HomeMy WebLinkAboutMiscellaneous - 89 MAIN STREET 4/30/2018 (2)-
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' TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
Thic rertifiPc that U `T r�—I-e e .44-1-1
has permission for gas installation . '. � U. C ................
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in the buildings of 14. Y. ! �/Ptt J"-) .
at �7 ..'^. �.�'� ....- ......... , North Andover, Mass.
Fee ..Zv :q?. Lic. No. R 3 . (- .
V GAS INSPECTOR �O
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MASSACHUSE'M UNIFORM APPUCATON FOR PaZW TO DO GAS
(TI,FIT'TIlVG
pe or pnnt)
NORTH ANDOVER, MASSACHUSETTS
Building Loqations Y I —'%-1 -I-
Owner's Name
New ❑ Renovation
Replacement 13
5U B -BASEM ENT
BASEM ENT
IST.
FLOOR
2ND.
FLOOR
3R D.
FLOOR
ATH.
FLOOR
TH.
FLOOR
6TH.
FLOOR
7TH,
FLOOR.
STH.
FLOOR.
(Print or Y IF,
Name
Address ,Q_ Do
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uslness a en nno
Date
Permit #
Amount $
Plans Submitted
/l % 4""H
Name of Licensed Plumber'or Gas Fitter
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Check One: Certificate Installing Company
0 Corp,
y Partner.
Q Fiim/Co.
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�1ti1. vLC ��
fNSURANCE COVERAGE
I have a current liability Insurance•.policy or it's substantial equivalent, Check one:
if you have checked yes, please indicate the type coverage by checkin Yes
Liability insurance policy g the appropriate box.No�
Dp p
Other type of indemnity
Owner's Insurance Waiver. I am aware that the licensee does not have the Bond 1
Mass. General Laws, and that my signature on this.permit appi�i� o e t eIns Insurance re required b
4 Y Chapter ] 42 of the
Ss requirement.
ignature of Owner or Owner's Agent Check one:
: hereby certify that allOwner
of the details and information I have submitted (or end) in 0 PPI caiionD
best of my knowledge and that all plumbing work and in
compliance with all pertinent provisions of the Mass ions p rfo�� under Perm' Issued forth srappl catitrue oaccurate �� the
Stat as Code d Ch l42 of
General Laws.
By: Signature of Licensed Plumber Or Gas Fitter
'title ��lumber
City/Town,EEEEI �ber Gas FitterT--���,Llcc se ivII[�' Master----
kPPRO VED (oFF CE USE ONLY) [3 Journeyman
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Name of Licensed Plumber'or Gas Fitter
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Check One: Certificate Installing Company
0 Corp,
y Partner.
Q Fiim/Co.
i
�1ti1. vLC ��
fNSURANCE COVERAGE
I have a current liability Insurance•.policy or it's substantial equivalent, Check one:
if you have checked yes, please indicate the type coverage by checkin Yes
Liability insurance policy g the appropriate box.No�
Dp p
Other type of indemnity
Owner's Insurance Waiver. I am aware that the licensee does not have the Bond 1
Mass. General Laws, and that my signature on this.permit appi�i� o e t eIns Insurance re required b
4 Y Chapter ] 42 of the
Ss requirement.
ignature of Owner or Owner's Agent Check one:
: hereby certify that allOwner
of the details and information I have submitted (or end) in 0 PPI caiionD
best of my knowledge and that all plumbing work and in
compliance with all pertinent provisions of the Mass ions p rfo�� under Perm' Issued forth srappl catitrue oaccurate �� the
Stat as Code d Ch l42 of
General Laws.
By: Signature of Licensed Plumber Or Gas Fitter
'title ��lumber
City/Town,EEEEI �ber Gas FitterT--���,Llcc se ivII[�' Master----
kPPRO VED (oFF CE USE ONLY) [3 Journeyman
jLnivi 11 aLIVU G=_itu joist ucrions
Massachusetts General.Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined. as ".. ever -y pion in the service of another under any contract ofhire,
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 mc}ucizng the legal representatives of a deceased employer, or the
receiver or trustee of an individual, partnership, associati on or other legal entity, employing employees. However the
owner of a dwelling houuse.having not more than .thser ag ar-trrrents and who resides therein, or the occupant of the.
dwelling house of another who employs persons to do Maint.-nance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall nort because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6) also states that "every state or local Iimmiug agency shall withhold the issuanceor
renewal of a license or permit.to operate a buzsiness or to coustrmct buhdiu,",s in the commonwealth for-Rnyapplicant who has not produced acceptable evidence c f compliance witb the insurance coverage required"
Additionally, MGL chapter 152, 925C(7) states "Neither -the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public worl< until acceptable evidence of compliance with the insurance
requi =cnts of this chapter have been presented to the contracting authority.-.
