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HomeMy WebLinkAboutBuilding Permit #267 - 200 CHICKERING ROAD 11/13/2002 A TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY 4ffDING OTHER THAN A ONE OR TWO FAMILY DWELLING ��s s' `�.pr'•+uia `C'rr: T ? - Nrvy �'sk <s �`.y Section for Official Use Onl BUELDING_PERMIT ER: DATE ISSUED: ir`i-'ot,i l 1 OL SIGNATURE: r Building Cotnmissioner/I or of Buildings Date SEGT)iQPI 1 ` k$ I's�SFr 4 0J' Ni >I AU 4 i-A.1 Prgperty Address:I: 1.2 Assessors Map and Parcel Number. Map Number Parcel Number {{t;' .3,:Zonuig,Idormation: 1.4 Property Dimensions: v Zonin stria i 1 t,^ ;w Proposed Use Lot Areas Frontage ft .I 6iBUII.DIN1q'SET ,A,CM(ft) m µad FronOYard Side Yard Rear Yard Provide ___ R aired Provided Re red Provided 1.7 Water Supply M.G.L.C.40. 54) 1`S Flood Zane IiiY tion: 1.8 Sewerage Disposal System: Public Private ❑/ ^� Zone Outside Flood Zone Municipal On Site Disposal System 0 C... 2.1 Owner of e6o-rd l \_• �$ dame(P t) j j' f` ddress for Service: M Signature Telephone X 2.2 Authorized Agent Cho CR Q_erCP_ _ n Name Print Address or.ervice: Z Qa. O Z Signatu Telephone yn m 3.1 Licensed Construction Supervisor Not Applicable ❑ � S 0 Address License Number 'n . Licensed nstructi` pervi ` Expiration lboate _ 4 F Signator Tel hon r 3. gistered Home roveemntractor Not Applicable ❑ vS Company Name Registration Number m Address NOV 0 7 2002 r Expiration Date Z BUILDING DEPT G) Signature Telephone Location f2 c No. Date NvJ. '2z,� - FCX4 k,r)A T un r r COl "CRT" rTOWN OF NORTH ANDOVER C � 9 Certificate of Occupancy $ 3 =� Building/Frame/Frame Permit Fee $ � sAc►+usE� 9 , r- Foundation Permit Fee $ 74- a Other Permit Fee TOTAL $ Check # 03 Building pector i SECTION 4 WORE ERS COMPENSATION Q t C Is2 (6? Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed.affidavit Attached Yea.......❑ No.......❑ SECTION. 5.-,PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES FOR BUELDINGS AND STRUCTURES SUCT;TO C0IYSTRUCTIO..I�F COKTROL PURSIIAI�T Tb?SQ CMR 116: CONTAP.M MORE THAND 35,000 CB3;lti F OF ENCLOSED SPACE) 5.1 Register e ArcL hitectr q I I 6 � T Flo+ e l ` AED AA�y�I .. Q�VQ�R� Name: of i o . 85 C1. 85 ON Address MASS. Signature Telephone 5.2 Registered Pro"l©ij Enginee"ft ,,'. S U Area of Respen HOSSEIN m Name: 3 8 3 SALEHKHOU ^` STRU AS U1 U 1'I I-'I ST• a?--'TS 11Ao U t A , 1,Z W 03c\b) Registration N Address: 9Fp� X03- 3 �33- (Y63 q X ZO'S— Expiration Date Sign e Total SUNS 30, Z 4 Not applicable ❑ Name: Address Registration Number Signature Telephone Expiration Date Name l Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area 6f Responsibility Address Registration Number Signature Telephone Expiration Date Company N - e-:- Not� ����� �� �_ Not Applicable ❑ � + ' .(\ 4 U(� Responsible�itt Charge of Co truction C x` sECT>'ct 6 DESCRi' "IaN:qF PRPQS]Ep W4;�S (mak all applicable) New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. 0 Demolition ❑ Other ❑ Specify Brief DescriptionofProposed Work: E� l F 5��TI4N? .US)fA GR�L`F AND COI�YSTRIif�°TI01`i;TAPE ': USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly 0 A-1 0 A-2 0 A-3 ❑ 1 ❑ A4 ❑ A-5 ❑ 1 B 0 B Business 0 2A 0 C Educational 0 2B 0 F Factory ❑ F=1 0 F-2 ❑ 2C 0 H High Hazard ❑ 3A 0 Ilnstitutional ❑ 1-1 ❑ I-2 0 I-3 ❑ 3B M Mercantile ❑ 4 0 R residential ❑ R-1 ❑ R-2 R-3 5A „ ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility 0 Specify: M Mixed Use 0 Specify:- S Special Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING(if applicable) PROPOSED umber of Floors or Stories Include asement levels 3 Floor Area per Floors 9y4 7 Ste Total Area.(So 37, Qeo Total Height ft Independeni Structural Engineering Structural Peer Review Required Yes No 0 SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property Her autho _ _ , to act on behalf, in 11 Matiers relativ'` o work autho ' ed this building permit application t/ ,o 31 oz- -Signa f Owner Date 'Z . r ..; mo as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the nd penaltie of perjury Print tis )3/ GCS Np �/ /.:11/ Signature°— ge Date el Item Estimated Cost(Dollars)to be3) ICLAI•-USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee �� 15 Multiplier 2 Electrical (b) Estimated Total Cost of IV Construction from(6) -3 Plumbing Building Permit fee (a) x(b) 75o v10 r 4 Mechanical(HVAC) 5 Fire Protection � *ai n FO"= 6 Total (1+2+3+4+5) .