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Building Permit #274-S - 581 CHICKERING ROAD 2/12/2009
BUILDING PERMIT 0* yOOORTF/ TOWN OF NORTH ANDOVER o� APPLICATION FOR PLAN EXAMINATION 7D Permit NO: Date Received Q�AA7ED .�`y'�5 Us�� Date Issued: a I ��SSACH IMPORTANT(: Applicant must complete all items on this page LOCATION ��' 1'1 � C 1�-E' ✓1 PROPERTY OWNER_ 0- Y Print J G ��' GO h ct yN-) Q / (-." Print f-^ 1�1 MAP NO: (7 `1 PARCEL: �... ZONING DISTRICT.�E 55 !„� Historic District yes no !Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: j� 4 Z V1f&,r �uC C'V e-t . Identification Please Type or Print Clearly) 26-vi e 2�-_ a 6 4(V1 'I"�ee (�l� C✓� re I P� OWNER: Name. L dc/,/ Co✓ J Phone: Address: L �u s 4-r O W r? (I f� ( cis✓ CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: r- f r� NOTE: Persons contracting registered contractors do not have access to the guaranty fund Signature of AgentlOwner _ igriature of contractor Location No. Date 7. 9 NORTh TOWN OF NORTH ANDOVER Certificate of Occupancy $ ss9 •CHUS ' Building/Frame/Frame Permit Fee $ wcHust Foundation Permit Fee $ �— Other Permit Fee d;r $ /00 TOTAL $ Check # / 21 fS 6 Building Inspector NOFT/{ TOWN OF NORTH ANDOVER ° p PERMIT FOR WIRING ,SSACMU`�Et �� f This certifies that ...... L.. ....... `............#:. .. ............................zi has permission to perform ........ .....�.r'...T................................. wiring in the building of....................... ./......... ......L.........................................,.� ( �J., ,'t :.........Lr ................ ,North Andover,Mass. b� . f Fee....I.} �.... Lic.No. �/I • i .. ............................................................... ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File Plans Submitted Plans Waived Certified Plot Plan Stamped Plans ' TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ti COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature a 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 Doc.Buil( Fire Department signature/date COMMENTS - , that t�►e'a�r muted`^'._ Oust be sub N� SERv�CESUEP�TMEN [NSpECTI� -— poe W-Ased 2.2�p8 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) V'Aqy1t� ❑ Notified for pickup - Date _......................._............__._.._.......................---.................................................................................------...._..........................................................._........._..........._.....__._............................................................................................................................................................................................................ Doc.Building Permit Revised 2008 Building Department Ilk 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 Appeal that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One co Porth must be submitted with the building application py and proof of recording Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 I µORTH Of tt.ao »6'97.. 0 Town of North Andover Office of the Planning Department 7i4 o�wno M`t5 Community Development and Services Division 9SSRCHUSEt Osgood Landing 1600 Osgood Street Building#20,Suite 2-36 P(978)688-9535 North Andover,Massachusetts 01845 F(978)688-9542 Ed Abraham Cedar Tree Corp., dba Wireless Zone 581 Chickering Road N. Andover,MA 01.845 Re: Waiver of Site Plan Review February 11, 2009 Dear Mr. Abraham, According to the North Andover Zoning Bylaw Section 8.3.2.c.i, Waiver of Site Plan Review,your request to occupy the commercial space located at 581 Chickering Road,will not require an application for Site Plan Review. The waiver request is granted based on the following information: • The property will be used as a sales office for wireless and FIOS services. Since the prior use was general business,and the property is in the General Business Zone, the use is allowed under the town's Zoning