HomeMy WebLinkAboutMiscellaneous - 2370 TURNPIKE STREET 4/30/2018CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Occupancy Certificate Date: December 8.. 2009
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 2370 Turnpike Street
MAY BE OCCUPIED AS Retail Business IN
ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING
CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: J C Fence Co
20 Dana Street
Peabody Ma 01960
Building Inspector
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..........................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that..................................................................
has permission to perform....... `...................
..............................................
wiring in the building of v�!n?%.....S 7o1P�
.........................................
3 7 v fG'2"z�i/� ST , North Andover, Mass.
o�
Fee . Z $"� Lic. NoP2-37es�
... ............. ...........................................................
/776-
ELECTRICAL INSPECTOR
Check,, r
r %,
2
..v...uwNrwCdlLn or Massachusetts official Use Only
Department of Fire Services PermitNo.
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev. 1/07] nF ax..:,io. v�
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 INEX OR TYPE ALL W ORMATION) 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) Z 3 Ay v4 Y
Owner or Tenant C'�✓i�i.� �� t �
Owner's Address Telephone No.
Is this permit in conjunction with a building permit? Yes
N0 (Check Appropriate Boz)
Purpose of Building
Utility Authorization No.f
Existing Service Amps / Volts Overhead
❑ Undgrd No. of Meters J
New Service Amps / Volts Overhead
❑ ❑
Number of Feeders and Ampacity Undgrd No. of Meters
Location and Nature of Proposed Electrical Work: C�
Com letion of the following -table table maybe waived b the Inspector of Wires.
No. of Recessed Luminaires No. of Cet1.-Sus No. of
p. (Paddle) Fans .,._ - Total
No. of Luminaire Outlets
No. of Hot Tubs
No. of LuminairesSwimming
Pool Above ❑ in -
01
No. of Receptacle Outlets
No. of Oil Burners
No. of Switches
No. of Gas Burners
No. of Ranges
No. of Air Cond.. Total
No. of Waste Disposers
Tons
eat ump Number Tons l
Totals:
No. of Dishwashers
Space/Area Heating KW
No. of Dryers
Heating Appliances KW
No. of WaterIOW ..
Heaters
n. of o. of
Signs Balla,
No. Hydromassage Bathtubs
No. of Motors Total HP
4 0IWI
KVA
ALAJIMS !No. of Zones
o.
o. of Alerting Devices
tion/Aiertina Devices
❑Municipal
Connerfinn ❑ Other
No of be,
aWW
Wiring:
No. of Dei
of
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work:
Work to Start (When required by municipal policy.)
.Tur7e Z -D F 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 cove a is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE OND ❑ OTIC
❑ '(Specify:)
I certify, under the pains and penalties of per, jury, that the informatio
FIRM NAME: n on this application is true and complete
Licensee: jyjJ, ',�7�e /1 ,W S. LIC. NO.:
(Ifa !tc mature LIC. NO.: %
pp 'able, enter ` exempt" in the license number line
Address: Bus. Tel. No.:
*Per M.G.L c 147, s 57-61, security work requires Department of Public Safe S License: Alt TeL No.:
o.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurancLic.e coverage.normally
required by law. By my signature below, I hereby waive this requirement I am the (check one) owner
Owner/Agent ❑ owner's agent
Signature Telephone No. PERMIT FEE: $
4),
The Commonwealth of musachuseiv
Department of industrial Accidents
Office of Investigations .
600 Washinoan Street
Boston, MA 02111
www .mass-gov/dia
Workers' Compensation lmkrance Ai idavit: Builders/Contractors/Mecfri
Applicant Iciatts/pfambers
afotnaation
N8IDe (Business/Drgataization/indMdual):
Address:
City/,State/Zip:
Phone # .
Are you an employer? Check the appropriate box: '
L❑ F am a employer with
4. 1 am a general contractor and I
employees (full and/or part-time). * .
2.
have lured the sub -contractors
. I am: a sole proprietor or partner-
ship and have no employees
listed on the attached sheet i
These sub -contractors have
working for me .in any capacity,
[No workers' comp, insurance
workers' comp. insurance.
5. ❑ We are a corporation and its
required.]
3. �] I am a homeowner doing
officers have exercised their
all work
right of exemption per MGL
myself. [No -work=' cOmp.
c..1S2; § 1(4), and we have no
insurance required.) t
employees. [No workers'
comp. insurance required.]
