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Home My WebLink AboutMiscellaneous - 165 FLAGSHIP DRIVE 4/30/2018 165 FLAGSHIP DRIVE 210/025.0-0085-0000.0 Date. . . . . . . .. . . . . . . . . . . . NORTIy —•'TOIIUN'OF NORTH ANDOVER pf 4l�ao ,a,'t'O O p a _-. .; .=PFRRMIT f".GAS INSTALLATION • ii i o �^� SACMUSEt This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . t ... . . . . . ... . . in the buildings of . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . . , North Andover, Mass. Fee. . . . . . . . .-Lic. No.. . . . . . . :. . .< . . . . . . . .. . . . . ..R . . .. GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File • ••--�� s%m ..rerrvnrlrl ArrL.lt;AIIun FOR PERMIT TO DO GAS FITTING (Print or Type) F . NORTH ANDOVER, , Maas. Date 19 aro Building Permit Locatlon_ f=�I�(,SJ��D Diz)VC_ Owner's N. ,4yt rt-)k/eQ Name I � New Renovation 0 Aepiacement I7 Plans Submitted: Yea d No � . N N ; a d le Ik N N V d -+ ° w h U �° M r pp0 >4 Z 1, K t al N 1- 1[ a O a ° x h aC N d w t x a O N30 N N w V w N w 1 n w M N JX 44 X N at d tr w ° w J w s i i o d S w 0 t u ° y a o sup—esMT. sASEMINT 1sT FLOOR IND.FLOOR t SAD FLOOR 4TH FLOOR ITH FLOOR 6TH FLOOR • 7TH FLOOR � + sTH FLOOR �. ' Check one: Certificate' Installing Company Name ((Y1 K�7.70��1 rD( ��.Yvl 6 t� r �] Corp. Address [i Partnership W o CZc WIrm/Co. Business Telephone � 17-2-., -., Name of Licensed Plumber or Gas Fitter_ Ko zenZ i A. M nzzo 4 INSURANCE COVERAGE: Check ne 1 have a current liability Insurance policy or its substantial equivalent. Yes� No O H you have checked ye, please Indicate the type coverage by checking the appropriate box. A liability Insurance poilcy Other type of Indemnity O Bond O OWNER'S INSURANCE WAIVER: I am aware that the Ilcensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner O Agent O I hereby certify that all of the details and Information I have submitted(or entered)In above application are true and accurate to the best of my . knowfedgs and that an plumbing work and Installations performed under the permit Issued for this application will be In compliance with all pertinent provisions of the Massachusetts State Das Code and Chapter 112 of the General tAws. By' Type of License: Plumber Title Gasfilter Signature o cense rn r as Fl ler Master License Number /a y 91! Ctty/Town Journeyman NTnOVED(OFFICE USE ONLY) s Date. . . . . . . . . . . . . ys j A 3 NORTH TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING �,SSACHUS�� This certifies that . . . . .'. ./. .'. . . . .... . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . .'. . . . . . . . . . . . . . . . . , . . . . . . . . . . . . plumbing in the buildings of . . . . . . ir' . . . . . . . . . . . . . . . . .. . . . . . at. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. . . . . . ... .Lic. No.. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer JL -A PMfAI,AUllu,tI Is unIFUHM APPLlGAiIUN FUH PttHMII tu uv rs.vmosr.... �\ (Print a Type) • f NORTH ANDOVER, , Mass. Date 11 3 -19—(?a Building Permit # Location Zj(=,S- 1. Owner'sqj1 NameIt ��R� "�& New P( Renovation ❑ Replacement ❑ Plana Submitted: Yea❑ No ❑ FIXTURES at « N Ns W F w O s N < ai u h N O s s o .1 M « s d S » : t` s = < O SO as sl � a1i aa0 � 0 4 D a 4i °es : 0 sIJS—SSMT. i SAGRUgHT 1ST FLOOR 111010 FLOOR SAO FLOOR STM FLOOR FTM FLOOR aTM FLOOR. 1TM 'LOOR STM FLOOR Check one: CedWicate Installing Company Name ❑Corp. Address ❑Partnership A'a)6,4--z ,., ❑FILM/Co. Business Telephone Name of Licensed Plumber INSURANCE COVERAGE: uneck I have a current liability Insurance policy or Its substantial equivalent. Yea W No ❑ If you have checked y", please ate the type coverage by checking the appropriate box A liability insurance policy Other type of Indemnity ❑ Boryd OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Maas. General Laws, and that my signature on this permit application waives this requirement., Check one: Owner ❑ Agent [ISigna ure of Owner or Owner s Aqent I hereby tartly that all of the delalls and information I have submitted for enteredl In above application are true and aoauats to the best of my knowledge and that all plumbing work and Installations performed under the parmM Issued lot this appleatlon will be h compliance with all pedinenl provisions of the Massachusetts Slate Plumbing Code and Chapter 142 of the 0 enar Z�,z loy ure dl Limnssed Plum This License Numbu City/Town Type of Plumbing License: Master 0' Ai'010YED(OFFICE USE ONLY) Journeyman ❑ Location—),. No. Date , - - r MORTM TOWN OF NORTH ANDOVER Ot�t�ao ia,h OA� „ erCificafe of Occupancy $ `4L 8ut /RarmPermit Fee $ Foundation Permit Fee $ s�C usE # er,,Pp9 t $ --Sew r`'e' eZ�tlan3 Fee $ Water 7o'nneM1onn Fee $ TOTAL $ Building Inspector Div. Public Works Location No. Date M°RN TOWN OF NORTH ANDOVER ?opt...• , + 3 •.... o� . A Certificate of Occupancy $ } Building/Frame Permit Fee $ 74 Are, -Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ AUR—L k.&qr ection Fee $ Q –?WALT nn' $ Building Inspector 4 Div. Public Works Location No. 044-- Date lwt °RTM TOWN OF NORTH ANDOVER O� t. o .1ti0 p certificate of Occupancy $ 2 2y 93 y`Bu7lding/Frame Permit Fee $ 7JSv ,SSA�NUS t� ��odp�tion Permit Fee $ Otfar`l?ermit Fee $ ' SewA8nnection Fee $ Water C6'nnection Fee $ TOTAL $ /.7 p Building Inspector Div. Public Works 0EaI11T-NC D 57 - - -• APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MAS TOOL /PAGE 1 MAPd40. �t' I LOT NO. 2 RECORD OF OWNERSH ;E — NE SUB DIV. LOT NO. 313 LOCATIONG Jlw t N /.Y/ PURPOSE OF BUILDING f ' «r 'y OWNER'S NAME e/J /s NO. OF STORIES SIZE OWNER'S ADDRESSBASEMENT OR SLAB ARCHITECT'S NAME �l/ mss_ SIZE OF FLOOR TIMBERS 1ST! 2ND 3RD BUILDER'S NAME ��ANrL� �j_/fI SPAN DISTANCE TO NEAREST BUILDING 7 / DIMENSIONS OF SILLS DISTANCE FROM STREET /BB /�• POSTS DISTANCE FROM LOT LINES-SIDES G�O�f. REAR " GIRDERS AREA OF LOT � 5& /rri FRONTAGE pp 7/t HEIGHT OF FOUNDATION �1 / THICKNESS IS BUILDING NEW Ye S, G O SIZE OF FOOTING P-0'p-;e - IS BUILDING ADDITION 7 AlO MATERIAL OF CHIMNEY IS BUILDING ALTERATION r NV IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE y�� IS BUILDING CONNECTED TO TOWN'WATER BOARD OF APPEALS ACTION, IF ANY A/ / IS BUILDING CONNECTED TO TOWN SEWER �Y IS BUILDING CONNECTED TO NATURAL GAS LINE Ys INSTRUCTIONS (�� / 3 PROPERTY INFORMATION (� PERMIT FOR FOUNDUIION OKY�1 LAND COST SEE BOTH SIDES C�"�,'MppOL �y REGULATED 8Y N �y► EST. BLDG. COST �' �7/ n)c) CY- 3IRU Ory EST. BLDG. COST PER SQ• FT. PAGE t FILL OUT SECTIONS 1 - 3 FAGE 2 FILL OUT SECTIONS 1 - 12 crD, EST. BLDG. COST PER ROOM NA DATE �-��_ PAID �� , SEPTIC PERMIT NO. �SJ� ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY w ATTACHL`D GARAGES MUST CONFORM TO STATE FIRE REGUP' T FOR FRAME/BUILDING PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED L DATE. FEE PAID• BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E OWNER TEL.# 3-73 30o ,, PLANNING BOARD PERMIT GRANTED CONTR.TEL# F73 '23 19 �ONTR L"-IC. N-91/-Z 772- ' 0-0 BOARD OF SELECTMEN mrm N 0 2-1)-g3 LESS FDR DUE I"IAW'11f,.f 5,46-0 BUILDING INSPECTOR F;--(a,. 17, 00-1 C,, ly�fg eon�- f-d �Zy/S3 yob.� e r BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY Si RIES 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 ,n 2 FOUNDATION _ 8 INTERIOR FINISH L° e-&-C--Q_ v, � a CONCRETE 3 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW 0 PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. 8'M'T' AREA _ 1/4 1/1 1/. FIN. ATTIC AREA _ NO 8 M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDW D ASBESTOS SIDIN VERT. SIDINGI ASPH. TILE _ STUCCO ON M ONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. b FLOOR I_ �j, l t1 4a ea BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING A STONE ON FRAME ria k p► SUPERIORI� POOR _ +wrv....-ur«r�2ti" •�•x€�-,+-,- - - ADEQUATE ONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.( _ GAMBREL ANSARD TOILET RM. (2 FIX.( _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK -• . . _ SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFI GrAODERN FIXTURES _ jyyt izyy TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & STEAM STEEL BMS. d COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING '! RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS » - < R33 d OIL r B'M'T 2nd _ ELECTRIC f 1st 13rd I NO HEATING �3 DAY / �T !(/ S! D 96-90 a:jPAD NO.23-173-400 SETS :.o.23-373--2co SET . 1 �f FORM U - LOT REIZAsE FORM � � �`► y 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: Phone _ 3 LOCATION: Assessor's Map Number Parcel `7�= Subdivision _11/a.-Mn�v�,,- ��s,N�sf�,-� Lot(s) 3 Street /�S�%� �i-��i� St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS Date Approved Conservation Administrator Date Rejected Comments Date Approved Town P1 nner Date Rejected Comments �u l tl�� Q( C 4, A ato A- )o Date l Approved d Health Agent PP Date Rejected • Comments — 6)JA It Public Works - sewer/water connection driveway permit Fire Department \ Received by Building Inspector F'e�.i7,�9ga Date �fl1Ati 7 O ir,nn Y - COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF 1010 COMMONWEALTH AVE. � +'+ MASSACHUSETTS BOSTON,MASS.02215 Li CENSE EXPIRATION DATE CONSTR. SUPERVISOR ° 0 R S �. �RIC IONN S / 1 1993 EFFECTIVE DATE LIC-NO. NONE. .09/01/1988 048772 I� 4 CLIFTON A PAGE _ WRCTEEA4ADSS # 015-58-4931OESRMA0160 :- PHOTO(BLASTING OPR ONLY) . FEE- , HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY DOB: STDe� q - NATUY Of IrjHE//COMMISSIONER I OS/11/1�b6 THIS DOCUMENT MUST BE CARRIED ON THE PERSON OF NAT RE OF LICEN I EPENN i THE HOLDER WHEN ETHERS-RAiyT THUMB PRINT ED H THIS HEN ATIOTIDA 1 MMI$$1 W-2-87.81429 i { - �bOMINIp111�E��o{I�t(�fliflSl��J •"I DRIVERIS LICENSE 015584931 05-11-97 ri�3 M3 05-11-64 M Ems' cm cma DM 5-11 �. AGE TON A IMp _ 382C SUNDERLAND RD ru., -F I,FLua APT 25C -WORCESTER MA 01604-2504 r erkS G4-l� T? 