HomeMy WebLinkAboutMiscellaneous - 710 SALEM STREET 4/30/2018t4�
i.
J
CL
C
A
�
C31
w
N
0
o
efop
Ate•` C .G,
I
� Ir
o,
s,
Ilk
I
o
b
�o
�._
2001
i� ❑❑® O A O N O to n "O -0A -'1 0 '� Q rn Z \�
-t
C t/1 co
--w
2.5 , 1 A O B. r7+'• fn• \ 'pi' S� C) A p y O O
G i rt O to O •D D = O 7" Q' o' y �..• co = tD =h
O f0 O' 0 7. a 7 co O m t�D C N• Oto O N ' 0
N 7 3 y 1 n a_ •,C n fn y -Itp A o 0 _. A a.� \ \ C:) J
'a to =--oa V v cy�o O�o�v o� 1
7 CA �• O p 7 0 A G 7 A n Z A Q O O O y n �'► ..,, c
7 0 N -i a n• 1 n -1 O 7 O 0 (p O
I• a;
to.
O O A y O. y\ ' 0 N• -1 O y (D O p• O (� r
AINpy < _� _• -+ C. o a C z o .+ cvt�� �1 = 'o.
' 3 o N o \ (�
n '/� \ [� a /� a o. 1� C a .•+ _. � Q 54i O _. rZ• = p o to G% � Z � N �
.' __+i y .1 m r, r. amc�-.yQ wooer 57 + txi
p.
my Jr. er A vii v c o to f �` to y `° 1 r1 !1 -� •
D �'_ 910 _ten 1 Ste[-30.-«t°�c D V c�
%N m 3 C) CSS o O �A to y rin'o N� Soy N m c Z r
rn o o two a �' y m to r -r" o E' a EF` o Au,
�_ b
C a o o y -O O S N t0 y
Oq 111Sn��{ Cern =� o� �O ��om [� y'my'� oo ?eco �n
y m cera oto3o9' vao[- z ,t `l • �.�
-ro: �QQ
a a n o o = rna o rn m� 3 No f y ,
B. �� v aoo 2z 0o /� �'ya:3 3 aOD \� O � 1�
O O d n= d 7 C y y .� d ��g[i
z O rr 7 :3. _ 1 O
co 0
to
00 0
CD CL
EL N 9.
1 y y
N2 4818
�SACNUSc
Y
V -0 -
This certifies that
Date..��".!v : of
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
f!i il.. 5... �.............. %.....
J
has permission to perform ... �` ` ` '(17v
plumbing in the buildings of .... ................
at ................ , North Andover, Mass.
Fee .. 1 . Lic. No.. ........ .........
PLUMBING INSPECTOR
Check # � � 7 �'
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBIEWT
(Type or print) �dMIBM
NORTH D•
Date
Building Location to • ee
Amount
j --
Type of Occupanc /�mm
♦ i
rmommrWWmmmmmMM= �rrmmi�
rrarrr
..•mmMMmmMWrr==m�rrrrrrrrrrr
Wmrrr��i
. , .. • �����es�rr�a��r�rr��rrrirrii
. ,: ..• ��a��r�������s�r�rr�rrr�rr�ri
• .. • r�rrrr��rr����rirrrrrrrrrri
(Print or type) Check one: Certificate
Installing Company Name J t�' . 5 6 k V f N l� El Corp.
Address 5O (/VASj e - S Partner.
Business Telephone 74S Fiim/Co.
Name of.Licensed Plumber. TA /'? e S 6 0' FC IU +;
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy . 0 Other type of indemnity ❑ Bond
101
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 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 Massachus tate Plumbing ode and Chapter 142 of the General Laws.
By: igna kens um ber
Typ of Plumbing License
Title a' g, .7 4
City/Town icense Number — Master® Journeyman
APPROVED (OFFICE USE ONLY
+ TOWN OF tS
RTH NDOVER
PERMIT FOR STALLATH
This certifies that
has permission for gas installation �A's .~. v .... .
in the buildings of././.�?"I...l!4!t4- e. �� ........... _ ... .
at ..? : -7,7 .... . North Andover, B( asks.
