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HomeMy WebLinkAboutBuilding Permit #48 - 200 CHICKERING ROAD 7/30/2002RECEIVED TOWN OF NORTH ANDOVER JUL 3 0 2002 BUILDING DEPARTMENT 01 HLBING DEPT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING x wyap�y :�+�+3VRrWi y B DING PERWT ER: DATE ISSUED: Z l s SIGNATURE`. Building Commissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 1� CACY—MI KKa i2a&-z, 4C© 35 6 t o� ' Map Number Parcel Number iJotn->.i ti��x�. , tesla 1.3 Zoning Information: 1.4 Property Dimensions: 2707to8,`16 9� 7,46,27� Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front' Yard Side Yard Rear Yard Required Provide Required Provided Required Provided WA•. �41A, N/.\ 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 1&, Municipal ❑ YJ1A, On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Ota -mWm V1LLAaC�E 1X&k_M(WO 4--"V.I4E]Zt IFIL -j J;20A1:2 Name (Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Cbnstruction Supervisor: Not Applicable ❑ tAlzij Licensed Consffuction'.Supervisor: O%TSZZ License Number 1Z i,. ILL .R t;l S-c:G0nx0lz> j lJHi ® 01 Address /o - 27 — 04 Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone Location No. r � Date J `3o Acc.�—) TONIN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ -3, TOTAL $ Check # 22- 15743 uilding Inspector Mm— m M m CO m A� d C 0, CO) .p C Z CD O Qr m m �=r CL aCC2 � O o p a� Q CD O c CCD ao co CD CD Cl) CDO rM CD CDa y CD y Cl O CCD O CD le 'O Cl) z 0 �• y O IS O y CL m C) 5 y Ca � 3 H w O -« low T o � CL ,� m 0 m CO) N Oso. _ > Amo' 0 . 0 oc R �, H � mom; e �� •: CrJ a nH�� �c c* " a y m O CD ,am 1 CD O O1 ti H CR d I • CL y CD-: \-J y� :a 0 CO) � y . .• rn � �m �. ,,,o: y z =9. �o COLEr x : C®q n 1 o' H � CD H dm: ate. A 0 a o � CO)� C=*; 'O Cl) z ?� p o O o w o0. a �, :j r y � x � H H 0 0 c Town of North Andover Building Department 27 Charles Street North Andover MA 01845 Tel: 978-688-9545 Fax: 978-688-9542 DEMOLITION OF BUILDING AFFIDAVIT DATE _ ):� trti- ZC, , 7oC)7 NORTfj % O o Z. lb O coc KIc"I WICK 1' 7 RATED jkP •�� gSSACHus�� !TRACTOR'S NAAN /I coroov^44( ar ct 4 e- RESS o r"lL DEPT. OF PUBLIC WORKS - WATE OjoecLe(?X:�AOS4faC fj � DEPARTMENT SIGN -OFFS No U)47_5M -0" ( jO SEWER: 7.7X-o-2- TE .7X-aZ DUMPSTER - ON/OFF STREET DIG SAFE NUMBER 70n2 TE REC'D BLDG. INSPECTOR //mac/bt- The Commonwealth of Massachusetts Department of Industrial Accidents Office of investigations Boston, , Mass. '02111 WOt-Kers' Compensation Insurance Affidavit am a homeowner performing all work myself. Qi am a.sole proprietor and have no on6 working in any capacity i am an employer providing workers' compensation for nay employees working on this job. . Cam„pany name- CC S IEE Co r�srrzvC_''rt C �T�72 r 7o�v Address 11 vE Com - me: Address Cft1/: Phone #- Failure to Secure cov&age as and/or one years• itr1pris4&iunei understand that a copy of this ' do hefby certify under t p€ i Signature � 'Tint name 5Z7- 9. "9i0 NMred under mon 25A or WIL 1,52 carr l*t tOrft tlpoi d C*YirwlPengReft afloe up as WeRas ciW penattles intt,e.14MC(aSTOPVVOAXOfi and afire of 31001 �$e- I.of? rrtertI may be forwarded to the 011k* Of k� o/ the ptq fbr agalnst-me- penatles of Pedu%YW theles mwjF ,n prOvA ed above is byre antfcarsert ficial use only do not write in this area to be completed by city or town offic:iat- :]Check iiir»meddate response is requked Building Dept %rtact person: Phone ?iC;r AY'S COMPENSATION 6�Ar� El Building Dept-'. p Licensing Board p selectman`s C�ffIc6 El Hlealth Department 0 Ofh-er xuv-Li%UU1 LUZ U` .41 rlvl 01,11Y1 iivauttxlui E ==I CERTIFICATE OF INSURANCE I.-,<. --------------------------------- PRODUCER a,L.I.M, lnsurenes p,0: $ox 1019 Raymond. NH 0077 -------------------------------- INSURED ��U��y�0101 r. UU1iUUi • — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — =I COMPANIES AFFORDING COVERAGE COMPANY A: Westchester Fire Policy #: Binder 475903 Eff. Date: 08/17/01 Exp. Date: 08/17/02 - COMPANY B: Travelers Ineurance Policy #: 810623D7094 Eff. Date: 08/17/01 Exp. Date: 08/17/02 COMPANY C: MEMIC l======== Policy #: Binder 20012 Eff. Date: 08/14/0.1 Exp. Date: 08/14/02 opechee Construction Corp =!COMPANY D: -------- 11 Corporate Drive Policy #: Belmont, NH 03220 1 Eff. Date: / / Exp. Date: — w w w.— —'— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — -- — — — — — — — — — — — — — — - — — — — — — — — - — — — — — — — — — THIS CERTIFICATE IS ISSUED AS INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT. HOLDER. IT DOES NOT AMEND, EXTEND OR ALTER COVERAGE BY POLICIES HEREIN. COVERAGESI =---------�-.mow--.��'L_=-J.