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HomeMy WebLinkAboutMiscellaneous - 223 PLEASANT STREET 4/30/2018 223 PLEASANT STREET 210/085.0-0047-0000.0 g NORTFr l:r:•,- dot f } 4 I CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 190 (9/12/06) Date: October 20, 2006 THIS CERTIFIES THAT THE BUILDING LOCATED ON 223 Pleasant Street MAY BE OCCUPIED AS Basement Remodel IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Minco Corp 231 Sutton Street North Andover Ma 01845 Building Inspector c10RTH Town of tAndover No. 190 - -. zo dover, Mass., ' (e LA zs. C OC MIC KEwICK y�' ADRATED `r BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR; r/hOlt THIS CERTIFIES THAT...... �.��i/ .............C. '.. ...•............................................................................. un ation has per to er b (dings on .,...haw....... . . . ... . ................. to be occupied as... .. . T Chimney ........ ............ ......... • ................................................................:.. provided that the person accepting this permits all in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Gh&/44 C IN MONTHS 0/ ==nC 1W.00W PERMIT EXPIRES 6 UNLESS CONSTRUC T TS ELECTRICAL INSPECTOR ou ��. ��-Z°�ci ....... ... Service .. ......... .. ... ...... ............. BUILDING INSPECTOR 6D Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove FU OF/�� No Lathing or Dry Wall To Be Done FIR DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. C.IV r SEE REVERSE SIDE Smoke Det. r w t DateZORTH . . .. .�U l! Of,NORT:,�� TOWN OFNDOVER . O PERMIT FOR PLUMBING o SACMUS� _ J/ /' Q This certifies that ./.�!??. �dh�• • •Qt��-- . . . . . . . . . . . . • • • • • has permission to perform . �!/ .- . . . �2- •=^. • • • plumbing in the buildings of ! �.3. .� t'!?�..f'j . . . . . . . . . at . .X✓, 0wz?.•. . . . . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. +!�.4 v.Lic. No.1.02.7y/. . . . . . . . . . . . . . . . . . . . . �. . . . . . . PLUMBING INSPECTOR Check # �_ 7129 IVIASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,:-IASSACHUSETTS Building Location Date M-1-00 �a Owners Name Permit# S` e CA ���Type of Occupancy � Amount New ❑ Renovation Replacement Plans Submitted Yes ❑ No ❑ FIXTURES F r F w . J 4 cg [., r A ra MgNEvr 1Sr HIM — M FLOOR �FLDC[t I ,RH FLOOR 5M FLOOR 6M FLOC 7TH FLOOR �p (Print or type) / Check one: Installing Company Name / 1i A1,7 b G Certificate /� LCLU ❑ Corp. Address ` � 4 � t � Partner. Business a ep one �j 4 Firm/Co. Mame of Licensed Plumber: �;! Chu Insurance Coverage: Indicate the type of msuran e coverage by checking the appropriate box: Liability insurance policy 10 Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have anone of the above three insurance y Signature Owner ❑ ,-agent ❑ I hereby certify that all of the details and information I have Submitted(or entered)in above application are true and accurate to the Fest k)f my knowledge and that all plumbing work and insta�Pe"")M" de it Issued Ci;r this application will he in _ompliancc with all pertinent provisions of the.'v(assachusc ,de d apter 17_r,l'theGeneral Laws. By: Ji�na ure U cense um er Title f T',p ,f Plumbing License City,Town re)-' um er ;MasterT APPROVED(.OFF,E USE ONLY � ourne man I Date....................... -s...... HORTM °ft"`°;•�"° TOWN OF NORTH ANDOVER k p PERMIT FOR WIRING 'r SSACMUS� - This certifies that ............... ........................................... haspermission top=form—�-'— '� -- �?