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Miscellaneous - 69 WATER STREET 4/30/2018
I I N I I � � :f -+ 1 Q n ,� � � f N � O � 00 m , o m o � oaoo`oo©ooboo©® 'no'000c0000000o 6?\/C- c;q L O Yn 12 ZAP j4TA 0 PZoi,6 oq 4- /11�i Gj�rr� 'AA ro `g loov f a w a �c lC' D "V own of North Andover 'ayment Date Thursday, January 26, 2017 )eposit Number 1701301 )perator Counter pc 1 ICR (BUILDING INSPECTION) $200.00 1� 'otal Paid $200.00 ;ash $200.00 :hange $0.00 teceipt Number gov00005309 /26/2017 2:51:43 PM Jame 31477 - 69 WATER ST ;ashier Id. treascoll-17 Location No. 3 70i _ Date Check #Ot12jx 31477 TOWN OF NORTH ANDOVER Certificate of Occupancy $ 7z—b Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ `� Building Inspector i Q CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 136-2017 on 8/10/2017, 212-2017 on 8/29/16, Date: January 26, 2017 1322-2017 on 6/21/2016, 075- 2017 on 7/25/16 THIS CERTIFIES THAT THE BUILDING LOCATED at 69 Water Street — Unit One MAY BE OCCUPIED AS a single family residence — Unit One IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Jonathan Zapata 69 Water Street North Andover, MA 01845 uilding Inspector Fee: $100.00 Receipt: 31477 Check: Cash n CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 136-2017 on 8/10/2017, 212-2017 on 8/29/16, Date: January 26, 2017 1322-2017 on 6/21/2016, 075- 2017 on 7/25/16 THIS CERTIFIES THAT THE BUILDING LOCATED at 69 Water Street — Unit Two MAY BE OCCUPIED AS a single family residence — Unit Two IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Jonathan Zapata 69 Water Street North Andover, MA 01845 Fee: $100.00 Receipt: 31477 Check: Cash La y cc: W. O 0 ti J O d LLJ 4. O = Z LLI - Z Z LL CL Z h�o".Z t� I N m J ? U E m :. d W L N O U . fY6 tW u c D i c O o O Q 7 7 �.._ C O C O w LL (n LL U C LL 1' N LL - 0 LL i� O� cc r.. 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Yco E N O U6 O O C _N LL m N N N O O z O O 2 Z C% .M Z. � O Z U9 Ix I-- CLU) LX0 �o an W az im CDE W L O �J z ., 0 i N Q W .Emm o a0 cc Z2 0 4) 5.) �1 D L 0 L - _cco CL. U) ) �_ Jcc � C,Y CA 0 Z 4 _ 0CL J V N c _ C— c . _N D J ?➢A iV .kp �. it Y''7 �� � �7• �E it I� �r ZaFm 'yc�,C`4 � 4r iil 1 1 \ 'MTf 4S. p J 1 • ; 5� S 1 I r I g� 48 4�J, , r^� :;'•"yet- 1 I ' . I J l0 fS 111 U, I. - Mi J W Q tu H to w ? � m O S Deems, Maura From: Deems, Maura Sent: Monday, September 09, 2013 1:35 PM To: Thibodeau, Bruce Cc: Brown, Gerald; Murphy, Peter Subject: Light Pole at 69 Water Street Dear Bruce, Peter Murphy, Electrical Inspector, was called on September 7, 2013 at 11 pm to respond to an issue at 69 Water Street pertaining to an issue with a light pole. The issue was a dog was shocked by being in close proximity to the pole. National Grid told fire dispatch that the pole was not owned by National Grid but was town owned. Peter Murphy arrived on scene and disconnected the pole as the pole was not properly grounded at the base of the light pole. Due to the problem found at the light Peter installed yellow caution tape to alert pedestrians. I will also forward you a picture of the pole. Thank you, Maura Deems Building Department Assistant Town of North Andover 1600 Osgood Street Bldg. 20 Suite 2035 North Andover, MA 01845 Phone 978.688.9545 Fax 978.688.9542 Email mdeems@townofnorthandover.com Web www.TownofNorthAndover.com 1 Deems, Maura From: Deems, Maura Sent: Monday, September 09, 2013 1:35 PM To: Thibodeau, Bruce Cc: Brown, Gerald; Murphy, Peter Subject: Light Pole at 69 Water Street Dear Bruce, Peter Murphy, Electrical Inspector, was called on September 7, 2013 at 11 pm to respond to an issue at 69 Water Street pertaining to an issue with a light pole. The issue was a dog was shocked by being in close proximity to the pole. National Grid told fire dispatch that the pole was not owned by National Grid but was town owned. Peter Murphy