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Miscellaneous - 1085 OSGOOD STREET 4/30/2018 (4)
d� � � 7C) �" i Date................................................... OF NORTN,h TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION CHusss Thiscertifies that . .. ...... .........................41.........................I................. has permission for gas installation o&....ly:t... v in the buildings of................ 4. 5 ......................................................................................... j at ld. ..� ......`n��1G........................................ -, Nortfi Andover, Mass. . V FeeS:.° ..... Lic. No. 3 ..... ..p. ............................ ��/ GAS I SPECTO�i Check# f-,\ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK kv�l CITY NORTH ANDOVER MA DATE 6/12114 PERMIT# q JOBSITE ADDRESS 1085 OSGOOD ST ORZOS OWNER'S NAME RAPUCCI G _ OWNER ADDRESS TE FAX TYPE OR OCCUPANCY TYPE COMMERCIALE] EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: REPLACEMENT:El PLANS SUBMITTED: YES NOD APPLIANCES Z FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER { BOOSTER l CONVERSION BURNER COOK STOVE DIRECT VENT HEATER ; DRYER FIREPLACE 'm FRYOLATOR _ FURNACE GENERATOR I w GRILLE ==—F_=E. r INFRARED HEATER E...e�.._._. 2.. I LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT 1I I TEST UNIT HEATER UNVENTED ROOM HEATER „ WATER HEATER OTHER — E x � a - E INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY [j OTHER TYPE 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 Ej 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 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME I JEFF HUTNICK LICENSE# 15212 SIGNATURE MP 0 MGF El JP JGF LPGI CORPORATION Ej# 3532 PARTNERSHIP 0#[=LLC #= COMPANY NAME: CALLAHAN AC AND HTG ADDRESS 91 BELMONT ST CITY I NORTH ANDOVER STATE MA ZIP 01845® �.W TEL 978-689-9233 FAX CELLEMAIL PLUMBING@CALLAHANAC.COM 1 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations ' a I Congress Street, Suite 100 Boston,MA 02114-2017 Sv,,> www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: Phone#: Ar you an employer? Check the appropriate box: Type of project(required): 1. 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. F1 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 icapacity. employees and have workers' o n any P h'• # 9. ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing 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.❑ Other comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 6'�+ A, ��,j"l'/.1_17 C�, Policy#or Self-ins.Lic.#: C'/L,(, je tl—7 Expiration Date: ✓� �'� Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify ar the pains and penalties ofperjury that the information provided above is true and correct. Sisnature: nd Date: Phone#: L7g 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: f Phone#: ewer.::yV1Y1IYIVIlflllllV,W�ATHcO1~.1'"MMw7IFSv17I; $ '" 01171 • • • • t� n PLUMB:LYRS �Y � k { ANb GA;SFITTERS a ISSUES TME �F'oLLOW �I {(;;� fNSEy r E #VS E1 q A JOURNEYMMM, t mB_.t;N. is ': t �, > Y J{. dol PUYM4llTF a !S v 4. + MAS 04,4 ,4 ry v �OMMO'NWEq'L�HMF MAS�SACH''l S T • • • • • UMBERS SANb G Y x ��1 ASFI;TT£.R � sF H FOl LOWING; l I Ci. �.NSE DREG f SA ASS A PI,UMB'I NG% ORp 4 any'',�'I,r1 �< ��' '� ��... � - JET FRNfY HUTN 1 G '" 60� PlY°M U `H`EAT"I°NG SRV's' 1 � r MA 5pg . MMLei ol O W O LT.H OF IVI � " CMUS k� /� 7 yy 42 6 • �k a PhUMf3" NMR + 7 A,�MASTEF7 >PLU�M����' F � 60� P,CdI'IitU"E'M ST . I i OP ID:PS CERTIFICATE 4F LIABILITY INSURANCE 7TE(Mmmorffn3!01!2013 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(les)must 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 Phone:978-686.2266 NAMEA!T North Andover Insurance Agency Fax 978-G86-6410 PHONE aC No M.J.Foster Insurance Services EJy/ULExIly 163 Main St ADDRESS: North Andover,MA 01845 PRODUCER CALLA-1 Stephen Sullivan INSURERS AFFORDING COVERAGE NXc if INSURED Callahan A C and Heating INSURER A:PEERLESS INSURANCE COMPANY Services,Inc. INSURER e:GUARD INSURANCE COMPANY Callahan Air Conditioning and Heating,Inc. INSURER C: 91 Belmont Street INSURER D North Andover,MA 01845 INSURER E: INSURER : + COVERAGES CERTIFICATE NUMBER: 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 POLICYTYPE OF INSURANCE POLICY NUMBER MMMW EFF MM1D Y EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LU+BILITY CBP4016154 09/2512013 09/25/2014 DAMAGE TO RENTED -PREMISES a occurrence) S 100,00 CLAIMS-MADE a OCCUR MED EXP IMy one person $ 5,00 CONTRACTUAL LIAB PERSONALS ADV INJURY $ 1,000,00 GENERAL AGGREGATE S 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,00 POLICY X PRaT F LOC $ AUTOMOBILE UABiUTY COMBINED SINGLE LIMIT S 1,000,00 A ANY AUTO BA4544035 09125/2013 09125/2014 (Ea accident) BODILY INJURY(Per person) S X ALL OWNED AUTOS BODILY INJURY(Per aecident) S SCHEDULED AUTOS PROPERTY DAMAGE S X HIRED AUTOS (Peraccidenq X NON-OWNEDAUTOS S ( S X UMBRELLA UAB X OCCUR EACH OCCURRENCE S 5,000,00 EXCESS LIAB CLAIMS-MADE AGGREGATE S 5,000,00 A CU8809334 09125/2013 0912512014 DEDUCTIBLEHS RETENTION SS WORKERS COMPENSATION I WCSTATU- X 0TH. AND EMPLOYERS'LIABILITY B ANY PROPRIETORIPARTNERIFXECUTIVE YIN CAWC471731 09/2512013 09/25/2014 E.L EACH ACCIDENT S 500,00 OFFICERIMEMBER EXCLUDED? EN N/A (Mandatory In NH) E.L.DISEASE.EA EMPLOYEE $ 500,00 It yes,dosuilw tinder DESCRIPTION OF OPERATIONS Below E.L.DISEASE•POLICY LIMIT S 500.00 f DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,AdMonal Romarb Schedule,It more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF NORTH ANDOVER ACCORDANCE WITH THE POLICY PROVISIONS. fax#978 688-9542 BLDG.INSPECTOR AUTHORIZED REPRESENTATIVE 1600 OSGOOD STREET NORTH ANDOVER, A 01845 ©1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD Date.e Z4.................. TOWN OF NORTH ANDOVER O 9 PERMIT FOR WIRING 83.►cHU This certifies that .. t.................. ..... ...�...........`................................. ............-...................... has permission to perform ...I j .,.... � � 'LO r& wiring in the building of....... .. . .......... .................1.......................... .............................. at ........�..� .... 6 ........ D.. N�.p°. !...............North Andover,Mass. Fee..............................Lic.No. ........Au......1.-.1. .......... !.c� .... .'i� .: ELEC-MEAL&S��R _ / Check# 151P 0 1 5i7 . R Corn�noieurealtk � Official Use Only Permit No. I i lUc (P-t r 1 �Ue artinenf o p ire�e►vicee P t Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: June 26 2013 City or Town of: North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 1085 Osgood Street Owner or Tenant OrZo'S Trattoria Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes x❑ No ❑ (Check Appropriate Box) 3 Purpose of Building Restaurant Utility Authorization No. Existing Service Amps / Volts Overhead-❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity N14 Location and Nature of Proposed Electrical Work: Renovation - demo existing lighting and replace with new. Completion o the followingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 46 Swimming Pool Above rnd. ❑ In- ❑rnd. Bao. Emergency Lighting \ tta Units `\ No.of Receptacle Outlets 3 No.of Oil Burners FIRE ALARMS No.of Zones o Detection an No.of Switches No.of Gas Burners o. Initiating Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers eat um um er ons o.oSelf-Contained �. Total P ......... _ _..._............