HomeMy WebLinkAboutMiscellaneous - 14 HIGHLAND TERRACE 4/30/2018 (2) / 14 HIGHLAND TERRACE C
210/024.0-0041-0000.0
ry Exp April
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Date......-2/.. . ........
t AORTH
°ft"`°�•�" TOWN OF NORTH ANDOVER
6- , ' PERMIT FOR WIRING
ss^cHus�
This certifies that ...C. �.�! N t� 1
........................... .... ........... ...:............................
has permission to perform
...............................................................................
wiring in the building of C E'rti-P y
/� ..............................,.............................................
at... .��....���. A....................................'1 ..v2,North Andover,Mass.
3 — C:2 f- 3- . Co A-
4,f= Fee..................... Lic.No.............. ...............................................................
ELECTRICAL INSPECTOR
Check # ) ,
4 '/* 73
Convnonwaa![fc o`�f/a a�LUJaLb
For Office Use I�
NEWtt��jj�� c� (Rev.11/98) �
BOARD OF FIRE PREVENTION EGU
1JaPart nraer#o`.firervicad Occupancy&Fee—,Permit Number: ..-
U'' TIONS
APPLICATION FOR rE TO PERFORM ELECTRICAL WORK
(ALL WORK TO BE PERFORMED'VJIM THE MASSACHUSETTS ELECTRICAL CODE 527 CMR 12:00) iC /
PLEASE PRINT IN IN,1KOR TYPE ALL INFORMATION Date:_ _. / Q 7
City or Town of: i/• ANDOVER
By this application the undersigned glues notice of his or er intention to perform the electrical work descTo the ribed below.spector of Wires:
f /
Location: (Street&Number) .7 Yf q/ki/d 1/I-P iv AIle
/ JL � �
Owner or Tenant: b .` J on V
Owner's Address:
Is this permit in conjunction with a Building Permit? Yes b No ❑ (Check Appropriate Box)
Purpose of Building: Utility Authorization#:'
Existing Service: 30 0A PS Q0 /2 yd Volts Overhead Underground.❑ #of Meters
New Servicer Amps / Volts Overhead ❑ Under round.❑
9 #of Meters:
Number of Feeders and Ampacity:
Location and Nature of Proposed Electrical Work: R01716A
No.of Recessed Fixtures No.of Ceil:5usp,(Paddle)Fens
No. of Transformers Total KVA
No.Of Lighting Outlets No, of Hot Tubs
Generators KVA
No. of Lighting Fixtures Swimming Pool: Above ground ❑ In Ground ❑ #of Emergency Lighting Battery Units
No.of Receptacle Outlets No, of Oil Burners
Fire Alarms #of Zones
#of Detection&Initiating Devices
No.of Switches No.of Gas Burners #of Sounding Devices:
#of Self Contained
No.of Ranges No. of Air Conditioners TOTAL TONS: Detection/Sounding Devices
Local❑ Munici al connection o Other C)r No. of Waste Disposals Heat Pump Totals:
Number: TONS: ; Security Systems:
No.of Devices or Equivalent
Y
' No.of Dishwashers Space/Area Heating: Kyy
Data Wiring,No,of Devices or Equivalent:
No.of Dryers Heating Appliances
KW Telecommunications Wiring:No of Devices or
Equivalent:
No. of Water Heaters KW No. of Signs: #of Ballasts:
OTHER;
#of Hydro Massage Tubs No. of Motors Total HP
INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may Issue unless the licensee provides proof of liability insurance
including"completed operation"coverage or Its substantial equivalent. The undersigned certifies that such coverage is in force,and s exhibited of of same to the permit
issuing office. CHECK ONE: INSURANCE V' BOND D OTHER ❑ Please specify: G �t/d�j //�fl�
Estimated Value of Electrical Work$ (When required by municipal policy)
Work to Start: qcer1r1fl
Q - Inspections to be requested in accordance with MEC Rule 10,and upon completion.
under the pains and penalties of perJury,that the information on this application is true and complete.Firm Name: � � LIC.# /
Licensee: �® Signature: p�1
�^-�
(if applicable,enter"exempt"in the license number line) LIC# f.
( Address: ''_ D, "Y 7o�, Bus.Tel.# 7g 7� X11
/ Q �D•�� Aft.Tel.#
OWNERS INSURANCE WAIVER I am aware that the Licensee does not have the Ilabiilty insurance coverage nom ly required by law. By my signature below,I hereby
waive this requirement, I am the(check one) Owner❑ OR Agent❑
Signature of Owner/Agent: Telephone#
PERNIIT FEE:S
Date. .1- 1111�. . . .. . .. .
f N°DTM 1
TOWN OF NORTH ANDOVER
° F
` PERMIT FOR GAS INSTALLATION
L �9SSACHUSEt
This certifies that . . . . . . . . . . . . . . . . . . . . . . .
has permission for gas installation . . . . 17. . . . . . ...'. . . . . . . . . . .
in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
at . .,�.�:/. . .P.1. �. �.� <<. . .� �^. , North Andover, Mass.
Fee. Lic. No.Ile 1.1. . . . . .
GAS INSPECTOR^
Check# j T
7094
i
MASSACHUSETTS UNIFORM APPLICATION FO ERMIT TO DO GASFITTING
Mass. Date / 20_ Permit# t `1
Building Location �-G L/hw) 7122 Owner's Name _
Type of Occupancy
New ❑ Renovation ❑ Rc Oacemem b Plans Submitted: Yes❑ No❑
Cn U
C� u"
W O� W OU � Hx � x
°aa04 W
� W � 008
G � W � w � ¢ � Wrx � W HQx
SUB-BASEMENT
BASEMENT
FIRST(1 ST)FLOOR
SECOND(2ND)FLOOR
THIRF)ORD)FL<:)t:)R
FOURTH(4TH)FLOOR
FIFTH(5TH)FLOOR
SIXTH(6TH)FLOOR
SEVENTH(7TH)FLOOR
EIGHTH(STH)FLOOR
histalling Com.any Name
Address { A E -170PT I .� Check one: Certificate
lA 6rporation
Business Telephone ❑ Partnership
Name of Licensed Plumber or Gasfitter "' I — ❑ Fimn/CO.
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL
Ch. 142 Yes !r- No❑
If you have checked yes,please indica a the type of coverage by checking the appropriate box.
A liability insurance policy Other type of indennnih ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required
by Chapter 142 of the MGL,and that my signature on this permit application waives this requirement.
Siunahu-e of Chvner or O\vner's Agent Owner ❑ A ent ❑
I hereby certify that all of the details and information I have submitted(or entered)in above application are true
and accurate to the best of my knowledge and that all plumbing work and installations performed under the
permit issued for this application will be in compliance with all pertinent provisions 0711chu tis State
Gas Code and Chapter 142 of the General Laws.
By Type of License:
Title rf Plumber p Master Sign• r icensed Plumber/Gasfittcr
City/Town ❑ GasFitter ❑ Journeyman Lic ns umber
APPROVED OFFICE USE ONLY)
Location Ar-J �—
�
a �No. 8 Date
NOeTN TOWN OF NORTH ANDOVER
O
F w
�a Certificate of Occupancy $
CM Building/Frame Permit Fee $ a34`
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ D
Check # 7
17020 XAR
Building Inspector
e �
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER. 7 DATE ISSUED. a O d 9/-
7 � �
SIGNATURE:
Building Commissioner/Inspector of Buildings Date z
SECTION I-SITE INFORMATION I
0 1.1 Property Address: 1.2 Assessors Map and Parcel Number:
AV
to /n C2
Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions: �a
Zoning Diaiic—t Proposed Use Lot Area Frontage fl
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide Required Provided R red Provided
1.7 Water Supply M.G.L.C.40.1 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn
2.1 Owner of Record
11ame(Print) Address for Servi . V
d
Signature Telephone
2.2 Owner of Record:
t
Name Print Address for Service:
� rn
Signature Telephone go
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed
aConstruction Supervisor: Not Applicable ❑
EF-C) V
Licensed Construction Supervisor:
License Number
Address n n _
����'`��Q� Expiration Date ic�
Sig.vature � Telephone
3.2�Registered Home Improvement Contractor Not Applicable ❑
Company Name rn
Registration Number r
Address
Expiration Date z^
Signature Telephone V/
T s
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.......0 No.......❑
SECTION 5 Desch tion of Proposed Work check all applicable)
New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be OFFCIAI,USE QNLY
Completed by permit applicant
1. Building G// (a) Building Permit Fee
Multiplier
2 Electrical (b) Estimated Total Cost of
Construction
3 Plumbing Building Permit fee(a)X (b)
4 Mechanical HVAC a
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
1, as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf,in all matters relative to work authorized by this building permit application.
-Signature of Owner Date
SECTION 7b iOWNNER/ ORIZED AGENT DECLARATION y
V
,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
SiNature of Owner/Agent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIIvMERS OT 2ND 3RD
y
SPAN
1
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS f
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
I
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
I
r
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
c11, S150A.
The debris will be disposed of in:
(I.(I. ocatiorfof Facility)
Signature of Permit Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
GENERAL CONTRACTING SERVICES
VILLAGE KITCHEN & BATH
56 Main Street
North Andover, MA 01845 2 0
1-978-423-7105 7 y
CONTRACT
This Agreement is made between Robert & Chris McElluney , hereinafter called Customer of
14 Highland View Avenue in the town of North Andover, in the state of Mass. and General
Contracting Services this 1 st day of December, in the year 2003.
Description: See Estimate as attached document
Job Total: $ 23,175.04 f
Deposit: $ 8,615,04 �;%Z �— �i f/027
Payment: As needed
Balance Based on allowances
I. It is understood by the Customer and by General Contracting Services, that the above
Job Total includes material and labor as per attached proposal only. Any additional, costs to the
above Job Total, whether by necessity or by the request of Customer will be considered an extra
charge and therefore governed by paragraph(VI). It is also understood by Customer and by
General Contracting Services that the management and general contracting fee included in this
contract is subject to change in accordance to extra time and management involved in extra work
carried out by necessity or by the request of the Customer.
II. All jobs accepted by General Contracting Services are subject, however, to strikes,
accidents, or details occasioned beyond the control of General Contracting Services.
III. All sketches furnished by General Contracting Services shall remain the property of
General Contracting Services and no use of same shall be made, nor any idea obtained
therefrom be used, except upon compensation to be determined by General Contracting Services.
IV. By signing the acceptance, the customer(or his/her representative) agrees to all terms and
conditions as outlined, and binds him/herself to accept the contract in its entirety.
V. The customer also promises to pay any and all attorneys fees and/or cost(s) associated
with the collection of the amount stated herein this contract.
VI. All materials are guaranteed to be as specified. All work to be completed in a workman
like manner according to standard practices. Any alteration or deviation from specifications
involving extra cost will be executed only upon written orders signed by the Customer known as
a Change Order and will become an extra charge over and above the original contract price.
VII. General Contracting Services works from a positive cash flow wherein work will not
be carried out and materials will not be furnished if it would cause the Customer balance to
1
become negative. If any amount of money is withheld by the Customer that exceeds the balance
of work or material to be furnished to the job, the highest amount of interest allowed by the state
of Massachusetts will be charged.
VIII. All fixtures and hardware, excluding cabinet order, purchased for this job must be paid
for by the Customer, in full when picked up/delivered.
IX. The terms of the contract are not to be varied, except in writing, signed'by a duly
authorized officer or agent of General Contracting Services.
X. This contract covers all of the agreements between the two parties hereto, and is
governed by the uniform Commercial Code and other applicable state laws.
XI. Any request for a delay of said delivery of goods, merchandise, and site labor by the
customer which exceeds a ten(10) day period shall cause customer to be liable to General
Contracting Services for any damages caused by such delay, including but not limited to,
storage charges on goods or merchandise, and General Contracting Services shall have the
option to invoice customer and receive payment within ten(10) days.
XII. General Contracting Services guarantees its products for a period of one (1) year from
the date of delivery against defects in workmanship or materials.
XIII. General Contracting Services cannot be held responsible for damage to work after
delivery to the delivery site.
XIV. In any event, General Contracting Services' liability is limited to the repair or
replacement at the option of General Contracting Services of such work that is defective in
either workmanship or material.
General Contracting Services
--7By: Date: C7
Edward E. Viel, Jr.
