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HomeMy WebLinkAboutMiscellaneous - 75 FRENCH FARM ROAD 4/30/2018Date. /,.,. .'. J.. ' c, N° <",° R7 :��o TOWN OF NORTH ANDOVER is � t - ".-;• pL PERMIT FOR PLUMBING SS�cHus This certifies that ...1 �....... ... ....... .................. . has permission to perform .... f:...' ........................... plumbing in the buildings of ..... r ........................... 7 i I-� / J ; at ............................. ......... ,North Andover, Mass. Fee.. .... Lic. No.......`.. t ... . ............ PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR ERMI O DO PLUMBING (Print or Type) Vo �/� 4,1,ff—Mass. Datei'ermit # C Building Location �� �i� ),4 Z;r`2;)&wner's Name -4Z Name-4Zi Type of occupancy Residential h New ❑ Rco 'ovation ❑ Replacement 09 Plans Submitted: Yes ❑ No ❑ FIXTURES Installing Company Name Heritage Htg . &Plg . Co. Inc. Check one: Certificate Address _ 35 Pleasant Street CR Corporation 714 r! Stoneham, Ma 02180 ❑ Partnership Business Telephone 781 -43$-7776_ n Firm/Co. Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivaiunt which meets the requirements of MGL Ch. 142. Yes ® No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy LI Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts Stale Plumb' Code and Chapter I of t�le General Laws. ByInj_ na ure o censed 751—umber er Title Type of License: Master [X Journeyman ❑ City/Town$ 3 2 2 APP Lam— License Number Y 2 N Yru r -i UJ (n N N O = + H W n NU Y z o1 J a x a a t- W z > O ,, z C7 2 (t N C. P U SP J W W N F' N W U, N ~ W N X a V, Z d a lif t W O W d N O i J N C 2 J Z Q LL ►�. x «'1"+ N U> F-- O=° `o j N H Z O 00 r y a YLLJ z z is W f- O a � .� 3 Y J t0 W O a a J a 0 a = F- N LL a cc w a o �: a w ,3 Y+ Vl SUB—BSMT. BASEMENT IST FLOOR 2ND FLOOR SRO FLO02 �Y 4TH FLOOR STH FLOOR HI 6TH FLOOR 7TH FLOOR 8TH FLOOR i Installing Company Name Heritage Htg . &Plg . Co. Inc. Check one: Certificate Address _ 35 Pleasant Street CR Corporation 714 r! Stoneham, Ma 02180 ❑ Partnership Business Telephone 781 -43$-7776_ n Firm/Co. Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivaiunt which meets the requirements of MGL Ch. 142. Yes ® No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy LI Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts Stale Plumb' Code and Chapter I of t�le General Laws. ByInj_ na ure o censed 751—umber er Title Type of License: Master [X Journeyman ❑ City/Town$ 3 2 2 APP Lam— License Number t J z O W N O w U _ LL LL O m O LL 3 O J w to N W U r W Y W N z O 1- U w IL N z J a' Z LL. I w LU LL d z a W m a J a a w r z e a O a W IL Ql q Location / "" Ur" T �w('f' No. 42 Date 6" 9 _0 MORTh TOWN OF NORTH ANDOVER Of..•o ,�yp �o Certificate of Occupancy $ r, JACMUst�� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 3 q� Check # �n i56. J /w rc--4�- Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING = t 1 law BUILDING PERM1 T NUMBER: /`., DATE ISSUED: v `� SIGNATURE: / C Building Commissioner/InEeector of Buildings Date SECTION 1- SITE INFORMATION 1.11 Property Address: / 1.2 Assessors Map and Parcel Number: Map Number Parcel Number A ` tobo - 1w ^ C 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Infomration: Public ❑ Private 0 Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record 9 /l1 L= l 'L Name (Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: a�v\ �-3 (�( 2f�� ern C� Licensed Construction Supervisor: rl J�� O S Address : �rAW Signat& U Telephone Not Applicable ❑ Q 06,9 2 C) License Number 7 13103 Expiration Date 3.2 Registered Home Improvement Contractor 19L L 0 616 ONS= Not Applicable ❑ Company Name r�`Q �� t I 0✓l S Registration Number / 0/3/U Z Address ,)D,� C-)A44j 9?r- �S -1/ Expiration Date Si na a Telephone u r•o N SECTION 4 - WORKERS COMPENSATION (M.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 checkall applicable) New Construction ❑ Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ Demolition ❑ 1 Other ❑ Specify Brief Description of Proposed Work: I SECTION 6 - ESTIMATED CONSTRUrTION COCTC I Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building .S --b 0 0 is (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) I ? 