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Miscellaneous - 162 GRAY STREET 4/30/2018
/ 162 GRAY STREET 210/107.D-01 01-0000.0 I I I Date..!Fb-/Z"` 10 7 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING IH4U This certifies that.6 .................... ................................................... has permission to perform .............. ..................................................................................... plumbingin the buildings of............................................................................................. at../.(..I...0r ................................'n...... n.(..... Forth h Andover, Mass. LicNo.Fee;Q.��.... 06. q.. .......... . .. ................�L6M�IN�4SPECTOR Check# Date....... /f'7................... �NOarM 0 �, TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 8s,+cwu5� R t This certifies that (������fff A v..�............t.. f.............. .... �1 . rhas permission for gas installation 1 ....................... �e r-- in the buildings of................. J at...1.(Q.. ('off?u..,� ..............................\...... Nort. An ver, Mass. Fee�.�. .... Lic. No. .I .7f..... ....., .....:....... ............. ............................ / GAS NSPECTO Check# l ) ) V npn - t MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY MA DATE, PERMIT# JOBSITE ADDRESS I I f I" =OWN OWNER'S NAME r GOWNER ADDRESS TES �AX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT /J CLEARLY NEW:;❑ RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES❑ NO❑ APPLIANCES Z FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER' I LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER - ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER . OTHER I� _ Lj 1 I INSURANCE COVERAGE I have a current liabilit insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES fEjNO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY ® 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 ❑ AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are t and accurate tot est of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in cc lian with all n nt provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME p '�zti?Z LICENSE#^ SIGNATURE MP❑ MGF JP 0 JGF Pill CORPORATION �O—I PART ER IP❑#[L�LLC❑# COMPANY NAME: M gyp;n ADDRESS CITY STATE /2T ZIP TEL FAX I I CELLI. EMAIL / Jq e map� n �b� ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTZZ Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES l MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK k Ilk .� CITY _ MA DATE -- -- - PERMIT# JOBSITE ADDRESS OWNER'S NAME OWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIALE] EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW:F-1 RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO FIXTURES 7 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 r` 13 14 BATHTUB CROSS CONNECTION DEVICE - DEDICATED SPECIAL WASTE SYSTEM - 1 EDICATED GAS/OIL/SAND SYSTEM - DEDICATED GREASE SYSTEM - - DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER - DRINKING FOUNTAIN - FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR INTERIOR) - — - - - KITCHEN SINK - - - LAVATORY ROOF DRAIN -- - SHOWER STALL -- - - SERVICE/MOP SINK TOILET - URINAL WASHING MACHINE CONNECTION - - WATER HEATER ALL TYPES - WATER PIPING -- OTHER - - - - - - - - __: INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YE S.2 NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY © BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage Y required b Chapter 142 of the Massachusetts P s General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER [l AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are tr and accurate 1p the t of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in co fiance ith all en rovision of the Massachusetts State Plumbi ng'Code and Chapter 142 of the General p e al Laws. PLUMBER'S NAME - P' LICENSE# _/ �'' SIGNATURE - _ MP JPQ CORPORATIONY#L--Z � PARTNERSHIP LLC[]#E= _. . COMPANY NAME /►') P 0.0 1 r1_- ADDRESS CITY STATEZIP _...._C�_Z% - -....: TEL .- -- -�t FAX CELL - - - EMAIL FROUGHPLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NO ES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# I PLAN REVIEW NOTES a GEM PLUMBING&HEATING CO.,INC. 121223 DATE INVOICE NO. DESCRIPTION INVOICE AMOUNT DEDUCTION BALANCE y 8/-75/2014 590672 $50.00 $0.00 $50.00 8/25/2014 121223 TOTALS D $50.00 $0.0 $50.00 Cq NE CTOWN. F NORTH ANDOVER The Commonwealth of Massachusetts 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/Organization/Individual): CZ �= M ��U CSC., _ Address: City/State/Zip: 1.,� 4 Z�' a Phone#:_Li 41 +6' 3 U U� 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 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' insurance.