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Building Permit # 1/31/2017
%40RTM A. q��z�ea fv"�q.Q BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINA n Date Received ^� Permit NO: �Ssncwu �� Date Issued: IMPORTAl 7: licant must com lets all items on this a e TYPE OF IMPROVEMENT PROPOSED USE Residential Non-_Residential 0 New Building u One family 0 Addition D Two or more family [1 Industrial No. of units: pCommerciai i ;I Repair, replacement o Assessory Bldg 0 Others: emoli#ion o Other M, - Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: ARCHITECT/ENGINEER Phone: Address: Reg. No._ FEE SCHEDULE:SULDING PERMIT:$12.00 PER$1000.00 OFThE TOTAL ESTIMATED COST BASED 944125M PER S.F. Total Project Cost EEE: $ .. Receipt No.: _ Check No.: P NOTE: Persons contracting with ut:r ere�d Gar�trnctr�rs do not,havc access to theguararaty,fnracl ®RTsy Lo II I V VFV v own of Aover : o b h ver, Klass. WV I COCHICHEWWK 4h' U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT W AMI..............1. ' BUILDING INSPECTOR s� ., V" Pt k.c. % Foundation has permission to erect.......................... buildings on ....... ............,... ........................ ...... . ... Rough tobe occupied as ............... .:.... ... ...0................0.1�.......... .....................,............,.,..., chimney provided that the person accep Ing this permit shall in every respect conform t the terms of the application Final on file in 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. V1rvAre PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough �A Final PERMIT EXPIRES c IN V MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO T TS Rough Service ............... . . ....... ........................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy,hermit required to ®ccupj.BuRough Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. FUDDRUCKERS --------- ----- -----— --- _ ----- ---------- – I L-- _------- ---� E E 1 xa'-3' � INSIDE C004ER 1 I s�. E � � E n>h YYY k 1 EE� 0 a 071 t ❑ ❑ THE LEASED FLOOR AREA IS 4.335 SF lMTHOUT THE COOLER (CENIERUNE OF DEMISING WALLS AND TO THE OUTSfOE OF mlrr ROM TEutr ROOM ! L ❑ p EXIER€OR WALLS).ADD 286 SF FOR 110,111. © 'o ED Ellp El I 6 a3•_,- , ❑ � o o ❑ ❑ ---- ---- ------ --- ----- --- -------- ------ o BEST CLEANERS xo'—o -0 RRE LANE `s. PROPOSE ALTERATIONS TO: �MAC ORAMHG SIRE /� �' L A R E N A S S O C I A T E S LLC la/:En6 EYJSTiNG FLOOR PLAN THEVINEYARD-ATi1�ECROSSROAN A R C H I T E C T S P L A N N E R S s A_1 554 TURNPIKE STREET„NORTH ANDOVER,ASA 01849 11 MAIN STREET.P.O.BOX:606.ATKINSON.NR 03811 e FUDDRUCKERS r--------------------------------------- ----"----------------------- I I I t I------ ---- ---- --m 1 I I I jl 44 t �f�ft �1 O U — t�f SSBI I t •I 1 I I �I I I p I 11 I 1 I �I { I b i 0 THE LEASED FLOOR AREA IS 4,335 SF WTHOUT THE COOLER (CENTERUHE OF DEMISING WALLS AND TO THE OUTSIDE OF lMa= TmnPaan 2m O EXTERIOR WALLS).ADD 288 SF FOR COOLER. I '1 0 ❑ ; I o - -- - --- -- -�-- - - - ---- ------- -- o - - CO51M CAS SOM BEST CLEANERS FIRE LANE 24\& PR POSEO ALTERATIONS 70: D'T' p µ4D ntu � ai.vlm Na rA� ACLAREN ASSOCIATES ua w/sansTHE VINEYARD-ATHE CROSSROADS R c x I T E c T s P L a N N E R s `!'