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HomeMy WebLinkAboutMiscellaneous - 1060 OSGOOD STREET 4/30/2018 (25) BUILDING FILE MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT JO PERFORM PLUMBING WORK _.. CITY —� MA DATE 137 b PERMIT# 4 �P JOBSITE ADDRESS 116 6 b os 1I 0S I OWNER'S NAMEJ SQAA�n2 S POWNER ADDRESS I aQ 1M TEL FAX TYPE OR OCCUPANCY TYPE VCOMMER EDUCATIONAL ❑ RESIDENTIAL❑PRINT CLEARLY NEW:❑ RENOVATIOPLACEMENT:❑ PLANS SUBMITTED: YES aINOM FIXTURES 7 FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE ', DEDICATED SPECIAL WASTE SYSTEM " �� DEDICATED GASIOIUSAND SYSTEM �J DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN � E FOOD DISPOSER FLOOR l AREA DRAIN I INTERCEPTOR(INTERIOR) KITCHEN SINK —� LAVATORY ROOF DRAIN SHOWER STALL _ I SERVICE/MOP SINK TOILET URINAL I WASHING MACHINE CONNECTION �-� WATER HEATER ALL TYPES s. WATER PIPING L o _ i'm OTHER i INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES[D NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Q OTHER TYPE OF INDEMNITY ❑ BOND❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and u te taAhe best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in complianc rtinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME I Kevin Scott LICENSE# 13258 SIGNATURE MPQ JP F71 CORPORATION D# 2438 PARTNERSHIP❑# LLC❑#� COMPANY NAME I Kevin Scott Plumbing&Heating INC. ADDRESS I P.0 Box 446 CITY1 Wilmington STATE MA ZIP 101887 1 TEL f978-988-3632 FAX 978-694-9977 1 CELL 978-479-8966 EMAILFkeypiumbing@comcast.net The Commonwealth of Massachusetts Print Form ([{._ • Department of Industrial Accidents r Office of Investigations , ~ 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ( Please Print �Legibly Name(Business/Organization/Individual): vl` J ww �\ �C J,+ Address: P� qq� �\ w p-� Q City/State/Zip: �n a —1 0G 1 Phone#: Are y6u an employer?Check the propriate box: Type of project(required): I.\I.\E7 I am a employer with _ 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9 [] Building addition [No workers' comp,insurance comp.insurance.# required.] 5. ❑ We are a corporation and its I0.❑ ElActrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their IL. lumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] 'Any applicant that checks box#1 must also rill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and,job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: WI �� ,��T S Expiration Date: _��_ha_ Job Site Address: (6 b D 0S5-dzz,U lA \ City/State/Zip: Ajok, 10A Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#• A�RL® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/10/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER TGA Cross Insurance, Inc. NAAME: TGA Cross InsuranceInc. 401 Edgewater Place, Suite 220 A/CNNo Ext): 781-914-1000 FAX No): 781-246-2601 Wakefield, MA 01880 E-MAIL ADDRESS: switchboard liacross.com INSURERS AFFORDING COVERAGE NAIC# www.tgacross.com INSURERA: The Netherlands 24171 INSURED INSURER 8: Excelsior 11045 Kevin Scott Plumbing & Heating Inc. PO Box 446 INsuRERc: Peerless Ins co 24198 Wilmington MA 01887 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 29855043 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICYNUMBER IMMIDDIYYYYI (MMIDDIYYYY1LIMITS A `/ COMMERCIAL GENERAL LIABILITY CBP3185448 5/15/2016 5/15/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE �/ OCCUR PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 110001000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PPOLICY ✓❑JE� F LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ B AUTOMOBILELIABILITY BA3185446 5/15/2016 5/15/2017 Ea BIKED SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY P AUTOS ONLY ✓ AUTOS (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ ✓ AUTOS ONLY ✓ AUTOS ONLY Per accident C ✓ UMBRELLA LIAB / OCCUR CU8777929 5/15/2016 5/15/2017 EACH OCCURRENCE $ 1,000,00 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED I ✓I RETENTION$10,000 C WORKERS COMPENSATION WC3185445 5/15/2016 5/15/2017PER OTH- AND EMPLOYERS'LIABILITY Y/N ✓ STATUTE ER ANYPROPRIETOR/PARTNERIEXECUTIVEE.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? ❑N NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1060 Osgood Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building 20 Suite 2035 ACCORDANCE WITH THE POLICY PROVISIONS. North Andover MA 01845 AUTHORIZED REPRESENTATIVE Thomas I Gregory 44 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 29855043 1 232276 1 16-17 Master COI Leticia Rego 1 5/10/2016 12:31:12 PM (PDT) I Page 1 of 1 �OMMONWEALTH OF MASS Hus&TTS:€s`' •]g Lei • • • Lei g yj 0 14 gev 0 mol• PLUMBERS` 1 bi GASF.ITTI iZS'':`> ` ISSUES THE FOLLOWINGLIC>=NSE REIS' 1=FtD ASA PLUMBING.CORP KEVIN A SCOTT iN SCOTT:: .LB&HTG INC - PO B(? r4#6 WILMINGTON,MA 01:8870446 333 6 10 112018---, ..._5 2438 ''t1. : 0m «<*<COMMONWEALTH OF MA OHUSETTS:,><_: m9l IVA Rl Lei gitelo • lei Elm 111561:4 ON-151:1 BOARD-017 PLUMB —AND GASFITTERS ISSUES THE FOLLOWINGS>LiCENSE :::LIIrNSEDAS A MASTER PLUMBER KEVIN A SCOTT ::<_>'»>< z POS OX WILMIWOf `:MA 01887:-A94fi;:<.:; ... .. ... s'i., ..,�'.. !J f3' 258 <;'<:: ;:<'< <`>`` /0112018 >;.:;.,::; 37755 >: OMMONWEALTH OF MkikHUSET ' ::<>_< PLUMBEF3 `AND GAS Fl.:TTRS '''" I ISSUES THE FOLLOWIN(C>diiii 5E S's L16A JOURNEYMEN PLUMBER_` KEVIN A SCOTT OX 44 WILMINia `ON,.iNA . ,. Ito0 ;.:: EW8z ""87i >< d VZY uW , r � i d W M y Deval L.PatrickG;LtO�T', Thomas G.Gatzunis,P.E. Governor Commissioner Timothy P.Murray Thomas P.Hopkins Lieutenant Governor y�2g�00�9 Director Kevin M.Burke O66J/' www.mass.gov/dps Secretary TO: Local Building Inspector Variance Number:07 162 Local Disability Commission Independent Living Center FROM: ARCHITECTURAL ACCESS BOARD RE: 1060 Osgood Street 1060 Osgood Street North Andover Date: 10/1212007 Enclosed please find the following material regarding the above location: Application for Variance Decision of the Board Notice of Hearing Correspondence Letter of Meeting The purpose of this memo is to advise you of action taken or to be taken by this Board. If you have any information which may assist the Board in reaching a decision in this case, you may call this office or you may submit comments in writing. e y 4 t Joseph D. LaGrasse & Associates , Inc q One Elm Square,Andover MA 01810 9 www.lagrassearchitects.com tel.978.470.3675 fax:978.470.3670 idlai@aol.com October 9, 2007 Architectural Access Board Variance Request One Ashburton Place,Room 1310 Boston,MA 02108-1618 Re: Variance for required elevator Dear Board members, The Owner of the property at 1060 Osgood Street, North Andover,MA. is seeking a variance from the rules of 521 CMR Section 28 -Elevators for an exiting office building at this address. The building has been in use since the 80's as tenant space for doctors, lawyers,real estate office,etc. At the time of construction in 1986 this building was not required to have an elevator under the rules and regulations of the Architectural Barriers Board. In 1996 when the Architectural Access Board revised the regulations for commercial building to require an accessible route to public spaces,these second floor spaces were in violation since the tenants under 521 CMR section 1 i were public uses. The North Andover Building Department is requiring compliance with 521 CMR for all future tenants of this building.The Owner is seeking the variance so the existing and future tenants will be in compliance with the regulations. The variance is being requested because the installation of an elevator or lift would impact the existing tenant spaces on each floor since the common area is to small to accommodate a shaft and lobby space. Even a"limited use limited access"lift would require a 5'-6"x 5'-0" shaft plus the thickness of the wails and a 5'-0"x5'-0" lobby on each floor.The tenant spaces are 15'-0"wide from stair to demising wall. In order to install the shaftway,the existing tenants would need to be evicted,the slab would need to removed to install a footing to support the floor trusses,the existing trusses would need to be reduced in length.The construction time would last approximately 2-2.5 months and cost approximately$60,000.The revised tenant space would have 50 SF less space than before in each tenant space.The limitations of the lift described are that only one individual can use this lift and arrival times would need to be coordinated to unlock the lift. A fully accessible elevator would require a greater area for installation,a cost exceeding$100,000 and a longer construction time. A fully accessible elevator would require an area of 8'4"x6'-0"for the shaft way and 7'-6"x6'-0"for the mechanical room on the ground floor,an elevator pit would be required to 4'-0"below slab,an area of 8'- 4"x6'-0"would be required on the second floor and the shaft would need to penetrate the roof structure for the required overrun of the elevator. Principals Joseph D.LaGrasse AIA a Philippe R.Thibault AIA Member of the American Institute of Architects &Boston Society of Architects ' l 4 If the elevator or lift was to be installed on the exterior of the building the owner would need to have approval from the Town of North Andover to either allow the reduction of the driveway width or the number of parking spaces.The tenants would also be impacted with the installation of a lobby and corridor to gain access to the common hallway on the second floor. Again the Owner is seeking the variance so the existing and future tenants will be in compliance with the regulations Attached please find reduced copies of the plans, photos and the variance form. Thank you for your time to review this application. I look forward to hearing your response. Sincerely, Thomas F. Galvin,Architect f f T z Docket Number 1�10a Deval L.Patrick [ f—- Thomas G.Gatzunis,P.E. Governor �nP/ !/Z�IL 9&,Cv� '906"V i3v0 Commissioner Timothy P.Murray cW&4op#5 4a"adm4e*492708-7668 Thomas P.Hopkins Lieutenant Governor Q ,,- Director Kevin M.Burke 9%,PPw677-7'27-0660/1-800-828-7222 www.mass.gov/dps Secretary ff 6'7-727-0079 AaayW-727-0665 APPLICATION FOR VARIANCE In accordance with M.G.L., Chapter 22, Section 13A, I hereby apply for modification of or substitution for the rules and regulations of the Architectural Access Board as they apply to the facility described below on the grounds that literal compliance with the Board's regulations is impracticable in my case. PLEASE ENCLOSE: 1)A filing fee of$50.00 (Check/Money Order) made payable to the Commonwealth of Massachusetts, four copies of the original application for variance and all supporting documentation, Le all plans in 11" x 17" format, photographs, etc. In addition, the complete package (including plans and photographs) must be submitted via compact disc. 2) If you are a tenant seeking variances, a letter from the owner of the building is required, authorizing you to apply on behalf of he/she. 1. State the name and address of the owner of the building/facility: Tiam Realty, LLC. 7 Ridge Hill Way, Andover, MA 01810 Tel:_(978)475-0567 2. State the name and address or other identification of the building/facility: 1060 Osgood Street 3. Describe the facility: (Number of floors, type of functions, use, etc.) 2 Story, Commercial building, Wood frame structure 4. Total square footage of the building: 15,360 SF Per floor: 7,680 SF a. total square footage of tenant space(if applicable): 14,660 SF 5. Check the work performed or to be performed: New Construction _Addition _Reconstruction, remodeling, alteration_X Change of Use 6. Briefly describe the extent and nature of the work performed or to be performed: (Use additional sheets if necessary). The fit out of a tenant space has discovered the existing building has been in operation without compliance to 521 CMR Section 28. The second floor tenants are public use without an accessible route. 