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HomeMy WebLinkAboutMiscellaneous - Exception (329)�`{�"','"�i3.`�..ar- •,.s —., }...., n...:.+...;—.aa-*'.:... 'f..*F+s_i; v- - `7''�^r....�s. ;;R^�.• r.-titi;.r,.�,$,,,:r �,y.t-�trri.^v�iY+s,7vi wo�rh o Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT:9-6400021- H16V! �CYGOQ INSPECTION DATE: UNIT NO.: FLOOR: �`� `r �`"� o WING: BUILDING NO.: -A7# (c7-/ c - REMARKS: Et") IS 1-4 I A) SKC?/ 0 t C2AASS<.SCH1 C( -u/ - a rn1G CO Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: ftp Date: Inspector Inspector Inspector Electrical - final Plumbing and/or gas - final Other: Date: Date: v Date: Inspector Inspector Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: -Cof 0# Inspector Inspector Inspector Form #995 Action Press, 685-7000 n �"�+eX''.'yy'�,�r.`••�..('�y'F �..}e74.; x]v' t.y Y�ys„.1'YZf°�'�.i��'LK+ir'It�i'i� - ""'* r ',q ”' ' `� ka' ec•.w4 Cl HORlry ,4G o Town of NORTH ANDOVER Gf G U BUILDING PERMIT INSPECTION REPORT ,�i PERMIT NO.: PROJECT:f1•/9NOO'16A l-1.S.A7'h1t-c'77c. INSPECTION DATE: UNIT NO.: FLOOR: („ 0 (-J6- LEVEL WING: BUILDING NO.: Ar/,/( C NT/CG REMARKS: U,0CA-6,4ouAJ 0 STM ORAA1.O SA A) I TAXI 1A)SiDc + _ r+ Excavation - depth and soil conditions Framing - ` Other: ~ Date: r 'tigf�� Date: Date: .f o Inspector Inspector A .. Inspector Footings and foundations and drains -' Insulation - ' Other: Date: Date: Date: Inspector Inspector. Inspector Electrical - rough - �Iumbinnd/or gas - ougu h ----() Other: Date: + Date: t 7 Date: Inspector Inspector, <�� --� Inspector Electrical - final Plumbing and/or gas - final Other: Date:Date: ' Date: <� ? Inspector Inspector Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final. inspection Certificate of Use and Occupancy Date: Date: Date: C of O # Inspector Inspector Inspector Form #995 Action Press, 685-7000 PERMIT NO.: UNIT NO.:_ . ��v,..,.,.i.r-r�.rry.l..i'��..'��'L`;+tiY}V�. LRL.�F'��,..• R ,.' _ HOR1H 0� ...e .• 11.0 _.;; Town of I US 1' NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT _ PROJECT:N,/¢A/,0*11CAL #IKII Sc#ao L INSPECTION DATE: v —69 — � FLOOR. L.oWE'2 � vrk" WING: BUILDING NO.: A,-r9'r71C. REMARKS: A 9 o V C 6X-outil0 fL0u6H WASTc — LAJ�'%�c� — SI-0KAA Date: tk�KAsAJS W ARrldy- -TE'Src O ,.,.,. o.» W ATc /l A%& "TE'ST E O Excavation - depth and soil conditions Framing - Other: ,v Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: Date: Date: Inspector Inspector Inspector - nspectorElectrical- SF�Ir Electrical -rough _ lumbin nd/or gas rough- ther: Date: u Date: 6,- 61 ` Date: Inspector Inspector Inspector Electrical - final Plumbing and/or gas - final Other:. Date: Date: Date: Inspector Inspector Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy ' Date: Date: Date: —Cof O# Inspector Inspector Inspector sxrD AC11on rress, oeo-iuuu - tb b. 0 a+r"'V,K'vs^^H I`r.`"+1�r"a�'tl'r" 4.. _ . Y ver' � - - '. - .,•ar.r" +.^'7�'S.r�`rrra �" Gr w�.e „hyo Town of `=s.. .+r`°• NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT:, r r �,/� / INSPECTION DATE: �%"%"` UNIT NO.: FLOOR: WING: BUILDING NO.: REMARKS: 4 - Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/ (-�rg—as1 rough - Other: Date: Date: �, Date: Inspector Inspector = -. Inspector Electrical - final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector Inspector. Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: C of O # Inspector Inspector Inspector Form #995 Action Press, 885-7000 - a�'afx+';y;tr? h , .*' . :..a:x �k,•r ty:�• r'i. rt'i 'r-. r�� .� .:,..-.�yw�-czq.ay,;,�:,: ,. „v :. --�:.w,-..`is.'�,-.f „�-.,'--•�►�ji,!j;±. .t'- � t.._.,.� ` ::.=��: PERMIT NO.: UNIT NO.:_ REMARKS: •�M w ` w . •; Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT _ PROJECT: r _ 1' .� INSPECTION DATE: " ZeL FLOOR: WING: BUILDING NO.: 'N 1 Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/of�.