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HomeMy WebLinkAboutMiscellaneous - 54 LANCASTER ROAD 4/30/2018 54 LANCASTER ROAD 210/104.D-0175-0000.0 9800 Fredericksburg Road San Antonio,TX 78288 USAW 04664. 1TDSF .JSS1024188477.01 . 01 .477 NORTH ANDOVER BUILDING COMMISSIONER March 25, 2015 1600 OSGOOD ST BLDG 20, SUITE 2035 NORTH ANDOVER MA 01845-1057 Reference: MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B Attention Town Building Commissioner, I am writing regarding the claim referenced below. Policyholder: Lynne B Mehlman Reference #: 003515074-24 Date of loss: March 2, 2015 Location of loss: North Andover, Massachusetts Address: 54 Lancaster Rd., 01845 A claim has been made involving loss, damage or destruction of the property referenced above, which may either exceed $1000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER 143, SECTION 6, to be applicable. If any notice under MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B is appropriate, please direct it to my attention and include the reference #. You may submit correspondence or questions to me. My contact information is: Address: P.O. BOX 659460 SAN ANTONIO, TEXAS 78265 Fax: 1-800-531-8669 Phone: 1-800-531-8722 EXT 79728 Sincerely, Lauren J Vari Property ICU TPA 2 USAA Casualty Insurance Company PO Box 659461 San Antonio, TX 78265 Phone: 1-800-531-8722 EXT 79728 Fax: 1-800-531-8669 ARR/LV 003515074 - DM-04664- 24- 8025 - 06 54577-0914 Page 1 of 1 N° 9677 t Date/ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSS,qc"usE� This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . (.1 . . . . . plumbing in the buildings of at. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. North Andove Mass. Fee'. ©,d��. .Lic. N om?.tA.3.�?. .(�.lW� . . . PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK s � w r - CITY NORTH ANDOVER MA DATE 11/24/12 PERMIT# JOBSITE ADDRESS 54 LANCASTER DR. OWNER'S NAME JEFFEREY MEHLMAN GOWNER ADDRESS SAME TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL® EDUCATIONAL ® RESIDENTIAL E] PRINT CLEARLY NEW:® RENOVATION:® REPLACEMENT:0 PLANS SUBMITTED: YES❑ NOQ APPLIANCES 7 FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER 1 OTHER INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ❑NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ❑ OTHER TYPE INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME TOM HALLORAN LICENSE# SIGNATURE MP® MGF❑ JP[j JGF❑ LPGI® CORPORATION❑# PARTNERSHIP❑# LLC❑# COMPANY NAME:HALLORAN P+H ADDRESS 826 DALE ST. CITY NORTH ANDOVER STATE MA ZIP 01845 TEL 978-685-9504 FAX CELL EMAIL \.✓ -w <70 Date -2- TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . . 1!� ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . in the buildings of-(�.� . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .North And4pvep,, Mass. Fee .e,�.O. . . . . .. . . . . . . . . ... . GAS INSPECTOR Check# 41,r< 0459 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY NORTH ANDOVER MA DATE 11/24/12 PERMIT# JOBSITE ADDRESS 54 LANCASTER RD. OWNER'S NAMEJEFFEREY MEHLMAN POWNER ADDRESS SAME TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW: ❑ RENOVATION:® REPLACEMENT:Q PLANS SUBMITTED: YES❑ NOQ FIXTURES 1 FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIUSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES 1 WATER PIPING OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 0 NO Q IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Q 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER Q AGENT Q SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME TOM HALLORAN LICENSE# 24833 SIGNATURE MPQ JP[3 CORPORATIONQ# PARTNERSHIP❑# LLC F_]# COMPANY NAME HALLORAN P+H ADDRESS 826 DALE ST. CITY NORTH ANDOVER STATE MA ZIP 01845 TEL 978-685-9504 FAX CELL EMAIL IV\fx ///Z� C'ic.vvt.