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Home My WebLink AboutMiscellaneous - 100 ANDOVER BY-PASS 4/30/2018 (7)�� k � \ � �k� � � %�� @ E k�k� [o ]ƒ�� ƒ(� _ \f� §/� ,� �� ISA moi! i N.,W � d ° Qa N La dQ W 9= 0 >.o2 CL ZCLLL Z CL O � � W w Y 01 µORTN �OO � iso `sTyQO r s i �*iiri s s o� ��9 • SSwcNue CERTIFICATE OF -USE & OCCUPANCY Building Permit Number 205 Date 1/9/2002 - THIS CERTIFIES THAT THE BUILDING LOCATED ON 100 By Pass MAY BE BE OCCUPIED AS Office Space — DeWolfe 1" Floor IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS A,' MAY APPLY. CERTIFICATE ISSUED TO Mesiti Development Corp 100 Andover By Pass North Andover MA 01845 Mulding Inspector gOflT/, T •�8ywc�°t CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number cR a a Date as 6700/ 8s 4. 89 THIS CERTIFIES THAT THE BUILDING LOCATED ON j ry,Q,y G�pu t' 2 �Ll ' SS MAYBE OCCUPIED ASk O ww ev1l01/-v akv!°c? W /C'gu-P`IN ACCORDANCE WITH THE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. l CERTIFICATE ISSUED TOL"5// / Ur7� ,3,00 ADDRESS 44 /vd-o veole ASS Building Inspector ll� b 0 a y � xx a til 1 z O -t >oz cc d y .33 rx � x � � y b m d z � a n n � 0 d 0 � C tAr1 0 a tv to HIM r7 d O 3 C'� Q taG 00 G 00 N 01) ron a d � x � w a r d z n � � o o 0 � d ( TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Y �v. - F x j .,r ten. ThiS Section for Official Use Onl BUILDING PERMIT NUMBER: DATE ISSUED: CONTROL waw I i CONSTRUCTION i SIGNATURE: Butldln Commissloner/I or of Buildings Date 1.1 Propert%NAe�� 1.2 Assessors Map and Parcel Number dz Map Number Parcel Number c•> 1.3 Zoning Information: 1.4 Property Dimensions: —i rq Lot. Area Frontage ftp Zoning District Proposed Use 1.6 BUILDING SETBACKS (ft) tuts Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 1.7 Water Supply M.G1L.C.40. § 54) Public < Private 0 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Zone Outside Flood Zone 0 Municipal On Site Disposal System 2.1 Owner of Record M �l iT ( •DlN� � /�� ,^, / too . Name (Print) _ Address for Service C01 -1 _ Signatu c Telephone 2.2thorized Agent /H.CA741) Ic 40�v::Cz A N e 'nt Address for Service: i re Telephone srWE 3.1 Licensed Construction Supervisor Not Applicable ❑ Adaress I Zdo 5vp o License Number N �� /�N 00,4€ tyl A . I Co ction Supervisor: ! G "1 • It 17 o a CC, v� ^ S y� Expiration Date .� J a ie Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone v n M Location )OD �) JO b -P 2 �j u PA CS No. 3 ©, Date KORTM TOWN OF NORTH ANDOVER Certificate Occupancy $ of ,ssACMusb Building/Frame Permit Fee $ a Foundation Permi, Fee $ Other Permit Fee $ TOTAL $ Check # AU (rat" - 15199 / Building Inspector JOA 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 ...... V� No ....... n $EMON .-TROFIKSUIONAL TC�N- :S*AvlftgVOWB ] 5.1 egistered Architect: 6 Addr s, SUzgureW X.A ,54:Regi Area of Responsibility ty Registration Number Address: Expiration Date S Signature Total Not applicable 0 Name: Registration Number Expiration Date Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Not Applicable 0 Company arae: ;t be&N Responsible in Charge of Construction 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 i APPLICANT r- S PHONE �7� ��^� 232Z LOCATION: Assessor's Map Number �" q PARCEL J SUBDIVISION LOT (S) STREET I" ST. NUMBER *****************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR COMM TOWN PLANNER COMMENT INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS__ DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS )'l / DRIVEWAY /�PERMIT_ NZ A // /'. /6 / ✓ FIRE DEPARTMENT � & RECEIVED BY BUILDING INSPECTO Revised 9\97 jm TE rz 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 /�2 < e_ PHONE 7? 7- 753<�, LOCATION: Assessor's Map Number mac- PARCEL SUBDIVISION // LOT (S) STREET /Ay1C/OVt°r P 55 ST. NUMBER_ *****************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVE=D DATE REJECTED COMMENTS I U"'IN PLAN,N�R � �f DATE APPROVED _ DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED _ DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED _ DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS Al DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9\97 im TE m CONSTRUCTION CONTROL AFFIDAVIT TOWN OF NORTH ANDOVER PROJECT NUMBER: 2ooI " 27 DATE: it. 20.01 PROJECT TITLE: PROJECT LOCATION: ID�A�J 13�(• NAME OF BUILDING: �CfclJll�lE tQV'iS NATURE OF PROJECT: 11f'�tGL �lr- Vr IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUILDING CODE, 1, CHARLES H. GOLDSTEIN REGISTRATION NO. 2547 BEING A REGISTERED PROFESSIONAL ENGINEER HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS, AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT _x -ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION ELECTRICAL OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING AND ARCHITECTURAL PRACTICES AND ALL APPLICABLE LAWS FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT; AND SHALL BE RESPONSIBLE FOR ALL ITEMS SPECIFIED IN SECTION 780 CMR 116, 6T" EDITION OF THE MASSACHUSETTS STATE BUILDING CODE. SUBSCRIBED AND SWORN TO BEFORE ME THISO/2 DAY OF ic2Ji , 200 (NOTARY PUBLIC) )•ol MY COMMISSION EXPIRES /Y -,-70 CA -5- $1 0 E 0 I C =r Q .(A O Q N CD CD onC-DI m 0 CL cl) � 3 d d= y ID =r CLwa m O O smN caca -00 �0 O Z:s.c O N n aN CL 0? m Cl) Co, cc CL CD W N n u 1- W _ rr� O r m N •z �y � f OCD ca �COD $ o 0 ED N � O CD.. o C=D � CD cl, N o FV o � d H ;� y C) m T m W 3 D o oil ,n :1 o ?'_ aGa ?l a o m Cil rD nl 0 w j� n w o '� 7f v2 y 7C tz WO 171 y — d tTl p NA Cl) CD CD Z y CD o a. r �• Cl) d O y m � O m �` v CD mCCD m U) d Q m `C d CD p CCD o C�'D m mw C O a. v V�• v �• o = �C CD � N v O 'O O z O O CD O CD E 0 I C =r Q .(A O Q N CD CD onC-DI m 0 CL cl) � 3 d d= y ID =r CLwa m O O smN caca -00 �0 O Z:s.c O N n aN CL 0? m Cl) Co, cc CL CD W N n u 1- W _ rr� O r m N •z �y � f OCD ca �COD $ o 0 ED N � O CD.. o C=D � CD cl, N o FV o � d H ;� y C) m T m W 3 D o oil ,n :1 o ?'_ aGa ?l a o m Cil rD nl 0 w j� n w o '� 7f v2 y 7C tz WO 171 to tTl p 2 z H 0 0 c Name The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name: P' 1 i G (fir � (-Z i %t Please Print City N� �Y r ' V I 1 U ¢S Phone # rq i I am a homeowner performing all work myself. 0 I 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: Address tyl City:(ONEq rN 6 ? 5 (off 2t � Phone #. 17;0 Insurance,Co.. -policy # �dn G l o . / Company.:naime: . Address . CitX Phone.#: td and/or one years' dsomentas %itell_as_ciW4).-nalties.in-Mainrm d-aSMP_W-ORK-ORE)E arid_afiae� ($11ll understand th c y of this statement may be forwarded'to the Office of Investigations of the DIA for coversge / do hereby er/�nder it* pains and penalties of perjury that the information provided above isYrue and correct. Print name- pPhoned 9� 8 Official use only do not write in this area to be completed by city or town officiar City or Town Permit/Licensing Building Dept ❑Check if immediate Response is required Licensing Board p Selectman's Office Contact person: Phone A- Health Department Other • • North Andover Building Department Tel: 978-688-954.5 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number -SOS 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: (Locati n bf F ity) Signature of Permit Applicant If-�i-tel Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 5 y.- ✓ire '�aua�xairweall� c�.�l�owaci BOARD OF BUILDING REGULATIONS '• License: CONSTRUCTION SUPERVISOR Number: CS 055435 i t ► Birthdate: 09/23/1965 i ^ ?'•,;� _ Expires: 09/23/2002 Tr. no: 828 I Restricted To: 00 ANDREW C MATSES 200 SUTTON ST N ANDOVER, MA 01845 Administrator Town of North Andover Building Department 27 CHARLES ST 978-688-9545 Project: it`s� r'\Q =u� NN 1--5 Ll i cYE� . C o t2 r-• I ocv iq -1.1% ss I'D o,x3z1-t ►�-u��, 4f111� APPLICANT: V\, C O02 ---W% (10, !Z -c. RE: S'e'e__\ DATE: N o\lr l o t Title of Plans and Documents: Please be advised that after review of your Building Permit Application and Plans that your Application is DENIED for the following reasons: Plan Review The plans and documentation submitted have the following inadequacies: 1. Information Is not provided, 2. Requires additional information, 3. Information reauires more clarification- 4- Informatinn is inrnMert S All of the nKma Administration The documentation submitted has the following inadequacies: 1. Information is not provided. 2. Requires additional information. 3. Information requires more clarification. 4. Information is incorrect. 5. All of the above. Water Fee I State Builders License i Sewer Fee _. _ ._ . Workman's.Comaensation Foundation. Plan 1516 --robin Plans Subsurface investigation Codified Plot Plan with proposed structure Construction Plans .S- 116 Affidavit Mechanical Plans and or details Plans Starn ed by proper discipline Electrical Plans and or details F�ln Plat Fire Sprinkler and Alarm Plan Roofing Plan Footing Plan Plans to scale Utilities Site Plan Water Supply Se e,Dis I Waste Disposal Driveway Entry App. DPW ADA and or ABBA requirements Administration The documentation submitted has the following inadequacies: 1. Information is not provided. 2. Requires additional information. 3. Information requires more clarification. 4. Information is incorrect. 5. All of the above. Water Fee I State Builders License i Sewer Fee _. _ ._ . Workman's.Comaensation Plan Review Narrative The following narrative is provided to further explatnithe reasons for denial for the building permit for the property indicated on the reverse side: MORTH F p k sn � sswc� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 305 (11-29-01) Date 01/09/2002 THIS CERTIFIES THAT THE BUILDING LOCATED ON 100 Andover By Pass MAY BE OCCUPIED AS Office Space 2d Floor IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Mesita Development Corp 100 Andover By Pass North Andover MA 01845 O EM4 u CLS �¢ O ��C) U H w �yD� O O v CDz v v ca v T A ° ' � co O � y C w •„ ri b C E id w° U w 10 a w W 7 '� ie c9i ii � � is � v w � cn uj 1= Ff �•m C ��O O CL ' O. C . O A m C 0 L Gi �+ r u �•: m +� O O _ ca ... N E C 7 Z S. t? o m L O OL L mJ I� W N C -'no N m � Z L+ O Hr � yo= c Q — N •� a C t V in O V•�Z C C O CLL H H m C H O.r H COD N m r0+ r C r ~ Nat C r v to V m Wfl W V mcm VD a 0.5 0:6 = e0 H � �— s 8 a � m g 0 ri 01) 85 CO ow �yD� O O v CDz d O � y C CD cm C C ca 0 'D 2 O O m m 3� C� � � L 0 CMQ c C CD O v 1-0 o CD C Z ts O ca h V� The Commonwealth of Massachusetts FOR OFFICE USE�Y, Permit No. o�t5 Department of Public Safety Occupancy & Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 (leave blank) ry V APPLICATION FOR PERMIT TO PERFORM ELECT IC L WORK All work will be performed in accordance with the Massachusetts General Code. 527 CMR 12: (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date City or Town of ,��//�/� To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below: L Location (Street and Number) / 5ZO �T i Map:. Owner or Tenantlee,l.il�i Zone: Owner's Address Is this permit in conjunction w a. building permit? f Purpose of Building xisting Service Amps / Volts New�Selrwce� ��_ Amps / C, Volts �tM� J ufrlber of Feeders and Ampacity L& Yes ❑ No,E (Check A propriate Box) Utility Authorization No. Overhead ❑ Overhead Underground ❑ Underground ❑ No. of Meters No. of Meters % Location and Nature of Proposed Electrical Work lee) 4� '9rl e s .