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Miscellaneous - 150 FLAGSHIP DRIVE 4/30/2018 (3)
150 FLAGSHIP DRIVE 210/025.0-00820000.0 i I I \�p V it { III t i i 1 -- 3 7 9 Date. .���. .... .. .. NpRTM TOWN OF NORTH ANDOVER pF t��ao 1tip or p� PERMIT FOR MECHANICAL INSTALLATION F F t e • s a e o-�9 SACMUSEtt . This certifies that Y�� `. . ...�1 . . . .`..�`�A . . . ... • has permission for mechanical installation . . . . . . . . . . . . . . . . . . . . �. . . in the buildings of . .�c' = ''. P-' . . . . . . . . . . . . . . . . . • . at A 2'v.� . • • North Andover, Mass.n, � Fee. L,ic. No...... . . . . . . . . '. . . . . . . . . . . . . . . . . . . .�. GASINSPECTOR 4�WHITE LApplicant ` CANARY:Building Dept. PINK:Treasurer Commonwealth of Massachusetts Sheet Metal Permit Date: Permit# Estimated Job Cost: $ '4�. w Permit Fee: $� Plans Submitted: YES NO Plans Reviewed: YES NO Business License# Applicant License# 1-15-1 Business Information: Property Owner/Job Location Information: Name: s head Name: 'F`a,4 S h,,n _�r es S Street: Street: A'5u RA 5 S1,.a City/Town: �.k�.e,1 G43 City/Town: ,tJ_ Ar, Telephone: "j$ (0Ce3 --13,31 Telephone: � o" �g � lis z,CJ1 - PhotD.required/Copy of Photo I.D.attached: YESNO Staflnidial J-1/M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq.ft./2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial. Educational Institutional Other Square Footage: under 10,000 sq. ft.� over 10,000 sq.ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation:k HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: �ufy\" rr-�,Z: e krl f + fc dud Sic V - v✓ 4?- t C., INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Ye No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy k Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this boxO,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit Issued for this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: By Master --PAP Title �/ ❑Master-Restricted Cityfrown ❑Journeyperson Signature of Licensee Pernik# ❑Journeyperson-Restricted License Number:_1'�( S Fee$ Check at www.mass.00v/dol Inspector Signature of Permit Approval ' The Commonwealth ofMassachusetts Department of Industrial Accidents 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 Legibly Name(Business/OrganizationJIndividual): Address: 2 City/State/Zip: S_Ar ez MlntZ Phone#: t -7 — Are you an employer? Check the appropriate box: Type of project(required): 1.01-am a employer with i 4• ❑ ham a general contractor and I 6 F1 New construction employees full have hired the sub contractors ( and/or part-time). 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' insurance.$ 9. F1 Building addition comp.[No workers' comp. insurance P• required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 121-1 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.aOther Shy{-n. L4 A J— comp.insurance required.] *Any applicant that checks box#I 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 state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing ivorkers'compensation insurance for my employees Below is the policy and job site information, y� Insurance Company Name: c c, 1 CI \1 ti Policy#or Self-ins. Lic. #: 7 -t 1 t ExpirationDate: . Job Site Address: J�V3- D rLe City/State/Zip: A,(N&j4- VAA- Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb),ce\rtifh under the pains and penalties of perjury that the information provided above is true and correct. Sipnature: 1 oe orf, U) Date: Phone 97 (oG3- 'T l Official use onl)). Do not►vrite in this area,to be completed by ci7 or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector G. Other Contact Person: Phone#• Act CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `..� 7/30/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Dawn Cram CIC CISR NAME: Gilbert Insurance Agency, Inc. PHCN o . (781)942-2225 ac No:(761)942-2226 137 Main Street EMAIL ADDRESS: cramg d@ ilbertinsurance.com INSURERS AFFORDING COVERAGE NAIC# Reading MA 01867-3922 INSURER A Re ublic Franklin Ins Co 12475 INSURED INSURER B:Gra hi.c Arts Mutual Ins Co 25984 Sheet Metal Systems 6 Design I INSURERC.Utica National Assurance Co 10687 77 Alexander Rd, Unit #3 INSURER D: INSURER E: Billerica MA 01821 INSURER F: COVERAGES CERTIFICATE NUMBER:15-16 MASTER REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY 1'000'000 000 000 EACH OCCURRENCE $ r i A CLAIMS-MADE X❑OCCUR PREMISES Ea occurDAMAGE TO rence) $ 100,000 CPP4457899 7/15/2015 7/15/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY F]ECTT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ AOX SCHEDULED BAC4457901 7/15/2015 7/15/2016 BODILY INJURY(Peraccident $ AUTOS AUTOS ) NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS eraocident $ Uninsured motorist BI split limit $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION I E O - AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/C (MandatoryEMBER in NH EXCLUDED? NIA 4447960 7/15/2015 7/15/2016 ( Y ) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Proof Of insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE M Gilbert, CIC/DAWN ©1988-2014ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS02512014011 Ar 41MONWOvk"©F s f .. ell e ISSUE'S THE FOLLOWt i"ftk E ' { I ' 1 'AST ER t-NbE TA i CTED 1£H D W.HARLOW 7 HAJEAia kd .: C 01$21 /20. 1,6 6:76 - .: : . B e ® • 0 O h. ..-> .. .. SHEEN' �ItL Eft ISSUES E 1Ff1 LOWtt 1'1�;Et+tSE, ' r YDS A 8 NESS 1 ,. 