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Building Permit #635-2016 - 1211 OSGOOD STREET 5/1/2018
`17lPw.s NOZ JCpN!'vED F NORTH 9 BUILDING PERMIT o ro TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION T b 11i �o Permit No#:---6 9b�~ lb Date Received I� �9A�RATEG,PP��S SS9CHUS Date Issued: IMPORTANT: Applicant must complete all items on this Jpage / LOCATION --1'a /� OSGODI� EE T / / Print PROPERTY OWNER l7\YK re,�'/%e7iE5 /—/-d Print 100 Year Structure yes no MAP (-0 3�5' PARCEL: ZONING DISTRICT: Historic District yes .0 Machine Shop Village yes 1-0 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial XI Alteration No. of units: `Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer _ DESCRIPTION OF WORK TO BE PERFORMED: / IIJA /A) /AliA)G jLrD^4 a)t7?/ Fa°e F/�D��nl� , /NUi�3� f}/� FIPE SVpA/2ESYo� ADS &)AJ47 #An1D,5/A)K 4AJ1�> AELG�:ATE Ort/F�' 11,44)z5.1AJK Aad �feE� it)60 154CeK D169/N5 AND EEPDX7, &Loe/f. Identification- Please Type or Print Clearly OWNER: Name: 1,ZA.<e-Y A) , &J=L-LDS Phone: 6 Address: 7 .DIX67y -D0 VE Al/DDL /4A O/9 4/ Contractor Name: SCD77- JJR- 7- Aone: '7&` Email: S cn r-TJ JM Address: Y-LC) LoLy e L& 'ST, Supervisor's Construction License: © / Exp. Date: a- ! Home Improvement License: Exp. Date: R►ZZ,OT MAUGUL 9-7V LIS6 as00 ARCHITECT/ENGINEER Phone: aoo Area. iZD HAPvAizD MA oiyS`/ �SSSy 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: $ 6 5000 FEE: $ ��� `� Check No.: A /D Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 'OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dempster on Site ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF a U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ f�`K- COMMENTS ?kQ- ��lw� �ti��� uC�_ Ll 110k �4L L, ter doted 1 -71 t k �j�:-) bEEh N oT C, af, yse. 8 uo C�C���c�•�S, P k� SRGc.C�S �. Pr-e\j X60% -rte .�.t Cb�l�r��t� = -Fc_--T �Foey 'k K�c1 rUbT CONSERVATION Reviewed on Siqnature COMMENTS 42 HEALTH Reviewed on i nature 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 FIREDEPARaTMENT - TerripDumpster onaite: tiyest ino� Locatedlat F124MainrStceet Fire4Depa0ment.s9nature/date _ COMMLNTS F 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) 1 I Iia t CAJ U (.+j w 00-ILIA, ❑ 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 Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract :rr Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application ;rb Certified Surveyed Plot Plan :l. Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses :rr Copy Of Contract 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 OTE: 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 Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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 !� f �l jam.i� i(✓� �� No. T ' <' ' / V Date • - TOWN OF NORTH ANDOVER D • 5�,1'�tLL jos • • Certificate of Occupancy $ r1 Building/Frame Permit Fee Foundation Permit Fee $ r � Other Permit Fee $� TOTAL $- J D Check# 2 J 7 9 5 j' Building Inspector i CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 635-2016 on 12/6/2015 Date: February 16, 2017 THIS CERTIFIES THAT THE BUILDING LOCATED at 1211 Osgood Street MAY BE OCCUPIED AS IN a tenant fit up—Bella's in ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Bella's 1211 Osgood Street North Andover,MA 01845 uilding"Inspector77— Fee: Prepaid$100.00 Receipt: 29715 Check : 1010 F NORTPI Town of E ., ndover - h Zh ver, Mass T � LhNf � COC NIc"aw.ck �A �V �44ATEO /,P�`�,(5 S V BOARD OF HEALT ERMIT Food/456 P T L D Septic System `S I THIS CERTIFIES THAT ............17...81. ,(.�td,�Q.(Y4eX.....: ,,,, BUILDING INSPECTOR ...................................... has permission to erect ............... buildings on G.Y_ Foundation .� � ... Rough tobe occupied as .............. !i. ....� e: ....9?