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HomeMy WebLinkAboutMiscellaneous - 208 SUTTON STREET 4/30/201813 W I -- ca w IL LU a z U) w I -- z M J J J J z w W F - z 4- 0 C +� (D CL_rZ: C: a) 4- O U 4- M fn M C U N O •0 N C/) • L O Q O O � O Q O Ln (B = .0— E (D _ (u Q > Ocn Uj Q LV > .� O O o z> a M LL o 0 -a �Q - _ wl.f OE E C) ("D cu U p to U- O CL C/)Q (U O N0 z V = > O a (fl cn Or /'� E H VJ cu 0 L C O a-) O N •L Y_ 4- "+ Z cuC E o U) c C/ Go M 0) O a) o 4- 0 O Q c C) 00 (n 0) x ( C: 4 - cu c O 07 N _ ,� > C L T~ 0 0 ?: O E NU) U) N a) c4 r'LL _W —J p �+ N H = m v- �.; w COE�� oo O Xi 1.3 W E O O cn 'p Nam m W = O_ a F— C�p O4U! ANG t` 13 W I -- ca w IL LU a z U) w I -- z M J J J J z w W F - z 4- 0 C -2 0 "F - , 11c) 7/ Location , --> No. Date A91zP11!r— TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL $ Check # j ding' Inspector w 0 cd 4. 90 Ida), a) • s , o W N.9 O E-' H a� Ts ` 4) ,� O -CO It b q 9b 0.s4En ,.i �, �o ca a� �, • V J w o a 0 0 g-0 �y 0 Q U C 0 c G .� OU z w - o a .9b -C � ao��� � a � C.) w z a a� o ;;, �d - i% FI �i ZI c� it i R 4R i! brn a zrnU � rn bo o 0 O bo `o 0 N W N 9 p^, OrOU-'Old O O cd N d ��l 0 NbA �t-4 PQ G0 bA :a U 0 94-4 4-4 41 cn ,� U d' F'O O NO 0 a z O o o �� o o'rn Q a Q SECTION 6 SIGNS AND SIGN LIGHTING REGULATIONS 6.1 Authority and Interpretation .This Bylaw is adopted, as a General Bylaw pursuant to Chapter 93, Section 29-33, inclusive, as amended, and a Zoning Bylaw pursuant to Chapter 40-A, as amended of the General Laws of the Commonwealth of Massachusetts. This Bylaw is hereby declared to be remedial and protective, and is to be so construed and interpreted as to secure the beneficial interests and purposes defined in Section 6.2 of this Bylaw. 6.2 Purposes 1. The regulation and restriction of signs within the Town of North Andover in order to protect and enhance the visual environment of the Town for purposes of safety, convenience, information, and welfare of its residents. 2. The restricting of signs and lights which overload the public's capacity to receive information, which violate privacy, or which increase the probability of accidents by distracting attention or obstructing vision. 3. To encourage signage and lighting which aid communication, orientation, identify activities, express local history and character, serve educational purposes for the public good. 4. The reduction of visual and informational conflict among private signs and lighting and between the private and public information systems. 6.3 Definitions 1. A -Frame Sign/Sandwich Board: A portable, temporary sign or device capable of standing without support or.attachments. 2. Accessory Sign - A sign that advertises activities, goods, products, or a specific use, owner, or tenant, available within the building or on the property on which the sign is located, or advertises the property as a whole or any part thereof for sale or rent. 3. Animated Sign: Any sign that uses movement or a change of lighting to depict action or create a special effect or scene. 4. Building Frontage - The length in feet of a ground floor level of a building front or side facing a street (or facing a right-of-way accessible from a street) that is occupied by an individual business. 5. Directional Sign - A non -accessory sign containing no advertising and giving direction to community (non-commercial) activities, buildings, areas, such as churches, schools, playgrounds, museums, historical sites, public buildings, etc. Sign not to exceed 12"x30". 6. Display Window Signs - Temporary signs on the surface of or inside display windows, lighted only by the general building illumination. 7. Erect --Shall mean and include to construct, place, relocate, enlarge, alter, attach, suspend, and post. 8. Flagpole - A pole erected on a roof, or projecting from a building or structure or on the ground. 9. Freestanding Sign - Shall mean and include any sign not attached to a building or the ground. 10. Ground Sign - Any sign erected on the ground which is self -supported and anchored to the ground. 11. Illuminated Sign - Illuminated sign shall mean any sign illuminated by electricity, or other artificial light including reflective or phosphorescent light and shall include location of source of illumination. 73 t r 12. Marquee - Any sheltering structure of permanent construction projecting from and totally supported by the wall and/or roof of a building. 13. Non -Accessory Sign - Any sign that is not an accessory sign. 14. Obscene - shall have the meaning as that term is defined in Massachusetts General Laws Chapter 272, Section 1. Massachusetts General Laws, Chapter 272, Section defines "obscene" as follows: 1. appeals to the prurient interest of the average person applying the contemporary standards of the county where the offense was committed; 2. depicts or describes sexual conduct in a potentially offensive way; and 3. lacks serious literary, artistic, or political or scientific value. 15. Off -Premise Sign — A sign or outdoor display that advertises products or services that are not sold, produced, manufactured or furnished on the property where the sign is located. 16. Permanent Sign - Any sign permitted to be erected and maintained for more than sixty (60) days. 17. Primary Sign - The principal accessory sign which may be a wall, roof, or ground sign, as allowed in Section 6.6. 18. Projecting Sign - Any sign which is attached or suspended from a building or other structure and any part of which projects more than twelve (12) inches from the wall surface of that portion of the building or structure. 19. Roof Sign - Any sign erected, constructed, and maintained wholly upon, connected to, or over the roof or parapet of any building with the entire support on the roof or roof structure. 20. Secondary Sign - Is a wall, roof, or ground sign intended for the same use as a primary sign but smaller dimensions and lettering, as allowed in Section 6.6. 21. Sign - A sign is any structure, mechanically or electrically driven, still or moving device, light, letter, figure, word, model, banner, pennant, trade flag, or representation that is designed to be seen from outside the lot on which itis erected. It advertises activities, goods, places, persons, objects, institutions, organizations, associations, businesses or events, products, services, or facilities available either on the property where the sign appears or in some other location. The definition includes electric signs in windows or doors, but does not include window displays or merchandise.'A sign may be permanent or temporary. 22. Sign Size (Area) (a). For a sign, either free-standing or attached, the area shall be considered to include all lettering, wording and accompanying designs and symbols, together with the background, whether open or enclosed, on which they are displayed but not including any supporting framework and bracing which are incidental to the display itself. (b). For a sign painted upon or applied to a building, the area shall be considered to include all lettering, wording, and accompanying designs or symbols together with any backing of a different color than the finish material of the building face. (c). Where the sign consists of individual letters or symbols attached to or painted on a surface, building, wall or window, the area shall be considered to be that of the smallest rectangle or other convex shape which encompasses all of the letters and symbols. 23. Temporary Sign: A sign permitted to be used on a short-term basis for the duration of no longer than sixty (60) days unless otherwise specifically provided herein. 74 24. Wall Sign - Any sign affixed to, suspended from or painted on a wall, window, marquee, or parapet. 6.4 Administration and Enforcement 1. Enforcement - The Building Inspector is hereby designated as the Sign Officer and is hereby charged with the enforcement of this Bylaw. a. The Sign Officer and his duly authorized agents shall, at reasonable times and upon presentation of credentials, have the power to enter upon the premises on which any sign is erected or maintained in order to inspect said sign. b. The Sign Officer is further authorized, upon notice as herein provided, to order the repair or removal of any sign which in his judgment is a prohibited non -accessory sign, or is likely to become dangerous, unsafe, or in disrepair, or which is erected or maintained contrary to this Bylaw. The Sign Officer shall serve a written notice and order upon the owner of record of the premises where the sign is located and any advertiser, tenant, or other persons known to him having control of or a substantial interest in said sign, directing the repair or removal of the sign within a time not to exceed thirty (30) days after giving such notice. If such notice and order is not obeyed within such period of time, the Sign Officer and his duly authorized agents shall, at reasonable times and upon presentation of credentials, have the power to enter upon the premises on which said sign is erected or maintained and repair or remove, or cause to be repaired or removed, said sign. All expenses incurred by the Sign Officer and his duly authorized agents in repairing or removing any sign shall be assessable against any person who failed to obey said notice and order and shall be recoverable in any court of competent jurisdiction if not paid within thirty (30) days after written notice of assessment is given by the Sign Officer at any such person. 