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Permits - Building, Gas, Electrical - Permits - 45 THIRD STREET 4/23/2019
1 l 1 J i II Date.. . I ORTm TOWN OF NORTH IANDOVERSTALLATION PERMIT FOR GAS IN SSAC US III �q_�'e�y Mq.O'�y�M♦`�al� ICI I . . . . . . . . . . . . This certifies that.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . w . . . . . . . . North Andover, Mass. at .No..,.'." . � ; Lie. No.. . � . . . `Fee . . . . . GASINSPECT � � . . . . . . . . WWiITS Applicant CANARY: Building Dept. PINK:Treasursr 0 OV14 VUtl VI HMI I I U UU "A,-�H I I INU (Print or Ty pe) Mass. Date Permit # Building Location Owner*s Name 41 Type of Occupancy. New Renovation Fi Replacement E] Plans Submitted: YesEl No E] -Gcc Z cc 93 0 W w , It 07 W 0 0 W 0 0 W k W 0 0 Z W cc 0 X C'3 0 W ul 0 0 0 4 = z > cc < cc 0 W W fn W z cc W cc W cc 0 0 0 taa > M W 0 0 0 0 -J-T SUB-BSMT.+F BASEMENT 1ST FLOOR ND FLOOR 3RD FLOOR 2 4-T-H FLOOR STH FLOOR GTHFLOOR 7TH FLOOR BTH FLOOR E--H Installing Company Name BAY STATE GAS COMPANY Check one: Certificate Address 55 MARSTON STREET Corporation 1862 LAWRENCE, MA 01840 Ej Partnership Business Telephone .683-1105 1-1 Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes K No 0 If you Dave checked yes, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy Other type of Indemnity Bond El 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-0 Agent 0 Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in abo plication are true and a(=We to the best of my knowledge and that all plumbing work and installations performed under the permit Issu f r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. in abo P,cauon are'Su is,,h Gene f r1h application s_ BY. T of License:Plumber ,u= Signature of Licensed Plumber or Gas fz<i G,asr Title Master er license Number 8697 City/Town .Journeyman APPROVED-T OFFICE TS-F-UN-LY7- r r, 0 Bay State Gas Company / INSTALLATIONGAS .� Date .m..._�.�......... � � . ... .. ...� _. _mn� ti. ew ww w. Ins t'a ati of" i a r'pry I��II[�g�+' �Qgy�' ppry y� ; i'WgarM i"'�x,M A Rrv.N' ..w...............�........,......_.... ..,....�,W.,......w..,.�...0_....,..,,w......m..._.,.k. m..,.......,.....,........��.....................,. .....,.,..........u,..........�.W...,..,..�.....,w,....,..........m�........w.......,.m....m.a. "u j BSG Representative, '%AIT ISSLIED _w. __.........._.... ..._.w.n. ww._wm .w_.._m ._._.._...._w......... _._._..........__._..__..._...._ s Portion of Authorization ...Fo e Returned to BSGw k,ispectiori Has Bee�,,,� Made of firma FoHowung Gas Equipment- Heating ern LJ Input Range Water, eater EJ Clothes Dryer rn Heater 0 -. urNork Has Been Done Ir"i Accordarice With The Massachusetts Gaso� n Is Ready For Use. i J office Use only Flemit No. Lgammillurafth of gas 7 "11 13partmzrn of Vublk —%fzf'g Occupancy& Fee Checked (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 C'M 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All ,vcrK to be performed in accordance with the Massacnusetts Electrical Code, 527 CM 12:09,' (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date or Town To the In pecic`r of Wires: The Lidersignect acclies for a permit to ptar e� rn ne eiect�ical yvark described below. Location (Street & ,,jurnter) x (Owner or TenantL Owner's Adwress is this permit in conjunction witm a building permit: yes No f,--7 (C�eck Appropriate Sox) P,jrccse cl Utility Auzrcrization No. Exis-,ing -SerAce Arras _Vc Overneac Urcarric No. of Me(ers New Ser-:ice Arnas —1/cits Cverreac uncgrnc No. of Meters Numcer 3t =eecers arc Amcacity Lo=;cr- arc c, :1—.zcsec L Na. Toaai No. =.1 --::s No, af 7ransfarr-ners Acove— !n- Nc. at Swim ming zooi grria. c. Generators KVA No. at Emergency Lignting Nc. :t 1=e No. at Cil �urners zec:ac:q Cutlets Sanery Units .No. at SH,tcn Cucfeis No. or Gas -=::rners FIRE ALARMS No. of 'cues oral No. of Cetec-ion aric No. Rarges No. of Air Cznc. tans initia(ing I-ewces '4c.:;r No. at `Feat Iotai Totalcisccsais Pun cs Tans No. of Scuncmg Cevices No, at Seif Containec No. of Z,snwasrers ScaaetArea !eating OetecnaniScuricing cevices Na. -.f Zr-.,ers W.eattng :Iev;ces K.v '-coal Murtc:cai Conrec"=n No. or Na. or 1 ow licitage No, at '.Vater ;,eaters Sicrs sallasts Wirinc 140. 