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Home My WebLink AboutMiscellaneous - 57 SOUTH CROSS ROAD 4/30/2018 / 57 SOUTH CROSS ROAD J 210/038.0-0178-0000.0 PMIA55At;HU5E1[T5 UNIFORM APPLICATION FOR PERMIT TO DU PUUMtillvu (� (Print or Type) NORTH ANDOVER, , Maas.BuildDate ��'/�—•._I0�'/�� (� Locate / �' Permit 19 ' Location �� Owner's /s�/N (�20A�c-7'76^16. Name New p Renovation p Replacementp Plan= Submitted: Yet. No ❑ FiXTUAE$ ..••._.. . « s r s » es s « s at err « 16 61 s IL 19 Id r « w •• r a a o s j DIM N i' i e o 4 t s i a fuer—afnlT. aAflMlNT IST FLOON !NO FLOOR 11110 FLOOR 4TH FLOOR aTN FLOOR ITH FLOOR. 1TNFLOOR ITN FLOOR - Check one: CedKicale Installing Company Name2 ra2 ,y�' iia ��WB�-}� i Tom_ > Corp. Address U/V/ate/ 54, p Partnership - "�Aq- /�' � ❑Firm/Co. Business Telephone ZA10S'90 .Name of Licensed Plumber --2� .itz d,5– / r. INSURANCE COVERAGE: ec e 1 have a current liability Insurance policy or No substantial equiMent. Yea No O It you have checked yam, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy Other type of Indemnity C] Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 112 of the Mass. General Laws, and that my signature on this permit application waives this requirement., Check one: Owner p Agent ❑ pinstuts o Owner«Omer s en I hereby cantly that all of the details and Information I have subffOtted to entered(In above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permU Issued log this applies will be in compliance with ail pertinent provisions or the Massachusetts State Plumbkp Code end Chapter 112 11y gna age of 1.16thsedum er Title Ucenss Number tfty/Town Type of Plumbing Lkense: Master C1 APP11MED(OFFICE USE ONLY) Journeyman / I QItld 00'01 LS:33It . .r. . . .'. . . .: f NOR7p 1 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING49 SSACHUS� This certifies that . . . .'�'!t::t�: .�'!'� J�� . , r'� /. . ' has permission to perform ... . .. �%. . . .. `. ..i!:. . . . . . . . . . . . . plumbing in the buildings of !..�f' r.! lI Y! J at �1. . ':< !! ,f`.:/. f; ;t�(�, , . . . ., North Andover, Mass. Fee. .'. . .}. .Lic. Noi,4?00. PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File G.ocation S �. �✓,6�� No. ��70 _� Date 1 -14-13 NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy $ ' Building/Frame Permit Fee $ ,---- 1ss�cHuSEt�' Foundation Permit Fee $ Other Permit eee� $ Sewer Connection Fee $ Water Connection Fee $ t TOTAL ``,, $ D al// lu�� Building Inspector } 6790 Div. Public Works Location SS 7 Cja�l No. �� Date NORTH TOWN OF NORTH ANDOVER t p _Cegificate,oi Occupancy $ -Building/Fra Permit Fee $ his',"°''�<� Foundation Per,mit.Fee $ s�cHusE Qther Perm( ee $ —2,�-,,yy OTr ("ction Fee $ Water Connection Fee $ ------ TOTAL $ Building Inspector 6 ■ 5i Div. Public Works r+- Location No. t/7 D Date v4O*T#y TOWN OF NORTH ANDOVER Gfwo r�1ti p Certificate of Occupancy $ Building/Frame Permit Fee $ —~— �ss�cMusE`� Foundation Permit Fie $ Other Permit Fee a� J Sewer Connection Fee $ Water Connection Fee $ TOTAL Building Inspector 11/29/93 10:05 20.04 PAID 6753 Div. Public Works q Location 5 � f�%� i o. Date A Wl NaRTM TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ �ss�cwustt Foundation Permit Fee $ Other Permit Fee $ -------- Sewer Connection Fee $ Water Connection Fee $ 4—A TOTAL 1993 Building Inspector 6657 Div. Public Works Al i i�;x�tion j No. * y7r� Date NORTH TOWN OF