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Home My WebLink AboutMiscellaneous - 55 MAIN STREET 4/30/2018 55 MAIN STREET 210/018.0-0035-0000.0 1 9'i 64 Date AAO/. . . _ MORTq TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING sAcsws�� This certifies that �. . . . .� .�. .LG. . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform .&W AA1, plumbing in the buildings of . �•�' . . . . . . . . . . . . . . . . . . . at. � .5 . 9!h. . .5� . . . . . . . . . . / . .,/NNorth Andover, Mass. Fee. . . . . . . . .Lic. No. PLUMBING INSPECTOR Check # E MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY - MA. DATE ,. _ _._-_ . �. PERMIT# JOBSITE ADDRESS IjOWNER'S NAME / POWNER ADDRESS: / S TEL: FAX: TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL❑ PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:P PLANS SUBMITTED: YES❑ NO❑ FIXUTRES Z FLOORS Bsmt 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONN DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIUSAND SYS DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYS DEDICATED WATER REUSE SYS DISHWASHER DRINKING FOUNTAIN FOOD WASTE GRINDER UNIT v FLOOR/AREA DRAIN INTERCEPTOR INTERIOR cti KITCHEN SINK j. LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING BACKFLOW PREVENTOR INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ❑■ NO ❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box below. 05 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 arg true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER NAME:1,JgFF HUTNICKLICENSE# 152.12ATURE COMPANY NAME: I CALLAHAN AC AND HTG ADDRESS:1.91 BELMONT ST CITY:I NORTH ANDOVER STATE: MA ' ZIP: 01845 , __ FAX: 978-689-7550........ . TEL: 978-975-1362 _.. . ___ CELL:[m-423-6305 EMAIL: PLUMBING@CALLAHANAC.COM _ y MASTER 0 JOURNEYMAN❑ CORPORATION 0# 2840__ PARTNERSHIP❑# LLC❑# The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street }{ Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leuibly Name(Business/Organization/Individual): ' 70,- 241 / 1///A,' 7 J�1 Address: � ��/ 11-7 cS � City/State/Zip: &/11 r '��°�' hone#: e?7f cl-fl 9 Are you an employer?Check the appropriate box: Type of project(required): L[3;'l am a employer with 5_ -14' 4• ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' ' 9. E] Building addition [No workers' comp.insurance comp. insurance.# required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.6] 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#I must also fill out the section below showing their workers'compensation policy information. t 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 is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: G'u r d Policy#or Self-ins.Lic.#: f P) G a� / �)d Expiration Date: 0 Job Site Address:��E boo-/ S-f 4✓,&400Ao-. City/State/Zip: 19 f g*�t 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 ofperjury that the information provided above is true and correct Signature: Date 9' 7- 2U// Phone ff 9 -33 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License 4 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#: Date . ...... . 'a pORTM Y 3? TOWN OF NORTH ANDOVER O 9 • PERMIT FOR GAS INSTALLATION �,SSACHUSEtty .s This certifies that . . .f . . . . . . . . . . . . . . . . . . . . . �. . . has permission for gas installation . .A? 4 P. . . . . . . . . . . . . . . . . . . . . in the buildings of . . 4J!-.. . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . 11'& .X7 . . . . . . . . . . . . ,North Andover,/Mass. Fee. . . . . . . . . Lic. No. GASINSPECTOR Check# [gay�Xl 7870 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY U MA. DATE (� 1. ...... PERMIT# JOBSITE ADDRESS WNER'S NAME GOWNER ADDRESS: TEL: FAX: TYPE OR OCCUPANCY TYPE: COMMERCIAL EDUCATIONAL ❑ RESIDENTIAL❑ PRINT �,/ CLEARLY NEW:L� RENOVATION:❑ REPLACEMENT: ❑ PLANS SUBMITTED: YES❑ NO❑ FIXUTRES 7 FLOOR- Bsmt 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 LABORATORY COCKS kA MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ❑ NO ❑ If you have 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 hereby certify that all of the details and