC �© Expiration Date to Signature Tele hone 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 buildinpermit. Signed affidavit Attached Yes.......❑ No....... SECTION 5 Descri tion of Proposed Work check au applicable) New Construction ❑ 1 Existing Building ❑ Repair(s) Alterations(s) ❑ TAddition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: / RePZOUAC or exl5t-n-s SfOi?-Y !� SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICFAIL,USE ONLY Completed byermit applicant L. Building 32.69, (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUnDING PERMIT 1, 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. i Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION ; 1, 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 '�/� llqw Print Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1S 2` 3 SPAN = - DIIv1ENSIONS OF SILLS DINIENSIONS OF POSTS DRAENSIONS OF G_UtDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHEVINEY IS BUILDING ON SOLID OR FILLED LAND _ IS BUILDING CONNECTED TO NATURAL GAS LINE '�`�, �� �' ✓!ae -�iom�reonuPall! a�'.i�,�raaaclzuaell i BOARD OF BUILDING REGULATIONS ' License: CONSTRUCTION SUPERVISOR Illtti Number: CS 087482 y Birthdate: 03/16/1979 Expires: 03/16/2008 Tr.no: 87482 Restricted: 00 MATTHEW GIARDINA 19 RUMFORD AVE 414. WALTHAM, MA 02453 Acting C din mis oner ✓tie i�anvnzo�iz�ue� o�✓l�rea�,/zuaeC! Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration:. 143503 Expiration: 8/20/2006 Type: Private Corporation GIARDINA CONST.CORP. MATTHEW GIARDINA 19 RUMFORD AVE G G-�- ✓ WALTHAM,MA 02453 Administrator p The Commonwealth of Massachusetts d Department of Industrial Accidents Office of investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: /�EI- lit'iGJ ��KAfIi✓A Location: g&Px Ag W Ave City wA�Th�t� 04, Phone # 3 39 —.246- 2/5-o 0 1 am a homeowner performing all work myself. dI am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. Com an name: Address City: Phone# Insurance Co. Policy# Comoarn name: ���4�41.JA-� `YP��. 47��f'��c��°a.✓ Address Iq IcUN►'>_eateZ /SUP_ City: LA/,4L da A sr. Phone Insurance Co. Poli # J°YI O 9 0 Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 and/or one years'imprisonment-as_well_as.civil.Penalties in theIn=da.STOP WORK.ORDER..and..a.fine of.($10.0.00)_ariay against.me, l understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. I do hereby certify and r the pains and penalties of perjury that the information provided above is true and correct. Signature Date seg ,-A 27 10o y Print name A/A tt/ w �'� C� Phone# 30 Official use only do not write in this area to be completed by city or town official' City or Town Permit/Ucensina Building Dept ❑Check if immediate response is required p Licensing Board p Selectman's Office Contact person: Phone#. Health Department Other North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant 17 , -200 el Date. NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 1 PROPOSAL PROPOSAL NO. o&a Cd i SHEET N0. . � f DATE PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: NAME ADDRESS leef r" ADDRESS , ES `VORyk A'uCto oleo. , I DATE OF PLANS Of W { PHONE NO. ARCHITECT q-7$ e 3 I We hereby propose to furnish the materials and perform the labor necessary for the completion ofG�11a�i1".'� Ie'P GnJ k° rS —5 S e ' �v t.'<-•mss. New ,1w✓ a e ^&-'j 1 tG r a,CC o I 1 i I i i All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work, and completed in a substantial workmanlike manner for the sum of at? �wtl Dollars with payments to be made as follows: I i Respectfully submitted Any alteration or deviation from above specifications involving extra costs will be executed only upon written order, and will become an extra charge Per over and above the estimate. All agreements contingent upon strikes, ac- cidents,or delays beyond our control. Note - This proposal may be withdrawn by us if not accepted within .5 days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified. Payments will be made as outlined above. Signature Date 2.CV4f Signature " MADE IN USA Z" PROPOSAL MADE _ ` NORTIy '9 Tovm of :.t 4Andover LAKE dower, Mass., COC MICKEWICK V ADRA7ED C2 S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT............r4rty.......... 4 BUILDING INSPECTOR ... ..... ....... ........ ... Foundation has permission to ereei..: ,.4. O OVti.+..... buildings on '... ,A�. ���it�"d ..... .... ..................... Rough to be occupied as �AT�O PMA 4 S' 1 r t 'f O NSI ��OO h 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- s relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 07 4A3 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PEPNff 1 EXPMES IN 6 MONTHS 1 HS Final ELECTRICAL INSPECTOR UNLESS CONSTRU ON;TARTS ! Rough ..... ... ...... ..................... .. . .... Service .. . . .. . .......... BUILDING INSPECTOR 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner • Street No. SEE REVERSE SIDE Smoke Det. 1 ..aarrr r���� 1— ►a \ ����iInIIIIIE WAR, � 1