2. Permits: a. No permanent sign shall be erected, enlarged, or structurally altered without a sign permit issued by the Building Inspector. Permits shall only be issued for signs in conformance with this Bylaw. Permit applications shall be accompanied by two (2) prints of scale drawings of the sign, supporting structure and location. A copy of any relevant special permit shall also accompany the application. All ground or roof signs shall be registered and identified as required by Section 1407.0 of the State Building Code. b. Notwithstanding anything to the contrary in this Bylaw, any permanent sign authorized under this Bylaw may contain any otherwise lawful, non-commercial message which does not direct attention to a business or to a service or commodity for sale in lieu of any message or content described in the applicable regulation. Non-conformance of Accessory Signs: Any non -conforming sign legally erected prior to the adoption of this provision, may be continued and maintained. Any sign rendered non -conforming through change or termination of activities on the premises shall be removed within thirty (30) days of order by the Building Inspector. No existing sign shall be enlarged, reworded, redesigned, or altered in any way unless it conforms to the provisions contained herein. Any sign which has been destroyed or damaged to the extent that the cost of repair or restoration will exceed one-third (1/3) of the replacement value as of the date of destruction shall not be repaired, rebuilt, restored or altered unless in conformity of this Bylaw. 75 4. Street Banners or Signs - Street banners or signs advertising a public or charitable entertainment or event, by Special Permit from the Board of Selectmen. Such a sign shall be removed within seven (7) days after the event. 6.5 Prohibitions: 1. No sign shall be lighted, except by steady, stationary light, shielded and directed solely at the sign. Internally lit signs are not allowed. 2. No illumination shall be permitted which casts glare onto any residential premises or onto any portion of a way so as to create a traffic hazard. 3. No sign shall be illuminated in any residential district between the hours of 12:00 midnight and 6:00 a.m. unless indicating time or temperature or an establishment open to the public during those hours. 4. No sign having red or green lights shall be erected within sight of a traffic signal unless approved as non -hazardous by the Chief of Police. 5. No animated, revolving, flashing, or exterior neon sign shall be permitted. 6. No pennants, streamers, advertising flags, spinners or similar devices shall be permitted, except as allowed by the board of Selectmen. 7. Corner visibility shall not be obstructed. 8. No sign shall be erected, displayed, or maintained upon any rock, tree, fence, or utility pole. 9. No sign shall be erected, displayed, or maintained if it contains any obscene matter. 10. Flags and insignia of any Government when displayed in connection with commercial promotion. 11. No sign shall obstruct any means of egress from a building. 12. Non -accessory signs are prohibited except for directional signs as allowed in Section 6.6, B. 13. No signs shall be attached to motor vehicles, trailers or other movable objects regularly or recurrently located for fixed display. 14. No off -premise signs. 6.6 Permitted Signs (Fee Required) A. Residence District - Accessory Signs - The following signs are allowed in a residence district as well as all other districts. 1. Primary wall and roof signs attached to or part of the architectural design of a building shall not exceed, in total area, more than ten percent (10%) of the area of the dimensional elevation of the building as determined by the building frontage multiplied by the floor to ceiling height of the individual business or as specified in applicable sections of the by-law. 2. One (1) sign, either attached or ground indicating only the name of the owner or occupant, street number and permitted uses or occupations engaged in thereon, not to exceed two (2) square feet in area. Such sign may include identification of any accessory professional office, home occupation, or other accessory uses permitted in a residence district. Ground signs shall be set back a minimum of ten (10) feet from all property lines and a minimum of forty (40) feet from all residential districts or structures. 3. One (1) sign oriented to each street on which the premises has access, either attached or ground, pertaining to an apartment development or a permitted non-residential principal use of the premises, such sign not to exceed ten (10) square feet in area. 4. One (1) unlighted contractor's sign, not exceeding twenty-five (25) square feet in area, maintained on the premises while construction is in process and containing information relevant to the project. Such sign shall be removed promptly after completion of the construction. 76 5. One (1) unlighted identification sign at each public entrance to a subdivision not exceeding twelve (12) square feet in area; to be removed when the subdivision roadway is accepted by the Town. 6. Ground signs shall be set back a minimum of ten (10) feet from all property lines and a minimum of forty (40) feet from all residential districts or structures. 7. Off -premises Signs: Only signs pertaining exclusively to the premises on which they are located or to products, accommodations, services or activities on the premises shall be allowed, except that an off -premises directional sign, designating the route to an establishment not on the street to which the sign is oriented, may be erected and maintained within the public right-of-way at any intersection if authorized by the Board of Selectmen or on private property if granted a special permit by the Board if Appeals. Such sign shall be authorized only upon the authorizing agency's determination that such sign will promote the public interest, will not endanger the public safety and will be of such size, location and design as will not be detrimental to the neighborhood. At locations where directions to more than one (1) establishment are to be provided, all such directional information shall be incorporated into a single structure. All such directional signs shall be unlighted, and each shall be not over four (4) square feet in area. B. Temporary Signs: Temporary signs shall be allowed as provided below, and provided that they comply with the following: (a) Unless otherwise specified in the Bylaw, temporary signs must comply with all applicable requirements for permanent signs, including issuance of a sign permit. 1. Temporary signs, of not more than twelve (12) square. feet in area, erected for a charitable or religious cause; requires no sign permit and is to be removed within thirty (30) days of erection. The Building Inspector shall maintain placement controls. 2. One (1) temporary unlighted real estate sign advertising the sale, rental or lease of the premises or subdivision on which it is erected to be no larger than twelve (12) square feet. The Building Inspector shall allow a sign larger than twelve square feet if. The property fronts on a State Highway, such as Route 114 or Route 125 and a larger sign is needed for legibility purposes; The total area of the sign does not exceed 10% (10 percent) of the wall area it is to be located upon. Such sign shall be removed fourteen (14) days after sale, rental or lease. 3. One (1) temporary unlighted sign not larger than twenty-five (25) square feet indicating the name and address of the parties involved in construction on the premises. 4. Temporary signs not meeting requirements for permanent signs may advertise sales, special events, or changes in the nature of an operation, but shall not otherwise be used to advertise a continuing or regularly recurring business operation and shall be removed promptly when the information they display is out of date. The sign(s) must be removed within thirty (30) days of erection. 5. Temporary signs pertaining to a candidate or ballot question appearing on the ballot of an election duly called in the Town of North Andover shall require no sign permit and shall be allowed in all zoning districts. Such signs permitted by this Bylaw: (a) shall only be permitted on private property; (b) shall not exceed six (6) square feet in area per sign and shall not exceed in aggregate twenty-four (24) square feet in area per lot; (c) shall not be higher than three (3) feet above ground level; (d) shall be stationary and shall not be illuminated; . 