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HomeMy WebLinkAboutMiscellaneous - 825 DALE STREET 4/30/2018 (3)I ry) CD > tj ZA CD CD :� CD 0 0 CD 0 0 ILI C0 ix W zCO) N ui c 0 Date TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certi fies that ..... .............. has permission to perform ... e!� ��A�. ......... wiringinth b ........ ..... North Andover, Mass. at .......... w Fele.+M, ... Lic. No. ELECTRICAL INSPEA0 Check # 1015 11282 40 Commonwealth of Massachusetts PRO 0 Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATIOA9 Date: City or Town of: NORTH ,ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) �Z Owner or Tenant Owner's Address Official Use Only Permit No. ( I 'L Y 7 -- Occupancy and Fee Checked [Rev. 1/071(leave blank Telephone No. 24a Is this permit in conjunction with a building permit? Yes ❑ No © (Check Appropriate Box) Purpose of Building sr Utility Authorization No. - Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: No. of Recessed Luminaires No. of Luminaire Outlets No. of Luminaires No. of Receptacle Outlets No. of Switches No. of Ranges of Waste Disposers of Dishwashers of Dryers of Water KW Heaters Hydromassage Bathtubs o. of Ceil: Susp. (Paddle) Fans of Hot Tubs Swimming Pool gra No. of Oil Burners No. of Gas Burners No. of Air Cond. U KJ G ollowine table may be waived by the Inspector of Wires. Generators o. o me'. ❑ frrna ❑ RnttervUri KVA KVA ALARMS JNo. of Zones of Alerting Devices Heating KW IlLocal ❑ Appliances KW No. of Motors Total HP of ❑ Other on •Y or Equivalent 4- d ( OTHER• ' Attach additional detail f desired, or as regaared by the Inspector of Wtres Estimated Value of Electrical Work: S$6ea (When required by municipal policy.) N Work to Start: ;'Ss_ - 1 Z. Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE N BOND ❑ OTHER ❑ (Specify:) I certify, tinder the pains and penalties of pedury, that the information on this application is true and complete. FIRM NAME•e. �(u• r< < -vtc eS LIC. NO.: A 1,5 M 9 Licensee: t .;O Signature LTC. NO.: fi I $ 2 (If applicable en "exempt:' in the l'cense number line.) Bus. Tel. No.: (,�'3^ Address: ���crk I Z �A^�e i P('� © Alt. Tel. No.:.102 *Per M.G.L c. 147, s. 5 -61, security work requires Department of Public Safety "S" License. Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Telephone No. PERMIT FEE. $ Signature p ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance with the provisions of M.G.L. c. 143, § 3L, the iZ7 -' permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed a r on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall -be limited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this, act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending through August 15, 2012. ❑ Rule 8—Permit/Date Closed: *** Note: Reapply for new permit ❑ ❑ Permit Extension Act — Permit/Date Closed: Trench Inspection Pass 0 Failed 0 Re- Inspection Required ($.) ❑ Inspectors Commen r 12- —2 I Inspectors Signature: Date: SERVICE INSPECTION: Pass [N Failed Re- Inspection Required ($.) ❑ Inspectors Comments: . Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass 0 Failed ❑' Re- Inspection Required ($.) ❑ Inspectors Comments: i Inspectors Signature: Date: ROUGH INSPECTION: Pass 0 Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: FINAL INSPECTION: Pass Failed Re- Inspection Required ($.) ❑ Inspectors C9 ments: Inspectors Signature: Date: DEB WEINHOLD ...TOWN OF MERRIMAC, MA........dweinhold@townofinerrimac.com The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Ayplicant Information Please Print Legibly Name (Business/Organizati6n/Individual): 1 e� nr:. 6 -,k SIN* 1, S-trv%,ez., Address: 2 ��L� -���\ L Sr _,k— City/State/Zip: f,� A ci Phone #: 8 %� 75 Z- q} Are you an employer? Check the appropriate box: 1. E] I am a employer with Z.-. 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. $ ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. Wo workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other P,ny applicant that checks box # 1 must also fill out the section below showing their workers' compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Dontractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site zformation. isurance Company Name;r A.tC-� olicy Ar Self -ins. Lic. Off , 4 3 2- Expiration Date: )b Site Address: P32-5 NAC C City/State/Zip: c(s•� c c 4. .ttach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ne up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine F up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of tvestigations of the DIA for insurance coverage verification. do hereby er ' y unde,r,the pains and penalties of perjury that the information provided above is true and correct. :lone #: Co 3 - � 51- 45" L �, Official itse only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # L -S - 12 - Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: t - Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the'occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required.", - Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in'the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-7274900 ext 406 or 1.877-MASSAFE Fax # 617-727-7749 evised 5 -26 -OS VJWu ma.c ¢nv/rlia 09mg mzoxm T 0 m C) > (1) U) m E 6 z m cl mo, o >A r> C) Cl) co M > m r r -C z m 0 M> MZ -<-q Oct) El 2c) 0 T m 2: 0 I Z. m > cn 2 z m MK El C m G) m z q Li AA GENERATOR APPLICATION DATE: 1A 4I-zi LOCATION: f5 ��le e,-I� OWNERS NAME: � vV� 2fzn GENERATOR kw NO INSTALLATION OR GROUND DISTURBANCE BEFORE APPROVALS* • CONTRACTOR: PHONE NUMBER: LD65 9 t3 -.�, 4Slip (o GAS RESIDENTIAL COMMERCIAL TEMPORARY A � LOCATION OF GENERATOR: *ZONING DISTRICT: " r 71 � � �i6� 30 *CONSERVATION APPROVAL S�Lj JW13 •J�j 1���¢.. cols P.,�e i�J vv�u4'' Town of North Andover .r'J Page 1 of 1 � 0111 004Nr1eGcldley 3tam0'np Commdlan tlOC n¢ntO an,Y�"MY 4�mknpfeJ,lpifd°F,1YfE rM00dLLY n/leaPm3+L3ry fovea nrolfscY, carysl 'mea or laeaal�ame 6esgr�v0c cdom�aon Sycan Idar1 Osla cranY xana P1wInz0 n0ten. lie nits mrvtrot tske vxnace ofd CStlM191YVEysM 1024 no mm any-'An0o tm ttvee110Pn-94A ff*.ld r#Areceofa W lts MG/!gide msP-'tYQtG.mtx8t nxknmtJm