*, 9. ❑ Building addition corn [No workers' comp. insurance P. required.] 5. ❑ We are a corporation and its 10.❑ 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 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [Ivo.workers' 13.[1 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. r 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ll Insurance Company Name: 1 ` k o,h_� 11 t, C T V I C 1?,S n C Policy#or Self-ins.Lic.#:w C. C{ O O O Expiration Date:_[ C) �' 1 Job Site Address: /&, &/-V)( Sr City/State/Zip:N.)91761ovLo 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 hereby certify under the pairsli and penalties of perjury that the information provided above is true and correct Siznature: y��� �r._� Date Phone 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. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: DATE ACORDCERTIFICATE OF LIABILITY INSURANCE F612412014 Dom) 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 NAONTACT E:M Farm i ngton-Alliant Insurance Services, Inc. PHONE 86 - -2 A Brenda D413attmsto c` No: 6 -2 4- 0003 40 Stanford Dr,2nd FI E-MAIL Farmington CT 06032 ADDRESS:bdl a i I i nt.c m INSURERS AFFORDING COVERAGE NAIC# INSURERA-Am r' ri h Insurance Company 0 4 INSURED INSURERB:Starr Indemnity&Liabilily Company 8318 GEM Plumbing&Heating Co., Inc INSURER C: GEM Mechanical Services, Inc. INSURER D: 1 Wellington Road Lincoln RI 02865 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:526044928 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY A GENERAL LIABILITY GL0654159204 /1/2014 /1/2015 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $300,000 CLAIMS-MADE 1 OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY[X PRO- LOC $ A AUTOMOBILE LIABILITY BAP654159104 7/1/2014 7/1/2015 MBINED SINGLE Ea accident 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident B X UMBRELLA LIAB NX OCCUR 1000020187 /1/2014 /1/2015 EACH OCCURRENCE $5,000,000 EXCESS LIAR CLAIMS MADE AGGREGATE $5,000,000 DED I X I RETENTION$0 $ A WORKERS COMPENSATION 0596960003 10/1/2013 0/1/2014 X WCSTATLIM U- 0THER - A AND EMPLOYERS'LIABILITY YIN WC596960004 10/1/2014 011/2015 ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Certificate Holder is included as Additional Insured as respects Liability arising out of operations(work)performed by the Named Insured.The insurance provided shall be primary and any other insurance maintained by the Additional Insured is excess and non-contributory. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 120 Main Street North Andover MA 01845 AUTHORIZED R,E�P.R-EESSEENTATIVE��} ©1988-20'x0 ACORD CORPORATION. All rights reserved. ACORD 25(2016105) The ACORD name and logo are registered marks of ACORD I� COMMONWEALTH OF MASSACHUSETTS COMMONWEALTH of MASSACHUSETTS BOARD OF ,, t -_ c,• r , PLUMBERS AND GASF ITTERS �. "��> c�'�, r �t•�p� ISSUES THE FOLLOWING LICENSE AS 4 MASTER-UNRESTRICTED LICENSED AS A MASTER PLUMBER.,6!:- ISSv_STH^ABOVE LICENSE To LARRY T GEMMA FRE DEP, 1�.{ J h0XHA1.1 N GEM PLUNTNG `:ERVICES 1 WELLINGTON RD � � 1. t=IELLINi;TON F:D LINCOLN RI 02865-4411 LINCOLN RI 02865-4411 129.79 05/01/1.6.: 216782 3875 05/18/14 162523 . .. � rQ s• ��t. t r��" aCONIMONWEAUTRZ,F=MAS ACHUSET S: • a , • • v. :COMMONWEALTH OF MASSACHUSETTS. `a �r rs � rJ("iBIEAIGSI? FRS� BOAtBOF �L v PLUMBERS :ANO GASF ITTERS . 1< 1`©LL C VE ENSE ISSUES THE FOLLOWING LICENSEtPu Kr.- Mm k ] Y LICENSED .AS A JOURNEYMAN ..,PLUMBER \ z LARRY T GEMMA at ° sixk1 WELLINGTON RD ,� LINCOLN RI 02865-4411 ~ ~ ... _ 251 +2 05/01/j6 216779 ME . ,. 1% EWE,110--flimml,X A �plj- Joarb Qf r-iegi5tratian of�1)eet feta( l7r er5 3E)abing 5atisfieb flie requirements 01;$Ia55ac1)usett5 Genera!haw CIjapter 112,lection 237 througfj 251 feu lumbiug & beating CD ,hut. i5 1.ferebn granteb t(ji5 certitimte no.496 a5 ebibence to practice a5 a liteu5eb ��beet gletat u!,Mue5!� on tbi5 61"bap of lebruary 2012 3n,ce5timotlY#jIfjereaf,i51jereunto affixeb tfje name of the CXCLntibe Director of t[)e Moarb L' tt=rtror urtrcr a yr li The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,AM 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): G' Address:\ City/State/Zip: �_i 4 'L�' 6 ; Phone k 1101 11� G 7 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I ama employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E]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 8. ❑ Demolition working for mein any capacity, employees and have workers' insurance.