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Miscellaneous - 180 Main Street (2)
R Gf NowT„,� KAREN H.P. NELSON or' �°m TOWN Of Director ` BUILDING ............. NORTH ANDOVER $' .9 CONSERVATION eejc""$`t DIVISION OF HEALTH PLANNING; PLANNING & COMMUNITY DEVELOPMENT I L DEMOLITION OF BUILDING AFFIDAVIT DATE OWNER'S NAME & ADDRESS IqP,�2 0CZ5,6_ 07` 120 Main Street, 01845 (508) 682-6483 LOCATION OF PROPERTY TO D`E/MOLISH Apo AAI) S��r- DESCRIPTION Sl • % ci 'q S �o CONTRACTOR'S NAME & ADDRESS-,lA[�-�e0 ,�A/ �Sc-5 7-,c, ass r-5)4&9- 9 /l 9,4b Pr //M A# 030 �G DEPT. OF PUBLIC WORKS - WATER: SIGN -OFFS Z// UUlr1Y-'-'P'1'r:H - Uri UV -V- 51•HEET DIG SAFE NUMBER 1 DATE REC' D BLDG. INSPECTORR E C E I V E D DEC 15 1998 BUILDING DEPT. 17 10 M I ¢ aa. W > co w V o CD U z C -J, J `L'Ir /�� W C_ LU Z L N N '� Z 5 VI Q z r Q 3 W Ln � tri. fc - c 3 v c� n z C � Z (� N z 0 W J u u 14 O z <2 m 9 a 2 C Z Z Z C w = I W N T u u z Z Z N ::J Z LL; Z Z Z uJ— J N rw.. z O J K aa. 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CD ,o c� 0 0 yj. me cLgC .o -0 •= c Co Mcag H m ('ri�•r� - aCD V� W o IT N O / • 3.3cc Z ca i O O. ytm W GOt... $ m N L C a l 6 � MCIto N1 a '03fl Z ego o�=� C/) z O z O U C/) C� Z O D CO) CD .y CD CL CD C O CD Ca _O CL V1 0 CO) C O V CO C cc 0 7 The Commonwealth of Massachusetts ( Department of Industrial Accidents dfflev o//Aresdoollons 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit nam/"t/C4ACA SCID location: /86 /,j SAeEi5t insurance -cm T pol'cy# comnanvaname:r �F}ti—i�%�n0 I!'�Ii11P_IS�S_ 1Un_ phone #: Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the psi s d penalties of perjury that the information provided above is true an corre Signature Date �6 Print name 0 P465 JPhone#y. Q official use only do not write in tfs area to be completed by city or town official city or town: permit/license t# riBuilding Department C3Licensing Board C] check if immediate response is required C3Selectmen's Office C3He21th Department contact person: phone 1#: rjOther (raved 7/95 PIA) 11 20 1998 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE ............................................................................................................................................... COMPANY Tudor Insurance Company INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION: LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY ... GENERAL AGGREGATE ................... $ 2000000 X ? COMMERCIAL GENERAL LIABILITYPRODUCTS-COMP/OPAGG : $ 1000000 i CLAIMS MADE X OCCUR: PERSONAL &ADV INJURY $ 1000000 A ::::>::>::>.......:. ......: GL0000-1525 :04/03/1998 04/03/1999 .............. OWNER'S & CONTRACTOR'S PROT:I EACH OCCURRENCE ...................... $ 1000000 FIRE DAMAGE (Any one fire) ......................... $ 50000 .................................. MED EXP (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ......................................... 1,000,000 .................................... ALL OWNED AUTOS BODILY INJURY X ': SCHEDULED AUTOS (Per person) $ B b70F]26086412GWA 10/25/1998 10/25/1999 ••••••............................................ X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) $ _ ..................... ............ PROPERTY DAMAGE $ �HE TOWN OF NORTH ANDOVER MASS IS NAMED AS ADDITIONAL INSURED AS RESPECTS TO RO]ECT AT ST. MICHAEL'S SCHOOL, N. ANDOVER MA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ARCHDIOCESE OF BOSTON BUT FAILURE TO MAIL SUCH No -n -SHA L IMPOSE NO OBLIGATION OR LIABILITY 2121 COMMONWEALTH AVE OF ANY KIND UPON THE C P Y, ITS GENTS OR REPRESENTATIVES. BRIGHTON, MA 02135 AUTHORIZED REPRESENTATI E David H. McDuffee 4, WII.LIAM J. SCOTT Director Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover, Massachusetts 01845 In accordance w th the provisions of MGL c 40 S 54, a condition of