_...................._..._..._._... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection Heating Appliances Security Systems:* No.of Dryers g PP Kms' No.of Devices or Equivalent No.of Water KW o.of No.o Data Wiring: Heaters Signs Ballasts I No.of Devices or Equivalent 7 data No.Hydromassage Bathtubs No.of Motors Total HP a ecommunications Whrtng: No.of Devices or Equivalent 3 TV � OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $4,800.00 (When required by municipal policy.) Work to Start: July 1 2013 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information this application is true and complete. FIRM NAME: Cit and Suburban Electric Inc LIC.NO.: 13498A Licensee: James LaFrance Signal re LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bas.Tel.No.-97 372270 Address: Alt.Tel.No.:978 360 57M *Per M.G.L.c. 147,s.57-61,security work requires Depa ent of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ `'CV a Y i J 1177 YV t-vj G- - vti s`- r 't r T ==COMMONWEALTH OF MASSWCHUSETTS----l- ELECTRICIANS "AS A.REG JOURNEYMAN 'ELECTRICIAN'. ISSUES THE ABOVE LICENSE TO: JAMES T LAFRANCE 37 ROCHAMBAULT ST HAVERHILL MA 018.32=19 ` X23318 E 07/31/13 ., :_87341.9: i / COMMONWEALTH OF MASSACHUSETTS ELECTRICIANS REGISTERED MASTER ELECTRICIAN ISSUES THE ABOVE LICENSE TO: CITY &. 4SUBURBAN ELECTRIC "INC I JAMES P LAFRANCE _ 37 ROCHAMBAULT ST HAVERHILL MA 01832- 1 ' v 134.98 A 07/31/13 87.3420_ k . . i 8 Y O� Tj ED " 06 �-Y Argo cHus���y G• • BUILDING DEPARTMENT Community Development Division August 22 2012. g 5/v Orzo Cafe Trattoria 1077 Osgood Street North Andover,MA 01845 Thank you for allowing the Building Department to perform"our certificate of inspection required by state law 780CMR. Serious grease buildup observed behind the cooking appliances and hoods. Recommend the appliances be moved for proper cleaning of multiple valves,-grates, and pipes coated in grease. Fire extinguisher located next to the hand wash sink is so covered in slop that the gauge is not readable. Items stored over the walk-in refrigerator could alter the effectiveness of the sprinkler heads located over the unit. Recommend removing stored items located on top of the refrigerator. The emergency lights were not tested. These lights are designed to last 90 minutes in the case of a a power failure. Please have all lights inspected and tested. Please submit the test report to the building department once complete. Thank you for your attention to this matter. If you have any questions,please call Brian Leathe at the Building Department. 978-688-9545. Very truly yours, Gerald Brown, Inspector of Buildings Building Department 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9545 Fax 918.688.9542 Web www.townofnorthandover.com Q* NORTil 3,r �`t�_ hb•6 �� 0 � � ��SSACHUS��Ky BUILDING DEPARTMENT {ommunity Development Division August 22, 2012 Orzo Cafe Trattoria 1077 Osgood Street North Andover,MA 01845 Thank you for allowing the Building Department to perform our certificate of inspection required by state law 780CMR. Serious grease buildup observed behind the cooking appliances and hoods. Recommend the appliances be moved for proper cleaning of multiple valves, grates, and pipes coated in grease. Fire extinguisher located next to the hand wash sink is so covered in slop that the gauge is not readable. Items stored over the walk-in refrigerator could alter the effectiveness of the sprinkler heads located over the unit. Recommend removing stored items located on top of the refrigerator. The emergency lights were not tested. These lights are designed to last 90 minutes in the case of a power failure. Please have all lights inspected and tested. Please submit the test report to the building department once complete. Thank you for your attention to this matter. If you have any questions,please call Brian Leathe at the Building Department. 978-688-9545. Very truly yours, 22� Gerald Brown, Inspector of Buildings Building Department 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9545 Fox 978.688.9542 Web www.townofnorthandover.com /ORTH ���. NORTH pF 4���o ,°1ti0 TOWWOANDOVER PERMIT OSTALLATION h SACMUSEtt This certifies that . . . . . .... . . . . has permission for gas installation .� in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at North Andover, Mass. Fee�?4: Lic. ,I GAS INSPECTOR Check# 0-1(7,M (� 5751 ' ti" . '� MASSACHUSETTS UNIFORM AP:PLI- ION FOR PERMIT T'O DO GASFITTING 11 , tt'rin ar T jer) / Fto�/L Mass. Date 1 i j( . a — % � Permit # . /) Sultding Location I. _ 6 ooi)1.�Own- Name &p Type:of Occupancy G� New p. :- fienovaiion p Feptacecnent p"� P1ans Submitted. `Yes r. . Cl. N0:.p - - N rtt : Lt - x ;7: tG ` :-',I:r rr-.rIt_I rrrr rr'.�.I r�'r r.rr:_ II�'.���',--�I=.�-r-.2�-.j-.'U0_r-::r.rq-.. :-.�Jr-r�....-.-_:rr-.�-.-Ir.-r�.r__..�.�.r'I.�I�-I r_�.r I'I.r�rII.--:�I r,II1,-:_.....ri-I.:_�.II-,I,I'1I r-.I-.�-r-,r r�-�':�'-.r-,:-:r:I..��-,..'_.r ,.':�....I�.rIr�.,'I.r.,,..r_:'I-..-[rIIII�I#.:I_:rr.Ir,.r��,.:.r.I��.r�rr 1'--_rI,I_,;_�I'_..1r-�-r I�.,:r Lr.:r�.r r-r..Zz:�-I r.I.-.-�_.-:��1�,-�,��.I.�'I_:_.-�1:I'I-1:�--I.�..�:-.-�_1r,r" z o ;� r t _ .z X' .o 1. W q. ea t: O p W _.- c x w }.. h-: x t s = C s: w w h}.. ¢ Y -� to .i :C # Y :y m: Y d Z p iA, x sc x o. _�. _ u. �: cr o �:.:� � y .c' oo �`'- o 'sue a_sraT;_ B A____ t1T . - 1ST FCOO}3_ ZtiD FLOOR. .SRO F:LOOH _ -- - .. S Lt{ FLOOR 6TH FLOOR :'. 7T'H FL-,o .,.rI..I-_Z���r:-:,:..::.-:�...::-�..:,.I r._�r.,�r.�.I._f IH.,:I:.rr.'I';.r,''.'��.r�-.�.-:,::'rrrI_.�rr.r4-.�_,.1.:.�I�I:.r.._.',_,.-....r-r.r�,�.rr-�.-r-r�.'''�_,:I.�.r-�_�:-.._.--..--r,r-�--��_.."-:--_r:.�rI.-'.�,-I-.-�I:-r.�.I�-",r_��r_I L-I,._.Ir_'1.r r.-'-:.r� 1�'�I-I.-I1-:.r,.1.:r..,�r.''-.rA�_.I_±_-I,.� e'r H F.(O O R _ r.r:..rr�.r.:�.,..-.�.:,"I installing Company Name: C 1._I_r"..-�,I:r'�.,r__1...r.._II-_-_I-.,�-�.,I',-".-=rV_.1r,_.,'1_�rI_.:I'I'�.,:�-.r:..r,-IrI�,'r--�:,r.:I.�:_.,_�r.:-,�:�I__�,.--:r��-:-.:��.'-.,r.�'4,'%r.-1'r.�����_I7I.,..-,:r�.r.L_-_..1,�,..�..�'.�-.__..._�,1'....jr___�r_-.'�"..�'.-!..��.._,j�rr�...,�r_4..,�.I_.c��rr-r�--.r-.'..,.�...:���-".I',,-_:',!.:�I'I.._-.":_�I--r 11I.rr_I_:,,"I"'��I�r Lr I�_I�,:I-�-_-r�_—-r'- VLL/J-` Check ot1e CerilflcaRe #, :Address .Cl t✓ .-�__-�.-,�_r__�I-_�-_-�--,r I-���-r-�'.ZI",I._-�-"�__'�-�,.-_.:_r-�-r"I.',.-_r::�._.__�-_.���r'e--._"__r._-.,__:�r:�__��-'��%,I,-_r.,rr__�1'._-�.-:�,1r.,I.._�_�,__.I�.I-'..%_r_I�_�r'_�-�-'..1�--I'�_,.��--:.-,-'L-r:--'�.--,����_'-G.r�,-._�.1��_I,- --r.4��r�I.-..r,_-�I�-:,-I%� -. Cfi""i✓ orporatlon: lc U - Q. Par{nership< Business Telephone ( � t� -33 - 1 0.- Fir %Co, tame`of t_lcensed Plumber or Gss.F1tte.r_ _ tIfJY. C/-L/i :-,-.H,�r:�r1r, 'INSURANCE COVERAGE_ have'a current lfabllfty insurance policy- . Its substantial equivalent which meets the,tequirements`of MGL Ch. 142. Yes No o 1f you have checked des, please Indicate the type coverage by checking the appropilate bax. A Itabiiily insurance,policy Other type.of Indemnity fJ Sond D OWNER'S 1NSllRANCE YYAlVEi i am aware that:the licenses does-not have the insurance coverage required';by. Chaplet 142:of the Mass General Laws, and ilial-my signature on this permt#:appUcation waives thjs.regtlremenf. - . Check.tine; Owner[I Agent p 5rgnatura of t3wner or{ wna. s Agent l hereby cerltfy ttat all of the details art416(armalir n(have submlfted for entered)In allays application'aie Prue.and accurate to the best of my knowledge and-thatall.,timbing work and Instaliatioris ariormed under lire permil.lssuad for this application wail be in compliance with ell, petttnont provisions a1 the Massae ssjG State:Gas t:ode and Chapter 142 at the Gene a!laws. T e ai_Ucanse_ ` Tills Plumber Sr u e:a c nse um er of Gas'Fitter - - asfdlar Cit !Town aster Ucanse Number.