arrived on scene and disconnected the pole as the pole was not properly grounded at the base of the light pole. Due to the problem found at the light Peter installed yellow caution tape to alert pedestrians. I will also forward you a picture of the pole. Thank you, Maura Deems Building Department Assistant Town of North Andover 1600 Osgood Street Bldg. 20 Suite 2035 North Andover, MA 01845 Phone 978.688.9545 Fax 978.688.9542 Email mdeems@townofnorthandover.com Web www.TownofNorthAndover.com � C�r�:�s¢k ZI-[5Yito 4D ��J Ic�bf'Ttt Sr— Q--T�Lsa�� ------------- Z: c, 7— 7860 Date . Ia IA ! .......... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . ,, "W ... LA .e-/.11. 4a ..... /. ; has permission for gas installation . .kms a.;' �l Alk f/r//. k5lk — in the buildings of ..� .S.Q.(.b... Vf_rinAe.................. at ..-577 ............ , North Andover, Mass. Fee. Z.P. dG . Lic. No.- GAS INSPECTOR Check # ,% MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: /t/ -"t �'? MA. Date: 12-11-1 q �" ' r � Permit# Building Location: so % �a J� Owners Name: Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential New: ❑ Alteration: ❑ Renovation: ❑ Replacement: R � Plans Submitted: Yes ❑ No ❑ FIXTURES W W Z Q _ a �, w o W O f- O ui W W Z F- C7 J} O Z Z O W W co W I. O I- WI-WaWWLu _ LU° �WL'3 LL LU Z W W Z O J I- l- O Z J 0 u. N W W W m> O Z O� x W W I-- W W F- _ O Q v o o u_ C7 O x x O a0 W>>> p T.TRRRRRR FTo,— Installing Company Name: Check One Only Certificate # � q Address:_ 6 tlf e fCity/Town: A10•/7,4/00✓E,<State:7� El Corporation q Business Tel: _/ % i5 - G - G/,'5 /7 Fax: El Partnership El Firm/Company Name of Licensed Plumber/Gas Fitter: 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. A liability insurance policy ❑ Other type of 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 t t my signature on this permit application waives this requirement. Check One Only 4ES3hecking e Ow�Owner'SAnent Owner [� Agent ❑ this box ❑; 1 hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License: r ❑ Plumber , Title ❑ Gas Fitter (Master gnatur of Licensed Plumber/Gas Fitter City/Town (]Journeyman APPROVED (OFFICE USE ONLY) El LP Installer License Number: y 0 r 0356 Date ................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .... P ......... .���% ... .............................. has permission to perform 04:5 12U2"''� � �{ T ............................................... wiring in the building—of .........KJ ! L. .......................................... at .... .........5 r..............AELi�TRI . North Andover ,Mass. 7 Q Fee ....... "'._ . Lic. No. ............................... _. Q 'z7+1 C CAL INSP$CTOR '�Check # 1 2"� ( i Commonwealth of Massachusetts Official Use Only De artment of Fire Services Permit No. p Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leaveblank 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 PRINTININK OR TYPE ALL INFORMATIOA9 Date: C C %v Cl City or Town of: NORTH ANDOVER To the Inspector of ires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) g � Owner or Tenant Owner's Address 0 Telephone No. Is this permit in conjunction with a building permit? Yes ❑ No 9- (Check Appropriate Box) Purpose of Building PkI4 L L Utility Authorization No. Existing Service 0 Amps / Volts Overhead ❑ 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: NL w &^zP rU glVll, Cmmnletinn of the following table may be waived by the Inspector of Wires. Attach additional detail if desired, or as required by me inspeciur q/ rr irea. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:,76,w Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE CO RAGE: 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 on this application is true and complete. FIRM NAME: 911AMV LIC. NO.: Licensee:,/j-1 0151 b �' -gAN/ t r11i� _ Signature LIC. NO.