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HomeMy WebLinkAboutMiscellaneous - 710 CHESTNUT STREET 4/30/2018 (2)Date. ,114% R. 9206 TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING ass sE` 4CMU t ` ftThis certifies that .... n?.. Z4r ... .../................... has permission to perform ..??�CE?'�!.�r .'?�.�op plumbing in the build*ngs of ..4!!/ v... iJI.U�!%. at ....find... 2.14. .17vT S ............. North Andover, Mass. Fees! -U. Lic. No... l.�Zli. f7!�19t!r� ...... PLUMBING INSPECTOR Check # O/ /Z 1 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY;i t. � oy 9,r. MA DATE \� \ 6 11 PERMIT # JOBSITE ADDRESS +� OWNER ADDRESS L._ `n? Y _— _ a_�_ TELA l SSI FAX � f _ TYPE OR OCCUPANCY TYPE COMMERCIAL w] EDUCATIONAL L 1 RESIDENTIAL PRINT CLEARLY _ NEIN' i- RENOVATION: D, REPLACEMENT: i j PLANS SUBMITTED: YES Lj NON! FIXTURES Z FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM - DEDICATED GAS(OILISAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM 1-_� -7J - DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN - - - _. i —� _ t FOOD DISPOSER `� g I,` FLOOR / AREA DRAIN INTERCEPTOR (INTERIOR) KITCHEN SINK _ I LAVATORY - I i — -I1 �'_ __ .�' ROOF DRAIN SHOWER STAR SERVICE 1 MOP SINK TOILET - URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES - t - —. —_T WATER PIPING ', OTHER s- fl y - I I ` --I: _ _A_A, - - INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142 YES LV NO L� IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABI'JTY INSURANCE POLIC i fL%j OTHER HER TYPE OF INDEMMITY E' 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 that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER [j AGENT SIGNATURE OF OWNER OR AGENT I 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 Installatim performed under the permit issued for this application will be in lance Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General laws, PLUMBER'S NAMEi � rQ,a �r�ck nap o- j LICENSE #_j SIGNATURE MPS JP;r_ - CORPORATION #L_!��6]PARTNER5HIP_I#L LLC_#! _1 COMPANY NAME y�.,�\Y-�tNM1 rS-1 nC_b ADDRESSToho, ;� CITY; ��t�_C s` r1 STATE 1 �'S ZIP Zj Z �' TEL L1p� FAX CELL EMAIL;_ M 9 w � � k zo a ❑ 2 a L - � co § w § z a a � � a a Date ..lh'T./n ....... Of '40 Th , o� TOWN OF NORTH ANDOVER " PERMIT FOR GAS INSTALLATION o':•• `try �9SSACNU`�Et This certifies that.. -.!a " has permission for gas installation .,,,vh.f.'?1� in the buildings of ../�'M!-r'v ..4/. &6Q. la ............... � at ...r%/U... North Andover, Mass.- Fee.,A.,. 4.0 . Lic. No.. /.rP. �.. C !�'�!' i ... . GASINSPECTOR Check # 7926 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK --"-- CITY �� cr.�n� .!,OXY e,, w� MA DATE (\\ \6 _ \I -- ----- PERMIT # JOBSITE ADDRESSs 1 1 d ^ C �� ua '� _ !OWNER'S NAME i ,5 OWNER ADDRESS �?ovr�.r. _ _ ;rEL(6\�,33� Mi°a..._-aFAX, TYPE OR PRINT OCCUPANCY TYPE COMMERCIAL i L EDUCATIONAL 1 RESIDENTIAL � - CLEARLY NEW: 0 RENOVATION: ;4. REPLACEMENT: ?wK PLANS SUBMITTED: YES ;_ _ NO ° x, APPLIANCES 1. FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER__.._ ._. __. __ ____- -- _ _ _- — BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER _ DRYER f FIREPLACE- FRYOLATOR FURNACE GENERATOR - - - GRILLE INFRARED HEATER LABORATORY COCKS __j I J__S MAKEUP AIR UNIT - - - _ - - - OVEN I POOL HEATER ROOM/ SPACE HEATER _.. I ROOF TOP UNIT TEST UNIT HEATER w - UNVENTED ROOM HEATER WATER HEATER OTHER ' .w»....ur.R.