Loading...
HomeMy WebLinkAboutMiscellaneous - 7 PATRIOT STREET 4/30/2018 7 PATRIOT STREET 210/01 000.0 l . . T APPL,'(. DECISION .DUE 0N:-_._----� d/c, 17 JT filed k.f., .. ..., JOYCE C�!', aal shall be led '� ` •• BRAD..HAW Any aPP� 'SS,�H�sE' TOWN CLERK within (20) days after the NORTH ANDOVER j... of this Notice TOWN OF NORTH ANDOVER j ! date of �t��-�g I 1 ! in the Office of, the. Town MASSACHUSETTS SEP 8 59 PM 1971. Clerk. BOARD OF APPEALS NOTICE OF DECISION Property: 7 Patriot St. Date: 9117197 NAME: Alexander J. McGre or Petition: 029-97 ADDRESS: 7 Patriot St.. Hearing: 919197 North Andover, MA 01 1997 upon 845 The Board,of Appeals held a regular meeting on Tuesday evening, September 9, the application of Alexander J. McGregor, requesttnof Table 2, and foealSpec al PermPt 7 1 and 7.3 for relief of a front and rear setback, and lot, under Section 9, paragraphs 9.1 and 9.2 to enlarge a non-conforming tstructure. Said the East premises are land and building and premises affected are property side, which is in R-4 Zoning District. The following members were present:: William Sullivan, Walter Soule, Robert Ford, John PAllone, Scott Karpinski, Ellen McIntyre. Upon a motion made by Ellen McIntyre, and seconded by Scott Karpinski, the Board of i Appeals unanimously voted to GRANT relief of requirement Section 9.1 and 9.2 to put on a 2nd floor, to grant a Variance of a lot dimension °I am SOullivan, Walter Soule, Robert Ford s . ft., front setback of 14 feet relief and rear setback of 10 feet. Voting in favor: William Scott Karpinski, Ellen McIntyre. Th petitioner etitioner has satisfied the provisions of Section 10, paragraph 10 i4of the hbo hood or derogate and that the granting of these variances wZoning Bylaw ill not adversely affect the g from the intent and purpose ose of the Zoning Bylaw. The Board finds that the applicant has satisfied the provisions of Section 9, paragraph 9.1 of the Zoning Bylaw and that such change, extension or r the alteration shall not hood.be substantially more detrimental than the existing non-conforming Note: The granting of the Variance and/or Special Permit as requested bl cant must y the ant does not necessarily ensure the granting of a Building Permit as the app codes and regulations, prior to abide by all applicable local, state and federal building the issuance of a building permit as requested by the Building Commission. BOARD OF APPEALS, William J. Su livan, Chairman ltestdecl5 I L NOIttM /yYL'� 3?Ob taD 6 I a O p cmust TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS Notice is hereby given that the Board of Appeals will hold a public hearing at the Stevens Memorial Library located at 345 Main Street, North Andover, MA on Tuesday the 9th day of September 1997 at 7 :30 o'clock P.M. to all parties interested in the appeal of Alexander J. McGregor, 7 Patriot St. , North Andover, MA. requesting a Variance from the requirements of Section 7, Paragraph 7 . 1 and 7 .3' , , for relief of a front and rear setback, and lot, of Table 2 and for a Special Permit under Section 9, Paragraphs 9. 1 and 9.2 to enlarge a non-conforming structure. Said premises are land and building located at 7 - Patriot St. , and premises affected are property with frontage on the East side. Premises affected have an area of 8800 Sq. Ft . and frontage of . 