Customer
By: ��C' �1`'�( ( ` 9 Date: C�
Robert McElhiney
2
7
Robert McElhiney
14 Highland View Ave
N.Andover MA
978-687-3866
Ilp Ill 111111 11
Description Totals Details Allowances
TEAR OUT
DUMPSTER FEES
PLUMBERS LABOR x
NEW CABINETS $ 8,615.04
CABINET INSTALL PROMO ENDS 12/31/03 FREE
COUNTERTOPS $ 4,375.00 SOLID SURFACE X
BUILDING MATERIALS $ 1,600.00 x
CARPENTRY LABOR $ 2,500.00 x
PLUMBING FIXTURES BY OWNER
ELECTRICAL FIXTURES BY OWNER
ELECTRICAL LABOR BY OWNER
Total $ 7f7,090.04
G.C. Fees $ 3,975.00
Management Fees $ 1,825.00
Permit Fees $ 285.00
Grand Total $ 23,175.04
Payment received
Balance
NATIONAL GRANGE MUTUAL INSURED
INSURANCE COMPANY
55 west Street, Keene, NH 03431
Telephone: 1-888-646-7736
.CONTRACTORS POLICY DECLARATION
Named Insured and Mailing Address
EDWARD E VIEL DBA Policy Number: MPI66885
GENERAL CONTRACTING SERVICES Account Number: CAC I66885
55 A PORTLAND ST
LAWRENCE, MA 01843
Agent: CHAS F HARTSHORNE & SON INC Producer Code: 200167
AGENT PHONE : 781 245 4300
POLICYHOLDER INFORMATION
Named Insureds Business: CARPENTRY INTERIOR
Entity: INDIVIDUAL
Policy Term: 12
Effective: 09/20/03 (12:01 A.M. Standard Time at the address
Expiration: 09/20/04 of the Named Insured stated above)
In return for the payment of the premium and subject to all the terms of this policy, we agree with you to provide
the insurance as stated in this policy. See the attached schedules for Description of Premises, Property Coverage,
Optional Coverages, Forms and Endorsements applying to this policy and Mortgagee Schedule if applicable.
BUSINESSOWNERS LIABILITY COVERAGE LIMITS OF INSURANCE
Liability & Medical Expenses - each occurrence S 300 , 000
Personal and Advertising Injury Limit S 300 , 000
Products-Completed Operations Aggregate Limit S 600 , 000
General Aggregate Limit S 600 , 000
Fire Legal Liability - any one fire or explosion $ 500 , 000
Medical Expense Limit - per person $ 10 , 000
Business Liability and Medical Expense: Except for Fire Legal Liability, each paid claim for the above cover-
ages reduces the amount of insurance we provide during the applicable annual period. Please refer to
section DA. of the Businessowners Liability Coverage Form.
For policies subject to premium audit: Annual Audit Applies.
Estimated Annual Premium: S 592
TOTAL PREMIUM AND CHARGES $ 592
Countersigned: By:
64-5470(9/00) 07/30/03 RENEWAL KB
NORTH
TOMM Of s Andover
0
No. Ll 5
-
�,D AK =o clover, Mass., / "woZ0 • Y
COCHICME-1
ADRATED y,
S BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
�14rR. 4 4 /
B
UILDING INSPECTOR
THIS CERTIFIES THAT............................................ ........ ... ................................... Foundation
has permission to erect.. r .. ... buildings on ...�. ..... �.. .c a..........D.........via.w' * ugh
g
to be occupied as................�' t... .. ................�.�.......�M.S. !� ro C' .................................. Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Insp ction, Alteration and Construction of
Buildings in the Town of North Andover. & *,) A D X30 ON— PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STNS Rough
C
............. 001..... .................................................... Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
+,�\ (.V1Y11YlVLVYYGH,/illZ Vl' �►lts►�►.usa.iiv�a.i a+-r
Z TOWN OF NORTHANDOVER
27 CHARLES ST
APPLICATION- -OR CERTIFICATE OFINSPECTION
�y
I 'rte
Date ( ) Fee Required(Amount) 4107
( ) No Fee Required
Accordance with the provisions of the Massachusetts State Building code, Section 108,15, I hereby apply foi
Certificate of Inszeetion for-lie below-named pr-eWses-located at-the followingaddress:
Street and
Number ILa�C-C-
Name of
i
Premises i' y$_____��P c���L_ relSZ.Yy ��
Purpose for which Premises is 9
Licenses (s) or Permit- s)Required for the Premises by-Other-Governmental Agencies:
License or Permit n A enwit)0c
1 �9 0,.Q -
Certificate to be issued to
Address�y 4 c� c��. cQ �� s'y'a-r e Telephone (,RS -t�_'.t,1/
Owner of Record of Building
Address - �Zfic
Name of Preo der of Cte' <'—
Name of Agency, if any
SIGNATURE OF PERSONS TO WHOM CERTIFICATE TTILE( -�r�� ► 'c'� �'
IS ISSUED OR HIS A-UTHOIRIZED AGENT
DATA �u, y �.o j -
INSTRUCTIONS:
1) Make check payable to• Town of North Andover
2) Return this app ica#ion with your check to: I3uildum Dept.
27 Charles Street,North Andover MA 01845
PLEASE NOTE:
Application form with accompanying FEE must be submitted for each building or structure or part thereof to be cert
3) Application and fee-must-be received-befor-e-the cer-tif4catewW-be4ssued.
4) The building officials shall be notified within ten (10) days of any change in the above information.
CERTIFICATE# EAPIRATIONDATE:
FORMSBCC-3-74 REHSEB2199ymc
TOWN OF NORTH ANDOVER IN PFCTOR'S NAME
OFFICE OF THE INSPECTOR OF BUILDINGS MICHAr' L M�;GUIRE
INSPECTIONREPORT FORM '`Mr
CLASSIFICATION PASSES INSPECTION yes 0 no DATED
OWNER -
BUILDING NAME OFA-NO.
STREET LOCATION
TYPE OF OCCUPANCY -Day -Care-Center B -Aad.0 -Ca* f Gym -0 -Apt. 0
School 0 Common Victualer's 0 Liquor 0 Place of Assembly 0
Other
OCCUPANCY NUMBER -fincle stories # ad-0ccttpa" -aer-Aoor- ase;tiverse side
EXISTINGS
EXIST SIGN n nn n
LIGHTED EXIT SIGNS -operable -0 yes -0 -no -0
EMERGENCY LIGHTING SYSTE M operable 0 dry cell 0 wet cell 0
SPRINKLER SYSTEM operable 0 gage pressure yes 0 no 0
SMOKE DETECTOR operable 0 yes 0 no
FIRE ALARM SYSTEM expiration-date -yes -0 -no D
ANSUL SYSTEM yes 0 no 0
FIRE ALARM SYSTEM operable 0 municipal 0 yes 0 no 0
ELECTRIC EQUIPMENT PROPERLY PROTECTED yes 0 no 0
EGRESSES LAWFULLY-DESIGNATE unobstructed 0 fires -fl -no 0
STAIRS PROPERLY RAILED yes 0 no 0
HALLS AND STAIRWAYS LIGHTED yes 0 no 0
RADIATOR GUARDS yes 0 no 0
COMPLIES HANDICAPPED PERSONS LAWS -yes --no -0
FIRE RES!STANT CURTAINS()R n_PAPFRIFS
HOW HEATED NO. FIREPLACES yes 0 no
BOILER ROOM CONDITION
VENTILATION
UTILITY ROOM - CLOSETS
NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS
NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY
SHOPS
FOR INSPECTOR USE ONLY Revised 2199 JMC
Locatio/
No. Date Y-1111-00
„pRTly TOWN OF NORTH ANDOVER
O:O•,,`•D ,•,MO R
F ; p
` Certificate of Occupancy $
♦ i �
Building/Frame Permit Fee $
3 CHUS
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
14105 AA
Ins for
Tolit lltintIttraltiof maaoarlltorf#a
/TOWN OF _ 11111111 AWKIVER
� , d
j In accordance with the 111assachusetts State Building Code, Section 108.15, this
I
�n V•y`�
M CERTIFICATE Or INSPECTION
is issued triMrsLewis Nursery School
, , , , . .
iTertifthat I hate inspected the , , , , , • PRLMISL•S. . . • . . . . . . . . . . . . . . knotvn as • , , , , Mrs Lewis
located at . . .14 Hi. ghland Terrace in the• „toun�. • • • • • of ; , No.r.th .QndA.v.et; , , , , , , , , ,
.
County of , , , , , , ESSEX. . . . . . . . . . . . . . . . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons.
BY STORY
Story Capacity Story : Capacity • • Story y Capacity ; : Story Capacity
First 24
BY PLACE Or ASSEMBLY OR STRUCTURE
i
Place of AssemblyCapacity a pacity Location Place of Assembly Capacity Location
or Structure or Structure ;
14 4/27/98 4/99
Certificate Number Date Certificate Issued Date Certificate Expires Building Official
The building official shall be notified tvithin (10) days of any changes in the aboty information.
I
110889 i WARREN, INC. FORM 1oso
>t
�Y TOWN OF NORTH ANDOVER
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES
30 SCHOOL STREET
NORTH ANDOVER, MASSACHUSETTS 01845
William J. Scott
F? f , ,•,• op Telephone(978)688-9531
Direclor FAX(978)688-9542
I �1ss'�C►Wg t�
February 1-6, 1998
To Whom It May Concern:
i In order to keep your Certification valid, please complete the enclosed Application for Certificate
of Inspection and return immediately with the required fee to this office, You may be in jeopardy
of losing you Certification if we do not receive fee within 10 days.
i
Thanking you in advance for your cooperation in this matter; we remain
Very truly yours,
North Andover Building Department
obert 1c ta,
Building Commissioner
/jm
Enclosure
BOARD OF APPEALS 688-9541 BUIL IAWS 688-9545 CONSERVATION 68&0530 HEALT11688-9540 PLANNING 688-9535
120 MAIN ST. 120 MAIN ST. 30 SCHOOL ST. 30 SCHOOL ST. 30 SCHOOL ST.
' COMMONWEAL 111 OF MASSA01USt 1 1 S '�/3la/,
TOWN OF NORTH ANDOVER ,
71 .
' APPLICATION FOR CERTIFICATE OF INSPECTION
Date /( -- (X J Fee Requiud (Amount) D-
( ) No Fee RequiAed
,In aeeoAdanee with .the pnovis iom o6 the Massaehuzetts State Buitding Code, Section
108, 15, I hereby app.!'y 6oA a Cehti.6.ieate o6 1►opecti..on 601L the betotu-named pAemtJses f-oeated
at .the bot towing addnea.a:
StAeet and Number /`f / 4/e�����
Name o6 PAemus ens
Punpo s a bon Wh.ieei tu—ea .c a U.6 e
License(s) o t PeAm-i t(b) Re4u ueed bon e nems a ea teA UoveA)vreYLtaZ Agenceg,
Lidex(� o t 'Peh M[t
i ► C_P_rC C .' I��QJr�`�—CGS-�'� ��l"CIS Qom[ �i�c� ��t_ S�Yy�C��_
CeVXUU6 cate to be Z6.6ued to vti —
Addnesa
OwneA o6 Recon o ng
Addne s,s . CR - I g., -f-
Name
Name o 6 PiLu ent o' eA o eAt.c .ceate
Name o6 .Agent, A[6 any . . . . . . . . . . . .
IS ISSUED OR HIS AUTHORIZED AGENT
DA
INSTRUCTIONS:
l ) Matte check payab.E'e to: '-"Town' of 'North-Andover
2.) Return thin appt i..eati.on with your check to: Building Dep't'. , Town Of f ice Buildi.t�}—.
120 Main Street , North Andover , MA 01845
PLEASE NOTE:
1) AppZi.eation 6onm with accompanying bee mu,6t be aubmit ted 6oA each buRd.ing oA ztAuc tune
oA palm th.eAeo 6 to be eeAt.i6.ied.
2) Appticati:on and bee muht be kecei.ved be6ote .the c ti.61cate wilt be .i3.3ued.
3) The buieding o66.ieiat ahaU be noti6.ied teLthi.n ten ( 10) day.a o6 any change in .the above
.in6oAmat.ion.
CERTIFICATE # " ' EXPIRATION DATE: '
FORM SBCC-3-74
1
TOWN OF NUIt'fll AIJ)OVER INSPECTORS NAME
OFFICE OF THE INSPECTOR OF BUILDINGS
INSPECTION REPORT FORM
CLASSIFICATIONSES INSPECTION yes no Q DATED
OWNER
BUILDING NAME OR NO.