7. State each section of the Architectural Access Board's regulations for which a variance is being requested: 7a. Check appropriate regulations: 1996 Regulations 2002 Regulations 2006 Regulations SECTION NUMBER LOCATION OR DESCRIPTION 28 Elevator The existing buildinq does not have an elevator 8. Is the building historically significant?_yes X no. If no, go to number 9. 8a. If yes, check one of the following and indicate date of listing: National Historic Landmark Listed individually on the National Register of Historic Places Located in registered historic district Listed in the State Register of Historic Places Eligible for listing 8b. If you checked any of the above and your variance request is based upon the historical significance of the building, you must provide a letter of determination from the Massachusetts Historical Commission, 220 Morrissey Boulevard, Boston, MA 02125 9. For each variance requested, state in detail the reasons why compliance with the Board's regulations is impracticable. State the necessary cost of the work required to achieve compliance with the regulations. PLEASE NOTE THAT YOU SHOULD SUBMIT WRITTEN COST ESTIMATES AS WELL AS PLANS JUSTIFYING THE COST OF COMPLIANCE. Use additional sheets if necessary. 10. Has a building permit been applied for? Yes Has a building permit been issued? No 10a. If a building permit has been issued, what date was it issued? 10b. If work has been completed, state the date the building permit was issued for said work 11. State the estimated cost of construction as stated on the above building permit. 11a. If a building permit has not been issued, state the anticipated construction cost: 12. Have any other building permits been issued within the past 36 months? 12a. If yes, state the dates that permits were issued and the estimated cost of construction for each permit: 13. Has a certificate of occupancy been issued for the facility? If yes, state the date: 1987 14. To the best of your knowledge, has a complaint ever been filed on this building relative to accessibility? yes —X—no. 15. State the actual assessed valuation of the BUILDING ONLY, as recorded in the Assessor's Office of the municipality in which the building is located. $2,142,100.00 . Is the assessment at 100%? If not,what is the town's current assessment ratio? 16. State the phase of design or construction of the facility as of the date of this application: Existing building with non-compliant area. 17. State the name and address of the architectural or engineering firm including the name of the individual architect or engineer responsible for preparing drawings of the facility: Joseph D. Lagrasse &Associates. One Elm Square,Andover. MA. 01810 Architect:Thomas F. Galvin TEL: (978) 470-3675 18. State the name and address of the building inspector responsible for overseeing this project: North Andover Building Deoartment. 1600 Osgood Street, North Andover, MA. 01845 Insoector: Gerald A. Brown TEL: (978)688-9545 Date: October 9. 2007 PRINT: David S. Samuels Name of owner or authorized agent - - 7 Ridge Hill Way �FRARTN4'7N OF Pt,.-L�,I�:sAP--1 i Address -r -' Andover MA 01810 i /To n State Zip Code OCT 12 2007 l �- 978)475-0567 Signature Telephone Commercial Property Record Card PARCEL_ID:210/035.0-0029-0000.0 MAP:035.0 BLOCK:0029 LOT:0000.0 PARCEL ADDRESS:1060 OSGOOD STREET PARCEL INFORMATION Use-Code: 340 Sale Price: 2,490,000 Book: 8211 Road Type: T Inspect Date: 06/15/2006 - Tax Class: T Sale Date: 09/01/2003 Page: 178 Rd Condition: P Meas Date: 06/15/2006 Owner: Tot Fin Area: 16400 Sale Type: P Cert/Doc: DEED Traffic: M Entrance: C TIAM REALTY LLC Tot Land Area: 1.05 Sale Valid: B Water: Collect Id: RRC Address: Grantor: STODDARD,RICHARD C Sewer: Inspect Reas: R 7 RIDGE HILL WAY ANDOVER MA 01810 Exempt-13/1_0/6 0/0 Resid-B/L%o 0/0 Comm-B/L*90/100 Indust-B/L% 0/0 Open Sp-B/L% 0/0 COMMERCIAL SECTIONS/GROUPS LAND INFORMATION Section: ID: 101 Use-Code: 323 NBHD CODE: 31 NBHD CLASS: 1 ZONE: 12 Category Grnd-Fl-Area Story Height Bldg-Class Yr-Built Eff-Yr-Built Cost Bldg Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class 4 7962 2 D 1986 1986 1,675,600 1 P 340 S 45738 1.05 274,428 Groups: DETACHED STRUCTURE INFORMATION Id Cd B-FL-A Firs Unt Str Unit Msr-1 Msr-2 E-YR-Blt Grade Cond%Good P/F/E/R Cost Class 1 340 8204 2 0 AS S 23000 1986 A A 50///50 25,000 3 Section: ID: 102 Use-Code:323 LI C 4 1986 A A W88 5,500 3 Category Grnd-Fl-Area Story Height Bldg-Class Yr-Built Eff-Yr-Built Cost Bldg VALUATION INFORMATION 4 1040 1 D 1986 1986 45,100 Current Total: 2,142,100 Bldg: 1,867,700 Land: 274,400 MktLnd: 274,400 Groups: Prior Total: 1,704,100 Bldg: 1,429,700 Land: 274,400 MktLnd: 274,400 Id Cd B-FL-A Firs Unt 1 340 1040 1 0 SKETCH PHOTO 26 26 1SFR 1S FR 20 520 S X520 S 3 26 13226 I 1/2SFRICY 2SFR/SLA6 1/2SFRI 240 Sq.FL 7680 Sq.Ft 240 Sq. §6 §: FR j CY ILt 123 Sq . 1060 OSGOOD STREETa Parcel ID:210/035.0-0029-0000.0 as of 10/9/07 Page 1 of 1 ,�' �.* ko,M��� '�Iyy'Pay, I� �I �� T `4 1 � y ,; •r�� A �.w�r9,•�t,�" s,"' �e ���%« �"� a { � Kq`� .w, ��� .P*�" }r� � a�t" ''• r,� p�=. � r .s,. � `�t,�., µ a.� _ �, ,, p"+ s l a /J e M "0E d f �'.:d`�.�� 4.. l' w moi-:+�rv�• �- �'��n� �X'' �t 5 � ^�'+i f� �� \ A+�s � ,k .m a �',` '��. �111�� 11 GPP„•J�>.+A. �, 1� t � � t4i ' ,t _ e }��'' M.��R'/� i,My",. low y Jo- i .v r �J A � aro MQ jr, w M s _ w w e. x I E ' •.�sr3��� saal.s�*AliY1+� 1.�. 31�� . 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I � 21 � ..o'21 � .�.��1 •o_,21 :.�':�� :� 1 ji K f.2 _...----- •,a=, 11 COMMERCIAL BUILDINGS i i 11.1 Those spaces in commercial buildings where the service of product is offered to the public, and those premises in which a member of the public may enter in a commercial building of more than two (2) -sto- ries in height and in which more than forty (40) persons are employed shall comply with these Regulations. *12 EDUCATIONAL INSTITUTIONS 12.1 Educational institutions are public buildings within the meaning of these Regulations, and shall include, but not be limited to libraries public and private schools, pre-schools, day care facilities colleges and universities, and training facilities. 12.2 Dormitories and administrative offices of educational institutions shall comply with these Regulations. 12.3 Amphitheaters and lecture halls of educational institutions shall also comply with Section 14 with the exception of capacity. 12.4 Library aisles between fixed stacks shall have a minimum clear width of thirty-six 36) inches and preferably forty-two (42) inches. 13 HEALTH INSTITUTIONS/FACILITIES 13.1 Health institutions or facilities are buildings in which medical service or treatment is provided, and shall include, but not be limited to, hospitals, clinics, dental offices, sanatoriums, alcohol and drug detox- ification centers, and buildings in which one or more doctors provide health services similar to those provided by any of the above. 13.2 Where in-patient medical care is provided, all bedrooms and bathrooms shall have clear door openings of at least thirty-four (34) inches. At least five percent (5%), or a minimum of two (2) per floor, which- ever is greater, of patient bedrooms with bathrooms shall have bath- rooms fully accessible in accordance with Section 30 or 32. (�1 12 � i d F �f 4e �e Deval L.Patrick' yThomas G.Gatzunis,P.E. Governor ' 'O66Oy Commissioner Timothy P.Murray r��/-/�/-OO��Y Thomas P.Hopkins Lieutenant Governor Director Kevin M.Burke6�>=�2�066�5" �vmass.gov/dps Secretary MEMORANDUM To: Gerald Brown From: Architectural Access Board Office Date: October 12, 2007 Re: 1060 Osgood Street, North Andover Please find attached a copy of the variance application for the above referenced property. This office is asking you to please submit in writing a confirmation as to whether or not you feel that the analysis of the jurisdiction is correct as stated by Mr. Thomas Galvin in the cover letter to the application. KS NORTy O��teo 6�tiA � e SJR A0flArao SSACHVS� BUILDING DEPARTMENT Community Development Division MEMORANDUM To: Thomas Hopkins, Director of Architectural Access Board From: Gerald A. Brown, Inspector of Buildings Re: 1060 Osgood Street Date: September 24, 2007 Enclosed please find North Andover Building Department documents relating to the second floor tenant area at 1060 Osgood Street. Thank you for your attention. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9545 Fax 978.688.9542 Web www.townofnorthandover,com 09-20-'07 14:15 FROM-Joseph D LaGrasse 978-470-3670 T-350 P002/002 F-981 Joseph D. LaGrasse & Associates, Inc. One Btm Square,Andover,MA 01810 www.lagTassearchitects.com tet.978.470.3615 fax:978.470,3670 jdtai@aol.com V/,*, WAhlpp- September 20,2007 Mr.Gerald Brown,Inspector of Buildings North Andover Building Department 1600 Osgood Street North Andover,MA 01845 RE: 1060 Osgood Street—Tenant fit-out Dear Mr. Brown, i I spoke with Mr.Thomas Hopkins of the Architectural Access Board this morning regarding the above mentioned project.He will not provide a letter stating this use will require an elevator.He stated that if the second door has been used for businesses requiring public access and approved by the Town of North Andover then the change in use under Section 3.4 of 521 CMR is in affect at 1060 Osgood Street and the second floor of the building operates under a public use. The previous tenant of the space was a real estate agency,which under 521 CMR Section 11.1 Commercial Buildings is a public use.In addition an art studio occupies a space on the second floor which bold classes open to the public.It seems the Town has accepted the second floor as public use since its construction in the 80's. Unless this tenant spends 5100,000 or 30%of the building value($390,000)the building owner does not need to improve access to the second floor. The contractor has estimated a construction cost of$10,000 to`fit-out"the space. I am trying to assist an owner to pull a building permit in your Town to fit-out his space.I have done exactly what you have requested.I contacted Robert Wilson a Compliance Officer of the AAB and Thomas Hopkins the director of the AAB. Each has stated the property does not warrant an elevator under 521 CMR regulations. Since the Town has allowed public uses on the second floor there is no change in use under 521 CMR. Please contact me at your earliest convenience to discuss this matter and the course of action you would like tobuilding permit for this project � t AR y; Respectfully, o F i o No.2^?S5 u) s WAKEY;:_L7 ICZ Thomas Galvin MSS. CC:Thomas Hopkins,DJ to r ,k P" Board Principals Joseph D.LaGrasse AIA • Philippe R.Thibault AIA Member of the American Instirwe of Architects&Boston Society of Architects 09-20-'07 14:15 FROM-Joseph D LaGrasse 978-470-3670 T-350 P001/002 F-981 JOSEPH D. La.GRASSE .. &ASSOCIATES INC. ONE ELM SQUARE ARCHITECTS,ENGINEERS ANDOVER,KA 01810 INTERIORS, LAND PLANNERS TEL: (978)470-3675 FAX: (978)470-3670 TO: -MAIL:JDLAI@AOL.COM Gerald A. Brown Date: September 20, 2007 North Andover Building Department Project#: 2142 Attention: 1600 Osgood Street Re: N. Andover, Ill 01845 Sent By: Tom Galvin WE ARE SENDING YOU THE FOLLOWING: ❑ ENCLOSED QUANT ❑ SEPARATE COVER DATE SHEET NO: DESCRIPTION ❑ MAIL 1 9.20.07 Letter ❑ OVERNIGHT ❑ 2nd DAY ❑ MESSENGER ■ FAX ❑ 978-6889542 WE ARE SENDING YOU: ACTION REQUESTED: ❑ PRINTS Mr. Brown, E3 ORIGINALS Attached please find my letter ❑ REPRODUCIBLES regarding the tenant space at 1060 Osgood ❑ SHOP DRAWINGS Street compliance with CMR 521. ❑ SPECIFICATIONS I have spoken with Mr. Thomas Hopkins ❑ SAMPLES of the Architectural Access Board as you ■ CORRESPONDENCE have direct and I am copying this letter ❑ to him, for his review in case I have TRANSMITTED AS: misinterpreted anything from our ❑ FOR APPROVAL conversation. ■ FOR YOUR USE I look forward to hearing from you ❑ AS REQUESTED ❑ FOR REVIEW AND Tom Calvin COMMENT E1 REVIEWED ❑ REFER TO NOTES ❑ RETURNED FOR ❑ RESUBMITTED FOR REVIEW ❑ FOR BIDS a COPY TO: Mr. Thomas Hopkins-617-727-0665 Signed: DO NOT SCALE DRAWINGS IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE Commercial Property Record Card PARCEL_ID:210/035.0-0029-0000.0 MAP:035.0 BLOCK:0029 LOT:0000.0 PARCEL ADDRESS:1060 OSGOOD STREET PARCEL INFORMATION Use-Code: 340 Sale Price: 2,490,000 Book: 8214 Road Type: T Inspect Date: 06/15/2006 Owner: Tax Class: T Sale Date: 09/01/2003 Page: 178 Rd Condition: P Meas Date: 06/15/2006 TIAM REALTY LLC Tot Fin Area: 16400 Sale Type: P Cert/Doc: DEED Traffic: M Entrance: C Address: Tot Land Area: 1.05 Sale Valid: B Water: Collect Id: RRC 7 RIDGE HILL WAY Grantor: STODDARD,RICHARD C Sewer: Inspect Reas ' R j ANDOVER MA 01810 Exempt-B/L% 0/0 Resid-B/L% 0/0 Comm-B/LW0/100 Indust-B/L% 0/0 Open Sp-B/L% 010 COMMERCIAL SECTIONS/GROUPS LAND INFORMATION Section: ID: 101 Use-Code:323 NBHD CODE: 31 NBHD CLASS: 1 ZONE:-12� —a- Category Grnd-Fl-Area StoryHeight Bldg-Class Yr-Built Eff-Yr-Built Cost Bldg Seg Type Code Method Sq-Ft Acres Influ-YIN ' Value Class 4 7962 2 D 1986 1986 1,675,600 1 P 340 S 45738 1.05 274,428 Y Groups: DETACHED STRUCTURE INFORMATION Id Cd B-FL-A Firs Unt St Unit Msr-1 Msr-2 E-YR-Bit Grade Cond"%Good P/F%E/R Cost Class 1 340 8204 2 0 AS S 23000 1986 A A 50///50 25,000 3 Section: ID: 102 Use-Code:323 LI C 4 1986 A A W88 5,500 3 Category Grnd-Fl-Area Story Height Bldg-Class Yr-Built Eff-Yr-Built Cost Bldg VALUATION INFORMATION 4 1040 1 D 1986 1986 45,100 Current Total: 2,142,100 Bldg: 1,867,700 Land: 274,400 MktLnd: 274,400 Groups: Prior Total: 1,704,100 Bldg: 1,429,700 Land: 274,400 MktLnd: 274,400 Id Cd B-FL-A Firs Unt 1 340 1040 1 0 SKETCH PHOTO 26 26 iSFR 1SFR 20 520 S 520 S d ; 1/2SFR/CY 2SFR/SLAB 140 240 Sq.FL 7680 Sq.FLw §6 §� j r 1060 OSGOOD STREET = '" Mt Parcel ID:210/035.0-0029-0000.0 as of 9/21/07 Page 1 of 1 NORTh NORTH ANDOVER BUILDING DEPARTMENT 400 Osgood Street s^u+u g Tel: 978-688-9545 Fax: 978-688-9542 BUSINESS FORM FOR TOWN CLERK DATE: NAME: ADDRESS: 1060 Ll��eaO '�i �J. +w29\/G*Wo to Y,, ZONING DISTRICT: c- TYPE OF BUSINESS: C62� 1tD0 t,, BUILDING LAYOUT PROVIDED: YES NO AVAILABLE PARKING SPACES: Fr* {ff e�vl 6O AJ'r (,�;/yw —m, /Yk)l-- ZONING BY LAW USAGE: YES NO _ GL. BUILDING INSPECTOW9IGNATURE Revised 11.5.04 BUSINESS FORM FOR TOWN CUMX 1,A- Location No. ef:�(> y Date :z 14ORTol TOWN OF NORTH ANDOVER w3?0�,•�1O ~M w 41 D Certificate of Occupancy $ Building/Frame Permit Fee $ ACMUS Foundation Permit Fee $ Other Permit Fee $ — TOTAL $ rry Check # l ��571 Building If ipector C0rfROl CONSTRUCTION 1'I RMI'I' N0. ©39- AI'I'LICA'1'It)N IF01t 1'I:ItMI'1"1't) BUILD"*�""NOW1'11 ANDOVLIt,' MA nlu Nn. p/LS _ -- j 1111.141. p�j 1. tllfIIItDtlf fl%vr.1"S1111• - -- - Dxtl•: 1100K ------- i AUV - /IIAI. 51111111W. 1111 Nil. 111t IitIN I Q ei1:IM 111111IIIN(i ^y±l�l� �.�t�� �L_ p 11SIZE thlrNldR'SNAAII• / /? 1-lN'514101.5 � _ 1\ SILloi` —.-------- InNNt:R'sill)tatlas '` O `� IIASUNIENrMSIJ1p ' Ht i7nl Fc 1's N.aAUE �oS���� n r1241 c �-- N slzr":11.Ixxt 7 tAUIERs IltIII OCR N!1nIF1, 130,Lt)"S SPAN 6 IMSIAIAT It)NLARI:SI fAlll.l)INti INhIF"SHINSff S11.1.5 • — L IMSIAIJl151RlNIS7Rlil:1 SKIW Inn11iNSItNJSl1( 10615 - IIISIAI•!CL'FItmoi.orLINES-SIDES REAR IHAII:NSNIfJS(IFI;IRIMatS - -- - AREA(W1.01' 1R(NJIACRE IIL•II;III IN IYAIM)Ai1tIN �� ��(�? I�uJU'�-� lSNt;u1"NGNEW 514EU Ilx)IIIKi PE Q `✓vu Zk4 na- - 15D1111.I HA;AI_IERATION fir] isU011-INW1(IN SMIDORFit IEDIAM) Wit 1.0(111.1)IM;C(Aff lm TORI:C2(ItREMENIS(x CCA)E . ��1�111101141MWECIEll 7t11OWNWAIFR IS 111;11.1111 it;C(XJNLIILI)1014AIURAL GAS I.IJJL . I1"IS111(AtoN$ 3. 1'l OPLIt1'1-INVOIINIA1ION CAM)Ct1SI' Es 1.BIIX;.(Alsr /3 _ I'mil: 1 FIIt.fNttSEC'IR114S l-) CONTROL ESI.111.Ix;.01SI VLR So.1'l. - — CONSTRUCTIM I ES 1.Nl Ix;.Ct is I PER Rix III L'I t;�t"rNlt'f.IF 1 LRS SII IS'f DE 111(ri l l sll)L'()F UUII.1)IN(; SWI IC ILRtiIt i Ft(). AI'IAC'IIEI)(;ARA1;I:S&HJSl CMIAN0b1 f(ISFAlErlltl_'RLt;1��1__.1A1�AA1��NS �� a. •11'1'1!(1\'1:11 Nl': MANSNS 1.11IS)IIF 111 PO ANI)AITROVLI)IIY IIIIII.1)INf)INSIRR1M!nT�1��I . PERMI!!T FES'C — " 1llII1.l11N(:INSI'F:(:1(lll '- --Y 7= oeo 1)A11E�II1:1) - � DUE FRAME PERMIT$ q15 oo gmt4ERSIEtN J �� CINJIR.IPIN c(17T h$S-3S`�3 I,N,IR.1It-N o 22$s5 SIt:N•\111RIilN IJ1:RtNtAl111kNt1/1:1 1i1N1 �Lf>/t � _ • �/(�r,1- b(� ' , Car IIP L IM RMI I I L1tAN 11 11 J f � � A � 1, M NO ' t NORTfy owof �do. 4 .1 nove �3 No. �1. -A PI\RCm—C9-c:03 `,C7 _ '�rm Dai cold as_ * _ - - __ - - CONSTRUCTION dower, Mass., COCHICHEWICK A0RA7ED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System / BUILDING INSPECTOR THIS CERTIFIES THAT. . {..�M..Qq -' .Cn,... ....5, 1vtS....►�.5-�,.t.l...�c� . �'..111c...................r Foundation has permission to ...4 1 ?is......... buildings on ..� o...�bC t:).. °F.,r �. Rough to be occupied as...................T N.!t-+-��...... "y '--uP...�r ...Oft=' . '....�!9 1: '.................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS cc►�� RSI. (n. r: Rough ........ .. ...................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. A ACORD„ CERTIFICATE OF LIABILITY INSURANCE)PID D7 DATE(MM/DD/YY) SYSTE-5 04/06/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Catalano Insurance Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 251 Broadway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Methuen MA 01844 COMPANIES AFFORDING COVERAGE G. Thomas Catalano (Renewal) COMPANY Phone No. 978-688-4667 Fax No. 978-682-9037 A COMMERCIAL UNION INSURED COMPANY B HANOVER INSURANCE CO. COMPANY System Builders Inc C EASTERN CASUALTY INS CO 202 Sutton St COMPANY Andover MA 01845 D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co CR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $2 0 0 0 Q Q Q A X COMMERCIAL GENERAL LIABILITY BINDER/ABR314 02 2 04/01/99 04/01/00 PRODUCTS-COMP/OP AGG $ 1000000 CLAIMS MADE FXI OCCUR PERSONAL&ADV INJURY $ 1000000 OWNER'S&CONTRACTOR'SPROT EACH OCCURRENCE $ 1000000 FIRE DAMAGE(Any one tire) $ 50000 MED EXP(Any one person) $ 5000 AUTOMOBILE LIABILITY B ANY AUTO ADN468064206 04/01/99 04/01/00 COMBINED SINGLE LIMIT $ ALL OWNED AUTOS (' BODILY INJURY X SCHEDULED AUTOS (Per person) $ 500000 X HIRED AUTOS X NON-OWNED AUTOS BODILY(Per accident) $ 500000 (Per accident) PROPERTY DAMAGE $25OQoQ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 2000000 OTHER A X LACBDW11673 04/01/99 04/01/00 AGGREGATE $ 2000000 OTHER THANNUM UMBRELLA FORM $ WORKERS COMPENSATION ANDWC STATU- OTH- EMPLOYERS'LIABILITY TORY LIMITS PER EL EACH ACCIDENT $ 500000 L. THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL WC96611028 04/01/99 04/01/00 EL DISEASE-POLICY LIMIT $ 500000 OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION ------1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KPJD.I/PON THE,COMPANY,ITyS GENTS OR REPRESENTATIVES. AUTHORIZEDEFiN IVE i � `�: ':JNS'glCrrgN ilio- i i KN�..i.a"Y it o-'7,�%��� � ,,,,,�,• 'BURipORT, a f -f Joseph D. LaGrasse & Associates, Inc. Architects Land Planners Engineers j One Elm Square Tel. 978470-3675 JDLAI@aol.com Andover,MA 01810-3609 Fax.978-470-3670 www.lagrassearchitechs.com January 28, 2000 Mr. Robert Nicetta North Andover Town Hall Main Street North Andover, MA 01845 Re: Remodeling of Tenant Space at 1060 Osgood Street Mr. Bob, The remodeling costs for the second floor Technical Personnel Service space, in addition to the remodeling of the first floor Abbott Financial tenant space and all reconstruction that may have taken place within the last 3 years, do not trigger the requirement that the second floor of the building be handicap accessible. This analysis is in conformance to the understanding received from both the AAB &ADA agencies. Sincerely, Joseph D. La asse, AIA Joseph D. LaGrasse &Associates, Inc. FA1682Vtr-BI.doc RECEIVED FEB 0 1 2000 Principals BUILDING DEPT. Joseph D. LaGrasse AIA • Philippe R. Thibault AIA Member ofAmerican Institute ofArchitects&Boston Society ofArchitects r•.7. OFFICE OF BUILDING INSPECTOR . } TOWN OF NORTH ANDOVER ' CONSTRUCTION CONTROL. PROJtrcT NUMBEFL• I(Oe)Z PROJECT TITLE 'VP5 Ti�+SAAQ T P Fy Ej-o p(� N T PROJECT LOCATION: 4d1a 0 05CzdCOC) 5Te G.'[E 1 NAME OF BUILDING: 10620 05go©.0 5T(20�-T I3U'7[kj 01.5 C4a3—(E-1e- NATURE OF PROJECT: Or C c-C 'J PACE 1ZE("CdDEFL4 0 (&S T04OV— IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE. I, ,S o S 6OR O " (AM S5 r A l A REGISTRATION NO. Q-1 53 BEING A REGISTERED PROFESSIONAL ENGINEERIARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ❑ ARCHITECTURAL STRUCTURAL jLq MECHANICAL ❑ FIRE PROTECTION ❑ ELECTRICAL ❑ OTHER(SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEGE. SUCH PLANS, COMPUTATIONS ANO SPECIFiCAT CNS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALLAbtEPTA6LE ENGINEERING PRATIC-CS. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT 1 SHAD_RERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR ANG PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCOROANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for confcrmance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in a=rdance wittt the requiren-ents of the constrxtlon documents. _ 2. Review and appravM of the q ality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of Construction to become, generally familiar witi-T the progress and quality of the worts and to determine, in general, if the work is being , performed in a manner consistent with the vanstruction documents_ %s'\ERE D ARC• ✓_ c r/jlF PURSUANT TO SECTION 116.2 2 1 SHALL.SUBMIT WEEKLY. A PROGRESS REPORT �Q� D eon of TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANCOVER BUILDING INSPECTOR, 1,,o, 4153 9N WETHUEN, m UPON COMPLETION OF THE WORK. I SHAII SUBMIT A FINAL REPORT AS TO THE MASS. SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. SUBS IBED AN RN TQ FORE ME THIS DAY OF s TURA NOT PUBLIC MY COMMISSION EXPIRES �� r!6 03 The Commonwealth of Massachusetts Department of lndustiiaUccidents ' Office of investications Boston, Mass. 02111 Workers' Compensation Insurance Atridavit Name Please Frinz Name- Lccation: Cit+l Phone # El l am a hcrneowner pe:Tcrrning all work myself_ am a sole proprietor and have no one vviorking in any capaci=ty I am an employer providing workers'compensstien for my employees working on this job, Comoanvname: D A550c, TtsG, Addre=s Owe- �' � ON: ANfy oeaz- Mk OL,9 U) Phone=" R.� � 4-7U-3CoZ�' Insurance Co. Lr-CILoO J�JSUQANCZ Po6cv# LUGS _ O Z O't9 R T7 i Corricanv name: Address Citi Phone#' Insurance Co. FoiiCu# Failure to secure c-ver-.Se as reputes under Seaton 25Aor,�iGL 1-7 cw leso to the impcsiiicn cr cnminaf penalties cf a nne up to S1,S-'-10.G0 and/or one years impnscnment tis we:t as evil penatttes in Lhe f=m d a STCP INCRK ORCE.1 and a Fine ct c5icoxo)a Cay against me. i understand that a cry of;his statement may be fcraarced to the Ofice ct invescgaticm cf he DIA far c:vera5e verincaa❑n. I do hereby cemy unser the Falls and pennies of perjury that Me irrrcrmatOcn provided accve is rve and o=nes:. sicnature Cate ZZ O Print name C1sc�� �j5� Phone qT3- V70- -3(07 5' Orfirai use only co not hTde in this area to to completed by cry cr;own arts:?