�.a,.,..�'s...wa,a,+m;-.,�-. .:✓ra.aexF- '— y. i. .,___ j' --- _ _ _ __,-.-_. _._ __ _ -. __ _. _ INSURANCE COVERAGE _ 1 have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES X NO I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Q OTHER TYPE 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 that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER , _i AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that ail of the details and Information I have submitted or entered regarding this application are true and accurate to the hest of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General taws. PLUMBER-GASFITTER NAME, V, tr %C k !.��M LICENSE # ��WZ� t SIGNATURE _ _ MP[X_ MGF t JP [ JGF LPGIL_j CORPORATION �# Z(Sq� PARTNERSHIP s_. ,j# � M LLC _T#[ — y COMPANY NAME:1 ADDRESS', CITY L�.�nCa,`�n_._� STATE Z ZIP�OSTELtiOI�G3�1._.���C�1 FAXI CELL EMAIL W F z o❑ F- W � F ` w Q w N a W f ^�� vt J o a U x :3 w . = W H LL w F f f r Location 1D C�e- v No. 6' Date NORTh TOWN OF NORTH ANDOVER � A Certificate of Occupancy $ �'�s'•^°''t�' Building/Frame (Frame Permit Fee $ sAcMu9 st Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # _ 18,150 Building Inspector r i rrrrr 11 0__* d O a ' o 0 O W a +. i.l 0__* d a ' o 0 ' a +. a +: cc A O o o c o ' o 0 H O c +. +: cc A O 0 C. V � ts co m cjr E vii To `a y 4IS W: m c :gym y o y W� O co QUA c cm C O Q c xaCo Ot Ci y O m AM: �: Co OsCD? p O.O. c C�l�: a �Ame 4m� S ~ 4. N m r ~ m WAD Z ra 20 dt�°C o z m ca"y Euj v m Co O a- d oCO2 Q CO3 _ o O CLS Co s M 4 CD O 40 L CD Z C. O H � C CD cm I O 0 li CD CD 3.0 CD moa a �a y C cc o c .5.0 CO)c Z CL a) V y � C C CO2 is W LLI Y/ U) W W oC W U) TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TOCONStRUC1 REPAi RENOVATEOR DEMOLISH A0NE0RT4Y4:FAM[iYiiWFLG1IYG �•�:. � 'Asn , �.rL„• <^'�'� BUILDING PERMIT NUWER: � � � DATE ISSUED: SIGNATURE: Building Cammissloner/i torofBuildings Date SECTION 1- SITE INFOR11L1TION 1.1 Propaty Addmss: 1.2 Assessors MV and Parcel Number: Ma' `qumber Parad Number V7 ' eJ is e% 1.3 Zoning htt'onnatiow Zonin Distritf Pnposw Ll c 1.4 Property Dimensions: tat Area Fromm G ft 1.6 BMLDING SETBACKS 1t Front Yard Side Yard Rear Yard Required Provide Required Pmvided Regalred Provided 17 Watex Sx"ivM.6I_C.:& SA) 1.5. k'IOW ZpaC hfurairtioa: 1.8... Srwcaago D4osai$)v= Pa1>!iG 0 t!hva © - owidan diaaa n Munk4w a - Onska,DLsperalSlVem a SECTION 2 - PROPERTY OWiVERSN.IP/AI1'THORIM AGENT 11 Owner of Record Le✓A _ � 1 C g � 6A Name{Pont) ,p // Addmssfor Somice:_ A -6b2— i il., Y' 1fT o Signature Telephone 2.2 Owner of Record: Name Print Addrass for Service: signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Tolephone Not Applicable License Number Expiration Date 3.2 Registered Flame Improvement Contractor Not Applicable ti Company Name Registration Number Addreas Expiration Datc Si nature Tele bone SECTION 4 WORKERS COMPENSATION t'M.G.L C 352 S 25ct61 Workers Compensation insurance affidavit must be completed and submitted with this application, Failure to provide this affidavit will result is the denial of rho iasuanu of lite builJiu rntil. Signed affidm it.Attached Yes .....