6. Temporary A -frame Sign Permit. The Building Inspector may issue a permit for the temporary placement of a freestanding A-frame/sandwich sign which (i) announces a performance, an event, or is for directional purposes; ii) must be securely anchored so as to 77 C. In not blow over and is professional in appearance; iii) must be removed at the close of each ' business day and at the expiration of the permit; iv) may not obstruct a public or private walkway, or be placed on public property. The maximum area shall not exceed eight (8) square feet on each side, and a maximum height of five (5) feet above the ground. The temporary permit may impose limiting conditions, including among other matters the number allowed at each business property location. 7. Unless otherwise specified in this Bylaw, temporary signs pertaining to other non- commercial issues shall require no sign permit and shall be allowed in all zoning districts. Such signs shall be subject to the limitations set forth in subsection (5) (a) -(e) above. 8. Identification Signs or entrance markers for a church, or synagogue shall not exceed a combined total of thirty (30) square feet and provided that there shall be no more than two (2) signs allowed on the premises. 9. Notwithstanding any other provisions of this Bylaw, signs may be erected for posting land; example, no hunting, no trespassing, etc. Residence Districts: Non -accessory Signs - Directional signs by Special Permit from the Board of Selectmen, limited as follows: 1. Two (2) signs for each activity, not exceeding 6"x30" in size. 2. Ground signs not exceeding eight (8) feet in height. Business and Industrial Districts: Accessory All signs permitted in residence districts as provided in Section 6.6(A) and 6.6(B), except that temporary real estate signs may be as large as twenty-five (25) square feet. Each owner, lessee, or tenant shall be allowed a primary and a secondary sign. Said sign may be used as ground, wall, or roof signs. No lot shall be allowed to have more than one (1) ground sign structure. 1. Primary wall and roof signs attached to or part of the architectural design of a building shall i not exceed, in total area, more than ten percent (10%) of the area of the dimensional elevation of the building as determined by the building frontage multiplied by the floor to ceiling height of the individual business or as specified inapplicable sections of the by-law. 2: One (1) permanent ground sign of not more than twenty-five (25) square feet in area and extending not more than eight (8) feet above ground level. Larger or taller signs may be allowed by Special Permit of the Board of Appeals, if said Board determines that the particular sign will not be incongruous with the district in which it is to be located nor injurious to traffic and safety conditions therein (1998/31). 3. For premises having multiple occupants, a single sign, either attached or ground, identifying those occupants. The total area of attached signs including this one, shall not exceed ten percent (10%) of wall area, and the area of any freestanding sign allowed under this paragraph shall not exceed twenty-five (25) square feet. 4. Temporary unlighted signs inside windows, occupying not more than twenty percent (20%) of the area of the window requires no sign permit. 5. No sign shall project more than one (1) foot over any public right-of-way shall be covered by appropriate liability insurance as determined by the Building Inspector and verified by a certificate of insurance filed with the Town Clerk. 6. Service stations or garages may divide the allowed wall sign area into separate, smaller wall signs indicating separate operations or departments. A freestanding ground identification sign of fifty (50) square feet with price sign incorporated is allowed. 7. For active fuel dispensing Service Stations, with multiple tenants, on the same lot: One single free standing ground identification sign of 50 square feet is allowed, which is to include within the 50 square feet, the identification of the multiple tenants on this same lot. The Service Station identification / information shall be at least 60% (may be greater) of the total free standing ground sign. Pricing information, if advertised, to also be within the allotted square 78 footage for service stations. The maximum height (including pylons) of this free standing ground sign shall be 16 feet from ground level (1998/30). 8. Building directories (if located outside) may be affixed to the exterior wall of a building at each public entrance. Such directory shall not exceed an area determined on the basis of one (1) square foot for each establishment occupying the building. 9. Traffic Control orientational and guidance signs located on private properly, up to four (4) square feet in area, displayed for purposes of direction or convenience, including signs identifying parking, fire lanes, rest rooms, freight entrances and the like. E. Shopping Centers 1. Signs are permitted in residence districts, except that temporary real estate signs may be as large as ten (10) square feet. 2. Signs attached to a building or its canopy, parallel with the facade and not projection above the roof -line, advertising the name of a firm or goods or services available on the premises, provided that the total area of all signs erected on any wall by any occupant may not exceed twenty percent (20%) of the portion of the wall area assigned to that occupant. In no case shall any occupant's sign total more than two hundred (200) square feet facing any single street. 3. For any retailing complex comprising three (3) or more enterprises on a single lot and fifty thousand (50,000) square feet floor area or more, one (1) ground sign for each street on which the development fronts, containing the name or other identification of the area occupied by the complex. Each sign shall be no larger than one hundred (100) square feet. Such sign shall not be located within ten (10) feet of any property line or the line of any way, and no part of the sign shall be more than twenty (20) feet above the ground level. 4. Temporary, unlighted signs, inside windows, occupying not more than fifty percent (50%) of the area of the window requires no sign permit. F. Office Parks 1. Signs as permitted in residence districts, except that temporary real estate signs may be as large as ten (10) square feet. 2. One (1) sign for each street upon which the premises has frontage, identifying a subdivision of lots for office development. This sign shall be no greater than eight (8) feet in height and no larger than twenty (20) square feet in area except where the property fronts on a high-speed, limited access highway, in which case a special exception may be granted for a larger sign if required for legibility. 3. Signs for individual properties or tenants shall be limited to a single sign no larger than three (3) square feet per tenant. Individual tenants must have Letter of Permission from property owner. The Board of Appeals may grant a Special Permit for an exception for a larger area where this will not impair legibility of other signs or be incongruous with the surroundings, based upon consideration of the number of occupants and signs per building, size of building and integration of sign and building design. G. Industrial Districts 1. Signs as permitted in residence districts, except that temporary real estate signs may be as large as twenty-five (25) square feet. The Building Inspector shall allow a sign larger than twenty-five (25) square feet if. a) The property fronts a State Highway, such as Route 114 or Route 125 and a larger sign is needed for legibility purposes; b) The total area of the sign does not exceed 10% (ten percent) of the wall area it is to be located upon. Such sign shall be removed fourteen (14) days after sale, rental or lease. 2 Signs attached flat against the wall or canopy of a building, or projecting not more than six (6) feet above such wall, advertising the name of the firm or goods or services available or produced on the premises; provided that the total area of all such sighs does not exceed twenty 79 percent(20%) of the area of the side of the building to which they are attached or two hundred (200) square feet, whichever is less. 3 One (1) ground sign, containing the name or other identification of the use on the property, for each street on which the property fronts, each sign is limited to an area of one hundred (100) square feet. Such sign shall not be located closer than forty (40) feet to any property line or twenty (20) feet above ground level. H. Guidelines 1. The following are further means by which the objectives for signs can be served. These guidelines are not mandatory, but degree of compliance with them shall be considered by the Board of Selectmen, Planning Board, Zoning Board of Appeals in acting upon special permits authorized by the Zoning Bylaws and by the Building Inspector in issuing a sign permit authorized under this Section of the Zoning Bylaw. Efficient Communication: 1. Signs should not display brand names, symbols or slogans of nationally distributed products except in cases where the majority of the floor or lot on the premises is devoted t manufacture or sale or other processing of that specific product. 