( City Cr T Cxn Pwm t/t c«tsiro Building Dept QChecic.f immediate res*cnse s required [j Licensing Board G Sztectman's Office G rrsc cersp^' Phone Health oepartment Other 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. FILLS OUT THIS SECTION******************k**t* rPPL1CANT R LoHONE Q - 334 ( -LOCATION: Assessor's Map Number D3 rj VIPARCEL 00cZl SUBDIVISION LOT (S) I ,,STREET 1000 OV.000 �'(' GE3 �. NUMBER 1060 USE RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED > DATE REJECTED COMMENTS TOWN PLANNER 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 DRIVEWAY PQERMIT / iRE DEPARTMENT / 7` O RECEIVED BY EUILDiNG ii lSPECTOR DATE Revised 9l97 jm I PersonnelTechnical I I Services Incorporated �. P.O. Box 355 1060 Osgood Street North •• :4 800-567-3493 978-794-3347 978-683-6450 fax January 27, 2000 Robert Nicetta, Building Inspector Town Hall Main Street North Andover, MA 01845 Re: Tenant Development Demolition at 1060 Osgood Street Dear Mr. Nicetta: System Builders, Inc. has our permission to begin demolition of the tenant spaces, inclusive of the concrete slab on the grade floor. Sincerely, Michael A. Cikacz, Owner Technical Services with a Personal Touch Contact Us- EOPS Page 2 of 3 Home> SEARCH ....................................................................................................................................................................................................................................................................................... Contact Us Public Safety Search Executive Office of Public Safety and Security One Ashburton Place, Suite 2133 Boston,MA 02108 Phone:617-727-7775 Fax:617-727-4764 Email: eopsinfo@state.ma.us ATTENTION: For faster service,before you send an e-mail to eopsinfo@state.ma.us, please see if an EOPS agency listed below that can better serve you has its own e-mail inquiry address.For instance, DPSlnfo@state.ma.us,for the Department of Public Safety. Architectural Access Board Merit Rating Board Thomas Hopkins, Director One Ashburton Place, 13th Floor Mary Ann Mulhall,Director Boston, MA 02108 P.O.Box 55889 Boston,MA 02205-5889 dgsinfo@state.ma.us Ph:(617)267-3636 Ph: (617)727-0660 Fax:(617)351-9660 Fax:(617)727-0665 Municipal Police Board of Building Regs.and Standards Training Committee Gary Moccia,Chairman Dennis Pinkham,Executive Director One Ashburton Place,Room 1301 1380 Bay Street Boston,MA 02108 Cottage B dpsinfo@state.ma_us Taunton, MA 02780 Ph: (617)727-3200 Ph: (508)821-2644 508 Fax: (617)227-1754 Fax:( )824-2193 Contact MPTC Massachusetts National Guard Criminal History Systems Board Brigadier General Barry LaCroix, Executive Director Oliver J.Mason,Jr., 200 Arlington Street,Suite 2200 The Adjutant General Chelsea,MA 02150 50 Maple Street Milford, MA 01757 Ph: (617)660-4600 Fax: (617)660-4613 Ph: (508)233-6590 Fax:(508)233-6554 http://www.mass.gov/?pageID=eopsutilities&L=1&sid=Eeops&U=ContactUsInfo 9/21/2007 Location ���y �n 1-7U No. ��.�-�-�✓ Date U ` MORTM TOWN OF NORTH ANDOVER 3? .. L i • Certificate of Occupancy $ Building/Frame Permit Fee $ s�CHU Foundation Permit Fee $ Other Permit Fee $ 0. TOTAL $ Check # 205 ;- �% Building Inspect• NORTF/ .6 �9ti ? t 4a O '• h �e COC NhIC c"l Nl W1C04 V �•4 q°R'gren P,f, SSACMUS TOWN OF NORTH ANDOVER Sign Permit Date: August 23, 2007 Permit Number: 006-08 THIS CERTIFIES THAT, Juan Barretto Has permission to erect a Addition to a pre existing ground sign On 1060 Osgood Street provided that the person accepting this Permit shall in every respect conform to the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover. Violation of the Zoning of Sign Regulations, Section#6 Voids this Permit Internally Illuminated Signs are Prohibited Inspector of Buildings SIGN PERMIT APPLICATIONS 1600 Osgood Street Building 20, Suite 2-36 TOWN OF NORTH ANDOVER Site Owner �� �U' 1 �Cn� i�.(�( S Applicant Tel 1�7�k - f � i. GIs- Site S Site Address Size of Proposed Si 63 1 J�!e Ma a ti 5- Parcel a 9 _29 Illumination: a) Not illuminated urinated How attached: a) Against the wall c) Externally illuminated b) Roof c) Ground Materials: ✓yi k.4-6,L- d) Other Proposed Colors: Background OU Lettering Gree- Cost of Sign J��•� Border C14—a-- Note: No permanent/temporary sign shall be erected, or enlarged until an Required Attachments: application on the appropriate form furnished by the Sign Office has been Photographs of building . filed with the Sign Officer containing such information including Material sample photographs, plans and scale drawings, as he may require, and a permit Color sample for such erection, alteration, or enlargement has been issued by him. Site or Plot Plan(Required for all free-standing signs) Such permit shall be issued only of the Sign Officer determines that the Drawings of proposedsignsign complies or will comply with all applicable provisions of the By- Other, speci Law. Will sign overhang any public road or walkway Yes ( ) No If Yes, Name of Agency who will provide liability insurance: AN INCOMPLETE APPLICATION WILL NOT BE ACCEPTED DATE FILED: ' '23-`r� Receipt # ; e7 Check # Revised 10.31.2006 Form Sign Permit Application SIGNATURE OF APPLIC NT Roberts EBeliveau, thur's Corner r InsuranceZZERIA ImperialE. Charles :a Cleaners D.D.S. Johnson School of Art Simplicity r ra 0 i Date. l.`�'.G? °'•40°T"�"o TOWN OF NORTH ANDOVER 00 PERMIT FOR PLUMBING ,SSACMUS� This certifies that ,�": ! . . . .�.!t- �?!.C.t. . . . . . . . . . . . . . . . . . . . has permission to perform . .PCkt—e?L'. Of.41.0 . . . . . . . . . . . . . plumbing in the buildings of . . '1 . . . . . . . . . . . . . . . . at. .AQ&".p. . . S. 0 a. . . . . . . . . . . . . . . North Andover, Mass. jj. � Fee./ -.. . . .Lie. No.// . . . . . . . . . . �t��� ,PLUMBING INSPE&r6R Check # 6353 MASSACHUSETTS UNIFORM APP /ICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS 1 �� Date Building Location 16 O Owners Na Permit# J Amount Type of O\Cup c New ©/ Renovation e/ Replacemen Plans Submitted Yes No ❑ FIXTURES 4� o� a elm MWVO r >s>cFLOCIR ZD HJ00R 3RD HfM 41H Hi" 5M Fl R 61H ROM 71HHj0CR sMH-O(R (Print or type) heck one: Certificate Installing Company Name << (.('/�/ (� Pie- ❑ Corp. Address (F h- T & Partner. u mess Te ep one �r co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the MassachUsetts State Pm 'n Code and Chapter 142 of the General Laws. By: 3'gfmure o Lpeyseu rlumDer\.� Title Type of PhAbing License City/Town nse u er Master Journeyman ❑ APPROVED(OFFICE USE ONLY r Date.C. . . . �. . . . ... . . O NORTH TOWN OF NORTH ANDOVER ti F ' PERMIT FOR GAS INSTALLATION SACHUSES This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . has permission for gas installation . . . .'. . . . . . . . . . . . . . . . . . . . . . . ini the buildings of . . . . . .l. :. �. . . . . �. . .r `. . . . . . . . . . . . . . at .! .. .. . . . . . . .. . .. . . . . . . . . , North Andover, Mass. Fee . . . . . . Lic. No.. . . . . ..>. . ::�'�.�z�, . . . . . . . . . . . . GASINSPECTOR U Check# / ` -1 i 3077 t ,y - P MASSACHUSETTS UNIFORM APPLICATON FOR4WMf'TO DO GAS FITTING (Type or print) Date mop NORTH ANDOVER,MASSACHUSETTS C Building Locations —.10 ,6n (0.C,= 6nj �J� Permit# 34 1 Amount$ Owner's Name (`k� _� ��c 1 New❑ Renovation Replacement ❑ Plans'Submitted ❑ w x a c a > > > � a Ho SUB- BA SEM ENT BA SEM ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5TH. FLOOR 6TH . FLOOR 7TH . FLOOR 8TH. FLOOR or type c cJ Chf&k one: Certificate Installing Company Name v `n�..n �1 �.�4� Corp. Address IV ❑ Partner. Business Telephone 9 y2 ?Q y ❑ Firm/Co. ;Name of Licensed Plumber or Gas Fitter , 1 ,.zr., o-. 4::� 1� ) INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes EL No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy P Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. SiCheck one: ❑ Signature of Owner or Owner's Agent Owner Agent ❑ �1 hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Cas Coder d Xter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Plumber t a 7 Ll City/Town ❑ Gas Fitter License Number ' ® Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Date. . "% 40 r TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING SSAC14US� i This certifies that .. . . . . . . . has permission to perform . .'. `- : . .: ..`..... . . . . . . . . . . . . . . . . plumbing in the buildings of C . : . .��j. . . .. . . . . .t- . . . . . . . . . at . . . . . . . ... . . . . . . . . . . .. North A dover, Mass. Fee. .. . . . . .Lic. No.. . . . . . . . . :=<' ' l,,. . . . . . . . . . . . PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS fir=` b Building Location . Date 6Q� - Owners Name Permit Amount Type of Occupancy e_6 uJ'. New Renovation Replacement ri Plans Submitted Yes ❑ No FIXTURES r d a a F W W A A 151H R� ISTIOQ2 aR GH REM 7IH RaR SII3 FLOQ2 Tt-int or type) Check one: Certificate Installing Company Name• ,( c S i ��v�•�r.1.�,.�,� Corp: Address ElPartner. Business Telephone q7 g -- 13 *f y—)'7 Z)'7 Fiim/Co. Name of.Licensed Plumber. l L..c� Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy El Other type of indemnity Bond' Insurance Waiver. I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance igniature Owner Agent A I herebycertify i rtify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts. to Plum g C e and Chapter of the General Laws_ By igna o kens r um er Title Type of Plumbing License ZQ City/Town icease um er Master Journeyman APPROVED(OFFICE USE ONLY Location 1060 d�SGo c b Sf No. a Date NORTH TOWN OF NORTH ANDOVER 3? � . 0 + Certificate of Occupancy $ ;7s'••°'Eta' Building/Frame Permit Fee $ s�CHus k Foundation Permit Fee $ Other Permit Fee { $ _ TOTAL $ y S Check # j. G : ,14 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING T OTHER THAN A ONE OR TWO FAMILY DWELLINGM FA /v 13 SCCtIOII 1<OC OffIC181 Use DIIl & BUILDING PERMIT NUMBER: DATE ISSUED: � � Co -aoa/ z SIGNATURE: C Building omnussionUjnsj2Lctor of Buildings Date 1.1 Property Address: 1.2 Assessors Map and Parcel Number. 1060 Osgood St. , Suite 4 035 .0-0029 0000.0 North Andover, MA 01845 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: v Use Code 340 > Zonis District Proposed Use Lot Areas Frontage ft m 1.6 BUILDING SETBACKS(ft) Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided t 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zona ii Outside Flood Zone g❑ Municipal On Site Disposal System ❑ '07,571,0717 7--IM77-- `NtP'9r Ud «s ry 2.1 Owner of Record R&M Realty Trust 1060 Osgood St. , Suite 9 O Name(Print) Address for Service: 978-794-3347 HT1 Signature Telephone X Michael A. Cikacz 2.2 Authorized Agent /� o��y Q. / .. 67 Cranberry Lane, N.Andover, MA Z Name Print �— Address for Service: 978-688-6767 O Signature Telephone m !