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HomeMy WebLinkAboutMiscellaneous - 58 FERNWOOD STREET 4/30/2018 (2) 58 FERNWOOD STREET 210/007.0-0001-0000.0 ` Date....y—.. .v.--. . f pOR71� " TOWN OF NORTH ANDOVER p PERMIT FOR WIRING CMUSEt TM T-A � 6 This certifies that .. .................�Gao.�j.......���....�....•• ......./ /9 .. f / has permission to perform wiring in the building ofT `Io !� .................................................................................... at..Sa? y �T ........ ..........._ North Andover,Mass. FFee...4........ Lic.No...ad Z1�.... .. . .... . ........... ELECTRICAL INSPECTOR If r Check # V �%yovp 7329 Commonwealth of Massachusetts Official Use Onl Department of Fire Services Permit No. • Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: OL,- �<6_0r7 City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of hisor her intention to perform the electrical work described below. Location(Street& Number) 67�- of nW4306 S T Owner or Tenant ��. , Telephone No. Owner's Address 1 ee 00 Is this permit in conjunction with a building permit? Yes ❑ No Check Appropriate Box) Purpose of Building W�P S Utility Authorization No. Existing Service aOO Amps aLJ�Volts Overhead 211"' Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 2e ��0.�2 �no�e Cav1e 1 � e r Completion of the followingtable maybe waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o* o Emergency Lighting rnd. rnd. Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No. of Gas Burners No. of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No. of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: I I Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No.o Water No.of No.of No.of evices or Equivalent Heaters KN' Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: i Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (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:) I certify,under the pains and penalties of perjury,that the information n this applicis true and complete. FIRM NAME: --VY\.'� E leC '' at/ . NO.: �_CIt_\Z. Licensee: o-� \J �Z_ c>--, Signature w, LIC. NO.: (If applicable, enter "exempt'"in the license nu i er e.) Bus. Tel. No.: Address: 1'�_1�7(>t'P S-) 9\7 S(✓1 AJ \4 0-s— Alt.Tel. No.: *Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety"S" License: Lic.No. 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, I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ Date. . TOWN OF NORTH ANDOVER ' PERMIT FOR PLUMBING �'SSACHUSE� This certifies that . . . . ;l� ,�.�..141 �*'• • _-� has permission to perform . �. . � ►.��t '!'-� • • • • plumbing in the buildings of . . . . . . . . . at . . . . . . . . . . . . . . . . . . • . . • orth Andover, Mass. Feel.W.1 Vic. No.. . . . . . . . . �. .. . . . . . . . . . . PLUMBINGf1.SP CTOR Check !/ V 7004 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS J f'_ /llt X11 Date Building Location 4 i Owners Name d d n AND} 5e-6 f e� ermit# Amount Type of Occupancy New Renovation Replacement 1:1 . Plans Submitted Yes ❑ No ❑ FIXTURES F z H z w ne p z CA -w w O a > S>�>� H 9z RSEVENr m [-- MHIM M MOCIR 4M H" 5M FL" 6MHDM 7M H-" Fs HIM (Print or type) — Check one: Certificate Installing Company Namer-- /`//�7 ,F'r ID Corp. Address ❑ Partner. 4 Business Telephone ZLO _ [3—Tzirm/Co. Y Name of Licensed Plumber: j���}2/� Insurance Coverage: Indicatff pe 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 doeynv ny e of e above three insurance ignature Owner ❑ AgentI hereby certify that all of the details and information I have submitted(or entered)in above applicatand accu e to thebest of my knowledge and that all plumbing work and installations performed under Permit Issued foation wil compliance with all pertinent provisions of the Massachus Stat Plum mg ode and Chapter/142 of t General Laws By: igna ure Of iCense um er Title Type of Plluummbingg License City/Town ise�nse um eT rT-- Master ❑ Journeyman APPROVED(OFFICE USE ONLY Date,5)';P .P-k............ f �aOR71i TOWN OF NORTH ANDOVER ° O PERMIT FOR WIRING 41 ,SSACMUS� This certifies that ........ �. .h►...�rr r.�a Z�Z- ..V.................. v has permission to perform m... ,.. . �..^C s'j .. .. �✓? wiring in the building of-`krJ T ./tN ...... ' ........................ .. at........PrPr,�........................ ... .North Andover,Mass.- ) ` Fee Y „..-✓ c. ���T 71 dl t`t.1” - ELECTRICAL iNSFE R Check # 67 . 6 vCommonwealth of Massachusetts -11lit No. Department of Fire Services I .' a, PCI Occuranc% and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9 051' 1c,lvr blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ali fork to he 17erformed in atxorddllCe\011 the\1;1»aCIILISCRS 1*.lWl'iC,ll Ck%lc(\11:0. 527 CAIR 12.00 il'LE.ISE PRL\T1.N UK OR TYP[ALL LVOR.111_rION) Date: s_ 3t-) . 0C Cih, or Town of: A.00 TO 117e h1SjVL'10P 0/ 4"1lT.S. BY this ;lpplit:atioll the undersigned "kes notice of his or her intention to Petfol-ill the viecti-ical �%ork described helow. Location (Street& Number) Owner or Tenant Telephone No. t9r_285 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building k5 - Utility Authorization No. Existing Service 00 Amps 1,r�Q /'zc1Q Volts Overhead 1�i�undgrd F-1 No. of Meters New Service 092" Amps /2e) 9 efdVolts Overhead Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: I V a/1/ll ZO/b," la h le mal, I.e it w,d;)v i •11_11A,f,W of 11'I. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Tidal Transformers KVA No.of Luminaire Outlets No.of"ot'rubs Generators KVA No.of Luminaires Swimming Pool %bove El In- ClNo.of Emergency Lighting Virrid. Units ,FIRE o. of Zones No.of Receptacle Outlets No.of Oil Burners IN-, ' No.of Switches No.of Gas Burners I No.of Detection and 1 Initiating Devices —To—tal i No.of Ranges No. of Air Cond. Tons ,No.of Alerting Devices No.of Waste Disposers Heat Pump Number Foos KW... No.of Self-Contained Totals: Detection/A lerting De'rieeS No.or Dishwashers Space/Area Heating KW j!Localo Vlunlclpal 0 Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No. o No.of No.of Devices or Equivalent Heaters KW Data Wiring: _Signs Ballasts No.or Devices or Equivalent_...___._ No. Hydromassage Bathtubs No.of Motors Total HP I elecommunications Wiring: No.of Devices or EquiNalent IOTHER: Hb 0 S ZT F,Ahnatvd 1,'Juc of Electrical Wm-k: hen required by municipal pulici,.) kk ork to Stan: Ill:,pcctions to be requested in accordance with ,IEC Rule 10, and LIP011 C0111PIC6011. INSURANCE CON ER/k(.;E-: L nless waived by the omicr. fit)Pul-Illit for the peribrinance of electrical lsork ma} I–AIC 1111k:', 111C licensee provides proof of liability Hr-all-alicc including,I.,�oIlIPILAd 4)punition'"u)ver,,I.1e or its "I.111"'lantial - I L-11t. 111. (Alder,i, licd that,(Jch cmera­e i: in fi1R_,C. :llld 11:1',L:- llibitcd proof(A ,;arle to the P(21-illit i� mill", (0twe. 0\&_': INSI RAX0." I 1!1iz I–] (sliccily:1 inder "vil the iliv "t7ptit-111hia 'A'I'lle 11,11(1 co NAMC: ;Jc. qO .: Address: 3os. TA tjq 5 J. AWly 1� Cff 7,9 �2N_� co) kit. TA. No.:IF V a fF ____ . CVTI';C l'CLILlll-L:d [()I'(his v,(.t-k-, lrilffliCIINC, ClItCl Lilt: liCLIUC number hu-e:)C(All'ity Ct)�t 0%N ER'S I NS U R,VNC E W k I VE R- I ;mi :im tre that the 1,iecn ce ha , the liability illA11-:11102' e Ph, rurally lo:LILlired li} law. I hci-J-} vvlivc this, rcqUirollk.11t- 1 ;1111 the(,-IlQck one)❑ Owner/Agent z A, V WIT VV17- V i S� 4 } PERAHT NO. F _ APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE r MAP NO. LOT NO. t 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE I SUB DIV. LOT NO. LOCATION M�j� PURPOSE OF BUILDING o S," ( A , �Y � OWNER'S NAME H r ,` NO. OF STORIES SIZE // y OWNER'S ADDRESS 3r BASEMENT OR SLAB ARCHITECT'S NAME Q SIZE OF FLOOR TIMBERS IST AX16 2ND 3RD BUILDER'S NAMESPAN /1 v DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET o "' "" POSTS DISTANCE FROM LOT LINES—SIDES REAR A/O "" GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION S Q O THICKNESS /.tit / n IS BUILDING NEW SIZE OF FOOTING �( X I IS BUILDING ADDITION �rL MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND J w WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER JQ�C�e 