HomeMy WebLinkAboutMiscellaneous - 240 SUTTON HILL ROAD 4/30/2018f
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This certifies that .......... ............
has permission for gas installation. &� .....
in the buildings of. . r! P r ............
at . . . 1.37 H -Av North Andover, Mass.
Fee .50Z:�07..Lic.No.19�?J... 111�r .....................
GASINSPECTOR
Check #
8500
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Ala,1 iz110I17-
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MASSACHUSETTS UNIFORM APPLICATION [FOR A PERMIT TO PERFORM GAS FITTING VOW
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111 � - -
CITY L�?1 rv- A6 —� , DATE j �. 3 �z PERMIT # b 7
JOBSITE ADDRESS -'),i-1d_�OWNER'S NAME �t,/✓acne�4---
GOWNER
ADDRESS Sp,v�nSL. - _ - _ TEL q?fl- CS- 4 766 FAX [ jJbq- — -
TYPE
OCCUPANCY TYPE COMMERCIAL(] EDUCATIONAL [] RESIDENTIAL R A
CLEARLY
NEW: [j RENOVATION: [J REPLACEMENT: PLANS SUBMITTED: YES[ NO Ej
APPLIANCES Z 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 Al
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR
GRILLE
INFRARED HEATER
LABORATORY COCKS I
MAKEUP AIR UNIT
OVEN '
POOL HEATER
ROOM / SPACE HEATER
ROOF TOP UNIT
TEST
UNIT HEATER
VENTED ROOM HEATER
WATER HEATER
OTHER — _-- -
--- - - e INSURANCE(COVERAGE
I have a current liabilgy nsurance policy or its substantial equivalent whicthimeets the requirements of MGL. Ch.142 YES ONO
I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE -BY CHEMNG THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY (OTHER TYPE INDEMNITY ❑ BOND ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does nothavetthe insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this peunikapplicationmaives this requirement.
CHECK ONE ONLY: OWNER AGED ❑
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding th' are, nd to the t of my kwwledge
to � s
and that all plumbing work and installations performed under the permit issued for this appy n I be n pro 11 Perlin provision orfe
Massachusetts State Plumbing Code and Chapter 142 of the General taws.
PLUMBER-GASFITTER NAME I Michael Bemasconi LICENSE 151 S NATURE
MP 0 MGF ❑ JP ❑ JGF ❑ LPGI ❑ CORPORATION 2806C PARTNE HIP0# LLC ❑# C
COMPANY NAME: Central Cooling & Heating, Inc. ADDRE 9'North'Maple Street i
CITY Woburn STAT 'MA ZIPI 01801 TEL 781-933-8288
FAX 781-932-9017 CELL 781-8443424 EMAIL mbemasconi@centralcooling.com u�
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The Connonwea" ofllMassachusew
j D uu ofIndrrs&W Acrid.&
Office of lfim*adons Map # _ Lot #
600 Washington,SWM Awe:
Boston, MA 02111 Permits
www.massgov/dia
Workers' Compensation Insurance Affidavit; guffden/Contractors/Electrid.ns/plambers
Aip>• icant Information
City/State ar . AL9 } M)I d1AQ i Phone
A - -
YOU yon an employer? Check the appropriate box.
1. ® I am a employer with go 4. (] I am a general contractor and I
worloas'
employes 0011 and/or part time).*
2. ❑ I am a sole
have hired the subcontractors
listed the
proprietor or partner.
on attached sheet
ship and have no employees
These sub; -contractors have
working for me in -any capacity.
employees and have workers'
[No workers' comp. insurance
comp. insurance.#
required.]
3. ❑ I am a homeowner doing
5. (] We are a corporation and its
officers have
all work
exercised their
Welt [No workers' comp.
right of exemption per MI GL
insurance required.] I
c.152, § 1(4), and we have no
employees. [No workers'
cc'mP, iostuance r, equireil.]
t�Y applicant.ffiat cheep box #i mist also fill out the sed'don belowsho ' their
Type of project (required):
6. ❑ New construction
7. ❑ Remodeling
8. E Demolition
9. []'Building addition
10.❑ Electrical repairs or additions
ILEI Plumbing repairs or additions.