NORTH ANDOVER O� t�ac , 1ti p Certificate of Occupancy $ (rQ,ljc� • � t Building/Frame Permit Fee $ �ssACH Foundation Permit Fee $ • v Other Permit Fee $ 4r` Sewer Connection Fee $ 5 ;-jAater Connection Fee $ OC TOTAL Building Inspector i i O a 6631 Div. Public Works Location�S .No. Date ,A ,.ORTM A TOWN OF NORTH ANDOVER p? • 1 n pA - „ Certificate of Occupancy $ ` Building/Frame Permit Fee $ s i • r ` �7s Foundation Permit Fee $ 1 t • 1ACMUg Other Permit Fee $ Sewer Connection Fee $ cv itlD X73 'Water Connection Fee $ _ TOTAL �yoj9� $ I-Za o _—Building Inspector C7 6448 Divit0ubl'1`c Works PERMI--T NO. ' 17 0 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MfrP 'No. I LOT NO. 4-f 2 RECORD OF OWNERSHIP JDATE (BOOK ;PAGE — ZONE SUB DIV. LOT NO. LOCATION ':::-dJt-'-, S p PURPOSE OF BUILDING OWNER'S NAME _ f� rt^ `\. `,// NO. OF STORIES Z SIZE OWNER'S ADDRESS p O Q O t( BASEMENT OR SLAB CUc v x /� /` ARCHITECT'S NAME uJ McSs 2 V 4 �1 ,� {i SIZE OF FLOOR TIMBERS 1STZ-y cd 2ND z� r� 3Rp Z,/C/�7c+yC. �( BUILDER'S NAME Ari �t,�1„I� � IS�C�.�C � SPAN tf DISTANCE TO NEAREST BUILDING 3� \ DIMENSIONS OF SILLS ZX DISTANCE FROM STREET vS POSTS (� CG"Cr i DISTANCE FROM LOT LINES-SIDES 3� REAR d t- " GIRDERS AREA OF LOT (0a, 1 Q�"U S.-I� FRONTAGE '�' HEIGHT OF FOUNDATION SV(' C` THICKNESS C� IS BUILDING NEW SIZE OF FOOTING 1 X IS BUILDING ADDITION f`� J MATERIAL OF CHIMNEY /-uckyGv0.r IS BUILDING ALTERATION fj() IS BUILDING ON SOLID OR FILLED LAND C (Vj �i WILL BUILDING CONFORM TO REQUIREMENTS OF CODE S IS BUILDING CONNECTED TO TOWN WATER 'f CT-5- v . BOARD OF APPEALS ACTION. IF ANY ,, ( ; IS BUILDING CONNECTED TO TOWN SEWER Y�ICU ✓ iV IS BUILDING CONNECTED TO NATURAL GAS LINE !/Y(� S R INSTRUCTIONS 3 PROPERTY INFORMATION "' ` AUG. LAND COST `7c, C c_/ (j SL d SEE BOTH SIDES PERW 9 FCa EST. BLDG. COST v C PAGE 1 FILL OUT SECTIONS 1 - 3 ;.ESS FDA FEE.r. - a EST. BLDG. COST PER fQ. r `t`O•i O DUE FRAME PERM EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY a ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR b DATE FILED BOARD OF HEALTH SI A RE OF OWNER Ok AUTHORIZED AGENT • F E E 4gO 0,v, PL r� ANNING BOARD ' PERMIT GRANTED- - OWNER TEL# 9 �,6 CONTR.TEL.#"_-_ !%� l 19 CONTR.LIC.# �+�(�( I BOARD OF SELECTMEN 1" BUILDING INBPtCTOR �CC'i7Lr 7 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 RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE BL'K. PINE _ BRICK OR STONE HARDWD ✓ _ PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M'TAREA _ FIN. ATTIC AREA _ N_O B M FIRE PLACES HEAD ROOM MODERN KITCHEN - 4 WALLS I 9 FLOORS �} CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDNA/D ASBESTOS SIDING COM/dCN __ t VERT. SIDING ASPH. TILE �+ STUCCO ON MASONRY STUCCO ON FRAME n �+ BRICK ON MASONRY ATTIC STRS. & FLOOR -• � ( ' ''°A BRICK ON FRAME CONC. OR CINDER BILK. 40m ��^"' t }�t y C STONE ON MASONRY WIRING (;,+,r • '�" t.I t t STONE ON FRAME _ f«4%i�i. a .�t•:+5 SUPERIORI NPOOR _ 11 ADEQUATE ONE 5 ROOF 10 PLUMBING S GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES - TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 3 COLS. STEAM L'- STEEL BMS. 3 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 12ndyl ELECTRIC 1y} L 3rd NO HEATING t� FORM U - IAT RELtASE 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 local or state law, regulations or requirements. 