`tAM-1111�IISWMK-1 MEN 90 3.1 Licensed Construction Supervisor Not Applicable ❑ 2 East Nashua Road, Windham, NH 03087 CS 072992 Address License Number 0 Michael Carpenito .y� -n Licensed Construction Supervisor: //1 Q a 0 y 603-434-0990 Expiration Date ic r r- Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ < HTC! 128425 Company Name'. Registration Number m r Address r Expiration Date ^Z Signature Telephone n SI MON 4 '4l 04KRRS 001010, 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....... SECfIgN S . P] d ,SSI©N 1L DES k f 1 SU XT RVTC S R�1 TTUD N+ ANSMVCTMS..Sumtrw CONS`]€R1f3CJi IAN+CONTR©I.PT1RSfl T0,104 Ti D` 5,s C :OE I1 C1E 1S) D SI'A ) 5.1 Registered Architect: Name: Address Signature Telephone �.21fst�re�,�fessenalf�> inee�s�. ;s ,- Name: Area of Responsibility Address: Registration Number Signature Total Expiration Date Not applicable ❑ Name: Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number L Signature Telephone Expiration Date Company Name: Not Applicable ❑ Responsible in Charge of Construction J, Xt- ����:��P1 ) New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) M Addition 0 Accessory Bldg. ❑ Demolition ❑ Other 0 Specify Brief Description of Proposed Work: Fit out for new tenant. Add 1/2 wall to creat work area, add full wall to create "drying area" , add sink and natural gas line. suo USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly 0 A-1 ❑ A-2 ❑ A-3 0 lA ❑ Alt 0 A-5 ❑ 113 ❑ B Business R 1* 0 C Educational 0 2B 0 F Factory ❑ F-I 0 F-2 0 2C ❑ H High Hazard ❑ 3A ❑ IInstitutional ❑ I-1 0 I-2 0 I-3 0 3B ❑ M Mercantile ❑ 4 0 R residential 0 R-1 ❑ R-2 0 R-3 0 5A ❑ S Storage 0 S-1 0 S-2 ❑ 5B ❑ U UtilityE01 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: 340 Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: ` y . 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 I, ,as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Date - / , .�' N. C Lc Z ��s� „ 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 /7' L"c.4'�d �. �"C L Print Name c r3 0 Si ture of Owner/Agent ate Item Estimated Cost(Dollars)to be Completed by permit applicant 1. Building (a) Building Permit Fee 3 , 300 Multiplier 2 Electrical 1 , 200 (b) Estimated Total Cost of Construction from(6) 3 Plumbing 11900 Building Permit fee (a)X(b) 4 Mechanical(HVAC) -0- 5 Fire Protection 500 6 Total (1+2+3+4+5) Check Number t dz � lu �:v1"` $�S t2�•�ir sS.f. e`�.: rl}S [ - :sl.{ fT.t�yt 1,, :d ,t; fx:7. a Y�S� �✓.J,y��s,3stl�,\tf 1 ��1�, � t a. .,i�,, �'� ro3 1 Y ,x�o� .r;1b rFi.t NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1ST 2ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE z, liuniyi - U LV 1 i�ULL'L101'� 1'VIAIVI i 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 comphonce„wO any applicable requirements. irrrrrrrrrrrrrr�rrrrrrrrrrrrrrrrrrrrrrrrrrrrrr�rrrrrrrrrrrrrrrrrrrrrrrwas rr0 APPLICANT R&M Realty Trust PHONE 978-794-.3347 210/035 . 0-0029-0000 .0 Use Code6880.0 j ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER Ste ' Osgood Street STREET NUMBER 1060 �rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr�rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr OFFICIAL USE ONLY rrrrrrrrrrrrrrrrrrrr�rrrrrrrr'■rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr■■ . RECOMIENDATTONS OF TOWN AGENTS IrrrrrrrrrrrRoom rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr■'rrwomen mass rr■ DATE APPROVED CONSERVATION ADMINISTRATOR DATE REJECTED CONO&NTS DATE APPROVED TOWN PLANNER DATE REJECTED CON84ENIS DATE APPROVED FOOD INSPECTOR-'HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMM7 NTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT / DATE APPROVED DATE REJECTED /%F COMMENTS RECEIVED BY BUILDING INSPECTOR DATE EE CEOM ' JUN 14 2001 ILDING DEPT: a The Commonwealth of Massachusetts a � d Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: 1&040�c? city /''/d6 Phone # 61 03 I am a homeowner performing all work myself. 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 Cites Phone#: a Insurance-Co.. _. P0 licv# Company:nam�e7- ,n Address Ci Phone#: 2� �� Insurance Co. K � Poligy# eO124J T Z(75 t 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$1,50f):00 and/or one years'imprisonment_as_wef-as-civil.penaltiesin-the mn-af-aSIOP_WDRK_ORDER..and afine_ofI$]D0-0Q)-ashy-againstme. I understand that a copy of this statement may be forwarded to the office of Investigations of the DIA for coverage verification. I do hereby certify under the�pai s and alties perjuryt t the information provided above is true and correct. Signature Date f -�!IV IF Q a Print name ! O /"tom Phone ��7 f S22d P officiai use only do not write in this area to be completed by city or town official' v City or Town PermNUcensing ❑ Building Dept OCheck if immediate response is required ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other i ,lite fin»tnulu�x{r�l/t c�, ltrzursrlrt.;E�s 13OARD OF BUILDING REGULATIONS } License: CONSTRUCTION SUPERVISOR ;fit i M« _ Number: CS 072992 iNO Birthdate: 07/19/1967 i Expires: 07/19/2002 Tr.no: 72992 Restricted To: 00 MICHAEL H CARPENITO • 2 E NASHUA RD WINDHAM, NH 03087 . o Administrator r A F - f -- -1 :,HENETTE I _— PHONE N I 6'k10. " 4-2' l ' MCN. D° J N t09� ( CORRIDOR T 110) ti Ill A STORAGE 108 � 113 TOILED ET s 1i2 71 o N4. A c 0 O A e IfD6 CLERICAL tim - -� - - OFFICE AREA I 1460 S.F. Fv O A I A2.m woo 105 r 4-4„ g - O e WAITING No u RENTAL i . 5PACE f; 104 FI 1-4 OFFICE AREA 510 SF. 103) ® r SPS?AWe Head UF' 'h-WA,L L w g (102 (101 EXISTING LOBBY NORTH Town of E Andover 0 No. 0'' z DSA COC;A dower, Mass., 46 DRATED S H E BOARD OF HEALTH ERMIT T D � Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT................ ..��/....... f.?. ... .......... � SR. ......................... +s Foundation .1 r sV,f has permission to erect....././f�' 'r .P...�'... buy dings on .../.D....6.o 4PSG m� 6 ...i..0/ Rough �aOW+ A)6/ • /— � WAIL I F%#dW*V// LyO�� Chimney tobe occupied as... ..................................................P................�...................�..................................................... y provided that the person accepting this permit shall in every respect-conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. ®, PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR t � Rough .. 00 '4 ................................................................... Service BUILDING INSPECTOR Final Occupancy. Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. i r Date.L�: . N2 Id. 5 7 9 NORTh TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SS is Hus� This certifies that .j!1!< .-.'.��.�yr. . .�/�//�.� . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . plumbing in the buildings of . . . . . . . . /GG S � o � �� at.� . .� .�. . . . . . . . . �.`�. . . . . . . . . ., North Andover, Mass. Fee. . .Lie. No.. . . . . . . . . 4 PLUMBING INSPECTOR V WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 PLUMBING (Print at Type) x0o a - (� /yo �wOor . Mass. Date '� � Pefrnt Building Location I D �O Orho o f� Owners Name 10 4U °s'6O� �/� Type Of Oc D 001�cl eel New O Renovation ® o"' Replacement ❑ ns Submitted: :Yes ❑ No G;-o-- FIXTURES x 'n — x Y W at J b >• V < N C R H Z N < CZ h N x 6 O = X = O q r N W C X o < z o a a W 0 9 W .( O 4 < W N O C J Y O d jkCc W Z < Z >t A z ` h < SEL < W I• < W b yh O z d a N h Z O O N z x W �' O V X < < p < J J < O: C C < O < SUB-113MT. BASEMCHT IST FLOOR 1 3N0 FLOOR ' 3RD FLOOR 4TH FLOOR STH FLOOR ' E eTHFLOOR 7TH FLOOR STN FLOOR ' Installing Company Name Modern Mechanical Contractors,,, Inc. I Check one: C dffate Address' 18 Riverview Ave. zp'Corporation Methuen.�MA. 01844 p Partnership Business Telephone 978-683-3174 ,s ' 13 Pimt/Co. Name of ticensed Plumber Michael C. Cuscia INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes M. ..� No O If you have checked ysi. please Indicate the type coverage by checking the'appropriate box A liability insurance policy Ill Other type of Indemnity ❑ Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. Genera! Laws. and that my signature.on this permit application waives this requirement. Check one: Owner O Agent O Signatin a owrw at s t I hereby certify that all of the details and information f have submitted(a entered)In above application are We and sawrate to the best of my Lnpwk6d9a and that all plumbing work and Installations performed under the permit Waved lot this application will be in compliance with aY pertinent provisions of the Massachusetts Stale Fiurnibe cm. oo and is( °of the General taw& nature of Ucensed Plumbel C Title Type of Ucense:Master LI Journeyman❑ Gty/Town Ucenu Number #7380 OELOW FOR OFFICE USE ONLY FINAL INSPECTIONS jKlETCHES PROGRESS INSPECTIONS FEE .' N0. 1 APP`UCATION FOR PERMITTO DO PLUMBING NAME i TYPE OF BUILDING LOCATION OF BUILDING PLUMBER "Run GRANTEO DATE lo. v PLUMBING INSPECTOR Date.c --/ '- 6 -3, 559 ... . .. . ........ MpRTM TOWN OF NORTH ANDOVER FrOy��.ao ,e 1�O LA PERMIT FOR GAS INSTALLATION ,.e SSACHUSEt'(`, •/ .� This certifies that �r. .c./. . .,� has permission for gas installation . . . . . . . . . . . . in the buildings of at . . . . . . ...North Andover, Mass. Feer?..-,., . . . . Lic. No..�U .`�. !. e t7. .. . . . . GAS INSPECTOR i WHITE:Applicant CANARY:Building Dept. PINK:Treasurer 1 NVIASSA l A.PP CATON FOR PERMIT TO DO GAS FITI'IlYG ype or print) PARCEL Date NORTH ANDO Building Locations 1��� (/S9®o��%�f�� U�/�� Permit 4 3J Amount$ Owner's Name _ �r New❑ Renovation ❑ Replacement Plans Submitted S 71 CI -- z C n L Z � Z � � y v i _ � y � - Z 't w — } n Z C 7_ `� C v1 C C = C j+ sus-11ASEM Ev 'r BASEN ENT IST. FLOOR y 2ND . FLOUR 3R +"J' . FLU U R 4T 11 . FLOOR ST It . FLOUR 6T1 . FLOUR ?TU . FLUU R ST [I . FLOOR (Print or type) ,� Check one: Certificate Installing Company Name ���1-/�i �/= ��,%/,���i9/%/�� •`�c' ❑ Corp. L7 Address ❑ Partner. Business Telephone 9 7F _-7S ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes E] No❑ If you have checked ves,please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: ❑ Signature of Owner or Owner's Agent Owner ❑ Agent I hereby certify that all of the details and information I have submitted(or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for chis application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 ofthe General Laws. By: Signature of Licensed Plum er Or Gas Fitter Title . Plumber �_ 79a CityiTown ❑ Gas Fitter License i umoer ❑f Master APPROVED MFRC: USE ONLY) ❑ Journeyman COOL-RITE MECHANICAL, INC. 7616 f Date.—/�. .�.5 N2 41- 99 'A °'"��T:�4, TOWN OF NORTH ANDOVER 0 ' PERMIT FOR PLUMBING �SSACMU � This certifies that A?!.('r . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . .��. . Ld.-.f �. /. . . . . . . . . . at . . . . . . . . . . . . . .. North Andover, Mass. Fee. 5. Lic. No..-?. . . . . . . . . . ... . . ..- '-. . . . ..... . . . . . . . . JPLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Piro 3� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Alo 4AJ00v&2 , Mass. Date - �-� �©a Permit # -! 0 � Building Location 1040 0ce-oa0 .6a62y — Owner's Name ±y/ Z_6�Z' °- Type of Oc ~y New ®-' Renovation ❑ Replacement ❑ tans Submitted: Yes ❑ No [Y FIXTURES Z Y a f N N N O Z F- H W W Y J N Z Q Z W d O N Z N 6 ¢ ¢ S ¢ N - U. Z - - }. G - W f• W N F U Y < N _ a - X VV7 N: It! N S m N W >. < F� N .`.. O < Vf Z !G a ¢ O w z O n ¢ < ¢ < W ..