�FLOOR PLAN S5a TURNPIKE STREET.,NORTHANDOVER,MA 01845 MAIN STREET,P.O.BOX:606,ATKINSON.NH 03511 �� r i � � y . F d ane �sl - 3H1 Fa a t o,y +kjfal��y y i i tt irl 1 till�w s�'ii �r� � snh��l,� dr11 r�Ei�i�� +ji�lil�l iX1 z� i P PSS r a 3 �ii��9 �3��� r4r^�•���� ft����,6r``�l�V�k� �i��E•�������.8��0�6'���x� � � �' ���a{�� � r J i.flJ� l • VG 1 � �1 • "":-�' {>� a���a�����£; sf�Vfi����ryf x���� x ; ' y � +f{IAIk GAJ�kEIP 4 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G m1n.$10041000 One NOTES and DATA—(For department use) 3 Notified for pickup- Date u Doo.Building permit Devised 2012 i' i' 111 I 1 ■ 1 i1� ■ • 1/+ 1 • 1.1 r r .1 - ■ � 1 11 ■ w � T l 1 r • rl r r , , " . . r ■ r • r ■ . - ■ r � 1 ' . r r 1 ■ ■ r M. c -' :7, ry�p{ r- :ro-S rs eelc e dl�k �Ii'�� �5�r (3 k#1 } tiY.-i.r .a rm . s4rh1`5 �3-. �4 r}L�' �} {y! '� ve c a {- 7t^s i� 4 aC t rllkYs t 13 4r£ 1 4 sy 4 3z X54 } ds�� € fgs i � Af#ry kaa } t ' ase§!{x v ^{i tT "J R, cz'O 1''j`s �3f�4,R, �{�# jf x z mak: 7 �L,yt r,,f �",� •�'��x r,< �r F' 34• £ , y tr".��tF ir� 'a4"t�Ft '' `s� - ft S t 7 sr^F2 r#yF rt Yfe-i itW 13 r,_k 4 h. szi 4S c-ct•-?v f; Y,, sa ,:t?r { r u�. rfl.i>.1y rs j r'"`h�, > 5 Y #f1 3'f� lRf r�GJI� L.:.'!-,� �1. r'4�vxsW . � f`{( �C }1i1 a - r�} 7 w _ �'+l._,��y I��L -� ht 4_} ,rl { ; -. ri-!irfrEtSzh N'✓131y, �Y��, s r�f3 i�;£,a¢ia 5vs r>,:; cir#s��.i, ^3a, MN, r f-.s..�'::,sf-._�'✓.:}..:.:�. .,:�'.-.=-se_..,N" ,.... _3-+�.xf,ln«�a��-t�a/o-�.��LCS�_Y1.,�3;'ysk"._r _--........ .�a�c_: ._.'.-..,.._..:..,.c..;r.+ I A}NT FOR CONTRACTOR SERVICES THIS AGREE Agreement Date set I'ortnstruction services ("Ag1eement") is m ade as ofand between the North Andover Crossroads LP the Massachsetts limited hal „ any("Crossroads"), and land Builders and Contractors,Inc. 'CONTRACTOR" In consideration o covenant and condition cc�c tot�e r des hereto, er tosums to be paid, and each and ever agree as follows: y I• SERVICES. The CONTRACT ' space at CrossRo vide demolition services in the former Vineyard Liquors tenants as the case may be:' y the space for a new tenant or 2• TERM. Commencement Dai Termination Date:, The term of this Agri become effectiv force and effect for a period; e on 2017, and shall continue in terms of this Agreement. } day(s), unless sooner terminated in accordance with the 3• PAYMENT. Crossroads shalla Agreement. CONTRAC'T'OR OR$15,000.00 for services ren der ed detailed billing for said services to Crossroads. to this i 4. FACILITIE&EQUIPMENTANDLOTUER MATERIAL'S:ANO' OBLYGA.T.IOKS. CONTUCTOR shall,at,its-Sale,cQst.and expense,f�h alla ui ment .and other rnateals whGli znfty be requrren fpx furiaih�ng services pursuant to this Agreement. 50 ADDITION"PROVISI(�1VS Those,addict" A provisions a qu °to this;Agreement ifany,shall p sed forth in At,* 11 A.11.� G. ATTACHMENTS., All attachiheuts referred to,herein are attached hereto.and by this reference lncorpoirated hereii 7 TERN IN T.ON. Cross roadAand`CO�TRACTC�R.shall each havb the tight to terminate this Agreerrient upon ten'(10)days°W%i'en notice to the othei`Pat`ty iN WITNESS WHEREOR the,partieshereto'have exe6ute .'this Agreeinent on I d 7 ,X017. PBJ Develgpment Corp, General Partner of New E gland Builders and` Contractors, Inc: North Andover Crossroads LP. ® DATE{MMIDDIYYYY) AC� CERTIFICATE OF LIABILITY INSURANCE 