12.0 Roof repairs
Hotneownecs who submit this a$'idavit in ' g a'm8 0° pony mt-onusnon.
�y are.doing all work and dmn hire outside cbntcaM a must submita new an additie
box maffidavit indicating such.
tr-mftctms that cbwk this ust attached oal sheet showing the name of the spb.contracbrs end erste vvheebet of not those entities have
employees. If the full � have est IDYMS, Wy must provide their worriers' comp. po ynumba: •
I sari' d -N, MA6k#lr lthat is providldg werkirs' compmadon /issrntonce or m est
inforMadon. f Y ployeet Below is the policy.aadlob site
Insurance Company Name: L
Policy # or self -ins.. Uc.
Expiration Date -.36
1 I 16 /1
Job Siie Addre
Attach a copy -
o
f�tty/State/7ap.b r,R
the workers' c:ompensatloa policy dedantlon.page (ahowing tlt ll
drys
Failure to aecint: a as a po cy number and e=plM= date).
Em coag required under Section 25A of MOL c.152 can lead to titre i n posido o of criminal penalf= :of a
up to $1,500.00 a &or one-yeu as well as civil penalties in the foam of a STOP WORK ORDER and a free
of up to $230.00 a day against the violator: Be advised flat a copy of dds ahttementmay be hmuded to the Office of
ofthe DUAw-it -..,...r.,...r..���__.
I de berry in_der lire
use
P ofPedm3't& Me lsjoratrAIM pMVWd &bore is &= mildco- -
area,
or town octal
z/3/./z.
City or Town: PermiNLicense #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. CitylTown k 4er. Electrical
6. Other ClInspector S. Plumbing Inspector
Phene #:
:r COMMONWEALTH OF MASSACHUSETTS
PLUMBERS AND GASFITTERS
REGISTERED AS A PLUMBING CORP
ISSUES THE ABOVE LICENSE TO:
MICHAEL BERNASCONI
CENTRAL COOLING 8 HEATING INC
58 ALBATROSS RD
QUINCY MA 02169-2658
280.6 05/01/14 210316
LICENSE • EXPIRATION DATE SERIAL NO.
COMMONWEALTH OF MASSACHUSETTS
PLUMBERS AND GASFITTERS
LICENSED AS A MASTER PLUMBER r
ISSUES THE ABOVE LICENSE TO:
MICHAEL C BERNASCONI
58 ALBATROSS RD
Ico
QUINCY MA 02169-2658
15137 05/01/14 16960.5
COMMONWEALTH OF MASSACHUSETTS
PLUMBERS AND GASFITTERS
LICENSED AS A JOURNEYMAN PLJMBE1
ISSUES THE ABOVE LICENSE TO:
MICHAEL C BERNASCONI
C
58 ALBATROSS RD
QUINCY MA 02169-2658
26474 05/01/14 16960
COMMONWEALTH OF MASSACHUSETTS
DIVIS(ONBOARD OF
AS A MASTER -UNRESTRICTED
ISSUES THE ABOVE LICENSE TO:
MICHAEL C BERNASCONI
58 ALBATROSS RD
359 11/28/13 06572
DRIVER'S
LICENSE
e
nad�u
= 4:. ISS 9a END 4d NUMBER
01-26.2011 NONE S94139.Q92
46UP a
11.02-2015 11-0Z-1952
9 CUSS ' 12 REST 15 SEX M 16 HOT'5.08
DM B
-
1 BF:RN.AS!.t.aN!
2 MICHAEL C n -o2 -last
,.