'c) Nos. c)N Sf'77 �f ♦ t 3 CHANNEL February 17, 1993 Mr. Robert Nicetta Building Inspector TOWN OF NORTH ANDOVER 120 Main Street North Andover, MA 01845 Re: United Plastic FabCicat�s North Andover Business Park Dear Bob: I am following up with this letter as I did not have a chance to speak with you during my visit to your office to deliver an additional (resubmitted) set of drawings for the United Plastic Fabricating (UPF) project as per your request. This latest set of drawings contains stamped structural and architectural drawings. The stamped site plans are already in your possession frcn the prior permit submittal set of plans. It is my understanding from talking to Bob and Steve Webster that the electrical/mechanical plans are not required for the foundation permit, but are to be submitted at the time of full building permit application. Channel will present fully engineered plans for the sprinkler, plumbing, and electrical systems at the time of full permit application. Upon your review of these drawings, please contact me if there are any concerns. The architect/engineers for this project are working directly for Channel Building Company as part of the "turn-key" design build team and are available at any time to respond to your concerns. Thank you in advance for your cooperation. Yours trul Step 4EFoster Vice President abs cc: Steven Webster, CBC Gregory Wiech, CBC Joseph Lingel, CBC Channel Building Cornpany, Inc. • Planning • Engineering • Construction 242 Neck Road 0 Haverhill, MA 0 01835 0 508-374-4511 0 FAX 508-373-4900 CHANNEL June 8, 1993 Mr. Robert Nicetta Building Inspector TOWN OF NORTH ANDOVER 120 Main Street North Andover, MA 01845 Re: United Plastic Fahrirat ng Dear Mr. Nicetta: As required by the Massachusetts State Building Code, please find enclosed a letter frau an independent structural engineer as concerns his review of the major structural systems for the above project. I trust this letter is sufficient as concerns the "code" requirements. Please call me if you should have any questions. Yours tr , Ste en . Foster Vice President i abs cc: Gregory Wiech, CBC Paul Kneeland, Bayfield I � r Fri I AN 4 Channel Building Company, Inc. • Planning • Engineering • Construction 242 Neck Road 0 Haverhill, MA 0 01835 • 508-374-4511 0 FAX 508-373-4900 CONSTRUCTION 12 PLEASANT STREET ENGINEERING __. _- -- NEwBURVFORT, MA. 01950 �`7 c ' 1 \ TEL. 508-465-2216 SERVICES .JUS! 3 Mr. Robert Nicetta Building Inspector Town of North Andover 120 Mair? Street North Andover, I,,A 01845 June 2, 1993 Dear Mr. Nicetta: At the request of Channel Building Co. , Inc. , I reviewed the structural drawings for the United Plastics Fabricating Inc. Project, North Andover Business Park, North Andover, MA, in conformance with Section 113 . 8 and Appendix I of the Massachusetts Building Code. T e Drawings reviewed are entitled "United Plastic Fabricating, Inc. " , Drawi-Ag 'dos . S1-S5 and AB-1, of miscellaneous dates, and stamped by Ronnld S. Fuller, P.E . Based upon having performed check design calculations upon the critical structural members, I find the structural design to be in conformance with the Massachusetts Building Code and good engineering practice. Please feel free to call should you have any questions . Very truly yours, � /John S . O' Connell, P.E. TOC/mkmg I . 9 sm STRUCTURAL INVESTIGATIONS & DESIGN 0 SITE ENGINEERING 0 CONSTRUCTION COST ESTIMATES CHANNELr DAtE 108 NO Channel Building Company Inc. At TE-110- 242 Neck Road Haverhill, MA 01835 aE TO (508] 374-4511 ,e r GENTLEMEN: WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NUMBER DESCRIPTION 100, THESE ARE TRANSMITTED as checked below: ❑ For approval REMARKS S ❑ For your use � �� ❑ As requested — r ❑ Approved as submitted �-E" ❑ Approved as noted �,� ❑ Returned for corrections ❑ Resubmit copies for approval ❑ Submit—copies for distribution –� ❑ Return corrected prints ❑ For review and comment ❑For bids e 19 � ❑ Pri returned after loan to us SIGNED: CHANNELr DAfE JOB NO Channel Building Company Inc. ATTENTION 242 Neck Road o t c Haverhill, MA 01835 RE TO [508] 374-4511 AJ4. ndaA4�1 C G L43 ►��F_ rl; luu,` my I 21M GENTLEMEN: 4 _j BUi�Dit�G DEPART�OENTI WE ARE SENDING YOU tached ❑ Under separate cover via �g items:- ❑ Drawings ❑ Prints ons ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NUMBER DESCRIPTION u" f:"q 0/orw THESE ARE TRANSMITTED as checked below: ❑ For approval REMARKS For your use As requested ❑ Approved as submitted ❑ Approved as noted ❑ Returned for corrections ❑ Resubmit. copies for approval ❑ Submit copies for distribution ❑ Return corrected prints ❑ For review and comment ❑For bids due 19 ❑ Prints returned after loan to us SIGNED: �� 10210 WORTH �. � Townof �� t u< Andover 0 �. COWNIX CONSiRfJC't10N o� l-�o��,Adovcyyh,n bass., Fc�Q4nKzY 4- 1972 ADRATED PPa\ "`CJ CM RUCM '9S 1 BOARD OF HEALTH �.. s PERMIT T D Food/Kitchen Septic System �...� BUILDING INSPECTOR ice. LYt�o THIS CERTIFIES THAT....................... ...........,�, ... .................. ? .....��4?�Vt.. .A .. ................. Foundation has permission to erect .4..Al.hPW.44 ItUildings on .r3--..165... tC�.••••••• 'lY Rough to be occupied as ..... I.�tt, �Cte lNC c ... :^q ........... Chimney provided that the person accepting this permit shall in every respect conform to -gjM "n Final this office, and to the provisions of the Codes and By-Laws relating to the Inspth 6 r io f Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. DATE 2.2vf cl3 FRIMA1CCORough PERMIT EXPIRES IN 6 MONTHS Final PERMIT FOR FRAMUBUtOWSS C�+ONSTRUCTION START ELECTRICAL INSPECTOR X Rough .............. ......... ...................� ....... ......... ServiceDATE: FS FEEPAID: � S . D � BUILING INSPECTOR Final Comm Occupancy Permit Required to Occupy Building CONSRUM GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough p Y p Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONTROL CONSERVATION FINAL Street No. C(?f�1STRUCT�N Smoke Det. SEWER/WATER _—F�1 a� �L--Ot4 DRIVEWAY ENTRY PERMIT January 29, 1993 Mr. Stephen Foster Channel Building Company, Inc. 242 Great Neck Road Haverhill, MA 01835 Dear Sir: The Building Permit Application for the "United Plastic Fabricators" structure is rejected due to incomplete drawings. Plans submitted on January 26, 1993 are process drawings without any specifications, mechanicals, electric, sprinklers, building details, roof framing, materials that are to be used, and title box is incomplete, etc. This is the second set of drawings that have been rejected this week. Section 113.5 of the Massachusetts Building Code, Fifth Edition, (copy attached) , states that the plans are to be of "sufficient clarity and detail dimensions to show the nature and character of the work to be performed". The Building Department will issue necessary permits as soon as the proper drawings and specifications are re- submitted for review. Thank you for your cooperation in this matter. Yours truly, •� A) D. Robert Nicetta, `/ Building Inspector � t ` 0� DRN:gb / C c/K. Nelson, D.P.C.D. Enclosure ADMINISTRATION AND ENFORCEMENT M 113.3 By whom application is made: Application for a permit shall be made by the owner of the building or structure. The full names and addresses of the owner, applicant, and of the responsible officers if the owner is a corporate body,PP P rp y, shall be stated in the application. J 113.4 Description of work: The application shall contain a general description of the proposed work, its location, the use and occupancy of all parts of the building or structure and of all portions of the site or lot not covered by the building or structure; and shall state whether or not fire extinguishing equipment, plumbing, water piping, gasfitting, heating or electrical work is involved, the estimated cost of such work including the general work, and such additional information as may be required by the building commissioner or inspector of buildings. The building commissioner or inspector of buildings may require the facts contained in each application to be certified by theapplicant under oath. PP 113.5 Plans and specifications: The application for the permit shall be accompanied by not less than three (3) copies of specifications and of plans drawn to scale, with sufficient clarity and detail dimensions to show the nature and character of the work to be performed. When quality of materials is essential for conformity to this code, specific information shall be given to establish such quality; and this code shall not be cited or the term "legal" or its equivalent be used as a substitute for specific information. The building official may waive the requirement for filing plans when the work involved is of a minor nature. When such application for a permit must comply with the provisions of Article 6 or Article 10 of this code, the building official shall cause one (1) such set of plans and specifications received by him to be forwarded simultaneously to the head of the fire department for his file and approval of the items specified in Section 1000.0 as they relate to the applicable sections of Article 6 and Article 10. The head of the fire department shall within ten (10) working days from the date of receipt by him approve or disapprove such plans and specifications. Upon request by the head of the fire department, the building official may grant one (1) or more extensions for such review, providing, however, that the total review by said head of the fire department shall not exceed thirty (30) calendar days. If such approval, disapproval or request for an extension of time shall not be received by the building official within said ten (10) working days; the building official may deem the plans and specifications to be in full compliance with the applicable sections of Article 6 and Article 10 and; therefore, approved by the head of the fire department. All plans filed with the building official shall include but not be limited to: 1. the accurate locations and dimension of all means of egress from fire and an occupancy schedule of persons for all occupiable spaces; 780 CMR - Fifth Edition 1-15 tAOR ' O �0 FORTH ANDOVER FIRE DEPARTMENT L CENTRAL FIRE HEADQUARTERS �'q_<°=•°•�• 124 Main Street �AT[p�Py`J 9ss'4CHL)5North Andover, Mass. 01845 WILLIAM V. DOLAN Chief of Department Tel. (508) 686-3812 To: Robert Nicetta, Building Insp. From: North Andover Fire Department Lt. Kenneth E. Long, Fire Prevention Re: Sprinkler Plans-United Plastics Date: June 16, 1993 The sprinkler plans for United Plastics, Flagship Drive have been reviewed and approved by this department. KennetH E. Long Fire Prevention Officer i JUN 1 61993 PARiF "SMOKE DETECTORS SAVE LIVES" CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 044 Date NovFmFR 4, 1gg3 THIS CERTIFIES THAT THE BUILDING LOCATED ON LOT #3B - 165 FLAGSHIP DRIVE MAY BE OCCUPIED AS LIGHT MANUFACTURING & OFFICE BLDG. IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. °t "°"7", Bayfield Development Co. .,� ,. CERTIFICATE ISSUED TO 242 Neck Road ' ADDRESS Haverhill. MA �s„C" Building Inspector Town of Andover 0 � ?: o A Tor dov ftoMass., A 1917.3 .� 1"u I n c r,e w i c n G, �np� "/ A0 -A 7'E D CONSTRUCTION VBOARD-OF HEALTH a 1 L Food/Kitchen Septic System . PERMIT TO B D • ----� BUILDING INSPECTOR THIS CERTIFIES THAT 1��1� .!F .4��-1�...... �C /70 !