HomeMy WebLinkAboutMiscellaneous - 584 OSGOOD STREET 4/30/2018 584 OSGOOD STREET
210/101 _.p_p006-0000.0 `
t
Location '
No. 4kA Date
40RTH ''TOWN OF NORTH ANDQVFR
pttt`,o
p Certificate of Occupancy $ Q
- Building/Frame Permit Fe
CHU t� Foundation Permit Fee 4i "—
Other Permit Fee $
Sewer Connection Fee $
• Water Connection Fee $R %6 1-24
TOTAL $
Building Inspector
759
Div. Public Works
i" _LOT _
Location (—)-C,U0S
No. Date
N°RTh TOWN OF NORTH ANDOVER
p Certificate of Occupancy $
+ sc Building/Frame Permit Fee $
O� c�cs:cRc
s E h Foundation Permit Fee $
� s�cHus t
N
Other Permit Fee $ _
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
-31 - ?595
Div.Public Works
Location
No. �9G Date t U 4
yj NORTH TOWN OF NORTH ANDOVER
p Certificate of Occupancy $
+ ; * Building/Frame Permit Fee $
s�cMusEtn Foundation Permit Fee $ &C
Other Perrinit Fee $
7�p Sewer Connection Fee $ •
Water Connection Fee $ 107
TOTAL $
t ,
..
Bttii Inspe r
Q
T*DS
8409 Div. Public orks
tot t l V SS4 n scs,oob zr-.
PERJIIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
MAP si0. LOT NO. 2 RECORD OF OWNERSHIP :DATE BOOK :PAGE
ZONE SUB DIV. LOT NOA.a /f ^ I
I
.LOCATION �^' PURPOSE OF BUILDING -5 1» 1�e ! 'j
OWNER'S NAME • QJ NO. OF STORIES n SIZE �w,
OWNER'S ADDRESS BASEMENT OR SLAB O" 7
-ARCHITECT'S NAME �s SIZE OF FLOOR TIMBERS IST n�y�A 2ND �y3RD
BUILDER'S NAME 4 �A �� iA i ' �•+• SPAN /� —Ori ✓1
s y
t DISTANCE TO NEAREST BUILDING �/*.� DIMENSIONS OF SILLS_X / - ---
DISTANCE FROM STREET 3 r" "' POSTS ✓3 (�Q/
DISTANCE FROM LOT LINES-SIDES �� REAR "' GIRDERS
AREA OF LOT 3®, / �i 71 r'/f /'�� FRONTAGE �/�1�1 HEIGHT OF FOUNDATION I THICKNESS /a f
IS BUILDING NEW✓ ( Y e -v y�}' /+ SIZE OF FOOTING 'a Y X ✓�
IS BUILDING ADDITION Zp� /O MATERIAL OF CHIMNEY 14 r
IS BUILDING ALTERATION �l.'/ IS BUILDING ON SOLID OR PILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE / C IS BUILDING CONNECTED TO TOWN WATER 1410BOARD OF APPEALS ACTION, IF ANY w, C IS BUILDING CONNECTED TO TOWN SEWER vne s
0 , /
IS BUILDING CONNECTED TO NATURAL GAS LINE Y
INSTRUCTIONS _�� 3 PROPER INFORMATION
a�w ®! LAND COST n �1
SEE BOTH SIDES EST. BLDG. COST
DUE FRAME PERMIT$. t 31 0 EST. BLDG. COST PER SQ. . Q
PAGE 1 FILL OUT SECTIONS 1 - 3 [�
.PAGE 2 FILL OUT SECTIONS 1 - 12
PERMIT FOR FOUNDATION ONLY EBT. BLDG. COST PER ROOM
0
REGULATED BY PARA. 114. '. B.C. SEPTIC PERMIT NO. eu., e �
.ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS' +� � b 4UtuT c `-M �M
PLANS MUST BE FIL D_AND BY BUILDING INI�TIOR `� !r FEE ppl kIJGJ i���
DATE FILED t0
BOARD OF HEALTH
SIGNATOR WN OR AU ED GE
~ F5 E E
PERMIT GRANTED OWNER TEL.# PLANNING BOARD
CONTR.TEL" T//
19 `� CONTR.LIC.# 4 9?:RQ9
BOARD OF SELECTMEN
�nT I ? 1994 PER FRAME/BUILDING
DATE. U EE PAID' 13... ._ .UILDING INSPECTOR
i
_ B•UI'LDING RECORD T
1 OCCUPANCY 12
SINGLE FAMI[V ST17'RIES THIS SECTION MUST SNOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY f bFpIGES LOT LINES AND EXACT, DIMENSIONS:OF'BUILDINGS.' WITH =PORCHES, GA-
APARTMENTS - RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT. PLAN.