Fee -30. . 77— Lic. No'� J,�i.. ......................
GAS INSPECTOR
Check # b
5818
D •-4
MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING
(Type or print)jDate z
/
NORTH ANDOVER, MASSACHUSETTS 5� /e r—
Building Locations / y 0 .54 ,[ Permit #
Amount $ �G
c Owner's NameF/;Lp
New D Renovation D Replacement D Plans Submitted D
( Print
Name
Addre
Name of Licensed Plumber or Gas Fitter
Check one: Certificate Installing Company
E] Corp.
Partner.
Firm/Co.
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes V1 NoO
If you have checked yes, please indicate the type coverage by checking the appropriate box.
Liability insurance policy Ez Other type of indemnity 13 Bond
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 13 Agent ❑
i nereoy certtry mat au or the aetaus ana mtormation I have submitted (or entered) in above application are true and accurate to th:!
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 Sto Gas d C 1ndrCh�ter 142 the General Laws.
in o
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
Signature of Licensed Plu ber Or Gas Fitter
® Plumber
DGas Fitter License Number
❑ Master
13 Journeyman
ae
7
p
w
d
d
x
z
o
z
x
x
z
¢
z
O
>
w
C7
F
z
F
z
F
W
C7
Q
>
cL
W
w
F
W
1�z
7_
Q
:7
d
CC
Fx-
�-
m
z
O
z
O
v
o
x
�
3
0
o
>
o
a
o
SUB-BASEM ENT
BASEM ENT
1ST. FLOOR
2ND. FLOOR
3RD. FLOOR
4T H. F L O O R
5 T H. F L O O R
6 T H. F L O O R
7T H. F L O O R
8 T H. F L O O R
( Print
Name
Addre
Name of Licensed Plumber or Gas Fitter
Check one: Certificate Installing Company
E] Corp.
Partner.
Firm/Co.
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes V1 NoO
If you have checked yes, please indicate the type coverage by checking the appropriate box.
Liability insurance policy Ez Other type of indemnity 13 Bond
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 13 Agent ❑
i nereoy certtry mat au or the aetaus ana mtormation I have submitted (or entered) in above application are true and accurate to th:!
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 Sto Gas d C 1ndrCh�ter 142 the General Laws.
in o
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
Signature of Licensed Plu ber Or Gas Fitter
® Plumber
DGas Fitter License Number
❑ Master
13 Journeyman
,
`
.
'
0* vkORTH
&TOWN OF N '
10
STALLATION
PERMIT FOR S
19AS Z_
5-Y ------ North Andover, Mass
GAS INSPECTOR
AQ
Date. .......
D TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
J
This certifies that .... E� ! 1... 6'
has permission for gas installation .... .......... .
in the buildings of .........................
at ..,l G .. F/? �. �.:... f ......... , North Andover, Mass,
Fee. 01. '..... Lic. No. ........ .. � - �.:'? ....... .
6 GAS INSPECTOR
Check # -.;
vIASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING
or print)
tvvrcIH ANDOVER, MASSACHUSETTS
Building Locations �1 5A le-
M -A y Iy apo l
Permit 9 3 ,0/ 3 Y
Amount S Q j
Owner's Name
New® Renovation ❑ Replacement F-1Plans Submitted ❑
(Print or type)`, Check one: Certificate Installing Company
Name— j A"(! F N.6 Pi i� ❑ Corp.
Address So WA ❑ Parmer•
Business Telephone ( %g) �r� 7 _ SSya! Firrn Co.
Name of Licensed Plumber or Gas Fitter , M,—, G'
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑
If you have checked ves, please indicate the type coverage by checking the appropriate box.