{!l l..... .Y A�%.. ........... �..... Foundation has permission to erectST4X(I..�.W.44.�IJUildings on LV P6-..1.!;R ....�F..kftw5wP........��Yl�- Rough vACD e to be occupied as LkAlK.r.....4�V!�F (,(, � tl.i2ln1 '. ��C...... �.:�`'7............... Chimney ............ .. .... .... .... ............ .... .... provided that the person accepting this permit shall in every respect conform to th ' 'n this office, and to the provisions of the Codes and By-Laws relating to the Insp 1 M io Final�W. L�_r Buildings in the Town of North Andover. M � k VIOLATION of the Zoning or Building Regulations Voids this Permit. DATE2.2V.`-3 w0ijaw:0CM Rou > PERMIT EXPIRES IN 6 MONTHS 17 CO'Llqq PERMIT FOR FRAM ELECTRI AL INSPECTOR ��L� CONSTRUCTION STAR.T ��C� �- Rough d/� DATE: A •S3 FEE PAID.AS/So --• ..................�...........%-x........ ... Vii.. Service BUILDING INSPECTOR CNFinal rle/� Occupancy Persnit Reqitired to Oco � Building CONSTRUCTION _ ._-• _ GU INSPECTOR Display in a .Conspicuous Place on the Premises — Do Not Remove �� ¢ No Lathing or Dry Wall To BeDone FIRE ARTMENT Until Inspected and Approved by the Building Inspector. {� Burner 0 � ' Vll �a PLAN NING`(e ' N� t , ',FIN �PRROI" CONSERVATION r I ' ,F NA Street No. x r�/ 1STRUGTIQN �`�`� /� Smoke Det. SEWER/WATER / -FINAL DRIVEWAY ENTRY PERMIT't CERTIFICATE OF Distribution to: ' OWNER EX SUBSTANTIAL ARCHITECT 11 COMPLETION iONDTRACTOR EX AIA DOCUMENT G704 OTHER Robert Nicetta, Building Inspector PROJECT: United Plastic Fabricating ARCHITECT: James Bourgeois, R.A. (name, address) 165 Flagship Drive North Andover, NIA 01845 ARCHITECT'S PROJECT NUMBER: TO (Owner): CONTRACTOR: Channel Building Company, Inc. United Plastic Fabricating CONTRACT FOR: Design and construction of new c/o Joseph Lingel 31,500 s.f. office/manufacturing 1980 Turnpike Street facility LNorth Andover, MA 01845 + CONTRACT DATE: DATE OF ISSUANCE: October 27, 1993) PROJECT OR DESIGNATED PORTION SHALL INCLUDE: All portions of the project, including building (office and manufacturing) and site The Work performed under this Contract has been reviewed and found to be substantially complete. The Date of Substantial Completion of the Project or portion thereof designated above is hereby established as October 28, 1993 which is also the date of commencement of applicable warranties required by the Contract Documents, except as stated below. DEFINITION OF DATE OF SUBSTANTIAL COMPLETION The Date of Substantial Completion of the Work or designated portion thereof is the Date certified by the Architect when construction is sufficiently complete, in accordance with the Contract Documents, so the Owner can occupy or utilize the Work or designated portion thereof for the use for which it is intended, as expressed in the Contract Documents. A list of items to be completed or corrected, prepared by the Contractor and verified and amended by the Architect, is attached hereto. The failure to include any items on such list does not alter the responsibilittractor to complete all Work'in accordance with the Contract Documents. The date of commencement of warra - R� a attached list will be the date of final payment unless otherwise agreed to in writing. James Bourgeois, R.A. ARCHITECT BY MAS TE The Contractor will complete or correct the Work on the list of items attached hereto days from the above Date of Substantial Completion. Channel Building Company, Inc. CONTRACTOR BY DATE The Owner accepts the Work or designated portion thereof as substantially complete and will assume full possession thereof at (time) on (date). United Plastic Fabricating, Inc. Zlo 4Z,45�7, OWNER BY DATE The responsibilities of the Owner and the Contractor for security, maintenance, heat, utilities, damage to the Work and insurance shall be as follows: (Note—Owner's and Contractor's legal and insurance counsel should determine and review insurance requirements and coverage; Contractor shall secure consent of surety company, if any.) Owner shall assume responsibility for all security, maintenance, utility costs (electric, gas, telephone, water, etc.) insurance, heat as of the date of sub— stantial completion. AIA DOCUMENT G704 CERTIFICATE OF SUBSTANTIAL COMPLETION • APRIL 1978 EDITION • AIA® ©1978• THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006 6704—1978 PROJECT MEMO TO: JOSEPH LINGEL O_RGANIZATION1 UNITED PLASTIC FABRICATING PROJECT: UNITED PLASTIC FABRICATORS FACILITY 165 FLAGSHIP DR. NORTH ANDOVER, MA. NORTH ANDOVER BUSINESS PARK LOCATION: NORTH ANDOVER, MA. DATE:October 26, 1993 DISTRIBUTION: SEF,SRW,GGW,-CgANNEL,PR-HDC REGARDING;PUNCHLIST ITEMS REFERENCE:CERTIFICATE OF SUBSTANTIAL COMPLETION LOCATION• ITEM: RESP . EXTERIOR FINAL PAVING TBIMOUNT EXTERIOR LANDSCAPING DESMOND EXTERIOR LINE STRIPING NETSL ENTIRE PROJECT OWNER PUNCHLIST AS NOTED ENTIRE PROJECT AS-BUILT DWGS.a WARRANTIES ALL SUBS SIN7F : S.E CC:PAUL KNEELAND, HAYFIELD DEVT. CO. GREG WIECH, CHANNEL BUILDING CO. �- F� � cs � Location l r No. c'" Date -0-29- TOWN 0-29TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ +cMus ##ter Permit Fee Sewer Connection Fee $ Water Connection Fee $ TOTAL $ /0 3 Buil ing Inspector o pI/Q7/�6 13 Q9 144.44 R D Div. Public Works PE&JILT NO.' r APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 4d0. 0250 I LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE — ZONE SUB DIV. LOT NO. WITIM REALTY TRUST F 03909 '0130 4 LOCATION 165 FLAGSHIP DRIVE ti PURPOSE OF BUILDING MANUFACTURING OWNER'S NAME UNITED REALTY TRUST /'J NO. OF STORIES 1 SIZE OWNER'S ADDRESS 165 FLAGSHIP �DyR�DRIVE BASEMENT OR SLAB SLAB ARCHITECT'S NAME CHANNEL BUILDING CO., INC. SIZE OF FLOOR TIMBERS IST EXIST. 2ND 3RD BUILDER'S NAME CHANNEL BUILDING CO. , INC. SPAN EXIST. DISTANCE TO NEAREST BUILDING EXISTING DIMENSIONS OF SILLS EXIST. DISTANCE FROM STREET EXISTING •• POSTS EXIST. DISTANCE FROM LOT LINES—SIDESEXISTING REAR EXISTING •• GIRDERS EXIST. AREA OF LOT EXISTING FRONTAGE HEIGHT OF FOUNDATION EXIST. THICKNESS IS BUILDING NEW NO SIZE OF FOOTING X IS BUILDING ADDITION Aye MATERIAL OF CHIMNEY WA IS BUILDING ALTERATION YES IS BUILDING ON SOLID OR FILLED LAND SOLID WILL BUILDING CONFORM TO REQUIREMENTS OF CODE YES IS BUILDING CONNECTED TO TOWN WATER YES BOARD OF APPEALS ACTION. IF ANY N/A IS BUILDING CONNECTED TO TOWN SEWER YES IS BUILDING CONNECTED TO NATURAL GAS LINE YES INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST EXISTING SEE BOTH SIDES EST. BLDG. COST $16,000.00 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIO S PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECT R DATE FILED 2/29/96 { JERRY D I OR I 0 ON BEHALF F C BU I NG CO., INC W. BUILDING INSPtCTO1i SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E OWNER TEL.# (508) 975-4570 C PERMIT GRANTED C/ CONTR.TEL.# (508) 373-3000 CONTR.LIC.# 039770 H.I.C.# N/A --9550 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 SEE ATTACHED FLOOR PLAN DATED 2/13/96 2 FOUNDATION 8 INTERIOR FINISH CONCRETE X3 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL -UN FIN. 3 BASEMENT AREA FULL FIN. B M TAREA _ '/. 1/I 1/ FIN. ATTIC AREA _ NO B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDW'D _ ASBESTOS SIDING COMMON 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 I WIRING STONE ON FRAME SUPERIOR I-yj POOR ADEQUATE I NONE 5 ROOF 10 PLUMBING GABLE HI� BATH 13BATH FIXE_ GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ fy ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO d 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 3 COLS. STEAM STEEL BMS. d C0L5. 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 I-3r-dj NO HEATING CHANNEL Jerry Diorio Senior Project Manager 508-373-2020 Channel Building Company, Inc. • Real Estate &Construction 242 Neck Road • Haverhill, Massachusetts • 01835 508-373-3000 • FAX 508-373-4900 � U �f C� - of (FI) I _ 00 00 ❑ MEN WOM UNI SEX FULL rlElOrlrO d ❑ �� - --- -- y" INFILL ---- -- --- � II R CORRIDOR_ CD Ln Zo SII OE�IGE w o N II - 3 II LLJ w Mi O I I 7 OFFICE OI-f-IGt=- r I �T II REGEPr. I II II I UNITED PLASTIC, I-Af5RI(,AT INCA - 10" GONG WALK H-GAP AL'GE,5 MINOR 01=1=I6E MOPF-IOATIONS A66E66 ROUTE SITE PLAN)' 7 I -�r-e� I�.�..• I I I I I I I Q zi Q=- 01 _ (lmtet) b V o • o u� Wr�µKVrC--� �` f' AREA Of WORK F=6 r\E"',-( FLAN - I I na.n'r 1O Ur c« ena;arve ucorenra+s fit' PO 1� f a — --.—_—_�--_�---�I.—. —_ 1—"---j n I--..e. -- --_ —_—_— — • AFI ,�_e- �;-e• �r-r ,•-e- zn_e- I ,- __,- �s'-a __ >s'-o �-. �n-n• �a-o o- _ _ a 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***************** t/APPLICANT: C&,V VrL golpj*y - C e` Phone 3 7J-30d l LOCATION: Assessor's Map Number oro Parcel Sub 'vision Lot(s) treet ME AMY ER«2 St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments 7Publ ' Works - sewer/water connections - driveway, permi Fire Department Received by Building Inspector Date The Commonwealth of.Massachusetts De artment of Industrial Accidents r,� - n • =l Office 011=502#00 t _ 600 Washington Street M. Boston, ,'Hass. 02111 Compensation insurance Affidavit Workers Comp Executive Center Limited Partnership 242 Neck Road r c � 508-373-3000 Haverhill , Ma 01835 ' all work myself. (] t am a homeowner performing ca aci I am a sole proprietor and have no one working in any p n' I am an employer providing workers' compensation for my employees working on this job. Channel Building Company m anv n e: 242 Neck Road address: 508-373-3000 Haverhill , MA 01835 # ci 0024994991 Aetna C2suality & Surety Company # proprietor,(� I am a ro sole rietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have � the following workers' compensation polices: t company o addre 0 81 in r e c J co na •s, a d e phone # i a ce c M" fine to �tfacli additional sbeit if neets�yr required under Section 251 of MGL 152 can lead to the imp'na a fine of 5100 00 a dray against meP 1 understand thatoa Failure to secure co�'erage as q one rears'imprisonment as well as Ci pe hies in the form of a STOP WORK ORDER copy of this statement may be forty tied to t e Office of investigations of the DIA for coverage verification. Ido herebv certify u der the in and p nalties of perjury that the information provided above is true and correct. 