CONSTRUCTION
2 FOUNDATION I 8 INTERIOR FINISH
CONCRETE x d 1 2 13 •�\ i . _ _ '
CONCRETE BLK. PINE
T
BRICK OR STONE HARDW D
PIERS PLASTER
DRY WALL,
"UNFIN�
3 BASEMENT
a �
AREA FULL ;FIN. B M AREA
'/ 1/2 '/ FIN.'ATTIC AREA
NO B M T FIRE PLACES' ! _
HEAD ROOM - MODERN KITCHEN
4 WALLS 'a I^. 9 FLOORS _
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH _
ASPHALT SIDING 'HARD"✓D _
ASBESTOS SIDING COMIACN
VERT. SIDING .ASPH. TILE _ '"� `^�
STUCCO ON MASONRY _ - -' �-�.?71mI +fSZJ7i roam
STUCCO ON FRAME
BRICK ON MASONRY_• - '' ATTIC STIRS. & FLOOR 31< bS7 Ger
BRICK ON FRAME I a vi' -'1-1
CONC. OR CINDER Bk.
STONE ON MASONRY, WIRING , -•� r�r �!• -r
STONE ON FRAME' ' 'i J-• I t
L SUPERIOR I� POOR 1 t t a• y
' ADEQUATE NONE
5 ROOF 10 PLUMBING
q�AiBLEXJ HIP BATH (3 FIX.(
GAMBREL MANSARD TOILET RM. 12 FIX.( L
FLAT I I SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK _
SLATE NO PLUMBING _
TAR & GRAVEL STALL SHOWER `
ROLL ROOFING MODERN FIXTURES -
TILE FLOOR , e.\_ •l
TILE DADO
c
6 FRAMING I 11 HEATING
WOOD JOIST PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. d 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 I11 NO HEATING
over
o oort
NO- 469
s y ! ?----NorthlAhdoverp Mass., 19 CK
Cll(HIC ME wIrK �
• � '�9 qct- ;Eo "P� .`��;
BOARD OF HEALTH
d
Food/Kitchen
,
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT... ..... . . . .............. ......... Foundation idW94.
i
has permission to erect w)2) ... NE buildings on ............. COL.*)......
........... . . 1A Rough i 1I�,�4
' 1
to be occupied as.. "<<.111.. 4r --toAthe-t-e--'rrm's
1chimneyZ1rovided that the erson acce tin this ermit shall in eve resectc fof thea lication on file inP P P 9 P rY P ��Prr��P ������ Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspecwh"91TA-I&D Nl of
Buildings in the Town of North Andover. REGULATED 8Y PARA. 116tw843& B.C. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT FOR FRAME/BUILDING Final
l O Z (OO
PERMIT EXPIRES T�1 6 MO°� k PAID ELECTRICAL INSPECTOR
DATE: FEE PAID: CONS-f: UCS 0 \1 ;.,r �� 1; T`i
Rough
RK PERMIT FEE
Service
_r......., �0 ...........................LESSMA .....
........ .. .. .
B LDING INSPECTOR Final
DUE FRAME PERMIT;-13.1331-
Occupancy Permit Required to Occ-upy Bt,cilding
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
,PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det.
SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT
��Q f? l.f r•-
Tovm of orti ower
V'1'
Nort rAndover, Mass., Z�- 19 CK
U LAIE
C-1(HIC IF WI(k
l BOARD OF HEALTH
.A
PERMIT D
Food/Kitchen
Septic System
$ cel !Jb
BUILDING INSPECTOR
THIS CERTIFIES THAT... .. .. . ....... .. .. ............ ........' 1 .............. ......... Foundation
has permission to erectU��... NE buildings on ............. 4rjCCXR.....�.........It"
....11............. Rough
to be occupied as...St....� t �. 011.u. ....... <<t11.t�.... Z..C,�1(t....�ar41t1�Y..E...�4.44r,14�. chimney
provided that the person accepting this per shall in every respdct c form 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 Inspec%% 9 t �tig�of
I Buildings in the Town of North Andover. REGULATED 8Y PARA 114.8,5. L .C. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT FOR FRAME/BUILDINGFinal
DATE O Z FEE PAID X00
PERMIT EX13IRE S It,.1 6 Iv1.ON a-� lb
.DATE: FEE PAID:
$:)T r �-7 r� i -,.. �. �_. ,n �� .� ELECTRICAL INSPECTOR
1 SS 'O1^1 S 1 . ♦jJ 1 ` r Rough
RK PE v FEE
LO ........... Service
IN FEL. ........ .. .
. . ...................
_ B LDING INSPECTOR Final
�FRAME PERMIT; I
a Occupancy Penult RegLci1"ed t0 OCCl4py Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
' Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
PLANNING FINAL CONSERVATION FINAL Street No.
j Smoke Det.
SEWER/WATER FINAL DRIVEWAY ENTRY PE MIT
Y
loll
130
IS
F
154SCn?E,v T —
J
/Og4S%_
• O �S'CE,V/C O
�-ASE.ti��vT o
�Sre�'�T
r•E.r7%FY 727 r,YE r/rte or
T?j 7•t✓ d•�•vX r�.4r rKE o�:-EAG/,car is �acorE-v ocr
1Y/T// TiS/E, Tdw.v D/'rNo•Avba✓�a2 20N/NG ,�E6ULAr.�.t�S �� '�J •
�6�X0/.�(s tSET�iICX.S".F•CO.I!.ST•PEE7'S f GOT G/.✓E.S." NO. /9iV.O0✓E.E� /�'/ASIS,
Gdl.4r O/4/ r11-- XZ OSA PEAor /O�.PAN�iV FO P
'-w-d ,v C .t' i�+•?' CO•�•i.Nt/�v/Ty P.f i/LG '� �STEYENS G OSri,v6 DE✓sro.�ml�vr
2.50x98 CV03C
OF oy 4tPA7Z-o 6/2/9,3
GATE
'09#36381
fss5a�'P .vor Aa,2 ,jfE.P.P/irls�Gt'E".t/civEE.Piti6 SE.P�/CES
B�U.VO.PS/ � BOU.t/OA.t�Y///FORhf-
ATiO.t% TA,t'E.y F ivG .ee-Cc.POS. 6G f'q,P,(� .ST.rEET
A.t/ODYE,� �1.4S.S,4Gf/l/SE77S O/8/O
NORTH t
ovm of
No.3 80 _ '0
, y
o LA E dower, Mass., st Q-5. 1993
I� COCHICHEWICK
%p ADRATED
7 S BOARD OF HEALTH 72
Food/Kitchen
-PERMIT T D r
Septic System
7 BUILDING INSPECTO� i
THIS CERTIFIES THAT............. .....�..I}1Z.!C...... me ..... ... T.....CTY.I '..F..�... Zf�` '�-
F un tion -
P w d o - 2C� W� _ rLl —rs-%
has permission to erect................. .................. buildings on �a7'.....5.................... ... [ �... Rough G� (`, r
to be occupied as....5../t*?(LU....rl�!�!,t��•y.. ..�.h+L?C �./ � '..w..�..:�r ..�T !`. .... ......... ChimneyL,
provided that the person accepting this ermit shall in eve respect conform to the terms of the application on file in �= 13
P P P 9 P every P PP Final ��f� �i- �-- � N
this office, and to the provisions of the Codes and By-Laws relating to the Inspectoggo 1 Imr Mali
Buildings in the Town of North Andover. PL BRJG I SPEECTOB_
VIOLATION of the Zoning or Building Regulations Voids this Permit. vi"� 1'61�//(�
DAT 8:2.1 -13 FEE PAID h' c' 1 nj
PERMIT EXPIRES IN 6 MON 445 fa.- Co.