> 3 u`T� - Y Journeyman Date . . }. . . .D/' of<NORT:1�o TOVNOORTH ANDOVER � FOR PLUMBING SS�CHUS� This certifies that . . <:�.Z) . . . . . . . . . . . . . . . . .�.;y -� ' has permission to perform :--r- .f-✓.�--ti -... �. . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . at . .f.j'. . . . . .. . /. ./ . . ./n, North Andover, Mass. Fee:��. . . . . .Lic. No !rf. . . :�.ls-�%'!/ ,. ' . . . . . . . . . . r / ' PLUMBI��vG IN PECTOR Check # -919 U L 7 1 1.7 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS �j Date Building Location 57 Owners Name ��� � Permit# Amount Type of Occupancy New Renovation 13 Replacement � Plans Submitted Yes No FIXTURES z r a F H U S[BBm R41VENF IK FUM 2N1 FLOOR M I+IDCR 4II3 flaR 5M HIM 6IH HIM Mi film SIH FIOCR (Print or type) r/ Check one: Certificate Installing Company Name IJUJB! _� L 7L ( `- 11 Corp. Address ` U O Partner. /-/r 7-14 i-&ice /`r A S Business Telephone 7 '—/3 6 Firm/Co. Name of Licensed Plumber: r-- /'�— U r AJ/C Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 3-- Other type of indemnity 11 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 El Agent I hereby certify that all of the details and information 1 have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and instal do s erformed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus° Plumbn Chapter 142 of the General Laws. BY ign o t um er T e o PI ing License Title Wb City/Town tcense um er Master Journeyman APPROVED(OFFICE USE ONLY 2U ' N Date. .// �aORTM 40 TOWN OF NORTH ANDOVER I. p PERMIT FOR WIRING SACMUSE� This certifies that ..... i, L�! ....... ........................ has permission to perform .............. !Q. .......................... ©iring"In the building of... :. ................................... +.........(..Q.IS OS S ',�?....Sa"'............... .North Andover,Mass. ................ . 20� ,ELL 9:2 // Fee..................... Lic.No.............. ..�...........;1.',/� :�f��................. ELECTRICAL INSPECTOR Check # 7001 -� Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:Z(' - / (V —6 6 City or Town of. M0- 4A o oye(- fvA To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) 10 8 5 OS600 Owner or Tenant (�{-7 Q S $ L,(('/�1�_� Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ ` No (Check Appropriate Box) Purpose of Building lz Q U r-A-rt+ Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps ! Volts Overhead❑ Undgrd❑ No.of Meters ti Number of Feeders and Ampacity Location and Natur of Proposed Electrical Work: /tp S f N G t�Rr_ nt ceAftr" Completion o the ollowin table ma be waived by the Ins ector of Wires. No.of Recessed Luminaires No.of Ceil.-SusP (Paddle). Fans °•° Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.o Emergency Lighting No.of.Luminaires Swimming Pool rnd. rnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o Initiatin etection and Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices Disposers eat Pum um er ons o.oSelf-Contained No.of Waste Dis P Totals Detection/Alerting Devices unicipa ❑ Other No.of Dishwashers Space/Area Heating KW Local❑ Connection Heating Appliances Key Security Systems:* No.of Dryers No.of Devices or Equivalent No.of Water KW o.o o•o Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP a ecommunicatto r Wiring: No.of Devices or Equivalent OTHER- Attach additional detail ifdesired, or as required by the Inspector of Mires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE F] BOND ❑ OTHER ❑ (Specify:) I certify,under tlt ains an#penalties of perjury,br t the information on this application is true and complete. FIRM NA (1/ G d— a-y���t y4 LIC.NO.: Licensee: IV Signature LIC.NO.:J 7 1 a licable enter "exe "in the license number line.) Bus.Tel.No.. ! -6D J33 Address: // t to NO Artryt/-el /10 Alt.Tel. No.:TO-rfYY-7S�_9 *Security System Contractor License required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. THOMAS E NEVE ASSOCIATESIINCO February 26, 2003 Mr. Michael McGuire Building Inspector 27 Charles Street North Andover, MA 01845 Re: 1070 Osgood Street Dear Mr. McGuire: Please find enclosed an interim as-built plan for the above-referenced property. By examining the plan you will note that the existing sign does not meet the required 10 foot offset from all property lines. At this time we request that you issue a Certificate of Occupancy with the condition that the sign be relocated to comply with the 10 foot setback requirement to all lot lines as soon as the weather conditions permit. I will contact you when the sign is scheduled to be moved. The final as-built plan shall be prepared and submitted once the final grading and landscaping are completed. We anticipate this work to be completed this spring. Thank you for your time and effort regarding this issue. If you have any questions please do not hesitate to contact me. Sincerely, THOMAS E. NEVE ASSOCIATES, INC. d� n/\- �n/x -, John M. Morin, PE Executive Vice President JMM/kmm Enclosure cc: Chai Senabunyarithi Sylvestrl Corporation 2161 Bldg,lnspector.doc • ENGINEERS LAND SURVEYORS • LAND USE PLANNERS 447 Old Boston Road U.S. Route#1 Topsfield, MA 01983 (978)887-8586 FAX(978)887-3480 February 27, 2003 CHAI RESTAURANT 1070 Osgood ST. No. Andover, MA 01845 Dear Mr. McGuire: We will moved the sign with the 10 foot setback requirement to all lot lines as soon as the weather conditions permit. We will contact you when the sign is scheduled to be moved. Thank you for help. If you have any questions please don't hesitate to contact me at (978) 685-7979. Sincerely, & - �Xb� Chai Senabunyarithi President pORTM Pf i4so,41hG t # SSNCHU`4 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 6-6' c ' Date o2-c2q-*a00 3 THIS CERTIFIES THAT THE BUILDING LOCATED ON /O?0 m,5 a o d 70 S 7L" MAY BE OCCUPIED AS �Pc 642 1`d u A.> -7 4- Ca 500S IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO /070 � SGmol� c5�- c Building Inspector Town of N No. 4SS'* '*17 North-.Andover, Mass., BOARD OF IJEALTH Food/KitchenPERMIT TO BUILD . Septic System JWe�� BUILDINGIN THIS CERTIFIES THAT.',..'.. y � % =.. . w' . y�...` ..... . .. ... .�..� � . 4..'..... Foundation �V_INSPECTOR has permission to erect................'...................... buildings on .. ...:..... .�:...........`...`........�:.. �'. . ".`.......:.......�..... Rough /11;;/1` to be occupied as ' Chimney provided that the person accepting this permit shall in every respect,conform to the terms of the application on file in Final ss ,/ this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of �°�'' A--%'� �'�/d 3 1 Buildings in the Town of North Andover. PLUMBING INSPECTOR/," r' VIOLATION of the Zoning or Building Regulations Voids this Permit. Ito p-t Final ELECTRICAL ,�.. ......BUILDING INSPECTOR ' / . GAS INSPEC-�OR Display in a Conspicuous Place on the Premises — Do Not Remove Fina, No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. EBurnteNo.SEE REVERSE SIDE Det. ' i i f Town of North Andover 0thORT 6w o Building Department gk.