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Miscellaneous - 1160 GREAT POND ROAD 4/30/2018 (16)
i MAO tA)vc 7J i�atiu�_ TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Section for ofriciai use oni .moi f17 ATE ISSUED: BUILDING PERNUT NUMBER: 0 SIGNATURE: BuildiU Conunissioncr/Ingnaor of Buildings Date 1.1 Property Address: 1.2 Assessors Map and Parcel Number: ,h4� 451',�mer f`�o,0 4 (::>3 -6Ck=.1 I lud Ac W V� Map Number Parcel N&nbr 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage(ft) 1.6 BUILDING SETBACKS(ft) M Front Yard Side Yard Rear Yard IF Required Provide Required Provided Required Provided 1.7 Water Supply M.G-L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone- Outside Flood Zone 0 Municipal On Site Disposal System 0 2.1 Owner of Record /1&0 Name(Print) Address for Service: Signa re Telephone 2.2 Authorized Agent > Na t Address for Service: Z 0 X.g-nitttre Telephone Z WNMMMM. Qp 3.1 L' nsed Construction Supervisor Not Applicable 0 'Addreso�-7 _71 e License Number 0 -n Li ction Supervisor: 7IZ3 119 Z— > 92,P 5-3 2— Expiration Date ic "Signature Telephone r- 3.2 Registered Home Improvement Contractor < Not Applicable .0 Company Name_ Registration Number Address Expiration Date Signature Telephone um'111m e. � �- ,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 Prin ie of Owner/Agent Date 03 Item Estimated Cost(Dollars)to be Q � �d ' , Completed by permit applicant �4 1. Building (a) Building Permit Fee I Multiplier 2 Electrical Estimated Total Cost of co MindiuMSFOrft-f6) i OC90 3 Plumbing Building Permit fee (s)X(b) 4 Mechanical(HVAC) ` 5 Fire Protection y17A O 6 Total (1+2+3+4+5) Check Number $ �1�?Jµ t.�c 1�. i�; ;{��.,�q�4 �}. �1 .r it tr !{y 4<.£� rS� F :� f tt..: � � ^'r. 3 w: 1y _,+x� lf4� �: � - �r7 �,: a �t ��✓ ..rV.;i,<{� �`��^>. ��.i e�,.'', k 7i+i,.7•F s r",F.�t 6t il��vzr �S`'�'F ll�'NF;t �?• .ai.��^ .f 1j.4.✓�:.y r '.i r,* r��tl� +�. fi roc.d u: Y.c f v /t$ # l� .,,: ,�Yt��'`yty ir^�5..�,si 15 •�y. Shat s� 2.a� 1`tl F f?vr21' e �1ti )t $�-:�Yv £ t `:,_ �3fin y�r ✓A i t i�4 'ta�r�l�tF`1 rug S.rvY 1i Y t X -lT'; 3 n f{ F I-:. �iy�>+1 , � ,2 �.,;i.p-F,'3�. t !,•n .ad.. ,'n;.t;;k '�,.- .f p+s. �� i�, b �a, ' ? l r .,:i j t0 NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1ST2ND 3RD SPAN i DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CIIDANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE glrW ,�+' t"l' 1s " f 1 St Workers Compensation Insurance a pe 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.......❑ sEc>r>fUAT S-PROFE IQIUL DE,sI PT cOArsTR 3c°JE1<©lel s RVIC Gs 1�F) DIl r�G J► ;1�3 UR s spm T 1 CONST1tiTCTSt)N CQ S?f�lCE) two ���`l��ren ss+�a►cF�>��ts>l�n 5.1 Registered Architect: Name: Address Signature Telephone ;�Regts�ened.Fr+ufesx�x�al�ttgin� 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 1 Signature Telephone Expiration Date 7 Not Applicable ❑ Co pany Name: PP R sponsible in Charge of Construction S�CT� „�� F QE,U�'O ' { c3r all appl�cable� New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other tY Specify T✓y! �� Brief Description of Proposed Work:- !A ork:-N S'N / W oo D ►6� 13 w r0�® 1=� ,�fl/�til rJ u— T�2V0oAv,.� ;< USIA,, USE GROUP Check as applicable) CONSTRUCTION TYPE j A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ IA ❑ A4 ❑ A-5 0 IB ❑ B Business ❑ 2A ❑ C Educational ❑ 2B 0 F Factory ❑ F-I ❑ F-2 0 2C ❑ H High Hazard ❑ 3A ❑ IInstitutional ❑ IA ❑ 1-2 0 I-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-1 ❑ R-2 0 R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use 0 Specify COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUILDING AREA 4 EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft ON 101" y: Independent Structural Engineering' Structural^Peer Review R m Yes ❑ No ❑ SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, r ,as Owner of the subject property y Hereby,authonze to act on My behalf,in all matters relative two work authorized by this building permit application Signature of Owner Date Location CrWtf� t U N No. C "� Date i2'21-0u ,f MORTH , TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ µust<� Building/Frame Permit Fee $ Foundation Permit Fee $ UU Other Permit Fee 1)c-)4,,,%u $ — TOTAL $ 72 Check # 12/OG a ,I 4 Building Inspector NORTH Town of :�s 0 . No. A o dover, Mass., •ter COCHICMEWICK ADRATED PPa,`�5 1 BOARD OF HEALTH PERMIT od/Kitchen Se is System UILDING INSPECTO THIS CERTIFIES THAT....... �...