4 ****************Applicant fills out this section***************** APPLICANT: Pa•4RiGkC Mit' QkY/CaN s{cJ�&4 Phone LOCATION: Assessor's Map Number Parcel _ Subdivision Lot(s) Street S.0,JV%0ecJss KV C St. Number _ ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: g Date Approved Conservation Administrator Date Rejected CommentsL�� lVl� c�z�f D 1 � �P 5tqn Date Approved jq Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved 16 Septic Inspector-Health Date Rejected Comments P&EP h4bzg —gENclym -,'r fail a)-o .t.q;&!F?2 Public Works - sewer/water connections- - onnections- driveway permit Fire De artment ��16 I A0 Received by Building Inspector Date Aisling Construction Co. Inc. 800 Osgood North Andover, Massachusetts 01845 Telephone (508) 689-9446 Fax (508) 687-0515 October 8, 1993 Mr.Walter Cahill Asst. Building Inspector Town of North Andover Main St. N. Andover, Ma. 01845 Re: 57 Southcross Dear Mr. Cahill: House to be built at 57 Southcross Rd. (lot 4) will have 5/8" C.D.X. roof sheathing and 1/2" plywood wall sheathing. Sincerely, Patrick K. Murphy President e CERTIFIED FOUNDA TION PLAN LOCATED /N OVER A. SCALE /". 40' DATE ►o cS g3 Scott L. Gi/es R.L.S. 50 Deer Meadow Road North Andover,Mass. 55 37' R S 160 Laos Lo-r 4- 10019(8 100,8(8 S.F N w / CERT/FY THAT OFFSETS SHOWN ARE FOR THE USE ,�+� f' THE OFFSETS OF THE BUIL DING/NSPEC TOR ONL Y �� yy SHOWN COMPLY AND SUCH USE IS FOR THE w WITH THE ZONING DETERMINATION OFZONING W2 " BYLAWS OF CONFORMITY OR NON-CONFORM/TY e No. Ar4VO46K4A WHEN CONSTRUCTED. WHEN BUIL T. (o is NOTICE OF INTENT PLAN OF LAND OQf 'N' NO. AND OVER, MA . �, SCA L E: 1` 4 0' DA TE: &23.93 1-7o 'S O// SCOTT L. G/LES , R.P.L.S. 5 O DEERMEAD O W RD. NO. A NDO VER, MA. y 172 r,��-.�....�•r! .l �- `L � y? I fid'• 6r7,$ �FRLL- r---D T mpposev J tuv= -I/ ITo.S �It1V-171.0 l LOT y lc`y' loD,818 S.F. Of Igo lk p I -- , 4 OCT 114 / r 1 Its N R- L \ irRD5101.1 LINE 155.37 / r \qk - 1 ' N0 H Town of Andover 0 '4ki No. dover, Mass., Dom` !� 19y� 'wy COC HIC MEW ICK AORA TED PPS\ BOARD OF HEALTH PERMIT D Food/Kitchen Septic System Or? a at BUILDING INSPECTOR THIS CERTIFIES THAT.... ......... ... .. . ............................... """" Foundation has permission to erectA)$#*..,�i ".. buildings on .j.0;UI..,0.r4... ...... Rough to be occupied as.. 1. 9.AW.04 �. �...... ... 1. .. .�� ..� PA �• Chimney provided that the person accepting this permit shall ilf eve respect conform to the terms of the application on file in P P P 9 P every 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. PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.85. B.G. Rough Final PERMIT EXPIRES IN 6 MON*P �` PP-JD � 3 ' V � ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough PERMIT FOR FRAF,1iF/FIl�QING Service ............ ....... ..... ... . � BUILDING INSPECTOR A Q�L� FEE P 6 Final ' (c-6�Perrnit Required to Occupy Building GAS INSPECTOR Display In a Conspicuous Place on the Premises — Do Not Remove Rough p Y p Final 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 ' 'own U11 All I:/\I.ti li(lll.l)W(; _- •:: f��nllt :ttnlr��•.i. (:ONtiIi1(V/\TION " '" IIIVINIIINIII Ilii illi)i!i•)i a Illi\1:1'1 1 - II.I.ANNINc; I LANNING. & \l it:f. I i.l'. Nl it.0 )N• 1 )11 W(J Ol t CHIMNEY APDL ICA f ION ANO 1'1'1,1`111• ATE � I) � P> Itrl I'r. # )CAT ION LINER'S NAME: v 41- JILDER'S NAME: Ole [SON'S NAME: kSON'S ADDRESS: .