Building Permit Number 142 % b is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 1 11, S 150A. The debris will be disposed of in: iso /�I��,v �5�..F-x-r� �,�Do✓ /�J� (Location of Facility) ig11111#u6;4Aui u of Permit Applicant I Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. gORTH 0 F � s BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 r piSTBt OOHS 1. All sections of this form must be cornpiew n arch to comply with the Departmerr of Emrkowwdal Protutlon nolifintfon requremerts o1910 CtAR 7.09 Form To: C"Wonwato of massathe"tu Adada Program ►.0.!.120097 lostea, MA 02112- 0097 "adc"M e , NRsoa ow Massachusetts Department of Environmental Protection Bureau of Waste Prevention -Air Quality B.WP AQ -06 Notification Prior to Construcdon or Demolition Applicability A Construction or Demolition operation of an industrial, commercial, or ktstkutional building, or residential building with 20 or more units is regulated by the Department of Environmental Protection (DEP), Bureau of Waste Prevention — Air Quality Division, under Regula - General Project Description tons 310 CMR 7.09. Notfication of Construction or Demolition operations is required under 310 CMR 7.09 (T ten (10) days prior to any work being performed. The - following Information is required pursuant to 310 CMR 71 ........__............................_ _ —._�� _. _ _ ..__.._._ _. _ .._ .._.......... r. fr�rr St. Mich..a.el. 's School ... _..._........ _........... _.................. _......... ................................ Ad&W 180 Main Street _.... ......................... _.. ... . ............................................. _................... "N- Andover, MA 7�,pnone Liz 60x75x30 soure hN 4,500 ............................................................ Marna d Am, 3 ............................................... _. _.................................................. wameraAiyou�rpnanr9eo?� f t?t O tin Current or prior use of facility: Is the Facility a residential lacilily? O Yes J. No . .......... A.qApt......5Q.hQQ1.................................................. H yes, how many units? 2. Facility Owner Archdiocese of Boston ._....._......... ............ ..............._...................................._....._.................................................... 2121 Commonwealth Avenue __ ...__..._....................._..__._..... .. Brighton, - C411010_ _ MA 02135 617-746-5671 rrptw�r Peter Silvio 3. Genual Contractor Jay—Mor Enterprises, Inc . . ...........................:....................... .............................................................................................. Mafr 215 Gage Hill Road .......................................... _............................................................................ ............ ...__ ». Amort Pelham, NH 03076 603-635-2035 WOW James R. Morgan rwoAoer Mamchusetts oeparwent of Envlronmentat Protecdan Bureau of Waste Prevention-AlrOuallty BWP AQ 06 Notification Prior to... onstruction or Demolition General Construction or Demolition Description 1. Construction or demolition contractor If yes. who conducted the survey? _ Jay—Mor Enterprises, Inc. AWN 215 Gage �Hill� RoadM. Pelham, NH 01076..._. �. 603-6352035._ ... _............ _ .................................. 2. On -Site Supervisor James....R.-.... Morgan ............................. ........................................ AWN 3. Is the entire facility to be demosished? (4 Yes ❑ No 4. Describe the area(s) to be demolished: EntireBuilding.................................................. 5. It this is a construction project. describe the building(s) or addition to be constructed: _................................................................................... 