--- .......v....... ......................................................... wiring in the building of.: t--mac-!. -! '?................................. ,H.:. ? .....: .. ...... ,North Andover,Mass. ...................... Fee ............. Lic.No. 11�i'�/.� ,lYn' .......... .`. .............. ELECTRIC R� Check # _ l 8222 ,�*� Official Use Only �\ l.ommoruuealth o�///a��aahu�81� ' cc� Permit No. "' eC.JePartmerc.�o��ira�eaviced � `O'ccupancy and Fee Checked — 80ARD OF FIRE PREVENTION REGULATIONS 'Rev. 1/071 ., (1`eave blank) APPLICATION. POR PERMIT TO PERFORM-ELECTRICAL WORK All work,to be performed in accordance with the Massachusetts Electrical Code(NEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORM,I;TION) Date: City or Town of: li , �-A)pia i To the Inspector of Wires: By this application the undersign d gives notice of his or,her mtegtion to per orm the electrical work described below. Location(Street&Number) 'e Owner or Tenant tM - Telephone Owner's Address Is this permit in conjunction with a building permit?. Yes No ❑ (Check Appropriate Box) Purpose of Building �� Utility Authorization No. Existing Service /00� Amp, 't2 0 /QJ Volts Overhead Undgrd❑ No,of Meters New Service Zoo Amps r�/ Volts Overhead ' Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:. Cam letion o the oltowin table maybe waived by the Inspector of Wires. No.of TOW No,of Ilecessetl Lizrniliaires No,of Cei1.Szislz.(Paddle)Tans Tr"Insfcirzners _ -- KYA — -- 1`To. otl,uz,aiuriz e Oiifltts -- No.of'ilo+ 1.'ubs _{rent z hors ----- _ - - --- - -------------------------------- -------------]�hoyc -- .(.n_----_� l.aj;)tiin.g No. ofJ�itzziizz�izcs Swimming).'poll crud,: znd. �-' Bat(cr L)nils -€ } - _ • No.of Receptacle Outlets °'No.of Oil Burners. `. FIRE ALARMS No.of"Loizes ° No.of Gas Burners o.of Detection and No.of Switches -Initiating Devices No.of Ranges No.of Air Cond.- Toons No.of Alerting Devices Heat Pump Number ons o.of e - ontame No..of.Waste Disposers Totals: Detection/Alerting Devices S ace/Area Heatin KW Local❑ Municipal ❑ Other No.of Dishwashers P g Connection Heating Appliances KW Security yymes or Equivalent No,of Dryers No.of Devic No.o ICw Water o.—Ol oasts Data Wiring: Heaters Signs BallNo.of Devices or Equivalent e ecommumcatrons wingg: No.Hydromassage Bathtubs No.of Motors Total HP No.of or or E uivalent OTHER: Attach additional detail if desirec4 or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with NEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE-gE' BOND [I OTHER ❑ (Specify:) I certify,under the a' and penalties of perjury,that the information on this application is true and complete. A FIRM NAME: o�Z �''� LIC.NO.: a " Licensee: Signatur �-�------� LIC.NO.: (If applicable,enter"exempt"in the license number line.)Lon Bus.Tel.No., Address: A1t.T e L No.A-nr^r�7 " ��-�i'3� *Per M.G.L c. 147,s. -61,security..work requires Dep 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 owner's a ent. required by law. By my signature below, hereby waive this requirement. I am the(check one)[I owner ❑ Owner/ Signature Telephone No. PER1bIIT FEE: �� �,,, Itis IlUIVliVlt![Y rrr U.Jn yr u • ~-�� DEPAiU3ff1Vl0FPUBIICSAFEIY Permit No. BOARDOFFIREPREVENHONRDGAIATIONS5VaMI2lb Occupancy&Fees Checked APPUCATTON FOR PERXff TO PEUORM ELECMCA LoWORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DatL 3 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) UCA oA- 54-' Owner or Tenant C 55 41- 1 iJ•5'�— ; Owner's Address Is this permit in conjunction with a building permit: �� Yes No (Check Appropriate Box) a �� Purpose of Building Cj°t r'?, I P- 'r �` ` ton Utility Authorization No. Existing Service �� � Amps / Volts � Over}iead Underground � No.of-Meters