+ 9. EJ Building addition comp.[No workers' comp. insurance required.] 5. ❑ We are a corporation and its 10.[1 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 l.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No.workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. '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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. c,, Insurance ICompany Name: 1��� t o,vti 1 1R SLo-v) CQ. &V-V I ct S � n C Policy#or Self-ins.Lic.#:W p CA 4 Expiration Date: Job Site Address: City/State/Zip:/,/.1?NDbUer— p1JV_r 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. 1 do hereby certify under the 1pa5' andpenalties of perjury that the information provided above is true and correct. Sianature: "� �"� Date Phone#: �� 1 C� 3 }—� lc-�, Ll 1 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. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 6/24/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE 60ES 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. I IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 Brenda DoBatt,Sto NAME: Farmington-Alllanit Insurance Services, Inc. PHONE FAX 40 Stanford Dr,2nd FI N -2 - 1 7 AIC. Ic No. -284- 0003 Farmington CT 06032 AD DRess:bdibattisto Ilian .com INSURERS AFFORDING COVERAGE NAIC# INSURER A: m rl an Zurich In nce Company 2 INSURED INSURER B:Starr Indemnily&Liability Company 8318 GEM Plumbing&Heating Co., Inc INSURER C: GEM Mechanical Services, Inc. INSURER D: 1 Wellington Road Lincoln RI 02865 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:526044928 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYYY MM/DDIYYYY LIMITS A GENERAL LIABILITY GL0654159204 /1/2014 /1/2015 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE ( RENTED PREMISESS Ea occurrence) $300,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY X PRO LOC $ A AUTOMOBILE LIABILITY BAP654159104 /1/2014 /1/2015 Ma Ea cident LIMITINGLE $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ B X UMBRELLA LIAB X OCCUR 1000020187 /1/2014 /1/2015 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I X RETENTION$0 $ A WORKERS COMPENSATION 0596960003 10/1/2013 0/1/2014 X WCSTATU- OTH- q AND EMPLOYERS'LIABILITY YIN 0596960004 10/1/2014 0/1/2015 LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N❑ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Certificate Holder is included as Additional Insured as respects Liability arising out of operations(work)performed by the Named Insured.The insurance provided shall be primary and any other insurance maintained by the Additional Insured is excess and non-contributory. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 120 Main Street North Andover MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) I'he ACORD ncerne and Icgo are registered marks of ACORD i Q COMMONWEALTH OF MASSACHUSETTSFA al •- COivlfr101y`'JEALTH OF MASSACHUSETTS • BOARD OF nn, `' .'� ti a :, .•e , PLUMBERS AND GASF ITTERS AS A N1A5TEP.-UNRESTRICT D ISSUES THE FOLLOWING LICENSE , E LICENSED AS A MASTER PLUMBER, a Ssv;STH�ABOVELICENSEro LARRY T GEMMA \'j 2 FFEDEP, 1 C'.\, J hOXH.411 GEM PLUNING ',ERVICES 1 WELLINGTON RD 'z 1- VIELLINI;TON F:D LINCOLN Ri 02265-4411 LINCOLN RI 02865-4411 12979 .. '05/0 IJ 1.6 216782 3875 05/8/14 162523, a 2 s.C_OIVINCONVftI LlFCORMASSAGHUSET�S s 9 _COMMONWEALTH OF MASSACHUSETTS. t, "TF T - BOARD OF u ' A11�13E �C tUiGASFCTT ISS x T hr PLUMBERS :AND GASF ITTERS . 4 y�� ISE mumu-1 G�L�J CEN5E 1 E � y a. ISSUES THE FOLLOWING LICENSE ; D Ai UMBrTN G'D{f P jur L I CENSEd AS A JOURNEYMAN,.-PLUMBER - s sV,015V N, z "yt ` LARRY T GEMMA M. S1 „ 1 WELLINGTON RD LINCOLN RI 02865-4411 _ 25142 05/01/)6 216779 irioara of rNegi5tration of-F-Dljeet 41eta[ '9)otker5 �)abinq 5ati5fieb tibe regttiretnent5 of j Ia55atu5ctt5 genera[3Labt Cijapter 112,fDection 237 tbrougf)251 gem lumbing CD ,Inc i5 flrrebn QrantCb tiJ15 rertifitate no.496,15 ebibnce to practice a5 a Kicm;eb $&beet gl etat a;ine,4_q on tiji5 611 Dap of-leUruary 2012 3fn Tnetimany lnjereof,i5 tieretatto affixed die name of tl)c c-Xecutibe Director of tf)e Vaarb �e 20/Z Date. NORTH pf a�,,an ,°1tip 1 3� TOWN OF NORTH ANDOVE • PERMIT FOR GAS INSTALLA 0 Y �Iss._USES�h This certifies that .C. ! �` D`'S ! N. . . . . . . . . . . . . . . has permission for gas installation . . F-A/I .