Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 140 WILLOW STREET 4/30/2018 (4)
qtr A 331 Date . i. ..... . NORTH TOWN OF NORTH ANDOVER a? ' 1:10 PERMIT FOR MECHANICAL INSTALLATION r • This certifies that! (7� 1-' L� ' :�. A.. ...... . has permission & m cha f al ri to tat }. in the buildings of..\ .... ; +..... r, .., ...`.. ... . �........ . at .. A.. L^: �` !��'' ..�?�'`.... . , North Andover, Mass. Fee. Lic. No. I() OV� :1. .................... C SI � 2-3* GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer c;� North Andover Application for Standard Permit FP -006 .► Return completed application to: (Rev. 04/12) Permit Number: ` DIG SAFE NUMBER City or Town: North Andover Date: 2/25/2015 start Date: In accordance with the provisions of M.G.L. Chapter 148, as provided in Section application is hereby made by International Signal Inc. / Glen A. Smith 603-893-8803 (Full Name of Person, Firm or Corporation) (Phone Number) of 40 Lowell Rd, Salem NH 03079 (Address: Street or P.O. Box, City or Town, Zip Code) for permission to (state clearly purpose for which permit is requested) AES UL Fire Radio Box to communicate to - UL Listed central station. Name of Competent Oper for (if applicable) Glen A. Smith Cert. No. 90MR ``� :. Date Issued -rejected By �� (Signature of Applicant) Date of expiration Fee Amount Paid .$ --------------------------------------------------=----------------- L J� t2����G��Q w ` ; y 45Y 6 North Andover ., FP -006 (Rev. 04/12) PERMIT City or Town North Andover Date: 2/25/2015 Permit Number (if applicable): DIG SAFE NUMBER Start `Date: In accordance with the provisions of M.G.L. Chapter 148, as provided in this permit is granted to International Signal Inc. / Glen A. Smith (Full Name of Person, Firm or Corporation) for nstall AES Radio Restrictions: at Willow Street Condo Trust, 140 Willow St. North Andover, MA 01845 (Street and # or Describe Location for Adequate Identification) Fee Paid $ This permit will expire on 9 g..-,� Signature of Official Granting Permit: Title - Z t J ��/ -� "rig j No This permit must be conspicuously posted upon the premises Date... ..... . ...... ............ 10574 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies J -e I "'r- as /�< os rtifies that .................................. /9 .&A..^, J--- . ............. I ........... ........... ...... has permission to perform ..."1. 41 ..... -.-10 ............................. plumbing in the buildings f .... ................................................................................... at., ..... /1/0 �Jll 6Z� .............................................................................................. North Andover, Mass. FeoQ6.... Lic. No. A . . ...... ........................................................ PLUMBING INSPECTOR Check II' MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ' CITY e MA DATE ( PERMIT # —16 7 JOBSITE ADDRESS _ OWNER'S NAME W>�&_ POWNER ADDRESS : TEL F 11FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL © RESIDENTIAL PRINT CLEARLY NEW: ] RENOVATION: REPLACEMENT: Ell PLANS SUBMITTED: YES � NOF_I FIXTURES -4 FLOOR-- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOILISAND SYSTEM I j ! _ 1 _ 4MT .__. _1 �) 1��j DEDICATED GREASE SYSTEM , DEDICATED GRAY WATER SYSTEM ( DEDICATED WATER RECYCLE SYSTEM 1 } _._..__I ( _..__� _-I f I __.._I _} ._ _._._( € _I DISHWASHER DRINKING FOUNTAIN _f _.__.._1 .__.._ l ._�.._} f .__--! I ___-__i FOOD DISPOSER FLOOR/ AREA DRAIN _1 } ! __J INTERCEPTOR (INTERIOR) i �._.! f #% i ! -_ (� ! f .._.___._.1 ..._-__..i i .__.._._.._i KITCHEN SINK LAVATORY --! -.___} _____..l ___ 1 __.___4 ..___._1 ___f R I - ROOF DRAIN SHOWER STALL SERVICE / MOP SINK TOILET �! __.._ . ! _! I . _I __ I URINAL 'WASHING MACHINE CONNECTION I+WATFR HFATPP AI I TVPFC a- WATER • �j1✓��i��,�l!(1���'l��l�+.t���1_--���7�(1���j�[1�����jLs=-�-al�!��1-�� 1L�4.11 1�]!__�91FI�JiI�^'^511 '�7GMFM-IC�fI'. F= -F ll�ll}�R� F�� INSURANCE COVERAGE:in 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES [Y"'NO Q O IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW 31N LIABILITY INSURANCE POLICY [Ee"' OTHER TYPE OF INDEMNITY i BOND [�} OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER Q AGENT �i SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate the best of y knowledge and that all plumbing work and installations performed under the permit issued for this application will be in complia with all ertinent pr ion oaf the (Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME ^� ` _ LICENSE # . 2% SIGNATURE g MP 2"" JP n CORPORATION O#PARTNERSHIPD# ; LLCF. COMPANY NAME � #� 'F ft ;ADDRESS CITY �(� _� STATEZIPj�, ����� TEL FAX CELL EMAIL E e, �r��; 6 '- __. __i o rl z N ❑ Oj w LL R J r. The Commonwealth ofMassachusetts - Department of IndustriglAcclilents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le;;ibly Name (Business/Organization/Individual): J Address:S/ 7 City/State/Zip: �-c/� 0220-5 Phone #: ,61/ 7 Are you an employer? Check the appropriate box: - Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction �nployees(fulland/orpart-time).` haveliiredthesub-contractors listed on the attached sheet. �• E] Remodeling 2. [01 am a sole proprietor or partner- ship and'have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance, g, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions required.] 3. ❑ I am a homeowner doing all work officers have exercised their right of exemption per MGL 11.[] Plumbing repairs or additions myself. [No workers' comp. c. 152, § 1(4), and we have no 12• ❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] 'Any applicant that checks box#f must also fill out the section below showingtheir workers' compensation policy information. I Homeowners who submit this affidavit indicating they Lire doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. lam an employer that is providing workers' compensation insurance for my employees. Below is the policy and joh site information. Insurance Company Policy # or Self -ins. Lie. #: Expiration Date: Job Site Address: / d Wl Z L'4( l T /y' A mac/ ,43tate/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOR WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of 'Investigations of the DIA for insurance coverage verification. I do hereby certify under t)e pains7d penal(i� ofperjury that the information provided above is true and correct. Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. CitylTown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other - - Contact Person: Phone Information and Instruction' -s Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, - express or implied, oral or. written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employes." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced -acceptable evidence of compliance with the insurance coverage required" Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any ofits political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone numbers) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LL C or LLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only -'submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)" A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or' -permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: Tho Gommoawoalt� of Ma sso r j?u ntts Department ofladusWal Accidents Office ofIavestigations 600 WashiVoa Street Boston} MA. 021 11, Tel, # 617-727-4900 oxt 406 or 1-877MMA.SSAFE Revised 5-26-05 Fax # 61.7-727-7749 w _marc am.&Rn i - PLUMBERS G:ASf North Andover Board of Assessors Public Access Parcel ID: 210/098.D-0052-0000.0 Community: North Andover PHOTO Click on Photo to Enlarge Er 140 L-A WILLOW STREET Location: 140L -A WILLOW STREET Owner Name: DROSTE VINEYARD, LLC Owner Address: 140 WILLOW STREET City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood: 33 - 3 Land Area: 2.01 acres Use Code: 340 - GEN -OFFICE Total Finished Area: 7320 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 1,008,300 1,008,300 Building Value: 614,300 614,300 Land Value. 394,000 394,000 Market Land Value: 394,000 Chapter Land Value: LATEST SALE Sale Price: 1,025,936 Sale Date: 05/01/2001 Arms Length Sale Code: Y -YES -VALID Grantor: DOGLEG REALTY Cert Doc: Book: 06129 Page: 0133 http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3&Linkld=807496 Page 1 of 1 3/24/2006 Date. .6b0z., 9440 TOWN OF NORTH ANDOVER 3j .� r '•..'. 0 PERMIT FOR PLUMBING SSAGMUS� �..;.a 4: This certifies that t�-7` G. . . has permission to perform . ""I jp—. �'-{. �.t�-.... . plumbing in the buildings of .... .. . at ..��. �..� (0�.►q�-?C..—?! . j. , No h dov ass. Fee .N. .. Lie. No.. l .1 tl.�/� ..� /Gl���. � .... PLUMBING INSPECTOR Check # FIXTURFS MASSACHUSETTS UNIFORM APPLICATION FOR PERMITTO DO PLUMBING CRy/Town:__/�d�!V " . MA. Date: Permit# Building Location• 141IZC410 Owners Name:Cy,�j✓10 Type of Occupancy: Commercial G?( Educational ❑ industrial ❑ Institutional ❑ Residential New: Alteration: Renovation:R lacement: Plans Submitted: Yeso No FIXTURFS INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes ("No ❑ If you have checked Yes. please indl the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity ❑ Etond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General taws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ i nereoy cermy max au or me oemus ana mromamon r nave sutunmea (or enteeM regarding this application are true and accurate to the beat of my Knowledge and that all Plumbing work and installations performed under the pemdt issued for this application will be in canpliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of UmAeneral Laws. . By Type of License: Tft lumber Signature of L.ic sed Plumber - ITewn ra�M�ter eorinvcn rnFrrr-a i OF nen v1 Ojoumeyman License Number. O - l MMMMMMMMMMMMMMMMMMMMMMMMMMWMM ..� 5mmmmmmmmmmmmmmmmmmmmmmmmmmmm MMMMMMMMMMMMMMMMMMMMMMMMMMMMM Check One Only ( N' f' Installing Company Name.,-�4A/e—A&A' / �� ter!, i J /• i/ L &M BuslnessTel:&.2011"T-15— ■ Partnership Name of Ucensed Plumber. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes ("No ❑ If you have checked Yes. please indl the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity ❑ Etond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General taws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ i nereoy cermy max au or me oemus ana mromamon r nave sutunmea (or enteeM regarding this application are true and accurate to the beat of my Knowledge and that all Plumbing work and installations performed under the pemdt issued for this application will be in canpliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of UmAeneral Laws. . By Type of License: Tft lumber Signature of L.ic sed Plumber - ITewn ra�M�ter eorinvcn rnFrrr-a i OF nen v1 Ojoumeyman License Number. The Commonwealth of Massachusetts Department of Industrial Accidents i_i _ •1 . t'� ; Office of Investigations 600 Washington Street Boston, NIA 02.111 ' ------ ltrwminass.gov/dta Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):j r Ql� 1¢ /�%�j/l/� E�/ pf/(�� . �L 1 Address: city/state/zip:, Phone M Are you an employer? Check the appropriate box: 1. [i�I am a employer with/101 4• ❑ 1 am a general contractor and 1 Type of project (required): employees (full and/or part-time).* have hired the sub -contractors 6. New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub -contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [Na workers' comp. insurance required.] camp. insurance.$ 5. E] We are a corporation and its 10.❑ :Electrical repairs or additions 3. ❑ I am a homeowner doing all work i officers have exercised their 11. ��1/ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MCL 12.❑ Roof repairs insurance required.] t c. 1.52, § 1(4), and we have no 13.0 Other employees. [No workers' comp. insurance reauired.l •Ally applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and stale whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I aur an employer tlrnt is provrrlurg )Poi -kers' colltpetrsatiolr rrrsrtr•arrce for nq, employees. Belo) is the policy and job site information. _ Insurance Company Name: Policy # or Self -ins. Lie. #:O J Expiration Date: Job Site Address: ZJId /Z /// Z. eg%— City/State/Zip: arJF� Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties ora fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify turd the pains and penalties of peljrrr 1 that the information proidded above is true and correct. Sienature:4'aC_— Date: Phone Official use only. Do not write in this area, to be completed by city or town official. City or Town: Issuing Authority (circle one): 1. Board of Health 2. Building Department 6. Other Permit/License # City/Town Cleric 4. Electrical Inspector 5. Plumbing Inspector Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth, for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions sliatl enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s)-along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. if an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign a.nd date the affidavit. The affidavit should be returned to die city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding time law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bur leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406:or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia Date .. . . <g Tot :" {TOWN OF NORTH ANDOVER ° PERMIT FOR PLUMBING ,SSACMUS� f This certifies that has permission to perform ....................... plumbing in the buildings of .. .Cry . -� at .l North Andover, Mass. u 1 BING INSPECTOR Check 8193 v 'MASSACHUSETTS. UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) rr��11 n N �+r1 t1N�J+oU�r Mass.- Date $l I "1...�, Permit 2 Building Locatlon 14Q kph 1 t j 1 A) at Owner's Name C7S E (h)S aR 81\5! S 1h)C Type of occupancy i ~y New ❑ Renovation 13 Replacement C3 Plans Submitted: Yes 13 No M FIXTURES H Installing Company Narr %bna SF Business T.eleohone o D a Name of Ucensed Plumber NC. Check one:. ffoborporatlo'n ❑ Partnership ❑ hrm/Co.