2. Premises chiefly identified by aproduct name (such as a gasoline or auto brand) should devote some part of their permitted sign area to also displaying the identity of the local outlet. 3. Signs should not contain selling slogans or other advertising which isnot an integral part of the name or other identification of the enterprise. 4. Sign content normally should not occupy more than forty percent (40%) of the sign background, whether a signboard or a building element. 5. Signs should be simple, neat and avoid distracting elements, so that contents can be quickly and easily read. Environmental Relationship 1. Sign design should take into consideration the scale of the street to which the sign is oriented and the size, brightness, style, height and colors of other signs in the vicinity. 2. Sign brightness should not be excessive in relation to background lighting levels, e.g., averaging not in excess of one hundred (100) foot lamberts in the downtown or similarly bright areas and not in excess of twenty (20) foot lamberts in unlighted outlying areas. Building Relationship 1. Signs should be sized and located so as to not interrupt obscure or hide the continuity of columns, cornices, roof eaves, sill lines or other elements of building structure and where possible, should reflect and emphasize building structural form. 2. Sign material, colors and lettering should be reflective of the character of the building to which the sign relates, just as sign size should be related to building size. 3. Clutter should be avoided by not using support brackets extending above the sign or guy wires and turnbuckles. Landscaping, Buffering, Lighting 1. In Shopping Centers and Office Parks, landscaping shall be provided and maintained in accordance with planting approved by the Planning Board and incorporated as part of the pians on which the Special Permit of the Board of Appeals is based. 80 2. In all industrial districts, landscaping shall be provided and maintained in front yards and in side yards abutting public ways for aesthetic reasons to break up lines of buildings and for screening accessory facilities under the requirements discussed below. Specifically, in all Industrial and Business Districts, landscape screening shall be provided adjacent to: a. Abutting existing residential properties; and b. Abutting limited access highways in addition to the landscaping in front and side yards mentioned above. Landscape screening shall consist of planting, including evergreens, the plantings to be of such height depth as is needed to screen adequately from view from abutting area any unshielded light source, either inside or outside. (Section 6 amended May 6, 1996 Annual Town Meeting, Article 21) 81 4- y 4 SECTION 7 DIMENSIONAL REQUIREMENTS 7.1 Lot Area Minimum lot areas for such uses in each district shall be as set forth in Table, of Dimensional Requirements, which is hereby made part of this Bylaw. 7.1.1 Contiguous Buildable Area (CBA) As of April 28, 1986, the area of any new lot created,/Chapter ar n a street or recorded way open to public use, at least seventy five (75) percent olot area required for zoning shall be contiguous land other than land located within a lias wetland resource areas in accordance with the Wetlands Protection Act, Massaceral Laws, Chapter 131, Section 40 and the Town of North Andover Wetland Protection ter 178 of the Code of North Andover. The proposed structure must be constructedgnated contiguous land area. 7.1.2 Lot Width For any lot created after May 1, 19/,apply m width of the lot shall be a distance of one hundred (100) feet between the street frontat building line The width shall be measured in a line parallel to the street. This requiremin all zones except Residence 4 (R4) and Village Residential (VR); for zone R4, saidth of the lot shall be a distance of (eighty) 80 feet and for zone VR, said minimum wall be a distance of (eighty) 80 feet. 7.1.3 Restrictions 1. When a fifty (50) foot aight line is drawn to divide a lot in two, and the perimeter of the smaller piece is greater than o hundred (200) feet, then such smaller piece shall not be included in the calculations whe etermining: lot area contiguous buildable area (CBA), or street frontage as required by th ummary of Dimensional Requirements (Table 2) of this bylaw. This restriction applies only lots created after May 1, 1995. 2. Any lot c ated after May 1, 1995 shall have a lot depth of thirty (30) feet or more for at least eighty 0)percent of the minimum length of its frontage as required by the Summary of Di sional Requirements (Table 2) of this bylaw. The lot depth shall be measured as a line perpendicular to the street. 3. o lot, upon which is then located any buildings or with respect to which a permit has been issued d is then outstanding for the erection of any building, shall be subdivided or reduced in area in any manner unless said lot shall thereafter fulfill the lot area, street frontage and yard space requirements of this Bylaw except as may be permitted otherwise by the provisions of a variance granted by the Board of Appeals. If land be subdivided, conveyed, devised or otherwise transferred in violation hereof, no building permit or other permit shall be issued with reference to any of the land so transferred or to the lot(s) retained until all of such land and lots meet the requirements of this Zoning Bylaw. Any land taken by eminent domain or conveyed for a public purpose for which the land could have been taken shall not be deemed to be transferred in violation of the provisions hereof. 7.2 Street Frontage Minimum street frontage shall be as set forth in Summary of Dimensional Requirements (Table 2) and the lot line meeting these requirements shall constitute the "street frontage" for the lot. In no case shall actual street frontage at the street line be less than seventy five (75) feet; except as allowed by Section 7.2.2. Comer lots shall be required to have the required frontage only on one street. In determining the fulfillment of the minimum area and minimum street frontage of a lot required in any zoning district, there shall not be included any land within the limits of a street upon which such lot abuts, even if the 82 cz cl kn as 0 0 d -i z 0 CL 0) 11, IN 0 0 Vy 64 Vy 61) 6s z cc>), Cl) 0 z C', C, LL LL 0 o CL LOL z c o -0 co -0 CL Z -j < = :3 m C :3 0 LL 0 -r �- — 0 0 CL 0) 11, IN C tl 0 9 ID a� y S Pd CD )T3 I-- lal cCPD �. C•CD C CD ca �' W 4 CD U P', E 81 - 1' 0 0 cc q r1 �Iq �• = y O m n Q CD w t" 0-1��. ��q, ©® LL®G �. Cn D • ° ® � ®, yq H owl C n s y 6) � 7 S 3 to + En . 3 U P', E 81 - 1' 0 0 cc q r1 �Iq �• = y O U P', E 81 - 1' 0 0 cc q 0 r1 �• = y O m n Q n ® PPD ��q, ©® LL®G ryryryssg4 8 o H yq H owl C n s y 6) � 7 S 3 to + En . 3 ^� 0 v ui ®. ui Q z 0 0) 93 lu Z M } z LLI z s spa � 23 C L COCD (D L.- (D ham -+ Co ® O :3 ID o -y + E -479 D i LL 0 (� Q QED 14 CL LU s Qy 0 > w ®®ca Z S Co �_ JZ caui a= �... =3 :L-- m O 0®®- ® c 0- co z m 2s� Q _ �q CO) aD U 0 U) ' Z V CL� U ®0 U _ ca ca F- () i� rO U (D i> w ~ CL ® (c CL Q/J i s ® O ® 7 O p �iFm 1— �® (D 0 G1 LO T— Q i (� s a� N ~ Cf) � co r c� Is- ui p ;� Q msft **4 i LL CO) z co LL9 C14 _v � _0 v ui ®. ui Q z 0 0) 93 lu Z M } z LLI z A ...... �.>, Iq Date .... I I ..... ..... ........ FLUMBINU INSPLU I UH Check# of <A- aolq�-6 'n, lolz-lk ;S. WATER OTHER INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES NO Di IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY. OTHER TYPE OF INDEMNITY EI BOND Q OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER E-11 AGENT JE11 SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the bq and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertine p Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME - � Y✓ --LICENSE # © SIGNATURE CORPORATION R#PARTNERSHIP 0# ; LLC U COMPANY NAME i ADDI CITY )v�/'r __..-._...__._.._-ji STATE ZIP FAX CELL �c .� I EMAIL my of the MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY Y MA DATE /af-_ %? PERMIT # U JOBSITE ADDRESS I Dlij �� OWNER'S NAME '— POWNER ADDRESS TEL 4 d/ ��FAX _ TYPE OR OCCUPANCYTYPE COMMERCIAL Q EDUCATIONAL © RESIDENTIAL Q PRINT CLEARLY NEW: 01 RENOVATION: E, REPLACEMENT: Q PLANS SUBMITTED: YES ® NO[--][ FIXTURES 7. FLOOR--> BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOILISAND SYSTEM 1, _—A —Il— L--1 ! _1 .