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 SEE BOTH SIDES EST. BLDG. COSTwBLDG. COST dw PAGE 1 FILL OUT SECTIONS I - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS I - 12 SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS FIM AL �M: PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR 1 1iLL 1iLKiL DATE FILE SIGNATURE BOARD OF HEALTH SIGNATURE OF OWNER OR \THORIZE , GENT for fc) F E E PLANNING BOARD PERMIT GRANTED 19 BOARD OF SELECTMEN BUILDING INSPECTOR 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 _ _ B 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW'D PIERS PLASTER DRY V✓ALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T' AREA _ '/, 'h 1/1 FIN. ATTIC AREA _ NO B'M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES ASPHALT SIDING HARDV✓'D ASBESTOS SIDING _ COMMON VERT. SIDING ASPH.TILE �— STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. _ STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIORI� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 — GAMBREL MANSARD TOILET RM.M. (12 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 II 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 I NO HEATING 14 Date. . . r,OFTN 3? �` TOWN OF NORTH ANDOVER t- PERMIT FOR GAS INSTALLATION qe.0 �•5 SACHU5Ett } r This certifies that .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation,.�.. .. . . . . . . . . . . . in the buildings of . . ...!r?..� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . .E - . . .. , North Andover, Mass. Feed. —!!( . Lic. No. � �.;' �G�AS�It��SP&i .. . . . . . . . . V/ Check# 5630 J�v MASSACHUSETTS ULIT'ORM AHLICATON FORKRMIT TO DO GAS FITTING Ov or print) Date �- 1 1�l/" NORTH ANDOVER, MASSACHUSETTS Building Locations �� cf lV ©y J Permit R Amount S Owner's NameJor✓ ��/�� New Renovation ❑ Replacement ❑ Plans Submitted ❑ z _ � Z Z n y — s11 B -9 SEM EN r t3A SEM ENT N I � I I Is'r. FLU o R 2 N D . F L U O R 3 R D . F L U O R .4'r If FLUU It 5'r 11 FLUU R 6'r II F L O U R 7T If FLUU It I ST 11 F1, 00R (Print or type) Check one: Certificate Installing Company Name z2(-1u1zd ❑ Corp. Address' O12JAIJ 5 ❑ Partner. G&'' (•. Business Telephone I ,� ��� �FirmiCo. Name of Licensed Plumber or Gas Fitter r INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No Ifvou have checked ves. please In ate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage require t 14?o the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Sianature of Owner or Owner's Agent Owner ❑ Agent I hereby certify that all of the details and intorma[ion I have submitted (or entered) in above app' �artruend accurate to best ofmy knowledge and that all plumbing work and installations performed under Permit Issu ation will becompiiance with all pertinent provisions ofthe Massachusetts State G s Co d Chapter 142 o t ws. w Bv: Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber 2a L & CiryiTown ❑ Gas Fitter Icease Number UiMaster urne;man APPROVEDIuI•rlci-USF()NI.Y) �o t� Location �' - No. Date MORTM TOWN OF NORTH ANDOVER f � 3? � • 0 h 9 t ; ; Certificate of Occupancy $ . : CMUsE<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ jJ TOTAL $ �� Check # `> '0 7� 3 3B ' �� uilding In 6rktor b TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER n DATE ISSUED: SIGNATURE: Building Commissioner/Insiltaor of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Prop Address: 1.2 Assessors Map and Parcel Number: !� 6061 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Pr osed Use IIV Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required—==Provided R red Provided 1.7 Water Syp(ily M.G.L.C.40. 54) 1.5. Fl a Information: 1.8 Sewerage Disposal System: D Public Private 0 Zone Outside Flood Zone 11 municipal CK On Site Disposal System 0 J SECTION 2-PROPERTY OWNERSIIIP/AUTHORIZED AGENT M 2.1 Owner of Record feCh Name(Print) Address for Service: St Telephone 2.2 Owner of Record: Name Print Address for Service: Z *Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number mn Address Expiration Date Signature Telephone '... 