� >vc t IVC No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above grnd. ❑ In-grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emerg. Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection'and Initiating Devices No. of Sounding Devices No. of Self -Contained Detection/Sounding Devices No. of Ranges No. of Air Cond. Total Tons No. of osa Dis ls P No. of Total Total Heat Pumps Tons KW No. elf Dishwashers Space/Area Heating KW No, of Dryers r Y Heating Devices KW No. of Water Heaters KW No. of Signs No. of Ballasts Local ❑ Muncipal Connection ❑ Other No. of Hydro Massage Tubs No. of Motors Total HP Low Voltage Wiring OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts Geral Laws I have a current Liability Insurance Poli including pleted Operations Coverage or its substantial equivalent. YES NO ❑ I have submitted valid proof of same to t is office. YE NO ❑ If you have checked YES, please indicate th type of coverage by checking the appropriate box. INSURANCE I�BOND ❑ OTHER ❑ (Please Specify) /t / / 4e'� pir tion Date) Estimated Value of Electrical or / / Work to Start Insp4o, to RRquested: Rough "L C 4 ` FinalSigned under the penaltie of p rjury: / FIRM NAME ELECTRI AL YNAMICS, INC. Licensee GARY R. L TOURNEAU Signature Address 72B CONCORD STREET, NORTH RE A13881 LIC. NO. LIC NO. A13881 Bus. Tel. No. 978-664-1050 Alt. Tel. No. 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) C:_- . - -- ^- -- - - . Telephone No. PERMIT FEE $ INSPECTION RECORD Date I Notes — Remarks I Inspector New Construction ❑ Existing Building Repair(s) 0 Alterations(s)❑ Addition 0 Accessory Bldg. ❑ Demolition ❑ Other id,4specify a7- t w— kyr Brief Description of Proposed Work: USE GROUP, Check as applicable) CONSTRUCTION TYPE Independent Structural Engineering Structural Peer Review Required Yes ❑ No SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Qci'VV1/ J"(Vi')T( VtY61--, (—mas Owner of the subject property Hereby authorize LW7 ( cam( ( , \� My behalf, in all matters relative two work authorized on USE GROUP, Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 0 A4 ❑ A-2 ❑ A-3 A-5 ❑ 0 IA 1 B ❑ ❑ B Business ❑ 2A 2B 2C 0 0 F1 C Educational ❑ F Factory 0 F-1 0 F-2 0 H High Hazard ❑ 3A 3B 0 0 IInstitutional ❑ I-1 ❑ I-2 ❑ I-3 0 M Mercantile . ❑ 4 0 R residential 0 R-1 ❑' R-2 0 R-3 ❑ 5A 5B ❑ 0 S Storage ❑ ` S-1 - 0 • S-2 ❑ 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: ' Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft ► �- - Independent Structural Engineering Structural Peer Review Required Yes ❑ No SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Qci'VV1/ J"(Vi')T( VtY61--, (—mas Owner of the subject property Hereby authorize LW7 ( cam( ( , \� My behalf, in all matters relative two work authorized on N, 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 pains and penalties of perjury - 7X2�� 1(—q-01. tore of Owner/Agent Date Item Estimated Cost (Dollars) to be �s Completed by permit applicant 1. Building (a) Building Permit Fee 3®000, Multiplier 2 Electrical (b) Estimated Total Cost of Construction from (6) 3 Plumbing o Building Permit fee (a) X (b) � o �lbt4o. oc 4 Mechanical (HVAC) adv 60� O SC. VCIA 5 Fire Protection I �� N ` ? L # 6 Total (1+2+3+4+5) ,�. Check Number �fT '. t fy 1`fn $ '#i4^ ".4+< i3 �', a 3'i. xd..Y " l A t 5 _ VY' F i. ✓ ..i` i .r 1'Y�Y2�x K � '' ' `,,. Y f � ed%".�" w1 ra ,,,yY E. at' Ys z �' yi °' f:i: J ei•" w � 3i, ff`7"i a. ifF . a.;,� i, s +' { ai r 1 r. L �. r . .,� . N, No. OF STORIES S l t Si?Aj S C/Zco f=c r EME OR SLAB SIZE OF FLOOR TIMBERS IST 2ND 3 RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DRAENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CEDANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE _ ` i t• ^Ai.."4.. t T#.G`y Y? P� Y �,.'2 ,$sem .I ,S` 4 52x1t r'r Town of North Andover Project: Building Department 27 CHARLES ST ;? °'°- ''`� 978-688-9545 a4 %_-Z e, t �Q -p'Cts9r7Vt�[r �: APPLICANT: MM' -TL ---V. rn RE: a4' n 3v' Gc\2R ,fir DATE: �tC C1v� X77 7 mo f Title of Plans and Documents: Please be advised that after review of your Building Permit Application and Plans that your Application is DENIED for the following reasons: Plan RevieW The plans and documentation submitted have the foliowina inademlooior 11--- . .. m. piwivev, t nequlres aoomonal intonation, 3. Informationrequires more cladtication 4. Information is incorrect. 5. All of the above. # # Administration The documentation submitted has the following inadequacies: 1. Information is not provided. 2. Requires additional information. The above review and attached explanation of such is based on the plans and infomlation submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answxre to the above reasons for DENIAL. Any Inaccuracies, misleading information or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled 'Plan Review Narrative- shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new building permit application form nam the permitting process. BuildingRartment Official Signature Application Received Application Denied�1�'.. eL .7— l If fazed: # Date Sent / Referral recommended: Fire .Health Police Zoning Board Conservation Department of Public Works PlanningHistorical Commission cc: William Scott Revlsed 9X im Plan K Mew ry The following narrative is provided to further a, laid the reasons for denial for the building permit for the property indicated on the, revetse side: iN° 2237 } o r,o �^ ,SSAC14US Date .... 11�1.k TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that �. �.�. 5.....t. (. `1.�{i.l l ��t, r �e ... .L'.� has permission to perform ......�....4ti?..��.:.... ,...F.t. ?.4.�. ......................... ,wiring in the building of ......0 . .. .i.�..t�{....... ��.�..�.c� << r. rS............... /*i��1r t E' 4 S at ........................ lo:...........: .. .....�, North Andover Mass. Fee.. �..:U�%.. Lic.No./.�.��..�.+.......... .//..f /ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer (Type or Print) NORTH ANDOVER Building Location r ,Mass i,; , •..Oates' Permits%,' Owners Name..��Sfi�y�`��7` New D Renovation Replacement El Plans Submitted r. v -r. .r�rr / • V. (Print or Type). Installing Company Name Addre IVA Check one: Certificate ® Corp. L Partner. Firm/Co_ Insurance Coverage: In icate t e type of insurance coverage by checking the appropriate box: Liability insurance policy)Z� Other type of indemnity E] Bond Insurance Waiver: I, the undersigned, have been made aware -that the licensee of i this application does not have any one of the above three insurance wyerages. Signature of ownerlagent of property Owner Agent`. I 1 aesebr ceslifr that all o( dtc dclaas and information 1 ha.c suborn lcd for enwcd) i4 ah4j appliolioo we lurea.�:544 to d" bei r W# • knewledge and "all plumbing work and inuallatinns herfnrnrcd undcr rcr4rit lawcd for this Application wi11 be ie gyp{jMrp aiw W pglira" owl i WiliG" Of Ills MA"WAUMU• Sta/a tlua%W4 Code and Mapicr 142 of the Ccacral UWL ^ ,it By Title. City/Town: A 0DonvIzn 7UFFic F USE ONLY1 Signature of Licensed Plumber Tvp of Plumbing Lice se 50 License Number ❑ Masttt Journeya" y Date/'- Q <".O R7:��o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACNUS� (� This certifies that .% .:..."... \.'`�... . has permission to perform!-�!. - --� ........ (/plumbing in the buildings of ...�..............- ......... . at./'4--rJ .. G. :�J-....j ..-' d.... , North Andover, Mass. Fee �.r J . �'"^ . Lic. No.. . ....... �.�`'. �G.- ..... . F�LUMBI � NSP CTOR Check # 0 4.58 MAP 2 "SS Town of NORTH ANDOVER PARCEL O 0 Pam BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: 3-F�w2 u�,' 41- INSPECTION DATE: UNIT NO.: FLOOR: WING: BUILDING NO.: R E M A R K S: `t�`�-� �'� a oo { �o'Yt�� a (�c1•�R�t !LH-�v+ u5 �� ca c 2�' t� r 2� �i4-� l-�l i �v(' s f I I I e>I Lt�o 9.12� -a"�-p -F�flo 5= 2LS14 Wu 12(x. I12-5 (-y-rfws '. " MAP ND P mi; 5s tx. Qw� ;> ,:' Town of NORTH AN PARCEL 0 �W %3kiLD Z BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: INSPECTION DATE: UNIT NO,: FLOOR: WING: BUILDING NO.: REMARKS: /o /Z-ocv -1" --Pa-rro-�us - O N /1i114"'S o n1 i►-1Ltr /L v� C-" 2Y.F+�NC-r" � 5��i�fitJt'r- 12A32�114 r'2v4�L°�'i tti i2r�-dCs G? e n� �' 's / `�f 1=.0 /�-+�i i� �F2 � C•9rd�� . � +a��v ►s�-y� st ,P� `rl.�a� ��.P��-m-� srg-�,� 12�� ;�b rte- c�t�' n, �C-rLro�c►� s„�s0"��.1-ss - !o -CPo ;a."-gs / STA -res 7:�� _stzmS Lt-e91--0C-.N D2 `7o wI-(-\, K3e 'S Ht*t3oe.,�. -- Q -rile- � s 1►e-� C 11� c� fL� `a'ta�X3 C c�-t L s @ � 2 � � � ra- u_ i,-�. � �.a�', .,,�,o N c�.d r-�,".. s �'on�A�--e. ►�.c-e�o.�' s...� J%�YtJ� s�a._0.2 s ,�►�A-- ,ems (iP �Z �y. �'�' cl-1 r Wi uLsi DC QD �r 2�- -P yo MAP &j re- (—ss Town .GL - PARCEL NORTH ANDOVER ra, w►er.,r ..., L BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: gf�2tL — t llL-1W-- INSPECTION DATE: UNIT NO.: FLOOR: C WING: BUILDING NO.: '3 - NCL I --u h C --�, U08 -CL s = ►-2 f'IC t� e_e_—� •t�LEV►� a� 1 u i �sc'tZ`tzwn. W � p 5'tt"hZ Y�Lc.�-t>( rte. kncsuru t,.00aki k)er oA) i j s/N s r". -j vb ON at'�t • T>A. L4AA tai N �2-Lao�c. t�Z. �oiG G.7.q�LGS - Si" f?'1 Si-ulas 0 ae� 32 m� e'ZCLL/L! s'� t /j� -*1-D �,t� kt c k --t )A e► Y. Pre�c n oT e i t,� i Red r,�Es 5- zL1i`, (f a 0•'RD £, I LS Cay -PhgS M /� P fi'DG72�; 5S a ^ Town _ PARCEL NORTH ANDOVER ""4M 13u'LD67Z BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: IS�C-'�caGF��'�1C r`'a" IRINSPECTION DATE: UNIT NO.: -- FLOOR:CGx��1. �gy�t�n+N'WING: -_ BUILDING NO.: REMARKS: '�' oI C3 RAt oc..a vkA S A W s- f3a. c t 6d- ev w, -GL s �✓ /l Gl ��r ' m�F FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fro 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 INI i T( -. % h1 I i 4 tUS) PHONE LOCATION: Assessor's Map Number -2 PARCEL ! SUBDIVISION LOT (S) STREET (y(3 4,Pw6e '3/ 055ST. NUMBER **************t**************************OFFICIAL USE RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR COMMENTS TOWN PLANNER COMMENTS INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS C DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS )\,J I f DRIVEWAY /PERMIT_ %/ FIRE DEPARTMENT �( i44�1 RECEIVED BY BUILDING INSPECTO Revised 9\97 jM M TE i L y. Plan Review Narrative The following narrative is provided to further explain`the reasons for denial for the application/ permit for the property indicated an the reverse side: Referred To: y� Fire Police Health Conservation rs ac p z !3 Zo.�c t . 