UNLESS CONSTRUCTION STARTS ELECTRIC INSPECTOR
Rough 0 � 94
PERMIT FOR FRAME/BUILDING
W�-/{/i....r. x d
.................... .'....... . . .................................................. ................ Service
BUILDING INSPECTOR
�� SU Finalq/,7�DATE: '' ' -3 FEEPqjp• t 375
Occupancy Permit Required to Occupy Building GAS INSPECTOR
'114/
PY a P
Display in Conspicuous Place on the Premises — Do Not Remove oug � r
No Lathing or Dry Wall To Be Done FIRE EPARTMENT
Until Inspected and Approved by the Building Inspector. '�f
Burner
t�
PLANNING �SL CONSERVATION-k —FI't1��4t4� v Street No.
Smoke Det.
SEWER/WATER` i�f tz--zi-,qLFINAL DRIVEWAY ENTRY PERMIT
r -
NORTH TOWN OF NORTH ANDOVER
•
o ; Certificate of Occupancy $ Sn I -
Building/Frame Permit Fee $
� oma.<.<�<•... C
sTeo
""
sCH ^.�cMus E�� Foundation Permit Fee $ l�� �—
•
Other Permit Fee $
Sewer Connection Fee $
Yr Water 6onnection Fee $
,(� y OTA L $ /5 b
Date 9 9.3
6
ti
TOWN OF NORTH ANDOVER ,moi% ��/` Building Inspec or
.• ;� an $ N° 6387 Div. Public Works
Certificate of Occupancy
Building/Frame Permit Fee $
Foundation Permit Fee $ — / 5'
j Location `~ �7
Other Permit Fee $
No. 3� Date
Sewer Connection Fee $ 5 3
Water Connection Fee $
TOTAL 3;5
40RT?j TOWN OF NORTH ANDOVER
,•. , • o
Certificate of Occupancy $
, Building Inspector ` i Building/Frame Permit Fee $
45 �-+ �� Foundation Permit Fee $
Div. Public Works S'T CMU`.
Other Permit Fee $
A4 . '557 Sewer Connection Fee $
7,5 Water Connection Fee $ 4a22
AV
T $ Q2ob o
d F NORTH
0 0 �r over t
•
No. �..
T T 19 o'
A E dower, Mass., y�s
OF
COCMICHEwICK VA
%S RATED P'P �
G
4 BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System A
THIS CERTIFIES THAT... QAf...&A...104.ove..494f#ep..rY. ,l.�r.l�.� �'•.� f ��IL�CNG�I�NSP��T0" I' -
/o,nt#'ation/j
has permission to erect.000.0el R#Wbuildings on ..04.C*., 40 A.-Cr..4 0.17............... Rough
to be occupied as tnmsA /�
. *"YAUXAJ..�W"AhomrAwasir..vpA reWs Chimney��_�� -9 ���C�'c. �
provided that the person accepting this permit shall in every respect conform to thepWilffti �q� de in Final�i �'C /2-3
c� — 3
this office, and to the provisions of the Codes and By-Laws relating to the InspeA i�, �4.8-
Hyl &9f
Buildings in the Town of North Andover. S. B.c, PLUMBIN�GG SPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. p , ,.6- ,_ `o'u ���% �
ATE FEE PAID?� o , os ._ `�
PERMIT EXPIRES IN 6 MONTHS _!5-a.
. n1 w
ELEC ICAL INSPECTOR a
PERMIT FOR FRAMUBVLDQWESS CONSTRUCTION STARTS . Rough
r o91 �. a
y'G 5�JM��� �t. .. .... ........ ServiceDATE✓'�FEE PAID��— .......IV. .......... ....... ....... ................. ...............