Bylaw Section 9.1. • There will be no changes to either the existing building footprint,to the exterior of the building or to the existing parking area. There is no requirement for additional parking spaces since you are estimating that there will be no increase in foot traffic or vehicle from the prior use. If there are any questions, please let me know. Regards, L ,CL 1Judith Tymon,Al P Town Planner cc: Jerry Brown, Inspector of Buildings BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 • � UORTFy R Town of North Andover j Office of the Planning Department j `°•,«�� ''{5 Community Development and Services Division 9SSACHU9�4 Osgood Landing 1600 Osgood Street Building#20,Suite 2-36 North Andover,Massachusetts 01845 P(978)688-9535 F(978)688-9542 Ed Abraham Cedar Tree Corp.,dba Wireless Zone 581. Chickering Road N.Andover, MA 01845 Re: Waiver of Site Plan Review February 11,2009 Dear Mr. Abraham, According to the North Andover Zoning Bylaw Section 83.2.c.i, Waiver of Site Pian Review,your request to occupy the commercial space located at 581 Chickering Road,will not require an application for Site Plan Review. The waiver request is granted based on the following information: • The property will be used as a sales office for wireless and FIOS services. Since the prior use was general business,and the property is in the General Business Zone,the use is allowed under the town's Zoning Bylaw Section 9.1. • There will be no changes to either the existing building footprint,to the exterior of the building or to the existing parking area. There is no requirement for additional parking spaces since you are estimating that there will be no increase in foot traffic or vehicle from the prior use. If there are any questions,please let me know. ds R >ega r _ , Juditli Ty mon Al IP t� Town Planner cc: Jerry Brown, Inspector of Buildings BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSrRVATION 688-9530 BEAUJIA 688-9540 PLANNING 688-9535 Lopation e/ No. 1 - S Date "90 , TOWN OF NORTH ANDOVER O A Certificate of Occupancy $ Building/Frame Permit Fee $ ��'°'•^°^'t�' Foundation Permit Fee $ SscMuse Other Permit Fee $ �?�•� U Sewer Connection Fee $ Water Connection Fee $ TOTAL $ ,2,��•(i rl /f/Xjj ) y Building Inspector 6763 Div. Public Works NORTH F j ED 6 16 0 T 0 W N O F * - --_ N 0 R T H A N D O V E R Q _ LAKE T COCMICMEWICK �j \ NORTH ANDOVER DATE: �oZ "/�7�� "•9SS'4TE D �'S � ' MASS . ACHU 4 PERMIT # 7-7 q'S S I G N P E R M I T THIS CERTIFIES THAT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to erect]".'Y_'��a,-a:X�.�. . .on:5 ee "Y.��� �-� 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 Sign Regulations in the Town of North Andover . VIOLATION of the Zoning or Sign Regulations , Section #6 , Voids this Permit . . . . . . . . . . . . . . . . . . . . . . . .�� . � � . Building Inspector -71 L SIGN PERMIT APPLICATION NORTH ANDOVER BUILDING DEPARTMENT Division of Planning & Community Development Date Filed: /1 30/ � 3 1. Site Address .5 ,S/ Ch)cK02in 2 . Owner 6-F_o ,2j)r�_ U, (raxin14Y%n 3. Applicant G0P_In0VV, bL'y'PIL ?NC 4 . Number of Signs 3 Size of Sign(s ) t - 3'�8' - D' xis' S . Site of Proposed Sign(s ) fbouWUO oiV Fi4cjj4 o-F 803 fd/iJ'5 6. Materials : A I uvhi w u;n C 05+ N FQct� 7 . How attached: (a) Against the wall pc') (b) Roof ( ) (c) Ground ( ) (d) Other ( ) 8 . Illumination : (a) Not illuminated ( ) (b) Internally illuminated (ac ) (c) Illuminated from separate service ( ) 9 . Proposed Colors : Background 6)QE (,, h 1l£ Lettering LU / 2 ED Border W w\ 10 . Will sign overhang any public road or walkway : Yes ( ) No (�C) 11 . If Yes , Name of Agency who will provide liability insurance : r-E N')PFR Yua-rt iowA �IUC�v(Zi�tvcE 12 . Attachments : ( ) -;Photographs of building ( ) Material sample ( k ) Color samples ( ) Site or Plot Plan (Required for all free-standing signs) ( ) *Drawings of proposed sin ( ) Other, specify. 