���-��w-..w _--_-'-'•- This is to certify that policies of insurance listed below have been issued to the insured named above for the policy period Indicated, notwithstanding any requirement, to= 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 subjeot to all the terms, exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. ----------------------- ------------------W------------------------------------------------------- Col TYPE OF INSURANCE 1y( All limits in THOUSANDS — — T — — — — — — — — — — — — — — — - — — — — — — — — — — — — — — w — — T — — — — — — — — — — — — — — — — — — — — — — — — — — — — — ----------- GENERAL ---------GENERAL LIABILITY $ 2,000 General Aggregate A [X] Comm. General Liability $ 21000 Products/CompOpS Aggregate [X] Occurrence [ ] Claims Made $ 1,000 Personal/Advertising Injury [ ] Owners/Contractor Protective $ 1,000 Each Occurrence [ ] $ 50 Fire Damage (any one fire) [ ] $ S Medical Expense (one person) --+--------------------------------+--------------------------------- - ---- AUTOMOBILE LIABILITY B [X] Any Auto $ 1,000 Combined single limit [ ] All Owned Autos Bodily Injury and Property [X] Scheduled Autos Damage [X] Hired Autos [X] Non -owned Autos $ Bodily Inury (per person) [ ] Garage Liability $ Bodily Iniury (per accident) ----------------------------- $ Property Damage --------- EXCESS LIABILITY $ Each Occurrence ]Umbrella Form $ Aggregate Other than Umbrella $ Self-insured retention $ --f---------------------------------+----- ----------- --------------------_ WORKERS COMPENSATION S 500 Each Acc�- ident C AND $ 500 Disease Policy Limit EMPLOYERS LIABILITY $ 500 Disease Each Employee --+-------------------------------------------------------------------------- $ --------------------------------------------------------- Description of operations/locations/vehicles/other --� CERTIFICATE FOLDER I-------------- CANCELLATION I ----------------------- If cancelled prior to expiration date, .issuing company will endeavor to send 60 days written notice to cert, holder. -----__ --....------------------------- --------------------------------------JAuthoriz Repr Val-------------- North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision 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 properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: (Location of 7 �7- - � � Signature of Permit Applicant 26 - o,�, Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector CONCHU]b o CON5TR'UCTION CORPORATION + FAX TRANSMITTAL Cove SHEET Date: 7-30-02 To: Terra Properties, LLC Gerry Lynn Darcy Phone: 978-470-8257 Fax: 978-470-2690 From: Tom Daigneault Pages: Cover plus two RE: Kittredge Crossing Jerry: Attached is a copy of the job Super license and a new off site waste form. Let me know if there is anything else required. Thank You Tom 11 CORPORATE DRIVE, BELMONT, NH 03220 PHONE (603) 527-9090 FAX (603) 527-9191 C00/T00'a SLL9# NOILVEOdIOO NoIsonldZSNoo aamoaao T6T6 LZ5 C09 T CS:ZT ZOOZ+0E-Inr North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision 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 properly licensed solid waste disposal facility as defined by MGL C 11, S 150 A. The debris will be disposed of in: 51 � 10 11 fi6bv ti S &,K (Location of Fac' Signature 6f Permit Applicant a Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector COO/EOO'a 9LL9# Noivndoddoo NoizondjsNoo Ssxosao T6T6 LZ5 E09 T E4:ZT ZOOZ,OZ"znr &72. & �,Pw 4,xonaW a', BOATED -q*:B.tp�o conse. '.'UI UIATIONs UP�RVjSoR. Number: t8 079522 78522 W:, -MAYO CONCORD, NN 03303 COO/ZOO'd 9LL9# NoIlTdOdx00 N0IJ,0n'dISX00 ZZHOZdC) T6T6 LZG £09 T Cg:ZT Z0oZ,oC'rIrlf �Jh.% VUVJOY-> - dc, tti?.. R \,,A4, Vt6-,.-4,1-� Christina Minicucci Modified: Fri 11/14/2003 8:16 AM Closings -- 11/14/03 ( 3L C�(-- UI OCT 2 5 200 BOARD OF APPEALS 1 ,SSACH U , GERTI'M ATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number.P-0 (,? a4 Date YJov,, THIS CERTIFIES THAT CERTIFICATE ISSUED TO IJ4&n ?AvRex7iim Ll.(ft BuildingNkspector Town of North Andover Building Departments o� 27 Charles Street 0 North Andover, Massachusetts 01845 _ (978) 688-9545 Fax (978) 688-9542 ZF,i APPLICATION FOR CERTIFICATE OF OCCUPANCY I INSPECTION ADDRESS (QO O C �j �' C �'C� r; n �j 120,ae� V t, , LOT NUMBER �SUBDIVISION v / L DATE REQUEST FILED e w? h e r % �2 O0 3 DATE READY FOR INSPECTION ./ 9p,?r 7 je r 7 q p0 3 11 ALL SIGN- FF'SC9 LETE WITHIN THIS IME F INSPEC Y -FIVE ($25.) DOLLAR WILL BE CHAR IF THE S UC O O T AIPPLIC E CODES. SIGNATURE ROUTING D.P.W. — WATER METER DATE / D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED VIR TO r INSPECTION REQUEST DATE. TURE / DPW AUTHORIZATION 2 0 0 0 ED IT I ON AIA DOCUMENT The Work performed under this Contract has been reviewed and found, to the Architect's best knowledge, information and belief, to be substantially complete. Substantial Completion is the stage in the progress of the Work when the Work or designated portion is sufficiently complete in accordance with the Contract Documents so that the Owner can occupy or utilize the Work for its intended use. The date of Substantial Completion of the Project or portion designated above is the date of issuance established by this Certificate, which is also the date of commencement of applicable warranties required by the Contract Documents, except as stated below: ril ARCHITECT // BY DATE A list of items to be completed or corrected is attached hereto. The failure to include any items on such list does not alter the responsibility of the Contractor to complete all Work in accordance with the Contract Documents. Unless otherwise agreed to in writing, the date of commencement of warranties for items on the attached list will be the date of issuance of the final Certificate of Payment or the date of final payment. Cost estimate of Work that is incomplete or defective: �1 o I D bo The Contractor will complete or correct the Work the list of items attached hereto within ) days f om th above date of Substantial