180.4 feet. and is in R-4 Zoning District. Plans are available for review at the Office of The Building Dept . , Town Hall Annex, 146 Main Street . By the order of the Board of Appeals William J. Sullivan, Chairman Published in E.T. Aug. 26 & 2nd. LU UC y a �m row..m mg•-�.:¢E�•oa^- o ao •on vr.t caa a�- _ JC Cls ONccO0�'.'C C C)Y0 NN c C mro U mCCU�Lro cc N W¢a n._o o N Ea-M,m` ,t tq _ cv'- ro••'ur v _ ro ro ~ LL�a�aaroimtOZ�a�mm°` �o�o� oo'o d�E "'> �dw mo O O C N y mLL N --O C N Q OOa °'ot��� d_ x^ ro w•o �cc romp t mr7.o 3—� 5'roc9'j Z ZZ44LL Z)—o=a�o�ocQao�c@��rotron`°Y � ooWdQv�i6e� 1��DPiVc�i J p=ONonacio 2--200 o�cmEm`aoc'�iacjO10 ErniO°Z°U'gr°o'>°Ong°'mE Q HHG mm>-N ropnCm `¢rn2'm- mcCZ :mcro N rd ro orn (� OQ°L°�'` rorioaam aQa `�mm�nro�aDNrooW 'T cc C,):! o. ommc> aoL�Cycv mm v'9. aa�mwarom• ZO r orn,-m o rnrn�-a a�mNornm c W mZm_maroD rn� m�ECc oro 2 M ro H3.- x J �3Eii2¢E°�oE Zdmoc:N9°'�c�f�CM oHOcm>�c Fn -_ - =h it as ui a ma m.-a m. !��dm¢ W II NORTIy /YY/✓" 3? ` 6 OL O A x � I • "s k o SSACHUSEt TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS Notice is hereby given that the Board of Appeals will hold a public hearing at the Stevens Memorial Library located at 345 Main Street, North Andover, MA on Tuesday the 9th day of September 1997 at 7 :30 o'clock P.M. to all parties interested in the appeal of Alexander J. McGregor, 7 Patriot St. , North Andover, MA. requesting a Variance from the requirements of Section 7, Paragraph 7 . 1 and 7 .3, , for relief of a front and rear setback, and lot, of Table 2 and for a Special Permit under Section 9, Paragraphs 9. 1 and 9.2 to enlarge a non-conforming structure. Said premises are land and building located at 7 Patriot St. , and premises affected are property with frontage on the East side. Premises affected have an area of 8800 Sq. Ft.. and frontage of 180. 4 feet. and is in R-4 Zoning District. Plans are available for review at the Office of The Building Dept. , Town Hall Annex, 146 Main Street. By the order of the Y Board of Appeals William J. Sullivan, Chairman Published in E.T. Aug. 26 & 2nd. V _j C:o ��E°ccomrn� cn��aic°o oar= a�N c fn CSN ° N (0 V) pRSCCU L N a)CON L wQ -°.6 _ 'ar c �_ � cu r LL og a�QNNOZ1�apNcc6o�Cono���ao d a ECin NLLNN�o cG�OjOn> � Q 000-T'5 ct000 6>0YL" Ccl:M0cc mea°rot �O�o3 a`>Q�t� IZ ZZLLt �a)° OCQaO�c��to o a)N U �V.a OnwoO'��.� �C�o�U� �a as°c�dQoo r a>o o 7c w0c °��o•_> J PI—o'—co =Oym°�o. 2�Ma° cct,—0.0 c Eo>°a�a�or°ocaOa�Q'mE ~¢2 Q a�o«�> '°^m ami o Q m,�a a� m a ca EI as 'm o a N°«Q Tm m (� 00=z6u) >=aan c=C m m �' cn NO. ria m Q W. Z Z �c> aN o2 O�N�\_ W-3 ��wN� ca�� I m i6Lo ma°ornca`6�7�3 �� Ernrncu 8. �ao2'm Om rn32X L'J_ L3���QL°�or 2f;4? b°' mac` °o�docm>>c Frn RECEIVED JOYCE BRAMAW TOWN CLERK NORTH ANDOVER AUG 19 11 LIG AM °97 Received by Town Clerk : TOWN OF NORTH ANDOVER, MASSACHUSETTS BOARD OF APPEALS APPLICATION FOR RELIEF FROM THE ZONING ORDINANCE Applicant Alexander J. McGregor Address 7 Patriot St. , No. Andover ` Tel. No. 689-2616 1 . Application is hereby made : a) For a variance from the requ.1ements of Section 7 . 1 , 7 . 3 h Paragrapand Table of the Zoning Bylaws . 99 ZZ b) For a special Permit under Section of the Zoning Bylaws . c) As a Party Aggrieved, for review of a decision made by the Building Inspector or other authority. 