`'_ ' "` °� 0 ti fi 27 Charles Street ►- ;o North Andover,Massachusetts 01845 " (978) 688-9545 Fax(978) 688-9542 4 .P COCHK Kt1vKM Too p�sACF4U`��� 1 APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS lo -40 A M �o�' �MPN o\64 LOT NUMBER SUBDIVISION DATE REQUEST FILED DATE READY FOR INSPECTION TEN (10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY. M ROUTING D.P.W. —WATER METER OL DATE Z Z�J D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SI NATURE/ liiAUTHORIZATION Town of North Andover AOR=y , Building Department 27 Charles Street a North Andover,Massachusetts 01845 4 _ (978) 688-9545 Fax(978) 688-9542 QCDC Ni[FwKw til T a4TOD APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS 10 *O OS Co 01P 5-y-. A A,) 9 0V p`164►7 LOT NUMBER SUBDIVISION DATE REQUEST FILED DATE READY FOR INSPECTION TEN (10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING D.P.W. -WATER METER (�� DATE Z 3 D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. Sld2NATURE/ AUTHORIZATION 1 1. Prior to the endorsement of the plans by the Planning Board, the applicant must comply with the following conditions: a) The final plan must be reviewed and approved by the DPW and the Town Planner and subsequently endorsed by the Planning Board. The final plans must be submitted for review within ninety days of filing the decision with thQ Town Clerk. b) A bond in the amount of five thousand ($5,000) dollars must be posted for the purpose of insuring that a final as-built plan showing the location of all on-site utilities, structures, curb cuts, parking spaces, topography, and drainage facilities is submitted. The bond is also in place to insure that the site is constructed in accordance with the approved plan. The form of security must be acceptable to the Planning Department. C) The applicant must supply a copy of the approved Massachusetts Highway Department permits necessary for construction of the site to the Planning Department. 2. Prior tQ the start of construction: a) A construction schedule shall be submitted to the Planning Staff for the purpose of tracking the construction and informing the public of anticipated activities on the site. b) Puring construction, the site must be kept clean and swept regularly. 3. Prior to FORM U verification (Building Permit Issuance): a) The Planning Board must endorse the final site plan mylars and three (3) copies of the signed plans must be delivered to the Planning Department. b) One certified copy of the recorded decision must be submitted to the Planning Department. c) The applicant is required to pay sewer mitigation fees at the Department of Public Works. Proof of payment must be supplied to the Planning Department. 4. Prior tp verification of the Certificate of Occupancy: a) The applicant must submit a letter from the architect and engineer of the project stating that the building, signs, landscaping, lighting and site layout substantially comply with the plans referenced at the end of this decision as endorsed by the'Planning Board. 2 f• b) The Planning Staff shall approve all artificial lighting used to illuminate r the site. All lighting shall have underground wiring and shall be so arranged that all direct rays from such lighting falls entirely within the site and shall be shielded or recessed so as not to shine .upon abutting properties or streets. The Planning Staff shall review the site. Any changes to the approved lighting plan as may be reasonably required by the Planning Staff shall be made at the owner's expense. All site lighting shall provide security for the site and structures however it must not create any glare flr project any light onto adjacent residential properties. c) The applicant shall adhere to the following requirements of the North Andover Fire Department and the North Andover Building Department: 1) All structures must contain a commercial fire sprinkler system. The commerci4.l fire sprinkler systems must be installed in accordance with referenced standard NFPA 13D and in accordance with 780 CMR, Chapter 9 of the Massachusetts State Building Code. Certification that �' � properly m the stems hav been installed ro accordance with the above . referenced regplations must be provided from both the North Andover Fire Department and the North Andover Building Department to the applicant. The applicant must then provide this certification to the North Andover Planning Department. 5. Prior to the final release of security: a) The Planning Staff shall -review the site: Any screening as may be reasonably required by the Planning Staff will be added at the applicant's .expense. Specifically after the detention pond is completed, the Town Planner will review the site and any screening as may be reasonably required by the Town Planner will be added at the applicant's expense b) A final as-built plan showing final topography, the location of all on- site utilities, structures, curb cuts, parking spaces and drainage facilities must be submitted to and reviewed by the Planning Staff and the Division of Public Works. 6.. Any stockpiling of materials (dirt, wood, construction material, etc.) must be shown bn a plan and reviewed and approved by the Planning Staff. Any approved piles must remain covered at all times to minimize any dust problems that may occur with adjacent .properties. Any stock_piles to remain for longer than one week must-be fenced off and covered. 7. In an effort to reduce noise levels, the applicant shall keep in optimum working order, through regular maintenance, any.and all equipment that shall emanate sounds from the structures or site. 3 SILVERWATCH ARCHITECTS LLC 1 Architecture Engineering Land Planning Design Tuesday, February 25, 2003 Town of North Andover, Massachusetts Office of the Planning Department Community Development and Services Division RE: Chao Praya River Restaurant 1070 Osgood Street North Andover, Massachusetts To Whom It May Concern: The aforementioned building, now complete, at 1070 Osgood Street, North Andover, Massachusetts was constructed as specified in architectural drawings prepared by this office. More specifically, the drawings, designated Sheets A-2 and A-3, identified as exhibits in the Decision by the Office of the Planning Department dated June 5, 2001 are essentially identical to the final construction as—built. Sincerely, �EREDA& Q�C•�v�s►LVFq������ No.9671 T- A Joel id SilveWatc , itect A ��o NH G 94n/OF MPSgP 163 Main Street Salem,New Hampshire 03079 603.894.4450 tRic �n TELECOMM CORP. Certifled.Solutions tamn'der ✓Dice,Data,Video and Fiber Optics 60 ! 'ej C �a P.O.Box 1330 17 Batchelder Road Seabrook,NH 03874-1330 TEL: (603)474-3900 FAX.- (603)474-7755 f �, ��: �g� �` t.��, � ,fes 1 �� �� �� . , ��� , � ,_ . �, �� 1. j �� � TOWN OF NORTH ANDOVER OFFICE OF THE BUILDING DEPARTMENT COMMUNITY DEVELOPMENT AND SERVICES 27 CHARLES STREET NORTH ANDOVER,MASSACHUSETTS 01845 D. R.Nicetta, NORTH Telephone(978)688-9545 Building Commissioner O - s FAX(978)688-9542 �9SSACHUS SSy FAX TRANSMISSION TIME: 0� DATE a- q- 60-3 NO,OF PAGES TO: FROM: UYl t K•2 (/Vlc C- u 1 r SUBJECT: 10 g 0 © Sc" m BUILDING DEPT FAX NUMBER 978-688-9542 To Fax# REMARKS: C9 BOARD OF APPEALS 688-9541 BUILDINGS 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Town of North Andover t4ORTft Office of the Planning Department o= Community Development and Services Division "o ` 27 Charles Street + ��.�.