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Miscellaneous - 164 SUTTON STREET 4/30/2018
NORTH ANDOVER BUILDING DEPARTMENT 1600 Osgood Street North Andover Tel: 978-688-9545 Fax: 978-688-9542 B USEVESS F0J?M FOR TOWN CLERK DAM: lo►���`y -� �/ l NAME: �1�� es C (co a✓lel .ADDRESS; ZONING 1DISTRLCT: TYPE OF BUSINESS-: Zc- l ��7J9 At- oe-°`-r C BUILDING LAYOUT PROVIDED: YES NO A.VAILABLEL PARKING SPACES: ZONING- BY LAW USAGE: < YES NO BUILDING INSPECTOR SIGNA.TUPIE BUSINESS FORM FOP -TOWN CLERK 2.40 Home Occupation (1989132) .An accessory use conducted within a dwelling by a resident who resides in the dwelling as his principal address, which is clearly Secondaxy to the use -of the -building for living ptuposes. Home occupations shall 'include,"but not'limited to the following uses; personal services such as furbished by an artist or instructor, but not occupation involved witdi motor vehicle repairs, beauty parlors, animal fennels, or the conduct of retail business, or the manufacturing of goods, which impacts the residential nature of the neighborhood, 4. For use of a dwelling in any residential district or multi -family district for a hoarse occupation, the following conditions shall apply: a. Not more than a total of three (3) people may be employed in the home occupation, one of whom shall be the owner of the home occupation and residing in said dvveft, b. The use is carried on strictly within the principal building, c. There shall be no ex-terior alterations, accessory buildings, or display which are not customary with residential buildings, - d. Not more than twenty- five (25) percent of the existing gross floor area of ;the divelling unit so used, not to exceed one thousand (1000) square feet, is devoted to 'such use. 7n coamectionwith such use, there is to be kept no stock in trade, commodities or products which occup5r space beyond these limits; e. There will be no display of goods or wares visible from the street; f The building or premises occupied shall not be rendered objectionable or dddmmW to the residential character of the neighborhood due to the exterior appearance, emission of odor, gas, smoke, dust, noise, disturbance, or in any other way become objectionable or detrimental to any residential use within the neighborhood; j g. Any such building shall include no features of design_ not custommy in buildings for residential use. �(X . NORTH ANDOVER BUILDING DEPARTMENT 1600 Osgood Street North Andover Tel: 978-688-9545 Fax: 978-688-9542 SUSEVESSFEI.RMFOR TOWN CLERK DATE: NAME:l� 7 Ste` A) SY ��ti�� Auao Va 12-- Z0NMG DIST.RIOT: BUMDING LAYOUT PROVIDED: NO AVA LA LP, PARKMG SPAM: CIA ZONING BY LAW USAGE: CIES NO MILDING &SPE&GR SIGNA.TUPIE BUSINESS FORM FORTOWN CLERK. 2.40 Home Occupation (1989132) An accessory use conducted within a dwelling by a resident who resides in the dwelling as his principal address, which is clearly secondary to the use.. of the -building for living piuposes. Dome occupations shall 'ift iide, "but not limited to the following uses; personal services such as furnished by an artist or instructor, but not occupation involved with motor vehicle repairs, beauty parlors, animal kennels, or flee conduct of retail business, or the manufacturing of goods, which impacts 6e, residential nature of the neighborhood. d. For use of a dwelling in any residential district or multi -family district for a hoarse occupation, the following conditions shall apply. a. Not more than a total of three (3) people may be employed in the home occupation, one of whom shall be the owder of the home occupation and residing ia said divelling; b. The use is tamed on strictly within the principal building; c. There shall be no exterior alterations, accessory buildings, or display which are not customW with residential buildings; - d. Not more than iwentST five (25) percent o£ the existing gross Moor area of ;the dwelling unit . so used, not to exceed one thousand (1000) square feet, is devoted to *such use. In connection with such use, there is to be kept no stock in trade, commodities or products which occupy space beyond these limits; e. There will be no display of goods or wares visible from the street;-.. f. The building or premises occupied shall not be rendered objectionable or detrirne �1 to the residential character of the neighborhood due'to the exterior appearance, emissions of odor, gas, smoke, dust, noise, disturbance, or in any other way become objectionable or detrimental to any residential use witbin the neighborhood; g. Any such building shall include no features of design_ not customary in bullfts for residential use. I I Date ........ 7 �W-Azl. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............ X�� ........... has permission to perform .... . . .................................. wiring in the building of ......... C11-177-17--ZI ................................. a ......................... ........... at ...... North Andover, Mass. --------- . ........ ............. Fee Lic. No. ......... . .......... LECT Ic PEC OR Check # Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Z. Occupancy and Fee Checked [Rev. 1/071 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Z — 2 g — IV City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) Owner or Tenant Ce Owner's Address L telephone No. Is this permit in conjunction with a building permit? Yes � No ❑ (Check Appropriate Box) Purpose of Building - Existing Service_ New Service Utility Authorization No. Amps / Volts Overhead ❑ Undgrd ❑ Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: No. of Meters No. of Meters Completion of the. following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above In- ❑ E] o. o mergency Lighting rnd. rnd. Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers p Heat Pump Totals: Number � � _...... Tons �������������� KW � ������........... No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑Other Connection No. of Dryers Heating Appliances KW Securitio o Device s or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: 5 e - y Attach additional detail if desired or as regWred by the Inspector of Wires. Estimated Value of Electrical Work:3` C� (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless .waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) X certify, cinder the pains and penalties ofperjury, that the information on this application is true anti complefe. FIRM NAME:. ®� e FD K e AIC. NO.: �83a Licensee: J A me Signature LIC. NO.: (If applicable, entero "exempt" in the, license number line.4-) / � �a � Bus. Tel. No.: Address: �� ( Cl( / Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, ecurity work requires Department.ofPublic Safety "S" License: I Lic, No.� OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance with the provisions of M.G.L. c. 143, § 3L, the 4 permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall.be limited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending -through August 15, 2012. ❑ Rule 8 — Permit/Date Closed:** Note: Reapply for new permit ❑ ❑ Permit Extension Act — Permit/Date Closed: Trench Inspection Pass Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass 0 Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: . Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Pass 0 k Failed Re- Inspection Required ($.) ❑ Inspectors Comme ts: Inspectors Signature: Date: FINAL INSPECTION: Pass Failed Re- Inspection Required ($:) ❑ Inspectors Comme Inspectors Signature: Date: DEB WEINHOLD ... TOWN OF MERRIMAC, MA........dweinhold@townofinerrimac.com .,J `.ems The Commonwealth of Massachusetts - Department ofIndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.massgov/ilia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �S-��� -FD r Address:o� City/State/Zip: �1 Y��i cu f_5 1 � Phone #: 7S Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I (full and/or part-time).* have hired the sub -contractors __/employees 2. LVJ I am a sole proprietor or partner- listed on the attached sheet. # ship and'have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12. ❑ Roof repairs 13. ❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. i 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 their workers' comp. policy information. lam an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Policy # or Self -ins. Lic. Job Site Address: Expiration Date: City/State/Zip:. Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required -under Section 25A of MGL 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 certryy under the ains a d penalties ofperjury that the information provided above is true and correct. �. ori Phone #: `� v75/r �32 Q r-222 V 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 #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, • express or implied, oral or. written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be, deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who.has not produced -acceptable evidence of compliance with the insurance coverage required" Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)" A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: Tho Co o.aw.ealth.ofMassacliusPtts Department of Industrial Accidents Office of Iuvestigations 600 Washington Street Boston, MA. 02111 TQL # 617-7274900 ext 406 or 1-877:MASSAFE Revised 5-26-05 Fax, # 617-727-7749 wWW mass,gov1dxa "� r `� J Location -^o. Date 2c) 114 ' 1 .2 Check # r 2 7 9 2'8 TOWN. OF NORTH ANDOVER Certificate of Occupancy $ Buildihg/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee s TOTAL $ Kad Buildi nspector 0A ff P 1 . °o h h ► ._". Lrc !Z' C U (0 U N O c O E N Q N = H N V- U) w_ O LL LU Q ~ U N o a C: 0 0 . z cu , - U ° ac Q M O O �— L O co C: O c O cu O :3 O N N O i c U) O Ov N (� U .._. Q O ,C: N O1 Z O E ca r; N N N> u) a - L — J *-O' CU cn a) � 00 U:L--0 ° c I L- m C D N U O ° cm a) O aa) o c o O v c .- (B O O X C: C ai 0 N ._ L LO � CV � QO CO � CO a- +-' c O c 0) C .. a) ca O O 4-- O Q O 4- (n ti - (n o L C,0O N .O (D O 0 oQ> 0 w H m 2 w CL w Q N Z LW r Z J J J J Z W H Z v �MM ti I 0, Es Q) Il M, ca 2 C 0 03 i. h% 4-r b.a o'er � � a~ o �. b O .� UP a C� o an 3 w oj o y �+ O OU +- Y N N O 0 -, - .O cd ° > o z o 0 u own v n, ° ° aj 0 L - ;' Z 4. .0 � U O � N Z 3 w o Cd 3 R 4t I w O § §§) 0) } / \ � 7 » c, �t-j��, m$ � �� \\■ 7 ))a §§) 8/6-14 Century 21 North Shore Sutton St, N. Andover (1) 24sq ft Non Illuminated flat painted Wall Sign .125in alucabond aluminum Frontage 38ft x 9ft =342 sq ft 24sgft Existing E-MAIL: info@harveysigninc.com 978.794-2071 • FAX 978.686-1841 Please r ad proof carefully and sign only if all is correct. (/? CUSTOM S: INTERIOR/ EXTERIOR SIGNAGE Addltlona her s will be add an changes or corrections are requested after customer signs oft. EAIiRICATION• SERVICE -INSTALLATION This mu be d and e- Ile or faxed beck before start of Job 30 OSGOOD ST. METHUEN, MA 01844 Signature/Date NOTE: LAYOUTS ARE THE EXCLUSIVE PROPER 'HARVEY SIGNS'. ANY UNAUTHORIZED USE OR DUPLICATION WILL RESULT IN A 20% CHARGE PER OCCURRENCE PER THE VALUE OF THE COMPLETED PROJECT. 0 HARVEY SIGNS 2013 ALL RIGHTS RESERVED. Harvey Signs, Inc. 30 Osgood Street Methuen, MA 01844 Phone 978.794.2071 Fax 978.686.1841 www.harveysignm info@harveysigns.cs.com Bill To: Michelle Fermin Properties Century 21 Northshore 133 Main St North Andover, MA 01844 t Invoice Date Invoice # 8/11/2014 31276 Massachusetts -Department *f_P*jcSAfdty, Board of Building Regulations and Standards Construction Supervisor License.` C"71652, 1 t'` .i..+ ti AAA' RIC1`TARD A AAR'�Y , . 165 TYI.�R 3'T ME1'1�1)EN'MA $184 t .� t �,...� �.,, ►e �� Expiration Commissioner 03/10/2016 t d. Massachusetts -Department *f_P*jcSAfdty, Board of Building Regulations and Standards Construction Supervisor License.` C"71652, 1 t'` .i..+ ti AAA' RIC1`TARD A AAR'�Y , . 165 TYI.�R 3'T ME1'1�1)EN'MA $184 t .� t �,...� �.,, ►e �� Expiration Commissioner 03/10/2016 t x , The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 'Name (Business/Organization/Individual): Harvey Signs .Address: 30 Osgood St Methuen, MA 01844 Phone #: 978-794-2071 Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ .Electrical repairs or additions 11.0 Plumbing repairs or additions 12.❑ Roof repairs 13.❑■ Other Signs Are you an employer? Check the appropriate box: I I am a employer with 4 4. ❑ 1 am a general contractor and 1 employees (full and/or part-time).* have hired the sub -contractors 2. [❑ ..I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation. and its �. ❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required] t c. 152, §1(4), and we have no employees. [No workers' comp. insurance required] "Any app Iiuntthat. checks lion#1 In List a]so lilt out the section below showing their workers' compensation policy intomiatioil. r I Icuneowners who submit this anidavit indicating they are doing all work and then hire outside contractors in List submit a new affidavit indicating such, t(:ontractors that check this box must. attached an additional sheet showing the name ohne sub -contractors and slate whetheror not those entities have employees. Ifihe sub -contractors have employees, they must provide their workers' comp. policy number. I ant an einl)lt yer that is providin„ workers'compensation insurance for ntv emplovees. Below is the police and job site in/urination. Insurance Company Name: National Grange Policy # or Self -ins. Lic. #: WC177860 Expiration'Date: 9-30-14 Job Site Address: 164 Sutton St, City/State/Zip: N Andover MA 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 Mine 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 I rivestigations of the DIA fo.r iusurar Vee - overage verification. I do hereby certifyuncle ertijrs-and penalties of perjury that the information provided above is trite and correct. �`. `-�_ __ 8-13-14 Si.