2 . a) Premises affected are land and building (s) numbered 7 Patriot Street . b) Premises affected are property with frontage on the North ( ) South ( ) East (X ) West ( ) side of Patriot Street . Street, and known as No. 7 Patriot Street Street . c) Premises affected are in Zoning District R-4 and the premises affected have an area of 8800 square feet and frontage of 180 . 4 feet . t 5 of 8 Rev. 06'. 03 . 06 3 . Ownership : a), Name and address of owner (if joint ownership, give all names) : Alexander J. McGregor Date of Purchase 4/20/95 Previous Owner Antonetta Casale b) 1 . If applicant is not owner, check his/her interest in the premises : Prospective Purchaser Lessee Other 2 . Letter of authorization for Variance/Special Permit required. 4 . Size of proposed building: 33 front; 23 feet deep; Height 2 stories ; 32 feet . a) Approximate date of erection: October, 1997 b) Occupancy or use of each floor: Residential-Single family c) Type of construction: Wood Frame 5'. Has there been a previous appeal, under zoning, on these premises? No If so, when? 6 . Description of relief sought on this petition See attached 7 . Deed recorded in the Registry of Deeds in Book 4246 page 35 Land Court Certificate No . Book Page The principal points upon which I base my application are as follows : (must be stated in detail) See attached I agree to pay the filing fee, advertising in newspaper, and incidental expenses* C Si ature f titioner (s) 6 of 8 kev. uo . 03 . 96 6 . Petitioner seeks to construct a second floor to an existing one-storey single-family residence which was built prior to the establishment of zoning in North Andover and is not conforming as to front setback, rear setback and lot area. Petitioner seeks to build only upward and will not change the footprint of the building, nor any existing condition other than building height, for which no variance is requested. 7 . Petitioner' s lot is triangular in shape and is in fact as large or larger than some in the neighborhood. He does not seek to exacerbate any of the dimensional requirements for which variance is requested. The proposed change will not derogate from the character of the neighborhood and it would be a hardship for Petitioner if he is not able to add a second storey. 4 1 IST OF PARTIES OF INTEREST: PAGE,,_,_.__OF ,OBJECT PROPERTY MAP PAR # NAMtADDRESS, \BUTTERS: a i II w A CERT. BY DATE: I c a •!w .__— I i I I r•_.11.._ ' ..-.- I 1 I J i I { ai.t�-,�I,S �. + '��. Ff LL !tit NEEERF � ` . • . il j , , ; . I � � ,itis G,• ; , I i I i I I � c� I � i i i I6_T V I I - � i 2 cax PL-/. S-NtarH#NG� asPNA�r 12 100: SHHINGLGS ov�R ISO FELT .y R ®•F.Gp 1Ns�c..w�r� 16"O 2-fix s Pira T ' a Min, �2-D)c PAX, R-I.9F.G SN�krk�N� INsu�. 1 u�dari5� F��if clZD A R SHIN GLEz oq � C X T'L.Y. SUB.FL, CLApAoARaS.,. I MIM. ok _ Fi 14, FL, OTIqGR Sj-btj4C i PLAN OF LAND LOCATION NO. ANDOVER, MA. OWNED BY AL McGREGOR At Of SCALE: 1"= 20' DATE: 8/12/97 t� 0' 20' 40' 60' SCOTTL.L. GILES, R.P.L.S. FRANK S. GILES `��'LIq 1: NORTH ANDOVER, MA. a 19.'121 1 11 4 N 8000� E S F ` r (J r 6 6L' V1. 