4 Mechanical HVAC 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 BUILDING PERMIT 1, 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 application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, 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 and belief Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB F SIZE OF FLOOR T11v1BERS 1 ST 2 ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS FIEGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CITNINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE e• C/) 71 a) U) 0 m CD H d C � CO) Cl) 10 0 CD n Z CO) CD O '�. ar � c � � C CZ =• y O CD CD O CL cr d CD CCD O CCD C. CDCD V� CL O y O I co CD v CA O 1CD Z o CD 0 CD O �• d! O Q N _d0O ti Co m n C co 0 dl07 � T Z =r= ca O� ._► dJ .d.� a C TI ? m nod = y O O m y p �i = y m =0: O O y, C2 _ m � a nom r ate..: VJ O m H ib CD Oa m n .M H O d y O N G d Q AN VJCL O W d m � 5 i o ti • H �coCR � K oo� co zCD c„ O zO o C° CD cn a • , CD H r� CD 9 � CD : r r: =m: 90 JU O =o: s mmq cn �' o b7 ~ yM 7� �' o oGa z w v' o n w o or -a C" Z O � w n j. o o r- rL a 0 r c '^. -i o O x e z O a d O y r y 0 9 0 c The Commonwealth of Massachusetts Department of Industrial Accidents _— office ef1095 i917011S 600 Washington Street `_,�;• Boston, Mass. 02111 Workers' Compensation Insurance Affidavit name*~^ �� �.I��7�1 xr? G- location: city phone # 97,? - n I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity E] I am an employer providing workers' compensation for my employees working on this job. address: 1 L? 4 '1 off... �% �1193. phone C ✓1 i t i !7, e i� Z9 -t Qf a �.�1l T �l /2 t,7 7 I am a sole proprietor, general contractor, or homeowner (circle one) and have hired the contractors listed below who the following, workers' compensation polices: one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day 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 certify under the p and penalties of perjury that the information provided above is true and correct. Signature Date 6/ /0 Z Print name ��y� n z� r -,q L— Phone # 9-J"' t S3 official use only do not write in this area to be completed by city or town official city or town: permit/license # 0Building Department C]Licensing Board O check if immediate response is required pSelectmen's Office []Health Department contact person; phone #; rjOther (revised 3/95 PIA) EVE] Chimneys Siding Mass Tollfree 1 -800 -WAIT -4 -US (924-8487) AqkLL UNDIE ONIE ROOF Residential & Commercial Roofing All Types Of CHIMNEYS POINTED -REBUILT -CAPPED Expert Masonry Work �F Roof Leaks Experts Licensed & Insured Loca!!y Owned & Operated Since 1976 i' " L IKO® Gaff Vzoem We Work YeararRound #034200 Proposal Submitted To Phone , Date f Street Job Name City, State & Zip Code t �a Job Location Job Phone We Propose hereby to furnish and labor in accordance with specifications below, for the sum of- Dollars ($ All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized r n manner according to standard practices. Any alteration or deviation from specifications be- Signature:. ; a low involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents NOTE: This proposal may be , or delays beyond our control, Owner to carry fire, tornado and other necessary insurance. , Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. We hereby submit specifications and estimates for: h GI Q�A A41 1.i�! 1-i Zr-75-1' (lnstall`3 feet of special "Eave Seal" ice and water barrier protection along all bottom edges of roof and top to bottom in each valley. If roof is stripped, we will apply conventional ice and water shield ( ) ft. high in the same locations previously described and tar paper will cover the /74 Location B0 No. Date S4-/0"/ TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee of/cl—) $ 1 •J�Ai' � er Connection Fee $ SVl9wate�onnection Fee $GCp TOTAL $ Bui Ins P Div. Public Works Location r NJo. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee Sewer Connection Fee $ Connection Fee • el".. " I r�9 jTOTAL $ Building Inspector Div. Public Works PERMIT NO. r APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. k1 PAGE 1 MAP K40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZONE SUB DIV. LOT NO.I LOCATION 7s r'^✓J��e- .i rprf/ ��� 1401 PURPOSE OF BUILDING �7-O�/V` p�E� f//• �J�'SIZE V OWNER'S NAME A/E 4- C/L 9' /jqI`-7�— '�r NO. OF STORIES // y /6 l (, /` OWNER'S ADDRESS �Q`i/�,7 C j r,;geM F.//// j' •`�V G.O/ BASEMENT OR SLAB Lv�h c v►�v2ND ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1ST_ 3RD BUILDER'S NAME C'/1t'A� U IVI-`t*jT'GrD SPAN DISTANCE TO NEAREST BUILDING 2-00 / DIMENSIONS OF SILLS -_ _ --- DISTANCE FROM STREET /f tQ POSTS DISTANCE FROM LOT LINES - SIDES /` REAR <i.L v '" GIRDERS AREA OF LOT / A _ /JF FRONTAGE✓/V� �T GSC 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 No BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER 0 IS BUILDING CONNECTED TO NATURAL GAS LINE IV 0 INSTRUCTIONS N SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BEtLFILED i�AND APPROVED BY BUILDING INSPECTOR %DATE FILED J /d�7./ 7 / /1 TURF OF OWNER OR ALKHORIZED AGENT FEE A! /yf PERMIT GRANTED 19_ Vl11\Cil ICS. W i i- I -V1_K� CONTR. TEL. I� CONTR. LIC. 0 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST / QC/O EST. BLDG. COST PER rSQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD r BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY Si DRIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE PINE d 1 2 13 CONCRETE BL K. BRICK OR STONE HARDW D PIERS PLASTER DRY WALL _ UNFIN 3 BASEMENT AREA FULL FIN. B TAREA '/. '/t 1/1 FIN. ATTIC AREA N_O B M'I FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOAVDS B _ 1 2 �_ 3 _ _ DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ HARDNIJ D COMMON ASPH. TILE STUCOO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I GAMBRELMANSARD FLAT I HIP BATH (3 FIX.) TOILET RM. 12 FIX.) _ SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 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. 8 COLS. _ STEAM STEEL BMS. 8 COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS B'M'T 2nd tst 3rd rELECTRIC THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. Q LL O 0 0 m °C u CL IA Z u Z J m L o T C E t (d o p I-' W z v _Z J a L oo In ct O v W CLW 4A Z Q V V LU J LU L 0 U ` m @ c oc O W H ? V t 0 o c W W ` Q Af O E ¢ U ii ¢ ii ¢C/) ii ¢ U. m c4 17 r C. z wWv NO O z PER311 l� NF3. J lk APPLICATION FOR PERMIT r TO BUILD - NORTH ANDOVER, MAS O PAGE 1 MAP KBO. LOT NO. 2 RECORD OF OWNERSHIP iDATE OOK PAGE ZONE �/ SUB DIV. LOT NO. cr �� C LOC ONER'S 2i �%C PURPOSE OF BUILDING FA rn 1 1 / ,`,,jr'� G l��'►'1 �. OW NLi PEI'[ '[ NAME J l`''�� �I_ n� /E it rT [ �` „ NO. OF STORIES SI E O y� d OWNER'S ADDRESS � raS_jVC , �,�•�►�. — BASEMENT OR SLAB PES s ARCHITECT'S NAME �� ,.�L,r2 1-1 BUILDER'S NAME / p SIZE OF FLOOR TIMBERS 1ST /I x l � 2ND 3RD SPAN�O`— DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET ? POSTS DISTANCE FROM LOT LINES - SIDES ",{ cJ/ ...�L. REAR© / GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION !i ��t THICKNESS T IS BUILDING NEW 0 SIZE OF FOOTING X IS BUILDING ADDITIONvis MATERIAL OF CHIMNEY IS BUILDING ALTERATION ' f C� IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO IfEQUIREMENTS OF CODE C C L J IS BUILDING CONNECTED TO TOWN WATER l BOARD OF APPEALS ACTION. IF ANY A l� IS BUILDING CONNECTED TO TOWN SEWER i-s IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DAm&-r,ILEDA n /\ / ]/ 3 -// /'/ SIGNATURE OF OWNER OR AUTHORIZED AGENT OWNER fEt Fk E CONTR. TEL. CONTR. LIC. PERMIT GRANTED 3 PROPERTY INFORMATION LAND COST di EST. BLDG. COST 3(O 0©0 EST. BLDG. COST PER SQ. OFT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN I BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY EXACT DIMENSIONS OF LOT AND DISTANCE FROM THIS SECTION MUST SHOW LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. STORIES MULTI FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE HARDW D d _ t _ 2 13 _ CONCRETE BL K.PINE BRICK OR STONE PIERS ♦ PLASTER DRY V✓ALL UNFIN. 