+ ¢ W W N O J N C ¢ J - O O LL W h U < 2 3 = a Y N t- Y 0 0 N 2 2 W h- O U 2 > F' O N N < O Z � O < ¢ s ¢ d 0 < F- i r sue-BSMT. BASEMENT IST FLOOR 2NOFLOOR 5 3RD FLOOR i 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR , 8TH FLOOR ,y Installing Company Name k104&2N /I WC � _&VI Check one: Certificate Address v1 6-70 Alio O Corporation Jy g-Two'j , JqI4 ❑ Partnership Business Telephone (,R3-3;711 O hmi/Co. Name of Licensed Plumber /�1�Ef3Z- �- ����i•9 INSURANCE COVERAGE: I have a current lotbility insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 9311, " No ❑ If you have checked yes, please /indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed'under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 14 f the General Laws. ey \ Signature of Licensed Plumber Title Type of License: Master Journeyman ❑ City/Town APPW VFD(OFFICE USE ONLY) License Number 7-:93 f BELOW FOR OFFICE USE ONLY FINAL tNSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE ~ NO. - I APPLICATION FOR PERMIT TO DO PLUMBING i i NAME i TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 19 PLUMBING INSPECTOR ~ CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 203 (4-07-86) Date May 16, 1997 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1060 OSGOOD STREET MAY BE OCCUPIED AS OFFICE SPACE IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE. BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. BASED ON INSPECTIONS PREVIOUSLY PERFORMED FOR FINAL OCCUPANCY. CERTIFICATE ISSUED TO Joseph Ipnolito 1060 Osgood St. ADDRESS North And— Ma 01849 „""'� Building Inspector i ,l o � Jfi -f Joseph D. LaGrasse & Associates, Inc. Architects Land Planners Engineers f One Elm Square Tel. 978470-3675 JDLAI@aol.com Andover,MA 01810-3609 Fax.978-470-3670 www.lagrassearchitechs.com PROJECT NAME:_ Technical Personell Services—Office Expansion PROJECT LOCATION: 1060 Osgood Street North Andover MA NAME OF BUILDINGS: Phase I Expansion ARCHITECTS PROJECT NO: 1682 NATURE OF PROJECT: Expansion Office Space Phase I includes technical support cubicles IN ACCORDANCE WITH SECTION 116 OF THE MASSACHUSETTS STATE BUILDING CODE, 780 CMR-6TH EDITION I, ��5F.QN ©� LAS J5G REGISTRATION NO. 4153 BEING A REGISTERED PROFESSIONAL ARCHITECT HEREBY CERTIFY THAT I.HAVE PROVIDED CONSTRUCTION OBSERVATION SERVICES ON BEHALF OF THE OWNER, THAT I WAS PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS AND THAT TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF,THE WORK OF THE PROJECT HAS BEEN EXECUTED IN CONFORMITY WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT. TO THE BEST OF MY KNOWLEDGE,INFORMATION, AND BELIEF,THE WORK OF; ❑ Phase i Layout as per attached plans HAS BEEN SATISFACTORILY COMPLETED IN ACCORDANCE WITH THE CONSTRUCTION DOCUMENTS. WITH THE FOLLOWING EXCEPTIONS(IF ANY): 1. Executive office area,reception area and conference room. ERED Ap, No. 4153 l ti I S PH D.LA SSE, MASS. J S H D. LAGRASSE& SSOCIATES, IN \�y OF M�SSPG Principals Joseph D. LaGrasse AIA • Philippe R. Thibault AIA Member ofAmerican Institute ofArchitects&Boston Society ofArchitects f I I D I 52 O A r� N n g � 7 I XX Dw \— � n 0 FI 6TS X, �_— rn 5 x -_ _____ 9'• -4' � I� -4 6 •A 9a Am aE W& _zn 1\ � II \ 0 mIF \\ \ \ pEaL' �x EDo - E ppppb N _ A YY m \ \ \ \ ! \ t \ \ E \ L \ \ JL 01> � s _ WB -— ---------- -8p ; N ----- I I I Q i D =-� I L-------IF-------� th r------- I I Irl ( ------- mm q _______� r-------IL-------� I SDI r-------Ir-------U �_______ I m-I I I IA mlI I II I I I I Fel I II 1 � m O I I I II 1 I I I I I I II I I a. -------� z L-------A-------J L------- I�� D oil � � O O m I �m1 i------- m ; o pQ m A z N+ r- I FILE ABINETS �A ----- I (BY INER) L------- I pe ' �m s n ®m� n I $to T 0 i a a 4 ll m �m6�17 �4ttttii \ k I iml rr ez � N (41 Z 11'•1" 15'-4., � y.,y. revisions prepared for TECHNICAL PERSONELL SERVICES m $m e it, description datea "q n location 1060 OSC000 ST., N. ANDOVER, MA 6 o m 1 REVISE OFFICE LAYOUT title TECHNICAL a SECOND FLOOR PLAN PERSONELL SERVICES 1060 OSGOOD STREET, N. ANDOVER, MA. � 4 �i TIAM REALTY, LLC David S. Samuels, manager Two Stevens Street Andover, MA 01810 Phone (978) 475-0567 FAX(978) 475-7169 N J�y F+F N ,A HSI ,here are the other tenants at 1060 Osgood St.: PA t V. t !� �1. Hair Salon Te 4r at<4 1340 ft. 1767 sq. ft. Financial Consultants 1200 sq. ft. InsuranceAgenc y 2045 sq. ft. Dry Cleaners 4. 383 sq, ft.� S taffi% Agency 1465 sq. ft. Mortgage Brokers 2275 Yoe sq. R. Real Estate Agency if I cars be of further assistance. n RD .~ 77, 117 I V 3 L 4 1 L t: p 2 e! T 4 ' i r? 1 v ;K A4 YJ f. L L 5 n #trf O LJ is t_L A44 JAMES A. P . E . AL STREET LAWRENCE M - A 01840- 1233 (978)687-6350 t;=w 599 CAN SHEET N0: t OF - -- ; DATE 7/64- JOB ,r :;$ NO: DRAWN BY: J ,4 ___ � ..a.+w.nw....�...... ..a.«..+irvr'�+�wrw+w�»wr�—.—«. .w+�w.an+.ms:r.v ww.�..r.•......r..�......w ... _ ._.. �..�w+«..—.n+r-�..r.me"r+waw...��.....«.e««._. ��'�-Sk' _. .. ..�. A A TIAM REALT N, Y, LLC David S. Semu&, manager Two Stevens Street Andover, MA 0 18 1 o Phone(978) 475-0567 FAX(978) 475-7169 .here are the other tenants at 1060 Osgood St. :^' } xM; pig t Ac wl c '1 1340 sq, ft. Hair Salon It Or 4 c1i + 1767 sq. ft. Financial Consultants 1200sq. 6 9 C�c.�c7 ft. Insurance Agency 4 2045 sq. ft. Dry Cleaners 383 sq. fl.� 5465 Staffing Agency s 2275 q ft. Mortgage Brokers �► �� sq. ft. Real Estate Agency r `ifIte can be of further assistance. ".� Z 7 Z n `� e 0 ►� -� _r7 7Z E e;' L ts' FO 2 4- ' AQ a r V 41 s. 9 Y-14 r,►-y A s 1 o s �� o T� > 40 Aye to Lj ca t_c.. X104 JAMES A - - P E 599 CANAL STREET LAWRENCE MA E . 01840- 1233 - (978)687-6350 SHEET N0: t OFDATE / _ ¢- JOB N0: DRAWN BY: 4 w c4r TIA,M REALTY 4 Dated s. s � LLC Samuel's manager Two Stevens Street Phone (478) 47MA 01810 5 0567 FAX(478) 475-7164 .here are the other tenants at 1060 Osgood St.. 1340 sq ft. Hair SalonTCft A. '°� rti 1767 sq. ft. Financial Consultant, 1200 ,sq, ft. Insurance AgencIb 9 C�c,�c7 2045 sq. fl. pry Cleaners � L /0 383 sq. ft.► 5465 sq. R. Mo�B Agency 2275 Sage Broker ft Rei!Estate Agency I can tie of further assistance. 1 . 12- Dit , : 7 Z !, 117L5�_ S a�� do 0 C'- f� w J f Y �✓/.,S .+ � 2 cL L S } 3 . JAMES A. 0-'DAY 599 CANAL STREP(` P . E . -- _ LAWRENCE, MA 01840- 1233 (978 6 — SHEET N0: � - ) 87 6350 OF / DATE ; i1 . �. /�71c;,q - l JOB N0: DRAWN BY: 5 J J Date. .:./..+. ..:G�... NORTH TOWN OF NORTH ANDOVER pf 1,.° ,c,�O PERMIT FOR GAS INSTALLATION 1- A • s sh • ,SSACHUSEt This certifies that . .,�, ' :..1 :. F� .. . . . .!. ,a-: . .... . . . . . . . . . has permission for gas installation : . . . . . . . in the buildings of . . . . . . . . . . . . . . at . .!. / : . . .!! .4, :�. . . . . . . . . . . .. North Andover, Mass. Fee-).! .,. r' Lic. No..7,. .):. . . . . . . . . . !,-/ . . . . . . GAS INSPECTOR' WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLI.C'►,TION FOR PERMIT TO DO GASFITTING — (Print or Type) _ /V4. Ma§s. Date 190eel Permit # 3— r Building Ldcatlon_ &(6 Owner's Name 7'j `o, ' - Type of Occupancy D/Z�l L {fur ©�.riG NewRenovation ' [� []_ Replacement [� Plans Submitted: esD No v a vl „l 1 ;v N OC to � O � N y �„ W W W 0 4u m t O S Vl x o tail h- < are Z = o w H O Irl 6 I- y IL � 9 < O W — W W M J x < x a oNe tW7 � W I' W V h x ..r F= x F• W W O > LL I W J W x < W 6 C r N c3 a o X W > ae W Z. < W < ae x O O x W 3 a d J 0 W > o d M O SUB-BSMT. BASEMENT 1ST FLOor, 2ND FLOOR �. _3RD FLOOR 4TH FLOOR STH FLOOR , BTHFLOOR } 7TH FLOOR aTHFLOOR r Installing Company Name Check one: Certificate # Address 1 �rv�n�'s�wu� ❑ Corporation O/rw (] < Partnership Business Telephone Gra- 31'74 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter 41SC- INSURANCE COVERAGE: have a curre t !!j insurance policy or its substantial equivalent which meets the requirements of MGI-Ch. 142. Yes No I7 If you have checked,mss. please Indicate the type coverage by checking the appropriate box. A liability Insurance policy Ln Other type of Indemnity u Bond O P t OWNER'S INSURANCE WAIVEn: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General haws, and that my signature on this permit application waives this requirement. Check one: r D Signature of Owner or Owner's Agent owner[] Agent 1 hereby certify that all of the details and information I have submitted(or entered)In above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit Issued for this application will be In compliance with all perllnent provisions of the Massachusetts State Gas Code and Chapter 142 oft eneral La - gy. T ansa: C� - 61"umber nature o cense um er or Gas it er Title l = G itter aster Ucense Number City/Town - Journeyman ArtKryr-6�FT�E-U�F oFll.pf— BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES ?, PROGRESS INSPECTION FEE N0. = APPLICATION FOR PERMIT TO 00 GASFITTING _ NAMES TYPE OF BUILDING • LOCATION OF BUILDING -- PLUMBER OR GASFITTER LIC NO. PERMIT GRANTED DATE GAS INSPECTOR r ` R Office s� I title iommnnwfalt of MassattlusRfis Permit No. 1cpur tent of Public $afet0 Occupancy A Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 1 "" (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INVo R T)TE AJ L INFORMATION) Date 9-//-9 -7 %Yi or Town of - wg, 6 t.,_-e of To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) /OGD as OD �w'-lif 3 d- Owner or Tenant 10Z U Owner's Address d GU (/.S'a DO Is this permit In conjunction with $building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building l.0►I'1 Me►2c+ 14 ( Utility Authorization No. Existing Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps_J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ��V►Q`� /(�ti i7� �t,>I "S No. of Lighting Outlets No. of Hot Tubs No. of Mansfo►mers Total KVA No. of Lighting Fixtures / Swimming Pool Above In- CX) G grnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No.of Heat Tbtal Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KIN Detection/Sounding Devices No. of Dryers Heating Devices KW LocalMunicipal DOther ❑ •Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring ; No. Hydro Massage Tubs No.of Motors Total HP OTHER: 6e)2r- gv� INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws 1 have a current Liability Insurance Policy including Completed Operations Coverage or Its substantial equivalent. YES C NO C I have submitted valid proof of same to the Office. YES -^ NO C If you have Checked YES. please indicate the checking the appropriate box, type of coverage by INSURANCE V BOND C OTHER C (Please Specify) Q Estimated Valu of Electrical Work= piration Date) Work to Siert �"��— Z_ Inspection Date Requested: Rough 9— Final w /) C7, Signed under th Penalties of ps FIRM NAME Ucensee LIC.No.,/ �y9 Slynatu C.NO. Address - Bus. Tel. No. . D Z ?G% All.Tel. No. OWNteRS INSURANCE WAIVER:i amaware that the Lies nae does not have the Insurance coverage or Its substantial equivalent as ra- qulred by Massachusetts^Geonral laws. and thal:�iy signature on'this permit application waives this requirement.Owner Agent (Please.Chock one) (Signature M Owner tx Agen}/) Telephone No. PERMIT FEES �s r n /• ft 6565 e- ...... ... ... ... ..... 117 ! NORTH 6 -0 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING k= 'tS C14US ............ This certifies that .....0-4-� has permission to perforne.-2-A. .�- ....... .,............/. ..... . ... a*,^. wiring in the building of A .6 P....... . . ... ............. ...... ............. ........ t. at./AX"b.... North Andover,Mass. cl� LD LD Feq/& Lic.Ndra�... . I ........................................... ELECTRICAL INSPECTOR 7V 0 WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Cx i ,,.,. Office Use Only_? 014f &Mmanwttli of 14flas 4ugft Permit No. t 13epartment of Public *nfttg Occupancy A Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 .3190 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 6— 41—9S Qow or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) I t2 6n 0sn D In ,a S lY Owner or Tenant �'55-1L Owner's Address S/ Zr Is this permit in conjunction with at building permit: Yes ❑ No ® (Check Appropriate Box) Purpose of Building( L7�i�7ele0 /�9 Utility Authorization No. Existing Service Amps _� Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps —J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of TFansformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- gmd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW LocalMunicipal ❑ ❑Other Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: RAMAS-t- '_S` INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws 1 have a current Liability Insurance Policy including Completed Operations Coverage or Its substantial equivalent. YES C NO C 1 have submitted valid proof of same to the Office. YES NO C If you have checked YES, please indicate the type of coverage by checking the appropriate box. / INSURANCE Jt BOND C OTHER G (Please Specify) (Expiration Date) Estimated Value of Electrical Work s Work to Start 9p"• 7—475 Inspection Date Requested: Rough Final _Aell ll ev-1/ Signed under t Penalties otry; FIRM NAMED�/�//ice�( LIC. NO. Licensee / J e- e Signature ?