Completion. (O OP �ia F ✓ do& -e — I q- CO TRACTOR DATE 6704-2000 OWNER ❑ ARCHITECT ❑ CONTRACTOR ❑ FIELD ❑ OTHER ❑ S�E�tED A��y� C-1 Nm 9086 BOSTON, W p� MASS. �Jy \�Ty 0V MPSSP The Owner accepts the Work or des' ated ort'on a su antia y c plete and will assume full possession at 3 L9,11 Sr ( im on- / 0 ,(date). OWNER �( DATE 0 2 000 A I A@ The responsibilities of the Owner and Contractor for security, maintenance, heat, utilities, damage to AIA DOCUMENT G704-2000 the Work and insurance shall be as follows: CERTIFICATE OF (Note: Owner's and Contractor's legal and insurance counsel should determine and review insurance requirements and coverage.) SUBSTANTIAL COMPLETION VtUUU Ine American Institute of Architects. Reproduction of the material herein or substantial quotation of its provisions without written permission of the AIA violates the copyright laws of the United States and will subject the violator to legal prosecution. WARNING: Unlicensed photocopying violates U.S. copyright laws and will subject the violator to legal prosecution. The American Institute of Architects 1735 New York Avenue, N.W. Washington, D.C. 20006-5292 Certificate of Substantial Completion (Instructions on reverse side) PROJECT: K1 4treJLYo$37><[ PROJECT NUMBER: – 0)-0 (Name and address) ( C j // g /f tc V64M - CONTRACT FOR: At. Mr, CONTRACT DATE: TO OWNER:_ NS TO CONTRACTOR: S=I S -6 Co e��� Cov (Name and address) t A,°r,-L pP �� t �C (Name and address) P P ��.[ 322,0 PROJECT ORPORTION OF THE PROJECT DESIGNATED FOR PARTIAL OCCUPANCY OR USE SHALL INCLUDE: U c,c,i ^(q � The Work performed under this Contract has been reviewed and found, to the Architect's best knowledge, information and belief, to be substantially complete. Substantial Completion is the stage in the progress of the Work when the Work or designated portion is sufficiently complete in accordance with the Contract Documents so that the Owner can occupy or utilize the Work for its intended use. The date of Substantial Completion of the Project or portion designated above is the date of issuance established by this Certificate, which is also the date of commencement of applicable warranties required by the Contract Documents, except as stated below: ril ARCHITECT // BY DATE A list of items to be completed or corrected is attached hereto. The failure to include any items on such list does not alter the responsibility of the Contractor to complete all Work in accordance with the Contract Documents. Unless otherwise agreed to in writing, the date of commencement of warranties for items on the attached list will be the date of issuance of the final Certificate of Payment or the date of final payment. Cost estimate of Work that is incomplete or defective: �1 o I D bo The Contractor will complete or correct the Work the list of items attached hereto within ) days f om th above date of Substantial Completion. (O OP �ia F ✓ do& -e — I q- CO TRACTOR DATE 6704-2000 OWNER ❑ ARCHITECT ❑ CONTRACTOR ❑ FIELD ❑ OTHER ❑ S�E�tED A��y� C-1 Nm 9086 BOSTON, W p� MASS. �Jy \�Ty 0V MPSSP The Owner accepts the Work or des' ated ort'on a su antia y c plete and will assume full possession at 3 L9,11 Sr ( im on- / 0 ,(date). OWNER �( DATE 0 2 000 A I A@ The responsibilities of the Owner and Contractor for security, maintenance, heat, utilities, damage to AIA DOCUMENT G704-2000 the Work and insurance shall be as follows: CERTIFICATE OF (Note: Owner's and Contractor's legal and insurance counsel should determine and review insurance requirements and coverage.) SUBSTANTIAL COMPLETION VtUUU Ine American Institute of Architects. Reproduction of the material herein or substantial quotation of its provisions without written permission of the AIA violates the copyright laws of the United States and will subject the violator to legal prosecution. WARNING: Unlicensed photocopying violates U.S. copyright laws and will subject the violator to legal prosecution. The American Institute of Architects 1735 New York Avenue, N.W. Washington, D.C. 20006-5292 Instructions GENERAL INFORMATION PURPOSE. This document was developed to establish the date of Substantial Completion for the purpose of commencement of applicable warranties and to allow the Owner to occupy or utilize the Work or des- ignated portion. RELATED DOCUMENTS. This document was prepared for use under the terms of AIA general conditions, including AIA Document A201, General Conditions of the Contract for Construction; and the general conditions contained in AIA Document A107, Abbreviated Owner -Contractor Agreement Form'for Construction Projects of Limited Scope—Stipulated Sum. USE OF CURRENT DOCUMENTS. Prior to using any AIA document, the user should consult the AIA, an AIA component chapter or a current AIA Documents Price List to determine the current edition bf each document. REPRODUCTIONS. AIA Document G704 is a copyrighted work and may not be reproduced or excerpted from in substantial part without the express written permission of the AIA: The G704 document is intended to be used as a consumable—that is, the original document purchased by the'user is intended to be consumed in the course of being used. There is no implied permission to reproduce this document, nor does membership in The American Institute of Architects confer any further rights to reproduce t G7o4. e A limited license is hereby granted to retail purchasers to reproduce a maximum of TEN copies of a com- pleted or executed G704, but only for use in connection with a particular project. COMPLETING THE G704 FORM • After the words "Project or Portion of the Project Designated For Partial Occupancy Or Use Shall Include:", insert a detailed description of the Project or portion(s) of the Project that have been accept- ed as being substantially complete. 