Liability insurance policy 1771 Other type of indemniry ❑ Bond ❑
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 1421 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 ❑ Agent ❑
herebv certify tha[ all of the details and information I have submitted for entered) in above apphcanon 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 Vlassachuset tate Gas Code and Chapter 142 of the General Laws.
ck---�
By:
Title
Ciry/Town
'APPROVED (()Fric:= usF ')Nl.Y
S9nature of Licensed Plumber Or Gas Fitter
Plumber IQ f 1�3 7g
❑ Gas Fitter icense �umot
i rter
Journeyman
.r
h
MINI
a�����������������■���
(Print or type)`, Check one: Certificate Installing Company
Name— j A"(! F N.6 Pi i� ❑ Corp.
Address So WA ❑ Parmer•
Business Telephone ( %g) �r� 7 _ SSya! Firrn Co.
Name of Licensed Plumber or Gas Fitter , M,—, G'
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑
If you have checked ves, please indicate the type coverage by checking the appropriate box.
Liability insurance policy 1771 Other type of indemniry ❑ Bond ❑
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 1421 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 ❑ Agent ❑
herebv certify tha[ all of the details and information I have submitted for entered) in above apphcanon 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 Vlassachuset tate Gas Code and Chapter 142 of the General Laws.
ck---�
By:
Title
Ciry/Town
'APPROVED (()Fric:= usF ')Nl.Y
S9nature of Licensed Plumber Or Gas Fitter
Plumber IQ f 1�3 7g
❑ Gas Fitter icense �umot
i rter
Journeyman
Lication
`r �l
• Flo. Date
9
f' 7339
TOWN'bF NORTH ANDOVER
Certificate of Occupancy $ ' l�
Building/Frame Permit Fee $ ;7, j- U
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL
Building nspector
.s
1
Div. Public Works
• {s
9 p
m
i m i �I
L1 C r
Q. 0 0
z z �
� m
FM
r
1
1
my
�
s
A
m
mN
m
my
>
w
>
>
m
N;
1 m
m
m
c_
>
>
I >
>
F
r
y
rm-
p
n
Z
m
O
O
m
m
>
_c
r
O
c
i
N
z
m'
m
-1
m
m
N
A
N
n
n
L
0
j i
i
r
p
O
O
Z
O
1 Z
Z
rnn
m
1 N
N
n
>
p
Z
>
0
�
�
N
M
r
m
o
z
3;
m
Z3
m
1
Z
D
-{
0
2Q
.{
�
i
C
n
m
n
1
..1
9
Q
1
N
Z
4
N
my
A
m
mN
m
my
>
w
O
O
r
N;
z
�
c_
c_
>
>
I >
>
o
=
m
rm-
p
n
Z
m
0
O
m
>
_c
r
O
f.1
�
Lpl
z
m'
m
-1
m
m
N
A
N
�
Am
L
0
T
9
r
p
Z
f1
Z
O
Z
O
r
0
-4
m
m
rnn
m
i
a
n
>
p
Z
>
0
A
M
r
m
o
o
3;
m
Z3
m
Z
D
A
m
0
2Q
.{
.�.j
i
r
n
m
p
F
0
9
9
m
N
>
n
zm
>
o
0
z
1
m
N
8
Z
A
;
Z
z
N
z
m
C
?
o
LA
W
O
0
0
m
I
->I
�
p
Z
>
z
�
Oi
Z
O
11
o
my
�,
>
o
0
o
m>
O
O
r
N;
z
�
c_
c_
>
>
I >
>
o
=
m
m
>
Z
m
0
O
m
r
p
_c
r
O
r
O
O
'1
z
z
z
m
m'
m
-1
m
m
N
A
N
�
L
0
T
9
r
p
Z
f1
Z
O
Z
O
r
0
-4
m
m
rnn
m
0
N
Z
i
N
>
p
Z
>
Z
A
O
r
m
o
3;
Z3
m
Z
D
A
m
m
V
r
n
m
p
F
0
m
m
N
>
n
zm
>
o
0
z
1
m
N
~
O
A
;
Z
z
N
m
C
?