�•.✓� .---'sax,�L w 1l 't The Commonwealth of Massachusetts Department of Industrial Accidetats Office of Investigations 600 Washington Street 4> Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �G/✓l ,q�CQ,/(,/�.✓ Address: g"�� 1 l�L t- S T' City/State/Zip:iv, 4,Y10Dve-A_ ^W` Phone #: 9Z8--63'5_- Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.Xr I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling sub-contractors have ship and have no employees These 8. E] Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy# or Self-ins. Lic. #: 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 fine 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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: 1,1—v2 Lf 2- 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under an contract of hire, , express or implied,oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple pen-nit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia Lo bation ��y��^- - --� yJ No. jo yy Date NaRT� TOWN OF NORTH ANDOVER F A Certificate of Occupancy $ Building/Frame Permit Fee $ cHuSE< , F tl tion,Per ,it Fee $ Ot"t Permit Feee/ oor $ �eT Sewer Connection Fee $ Water Connection Fee $ 191 TOTAL $ a Building Inspector } r 6 U 4 Div. Public Works � y AV Location No. Date �� 3 "T TOWN OF NORTH ANDOVER F Certificate of Occupancy $ , 3 ?_3 !3 Building/Frame Permit Fee $ 2.Q MUE h Foundation Permit-Fee $- sACs t Other Permit Fee $ "� V� Sewer ectloa Fee $ r' b Water CoWctionr -e TOTAL �90 $ 1411.3, vt- ..-76 : Building Inspector 6327 Div. Public Works Location No. r `�� Date 7 a° HpRTm TOWN OF NORTH ANDOVER 6h'O S Certificate of Occupancy $ -5 n '� } ° Building/Frame Permit Fee $ ",4 US"°' h Foundation Permit Fee $ /�U •r' '} � st , Other Permit Fee $ 4 Sewer Connection Fee $ ' �9ter Connection Fee $ TOTAL $ A / 7 + 3 2 Building Inspector 62.77 Div. Public Works r �S I-ocation No. � �� Date �r NOA h TOWN OF NORTH ANDOVER Igo Certificate of Occupancy $ Building/Frame Permit Fee $ cNusEt Foundation Permit Fee $ a Other Permit Fee $ 4'�49sewer Connection Fee $ Water Connection Fee $ lia06�0. 00 Builtling Inspector ;,. Div. Public Works b J '9C' PERMTT,:tO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. ///PAGE 1 MAP dJO. /�,3 LOT NO. / 2 RECORD OF OWNERSHIP (DATE BOOK ;PAGE ZONE T^T SUB DIV. LOT NOf. —I LOCATION PURPOSE OF BUILDING OWNER'S NAME n /) NO. OF STORIES / SIZE elf OWNER'S ADDRESS 4fC �/���ti< ��// / BASEMENT OR SLAB ARCHITECT'S NAME ' V �� -/ SIZE OF FLOOR TIMBERS IST ��/v 2ND `Y `.O 3RD / G BUILDER'S NAME A� ' _l /1 1-4-111, �1^ SPAN � / J/ DISTANCE TO NEAREST,BUILDING 70 ,11 DIMENSIONS OF SILLS --- DISTANCE FROM STREET / POSTS .7.J/i /,2 / DISTANCE FROM LOT LINES-SIDES 3o REAR ?� GIRDERSoc GJ J AREA OF LOT /1�, FRONTAGE HEIGHT OF FOUNDATION THICKNESS 00// �T S IS BUILDING NEW `I C- SIZE OF FOOTING X 11-0f x o �GJ IS BUILDING ADDITION 4./ V MATERIAL OF CHIMNEY n �C IS BUILDING ALTERATION Ad IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE YL S IS BUILDING CONNECTED TO TOWN WATER BOA D OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS mm �i 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES Q✓ D 1ri�i ,a� EBT. BLDG. COST PAGE I FILL OUT SECTIONS 1 - 3 1�31 v EST. BLDG. COST PER SQ. FT. SJ M�MNIn PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PL4R:S MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FI BOARD OF HEALTH SIG4A7TtjRIf oF�dWNER OR AUTHORIZED AGENT IV- FEE J CJ• 6 PLANNING BOARD PERMIT GRANTED OWNER TEL. CONTR. TEL.