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HomeMy WebLinkAboutMiscellaneous - 1370 TURNPIKE STREET 4/30/2018-TL) -e5 �i CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 607 {,3/30/®6} Date: AW 11, 2007 THIS CERTIFIES THAT THE BUILDING LOCATED ON Tenant Fit MR — Farm Stand Store MAY BE OCCUPIED AS 1370 Turnpike St IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Beniamin Farnum 1370, Turnpike ST North Andover, MA 01845 Building Inspector Date.....�',�.... f Mo DrM 1 3:°•_t;� ` "°oma TOWN OF NORTH ANDOVER p PERMIT FOR WIRING t ,SSACMUSEt Thiscertifies that ...... ................. ............................................................. has permission to performer ,..-,�c<t -��................................................ wiring in the building of .. �—,-r...... 1 ��© at /, North Andover, Mass. Fee .�...0... F .............. Lic. N . .. ..)7y .�. ELECTRICAL INSPd&OR Check # GL r„ti 0 Commonwealth of Massachusetts =_ Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [Rev. 9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All N%ork to be performed in accordance %rith the Massachusetts Electrical Code (%t[:C). 527 CMR 12.00 IPLLI SE PRINT IN INK OR TYPE . i L N OR11,4 TION) Date: -66 City or Town of: s1CPO deY To the In,vpeclor of Wire,v. By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street &Number) -4 _ �� _ Owner or Tenant lI<e,,f OW / Y<o�,tf //, I/ jl�TIA Telephone No. Owner's Address Scc./YI`�' Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of ilte /ollorvin.Q table may he rvaived by the Inwector of l f ices. 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 Swimming Pool Above ❑In- ❑ o. o mergency Lighting rnd. rnd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices+ No. of Ranges No. of Air Cond. Tonal No. of Alerting Devices No. of Waste Disposers Heat Pum Number ..... Tons KW No. of Self -Contained Totals Detection/Ale -vices No. of Dishwashers Space/Area Heating KW nicip'on ❑ Other Local ❑ Co No. of Dryers Heating Appliances Key Security Systems:* No. of Devices or E uivalent No. of Water . KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No, of Motors Total HP 'Telecommunications Wiring: No. of Devices or Equivalent OTHER: ,dttach addilional elelad i/•desired, or as required by the hispeelor of Wires. Estimated Value of Electrical Work: ( When required by municipal policy.) Work to Start: d' �—a 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 coveraa is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specily:) / certifj, lrnr/er the pni��s and pem�/ti •s of perjure, drat the hiformution on tris application is true wid romp/efe. FIRM NAME:j�f ��dp�G�' �i ,�IC�% C- LIC. NO.: _ Licensee: alev, A sshl.,;�4 Signature LIC. NO.: t/J upplicable, iter Ixempt ' in !h lio se nwuh r line. ' � Bus. Tk7 ti : ei Fy 6 Address: y /� `s6 JQ Alt. Tel. No.: *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 nut 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. FPERMIT FEE: ,$ � M A P sw ©A1Ac w N O S 'A 1 w -O O • C .r, m e z o CD y ♦+ c O y .m o y cc Q m CM -4%41w— C. y V O .�� � o ,. � v yZ o �i cc o = m m� p N d t uiCLEy C Z oc E y o CLC.3 a ms on H _ ` O F- Z a aISm � 1" w CD 0 CD CD Z Q. O CO) Q C O c O•— y Q •0 O ffa' O O `E m m CD .� cc 3.0 O .QLg 0 e_v � a CL GO �.�. OT ■re..�,,: W L Z o vY c C CO3 Q �I ��m c :oma y lir o C 1� 00 CJ V O. la cc m C o 14 � OCF m� C* a .. E c ! ; 0 m • OS �' p . H yam.. cm fti m c E` z o CD y ♦+ c O y .m o y cc Q m CM -4%41w— C. y V O .�� � o ,. � v yZ o �i cc o = m m� p N d t uiCLEy C Z oc E y o CLC.3 a ms on H _ ` O F- Z a aISm � 1" w CD 0 CD CD Z Q. O CO) Q C O c O•— y Q •0 O ffa' O O `E m m CD .� cc 3.0 O .QLg 0 e_v � a CL GO �.�. OT ■re..�,,: W L Z o vY c C CO3 Q �I Date. " X*- V...... TOWN OF NO W—ANDOVER EFOR PLUAABING This certifies that ................. ................. has permission to perform . ........ r : plumbing in thee he buildings of . ..... .................... at .-42�c? ........... North Andover, Mass. ? Fee. 47?.... Lic. No. /'?.5�. .. ...... v--:--7 .......... PLUMBING INSPECTOR 6972 { .ot I ?�)JK MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS ��F Dates �U O d Building Lo7Q Swners Name Al� ��%� Permit #' C �7 .Z -� Amount � � Type of Occupancy New Renovation Replacement 0 Plans Submitted Yes Q No (Print or type) /IiJ /0 Check one: Certificate Installing Co panyName/�( (i ( /" � Corp. Address D " �Qd �y� Partner. 1^11/ usmess Telephone S` 7 Finn/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking theappropriate box: Liability insurance policy ❑ Other type of indemnity E] 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 El I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance.with all pertinent provisions of the IS usetts toP bbf Code and Chapter 142 of the General Laws. By: Signa re UT Eicensouum e ��pe of ju mbing License Title City/Town 1cense Numoer Master Journeyman ❑ APPROVED (OFFICE USE ONLY uuu i i i iI -.-.M-M---.---®M--------- ' , , -.-------m.---®®mu.------ - ,$' mmmmmemmmmmmmmmmmmmmommmm ,.' ■ MMMmmmmmmmmmmmmmmmmmmsmm MMMMMMMMMMMMMMMMMM MMM == W1151717 a MMMMMMMMMMMMMMMMMMMMMMMMM ®M®M®M■s■ MMMM■■MMMMM ■MMMMM ■ (Print or type) /IiJ /0 Check one: Certificate Installing Co panyName/�( (i ( /" � Corp. Address D " �Qd �y� Partner. 1^11/ usmess Telephone S` 7 Finn/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking theappropriate box: Liability insurance policy ❑ Other type of indemnity E] 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 El I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance.with all pertinent provisions of the IS usetts toP bbf Code and Chapter 142 of the General Laws. By: Signa re UT Eicensouum e ��pe of ju mbing License Title City/Town 1cense Numoer Master Journeyman ❑ APPROVED (OFFICE USE ONLY uuu Ir May 26, 2006 Mr. James Diozzi Inspector of Plumbing Town of North Andover Dear Mr. Diozzi, I am writing you this letter with regards to the plumbing project at Boston Hill Farm 1370 Turnpike St. in the town of North Andover on Friday May 26, 2006. I hereby request an inspection for the length of sewer pipe in question that enters the relocated red barn below grade. At this time the pipe is unearthed and ready for viewing. Enclosed with this letter is a copy of the payment made to the DPW for the sewer connection. Sincerely, e in S. Farnum Boston Hill Farm 1370 Turnpike St. North Andover, MA 01845 (978) 681-8556 NOiSS�oo d H1?lONSN09 900Z 9 9 AVA COA1333H li t", :4 LINDA A. FARNUM BnAJ Ir FAtN IT - 1)." U., S'! 509 - — c7d c. oANvERs SONGS BANK I HOR 7 23 0379690 0509 e'0000155700to TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, REHS/RS Public Health Director February 20, 2005 Boston Hill Farm LLC Attn: Ben Famum 1370 Turnpike Street North Andover, MA 01845 Re: 1370 Turnpike Street Dear Mr. Farnum 978.688.9540 — Phone 978.688.9542 — FAX healthdept n,townofnorthandover.com www.townofnorthandover.coni This correspondence is to inform you that the North Andover Health Department has received all the information requested in regard to your plan fora new food establishment at the Boston Hill Farm Barn. The plan has been approved with the comments in blue noted on the letter sent to you on January 14, 2006. A copy of this approval will be forwarded to the Building Department. Be advised, if any substantial changes in the plans occur during construction you are expected to advise the Health Department. Items of Attention: 1. Page E-9 #4 No ice machine is shown of the plan and no specification sheet has been provided OK 2. Page E-9 #3 Where is the freezer that is noted Freezer is located outside. This is rare for a food establishment. Care must be taken, not to contaminate foods during transportation. 3. Page E-11 #4 No sick policy has been provided OK 4. Page E-12 #5 The chlorine solution noted is incorrect. Should be 100-200 parts per million OK 5. Page E-12 #7 What is the "sandwich maker" area. Please describe OK 6. Page E-14 The dumpster must be located on concrete/or other non porous material. Is this existing or need a new one? OK 7. Page E-15 D Incomplete OK 8. Page E-16 G #35 Location of lockers OK 9. Page E 16 41&42 Location of Linen Storage OK 10. Need specification sheets for mixer, slicer etc. Please submit information as models are determined All equipment must meet code specifications. If equipment is not pre -approved by the health office and does not meet specifications, it will be required to be removed .11. Sign application OK 12. Dry storage area? Any shelving or take out packaging OK 13. Show grease trap under 3 -bay OK J. S. February 20, 2005 Boston Hill Farm LLC Attn: Ben Farnum 1370 Turnpike Street North Andover, MA 01845 14. Show Rotisserie Re: 1370 Turnpike Street Page 2 of 2 15. Need estimate on # of meals provided OK 16. Describe why the establishment will be open at 8AM OK 17. Describe the type of catering to be conducted It appears that you will also require a catering permit. Please discuss this issue with health dept. personnel further. There are special requirements for hot and cold holding of foods, transportation of food, etc. Once basic construction is complete and the equipment is in place, please contact the health office for a construction inspection to verify that you have built it to plan. At that time we will sign off the building permit. The final health inspection should be requested approximately 24- 48 hours prior to opening the establishment. At the final inspection, it is expected that the premises will be ready for business. Also, please make sure that all Health permit fees are paid as well as the Common Victualer's permit at the Town Clerk's office. Some items needed to receive the permit to operate are: 1) The establishment will be clean of all construction materials 2) The handsink and bathroom will be stocked with a wall mounted paper towel and soap dispensers 3) The ladies room will have a covered trash can for feminine item disposal 4) Bathroom must have "employee must wash hands before returning to work" signage 5) Handsinks should be labeled "hand wash only" 6) There must be test strips for the Chlorine sanitizer on site 7) There must be on site. Directions on mixing the sanitizer should be posted. 8) The three -bay should be labeled "wash, rinse, sanitize" 9) Gloves must be on site. Please note that the state does not recommend the use of latex gloves due to some person's sensitivity to latex that may cause them illness. 10) You must obtain copies of the state and federal food codes and keep them on premises 11) At minimum, employees should be trained on the sick policy and sanitation basics. Sincerely, I usan Sawyer, REHS� Public Health Director Cc: ➢ File ➢ Building dept. 6255 t Z' - -5'-- 4;,-> Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .............. T ....... ................................ ...... ... ............. has permission to perform ....... . ........................................... ............................. wiring in the building of ....... ........................... at . ............................ . North Andover, Mass. 33,4 Fee ... iA:�Ff.... Lic. NoS' 1 ............. ............ ELECTRICANSPECTOR Check # TRE COMMONWEALTHOFMASMCHUSETTS `OfFce Use only DEPAIt7NIFVTOFPUXJCS4FETY Permit No. _ & BOARDOFFMPREVEMONREGUTAHONS527CMRI2.lX1 Occupancy &Fees Checked APPUCATTONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date !G G 5 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the el c�l work described below.. Location (Street & Number) Cl- ' 1 vat e J \ Owner or Tenant U { V pn Owner's Address U t1 Is this permit in conjunction with a building permit: YesNoNo -� (Check Appropriate Box) Purpose of Building blah CLY* K -erc Li A / // `; / —4 / Utility Authorization No. Existing Service Amps / Volts Overhead Underground No. of Meters New Service Amps / Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work UA Ke L4 P, 77e k2 frITYl No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures�) Swimming Pool Above Below Generators KVA a 6 1 ground ground F1 I No. of Receptacle Outlets No. of Switch Outlets No. of Ranges No. of Disposals No. of Dishwashers No. of Oil Burners No. of Gas Bumi No. of Air Cond. No. of Heat Total Space Area Heating -7 No. of Dryers Heating Devices No jof Water Heaters KW No. of Signs No. Hydro Massage Tubs w No. of Motors THER• W 1 a -e W ft] Deft tion/Sounding Devices S LA P/w- I I o No. of No. of Emergency Lighting Battery Units FIRE ALARMS No. of Zones Total No. of Detection and KW 11 Initiating Devices ,5.�CW,71W Np, of Sounding Devices _ No':yof Self Contained Deft tion/Sounding Devices KV Local Municipal Other Connections Total HP UMXeCovaage Pawarittothe tequitenlefltsofMassachusetts Laws �.�{ ave aaman entLiabilityku FU Lyinchx�IgCompl2 Covetageorits substandalaquivalent YES U NO ED awmbmittedvardpmofofsametotheOfflce. YESET Ifyouhawdrd®dYES,ple► mdicalethe WOfcove7�y sURAthe NCE oBOND r-1aIIER r-1 (Please Spe*) /2- 3 Expiration Estnr>atod VahrecfEeChical Wodc $ xktoScat h>SpectionDate Rapested Rough - Final r,eM P�la}tiesof NAME/ (/ �.Q IicmseNo. Signature ,.0'7 L. ti (C;1keX 1VV1 V 1 c /V 'NPER'SINSURANCE WAIVER; Iam aw&ethat theLicense. does nbtha, that my signattue on this petn it applicaadon waives this reqmenent 'ase check one) Owner® Agent rgna ure 5T Owner or Tgenf Lio=No l/ BusmessTel No. Alt Tel No. mvaage orits sutstantial equival2m as wgnted by Nlassachusets Cenetal Laws Telephone No. PERMIT FEE $ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston; Mass. 02191 Workers' Compensation insurance Affidavit Name Please Print Name: . Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone #: Insurance. Co. Policv # Company name: Address City: Phone #: Insurance Co. Policy # Failure to secure coverage as required. under Section 27A 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.penattiesinShefnrmnfa STOP WORKORDER..and a fine_of.(.$1A0.00)_a-dayagainst..me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. ! do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name Phone..# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing ❑Check d immediate response is required Contact persona 0 Building Dept C] Licensing Board r--1 Selectman's Office F, Health Department Other IF, Location 137o No. �F I Date w s NORTH TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ t i y •tee •� Building/Frame Permit Fee $ s�cNus Foundation Permit Fee $ Check # ks—yo/ 16019 Other Permit Fee $_ TOTAL $ Locationl37U No. c-.-2 Date Check # k: W 16019 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL TOWN OF NORTH ANDOVER ` BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: ' Z dF SIGNATURE: C Building Commissioner/I or of Buildin Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: y l � .2 / %C) %. A -Doti �. - 6a00- %U / l Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.GLC.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑. 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSIEIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Address for Service Signature Telephone, 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Not Applicable ❑ D e P. U`—� 6 ? � L� J License Number Address -77�6G4�SS Expiration Date Signature Telephone 3.2 Registered Home Improv - ement Contractor Not Applicable ❑ Y/U�7 S- ComName . C) c- ---� > -- �'V Registration Number Expirati4 Date Address Sr nature Telephone 00 M M ic z O SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all iicable New Construction ❑ tti Existingu�img ❑ Repair(s) ❑ Alterationg(s -4 ?20 Addition ❑ Accessory Bldg. ❑ DeiYt°olition" s ' ❑ Other P' Specify 1 i -� Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Com leted by permit applicant OFZF ICIALUSE- - 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbinE Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,�-- z - , as Owner/Authorized Agent of subject property Hereby authorizet) 0to act on My behalf, in all matters relative to work authorized by thA buildin permit application. 