6. M this is a demolition project. were the structure(s) surveyed for the presence of asbestos containing material (ACM)? g] Yes O No (General Statement: If asbestos is found during a Construction or Demolition operation. all responsible parties must comply with 310 CMR 7.00.7.09, 7.15 and Chapter 21E of the General Laws of the Commonwealth. This would include. but would not be limited Certification 1 certify that I haw examined the above and that to the best of my knowledge k is true and complete. The signature below subjects the signer to the general statutes regarding a false and misleading statement(s). . tnviromerital Enterprises NOW AC -000284 ..............I....-..-.-- Dog dtAVWkdW"C&1k-AMM&O9V11) 7. Construction or demolition 11/27/98 12/ ... 27/98. ......... _._...._.._.fie ................ San Qw 8. For demolition and construction projects• indicate dust suppression technques to be used: ❑ seeding O paring Ckwetting ❑ shrouding O cove6no O other ..................... 9. For Emergency Demolition Operations, who is the State or local official who evaluated the emergency: N/A.. . ....................... .................. __......... "at .................................................... ............................................. NO ...................... ................................................. _ ,W WOr ...... ........................................ ................................. ............ � .... Owra�a�avx�on ' DEP OW1 to, filing an asbestos removal notification with the Depattmen' and/or a notice of a rf(easeAhreat of release of a hazardous substance to the Department. if applicable.) ..James...R...... Morgan ............................... .-.- .:. ......... ___ _.__._...... President .................................. _- ......................................................... PWAVI ee NOTIFICATION OF DEMOLITION AND RENOVATION OPERATOR PROJECT # POSTMARK DATE RECEIVED NOTIFICATION # 1. TYPE OF NOTIFICATION ( O -ORIGINAL R -REVISED C -CANCELLED )s O WPR Notice? II. FACILITY INFORMATION ( IDENTIFY OWNER, REMOVAL CONTRACTOR, AND OTHER OPERATOR ) OWNER NAME: Archdiocese of Boston ADDRESS: 2121 Commonwealth Avenue CITY: Brighton I STATE: MA ZIP: 02135 CONTACT: peter Silva TEL: 617-746-5671 REMOVAL CONTRACTOR: Jay -Mor Enterprises, Inc. ADDRESS: 215 Gage Hill Road CITY: Pelham I STATEt NH ZIP: 03076 CONTACT: James R. Morgan TEL, 603-635-2035 OTHER OPERATOR: None ADDRESS: CITYt STATE: ZIP: CONTACTt TELL III. TYPE OF OPERATION ( D -DEMO O -ORDERED DEMO R -RENOVATION E-EMER.RENOVATION ) t Demo IV. IS ASBESTOS PRESENT? ( YES/NO ) No V. FACILITY DESCRIPTION ( INCLUDE BUILDING NAME, NUMBER AND FLOOR OR ROOM NUMBER ) BLDG NAME: ADDRESS: 180 Main Street CITY: N. Andover sTATEe MA COUNTY: SITE LOCATION: N. Andover BUILDING SIZE: 60X75x3O NUM OF FLOORS: 3 AGE IN YEARS: 60 plus PRESENT USEt vacant PRIOR USE: School VI. PROCEDURE, INCLUDING ANALYTICAL METHOD, IF APPROPRIATE, USED TO DETECT THE PRESENCE OF ASBESTOS MATERIAL: N/A VII. APPROXIMATE AMOUNT OF ASBESTOS, INCLUDING: 1. REGULATED ACM TO BE REMOVED 2. CATEGORY I ACM NOT REMOVED 3. CATEGORY II ACM NOT REMOVED RACM' TO BE REMOVED NONFRIABLB ASBESTOS i MATERIAL NOT TO BE REMOVED INDICATE UNIT OF MEASUREMENT BELOW CAT I CAT II UNIT PIPES LnFt: Ln mi SURFACE AREA SgFt: Sq m: VOL RACM OFF FACILITY COMPONENT CuFt: Cu m: VIII. SCHEDULED DATES ASBESTOS REMOVAL (MM/DD/YY) START: N/A COMPLETE: EX. SCHEDULED DATES DEMO/RENOVATION (MM/DD/YY) START: COMPLETE z 12/27/98 Continued on page two PS Form Z April 1995 o o .. g� g- M -o @ Z o o �C ``4 ae o ocD `�° °1 a 4 m •� o= &� m � c N iti �• SU sA y C:)� m`' `2 42a' -" m � � c/).0 O o cD, m CD m tD (D _j O 10 w v � O o m O M1' p v -ft . J � mss.. = r a a. w J cr) U-1 cb ` - UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G-10 •Print your name, address, and ZIP Code in this box • s JAY -MOR ENTERPRISES P.O. Box 195 Pelham, NH 03076 a SENDER: - ■Complete items 1 andior 2 for additional services. yw ■ Complete items 3, 4a, and 4b. ■Print your name I also wish to receive the card to you. following services (for an and address on the reverse of this form so that we can return this extra fee): ■Attach this form to the front of the m permit. mailpiece, or on the back it space w■ Write "Return Receipt Requested" on the mailpiece below ■ The Return Receipt does not 1 Addressee's Address '_' the article number. 