STREET LOCATION
TYPE OF OCCUPANCY - Day Care Center Aud . Q Cafe L_7 Gyrn 4: 7 Apt . Q
School Q Common Victualer' s ,q Liquor Q Place of Assembly Q
other
OCCUPANCY NUMBER {j.��,.l �tde stories T and o u Znc y oPr floor Usp rpveme_lsidP
E X I S T I N G
EXIT SIGN yes no Q'
LIGHTED EXIT SIGNS operable D yes !�_�no =
EMERGENCY LIGHTING SYSTEM operable dry cell Q wet cell 4-:7
SPRINKLER SYSTEM operable /Q gage pressure — yes C7 no Z=Q
SMOKE DETECTORS operable L Q y e S J.-UO -;
FIRE EXTINGUISHERS expiraticti date yes no Q
ANSUL SYSTEM yes /Q no
FIRE ALARM SYSTEM operable z= municipal Q yes /. 7 no
ELECTRIC EQUIPMENT PROPERLY PROTECTLD yes LQ no
EGRESSES LAWFULLY DESIGNATED unobstructed yes C/ no /_=7
STAIRS PROPERLY RAILED yes no
HALLS AND STAIRWAYS LIGHTED r
yes no
RADIATOR GUARDS yes /.Q no
COMPLIES HANDICAPPED PERSONS LAWS yes L-7 no L_7
FIRE RESISTANT CURTAINS OR DRAPERIES yes 1:7 no QI
HOW HEATED N0. FIREPLACES yes lQ no L�7
BOILER ROOM CONDITICN
VENTILATION
UTILITY ROOM - CLOSETS
NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS
NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY
SHOPS
use reverse for continents
Location
No. ��. Date
NORT1y TOWN OF NORTH ANDOVER
�T?O� ?`•o ,•,BOOL
p Certificate of Occupancy $
Building/Frame Permit Fee
$
,SSACHU Fo ndation �rml Fee $
(u y `�� �v
C � er,,it �ee ' $ --�=
Sewer Connection Fee $ _
Water Connection Fee $
TOTAL $ Yo
Building Lnspector ti
i
� T, H 5` 1
Div. Public Works
LTommount alto of Massa r1 usrtts
F /TO WIN OF NCZ47V A4)�i��-!�
W _
In accordance with the Massachusetts State Building Code, Section 108.5.1, this
CERTIFICATE 'OF INSPECTION
is issued to . . . . . . . . . . ! `1�� �. Z . . !Y.�12 S �C � . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ITPruf that I have inspected the . . . !.�?�},� . , , !?-�. Fiq�—j (TV. . , . . . known as . . '�(,Z S • .�1; ���. . . . . . . . . . . . .
located at . :i.�{. . . t1l1GN.t*cv�J 4 . . . in the. . . 'G-,.LI n . . of . . IV,04111 ./-qt':,>fl0.0�az . . . . . . . . . . . . .
County of . , , , , , . , , , , _ . . _ . . ,`„ _ . .'Commonwealth of Massachusetts. The means of egress are sufficient for the following
numher of persons:
BY STORY
Story Capacity : : Story Capacity ; ; Story Capacity Story Capacity.
F r�sr
24 : • : =
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Capacity : Location ; ; Place of Assembly Capacity Location
or Structure or Structure
Certificate Number Date Certificate Issued Date Certificate Expires &ig�iONiMal
The building official shall be notified within (10) days of any changes in the above information.
•HSS a WARREN, INC. FORM 1050
j TOWN OF NURT11 At4DOVER INSPECTORS NAME
OFFICE OF THE INSPECTOR OF BUILDINGS
INSPECTION REPORT FORM
CLASS IFICATION PASSES INSPECTIONes no Q DATED
Y
OWNER -b6 2 mI L:w 1S
BUILDING NAIVE OR N0. OW I �c
STREET LOCATION 1 „ `� � ���► �____
TYPE OF OCCUPANCY - Day Care Center ZEK'-Aud . Q Cafe C7 Gym )L7 Apt .
School Q Common Victualer's ,C7 Liquor Place of Assembly Q
other
OCCUPANCY NUMBER (include ;torip,; # and occup-anry Rem floor - use reverse Sid
E X I SS TI N G
EXIT SIGN es Z—e�? +no C'
LIGHTED EXIT SIGNS operable Q yes Q/' no
EMER CY LIGHTING SYSTEM opwet cell Q
SPR EM rable Q gage p ssure s no
SMOKE DETECTORS operable yes o /—
FIRE EXTINGUISHERS espiraticn date yes ZZ7-,no
ANSUL SYSTEM yes v no l_
FIRE ALARM SYSTEM operable QI municipal Q yes L�7 no C —
ELECTRIC EQUIPMENT PROPERLY PROTECTED yes LSZ'ho i_
EGRESSES LAWFULLY DESIGNATED unobstructed Q yes no
STAIRS PROPERLY RAILED yes no i
HALLS AND STAIRWAYS LIGHTED yes �' no -�
RADIATOR GUARDS yes 1�- ''` Ito /
COMPLIES HANDICAPPED PERSONS LAWS yes ``� no
FIRE RESISTANT CURTAINS OR DRAPERIES yes L7 no
HOW HEATED / NO. FIREPLACES yes Q no
BOILER ROOM CONDITICN
VENTILATION
UTILITY ROOM - CLOSETS
NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS 2_....
NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY
SHOPS
Use reverse for conunents /
\_ COMMONWEALTH OF MASSACHUSETTS
TOWN OF North Andover
ISI
APPLICATION FOR CERTIFICATE OF INSPECTION
Date /Z-y�--9(, ( X) Fee Requited (Amount) ovi t)
( ) No Fee Requited
In accordance with the pnov.vsiows o{y the Ma/s/5achusett's State Buitding Code, Section
108115, I hereby apply {yon a Ce ti jicate o6 Inspecti.on {yon ,the beeow-named pnemizu .located
at the {yoZZow.i"ng ad&%mz:
StAeet and Number / tcw.,/iwy„}i�
Name o6 P)temi6 ens ly7,fS,_ ' OD
Putc.po-6 e �,opt W hich�erm' e,6 �c�s /s e '�i
L,icen, e(,5) oh Pum"it(,$) Requii ed {yon h-e—t e— s b y uzv�en �a vu cc c Hg�r�u
Licevis e`o t Pe1rmit Agency
Lic&'4'2� o0quAcC` 1�'fYa-?'T Lf��`{l'1,�m 4ri.)t_ Y A V VC
Itij eir."IfIL ,
Cents ica e to bt
Q ,c s/sU.e " to
Addne�s�s l) 1T� r�n� fw.. r� L'.�rf� r P Ilk i rt-
OwneA o6 Recon.d o�y Btu.�dcng
Addttes/s
Name o6 PnLesent HotdeA o6 Cetttc ccate �< � . yyv�„ Ce\rNnf j
Name o{y Agent, i6 any
rtcyfT�T
LL
IS ISSUED OR HIS AUTH RI'ZED AGENT
e- IL
INSTRUCTIONS:
1) Make check payable to: Town of North Andover
2 Rettvn th.cs appPccatcan with youA check. to- Town of North Andover. Building Dept
146 Main Street - Town Hall Annex
North Andover , MA 01845
PLEASE NOTE:
1) Appticati.on 4onm with accompanying 6ee must be submitted {yon each buitding on St uctu/te
on pot theAeo6 to be ceAti6ied.
2) Appticati"on and 6ee must be necei.ved be6one the ceAti6,icate wi'U be .i6Aued.
3) The bu%ed%ng o66ic i.at .shat be noti4ied within ten ( 10) days ojy any change in the above
in6o, mation.
CERTIFICATE #
lZ3 EXPIRATION DATE: 12- - t 8 9 7
FORM SBCC-3-74
1 US'}/
ralt4 of fRassar4t
Y✓l t )1VN OF NORTH ANDOVER _
C"� VlChu.s,,tts State Buildin; Code, Section 108.5.1, this
e
X <_
E OF IN 3
�A4001-
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
n.�_ th known as • •Mrs• Lewis ' Nursery. :hco'_
Zted ({t ii;>t Te c in the • • town of Ngrth• Andover
;unty of r.- e;. , • • , . . _ , , on cvalth of Massachusetts The means of egress are sufficient for the following
n:;m her of P,:;-sons:
BY STORY
Story C.,tr::city Story ,,.:cityy Capacity acit : :p y S tory Capacity
1 S
> P' ASSEMBLY OR STRUCTURE
Plac • ,' Asser: ion Place of Assembly capacity Location
o. in!cture _ or Structure
March 5 19'. December 18 , 1996
Ceftific_:t ruin 'r Da'� . , if ped Date Certificate ExpiresBuil0,19 Official
i building e, , ial shal. •1ithin (10) days of any changes in the ahovv information.
UB. 1 •,,RFeN. iNC.
1 �
1z
XXrYlTOWN OF NORTH ANDOVER
T
> d
In accordance with the Massachusetts State Building Code, Section 108.5.1, this
t
CERTIFICATE OF INSPECTION
is issued to , , , , • MRS. LEWIS' NURSERY SCHOOL
• • • • . • • • • _ • • • • • • • • .
I Trrufuthat Iham inspected the . . .premises • , • • , • , • , • • • „ • , • • . knownas .Mrs; Lewis ' . Nursery. School
. . . . . . . . . . . . . . . . . . . .
located at 14 ,EiiWAtld Terrace • , • „ . . . . . . . . in the• • •town. . . . . of North, Andgver. . . . . . . . . . . . . . . . . . . . . . .
County of , , •Essex, , , , • • . . , • , , , • . • • • • • • . • Commonwealth of Massachusetts The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity Story Capacity ; ; Story Capacity Story ; Capacity
First 20
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Capacity Location ; ; Place of Assembly ; Capacity Location
or Structure ; or Structure
14 - March 5 , 1996 December 18 , 1996
Certificate Number Date Certificate Issued Date Certificate Expires Allkg
i
The building official shall be notified within (10) days of any changes in the above information.
HOBBS d WARREN, INC. FORM 1050
PHONE CALL
v A.M.
FOR' DATE TIME P.M.
v
M oq
OF PHONED
RETURNED
PHONE YOUR CALL
AREA C❑ E NUM ER EX IV ON PLEASE CALL
MESSAGE
WILL CALL
A AIN
• !
WANTS TO
SSE YOU
SIGNED TOPS "" FORM 4003
i
• 1� TOWN__OFNUR Tll �► DOVER INSPECTORS NAME
OFFICE OF =THE-t-INSPECTOR -OF BUILDINGS -:
INSPECTION!2EPORT-'FORMVVY
CLASSIFICATION PASSES INSPECTION yes[ no_Q DATED
OWNER
BUILDING NAME OR N0.
STREET LOCATION
TYPE OF OCCUPANCY - Day Care Center Z37--Aud . Cafe LI Gym )L-7 Apt .
School Q Common Victualer`s ,q Liquor Place of Assembly L7
other
OCCUPANCY NUMBER (i11r11JdP stories r and ory,)P aucy par floor use reverse gid
ge E X I S T I N G
EXIT SIGN yes Z-9-"no G'
LIGHTED EXIT SIGNS operable D yes G' no
EMERGENCY LIGHTING SYSTEM operable dry cell C7 wet cell C�
SPRINKLER SYSTEM operable D gage ,pressure yes C7 no Ls.^
SMOKE DETECTORS operable �'�� yes CSL o �=
FIRE EXTINGUISHERS expiraticn date V G yes Lino
ANSUL SYSTEM yesi J no l,=
FIRE ALARM SYSTEM operable 2!:-/ municipal Imo-'' yes 1� no
ELECTRIC EQUIPMENT PROPERLY PROTECTED yes L� no
EGRESSES LAWFULLY DESIGNATED uciobstructed Z2F-' yes l./ no
STAIRS PROPERLY RAILED yes z�A:-:'v no
HALLS AND STAIRWAYS LIGHTED yes Li_ no `?