Applicants
Please fill out the workers' compensation affidavit coimpi-etely, by checking the boxes that apply to your situation and, if
necessary, supply sub-c6ntractor(s) name(s), address(es) and phone numbers) along with their cerriucate(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 cavy workers' compensation ins un3rrce. If an LLC or LLP does have -.
employees, a policy is required. Be advisedthat this aff c avit may .be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage.. Also be sure to sien and date the. affidavit The affidavitshou}d
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 an estions ren vp `
4u �rdirg the data or. if you am aqui--„d to obtain a work�rs'
COmDOltsal]On DohCV, please call the Department at the ntunbar.Iisted below. Self-insured companies should enter their
self-insurance license n=b-r on the appropriate line.
City or Town Officials
Please be sure brat the afrrd$vif:is complete and printed 61 -ably. The Department has provided a space at the bottom
of the .affidavit foryou to fill out in the event the Office of Investigations has to contact you regarding the applicant;
Please be sure to fill iii the permitAicense nuttnber which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in arty given year, need. only submit one affidavit indicating current
policy information (if necessary) and under "Job Site Adi-re s, theapplicant shouild 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 fiitmrre permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citiz-n is obtaining a Iicems or putt not related to any business or commercial venture
(i.e. a dog license or permit to butteleaves etc.) said persor-u is NOT required to complete this affidavit.
The Office of investigations would like to.thank you. in advance for your cooperation and shoutid you have any questions, .
please do not hesitate to give us a call.
The Department's address, telephone and fay, number.
The Coinmonweadtb of Massachusetts
Department of Lmdmtrial Accad nts
Office of lEi vestigations
600 wada�in2ton Street
Boston.; MA 02111
Tel. # 617-727-4900 e = 406 c r 1-8� MASSAFE
Revised 5-2645 Fax # 61 7-77_7-7749
�'u�'-tic'2S.S. D 0 V%dF8
s l' 144
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•.....,,�.rcdzLrg OJ Massachusetts
Department of Ind=triatAccidents.
D.01'ce of Investigations
600 Washi12,010n Street
Boston, MA 02111
Workers, Compe;Qsaiion IQsurance .
A Iicant Information �ffidavit: Ba ders/Contractors/Electridians/Pintnbers
Name (Business�pt Please Print Lesibli
ganizaboWNindividual ):
Address:
City/Slate/Zip:
Phone #:
Are yon an employer? Check the appropriate box:
I . ❑ I an a employer with
4' ❑ I am a O'eneml contractor and I Type of project (required):
2• ❑employees (full and/or part-time).* have hired •b,
I am a sole proprietor or partner- listed the sub -contractors ❑ New construction
ship and have no employees ox,� the attached she t t 7• ❑ Remodeling .
working for me in any capacity. These sL•b-contractors have
work=,R. ❑ Demolition
No workers' comp. insurance S [] We are a Comp. i Wince. .
required_] Corporation and its 9- ❑ Building addifion
3•❑ l an ahomeowner doing all work nc have exercised. their 10:
=ht of ex ❑ Electrical repairs or additions
myself. [No. workers' mption
insurance required ] t COmP c. 152, § 1(4), and w have p 11.❑ Piumbing repairs or addttions
employees, [No.workers) 12=L�. Roof repairs
*Any aPPlicant.thm checks box #1 .must also fill out the section heionw hotnsurance required.] 13•❑ Other
t F-iomnowners who submit.t tis a,%idavit indicariug ihei are d°ir•� _•,. wtrtg their workers' co
IConttactors ffim Check this box .must attached an additional sheet show rtE the mpensazion poiic� mmtmatioa,
hire outside contraci= rrnu81 su6mi, anew arnriav
I am art. employer that r'�1D of tl c sob c�,.uactors and their rz indi
ming ssch.
iS Dr. Vi4n. Wort=eTS' Corr pass W° Camp• Policy, inicrmation.
irfofmation. �" a�orz �xsurance for � e
mP�ye-s Below, is the policy and job site
Insurance Company Name:
Policy # or Self -.ins. Lic. #:
Job Site Address: Expiration Date:
Attach a ropy of the workers' coin City/state/Zi
peasation policy declaration Q P•
Failure to secure coverage as required under Section 25A of pare �ShOWIRb the o1i
fine up to 51,500.00 and/or one-year P c3' °umber add expiration date).