` Certificate 5 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142: Yes ilk No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 1&0"" Other type of Indemnity ❑ _ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's !Went Owner ❑ Agent ❑ I hereby certify that all of the details and information I knowledge and that all plumbing work and installation pertinent provisions of the Massachusetts State Plumt IBy- rue entered) in above application are true and accurate to the best of my the pe issued for this application will be in compliance with all ter 14f the General Laws. CitylToCity/TownType of License: (,Raster gJ01 v Journeyman ❑ (D I NL License Number 2 y t y y y Z�L O z yhK= ot Z y < Jhm Z O W W ZW m V W yx y o�a¢�d W W r<hyE a4j mo O Q O Z W hW hW z .. 2e IL C W ) n y '2 O y Z = _. W <> O V S S < y ,p o<0 GA SUB—BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Narr %bna SF Business T.eleohone o D a Name of Ucensed Plumber NC. Check one:. ffoborporatlo'n ❑ Partnership ❑ hrm/Co.` Certificate 5 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142: Yes ilk No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 1&0"" Other type of Indemnity ❑ _ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's !Went Owner ❑ Agent ❑ I hereby certify that all of the details and information I knowledge and that all plumbing work and installation pertinent provisions of the Massachusetts State Plumt IBy- rue entered) in above application are true and accurate to the best of my the pe issued for this application will be in compliance with all ter 14f the General Laws. CitylToCity/TownType of License: (,Raster gJ01 v Journeyman ❑ (D I NL License Number m i IN 0 Ca Ld 0 ca X 0 0 0 as C U U W 0 Ca Ld 0 Date...' .'.a. ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ................( has permission to perform....... 1.1...........................1.................................... wiring in the building of' at .. /1.......... ��:.- ...... ��::' .:......-.................. .... . North Andover, Mass. c' �� j� Fee/c;S ......... Lic. No. l�� �r�'�.. ... .. ..... ELEcrwcnLINSPE Check # 7624 Commonwealth of Massachusetts Official Use Only Department of Fire Services Pernut No. IVOccupancy and Fee Checked /Aj-. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: q- 7 - a 7 City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) %yam ce"7, 56,, Owner or Tenant u i, b! 'o —7j eZ:b Lg�,cA,, Telephone No. Owner's Address „1..r Is this permit in conjunction with a building permit? Yes EJ— No ❑ (Check Appropriate Boz) Purpose of Building [ter! r c v, S Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: No, of Meters No. of Meters No. of Recessed Luminaires —no, ,,,c 0110 w,n No. of Ceil: Susp. (Paddle) Fans cao,e may oe waived by the Inspector of wires. No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires 3 Swimming Pool Above—,No. In- ❑ rnd. rnd. o. o mergency ig g Batteg Units No. of Receptacle Outlets /02 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. Tonsl No. of Alerting Devices No. of Waste Disposers eat Pump Totals: Number -.. Tons "' ' No. of self -Contained Detection/Alerting Devices No. of Dishwashers S ace/Area Heating p g KW Municipal Local ❑ Connection ❑ Other No. of Dryers No. of Water Heaters KW Heating Appliances, No. of No. of Sips Ballasts . Security Systems:* No. of Devices or E uivalent Data Wiring: No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of wires. Estimated Value of Electrical Work: a ;� ao , 00 (When required by municipal policy.) Work to Start: Cr _ 2 .,v Z— Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: LIC. NO.: Licensee: 1fiitCe+y t kogpo 1, Signature LIC. NO.: /yGb i (Ifapplicable, enter "exempt" in the license number line.) Bus. Tel. No..• Address: �y/ /i'e , ,o // Alt. Tel. No.: 92 / IF *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent _ Signature Telephone No. PERMIT FEE: $ _ f 11 F` 1 r j(ti i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, M4 02111 r -1 www.nxass.gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Natne (Business/OrganizatioMndividual):_ Address: City/,State/Zip: y'V t Phone #:. 9 9S %S/ Are you an employer? Check the appropriate box: I. 131 am a employer with 4. ❑ l am a general contractor and L Type of project (required): ret ): _� employees (full and/or part-time).* have hired the sub -contractors 6. ❑ Naw construction 2. ❑ I am a sole proprietor or partner= listed on the.attached sheet. x . 7• ❑ Remodeling ship and have no employees These suit -contractors have S. ❑ Demolition working for me .in any capacity, [No workers' camp. insurance workers' comp. insurance. 5. ❑ We are a corporation and its g, ❑ Building addition required.] officers have exercised their 10 ❑ Electrical repairs or additions 3. ❑ I am a homeowner doing all work right of exemption per MGL 1 I.❑ Plumbing repairs or additions myself. [No•workers' comp, c. 1.52, § 1(4),' and we have no 12.[] Roof repairs insurance required.] t employees. [No workers' 11❑ Other comp. insurance required_] *Any applicant that checks botf # 1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside eonuRdors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am.an employer that is.providing:workers'.cornpensation insurance for my employees: Below is the policy and job site information. Insurance Company Name:_/ Policy # or Self -ins. Lic. 7 Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date Failure to secure coverage as required under Section 25A of MGL e. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment; as well as civil penalties in the: form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Phone Of ficial use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person Phone #: TOWN OF p PERMIT Date. PTH ANDOVER R PLUMBING This certifies that ...S ?.. ... 617.- .`.l ....................... has permission to perform .. ;A1. ................. plumbing in the buildings of .. /%.L- c FA z 1 .A�z �4 51 C.I (< !� f at .. /0.. :-( .4.4f L-` .:G�....... , North Andover, Mass. Fee. SU.J-- ... Lic. No /? !C� .. ....... !-...�L . ........ r` PLUMBING INSPECTOR Check # q3-)- 3 7487 rt MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) 'NORTH ANDOVER, MASSACHUSETTS Building New [:] Renovation [:] Replacement FIXTURES (Print or type) Installing Company Name�(� Date q 16 /0--? Permit #7 Ct 17 Amount 3'b ' Plans Submitted Yes 1_I No Check one: Certificate Corp. Partner. D-F�Co. Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy O" Other type of indemnity 1-1 Bond 11 Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above threeinsurance Signature Owner Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mas husetts State :1tjqhg Code and Chapter 14 of the General Laws. BY Signaui or Eicensed Flun Type of Plumbing Li TitleCily j , City/Town Mcense Numoer APPROVED (OFFICE USE ONLY cense Master E Journeyman 11 0 • S•� w C � - C O O ` C H O_ C cc O. v n C A A LU ® C • � w p a) p p d co, a Q E c Q = * Q: : scm �mm y O Of O m a 7; C y R E m CLC-.) ® o � :tom o p,Ct 0 V �yO '5; Z ' � C � O L a � ym� :n W C � '0 = uj O = •N nO C M.E y '0 .y CO)cm C.3 a 4DCL n op o6 = A J2 ` N O f- s $ n $ m O z 0 O P-4 z V J t3 W W W w ,, V♦ 0 O W p� da (U � ov w w Cf) C/)w GO A � o o w :c u a x w a w Cd G x a U w W u: Cd C Via. O H d o C4 co a u. w A w E z A ,; o 0 C/ C � - C O O ` C H O_ C cc O. v n C A A LU ® C • � w p a) p p d co, a Q E c Q = * Q: : scm �mm y O Of O m a 7; C y R E m CLC-.) ® o � :tom o p,Ct 0 V �yO '5; Z ' � C � O L a � ym� :n W C � '0 = uj O = •N nO C M.E y '0 .y CO)cm C.3 a 4DCL n op o6 = A J2 ` N O f- s $ n $ m O z 0 O P-4 z V J t3 W W W w ,, V♦ 0 y U E� 0 V � Z w EAw w � 0 C � a 0 -• 0 trn to 0 ca 2 ° t 4 o s� v p z u 14w rte^ p eel d � r+ ® tv tu 0 y U 0 V � Z w EAw 'LAW OFFICES OF JAMES M. BOLTON 25 BURLINGTON MALL ROAD, SUITE 300 BURLINGTON, MASSACHUSETTS 01803 TELEPHONE: 781-270-7440 FAX: 781-272-3706 July 3, 2006 CERTIFIED MAIL NO. 7003 3110 0005 2011 2958 RETURN RECEIPT REQUESTED Christin O'Brien, President C/O Offspring Future, Inc. P.O. Box 805 Kingston, N.H. 03848 RE: Out Country Preschool Inc Dear Ms. O'Brien: 221 HAMPSHIRE STREET METHUEN, MASSACHUSETTS 01844 TELEPHONE: 978-691-5656 FAX: 978-691-5450 E-MAIL: jmb@boltonlaw.net As you know, I represent Out Country Preschool, Inc. and its President, Georgina Mitchell. L I am writing to remind and otherwise notify you that the Special Permit that issued from the North Andover Zoning Board of Appeals (i.e., Petition No. 2005-039) that allowed for the establishment of a Day Care Center on the premises of 140 Willow Street, North Andover, MA, was issued in the name of my client. As you know, my client elected not to move her business to 140 Willow Street, North Andover, and consequently, the above - referenced Special Permit is, at this time, of no effect. Should you elect, individually or otherwise, to establish a Day Care Center at the premises of 140 Willow Street, North Andover, it will be incumbent upon you to apply for and obtain your own Special Permit for that purpose from the North Andover Zoning Board of Appeals. Thank you for your attention to this matter. Very truly yours, James M. Bolton JMB/psl CC: To of North Andover Mice of Zoning Board of Appeals 1 ATTN: Gerald A. Brown, Ins p dtor of Buildin s Office of Child Care Se Ices ATTN: M. J. Byrnes Out Country Preschool, Inc. - ATTN: Georgina A. Mitchell, President j BOARD ()i" %.PP�ALS LICENSED IN MASSACHUSETTS AND NEW HAMPSHIRE Town of North Andover Building Department 400 Osgood Street North Andover Ma 01845 1V V1 U1 Ly1R1V vvi a 1viabbd4,11UJGLLJ V10-0 (978) 688-9545 Fax (978) 688-9542 tkORTH 1 O f' ti y_ c«wc«ew,cw APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION a ADDRESS � �� 3 I�i� AN, QQc)Ee__ LOT NUMBER 9 !�- D 15a SUBDIVISION DATE REQUEST FILED 4-/+o DATE READY FOR INSPECTION TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE Y ROUTING D.P.W. - WATER METER D.P.W. MUST INDICATE THAT THE WATER METIER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE / DPW AUTHORIZATION r, a Gerald A. Brown Inspector of Buildings Town of North Andover Town Qerk Time Stamp Office of the Zoning Board of Appeals Community Development and Services Divisio , j -1 p. O 400 Osgood Street 0; �I C' -!RK S OFFICE North Andover, Massachusetts 01845 20 Telephone (978) 688-9541 Fax (978) 688-9542 Qb FEB 15 AN IQ: 22 A To:: This is to certify that twenty (20) days Any appeal Shall filed have elapsed from date of decision, filed Notice Decision without filingofa peal. (20) days after the date of filing Year 2006 Date e / 20t/' of this notice in the office of the Joyce A. Bradshaw Town Clerk, per Mass. Gen. L. ch. Town 010 4oA, §17 Proat: 140 willow Street NAME: Georgina A. Mitchell, President, Out HEARING(S): January 10, 2006 Country Preschool, 95 Candlestick Road ADDRESS: for premises at: 140 Willow Street PETTTTON: 2005439 North Andover, MA 01845 TYPING DATE: January 20, 2006 The North Andover Board of Appeals held a public hearing at its regular meeting in the Town Hall top floor meeting room, 120 Main Street, North Andover, MA on Tuesday, January 10, 2006 at 7:30 PM upon the application of Georgina A. Mitchell, President, Out Country Preschool, 95 Candlestick Road, for premises at: 140 Willow Street (Map 98.D .., Parcel 52) requesting a Special Permit from Section 4, Paragraph 4.132.16 of the Zoning Bylaw in order to establish 4 Day Care Center in the Industrial 1 Zoning District. Said premises affected is property with frontage on the:Southwest side of Willow Street within the I-1 zoning district. Legal notices were sent to all names on the abutter's lists deemed by the Assessor's Office of North Andover to be affected, and were published in the Eagle -Tribune, a newspaper of . general circulation in the Town of North Andover, on December 26, 2005 & January 2, 2006. The following voting members were present: Ellen P. McIntyre' Richard J. Byers, Albert P. Mi, III, Manzi, Thomas D. I lito and Richard chard M VailIancourt. The following non-voting member was presets: Daniel S. Braese. Upon a motion by Richard J. Byers and 2°d by Richard M Vwflanwurt, the Board voted to GRANT a Specihl', Permit ' from Section 4, Paragraph 4.132.16 of the Zoning Bylaw in order to allow a Day Cane Center,, the Out Country Preschool, to be established in the Industrial -1 Zoning District per: a1e 140 Willow Street,(map 98.1) Parcel 52), North Andover, MA 10845 Site Plan Title: Plan of Land, Assessor's Map 98D – Lot 52, 140 Willow Street (Lot #9 North Andover, Massachusetts 01845, prepared for out Country presch Georgina A Mitchell, Pres., 95 Candlestick Road, North Andover, MA 01845 Date (& Revised Dates): Date: December 16, 2005; signed 12/14/05 Land Surveyor Christopher Francher, P.L.S. #36116, NW Design Consultants, Inc 103 Stiles Road, Suite one, Salem, N.I.03079 no. 1 -of 1, Project no. 1 With the following condition: 1. The applicant shall submit floor plans for the Out Country Preschool tacility at 140 Willow Street stamped by a Registered Architect. Voting in favor. Ellen P. McIntyre, Richard J. Byers, rn T. om—as D. Ippolito, and Richard r& Vaillancourt. ' :\TTEST: Pagel of 2 A True Copy 61 (44ta� Town Clerk Board of Appeals 978- 688-9541 Building 978-688-9545 Conservation 978-688-953o Health 978-688-9540 Planning 978-688-9535 g sz • i 5l € Town of North Andover Town Clerk Time Stamp t+ ~' Office of the Zoning Board of Appeals Community Development and Services Division RECEIVED •- ,% ' TOWN CLERKS OFFICE 400 Osgood Street North Andover, Massachusetts 01845 2006 FEB 15 AN 10: 23 Gerald A. Brown Telephone (978) 688-9541 Inspector of Buildings Fax (978) 688-9542 �- NORTH 1 �; �!l►'; I'IASSAC:'�:'.;c The Board finds that the applicant has satisfied the provisions of Section 9, Paragraph 9.1 of the zoning bylaw and that granting a Special Permit from 4.132.16 of the Zoning Bylaw for a Day Care Center at 140 Willow Street will not adversely affect the neighborhood nor will this use be a nuisance or serious hazard to vehicles or pedestrians. The Board finds that 140 Willow Street is an appropriate location for a Day Care Center. The Board finds that adequate and appropriate facilities are required for the proper operation of Day Care Centers by the Commonwealth of Massachusetts. The Board finds that this use is in harmony with the general purpose and intent of 4.132.16 and that this change, _ extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. Note: The granting of the Variance and/or Special Permit as requested by the applicant does not necessarily ensure the granting of a building permit as the applicant must abide by all applicable local, state, and federal building codes and regulations, prior to the issuance of a building permit as required by the Building Commissioner. Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, it shall lapse, and may be reestablished only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two (2) year period from the date on which the Spacial Permit was granted unless substantial use or constriction has commenced, it shall lapse and may be re- established only after notice, and a new hearing. Town of North Andover Board of Appeals, -&-" � x fk Ellen P. McIntyre, chair Decision 2005-039. M98.DP52. Page 2 of 2 Board of Appeals 978- 688-9541 Building 978-688-9545 Conservation 978.688-9530 health 978-688-9540 Planning 978-688-9535 444 .k 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 local or state law, regulations or requirements. ****************Applicant fills out this seecct�ion**************-**** APPLICANT: 2>2 72'VAI / SLC Phone/--&dv LOCATION: Assessor's Map Number g Parcel y ?� G !Subdivision Lot(s) Street C!%Gt ` // t , / `� / St. Number ************************Official Use Only************************ REDAT14NS TOWN AGENTS: A r- r^ S� Date Approved lo i� oo ConservationAdministrato Date Rejected comments V15 ti (--e- Lv� S rr L `T"v 7„ N Town (Planner Comments Date Approved Date Rejected /V��9 Date Approved Food Inspector -Health Date Rejected Z /A Date Approved Septic Inspector -Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector ffll,%Mal Nnv Date elapsed from date of filed JiA fifing of er1 Date Jlcy w -A. kh—W . H°RT" N A « '�/, °rano ✓�t� JSACHUSt 1.3 R � JOYCE �Y TOWS! NORTH ,ENDO; ER NORTH ANDOVER JUL 2 22 PH 199 OFFICE OF THE ZONING BOARD OF APPEALS 27 CHARLES STREET NORTH ANDOVER, MASSACHIJSETTS 01845 Any appeal shall be filed within (20) days after the date of filing of this notice in the office of the Town Clerk. NAME: Dutton & Garfield, Inc., 70 Flagship ADDRESS: for premises: Lot #9, Willow St. NOTICE OF DECISION Property at: Lot #9, Willow St. Drive I DATE: 6/29/99 PETITION:014-99 FAX (978) 688-95.32 I North Andover, MA 01845 HEARING: 6/22/99 The Board of Appeals held a regular meeting on Tuesday evening, June 22, 1999 upon the application of Dutton & Garfield, Inc. 70 Flagship Drive, for premises at: Lot #9, Willow St., North Andover, requesting a Variance from the requirements of Section 7, P7.3 for relief of front setback, of Table 2, in order to develop said lot in order to construct a proposed 2 story office building. The building portion of the lot is significantly reduced due to the presence of wetlands at the rear of the property. The location of the building is further constrained by the 'no build" setback per the North Andover wetlands bylaw. The property is location in the 1-1 Zoning District The following members were present: William J. Sullivan, Walter F. Soule, Raymond Vivenzio, Robert Ford and Scott Karpinski. The hearing was advertised in the Lawrence Tribune on 5/25/99 & 6/1/99 and all abutters were notified by regular mail. No persons appeared in opposition to the petition. Upon a motion made by Raymond Vivenzio and 2nd by Robert Ford, the Board voted to GRANT a Variance from the requirements of Section 7, P7.3 for relief of a front setback of 30' on the following conditions: that the applicant has the approval of the Conservation Commission of the project as shown on the Plan of Land by Frank Monteiro, Professional Engineer, #36341, dated April 28, 1999, and that the ridge of wetland is delineated clearly on the Plan of Land dated April 28, 1999 and that the non -disturbance and non -buildable portion on this plan is in agreement by the Conservation Commission. Voting in favor. William J. Sullivan, Walter F. Soule, Raymond Vivenzio, Robert Ford, Scott Karpinski. z u Variance JLI" �7 '%u o: ,., The Board finds that the petitioner has satisfied the provisions of Section 10, paragraph 10.4 of the Zoning Bylaw and that the granting of these variances will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. 10.4 Variances and Appeals The Zoning Board of Appeals shall have power upon appeal to grant variances from the terms of this Zoning Bylaw where the Board finds that owing to circumstances relating to soil conditions, shape, or typography of the land or structure and especially y affecting such land or structures but not affecting generally the zoning district in general, a literal enforcement of the provisions of y this Bylaw will involve substantial hardship, financial or otherwise, to the petitioner or applicant, and that desirable relief may be X granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose 0 of this Bylaw. By order of the Board of Appeals C7 William J. Sull an, Chairman 0 Zoning Board f Appeals MV1999decision/17 0 I3ti:�ltll Of Al'PE::�LS 688-9511 BUILL)I\GS 658-9545 CONSERVATION 688-9530 HEALTH 68S-9540 NL:aN'MNG WX-951 The Commonwealth of Massachusetts Department of Industrial Accidents Rffcv dlomLfffiU/Os 600 Washington Street Boston, glass. 02111 Workers' Compensation Insurance Affidavit name: Dutton & Garfield, Inc. location: 54 Beechwood Drive insurance Co.:.... ..:: . .. ...-- .. .I�IICK ri---..... - - aana ee nccnsary Failure to secure coverage as required under Section SA of 1IGL 15-1 can lead to the imposition of criminal penalties of a fine up to 51500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the DLA for coverage verification. ! do hereby certify under the pains and penalties of perjury that the injornzxdon provided above is true and correct October 3, 2000 Print name Jane I. Armstrong Phone;€ ( 978) 681-8600 official use only do not write in this area to be completed by city or taws odiicW city or town: permit/ticease r^Building Department OLicensing Board check if immediate response is required ❑Selectmen's Office C)Health Department contact person: phone ie; rjOther (revised TRS PJA) FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval /permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. ....................................... APPLICANT Z>,V o H V /S':Q r— �, e - � C ^PHONE 6,o l -- iO&c o ASSESSORS M.AP NUMBER �9 D LOT NUMBER SUBDIVISION .atAX114 LOT NUMBER 5z 0 STREET ���/d �/ s7` STREET NUMBER OFFICIAL USE ONLY RE ATIONS OF TOWN AGENTS go■■■ ■ ■■•■■..■.■.■■.■.■■..■■■...■■..■...■■.-■.■■.........■■.g�...■...■■ DATE APPROVED (1-1 I V CONSERVATION ADMINISTRATOR DATE REJECTED COMME]NT3 COMMENTS 1111.4 ;S/44 4 d6 H FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR - HEAL CONM ENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS W11M CON5&-NTS DATE APPROVED E DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED I,, DATE REJECTED RECEIVED BY BUILDING INSPECTOR -2�,--6r, � fiC' i ✓i"iTYL".�7ti!�'�'Cil� O-����:�GT9�...b.�c'�+%.�i BOARD OF BUILDING REGULATIONS Incense: CONSTRUCTION SUPERVISOR Number: CS 029376 r Birthdate: 02/28/1953 Expires: 02/28/2002 Tr. no: 15184 Restricted To: 00 STEPHEN E FOSTER 48 MEADOW LN N ANDOVER, MA 01845 Administrator TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 J.WILLIAM HMURCIAK, P.E. DIRECTOR ED., DRIVEWAY PERMIT DATE LOCATION 46 BUILDER hone OWNER :/P u l�v� G��r^� hone THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET., CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Telephone (978) 685-0950 Fax (978) 688-9573 c4 0 O ' O O L4 4 p Qom_ wo a' FM w o ol mom: ar mb: c a um O w a M Q um fD �aj Ol�: c o c 3 o '3c: 4ry O 3 Leo T c o'u Ln C. Q ' F, co v 'r1c ��"F� aTn c 0 vs a c a c y � o x�c.�no aj �v Ei •~ca m av W cH U O moc Q 'c N U- cn a a 4) i "Maw..& LU a N ` Z o� o a c -f..� �� g0 m 2 Z o a in z o '� > m VV Q 1 O rA cd 15 x w d1� '' C/') GO m ' C U ci C w 04 a °�° n°' w WE P-4 U w W °�° C2 cx w aw, v� .� °�° w4' �, w w A a w � CO ° z cn v cn i7- 2 O CD O E Cl) Z O v y y .E L O c Q Q ca Q - CO) ii O^ u I. .y C O Q C !O CA r�l 0 CLI) 3� Q Q Q Q. Q C -0C C JO 'O O CO Z ts Q Q. CA Lij _0 Cn LLJ U) Irw w crW w CO • a O -- N o q E Cow' — CO yI C cc C E CO) O �A: m o av � m N p C m CO3 a a O y O c O 2 ~ m y0„ N O o O r r .y Mo F' V g � c b- Z CD Q0,0 0v.� O m a o COD _ 2 o- a o = O .-aim i7- 2 O CD O E Cl) Z O v y y .E L O c Q Q ca Q - CO) ii O^ u I. .y C O Q C !O CA r�l 0 CLI) 3� Q Q Q Q. Q C -0C C JO 'O O CO Z ts Q Q. CA Lij _0 Cn LLJ U) Irw w crW w CO Location No. '� Date 4 roRTh TOWN OF NORTH ANDOVER 3? .O� f 9 Certificate of Occupancy $ Building/Frame Permit Fee $ `5 Foundation Permit Fee $ Other Permit Fee $ c Vic' L� TOTAL $ Check # 15041 Building Inspec�10r' 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 ..,. ,s 'o'd'his Section for Official Use Only `� .. . k BUILDING PERMIT NUMBER: / DATE ISSUED: �y /� /..- SIGNATURE: ,� Building Commissioner/Inspector of Buildings Date SEGQI� 1.1 Property ly Address: 1-40 V V 1 L -L -u /,/ 1.2 Assessors Map and Parcel Number. r. C Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area Fronts ft 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal On Site Disposal System ❑ 2.1 Owner of Record —�IZ!5' " 44-C M19 Name (Print) Address for Service : a q 7th -6S6 -, 7 IJ raa-- 9)oc-GJ06 -6766 Signature Telephone 2.2 Authorized Agent I L-r-�, a(Z-T' Name P 'ot Address for Service: tgnature Telephone Y 3.1 Licensed Construction Supervisor G I L-1- r, --T-, r- -n-'+� esoi\j Not Applicable ❑ Gs OS4 -q Address 1 5 W -ttemc�,re -Tr W^Vz' plat M License Number 2 oz— Expiration bate Lice Construct Su sor: 7V ( �42 Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name.. Registration Number Address Expiration Date Signature Telephone L v n M SECTIQN 4 '4V#�1fiC) 111�N (l t_.. Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. - Signed affidavit Attached Yea ...... No ....... ❑ SECT 1fON 5-"R(DSQl�te1>l� Ili+i,tl3 CliSTtt"`CNlC`fll�t Iit� p5`Ti3 5.1 Registered Architect: ! + 1 1 Name: Address 1 '..Signature Telephone �.21Rrs�ed Ptr�►fess�at�a� �?t�E��" �t � �; q kl ^ Area of Responsibility Name: - Registration Number Address: Expiration Date - ' Signature -Total Not applicable ❑ Name: Registration Number Expiration Date Address _ , .. Signature Telephone Area of Responsibility' - - -- - - Name • .y •� Registration Number Expiration Date Address Signature Telephone Area of Responsibility Name t/' 1 Registration Number Expiration Date Address Signature Telephone LD-Fo PND P ` ;F2S O N :�— C ' Not Applicable ❑ Coy Name: 71 L�Gz-',C? M16--- ''H 6S 0 �1 Responsible in Charge of Construction 5�+� ... ,�7�It1f��►1�. � 1�'��� .�!''+b>. �?t all,at'ivlar�l��Y'�. . New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) —[-Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Com S�`'(LIX�Tt c7 N Off" i NT'�rZi O P1 �a Ill -!'�(�11�C-� VJAJ -�.S t OR l�S� f�zS �rr•,�L c�'� �� . P.u� �.ssc�u�T-� ��,,� r��3� �U a��� f,'i�2��,y�x� n T5 19yS"TALL03> CL -D �1V C� Tb ❑ BUILDING AREA, EXISTING if applicable) PROPOSED Number of Floors or Stories Include ' Basement levels Floor Area per Floor s Total Area s Total Heisht (ft) Jndependent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT XII, u�l c )—kc Owner of the subject property Hereby authorize �7 �i %%i q h '`j e Sy n to act on My behalf, in all matters relative two work authorized by this building permit application 9-y Signature of Owner Date s USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 0 A4 ❑ A-2 A-5 0 A-3 ❑ ❑ IA IB ❑ ❑ B Business 2A 2B 2C ❑ ❑ ❑ C Educational ❑ F Factory ❑ ' F-1 ❑ F-2 0 H High Hazard ❑ 3A 3B ❑ ❑ IInstitutional ❑ I-1 ❑ I-2 ❑ I-3 ❑ M Mercantile p 4 0 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: BUILDING AREA, EXISTING if applicable) PROPOSED Number of Floors or Stories Include ' Basement levels Floor Area per Floor s Total Area s Total Heisht (ft) Jndependent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT XII, u�l c )—kc Owner of the subject property Hereby authorize �7 �i %%i q h '`j e Sy n to act on My behalf, in all matters relative two work authorized by this building permit application 9-y Signature of Owner Date s N-eSot'j 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 Print Name Signature of Owner/Agent Date Item Estimated Cost (Dollars) to ber� Completed by applicant permit 1. Building(a) Building Permit Fee X i 'p Multiplier 2 Electrical Q� (b) Estimated Total Cost of �Q � Construction from (6) Owl 3 Plumbing i 3 Z D O Building Permit fee (a) x (b) s 7 4 Mechanical (HVAC) 5 Fire Protection ,3 oo 6 Total (1+2+3+4+5) 2— co Check Number } t{a S, A.//4.. bT.t, Rk �� x .!C'fsS " X i} i�..G G„ 4fi 4 1£yr5e},.✓1f-�' i' t 7`1.:..." F - h !vro5Y J ..>.: j^..2 Pamfi' iF� �;. Af,3 c aL'{i 4t H 1 ;. ."' 4a a F4 1 t+� IN, i- "AS R=1�`5.k"f .a✓, .gin .H n:":. .Si x} r."�- .:, .r% F 3' , il.?�k2i%,y `Ii� _,. S�S ASd; ��}�,•f�S'.v�'�. 5. a � y', L. S yl��j %. s}t , r�.',°�'-�. NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TMIBERS lsr 2ND 3R 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 - � .. � � - �.d'N � �' "Ak'. � `�� �-�& �� ::.� �` �373�uzA���:�..M���4-•�i� ik�s��� ;Y�i'��" '1 c� � N r o+, FORM U LOT RELEASE FORM INSTRUCTIONS: Tf'is 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 L)PS, )ULA & SA -111i �r,-4,CD LOCATION: Assessor's Map Number. SUBDIVISION �S� STREET UVI—t–C1� S� PHONEJEA ` (P.J I Ol ( PARCEL LOT (S) ST. NUMBER IAC) *****************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVE=D DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT / FIRE DEPARTMENT O RECEIVED BY BUILDING INSPECTOil. DATE Revised 9\97 jm 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: ON SI -FG k 2D to A,((STA-F5 W.S-T (Location of 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 The Commonwealth of Massachusetts .Department of Industrial Accidents Office of investigations • Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Name:l�i Location: 1-40 f`ito. 4, y 4Vfo\e r. MA Phone -# aI am a homeowner perl'otming ell work myself. F-1 I am a sole proprietor and have no one working in any capacity I am an providing workers' compensation for my employees working on this job. VC. --F, Address T), .0 "A, Company name: - C Address . Ci Phone.