11 I I L Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name 1 U Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB ST RD SIZE OF FLOOR T114BERS 1 2 ° 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHI10NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 1 4 A 70 4 f R' .-¢ x A co c u o O w cnasa a ¢� U)w O z z Q :3 O � O a: U co C w O U W P-4 to O r2 � G w O W x Wto W O a2 ¢� u) ro C w O H w O c4 m C w W A W w z cn Q O cn c' o ��m c :;c o c C* C N O_ C CO.3 C.3 CLC ev m c o C2. m E4 c m �= w :.- o CL O CO O O is ,- M O7 J ` C R m o �3CIO m cmm H � m CD o CLC.) C. m C2 o c r � m CO �1 co N C o H a m CL ymc = m m o O Ce O CD O N dt A C 7 r- W .E V V � V m p m t C ca CD o -0 cc CL, Co N �7 O 0 SII O y .03 L co C O CD Q M 0- 0O2 O H C V O L O V co G. CA C CO C O .0 �32 C12 m cm co C 3 CD C) L- CL O CL. cmcc C C :Q cc J .O O d9 Z CD C. CO2 C J Builders License # 58443 Home Construction Reg. # 109288 DUVAL ROOFING CertainTeed/Certification # 1911 P.O. Box 637 / 184 Park Street GAF Certified Master Elite CCOLLECTI No. Reading, Massachusetts 01864 CertainTeed C� (781) 944-1994 • (978) 664-2557 PROPWL SSU,L�MI^ED TO / (`�` jj 7 PHONE DATE a STREET P% JOB NAME CITY, STATE AND ZIP CODE JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: . / Recommended J_A�ioa_s�ftpQE IA'1a_/_6y11c�!_�'�xL_Ll1���f�__� n4/�1�_price) Optional (Not included in price) Rip & .Remove all shingles &debris from roof &job site � ❑ 1 layer $d 2 layers ❑ 3 layers or more Repair/ or Replace any roof decking if needed; not to exceed 50 sq. ft. • Install aluminum drip -edge and rake -edge over entire perimeter. Choice of mill, white or brown b� Install ICE & WATER underlayment - Installed under lower courses of shingles as a water tight shield ween rock and shingles; self-sealingound --_---- -- _ between of - de _._ ar____-..-_-------------- ---._ nails nails and deck joints for maximum protection / W.R. Grace or GAF Weather Max d V4 e,/ r _ —_-_�---__— _ _ ---- ---------_ _ _ /.__ _. #30 Atlas -_ ._... -Premium Asphalt -base underlayment or GAF Shingle Mate I - I t - 'f1� _-W�P w�Pc+gr I ✓ Install choice of 25 year CertalnTeed, GAF or Tamko roof shingles, traditional 3 -tab a0year _ • Install choice of 30 year CertainTeed,. GAF orTArchitectural es / random- shake -amko Aashingl-e ❑40 year ❑60 year _ ✓ Install new vent pipe flange(s) • Chimney - Rip & Remove old lead flashing - install new lead flashing r Chimney - Re -step existing flashing, counter -flash if necessary _ ------------ • . Install'Cobra 40 year / shingle; ridge -vent _--_—------ - _ ------- __--______._- • Install soffit -ventilation • Seamless aluminum gutters— • Aluminum downspouts V ..Other WC(f V e_ V R p _ �/D a- l S e410A S OF _roy fSAL/_ _ 1 31�C'�--------(?_—GG�VP --__�4u�i�_:_WPS `S�Ptt7`ick�/ems -- -- Price includes all items above that are checked only / others may be priced separated upon request. 'Please Note: All items in roof attic should be removed or covered due to falling roof articles, at time of roof tear -off' _.. - — _ - .-- -------- Pe e propose hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: ' Payment to be made as follows: Total rice not includingoptions. dollars ($ A3 'E.,00) , 30% deposit required before ordering materials. Balance due in full upon day of completion. Please roake all payments out to Kenneth Duval,. mailed' to: P.O. Box 637 No: Reading., A.01864 Authorized Signature a Note: This, proposal may be- _ . withdrawn by us If not accepted within ' . (;krreytartre of Proposal — The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to Signature do the -work as specified. Payment will be made as outlined above. Di 4 -Acceptance: Signature days. Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration 1109288 Expiration .5/,9%2004 Type DBA DUVALROOFINGt Kenneth Duval " PO BOX 190/ 72 NORTH ST N. READING, MA 01864 Administrator ✓1 e V/ 0717/IJtO'�NAIPQAA�L d�. /l/%aaaac�zuael�a '� BOARD OF;SUILIJING REGULATIONS ` ,License: CONSTRUCTION SUPERVISOR Number: CS 058443 #Birthdate: 12/16/1966 ;Expk6M 12/10/2003 Tr. no: 9505 i Restricted: 66 KENNETH P DUVAL k PO BOX 190/72 NORTH .ST , N READING, MA 01864• Administrator North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number 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 11, S 150 A._ The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant 1� gl o Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector \ ��� Office use Onry uhe Lfam muiura1.W of "a.c/" V, pse � Permit No. 1 Epart Itnt of 31uh _574 f tq occupancy & Fee Checked V BOARD OF F"IRE PREVENTION REGULATIONS 527 CJS 12:00 ° (leave blankl APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR :0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date (XX or Town of NORTH ANDOV .R To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work desccriijbe�below. 17 Location (Street & Number) '1370�%''�` SY Owner or Tenant V X.K> f" I M I/ r fW (7- ► /.�"� ► (��� E'a't Owner's Address ool Is this permit in ccnjurction with a building` j�errmitt:. Yes _ No _ (Check Appropriate Box) Purccse of Swidinc✓ Ise �7 C 1 Utility Authorization No. Existing Service Amps _l -\/nits Overneae _ Unegrnd I No. or Meters Ne%v Service Amos -Valts Cverneac _ Uncgrne _ No. of Meters Numcer of Feecers arc Amcac:ty "v N -e Lid /C t--, Lccat:cr ar.c Nature cf Prcccsec E:ec cal Vcrx z No. of t_:gnang Cutlets I No. o. *Ct -%-Cs No. of 7ransfarmers Total KVA No. at Ligrtlng-xtures j Above"- :n- Swimming ?cot - Brno. _ cmc. j Ganeratcrs KVA No. at Emergencl Lighting No. .t Recectac:e Cutlets No. of Cil Eumers I 3arery Units No. at Switch Cutlets No. at C--as=urr,ers I FIRE ALARMS No. of Zones No. at Cetecnon anc Total No. at Ranges No. ct Air --z_rc. tans I Initiating Davices No. at Scuncing Cevices No. at Sett Cantainee No. at Oiscosais I No.cr Hear Total Total Pur..cs :ons KVJ No. at u.snwasners - ScaceiArea Hearing KW OetecnonrSounetng Oevices I Muntrcat LCa3t 7- I_ Connec•:Cn _Other NO. of ^r/er5 Hea:tnc Oev:ces CSV No. or No. of LCw voltage No. of Water Heaters KV! ! Signs Sailasts I Wir.nc Na. :Hycro Massage Tucs � No. of %lotcrs Total HP CTHE=. INSURANC= CCVE=AGE: Pursuant :o the recuirements of '/tassacauset:s ;enerai '_aws I have a current Uaotiit Insurance Policy inCuctng ccr+- ec Oceraucns Coverage cr -is suostantlal ecuivaient. YES _ NO = I e suCmtReo vaLC act Cf Same to the CMice. YES ��rr//// NO _ It you nave--ecxea YES. tease incicate :he IVpe 4- Mavrage Cy cr.ecxtng :he ao r nate cox. / t / INSURANCE _ BOND = OTHER = (Rease Scec:ty) l ]� (Eaaraaon ter Estirratec value of Eiec:ncat worx 5 worx :a Star. Inscec::on Date Racues:ec: Rougn Fi+nal Signea uncer me Pena es at per)ur FiFiM NALtE Licensee - o" UC. No. // z`gu,.J / Bus. :et. No. �o c� �► ACCress �t) v 1c "2Alt. :et. "to. CWNERVS INSURANCE WAIVER: I am aware Vat the ! :censee aces not nave :ne insurance coverage or its suostanital eautvalent as re- ctureo ov Massachusetts General laws. ana :Mat my signature on :M:s cermit acoucanon waives tuts requirement. owner Agent (P!ease cnecx ones �% )/ /v etecrtone No. PERMIT F$E S JC/. l/ iS grature of Cwner or Agenn :%t5o5 N2 1385 A4 Date ...... I ... ......... ... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .. a ...... J.i.?..,.0 ........................................ has permission to perform .... rA.C.1e.-2-rj( ....... cke.5-7 ........................ ....... ... .. ...... Vn wiring in the building of..... .............. -7 at ..0. 7d. ...... ........................0Orth Ando ver A*1pFee 3...... Lic. No.M.... *............... ..... ........... �ECrRIC iNSPECTOR 06/10/98 08:36 30.00 PAID WHITE Applicant CANARY: Building Dept. PINK: Treasurer 0 O ar6 VOW W))7 1� \ I d �•04 e e o�od � �a1e111>t e a r � o� ¢ f � Fie o if ki�po W41 " N NOfNNOr Oh♦s 1 N/)b . a r I,VE:: d N LSF5tl913d l N K N Y F Y3A00N u ? N = G = 15O :I? 1 10 Air I �/ ♦ oY- pJVO ' �i QitIV AZ 7d 31Y{p'Oj,B 4j .. 1 1;� OS a O0 NUTAd1 2 'IS 91 •, �,� N� x O � 1 �y a �_�'�J y, • R FV7 MR 11p�t�Y+ d W ~ l G ^ I -1 .y 2 U a LL C C Z Q ,4cow. CERTIFICATE OF LIABILITY INSURANCE 04/27/2000 PRODUCER (979) 887-8304 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE JAMES UGCiNE INSURANCE AGENCY ALTER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 10 SOUTH MAIN ST.. SUITE 208 TOPSFIELD MA 01983 INSURED BENJAMIN FARNUM 397 FARNUM STREET NORTH ANDOVER, MA 01945-5611 COVERAGES INSURERS AFFORDING COVERAGE INSURER A: FARM FAMILY CASUALTY INSURANCE COMPANY INSURER B: INSURER C: INSURER D: —. INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANUINLi 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 rice ncr_ocr_nTc I ILAITc cH111 M MAV HAVF RFFN RFDUCFD BY PAID CLAIMS. —"-T-- INSR POLICY EFFECTIVE POLICY EXPIRATION LIMITS TYPE INSURANCE POLICY NUMBER I GENERAL LIABI ITY-, EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ COMMERCIAL Ge4RAL LIABILITY MED EXP (Any one person) $ CLaR?S ".BADE j_ or( lR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS- COMP/OP AGG $ GEN L AGGREGATE LIMIT APPLIES PER: POLICY , PECT . LOC AUTOMOBILE LIABILITY i COMBINED SINGLE LIMIT $ -- I ANY AUTO (Ea accident) - -- ALL OWNED AUTOS BODILY INJURY $ F----- (Per person) --- SCHEDULED AUTOS BODILY INJURY (Per accident) $ - ---- HIRED AU'rOS NON -OWNED AUTOS PROPERTY DAMAGE $ �i I -------------- I (Per accident) AUTO ONLY- EA ACCIDENT GARAGE LIABILITY i OTHER THAN EA ACC $- ANY AUTO I $ F —; AUTO ONLY: AGG IEACH EXCESS LIABILITY OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000_ A OCCUR ` l CLAIMS MADE 200561151 02/25/00 02/25/01 __- i DEDUCTIBLE $ - ----- --------- I $ - RETENTION SWC WORKERS COMPENSATION AND STATU_ _ TORY LIMITS' ER I $ - EMPLOYERS' LIABILITY I I E.L. EACH ACCIDENT -_-+—__._.— E.L. DISEASE - EA EMPLOYEE $ 1 $ E.L. DISEASE - POLICY LIMIT i OTHER X, SPF_ CIAL I ARM PACKAGE ! 2005G1361 i I 03/16/00 03/16/01 $300,000 BODILY INJ/PROP DAM DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS LIABILITY INC: JDES FARM. PERSONAL & BUSINESS LIABILITY TOWN OF ?i0 'TH ANDOVER IS NAMED AS ADDITIONAL INSURED ON POLICY 2005(31361, AS THEIR INTEREST APPEARS FOR THF CURREN? PI<")JECT CERTIFICATE HOLDER X ADDITIONAL INSURED; INSURER LETTER: /A LANt r_LLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL l CJ:tNI'J OF NORTH ANDOVER INSPECTOR IMPOSE NO OBLIGATION OR LIABILITY OF ANY KING UPON THE INSURER, ITS AGENTS OR N .-I2 I H ANDOVER MA 01845 REPRESENTATIVES. AUTHORIZED REPRE IATIVE V� ACORD 25-S (7/97) v `f 0ACUKU UUKVUKA IIUN ltilbu DATE (MM/DD/YY) 10/20/2000 THIS CERTIFICATE IS ISSUED -ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE ........ COMPANY Swett Insurance Managers A COMPANY B COMPANY C .. ............ :.................................................................. ......... COMPANY D THIS IS O CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ................................. ........... ...... CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY)DATE (MM/DD/YY) LIMITS [ GENERAL LIABILITY X COMMERCIAL. GENERAL LIABILITY A CLAIMS MADE X OCCUR TBA OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AVC, $ 1 , 000,000 PERSONAL & ADV INJURY $ 10/20/2000: 10/20/2001: ..... 1, OOO , 000 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $ 5.000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO ........... OTHER THAN AUTOONLY: ::::..... .., ......._ ....___. ........__ _._...._. ` EACH ACCIDENT; $ AGGREGATE:$ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM ................................................ <................ AGGREGATE $ OTHER THAN UMBRELLA FORM ................ _....__.._......_..... __......:...... WORKERS COMPENSATION AND WC STATU- OTH EMPLOYERS' LIABILITY TORY LIMITS ER ......... THE PROPRIETOR/ _....- EL EACH ACCIDENT $ _.... ......... INCL PARTNERS/EXECUTIVE . . .......... ........ EL DISEASE - POLICY LIMIT $ OFFICERS ARE: EXCL. OTHER EL DISEASE - EA EMPLOYEE: $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS is certificate names The Town of N. Andover as Additional Insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ^*� f DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, _ Town of N. Andover BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Main Street OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. N. Andover, MA 01845 AUTHORIZED. REP SENTATIVE OGT -20-90 12:40 PM P.01 THE FLYNN INSURANCE AGENCY 818 CEN'[RA.I, AVENUE DOVER, Nei 03820 PHONE 603-740.0140 FAX 603.743.3370 FACSIMILE TRANSMITTAL SHEET fRt�M. Ben Farnum _ John J Flynn DA`t'EF,: 10-2= 1 A NVMTi14R: TOTAL NO. 0.1; PAGES INC:I 1170NG COVER! PHONE NUMBER; SI4NUhR S Ri,p}?RF (C: Nt'MM 14 -- •k3.•M---• �-• YOUR Rb:NERI'sn"c;r:NUaEnttt X FOR RF'Vilm ❑ PLEASE COMMENT ❑ PLEASE REPLY O PLEASE? UCYCLF. Vt f'i ?c5/C:t?MMfiN`i'S: Hi Ben Here are the Certs, for the General Liab for Payne Construction and the Auto Cert's for JSP Leasing. If you have any questions please give me a call, I am forwarding the hard copies to you as well. 'thank -you John J Flynn OCT -20-00 12:42 PM <; 01�, a11! 11110 9?D4. ' +'lUCER (603)740-0144 ohTT 3. Flynn in3s AcY Ing FAX 003)743-3370 81S:Central Ave Dover, NH 03670 John Flynn Ext: 35P Leasing, LLC PO $Da G Center Strafford, NH 03815 P. 04 DATE (MMID"y) 10/20/2000 ONLY AND CONFERSNO FUC�HT6 "r 1I1rWMIVI +I Ivry CERtIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR L A .TER THE COVERAGE AFFORDED BY THE POLICIES BELOW, COMPANIPS AFFORDING COVERAGE COMPANY Green MOW11_1in Agency,' Znc A raMrar�v 6 CY)MUANY C COMPANY .. .. .. . D ES 15 TO L`pRTIFY THAT THE POLICICS OF INSURANCE LISTED BELOW HAVE BEFN KSCUED To THE "IrlRp N/WED ABOVE FOR THE PERIOD ATED, NO'rWITH$TANDING ANY k TIFIGATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFO DED 6Y THE POLIDITION OF ANY CES DESCRIBED HERE IN IS SUBJECT TO ALL T FVTHICHT HIS I�XCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OP INSURANCE�POLICY EFFEcYIYE POLICY EXPIRATION � " POLICY NUMBER DA4E(MMIDDNVI OAT@(MLVDD+YY) LIMITS j GENERAL LIA&It iry GE'NFRAL 1JA81UTY csfN..F.RALAGGREt3ATE S tnrytMt?ItC14L '........ .. PRODUCTS - COMP/Op AOG QA,!V:; MACF i pLCi,IR OtNNGFi >: d !:ONTRA,: rcv,,s PkOr PERSON4L S ADV INJURY C eACH DLCURRENCE s FIRE DAMAOF (Any qnp fire) E MEO EXP (Any ane pmmnn) 9 ,A.UTOMOSILELIAHIL.ITY ANY AUTts COMBINED SINGLE LIMIT C AL.L .wwr r. nuTL);, 1,000,000 St"HEUULFh tit r'YO.y BODILY INJURY S CL767002 PSI persa,I WQh:U LlTi:; 04/05/2000 04/05/2001 NtJN OWrS.!t Al'TCS 8ObILY INJURY 3 {Pei a udee!) PkUA'L RTV DAMAOF ` S 0OACeLIABILITv-•.�^...- AUTO ONLY • FA ACC71DENT 114Y AU70 - OTHI_F; IHANAUTOONLw EACH ACCIDENT ; -+"�—....,_`-------- •--�--�,.�_— AGGRFG AYE : S �70LM UAWLITY F.4CH OCCURRENCE S +JMFIRF11.4 DUH fri .. .. f Q(RE{JAYE s OTr�S'F! Ti+n P: Ii\4E kl=L.A 7ORM "KERSCOMPANSATIONAND -- — — STATUS DYERS' RIABIL.ITY : TORY LIMBS (s :: :........... : `rE ;::>Ij'';': y'";'' E..R t. ' n. PROPRICTOR) EL EACH ACCIDENT S ..... TNERS/EkFiJ!rIIVE INCL %S ARE Y I £L DISEASE • POLI G LIMIT $ !. t EXcL ---- ...,.,... -..... hL.OISGAZE EAEMPL.CVEE S CF OPERA+. ION6ILOCATIONSrYEHICLE31SPECiAt. ITEMS , ¢ertific.lre names The Town of N. Andover- as Additional Insured A. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RE CANCOLLEb 9ERoko THE EXPIRATION DATE THEREaP, THE 15BUING COMPANY WILL ENDEAVOR TO MAIL ' OAYa WRITTEN NOTICE TO HE CERTIFICATC HplpBR NAMED TO THE LEFT, Toon of N. Andover BUT FAILURE TO MAIL SUCH NOTIrE SHALL IMPOSE NO ORLMATION OA t,IAI;fLITY 1' Main St!'e4^t OF ANY RIND UPON THE COMPANr,ITS At9ENT8Olt REPRESENTATIVES ? N. At1dOVP.('. INA 01$45 0.U7HortlzF.,pRErRCSENTATNt �, ° ..Flynn7 hn Fly <:� UbCsRDL'bRROitAII OCT -20-00 12:43 PM P.05 y bVR-A k' �S 0ER F(603)743 -3370I`'' h Ph � t(603)740-OI40 r10/20/2000 3 . fl ynn Ins A 9Y Inc -� THIS CERTIFICATE IS ISSUED A5 MATTER OF INFO OI8 Central Ave TION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE E1dYje•. r, NH 03$20 MOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE .�)MrANY Swett In.sUranc'HanaGers r+eD Ext: A Payne Construction PO Box 6 OMPANY B Center' Strafford, NH 03$15 :=aMPANY C cal.�FnNv I' IS TO CERTIFY THAT THINSURANCE t xx �:4 Er'OIiCIESO��LI5TEDB . - - . ED ABOVE FORTHE _� ;'AM 1 ED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONO TION OF ANY CONTRACT ORO HER DOCUMVNT WITH RESPECT TOW IGHTH�: RTIFTCATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE APPORDED „ 1 ClUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY BY THE POUCfE°S DESCRIBED HFRrIN IS SUBJECT TO ALL THE TE", HAVE BEEN REDUCED BY PAID CLAIMt; i : TYPE OF INSURANCE POLICY NUMBER POLICY EFFEOrIYE , POLICY EXPIRA TIpN �.•.--_..-_...__�_,._�..._ �.1� .....�. '---. !'**RAL LIABII..rTY DATE(MWDDYv) DATE(MM/DDrY✓( LlNITA -•_�._..-_„�—� .X iCOMMCROA �' I C�ENFFtAL LIAFsgITy , rENBRAL AgCRCOAT(t S-• 2,000,000 CL AIMI: IwADE X OCL:OR PRC�CK?GTS . C:QM[+7rJP Aa3[1 9 1,000,660 TBA l; YYNFk':; R C;�NTRACTUH'6 PFCQr • 10/20/2000 10120/2001 PERSONAL a ADV INJURY 5 1, 000, 000 irAC a OCCURRENCE 3 1,000,000 �.,....__-,w,,,� ORIF !'IANAr�[(Anynn*tn.) S MON ';A�ITOMOYIIELIAiII,Ity .. _. - ..—_... MED EXP (Any One jmrson) Sj, 000 ANY ALIT,. GOMBINED SINGLE LIMIT 5 ALL CMNt.0 ALI'IUh kCHELYPI ft.: A,.1TY):4 FtppILV W,JLlRY - S NIk'6D AUTOF, PIN Porion, NDN gVrinl t:h Al iTO7 (PDILYI en Y 1 AOHMASILITY PROPERTY DAM#. IE S --..... _� AI JTr)ONLY . FA ACCIDENT S i?THER THAN AUTO ONi.Y qq k'P,, t� EACH ACCIDENT' $ _........._ ....w--,.�.-i_._...— .. ESS LIARIL.Ih AGQkGArE' S _ - ' , QMBRELSA I` CRM EAC;HOCCURREN.E S ..... „ 'I OTHER THAN UMBRELLA rC3RM AGGRECATE ' S COMPETJAATION ANG —.. • �-. LOTERS' L.IA6ILITY •- "'I•I::;il,;. PRCiPHIFTi.IH� INCL i -'.I. EACk Adt-1dENT a NERFdC.xL•.G4.IIiVF RF ADL EXLL I --"'�"""�•—^'•"• EL DISCASF . POLICY LIMB ; S 4-i In.gEASE - EA EMPLOYEE' S OF OPERATION:rniStLOCATrONSIVEHICLESISPECI4Lt..�.— s:ciertificate names The Town of N. Andover as Additiorlat Insured SHOULD ANY OP THI; ADDVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THLMROF, TNF IItIMANO COMPANY WILL ENDEAVOR T* MAIL DAYS WRITTEN NOTM E TO THE C@RTIRICATE HatOER NAMED TO THE LEFT, j 'Town of N. Andover BUT FAILURE f0 MAIL SUCH NO !ICF SHALL IMP03E NO OBLIGATION OR LIABILITY Main Street. OF ANY MIND UPON TkE COMP_A_N'r. ITS AGENTS QR REPRESENTATIVES AI. Andnvel•, MA 01845 0 AUTHORIZEQRSF sFNinTIVE — POLICE D E P A R T M E N T "Community Partnership" BOSTON HILL FARM FARNUM BARN MOVE TRAFFIC PLAN OCTOBER -27-28-29, 2000 PREPARED BY LT. JOHN CARNEY SGT. FRED SOUCY OCTOBER 18, 2000 566 MAIN STREET, NORTH ANDOVER, MASSACHUSETTS 01845-4099 Telephone: 978-683-3168 Fax: 978-681-1172 Thomas Neve Associates of Topsfield has been retained by Ben Farnum of Boston Hill Farm to plan and coordinate the movement over town and State roadways of the barn that is currently located in the Old Center by the Printing Museum. Meetings. have been held for the last three weeks to plan the barn move. The move is scheduled to take place on October 27--28-29, 2000.The meetings have taken place to affirm and confirm the needs and plans of all those who are involved in this project. The participants, in the meetings have included, Tom Neve, The Farnums, North Andover Police and Fire, North Andover Town Departments, DPW and Building, Officer Bob Cronin, Andover Police Department, Mass Highway, Tri State Signal, Mass Electric, Verizon, AT&T, Bay State Gas, and Mayer Tree Service. All participants have spoken about their individual concerns and how they will be addressed. These concerns include the time frame that the barn will be on the roadways and how long motorists will be delayed. The time allowed and needed by the utilities to reattach their cables and services to homes and businesses. Also traffic details and detours to allow the barn to move through and over the route and how these detours and details will allow the utility companies to safely reattach their lines. Safety issues of those residents who maybe infirm or lose their power or phone. Notification of those residents and businesses affected by the barn move. The need for detours within the. Town of Andover and North Andover and what permission and waivers are granted before Mass Highway will give a permit for the barn to be moved over RT. 125 and RT. 114. These items are the most important and have been addressed by - all involved and there are no conflicts at this time. Neve Associates will be putting together a notification letter that will cover notification for those on the route and how the barn move may affect them. The letter will include information regarding the route; detours, utility outages and how long they may last. Also if there are problems that arise there will be- notification numbers that will assist residents with any concerns they may have. Neve Associates will also be placing ads in the local papers to advise the public of the barn move, route and detours and to expect delays. Flashing message boards will be placed on RT. 125 and RT. 114 approximately a week in advance to advise motorists of the barn move. This is required by Mass Highway. Neve Associates will also have Dermot Kelly of Kelly Associates devise a traffic plan specifically for the westbound section of RT. -114 between Peters St and Hillside Rd. to address two way traffic on the westbound lane of RT. 114. This was also a request of Mass Highway. Tom Neve will be going before the Board of Selectmen on October .23, 2000 for permission to use the town roads and to shut down roads and to detour traffic. Neve will also need to seek permission from the Town of Andover to detour roads in Andover. - Neve Associates will be responsible to cancel the move. All those who are involved will have to contact Neve Associates on Friday October 27, 2000 by 12 Noon. If there is any sign of inclement weather the move will be cancelled to a rain date of November 18 and 19, 2000.Necessary signs, sign boards, detour signs, cones, barrels and flashing barricades will be provided for use by the Police Department and DPW through Neve Associates and paid for by Farnums. NORTH ANDOVER POLICE DEPARTMENT ISSUES The safety of the citizens and motorists is the greatest concern of the police department. The concerns for the safety of the citizen's focuses on the loss of utilities: electric service, phone service and cable service. All utilities have plans for service not to be interrupted for long lengths of time. Notifications will be sent out to residents to advise them of any possible outages and for them to make arrangements if needed. This could be critical for the elderly or newborn also persons who are required to have medical devices that may be powered by electricity. The planned outages can also have an effect on lifeline. alarm operation. There is the possibility of increased trouble alarm activation's reported to the communication center. TIP will be contacted to be on standby if there are any issues that they can assist with during the move. The North Andover Fire Department will have an additional engine company manned and on duty during the barn- move. The North Andover Police Department will develop a traffic plan that will include road closures and detours. This plan will include the use officers from North Andover Police and possibly Andover Police. North Andover Police will assign the officers to the various locations and assignments. Cruisers will also be utilized. (See attached traffic diagram and plan.) Notification to area Police Departments should be made via radio transmission on TAC2 and TAC3. Administrative messages should be sent out via TT with pertinent information at least twice before the scheduled move. The traffic plan will include road closures, detours and specific assignments. The plan takes into consideration the need to keep the barn moving, road closures to allow the utility companies to drop lines have them planked and to reattach lines after the barn moves past. Sections of the barn route will be closed two at time_to allow for safe working conditions and travel conditions and to have the barn move forward. Detours will be in place and needed and removed when the utility companies have completed their work. The projected time line for the move is to block off Mass Av. and Osgood St. and Mass - - Av. and Academy Rd. at 9:00 PM on October 27, 2000. The barn will be moved onto Mass Av. during this time and made ready to move for 12 midnight. The barn move and utility disconnects and reconnects for the -first two sections (Mass Av./Osgood St. to RT. 125 and Mass- Av. to Andover St and Chickering Rd will begin and end before or at 6:00 - - AM. The next section of the route Andover St. and Chickering Rd. to the Andover Bypass will -take from 6AM to 11AM. The next- section from the Bypass to Bayfield Drive will take from 1 1A to 2PM. If possible then the barn will move through the North Andover Business Park out to RT. 114 and continue to the Boston Hill Farm. The move should be completed by 3PM. The projected times have been given generous overrun time and are very conservative. The -move may move faster than planned and allow for a one day move. The traffic plan devised is flexible and can be changed to meet the needs of the route and the utilities. Safety issues are addressed within the plan regarding police response to calls. An additional communications officer should be assigned to the late night shift. Details will need to be filled in advance and Jack McEvoy has been asked . if he had any problem with it and he did not feel it would be a problem. Due to the cooperation of all involved and the plans and agreement to the plans that have been devised the move should be allowed. The question of liability has not been clearly answered and is a question the Board of Selectmen maybe interested in. This plan can be utilized if the move is postponed to November. All involved will to continue to work closely and update all involved in case of any changes. nail v nV;:RTIMF WORK SCHEDULE Date,?! ac OFFICER WORKING TIME. -_ _ CONTRACTOR. STATION -7 LOCATION i- 2-1 2- 3- •4-5-6- w � 5- 5- 1 6. 6-' - 7- 9•! 6- ( --- 9- .11 1 ifl- 12_- - 11- 12- f_ — — nAli v nVlzRTIrnF WnRK SCHEDULE Date: OFFICER WORKING TIME CONTRACTOR STATION LOCATION i- 2-1 � 3- •4-5-6- 4- 5- 6. i 9•! 10- .11 12_- +i nasi v nVFR•TIMF WORK SCHEDULE OFFICER WORKING TIME CONTRACTOR STATION LOCATION 1. Ij1M�� SS-. oo Avh orr-Acen- Co VTou-A-- 2. R -T + M'S OGI=� 6i�rbu�Gt- Lug M 1, D'jeG11'L 2- SR-r4-Tt :on A -OA. CX;Ck ern ; va M �9 �-► iCe'I't - /A -i JDo oL -i- C "iCyat 0 3-1 4•�o 4- _ 5. i; .c90 rk 9 $ ,ao-[Cd1 - P�1�TN�l_� CI�G�Lt X16 5• Z�-oo wk 9 ,.wAm O,�FtCE-XL + C Uk\ 1,J I LS (7_.__ 6, i � IZ:vo rti�� tL 7-1 �— 7.$-,o 0Cj_YL* Cd&L,4 (l-� ►Y� p . E g. = Do ASM 9• ' .vo v Cea-+ CR.t�14st-�(l- �1 1 A•t, cevr.5r 10- 9- i 1 •L:ao rK, 9 $ ;o -o 6 A1C'-L✓(L 7722/ S m 19 CJ�ice (L i 1 S` 61C 1.0. 11- $wu Uift ten-- MAPD &A -04)-P 00- 12• Ss�.00�CdL Ci7�� ��-® Clip nAiiy nVFRTIMF WORK SCHEDULE Date: 10 OFFICER WORKING TIf1t'fE CONTRACTOR STATION LOCATION 1. Ij1M�� SS-. oo Avh orr-Acen- Co VTou-A-- 2. :rsc�' Mc►"� OGI=� 6i�rbu�Gt- TZ.M�� SR-r4-Tt 3. CX;Ck (o. oo vIsm, 4•�o _ 5. tt Orr", t&L `0� lA-f4VoVe(La CA ICY {n 6. Loo tL 7-1 M 0Cj_YL* Cd&L,4 (l-� GJ 1 LS C3NJ`S t2_ . E = Do ASM 9• ' .vo v Cea-+ CR.t�14st-�(l- �1 1 A•t, cevr.5r 10- gtiDO ATS '•clo Pr1 •- 11 • `t =moo 91, . CJ�ice (L i 1 S` 61C M r ' ©46 ndlt v [l!!s~1�'f1I1AE WORK- SCHEDULE..-- Cate������-�A-V OFFICER WORKING TIME CONTRACTOR STATION LOCATION -F "WIcno —05�r �crt- 2-1 3- :nom i Di - rL - Thi 4- i 5• 5. 6- I - 7• � 8• 10 - — 9- it• io• 12- i � - 11- - 12• nau Y OVERTIME WORK SCHEDULE Date: OFFICER WORKING TIME CONTRACTOR STATION LOCATION i- 2-1 3- 4- i 5• 6- I - I 10 - it• i 12- nAtl v nXllzRlrlMl= WnRK` Sr.MFMJLE' Cate.y�" 6c_TA � OFFICER WORKING -- TIME. - CONTRACTOR STATION -LOCATION 2• � W 11, xk) 2. ? o A - 1i 3 = c � 3. �, �, pr�1 - - Ct Q, L31 U.� a- 6• �� 3-.ao Pwt I t�- t 1 > tori -S Pai► 9.1 10- 7-1 NA -3 ,00 7O1hNQ*> ;F(- ca, M t g. -.,Co A-N •.00 (5f -t 0 tv `rou SL '��1�1 @ ELI- 9- 9- ` 5"co PYAN 10• r) -�-oo f-rA 11- 12 • '� •-cam : ; �j^,vo CSF t Ni�+PD 14n� DAILY OVERTIME WORK SCHEDULE Date: OFFICER WORKING TIME CONTRACTOR I LOCATION STATION I i• 2• � 3- -9• 9.1 10- .11 • 12- j� nAILY OVERTIMEVORK SCHEDULE atE -- nolwY OVERTIMEWORK SCHEDULE Date: OFFICER WORKING TIME CONTRACTOR STATION LOCATION 2- -3- 3- 4- 4-5• 5. _. 