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HomeMy WebLinkAboutBuilding Permit #081-15 - 103 SECOND STREET 7/23/2014 BUILDING PERMIT o` "°oT" qti 0 TOWN OF NORTH ANDOVER - APPLICATION FOR PLAN EXAMINATION * Y b yyT Permit No#: Date Received �Nss CNU`-+���� Date Issued: IMP RTANT:Applicant must complete all items on this page LOCATIONC ✓IC � Pn t PROPERTY OWNER Q V1 fl-d G Print 100 Year Structure yes no MAP _PARCEL: ZONING DISTRICT: Historic District yes no -1 Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition z'Two--or more family / ❑ Industrial ❑Alteration No. of units: t/ ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMEDr /Z Uil� Y' r� 1VIUrd�DC-r /be Y- do Fra"--e— VYJQq 3 -F/00>' ,1 � Identification- PleaT e or riot Clearly OWNER: Name: ��� Phone: q7 -Wl -7 / Address: 1V 5e �7� Contractor Name, V�t�(9J 1 hone: Address: �[ � T(1,57n� (51- / c Supervisor's Construction License: C_5 ._fid / o I Exp. Date: 11 Home Improvement License: ?e I C/ a/ Exp. Date: I ' l ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 9-K3, Z.Z�70 doa'ee FEE: $ Check No.: Receipt No.: NOTE: Persons contractVg with unregistered contractors do not have access to the my fund Signature of Agent/Owner _�_ e Signature of contractor i Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody Art ❑ Swimming Pools ❑ I Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS 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 min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit Li Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application Li Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract Li Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ 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) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract ❑ Mass check Energy Compliance Report ❑ 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 Doc:Building Permit Revised 2014 Location/v a r+. Jr— No. —No. �� Date • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ � Building/Frame Permit Fee $ 5 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# Building Inspector The Commonwealth of t12'assachasetts Department o,f fidifstrigl Accmiks • . Office of Investigafeoas 600 Washington Street .Boston,MA 02111 www.mass govIdia ` Worker$'Compensation bsurance Affidavit:Builders/Cont ractoxo/E1ectriciang/Tl i er,$ .A. Want Worntalrion Please Print Ledb Name(Businessl0rganizationlX &Idual): city/state/zip; GV U�"`.. 7�Phane q 7 F 6 !F ?q?q� Are you ant employer?Cl eckthe appropriate box: Type of project(required): 1, aru a ern to ex with _7 4. ❑1 am a general contractor and I 6. []New consfruciZon p y employees * havelikedthe sub-contractors Gull and/oxpaxE time). t 7. El�.em.odeling 2.�] I am a sole proprietor or part[tex listed on the attached sheet.- These sub-contractors have 8. []Demolition SEP and`haveno.employees working forme in any capacity. workers'comp.i fon a tce. 9, 0 Building addition [No Workers'comp.insurance 5. ❑We are a coxparation and its 10.0 Electricalrepairs or additions require.] officers have exerelsed.their 3.E1 I am a 7romeowmr doing all work right of exemption per MGI, 11..[]PIw bingrepairs or additions myselfaha workers'comp. c.152,§1(`I),andwehaveno 12 flRoofxepairs insurancerequired.]� employees.[No workers' 13.E]Other • comp.insurance required.] "Aug applicautthat checks boxof mustalso fill outthe se�tian beldwshowingtheir workers'compensationpolicg information Homeowners who submittta affidavitindicatingthey ke doing Awork andthenh a outside contractars must submit anew aftzdavitindicatiiig s&b. TContractors that choddWs box must attached as additional sheet showangthe name ofthe sub-contractors and their workers'comp.policy information. .1m are employer treat isproviding workers'compexasatian insuraHce fOF MY ernpl'oyees Berox�is thepolicy cn2cijoi'i s iPe in,fo:rmation. IusumncaCompany N•ame% Policy 0 or Selz ins.Lic.