RADIATOR GUARDS yes /_ ;� no
COMPLIES HANDICAPPED PERSONS LAWS yes �/� no Z2=
FIRE RESISTANT CURTAINS OR DRAPERIES yes = no
HOW HEATED ��,,L, N . FIREPLACES yes = no L�
BOILER ROOM CONDITICN
VENTILATION
UTILITY ROOM - CLOSETS•
NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS
NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY
SHOPS
use reverse for continents
Location 11-I{
No. ' (-f' yy�ate 12- G _
A
&OR7TOWN OF NORTH ANDOVERq
p Certificate of Occupancy $ S
s� Building/Frame Permit Fee $
Foundation Permit Fee $
s�c►w5
01M Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
CQ
TOTAL $ D �i
AdA
uilding Inspector
-' �` 9 44k 5 5 Div. Public Works
CUAWONWEAL111 OF MASSAWiUSLI-IS
_-j
TOWN
;-T- � - -• - _OF ORTH ANDOVER
«_^ tr+yli3t� *�
lrtr-r+.usi..pzrx ^ex ercai_ G-
I
'►'l'illtt„St- ..M f_r
.,ea h- •A.
.yam Wil_+�3f 1 i -.< .F� aIr}�'N�+J+�(S1
�R- •ry,. 'µ ir+ @-R - 3.� iC.iw f S`n lst:,�' - 'y'�M+: ' .. y �i'W. ,AYY ja 4`�?l� )rii..- .41 '.",
.. g�L + „ yAN �AkP'PLICATION^FCR IfI T� �F,INSP�CTICN. ;,,,,, ,,,,, ,,
"'1`.+r:v�v4,.�a-"
... _ _ - _. - —?... _ .. _,� �La4eM/X+sYdl.LNi.&eY....y....5+�.•ia'^w`.R,.a._e
Vane - .� - <,.s.._. _ (X
Nd Fee Requviced
z .
In accordance with the pnovi-6i.ons o6 the Massacliusetts S-tc_Lte &uUdirig Code, 'Secti.on
108, 15, I hereby apply 6on a CeAti.6.icate o6 Inspection bon .the bet'ow-named pnemiAes"toeaxed
at .the 60.?.l'owing address: _--
S.tAeet and NumbeA A116
Name o6 Pnemvs es S
Purpose bon Wkich-Pnenxz " Wed
Lieens e(s) on PeAm.i t(s) Requ,vAe.d 6orgthe D'i zmi,,6 e,c by 0ielr ove,'c►unen t g enccE3
LideM a on 'Pehm.i t Agency
Ceti tc i ea to to e L6 e .t
Add,te ,s e-4 ,
OwneA o6 Recon o ng
Addnea6 Q
Name o6 Pees ent HotdeA o 3OEE .teat e
Name o6 Agent, 16 any.
STG'NATUR OF S r 1 c JITLV
IS ISSUED OR HIS ALYMORTZED AGENT
qE
INSTRUCTIONS:
1 ) Matte check payab.E'e to: '-Tow'n'n of 'Nortli Andover
2) Ret!.zh.n .this appti,ca,ti.on with youA czAeclt .to: - Building Dept. , Town Office Buildi_u.,,
120 Main Street , North Andover , MA 0184`
PLEASE NOTE:
1 ) Appt i cation 6onm with accompanying bee must be subini.Ued bon eacf bu,i£d.ing on ztlucture
o& part theneo 6 to be' eexa6.ied. .
2) Appti.cati:on and bee mint be nece.ived be6me the eenti6.ica,te w.i.0 be iz6ued.
3) The bmitd.i.ng 066.iei..at ahaU be noti6-ied w.itltiin ten ( 10) days o6 any ctiange in .the above
.i.n6onmati:on.
QL
CERTIFICATEf EXPIRATION DATE: 12 f - flu
Q FORM SBCC-3-74
Location f� A r yz"Yoo /�.3��/�C�
N0 f 4VT6� Date !� yL -gyl
40RTM, TOWN OF NORTH ANDOVER
3?O',t``o I• 'Mo
. Certificate of Occupancy $
f x
` Building/Frame Permit Fee $
JACMUS t� Foun tt''� P it F e $
e nPermit e $ ,
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ d%
0' � Building Inspector
40.00
Div. Public Works
i \ (;UiXdUNWLAL I II Uf h1ASSALPUu)t l IS
1' TOWN OF NORTH ANDOVER
APPLICATION FOR CERTIFICATE OF INSPECTION
Date - t� (X) Fee Requited ted (Amount) (�
( ) No Fee Requited
In accordance with the prcov.us-ionz ob .the Massachusett/s State Building Code, Section
1081 15j, I hereby apply Son a Cent.i6icate 05 Impection bon the beeow-named pnemvsu .bocated
at .the So.P.r?owing addnesz:
Street and Number / 0l7 L A11
Name o6 Pnem.is ens --
Punpo s e Son Which Pumus ess .us U.6ed . . . . .
Licenze(.a) on Pvun t(s) RequiAed Son the Pnem-t—z—s y eTL o-voinmehtat Agene,6:
Licevvs e, on PeAmn t Agency
Centc. .icate to be .usMeto --
Adctta's ,G C V-E.
Owneh o6 RecdAd o ng
Addnez's
Name 06 Pne,s en t en o6 CeAti6icate
Name o6 Agent, 16 ny
Sl�;NATURE OF �ERSV TV WHOM CERTIFICATE TITLL
IS ISSUED OR IS AUTHORIZED AGENT
t 'A «9-Y
VATL
INSTRUCTIONS:
1 ) Maize check paya .fie to: TOWN OF NORTH ANDOVER
) R �u thiz app can+i on wZth y ng Dent . , Town Bldg
�ne�.w'LYr .Li. ccvc check to: Building
120 Main St . , North Andover, MA 01845
PLEASE NOTE:
1 ) Appti.cation Sawn with accompanying bee mu.5t be zubm.ctted bon each building an stnuctuAe
on pant theneo 6 to be cmt16 ied.
2) Appti.cati-:on and See mutt be received bebone .the cent16icate wilt be is6ue.d.
3) The buitdi.ng abS.ici.at .6hatt be not.ib,ied within ten (10) days ob any change .in the above
.in b onmation.
CERTIFICATE # /V EXPIRATION DATE: A / g
7 FORM SBCC-3-74
Tommunwralt4 of Aassar4usrtts
OtM/TOWIN OF Nngnj ANnnvFR
d
In accordance with the Massachusetts State Building Code, Sectio: 108.15, this
Vt
y
CERTIFICATE OF INSPECTION
is issued to . . . . . . . . . . . . .MRS I . LEWIS: .NURSARY.SGHQO.I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
!fi that I have inspected the , • , , ,Day Care Center Mrs . Lewis ' Nursery. School
sp . . . . . . . . . . . . . . . . . . . . . . . . . . known as . . . . . . . . . . . . . . . . . . . . . . . . . . . .
located at Hi&hland. Terrace_ . • . . • . . • • . • , in the.. town • , • „ of . . North ,Andover , , , • • • .
County of . . . . . . . •Essex, , , , • • , , • , , , , . , . , • Commonwealth of Massachusetts The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity Story Capacity : • Story : Capacity : : Story Capacity
First 20
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Capacity Location • • Place of Assembly Capacity Location
or Structure or Structure
- 14 - December 16 , 1993 December 18 , 1994
Certificate Number Date Certificate Issued Date Certificate Expires Building Official
The building official shall be notified within (10) days of any changes in the above information.
FORM SBCC•3.71
Toututonturalo of ttoour tx �rto
MITOWN OF NORTH ANDOVER
In accordance with the Massachusetts State Building Code, Section Z08. 15, this
N v .
CERTIFICATE OF INSPECTION
isissued t� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
• I GertifU that I have inspected the. Day .Care.Center. . . . . . . . . . . • . . . .known as. -Mrs.•Lew-Is". •Nursery•School
} ��Zocated at. . • , ,14,Highland Terrace, • , • • , , , , , , , . . .in the. . . town • , , , ,of, , , PArrt} bidgyvr. . . . . . . . . . . . . . . . . . . . .
County of.... . .Essex. . . . . . . . . . . .Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of;persons: a,
BY STORY
Story � y 'Capacity . • Story Capacity • • Story Capacity Story Capacity.
First .l' +: . 20 ; • • .
t
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure Capacity Location • � or Structure Capacity. Location
3
-14- March 1, 1995 December 19, 1995
Certificate Number Date Certificate Issued Atte Certificate Expires aBui 4Zd1,n_
- The building official shall be notified within (10) days of any changes in the above information.
)1� TOWN OF NUJ`rll ANDOVER INSPECTORS NAME
OFFICE OF THE INSPECTOR OF BUILDINGS
o INSPECTION REPORT FORM
CLASSIFICATION PASSES INSPECTION yesZ27 no Q DATED t
OWNER
BUILDING NAME OR N0. /afZ9 k2Z V &8=1
STREET LOCATION 14 ^
TYPE OF OCCUPANCY - Day Care Center AL- Aud . Q Cafe L7 Gym ,Q Apt . Q
School Q Common Victualer ' s ,C7 Liquor Q Place of Assembly [Q
other
OCCUPANCY NUMBER _ G G .
E X I S T I N G
EXIT SIGN yes Z--/ 11 o Z=
LIGHTED EXIT SIGNS operable Q yes Q% no
EMERGENCY LIGHTING SYSTEM operable Z� dry cell Q wet cell Q
SPRINKLER SYSTEM operable Q gage pressure yes Q no
SMOKE DETECTORS operable C7 yes Z7 no
FIRE EXTINGUISHERS expiraticn date (►� � yes C no
ANSUL SYSTEM5 es /_-.1 uo
FIRE ALARM SYSTEM operable � municipal Q yes 1 ' no
ELECTRIC EQUIPMENT PROPERLY PROTECTZD
EGRESSES LAWFULLY DESIGNATED ` / yes no
• unobstructed � yes �� no
STAIRS PROPERLY RAILED - yes uo ice'
HALLS AND STAIRWAYS LIGHTED t�'- yes uo `?
RADIATOR GUARDS yes no
COMPLIES HANDICAPPED PERSONS LAWS yes no
FIRE RESISTANT CURTAINS OR DRAPERIES yes no L
HOW HEATED C NO. FIREPLACES yes Q no
BOILER ROOM CONDITICN
VENTILATION
UTILITY ROOM - CLOSETS C)lC-
NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS
NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY
SHOPS
use reverse for c:onunen is
PHONE CALL)
A.M.
FCR_ --_ - DATE �y TIME P.M.