•.0 No...... 0 SECTION 5 Description of Proposed Work check rat , ucabie New Construction 0 Existing Building 0 Repair(s) 0 Alterations(s) 0 Addition 0 Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: Pa tis CO- t ee SECTION 6 - ESTIMATED CONSTRUCTION COSTS . Item Estimated Cost (Dollar) to be Completed by ymita IIcant"fir' s" > C � lA " 1. Building p C� (a) 130ding Permit Fee multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumb' Building Permit fee (a) x (b) 4 Mechanical WAC 5 Fire Protection 6 Total 1+2+3+4+3 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as OwnedAuthori7A Agent of subject property Hatby authorize to act on tvly behalf, in all matters relative to work authorized by this building permit application. Si tatureorowner Date SECTION 7b OWNERlATITHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on lite foregoing app] ication are true and accurate to the best at'iny knowledge and belief Print IName Signature of Owner/A ent Date NO, OF STORIES Sl?E, BASEMENT OR SLAB SIZE OF FLOOR T INIBERS 1 21JD3 SPAN DIMENSIONS OF SILLS DIIY04SIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIlvWEY IS BUILDING ON SOLID OR FILLED LAND lS BUILpING CONNEC"t'ED TO NATURAL GAS UNE b O P g iv ' e c__ (< 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**************/********* j APPLICANT �� kM Ll �M.dp�"- PHONE LOCATION: Assessor's Map Number PARCEL SUBDIVISION ` { LOT (S) STREET �- ►'L��e �� i� '"�— keST. NUMBERD COMMEN TOWN PLANNER COMM FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 I JA�41AV[ D. Robert Nicetta, Building Commissioner Please print TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts 01845 HOMEOWNER LICENSE EXEMPTION Telephone (978) 688-95454 Fax (978)688-9542 DATE:�� C7 JOB LOCATION: C l­r(Vl Numbelr Street Address { Map/Lot HOMEOWNER A K,A " 9 � - 66 2 -2 6 l q79-739 cj 52 Name Home Phone PRESENT MAILING ADDRESS '�! v- k - "- Work Phone V\- A,- to 4' O (F Y q City Town State Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliances with the State Building Code and other Applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNA APPROVAL OF BUILDING OFFICIAL 130.01) OF APl'F.,ALS 69805.11 CONSI`RVA'1'ION 698-9530 11F:.U;LL1 688=9540 ITANNINC 688'95:35 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 c11,S150A. The debris will be disposed of in: U` V-- P�� "e f— 1 (Location of Facility) ?.VVQ,-," Signature of Permit Applicant S/31od' Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector AM _p,N A t � �" � o ,j 9-e..� �� �� l /� Sukru Uluoglu 710 Chestnut St North Andover, MA 01845 Mon May 02 07:07:56 2005 Deck Dimensions for Deck 1 Joist Spacing = 16 in. o.c. Baluster Spacing = 3 3/4" Toe Spacing = 3 3/4" Railing Height - 4B" This view is a general outline of the dimensions and/or substructure layout of your design. If a deck is to be attached to your house, make sure a solid connection can be made. Your design should be checked by a qualified professional or inspector. Consult your local building department for your correct building code and fastener requirements. Some local building codes require different beam to post connections than what is shown. Portions Copyright n 1989-2003 Cad Quest, Inc. Big Hammer DeckBot, Version 5.4.4, Copyright © 2003 Big Hammer, LLC. Sukru Uluoglu 710 Chestnut St North Andover, MA 01845 MAn May 02 07:07:56 2005 3D View This view is a three dimensional view of the deck. Consult your local building department for your