tdeeYatckYslpy WmWBCoirM�an+<9uests 11181 ifl�/u5E Of V1§ kkOiRImI6I1 tk0HC0�3'1'!n LrJ (�Gffi1Ce to It588u;CB 0110 n18M9111!lYh tl3T2J t+geMtg fmnkssrn's G1ee211tW1 M1n191cC1110 w�xfaJ' ^_5 m np�—.anm s¢usq`o0 s0'+n MCrlmnBn."u^..Ld tiGG trepm0wr. its a rc7pacswm nrsk Select (show all) I Owner Prop_ID R .........DEFLUMERI, JOHN 104.C-0156-0000.0 8 I selected To Mailing Labels To Spre. Pia Ownerl DEFLUMERI, JOHN Owner2 ROSEMARY A DEFLUMERI Address 825 DALE STREET PropertVID 104.C-0156-0000.0 Lot Size 1.01 A Fiscal Year 2013 Land Use 101 Code Last Sale 03/15/1991 Date Book/Page 82 Total $488400 Valuation Building CP Type Year Built 1991 http://mimap.mvpc.org/NorthAndovermimapNiewer.aspx 12/5/2012 V Town of North Andover Page 1 of 1 L.—*T wtlm"r4anmg C—*.xf.m mmaae aM wm smpe4 mm4,.4,y koWuy..4—mYaY roans—.y, carC+e' s. / � «cee5iYmdme daa9raraa'cma:.nwtmf syeen (Ot9l Data vanrd�-eAapwdsnhctln. ire tlafa OwS nd,.xew perceaapwe%�^^^auvay and new l3xtr"�m0 a141e trY.l"9Aa1Y.9f:G locatml aadste+aedagza<adac rmwesra�+Yax. orwaura rtVa°ntYJui R!errt^,tsFYsPy'PaminB Carml8'as requ�SL* NataMuxdt�artameam D•acmn+Aa++'an uYarerennce mnasauce and ma uen. xa tlaay l'inn+9Canri�sb+5�acee+ms[m�esmwettardesa Rpre9ana9maffi b Na aeatatYm s¢d a3M^.aUW�. AnY uee d tlY mmmaum: sae ata 2L1(ke:rt9a4n IIbK _ L Select . (show all)- Owner 1pOwner Prop_ID ! DEFLUMERI, JOHN 1104.C -0156-0000.0E r—, .- .._....._ .. = 1 selected To Mailing Labels To Spre; Pla Ownerl DEFLUMERI, JOHN Owner2 ROSEMARY A DEFLUMERI Address 825 DALE STREET PropertyID 104.0-0156-0000.0 Lot Size 1.01 A Fiscal Year 2013 Land Use 101 Code Last Sale 03/15/1991 Date Book/Page 82 Total $488400 Valuation Building CP Type . Year Built 1991 http://mimap.mvpc.org/NorthAndovermimapNiewer.aspx 12/5/2012 b CHUS This certifies that Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING Ir has permission to perform ... /I.Y. t -t ........................ plumbing in the buildings of .............. at ... ............ North Andover, Mass. Fee,,� Lic. No. J. . ... .. ........ PLUMBING INSPECTOR Check # 69U6 MASSACHUSETTS UNIFORM APPLICATION FOR -PERMIT TO DO PLUMBING (Print or Type) 1 � I�r�oUG� l Mass. Date 3 20 64 Permit # vt Building Location r�/� LCA Owner's Name _'(jVi�-70 Type of Occupancy%� ,�> 17 New ❑ Renovation ❑ Replacement Q—� '!. Plans Submitted: Yes ❑ No ❑ FIXTURES B.P. # N Installing Company Name l!-1 �!tGfr lJ it + Address_ y t&�Qu ��' -7— hEL1LJE1--1 — Business Telepho Name of Licensed Plumber or Gas Fitter Check one: Certificate ❑ Corporation ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent, which meets the requirements of MGL Ch. 142. Yeseff No . ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy 0, -----Other type of indemnity ❑ Bond ❑ OWNER'S INSURNACE 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. Signature of Owner or Owner's Agent 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 State Plumbing Code and Ch 142 he General Laws. Tit Sig of Licensed Plumber Title City/Town APPROVEE(OFFEICEUSE ONLY) TYPe of License: ❑Master 0-evrneyman License Number1 �/ .s..