��. ��/t/ wvl, [SON'S TELEPHONE: `\TERIAL OF CHIMNEY: 11'ERIOR CHIMNEY: LXI ERIOR Cf11MNEY: IMBER AND SIZE OF FLUES: IICKNESS OF HEARTH: ------�-- �U chv.»11cey o/c. OvAenCace con(jaAm to Vie. ne.flu.i.1ICIIletl.t3 u( the tulle and have "mcc.3 a►tf( ,guta ti.olvs been /Lece-bed: .GNATURE OF 61ASON: :RMIT GRANTED: /�° d I �S;'d c) ?BERT NICETTA JLDING INSPECTOR ;SPECTEU: _— _'MARKS: - SOLID BLOCK R EQ U1ItED THIS PERMIT I,IIISr GC VISPLAYLO ON ME PRLAIISES PERA1IT NO. /. / Q �: _,. ,:,� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP i-40. LOT NO. 12 RECORD OF OWNERSHIP jDATE BOOK PAGE ZONE I SUB DIV. LOT NO. L4 F— O�ATION Z Q,jkV,C BUSS '� PURPOSE OF BUILDING `s- Q�e�, O/WNER'S NAMES 'T'1�ywLL�4(G,STr-+l41`� Q0. (�li(' NO. OF STORIES SIZE OWNER'S ADDRESS 'j` t BASEMENT OR SLAB AR PHITECT'S NAME SCS&-tttj- SIZE OF FLOOR TIMBERS IST 2ND 3RD UILDER'S NAME 1� `SLvQk-l. SPAN -- DISTANCE TO NEAREST BUILDING ` DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES—SIDES REAR "' " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST N`A SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COOT PER SQ. FT. PAGE 2 FILL OUT SECTIONS t - 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 PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR TE FIL BOARD OF HEALTH SIGNA URE OF OWNER OR AUTHORIZED AGENT FEE �^ PLANNING BOARD PERMIT GRANTED OIN ER TEL.# To f��✓ 19 ''Coril TEL.#�` —6 �1TR. LIC. — BOARD OF SELECTMEN 2 / BUILDING INSFICTOR BUILDING RECORD 1 OCCUPANCY 12 ' SINGLE FAMILY r0ll ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY ICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION I $ INTERIOR FINISH CONCRETEJII 3 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW-D PIERS PLASTER _ _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA 114 '/r '/, FIN. ATTIC AREA NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH r ASPHALT SIDING HARD"J'D _ ASBESTOS SIDING COMtACN VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ STUCCO ON FRAME 41�- BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH Q FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & 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 13rd NO HEATING AORTH � ® of No. Y10%0 r rt dover, Mass, 19 pi COCMICMEWICK �A�RATED BOARD OF HEALTH, s Food/Kitchen + Septic System PERMIT T D BUILDING INSPECTOR THIS CERTIFIES THAT..................... .. L..SIL.�R....eov..exev :.0—ow...`-&/*...* Foundation has permission to erect..J. ....... . ..4................ Rough 0�(�.r,Tr.A.A#j. . . .&. �r....................................... Chimney � to be occupied as... ... .. .. ... .. . .. . .. . . /. . .. .. . �.......... . . . 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 Final PERMIT EXPIRES IN 6 MONTHS ' UNLESS CONSTRUCTION STARTS ELECTRICA ITECTOR RoughO�'� . ....... ... .... . . .... .. ... ..... .. .... ... .............................. Service BUILDING INSPECTOR • Final 3 Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a. Conspicuous Place on the Premises -- Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT p Until Inspected and Approved by the Building Inspector. 3 Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT CERTIFICATE OF USE & OCCUPANCY Tomm of F.1011h Andover a y Building Permit Number Dates -THIS CERTIFIES THAT � THE BUILDING LOCATED ON MAYBE OCCUPIED AS y T-= = - IN ACCORDANCE WITH THE PROVISIONS OF THEd ASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. O "OR T01 1 CERTIFICATE ISSUED TO p ADDRESS ;''3AB 5 Building Inspector Town of � Andover "t TVAF _ _i1�.