/� LIC. NO!— �Ocrc�l� Address ©e 90"t lda6 ���7 .SLG �/�/ BusAlt. Tel. No. 3 2d-P 3y OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or Its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE s (Signature of Owner or Agent) x 6565 Date. `4 D s °f`NO�T TOWN OF NORTH ANDOVER `. Ainalft "% PERMIT FOR WIRING ACMUSEt m This certifies that has permission to perform ...�....�...... "' ' o wiring in the building of............................................................. 1 at..........................................r1.......,. ............................ ,North Andover,Mass. Fee Lic.No. ..................... ............. ............................................................... ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File mA55AUHUSETT9 UNIFORM APPLICATION FOR PERMIT TO DO �ASFITTIN(3 (Print or Type) NORTH ANDOVER � Building Location /0�6 GS a -� Permit # Name __UFO LI 722 New ❑ Renovation 6"� Replacement 13 Plans Submitted:. Yea 0 No h _ SO ' e1 V O !� OC tl o�C w h V d H = M X O r < �• s s IS h X r = i 1+ IS IS z of IX de j IL J i 'i o d v soe y d o sus—asMT. NAIEMENT i 1sT FLOOR , 2ND FLOOR I Sftb FLOOR 1TH FLOOR sTH FLOOR I � sTH FLOOR s 7tH FLOOR t , sTH FLOOR ; installing Company Name (,�lJ ���_ff � ! y Check one: Certificate Address_ S'(- �( �; T Corp' d Partnership �. ❑ Firm/Co. Business Telephone Name of Licensed Plumber or Das Fitter INSURANCE COVERAGE: 1 have a current liability Insurance policy or its substantial equivalent. ' Yesck e No 0 If you have checked yes, please/indicate the type coverage by checking the appropriate box. A liability Insurance policyL� • Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does nd have the Insurance coverage required by Chapter 142 the Mass. G neral Laws. and that my signature on this permit application waives this requirement. // ^. �Jc: J Check one: nature -- Owner or Owner's Agent Owner ❑ Agent❑ I hereby certify that an of the details and information I have submitted(or entered)LInabove knowledge and that all plumbing work and Installations rfprmed under the perms foplhli tion are true end accurate to the bell of my pertinent provisions of the Massachusetts State Get Code and Cfiapter 1,2 of jha wt Application will be In compliance with all T of tkenss: Tide Plumber a o nse um er or as e GaslItter qly� Master nse Number . --1 Master JAPPr10NED(OFFICE USE ONLY) Date.. . . . l42C ' �. .E... . . . r NORTh OWN OF NORTH ANDOVER MMIT FOR GAS INSTALLATION O A c ; vv 9 TED SPP y,�cJ likI nDp^ �9SSACHUSES Pridove'r This certifies that . has permission for gals installation i in the buildings of . . . ... �.�'. f f . 1� . . . . . . . . . . . . . . at ... . . . . . . .. North Andover, Mass. Fee. -:!. . . . Lic. No.. --. .'* . . GAS INSPECTOR a, WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File K. wincnester Mechanical Inc. 1555 Middlesex Street. N2 2147 LOWELL, MA 01851` ' (508) 937-9476 DATE March 11 , 1992 TO 1060 Realty Trust CUSTOMER ORDER NO, 1060 Osgood Street SALESPERSON N.Andover, MA n1845 VIA TERMS: dUPANTITY DESCRIPTION ' PRI-CE"" -AMOUNT 3 Men ° LTrs n $30 :00/HR 720 0� 2 Men 8 Hrs . C $30 .00/HR 480 00 7 24x12 return grilles 15.90 111 3 1 20x14 return grilles 16.65 125 ' 10" Flex .94 117 50 � ) 125 ' 12" Flex 1 . 16 145 00 50 ' 14" Flex 1 .43 71 5 7 Sheets of 26 quacre metal 24.45 171 50 in rr rnllars r, on 19 ,r collars '4_ 99 -49 4P 12 12" collars 3 .48 41 76 TOTAL DUE $1 , 950 69 , J P � V ORIGINAL f4A PRODUCT 108-4�Irx..Groton,Mm.01471.To Order PHONE TOLL FREE 1225-6380 `D9 pkv �n RETRACEMENT SURVEY of 1060 Osgood Street North -Andover, Ma. 1b -.5 ` 5959G' D ti 112.,7�•�1 E � . Ncua -� l 2 . SS't: 4Rlc� !:3 �- \10 00 — ua1 C3'r- 1W l `I t - - -SO- - -- — �— - - - -I 47 a (a 13� �MM' .�• I _,o 2* p20 y 203,14' ti • d V oo D �J R.EET i �1C3N� A`� LA`{vuT \1D� i i —WS PLN14 CMNVN '5RoM OlUEZ , icLoRS1S, PLk" of vS NE_TLS � F�,LD \4lo Oo�1E. 1u Oi=c. oF �9g5 -Td 6�L.1- Pt1SL�1�S 8ti1'f SDE S�.O 1 N TAT 1�E I To'-P3T4{t P(LZNISES S1 LYF_` F_0" and its title insurers: I hereby certify that i have examined the premises and that all buildings are located on the ground as shown,and that they do(V )conform to the zoning bylaws j when constructed. I Also cert4 that this property is(Wom)located In thb flood hazard area. DEEB B Y , 2cpj2 P(.-" 2c:• N 13M o Northstar Ca fGtSfEaL� P.O.Bax 131Al IIM� Newbu5OS�.�1950 12 3095 q i No.: 3 9 S" Date i f NORTH TOWN OF NORTH ANDOVER ° - A BUILDING DEPARTMENT C O �t� Building/Frame Permit Fee $ SACNUS Foundation Permit Fee $ 00 Other Permit Fee $f �^ Building Inspector �_ f PERMIT NO., � 1 � APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. V � PAGE 1 MAP d40. LOT NO. 2 RECORD OF OWNERSHIP iDATE (BOOK 'PAGE — ZONE I SUB DIV. LOT NO. LOCATION c^�- ` PURPOSE OF BUILDING / /,/' ,1/1 OWNER'S NAME' I f� �� NO. OF STORIES SIIZEE v OWNER'S ADDRESS �' BASEMENT OR SLAB /©(�0 Ose�-C&.p sem- 5) � _'�— -- ARCHITECT'S NAMEdGr.S_ 1� I SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME A n I/rl /`. /�p SPAN -- DISTANCE TO NEAREST BUILDING 'V DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR "" " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION /'C J?,114 f4/SJ 2000 IS BUILDING ON SOLID OR FILLED LAND L• l� WILL BUILDING CONFORM TO REPUIREMENTS OF CODE IA IS BUILDING CONNECTED TO TOWN WATER ',IQ �^ BOARD OF APPEALS ACTION. IF ANY 1.� IS BUILDING CONNECTED TO TOWN SEWER V I '�S IS BUILDING CONNECTED TO NATURAL GAS LINE S' INSTRUCTIONS 3 PROPERTY INFORMATION BSSEE BOTH SIDES LAND COEST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SO. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED 9 BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED6A,yGEN F E Efjo1'1 PLANNING BOARD PERMIT GRANTED r- BOARD OF SELECTMEN BUILDING INSPECTOR WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I I STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ B 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M'TAREA _ 1/1 1/2 1/. FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 22 f 3 DROP SIDING CONCRETE I_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDVJ'D _ ASBESTOS SIDING COMfdC:N _ VERT. SIDING ASPH. TILE ---{I_ STUCCO ON MASONRY _ of STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME _ CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR a ADEQUATE NONE 5 ROOF 10 PLUMBING GA CE HIP BATH (3 FIX.) GA REL MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS B'M'T 2nd _ ELECTRIC lsf 13rd NO HEATING s PERMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP NO. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZONE �.► I SUB DIV. LOT NO. t LOCATION 1 C PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIES SIZE OWNER'S ADDRESS/0620 �,J `�C -7 BASEMENT OR SLAB �'1 ARCHITECT'S NAME �L- SIZE OF FLOOR TIMBERS„) IST 3RD �2•WSS� BUILDER'S NAME Co wp 2-4 K 1/1 SPAN DISTANCE TO NEAREST BUILDING ' • _ V DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IJ�g g ...� ,.�r,•��/� AJIS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OFF CODE � �GPc IS BUILDING CONNECTED TO TOWN WATER r .r BOARD OF APPEALS ACTION. IF ANY j Al,,4, J IS BUILDING CONNECTED TO TOWN SEWER Y,19$J IS BUILDING CONNECTED TO NATURAL GAS LINE e�'S INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 ' EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED ra 7'-. (� BOARD OF HEALTH SIGNATURE OF OWNER OR AUT ORIZED AGENT F E E ® © C u-- PLANNING 130ARD PERMIT GRANTED 7 BOARD OF SELECTMEN R � r ■UILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 8 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. 8'M'TAREA _ '/. 'A '/. FIN. ATTIC AREA _ NO 8-M-T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDV✓'D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I--I POONR _ ADEQUATE ONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) _ FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GOA` B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING r No.: y S8 Date Rhe. NORTH ?�I. , j "°� TOWN OF NORTH ANDOVER ► :_ — A BUILDING DEPARTMENT �9SSACHus���h Building/Frame Permit Fee $ Foundation Permit Fee $ S:�J4l Other Permit Fee $SC, c "I PR Building Inspector i No.: S g Date /Ox/ NORTh °•1+° TOWN OF NORTH ANDOVER O L -- p BUILDING DEPARTMENT '! 0 *o �� Building/Frame Permit Fee $ �ACHUS Foundation Permit Fee $ Other Permit Fee $ - Ale t DEC 1 5 ? Building Inspector / PAGE 1 APPLICATION FOR PERMIT 70 BUILD — NORTH ANDOVER, MASS. ✓ y MAP K40. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE y ZONE I SUB DIV. LOT NO. I LOCATION PURPOSE OF BUILDING OWNER'S NAME IVLb l'!�fNO. OF STORIES SIZE 3 !y 3 ye 7 s �_ OWNER'S ADDRESS BASEMENT OR AB 's` /!� e°��J 3�Ge�� _ t"�C I STI NCr ARCHITECT'S NAME r ne ` ` /�S C' SIZE OF FLOOR TIMBERS IST 2ND3RD BUILDER'S NAME 1- 'e(r2 iS �0 4w, �On yY1 /-i SPAN -- DISTANCE TO NEAREST BUILDINGc � I. DIMENSIONS OF SILLS -_ - DISTANCE FROM STREET ice^ "' "" POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNES IS BUILDING NEW / o SIZE OF FOOTING x IS BUILDING ADDITION NO MATERIAL OF CHIMNEY IS BUILDING ALTERATION lJ,-S IS BUILDING ON SOLID OR FILLED LAND 1' WILL BUILDING CONFORM TO REQUIREMENTS OF CODE \/P7 IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY /y/'__V IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS (C C41 SC' # 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST / s ©o COST PER SQ BLDG. . PAGE 1 FILL OUT SECTIONS 1 - 3 EST. ' P.JtGE 2 FILL OUT SECTIONS I - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. .€LECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY s ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATES FILED '� eygc ,�I etC,C!%LZL- ✓� 4 LC��. �_--_ BOARD OF HEALTH SIGNATURE OWNER-16R AUTHORIZED AGENT FEES 9�:, A PLANNING BOARD PERMIT GRANTED /2 �S 19 98 BOARD OF SELECTMEN 00U5 14,-s 7 vnI-el e (6 C7) g6 : - 6666 or 4'�e�,r r'C g r f 5 S t (115- 70 BUILDING INSPECTOR 9-L WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I STORIES �.-THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE � jBRICK OR STONE HARDW DPIERS PLASTER �r�- DRY V✓ALL �=t UNFIN. 3 BASEMENT AREA FULL _FIN. B'M'T' AREA '14 /z °/, FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS 7 -777719 FLOORS CLAPBOARDS B 1 22 J 3 DROP SIp,NG CONCRETE } I_ WOOD SHINGLES EARTH ASPHALT SIDING HARDNJ'D ASBESTOS 41DING _ COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIORII POOR s ADEQUATE l NONE "f 5 ROOF 11 10 PLUMBING G� HIP BATH (3 FIX.1 _ GAMBQEL MANSARD TOILET RM. 12 FIX.) f FLAT SHED WATER CLOSET V ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS _ 7 NO. OF ROOMS GAS [RLB'M'T 2nd _ ELECTRIC 1st j q 13rd I NO HEATING i66 Ali I N +FINAL SEWERIW. _ -FINAL PLANNING -I'iNAL C;U 'SERV NpR7 r` # F f- " •� o 4_own o- ,Andover No. low Moi=t :,Andover, Mass., . • S —191$8 .. .- 'k BOARD OF HEALTH PERMIT BUILD THIS CERTIFIES THAT....�.G�.�. ...�i . . �.. ••• • 4'' ''"".. • BUILDING INSPECTOR has permission to erect .. ".7E*1 r#Z . buildings on .10��.