1 MR0 W HARLOW I�ETt, 5 AND [lES AA�i�ir1� I GIF t r 77 ALERD x IT; a tCA 6#1►821 , 312731 O �f ti Y; in r Ursa w k a�t55PX IFrilr "l + ` t qu p ^`w ,� r 8 81LLERIfA.1�►01�71A4 x �# .e i "MSD01Fffi70t1.P)Y07162009 . Sheetmetal Systems & Design, Inc. Estimate 77 Alexander Unit 3 _ Billerica, MA 01821 ESTIMATE NO. Tel 978-663-7781 15-4396 Fax 978-663-5521 NAME/ADDRESS Job Location Associated Mechanical Systems Flagship Printing 4 Cedar Street 150 Flagship drive Woburn,MA 01801 Andover MA PROJECT DATE JOB Office renovation 9/11/2015 Office Renovations DESCRIPTION TOTAL Fabricate and install sheet metal duct and fittings to extend existing supply duct into 4,300.00 storage area with(2)supply grilles Furnish and install sheet metal duct and fittings to add(6)supply diffusers,(2).return grilles and(1) 12" bypass with manual damper Insulate all new duct with 1.5"FSK wrap Furnish labor and materials to add(3)return grilles in existing offices Furnish sheet metal permit NO DRAWINGS NO BALANCING ALL WORK BID REGULAR WORK HOURS TOTAL $4,300.00 Sheetmetal Systems&Design,Inc.,is please to submit the following proposal for the above referenced project. We will supply all materials,labor and equipment as specified above. This proposal is valid for ten(10)days,at or beforewhich time a copy of this proposal shall be executed,signifying acceptance and returned to SSD. Any subsequent increase in material and or equipment costs from 10 days after this proposal date will be an additional charge to this submitted price. Payment terms are Net 30 days. SIGNATURE 4 Date..... :..2.:�...� NORTH r °�"° TOWN OF NORTH ANDOVER o p PERMIT FOR WIRING This certifies that has permission to perform ... ? '... --................................. .7 wiring in the building of .. . ............. ........... ........ ....................... at... 1~........t�............ .... .. ...:. ....:f,... . �:.. ,North Andover,Mass. Fee 1014640.. Lic. o. .i . ELECTRICAL INSPEdOR Check # / 6944 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. w Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CMR .00 (PLEASE PRINT IN INK OR. YP AL FORMATION) Date: City or Town of: _ To the Inspector of Wires: By this application the undersigned gives �icf,of his or her' en ion to perform the electrical work described below. Location(Street& Number) t/ g P k , Owner or Tenant �),AG' S h i ,Q P k Telephone No. Owner's Address Is jail E. Is this permit in conjunction with a building permit? Yes Ltd No ❑ (Check Appropriate Box) Purpose of Building /yl,L�},Q�l��` G (�/Z //((Cy— Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 6AJ I k E /J6 &6 4 DD i T7 0 Al Completion of the followingtable may be waived by the Inspector of Wires. No.of Recessed LuminairesNo.of Ceil.-Susp.(Paddle)Fans No.o Tota Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.o mergency ig ing No. of Luminaires Swimming Pool rndrnd. El Batter Units .1 No.of Receptacle Outlets OZ No.of Oil Burners FIRE ALARMS No.of Zones t No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No. of Ranges No.of Air Cond. Total 02- Tons Q No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.oSelf-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection Security No.of Dryers Heating Appliances Kir Y S y stems: No.of Devices or Equivalent No.o Water KW No.o No.of Data Wiring: x Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent ' OTHER: _-,11tach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of lectrica Work: 74000 (When required by municipal policy.) Work to Start: - -S- () Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: 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 t 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 perjur ,that the information on this application is true and complete. _ FIRM NAME: Q` e LIC. NO.: 11 �j ZJ+ Licensee• VT/ AJS4 ,A �Ji!0 R F Signatur 61C. NO.: (If applicabl , enter - xe ipt 'in tI license number i / But. Tel Address(fes 1� f 1 Alt. Tel. No.: *Security System Contractor License required for this work; if applicabl ,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. .,� ,r '9� V �'v '� ems-� C�-�—�, `�--Z�'�l �jv� ,� ,4 i '/ I I I � 4. I NOH,.,, TOWN OF NORTH ANDOVER of .o ,anti OFFICE OF ° p BUILDING DEPARTMENT w ; r 400 Osgood Street �y9Q�q�reo'Pr` h4 North Andover, Massachusetts 01845 ,SSACHUS�� Telephone(978)688-9545 Gerald A. Brown Fax (978)688-9542 Inspector of Buildings AFFIDAVIT FOR FINAL COST OF CONSTRUCTION In accordance with the provisions o the Massachusetts State Building Code, Article 1, Section 110.4 and 1]4.2, the total estimated cost of the construction including all related construction costs* of the building located at /SO r/-Aa.SH 1 P L>RIVF— amounts to being person referred to as the owril g the identified below, do solemnly swear that the statements made herein are strictly true and correct ana made in good faith. I *Related construction costs included all work done with or concurrently with the work contemplated by the Building Permit including demolition, plumbing, heating, electrical, air conditioning, painting, carpentry, landscaping, site improvement, etc. Furnishings and portable equipment are no of the total construction costs. Signature of ner COMMONWEALTH OF MASSACHUSETTS ,rAss' K s.s. 110V4,woIR 3c. 20 e> s; Then personally appeared the able named C— aAaes /1[so/2 and Made an oath that the above statement is true. Before, Me, Notary Public OFF-1 ,Usr Final Cost: _Z 5 P' Original Estimate cost of general work: 70 Cost Difference: Additional Fee Required: TO AMEND FEE UNDE PERMIT NO.: Inspectional services Department 2005 1?\linalcostal'fidavittixm .Strict code enlorceme nt makes the lown.cuter Cj f J� Befi)re hu��ing, re mine, leasing check Zoning A, '0�� C� n ItO,\1:11(1 r\PI'Iii L.S 6.X- -11 CONSFRVA HON 638-'530 I Ili:\I,I'li 683-Qi40 I'I.r\NNIN(i 638`�i3 Date . �.'�.1. . TOWN OF NORTH ANDOVER 7 p PERMIT FOR PLUMBING This certifies that . . . . . . �f'. '• `•� • . . . . . . . . . . . . . . . . . . • • • jj� a f D. . . . has permission to perform . . . .l. . . . . . . . . . . . . . . . . 