New Service �Zn� Ames ra0lts 'Overhead Underground Q No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of lighting Outlets ! No.of Hot TubsNo.of Transformers Total KVA No.of lighting Fixtures Swimming Pool Above Below Generators KVA ground El ground ri No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets V 6 No.of Gas Burners No.of Ranges / No.of Air Cond. Total FIRE ALARMS No.of Zones ! Tons No.of Disposals / No.of Heat Total Total No.of Detection and _ Puma Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW LocalMunicipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs �— No.of Motors Total HP OTHER R-2,u.5 S�1 Vl / t`�w i�;2Q1 ce-S av k n6-fi7 � f A)n , l ST ,,2 hmratoeC0�gagiA bdletagtimarlalsefMassadavC81®ILaws Ihneac mts tLwbikyh�ta=FbL-yx clu*gCa 4� a&�M YES ® NO Ihaeesubrnitdvafidpcoafafsa=lodr0l�YES ff}vuha�edlad®dYFSpleasealdicaletetypeofornaageby ,g�lebm D �_�+ L�� n 016,, BOND t� 0 cr) rl 1 D* EtmabdVatleofEbchical Wade$ obkbflt kWecfimDWRW9ed trldXTCFbtAiM, ofpMjW, NAND _ rnA MMo.kA L-tel eC-T/ � UwwNa IA. Li�atseNo A�SD I�- Busin=TdNa A. AkTdNa 5 8 ya 3 _ 'SINS<JRANCEWAM341amawalethadrLimwdamnothaMetheirrsuarloboamWcrilsa>b9•a�Galeglu Wmiaslt�lmedbylvlas dmsMCeiffWLaws rry 9grlahae en tlis Pemrt appLcation wanes ft ragtatenalk e check one) Owner Agent — 6� Telephone No. PERMIT FEE S �SLS igna re or Owner or Agent 3 - 21 �P -z.� N011TM Zoning Bylaw Denial 3r'� s Town Of North Andover Building Department 400 Osgood St North Andover, IMA. 01845 '.S Phone 878.68844 Fax 878-G884542 Street 3 3 le.)s,� f Ma Lot -7 Applicant: 1z V�s Request S'i�� l E rArv/�L`f fo `Tu 'f� r=4 1 if ,/.ver Date: I Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning Notes Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Fron a Insufficient 2 Lot Area Preexisting y- 2 Frontage omplies 3 Lot Area Complies 3 Preexisting frontage 5 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required `l e 5 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient 3 Preexisting Height `1 e 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient I Building Coverage 6 Preexisting setback(s) C 5 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting `f E= S 1 I Not in Watershed 1-1 5 4 Insufficient Information 2 In Watershed j Sign 3 Lot prior to 10/24/94 1 1 Sign not allowed 4 Zone to be Determined 2 1 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required 1 More Parking Required 2 Not in district q�S 2 Parking Complies 3 Insufficient Information 3Insufficient Information 4 Pre-exisfiParking Remedy for the above is checked below. Item 4 Special Permits Planning Board Item 6 Variance Site Plan Review Special Permit Setback Variance Access other than Frontage Special Permit Parkina Variance Frontage Exception Lot Special Permit lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special Permit S " I Permit Non-Conforming Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Development District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Sign R-6 Density Special Permit special Permit preexisting nonconforming Watershed Special Permit The above review and attached a pimetion or such is based on the plan and intwnubm subs itad. No definitive review and or advice shall be tweed on verbal move tions by the aWA=t nor shay such verbal eorpWobw s by the applicant serve to Provide dsfrriM answers to the above reeeam for DENIAL. Any kw mmacies,mislaNWQ inMI-Man,or other aMOCIuere changes to the intarr wwn subnrilted by the epptioant strM be grorurds far this review to be voided at the discretion of the Building Daperimw t.The atfachad