%I � (If applicable, enter "exemp " in the license nu�''jber line.) Bus. Tel. No.: 2 Address: / e ' V vi5 P- Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, se urity 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 : � 7 cd _6 8 ?- �� : $ Signature �G� � � E Telephone No. /PERMIT FEE V No. of Total in No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators ICDA No. of Luminaires Above In- Swimming Pool nd. ❑ rnd. ❑ IN o. ot Emergency Lighting Battery Units No. of Receptacle Outlets No. of OR Burners F!RF P-LAPtM` No• of Zones No..Detection and No. of Switches ( No. of Gas Burners I nitiating Devices No. of Ranges No. of Air Cond. Zoon§I No. of Alerting Devices Heat Pump I Number I.Tons KW No. of Self -Contained No. of Waste Disposers Totals: _ Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW al Local ❑ Connection El Other No. of Dryers ry Heating Appliances KW Security Systems:* No. of Devices or E uivalent N . of Water KW No. of No. of Data Wiring: Heaters S Signs Ballasts . No. of Devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by me inspeciur q/ rr irea. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:,76,w Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE CO RAGE: 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 on this application is true and complete. FIRM NAME: 911AMV LIC. NO.: Licensee:,/j-1 0151 b �' -gAN/ t r11i� _ Signature LIC. NO.%I � (If applicable, enter "exemp " in the license nu�''jber line.) Bus. Tel. No.: 2 Address: / e ' V vi5 P- Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, se urity 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 : � 7 cd _6 8 ?- �� : $ Signature �G� � � E Telephone No. /PERMIT FEE The Commonwealth of Massachusetts Department of Industrial Accidents GA'r' Office of Investigations 9 ` 600 Washington Street Boston, MA 02111 www -mass gov/dia . Workers' Compensation knskirance Affidavit: Builders/Contractors/Electricians/Plumbers Name (Business/organization/Individual): Address': City/State/Zip: Phone #: . Are you an employer? Check.the appropriate box: L ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* 2. ❑ I am.a.sole proprietor or have hired the sub -contractors listed t partner_ on the attached sheet. ship and have no employees These sub -contractors have working for me .in any capacity, [No workers' comp, insurance workers' comp. insurance. 5. ❑ We are a corporation and its required.] 3. ❑ I am a homeowner doing all work officers have exercised their right of exemption per MGL myself. [No•workers' comp. c. 152, § 1(4),'and we have no insurance_ required.] t employees. [No workers' comp, insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. Q Demolition 9. ❑ Building addition 10.❑ Electricai repairs or additions 11.❑ Plumbing repairs or additions 12.[] Roof repairs 13.❑.Other -- -- R 111„wt naso ""Out the section below showing their workers' bompensation policy information. t homeowners who submit this affidavit indicating tiny are doing all work and then hire outside contractors must submit anew affidavit indicating such. Contractors that check this box must attached an additional shs t showing the name of the sub-contmctors and their worker' comp. policy information. I ant an employer that isproviding :,vorbrs' compensation iPasurance for my employees. Below is the information policy and job site ' Insurance Company Name: Policy # or Self -ins. Lic. IF: Expiration Date: Job Site Address: City/State/Zip: 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 e. 152 can Iead 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 STOP WORT{ 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 andpenalties ofperjury that the information provided above is true and correct: Sign ire: Date Phone #: Official use only. Do not write in Ltiir area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical inspector 5. 