'v 7 Plannin De artment of.Public Works S'4i � Other r t== BUILDING. o"T hie-- �' / 'F�iil7 � � r/T'C• Z/cJn7' �L S IC U iQti G r W �cc {'/7/�/AJ "JUf=F—rd_fEA�- Hal C� S'G dYi iO79 4 Referred To: Fire Police Health Conservation Zonin Boartl Plannin De artment of.Public Works Other Historical Commission BUILDING. o"T 9 o MD eTM � 3� Zoning Bylaw Denial o ` . Town Of North Andover Building Department 27 Charles St. North Andover, MA, 01845 Phone 978-688-9645 Fax 978-688-9542 Street: f A �Dm tirt Map/Lot: M-leS Applicant: rx 111snE PUc,,enFz Request: Date: _ _... .. . __ - - - — -•• -• a 1 ^rr sou mans mat your Application is DENIED for the following Zoning Bylaw reasons: Zonino ReinedY for the above is checked below. Item # S eclat Permits Plaonin Board Site Plan Review t-lat Permit Access other than Front e S eclat Permit Frontage Exception Lot S eoal Permit Common Driveway S ecial Permit Con re ate Housing Special Permit Continuing Care Retirement Special Permit MLar ent Elded Housing Spacial Permit tate Condo S ecial PermitDevelo meat District S axial PermitResidential S ecial Permitsi S ecial Permited Special Permit Item # Variance Setback Variance _Parldn2 Variance Lot Area Variance Hell ht Variance Variancefor Si n S ecial Permits Zonin Board S axial Permit Non-ConformingUse ZBA Forth ;F"oval S eciai Permit ZBA S ecial Permit Use not Listed but Similar S ecial Permit for Sign S axial Permit reeAstin ---- T The above review and attached explanation of such IS based on the plans and Information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies, misleading information, or other subsequent changes to the information submitted "a applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document filled Plan Review Narrative• shall be attached hereto and inw@orsted herein by reference. The building department vrill retain all plans and docurne bntaGon for the above file. You must file a new building application form and begin the permitting process. Bwlding Department Official Signature Application Received Application peel Denial Sent: If Faxed Phone Number/Date: Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting YES 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed YeSContiguous Building Area 2 Not Allowed 1 Insufficient Area 3 se Preexisting 2 Complies 4 5 eclat Permit Required 3 Preexisting CBA t3 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies S 3 Left Side Insuff cient 3 Preexisting Height 4 Right Side Insufficient S 4 Insufficient Information 5 Rear Insufficient Building Coverage 6 Preexisting setback(s) 1 Coverage exceeds maximum 7 Insufficient Information 2 Covera a Complies cS D Watershed 3 Coverage Preexisting 1 Not in Watershed 6S 4 Insufficient Information 2 In Watershed Sign 3 Lot prior to 10/24194 1 Sign not allowed ,F Zone to be Determined 2 Sign Com lies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required l%p 1 More Parking Required 2 Not in district 2 Parking Com lies 3 Insufficient Information 3 Insufficient Information 4 Plu-timbling Parkin ReinedY for the above is checked below. Item # S eclat Permits Plaonin Board Site Plan Review t-lat Permit Access other than Front e S eclat Permit Frontage Exception Lot S eoal Permit Common Driveway S ecial Permit Con re ate Housing Special Permit Continuing Care Retirement Special Permit MLar ent Elded Housing Spacial Permit tate Condo S ecial PermitDevelo meat District S axial PermitResidential S ecial Permitsi S ecial Permited Special Permit Item # Variance Setback Variance _Parldn2 Variance Lot Area Variance Hell ht Variance Variancefor Si n S ecial Permits Zonin Board S axial Permit Non-ConformingUse ZBA Forth ;F"oval S eciai Permit ZBA S ecial Permit Use not Listed but Similar S ecial Permit for Sign S axial Permit reeAstin ---- T The above review and attached explanation of such IS based on the plans and Information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies, misleading information, or other subsequent changes to the information submitted "a applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document filled Plan Review Narrative• shall be attached hereto and inw@orsted herein by reference. The building department vrill retain all plans and docurne bntaGon for the above file. You must file a new building application form and begin the permitting process. Bwlding Department Official Signature Application Received Application peel Denial Sent: If Faxed Phone Number/Date: MASSACH USETTS.UNIFORM APPLICATION FOR PERMIT TO DO PLUMB-ING ,(Print or Type) Mass. Date � �" b 1� 0o 1i City, Town Suildinq ��^ Permit IOwne S� ; r.T : Location /00 4"Voo u� / Namer r 5 /' 1 tsYy, `J Type of Occupancy: : P Y C O � Yj1 New LJ Renovation ❑ Replacement ❑ t FIXTURES plans Submitted: Yes ❑ No = to z y = ad < F to .yJCr cc N O z F- N' W Y .� N Y U < y = W W 0 0 N W H 1- W N m U cc N -C to _0 4 ? _ (L Q �: x f Cr W o W < y x .1 < W y ° ¢ V) z a a C 0 LL LAJ cc L6 CC < s- O41.O N s- O z z Lu LL x W N ad SUa—BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RDFLOOR 4T„FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR------------- (Pr-m cr Type) // Check One: Certificate instZ.-I Cm2i*s�� D Vt (� Address C3 Corp. 2S Urli c d1 l�i� S LPartnership ❑ Firm/Company 9 ess Telephone % 7�' �� ` 3�9�. Name of icenlsed Plumber or Gasfitter I 'crib, ccrtik that all of the details and information I have submitted (or entered) in above application arc true and accurate to the best of my •-o-:ccgc and that all p!umbing work and installations performed under Permit issued for this application +sill be in compliance with all pertinent fro vont of the .Massachusetts State Gas Code and Chapter 142 of the General Laws. sac :nfarmed the o,ner or hi, agent that I do not have liability insurance including completed operations coverage. >.prurvr n! Q.nrr A,rer -�,c a - Trent babrhtc 1Nu13nec Policy to include completed opera (ions coverage. B%AIVJ14- To!,, -Signature of Liccn lumbo (-!i% Town Typc of Plumbing Liccn.c / APPROVED (oFFtcE usE 11 Master luurnr�ns:m 1 License Numtxr Date. .%?.-/G. " G 1 NpRTIy 1 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SS14US� This certifies thatc, l .... `' r i1 has permission to perform ..... kA ..y .. ...................... . plumbing in the buildings of .... ..................... at ... P X. North Andover, Mass. C� Fee. 7.. , ' ... Lic. No........... ....... �. !.. �:-!"f . 1...... . PLUMBING INSPECTOR Check # 1 5u56 Hesiti Dev Group Fax:978-5578160 Oct 9 2001 16:03 P.02 re: Exwudve Ouwtims Office 8uiidkv, 100 Andover fir -Pass. Porth Andover MA. STATEMENT at OOMPLEfIONof PROJECT Por the pUMM of recelot of tilt ooctipwcy pimmlt, I Wewith cattily, that to the best of my Knowledge and beW. the new conat ixtion of a axes (3) sixty Office Building at the above referenced address, has bees completed to watram occupancy and was performed in accordance with: m file CommwweeKtt of MassecJftiSm 6"ha Coda 7$0 CMR, StWh Ed dm its updoles and other rmWW and refOrwic id mgulavons b. oertstrtsctiort dorxmm is (drafts and s>pacftwi ns) submined for receipt of a bwirt permit d df?dJmd'!tred reWsbm &xVw site inwpreta6w& Further, I have fulfilled the requirements of Section 116.0. SpecirmWly t 16.2.2 of the MassactmSef Building Code. 780 CMR, through monitoring and ooritroWng the constructiows conformance. Sincerely, i KOO "Arai (Lon) 11 CARE Registered Architect MA# SMS cc: ' Mesit Development Corporation 36 Essex Roan, Ipswich, WISESUctu19e119 01 938 - 2532 telephones (978) 35e 5065 lacsimi t , (970) 35G 9171 electmnir kocharchitects0nolwRy coin Town of North Andover Building Department �? yt4tt tib•e'�a 27 Charles Street 0 North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 4ATED 1, ACHUSt APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS 01 `moo /��lz LOT NUMBER �' / ' SUBDIVISION G �- DATE REQUEST FILED DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING CONSERVATION DATE sz- S r PLANNING DATE D.P.W. — WATE . METER DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE / DPW AUTHORIZATION 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 �' v� afffi�� /0a i*Vd,6Z�1AUX LOT NUMBER SUBDIVISi0N DATE REQUEST FILED DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORN AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING _ CONSERVATION I �'>� DATE t L4 PLANNING ` `V DATE D.P.W. — WATER METERI NS i s� (G D _ DATE 4 -- � — © 1 D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED P TO PECTION QUES DATE. S AT AUTHO ATION MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Peine or Type) I[& ✓v�C� y Mass. Date_ Ste_10 —i'0�0 City, Town Permit # 7 9uildinq n pp Owner's AT: Location /00 /�✓`'Ci0!/t?F� �yf%fJS� Name_ �� 1 Type of Occupancy; `•'ew U Renovation ❑ Replacement ❑ FIXTURES Plans / Check One: Certificate Company Name /+ f�41�j,�� by -- ❑ Cor . /V H SIT- Zia ch �h�9SS / p� Partnership 3_s •ss T•!- h 97? �st7 ,j%/� ❑ Firm/Company, p one Name of icensed Plumber or/Gas®fitter crnif'N that all of the details and information I have submitted (or entered) in above application are true and accurate to the tacit of ms rctr and that all p!umb ng work and installations performed under Permit issued for this application wilt be in compliance with all pertinent of [Kt Massachusetts State Gas Code and Chapter 141 of the General Laws. -' ) . rd +he owner or hii agent that I do not have liability insurance including completed operations coverage. . .....::�; hab;htn in,urancr nolir, m ;-1—f, _-- B. T..; r: T,sscn APPROVED (OFFICE USE ONLY) tons coverage. ignature of Lic nsed P umber Tppc of Plumbing. License ❑ M:ulu't' .luurtse� nt:ut License Number ■ • t N�s.N ONE on �iii �iia ian i�iiin MEN ME 0 MEN on �� u / Check One: Certificate Company Name /+ f�41�j,�� by -- ❑ Cor . /V H SIT- Zia ch �h�9SS / p� Partnership 3_s •ss T•!- h 97? �st7 ,j%/� ❑ Firm/Company, p one Name of icensed Plumber or/Gas®fitter crnif'N that all of the details and information I have submitted (or entered) in above application are true and accurate to the tacit of ms rctr and that all p!umb ng work and installations performed under Permit issued for this application wilt be in compliance with all pertinent of [Kt Massachusetts State Gas Code and Chapter 141 of the General Laws. -' ) . rd +he owner or hii agent that I do not have liability insurance including completed operations coverage. . .....::�; hab;htn in,urancr nolir, m ;-1—f, _-- B. T..; r: T,sscn APPROVED (OFFICE USE ONLY) tons coverage. ignature of Lic nsed P umber Tppc of Plumbing. License ❑ M:ulu't' .luurtse� nt:ut License Number No f+, r A. � Date. .'? ......... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . ....... Gl r.r .................. has permission to perform .. * : .....'.... ...- ....._.......... ... plumbing in the buildings of .. .... . at... ` .......-....'