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name Registration Number r Address Expiration Date z^ Signature Telephone G) �y } 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 building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: i SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be ,OFFICIAL USE ONLY Completed by permit applicant 1. Building (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 7 . 00 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT O CONTRACTOR APPLIES FOR BUILDING PERMIT I, • . as Owner/Authorized Agent of subject property Hereby authorize to act on b If,in all mattelat ve towaut d by this building permit application. nature of Owner VA v -tc Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I> 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 Signature of Ox;mer/A ent Date Islam 1, gig 111111oltJ NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TMIBERS 1 ST 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DINIENSIONS 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 FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT G�il��t �G�'�y° PHONE x'74' �f7"- ASSESSORS MAP NUMBER LOT NUMBER f-� , §( Y' SUBDIVISION LOT NUMBER STREET FoOly STREET NUMBER ................................................... ■■■■r........... ........ OFFICIAL USE ONLY �r■■rrrrrr■■.■■■rrrr.■■■■■r■■■■■■rr■■■■.■.■■■■.rrr■■r■.■■rr■.rr■rrr■rrr.■■■■ RECOMMENDATIONS OF TOWN AGENTS (I h^ �^-W4 � DATE APPROVED "v CONSERVATION ADMINISTRATOR DATE REJECTED COMMENTS , 1,V 1 ( 5 �_L , DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTORf DATE REJECTED DATE APPROVED SEPTIC PgOFft:HEAITfl G DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE MORTGAGE INSPECTION . NORTH PLOT PLAN } ERN ASSOCIATES, INC. 65 SALEM STREET, LAWRENCE, MA 01843 • Tel. 508-975-7117 M0RTOA60R LEONARD B LINDA FOOTS' LOCA UM, SO FERWOOD STREET DEED REF. BK' 1016 PG 97 CITY, STAM. NORTH ANDOVER MA. PLAN REF. pL ip 469 DA TE.° MARCH 10 1990 SCALE., 1- .90 JOB R• 90/ OB16 1a0.00 �nu�vS.QcQ 15'y�� LOT 5 LOT 56 LOT 57 tis" jet 0 27•+ o ------ paw1w 0 1 ST019Y LOT 54 #WD o 0 I ~ gyp•+ I I sao.oo FERNM00D STREET CERrrFIED TO.• N.E. TEAMSTERS FED. CRED1'T UNION NOTE: This mortgage inspection was prepared I FURTHER s-TAU97HAT IN MY RR specifically for mortgage purposes and is not to be relied OPINION the principle structure/s and accessory upon as a survey. Northam Associates, Inc. accepts no �� Of outbuildings, CONFORM responsibility for damages resulting from said reliance by — anyone other than the said mortgagee and its assigns in �� with the setback requirements of the local zoning connection with its proposed mortgage financing to said �9 S N ordinances,and that there are no encroachments of major mortgagor. improvements either way across property lines except as I $ H shown. 0. 17112 C ALSO: P p 1.Property is not in a Flood Hazard Area. This mortgage inspection was prepared in accordance 4 CI S T t P SOP a 2.Property is in a Flood Hazard Area eoAvE -4— /7 with the Technical Standards for Mortgage Loan k4 f V 144 O 3.Information is insufficient to determine Flood Hazard. Inspections as adopted by the Massachusetts Association Flood Hazard determined from latest F deral Flood of Land Surveyors and Civil Engineers,Inc. Insurance Rate Map Panel! ZSe+oI/a, C9005,6 NORTH own of Andover No. 02 X30 00 - LA O dower, Mass., ' COCMICMEWICK ADRATED FPaC S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.... 0.!Vr..................at 4v.�r!O ............................................................. .................. Foundation has permission to erect.... ........ buildings on ......... I�N.40 ....................................................... Rough to be occupied as.....AQ.k O V.*......COPW&I.....POO/...1�.....r'�r......! e!.................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. M /, #0 / J( .3-C- sow PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUC ELECTRICAL INSPECTOR � Rough C ........................................ Service BUILDING 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE . Smoke Det.'