� �. ,,..� ..... .�. .�. ...�� . ..Z�� • Found ion has permission on.... ......I ........ Slrs�..............I+,� Rough Chimney .. .. �... 1. himn y provided that the person accepting this permit shall in every respect conform to the t ms 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. PLUMBG IN ECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRIC SPECTOR d Rough ......................... ...... .......... . Service ... . ............ ....... . BUILDING INSPECTOR Final S INSPECT Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final IRE DEPARTMENT Bur er SEE REVERSE SIDE oke Det. NORTH 02 T0VM of dov No. 70 003, o X- - =- o dover, Mass., •�� COCMICKEWICK Id OR TEDP .(C7 77 ` BOARD OF HEALTH PERMIT od/Kitchen Se 'c System UIWING INSPECTO THIS CERTIFIES THAT....... �...5�! ..... .�. .�. ,,,4,0,.., ..Z... • Found ion has permission on .... . ... .: �, A Rough � / g Chimney provided that the person accepting this permit shall in every respect conform to the-ms 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. PLUMB G IN ECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRIC SPECTOR 4 Rough .....................T.- . .......... ............. ........ . Service BUILDING INSPECTOR Final INSPECT Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final IRE DEPARTMENT Bur er S t No. SEE REVERSE SIDE11 oke Do. DEC-20-2000 WED 03;52 PM A, I, TEAM USA FAX N0. 3184638870 P. 02/02 DA re(MW=VY) ACertificate of Insurance 12/20/00 PROnUCER THIS CERTIFICATE IS ISSUL`•D AS q MAI 1'E11 OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTII'ICATF. LOUIS MURENO, ��, I(OLDER.THIS CERTIFICATE DOES NOT AMEND.EX PEND OR 105 OAKRIDG E STREET ALTER THE COVERAGE AFFORDED BY 1I IL=POLICIES BELOW. 11 COMPANIES AFFORDING COVERAGE Ll1DI.OW, MA 01050 COMPANY ,nl�atRr_D A AMERICAN INTERSTATE INS, CO, COMPANY BO$TON DEMOLITION, INC. B SILVER OAK CASUALTY, INC, 1394 MAIN STREET COMPANY LYNNFIELD, MA 01940 C COMPANY ` cov�rzAlilts" D THIS IS TO CFR711'Y TI IAT THE POLICIES OF INSURANCE L ISI ED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWI'I I(STANDING ANY REQUIREMCNT,TERM Oil CONDITION OF ANY CONTRACT OR OTHER DOCUMLNT WITH RESPECT TO WI ICI I TIES CER I ir-ICATE MAY I'll~ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED GY THE POLICIES DESCRIOED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE HELN REDUCED BY PAID CLAIMS. co _. POIJCY EFrCCTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DnTfc(MMIDDNY) DATE(MMIODtM LIMITS GENERAL LIArMLITY GFNERALgGGIlCGATE r0MN1fiRCIAL OC•NCRA(.L"iUTY PRODUCTS-COMP/OP AGG �^ CI AIMS MADE OCCUR PERSONAL&ADV INJURY OWNEIIS'S 8 CONTRAC rows PROT EACH OCCURENCE FIRE DAMAGE(Any one fire) MED EXP(Any one person) AuroMOEIIL E LIA61L11'Y ANY AUfO COMBINCD SINGLE LIMIT $ ALL OWNED AUTO-A .. BODILY INJURY $ SCHEOULED AUTOS (Pur parson) W I IIAE.0 AUTO$ BODILY INJURY $ NON•OWNED AJJTOS (ret uccidnnt) PROPCRTYOAMAGC $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AU TD ori MR THAN AUTO ONLY; .. EN ACCIDENT S --- AGGREGATE $ �` EXCESS LIAFIILITY —... OEACIIOccURHENCE MACGRrGATE fRRIfIAUMJJRELLAFORM g3 �. a"^- WORKI"RS COMPENSATION AND X STATUTORY LIMITS A t-MNLOYERS'LIARII ITY m Tiih PROrRICTORI TACHACCIDCNT $500,000 PAkFtJERSIf;XF0UriVE �( INCL AVWCMA9960562000 12/17/00 12/17/01 DISEASE-POLICY LIMIT $500,000 OWICERS ARF; EXCL DISEASE.TACH kMrLOYCr $500,000 OkSCf,Fr OF OTDZR lICJN:i/LUL'AtlpNii/V}HICLE5/SP[CIAL ITEMS PROJ.: BROOKS SCHOOL, 1100 GREAT POND RD.,NORTH ANDOVER, MA FAX; 7131-334.6108 &978-685-2357 CERY'iFiCA'fE HOLLIR ___ CANCELLATION TOWN U� NORTH ANDOVER SHOULD ANY OFTHF_ABOVCCF DESCRIBEDPOLICIESBECANLLEDBCFORI;1Ht�— EXPIRATION