- rough - Other: Date: Date: r Date: Inspector Inspector- 1 Inspector Electrical - final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: -Cof 0# Inspector Inspector Inspector Form #995 Action Press, 685-7000 PERMIT NO.: UNIT NO.: �+ Town of f •t'==;� NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT _ PROJECT: V 11%-1 LEI) C- "Btu 1 t-0 t AJ6' INSPECTION DATE:_r7 — 10 FLOOR: UPPCO_ - LEVEL WING: BUILDING NO::.f\TN1_CiIC_ REMARKS: ROc A \A GerAssX scN i `_PLu1A-+ ,iI\jG Co Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: - f v Date: Inspector InspectorJ. _ Inspector Electrical - final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector Inspector Fire Dept - - oil burner, tank, stove,Amoke dbtectors Final inspection Certificate & Use and Occupancy Date: Date: Data: C of O # Inspector Inspector Inspector ro)m axio Action cress, osao-mm ;.��`rt'r..ry�"vi+w^`^�:�,�+, .; � ,. .. �...-rr�ra�.,�w�h,..� _ ,,,., �_�_�..., rL,.� �.t�•r rr.r��.r..s�,,,....,,� .... ,, ��..r--..»y..:N.aw'r..c,:�'aai!ar� HON�H O� eye Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: �/ �; / 51 A INSPECTION DATE: /2 - C UNIT NO.: REMARKS: FLOOR: WING: BUILDING NO.: Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector Inspector. Electrical - final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: -Cof 0# Inspector Inspector Inspector ��"'S`.�3+?"' •k `;�'"_ ,__,...-,per f. ,;,_ _.. .. _ .,.� :+.a.-�� r .+-r.:+.a- ; -r=_ _ � .. ,y, .,�;'��fyY,� Town of �s=;� r`'• NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: - %- INSPECTION DATE: ✓ ' UNIT NO..: FLOOR: WING: BUILDING NO.: REMARKS: Form #995 Action Press, 685-7000 Excavation - depth and soil conditions Framing - Other- Date- Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector Inspector Fire Dept - ' oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date:. C of O # Inspector Inspector Inspector Form #995 Action Press, 685-7000 02/13/2004 11:15 FAX CONSTRUCTION CONTROL —ARTICLE 116.0 780 CMR M.S.B.C. ENGINEERING FINAL AFFIDAVIT PLUMBING & FIRE PROTECTION Robert Nicetta Building Commissioner Town of North Andover 27 Charles Street North Andover, MA 01845 Re: North Andover High School To the Building Commissioner: . I certify that I, or my authorized representative, have inspected the work associated with the permit for the building constructed at 430 Osgood Street (formerly 675 Chickering Road), North Andover, MA 01645, known as the North Andover High School at numerous occasions during construction, and that to the best of my knowledge, information and belief, the work conforms in all respects to the Massachusetts State Building Code and applicable federal regulations. Paul; D!; . Saklklvan, P.E. 40402 42798 Engineer Mass. Reg, No- Fire Protection Mass Reg No. Plumbing Robert W. StfUlvan r Inc. Company 343 Commercial Street Union Wharf Condominium4 Unit .302, Rnstnn MA 02109 Street City State February 12, 2004 Date Then personally appeared the above-named Paul D. SU -W a P.E. and made oath that the above statement by his is true. POA 0, SULLRM 1 PWRVMCFypq My Commission lQ 002/005 PERMIT NO.: UNIT NO.: REMARKS: »OATH oe �4a Town of `�__��'` `'• NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT —PROJECT: 5 t? c- o L INSPECTION DATE: d FLOOR: WING: BUILDING NO.: ) km f Excavation - depth and soil conditions Framing- Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/or gas -rough - . Other: Date: Date: Date: Inspector Inspector Inspector - nspectorElectrical Electric al-final ,,Plumbing and/or gas - final � Other: Date: J ate_ ===- - cl Date: v Inspector Inspector Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: C of 0# Inspector Inspector Inspector '�i°K++lir��A"i'r `w' i"• '� s^ t � r avk:"m;i, • r... .-ili. ,. �,�.,-..