# --- �_ Failure to secure, coverage as required -under Section 2SP► or' IUIGL 1'52 can lead to the IMP of en -p es a me'up and/or one years' irnpnscnmentas vi�ell,as_ciuil.penalties fn conn d -a (3P WDRK9RE)Bl nd_afine afi $MDQ 1 3iay�gainstme 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 r pains and pen of that the information provided above is true and correct. Signature. Date6'T" I Print name Official use only do not write in this area to be completed by city or town officiar City or Town Permit/Licensi— El Building Dept ❑Check if immediate response is required .0 Licensing Board p Selectman's Office Contact person: Phone #: Ej Health Department Other E { �fll j,?na9l&wa1W BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 054779 Birthdate: 02/24/1950 Expires: 02/24/2002 Tr. no: 17245 Restricted To: 00 GILBERT MATTHESON 8 WHITT€MORE TERRACE`'.! WAKEFIELD, MA 01880 Administrator • H O O z P cc -a a as � O w co cn a O � •� w w' G U c0 x a p U �a DD r�4 cz w a p w w W M u: v y cn _ w p � m w' _ ii W w � C r� z cn Q v o cn A Zi:co c C V C* � , :Cy rn �. o .VU oz CD N:E CD_ `' w : +C+ y U:Es o.. 0 c E y W m m O d o y y 3 s y w.+ C m C C C CL m z o CM y v 2 crca yo c CL Q ®` y ® c o y m m c iy z CIO c �w•or ... wig m C Z �.. m 'y co LU 0 cm i w 0 co O_ F-• CLS C a 0 as vm M3 Cl c .CO3 C g m m CD CD CD CL I.-{_-6 co C-) co 0 O _m 0 CL rmQ C o ccc C.3 J •� 'a. Z co v c cc - CA C -H w CO Ir cc w � // VJ The Commonwealth of Massachusetts Department of IndustrialAccidents /18Cd OL"VS&MUS 600 Washington Street Boston, Mass. 02111 woruers' Compensation Insurance Affidavit dress- ... ... .::.:•::..,-w•::- ... .......... ... � ... city: .:. .:-•::..:::•• :: ..:::......................... .. .:............. :. .........: .......... ..... insuranee co...... :...,.:.::::.:..:..: failure to secure coverage as required under Section 25A of MGL 15.3 can lead to the imposition of eriminal penalties of a fine up to S1.500.00 and/or one years' imprisonment as well as Civil penalties in .the form of a STOP WORK ORDER and a flue of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the paints and penalties of perjury that the infornsadon provided above is true and correct Print name Jane I Armstrong, Phone iE official use only do not write in this area to be completed by city or tows official 978-681-8600 city or town: permit4icense l (^Building Department check if immediate response is required pLiceasiog Board O Po q QSeleetmea's Office OHealth Department contact person: phone it; nOthcr (revised 3M PIA) TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: L ,�/ DATE ISSUED. >®_ / SIGNATURE: Building Commissioner/I or of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: ,EC:1101V Z - PRUPEKl•Y UWAERSHW/AUTHORIZED AGENT, 1.2 Assessors Map and Parcel Number: 2.1 Owner of Record 1cq Rica /fu • 7"r'U 3 Midd/eseg Ayenuc Name (Print Address for Service: not- Map Number Parcel Numb fv», MA 0/a"'T7 Signature Telephone 5 . �9 78 457- 7t�W 1.3 Zoning Information: 1.4 Property Dimensions: -Z,/ r�vsi,t.Es-r Address for Service: err 4-7 C., Zoning District Proposed Use Signature Telephone Lot Area Frontage ft 1.6 BUILDING SETBACKS ft SECTION 3 - CONSTRUCTION SERVICES Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided Zo' c ,4/6%Cr — Cv8 — s'7 Sign Telephone 7 1.7 Water Supply M.G LC.40. 34) Public W -Private ❑ 1.5_ Flood Zone Information: Zoae f.L El/ 217 Outride Flood Zone ❑ 1.9 Sewe�� Disposal System Municipal B� On Site Disposal System ❑ 29 rn Z ,EC:1101V Z - PRUPEKl•Y UWAERSHW/AUTHORIZED AGENT, 2.1 Owner of Record 1cq Rica /fu • 7"r'U 3 Midd/eseg Ayenuc Name (Print Address for Service: not- Loilr,nfn fv», MA 0/a"'T7 Signature Telephone 5 . �9 78 457- 7t�W 2.2 Owner f Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Constrb ction Supervisor: VDIi P N Licensed ConstructiogSupervisor: Not Applicable ❑ CS D a 9 J7 License Number / „Q�dCC� (!I'%�id(�% c ,4/6%Cr — Cv8 — s'7 Sign Telephone 7 O Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Tel hone 29 rn Z SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 > 2506) 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 ....... 0 SECTION 5 DescHi 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: J ?Lt/aj Ln .STa/Ly 7,3 1410dA SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost Dollar to be Completed by permit a I 1. Building it 'iv, (a) Building Permit Fee 6 C S 3 00 0 Multiplier 2 Electrical �t _ (b) Estimated Total Cost of. �fn q / Construction J /1,3b 3 Plumbing 1 '*V-� Building Permit fee (a) x (n) � � )Z® 4 Mechanical HVAC � ouo — 5 Fire Protection �o avo- 6 Total 1+2+3+4+5 41 7v — Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereb orize e., ah o, 45. d s->4iGo - to act on My beh in all tattersipeative to Work authonzed by this building: permit application. � Si a e of Ower/ Date SECTI N 7b .OW R/ AGENT DECLARATION fT�HORIZED ,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 ct [.L1 n -C e l_czn 0.._.. r Print N Signaftireof erA ent Date NO. Of STORIES Z SIZE 3 00 BASEMENT O L SIZE OF FLOOR TMMERS 1 2ND 3FLD SPAN DIMENSIONS OF SILLS & DM ENSIONS OF POSTS DHVIENSIONS OF GIRDERS 3 HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHDANEY ^/14 IS BUILDING ON R FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 10-2d-2000 9:03AM FROM DUTTON/GARFIELD 9786817570 Dutton & Garfield, Inc. CONTRACTORS 54 Beechwood Drive • North Andover, MA 01845 109 HXside Avenue • Londonderry, NH 03053 Tek (978) 681-8600 Fax. (978) 661-7570 re1.: (603) 425-2600 Fax. • (603) 434-9568 FACSIMILE COVER PACE/TRANSMIXTAL TO: Town of North Andover, Bldg. Dept. 27 Charles Street North Andover, MA 01845 ATTN: Mike Maguire FAX#: 978.688.9542 FROM: Steve Foster DATE: October 24, 2000 NUMBER OF PAGES: 3 R& 140 WiIIOW Street, North Andover Business Park COMMENTS: The information contained in this facsimile Is intended only for the personal and confidential use of the designated recipient named above. If you have received this communication in error, please notify us immediately by telephone. surLER IN 10-24-2000 9:03AM FROM DUTTON/GARFIELD.9786817570 OCT -23-00 MON 18:0e DENCO ENGINEERING INC 9786649233 DENC4 ENGINEERING, INC. STRUCTURAL ENGINEERS 148 PARK STREET NORTH AMM. MASSACMVSETTS 01864 (978) 6646733 (781) 944.8440 FAX (978) 664.9233 TO: Dutton 8 Garfield, Inc. 54 Beechwood Drive Na. Andover, MA 01845 THE FOLLOWING WAS NOTED: P. 2 F. e-5 peso 10--10-00 aoc "118-00 Ya97iLT Lot #9; 140 Willow St WCATW NQjjh Ananzer- Business Park CW D&G, Inc. acs Maur AT 4;XX Dan chase su t. Ken Dennison, PE I examined the excavated trenches for the wall footings_ The soil was foudd to be as described on the Gordon Assoc. Geotechnical Report and will be satisfactory for a 2T/S.F. loading as designed. The excavations have been layered with crushed stone to protect the surface and to facilitate water removal. COPIES TO: SIGNED :_� 10-2d-2000 9:03AM FROM DUTTON/GARFIELD 9786817570 OCT -23-00 MON 18:66 DENCO ENGINEERING INC 9786649233 DENCO ENGINEERING, DJC. STAVCTVRALENG[ EER5 148 PARK STREET NORTH REAOM MASWKIAMS 01864 (978) 664-6733 (781) 9494440 FAX (978) 664.9233 TO: Dutton & Garfield, Inc. 54 Beechwood Drive No. Andover, NA 01845 Til$ FOLLOWING WAS NOTED : P. 3 P.82 10-19-00 Joo no,1 18-00 "WICzLot #9 Willow St. �acas:on North Andover Business park �D&G , Inc. otrou► Hca tubim* " sm Daft Chase, Supt . Ken Dennison, PE Steve Foster' I inspected the progress of the foundation construction The wall footings are in place and the foundation walls. are built at the southern half of the building. The revised foundation for the elevator pit is prepared for the 12" mat with the rebar in place. Excavation was in progress for the isolated pier at the southeast corner. All work to date is approved. COPIES T0: SIGNED : MSM ' ��°�.� • -'� Zoning Bylaw Denial Town Of North Andover Building Departm nt 17ts ..:.. •A44� 400 06goW St. North Andover, MA. 01845 Phone 978-6>1i9-8646 Fax 9784Sa4M Street: Date: - -- Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Znnina � 7-- - I A 1 2 Hem Notes Lot Area Lot area Inwfficient Lot Area Preexisting2 F 1 hent Frontage Frontage Insufficient Fro a Can ies 3 Lot Area Complies 3 Preexisting frontage 4 Insufficient Infomtation 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G I Contiguous Building Area 2 Not Allowed 1I Insufficient Area rt: .. 2 Complies E Historic District K Para, 1 In District review required 1 More Parking Required 2 Not in district 2 2 Parking Complies 3 Insufficient Information 3 Insufficient Information R&ln&dV far Om nhnwo is rlmrlmd hw1nW Urn if SPecial Permits Planning Board item s Variance Site Pian Review Special Permit Setback Variance Access other than Frontage Special Permit Pariting Variance Frontene Exuption Lot Special Permit Lot Area Variance C-Ornm= Dsr•.-,.%S - iW Permit Hei M Variance Conr Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Ind dentEkWy Housing Special Permit Special Permit Non-Confbrmina Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Develo~ District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Sign R-6 DemitV.Special Permit Special Permit prewasting nonconformin Watershed Special Permit i X E The above mvww end attached a, ;1aris0on or such is basad an the plans and infavroft arbeOad. No defnfin review and or advice shah be baud on vurbd uroplarnoorrs by the appdcart nor shed much verbal ianaMarm by the appkw t sere to prairie d$bWA anaamrs to the above resuorr for DENIAL. Any hmwwc iok rrr- Im "rq idanoW , or other aubemquw t Garrgre tO the kdbM ftn subnrlMed by the app" , ' dwA be WwWa for this review to be voided at the discrebw of do 8Lft9 fit. The aMeclted doc:trrrw t titled •Plan PAuinrr NinaMre' shed bu aMached I ' , and irrcorp , I 'herein by rsknn:e. The Wkbq dvprrI - wdl n h ad plena and dousrwtgon for the above fi e. You must tdm anew buddtrrp puft appkdmn form and begin the peri dh prooass Building Department oriel Sig re Applibation Received Appik� Denied i Pian Review Narrative The following narrative Is provided to further explain the reasons for denial for the applicationj permit for the property indicated on the reverse side: Ihn Ir 11i1tIt Dralhl LCI 1,� r c c ,j n.AMVW, A Tn- --Fire-- - - - Heeltfi Police Zoning Board ConserAffion rtment of Public Works Planning Historical Commission Other BUILDING DEPT TOWN OF NORTH ANDOVER WELDING DEPARTMENT APPLICATION TO CONSTRUCT "PAIR, RENOVATE, CE &NGE MUSE OR MCUPANC'Y.OF, OR DEMOLISH ANY iitiILDING O`rUER THW A ONEORTWO FAMILY D%TLLiNG v Iltis Section for Official Use Onl BUILDING PERWr NUMBER- DATE ISSUED. SIGNATURE: Buiidin commissioner/II O JBxtildings Date: LI Pra�perty Addr t 12 AcScs = Msp ani! Parcel Number; MV Number Pa:eel umtxz 1,3 Zoning Information: .. }re Zonin Distrid Use IA PropertyNmeosions: 87._t 4- ( Z?�. 3 0 Lot ,Vca�� Fiorna h 1.6 )131LDI NG SETBACKS (tt) Front Yard Sidi: Yard Rear Yard Rx:quired Provide Fbequired 1'ravidod Reatfired I Provided Ste. Zo' So 93-1 145- t;7 Walrt Supply i d ti.LC"44, 3a) 13, Flood Ileac infori:v4w I;8 ScwmV Disposal Sys t= PnStis Priv:ur ?•oxa 0W4$Wcflood zaac a "I-j,-iQat x On She Disposai 5ystew it 2.1 Oumcr of Record Deo's iz' 14) vi C -o/f u S ()zc—zf l7a ri tlddress for Service 75 L afore Telephone F6 2.2 Authorizer! Agent (2`eo��-i al % i e I r� cep i c.� cs� s i"z&�i�-- Name Print Address for Service: Signature Telephone 4. A- cc 3.1 Licensed Construction Supervisor Not Applicable Address LicenseNumber Licensed CCnmsttucton:Supenisor. -- Expiration Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable Registration Number company Name Address _... Expiration Date Signature Telephone �f c �UAL Area of Responstblity Registration Number Expiraticni Date Workers Compaosation insurance affidavit zou# be completed and submitted with this application. Failurt to provide this Adavit:Q1 result in the denial of the issuance of the buildiag perntit. $i ned aRzdavit Attached Yea ..,.,.. No.,.... r lu"17�3`f5iE3ltiA`llrqT� 5.1 Registered Architect; Name, N�- - L ►SnN� LC) /J Address Signature Telephone Mar- l.0 c . �UAL Area of Responstblity Registration Number Expiraticni Date Name -.. Address: Signature 'Total Not applicable 0 Registration Number ExpirationDate Name: Address Signatttte Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Expiration'Date Name Address Signature Telephone Not Applicable Company Name: Responsible in Charge of Construction New ConstrirCtion G Existing Building Rcpair(s) 0Alteratiians(s) USE GROUP Check as a Addition :.} Accessory Bldg, Demolition 0 Other Specify 13rief Description of Proposed Work: 74-5 1S A-2 A-5 1:3 A-3 £l 9 InqMrident Structural En " eerirr Structural Peer Review ReWired Yes 0 . No.. 0 SECTION 10a Ower Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT x (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 a liable CONSTRUCTIOIN TYPE A Assembly: A-1 0 A4 0 A-2 A-5 1:3 A-3 £l 0 1A -7 IB D 10 B Business 2A 2B c Educationai T Facto 0 F-1 u F2 02C lit'litligh Hazard 0 3A: 3B IInstitutional 0 1-1 Q 12 it 1-3 0 M.. Mercantile 0 14 R:residentiW u R-'1 0 R-2 11 R•3 SA 5B U 0 S: Storage ;0 &1 G S-2 0 U Utility Cl 1 Specify: M Mixed Use b Specify S special Use 0 Specify:. COMPLETE THIS SECTION TF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use. Group:.'f Existing Hazard Index 7813 CMR 34: Proposed Use Group: Proposexi Hazard Index 780 CMR 34: InqMrident Structural En " eerirr Structural Peer Review ReWired Yes 0 . No.. 0 SECTION 10a Ower Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT x (I as Owner, of the subject property Hereby authorize to act on My behalf; in all matters relative two work authorized by this building permit application . Signature of Owner Date �N 1_TL� ZS .... 