♦ .a..G3t' .f. qory 19y L A E dover, Mass., C OC HIC HE wICK A0R TED P'P �...r - S '4' BOARD OF HEALTH PERMI T D Food/Kitchen Septic System BUILDING; INS TO G; THIS CERTIFIES THAT.. ................................... f-amu F undation has permission to erect.i)e�.0.#**f !M . buildings on .,S,0.JI..i0.r4.. M!t../��.4��.� Rough g C �f✓a3 Chimney 2 LL; " to be occupied as..0t.��.A�f.J.r/.�,~Ir./...�. ... ..�f�..�� .A ..4I.�.�►.�,�..l..�r�rn.+�4s � thprovided that the person accepting this permit shall il�every respect conform to the terms of the application on file in _ is office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final �� -? �y Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY P UM BSGIN SPEC R VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8,5. . a� PERMIT EX&IRES IN 6 MOr.o Ate' / PAID W 0,0y ELEC RIaSP�TOR UNLESS CONS T:RUCTION STARTS Rough ' PERMIT FOR FRAME!F!.!!I.DING . ............ ....... .....lkll� ............................. ....................... Service q� BUILDING INSPECTOR FEE P M v Final flATE./� 1-= CCu )Ll 1C y P(-11771It Regtw-ed t0 Occ7utpy Building GAS N PE T -- - — Display in a Conspicuous Place on the Premises — Do Not Remove l ,' 41 No Lathingor Dr Wall To Be Done Until Inspected and roved b the Building Inspector. FIRE DEPARTMENT p Approved y 9 p Butner I » A/tfFff(*t Street No.PLANNING IAL CCNSERVATICN _ Smoke Det. j 1 SEWER/WATER--':7U_ )/-0-?4 FINAL DRIVEWAY ENTRY PERMIT%•i d ,E:_1A/4t- r. . MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) NORTH ANDOVER Mass. Date 4uilding Location Permit # 43 1.1 s� .� Owners Name • New -7 Renovation Replacement Plans Submitted 30 FIXTUP=- N dl W N Z a: trr G1w Q a .v m = = � ir? J ._. F 2 N x l- < y" z x o E- ¢ _ x ut d fa y N W y�j O' OF- t- N W W O W x o Lu x a 0 W � [L � C l- X J W a a W W V V1 tL O < x -d z H FW- yW fJ! O Z O x W o N x X d W < a .. td Q Lr > � W O d G 4 .4 O O W 5 O W F- Q z 0 a x u. a o J U Cr- > a n, t- O SUa—l3S lAT. BASEMENT 1ST FLOOR 2HOFLOOR 3Rn FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR TTH FLOOR STH FLOOR (Print or Type) Check one: Certificate Installing Company Name�g/��l/rq/V �C�a � � a7iivo�`� Corp. Address /p Partner. Gc�• /kms- 1: Firm/Co- Business Telephone: 6RSoslko . Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy )ZL Other type of indemnity Q Bond 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 coverages. Signature of owner/agent of property Owner 17 Agent El 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 tlrat all plumbing work and installations performed under'Permit iuLed to: this application will-fie in compliance with all patinent provisions of the Massachusetts State Cas code and Chapter 142 of the General Laws. By TYPE LICENSE: Plumber Title Gasfitter Signature o Licensed City/Town: Master Plumber or Gasfitter Journeyman APPROVED (OFFICE use ONLY) License Number ? Date... . ... . . . . . .. NORTH TOWN OF NORTH ANDOVER O PERI FOR GAS INSTALLATION 7SSACNUSES ' This certifies that . .!�1 ---� . ". . ../.'. . l!. . . . . .�l Lo has permission for glif4installation in the buildings of ffjz/. � f-r .if! .�- ::f. .. . . . . . . . . . . . . . . . at . . .i.,�. .,%��.... . . . . . . . North Andover, Mass. Feer Lic. No:rlir "4F 3-14)a GAS INSPECTOR WHITE:ApplicAnt "" CANARY:Building Dept. PINK:Treasurer GOLD:File