information I have submitted(or entered)regarding this application a e true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this applic 'II a in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. % . PLUMBER/GASFITTER NAME: JEFF HUTNICK LICENSE#115212 S IE COMPANY NAME: CALLAHAN AC AND HTG _ µ ],ADDRESS: 91 BELMONT ST I, CITY: J.NPRTHANDOVER STATE: MA ZIP: 101845 FAX: 978_-689-7550 TEL: CELL: 9787423-6305 EMAIL: PLUMBING@CALLAHANAC.COM MASTER❑Q JOURNEYMAN❑ LP INSTALLER❑ CORPORATION H#.2840 ___...._.. PARTNERSHIP❑#=LLC❑# s a +AC CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER BuildingPermit Number 477 12/27/2006 Date: December 27, 2006 � � THIS CERTIFIES THAT THE BUILDING LOCATED ON 55 Main Street MAY BE OCCUPIED AS Retail Facial Tattoo_Cosmetics IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Jamileh Kheiri 55 Main Street No Ah.Andover,MA 01845 Building Inspector i i i i i ' i it NORTH Town of 0 No. *7 ' C% E dower, Mass.,0 LA ' LA COCMICMEWICK V 7�AORATED O' �� `s BOARD OF HEALTH Food/Kitchen Septic SystePERMIT D m A 0%. S"s ihQ4'qWAr BUILDING I PECTOR THAT...... ............................ ..... . ..A ... .. ................................. THIS CERTIFIES Foundation has permission to erect........................................ buildins on ........................ ....... ...`�....... . .1. ... 4Rough tobe occupied as ........ .. ....... C w....... ...OAN.,Iw............... ............................................. ............. Chimney provided that the on accepting this permit shall in every respect conform to the terms of the application on file in Fi ,G �1j,2 gd.� 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. PLUMB44G INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. g 3'% *0v PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTR S TS ELECTRICAL INSPECTOR Rough .............. Service BUILDI ECTOR in OH /Z 'j94, 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. Qw= Qv:v=Qc= cin: Smoke Det. Location_ � �� ✓ No. Date � t NORTq TOWN OF NORTH ANDOVER - � O'�t.•o ,•1'y.0 O � 41 + : Certificate of Occupancy s�►cwusE`� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 9� 19898 // "—Auilding Inspector l/ CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 477 (12/27/2006) _Date: December 27, 2006 THIS CERTIFIES THAT THE BUILDING LOCATED ON 55 Main Street MAY BE OCCUPIED AS Retail Facial Tattoo Cosmetics IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Jamileh Kheiri 55 Main Stred NpftAndover,MA 01845 Building Inspector i I 1 i I AORTH Town of . itAndover 0 . No. E dover, Mass., I� CWICK y�. OCMICKE 7,9 ADRATED p`PP'� �G� `r BOARD OF HEALTH Food/Kitchen PERMIT T DSeptic System A f ► el //X-7,1, r1.. �N4� BUILDING I PECTOR .........M .. ............................... ..................THIS CERTIFIES THAT...... . Foundation has permission to erect........................................ buildin s on ........................ ....... ...` ... . .1. ... Rough to be occupied as ....... � ....... .. ................. .��..v1P!�.......�!.�........�............. Chimney provided that thearson accepting this permit shall in every respect conform to the terms of the application on file in Fi /I-/-- 2m, pw� 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. PLUMB INSPECTOR 'I Voids this Permit. u -4 VIOLATION of the Zoning or Building Re d g ulations g �i ' %L �Imo' 3" 40* PERMIT EXPIRES IN 6 MONTHS UNLESS CONST R SAw-iinmloa� TS ELECTRICAL INSPECTOR Rough ........... ... . Service ECTOR in OFz /Z, -O1 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. CFF I?FVFRCF CMF Smoke Det. ? Date l.. ......................... 9 t pORTM, TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SACMUS� This certifies that ..... ^P.. has permission to pe orm "` wiring in the building of........ ............................................ " at..� '�` '�.��``jj .....,.:-................. .North Andover,Mass. .. .... Lic.No�!:C OY Fee.......�:........ ....."