-I, . . . . . . . . . . . . in the buildings of . . . rK�.L�. . . . . . . . . . . . . . . . . . . . . . . . . . . . at . .m L . . L.: /. . . . . . . . N,orth Andover Mass. 3G -No. . . .? . . . . . V . . . . . . . . GAS INSPECTOR Check# z.r! ? Y 6681 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING b City/Town:1N.Andover Date: 01/15/2009r� Permit# Building Locatio 162 Gre St Owners Name:nanlyn Stella Type of Occupancy: Commerciale Educational IndustrialLI Institutional ResidentialL New:[] Alteration:0 Renovation Replacement:_�/� Plans Submitted: Yes No .. FIXTURES W W Y W O W Z V N = U) W N m = F- U' J N H fn 2 W I-- w z F- q z W z O FQ— 0 Z M y W W W m O ~ CL FW- Z u7 OJ d W > to v z W � 0 u m o u� o = v a LL w s > W W Z O J FF Pd O Z J (9 tL � _ I- W W W W O Q ul W m > 0 z O w z W 0 0 0 .. SUB BSMT. BASEMENT 15T FLOOR 2 NOFLOOR 3 FLOOR C FLOOR 5 FLOOR WH FLOOR 7 FLOOR 8 FLOOR �._�..� Check One Only Certificate# Installing Company Name: Climate Desisting AC LLC _ �/ Corporation ,2884C Address: 5 South Summe :Bradfordr St City1Town State: MA LiPartnership Business Tel: 978-373-9999 Fax: Firm/Company� Name of Licensed Plumber/Gas Fitter:_GI? R n Location � v No. -� Date ,.ORTM TOWN OF NORTH ANDOVER 3? 0� S Certificate of Occupancy $ Building/Frame Permit Fee $ ,SJAOMUS Et Foundation,Permit-Fee , $ 0 er Permit-Fieri T $ tR COL CTOR Sewer Connection ee $ --- Water Connection Fee $ __..- TOTgW $ -mss - �/Y /f. � ��� �"WiBuilding Inspector f.` 3 U 3 Div. Public Works PERJflT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /PAGE 1 MAP 4d0. /0 7 D LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK PAGE ZONE SUB DIV. LOT NO. Nf��l 'N 'r � _ 7_ fea LOCATION /�'� ����/ 5� �� ! PURPOSE OF BUILDING OWNER'S NAME LT/1 P-(L-VA) L-V VT,, / !1? NO. OF STORIES SIZE " r OWNER'S ADDRESS /i,!k), , TBASEMENT OR SLAB — AR¢HITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD UILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING /o DIMENSIONS OF SILLS DISTANCE FROM STREET / `'I � / Fe e_� POSTS DISTANCE FROM LOT LINES-SIDES (�� Fr. REAR GIRDERS AREA OF LOT ACeL / FRONTAGE X115-0 -l- HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST 0- 0-0 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. J PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM + SEPTIC PERMIT NO. ELECTRIC METEPS(MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY i ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR `DATE FILED �'V I i 1 /r BOARD OF HEALTH SIGNATURE OF i6wNER OR AUTHORIZED AGENT FEE OWNER TEL.#&e3 .3 PLANNING BOARD PERMIT GRANT D 1/CONTR.TEL.# c/!r d 19 _ l/OONTR.LIC.# (�� c BOARD OF SELECTMEN i 3 BYI INO INSPECTOR BUILDING RECORD r 1 OCCUPANCY 12 } SINGLE FAMILY _ STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY _ OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION S INTERIOR FINISH CONCRETE 3 2 13 CONCRETE BIL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'TAREA _ 1/1 1/2 FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS 11 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDIVI) _ ASBESTOS SIDING COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR (- BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING e STONE ON FRAME _ SUPERIOR 1I--I POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING A GABLE I HIP BATH (3 FIX.( GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR S 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. S COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING i T \ i FORM U - IAT 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 section***************** APPLICANT: �Lyly' f� S3 T eU-A Phone (J e 3 3 3 LOCATION: Assessor's Map Number Id`7-L� Parcel `a Subdivision Lot(s) Street G P-P l St. Number 16 :2— ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments i Date Approved Town Planner Date Rejected Comments Date Approved _Food Inspector-Health Date Rejected y �_ /J( ✓� Date Approved ���� f Septic Inspector-Health Date Rejected comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date i Suggested Affidavit for Home Improvement Contractor Permit Application For orrice Use Only NAME OF CITY/TOWN Permit No. N 0 nom { N 0 V Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c.142A requires that the"reconstruction alteration renovation repair,modernization conversion,inprovement,removal,demolition, or construction of an addition to-an re-existin owner-occupied building containing at least one but not more than fourdwelling units....or Y P g p g >; � to structures which are adjacent to such residence or building"be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: V17(z M 3 i� i'� �0 P @ Est. Cost , 3v v � Address of Work Owner Name: Mr+fi_) i L q �J Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law _Job under $1,000 Building not owner-occupied Owner pulling own permit _Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Sighed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: , Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: ate Owner Name d L/G ✓ puB A,eIES� ,�D.) /Q Q Lori ) 5 2• 7� II � (150,04 ;�. 