o
LA
C
O
0
m
I
�
p
Z
>
z
Oi
0
N
Q.�
m
0
/�
rpn
�►
z
>
m
D
c
A
m
N
N
N
N
D
Nm
;
>
N
~
m
z
O
T
c
N
m
C
m
C
m
C
m
C
A
O
=
z
2
O
N
3
O
O
r
p
r
o
r
p
r
0>
P
m
i
0
N
O
m
m
m
Z
m
N
N
m
W
m
41
O
O
O
O
0
,I
N
0
i
0
0
r
n
O
O
O
O
Z
n
i
z
0
C
0
�t
0
A
p
N
N
m
2
Z
z
m
2
m
y
O
=
O
ZO
>
!1
A,
I y
r
1
3
>
m
_C
r
0
Q
m
m<
r
z
z
0
o
p
N
r
N
m
A
z
O
0
m
0
0
0
Z
y
N
Z
0
O
O
it
>
0
0
r
I
N
a
Z
Z
r
r
m>
I
z
N
r
O
�
m
Y>)
r
A
A
s
N
z
>
m
%
i
=
I
4
d
-1
m
�
x
N
O
�-a
O
A
71
p
D
m
f
0Q
0:
WN
WW
uI
Z
y0
_a
°I
° F -
Q 3 Q
oma.
IL o•
0°
a
N
ZUI
Om 4u
NWJ
z0a
�NWW
Z
°ON
UNI
Q Z �-
WIW
3oN
Nu%
f' X
jWW
ZQN
ONUFW
W Z
(n_1W
N
N IOQ
u
z
Q
IL
u
•
■
,ILII
IIII
�IIIIIII
I
11HIIII
T 1 ITITI—
g z
Od
w w
z
O
0
o
LL
l7
z
�_
T
2
m
"_
x
LL
W
Z
P
Q
LL
a>
Z
Z
11
�I I
-1T1 T
0
aaw-
V
LL
7
N~
Y VI
O[
Z a
GC
O o
N
Z
0
w
?�3xoe
w m
O
=
O~
LL~
0
�,°C„
S
Z
a
z
a
��
d
w
oz��oLLpo
o�
Oa
D
M°C
pz
J�zOa
°`
x
n
�z�
a
x
Ya
y v
u
co
�?
N>
a a�
z
m
•zzo
0
0)
v
0
s =
0-
u
W p0��
jo
w
W
a�
= d
J
�w
LL o
W
-��
dOLLwOaEit:
3
uu a
x
W O
N O
N
d
z 4
0 D
-
LL
u
w x
u a
a
�A a
0
ap>aa_p�Ot_
m 0
3: !s
Y Z
N���
d
N S
a d'
� (�
_
O w Z
I I TTT
I
TTS
I
I
I
i I`fe
0
N
u
o
E
-
O
z
z
o}c
ms
d
zO
N
=
O
s
J J
N
z
m
0
Q
`
(.� Z Q
F
LL
Q a
Z a
a
K
Z
w
r
.d
K
.
N t'f
-
Qi
iaZ
O
ww
v`
m
i
10
pz2�v
ox
Z22iLLvi
000Zz
Z
"'x
Z
:
w�.,0
LL�Oa`"'"00000410
2 -<W
pV
puYYV
OVY�m
N
O zO
a
a 0 0
°C
V
0
0
N
a
N
p
�D
O
w
ppn
i¢
m a
o� .
O
z�i
N N
vo3aa>anmmuv�u~
0
Q
c�,
¢ <3:m
3
i
��3
0a
m-
FORM U - IAT RELAX 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*****************
�-)C k 8-e —AT-,�O'
APPLICANT:
Phone
LOCATION: Assessor's Map N mber "o
5 _
Parcel
Subdivision
Lot(s)
Street 710- 5A ftw 5
St. Numi=er 7lCJ
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Date
Arnroved
Conservation Administrator
Date
Rejected
Com.*-;ents
Date
Approved
Town Planner
Date
Rejected
Comments
Date
Approved
Food Inspector-ealth
Date
Rejected
Date
Approved
Septic Inspec:or-Health
Date
Rejected
Coi['u:.er :s
Public Wcr:;s - sewer/water connections
- driveway ,p =it
// v
(,moire Department -a
,t
Received by Building Inspector Date
I
iEOF:
APPEALS
a NORTH ANDOVER
BUILDING
DIVISION OF'
CONSERVATION
HEALTH PLANNING & COMMUNITY DEVELOPMENT
PUNNING
KAREN H.P. NELSON, DIRECTOR
North Andover.