document tilled'Plen Review Narrelive'shall be attached hereto and incorporated herein by mfwonce. The building dspertmmt will retain at pins and dwunrorrtadon for the above file.You must file a new building perp t application form and begin the parmrl V process. /Y /0/3 �/,�ata,&,�/i K-,,-�� — Building Department Official Signature Application Received Ajp-li&tiorf Denied Denial Sent: — If Faxed Phone Number/Date: Plan Review Narrative The following nartative is ptovided to further explain the reasons for denial for the application/ permit for the property indicated on the reverse side: mom fW l/vC/K' S C r �� Referred To: Fire Health Police Zoning Board Conservation Department of Public Works Planning Historical Commission Other BUILDING DEPT ribwN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATY OR DEMOLISH A ONE OR TWO FAMILY DWELLING Ma BUILDING PERMIT NUMBER. DATE ISSUED: M ic SIGNATURE: Building Commissioner/1r of Buildings Date SECTION 1-SITE INFORMATION I Z 1.1 Property Address: ,! 1.2 Assessors Map and Parcel Number: O e--- 8, 5- � � Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 24 Z F4 ^ � �y 5—0c,0 �a Zonin Di ct Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Rater Supply M.G.LC.40.1 54) 1.5. Rood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System p SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT MSTOr►C U1s ric : Yes o rTi 2.1 Owner of Record L`S,f' C 12 G-ALT ��Z�-1 i- 2-3 / J�TT KGs: /�4 Name(P' Address for Service: y0-2 4A1,0 GvLI�- Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z Signature Telephone M SECTION 3-CONSTRUCTION SERVICES QO 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number Address D Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name Registration Number r Address r Expiration Date Z Signature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No....... ❑ SECTION 5 Description of Proposed Work check all x bie New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: GoN(/G�'C..f/o� !J� yrr a./J �=/Z��'Lr" S/•tiG-G l� 1��.�.?� �./t, G„U o2 ���vl l L Z,L w/ T/1"//li G�i/S�-/.✓� /�vl<�//(/�r SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OF"CL4L.USE ONLY' Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, _,as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b ROWTHORIZED ACENJ DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print ame �e D Si aturgef Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DLMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH]NINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Location No. �-3 Date /S,/,41 I r MORT►r TOWN OF NORTH ANDOVER • ; , Certificate of Occupancy $ �sJwcMuSE< BuildiriglFrame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ r `n' Check # 23 3Of 17 9 2 3 ��uildin .`nspector TOWN OF NORTH ANDOVER BUILDING DEPAR'TMEN'T APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 00 -77 BUILDING PERMIT NUMBER: O DATE ISSUED X SIGNATURE: !j; • Is, --m Building Commissioner/Ingwor of Buildings Date z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: G'Map NumberParcel Number w 0 1.3 Zoning Information: 1.4 Property Dimensions: r Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zane Information: 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone ❑ Municipal )d-- On Site Disposal System ❑ _! SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT eIStUI It; 1StriCt: Yes �Jo_ M 22.1 Owner of Record 9 �p at a,(,T ► ,�s i 9,31 Lame(Print) -` � Address for Service � `v aigna Telephone 2.2 Owner of Record: Name Print Address for Service: Si natbre Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ �u,v � �,rf8LC{.Gfil Jyj� Licensed Construction Supervisor: -4-, ECIC/C� . IRA- ���1 � License Number 0 CO(�ji�j CV V Expiration Date igi, relephone 1 -711,5_1Z6bS 3.2 Regis ered Home Improvement Contractor Not Applicable ❑ aj,:5 R ,AnlP.