7!vcrc Massace Tuns No, of Motors -,oiai iNSuRA,NC=- �--�rsuari, ;o tne recuirerrients at %*Iassacn"ans garierat I-aws 1 have a r rrert actitty/Insuance °ojjc-j 'nc:ur N :rc; car-,o:elec Ccerations Czverage or is suostantlai ecLivalent- YES 0 nave suamir*,ec vanc zact ,t same to :ne Chce. YES d2'7Nc you -ave z- cxec YES. ::lease incicate me type at average =v �y cnec.King -ne aocro,61naze ::cx, Ile INSURANCZ ;j' SCN0 -- 071HEP -- �Please Scec:�,/) oiraTion Octet Esurratea vacua at E":ec*ncai 'Narx S WCrK :0 Star- inscec-:cn Cate ;;ecueszac: Rcugn F,nai S�gnec ;ncer �ne Penaines at -;erjury-, NO =;R,',A -14A.,�iE Afl-41 , NO, Ucerisee Sus. 7al. No. d Alt. 7ei. No. VQ' '7; OWNER'S [NSURANC'-: WAi%/EP: I aware !rat irle 1-:censee aces ^Qr nave me insurance coverage or its suostantial eauivalent as re- ouirea ov Massacnusetts Ganerai Laws. ano mat my signature an :n;s cermit acpiicatlian Waives mis recuirement. C J,, �2 Agent,,, P is � eaa cnecx ones -eiecn.cne No, _ PERMIT FEE nature cc Caner cr Agenn a I�IsI �L�11 APPLICATION FOR PERJ41T `1'C BUI1,D"**NORT11 AN O` ER, MA RI%P NO. LOLNO) _ 2. RECORD OF OWNIRSUIP DAIT BOOK PAGE r 111nc - Still 1IIV. 1.1rFNO. 1 0( A I ION - '' PURPOSE OF BUII DING =� OWN ER'S14A),IE i =NO, S"i Y)IIIES - - - - 5171= OWNER'S A)D?IZ SS -� ,-�- _ - BASEMENT Oil SIAll a - AR(I II I FCI'S NAmF SIZE(N 11 U OR I IMIIERS 1 ST 2ND 3 Ill III DER'S NAME SPAN DIS I ANCF 70 NEARES-1 FIUII DING DIMENSIONS OI SILLS DIS IANCE I ROM S IRFE I DIMENSIONS OF IIOS IS 1ISIANCEFROMIOTLINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONIAGE IuGIIF01:FOUFIDAI ION THICKNESS IS BUILDING NEW SIZE OF FOOI ING x 9 IS BUI!-DI NG ADD[Tlt)k! MAFERIAL Or CHIMNEY 1S BiIILOItdCi ALTERATION Q IS BUILDING OdSOI11)OR Fit I-EDLAND W111.BUILDING CONFORM TO REQ111REMENI-S OF CODE = IS BUILDING CONNECTED 1 OI OWN WA I ER BOARD OF APPEALS ACT ION, IF ANY � � �� IS BUILDING CCNdNECIED101 OWN SEWER I S BUII.I)ING CONNECT EE)I()NA I IIRAI.GAS I I NE INSIIICHONS 3. PROPE11-1`YINFORNIATION iANDCOST ES 1. BI I X;.Cos r P-NGE I FB.I.Of IT SECT IONS 1-3 ES 1. Bi.Dt;.COS I PLR SQ. FT. ES 1. BI.D o.COS 1 PER ROOM El ECIRICMETERS MUST BE ON{N ITS]DE O1'BUII DING SEV11C PERMI I NO. A n ACI IED GARAGES MUST CC)NFORM'FO S FATF FIRE REt k ILAFI NS PLANSMUSTBEFII.EDANI)APPROVEDBYRIIIi-DINt)INSPECFOFR Rilil_ hIi3S `1t)i{ DAtE Fit EI3 OWNERSIFt9 � 3 � C(WIRA1-1 r S1GNa1l1REt71�OWNI=RtNYAtI-11KktlZS;E)A(',CNI i _ CTNTIR.I.1cm i1.LC.11 PE_RMN GRAN11;1) _ r I r1O R-ovm Of TEY 4 Andover ® L d?� O dover, Mass., C? EAxe 94_10tFNCHEw'c' rG BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System // BUILDING INSPECTOR THIS CERTIFIES THAT ..................... .. .....................1 .L-.:. r ...............-... ....................... Foundation 1 has permission to erect..........J.. - r.. tF S-Sn .......... ............. .. ........ ............. •`•.........._..... ..... Rough n '. tobe occupied as.......................................... '`� ........�9 -... :. .................................................................. chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN b MONTHS T ELECTRICAL INSPECTOR UNLESS CONSTRUCTION Rough �......... .............................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry (Nall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. registry of Deeds Northern district of Essex County — _- --- --- --- ---- _.--- - Lawrence, MA 01840 07/20/98 KATHLEEN KIRKPATRICK CT # 39 €sec Type ELAN 13.00 Iftst 3J= Copies 2.50 # 40 Rees Type DECaN 10.00 Itit 1kv7 Copies 0.75 Total 26.25 ----- -------.--_�_ -- # 41. Payment Cash 40.00 # 4,2 Change M 15 THANK YOU! Thomas J. Burke moister of Deeds ,40�T+i ��O�iN*yio_'•��p O; 40 o a R0Z.40 ; a JOYCE BRADSHAW TOWN CLERK sw "O.Ate*A , NORTH ANDOVER �'VsRHl7'SS is fD cerdly twWow(2c)dz" ��N r 1 hVGelepaedfrenaclalleafdKWWlbd TOWN OF NORTH ANDOVER t.l t f161g b aL. �g MASSAeWUSE f'rS - IS.Boom pp T BOARD OF APIE- A.LS A'.1°MIOCCpy Town CI-M* Any Wpeal shall be tiled vermin�aat�vs �a NOTICE OF DECISION date of fitaag of this Notir Prap+arty: Mapis Ave, (corner of Maple Ave. and Third St.) in the Office of the Fowl/Clerk. NAME:. Kathleen Kirkpatrick uATE: 6/10198 ADDRESS: 45 Third St, PETITION: W e--- North Andover, MA 01845 HEARING:5/19198& 198 The Board of Appeals held a regular meeting on Tuesday evening.Jude 9, 1998 upon the application of Kathleen Kirkpatrick,49 Third St., North Andover, MA, in the R-4 Zoning District, requesting a Variance from the requirements of Section 7, Paragraph 7.3 for relief of street frontage takers from Maple Ave., and side setback to construct a deck and for a Special Permit for Section 9, paragraph 9.1 &9.2 to allow construction of a deck on an existing dwelling. The following members were present: wiliarn J. Sullivan, Robert Ford, Ellen McIntyre, John Pallone, George Earley. The hearing was advertised in the Lawrence Tribune on 4/28/98&515/98 and all abutters were notified by regular mail. Upon a motion made by John Pallone, and seconded by Robert Ford,the Board of Appeals voted to GRANT a Variance requested from the requirements of Section 