•nature: �'' —.., Date: :Phone #: 9787942071 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 #: CERTIFICATE OF LIABILITY INSURANCE + 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(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 Commercial Lines NAME: 1PHONE_,,t,.Risman Insurance Agency, Inc. Wr No (7$1)396-2116 FAX No: 081)395-2300 689 Fellsway ADDRESS: Medford MA 02155 INSURERS AFFORDING COVERAGE NAIC # INSURER A .Norfolk & Dedham Mutual Ins Co 23965 INSURED HARVEY SIGNS INC. 30 OSGOOD STREET METHUEN MA 01844 INSURER B Arbella Protection - Insurance C 41360 INSURER C .National Grancre Mutual Ins Co 14788 INSURER D: /18/2014 INSURER E: EACH OCCURRENCE $ 1,000,000 INSURER F: MEDEXP (Any one person) $ 5,000 rnvGoecGc CERTIFICATE w InnR5=R•CT.1411-904096 REVISION NUMBER: GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO -E F] LOC .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 LTR TYPE OF INSURANCE DL U R POLICY NUMBER POLICY EFF MM/DDNYYY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR R0631209A /18/2014 /18/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100 000 PREMISES Ea occurrence $ i MEDEXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO -E F] LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED F_,_1 SCHEDULED AUTOS AUTOS X X NON -OWNED HIRED AUTOS AUTOS 1020010910 2/27/2013 2/27/2014 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident Uninsured motorist BI split limit $ 25 000 UMBRELLA LIABOCCUR EXCESS LIAB HCLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ DED - RETENTION $ - $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A C17786Q 9/30/2013 9/30/2014 WC TOR,STATU- OTH- ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE are Guidi/CLARE ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025,gninnsi of Tho ad twin nnmo nnr1 Innn pro roniefor,-4 mnrVa of a(`_nPin ,A 9-859 Building 1T%159ctor PAID Div. Public Works Location 1671-w4 M 14 1 15+ - No, Date 40RTpl, TOWN OF,NORTH ANDOVER 0., .,Certificate of Occupancy $ Building./Frame Permit Fee $ IL9o,oO CHU Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee TOTAL $ ,A 9-859 Building 1T%159ctor PAID Div. Public Works W a _ N Q a J ci I !A V! Y r tW OCW W Ln <s �" Z G 0 0 0 z W L Z m r �dJ 0 J a V 5 W H _ 0 m W a a 0 cr 0 2 eC 0 Z U Wh O 0 U r m 4 I z 0m IL 0 b LL 10 Z O N n Z m H m G y m IK z 0 ` G 0 ` O Z 17 W E W < a n IL E < r 13 F W rc L O a k C U) SK W d Q� S O � .� I� Z _U J go CL Q °' P (� Z O O c g 0 W 1 vl 9 W f 0 Z W i < 0 O Z M Z p Q W Z < U r m z m z W ~ a O 2 F u Oo W a i I Q W Z N Y U r X }' -Q IX Z. IX arai o r a < g�z Z� r ] Z 0 r 0 4 W 0 r tL = 0 O W W N S IA W U W r a Z O N � � f <.� J W 0 J to W ~r z ^ W J v l 0 YI J F F W 0 O z ILILo J r U U W z Z 0 a y 0 o t 0I0 ] ] m m m on 3 z 0 < 0 Z W � z d J 0 °1 a. < a t7 J < a t A N Z 0 H U I H z r m O U O Z S, x Z Is 0 i 80 DI ci V! 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Z 0, C -'o > < o Z L 0 Li 0 ;xz z 3:> > C 2i 21 2 ?, to z 0: 0 Gs i z M a 0: I H 1111 IIIA" ;u r -4 > 0 1 C, ipU) Z fTl m n >z U) Z C C) I'M c IM rn (n n'Lq 040 NOS m OTM -iZ,> m X 3: W n Z2 2OE MOM Apr ztn M Wsz .0 r (n r90 z 0 Zoq -1 r ANO > m Z�z 0 70 0 1 U) > z A mm -q m o - O z J C H co • E Ma 4,;. v 0 o- co EE c CD r -,mm � N O N L tN • m 3 �• ._ �v = N O O "vVV" tjy E m eC CD o .: =U b.: m cm N a C L m CJ y O L- .? V 'g Z O ccc � o c a H m : y C •C = m m N CL f 1 co m wO+ m L ui c L.. g -a „ c _ 'y m• R cc C O (.. N aL Z CC "Ew n �_ 'N O V m O cm -0 CL O �-- L cc a m 9 a M U G� 0 O v O Z CL O ® y C C C ca CD M E m m w Q d LE w v v cn ° U z U z Q .a o LE o o: v r U c x ° W z 0 z o o; c ii W H w o w v mo c w" p d o n: w z w w A w oz cn o V) J C H co • E Ma 4,;. v 0 o- co EE c CD r -,mm � N O N L tN • m 3 �• ._ �v = N O O "vVV" tjy E m eC CD o .: =U b.: m cm N a C L m CJ y O L- .? V 'g Z O ccc � o c a H m : y C •C = m m N CL f 1 co m wO+ m L ui c L.. g -a „ c _ 'y m• R cc C O (.. N aL Z CC "Ew n �_ 'N O V m O cm -0 CL O �-- L cc a m 9 a M U G� 0 O v O Z CL O ® y C C C ca CD M E m m co ow = ca � O � i CL �Q cp C .a O Cc v J '0 o CD C Z CD V y O C •� C CA 0 L� 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: `1 G Sce%0 C-M� ��Ta �, 1"LS-T— Phone 686-U, 3 LOCATION: Assessor's Map Number Subdivision Parcel Lots) Street l to 4 S� lTo N 5 St. Number 164 - ************************Official Use Only************************ RECOMME AT N F T AGENTS: i Date Approved cv Conservation Administrator Date Rejected Comments CzjQ IrF 4 0 Town Planner Comments Date Date Approved Rejected (�PV&q 6 . Date Approved Food Insp or -Health Date Rejected _2L Date Approved _- ept'c Inspector -Health Date Rejected Comments Public Works - sewer/water connections - driveway permi � Fire Department Received by Building Inspector Date 06.64 96 07:49 T:5083S84967, f} P:01 d .OV31/96 15:11 '21 501 043 :::179 SYSTEM BUILDERS 1 t I � � { [M 0 01 � 0 01 + ! OFFICE OF BUILDING INSP1:UMP. TOWN *OF NURT11 AINOOVEA' _ `.... `. v I� ,, r, e *�� •. ._ _�� ^CO"STRUCTION CONTROL J•,PROJECT NUr13aR: _ ,,,.•:. _-.._....._ :+..•c.•�.:-�,."... �,; •. •• • PROJECT II±TLRs Ty+,j� (�111,� - .,• • BROJECT LOCATION 1 1(20* SvTTO N $,WT NAIVE OF BUILDING: NAruR8 of tAojEC=: IN ACCORDANCE V1I1t SECTION 127:0 Of THE MASSACHUSETTS STATS BUILDING CODE, . • I' Jlr i� DALY •�� Registration No. 3Z-7 2:� BEING 4 REGX3T>SRf17 YxUtESSIONAL, rMCINEER/ARCHITECT 11tPEBY CERTIFY THAT 1, 11AVE PREPARED OR DIRECTLY SUPERVISED 1.11E PREPA"TI011 OF ALL DESIGN PLANS, COMPUTATIOI+S AND SPECIFICA- '• 71gt+5 COtICER.'ilyGs E.4TUM PROJxco-T C;2!0 micHITECTURAL Q FIRE PROTECTION p ELECTRICkL Q STRUCTURAL Q HECIL►NIC" Q OTIICR (specil2)a FOR THZ ASOVE NA4ED PROJECT AND THAI, TO THE B=ST OF PY K::C::LEDGE, SUCH PLANS, COHPUTATIGNS AND SPECIFICATIONS MEET THS"APPLICASLE FROVISLONS OF THE HASSACHUSETIs STATE BUILDING CODE, ALL ACcafTABLE E1.01NEraING F?aYIICES. AND APPLICABLE LAWS AND OR)INA.NCEB ?OR THE PROPOSED USE Al:D OCCUPANCY. I FURTHER CERtiF'Y THAT I SHALL PERML4 THE NECESSAP& PRCFESSIC-NAL SERVICES AND BE PRESCNT CN THE. CONSTRUCTION SITE 01; A REGULAR AND PERIODIC BASIS TO OETE:tjilllE THAT THE VCRy`G IS FRCCEED1:iG IN ACCORDAIiC wlTH THE DOCUME11IS APPR07ED FOR T117- BUILDil1C PER!!IT AND SHALL BE RESPOPS13LE FOR THE TOLLCWING AS SPECIFIED 1H,SECTI911 127.2.21 i view of sleep dkowiNs, samples end ether su'r..ie:ale of r_+,e ea,:�ac:or as required by the cMWCX" len C--utnet docUnWC3 as SUrAtUd for b�Idi�g perTic, and aFprumal for confummi>CP to Che design trncapt. 2. im-4eu Autd aFprwal of 0* qualicy eccrc-ol proceAlrres for all cz -required ccrtitro1 ed aDte-iall. 3. 5peeial arcl,itectusat oc JRTB+r,eer;r3 F.0!ess1c al.insp--ccicn ef: critical Ccmr:v.irrn ccrFcT1s11cs requiring eontzvlled materials or c.-rstrvct±cn 9pttL!ied in cb* se:epCtd "imeriM practice standards listed in AppendLx 1$. PURSUANT' TO SECTION 127.2.3, I SMALL SUBMIT WEEKLY A PROGRESS REFORT.IOCETHER 1.1TH PERTINENT COMHENTS TO THE NORTH ANDvvE:: BUILDING 1NSYl:C* UR. UYOH COMPLETION OF THE oORK, I SHALL SUBMIT A FINAL • EPORI AS TO T11 ;;COMPLETION AND READINESS OF THE PROJECT PDR OCCUPAl1 � / � 'N0. NFW1oN, �. SICIJATURE • SUBSCRIBED AND SWORN TO BEFORE !lE THIS DAY OF �19' r OF IAf*SSrt 11tJTARY 8t1BL1C KY COMISS1ON CRFIRIS `, � Mc-ss � N� j',-� Cin-t-�► - S �.