Y imprisonment as well MGL c. 152 can lead to the impOsition of criminal
Of up to .S2S0.00 a day as civil penalties in the form of a STOP WORk O penalties of a
Investigations of DIA for insurance c�overagedverrficanon copy °fthisstat
ement may be forwarded to the O�c of d a fine
Y ao hereby certify under the pains and penalties oJperjurl, that the inf or
Si�rtature: rnat<on provided above is true and correct
Df cial use onip. Do not write in this area, to be contplezad.h
3 ciOl or to wn ofjccta(
City or Tow¢:
Issuing Authority (circle one): Per-mitfLiCense =_
1. Board of Eieatth 2. &uikdina Department
6. Other b p rtneent 3. CitylTo��,n Clerk 4. Electrical laspector
Contact Person:
Phone *.-
5. Plumbing inspector
Town of North Andover Of koRT#1
OFFICE OF j?`tt``o �O4
-COMMUNITY DEVELOPMENT AND SERVICES °
27 Charles Street ` `q <.;
o
North Andover, Massachusetts 01845"SSgc.o 0 1`c�
WILLIAM J. SCOTT
Director
(978) 688-9581 Fax (978) 688-9542
January 27, 2000
Attorney John A. Daly
Law Office of Dominic J. Scalise
89 Main Street
North Andover MA 01845
Re: Sutton Pond Condominium Complex — Special Permit
Dear Attorney Daly:
Prior to the occupancy of Stone Realty Trust (Annex Building) former Town Counsel, Kopelman
and Paige, P.C. on June 11, 1998 provided in part, the following opinion on the parking situation. "The
Special Permit granted in 1992 addressed and imposed conditions regarding parking on the site as whole,
the 281- parking space requirement applies to all development and use of the site. The decision does not
otherwise address parking, and it does not expressly refer to the Annex Building. None of the documents
or other information shows that the Annex Building was considered or treated as separate from the
�J residential portion of the Osgood Mill project".
Consequently, I am of the opinion the parking issue can only be resolved by the Stone Mill Realty
Trust and the Sutton Pond Condominium Association.
To the best of my knowledge the Sutton Pond Condominium Association provides for private
trash pickup. Hence, the dumpster problem must also be resolved by the two parties.
Prior to my issuing of a decision on the sewer pump station for the office building (Annex). You
requested additional time to review the records of the Department of Public Works on the pump station
issue. I am anticipating the results of your investigation.
Thank you for your cooperation in this matter.
DRBjm
Very truly yours,
D. Robert Nicetta,
Building Commissioner
Cc: Trustees of Stone Mill Realty Trust
Attorney Charles A. Perkins, Jr,
File Sutton Pond Condominium Complex — Special Permit
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Town of North Andover Of NORTN
OFFICE OF �a g�` to 6
COMMUNITY DEVELOPMENT AND SERVICES °
27 Charles Street.
North Andover, Massachusetts 01845 SgcHus�`�`
WILLIAM J. SCOTT
Director
(978) 688-9531 Fax (978) 688-9542
January 27, 2000
Attorney John A. Daly
Law Office of Dominic J. Scalise
89 Main Street
North Andover MA 01845
Re: Sutton Pond Condominium Complex — Special Permit
Dear Attorney Daly:
Prior to the occupancy of Stone Realty Trust (Annex Building) former Town Counsel, Kopelman
and Paige, P.C. on June 11, 1998 provided in part, the following opinion on the parking situation. "The
Special Permit granted in 1992 addressed and imposed conditions regarding parking on the site as whole,
the 281- parking space requirement applies to all development and use of the site. The decision does not
otherwise address parking, and it does not expressly refer to the Annex Building. None of the documents
or other information shows that the Annex Building was considered or treated as separate from the
residential portion of the Osgood Mill project".