//...,,.......................................................... Chimney provided that the person accepting this permit shall itevery respect conform to the terms of the application na n/f 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final 14,p4";6- PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INS CTOR UNLESS CONSTRUCTION STARTSRough 7- / z- 1,6 ervice .............................................. ILDING............................INSPECTOR BUU .. Final 65 Z GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final F0, & alp Y p � No Lathing or Dry Wall To Be Done FIRE DEPART ENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. O�µORT:,fie � DL CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 635-2016 on 12/6/2015 Date: February 16, 2017 THIS CERTIFIES THAT THE BUILDING LOCATED at 1211 Osgood Street MAY BE OCCUPIED AS IN a tenant fit up—Bella's in ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Bella's 1211 Osgood Street North Andover,MA 01845 Ruilding Inspector Fee: Prepaid $100.00 Receipt: 29715 Check : 1010 O,NORM.,N O • CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 635-2016 on 12/6/2015 Date: February 16, 2017 THIS CERTIFIES THAT THE BUILDING LOCATED at 1211 Osgood Street MAY BE OCCUPIED AS IN a tenant fit up—Bella's in ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Bella's 1211 Osgood Street North Andover,MA 01845 W uilding Inspector Fee: Prepaid$100.00 Receipt: 29715 Check : 1010 F 0 RTh q •� Town of 6 ndover O 26 t 7 h ver, Mass, A_ COC NIC Nl WICK y1. 7a A�R�TED nP�`�,�5 lS U B RD OF HEALTH food/Kitt PERMIT T LD . Septic System R�✓, THIS CERTIFIES THAT ....... , ... �ilrr.. , BUILDING INSPECTOR U/�7 has permission to erect .......................... buildings on ...zzw.w.....lQ�. ,��......r77.... ...7.... Foundation Rough to be occupied as !R►�.. ... .,� i . . ...................................................... Chimn provided that the person accepting this permit shall in every respect conform to 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 _tel 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 ELECTRICAL INSPECTOR UNLESS CONST3WoJIONRough Service .. . . . . ............ "' Final ... BUILDING INSPE OR 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. Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 65,000.00 m $ - $ 780.00 Plumbing Fee $ 97.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 97.50 Total fees collected $ 1,075.00 1211 Osgood Street 635-2016 on 12/3/2015 Tenant Fit Up for Bella's Liberty Bell Restaurant NORTOi Town of EAndover O 0 No. y - h T Z t LAN. h ver, Mass, p`115 COC NIC Nl WICK ��� S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ...........l..l...J.. ....�C.. F`..ILGs...,: � ............................................. .. BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on .��/. ...���.��..p.?'X11................................................ Rough to be occupied as ...............�.� �rl..�.... .1.,`.(f �... r�.�ll................................................................. Chimney provided that the person accepting this permit shall in'every respect conform to 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO ARTS Rough ................................. 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. TOWN OF NORTH ANDOVER Office of the Building Department Community Development and Services 1600 Osgood Street, Bldg.20,Suite 2035 North Andover, MA 01845 978-688-9545 June 17,20.15 To: Kristine Cheetham, Cc: Planning Board Subject: 1211 Osgood Street Bakery to Pizza Hello Kristine, 1. The pizza/Roast Beef fast food establishment does not represent a "change in use"from former tenant, 2. The pizza/Roast Beef fast food establishment will not incur any increases in seating or parking demand. 3. Therefore,the new business does not trigger any modification to Site Plan Review at this time and is entitled to building permits as needed. Thank you, a Gerald Brown Inspector of Buildings Community and Economic Development Town of North Andover 1600 Osgood Street,Suite 2035 North Andover, MA 01845 978-688-9545 gabrown@townofnorthandover.com P Town of North Andover �. PLANNING BOARD ` John Simons, Chairman s '� •, David Kellogg Lynne Rudnicki Lora McSherry Peter Boynton Tuesday-June 16,2015 @ 7 p.m. Town Hall, 120 Main Street,North Andover,MA 01845 42 L. McSherry: They have been before us at least twice. The last time was in June of 2014. We gave them very 43 specific instructions as to how they were comply with the site plan and they've completed 20% of the work. The 44 three trees are not planted in the right location. 