7. . . . . . . . . . . . . � plumbing in the buildings of . .F6<�f.? '. . • ,��?,c. 5'• • • • • • � at . . . . . . . . . . . . . . . . North Andover, Mass. Fee. . . . . .Lic. No. �? '?.Y. . . . . . . . ,. ... . . . . . . PLUMBING INSPECTOR Check # 7095 ?, MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date / 01 Building Location z5-0 S / PA Owners Name Permit# 7 o s✓ Amount J' Type of Occupancy New Renovation 1:1 Replacement ® Plans Submitted Yes ® No FIXTURES Pq w y, w x Ch w 91 BH�VIC isr MOOR 2M FLOIR 3RD ELDIR 4M RIOCR ' 5M FIOCR 6MR M 71S fiom M FIOQt (Print or type) Ch�eckJ�Jhe: ` Certificate Installing Company NameCorp. Jn O C Address _ ° r ® Partner. uc Business Telephone 7 — Zo ® Firm/Co. Name of Licensed Plumber. j^--' e J- Insurance Coverage: Indicate the NO 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 insta tions performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus State PI bi �and142 of the General Laws. BY ign o1 Licensed FlumDer e of Plumbing License Title City/TownLim a um er Master Journeyman APPROVED(OFFICE USE ONLY IIL��111 II / }r Date. ... .. .. „{ f NO�TM p TOWN OF NORTH ANDOVER w PERMIT FOR GAS INSTALLATION �'SSACMUSEtt This certifies that ( . . . . . . . . . . . . . . . . . . . . ' has permission for gas installation . . . � r in the buildings of . . ". ?S. !'A r, , , , , , . . . . at . .f`S. .0 ��... s'l:.l. . . . . . . . . . .. North Andover, Mass. Fee. �Lic. No..` t . . . . . . . . ... � GA INSPECTOR Check# 57 1. NMSSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FT TNG (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations _ 1�5D 4,14,9 !✓ Plt� Permit# S 21 \mount Owner's Name �G/�ys� New Renovation 0 Replacement ❑ Plans Submitted r O z xft n F z o z c o o a �. c� w e w F a > a z d � a w � w it a H z d � a � � �� c > ^w, F F a z x < o V WE E °o w w 3 o c7 a u x > a c SUB -BASEM ENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3 R D . F L O O R 4T II . F L O G R 5_T H . F L O O R 6 T H . F L O O R 7 T H . F L O O R 8TH . FLOGR (Print or type) Che k o CertiEcate Installing ompany Name U) Ci /"( e C. 0116rp. 2— � _ O Address / Partner. Business Telephone _ Z- Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check on I have a current liability Insurance icy or it's substantial equivalent. Yes No If you have checked yes,please i icate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity Bond13 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the El Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent 0 hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the- hest of my knowledge and that all plumbing work and installations performed nndcr Permit lssi.icd for this application will be in compliance with all pertinent provisions of the MassachLISCttS St c(;as Cote and Che �14_21 ( General Laws. By: IV ature of Licensed Plumber Or Gas Fitter Title lumber cf�7L-F— City/Town 0 as Fitter icense um er Vaster :1PPROVED(OFFICE USE ONLY) ® Journeyman j MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING � (Print or Type) NORTH ANDOVER Mass. Date �uilding Location16V ,q��,� , 2 Permit # ' Owners Name a� ✓ ,:� �� �'4-53�� _ �-- New Renovation D Replacement Plans Submitted FIXTURES W a 0 tt: O U 00 i' t = 0 p z 1— sL m W s W w O O 4 0 W 4 N z W Z ?. H N O W s us a� Wt z < z W c a a w t- W r x M ¢ r C7 F- 2 ,� H z t. N O ? t+- t- .t f. W z d W G a O 2 O N = ,tu > W = z 4 s -CC u. Z ci O -A v cc y a Oa 1W- o SUR—BSWIT. BASEMENT IST FLOOR 131 12- 2ND 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR (Print or Type) _ Check ne: Certificate Installing Company Name (1 RL cG�� Corp. 607'L Address ) 7 Partner. Firm/Co. Business Telephone: 3ZA3 Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy lzrother type of indemnity Q 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 coverages. Signature of owner/agent of property Owner 7 AgentEl i hereby certify that all of the details and information 1 have submitted(or entered)in above application are true and accurate to the best of my knowlcdge and that all plumbing worts and installations performed under"Permit issued for this application will-be in compliance with all V=Uncnt provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. B YPE LICENSE: By M' Plumber Title rlGasfitter 6-5/ignature of Licensed City/Town: Master lumber or Gasfitter Journeyman ��� APPROVED (OFFICE USE ONLY) License Number /ozow Say State Gas Company GAS INSTALLATION AUTHORIZATION Date /;//O& Issued to Address 1`5y fl_41S' fjq 04 - Al- 4,4/ � For Installation of: APSJc)V' BTU Input 3, //5, ooa -&f4/ Restrictions fl/o�2 BSG Representative. C PERMIT ISSUED _ BY INSPECTOR This Portion of Authorization To Be Returned to BSG. Inspection Has Been Made of the Following Gas Equipment- ❑ Heating System (BTU Input ) ❑ Range ❑ Water Heater ❑ Clothes Dryer ❑ Room Heater Location All Work Has Been Done In Accordance With The Massachusetts State Gas Code And Is Ready For Use. INSPECTOR NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES BUSINESS REPLY CARD FIRST CLASS PERMIT NO.721 LAWRENCE,MA POSTAGE WILL BE PAID BY ADDRESSEE BAY STATE GAS COMPANY ATTN: SALES DEPT. 55 Marston Street Lawrence, MA 01840 Ill..1.lll11l11l11l1 lt11ll11l1fill ll 2 Date. f No RTp , fl TOWN OF NORTH ANDOVER 3r0`t. c�1aL ! o p PERMIT FOR GAS INSTALLATION'," , �9SSACHUSES - This certifies that . w . . . . . . . . . . . . .!�: G ?: 7 has permission for gas installation in the buildings of777' at . . .. . . . ., North An er, Masi Fee .-Lica No.. . .. . . . . . . . .. . . . .N • � GAS INSPECTOR WHITE:Appl cl ant =4NA Building Dept. PINK:Treasurer GOLD.File Location - o . •No Date A. NO"T" TOWN OF NORTH ANDOVER •...3? i.- "', a OL .: I • ° p Certificate of Occupancy $ � Building/Frame g/Frame Permit Fee $ A ��b" °•nth Foundation Permit-Fee $ Q Ss�cHusE Other Permit Fee $ $ Sewer Connection fee y: Water Connection Fee $ .. . TOTAL $ F /Building Inspector♦ Div. Public Works Location � �� T' ��.