#; f/lt C �7 qI 0 7 Expiratzon Date: �7 3 lob Site Address: �y C' a jCity/State/Zip: A.ttacbt a copy of Me workers'compensation-policy declaration page(showing the policy number and expirationx crate). liailuxe to secure coverage as requiredunder Section 25A.of MOL 0.152 can lead to the imposition of erhhalpenalties of a fine up to$1,500.00 and/or one-year imp dagment,as well as civRpenalties in the form of a STOP WORD ORDER.and a fine ofup to$250,00 a day agaksttlza violator. Be advised that a copy of 619 statement-may be forwarded to the Office o£ Investigations of:the DZA.for insurance coverage veraf`kation. I do ri7.rert uricXet•tr2 ins anct penalties of perjury tTiat tJie ir2formatiox provided above�true and correct, Date• 01p. Si . Phone#: Ofeial use only. Do not write in this area,to be completed by cop ar town official City or Town: PerrnitlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building.Department 3.City/Town.Clerk: 4.Electrical.Inspector 5.E m bbag lCaspector 6.Other - - - Information and Instructions Massachusetts General Laws chapter 152 requires alt employers to provide workers,compensation for their employees. Pursuaxit to this statute,an employee is defined as"...every person iii the service of another under any contract of hire, express or•impliecl,oral oxwxitten2, An employe N defined as"an.individual,partnership,association,corporation or other legal entity,or anytwo orxmxe' ofthe foxegoiug engaged in a joint enterprise,and iucludingthe legal representatives of a-deceased em to !y or the receiver or i &of an individual,partnership,association or other legal entity,employing employee- Howevexthe owner of a dwelling house baying not Moro than three apartments and who xesidas therein,or the occupant ofthe dwelling house of another Who employs persons to do maintenance,construction or repair work on such dwelling house or on.the grounds orbuildin a iutenant thereto s g pp hallnotb .cause ofsuchem lo yin ymentbe deemedto be an employe: MGL chapter 152,§25C(6)also states that"every state or Ideal lic$nsing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the co UMOnwealth for any applicant vvlio Inas n of produced•acceptable evidence of compliance with the insurance coverage required?, enter iota Mlly,MGL chapter e P fbima )stafes"Neitharfha commonwealthnox any of its political subdivisions shall enter into any contract for the performance ofpublic workuutil acceptable evidence of compliance with the insurance .requirements of this chapterhave beenpresented to th6 contracting authority." Applicants Please fill out the workers'compensailon affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)audphonenumbex(s)along with their certificate(s)of insivauce. Limited Liability Companies(LLC)or LimitedLiabilitypartnerships(LU)with no employees other thmthe. r members oxpartners,arenotrequkadto can7workers'compensaticniusurauce. If an LLC orLLP does have employees,apolicyismquired. Be advised thattbisaffidavit may besubmitted tothe Department of 1dustrial +' Accidents for confirmation of insurance coverage. Also be sure to sign and date theaffidavit. The affidavit should b e xetumed to the city or town that the application for theperolR or license is being requested,)tot the Department of 7ndustral Accidents. Should you have any questions regarding the law or if you are xequired to obtain,a*orkers' comp ensationpolky,please call the Department at the number listed below. Self insured companies should enter their self-insurance license number on the appropriate Iine. City or ToYm Officials Please be sure thatthe affidavit is complete andpri ated legibly. The Department has provided a space at the bottom of the affidavit fox you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be-sure to:M into permit/Iicense number whichwill be used as a reference number, Its,addition,an applicant thatr4ust submit.multiple permit/license applications in anY given ear need only submit one afda vit Indicating current PORGY information(ifnecessary)and under"Tot Site Address"the applicantshouIdwrife 'all to cations in ci or towh.)"A:copy otthe affidavit thathas been ofixciall stain ed o ( y p or or be ro 'de city y vx d to e a p � pplicantaspxoofthatavalidaffidavrt•-Isonfrlef'oxfuturepemsitsorlicenses, Anew affidavit mi stboMedouteach year. Where a home owner or citizen,is obtaining a license ox p exmit not related to any business or commercial venture 0.e,a dog license orliermit to burn leaves eta.)said person is NOT require d to complete this affidavit. The Office of Investigations'would like to thank you in advance fox your coop eratiou and shquld you have any questions, please do not hesitate to give us a call. The Department's address,telephone aiid faxnumber: TN,Gct ozjWt1a't:h of S1 qa C-hp�P�,� - ��paxextt o�Zndu �aX,t�,cc�,da�� • «f ce offmadga.-doom Boston.,M-A 02111 61M-2,Z-49Q0 e:.Kt406Qx z•-VYM _ Revised 5-26-05 FRIK# ' �w•�pa�s,govt�cl�a LZAA-� Location / � 'r e tM I 4 No. lJ�t �c5 Date a • - TOWN OF NORTH ANDOVER e. . Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check#Z. uilding Inspector (-)CO vin ���,�vi -0 Q#NORTH 3?P.-r.�• �'•dot # a o.x•`49 3'#d ACROSES CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 081-15 om 7/23/2014 Date: December 30, 2014 THIS CERTIFIES THAT THE BUILDING LOCATED ON 103 Second Street MAY BE OCCUPIED AS a two family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: David Holland 105 Second Street a North Andover, MA 01845 Building Inspector Fee: $100.00 Receipt: 28390 Check : 133 NO R T.1./ I own of : Andover p - "� 0 No. — * - h ver, Mass, ,2 ZZ,t/ COCNICHOWICK U BOARD OF HEALTH Food/Kitchen PER IT LD Septic System ..... ......................................... ........... THIS CERTIFIES THAT �� ��.../�...�.).� — Bu DIIV IN _ CT Foundation has permission to erect .. .... buildings on ...fj. .... CG �.... . ......... ........ , . .�......C_ _}fes ........ oug to be occupied as ... . r.... .... 1p .. .......�'.'. '.f:.° .r�..... .! .� ��?m„"”' ... . .. eY provided that the person accepting this permit shall in every respect conform to the terms of th application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration a d Construction of Buildings in the Town of North Andover. PLU N4 INSPEJ?) /41 T WrI4?r Rough�� PLO VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN -6 MONTHS LECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ��, l Service .............. ...... �; �,.�„�. ................... . �3 ®,� /Z_ �3 BUILDING INSPECT Fina Z'- IN�,SPEC Occupancy Permit Required to Occupy Bualdin Rough�� 7;7 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. J� `1-�—�`•—�G_i a, 03 �o� o� �,s �yD� NORTj r own of r � O '...+moi'•' •{•: ~� 1•' No. f IW:."7 - I I .r soh " ver, Mass, 21S Co .uc.ew'cw �1• �d AT c, ►P�,`'�5 S U BOARD OF HEALTH PE R I T Food/Kitchen Septic System THIS CERTIFIES THAT ..... . ��t" �:'. /` ..... ......... ................ ... ........................ — BUILDIN IN _ CTOR -has permission to erect .......................... buildings on ... .....'. . .... ........... Foundation o ug ug to be occupied as ......1 d .......... ...... ": ?:9. .... ...... �..... ...... � ffmnv provided that the person accepting this permit shall in eve respect conform to the terms of th, a I!cation } p p p g p every p pp Final �on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration a d Construction of Buildings in the Town of North Andover. PLU N INSPE T r Rough/Gl•� e r� �IJ VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICALINSPECTOR UNLESS CONSTRUCTION STARTS Rough Service ................ ...... a:�i� .alp.• __-LQ ••�-.,,�,............../�.'.... BUILDING INSPECT Final IZ�' �3 GAS INSPEC Occupancy Permit Required to Occupy Building Display in a Conspicuous Place on the Premises — Do Not Remove Final T No Lathing or Dry Wall o Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. i o3 i2o� o� qs ,v,4 r- F NORTh Town of A 0 jag. No. h ver, Mass, 2s° 3 .Q coc��cKew�cw 1' S U BOARD OF HEALTH Food/Kitchen PER I T L D Septic System 9 ` THIS CERTIFIES THAT ....... ... . �°��.��� 4?�l� ... — BUILDIN IN _ ,CTOR -. �+ Foundation has permission to erect .. .... buildings on ... �. ...... .. . ......... `�� .9:^......C_ �.... ....... F ........... ffmn to be occupied as provided that the person accepting this permit shall in every respect conform to the terms of th application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration a d Construction of Buildings in the Town of North Andover. PLU N INSPE T "r� �` Rough�.P,�" � � �,1.✓ VIOLATION of the Zoning or Building Regulations Voids this Permit. Final f 71)11 �! PERMIT EXPIRES IN -6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough Service t ................ .... a 'g,^• .•. ..............Y. �'� Fina � BUILDING INSPECT.. ` AV- GASINSPEOccupancy Permit Required to Occupy Bualdin Rough�� 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. �i i North Andover Board of Assessors Public Access Page 1 of 1 NORTH North Andover er Board of Assessors OE c .:ryO #F F!