2-23-96 Date signature 508-37.3-3000 Phone# Print name Jerry D i r i , . i t i official use only do not write in this area to be completed by city or town official rlBuilding Department permit/license q ----— 01-icensing Board cit.'or town: 0Sciectmen's Office { C]11e21th Department L. check if immediate response is required _Other — phone q: contact person: it , CJ I_ 00 00 brQ MEN V\/OM UNI SEX FULL t1EIC�l1r O R pp i (,t ((��LSA INFILL o II 6p, CORRIDOR Q L ffIGE o 0 0 J� - N N U I I -Q�- ILLJw ME D C�� I I REGEPl-. II II UNITED PLA�51-IG 1=-Ar)RIGA1-IN0 -- 10 GONG WALK OZ 3 0-( I/F2I,_0„ N--GAP AGGESS MINOR Of=LIGE MODIFIGAT-IONS -- A66[-153 h(Au r f= (5EF 511 F PLAN)' CD --- - o-�- (FI) _ 0000 ❑ MEN WOM UNI FULL I1E101-iT i R ❑ eEX WILL � II � CORRIDOR 7 OFFICE �� II CD O c' Z I Ln �, + O II z N N U II I I LLJ w O II z Of=LIGE Off F-I(IL L16Q----- II REGEPT. II II UNITED PLA`jl IG I-Ar' RIGAT INCA — - lo' GONG WALK O9-- 3�� i/�?,"- MINOR Of=LIGE MODFIGATIONS I1-GAP AGGES 1 I AGGESS ROUTE (SEE SITE PIAN)' W-r xn-o• - - - �} dr-l- - i i i 4- 1TF i I } AREA G?� WORK r\EY F -- ` I a S Q o— Q= MO h ---- i �� -�-----'— -- --�— —"-- --- Q— - �� I I I I I I • I I I I I W� GLAfl°!H I AREA G?�6,WORK. =!.°� i N.t r\\\E\-"( PLAN I .. »" II �� hl- \11�1 NORTtj Tow ,i of c .over No. 2 -Z � rt " dover, Mass., 19 C 0,;"'C HE WICK �A A0RATEo P?P L,C 1 S BOARD OF HEALTH PERMIT T 1-oml/Kitchen Scpf is System U"I — BUILDING INSI'NC:T'OR THIS CERTIFIES THAT.......... . ............... .. 10 iL1....Y....... Ikv.�.....................JFoundation . . � . DFS' r has permission to efest��—rV '......�:.�-.7.�.... buildings on .....L.�..�.......��-A.� .�/.P.....................vF�...... ltot,gl, tobe occupied as.........................M.A .N....u.. A. .v1. ..1. ..F........................................................................ chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. ItMlgh PERMIT EXPIRES IN 6 MONTHS Final � UNLESS CONSTRUCTIONS T ELECTRICAL INSPECTOR _ Rough .................. ...... ......... .................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough P Y P Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. h Location 1 tOS- ASR-p w, No. Date A "ORT" TOWN OF NORTH ANDOVEFf O?p•,,,Go ",'4pp L ,. a Certificate of Occupancy $ r *�� _ = • Building/Frame Permit Fee $ ,SSAC14USE� Foundation Permit Fee $ Other Permit Fee $ ` N Sewer Connection Fee $ Water Connection Fee $ TOTAL $ S� �+ (.I /, Building Inspector a e c� Div. Public Works PERJIIT NO. v � APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE SUB DIV. LOT NO. —I LOCATION PURPOSE OF BUILDING OWNER'S NAME . 1F l'rrg� �� /�tr.p.�� O. OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME �' 1A*'Nr, � �� SPAN DISTANCE TO NEAREST BUILDING �L+�'�� DIMENSIONS OF SILLS DISTANCE FROM STREET [,•,,J '" "' POSTS DISTANCE FROM LOT LINES—SIDES REAR '" "' GIRDERS AREA OF LOT FRONTAGE 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 S'C 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 +►�TJJ�AGL /� O(l�,I�.S�,� ��prc�l��„I� LAND COST SEE BOTH SIDES —1 EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM jf�yc M�� .a • �-�, PE ETIGRMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4C (1APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED �� J BUILDING INSPK=n �SIGNATURE OF OWNER OR HORI D AGENT �N1J71D OWNER TEL.lJ 5D •FEE PERMIT GRANTED l 1` CONTR.TEL.# V w tQ l 19 q CONTR.LIC.a H.I.C.# BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY _ S ORIES 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 I I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B t 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ ORY VJAIt UNFIN. 3 BASEMENT 11 AREA FULL IN. B M'T' AREA _ 114 1/2 FIN. ATTIC AREA _ NO B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDVJ'D _ ASBESTOS SIDING _ _EO MI,ACN _ VERT. SIDING ASPH. TILE —{I_ STUCCO ON MASONRY J STUCCO ON FRAME §WITK__i5F4 MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I-i POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I I HIP BATH Q FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 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 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC Ist 13rd I NO HEATING XAO R TF•� Town of �' R L over O to No. 235 1 j/ -'-'i�� .8-i Y dover, Mass., . uRp— 1911(7 T O l�- LAKE COCKICHEwICN V %p ADOATED 1 BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT .1 . ...... $� C.... 7Q �GfQ ................................................................ THAT... •••• •• Foundation buildings on !� '.... �..aA P...-�l�I�...................... has permission to aW...ALT............: g ..t. • •• Rough ro to be occupied as.Xm! 1u........ (20 .....x806 ............ Chimney provided that the person accepting this permit sh II 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS Rough .. .. ............. .............. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RouFinagh No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT FOP14 U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** Ver e C� F1 APPLICANT: (J XTs ,QST Z'=< � U_ 5�5Phone - --9 7D 5150 LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved p is nspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire D artment Received by Building Inspector Date 1995 p 7 6 5 4 3 2 I I D D ROOF LINE --)i (REF.) 6 (REF.) 5 2 [ 5 5 I I/2(x 12) 3 22 Feet. I lax 12) 4 7 6 112 8 D X56� 7 �4 2 112 7 EA. DISPOSABLE GLASS FIBER AIR FILTERS (I 1/2ft x I 1/2ft SU.) 5 EA. EXPLDSIONPROOF LIGHT FIXTURE (Ift x 4ft) MAT'L: NOIED ABOVE CHAS: EUSIDMER: OFF. UNITED PLASTIC /FABRICATING. 5 EA. SPRINKLER SYSTEM (AS PER NORTH ANDOVER FIRE DEPT.) EDV'S: BURY: 165 Flagship Drive 4 FT. SHEET METAL AREA (6ft WIDE x 7ft HIGH x 2 1/2ft DEEP) REV. BY UESERIP11l1N PI'RITVEO END USER: UPF. North Andover,Moss. 01045 _ 3 EA, DIRECT DRIVE SPRAY BOOTH FAN (24' DIA.) — 1WU. INITIAL TEL. [TW. / NAIE: T. 0HYLE 5/12/05 PAINT I100T11 A 2 FT. 24' PIPE -- PLIJ: I EA, 24' DOME VENTILATOR (ROOF CAP) — — CI IK: UNITED PLASTIC : ITEM U/M DESCRIPTION — APP; SHEET I FARRICATINC, INC. b JOB#: OWGN:XXX—XXXX REV - 'T(MMUvrs srAU3AW[MAY' s� 8 7 6 5 4 3 2 l s MAY 02 '95 08:26 BINKS P.1 - 1 �nKm` r OINKS MANUFACTURING COMPANY 9209 WEST BELMONT FRANKLIN PARK,IL 60131-2087 FACSIMILE COVER LETTER / OUR FACSIMILE NUMBER IS:(708)671.9479 DATE: =�----- PLEASE DELIVER THE FOLLOWING PAGES TO: NAME;... �3 FAX NO.: FIRM: We are transmitting pages (Including this cover letter)from an AT&T FAX 35301), If you DO NOT receive all the pages please call back as soon as possible Phone: (708) 671-3000, wd. Contact— 1 Form M-087R R=96% 05-02-95 08: 35AM P001 #28 ;• MAY 02 '95 08:26DINKS' _ tP.2 ANDREA' FBLT'ER SPRAY BOOTH Floor-Type and Conveyor-Type Andreae Flltor Spray Meaft The Sinks Andreae filter media is a completely new filtering agent applicable to all dry spray booftl8.The media Is made of special non-fire supporting p®per that Is formed into double accordion-type folds with staggered holes to provide a highly efflcient filter.Paint-laden airchanges direction four times dur- ing its passage through the filter.Each time the air change& dkrection,paint particles are thrown against the fitter surface by centrifugal forge and made to adhere thore.The large elr openings are self-cleaning,They allow large volumes of air to pan In uniform flow,with little loss of efflciancy as the media becomes contaminated,Sinks Andreae filters last from three to flus times longer than pad-type filters.Almost any dry filter toroth My W oonvertod simply and economically to the Andreae filter media, Andreae filter&have a Clew 2 Dating by Undorwriters' Laboratories and are Factory Mutual approved, 6onstructlan Featurco Built of 18 gauge galvanized panels with exterior flanges,Interior of booth Is smooth. One or more pachs of filter media,W x 30',are supplied which can be cut 0898y to fit booths of any width. Exhaust Unit 8 lighting equipment may be added separately or Included In package models. Andreae Filter(soothe are available In floor-typo and convoyorU4 'A modala.Refar to appropriate chart for model selection.(Size location of conveyor opening to be provided at time of ;,) 1 Filter Replacoment The filter should be installed with eight corrugaliona to every foot of booth width.To facilltate cutting and posliloninp,the filter Is Artdraae Exhou®t Filter Media at every eighth corrugation.Clip In one and,stretch across the frame and cllp In the other end--an operation taking less than one minute,If any short places are left over,they can be attached to a new length,either by a strip of masking tape or by stapling.NOTE:For easy removal of a"loaded"filter,apply 2 coating of grease to the frame before Inserling the filter. FOT0 _.. .l. _r A D 1 1 1 1 1 1 1 i l l ; l l l 1-1 l l l l l IIIIII , tlllllllllllllll S \ I l IT i l oil l T i j l l l l l l l j l l l l l l l l l l I 1 l 1 I I 1 I , I 1 1 , t�-- A p— D F +" a When ordedng please edviso ShM of dlmonolone. SIDE OPENING CONVEYOR BOOTH ONLY 6.4 R=96% 05-02-95 08:35AM P002 #2_8 MAY 02 '95 W"L• •BIWS P.3 e� ' r REAS FILTER BOOTH 100 FPM lain. Face Velocity, Floor-Type Ale Flow pMerofa p Work Yodel st.370' rt end Motor Fixtur Dl Work n� Dlmentlens e WsterCol. Guawty WL Numbor o A 2 c D a P OWN Modal No. ole. H.P. Lbs, FA-4-7-T 4'-0" 7'-0" 5'-0" 4'-4" 7'-2" T-2" 3180 30-1804 18° 314 0 550 PFA-4-7-T 0 575 FA-&T-T 0 576 PPA-45-7-T 5'-0" 7'-0" 5'-0" 6'-4" 7'•2" 7'-8' 4570 30-2401 24" 3/4 0 7760 PFA-e-77 LN FA-6-7-T0 680 PFA-6-7T6'.0' 7'-0" 5'-0" B'-4" 7'-2" 7'-8" 4670 304" 3 .2401 214 0 860 PPA-&f T LH FA-&7-T4' 1 0 850 PFA-6-7T7'.8' 7'-0" 3'-0" 8'-0" 7'-2' 7'•8' 6610 90-2404 20 112550 PFA-8.7 T LW FA-10.7-70 1150 PFA-10-748'-8" T-0" 6'-0" 10'-0" 7'-2" 7'-8" 6755 30-2406 24" 1111 g0 1425 1525 PFAAW T-W FA-12.7 0 1300 r T 0 1800 PFA•1�7T 11'•S" 7'•0" 7'-0" 12'0" T-2' 10'-4" 8118 90.2400 24" 3 2 1800 PFA-i2-?-T-LH FA•147 T Q 1760 PFA-%7-T 13'8" 7'0" 7'-6' 14'-8" 7'-8' 11'•2" 10570 30.3405 34" 2 2 2050 PFA"14.7 T LH -18-7 T PFA-16-7-T 15'•8" T-0" T'•6' 18'-8" 7'-1 D" 11'•2' 11690 30 3406 34" 3 0 0 765 FA PFA-16-7-7-LH 2 2660 T 0 2300 FA-18.7 PFA-18.74 17'-8" T•0" 7'8° 18'-8" 8'-0' 11'-2" 12770 30.3407 34" 3 2 2600 3000 PFA-111-7 T LH PA-20-7-T o 2aoo PPA-20-7-T 18'-8" 7'-0' 7'-8" 20'-8" 8'-0' 11'-2" 13806 30.3408 " 5 0 9600 l PPA.M7 T LH 84" ANDREA ' PJLTER BOOTH 100 FPM Min. Face Velocity, Floor Type Work omu air ries Yodel E mallolone Dle►a dogs Water Col. Fan 4Ad Motor Plxturo $Wt. Humboro A 0 C D B F 60P11 C-odslNo. Llo. IfA 6usntity Lbs. FA-4.8-f 4'.Q" g'.0� 8'•0" a'4' 8'-2° T-2" 3160 30.1604 18" 314 0 570 0 725 PPA-4+T FA-6.8-T 0 880 PFA-6-9-T 6'•0" 80.0" 6'.0" 5'-4" 8'.2" 7'-8' 4670 30.2401 24" 3/4 0 930 PFA44-T-LH PA4$ T PPA4WT TV 8'-0" 6'-0" 8'-4" 8'-2" 7'•8' 5810 30-2404 24" 1 0 1025 PPA T LH PA4-8.70 1100 •17 PFA4.8-T 7'-8" 8' ' 5'-0" 8'-0" 8'•x' 7'•8' 6766 30.2406 24" 1Sk 0 1375 1475 PPA44-T LH FA-104T0 1300 PFA-10-8-T 9'-8" 8'-0 6'-0" 10'-0" 8'•2" 7'-8" 1845 30-2408 24" 3 2 1775 PFA-10.8 Y LH 75 PAA-12.8-T0 1700 PFA-1N-T 11'-8" 8'-0" 7'-8" 13'-0" 8'-2" 10'-2' 10055 30-2413 24" 5 02300 00 PFA•12-8 T LH FA-14-8-T0 1800 PFA-14+T 13'-8" 814' 7'-8" 14'-8" 8'-8" 11'2° 11600 30-0403 34" 3 p 2200 00 PFA-14-844J4 FA-16.9-T0 2100 PFA-16-R-T 18'.8° A'-0" 7'-6" 18'-8" 8'-10° 11'-2" 12770 30-3407 34" 3 2 2800 PFA-16.8-T LH FA-19.9-T 2450 PPA•18.8-T 17'•8" 8'•0" 7'-8" 18'-8" 8'-0" 11'-2" 13808 30-3408 34" 5 0 2750 PPA-18-8-T4L4 2 3150 FA-20-8-T0 2750 PFA!2r3.8-T 191-8" 81•0" 7'•8" 20'•0" 9'-0" 11'-6r' 17320 W-4220 42" 6 4 3750 PFA-204kT-LH ♦Sae pages 2 through 41or Nates to Spray Booths. 