� S, Check Numberp3� 6 .E i s :. { 4t�d' Inez. v \ -a .✓ . c :s} s r � `�"'E'r fi c. p s �� � �� i NO.OF STORIES SIZE BASEMENT OR SLAB Ms ;� ��"�GN SIZE OF FLOOR TIMBERS i/1� 2 N 3RD SPAN DEMENSIONS OF SILLS �. DEMENSIONS OF POSTS, DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION r 2 i THICKNESS SIZE OF FOOTING X MATERIAL OF CHDANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE TERRA PROPERTIES LLC 1106 CONSTRUCTION ACCOUNT Town of North Andover 2/24/2003 Rennie's Development Costs:Permitting 36,670.00 r y I Construction Acct-BankNo Building Permit/3B 36,670.00 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having Jurisdiction have been obtained. This does not relieve _the applicant and/or landowner from compliance with any applicable or requirements. **"*****''****APPLICANT FILLS OUT THIS SECTION***************'"`****** APPLICANT Tarra vro,rnerries, LL'' PHONE 975-6b7--5200 LOCATION: Assessor's Map Number 46 PARCEL 34.35 36,106 SUBDIVISION Kittredge Crossing Condominiums LOT(S) y/y� STREET Chickering Road ST. NUMBER "` ***** ***OFFICIAL USE ONLY REC9WqNDATI29 OF TOWN AGENTS: CO SERVATION ADMINISTRA OR DATE APPROVED DATE REJECTED COMMENTS-.09/&A Gzf'�b Zoning Bard of Appeals DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS 4PUBLIC WORKS- SEWER/WATER CONNECTIONS D R I V E Wfi Y,PERMIT �72.11 VFIRE DEPARTMENT O RECEIVED BY BUILDING INSPECTOR DATE_ Rsviuri 0{Q7 im FORM U - LOT RELEASE FORM ORLSrtIU14-t_ �N Z.OhYy/N�MS INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT Tprr_,:__Properties, LL(' PHONE 97d-6b7-b20u LOCATION: Assessor's Map Number 46 PARCEL 34:,35,36,106 SUBDIVISION Kittredge Crossing Condominiums LOT (S) STREET Chickering Road ST. NUMBER ************************************OFFICIAL USE ONLY*********************************** REC MENDATI OF TOWN AGENTS: CO SERVATION ADMINISTRA OR DATE APPROVED DATE REJECTED CO M M E NTS 9, Eoning Bard of Appeals DATE APPROVED g DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED ` DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS_ DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR _DATE4 oy Revised 9197 jm OFFICE OF BUILDING INSPECTOR a = TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: ----------------------------------------- __________ PROJECT TITLE:______ °�e� PROJECT LOCATION:_____—di_ s_ /I n1y NAME OF BUILDING: _____ ��(�l► d^ �Q�c� 1 = �r ( �`� -------- ----�1---------1 -----------c- ------(---9--- NATURE OF PROJECT:_____ w IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I, REGISTRATION NO.3836l BE[NG A REGISTERED PROFESSIONAL ENG INEER/ARCH]TECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS COMPUTATIONS AND SPECIFICATIONS CONCERNING: -j"OF ti HOSSEIN! Gm SALEFiKHCU a V STRUCTURAL ENTIRE PROJECT ° ARCHITECTURAL STRUCTURAL MECHANICAL o 0.38367 ... FGISt D FIRE PROTECTION ® ELECTRICAL ® OTHER(SPECIFY) _ FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to.become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY , A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. GN E SUBSCRIBED AND\SNORM TO BEFORE M THIS � D 20 E AY F � NOTARY PU6eC MY COMMISSION EXPIRES �'larcn26, >• .� Mme:, __ at feast seventy five(75)percent of t, inirrr.,^7!o'Brea reef firR��for zoning ehafibe contiguous land other than land located within a line Identified as wetland rasow'ce areas in accordance with the Wetlands Protection Act, Massachusetts General Law'.:, Chapter 131 Section 40 and the Town of North Andover Vfetland Protection 800w, Chapter 179 of ti re Code of Nor h Andover. The proposed structure must be constructed on said designated contiguous .1'Ind area."A w;;fiver is grarited from this section So much as the addition of the 5,000 SF t of the Trustees of Reservations's land area to the main portion of the lot constitutes a new lot, or that the project wou Id be required I o meet these requirements. 12 A waiver from the dimensional requ cements of Sc ,.tion 7.3 Yards (Setbacks) Is granted for all zoning districts listed.This waiver is granted to construct thy; buildings as indicated on the site pian. See the specific listing in Table 2 below. 