4AN O�� � ) cp Ao . Q �g o -37 qE7 AiyV0VE e FL,4AIV1449 230,44, . I- .4 n/P C'O UCC (24sE O&Z 42 App-oO1/.4L ZAIDee rw1 500- 1 ill-S/ON 670A/7Z02- IL.4 (/ 45 A'07- �eEQU/,CHID THE ABOVE ENDORSEMENT IS NOT A DETERMINATION AS-MANFORMANCE WIT H-EONIN NORTH ANDOVER PLANNING BOARD Tom,` o)CP .L Ivo .4 �oW Geo 1/.E�'. A14 SS. o1�tlNE� B Y . , ,,eA, P0,004, L,4Nl> 5(,ICP y CO. �- 5,4LFM, Nhr - 4 < NORTH � E Town of over No. 3 2 6 �oc ,A dover, Mass., TbL S�� 19 73 %pS0RATE�O1 P �C 1 n 4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System . BUILDING INSPECTOR THIS CERTIFIES THAT..... ....................................................... Foundation has permission to erect.&0 90A......... buildings Rough .......................... �VOL 0 Chimney to be occupied as..... /!0./. .WViP/� ....e-6. 011"..... ................. ........................................ ...... ` provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR •............... Rough A 40 of . Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR gh 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. Burner FIRE DEPARTMENT PLANNING FINAL f �,3,rj CONSERVATION FINAL Street No. CMAIM /lA/nTr:P FI�IAI �. Smoke Det. �� DRIVFUVAY �FNTRY PERMIT_ „3n1 o NOS--- Lcl hx h �A1' KC �xC Xe ��e ,W 40 "I HOUSE - m N S� Sanvo TUC3C5 7',� " oN cENfE 2 X1 _CN6 :'(Zovr Or � �o USF 42'1 11/16" SONO TUBE PLACEMENT Date.....�.....:. ...........7.. E NORTH °tt •�"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACMU`�Et L - -�..i.4.��......................... This certifies that ..a!�OV&4p� ............. f has permission to perform !;?!�5... 10�- w� .. wiring in the building of.........5...................................................................... at...... .... /Z!4vS/............................ North Andover,Mass. Fee.... .....7,77. Lic.No. ...... .................. ,: ..... .. LECTRICAL INSPECTO. Check # i 8921 Commonwealth of Massachusetts Official Use only Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M�Q,527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INF RATION) Date: &&m / City or Town of: 6-yer To the Inspector of Wires: By this application the undersign9d gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) , Owner or Tenant Telephone No. a&, Owner's Address Is this permit in conjunction with a buil ing permit? Yes ❑ No ry (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters r New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 0 Completion of the ollowin table may be waived by the Inspector of 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 Swimming Pool Above ❑ In- ❑ o.o mg mergency i`g rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatin Devices No.of Ranges No.of Air Cond. Total Tons g No.of Alerting Devices No.of Waste Disposers Heat Pump Number I Tons KWNo.of Self-Contained Totals: """ .... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: 4, No.of WaterNoof No.of No.of Devices or Equivalent . Heaters KW Signs Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent I 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 V BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of le trical Work: (When required by municipal policy.) Work to Start: rXIA Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under th ins andpenalties of perjury,that the information on this application is true and complete. FIRM NA L .NO.: JL( Licensee: Signature L NO (Ifapplic ente "ex pt" 'n the I' ense umber li e.) A \\ Bus.Tel.No.: Address �V Alt.Tel.No.: -� W 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 077 PERMIT FEE: $ Signature Telephone No. !I Date.(! . ..3 a. . . .... . _ OF NORTH ,'1' TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION � �,SSACNUSE��y This certifies that .� ��►lr�.�rf?C t. . .��?. .� �< 7 . c��.�.'. . . has permission for gas installation . . :-. . . . . . . . . . . in the buildings of . . .S Ir.(.�.!/. . . . . . . . . . . . . . . . . . . . . . . . . . . . at 46.2 6.?. . .C./? North Andover, Mass. Fee. .?Z. . Lic. No.,/0.