2. will show to whom the article was delivered and the date delivered. 11 Restricted Delivery 0 _ 3. Article Addresse a Consult postmaster for fee. N CD L r✓PA eg n 4a. Article Number a �o 0 n�c� + "�' t� ����V-16vC-Q3[ U 6Its 4b. Service f I) Type E cn F�^ .�(�� I, LLLj� �� ' `� � ❑Registered )� Certified w c J � Cr�ar� 3 ❑Express Mail ❑ Irfsured � 0 ❑ Return Receipt for Merchandise Q ❑ COD T Date of elive y y o� 5. Received By: (Print Name) U, Ad �. �2 s. d�KOss (Only if requested D00 0 6. Sign dr e r Agent) d fge fS pardl Y . e: X a� z PS For38 m ecember 1994 ! ' 1 ~ 7 i•_ 102595-91t`1-g �s'ntestic Return Recei t p PS Form,3800, April 1995 / b ~ I 3, 3 o va m m o _, n„ •� 0 0 r1,i C _ IDm mCD ° 2. n •�; N 42 0)o� 3 0 CD C0 COm f T91 y yJ$'CL ; m y3 Via• X007 V J� 0 <' M �' 0 I w Q.W �� u "\j JANUARY 01, 1995 MOO FAX: PAGE 03 " ET.Jif15lJ�7�OR PEST CONTROI. 22 ALAN DAILY ROAD lil:lriORO, IR 07.555 TO: JOYAOr E]Iterprises Poet Office Bol 195 Pelbow, tilt 03076 Ifs vu.i cc, a 7170 * Rodent coretz•ol sarvico pert'oraw-d at: 180. Mair) Street North Andover, MA * Integrated Pest Maiaagometlt performed for control of mice and rats no fol.lov up service recomsended at this tia,e * Serviced by, Joe Testa * Pest: control Y i.celin ` number 16627 * Service date: 1Z/-//IggS Amount. Oared $45.00 Thank you FAX COVER SHEET Business Account Team Center Telephone #-. 800 309-9572 EX 9047 900 Elm St, 18th Floor Fax #- 800 286-0074 Manchester, NH 0310 DATE DECEMBER 11-1,998 TO: LAURIE MORGAN FROM: Lisa A. Miller Number of pages including cover sheet, 1_ Message PHONE: 603-635-2035 FAX: 603-635-2035 I have confirmed with our Repair Asper m}- message to You this morning, were removed from Deparment that the lines at 180 Main ,Street, IV Andover, MA the building on December 8, 1998. If }-ou have and questions, please call. 17 a*,'ou, Lisa A. Miller (603)635-2035 Jay -Mor Enterprises, Inc. P.O. Box 195 Pelham, New Hampshire 03076 December 7, 1998 Bell Atlantic 220 Brook Street Worcester, MA 01606 Attn: Business Department RE: 180 Main Street N. Andover, MA Dear Business Department: (603)635-9024 Jay -Mor Enterprises Inc. has been hired by the Archdiocese of Boston to demolish the above referenced property. We have scheduled the property for immediate demolition. Please arrange to have the lines removed and service disconnected as soon as possible. In order for us to get our demolition permit and keep our records updated, could you please fax me a letter confirming that the work has been completed. If you have any questions regarding this matter, please contact me at (603) 635-2035. Thank you for your assistance, ' Sincerely, Laurie M. Morgan Jay -Mor EnterprjWs Inc„ Via: certified mail Id!E)OGH uanlaa oljSawoa szzo a es ssszol b661 gwaoaa `� l8i wJo-J Sd rn . 3 (P!L sJ aa� c° �o a (7GaBy assaippb') :aa�eu61S 9 o pue paisanbai�!