7, Paragraph 7.2 &7.3 for relief of street frontage of 6'taken from Maple Ave.,front setback of T,side setbacks of 8' &5' as shown an plan dated 4120/98 by Scott Giles, R.P.L.S., and to GRANT a Special Permit to allow construction of a deck on an existing dwelling, and that any increase in volume, area, or extent of the non-conforming use shall not exceed an aggregate of more than 25% of the original use. Voting in favor. William J.Sullivan, Robert Ford, John Pallone, George Earley, Ellen McIntyre. The petitioner has satisfied the provision of Section 10,paragraph 10.4 of the Zoning Bylaw and that the granting of these variances will not adversely affect the neighborhood or derogate from the Intent and purpose of the Zoning Bylaw. Note: The granting of the Variance and/or Special Permit as requested by the applicant do"not necessarily ensure the granting of ai Building permit as the applicant must abide by all applicable local, state and federal and building moles and regulations.prior to the issuance of a building permit as requested by the Building Commission. BOAR©OF APPEALS r William J. Sullivan. Chairman rnl/decoctd4 1 cf') Ix x f v v e- fJ v 116) , Location No. Clete jTOWN OF NORTH ANDO F1tlR'Ppy VER certificate of Occupancy � . � x r . « Building/Frame Permit Fe � �c s e f per"",� uru �oundaitPo s M , n� er ml, flee dther Permh I r F Sewer Connection Fee Water 1 er Connection Fee r TOTAL 1 �'✓ A`; , �;/ e idWJpr. may,- - "^m e�rllding Inspec wp� i _.,,.. Div. Public � _... .. VVcsri�s PERMIT NO � �J APPLICATION PERMIT TO BUILD NORTH ANDOVER, MASS. PAGE 1 MAP 4-4 , LOT NO. 12 RECORD OF OWNERSHIP IDATE 1SOOK ;PAGE I � I ZONE _SUB DIV L6T NO. �F — LOCATION 7 � ���� eg All A _ ?. 4lr STORIES E _ t 4YHER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME � SIZE OF FLOOR TIMBERS IST�.._ 2NO 3RD SPAN €DISTANCE TO DEAREST SUIL NG -DIMENSIONS OF SILLS DISTANCE FROM STREET ., ., POSTS DISTANCE FROM LOT LILIES- SIDES BEAR GIRDER AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION MAT ER:AL OF CHIMNEY I BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER aOA.RD OF APPEALS ACTION, IF ANY 1S BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES -EST. BLDG. COST PAGE I FILL OUT SECTIONS 1 - 3 E' T, 8LDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS i $2 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING APPROVED Y ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PCANS MUST SE FILED AND APPROVED BY BUILDING INSPECTOR TE FILED gz sy - s r BOARD OF HFALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT -- F E E T Y -, 6 BOARD PERMIT GRANTED 3_ }_ v ' BOARD OF BE rL'{ i€ Town o 11 '�' '.'o.Ft Andover No. 253 C, dover, Mass., Xw",j i 19 0 A T F ID P'�' 1� BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES TH ...... ............. AT-0 0-T, ri 0, Foundation ............................ Rough has permission to erect.,40#0WIS... buildings on ....... to be occupied as.,04rAq.4#..;0...V..411g.g.e.p.o.0.................................................................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMFF EXPJEES IN 6 TVION'-f-HS ELECTRICAL INSPECTOR UNLESS CO NS'MUCTION '_'T�N'RTS A&M Rough .......AVAloffft.... �6k_ Service Final Occvanc� Penitit Reqttired w Occitpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT U ntil Inspected and Approved by the Building Inspector. Burner Street No. PLANNING FINAL CONSERVATION —FINAL Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT . . M�J ,- Sh. ' / .'.�� �PiMv�oa• _. y ��*� �" }-'X� � ^IL � � o-! 9�win `.���' �„�, y & FiTH CHE SFORDr MA Q� [Page Nr� " o Pages LOCAMON To- 7 � ... ......... ............__.. ............ .__ —__ ... PHONE - - -- `DA'1'6 - We hereby submit specifications and estimates for: .... ... .... ................ ............................_....................... ...,..,..,...... ��!.r..lr. ..... ... i .............. ... ........ ... .. ...... _r"!�/a,(�'.... r'U 1 TU. ....,... .D.�1.C! ..._,... h. ...... �.. .............C1G...f ..: 5..........[i�1!.C'r� ecl ........... .........._ ......... . ".. ' r�°._.. [�. ......._ ./r/ rho. ..._........ .✓ f. .......--e.G v f .ZG<4 ......... f . .. 5..:W e e _ ........ .... j. ............... ............. ....... ... .._... . ............ ei 7 . ......... .... ...-.-...,,..,_., ...........,....... --_- ........ .. ..... WE PROPOSE to fu ish material and labor—co plete in accordance with these specifications,for the sumof- hereby O 4 r dollars( �' Paya e as follows: / °a� C yrt /P �!