6'- 7.1 10- .11 12- 'Oct 17 00 03:-47p= --Thomas Neve Associates 978-887-3480 p,2 A'' 4..v THOMAS u:i � ASSO, CIATES, INC, MEMORANDUM TO: Commonwealth of Mass. DPW North Andover Board of Selectmen FROM: Thomas E. Neve DATE: October 17, 2000 SLTBJECT: Famum Barn.Move, North Andover, MA This is, to inform you that the approving authorities listed below have committed sufficient resources to accomplish the barn move on the following dates. The primary date shall be Friday, October 27th at I OPM through Sunday, October 29`h at 4PM. The rain date for this move is scheduled for Friday. November 17th at 10PM through Sunday, November 19s' at 4P-,\1. The move shall occur over Massachusetts Avenue, Chickering Road, Turnpike Street, Andover Bypass, Bayfield Drive, Willow Street and Turnpike Street (again) to the Farnum property at the comer of Brook Street and Turnpike Street. The agencies listed below are prepared to furnish manpower and equipment to accommodate this move. All costs. for municipal manpower and equipment shall be the responsibility of the Famum's. North Andover DPW :'north Andover Fire Department Verizon '✓lass. Highway / DPW Tri-State Signal • ENGINEERS 447 O:d Bo.vrr .9Cflc (578) 887-8586 North Andover Police Dep nt AT&T Broadband Mass. Electric Mayer Tree Ser-6ce Ben Fareum LAND SURVEYORS U.S. Route #1 • LAND USE PLANNERS - lopsfield, MA 01953 FAX (978) 857-3450 MEMORANDUM TO: Karen Robertson, Board of Selectmen Bob Nicetta, Building Department James Rand, Department of Public Works Sergeant Fred Soucy, Police Department Chief Bill Dolan, Fire Department Patrick Speikers, Media One James Scarpone, Mass. Electric Kevin Kelly, Bell Atlantic Kenneth Ravioli, Mass. Highway DPW Mark Reese, Town Manager Ben Famum FROM: Thomas E. Neve DATE: August 15, 2000 SUBJECT: Farnum Barn Move, North Andover, MA IN(:. All Via Certified Mail / RRR We have and continue to appreciate all of the good work and help that each of you has given to this project. Due to labor and construction issues surrounding Bell Atlantic and its companies we find that the barn move expected for Sunday, August 27, 2000 will not occur. We are hoping to reschedule a new date within the following 2 months and will contact you as soon as a new date is scheduled. If you have any questions regarding this matter please do not hesitate to contact me. TEN/km 1962move.doc • ENGINEERS 447 Old Boston Road (978) 887-8586 AUG 17 ?nn, 1BUILDING D&"ARTIVIENT • LAND SURVEYORS U.S. Route #1 • LAND USE PLANNERS Topsfield, MA 01983 FAX (978) 887-3480 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Bob Nicetta Building Department 27 Charles Street North Andover, MA 01845 2. Article Number (Copy from service label) A. Received by (Please Print Clearly) I B. Date of Delivery C. Signature ❑ Agent X ❑ Addressee D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ' Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes PS Form 3811,"s4y 1999 Domestic Return Receipt 1W595 -99-M-1789 UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Thomas F. , Inc. 447 B09Wjj SbeeL FO.1 TopsR �. A 1'� `V0*W"OYvw THOMAS E. M1EVG ASSOCIATES,INC. MEMORANDUM TO: Karen Robertson, Board of Selectmen ✓Bob Nicetta, Building Department James Rand, Department of Public Works Sergeant Fred Soucy, Police Department ChiefBill Dolan, Fire Department Patrick Speikers, AT&T Broadband, Wilmington Mark Ananian, AT&T Broadband, Lawrence James Scarpone, Mass. Electric Kevin Kelley, Verizon Kenneth Ravioli, Mass. Highway DPW Mark Reese, Town Manager Mayer Tree Service Bob Dawe, Tri-State Signal Ben Famum FROM: Thomas E. Neve DATE: September 27, 2000 SUBJECT: Farnum Barn Move, North Andover, MA We continue to appreciate your patience in this matter. I am sure you can all appreciate the logistical nightmare that a project of this type creates. We have established a move date for Phase 2 to occur either on Sunday, October /-/- or Sunday, October 2Qth I feel that it is a must that we have a joint meeting between all persons listed above so that the particulars of this move can be openly discussed at one forum. We hope to meet on one of the following dates at the DPW meeting room at 384 Osgood Street, North Andover: Monday, October 2, 2000 at 2pm -Tuesday, October 3, 2000 at 2pm Wednesday, October 4, 2000 at 3pm Please contact my assistant, Kathy, at your earliest convenience to indicate your availability. Time is of the essence. Your continued cooperation is greatly appreciated. RECEIVED TEN/km 1962MovE.Doc • ENGINEERS LAND SURVEYORS . SEP 2 8 2000 . LAND USE PLANNERS 447 Old Boston Road U.S. Route 1psfield MA 01983 (978) 887-8586 WILDING DEPT. FAX (978) 887-3480 FA 0 G.. O C CD O cc A A v O r- 0 O m O U) O Z m O D O 1 O v T m r O D 0 w m � •�G' V t.c CdA'�i 91 U o LN D W E1 � 222 m ttt Location / 3,70 IZ,42nQ n%I S1 No. "3 2)5 Date S A TOWN OF NORTH ANDOVER Certificate of Occupancy $ $ Building/Frame Permit Fee $ 1 S Foundation Permit Fee $ Other Permit Fee $ o LO Sewer Connection Fee $_ Water Connection Fee $ TOTAL ;=' 8575 $ Building Ins or Div. Public Works W au Q a _ Y � ir 0 � 0 m W H Q Z 0 N - W N N LNn a 4 i N Ir � N OC W W 3 0 0 Z W z J F W N C m rc e~C 0 4 0 0 O 0 u 0 r r 4 z W N N W 4 IL 0 W 0 Z N p N d 2 m y y J_ Co b z 0 0 F- H t u D d S L L o Q N IL z Z 0 I'� ` .[ � z o f V O 0 J D N _ Z N L m z m 0 M Z W f Z O < W Z N r J .°z O IL Q W 0 O Q 0 N W 3 N W 3U yw = W N L a F 0 N J J N 4 0 N z 0 N z W f O N r 0 IL a N C W 0 C W li Q r z 0 m U. r 0 J 4 0 W z W Z E 0 _ z u 0 4 O 0 LLU. 0 W W a N i N z a U. i 0 P u a N J W L L a U. 0 0 a a 0 m 0 1 I � O u I W I d I N Z NFII I � Z 0 I J r > z m W � n I C W W N QI 1 0Ix 0 ^ i d r I < < I Z a' < 0 OC W J_ z 4 3 c W0 W i r 0 z NK W < J j 0 fa 4 t W ! < IF W rc 6 t b z 0 F- t u D VA L L Q N z F J � LU 3 o f V O ^ ^ ( _ Z N L m z m 0 o F � r y O d d6 W N L F 0 0 0 a u u J u f 0 N d 8 0 0 W Q l7 0 J O j d U d d t m m m u z P: 1.: f W W W M j W ,w 0 1 I � O u I W I d I N Z NFII I � Z 0 I J r > z m W � n I C W W N QI 1 0Ix 0 ^ i d r I < < I Z a' < 0 OC W J_ z 4 3 c W0 W i r 0 z NK W < J j 0 fa 4 t W ! < IF W rc 6 t 0 F- t u D VA L L ( N z F J LU 3 o o V O ^ ^ ( _ N N L z z L 0 o F � r y W W N N L 0 0 p m J J_ ' 0 N m W W L W l7 L7 L N d d t 0 1 I � O u I W I d I N Z NFII I � Z 0 I J r > z m W � n I C W W N QI 1 0Ix 0 ^ i d r I < < I Z a' < 0 OC W J_ z 4 3 c W0 W i r 0 z NK W < J j 0 fa 4 t W ! < IF W rc 6 t VA H F J LU 3 o o V O 0 0 _ 0 1 I � O u I W I d I N Z NFII I � Z 0 I J r > z m W � n I C W W N QI 1 0Ix 0 ^ i d r I < < I Z a' < 0 OC W J_ z 4 3 c W0 W i r 0 z NK W < J j 0 fa 4 t W ! < IF W rc 6 t >01 (mj1rN zm �m- a� n 0 yaz z °c �X 1 D 0 10 Lo°:� mim mx -1za xunn moo�z0 moa [oZ ymN m NCz N DF oo -1 G) TNO , r • -+ a ?�z xv o-1 nz xn mm Nm m 00 3 0 C v_ z O m m A O v V 8 3 O Cf A a O D 0Gl D a UI nmwyNmDD�On O O A A v A m v O O D A xZ r -D t0 A„ W vmnn I O O N DAN C IZ mA r- A mOD~gym mmn7c�Rn�Nx 0000�,0� av O�w' N0 Dm A3� D „ NAnn Aye m_ T,3ii; O 0 C)y 0A =N ^� r ZZAZZ00a xop 0'" c O JOTm „ zD'++ O P. ^ `•, T < z= m3 f—) z O ov��o b y �� c u �3 W j as N n 00 0- N O N x 0 OT 3 N m; mZAmZ30 0 D N Z Z 0 R, N s T z C D K< NH NmDv vv { fm< " T 3 Z 0 z IT I I7 I I I I I I I I I I I I I I I I I I I I I I I_ ALL 1111 I NNx O6)CpO zxtiG! 0 N Dv xA v mD m _ r+m y<m zA ' DQe a,nS n O Ta-y _ CZ {ToFO~l<m> 0`D ;mA2 nnp vA a<nT A OO m c A om mZ r m3T N m << O m X0CN y 0 ZN M3:Z O Z NO y x O OATO m m n 0 D Z y O CD t T n� NT mm Z2pQ O Z< A lcA_T Nmxx O a D A I JIJI-1111-� I I I a p "p Z N x Z Z p IOO Z �1 Zm" �Zg A II ��" IIIA Z 11_W I Iv m A I _ I III 1111 IIII111- _I IIII ILII" >01 (mj1rN zm �m- a� n 0 yaz z °c �X 1 D 0 10 Lo°:� mim mx -1za xunn moo�z0 moa [oZ ymN m NCz N DF oo -1 G) TNO , r • -+ a ?�z xv o-1 nz xn mm Nm m 00 3 0 C v_ z O m m A O v O z ej- ON sl �¢ w a go o O w a v v) a ov wwGO a. z z OC z C p w O w v E U q w O a Go z a p w m w O W w u0 W W W b p r2 u v cn � G Li o w d O � G w w w w a z a cn Q o cn O p U H O U C/) W 2 m -11 El > c o Q ELL m c O 4 .o 0 o � o Z L C H � Cl � H C ' C — o c co z o CD — y �� m m .CL= CLC CLCD O •ate+ • m C 0 Cco CD L O '- 0 CL M tmQ y jii CD ca ea • L -j -a CL CO2 o a� Z Q .... CL C3 V2 CL — N C h•VVV� CD CL tH C3 Z o" Z 2. N cm 4z J w � a,r � L; O. L � N : m 3 N N C gyp � N O .a 0 C C CO) O O N W :a�� CM N m ' m cc O CT :tomc - N CCD O � : D O L V.y 'z O cc C C y0 m C C 2 m� o N o E"' m o ID s C LL-� N � R cC U c O cr.O N E CL= r m ' c - N �Im Z O W V m p m C w 06CO2 V H �= 0 _ CO CL.-m.21m O p U H O U C/) W 2 m -11 El > Q z Q ELL CD 0 o � o Z Cl � H C — o c co z o CD — y �� m m W Z CLCD O •ate+ CD 0 CD L cc 0 CL M tmQ y C CD ca ea w -j -a CL CO2 o a� Z Q z_ C3 V2 — CL tH C3 Z Z 4z J TOWN of NORTH ANDOVER AFFIDAVIT Imine hp:m art Cast tact r law swlmient to lit t%Uratim !it TO I i r r - e•• . ■ ■ • sr: w • SMILZ • w • smazo-.11 WM11••c• l We. w • •• cw`1 • its it zz I 1977 1 Pr4a1 • • i • • G.'1 •S 4ATZKO. lob 11mrsill• •• ■ sm 1 r •r pig a• ui- Type of Work: .✓ Address of Work Owner Name: ✓ Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ;Job under -$1,000 Building not owner -occupied Owner pulling own permit Other (specify) Notice is hereby given that: Est. Cost I Far office Use Qtly Rrdt Ni). Date c OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED OONIRACIORS_ FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRA- TION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Sigr-isd u i er paml.ties of perjury: I hereby apply for a permit as the agent of the owner: Date OR: Notwithstanding owner of the abc i D h Ve Contractor Name Registration No. the above notice, I hereby apply for a permit as the 11 Town of North Andover of Ho RT "�� OFFICE OF 3r qct COMMUNITY DEVELOPMENT AND SERVICES p 146 Main Street �, `�o,,,,'••"`<5 KENNETH R. IKAHONY North Andover, Massachusetts 01845 SA US Director (508) 688-9533 Please print. c� DATE 2 JOB LOCATION "HOMEOWNER" HC%[EOWNER LICENSE EZEMPTION Number Street address Section of town Name Home phone Work phone PRESENT MAILING ADDRESS City/Town 4- S tate Zip code The current exemption for "homeowners" was extended to include owner -occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Sec- tion 109.1.1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which hei"she resides or intends to reside, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner . Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersi-ned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes. by-laws, rules and regulations. The undersigned "homeowner" certifies that he:she understands the Town of iVo. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said HOMEOWNER'S APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Buildin- Code Section 127.0, Construction Control. BOARD OF APPEALS 688-9541 B1JII-DING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D. Robert Niceua Iriicbael Howard Sandra Starr KatWew Bradley Colwell THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 6 . ..... .. . ... INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, Co LTR TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION: POLICY NUMBER DATE (MM/DD/YY) DATE (MMIDDIYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS x SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS GENERAL AGGREGATE $ OTHER THAN AUTO ONLY: PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ AGGREGATE $ COMBINED SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) BODILY INJURY $ (Per accident) is certificate names The Town of N. Andover as Additional Insured Town of N. Andover Main Street N. Andover, MA 01845 PROPERTY DAMAGE m AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT. $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ :..TqRY.LIMITS ER EL EACH ACCIDENT EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE: $ SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES usCANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR mMAIL ____ DAYS WRITTEN NOTICE roTHE CERTIFICATE HOLDER NAMED roTHE LEFT, BUT FAILURE roMAIL SUCH NOTICE SHALL IMPOSE woOBLIGATION onLIABILITY orANY KIND UPON THE COMPANY, ITS AGENTS onREPRESENTATIVES. AUTHORIZED REPRESENTATIVE John Flynn TOWN OF NORTH ANDOVER OFFICE OF TOWN MANAGER 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 Mark 11. Rees Town Manager Mr. Thomas E. Neve 447 Old Boston Road Topsfield, MA 01983 RE: Farnum Barn Move Mass. Avenue to Turnpike Street Dear Mr. Neve: October 24, 2000 Telephone (978) 688-9510 FAX (978) 688-9556 The Board of Selectmen approved Phase II of the Farnum Barn Move at their Board of Selectmen Meeting of October 23, 2000. The Board of Selectmen voted to: 1. To allow Phase II of this barn move to occur within the primary date, Friday through Sunday, October 27th through 29"' 2. To allow Phase II to occur on a rain scheduled date beginning Friday through Sunday, November 17th through 19tH 3. To allow detours to occur from State highways (i.e. Rt. 125 and Rt. 114) which would cause traffic from state roads to travel temporarily over town roads. 4. To hold the Commonwealth of Massachusetts harmless for any damage caused to town roads resulting from the above -referenced detours. Mr. Farnham has provided a letter holding the Commonwealth of Massachusetts and the Town of North Andover harmless for any damage caused to town roads while moving the barn to the Turnpike Street location. If you have any questions or need any further assistance, please don't hesitate to contact this office. 4Sincly, &er . R CC: J. William Hmurciak, Director of Public Works Town Man Richard M. Stanley, Chief of Police William V. Dolan, Fire Chief Robert Nicetta, Building Commissioner Benjamin Farnum TOWN OF NORTH ANDOVER OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 •.00t Telephone (978) 688-9545 a FAX (978) 688-9542 MEMORANDUM To: Karen Robertson, Administrative Assistant From: Robert Nicetta, Building Commissioner (rte Date: October 20,2000 Re: Farnum Barn Move The building department is in receipt of all proper certification for the barn move from the current location on Massachusetts Avenue to the Farnum residence on Turnpike Street. Mr. Farnham has provided a letter (copy enclosed) holding the Commonwealth of Massachusetts and the Town of North Andover harmless for any damage caused to town roads while moving the barn to the Turnpike Street location. If the Board of Selectman accept the letter as sufficient Surety, upon notification, the Building Commissioner will issue permit for the Phase H move. BOARD OF APPEALS 688-9541 BUILDINGS 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Gu a.� e. Guarantee made on this date by the undersigned Guarantor. In consideration of permission %and authority to move a barn over state and municipta public ways in Ndilh Andover, on Friday, October 27, 2000, through October 29, 20005' or on a#y.. adthorized rain dates, Guarantor, guarantees, to cause repair any damage caused by tfie 'vehicle'transporting the.barn-or the barn -itself to -the public way that .said.barn.passed.or.as a direct result of the passage of said barn over public way at the time- of said.passing. . The intention of.the 'undersigned is to' indemnify the Town of North Andover and the Commonwealth'of Masiachusetts forr costs associated to repair any public way that the barn is transported. -over and that directly caused damage to. due.to the negligent acts ` pf Grantor in any ofhia employees and agents during the course of the move. /0/40/_00 Date w A W �r o 0 / •, cn p U z • ° G w° bnto z G U m w O0 U Z wo' u. W W u U) � 7 —C, H W a 1"1 v F+'r �, SL o Cd O O 1 O V L O V ZO CD O y ® C CO QM ca 0 ._ L* O O mm t O � co L cc _ O a CMQ h C *" C cCc ci CA Zts V H C QO � C ' C _c 0 Cn CC W w V c c 11 y; c Q ;a. gco • O �� O 0 1 � Q: w p� m o N M 0: a:g Q g .2m3 0• � c m zip M N = C C N ea • O .m o IM J'�vm l o�c = f a CAI a== m N O � ca z O o c p S � : COL � m r0+ N m a O C ac CO) �E at Z , :�0 N O v ® o o= = `� CO CS A O O H •O o = t roe Com. m i O O 1 O V L O V ZO CD O y ® C CO QM ca 0 ._ L* O O mm t O � co L cc _ O a CMQ h C *" C cCc ci CA Zts V H C QO � C ' C _c 0 Cn CC W w 978-887-3480 - p: ;Phomas E. Neve Associates, Inc. 447 Boston Street _- Topsfield, MA 01983 (978) 887-8586 (978) 887-3480 Fax _ To: Karen Robertson Fax: 688-9556 From: Tom Neve Date: 10/18/00 Re: Farnum Barn Move Pages: 11 cc: ❑ Urgent ❑ For Review. ❑ Please Comment ❑ Please Reply Karen: Find my report attached and I have also included the sign -offs from all agencies received to date. The only one that I have not received yet is from Jim Rand. I am assuming the Building Inspector will respond upon your request Tom=- Oct" U8 QO 1.2P-_— _Thomas Neve Associates 978-887-3480 `y 1- 7 M T■■ �.• �jq�4J. �I i H®� iJ�h.