3. A walverfrom the dimensional requir.;ments of Sectio;n 7.4 Building Heights is granted for all zoning districts listed.This waiver is granted to cons,root a three s#c�y building► with a basement p as Indicated on the Architectural Drawings. :3ee the specifi; listing in Table 2 and a sloped roof below. 4. Awaiver from the dimensional requir:iments of Sect;'rn 7.5 Lot Coverage is granted for the zoning districts listed. This waiver Is granted to cc;instruct the bus sings as indicated on the site plan. See the specific listing In Table 2 below. 5, ' A waiver from the dimensional requl!enkpt., rf Seci ion 7.6 Floor area Ratio (FAR) is granted for the zoning districts listed.This waiver is gu nted to constn.-:t the buildings as Indicated on the site plan. See the specific listing in Table 2 below. i A,waiver from the dimensional requir aments of Secii on 7.7 Dwelling Unit Density is granted for all zoning district$listed. This waiver is grantee I to construct th� buildings as indicated on the site plan. See the specific listing In Table 2 below. 7. The following list of waivers as descri:sed above are i; 'anted irum'i'arbie 2.Sumtriary of i:rirrl$riivftal Re4 uirements, as referenced throughout t'ie By-Law: faro s 2 changes are ,isted Loluw 'or eli zoning districts. TABLE 2: The following waivers are requir•;{i as listen in thi s tabie: a. Change height to a5'trorr, 3'V in the R-4, R•,a, 6-' ';' no b. Change front and rear setb;:,;k to 10' from R-4, R-5, B-1 Zone i C. Change side setback from *1:5 in H-4 Zone, ;.5' iry ;'1�6 Zv�d S�Sts 23' G1 B-1 Zone to 9.8 in these ti free zones. d. Delete FAR requirement in I:,-I Zone. Pada -1 S- e. Delete lot coverage required--!ent in R-5 and :1-1 Zone f. Permit density of 15.90 unit;;facre in 8-4, Ri is and B-1 Zone for "Density Max/Acts" lire. g, Delete note 2 requirement for an additional , 5' buffer zone adjacent to a residential district as this noa may apply to 1118 project. h. Delete the note 6 requlrerne rit for townhouse dimensions as this mote may apply to this project. i. Delete the note 7 requireme,it for additional -equirements for apartments and townhouses as this note ma;' apply to this project. j. Delete the note 12 requirem Sint for multi-fan' ly structures and site plan review requirements as this note rn,iy apply to this : roject. �� .8, Sa�c►ale ante ,gyl�,Oon 1. A waiver from Section 8.1.2 listing c f Uses and Minir ium Spaces Required for Off-street Parking. This waiver is granted to allow for the parki ig ratios indican:d on the site plan. Change Minimum Spaces Fteu paces fired from 2 s per unit to 1.6 spat is=Per W;1'1, This includes all associated accessory uses such � q as the complex office and common spaces 2. A waiver from Section a.1.7 Is grant,(,d which reads:)' parking space shall mean an area C)f not less 46 $.r► :Y'�l r^ �»b, ever a^ :r!70h atrvrt;ick driveway not!;?Ss thv!a P?a'!Acte_A waiver from thls stiction - � ' ' ,i adjacent to os;kin spec*s end POP wide where driveway is �a 1it�ri tc s,1lc.'v fc, rtrlvq�r�;.��,�. ��� �n d ) sr . n: parking space is direct accessed from the used for two way access between parking i areas m whichp g pa directly 20'wide driveway. 3. A waiver from Sections 8.1,8 is gran eked which reads For multifamily dwellings the front yard shall not be used for parking for accessory uses. A waiver from ti,is sectiordn Wentirety is grafi ted in as much as this section could he mnstruad to prohi :It parking as ins:icnated on the site pian. 4. A waiver tram Sections 8.1.9 is regi !red which read:: to all residentlai districts the front yard shall not be used for parking for accessory uses, A waiver from ti-is section in its entirety Is granted in as much as this section could be construed to proN:It parking as in,:icated on the site plan. 5 A v►�ivnr fr�+rn cept4on 8 Site plat, Review in, Its ei•tirety is granted In as much as this prriect is reeg lt-M +d by thR requirements under a Ccs'nprehensive Pe.