# a, l� is Cor-'TR. UC.# � BOARD OF SELECTMEN - � I 76 3�-, 5,v JI/ ` BUILDING INSP[CTOR r BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES 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 I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL K. PINE BRICK OR STONE H:A: _ PIERS PIASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M AREA FIN. ATTIC AREA fi NO 8 M T FIRE PLACES HEAD ROOM _ MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 1� DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD",/'D ASBESTOS SIDING _ COMMON VERT. SIDING ASPH. TILE _ { STUCCO ON MASONRY STUCCO ON FRAME ` BRICK ON MASONRY ATTIC STRS. 3 FLOOR BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR ADEQUATE NONE 5 ROOF 10 PLUMBING ,ABLE I I HIP f/ BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) C, FLAT SHED WATER CLOSET _ 4SPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING HOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM _ STEEL BMS. 6 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 f 13rd NO HEATING tioa i F i FORM U - LOT RFrrsnsE FORM ) .` ` l . 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 local or state law, , regulations or requirements. r , ****************/Applicant fills out this section***************** APPLICANT: ��ti/v�✓rpt �Gs•-51� �-- ��- ��.0 Phone �.�-- J� LOCATION: Assessor's Map Number JdL1 -0 Parcel Subdivision A--mow e 4s 71--,IF Lot(s) /S--" Street Vis✓_Cy'/�t J r� �f St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved 7 Conservation Administrator Date Rejected • Comments Date Approved ( `�n Town Planner Date Rejected Comments j ' Date Approved Health Agents Date Rejected { Comments 11�✓V VV A&pvi i . Public Works - sewer/water connections - driveway permit Fire Department - Received by Building Inspector Date o ry �+. � .✓ .moo r r is £2-9 •i, 1 2 -?I T2-, I �• Ci \ � r i ER /T F PJJG C /ED FOUNDA TION PLAN ----------'-----a LOCATED /N I�lo, Ar�iR ►�R,MA.`� f ��' �� u DEPS+ m e... - . SCALE-: I"­ A& DATE: -F -25 •%3 Scott L. Gi/es R.L.S. j n 50 Deer Meadow Rood North Andover,Moss. 2 , 30 -7 121C.. So' 00 c9 aq . LOT l 119 F. EE �9• M1 1 �O / CERT/FY THAT OFFSETS SHOWN ARE FOR THE USE of THE OFFSETS OF THE BUIL DING/NSPEC TOR ONLY SHOWN COMPL Y AND SUCH USE/S FOR THE s WITH THE ZONING DETERM/NATION OF ZONING a SY LAWS OF CONFORMITY OR NON-CONFORM/TY _iib.AN .MA WHEN CONSTRUCTED. At WHEN BUIL T. -}. - 3 NORTH Town of dover 0 t'� ♦�KKt�� No. 3 d3 SpA Coy.;-NO\� dover, Mass., 1� �'= ,,,5� DRATED PPP Cl ,9S H BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System, BUILDING INSPECTOR THIS CERTIFIES THAT.. � v� ... ,�. r .. �•* �. or................ Foundation t��rr . �r' c., da r..�..5... has permission to erect.!�.OIR/ I. . buildings on .. ... ............. �} .. Rough to be occupied as5'•�r1�/��` 2nz / �/ •Ii1 "". Chimney provided that the person accepting 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. AfeA�EwT FOR FOUNDATION ONLY PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8-5. B.C. Rough PERMIT EXPIRES IN 6 MON _ Final D� FEE PAID UNLESS CONSTRUCTIONELECTRICAL INSPECTORS R 's'�-� �QUILDI�IG Rough ' ' � ; Service tN/ . ... .. .. DATE: � FEE PAID' 1603' _ BUI ING 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 Burner PLANNING FINAL 64411 -Z-3.2 CONSERVATION FINAL Street No. Smoke Det. CLIA/CD /IA/ATCD FMAI /.�?��_t��-765 IVFWAY FNTRY PERMIT _ . _ _ _ _— t 1 t ,fit la � t►Lt{•►r, LN(1�� � �ir,1,ttNt►` 1•-1- `)1,ntt,,N ► `► l 111'1�:1:ti�)1' :,,,y.