� ♦ LCIS ,0a TB Ms. Karen Robertson, Administrative Assistant Town Manger's Office 120 Main Street North Andover, MA 01845 Re: Famum Barn Move Mass. Ave. to Turnpike Street Dear Karen: Please accept this updated report regarding the above -referenced barn move. As you are aware I am the coordinator of this effort working on behalf of Ben & Linda Farnum. We cannot thank the community enough for the outpouring of support that this project has been given since its conception in March. This thanks goes beyond the town borders to several utility companies, service companies and the State Department of Public Works as well. We have met as a group several times of the past few months to finalize the details regarding the move. The planning effort and coordination has been extensive and I am confident that this move will occur with the least amount of inconvenience for the townspeople who live along the proposed route. As a reminder, the barn is currently on Mass. Ave. at the former Textile Museum. The barn shall be moved down Mass. Avenue to Chickering Road. to "Wilson's Corner" (junction Rt. 125 and Rt. 114), will proceed down Turnpike Street to the Andover ByPass onto Bayfield Drive to Willow Street back onto Turnpike Street to its ultimate home at the Farnum's residence just west of Brook Street. Find attached the map which shows the route. - This move required the coordination of the following departments, utilities and agencies: North Andover DPW, North Andover Fire Department, Verizon telephone company, Mass. Highway-, Tri-State Signal, North Andover Police Department., AT&T Broadband, Mass. Electric Co., MayerTree Service, North Andover Building Department and the North Andover Conservation - Commission. At this time each have reported to me that they are prepared to participate in the barn move scheduled for Friday, October 271h at IOPM through Saturday, October 28` at 3PM starting again at 6AM on Sunday, October 29`x' and continuing until completion. • ENGINEERS LAND SURVEYORS LAND USE PLANNERS 447 Old Boston Road U.S. Route #1 (978) 887-8586 Topsfield, MA 01983 FAX (978) 887-3480 Oct 1.8 00=03: -13p ---Thomas Neve Associates 978-887-3480 Y ._ -Ms. Karen Robertson Page 2 -- October 18, 2000 The rain date for this move is within the same planning sequence beginning at l OPM on Friday, November 171" through Sunday, November 19` . This move must occur over a 2 day period. It should only take 1 day, but we have doubled the time each leg of the route would take in order to make room for any contingent and unforeseen factors. All -costs for municipal manpower and equipment will be paid for by the Farnum's as was the case in Phase I of this move. In order to complete our permit application for Mass. Highway we are asking the Board of Selectmen to consider making the following votes; 1. To allow Phase II of this barn move to occur within the primary date, Friday through Sunday, October 27"' through 29`h 2. To allow Phase 11 to occur on a rain scheduled date beginning Friday through Sunday, November 17a` through 19`h.. 3 To allow detours to occur from State highways (i.e. Rt. 125 and Rt. 114) which would cause traffic from state roads to travel temporarily over town roads. 4. To hold the Commonwealth of Massachusetts harmless for any damage caused to town -- roads resulting from the above -referenced detours. We hope the Board of Selectmen supports Phase II of this project. We continue to appreciate your effort and the extraordinary efforts of many town departments in assisting us with preserving this historic resource and forever- allowing it to sit at its new home at Boston Hill - Farm. I appreciate you scheduling me at your next hearing. Either I or Mr. Buthmann, our construction supervisor, will be in attendance to answer any _questions you or your Board may have. Sincerely, T'40MAS ASSOCIATES, INC. or Be in ayarnurn Thomas E. Neve, PE, PLS - President, CEO TEN/km Attachment #1962 KareuR.doc Oct -1.8-00 03.04 = Thomas neve Associates 978-887-3480 • P' - - _ 8 , +3r � 117r1t r00Y♦ � r..r J1 •J 1 + I Y) \w= � ~ F 1 o O o Y ]p 14L C ,G �O 6 1 .r 1 901x1 .� r o " � 11 4+ s) .III }Xr, rtn • o ' � .. _ _ Q � I t Qt,, V ,5 I sr)1)/ w .. .. °Mp♦ v _ )Y° ~ N : Y)AOOXI �, w S w J�0♦ _. XF lz ° ° > _ i'9R3:xay-i�7'IaEs,a.tacycrrlLc4dir w'r.2'�d�"aa R'"s®arra"}:�A.-'i?6+.,.".r;;,'M�",.'c�-a,d!�.9a s- _--Oct1"8� Tho-mas Neve Associates �V-- UY. ajp (let:" 17 00 03:511, Thomas Neve Associates 978-887-3480 -- 1,-:3 T 979-897-34D0 -_-- t "OHIS E"*,-,. (MATES, IN -C_ MEMORANDU.Nj TO: Commonwealth of Mass. DPW North Andover Board of Selectmen FROM: Thomas E. Neve DATE- October 17, 2000 SUBJECT: Famum Bam Movc, North At>dover, MA This is to info'Tn you that the approving authorities listed below have committed resources to accomplish tl)e barn move vu the following dates. The rim sufficient October 27"' at 1 QPM through Sunday, October ?9�' of 4PM. The rain date t for all be move scheduled for rriday, November I7t° at 10PM through Sunday, November 19'h at 4PM. The move shall occur over Massachusetts Avenue, Chickering Roast, Turnpike Street, Andover Bypass, Bayfield Drive, Willow Street and Turnpike Street (again) to the Famum property at the corner of Brook Street and Tun,pike Street. The agencies listed below are prepared to furnish manpower andpment to accommodate this Farnwu's. equi move. All costs for municipal manpower and equipment shall be the responsibility of the North Andover DPW _ North Andover Fire Departrnent Verizon Mass. Highway / APW V-11.__ Tri-State Signal ENGINEERS 447 Ola 60st011 Roan (978) 887.8586 N/orih Andover P 1 co ee l epartnienh J AT&'1' Broadband Mass. )electric Mayo Tree Service Ben Famum • LAND SURVEy01;S U.S. Roue a1 LAND USE PLANNERS iopstieid. MA 01983 FAX (978) 887-84(30 .............. Oca- 18 00-03i_05p. Thomas Neve Associates 978-887-34'8-0 15:4 -- OCLL H 1 LHIV I J C -- ---••_ - - Oct:- i UU 0:1:h3p Inomas ryeve „ssociales TO 1978@873480— �J /tf �iY Lt/�J•�OV - . - N•e TR -()MS k -NEVE - MEMORANDUM TO: Commonwealth of Mass. DPW North Andover $oard of Selectmen FROM: Thomas E. Neve DATE: October 17, 2000 SUBJECT; Farnum Barn Move, North .Andover, MA This is to inform you that the approving authorities listed below have committed sufficient resources to accomplish the barn move oil the following dates. The primary date shall be Friday, October 27`" at 10PM through Sunday, October 291" at 4PM_ scheduled for Friday, November 17t1' at I OPM through Sunday, November 9te rain t at 4PMe for Is move is The ,love shall occur over Massachusetts'Avenue, Chickering Road, T1lrapike Street, Andover BYPass, Bayfield Drive, Willow Street and Turnpike Street (again) to the Famum property at the corner of Brook Street and Turnpike Street. The agencies listed below are prepared to furnish manpower and equipment - - move. All costs for municipal manpower and equipment shall be the tr+esponsib tiry of the _ e this Farruun's North Andover DPW - North Andover Police Department North Andover Fire Department AT&T Broadband Ver n Mass. Electric Mass. Highway / DPW Mayer Tree Service Tri-State Signal Ben Farnum - ENGINEERS • • LAND SURVEYORS 447 Old Boston Road - l,4Np USE PLANNERS (976) 887-8586 U.S Rouce a7 7opslield, MA 07983 FAX(975)887.3480 OCT 17 '00 16�fl0 SM 887 3480 PAGE . 02 ** TOTAL PAGE.01 ** -mi§�'*i �4'sTst.. �^�x'^'•�^^ u .rxx k..� .._ .. :i2 -w, - `SL�'"� • -�,. ,�.��m�4„.._;.e,..::..—. -.*.�, ,,,sc�'2'� :,., .,,.,.:� ,„,� aa.:G.�-�a,og:.....:...:..� .�.�.'i � _::Y,.cF.:�xa� - TOc.t-18-00-03:05p Thomas Neve Associates 978=887-3.480- ------ - Oct 17 00 03:57- , TRI STATE SIGNAL P Thomas Neve Assoc i aces 978-887---3480 = -1001 P. T' ONUS P, _N W SOCIl.lE NT MEMORANDUM TO: Commonwealth of Mass. DPW North Andover Board of Selectmen FROM: Thomas E. Neve DATE: October 17, 2000 SUBJECT: Parnum Barn Move, North Andover, MA This is to inform you that the approving authorities listed below have committed sufficient resources to accomplish the barn move on the following dates. The October 27`h al atlOPM through Sunda , October Z Peary date shall be. Friday, q, y 9 at 4PM. The rain date for this move is scheduled for Friday, November 17 at IOPM through Sunday, November 14th at 4PM. 1'he move shall occur over Massachusetts Avenue, Chickering Road, Turnpike Street, Andover Bypass, Bayfield Drive, Willow Street and Turnpike Strcet (agaia) to the Faznttrn property at the corner of Brook Street and Turnpike Street, The agencies listed below are prepared to furnish manpower and equipment to accommodate t hs move. All costs for municipal manpower and equipment shall be the responsibility to this Farnurn's. North Andover DPW 1�7oz?h A.ndovcr Police Department North Andover Fire Department AT&T Broadband Verizon Mass. Electric Mass way / DPW ` Mayer Free Service F �r /Tri-State Signal I/ Bcn Faraum �= ENGINEERS 447 OId Boston Road LAND SURVEYORS (978) 887-8586 U.S. Rou(e #1 LAND USE PLANNERS . Topsffefo, MA 07983 FAX (978) 887-3480 ufac,a; .i��;z:�...ts.�cx'3w's id" •"xi�.`•v'z7^.«,.....,-..._..,_ ou-s..,. xx.�.wd.5r.�r.�eu:t:i6',:%::mr,�t".....""-^: ••—.«,-.<if�f7�.L.d:.,.. _•. - .. ••r,.�>.vvr.,..............xsY.x..t,m ---Oct 18- 00- 03: 060 Thomas Neve Associates 978--887-3480 -- -p: 6— FROM North Andover PoI i ce-- ----- - Dept. FAX N0. : 978_601-1172 Oct 17 00 03:47p rnomOct. 16 2000 09:17AM P1 as N*ve f1�agQiates 070-807-34@0 THQINIAS ASSOCIATE, IN•C. MEMORANDUM TO: Commonwealth of Mass. DPW :North Andover Board of Selet:imen FROM. Thomas E. Neve DATE: October 17, 2000 SUBJECT: Famum Ba. -n !Bove, North Andover, MA This is to infoml you that thew approving authoririec listed below have co resources to accom lisp the barn mmitied sufficient Octoner 27th at WPM through Studa , the folio �1h 9 dates.. The primary date shall he Friday, scheduled for Friday. Nov Y. October 29 at aPNI, The rain date for this n,o�e is. November l7'I' at l OPM tltroagh Sunday, Noveutber 19' at 4P.". The move shall o,,cur over !Ma ssclttaatts Avcnue, Chickcring Road, Turnpike Stroct. And.,v,t ;- BY?ass, Bayfield Drive, Willow Street and Turnpike Sircet (again) to the Parnur_, property at the, comer of Brook Street awed T' rnpike Street. The agsncies listed below are Prepared to itttnish rncttpower and equipment to accotnmodatc :his move. All cost6 for municipal manpower and equip,n;nt shall be the responsibility :;f talc Famum's. . i\'orth Andover DPXV North Andover F'i:c De.part-,jt.nt verizoq -lass. hu ay DPW _ ... _._—_... XFOnh Andover Aolice 17c� a4 -&A p cent A I'&'t Broadbznd Mass. Electric Ma'er rrze Sem;ce. —.r ?Yi State Si,ai -- Acn Fart_um ENGINEERS . �? 0-I Fx :r_ ;; LAND 5uRVEYORS 7.,3 tit. V S. k,u1C At FANO USE pl.ANNERS .... ••?•i.. Vii•,;%-,i^j�j ,�i�di:Utd�''Y.va...mss:.�;�n.�;a.,us+:3a..i+�:i;�:+�s+m:��+�:.3:..Y.,...a.a.,�>.a,awe..-.,:rs.....,.....:..�:,.Baa;w•Y•...,:::�::z�_w�...:-u,.�sr=j::�a.;.::.:.:vew�,.ssu,.,�.a.,.a.;•.,...g,�.,:axcu:..r � � ° +1.ra..N�-::.=..u'� tii'EA•.0 . k..-;.;6+'omixiic�.35r.3"^iJ�•..�,:-��e; - —Oct -18 00 03: 06p Thomas Neve Associates 978--887:-3.4'8:0_ ---== - p: 7---- - Oct 17 00 04:i1P Thotnas"Neve Associates 979-887-3ggD p.2 lip",�.: ASS®CTS INC. 9 MEMORANDL*M TO: Commonwealth of Mass, DpW North Andover Board of Selectmen FROM: Thomas E. Neve DATE: October 17, 2000 SL BIECT: Farnum Baru Movo, North Andover, MA This is to inform you that the a resources to aceortl PP" ing authorities listed below have eomnlitted sufficient October ? In plish the born move oat the: fo11ow7ng dates. The prim 7 at 10PM through Sunday, October 29th at 4PM. �' date shall be Friday, scheduled for Friday, November 17 at IOPM through Sunda The roan date for thus Inove is m, Y, November 19'h at 4PM. The move shall occur over Massachusetts Avenue, Chickering Road T ByPass, Bayfield Drive, Willow Street and Turnpike Street (again) to the Fa um Street, doter corner of Brook Street and Tu spike Street. property at the The agencies listed below are prepared to furnish manpower move. Alt costs form ipmand ll pment to accommodate this Famum's. urltciPal manpower and equipment shall be the responsibility of the North Andover D2'W North Andover Policc Dep nearim t North Andover l=ire De ar " p tmcnt A1'49' -T Broadban verizou 4� —" Mass. Electric Mass. Highway/.DPW Mayer Tree Service Tri-State Signal Ben FBen - ENGINEERS , 44.7 Old 80slon Road LAND SURVEYORS (-Y 78) 887-H586 U S. Route NI LAND USE PI-ANNERS Top.;field. MA 6198:3 FAX (978) 897-3480 znnrfi .s:�w:�tsn�:ti�i�.m�v..�:e...�=;ar.�:s'i_.:.:s�:;,u:...i :,,r�....,r:;.=:,.•_-�-•._.._:,�-....�:..r�..,;.:.;:.«:..,w•..�,.........,,,4.�..,..r.<.�...u:,,,......�...,.,av+„rw..�. e.a,zu - - �.".=�.....� - Oct 18 00 03:06p _ Thomas Neve Associates 978-88T=;3.480-=--- - p-.8 crvu ► wttN I NG 978 7cS 1036 -TO- 91 9788873aB0 'Gc•t 17 00 03:29p Thomas Neve Associates 979-887-3490 P•DI p.2 THON. VID.NEVE ASSO" I ATES, INC. MEMORANDUM TO: Commonwealth of Mass. DPW North .Andover Board of Selectmen FROM: Thomas E. Neve DATE. October 17, 2000 SUBJECT: Farnum Barn Move, North Andover, MA This is to inform you that the approving authorities listed below have committed sufficient October 27`° resources to accomplish the barn move on the following dates. The primary date shall be Friday, at IOPM through Sunday, October 29'h at 4PM. The rain date for this move is scheduled for Friday, November d 7L� at I OPM through Sunday; November 19''' at 4PM. The move Shall occur over Massachusetts Avenue, Chickering ByPass, Bayfield Drive, Willow Street and Turnpike Street (again) to�theiFnxnu pike propert rylatothe corner of Brook Street and Turnpike Street. The agencies listed below are prepared to furnish manpower and equipment to accommodate this move. All costs for municipal manpower and equi Farnum's. pment shall be the responsibility of the North Andover DPW North Andover Police Department North Andover Fire Department AT&T B adb d Verizon Mass. Electric Mass. Highway / DPW Mayer Tree Service Tri-State Signal Ben Farnum • ENGINEERS •LAND SURVEYORS LA 447 Old Boston Road ND USE PLANNERS (978) 887-8586 U.S. Route #t Topslield, MA 01983 FAX(978)887.3480 ** TOTAL PAGE.01 ** 'Oct'18 00 03:06p FROM : Oct 17 00 03:58p Thomas Neve Associates PHONE No. : Thomas Neve associates 978-=88.7,="3480--- p.9 - Nov. 09 1999 oe:45AM P1 976-867-3400 ry. ASSOCIATES, INC. .MEMORANDUM T0: ('OrnmOnwealth of Mass. DPW North Andover Board ofSelectLnVn FROM: Thornes E. Nevc DATE: October 17, 2000 SUBTECT: Famum Barn Move, North Andover, MA This is to inform you that the approving authorities listed below have committed sufficient resources to accomplish the bum move on the "bilowing dates. The primary, date shall be Friday, October 27`h at lOP_-M through Sunday, October 20 at 4PM. The rain date for this move is scheduled for Friday, November 17`h at l UPM through Sunday, November I V, at 4PM. The trove shall occur over MassachUsetts Avenue, Chickering Road, Turnpike Strut. Andover Bypass, Dayfaid Drive, Wi11ow Strect and Turnpike Street (again) to the Farnum property at the comer of Brook Street and Turnpike Street. 'The agencies listed below am prepared to furnish manpower and equipment to accommodate this move. All costs foe municipal manpower and equipment shall be the responsibility of the Farnum's. North Andover DPW North Andover Police Department North Andover Fire Department AT&T Broadband Verizon Mass. Electric Mass. Highway / DPW ree ervice Tri-State Signal Ben I'amutn ENGINEERS • LAND SURVEYORS LAND Uhf PLANNERS 447 Qtd Sc:ton Road U.S. Route a:1 1978) 887•858f; oU9�iCld, NA 01983 FAx (C�76; Afl7-3,1d0 10/19/00 THU 18.20 FAX 978 688 9573 NORTH ANDOVER DPW 0,'01 0 C 17 OD 03:46p Thomas neve A I post -its Fax Note 7671 DW9/O 19 jpaqesl � 1 7E A ClioO� MEMORANDUM TO: Commonwealth of Mass. DPW North Andover Board. of Selecttncn FROM: Thomas E. Novo DATE: October: 17, 2000 SUBJECT: Farnum Barin Move, North Andover, MA This is to inform you that the approving authorities listed below have committed sufficient resoumcs to accomplish the barn move on the following dates. The primary date shall be Friday, October 27 at IOPM through Sunday, October 29`h at 4?M. The rain date for thus move js scheduled for Friday, November .17" at 1 OPM through Sunday, November 19th at 4PM. The move shall occur over Massachusetts Avenue, Chickering Road, Turnpike Street, Andover By]'asa, Bayfield Drive, Willow Street and Tumpikc Strcet (again) to the Farman property at the coaxer of Brook Street and Tumpike Street. The agencies listed below are prepared to fimsish manpower and equipment to accommodate this move. All costs for municipal nwapower and equipment shall be the responsibility of the Farnum's_ o Andover W North Andover Police Department North Andover Fire Department Verizon Mass. Highway � DPW fri-State Signal AT&T Broadband Mass. Electric Mayer Thee Service Ben Fa mum • ENGfNEEHS 447 Old eosiOR Road - LAND SURVEYORS • LAND USE PLANNERS - � #1 Route e (978) 887.8586 U.S. TOPS" field, MA 01983 FAX (976) 887-3480 Oct 19 00 01:38p Thomas Neve Associates 978-887-3480 p.2 10;19/00 THU 11:00 FAX 978 886 9573 NORTH ANDOVER DPW Q002 Oct 17 OO 03:4Gp Thomas Move Rssoeiates 978-887-3480 p•2 THOMASKi:�� iJ ASS4CI�TTMI M MEMORANDUf4 TO: Commonwealth of Mass. DPW North Andover Board of Selectmen FROM: Thomas E. Neve DATE: October 17, 2000 SUBJECT: Famum Dam Move, North Andover, MA This ,is to inform you that the approving authorities listed below have committed sutficic-rlt rc.