x 58 ALBATROSS RD
QUINCY, MA 02169.2658
�' U (_(iKA-A'•"'
- j 'DD 01-27.2011 Rev 07.15-2009
COMMONWEALTH OF MASSACHUSETTS
PLUMBERS AND GASFITTERS
LICENSED AS A MASTER PLUMBER r
ISSUES THE ABOVE LICENSE TO:
MICHAEL C BERNASCONI
58 ALBATROSS RD
Ico
QUINCY MA 02169-2658
15137 05/01/14 16960.5
COMMONWEALTH OF MASSACHUSETTS
PLUMBERS AND GASFITTERS
LICENSED AS A JOURNEYMAN PLJMBE1
ISSUES THE ABOVE LICENSE TO:
MICHAEL C BERNASCONI
C
58 ALBATROSS RD
QUINCY MA 02169-2658
26474 05/01/14 16960
COMMONWEALTH OF MASSACHUSETTS
DIVIS(ONBOARD OF
AS A MASTER -UNRESTRICTED
ISSUES THE ABOVE LICENSE TO:
MICHAEL C BERNASCONI
58 ALBATROSS RD
359 11/28/13 06572
Date ..(Z-1 ! �J\ Z
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that. .1.�'-:� .. !l � A S
.. .. ..cd............
has permission to perform . (1�1. s -R.. VSD r,4 Qt's .A
plumbing in the buildings of . .t .N ......................
at. ,��- �) `! 1� a. , , , , North Andover, Mass.
Fee .w. "-.. Lic. No. I-j3j.. '"I�................... .. .
PLUMBING INSPECTOR
Check # 32 (,o?j 1
r MASSACHUSETTS UNIFORM APPLICATIONIF.ORiAPERMIT TO PERFORM PLUMBING WORK
n/62)
CITY I� ��,_ - - MA DATE �z/Jhz PERMIT#
JOBSITE ADDRESS OWNER'S NAME,' L,;1
POWNER ADDRESS r�ajTEL1�7�-26�-�Up jFAX1n/fA_
TYPE OR OCCUPANCY TYPE COMMERCIAL ( EDUCATIONAL [ RESIDENTIAL [� f
PRINT
CLEARLY NEW: [ I RENOVATION: [ REPLACEMENT: P i PLANS SUBMITTED: YES [ NO[, )
FIXTURES -1 FLOOR esM 1 2 3 4 5 s 7 8 s T 10 t1 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM `
DEDICATED GAS USANSAND SYSTEM
DEDICATED GREASE SYSTEM "` Y
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER -- -
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR / AREA DRAIN -
INTERCEPTOR INTERIOR
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE / MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALLTYPES
WATER PIPING
OTHER
INSURANCE COVJMSE:
have a current I• lit inwrance policy or its wbstantial equivaW which meetsL fl requirenvents ofMGL Ch. 14L YES [] NO ❑
Al- YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKINGITHEtAPP!ROPRIi1TE BOD( BELOW
LIABILITY INSURANCE POLICY D OTHER TYPE OF INDEMNITY[] BOND ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does notg the' irtsurartce(aoverage by Chapter 142 of the
Massachusetts General Laws, and that my signature on this permit applicatiominivesithisagli irement.
SIGNATURE OF OWNER OR AGENT ;CHECK ONE ONLY: �"AG
❑
1 hereby OWN that all of the details and information I have submitted or a ftQ regarding: this . true the best of my
and that all Plumbing work and installations performed under the permit issued for this application. 11 wit all neat prows of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Michael Bemasooni LICENSE #r �151� 37 — SI T
bW
MP ❑ JP ❑ — — - - _ CORPORATION ❑ # 2806 ] IPARTNERSHIPOLLC❑#
COMPANY NAME �ntral Cooling 8 Heating, Inc. ADDRESS 9 North Street
CIN STATE [ MA —j ZIP 0* _ j TEL 781-933-8288 _
FAX 781-932-9017 CELL 781-844-3424 EMAIL mbemasaoni@centralcooling. cem
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N
DeFw*xmt of In&MWd Acddex&
Offlce ofIava*ddons Map # _ Loots _
6000 Waskbigton S&eet Addresn:
Boston, MA 02111 Permit #
wivw.,,raaagn,�/�
Workers' Ctompensation b5nmee Affidavit: BailderWContmctor&/Electricians/Plumbers
LL�rWlt Information masa- D•.& -.L Z _ --. ■
Name (B
Address:
Phone #:
oYthe appropriate box:
1. ®
I am a employer withy7C)
4. [] I am a general cofactor and I
employees (full and/or part-time).