? North Andover, Mass. Fee .4n.. ... Lic. No .......... �I./�...... . � PLUMBING S/P,/ECTOR Check # N� v WHITE: Applicant CANARY: Building Dept. PINK: Treasurer O O 54 00 t -I CLI C) �Bul R uj i1c) C== CD In I O O 54 00 t -I Z M, 'n I In In m > ON. r 0 0 115 O O 54 00 t -I Z M, 'n In m ON. r 0 ril. 477 r > -4 Ul Irl (ID O O 54 00 t -I I z m5. 0 CL o U C?tv CD Ch1 0 (D C) Al C13 :4 > 0 z m5. 0 m Al. M Zi -P M C?tv Ch1 0 (D Al :4 > 0 0 0 z 7j' z m5. 0 m Al. M Zi -P M C?tv Ch1 0 (D Al 0 z 7j' lit ZO G) 0 Ca k77 rn tg, aA IT Fa .gSrtS1ir it C- > to 0 CL 0 to 0* z ca. 0 > rn Ul cr) S0 tial 7j' ZO G) 0 Ca rn tg, aA m 3 < C- > to 0 00 r M.C. ANDREWS CO., INC. GENERAL CONTRACTOR - CONSTRUCTION MANAGEMENT - DESIGN / BUILD - ENGINEERING June 12, 2001 Mr. Robert Nicetta Building Inspector Town of North Andover N. Andover, MA 01845 RE: DeWolfe Real Estate Office `100 Andover By -Pass Dear Mr. Nicetta: Enclosed you will find the Architectural Field Reports, as you requested.. Sincerely, Andrew C. Matses President ii 200 Sutton Street - North Andover, Massachusetts 01845 - Tel: (978) 557-7532 - Fax: (978) 685-2357 CHARLES GOLDSTEIN AINARCHITECTURAL ENERGIES 200 Sutton St. North Andover, MAO 1845 TEL 978-681-0055 FAX 978-681-1144 June 12, 2001 Mr. Robert Nicetta Building Inspector Town of North Andover North Andover, MA Re: DeWoife Real Estate Offices 100 Andover By. Pass Dear Mr. Nicetta, In accordance with the Commonwealth of Massachusetts Building Code, 6th Edition, as regards Control Construction, please accept this periodic report relative to the above noted Project. This writer has inspected the work in progress from its inception. As of this date, the work has been completed as follows: Walls: All new office metal studs have been framed (including low cubicle partitions) and blueboard work has been installed, except for skim coat plaster, as per the approved Construction Documents. This work has been rough inspected. Electrical: Electrical and Tel -Data work roughing is complete Plumbing: Rough Plumbing for kitchenette is complete HVAC: All ductwork has been installed, awaiting ceilings installaton for. completion Remaining: *Offices at one side of the building is scheduled for skim coat finish beginning 6-12; the remaining skim coating is scheduled for application at the end of this week. *Ceilings and diffusers *Finish Electrical and Tel -Data work *finish Plumbing work at Kitchenette *Floor Finishes *Doors and frames *Painting *Cabinets As the renovation progresses, I am pleased to write that all work to date has been installed to the highest standards of construction. If you have any questions, please do not hesitate to contact this writer. ural Energies :AR8 rchitect No. 2547 0 FM4 w a U) W U) T - w w (r w w U) < Zw 0 9 0 Z G cc 0 w a U) W U) T - w w (r w w U) cc o rd f CL C mm • cr) Co C/) ts Z C/) Z C.V0 co r m p Cf) .� E IS at,C,) C/) JIt. i 42 S- CD W *. =0 0 - So SO r L� 0 or 0 r in 93 U, G a=;; CD cc LU CLM = � C3 -0 Z CD 9.3 Q A a 8 ti CL =00 ea cd m .0 CL —an zlo w a U) W U) T - w w (r w w U) 'ai anis naao o4 JOUd palm al ADUMODO 10 a uour �8O •(Apeald a8) 00•9Z$ - eel uoipedsui-aa •uogoadsw jol pajmbai sj!elS Nejodwal •amlon.ils 6u!Adn000 of joijd pannbai huedn000 jo aleoggia0 •alaldwoo 6u!pek jo!jalx3 *mels jelloo uado sp!s6uole pannbsi sl!ejpjenO •isod pennau/pens of pouinlai si!eJpueH :HSINIJ •oseq mels le ped •ouoO '„gy unnop s6ugool Jaid sl!ej pue sisod lie Bel 6uioejq leialel/nn sisod 9xg asn 'opeA anoge ,g fano •jaluso uo ug coeds xew jaisnle8 'y6i4 . 9e •uiw sl!eH •6u!yseg apinwd 'asnoq of Bel :pajinbai i!wjad aiejedsS :SX03a 'jinS •isngwoo @u p!los u9 'slu!of uea!o '6u!6jed yloowS qs!u! j - jagwe40 ejowS - 6u!loo j le suoplaadsul •paimbei i!wjad alejedaS :S30` 1d3MH 96ejols jol pasn;! sj!els japun opooaji j •sluan 96pu pannbei pue }tilos 'duan jadoid, - saoeds ogle luau •joop jo nnopuinn ssai6e s zxoZ •u!w paiinbei swowpoe •algeuedo eq pet's 6ulzel6 pannbai jo V, -ease joog jo %8 of lenba IgB!l leinieN :aneH isnw wood algellqeH Nana jo alnpagoS mopu!M sanois T saoeidaig aouejeap .0, 10 awed pooh a/S apooaJ! j •(ig}os ul lou) aouaixo of lonp lelaw aneq of suet isnegxa 43e8 .(vzxn •u!w) •ss000e coeds lnnej0 •(anoge wowpeoq .e/M OMZ 'uIw) scoot' o!lly sweaq japun 'sAemmels - seouejeolo wowpeaq �oa40 -Ole sweae/sJapeaH jol poddns 6uijeaq p!loS •sessnil s,1A1/sweee jol pai!nbei •suo!lelnoleo peggiso •spue le 6u!oejq lejaiel •slo food uoilepunol ui sep!s le aoeds ne n 51, suo!lepunol le 6uijeeq aleld laols jo Noijq p!los - sinO •leas II!s/M (ld 0 9XZ-Z saield II!S •sl!eu j96ueq /nn pal!eu AlIn; - sia6ueq is!or •itoddns leaq pue sino plem - sia6uijls nelS •aleld of oil vsdil0 aueo!jmH. asn pue suoipeuuoo jadwd ap!nwd siallei low lejpayle0 •suoiloauuoo jadwd apinwd - d!H ig eBp!H •spell le 6uiJeaq goiem - sio4ei AelleA pue d!H •sino jellei le 6uueaq lin; apinoid of a6pu oziS •suoil!lied 6u!jeaq jalueo pue sisum ooejgpu!M •sra6uuls i!els le speM -ole 'oala Teat' '6uigwnld jol suogeAauad is!of joog uaannleq s9le!d/siJ!6 fano - �oolgan j :3VyV8d -uoiioauuoo lalino pue janoopollg ougeyauols/odld - uieap uoilepunoj 6ugowdwed sdejis jo siloq jogouy paiinbai se jegaa :NOI1daNnoj suwnloo jo!jalui jol s6uilool dijis snonuiluo0 AemA9>j qxZ Iln j snonu!luo0 :SJNIlOOJ •leulj 'uollelnsul 'awej j 'uoilepuno j '6uilooj ' uoiieneox3 (wnw!uggl) :SNO1103dSNl suo!ioodsui ou JoINO AdO0) lIVOEd CINb 'SS32idad 'SN39vynN 1011Td 1SOd MO139 SW311 01 a311W11 lON -1SI1X03H0/S31ON JNIdllns l"3N3J TOWN OF NORTH ANDOVER BUILDING DEPARTMEN'OWROL APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING s Section for Official Use Onl BUILDING PERMIT NUMBER: Z "T. DfR=l e-� DATE ISSUED: SIGNATURE: �� S 74 fiulldln (ommiSSioner/Inspector of Buildings Date SE .. 1.1 Property Address: 1.2 Assessors Map and Parcel Number j oo Aw poVet2 �7- 9-S V Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zonin District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Sapp-ty M.G.L.C.40. 54) 1.5. Flood Zone Information: Zone Outside Flood Zone ❑ 1.8 Sewerage D*msal System: / Municipal Public @ Private ❑ On Site Disposal System @ �"�i=E;:,—,s?s.._.s '+v.�-"'G .�+'.r ..3 e�. '�i, t�:� - ..'w` .".y�:. �'��-'."'„'�; x"�,�++. �h- -.r• 2.1 Owner of Record IeVU,. l D Name (Print) Signature 2.2 Authorized Agent too A(\(cXWFil:2- %Y -1PA55 Address for Service 691�� Telephone Mr5 �IYli n�EnFit2o5 'Leo Svr�a�(�_ Auy A-t-jv14yCit �---�^ Address for Service: 3.1 Licensed Construction Supervisor Awpgew C. hPn6� - Address Li ed struction Supervisor: C�7532-- 3.2 Registered Home Improvement Contractor Company Name Address Signature Telephone Not Applicable ❑ License Number c9, Z -'J -o 2. Expiration Date Not Applicable ❑ Registration Number Expiration Date 81 Location /00 No. c Date /;,/A, _.;�r l TOWN OF NORTH ANDOVER Check # a Sita t C -v G� 9 ' 7 l Building1rispector Certificate of Occupancy $ s',•°' E<� AcmUS Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # a Sita t C -v G� 9 ' 7 l Building1rispector i _ 2 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 ....... ❑ sl�criorl s 1Q>r;d�ar� > > rsrr rrs ucr�carr sic cvtc s l�v>�: res Algin SMU, 'J 3R s s .art CO tt1► T C13I 11R( L P 41�NT TCD ?8� € R I16 (+�tl�l Ail�t + Mfi 'THAN 1 GF, O1 C B S AC1�j 5.1 Registered Architect: Name: SS —O -e Address • t.254- 7 C.61 O f3 S Signatur Te hone �.2 R c�eti ►fit, �ae�� `` Area of Responsibility Name: Registration Number Address: `/ X l �3) 5124 Expiration Date Signature To Not applicable ❑ Name: Registration Number Expiration Date Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone i Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 40-0, r Com 'y Name: t Not Applicable ❑ Re nsible in Charge of Construction �/� �4ALJI[6Ii[OEq��jy 4�✓O(0,f3q�� BOARD OF BUILDING REGULATIONS „e License: CONSTRUCTION SUPERVISOR Number: CS 055435 i y Birthdate: 09/23/1965 Expires: 09/23/2002 Tr. no: 828 i Restricted To: 00 ANDREW C MATSES i 200 SUTTON ST (! N ANDOVER, MA 01845 Administrator i r CONSTRUCTION CONTROL AFFIDAVIT TOWN OF NORTH ANDOVER PROJECT NUMBER: _ DATE: 5-q-0 I PROJECT TITLE: 1)r--V,ral.FE F IT- U(� PROJECT LOCATION: A Noovi rA NAME OF BUILDING: NATURE OF PROJECT: _tact (i i — vim IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUILDING CODE, I, CHARLES H. GOLDSTEIN REGISTRATION NO. 2547 BEING A REGISTERED PROFESSIONAL ENGINEER HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS, AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION ELECTRICAL OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING AND ARCHITECTURAL PRACTICES AND ALL APPLICABLE LAWS FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT; AND SHALL BE RESPONSIBLE FOR ALL ITEMS SPECIFIED IN SECTION 780 CMR 116, 6T" EDITION OF THE MASSACHUSETTS STATE BUILDING CODE. OE ORIGINAL SIGNATURE & SEAL DATE SUBSCRIBED AND SWORN TO BEFORE ME THIS / t1 DAY OF fi(a-L/ 200/ (NOTARY PUBLIC) MY COMMISSION EXPIRES /� -7O 6).5_ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print Name Location: Oeo J S7- - City A a • ,4��Y6C, /. %% -- Phone # Y -7,P - 6-•- 7 " 75�� L- e I in'a homeowner perfdrming all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing worrk'ere compensation for my employees - on this job. 51 r`_mmnanv name f�i a5. Address /U 9 Cd r �v y J Cites (% I12 «y �/! �5.� �r z� U Phone # Inst ranra f n S�%V r 2^�rS. - Policv # (A10— Doo ` `f 7 Company name: Address City Phone #: 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 $1,500 and/or one years' irnprisonment.as welLas_cival.penakiesinfhefa m of-aS79P..W-ORK ORDER.and..afine cf .$]Qo.�)-aAay.sgwristme_ I understand that a cow of this statement may be forwarded to the office of Investigations of the DIA for coverage verification. 1 do hereby ce416Aer thepains and penalties of perjury that the information provided above is true and correct. S~-rf--C'1 Print name C Phone # % 7d - S - 7 J'7 2.. Official use only do not write in this area to be completed by city or town official City or Town PermitiLicensino 0 Building Dept []Check if immediate response is required 0 Licensing Board ❑ Selectman's Office Contact person: Phone A 13 Health Department ❑ Other i Town of North Andover NaRr t1 SLPO 16 Building Department o� y ' y, oL 27 Charles Street -V North Andover, Massachusetts 01845 i 978 688-9545 Fax 978 688-9542 0�� '!s °q�reo rPa•t9 �SSACNUS�� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and.a condition of Building permit# jQ_V_9S the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in /at: 1115Iuuul c v1 tILIJIMUdIlC Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. CD x m U) 0 m C W lo o =r --I n s �i ocr y = -^^ .m = Nm0 m n _v Hc7an m P ? m nod �_ CO)m ti O c g Wim' c _ ul P.O. > >mti• m d 0 m o o y C.) '' Oyu n a O ) CD O :� a d C� Cn C CD CD co c CZ= y c H' y� 0 n crN Cl cu ^^V J Oi 3 C v 0 ►+.1 N CD _ illy ^, y O > CL CD o 3 c=r o C 0 0 0. i 0 n m o Z cca CO)' Z 0 aoy �z moi =m f a� I CO)CD XF o:CD 0 � -►c :b Co a r I o � CD w s m �q cn 9 c �? 