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 pedury �E6 &Q7 of L! A, __i"lt"TC_HE9- Print Name Signature of t? merlAgent Date Item Estimated Cost (Dollars) to be Completed �i^vII t applicant i. Building �11-1:mll (a) uilding Permit Fee Multiplier 2 Electrical EstimatedTotal Cost of Construction from(6) 3 Plumbing. t Building Permit fee t,> x (b) 4 Mechanical {MVAC) 5 Fire Protection 6 Total (I+2+3+4+5) Check Number. MIJIIM`� M i t" l d ' @ ���N, � ��. Lf � F^= . ��� � �i�' 5� ��.,'� e� ,S4 �.x• . � � � 5 c:4i�.�i`e.ffi 4a OF STORiE-S SIZE BASEMENT OR SLAB 3RD SIZE OF FLOOR TIMBERS 1 ' 2" SPAN: DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HE OF FOUNDATION TMCKNESS SIZE OF FOOTING X MATERML OF CHIMNEY IS.BUILDING ON SOLID OR I ILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE r "{��y�,r�� Y'v y. ytrN F.r „e�''r, �.j- �• • `fy t"br:+FT� 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 G EOPfai& A M)T(44FiL PHONE 9-79-(p 3, ,A gip LOCATION: Assessor's Map Number e 0 PARCEL_ �� "� SUBDIVISION LOT (S) ✓ Z» STREET 1( 110k) y ST. NUMBERJ�to OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE I V f o T a z .a• � a i �,✓ E115 y i� n� S w /� - o jlY a C',1 ¢1 z °D Z E w i i.0 O oimz +i yf6 Q >O IN Z e aq a O aN to 3sei m z �' o!= 5 yl'' I •.x ` � '�tf°'nm C p l Z� -E WpA A R O - o" o in G �I r. - r � •� a 5 z a � � I W � r c=j (z+ � c=i an � � m o < ¢ u I I '`Q..,+ W v3 za�n8k I I p" D.r�a�d�¢ FF -et o «�;CSum a v it r•7' s — o a Jw 46 G & Uo o ui U ; z H II W O O o Q 3 r� x w �: w a ' ., a o z z z S. S• w¢ U z- W n h v6 Q lip( a u N 3 r W o o II II W^ �fi o �Cg�h I� ry g nmz t owvau o I II II (n = A Z •��'ir n m zoo O n�,�0m8 x r W u z a FF eG U b� w s 3_ g„ooxid m ggd G eeg�,'$ 5�$I^ • / $, ..,�` `+-w0 r 0 0 = no r8 ¢¢r5 R�e0- It 1 G-• 0�mw� <" u $^_Q 8 i. O m o o< ro < N S a QQ a�, e8�6 YY3 Y :G8 FIX ffi nzis , ••s'-`-^- 1 "� 1 ' , °'uW3in a �i a o o `Su=viog .:''/ J l\ I'. �Ssv t R: °oiv+iY x�GpGG y6 x8 �IIt I W ou"20 im oo < W CeC gC €Y EY ffix f65 aG 3 u u ' / 11 : ; 5 5 w O s D g sa g� s? ;- p a da a ee$� . a � ase g 0�A per/ �/ +1 I \� W Atl g s k e g tli Ko !€ ffi d M' L, / b ��'�` ; r nes .Y ��'� �� a Go o x ,gyp.; + - I �fi•. „ 1`t �= R 4- t S_RRRo: i�aS Bee 15 6 S>� g IvF di� 0 . Cl b a / t + + I I �• tl 1 62c€�C rr / d 'r n n n o•. oa '• •' _ _ n ! 6 / '[ +++++++ I \\ / gg TWmNm / I o - `=b z cry + in- s I:L LSb>>'d 2Ui1�C `�'� 5 259 y / 226.00• I I 1 8 arcio `Il ,l. aoz Y / wO ooc$a 64d� _ �-236� /,. _, + + + I II• /r svN,3,,o '•,/ // + + zm 1450-A6'o3•E - /'/ / //�/J •�I`1\ 5s�u g 8 �b i1 \ O �t\1 ' t •+ 'XI U --------------- --------------- / r ' . S� •� ' �, / 6't+t /ice c,9,// . qm 1 0� 1 t1t gas gam t\ I S /� n R 1 ly` a, 4 \11 8 I ; \ •` R \�\ \ 1\� � �� / „•��`6 l 1\ `n.l a \_ / 'r ��- `tll ZpOmOc`� flEii Y9k ); a // c+ s 1 gin ,Y \o \ \I o oz �Q R5 55qq Is / ; 0 ou�a C`sx�ax L 'a aJkl •x \ mzmLID oN�z$Y o aW oN EO > 4 N \ \ z "ziOoo �l o* / / �� 1 1n 00 1" / \ E �t u i Q1 � \• � & u o I l e d • eq It ❑ �s \ � �r•r � I ` 1 11 11 44I , Xp , 11 ___________—___. ___----_________ � ___ '�- (--,�- 1-- . € :r;= y •�,eaf' � ,� ` i u u1 �' 111 �, h \ f,� i // n • r \�.P� \ - 1 1 " 111 It 1I � ` .I C It 11 11 \ \ e "Y•'' / r" � � .tee\ I \ \ tl1 . 11 •tC,CZ.II �p � �' � 11 1 a 111 ,96"6SZ�l 00'0091=8 i•`. �•. 1 1 '� 111 11 _ r 111 1It a � 111 11 W Val 9R � � 1 Ili \a 11 �-• � � w 2 Z O d / / _ _ _ _ __ _ - _ _ _ ' _ ' - � � tt, Il �,,` 111 r. pp Oq4 << <e > i J W/� e _ Q 6 0 i oo��;iia 'G <ZuwO 0 S S_ z S_ Zm .a 2 O Z I To: __ North Andover Zonis Board of Appeals From: Lt. John Carney, Operations Division Comman North Andover Police Department Regarding: Relocation of Out Country Preschool, Inc. Date: December 13, 2005 "Community Partnership" Please be advised that I have discussed the relocation of Out Country Preschool, Inc. to 140 Willow Street, North Andover with the Director, Georgie Mitchell. We have specifically addressed traffic impact. I am very familiar with. the existing traffic patterns in the area. It is my opinion that there will be no nuisance or serious hazard to vehicles or pedestrians as a result of this relocation. No hazard exists now and none will be created. Cc: Richard M. Stanley, Chief of Police Sgt. Fred Soucy, Safety Officer 566 MAIN STREET, NORTH ANDOVER, MASSACHUSETTS 01845-4099 Telephone: 978-683-3168 • Fax: 978-681-1172 = D E P A R T M E N T I To: __ North Andover Zonis Board of Appeals From: Lt. John Carney, Operations Division Comman North Andover Police Department Regarding: Relocation of Out Country Preschool, Inc. Date: December 13, 2005 "Community Partnership" Please be advised that I have discussed the relocation of Out Country Preschool, Inc. to 140 Willow Street, North Andover with the Director, Georgie Mitchell. We have specifically addressed traffic impact. I am very familiar with. the existing traffic patterns in the area. It is my opinion that there will be no nuisance or serious hazard to vehicles or pedestrians as a result of this relocation. No hazard exists now and none will be created. Cc: Richard M. Stanley, Chief of Police Sgt. Fred Soucy, Safety Officer 566 MAIN STREET, NORTH ANDOVER, MASSACHUSETTS 01845-4099 Telephone: 978-683-3168 • Fax: 978-681-1172 ii Town of North Andover °F NI D 4TEM° Office of the Conservation Department O 9 Community Development and Services Division 400 Osgood Street "SS°CH"S�t North Andover, Massachusetts 01845 Alison McKay Telephone (978) 688-9530 Conservation Administrator Fax (978) 688-9542 December 13, 2005. Ms. Georgie Mitchell 95 Candlestick Road North Andover, MA 01845 RE: Out Country Preschool, 140 Willow Street, North Andover, MA Dear Ms. Mitchell: This letter has been prepared to officially give authorization to install- fence within -the limits of existing lawn, in order to enclose a play area for the above -referenced preschool. As discussed with you last week, the fence must be placed outside of the regulated 25' No Disturbance Zone associated with the adjacent wetland resource area. Structures and maintenance of any kind within this area is strictly prohibited. Enclosed please find a copy of the as -built plan for the.building, .dated July 11, 2001 for further information. Based on this information, the 25' No Disturbance is concurrent with the edge of existing lawn and tree line. If you still are not sure as -to where this 25' No -Disturbance line extends, the Conservation Department would be more than happy to identify this area in the field for you. However, due to the amount of current snow cover, an inspection would have to be done in the spring or when the weather -conditions are more conducive. Please be aware that as a result of the location of the adjacent wetland resource area and the 100 -year floodplain, the majority of the property falls under the jurisdiction of the North Andover Conservation Commission (NACC), in accordance with the MA Wetlands Protection Act, (M.G.L. c.131, §40) and the Town of North Andover Wetlands Protection Bylaw, (Chapter 178 of the Town General Laws). As such, any exterior work (e.g., clearing, grading, excavation etc.) must be filed with the NACC for review and subsequent approval. Please feel free to contact me at.any time should you have further questions or concerns in this regard. Thank you in advance for your anticipated cooperation. Sincerely, NORTH ANDOVER CONSERVATION COMMISSION Alison McKay Conservation Administr or CC: NACC File BOARD OF APPEALS 688-9541 BUILDINTTG 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 o (� CP Py A 20 D 0or. irir p z 9c rte' (� Ud i C s. , r ,1 1 x IF-5, ,�- rqr" 1 , - — O CON0 ?3�, .Cor / Z D -- ! �,1 G�- `l !i. �„`��r \ �. � `�� \\ \�`�'''s: �`J� � °�ii ^ �l—""•�-'K-�G^ �S.�t-§�'`.�:\\ AV.: l , 4. , S i l CA \ � \��•! - � .1�d P� C�� ��J. �Y.���, •',) Aja ... !� �.�.�- r, j���:. i/ � , 1 .. .. ..� :._ Ztt?'No Iry 2C ry O O O O 00 �J 1 OR TRENCH DRAIN SHOWN IS —� DM PLAN REF, #3 AND IS NOT LT OF A FIELD LOCATION BY E. LTRATOR SYSTEM SHOWN IS =� OM PLAN REF. -#3 AND IS NOT LT OF A FIELD LOCATION BY E. `1 REVISED WETLAND LINE PER NACC PERSONNEL LL- rLUUU ZONE r, -EDGE OF WETLANDS r DELINEATED BY ENSR MAY 1998 (BORDERIN VEGETATED WETLAND) os" v0 ry / (�, erya 00 X ryp o � / bh ,. S7 ao o' ry O• h � a�VENT AS LOCATED Xh 'tY THIS OFFICE �o <-24p p0a // CLEANOUT AS LOCA" BY THIS OFFICE G b / A --242 OVERHANG ° LEANOUT AS LOCATED Y THI OFFICE 1 h 0�' Pry .N ry 1y L-1 = I U 127 34 / _ Sg61_ R=25.00 L=44.27 R 4T I wNOUS RIM=242.85 B11U � � �` INV.IN=232.85(ROAD) ., INV.IN=231.95 ry ryary—mow—� i = INV.OUT=231.95 rya NI noRm � 3:0�`'..e .ate yoot r s • g 4 • ,sdAt� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number / 63 Date-IL-67Y-01' ate -dam/"D THIS CERTIFIES THAT THE BUILDING LOCATED ON �� //0 LU ST U'u, T 1 MAY BE OCCUPIED AS De @- / 0 f F -f c `t-- IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TOt ADDRESS / �O • /� 0 ` Building Inspector .1: '•m C O i-+ O � C N O C o �. C O ea � s /,,day ��eQ f" o ul COL 42 1 m 5 � E CD O ` Q. • L L O m 3 v/ ca ® t : cm o h C m O C,* C C R O W �,. E o �L � � • o'C.i L m m :, =z o cm t y+ c " •a c J� mak: moi: � o m g m V •� O : H LCD M a m CO L AD 16 uml �• . cc I.- y= = •� CJ �=O C .�C C42 d mOMyC... OZ O= _coo= o y•� O F'• t a O..=.+ m a J 73�__ V O O O E L O V Z co a. O y D C W tm CO) O '- CD.� y O O as m Lco1= G_ r... CD —CF3 d W CDCD L M CD tmQ O •Y CL. C2 O c Z CD V CO) C C C c CA r N i w .1: '•m C O i-+ O � C N O C o �. C O ea � s /,,day ��eQ f" o ul COL 42 1 m 5 � E CD O ` Q. • L L O m 3 v/ ca ® t : cm o h C m O C,* C C R O W �,. E o �L � � • o'C.i L m m :, =z o cm t y+ c " •a c J� mak: moi: � o m g m V •� O : H LCD M a m CO L AD 16 uml �• . cc I.- y= = •� CJ �=O C .�C C42 d mOMyC... OZ O= _coo= o y•� O F'• t a O..=.+ m a J 73�__ V O O O E L O V Z co a. O y D C W tm CO) O '- CD.� y O O as m Lco1= G_ r... CD —CF3 d W CDCD L M CD tmQ O •Y CL. C2 O c Z CD V CO) C C C c CA r Gun) � x v v A `� • � ca �: � �, j � � w `s co co v c0 t)o MD ti O 0.o w° CO w2 w2 U w w 0 w2' x H W cn cn .1: '•m C O i-+ O � C N O C o �. C O ea � s /,,day ��eQ f" o ul COL 42 1 m 5 � E CD O ` Q. • L L O m 3 v/ ca ® t : cm o h C m O C,* C C R O W �,. E o �L � � • o'C.i L m m :, =z o cm t y+ c " •a c J� mak: moi: � o m g m V •� O : H LCD M a m CO L AD 16 uml �• . cc I.- y= = •� CJ �=O C .�C C42 d mOMyC... OZ O= _coo= o y•� O F'• t a O..=.+ m a J 73�__ V O O O E L O V Z co a. O y D C W tm CO) O '- CD.� y O O as m Lco1= G_ r... CD —CF3 d W CDCD L M CD tmQ O •Y CL. C2 O c Z CD V CO) C C C c CA r 63 Z/"/ Date..... Z ...............;z 1�6-' / TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....... ......... j L ..................................................................... has permission to perform ........................... :� .................................................... wiring in the building of ....... .... ................................................................ at .......North Andover, Mass. I . . . .. ..... . ... ... ..... Fee/.Ad'...'Z'.. Lic. No . ............. *- .............. ...... ............................ Check #Eja aotd&-�& ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer N2 3 Q'81 Date...-'...... ..... ........ 0 TOWN OF NORTH ANDOVER 10 I.No PERMIT FOR WIRING This certifies that .... T .................... . .......................... ................ has permission to perform ........ ... .......................... .................... wiring in the building of ....... +......... ...... ................. at .... .... bz .... .. North Andover, Mass. Fee Lic. No.. .............................. ...... ................ ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 535 tiFJ' Department of Fire Services Permit No. '7 1 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in acoordance with the Wrassachuse;ts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ? – zc� City or Town of- To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) j 47(�> UJ e L_U�:,,J S Owner or Tenant Telephone No. Owner's Address 1 'k�D tri I L.t. OW Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps 12- / Tb'e, Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Yes � No ❑ (Check Appropriate Boz) . 'Utility Authorization No. 0 d (a-7 Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd [�J/ No. of Meters Completion of the followinz table may be waived by the Inspector of Wire v No. of Recessed Fixtures No. of CeiL-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets ' No. of Hot Tubs Generators KVA No. of Lighting Fixtures �j Bove In- Swimming Pool rnd ❑ r- ❑ o. o mergency Lighting Batte Units No. of Receptacle Outlets c No. of Oil Burners FIRE ALARMS INo. of Zones No. of Switches No. of Gas Burners o Detection and No. Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: Number I I Tons I KW o. of Self -Contained Detection/Al evices I I No. of Dishwashers Space/Area Heating KW Local unicipal -31 Other Connection No. of Dryers Heating Appliances KW Security Sp ems: No. of Devices or Equivalent No. of Water KW Heaters No. o No. o Signs Ballasts Data Wiring• No. of Devices or Eauivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring:No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. 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 ;�BCONlsDm[orceOTHER .f, and has exhibited proof of same to, the pemut issuing office. CHECK ONE: INSURANCE ❑ (Specify:) Estimated Value of Electrical Work 5 1 ch 0a (When re (Expiration Date) (Wh required by municipal policy.) Work to Start: 11 – � – C>n Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under thepains and penalises ofperjury, that the information on this application is true and complete:. FIRM NAME• W 1 Lu i� u.:, J--cL� �?,r z -z, (,--L– 2 � � LIC. NO.: 1 Licensee: Wik 6-kil -Lk —T + Jam.; SignaturA (If applicable, ter "exempt" in the license number 1 "ne.) Address: 1 t � l Z_ V,7g OWNER'S INSURANCE WAIVER: I am aware that the Licensee does required by law. By my signature below, I hereby waive this requirement. Owner/Agent Signature Telephone No. �-- LIC. NO.: Bus. TeL No.: &-(U -- o Alt. TeL No.: not have the liability insurance coverage normally I am the (check one) ❑ owner ❑ owner's agent. PERMIT FEE: $ WILLIAM J. IANNAZZI, INC. N2 2769 40- 2769 0 Date ....... .............,.....vz� TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that. .................................. ...................................... has permission to perform .......... .................................