1_, -tf F.rz O £F� �Wr�'Rrtiou> 13 . Is Board of Appeals decision required? Yes ( ) No (� Signature of Applicant 1988 NOV 1 — 1993 K 1 I SIGN PERMIT APPLICATION NORTH ANDOVER BUIL G DEPARTMENT ment Division of Planning & Community Develop Date Filed : 11/43 I 1 . Site Address: 581 Chickering Road , Units 6 & 7 I 2. Owner: George Gorham 3. Applicant: Gorham Hardware Inc . j� 4. Number of Signs: 3 Size of Signs: 1 3' x8" , 2 2' x8" Mounted on Fascia of Building g, Site Of Proposed Sign : I 6, Materials : Aluminum casing with a lexan face 7. How attached : Against the Brick Wall Fascia i 8. Illumination : Internally illuminated 9, Proposed Colors: Blue, White, Red 10, Will sign overhang any public road or walkway : No il . Name of Agency who will provide liability insurance: Kemper National Insurance Company I 12. Attachments : Drawings of proposed sign Color samples Letter of explanation 13. Is Board Of Appeals decision required? No Signature of Applicant 1988 40 S t - o • � Y' ; iYuc, S la g ` ani vv ,0 of 6 O SC2uApp- FEc oc.,, -i�9 D Fsca sp-t (c,ru c) WEA Sugar Maple Hardware o MODEL 324-0 Consists of TX 8'True Value Logo Sign, 2'X 8'Store Imprint Sign, and 2'X 8' Product Sign. Total of 56 square feet. Right hand sign may also read Home Center or Lumber. To order alternate specify: Home Center Copy: Model 324-HC Lumber Copy: Model 324-L i 6-low / S £ Xp,.c.T 0-0102 of tuEw oNIy rJrFPet:.nsc€- is -t�0--t- rT- SA-yS &orzNAm`s irvsTFj4D off' P/z- Yhp/f Sugar 1� Map le �� Hardware 0 MODEL 324-0 Consists of TX 8'True Value Logo Sign, 2'X 8' Store Imprint Sign, and 2' X 8' Product Sign. Total of 56 square feet. Right hand sign may also read Home Center or Lumber. To order alternate specify: Home Center Copy: Model 324-HC Lumber Copy: Model 324-L h Location �— No. 2 5 3 Date X4 I v to 1. .— MART" TOWN OF NORTH ANDOVER .pf .,'�'O ? ° O 10 p Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ s�CHus Other Permit Fee $ Sewer Connection Fee $ S Water Connection Fee $ —ter TOTAL $ _� ( C` 20 ZZ Building Inspector 8725 Div. Public Works �; Location No. �J 3 UTAT Date Q a t 40RT TOWN OF NORTH ANDOVERo O �� N� p Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ s�c►+us y Other Permit Fee l W$ Sewer Connection Fee $ Water Connection Fee $ o TOTAL $ n" Building Inspector V� 71 3302 Div. Public Works PERMIT NO. � APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP d40. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK ;PAGE 'ZONE SUB DIV. LOT NO. i LOCATION ` PURPOSE OF BUILDING t]p,/V_\ ,OWNER'S NAME � �— NO. OF STORIES �CSIZE �V /OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME J G.. SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND v i WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY I(r_ IS BUILDING CONNECTED TO TOWN SEWER rte, IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COSTJ<�` co PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER 94. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILEDAND APP OVED BY BUILDING INSPECTOR DATE ILED �5-- I)R:i �Ll BUILDING INiPSCTOR 9 1 G N-A-YtrifE OF OWNER OR AUTHORIZED AGENT / F E E �a OWNER TEL.N PERMIT GRANTED CONTR.TEL.# CONTR.LIC.11 1 � H.I.C.# Jm - 1995 rssoz, ct-�-1L70, LQ,o BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I I STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM ` MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- ` APARTMENTS I I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ '/ 1/1 1/1 FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDIN0 _ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK N MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR 1. 1 POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.( GAMBRELMANSARD TOILET RM. (2 FIX.( _ FLAT A SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING - TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNArE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC lit 13rd NO HEATING =sCi NORTH Town of �r 4Andover 0 No. 253, dover, Mass.,JAE 8 , l (RE' 19 LAKE 11 COCMICKEWICK 7�ADRATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...aft\M.7M........... .......Y.!V.