�.,�y�.,�.,,>. or � yo o Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: UNIT NO.:_ REMARKS: _ PROJECT: m I' fi+ INSPECTION DATE: { " f FLOOR: WING: BUILDING NO.: Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector Inspector Electrical -final %Plumbing and/or gas - final Other: ( Date: `Date:.:..._ �. c Et Date: Inspector Inspector Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: -Cof 0# Inspector Inspector Inspector rorm amo Acvon rress, ova-iwo 3 0 9 Date. �!�?� . ; ........ F NORTH , TOWN OF NORTH ANDOVER p` ao ,e'ti0 p PERMIT FOR GAS INSTALLATION . This certifies that . ........... ........ • • • • has permission for gas, installation 7�yj S in the buildings of at !� ? :� ....... . , Norif Andover_, Mass. Fee.` 5h . .. Lic. NoP4?.... .. J�aAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer i r� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) ^ Date ___ _ 19 Building Permit # Location. ^_. Owner's Name New Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑ Installing Company Name Address 1 Tc W1�11 � U%, Business Telephoned Name of Licensed Plumber or Gas Fitter Check one ❑ Corp. ❑ Partnership ❑ Firm/Co. Certificate INSURANCE COVERAGE: Check one I have a current liability insurance policy or its substantial equivalent. Yes ❑ No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. 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 Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and Information I have submitted (or entered) in the 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 Gas Code and Chapter 142 of the General Laws. Fee Check # Date APPROVED (Office Use Only) Type of License: ) /> cr'Plumber ❑ Gasfitter Signature of Licensed Plumber or Gas Fitter m, -Master ❑ Journeyman License Number -2— Check 2 - W Z o vi W JI o���<Q� acLL}mIn Boa Z l7 = W F- ..-I- a > ta W ce Vf W Z Q W = W V} � W l9 K W i F� a {�L u7 = R' F z Z o J F i Z L, t- D 3 a O U > W o J g r.. o 13 I SUB-BSMT. IIII III III I I I I I I IIII I I BASEMENT _-.I,I—I __ I I—I I 1ST FLOOR I I l i l l l l I i __I -ill—i 1 I-1_1_ FF _ 2ND FLOOR 3110 FLOOR I I I I I ISI �_ I I I I I I �.._�_ I I I I I 4TH FLOOR I I I I I I T I I I I I _I_—_l—_lI I I I I _III I I I I II j _ _I_I —S S 5TH FLOOR _I 6TH FLOOR I I I I I I I I I I I I I I I I I I I I I I I IIII 7TH FLOOR 8TH FLOOR Installing Company Name Address 1 Tc W1�11 � U%, Business Telephoned Name of Licensed Plumber or Gas Fitter Check one ❑ Corp. ❑ Partnership ❑ Firm/Co. Certificate INSURANCE COVERAGE: Check one I have a current liability insurance policy or its substantial equivalent. Yes ❑ No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. 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 Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and Information I have submitted (or entered) in the 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 Gas Code and Chapter 142 of the General Laws. Fee Check # Date APPROVED (Office Use Only) Type of License: ) /> cr'Plumber ❑ Gasfitter Signature of Licensed Plumber or Gas Fitter m, -Master ❑ Journeyman License Number -2— Check 2 - N2 4052 Date .t~ This certifies that .......... has permission to perform ............. ................ plumbing, in the buildings of f -:4...'... ................ at. .... 2 ..... North Andover, Mass. Fee. 3 e,-7 Lic. No.1y ....... .......... .... .......... LUMBING INSPECTOR 06115/99 14.44 25-00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING �^ � e .; (Print or Type) f C MAP v 3 t) _ /Va 9y�/billJ/�D Da to 9 e City, Town Permi.t '2 .' :=Building / Owner's ----`-9- -- AT. r'Location �7� �a "OD Name..�(✓Geu>� i. f t / 5'p rr 6 KIS Type of Occi.ipancy: New -�- Renovatiofi ❑ Replacement ❑ Plans FIXTURES Submitted: rc f Yes ❑ No ❑ �t x Z N d 14 to N N Z O Y Z = N W W it: J 4! �- V d N O � O W tYj 'y a. d N, U. h .N N •fA .S f V d W', W,: X- a{t .W .N '!