�. i � �_........._ �.,.,�..._�. � :NoDate - x ` °"T" "TOWN OF NORTH ANDOVER 2 Certificate of Occupancy $ A Building/Frame Permit Fee $ g 'Ss�causEt Four%ation Permit Fee $ 't Other-Kermit Fee to ''' 'Sewer Connection Fee $ Water Connection Fee $ � TOTAL $ if ingIn ~ ctor, Div. Pubs Public Work . PEB �NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP KJO. 25 LOT NO. 82 2 RECORD OF OWNERSHIP IDATE BOOK PAGE — i ZONE Ind. I SUB DIV. LOT NO. 2045 1279 RtiSi.neSS.Pnrk Rpally Trust —57 LOCATION PURPOSE OF BUILDING 1550 Flagshop nrille Commercial Prin Ing OWNER'S NAME Business Park Realty Trust — NO. OF STORIES 1 SIZE 50,000 $P OWNER'S ADDRESs355 Middlesex Avenue Wilmington, MA BASEMENT OR SLAB Slab ARCHITECT'S NAME ,James Bourgeo is RA SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME Channe I Bu i I d i ng Co. SPAN see plans DISTANCE TO NEAREST BUILDING 2550+ DIMENSIONS OF SILLS DISTANCE FROM STREET 60 +- . POSTS DISTANCE FROM LOT LINES—SIDES 100, REAR 100' " GIRDERS AREA OF LOT FRONTAGE I 5U' HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW yes SIZE OF FOOTING X IS BUILDING ADDITION no MATERIAL OF CHIMNEY see plans IS BUILDING ALTERATION no IS BUILDING ON SOLID OR FILLED LAND solid WILL BUILDING CONFORM TO REQUIREMENTS OF CODE yes IS BUILDING CONNECTED TO TOWN WATER yes BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER yes IS BUILDING CONNECTED TO NATURAL GAS LINE es INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST $1 ,650,000.00 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 ` SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND AP OV D BY BUILDING INSPECTOR DATE FILED NUILDINO IN*P[CTOII SIGNATURE OF OWNER R A RIZED AGENT oe F E E 5- OWNERTEL.# 508 373-3000 G PERMIT GRANTED CONTR.TEL.# 508 373-3000 3 19 � CONTR.LIC.# 039770 H.I.C.# N/A BUILDING RECORD 1 OCCUPANCY 12 = SINGLE FAMILYSTORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES X-- LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH See Attached Plans: CONCRETE B 1 2 I3 CONCRETE BL K. PINE Site- 1–1 0 latest revisions June 24, 1996 BRICK OR STONE HARDW D +� PIERS PLASTER _ __ Structual– S1-S5 June 27, 1996 DRY WALL _ — _ Architectural- Al-1 July 22, 1996 3 BASEMENT UNFIN.� A1-2 July 22, 1996 AREA FULL FIN. B M AREA A2-1 June 28, 1996 1/1 '/p '/, FIN. ATTIC AREA A3-1 July 22, 1996 NO BMT FIRE PLACES A4-1 July 22 1996 HEAD ROOM MODERN KITCHEN _ Y A4-2 July 22, 1996 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW'D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR alti�a- BRICK ON FRAME Igd11;1 + CONC. OR CINDER BLK. - STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIORPOOR _ ADEQUATE I NONE $ ROOF 10 PLUMBING GABLE I BATH (3 FIX.) - GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY- WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T2nd _ ELECTRIC lit 13rd I I NO HEATING FORM U - VERIFICATION 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 section***************** APPLICANT: Channe I Bu i I d i ng Company, I nc. Phone 508 373-3000 LOCATION: Assessor's Map Number 25 Parcel Subdivision Lot(s) 82 Street _Flagship Drive St. Number 150 ************************Official Use Only************************ RECOMME O O WN AGENTS: Date Approved G!t? iconservation Administrator Date Rejected Comments 12sLl�y2 � Date Approved Town Planner Date Rejected Comments Date Approved • Food Inspector-Health Date Rejected A 0 ..��:$ CLL A � �`kM-��✓� Date Approved F, (d ° Septic Inspector-Health Date Rejected Comments 'Public Works - sewer water connections r/► S` - driveway permit SSl/ S b " .Fire Department Received by Building Inspector Date 4 1 CHANNEL August 8, 1996 Mr.Ken Surrette Town Of North Andover Building Department Town Hall Annex North Andover,MA 01845 RE: Town Printing North Andover Business Park North Andover,MA Dear Mr. Surrette: I have attached the following items for your review for issuance of a Building Permit at the above referenced project: -3 copies of site plans 1-10 latest revisions-6-24-96 -3 copies of structural plans S-1 thru S-S-latest revisions 6-27-96 -3 copies of architectural plans Al-1,Al-2,A2-1,A3-1.A4-1,A4-2-latest revisions 7-22-96 -I Permit Application -1 Workman's Compensation Verification -1 Sewer Application -1 Water Application -1 Driveway Permit -1 Fee Application#9113 -1 Architects Affidavit(Controlled Construction) It is my understanding,that Kathleen Colwell delivered to you the fully signed Form-U. Your immediate attention to this application would be greatly appreciated. If you have any questions, please feel ee to contact me at(508)657-7300. VeryAl our , Je for o Senio Pr j t Manager FChannel Building Company,Inc. iddlesex Avenue `tate Construction Wilmington,MA 01887 111835 �•~'' OFFICE OF BUILDING INSPECTOR TOWN ,.OF ANDOVER CONSTRUC71 OY RCONTROL '.�, �,,: PROJECT NUMBER: _ ,.. PROJECT TITLES Town Printing . � PROJECT LOCATION: 150 Flagship- Drive NAME OF BUILDING: Town Print - -----_ ---._..._ --_---- ` NATURE OF PROJECTS 50,000 S:F. -commercial printing facility with - - 12,600 S.F. corporate office mezzanine IN ACCORDANCE WITH SECTION 127.0 OF THE MASSACHUSETTS SIAT£ BUILDING CODE, I - J' 1, James Bourgeois Registration No. 4757 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT 1. RAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, CUHPUTATIONS AND SPECIFICA- TIONS CONCER.'tING: ENTIRE PROJECT Q ARCHITECTURAL STRUCTURAL Q HECIIANICAL Q FIRE PROTECTION Q ELECTRICAL Q OTHER (specify) . . FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BE-T OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE^APPLICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGItiEER111G PRACTICES., - AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIC1tAL SERVICES AND BE '" PRESENT ON THE CONSTRUCTION SITE ON A REGULAR All PERIODIC BASIS TO UEIElUtINE THAT THE WORK IS PROCEEDING IN ACCORDAI;CE WIT H THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESP014SIBLE FOR THE FOLLOWING AS SPECIFIED 1, .SECTION 127.2.2: : . I. Review of shop drawings, sanples and other su►bm ttals of the crntractor as required by the construction contract documents as suh-mitted for 41ding permit, and approval for conformame to the design concept. 