`►...S� Qr W ......�.1,+.!iii............................ Foundation has permission to emt...,A.QTM4L................ buildings on... I..... %...... `�I .. -� Rough to be occupied as....Rf mL.... .......... . .. ... . ........................................................... 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS T Rough ............... Service ... . .... ... ... ...................... BUILD INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR RouI Display in a Conspicuous Place on the Premises — Do Not Remove Finalh No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT 4 i�x 9.51 `480 x NO 0, ALTE I AT i ONS -*eLV I N6 "�4-1�'I.V I Nfi � x2� • xW L I NC Or M=, ABOVE I - NEW M.5,/00 rAKr I T i awa 1 KETAIL. AREA LINE 010 1NCa. ABOVE �-�IC11a_GOl�N7�F� CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 253 Date AtTrtjgT 1A , 1995 THIS CERTIFIES THAT THE BUILDING LOCATED ON 581 CHICKERING ROAD (Unit #2) MAY BE OCCUPIED AS RETAIL SPACE - TENANT IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. JAL SPO SWEAR PLUS CERTIFICATE ISSUED TO Steve Juba 0a ���. ` op Salem St. 40 ADD 7J�AUs� Build CMing Inspector t f { 1�. t � f 7. _t r '_i }. i i r f x w VAORTFC '-� of Rdovei 0 ...... 40. 253, J o `A �r� dwer, Mass., v Th COCHICHEWICK AO�ATED P'F�\�,(.�J (� BOARD OF Food/Kitchen PERMIT T Septic System BUILDING INSF. THIS CERTIFIES THAT...a .4 -.. U .......... ...... C!4. ... ..,.. ............................ Foundation has permission to ereet...J®l.rl��................... buildings on ...,? Rough Chim to be occupied as..... . Ir.X'�4.11.�....�....�.......-T .... .......T&-*L-e.......................................................... .. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Fina / and By-Laws relating to the Inspection, Alteration and Construction of this office, and to the provisions of the Codes a y g p , 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 F,LECTRICAL INSP R UNLESS CONS ...................... Service BUILDI INSPECTOR (1=!!� f; Occupancy Permit Required to Occupy Building — GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner NNING _ FINAL CONSERVATION FINAL Street No. Smoke Det. TER/WATER FINAL ENTRY PERMIT---"uCr,,.y., Location`,?/ ' No. ,tom.-�. � ..�� r.L.,.,,.:.� Date +— 140RTh TOWN OF NORTH ANDOVER . F 9 ' Certificate of Occupancy $ ;'��''••"^'<� Building/Frame/Frame Permit Fee $ ss�CHusa 9 Foundation Permit Fee $ Other Permit Fee $ 2, TOTAL Check # , ?e,97-3 /� Building Inspector Location��� No. + Date NORTH TOWN OF NORTH ANDOVER 1- 9 Certificate of Occupancy $ ` 1'�s'•"'•E<�' Building/Frame Permit Fee $ ��►CMus Foundation Permit Fee $ Other Permit Fe"f"I" $ TOTAL ��// $ Check #,J. F 22 2 '18 3 5 -- Building Inspector .com Installations & Fabrication 8®®r-3535r-3®3®(3 pm@amersign.com James S Butler, 16 Dwelley St., Pembroke,MA 02359 vim, tkORTF� C r► !- 76 TOWN OF NORTH ANDOVER �•4 4°��To Fpa,�'S5 SsAYCWl3`JE NORTH ANDOVER, MASS SIGN PERMIT DATE: February 13, 2009 PERMIT: 016-09 THIS CERTIFIES THAT Gorham Properties has permission to erect. 24" X 114" Roof Wall Sign on 581 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. INTERNALLY ILLUMINATED SIGNS ARE PROHIBITED -------------- Inspector of Buildings SIGN PERMIT APPLICATION 1600 Osgood Street Building 20, Suite 2-36 TOWN OF NORTH ANDOVER Site Owner 600*wt IP126P PTl&-s p o.