• SswcNas� � roperty Record Card Click Seal To Return Parcel ID :210/019.0-0030-0000.0 FY:2014 Community :North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels Search for Sales Summary 1 , Residence Detached Structure Condo 103 SECOND STREET 'hA Commercial Location: 103 SECOND STREET Owner Name: HOLLAND,DAVID Owner Address: 103 SECOND STREET City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:5-5 Land Area: 0.13 acres Use Code: 104-TWO-FAM-RES Total Finished Area: 2526 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 268,500 279,100 Building Value: 121,600 132,200 Land Value: 146,900 146,900 Market Land Value: 146,900 Chapter Land Value: LATEST SALE Sale Price: 301,000 Sale Date: 11/05/2009 Arms Length Sale Code: Y-YES-VALID Grantor: MITCHELL,DINA Cert Doc: Book: 11829 Page: 262 http://csc-ma.us/PROPAPP/display.do?linkld=2432277&town=NandoverPubAcc 8/19/2014 Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost 290,000.00 m $ - $ 3,480.00 Plumbing Fee $ 435.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 435.00 Total fees collected $ 4,450.00 103 Second Street 081-15 on 7/23/14 Repair from Fire OP ID: OUJA A�oRo� CERTIFICATE OF LIABILITY INSURANCE DATE(MMDD/YYYY) 03/04/14 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(ies) 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). CONTACT PRODUCER Phone: 978-688-6921 NAME: Macdonald&Pangione InsuranceFax: 978-688-5350 PHONE FAX P.O.Box 428 vC No Ext): ac No 104 Morin Street E-MAIL North Andover,MA 01845 ADDRESS: Donald Schemack PRODUCER CUSTOMER CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED D G Contracting, Inc ID 646648 INSURER A:Travelers Prop&Casualty CL 25674 428 Pleasant St INSURER B:Safety Insurance Company 39454 North Andover, MA 01845 INSURER C:ChartlS INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. IPOLICY EXP LTR TYPE OF INSURANCE DDL UBR POLICY NUMBER MM DIDY EFF (MM/DD/YYYY1 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X 1-680-1553R18-1-ACJ-12 05/17/13 05/17/14 DAMAGE TO RENTED300 OO PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5100 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 17 POLICYX PRO- jECT F7 LOC $ AUTOMOBILE LIABILITY COMBINEDd� et'SINGLE LIMIT $ 1,000,00 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ B X SCHEDULED AUTOS 3116538 07/12/13 07/12/14 PROPERTY DAMAGE $ B X HIRED AUTOS (Per accident) B X NON-OWNED AUTOS $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,00 A CUP-0090153321 05/17/13 05/17/14 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS E C ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N WC009874107 03/31/14 03/31/15 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? ❑N NIA (Mandatoryin NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 T_ I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Barkan Management Company, Inc. { and the ownership entities of their owned or managed properties are additional insureds as required by written agreement per form CG D2 48 (08/05) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Barkan Management Company Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g p y ACCORDANCE WITH THE POLICY PROVISIONS. c/o Compliance Depot,LLC P O Box 115006 Carrollton,TX 75011 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD oORTH Town of ndover No. '�t On - -0�*.Al. - � h ver, Mass, �3ZY w /,/ COCNICNNWIC11 r ORATES S li BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System THIS CERTIFIES THAT ....... AAA lfG ... �. BUILDING INSPECTOR . . . ...... ..... .... Foundation has permission to erect ........................... buildings on ...14)„5..... ......... ............ /.....�p�6 lip_�......... .�. � �yd.�.... /... t �. Rough to be occupied as ....... .... .... .... �...:..-.. 1 .. Chimney provided that the person accepting this permit shall in every respect conform to the terms of th application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration aild Construction of Buildings in the Town of North Andover. ,�� �/ PLUMBING INSPECTOR �e Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final 1-7 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough J ..,.,. Service ................ ..... ......... ... .... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough 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. ' Office of Consumer Affairs&Business Regulation X, &HOME IMPROVEMENT CONTRACTOR 1 registration: 120199 Type: .`Expiration: 11/1/2015 - Individual DAVID GULEZIAN 1 DAVID GULEZIAN 429 PLEASANT ST . NORTH ANDOVER.MA 01845 Undersecretary _nt at?,. _ 1 'Ad;ng Rtgulati©i:;pno t`nnstructr n Supen isur -y `License. CS-001821 DAVID P GULEZIAN 428 PLEASANT ST ' y N ANDOVER MA 01845 r ` y1 C r•1^mi.5 rit^'��"".! . 10/0212018