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HomeMy WebLinkAboutBuilding Permit #421 - 535 CHICKERING ROAD 1/14/2009 I ` I �10RTIi BUILDING PERMIT O��t,all ,bgti i TOWN OF NORTH ANDOVER 3� a�`' -� *` �0 APPLICATION FOR PLAN EXAMINATION x Permit NO: yo/ Date Receivedsp �gsSACHus�� Date Issued: �� ?f 1 IMPORTANT: Applicant must complete all items on this page LOCATION 5-5 5 C Ir,i Vert R gk. N . AOn PROPERTY OWNER e LL � Print MAF NO: PARCEL: ZONING DISTRICT: Historic District yes Machine Shop Village e Y es \j3D TYPE OF'IMPROVEMENT PROPOSED USE ' Residential Non- Residential New Building One family Two or more family Industrial Alteration No. of units: Commerci Repair, replacement Assessory Bldg Others: Demolition Other LSeptic Well Floodplain Wetlands Watershed District .Water/Sewer DESCRIPTION OF ORK TOB REFORMED: iLo Identifical}'on Please Type pr Print Clearly) i OWNER: Name: (nom c to •Cc2 l�dVJ Ts , C Phone: l�1 ►Z O l � ' Address: 1 (Z)00 d d6 N ° 14v1 d e !' ✓VI CONTRACTOR Name: C r•tc� Nil q-y-, Phone: � t+7 Address: 1 W a o � I Auc K h �e, A b Supervisor's Construction License: I 'i� 9-7 Exp. Date: 10 ,f d Home Improvement License: 1 -{ t Exp. Date: I l ARCH ITECT/ENGINEER_ J T-1 r j/h.,1� c,,� Phone: T� �'` g �-7 Address: 22- S /44 q,h 5'F• S T j e+�, A A Reg. No. /I A-- 1 I FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ a� d d� FEE: $ d • o U Check No.: 1 g� Receipt No.: C9 � NOTE: Persons contracting with unregistered contractors do not have access to a uaranty fund Signature of Agent/Owner Signature of contractor __ Location nliL No. � � Date NORTH TOWN OF NORTH ANDOVER L 0. Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ �� s�cwuse 9 Foundation Permit Fee $ y Other Permit Fee $ TOTAL $ Check # 2 1792 Building Inspector .Plans Submitted Plans Waived Certified Plot Plan Stamped Plans 4 TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools , Well Tobacco Sales Food Packaging/Safes Private(septic tank,etc. Permanent Dumpster on Site t, THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM i - DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT - r f COMMENTS CONSERVATION Reviewed on Siqnature OMMENTS f � , HEALTH Reviewed on Si nature r COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT Temp Dumpster on site yes no Located at '124 Main Street Fire Department signature/date COMMENTS ' -- — - - L 1 r - 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 4 NOTES and DATA— (For department use) i 'I ! I 1 ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 1 Building Department 3 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 ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Application Revised 2.2008 NORT1y Tomm of 0 0 o doves, Mass., D o �. CO CMICMEwICK V ADRATED PP���y % BOARD OF HEALTH PERMIT T D Food/KitchAi������k:�k.��� ..- Septic Sys)l l BUILDING.INSPECTOR (�1ti . THIS CERTIFIES THAT .. ............r...4.............. .. ........ Foundation has permission to erect................. buildings on ...C .............. Rou to be occupied as.... C ,,IMM. ....... ..... .........e.140W.Eft.................................................. hi provided that the person accepting this permit shall in every respect conform to the terms of the application 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. PERMIT EXPMES IN 6 MONTHS r'-/ ,/&° 5` ELE CAL INS CTOR UNLESS CONSTRU ST S ou c,rc'� SY���r „�. ............... .............................................................................................. Service BUILDING INSPECTOR � qq4 j__/. Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fina, No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner ' Street No. 11 SEE REVERSE SIDE Smoke Det. �� 4' F a O:TN ` CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 421 & 422 Date: February 17, 2009 THIS CERTIFIES THAT THE BUILDING LOCATED ON 535 Chickering Road MAY BE OCCUPIED AS Business Retail— Dunkin Donuts & Ouic Pic IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. r Certificate Issued to: Stenhen Mancuso 535 Chickering Road North Andover MA 01845 uilding Ins for OX, Location F t Loca o 'a- Date -- NORTN TOWN OF NORTH ANDOVER C w a 1 Certificate of Occupancy $� r �M�sE` ---Bu!I_di,nglFrar>ae_P_ermi-t-f�$ _---- Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 1,— �,11 s 1 V 4 . Building Inspector- - x TAORTH ovm Of Andover No. 44/ 10�� dower, 1 Mass. '0z- O LAKE - COCL ME 1�WICK`y 9�SDRATED 1 BOARD OF HEALTH Food/Kitchen PERMI D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.. ..,... ..".v. .. ... ...