--_ _I _I { DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM I _j I _ ( ► _ f DEDICATED WATER RECYCLE SYSTEM _-_-J —..J DISHWASHER DRINKING FOUNTAIN i _. _( -_-- (-._____f _-� 1 __..___I __._..___I ._.___-. -_-___ ► ..___.._l ___._.f __...._f ! _......_1 FOOD DISPOSER FLOOR/ AREA DRAIN INTERCEPTOR(INTERIOR) k ! _ ._. _ ( i .__.� _ _---_I KITCHEN SINK—. - LAVATORY 1 J _-....-_._-(= ROOF DRAIN. I .__ 1 � _._! (_._ _ ) I _..._ E J _I _-J SHOWER STALL SERVICE / MOP SINK TOILET URINAL WASHING MACHINE CONNECTION ( t _.._ _� i _._ f __. i _._ _° __.._ E-73 WATER HEATER ALL TYPES WATER OTHER INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES NO Di IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY. OTHER TYPE OF INDEMNITY EI BOND Q OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER E-11 AGENT JE11 SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the bq and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertine p Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME - � Y✓ --LICENSE # © SIGNATURE CORPORATION R#PARTNERSHIP 0# ; LLC U COMPANY NAME i ADDI CITY )v�/'r __..-._...__._.._-ji STATE ZIP FAX CELL �c .� I EMAIL my of the H O H U W c W ' o� z N p W O M Z u LUa U) W ° a ui ° L LU a 0 z w � , J a IL a N LU EEI w H LL F O H U W a a o x , � 17-- --t Datc . ............ I ......... 1.1.1 ................... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ................................. This certifies that ......................................................... ... Im ........ 1P e+41 1 - - N'� L 0-, P O-A,� has permission for gas installat, 'D ............................................................. in the buildings of .... .............. 4 ......... I - TR- - tA�§ . ........................... ... ......... ............ at ..... ....... ..................... .. .. ................... . North Andover, Mass. FeA.'3.ca ..... Lic. No. .!�9-LLf ... ... M t�r ................................................. GASINSPECTOR Check # 7-01 0 r7 .0, 1 1M MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY cJDl'e--' MA DATE / G PERMIT# C/7"—G—' -- JOBSITE ADDRESS ��=� viii �'—I{ OWNER'S NAME 1G - OWNER ADDRESS TEL FAX TYPE OR PRINT OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL 0 CLEARLY NEW: [3 RENOVATION:0 REPLACEMENT: PLANS SUBMITTED: YES ❑_,.I NOE] APPLIANCES 1 FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER -- --- - - -- - COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE _ I ( J [�— 1 [_ I FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER�— LABORATORY COCKS MAKEUP AIR UNIT OVEN_ POOL HEATER J=ri ROOM / SPACE HEATER _ ROOf TOP UNIT - - (— I TEST UNIT HEATER UNVENTED ROOM HEATE I _ WATER HEATER.=J OTHER INSURANCE COVERAGE have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES NO 1 IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY PI OTHER TYPE INDEMNITY ® BOND OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER Ij AGENT SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the 06t of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertipefit provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME /`Z `� U -�/ _ LICENSE # _ -� SIGNATURE MP [X MGF E3 JP JGF 0 LPGI © CORPORATION ©# PARTNERSHIP ®# LLC ®#= COMPANY NAME:1-- ADDRESS CITY %J/i — /_� _ STATE ZIP O1 TEL FAX CELL S n � 11EMAIL 32-1 Q/ d ` , CO-"_ 1M 0 0 H U W a W � o z W >- Lo O w O E'' a z w W F- 7 Q w W a W FO w W w o a P-( a r�� U r J Ei a a s w F- w O z 0 H U W L�7 C7 The Commonwealth of Massachusetts Department of IndustrialAccWhis Office of Investigations 600 Washington Street Boston, MA 02111 www.massgov/dia 'workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information PIease Print Legibly Name (Business/Organization/Individual): i ✓ke_, �r_Jl Address: /L/) X el� ,_� f, L/ City/State/Zip: & cz SS Phone #: 92 Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. ship and'haveno employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3111 am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions I L ❑ Plumbing repairs or additions 12.❑ Roof repairs 131J Other Gam, *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. , % Insurance Company Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: S.L) hivZ-7 City/State/Zip: Xn 0 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one=year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. X do Hereby cert under the pains and penalties of perwhat the information provided abov is tru and correct. Phone #:� Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other - - - Contact Person: Phone y Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, • ~ express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced -acceptable evidence of compliance with the insurance coverage required" Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (ifnecessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or' -permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth ofMossac- usetts Department of Industrial .Accidents Office of Investigations 600 Washington Street Boston, 1A 02111 TO, # 617-727-4900 ext 406 or 1-877%MASSAFE Revised 5-26-05 Fax # 617-727-7749 wwwanass,gov/dia. } 't d, Date .y ...... 7?.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that H IQ . ..... 60"'.6 1 � ............................ ...... .......... I .............................................................. has permission to perform .... ................................ . ...... ... ... . .... wiring in the buildilrig of ............. P- 2 co �5 41�� '*'*'*******'***'****'********,***'****'***** ... ****"**** ... **"**"** , at .......... ........ ........................................................ 15 ��rth Andover, Mass. �ee .... 12..(:� ........ Lic. No.�? ... . ... ...... ...... .. ,��CTRJCAL INSP �TO--'/ 't Check # �NA7:) �, lv:40MMONWO� OF MAMAdNiVi"SETM comm ons altih of ¥assac'nusetls DeparTment of Pu bil'c Sa iety Lict-11". bcense: SSCO-000642 MICHAEL R KRAYBILL 30 TICEHURS3 LN SBL HEAD MA 01945 Commissioner 08/ . 11/2015 I 0 �Ao Date.............. ........ J).j ............ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that kc, ............................................................. ..... ..... has permission to perform .. ............................................................. wiring in the building of .... L. ......... ........................ .... ......... ... ..... ... .... .. . . ...... .............. ..... . at .... 2&� North Andove ass. ............................................................................................... .04 _30 H ( Fef,..A.��.,S . ....... Lic. No. _t� ....... ........... ) ........ . ... ........ . ... ... .......... . ...... ... . ... 9ECTPRICAL !INSP' Of -Check# 2- r,5 V\^. lu 21 Common vedth of Massachusetts . Department of Fire Services BOARD OF FIRE PREVENTION -REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked rev. 9105] (1pavA hl. ''f APPLICATION'FOR PERMIT TO PERFORM* ELECTRICAL WORK All work to be performed in accordancewith the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT INMK OR M ALL IIVFOWAMA9 Datei c2 -. 3 - /,5' City or Town of: Airyy To the Inspector of Fires.: By this application the undersigned graves notice of lila or hex intention to perform the electrical work desenbed below. Location (Street & Number)2_013-i- Owner or Tenant tat AD Telephone No. Wj -gW, V�3 Owner's Address S Is this permit in conjunction with a building permit? Yes❑ No (Check Appropriate Boz) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Und d !p' ❑ No. of Meters New --Service Amps______ V61ts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity . Location and Nature of Proposed Electrical Work: -4111 li V' ✓VI No, of Recessed Luminaires Com letton o the ollo .. table may be waived b the I ector of mra. No. of Ceil.-Sasp: (Paddle) Fans o, 0 .. " No. of Luminaire Outlets No. of Hot Tubs Transformers 11Total A Generators ICVA No. of Luminaires Swimming pool Bove ❑ - o. o mergency g { No. of Receptacle Outlets rad. d No. of Oil Burners Batte .Units FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o._of Detection an No. of Ranges No. of Air Cond. TotaT Tons Inliiatin Devices No. of Alerting Devices No. of Waste Disposers eat ump um er. ons o. of Self -Contained No. of Dishwashers Totals: Space/Area Heating KW Detection/Alerti ng Devices Local cps ❑ Connection ❑ Other No, of Dryers Heating Appliances KW ecur ty ystems: No. of Devices o, of Ater . Heaters ICV o' ° or Equivalent Wiring: No. Hydromassage Bathtubs a0.l-ofData S' ns Ballasts No. of Motors Total HP No. of Devices or Dquivalent Telecommunications it g: OTAF,R t No. of Devices or Equivalent . n""t,,. auuiuvnac aeras y aesirea, or as required by the Inspector of Wires. Estimated Value of Electrical Work: - (When required by municipal policy.) Work to Start: `Z- �- t �� Inspections to be requested in accordance with MEC Rule 10, and upon completion. ! INSURANCE COVERAGE. Wess waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify.-) I certify, under thepains and enaldes ofperjury, that i/ce information on this application is true and complete. FIRM NAME: LIC. Licensee: E ' SignatA. , LIC. NO.: ' ' 11-3 (If applicable, enter "exem " in th license n ber line.) Bus: Tel. No. ;' Address: Alt. Tel. No.: � *Security.S3�stem Contra311 ctor License required for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally, required by law. By mY,, ignature below; I hereby waive this requirement. I am the (check one .E) owner ❑ owner's agent, ti Owner/Agent M Signature _4 Telelahone No. PERMIT FEE: S J 2S— \ne "rn1nvnweMrn ofnnassacnu ' s' - Department of Induairdal ,Accidents � • Office of Investigations 600 Washigton.Street Boston, MA 02111 wmmas&gov/dia Workers' Compensation -Insurance davits Builders/Contractors/Electrlcians/Plumbers AnuliC�>�t Information Please Print Legibly Name (Busl MW0rganZati0rVbdividb4:. 1 �C cc b , Address: -50 . City/State/Zl P Phone #: o /.3/ -Are you an employer? Check the appropriate box: 1. Ufam a employer with : l 4. 0 I am a general contractor and I ' employees (frill and/or part time).*' 2. ❑ I am a sole or have hiired The sub -contractors 'listed proprietor partner- on die attached sheet t ship and have no employees These subcontractors have Working Aor me in. any capacity. workers' comp. insurance. [No workers' comp. insurance 5. 0 We are a corporation. and its . required.] 3. ❑ I am a homeowner doing all work officers have exercised their right of exemption per MGL myself [No workers' comp., c. 152, § 1(4), and we have' o insurance regwired.]: t employees. [No workers'- comp..insurance required.] *Any apt Mt that checks tax #1 must also fill out the section Below showing 4reir workers' ti Type of project (required): 6. 0- New construction 7. ❑ Remodeling S. Q Demolition 9. ❑ Building addition 19,repairs or additions 11.0 Plumbingrepairs or additions 12.❑ Roof repairs 13.❑ Other compensa on F,,,vy—,vrmaaon: j Homeowners who submit this affidavit indicating they are doing all work add then hire outside contractors must submit a new affidavit indicating suck lCoatracbora mat check this box must attached an additional sheet showing the name of the sub -c ontmdors and 1hak workers' comp. policy information. raw an employer that is providing workers s compensation insurance for my information. employees. Below is the policy and job site, [nsurance Company Name:—(N v-L4-v4,A. Policy # or Self -ins. Lia #: �Je u , � %l Expiration Date: �� 110 ►ob Site Address:. r2- 0 ?7�J t City/State/Zip: i Yl C J`- lttaeh a copy of the workers' compensation policy dedaration.page (showing the policy number and expiration date). allure to secure coverage as required under Section 25A of MGL c. I52 can lead to the imposition of criminal penalties of a Inc up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine )f up to $250.00 a day against the violator. Be advised that a copy Of -this statement maybe forwarded to the Office of nvestigations of the DIA for insurance coverage verification. do hereby cer16 under fhepatns,and penalties ofperjury that the information provided above 6 true and correct o, J�iclal use only. Yl -6,3i- `%i` Do not write in this area, to be completed by city, or town official. City or. Town: PermIt/Llcense # Issuing Autbority (circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: r h A N a Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. o Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. l/07j (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN WK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) .,)� S Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Yes [Er No ❑ Purpose of Building aZ2W1 ny'CC., Telephone No. (Check Appropriate Box) Utility Authorization No. Existing Service ,2S2J Amps 2 0 / / 00 Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (A� Completion of the following table may be waived by the Inspector of Wires. 10? No. of Recessed Luminaires 22 No. of Ceil: Susp. (Paddle) Fans - No. of Total Transformers KVA No. of Luminaire Outlets -5' No. of Hot Tubs - Generators KVA No. of Luminaires 5— Swimming Pool Above ❑ In- Elo. rnd. rnd. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges — No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: I Tons "'" "''""""' Iof " '' "' ' Self -Contained Detection/Alertin Devices No. of Dishwashers 1 Space/Area Heating KW .— Local ❑ Municipal ❑ Other Connection No.. of Dryers _ Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs - -----Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs _ No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: t9 J (When required by municipal policy.) Work to Start:Z�� Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURA-NCE ❑ BOND ❑ OTHER ❑ (Specify:) Icertify, tinder the pains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME:. C� a �� 12 i LIC. NO.: Licensee: 1 A vt �- Signature �� LIC. NO.: _517 3 P G (Ifapplicable, e er "exempt" he li ense numbe line.) Bus. Tel. No.: `111, ZI 3 SZ73 Address: 6 in 1 X Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Depa nt of Public Safety "S" License: Lic. No. � OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance. with the provisions of M.G.L. c. 143, § 3L, the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, §32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall -be limited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses conceming the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending through August 15, 2012. ❑ Rule 8 — Permit/Date Closed: *** Note: Reapply for new permit ❑ ❑ Permit Extension Act — Permit/Date Closed: Trench Inspection Pass M Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass EN Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass M Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTI Pass 0 e Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments Inspectors Signature: Date: FINAL INSPECTION: Pass Failed Re- Inspection Required ($.) ❑ Inspectors Commen . Inspectors Signature: Date: DEB WEINHOLD ... TOWN OF MERRIMAC, MA. .......dweinhold@townofinerrimac.com The Commonwealth of Massachusetts , - Department o, f ladus€rigl AccNiks Office of.Investigations 600 Washington Sheet Boston, MA 02111 www.massgov/ciza Workers' Compensation Insurance Af iidavlt: -13uilciersfContractors Electricians/Pliimbe>rS Applicant information Please Prim Legibly Name (Business/Oxgani-zation&dividual):____� Address: '26-" Y1 fit/ Phone #: q Z 8 ZZ -3 .fZ -T-3 Are you an employer? Check the appropriate box: 'Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. [l New construction F employees (full and/or part time) * 2. US am. a sole proprietor or partner- have Hired the sub -contractors listed on the attached sheet. �• Remodeling ship and.1ave no employees These sub -contractors have 8. ❑ Demolition worldug for me in any capacity. workers' comp. insurance, g, 13ui1cTing addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] 3111 I am a homeowner doing all work officers have exercised.their right of exemption per MGL 11. ❑ Plumbing repairs or additions myself. [Eo workers' comp. c.152, NO), and we have no 12.❑ Roofrepairs insurancere �ired. a employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#i must also fill out the section below showingtheirWorkers' compensation policy infonnation. I Homeowners who submit this affidavit indicatingthq are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that che&this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. X am are employer that isproviding workers' compensation insurance for fny employees Below is thapolley ancd job site information. Insurance Company Policy # or Self ins. LIG. #: Expiration Job Site Address: 2Q P !S- L 'A� V\ �� pity/State/zip: r LE �p //` @cz Attach a copy of the workers' compensation-poRey declaration page (showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A ofMGL o. 152 can lead to the imposition of criminal penalties of a "line up to $1, 50 0.