2. ❑ I am a sole proprietor or
have hired the sub -contractors
li ftd on the
parlaer-
ship and have no employees
attached sheet
These sah:co�rs have
working for me in,any capacity,
employees and have walkers'
f No workers' comp, insmmce
comp, insmmcet
Tequire&j
3. ❑ I am a homeowner doing all' work
5. (] We are a corporation and its
officers have exercised their
myself [No workers' comp.
right of exemption per M' GL
insurance required.] t
c. 152, §1(4), and we have no
employees. [No workers'
Type of Project (required):
6. ❑ New construction
7. ❑ Remodeling
8. Demolition
9. []'Building addition
10.❑ Electrical repairs or additions
11.Q Phmabing repairs or additions.
12.0 Roof repairs
13.51 Odier_ij_1_. 4er
`Ho vows8PPfin v ft checlo3 box #i must alw B out 00 section below showing their worbels' q � '
t Honbownps who m6wit this a0ldwit ' ' PobcY intomntian.
8 �T in an.wait and then hire outside eonhwWM mist submit a new affidavit indicating akh
that check this box mutt MWUd an additional sheet Ishowing the name of the spb and elate or not those entities have
�P • t the aibs�dnhactgre have eMnP , ftY must FvA& their wort M' 00%,: PoHcy=mber.
l ora' dW' eMPIOJW that isPr»vl 49 workwsI romp s !n<sunrrrce or Jlt
lntformadon. f Y MPkY Below is MrePollcy'oardlob aJte
Insurance COnpany Name:
Policy # or Self -ins.. Lac.
Expiration Date. .1,6126
Job Sitio Addt+eee;_ "1 `t Sc �'}-�{n•. i') l I I �k J� i
Attach a copy of .ft workers' cou pawtyon
Polio' dedarat3on. Page (showing the Poflcy'number and eVh2don date).
Fulure fiM to securer coverage as requacd under Section 25A of MC#L c, 152 can lead to do jug"iiion of caiariml
Up to S1,500.00 =W(ff one -y=.- — — as w�etl as civil penalties .ofa
of up to 5250.00 aenalties m the Eosm of a STOP WC>BR ORDER and a !'me
os of the I) �t the viohdm. BeHadvised that a Dopy of iia Moment maybe .tD the Offte of
InlnsatiatiNn *♦ �_
MVMrnr vii/'
I di keirbpaw
viler Uro
P olP%'t� are byirrnrdlar p»>wtieii � fs bwro turd eorniat:
/L
—W <--f —
rlSC only. Do not area, to aD�rlp Or town OfdaL
City or Town: PermitlUeense #
Issuing Authority (circle one):
1. Board of Health 2. Binding Deparhneut 3. City/Town Clerk 4. Electrical
6 Other Inspector S. Plumbing Inane ter
Contact Perron: Phone #:
Information and Instructions \\ �
Massaclnjsetts General Laws chapter 152 requires all cMPloyens to provide workers' compensation for their employees:
Puzsnant to this statute, an aypleym is defined as "...every person in the service of another under any contract of hiro,
express or implied, oral or written."
An aployer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint eihberprise, and including the legal representntuves 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 bouse 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 dwellnmg house
or on the grounds or building appurtenant
tiier+eto shall not because of such employment be domed to be an employer."