6-5 Ra964; 05-02-95 08: 35AM P003 #28 AY 02 '95 0827 BINKS •4 EXHAUST FANS of Disk®E�hauat Fans are adjustable for belt tension."V"belt and ©(dcrgrai Detxrlp41or1 fan pulley are enclosed in a dust-and vapor- in highly efficient exhaust fans can be mounted fight housing 90 that hazardous fumes never In any position in the booth to eo hes�o ;tar In the centact motor or belts,Units are Factory remote exhaust stack.(Mo P Mutual A roved.When they are used with Construction totally enclosed or explosion-proof motors, Binks belt-driven exhaust fans are precisely®hafted they most the requirements of the Fire and mounted In ball bearings.Their one piece Underwriters.Fan performance ratings are constructiona aro non•sparkln0 and highly efficient. In eccordenoe with Standard Tbgt Code for Fan blades are balanced for maximum efficiency centrifugal and axial fans. • Motors are mounted outside the duct on a base and ®Inlw"SO"6�rloa Lx„suet Bans-1935 P.P lu.-C C.W.Rotation wl"T"'Nj!MA Motor Framas Ran No. Fan Delta Shipping Modal Motor Fan gj� HeIght Fen may,rim Of o Lieut No, H p �.RM• (Ino as) Sledge 2690 12" 1119 4 1 20-1165 60 30.1690 1/9 1 20.1185 70 30.1802 113 1380 18 11,W 8 1 20.1129 70 30-1803 1/2 163018" i1�•" 8 18 11'Yi" 6 1 20-1128 70 90.1804 314 17!10 1 20.6147 125 30-2400 112 1000 2411 18�f9"" 8 1 20.5147 125 30.2401 314 1102 24n 16 18'h' 6 1 20.6147 125 30.2402 314 1160 241 20.5149 126 1246 M 161411 30.2404 124" 161h, 6 1 20.5149 126 30.2405 1+ 1438/2 1633 24" 18+/�" 13 2 20.6149 130 - R 24" 161/1" 6 2 20.5149 130 30.2408 1629 3 24' 18Vd' 6 2 20.6149 130 mom I 30-2409 3 1677 6 2 20.5148 130 80•x410 3 1725 24" is%, 8 2 20.5140 130 30.2411 3 1773 24" low 2 20.6149 130 90-2412 9 1821 24" 1e1" 6 3 20-5149 130 30.2413 6 2028 24, 1810 20.5149 130 30-2414 5 22131 232 24" 18'h" ® 3 20•!;149 130 20.2416 5 2 20.5120 280 30.3401 1+� 772134" 82 20-5120 280 �� + 830.3403 11634°4. $ 20.5120 280 30-3404 2 , 2T041 34' 6 2 2Q-5120280 30.3405 2 8 2 20.6120 260 00-34 31004 34" 234 8 2 20-1, 260 303407 3 1086 34" 23' 8 2 20.6121 260 ao-3406 5 34, 23" 6 2 20-6121 260 30-3400 5 1098 34` 23" 6 2 20.5121 280 503410 5 1128 1160 34` 23+ 8 2 20.6121 260 30.3411 6 2 6 2 20.6121 280 30-3412 6 1192 34 8 3 20.6158 260 30-3413 746 1279 $4` 237 3 20.6168 280 30-3414 71/2 1342 34" 2r 6 3 20-5168 260 0 30.3415 71/2 1406 2 20-5166 360 30-4220 5 819 42" 24" a2 20.6156 360 30.4231 5 869 42 "24" 8 2 20-6166 360 304222 p 906 42' 20-5156 800 304M3 5 848 42" 2a• 0 2 I" 8 2 20-6157 360 30.4234 71/2 970 42' 2,40 2 20.5167 360 30.4226 7+/s 992 42" 24 6 2 20.5187 380 30.4226 71/2 1013 42" 24^ 8 2 20.6157 360 30-42.27 7% 1039 42" 24" 5 38o 24" 8 2 20-8167 380 30-4228 7+/2 28 4 2 20.5157 80.4229 10 2'4`' 6 2 20.6157 3B0 30.4230 10 1164 42' 244 ® 2 20.6167 330 30-4231 10 1188 42" 20.3448 400 80-1810 6 1160 48" 8 3 20 30-1820 70 .3480 400 14 1300 48 24" 8 1390 48" 24" 8 3 20.3460 `w 30.1030 10 ` AILI 6-56 R=96 05-02-95 08: 35AM P004 MAY 02 '95 08:28 BIWS P.5 ` •; ®I p HOWTO SIZE EXHAUST FANS FOR SPRAY 200).For iltis example,take the air flow through the BOOTHS: booth at 123 FPM.106 sq,h,x 125 FPM = 13,125 CFM. Example:a dry-type spray booth with inside dimensions 3,Look at the Air Flow and Sound Level Chart.Dry-type 15'wide by 7'high(Booth depth does not enter into the spray booths require a static pressure of.375".(Other calculation), types of booths run at higher static pressures).Look 1.Multiply 15'%7'.This will come to 105 sq,ft.,Whlcrt Is under the.375"pressure column.The nearest CFM the booth face area. greater than your calculation should always be chosen. 2,Multiply the booth face area by the velocity d®sired.No This is 14, 5,which corresponds to Fan Model less than 100 FPM should be multiplied times the booth 30,3408,therefore Model 30.3408 would be the correct fats area.(Generally the FPM will be betw®en 100 and fan to use. AIR PLOW AND SOUND LEVELCWART Cubic Poot per minute(uu)at Static Pressure(Irtr3los of Willer Column) SOUND ®mics AV13.d13A Madol Na. 0.0" .26" .376" .80" .75" .90" 1.10" 1.30" 4p 8 FL 30.1690 1280. 600 as 30.1802 2825 2275 1495 1215 735 74,3 30-1603 3130 2885 2110 1550 11'0 855 77.9 30.1804 3745 3395 3100 2710 1795 1685 1305 76.8 30.2400 5235 4510 3830 2410 1450 68,7 30.2401 8730 BOBO 4670 3890 2090 1590 926 69.4 30.2402 5965 5375 6000 4285 2396 1920 1280 71.2 30.2404 8486 5930 5610 6200 3055 2836 1950 1340 74,1 30-0409 7460 7010 6766 6476 13686 4095 3206 2885 79.0 30.2407 7975 7535 7800 7060 6420 5626 3890 3280 80.0 30.2408 8475 Soso 7845 7815 7090 8635 5220 3940 82.6 30.2400 6725 8320 8116 7895 7400 7015 5980 4320 83.4 30.2410 8876 8685 8380 8170 7705 7366 8585 4860 842 30-2411 022t 6846 8850 8446 8000 7690 7080 6715 84.9 30.2412 9475 9105 6915 0720 8295 8005 7495 6470 85.5 30-2413 10560 10225 10055 9885 9625 9290 8950 8530 86.9 30.2414 11090 10770 10610 10450 10116 9895 9590 9245 88.2 30-2416 11615 11310 11180 11006 10890 10490 1 10205 9895 89,2 30.3401 10598 8705 7035 45.46 2620 72.0 30.3403 11460 9820 8766 6150 3820 2745 73,9 30.3404 11810 10346 9390 7255 4345 3380 1970 75.3 304405 12830 11400 10570 9520 6470 4510 3276 1985 77.4 30.3408 13775 12430 11600 10840 6986 5600 4465 3276 79.1 30-3407 14675 13440 12770 12025 9150 9910 5555 d538 60,9 30.3409 15580 14420 13806 13140 11440 6710 6678 6800 82,6 30.3409 16048 14926 14335 13700 12170 9930 7370 6150 83,3 30.3410 16500 15415 14045 14235 12815 11400 8146 6895 84.0 30.3411 16966 15900 15345 14755 13426 12335 9025 7280 84.7 30-3412 17420 16400 15960 18296 14035 13050 10095 7975 85,4 30.3413 18680 17725 17225 16720 15806 14845 13525 10386 86.6 30-3414 19618 18700 18240 17760 18730 16048 14995 13080 67,7 80.3416 20550 19880 19246 18785 17828 17200 16280 15130 88.6 30-4220 20340 18330 17320 16225 12476 9846 7680 8185 80.2 30.4221 21430 18525 10575 17575 14660 12090 9090 7545 91.3 30.4222 22500 20686 19780 18860 16495 14070 10910 8828 82.7 30.4223 23565 21830 20970 20095 18110 116115 13120 10255 83,3 30-4224 24090 22386 21550 20696 18810 11080 14115 11156 83.6 30.4225 .24635 22965 22160 21320 19620 18050 16115 12230 84,4 30-4226 :6166 23620 22726 21910 20188 19875 18076 i3315 84,8 30.4227 26700 24095 23320 22626 20880 19685 17105 14425 85.8 30.4220 26770 25220 24486 23725 22156 21110 19166 16415 67,0 30.4229 27835 26345 25640 24905 23420 22460 20905 18386 87.9 30-4230 28906 27486 26785 26085 24880 23765 22425 20455 88.3 30.4231 29450 28040 I 27365 28880 25290 24420 23158 21440 88,8 30-1810 32250 29500 27750 26000 22000 17000 90 30.1620 37250 34600 33200 32000 29000 25700 21000 92 30-1030 41260 38800 37300 38600 33200 80600 27250 93 SIM.:Sound levels are to be used as a relarance only,Actual levels for boctha may ba higher, an performance Is based onaealeval,Confect your Sinksrewesentatwe for high altitude performemL 6.57 R=96% 05-02-95 08: 35AM P005 #28 B V 1 L [71 NG o � x - `� 65 FLAGSH 1 P UFZ IVE AFY I I . UNITED PLASTIC F=ABRICA-FIND INC _ 8" EtW�V RAIL- ( FGR !3. OVIF_R a5" PER aZ 5.5) DRIVE IN DOOR 1 AFB' RAMP DOWN x i I �� I I LOADING Q— IL PAINT BOOTH `� - - PER 8;5.5 — � I t=om TNau e.aos- I-rlvocp \�TRUBOLT WEDGE ANCHORS (4) PLACES PFZQC°) UCTION F= LOC> F;t FIN!sri BOOR EL 265,00 = (GALLED Iod-d) .... . .:.:... 5' v,r a p Y/ 6xpx5/5 "Al y 6,. RD 2 Iq� i F2EAFt CSF" BU 1 LD 1 NG C 5 F= L.AG S H I P E> F::;?, I V E z - . UNITED PLASTIC F=ABRICATING INC _ X , eLIWP FAL. ( FGR H_ O vi- 48" PSR I2 .5) — DRIVE IN DOOR x X I : r2- , LOADING Q- IL FER 8;5 5 PAINT BOOTH I X-MA6E 4,�„ , o PLY'N069 WANISC Jf1N6 eYD.-TRUBOLT WEDGE ANCHORS (4) PLACES PFROC:)oLJC—FION F= ILOOFt FIWa1 FLOOR EL (GALLED lod-d� Y1," kx4x8/S V1M� •Fe' ClwAT'WNS I/q - -c D FGR -516N "_r� 2 5 ,� j � i J. SIGN PERNIT APPLICATION NORTH ANDOVER BUILDING DEPARTMENT Division of Planning & Community Development .1.SsuE� Date /� "�� 73 1. Site Address 2 . Owner 617 3 . Applicant 4 . Number of Signs l Size of Sign(s) 20 44 ,gpmx 5 . Site of Proposed Sign(s) y, -�b) c 6 . Materials :60A4,eid , tc-luArvw, siQt, ccthrHQ� 7 . How attached: (a) Against the wall ( ) (b) Roof ( ) (c) Ground ( (� (d) Other ( ) 8 . Illumination: (a) Not illuminated ( ) (b) Internally illuminated ( ) (c) Illuminated from separate service (!__J 9 . Proposed Colors : Background ;r Lettering w 0 /c Border (A 0 10. Will sign overhang any public road or walkway : Yes ( ) No 11 . If Yes , Name of Agency who will provide liability insurance: 12 . Attachments : ( 41" ) -',Photographs of building ( Material sample ( ) Color samples ( Site or Plot Plan (Required for all free-standing signs) ( j/) -',Drawings of proposed sign ( ) Other , specify 13 . Is Board of Appeals decision required? Yes ( ) No ( ) - SlIgnature of Applicant 1988 UNI�fV T�E �vtF4ri r K� 44 Lego _. . c a w, Ctc (�tWrP f -dVA" PtAtnp i Ic ye tm4w*- mBR1&A'T1NU, INC. co' COR)WHAN HEAvd1mHmirs N. ,SII V0WH PLANT I `• �' *'' t� 1� t3�Sec4 cs INCORPORATEDI I J 1-1- 1 1 1 '165' FLAGsti r u R V i I E -- t-Su t i vet cin cc her is _ C i r� tnet LNff't'k� JQ , u r»u..,..�;r.:cx;e!�z. ._ ..- +.:c.•_'s:x+x In s:.s.vs-.,.xr:r:::re+srn^e' n ._ .__ ':...:........::.�-..•._.m: as acs•-s :c,.max,.' _ _.z.. or �-• r NORTH T O W N O F - -_- N O R T H A N D O V E R Q _ # LAKE T 11� COCMICMEWICK AD 5 DATE: �dss TPPS\A ED 5 'C NORTH ANDOVER, MASS . 