Type -of project (required):
6. 0 New construction
1. Remodeling
9. Q Demolition
9. ❑ Building addition
10.❑ Electrical repairs or additions
11.[] Plumbing repairs or additions
12.[] Roof repairs
I3.�.Other
*Any applicant that checks bW # I must also fill out the section below, showing their workers' bompensation l i
joy
t homeowners who submit this amdavit indictring they ate doing an work and thou hire otaslde con mfomtahon
iContraetors Hut chexk this box mustatmebed an adthey am sheat showing the cram: hi the moors must submit a new affidavit indicating such.
sub-cmurEctors aced their workers' coma . poddey infnmtetion.
f am an employer that.is ynrovidirtg:workers' compensadeiz insurance or
infornmaom f m' employees: Below is. Me policy aedjoh site
Insurance Company
Policy # or Self -ins. Lic. #:
Expiration Date:
-------------
Job Site Address -
Attach Attach a copy of the .workers;' coutpeusafiion policy declarationShowin
paw (Showing .. a the policy number and expiration date
Failure to secure coverage as required under Section 25A of MGL c. 152 cart lead to the imposition of criminal
fine up to $1,500;00 andlor one-year imprisonment, as well es civil penalties in the form of a STOP WORK ORDER a a fine
of up to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office a
Investigations of �e DIA for insurarrce coverage verification.
I do hereby certify under the pains andpenaWas ofperjury that the information provided above is Iola erred correct
Siafure:
Offlrial use only. 1)o not rnsRte in .this area, to be completed by city or town. official
City or Town: Permit/License #
Issuing Authority (circle one):
1. Board of Health Z Building Department 3. City/Town Cleric 4. -Electrical Inspector 5. Plumbing Inspector
6. Other
�� Coniact Persoa: Phone #!-
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as "an individual, partnership, assodiation, corporation or other legal entity, or any two or more
ofthe'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 empioyen. *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 maintmmce, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not beta= 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, MOL chapter 152,4.25C(7) states "Neither the commonwealth nor any of its political subdivisions shall
enter inu any contract for the perfnmmce 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 comple—tely, by checking the boxes that apply to your situation and, if
necessary, supply sub-contractor(s) name(s), addresses) mind phone number(s) along with their mrtificate(s)' of
insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees otherthm the ,
members or partners, are not required to carry workers' cnrnpensation insurance. If an LLC. or LLP does have
employees, a policy is required. Be advised that this affidauit.may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage.. Also be sure to sign. and bate the affidavit The affidavit should
be retrained 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 reps -ding the law or if you art required to obtain a workers'
compensation policy, pleasccall the Department at the number. listed below. Self-insured companies should entettheir
self insurance .license number on the' appropr•iste line. "
City or Town Officials;
Please be sure that the affidavit is complete and primed 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 vvilI be used as a reference number. in addition, an applicant
that. must submit multiple permit/iicense applications in any given year, need only submit one affidavit indicating•cmTent
policy information (if necessary) and under "Job Site Address" the applicant should writs "all locations in (city or
town)." A copy of'tire affidavit that has been officially starnped 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 liecrrses. A new affidavit must be filled out each
year. When a home owner or citizen is obtaining a license or permit not related to any business or commercial verdure
(i.e. a dog license or permit to bum leaves eta:.) said person. is NOT required to complete this affidavit
T'he Office of Investiptions would Itike to, thank you in advance for your cooperation and should you have any questions,
pl=e do not hesitate to give us a call. .
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Dcpart1nCnt of Industrial Accidents
Office of Investigations "
600 WaslAngton Stmt
Boston, MA 02111
TeL # 617-7274900 ext 406 or 1-977-MASSAFE
Revised 5-26-115 Fax # 617-727-774 '
www.man.govldia
Date .. �// V < ...
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that .. P . .t........ ���`. N .................. .
has permission to perform .... y�C'.k.0.. +-• . .................. .
plumbing in the buildings of ...
at. .3.� .o... (. !,. z.� — .�........... , North Andover, Mass.
9Fee. 5:... Lic. No. 1.? v. ?.t. �... iJ.t.--t,.>-�..:.... .
PLUMBING INSPECTOR
Check # i ?
6877
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date
Building Location /� 5f;� Owners Name
r Permit #--A4 7
Amount
Type of Occupancy
0
New Renovation in Replacement Plans Submitted Yes F&r No
FIX-YORES
i iI
-�.---.---.-.�..-----
---
MMMMMM
MM
-------------��-.--------
wiliscummmmmmmmmmmmmmMM=NMNIEMMMNM1
..M.-.-W.M---------------
W 1 #1'
.--N------------------M--
'
MMMMMMMMMMMMMMWMMMMMMMMMW
(Print or type) /� / Check one: Certificate
Installing Company Name J \T p P f (/��►I�1icW, /%�Y1-111 4 jF 1-3 Corp.
Address � D • '
E] Partner.
AJ,rusmess Te ep one g El Firm/Co.
Name of Licensed Plumber: a " 1"% Ox) f i
Insurance Coverage: Indicate the type ol insurance coverage by checking the appropriate box:
Liability insurance policy 171 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 F1
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 under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massac sts StatePlumb' g Co ;,and2 of the General Laws.