MGL chapter 152, §25C(6) also slates that "every state or local lioendng agency sball withhold the issuance or
renewal of a licease 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 pafmnance of public work until acceptable evidence of compliance with the insurance
requirements of tris chapter have been presented to the contracting aulhority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sob-co�s) name(s), address(es) and phone numbers) along with their certificates) of
insurance. Limited Liability Companies (LLC) of Limited Liabft Partnerships W) with no employees other than the
members or partners, are not required to catty workers' corimeatim insmance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Wust W
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 Det of
Industrial Accidents. Should you have any questions regarding the, law or if you are required to obtain a wbrkm'
compensation policy, please call the Department at the number listed below.. Self-insured companies should entor their
self-insurance license number on the a propd at= line.
City or Town Officials
Please be sure that &e affidavit is complete and printed legibly. 'IU Department has provided a space 'at the bottom
of the affidavit for you to fill out in dye event the Office of Investigations has to contact you regarding the app
Please be sure to fill in the pehmoidliceose mrmmber which wi71 be aced as a inference Umber. In addition, an aPp
HCW
that must submit mdfiplo pozmMcense gVhc @dm in my given yQar, need only submit ane affidavit indicating cum+ent
policy inflormtrion (if necessary) and under "Job Site AddrW the applicant should write "all locutions in (city or
toa►a)." A copy of the affidavit tbet has been officially stamped or madmd by die city or town may be provided to the
appH=w-ss proof that a valid affiWkvk is on ffie for fi tin permits or licenses. A new atfiidsvit must be filled out each
YM. Where a theme owner or � is obtaining a Hmn or permit not w1ded to any business or cOumurcial venture
(Le. a dog license or pe mh:to bum leaves etc.) acid person is NOT nqunred to canmpkbe this affidavit.
The Office of hivestigmioos would intoe to drank you in advance for your cooperation and should you have any questions,
please do not hesitate to give ns a call.
The Department's address, telepbone and fax comber:
Revised 11-22-06
JU eommouv 0 th of MON&USetts
DvOtM at of IadastrW Aoddaats
6M wnhi%ft S#Vd
Bodoa, SIA 02111
Tel. # 617-727-4940 ext 406 Or 14877-MASSAFB
Fax # 617-727-7749
www.mass gov/dis
COMMONWEALTH OF MASSACHUSETTS
PLUMBERS AND GASFITTERS
REGISTERED AS A PLUMBING CORP
ISSUES THE ABOVE l (CENSE TO
MICHAEL BER14ASCONI
CENTRAL C'OO'LING & HEATING INC
58 ALBATROSS RD v
QUINCY MA 02169-2658
2806 05/01/14 210316
EXPIRATIONLICENSE NO. DATE SERIAL NO. 'I
DRIVER'S
LICENSE
4:, ISS 9a END 4,1 NUMBER
01.26-2011 NONE S94139.092
4b EXP 3 D00
11-02-2015 11-02.1952
9 CLASS 12 REST 1:, SEX M 16 NGT 5-06
OM B
I1F-RN,ASr:r,t�!
2 MICHAEL C ii•o2•tnsz
n 56 ALBATROSS RD
1 QUINCY, MA 02169.2656
DD01.27-201Rev07.15-2009
COMMONWEALTH OF MASSACHUSETTS
PLUMBERS AND GASFITTERS
LICENSED AS A MASTER PLUMBER
ISSUES THE ABOVE LICENSE TO:
MICHAEL C BERNASCONI
58 ALBATROSS RD
C12
QUINCY MA 02169-2658
15137 05/01/14 169605
COMMONWEALTH OF MASSACHUSETTS
DIVISION. :..•..
PLUMBERS AND GASFITTERS
LICENSED AS A JOURNEYMAN PL,IMBEF
ISSUES I HE ABOVE LICENSE TO:
MICHAEL C BERNASCONI
58 ALBATROSS RD
QUINCY MA 02169-2658
26474 05/01/14 16960;t
COMMONWEALTH OF MASSACHUSETTS
DIVISION OF PROFESSIONAL LICENSIJR� - BOARD OF,i
AS A MASTER -UNRESTRICTED
ISSUES THE ABOVE LICENSE TO:
MICHAEL C BERNASCONI
58 ALBATROSS RD C
C
QUINCY MA 02169-2658 E
359 11/28/13 96572
Date .. `�/`��y ...... .