• F". !A -..'Z. W 'G. rQ,Nr ,a W = .d N W d U) O 'O J to cc cc h .f d ,^. SC W .LL a . .h V y Y h O a .Y to h >t Z d O O O to X X d W F" O fit: V W Y r. # Q h Q d = N N .d d O a J ,j d Ot x M Q, O �. Q h X i.J m N C D LL O 0 0 d x m O ; SUB-BSMT, BASEMENT. IST FLOOR,; - IND FLOOR F.i I l 3RD FLOOR 1 r `;4TH.FLQOR 'STH FLOOR' w , 4 `6TH FLOOR T 7TH FLOOR `F STH FLOOR y i (Print•or•-Type) •--- Check One: Certificate Installin Com an N me ���/� Cor g.. ' P y / 1..'; p Address ❑ Partnership -- - ❑ -Firm/Company Business Telephone 3 ��� Name of Licensed Plumber or asfitter 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 Massachusetts S to Cas Code and Chapter 142 of the General Laws. I have ' or 'eche owner o i"genl t I do not have liability insurance including completed operations coverage.. v V Signature of Owner/ Agent I have a r ent liability insurance policy to include completed operations coverage. ❑ By Signature of Licensed Plumber Title City/Town APPROVED (OFFICE USE ONL FORM 1240 ii CBBS s WARREN. INC. 1989 Type of Plumbing license _ e00--:22-Master ❑ Journeyman License Number Date_ iS^b N2 39.34 ,0 Cf t 40 oT :,M ? oo o� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ♦ i i ^JS� This certifies that ........................ I;v has permission to perform _, rte. ......... ..... . . plumbing in the fbuildings of ........ .. .. .. at. p , North 4�nyd_over, Mass. FePW~f.... Lic. N .... ..... C.— . ...`�J PLUMBING INSPECTOR" r 022/16/99.11:58 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PE T TO DO PLUMBING (Print or Type) ss Ar: — )Do,,-jC 1(?A , Plass. City, Town Bui.ldinq Location Date - - / - L -� ---- - 19 --- Permit # Owner' Nal11e.. TYL)e of: OcctlOancy New d1_________Renovation ❑ Replacement ❑ Plans FIXTURES submitted: Yes ❑ Nn ❑ (Print or 'Type) /� Check One: Certificate Installing Company Name ❑ Corp. ci Address __ �� ❑ Partnership _ ----- ka\5 J c3txi --- 4 �S— ❑ Firm/Company --- Business Telephone -__ _ Na r 1e of Licensed P1 tuber or Gasfit - - 40211 _ - 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 wish all pertinent provisions of the Massachuselts State Lias Code and Chapter 142 of the General Laws. 1 have informed the owner or his agent that I do not have liability insurance including completed operations coverage. -- Sigma ore of Owner/Agent— —u -- I have a current liability insurance policy to include completed operations coverage. ❑ `�--� ---� 661 13Y ---_ --- 'ignattire of Licensed 1'Iumber Title 7 City/own ____ __ O �Type of Plumh 1g License Master ❑ Journeyman ' APPROVED (OFFICE USE ONLY) License Number f oRM 1240 HOBBS a WAIMEN. Iris. 1969 v m z z N a i)i to H to to _j to o z a ► z y W w W Y to Z N J to Q V' O C7 Z N m M CC M O '� W -A to — F- W N N x N CC 1- 0cc x cc a W V) 0Q Z CC N a W Z Z F- U Z Cr m in Q W �' ~ to Q CC Q N a a LL IX W W x 1.. W N p O J Y to D cc I- J a be 0 a W a tt W �d Lr W Q F- V y Y f_ O 7C d z >< :) to H Z O p p W Z z d W 1- O o x Q < Q x N 4 Q0 Q . t 1. Q ¢ aC cc a 0 a r Y J m V) D q J 3 x 1- rn Y. 0 , a a 3 a m O SUB—BSMT. BASEMENT 1ST FLOOR I 2ND FLOOR 3 2, 3RD FLOOR 4TF1 FLOOR STH FLOOR 6TH FLOOR 7TI1 FLOOR 8TH FLOOR LL (Print or 'Type) /� Check One: Certificate Installing Company Name ❑ Corp. ci Address __ �� ❑ Partnership _ ----- ka\5 J c3txi --- 4 �S— ❑ Firm/Company --- Business Telephone -__ _ Na r 1e of Licensed P1 tuber or Gasfit - - 40211 _ - 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 wish all pertinent provisions of the Massachuselts State Lias Code and Chapter 142 of the General Laws. 1 have informed the owner or his agent that I do not have liability insurance including completed operations coverage. -- Sigma ore of Owner/Agent— —u -- I have a current liability insurance policy to include completed operations coverage. ❑ `�--� ---� 661 13Y ---_ --- 'ignattire of Licensed 1'Iumber Title 7 City/own ____ __ O �Type of Plumh 1g License Master ❑ Journeyman ' APPROVED (OFFICE USE ONLY) License Number f oRM 1240 HOBBS a WAIMEN. Iris. 1969 v m Date.': 4651 NORTH�tic TOWN OF NORTH ANDOVER 41 PERMIT FOR PLUMBING SSAcmus� r This certifies that ..4... ?