4� • Determine Work to be completed. Provide a list of items that are to be completed or corrected and attach. • Determine dates for completion of the Work. • Establish an amount to be withheld to complete the Work. EXECUTION OF THE DOCUMENT The G704 document should be executed in not less than triplicate by the Owner, Architect and. I Contractor, each of whom retains an original. , ©2000 AIAO ' AIA DOCUMENT G704-2000 INSTRUCTIONS The American Institute of Architects 1735 New York Avenue, N.W. 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CT O +- L 0 . p U) Q O 0 LY N o �o LL 0 Na) co o E 3: ca (n ° 0 cc)Co O 0 E t— 0OC' OOa) C'" � O O N 'a L a c 0. > 3:t: . ' fn — cu ot �0 �L O ONOco N c O0o E c'±o N E oCL o � 0in US °°�via•,+ Lcn���E�o ooceva 0. n p 0 OO 0C00 p O O O—E aN Ua) c 0 OQp'7O O o O '0 0 0 cc0 p pN-p'O O 0 U Mn o c c 0 ° L c 0 0 -p 0co o Mncn p 0 : co U)c E o oin WH�i5H WmC)Q�i�m f—� c o o c c 0Qm oW(n0 E ELE acu m 000W >+�+ oom �m EEE c >• c 0 0 Ea) E E E rno 0 o poo CM0 0 2 0 0 o 0 cmm 0 E� EEE 2'e'L-c U 0 � c(n v cLi.. 0 v.. a »_ 0 0 o o o > co c c c a) co co co > > 0 > Co 0 co > = c co = c •> 20 2 U U U J m W W W o m m m D-12 J M m m J Y W m Y W J N N N N N N M M M M M M M It It It LO LO co co CC) I- P— F- a0 co OD co O O O 00000 0 0 0 0 0 0 0 000 O O 000 O O O O O Co O M M M 0 0 cM cM c0 CO) M M M M CO M M M M M M M M M M M M CM C'M c'M M 2000 EDITION AIA DOCUMENT Certificate of Substantial Completion l (Instruttions on re erse side) .,PROJECT PROJECT NUMBER: (Name and address) CONTRACT FOR: T' &;j -4 CONTRACT DATE: TO. OWNER: �-ITO CONTRACTOR: (Name and address) (Name and address) PROJECT OR PORT - I,ON,­0F THE PROJECT DESIGNATED FOR PARTIAL OCCUPANCY OR USE SHALL INCLUDE: _-N L TheWork performed under- this Contract has been reviewed and found, to the Architect's best le rniation and b6liefto be substantially complete. Substantial Completion is the "stage in hen designated portion is sufficiently complete in theprogress 'the W_�rk. W' the Work 'ehts,,sb that the Owner can occupy or utilize the Work for its "accordance i1:, it. e,'ContrAct.,.D.&um f Sub�s' Comp tion Of the Project or portion designated above is the intended -use. i eate .6 eanfifal," this i - :dAe 6rp [.anceestablished"'by v_- is "Ceri ficaie,,which is also the date Of commencement of applicable warranties by the ConirContract'Documents, except as stated below: G704-21 ,J ARCH CONT BOSTON. PASASS. 0 Z:,) MASS. _3 I 'ARCHIAtT,,' NC �-41 of to of A'list�,6f iteftis. tQlbe�cOmpl'et As attached hereto. The failure to include an items on BY DATE OF SSU ANC V S uclili, Ae Co �,els not altei the r6'—spnsibility ofthe'Coritractor to complete all Work in accordance with , I I , �J f . ). � I , - ict bocum'ents. Unless/othe rwi9elagree14 to in ,writing, the date of commencement of Joi, items' 6h,'the .,,-attSched,-Iist-"will.,be�the date of issuance of the final Certificate of rthei date of final --payment.' W of Work is incomplete`Of'_defective: actor will complete di,co"rrect,theWork o the,li§V--f items attached hereto within fro )days fro _1 abb:' date of Substantial Completion. YDATE ', ccepts'ihe WorklOrAesi gnated p9f'ion as substantially complete and will assume full EEO= -,(the) bni° (date). ��I /�® `, i Y �� � _lam Vi i:1 By A DATE 02000 AIA® bi1iti6 of the Ovfi—eF I a-n"d,Con'tr�ictor,f6i�'security, maintenance, heat, utilities, damage to AIA DOCUMENT G7 Finsufance shall -be as CERTIFICATE OF SUBSTANTIAL COP nd Co Ii.ractor's legal andihsur�,ahc 'e,counsel should determine and review insurance requirements and coverage.) , --------- Tha Am.ri­ 1—fit, warrant ti PaYmel Cost es the �ar The Ce' A ,W6tk (Note (0) wn e r s 4 CONTRA > _n lnnri _tt A ,,The Ov possessi �,els not altei the r6'—spnsibility ofthe'Coritractor to complete all Work in accordance with , I I , �J f . ). � I , - ict bocum'ents. Unless/othe rwi9elagree14 to in ,writing, the date of commencement of Joi, items' 6h,'the .,,-attSched,-Iist-"will.,be�the date of issuance of the final Certificate of rthei date of final --payment.' W of Work is incomplete`Of'_defective: actor will complete di,co"rrect,theWork o the,li§V--f items attached hereto within fro )days fro _1 abb:' date of Substantial Completion. YDATE ', ccepts'ihe WorklOrAesi gnated p9f'ion as substantially complete and will assume full EEO= -,(the) bni° (date). ��I /�® `, i Y �� � _lam Vi i:1 By A DATE 02000 AIA® bi1iti6 of the Ovfi—eF I a-n"d,Con'tr�ictor,f6i�'security, maintenance, heat, utilities, damage to AIA DOCUMENT G7 Finsufance shall -be as CERTIFICATE OF SUBSTANTIAL COP nd Co Ii.ractor's legal andihsur�,ahc 'e,counsel should determine and review insurance requirements and coverage.) , --------- Tha Am.ri­ 1—fit, F1 OTI 7 OWNEAr The -resp 'on! the �ar jm ,W6tk (Note (0) wn e r s 4 I I=. Z > _n lnnri _tt A F1 OTI ©2000 AIA® RENT G704-2000 INSTRUCTIONS American Institute Instructions GENERAL INFORMATION PURPOSE. This document was developed to establish the date of Substantial Coml of commencement of applicable warranties and to allow the Owner to occupy or i ignated portion. RELATED DOCUMENTS. This document was prepared for use under the.terms of Al, including AIA Document A201, General"Conditions of the Contract for Construct conditions contained in AIA Document Aio7, Abbreviated Owner -Contractor A Construction Projects of Limited Scope=Stipulated Sum, x USE OF CURRENT DOCUMENTS. Prior to using any AIA document, the user should AIA component chapter or a current AIA Documents Price List to determine the cui document. REPRODUCTIONS. AIA Document G704 is a copyrighted work and may not b from in substantial part without the express written permission of the. Ah intended to be used as a consumable—that is, the original documen, ..purcha: to be consumed in the course of being used. There is no implied permission to nor does membership in The American Institute of Architects confer any fi G7o4. Al imited license is hereby granted to retail purchasers to reproduce a pleted or executed G704, but only for use in connection with a,nar-tip COMPLETING THE G704 FORM • After the words "Project or Portion of the Project Designated :For Partial Include:", insert a detailed descriptiot ofthe Project or portion(s),df the Pro ed as being substantially complete • Determine Work to be completed. Provide a list of items that are to be cc attach. • Determine dates for completion of the Work. • Establish an amount to be withheld to complete the Work. .ion for the .purpose 1 l ize the Work or des- t i general conditions, -j on and the general ;reernent Formfor consult the AIA,,ant f, rent edittoi of each` :. 1, •1 i ,duced or excerpted t The G704 -document `.is; 4 z r a. i by the user i's;intended t Luce this,document;- rights to reproduce' yN,copies.of a coin-" >ancy Or:L1se:Sha11- 1 t have b n accept-` !d,,or corrected ,afid. 4oh EXECUTION OF THE DOCUMENT t v The G704 document should be executed in not ,less than triplicate by t'he Owner, Archjtect-and . �y r Contractor, each of whom retains an original. of Architects Yotk Avenue, N.W. 1, D.C. 20006-5292 WARNING: Unlicensed photocopying violates U.S. copyright laws and will subject the:violator to legal prosecution. i i { { a W�N ffiv, CORPORATION Please Reply to: P.O. Box 1526 • Littleton, MA 01460 • (978) 486-9877 • Fax (978) 952-2408 CONCORD LUMBER CORPORATION LITTLETON LUMBER THE ARCHITECTURE DEPARTMENT ROBERT J. VORBACH - ARCHITECT P.O. BOX 1526 - 55 WHITE STREET LITTLETON, MA 01460 TELEPHONE: 978-486-9877 FAX: 978-952-2408 DATE: 10-30-03 BUILDING DEPARTMENT - INSPECTIONAL SERVICES NORTH ANDOVER, MASSACHUSETTS RE: KITTREDGE CROSSING BUILDING 3 FINAL LETTER PER COMPLETION Dear Sirs, The Architecture Department at Littleton Lumber, Robert J. Vorbach, Architect has supervised the design of and the construction drawings for the above mentioned project, as well as provided on site administration during construction. This office certifies to the best of our knowledge that the building is in compliance with all local, state, and national code mandates as they apply to the project type, and scope. 1 The Architecture Department Littleton Lumber - Littleton, Massachusetts Concord Lumber Littleton Lumber Littleton Millwork Kitchen Works 126 Lowell Road, Concord, MA 55 White Street, Littleton, MA 2 Omega Way, Littleton, MA - 69 Great Road, Acton, MA Final Report of Special Inspections Project: Kittredge Crossing, Building 3 Location: North Andover, MA Owner: Terra Properties, LLC General Contractor: Opechee Construction Corporation 11 Corporate Drive Belmont, NH 03220 Architect of Record O echee Construction Corporation, Belmont, NH Structural Engineer of Record: .ISNAssociates, Inc., Portsmouth, NH To the best of my information, knowledge and belief, the special inspections required for this project, itemized in the Statement of Special Inspections submitted for permit, have been performed and discovered discrepancies have been reported. Comments: (Attach 8 1\2" X 11" continuation sheets if required to complete the description of corrections.) Interim reports submitted prior to this final report form a basis for, and are to be considered an integral part of this final report. Respectfully Submitted, JSN Associates, Inc. Registration Seal Special Inspector Hossein Salehkhou, P.E. (Type or Print) One Autumn Street Portsmouth, NH 03801 OF -- H033EIN igna KHM STRUCTURAL Na 38367 9F4/8T�� zoo 3 Date 103 Francestown Road Greenfield, NH 03047 Telephone (603) 547-2251 Fax (603) 547-2253 BY.................... October 2, 2003 Project: Kittredge Crossing 200 Chickering Road Building 3 North Andover, MA As per Section 116.0 of the Massachusetts State Building Code, I hereby certify that I, or my authorized representative, have conducted inspections of the Plumbing & Gas systems at the above referenced project on a regular basis. The work completed is installed in compliance with the applicable plans, specifications & the Massachusetts State Plumbing & Fuel Gas Code. If you have any questions or comments, please do not hesitate to call. Sincerely, rrGORDON >� )�Joel Gordon, P.E. CONTROL CONSTRUCTION - SECTION 116.0 M.S.B.C. CERTIFICATE OF ENGINEERING/ARCHITECTURE BUILDING INSPECTOR TOWN OF NORTH ANDOVER 27 CHARLES STREET NORTH ANDOVER MA 01845 GENTLEMEN: I, MARK VINCELLO, HEREBY CERTIFY THAT THE HVAC SYSTEMS AT THE KITTREDGE CROSSING APARTMENT BUILDING NO.3 ON ROUTE 125 IN NORTH ANDOVER MASSACHUSETTS TO THE BEST OF OUR KNOWLEDGE CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE AND LOCAL BUILDING CODE AND APPLICABLE FEDERAL REGULATIONS. AUTHORIZED SIGNATURE: DATE: '\O �\rN d:�S REGISTRATION: c3S rl L1 R NOTE: ENGINEER "WET STAMP" MUST BE AFFIXED TO THIS FORM. ZK Town of North Andover Building Department 27 Charles Street 0 ; North Andover, Massachusetts 01845 zi (978) 688-9545 Fax (978) 688-9542 �y µLL9 tDtN [NL'MNN p8`n�e.