7y O G r G �.n rt CD x O rZI .0 b CM tz O 9 04 y y 0 0 c M.C. ANDREWS CO. INC. GENERAL CONTRACTOR- CONSTRUCTION MANAGEMENT - DESIGN/BUILD TRANSMITTAL LETTER Date: + Joo:,- �} qq To: c ,ff ct�— Trade Contractor. CP-"�VE ARE SENDING HEREWITH (:;. G ❑ AVE ARE RETURNING HEREWITH ❑ FOR APPROVAL ❑ FOR FIELD USE ❑ FOR REVISED APPROVAL ❑ FOR YOUR FILES ❑ APPROVED ❑ FOR PROGRESS -ORDERING ❑ APPROVED AS NOTED MANUFACTURING ❑ RESUBMIT FOR APPROVAL ❑ AS PER YOUR REQUEST ❑ RESUBMISSION NOT REQUIRED THE FOLLOWING (DraWings - Specifications - Schedules): Z COPIES Co d. bvc. 4- A(. a� A REMARKS: VERY TRULY YOURS, M.C. ANTRE WS CO., INC. 200 Sutton Street North Andover, Massachusetts 01845 - Tel: (978) 557-7532 - -a (973) 635-2357 C/) m m C/) 0 m C = �� p d -4 n S aogm = y »m0 m mc�cCl m p Z �o H o H. m ? m nm 0P -v y CO) -� �� > oCD mCA t = C d O nO oHIs) y W = '� =r CA 1 W n Z H p r a = �,m CD o CCO m n� O ? CCL CD CO) c a o I:P acrs dIt ye.: CL C co H m . _ � co) ie /r^^ m cr i dH 3 —CD � FW CO :n co o �O ID OD OD � Z m o � � Z Co ti• 0 a CD CO) �+ co) CD CDam C3 ' n3 I y O ®o O W . a r N V 1 m z 0 • Y 0 a y 0 0 c 7 7 0 t7l O ? O O a CJy z 0 • Y 0 a y 0 0 c M.C. ANDREWS Co. INC. GENERAL CONTRACTOR -CONSTRUCTION MANAGEMENT - DESIGN/BUILD TRANSMITTAL LETTER Date: S _C( ^ b i Toro VE ARE SENDING HERE«`gTH -�PIX FOR APPROVAL ❑ FOR REVISED APPROVAL ❑ APPROVED Job: Architect:i1{-`s-zG,�' Trade Contractor. ❑ WE ARE RETURNING HEREWITH ❑ APPROVED AS NOTED ❑ RESUBMIT FOR APPROVAL ❑ RESUBMISSION NOT REQUIRED THE FOLLOWING (DraNNings - Specifications - Schedules): Z COPIES niZwG. AL c7 J ❑ FOR FIELD USE ❑ FOR YOUR FILES ❑ FOR PROGRESS -ORDERING MANUFACTURING ❑ AS PER YOUR REQUEST REMARKS: f i C Yum s /�,�, 5 -�T y�.► �� ew �- t j12 A-Ky VERY TRULY YOURS, / a M.C. ANDREWS CO., INC. 200 Sutton Street North Andover, NWsachusetts 01845 -Tel: (978) 557-7532 - i=a,N; (978) 685-2357 FORM - U - LOT RELEASE FORM . s�d5r,�ruflz INSTRUCTIONS: This form is used to verify that all -necessary approval /permits from Boards and Departments having jurisdiction have been obtained. This. does not relieve the applicant and or landowner from compliance with any applicable requirements. �.■rrr■■■..rr■■rrrr■■rr■rrr..rr.rrrrrr■■■■■rrrrr■rr■■■■.rrrrr■rr■■.rrrr.r.r• APPLICANT ► (� C. , PHONE(q? 8)GS7 i ASSESSORS MAP NUMBER LOT NUMBER 22 SUBDMSION LOT NUMBER STREET 100 A491u,✓e - � � STREET NUMBER �.rrr.r.■■.■■ ....■.rr■rrr ■rrrr... rr.■r�rrrr■...rrrrr urrrrrr■■rr■■.■■■..■■ OFFICIAL USE ONLY .............................. armemo monsoons was owns ■.r■■. RECoNDAENDATIONS OF TOWN AGENTS �rr■rrr■rrr■rrrrr...■..■..■...■■..r.■■■■ r.rrrrrarms.Ins ■rr..rr'r■■r■rrrrrrrrr SEPTIC INSPECTOR - HEALTH COMIviENIS PUBLIC WORKS - SEWER / WATER CONNECTIONS AY �• NPIAPME.191fid � DATE APPROVED DATE REJECTED "Y e / DATE APPROVED DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATES D I x S�fL�K 11.5 �7�� DATE APPROVED CONSER VAnON ADMINISTRATOR DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED DATE REJECTED FOOD INSPECTOR - HEALTH SEPTIC INSPECTOR - HEALTH COMIviENIS PUBLIC WORKS - SEWER / WATER CONNECTIONS AY �• NPIAPME.191fid � DATE APPROVED DATE REJECTED "Y e / DATE APPROVED DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATES D I x S�fL�K 11.5 �7�� r ORM u LO i XELEA6E r OxTvl INSTRUCTIONS: This form is used to verify that all -necessary approval / permits from Boards and Departrnents having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. ..■..............r.r............■....■.■r....■r...... r..........rrr........■ APPLICANT t�,c C . ' PHONEO? 155? — -7 S 3'2-- ASSESSORS 2ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER STREET 100 A4W3\ibf— I" j STREET NUMBER �...rrrrrrr..lose. r... r.rr.■means ....r...r.........■■.■■r.■rrrr.r 0.. r.■....■ OFFICL4L USE ONLY ...r■..r.■.....r.................■rr...r..■....■r... r.... ■...... r■..■....■.■. RECOMA ENDATIONS OF TOWN AGENTS err■...■..■■■.....■r.■.....■.■■.....■............................■■......... DATE APPROVED CONSERVATION ADMINISTRATOR DATE REJECTED CONflAEN"IS DATE APPROVED TOWN PLANNER DATE REJECTED CONQVENTS FOOD INSPECTOR -'HEALTH SEPTIC INSPECTOR - HEALTH COMMENTS, PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT i�FIRE DEPARTMENT DATE APPROVED DATE REJECTED _ DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE 0 05/18/01 14:54 '09786852357 CHARLES CONSTR. 1&002/002 FROM : McCabe Associates FAX NO. : 60-893-6316 May. 18 2081 02:25PM P2 WVAC SANITARY MOOABE ASSOCIATES Consulting Engineers ELECTRICAL 16 ERMER ROAD, SUITE 294, SALEM, NH 03079 • Tel: (603) 893-5224 • F vc (603) 893.6318 FlAE PROtECT1pN May 18, 2G)l Town of North Andover Building Department RE: NWolfe Companies Execulivo Quartet Andover By-pass No. Andover, MA First floor tenant fit up In accordance with article 116 of the Massachusetts state Buildv g Code. I Ronald David McCabe, Massachusetts registration rzo. 24547. Being a Register =d Professional Engineer hereby certify that I have prepared all design plans, computations and sF reifications concerning mechanics(, fire protection and electrical for the above minced pr -jeck Yours Truly Ronald D. McCabc, P.E. ,.1d OF ��° ROnNLO Z_ DAVID in 9 Ro, 24541 _ `° New Construction ❑ Existing Building Vr Repair(s) 0 Alterations(s) Addition ❑ Accessory Bldg. ❑ - Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: r r- V Z t-�Tt-x o ►2 1�-t� a-►� i' T= + A-2 ❑ A-3 A-5 0 ❑ IA 1B USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A4 ❑ A-2 ❑ A-3 A-5 0 ❑ IA 1B ❑ ❑ B Business 2A 2B 2C 0 ❑ ❑ C Educational ❑ F Factory. 0 F-1 ❑ F-2 0 H High Hazard ❑ 3A 3B 0 0 IInstitutional 0 I -I ❑ I-2 ❑ I-3 ❑ M Mercantile ❑ 4 ❑ R residential ❑ R -I ❑ R-2 ❑ R-3 ❑ 5A 5B ❑ ❑ S Storage 0 S-1 0 S-2 0 U Utility 0 M Mixed Use ❑ S Special Use 0 Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, AMMONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floors qp Total Areas ( ooe Total Height ft o I, 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 pains and penalties of perjury n e Si e f Owner/Agent Date Item Estimated Cost (Dollars) to be Completed by permit applicant 1. Building c l S Oct (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Jo Construction from (6) 3 Plumbing -2;7 ®� O Building Permit fee (•) X (b) a� 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) t So Check Number ooc% 'ip NO. OF STORIES S17 -E BASEMENT OR SLAB SIZE OF FLOOR TIlVIBERS l sT 2ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS DIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL, GAS LINE Cl) m Cf) 0 m v H .O C � d ca Cl) !7 Z CO) CCD O a r- � � c = N) O C.) O CD CDCL O c� =r •C d CD CD o 00 w C O y I CD ELO co) cc CD r v 1 11 1 - rD rb o �o _ G o r n aoo G S "d G G a dj o' o ' � n O o 0 ,J lu 0 c CDol GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS, ADDRESS, AND PERMIT (COPY 0K)..or no inspections INSPECTIONS: (Minimum) Excavation, Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain - pipelstone/fabric filter/cover and outlet connection. FRAME: Fireblock - over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters - watch bearing at walls. Ridge & Hip - Provide proper connections. Cathedral roof rafters provide proper connections and use "Hurricane Clips" tie to plate. Stair stringers - watch cuts and heal support. Joist hangers - fully nailed w/ hanger nails. Sill plates 2-2X6 (1 PT) w/sill seal. Girts - solid brick or steel plate bearing at foundations %' air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances - stairways, under beams Attic Access. (min. 22x30 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior (not in soffit). Firecode S/R wood frame of "0" clearance fireplaces & stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8% of floor area. '/ of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces - "proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing - Smoke Chamber - Finish Smooth parging, clean joints, 8" solid @ combust. Surf. DECKS: Separate permit required: Lag to house, provide flashing. Rails min. 36 " high, Baluster max space 5" on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re -inspection fee - $25.00 (Be Ready). Certificate of occupancy required prior to occupying structure. CO 7) C m U) 0 m v y d C � d "o O C7 z y CLO �. r O C. :q. y O 0 CD CD O CL cr CD cc co w 00 �. C CD y CD n0 co) C to CDC E O f10 :5 c 0.0 d _ O -• CIO <Q y EL m y o o EL m C2 0 CD c �ig o � m o T A , m a Err -4p IF a '03 tOA C y O ...r'O '--I �' o imm: o 33- a a C)oS O G y n O O G ? CO) .�—+ r a 1 %ATI to 0 rgL '1 my�m 'mom OO = H Z y o CL Q . V C y ' -CCD lC`•' I N y 7 '�J h m m C N :-0ol� co C! O 3�0 ;o A z A CODs h J C° -► V m: CD Cl) H ca r :a � cn w :v � r" �' �`� r c')� Chi ° O n y x O `, o N 2% H 0 0 c GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS, ADDRESS, AND PERMIT (COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation, Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain - pipe/stone/fabric filter/cover and outlet connection. FRAME: Fireblock - over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters - watch bearing at walls. Ridge & Hip - Provide proper connections. Cathedral roof rafters provide proper connections and use "Hurricane Clips" tie to plate. Stair stringers - watch cuts and heal support. Joist hangers - fully nailed w/ hanger nails. Sill plates 2-2X6 (1 PT) w/sill seal. Girts - solid brick or steel plate bearing at foundations '/ " air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances - stairways, under beams Attic Access. (min. 22x30 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior (not in soffit). Firecode S/R wood frame of "0" clearance fireplaces & stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8% of floor area. '/� of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces - "proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing - Smoke Chamber - Finish Smooth parging, clean joints, 8" solid @ combust. Surf. DECKS: Separate permit required: Lag to house, provide flashing. Rails min. 36 " high, Baluster max space 5" on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re -inspection fee - $25.00 (Be Ready). Certificate of occupancy required prior to occupying structure. 