10, i, a s i 9 S(Q i n ( i q t OFFSETS SHOWN ARE FOR THE USE OF THE BUILDING Y INSPECTOR ONLY AND SUCH USE IS FOR THE DETERMINATION OF Z ONWG CONFORMITY OR NON-CONFORMITY WHEN CONSTRUCTED. _ I i i CERTIrV THAT THE OFFSETS SHOWN COMPLY a!]TI THE ZONING BY-LAWS OF WHEN BUILT. E I PLAN OF LAND IN SEE ASSESSORS MAP19 PARCEL 13 NORTH ANDOVER, MASS. THE ZONING DIST. SEE DEED BOOK#422 466,, PAGE#36 OWNED BY RECORDED AT THE N.E.R.D. ALEXANDER J. MCGREGOR THE PROPERTY LINES SHOWN ARE THE SCALE: 1"=30` DATE8/18/97 LINES DIVIDING EXISTING OWNERSHIPS,AND THE LINES OF STREETS AND WAYS SHOWN Q' 30' 60' 90' ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED,AND NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR NEW WAYS ARE SHOWN. SCOTTL. GILES, R.P.L.S. FRANK S. GILES NORTH ANDOVER, MA. OF NSF ZACCgRI Ion sco O N p N 3972 79.72 fie^ CISTvt all LAMS b °t Areaf. "O 8200+/-S' O 41' O cn N Z m tia T 6'G�`'1:• � C Francis Street ,� •t, m A tom NORTH ANDOVER ora BOARD OF APPEALS �- DATE OF FILING: DATE OF HEARING: DATE OF APPROVAL: THIS 1S TO CERTIFY THAT 1 HAVE CONFORMED WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS IN PREPARING THIS PLAN Location No. Date NORTN TOWN OF NORTH ANDOVER O?O•,*`•o .•,BOOR p Certificate of Occupancy $ + Building/Frame Permit Fee $ Foundation Permit Fee $ s,KHusE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ f..^ A Building Inspector Div. Public Works i PLAN OF LAND LOCATION NO. ANDOVER, MA. OWNED BY AL McGREGORof SCALE: 1"= 20' DATE: 8/12/97 0' 20' 40' 60' I 4E U� SCOTTL. GILES, R.P.L.S. FRANK S. GILES NORTH ANDOVER, MA. gOa0�,0, E 4]' 0 o i � 6 a i V, d° )Of � j l .s J i t V AFRO .n ex s OFFSETS SHOWN ARE FOR THE USE OF THE BUILDING INSPECTOR ONLY AND SUCH USE IS FOR THE DETERMINATION OF ZONING CONFORMITY OR NON-CONFORMITY WHEN CONSTRUCTED. I CERTO THAT THE OFFSETS SHOWN COMPLY WITH THE ZONING BY-LAWS OF WHEN BUILT. [� I I i I I i I � I I ' ' 1.-_.-..�... _._.'I.i�...-•_-_ �.-__._..... I I i If i�li i � I -F-' --'.I _+ I � � I ._ �-_._ I 111 ili t '• li� I!'�� J j' i , II I , I I y I I � I'.��� •Y- C , I 7' E:l" f i �I W I I � � i o_ I I6 I I I i II � �. `JN�v.iS 219F110 N1W �,rQ�JvoFidv'1�- j bo X T- - 0,7� N i Zl Y Q.a J X I R,^ ► 'x�d X��_2�� •uiW t 0 livid xZ-Z yl►M"�nSNI '�•�•®� `L _ 113 pS� 213/10 INS tI . 17bHdSb � -� anl11AYRds 'A?d x Q".,) 2 •t��u� I i -�. -�- a,� -�_ i PLAN OF LAND IN SEE ASSESSORS MAP19 PARCEL 13 THE ZONING DIST. IS R4 NORTH ANDOVER, MASS. SEE DEED BOOK#4246, PAGE#36 OWNED BY RECORDED AT THE N.E.R.D. ALEXANDER J. MCGREGOR THE PROPERTY LINES SHOWN ARE THE SCALE: 1"=30' DATE-8118197 LINES DIVIDING EXISTING OWNERSHIPS,AND THE LINES OF STREETS AND WAYS SHOWN 0' 30' 60' 90' ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED,AND NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR NEW WAYS ARE SHOWN. SCOTTL. GILES, R.P.L.S. FRANKS. GILES NORTH ANDOVER, MA. NIF ZACCARI ����AA OF o y 79.72' UH . 