�afj APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS�UU ��7iC�l�r�n )eO04 10 LOT NUMBER SUBDIVISION DATE REQUEST FILED DATE READY FOR INSPECTION X1r�Zr7?lje r- TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REWIRED ALL WO AJTqb__S_-WN- ,S MUST MPLETED WITHIN F RE-INSPE O FE TWE Y -FIVE ($25.) DOI( C ED IF THE S RUC VIEET ALL A.PPLIC SIGNA yrrll.ME Uhl+.' UNLY ROUTING t D.P.W. —WATER METER ATE D.P.W. MUST INDICATE THAT TlIE WATER METER HAS BEEN INSTALLED QR TO THE INSPECTION�EQU�T DATE. / DPW AtTHORIZATION 16K Town of North Andover 00P��,. Building Department 0 27 Charles Street North Andover, Massachusetts 01845 _ (978) 688-9545 Fax (978) 688-9542 �n APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS 00 CA1"C ke po"4 oto /0 3 LOT NUMBER SUBDIVISION v DATE REQUEST FILED ,1 ,%P, DATE READY FOR INSPECTION _ �1r/?r1? 4e r TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK IGN- LETED WITHIN THIS TIME FRAME. INSPEC IO E OF TWEN' -FIVE LARS WILL BE CHARGE- THE S UCOES ET ALL APPLIC E CODES. SIGNA -e'_� G / ti47Vii-C-e-111p, OFFICIAL USrONLY jir_ f 62e aeXq)eS (j c ROUTING D.P.W_ - WATER METER DATE / D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED OR TO THE INSPECTION REQUEST DATE. OIGNATURE / D W AUTHORIZ IO Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 0 PT fiSYa�� 4i o �� Ow i irHa � 1� •� P. coGN�c FC"MXw APPLICATION FOR CERTIFICATE OF OCCUPANCY/ INSPECTION ADDRESS 0U (.- n i C ke r, n RoaeC V p/ LOT NUMBER SUBDIVISION DATE REQUEST FILED )o1 h� AP r -7 �2 ©o 3 DATE READY FOR INSPECTION r/�v�'I4e f 7 ALL WRDTUBME SIGN-O qST B� FRAMINSPECTIO FEE TWENI CHARSTRU ES NOT SIGMAw'� ROUTING ED WITHIN 's ($25.) DOL ALL APPLK D.P.W. —WATER METER DATE / (J D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE / DPW AUTHORIZATI 0C Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 0 r, L APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS_ QOO poaeC o it i 7 LOT NUMBER SUBDIVISION DATE REQUEST FILED /!/C)i/e' h� f j e t- -% h o c z DATE READY FOR INSPECTION Ali 1?r1? 4jer -7 TEN 10 DAYS NO CE PRIOR TO CLOSE ALL WO SIGN -O 'S MUST BE COrE�T 'I FRAME. INSPECTIO OF TWEN ] CHARGED THE STRU S SIGNATURE ? ($25.) DOLLARS BE ALL APPLICABLEE COD S. Y X62 %L14eA ROUTING l D.P.W_ — WATER METE_ DATE/ /a0-35 D.P.W. MUST INDICATE THAT T. WATER METER HAS BEE INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE / DPW AtrrHORIZA 16P., Town of North Andover t4OPTH Building Departments 27 Charles Street 0 North Andover, Massachusetts 01845 (978) 688-9545 Fax(978)688-9542 Po APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS 06) C/- C dG r n /2,06 - (,J �� r 10 LOT NUMBER SUBDIVISION DATE REQUEST FILED -7 ©C DATE READY FOR INSPECTION r/c't�'1 �jc� r -7 po TEN 10 DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK - FF' T BE C WITHIN THIS TIME FRAME. A - SPECTI N FEE NTY-FI ( 25.) DOLLARS WILL BE CHARGED THE STRU TURE D,/-OES OT T L APPLICABLE CODES. SIGNA OFFICIAL USE ONL )4:FrL Te 22� UcC ROUTING D.P.W. — WATER METER DATE l l D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRI�UO TIE INSPECTION REQUEST DATE. %, � :,� /� SIGNATURE`/ DPW A HORIZATI Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 01 OOPT R 0 APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS 00 0 i C ke � � n eJ �C�aeC V i, i � 0 ?-g LOT NUMBER SUBDIVISION U DATE REQUEST FILED o1 "7%e,- % �2 qCJ DATE READY FOR INSPECTION 1%11 p,?r17 �e t 7 --;): TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WO FRAME. A� CHARGED SIGNA ROUTING THE STR FEE Ela WI S TIM ($25.) DOLLAR ALL APPLICABLE' CO D.P.W. — WATER METER DATE 26K D-P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO 111E INSPECTION REQUEST DATE. SIGNATURE / DPW AUTHORIZATIO Town of North Andover Of OOF Building Department 27 Charles Street b North Andover, Massachusetts 01845 4 _ n (978) 688-9545 Fax (978) 688-9542 tD!H tXiw![N C Hus'r' APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS 00 1 f i C kE i n 1200CW (,J i') I (L lie LOT NUMBER SUBDIVISION DATE REQUEST FILED ll e h� Ae r % �2 ®C% Z; DATE READY FOR INSPECTION ALL WORK IGN-OFF'S TBE CO LETED W7DOLEARS FRAME. SPECTION FEE TWE FIVE ($25WILL BE CHARGE THE STY CTURE O MEET ALL BLE CODES. SIGNA � T ROUTING D.P.W. — WATER METER DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE / DPW AUTHORIZATI ( MI S C� 26K Town of North Andover ON Building Department 0- ^6Rb 27 Charles Street o North Andover, Massachusetts 01845 4_ 0' (978) 688-9545 Fax (978) 688-9542 -%Po«k ; ops CDiN IILwKN 7 91c - APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS Q00 01 C ke r; n 12 W of4. '@®/.g LOT NUMBER SUBDIVISION DATE REQUEST FILED pee % ®o DATE READY FOR INSPECTION "V?r l 4e r 7 c�2. 