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of }nvestigations of the AIA- for insurance coverage verification. I do hereby cert uncd�iaWains and penalties ofperjury that the information provided above is true and correct. Phone #• et -7 6 Z 3 SZ -7 " S Oficial use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Cleric 4. Electrical Inspector 5. Plumbing Inspector 6. Other - - CoatactPeraon: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuaxit to this statute, an employee is defined as "...every person in the service of another under any contract ofhiw,• express or implied, oral or•written.,, An employes is defined as "an individual, partnership, association, corporation or other legal entity, or any two ormore Of the foregoing engaged in a j oint enterprise, and including the legal representatives of a• deceased employer, or thereceiver or trdstee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who xesides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth fox• any applicant who has not produced -acceptable evidence of compliance with the insurance coverage required:' Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapterhave beenpresentedto the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificates) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are notrequired to carry workers' compensation insurance. If au LLC or LLP does have employees, apolicy is required. Be advised thatthis affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retuned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete andprinted legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be -sure to fill in the pemnit/license number which will be used as a reference number, In addition, an applicant thatmust submitmultiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamp ed or mm arked by the city or town ay be provided to the applicant as proof that a valid aftdavitii on file for future hermits or licenses..A, new affidavit must be filled out each year. 'Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e, a dog license orpermit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office Of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: Tho. Goxr_Mo-wealth ofMassaaMsetts - Deparbent of Indus -Wal Accxdezlts o dee of111wa zgationg Boston., 02111 Tel, # 617-7-27-4900 W 406 u x-877, NM8AF9 Revised 5-26-05 a� 617"727-7749 www.mass,gov1dia e - .1 OF N 339 Date. . t�ORTN TOWN OF NORTH ANDOVER �—.. '�'. I PERMIT FOR MECHANICAL INSTALLATION This certifies that.�r,+..s 6�4 � ............ has permission for mechanical installation . . N i �� � . . )�,- !� in the buildings of . . +�W. + V4�n �� f-)� ....... at . . 2.0 . . sqthp <1. . . North Andover, Mass. Fee. .77e-:-:� Lic. No.. . GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer le Ev"1e,,\� joes Commonwealth of Massachusetts - Sheet Mehl Permit Date /,S - Estimated Job Cost- EsttrnatedJobCosy S_ C) Q Permit S__��e_..d,_ v Plans Submitted r lE _ _ O Pians Rc% ,,e" c(i YES tipa s - Business License #� Appli ant I i� ersc a_. Business Itiformation 3'« err t.)u ncr f;;b i ovation Infermatron Name: -SC O TF �' �" j A-&7&_,amc Street' s &0 Street. City/Town.�-� fK�, l= %��f�� j�� , C:r, To r ��-� - k)�J<�l� Telephone, �' ` �� _3% tib cphone Photo I required r Cops- of Photo 1 D attached YF'S NO stiff Instill 3-1 I M -1 -unrestricted license J-11 M -2 -restricted to dwellings -stones cr less and c;t�,metclai u1� to 1 D,r)00 st~ ft -2-„torus of less Residential: 1-2 family _ Multi-fanttl­ __.._ Cordo ether e Commercial: Office Retail _...__ Inu;trla! Educational Instttuttona; Other kis: Square Footage- under 10.001) so ft V c%e- Ir",OC41 >c1 ft _ Number of Stories: Sheet meted work to he completed: \cam° Work � Revo� atlon _ HVAC Metal Watershed Roofing � :Kitchen Fxhaus: System Metal Clhtntrtc� Vents _ 1. t Balancing _ Provide detailed descrptic n o -.k _ rk- ,, be done '” .�-7� r / I J INSUKA I COMAGE Mrive s cuff"Mswanc0 Dopy or its equivalent whiCn moots the requirerlStnts cf G >_ Ch t' 2 yes No ,.; k N yoy I'm chocked XU. Indicate the typo oI Coverage by Choeking the appropnate Mori, below s A Ilsbgtty iftsnrsftcv policy C� Other type of indemnity Bona i OWNeff-3 "SUttANCE WAfVI R I am aware met the 11consee QQ ' .^.4�,. rn• insurance coverage required by Chapter t 12 of the 1 Mossochuseft 0entral Laws. and that my signature On thta permit appoic even waives this requirement Chau One Only i Owner Agent t $Ur* of Owner or''�1u*stq' s Ager+t ay t:t"totttlrq M bova.rhoroby Comity that all cf the detatts and Into,"llon I navt su"ttted tat enttred� re9ardtng thts apgtitatlon art true Sita iW re,M tetjN bsft ill "itnewgdpe and that all shtel metal wtirk and inatall sttona old ot"d ander the permtI ISS uta tot this appskatian wits be In Cvffe arieeeft on fid#Nt p epylSion of the MAssachustfts Sttldtnp Code Still ChaOttt t 12 of the Ganef at taws Duet inspection required prior to insulation installation YES — NO Prrogrcas Inspections Final 11115211tiOU C tr r�!t , Type of license illi/ ins"cier fpgrvVM of PorrnM Apiafovai S.r)ra,_i,e' L :ensee w`ec• i" WWW.M33S CLOVOCJDI ...� �. .. rrunv,rn a 1144 err 'l it a atll/r ttartla ♦ r ),tpurttnent(lJ•Itttluslrirtl.lc•t•irlent.s�„� i l)jfieevf�lnt'esti•qutira�ts .,or J Congress Street. Suile 11111 Boston. .11.4 02114- '017 \Nurkers' Compensation Insurance k1lidalit: BuiiclersiContractorsrElectricians, Plumbers �) )licant Information 1'1case Print Leybblv ��;lilltti I3u,I,?:^.r YJrs:anttatton Indtt,aualt: � G�r �T7`C—�_�_ ��"-' � C•�' 7f 11110ne Civ, 4ww /Ip: T -_ ire 14tu an--Cl' n 4111{)Ir,►Y,r". Chawte the appropriate t: v(te of project Iregatrrtit'y' g. 1 jJ I atn a tienerai contractor and I 1 `e,ti t t,nstructit)n atn a v.rtplct� rr \\ 41h — have hired the sub-contral:tsors Illplo.-Ce" I:ull anti'or par-t•armcI. - fT' Rcinodeling 1,lcd on the attached ,heel. k I J I .lkn j'—,e }troprlrtuf orc ,ertnrr• 1 ill 1110 na\r no etnnio\ees } }less �ttb-contractors have 1tt.inti! :'or me tit in*, �a{;aclt� •.:.tnto%ees .Ind have -.\, Aers' I l3uridine addltum �,,mp. insurance. +, .,,.r4,cr�• t+allst, ri\clr:lncc _ � l j :r1 C]1'icltrtral rei,alfS,)f addtttrl 'A'e are a corporation and Its ;yukr; 1 l •Iticen have etrrclsrJ their � I 1 ❑ Plwnt+inl; rt:patrs or.Iti�1ilil I .1111 a r.,lmetnl n:r .1t,Inti all \\1,111 :,hl 1)r c`(etription per \1( A. lith,! 6.patrs %II.: `.t) u,irk I:I's It 11, .Inti ,\e ha\e tto t i ❑ t )cher' an:: t: tlUtretl i ' :mpla`eta. ('1io \►orkers' .0111p. Insurance requlred.l 1 n t'I'tst t,i .;,�Y .tic,►. tw, i „u.Y ,tw ,iii ++u1 the v�nl•n Fti &.,+• _h—,isw their ,,,nl.ctN .,.mPen..4uun fi +tli, u,ll,mtat„In L•,ac,••,r: + .rn++-unntn Iht+..rl,Jatu u,tlrtattit� th:\ ..re,l,nrt� rli t.it% .mJ them hitt: +mtatde 0tiHrJ,lt,(+ Inti.! •141111ill .4 ll tK rn�t h,•.ainjltl�lJ`'`ktfi.I',`cit • ,,I,,, t, .,. lu.�1 .tltc�l.:h,. M+� t hiJ w .,.t,tYl,++n.tl .heet ,hlstmlt the n.imi: til Ilk'wh-�unlf.tikrl� ra o .a.f{e .,-rUM” win ,hMt nutnhet n4„++..:• I •ae .1h-.,: onti.l €belt if Iuu rat t'rat rrliag 1rr,rltlrt' r unrp4slrulrin,r nlvrrunce /ar myeptipleive'\. Below A the l>.,licy 111841 il,h We I ,',ar,h,t rr (hat Iy iIr/arl,uai„It. 4 �X ''.+Ill\ .. ,�, �r,�•,n, E t: ., .�Y �-�-� —6- .__ �1�,tc Slale-14): )tetr �tt,ch a r 4rp)\ Ill the \\„rkers' :t,pen$at11Jn pt,lic� 11cclaratiun page Ishv\•in! the pulicv number and cttptrattun dal t.nuc'+i .,•.:, art' a.•I'•CI"tic I\ +etitltl-ed'.ka�ler �::lltTn _�.� ,)1 X1(,1.. c• 1`- �•ln is ad tt1 ihC :itthtl'sltltTit,It tirHitlil,ll l"�c1T.111ted etc 'tt`'+t f 11 !V} .itstl ,tr .+t'.i '•:af 31t1prli 11!:111 ill. is ;teil 1� ci\41 I,en.11iles .Il the toren ,)t a l Ittl''!k (IRK ORt�E:1t 16111 .t t ' :-?1 lhi, �t�telnCt)t :n.t\ 'N .,00% tr,l%:,i 1,• �:te I It i'1:: o t ;tt ',I) 'n t' f .la\ .I,ralit�l :i C \ `,+!atilr .1e .td\ lith ilial a co DIA .++r ,, ,1t1'att:: "s\:i1'r: \trtts:.ItlJn t. I .h, he,rehI- „crib ratlkrr the 114tists 111t(1 enaltiev al perjury ihot tett it lorr►larl.a an pr4ritlel118hove A trite 4tild correct. 'Z6 tlllil +ori r(tt' Nnlr. Uri nor is -rite tit tlrt,% Area. III he tuntpleterd h!' cit►• ,rr rut+,r rrtlicirtl. Permit. l.lcenSe "s i•s,Ilslt \uthunofl OBuilthnLg �it' I,Ior1: 1. ltltaral u) IlcallDepartment �1+,n C lerk a. �:let'trtr:,i In•{►eclat �. I'lunit„n� Ir►•pertur I,. t h h rr _.___..._. J �,,ENNiEDY I`hone a: _.—_------ — I BE?AFID SHEtT ME"i':4L V0RKEtl5 } ISSUES POL,toINGL 4EN��[HE S A BUSAESS AMPS^ R STEWAPT z COTS`'+SHEET iII CO 410 LL'WELL ST: ►, J�, Ak + L MA 01880 a.: -COMMONWEALTH OF MA5'SACHUSE7, y BOARD Of SHEET `METAL WORKERS I SSU,ES .THE FOLLOWING "L I CENSE, AS. A MASTER IlNRESTV1 CTED`!!' ia.� t SCOTT SHEET METAL CO t^ JAMES R STEI�ART J3 ` _Ij SCOTT SHEET METAL W � J 1 1410 LOWELL ST WAKE F VE LO NIA 01880 1978 23 2015 9:29PM HP Fax page 1 a a CERTIFICATE OF LIABILITY INSURANCE ° TefumaON1w) 03/239015 THIS CERTIFICATE ISSUED AS A IAATTER OF INFORMATION ONLY AND CONFEIIS NO RICHT9 UPGN " CERTIFICATE "OLDER THIS CERTIFICATE DOES NOT AFFIRNATAtELY OR NEGATIVELY ANEND, E row OR ALTER THE C0VERA6E.AFFORDED BY Twg POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEN THE ISSUING INBUREAft AUTHORIZED REPRESEMATIVE OR PRODUCER. AND THE CERTIFICATE MOLDER, IMPORTANT: H the coMfIcate holder Is an ADDITIONAL INSURED, On peller(Iss) must be endorsed.: If SUBRDOATION IS WAIVED, subJesl to th! I SIMS and aeedftlorts of the policy, cerpdn Policies Inst' mgohe an endoresrneat A stesnnenl on this oorafts% dose not contfsr rlphte to t1M cOrkmesto holder In Ilsu of such endo esme a PRODUCER Paychex Insurance Agency, Inc. A` PANC14M INSLaiMICEAOMOV,IN; 150 SSwg rass Drive . W Imw M EXT. auos Rochester,. NY 14620 SMA 877-266$850 R16UREMAFPORDPGcw mmE I via INJURED Scott Sheetmetal Inc 410 LOWELL STREET WAKEFIELD, MA 02148 Finer MTX*^L C0WMrY OFAM8VCA I+MPLOYERB Brs00pF WALISW cnvcaeres - - — 1 THIS Eft 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURKhVISHM ED NAMED ABOVEFOR INDICATED. CERTIFICATE THE POLICY PERIOD NOTWITFISTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT HATH RESPECT 10 WIi1CH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES EXCLUSIONS • —�---• DESCRIBED HERM IS SU&MCT 70 ALL THE TERMS. AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY '—"----..