�' - ° iu�t CGS V All material is guarantee([to be as specified.All work to be completed in a workmanlike manner Authorized according to standard practices.Any alteration or deviation from above specifications involving Signature -extra costs wiSl be executed only upon written orders,and will become an extra charge over .. and above the estimate.All agreements contingent upon strikes,accidents or delays beyond NOTE:This proposal may be withdrawn our control.Owner to carry fire,tornado,and other necessary insurance.Our workers are fully by us if not accepted within a -A ys. covered by Workmen's Compensation Insurance, ACCEPTANCE OF PROPOSAL—The prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be!Wade as outlined above. 7 6S' nature Date' __ Signature Date i ------ PROOl1CT5J6 nTsi1-Gfcw.M-4iVi To Order PHONE TOLL FREE 1-900-225fi7B6 -- :. �r�Street OFFICES OF: � p I��North Andover. BUILDING w,�*:� ;� DIVISION Off' (6 i 7) S-4�®ee l CONSERVATION H E-\LTH pi..-\NN1NG PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR In accprdancc with the provisions of MCL, c 40, S 54, a condition of Building Permit Number ' @W is that the dcbris resulting from this work shall be disposed' of in a preperiv licc:tsc-d solid waste disposal facility as defincd by %iGL c 111, S 15(7� The debris will �,e disposes of in: � ��� r ` "."" ��„ pP � �� � r o ' ` (L.oczuon of a acuity) . I Signature of Pc.=it Appiic:nt Date w.O n e aiit cn oer=i-t frc= :he Town of ':Tor= Andover must be obtu-nec. =cr n- S or^ ecc =roug'r t,.e OT _ce of the 3u ?da^ Inspector. f Location No. / 0 Date I; ,40RTsl TOWN OF NORTH i Certificate of Occupancy $ Building/Frame Permit Fee 16 .,Foundatfort'°Permit Fee Other Permit Fee $ h < Sewer Connection Fee $ Water Connection Fee I TOTAL $ l r I r a)ri,/ Building Inspector -;.�i f Div. public Works 1MMfxj 'ERAftT NO.— /1 411 , APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE I MAP+40. LO 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE B DIV. LOT NO. r-- -'e-T LOCATION PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIES SIZE AVE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT*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 fN f1l, REAR ) GIRDERS z '�--C) AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION MATER:AL OF CHI MNEY 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 IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE I FILL OUT SECTIONS 1 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BUILDING msmcmii 91 ATURE OF OWNER OR AUTHORIZED AGENT >) F E E OWNERTEL# PERMIT GRANTED CD CONTR.TEL# CONTR.LIC.# H.I.C.# I SORT own of Andover Igo. /O0 Zo _ lover, Mass., 19 n C4 CH CH Ex IC � g4rFo PIP .� soft BOARD OF HEALTH Food/Kitchen In rEK"Mm'k M I U Septic System BUILDING INSPECTOR THIS CERTIFIES THAT . .. �....— ........... f.. .. .. Foundation has permission to erect.......... :£5. .............. ��.. ................ 1. .. .I,'J'�,.. ............. ..fi. Rough to be occupied as....................................4.15 .. �............. ?UL . .......... .k . .....Pox)... ..... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on fife in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover, PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS LESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR Rough .................................... t .... ........................................... Service B DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove - Final No Lathing or Dry Fall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. _ Smoke Det. FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvalslperrNts from Boards and ^^;)artnients having jurisdiction have been obtained. This does not reilieve the applicant and/or landowner from compliance with any applicable or requirements, '°***APPLICANT FILLS OUT THIS SECTION T APPLICANT /I A T C PHONE,.._.:. : - ! 7 .>/ LOCATION: Assessor's Map Number PARCEL / SUBDIVISION M LOT(S) ST. NUMBER OFFICIAL USE ONLY RECOIW!M� P DATIONS OF TO N AGENTS: ILNLP& CONSERVA ION ADMINISTRATOR CAFE APPROVED DATE REJECTED COMMENTS r ' r P TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE.�d� .� 45 'Third 6treet Nortis Andover, 4la00901W'Setts Scrle• 1" 40, Huyer: Francis Kirkpatrick tilarch 4, 1980 l 1 4 , \ jk- OP -� S 5 .f NUTS: This is not a survey and is to be used for mortgage purposes only. .- Do not use offsets for establishing lot lines for the erection of fences, valls, hedges, etc. I hereby certify that the building on this property is located as shown on plan and co4li.ed with the zoning set Lack requirements of -the _ T n f North Andover when constructed, . -'• "; . obi ,O y_,l' •� .,....,,r `,':,,', NOT APPLICABLE: TO FLOOD FUIN ZONING. l: + CYEt FiNGZ4ERi NG SERVICES, INC. 304 CANAL STREET D WHENGF, MASSACHUSE.'TTS +��'� t 6 s Location L M ` W J; No Date F44 RTjjTOWN OF NORTH ,.