00 `� TEN 10 DAYS OTI TO CLOSING DATE IS RE UIlZED ALL WO SIGN- 'S MUST BE CO D WITHIN TIME F -INSPECT O E OF TWE -FIVE 25.) DOLLARS L BE C GE IF THE ST C DOE OT ET ALL APPLIgABLE ODES. SIGNA OFFICIAL USE ONLY xF& x/26 j'een (�GC- ROUTING D.P.W. - WATER METER DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED TO THE INSPECT REQUEST DATE. PR\ /_ ATURE / DPW AUTH Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS -.l,/O o i') 7 LOT NUMBER DATE REQUEST FILED SUBDIVISION_ Jrh�%c?r -7 'Z DATE READY FOR INSPECTION M4 ��/�1y 3i ALL WORK AND N- ST D THIS T* FRAME. T SPEC 10 FEE OF NTY I $25.) DOLLARS WILL CHARGE IF THE STRU�TURF�� S N ALL APPLICABLE Cop OFFICIAL USE ONLY qZ. ROUTING D.P.W_ - WATER METER DATE D.P.W. MUST INDICATE THAT TliE WATER METER HAS BEEN INSTALLED PTO THE INSPECTION REQUEST DATE. '�!CD 1, % '"- / DPW AUTHORIZATI Town of North Andover 00P, ,p6-L.O p 4, Building Department , ��5,� 4gR6 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 co!MICNCIVIGM CHU APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS CQ 00 CA, --c kcr;n poaey( V ti , " �o LOT NUMBER SUBDIVISION DATE REQUEST FILED 200'3 DATE READY FOR INSPECTION�� OCA ALL WO AND GN -OFF' S COMP TED WI THIS TIME E. FRAMRE SPECTION FE TWENT - IVE ($ OLLAR L BE CHARGED THE STR TUBE DO S NO ET ALL APPLI S. SIGNATURE "V OFFICIAL USE ONLY, ROUTING D.P.W. - WATER METER DATE �a D_P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED P�9R TO THE INSPECTION REQUEST DATE. SIGNATURE / DPW AUTHORIZATI Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 tAOPT 0 s3.. APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS QOO 12000 LOT NUMBER SUBDIVISION DATE REQUEST FILED % �2 a 45% DATE READY FOR INSPECTION ALL WORK AND SIGN FRAME. tAL RE;LW&Ee�-, CHARGM IF NHESTR SIGNA 7./, °r'1 Acs r S MUST BE REE OF TW 01 �61J,5� 3) ATG DATE IS REQUIRED THIN TIME TZOLLARS L BE ALL APPLICAB CODES. mhWItcrele- vrriV.LAl. USE UNLY ROUTING D.P.W. — WATER METER DATE l D.P.W. MUST INDICATE THAT TliE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION INQUEST DATE. SIGNN 16Z Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 �� CDCHI[H;"MH:M APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS-.Ql.� ��nG�CZC� or), �S LOT NUMBER SUBDIVISION DATE REQUEST FILED % �2 ©G 3 DATE READY FOR INSPECTIONlfley?rl? �e r TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND -OFF'S MU LETED WI THIS T FRAME. A SPEC I Y -FIVE ($25.) D LARS L BE CHARGED THE ST UC DOES ET ALL APPLI E DES. r 1 SIGNA— /t4 �WA-ere;,� OFFICIAL SE ONLY Z 2 ROUTING D.P.W. — WATER METER DATE�l D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE DPW AU HORIZATION Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 00F of g 0 o ti T o COCHC L-NXM 7' APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS Q CU C'A 1"C r, 1200d (,/ o r 7 LOT DATE REQUEST FILED DATE READY FOR INSPECTION ^ JP FV17 4e t 7 ALL WORK FRAME. A F SIGNATURE -1NSPTIO�E O��($25-) THE�RUC�D SNOMEET OFFICIAL USE ONLY. ROUTING S TIME S WILL BE -E CODES. D.P.W. — WATER METER DATE ® (� D-P.W. MUST INDICATE THAT TI -IE WATER METER HAS BEEN INSTALLED PRI TO THE INSPECTION REQUEST DATE. SI ATURE / DPW AUTHORIZATION Town of North Andover F OOPT Building Departmenta0 0 27 Charles Street 0 North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 CO!H CH;'NKM P b� RSV APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS Qoo (k C ke p-; n 1200e� V 0 o?(✓ �/� , LOT NUMBER SUBDIVISION DATE REQUEST FILED ljiIF h-7/�P % df% .'< DATE READY FOR INSPECTION /0e FP 7J 4e r 7 �2. TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WV_� FF' BE TED WI TIME FRAMON TWE Y -FIVE ($2 DOLLAR WILL BE CHARC T MEET ALL IABL CODES. SIGNA--a OFFI IA E ONLY ROUTING D.P.W. — WATER METER DATE b J D.P.W. MUST INDICATE THAT ME WATER METER HAS BEEN INSTALLED To�TO T_ BE INSPECTION REQUES�ATE. () -?;�' SIGNATURE TDPW AUTHORIZATION + i i Town of North Andover OOPTIH � F � Building Department qaFd �g�• , �aa 27 Charles Street 0 North Andover, Massachusetts 01845 -W _ n (978) 688-9545 Fax (978) 688-9542 CU{NI[N�NfCM 1' APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS Q00 poa'-"" (,/ V i' ?0049 11 W LOT NUMBER SUBDIVISION DATE REQUEST FILED DATE READY FOR INSPECTION ��Z /tee r 7 .O0 � ALL W A:INSPECSIGN OFF' C LETED THIN THIS FRAME. A ION OF N Y -FIVE ($25.) LARS L BE CHARG E S UC DO O IVEET ALL APPLICABLE ODES. SIGNATURE OFFICIAL SE ONLY - e/ �f Cf- C� ROUTING D.P.W. - WATER METER DATE 6 �� D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REOUEST DATE. SIGNA' Town of North AndoverPTH Building Department a�$;.¢�� :�*s yrs 27 Charles Street ; North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 T i CNRH .9 DG [.J.. Q V �^�m �AATan P- _its APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS (Q00 pc ae� [✓ i� �Q �� . LOT NUMBER SUBDIVISION DATEREQUESTFILEDLj 11.w7her % 003 DATE READY FOR INSPECTION /61V?V1? 