&x Aw DO V trk---i X", O Applicant O/e_ S/6KV, CD AA Tel 00:S3 -0308 Site Address 631 ,/ Size of Proposed Sign 62 ,y X 1141 Mar) Parcel Illumination: a)Not illuminated How attached: a)Against the wallial)IC K n(r b) Internally illuminated b) Roof Externally illuminate E�/ST/K/6 c) Ground d) Other Materials: AGyAtllklU HA '�j( SIV T/2.A Proposed Colors: Background W Lettering 2PaA, cA Qom, Border_42.0 Cost of Sign ZC2-�no, G� Required Attachments: Note: No permanent/temporary sign shall be erected, or enlarged until an Photographs of building application on the appropriate form furnished by the Sign Office has been filed Material sample with the Sign Officer containing such information including photographs,plans Color sample and scale drawings, as he may require, and a permit for such erection, alteration, Site or Plot Plan(Required for all free-standing signs) or enlargement has been issued by him. Such permit shall be issued only of the Drawings of proposed sign Sign Officer determines that the sign complies or will comply with all Other, specify applicable provisions of the By-Law. Will sign overhang any public road or walkway Yes ( ) No (L) If Yes, Name of Agency who will provide liability insurance: AN INCOMPLETE APPLICATION WILL NOT BE ACCEPTED DATE FILED: Receipt# Check# Revised 10.31.2006Form Sign Permit Application SIGNATURE OF APPLICANT APPROVED BY Gorham Properties P.O. Box 501 North Andover, MA 01845 617-899-7051 January 28, 2009 Ms.Rose Keeler, I have reviewed the attached drawing for the Verizon Wireless sign @ Chickering Plaza. I approve the flat sign with flat vinyl letters. My approval is limited to design concept only and must be fully approved and permitted thru the Town of North Andover. Jim of American Ni Signs is authorized to proceed with the permit process and upon approval theins faLtIon process. e co 4t me with any questions regarding this project. David Gorham Board of Managers Chickering Condominium Association tA Pylt-� ro rs" .w e T-r c y��-S- SV P 31;OX xiJssLa `N'Ls�6`sYmi�i�'4iv�Y+�.+ _ _. i9M+4cPYe AWDiW..'��.:utrF�i/".sC.Yi..:VARY' 4�4Yfu.'K315'.i yfb^_-`:."'tar C« I kJ ` The Commonwealth of Massachusetts I � t Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 i www.massgov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant information Please Print Legibly Name (Business/Organization/Individual): I",t 1vez &lck1 ;CQ M Address: Z6 Di6ye- &-Z City/State/Zip:_� /YI,4Qq9 Phone #: ( -J�c3.S 0308 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ 1 am a employer with 4. ❑ 1 am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.9rarn a sole proprietor or partner- listed on the attached sheet 1 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. g, ❑Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its 10❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 1 I.[] Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.)t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#l must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet-showing the name of the sub-contractors and their workers'comp_policy information. am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy 4 or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip- 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 insurance coverage verification. /do her!Ze"Ot-" afy under�thheepains andpenalties ofperjury that the information provided above is true and correct Si afarV Date: --+D Phone t .(2 7-%5-3 —0 3 0 8 Official use only. Do not write in this area,to be completed by city or town ofciaL City or Town: Permit/License# 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#: s Wireless Zone:North Andover,MA i `,,�verizqq wireless 114" .�.».� f ` 24 vee on wireless i wipeless ZONJE Premium Retailer MDO sign with vinyl lettering Remove & scrap existing sign No pylon signs on property This drawing is the property of Pop-Graphics Inc.and all rights to its use for reproduction are strictly reserved by Pop-Graphics Inc. 38 Elm Street E P.. E— ]� 410111 'QUOIT] landlord Approval Signature: t+ Meriden-63 0278 Fax:203-630-2780 ❑Approved Phone:203-639-1441 ❑Approved As NotedWeb:pop-graphics.com ❑Not Approved-revise As Noted +y f , IF F ir ZiNA Nome Accessories Stationery ► ^ Furniture * Invitations �� I Linens Custom Printing et Gifts .0 Jewelry , Gifts c r A, -.. *0 LOT N0.