DATE TI IGRFOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAfI, C/O M,C,AN DREWS CO,, INC, 10 DAYS WRITTEN NOTICE TO THE CERTIFICA1E HOLDER NAMLD TO TI IC LETT, 200 SUTTON STREET BUT FAILURE TO MAIL SUCH NOTICE SMALL WrOSC NO OBLIGATIONS OR LIAMLITY NORTH ANDOVER, MA 01845 OF ANY KIND UPON TI IC COMPANY,ITS AGENTS OR RCPRESENTATIV[S. Fax Number: { 0 AUTHORIZEDRrPRESENTATIVF ACOFttS 2S_S I9 � ACORD CORPORATION 1988 DEC-20-2000 WED 03:52 PM A. I. TEAM USA FAX N0, 3184638870 P. 01/02 DAl E(MUMYYI ; * Certificate of insurance 12/20/00 PwonUCFR THIS CERTIFICATE IS ISSUED ASA MATTER OF INFoRMAIION ONLY AND CONFERS NO RIGHTS UPON THE CERTnCAT[ LOUIS MORENO,JR. HOLDER.THIS CFR'tiFICATE DOES NOT AMEND,EXTEND OR 105 OAKRIDGE STREET ALTER THE COVERAGE AFFORDED BY THE PQLICICS BELOW AGE LUDLOW, MA 01056 COMPANY COMPANIES AFFORDING COVER A AMERICAN INTERSTATE INS. CO. INSURED OOMPANY BOSTON DEMOLITION, INC. B SILVER OAK CASUALTY, INC. 1394 MAIN STREET COMPANY C LYNN FIELD, MA 01940 COMPANY COVERAGE$ 'W D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ADOVE FOR THE POLICY PERIOD INDICATFD,NOTWITI iSTANDING ANY REQUIRFMEN'r,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITI4 RESPECT TO WFIICH THIS CERTIFICATE MAY bE ISSUED Oft MAY PERTAIN,THIS INSURANCE AFFORDED BYTHF POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, LXCLUSIONS AND CONDITIONS OF SUCI I POLICIES,LIMITS ST IOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY 61-ItOTIVE POLICY EXPIRATION LTRECt_NCRAL OF INSURANCE POLICY NUMBER DATE(MWODIM DATE(MINDO" LIMITS LIABILITYGENCRALAGGREGATE ERCIAL OCNCRAL LIABILITY PRODUCTS-COMP/OP AGG CI AIMS MADC OCCUR PERSONAL&ADV INJURY OWNF RS'S&CONTRACI OR'S PROT EACH OCCURENCE FIRE:DAMAGE(Anyone fire) AU rOfU10f31LE LIABILITY MED EXP(Any one persoll)ANY AUTO — COMRINFD SINGLE LIMIT �U L Q%*4r,,0 AU1 OS BODILY INJURY $ 3CI ICOIJLFn AU r08 (f ar parsnn) HIRCDAUTOS BODILY INJURY $ - NON•O WNCO AUTOS (Per acadunl) —` — PROPERTY DAMAGE $ GARAGC LIABILITY � AU'r0 ONLY•fAACCIDENT ANY AU'10 OTHER THAN AUTO ONLY. f,ACHACCIDENT $ �" -- ACGRECArE $ EXCESS LIABILITY EACH OCCURRENL E $ _ LIMBRELLAFORM AGGREGATE $ O rHr.R T MAN umorzrid A FORM 5 WORKl:kS COMPENSATION qNp X STATUTORY LIMITS ~� ^ EMPLOYERS LLABILITY IA THE PROPRIFTORI FAC14 ACCIOENT $500,000 I'AriTNCR;JrX(CUIIVE X INf.'L AVWCMA9960562000 12/17/00 12/17/01 OIKASE-POLICY LIMIT $500,000 011FICERStnr; I:XGL DISCASF.-EACH EMPLOYFF S"00,000 OTH l)(SG.iP1iUNhUr't1YAl'IONSILOCAIIUNSM t1CL7:',/SPtCIA71I'tMS � . PRO.I,: BROOKS SCHOOL, 1160 GREAT POND RD.,NORTH ANDOVER, MA FAX: 781-334.6108 GERM-ICAT E,MOLDER N^� �� CANCELLATION ^° SHOULD ANY OF THE ABOW DESCRIBrD POLICIES BC CANCELLED BEr'Onr TI IF M.C. ANDREWS CO., INC. EXPIRATION DATE THERCOF,1HEISSUING COMPANY WILL CNOTAVORTOMAIL 10 DAYS WRITTEN NOTICE TO THC CFR71FICATE HOLDER NAMED TO TI IC L•PF r, 200 SUTTON STREET BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION*OR LIABILITY NORTH ANDOVER, MA 01845 OF ANY KIND UPON THE A S A _N'r5 OR REPRFSEN'ATIVES Fax Number., (978)685-2357 AUTHORIZED REPRESENT IvE ACOItD 25•S(1195) ACORD CORPORATION 1980 DEC-21-2000 THU 09:45 AM A, I, TEAM USA FAX N0, 3184638870 P. 01 &C— RD m Certificate of insurance DAIE(AIMlOO)YYI PRODUCER 12/21/00 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LOUIS MORENO, JR, ONLY AND CONFERS NO RIGHTS UPON THE CCRTIFICA1E 105 OAKRIDGE STREET HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTENOOR ALTER TI IE COVERAGE"AFFORDED BY THE POLICIES BELOW. LUDLOW, MA 01056 COMPANIES AFFORDING COVERAGE COMPANY r iNsurt>u A AMERICAN INTERSTATE INS, CO. COMPANY BOSTON DEMOLITION, INC. B SILVER OAK CASUALTY, INC. 1304 MAIN STREET COMPANY LYNNPIELD, MA 01940 C COMPANY COVERAGES D THIS IS TO Ce.RTIFY THAT THF POLICIES OF INSURANCE LISTED SCLOW HAVE eF.I:N ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO) . INDICAI ED,NOl WITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OFANY CONTRACTOR OTHER IER DOCUMENT WITH RESPECT TO WHICH TRIS CERTIFICATE MAY bE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THC POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TETE TERMS, EXCLWONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY 6FFECTIVI; i'oLK;YEXPIRATION Lt"R TYPG OF INSURANCE POLICY NUMBER �- DATE(MM/DD/YY) DATE EMM/DDlYY) LIMITS GENERAL LIABILITY GENERALAGCR`GATE COMMERCIAL GENERAL LIABILITY �-�• PRODUCTS-COMPIOP AGG CLAIMS MADE EDOCCUR OWNrHS'$ti CONTRACTOR'S PROT PERSONAL&ADV INJURY EACH OCCURENCE FIRE DAMAGE(Any one fire) AUTOMOBILE LIABILI'!Y MED EXP(Any one person) ANY AUTO COMBINED SINGLE LIMIT S ALL OWNED AU'I'CS -CHEUULEO AU'ros rig, ou.Y INruRY $ er porson) I EIREU nUTOS NON-OWNFD AUTOS BODILY INJURY $ -4 PROPERTY DAMAGE $ GARAGE LIABILITY ANYAU10 AU ro ONLY-EA ACCIDeNT g �� OTHER TI(AN AUTO ONLY. EACH ACCIDENT S EXCIESS LIABII.(Ty AGGREGATE lIMBRULLA FORM EACH OCCURRENCE S AGCRECAT[ b O1 HLR TI IAN UMORrL.LA YORM WORKERS COMPENSATION AND S EMPLOYERS'LIABILITY XIS UTORY LIMITS A TI IC PRol 1RIETOR! EACH ACCIDCNT $500,000 ARTNtlZSll XFCUTIVE X INCL AVWCMA9960562000 12/17/00 12/17/01 DISFASE,POLICY LIMIT orFICL R9 ARE, EXGL $500,000 INET{ DISFASE-EACH EMPLOYEE $600,000 GESCftlP1NOP4 Of QPtRATIONS/LUCAIIUNSNCIIICLI.SigPG,CIAL ITCMS PROJECT ADDRESS: 13RQOt<S SCHOOL, 1160 GREAT POND ROAD, NORTH ANDOVER, MA CERTIFICA1 E Fi(E Eq(j[[) CANCELLATION BROOKS SCHOOL SHOULD ANY OF T(EI;ABOVI:OESCRIl3F;D POLICIF;S SE CANCELLED DEFUji[TI IE-'- EXPIRAI ION DATE THCRFOF,THE ISSUING COMPANY WILL ENOFAVOR TO MAIL C/O M.C.ANDREWS CO., INC, 10 OAYS WRITIEN NOTICE TO THE CERTIFICATC HOLDER NAMED TO THE LEFT, 200 SUTTON STREET BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO 08LIGATIONS OR LIABILITY NORTH ANDOVER, MA 01845 OF ANY KINO UPON THE COMPANY,IT AGENTS OR REr'RFSLNTATIVr:S Fax Number: (978)685-2357 AUTHORIZED REPRts ACORD )-S M ACORD CORPORATION JI)SO 12/20/2000 17:42 15166269403 JOHN FITZ DEMO 2000 PAGE 01/01 4111 _ ................. IPikumma'mnrmunmm� q'u°I'tatIIIIlifS r tJ,?'3tu'�„ I •!1 Ia�Wc.<I I +Fy; u'I,I�ol1`��uu� u L"a,.':,:'sL'T" ', „' I,I of 113i1!(�� D12-20-2000) 1 t ODUCER E-1 1-518$26-9401 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE JOHN J.FITZGERALD DEMO 2000 HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3-1 PARK PLAZA ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. SUITE#177 COMPANIES AFFORDING COVERAGE OLD BROOKVILLE , NY 11545 COMPANY A CRUM&FORSTER GROUP INsuRED - .— GOMPANY BOSTON DEMOLITION, INC. B 1394 MAIN STREET '�-- COMPANY LYNNFIELD, MASS 01940 C COMPANY D ,.aI��ILIRnuanel_:IM1I.s,lUi{,il:`.�IA,IIIIXIIN� ' .. �„ .... .«..,..0«,crW,�.. 'dW:C,,•u+u,:,:�4i,>rLi� 'F�da, I n}IG�,ILI,PtL'ttflN!ltL�;lulU,)!�l.+�?��t,d a.) �I)II)i;)If}SI�i:1w.�'': wW�f!v!<fi�lli IGGal:4:,'„�'EfI;;hJ"y'tES:a 's I! Ili 1?j�� 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.CID TYPE OF INSURANCE POLICY HUMBER POLICY EFFECTIVE POLICY SXPIRAYIONLTR LIMITS DATE IMM(DONY) DATE(MWDDrYY) A GENJ=RALLIABILITY 5543-08669-9 12-17-00 12-17-01GENERALAGGREGA7E Is 2,000,000 XCOMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG •S 1,000,000 CLAIMS MADE 57( OCCUR PERSONAL&ADV INJURY_ 7 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE 5 1,000,000 FIRE DAMAGE(Any ono Ars) s 300,000 MED EXP(Any ane parson) S 15,000 AUTOMOBILE LIABILITY ,ANY AUTO COMBINED SINGLE LIMIT S ALL OWNED AUYOS BODILY INJURY 3 SC H E D U LED AUTOS (Por person) HIREDAUTOS — Boa1Lv IwLlav s NON-OWNED AUTOS (Per accident) - PROPERTY DAMAGE S GARAGE LIABILITY AUTOONLY-EAACCIDENT S ANY AUTO _ .. OTHER THAN AUTO ONLY; EACH ACCIDENT S+ AGGREGATE I $ EYCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE - a OTHER THAN UMBRELLA FORM - $ ; WwC 5TATU- _ WORKERS COMPENSATION AND tT,ORY LIMITS ER".. EMPLO7ER5'LIABILITY ----••••� EACH ACCIDENT 5 _ THE PROPRIETOR! INCL EL DISEASE,POLICY LIMIT S PARTN E RSfEXECUTIV E QFFICERS ARE; EXCL EL DISEASE-EA EMPLOYEE S OTHER I DESCRIPTION OF OPERATIONS)LOCATIONSIVENICLESfSPECIAL ITEMS JOB LOCATION: BROOKS SCHOOL-1160 GREAT POND ROAD-NORTH ANDOVER-MA ADDITIONAL INSURED:THE TOWN OF ANDOVER-ANDOVER MA. J13 Iii{!III I I;;'j,ct){ r: 2° tlt c+.'