By: rig -nature o nsea rvinucr
Title Type of Plumbing License
City/Town cense um er Master Journeyman
�
`❑
APPROVED (OFFICE USE ONLY
4
Date..................................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
Thiscertifies that .............................................................................................
',C1467 4W
has permission to perform ............................................ 0 ..............................
wiring in the building of ... 604/A;Tx
.............. .........................
........................ y —
at ...... 4,PI /f 67 S;r ..... North Andover, Mass.
...........
Fee.... ..........
/ ... 4:_c ................ 1 17 ........
. ...... Lic. No.
ELECTRICAL INSPECTOR
Check #
,.,
Commonwealth of Massachusetts O1 '.; 0111%
Department of Fire Services Permit No.
x\ ryOccupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9,051 ,leave
hdank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
UI cork to he performed in accordance \kith the R•lassachusetts d:lectrical Code (\11:C). 52' C IR 12.00
(I'LLISE PRINT LV 1AX OR TYPE .ILL INFORJ L l TIO j Date: `Z — 2,1 —014
City or Town of: JA, To 117e Inspeclur (It If�11'e.v:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & Number) 2 6
Owner or Tenant ('e), Iyl la4 S' Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes", El No (Check Appropriate Box)
Purpose of Building l"auA fn ✓ sla-r 2 Utility Authorization No.
Existing Service ;gimps 2,20/ 110 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:
Completion (?/ the f,llou iiia. bible may he waited by the hts )ector o/ tl'ires
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above ❑ In- ❑
rnd. grnd.
No. of Emergency Lighting
Batte�rtits
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
No. of Alerting Devices
No. of Waste Disposers
Heat Pump
Number
Tons
...... ...._ ...................
KW
No. of Self -Contained
Totals:
'Detection/Alertin Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Municipal Other
Connection
No. of Dryers
Heating Appliances KW
Security Systems:*
No. of Devices or Equivalent
No. of WaterKW
No. of No. of
Data Wiring:
Heaters
Signs Ballasts
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or Equivalent
OTHER:
. I both ailditiorud deltad if elesirecl• or as rrrtuired by Thr lnslnrr�>r �,/ II ire::
Estimated Value of Electrical Work: (When required by municipal policy.)
kbork to Start: —Z j -O6 Inspections to be requested in accordance with EIEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit ror the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. "I'hc
indcrsigned certifies that such co�era e is in force, and has exhibited proof of same to the permit issuing; office.
C•I IECK ONE: INSI.`R,ANC:'E EP 13OND ❑ 01-111:8 ❑ (Specily:)
I e•er1g5,, mider the pains an penalties q perjury, drat The injurmrrlion on this lipplic•ntiun is trite aiW c•omplefe.
FIRM NAME: O �— LOC. I`i0.:
Licensee: %%fCh�i �/—a20 Si;na ure _ �� LIC.:�10.:2-25
7
rnry;t in the /iL(IISL'rumw•i
hirn.i Bus. Tel. No.: .Sd&G62 yl
Address: ,�[% /f�Iz gm '6!0 ��n A t. Tel.
*Security System Contractor License required for this work; if applicable, enter the license number here:
OWNER'S INSURANCE WAIVER: I and aware that the LiWISEC d(Wy nut huwe the liability insurance covcra,e normally
required by law. By my signature below, I hereby waive this requirement. I and the (check one) ❑ owner ❑ owner's agent.
Owner/Agent
,signaturTclephone No. PFR:f/IT FEE: S-17�—
r,�"j C'q �(
11
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Location �-�y� -
No. 1-13 0,e G` Date
Check # /—R—?
9("28
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
$ d'
TOTAL
G Building Inspector
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RETAIL ITEMS (menu per order of the board of health)
*convenience items
cigarettes
beer
wines
produce
milk
juice
sodas
breads
candies
pickles
sundries
desserts- pre packed
desserts- broken down from manufacturer's packaging
breads- broken down from manufacture's packaging
baked goods- broken down from manufacture's packaging
chips
snacks
*frozen items
ice creams
seafoods
meats
poultry
soups
ancillary side items
*refrigerated items (below 39 degrees, prepackaged for retail by wholesaler)
seafood
meats
poultry
cold cuts
desserts
breads
sandwiches
dips
cheeses
ancillary side items
copdiments
salads
0
r e"
Town of North Andover
NORTH
Building Department
400 Osgood Street
O
32 g° ;,� �.. s O
North Andover Ma 01845
O L
(978) 688-9545 Fax (978) 688-9542
14 1 .^
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APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION
'SjADDRESS t� -3 q_( JX-) 1�-k. p' kP - l 7 -
LOT NUMBER ldSUBDIVISION
DATE REQUEST FILED �\Z�,
DATE READY FOR INSPECTION
TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME
FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE
CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES.