M
• � NF
OF rl
R URNEO
PHONE YOUR CALL
AREA CODE f BER EXTE N
L E CALL
MESSAGE
WILL CALL
AGAIN
CANE TO
SEE YOU
WANTS TO
I . SEE YOU
SIGNED TOPS FORM 4003
TOWN OF NOItul. ANDOVER INSPECTORS t1AME
OFFICE OF .THE INSPECTOR OF BUILDINGS
INSPECTION REPORT FORM
CLASSIFICATION PASSES INSPECTION yes0 no Q DATED r 3
OWNER / / �.S'• �Gf%1�S 1 2�- ScN00L
BUILDING NAME OR NO..1
STREET LOCATION
TYPE OF OCCUPANCY - Day Care Center Q7 Aud . Q Cafe ,CI Gym Apt . ,C
School Q Common Victualer' s 4-:7 Liquor Place of Assembly Q
other '/� 's
OCCUPANCY NUMBER (inc,
,judpG or; s = and occupancy per floor uc:P r v rse sif
r2 0 E X I S T I N G
EXIT SIGN yes no Q
LIGHTED EXIT SIGNS operable Q yes Q% no Z�
EMERGENCY LIGHTING SYSTEDI/4/1,:r,e-perable =7 dry cell Q wet cell L
SPRINKLER SYSTEM operable Q gage pressure yes L7 no
SMOKE DETECTORS operable Q7 yes no /-,%
FIRE EXTINGUISHERS expiraticti date yes no
ANSUL SYSTEM 3 es L7 no
FIRE ALARM SYSTEM
operable ZV municipal Q yes no
ELECTRIC EQUIPMENT PROPERLY PRO TECTZD yes no C'
EGRESSES LAWFULLY DESIGNATED unobstructed yes � no
STAIRS PROPERLY RAILED yes no
L /�i-7'
HA LS AND STAIRWAYS LIGHTED } es no
RADIATOR GUARDS yes /1/, no
COMPLIES HANDICAPPED PERSONS LAWS yes -::7 no
7
FIRE RESISTANT CURTAINS OR DRAPERIES yes no
HOW HEATED S^ � ��. NO. FIREPLACES yes 0 no
BOILER ROOM CONDITICN
VENTILATION _4 -
UTILITY ROOM - CLOSETS
NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS
NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORE"
SHOPS = �2�
use reverse fox continents
Location_� /
No. (,� �Cl1fK� 1 < �, Date /� Q 3 13
N,90T TOWN OF NORTH ANDOVER
ott.�.a , tic
. p Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
CM
'-U•j Other Permit Fee $ ev
` J Sewer Connection Fee $
ater Connection Fee $
�v
V! TOTAL $ a
�/ � U d Building Inspector
6773 Div. Public Works
\ LL)i.1i 1UNWLAL I ti Ur P,.tAJJALPU-)L I l J
1' \ TOWN OF NORTH ANDOVER
)� APPLICATION FOR CERTIFICATE OF INSPECTION
Date 11/17/93 (X ) Fee Requ.iAed (Amount) $40.00anrn,all)
( ) No Fee Requ.iAed
In accordance with the puv.vs.ionz o6 the Maszachuzetts State Buiedi.ng Code, Section
108, 15, I hereby apply Son a Centi.s.icate o6 Inspection Son the beeow-named ptemizu .located
at the Sottow.ing addkuz:
Street and NumbeA 14 HIGHLAND TERRACE I
Name o6 Pnemiz ez MRS. LERIS' DAY CARE CENTER n If
PulLpoz e. So Which Pe_mj-h e s us -s e_
L.icenze(e) oA PeAm t(,$) Requ,iAed Son the Pnem y oveAnmentar genc u:
License o t PeAmit
Cents .ieate to be izzued to
Addnezz
OwneA o6 Recon o ng ,
Addn.ezz 1
Name o6 PneTe►t t o eA o en,t c ce e
Name o6 Agent, .is any
SlUNA]URb TO WHOM CERTIFICATE
IS ISSUED 0 HIS AUTHORIZED AGENT
T
INSTRUCTIONS:
1 ) Make' check payable to: TOWN OF NORTH ANDOVER
2) Re tuAn thin appti.eati.on with your check to: Building Dept. , Town Bldg . ,
120 Main St . , North Andover , MA 01845
PLEASE NOTE:
C �
1 ) App. i.eat%on Sotun with accompanying See must be submitted Son each buitd.ing on .sttuc tune
on pant theAeo6 to be eeAti.s.ied. xx
2) AppLcat.ion and See must be tece,ived besone .the eeAti 6icate wilt be iz sued.
3) The buUding o6sici.at -shall be no.tis.ied within ten ( 10) days o6 any change .in .the above_
.in S=nat.io n.
CERTIFICATE # / cy- #197d EXPIRATION DATE: 70?- Ig-
Ad - :;z 10.5 �3
FORA{ SBCC-3-74
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OT
C .1 U3S�VO
Masioc n� -
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FROM IU, 7
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X'AGNO.23-176-400 SETS NO.23-376-200 SETS
z
�ev � (508)535-6700
(617)727-4137
N3 J7rze J�icet Jealcoa�if, /C'(cL11a!/zUJe�1 01.960 FAX(617)727-2533
i
7 April 1992
Mrs. Dorothy Lewis and Cheryl Kettinger
c/o Mrs. Lewis' Nursery School
' 14 Highland Terrace
North Andover, Mass. 01845
Dear Mrs. Lewis and Cheryl,
I am writing to inform you of the space measurements for each
room at the Center, which I have determined as a result of my
partial licensing study on 27 March 1992:
Room 1: 261.3 sf 8 children
Room 2: 153 . 0 sf 4 children
Room 3 : 207.73 sf 6 children
Hallway: 85. 03 sf 2 Children
Music Room: 56.89 sf 2 children
Kitchen: 130. 34 sf 4 children
I hope you find this information useful and I look forward to
resuming your licensing study on Monday, April 13 th.
' Sincerely,
J
M.J. Byrne
Group Day are Licensor
i
FORM SBCC-5.74
� �e (�outmonxur�ttt# of Massar4uortts
Vz
GXIX�'M/TOWN OF NORTH ANDOVER
In accordance with the Massachusetts State Building Code, Section Z08. Z5, this
CERTIFICATE OF INSPECTION
is issued to . . . . . . . . . . . . . . .MRS;, kkg7A! , NURSER!!, SCHOOL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
�p1'#IfIJ that I have inspected the. . . . ,DAy, .CARS CE. . .. . . .NTER . . . . . . . . .known as.M�c�s, , , Lewti�,'„IVux�enl� , Schoo C
located at. . . . . . .14, 1 ig hAqV ,T ehna f-A . . . . . . . . .in the. . . .T PP!n . . . .of. . .N 9!t 4. Ando. 9,'�. . . . . . . . . . . . . . . . . . .
County of. . . .F b exMassachusetts. The means of egress are sufficient for the following
. . . . . . . . . . . . .Commonwealth of
number of persons:
BY STORY
Story Capacity Story Capacity Story Capacity Story Capacity
Fi4zt 26
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly . : Place of Assembly ,
• or Structure Capacity Location . , or Structure Capacity Location
14 - Decembex 16 , 1991 Doromhoh 19 1492 l ir
Certificate Number Date Certificate Issued Date Certificate Expires Buing fficial
The building official shall be notified within (10) days of any changes in the above information.
A FORM SBCC-5-74
o\/��"•i��\ c���e C�untutun�urttl#�r of �tt�,��.c�r���##,�
o JWITOWN OF NORTH ANDOVER
In accordance with the Massachusetts State Building Code, Section 1O8. Z5, this
Q1�I S�.y
CERTIFICATE OF INSPECTION
is issued to . . . . . . . . . . . . . . .MRS. . LEWIS ' . NURSERY, SCHOOL. . . _ . . . _ . . . _ . . . . .
I Ttr#ifij that I have inspected the. . . .Day. ,Care . Center . . . . . . . . . .known as.Mrs egy. ,School
located at. . . . . . .14, Highland ,Terrace . . . . . . . . .in the. . .town . . . . .of. . .NPXO- Andover
County of. . . .Es s e Y. . . . . . .Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity : . Story Capacity Story Capacity . : Story Capacity
First 22
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure Capacity Location or Structure Capacity Location
- 14 - .December 16, 1991 December 18 , 1992 '1 Y
Certificate Number Date Certificate Issued Date Certificate Expires ( Building6ff�icial��
The building official shall be notified within (ZO) days of any changes in the above information.
i
FORM SBCC-5-74
Z W
aXXNITOWN OF NORTH ANDOVER
In accordance with the Massachusetts State Building Code, Section Z08. Z5, this
Q7N S��y
CERTIFICATE OF INSPECTION
is issued to . . . . . . . . . . . . . . MRS... .LEWIS.'„NURSERY,SCHOOL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I Trrtlfg that I have inspected the. . . . . .Day, .Care. Center . . . . . . . .known as MR . . .LFWj$'. .NUMERY, .SCHOOL
located at. . . ,14, Highland ,Terrace. . . . . . . . . . . .in the. . . (?WR . . . .Of. . Ngr b. . . . . . . . . . . . . . . . . . . .
County of. . . . .E.S.q X. . . . . .Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity Story Capacity Story Capacity Story Capacity
First 22
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly . . Place of Assembly
or Structure Capacity Location : , or Structure Capacity Location
- 14 - January 29, 1990 December 18, 1991 , ��
Certificate Number Date Certificate Issued Date Certificate Expires Building fzciaZ
The building official shall be notified within (ZO) days of any changes in the above information.
TOWN OF NOItTll ANDOVER INSPECTORS NAME
OFFICE OF THE INSPECTOR OF BUILDINGS
INSPECTION REPORT FORM
CLASSIFICATION PASSES INSPECTION yes no Q DATED-
OWNER
1� Lc— I
BUILDING NAME OR N0. /
STREET LOCATION
TYPE OF OCCUPANCY - Day Care Center Aud . ,Q Cafe Q Gym ,Q7 Apt .
School Q Common Victualer' s ,q Liquor Q Place of Assembly ,Q
other
OCCUPANCY NUMBER (include ori as and o �� �nry � floor uGp ryPrGP si 1
E X I S T I N G
EXIT SIGN ' yes no
LIGHTED EXIT SIGNS operable
EMERGENCY LIGHTING SYSTEM operable /Q dry cell Q wet cell 7Q
SPRINKLER SYSTEM operable C7 gage pressure yes = no Z
SMOKE DETECTORS operable ze7 yes Q_/ no
FIRE EXTINGUISHERS expiraticn date d5 �� yes Q no .Q
ANSUL SYSTEM yes = no Q
FIRE ALARM SYSTEM operable 1k municipal I=7 yes � Ila
ELECTRIC EQUIPMENT PROPERLY PROTEC ZD yes L no
EGRESSES LAWFULLY DESIGNATED unobstructed G7 yes no /_=7
STAIRS PROPERLY RAILED yes uo Q/
HALLS AND STAIRWAYS LIGHTED yes no Q
RADIATOR GUARDS yes / no /
COMPLIES HANDICAPPED PERSONS LAWS 9 no
N
FIRE RESISTANT CURTAINS OR DRAPERIES WOl Cc C 455 ' Y's
01 1Q no L
HOW HEATED NO. FIREPLACES yes D no
BOILER ROOM CONDITICN
VENTILATION /(,,9--�`r
UTILITY ROOM - CLOSETS V ►�
NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS
NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY
SHOPS
\ _ use reverse for commpnt.G
FORM SBCC-5-74
z r
V
a x�. /� TOWN OF NORTH ANDOVER
In accordance with the Massachusetts State Building Code, Section 108. 15, this
V
CERTIFICATE OF INSPECTION
isissued to . . . .Mrs.•Frank G., Lewis.,R .N. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Trrlifg that I have inspected the. . Darr •Care,Center, , , , , , , , , , , , , ,known as.Mrs.,Lewis', ,Nursery,School
located at. . . 14.Highland• Terrace. . . . . . . . . . . . . . . .in the. . . Town . . . . .Of. . . . . North.Andover. . . . . . . . . . . . . , • , , , ,
. . . . . . . . . . . . . . . . . . . .
Count of• • • Essex
• • . . • , , , , Commonwealth of Massachusetts. The means o egress are sufficient for the following
number of persons:
BY STORY
Story Capacity Story Capacity Story Capacity . . Story Capacity
1st —24—
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure Capacity Location � • or Structure Capacity Location
—1 — August 19, 1 8 August 1 1985
.
4 � 93 � 9, � �
Certificate Number Date Certificate Issued Date Certificate Expires Building Official
The building official shall be notified within x(10)) nays of any changes in the above information.
r
Location / •� �� f! c
i
No. DateJ
,.
NORTh TOWN OF NORTH ANDOVER
p Certificate of Occupancy $
• .�
° Building/Frame Permit Fee $
'lou Fee $
s�cau 'l
s - r
Other-Permit-Fee $
199 Sewer Connection Fee $
Water Connection Fee $
INO 1
-k.;v-1TOTAL J $I
�r Building Inspector
Div. Public Works
COMMONWLAL 111 01= MASSAJIUSL LI S
1' TOWN OF NORTH ANDOVER
= I o
�y
(� APPLICATION FOR CERTIFICATE OF INSPECTION
Date 11/20/91 ( X ) Fee Requited (Amount) $40 annually
( ► No Fee Requ,iAed
In accordance with the puviz ions o6 the Ma6,5achm ett's State Buitding Code, Section
108, 15, 1 hereby apply bon a CeAtib.ieate o6 In6pect%on bot the be,1?ow-named ptemizn .Located
at the bottow.ing addAm.6:
Stheet and NumbeA 14 Highland Terrace
Name o6 PunvA ens
. Mrs . Lewis ' Nursery Schoal I
Punpo,6e bon wh ieh-F-tenxz ez .us U.6ed
Lice"e(b) o)L P✓um-i t(s) Requited bohv,�te F e u su by C t ten ,a nment encu:
LidenS(t an PVhmit Aq encL
Cexta tieate to be i.6sued to
AddAe.6,s j
OwneA ab Recon o Lng i r `
AddA aA 9 _
Name o6 P)LM ent o , 06 icate
Name ob Agent, 16 any
4;7. . . . . . . . QLA
STGNATURE Q PERSON TO WHOM CERTIFICATE—
IS ISSUED OR HIS AUTHORIZED AGENT
INSTRUCTIONS:
1 ) Maize check payable to: Town of North Andover
2) Retutcn thL6 appti.cation with your check to: Building Dept. , Town Office Buildiug-,,_-._,
120 Main Street , North Andover , MA 01845
PLEASE 40TE:
J) AppZi catiQn boAm with accompanying {lee must be submitted bon each building oA .5t4uctuAe
oA pant theA64 to be eeAti6ied.