( I k- � 3/ ZO z Company Name � ) 6Ir�' p t Registration Number U T7Q,y Al ress p 7 0 7 lD Z Q Expiration Date Si na ele hone SECTION 4-WORIURS COMP NSATION(NLG.L. C 152 § 25c(6) , Workers Compensation Insurance affidivit must be completed and submitted with this application. Failure to provide this affidavit wiil result in the denial of the issuance of the buiLiling permit. Signed affidavit Attached Yes....... No.......❑ SECTION 5 Description of Proposed Work check all a licable) _ New Construction ❑ Existing Building Repair(s) ❑ Alterations(s) '1 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be QFICIAL IISE ONLY Completed by permit applicant 1. Building / (a) Building Permit Fee Multi tier 2 Electrical (b) Estimated Total Cost of 7 D Construction 3 Plumbing p b-0 Building Permit fee(a)X (b) 4 Mechanical(HVAC) e" 5 Fire Protection 6 Total 1+2+3+4+5 6119 Check Number SECTION 7a OWNER AUTHORIIAT16N TO BE COMPLETED WHEN OWNS NT OR CONTRACTOR PLIES FOR nDING PERMIT I, asOw orized Ag t of subject property Here thorize to act on behal ,in all r o work authorize Ig permit application. r i re of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT,,PfCLARATION I, as Owner/Authorized Agent of subject properly Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Aent Date NO. OF STORIES e SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIVIBERS 1 s 2 3 SPAN DIMENSIONS OF SILLS DIN ENSIONS OF POSTS DEVIENSIONS OF GaDERS r HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH1MN'EY �. G IS BUILDING ON SOLID OR FILLED LAND IS BUS DING CONNECTED TO NATURAL GAS LINE ® NOV 1,£3 2004 9: 23AN YORKS 603 744 6690 P. 1 CID '®A„occucci ASC FiluIt I"ta51 MORTGAGE INSPECTION PLAN for mortgage purposes only 50' 0 0 � z STaRY W.F.b. DECK 12/15/2004 16:08 19783276517 WILLOWS PAGE 01 ACORD. CERTIFICATE OF LIABILITY INSURANCE DA1TE 2111M004 PRODUCER 978-9754344 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WILLOWS INSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 522 CNICKERING ROAD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTH ANDOVER,MA 01845 INSURERS AFFORDING COVERAGE NAIC 0 INSURCRA: ASSOCIATED INDUSTRIES OF MA — MINCO DEVELOPMENT CORP INSURER B: 231 SUTTON$TREET INSURERC: NORTH ANDOVER,MA 01845 INSURER a — INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDINO 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS OWIL POLK:YNUMBER POLICY EFFECTIVE POLDATEIMU1131IFtYl 2AICYEXPIRATIOYYIN LIMITS GFNERALLIA9ILMT i EACH OCCURRENCE S COM MSRCIALGENERALLIABILITY ! PPREMISES(Ea otmluanCel ,S CLAIMS MADE F7OCCUR MED EXP(Anyonsperson) I S PERSONAL&ADV INJURY IS OENERALAGGREGATE _ ;S GE_N'LA9GREOATE LIMIT APPLIES PER: PRODUCTS r COMPAP AGO S POLICY ...__IJECT PRO, LOC !AUTOMOBILE LIABILITY I _ COMBINED SINGLE LIMIT ANYAUTO (Ea nccklvnQ—_--_-• —' ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Par person) HIREDAUTOS ' 19001Lv INJURY - - NON>OWNEDAUTOS (Paramident) (3 �._ ........---.._........