^,ns I,r,lih•1:i.:; ...., {i'It 6 �, I , I .�An ry6 .I ,�•.,!!cl,,i,.I.-,y.. 'e'n u„u I, 1`1^11 t 11f '1' I. t ..I� ,.,�#�I 04, ,� 1�1@�il�l,I{�l��I;II111E►I�IlEll3,lllaL I'►J�J?�ili,l,,� �k„„ ,. ;017 I 1 �wl:i�k��-��4Q�{ri I�T���;. a��� � ai�!'fl! 'I ��} ,w, ,aln)i '�131�41I<:`!�I� M.0 ,... s4,iJ�i l,h}uSI;aJMiLr�l h 111�i.ali15 iilY}}4u.uu' ... ,�uJGa;S;d11 ••x 'ilt II1�I� ' � , .� ! SHOULD ANY OF TNS ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 200 ANDREWS CO., INC. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 200 SUTTON STREET 30 DAYS WRITTEN NO CERTIFICATE HOLDER NAMED TO THE LEFT, NORTH ANDOVER, MA. BUT FA E TO Mai 9UCH NOTICE sH IMPOSE NO OB IGATION OR LI461 OF ANY MPANY, S AGENTS bbESENTAd E5. AUTHORI TATIVE Phi, , MIN n n:•, { r p g I ! { r• i, " ' fs .' .., ,��,., nisu:,., , . 12/20/00 15:25 FAX 7813346108 BOSTON DEMOLITIO Z02 Piesse Ptfnt Na e. — City PTfo to Orr a horneowner performing aU work myself. �{ am a sole proprietor and have no one working in any capacity I am an employer priding worlcer5' compensation far my emplu�eea wian arg on this job_ Camvat�v nam L7QS'�t�_� �i�.5-i,�►� �IIJC . s 3 Lk �rt c€h f - b 1).J iUt�e.�rU�llei�C,) Ins+x�nce t:e. �1`t E Jct�,y �e�' •Doficv�_�`91.1!1 N .1A.t'x.14 W12 d Gi1Y Phone � . esu neetCo. EdAcv_ Failure to sscure eowea9e as raquited under Sedfon 25k or MCL t52 cm Red to Me kMC 0IFen d rninir al penames of a fine w to$1.506.w andW*A-Y�irs+pnst�r msnt a3 watt at&w penattres eet the farm of a STOP WORK ORt F-R and a tlne o7 MIM-00)a Gay egait+stme_ t understand that a copy of thLs sWett]¢nt maybe forwardedto the OFfira d InwerAgaAm d i e DIA for=%erage%wrgreation_ !db AerDY under the A wdpeneffe&of perJutY Marthe trifo srr f—provkIsdobw cis nw and correct SigmtLre ---- Date I Z-2b fJZ� Print named OlCicm use only do not v^e in this area t4 be completed by city or town o fciat" Building Dept 00hack fiimmed+ata/8sponse l-IWukW Budd ng Dept Q Licensing Board E3 Selectman's Office Cont�ctPPrsen. Phuna _ CI Heatth Department 0 Other 0r4M WORKMAN'S CONMN—SAMN i 12/20/00 15:25 FAX 7813346108 BOSTON DEMOLITIO 03 1 own of North Andover �oaTN • �? ,sa..,f �• o Bolding Department 27 Chwies Street North Andover,Massachusetts 01945 (978)688-9545 Fax(978) 688-9542 MU DEBRIS DISPOSAL FOKM fn accordance with the provisions of MGL c 40 s 54, and a c indicion of Bading permit# the debris resulting frc m the work 3ba11 be disposed of in a properly licensed solid waste disposal faciity as defy ed by MOL c11, sl50a. The debris wilI be dispnsod of in/at: -;�-Ce-me � :x7A0(T— ' Facilit locati sign"..of Applicanx a-c> �oa� Date NO'S'E: A demolition permit Brom the Town of Naith Andow r must be obtained for this project through the Office of the Building Inspector. Z0o3/003 1,2/20/00 11:22 'b`978K852357 5'7re !Wwwevit �e�° �3 Us. o ���� . I , , � �� � �� � �� J160 G� �� !V Location / / 3S /� �l No. t Date 9�- i NaRT� TOWN OF NORTH ANDOVER Certificate of Occupancy $ MW ` Building/Frame Permit Fee $ �'�S'••°•'t�' Foundation Permit Fee $ s�cHust Other Permit Fee D£t?C> $ D D Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works PERMIT NO. J,3,� nIPPLICATION FOR PERMIT-TO BUILD'***X***INOR 11.�NDOy1;R, MA rL1PNO. Q LOTNO. Q� 'aS 2. RECOR D OF OWNERSHIP DATE BOOK PAGE ZONE SUB DIV. LOT NO. 1'sr'zW S bLL //(j(� �i� PURPOSE OF BUILDING'LOCATION 15 �'4� � l \1 6� eDl- /� -f7')CL�iCJI.� E1 '•n'� i OWNER'S NAME NO.OF STORIES ? 