-�- 4 41 North Andover,Massachusetts 01845 RSSwcHUS Heidi Griffin Telephone(978)688-9535 Planning Director Fax (978)688-9542 Notice Of Decision Any appeal shall be filed o ;7-' o Within (20) days after the �o ::aDate of filing this Notice N `1 a In the Office of the Town Clerk `D <� U)a Date: June 21, 2001 ,v Date of Hearing: June 5, 2MI Petition of C�ai Senabunyarithi, c/o Chao Praya River,322 South Broadway, Salem NH 03079 Premises Affected: 1070 Osgood Street North Andover,MA 01845 Referring to the above petition for a special permit from the requirements of the North Andover Zoning Bylaw Section 8.3. So as to allow: the construction of a 2,733 square foot restaurant in the Business 2 Zone. After a public hearing given on the above date, the Planning Board voted to APPROVE, the Special Permit for Site Plan Review, based upon the following conditions! Signed: JSi ons, Chairman Cc: Applicant A erto Angles, Vice Chairman Engineer Richard Nardella, Clerk Abutters Richard Rowen DPW Alison Lescarbeau Building Department Conservation Department Health Department ZBA BOARD OF APPEALS 6698-9541 BUILDING 649-9515 CONSERVATION 688-9530 HE:-UTH 683-9540 PLANNING 688-953? 1070 Osgood Street-Chao Praya Restaurant Site Plan Review - Special Permit The Planning Board herein approves the Special Permit/Site Plan Review for the construction of a 2733 square foot restaurant located in the Business 2 Zone. This Special Permit was requested by Chai Senabunyarithi, c/o Chao Praya River, 322 South Broadway, Salem, NH 03079. This application was filed with the Planning Board on January 4, 2001. The applicant submitted a complete application which was noticed and reviewed in accordance with Section 8.3, 10.3, and 10.31 of the Town of North Andover Zoning Bylaw and MGL C.40A, Sec. 9 The Planning Board makes the following findings as required by the North Andover Zoning Bylaws Section 8.3 and 10.3: FINDINGS OF FACT: 1. The specific site is an appropriate location for the project as it is located in the Business 2 Zone and involves the construction of a restaurant which is an appropriate use. 2. The use as developed will not adversely affect the neighborhood as a sufficient buffer has been provided. Extensive landscaping has been provided along the entire perimeter of the restaurant, along with a wood guard rail, concrete headwall and a concrete retaining wall along the ingress/access point. 3. There will be no nuisance or serious hazard to vehicles or pedestrians. 4. The landscaping approved as a part of this plan meets the requirements of Section 8.4 as amended by the Planning Board, of the North Andover Zoning Bylaw; 5. The site drainage system is designed in accordance with the Town Bylaw requirements and has been reviewed and approved by the Outside Consulting Engineer, Vanasse, Hangen Brustlin, Inc; 6. The applicant has met the requirements of the Town for Site Plan Review as stated in Section 8.3 of the Zoning Bylaw; 7. Adequate and appropriate facilities will be provided for the proper operation of the proposed use. .The facility will be on town water and sewer. Finally the Planning Board finds that this project generally complies with the Town of North Andover Zoning Bylaw requirements as listed in Section 8.35 but requires conditions in order to be fully in compliance. The Planning Board hereby grants an approval to the applicant provided the following conditions are met: SPECIAL. CONDITIONS: 1 1. Prior to the endorsement of the plans by the Planning Board, the applicant must comply with the following conditions: a) The final plan must be reviewed and approved by the DPW and the Town Planner and subsequently endorsed by the Planning Board. The final plans must be submitted for review within ninety days of filing the decision with the Town Clerk. b) A bond in the amount of five thousand ($5,000) dollars must be posted for the purpose of insuring that a final as-built plan showing the location of all on-site utilities, structures, curb cuts, parking spaces, topography, and drainage facilities is submitted. The bond is also in place to insure that the site is constructed in accordance with the approved plan. The form of security must be acceptable to the Planning Department. C) The applicant must supply a copy of the approved Massachusetts Highway Department permits necessary for construction of the site to the Planning Department. 2. Prior tq the start of construction: a) A construction schedule shall be submitted to the Planning Staff for the purpose of tracking the construction and informing the public of anticipated activities on the site. b) During construction, the site must be kept clean and swept regularly. 3. Prior to FORM U verification (Building Permit Issuance): a) The Planning Board must endorse the final site plan mylars and three (3) copies of the signed plans must be delivered to the Planning Department. b) One certified copy of the recorded decision must be submitted to the Planning Department. c) The applicant is required to pay sewer mitigation fees at the Department of Public Works. Proof of payment must be supplied to the Planning Department. 4. Prior tp verification of the Certificate of Occupancy: a) The applicant must submit a letter from the architect and engineer of the project stating that the building, signs, landscaping, lighting and site layout substantially comply with the plans referenced at the end of this decision as endorsed by the`Planning Board. 2 b) The Planning Staff shall approve all artificial lighting used to illuminate the site. All lighting shall have underground wiring and shall be so arranged that all direct rays from such lighting falls entirely within the site and shall be shielded or recessed so as not to shine upon abutting properties or streets. The Planning Staff shall review the site. Any changes to the approved lighting plan as may be reasonably required by the Planning Staff shall be made at the owner's expense. All site lighting shall provide security for the site and structures however it must not create any glare or.project any light onto adjacent residential properties. c) The applicant shall adhere to the following requirements of the North Andover Fire Department and the North Andover Building Department: 1) All structures must contain a commercial fire sprinkler system. The commercial fire sprinkler systems must be installed in accordance with referenced standard NFPA 13D and in accordance with 780 CMR, Chapter 9 of the Massachusetts State Building Code. Certification that the systems have been installed properly in accordance with the above referenced regulations must be provided from both the North Andover Fire Department and the North Andover Building Department to the applicant. The applicant must then provide this certification to the North Andover Planning Department. 1 5. Prior to the final release of security: a) The Planning Staff shall review the site. Any screening as may be reasonably required by the Planning Staff will be added at the applicant's expense. Specifically after the detention pond is completed, the Town Planner will review the site and any screening as may be reasonably required by the Town Planner will be added at the applicant's expense b) A final as-built plan showing final topography, the location of all on- site utilities, structures, curb cuts, parking spaces and drainage facilities must be submitted to and reviewed by the Planning Staff and the Division of Public Works. 