` �T� ST1Zc�C-' CO, � � co ►�-� vz� t._. C.� � ��' rac.�.. ATL O N ��LC ��Lt � . I�C"Zu.o vC g d' �S �csc o� /3/�i:� eoNG,tZ��Z�' /= o4NAlp-�'o�i7� .�iCR+4+s f 1�EJBr2�S � CzZ►. . t 7 er �1 iZtt.SS �' �'► � �.�_'' � pN /V �zl G,,LS n i C4A c ti, ,i `i i.i r� t ` Lha oti I'� • C . 2tZ� ( R o C> 44 S ��� � ScZvc'1Z e�•�s /3y DcvN�-� i b�v-b 1�6 r) OF NOR'I'll ANV01V�•.P, P A U J E C T NUMBER,! PROJECT TITLE: 'Rt'-rA.1LjAGILITY 1 TECT LoCATIon: 1 5%.).T -To W STKF-F-T hk4E OF BUILDING: Sul -raj- . 50-VARIff HAIURZ OF TAIL., IN AC -.Pr)&N"E J LY BUILDING 3Z-7 CjDE, • BEING A HEREBY CFRr1:Fy -jj(Ar I quF PnLPARID DIP-ECTLY S"PERVIS D I?E- PPEPAR.A110V . ALL VESIGS PLAINS. L;=)!iPVTATICNS AND 110,115 ARGHITEc- . r U ptL 51-pu1.lup-tu, C:Lj FIP�C PROTECTION L -]j F T H Z A 2 CV E N AJA -P 1) 0 ',Et rJHD TRAT, FE57 CF !�Y K!,'Q�;LZIL-GZ1 F RQ V T C- 7 C.'% I S iir. Z C;C1JPUTA':!C,NS AND 517ECIFICATICM5 tj;;*--: OF TH- LUILD11G, C -CPS, ALL ACCEPTABLE p p_e, r AIND APPLICA31 LJ%WS A"D CJ-PXj-NA2;CZS FOR. T FVRTHrR CERTIFY THAI I SHALL rjZRFL)R.H 1!i- ul SITE A BASIS TO L;ErZ.'�MINE TILAI 'flit VORK '4S UP P-'Jl T 'I A—) SHALL BF. -VE-SP0NS1ZLZ FOP, 2. al-riew cf max.by C=nrracr� as co I -l -,q design =-,Xapt. -Z' i07 '*J-4 aPPruval 0e for &I I -P-O-CiaLl arciiitect=1 c,- Z-Rqquirir�g contmllp-d mtex-1 C U T11 lals or ac-,EPCed"-tre2rb-S $tm-,dards listed in Apptn�jlx B. 2 KL'� fRCGR!;S,% A:7Pt)p-j' TOG-r-111ER TO SECTION 127-2.�, I SRALL SUBHUT �al V 316'nsl LNOR11"ki AtNLi-vL;, NS, -C"I ED A CC:IPLETIQN OF THE t;QRKt 1 SKALL SU—azw!'r -A t7 14 M. 'b e R I P QR 1 S T SII AI -Ti. A140 pLkDY1jE,S Cr 1HE pRCjjrC- FOR No. 3278 NEWTON, S u 13 S 1C.NATUR-E pr -BED �&ND SWOEW 10 BEFORE ;MF- �pj�!SOF M Y c F Chu 9 -ti 9 140TARY LK 11 1 RLS t. • h ipr , . � { � � �• 1 "� �yj� - �' RdN,+ J . 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F^^ .bt'v�R�'ir �. +[� 'Wkv � LLndr Suua � CARO _ t'G'e•;1i5 � 1 A l h Q „ Ems' §:i.✓ d. ;;, t�re^.r C x £^°`R"i �rf n .. ,s. P"y el§��",W�r 6s: alf.3 S`.r-1.� wo •«+��� 6i, � ilea a v. a w 2,11-f n e. Ono _. t a CER'I'�"'MC, E OF USE & OCCUPANCY Town a E-mAo`res l,-;"Lnl Andower Budding Pira' nit Number- 249(6/:1.0/96) Daite—APR.Ill 102 1997 THEIS CERTMES TH"Al" THE BUMD-ING LOCATED ON 164 SUMN SIREE-1 NZAI V BE OCCUPIED &S IR-EiAlL SI&CE Z UN S �N ACCGIIDAINCE,,-, WITHI, 7111E f-pPRCJW'sR3NS 01"F IFRIE MASSAt'C'E'll"U'SETT S SYA'fE BUMMNG CODE AND S` JCh.IlkA�EG'CT MA"I'N")INTS kS,MPAY APPLY. OfXUPANCII UAD: tACEir S1ACE (01W1,001) BUMDMG RK,�MIT(S) RI�QUERO-D, FOR TMAXJ): Fa—Lrl?(S)' ty 1p -rust -0 S, ISIS- TED uttoD St. Rea- SU4 te 109-125 Min St. E2 DDRZSS North IIA Bu. ilding irespeclor RECD ED hMN 80 JOYCE BRXDQH W TOWN CLERK TOWN OF NORTH A N D O V E RNORTH ANDOVER MASSACHUSETTS ia�R I0 1 Any appeal shall be filed within (20) days after the date of filing of this Notice in the Office of the Town Clerk. Ot 14ORT4 1ti o � n a _ s SA US NOTICE OF DECISION IsfW_q Date. Agril 5,•1995,,,,,,,,,,,,,, Feb. 21, Mar. 7, Date of Hearing ,Mar. ,21, Apr. •4,• 1995 Petition of , • Sanlau, Realty, Trust..... .. • .. • ... • . • , • • . Premises affected , • Lot. 7 Sutton Street, and North. Main, Street, . • • , . • • • • . • _ • • • .. . ...... ...... ... ... . .... Referring to the above petition for a special permit from the requirements North Andover Zoning Bylaw - Section 8.3 and 10.3 Site Plan Review ofthe....................................................................... su as to permitthe construction of a•4:000 sc�: ft: .retail complex _G after a public hearing given on the above date, the Planning Board voted conditionally to approve.........the .S'PECIAL PERMIT ......................................... based upon the following conditions: CC: Director of Public Works Building Inspector' A- Natural Resource/Land Use Planner Health Sanitarian Signed �.� !� �•! !- /!�.Lt.4 Assessors Richard A. Nardella, Chairman Police Chief ....................... ........ Fire Chief r j Applicant i Joseph Mahoney,. Vice. Chairman Engineer t File�y 1995 1 Richard Rowen,. Clerk.... , . • ... • . Interested Parties ! Alison Lescarbeau ................................ _' ` `J John Simons .15Ua ning. Board KENNETH R. MAHONY Director Town of North Andover E HORTF OFFICE OF 3� c `t. `. o 6 o c COMMUNITY DEVELOPMENT AND SERVICES p 146 Main Street Q�'p1.0 ^PPy �S North Andover, Massachusetts 01845 "SSACNus�` (508) 688-9533 April 5, 1995 Ms. Joyce Bradshaw, Town Clerk 120 Main Street No. Andover, MA 01845 Re: Special Permit - Site Plan Review - Lot 7 Sutton Street & North Main Street Dear Ms. Bradshaw: The North Andover Planning Board held a public hearing on February 21, 1995 in the Library Conference Room in the Town Building, upon the application of Sanlau Realty Trust, 109-123 Main Street, North Andover, MA., requesting a Special Permit under Section 8.3 and 10.3 of the North Andover Zoning Bylaw. The legal notice was properly advertised in the North Andover Citizen on February 1 and February 8, 1995 and all parties of interest were duly notified. The following members were present: Richard Nardella, Chairman, Joseph Mahoney, Vice Chairman, Richard Rowen, Clerk, and Alison Lescarbeau. The petitioner was requesting a special permit to allow the construction of a 4,000 sq. ft. retail complex in the General Business (GB) Zoning District. Mr. Rowen read legal notice to open public hearing. Ms. Colwell - overview of project- "kick off" of downtown Mr. Rowen read letter from Charles Matsis in support of the project Atty. George DelloRusso, from Atty. Dom Scalise's office, was present -representing Anne Messina. 4 1995 BOARD OF APPEALS 688-9541 Julie Parrino BUILDING 688-9545 D. Robert Nioetta CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Michael Howard Sandra Starr Kathleen Bradley Colwell John Daly, Architect, from Wayland, MA. was also present. 40' x 100' = 1,000 sq. ft. building proposed made to look like three separate buildings combination of brick and shingle interesting roof lines one story occupancy 3 tenants proposed Tina Messina: Marketing shows a need for this type building 25' entrance is off of North Main Street .site drainage to the rear .water and sewer through Sutton Street .fire sprinklers will be provided .request to reduce access behind the building to parking and create an island of 151possibly has Planning Board ever reduced the access and degree? increase to what Ms. Colwell: are there any spaces on Sutton Street at North Main Street? what about parallel parking? questioned a no parking sign Mr. Nardella: request for reduction of parking space size John Daly, architect, reduction in parking size would allow for additional greenery --parking spaces in the back designated as employee parking in design. Ms. Colwell to check on parking space size and access behind building with Bob Nicetta. Discussion of landscaping behind building. Will remove snow. Ms. Colwell: Will need lighting locations and design. Intent is to have 3 distinct facades, brick colors, etc. Wood Signs: illuminated indirectly Mr. Rowen: discussion of "internal" "for sale" signs, limit on large for sale signs. 