=-L...�........................... wiring in the building of............ .................................... at/`./......-s`-^r....,r....................... . North Andover, Mass. Fee. Z . � � Lic. No /-��l ' fr........... EzEc-rRicAL INSPECTOR Check # WHITE. Applicant CANARY: Building Dept. PINK: Treasurer U 10554 N° Commonwealth of Massachusetts Uttictai Use Only Permit No. Department of Fire Services at -e / n, �� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1199] leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 - 2.9 •- 1--A City or Town of: oR-c� 0flJ To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Lori ation (Street & Number) E �t� VJ i L►-o�% 5`R �'r� Owner or Tenant Telephone No. Owner's Address -1 ST Is this permit in conjunction with a building permit? Yes � No ❑ (Check Appropriate Boz) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service 4ca2i Amps tSr> /2,0'E Volts Overhead ❑ Undgrd [�r No. of Meters Number of Feeders and Ampacity 4 - 6ut> �-kCry-1 Gu- - 4,,o /a Location and Nature of Proposed Electrical Work: N C-Dt� —ra— tnhlo may he wniveil by the Insnector of Wires. 2 U J taORTM o',,..•° •.'tic TOWN OF NORTH ANDOVER o? p PERMIT FOR WIRING ,SSACMUSE� This certifies that ........... "... . has permission to perform. ................................. ...... ........................ wirmg in the building of ...... �.......' ^ .......... North ver, Mass. at .�;........... .... ..... Lic. NoJ. 3 � ...... ..... Fee r • • • ...... Et ecrxta+i. INspecro Check 11 /_�— WHITE: Applicant CANARY: Building Dept. PINK: Treasurer d detail if desired, or as required by the Inspector of Wires. erfomtance of electrical work may issue unless 11 coverage or its substantial equivalent. The me to the permit issuing office. (Expiration Date) nicipal policy.) i MEC Rule 10, and upon completion. application is true and complete. LIC. NO.: 1 LIC. NO.:1 Bus. Tel. No.: (A (P *14 2-R Alt. Tel. No.: ve the liability insurance coverage normally he (check one) ❑ owner ❑ owner's nt. PERMIT FEE: $ 7oG- a __.._ - - No. of Total No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures 12 o bove - Swimming Pool rnd ❑ rnd. ❑ o. o Emergency Lighting Batte Units 2_4 No. of Receptacle Outlets t.p No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. o Detection and InitiatingDevices .2-1 No. of Ranges l No. of Air Cond. Ton �h No. of Alerting Devices HeaTPoutl Number Tons KW o. of elf -Contained No. of Waste Disposers Detection/AlertingDevices No. of Dishwashers Space/Area Heating KW ij' Muni Local ❑ Connce Pon Other Heating Appliances No. of Dryers' Secunty Systems: No. of Devices or E uivalent I U Data Wiring: Equivalent INA ., . o. ,_ Date. ti••' 2uc� No. of Devices or ommun>Ications Winn 3� n � O No. of Devices or uivalent 2 U J taORTM o',,..•° •.'tic TOWN OF NORTH ANDOVER o? p PERMIT FOR WIRING ,SSACMUSE� This certifies that ........... "... . has permission to perform. ................................. ...... ........................ wirmg in the building of ...... �.......' ^ .......... North ver, Mass. at .�;........... .... ..... Lic. NoJ. 3 � ...... ..... Fee r • • • ...... Et ecrxta+i. INspecro Check 11 /_�— WHITE: Applicant CANARY: Building Dept. PINK: Treasurer d detail if desired, or as required by the Inspector of Wires. erfomtance of electrical work may issue unless 11 coverage or its substantial equivalent. The me to the permit issuing office. (Expiration Date) nicipal policy.) i MEC Rule 10, and upon completion. application is true and complete. LIC. NO.: 1 LIC. NO.:1 Bus. Tel. No.: (A (P *14 2-R Alt. Tel. No.: ve the liability insurance coverage normally he (check one) ❑ owner ❑ owner's nt. PERMIT FEE: $ 7oG- a Location / S7 - No. 8 Date 3-1-01 NORT„ TOWN OF NORTH ANDOVER ro s y Certificate Occupancy $ of s�cHuS Building/Frame Permit Fee $ o Foundation Permit Fee $ Other Permit Fee $ TOTAL $ C�260' Check # 14547 i Building Inspector 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 !y 1 C t ,t � °. "x 4jk _.. zi ;x4 .;.fir -7 '..}°,RtSi n ., ; 2111-1111d � _ � ,� r ;...r �zA� � � �� aTlnis Section for Official Use Dnl BUILDING PERMIT NUNMER: ` DATE ISSUED: SIGNATURE: Building Conunissimn O or of Buildings Date 1.1/1 Property Address: 1.2 Assessors Map and Parcel Number: Ns 98D 52 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: JBl G / K %J11iS�►a.ctt 87;476 , 229' Zoning District Proposed Use Lot Area Fronts &e ft 1.6 BUELDING SETBACKS (ft) .rze ,s-; yk a N Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 50' 20' 50' 90' 50' 195- 5'1.7 1.7 Water Supply M.G.L.C.40. 54) Flood Zee b°°: Zone ey . l pu�ide Flood 1.8 Sewerage Disposal System: X Public Private ❑ Zone ❑ Municipal On Site Disposal System ❑ ry1a a ,q1 FL�53'4f "a .✓if�'1 f=��fV 2.1 Owner of Record Dogleg Realty Trust 355 Middlesex Avenue Name (Print) Address for Service : Stevep R. Webster Wilmington, MA 01887 Signature Telephone 978-657-7300 2.2 Xu-thWeIrAg&it l� e Name Print Address for Service: Signature Telephone 3.1 Licensed Construction Supervisor Not Applicable ❑ CS 029376 Address License Number 2 / 2 $ / 0 2 Licensed Con7Su / `7�� Expiration Date Signature Telephone 3.2 RHome Improvement Contractor Not Applicable N/A Company Name,_ Registration Number Address - Expiration Date Signature Telephone 'a M g 0 �I Workers Compensation Insurance affidavit mu completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yea ....... No ....... n MI, 014 51vw 5.1 Registered Architect: Name: Company Name: Responsible in C Not Applicable 0 Address Signature Telephone . . . . . . . . . . . . . . . Area of Responsibility Name: Registration Number -Address: Expiration Date Signature Total Not applicable El Name: Registration Number Address Expiration Date Signature Telephone Area of Responsibility Name Registration Number Address Expiration Date Signature Telephone R A w Responsibility Name'Areaof Registration Number Address Expiration Date Signature Telephone Company Name: Responsible in C Not Applicable 0 z ale New Construction Existing Building 0 Repair(s) D _ _ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition - ❑ Other ❑ Specify Brief Description of Proposed Work: .,,eAA" veow 0. >Jr TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ A4 ❑ A-5 ❑ I, Steven R. Webster, Trustee for Dogleg as Owner of the subject property Realty Trust Hereby authorize U )Lew h R .1�—�'— My behalf, in all tters relative two work authorized by this building permit application signgder 2/16/01 Date to act on USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ A4 ❑ A-5 ❑ IA IB ❑ ❑ B Business 2A 2B 2C ❑ ❑ ❑ C Educational ❑ F Factory ❑ F-1 ❑ F-2 ❑ H High Hazard ❑ 3A 3B ❑ ❑ I Institutional ❑ . I-1 ❑ I-2 ❑ I-3 ❑ M Mercantile ❑ 4 ❑ R residential ❑ R -I ❑ R-2 ❑ R-3 ❑ 5A 5B ❑ ❑ S Storage ❑ S-1 0 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: Jj Proposed Hazard Index 780 CMR 34: ,!� BUILDING AREA - EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels (t�l�jrvc.,r Z Floor Area per Floors ' l fod l�s� Total Area s Total Height ft �.. E . 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, Steven R. Webster, Trustee for Dogleg as Owner of the subject property Realty Trust Hereby authorize U )Lew h R .1�—�'— My behalf, in all tters relative two work authorized by this building permit application signgder 2/16/01 Date to act on a as er/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 Print Name �G Signature of a AgenV Date WWz 4 Item Estimated Cost (Dollars) to be ` ' ��0j Completed b rmit applicant P Y Pe PP µ 1. Building 317 U 1 (a) Building Permit Fee Multiplier 2 Electrical , r o v DC7 (b) Estimated Total Cost of Construction from (6) 3 Plumbing 40 Building Permit fee (s) X (b) 4 Mechanical (HVAC) 500 5 Fire Protection 6 Total (1+2+3+4+5) D Check Number i:' .5 0- n �s ,� �;i; a' F '.,t (b .: t ! ✓ ,.,�` r tFv�i. ` 4 e�M .e✓"+',. �t.:' ::a .F / �S� � �`i..p�.`� ^„ `,�*Jk r +`rte, t3 X'� Y'i'3'� �j+}..)'�d Y� � 121�'N>; ItJ m_ fy �'yll fSN ��SVYy�1 \�}`�IY�J� �✓. �2 'E �,H ..��' � +� n:Sii F�'�( 1 i.'� � .:Y �C.�-.�F�1',,�,Y NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sz 2ND 3R SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS . SIZE OF FOOTING X MATERIAL OF CHIlvIIdEY IS BUILDING ON LID R FILLED LAND IS BUILDING CONNECTED TO NATURAL, GAS LINE s �� �.�.+ �+ e+.s ,�� 3x� `�'� { {✓" � f F '`^ f � � ZS`C 1 ���v�in ✓'' ��'T� � -'� �,�,.� :� v....Ss. $R &S."( 3 �^� P` b ss� k J # FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval /permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. a...Man .......■0........■r.......soup ....■.■.■........ soon ...............Ono APPLICANT Dutton & Garfield, Inc. PHONE ( 978) 681-8600 ASSESSORS MAP NUMBER 9 8 D LOT NUMBER 52 SUBDIVISION LOT NUMBER STREET Willow Street 140 STREET NUMBER OFFICIAL USE ONLY RECON54EENDATIONS OF TOWN AGENTS DATE APPROVED CONSERVATION ADMINISTRATOR DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED `FOOD INSPECTOR -HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED COMMENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COM?VIENTS RECEIVED BY BUILDING INSPECTOR DATE The Commonwealth of-Alassaehusetts _ -- Department of Industrial Accidents 600 Washington Street Boston, Mases 02111 Workers' Compensation Insurance Affidavit ::: e. .. . address: . , ....... :: ::... :::.:;:...:::-::: ::. city- vo :. . ....:.. ... :.. :..: ; .. .:-::i:..::::..::..: insurance co.: `. :... - .. .. For:.:. ';:'. . a ona ee neeessa Failure to secure coverage as required under Section 25A of NIGL 152 an lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DLA for coverage verification. I do hereby certify under the pains and penalties of perjury that the utforntasion provided above is true and correct Print name Jane I. Armstrong Phone# 978-681-8600 official use only do not write in this area to be completed by city or tetra official city or town: permit/ticense riBuilding Department oLiceusing Board 0 check if immediate response is required oselettmen's Office OHealtb Department contact person: pbox ii; r'IOtber (—i -d 3M PJA) O z I rb Cd A a 0 c7 z a o o x c w x o w o a c C x a o w U .r0-4 w a a ci w O z ¢ o c4 U c ii w w w x :3 CO cn o cn ., m 0 S • ria 0 CD O CD 0 O D C* CO)co L CL co C O co 0 m CL CO) O 0 H C O O _Q d CO2 r�1 L O ts co CL H C CD OM C O .0 O mm 0 co 3� co 0 Q L O a' Co. cmQ C � C Q O CD Z CD CL CA C 0 Cf) LU Cn Ir W IrW w Cn c� o ' m c o ` C N ' � C yr O V .:am m c •L o ;EI, s is m �1 s E c o m :oo -L ; Cf a:coo E c N R mm0. O N m 3 cm : m y y A C O :Em _y m m =t O 1C• "' w 'C Cf C • : n CA v = o c o o cm ti a = o m 3 QQc ~ r y m L_ W LL.�.. 0 •N .0 a -ccZ +.+ O ... � .a OCl dt C •y '" MQ Z ?D LU C.) cm o o � _ a `m p = J.- CL ., m 0 S • ria 0 CD O CD 0 O D C* CO)co L CL co C O co 0 m CL CO) O 0 H C O O _Q d CO2 r�1 L O ts co CL H C CD OM C O .0 O mm 0 co 3� co 0 Q L O a' Co. cmQ C � C Q O CD Z CD CL CA C 0 Cf) LU Cn Ir W IrW w Cn // P (/ N° 3339 Date.......�,1... ��.... . .� TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .... tig1:. .:... �. `t��v .A.... E_ .. `.......:�..`...�-............ has permission to perform ..... �fct a .................................................................. wiring in the building of......_...... % �.. i........?.r<< at .1.t /} r l S.% ....... North Andover, Mas e Fee..rA....()&:.�v. Lic/No. /.. 1 ...!- ' •....A! �. .. 1 LECTRICALINSPECTOR Check # � ��' � � / WHITE: Applicant CANARY: Building Dept. PINK: Treasurer THEC0M110NWE4LTH0FM4&"0RSE77S Ogee Use only DEPARTMFdVT0FPUB1JC&4FM Permit No. BOARDOFFIREPREVFV ONRWUMT101 N527CMR12.U0 V1313A Occupancy &Fees Checked UCATIONFOR 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 C%'o7 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) /moo /���l .5� Is (i(: e.hit J 1� Owner or Tenant Owner's Address, Is this permit in conjunction with a building permit: Yes ® No (Check Appropriate Box) Purpose of Building ��f/�� s,�r`fS Utility Authorization No. Existing Service Amps/ Volts Overhead Underground Q No. of Meters New Service Amps`/ Volts Overhead Underground Q No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets�9 No. of Hot Tubs No. of Transformers Total �j KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA groundground No. of Receptacle Outlets 3 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 Local Municipala Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of t Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP 3 11 OTHER Inst==CoKra Ptasu�lttotttetegt�arta��Tvi d Gerta-alLaws Iha%eaajmtlmbtldyhm==Pbbcyff udmgCm#.ce�,F- Caa'gorks�tiaie#dvalat YES NO � Ihmetnilledvalidprodofmr1lotheOf m YES r . M IfjwbawdtedWYFS,pimemdi*thet)WcfomWbydiximtgthe NURANCE�' BOND MiER (PkeSpo*>6 G1?6 a� wak>osut 90 4- SgnedwdaTieP�> hmofpajtey: FIRMNAME OWNER'SDWRANCEWANFR;I.amawatethattbeLimw t andthatmys sernthispemitwalk sthis (Please check one) Owner M Agent . o Fstirn ed Value icalWork$ Rough Final LicerseNa L aw?,b /966 7 BusQ>essTel.Na %k/- 9i�.i ' �'J��S ._ AlTel.Na 7� 7?f -023-Z I m#rdbyMassxh s& Gateral Laws Telephone No. PERMIT FEE $ didQ d 4` L' Is, CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number Date THIS(CCEnRTIFIES THAT J _ THE BUILDING LOCATED ON / -Gy Wt //0 co MAY BE OCCUPIED AS a f C /04 Cie IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO ,)Oce f4cy ADDRESS / (( U)(([()u) S ''a,CNU°Building Inspector o air4D ISacm A C/) E—'+ O O E _�� o y =CD z ymi S� O ,• m c E v: • 0 3�t � my c� CO _ _m z �• O�� N o H =CD cc O W y E 00 0 u CD O �C�//^J h m Q VJ cm (� . O�� � o a � W ►-a cm O raa o ' C o, c Q e E o c o o ® 3 N : C2 -S h m �O" ~ L LU O "=now ~ y •�S w z � o . O V •b- 0-00046 � COD CL m� CA CD o�cc zoo 1 2 0 0 L z a O y o c Icoo h � � •E m m CD 0 CD Lift W Q IWO cmQ y C.0 CD ca as c co co O C C • C ICA a _a ui Cn U) crw W W UX VJ v � W 0 l Qu W O I JZ � V Q o y ,<< o Q o air4D ISacm A C/) E—'+ O O E _�� o y =CD z ymi S� O ,• m c E v: • 0 3�t � my c� CO _ _m z �• O�� N o H =CD cc O W y E 00 0 u CD O �C�//^J h m Q VJ cm (� . O�� � o a � W ►-a cm O raa o ' C o, c Q e E o c o o ® 3 N : C2 -S h m �O" ~ L LU O "=now ~ y •�S w z � o . O V •b- 0-00046 � COD CL m� CA CD o�cc zoo 1 2 0 0 L z a O y o c Icoo h � � •E m m CD 0 CD Lift W Q IWO cmQ y C.0 CD ca as c co co O C C • C ICA a _a ui Cn U) crw W W UX VJ v � � IIN oG w a �. w�� w z '- �j z A q EUW , o (y w° cmc w° a�' co U w a W °D � r. w�' o ' cq cn cn fj o air4D ISacm A C/) E—'+ O O E _�� o y =CD z ymi S� O ,• m c E v: • 0 3�t � my c� CO _ _m z �• O�� N o H =CD cc O W y E 00 0 u CD O �C�//^J h m Q VJ cm (� . O�� � o a � W ►-a cm O raa o ' C o, c Q e E o c o o ® 3 N : C2 -S h m �O" ~ L LU O "=now ~ y •�S w z � o . O V •b- 0-00046 � COD CL m� CA CD o�cc zoo 1 2 0 0 L z a O y o c Icoo h � � •E m m CD 0 CD Lift W Q IWO cmQ y C.0 CD ca as c co co O C C • C ICA a _a ui Cn U) crw W W UX VJ CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number Date 070 THIS CERTIFIES THAT THE BUILDING LOCATED ON MAY BE OCCUPIED AS 0 91 tc r SDA G" IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. , CERTIFICATE ISSUED TO O , , ti j D ADDRESS % VL wE ��0 Acv cmuenspector 4 mow, r v 5. O 'y L' V� ii o L a a kt y... oo 0. r 0 G •O O .