�aources to Accomplish the barn move on the following dates. The primary date shall be Friday. October 27"' at 1oPM through Sunday. October 29P at 4PM. The rain date for this move is scheduled for Friday, November 17'x' at 1 OPM through Sunday. November 1.9'" at 4PM. The move shall occur over Massachusetts Avenue, Cbickering Road, TorMike Street, Andover ByPass, Bayfield Drive, Willow Street and Turnpike Street (again) to the Farnum property at the coater of Brook Street and TurnpRce Street. The agencies listed below are prepared to famish nnWower and equipmen, to accommodate this trove. All casts for municipal manpower and equipment shall. be the responsibility of the Faroum's. o Andover W North Andover Polices Department North Andover Fire Department Verizon Mass. Highway ! DPW Tri -Shale Signal AT&T Broadband Mass. Electric Mayer Tree Service Ben Farnufn • ENGINEC-RS LAND SURVEYORS • LAND USE PLANNERS - aa7 Bostonton Rona U.S. Route #i Topsfiald, MA 01983 1378) 88787 .8S86 rAX (978) 887.3480 Location 3�v ��4�1Js�ry St2cz-�� No. - Date r i TOWN OF NORTH ANDOVER .. 9 Certificate of Occupancy $_ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee MW4' $ l4. S� TOTAL $ • Check # 1 3 0 4 0 Building Inspector TOWN OF NORTH ANDOVER WELDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING zii Sir".,'" `.gf mss.: toy..".: h �"a Y'm,t -. 'This Section for Officiat Use Onl , BUILDING PERNIIT NUMBER: DATE ISSUED: S'8 cat; Awo t7 SIGNATURE: 6'oQ Ze,c�o Builft Commissioner or of Buildings Date 1.2 Assessors Map and Parcel Number: 1.1 Property Address: 79 Johnson Street 9 _ 31 M Number Parcel Nutr North Andover. 1.3 Zoning Information: 1.4 Property Dimensions: R3 to VC Agriculture .72 acres 500 feet ZoningDistrict Proposed Use Lot Area Frorrta ft 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 100' 100' 25' 100' 25' 100' 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information:Sewerage Disposal System Public ?i private ❑ Zone Outside Flood Zone EX Muniapa % On Site Disposal System ❑ yy�y 2.1 Owner of Record Ben Farnum 397 Farnum Street, North Andover Name (Print Address for Service: (978) 682-3817 S' ature Telephone d{ 2.2 Authorized Th as E. N ve 447 Boston Street, Topsfield Name n Address for Service: (978) 887-8586 Signature Telephone 3.1 Lice nstruction Supervi Not Applicable ❑ L Address License Number Licensed Con tion Supervisor: Exp tion l5ate na elephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name,. Registration Number Address Expiration Date Signature Telephone .0 X E Z O v n M G 0 Tm N Z z M 90 O ic r v M r r Q I, PayneConstructionServices, Ins 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 Payne Construction Services, Inc. Print Name Signature Date T7r/A Item Estimated Cost (Dollars) to beZl -101 W Completed by pernut applicant `,_ h3 s� K ° "`p a' 1. Building (a) Building Pernut Fee Move $33,000.00 Multi lier $6.50/$1,000 2 Electrical (b) Estimated Total Cost of N/A Construction from (6) $33,000.00 3 Plumbing Building Permit fee (a) x (b) N/A $214.50 4 Mechanical (HVAC) IWA 5 Fire Protection N/A 6 Total (1+2+3+4+5) Check Number 9 -1r -)B $33,000.00 {t"{it7 n '.' JC •�,,,.:. t ,� h t+ tYi•)- 7 .4 5fk '"5 t. 1'd 3 ? 4. k i%i-F'�L>i;. 'y5...,?f.t. SgA. 4tN�YutF. AeY� t{, iC t+'J➢..:4,�`it's i�-, �+.MR, i. �t� � 7"�i.... i>�` :�•'�'1y� / 3 } �.1 .,:}< Z �4� eut.X .✓ �? 5� ,'711�<1, �p356\ IS'fi fF}�S'hS i{JS.t..Y 17Yt-.'%. .. i`�x+t•. :?:! i�\.,a iA�Fn ,? terns 5 ,IY ',?`� , { "YS.n�•:S ii, 4+>,:.h�:,/`4.k 4 ffi.. ik -ji.1 {Y iFe :,t<f hA' '� h�3..�5 r C ',�.�n'v.? ..,{p.r.1 S:��ak�i Ga..:+t ,K��S�GV t•t;', ryr, '��3f ., R?g}@i )Sv,�:;q��y !'�+ R'•>t�y S�.,t. �hY,^.� �k't �a liJ'� elf 4�itlY�'S l�i):u,, a)iyy�>) i. }'v<5�...r��, ,i l� LrVq'. yy'�, J'S,� 5'�. ,y NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS I sr 2ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CBIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ! 1 b , r . '�rkk '�,?;,.w.i„s�-•3f`;��.w"^�`,.2s'2z�kki+,�$"'� � �f<;��. Y�t�.�+"hy ,� �Y",x"aF� -� �A �.k4�rv4�.�t� ft�� �.t s,.E"a ._��:�>.?:��z ;t^,k r ,..c .a Vim... .r<< sEx� ao two s Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yea ...... X. No ....... ❑ SECTION ,s -;Pit(} $SSiUi t I bEfilG t A1� � C IMS CTI0I�i RYICES i� ()8 3Ui)f,U 1GS ANIi 5I'RU S SUM Tb CON5TR1<iCTi�ll�' C�]'�TROL' P�T.l��' T'C) �'S� � I �� (�+tl�ii��'Ail�ifl�t� MAS TI�U`3�,�► �Pp C`DF �C']I�MS76D: �'At'1[ 5.1 Registered Architect: N/A Name: Address Signature Telephone Thomas E : \•Neve Area of Responsibility Name: 30138 ILL - 01983 Registration Number ress- (978) 887-8586 Expiration Date Signature Total Not applicable ❑ Name: Registration Number Expiration Date Address Signature Telephone Area of Resporisib lityY ; Registration Number Expiration Date Name _ . _ Address Signature Telephone Area of Responsibility Name Registration Number Expiration Date Address Signature Telephone PAVne CnnCt-rllrt-i nn Sermi res Tnr Not Applicable ❑ , Company Name: PO Box 6 Center Strafford, NH 03815 Responsible in Charge of]MKMNXZ Moving Barn .. kowj) 004-/400 New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other 5d .!SpecifyMoyini Barn from 79 Johnson Street to 1 Brief Description of Proposed Work: This project wifl involve the moving of a barn from'79 Johnson Street to 1370 Turnpike Street over Town and State roads once all permits are in Place, ❑ A-1 ❑ A4 ❑ A-2 A-5 AREA • I EXISTING (if applicable) I PROPOSED Number of Floors or- Basement rBasement levels Floor Area per Floor Total Area s Total Heieht (ft) Independent Structural Engineering Structural Peer Review Required Yes ❑ No SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Ben Farnum ,as Owner of the subject property'= -Barn @ 79 John Street.and-dwner of the subject property @ 1370 Turnpike Street Hereby authorize Payne Construction Services, Inc. to act on Dft behalf, in all matters relative two oris authorized by this building permit application $ g ture,of Owner Date USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A4 ❑ A-2 A-5 ❑ A-3 ❑ ❑ IA 113 ❑ ❑ B Business ❑ 2A 2B 2C ❑ ❑ ❑ C Educational ❑ F Factory ❑ F-1 ❑ F-2 ❑ H High Hazard ❑ 3A 3B ❑ ❑ IInstitutional ❑ I-1 ❑ I-2 ❑ I-3 ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A 5B ❑ ❑ S Storage ❑ S-1 ❑ S-2 ❑ U Utility M Mixed Use S Special Use ❑ ❑ ❑ Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: AREA • I EXISTING (if applicable) I PROPOSED Number of Floors or- Basement rBasement levels Floor Area per Floor Total Area s Total Heieht (ft) Independent Structural Engineering Structural Peer Review Required Yes ❑ No SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Ben Farnum ,as Owner of the subject property'= -Barn @ 79 John Street.and-dwner of the subject property @ 1370 Turnpike Street Hereby authorize Payne Construction Services, Inc. to act on Dft behalf, in all matters relative two oris authorized by this building permit application $ g ture,of Owner Date _r. Town of North Andover 4HORTM rz OFFICE OF o COMMUNITY DEVELOPMENT AND SERVICES % 27 Charles Street North Andover, Massachusetts 01.845 9 WILLIAM J:. SCOTT - SSACHUS� Director���NG�OF $UILDING AFFIDAVIT (978) 688-9531 - Fax (978) 688-9542 __DATE-. April 27 2000 OWNER'S NAME .& ADDRESS Mark Rae, 700 Chestnut St. , No. Andover Ben Farnum, 397 Farnum St.., North Andover_.. MOVE LOCATION OF PROPERTY TOI-t 79 Johnson Street This project will involve the moving of -a barn from DESCRIPTION 7.9 Johnson St. to 1370 Turnpike St. over Town -& State Moving _--.Roarls._;once all permits are in place. -_ CONTaCTOR'S NAME & ADDRESS Payne Construction Services, Inc _ PO Box 6 Center Strafford, NH 038.15' DEPARTMENT SIGN -OFFS DEPT. OF PUBLIC,WQRKS - WATER: N SEWER: 14 GAS N/A ELECTRIC TELEPHONE N /A EXTERMINATOR /V/q DUMPSTER - ON/OFF STREET /�1/�- DIG SAFE NUMBER A/14 DATE REC'D-6/0BLDG. INSPECTO BOARD OF .APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 683-9530 HEALTH 638-9540 PLANNING 688-9535 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Name: Location: City Phone aam a homeowner performing all work myself. F7I am a sole proprietor and have no one working in any capacity xxx I am an employer providing workers' compensation for my employees working on this job. Company name" Payne Construction Services, Inc. Address PO Box 6 City: Center Strafford, NH 03815 Phone#: (603) 664-7488 Insurance Co. Liberty Mutual Policy # BIN172997 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. /Signature I do herby certify under the pains and penalties of per/ury that the information provided above is true and correct---� Date May 2,"2000 Print name Brian Payne Phone# (603) 664-7488 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 ❑ Licensing Board ❑ Selectman's Office Contact person: phone #: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION . DATE (MM/DD/YY) . 05/01/2000 PRODUCER (603)740-0140 FAX (603)743-3370 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION John 3. Flynn Ins Agy Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 818 Central Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Dover, NH 03820 COMPANIES AFFORDING COVERAGE ........................................................................................................................... ............ _.............................................. Green Mountain Agency, Inc COMPANY Attn: John Flynn Ext: A ......... ......... ................ _ INSURED JSP Leasing, LLC .... ......... _........ COMPANY B PO Box 6 ......... ....... ........ . Center Strafford, NH 03815 COMPANY C ................ ....................... ............_..................,..,,.............. .............. ........ ................... ................................................................ COMPANY D _... rcais ... .. .......... .. . : THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY .............................................................................................................................................................................................................................................................................................................................................................................................................. HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE :POLICY EXPIRATION LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY ........._ GENERAL AGGREGATE$ .......................................................................... ............ ................................. COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ ......................................................................................................... .......................... FIRE DAMAGE (Any one fire) $ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY COMBINED C $ :ANY AUTO .... . .......... 750,000 ALL OWNED AUTOS BO__ INJURY_. DILY j$ X :SCHEDULED AUTOS A ........., CL767002 (Peri person) 04/05/2000: 04/05/2001............................................................<................................................... HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY .._ .. AUTO ONLY - EA ACCIDENT $ ... ...__.... ...._..... ANY AUTO . OTHER THAN AUTO ONLY ............ .... ..... ..__..., ..,..__.... ........... EACH ACCIDENT; $ .............................................................. ............._.. AGGREGATE:$ EXCESS LIABILITYEACH OCCURRENCE $ ........................................................... :.............................. ....................... UMBRELLA FORM AGGREGATE $ _....................... _ ........... OTHER THAN UMBRELLA FORM $. WORKERS COMPENSATION AND WC STATU- TORY LIMITS ER ::> EMPLOYERS' LIABILITY ... EL EACH ACCIDENT $ '. THE PROPRIETOR/ INCL: EL DISEASE POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS g CAiLATiG31U SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Town of North Andover OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. N. Andover, MA 01845 AUTHORIZED REPRESENTATIVE John Flynn AGC)Rt3 2Sg { 118B OACORD �GCIRPOR�11rIOlY 198 Sent By: USI NE CONT0000OK; 603 746 4514; 3 May'00 10:56AM; Job 559;Page 1!1 !AUCK20ATS ..... .... ... ... UrNtINTSAN UNIfiltiLLA FORM WMILMIS C0MFXr4VATt0M BIN172997 103/30/00- 03/30/011 Inn �Imrm EACH ACCH)IRNT AND ... . .. .. ..... DI&BASPIPOLICY UMfT $5 0 0 tl -­ . . .. .. .,.000 IMUS .EACH $120, 000 SHOULD ANY OF IIIE ADOVE DrACRISM POLICIES BE CANCILLBD DEPORE THE BKFIRAIION DATE 'MER9OF, 'nIE ISSUINO COMPANY WILL MEAVOR M Town of No Andover MAIL I 0 DAYS wpirm Noma TO nirs cianFicAiE HoLDmt NAmrQ -to -mia c/o Ben Farn-am BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO 0DEJOATIoN uR 3g7 Farnum St 0ANI!JTV OP ANY KIN tqj�THE COMPANY, ITS AQ M OR ROPRZENT OU E ATIVBS. No Andover, MA 01845 JF -ABCDEF: 3�00 THEY CERTIFICAs 1 Is issmt: MArMR0ruffoxhunoN ONLY ANP ,lohnson & Porter mnsurance CON MU No RIOM t"N THE CERTIFICATE HMOFR. THIS CERTIMCATH DOES NOT AMEND, FX7%" ON ALTER THE COVERAGE AMRDED BY' 881 Main Street POLIClu NEWW. PO Box 100 Contoocook, NH 03229-0100 COWANEES AFFORDING COVERAGE 110m?ANY A St Paul Insurance Co LSrrft MANY 9 Liberty Mutual . .............. I r.,IMPANV C Payne Construction Services Inc P> 0. Box 6 IX.TrFm --- Center Strafford, NH 03815 e,.OMPANV r) Lellrp.p . . . . . ............. . . COMPANY CS 'til CfiRTTPV THATI11C POLICIES OP INSURANCE LISTED BELOW NAVY'. ftjEN 1119I)RD TO THE INSURED NAMED ABOVE FOR THE POLICY PERIm IN", NOTWITIHSTANDINC ANY RWUIREMENT, TERM OR CON01110N OP ANY CONTRACT OR OTIM DOCUMENT WMI PZSPECT TO WHICH V TWE INSURANCE AFPOKDEI) BY THB POLIC10 DESCMDED HEREIN 15 SVI.TECT TO ALL THE TM CArCAI)Ys MAY N ISSUeD OR MAY PFATAIN, LX)CLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CIAIN1S_ . . ......... ------ TymmINSUR&SCE POLICY &MC71149 URDIXATION L4mrn Dom. (MMMWYY)GA (MM1001Yy9 oOF05506816 10/20/99 i 1672 00 WNPI&M-AGO7FGATS _ It X COMMERCIAL OgNtRAWAAMIXIT I j PRODU Om --.A-00 IAFM5 MAIX I[�XIOCCUR. 11 PIRSONAL A ACHY. IN $1, 000, 000 11 , 0 0 0 '.00 0 U%NbR'V A CUNIXAMR1 PROT, mm UCLVAUNeb s50,OOO FIRE DAMAGE Nb. r> ) $5,000 Mgt), WIFIMA (Amy.rt pmu.) (MIU UAIPILITYLIMN ' $ ANY AVIV &WILY INJURY i $ ALLOWNbOAVINM gr.RVDULZO AUTOS pe -9 V INMY ft ..... .. ..... 1.$ GARA402 LIA%1LrI`Y PROKIILTY DAMACk !AUCK20ATS ..... .... ... ... UrNtINTSAN UNIfiltiLLA FORM WMILMIS C0MFXr4VATt0M BIN172997 103/30/00- 03/30/011 Inn �Imrm EACH ACCH)IRNT AND ... . .. .. ..... DI&BASPIPOLICY UMfT $5 0 0 tl -­ . . .. .. .,.000 IMUS .EACH $120, 000 SHOULD ANY OF IIIE ADOVE DrACRISM POLICIES BE CANCILLBD DEPORE THE BKFIRAIION DATE 'MER9OF, 'nIE ISSUINO COMPANY WILL MEAVOR M Town of No Andover MAIL I 0 DAYS wpirm Noma TO nirs cianFicAiE HoLDmt NAmrQ -to -mia c/o Ben Farn-am BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO 0DEJOATIoN uR 3g7 Farnum St 0ANI!JTV OP ANY KIN tqj�THE COMPANY, ITS AQ M OR ROPRZENT OU E ATIVBS. No Andover, MA 01845 JF Y', * >' n � mM��' �y�f�� ' ws• �,•• 'a'i' 'F'`.:tiM.�i'�``^";,,`„� «.� :i'`� � - - A(/%/-'.�pL�dt47b0✓�LII/BR(�� -/ �i��G0�k1� 4i { t V ✓/te BOARD OF BUILDING REGU� TIONS OR License: CONSTRUCTION SUPERVIS Numb®r; CS 028557 l r a Birthdate£07/01952 714112Q01 246 FOStrlGted T0. 00 T P BUTH11(IAN 65 rir)strator NEWBURYPORT, MA 01910 % :rr:� S �yq rt; 14 r All FROM : North Andover Police Dept. FAX NO. : 97e-681-1172 Apr. 2e 2000 02:48PM P1 POLICE _� _= v � D E P A R T M E N T "Community Partnership" To: Karen Robertson From: John Carney Date: 04-28-200 Subject: Ban1 Relocation I have been in contact with Ben Famum regarding the relocation of the barn from Johnson St. to Turnpike St. As I understand it, the initial move will be from the present site on Johnson St. to the area of the former Textile Museum on Mass. Ave. This is tentatively scheduled for Sunday, May 7, 2000 at 06:00. Mr. Farnum understands that at least two officers will be required to redirect traffic around the area during the move. We are prepared to work closely with the other agencies involved and yield to their jurisdiction on matters other than traffic. Mr. Farnum . will continue to be in contact with us. We will help with arrangements for the drop off of temporary barricades and detour signs as needed. Under the circumstances and in the best interest of minimal traffic disruption, we have no objection to the early start time and the work being performed on a Sunday. 566 MAIN STREET, NORTH ANDOVER, MASSACHUSETTS 01845-4099 Tduphone:978-683-3168 • Fax: 97$-681-1172 Karen Robertson From: Chief William Dolan Sent: Wednesday, April 26, 2000 9:29 AM To: Karen Robertson Subject: Request to Use Town Roads - Ben Farnum 1 have met with Mr. Farnum and Mr. Neve regarding this proposed move. The schedule presented is acceptable to the fire department. As outlined in his memo there will be a need to have a fire alarm detail to drop fire alarm wires on the route and replace them. Mr. Farnum is aware that he is responsible for the costs associated with this work. We will be coordinating the logistics of the move with the police department to insure our ability to provide service during the move. I will be at the Selectmen's meeting on May 1 to address any issues regarding fire, ambulance and emergency response during this move. Page 1 Dept. of PubHe Works Phone 978- 685-0950 384 Osgood Street Fax 978-688-9573 North Andover, MA 01846 U pfl) 2009 n r 0 r+ IN; 11 C To: Karen Robertson, Administrative Assista, From James Rand, Jr., Director of Engineering CCz J. William Hmurciak, PE, Director DP �ionsz David K Bailey, Superintendent of 0 Tim Willett, Staff Engineer Data April 28, 2000 Ra Request to use Town Roads This Department has met with Mr. Famurn and Mr. Neve, PE in regards to this barn moving. We support this effort and see no problems related to the DPW. The proponents have been informed that the moving will require DPW personnel and equipment to block and detour the streets. Mr. Famum has agreed to reimburse the Town of North Andover for costs incurred during this move. We will provide two (2) men and two (2) trucks plus barricades for the first phase and four (4) trucks and equipment for phase 2. C:/ Memo TM / Memo Karen 02 0 Page 1 ** 20'30bd ldiOl ** May 1, 2000 Benjamin Farnum 397 Farnum Street No. Andover, MA. 01845 Dear Mr. Farnum, In regards to your Barn move, Bell Atlantic is prepared to accommodate you with regards to Pbase Onc of this Barn move on May 7, 2000 at 7AM. We will be able to move our cable facilities to enable you to relocate the Barn temporarily at the new Printing Museum. However, Phase Two of this project is more challenging for Bell Atlantic. We will not be able to i' -Complete the rew=gements of our facilities affected by this phase until September 1, 2000. This means that the Bam will necd to stay at the Printing Museum until that time. If you have any questions, you can reach me on 978-275-1110. 4,e //"� Kevin Kelley Area Operations Manager- Construction Bell Atlantic Massachusetts Electric A National Grid Company%;,` James J. Scarpone Operations Engineer May 1, 2000 Board of Selectmen, Town Hall Town of North Andover 120 Main St North Andover, Ma 01845 To Whom It May Concern: Please be advised that Massachusetts Electric Company is aware of, and has made provisions for, the proposed barn move originating at 79 Johnson St.,North Andover and coming to rest at the Printing Museum. We have been notified by Mr. Benjamin Famum that work will begin at approximately 5:00 AM on Sunday May 7h, 2000. Respectfully yours, �Jamesone 1101 Turnpike Street North Andover, Massachusetts 01845 Tel: 978-725-1416 Fax: 978-725-1036 This is Broadband. This is the way. May 1, 2000 Mr. Keith A. Mitchell, Chairman Board of Selectmen 120 Main Street North Andover, MA 01845 RE: Ben Farnum — Barn Relocation Dear Chairman Mitchell: MediaOne will be involved in the movement of the barn located at 79 Johnson Street to 1370 Turnpike Street on May 7, 2000 Sunday. Thy u, Patrick Speike 760 Main Street Wilmington, MA 01887 tel / 978-658-0400 MAYER TREE SERVICE 387 R Andover Street Danvers, MA 01923 April 27, 2000 Benjamin G. Farnum 397 Famum Street North, Andover, MA 01845 Dear Mr. Farnum, This letter is to confirm our agreement for my services as arborist for the barn move from 79 Johnson Street to the Museum of Printing on May 8, 2000. The second phase of this barn`move to 1370 Turnpike Street will be in June for which the same services are to be provided. Sincerely, ager cc: North Andover Selectmen Robert Nicetta, North Andover Dept. Of Community Services NORTH ANDOVER HISTORICAL SOCIETY April 28, 2000 Benjamin G. Farnum 1370 Turnpike Street North Andover, MA 01845 Dear Mr. Farnum, At its last meeting, the board of directors of the North Andover Historical Society voted to give permission for you to temporarily place the Rokous barn in the parking area west of the Museum of Printing on Society property. The board supports your effort in preserving this structure, which reflects the importance of horse-drawn transportation and agriculture in the town's past. At the same time, we are concerned about the long-term plans for the move and. we hope (as I am sure you do too) that it can be removed in a timely fashion. As you know, the Museum expects to open to the public perhaps as early as this summer, and we would like the barn to be removed by that time. The Board suggests that July 1 would make a good deadline. We have received and appreciate your provision of insurance. If the barn is still here during Sheep Shearing, you should consider extra security for that event. Once again, we congratulate you for this effort and share your hopes for a successful move. Sincerely, U/0 Martha Larson, President North Andover Historical Society Copies to: Robert Nicetta, North Andover Dept. of Community Services Gardner LePoer, Museum of Printing 153 Academy Road, North Andover, Massachusetts 01845 (978) 6864035 r. � CA d =_ nc�m � V! CL 0 CD Cl) C i i Z y W Cl -4 'C A0 Co m nrnm d m -4 c m �' c -a C •• o..=: _ ac -+ > >my coto 0 ca CA o 'tr _. N _.: 0 C) z v! O 'C7 to o ,....:j{�� R� ca CD ra' V'CD C Q m o •v o CD W C/) �cc• CO) �" �, O o N r rf [, ; N O. d C m •'��J C S ov =" < C p O N y c CD as m CD �• � (^ S m CA d _ VJ y �_ co, CD O CD O ? z0 *u c CD co) Cn Z � 0 N r a.v CO)CD coCD Cn CO) CD l'A o d : 1 nM CD 0 co) CD dc i co ►q : C o sem: y 0 0 c c� 3 r w� 0 Rw 0 d 000�; o rn rfj o n o z w o <cn 0 � a g o o�v �' z 0 N p x �0 o x y 0 0 c c� 3 r w� Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit # /9f, the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in /at: Facility location Signat , a� Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. Oct i9 00 01:38p ••—�n—ttlteN 12:34 AM Oat 17 00 04102p Thomas Neve Associates Thomas N... Asseofat,03 KUL �A .1 MEMORANDUM T0: Corzunouwealilt of Maas, DPW North Andover BpyM of 5electmq; FROM: Thoma E. Neve DATB: October 17, 2000 SUBJECT: Farnwn Dam Move, North Arutovrr, MA 978-887-3480 979-807-3460 This is to inform you that the "w"ere" to accom tiah the approving eaatoritiet{ hated below have wtrimittcd auflisicnt October 276 ar l IpM thro gh l:udtnoya on the following dates. The Prirr=aty date aha!! be Friday, scheduled far Friday, November t7'� Y. Ober at 4PM The rain data fbr this moor. is at "P'd fhrough Shy. November I 91 The move sbait occur over Ms"so at 4PM. ByPaes. Bay!`teld Drive, Willow S� Avrn�r, Chic"'ng Road, spike Stec corner of 8nwk Street and Tump,kc street. Tu rnpilre Street (again) to the Farttprti � Andover }trop the The agencies Listed below are preparod to titmislt map move. All coats for municipal tuatrpower and upower and equipment to ac Famum's. eQ IMent "I be the nsthis ttsponsibdity bility off the North Andover DPW North AmioverPolioa Dcpartrn�t` North And�vcr F Depsrmcu AT$T BroAdband Wrima Maes. Bieotric Mfta. Highway / DPW Mayer Tree Service Tri-State Signal ' ENGlNe$p� F 447 Old eowo,j Noad LAND SURYatlt?RS (818) 887-mas US. Route 0 t (AND WE PLANN�gs TaAet+eld, MAD 1983 FAX (978) 887.3480 P.3 P-03 .._ .._. P-2 N2 1911 it Date ...... 1�%/%�. TOWN OF NORTH ANDOVER PERMIT FOR WIRING k.) This certifies that ...... 7)- :n ( r ci -k ................................................................ has permission to perform ...... --).e f? C �. q ........................ ............................. ...... wiring in the building of ...... ................................................... 3 /76) 7-(4 R.h19 at ................................... North Andover gMas. ................ Lic. No/S.. 3... ..... .,1.. ...... ELECTRICAL INSPECTOR "W&26 35.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 01 be `:IIIIITII n1urdth of 90iiar4uSPttE 3gzxr=zrr1 t:f 11uhUr -9"dPtq C' -;> BOARD OF "FIRE PRE-IF.NTION REGULATIONS 527 CAR 12:00 Otflce Use Onty �nr I Permit No. "'�� l Occupancy & Fee Checked 3M (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All werk to be performed in accordance with the Massacnusetts Electrical Code, 527 CMR 2:0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date QM or Town of NORTH 4N�QuFR To the Inspector of Wires: The uderstened aaelies for a cermit to perform the electrical work(ggscribed below. L7atlon (Street 3 Owner or Tenant (Owner's Ad:tress Is this permit '.n ccnlur.c:ion with a buildin oermlt Yes — No ( /Or(Check rtpprcpnate EM P--:r---.se of Eulic;r^_Two PAM9 F a e Uti ' y authorization No. c zi tinS carfce Amos �I �r L', 1Citg Overreae Uncgrnc— No. of Meters New cerate ZAU AMOS _4'U2. 2440 `/ctts Cverre_c�uncgrnc 2. — NO. of Meters Z Numcer „ t =----cars arc .Arr.cac::y ar . ala;Lre _. ?rresec =:=c:. at �Icrx No. Cut:els No. _. =sK`a.'A _. -• No. of 7ransform.ers No. V S-rg = xr:res Swimming =rot KVAgrnc. _ crnc. Generators No. of Emergency Lignttrg No. of �ecec:ac:e Curets No. of Cil Surners i Sacer, Urnts No. of Switcn Cuvets No. or Cast =_rr.ers I =iP.E .ALARMS No. of =ones Iotai No. cf Ranges No. of Air i No.�r '"eat Total Total No. ct Cisccsais Pu -os 7ar.s K'•� No. cf C,snwasners ScacerArea r4eattr.c r.eannc Cev:ces C•v NA. of �rfers No. of Cetec:ton ant I initialing Cavices I No. of Scunctng Cevices No. of Serf Containea Ce!ec::cnisounetng Cevices I _=cal - .Municfcai —Other conne=CM i No. of No. of I Low :mage No. of '.Vater _eaters :4`N Sicns Ballasts 'Nirnc No.:jvcro .Massage Qt -s No. of Motors -stat 0-• E.F. INSURANCE %E=%+GE. ?_"--Gari; ;o the recutrements r ssacn sa s ;er.erat Laws _ I have 3 C::rrent L:aCtu Insurance ?QttC•/ enc:uCrtg r • 'teC Ocera tons C.:veraae Cr ,Is suastantial ecutvatent. YES nave su=mir:ec valtc r=Ct at same to the Ctfice. YES' NC = t ave c.tea YES. oiease inalcate :Me type of C=vet ge oy caecxtng :..^.e aooro rtate pox. 2 iNSUR:.NCE 3C1v0 = OT! -!EP = lPtease Ste :�) KK ( otratt n Oaten stimatee Value at Etec:ncal 'Marx 5 wcrx :o ctar, . Ins=ec::cn Oa:eAacues:ac: Rcucn F+rat Signea anter ::te P at �er>u ) �C 1140-32— =1;;N1 NANtE 3AI� D/ , +a « --ten rt uc. v0. Licensee Actress V 0 l K V V Alt. .el. No. OWNEa'S INS1Jr;ANC=- WAIVE is I a aware :hat :ne Licensee tees rot nave the insurance coverage or its SUCStanttat ecutvatent as re- cuirea cv Massacnusetts General Laws. ano :rat :-+y signature an :n:s =ermit aooucatton waives this reouirement. Cwner Agent (Please cnecx crtet 'stecr.cne No. PSgMIT F== S Sicrature cf Cwner cr Agent' Location v No. Date NORTH TOWN OF NORTH ANDOVER Of .o ,�1ti 3? � •• 0 # Certificate of Occupancy $ • i r sACNUSEt� Building/Frame Permit Fee $ C-2 W, Foundation Permit Fee $ i Other Permit Fee $ TOTAL $ Check # 13" 34 /OB401diin-g--Ins-pector 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 This Section for Official Use Onl a .. . BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Builft Commissioner/ or of Buildings Date ,£ 1.1 Property Address: 1.2 Assessors Map and Pared Number: 137Q Turnpike Street 107A 49, North Andover Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Vr Zoning District Pr owed se Lot Area Frontage ft 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide ReqWred Provided Required Provided .50 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System Public Private ❑ Zone Outside Flood Zoae Municipal X On Site Disposal System ❑ 2.1 Owner of Record 397 Farnum Street, N. Andover Name (Print) Address for Service: o (97:8) 682-3817 Signatur Telephone 2.2 Authorized Agent Name Print Address for Service: Signature Telephone 3.1 Li Construction Supervisor Not Applicable ❑ --AI /-5 Adaless License Number' e' —�� i n o pervisor. Expirati n to 4igmk—turelelTeleplione 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone v n M 1, Ben Farnum 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 Ben Farnum Print Name Signature Owner/Agent Date i d' Item Estimated Cost (Dollars) to be41110 Completed by applicant,.:y f permit zs 1. Building (a) Building Permit Fee 900 00 Multiplier 2 Electrical (b) Estimated Total Cost of C Ann Construction from (6) 3 Plumbing ' Building Permit fee (a) x (b) 4 Mechanical (HVAC) 5,000.00 5 Fire Protection 6 Total (1+2+3+4+5) Check Number �I: ? v3 Y,. .h?5't r' '�,f i *� tt ✓:._`A S.c k 4 Y FaV '•. f Sr �S. i bl'F� { ✓.M1 f ?•.4 � 4nPk..tP'�,. '34 :i i SL %�i _. c' .h .+y f_8;>+`{�.: l.s..!AW �x �i "Y n..:'.. .,....;�'.: �,„r �zL"t?x�Y.. .rL� '�.Yr'�S rP, SN �t'k'tiu Tfk`�,.:� 9 ,;v .mow �. �•11:.Si d� U m'(, .k,.. �: �. NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sr 2ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY 'IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE +'''�Cl.