4, ro N ro 0 H 06 70- LU W OWNER ❑ Architects Field Report ARCHITECT ❑ CONSULTANT ❑ A/A DOCUMENT G711 FIELD ❑ PROJECT: LSxeCutive Quarters Office Building FIELD REPORT NO: 22 North Andover MA ARCHITECT'S PROJECT NO: 90616 DATE 01/31/01 TIME 11:30 AM WEATHER overcast TEMP. RANGE 40 deg F EST. % OF COMPLETION CONFORMANCE WITH SCHEDULE (+, —) WORK IN PROGRESS PRESENT AT SITE 1. installation of back-up framing around curtainwall at front 2. HVAC miscl, items and checking 3. installation of plumbing at toilet rooms 4. electrical roughing for elevator 5. GWB installation at third floor stair #1 and adjacent corridors OBSERVATIONS 01. transformed pad complete with containment area, bollards and liner 02. all stairs complete, pans filled, but no rails yet (temp rails on some fleights) 03. stair well enclosing walls framed, some blocking installed for rails 04. fire retardant wood blocking installed at all toilet rooms and door openings 05. first floor front lobby framed and GWB installed 06. all GWB complete on third floor tenant area 07. elevator platform installed 08, electrical panels in place and all conduits connected 09. vents to boilers connected, HWH installed and connected 10. shaft at rear of stair #2 complete 11. all insulation at exterior walls blown in (complete) 12. stair shaft walls insulated at third floor INFORMATION OR ACTION REQUIRED ATTACHMENTS 36 Fssex Road, Ipswich, Massachusetts 01938 - 2532 telephone: (978) 3565065 facsimile: (978) 3569171 AIA DOCUMENT G711 • ARCHITECT'S FIELD REPORT • OCTOBER 1972 EDITION • AIAOO © 1972 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006 WOW,-, i��T d., � r 1 � ♦1 � 1 - . .. � ♦1 � OWNER ❑ Architect's Field Report ARCHITECT ❑ CONSULTANT ❑ AIA DOCUMENT G711 FIELD ❑ PROJECT: Executive Quarters Office Building FIELD REPORT NO: 23 North Andover MA ARCHITECT'S PROJECT NO: 90616 i DATE 02/14/01 TIME 11:50 AM WEATHER overcast TEMP. RANGE 40 deg F EST. % OF COMPLETION CONFORMANCE WITH SCHEDULE (+, —) WORK IN PROGRESS PRESENT AT SITE OBSERVATIONS 1. installation of panels at front parapet 2. grouting at elevator door sill, doors just set 3. electrical wiring at main panels 4. skim coat plaster application at third floor tenant area 5. installation of sheet metal boiler vents through roof 1. GWB installed at all exterior walls 2. front and elevator lobbies GWB and blocking at walls and ceilings complete 3. most GWB at stairs complete, some fire stopping missing at chases etc. 4. no front wall at elevator shaft yet 5. center rails at stairs installed, wall rails stocked on site 6. front curtainwall in place, fake (circular) mullions applied to glass 7. electrical main panels, switches etc. connected (waiting for transformer to power -up) C E D FEB 1 6 I BUILDING DEPT INFORMATION OR ACTION REQUIRED I I ATTACHMENTS 11*04 � 36 Essex Road, Ipswich, Massachusetts 01938 - 2532 telephone: (978) 356 5065 facsimile: (978) 356 9171 AIA DOCUMENT G711 • ARCHITECT'S FIELD REPORT • OCTOBER 1972 EDITION AIAOO © 1972 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006 ` TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING „x ,N This Section for ofriciai Use Onl BUILDING PERNU T NUMBER: DATE ISSUED: o ^ I Vn_e.� SIGNATURE: Buildin Colnmissioner/I or of Buildin Date SE _ ` 1.1 Property Address: 1.2 Assessors Map and Parcel Number: /do Avory aZ�P/S 2� 79 wo�8ys' Map Numb Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Tod. /-'5'- Zonin District Proposed Use Lot Areas Frontage ft 1.6 WELDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required Provided RegWred Provided Sb &3 50 70 6_67 IoCA- 1.7 Water S M.G.L.C.40. § 54) 1.5. Flood Zone Information: Sewerage Disposal System: Zone Outside Flood Zone On Site Disposal System ❑ Public Private ❑ 2.1 Owner of Record �X�vC' Name (Print) Address for Service: !f� Signature Telephone 2.2 Authorized Agent /fel/Gfz2 /j1c'�C�rZ�s �3/ S�i7;.si- Name Print Address for Service: z4vg��,,-, Signature Telephone .y �. d :$�':t� 3.1 l/,ticensed Construction Supervisor Not Applicable Address License Number Licensed Construction Supervisor: Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor _ Not Applicable Company Name "' Registration Number Address r. Lb, Expiration Date Signature Te hone BUILDING D E P 1. - M X ic -4 Z O v M . ` W QJ O M X Z z M 90 O In ic r v M r r z^ Y/ Location No. �; 9 Date pRT- TOWN OF NORTH ANDOVER y Certificate of Occupancy $ E< Building/Frame Permit Fee $ s�CHO Foundation Permit Fee $ Other Permit Fee $ TOTAL $ '/- Check # r� ' r 11 Building Inspector 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....... ❑ SEC1'fOP1 S; PRO ISI t , iyESIONV 6 C(?ATS RtiC! IO SER�iL'L5 ClR ;B %I d S Alm STR 7€ TR S SIIB T 1' , CONSTFRUCTJON C� TO 780""'116,( Oil tAiN tNO MO)F 33,0419 1f+K OF cif 5.111 Registered Architect: Wowez za/y — wr Name: Ol -?"Z Address 979-3- Signature Telephone 3.2 Regis4+ered.�'raffeas�»i �� rt Area ofRespo ibility ��G'u�7 Name: �! - /� �� • �•�/� ��• a, V / Registration Number Address:' -2� 7 !� �j (� C!'� < 3 �� 1 Expiration Date - n ,/� Signature Total / +' S Aj�� G�>//N(f5��t� Not applicable ❑ !� Name: 24 1—* hw/(-Ulc# 1W a26 7'5— Registration Number � �� Address svd'--�30 mod Expirati n t� Signature Telephone Area of Responsibility Name Registration Number Address 7JI-�'3 w ,# Ex iration Date Signature Telephone Area of Responsibility Name �Z �"d'f�liG� S�.Z ��,,� a2��d Registration umber Address ? ; Expir tion Date Signature Telephone r-1) c r Not Applicable ❑ Company Nam/-�� Responsible in Charge of Construction _ FORM - U - LOT RELEASE FORM �: tik) INSTRUCTIONS: This form is used to verify that all -necessary approval /permits from Boards .and Departments having jurisdiction have been obtained. ?his does not relieve the applicant and or landowner from compliance with any applicable requirements. ...................'.�.,_T1_....................................................... APPLICANT �`F �' C v , tv-e QA PHONE e-68 9` S3 01D ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION '— LOT NUMBER STREET f F �1 J -e (� Q `I PSTREETNUMBER, �00 OFFICIAL USE ONLY sumommomomenDowns mmmmmmmmmmmsm'mmmmms@musmmmm■ ........................summa.■ REcoNo iENDATIONS OF TOWN AGENTS DATE APPROVED CONSERVATION ADNffN'1STRATOR DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR -HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED CONAIEENTS PUBLIC WORKS - SEWER I WATER CONNECTIONS O l DATE APPROVED DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE b -VA -H INSURANCE C O M P A N Y Policy Number WC 0125568 vvuir'vlb "111pciwatWn aria Employers Liability Insurance Policy Information Page 26600 Telegraph Road Southfield, Michigan 48034-2438 Renewal of Policy Period Agency NEW 09/03/2000 TO 09/03/2001 0000750 item Named Insured and Address Agent 1. MESITI DEVELOPMENT CORPORATION CO. RENAISSANCE INSURANCE AGENCY ATTN: TONY MESITI 981 WORCESTER STREET 231 SUTTON ST., STE. 2FWELLESLEY, MA 02482 N. ANDOVER, MA 01845 IM -3, - r( -)O\" FED ID Number: 02-0472819 NCCI Carrier Code No.: 24562 Risk ID No.: 280253235 Other workplaces not shown above: SEE ATTACHED SCHEDULE Entity: CORPORATION 2. Policy Period: 09/03/00 to 09/03/01 12:01 am standard time at the insured's mailing address. 3A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation law and any Occupational disease law of each of the states listed here: MA, NH 3B. Employers Liability Insurance: Part Two of the policy applies to Employers Liability Insurance for work in each State listed in Item 3A. The Limits of Liability are: Bodily Injury by Accident $100,000. Each Accident Bodily Injury by Disease $500,000. Policy Limit Bodily Injury by Disease $100,000. Each Employee 3C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: All states except ND, OH, WA, WV, WY and states designated in item 3A of the Information Page. 3D. This policy includes these endorsements and schedules: SEE ATTACHED SCHEDULE 4. The premium for this policy will be determined by our Manual of Rules, Classifications, Rates And Rating Plans. All Information below is subject to verification and change by audit. Adjustment of premium shall be made at: Classification of Operations: See attached schedule Minimum Premium: $750.00 Expense Constant: $214.00 Deposit Premium: $4,262.00 Total Estimated Annual Premium: $13,571.00 Countersigned 1 , By DATE Authorized Agent This Information Page with the Workers Compensation and Employers Liability Insurance Policy and E dorsarnv„ts, any, issued to „ a pa. i :hereof, compietes the above number policy. Date of Issue: 10/13/00/DET/REN. Policy Issuing Office: SOUTHFIELD, MI WC 00 00 01 (12/98) C/) m m m 0 y CD az CD O CL d C = CL >co .o O � CL c� CD O _ CO2 10 CD O O Cos i O C y m n CD O CD 3, CA CD CO) 0 CCD co C/) 0 cn °r (/J� �'tom" ",d OO nz w' d ro ro -P r n ,':0 - T G CL ClJ W"t7 fDo n O °� :Jr �/ �J Q,wm V/ v I IMl H 0 A) W3.100'.- M-- New Construction [I Existing Building 0 Repair(s) 0 USE GROUP (Check as applicable) Alterations(s)Addition U Accessory Bldg. U Demolition -0 Other -r Specify A-2 A-5 Brief Description of Proposed Work: AftTYOIC %o4iZ7166r /3 So 5"=- 4/0 0 0 /U0 -ke" BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floors ?eMIMe- Wlea Total Area (so Total Height (ft) '4'& 6 1 rf— Independent Structural Engineering Structural peer Review ReTured Yes 0 No SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work athorized this building permit application 'y Signature of Date USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly LJ A-1 0 AA 11 A-2 A-5 0 A-3 0 0 1A 113 0 0 li -ke" 2A 2B 2C 0 0 r 0F -I ❑0 F-2 ❑0 it w-ard ........ . jo-11h, 11 -----,-,--❑ El 3A 313 0 1 las)itutional 0 1-1 - 0 1-2 0 1-3 11 Li , 4 0 El R -I [I R-2 11 R-3 0 5A 513 0 0 S Storage 0 S-1 0 S-2 11 U utility L E E Specify: M Mixed Use Specify: S Special Use Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CUR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floors ?eMIMe- Wlea Total Area (so Total Height (ft) '4'& 6 1 rf— Independent Structural Engineering Structural peer Review ReTured Yes 0 No SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work athorized this building permit application 'y Signature of Date p 36 7 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 pains and penalties of perjury Print Name Signature of Owner/Agent D e Item Estimated Cost (Dollars)to be pr Completed by permit applicant F 1. Building ,�} (a) Building Permit Fee Z3 0V / Multiplier 2 Electrical (b) Estimated Total Cost of Construction from (6) 3 Plumbing �o D Building Permit fee (_) a (b) 4 Mechanical (HVAC) 3 5 Fire Protection 6 Total (1+2+3+4+5) 3//33 Check Number 7 �_tl1P. ��{> }� Y SJ:) i2 Zt� � .tiu' n t�7 $, t x33 �f �N•: � �Y f 4 4�L�,.Y Y S� C {N' ... 9�1Y! y.'i � '�y} -:% ^�& f .�a#"f�� ht` r� Jy I �.k '*t'p1y i � Z. t'. 2. �'1 ffi_. S� dt.. •fi �,�`1 x„5. � �,. i `�' ��Yp ir 5":17 6t1 � ViF r- mj yY� .sp-: �+,+ 4-�� :�l� � A � $ a yoS -< E `§ >1'-'Yy) � f � t �``,"r, l.:r •+ q7 i�� t ,: .r 5 m',.3 ;�' M1 nU r � ?� <<, h NO. OF STORIES SIZE jao ) BASEMENT OR SLAB GG� SIZE OF FLOOR TU BERS /lJ 1 2 ° 3KD SPAN Z/7(; f 20 DEMENSIONS OF SILLS /L DEMENSIONS OF POSTS k)lZ 6' DIMENSIONS OF GIRDERS / p� x�r. HEIGHT OF FOUNDATION (! (e THICKNESS G SIZE OF FOOTING �� X �2 Z MATERIAL OF CHRVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ` ' ., �.� ....}� i. . ��-, s # ,�sr.� *� a. �� _. 5...