`l.?� . . . . . . GAS INSPECIR Check#2 4616 6bi, 5 i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town:. D_,/ Date: 0 ; Permit#:,, Building Locatic ��' '.. c / ...., _. . _. Owners Name: � �,�.n //�9., Type of Occupancy: Commercial W Educational,' Industrial Institutional: 9.Y ResidentiaVI New t Alteration:' Renovation . Replacement Plans Submitted:. Yes No FIXTURES Cn W w Y vi Z co LU W 0 cn = cn rri m _ 1- Q � v to 0 2 w w W 0z W Q m O ~ = w 0 tQ O a X > W tZ � w o W o x v a > U W Z O J H t— O Z J (� OW x W W W W W Z W �- lY y —� Q Q m W O Z O t j Z F- 1— I— _ L) o o LL 0 0 _ = g O aO. H > > O SUB BSMT. BASEMENT / 1 FLOOR 2 FLOOR 3 RD FLOOR 4 FLOOR 5 FLOOR 6 FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate# Installing Company Name. rOj - v/ < Corporation Address �� # City/Town �� ' State MA `/.x. , /1; `� Mxxl/(/tl� « si Partnership m el ;� � � ` Fax ' y7� � 1 Business T _ Firm/Company!� ,�,� Name of Licensed Plumber/Gas INSURANCE COVERAGE: , I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 Yes Noa„ y If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity 1:j Bond�X ' 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 ; Agent Signature of Owner or Owner's Agent By checking this box❑;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 plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. r.._ ... _ _ .. _. ..:_.._.,....._._. _... Type of License: BY{.: a Plumber ✓ Gas Fitter Title R Master Signature of Licensed mber/Gas Fitter Cit /Town _ Journeyman y LP Installer $ License Number: Q �j APPROVED OFFICE USE ONLY _, /- FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION(S) FEE: $ PERMIT# APPLICATION FOR PERMIT TO DO GAS FITTING NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCH PLUMBER GASFITTER LP INSTALLER LICENSE NUMBER: PERMIT GRANTED❑ DATE: GAS FITTING INSPECTIOR h Town of North Andover * 0ORTN� .3?Ott�llO�6 Office of the Planning Department Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 "SSq�HuS�� Planning Director: ht�://www.townofnorthandover.com (978) 688-953.5J. Justin Woods lwoods@townofnorthandover.com F (978) 8_9542 �.. NOTICE OF DECISION SENT USPS VIA CERTIFIED MAIL Co4` RETURN RECEIPT REQUESTED ca , # n00a 0510 00o0 o?ly iaaq Stella Realty Trust III—Lots 8 and.9 Gray Street D CD:m, .. �`T Special Permit ApProval—Frontage Exceptions ThePublic hearings' on the above referenced applications were closed by the North Andover Planning F11wd =- - on February.18,2003.Present were Planning Board Vice Chair Alberto Angles, Clerk Richard NardelW Members Felipe Schwarz and George White,Associate Member James Phinney,Planning Director J. Justin Woods,and Planning Assistant Debbie'Wilson. Attorney George Stella and Joseph Serwatka,P.E.,appeared on behalf of the petitioner. Nardella made,and White seconded, a motion to grant the Frontage Exception Special Permits to allow access to proposed Lots 8 and 9 on Gray Street that do not meet the frontage and width requirements required by Section 7.1.2 and 7.2 of the North.Andover Zoning Bylaw. This Special Permit was requested by the Mary Stella Realty Trust III, 162 Gray Street, North Andover, MA 01845. The original application, excluding revised documentation, as cited herein, was filed with the Planning Board on November 14, 2002 with subsequent submittals on file. The applicant submitted a complete.application, which was noticed and reviewed .in accordance with 7.22 and 10.3 of the Town of North Andover Zoning Bylaw and MGL Chapter 40A, Section 9. The motion to approve was subject to the FINDINGS OF FACTS and SPECIAL CONDITIONS set forth in Appendix A to this decision. The Planning Board voted on the motion by a vote of 5 in favor to 0 against. A special permit issued by a special permit granting authority requires a vote of at least four members of afive-member board. See MGL Chapter 40A, Section 9 and Section 10.3(5) of the Town of North Andover Zoning Bylaw. Accordingly, the Applications for the Site Plan Special Permit is approved with conditions. The applicant is hereby notified that should the applicant disagree with this decision,the applicant has the right,under MGL Chapter 40A,Section 17,to appeal to this decision within twenty days after the date this decision has been filed with the Town Clerk. Respectfully Submitted: �s J/40* Woods,Planning Director for e North Andover Planning Board: Voted: John Simons,Chairman Y-N-Abst-N/A Alberto Angles,Vice Chairman Y-N-Abst-N/A Richard Nardella,Clerk Y-N-Abst-N/A George White Y-N-Abst-N/A