� Certificate of Occupancy I � S iidinglFr me Permit Fee $ 1 27. Foundation Permit Fee $ 1 Other Permit Fee < Suer Connection Fee Water Connection Fee 1' ' TOTAL � �. Building Inspector Div. Public Works PER111T NO. A APPLICATION FOR PERMIT TO BUILD - NORTH AND OVER, ASS. PAGE I MAP 4-4 . LOT NO. 2 RECORD OF OWN ERSHIP IDATE BOOK PAGE ZONE SUB DIV.LOT NO. LOCATION t� TI 2�t PURPOSE OF BUILDING OWNER'S NAM -`'I Z` NO. OF STORIES Iv SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST END 3RD BUILDER'S NAME � � '_ � �n-� �"� 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 K - 15 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 130ARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE _p 3 PROPERTY INFORMATION INSTRUCTIONS LAND COST SEE aOTH SIDES EST. BLDG. COST _ PAGE I FILL OUT SECTIONS 9 5 EST. BLDG. COST PER SQ. FT. RACE 2 FILL OUT SECTIONS @ a 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING APPROVED BY .. ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS FLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR t ELATE FILED _ � & BUILDING INSPECTOR SIGNATURE OF OWNER OR AU��� GEIVT F E E OWNER TEL.# PERMIT GRANTED CONTR.TEL.# 1 COT .LIC.# .L .# 104 �O lul NORTH Town of O Andover 4 4 11 -M No. 7E� 117 rt dover, Mass., __19C( CDCH�CHEWICK H BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......W-A ............................ . ..... ................................................................................... Foundation has permission to erect.A&X Rough k ........ ........ buildings on ...4�.7TWJZ'C�........ST... ........... ........... ...... ChimneyM........ . .. ...... ......................... ................... to be occupied as,.. provided that the person accepting this permK shall in every respect conform to the terms of the application on file in Final :.this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXP IN-.,6 MONTHS ELECTRICAL INSPECTOR UNLESS CON Rough ...... .............................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner FIRE DEPARTMENT PLANNING FINAL CONSERVATION FINAL Street No, Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT A w r , �a . r Own RN 67 v w 4 HOME .3KKO vEj ��� k n �04 d48 € a 1, r, .p'w, ,5'i A�F1 �y0L�mlrrr ���, eiro„ ra ,_eo7�.,mrl,ui run>7 �J y^ rv�b ✓� • o�p� tom�IlUtl�'". ,L.oc at!on w No. Date TOWN OF NORTH ANDOVER 4 Certificate of Occupancy $ � g Building/Frame Permit Fee $ . . � Al►�� Foundation Permit Fee ..�,.��... �� �m� �„ Other Permit F Sever Connection Fee $ . Water Connection Fee $ TOTAL r r � < f Building Inspector 7281 r . Div. Public Works ,s � PERA O. 2-2 APPLICATION FOR PERMIT TO BUILD7 , MASS. PAGE 1 A -4 . LOT NO. � 2 RECORD OF OWNERSHIP IDATE BOOK � PAG� 7ONE SUB DIV LOT NCB. O T:O PURPOSE OF BUILDING OWNER'S NAME - NO. OF STORIES SIZE ZE 4�� OWNER'S ADDRESS F .ASE.E T OR SL.A ARCHITECT'S NAME � SIZE OF FLOOD TIMBERS 1ST 2ND 3RD BUILDER'S NAME ' I SPAN - _ �c Aev 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 IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION i IS BUILDING ON SOLID OR FILLED LAID _--. WILL BUILDING CONFORM. TO REQUIREMENTS OF CODE ve IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY - IS BUILDING CONNECTED TO TOwN SEWER IS BUILDING CONNECTED TO NATURAL CAS LINE INSTRUCTIONS 1 3 PROPERTY 114FORMATION LAND COST SEE BOTH SIDES d� EST, SLD COST - FADE I FILL OUT SECTIONS S e 3 3 - EST. BLDG. COST PER GQ. FT. RAGE 2 FILL OUT SECTIONS I - 52 EST. IIIILDG. COST PER ROOM _-. BEFTIC PERMIT NO. -- ELECTRIC METERS MUST E ON OUTSIDE OF BUILDING APPROVED BY ATTACHED GARAGES NIUST CONFORM TO STATE FIRE REGULATIONS --_. PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE - FILED BOARD OF HEALTH €GI ATU E OF O N - AUTHORIZED AGENT FEE ' 0 ; =I - .n -y PLANNING BOARD PERMIT GRANTED ,r BOARD OF SELECTMEN RT . 10VM 0 �)o dover No. 19 or dower, Mass., 19 ft ,q CI)CH IC MFwIC_k �:Tg BOARD OF HEALTH PERMIT T 01L �u Food/Kitchen Septic System BUILDING INSPECTOR .. ........ . ...... .. � .. .. .THIS CERTIFIES THAT...... .. .. .. .. .. .. .. Foundation has permission to erect.. ... ........ build son .... fro&i Rough t0 be tICCUp[ed as........ Chimney .................................................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough I)E)Vf E E 6 M HS Final UNLESS ��,$ ��'�� �, Ur_'_i � I ,. .