45 D. Kellogg: The trees are not screening trees,they are river birch and they don't get much thicker than that. 46 L. McSherry: The plan was approved with modifications. What was defined has not been provided for plantings. 47 MOTION: L.Rudnicki made a motion to deny the Bond release for 110 Sutton Street until what was discussed in 48 the minutes of June 17, 2014 and the plantings comply with the Decision. D. Kellogg seconded the motion. The 49 vote was 5-0, unanimous in favor. 50 51 C.PUBLIC MEETINGS: 52 CONTINUED— 1665 Great Pond Road(Map 62 Lot 12): Technical Training Foundation Trust seeks an 53 Extension of the Watershed Special Permit issued on 7/2/2013. 54 K. Cheetham: Attorney Vincent Manzi is here to represent this project. 55 Vincent Manzi: I've represented the Technical Training Foundation Trust for 25 years. Tonight we are asking for 56 an extension of the WSP which the PB voted on and granted two years ago which expires on July 2, 2015. Due to 57 the economy,we haven't had the opportunity to begin construction on this site. This is the vacant lot. 58 MOTION: L. Rudnicki made a motion to extend the WSP on(Lot 12)for one year subject to any modifications 59 you will be required to come back to the Planning Board. D. Kellogg seconded the motion. The vote was 5-0, 60 unanimous in favor. 61 V. Manzi: Requested whether the Planning Board would allow him to come back to the Board regarding(Lot 19) 62 with more detailed plans and drawings demonstrating no changes are to be made to the structure,topography, 63 sewer, erosion control,waiver compliance, etc. 64 L. Rudnicki: There are going to be changes to the landscaping;there already has been. You are gutting it 65 completely. We want the roof drainage specifications and we'd like our outside consultant to review it and to 66 bring it up to code. 67 J. Simons: If you applied for a Watershed Permit it would be cleaner and more transparent as an open public 68 hearing process. Roof changes, dry wells, etc. all matter because of the proximity to the lake. 69 70 1.21 l-Osgood Street.(Map 35 Lot 8): Harry-Kanellos seeks determination that his new business is allowed by right 71 Cat location without a modification to the existing Site Plan Review. Applicant will also provide update on site 72 improvements associated with proposed restaurant at the other end of strip mall. 73 K. Cheetham: I spoke with the Building Inspector and the Director of the BOH and Mr. Kanellos. We discussed 74 the plans and what has been permitted on the site. The existing tenant in Unit 1 was a bakery. It was a by-right 75 business in your GB district. It has a BOH certificate for 10 seats and ten parking spaces associated with its use. If 76 he maintains this,there's no change to trigger an SPR or SPR Modification. His food service business is classified 77 by the BOH as the same as the bakery. He's considered a fast food vendor(FFV)his business is not classified as a 78 restaurant. Technically, he should be allowed to open his business regardless of anything going on at the site 79 associated with another tenant. As co-owner of the plaza gives him additional responsibility associated with the 80 other restaurant tenant. He can speak to landscaping and traffic secondarily. 81 L. McSherry: Unit 2 is occupied. It's open at night? 82 H. Kanellos: It's open early in the morning and 3-4 hours in the evening. 83 P. Boynton: Assuming no changes in seats or parking, is there a change in hours of operation? 84 K. Cheetham: His hours might be slightly different than the bakery. Page 2 of 5 June 16, 2015 Town of North Andover PLANNING BOARD John Simons, Chairman Sw '`'F David Kellogg Lynne Rudnicki Lora McSherry Peter Boynton low Tuesday June 16,2015 @ 7 p.m. Town Hall, 120 Main Street,North Andover,MA 01845 85 L. Rudnicki: Did the Building Inspector determine whavtriggers the distinction between retail and restaurant. We 86 don't have FFV classified anywhere in our bylaws? We can hear this,but we'll need an opinion letter from the 87 Building Inspector stating this is retail. If it's not retail, it's a change of use. 88 89 90 J. Simons: We want to determine there are no externalities impacting the neighbors and ensure there is a decent 91 entrance,parking and egress from the property. 