2. Review and approval of the quality c--nt_-ol processes for all code-required controlled materials. 3. Special architectural or engineerir-S prrfessicral .inspection of critical const- r_tien carpenents requiring controlled materials cr c_-nstructicn specified in the accepted engineering practice standards listed in Appendix B. .•PURSUANT IO SECTION 127.2.3, 1 SHALL SUBMIT WEEKLY , A PROGRESS REPORT TOGETHER 'WITH PERTINENT COMMENTS TO THE NORTR ANDUVE::: BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO T ATISFACTORY ..COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. f i SICNAIU SUBSCRIBEII AND SWORN TO BEFORE HE THIS � DAY OF hilA, J6'r- 19� N. TAA U IC (�(/(_,� MY COMMISSION EXrIRES_ ,ao ' The Commonwealth of Massachusetts 04- Department of Industrial Accidents 1 - 121 Of/Ice o//nyestigetloos =I .� 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit � -:usa,,...x>,. ,..4'n -t na e. Channel Building Company, Inc. 355 Middlesex Avenue location: cit, Wilmington, MA 01887 phone# (gout 6r457-7300 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ® I am an employer providing workers' compensation for my employees working on this job. company name Channel Building Company, Inc. address: 355 Middldk7sex Avenue cit, Wilmington, MA 01887 phone ft: (SOR) 657-7300 insurance c Ae ol'c # L.�..^n""wZ'i` ,.mr^ YJT^f 6"++ ,_. ...,. i s ,..... .. ,. :3.' r"+!!=21 -..:t^�` yF [� I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name- address: city ohone#: insurance co policy# - company n address: c•. ohone#• insurance co. # Attach addthonal sheet of ae_¢esstar Failure to secure coverage as required under Section 25A of MGL 152C an lead to the imposition of criminal 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 fine of 6100.00 a day against me. I understand that a copy of this statement ma forwarded.to the Office of Investigations of the DIA for coverage verification. do herebv certif un r the pains and penalties of perjury that the information provided above is true and correct Signature Date August 8 1996 Print name .1 Phone# f 5081 657 inn -- r_ "official use only do not write in this area to be completed by city or town official C7 city or town: permitAicense# r 1Building Department CDLicensing Board 0 check if immediate response is required Selectmen's Office 011ealth Department 1= f Other contact person: phone#; J-d 3%9`PJA) AORTH 0VM � Of 0dover No. ~ ' y I o rt dower, 1lilass., _ 9 19 COCMICMEWICK � ,p pDRATED PPa � 1 5� BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR 7. THIS CERTIFIES THAT....................................... cis.( l .S.S.......... R. .K ....... � �.� �!.....( uS.�.......... Foundation has permission to erect.....:...C.0... ........ buildings on ...:.::. ....... .......... .R�........ Rough ' t�/�(/°9�1�' C //-� Chimney to be occupied as........................... ............. 1 ..i/ � .��.......... . .. provided that the person accepting this permit shall in every respect conform to the terms of the application on file.in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR COHTROt VIOLATION of the Zoning or Building Regulations Voids this Permit. CONSTRUC([i<MI Rough Final PERMIT EXPIRES IN 6 MONTHS T T' ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S _ ............ Rough _ , .........`.\j. ..... .. ...... Service BUILDING INSPECTOR Final Occupancy Permit Required. to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. 'X/3 _ 4013 Smoke Det. Date. C'`l:.G L. ",O R':'�c TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 41 s S. + ~I ,SSACMUSE� _. This certifies that . . ��.,. . .r'�t 5.�t.1.�. . . �� ! k . . . . . . . . . has permission to perform . . . .. . . . . . . . . . . . . . . . . plumbing in the buildings of . . . 1':'./ J� ' ,• • • .t?�? r f- S• • • • • at . . �l. t . . .l��S . r . . • • . . . -North Andover, Mass. Fee. 3.Q% `. . .Lic. No.. .6 4.). RE71!'1 . . . . . . . . PLUMBING INSCTOR Check # 1?0// 5358 MASSACHUSETTS UNIFURNt Art-L_A–A I Ivry rUM rcrnrvil l t v W -. ri—i"ot,.v (Print or Type) R/ Ad>0 Mass. Date O(7, 2.3 = z^ Permit ;: J - Building Location f r-! ' S0'0 wnei s Name ,Q ¢? FL( vis S(tel (P Type of Occupancy 1 (fyrt fv' 30 S' �4 S New Renovation Replacement ❑ Plans Submitter�Ye4 No Er� FIXTURES ]C > W O h^ N J < W Q N N N y H V W y Y d u. 0. 3 X V C C N W o < ~ < < N < < O < J J < .� 3 Y � J OI N QI O J � I �I r NI W l7I CI7 4 3 � C' S 4 �I� SUS—8SMT. BASEMENT IST FLOOR V I I I I ! I V I I I I I I III NOF 2 L 0 0 A I I I I I I I I I I I I I I I 3R0 FLOOR I 1 1 1 1 1 1 1 ( I I I I I I {I I I I I I I 47H FLOOR ~ 5TH FLOOR 57. H FLOOR I I I I I ► 1 1 1 ( 1 1 1 1 1 1 1 1 1 I I I 1 1 H FLOOR 8TH FLOOR Installing Company Nam .Je , SCf°l-� ti $1-1��' `� �' �`" Check one: C'^ificate 4 Address eJ t.1 C.C.t V(lq-IV ,t-,>4Q. ❑ Corporation R wt(5 y(-1 j•j , L`- Partnership Business Telephone Name of Licensed Plumber -jC 5e 0 F S 14C?