Massachusetts O 1845
(617) 6854775
In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit
Number o?�?'f is that the debris resulting from this work shall be
disposed of in a preperiv licerued solid waste disposal facility as defined by NIGL e 111, S
150A.
'lite debris will be disposed of in:
X11 0!jC'A AI A
(Lo ion of Facility)
Nit A rk [ora
cmh vnu
ME
Cl
Iienature of F tt A iicant
Date
NOT=: Demolition permit from the Town of North Andover must be obtained for
this project through the office of the Building Inspector.
1
ii
C)
O
z
cn
m
D
C)
z
C
T
z
D
r
� � O
n
z
�z y � r
CD
fl. r C-) C/)
o. • CO) O
O �••,
C/)
O CD
CD WC O .
C3.
� n
Cr03 \ J
_CDO
CD O CCD nO z
c CDCD
�C r
O y
COCD
CO)
CD Z
d
CD
G•
CD
t�
.-'3.': _. ih.atr+axrdc»:..lr.ia:%s.xer.+ka.:.
CD y Q„ CO.,
D ao5m .� y:
CD� C7
O y n 06
0 � w
•� �•CD y rn `v
r o m
a m
CD CD
O =r CD CD
> > CD GCy)
t0 � o %..
.r
o y CD
?_7R_o
a a 41
y 0. -
CL
OC] C ? -
CD CDy
�a C3 CDb
c ate•
cA
O y �
W y
y a ty :
CC
CO
C
CO) mc- �q
OC
.O CA ® y
CO) CAQ
® �
W � CO)
� D : TO
CD C2
coo : � °
CD ,,�: m �DCD
! y
CA
CD e
d
a C=,r Q ��
o
o co
c s
cn
O
Q
rt
t
p
'
rD
�.
"Id
z
c
^
4'
oco
y
"
CD
��r17
"
w
0
m
C
.�
o
7"
C
�
d
n'
,c
O
O
4
7C
frti
G7
Q
Tcn
z
D
r
C)
O
z
cn
m
D
C)
z
C
T
z
D
r
� � O
n
z
�z y � r
CD
fl. r C-) C/)
o. • CO) O
O �••,
C/)
O CD
CD WC O .
C3.
� n
Cr03 \ J
_CDO
CD O CCD nO z
c CDCD
�C r
O y
COCD
CO)
CD Z
d
CD
G•
CD
t�
.-'3.': _. ih.atr+axrdc»:..lr.ia:%s.xer.+ka.:.
CD y Q„ CO.,
D ao5m .� y:
CD� C7
O y n 06
0 � w
•� �•CD y rn `v
r o m
a m
CD CD
O =r CD CD
> > CD GCy)
t0 � o %..
.r
o y CD
?_7R_o
a a 41
y 0. -
CL
OC] C ? -
CD CDy
�a C3 CDb
c ate•
cA
O y �
W y
y a ty :
CC
CO
C
CO) mc- �q
OC
.O CA ® y
CO) CAQ
® �
W � CO)
� D : TO
CD C2
coo : � °
CD ,,�: m �DCD
! y
CA
CD e
d
a C=,r Q ��
o
o co
c s
cn
O
Q
rt
t
p
'
rD
�.
"Id
w
c
^
4'
oco
y
"
CD
��r17
"
w
0
m
C
.�
o
7"
O
C
0
�r
d
n'
,c
O
O
4
7C
frti
G7
Q
0
c