_._..... . .. (PerBPERTYDAMAGE $ GARAGE LIABILITY AUTO ONLY,EA ACCIDENT !3 H I ANY AUTO OTHER THAN £A ACC $—_ •,•-_,__• AUTOONLY: AGO S EXCESSfUMBRELLA LIAOILRY i E4CHOCCURRENCE S 1 ocwt OLAIMS MADE AGGREGATE DEDUCTIBLE $ RETENTION $ I $ WCS'TATU, DTH, WORKERS CGMPENBATION AND ,TORY LIMITS ER A EMPLOYERS'I.IARn-wr VWC6009345012004 9-1-04 9-1-05 E L,FACHACCIDENT s 50(,000 ANY PROPRIETORIPARTNERIEXECUTIVE I ••— OFFICERlMEMEEREXCLUDEb7 E.L.DISEASE,EA EMPLOYEE S 500000 M yyees describe under SPECIAL PROVISIONS below E.L.DISEASE,POLICY LIMIT 9 500,000 OTHER DESCRIPTION OF OPERATIONS l LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT!SPECULL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLEb 89FORE THE EXPIRATION DATE THEREOC,THE ISSUING NSURER WILL ENDEAVOR TO MAIL CLAYS WRITTEN TOWN OF NORTH ANDOVER,MA NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SD SHALL BUILDING INSPECTOR IMP09E NO OBLHIATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 120 MAIN STREET REPARSENTATIV NORTH ANDOVER,MA 01845 AUTHORIZEDREIPIESE ACORD 26(2001108) CORPORATION 1988 x.10 R TH TONNM -ofAndover (9-c::�o4..T ` A K E dover, Mass., i)&. . JU "off.. ._ C OCMICH..C:. y^ �ds RATED y PPa` � 7 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT ��C ' .................................... .. .. �' ..M./. .411.4!ASR',�.......5*.!............ Foundation has permission to on h,,.Z3,. l t�� 1 ITl � Rough t0 t18 OCCUpled aS �.IR'j /L> �. � .,, '�'� ,� �I � � � V-14 �'S F Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application o� n �ile in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PENT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU ST S Rough ....... ... ..... ....... .. ... . Service MdS .......... BUILDIN OR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove' Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner C'g . �•�- -� 34e Street No. SEE REVERSE SIDE Smoke Det. Date... .......................... NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING U u This certifies that ..... . ........................................................................... has permission to perform wiring in the building of... . ....... ...... ....... at K�......I....... ........... v,North Andover,Mass. FeeX�.":.......... Lic.No.............. ...... .......... ELECTRICAL INSPECjMR- Check # e- 2z el, 41- 5 071 I JW UU[V1LVIULY YIL3fiL.111 UE 1r1r1a3t1%,nv.3Jsi 1 DEPAR734EVT0FPUXJCS4FE7Y Permit No. Lel ` BOAROOFFREPREVVEMON ONSR70'MIZV0 Occupancy&Fees Checked APPLICA77ONFOR PE MT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THZescribed CHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DatL. 3 1 la Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical worbelow. Location(Street&Number) aaL � oA– 54–) Owner or Tenant E SS k (JSP_ Owner's Address 3 I v�la 57 N Is this permit in conjunction with a building permit: Yes r� No � (Check Appropriate Box) �� 8D-( Purpose of Building S i e, �`►^ ` A Utility Authorization No. Existing Service Amps / Volts1.00 Overhead a UndergroundED No.of Meters New Service fZn O0 Amps `DO/0�1�olts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets %O No.of Hot Tubs No.of Transformers Total ( KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round round ri No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets V No.of Gas Burners No.of Ranges / No.of Air Cond. Total FIRE ALARMS No.of Zones / Tons No.of Disposals / No.of Heat Total Total No.of Detection and _ Plumps Tons KW Initiating Devices No.of Dishwashers / Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis P No.Hydro Massage Tubs No.of Motors Total HP � OTHER. Ir WM=Cove• mdleregtmarerllscfNt%mdmMCeoWLaws ItmeacumtirbthyhmnaroeFb ymdudrlgCornp)M- CovWdForAs%*krftalegMWfft YES NO Ihavesubrri&dva5dptcdofsxw1odl.Office YES Ifycuhavec rdkpdYl~'S,pleaseir&&therArcfwmWby RANGE BOND Q OMER (Pleas *cifY) X71 AA Estitn*dVatredUrhieal Wade$ WodclnStat 3� ibpecdolIDNeRequeod Fzugh Fulal sigrredurrArRmlliesafpetrlyr A MMo kA L-'l e� rZ RRMNAME 1 " L+=wNa Iicem.e M G�Pre.' ���Ia Q� S' Li=wNo Busi=TdNa _—��-- 1 A GJ Alt Tei Na OWNER'SMRANKEWANER;IamaAmdmtdrLmwdoesmthmdreirrsrrarroeweagzaitsmbsftiW stn imiasm4madbyMmmAmusGe aWLaws and drat rrry sgnahrre an d>is peurit appT�al waives dis regtmarla�t (Please check one) Owner Agent a Telephone No. PERMIT FEE$ signature of Owner or Agenr II=LulmY1V[v rrr.9"11 yr A., �•--�-��7� � DF,pAIUNff 0FPURWSAFWY Permit No. B0ARD0FFMPREVEW0NRE9ffAH0MR7GR12.W 10• i � Occupancy&Fees Checked �++.