Felipe Schwarz Y-N-Abst-N/A James Phinney,Associate Member Y-N-Abst-N/A i I BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERIVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Lot 8 and Lot 9 Gray Street Special Permit Approval Stella Realty Trust III Frontage Exceptions February 21, 2003 Page 2 of 3 The Planning Board makes the following findings as required by the North Andover Zoning Bylaw Sections 7.2.2 & 10.3: FINDINGS OF FACT: 1. Section 7.1.3 of the North Andover Zoning Bylaw defines how the lot area is calculated. If the total lot area of lots 8 and 9 are calculated as described therein,the lot areas do not meet this requirement. However,the Planning Board finds that if a waiver is granted from this sections,the lot areas exceed by three times the minimum area required for that Zoning District(43,560 square feet)as Lot 8 contains 3.010 acres and Lot 9 contains 3.001 acres. Accordingly,a'waiver from Section 7.1.3 is granted and the Board finds that the criteria in Section 7.2.2(a)is satisfied. 2. The lots have a minimum continuous street frontage of not less than fifty(50) feet and a width of not less than fifty(50')feet at any point between the street and the existing home. Lot 8 contains 52.01' of frontage on Gray Street;Lot 9 contains 50.00 feet of frontage on Gray Street. 3. There is no frontage exception lot with contiguous frontage with another frontage exception lot, other than each of the proposed lots. 4. The lots are located so as not to block the possible future extension of a dead end street. The creation of this lot will not block the future extension of a dead end street. 5. The creation of the lots will not adversely affect the neighborhood. The development of single family homes on lots in excess of 3 acres is in keeping with the current zoning and respects the rural character of the existing neighborhood. 6. The granting of this special permit will not be detrimental to the town as the alternative to the creation of this lot is a multi lot subdivision that would exceed the number of lots generated by an approval not required plan including frontage exception lots. 7. The purpose and intent of the regulations contained in the Zoning Bylaw are met with the Special Permit Application. Upon reaching the above findings,the Planning Board approves this Special Permit with the following Special Conditions: 1. This decision must be filed with the North Essex Registry of Deeds. Included as a part of this decision are the following plans and decisions: a) Plans titled: Topographic Plan of Land Mary A Stella Realty Trust III Prepared by:Pembroke Land Survey Company. Scale: I"=40' Plan Date: 9/12/02, last revised February 5, 2003. b) Prior to the endorsement of these plans by the Planning Board,the Topographic Plan of Land Mary A Stella Realty Trust III, as depicted on the revised version dated February 7,2003,must be revised to include the dates of revisions. C) The Town Planner must approve any other changes made to these plans. Any changes deemed substantial by the Town Planner will require a public hearing and a modification by the Planning Board. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Town of North Andover amRTh Office of the Planning Department Community Development and Services Division b 27 Charles Street ••�,r[o � North Andover, Massachusetts 01845 "SS"`"°SE4 h!tp://www.townofnorthandover.com Planning Director: com P (978) 688-9535 J. Justin Woods lwoods@townofnorthandover. F (978) 688-9542 NOTICE OF DECISION SENT USPS VIA CERTIFIED MAIL , a; RETURN RECEIPT REQUESTED w, #' n00a 05►o 0000 03q(4lam `�' E,, Stella Realty Trust III—Lots 8 and.9 Gray Street D < Special Permit Approval—Frontage Exceptions = > The public hearings on the above referenced applications were closed by the North Andover Planning$�ard K` on February 18,2003.Present were Planning Board Vice Chair Alberto Angles,Clerk Richard NardelW Members Felipe Schwarz and George White,Associate Member James Phinney,Planning Director J.Justin Woods,and Planning Assistant Debbie Wilson. Attorney George Stella and Joseph Serwatka,P.E.,appeared i on behalf of the petitioner. Nardella made and Whitecond se ed,a motion to grant the Frontage Exception Special Permits to allow access to proposed Lots 8 and 9 on Gray Street that do not meet the frontage and width requirements required by Section 7.1.2 and 7.2 of the North Andover Zoning Bylaw. This Special Permit was requested by the Mary Stella Realty Trust III, 162 Gray Street, North Andover, MA 01845. The