SIGNATURE
ROUTING
OFFICIAL USE ONLY
D.P.W. - WATER METER
DATE
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
PRIOR TO THE INSPECTION REQUEST DATE.
SIGNATURE / DPW AUTHORIZATION
It
X-
63'19
Date../—,./�F-06 .............
...... ............
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that61 ...... —�4 . .. .......................................
has permission to perform ...............................
wiring in the building of ..... �a� .. .......... ............................
at ..._,:I ............... . North—Nn-dover, Mass.
Feeer. "L.'! ..... Lic. . ..... I .........................
ELECTRICAL INSPEcr6R
Check #
Commonwealth of Massachusetts Official tiseOnI`t"
= Permit No. /
- - Department of Fire Services
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9,`05] Ileme blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance NNith the Massachusetts Electrical Code (MEC). 527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL LVFORALATION) Date: /? 06
City or Town of: All : 4At9!1 To the Inspector of 6Vires:
By this application the undersigned gives notice of his or her intention to pperfo/r�m the electrical work described below.
Location (Street & Number) d3 90 tue-UPtl& l C.�t'► Y S� ' J
Owner or Tenant 56fJfJC. L Telephone No.
Owner's Address 5AMe_
Is this permit in coniuu^nnction with a building permit? Yes ❑ No T5Z_ (Check Appropriate Box)
Purpose of Building .1. dc
Utility Authorization No.
Existing Service ;('Q Amps ZO / Z()Volts Overhead ❑
New Service Amps / Volts Overhead ❑
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: �s41/
-Rna `sal++ 4/114 hkS - sloi s K loll a
Undgrd-P;j'_ No. of Meters
Undgrd ❑ No. of Meters
lotinn nl tho Mllowinv table may he waived by the Inspector o/• iVives.
nn : ittetch additional delad lI desired, or um
s required ny e m.cpec•ror (?I i i aN
e.
Estimated Value of Electrical Work: p`l 5' (When required by municipal policy.)
Work to Start: I /S-, 06 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and PrI}villies l)!perr-jr_try, that the inlormatiun on this applicn • 'un is true and complete.
FIRM NAME: J.-Lo.exalr4su GSC -��C- LIC. NO.:AI1I9D
Licensee: ;SOJA W • Cert; ,o Signature LIC. NO.: AME
(// applicable. tiler 'e.�e%�' nt 11 N license n�mJt�ber tiny.)• Bus. Tel. No.: 3
Address G ter lt.l � • /'✓A1JYlL i/! /"14 Alt. Tel. No.: lif f s �_ I554
*Security System Contractor 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 signature below, I hereby waive this requirement. 1 am the (check one) ❑ owner ❑ owner's agent.
Owner/Agent PERt111T FEE: $
Signature Telephone No.
No. of Total
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle) Fans
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Above o In-
Swimming Pool rnd. grnd. ❑
No. of Emergency Lighting
Battery Units
No. of Receptacle Outlets 21.
No. of Oil Burners
FIRE ALARMS
No. of Zones
No . of Detection and
No. of Switches
No. of Gas Burners
Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
Heat Pump
Number.
Tons
KW
No. of Self -Contained
No. of Waste Dis osers
P
Totals:
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Municipal
Local ❑ Connection ❑ Other
No. of Dryers
Heating Appliances Key
Security Systems:*
No. of Devices or Equivalent
No. of Water KW
No. of No. of
Data Wiring:
Heaters
Signs Ballasts
No. of Devices or Equivalent
Telecommunications Wiring:
No. Hydromassage Bathtubs
No. of Motors Total HP
No. of Devices or Equivalent
OTHER:
nn : ittetch additional delad lI desired, or um
s required ny e m.cpec•ror (?I i i aN
e.
Estimated Value of Electrical Work: p`l 5' (When required by municipal policy.)
Work to Start: I /S-, 06 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and PrI}villies l)!perr-jr_try, that the inlormatiun on this applicn • 'un is true and complete.
FIRM NAME: J.-Lo.exalr4su GSC -��C- LIC. NO.:AI1I9D
Licensee: ;SOJA W • Cert; ,o Signature LIC. NO.: AME
(// applicable. tiler 'e.�e%�' nt 11 N license n�mJt�ber tiny.)• Bus. Tel. No.: 3
Address G ter lt.l � • /'✓A1JYlL i/! /"14 Alt. Tel. No.: lif f s �_ I554
*Security System Contractor 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 signature below, I hereby waive this requirement. 1 am the (check one) ❑ owner ❑ owner's agent.
Owner/Agent PERt111T FEE: $
Signature Telephone No.