��■ APPUCA77ON FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Ila 9 Town of North Andover To-the In of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&.dumber)•. F t l'-s o� - S4, Owner or Tenant C S5a t'.rY (/ 7 - Owner's Address Is this permit in conjunction with a building permit: • YesM No (Check Appropriate Box)' cpos'e'oCl#eilding, ,' �- •'�` r `' Utility Auth 'zati n No. Pu Existing Service p►mps�OF Volts Overhead 0 Underground ED No.of Meters New Service r400 -- Amps �aQ� olts Overhead 01 Underground No.of Meters Number of Feeders and Ampacity < 70 Location and Nature of Proposed Electrical Work ^ No.of Lighting Outlets % No.of Hot Tuba No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool AboveBelow Generators KVA ground 0 ground No.of Receptacle Outlet; /\ No.of Oil Burners No,of Emergency Lighting Battery Units No.of Switch Outlets i1V V No.of Gas Barriers No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones _ / Tons No.of Disposals / No.of Heat Total Total No.of Detection and Plumps . Tons KW Initiating Devices No.of Dishwashers. / Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW LocalMunicipal Other 0 Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tuba No.of Motors Total HP OTHER N-P-W SJ2CV I LC / t") �R V 1 C...2 S o� k CXCc i '� l AaM l ST cr�2 JK==C0MW Pdd=t1Dftffl4=ffl=ftCfMaffiXMMC9nMdLawS IhmeaammltLrbRtyhrsuano Fb yadudrgCarlp& scomwGrksm e phwat YES ® NO Iha-,e&*rriWdvddproof0fsN=lDde0ffm YES lfymtowdiadWYBS,pleaseirldraletcWofoo�by LMMMJ � � BOND o ) �1,Mg* admDab EMraladVakiecfEbcmcalWak$ Cdclostat 3 " hispecdcriD&RoWesied Fid ur&r Ihlal ncfpajtryeL LioarseNa NAME A MMM kA 0 c-� Mt e l S' Li=wis o A l So 0--- BusitlescTeLNa r 1 'lzy�-A AkTe1No. S�8 ya 3 3 /rte 1 'SNSURANCEWANE iammmd a dcLimwdmnotha fthuaroeoomWailssubs wMegivalaltastac *We iNimadn9eltscml Twin s mySlVmWmcnttpe:'J iq*abmWa11esftwW=w . e check one) Owner Agent Telephone No. PERMIT FEES 4,�CJ lgna re of Ownergen uP R& C1J a Nei c+i iL : Al 3 -2`l- a; feLook D V zo 4w,1 S% �L P&tA,�-w� n GIrO�fZCQDy " � 1 � v- Q ------ -------- - --- -A 11W LU[VJltV1t✓[v rrEd"n yr tit i►t,�zv.usi�� -- \�� DEPAR731E TOFPEfRUCSAFElY Permit No. ' BOARDOFFIREPREVEMONROGULMONS5r M 12:010 Occupancy&Fees Checked APPLICA71ONFOR PERMITTO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of WI- es: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) t7tT 1 0 A<,igti5 — Owner or Tenant SSeSL_ ZeA LT I TLCI.0-r Owner's Address R9\ SOAA-0(_4 S+-- N - Nt400 � Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Q tJ D�J A�-f J�A{Y1 t `/ 02 Utility Authorization No. Existing Service Amps �Volts Overhead a Underground M No.of Meters f New Service Amps Qra_VoIts Overhead © Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Neu-3 bev i ces Q00 He. �- + fzlw4k � ++ Ncw TA a s2Cv 1 z No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round round rl No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local a Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tuba No.of Motors Total HP OTHER J W ArgRU C),A ;aoi c t� i tr� 4) TF��O uv� (1(\L CfZ- S d�- -�4 c�i��'�. i 6 0� �n�Cie k S a WOE 50", Arse 1 mA 1v \-�u2ec� -u�►�k� rve�s ��ur�ces t },,�eS .