� ,% F•, y,� nF�.. i�.2�*L "rYY I.:� �. 5-,_ f� d � f TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING fhis Section for Official Use Ont 4 r �to."I BUILDING PERNUT NUMBER: (Q (� DATE ISSUED: � a 00 / SIGNATURE. Buildia,& Commissionedi or of Btfildings Date 1.1 Property Address: 1.2 Assessors Map and Parcel Number: MI A vpaa ��6 IZIIS'- 79 ,4/04W*4 A� O/ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Arm Fronts ft 1.6 BURDW.G SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided ser 63 6-0 V 1!O 1.7 Water PamWly M.G.I..C.40. 1.5. Flood Zane Information: 54) Sewerage Disposal System: Public Private 0 Zone Octside Flood Zane .$ Munic' On Site Disposal System ❑ 2.1 Owner of Record Name (Print) Address for Service r 978-4 1---s3cz 7, Signature Telephone 2.2 Authorized Agent /�l/�rf� 23/ SW17.4"S� S�,?F A/�PAC .AW Name Print Address for Service: O 91-7g-11;g7-5,?ao Signature Telephone 3.1 Licensed Construction Supervisor Not Applicable Address License Number Licensed Construction Supervisor: Expiration Date Signature Telephone f 3.2 Registered Home Improvement ContractorE of Applicable CEOME Company Name egistration Number Address iration Date Signature Telep one1LDING WE T M X 0 u I �; 1 I 0 M X z 0 m 90 0 r v M r r Z ^ Q Location No. U-1., -1- Date, « Zr' ,t NaRTh TOWN OF NORTH ANDOVER 0'tt�•° .•'�hO 9 41 y Certificate Occupancy $ of �'�s'"'•°''t�' s�►eusE c Building/Frame /Frame Permit Fee $ r 9 Foundation Permit Fee -$ Other Permit Fee $ r TOTAL $1 Check #` 5 5 -7 Building Inspector a SECTION 4IDI±T 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. Si ned affidavit Attached Yea ...... No ....... ❑ SEMOPt:5 PRO IOI f1 SI +1 C AiST7�UGTI4N RViiC S FES�3�iiLU O&AMI�i1 5 # +I3 C;ON5TS11iCfION G'QAiTRUL 11'i3RJA TO 7�R Ilei (+�Ol'A`1NIl�� 4I0�'I�ND 358 GF O�`El•1C-1?SED 5.1 Registered Architect: Dr VKU�' Name: f) 3x�'�o� , Address Signature Telephone 5.2 Reis Eened Pr%ss3 „s, ;, Area of Re nsibiltty Name: / e X&e� Registration Number Address: Go3-�i3 -szaY --zy5/� . Expiration ate Signature Total � 7� Not applicable ❑ Name: Registration Number Z '73 7Z Address 1%D Signature Telephone Expiration Date �, A /b %. 6?144eg'�5�e/ � G'/G/L Area of Responsibility Name Registratio Number Address N d Expiration Date Signature Telephone .5.ZMWA &&GMSC/G/C. Area of Responsibility Name I Registration Number Address .� Expir ion Date Signature t Telephone i k / •��// �Y �(/V�—"I �� 4�i�NL � ib of i Y ' Company Nam Not Applicable ❑ 1 Responsible in Charge of Construction - - FORM - U - LOT RELEASE FORM a /04 Ple- INSTRUCTIONS: This form is used to verify that all -necessary approval / permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT�eC(L rs 8 9 9 a F 7PHONE ASSESSORS MAP NUMBER o2 LOT NUMBER . I SUBDIVISION LOTNUMBER r1 STREET N� ` �A STREET NUMBER ......................................................................moms. OFFICIAL USE ONLY lamossomm Mass 0 Monson wasommossmsms a MEMO a am amass was mamommom Emmaus momm 0 woman, a RECOMMENDATIONS OF TOWN AGENTS DATE APPROVED CONSERVATION ADIvIINMTRATOR DATE REJECTED CONfNfENTS DATE APPROVED TOWN PLANNER CONOAEE'NTS FOOD INSPECTOR - HEALTH SEPTIC INSPECTOR - HEALTH COMMENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS PERMIT FIRE COMMENTS RECEIVED BY BUILDING INSPECTOR DATE REJECTED DATE APPROVED DATE REJECTED _ DATE APPROVED DATE REJECTED B( DATE APPROVED DATE REJECTED STH I, N S'U RAN C E C O M P A N Y Policy Number WC 0125568 vvuirnCi UU1IIPulitiauon anu Employers Liability Insurance Policy Information Page 26600 Telegraph Road Southfield, Michigan 48034-2438 Renewal of Policy Period Agency NEW 09!03/2000 TO 09/03/2001 0000750 item namea insured and Address 1. MESITI DEVELOPMENT CORPORATION CO. ATTN: TONY MESITI 231 SUTTON ST., STE. 2F ' A �' N. ANDOVER, MA 01845 UR ED Cnov Agent RENAISSANCE INSURANCE AGENCY 981 WORCESTER STREET WELLESLEY, MA 02482 FED ID Number: 02-0472819 NCCI Carrier Code No.: 24562 Risk ID No.: 280253235 Other workplaces not shown above: SEE ATTACHED SCHEDULE Entity: CORPORATION 2. Policy Period: 09/03/00 to 09/03/01 12:01 am standard time at the insured's mailing address. 3A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation law and any Occupational disease law of each of the states listed here: MA, NH 3B. Employers Liability Insurance: Part Two of the policy applies to Employers Liability Insurance for work in each State listed in Item 3A. The Limits of Liability are: Bodily Injury by Accident $100,000. Each Accident Bodily Injury by Disease $500,000. Policy Limit Bodily Injury by Disease $100,000. Each Employee 3C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: All states except ND, OH, WA, WV, WY and states designated in item 3A of the Information Page. 3D. This policy includes these endorsements and schedules: SEE ATTACHED SCHEDULE 4. The premium for this policy will be determined by our Manual of Rules, Classifications, Rates And Rating Plans. All Information below is subject to verification and change by audit. Adjustment of premium shall be made at: • Classification of Operations: See attached schedule Minimum Premium: $750.00 Deposit Premium: $4,262.00 Countersigned DATE Expense Constant: $214.00 Total Estimated Annual Premium: $13,571.00 i By r Authorized Agent This Information Page with the Workers Compensation and Employers Liability Insurance Policy and Endorsements, if any, issued to form a part thereof, completes the above number policy. Date of Issue: 10/13/00/DET/REN. Policy Issuing Office: SOUTHFIELD, MI WC 00 00 01 (12/98) U) M m m U) V! 0 CO) Pz. O O d d CL a. co 0 v a� ./c CD O O to CD y 'O CD O 7 L—J y d O CA C. C W d n co 0 CD y CD CO) I � o gr normo .O CO) 11 � .0 m CD --o = ma y m T m tomo$ CA N • N Orco r , m = 7 m H m m 0� =0 O < N 0 G y C =r •�_► rm ti m a � . to 0 nac ,,..� v^ m m H C V, Cp 0 p C O CAM:� d� V = W : z ygr cr C —�c W c / m n1 co) CD :V . .co C2� O % S O . z a CD0: m. p m : CDH o m • W ym: CL :: 00: a=� 'on. F d � M � roIt r d (ng° n o y O O � E y 0 0 c 5 + t31 w fi '@f�£ '. [cheek all.at i c blel New Construction ❑ Existing Building ❑ Repair(s) ❑ USE GROUP Check as applicable) Alterations(s) [I Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other Specify G — Brief Description of Proposed Work: ❑ ]A 113 ❑ ❑ B Business 2A 2B 2C BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floors 00 Total Area s / 3 p Total Height (ft) /!G 1 -<- Independent Structural Engineering Structural Peer Review Required Yes ❑ No SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Owner of the subject property Hereby authorize A%/Gjl /y%�G�/�%S to act on My behalf, in all matters relative two work authorized by this building permit application n Signature of Owner Date 7 USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A4 ❑ A-2 A-5 ❑ A-3 ❑ ❑ ]A 113 ❑ ❑ B Business 2A 2B 2C ❑ ❑ ❑ C Educational F Factory ❑ F-1 ❑ F-2 ❑ H High Hazard ❑ 3A 3B, ❑ i I Institutional ❑ I-1 ❑ I-2 ❑ 1-3 ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A 5B ❑ ❑ S Storage ❑ S-1 ❑ S-2 ❑ U Utility M Mixed Use S Special Use ❑ ❑ ❑ Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floors 00 Total Area s / 3 p Total Height (ft) /!G 1 -<- Independent Structural Engineering Structural Peer Review Required Yes ❑ No SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Owner of the subject property Hereby authorize A%/Gjl /y%�G�/�%S to act on My behalf, in all matters relative two work authorized by this building permit application n Signature of Owner Date 7 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 pains and penalties of perjury Almo �i��. alZ�s Print Name O Signature of Owner/Agent to Item Estimated Cost (Dollars) to be �� tJtff Completed bypermit applicant 1. Building / 3-� %Sv (a) Building Permit Fee Multiplier 2 Electrical �v (b) Estimated Total Cost of Construction from (6) 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical (HVAC) t 5 Fire Protection 6 Total (1+2+3+4+5) /Z 78 Ste' Check Number F�,(.4'4S ��}� i rd �?� ��e .� �k+� �.��:§;� � �r��,'."-� �: r #�. ts��!��3..R -..i �-y.� �: •:.r ,,c�s,t,� �.�� Ff f,. �, � ?: NO. OF STORIES BASEMENT OR SLAB 5 / SIZE OF FLOOR TIMBERS N/�9 1sT 2 ° 3 RD SPAN " / -2O X oZ(% S%�s✓G7?�%�L �/!� DEMENSIONS OF SU -LS N A DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS /g X 17-1O AA006� HEIGHT OF FOUNDATION THICKNESS 41 �2 SIZE OF FOOTING �� X �2 MATERIAL OF CHW4EY + l/ IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE TR ,.M3s._ _ ..}" I N° 2 (' 6 9 Date ...��......y...:��'u/ z TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... .......... has permission to perform .......................... :.............................. wiring in the building of % ............... ............. at ....................................... .............4............. , North Andover, Mass. Fee�4.n ............ Lic. No .............. .......................�'..................................... ELECTRICAL INSPECTOR Check # `;) ;/`��J WHITE: Applicant CANARY: Building Dept. PINK: Treasurer r 1 r Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. G oL Occupancy and Fee Checked /Sa [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: T/-2 — p / City or Town of: /V. 41po yet', To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work d escribed below. Location (Street & Number) 10 ()N9n 1/Cl1\, RY %NF1; F Owner or Tenant 144O.il-rl PP,0 I&IMQ>✓-r r -%;Q1 I I Telephone No.g%S' %— Seo -0 Owner's Address Z?/ .5U3 itiiJ 4A . 111k(1-5' Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building ff Fl e e ' J3 t) 6 • 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: ud �i AG�TP(P n, Lt tike �.dln t�S 0—nlotinn nitho fnlln-i— tnhlo mnv ho wnivpd by tho In cnoctnr of Wirec No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures AboveIn- Swimming Pool rnd. [:]rnd. E]Batte o. o Emergency Lighting Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMSNo. of Zones No. of Switches No. of Gas Burners o. o and Initiating Devices D No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Dis osers Heat Pump I.Number Tons KW No. of Self -Contained p Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal EJ Other Connection No. of Dryers Heating Appliances K`,1t Security Systems: No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters I Signs Ballasts No. of Devices or Equivalent No. Hydromassageg: Bathtubs No. of Motors Total HP Telecommunications Winn No. of Devices or Eq uivalent OTHER: arracn aaamonai aerau g aesirea, or as requirea oy me inspector aj rrires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: 1 %At t?7l'J • f (When required by municipal policy.) Work to Start: V/ 3 d J Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties (perjury, that the information on this application is true and complete. FIRM NAME: 42 a AMVlyl P,4 % N -r C LIC. NO.: �X Licensee: Cke. 7' Signature"" ✓O • LIC. NO.: (If applicable, enter exempt" in the license number line.),��1-- Bus. Tel. No.