� #Tii ELECTRICAL INSPECTOR Rough .. .. ... Service BUIL ING 4INSP Final Om�jxmcy. rm i���� Fcgmlire to 0(_-(_-i(j)y 13i,dldblo GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT 120 MaLnStreet OFFICES OF: �,. :• NORTH ANDOVER� � � North Andover. l APPEALS(''� 1W asSach tl s 0184E BUILDING 'ay` ia' DIVISION OF .,_ (617)68S-4775 i CONSERVATION HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR 6n accordance with the provisions of MGL„ c 4(), S 54, a condition of Building Permit Number ,1 '; a is that the debris resulting from this work shall be disposed of in a properly licenscd solid waste disposal facility as dcC;ncd by ^.1GL. c 111, S 156'6.- The debris will be disposed of in: (L-ocation of Facility) . l SiLnature of Permit Appii t to NOT: Demolition permit from the Town of North Andover must be obtained for this aroject through the Office of the Building Inspector. tocatiarr r No. Date 1 0� 1dC1R"R`ggTOWN OF NORTH ANDOVER I 8 certificate of Occupancy s Building/Fram,e Permit Fee � �CMus Foundation Permit Fee _. Other Permit Fee Sever Connection Fee $ Water Connection Fee TOTAL 4 � !' �uiiding Inspector 740 Div. Public Works PERAfl- NO 6 APPLICATION FOR PERMIT BUILD ® NORTH ANDOVER, MASS. `PAGE, 2 MAP 340, LOT NO. 2 RE-ORD OF OWNERSHIP DATE BOOK !IMAGE ZONE SUB DIV, LOT NO. t OCATI N PURPOSE IMF _ k a 4 a _ . OWNER'S NAME _¢ NO. OF STORIES SIZE BASEMENT SLA ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST j l� 2ND 3RD SUILDER'S NAME BAN - - iR TANCE T6 NEAREST SU€L €NG DIMFNS9ONS OF SILLS �. DISTANCE FROM STREET POSTS D➢STANCE FROM LOT LINES—SIDES AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION T4iC NESS IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDI-11ON ,,r� �MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND ILL BUILDING CONFORM TO REQUIREMENTS OF CODE r 15 BUILDING CONNECTED TO TOWN WATER ��-BOARD CE APPEALS ACTION. IF .ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CC NECTED T NATURAL GAS L114E INSTRUCTIONS 3 PROPERTY- INFORMATION LAND COST SEE BOTH SIDES .., COST PAGE : FILL OUT SECTIONS I . 3 T T'. L C � '. PAGE 2 FILL 6l#T SECTIONS ➢ - 12 SST, BLDG. COST PER ItooM SEPTIC PERMIT NO. ELECTRIC HSTEPS MUST BE ON OUTSIDE OF BUILDING APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR _. DATE FILED BOARD OHF-ALTH SIGN 4U E OF Ow R€R AUT ORIZED AGENT -- F E E -' r i t, L u f PLANNINGARD PERMIT GRANTED W °l, - BOARD OF GELECTMEAl MINING INSP i r F (3ver T04hwn Of 0 And No. 553. ° b A ®rah laver, Mass., M e• 19 t ,K �-g OV �A ate'A T E U P� �'`•'�3'� E4 BOARD OF HEALTH PERMIT TU lim I UFood/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............... . .... .. ... .. ... .....�. .. . . ... Foundation has permission to eAt. 1%P ....... buildings on ..... ®.. .. Rough to be occupied as...010 IWAALP iIII11. ... J*.oP 1 (# J,To �. Chimney provided that the person accepting this permit shall in every respect conform to the�errns of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Trough M(-., FHS Final UNLESS C0N _F U( ," 0t"� s ELECTRICAL INSPECTOR Rough Service BUILDING'TMMCTOR Final OC.Cd,tPctncy Pe 1"ILI �. GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do. Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL street No. Smoke Det, SEINER/WATER FINAL DRIVEWAY ENTRY PERMIT ��� 1 jZx COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE °"rR s�01l��Rgl�rr MASSACHUSETTS BOSTON,MA 02108 j I T G I.0'; f6�00 EXPIRATION DATE T I, f,J F' CAUTION / 1 /1 �� FOR PROTECTION AGAINST r,c j EFFECTIVE DATE uC-NO. THEFT, PUT RIGHT THUMB RESTRICTIONS ' NONE ,.� - PRINT IN APPROPRIATE n ' BOX ON LICENSE. BLASTING OPERATORS S5 # 034-46-8979 ;it) rl(��L•,��,�!1I�1) � f'1 96:5 z MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) FEj:,r V` p Ylj n nI NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED OR-SIGNATURE OF THE COMMISSIONER DOB. f 6/01 /1956�. a THIS DOCUMENT MUST BE i « SIGN NAME IN FULL ABOVE SIGNATURE LINE CARHIED ON THE PERSON OF I NSEE "t `','. THE HOLDER WHEN EN- j pT}I I ]dIGK NUMB PRINT GAGEDINYHI$OCCUPATION. ! COMMISSIONER r n nd�rrr niry ��Rf['G�7AOtIlfPO�IRG�•fIRJJ7PRNJf��J DRIVER'S LICENSE HO ME IMPROVEMENT CONTRACTOR Registration 108524 034468879 05-01-97 Type - DBA 06-01-36 M Expiration 48/19/94 Im 0 5-06 New England Custom Builders PROVENCHER ROBERT A Robert A. Provencher Ili PRINCETON ST, III Princeton St- N Ct-IELIff$FORB MA ADMINISTRATOR N. Chelmsford MA 01863 ;'. /`-" '["-r"'° 04863-1,531 NEW ENGLAND . I ' 70SAL GUST'] BUILDERSS PRM z a 1 Prenon S&eet NORTH &ELMSFORD, MA 01Efi Page N., of Pages JOB NAMDNO- (5 ) 251- 73 n 4). ® CATIq To: i r� l PHONE DATE We hereby submit specifications'agd pstfmatcs for: t r — " l SY. r � x f € J 1 WE PROPOSE hereby to furnish material and labor—complete in accordance with these specifications.for the sum ct': dollars E All m tw7itl i4llamrlteed u,he ns�p dried VI Work In Uc,or ipltn r m o workmanlike manner Authorized ai.r oEdty to Sta nilard pr<kcucE s Atn,ilt[.nation