�. �vu �S��r� It�uaanoeC�agz.AaarattbthetegritanaysofMa�sad>t>setlsGalaal ws IhaNeacu=tLdiTtylm==Rbyffx!AgCo r]M Co aageortskstatiale4livaial YES ® NO Iha%esutxr�dvWpvofofWW1D OffM YES r—M IfyouhaNedniodYESPlea9eindidethetypeofo by ��Ib°°` BOND OTHFx A, .Mt Es&r"od ValeafF1Xfi:al Wak$ WO&O&V aa� D&Reglleswd RaoS Falai Sigledun�r�ie �PaNY / V , LioatseNad— HRMNAME _ lic, X(,C�rnvSigral LimiseNo Btlsil=Tel.Na rl f 9 7 ALTUNo. OWNER'S INSURANCE WAM3I IamawaethattheLi=w doesrothavethemammoomageoritsa bt;htdepv&uasmqundbyMassadmsm Galeallaws and that my signahne en this psoric applicafi'al waives Itis teglmf3nat (Please check one) Owner Agent Telephone No. PERMIT FEE$ signature of Owner Or Agent r i rsr Odom N x I 'y i SSACHUcal CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number '��3d Date os THIS CERTIFIES THAT THE BUILDING LOCATED ON MAY BE OCCUPIED AS 3"1 N q/vo- ��r21! /�/ �Gy e �ll�q IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO cS u ht, /PP 4/r` Building Inspector NpRTH TONM of No. 411 p _ dower, Mass. ` . . 1` 0 S=y LAKE ' ' COCHICHEWICK V oRATED v 4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT... •l ': :... .e14 .. `ate :�" . '............................. . w.. "!.1.4..*:. ; .+ : t.`r....... .»""•. ............ BUILDING INSPECTOR Foundation has permission to .... "� ........: on .�i.. 4 ..........�/='a.... .................. Rough to be occupied as �+ ;� 11�t1 ."... .�'� ` �=,cox! �C �l 11� s „l� i+t�?•1�' =:e ;� �"� � Chimney Provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. j ?--2 7 "q PERMIT EXPIRES IN 6 MONTHS � ELECINCAIL INSPECTOR UNLESS CONSTRUCT-1 N ST TS low- o 3•�s.� ._! ..�: ........................ + .........t... + ' Service BUILDING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR o Display in a Conspicuous Place on the Premises — Do Not Remove Rna h No Lathing or Dry Wall To Be Done FIRE DEP ENT Until Inspected and Approved by the Building Inspector. Burner , •� s. f 6 � Street No. SEE REVERSE SIDE Smoke Det. 6.. ri 1, "0°T'',ti0 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING � ,SSACNUS� This certifies that . .�.... . ..... . .... . ..—. . . . . . . . . . . . has permission to perform .../ f ?.. �. .- ✓ c . . . . . plumbing i the buildings of . . . . . . . . . . ���r ... . . . at . . . . . .. North Andov 'r, Mass. Fee' s?. . �. .Lic. No.. . . . . . . . . . . , .�:. .� . . . . . . . . . �PLUMBING,44SPECTOR Check # �J 6361 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) 1 NORTH ANDOVER,MASSACHUSETTS Date 5 Building Location LQQ Owners Nae V na< Reqbtl e .t Amount 14 Type o Occu` anc New Renovation 42r Replace t Plans Submitted Yes No FIXTURES w w a W WCn 41 OLn ,.., Q z � A w � F W x SLRffiMC R4SE E r lSl KAOCR �II IIDOR 3M HDM 4M HAOOR 5M HDQt 6IH IL" 7IH It" 1 SIH FIDOR t (Print or type) Check one: Certificate Installing Company Name LU/n)Ci/061 E] Corp. Address 3 �� Partner. Business Te ep onep Firm/Co. Name of Licensed Plumber: 4 /A/2m//Uf- /l. I AJ1 C L(CC k S/L Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy m::: Other type of indemnity Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent El I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed tulder Permit Issued for this pplication will be in compliance with all pertinent provisions of the Massach et State Plumbing and C a ter 142 o General Laws. By: igna ur ol Licen'sea Flumoer Type of Plumbing License Title I City/Town icense INUMDer Master ❑ Journeyman APPROVED(OFFICE USE ONLY