2) Appti;cation and bee must be received beboAe the ceAti6icate w.iU be izsue.d.
3) The bui ding obb.ieiaZ shaU be notib.ied within ten ( 10) days ob any change in the above
.inboAmation.
CERTIFICATE 0 14 EXPIRATION DATE:�_j 18/92-
FORM SBCC-3-74
Location
No. Date
gORTIy ,
TOWN OF NORTH ANDOVER
p Certificate of Occupancy $
* *99
;
Building/Frame Permit Fee $
• . s .
Foundation Permit Fee $
s�CHU ,n
8 "'Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ ��
;Building Inspector
a Div. Public Works
Location
No. Date _
NORTN TOWN OF NORTH ANDOVER
Certificate of Occupancy $
+ ; Building/Frame Permit Fee $
"'
AcMust Foundation Permit Fee $
s �
J _'''Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
A
Div. Public Works
COMMONWEALTH OF MASSACHUSETTS
TOWN OF NORTH ANDOVER
APPLICATION FOR CERTIFICATE OF INSPECTION
Date: 1/2/90 (X) Fee Required :$75 (Biennially)
NO FEE REQUIRED
In accordance with the provisions of the Massachusetts State
Building Code, Section 108. 5. 1, 1 hereby apply for a Certificate
of Inspection for the below-named premises located at the
following address: .
Number and Street : 14 Highland Terrace
Name of Premise: Mrs. Lewis' Nursery School
Purpose for Which Premises is Used: Nursery
License(s) or Permit (s) Required for, the Premises by Other
Governmental Agencies:
. t
0-rmi
L 'cence -it, Agency
Certificate to be Issued tot-
Address:
Owner of Record:
Address i
Name of Present Holder of Cert ificat
Name of Agent ( if any) - __-• %� _M. -__ ___._.- _,M1
41
SIGNATURE PERSON TO WHOM
Title
CERTIFICATE IS ISSUED OR HIS
AUTHORIZED AGENT
DATE
INSTRUCTIONS: 1) Make check payable to: The Town of North Andover .
2) Return completed application and check to;
Town of North Andover Building Dept.
120 Main Street
North Andover, Ma. 01845
PLEASE NOTE: 1 ) Application form with accompanying fee must be
submitted for each building or structure or part
thereof to be certified.
2) Application and fee must be received before the
certificate will be issued.
3) The building official shall be notified within
ten days of any changes in the above information.
CERTIFICATION #: 14
KPIRATION DATE: 12/18/$j
5q7
I 1 11 9
Ah 8 P09
BUILDING DEPA1F1'7,,.--: ,-1
COMMONWEALTH OF MASSACHUSETTS
W
XXM/TOWN OF TOWN OF NORTH ANDOVER
o -
t
''M ,•� APPLICATION FOR CERTIFICATE OF INSPECTION
Date 1/7/88 (X ) Fee Required (Amount )$75 (biennially)
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building
Code , Section 108 ,15 , I hereby apply for a Certificate of Inspection for
the below-named premises located at the following address :
Street and Number 14 Highland Terrace
Name of Premises Mrs. Lewis' Nursery School
Purpose for Which Premises is Used Nursery
License( s ) or Permit ( s ) Required for the Premises by Other Governmental
Agencies :
License or Permit Agency
Certificate to be Issued to
Address
Owner of Record of Building
Address S
Name of Present Holder of Certificate
Name of Agent , if any
�-
SIGNATUR4 OF PERSON TO WHOM TITLE
CERTIFICATE IS ISSUED OR HIS
AUTHORIZED AGENT
ATI
INSTRUCTIONS :
1) Make check payable to : TOWN OF NORTH ANDOVER
2) Return this application with your check to : Building Dept., Town Bldg.,
North over, MA. U1845
PLEASE NOTE :
1 ) Application form with accompanying fee must be submitted for tach build-
ing or structure or part thereof to be certified.
2 ) Application and fee must be received before the certificate will be issued .
3 ) The building official shall be notified within ten (10 ) days of any change
in the above information.
CERTIFICATE # 14 EXPIRATION DATE : 12/18/89
FORM SBCC-3-74
J
i
I
FORM SBCC-5-74
VIZI
r
J
Y/TOWN OF NORTH ANDOVER
In accordance with the Massachusetts State Building Code, Section Z08. Z5, this
V
Qt.y y�•
i CERTIFICATE OF INSPECTION
isissued to ,. .R:N: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
&rtif l,J. that I have inspected the. . . . . . . DAY .CARE.CEUTFR. . . . . . . . . .known as.MRS. .LEWIS.`. XURSERV-SCHOOL
located at. . . . . 14 H.iA44g44,Tehlcace . . . . . . . . . . . . . .in the. .Town. . . . . . .of. . .�oh�h Andov4fc. . . . . . . . . . . . . . . . . . . . .
County of. . . . . . �AeX . . . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity Story Capacity . . Story Capacity . . Story Capacity
FiAAt -22-
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure _ Capacity Location : , or Structure Capacity Location
14 - Feb&uww 18, 1988 SeptembeA 18, 1989 C,v
Certificate Number Date Certificate Issued Atte Certificate Expires Building Official
The building official shall be notified within (ZO) days of any changes in the above information.
ey JeWY41AO : Hca. l
ev,
YOO i
S Ll3y,
as Q
�/3� � 0 f'Ydr�4•(S ,Jo7t•� J.GU✓,t, � hp;��'���oJS
�'r I
on ct�'�
vv
X13�o 6 aj,�1 -�
�S
°F N°Rrh 1
ti
3r'`
OFFICES OF: o °°� Town of 120 Main Street
� a
North Andover,
APPEALS :off,,::; NORTH ANDOVER
BUILDING Massachusetts O 1847)
CONSERVATION e@AC""9s DIVISION OF (617)685-4775
HEALTH
PLANNING PLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIRECTOR
February 9, 1988
Mu. FAank Lewis
14 H.igh.land Teextace
North AndoveA, MA
Dean Mu. Lewis:
I have .inspected your Day Cane Center at 14 Hightand Tmaee and 6ound the Uottow,ing
pnobtems AeUting to the Mauss. State Building Code:
Section 434.3.2 elass.i4 ieJs your Day Cane Center as an A-4 Use GAoup. This Us e
Group AequiAm two independent meam o4 egne&s (exits) , Sec. 434.6.2. The day o4
my inspection and days 4ottowing, the 4riont steps have not been .shoveled. This
4nont door is a AequiAed means o4 egne�s�s and the steps and walkway to the pubtie
,street must be cleaned.
Section 434.6.4 tequ/iAe,6 emergency tight.ing as pen Sec. 624 o4 the Code which
Aequ Aes a battery backup to ittum.inate the ex ctway�s .
Section 434. 10 kequ/iAes a bite a aAm system. 1 would Aeeommend .inteneonnected
,smoke detectors as descAibed .in Sec. 434. 11.
1 beet, these .stems ane neeessaty to provide UoA the sa4ety o4 atl the occupants ob
the Day Cane CenteA and shoutd be .instatted .i.-mmediatety. I will not ,issue the
Centi4ieate o4 Inspection UoA the Day CoAe CenteA until these .item ane Aecti6ied.
14 this o6jice can be o6 any 6uAthen au stance, please call.
;e., et4uety,
BAuce H. ftoAk
A,ss 't Building I nsP;zctoA
BHC:gb
cc: D,)L... DPCD
tokst sacc-sas
� � C�uutmunuz�ett�# of Mamr4usats
L y
CXMITOWN OF NORTH ANDOVER
In accordance with the Massachusetts State Building Code, Section 108. Z5, this
CERTIFICATE OF INSPECTION
is issued to . .MU.. F&a k. .G, .LeW4�4,. K-IN.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
i Trr-tif! that I have inspected the. . . . . . .Day. Ca&z .Centeh. . . . . . . . . .known as. MAZ... .LewZZ.r
.NUAZa my .Sahooe
located at. . . .14 fi%yh.2and TeAAace . . . . . . . . . . . . . .in the. . Taum , • „o f. . Nqt. . . . . . . Pvete . . . . . . . . . . . . . . . . . . . .
County of. . . . ,U,SQX. . . . . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity Story Capacity Story Capacity Story Capacity
UAAt -22-
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure Capacity Location : • or Structure Capacity Location
I
i
-14- Sehtemben 18, 1985 September 18, 1987razz
Certificate Number Date Certificate Issued Date Certificate Expires Building Official
REPLACEMENT CERTIFICATE
The building official shall be notified within (ZO) days of any changes in the above information.
f _
i
OF .'AS`_AC?:USE_TTS
r• :� ����
BUILDING-DEPT.
' ✓ -- .��
c:'3/'POWPz OF ]20 MAIN ST.
NORTH ANDOVER, MA 01845
APPLICATION FOR CERTIFICATE OF INSPECTION
Date 8/13/85 (XX) Fee Required ( Amount ) $75.00 event' 2 Ups .
( ) . No Fee Required
In accordance with the provisions of the Massachusetts State Building
Code , Section 108 ,15 , I hereby apply for a Certificate of Inspection for
the below-named premises located at the following address :
Street and Number 14 Hightand Tetvt-aee
Name of Premises Mu. L w ' `J
Purpose for Which Premises is Used
--------
License( s ) or Permit s ) Required for the P emis s by, other Governmental
Agencies :
License or Permit Agency
Certificate to be .Issued to
Address
Owner of Record of Building
Address
Name of Present Holder of Certificate
Name of Agent , if any
TITLE
SIGNATURE OF PERSON TO WHOM j
CERTIFICATE IS ISSUED OR HIS
AUTHORIZED AGENT TE
INSTRUCTIONS :
check payable to : TON OF NORTH AQ VE.R.
2) Return this application with your check t-o : C!-?ARLr.S H. FOSTER, BLDG. !NSF.
_
120 Main St. , North Andover, ?•ia.
ols45
PLEASE NOTE :
--` fee must be submitted for each build-
1 ) Application form with accompanying
ing or structure or part thereof to be certified .
2 ) Application and fee must be received before the certificate will be issu
l be notified within ten (10) days of any chap
—3-)--- The building official shal- _ ,.. -
_ in the above info,r,,n
CERTIFICATE ## 14 EXPIRATION DATE: 8/19/85
AUG FORM SBCC-3-71+
Lr�
- - -� C_G:: ;OI:Y;EALTH OF "ASShCHUSFTTS
BUILDING DEPT.
/TOWN oF____ ]20 MAIN ST.
z I�. NORTH ANDOVER, MA 01845
I � -
'� APPLICATION FOR CERTIFICATE OF INSPECTION
Date �3 00 Fee Required (Amount ) J7
°� .
( ) , No Fee Required
In accordance with the provisions of the Massachusetts State Building
Code , Section 108 ,15 , I hereby apply for a Certificate of Inspection for
the below-named premises located at the following address :
Street and Number
Name of Premises
Purpose for Which Premises s Used
_7 1. 1 A—0 AA o
License( s ) or Permit ( s ) Required for th Premis(s by Other Governmental
Agencies :
License or Permit A e cy
Certificate to be ued to
Address 141
Owner of Record , ' Idi g 0`
Address
Name of Present der of Certificate
Name of Agent , if any
SI ATURE 0 PERSON TO WHOM TITLE
CERTIFICAT IS ISSUED OR HIS
AUTHORIZED AGENT
DATE
INSTRUCTIONS :
1) Make check payable to : TOWN OF ANDOVER.
2) Return this application with your check to : CHARLES H. FOSTER, BLDG. INSP.
12.0 Main St. , North Andover} Ma.
0184 5
PLEASE NOTE :
1 ) Application form with accompanying fee must be submitted for each build-
ing or structure or part thereof to be certified .