— PAID CWMS 'mLIC TYPE OF INSURANCE 1 ------ POLICY -- NUMB� ' LIMITS '(aFJt�tALUABRJTY A EACHCOCl1RR@ICE S 1 OODp00 IAMO 1 X i COMMERCIAL GENERAL I REM TY a — CLAIMS -MADE -0 OCCUR PRMI N® ExP IAnyoro IrsoM i 100 25CC23648260 03na►2Du OLRl14>zD15 PERSONALaAovIEIAJFrY �i �opcAoo - i I GEfERALAOG A6Ca+1E i P0mAD0 P1 LAGGREGATELIFAIrAPPUESP61 — I .5 PRODUCTS-LIMP-ICPAGGG i 4_q_ om ! X POLICYI LOC S AUmmeem i L"U" �7 ANY AUTO ED t LED WOLY AUURY rrpwwD) ALLO HlRODAYTDB f NBOIDLYWJURY(Imrs�Wnq S — I AUTOS s — UMeRELU►UAa COCUR EXCEW UAB CLAMS EACNOOCURRe= i ..— LDED AaT3RECiATE S— WORKSMC:OMPEWSATION B ANDENPLOfmIrLIASIIJTY ANY PROPAETORIPARINEIVEXE UTNE YIN rJ_6ACrrACCpE/IT ,'•°°°'°°° jummeIYMEy6ER ®ICLIAED7 M. IFIdabryinMN1 MIA I WCCZ91450090014I 0811462014 06114/20151 — — EL OrSEASE- EA BIII " i 1. I)XI) If d9i b under D IDN OF OPCRATIQNS agogEL. DISEASE- LIMITS 1.000 000 i— i i -T DESC W. CM OF OPERATIONS (U)MATMM I YENICLES (lltieh ACOM 1D1, =.—.I RrroNs add,, ram, Spam is „**mQ _ NIKI'S ROAST BEEF 308 SUTTON STREET, NORTH ANDOVER, MA 01845, CERVFTCATE HOLDER TOWN OF NORTH ANDOVER 1600 OSGOOD STREET NORTH ANDOVER, MA 01845 SHOULD ANY CF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE wiLL BE DELIVERED I N ACCORDANCE WITH THE POLICY PROVISIONS. BUT FAILURE TO MAIL SUCH NOTICE SIIALL IMPOSE No OBLIGATION OR UABILITY OF ANY VI ND UPON THE OCMPANY, ITS AGENTS, OR REPRESENTATIVES 19Ba-2014 ACC ACORD 25 {21).10/05) The-ACORD nerve anp.logo are ►Ssls>te[ed r!warlls o[ /LGpRD Mar 25 2015 8:39PM HP Fax page 1 �m mea xlfEilt FAR I ARE j ws ! P-J")kgT- IaLS4---� H -boo !gtaE tfly-16tzl m r Rot P444P Pu14m � I L 6.40E LE ARE j ws ! P-J")kgT- IaLS4---� H -boo !gtaE tfly-16tzl m r Date. .1271 - '2 9 0/ 2,zl-/4 .... 40RT" TOWN OF NORTH ANDOVER PERMIT FOR MECHANICAL INSTALLATION This certifies that C<-e-i� (.�:.P - ..................... .............. has permission for mechanical installation 7D .L. �-T'5. 0 n k�— , .... Ij ..... in the buildings of,1.6x-?7. 44� at .,577—. . . North Andover, Mass. Fee,.,J1,'�e. . . . Lic. No.. ........ ks ............... GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 3 Commonwealth of Massachusetts Sheet Metal Permit Date: 9 Y cro Estimated Job Cost:t%���1, Plans Submitted: YES NO Business License # '// Business Information: Name: Street: 07 City/Town: - z 4 Telephone: ��iF 7l0 7 Photo I.D. required / Copy of Photo I.D. attached: Building Type: Permit # Permit Fee: $ Plans Reviewed: YES NO Applicant License # JIl , h Property Owner / Job Location Information: Name: ZZI��G Street: ao r City/Town: Residential: 1-2 family Multi -family Commercial: Office Retail V/Industrial Telephone: YES NO Condo / Townhouses Educational Institutional Building Cubic Footage: under 35,000 cu. ft. 1/ over 35,000 cu. ft. p Sheet metal work to be completed: New Work: Renovation: HVAC V Metal Roofing Kitchen -Exhaust System Chimney / Vents Provide brief description of work to be done: r- f�V A -t_ o r ' k= r J INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes ❑ No ❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only w 6�w Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box❑, I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Date Progress Inspections Comments Date Comments Type of License: By P(Master Title ❑ Master -Restricted City/Town ❑Journeyperson Signature of Licensee Permit # � �Q ❑Journeyperson-Restricted License Number: Fee $ ❑ Check at www.mass.gov/dpi Inspector Signature of Permit Approval Sheet Metal Commercial Guidelines / Life Safety / Critical Systems Inspection Checklist Yes No N/A, Set of stamped engineering documents and detailed description of mechanical system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper journeyperson-to-apprentice ratios Fire dampers with access door properly installed and checked for operation Smoke and combination fire / smoke dampers with access doors properly installed - actuator checked for proper operation (May also be verified by fire department during fire alarm testing) Duct smoke detectors with access doors properly located (May also be verified by fire department during fire alarm testing) Smoke / atrium exhaust systems installed and operation verified (May also be verified by fire department during fire alarm testing) Stair pressurization systems installed (where required) and operation verified (May also be verified by fire department during fire alarm testing) Grease / kitchen hood exhaust system installed with all seams and connections welded airtight with properly located cleanouts. Proper cleai`ances, fire rated enclosures and pressure testing required: -- Stiff :aiZ €slmints installed Exr'hUd. required oir egliipment and _ — Duct penetrations in fue'ratc ivalls and fla6rs sealed' Metal roofing systems installed watertight using proper materials and fasteners Flexible duct rums installed 6'-0" maximum length Ductwork installed using proper hanger spacing, hanger stock, threaded rod and angle iron Ductwork / plenum connections sealed substantially airtight Ductwork insulated by means of external covering or internal lining Volume dampers installed for each supply air branch duct New/clean - properly sized filters installed (final inspection) Testing and Balancing report complete (final sign -off) Sheet Metal Residential Guidelines / Inspection Checklist Yes No 101/A Detailed description and sketch of sheet metal system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper joumeyperson-to- apprentice ratios Equipment sized per heating / cooling load calculations Duct work sized per manual "D" calculations Bath/ shower rooms contain mechanical exhaust fan vented outdoors Electric dryer exhaust properly installed maximum total run 35'-0", maximum flexible run 8'-0" Flexible duct runs installed 14'-0" maximum length Volume dampers installed for each supply air branch duct Ductwork installed using proper gauges and hangers Ductwork / plenum connections sealed substantially airtight Ductwork insulated by means of external covering or internal lining New/clean - properly sized filter installed (final inspection) Testing and Balancing report complete (final sign -off) t REIDMEC-01 KRISTINL CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,. 9/15/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), PRODUCER CONTACT - — Connie Parent PHONE Elliot Whittier Insurance Services, LLC 75 Sylvan Street Suite B202 � A/c No Ext : (978) 977-4884 I/vc No) (978) 977-0850 850 Danvers, MA 01923 "'Ess: -- ADDRcparent elliotwhittier.com 05/23/2014 INSURER(S) AFFORDING COVERAGE. NAIC # - ........ -- INSURER A:EXcelsior Insurance Co 11045 INSURED INSURERS Peerless Insurance Co ;24198 Reid Mechanical INSURERC: 27 Charles St # 3 INSURER D: North Andover, MA 01845-1664 INSURER E : INSURER F : PERSONAL&ADVINJURY ^5 1,000,000 -- --- ---- "-""—'- RCVIJIV IV IVUIYI6CI'C: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE i j POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY iNorth Andover MA 01845 ._. 1. ... CLAIMS -MADE I X OCCUR CBP8457320 05/23/2014 ;EACH OCCURRENCE $ 1,000,000 05/23/2015 pREM O(Ea ante) 1 ! SESAMAGE occur $ 100,000 L.. ; -_ MED EXP (Any one person) $ 5,000 GEN'L PERSONAL&ADVINJURY ^5 1,000,000 -- --- AGGREGATE LIMIT APPLIES PER: f ___.._ X PE� j GENERAL AGGREGATE S 2,000,000 POLICY LOC I PRODUCTSCOMPIOPAGG $ 2,000,000 i--.... OTHER:' AUTOMOBILE LIABILITY j COMBINED SINGLE LIMIT $ 1,000,000 ANYA AUTO 'BA8443664 (Ea accident) .....__ . _ ALL OWNED X SCHEDULED 05/23/2014 05/23/2015 BODILY INJURY (Per person) $ AUTOS AUTOS I X HIRED AUTOS �X i NON -OWNED 'BODILY INJURY (Per accident) $ ----t ----- --- PROPERTY DAMAGE - I AUTOS Per accident $ I $ X UMBRELLA LIARX I OCCUR t - I EACH OCCURRENCE $ 2,000,000 B EXCESS LIAB ! CLAIMS -MADE ICU8456428 05/23/2014 05/23/2015 AGGREGATE $ 2,000,000 DED I X I RETENTION$ 10,0001 — I WORKERS COMPENSATION AND X PER 0TH- $ iANY EMPLOYERS' LIABILITY Y / N PROPRIETOR/PARTNER/EXECUTIVE L.._ STATUTE :ER '(Mandatory N-- N / A IWC8458524 OFFICER/MEMBER EXCLUDED? 05/23/2014 05/23/2015 E L EACH ACCIDENT $ 500,000 _..._ _... in NH) es, describe under ' E L DISEASE - EA EMPLOYEE: $ 500,000 !DESCRIPTION DESCRIPTION OF OPERATIONS below j E.L. DISEASE - POLICY LIMIT $ ` 500,000 i j i I i DESCRIPTION OF OPERATIONS /LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) HVAC Contractor v IVt$b-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Town of North Andover 1600 Osgood Street AUTHORIZED REPRESENTATIVE iNorth Andover MA 01845 v IVt$b-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Fold, Then Detach Along All Perforations 6