�fjup) ssaJppy s,aassaJ PpV '8 m i c (alueN Mud) :148 panlaoaa .5 Z bJanl a I C to ale4 y C COO ❑ aslpueyoJaW Jol ldlaoa8 utnlad.._T ❑ o 7. - - - . • ry Pamsu ❑ IIeW ssaJdx3 ❑ PaIlI1JaS � L r l V � Y 1'�� v �� J�"'C� � 1 IM � � PaJalsl6aa ❑ stn ad (1 aolnJaS 'qb i ���3 l A ° 0 � .. jagwnN alolliy 3 a e17 .aaJ Jol Jalsewlsod llnsuoO co :Ol POSSOJPPd alo!lJV -E C fA ro aleP a �Janlla4 PalouiSa�l 41 Pue paJanilap Senn apwe a4l WOq, of no s II!M ld!a0a}� wplaFl elOp — Z a w a of e a Moa aoaid iew ay q nu I .0 41 4 I. b 0' eD SS S a PPV ass aJPPb' ❑ l IOu scop coeds uo a s 1 ,P J en a diaoa urn ay„ appM � tl J . H J J! �Oeq 'a0a!dpew '1!wiad - - :(cal eJiXa s!yl wnlai ueo am e 1 a4l uo Jo a41)o lua a m J 47 01 WJ01 Sm welly ■ < - UE? JOl) SaOINaS f ulM011ol 41 os w'oJ s!yl to asJanaJ ayl uo ssaj nog( °1 Pjeo w PPe Pue eweu jnoA lu4d ■ 941 aNaOaJ Ol 14SIM Osle I co saov as leuo!l!ppe -oq pue 'et, 'E swal! ala!dwoo ■ CD 1 Z 1oJpue•I _smell elaldwoo ■ G CD PS Form 3800, April 1995 a y O ��m m 41 a o v rn O Z C r CD Z C C CD .a' n> N l' 25 0 n w 0 O cD Lu r J -j _ m TRANSMISSION VERIFICATION REPORT TIME 12/07/1998 11:32 NAME JAY -MOR ENTERPRISES FAX 6036359024 TEL 6036352035 DATE DIME 12/07 11:31 FAX N0./NAME 18008360914 DURATION 00:00:54 PAGE(S) 01 RESULT OK MODE STANDARD ECM ;DEC. 9.1598 �7 42AM JAy_K)R tNTFERPRYSE�5 1'�/07i1998 13;21 �� 603Fs359924 (603) 633.2835 Aad Mor Enterprises, Inc. p,b, Hai 195 pcUWU N w 1binpAke 03076 December 711996 MRs"Chusco Electric 1 Y I O Turnpike Strcet N. Andover, MA 01845 A= Dano Department RE.: Miler # 029766787 180 Main Shred N. Andover, MA XDear Demo Depen: N0. see ' NPP. ill).' (60)) 63S4MA jay --Mor Enterprises Inc. has bean Hired by the Archdiocese of Boston to demolish the above referenced property. we hawscheduled the properly for immediate demolition. Please attaage to havc the lines removed and service disconnected In order ane a for us to W our &=Htion permit and keep our r=rda updated, Yon P fax oon5reain8 bast the work ben been conspicted, if you have any questions regarding this matter. please contact me at (603) 635-2035. Tlsarnk you for your assistance, Sincerely, U11,llL L M. M6LOKLn Laurie A Morgaa JarMor Enterprises Inc. Via: certiSed mail �4,2/9/�7 vh r (603)635-2035 (603)635-9024 Jay -Mor Enterprises, Inc. P.O. Box 195 Pelham, New Hampshire 03076 December 7, 1998 Massachusetts Electric 1110 Turnpike Street N. Andover, MA 01845 Attn: Demo Department RE: Meter # 028766787 180 Main Street N. Andover, MA Dear Demo Department: Jay -Mor Enterprises Inc. has been hired by the Archdiocese of Boston to demolish the above referenced property. We have scheduled the property for immediate demolition. Please arrange to have the lines removed and service disconnected as soon as possible. In order for us to get our demolition permit and keep our records updated, could you please fax me a jqr confirming that the work has been completed. If you have any questions regarding this matter, please contact me at (603) 635-2035. Thank you for your assistance, Sincerely, Laurie M. Morgan Jay -Mor Enterprises Inc. Via: certified mail PS Form 3800, April 1995 v O o x 3: m V m o o 3 3 D 3 3 3 w g 0 49• v Av - - T m :w l / Q +J! EA i oo� _ tD o y 0 o N c iD w CD C3 om�m 5-00c-, D < Z (D W w In'DD CD O 0 w a CD b CD CL m E Ln CD Al m m TRANSMISSION VERIFICATION REPORT TIME 12/07/1998 13:22 NAME JAY -MOR ENTERPRISES FAX 6036359024 TEL 6036352035 DATE DIME 12/07 13:21 FAX N0./NAME 19787251036 DURATION 00:00:38 PAGE(S) 01 RESULT OK MODE STANDARD ECM K, 7 (603)635-2035 Jay -Mor Enterprises, Inc. P.O. Box 195 Pelham, New Hampshire 03076 December 7, 1998 Bay State Gas 55 Marston Street Lawrence, MA 01840 Attn: Nancy Trainer, Street Department RE: 180 Main Street N. Andover, MA • (603)635-9024 Dear Ms. Trainer: Jay -Mor Enterprises Inc. has been hired by the Archdiocese of Boston to demolish the above referenced property. We have scheduled the property for immediate demolition. Please arrange to have the meter removed and service disconnected as soon as possible. In order for us to get our demolition permit and keep our records updated, could you please fax me a letter confirming that the work has been completed. If you have any questions regarding this matter, please contact me at (603) 635-2035. Thank you for your assistance, Sincerely, Laurie M. Morgan Jay -Mor Enterprises Inc. Via: certified mail Idiaaaa uanlaH allSauao Q szzo-a-as-ssszo l 17661 Jagwaoa a L L8 Jod Sd y .. �( o x a (p/ed s1 eel pue �. (luaBy�o aassp Jnleu6!g 'g m c p isanba� 11 f/u0) ssajPPb s aassaJPPH °g m; —r Q �KKs (eweN luud) .A8 paA!aoa�{ g C I d to 91e4. i� �:. •may. Y?c. �_ � V D ,- ai 400 Elaslpuey Ja�� Jol �dlaoaa wnlaa° cn' PaJnsul �.. �y ET� �S1 ' 1 m 1. 