C
C
Commonwealth of Massachusetts
Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS
Official tiset)nly
Permit No.
i
Occupancy and Fee Checked
,[Rev. 9.'051 Heave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to he pertiormed in accordance w ith the Massachusetts Elkctrical Code ('EIEC). 527 COIR 12.00
(PLE:I,SE PRINT IN INK OR TYPE -ILL INFORALITION) Dater /t 06
Citv or Town of: ALTo the h?,vpeelor o/ Wires:
By this application the undersigned gives notice of his or her in�teenttiion to perfo/r�m the etlectrical work described below.
Location (Street & Number) Ow ? U*AJPh4! 6� 1. f►t�ty 5�
Owner or Tenant S�AOJPC- L,. �-• r • Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ IURV(6c'& Appropriate Box)
Purpose of Building gel(. SeAe:p Utility Authorization No.
Existing Service = Amps Z0 / Z olts Overhead ❑ Undgrd-PjJ'—' No. of Meters
New Service Amps .
Number of Feeders and Ampacity
Volts Overhead ❑ Undgrd ❑
Location and Nature of Proposed Electrical Work:
4c,w eii Low ,L%,ri ibi vs . sw "s
No. of ;Meters
WA
Cmnnh,tion o11he lnlloirine table nwv he irI(Iived by the 111SI)eL101' of II'irrs.
f .I/lcrrh dditional detail if desired, or ns required hr the Inspector o/ Wires
ares
Estimated Value of Electrical Work: c&500 (When required by municipal policy.)
Work to Start: /S-. 06 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 tierce, and has exhibited proof of same to the permit issuing ollice.
CHECK ONE: INSURANCE � BOND ❑ or[-IER ❑ (Specify:)
I eer0 y, under the pains and p ,iOulNes ey'prjrtrp, that the rn/i►rniation on this applicn 'uli is true and complete.
FIRM NAME: �. �.li• �Stl2l i�fN t? - C :TA)r— LIC. NO.: AFMO
J `
Licensee: w • l7trt� � Signature LIC. NO.: 5AMIF
l/ rq:plicable, c alar 'r.� nr Ih ' li«nsc� n,m} rb(r linqq•.J. Bus. Tel. No.: 3113
Address: G �� � �Ve • VOLM19h��� �%4 ��� Aft. Tel. No.:" 851ISSJ
*Security Svstem Contractor License required For this work: if applicable, enter the license number here:
OW'NER'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-010
Signature Telephone No. PERMIT EEE. .
No. of Total
No. of Recessed Luminaires
No. of Ceil: Susp. (Paddle) Fans
Transformers KVA
No. of Luminaire Outlets-
No. of Hot Tubs
Generators KVA
No. of Luminaires
Above In-
Swimming Pool rnd. rnd. ❑
o. o Emergency Lighting
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Detection and
No. of Switches
No. of Cas Burners
Initiating Devices
No. of Ranges
No. of Air Cond. Tonsl
No. of Alerting Devices
Heat Pump
Number
Tm
K
KW
No. of Self -Contained
No.
No. of Waste Dis osers
P
Totals:
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Municipal
Mul"c0lElOther
Local ❑ Connection
No. of Dryers
Heating Appliances KW
Sec No. itof De is s or Equivalent
No. of Water KWf
No. of
Data Wiring:
Heaters
Signs Ballasts
No. of Devices or Equivalent
Telecommunications Wiring:
No. H dromassa a Bathtubs
y g
No. of Motors Total HP
No. of Devices or Equivalent
OTHER:
f .I/lcrrh dditional detail if desired, or ns required hr the Inspector o/ Wires
ares
Estimated Value of Electrical Work: c&500 (When required by municipal policy.)
Work to Start: /S-. 06 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 tierce, and has exhibited proof of same to the permit issuing ollice.
CHECK ONE: INSURANCE � BOND ❑ or[-IER ❑ (Specify:)
I eer0 y, under the pains and p ,iOulNes ey'prjrtrp, that the rn/i►rniation on this applicn 'uli is true and complete.
FIRM NAME: �. �.li• �Stl2l i�fN t? - C :TA)r— LIC. NO.: AFMO
J `
Licensee: w • l7trt� � Signature LIC. NO.: 5AMIF
l/ rq:plicable, c alar 'r.� nr Ih ' li«nsc� n,m} rb(r linqq•.J. Bus. Tel. No.: 3113
Address: G �� � �Ve • VOLM19h��� �%4 ��� Aft. Tel. No.:" 851ISSJ
*Security Svstem Contractor License required For this work: if applicable, enter the license number here:
OW'NER'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-010
Signature Telephone No. PERMIT EEE. .
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NORTH ANDOVER BUILDING DEPARTMENT
4,_�� 27 CHARLES STREET
,SSACHUSgA
Tel: 978-688-9545
Fax: 978-688-9542
DATE: �/ 0?0-� / 0 0 n
NAME //l 1 810 C 1i ��U,4 (1 c.