BUILDING INSPECTOR
` Final
Occupancy Permit Required to Occupy Building GAS PECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Finalh
No Lathing or Dry Wall To Be Done FIRE DE ARTMENT
Until Inspected and Approved by the Building Inspector. pl�
0"'
Burner i,PLANNING 95NAL CONSERVATION FlNp Street No, 7Y`-�
Smoke Det.
SEWER/WATER ���3 FINAL DRIVEWAY ENTRY PERMIT ~
�r
O'NORT►y TOWN OF NORTH ANDOVER
t�ao ,a 1"O
p Certificate of Occupancy $ S �
Building/Frame Permit Fee $
rooA Foundation Permit Fee $ Ile
S�CHUS
Other Permit Fee $
Date `/ =' Sewer Connection Fee $
Water Connection Fee $
TOWN OF NORTH ANDOVER , JTOTAL $ %tS
� `
1" ' " 7 r
1 �;, Certificate of Occupancy
Building Inspector
Building/Frame Permit Fee
6601 Div. Public Works
.� I �ipdation Permit Fee $
�bther,,Permit Fee $
Sewer,Con tion Fee $ �'%�3"��` 71i,
9 f /
Water Connection Fee $ 'A� Location
TOTAL !
$ S�'J7 �5�. No. � �� Date
/yam
Building Inspector NORTIy TOWN -OF NORTH ANDOVER
1-4
/
3 2a Div. Public Works � : ' Z.
V" Certificate of Occupancy $
r '' ~Building/Frame Permit Fee $
E h Foundation Permit Fee $
?ACMuS t
Other Permit Fee $
'5716; Sewer Connection Fee $
7-07 Water Connection Fee $
TOTAL $ 2z) yzo ..�
FORM U - IDT R=A= 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.
****************Applicant fills out this section*****************
APPLICANT: Jl•P���U Cr'bC / U a l ,.I / Phone
LOCATION: Assessor' s
�� Map/ Number Parcel
Subdivis ion S �IhN4S Ct OSSl it d Lot(s)
Street 042 62 c/ `'/ ' - ✓ C��
St. Nu-tbe
r
Use Only** ****************�****
RE MMEN IONS OF OWN A ENTS:
j
Date Artroved
onse :at_on AdrL4nist�-aT Date Re;ected
C crzn en _
Date Approved 10� Z.q
Town Planner Date Rej ec=ed
Ccnr..er.:s
via-
Date Autroved
Fcc-: _n=_�e__„_- earth Date Reiec=ed
kM
Date Aotrcved
Date Re j ec:__
Cs
Pub__c ;JcrL: - se:tier,'water connect'_ons r/;4
dr_ve*aa:: per:'ti t sS /0
6 Xq� &/N
F; r e Q e c a rt-e n to
ecA
Received b4 Building Iispector Date
07 121994
Location <<
No. ��-t - - Date 2 q
NORTH TOWN OF NORTH ANDOVER
3?0�,•'`o ,•,BOOL
. A Certificate of Occupancy $
• ;�, ,' Building/Frame Permit Fee $
� � Foundation Permit Fee $ _
Other Permit FeeA $ ZS
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
7796
Div. Public Works
. rd„o,,,..•tib a
KAREN H.P. NELSON Town of 120 Main Street, 01845
Dimrtor NORTH ANDOVER (508) 682-6483
BUILDING ;'aa,CM ��
CONSERVATION DIVISION OF
HEALTH PLANNING & COMMUNITY DEVELOPMENT
PLANNING
CHIMNEY APPLICATION AND PERMIT
r
DATE va PERMIT # C
LOCATION f, i��
..
OWNER' S NAME G✓a
BUILDER' S NAME —Fh
MASON' S NAME �u�r �n ► y%e \
MASON' S ADDRESS a ),
MASON' S TELEPHONE
MATERIAL OF CHIMNEY
r�)
INTERIOR CHIMNEY EXTERIOR CHIMNEY j&;1 �.
/'�e-•
NUMBER AND SIZE OF FLUES
THICKNESS OF HEARTH
Will chimney or fireplace conform to requirements of the code and
have rules and regulations been received:
DATE �y
J
SIGNATURE OF MASON G� z--°' �NTR. LIC.