�. "' Foundation has permission to erect...................... buildings on .. !'. .............on. .. Rough to be occupied S up ed as....�,,r1/��A• .......�..... .........el. .41/.�.. Chimney .............................................. . provided that the person accepting this permit shall in everyrespect 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU . S Rough ............... .............................................................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocaipy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. SEE REVERSE SIDE Smoke Det. /re�omzriza�uaea(6z a�'��iza�icarld`a i Board of Building Regulations and Standards License or r y - � registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. U found return to: Registration 15457 Board of Building Regulations and Standards Expiration: 3/.5/2009 Tr# 254570 One Ashburton Place Rm 1301 Type:., Individual Boston,Ma.02108 GREGORY J.NOLAN. , GREGORY NOLAN >13 WOODLAND AVE. �,,�",,, ? `KINGSTON,MA 02364 Administrator Not vali wt ignature V die�anry»zo�zu�e�I,���aeac/ui .�la Board of.Budding.Regulatio sand Standards Cdhg tction Supervisor License l{cense:"CS 81897 Expiration :10/23/2009 Tr# 9562 Restnction O0° GREGORY J NOI AN 1.3 WOODLAND AVE_,, KINGSTON;MA 02364 Commissioner I i I f 1 The Commonwealth of Massachusetts Department o P f Industrial Accidents ?.. r Office of Investigations 600 Washington Street Boston, MA 02111 ii www•mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Apyiicant Information Please Print Lea►biy Name (Business/Organization/Individual): Sq Address: 1 0-6 o Q S �� �l• AV1 av2 C` 14 O i 3 g 5 City/Sta.te/Zip: 01 ,Rc( �g Phone#: 17 Are you an employer?Cheek the appropriate box: 1�I an a employer with L� 4. E] i am a general contractor and I Tye of project(required): em 6. New construction to ees(fill and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on,P p . the attached sheet. $ ?• .'Remodeling ship and have no employees These sub-contractors • have 8. D working for me to any capacity. workers' comp. insurance. ❑ Demolition [No workers' comp. insurance 5. ❑ We are a corporation and its 9• ❑ Building addition required.] officers have exercised.their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself [No.workers' comp. c. 152, §1(4),and we have no insurance required.] t employees. [No workers' 12.❑ Roof repairs comp, insurance required. 1.3•0 Other ] *Any applicant that checks box#i.must also fill out the section below showing their workers'compensation policy information. 1 Homeowners who submii•this amiidavit indicating L'tei-are;Boise an L:c:rh&nei then hire outside conuacturs must submit a new am—davit ica tComt=ors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'camp. of i ino ung such. P P cy information. I am ann employer that is providing workers'compensation insu information rance for my employees. Below is the policy and job site Insurance Company Name: :Ensu r-q v_G e Policy#or Self-.ins. Lic.#: 69 C 6 C(- L1 >v S Expiration Date: Z(l O Job Site Addfess: S 3 C�n G er i,, i� City/State/Zip: �1• ti�G,,e �,1 g((S Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). .Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for in urance coverage verification. I do hereby certify under t i and of erjury that the information provided above is true and correct Signature: Date: Phone#: n 1 Z Official use only. Do not write in this area,to be completed by city or town official I City or Town: PermitlLicense# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: ACORD. CERTIFICATE OF LIABILITY INSURANCE DAT20091D/YYYY) 01/06/2009 15:43 PRODUCER (800)225-1865 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fred C.Church,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 41 Wellman Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Lowell,MA 01851 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 800-225-1865 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A First Mercury Insurance Company St.Miguel Construction,LLC INSURER B: Insurance Company of State of PA 1000 Osgood Street North Andover,MA 01845 INSURER C: INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LIMBS I- TYPE OF INSURANCE POLICY NUMBER D M D GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED 300,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ CLAIMS MADE a OCCUR MED EXP(Any one person) $Excluded A FMMA0001324 10/5/2008 10/5/2009 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 JECT POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLALIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- O R EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE WC6974118 7/21/2008 7/21/2009 E.L.EACH ACCIDENT $1,000,000.00 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000.00 If yes,describe under 1,000,000.00 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION. Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 120 Main Street DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN North Andover,MA 01845 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) Client# 3411 Mst# 08-09 GL&WC Cert#` ©ACORD CORPORATION 1988 tAORT11 O "LSO 16, �O t A-° coy.i��:vc. a. �SSAC MIJs�� PUBLIC HEALTH DEPARTMENT Community Development Division January 13, 2008 Cafua Management Co., LLC Attn: Greg Nolan, Director of Development 1000 Osgood Street North Andover, MA 01845 Re: Plan review—Dunkin Donuts at 535 Chickering Road Dear Mr.Nolan, This correspondence is to inform you that the North Andover Health Department has received your revised application for a new food establishment at 535 Chickering Road. With these revisions the plan dated March 28, 2007 has been approved. A copy of this approval will be forwarded to the Building Department. Be advised, if any substantial changes in the plans occur duruig construction you are expected to advise the Health Department. 1) There is only one sink in the food establishment service area. This is a designated hand sink, not to be used for any other purpose. There is no sink to discard excess coffee or other liquids. There must be sufficient sinks in this area. Please add an additional sink in an area that can be accessed by the staff to dump residual liquids. Both coffee stations have area to dump coffee and wash coffee pots as part of the service area. OK 2) A new product"smoothie" has been added. Does this product contain milk? Please submit ingredient info. If it contains milk there is required testing of the product in accordance with your frozen dessert permit. The laboratory must be approved for the testing of milk products. Please submit the name of the lab. D&D states no milk product OK 3) Page 10 is missing from the packet. "finish Schedule" Please submit. Cafua is responsible for all finish schedules pertaining to the D&F food service area. 4) New plumbing code changes. Note: A laminated sign shall be stenciled on or in the immediate area of the grease trap or interceptor in letters one-inch high. The sign shall state the following in exact language: IMPORTANT This grease trap/interceptor shall be inspected and thoroughly cleaned on a regular and frequent basis.Failure to do so could result in damage to the piping system, and the municipal or private 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Saint Miguel's Construction Company 1000 Osgood Street N.Andover, MA 01845 1/2/2009 Proposal Submitted to: JOB NAME & LOCATION Charlotte Donuts, Inc Dunkin Donuts N. Andover, MA 1000 Osgood St. 353 Chickering Rd. N. Andover, MA 01845 978-682-2382 We hereby submit specifications and estimates for construction of: Dunkin Donuts unit The total contract sum is $30,000 Any work requested by customer not specified in this contract will be billed separately. This agreement is made between Charlotte and Saint Miguel's Construction Company Authorized Signature Date of Acceptance I_I 0 Note this proposal may be withdrawn by us within 10 days. PAYMENT SCHEDULE AT SIGNING OF CONTRACT: $15,000 AT COMPLETION: $15,000 TOTAL: $30,000 "'No 2 � 7 4 Date... ,l . .... /..I.... NORTH °f<�``°;•.1 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SACHUS�� This certifies that ......... 'C. .`. �..'... P has permission to perform ........ .. Foe VA K Ion1 ��?................................e.. wiring in the building of...... t� h`VN �V✓��� S ......... ............... i ` at....... 3.�.......C..�.!.A?A4!)....... ..:............. . orth Andov 2Cssa� 1A.10 Fee..��...5:4�.1.... Lic.No. ............ �-�l�!! _�, �,'' EC'CRICAL INSPflCTOR u639 WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Office Use Only u >r LIIIIiritIIIllUr# Df 4Ea, Permit No. 0��f Pd 3 Epartt enf Df Ilublic -%fetU Occupancy& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 521 CMR 12:00 1 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00q (PLEASE PRINT IN INK �O'`I.1R TYPE ALL INFORMATION) Date T City or Town of ayN Pin ��1e C To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. P�1 Location (Street & Number) ���. 1'�IC rD�t�f�..