2 I>e Mr. Mahoney: no more than 40% of window covered for more than ? days Lighting: each entrance has lighting down lighting on landscaped areas 3 1/2 ' sidewalk with a planting there street sidewalk Street trees: trees in parking area trees between the buildings? . dumpster will have to be enclosed Continued to March 7, 1995 meeting The Planning Board held a regular meeting on March 7, 1995. The members present were: Richard Nardella, Chairman, Joseph Mahoney, Vice Chairman, Richard Rowen, Clerk, Alison Lescarbeau and John Simons. r 'Anne Messina was present to present drawing and speak about. landscaping, lighting. She plans to have lantern -style lighting. Also mentioned putting a wood guard rail behind building. Mr. Simons mentioned how pleased he is that building will be right up to the street. Mr. Rowen thinks you may want low level lighting. Mr. Nardella likes the illustration presented, and hopes building will be very close to that when it is completed. Mr. Mahoney, seconded by Ms. Lescarbeau, made a motion to close the public hearing. Unanimous vote. Mr. Nardella directed staff to draft decision for the next meeting. . The Planning Board held a regular meeting on March 21, 1995. The members present were: Richard Nardella, Chairman, Joseph Mahoney, Vice Chairman, Richard Rowen, Clerk. Due to the lack of a quorum, Sutton Street Retail could not be discussed. The Planning Board held a regular meeting on April 4, 1995. The members present were: Richard Nardella, Chairman, Joseph Mahoney, Vice Chairman, Richard Rowen, Clerk, Alison Lescarbeau and John Simons. 3 r., On a motion by Ms. Lescarbeau, seconded by Mr. Mahoney, the Planning Board voted to approve the special permit as amended. Attached are those conditions. Sincerely, North Andover Planning Board Richard A. Nardella, Chairman Attachment cc: Director of Public Works Building Inspector Natural Resource/Land Use Planner Health Sanitarian Assessors Police Chief Fire Chief Applicant Engineer File f 4 Lot 7 Sutton Street and North Main Street (Sutton Square) Site Plan Review - Special Permit The Planning Board herein approves the Special Permit/Site Plan Review for the construction of a 4,000 square foot retail complex in the General Business (GB) Zoning District. This Special Permit was requested by Sanlau Realty Trust, 109- 123 Main Street, North Andover, MA 01845 -on January 26, 1995. = s The Planning Board makes the following findings as required by the Zoning Bylaw Section 8.3 and 10.3: FINDINGS OF FACT: 1. The specific site is an appropriate location for the project as it is zoned for General Business; 2. The use, as developed, will not adversely affect the neighborhood as the site is currently developed as a general business location; 3. There will be no nuisance or serious hazard to vehicles or pedestrians; 4. The landscaping plan approved as a part of this plan meets the requirements of Section 8.4 of the Zoning Bylaw; 5. The site drainage system is designed in accordance with the Town Bylaw requirements; 6. The applicant has met the requirements of the Town for Site Plan Review as stated in Section 8.3 of the Zoning Bylaw; 7. Adequate and appropriate facilities will be provided for the proper operation of the proposed use. Finally, the Planning Board finds that this project generally complies with the Town of North Andover Zoning Bylaw requirements as listed in Section 8.35 but requires conditions in order to be fully in compliance. The Planning Board hereby grants an approval to the applicant provided the following conditions are met: SPECIAL CONDITIONS: 1. Prior to the endorsement of the plans by the Planning Board, the applicant shall adhere to the following: r a. A wooden guardrail must be shown on the plans along the rear of the property adjacent to the railway. A detail of the guardrail must also be provided. b. A full set of site plans must be submitted to the Town Planner for review within ninety days of filing the decision with the Town Clerk. C. A bond in the amount of three thousand ($3,000) dollars shall be posted for the purpose of insuring that a final as -built plan showing the location of all on-site utilities, structures, curb cuts, parking spaces and drainage facilities is submitted. The bond is also in place to insure that the site is constructed in accordance with the approved plan. This bond shall be in the form of a check made out to the Town of North Andover. This check will then be deposited into an interest bearing escrow account. 1 d. A construction schedule shall be submitted to the Planning Staff for the purpose of tracking the construction and informing the public of anticipated activities on the site. 2. Trior to FORM U verification (Building Permit Issuance): _ a. The mylars must be endorsed and three (3) copies of the signed plans must be delivered to the Planning Department. b. This decision shall be recorded at the Essex North Registry of Deeds and a recorded copy delivered to the Planning Staff. 3. Prior to verification of the Certificate of Occupancy: a. The building must be constructed as presented to the Planning Board and as shown on the following plans: Plan titled: Conceptual Design Prepared for: San Lau Realty Trust 109-123 Main Street, Suite E2 North Andover, MA 01845 Prepared by: John Daly, Associates 26 Shaw Drive Wayland, Massachusetts 01778 Dated: January 20, 1995 Sheet A-2: Sutton Street Elevation Sheet A-3: Elevations The applicant must vary the brick colors, as presented, to the extent feasible. b. The landscaping must be planted as shown on the following plan: Plan titled: Conceptual Design Prepared for: San Lau Realty Trust 109-123 Main Street, Suite E2 North Andover, MA 01845 Prepared by: John Daly, Associates 26 Shaw Drive Wayland, Massachusetts 01778 Dated: January 20, 1995 Sheet A-1: Floor Plan Sheet A-2: Sutton Street Elevation f C. All artificial lighting used to illuminate the site shall be approved by the Planning Staff. All lighting shall have underground wiring and shall be so arranged that all direct rays from such lighting falls entirely within the site and shall be shielded or recessed so as not to shine upon abutting properties or streets. The site shall be reviewed by the Planning Staff. Any changes to the approved lighting plan as may be reasonably required by the Planning Staff shall be made at the owner's expense. d. All buildings shall have commercial fire sprinklers installed in `accordance with the North Andover Fire Department. e. The site must have received all necessary permits and approvals from the North Andover Board of Health and the Conservation Commission. 