�....o............ e••�����MMMMM �0NMN ����� WN M e • • mmmM������������� e e • �0Nomm���������������� ee• M MM N������������ Installing Company Name l!-1 �!tGfr lJ it + Address_ y t&�Qu ��' -7— hEL1LJE1--1 — Business Telepho Name of Licensed Plumber or Gas Fitter Check one: Certificate ❑ Corporation ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent, which meets the requirements of MGL Ch. 142. Yeseff No . ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy 0, -----Other type of indemnity ❑ Bond ❑ OWNER'S INSURNACE 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. Signature of Owner or Owner's Agent 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 State Plumbing Code and Ch 142 he General Laws. Tit Sig of Licensed Plumber Title City/Town APPROVEE(OFFEICEUSE ONLY) TYPe of License: ❑Master 0-evrneyman License Number1 �/ "Location 3, - No. Date 0" Of kO*Tk A TOWN OF NORTH ANDOVER ,,,Go ,, - 0 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ CHU Other Permit Fee $ Sewer Connection Fee OY * # , :ater Connection Fee r C' fHA A� 7 Building Inspector Div. Public Works Locatio6 Q61C- S-tr2t-E' No. �4-2, Date 40RTN TOWN OF NORTH ANDOVER 6 4,0 0 Certificate of Occupancy $ !�:10— Building/Frame Permit Fee $ --9-11E Foundation Permit Fee $ Other Permit Fee $ AAFD By Fee $ /PR25 Fee $ 11 TOTAL $ --, '51 110. Andover Collecior ��-455E� Building Inspector Div. Public Works Location No. Date 140 Th TOWN OF NORTH ANDOVER Certificate of Occupancy uilding/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ �.,JWyj, Sewer Connection Fee $ -Twater Connection Fee $ AT L 6- r ok Div. 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J low Z SON uuli Qz� WSW 3oN 0 a u F xm NWW Z j ZQN ONH uWW W Z U) :i N N 10< } u Z Q a D u u 0 _1 Ix 1 a z i o i T226OV;Z"Z __ z o Z f Q >ZU' Z °f aaw� U ; 141— 7 e N x p Y U' zz3x� �- _ Z Q �� O,rw N 0 a u �'-Z� u Y w -Z--' ' z LL f u > U v m p �S LL p pO O W O 2--Zr-w o x Z V� -U 3'--y2 mQa S s~ u' O� `-'W zOz���LL� wO 0Z2 �w wO co ? aSaO� a a Z z z LLLLLL�� 0 01 O a a 0 a o < O a a p O J a 0 a O a z< O UwSUa Ana mr3�xZ�n��f- a wSa�^,C7OwZ I TTT I I Z I 0 _ u 0 a o z i m� z� � z •' YZ w N < ► wl�Z z �QO.2oDi Z LL 00 a_ a S�v2 w 0V0 O J J N z m0 \ ; N 0(�ooC�i�+°C.Q �a _Z aLL oc Z n �0 LL afjUW O 0 nf'I i LLaZ O """oc v m � i .-0 0 o Z ��S�v>EOOZZ�ZZ z C, z Z Z i LL U wl S '�2 Z > oaeO p mmoc wLL � � � p pv��''-pwO000OOO m oaw J� O0 Zia N vuwJ OOma (h w mo QOpam��juUZOO .uu - N'n�QaO��J w"6 aowro OQ t0O 0 mW0 i O ~ NIFQ < -ZIW 2 U> >NNW a a> �A N m m O N N (� (,�I LL a 3 N OpC 1- N 3 m f '10RT11 O •t��•a �•',•yC � w A ,SSACHUSEt� Town of North Andover, Massachusetts BOARD OF HEALTH Form No. Z A= r i 1 91 19-9-1— DESIGN APPROVAL FOR SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant Quinlan & Rand Builders Test No. Site Location Lot #8 Dale Street, North Andover, MA 01845 Reference Plans and Specs. ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal syste be instal in accordance with regulations of Board of Health. CHAIRMAN, f6A kb CYF HEALT Fee $60.00 Site System Permit No. 469 9 qoo— FORM U TOWN OF NORTH ANDOVER LOT RELEASE FORM SUBDIVISION ASSESSORS MAP /() SUBDIVISION LOT(S) PE$MANENT ADDRESS (ASSIGNED BY D.P.W. STREET APPLICANT Qu) N TgAlNO ev, cpele S PHONE DATE OF APPLICATION ,3Z 2 %/ TOWN USE BELOW THIS LINE P NSG BOA DATE APi'ROVEll T PLANN DAT E REJECTED J 1 CONSERVATION COMi4ISSION DATE APPROVED CONSERVATION ADMIN. DATE REJECTED BOARD OF HEALTH 1)ATE APP1t0VE1) 444V_ DATE REJECTED HEAL DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT SEWER/WATER CONNECTIONS RECEIVED BY BUILDIN`G-INSPECTION DATE ay This form shall be signed by the agents of the Planci.f.ng and Health Boards, the Conservation Commission prior to the issuance of any building, permits for the subject lot. This form shall not releive tlae applicant from the compliance of any applicable Town requirement or Bylaw. 0 z ahm rl to ta Cd Lp _ Q W W p Q °C u CL Z u Z m O U ii cc p v W Q. Z Z m a O aC i o f p v W �. Z V V V ` ( C cc p W IA Z Q Q- CQi U W c LU cc W maQ Y O j • V ° o Z ca CA \ 0 � c Z cb .Q 49 v • ` W . z H � a c a Li A W Q C Li. }. _ •CIO y rj) C m •m � a. a u. E `G v c� W Q O cc L � q �� � a •O �' U G ai ° z LL O 4J5. u a ::z 0 G LU � 1 O Ecc 0- Z 7 O O C c LU C. O Lu CD Ll MV - 14J V W Z - 7 � LL. Q. � � a t o r OWNSC Cb t t LA- � 0 ° y ++ c a .y •� ar � .0 O � ' V) a y '° o =o -� Gam. 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S '.,I Location No. Date 'AORT" . j(TOWN OF NORTH ANDOVER 6$ Certificate of Occupancy $ 41 0, /F 1130@66 rame Permit Fee $ Foundation Permit Fee $ Other Permit Fee Sewer Connection Fee $ Water Connection Fee $ TOTAL $ -Building Inspector Div. Public Works ( )1'1'1(:I :s (I': ! M 111.1)IN(i (:ONSl-.l(VATION I ll ii\ I: I' I I I LAMININ( DATE. cvcATzvN OWNER'S NAME: BUILDER'S NAME: J MASON'S NAME: ON'S ADORE IMASON'S TELEPHONE: r4 2 % ,!MATERIAL OF CHIMNEY: ''.INFERIOR CHIMNEY: / _ EXILRIOR CHIMNEY: NUMBER AND ,SIZE OF FLUES: THICKNESS OF HEARTH: tU,i,P,e Chbiney on. 6iaeneace con(onm to the. )ic.qu4)(emell.t:3 u() .the code and have "ullc3 ailcl :1.negutatiojo been ucetved: y DATE: ,,SIGNATURE OF MASON: Towil of, NORTH ANDOVER l'I,YkNNIN(; & (A)Alllll!Nl'l'1' 1)1:V1:LU.1'l11liN"1' K.\I;1 VJ'' 1 I.I'. N F I S( ) N , I )II(I:(:'I ( )It CHIMNEY APPLICA11014 ANO I'EI;M11' I r (I; 1 7) (;W-) .17 PERMIT J PERMIT GRANTED: 'ROBERT NICETTA BUILDING INSPECIOR ' INSPECTEU: REMARKS: FEL —W Z SOLID (BLOCK REQUIRE ) THIS PERMIT MUSE BE VISPLAYEU 014 111E PREMISES %6ZO"ERTIFICATE OF USE &OCCUPANCY $� 7 Building Permit Number 142 Date september 20, 1991 THIS CERTIFIES THAT THE BUILDING LOCATED ON 825 DALE STREET (Lot #8) MAY BE OCCUPIED AS 2 -Story Single Family Dwellinp_ IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. E 1 6 6 YO e �L CERTIFICATE ISSUED TO John & Rosemary DeFlumeri A Delwood Street 10 m; * ADDRESS Chelmsford MA Building Inspector �f ww4 ;cc V4 zai W Le CL cr CL 144 14 < Cq L.Ljl 0 Q c 4) E z I Q *W ho C:) 0 �J) * LL (D w 0 k, b. 0 0y C.0 z0 (ZU soon 4W4 Q > LU one Z c .2 a- C) z LU 21 3, CL 0 LC 0 C •� u C-9 LU z 4W 0. 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