1 Y(/ SIZE \\'NEIl'SADDRESS ` /-G � .,/ DASENIENTORSLAB I91* 'tll ARCHITECT'S NAME91 SIZE OF FLOOR TIMBE 2N t Ull_DER'S NAME / SPAN DISTANCE TO NEAREST BUILDING DINIENSION§OF SILLS r I DISTANCE FROM STREET DIMENSIONS OFPOSTS DISTANCE FRONILOT LINES-SIDES REAR DIAIENSIONS-0FGIRDERS I. t' AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION I TlIICKNE$S IS BUILDING NEW SIZE OF FOOTING' X IS BUILDING ADDITION ! AIATERIALOFC111A1NEY f IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN 1VATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER f IS BUILDING CONNECTED TO NATURAL GAS LINE 1NSTUCIIONS 3. PROPERTY INFO IWATION LAND COST 5ST.moo.COST :F6ca,de PAGE I FILL OUT SECTIONS 1-3 EST.BLDG.COST PER SQ. FT. a EST.BLDG.COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ATI'ACIIED GAAWES NIUST,CONFORNI'I'O STATE FIRE REGLATI 4. APP120VED im BUILDING BEPAR T MENS' PLANS MUST BE FILED AND APPROVED BY BUILDING INSPE BUILDING INSPECTOR 1), EFLED OWNERS TELH CONTR.TEL// 76J6 CONTR.LICH �7 O'5 KIGNATURE OF-O\VNER OR AUT110RIZF.D AGE ,may ILLC.H FEF. I PERAIIT GRANTED 19 j I Revised 5/5/99 J\1 I, t _ -Town-of North Andover of NaRTM OFFICE OF 3� ,�,<••' �o 0 COMMUNITY DEVELOPMENT AND SERVICES � - 27 Charles Street IL North Andover, Massachusetts 01845 WILLIAM J. SCOTT 4SSAct+uS£t Director DEMOLITION OF BUILDING AFFIDAVIT (978)688-9531 � ) nFax (978)688-9542. DATE /yOfl�yV' 'J "---o OWNER'S NAME.&ADDRESS ._ 77 -r��.�.�. ,q��_ �i/oaT�l �� ►�a. i��,5'- is fp . LOCATION OF PROPERTY TO DEMOLISH -• S7,49MP AS DESCRIPTION SXIA/1 4,1002 evC'.LPs 131,(i6ei4m,� CONTRACTOR'S NAME &ADDRESS P P79. } D. �Zx �,?ys A.�D /✓IA. Oi�'�o -l�i�v Gni s Y DEPARTMENov- ���S 6� D DEPT. OF PUBLIC WORKS WATER: tt -g -4j SEWER: �� B ✓GAS �( g ( (x . „I�LECTRIC CR�� t �I.r�S�• �c�.Ce.,. �� " -�.- Q1-1 vTELEPHONE „CABLE OJ"AA ' TAXES � - - - --- v-16 LICE " F i RE 00� EXTERMINATOR c�lu oc s7 DUMPSTER -ON/OFF STREET AJQ 6"4AZ) /DIG SAFE NUMBER '. 511 DATE RECD n ECC I V D BLDG. INSPECTOR NOV 0 8 1999 BUILDING DCPT BOAT . OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Town of North Andover .ORTk COMMUNITY Di4"VELOPMI�WY :SND SER'VIC'ES �� tlli ,\n.! .rt. �.l. •,:.t,hu ,rt( , il�•i ��s ��/ �: DEMOLITION OF BUILDING AFFIDAVIT DATE � � ' � ' � � -- ---- --- - DVN/NER'S NAME & ADDRESS -- j i200K� G►Q�v L l (oo eogm r Pvr/D ReAD No . A WPOV64. -LOCATION OF PROPERTY TO DEMOLISH �AG Of A4A[nl Sra"T _ ------ _ S ca>cuf ✓bESCRIPTION 5 pAJ bLl& e,4AV P- 419AW IIS *tkJ 4ICU5wx** i�NG $ulL4W6C srDN CONTRACTOR'S NAME & ADDRESS _ - ___-• _ _ DEPARTMENT SIGN-OFFS ✓DEPT. OF PUBLIC WORKS - WATER: _ _ _ SEWER: hn/kO ht*f-' ✓ELECTRIC ------_.-__-- -----.-- _-.-_- Or,o- bL*vV l,j T E L E P H O N E _ i_ - -------_.-_-_ VAhOiA 00J( CABLE _ ----- -- _.. TAXES N�►�-___ _ _-- �c c_ _ POLICE yF I R E --- - .c t EXTERMINATOR ,�` �! ybUMPSTER - ON/OFF STREET _ ✓ I - �n t SAFE NUMBER t � W DGS R DATE RECD BLDG. INSPECTOR I - u The Commonwealth of Massachusetts M , a Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Sy e Please Print Name: Location: City Phone 0 am a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity F I am an employer p iding workers'co sation for mployees working on this job. Company name: vm�/ C7 WS S� d�?co2IV s �� City: �U/L7�f �av/ �,�_ Phone# Insurance Co. ll/07 Polic # `70�GC '02 yy Company name: D Y Address City: Phone#• Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify un the pains a penalties of e ry that the information provided above is true and correct 7 Signature Date Print name 1441,w4l Phone# -23.6- 1996 86 Official use only do not write in this area to be completed'by city or town official' Building Dept ❑Check if immediate response is required Building Dept p Lincensing Board E] Selectman's Office Contact person: Phone#: E] Health Department Other u a The Commonwealth of Massachusetts dDepartment of Industrial Accidents W Office of Investigations Boston Mass. 02111 5�1b Workers'Compensation Insurance Affidavit Please Print Name: Location: City Phone 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 City: Al"Laaw Phone#: Insurance Co. v!