�, md - Owner or Tenant Owner's Address - Appropriate Is this permit in conjunction with a buNo Check riate ilding permit: Yes ❑ ( pp p Box) Purpose of Building Utility Authorization No. Existing Service Amps _� Volts Overhead ❑ Undgrnd ❑ No. of Meters Nbw Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity /n1 LoLation and Nature of Proposed Electrical Work �� tJ f' � W)9 M 'E7 No. of Lighting Outlets I No. of Hot Tubs No. of Transformers Total !!!! KVA No. of i i S Lighting Fixtures I Swimming Pool Above In- g grnd. ❑ grnd. ❑ I Generators KVA No. of Emergency Lighting No. of Receptacle Outlets I No. of Oil Burners I Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Qo. of Ranges I No. of Air Cond. Total No. of Detection and 9 tons Initiating Devices Iv'o. of Disposals No.of Heat Total Total � p I Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices al No. of D iKW Local Connectin ec'tion ❑ Dryers U CoOther I Heating Devices No. of No. of Low Voltage No. of Water Heaters KW I Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws , I have a current Liability insurance Policy including Complet perations Coverage or its substantial equivalent. YES O ❑ I have submitted valid proof of same to the Office. YES NO ❑ If you have checked YES, please indicate the type of coverage by checking the ap rop a box. INSURANCE BOND ❑ OTR ❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work S 75— Work 5— Work to Start Inspection Date Requested: Rough Final Signed under t e Penalties of perjury: _ •z FIRM NAME ✓) NO. ./Licensee PAV � <� h I'O �V _IT�f±:- Signature ��J L1C. NO. (.0 r / S Z—/1 .G r" rn /' I/ 1/� Bus. !��LIC. G 10 J VX .3 Address_ �- Alt. Tel. No. �'" OWNER'S r-�•SURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re quired by '_'• achusetts General Laws, and that my signature on this permit application waives this requirement. Owner ^ gent (Please c`.eck one) 6S• I • Telephone No. PERMIT FEE 5 Locatiori No. Date NOgo TOWN OF NORTH ANDOVE% cto A Certificate of Occupancy $ 41 04 Building/Frame Permit Fee $ Foundation Permit Fee $ (�f s'+CHUSE (� fc Other Permit Fee $ Sewer Connection Fee $ 2 Water Connection Fee $ TOTAL $ Building Inspector A 2' 6 3 �' C K� Div. Public Works f I-AORT�y ; 1 O t1L1E0 t yr 6 lwN• `0 'PA coanc.a.,,,cw 1 "ACHUSE� TOWN OF NORTH ANDOVER NORTH ANDOVER, MASS SION PERMIT DATE JUNE 8, 1998 PERMIT # 025-98 THIS CERTIFIES THAT, (MINCO DEVELOPMENT) ,/DUNKIN DONUTS/ DAIRY DALE ICE CREAM SHOPPE has permission to erect 2'X6" X 12' EXTERNALLY ILLUMINATED WOOD SIGN. on 535 CHICKERING ROAD provide that the person accepting this Permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover. Violation of the Zoning of Sign Regulations, Section #6, Voids this Permit. Inspector of Buildings IAORTH Z.4 Q tot,utnewicw 00ATED PO� �SSgCHUs�� TOWN OF NORTH ANDOVER NORTH ANDOVER, MASS SIGN PERMIT DATE PERMIT # - THIS CERTIFIES THAT, �M11,,Cc� �tf' -i�T� — �uN�C►a� Po►��-��S��at2ti '��(c has permission to erect. otrt. �z� �ZFr- Esc.��-►�►��(�. Tl-l�.�vu�^� lc'�"� on S"3 S C- ��u� •— provide that the person accepting this Permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover. Violation of the Zoning of Sign Regulations, Section #6, Voids this Permit. Inspector of Buildings TOWN OF NORTH ANDOVEit SIGN PERMIT APPLICATION Site Owner MI►.1C.b i Applicant �AT T--t' ,-a�'p5. �1,1C. '�•/AKEF�E��. 1`�Y�. . { Site Address 535 C���CiCE.tZ�►.►C-� �o�� Size of Proposed Sign gyp' >ek%1y" How attached: (a) Against the wall_1 4&=;S (b) Roof O Illumination: (a) Not illuminated ( ) (c) Grow-nd O (b) Internally illuminated ( ) (d) Other ( ) (c) Externally illuminated_ (� Proposed Colors: Background Wr „ _ Materials: %/pp Lettering 3wE_tr.►zoea t�2C�t. Border t-RLAC.Y, - - Required Attachments: Note: ,/Photographs of building No pennaneut/temporary sign shah be erected, or Material sample enlarged until an application on the appropriate form -/Color satuples furnished by the Sign Officer has been filed with the Site or Plot Plan (Required for all fi-ee-standing Sign Officer contanting such information including sighs) photographs, plans and scale drawings, as he may JDraNvings of proposed sign require, and a permit for such erection, alteration, Other, speci�r_ __ or enlagement has been issued by him Such permit shall be issued only if the Sign Officer determines that the sign complies or will comply with all applicable provisions of the By-Law. Will sign overhang any public road or walkway: Yes ( No 0() If Yes, Name of Agency who will provide liability insurance: NOV 2 1997 AN INCOMPLETE APPLICATION WILL NOT BE ACCEPTED. T f Date Filed: 11 .2,4.9-7 61'7-245.48bC) 0 pplicant o�ac3oa° ���Q� D��� t; � IHI � I� I� L �__+=- _ �, ' � 7��.. _, ��Q Q �CJO�JCJG�O 1