........:.................. ELECTRICAL INSSP,E&M JA Check # j_ 5 7089 commonwealth Of Massachusetts Official Use Only Department of Fire Services Permit No. UU Occupancy and Fee Checked — 7 BOARD OF FIRE PREVENTION — G a0� REGULATIONS [Rev. 9/051 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 l (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVERTo 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 /] 1 t-1,-e—A ��1 Telephone No�f7) Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Und rd g ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ®pie%lam; .. ►>> Completion o the ollowing table ma be waived by the Ins ector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans °•° Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs bs Generators KVA No.of Luminaires Swimming Pool Above 11n- ❑ o.o mergency ig ing rnd. rnd. Battery Units No.of Receptacle Outlets ?i No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o etection an Initiating Devices No.of Ranges N o.of Air CTota ond. Tons No.of Alerting Devices No.of Waste Disposers eat Pump ons o.oSelf-contained Totals: um er Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating AppliancesKW Security ystems: No.of Water o.o No.of D evices or Equivalent Heaters KW o Data WiringSi ns Ballasts No,of Devices or Equi valent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications firing: No.of Devices or E uivalent OTHER: Attach additional detail if desired, or as required b the Inspector o Wires. Estimated Value of Electrical Work: 9 y P f es. (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: 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 ❑ BOND ❑ OTHER ❑ (Specify:) /certify,under the pains and penalties of perjury,that the information on this application is true and complete. x FIRM NAME: Licensee: 0S—C"qly, Y< �r„ov ~" ✓ ' - Signature _ LIC. NO.: _ ; — (/fapplicable, e e " xempt"in the license num r line.) —'�� Bus.Tel. NO.: t 7.7f — Address: '`A C �` �� \ ICS. �� / �.��4.. /44 sEept Alt.Tel. No.: *Security System Contractor License required for this work- if applicable,pp e,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, l hereby waive this requirement. 1 am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ 33- `% V1 I^ 1 1 7- K r Date l... . �. . "oRT" TOWN OF NORTH ANDOVER 10 p PERMIT FOR PLU ING ` �,SSACMUS� �s This certifies that . . ��.�. '.�.. . .�'G� . . . . . . . . . . . . . . . . . . has permission to perform . . . . �` v . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . at . . . . a�.� <�'.:� . . .`. . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. .�'.��. . . .Lic. No..2..4 `,►. . . . . . . . .`t.�-^,�,'-�,.—�. . . . . . PLUMBING INSPECTOR J Check x 7191 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location .55 dnA,(V S1'(,,et-r Owners Name 6AIA o? Permit#_ ( Amount Type of Occupancy YP P cy New Renovation Replacement Plans Submitted Yes No FIXTURES rAa w a H A a a as SLBBM BASEMM SE HIM M FILM 3M FRU 4M RfM 5M MM 61H FLOCIR 71HFLOM sIH Fi0a2 (Print or type) Check one: Certificate Installing Company Name'D, 5 C o cy.5'Ts,-j e-'r�U tis ❑ Corp. Address Partner. �r-14 011 S '— Business Telephone of fj'- y7 01- c) U 6 o ❑ Firm/Co. 11 Name of Licensed Plumber. Ciel el-57?-)?h�e 2 BI—'T—e, - Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ❑ Other type of indemnity ❑ Bond insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above threeinsura ce Signature* Owner yam. Agent ❑ I hereby certify that all of the details and info ation 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 Mas ac usetts ate P umbing Code and Chapter 142 a nem Laws. By: Signialure 01 LICenSeaum er Type of Plumbing License Title Ci ty/Towncense um er Master E] Journeyman APPROVED(OFFICE USE ONLY Town of North Andover of SoRTH , OFFICE OF 3? ° COMMUNITY DEVELOPMENT AND SERVICES 10z r Charles Street.0 r _ _ North :Andover, Massachusetts 01845 WI1.IJAM J SCO 1 I 9SShc HUO,"� Dire(IOr t1) 6SS-QS',1 Fax (978) 6'SS-';i,_ Ramsey A. Bahrawy August 7, 2000 Attorney At Law P. 0. Box 455 55 Main St. North Andover, MA 01845 Dear AttorneyBahraw Y Upon review of your letter dated June 22,2000 and speed note dated July 6,2000 the following items have been observed. 