1/30/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Danielle Rice NAME: THE ROWLEY AGENCY INC. PHONE (603)224-2562 FAX N.I. AIC o Ex E-MAIL drice@rowley'agency.com. 45 Constitution Avenue ADDRESS: P.O. BOX 511 INSURER S AFFORDING COVERAGE MAIC p Concord NH 03302-0511 INSURERA:Uni.on Insurance Com� 25844 INSURED INSURER B Acadia Insurance Com an 31325 New England Builders & Contractors, Inc. INSURER C: 464 Merrimack Street INSURERD: INSURER E Methuen MA 01844 INSURERF: COVERAGES CERTIFICATE NUMBER:16-17 General w/Equip REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD L SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE tNsn WVD I POLICY NUMBER JMMJoD1YYYYI IMMIDDIYYYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 -DAMAGE T RENTED 300,000 A CLAIMS-MADE [A]OCCUR PREMISES(EA occurrence $ CPA002835530 10/13/2016 10/13/2017 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- PRODUCTS-COMPIOPAGG $ 2,000,000 POLICY[dECT LOCH5 OTHER: -COMBINED OaBctleD SINGLE L.iMiT $ 1,000,000 AUTOMOBILE LIABILITY BODILY INJURY(Per parson) 5 ANY AUTO A J x ALL OWNED X SCHEDULED MAA150042932 10/13/2016 10/13/2017 BODILY INJURY(Per awident) 5 AUTOS AUTOS PROPERTY DAMAGE NON-OWNED Peraaident S FitRED AUTOS AUTOS $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000 000 EXCESS LIAR CLAIMS-MADE AGGREGATE $___10 000 000 DES] R RETENTIONS 0 CUA008438324 10/13/2016 10/13/2017 S WORKERS COMPENSATION X STATUTE OERH AND EMPLOYERS'LIABILITY Y r N E.L.EACH ACCIDENT $ 500,000. ANY PROPRIETORIPARTNEWEXECUTIVE N!A B OFFICEWMEMBER EXCLUDED? WCA0355905-17 10/13/2016 10/13/2017 E.L.DISEASE-EA EMPLOYE S 500,000 (Mandatory In NH) It yes,describe under 3A States: MA & NR E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS below A Leased & Rented Equipment CPA002835530 10/13/2016 10/13/2017 Limit: $150,000 Installation Floater Limit: $300,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space Is reculredl Covering operations of the named insured during the policy period. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 120 Main Street North Andover, NH O1B45 AUTHORIZED REPRESENTATIVE ,rte Danielle Rice/DJRh- � ^ ?� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2011101) The ACORD name and logo are registered marks of ACORD INS025 r�mann SEE REVERSE SIDE FOR WORTANT INFORMATION 11111111111111111111111111 I� I THE QOMMONWEALI H OF MASSACHUSETTS `SOWN OF NORTH ANDOVER Bill No. 5.6.x......... Fiscal Year 2017 3rd Quarter , ``�...` ' Make cheats Pa aio Actual Real Estate Tax Rill Town of North Andover Off Ice of Collector of Taxes Collector of Taxes Gail Tlerney,Treasurer/C.ollector R.0, Box 184 Medford, MA 021:5570002 Office Hours: 18.7 AAar7. :Oi3 4'30 Tines, :$(3E}. .6:Qf3 NORTH ANDOVER CROSSROADS Wed Q.;00-4:30 Thurs.8:00-4:30 `LIMITED PARTNERSHIP Fri.s;pp-12:00 661 TURNPIKE STREET NORTH:ANDOVER MA Oi6.45-6150 TAX COLLECTOR: 9787688-9550 I'I�I��11111111iIItlllil lilltt�ll��tlllllll;Ii,iltttll�in�ll,l, ASSESSOR: 978-iaas-s5ss Pay onfine at www.townofnorthandover.cairi Please use the enclosed lockbox envelope.to expedite.your:payment.This will assist us 10 processing your payments more efficiently. The Tax Coilector's€3ffice is located at 120 Main Street. Town of.North Andover 3rd Quarter Receipt Fiscal Year 2017 3rd Quarter Actual Real Estate