/D/d �Oa-p Policy# ''rG' O 70 767 Company name: Address City: Phone#: Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify u er th pains and pe a . of perjury that the information provided above is true and correct. Signature � Date �` l' �7e Print name RL6k,Dj Phone# 9'2k" &&6 • Official use only do not write in this area to be completed\�by city or town official' g p Building Dept ❑Check if immediate response is required Building Dept ❑ Lincensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other BUILDING DEPARTMENT DEBRIS DISPOSAL FORM 9 In accordance with the provisions of MGL c 40 S 54,a condition of Building Permit Number 5 S Is that the debris resulting form this work shall be disposed of in a property licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: Al t� LL 4—S l oJ 1rs,-L Location of Facility Signature of Permit Applicant i lZ— 51- 52 i Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector f. . i Town of North Andover f NORTH 0 o do OFFICE 01" 0 COMMUNITY DEVELOPMENT SNI) SERVICES 2 7 sirm ...;CO IT DEMOLITION OF BUILDING AFFIDAVIT -DATE il/ , /q ,,-tDVVNER'S NAME & ADDRESS Gc ,-LOCATION OF PROPERTY TO DEMOLISH -tf_=_SCRIPTION CONTRACTOR'S NAME & ADDRESSCCC. Qvn DEPARTMENT SIGN-OFFS ✓DEPT. OF PUBLIC WORKS — VVATER: SEWER: �nLECTRIC ..IELEPHONE —CABLE TAXES 1///POLICE EXTERMINATOR vDUMPSTER ON/OFF STREET v&G SAFE NUMBER '4LA4L30v DATE RECD BLDG.. INSPECTOR_ 1,p I I!-:Al CONM�RVA 10N OX8-9,5i flii:Ai 'iH o""S.9540 11 - .. .. -, .. - 3 - •t, 1 'i , Y � - -. t•f i i. f.. .: ,�: !z.-!-:, - - - ..,.. J _ .. - _ -. S r. 3 .:, r t r t C 1 aC i I ` 11� t i. r t+ > p . . - _ .. .: : - 1S 4 t f i s if a a - - . I Y� i� Y r3 i a x .f s F •i, A t , . .. ._t x t'_'7�' t ,r t I+ 1x l:t "3 ` t L Rtt.y11� : t s .. - y ty fF r,�., +l It Ai. k.F"'. safF7��t 3 "I., l Sf+ii' f -.':rZ 5 �l*i}t!t yi +- {I 4,� ;t. t' r t �'.tie { 3 i t _ J �• i t.` f S{j`pkf;r r %r,,1:",f eH .Ft t ?x. i 4r 1 III t A'' f"'Si�.,ft i8�' i 44 '.sit4 F -2't1 t +3 rr1. 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' ', r -+1'1 . . a: i 44+ - , .i, +o .z..'d;i if - r r. �. �'+;_$ ,',e•vr��.'v'.' .°fkt . .- NORTH Town of over 0 Nox ~ _ - _ C1 C1 °�A� � r dover, Mass., �.95 RATED PP .(5 7 BOARD OF HEALTH PERMIT T Food/Kitchen Septic System ..... C�� e m o BUILDING INSPECTOR THIS CERTIFIES THAT...Bro.*.Ks ........................................................................ /� ' Foundation has permission to uW.. N.Q....Q. buildings on ....1)...1..�/.........G^�.,...ONN� �� Rough � � � � r� � �V�� S Chimney to be occupied as............ ........ ................ . ... .. 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 (n PERMIT EXPIRES IN 6 MONTHS Final P a UNLESS CONSTRUCTION TAR S ELECTRICAL INSPECTOR Rough ' O .....�.................................... .........................=.......................... Service BUILDING INSPECTOR Final GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal 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. Location i log2��-��oN 1 �vfl No. 45 31) Date O • / ra NpRTM TOWN OF NORTH ANDOVER pt� �ao ,•�'10 p Certificate of Occupancy $ K? ` ` Building/Frame Permit Fee $ Foundation Permit Fee $ ,SSACHUSEt Other Permit Fee $ 5-0 Sewer Connection Fee $ Water Connection Fee $ va-» TOTAL $ `~y {!:- Building s or 7634- Div. Public Works PERMIT NO. 451 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. MAP d40. LOT NO. 12 RECORD OF OWNERSHIP DATE BOOK — ZONE I SUB DIV. LOT NO. CATION/C/' Dn Al� �N�yiy/� URPOSE OF BUILDING��..��`� .��l � /�L� /ftY7f✓Sl F[� i/Gi� NO. OF STORIES G! SIZE 9W NER'S NAME Be�I�'�►C� �'���G •Q���_ vOVy�IER'S ADDRES�jS�114oV ✓� �/� N� ASEM ENT OR SLAB -_ AR ITECT'S NAME A W� �•v SIZE OF FLOOR TIMBERS IST 2ND 3RD LDER'S NAME Tf�!✓w f �ni/Lui.+f7ry/ SPAN --- DISTANCE TO NEAREST BUILDING GT/�V o7 '—/�(•��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 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 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES .41 EST. BLDG. COST / / cyo r� � PAGE I FILL OUT SECTIONS I - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED !O G(J `t"' BUILDING INSPECTOR -VIGNATURE OF OWNER ORA r6RIZED AG T F E E 5-0 OWNER TEL.# A�/�—�'`WIA PERMIT GRANTED CONTR.TEL.# 687- r/� • `� 1994— &CONTR.LIC.#. S/O0¢ LQBL� -t H.I.C.# OCT 2 81994 -- 7�o 3`f- • 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 I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE B 1 2 (3 CONCRETE BL K. PINE BRICK OR STONE HARDWD PIERS PLASTER DRY WAIL UNFIN. 3 BASEMENT AREA FULL FIN. B T AREA _ '/. 