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CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 239-2011 Date: June 22, 2011
THIS CERTIFIES THAT
THE BUILI)ING LOCATED ON 80 Empire Drive, Lot 17, North Andover, MA
01845
Orchard Village, LLC
MAY BE OCCUPIED AS .single-family IN ACCORDANCE WITH THE PROVISIONS 4F
THE MAS.$AC IiJSETTS :STATE $UILDING CODE AND SUCH OTHER REGULATIONS AS
MAY APPLY.
Certificate Issued to:
Fee.: 100.00 previously.paid
Receipt: 23468
Orchard Village, LLC
80 Empire Drive
North Andover, MA:01845
Building °Inspector
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APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
Building Permit # Q,437- 0
ADDRESS/LOCATION OF PROPERTY�Il?r
Map JO 7 C PaLot Number /-d` &/ %
SUBDIVISION
DATE REQUESTED FILED/READY FOR INSPECTION 6
CLOSING DATE ON PROPERTY: �JZ
ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-
INSPECTION FEE OF TWENTY DOLLARS .$20.00) WILL BE CHARGED IF THE STRUCTURE
DOES NOT MEET ALL APPLICABLE CODFs ,
Address
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ROUTING
CONSERVATION`
PLANNING- .
DPW.- WATER METER
SEWER/WATER CONNECTION
NOTE
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST
s
DPW 1 l (kAs o�—
Signature
Fite: Application for OC form revised Jan 2007
11
CERTIFICATE OF USE & OCCUPANCY
Building Permit Number 239-2011 _Date: June 22, 2011
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 80 Empire Drive, Lot 17, North Andover, MA
01845
Orchard Village, LLC
MAY BE OCCUPIED AS sinele-famil IN ACCORDANCE WITH THE PROVISIONS OF
THE MASSACHUSETTS $TATE BUILDING CODE AND SUCH OTHER REGULATIONS AS
MAY APPLY.
Certificate Issued to:
Fee: 100.00 previously -paid
Receipt: 23468
Orchard Village, LLC
80 Empire Drive
North Andover, MA :01845
Building °Inspector
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APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
Building Permit # R07 ^ C_�'O//
,
ADDRESS/LOCATION OF PROPERTY. -4 w u,P
MaP I D %C Parcel 184 1f Z- Lot Number % p`]'l %
SUBDIVISION
DATE REQUESTED FILED/READY FOR INSPECTION
CLOSING DATE ON PROPERTY:612
ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-
INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARr,Fn m Tw= cToi lr�_m 10c
DOES NOT MEET ALL APPLICABLE CODES.
it Is ii -ed m:e
A
Address ��' � �rt1 %� rr �� a� T r14 .4A (-)Iq,->(
ROUTING
CONSERVATION
PLANNING
DPW.- WATER METER /13
SEWERMATER CONNECTION
NOTE
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL. OF THE OCCUPANCY/INSPECTION REQUEST
Signature
File: Application for OC form revised Jan 2007
FO
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OF
PHONE
AREA COOE NUMBER
MESSAGE
SIGNED
DATE
TIME � eV
PHONED
RETURNED:
—1i In nAl I
EXTENSION
PLEASE CA
WILL CALL:
_AGAIN_
WANIS 11
SEE .YOU
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LOT 77
25.3'
19g;
EX/ST.FND.
TOF 289.8
FOUNDATION LOCA TION
CLIENT.- ORCHARD VILLAGE, LLC
MIS CERTIFICATKMI IS MADEAND L6WTED TO THEABOVECGENT
LOCATION .• NORTHANDOVER,MA.
DATE: 10/9/10 SCALE. -It --30'
*A
10.4'
ICERnFY 7enTTWPRA&4RYsrnrxnffiESWMV Conte
TO 7HEHDlOZOMALSElBACKREO&VaA&-tBSOF7HELOGL
APPECABLEZMMOY4AWS INEFFECT WHENCONSTRUC7ED.
(THIS CERTIFAG4WN DOES NOT CONSIDER ANY On1ER
RESTRICrIONSSUCHASCOVENANTS MnANDSAMSEMENTS.