4. Prior to the final release of security: E a. The site shall be reviewed by the Planning Staff. Any screening as may be reasonably required by the Planning Staff and/or Tree Warden will be added at the applicant's expense. b. A final as -built plan showing the location of all on- site utilities, structures, curb cuts, parking spaces and drainage facilities must be submitted to and reviewed by the Division of Public Works. 3 5. If parking becomes a problem, in the opinion of the Planning Board, on either Sutton Street or North Main, the applicant must work with the Planning Department in the resolution of any issues. 2� 6. The dumpster shown on the plan must be enclosed entirely by a wooden stockade fence two (2) feet higher than the dumpster. 7. Any plants, trees or shrubs that have been incorporated into the Landscape Plan approved in this decision that die within one year from the date of planting shall be replaced by the owner. 8. The contractor shall contact Dig Safe at least 72 hours prior to commencing any excavation. 9. Gas, Telephone, Cable and Electric utilities shall be installed as specified by the respective utility companies. 10. All catch basins shall be protected and maintained during construction with hay bales to prevent siltation into the drain lines. 11. No open burning shall be done except as is permitted during burning season under the Fire Department regulations. 12. No underground fuel storage shall be installed except as may be allowed by Town Regulations. 13. All signs within the project shall be of wood with uniform lettering and 2 design. The signs shall in no way be interior illuminated (neon or other means). All signs designed for this project must be reviewed and I coordinated between the Building Inspector and the Town Planner for approval. Display window signs may not cover more than twenty (20) percent of the display window area. 14. All mechanical devices (ie: HVAC, vents, etc...) which may be visible from any surrounding sroadways shall be placed on the rear roof line. 15. The provisions of this conditional approval shall apply to and be binding upon the applicant, its employees and all successors and assigns in interest or control. 16. Any action by a To oard, Commission, or Department which requires changes in the plan r design f the building as presented to the Planning Board, may be subjec to od fication by the Planning Board. 17. Any revisions shall be mitted to the Town Planner for review. If these revisions are deemed substantial, the applicant must submit revised plans to the Planning Board for approval. 18. This Special Permit approval shall be deemed to have lapsed after April 10, 1997 (two years from the date permit granted) unless substantial use or construction has commenced. Substantial use or construction will be determined by a majority vote of the Planning Board. 3 The following information shall be deemed part of the decision: a. Plan titled: Site Development Plan Land in North Andover, Mass Sutton Street Retail Facility Owner/Developer: Sanlau Realty Trust 109-123 Main Street - Suite E2 North Andover, MA Scale: 1" = 20' Date: December 15, 1994 Prepared by: Merrimack Engineering Services 66 Park Street Andover, MA 01810 b. Plan titled: Conceptual Design Prepared for: San Lau Realty Trust 109-123 Main Street, Suite E2 North Andover, MA 01845 Prepared by: John Daly, Associates 26 Shaw Drive Wayland, Massachusetts 01778 Dated: January 20, 1995 Sheet A-1: Floor Plan Sheet A-2: Sutton Street Elevation Sheet A-3: Elevations cc: Director of Public Works Building Inspector Health Administrator Assessors Conservation Administrator Planning Board Police Chief Fire Chief Applicant Engineer File SuttonSq 4 Location. 4- 5ce7loAJ 9r(N� A'.'e"164 qkb. No. Date TOWN OF NORTH ANDOVER - Certificate of Occupancy $ Building/Frame Permit Fee $ HU Foundation Permit Fee Other Permit Fee $ Sewer Connection. Fee $ Water Connection Fee $ TOTAL s Bulldln64ns'pector i o oral 34/97 09:20 65.00 - PAID Div. Public Works PER3,irr NO d SZ' APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. r PAGE 1 MAP h40. OpZa LOT NO. pI 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE SUB DIV. LOT NO.I I LOCATION PURPOSE OF BUILDING Ji1� r�T ti T1� OWNER'S NAME 5 NO. OF STORIES OWNER'S ADDRESS `/ `/M� BASEMENT OR SLAB - ARCHITECT'S NAME^. �/ _ Jam"'' et,i{1/t BUILDER'S NAME ^elJ tt_C SIZE OF FLOOR TIMBERS IST 2ND 3RD SPAN DISTANCE TO NEAREST ouiu6iNa _ rr DIMENSIONS OF SILLS DISTANCE FROM STREET r POSTS DISTANCE FROM LOT LINES — SIDES REAR GIRDERS AREA OF LOT OONTAGE HEIGHT OF FOUNDATION THICK ESS IS BUILDING NEW `,� f 7' - SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION - IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TCr EQU ERI MENTS OF COD dov�s IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER y. IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS �/�4T•r/�Gjynens-C'� SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED �-/ -f / / SIGNATURE OF OWNER OR4rUTHORIZED AGENT FEE �S^�/y PERMIT GRANTED Cp0�0 N FIL- l 19_ �n cC -9o 4 62e) /00 6C711 3 PROPERfY INFORMATION LAND COST EST. BLDG. COST l49. EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPECTOR OWNER TEL. # CONTR. TEL. # ? `5 CONTR. LIC. # C'S n, c H.I.C. # ' BUILDING RECORD 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 6 INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE BL'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 I 9 FLOORS CLAPBOARDS B 1 22 J 3 DROP SIDING CONCRETE (— WOOD SHINGLES EARTH ASPHALT SIDING HARDW D ASBESTOS SIDING COMIACN 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 STONE ON FRAME SUPERIOR I� _P2020R ADEQUATE ONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) _ FL—AT1 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 I 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 GAS 7 NO. OF ROOMS OILS - -. •;; `' B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING f3 C O P; •m C o 16- 0 - CD A p gyCL CL C Cc O i H ILE Q m `Sa cg � �E� o a= • vi ev o 0 7I: y H 3 pf m cc -' 0 c N W W CLW CDL we C2 O Z a o H N O C f - r W C 4; E c 43 y d m.5 O.s _ .a ` d' c F- r *- a 4 m E N Z CO2 p 0 H C cm 0 v 0 m C m O c C N O S 0 Z 0 8 0 a i.. o Q v Z � ' O y C i co cm a C3 c x � CD CDCDa aw 3� co z oa a ca C w cc caCO2 J 'O C Z ts CD A v v3 c C U A 23 A O t V P-4 6T! a 0 o v o o -C, o c W o c o c 7 w Cl) u. w U w a w cm w rz w as cn cn f3 C O P; •m C o 16- 0 - CD A p gyCL CL C Cc O i H ILE Q m `Sa cg � �E� o a= • vi ev o 0 7I: y H 3 pf m cc -' 0 c N W W CLW CDL we C2 O Z a o H N O C f - r W C 4; E c 43 y d m.5 O.s _ .a ` d' c F- r *- a 4 m E N Z CO2 p 0 H C cm 0 v 0 m C m O c C N O S 0 Z 0 8 0 i.. o Q v Z � ' O y C i co cm C3 c W m CD CDCDa 3� co 03 oa CM< ca C cc caCO2 J 'O C Z ts CD CL v v3 c C C CIO 23 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:�,�1���j' ,�� /,p Phone /LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) /Street %/�/„nom St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments V Date Approved 9 7 Ins or -Health Date Rejected Septic Inspector -Health Comments Public Works - sewer/water connections Date Approved Date Rejected - driveway permit �/ /Fire Dep artm ntl �l,%1f J .il e,,,a /�'tC '✓ �i '7 ' �t�✓� ��s �itj-t-J-1,0er-c��l w ' a- 2_ / Received by Building � Inspector Date �r;'h�.. '. � hitt - a iy '. �.i• ?. a� .a ISE, ,Via. ' r _ ..