6.Other Plumbing Inspector Contact Person: Phone #: I _ Date. �! .......... NORTH 3? TOWN OF NORTH ANDOVER O p PERMIT FOR GAS INSTALLATION This certifies that .. A c.-:y..)Z....� .� .f� �.�. (. � ............ has permission for gas installation ... c . t'.y W -:r ............. lin the buildings of ...V.'.0. .......................... at ...6. S. . ... , North Andover, Mass. I Fee. 3U Lic. No..f.'. >..`:` ..... :�, ... . GA INSPECTOR } Check # NMSSACHUSEMLTNHDR-L IAPPUCATONFORPERNT IrrTODO GAS FMING (Type or print) NORTH ANDOVER, -MASSACHUSETTS (—U Building Locations �o — O S P(a h A pzN l �— F— Owner's Name New ❑ Renovation ❑ Replacement r7r Plans Submitted Date !a —a 9 — /0 Permit # Amount $ (Print or type) U 5/�� ���� Check one: Certificate Installing Company Name. Corp. Address a� �� � partner.. Business Telephone Firm/Co. Name of Licensed Plumber or Gas Fitterd INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 13 No 13 If you have checked yg�i, please indicate the type coverage by checking the appropriate. box. Liability insurance policyOther type of indemnity Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 1.12 of the :Mass. tnoiral La s: and at illy, nature on this permit application waives this requirement. Check one: Sig re of erwner or Owner's Agent Owner L Agent 0 i ucicvy I-Cluiy uiaL ail ui LIM UULa115 aim imurinaLlOn 1 ll.aVe SLlnniated (or entered) ill above application are true and accurate to the, best u( ni} knowledge and that all plumbing work and installations perfornicxl 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. By: Title L CitylTotivn :APPROVED ('OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber "_ 57 Y Gas Fitter tcense Number er aiblaster 0 Journeyman ra w as x° -j � 9 F, z z o� F w . A Cn O O �j O 'r7._- F C7 W d�' Ti F va AS] co C a N y CrA7 0O zx ' O tl {Fj a F c4 O w A U co Cti x q rW, SUB -BASEM ENT BASEMENT �p 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR . 4T II. FLOOR 5TH. FLOOR 6TH. FLOOR 7 T H. F L O O R 8TH. FLOOR (Print or type) U 5/�� ���� Check one: Certificate Installing Company Name. Corp. Address a� �� � partner.. Business Telephone Firm/Co. Name of Licensed Plumber or Gas Fitterd INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 13 No 13 If you have checked yg�i, please indicate the type coverage by checking the appropriate. box. Liability insurance policyOther type of indemnity Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 1.12 of the :Mass. tnoiral La s: and at illy, nature on this permit application waives this requirement. Check one: Sig re of erwner or Owner's Agent Owner L Agent 0 i ucicvy I-Cluiy uiaL ail ui LIM UULa115 aim imurinaLlOn 1 ll.aVe SLlnniated (or entered) ill above application are true and accurate to the, best u( ni} knowledge and that all plumbing work and installations perfornicxl 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. By: Title L CitylTotivn :APPROVED ('OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber "_ 57 Y Gas Fitter tcense Number er aiblaster 0 Journeyman l G a G a H..=s-� b-�'r�'.^4 a^•.,� Y.,a,...:.�...,. « �_./rr.�.,��:-.vy� �--353.• t..rv^-=-w.� z - , * Location y e No.Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ 4L # Building/Frame Permit Fee $ MuS c� Foundation Permit Fee $ -taxer Permit Fee $ Sewer Connection Fee $ e Water Connection Fee $ TOTAL $ C Building Inspector +`- 9*743 _:.: s Div. 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To learn more, scan this barcode or visit northandoverma.viewpointcloud.coml#/recordsl20901 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that Rodolfo Casado has permission to perform kitchen & bathroom remodel plumbing in the buildings of VERNILE. ROBERT J. at 69 WATER STREET, North Andover, Mass. Lic. No. 25731 Date: August 01, 2016 1/1 8/8/2016 Community Software Consortium Of NORT1� 7a F= Sao 'a as OOP :KorthA� Se APW ,SS�CHU`+E4 Sack to Results Search fer Parcels � Search for Sales � Vie!176nt Record Card Vie Summary Propew rty Owner Name: Card 251,300 Owner Name2: Residence Map View Owner Address: View Land Abutters Segments Properties Chapter Land Value: Detached nd Area: 0.08 acres Use Code: Sales 1954 sgft History Pct -Exempt -Land: Value History 0 Condo Road Type: CfSt? i, er.-, , Parcel ID: 210/041.0-0012-0000.0 FY: 2016 Community: North Andover Location: 69 WATER STREET Previous Year Owner Name: VERNILE, ROBERT J. 251,300 Owner Name2: BEAN, DEBRA 111,500 Owner Address: 69 WATER STREET 139,800 City: NORTM7ANDOVER State: MA Zip: 01845 Chapter Land Value: Neighborhood: nd Area: 0.08 acres Use Code: 104 -TWO -FAM -RES Total Finished Area: 1954 sgft Tax Class: Pct -Exempt -Land: 0 Pd -Exempt -Bldg: 0 Sewer: Road Type: T Water: Road Condition: P Assessments Current Year Previous Year Total Value: 310,400 251,300 Building Value: 165,700 111,500 Land Value: 144,700 139,800 Market Land Value: 144,700 Chapter Land Value: Latest Sale Sale Price: 1 Sale Date: 12118/2012 Arms Length Sale Code: A -NO -FAMILY Grantor: VERNILE, JOSEPH R. LE Cert Doc DOC: 107183 Book Page: Photo (Click on Photo to 69 WATER. STREET Sketch (Click on Sketch to Copyright O2015 Community Software Consortium. All Rights Reserved hUp://epas.csc-ma.us/PubiicAccess/Pages/ParcelSummary.aspx?MenulD=3&LinkiD=179992&Commcode=210 1/1 ti410 * * F H E a W _.. - e .e.- � r� '+Sy.[ vw r SsnrG 3" 5T'.Fri v rr•c... .. ... . .. < .. --. .... < ,._�. �. .... ..�°.,�.�.ta«..: �a.:.i..v�.��'d.S.�i�•'��+SS.I.��.. ! 6..5v��ti.cL5.i 1}1�..-i ;�. zc - E U) • 14 • Q Q • W . r.{ +� • G (n •ri Q H W • • ,/� y U > Q O 3a v 4-1 w c U v a 3 o m Q JJ U] • • a 1J "� • O U � w ri O • 1 41 m v U m rz v E i oD • •V• • t v a G v) o 1• �} m v 41 0• 4.j ro o c • Y.. 0p G N �• �:. a o y o0 Q) U y ro • al. U ro v G � m • � o a 3 oD • • U v m a ro ro c E-4 v a v >, o d -G CLl N o v 4 F-4 -w b v u (4-4 G U) G O ro 41 W o +-) �4 W cn x E v > O H co 4-j �4 b O U� b v v ¢ E� o �4 O s $4 0. w o P -4E4 X Cl- -W O z > _.. - e .e.- � r� '+Sy.[ vw r SsnrG 3" 5T'.Fri v rr•c... .. ... . .. < .. --. .... < ,._�. �. .... ..�°.,�.�.ta«..: �a.:.i..v�.��'d.S.�i�•'��+SS.I.��.. ! 6..5v��ti.cL5.i 1}1�..-i ;�. zc - cn W c'a 0 Whi Aped Banana 0-1-4 ,1 � � . • d! `ii � r � � �J �� �f � I S SIGN PERMIT APPLICATION NORTH ANDOVER BUILDING DEPARTMENT Division of Planning & Community Development Date Filed: 1. Site Address 2. Owner_, % 179 '/ /2.a_ .. 3. Applicant &_h1tyS40!E- 4. Number of Signs % _ Size of Sign(s) 5. Site of Proposed Sign(s) (� o� lQo, �!� U �r 3 0 p 6. Materials:EA.260,0/ ,orck-C �g 7. How attached: (a) Against the wall ( ) (b) Roof ( ) (c) Ground ( ) (d) 0 ther Its n/P,.kf eoid 0i A G v t- 8. Illumination: (a) Not illuminated ( ) (b) Internally illuminated ( ) (� l ./ T1 1a _' F�t �_ttuaiiii�al"au 1.loitt separate service / 9. Proposed Colors: Background Q -F%' c,,j 1716 Lettering Border 10. Will sign overhang any public road or walkway: Yes ( ) No (V)11" 11. If Yes, Name of Agency who will provide liability insurance: 12. Attachments: ( -',Photographs of building ( ) Material sample. ( v) Color samples ( ) Site or Plot Plan (Required for all free-standing signs) ( *Drawings of proposed sign ( ) Other, specify, 13. Is Board of Appeals decision required?.`'. J 1r,Lld L UL 1988 Yes,'("') No ( ) T - � e Crc'�e�L� Y3c�siN2� Locati4on -( No. Date 401tTh TOWN OF NORTH ANDOVER Certificate of Occupancy $ 41 Building/Frame Permit Fee $ Foundation, Permit Fee $ sACHUst Other Permit Fee, $ ewer Connection Fee $ PAID By- I r-J- (UNConnection,Fee $ ISO Building Inspector MO Andover Collector Div. Public Works= W_1 F - Q a_ N a' W z 3 0 LL 0 p 0 u W N "I W N_ N I Z p m _J < J a W N m d. 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