0 I!EW ssaJdxa ri_ I 1 O `� ' rn Pei IIJa ad ao! uaS 'qt 0 tl CD �I v a CD qw N alo!lJb m 'aal Jol Jalsewlsod llnsuo0 :ol PaSSa1 a cn Ppb alo!1Jy "£ o - tD tiara! a ajeP a41 Pus pawn! 14 Palouisaa e w lap SUM al0lus aql w0 PaJanyap ❑ 'z q nu al0ius a43 Molaq aoaldl!ew ay1 uo palsanba II!M ld!aoaa wnieU ayl i �' ssaJPpy s,aassaJPPt/ t/ ld. a& mnled„ aluM ■CD ❑ lou sa0p aoeds 1! �oeq aql UP j0 ,aoa!d iew a 1!wjad :(aal eJlxa siyl wnla ueo aM 1e41 os woo s, !' Ul10 1ua1 a4101 wJ01 s!ql goeav ■ < UL' JOl) SOO!AJOS 6UIMollo; 1 4110 asIanaJ aql uo ssaippe pue aweu mot 1p e a4) aAlaCD Dej of gsIM OSI@ I 'saopuas leuOlI pps Q04 Pus eb 'E swab alaldw0O ■ rn l Z Jo/Pue l swall,alaldwoo ■ 34N3S PS Form 3800. Aoril 1995 o p M a m o o -p ti .i z - �0°C w� t ui rl 0 o ate. fp a m n m -.. R. o �N < m m z CD 13':' _..._._ F 1 55 n� v I l - i 1 L7 00�cn O 0 CcnD �. z - �0°C w� t ui o cD O .. m, Cp CL �a r CD � L✓ m / C TRANSMISSION VERIFICATION REPORT IR TIME 12/07/1998 10:41 NAME JAY -MOR ENTERPRISES FAX 6036359024 TEL 6036352035 DATE,TIME 12/07 10:40 FAX N0./NAME 19787944720 DURATION 00:00:26 PAGE(S) 01 RESULT OK MODE STANDARD ECM office ere 9.11 ?lie Commonwealth of Massachusetts0 • r.nU s+. Department of Pub11c Safciy 4 r.rpaweT a fee O.ecse/ / -a �� 1236' BOARD OF F1ilE PREVE11Ti011 11EGUL nONS Sty CLLR 1200 1/90 lids" 1,104)wi APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORI< All wrle N Ue periormed in accerdance ritlstl.e }Iaasacharetu Elictrical Coat, S27 CMR 12:00 (MrASE YRI1Fr Ili INK OR nYE ALL I11FORIELT1011) Date- 7 City or Town of /VD it/�01/�`� To the Inspector of Kiress S* atndersitned applies for a permit to perform the electrical work described below. location (Street L number)_ /� v/7// (A�-�� oramer or Tenant �� r/ /C'/� Ower's Address • � � Is tthis permit in conjunction with /a ,building pertain Yes ❑ Ito ❑ (C'heck Appropriate Box) Frrresa of Building �( �%` " L Utility Authorization 110. Ed[stint Service Amps / volts Overhead ❑ UndErd ❑ Ill. of Meters— New SerTice Amps /; Volts Overbesd ❑ Undgrd ❑ Ito. of Meters %=ber of Feeders and Ampacity location and Nature of Proposedilectrical Work To- of Lighting Outlets tto. of ]lot Iubs No, of Iransformers Total KvA fo. of Lighting Fixtures bovIn- Swlaeaing Fool grndt ❑ grnd. ❑ Generators KVA fm- of Receptacle outlets Ito. of Oil Burners Ito. of mer BatteryEUnitsncy Lighting Fee. of Switch Outlets No. of. Gas Burners FIRE ALARItS Ito. of Zones Ito. of Detection and Initiating Devices Ito, of Sounding Devices Ia. of Ranges Total No. of tAir Cond. tons Ia. of Disposals Ito. of Pumts, Total Total T ns Kit Ito. of Sel( Contained Detectlon/Sounding Devices focal El ilunicipal ❑Other Connect [on jm_ of Dishwashers Space/Area lieating fiW Am. of Dr ers y Heatin Devices KW 6 Fee_ o[ Kates Heaters KV No, of o. o Signs Ballasts Low Voltage Wiring a 5w. Hydro Massage Subs No. bE ilotors Total IIP e . 