ADDRESS �2 3 Y).D T( p i 14,r--
ZONING
DISTRICT:
TYPE OF BUSINESS: `�� r�� �` P� v ' r^ 5 PIS c) r
BUILDING LAYOUT
AVAILABLE PARKING SPACES: /-6—
ZONING BY LAW USAGE: ( YES NO
BUILDING INSPECTOR SIGNATURE
Mr. Michael McGuire, Building Inspector
27 Charles Street
North Andover, MA 01845
Phillip E. Chevalier, Head of Schools
Advanced Schools
978.409.1101
August 19, 2004
Dear Mr. McGuire,
RCEWED
AUG 2 0 2004
73UIL �� 1
Thank you for taking the time to speak with me concerning the property located at 2370
Turnpike Street in North Andover. I have enclosed all of the necessary information that
you had requested and hope that you will find our proposal favorable.
Advanced Schools is a privately owned, non-profit, on-line learning center. Our business
is comprised of three distinct pieces. They are as follows:
1.0 Day School — In this mode, we will have between 10-15 full day middle school
students at our site. The arrival and departure times for these students are flexible
between 8-9 am and will leave between 2-3pm.
2.0 Tutorial — In this mode, our students will arrive and depart the building at various
times throughout the day and evening, (9am — 9pm) Monday through Friday, and
(9am 5pm) weekends. The majority of these students will at the site between one
to two hours one to two days a week. The hours for the students are flexible
within hours of operation.
3.0 Supplemental Education — In this mode, our goal is to help individuals who have
been unable to meet the requirements for graduation in their local school district.
These unique cases require a flexible schedule usually around working adults, in
order to assist them in earning a high school diploma.
We believe this site to be ideal for our unique needs. The building is approximately 3900
square feet, with two floors of space. The open concept allows for greater accessibility
within our site, and the owner, Joe DiGrazia, will maintain the outdoor grounds. The
building is available to us beginning September 1, 2004, when the current tenant vacates
the premises upon the lease agreement.
Additionally, our staff is comprised of three including myself. This will ensure ample
parking at the site during the entire day. We will use two to three parking spaces each
day for staff members. For the most part, parents will drop students off at the door and
pick up at a later time.
Being located on the Turnpike allows our school greater visibility and being located near
a day care facility will be a great benefit to both, our school and the new day care center
at the corner of Sharpner's Pond Road.
If you should have any questions, please feel free to contact me at the above phone
number. Our goal would be to open the school for September 2004, so time is certainly
of the essence.
Thank you for your consideration,
With kind regards,
Ce co
5
0
t
ic2FcT/LIC 400/17
,
1
A
Mr. Michael McGuire, Building Inspector
27 Charles Street
North Andover, MA 01845
Phillip E. Chevalier, Head of Schools
Advanced Schools
978.409.1101
August 19, 2004
Dear Mr. McGuire,
Thank you for taking the time to speak with me concerning the property located at 2370
Turnpike Street in North Andover. I have enclosed all of the necessary information that
you had requested and hope that you will find our proposal favorable.
Advanced Schools is a privately owned, non-profit, on-line learning center. Our business
is comprised of three distinct pieces. They are as follows:
1.0 Day School — In this mode, we will have between 10-15 full day middle school
students at our site. The arrival and departure times for these students are flexible
between 8-9 am and will leave between 2-3pm.
2.0 Tutorial — In this mode, our students will arrive and depart the building at various
times throughout the day and evening, (9am — 9pm) Monday through Friday, and
(9am-5pm) weekends. The majority of these students will at the site between one
to two hours one to two days a week. The hours for the students are flexible
within hours of operation.
3.0 Supplemental Education — In this mode, our goal is to help individuals who have
been unable to meet the requirements for graduation in their local school district.
These unique cases require a flexible schedule usually around working adults, in
order to assist them in earning a high school diploma.
We believe this site to be ideal for our unique needs. The building is approximately 3900
square feet, with two floors of space. The open concept allows for
greater acceibili
within our site, and the owner, Joe DiGrazia, will main ain the outdoor grounds ssT ety
building is available to us beginning September 1, 2004, when the current tenant vacates
the premises upon the lease agreement.
Additionally, our staff is comprised of three including myself. This will ensure ample
Parking at the site during the entire day. We will use two to three parking spaces each
e day for staff members. For the most part, parents will drop students off
is up at a later time. _ _ �� t the door and
Being located on the Turnpike allows our school
a day care facility will be a greater visibility and being located near
at the corner of S Feat benefit to both, our school and the new day care center
harpner's Pond Road.