•..Wwsw 4v i'Ayt r'\ "•�, E f A � Y 'h. 9` 4 PSi'' � QV �•� li.t' E ' yet � ^� i--• ' �, t^k Y`WA! �I �?S a a� .a ISE, ,Via. tL If v� • "•�, f Sri y E ti � 1I t vow � T. � x �, k` ?......._.�_. l y ,.........__° ._..,_._._.._..... _nom �._ •.^..p...._.. ......._,.w.__.A-yE __.._..... Y:.v t...._..�.� �I �?S a a� .a ISE, ,Via. tL If v� • "•�, f Sri T 'r k � 1I t � � x l y ! r 4 ^ Vol not u tn k ! Vol �'1 JJ Mnrt • � l ya T*,�t , J ,p e •� 4t ZG y , n P � r� w rr p ° � t Of Ci t. No- 193 4 Date..;I-.�.. 5;� ..... .......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... ........ ................. ............ ................................... has permission to perform .... wiring in the buildingof ...... Y ............... . ....... ............... . . ....................................... . North Andover, Mass. Fee. . . ...... Lic. No:=n-'J.9??-n ............................................................. ELEcmICAL Nspliacmllk 07/15/98 WHITE: Applicant MAY: BuildinA*. PAIDPINK: Treaswer D � Office Use Only / The undersigned applies for a permit to �peerrform the electrical work7z",z ow. Location (Street & Number /6 7 Sa��w Owner oi Owner's Is this permit in conjunction with a building permit Yes No O (Check Appropriate Box) Purpose of BuildingAIrldr, 42-- Utility Authorization No. Existing Service�d6 Amps /o16 -0?6dl"volts Overhead ❑ Undgmd ❑ No. of Meters New Service Amps Voits Number of Feeders and Ion and Nature of Proposed Electrical Overhead ❑ Undgmd O . No. of Meters OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO K u have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) � --- (Expiration Date) Estimated Value of EI cal Work$ 1 6_410 . Work to Start Inspection Date Reaquested T / T Rough Final Signed under the aloes of p ury46 2 FIRM NAME — / u LIC. NO. Licensee �/f �o Signature LIC. NO. Address Vy eF- 6Aq0W 1 A.ye �%t°��iur� BAIL Ta No. Ll 1 6- OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE 5�-- (Signature of Owner or Agent) Total No. of Light8ng Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimming Pool gmd ❑ gmd ❑ Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Bunters Battery Units No. of Switch Outlets No of Gas Bunters FIRE ALARMS No. of Zone No. of Detection and Total No. of Ran es No of Air Cond Tons Initiating Devices Heat Total Total No. of Diposal No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers S ace/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring No. Hydro Massage Tuds No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO K u have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) � --- (Expiration Date) Estimated Value of EI cal Work$ 1 6_410 . Work to Start Inspection Date Reaquested T / T Rough Final Signed under the aloes of p ury46 2 FIRM NAME — / u LIC. NO. Licensee �/f �o Signature LIC. NO. Address Vy eF- 6Aq0W 1 A.ye �%t°��iur� BAIL Ta No. Ll 1 6- OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE 5�-- (Signature of Owner or Agent) 9vrrAJ-3AUHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTiNG (Print or Type) ? �d _NORTH ANDOVER, , Mass. Date Building Permit # l� Location /(0 lip Owner's Name New Renovation p Replacement p Plans Submitted: Yes D No P— Check one: Certificate Installing Company Name_'Jo�aon-�v /,e�ze,-�rc,�� Lo,�arerT�,►ic fF! Corp. Address / lel4-dXP16-A-) [j Partnership //ff7; A/0- 61e El-Firm/Co. Business TelephoneL( Name of Licensed Plumber or Das Fitter C- f ufc/`s INSURANCE COVERAGE: Check one 1 have a current Ilablifty Insurance policy or Its substantial equivalent. Yes EP -1 No 0 If you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy Other type of Indemnity O 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 Lewa, and that my signature on this permit application waives this requirement. Check one: %nature of Owner or Owner3 Agent Owner D Agent O 1 hereby certify that all of the details and Information l have submitted (or entered) M above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit Issued for this application will be In compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. Title Ctty/Town M'i'ff DwD (OFFICE USE ONLY) T of nse: mber na�Lkensedum er or as er sfitter aster License Number ;7Y?'O C� Journeyman CM Check one: Certificate Installing Company Name_'Jo�aon-�v /,e�ze,-�rc,�� Lo,�arerT�,►ic fF! Corp. Address / lel4-dXP16-A-) [j Partnership //ff7; A/0- 61e El-Firm/Co. Business TelephoneL( Name of Licensed Plumber or Das Fitter C- f ufc/`s INSURANCE COVERAGE: Check one 1 have a current Ilablifty Insurance policy or Its substantial equivalent. Yes EP -1 No 0 If you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy Other type of Indemnity O 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 Lewa, and that my signature on this permit application waives this requirement. Check one: %nature of Owner or Owner3 Agent Owner D Agent O 1 hereby certify that all of the details and Information l have submitted (or entered) M above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit Issued for this application will be In compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. Title Ctty/Town M'i'ff DwD (OFFICE USE ONLY) T of nse: mber na�Lkensedum er or as er sfitter aster License Number ;7Y?'O C� Journeyman Date. 2348 F 5 '41 VAORT TOWN OF NORTH -ANDOVER ,6 0 All 6. 0 11 . . . 6 0 0 PERMIT FOR GAS INSTALLATION I 'A SACH This certifies that ... . ....... has permission for gas installation . . . .... .......... V in the buildings of . . a ............... -1 7� at ... f .......... I North Andover, Mas Fee.)'�7_A.-:� Lic. No..7.�... ....................... GAS INSPECTOR A, WHITE: Applicant CANARY: Building Dept. PINK: Trewurer GOLD: Fil;Z Ct&.t(eq ih -7-3/-1?C a�3aN 7vv;; Office Use Only - u .t Lfammjanwr# of Iffigoar4uOEttg Permit No. 300 !i igepartmznt U{ Public t6dEtu Occupancy & Fee Checked 3/90 (leave blank) V BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date (X* or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street E Owner or Tenant Owner's Address Is this permit in conjunction with a building permit Purpose of Building Existing Service Amps _J Volts New Service 0d:> Amps t_Z_0_J Volts 11 Yes No ❑ (Check AppraP;,/:() (k �5_75 Utility Authorization No. Overhead ❑y Undgrnd ❑ No. of Meters Overhead IYl Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work' OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a cu " nt Liability Insurance Policy including Compiet Operations Coverage or its substantial equivalent. YES�NO I have submitted valid proof of same to the Office. YES �O = If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE LIZ- BONO OTHER (Please Specify) (Expiration Date) C, Estimated Value of Eletctrical Work s / Work to Start 4'f �`y '��m Inspection Date Requested: Rough—1 6_A(4 Final Signedunder the1 .P Ie�nalties of perju FIRM NAME 1 GuA" � LIC. NO. Licensee < U�LAN-A nature LIC. NO. r Bus. Tel. No. �s�? Address -LeLLONY Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit applicaA*on waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S (Signature of Owner or Agent) x-6565 Total No. of Lighting Outlets i No. of Hot TubsKVA TN.