1 ) The lots in question are under sized. The R-4 District requires 12,500 square feet of area and 100 feet of frontage. 2) The plot plans should be submitted with proposed structures and show 2 parking spaces per dwelling unit. O 3) Be advised that the R-4 District also requires 30 foot front and rear setbacks and 15 foot side setbacks. Upon receipt of the proposed plot plans showing the above information a zoning denial form can be written so as to expedite the process to get the applicant to the Board of Appeals for the hearing. If l may be of further assistance please do not hesitate to contact me between the hours of 8 30 — 10 00 AM and 1:00 — 2:00 PM at 688-9545. Respectfully,. Michael McGuire Local Building, Inspector I APPEALS 688-4541 15t:1LIANG 6SS-9545 C:ONSERVAi'ION 688-9530 111::'1I_ H :)58 9540 PL:\':\'1\G 2346 Date.... ,AORTPI 0 TOWN OF NORTH ANDOVER ova. PERMIT FOR WIRING ,SSAcmus This certifies that ...... has permission to perforin ......C.r.ILvK(.-�......... wiring in the building of at...... ......St........... .................. North And y Fee. �00... Lic. ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Y�r The Commonwealth of Massachusetts "Ce Use Only R Department of Public Safety Pewit o: Occupancy & Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 3/90 heave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance With the Macsachusetu Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date -r- /6 0 d City or Town of / , AN ��" r To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner r Tenant A 9 w Owner's Address / e— Is this permit in conjunction with a building permit: Yes ❑ No (Check Appropriate Bo/x)) Purpose of Building Utility Authorization N0._ ('l) Q �p f Existing Service 1,00 Amps /2-c>/ .K()Volts Overhead ❑ Undgrd E3' No. of Meters_ f► New Service .2 0 Q Amps /1 y / ally 6 Volts Overhead ❑ Undgrd Q— No. of Meters r✓ Number of Feeders and Ampacity A( S ®LO d /fes Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above❑ In- ❑ grnd. grnd. Generators KVA No. of Receptacle Outlets No. of Oil Burners Ba of Emergency Lighting Batter Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges No. of Air Cond. tons Initiating Devices No. of Disposals No. of Pats Total Total No. of Sounding Devices Tons KW No. of Dishwashers S ace/Area Heating KW No. of Self Contained r. P g Detection/Sounding Devices 11 Municipal ❑Other No. of Dryers Heating Devices KW Local Connection No. of Water Heaters KW No, of No, oT Low Voltage Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its sutial equivalent. YES❑ NO [C4-111 have submitted valid proof of same to this office. YES®ANO bsta If you have checked YES,,please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHERCg�(Please Specify) Expiration Date Estimated Value of Electrical Work $ Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury: 2 FIRM NAME t7 o S C LIC. NO. Licenseek 3 ?,4141 Signature LIC. N0. n& Addre a n �.v us No. ) Alt. Tel. No. WAIVER: am aware that the Licensee does not have the insurance coverage or its sub- t re ire by Massachusetts General Laws, and that my signature on this ppiis qui ement Owner Agent (Please check one) l Telephone No. 7�' 2 1! Y / PERMIT FEE S V dvf Owner or Agent G m Do Not Write In Here 3 D z c�i► For Electrical Inspector Only M M n Street and No. n DName ........................................................... Z Electrician .................................................... PermitNo. .................................................... Comments .................................................... Location /Y1 A (A) 5 f--- No C, ' q Date /a A/o NOR7q TOWN OF NORTH ANDOVER Certificate of Occupancy $ �s'•••° Eta' Building/Frame Permit Fee $ s�CNus Foundation Permit Fee $ Other Permit Fee St�^> $ 2 �' TOTAL $ Check # ` tA ' 15192 Building Inspector TOWN OF NORTH ANDOVER F SIGN PERMIT APPLICATION Site Owner_ -yr 4s,i0i /.�C��-,t�L/�' J—, � ,� Applicant ,x Site Address 4/,Si'r4/, �� ,� " Size of Proposed Sign �'w,�� y How attached: a) Against the wall ( Illumination- a) Not illuminated bS Roof O b) Internally illuminated ( ) c) Ground ( ) c) Externally illuminated ( ) d) Other ( ) � Materials- �AJ�,,,_ > Proposed Colors: Background U� ?