••ds Q••• 77...... Rougn Chimney to be occupied as..................... �.� ..... 10 C ...................................... Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUM ING e1NECTORthis office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough •� �%?" 10 Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. '. PERMIT EXPIRES IN 6 MONTHS �ELE( RICALINSPECTOR 1 - RoughT"� UNLESS CONST' STA ` ' :-- Service _ Fin """' BUILDING INSh iC OR- GAS OR GS INSPECT_ - ' F .� Rough Uccup.ancy Permit Required to Occupy Building Final _.. Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove "Burner.!- 5�'A No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector OFFICES OF: 0� °m a`e-)wll of 120 Mriin Street • i n APPEALS j O��`I`lANDOVER North Andover, BUILDING M;assilchusetts c)1.845 CONSERVATION ,S"°" ges I I�'I`;I��ti H (��17)G85-4775 HEALTH � PLANNING PLANNING & CONINIUN ITY DEVELOPMENT FCAIZI .N I I.I'. N1:1 ..SON. DIRECTOR April 7 , 1989 Life Care Services Sales Office 1060 Osgood Street North Andover , MA Attention: Mark Sparks , Weitz Company Re : Occupancy of 1060 Osgood Street Dear Sir : In accordance with Article I , Sec . 119 , "Certificate of Use and Occupancy" , Massachsuetts State Building Code , you are hereby notified to vacate the building at 1060 Osgood Street , North Andover, immediately . Yours truly, Michael J.'\- Gagnon, Ass ' t Building Inspector MJG:gb cc: Dir . , DPCD r i DR.DIANE LOCIBERG CHIROPRACTOR NORTH ANDOVER CHIROPRACTIC 1060 OSGOOD STREET SUFE*1 NORTH ANDOVER,MA 01845 TELEPHONE:975-7100 PERJIIT NO._ � ALICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 Mi,P NO. LOT NO. 12 RECORD OF OWNERSHIP 16ATE BOOK PAGE ZONE I SUB DIV. LOT NO. I �I LOCATION /`��� 6 ,�00D C j� /1 tjl PURPOSE OF BUILDING �A17C- /IM /I��OIU �O�C`_� OWNER'S NAME(vLn cs�-Qiv� wPV.pO I�Jr c>�/ ��,/U� NO. OF STORIES /`=R '(�SIZE%7 J/ J /r'/ C7 .91 OWNER'S ADDRESS I BASEMENT OR SLAB S JlL ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME JOSC_pq dA 0 SPAN DISTANCE TO NEAREST BUILDING 1ATFM1ot V 7f S✓�S��L /]1 DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW y SIZE OF FOOTING X IS BUILDING ADDITION ,un MATERIAL OF CHIMNEY IS BUILDING ALTERATION . IS BUILDING ON SOLID OR FILLED LAND o/ //7 WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �Ljs IS BUILDING CONNECTED TO TOWN WATER `j-1�1�•./ BOARD OF APPEALS ACTION. IF ANY //, IS BUILDING CONNECTED TO TOWN SEWER �V IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST/0O O PAGE I FILL OUT SECTIONS I - 3 EST. BLDG. COST PElk SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED /yND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH SIGNATURE OF OWNER ORA ORIZED AGENT FEE PERMIT GRANTED PLANNING BOARD C� 19 BOARD OF SELECTMEN NUILDING INSPECTOR BUILDING RECORD i OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 6 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. BM'T' AREA _ 3/. 1/2 '/, FIN. ATTIC AREA _ NO B M FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I g FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD11✓'D ASBESTOS SIDING _ COMIACN _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIORI� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM _ STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G KNIT HEATERS 7 NO. OF ROOMS GOAS IL B'M'T 2nd ELECTRIC 1st 3rd NO HEATING f t, . f _3 NORT Town of y 6 OAndover N o A 2 6 h A er, Mass.,_.._� 19 COC M ICKEWICK �• q0o SS rF BOARD OF HEALTH PER LD THIS CERTIFIES THAT........ .. ... ... ..�. ......... .. .... ..l .....�............ BUILDING NSPEe'j0 has permission to erect .. .......... ...... buildings on ..S�......� ._.. ...� ... Rough a Chimney tobe occupied as........ .. ....... .... ... ........ ........... ................. Final "e; � provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough _ii..`;.�. Ly UNLESS CONSTRU N 36 ServCeFal ..... .... .. . ................ .......... . 5 /� BUILDING IN OR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector (603)627-9822 BROOKSTONE BUILDERS, INC. CONSTRUCTION MANAGEMENT v z2 ARLINGTON STREET MANCHESTER,NH 03104 ROBERT R.COLL + T r AMA , APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.1—/C , 9 PAGE 1 +NO. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE SUB DIV. LOT NO. I LO&-ATION /O&o DSGocJ 57-, A10 . d �4^"G1 C1oo*� ��/ PURPOSE OF BUILDING pi;t.a (/ OWNER'S NAME I7 NO. OF STORIES SIZE / I! I/ PlAZ/4 /6Gn T'1 g7- _ 2 s7& -O K /32. o OWNER'S ADDRESS , BASEMENT OR SLAB QALGq,P•cI UIIl.C.G Qr.L�/Lr/LNt/.VG72LJ- ARCHITECT'S NAME �+ ♦*icb3j. (,'�„ SIZf.,, JJOR TIMBERS 1ST 2ND„yr•,SSCS 3RD BUILDER'S NAME SPAN f �f Q�iaDCSTO eve- u it.�leeb. i.I.lc., _ Z`� —D --- DISTANCE TO NEAREST BUILDINGn_eCer A`us DIMENSIONS OF SILLS G - ---- DISTANCE FROM STREET ?� r Gd " POSTS DISTANCE FROM LOT LINES-SIDES 5?5 D/I REAR .s-6/-O// 11 GIRDERS AREA OF LOT4fy 00o Sf�. FT „�, FRONTAGE �� / HEIGHT OF FOUNDATION /_,� (r(4RI rLL THICKNESS /o// IS BUILDING NEW ,J L SIZE OF FOOTING lJ /`O I/ X 3 © /t IS BUILDING ADDITION V W MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Y�S IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY + •7 IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE •�J INSTRUCTIONS 3 PROPER INFORMATION j�. LAND COST ii.. SEE BOTH SIDES )& EST. BLDG. COST q 0 0 oD D 4 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER 8 . FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. + r ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE IL D t BOARD OF HEALTH SIGNA URE OF OSI AE,ROR AUTH RIZED AGENT F E E � "� (,ro PLANNING BOARD PERMIT GRANTED 19 BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I I STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES :K LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES. GA. APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE X a , 2 13 ( ter-At-t vc a fit¢14 j404 T CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA- _ '/. 1/1 FIN. ATTIC AREA _ N_O BM'T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAP OARDS B I 2 3 DR kDING CONCRETE �_ W SHINGLES EARTH _ ASPHALT SIDING HARDW'D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH.TILE _ �R STUCCO ON MASONRY _ (J ! v STMCO ON FRAME BRTSX ON MASONRY ATTIC STRS. 8 FLOOR _ BRIC�I' ON FRAME CONa. R CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR _ y Z `-O ADEQUATE NONE 1 .10 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) 5TAWLj MANSARD TOILET RM. (2 FIX.) 1C FLAT 1,4 SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES Y, KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE Q ,isle SSGS FORCED HOT AIR FURN. U s Goo,/ STee e,7 TIMBER BMS. &COLS. _ STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR \ WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS _ OIL B'M'T2nd _ ELECTRIC 1st • 13rd I NO HEATING � s a CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 203 (1986) Date DECEMBER 13 , 1988 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1060 OSGOOD STREET SUITE #7 MAY BE OCCUPIED AS THE DIET WORKSHOP, INC. IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. NORTH O�•tao y 1ti0 o? CERTIFICATE ISSUED TO Plaza 1060 Trust F p ADDRESS 1060 Osgood S t . No . Andover MA 3 CHUS��% Buil ing Inspector CERTIFICATE OF USE ft OCCUPANCY Town of North Andover Building Permit Number 203 Data MAY 25, 1988 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1060 OSGOOD STREET - SUITE #5 MAY BE OCCUPIED AS LANGEVIN INDUSTRIES IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Plaza 1060 Tnuht, Joa. I ppo.2.i to, Tn. .: ADDRESS 1060 Obgaod Sx.. No)Ltk Andoven. MA �OsACHUS ♦ A..ro. building Inspector CERTIFICATE OF USE & OCCUPANCY 7own of Norte Andover Building Permit Number 203 Date FEBRUARY 12, 1987 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1060 OSGOOD STREET - Su.i tees #2, #3, #4, 9 #6 MAY BE OCCUPIED AS OFF ICES, STORAGE AUO 10% RETAIL IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. HORTM Ptaza 1060 Tnurt CERTIFICATE ISSUED TO O A ADDRESS 1060 Osgood St. , Nonth AndoveA, MA �1S SAC NusEty. �� �•'� l V-Building Inspector Inspector r10RTH pt �eo 11. AL ° NORTH ANDOVER FIRE DEPARTMENT ' 7 ti� �e CENTRAL FIRE HEADQUARTERS 124 Main Street �IS 'SA cHusNorth Andover, Mass. 01845 WILLIAM V. DOLAN Tel. (617) 686-3812 Chief of Department Y February 10, 1987 Plaza 1060. Osgood Street North Andover, Mass 01845 Dear Sir; The Fire Chief and I both feel, that because of some problems with your building, we will only authorize or sign off on certain areas or occupancies. The first one in question, the deli, meets all our requirements e.g. fire alarm and sprinkler needs. We . see no reason why occupancy can not take place in this unit immediately. Sincerely yours, Lt. Andrew Melnikas Fire Prevention Officer pp71 in FEU J I 1 BUILD:i,.'O DE?T. "SMOKE DETECTORS SAVE LIVES" NORTH T NORTH ANDOVER FIRE DEPARTMENT 117 CENTRAL FIRE HEADQUARTERS - ' 124 Main Street SS ° . ���y North Andover, Mass. 01845 ACHUS� WILLIAM V. DOLAN Tel. (617) 686-3812 Chief of Department February 11 , 1987 Plaza 1060 Osgood street No. Andover, Mass Dear Sir: Please be advised that units #2, 3 and 6 are fully in compliance with our requirements for fire alarm and sprinkler installation. There does not appear to be any reason why occupancy can not be taken .in these units immediately. Sincerely yours, Lt. Andrew Melnikas Fire Prevention Officer , FEB 1: 1 jL-R "SMOKE DETECTORS SAVE LIVES" No.: Date /02 / Q-Q" M'� F NOR7F� TOWN OF NORTH ANDOVER A BUILDING DEPARTMENT Building/Frame Permit Fee $ SACMUS ri 0110 %fy)u dation ermit Fee $ TPJ(CObiiggr'Pe'rmit Fee 5/-.1 q, $/0 NORTH ONORTH ANDO',cid DEC 98o Building Inspector PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP K40. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. LOCATION 1046 ce4 i PURPOSE OF BUILDING v C Lei-µ&L Shed he OWNER'S NAME - 71 - NO. OF STORIES SIZE x OWNER'S ADDRESS (✓ BASEMENT OR SLAB -- ARCHITECT'S NAME / SIZE OF FLOOR TIMBERS IST 2ND 3RD Y,s BUILDER'S NAME Cg-4as bu�/!`' SPAN -- DISTANCE TO NEAREST BUILDING / [ DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS �- DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY tin IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND �C j WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER /LB 10 BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER F�Q IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION h0?10� LAND COST SEE BOTH SIDES �'.I I �"� . � .�s EST. BLDG. COS tjVo PAGE 1 FILL OUT SECTIONS 1 - 3 ,` ( EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM ' SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILEDAND PPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH SIGNATURE OF OWER OR AUTHORIZED AGENT F O✓� PLANNING BOARD PERMIT GRANTED BOARD OF SELECTMEN P' BUILDING INSPECTOR WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer • BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY 1, STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION _ 8 INTERIOR FINISH CONCRETE _ _ 3 1 2 13 CONCRETE ECK. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ Yh 1/1 '/. FIN. ATTIC AREA _ NO BM'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDVV✓D _ ASBESTOS SIDING _ _COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER ELK. STONE ON MASONRY WIRING E ON FRAME SUPERIOR I� POOR _ ADEQUATE NONE S ROOF 10 PLUMBING GABLE I HIP BATH )3 FIX.) _ GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ 1 11 TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. _ STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING