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HomeMy WebLinkAboutMiscellaneous - 612 SALEM STREET 4/30/2018 (3) 612 SALEM STREET 210/065.0-0011-0000.0 i y Date-4/e.-I-3 .. ' h °��� •'"o TOWN OF NORTH ANDOVER PERMIT FOR WIRING 10 This otttifies that ........... .�:�......... „_ ............ � has permission to perform ....- .......................... . wiring in the building of..... !v, ���- c. .......................... .... ...... /� at.....64--Z- .....?�=:�:- -.�...:- .................. ,North Andover,Mass. T n ... ... "i l-u-�a� - ,�/ .�� Fee.., U-.......... Lic.No....�����....L:::: ....................�_�:.....�......::...,.... ELECTRICAL (SSPE T Check # 2y 7457 Commonwealth of Massachusetts Official Use Only Permit No. •7 - Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 R 12.00 (PLEASE PRINT IN INK OR TYPE INFO TION) Date: --v City or Town of. l�h 4A k) To the Inspector o R'ires: 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 Wa-0 Fie t}PG2 Telephone No. 61a-,6�C-693 Owner's Address Is this permit in conjunction with a building permit? Yes VNo ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead❑ Undgrd. No.of Meters New Service Amps / Volts Overhead❑ Undgrd LA" of of Meters, Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /`2w 4-e &--<r 27- 7`) Ci iivl��i Completion o the ollowin table may be w4ived by the Inspector of Wires. No.of Total No.of Recessed Fixtures A) Noof CeiL�usp.(Paddle)Fans 'Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA Above In- o.o mergency tg ng No.of Lighting Fixtures Swimming Pool d. ❑ rnd. ElBatte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices Total No.ofAlerting Devices No.of Ranges No.of Air Cond. Tons g No.of Waste Disposers Heat Pu p Number Tons KW No.of Self-Contained Detection/Alerting Devices No.of Dishwashers S ace/Area Heating-KW Local ❑ Municipal ❑ Other p g' Connection Heating Appfiances KW Security Systems: No.of Dryers No.of Devices or uivalent No.of WaterKW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or EquivalenteLl, OTHER: Attach additional detail if desired or as required by the Inspector of Wires. 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 t the permit issuing office. CHECK ONE: INSURANCE L(KBOND ❑ OTHER ❑ (Specify.) L, _ cation Date) Estimated Value of Electrical Work: a1Q)Z) (When required by municipal poli .) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion I certify,under the a' and penalties of per'ury,that the information on application is true and complete FIRM NAME• r � LIC.NO.• Licensee: A=I Sig ature _ LIG NO.: IsBus.Tel.No.- Address: // � Alt.Tel No.• 9616 OWNER'S INSURANCE WAIVER: I am aware that the Lt see 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 PERMIT FEE:$ Signature Telephone No. APPLICATION FOR ELECTRIC. WORK PERMIT (DO NOT FILL OUT THIS FOLD) NO. SERIAL ST.& NO. OWNER ELECTRICIAN PERMIT ISSUED REPORT-OF 'INSPECTION OF WIRES l .7 c- 6041 Date... Np RTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING VON* SC" S Thiscertifies that ..... .................................................. has permission to perform ..... ............................................................... wiring in the building of......F-4:.5.......... y.................................... at....44c;.�......... ..................................,North Andover,Mass. Fee..48.15(....... Lic.No.. .......... Z�................... ELEcrRICAL INSP R Check # Official Use Only rye, rye/ Permit No., ic�✓ 17/7 \���� /fs•�i �if!�Zf�U�i1�,L�ls� d��,�.�.�1�(�.��i ! /.S' f,r` Occupancy&Fee Checked /1 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELCTRICAL WORK All work to be performed in accordance with the Massachusetts EI 'cal Code 527 CMR 12:00 (Please Print in ink or type all information) Date bt=o To the Inspector of Wires: Town of North Andover 'Lor The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number_ 612- Owner 12- Owner or Tenant Owner's Address U f l✓ ',A C-CR' MA I A is:6 D Is this permit in conjunction with a building permit Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building J/ _�W l`' —__ i;tcs ;Authofizat :NO. -_— Existing Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters New Service [o6 Amps � n K a Voits Overhead ❑ Undgmd .[ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool gmd ❑ grnd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Diposal No. Pumps Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwashers Space/Area Heating KW ung Devices ❑ Municipal ❑ Other No:of D rs Heati Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring -'r No.Hydro Massage Tuds_ No.of Mk)tors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws 1 have axur.Cent Liability Insurance Policy inc lu ' mpleted Operations Coverage or its substantial equival YES NO = submi valid proof of same to the O c Y - NO = If you have checked YES please indicate the overage by checking the appropriate box. BOND = OTHER = (Pease Specify) (Expiration Date) Estimated Value of Electrical Work b Work to Start 4 -- - S"- Inspection Date Resquested Roughw r ��K Final / Signed under the Penalties of perjury FIRM NAME a �� c � LIC.NO. Z/9 1 7A L C, u / q LkenseeI! W r-J JA t. —Signature LIC.NO. "z9Z {�o � /2,rt • Bus.Tel No. Address Alt Tel.No. l OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts LGeneral Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Y Telephone No. PERMITfEE $ (Signature of Owner or Agent) G The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 `''°+M S�•'' Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 1.aryl an employer providing;AK)rkers' compensation for rry employees wrrrkenq on this job. Company name: Address City: _ Phone#: Insurance.Co.. Policv# Company name: Address City: Phone#- Insurance.Co. Policv.# Failure to saccus Mmmge as required under Section 25A or MGL 152.can lead to the.impoerm of aiming! penalties of,a fine up to$1,50:00 and/or one years'imprisonment as wdLas_ctvAinlheSama-ta8'JDPYjK)RK FtDER aid_afneo_$I-OD-QB)-ajdaY.againstme I understand that a copy of this statement may he forwarded to the Office of Investigations of the DIA forco%wage verification. /do hereby ced*wafer the pans and penalties of perjury that the m4brmabiarr provided above a true avid cornett t. Signature Date Print name Pbone.# Official use only do not write in this area to be completed by city or town official' City or Town Permit/licensing. I] Building Dept pCheck if immediate response is required .0 LJCensirig Boarri E] Selectman's Office Contart person: Phone if E] Health Department Ei Other e PEbt\tIT"1\T(`` fZ�d. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 " MAP 4-40. LOT NO. 00 V57 2 RECORD OF OWNERSHIP DATE BOOK ;PAGE ZONE I SUB DIV. LOT NO. F- LOCATION PURPOSE OF BUILDING s OWNER'S NAME NO. OF STORIES SIZE OWNER'S ADDRESS / BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST ILDING v 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 s PROPERTY INFORMATION LAND COST SEE BOTH SIDES _ EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. 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 PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE ED �^ ^ BUILDING INSPECTOR SIGNATURE OF O OR AUTHORIZE GENT FEE J OWNER TEL.q (o 4f 7A 1pF� -- 73 .7 PERMIT GRANTED CONTR.TEL.N s' Y Q 6 19 CONTR.LIC.# ® �L H.I.C.k a r BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY - SiOR1ES 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. ---III PINE BRICK OR STONE H PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ Y, 1/7 1/ FIN. ATTIC AREA _ N_O B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 _ DROP SIDING CONCRETE �_ WOOD SHINGLE$ EARTH ASPHALT SIDING HARDVJ'D _ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE —{I_ STUCCO ON MASONRY �— STUCCO ON FRAME BRI N MAS NRY ATTIC STRS. & FLOOR (- BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I�f POOR ADEQUATE I NONE 5 ROOF 10 PLUMBING GABLE I 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 & 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. h 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 El— B 2nd _ ELECTRIC let 3rd NO HEATING Town ofis�.."5`.... .+ * �adover, o _ m No. 001 _ : _ , . : lover, Mass., 19 LAKE COCN CN WICK i�F'.�• V '9 004 E o SS U BOARD OF HEALTH PERMIT D Food/Kitchen Septic System' INP THIS CERTIFIES THAT ...ett.. t... ... ............. Foundation GINS INSPECTOR BUIL ...... ... ..�. .. F has permission to 61st..... � .......... buildings on.......... / ....... ........ .. ............. Rough tobe occupied as.. .. ... �....�... ................................................................. Chimney provided that the arson acce in this permit s II in eve res ett conform to the terms of the appiic�i ion on file in P P Pt g P N P Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and.Cunstruction 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO TARTS Rough ` ... ... .... ... ......... ................ Service B DING INSPECTOR � Final Occupancy Permit 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 i Street No. Smoke Det. Location No.. Date 6 - -7 pORTN TOWN OF NORTH ANDOVER C:O.`.a° ,a1�OOAQ F p Certificate of Occupancy $ Building/Frame Permit Fee $ �� Fou datio Permit Fee $ 8 s�cmusE mit Fee $ i Sewer Connection Fee $ -- Water Connection Fee $ TOTAL $ ),IOL 12-17 Building Insp ctor c 10021 � Div. Public Works r Location No. Date TOWN OF NORTH ANDOVER F w A Certificate of Occupancy $ Building/Frame Permit Fee $ s�C14 Foundation Permit Fee $ Other Permit Fee 2£ $ �V TOTAL $ � Check # i 7704 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 'v 'SkY.Y<Y`5 BUILDING PERMIT NUMBER DATE ISSUED:v X �y SIGNATURE: A a-�Vg� ,,Q Building Commissioner/1for of Buildings Date Z SECTION 1-SITE INFORMATION 1 O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: --),'-3 � $7 �G S 3 J.� Zon;ng District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard R red Provide ReqWred Provided Required Provided '43 34) C 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zane Information: 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone Municipal ❑ On Site Disposal System J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT. C : Yes 0 N M Owner of Record n Address for Service: r� Sig ature I Telephone r, 2.2 GAvner of Record: Nanne Print Address for Service: z�.�q M Signature Telephone go SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: o cn :3 1 3 License Number �7 C�wr-�cr. s► MQrr�r�u•c �� G t$C�-ei 17 Address J,,A, 3 4—-N S. Expiration Date gnature Telephone r' 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number Address r Z Expiration Date Signature Tele hone SECTION 4-WORKERS COMPENSATION(N.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 au applicable New Construction ❑ Existing Building ❑ Repair(s) 0 Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition Other ❑ Specify Brief Description of Proposed Work: Vie.-.rl �P����n , laM�,l� ��.✓h-il�t/ ln��„P o n Aee SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be 4�[CIAL7SE01 .Y �r Completed by permit applicant 1. Building �j (a) Building Permit Fee Q'CJ�aC Multiplier 2 Electrical (b) Estimated Total Cost of ter? Construction 3 Plumbin Building Permit fee(e)X(b) 4 MechanicalHVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUII.DING PERMIT 1, l as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit applicat—io-11- Signature of Owner Date SY&TION 7b OWNER/AUTHORIZED AGENT DECLARATION t 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 id belief Ttlire -ca oOwn r/A ent Date NO.OF STORIES SIZE "Z_t�v BASEMENT OR SLAB SIZE OF FLOOR T VMERS IST 2 4 3 SPAN 1 '�-J , DEVIENSIONS OF SILLS 2. DIMENSIONS OF POSTS 3 /1 MIENSIONS OF GIRDERS v HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING ,/ X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND li L IS BUILDING CONNECTED TO NATURAL GAS LINE -e3 C,ve I(tR=� FORM U - LOT RELEASE 