�. Lettering z�c_ Border 1�le wcg I Required Attachments: Note: No permanent/temporary sign shall be erected, or enlarged unlit Photographs of building an application on the appropriate form furnished by the Sign Officer has Material sample been filed with the Sign Officer containing such information including photographs, plans and scale drawings, as he may require, and a permit Color sample for such erection, alteration, or enlargement has been issued by him. Site or Plot Plan (Required for all free-standing signs) Such permit shall be issued only if the Sign Officer determines that the Drawings of proposed sign sign complies or will comply with all applicable provisions of the By-Law. Other, specify Will sign overhang any public road or walkway Yes ( ) No d If Yes, Name of Agency who will provide liability insurance-. 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I 4E;; �A �d",i2��9 [c•.adeLEa�b �� 9� �"'��6f I ,t:.�6 .. s f61 �� g4 I R l�6 9Fq TM .. g ....:.. ...•-. w' �41�:� Wi °2 'ti I..r,�la`�;ir.:m2Ht § sra.7,Wrl"a r ! y� P t ��w+i.,w�. ,d u y P � �a. ,,n5',iwrr�.`w1nc,. +.,"e,�..., •i>fa;�4,�� " �L;€ s' tjORTH q �, yec r N OA F ® a . # Y- 4A tmc.L"A'04 w r �9SSacaus�� TOWN OF NORTH ANDOVER SIGN PERMIT DATE December 5, 2001 PERMT # 27-01 This is to certify that .Raymond R. Pappalardo � has permission to erect a 28" x 23" Wall Sign on./ at 55 Main Street Providing 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 sign regulations of the Town of North Andover: INTERIOR ILLUMINATED SIGNS ARE PROHIBITED Any violations of the Zoning Regulations regarding Section 6 of the Zoning By-law will void this permit. LJ 5- Q I Inspector of Buildings Date i i " E Location AA iA) SJ` f OS a�o6 No. Date I` w TOWN OF NORTH ANDOVER r=: 3r • OL 9 Certificate of Occupancy $ Mus<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee S�,y' $ 3 c TOTAL $ 30 :. Check # ��S f. t 1MU5 Building Inspector JY f NORrM q O tt..aa 06e q'O -- 6 0 O?' At eyb y� � Arm �SSAC HUS�� TOWN OF NORTH ANDOVER SIGN PERMIT DATE September 23, 2005 PERMIT # 05-2005 This is to certify that Ramsey A. Bahrawy { has permission to erect a 3' x 4' Ground sign on / at 55 MAIN STREET Providing 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 sign regulations of the Town of North Andover. Any violations of the Zoning Regulations regarding Section 6 of the Zoning By-law will void this permit. Internally illuminated signs are prohibited Inspector of Buildings Z,= 3 Date ' SIGN PERMIT APPLICATION ✓ �os�;�, TOWN OF NORTH ANDOVER O Site Owner - 97i-9iox- 11g1 Applicant24dS� Tel Site Address — N ' Size of Proposed Sign l How attached: a) Against the wall Illumination: a Not illuminated b) Roof b) Internally i uminated c) Ground c) Externally illuminated d) Other Materials: Proposed Colors: Background Lettering rc U k UG Border Required Attachments: Photographs of building Note: No permanent/temporary sign shall be erected, or enlarged until an Material sample application on the appropriate form furnished by the Sign Office has been Color sample filed with the Sign Officer containing such information including Site or Plot Plan (Required for all free-standing signs) photographs, plans and scale drawings, as he may require, and a permit GDra_ s o proposed sign ; for such erection, alteration, or enlargement has been issued by him. ther, specify Such permit shall be issued only of the Sign Officer determines that the sign complies or will comply with all applicable provisions of the By- Law. Will sign overhang any public road or walkway Yes ( ) Nof If Yes, Name of Agency who will provide liability insurance: AN INCOMPLETE APPLICATION WILL NOT BE ACCEPTED DATE FILED: ATURE OF APPLICANT i ---- --•--- r t. I LLL AV �:al � u J/}� ,; •r-�►. �� `.rel �.� i�•,1 '<�:�1 �M1�:11�.��11�:':�'�`t`,:f�r�..!;',�IC �,�� •� ,l �1 r'.. .`J. �..']�� C�� r'J s� >>;�� i��t�rl�j� l i�l.r��l ��,)f�:_11 �.. .. .. f... .1 1 I ... .I ._ -J L_ n I ILE {} ,�_...I.il rf� � ��J r��a1 1 �,�7 a 11'rI^'� '• �. �'�.>1 )i i K