131372 �, 9fCISTE0 ����e� Lot Areal �paAL 11. s tU 8200 'z 41' O Ln N ^� z CD Francis Street 1� � � 9 N m -o dam. I' d' NORTH ANDOVER ora BOARD OF APPEALS Q- �ZA DATE OF FILING: DATE OF HEARING: DATE OF APPROVAL: THIS IS TO CERTIFY THAT I HAVE CONFORMED WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS IN PREPARING THIS PLAN i PLAN OF LAND IN SEE ASSESSORS MAP19 PARCEL 13 THE ZONING DIST IS R4 NORTH ANDOVER, MASS. SEE DEED BOOK#4246, PAGE#36 OWNED BY RECORDED AT THE N.E.R.D. ALEXANDER J. MCGREGOR THE PROPERTY LINES SHOWN ARE THE SCALE: 1"=30' DATE-8118197 LINES DIVIDING EXISTING OWNERSHIPS,AND THE LINES OF STREETS AND WAYS SHOWN Q' 30' 60' 90' ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED,AND NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR NEW WAOFY SCOTTL. GILES, R.P.L.S. o� FRANK S. GILES o NORTH ANDOVER, MA. " ZACCARI Q� fL � o N/F � u►�o 79.72' Lot Area t. M 8200 M. 41' O cn N m Z CD �& T v _ G, fC Francis ti ,��� 2 N G Street ,6 `� m o� cis NORTH ANDOVER oma BOARD OF APPEALS Q- qAj DATE OF FILING: DATE OF HEARING: DATE OF APPROVAL: THIS IS TO CERTIFY THAT I HAVE CONFORMED WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS IN PREPARING THIS PLAN PLAN OF LAND IN SEE ASSESSORS MAP19 PARCEL 13 NORTH ANDOVER, MASS. THE ZONING DIST. SEE DEED BOOK#422 466,, PAGE#36 OWNED BY RECORDED AT THE N.E.R.D. ALEXANDER J. MCGREGOR THE PROPERTY LINES SHOWN ARE THE SCALE: 1"=30' DATE:8/18/97 LINES DIVIDING EXISTING OWNERSHIPS,AND THE LINES OF STREETS AND WAYS SHOWN Of 30' 60' 90' ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED,AND NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR NEW WAYS ARE SHOWN. SCOTTL. GILES, R.P.L.S. ��w Of FRANK S. GILES o,�at►`. NORTH ANDOVER, MA. N/F ZACCARI ,tea f-IS CEO J�fi`' 79.7T �O(AL � os Lot Area t O 8200 41' O N z CD Di Francis G) street �� •�� m A cp. o� S� NORTH ANDOVER ora BOARD OF APPEALS Q- SQA J� F FILING: DATE 0 LI :G DATE OF HEARING: DATE OF APPROVAL: THIS IS TO CERTIFY THAT I HAVE CONFORMED WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS IN PREPARING THIS PLAN PLAN OF LAND IN SEE ASSESSORS MAP19 PARCEL 13 NORTH ANDOVER, MASS. THE ZONING DIST. IS R4 SEE DEED BOOK#4246, PAGE#36 OWNED BY RECORDED AT THE N.E.R.D. ALEXANDER J. MCGREGOR THE PROPERTY LINES SHOWN ARE THE SCALE: 1"=30' DATE:B/18/J7 LINES DIVIDING IXISTING OWNERSHIPS,AND THE LINES OF STREETS AND WAYS SHOWN O' 30' 60' 90' ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED,AND NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR NEW WAYS ARE SHOWN. SCOTTL. GILES, R.P.L.S. tM 0i FRANK S. GILES NORTH ANDOVER, MA. C. N N/F ZACCAR +13M f�/SiEA�4�S�' 79.72' Lot Ares 82p0+/-S.f. O 41, cn 4*6 N CD �` ��; , � c Francis ti -� N Q Street ,6 `� m o� NORTH ANDOVER �a BOARD OF APPEALS a� DATE OF FILING: DATE OF HEARING DATE OF APPROVAL: I THIS IS TO CERTIFY THAT I HAVE CONFORMED WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS IN PREPARING THIS PLAN `` MASSACHUSETTS UNIFORM APPLICATION:FOR PERMIT-T0-'D . . . , O'PLUII�t3t � (Type or Print) i� . NORTH ANDOVER ,Mass. �: •: Gate. • r ` Building Location u � ��{�—�!2 ` Permit Owners Name G U 4,t_- New 't_New 13r Renovation L] ' Replacement 0 Plans Sybmitted FIXTURF w • z x < o)N o z z .. W W W Y J a ?• U 4 rn a O ¢ lC , N z 'n < a a t- = O = a a OW ~ W Ql ~. .U W Ol X < Ql V. = d = % K °' _ a < tz O a W ai a W m a a = a .O a w •i t- t7 w IL 34 W > N O N m to t- z Y z W 1 O p o7 " O V .Z'. 4 < a z — — a a o a J < a 6c a < O < t- 3 ac J m a� o o J ; = t- h t` v o < o Q SuB-,BSMT. • BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STN FLOOR 6TH FLOOR TTH FLOOR 8TH FLOOR (Print or Type) Check one: Certificate Installing Company Name iJ �/�" /�� {. Q Corp. Address. 