EST. CONSTRUCTION COST/CONTRACT PRICE Y-�,
PERMIT GRANTED FEE
{ ROBERT NICETTA, BUILDING INSPECTOR
i3 INSPECTED
REMARKS
u' SOLID BRICK REQUIRED
y THIS PERMIT MUST BE DISPLAYED ON THE PREMISES
tr a d ,.# jy sW �it E `� `y
` u 1
N-o 0
O
over
North Andover, Mass.,
Z4- 1911
IJ
B"j U
BOARD OF HEALTH
Food/Kitchen
ILD PERM IT T.. Septic System
/� BUILDING INSPECTOR
Q'ieYr-Mz 3OSS113 > L...... ......k ; ................................................... oundatio
THISCERTIFIES THAT.........................................I.......... .�'. O 1....................
has permission to erect... ►�...W...M . buildings on .. '.....d ��CX??...S�T.............. ... rt'...�� Rough
to be occupied as SW64.E.... ...... ....Z.. lR.... -................................. Chimney
provided that the person accepting this perril'it 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
Voids this Permit.
VIOLATION of the Zoning or Building Regulations
PERMIT FOR FRAMEIBUILDING Rough
, QT !' )t Z4 FEE PAID: *501— Final
PEI-, NJ 1 I 1 I I -I 11"'
, i i i I ELECTRICAL INSPECTOR
�. �� .�� 1,. , i 1 ) I l r If [,I Rough
. ............ ... ..... ..... ....... .......jL-) Seryice
... ..........
BUILDING INSPECTOR Final
Occu aitcy, Vc,7-m4f � ��'��ll.ii�'C� tar (.a(_� �!.� }' j 'r(t�C.�lt14' GAS INSPECTOR
Rough
a 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
PLANNING FINAL
CONSERVATION FINAL Street No.
Smoke Det.
SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT -
own o
N ft� .fAn
Over
su EV, ?, ` Tort Andover, Mass.,�c�aa�.cz. 7,4- 19 94
M O ^� 1.n K E ��
COC 1I ICMEWIC
4� 3 BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
n- BUILDING INSPECTOR
THIS CERTIFIES THAT �zosS .. AS'
. 1..... ............
................................................... nq
I
has permission to erect...V3.C.C=...f A.ffie. buildings on ...5.5.4.....000 ?....SST............... . L c5t..t.t.. .. Rough
1 Z4�t9�
t «lrl �i/d �eari`. Chimney1'P l�
to be occupied as�k�4W,.....! ri1.1.4.�.. .. .g........ .... ... tt�............. ..........................................
provided that the person accepting this perrilit shall in every respect to the terms of the application on file in
P Fin 2Iz �S 't
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of l
Buildings in the Town of North Andover. PERMIT FOR FRAMUBUILDING PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids, this Permit. Rough
DATE: FEE PAID- Final OV Z 12Iq
PER.MFI" EXPI�I. 6 NION'�111S
ELECTRICAL INSPECTOR
UNLESS C:OT S �,t.JC ,:I �:�N 5 .r
.. ... ... ....... ... ..... ...... ........ ...... . ........ ti
BUILDING INSPECTOR :F:i:n:�aI
Occupancy Perm t Regttl'red t0 Ocatpy 2.-tllG�lr1 T GAS INSPECTOR
.Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT]
Until Inspected and Approved by the Building Inspector. �p
� Burner21
PLANNINGFINAL CONSERVATION 4�101/ �/FIN�A' L StreetNo. S'"
�
- Smoke Det. ' ;,�.4
SEWER/WATER �� FINAL DRIVEWAY ENTRY PERMIT �/Z _
H:K:` Jh;
CERTIFICATE OF USE & OCCUPANCY
Building Permit Number 4Cs Date
THIS CERTIFIES THAT
' � .••--; THE BUILDING LOCATED ON
MAY BE OCCUPIED AS a%RGl.- TA(1 %Nm&A Du1 _11J(o IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
! SUCH OTHER REGULATIONS AS MAY APPLY.