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 or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT! S. 7_ PHONE LOCATION: Assessor's Map Number S� PARCEL l SUBDIVISION J LOT (S) STREET A [ ST. NUMBER / ***********************OFFICIAL USE ONLY *********** RE C MENDATIONS O OWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED b DATE REJECTED COMMENTS (0 -tM TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS /;OODAINSTOR­H7 DATE APPROVED DATE REJECTED TO ALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 Jim N. The Commonwealth of Massachusetts ti d Department of Industrial Accidents Office of investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit i Name Please Print Name: Location: 0 l R�L!1 City Phone # I am a homeowner performing all work myself. EAI am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone#: Insurance.Co. Policy# Company name: Address City Phone#: Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 and/or one years'imprisonment_as.well_as_civil.penakies.in fhe.formnfa-STOP WORK_ORDER-and_afine_of.($1.00.0D)_aday against-me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby ce ar s and e t es erjury that the information provided above is true and correct. I Signature Date &- ko-o`) Print name �� S'� E-1� P.hone# y'-1 uG Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing El Building Dept ❑Check if immediate response is required ❑ Licensing Board ❑ Selectman's Office Contactp erson: Phone#: ❑ p Health Department ❑ Other 1 t Town of North Andover t&ORTH Building Department ?�a?t4k� `'6�0 27 Charles Street 1 North Andover, Massachusetts 01845 s (978) 688-9545 Fax (978) 688-9542 9�Dg47ED Building Demolition Affidavit RSSACHUS�� DATE 6-2-(Jr-V�+ �. OWNERS NAME &ADDRESS A1-Y PROPERTY LOCATION L S -1 DESCRIPTION S n.y(� (�y a+�e sT•�v CONTRACTORS NAME&ADDRESS $� C i c' <u, EP TM SIGN-OFFS D.P.W.)(WATL H n SEWER �¢ GAS 9 a ELECTRIC TELEPHONE /�/ c , (j Q (�C'/' CABLE TAXES POLICE FIRE 6 EXTERMINATOR DUMPSTER-ON/OFF STREET 0 � DIG SAFE NUMBER d o < BLDG_ INSPECTORx79l J""� DATE RECD o L North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. The debris will be disposed of in: OC\C.3 (Lo ation of Facility) Signature of Permit Applicant Date r NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector NIF ✓ul-r o, zuuz �- :D J. LEDUC & — 1E M. LEDUC i B-9 ( 5167 PAGE 83 2�8 93 PLAN #7140 IP 38 LOT 114 8-8 B-12 B-10 L; B-11 w B-13 LOT 11 - 1B- LOT _ 14 11 � TOTAL CBA = 100X AREA = 37,575 SQ.FT.f OR TOTAL CBA = 100N 0.8580 ACRES AREA = 139,641 SQ.FT.f OR TOTAL LOT WIDTH N 3.2057 ACRES 157.65' TOTAL LOT WIDTH EXISTING 173. 18' DWELLING ,�1 59, �v 65.02 s2'75 TOTAL ,30-60 FRONTAGE = 149.39' „W N71-26' "W y 6y \ N85.08 32 57.59' L Z� ,�0'(Q►�' A A,7• _ 77.57 G ~�� Q��P 116•y4E.C.S.B./L.P. E.P 14.26' RILL HOLE _ a.� FR „� 28.33' FOUND N56'54'14"W FOUND / ♦ y6 N85'08'32"W rrTO- A� 56'69, '� / .40 19W �� .Mk-- N87E. S TF C.S.B./L.P. E.P 3000) �,•��-��� � FOUND ARIES E•G'�'0. � 2.78 WIDTH N87.40'19"W - Ar it N NORTIi TO" of Andover No. 0 0% Adover, Mass., COCMICMEWICK BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT �•.. S t TR V S ..... �............................................................................... ................ Foundation has permission to mW... RAM... .... buildings on S .A I � � � ........... Rough ............. ..................................................................... w f• 11 � N Chimney to be occupied as.............................................................. provided that the person accepting this permit shall i 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 th Inspection, Alteration and Construction of Buildings in the Town of North Andover. (05 / 11 rat) cow PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST TS A Rough .. ... ......... ..... . .. Service ...... .. ..AA.W.A ..... .. . ......... 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 Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.