2) Application and fee must be received before the certificate will be issue
3 ) The building official shall be notified within ten ( 10) days of any chang
in the above information. —
CERTIFICATE #/ �� EXPIRATION DATE:_ oZs 3
FORM SBCC-3-74
�� - �
F3
F004 SBCC-5-74
c��.e C�uminunmr.�tt1#�r of �tt���r�r��e��
J
O
'X/TOWN OF NORTH ANDOVER
In accordance with the Massachusetts State Building Code, Section Z08. Z5, tvs
V
wy yr•
CERTIFICATE OF INSPECTION
isissued to . . . W&6.. .Ftucnk.G:. Lewis,. .R:N.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TPrtifg that I have inspected the. . . .Day. .CxLe .Cente.-%. . . . . . . . . . . . .known as. M •. .Lewin!. Nt,UoeAu ,Schbot
located at. . . 14 H�gfj,qjd Tetct�.ace . . . . . . . . . . . . . . . .in the. . .rQWn. . . . . .of. . . . . .N9?r h, Avi4gve4, , , , , , , , , , , • , , , , , .
County of. . . f�!SeX . . . . . . . .Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity : . Story Capacity Story Capacity Story Capacity
Fi&6t -24-
BY PLACE OF ASSEMBLY OR STRUCTURE
e Place of Assembly Place of Assembly
or Structure Capacity Location or Structure Capacity Location
-14- Se_pternbm 18, •1985 . .
Certificate Number Date Certificate Issued Date Certif cacote Expires Building Official
The building official shall be notified within (ZO) days of any changes in the above information.
Y
N
� r TommonnAtt
�rttl* of u-Ottr4uOr o FORM SBGC_c_'jy
W
W
o XITOWN OF NORTH ANDOVER
In accordance with the Massachusetts State Building Code, Section Z08. Z5, this
V
41,y SV♦
CERTIFICATE OF INSPECTION
is issued to . . . Mtus.. .Ftank G. Lewis,. .R:N: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I &r#Ifl] that I have inspected the. . . .1?ay. .Ca(te .Centeh. . . . . . . . . . . . .known as. Mu... _Lewils'_ Nutr s,eAtf .SCh.00Z
located at. . , 14 H�g6te q TeA&ace . . . . . . . . . . . . . . . .in the. of. . . . . ,Ngh;tl�; Avec eve . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . Town
County of. . . :�!�ex. . . . . . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity . . Story Capacity . . Story Capacity . . Story Capacity
1=Zmt -24-**
-22-
** Capacity tteduced 4Aom 24 to
22 pert ongqden o4 the BY PLACE OF ASSEMBLY OR STRUCTURE
�Iat of leeem � Ceme Cetr t. . . Place of Assembly
or Structure Capacity Location or Structure Capacity Location
-14- SejotmbeA 18, •199; Septophoh 19 1987
Certificate Number Date Certificate Issued Da e Certificate Expires Building Official
The building official shall be notified within (ZO) days of any changes in the above information.
NORTH ANDOVER BUILDING DEPARTMENT NORTH
120 MAIN STREET0
NORTH ANDOVER; MA 01845 io
7 SACMusE�,t'y
INSPECTOR OF BUILDINGS TEL. 888-8102
ELECTRICAL INSPECTOR
GAS INSPECTOR
DecembeA 9, 1986
046ice, bon ChitAen
83 Pine StAeet
Peabody, MA 01960
Re: Sta away/Mu. Lewis' Nwuseny School
To Whom It May Concern:
TW wiU ce t i 6 y that I have, on tW day, inspected the staiu to
the 6 econd 6tooh at the ims.i.dence oU Mu. and MAZ. Frank Lewis which
Wftentty being used bon a day cage center, and bind them to be
in good condition. These .sta x6 ate sa6e enough bon any tAa66ic
g enervated 6nom the use ob' the pnemiz es.
Ve,ky tAUZy yoWts,
ChaAtm H. Fosten,
I"pecton o fau,itdingz
CHF:gb
cc: MIM Prank Lewis
r
=1TOWN OF
E ry` t
' f In accoruar.ce W-,tii he Massachusetts St—, j,,-.'Lding Code, Section z.08. Z6, this
M S
1L C 1 Jl aiJ �/�.. y ..L�1 ail 6 \A i i V 1
isissued to . . . . . i i;. t:.�� s. ..H: iS� . . . .. . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
that a _-ted the. . . . . Da_r C�'i,e; i ... . .':. . . . . . . . . . . .knorm as. .r. . . . . :.=. . . l'ursery- 1,c:-v)
'Located at. . . . 14 North, t••
Count o . . ,SSE 7. . . .
y F• �ron__.�Zth of Massachusetts. 1"r.a . . ns of egress are 'ne fo"Ilo,r-.,r.g
number of persons:
BY STORY
Story ,.
Capacity oto Capacity , . .; Ory Capacity SOry Capacity
1s+ —24—
.�SS_`,iLY OR b Lk_
Place of Assembly . _z.ce of assembly
or Structure Capac�,�y ocu��o^. or Structure -ocation
–14– •, ,us t 25t i �i AUL 5, 1983
:artificate Number Bate Certificate Issued Date Certificate Expires 3uiZding Official
The ng o;°F,;cia-, �r"aZ. b, r ' r
e rl i ✓I ✓ any cY znge.i in ,he LL JUS fv,. ✓Y.
� G O
'Ak
Luz
AS it PON "f
for 'a J1�j i�hLN , to ! �t r+' 1 � J_ �G.vti fl
L.nc�� --- -- -N - ? o v e t 0 AY
t' f_Ird V 5 C -i�T -� r--c..
< f
L ;`r, A�1ctt cit
o1 thc`'- :Ii 11 p.Y.ordses:
no YTot PIy wi h Cc*, rh of massaduk,
Es (BUJ EnJll' ^ Y_ C?
i
` _ i f"1
c� y
oto - City Or <<.rte - - _ --- - - �_—__ P ry
AID M .j oil 1 7"D
CO::}.;0?:�'FALTN OF "ASSACHUSETTS
MLDING DEPT.
CI'I'Y/TOWN
SJ NORTH ANDOVER, MA 02845
APPLICATION FOR CEaTIFICATE OF INSPECTION
(K ) Fee Required (Amount) $75.0 _ 2 Yrs-
Date
rs'Date Aug. 17♦ 1981
( ) No Fee 'Required
provisions of the Massachusetts State Building
In accordance with the
I hereby apply for a Certificate of Inspection for
Code , - Section 108 ,15 ,
es located at the following address :
the below-named premis
Street and Number
G
z
Name of Premises s Used � � — -
Purpose for Which Premises
vernmental.
Required for t Pre ises by Other Go
License( s) or Permit ( s )..
Agencies : p,gency
License or Permit
_ItQ" - r
----
Certificate to be ssue/d to -�0 --
Address_ -
Owner of Record f B ilding -
Address
Name of Present lder of Certificate -
Name of Agent , i` any
SIGNATURE F PERSON TO WHOM
TITLE
CERTIFICAT IS ISSUED OR HIS go _ �
AUTHORIZED AGENT - DATE
INSTRUCTIONS :
1) Make check payable t o : TOWN OF. NORTH ANDOVER -
w i t h y°u --
2) Return this application TOWN OFFICE BLDG.f NORTH OANDOVERB MA. 018 5
PLEASE NOTE
with accompanying fee must be submitte
1 ) Application form
d for each build
ing or structure or part thereof to be certified .
2) Application and fee must' be received before the certificate
will
a e chs
3 ) The building official ss
shall be notified within ten ( 10) Ysin the above information. -
EXPIRATION DATE : — -----
CERTIFICATE #�- -- -
FOR14 SBCC.-3-"T?+
Print IWJEST FOR BUILDING INSPECTION
in ink
or type DAY CARE CENTER FOR CHILDREN
-- Date City or Town Zip Code
As required by the
License ig Agency
I hereby request that a BUILDI1,16 T._.PBCTION be ma<ie of my pram ses. I have filed
an applicat.a_on, for a L:ICIIv_',' o ecTndu.ct a D<'�`l. CARE CENTER IYJR CgIILDP.LN.
St-�r t Pddress of Prfnd5rZs v City or Tas,n _-� Zip TC—_V
Nam-: ,)-F Ccn_jioration
Applicant: Do ',,O Write Belcm, 'This Line
RESORT OF BUILDING INSPEi IC3R
The following is a report of inspection of the above premises: (please
Premises do not a—arwply wi -li ._.f ti c xtetvi�r� tl tl� of
State Build�.ng (-0de.
Premises do not ccarply with The Cck-ra-norrwealth of Asassachusett
State Building Cote BUT
_ Days alla4ed to meet regulations. (List Non-Cacpliances on
reverse side) .
I certify that premises fly with The Ccx=nw� alth of
Massachusetts State Building Code.
Date City or ibwn Zw C�
Expiration Date
Signature and Title of Inslx--ctor
PLEASE RETum M CWI E= FORMS TO
DAY CARE CHER AND RETAIN ONE FOR
Print REQUEST FOR BUILDING INSPECTION
in ink
or type DAY CARE CENTER FOR CliILDREN
-- Date City or Taxan Zip Code
As required by the
Licensing Agency
I hexeby request that a BUILDIN.', 1,�:;''ECTICN be made of ,ny prc�nises. I have filed
an a�r�licat_ion for a LICEt�S.T-. %o a�nduc-t a DYJ' CARE C Y11-- FX)R CHILIDPIN.
Stz'� tt ess of rr(-nu,res � City or Ta;,Ti Zip Codi
Signature of ��:A-.<-��;�t s �- _Na��i: of ,;�c7r�oratxGT�
Applicant: Do INOT. Write Belot., This Line
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REPORT OF BUILDING INSPECTOR
The following is a report of inspection of the above premises: (please cher
.-e
PiS2S d,-,) not C�.a"'";lJ�.y vwii:;2 �=�;C ���xtei�jiin`c'.1 t11 of r'��c;=•Y_h:�. _
State Build-.ng Code.
Premises do not oaiply with The Ccvmm,-ealth of Massachusett
State Building Cote BUT
Days allowed to rrvet regulations. (List Non-cafpliances on
reverse side) .
I certify that premises ccaiply with The C v=nwealth of
Massachusetts State Building Code.
Lute City or Town Zip Cbc
Expiration Date
Signature and Title of Ins.p ctor
PLEBE RETURN 740 CWTLETED FORMS TO
DAY CARE CEWER AND RETAIN ONE FOR
f
Print ROQUESr FOR BUILDING INSPECTION
in ink
or type DAY CARE CENTER FDR MILDREN
Date _rr— City or Town Zip Code
As required by the
Licensing Agency
I hereby request that a BUILDIZ':; N,,,7-rSCTION be made of rrty prendses. I have filed
:in application, for a LIC1;WS.L.. ;o oonduct a DY1 CARE CENTM FOR CHILDREN.
Strc% t Address of fFf:ii res .��. City or Tari_ � Zip Code
Sigliature of q �)l . •it , - Nam-.- (-T .ui�xiratio2�
Applicant: Do Nt7i Write Bele Mis Line
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REPORT OF BUILDING INSPWTOR
The following is a report of inspection of the above prendses: (please cher
Premises dc) not ccmly wii;'a li—i-- of Marmza"c u�:
State Buil zrx 0-o&.
Premises do not amply with The Caamrmealth of Massachusett
State Building Cote BUT
Days allayed to meet regulations. (List Non-Canplianaes on
reverse side) .
I certify that premisesy with The Camr=nwealth of
Massachusetts State Building Code.
Date City or Town zip Cbc
Expiration Date
Signature and Title of Inspector
PLEASE RETURN TWO COMPLETED MOUS TO
DAY CARE CATER AND RETAIN ONE FDR
I
I( - FORM swC-5-74
- ttrr A
- -. w _
m - XW' /TOWN OF NORTH ANDOVER
In accordance with the Massachusetts State Building Code, Section 108. 15, thisCERTUICATE OF
lv`y T 1
I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
j' is issued to . . . . . S• . . . . .T. . G. LEWIS, . . . . . . . . . . . . . . . �I
i
AaY. C4iZq .Q�!4 pp '. . . . . . . . . . . . .known as. Mrs. ,Lewi '. �iux;ser�,$ehgol
that I have inspected the. . . .
14 Hj. j? and Terrace . . . . . . . . .North Andover
located at. . . . . , . . . . . . . . . . . . . .in the. .Towne .of.
. .Commonwealth of Massachusetts. The means of egress are sufficient for the following
County of. . Essex. . . . . .
number of persons:
BY STORY
I Story Capacity
StoryCapacity Story Capacity Story Capacity y
. .