correct building code and fastener requirements. Portions Copyright © 1989-2003 Cad Quest, Inc. Big Hammer DeckBot, Version 5.4.4, Copyright © 2003 Big Hammer, LLC. Sukru Uluoglu 710 Chestnut St North Andover, MA 01845 Mon May 02 07:08:09 2005 Construction Specifications deck 1: Construction Method = Beam Flush With Joist Footing Type = Pier In -Ground Footing Depth = 48" Live Load = 60 Dead Load = 10 Decking Spacing = 0 1/4" Joist Spacing = 16" Beam Spacing = 144" Post Spacing = 62 5/32" Decking = 5/4X6 .40 Treated Southern Pine No. 2 Beams = 2X10 .40 Treated Spruce -Pine -Fir No. 2 Joists = 2X10 .40 Treated Spruce -Pine -Fir No. 2 Posts = 4X4 .40 Treated Spruce -Pine -Fir (South) No. 2 Deck Height = 15" Diagonal Bracing = Yes Deck Skirt = No Joist Overhang = 0" Beam Overhang = 0" Decking Deflection Factor = 360 Joist Deflection Factor = 360 Beam Deflection Factor = 360 Diag Brace Height 1 = 24" in Diag Brace Height 2 = 24" in Railing 2: Railing Height = 48" Baluster Spacing = 3 3/4" Toe Space = 3 3/4" Stair 1: Step Width = 60" Step Height = 15" Step Rise = 7 13/16" Step Run = 11" Stringers = 2X12 .40 Treated Spruce -Pine -Fir No Risers = 5/4X6 .40 Treated Southern Pine No. 2 Treads = 5/4X6 .40 Treated Southern Pine No. 2 Railing 4: Railing Height = 48" Baluster Spacing = 3 3/4" Toe Space = 3 3/4" Railing 3: Railing Height = 48" Baluster Spacing = 3 3/4" Toe Space = 3 3/4" m m m m m x (A m m rql� C/) C/) n 0 z KI 0 z wE-% 1010a 0 10 =r --I c PL Go 0 cr C. a 10 CO) aEL jL- 5 COD CD no a n n CL m qac z 0 Pd 0 =r rr COL CL =0 a a 0 ca 0 F gu CE a Cox P-0 0 -.'o : 0 c=,r!R CRD q 7R .0 .0 o Z18,40 i 0 col n: a u =r EL- )m. = MCM icl iamb: U2 CL 0 0 g Sri i 49 Uri CD 0 CD CD ca =elmCA CLar cr o C4 EVE; a .c CA CD -*Noco) a a pie CIO CD CN FW A IF Dl: O VJ ;w COP) 40. CD CL'o C.2 cr 0- O CO 0 z PL r_ S - qac m Pd 0 z W 0 F gu CE 4 IV M rA • NT 1 412 NORTI� Oj • Lp . r AcmU Date...... l/ .//�� TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .. t .G. q1,0 ...... fC:Co..... ..:....................... has permission to perform ........ ..S' G S�gf7nU wiring m//t''he bw/lduig of.....%<Zg .......................... at/... :/�4!...0 S�"!?..4t t St.:..... ........................ . North Andover, Mass. Lic. No. 1 .V1............................................................... ELECTRICAL INSPECTOR ((�� a�pppp L �5� (�(► aam WHITE: Applicant CAN�RI' 40fidQapt. 'APTreasurer u4 -t LIIIIiZnIII1I iaft t of sach1ffiP� um use manly �� OfPermit No. EI MrizIItat of Fuhuz Occupancy A Fee Checked BOARD OF FIRE PREVE4TiON REGULATIONS 527 CMR 1200 sM Oeave blank) ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 1200 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date _- City or Town of %tiv d 1,7 .J L To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) -%10 Owner or Tenant Owner's Address .Is this permit in conjunction with at building permit_ Yes I!J ' No ❑ (Check Appmpriam Box) Purpose of Building S!N GL c: r -Utility Authorization No. Existing Service Amps I Volts Overhead L�' Undiamd ❑ No. of Meters /_ New Service \\ Db Amps l�ho volts Overhead ❑ Undgmd C1 No. of Meters Number of Faeders .Ind Ampacity Location and Nature of Proposed Electrical Work No. of Lighting OutletsI No. of Hot Tubs No. of Transformers 'off KVA No. of Lighting Fixtures I Swimming Pool Above In- ❑ ❑ gmd. gmd. Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners ( Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Tones No. of Detection and No. of Ranges I No. of Air Cond. Total tons Initiating Devices No. of Disposals I No.cf Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Scacs/Area Heating KW Detection/Sounding Devices LocalMunicipal Cother ❑ No. of Dryers Heating Devices KW Connw.,cn No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts wiring No. Hydro Massage Tubs ( No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the recwtements of Massachusetts general Laws I have a current Liability insurance Policy inc:uding Completed Operations Coverage or its substantial equivalent. YSS C NO C t have submitted valid pr of of same to the Of!ics. YES C NO = If you have checked YES. please indicate the type of coverage by checking the appro ata box. INSURANCE BONO = OTHER C (Please Specify) (Expiration Date) Estimated Value of Electrical Work,S & a Dh Work to Stan z/o— 90 Inspection Date Requested: Rough Signed under the Penalties of perjury: FIRM NAME /Z-�:�%�% O Licensee-4iVew7 Sianarur9 Final UC. N0. UC. NO. 10 Address J O J X'U LTO j �J �J/�b•Cr�y BAR. Tel. No. `7 „ J J OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FE'c S (Signature of Owner or Agent) x-6565 I 11 0 0 1 1 Z H 1 J 0 z N I I. • :r E: ...n;�;nzzR�r :a > ! o I 0 0 • � > ! y. I. 0 c N ' ! p• p r C 0 c r 0 c 0 LIl111.1►il�' > Z n � > Z n w s Z wn s M s > 1=4 O O O 4 l• s 0 •� •� 0► C1 '.i 0 > Z►► O r a o Z n E 0 11 0 O > • a MM • R M Rl R M m N M m • n Z w > 0 (� r O a • `Q w� � n 0 • 0 z .r Z n w • m MS s s I -+ Z� rp rte. c < ZO ' 111 c a D °` Z ` 0 c {_ n • 0 ! 0 a g i 1 c 0 o. 0, G Ffn 1\ • :r E: ...n;�;nzzR�r :a > ! o I 0 0 • � > ! 0 0 c N ! p• p r C 0 c r 0 c 0 ► 0 v > Z n D. z w > Z n w s Z wn s M s > 1=4 O O O 4 s s 0 Z n w 0► z O' > Z►► O r a o Z n E 0 11 0 n= > i O .n t • n Z w > 0 (� r O a • `Q w� � n 0 • 0 z .r Z n w • -� r MS _4 0 Z I -+ Z� ~•AZ c \ S 111 c 0 °` Z ` 0 c n • ` 0 o. 0, G Ffn • M M • > •=� N O I r•• ► N i 1 N C r a C o C o ! O Z 2 • 0 'R= 1 Z 0 r w A 0 0 0 0 r• 0 8 0 +l i • r. g 0 s• 0 a o z o z o z z n I z O c z 0 0 . !■ .' s S i c r 0 p z n z n z n 0[ r Z >; i O r C I • r a Z n 0 n o n O 0 z M � < 2 0 Z 0 f 0 f • y c ; r i 0 n m s Z ) i x Z 0 T p z n (Y v 1 o c 1\ KAREN H.P. NELSON+' Director Town of 120 Main Street, 01845 ' NORTH ANDOVER (508) 682 -6483 BUILDING °�,'••-::,';cY�,° CONSERVATION °°'�~�°°+ DIVISION OF P�wiNG PLANNING & COMMUNITY DEVELOPMENT DEMOLITION OF BUILDING AFFIDAVIT DATE OWNER'S NAME & ADDRESS>° l /= ✓SI��/IlG°/1� /�(—G�/ T�l/S 1% .11 V 31� i, -- LOCATION OF PROPERTY TO DEMOLISH DESCRIPTION )Sh CONTRACTOR'S NAME & ADDRESS�/� �%/.�� Z L, Al DEPARTMENT SIGN—OFFS DEPT. OF PUBLIC WORKS — WATER: SEWER: GAS ELECTRIC TELEPHONE POLICE v h V DIG SAFE NUMBER DATE RECD BLDG. INSPECTOR Town of North Andover T" ' OFFICE OF Ma °�`,' COMMUNITY DEVELOPMENT AND SERVICES �j. �� •' . " 146 Main Street . y North Andover, WRJ. AM I SCOTT ,Massachusetts 01845 SS�cHus�� ., Director i , + , In accordance with the provisions 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 111, S 150A. The debris will be disposed of in: 74c 22 Al iWIVIO &W9 (Location of Facility) i nature of Permit App icant r 4 s ' Date ' NOTE: Demolition permit from the -Town of North Andover must be obtained for this .i, K project through the Office of the Building Inspector. . -r 1 y , ' y4 'F ' HOARD OF APPEALS 68&9341 BUILDING 68&9545 CONSERVATION 68&9530 HEALTH 68&9340 PLANNING 688A533 k 3609 f NORTh 'I opt,..