7 ACHU PERMIT # S I G N P E R M I T THIS CERTIFIES THAT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • - • . . . . . . . . . . . . . . . . . . . . . haspermission to erect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . on . . . . . . . . . . . . . . . . . . . . . . provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office , and to the provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover . VIOLATION of the Zoning or Sign Regulations , Section #6 , Voids this Permit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector C�f To AM Oate Time p PM WHILE YOU WERE OUT M of Phone C Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL G41N WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operator "OlAMPAD REORDER ®EFFICIENCY® #23=000 I TO Q DATE, TIME oZ AM _ I �/ 1-3 c3 PM PP FROM k'2.VA-12 PH E( %f)2 H' OF � 05� � ��s G - ,.FAX N� E E! - EA' M G .. _. Ei ' 01 E-MAILADDRESS SIGNED �—PMIONE-Db CK[ CALLRNED-''SEEYOUOCTAGAINALL�(WAS IN . URGENTC' A-12-2004 3:d5PM FROM P. 1 I N C 0 R P 0 R A T F 1) 1 April 12, 2004 C(� V V Mr. Michael McGuire Town of'North Andover North Andover,MA 01845 e Dear Mr. McGuire. of� 1 am the General Manager of Plastics Etc.,Inc.'of,l 65 Flagship Drive in North Andover. �4� Plastics Etc.,Inc. has been located in North Andover for several years. We bave outgro\ri our exiting space and want to keep the business here in North Andover, Our ;bUsin can be divided into two business segments, 1) Light Manufaquring and.2)sales Mored iilding materials(plastic sheet,pipe,valves and fittings). -` ` We have found what we believe to be suitable space here in North Andover. The new space is located at 25 Commerce Way. Howeve n reviewing the zoning chart(space is designated Industrial 1)we are not sure if th sal f stored building materials would meet the permitted uses as designated by the, on 4 yrs \` We understand that you,as a building inspector,would be able to clarify our building usage question. As we are close to executing a lease for this space we would appreciate you contacting me as soon as possible(April 13?)to discuss this situation. Thank you for your prompt attention. Plastics Etc., Inc. Dennis Y. Leonard 978-989-0321 office 978-360-5578 cellular t N l 165 Flogship Drive • Not rh Andover, MA 01845 • Tc l 978 681-8414:Tel 800-24i-8414; Fox 978-681-8416 Location ,{-s RAGsk1—e DP No. l Date �l NORTH TOWN OF NORTH ANDOVEFF :O:t�ao ,a �ry0 _ O O ' - ;, Certificate of Occupancy $ Building/Frame Permit Fee $ cwus t� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ a, Water Connection Fee $ TOTAL $ G7Z09- 1 Building Inspector ,� ,* Div. Public Works PER111T NO. APPLICATION F dp BUILD — NORTH ANDOVER, MASS. PAGE 1 • MAP d-40.250I LOT NO. 85 -�qy� 2 RECORD OF OWNERSHIP DATES BOOK 'PAGE - ZONE SUB DIV. LOT NO. {�iYtRu` �� 26-93 3909 1130 LOCATION 165 FLAGSHIP DRIVE PURPOSE OF BUILDING OWNER'S NAME UNITED RE.�&_TY TRUEST NO. OF STORIES IX Bak IX OWNER'S ADDRESS165 F'LJ•NIJIIIP DRIVE BASEMENT OR SLAB ARCHITECT'S NAMEJPhFS B(M'M'S, AIA SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME CHANNEL BUILDING COWA Y, INC. SPAN - DISTANCE TO NEAREST BUILDINGEXISTILy. DIMENSIONS OF SILLS -- —__ DISTANCE FROM STREET CJ\ ��►►JJ " POSTS —Y EX DISTANCE FROM LOT LINES-SIDES Ex REAR EX •' " GIRDERS AREA OF LOT EX GA FRONTAGE IX HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW EX SIZE OF FOOTING x IS BUILDING ADDITION EX MATERIAL OF CHIMNEY IS BUILDING ALTERATION INTERIOR FIT-aH (MY IS BUILDING ON SOLID OR FILLED LAND cry ID WILL BUILDING CONFORM TO REQUIREMENTS OF CODE YES IS BUILDING CONNECTED TO TOWN WATER YES BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TO%i_W% EWER YM DING CONNECTED TO NATURAL GAS LINE YES INSTRUCTIONS 3 PROPERTY INFORMATION L �• LAND COST SEE BOTH SIDES EST. BLDG. COST $80,000.00 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. • 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 ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS *PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED 04-05-95 CIIAPIE7_ BUILDING CaWANY, INC. I COUM I I® BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE wZ� OWNER TEL.# 975-4520 PLANNING BOARD PERMIT GRANTED CONTR.TEL.#_-3-rJ N- 19 CONTR.LIC.# 39770 I __ BOARD OF SELECTMEN W 43 1 1q BUILDING INSPECTOR 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 8 INTERIOR FINISH CONCRETE 3 I 7 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D — PIERS PLASTER _ _ DRY VJALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M'T' AREA _ 1/1 1/1 1/1 FIN, ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WAILS I 9 FLOORS CLAPBOARDS B 3 DROP SIDING CONCRETE 7C _ WOOD SHINGLES EARTH AASBESTOS SIDING COMI SPHALT SIDING HARD14t D _ ,ACN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME i v� CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR II POOR _ ADEQUATE I NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) �C FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. 1 TIMBER BMS. &COLS. STEAM STEEL BMS. b 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 I it 3r( NONO HEATING ppp� T ORT own of 11. over 149 rt dover, Mass.,1FV_(1__ Ift 19 9 T' o LAKE lea COCHICHE 'C�\11 Cl Of"ATE D PPa BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT...U� 117—b......IV_-6A.L:T%.L......T?.s4.%:r....................(vto:!M...9LA%*%C. BUILDING INSPECTOR ....... .......................... oundation "'o(2.A has permission to erect....AIIA".1.4L................ buildings on ..Vq ..f�440%44A.P.... ..... �%,%,41* ......................... Rough .............. ... .. .... . 7 Chimney to be occupied as..zq.64uwL---vwAut... ................. ...............I.............. provided that the person accepting this permit shall In every respect conform to the terms of the application on file In Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOW, • UNLESS CON Rough .............. ....................... ................. ....... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER WATER FINAL DRIVEWAY ENTRY PERMIT y FORM U - LOT RELEASE FORM y INSTRUCTIONS: This form is used to verify that all necessary approvals/pests 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: CHA44F7_ W I ID I NG CaVPANY, I IVC. Phone 373-3000 LOCATION: Assessor's Map Number 250 Parcel Subdivision Los) 85 Lot Street F1JGSHIP DRIVE St. Number 165 ************************OfficialUse ******** Only **************** RECOMMENDATIONS AT IONS OF TOWN AGENTS: Conservation Administrator Date Approved Date Rejected • Comments Date Approved Town Planner Date Rejected Comments Date Approved Health Agent Date Rejected Comments Public Works - sewer/water connections - driveway permit /Fire. Department \L�- Received by Building Inspector Date mm-ie-un wtv 1;CJ UHHNNtL bU1LUINU UU hHA NU bUbJr34yUU o V. 2 fund Ur dUK-ra AriuuvhN CONSTRUCTION CONTROL (508) 682-6483 x30 PROJECT NUMBER: PROJECT PROJECT LOCATION t YC i2 G ^...�� +�� NAME OF BUILDING: r� � NATURE OF PROJECT: IN ACCORDANCE WITH SECTION 127:0 OF THE MASSACHUSETTS STATE BUILDING CODE, 2� �.4�vYi� �G v'►�' E"D 5 Registration No. f 5 7 BEING A REGISTERED PROFESS AL ENCINE£R/ARCHITECT HEREBY CERTIFY THAT I. HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICA- TIONS CONCERNING: ENTIRE PROJECT J;'�k ARCHITECTURAL D STRUCTURAL Q MECHANICAL Q FIRE PROTECTION [Z ELECTRICAL Q OTHER (specify)( FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE'APPI,ICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDINC CODE, ALL ACCEPTABLE ENGINEERING PRACTICES.- AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETEtHINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDINC PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN .S£CTION 127.2.1: 1. RrAw of shop diriAT13. samples and other subndttel= of the contractor as required 6q the com"'t" eoatract *==U as suhndtted for building pe=dt, and apprml-for Conf=mxe to the deaip concept, 2. Review and appmml of the qualitp cantsol procedures for all code.required eaemlled materials. 3. Specul architectural or engintering professiorul_inspmion of critical construction coq=mnts requiring controlled mterials or C=tru=lon specified in the accepted ec�f ing practice standards listed in Appendix B. PURSUANT TO SECTION 127.2.3, I SHALL SUBMIT WEEKLY , A PROGRESS REPORT TO WITH PERTINENT COMMENTS TO THE NORTH, ANi3OY&Y BUILDING INSPECTOR. �. B°�R�F/�F�� UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPOR AS TO T SATISF Y OXFOR7 °, BOXfORD, COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. MASS. SIGNATURE OF NQS SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF 19 `'"vv, NOTARY PUBLIC MY COMMISSION EXPIRES Adv Commission&, res Junto 10,1999 APR 1 9 ORT Town of over 0 9 _ ,�Pcz-��, l zjort over, Mass., `�, 19 1� T o �- LAKE I� COC NIC HE WICK y� 7� ADRATED i'V �5 E BOARD OF HEALTH PERMIT T Food/Kitchen Septic System i ' BUILDING INSPECTOR r THIS CERTIFIES THAT... .......... . ....7..Mw� .................... t .+4. ..... undation has permission to erect....A.IA' L......:........ buildings on .. .0�...4y-.... '........t.q �' ........................ to be occupied as. .6.&wi .-.(^f 4.ut... ? .....`.�.......0�� ......A�4..........I... .... . ....... . Chimney provided that the person accepting this permit shall In every respect conform to the terms of the application on file In 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. PLUbfB!>G INSPECTOR V10LATION of the Zoning or Building Regulations Voids this Permit. Rough �i \ PERMIT EXPIRES IN 6 MONTHS l ELE ICAL INSP CT • UNLESS CONC U U Rough ,� 3 4 i :...... ............... ....................... ................. ...... Service BUILDING INSPECTOR Fina �p l��S Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove J9- D No Lathing or Dry Wall To Be Done . Until Inspected and Approved b the Building Inspector. FIRE EPARTMENT p pp y Burner r f PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. �Q l SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT • � i ,. '1 �. `; Iii ,, CERTIFICATE OF USE &: OCCUPANCY , ,' . Town of North Andover K ; � 4-t3 �Date, �ytl�. ?..;° Igl�t,S. Building Permit Number q q THIS CERTIFIES THAT THE BUILDING LOCATED ON 114S �. t MAY BE OCCUPIED AS OFFGUE AR,R'A ( AEZZAti LAI& IN ACCORDANCE Vft WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDINGi'CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. �` NORTq � `� i � � �� o ,,,.• �o CERTIFICATE ISSUED TO bS R,A�z�kP ADD ti w• 3 • CHU a, N Building Inspector t d IL r' F { ti r; t,, i Location No. J© Date 4 A r¢r d 40RT" TOWN OF NORTH ANDOVER, Of t.ao a,ti O SOA 9 Certificate of Occupancy $ Building/Frame Permit Fee $ cMusE�� Foundation Permit Fee $ Other Permit Fee 11crZ610( $ Sewer Connection Fee $ 0 N Water Connection Fee $ o- TOTAL $ O'Ll (` I U lV Building Inspector ..j a 19 01 Div. Public Works PER111T NO. 1 ,6v APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 440. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE ZONE SUB DIV. LOT NO. I i !