Tax Bill Bill No. 156 PROPERTY DESCRIPTION. GailTierne ,GolldctorafT�7ces Y ISE 'Tax $103 i�..qi .LDC: 55o 'TURNP1KE STREET CFA $3130,32 CLASSICODE-: '323 tntei'eslatthe-rate ofl4%u per ennurnwill accrue Betterments $Q-00 MAP-LOT-PLOT 210-025:0-•Qdbi-0 40.0 onovorduepayments from theduGdale:untilaLer/9ev�er Liens $O.od BOOK/PAGE; .4366 / 159 pOymentismade. Subtotal $106787.73 LANI3 AREA: 3.82 acres 'SOT TAXABLE VAL. 5069$00 SPECIAL ASSESMENTS L 3rd Qtr. Due 2/1/2017 $25570.82 Tax Rate Per$1,000 Betterments $a:Oo Prelim Tax I aeS 2 0pen5P 3 Comm 4 Indust Liens $0.00 Paytnettts Made $53446.09 20.45 20.4E 2.0.45. 26.:45 Abatement/Adj.ustment $0.00 - Land 1206.40.0 Building_ 38&3400 Past !}Lie $0.0(} Assessed owner as of 7anuaxy 1, 2076 Interest $0.00 TOTAL VALUE 5069800 NORTH ANDOVER. M0,9SROA00 4th Qtr. Duo 5/1/2.0.17 026670.82 LIMITED PARTNERSHIP 961 TURNPIKESTREET AMOUNTDUE - NORTH ANDOVER, MAI111111111111111111111111111111111111111111111Jill1111 211 017_ $26670.82 Town of North Andover 3rd Quarter Receipt Fiscal Year 2017 3rd Quarter Efill No: 156x. Actual Real Estate Tax,Bill RRUPERTY pESCRIPTION Gall Tierney,Collector of ("axes RE Tax $103677.31 �,: EPA $3110.32 LOC 5550 TURIIP%KE STREET Betterments. $O.Qo CLASS CODE: 923 Payments made, after 12/15/201;6 water/Sewex Liens $O.QO t MAP-LOT-PLOT- 2100-25000-�0.1o00 0 may not be rei:lecLed Un this. bi.11 BOOK/PAGE 436.6 / Ise Subtotal $lt}67d7.73 LANi7 AREA 3.62 acres Akratement.Appilcations are due'in: - TOT 1AXABLE VAL; 5Q69.3Q0, the Assessor's office 5y 2/01/2017 3rd Qtr. nue 2./]/2017 $26670.82 Tax'Rate Per$1,000 Prelim Talc $5.446.83 ] xes 2:oPayments Made: $53446.09 pen$p 3 Comm 4 Indust 20.45 20.4.5 2o.45: 20.45 Abatement/Adjustment $0.00 Past Due 11111111111IIIII11111111111111111I1111111IIII1.11111111 =merest $o_oo Asseased miner as of Tanuary,1; 2016 4th 'Qtr, DUB $/.1/2017 $26670.82 ' N47;TH AMOM,IL RPSSROAo9 AM LamiTEo YARTN3R677ig E?tJN'T.DUE. ` a63. TMUTPI cs.STREsT r✓ 037 $26670.82 q#� "1}.3645--47.50 042157307920170E1000000000ptl000..00000100001.56 ,naa4a2667082032 The Cominompealtll ofAl'assuchusetts r Department of1`ndustrialAcciderits " X Congress Street,,S'taite 100 Boston,AA 02114-2077 ivivis mass.govIdia Worlmrs'Compensation Insurance Affidavit:Builders/Contras--tors/LIectrWalls/Plulubers. TO)M €D WIC.{ME,PEI2M.lr INGAtITHORIT'Y, Applicant.Information Please Print La ibl Name(73usiness/Organizat{on/individLtal}: W Gi2J 6�>0 t Lb&4-k-S �, C-o e2 V�~ti��tj Address: ��� 11C' K l t"1 A CIV, S {i City/,State/Lip: �I ej -w cQj --A A o MA _ Phone it: 9 �M � Are you an crep)oyn-?6octt6e appropriAte b ax: Type of project(Vgqu1rcd): l'Zi ant a wilployer with mployees(Cull and/or part-tlmo).4 j, XbNv COIIStIIIGtln11 1..f 1 am a solo proprietor or partnership rind liaye no cniployses warkind forme in $. Remodeling any capacity.[No workers'comp.insurance requirrA.] 9. Demolition 3.E]I am a homeowner doing allwork mysdil(ldo workers'comp.insusanterelluircd.I t 10❑13uildiug addition A.Q I am a homeowner and will be hiring contractors to couduet all work oil my property,I will onura sthat all contmutors eitherhwe workers'campcnsation insurance or are sole 11.4 n�Electrical repairs or additions pr4prieiors with no umployecs• L2.Q Plumbing rcpuiis or additions 5,Ej I ata a general contractorand I have hired tho slip-contmotors listed on the atiacihc d shcct, 13,0 Roof repairs Thaw 24b-contracicrs halo employees gild have workers'comp.insarance.t 6.