-mit (Chapter 408) and is exempt from such re�lew, I 40 on October 30, 2002 Mr. Tom Daigneault Opechee Construction Corporation 11 Corporate Drive Belmont, NH 03220 RE: STRUCTURAL PEER REVIEW FOUNDATION REVIEW -- BUILDINGS `A', `B'l, `C' AND `D� KITTREDGE CROSSING c1, d;J 61, vile ROUTE 125 - NORTH ANDOVER, MA (DEI Project No. D0738 -Billing Group 001) Dear Tom: Our firm was retained by Opechee Construction Corporation to conduct an independent struc- tural engineer review on the cast-in-place concrete foundation design for Buildings `A', `B', `C' and `D'in the above referenced project. The objective of this review being to determine if the structural plans and specifications for the foundations on the above referenced project are in compliance with Structural Code requirements, following the guidelines established in " Section 110.11 and Appendix I " of the Massachusetts State Building Code, 780 CMR, Sixth Edition. This objective is limited in that it is to be only to the extent necessary to render an opinion regarding the stability and integrity of the primary foundation systems of the buildings. At no time shall it be construed that our office (Daigle Engi- neers, Inc.), the Structural Engineer Project Peer Reviewer, through this peer review, is supplant- ing, or joining with, the S.E.R. (structural engineer of record) in his or her professional responsi- bility for the design of the foundation systems for Buildings `A', `B', `C' and `D' at the above refer- enced project. For our review, your firm provided us with the following structural drawings (bearing the wet seal and signature of the Structural Engineer of Record): Buildings `A' & `B': drawings No. S1-AB through S7-AB; Building `C': drawings No. SI-C through SS-C; Building `D': drawings No. S1- D through S10-D. These referenced drawings, as prepared by JSN Associates, Inc., of Ports- mouth, NH, had the date 05/07/02 in the title block and the hand written date of 10/29/02 on the P.E. seal (wet seal) and were. The Structural Engineer of Record (SER), Hossein Salehkhou, P.E., signed and wet sealed these documents. As stipulated in "Appendix I" of 780 CMR, our office performed the following tasks: Daigle Engineers, Inc. 1 East River Place Methuen, MA 01844-3818 978 682 1748 978 682 6421 fax www.daiglepe.com DEI 4 10130/02 3:23 PNI♦ ♦D0738BGOOIL103002.doc•Page I ort - Page 2 of 2 October 30, 2002 Structural Peer Review ® e Mr. Tom Daigneault 1. Checked to assure that the design loads are in conformance with the requirements of the Massachusetts State Building Code, 780 CMR- Sixth Edition. 2. Checked that the design criteria and assumptions conform to 780 CMR, and are in general compliance with accepted engineering practice. 3. Checked that the organization of the structure is conceptually correct and that the load paths are adequate to deliver forces from the building frame to the foundations and into the supporting subgrade. 4. Performed independent calculations for a representative fraction of the foundation sys- tems, components and details, adequate to form a basis for our conclusions. During the course of our review of the foundation design, we exchanged correspondence with, and conferred directly by phone with Hossein Salehkhou, P.E., the SER, to request clarifications and to discuss issues of concern. All such issues of concern on the foundation design have been re- solved to our satisfaction. It is our professional opinion that the design loads and design assumptions used for the design of the building foundations on this project conform to the requirements of the Massachusetts State Building Code, 780 CMR, and are in accordance with accepted engineering practice. We further state that there are no unresolved disputes between the structural engineer of record (Hossein Salehkhou, P.E.) and the independent structural reviewing engineer (Daigle Engineers, Inc) related to the building foundation design on the above referenced project. We trust that this will satisfy the needs of your office. Please call if you have any questions or concerns. Very truly, DAIGLE ENGINEERS INC Donald L. Peach, NI.S., P.E. (ext. 119) ' Senior Structural Engineer dpeachCadaig(epe.com DLP/dlp DEI ♦ 10/30/02 ♦ 3:25 PM ♦ ♦ D073SBGOOIL103002.doc♦ Page 2 of 2 "44 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: Location: City Phone am a homeowner performing all work myself. F-1 01 am a sole proprietor and have no one working in any capacity ® I am an employer providing workers'compensation for my employees working on this job. Company name: OPEC.N>CE C01.45TjZVG`T70lLL GoCz#-Z�t2�77C�1�! Address It GoTZ�Tz1�TE DT?