3 r BASEMENT AREA FULL 1/1 1/1 1/1 FIN. BM TAREA FIN. ATTIC AREA NO BMT FIRE PLACES _ _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS DROP SIDING B _ 1 2 3 ��_ _ _ _ CONCRETE EARTH HARDWD COMMCN ASPH. TILE WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ STUCCO ON MASONRY STUCCO ON FRAME _ ERIU75N MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I --I POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. 12 FIX.) _ FL AT 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. & 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 B'M'T 2nd _ ,.,I 3rd I ELECTRIC NO HEATING = Q Z 0 u p W Z 6) O W Z d. W W M i ujas IL .Z z � U •`n •� •� u y � y � � LLS LL® O O m Z ° �, °° Q, E c Z a. cy) c u u c Z c W ce - OCC U ii X ii X U) iz •U ' z Lr U. m W 6) d. M i ujas ,Er.,. � sem,. � U •`n •� •� u y y � � LLS LL® CL. o � z •U ' z �n • O Q% Le bo •� C. N •3 L cq e O y .E Z v C y C) do O C. sZ c u7 v, > L u UO 4u rrr + opo V Z�•� x U .,. UO °' C, C® O V C C .r �.— V) O O W Q m'LLJ � z p s `J crl1 o Q � C ca 0 z N o Lo v v •� O G iuj uj a W ¢ L IJLA— H C rl e O0 ,� V O G cr- O m > Ls' ¢ w Q -77 �� s u'FPARTMENT OF PUBLIC SAFETY `' ♦ 1010 COMMONWEALTH AVE. 4 r BOSTON, MASS. 02215 z CONSTRUCTION` SUPER 3 ''� I LICENSES.- ° LIC -NO Is EFFECTIVE DATE . ., c 06/30/1989- 025158 , ,h Y RICHARD -J. RUBERA 167 FOREST STREET } METHUEN, MA. 01844 T NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY f - r STAMPE R SIGNATURE OF THE COMMISSIONER r LI � F �►�1�I i'Y �. 1 , k� 1 r . .I••t t ;�,� v'i .r. i ir•,lr '`rr �l ., SUBDIVISION ASSESSORS MAP SUBDIVISION LOT(S) PERMANENT A STREET r7,5- , FORM U TOWN OF NORTH ANDOVER LOT RELEASE FORM r-- Lo ,;�g KESS (ASSIGNED BY D.P. 254Jc lii At2Vh (Z6) APPLICANT g6tjr— of L s& / &"G� PHONE DATE OF APPLICATION 7 TOWN USE BELOW THIS LINE PLANNING BOARD ,)4 DATE APPROVED TOWN PLANNER DATE REJECTED CONSERVATION COr S ON _- IJ DATE APPROVED CONSERVAT N ADMIN. DATE REJECTED BOARD OF HEALTH A, DATE APPROVED HEALTH SANITARIAN DATE REJECTED DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT SEWER/WATER CONNECTIONS FIRE DEPT. RECEIVED BY BUILDING INSPECTION DATE This form shall be signed by the agents of the Planning and Health Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. SCALE: 1" - 50' JUNE 22, 1984 MORTGAGE PLAT PLAN LUT 29 FRENCH FARM RUAV NORTH ANDOVER, MASSACHUSETTS BUYER: NEIL 9 NANCY SHAPLEIGH .PEFE 70 A/. E. ;P Z:? ;Q .,4AI 'd"4 8 5) Z Cg�, „✓;�N �� NOTE: THIS IS NOT A SURVEY AND IS TO BE USED FOR MORTGAGE PURPOSLS ONLY. N.B.- JJ NOT USE OFFSETS FOR ESTABLISHING LOT LINLS FOR THE ERECTION C.c. FENCES, WALLS, HEDGES, ETC. Mo.l11i v I HEREBY CERTIFY THAT THE BUILD/NO ON THIS PROPERTY IS LOCATED AS S`';k:i! ON .PIAN AND COMPLIES WITH THL LOCAL ZONING SET BACK REQUIRE- MENTS. CYR ENGINEERING SERVICES, IW, I FURTHER CERTIFY THAT THL ABOVE DWELLING IS NOT 300 CANAL STREET LOCATED IN A FLOOD HAZARD ZONF. LAWRENCE, MASSACHUSETTS � i .::4 .s. , u.4% 1.,r.i:.j,.iy :�.��TI:¢.�it!:�in�FXip'+a'%1^R�'•"^P�i'.."lr'et�Qt�%]�rJ.l'Y.�`.)e. :. < CE "TIFICATE ®FIMSE &,OCCUPANCY Town of North Andover Building Permit Number 326 Data_ OCTOBER 7, 1991 THIS CERTIFIES THAT THE BUILDING LOCATED ON 75 FRENCH FARM ROAD MAY BE OCCUPIED AS FAMILY/DINING ROOM IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. ' CERTIFICATE ISSUED TO Nancy & Neil Shapleieh i � z 75 French Farm Road ADDRESS North Andover' MA �SSACHUSEt�y Building Inspector IN 16. k a 1 a v LU 156 a' O _ z Z 1 v LU C6 p O 0 u -' W C19m = 'r m C 0 C J L O. 7f p C mi y�j O/ •` C C m ` O ¢p U ac ii cc V) ii cc ii w 16. k a Mt� uj U •E o u O W ®R:=as v� 0 V .O 'r k 4b Ix O 'r z •U 'z H > O � •E a uo �, 4 c Z V) -v z v c p .. E 0 d a(D0 O > CL V Z ZD c a. s V).,, c oLLJce. o c c EL o Z •- U •- 'a LX g V) D c o '•c� _W_I v V _ W �CL z ZDZ Q .. o p C� � c m M •= m 0 O O = N W a w o � � �- c ._ .. C O o_ eQ C Q ~ [r m > a Lij z Q 0