[j Wo are acorporation and its oljirers have cxerciscdtluirrigid of'cxemption perMGl,c. I Other 9 152, 9](4),and wo lip va no,_ernpinyaes.[No workers comp.insurance mquired.l 0 Any applicant that cheeks Wpxiil most also fill out the scotion below showingthcirwoikers'compensation policyinfannutiW t Iiomcownors wtho.subiiik`tlds a£rdavit indicating they are doing all work and flied hire outside con`,ractors must submit a rrew affidavit indicating such. tG`utittuctors;that check ihis box rnust"a€inched an additional sheat nhowiug the mmoo ofitsa sub•cohuaotors and state wholhor or pot thwo ontiHas M-va employees. If the sub-c6stract6rs have employees,iliey must pmvida their workers'comp,policy rrumber. I'am an eraaptoyer that is providing worltcascompensation insurauicefor my elltployeas'.'I.seloiv iS the policy and jolt site inferniadom /ny Insurance Company Name:_ Policy Ani Self-Ins.Lic.#: C-A G 3_-)'5l o 5—{_2 Expiration I)ato: Job Site Address: City/State/Zip: Attach a copy of ill t:IvoYhers'cumpepgation policy ifeelaratien page(silowirlg the policy uuiuber and,expil•ntion date). Failure to secure coverage as required under MGT.o, 152,§25:11,is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as Givil penalties in tl€e forzu of a STOP W QRK ORDER and a.fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the office of Investigations of tha DU for insnranoo coveraga verification. I do hereby cerfiyy aider th poi acrd petralder ofperliny That the infortrtatioar provider!above is true and correct. Signature l- nate: I l official case only, Do not write in this area,to be conrpleled by cif)or tollin official. City or'I'ovm I'erinitlE,ieense Issuing Authority(circle one): i i.Board oealth 2.Building Department 3.City/Town Cleric 4.Tlectr•ieal Inspect-or S.Plumbing Inspector G.O tb er Contact Persons: Phone 9:_ 8 t 9 V Massachusetts Department of Public Safety Board-of Building Regulations and Standards License: CS-047640 Construction Supervisor WADIH E RAMEY 25 GOLDEN OAKS uR SALEM NH 03079 Expiration: Commissioner 41IU1f2018 a Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. 1 Booting, Siding, Interior Rehabilitation Permits 1 u Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses a Copy of Contract u Floor Plan Or Proposed Interior Work u Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan E3 Workers Comp Affidavit u Photo Copy of H.I.C. And C.S.L. Licenses u Copy Of Contract u Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) u Mass check Energy Compliance Report (If Applicable) n Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application ❑ Certified Proposed Piot Plan o Photo of H.I.C. And C.S.L. Licenses a Workers Comp Affidavit u Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) u Copy of Contract o Mass check Energy Compliance Report u Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to Issuance of Bldg Permit in all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof' of recording must be submitted with the building application Doe:INSPECTIONAL SERVICES DEPARTMEN'r;BPTORM07 Revised 2.2007 I l