_!VE City: 1F:> C>PQT— , IVH 03zZ0 Phone#: 609— SL7-9040 Insurance Co. MF—MI C_ Policy# 310 2,90011' Company name: Address City: Phone#: Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. understand that a copy of th' tate..ment may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herby certify under t e pains an penalties of perjury that the information provided above is true and correct. Signature Na��� Date c0-31_0Z Print name 04%q Np,44 � Phone# Official use only do not write in this area to be completed by city or town official' Building Dept F-1 Check if immediate response is required Building Dept ❑ Licensing Board O Selectman's Office Contact person: Phone#: Health Department Other FORM WORKMAN'S COMPENSATION �3 +s'•�i f'Y Tv.x �r'm tom. arc }, a `S"a�` ,_ .a>laett'�,svi:.a..., r2ui l.X �.. ; �, s-g,%*g. w I i �, r , e ++a a,r .a ,,.,rrr- DATEMIMMIDDIYY) i) ®4 COR® kC�ERT�I IGATOFL1ABlLITiY�I S[ /+ i »F z T s� ` ,,-, �, i _.;' �T; Lr„a �. � '� t a ? 08/13/02 PRODUCER 603-643-4540 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION A.•B. Gile, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT,AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 66 COMPANIES AFFORDING COVERAGE Hanover NH 03755 COMPANY A MEMIC INDEMNITY COMPANY INSURED COMPANY Opechee Construction B 11 Corporate Drive COMPANY ) Belmont NH 03220 C COMPANY D 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. Co LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MM/DDNY) DATE(MM/DDNY) GENERAL LIABILITY GENERAL AGGREGATE 5 COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG S q , CLAIMS MADE OCCUR, PERSONAL&ADV INJURY S OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE S FIRE DAMAGE(Any one fire) S MED EXP(Any one person) S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO S ALL OWNED AUTOS BODILY INJURY 8 SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS IPer accident) S. PROPERTY DAMAGE 6 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTOp° OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE 5 UW13RELLA FOR;l. AGGREGATE $ OTHER THAN UMBRELLA FORM S A WORKERS COMPENSATION AND 1810060597 8/14/02 8/14/03 X I WC STATU- 0TH- a9 . EMPLOYERS'LIABILITY T RY LIMIT ER EL EACH ACCIDENT S 500000 THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT S 500000 PARTNERSIEXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE S 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlSPECIAL ITEMS PROJECT: KITTREDGE CROSSING, NO. ANDOVER, MA CERTIF,: �•. m om . µi .: ra b w >I>e• :3 a € i _�.:IGA �FIOLDERz�c � xsa �# y C&NCELLATtON�rsr at` a t t, tsr 1� .r+s>�3RA,..a,.ax.�s:vd'�wn.c TERRA PROPERTIES, LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE t EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL P.O. BOX 3039 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ANDOVER, MA 01810. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORI PAESENTATIVE�—` X1988h>< i! E i . ® Andover 0 CON ISL. No. W'4S1'l UC1!urs Zoe! * � many o� C 0 L_rp dower, Dass. N?imeam j3. 2=s7__) ADRATED P'?VL '9S H �( BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.... A.R � ` ... ..... Foundation has permission to erect.......N o! Wil.?............ buildings on ..;��..C►�I. Et0.4b.!!7WL*� Rough ft to be occupied as........44_4 .. ....... .. �1��.e.' Q IIJ '.' 44.r' k............................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTSELECTRICAL INSPECTOR ( Ul Rough . 4............. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises -- Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Bur>>er � AV 1 � � .... Street No. � smoke Det. SEE'REVERSE SIDE I S ORT'H ►..—�-� 35,4` 1 Town ® ndover 0VO No. 2 14 _^ - o doves, Mass., O� ; NIC MLAKE .1 COC E WICK \V ADRATED C HUS�°C FOR EXCAVATION . AN FOUNDATION THIS CERTIFIES THAT .,119.Z4?^. 1P,1W.. .�Ct�.. ........ . .. »o�!�t... P.................... has permission to excavate and pour foundationat ...z } :' ! .. ..n.AU M. .3....... for the purpose of.......... 5+., .4� !�t�►..: 4 '..-.v.9k................................................................... The person accepting this permit must return to the office of the Building Inspector a certified plot plan show of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. c•�. 1•�e.:�o��52Z WMIPP i_ .............; ........................ BUILDING INSPECTOR