&,0 ms>2, 12 RECORD OF OWNERSHIP (DATE BOOK ;PAGE SUB DIV. LOT NO. ► �I — 1 f � LOCATION / G�/G �rC PURPOSE OF BUILDING OWNER'S NAME �G�/G /� NO. OF STORIES SIZEV ^_OWNER'S ADDRESS r"j�3 GG� V ..9�� BASEMENT OR SLAB _- ARCHITECT'S NAME !! •/' SIZE OF FLOOR.TIMBERS IST 2ND 3 3RO x BUILDER'S NAME / /® SPAN DISTANCE TO NEAREST BUILDING 3- DIMENSIONS OF SILLS DISTANCE FROM STREET POST8 DISTANCE FROM LOT LINES-SIDES REAR GIRDERS _ AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION "A Q g 4- IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LANT INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST t PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AN APPROVED BY BUILDING INSPECTOR DATE FILED ` B ILDI G INSPECTOR i SIGNATURE OFW,t AUWO AGENT a� FEE '9 a5 /� OWNER TEL.# l/ PERMIT GRANTED CONTRA. TEL.# '9 CONTRA. LIC. # IP-Z-,7112 H.I.C.# WHITE: Building Dept. CREAM: Assessors CANARY: ' w .. tAORTjy T0VM of over , No.,3,0, R1 - �_ dover, Mass., 197 i LAKE '9A_COCNICMEWICK 1• , O� ED �l BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......................................... ..�..��.�:.��.............:,:�.�i�-.��-��'.':�.....................................,..... Foundation has permission to-ereet-......f aL(.Cl_.......... buildings on ......:S734 ;� 1. �� 1�.:'1.....'....... < ...... Rough -- ;— Y� :........................................ t0 be occupied as.................................................� _. ... }!`4:f.:::.!�.'. 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST > Rough .................... J...... ...... `..... Service ��3NG INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. I , Burner v Street No. Smoke_net. NO LOT NOLoO2S mo-Z' 12. ECORC OF OWNERSHIP DATE BOOK PAGE E�OeB SUB DIV. LOT NO. ( .-� I LOC-ATI0N /tL L/'���' 4*1 ".COR BUILDING 1 OWNER'S NAME ," �r RIES s/ OWMER S ADDRESS R SLAB ARCHITECT'S NAME - TIMBERS IST 2ND 3RD BUILDER'! NAME / 1L` / f/d� SPAN DISTANCE TO NEAREST BUILDING s DIMENSIONS OF SILLS DISTANCE FROM STREET - POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS If BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION MATERIAL OF CHIMNEY If BUILDING ALTERATION g�f j ©/ If BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 18 BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY If BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS i-ENT INSTRUCTIONS a PROPERTY INFORMATION LAND COST SEE BOTH SIDES g EST. BLDG. COST PAGE 1 FILL OUT SECTIONS I - i EST. BLDG. COST PER SQ. FT. PAGE E FILL OUT SECTIONS I - I2 EST• BLDG. DOST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPf MUST SE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILEDAN •APPROVED BY BUILDING INSPECTOR DATE FILED FILED/ `� [BUILDING INSPECTOR IIGNATURE Oi OR O AGENT E E OWNER TELM If KRMIT GRANTED CONTRA.TEL.# � �1oC ��l »>, CONTRA:UC.* -�,O Z 2 71 WHITE:'Bulldln T>�pt :;REAM:Assessors til"iANARY:' ,R,"•..'` s e:_:s!'. ... r E3°ii.- 3i'-_s""'�Y a 2y y. u£ ,.r --,� - 'F. `:"ti- �.ya""Fc `� _ i "^'' -' �. 'S .;c. s:?+ ,., -�-g �ti?` R^' s.. wsF -'�`; p. '•I4,,�``T.�:^h. I # SENSE l � Of fire tae On ,(. The Commonwealth of Massachusetts UlJ `Y ~\reratt xe: Departmtmt of Public Safety occupancy L Fee Checked V BOARD OF FIRE PREVENTION REGULATIONS S27 CMX 1200 . 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All Work to be performed In accordance With the Massachusetts Electrical Code, S27 CMR 12.•00 (PLHASE PRINT IH INK OR TYPE ALT. Z ORHATIOH) Date 6/2O City or Tows of /I/t- To the Inspector of Wires: The undersigned applies for a permit to perform the elec ical work descr be below. Location (Street & Humber) (C e''2/h Oj Owner or Ienant A Cr &J2 Owner's Address .�-' Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building w Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters New Service Amps / - Volts Overhead ❑ Uadgrd❑ No. of Meters Number of Feeders and A=pacity Location and Nature of Proposed Electrical Work 3 � �Q� n ATotal No, of Lighting Outlets No. of Hot Tubs No. of Transformers KVA KVA No. of Lighting Fixtures Swimming Pool Above In- grnd.❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No of mer No. of Oil Burners Ba;tervFUnitsncy Lighting No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges - Total No. of Detection and g No. of Air Cond. tons Initiating Devices No. of Disposals INo. of Heat Total Total Pumas T No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers (Heating Devices KW Local❑Municipal ❑Other Connection No. of Water Heaters ISif sf Ballasts No. 01 Wirinoltage No. Hydro Massage Tubs No. of Motors Total HP OTHER _y- INSURANCE COVERAGE: Pursua t to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YESK N0 C] I have submitted valid proof of same to this office. YES® NO If you have checked YES, please indicate the type of coverage by,c/heck g the appropriate box. INSURANCE BOND ❑ OTHER 10 (Please Specify) �//4/le K�_ 31Xl Ex ira on atel Estimated Value of ectrical Work S Work to Start Inspection Date Requested: Rough Final Signed under the enalties of perjury: /J FIRM NAME _�_ &/, i lGL e e-7 �1 C & . LTC;. NO. _a J Liecnsee • ft'% r)-9Signature LI NO. 59 3.3 Address L /L4 $�/ /�,�SBus. Tel. No. `5G$ (p,y It. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature.on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE SS (Signature of Owner or Agent 2457 Date.. . . . NORTti TOWN OF NORTH ANDOVER O p PERMIT FOR, iNSTALLATION or ♦ i r 5 SAC�HUSEtS This certifies that . . 4. : . . . . . . )`Q . . . . . . . . . . . has permission foripinstallation . . . .t?O+ qq! E-e •7 in the buildings of .( . kt,► at . .. . . . . . .. North Andover, Mass. 00 . . . . . . . . . . . . . . . . . .40• •PAID. . /_� SPECTOR WHITE:Ap.cant (COG-) Building Dept. PINK:Treasurer GOLD:File Office use o uy The Commonwealth of Massachusetts Permit No. S(/ Department of Public Safety Occupancy B Fee Chocked p� x `t BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 1 3190 (leave blank) C• APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DATE `SIA 6 City or Town of /VOI/T A PX^J)at&0R- To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) J-8 G AC 4t44--)R i ry G Owner or Tenant G a R E{.g/.-- G{.4 RD w R RCL Owner's Address S A M ti Is this permit in conjunction with a building permit: ❑ Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work RfP -AC 13A4-z_AS7- AND OR /=/xTuR(-S' /LiASS ELFc�?r` RETi2oF� T P)R06,RPV-1 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Abo e 11n- ❑ Generators KVA No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners FIRE ALARMS No.of Zones No.of Ranges No.of Air Cond. Total No.of Detection and Tons Initiating Devices No.of Disposals No.of Heat Total Total No.of Sounding Devices Pumps Tons KW No. of Self Contained No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices Local ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Connection No.of Water Heaters KW No.of No.of Low Voltage Wiring Si ns - Ballasts No. Hydro Massage Tubs No.of Motors Total HP OTHER: / 13AL L AST INSURANCE COVERAGE:Pursuant to the requirements of Massachusetts General Laws, I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ❑ NO ❑ I have submitted valid proof of same to this office. YES )10 NO ❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box. INSURANCE X BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Electrical Work$ (Expiration Date) Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury FIRM NAME ON C o, /wL, LIC. NO.!r+//°GS'9 Licensee E)Au/ AU/ Signature i� LIC. NO. H=Vf- Address / G!)L LowC' t//L L RIC) S,gLEirt /+�y, Bus. Tel. No,-Dy-7Y/ Alt.Tel. No.&/9-5Y? 1 OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws,and that my signature on this permit application waives this requirement. . Owner Agent (Please check one) .(Signature of Owner or Agent) Telephone No. PERMIT FEE$ /O c1 — G ,