0MIEM FIRSURAitCE COVERAGEt Pursuant to the requirements of Ilassachusetts General Lajs I 'have a current Li ilii Insurance Policy Including Completed Operations Coverage o[ it substantlal e-9ulvalent. YES C4 C I have submitted valid proof of sane to this office. nsie- 110 L3 F1 you have checked YES, please indicate the type of coverage by checking the appropriate box. INSUMICE BOM ❑ 0T11ER ❑ (please Specify) xp rat on ate Estimated Value of Electrical Work S // q work to Start Inspection Date Requestedt Rough - Final l0 1 c:t-ed under the penalties of et j_Tyt Licensee U������ li�1t/��5 /JR[gnature LIC. ItO, S I� '—Q y iBus. Tel. No. - 3 ►ddce:s /"--o-t�.iSB-0�0 �� ll �(/0� /l�d�le �/"�/(•3� Alt. Tel. Ito. C WNERrS INSURAIICE WAIVERt ..i an aware that tine Licensee does not have the insurance coverage oris s❑ - stantlal equivalent as required by tlasanchusetts General lawsana , that my signature on this permit application waives this requirement Owner- Agent (Please check one) Telephone No. ° ruut T FEE S Signatu " of Owner or gent ' • • .1 Date.......................... 996 °.<<``° '• "� TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .:..�r''1...C'u .......... has permission to perform ......... .. c7..j...".... ...f� ��F . wiring in the building of .......... /..�i��..t..�,G�..,-.... lQ Qui?........ ..................... . North Andover, Mass. Fee /SIO ......... Lic.............................................................. /1�� ELECTRICAL INSPECTOR 1,--- / Z -3 .5 k o6/20/97 11:38 150.00 PAID WRITE: Applicant CANARY: Building Dept. PINK: Treasurer O,( -e use .only The Commonwealth of Massac;7/ use Petmie b. _ Department of Public Safety Oc:upancy S Fee Checked BOARD OF FIRE PREVENTION REGULATIONS CMR 1200 3/90 Oea�e blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be periormcd In accordance with the Mauachuscru Electrical Code, S27 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date & -/dp,. 9k City or Town of Mee -721 fIq 7Ped-fn To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) �A/��/CH�ELS o4G'HGP1l� Owner or Tenant -5"//'/ 7,/�1lCH/��G S /d�/Z/SfiF Owner's Address Is this permit in conjunction with a building permit: .Yes No ❑ (Check Appropriate Box) l Purpose of Building SAY L Utility Authorization N0. d Existing Service �Do Amps / dU� Volts Overhead [B-."Undgrd ❑ No. of Meters New Service 1,�BG Amps /d0 /-P-04P Volts Overhead ❑ Undgrd EKNo. of Meters Number of Feeders and Ampacity 3 - SE%s fl-jov,41Gm -,, / �� �/�1,1/L7 /,v '51 "eewpt,1 Location and Nature of Proposed Electrical Work 1!1/� fid/7/aN �X�STi�16-SU/f�1'JG - �G•✓✓ Ufa No. of Lighting Outlets No. of Hot Tubs No. of Transformers to VA No. of Lighting Fixtures � 2 Swimmin Pool Above In- KVA g g rnd. ❑ grnd. ❑ Generators No. of Receptacle Cutlets a51� No. of Oil Burners l No. of Emergency Lighting] Battery Units ✓! No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and (.001No. of Ranges No. of Air Cond. o% tons© Initiating Devices... No. of Disposals Heat Total Total No. of Pumps Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating No. of Self Contained Detection/Sounding Devices KW Municipal ©th'Oer Local ❑ No. of Dryers Heating Devices Connection No. of Water Heaters KW No, of No. o Signs Ballasts Low Voltage W/11 qZG Whine Gve t, Aa No. Hydro Massage Tubs No. of Motors S Total HP 30 Age -e IyAeo OTHER Alla t3U11,P/•45;: .P % f%GE �Yt'>ST/.�lr CO.t'C /IXJ�2 LlbfiT/r✓� �XTI/2�''S '9'V� �/•L9F Ir%L✓q.P. pkv/cis n/ �X/��3- Gdir�r�� INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Lia ity Insurance Policy including Completed Operations Coverage or its substantial uyTN equivalent. YES NO ❑ I have submitted valid proof of same to this office. YES Q NO [❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCEBOND ❑ OTHER ❑ (Please Specify) Expiration Date Estimated Value of Electrical Work S o?L0�004 Work to Start (p -1-7'f,9 Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAME/ fr�L Li2lG4G COi✓r/2i4CTO�iS --LIC. N0. Igle 1 l Llcerizee %?t1 9.s yuToi✓ S;i,gnature �. � CGS. L o •� /a 56 /� ._ � -EP�te/*y�aplfeo Sus Address.3/ 5(eAAYt;,,, :._ t/7- 0-�= a cecr;�te �r1l c-9a59®�f L - is stantial'equivalent as required by :?:,ssachusetts General Laws, and.rhat my signature on this permit_ `\ application waives this requirement. O Iter Agent (Please check one) 'r[,/ Telephone No. PERMIT FEE, S V> Signature of Owner or Agent)/ N° f Date ....61 .