If you should have any questions, please feel free to contact me at the a
number. Our goal would be to open the school for September 2004, sobove phone
of the essence. time is certainly
Thank you for your consideration,
With kind regards,
Y xc r/lJc 200/►1
f
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if
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Id
I
p- a The Commonwealth of Afassachusetts I/ "`'S' U,t,
Department of Public Safety /meq �11>
Occ""cy S Fee a+eeked C�S
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 3/90 Oeave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to 6e performed In accordance with the Massachusetu Electrical Code. 521 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 3 — y- 98
City or Town of NOK7N IVAIDOYEZ To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number)o7c3'%� % U,2 AU P/.KE tJXeEET
O;.rer or Tenant 'SP4e73PA< , INC
Owner's Address SAME
Is this permit in conjunction with a building permit: Yes ❑ No a (Check Appropriate Box)
Purpose of Building Utility Authorization 110.
Existing Service Amps_ _/ _ Volts Overhead FJUndzrdl ioI No- of Meters _
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work Installation of Alarm System
No. of Lighting Outlets
No. of Hot Tubs '
No. of Transformers Total
KVA
No. of Lighting Fixtures
No.
Above In -
Swimming Pool grnd. ❑ grnd. ❑
Generators KVA
No. of Receptacle Outlets
No. of Oil Burners ,
Batter Emergency Lighting
No. of Switch Outlets
No: of Gas Burners.,.;
FIRE ALARMS No. of Zones
No. of Detection and
Initiating Devices
No. of Sounding Devices
No. of Self Contained
Detection/Sounding Devices
Local ❑ Municipal ❑Other
Connection
Ranges
No. of Ran 8
Total
No. of Air Cond. tons
No. of Disposals
p
No. of Heat Total Total
Pumps Tons KW
No. of Dishwashers
Space/Area Heating KW
No. of Dryers
Heating Devices KW
No. of Water Heaters KWNos
of No. o
Signs Ballasts
w o to
to 4Z.4
No. Hydro Massage Tubs
No. of Motors Total HP
-In
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial
equivalent. YES ❑ NO ❑ I have submitted valid proof of same to this office. YES ❑ NO ❑
If you have checked YES, please indicate the type of coverage by checking the appropriate box.
INSURANCE ❑ BOND ❑ OTHER ❑ (Please Specify)
Estimated Value of Electrical Work S �,3-9S 00
Work to Start 9 -J - 98 a Inspection Date Requested:
Signed under the penalties of perjury:
FIRM NAME A.D.T. S>:CURITV SVST6MS NORTHEAST INC.
Rough
Expiration Date
Final 3- lo? -;94P
LIC. No. 12 31 C
Licensee DONALD A BROOKS Signat aNO. 1*231C
Address 60 William Street, Wellesley, 8 s• e1. No.413-732-4400
Alt. Tel. No.617-431-5831
OWNER'S INSURANCE WAIVER: I am aware that the -Licensee does not have the insurance coverage or its sub-
stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit
application waives this requirement. Owner IAgent (Please check one)
Telephone No.
Signature of Owner or Agent
_`1
PERMIT FEE S 35 D o
V
N2 1473 Date .................................. .
TOWN OF NORTH ANDOVER 8
PERMIT FOR WIRING 10
This certifies that ...... 61
has permission to perform,..... .. '' ......... ..........
. .............. ....
t
wiring in the building of ...... ....... ......... A:-� ............... ...............
at ... !�.2.)....... . .................... , North Andover, Mass.
Fee,?-,2.-....-:� ...... Lic. No. . ............................................................
PTrr-rRWAT 1WQVVrM0
17
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING .
(Print or Type) --�-�/
Mass. Date 19.
City, Town - Permit /1
Building ,�� 70 /6,( ►OQ � _ meOwner
AT: Location /
04 d 0� !"` Type of Occupancy: �r Cu la �-
New❑. Renovation Replacement❑
FIXTURES
Plans Submitted Yes❑ Noa
(Print or Type) /J
Installing Company Name /' 1 b Adg . A2 b �> G�----
Address. 9/vn f9/'Al—c51
Check One: Certificate
(9. C-brp.
O Partnership
❑ Firm/Company
Business Telephone Name Name of Licensed Plumber or Gasfitter
•
I hereby certify that all of the detail and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge
and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions
of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
I have informed the owner or his agent that I do not have liability insurance including completed operations coverage.
Signature of Owner/Agent
I have a current liability insurance policy to include completed operations coverage. ❑
❑ Master ❑Journeyman nGasfitter
,qinnnlur. of Licensed Plumber or Gasfitter License Number
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SUB-BSMT.
BASEMENT
1 ST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR
(Print or Type) /J
Installing Company Name /' 1 b Adg . A2 b �> G�----
Address. 9/vn f9/'Al—c51
Check One: Certificate
(9. C-brp.
O Partnership
❑ Firm/Company
Business Telephone Name Name of Licensed Plumber or Gasfitter
•
I hereby certify that all of the detail and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge
and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions
of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
I have informed the owner or his agent that I do not have liability insurance including completed operations coverage.