�,� �.. !`.% a f,� =' has permission to perform .... ....... .............. . plumbing in the buildings of ... r m.� `.4 ............ at ... G ....... .S �.� �.... North Andover; Mass. �} , Fee. � . � Lie. No.. . . v .. ...... PLUMBING INSPECTOR 06/15/99 14:45 25.40 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Typel FORW ARD Date -- — If /�----- — -- 19 City, TownPermit # Y6 S 7 �..Buiidinq %�/7 ko Owner's MAPAT:;Location �'/� Name %j_ CI _ -- -- PARCEL FC do Type of Mnr., 1 P New Renovation ❑ Replacement ❑ Plans ' FIXTURES Submi.tl_ec3: Yes ❑ Ncl n r3 (Print or Type)Check One: Certificate Installing Company Nam 1 Sou' t cT (?41-c Corp. Address P ❑ Partnership ❑ Firm/Company Business Telephone Name of licensed Plumber or Gasfitter herebyaertify that all of the details and informat' have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and install ons rformed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code nd C . pte 42 c General Laws. s I have info ed Sh ner ois age that I t ha tlity insurance including completed operations coverage. 1 Signauu Owncr/AgnM I have a curient liability insurance policy to include completed operations coverage. ❑ By Signature of Licensed P{ tuber "Title Type of Plumbing License City/Town Master ❑Journeyman APPROVED (OFFICE USE ONLY) License Number FGRM 1240 HOBBS 6 WARREN.INC. 1989 zin a fQ N fn Y O v Z < N Z a �' to W CC W)C U) Z N J a N 4 S ~ Z O Z Z to z 0: 4 p O i W N N h N W Y to CC h V d cc W W y >C Z a N � 4 4 L7 Q 4 Q O ~ >< V Z it W m H Q W fn Y � h Q Vl to p Q cc N J Q p 4 CC a tr .0 h W p z J Id IL � X a W LL LL :id cc W P F- tJ Y h O 4 N O N O z O p N Z W F" O a V X 3 is J m to ,p p < J.; Q s Q ►- J in J a o, a cc W o a h o SUB—BSMT. BASEMENT IST FLOOR, 2NDFLOOR 3RD FLOOR ATH FLOOR ISTH FLOOR 6TH FLOOR r 7TH FLOOR r 8TH FLOOR (Print or Type)Check One: Certificate Installing Company Nam 1 Sou' t cT (?41-c Corp. Address P ❑ Partnership ❑ Firm/Company Business Telephone Name of licensed Plumber or Gasfitter herebyaertify that all of the details and informat' have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and install ons rformed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code nd C . pte 42 c General Laws. s I have info ed Sh ner ois age that I t ha tlity insurance including completed operations coverage. 1 Signauu Owncr/AgnM I have a curient liability insurance policy to include completed operations coverage. ❑ By Signature of Licensed P{ tuber "Title Type of Plumbing License City/Town Master ❑Journeyman APPROVED (OFFICE USE ONLY) License Number FGRM 1240 HOBBS 6 WARREN.INC. 1989 EO E01 !.f [- _ ... _. J--" — j _ .. .. I LOT 1 MELESCIUC TF No. 39049 lal 8 -09 S`n�PQ lv� 05600b S� 40, yo�s r/Iaa le /d�d3%9 WE HEREBY CERTIFY THAT WE HAVE EXAMINED rZ�Zz�P$ THE PREMISES AND THAT ALL APPARENT EASEMENTS AND ENCROACHMENTS ARE LOCATED THIS PLAN IS INTENDED FOR ZONING AS SHOWN, THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY. IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY FRCM EXISTING PLANS AND RECORDS WHEN CONSTRUCTED. ALSO, ACCORDING TO THE WITH THE STRUCTURES SHOWN LOCATED F,E,M,A./H,U.C. FLOOD INSURANCE RATE MAP, BY AN INSTRUMENT SURVEY, THIS PLAN COMMUNITY PANEL NO. 25CO98 0005 C __.STRUM .. SU_ ....._..w..w.w�.._--,_w...—mow—e...... Y.. . L SHOULD NUI UUSED tUK WMUINtNIT UH1Cu v/c/PV, LINE DETERMINATION. IN AN ESTABLISHED 100 YR. FLOOD HAZARD ZONE, CERTIFIED PLOT PLAN LOT 2 OSGOOD STREET MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE, SUITE I BROOKVIEW COUNTRY. ;HOMES STONEHAM, MA, 02180 P.O. 8Ox 531 (617) 438-6121 NORTH ANDOVER, MASS, SCALE:1 =40 DATE; 12/22/98