�^,<' (111 N, 1•,• 1)`- tit.tivc�l►t�N ��1,�\NNt " l tt;r�l.l•►1 � 101 N� ►'1.��NNtN , CAl • C111 plN LY ill 1 11 . �t L1ZC111. � ` )CION �t ONER, �ERt S NA.ME• S NOke'. SON p I 5� ,S ADDRESS' �J L C111p111Lv ,�E�Ep{IONE' .l t:x1ER1GR �- -' SONt S _ . .TERG� IAL CI{Ih1NEy' `� I allll i . . CI{IhtNEy: 11av� ;tu��.ti jERIGR l{e a11`l '—�-�� , SIZE of Pt-uEs' 11telt•t•ti u ri ih�BER ANO �{te. ne•�tu•iltC :NESS 0� NEART11' ante to IICkn 1cnenc cart{1 —' l• L TE• h�ASON: GNATLIRE OF tIT GRANTED• SERT NICETY ECTGR I LING INSP SPEClCU• I .hkARKS L�LK •1�1✓� G 1111:1) SVL1U �tJ 111C 1'R��11 Sj G� VIS1'0AYL.v laul • IIS PC -, ao1rAnd Town of , over 0 r No. .3 o A• Forth_ dower, Mass., 19 (IAC HIC MF`NICH �� J 1TED �A pPa� .<C7 BOARD OF HEALTH. Food/Kitchen PERMIT To BUILD Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... l I. M... 0.##A;L..,I►•It•%#...... Foundation has permission to erectiW.000* .. buildings on%M..4#AAV.OR...AM-404 Rough to be occupied V.S.A40"� .. .. AAM. .. . .tir Chimney n accepting this permit shall ever respect conform to the terms of the application on file in provided that the perso ac p g p Y P 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. P&Cdl & PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR REGULATED BY PARA 114.8-S. B.C. VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough r n N � �,,�C,��j DATE �,5'�3 FEE PAID/6 '4 0 Final : '" ' l2 ELECTRICAL INSPECTOR Rough PERMIT FOR F RAME/BUILDING .. . ...... ....... .. ................................ service ...... . ... . . / BUILDING INSPECTOR Final CA, b y FEE PA D• 6 3 e T�T�1t�Tl�� ��;CLG�1a: GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RouFinagh 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 CERTIFICATE OF USE & OCCUPANCY Building Permit Number 309 Date DECEMBER 8, 1993 THIS CERTIFIES THAT THE BUILDING LOCATED ON _ 54 LANCASTER ROAD (Lot #15) MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/3 CAR GARAGE IN ACCORDANCE UNDER & DECK WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. HOR71{ CERTIFICATE ISSUED TO Andover Const. & Dev. Corp. 01 �h0 66 Spring Hil Roa A ; ADDRESS North Andover, MA 01845 -- Building Inspector r i R l Town of ;0 dover 0 No. 3 O k, to ley �. <<, , :North dower, Mass., 1' 1 BUILD BOARD OF HEALTH a Food/KitchenPERMIT TO Septic System BUILIJNG INSPECTOR THIS CERTIFIES THAT.... . 0.044...00.A..jK'' .A040.#0�. ..�w. . o...... jtj � Foundation has permission to erectA0.00 A10l.0.. buildings on%M..4#—44A.C.04.A^.1#r4 Rough a, I'Cr /6 to be occupied as m vir Chimney provided that the person accepting this permit shall' ever respect conform to the terms of the application on file in P P P 9 P Y P PP Final ���� /.2 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. ���� PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR REGULATED BY PARA 114.8-S. B.C. VIOLATION of the Zoning or Building Regulations Voids this Permit. 'u 0�t 1 PEP [ 11" l` 1 11I'1, '. , I1`] 0 1,1�.' 1DAIG- �j' FMPAI00 'Fin' �^ A41e l?. ELECTRI INSPECTOR Rough. PERMIT FOR FRAME/BUILDING ........................ Service ...... . ... . .. ........... .... ............. AA���•� / BUILDING INSPECTOR �i�f. .b FEE PA Drtab 4,3•e 0 ) Final / �CCL4. )UIC1 Final ('1),11h, 1'c 1'11('8 {1 1.. �� i it/ - E JGAS INSPECTOR Display In a Conspicuous Place on the Premises — Do Not Remove Rbw h P Y � P No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIR DEPARTMENT Burner tL)/, 1 (7 13 Street No. f� , PLANNING 1 INAL CONSERVATION FINAL c� SEWER/WATER Z% OZ-QUI NAL DRIVEWAY ENTRY PERM IT w--"_ Smoke Det.