original application, excluding revised documentation, as cited herein, was filed with the Planning Board on November 14, 2002 with subsequent submittals on file. The applicant submitted a complete.application, which was noticed and reviewed in accordance with 7.22 and 10.3 of the Town of North Andover Zoning Bylaw and MGL Chapter 40A, Section 9. The motion to approve was subject to the FINDINGS OF FACTS and SPECIAL CONDITIONS set forth in Appendix A to this decision. The Planning Board voted on the motion by a vote of 5 in favor to 0 against. A special permit issued by a special permit granting authority requires a vote of at least four members of a five-member board. See MGL Chapter 40A, Section 9 and Section 10.3(5) of the Town of North Andover Zoning Bylaw. Accordingly, the Applications for the Site Plan Special Permit is approved with conditions. The applicant is hereby notified that should the applicant disagree with this decision,the applicant has the right,under MGL Chapter 40A,Section 17,to appeal to this decision within twenty days after the date this decision has been filed with the Town Clerk. Respectfully Submitted: lam X".01 01 XL/U^ J Woods,Planning Director for a North Andover Planning Board: Voted: John Simons,Chairman Y-N-Abst-N/A Alberto Angles,Vice Chairman Y-N-Abst-N/A Richard Nardella,Clerk Y-N-Abst-N/A George White Y-N-Abst-N/A Felipe Schwarz Y-N-Abst-N/A James Phinney,Associate Member Y-N-Abst-N/A BOARD OF APPEALS 688-9541 BLTILDINTG 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Lot 8 and Lot 9 Gray Street Special Permit Approval Stella Realty Trust III Frontage Exceptions February 21, 2003 Page 2 of 3 The Planning Board makes the following findings as required by the North Andover Zoning Bylaw Sections 7.2.2 & 10.3: FINDINGS OF FACT: 1. Section 7.1.3 of the North Andover Zoning Bylaw defines how the lot area is calculated. If the total lot area of lots 8 and 9 are calculated as described therein,the lot areas do not meet this requirement. However,the Planning Board finds that if a waiver is granted from this sections,the lot areas exceed by three times the minimum area required for that Zoning District(43,560 square feet)as Lot 8 contains 3.010 acres and Lot 9 contains 3.001 acres. Accordingly,a'waiver from Section 7.1.3 is granted and the Board finds that the criteria in Section 7.2.2(a)is satisfied. 2. The lots have a minimum continuous street frontage of not less than fifty(50)feet and a width of not less than fifty(50')feet at any point between the street and the existing home. Lot 8 contains 52.01.' of frontage on Gray Street; Lot 9 contains 50.00 feet of frontage on Gray Street. 3. There is no frontage exception lot with contiguous frontage with another frontage exception lot,other than each of the proposed lots. 4. The lots are located so as not to block the possible future extension of a dead end street. The creation of this lot will not block the future extension of a dead end street. 5. The creation of the lots will not adversely affect the neighborhood. The development of single family homes on lots in excess of 3 acres is in keeping with the current zoning and respects the rural character of the existing neighborhood. 6. The granting of this special permit will not be detrimental to the town as the alternative to the creation of this lot is a multi lot subdivision that would exceed the number of lots generated by an approval not required plan including frontage exception lots. 7. The purpose and intent of the regulations contained in the Zoning Bylaw are met with the Special Permit Application. Upon reaching the above findings,the Planning Board approves this Special Permit with the following Special Conditions: 1. This decision must be filed with the North Essex Registry of Deeds. Included as a part of this decision are the following plans and decisions: a) Plans titled: Topographic Plan of Land Mary A Stella Realty Trust III Prepared by: Pembroke Land Survey Company. Scale: 1"=40' Plan Date: 9/12/02, last revised February 5, 2003. b) Prior to the endorsement of these plans by the Planning Board,the Topographic Plan of Land Mary A Stella Realty Trust III, as depicted on the revised version dated February 7, 2003,must be revised to include the dates of revisions. C) The Town Planner must approve any other changes made to these plans. Any changes deemed substantial by the Town Planner will require a public hearing and a modification by the Planning Board. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535