° �•� tia f0- A �►,�+O++r.o �A,�[s SSACMOs� Date--,. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that 4�...... . .................... . has permission to perform ; '.... ... . n ......... -"... . plumbing in the b ildings of . 1�.....�-! ::: e - ......... at .�,���//lJ * ............ .. ......... , North Andover, Mass. Jw Fee` —. . Lic. No. G ............................. PLUMBING INSPECTOR 02/09/98 09:59 140.00 RAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer .' MASSACHUSETTS UtRIFORM APPLICATION FOR PER MIT.;TQ:pp°pLUf4BIryG (Type or Print) ;•" ,•j�,` ;? , „ , NORTH ANDOVER ,Mass. ;:4; . Date. Building Location , Permit�� o: Owners Name g/;r/7 4� wig New D Renovation Replacement ❑ Plans Submitted II FIXTURESi� • _ z zm . W W X Y F �� (Print or Type) Installing Company Name G�� �i a 74 Address,, �� h d 7 - Business Telephon((/S>,7/) �y3 r—%/l y Name of Licensed Plumber: 161.,o 4 Check one: Certificate Corp. Partner. - Firm/Co. Insurance Coverage: Indicate the type of i`fisurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity 0 Bond 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 owneriagent of property Owner AgeneN ❑ I hereby ecttify Vast all or 114e details and infornalion I luoc submit ted (or en(ered) in aMr.c application arse bare a "`� tate to Ib$ best ol or knowledge and that all plumbing walk and inslails tions loci fnrnicd under Pciota it (csucd for this application wiU be in caaytJiattta milk x111 oollirlt:tlt P O tisiom a(" Masoadiusetig State Plumbing Code and chapter 142 of llre General laws. . , I By Title City/Town: .A ooPr)vFn 70FFICF USE ONLY1 Signature of •censed Plumber�� � 6e of Plumbing License , License Number R Master ❑ Journeym&4 O O 2 > W r O m W Z x ,, u so • a a_ a ro �.. < W H W m Y< x¢ a p< n• t 3 °A x jr. w o D W< a 11 < W. �► o Ka J x ¢Q a .a 66 lL AX . lW, V 4 > X� t- o X 0. Y X. N o Id z a o O t- m x < w W t- f; o X W •: <~<< z N H 4< a A < a _Y 6C a< O< H Q SUB-,eSMT. BASEMENT IST FLOOR ! 21,10 FLOOR a. 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR TTH FLOOR 8TH FLOOR t (Print or Type) Installing Company Name G�� �i a 74 Address,, �� h d 7 - Business Telephon((/S>,7/) �y3 r—%/l y Name of Licensed Plumber: 161.,o 4 Check one: Certificate Corp. Partner. - Firm/Co. Insurance Coverage: Indicate the type of i`fisurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity 0 Bond 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 owneriagent of property Owner AgeneN ❑ I hereby ecttify Vast all or 114e details and infornalion I luoc submit ted (or en(ered) in aMr.c application arse bare a "`� tate to Ib$ best ol or knowledge and that all plumbing walk and inslails tions loci fnrnicd under Pciota it (csucd for this application wiU be in caaytJiattta milk x111 oollirlt:tlt P O tisiom a(" Masoadiusetig State Plumbing Code and chapter 142 of llre General laws. . , I By Title City/Town: .A ooPr)vFn 70FFICF USE ONLY1 Signature of •censed Plumber�� � 6e of Plumbing License , License Number R Master ❑ Journeym&4 4 COMMONWEAL "H 3F L L, Vi BER� A N D G AS F 1 T T;,: R, �AU��TAs;�&NIRJ�rd'l U .7i3OBERT P GIGLIO ?G FOND ST. 7'TONEHAM