Signature of Owner/Agent
I have a current liability insurance policy to include completed operations coverage. ❑
❑ Master ❑Journeyman nGasfitter
,qinnnlur. of Licensed Plumber or Gasfitter License Number
Date. '!�... .... ...... .
c
HpRT� TOWN OF NORTH ANDOVER
1-jpy
PERMIT FOR GAS INSTALLATION
9SSACHUSES 4
o i•
This certifies that/14.::....'.. - �......�t . .
has permission for gas installation ._ . `:
in the buildings of. ....... �.......... .................
at ..:..� �...:ti .;? �:........ , North Andover, Mass,
Fee Lic. No / `�.... ..........................
/r GAS INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
oe
MO OiN
IO f
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 564 (3/7/2006) Date: March 30, 2006
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 2370 Turnpike Street
MAY BE OCCUPIED AS Retail. Store IN ACCORDANCE WITH THE
PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER
REGULATIONS AS MAY APPLY.
Certificate Issued to: Andover Flower Farm & Country Store
2370 Turnpike Street
North Andover MA 01845
Building Inspector'
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Location�� %�ur'yA► �� f-
�' No. Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ 0 /
Check #
A
17653Com.---
`` Building Inspector
COMMONWEALTH OFMASSACHUSETTS
TOWN OF NORTHANDOVER
27 CHARLES ST
APPLICATIONFOR -CERTIFICATE OFINSPECTION
00
Date � (9"�Fee Required (Amount)
() No Fee Required
Accordance with the provisions of the Massachusetts State Building code, Section 108,15, I hereby apply foi
Certificate of Inspection for -the helew-named pramiseslecated-at4he fWioiWn8- �--ess'
Street and
Number f
Name of
Premises J�1�
Purpose for whifh Premises is
Used f-JU.�r
Licenses (s) or Permits)
License or Permit
z
for -the P -remises by-OMer-Gover ne-ntal Agencies:
Certificate to be issued o n
Address A 0UA� .4; c `e C!' sC hoo fl >
Owner of Record of Building
Address
Name of Present Holder of Certificate
Name of Agency, if any
A.ge�
Telephone g �a00
NATURE OF PERSONS TO WHOM CERTIFICATE TITLE
AISSUED OR H1S A-UTHOIRIZED AGENT
DATE
INSTRUCTIONS:
1) Make check payable to • Town of North Andover
2) Return this application with your check to:-Ruddhy Dwt
27 Charles Street, North Andover MA 01845
PLEASE NOTE:
Application form with accompanyingFEE must be submitted for each building or structure or part thereof to be cert
3) Application and fee must be receivedbefore the -certfcate will be issued.
4) The building officials shall be notified within ten (10) days of any change in the above information.
CERTIFICATE # EAPIRATIONDATE:
FORMSBCC-3-74 REMED2199j»re 0
TOWN OF NORTH ANDOVER INSPECTOR'S NAME
OFFICE OF THE INSPECTOR OF BUILDINGS MICHAEL MCGUIRE
INSPECTION -REPORT FORM
CLASSIFICATION PASSES INSPECTION yes 0 no 0 DATED
OWNER
BUILDING NAME OR -NO
STREET LOCATION
TYPE OF OCCUPANCY - .-Day Gare -Center 11 *A. 0 -Ca 10 -Gym fl -Apt. 0
School 0 Common Victualer's 0 Liquor 0 Place of Assembly 0
Other
OCCUPANCY NUMQER -fwAude-stories -# and-ocouoanca -aerAm ese-mff-se-side
EXIST SIGN
LIGHTED EXIT SIGNS
EMERGENCY LIGHTING SYSTE M
SPRINKLER SYSTEM
SMOKE DETECTOR
FIRE ALARM SYSTEM
QSUL SYSTEM
FIRE ALARM SYSTEM
-operable -0
operable 0
operable 0
operable 0
--expiration-date
dry cell 0 wet cell 0
gage pressure
operable 0 municipal 0
EXISTINGS
yes 0 no
.-yes -0 -no
yes 0 no 0
yes 0 no
-yes -0 -no D
yes 0 no
yes 0 no 0
ELECTRIC EQUIPMENT PROPERLY PROTECTED
yes
0
no 0
EGRESSES LAWFULLY -DESIGNATE unobstructed 0 -yes
-11
�o 0
STAIRS PROPERLY RAILED
yes
0
no 0 r
HALLS AND STAIRWAYS LIGHTED
yes
0
no 0 t ;
RADIATOR GUARDS
yes
0
no 0
COMPLIES HANDICAPPED PERSONS LAWS
-yes
-no 0
FIRE RESISTANT CURTAINS OR DRAPERIES
HOW HEATED
NO. FIREPLACES yes 0
no
BOILER ROOM CONDITION
VENTILATION
UTILITY ROOM - CLOSETS
NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS
NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY
.
;1OPS
r-
FOR INSPECTOR USE ONLY Revised 2/99 JMC