4e r ALL WO AND SIGN O l MUST F . RE-INSPE IO E OF C E lF THE S RUC DOI qTfTNA a'"� VIPLETE WITHIN Y -FIVE ($ 5.) DOL: MEET ALL PLI TIME WILL BE CODES. /?il9�Vi*�r-GfL OFFICIAL USE ONLY ROUTING D.P.W. — WATER METER DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOt*-N THE INSPECTION REQUEST DATE. SIGNATURE %DPW AUTAO ZATION Town of North Andover Building Department �g R� 27 Charles Street 0 North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 CDLHICHIY!CH , A Hu APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS CQ 0 (- k,*C k 0,in C? )eoaC� W LOT NUMBER SUBDIVISION V DATE REQUEST FILED lj,.1? h� Act s % DATE READY FOR INSPECTION ���de'� 4e T -/ TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WO AND OFF' MU BE CO LETED WI S TIME FRAME. A - SPEC ION F -FIVE ($25.) LAR WILL BE CHARGED THE ST CTURE D ES MEET ALI�APPLI LE ODES. SIGNATURE �l ROUTING D.P.W. — WATER METER DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRMTO7 INSPECTION REQUEST ATE. SIGNATURE / DPW AU fHORIZATION Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax(978)688-9542 APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS Q00 R00e� LOT NUMBER DATE REQUEST FILED /(/CfJ? DATE READY FOR INSPECTION W11 _SUBDIVISION V ;e,- % �2 © �e r -% .:? nir 2 TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL W4.VTBE IGN- FF' ST�57 TED WI S TIlVIE FRAMEECT N FE NTE ($25.) DOL S WILL BE CHARGST CTURE// O S T ALL APPLICABL ODES SIGNA OFFICIAL USE ONLY ROUTING D.P.W. — WATER METER DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRI TO INSPECTION QUES ATE. 7E SIGNATURE /DPW AITTHORIZATION Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 tko��,.� � SSy,�U tg R 0 Q C LANC APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS V' U f j i C ke r r n 400e'� (✓ i� �o 15 �� LOT NUMBER SUBDIVISION DATE REQUEST FILED 1ljJr h ­)%e r % C/G DATE READY FOR INSPECTION % a pa — TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND -OFFST O TED WI TM FRAME. RE SPEC ION F TWENT - VE ($25.) DO S WIL BE CHARGT THE S CTUE Q S NO ET ALL AP.PLICABL CO ES. SIGNATURE ROUTING D.P.W. - WATER METER DATE �/�Z�10_2 D.P.W. MUST INDICATE THAT TBE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPEC r REQUEST DATE. SIGNATURE / DPW AUTHORIZA Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS Q OO (- f7 C llF r n Gj 1200ey( otl,- LOT NUMBER SUBDIVISION (/ DATE REQUEST FILED %d ,, '3 DATE READY FOR INSPECTION ��1'r/c'v�'I �E� r 7 �;): TEN ( 10) DAYS NOTICE PRIOR TO CLOSING DATE IS .REQUIRED ALL WORK AND SIGN-OFF'S MUS FRAME. A CHARGED SIGNATURE ROUTING OF .,.'..-^�� • it 1 1 1 OFFICIAL USE ONLY /W -'7-e-44# ,ef C1 D.P.W..- WATER METER DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED WNA/ INSPECTION REQUEST DATE. PW A THORIZATI Town of North Andover a� 00PTH'. Building Department tet, � :�aA 0 27 Charles Street c �" North Andover, Massachusetts 01845 _ n' (978) 688-9545 Fax (978) 688-9542 coc Hicwa wx w HU APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS QOO Cf ,Cker(n LOT NUMBER SUBDIVISION DATE REQUEST FILED �2 ©e, 3 DATE READY FOR INSPECTION A49dzrI7 4e r TEN 10 DAYS NO CE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK SIGN- MUS TED WI THIS TIME FRAME. A -INSPECT ON F TWENT - IVE ($25.) ARS WILL E CHARGED ST CTUIE D S NO ET ALL APPLICABLE,COD S. SIGNA wc.�-�✓ OFFICIAL USE Yrs . 74—e 1,4e,,15 - ROUTING D.P.W. — WATER METER DATE_ %_ % 1 /D� D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED OR TO THE INSPECTION REQ ST DATE. SIGNA / DPW AUTHORIZA ON Town of North Andover tg X Building Department *b 27 Charles Street ; North Andover, Massachusetts 01845 _ n (978) 688-9545 Fax (978) 688-9542 �` �•n O L tRNA 1 CDr Hi[ML'M!C if �HU APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS 00 Cfli"Cker;/)oi 1200e� ()p LOT NUMBER SUBDIVISION DATE REQUEST FILED % �2 ®c j DATE READY FOR INSPECTION %` 41?rI74e r -7 TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REWIRED ALL WO IG -O 'S TED WI THIS T FRAME. A - SPEC ION OF TWENTY VE ($25.�DO BE CHARGED S UCTURE OES NOT T ALL APPLICABLE -GO. ES. SIGNATURE 3) OFFICIAL USE ONlt7l- v;e! ROUTING D.P.W. — WATER METER DATE ?/Xff-AZLj? D_P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED P TO THE INSPECTIO REQUES DATE. J..5 SI ATURE / DPW UTHORIZATI Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542y, Po� S HU CHU CD!MCNZ'NKM APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS Q O C' i C kF r, n cj poae� (✓ it LOT NUMBER SUBDIVISION DATE REQUEST FILED DATE READY FOR INSPECTION 1Jj,1ZV'1 4e r -7 ALL WORK FRAME. All ROUTING ($25.) ALL A] OFFICIAL USE ONLY 7 fX ` T D.P.W..—WATER METER DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED TO TBE INSPECTIOIy,REQUEST DATE. 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January 30, 2004 :i Z 1 _ M THE BUILDING LOCATED ON 180 Chickering Road -- "Ipswich" Building MAY BE OCCUPIED AS UNIT #105 --TWO BEDROOM UNIT IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO: TERRA PROPERTIES, LLC 231�UTIQA� EET, N ANDbVER A 01845 Building Inspector We O` NORTH 1 �O • ri r �9SSACNO`+T`i CERTIFICATE E T R IFICA►TE OF USE & OCCUPANCY 0 TOWN OF NORTH ANDOVER Building Permit Number 265 (11-13-02) Date: January 30, 2004 THIS CERTIFIES THAT THE BUILDING LOCATED ON 180 Chickering Road -- "Ipswich" Building MAY BE OCCUPIED AS UNIT # 106 -- ONE BEDROOM UNIT ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGUALTIONS AS MAY APPLY. CERTIFICATE ISSUED TO TERRA PROPERTIES, LLC 231 SUTTOSTREET, ORTH'ANDaVER, MA 01845 `J Building Inspector 101 Of NORTH �y . 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