• SOF` 2 -?a' 78�/ Address: A -A N CS'2G t" 4 Z Alt. Tel. No!'(Fm- z?o — 3 31 ?u OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ /7� Signature Telephone No. 04/02/2001 13:05 7818283134 ALLTOWN PAGE 01 THE POLICIES OF INSURANCE; LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, N0TWI7HSTAN01Ng ANY REQUIREMENT, TERRA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS FRAY CERTIFICATE MAY BE ISSUED OR PERTAIN, THE INSURANCEA=FORDED BY THE POLICIES DESCR BED HEREIN IS SUBJECT TO ALL THE TERMS, M(CWSIDNS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED 13Y PAID CLAIMS. FE VE �N LTR TYPE OF I $URANCE POLICY NUMBER _ajE EFFECTIVE LIMITS OEWRAL LIABILITY 063226558 03/12/2001 03/12/2002 EACHOCCURRENCE s i 000,0 00 x COMMERCIAL GENERAL L.IAB)UTY FIRE DAMAGE (Any one &.) $ 100, 0001 CLAIMS MADE X OCCUR MEb EXP (Any one person) f 10 ODO A PERSONAL d ADY IN,uRY 3 1,000,00( GENERAL AGGREGATE z 000,00 OEN'L AGGREGATE LIMIT APPLIES PER: PRCDJCTS - COMPIOP AGG S 2 000, O POLICY PRO' �F.CT LOC , Ab TOMOBiLEL1ABILITY DN5829111 09/23/2000 09/23/2001 COMBINED SINGLE LIMIT f ANY AUTO (Es &=hIvn:) ALL OWNED AUTO& x BODILY INJURY f 8 SCHEDULED AUTOS (per person} zSO OO X HIRED AUTOS X BODILY INJURY $ NONIOWNEDAUTOS (Perauident) 500,000 PROPERTY DAMAGE f (P1rM) 100,00 GARAGE LABILITY ALrr0ONLY -EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG f EXCESS LIABILITY EACft OCCURRENCE B OCCUR F CLAIMS MADE AGGREGATE S DEDUCTIBLE RETENTION II f WOR)CERSCOMPENSATIONAND 9765SO75 03/12/2001 03/12/2002 T rLIIT vlm- ER EMPLOYERS' WLBILITY E.L.EACHACCIDENT f 500,000 C E•LDISEME- EAEMPLOYE S S00,000 C.L. DISEASE - POLICY LLMIT f 500, OO _ OTHER 2011504677 63/12/2000 03/12/2001 D u� R7989TrsPECIAI PROVISIONS i�FORATIONS USUAL TO T ! NSURED PAXD 508-230 SITE: EXECUTIVE QUARTERS, 100 ANDERSON BYPASS, N. ANDOVER, MA 01845 16iF;KTiC1�:Alt KVWtK I IADDITIONAL INSURED; INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED DCPORE THE EXPIRATION DATE TMEREOF. THE ISSUINGCOMPANY WILL ENEEpVOA TO MAIL MESITI DEVELOPMENT GROUP ( 30 DAYS WIBTTENNOTICE TO THE CERTIFICATE HOLDER NAMED 10 THE LEFT, ATT; MIKE MEDIEROS 1{ BUT FAILURE TO MNL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LEASILITY 231 SUTTON STREET, 2F I 0 KIN PO THE COMP Y,IT6 2WS JgREPAEffNTATlIVF6, N. ANDOVER, MA 01845 Town of North Andover Office of the Planning Department Community Development and Services Division William J. Scott, Division Director 27 Charles Street North Andover, Massachusetts 01845 Heidi Griffin Planning Director April 25, 2001 Mr. Michael Medeiros, Vice President Mesiti Development Group 231 Sutton Street, Suite 2F North Andover, MA 01845 RE: Executive Quarters Temporary Certificate of Occupancy Dear Mr. Medeiros: pORTf♦ Q�St�EO OAh O0 00 �4SSAemuS Telephone (978) 688-9535 Fax(978)688-9542 Please be advised that I have hereby issued approval for a temporary certificate of occupancy for the abovementioned site until June 1, 2001. This temporary certificate of occupancy is being issued to allow you an additional month to complete landscaping, pavement markings and final pavings. Failure to complete this work will result in me advising the North Andover Planning Board at their meeting of June 5, 2001 to revoke the site plan bond posted for this site with the Planning Department in the amount of $10,000.00. I anticipate you will be able to complete these outstanding issues prior to that date. Please contact me for a site visit prior to June 1, 2001 to confirm these issues have been completed. Sincerely, Heidi Griffin Town Planner cc: North Andover Planning Board Robert Nicetta, Building Commissioner BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Town of North Andover Office of the Planning Department Community Development and Services Division William J. Scott, Division Director 27 Charles Street North Andover, Massachusetts 01845 Heidi Griffin Planning Director April 25, 2001 Mr. Michael Medeiros, Vice President Mesiti Development Group 231 Sutton Street, Suite 2F North Andover, MA 01845 RE: Executive Quarters Temporary Certificate of Occupancy Dear Mr. Medeiros: pORTH Ob�ttEo 46gN0 UPY �.91oq�seo •oatS`� SNCHUSE Telephone (978) 688-9535 Fax(978)688-9542 Please be advised that I have hereby issued approval for a temporary certificate of occupancy for the abovementioned site until June 1, 2001. This temporary certificate of occupancy is being issued to allow you an additional month to complete landscaping, pavement markings and final pavings. Failure to complete this work will result in me advising the North Andover Planning Board at their meeting of June 5, 2001 to revoke the site plan bond posted for this site with the Planning Department in the amount of $10,000.00. I anticipate you will be able to complete these outstanding issues prior to that date. Please contact me for a site visit prior to June 1, 2001 to confirm these issues have been completed. Sincerely, Heidi Griffin Town Planner cc: North Andover Planning Board Robert Nicetta, Building Commissioner BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONTSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 ♦ s DEVELOPMENT GROUP April. 23, 2001 Robert Nicetta, Building Inspector Town of North Andover Community and Development Services 27 Charles Street North Andover, MA 01845 Re: Executive Quarters Project MD98-036 100 Andover Bypass North Andover, MA 01845 Building Permit Numbers: 222, 88, 89. Subject: Statement of Substantial Completion This is to certify that Mesiti Development Corp. as Contractor for the project has substantially completed the Work under the contract and Executive Quarters LLC as Owner has accepted such Work. Sincerely, MESITI DEVELOPMENT CORP. Michael Medeiros Vice President 231 Sutton Street, Suitt 2F, N'orHz Andover, NL4. 01845 (478) 6&7-5340 Fax: (47S) 557-8160 matt �uesiiigrta�. �V*, Page I of I Gctnpwtic-n cottd?c A.pfil 23, 2001 M jTfs i D E V E L O P M E N T e R 0 U P Post-Substanfi l CoWleti Scope Of Work To: Executive Quarters LLC - Owner From: Mesiti Development Corp. - Contractor Re: Executive Quarters Project MD98-036 100 Andover Bypass North Andover, MA 01845 1. Landscaping - Do to best management and practices and accepted industry standards, and that no guarantee of plant survival can be achieved, this work can not begin prior to May 15, 2001. 2. Final paving, - This work is customarily performed after final landscaping. 3. Pavement markings - This work can only be done after 4 days from completion of final paving. All other work is complete and accepted. WSM DEVELOPha wiT CORP. -1� Z'01� Michael 1Vtedeiros Vice President 231 &*on Street; Suite 2F. Nab pndmer. MA 01845 " 687-5300 Fax M8) 557-8160 QW.CM Page 1 of 1 Migpo"Aftw Campla5aex /Cock 71wc/it� Robert Nicetta, Building Inspector TOWN OF NORTH ANDOVER Community and Development Services 27 Charles Street North Andover MA 01845 April 23, 2001 re; Executive Quarters Office Building, 100 Andover By -Pass, North Andover MA. STATEMENT at COMPLETION of PROJECT For the purpose of receipt of an occupancy permit, I herewith certify, that to the best of my knowledge and belief, the new construction of a three (3) story Office Building at the above referenced address, has been completed to warrant occupancy and was performed in accordance with: a. the Commonwealth of Massachusetts Building Code 780 CMR, Sixth Edition its updates and other related and referenced regulations b. construction documents (drawings and specifications) submitted for receipt of a building permit c. documented revisions and/or site interpretations. Further, I have fulfilled the requirements of Section 116.0, specifically 116.2.2 of the Massachusetts Building Code, 780 CMR, through monitoring and controlling the construction's conformance. Sincerely, NQ Rainer Koch Dip Arch (Lon) NCARB Principal Registered Architect MA# 5056 cc: Mesiti Development Corporation 36 Essex Road, Ipswich, Massachusetts 01938-2532 telephone: (978) 356 5065 facsimile: (978) 356 9171 electronic: kocharchitects@netway. com CERTIFICATE OF Distribution to: (name, address) Executive Quarters SUBSTANTIAL AOWNER CHITECT o APR 2 4 2001 COMPLETION 90616 ❑❑ CONTRACTOR: FIELDTRACTOR AIA DOCUMENT G704 OTHER ❑ PROJECT: ARCHITECT: (name, address) Executive Quarters Koch Architects Office Building ARCHITECT'S PROJECT NUMBER: 100 Andover By -Pass 90616 TO (Owner): North Andover MA CONTRACTOR: Michael Medeiros MESITI DEVELOPMENT GROUP CONTRACT FOR: 231 Sutton Street, Suite 2F North Andover MA 01845 CONTRACT DATE: DATE OF ISSUANCE: April 23 2001 PROJECT OR DESIGNATED PORTION SHALL INCLUDE: Construction of a new three (3) story Office Building The Work performed under this Contract has been reviewed and found to be substantially complete. The Date of Substantial Completion of the Project or portion thereof -designated above is hereby established as which is also the date of commencement of applicable warranties required by the Contract Documents, except as stated below DEFINITION OF DATE OF SUBSTANTIAL COMPLETION The Date of Substantial Completion of the Work or designated portion thereof is the Date certified by the Architect when construction is sufficiently complete, in accordance with the Contract Documents, so the Owner can occupy or utilize the Work or designated portion thereof for the use for which it is intended, as expressed in the Contract Documents. A list of items to be completed or corrected, prepared by the Contractor and verified and amended by the Architect, is attached hereto. The failure to include any items onsuch list does not alter the responsibility of the Contractor to complete all Work' in accordance with the Contract Documents. The date o commencement o arran tems on the attached list will be the date of final payment unless otherwise agreed to in wri�ing. KOCH ARCHITECTS I f 04/23/01 ARCHITECT BY DATE The Contractor will complete or correct the Work on the list of items attached hereto within (O� days from the above Date of Substantial Completion. CONTRACTOR BY VATE The Owner accepts the Work or de i nated portion thereof as at• pp G 7�j`^G`� (time) on C��CGrTi�C�1r9��S LG OWNER RV ly complete and will assume full possession thereof ��3fy/ziG Z�JO r (date). z �/ ATE The responsibilities of the Owner and the Contractor for security, - enance, heat, utilities, damage to the Work and insurance shall be as follows: (Note—Owner's and Contractor's legal and insurance counsel should determine and review insurance requirements and coverage; Contractor shall secure consent of surety company, if any.) AIA DOCUMENT 0704 • CERTIFICATE OF SUBSTANTIAL COMPLETION • APRIL 1978 EDITION • AIA® 1878 • TFIF AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006 G704— 1978