or dn-Eu[-c n cc m ahocr pec'ilkcaLonS involving r f eNiri i:�sts Will br ern utxrc4 Dolt tipoit irrlicen �rdc rs.Mid ulil ix zinc ,rn eecra charge over Signature and-iixno iha ctittintau, 111 a�reeneents cnniln�e:nE.upon tr kes_ ue d[exs ni'deiay5 beyond :nrr�oknt rut.Uu'nrr to i,an�'li;N.tornado.ann❑ther nee r,,can{n_=_u E,tnte-Our 0.'n rkerb ere I'rtH� COTE This proposal may be withdrawn I by us if Fiat accepted Withilt cla}--. cmureki bv A1'or}ctk7r n's Cnmpens:uinn I115ura11 r. . ACCEPTANCE O PROPOSAL The prices,specifications and conditions are satisfactory-and are hereby accepted.You are;Ulth:)nzcd Ict tiO � he work as specified.11avrnent will be made as Outlined above. . Si net.ure _ �et[e_� Si ttarure ---- E r .,.....+, Town- '-Off. . I2,o Main Street OFFICES OF: North Andover. APPEALS :�#+*= .:': NORTH OVEN Massachusetts O t845 BUILDING : »�r (6I7)685•4775 CONSERVATION DIVISION OF L p PLANNING & COMMUNITY DEVELOPMENT PLANNING KAREN H.P. NELSON, DIRECTOR In accordance with the provisions of MGL c 40, S 54; a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properiv licensed solid waste disposal facility_ as defined by MGL c 111, S 150A "The debris will be disposed of in: c� (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office or the Building Inspector, - or's e 91 xe allf r p e ey ,. spa vpfY 91/xJd/ �rE' f - J APPLICATION FOR PERMIT TO BUILD NORTH ANDOVER, MASS. PAGE I MAP 440.f, 'LOT NO. 2 RECORD OF OWNERSHIP ]DATE BOOK ;PAGE c -- -- — — - ---- I - 1 —1 — ZONE SUB DIY. LOT NO. Irij, , LOCATION hPURPOSE OF BUILDING OWNER'S NAME No. or 91FOR.-Es SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2NO 3RO OUtLDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES SIDES REAR GIRDERS AREA OF LOT ie FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF F-0 x / 5, 3 19 BUILDING ADDITION MATER:AL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID ON FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE fAl IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY 19 BUILDING CONNECTED TO TOWN SEWER rL 19 BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COOT SEE BOTH SIDES EST. BLDG- COST PAGE I FILL OUT SECTIONS I - 3 EST. BLDG. COST PER 6Q. FT. PAGE 2 FILL OUT SECTIONS I - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT 140. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATA�ILEI;' olumuffull, Imspitumi GIGNATdkl OFy-46WNER OR AUTHORIZED AGENT FEE OWNER TEL# � 7 6- PERMIT GRANTED CONTR.TEL CONTR.UQ# NIX.I � �Town of oRry ti_ 4 - Andover No. /D a. * _ T �=- i9 dover, Mass., Q' _COCMICME ICK V �G BOARD OF HEALTH PE 01001, M I T D Food/Kitchen Septic System e BUILDING INSPECTOR THIS CERTIFIES THAT............................................ 1. O� ....... ... .f. .. .../....C.. Foundation r � has permission to erect.........pa..,d.................. buildings on ....... ... ............ .�.. ./D..............S...-r............... ® Rough to be occupied as.......................................�4B ......... .. .. {. .. ....... 41.../.5�� �°..�. .. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST ELECTRICAL INSPECTOR T Rough ..............................I. Service LDING INSPECTOR Final Odcupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT [Until inspected and Approved by the Building Inspector. Burner Street No. Smoke E eLm }'i3OT P I AN 45 Third :street North Andover, Massachusetts Scale: 111 = 401 Huger: Francis j . Kirkpatrick March 4, 1980 ey" o 1� f NOTE- This is not a survey and is to be used for mortgage purposes only. .- Do not use offsets for establishing lot lines for the erection of fences, walls, hedges, etc. I hereby certify that the building on this property is located as shown on plari and complied with the zoning not back requirement s of the Town of North Andover when constructed, NOT APPLICABLE TO BLOOD PLAIN ZONING. C7TZ .ENGINEERING SERVICES INU, 300 CANAL STREET ' IdWR.ENCE, MASSACHUSM'T S FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvalslpermits from Boards and ^-partments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements, *********APPLICANT FILLS OUT THIS SECTION T j APPLICANT ! a r� " �=" i'I r�'1 ,'"z{ _ PHONE LOCATION: Assessors Map Number PARCEL k SUBDIVISION LOT (5) STREET '� 01,77 ST. NUMBER � ****'**OFFICIAL USE ONLY i RECONII,"DATIONS OF TO�VN AGENTS: ' CONSERVAtION ADMINISTRATOR DATE APPROVED DATE REJECTEDw COMMENTS C TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS 'f FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED i COMMENTS i I �I PUBLIC WORKS -SEWERMATER CONNECTIONS DRIVEWAY PERMIT I FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE .,' ~ fr»�rcrrm�rfff' %f� °�if'f dili /Z ciro� re!iam 719/�,i, „/�N a,�.: p ff/�ft �� �� 0,., �d.O I Q 0 f 2 %.. ,&ORTH TOWN OF NORTH ANDOVER 06 0PERMITVI 'SACH S"-� llr°p, 'T"his certifies that has permission for gas installation in the buildings of . . . � .