6.. Any stockpiling of materials (dirt, wood, construction material, etc.) must be shown-an a plan and reviewed and approved by the Planning Staff. Any approved piles must remain covered at all times to minimize any dust problems that may occur with adjacent properties. Any stock piles to remain for longer than one week must-be fenced off and covered. 7. In an effort to reduce noise levels, the applicant shall keep in optimum working order, through regular maintenance, any and all equipment that shall emanate sounds from the structures or site. 3 8. The hours for construction shall be limited to between 7:00 a.m. and 7:00 p.m. Monday through Friday and between 8:00 a.m. and 5:00 p.m. on Saturday. 9. Any plants, trees or shrubs that have been incorporated into the Landscape PIan approved in this decision that die within one year from the date of planting shall be replaced by the owner. 10. The contractor shall contact Dig Safe at least 72 hours prior to commencing any excavation. 11. Gas, Telephone, Cable and Electric utilities shall be installed underground as specified by the respective utility companies. 12. No open burning shall be done except as is permitted during burning season under the Fire Department regulations. 13. No underground fuel storage shall be installed except as may be allowed by Town Regulations. 14. The provisions of this conditional approval shall apply to and be binding upon the applicant, its employees and all successors and assigns in interest or control. 15. Any action by a Town Board, Commission, or Department, which requires changes in the plan or design of the building, as presented to the Planning Board, may be subject to modification by the Planning Board. 16. Any revisions shall be submitted to the Town Planner for review. If these revisions are deemed substantial, the applicant must submit revised plans to the Planning Board for approval. 17. This Spccial Permit approval shall be deemed to have lapsed after 6/-?-//6& (two years from the date permit granted) unless substantial use or construction has commenced. Substantial use or construction will be determined by a majority vote of the Planning Board. 18. The following information shall be deemed part of the decision: Plan Titled:. Site &Utility flan of Chao Restaurant Prepared for: Chai Senabunyarithi Prepared By: Thomas E. Neve Associates 447.Old Boston Road—U.S. Route I Topsfield, Massachusetts 01983 Scale: 15')=201 Date: 7/15/00, revised 9/8/00, 9/15/00, 11/17/00, 01/03/01 1/17/01, 2/14/01, 3/12/01, 6/12/01 Sheets: 1-4 4 h Plan Titled: Chao River Restaurant Prepared for: Chai Senabunyarithi, 1070 Osgood Street North Andover,Massachusetts Dated: 1/24/00 Scale: W1=1'431 Prepared By: Joel David Silerwatch, Architect AIA 163 Main Street Salem, NH 03079 Sheets: A-2 &A-3 Report Titled: Hydrologic Analysis Of Chao Praya Restaurant Prepared By: Thomas E. Neve Associates, Inc. 447 Old Boston Road Topsfield, MA 01983 Date: June 2000, revised September 2000, revised April 2001 cc: Applicant Engineer File I 5 r a TOWN OF NORTH ANDOVER OFFICE OF LICENSING COMMISSION 120 MAIN STREET • NORTH ANDOVER,MASSACHUSETTS 01845 .t Ce No?T°q�0 Donald B. Stewart, Chairman 3 William B. Duffy,Jr. - p Telephone(978)688-9500 Susan M.Haltmaier * FAX(978)688-9556 Rosemary C. Smedile •- ' James M. Xenakis 9SSACHUSES Memorandum To: Building Inspector Board of Health Fire Department Police Department Commissions on Disability Issues From: Janet L. Eaton, Assistant Town Clerk Date: Septm , 2001 Subject: Entertai ment License Attached please find an application for an entertainment license received in this office on September 11, 2001 Please review and submit your recommendation to me by Friday, September 28, 2001 Your attention in this matter is greatly appreciated. attachments -W, ou u f" RECEIVED JOYCE BRADSHAW TOWN CLERK & .AeWin 4 - 'jiM '04 LoRTH ANDOVER Jmm of Nft& 2001 SEP I I P 2: I b APPLICATION FOR AN ENTERTAINMENT LICENSE The undersigned respectfully applies for an entertainment license as follows: LOCATION OF PREMISES 1085 Osgood St. CLASS OF LICENSE: North Andover, MA 01845 DESCRIPTION OF PREMISES: Restaurant and Bar 3100 Square Feet RADIO: TELEVISION One JUKEBOX AMPLIFERS PHONO CABLE TV WIDESCREEN TV CASSETTE OPER.TV MOVIES INSTRUMENTAL MUSIC YeS NO.OF INSTRUMENTS: 1-4 , Type of instruments Various What floors First VOCAL MUSIC YescaJockey No of persons 1-2 DANCING BY PATRONS Yes Type of Dancing Various types What Floors? First Size of dance floor 1000 - 1500 Square feet Exhibition or Trade Show Describe Play Describe Moving Picture Show Describe Floor Show Describe Athletic Event Describe As part of the above entertainment,will any entertainer,employee or person on the licensed premises be permitted to be unclothed or in such attire as to expose to view any portion of the areola or the female breast or any portion of the pubic hair,cleft of the buttocks or genitals? NO X YES Explain in what manner such person will be presented Did you hold an entertainment license from the Board pursuant to section 183A of Chapter 140? No If yes,was it for the exact same entertainment being requested in this petition? Firm or Trade Name AGLIO Inc. , d/b/a Business.Name Orzo's Cafe Tratt ria Date Manager Signature Michael Reppucci RECEIVED J O T o 11"N NORTH ANDOVER � for license for Public Entertainment on Sunday DOVER 2001 SEP, I I P 2: 11 G IO10 (Date) Mayor, Hon- JAMES XENAKIS Chairman of Board of Selectmen, North Andover (City or Town) Dear Sir: The undersigned, in accordance with chapter 136 of the General Laws, as amended, hereby requests a license for permission to have live and recorded musical entertainment, patron dancing, disc jockeys, appropriate lighting and sound system. (Insert Description of Entertainment) in or on the property at No. 1085 Osgood Street, North Andover Street (Name of Building) on Sundays from 1:00 p.M. to 12:00p.M. (Date) The concert or entertainment above mentioned is to be in keeping with the character of the Lord's Day and not inconsistent with its due observance. Licensee or AGLIO Inc. d/b/a Orzo's jC&f e Tratioria Authorized representative Michael Reppucci Home Ad S, 37 Canterbury Street Andover, MA 01810 PROGRAM OF CONCERT OR ENTERTAINMENT No Name of Artists, Orchestra Nature of Description of Costume or other Entertainment Entertainment to be worn 1 . Various Disc Jockeys Mu N/A or Live Performers THIS APPLICATION AND PROGRAM MUST BE SIGNED BY THE LICENSEE OR AUTHORIZED REPRE- SENTATIVE OF ENTERTAINMENT TO BE HELD. NO CHANGE TO BE MADE IN THE PROGRAM WITHOUT PERMISSION OF THE AUTHORITIES GRANTING AND APPROVING THE LICENSE. THE FEE OF DOLLARS TO ACCOMPANY THIS APPLICATION AND PROGRAM WHEN FOR. WARDED TO THE COMMISSIONER OF PUBLIC SAFETY FOR APPROVAL. MASSACHUSETTS U141FORM APPLICATIOWFOR.PERMIT.