Consequently, I am of the opinion the parking issue can only be resolved by the Stone Mill Realty
Trust and the Sutton Pond Condominium Association.
To the best of my knowledge the Sutton Pond Condominium Association provides for private
trash pickup. Hence, the dumpster problem must also be resolved by the two parties.
Prior to my issuing of a decision on the sewer pump station for the office building (Annex). You
requested additional time to review the records of the Department of Public Works on the pump station
issue. I am anticipating the results of your investigation.
Thank you for your cooperation in this matter.
DRBjm
Very truly yours,
D. Robert Nicetta,
Building Commissioner
Cc: Trustees of Stone Mill Realty Trust
Attorney Charles A. Perkins, Jr,
fFile Sutton Pond Condominium Complex — Special Permit
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
(Print of Type) ' -'"I ^' .-"%..ha tun PVR PERMIT TO DO GASFITTING
NORTH ANDOVER ,Maas. Date,�2_�19_
Building1.,
c/' �?�c �f� Permit #r
Owner's
Name
New p Renovation p
Replacement U/ Plans Submitted:. Yes p No p
i
. !ue—asMT.
• •AIEM,INT
1!T FLOOR
2NO,FLOOR
3110 FLOOR
ITH FLOOR
!TH FLOOR
STH FLOOR
7TH FLOOR
!TH FLOOR
Installing Company Name '
L:
Address .� X- F0
Business Telephone (n —(4Z� // --
Name of Licensed Plumber or Das Fitter 7v/r�
Check one:
�1 Corp.
d Partnership
11-171im/Co.
INSURANCE COVERAGE:
Chec1 have a current liability Insurance policy or No substantial equivalent. 'Yes Y9
It you have checked yes, please Indicate the bo .
type coverage by checking the appropriate box.
A liability Insurance policy Other type of Indemnity p 9ervt n
Certificate
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have
Chapter 142 of the Mass. General Laws, and that the Insurance coverage required by
my signature on thin
permit applicatlon waives this requirement.
Check one:
Signature of towner or Owner's Agent Owner p Agent p
I= hereby certify that ati of the details and Information I have submitted (of entered) In ve ap I n ars
knowledge and that on plumbing work and Installatlons performed under the perm sued fo and r
pertinent provisions of the Massachusetts State tans Gbda and Chapter 142 of the Pllcatl will be
Tnse:
Title %umber na urs o nse
iter moot r as
to the best of my
dice with all
Clty/Town aster License Num
D Journeyman bar
l rT110VED (OFFICE USE ONLY) aQ
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Installing Company Name '
L:
Address .� X- F0
Business Telephone (n —(4Z� // --
Name of Licensed Plumber or Das Fitter 7v/r�
Check one:
�1 Corp.
d Partnership
11-171im/Co.
INSURANCE COVERAGE:
Chec1 have a current liability Insurance policy or No substantial equivalent. 'Yes Y9
It you have checked yes, please Indicate the bo .
type coverage by checking the appropriate box.
A liability Insurance policy Other type of Indemnity p 9ervt n
Certificate
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have
Chapter 142 of the Mass. General Laws, and that the Insurance coverage required by
my signature on thin
permit applicatlon waives this requirement.
Check one:
Signature of towner or Owner's Agent Owner p Agent p
I= hereby certify that ati of the details and Information I have submitted (of entered) In ve ap I n ars
knowledge and that on plumbing work and Installatlons performed under the perm sued fo and r
pertinent provisions of the Massachusetts State tans Gbda and Chapter 142 of the Pllcatl will be
Tnse:
Title %umber na urs o nse
iter moot r as
to the best of my
dice with all
Clty/Town aster License Num
D Journeyman bar
l rT110VED (OFFICE USE ONLY) aQ
3757
Date 'o7/ .!
7.
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
°SACMUSE•
This certifies that . /`.-. . ........................
• has permission to perform
'plumbing in the buildings of .. .•. �-J..-�-f � �;
at. . !� .?.�... . ... . . .... .North Andover, Mass.
Fee ��,4...... Lic. No .......... ............................. .