1h 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 HARD"JD _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH. TILE STUCCO ON MASONRY J STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR ADEQUAATE I� ONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 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 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 Ist 13rd 11 NO HEATING � � 0 ot �� at over � L No. 493b I �� LAKE dover, Mass.,Na(c fg� COCHICHEWICH AORFITE0 PPS\ `�J 'PERMIT TO ILD y BOARD OF HEALTH Food/Kitchen Septic System 0. —. BUILDING INSPECTOR THIS CERTIFIES THAT....... ..!;?fie ....$193 .�..... ..• a ?..... Na cs ��t. ...L��.�......... Foundation has permission on..... aott*)....... Rough .......................l.l4` .furl..LI..RAN..... Chimney provided that the person accepting this permit shall in eve 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 ST RTS Rough � C-l"o *0 AJ • 1. ............................ ... ............. . ...... . . ...................... Service lr BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL street No. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT Smoke Det. 7L c-§+� pOw Ty KAREN H.P.NELSON ? 120 Main Street, 01845 Director Tovv�l of BUILDING ;, =�" NORTH ANDOVER (508) 682-6483 CONSERVATION ee��" g` DIVISION OF HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT DEMOLITION OF BUILDING AFFIDAVIT DATE Io/ zS/ 1* OWNER'S NAME & ADDRESSOf)�"� G+�'��� LOCATION OF PROPERTY TO DEMOLISH AIA'PZ45 Dle-""57 DESCRIPTION f�P71V4; CONTRACTOR'S NAME & ADDRESS DEPARTMENT SIGN-OFFS Z7-94 DEPT. OF PUBLIC WORKS - WATER 19 SEWER: GAS S MOW ELECTRIC , We% 4 TELEPHONE C CABLE 0C - 7- TAXES TAXES POLICE NO BLASTIN tear E. ar , e yes Division Commander k EXTERMINATOR Ae DUMPSTER - ON/OFF STREET DIG SAFE NUMBER Y4 30 40.!5�d C r-4430) DATE RECD BLDG. INSPECTOR Towit of lu0 Main Street. 018,15 (508) 682 6483 NORTH ANDOVER J)M5TOII OF -i!01 1,0 PN I E'NT PLANNING & COMMUNITY DL DEMOLITION OF B J LDINC AEURAY—IT �,7 14 DATE 1021--,-2__ OWNER'S NAME & ADDRESS .89 LOCA'LILON 'S H DES9,RTYTION Lee: le 5 �K CONTRACTOR'S NAME DEPARTMENT SIGN—OFFS Dv OF WATER: GA, rl,R.r C 1Y CABLE p0j,_LCE NO BLASTIN(j 'IR ar( r)ivj i oil commandle F I RE EXTERMINATOR_ DUMPSTER — ON/OFF STREET_ DIG SAFE NUMBERI Y430 lit *jLECj0R—.--... r�NopTNTown of OFFICES<)t=: 03 m 120 Main Street i'1'EAL_S North Andover, A NORTH ANDOVER BUILDING Massachusetts O 1845 CONSERVATION 5� DIVISION OF HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.11. NELSON, DIREC'FOR a In accordance with the rov►s►ons of MGL c 4o, S 54, a condition of Building Permit Number Qi is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: (Location of Facility) 1,v 74-e-lvrov MW f Signature of Pe t Applicant Aq.</— Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. OCT 24 '94 09:08 6172292318 P. D. cresdo.Trucking co., Inc. ' 14 Pleasant Stmt Burlington,:MA 01802 (617)2734226 October l,S, 1994 To whom tnis letter concerns: U. crescio Trucking- Co. , Inc. intends to riaul the demolition debris materials 'o£f the Bxooks School jobsite in Forth Andover for Framingham Excavating Company., The debris will be disposed `o£' at 'New England Recycli . Company in Taunton, MA. The facility -is approved and licenced by D.E.P. (Department of Environmental Protection) . it you have any• further questions or desire more information, Please contact me at my ' business number (617)--273-1226.• f Sincerely, David Crescio-, President a S DATE. f Jackson Construction Company ('A MUsachuxrrtz(3usiness Trusi) FAX COVER SHEET FROM: 44 COMPANY: . �,�v1a► tv .+ SUBJECT: , , FAX NO: C ) �`C/y4roG �'.i/ a+ i ►G CIESSAGE. �,►,�ir1i� ��ra►6;�wA��l� /�•�/G�y' , � i -.+v�&1. ¢r t, •1+� i�•I� pry►i��+�F �, ►ki sc�twv� �.►,�+r�.� i +S r � r OCT 3 11994 NUMBLR Oil PAGES INCLUDING COVER SHEET .I If -you do not receive pages indicated or experience problems, please call at (517 ) as soon as possible so we can rectify. (Our automatic 24-hour incoming. Fax Number. is (617 ) 3 280 Bridge Street, Box 9111,Dcdham, 'NIassschuscttS 02027.911 i !