• a a 0 E U=", cn cn mow, r v 5. O 'y L' V� o EW . ? c" o ES c Cr. '0m� z : C) 0 o 00 N 19 m Rar: 0 3 r =OD"m 0 NA o W o N m _ � a V � m �C/n i : �• N m C/ ) t V=:s O Ca w d" A W N j0-4 'NZ c Cm cc CL. C .. a Q o 'cmc .oCL • m �L�.. ~ m COD ev L Lm W 0 .� r � . LL .y O 0 =— a "=mom N dL CJ .� LCm y C V3 LU 10 CD C m� _1 A 211 2 ��C C.L..m a� 0 C L Co Z CL O y � C CO Cm i O y O �-0ccm CL CD 0 Q CD ey O a' a ma H *.. to Ca zCD Co 0. V N! O C C — _h is 0 //U) ui vJ W LU LU COLLY ?7� ii o L a a M =CD cc o EW . ? c" o ES c Cr. '0m� z : C) 0 o 00 N 19 m Rar: 0 3 r =OD"m 0 NA o W o N m _ � a V � m �C/n i : �• N m C/ ) t V=:s O Ca w d" A W N j0-4 'NZ c Cm cc CL. C .. a Q o 'cmc .oCL • m �L�.. ~ m COD ev L Lm W 0 .� r � . LL .y O 0 =— a "=mom N dL CJ .� LCm y C V3 LU 10 CD C m� _1 A 211 2 ��C C.L..m a� 0 C L Co Z CL O y � C CO Cm i O y O �-0ccm CL CD 0 Q CD ey O a' a ma H *.. to Ca zCD Co 0. V N! O C C — _h is 0 //U) ui vJ W LU LU COLLY ?7� N° 2849 Date. N.:.p3 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........... 1.L. has permission to perform ....................... wiring in the building of ....... !..xa�s 1 ..... LaN sem......- ............... at ...... , North Mover, Mass. Fee .7. ?:! ..... ... Lic. No/. 3 ......... ... .. .........'. �0 ...... .... .... ELEC[RICALINSPECTO Check # WHITE: Applicant I CANARY: Building Dept. PINK: Treasurer A Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. _ , Ck' 71' / bj to&77�� o0 Occupancy and Fee Checked [Rev. 11/99] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: t - 1-o - 2vo [ City or Town of: To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) I4c.v W 1 Vt -ovJ Owner or Tenant Telephone No. Owner's Address 14'c> W t Lk -a -J ST 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 ❑ New Service 407-'� Amps ISe> Volts Overhead ❑ Undgrd [� Number of Feeders and Ampacity 4 - 6uz>,,-kc-v ,s _ 4o;DA t,-, ( ( - (� No. of Meters _ No. of Meters Location and Nature of Proposed Electrical Work: Completion of the ollowin table mi be waived hy the Ins ector qf Wires No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures 12 ® Above ❑ In- El Swimming Pool rnd. rnd. o. o Emergency Lighting BatteKy Units 2-4 No. of Receptacle Outlets t,,D No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices Z No. of RangesNo. of Air Cond. Tons �� No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: I Number Tons KW No. of elf -Contained Detection/Alerting Devices I No. of Dishwashers Space/Area Heating KW tj Local ❑ Mu'iccip�tion aI Other ConneNo. of Dryers Heating Appliances KW puritySystems: No. of Devices or Equivalent [ No. o Water KW Heaters o. o o. o Si Busts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP lelecommumcations Wiring: No. of Devices or Equivalent 3rd OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [[BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work 4-,z,, esu . s (When required by municipal policy.) Work to Start: [ - 15 - -7--- [ Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: w 1 W -CA -V-A T. I-- A --a0 A -ZZ{ , t -TZ-- . LIC. NO.: Licensee: W V y,.-z2� Signature LIC. NO.: 135h2A-- (If applicable, enter "exempt" in the license number line.) \.3 Bus. Tel. No. - %;Z 6 -*1 Address: �'l i C4-Ar9 1 04-6 coy t tb Alt. Tel. No. • OWNER'S INSURANCE WAIVER I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent F-7TERMIFEE: $ Signature Telephone No. ;A Essex North Registry of Deeds - Search Results Page 1 of 4 http://www.lawrencedeeds.com/dsStreetSearchResults.asp?RefreshKey=4 12/9/2005 ..= Essex North Registry of Deeds - Search Results CIENTO ASSOCIATES LIMITED PARTNERSHIP WEBSTER, ROBERT E ADAMS, GERARD G ADAMS, GERARD G SR SOSOTHIKUL, JANETTE CIENTO ASSOCIATES LIMITED PARTNERSHIP WEBSTER, ROBERT E Page 2 of 4 jBook: 4864 Pagw.—ZU Date: 10/9/1997 Town: N AND Type: DEED jAmount: 0.00 Description: 60 WILLOW ST LOT E PL 9415 60 WILLOW ST Grantors: Grantees: CIENTO ASSOCIATES LIMITED MORTON INTERNATIONAL INC PARTNERSHIP Type: IMTG WEBSTER, ROBERT E IND Type: ADAMS, GERARD G Date: 12/21/2000 ADAMS, GERARD G SR Type: IMTG SOSOTHIKUL, JANETTE 1420,000.00 Book_ 4864_Page_221 Date: 10/9/1997 Town: N Type: Amount: AND DEED 12,300,000.00 Description: L9 PL9650 140 WILLOW ST Grantors: Grantees: KNEELAND, PAUL J TR DROSTE VINEYARD LLC WEBSTER, STEVEN R TR Type: IMTG DOGLEG REALTY TRUST Type: Book: 5959 Page: 3.41 Date: 12/21/2000 Town: N AND Type: IMTG Amount: 1100,000.00 1420,000.00 Description: L9 PL9650 140 WILLOW ST Grantors: DROSTE VINEYARD LLC Grantees: FIRST ESSEX BANK Book: 6129 Page: 136 Date: 5/2/2001 Town: N AND Type: IMTG Amount: 1525,000.00 Type: Description: L9 PL9650 140 WILLOW ST Grantors: Grantees: DROSTE VINEYARD LLC FIRST ESSEX BANK Book: 6129 Page: 1.51 Date: 5/2/2001 Town: N Type: Amount: AND IMTG 1420,000.00 Description: L9 PL9650 140 WILLOW ST Grantors: Grantees: DROSTE VINEYARD LLC BAY COLONY DEVELOPMENT CORP Book: 6352 Page: 214 Date: 9/5/2001 Town: N Type: IMTG Amount: 1435,000.00 AND Description: 300 WILLOW ST LT 8 PL 9650 300 WILLOW ST http://www.lawrencedeeds.com/dsStreetSearchResults.asp?RefreshKey=4 12/9/2005 Essex North Registry of Deeds - Search Results Page 3 of 4 " Grantors: Grantees: EXECUTIVE CENTER LIMITED PRINCIPAL COMMERCIAL ADVISORS PARTNERSHIP INC WEBSTER, ROBERT E lBook: 4375 Page; 212 Date: 11/6/1995 Town: N Type: Amount: I AND 1MTG 1325,000.00 Description: L8 PL9650 300 WILLOW ST Grantors: Grantees: EXECUTIVE CENTER LIMITED CANADA LIFE ASSURANCE CO PARTNERSHIP BIANCHI, JOHN C TR WEBSTER ROBERT E Date: 8/3/1999 Book: 5923 Page:_2 Dater 11/15/2000 Town: N Type: Amount: AND DEED AND • _ IMTG 12,100,000.00 Description: PL11042A PL13530 350 WILLOW ST Grantors: Grantees: BUSINESS PARK REALTY TRUST BIANCHI REALTY TRUST KNEELAND, PAUL J TR BIANCHI, JOHN C TR Book: 5515 Page: 266 Date: 8/3/1999 Town: N AND Type: DEED Amount: Description: 350 WILLOW ST Grantors: Grantees: BIANCHI REALTY TRUST DANVERSBANK BIANCHI, JOHN C TR XIE, XUE MEI Book:_ 9917 Page: 205 Date: 12/1/2005 Town: N Type: IMTG Amount: 12,240,000.00 Type: Amount: AND DEED AND Description: 351 WILLOW ST Grantors: Grantees: OGAN, GERALD S TR JPMORGAN CHASE BANK OGAN, ROBERT M TR XIE, XUE MEI MUFFIN REALTY TRUST Date: 1/25/1996 ok: 7619 Page: 72 F Date: 3/19/2003 Town: N Type: Amount: AND DEED AND IMTG 13,750,000.00 Description: WILLOW ST L15 PL 12487 WILLOW ST Grantors: Grantees: WILLOW STREET REALTY INC KANG, JING XUAN XIE, XUE MEI 4423 Page: 324 Date: 1/25/1996 Town: N Type: Amount: iBook: I AND DEED 176,000.00. IDescriotion: WILLOW ST L15 PL 12487 WILLOW ST http://www.lawrencedeeds. com/dsStreetSearchResults. asp?RefreshKey=4 12/9/2005 Essex North Registry of Deeds.- Search Results Grantors: KANG, JING XUAN XIE, XUE MEI Book: 4423 Pale: 326 Page 4 of 4 Grantees: INTERATE NATIONAL MORTGAGE CORP Date: 1/25/1996 Town: N Type: Amount: AND IMTG 1149,600.00 Description: WILLOW ST 2 PCLS WILLOW ST Grantors: Grantees: CIENTO ASSOCIATES LIMITED FIRST ESSEX BANK FSB PARTNERSHIP Book: 4592 Page: 33 Date: 9/13/1996 Town: N Type: IMTG Amount: 11,400,000.00 Date: 10/5/1999 Town: N AND Amount: AND Description: SEE DOC WILLOW ST Grantors: Grantees: NORTHPOINT REALTY DEVELOPMENT WARREN FIVE CENTS SAVINGS BANK LLC LAUDANI, THOMAS D MINICUCCI, LOUIS P JR Date: 5/2/2001 Book: 5571 Page: 334 Date: 10/5/1999 Town: N Type: Amount: AND DEED AND IMTG 1500,000.00 Description: L9 PL9650 WILLOW ST Grantors: Grantees: DOGLEG REALTY TRUST DROSTE VINEYARD LLC KNEELAND, PAUL J TR WEBSTER, STEVEN R TR Book: 6129 Page: 133 Date: 5/2/2001 Town: N Type: Amount: AND DEED 11,025,936.00 IPrevious Page Next Page J Page 3 of 4 Back to Search Form I © 2000 Essex North Registry of Deeds. http://www.lawrencedeeds.com/dsStreetSearchResults.asp?RefreshKey=4 12/9/2005 N° 2621 Date.... /... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .........a l _ has permission to perform ..' � . . `�' C ppp ........................................... wiring in the building of .......... ti '� G� % � .............�(.........r................................. Garth Andover M1ss: .� vi �— Fee..� :. v....... Lic. No... /5..1. �!/ .... /........:. � � � LECTRICALINSP CTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer �,Q The Commonwealth of Massachusetts Office Use only ;4 _ Permit No. ---- a Department of Public Safety > s� BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy &'Fee Checked3/92 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance w:th the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION)r Date Lam' 3 -c", Town ofo�;tw, MA. rLo C2- 4 hpfx- V �=� To the Inspector of Wires: The undersigned applies for a permittwo perform the electrical work described below. Location (Street & Number) -w WLL L Owner or Tenant -y Owner's Address Is this permit In conjunction with a building permit: Purpose of Buillding Existing Service New Service YES .2' NO ❑ (Check Appropriate Box) Building Permit No. Utility Authorization No. 0 0 67 7 L/ Amps / Volts Amps 1r%£� / u� Volts Number of Feeders and Ampacity Overhead ❑ Underground ❑ No. of Meters Overhead [E Urdergrcund ❑ No. of Meters I Location and Nature of Proposed Electrical Work 4 OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy inclluding Completed Operations Coverage or its substantial equivalent. I have submitted valid proof of some to this office. If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Electrical Work $ Work to Start Inspection Date Requested: Rough Final YES ❑ NC ❑ YES ❑ NC ❑ (Expiration Date) Signed under the penalties of perjury: S FIRM NAME dV 1 "-I A L4 �L L-Arwl.s' 7-7-- F1 'SZ— LIC. NO. 13 9C12 -Ar`— Licensee (t'L�A"' -, "�' Z Signature LIC. NO. (t Gt,...Wit` �� Bus. Tel. No. Address - Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check ore` Telephone No. PERMIT FEE $ (Signature of Owner or Agent) Total No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA Y No. of Lighting Fixtures Above In - Swimming Pool ground ❑ ground ❑ Ganerators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Units _Battery FIRE ALARMS No. of Zones No. of Switch Outlets Na. of Gas Burners No. of ,Detection and Total No. of Ranges No. cf Air Conditioners Tons Initiating Devices No. of Sounding Devices Total Total No. of Disposals No. of Heat Pumps Tons_ KW No. of Self Contained _ No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices Municipal 1:1 Local Connection ❑ Other No. of Dryers Heating Devices KW No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy inclluding Completed Operations Coverage or its substantial equivalent. I have submitted valid proof of some to this office. If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Electrical Work $ Work to Start Inspection Date Requested: Rough Final YES ❑ NC ❑ YES ❑ NC ❑ (Expiration Date) Signed under the penalties of perjury: S FIRM NAME dV 1 "-I A L4 �L L-Arwl.s' 7-7-- F1 'SZ— LIC. NO. 13 9C12 -Ar`— Licensee (t'L�A"' -, "�' Z Signature LIC. NO. (t Gt,...Wit` �� Bus. Tel. No. Address - Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check ore` Telephone No. PERMIT FEE $ (Signature of Owner or Agent) Permit No. Check No. Date Inspected Approved Disapproved Reason FIELD OR OFFICE INSPECTION REPORT UNIFORM INSPECTION FORM INSPECTION SITE NAME INSPECTION SITE ADDRESS BUILDING PERMIT # WIRING PERMIT # DATE: TIME: DESCRIPTION OF BLDG RESIDENTIAL COMMERCIAL INDUSTRIAL CONTRACTORS NAME CONTRACTORS ADDRESS MASTER # JOURNEYMAN# JOB SITE NUMBER JOURNEYMAN & HELPERS/APPRENTICES JOURNEYMAN HELPERS APPRENTICES e JOB SITE FORMEN-NAME ADDRESS MASTER # JOURNEYMAN # EXPIRATION DATE EXPIRATION DATE DOES WORK MEET THE MASSACHUSETTS ELECTRICAL CODE REQUIREMENTS YES NO VIOLATIONS NOTED: 1, 2. 3. CODE REFERENCE: 1. 2. 3. LICENSEE SIGNATURE INSPECTORS REMARKS INSPECTORS SIGNATURE �.rR M 3355 Date . rU.^..? G `� .... . ,apRTN TOWN OF NORTH ANDOVER pF 4ao ,e,'YO ' a PERMIT FOR GAS INSTALLATION S This certifies that . J. � . F ..., ' 7:/e`.C. ..... . has permission for gas installation in the buildings of ... C .}: • • • • . • at .....�!� .. e �, ... . ( ...... North Andover, Mass. Fee. 7 GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer �s Type or print) NORTH ANDOVER, MASSACHUSETTS f/ Building Locations L.7 J W/ �D;u MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING Owner's 1 New Renovation ❑ Replacement ❑ Date Permit # 3,73 J' Amount S a Plans Submitted ❑ (Print or type) Name 0 C G(�xs.�• t G.S� Address •' 12 % k c`/7 er t�ye^� Business Telephone dj7R a Check ne: Certincatg Installing Company ❑ Partner. ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter 3�., e_ j- / if 14_1s) ca A IINSURANCE COVERAGE Check one I have a current liability Insurance poli y or it's substantial equivalent. Yes No ❑ If you have checked ves. please in ate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Sianarure of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusettstate Gas Code and Chapter 142 of the General Laws. �� 10 By: Title City/Town A DPROVED wFricF. USE ONLY) nature of Licensed Plumber Or Gas Fitter LL Plumber as Fitter License Numoer Taster ❑ Journeyman Date. %U.