92 H. Kanellos: The tenant"Lots of Eats"is opening within the month. I am working with a landscaper for the 93 underscore plantings and they should be planted within the next two weeks. 94 K. Cheetham: The only issue with the site was the landscaping and the traffic analysis which would be done on a 6 95 and 12 month interval, once the restaurant is up and running. The back of the plaza has mature white pines. You 96 could consider attractive streetscaping and understory planting at the corner near the restaurant. 97 L. Rudnicki: We promised a buffer to the back of the building for the abutters. You could provide hostas, day 98 lilies,under the mature white pine trees on the street side. If your business grows and you want a restaurant in the 99 future you may be locked into a situation as opposed to fixing it now. For example,you may want to join two 100 units. If it's a retail establishment and it's in writing,then it remains as is. FFV is a finite definition. We could 101 consider a minor modification rather easily. 102 L—Simons: We suggest your approval is contingent upon a signed letter from the Building Inspector stating the 103 project is a fast food&retail establishment so the use will not change If you want to become a restaurant at a later 104 date then you will need to come to us with drawings explaining everything you are planning to do. Any 105 commercial property abutting residential we take more scrutiny on. We wish you much success. 106 107 D.PUBLIC HEARINGS: 108 CONTINUED: 1600 Osgood Street(Map 34 Lot 17)• OSGOOD Solar LLC seeks OSGOD Special Permit for 109 construction of rooftop and parking canopy-mounted solar system. Property zoning is located within the I2 Zone 110 and OSGOD. 111 J. Simons: I spoke with Town Council about our options and we talked about accepting the withdrawal, voting it 112 down and the recommendation was to keep it open until a decision is made at the ZBA. That gives us flexibility 113 moving forward. If the ZBA decides against it,that makes it easier and if it moves forward,we review it for its 114 merits. The Board and applicant discussed what would be an appropriate extension and agreed on an extension to 115 August 10,2015. 116 MOTION: D. Kellogg made a motion to accept a written extension to August 10'`. L. Rudnicki seconded the 117 motion contingent upon receipt of a letter documenting the extension in writing. 118 119 CONTINUED: 242 Dale Street: Julie Nigro&Rob Barter(Map 64 Lot 30): Request for Watershed Special Permit 120 to construct above ground pool, deck, patio, fencing and removal of four trees. Property R-1 Zoning. 121 K. Cheetham: This is a new Public Hearing. The applicants are here tonight with their backyard pool &patio 122 home improvement project. It is not on the lake however they abut a wetland in the watershed district. They are 123 seeking a Watershed Special Permit. The Conservation Commission approved the NOI but they are waiting to 124 hear from Natural Heritage recognizing this area as an endangered species habitat. 125 L. Rudnicki: They've requested a Watershed Special Permit Waiver, so these plans haven't been reviewed by our 126 consultant. We did notifications and it was a formal permit? 127 K. Cheetham: Yes,they have filed for a formal WSP and notified the abutters. They are asking to waive the cost of 128 the consultant review fee. The letter from their engineer states why in their application narrative. It's an above Page 3 of 5 June 16, 2015 ,JCORID0 CERTIFICATE OF LIABILITY INSURANCE ouII M7/2o� Pan5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTIS UPON THE CERTIFICATI=HPLPER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENP, EXTEND OR ALTER THE COVERAGE AFFORDED IBY TME POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THF; ISSUING iNSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If,th nmertific141its holder Is An ADDITIONAL INSURED,V oncy(ies mint be Armed. 11SUBROGATWN IS WAIVED �atu�wat to the terms end con (tions o the oolim certain Teles MAY require an A 5181 rn�Snt On inns,Reltrr"IM r nal 000M ngn W uta certificete holder In lieu of such endoreemen s. PRODUCER Paychex Insurance Agency,Inc. Paychex Insurance Agency Inc j .---- - � -. 150SuwcgrmIa Drivean-25e-Rrssox-a°"ae -------------. F + roe>• ....