• j CERTIFICATE ISSUED TO ��\&-tIS ��t�SS�t16y�Al?La R(7S
ADDRESS.'133 1 U�xp� ST��it. 3ll 1 I`� Eppl�Q_
Sp
;yr •
i
Date.
of „ORTM ,ti
or 0 W
TON OF NORTH ANDOVER
• - PERMIT FOR GAS INSTALLATION
SACHUSEt
This certifies that .Aff/7*Jq. . � Z)�
has permission for gas installation . . 5
in the buildings of . .fOiPi/ ! . . . . . . . . . . . . . . . . . . . . . . . . . . . .
at f7. . . {?'A ?. .,5-,! . . . . . ... . ., North Andover, Mass.
90
Fee . Lic. No.�. �z . . /.. y'� ='.�. . . . . . . .
/ GAS INSECTvR
Check# �r
fii85
MASSACHUSETTS UNIFORM APPUCATON FOR PERNffr TO DO GAS F1TI'ING
(Type or print) Date ��(3 .J d
NORTH ANDOVER,MASSACHUSETTS
Building Locations J Permit# Sl 0
Amount$
Owner Name G �y2 F 114
New❑ Renovation Replacement Plans Submitted
� a �
� U a
CA
zzGa0i rn F " O O O O z F
c� w
FCCn4h F Wz � ' 7 � Fp
z G C/3
O
U a aO �
a
1=1
Fw+
SUB -BASEM ENT
BASEMENT
1ST. FLOOR
2ND . F L O O R
3RD . F L O O R
4TH . FLOOR
5TH . F L O O R
6 T H . F L O O R
7TH . FLOOR
a . S
TH .. FLOOR
(Print or type)r'� _ Check one: Certificate Installing Company
Name �� Corp.
Address ('}r Partner.
Business Telephone / Firm/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE ' Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes Noo
If you have checked yes,please indicate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity 0 Bond 0
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws,and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner 1:3 Agent
I hereby certify that all of the details and information 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 Massachusetts State Gas Code and Chapter 142 of the General Laws.
Signature of Licensed Ph e Gas i er
Title Plumber
City/Town Gas Fitt =Se Number
Master , �f
APPROVED(OFFICE USE ONLY) Journeyman
1
ti
TOWN OF NORTH ANDOVER
a
PERMIT FOR PLUMBING
♦ s
SA US
}This certifies that . . . . . . . . .
has permission to perform .
plumbing in the buildings of . . .11.4./� . . . . . . . . . . . . . . . . . .
at. .�'rg �ds�d ��7t 1-.1). . , North Andover, Mass.
Fee.•' :B•". .Lic. No.. /�/P ��. .
/ F PLUM INB "G INSPECTOR
Check # !asx3
6289
i
MASSACHUSETTS UNIFORM APPLI ATION FOR PERMIT TO DO PLUMBIN(
I
(Type or print)
NORTH ANDOVER,MASSACHUSETTS
_ Date l Z -3c,-o
Building Location Uf Dgf�) ST Owners Na �d �/ Permit#_ a g93
a te_ Amount &p aw
Type of Occu an
k/
New Renovation Replacement j Plans Submitted Yes No ❑
FIXTURES
Cr
En
00a
w
SM-»
EVEW
IST F10M
HDOR
i �Fri
4IH FIDCR
5M B-OCR
6M FLOOR
7M Flit
SIH ILOM
(Print or type) �y�G��/ �/2i Check one: Certificate
Installing Company Name / ¢ Corp.
Address Partner.
—1
Business Telephone Firm/Co.
Name of Licensed Plumber: ���"�
t Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy Other type of indenurity ❑ 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
Signature Owner E. Agent EI
I hereby certify that all of the details and information I have sub '�ted(or entere )in above application are tru and accurate to the
best of my knowledge and that all plumbing work and instag
' der Permit Issued for this a capon will be in
compliance with all pertinent provisions of the Massachusate.Plumbing Code an�ha 14 of LPs_
By: Signature 31 j7icenseuum er
Type of Plurrabin .�,icpnse
Title
City/Town icen e um er Master Journeyman
APPROVED(OFFICE USE ONLY