�Z_ INSURANCE COVERAGE: ! h_Ye a urren' I!,-b:!!ty insurance policy or fts s:bstantial equivalent which Teets the requirements cf.mejL Ch. 142. I f Yr No ❑ If you have checked Yes. ple,ase+ indicate the type coverage by checking the appropriate box. A 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: Owner ❑ Agent Li Signature of Owner at Owner s Agent I hereby certify that all of the details and information I have submitted (or entered)in above application are true and ac.7rate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be to compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 14 of the General Laws. Signature of Licensed Plumber Title Type of License. Master q3-111 Journeyman ❑ G /Town 9 I c USE ONLY) License Number office Ose owl, The Commonwealth of MassachusettsD3 ' ,4141.1 U. Department of Public Safety ' ocewp41err ir41 O.ecdrs DOARD OF TIRE PREVE1171011 1tEGULA71011S S27 CMR 1200 7/90 4141"" ►1.�►1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORI<. All rejig is t o pejlermed in accardance wfd%ahe Macaachustits Elictrical Code.S21 CMR 12:00 (PLEASE PRINT III JIM OR TUE ALL 111FOR�IIMT1011) • Date. % / �0 /s CityoI Town of /'✓O J �d�� Io the Inspector of Wtrest Iii+ undersigned applies for a permit to perform the electrical work described below. isation (Street 16 Humber) Omar or Ienant W A.) lel U r /U ( � 'A.1 +s J ar's Address • �E Is :this permit in con)u pption v th a building permit: Yes Ito ❑ (Check Appropriate Box) �J Pwrrese of Euildtng /"'T'tL Utility Authorization 110. w67+l/%bO� Fsistins Service Amps / Volts Overhead ❑ Und;rd❑ lie. of ikters__ k- Se"Ice 0aa" 14 Amps a77• 1 R Volts Overhead ❑ Undgrd Ito. of tieters Ruz er of Feeders and Ampacity location and Nature of Proposedilectrical Work !POir�rn+-sE� tal Wb_ of Lighting Outlets Ito. of liot Iubs Ito. of Transformers IQ RVA ;5exo 'K,jA Bs_ of Lighting Fixtures ^._ swimming Pool Above In- grnd. ❑ grnd. ElGeneratorsKVA ;o_ of Receptacle Outlets- Zap 210, of 011 Burners Ito. of_Emergency Lighting Pattery Units"" ZeV Pa- of Switch Outlets No. of Cas Burners FIRE AIAPJIS No. of Zones Zp 36- of flanges No. of �Air Cond. Total Ito. of Detection-and . tons Initiating Devices Ilcat , Total Iotal 11a. of Disposals Ito. of Pum s. Tons KSI Ito. of Sounding Devices •ZS +m_ of Dishwashers Space/Area Heating KSI 110. ec Sol( Contained Deteetlon/Sounding Devices to. of Dryers heating Devices XW Local.❑ Municipal MOther Connect ton 50- of Water Ilesters3 SKU No,. of o, o Low Voltage >3 g Slr.ns No. Wiring No,. Nydco Itassage Tubs No. bf Ilotors 50 Total IIP' 100 MIER: FEB 3 - 1997 MURANCK COVERAGE: Pursuant to the requirements of Massachusetts General Lags I have a current L bilis Insurance Policy including Completed Operations Coverage or substantial elulvalent. YFS[ NO[� I have submitted vend proof of :ane to this office. YES( 110 [] t U you have checked YES, please Indicate the type of coverage by checking the appropriate box. t liSURA1ICE f"BOM 0 0111ER❑ .(Please Specify) • —( xp tat on ate Estimated Value of Electrical Work S 1 3oj000 Mork to Start /`"-//% Inspection Date Requested: Rough W1 C.a•[X Final W1V'CRtti - �a;�ed tinder the penalties of Ie:J_•Ty: rip" 1WfE LUC 10 B.letnsee !//� �ii} 3 C1€ ? Signature (/�-.cg 'LIC. 110. I/"` //•�-- �ddtess Bus. Iel. No. 6 e 6 Alt. Tet. Ito. eK*tERO S INUMA110E WAIVER: i are aware that the Licensee does not have the insurance coverage or Fts au - stantlat equivalent as required by liasanchusett■ General. taws, and is-at my signature on this petal[ �mppllestion valves this requirement. Owner , Agent (Please check one) _ Telephone No. _ PE I7; FEE S Signature of Owner or gent ' 1 ra _ The Commonwealth of Afo's'saCllusett5 y D V 1 I7rywr[Inent of Public ,Scr`rfy otiveAftj 16 fee chorchora VOAAD OF Fin PnEV'E11T1OU MGt�(�+�i011S S2T CMRt200 50 ti.... ►►..,t ._PPUCATION FOR PERMIT TO PERFORM ELECTRICAL WORK NI«vk W k p4.tarrntA In 6-1410—urttl}t!Re M.urchusptts Elita.{cai Cede, 521 C>'IR 12:00 ? 7 (FLEASE PR lrI Ill AMC OR�TIPE ALL 111FOMIhTI011) Date. City or 7ovn of � %: r_� To the Inspector of Wlre+s underslgntd applies for a perult to perfa;,a the electrical worK described below. - tion (Street A. Number) / �' j _ `� 1� r 7/'.� . 49 or Tanant._...._,.._._- - -.--...1' 0 60.A/ --awr's Address Is 11his-permit. In con}u tion w th a building persica Yes Ito (Check Appropriate Boz) pp "7 i`�+i ' t `t .m%'�'" Uttlit Authorization 110, >hoaZo+e o! building � T !. Existing Service Q Amps / Volts Overhead U Undgrd[J Ib. of lieters_. _ Set-vies r+ Amps Volts Overhead U Undgrd Ito. of lieters - 6-b,tr of Feeders and Ampacity, location and Nature of Troposed?.ltetrical. Work �t►�;T�'-►b, �-�1*�"j ��� do_ of Lighting Outlets Ito, of Hot Tubs _ Ito. of Transformers 1 G) I;yA grove r- 1 aro (-1 — sal. of Lighting Fixtures $uiwyring tool rnd, rnd. LJ Generators KYA _ —� No. of Emet enc Lighting go._ 0f .Reeeptscle Outlets ziRaCp Ito. of Olt Burners t y _ tery, Omits 16_ of Switch Outlets No. of Gas Purners FIRE;ALA RI IS Ito, of Zones Z� 76_ of Kansas No. ofiAlr Cond.�VTotal _ Ito. of Detection and tons Initiating Devic._o licat Total Total so. of Disposal$ Ito. of` pumps. T XW Ito. of Sounding Devtces ZS• Zoo- o[ DishwashersSpace/Ater licating yu 110. of 5el( Contained Deteetlou Sounding Devices rlh_ at Dryers Ifeating DevicenKW L � acel2lunicfraI "Other ConnectionLL-5 of N No, o.o� -� So. of Water Ila+ters3 $K►i I.ow Voltage Slins 11+I1asts Ito. Hydro lbtsage Tubs No, 6( tlotors;jam Total tiro app tYl:lilt£Rs _-" .JAN 1 7 Il11SURAIICE COVERAGE, pursuant to the requirements of Has9achusetts general Laos D have a current L billty Insurance roltcy Including Co-pitted Cperattons CovtrAseor r s aobstantiat rguivalent. YES(I UO [I I have suhnitted valid proof of tame to Oils office. YES( 110 0 1 TIL you hart checked IES, please indicate the type of coverage by checking the appropriate bo:. IUSUMICE a 1101111 ❑ OI11ER L] idease Specify) `-( xp rat on 'Gatej Estimated Value of Electrical Work S I ocx� M��l l;ork to Start 1196 Inspection Date Requested, Rough C A--� Final 1 ultt.+-- ':k.