- of Transformers No. of Lighting r;x: !re I Above[]; Swimming Poo! grnd. in- grnd. ❑ I Ge:,erators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No, of Zones No. of and Total No. of Ranges I No. of Air Coad. tons Initiating Devices —_� Heat Total Total No. of Disposals No.of Tons Pumps KW No. of Sounding 4 Devices No. of Self Contained No. of ",'shwashers I Space/Area Heating KW Detect ion/Sou,+ding Devices .lu'licinal 7,-th,.r KW N.,;. of Dryers i Heating, Devices ^,.;r, ac: On No of No. of Low Voltage Nc of `._at=r Heaters KW i Signs Ballasts Wiring No. Hydro Massage Tuns No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a cu " nt Liability Insurance Policy including Compiet Operations Coverage or its substantial equivalent. YES�NO I have submitted valid proof of same to the Office. YES �O = If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE LIZ- BONO OTHER (Please Specify) (Expiration Date) C, Estimated Value of Eletctrical Work s / Work to Start 4'f �`y '��m Inspection Date Requested: Rough—1 6_A(4 Final Signedunder the1 .P Ie�nalties of perju FIRM NAME 1 GuA" � LIC. NO. Licensee < U�LAN-A nature LIC. NO. r Bus. Tel. No. �s�? Address -LeLLONY Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit applicaA*on waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S (Signature of Owner or Agent) x-6565 Date... 323 - TOWN OF NOPTH ANDO ER A 0 PERMIT FOR WIRING' -j, US This certifies that .... ...... fi .................. ............ ........... has permission to perform ....... ....... ........ wiring in the building of ...... j .... y ............. ....... at ..... ............................ NorthAndo—ver, Mass. Fee Lic. No. Al ......................... ............ .................... . i LECTRICAL INSPECTOR C 75. 00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Location A,/ --/ S e- 71-0 No. 907-5 Date rt -6, 712il 1,40"YN A TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/rrame Permit Fee $ Ana A,-.. Foundation Permit Fee $ ,q-4t,er Permit Fee 3/0-"j $ I r -h -ee $ e t IF Water. Con nlof�M o'. kr $ MO. TOTAL $ C 0/ Building Intoe-6tor Div. Public Works 7 W4 W � w � d 0 A r W d G Z d x ' w G H d Q E � • 1-r G • —• O O rid •r-1 vl p —4 w U 5 0 o U a 3 2: v o —_ Q1 4-) v 14 � • 41 cd cn . p V -Lj 1 � w r -t N. cv w � �tt�j. to v 1. to cG +-/01 J bD a G o an Z. : •r1 G �.. 4-J G • r -t �. CL O +-r • �. tb U � o a 3 v s ro ol cCO a O 41 ,-J w G � G O ro W o +� H .H cti cn cn W to � E U H cn. b E --a • � v v W � V N H rn O co Sa O r H .f-- a -Lj , 0 z O H H d a 0 H 9 o , 0 z O H H d a 0 H 9 2. 3. 4. 5. 6. .-#-al2c, %S SIGN PERMIT APPLICATION NORTH ANDOVER BUILDING DEPARTMENT Division of Planning & Community Development 7. How attached: (a) Against (b) Roof (c) Ground_ (d) Other the wall FY P -o Ta /J. 8. Illumination: (a) Not illuminated (�O (b) Internally illuminated ( ) (c) Illuminated from separate service ( ) 9. Proposed Colors: Background lA-l''e Lettering d%rie Border 10. Will sign overhang any public road or walkway: Yes ( ) No 11. If Yes, Name of Agency who will provide liability insurance: 12. Attachments: *Photographs of building ( ) Material sample ( ) Color samples ( ) Site or Plot Plan (Required for all free-standing signs) ( �) 'Drawings of proposed sign ( ) Other, specify 13. Is Board of Appeals decision required? Yes ( ) No Signatue:r- f Applicant Date filed: F66 Site Address 7 JUT -Y) Owner �SCr1'Gc� �V )(� Applicant c )G r� �Ci U DC eG L Number of Signs Size of Sign(s) y" Y 9L F,14,- 6- Site of Proposed Sign(s) �(P SU t�`�.dl Materials: U) 0)CL _ Ixond 117�ncl 7. How attached: (a) Against (b) Roof (c) Ground_ (d) Other the wall FY P -o Ta /J. 8. Illumination: (a) Not illuminated (�O (b) Internally illuminated ( ) (c) Illuminated from separate service ( ) 9. Proposed Colors: Background lA-l''e Lettering d%rie Border 10. Will sign overhang any public road or walkway: Yes ( ) No 11. If Yes, Name of Agency who will provide liability insurance: 12. Attachments: *Photographs of building ( ) Material sample ( ) Color samples ( ) Site or Plot Plan (Required for all free-standing signs) ( �) 'Drawings of proposed sign ( ) Other, specify 13. Is Board of Appeals decision required? Yes ( ) No Signatue:r- f Applicant CMO "cm on ri Nrrn MW O M O OLD CO)vA IJ.. fo E 0 Q A •r+Qt co) a� 10> m0 Q) L as dI G. -r C-4 IM m - 3 0 1 - 0 0 U. W" 8 N w V tn " �: -Iv, I -A - r Mazq* t 3ullpk-)'3T� - 'Swiw Szu Location No. Date TOWN OF NORTH ANDOVE Certificate of Occupancy $ Building/Frame Permit Fee $ J�oundatlon Permit Fee $ OCR -SUW Permit Fee $ 26 Sewer Connection Fee $ Water Connebtion Fee $ EkUildIA—glnspqctor I I TOTAL IC7 00 10 7 9 9 Div. Public Works z O H z C9 V) Q) a 41 ro - Q) �4 .� o a (� Z • 4.) 3 (4-4 cl w a� • zi � >, E • �4 E as �4 • �' Q) I • 34 G • Q) a co (n a • I-- U) c G • 'b • o o m �• E o �4 > o 41 G w � QJ • r1 p � a m b v •r-4 r- > Q1 a 0 d 4 cn � o �• s, cn `•�,• G Q) Q) 0 O O .0 r .0o .0 �• w cif G LID Q) cg_ GZ • vi Q1 4J U +1 cn ..oa. E W G 7•4 • • w p Q) ' Q1 O 4 a U cn G w to •,••a p —4 4J 4J C) 4-1 ro N H 0 G r-4 04 G W tf) G • � Q1 Q�1 H W O H H a r1 44 �+ m Q) w G O E -a H �i U G � z WE co O cn O G H U .a o Q., V 0 9 u —� "--"I p J M � � L cz cz Q• Vi z rrn^^ ca 5b cl VJ cn v C bA 'Q O moi. ^j cd + + U y cn 03 z oul Ii LA 3 1� • � H CA fl cr- - z - d 3 O yN W r M�•1 a - W a� a� �O Q �Z w ° ct o ^o N _ N 61�., ;� cC GQ N ° L ° n C) Ii LA 3 1� • � H Vl cr- - z - d 3 O a^ M�•1 W a� a� �O Q �Z Town ®f North Andover j��, �(y OFFICE OF �j AND COMMUNITY DEVELOPMENT AND SE' RVICES 146 Main Street WILLIAM J. SCOTT North Andover, Massachusetts 01845 Director Memorandum To: Robert Nicetta, Building Inspector From: Kathleen Bradley Colwell, Town Planner Date: April 7, 1997 Re: Sutton Square - Sign I reviewed the proposed sign for the side of the building at the corner of Mab®,nd Sutton known as Sutton Square. Although the sign is not constructed of wood, the Planning Board has allowed sign foam as a replacement material. Therefore I approve this sign for design and material as it will be constructed of sign foam and is in keeping with the proposed signs for the project as presented during the site plan review process. If you have any questions please do not hesitate to call me at ext. 535. APR - 7 1997 BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 p. 'fwM1y '�•g � 1 ph i r F { y K ! k���'k `��ThS �d w �`t3N�j x�3� ��' A z `• t s " a �, - xiq`rA1 i, a«f ��: x%+� a � � ,s`-r�c,�•��` ' Y(: t? z iI g v '� � t �sl i. 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