-T . "PLUM 1N (Type or Print) ,;.. ; NORTH ANDOVER ,Mass. , j/ 3 Date. <J Per it Building Location 'zy GI .3 06gaVAsf Owners Name 7.1d '. New I] Renovation Replacement [J Plans Sybmitted ❑ FIXTURES z • _ a) , Z Y h N 0 of O 2 ¢ Z 07 6 ¢ ¢ _ ¢ O W t' W Ql I— a Y Q d V W' ¢ O ip O W > Q t— IA Z Q Q V7 C Q a O'+ O. It. Z 0 7. ¢ Q Q Q W Z -� G Q W H I." W Ql D .J cc h Q �C C Q U. cc W = < X O 2 2. X a o 1 W ¢ X W t C7 > F' O = cat. = to f. 2 O Q of E _Z W O 0 N N Q o Q J J Q ¢ CC d Q O 4 I' j SU8—SSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3110 FLOOR 4TH FLOOR STH F-LOORMgj I fill M1 I 6TH FLOOR 7TH FLOOR STH FLOOR t (Print or Type) �n Q J,10 000-eg- Check one: Certificate Installing Company Name /''Ir eokX tfitIy Corp. Address ()• (��( Partner. Firm/Co. Business Telephone J i Name of Licensed Plumber: 1jao'l-eS Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity Bond ❑ j Insurance Waiver: I , the undersigned, have been made aware that the licensee of J this application does not have any one of the above three insurpnce coverages. I j . Signature of owner/agent of property Owner ❑ Agent`,,.0 Y. l hereby certify that all of die details and information I leave subinillcd lot entcrcd)in atmove application are flue as Cstlaic to We best of ray knowledge and that all plumbing work and insultaGons petfmrmcd undcr reno,it issucd fat this application will be in cauptiaeee with all putineat pto•.•4 oiswasa of the Massachusetts State Plumbing Code and Claptet 142 of(lie(:metal Laws. , By TitleSignature of Licensed Plumber . City/Town- � ye of Plumbing License 1 � APPROVED ZOFFICE USE ONLY) License Number ,� Master 1:1Journeyman Date.3 . 3518 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 41 tSSACHUs� 1 / S This certifies that �.�`i.7� i !t. . .�?!!!�? ... . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . ZM?. 4i . . . . . . . . . . . . . . j at. ��.�� Y�'. .�?° . .Usk s `�. . 4. . . orth Andover, Mass. 0.! C c�i Fee - .? Lic. No.. ? �.!.v . . . . -czy.,. . . . . . . . . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) t NORTH ANDOVER Mass. Date/Pei . I,/ f.(."_ ) uilding Location Zo 77 Permit # 26((o 0Uf�ZFD Owners Name /,7g)s New 77 Renovation Replacement p Plans Submitted D fn � W N _ N as v � F,• W ulul O O m t N Z tII N N W w 0 Q a W t' _ — t- > W _ N N t3 V W 07 -t Q O D W 11111 1 W yr 07 W ` Q = La '� W tt: W W C3 G c� t- ' _ f- z f. 4f ur a > u- G1 111111 t- w 1 t- to _ 2 4 W G C C < m O Z O cn tL fr- Z O t: = u. O Q. 0 1 V V1 BASEMEUT I I I I I I I I I I IST FLOOR i 2XD FLOOR I I I ( I I I I II I I I I I I I I I b 3RD FLOOR 4TH FLOOR ( I ( I 1 ( I I I I I I I I STH FLOOR 6TH FLOOR I ` 7TH FLOOR ! I I I I I ! I I I I 8TH FLOOR I I I I (Print or Type) —/JJ Check one: Certificate Installing Company NameA744.-,er- Corp.`�'/7 Address Z C•�-��a�h/ _� Partner. 1 w.._ /Viarf Firm/Co. Business Telephone:/7 Name of Licensed Plumber or Gas Fitter W,/f/o,,,.` Insurance Coverage: Indicate t:ie -,,,,,pe of insurance coverage by checking the appropriate box: Liability insurance policy � Other type of indemnity = Bond Insurance Waiver: 1 , the undersicned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner = Agent I hereby certify that all of the details and information I have submitted (or entered)in above avpfintion are true and amaate to the best of my knowledge and tint all plumbing worst and installations perforated under ftrmit iuucd fo: this application will be in compliartca with all pertinent provisions of the Massachusetts Slate Cas Code and Chapter 14:ei the Centra!Lawa. B TYPE LICENSE: By Plumber Title Gasfitter Signature of Licensed City/Town- Master Plumber or Gasfitter Journeyman APPROVED (OFFICE USE ONLY} License Number 'T266Date.j�. .�.�. t� j HpR7M TOWN OF NORTH ANDOVER s' Of� '6 O PERMIT FOR GAS INSTALLATION p ' 10. • 09 # a t �9SSACHUSEt 5 a r This certifies that. . has permission for gas installation t yV.�.�. . . . . . . . . . . . in the buildings of Q�at�S.�l. . .oz zC). . . . . . . at . u1. . . . .C�UQ . . . . . . . . . ., North Andover, Mass. i Fee.9 Lic. No..(.O(. . ( 'i f� �i`y ^- •Ig %�00 SID GAS INSPECTOR i WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File offtce Use only r7 rN . The Commonwealth of Massachusetts `� ( n Pernit ?to. 7 t 4`a .W r Department of Public Safely occupancy S fee Qleckef ffl%W'VLX 12.3 2^' , . BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12.-00 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Massachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR E ALL INFORMATION) Date /9—/3 7��— City or Town of p1.7-W 4AjA6a :,e, To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Owner or Tenantj 'r-s Q 2.ZQ Owner's Address Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building r '/ �OIYI ���yyJ;yJ�rtr„ r- Utility Authorization N0. LLOZ1110� Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of deters New Service -000 Amps/ , Q / Volts Overhead N Undgrd ❑ No. of 114 ters�_ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �iU•�1JT�T!J �,¢ No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimmin Pool Above In- g grnd. ❑ grnd. ❑ Generators KV:\ No. of Receptacle Outlets IIA2 No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets 174 No. of Gas Burners FIRE ALAPUMS No. of Zonea No. of Ranges No. of Air Cond. Total No. of Detection and tonsInitiating Devices No. of Disposals �' No. of punts Total Total No. of Sounding Devices Tons KW No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local❑ Municipal ❑Other Connection No. of Water Heaters / KW No, of o. o Low Voltage Signs Ballasts Wiring No. Hydro Massage Tubs No, of Motors Total HP A,,17- -5/' 4;A45 OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES® NO E] I have submitted valid proof of same to this office. YES® NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE X❑ BOND ❑ OTHER ❑ (Please Specify) Expiration Date; Estimated Value of Electrical Work $ Work to Start``—�y 7 Inspection Date Required: Rough/& ,. 04U Final Signed under the penalties of perjury: FIRM NAME MAKI ELECTRICAL INC LIC. NO. Al 1738_ Licensee RAYMOND MAKI Signature �. LIC. NO. A11738 Address 100 NORTH ST. WORCESTER MA 605 us. Tel. No. 2-5662 Alt. Tel. No. 756-5553 a�° OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- C stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE $ Signature of Owner or Agent ' Datel'? .1.r�. .a......... T' 270036 N°RTM TOWN OF NORTH ANDOVER too p PERMIT FOR WIRING ,SSACHUS� This certifies thatA.<A........1��--�. �,..�!-a�. .... . . ................................... has permission to perform .7. l. u� wiring in the building of.kor---tc....W •`� . ....oczo....'(�ut- i at.. . .1 �... N.( rJC ..... �. ..................... .North Andover,Mass. a d Lic.No.A.t.oFee.. .. . .. .............ER..I.C.A..L..I.N..S.P..E.C..T.O.R........ .......... I J � H 16:18 89.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File .� �.���.:� -. • 'Y ..r A. .♦. Mir .- r.. . .� _ i ♦ lf^ No.: ` 1 L Date N°RTh °f'"`D0 TOWN OF NORTH ANDOVER L ° ; BUILDING DEPARTMENT C Building/Frame Permit Fee $ SS US ` Foundation Permit Fee $ �"��G� Permit Fee $ 6� - V• Z i~_, Building Inspector f j 12/2 /95 1 :4 111.00 PAID Location / '7 7 No. 6-3a Date r r r lt`R NORo T►i TOWN OF NORTH ANDOVER .r O��t�a ,� 0 AV 3? ��� OL 4 a F p Certificate of Occupancy $ 5p — ` ` Building/Frame Permit Fee $ 77 Foundation Permit Fee $ p SACHUS Other Permit Fee $ ` Sewer Connection Fee $ Water Connection Fee $ ° TOTAL $ �= (N rk9C, S"` Building Inspector c J I 9462 Div. Public Works PERMIT NO. 3 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. f PAGE 1 M'P h-40. I LOT NO. 2 RECORD OF OWNERSHIP (DATE (BOOK ;PAGE — ZONE SUB DIV. LOT NO.A I LOCATION fy�`� s�6 / PURPOSE OF BUILDING PIS OWNER'S NAME VV �t,� % ^S/a`(b/I �G` A-�� NO. OF STORIES SIZE I'i N• OWNER'S ADDRESWo `w/ '/JS�- pe-,Lw� ,(J,44ABASEMENT OR SLAB ARCHITECT'S NAME J�; (JW" � F/ y SIZE OF FLOOR TIMBERS IST 2ND 3RD / j M w. BUILDER'S NAME Chr�l CSPAN --- 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 IS BUILDING ALTERATION VnA 2 IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS s PROPERTY INFORMATION a LAND COST SEE BOTH SIDES T. BLDG. COST Qc2sLcZ— PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 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 FILE .