13d K Fo a S s Partner. .: -46 A�_'( U L/--f 1 b1 Firm/Co. Business Telephone & 9'6- o h'o Name of Licensed Plumber: i3o 5 )1-1 ea o� Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Q Bond 1-1 Insurance Waiver: I, the undersigned, have been made aware- that the licensee of i this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner Agents% , I bueby certify lh,al all of tlw details and infosnulion 1 I,a.e suL�niticd hot enlucd)in atone appliolion site 11W ast4�ale to 11W best r say i knowledge and that all plumbing work and inslallatinns pcifoinacd undcr rcintit icsucd fol this application wiQ do M catysWpp With W palk*""O"o vision of We Massachusetts Stale Plumbing Code and Ciuptcl 142 of ll,c Genual taws. 1 By 1 I � 3 Title . Signature o Licensed Plumber City/Town: Type of Plumbing License I• i � �D ,e 00POV1711 IOFFICF USE ONLY) License Number 10 Master 0 Journeymap Dat/ 1"12 = 3543 I� "ORT„ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSAC04U5� I This certifies thaw.. . . . . . . . . . . . . .'. . . . . . ` . . 1•..• . . . . . has permission to perform . . . . . . . . . . . . . . . . . . plumbin firta buildings of . . . . . . . . . . . ., orth Andover, Mass. Fee.15 .- Lic. No. . PLUMBING INSPECTOR II/M7 14:08 3100 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer `(3 3 `S^ MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTIN* G (Print or Type) l NORTH ANDOVER Mass. Date _ lhuilding Location i Permit •� Owners Name } (/I,L C d,? /Z- Y • New '7 Renovation Replacement J Plans Submitted n FIXTU0EIs N � W t1f z s ra m Q W WG1 m1�- w a 0 t- W w O O o. It W W .1 -. t- Gy W z V W 07 W 4 Q O D W W W E• �• G9 Q ? tt r 1 F. W z d W ►- �. m — o z W o rn x Q t:t > C W z < G < d O O w O W Ir- - w 0 t3 = u. O A O ,1 U G > Q o. F- O SUQ-13S.MT. 1 [ BASEMENT IST FLOOR t 2MD FLOOR 3RD FLOOR f 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR (Print or Type) Check one: Certificate Installing Company Name s � P !ted �} Q Corp. Address j�/ U x 2 of- - S Partner. v �/P./ C)U 4� �r fi , 0 ��� Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter �(� S/ (c�l�C1-tt __e Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy EET'-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 i hereby certify that all of the details and information 1 have submitted (or entered)in above application ate true and accurate to the best of my knowledge and that aU plumbing work and installations perforated under Permit issced Co.- this application will-be in eompiiance with all pertlnent provisions of tho Massachusetts State Cas Code and ChApter 14:of rho General Laws. .. By TYPE L][�CEENSEE-/�? lumber Title Gasfitter Signa re of Licensed City/Town: aster Plumbe r Gasfitter Journeyman Y63 APPROVED (OFFICE USE ONLY) License Number Date. ......... NORT/, TOWN OF NORTH ANDOVER �? PERMIT FOR GAS INSTALLATION ♦ '.__ice r SACNUSEt This certifies that . . :. . . . . . . . . . . . . . . . . . . . . . . u has permission for gas installation . 1... . . . . . . . . . .. . . . . . . . . . . . . . in the buildings of r ,? r' ,.c. , , . . . . , at . .!`. :. . . . . . . . . . .: . . . . . . . . . . . . , North Andover, Mass. Fee. . .! :: . . . Lic. No.. . . . . . : . . . . . :- . . . . . . . ... -.�. t . . . . tr Lf y 3 GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File so'- G