�1/..Q.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING A g °SACNUSE' This certifies that ...... 7---7-.T .. ��.�.f� ' ��' /.... `.�.fl..f ............... has permission to perform / f~l u n. wiring in the building of .....4�� T ...... ................. .....0 `!(Xl u� �q �..........ST at .....(.......................................................... . North Andover, Mass° ,............ Pd Fee .X,,.. S ... Lic. No.�/d /!." .�.......................................................... ELECTRICAL INSPECTOR C� WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Location 0 1 ti 22 - -NQ' NQ' �(� Date No�TM TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ x Building/Frame Permit Fee $ ss�cMust t Foundation Permit Fee $ Other Permit Fee $ a Sewer Connection Fee $ Water Connection Fee $ TOTAL ` C �f %J� f � ,$ V /7?� �/ BuildinOnspector 1 a C 7 5 12/21/98 11:22 165.00 poin t Div. Public Works Location M 15 1 t-' ':z. 7— No. 42..5 Date �2 " -� #;� S5,s TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ - U�� • 4u Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL Building Inspector 12 to 2 3 12/28/98 14:28 91300• .Public Works Location ' f p ? No. 29 Date 17- ' Na�TN TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $—� Building/Frame Permit Fee $ ,SSAtNUStt� Foundation Permit Fee $" Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ _ TOTAL $ Building Inspector Div. Public Works w �:J N N N N, N N 1 of ZLr 00 00 %.O .gip C/) M 0.00 r-� r- r*�- if) ON v 47� v O ... 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Q E N �! m O Q7 CLcm m q y 'moa N F"mc� m j: V Vl O eco '5 Z o F-: _ O` a C cm 7A� = N m C C a m o: ms 3 0 r + m +Oco ' t _ w O y t ev C Z CL oc 'E "0 � N O ui ci m m __ y O. :e o N ��cz H t w o. cm LTi CD O W a- O f'a O i Z CD d O CO) CD A � 0 u 'E m m c� O � r I'"'1 O 0 o0 �O evv o �- � �a C .0 C/) Cl) Z Z W O co U CIO H Cn C C LTi CD O O O V Z CD d O CO) CD y 0 u 'E m m O � r o0 � evv o �- � �a C .0 Z 4:Lc co V H C C r• y LTi 119 Location �c1�i &/N No. *' 9 /9::— Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ oc� $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ C& Building Inspector 10/05/18 13:55 25000.00 PAID Div. Public Works Location No. Date TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ + Building/Frame Permit Fee $ ITS C Ust`� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 1' Building Inspector i Div. 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O H � C Ico cm C CD 'O •E m m CD 0 CD CL ♦r 3 O CD L _m C Q CL CMQ y C -v 0 cc o 0D tt ^^ C z � V, O C. f'f c N E C !D Cori V / PERMIT TO OPEN FIRE HYDRANT OR USE UNMETERED FIRE LINE OFFICE OF THE BOARD OF PUBLIC WORKS North Andover, N4ass.,/4....a..4........ I9.P.4' Under and pursuant to Section 1 of Article V1I of the By -Laws of the Town of North Andover as follows: No person shall open any hydrant of the water works system of the Town without written permission previously obtained from the Board of Wl ater Commissioners; provided, however, that nothing in this section shall be construed to prohibit the use of hydrants and water by the Chief of the Fire Department, or the person acting in his stead, in case of fire. And under and pursuant to the provisions of Chapter 202 of the Acts of 1893 of the Legislature of the Commonwealth of Massachusetts and other enabling Acts by which the use of water in North Andover is regulated, permission isiven to X80.3 / ....... /...... �.,1.q.��.................... ->✓l �I. ../....lid ..- ....... 4 ,3..' .3 " 20-25- to open a fire hydrant or use an unmetered fire line under the following conditions to which lie subscribes by ' his application. 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