�AND APPROVED BY BUILDING INSPECTOR D E FILED �( j�ye q ♦BUILDING INSPIM111 IGNA OF OW AUTHORIZED AGENT F E E C l bSo_o / Ir) (,�1//3. OWNER TEL.# s PERMIT GRANTED // CONTR.TEL.# 19 - CONTR.LI/C..#�0, 4 NOV 3 0 IC'y'� C&t�.k - _ 944 z-:-- r BUILDING RECORD 1 OCCUPANCY 12 w SINGLE FAMILY S - I THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM ' MULTI. FAMILY FICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. s CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PIASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ '/ '/t 1/1 FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDIVD _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPM. TILE _ STUCCO ON MASONRY o STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. d FLOOR i- BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I I POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE -t flP BATH (3 FIX.) _ GAMBQEL MANSARD TOILET RM. (2 FIX.( — FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 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 . OIL B'M'T 2nd _ ELECTRIC tst 13rd I NO HEATING f NORTil 1 - own of Over No• 636 ' b { � o , dower, Mass., ADRATED P?�k j 5 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..&%.0.C-#..���d. Y.. ....� ?o.-..> L1,0••. { ,•. lQ�.. """""""" Foundation has permission to we ....AA.-M.Q„ buildings on .101 .... &G ....!r...........6 t... � Rough to be occupied as...CR'!�r.. ..� or......fta P,)... Chimney . T.'�d?� provided that the person acc pting 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 CONT ELECTRICAL INSPECTOR Rough ..... Service BUILDING IN CTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final t No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. FORK U - LOT RELEASE FORK INSTRUCTIONS: This fora 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 local or state law, regulations or requirements. H ' ****************Applicant fills out this section***************** /49.6us. gr.acrLA 'tom t: \ APPLICANT: A rm L..Lo rsr_ �aQ.zd 1 Phone : LOCATION: Assessor's Map Number Parcel subdivision Lot(s) Street O'17 ObG�Oo� Ski " St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments QFAQ Date Approved �T1 � 'Town Planner Date Rejected Comments _ 151 1171 L�(1�;/�;►C��A 4 Date Approved / o o I pector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit ✓ Fire Department t--1.=� . 1�.^ 4 6c.1 in .?L rZ r rJ (LtV enc/ ✓Wid/f_),L_ ,✓'��c1+:%z�;��f'Zt���rf'�'�'�?r�^'lT� �J:��;.�� �� , >7u;,�'��%`,��,�e .�' C3�=�'�',�n�•� C,L•'�i' �r�/:,f��. Received by Building Inspector Date NOV 3 0 ieS1 iNad vlsh : oe. i g5 Yas ,rd v. ' .v -Y ':lac Restrict�c ... .. ------------- Yata�tljv��lhn�� - _tee Cammcm .� LI 85 I i 6-15-63- KF-MM-2 MOM CHOMA CWHRIST P r. ��xilElM €ii 8T - - i ;r _. ...+ .. _-_._..__. _....__. -_•fes s The Commonwealth of_llassachuse= Deparvnem of Industrial Accidents 600 Washington Street :r Bosron,.yla-m 01111 Workers' Compensation Insurance Afridavit oR• -0 �r /py - ll,Mrtnn• �� I Oy- OA V CC 1 Al A4L,u - A/A -;,one L I am a'-omeowner;erfonning all work Wvsei—f_ 77 1 am a soie orcrme:er and have no one work z y any coac:rr am an employer providing workers eoaoe^.sar on :or my=;tovees:voricing on mis;oo. comnanv name- address '' cites it�fJUW� AA nnpne I arr a soie oroeremr. general contractor, er ao=eowner; _.=»tel and•nave i..__ _._concac:ers listed below xno have the :oilowing worcars' compensation poi:ees: comgnnv-12me- address: Cir- nhoned. insunnr co. ooiicv.l .. comnanv name• address- _ cry. - - phone - insurance eo oo�c+'3 '�ea:n3di'apnauae-• aetnsary Failure:o secure coverage as required under Setnoo_ ai>IGL L oa.oa a cne:mposttioa of cnmmai penalties of a fine up to 51:00.U0 and/or one years'imprisonment as well as civil penalties in tSe ror=org,S".OP WORN:ORDER and a tine oCS100.00 a day_ against ate_ I understand that a copy of this statement may be rorwardcd to the Office of Isvestigmclons of:Ze D[.a For coverage verifica mom I do hereby certif.,under the-_ Es of pc,,—aj7 Lk=the:rtior"="ott provided above s aleand c, rr_— e r e/y _ Signature. Dace / / G� ame ofriciai use only do not write in this area to be cotnpietrd b.City. of M official city or town: per-Mit:license 4 -Building Department [Licensing Board chcheck if immediate response is required CSelectmea's Office [Health Depar meat Contact person- phOK>r; —Other l76x ( -- �5 - - ----- - - - L C 14 tiX3� - 33 -7- k K CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 636 (1995) Date FEBRUARY 27, 1996 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1077 OSGOOD STREET (Unit #3 &_#4) TENANT FIT-UP• MAY BE OCCUPIED AS ANGUS REALTY/ORZO-AGLIO INC. IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. °• "°;';�, CERTIFICATE ISSUED TO nr 7.n-A g 1 i n T n n _ F: ''{�_ °p 1077 Osgood St . ADDRESS MA C""sBuilding Inspector 1 i 1 r i F NORT)q To of dover No. 636 •� ���;<<rv41 Ire tT a dover, Mass.,14':-xn rE._. Ek. 19Cl " BOARD OF IIEA1;rH Food. PERMIT T Septic System * BUILDING INSPECTOR THIS CERTIFIES THAT..AIA.401,.....�'�...W.... Y.. .... 4 ."..N{Std- .d...W�-tc.......ZA ....................... I�uiuulanon /�� has.permission to erect.... .QTW,'2................ buildings on ,P� 11.....�.s��....S.C�............�!UN�.. to be occupied as...CA.V` -(. W.w�'a4R-. x.........4�t��,........�.�.................... .... . 1ST .�C�.4q. ... »ney provided that the person acc pting this permit shall In every respect conform to the arms of the application on file in Final Ole_ this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of '4) Buildings In the Town of North Andover. PLUMIM G INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. of �/ XY4 PERMIT EXPIRES IN 6 MONTHS a UNLESS CONSTR �; �' ELECT ICAL INSPECT (IJ1/61 q� .... ........ ... ....... .......................... ?... 4�BUILDING INSPECTOR Occuj)ancy Permit Required to Occupy Building GAS INSPEC R Display in a Conspicuous Place on the Premises -- Do Not Remove 14 ,91 d No Lathing or Dry Wall To Be Done /t�'�FIRE EPART A Until Inspected and Approved by the Building Inspector. ENi Burner D SCJ ' .31. Street No. Smoke Det. 02411 n _ Town of North AndoverHORTN Of OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES ° . p 1- i 146 Main Street 9 _... : • '17 QO�•rEo"° '(5 KENNETH R.MAHONY North Andover, Massachusetts 01845 9SSACHUS�� Director (508) 688-9533 TO : Licensing R -cat, Robert N =c__ , ��__:__ ccmmiss_cner DATE:' . February 27, _ RF . Cafe Orzo, i07 , Oscccd Stree` , Units #4 Cafe Orzo has ccm:.let_d tenant -uio and has been issued a Certificate of Occuza_?-_c• . The Common Victualler' -and All _lcsh_ol Licenses may be released for this location. y DRN:gb �3 BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D.Robert Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell 4 CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 636 (1995) Date FEBRUARY 27, 1996 THIS CERTIFIES THAT 1 , THE BUILDING LOCATED ON 1077 OSGOOD STREET (Unit #3 &_#4) TENANT FIT-M MAY BE OCCUPIED AS ANGUS REALTY INC. IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. °1 ';,°oT;�y° CERTIFICATE ISSUED TO n r z n-A Z 1 i n T n c _ o? •`' 1077 Osgood St . ADDRESS �'_,�""'` Building Inspector _ - i { 4 f f 1