-..:? ' .UG TOWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING This certifies that J. �.... /��% �•�? • • i%' has permission to perform ....l�J e.t�c....�.��. �.cl :1.......... . plumbing in the buildings of ... .`/ . . S ................... atr.......... ,North Andover, Mass. Fee. %l.�/. Lic. No. 5. ?. t.. ....... i_,..� . .�)�..... . i.•' PLUMBING INSPECTOR Check # � � •{ `� WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations j5ii � . of �� , , " /a0 ate _,_ Name Permit #____4 Amount •? / Y ipancy 06^11 M New � Renovation M Replacement Plans Submitted Yes 1:1 No 2 FIXTIRES i , M MMMMMMMMMMMMMMMMMMMMMMMMM ,•..•mmmmmmmmmmmmmmmmommmmmmmm ��••mmmmmmmmmmmmmmmoommmmmmmm ..•mmmmmmmmmmmmmmmmommmmmmmm (Print or type) _ Check ne: Certificate Installing Company Name �/ �/� e rCorp. Abd % Address✓� �' ° 7 u❑ Partner. Business Telephone �= �,- '� ?r• Firm/Co. Name of Licensed Plumber. � }�^'E % •f •. e Ve/. Insurance Coverage: Indicate the a of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and ins 1lations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massach efts State P umb' Coded Chapter 142 of the General Laws. By: Ign of Licenseaum er ype of Plumbing License Title 01F749, City/Town License Number Master Journeyman ❑ APPROVED (OFFICE USE ONLY N2 2769 0 ,;� Date .......A ........................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ................................................ �.<-�7 ............................ has permission to perform .... ........................................ wiring in the building of ............. .... ...... .................... at .......... . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 ..................................... . North Andover, Mass. Fee .2//. C..... Lic. No/. -"".".....1,.. ..... ELECTRICAL INSPECTOR** Check # A/1S v WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Commonwealth of Massachusetts Ot inial Use Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 12— -0 - 6&:1 City or Town of: [4c> tz--nd A +.1" - To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) J 4C> VJ t Lt�vJ 5-i" Owner or Tenant "D(2_e> STI= C_o0 SL)L.~rP%;TS Telephone No. Owner's Address ,® Vj 1 Ltd T'. Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps l W / ?.J% Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Yes L!d No ❑ (Check Appropriate Bog) Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd [P No. of Meters L Completion ofthe followine table may he waived by the hunertnr of Wimv No. of Recessed Fixtures Q I No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures j 3 Above In- Swimming Pool rnd. ❑ rnd. ❑ o. o Emergency Lighting BatteKy Units 3 No. of Receptacle Outlets +; No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches Al No. of Gas Burners o. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals:I Number Tons KW o. of elf -Contained Detection/Alerting Devices LocalCunicipal Other onnection I No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Appliances KW Security v e s: No. of Devices or Equivalent No. of Water Heaters KW No. No. o o. o Signs Ballasts Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP elecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desire4d, or as required by the Inspector of Wires. 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 co is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work. 51, 000 (When required by municipal policy.) Work to Start: i 2 - S - 00 Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under thepain s andpen akies ofperjury, that the information on this application is true and complete. FIRM NAME: l-1,lpVA T- 5(�t,�Az-z;,x LIC. NO.: Licensee: W1 LLLa wl j' - T,/0 t.Y=A Signatu (ljabl ter "ex t ' in un license mmrber 'ne.) Address: ``'l � � OWNER'S INSURANCE WAIVER: I am aware that the Licensee does required by law. By my signature below, I hereby waive this requirement. Owner/Agent Signature Telephone No. LIC. NO.: Bus. Tel. No.: (D Z to Alt. Tel. No.: not have the liability insurance coverage normally I am the (check one) ❑ owner ❑ owner's agent. PERMIT FEE. $ //. —."F.V 2-13-2001 7_AOAM FROM DUTTON/GARFIELD 9786817570 62/12/2001 lSAS 407$555958 MAIL B0>Z5 ETC rha�43 or wtion Copgrol IMMWn art Ma rWsetts State Built Codes Sections 16.2.2 Ardhitect: Ronald Henri AIA Job Loembe: 140 Willow Street Project�40 w.Sireet_�rQj��r �v�`Stav Of6oe Buildian Date: 2-8-41 rme: 9:30 AM Addrns: ?6.2Mill $t HaverhilL MA 01830 CitYffown/StatOMp: North Andover, MA Field Report No: I Perwiit No: 567 W=ther: Clear Temp. R=We: 40 Work in Progress: I . Interior 2nd floor work progressing_ 2. On going e]evator win0ffimstailation. 3. Sheetrock taping & joint compound. 4. Electricians Pulling permanent service cables. 5. General cleaning and removal of constnwtion debris. Observations: L Sccond floor ceding it ted. 2. Second floor rough wired. 3. Izxterior partitions drywa od, both sides. 4. First Floor - shell only, no interior fit up work. Iteaaa to Verify: 1. Approval of storage closet under main stair (verify with bwMing ir1speotor). PAGE 01 I hereby certify that I have on this date 22-8-01 viewed the project fated st 14Q Vkw Street under Permit No- 567 and find that the Locus complies with the plans and specifications and the RUkS and Regulatioa of the Massachusetts State Building Code, Article 1, 116.2-2. NO. 4627 %J - hK4� ?� VE, Ronald Henri Albert, AIA oR Archkeet RkWdh ronald hemi Albert, aia-architect, 262 mill street, havorhili, rna. 01830 976.374.OS47 gn-374-4092 +fas� P. 2 ..,.,..• . Ak 2-13-2001 7:40AM FROM DUTTON/GARFIELD 9786817570 Dvffon & Garfield, Inc. CONTRACTORS 54 8eechwoodDrive - North Andover, MA 04845 Tel.: (978) 681-8600 Fax: (978) 681-7570 409 Hillsida Avenue • Londonderry NH 03053 Tel.: (603) 42$-2600 Fax: (603) 434.9568 FACSIMILE TRANSMITTAL SHEET TO: FROM: Mike McGuire Steve Foster COMPANY: DATE: Town of North Andover 02/13/01 FAX NUMBER: TOTAL NO. OF PACES INCLUDING COVER: 978-688-9542 2 PHONE NUMBER: 978-688-9545 RE: 140 Willow Street Project ❑ URGENT Lei FOR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY ❑ PLEASE RECYCLE NOTES/COMMENTS: I apologize for the delay. The architect has been on vacation in Florida. Please call if you have any questions. THE INFORMATION CONTAINED IN THIS FACSIMILE IS INTENDED ONLY FOR THE PERSONAL AND CONFIDENTIAL USE OF THE DESIGNATED RECIPIENT NAMED ABOVE. IF YOU HAVE RECEIV•EO THIS COMMUNICATION IN ERROR, PLEASE NOTIFY US IMMEDIATELY BY TELEPHONE. surLER BUILDER mi i I An invaluable tool for Endodontic, Implants or surgery The GX-S USB sensor displays x-ray images in real-time—making �. endodontic treatment or :surgery procedures more productive. Reduced Radiation Your patients will be glad to know that you can reduce the exposure radiation up to 90% compared to D speed fihnl Better Informed 'Diagnoses f With krtages diagnostically equivalent to film -hexed images, GX-S offers undivaW image enhancement tools to give you remarkable viewing options. Increase profit with faster procedures and higher case acceptance Make better use of your chair time with instant GX-S USB irnNies. Moreover, patients will better understand their treatment needs viewing clear, instant images. Finally, reduce your cost of films, chemicals, and disposables. Bottom line, GX-S will help you achieve your profit goals! C -t H"'Tech-made easy Eto use Thl*% thin, ergonomically dpelld sensor is placed in the mouth using the custom lied Itinn XCP �wsitioner. Vl!** Standard US8 interface ankle ability to 'hot plug" the stilt you can easily move the *40 from room to room. y', 3 i Y� 4K }Fe q� rs tai !" Con1patibie The 6X 5 M systems Moteotrec=theGx'S' is compatible with them �pra<tiC-6 mar Kion Oka Contac#; ��softwa�E ,�Iforpmor� nd rO y,"aPl, " nieeonvnended mimmum�e�q *Ni MMS x' ,a, 3 n/13/2001 03:54 5084788545 pliable Intermediary Electronic ME} is manufactured ..using standard electronital components like the KMCIA kznnector, recognized in the computer industry as a reliable standard for multiple insertions. Moreover, the sensor packaging was designed to resist the heavy mechanical stress of clinical usage, increasing the sensor life. 2 -year warranty! The GX-S 05B system is covered by an exceptional 2 -year warranty, The peace of mind that you expect. Highly rated technical support In a recent Customer Satisfaction Survey, Gendex Technical Support was rated significantly higher -than other leading digital x-ray manufacturer's technical service. Get the support you deserve! First Compute Digital Solution Gendex is the only manufacturer to offer a complete digital imaging solution combining images from the flexible DenOptixe imaging plate system, GX-S M intraoral sensor or your intraoral camera. Bottom line, Gendex can satisfy all of your imaging needs! PAGE 02 i GENDER CORP t< First Compute Digital Solution Gendex is the only manufacturer to offer a complete digital imaging solution combining images from the flexible DenOptixe imaging plate system, GX-S M intraoral sensor or your intraoral camera. Bottom line, Gendex can satisfy all of your imaging needs! PAGE 02 i U'd i i'z,' 2 0 U 1 U3: 54 GU4DEX CORP PAEE 1JJ The GX-S lust kit must be installed on a standed,,-, USA USB interface. Dents* international personal computer vft a Gendex Dental X-ray Division The GX-S use kit includes: 901 W. Oallaon Street - Des Plaines, It lit Tel. +1.847.640.4800 or 1.00.600.298 Digital CCD sensor (standard size or large,size) Fax +1.647.640.4891 "14, • intermediary Electronic (IME) for image acqulsltlow.`r and transmission Canadaffrrri Dentsply CanadaiY 3 • Cable for internal or external installation 161 Vinyl Court -Woodbridge - OnUK16 Lk W 6n J., e... Tel. +1.905,851.6060 - Fox +33.1.30147700 Rinn positioning drAce 7 A, • Disposable hygienic barriers • User manual • VixWin Imaging Software (optional) fechdcal d4M. D1 ital; A& LL4,61rvege With sciM#Iator co vuidtking lift . A" mm: COs ti W"ll 7J.,r4!T deft" 19. twin tri trademarks of Miciasoft'c4a trademarks of Demtq* Data subject to charmp without notice. LGXSUSBOI 02/01 calk'Sit , Zli Ohb �fted. Pee lows 98; ME 20% Dentift and Minn lit 3 World Wide Web Site: wYv*Oohdi fai, �ha, ON" A, 4e, W., Location /7D �w///&") sf- A 4 No. _ Date row,. TOWN OF NORTH ANDOVER ' Certificate Occupancy $ of CNUs Building/Frame Permit Fee $ 3 Foundation Permit Fee $ Other Permit Fee $ 3000 TOTAL $ Check # 14312 Building Inspector O LO z z O _� w U Z W 3m Za (n 2 z(nIt'cn� Z W3: W>,Qw F -z =z O WF- U� 3:0�W =ZNo� 0 z0 _ 2 Od, .o=a= v7o '_... F- F OW<Qz pz Z> Z-3 -.0 —0 0v=i F-F�O Z gLLJ W��� aW 1X --Q' Q- •-2 W zawdil mo o m=d . >- F- F : Q ^� z LL- 0 V O x uJrn - o F- o O 00Q60 F -Q cr- JN .. BLZ,� OnO UWNoa mZ. W z >-WE ITI W Y g a U) w W W m M�a-`.W �m wF-o = U N N O J to N Q r N ' O J C*4 N a N50'48'03'E - d ----------- ---- / / / / O P a r 8/ \ Fwao / DF,o m/ ar,N / co \ / M O J 00 01 CL 00 -ods -,-- .LQ a 0'x8 a In aLQa 0 �o °goo 0 0010o 20.13" W 20.08'aa zo' i� U m' � r Z J p'O ml� om 0Y N Oma` - �I w uj' e� N al i' Z o (n F z a o in 0 5 (n W a ly 0 z M (- Fq O N O to N Qa'J FW-- 00 N U 1"'x'1 L F.-4 00 p /\ F--1 to o� ti QM > O p % in P n 6 ori OEoZ J-'aoa g cD Z W <a a'Z 0Go 3 o Ai ID Z go a N 3 M N=m . o N OD Ivy H �� La � � � L) wo oo ^�, 1 N y co avow W 0: a P' a Ld o a�amwv=ia M w V30ix a LL- Of 'I LLJ ) O^ 00 p % NW N d yLL- H d ��� ��� ° v v,r d O E--4Li ,���II 7 o ,SSETTS N p EF o II��F, o > �' z Z 'q�ll n } m [�� F Z M J Z N t U- g �Ilgll �' o Q o NO (n � W U d J } m N ' O J C*4 N a N50'48'03'E - d ----------- ---- / / / / O P a r 8/ \ Fwao / DF,o m/ ar,N / co \ / M O J 00 01 CL 00 -ods -,-- .LQ a 0'x8 a In aLQa 0 �o °goo 0 0010o 20.13" W 20.08'aa zo' i� U m' � r Z J p'O ml� om 0Y N Oma` - �I w uj' e� N al i' Z o (n F z a o in 0 5 (n W a ly 0 z M (- Fq O N O to N Qa'J c 0 to Z ( Z O U w Qo (jZ. w 3m Z� Q _ ZW't0� Z U_ W> OZ W>,QW F -Z = wr- U(�o Nw z2NV) _ Oin xz LijOa (n LO o? j �_ w 0F~-,hW-�0 ZO oW V) af W LLg*>-o "—H'� Q`` ZCL �� m O :lzQ Z o �awrnI 00 LOo _w oOQMU F -a �JN '`(i(n�w WO Wer' p..coo F- vw`V mWZ >W Z� mew m �U _Lj _ W2m �1- �.�W �m WHO U N _.0 p .86 r - C14 O J to N Q / / / / 00.0''8�1==31 0 0 00 01 CLI 10 •bel n N 0 a N 0 N z M ago �,O o rn otos Qd'J �r Z J plO ml� Cca , W � N O �1Z ZlLL gI W V) O I O Z 3 co p ' 0 o w �¢, - e W- Z LO ao ao � t -1 • tD -ami N O O a vEi�m �^ ~ A 0 go x Z a pJOW a N Sind Q N yzv. V00 =N~ oi_ CO QA ��3WO ^jOQ wma P4 0.WF-Q'c-a Q Na o ¢nM¢ 02 ¢ w �rtn OW a y> L,w 'II W pU nS OO I� Q MH O 0 O O W U fWd¢ ¢ U wQ � o � �,ql� D U o E� o 1n�b� N z z •qII c z A o :- 7) g �IINII ¢ p Z W U ¢ p J } M. z M ago �,O o rn otos Qd'J �r Z J plO ml� Cca , W � N O �1Z ZlLL gI W V) O I O Z c DROSTE CONSULTANTS,INC. LOT 9 NORTH ANDOVER BUSINESS PARK 140 WILLOW STREET NORTH ANDOVER ,MA. 0184,$ TO:MIKE MCGUIRE - BUILDING INSPECTOR - TOWN OF NORTH ANDOVER,MA. FROM: STEPHEN E. FOSTER DATE:10/30/00 RE:FOUNDATION AS BUILT ENCLOSED IS FOUNDATION AS BUILT PLAN FOR THE ABOVE PROJECT THE STRUCTURAL AND ARCHITECTURAL PLANS WERE PROVIDED AT THE TIME OF FOUNDATION PERMIT APPLICATION PLEASE REVIEW AND ADVISE REGARDING AUTHORIZATION TO COMMENCE WOOD FRAMED STRUCTURE THANKS STEPHEN E. FOSTER,V.P. -PROJECT MANAGER FILE:C:\PROJECTS\LOT9\MEM1030A M Dutton & Garfield, Inc. CONTRACTORS 54 Beechwood Drive • North Andover, MA 01845 TeL (978) 681-8600 Fax: (978) 681-7570 DATE: 10/30/00 TO: Town of North Andover 109 Hillside Avenue • Londonderry, NH 03053 TeL (603) 425-2600 Fax. (603) 434-9568 LETTER OF TRANSMITTAL Building Department 27 Charles Street North Andover, MA 01845 ATTN: Mike McGuire RE: 140 Willow Street, North Andover Business Park WE ARE SENDING YOU x Enclosed _ Under separate cover COPIES DATE NO. DESCRIPTION 2 10/25/00 1 of 1 Foundation As -built THESE ARE TRANSMITTED as checked below: _ For Review/Approval x For Your Use _ For Review/Comment _ For..Your Information _ For Bids Due _ For Completion REMARKS: SIGNED: Stephen E. Foster eurcEFr BUILDER X AS Requested _ For Quote For Execution