24 : • : ; : :
I BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly : • Place of Assembly V
Location
or Structure Capacity Location or Structure Capacity
14_'77 November 17, 1977 November 171 1979 Building official
Certificate Number Date Certificate Issued Date Certificate Expires 9 ff
l
The building official shall be notified within (ZO) days of any changes in the above information.
I
- T COMMON FALTH OF ?MASSACHUSETTS
a
MU/TOWN OF NORTH ANDOVER
'M APPLICATION FOR CERTIFICATE OF- INSPECTION
Date Nov. 7, 1977 (x ) Fee Required (Amount )$50.00 - two years
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building
Code , Section 108 ,15 , I hereby apply for a Certificate of Inspection for
the below-named premises located at the following address :
Street and Number `
Name of Premises
Purpose for Which Pre s is Used
License( s ) or Permit ('s ) Required for the Premises by Other G vernmental
Agencies :
License or Permit Agency
.(i
Certificate to be Issued to NAQ
Address `
t--
Owner of Record of Building
Address i ��-
Name of Present Holder of Certifica
Name of Agent , if any
k9 3A��L ?,- 9-
SIGNATURE F PERSON TO WHOM TITLE
CERTIFICAT IS ISSUED OR HIS
AUTHORIZED AGENT T 7
DATE
INSTRUCTIONS :
1) Make check payable to : TOWN OF NORTH ANDOVER
2) Return this application with your check to : Charles H. Foster, Bldg. Insp.
Town Office Bldg., North Andover, Ma. 018 .5
PLEASE NOTE :
1 ) Application form with accompanying fee must be submitted for each build-
ing or structure or part thereof to be certified .
2) Application and fee must be received before the certificate will be issued
3) The building official shall be notified within ten (10) days of any change
in the above information.
CERTIFICATE # 14 EXPIRATION DATE : 11/25/77
FORM SBCC-3-74
4W <
r
F0RM SBCC-5-74
^ F
Z W
n r
0
w
o
_10TWITOWN OF NORTH ANDOVER
e
In accordance with the Massachusetts State Building Code, Section Z08. Z5, this
7M yvs
CERTIFIECATI�J OF INSPECTION
N.
is issued to . . iRS.. rRAPJK G.. LL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I
Pay Care Center firs. Lewis' Nursery School
I Ttr#tf that I have inspected the. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .known as. . . . . . . . . . . . . . . . . . . . . . . . .
located at. . 11� Highland Terrace , , , , , , , , , , , , , , , , , ,in the. To�rn. . . . . . .of. . . .ilorth.Andover. . . . . _ . . . . . . . , . . . . . .
. . . . . . . . . . . .
County ofEssex
• • • • • • • • . . . . . , , , , Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity _ . Story Capacity . : Story Capacity Story Capacity
24
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure Capacity Location or Structure Capacity Location
14 November 25, 1975 November 25, 1977
Certificate Number Date Certificate Issued Date Certificate Expires Building Official `
The building official shall be notified within (ZO) dans of any changes in the above information.
PERIODIC INSPECTION INFORMATION SHEET
Instructions: This information sheet is not an inspection checklist. Each time
a permanent file card is typed for a new building or a new card for an old build-
ing, this information sheet can be prepared by the building inspector as a work
sheet from which the file card can be typed. The items of information on this
sheet are identical to the items on the file card. If all the information on this
sheet cannot be entered on the file card, this sheet should be filled out and
Lot discarded.
Street and Number 14 HIGNGAND TERRi4ce
Name of Premises MR3. LiffWIS I NpRjd"Ry XC11604.
Other Licenses or Permits Required .p per- G E
Owner of Record of Building FRANk 6 ,00RA-r1lC. 1.4srW1x
Address /41 910 LAND TER /qC
Certificate to be Issued to MRS. �IPA/1/EC G. LElU/S R R/.
Address 14�
Use Group Classification • Z• Purpose Used .DAY GAPE CE Vr46R
Public or Private
Number of Stories TSD Class of Construction - Date Erected /god 7�
Certified Capacity (By Story or Type)
x/ ST ezQ42C— 02 C&llwc7d/
Numr of Rooms - Hospitals, Schools, Hotels (By Story or Type)
Number of Dwelling Units Per Story
Emergency Lighting System Q
Means of Detecting and Extinguishing Fire 2
Fire Alarm System E'S- GG S "rte
Tl0/Y.J'- o�r/T �E,Qip S/yloKE't�.
Number of Elevators /f/Q Ct��1°
How Heated '
Boiler or 0th Heating Apparatus L.
How Lighted&i4rl/104 •-EL4�4'. How Ventilated l/
09
Place of Assembly: Yes v No Purpose Used L
In Which Story j
Standard Booth Installed Location
Fixed Seating
Number of Aisles and Width of Each
Fire Resistance of Curtains or Draper es
Number of Sanitaries 0,41E Location pd
Number of Grade Floor Means of Egress Doorways ` p
10
Number of Separate Stairways Accessible Per Story
Number of Approved Independent Exitways Per Story Ql/
Remarks: /
�6V� 1�Glbct Y�4 ,ru¢d
Date Certificate Issued0 ?.jr. I 7S—Date Certificate Expires__ 77
Date Orders Issued Date Orders Complied
Inspector FG e Date 2S l
FORM SBCC-1-74
COMMONWEALTH OF MASSACHUSETTS
3
VM/TOWN OF NORTH ANDOVER
o
a
APPLICATION FOR CERTIFICATE OF INSPECTION
Date LgL,29 122s' (X) Fee Required (Amount ) $50.00 for
2 yrs.
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building
Code , Section 108 ,15 , I hereby apply for a Certificate of Inspection for
the below-named premises located at the following address :
Street and Number
Name of Premises
Purpose for Which P raises is U d
License( s ) or Permit ( s ) Required for t Prem' ses by Other Governmental
Agencies :
License or Permit Agency
Certificate to be sued to `
Address L
Owner of Record Building
Address /y t
Name of Present Holder of Certificate
Name of Agent , if any
SIAGINATURE OF PERSON TO WHOM TITLE
CERTIFICATE IS ISSUED OR HIS
AUTHORIZED AGENT L ;g �' z
DATE
INSTRUCTIONS :
1) Make check payable to : TOWN OF NORTH ANDOVEii
' Building Deet., Town Bidg. ,
2) Return this application with your check to : North Andover, MA. 01845
PLEASE NOTE:
1 ) Application form with accompanying fee must be submitted for each build-
ing or structure or part thereof to be certified.
2) Application and fee must be received before the certificate will be issued .
3) The building official shall be notified within ten (10) days of any change
in the above information.
CERTIFICATE # EXPIRATION DATE :
FORM SBCC-3-74
0 —
361 J,�r ��
PERIODIC INSPECTION INFORMATION SHEET
Instructions: This information sheet is not an inspection checklist. Each time
a permanent file card is typed for a new building or a new card for an old build-
ing, this information sheet can be prepared by the building inspector as a work
sheet from which the file card can be typed. The items of information on this
sheet are identical to the items on the file card. If all the information on this
sheet cannot be entered on the file card, this sheet should be filled out and
not discarded.
Street and Number /,�z 111GW6/9/YO 7 ?OP/966"
Name of Premises j17iP.S, LEI/J/S' '/1/0iP-22f'� IfW-V &j1P4Z-1Pd5Xf7
Other Licenses or Permits Required
Owner of Record of Building
Address "AO /22�.PACcc'
Certificate to be Issued to /y/,?f 146-alIx
Address Si9/JlE' Al 416?M6-
Use Group Classification - Purpose Used ;Wy
Public or Private �jP/U/�►T
Number of Stories Class of Construction 14 - Date Erected
Certified Capacity (By Story or Type) 2_-5- 6 y/LO,P_J
Number of Rooms Ho pit Is, Schools, Hotels (By Story or Type)
��t/
Number of Dwelling Units Per Story, /9
Emergency Lighting System AVO
Means of Detecting and Extinguishing Fire CT/a/U S' STc� - S/Y10
AA"e 4W_ AYWA1U%L e-&- CxeGUS iPs'
Fire Alarm System x;z',,4G
Number of Elevators
How Heated
Boiler or Other Heating Apparatus
How Lighted /f//¢Tl//P%L j`WE' C G How Ventilated
Place of Assembly: Yes Z-'-No Purpose Used _Z>i9y C%Z4!f_
In Which Story,
Standard Booth Installed /11-69 Location
Fixed Seating
Number of Aisles and Width of Each A111109
Fire Resistance of Curtains or Draperie N
Number of Sanitaries Location
Number of Grade Floor Means of Egress Doorways T2 eX0/2
Number of Separate Stairways Accessible Per Story, o4lZ- -VOW
IV
Number of Approved Independent Exitways Per Story .'Ce-OR
Remarks•
Date Certificate Issued Date Certificate Expires
Date Orders Issued Date Orders Complied
Inspector Date
FORM SBCC-1-74
PERIODIC INSPECTION REPORT ,
Instructions : This form is to be completed each time a periodic inspection
is made. At the time that a new certificate is issued , a receipt indicating
that the fee has been paid will be attached to this form or this form will
be stamped "PAID" prior to issuing the certificate . Any changes since the
last inspection are to be added to the file card of the premises . This form
should be filed by street address .
Street and Number T�/P/C'/9CE-
Name of Premises
Certificate to be Issued to 11I�S, F/Pi9�tJ� G,
Address W/6y-/",0 ,P ec--
Owner of Record of Building
Address zalygr 4f zM01-1-07
Purpose for Which Premises Are Used WIIA'_'�;'&IeD 6 E
Use Group Classification of Premises -
Changes Since Last Inspection (Required on File Card)
1 .
2.
3 .
4 .
5 •
6.
Date Order Issued Z/-9
7�
Order Issued To /V
Address /4 1114 z4W,0
Date Violation( s ) Corrected
Remarks owe4,Gno
10-9
�� S'Ti9/SP1'
I have this day inspected the above described premises , and the same conforms
to the pertinent requirements of the Massachusetts State Building Code and
the rules and regulations pursuant thereto .
Date Building Official
Certificate Number
Date Certificate Issued
Date Certificate Expires
Recommended Next Periodic Inspection Date
FORM SBCC-4-74
v
May 160 1975
Mrs. Frank G. Lewis
14 Highland Terrace
North Andover, Mass.
Dear firs. Letts:
The new State Building Co c ive January 10 1975,
makes it mandatory that Day Care ers be' petted and certi—
fied periodically. We are now e , in e"totm of North Andover,
to implement this certificatio gram r Section 108.15 of the
State Code. The certification f .00 and the Certificate of
Use and Occupancy is issued for a "ear period.
The new c is ti rogr 11 be implemented upon the
expiration date of presrmit. There are new regulations
for Day Care Cente s in the new S ate Code; such as, fire detection
systems, boiler ro enclosure ire grading and exits. It would
be tCeY030.11975
9%0
conta his office and make yourself
famian a ns since a new certificate cannot be
issuration til all regulations are complied frith.
ed form must be submitted to this department by
Otto ch is 30 days pr3.or to the expiration date of
your .
Very truly yours,
CHARLES H. FOSTER
BUILDING INSPECTOR
CHF:ad
Enc.
Print
in i..n RFQUEST FOR BUILDING INSPECTION
or tv
j:a _ •
DAY CARE CENTER FOR CHILDREN
eZ�sY93L �. hdQoe� /�ys
Date City or Town Zip Code
r
As required by the tc e c i-
Licensing Agency
I hereby request that a BUILDING INSPECTION to made of my premises. I have filed
ar; application for a LICENSE to conduct a DAY CARE CEN`TIM FOR CHILDREN.
4401
Street Add ess of Premises City or Town Zip Cede
MLS. Lc?wr.
5 ,f���i!'S c'r y
J Si nature of pplicant s Nay e of Corporation
Applicant: Do NOT Write Below This Line
REPORT OF BUILDING INSPECTOR
The following is a report of inspection of the above premises: (please Check)
Premises do not comply with The COMMOMG^Nth of MassachusetL
State Building Code.
Premises do not comply with The Commonwealth of Massachusett,
State Building Code BUT .
days allowed to meet regulations. (List Non-Compliances on
reverse side).
l� I certify that premises comely with The Commonwealth of
Massachusetts State Building Code.
Date City or Town Zip Code's
Signature and Title of In pector
PLEASE RETURN TUIO COMPLETE FOIM.S TO
DAY CARE CENTER AND RETAIN ONE FOR
YOUR FILES