PLUMBING INSPECTOR
07/21/98 13:32 35.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
''ype or print) 7 /2 l
NORTH ANDOVER, MASSACHUS TTS_ Date
Duilding Locations 8 � .r� //V �� Permit #
%Y A fel l� (I 1/ e 1, dCS Owner's Name
New 1:1 Renovation to Replacement
Amounts °L
Plans Submitted
FIXTI'RES
•
(Print or type) Check one:
Installing Company Name PL e`/ x N 1 f iD Corp.
LiPartner.
11 Finn/Co.
Name of Licensed Plumber: 'PG )4 4 L 1`5 E . 4 1 o l tC- 14
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy � Other type of indemnity 1-1Bond ❑
Certificate
Insurance Waiver: I, the undersigned, have been mdde aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner 11 Agent n
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 ' s llations pe ed der Pe Issued f r this application will be in
compliance with all pertinent provisions of the Massach etts St P bi Code d apter 1 of the General Laws.
By: na o kens um r
Type of Plumbing License
Title 1735 Z
City/Town Licenseum er Master Journeyman Ln
APPROVED (OFFICE USE ONLY
f CO M NWEALTH OF MASSACHUSETTS
DIVISION OF REGISTRATION
114 R
AND
LICENSEDUASEA$JOURNEYMANTTERS PLUMBE
ISSUES THIS LICENSE TO
RONALD LYNCH,
9 FOREST RDcu
21
SALISBURY MA 01952-1602
17392 05/01/00 581882
• W. • "
Fold, Then Detach Along All Perforations
1
Location
No. � Date
°RTS TOWN OF NORTH ANDOVER
„ Certificate of Occupancy $
` y Building/Frame Permit Fee $
,SSACHUSnapE� _ f�QUfildation Permit Fee $
Other Permit Fee $
.\1* er Connection Fee $ - `1
Water Connection Fee $
A �C�CTOTAL
• C� J� -; %L Building Inspector
Div. Public Works
PEWAIT NO.
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE 1
NAP K40.
'LOT NO.
2 RECORD OF OWNERSHIP DATE
BOOK PAGE
ZONE1
r'
SUB DIV. LOT NO .I
6 5EATION
PURPOSE OF BUILDING
OWNER'S
I+
NO. OF STORIES SIZE
OWNE ADDRESS
BASEMENT OR SLAB
ARC TECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES - SIDES REAR
"' GIRDERS
AREA OF LOT FRONTAGE
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
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
A
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE B6TH SIDES
PAGE i 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
1
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
SIG A RE OF OWN //OR AUTHORIZED AGENT
FEE ff /19 �
PERMIT GRANTED
4,,,
19
I
CONTR. TEL. #
CONTR. LIC. N
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EBT. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
BUILDING INSPECTOR
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY SiOR1ES
MULTI. FAMILY OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE _ g 1 2 13
CONCRETE BL K. PINE
BRICK OR STONE HARDVp D
PIERS PLASTER
DRY �✓lL
_
UNFIN.
3 BASEMENT
AREA FULL
FIN. B M AREA
'/. Y: '/ -
FIN. ATTIC AREA
_
N_O B M i
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
_
4 WAILS
9 FLOORS
CLAPBOARDS
CONCRETE
EARTH
HARDW D
COMMON
ASPH. TILE
B
1
2
�_
_
3
_
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
STUCCO ON MASONRY
STUCCO ON FRAME
_
BRICK ON MASONRY
BRICK ON FRAME
CONC. OR CINDER BLS K.—
ATTIC STRS. 8 FLOOR _
WIRING
STONE ON MASONRY
STONE ON FRAME
L�
SUPERIOR I I POOR
ADEQUATE NONE
5 ROOF
10 PLUMBING
GABLE I
GAMBQELMANSARD
FLAT I
HIP
BATH 13 FIX.)
TOILET RM. (2 FIX.)
_
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 II
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
GOAL
BTRIC
stn T ; 3,d I
NOHEATING
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.
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D IA
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that )e -1), ................................
has permission for gas installation ..................
in the buildings of 6�1. /V.
.......
at...... �7. 7 ........... North Andover, Mass.
Fee..t! oLic. No.. 11. ............ .............
GASINSPECTOR
WHITA/tqpq7a4S:j9 CANAMADIdIneffikt. PINK: Treasurer