---... kw Rochester,NY 1464 € s77-200-08 GnX19"6"? NAAC III ..---... FIR5T r�ATIONAL COMPANY OF AMERICA INSUREDShit=t-1 IYIt=I^L-- (RIG I.N_SVjWI C: tMF WYt1iS1NS(UUf WASAU r a: 410 LO =,-L STREF-TINS WAIKEFIELp, MA,01.8+80 INIsUREIR E: INSUEEF: COVERAGES CERTIFICATE NUMMR: REVISION NUMBER, THIS t5 TOCERTIFY THAT THE POLICIES OF INSURANERMISB4WRA C THE ryFO FOR � YM4nRIODET � T CR� NDpOF ANY raNiRACTOR OH WCNMFSi HNYImooryEPOLELFRTpICAtENMQATYWIBESSS�pD�ggMARE 'PffNEYTRANCAFFO0 BY THE S UESCRaw-P HEREIN t5 zwoxCI IV Aw- Int IErclwa. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOV M MAY HAVE BEEN REDUE&V BY VAJD L:"MS. POJJCY EFF POLICY EXP —.._. ...___.... LTR TYPE OF INSURANCE POL1CYwMm Lr101179 A GENERAL LIABILITY _ 1,000,000 EACH OCCURRENCE S _ x COMMERCV+LGENERA.LiABILITY L S 200,000 -- CLAIMS-MADE 1_X L OCCUR MEDEW(Anyong 10,000 — I,�—, 25CC23648260 08/14/2015 08/14r2016 1LiTY PERSONAL&ADVI"RY S 1,000.000 HI EDAUDTOL NON-OWNED AUTO LIABILITY GENERAL AGGREGATE S 2,000.000 GEN`L AGGREGATE LIMIT APPLIES PER: pRooUCTS_caw/pp AGG 2,000.000 -- - I--I POLICY PRO. LOC S AUt0- LIA ILITY IT - ANY AUTO BOAILY tN)6)RX(Pwlr Person) ,i -�ALL OWNED AU4DI CHEESULED --- BLYiNJUI2Y(P�»aP4arlt) .i OYMiEt7 P DAMAGE S HIREOAUTOS AUTOS O$ UMBRELLA LIAB a !OCCUR EACH OCCURROICE S _ • CLAtMSM_ADE AGGREGATE..._ EXCESS LIAe - GATE _. - S _- DEO ! I RETENTIO S WORKERS COMPENSATION - B AND EMPLOYERS'LIABILITY - - ANY PROPRIerORIpARTNER/EXECUiVE:YJNN EACH ACCIDFJNT E 1.000,000 (OMFFICCEEMEMBOm In NENRMLUDED7 °I N� 1 NIA WCCZ91/. 50090015 g8/1Aam 08114/2016 E.L.DISEMF-EA EMPLOYEE S 1,000,000 Is describe under - DESCRIPTION OF OPFRATION,5 Dom E.L.(DISEASE•POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Aft0h ACORV 101,Addilionsl ROW,*."60*01jlr,Is mors 0"m is n.owls t) Bella"s Restaurant 1211 Osgood Street, North Andover, MA 01845. CERTIFICATE HOLDER CANCEUATION L SHOULD ANY OF TH€AROVE DESCRIB€D POL.ICIFS BF-CANCELLED REFORE TH€ Town of North Andover, Building Department EXPIRATION DATE THEREOF;NOTICE WLLBEDELIVEREDINACCORDANCEWITHTHE POLICY PROV1510N5,BUT FAILURE TO MAIL 31LICH NOTICE aNAL.L IMP05E NO Osgood Street OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS,OR North Andover, MAO 184Rte KtJGNIA1IYtJ. — 1984-2010 ACORD CORPORA AI riglills res1s1Y1sd. I ACORD 25{2010!05) The ACORD name and logo are registered Marks of ACORD The Commonwealth of Massachusetts City\Town of North Andover Certificate of Inspection In accordance with 780 CMR, Chapter 1 ('The Sixth Edition of the Massachusetts State Building Code) and Chapter 304 of the Acts of 2004 (an Act to further enhance fire and life safety),this temporary certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to BAKED 385-14 1211 OSGOOD STREET Certificate Located at Expiration March 2015 Use Group Allowable Classification(s) RESTAURANT/BAKERY Occupant Load 10 SEATS Certificate of inspection is hereby issued by the undersigned to certify that the premise,structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall allow for the temporary use as herein described and in conformance with any and all conditions as identified below. It shall be framed behind clear glass and\or laminated and posted in a conspicuous place within the space as directed by the undersigned. Failure to post the certificate,failure to comply with conditions or, tampering with the contents of the certificate is strictly prohibited. Conditions of Temporary Use Name of Municipal Andrew Melnikas,Fire Chief Name of Municipal Gerald Brown,Bldg. Insp. Date of March 5,2014 Fire Chief Building Commissioner Inspection Signature of Municipal Signature of Municipal Date of March 5,2014 Fire Chief Building Commissioner Issuance COMMONWEALTH 94MASSACHUSETTS ' COMMONWEALTH OF MASSACHUSETTS, j w • • • . # M . BOARD O ! SHEET METAL,WORKERS SHEET METAL WORKERS ISSUES THE FOLLOWING LICENSE ASA f ISSUES THE FOLLOWING LICENSE BUSINESS � AS .A MASTER—UNRESTR'i CTED JAMES.R. STEWART ^" SCOTT''SHEET METAL CO INC M, SCOTT SHEET.METAL METAL CO 410 LOWELI.STREET W JADES R STEWART b ; F t;'' i WAKEFIELD,MA 01880 . k SCOTT SHEET METAL .CO . I;N 410 LOWELL STy 459 0712012017 1371 I,t'... WAKEFIELD MA 01880-1978jr � � �a I '��r � _ S .V, - - ._..� J.'W'_ '.� -_ A..-.. _.......,+w.--.tea -' ... _ __...._.w �. • s �'�'