✓LOCATION URPOSE -)y km3 ✓ OWNER'S NAME L NO. OF STORIES ISIZE • OWNER'S ADDRESS OQJy e , _`� QBASEMENT OR SLAB - a 1 tltltltl -- ARCHITECT'S NAME' �`WG SIZE OF FLOOR TIMBERS IST 2ND 3RD GUILDER'S NAME �� ✓ � SPAN -- DISTANCE TO NEAREST B�G ✓ DIMENSIONS OF SILLS DISTANCE FROM STREET "' POSTS DISTANCE FROM LOT LINES—SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY I�UILDING ALTERATION /�� J �p 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 /f/i/D it& IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES ST. BLDG. COST / � PAGE 1 FILL OUT SECTIONS 1 3 EST. BLDG. COST PER SQ. FT. ?S 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 ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS P`ANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED // / SUILDING INSPECTOR ✓SIGNATURE O OWNER OR AUTHORIZED AGENT �7 F E E OWNER TEL.a 6�2 ✓" 7 �3 PERMIT GRANTED CONTR.TEL.Tt 19 CONTR.LIC.k 05095-Y H.I.C.# BUILDING RECORD ' 1 OCCUPANCY 12 SINGLE FAMILY _ StoRIEs THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM t MULTI. FAMILY oFFICEs LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY VJALL UNFIN. 3 BASEMENT AREA FULL FIN. B M'T' AREA _ '/. 1/1 % FIN. ATTIC AREA _ N_O 8 M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS 8 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARD\N'D _ ASBESTOS SIDING _ COMfACN 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� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I I HIP BATH (3 GAMBREL MANSARD TOILET RM.M. (12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 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 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING ORT Town of over No.138 A. , rt y lover, Mass., jqqC 0 't LAKE COCHIC HE ICK ORArED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT.7Z9��...7Zre40W4-%yCL<............. ........................................................................ BUILDING INSPECTOR Foundation has permission to erect...l .................... buildings onA-k...?itm.... ............................... Rough .................................... Chimney tobeoccupleda Q&AW.str.......evmi�.. A......�A ...�A............................................. 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 Final PERMIT EXP 6 MONTHS 0 ELECTRICAL INSPECTOR UNLESS CON TRARough ...... ..... .. .. ............. ....... .... Service BUILDING INSPE( oor;� Final 10000 Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER WATER FINAL DRIVEWAY ENTRY PERMIT r COMMONWEALTH! DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE MASSACHUSETTS BOSTON,MA 02108 LICENSE EXPIRATION DATE C O N S T R. SUPERVISOR ' CAUTION IN C�I S1 � "04"_ RE EFFECTIVE DATE LIC-N0. THEFT, PUT RIGHT THUMB ii 05/31 /1994 C5C8c4 I PRINT IN APPROPRIATE 1 & 2 FAMILY HOIyE a o BOX ON LICENSE. WILLIAM T FOSTER SS ;24-53-5712 Z LAENQiC�TT cT 0 BLASTING OPERATORS r r WR ENC : PNa 01 141 � MUST INCLUDE PHOTO. € PHOTO CPR CNLY1 ' C Y - � FEE: 1 n ti C 00 NOT VAL+D UNIL SIGNED av_C-NSEE AND OFFICIALLY 1 j HEIGHT: STVAPED-OR-SIGNATURE OF'HE COMMISSIONER I DOB: 11 /i 7 I 19 THIS DOCUMENT MUST BE w —' CARRIEDON THE PERSONOF 1b SIGNATURE OF LICENSEE w SIGN NAME LY FULL ABOVE SIGNATURE LINE THE HOLDER WHEN EN- OTHERS-RIGHT 7HL;7.1B N-OTF!ERS-ftIGHT'HUt.;6?RIt�:-3AGEDIfJ'HIS OCCUPATION, ' HOME IMPROVEMENT CONTRACTORS REGISTRATION oard of Building Regulations and Standards j One Ashburton Place — Room 1301 Boston, Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR I ----------------------------------- Registration 107602 Expiration 08/05/96 Type PRIVATE CORPORATION HOME IMPROVEMENT CONTRACTOR - Registration 107602 Cote & Foster Cont . Type - PRIVATE CORPORATION Steven M . Cote i Expiration 08/05/96 20 Aegean Dr/Unit 15 Methuen MA 01844 Cote III Foster Cont. Steven M. Cote 0,hegean Or/Unit 15 I ADAMSTRATOR Methuen MA 01844 ( L WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY POLICY INFORMATION PAGE ENDORSEMENT THE FOLLOWING ITEMS(S) ARE CHANGED TO READ: INSUREDS ADDRESS (WC 89 06 05) : 20 AEGEAN DRIVE UNIT #15 METHUEN, MA 01844 t �I f T ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED . This endorsement is executed by the LIBERTY MUTUAL INSURANCE COMPANY Premium Effective Date 0 4/2 5/95 Expiration Date 06/20/95 For attachment to Policy No. W C 1—312—4 3 7 918—0 8 4 Audit Basis 4 issued To COTE & FOSTER CONTRACTING, INC. C/O MR . WILLIAM FOSTER 2 ENDICOTT STREET LAWRENCE , MA 01841 rACRlTARv • i!MT V 1 Countersigned by........................................... ............ . ................. Autnon:ea Representative issued 05/03/94 Saes office and No. 117 End. Seriai No. 1 1 UJF NORTH ANDOVER WC 99 06 05 AR WCIP i 11:03 THOMAS,E. ,hdEVE ASSOC. �y r� ( �q F.01 rpt gooe Y 4A7 0W KWrCM ikLC �_ c { United PlaSLlc Fabricators i l°ieZzani e la sig=r, Dr 8 � Drive Exten�j_on TC Channel ii.P.F . , 120 main Street Orth Andover, Ma 0184-5 4 Attn. R. Co i.c.i"!tuOLl- 1 TIHE Fwl,!OWING VJAS ,ti'�'c I S1te - - - _ -_-- -- - Foundations Structural Steel. Masonry Plumbing f Fire Pro-Lection E —1e c t, . a --- C? interior F3113.8heS Roof & Exterior r in i.shes ,- , ��5n�0 hR��h�• Signed Pal RD, Y' . TOTAL P.01 MAY-19-1995 12:4' THOMAS E. NEVE ASSOC. P.01 o� � ( 7 447 oW aosrc]U A= r0P$F1aJAA VM j4os? sa��sss6 United Plastic Fabricators Xezzanine Fit—.1T:) Flagshi Drive Extension _„N a Fi c,*N); s I Channel 1 _ U.P.F. TO North Ands?.Y.e r Bq1i_ 1.201 114a JL n Street ✓ r .i;5cNT A; SiT North Andover, Ma 01845 r 4-1 r Cclant�cni A�.�.n. I.,sp�c�c�r R. rHE FCLLOWING WAS NOTED REmor%T I ounda`ionsStructural Steel.. - — ells s )44 Masonry Plumbing f"G ii,. kt ell, _ f Fire Pro erection HVAC EZectr�.oa1 �V�vG fJ�' G? --• � '-�jr` ��"Z� � Interior Finishes } ,Tmm ► f, � 'ti�rt�, , Roof & Exterior Finishes --- ---------- a r 4757 �u> �j signed a r M9 2 2 1995 , i T` TOTAL F.31 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING � (Print or Type) l NORTH ANDOVER Mass. Date '74/ b �uilding Location 16,5 f��5 �� L Permit # ";2. 1 5 4� Owners Name New —V Renovation D Replacement Plans Submitted D �•• FIXTUP'-c of W y z x a; N of U a F y Q N = .O O to x F Uj a to 1 p v to f' ` x N Q III H W ul o a W 4 t- > a► cc w x v to .. 01 l o r a w w of 1 d x a W t7 ¢ w to o t- z = I- z y W w O T U. = d W G C I' Y- N m O Z O N = Q y m Q G 4 < O O tu O W t- G1 a x O O u. G SUa—$S TMT. BASEMENT IST FLOOR r 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) a Check one: Certificate Installing Company Name �� L C'C��r1 (, Corp. 67 -C Address 6 pC --/7 ,Partner. Firm/Co. Business Telephoner Name of Licensed Plumber or Gas Fitter j A C-5 Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy her type of indemnity Q - Bond- Insurance Waiver: I , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner U Agent F7 I hcteby certify that all of the details and information I have submitted (or entered)in above application are true and accurate to the test of my knowledge and flat ail plumbing work and Installations performed under Permit itsced for this application will-be in compliance with all pertinent provisions of tho Massachusetts State Cas Code and lhupter 142 of the General Laws. ". By YPE LICENSE: Plumber Title asfitter ignature of Licensed City/Town: Master Plumber or Gasfitter Journeyman �&7�' APPROVED (OFFICE USE ONLY) License number 3v MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO% GASFITTING~ �.t (Print or Type) 7_1 NORTH ANDOVER Mass. Date ,zr _'' • ' kuilding Location f�_5' ,z Permit # IkOO. Owners Name New Renovation =J Replacement Plans Submitted FIXTURES x - rn z s �; rA = Ut rn ,.as o 0 t- 4 O 0 W 6 W !st O O C. = W 4 rn tr w z o u x to u� 4 cmc o a > to a t- s LU r z ,'', r z �, W us C7 a ? tW- v .l W z a w e a �- to W o z a N z Q .w > m z Q < a o o w 5 o w t- a x o o z u. d > Q a, l- o SUR—asm 8ASEMERT IST FLOOR 2ND FLOOR Z 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR TTH FLOOR STH FLOOR (Print or Type) Check one: Certificate Installing Company Name &A-- We.tlle."e QC. �2,,� [ Corp. i6d7 - c Address -d 9-,K =517 Partner. GVe-44,— zp, _o 41t V � Firm/Co. Business Telephone: .50 d"- 6s-f- 32'63 r Name of Licensed Plumber or Gas Fitter tA,-U� Insurance Coverage: Ind'Icate th type of insurance coverage by checking the appropriate box: Liability insurance policy her type of indemnity Q Bond Insurance Waiver: I , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner F] Agent F7 i hereby certify that aft of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under-Peemit issued to:this application will-beirt compliance with all pertinent provisions of tho Massachusetts State Cas Code and Chapter 14:of rho Gatesai taws. By PE LICENSE: Plumber Title asfitter gnature of-Licensed City/Town- M-.aster _ Plumber or .Gasfitter Journeyman , 26 APPROVED (OFFICE USE ONLY) -- License Number -.. -- C/` r� Date... 3J.Q. �- 2923- R NO TM . t ao 1ti TOWN OF NORTH ANDOVER � PERMIT FOR WIRING . ; �SSACNUS� This certifies that ... ..........................h .. has permission to perform . ........../;.'..-.�r,�... 2 AFI t. 11 I. wiring in the building of..... : . ................. at..../ .. ... .� ._ .. ..:. . .....:.............. .North Andover,Mass. ,} FeVt3o.tO.. Lic. .....UJB ........................................o ....................... ELECTRICAL INSPECTOR a 43118/96 114 130.00 PAID WHITE:Applicant CANARY: Building.Dept. PINK:Treasurer GOLD: File , u�E U0=1011we8101 Uf {ilt3tattihuget#t3 Permit No. a� fequrtment of rublit FafetV Occupancy Fee Checked — �/ �q P Y — i BOARD OF FIRE PREVENTION REGULATIONS 521 CMR MO 3/90 (leave blank) `'ee l. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK" g All work to be performed in bccordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL iNFOAMATION) bale a►w or Town of_ A&,r-jj__A'-„„lo✓e To the Inspector of Wires: The udersigned applies for a Permit to perform the electrical work described below. Location (Street 8 Number) /n— Owner or Tenant Owner's Address Is this permit In conjunction with a. building permit: Yes 10 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps _._J Votls Overhead ❑ Undgrnd ❑ No. 61 Meters New Service Amps ___j Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity I / Location and Nature of Proposed Electrical Work 641 C-a-- et-fC-4. Y,b x . No. of Lighting Outlets N L, 9 9 0. of Hot Tubs No. at?tansrormers TotalKVA No. of Lighting Fixtures Swimming Pool Above In- V V grnd. ❑ grnd. ❑ Generators KVA V No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners" FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. SL)Total No. o1 Detection end tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Toni KW No. of Sounding Device's No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices kW LocalMunicipal Other ❑ Connection ❑ No. of No. of Low Voltage No. of Water Heaters KW Signe ballasts Wiring No. Hydro Massage Tubs No. of Motors Total hp OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws 1 have a.current Liability Insurance Policy Including Comp ted Operations Coverage or Its substantiat equivalent. YES M/No C f have submitted valid proof of isms to the OMce. YES &F NO C It you have checked YES, please Indicate the type of coverage by checking the appropriate box. _ INSURANCE C BOND G OTHER V (Please §pacify) tri A.011 / n/ �t.1 _ Estimated Value of Electrical Work$ (Expiration Date) - Work to Start 3-13'56 Inspection Data aequestbd: Roughnot Signed under the Penalties of perjury: Dec.FIRM NAME Ul /fa✓ DLIC. NO. _ t�YgS-4 Licensee C-e Signature LIC.NO. r— A051 Address P• 0 • b� (o a'lv Bus". T§I.No. 7 2 All.Tal.No. OWNER'S INSURANCE WAIVER:1 em iware that thil Llcenseb does not have the Insurance coverage or Its eubstanttat equivatent tai re- quired by Massachusetts Genstar LAwfl, itnd that my signature on this permit application waives this requirement.Owner Agent (Please check one) Telephond No. PERMIT FEE It (Signature of Owner m Agent) x6565 iqw Tc fl fl Date.Y4 /( C> ?....... . 