-ed under// the penalties of 1•et):r71 TJ1tT1 IIIJiE_ C -{G>✓f c_ - �7;nc ��<-.:..tc.t_/9 0 /s'� 1 LIC. Ito. ll lcensea 1/�N(�{�/ C,�itFfS fiC�4 •Slgnsture .��tt � r�_ ,L/e.�- LIC. Ito. /`/ = /•f Bus. Iel. No. r•~�jZS. Alt. Tel. No. @OWNER'S INSURAt10E UAIVER, t are aware, that tits Licensee does not have the insurance coverage a-or-its til ' mtantlot equivalent as requtred by Ilasvr.chusetts General I-iwtr ani tl'�at spy signature on this permit eo,pplicstiovs valves this requirement. Owner Agent (Please check one) No. rMtIT FEE $ 'ZSlgnatutrt o Owner or Tigcnk�'..1— i _-- ` .. Date. .. ."�?. ' 703 co NORTH ?°;�;�`` TOWN OF NORTH ANDOVER PERMIT FOR WIRING s ^ _ r a SSACHUS - _ _ - ? - This certifies thafi�- ��L�1...... jj�� . �. . ' .................. has permission to perform wiring in the building of ... '! ' at... :!.�?"�.(�. ._ . ... ............. .North Andover;:Mass W Fee.*�.fk .. .!. Lic ......... . ...... j ELECTRICAL INSPECTOR > x 01/24/9711.51 2`400.00 PAID j�pv3v2 k WHITE:Applicant CANARY: Bul�ding Dept. PINK:Treasurer ... 7 824 �t ,ORTH 1 TOWN OF NORTH ANDOVER Q . p PERMIT FOR WIRING a SACMUS� This certifies that ..... i.zS.......E 'e(AkiM.,......(a `f has permission to perform wrong m the bwldtng of..... G?.t.N.h...... 2 .!1.. .....K.`�............................ at....J 5�........... .................. .North Andover,Mass. . Fe�..JX Gc�. IF.00. Lic.JNoA.. /.�4.............:................................................ ELECTRICAL INSPECTOR CYGc ►Z 00 s WHITE:.Applicant CANARY: Building Dept. PINK:Treasurer atilt@ 084 o.k The Commonwealth of Afossochusetis �URLd, Department of Public Safciy DOArID OF SnE PREVE1171011 nECULATIONS S27 CMR tM 3/90 1i.,.e al.,al ' APPLICATION -FOR -PERMIT TO PERFORM- ELECTRICAL -WORI<- --An uvrk.sb k perlormtd in sccerdance uAlit the Nacaachwetu Elictrlcal Colt,S27 CMR 12:00 (MY-ASE PRIHT Ili INK OR ME ALL IIIFOPlILTI0tt) • . Date- 3^ICJ qq 7 City or Tovn of 1j02-r►•L To the Inspector of WLrest 21;a undersigned applies for a permit to perform the electrical work described below. lacstion (Street L tlunberY 150 r-!L.Ae,S141P 'D 92J- 4-Ower or Tenant Odser's Address • Is Ithis permit in conjunction with a building permit: Yes � Ito ❑ eek AnHeter3._ hwrose of building pTr'F1C / PRD L�� Utility Authorize ion 110. Iiiating Service Imps / Volts Overhead ❑ Undard t. kw Se"Ice �4 Ar.ps Z�71 • / 48b Volts Overhead ❑ Undgrd rs i Tu=ber of Feeders and Ampacity Q AMP taeation and Nature of Froposedilectrical Stork Jo- of Lf htin Outlets Total g b Ito. of Hot Iubs Ito, of Transformers L}. KVA (aOCS rl ia_ of Lighting Fixtures Above In- ISL J.), t 6 Swisvting Pool grnd. ❑ grnd. ❑ fllxl 7� KV A "75 Fa_ of Receptacle Outlets Ho. of Oil Burners No. of Emergency Lighting S Battery Units Fie_ of Switch Outlets No. of Cas Burners FIRE ALARIIS Ito. of Zones _ of Ranges No. of `Air Cond. Total 11o. of Detection and tons Initiating Devices So- of bisposslt Ito. of puo s. Ins KWticat Total Total Ito. of Sounding Devices Dishwashers No. of SelS Contained u ]tenting KSI .•m_ of Wash aslters a Area 1 coli Sp ce/ B Detection/Sounding Devices flu10a. of Dryers Heating Devices KV Local 1:1Contclpal ❑Other y 6 Connec[Ion i<o_ of Water heaters KW Noy of o, o Low Voltage a s Slxns Ballasts Wiring Mm. Hydro Itassage Iubs No. of Motors 157DTotal IIP400 H31[ER: ' 4 rMSUMICE COVERACEI Pursuant to the requirements of Massachusetts General La%Js I have a current Liabitlt Insurance Policy Including Completed Operations Coverage or its snb_stsntial ivivatent YF.S 1 vsubmitted valid cooE of tone to this office. YES NO T O I have p �1 U F you have chec d YES,C�leaxe indicate the type of coverage by checking Lite appropriate box. E1ISURAIICE ❑' BOM ❑ 0I11ER ❑ (Please Specify) _ xp rat on batcT Estlusted Value of Electrical Work S Mork to Start Inspection Date Requestedt Rough - Final c;t;-ted under the penalties of ittJ:�7t 3 FIM KAM LA&I�QSG.O t t�C LIC. Ito. A�112 -- Llctnse! SL nate e ddress d$[ sr .1�wtO�lElL IAI� us. Tel. Ito. {4LG81i-3d J7 Alt. Tel. Ito. CAMER•S INSURAHCE WAIVER@ i an aware that the Licensee does not have the insurance coverage or is sit - stantiai equivalent as required by Tlassachusetts Ceneral swat and that my signature on this peri* �Pplication Waives this requirement. Owner Agent (Please check one) i V Telephone Ho. TERNIT FEE S Signature o1i Owner or gent ' .t ' I oven Printing Equipment List Equrprnent Type Ht�rsepowero{ts AmpkuantEtyk 4 1. Power Panel 13 240V 700A 1 - i 2 Power Panel 14 480V 400 A 1 3 Power Panels 15,16,17 240V 200A 3 i 4 Office Partitions 120V 20A 8 5 Data Power Outlets j 120V 20A 12 6 Presses 250 Total HP 14 Different Presses 7 Bindery Equipment 93 Total HP 31 Different Pieces of Equipment 8 Prep Area Equipment 75 Total KVA 20 Different Pieces of 06 j Equipment 9 Door Openers 5 Total HP 5 Doors 10 Battery Charger 480V 20A 1 5 11 Trash Compactor 15 HP 12 Air Compressor 30 Total Horsepower 2 , 6o 13 j 14 15 i 16 i i 17 18 i 19 20 21 i I 22 23 24 Page 1 3/19/97 F NORTH Town of 4Andover 0%No. y �' • nO - Lo' A E dover, Mass., COC MICHEWICK y�`• S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... wtG- 1 ..,. •�..... ....... ... .. ... .. .. .. . has permission to erect.N ..I!. .�buildin s on 0 ��t%PRough I U to be occupied as. ...... I .1... ... .. .. . . . .� J c • )� ' provided that the Arson acceptin this p rmd sha m every respect c f�iii to the arms of the apphc on X18a1-Y p Fi � e � / this office, and to the provisions of the Codes and BW-Laws relating t he Inspection, Alteration and Construction of Buildings in the Town of North Andover. * � LUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations oids this P26ermit. Rough do O �Kl PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC N STAR &� � ou -. 9_; - ...... .. . . .. . ................... ........ Service BUIL ING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTQx. . Display in a Conspicuous Place on the Premises — Do Not Remove Rough r( L✓�/J4 " Ic No Lathing or Dry Wall To Be Done F Until Inspected and Approved by the Building Inspector. BurnerFlRE DEP ENT Street No. SEE REVERSE SIDE Smoke Det. (o 11/27/2006 021:88 1603:4345812 HORIZON PAGE 82 November 27, 2003 Gerald Brown Inspector of Building Building Department 1600 Osgood Street North Andover, Massachusetts 01845 Re: Addition Flagship Press 150 Flagship Drive North Andover, Massachusetts 01845 MECHANICAL FINAL AFFIDAVIT I certify that 1 have observed the HVAC work associated with the Addition at Flagship Press and that to the best of my knowledge, information, and belief the work was done in conformance with the permit and plans approved by Building Department and with the provisions of the Massachusetts State Building Code and all other pertinent laws and ordinances. Engineer Mass. Reg. No. Address IVII 2006 OF�SSq STEVEN R. HOUL 467 '�10NAL E r! CHANNEL BUILDING COMPANY November 27, 2003 Gerald Brown Inspector of Building Building Department 1600 Osgood Street North Andover, Massachusetts 01845 Re: Addition Flagship Press 150 Flagship Drive North Andover, Massachusetts 01845 FINAL REVIEW AND APPROVAL Pursuant to Chapter 1: Administration — 780 CMR 116.2.2 Construction Control, to codes of the Commonwealth of Massachusetts (Sixth Edition), I hereby submit this letter as final review and approval, to the best of my knowledge, of quality control procedures for the architectural code-required materials and installations performed at the above location. If you have any questions, please do not hesitate to call. Ve ruly y J G. DeMarco, AIA V Pre ' nt esign R jrq►,� No. 3862 MFtjRM �, �►ss. i f CHANNEL BUILDING CO. T: 978.657.7300 355 MIDDLESEX AVENUE ( F: 978.657.7788 WILMINGTON,MA 01887 W: CHANNELBUIIAING.COM VINCENT A . DHORIO , INC . CONSULTING ENGINEERS 89 Access Road, Suite 18 Norwood, Massachusetts, 02062 EiEl November 20, 2006 North Andover Building Department—Inspectional Services Department 1600 Osgood Street North Andover, MA 01845 Reference: Flagship Press Addition—Project 06-007 150 Flagship Drive North Andover, MA 01845 SUBJECT: ELECTRICAL FINAL AFFIDAVIT To the Inspections Services Commissioner: I certifythat m authorized representative or I have inspected the Electrical and Fire Alarm work Y p p associated with the Flagship Press Addition at 150 Flagship Drive in North Andover MA. To the best of my knowledge, information and belief the work has been done in conformance with the permit and Fire Alarm plans approved by the Inspectional Services Department and with the provisions of the Massachusetts State Building code, Massachusetts State Electrical Code, all applicable provisions of NFPA and the Town of North Andover Planning Board and all other pertinent laws and ordinances. VINCENT A. DiIORIO - 24294 ENGINEER—MASS. REG NO. OF VINCENT A. DiIORIO, INC. A. COMPANY 89 ACCESS ROAD NORWOOD, MA 02062 ADDRESS (781,) 255-9754 TELEPHONE Inspection Dates: November 20, 2006 Then personally appeared the above-named VINCENT A. DiIORIO and made oath that the above statement by him is true. BEFORE M , DANAJ. HENNEBURY MY COMMISSION EXPIRES' -. Notary Public - Commonwealth of Massachusetts Myy Commission Expires - Se tember 12,2008 J 20 tel: (781) 255-9754 fax: (781) 255-9725 email: vadjr@vadeng.com 970557-7738 C r�nnal Ruild,ng Compa! I F{: , 1_ 2!2 November 27. 2003 Gerald Brown lnspectar of Building Building Department .1600 Osgood Street- North.Andover, Massachusetts 01645 : Fie: Addition Flagship Press 150 Flagship Drive North Andover, Massachusetts 01845 ;TRt3CTUPAL FINAL AFFIDAVIT S�20GWZ44 ! ► that i have observed the; work associated with the Addiiion at Fi�agshio Press and that to the best of my know e(6, information, and belief the' work was done in confo,7nance with the permit and plans approved by Building Depat-trncnt and with the previsions of the Masse chuse Us State Building Cede, .mss• Mass. Reg. Nd, Add,,ess I�GV�f913t� - 40(,16 Cpm s- NOV 2 1 2006 BY 978-657-7788 Channel Building Compan 11:04:26 a.m. 11-30-2006 212 November 27, 2003 Gerald Brown Inspector of Building Building Department 1600 Osgood Street North Andover, Massachusetts 01845 Re: Addition Flagship Press 150 Flagship Drive North Andover, Massachusetts 01845 FIRE SPRINKLER FINAL AFFIDAVIT 1 certify that 1 have observed the Fire Sprinkler work associated with the Addition at Flagship Press and that to the best of my knowledge, information, and belief the work was done in conformance with the permit and plans approved by Building Department an it the provisions of the Massachusetts State Building Code and all other pertinent ws an ordinances. Glcea�sc.li „g,g..�s S��rQo;cam r i kPrez t(Z p€-► i+ er Gcc_ c-s Aron�, Mass. Reg. No. St- Q(�p � K30 03c3g Address It i] 2006 i i 978-657-7788 Channel Building Comp 08:58:03 10-27-2006 2/3 UJC T,11 R A L E`-.N a if OR :P-A.A K 15,TA. E-- T A." 11VO , M T 0' -0.8'A V..;97 6PJ67- 7 04123-3 .80 .33 177'M September 27, 2006 Jonathan Krygeris Channel Building Company 355 Middlesex Avenue Wilmington, MA 01887 Re: Flagship Press Slab-On-Grade Denco Engineering reviewed the proposed cast-in-plaos concrete slab-on-grade for the Flagship Press project to support a storage rack system as detailed on the attached sketches provided. Based upon our attached review and analysis of the localized area of the floor slab at the base of the support posts for the rack system,Denco Engineering recommends that the slab-on-grade be constructed per the attached slab section detail. Very Truly Yours, DENCO ENGINEERING Daniel W.Smith, E.I.T. Kenneth Dennison, P.E. Project Engineer Chief Engineer CADocuments and SetfingsWserl\De8kWp\LTRO927WFlqgsbip Pmmdoe C'