� ,�°. �°f� ���.�.�.�.�. . . . . . . . . . . . . . . . . . . . . . . at ����� � r �'°. . . . . . :°'.. . . . . . . . . . . .. North Andover, Mass. FCC. , r J. . . . . Lic. 47 't K . .. . . . . . . . . . . . . . . . . . . . . . . . « . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. FINK:Treasurer GOLD:File ..a. MASS;ACHUSETTS UNIFORM `T" I ; I (Print or Type) � NORTH ANDOV R Mass. Date � ) gilding Location Permit M Owners game New '` Renovation Replacement Plans Submitted FIXTt REI—z cc 0v a: az ua o �, G1l�LEO �, �a US t- tro > w ' a �c roc in � � Q uA .° �" o 01 "" o o va > us Lli0 o a o us 6— sUa—esrtx. RAs MEKT IST FLOOR 2 ND FLOOR RD FLOOR a4TH FLOOR s H FLOOR 6TH FLOOR 7TK FLOOR STH LJOR (Print or Type) Check one: Certificate Installing Company Name � Corp. Partner.Address �, � % � �_ ,., ���� Firm/Co. Business Telephone: 6` Name of Licensed Plumber or Gas Fitter Insurance Coverages Indicate the type of insurance coverage by checking th.... .......... e appropriate box; Liability insurance policy .....- Other type of indemnity = Bond Insurance Waiver: I , the undersigned® have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner F] Agent El i hcraby certify that all of the details and information l have submitted (or entered)in above application are trine and sc mate to the best of my knowledge and that all plumbing work and Installations performed under Permit iuued far this application will be in compliance with all tiaent provisions of the Massachusetts State Gas Dade and C44pter 142 of the General Laws. E , TYPE LICENSE: —P lumbe r Title Gasfitter Signatr e of Licensed I -Master Plumber tar Ga.sfa.tter City/Town: � journeyman APPROVED (OFFiC i USE ONLY) Livens' Number r Date. . . . .. . . .. . . ... . .. . .. ,ORTk TOWN OF NORTH ANDOVER i 0 PERMIT FOR GAS INSTALLATION aB a f '9�mdWa C6D M9��q,�'FJ SAC HUS� I j J Q This certifies that . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . in the buildings of . . . . . . . . �: . . . . �•��� . . . . . . . . . . jat , . �. . . . . . . . . . . . . . . . . :. . . . .`. . . . . , North Andover, Mass.a Fec, NcD.. . . . . ... : . . . . . . . . . . . . . . . . . . . . . a . . . . m0 1' . PAID GAS INSPECTOR i WHITE:Applicant CANARY: Building Dept, PINK:Treasurer MASSACH USE TTS UNIFORM APPLICATON FOR PE RMIT TO DO GAS FITTING ,e, ype or print) Date 19 NORTH ANDOVER, MASSACHUSETTS Building LocatioL ns 0 7 Permit 4 Amount 2 Owner's Name --4 1- New Renovation Replacement Plans Submitted z r4 z z Ln z z S U B R A S E M E N T B A S E M ENT IST F L 0 0 It G 2N D . F L 0 0 R 3R D F L 0 0 It 4 T It 11 L 0 0 It Tr It F 1, 0 0 R 6 T 11 F L 0 0 K 7'r If F L 0 0 It 8T.[L 1,' 1, 0 0 R (Print or t e Check one: Certificate Installing Company yp )("' Name— Corp. Address El Partner. Business El' Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVER-AGb.' Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes Er NO If you have checked ves, ple-ase Indicate the typ e coverage by checking the appropriate box. I,iabifiL� insurance policy Other type ofindemnity Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the -lass.General Laws,and that my signature on this permit application waives this requirement. Check one: Si,-Ynature ofOwner or Owner's Agent 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 perfiormed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts StateQjp,Cq�a-n-d' t r 42 ofthe General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Plumber iCi ty/Town Gas Fitier License lMmoer j N/laster APPROVED(OFFICE I JSL ONLY) Journeyman r / f a a date....... ,40RT1} OW OF NORTH D "" 'T ° . : PERMIT FOR I IN � c p"Ip!u try I �g4teP � US This certifies that ... d,..A `A .. .....:.�. ,�. z lk x .., .`. '............... OL&ar has permission to perform . y" x�..naf„�,�� . �,a f wiring in the building of �..... �...�.. ��.a � 1'�.r ,.�.,....4� .� 1 .�.,.. ro r(.a e l G at �4 w no r North Andover,Masse Fee.. + 0 � S'fw`e a . s ........ ..... ...... �1C VO .............. ELECTl1CAL jNSPECTOH................. d �I / r WHITE Applicant CANARY: Building Crept. PINK:Treasurer ay %- tate Gas, Company P u �0,0 GASINSTAL ZATIOR, ...... t Issued to Address For o BTU . m, .: Restriction ; This Portion of Authorization 'I'o Be Returned to BSG . InspectOn Has Been Made of the Fokwing Gas Equipment: 0 Meter Heater Clothes Dryer' El ROOM Heater Location All Work Has Been Done In Accordance ccon The Massachusetts State Gas Code Aria Is Ready For Use,