1 . d CL cF NO pT a TOWN OF NORTH ANDOVER00 o a. PERMIT FOR GAS INSTALLATION WNW ; . k Ss' US V' This certifies that . .�. . . . . . 1.17t'p4 . . . . . . . . . . . . .. N Ir 7' has permission for gas installation . . . .r .T. . . . . . . . . . . . . . . _ in the buildings of .-: . 1 .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . at 6 � , North Andover, Mass. Fee.Rt Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . 1 GAS INSPECTOR WHITE: pplicant / CANARY:Building Dept. PINK:Treasurer GOLD:File .t Date.. .. . ... NpRTN ,tiTOWN OF NORTH ANDOVER pF4�.ao ," 0 PERMIT FOR GAS INSTALLATION gs,SSAC MUSEt �. This certifies that . . . . . ... '` ,_ 9 �. . . . . . !' . . . . . . . has permission for gas instj�g� ::. . n in the gs of . t. . .}.fir. . . . . ` . . . . .". . . . . . . . . . . . � 1. at !: : `�.:L. L► .- . ., North Andover, Mass. Fee:, Lic. No../A. . . . GASINSPECTOR WHITE:Applicant —CA All Y: Building Dept. PINK:Treasurer GOLD: File "L�.r�"3-r-i"^�..1��7,�.d,+i.:�+.+r'--':--`-.:. _*wti.�+ti.+Y.�.-r�Y�r�r^'w.,.-�ww�3t"G.3'cT-;^':�.$.��"_^^.l•��:; 2155- J: Date.: i . TI, TOWN OF NORTH-ANDOVER , j 3 o yt L PERMIT FOR GAS INSTALLATION F A 14A Cr H s to a C1 „< S 9SSACHU5Et - M I This certifies that . . . . . . . . . . . . . . . . . . ._ . . . . . . . . . . . .. . has permission for gas installation . . . . in the buildings of . (.4.1. .r. . . . . . . . . . . . . . . . . . .. . . . . at /'k ?�,�. ' . . ., North Andover, MOs. Fee d. (b. Lic. No..� 71!" . . . . . . . : . . . . : . . . . . . . : . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTIN (Print or Type) NORTH ANDOVER Mass. Date t � • _ building Location 163' f/.�ri<,SrfF�p /)it Permit # Owners Name •e Renovation D Replacement Plans Submitted 7q! FIXTURES SG W M z91 0 LU W Q 0 - t Z N d 02 N N W W O 0• a W 4 tc m d x x �- to > to cc w z v �' v, W •c e c o W W W 0 -1 d a tc q OC W ti W v X c� cc q z ,, z � to a ? o z W o r i i z 4 W e a .-• c� > C W 2 d rt d .4 O O W cc O W 1' Q z O c7 Y U. G t7 „t U > a a F- o SUa—BSPdT. BASEMENT IST FLOOR 2ND FLOOR G1 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR TTH FLOOR STH FLOOR (Print or Type) Chep ' one: Certificate Installing Company Name Corp. /6�7-� Address Aj, J� c� il —� Partner. Firm/Co. Business Telephone: $ ' '5�-`)3 t Name of Licensed Plumber or Gas Fitter T,��.GS �"7r-tZ 1 C4 Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy. Other type of indemnity Q Bond F1 Insurance Waiver: I , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner E-1 Agent 1 hereby certify that all of the detsils and information 1 have submitted (or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations petform d under Permit issued for this application wiil_be in compliance with all p=tlnent provisions of tho Massachusetts State Gas Code and(Laptes 142 of the General Laws. By E LICENSE: Plumber Title sfitter ignature of Licensed Master Plumber or Gasfitter City/Town: Journeyman APPROVED (OFFICE USE ONLY) License Number t ZSW Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yea......`.8 No.......❑ SECTI4AT S PR41t IQIfFALDESK ZITS 1 MIM, R1C# t> $ iT S '; 5.1 Registered Architect: Name: Address Signature Telephone S.2 Se .Pf+-3SI0n Area of Responsibility Name: Registration Number Address: Expiration Date Signature Total Not applicable ❑ Name: Registration Number Address Signature Telephone Expiration Date Name Area of Responsibility e Address Registration Number e Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date e/�4nne) //j� i>>11 �,,.. a.,,� Not Applicable ❑ Gmpandy e, lul�e�.tn Re,,ponsible in Charge of Construction � I New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ IA ❑ A4 ❑ A-5 ❑ IB ❑ B Business ❑ 2A ❑ C Educational ❑ 2B ❑ F Factory ❑ F-I ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ IInstitutional V I-1 ❑ I-2 ❑ I-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-I ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: .-fir .tt: �s•, a, ri ,r.«, ��.�, BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft T� Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 1/ ,as Owner of the subject property Hereby authorize to act on My behalf,in all matters relative two work authorized by this building permit application /h Signature of Owner Da TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING }i OTHER THAN A ONE OR TWO FAMILY DWELLING >_ �' ¢. 1'This Section for Otficiai Use Onl t Yic BUILDING PERMIT NUMBER: DATE ISSUED: V - 3 -0 ( O SIGNATURE: Bmldin Commissloner or of Buildings Date 1.1 Property Address:f 1.2 Assessors Map and Pared Number. b5 c��s Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: v = - % Toa ,%")b s%q-, aq > ZoningDistrict Proposed Use Lot Area Frarta ft 1.6 WILDE%SETBACKS(ft) M Front Yard Side Yard Rear Yard Required Provide Required— Provided ReqWmd Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone h6nnation: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zona Outside Flood Zone ❑ Municipal On Site Disposal System ❑ 2.1 Owner of Record 06 Zi 7�l Name(Print) Address for Service: rn Signatu Telephone 2.2 Authorized Agent Name Print Address for Service: z Signature Telephone +_ 1 90 3.1 Licensed Construction Supervisor Not Applicable ❑ Q) Address ! Q License Number T,. L�censed Con sc otrotr n Supervisor. el EvAtiod Date Signature Telephone r- 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name Registration Number M Address Expiration Date z Signature Telephone Location No. s Date �oRTM TOWN OF NORTH ANDOVER of9 0 . f � p Certificate of Occupancy $ ��5'^•° E��+ Building/Frame Permit Fee $ sAC IN Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 3�� r-- Check # 1716 ) � �'� � � Building Inspector HV hp ---CM �riin Ju ( �.aj I� . ..._ .. � if"" spa �. pIL1tlNP-1^ 7--It E.:_.. ��.� 7 M9 W �l J, 3�� C.t- � ('7 �1� is � .. �, �� . .�.,:'. 71m R I ...� — J17/?d ri.IL'7 � - ��! #• ^ Te) f --_ �cb Y� t'; -�--- _- i• i awwls 3" - • - -- .. llj I I QN.7 r �u�vrrMr a d,��, i `• dd I Ln ,wc,arw„ ____________—� >�IyllC 7MiQ iC1YN _—_ — �Ml2m 2 1'x1 Ml1oANfw g� � . I ^ I 1 r Z I I I I WN dww _ SF SZ b 9t .- FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. """APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT (.",,,r,�\ Q-)-- a;.,� ��-�� PHONEO1-A-«-7 00 LOCATION: Assessor's Map Number s d PARCEL 00 W SUBDIVISION LOT (S) "151) STREET ST. NUMBER65 OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT�I� ��.,�, c ✓La,>, Yah i lia/a,�c��,�� Il-a- -o RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm The Commonwealth of Massachusetts Department of Industrial Accidents - --- - Oiffct-of-Investigations- -- - - --- -- Boston, Mass. 02111 • workers'Compensation Insurance Affidavit Name Please Print Name: Location: city Phone # I am a homeowner performing all work myself. aI am a sole proprietor and have no one working in any capacity liz I am an employer providing workers'compensation for my employees working on this job. Comoanv name: G Alts C1 U I L D1 I!!r Z,f, Address City: 1,UZZ9/IJ 7 061V i Vy1i C1 T7 Phone Insurance Co. LV (1 A/cE 60- P lcV#! G 0 / �S ENRON Compamt name: Address City: Phone# Insurance Co. Policy# Failure to secure coverage as required under section 25A or MGL 152 can lead to the Imposition-and/or one years'imprisonrnent.as vicell.as_dvti.penaltlesinlhelmn�fA_STOP WORK.ORDE ,and_a k e of($IW.OD).aday.agaiw.me. I under tend that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify un -tl►e pains and pe o ury that the m1bima6m provided above is true and correct. Signature ( Date �at- Print name iES Phone#-9)00-G5-7 73610 Official use only do not write in this area to be completed by city or town official' City or Town r,1"M a l'. - ❑Check d immediate response is required Building Depted ❑ Licensing Board Selectman's Contact person: ❑ Office Phone#. ❑ Health Department 0 Other t North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: r-)"uAf.,, (Location of Facility) j Signature of Permit Applicant Date 3 NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector ,4 oq. P � BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS' 073201 ' Birthdate: 0111411965 Expires..01114/2006 Tr.no: 15599 Restricted: 00 THOMAS F CALLAHAN L 3 ALLAN ST WOBURN, MA 01801 Acting of miss ner f lie �j�unanusea/� a�✓�aaaac/u�aelta BOARD OF BR ICD ION SUPERVISOR ING REGULATIONS License: CONS Number. CS 073201 Birthdate: 0111411965 Expires:0/114/2006 Tr.no: 15599 Restricted: 00 THOMAS F CALLAHAN 3 ALLAN ST 1801 N MA 0 Acting oAMISSner WOBUR , NORTH own of _ Andover ..��cr..Rw•.• .,yam. ,r , No. 3 Oat dover, Mass.,. Pub 3 COCMICKEWICK V' �d ADRATED S BOARD OF HEALTH PERMIT T DFood/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT . ... 1.�./Id!.� . ...... .....................' ...... • Foundation ........ ..... .... ......... .. . moi....... uildin s o has permission to•a'eet..�..� .. . g .. ...'..�.. .......... .........�.... .�.... �.�........ ...� Rough p 1 tI 14 O < < AC � Chimney tobe occupied as.......�a.�...................................... . ...............................it...........�............................. 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-Lathe inspection, Alteration and Construction of Buildings in the Town of North Andover. arTF PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT'IO ST T Rough .. ............. Service ... . .. .. . . .. 660%1�� ...................................ING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Fins No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.