#':kx. �” �. i 1 iS.,, r' re k*%3'+4 �r:.,t th rte' b+c 4 � d `� fa+�"r� ..J y2 ..t}`�**,., k^' l�'#c rY I� ✓'" /:. ,.. Workers Compensation Insurance affidavit must be completedandsubmitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yea ..... _0 No ....... ❑ SECTt4N 5 - P)lLC1lF I©I 1 , DISM GUi�TSTR J+C°x 1tYN 91IM, S Fri$ B1 D1 � ANS S 3' t11T S �"i` = OR CON�Tii�JCTIOTd Ci3A1TRdL PI1R� i'k7'I�p ,�16 (+7.1!TT�G 5.1 Registered Architect: Name: Address Signature Telephone �Fll�}ag_'e .. Neve Area of Responsibility Name: 447 Old Boston Road:- U.S. Rte 1. Topsfield, MA 01983 30138 Registration Number Address: Expiration Date Signature Total Not applicable ❑ Name: 7826 Registration Number Address (� Expiration Date Signature Telephone Area of Responsibility Registration Number Expiration Date F, Name Address Signature Telephone Area of Responsibility Name Registration Number Expiration Date Addless Signature Telephone 1+ �,S f i f Not Applicable 11Company Name: , Responsible in Charge of Construction l` Ar ZKi& 'Mlkasigigl New Construction 0 Existing Building El Repair(s) ❑ T-Alterations(s) 0 Addition 0 Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: EXCAVATIONJOUNDATION, FLOOR FRAMING , SITING OF BARN WTTH NECESSARY REPATR A-2 A-5 0 A-3 0 0 M BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor (sf) 9,179 SE Total Area (sf) 4 758 SP Total Height (ft) 24 R,et Oft I WIN MIT, Independent Structural Engineering Structural Peer Review Required Yes 0 No 0 SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Date USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly 0 A -I 0 A4 0 A-2 A-5 0 A-3 0 0 ]A 1 B 0 0 B Business 0 2A 2B 2C 0 0 0 C Educational 0 F Factory 0 F -I 0 F-2 0 H High Hazard 0 3A 3B 11 0 I Institutional- - 0 1=1-- 0 1-2 0 1-3 0 M Mercantile 0 4 0 R residential 0 R -I 11 R-2 0 R-3 0 5A 513 0 0 S Storage 0 S-1 0 S-2 0 U utility M Mixed Use S Special Use 0 0 0 Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: M BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor (sf) 9,179 SE Total Area (sf) 4 758 SP Total Height (ft) 24 R,et Oft I WIN MIT, Independent Structural Engineering Structural Peer Review Required Yes 0 No 0 SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Date 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 c'r-.'"¢r#` A:�q>t= 16010 rt This Section for Official Use Only f " MR,' V BUILDING PERMIT NUMBER: 1163/ DATE ISSUED: ,[ R *7 to SIGNATURE: Building Commissioner or of Buildings Date 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 13ZQ turnpike Seet 107A 42 North Andover Map Number Parcel Number 1.3 Zoning In07ation: 1.4 Property Dimensions: VC eulture_ Zoning Districtosed se Lot Areas Fronts fl 1.6 BURRING SETBACKS (ft) Front Yard Side Yard Rear Yard Required I Provide Required Provided Reqtiired Provided 50- 25 436 -QA 25 1 00 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone Municipal X On Site Disposal System ❑ MIM, MOO— <i. to -. .. s�, a YT M, 2.1 Owner of Record Rin Farnum 397 Farnum Street, N. Andover Name (Print)Address for Service : (978) 682-3817 Signatu Telephone 2.2 Authorized Agent Name Print Address for Service: Signature Telephone ',R 1 3.1 Lic9ijed Construction Supervisor Not Applicable ❑ �j Adaless License Number Ltcen o pervisor: Expirati n to i lure Teleplione 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone v n M 0 fx' r 5 7 �r58 y �i ned aLLAavit Attached Yea .......❑ No ....... ❑ SECTION -I'S ,-PROFWOXA CONSTRiTCTION CONTROL' 5.1 Registered Architect: Signature Telephone S.2 Regisbex+es�" '' � Name. FFltmas p hlevp Area of Responsibility 447 Old Boston Road - U.S. Rte 1. Topsfield, MA 01983 30138 Address: 47 Registration Number Signature Total e Expiration Date Not applicable ❑ Name: 7826 Address Registration Number '-A) Z\ Signature i,ompany tvame: Responsible in Charge of Construction T Telephone Telephone Expiration Date Area of Responsibility Registration Number Expiration Date Area of Responsibility Registration Number Expiration Date Not Applicable ❑ I, Ben Farnum ,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 Ben Farnum Print Name Signature AT Owner/Agent Date Item i Estimated Cost (Dollars) to be sm 614L t Completed by applicant permit ' 1. Building (a) Building Permit Fee 000.00 Multiplier 2 Electrical (b) Estimated Total Cost of 5000.00 Construction from (6) 3 Plumbing ' Building Permit fee (.) x (b) 4 Mechanical (HVAC) 5,000.00 5 Fire Protection 6 Total (1+2+3+4+5) Check Number yin.: L�, �r)'r` -' T f✓'r ? ! 1 f 3#��7,1 �t s. Yf f .% .. �'2 / II 1 I yTO )f✓ 1' . �"'+$`n�} Q� � y f� 1 } Ffr, �Z�Si �� Y �'� tf'X � 5 - i x' l. f % Y^7� i1 y� ✓375 t} 1 �'}} ff� �,^�p? .L(,� �„ � �i- J Y� �S. '7 1 t: t ' t t 1 { /t r 3 .11.' E`l.if ,,(� �. ij1�3n 3.� NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS ]ST 2ND 30 SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING x MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ��a .E✓, 'v .f h Yl r r� r �Ue :.:.:ear..ie�ri�rtr';intvo�olttY�!t611►7•:Y'�ill�7)1D[AD!'1CL'11�:�rt1PDL:.'�f�hcw��:�Yt onnt'ir'a'htPl '�'� New Construction 11Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition Accessory I3ldg. 0 Demolition 0 Other ❑ Specify Brief Description of Proposed Work: EXCAVATION FOUNDATION, FLOOR FRAMING SITING OF BARN WITH NECESSARY REPAIR CONSTRUCTION TYPE A Assembly Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ J SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Date USE GROUP , Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-4 ❑ A-2 ❑ A-3 A-5 ❑ ❑ IA 1 B 0 ❑ B Business ❑ 2A 2B 2C 0 0 ❑ C Educational 0 F Factory ❑ F -I ❑ F-2 ❑ H Hi Hazard ❑ 3A 3B 0 0 1Institutional ❑ I -I ❑ I-2 ❑ I-3 ❑ M Mercantile 0 4 ❑ R residential ❑ R-1 ❑ R-2 ❑ R-3 0 5A SB 0 ❑ S Storage ❑ S-1 0 S-2 ❑ U Utility M Mixed Use S Special Use 0 0 ❑ Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ J SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Date r % tTIO" BOARD OF $ BUILDING REGU� CONSTRUCTION SUPE�tVISOR x `ur,on58: ,. Numb4l:Cs 028557 r.. Buda 7!0111952 TT 246 12001 ;i tricted 70: 00 ROBERT P BUT�MANi� Pp 653 Igjstrator NENBURYPORT, MA 0190:;a� W 4y � r a Iy a' t� f �• y: Yrrt: �t a S r % tTIO" BOARD OF $ BUILDING REGU� CONSTRUCTION SUPE�tVISOR x `ur,on58: ,. Numb4l:Cs 028557 r.. Buda 7!0111952 TT 246 12001 ;i tricted 70: 00 ROBERT P BUT�MANi� Pp 653 Igjstrator NENBURYPORT, MA 0190:;a� W FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approvals/permits from Boards and Departments having. jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION"""" APPLICANT Ben Farnum PHONE 979- 82-3817 LOCATION: Assessor's Map Number 107A PARCEL 4 SUBDIVISION LOT (S) STREET Tunpie µ8tret _ - ST. NUMBER�� ******************************** USE ONLY*q OFFiCiAL RECOMMENDATIONS OF TOWN AGENTS: i C- CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED_ COMMENT S 'M SSS V !-Q— j w COMMENTS FOOD INSPECTOR -HEALTH COMMENTS R -HEALTH PUBLIC WORKS - & D FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED Revised 9197 jm DATE 4 O c p z W C� y Q ME. CD L C� C O Q V _Q CL C#* 0 2 .0. CO) C Q V O Cl CD O � 3� CD CL 0 Q O Q. 0. cmQ S-0 �cc J .O OO Z CD d CO) C Cs CL 5 u ri V)co V) w w° ii C4 U m c w w a � V) w O w z C4 w d w CO z cn cn y Q ME. CD L C� C O Q V _Q CL C#* 0 2 .0. CO) C Q V O Cl CD O � 3� CD CL 0 Q O Q. 0. cmQ S-0 �cc J .O OO Z CD d CO) C Cs CL 5 c •C o m c .• CD O N ' w C O •a'0 d C CD C� L H a� E •2 oc m S :Q: a� N V m c CD CL � N N O co y=.. N Qf m N C m O . O A R C • CO2 O E0 W :aimoCD _ V =cm = e C* cm dC= m A > Z O (k..* cm oao c •o Q o : i2 m =3: = 40 :ma om N H y0+ N m �. � m COD CO) •E • CL== : C . m N Z O W V m` w�w� w m CIO d = m � 0:5 � o y•� O cNv = - CL m y Q ME. CD L C� C O Q V _Q CL C#* 0 2 .0. CO) C Q V O Cl CD O � 3� CD CL 0 Q O Q. 0. cmQ S-0 �cc J .O OO Z CD d CO) C Cs CL 5 o z� Z o °z ? H1° Wit: o U e� FMt =�w l 5C 0 0 LLice: cr 0.6 a m r o vj 6 O O _N m r: Olum S a *Z a t Y a GO Q- O O C +•Ln O N 0 O O 3 > o ai 7u Ln O O G O - a 4�E� '0 L- = 'fl cc a to �. C1 u c O O d O a: rL C d a H O ; o c E a,j o ~ X C • Eao 0 o o o C U O-yV 0. v E oaO � U a (D N a d O O f0 r SO. o o 0 0 O Za u 1 O " p N ruaj inLn z Date.. -F ..P. `" /-0- ``° '• '"a TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that ...........5AC. d/-(e�...... .. �.... ... . (t` C ............. has permission to perform ,/ " -e�'`J ruvm `M � � �e ........................--................................ .......... wiring in the building of ............z7 n ti .... l...... Y! . ` . ` .................... �r .oD,U........../ / - a �1 at ....... -5 /,Ld.NortivA er, ..a..s..s 00, Fee../'7-....Lic. No,,."/3. ................. ..........� �ICAL INSPEC. Check # * � 3- EL . .� 45-16 THE COMMONWEALTHOFA ASSACHUSETTS Office Use only / DEP.ARTNIF`W0FPUBL1CS4FEIY Permit No. BOARDOFFMEPRE'VE MONREGULAHONSS27CMRl2: O Occupancy & Fees Checked APPL[CA71ONFORPERMTTOPERFORMELECMCALWOIW ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 i (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 03 Town of North AndoverTo the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) .43 7e) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Purpose of Building Existing ServiceAXQd Amps &0 / 1.0rVolts New Service OB Amps/ -Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Yes=] No (Check Appropriate Box) Overhead Undergro&Ld Overhead Underground Authorization No. No. of Meters No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA round and No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices LocalMunicipal Other No. of Dryers Heating Devices KW F1 Connections a>. No. of Wate�Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER hmrra =Com-aW- Ptxsuarlttothereg»rarlerl��Gale�alLaws IhawaamatLmWgi ==PohymdxbgComplt--Coweailsst leW� YES NO IbaNesubrr>exdvandproof tbthe011;iM YES Fl ' � ffyouhawedrdkp-dYFS,pkei &aP-thetrOfCOWrd eby INSURANCE BOND OWER = (PleaseSpecify) Wolkto-%V h>Sp lDWt Retested Signed tmdatTiePtriesofpajtay. �/� 1 C /�%/c FIRMNAME a (� Lialsee.���, �� b� Sigllatttte , O'"E SINSURANCEWAIVER,IamawamdiattheLmwdoesnc)thai and that my signah ne on thispemritapplic abon waives this tegttitanalt (Please check one) Owner M Agent F lgna ure ot Uwner or Agent v E0rla6adValueofflectricalWodc $ Rough Final n n n _ Ak.TeiNo. wooed by Massadkmtls Galeal Laws Telephone No. PERMIT FEE Name Name: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Location: City Phone # 1 am a homeowner performing all work myself. lam 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. Phone # Insurance. Co. Policy # Company name: Address City Phone #. Failure to secure coverage as rouired. under Section 25A or MGL 152 can lead to the imposition cf criminal penaWles and/or one years' imprisonnun t.�� vaALas_c hd,penakiesin�imn-fa-STs?P VYDW-0RDER.and_afine d 111t) DD _aa fine a is $1, —;0 understand that a copy of this statement may be forwarded to the Office of Ions of the DIA for coverage verification. ��� I / do hereby cerW unabr the pains and penalties of perjury that the informabon provided above is true aW correct. Signature Date Print name Pbone.# Official use only do not write in this area to be completed by city or town officiar City or Town Permitfi icensincr El Building Dept ElCheck yimmediate response is required Licensing Board p Selectman's Office Contact person: phone #: Health Department Ej Other Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 0 WILLIAM J. SCOTT Director (978) 688-9531 Mr. Ben Famum 1370 Turnpike Street North Andover MA 01845 27 Charles Street North Andover, Massachusetts 01845 April 28, 2000 Fax(978)688-9542 Re: Farnum Barn Move Dear Mr. Farnum: Mr. Thomas Neve of Thomas E. Neve Associates, Inc. was in my office at 3:30 PM on the 27h of April to obtain a moving permit for the barn located on Johnson Street to the parking area of the Museum of Printing. The moving permit could not be granted as it was missing the following documents: 1. The moving permit application was missing signatures, the construction Supervisor's License O number and not completely filled out. 2. The Town sign off sheet indicating that taxes were paid on the structure, the electric power cut off by a licensed electrician, the Fire and Police Department was not signed. 3. Affidavits from the Police, Fire, Mass Electric, Telephone, Cable, the D..P.W. and arborsist were not included. The affidavit from the Historical Society giving permission to place the structure on the Printing Museum was missing. 4. The insurance certificate from the mover naming the Town Co. Insured was also missing. Finally, no permit was obtained from the Building Department to raise the structure off the foundation. Enclosed is a copy of facsimile from Thomas Neve to the Building Commissioner, which is self- explanatory. Presently, the only correspondence I have received is from the Historical Society. The paper work to receive a moving permit has not been submitted. As such, for public safety, I must recommend to the Selectmen that permission to move the structure be denied. If you have any questions please call me at 978-688-9545. Very truly yours, D. Robert Nicetta, Building Commissioner Cc: Board of Selectmen Terri Ackerman, Interim Town Manager 0 William J. Scott, Director Thomas Neve BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 ',nuuoi t kouu) i oueua iwrm r+nuover oullaing irrfocn. i nomas C. i leve I-y/0-OW-04CU 4/,IOJUU 11:1;J:5ti Page 1 of 1 IU: 445 FACSIMILE COVER PAGE O Date: 4/28/00 Time: 11:13:50 Page: 1 To: Robert (Bob) Nicetta Company: North Andover Building Inspector Fax #: 6889542 From: Thomas E. Neve Title: President, CEO Company: Thomas E. Neve Associates, Inc. Address: 447 Boston Street Topsfield, MA 01983 USA Fax #: 1-978-887-3480 Voice #: 1-978-887-8586 Message: Re: Farnum Barn Move I continueto be greatful for your help in this matter. Sometimes I feel overwhelmed since this project is so complicated and it has a short time frame, but we trudge on. It has been difficult gathering the information needed but I continue to do my best under difficult circumstances. ............................. I met with Mark Rae and he has signed the disposal permit form. I attached it ti the Building Permit application. I met with Ben Famum and he is going to pull the Building permit. He has all the paperwork that you have requested. If Payne Movers has to pull the permit for some legal reason then he can do it on Tuesday. Payne Mover (Brian) is out of town and can not be reached and is expected back on the job on Tuesday morning. Ben Farnum Jr. is circulating the Form U for signature. The authorization from the Historic Commission by is being delivered by Martha Larson to you personally today. Linda Famum delivered the Insurance Binder listing the Town as an additional insurred. Mark Rea had his electrician scheduled this morning to properly and under your electrical inspector's witness make the disconnect to the barn. Please confirm this with your inspector. I have asked Ben Farnum Jr. to deliver the Permit application and all of the attachments forementioned to your office before noontime. If you need anything for the Mover (unfortunately) it has to wait until, Tuesday AM.You will note, by the movers insurance binder, that he is sufficiently insured including workmanscomp. He will sign the affadivit upon his return. I hope we have enough done so that the Selectmen may vote on Monday night to "conditionally allow the move of the Barn subject to your satisfaction that the paperwork is in order' Sunday, May 7th is a drop dead date forrr this project. thank you..................Tom Neve NEw ENGLAND IENGINE]EM(G SERVICES, INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 Tel: (978) 686-1768 • Fax: (978) 327-6138 March 20, 2006 Town of North Andover Building Inspector 400 Osgood Street North Andover, MA 01845 Re: 1370 Turnpike Street North Andover, MA Revised Site Plan (revised 3/20/06) Dear Sir: The following plans have been revised as per your suggestions. Please note that the above referenced property has been revised on March 20, 2006. Enclosed are three copies of the revised (3/20/06) Proposed Site Plan. If you have any questions, please contact this office at (978) 686-1768. Sincerely, `! v /4(— Thomas Hector RECEIVED Project Engineer MAR 200 2006 BUILDING DEP?.