OWERS OFCONDMOY1LS,ETC) TM DRAW/NGSHALL NOT BE
USED BYTHE CUENrFOR ANY PIOUVWOTHER DMNDOT
OUTLINED ABOVE, SWEPT WM THE WRITTENPERAOSSIONOF
CHRISTIANSEN ASERGIINCG FURTHJUME MIS DRAW/NGIS
7NECOPYRIGHTED PROPlERTYOFC14RW7ANSEIV&SERGIdvC.
AND ANY LM UMOR91EDUSESPROMMED.CHRISTTANSEN&
SEROTAKES AfORESPOAMIBAJ7YFOR7 LM(AUDMO D LISE
OFTHIS DRAWIAGORANYINFOR-MATIONCONTA/NEDHEREON
PROFESSIONAL ENGINEERS & LAND SURVEYORS
CHRIS TIANSEN & SERGI, INC.
160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830
WWW CSILENGR.COM TEL. 978-373-0310 FAX 978-372-3960
DWG. NO.: 06029.001.047
Date. .. .
TOWN OF NORTH AND ER
PERMIT FOR GAS INSTALLATION
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This certifies that .. !, f..i.+!�c 4-.. .....N. -i'4 .......
has permission for gas installation .j 1! .. r�L1?lLX........
in the buildings of ... Cn .......
at .....f!?? !'� - ... .. , North dove , Aas.
F��Q 4L1C.
No../03 �.!). �............... .
GAS INSPECTOR
Check #
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING
Cityrrown:�4-os4lr�, MA. Date: 11j)• Zy'—C Permit#
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Building Location: F.VAP J� (3/ tk_ Owners Name: ocG V ll ul- '
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Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential 2
New: Er Alteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes ❑ No ❑
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Installing Company Name:
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Only Certificate #
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Address:�i d : 1-10 1
City/Town:
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Name of Licensed Plumber/Gas Fitter:
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INSURANCE COVERAGE:
1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes J�D No ❑
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy V 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 that my signature on this permit application waives this requirement.
Check One Only
❑
Signature of Owner or Owner's Agent Owner EJ Agent
By checking this box ❑; I hereby certify that all of the details and information I have submitted for entered) reaardina this aoolication are true and
accurate to me 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.
TgyV of License:
By Il
umber
Title Gas fitter Signature of 1-tensed::A
Plurn&irrGas Fitter
Master
City/Town Journeyman License Number: c)
APPROVED OFFICE USE ONL ❑ LP Installer
875
Date. %C�0 �v .
.,,g°„,.;"cow TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
,SSACMUSE�
4This certifies that ...66VI, h. .t..t........
has permission to perform ../,4� ..-� . ........ .
plumbing in the buildings of . C�C�. a!►. ..... •. �.� , , .<-7.
at � ���•�'�. (7�L ..Plrf.`
-/�:J2-North Andover, Mass'.
Fee. Yw,.�%c. No.. ��% b ... ,% •!!�;�1(v .
PLUMBING INSPECTOR
Check # �'�L
1-7
MYTI IRGC
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
City/Town: o �s MA. Date: to - 2 0 Permit#
Building Location: �� L'W4 (�J f2,t,(� Owners Name: o C `Nsr s �l ��_
Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential
New: Alteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes ❑ No
MYTI IRGC
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes f8 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 that my signature on this permit application waives this requirement.
Check One Only
Signature of Owner or Owner's Accent Owner [_] 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
nnvwleuye ana Mel! au piumomg won(ana mstanations 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
Title _
City/Town
Type of License: C.
29 Plumber Signature of L censed Plumber
SP Master
❑Journeyman License Number: O 3 Li
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Business Tel: M- 1'1'13
Fax:
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❑ Firm/Company
Name of Licensed Plumber:
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes f8 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 that my signature on this permit application waives this requirement.
Check One Only
Signature of Owner or Owner's Accent Owner [_] 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
nnvwleuye ana Mel! au piumomg won(ana mstanations 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
Title _
City/Town
Type of License: C.
29 Plumber Signature of L censed Plumber
SP Master
❑Journeyman License Number: O 3 Li