.tiO
TOWN OF NORTH ANDOVER
-PERMIT FOR GAS INSTALLATION -74
This certifies that .. T��. U.-Y?:s .............. .
j�7Pr �
has permission for gas installation ..........,..... /� •,/n.. �!'... .
in the buildings of . f. /1-17e1`
at .... 2T.`�..:�cl1�i� . / : ' North over ass.
r. �!! .. /
Fee..?� �. Lic. No.. �� � . ........ ........ .
GASINSPECTO
Check # � (0
8'173
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
11794 AuQOVEI2. , Mass. Date 05129 -Permit #
I Li
Building Location_ 240 S M61J HILL RD. Owner's Name MAeIA IoAf-UEI�_
N0Z174 A Type of Occupancy _511UCa - vAuL%
New ❑ Renovation ❑ Replacement ❑ Pians Submitted: Yes[] No ❑
Installing Company Name COLUMBIA (;aS GF MASSACHUsETTS Check one: Certificate #
Address 55 MARSTON STREET K) Corporation 1862
LAWRENCE, MA 01841 - 23 ► 2 ❑ Partnership
Business Telephone 9 7!B - 691- 640 6 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter Francis X. Corkery
INSURANCE COVERAGE:
I have a�cusrrenntt liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
No If you have checked rimes, please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy 2< Other type of Indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. -
Check one:
Signature of Owner or Owner's Agent . Owner❑ Agent E3
I hereby certify that all of the details and information I have submitted (or entered) in above pplication are true and accurate to the best of my
knowledge and that all plumbing work nd installations performed under the permit iss f r this application will n mpliance with all
pertinent pro isi s of the as achu ,tts S to Gas Code and Chapter 142 of the Gene S.
(/ %
By T e of License:
Plumber Signature of licensed Plumber or Gas CZ
Title Gasfitter
Master License Number 3%Q"Jr
City/Town Journeyman
APPROVED OF ICE SE ONLY)
w
s
•
■■
EMNE
MENEM
■
■/�■■■■r■■■'
row.
Ems
Installing Company Name COLUMBIA (;aS GF MASSACHUsETTS Check one: Certificate #
Address 55 MARSTON STREET K) Corporation 1862
LAWRENCE, MA 01841 - 23 ► 2 ❑ Partnership
Business Telephone 9 7!B - 691- 640 6 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter Francis X. Corkery
INSURANCE COVERAGE:
I have a�cusrrenntt liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
No If you have checked rimes, please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy 2< Other type of Indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. -
Check one:
Signature of Owner or Owner's Agent . Owner❑ Agent E3
I hereby certify that all of the details and information I have submitted (or entered) in above pplication are true and accurate to the best of my
knowledge and that all plumbing work nd installations performed under the permit iss f r this application will n mpliance with all
pertinent pro isi s of the as achu ,tts S to Gas Code and Chapter 142 of the Gene S.
(/ %
By T e of License:
Plumber Signature of licensed Plumber or Gas CZ
Title Gasfitter
Master License Number 3%Q"Jr
City/Town Journeyman
APPROVED OF ICE SE ONLY)
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Commonwealth of Massachusetts
Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS
Offilicial Use Only
Permit No. tOD�
Occupancy and Fee Checked
[R.ev.11/9991 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code i C), 527 QIR 12.00
(PLEASE PRINT PLINK
+,RE,A IN ATI N) Date: ——�City or Town ofTo the Inspector of Wires:
By this application the underss notice o his her intention to perfo the electrca work described below.
Location (Street & Num r)., / C
Owner or Tenant ! (�
Telephone No.
Owner's Address
Yes.. ❑ No(Check Appropriate Box)
ty/A
Utiliuthonzahon No.
Is this permit in conjunction with a building permit?
Purpose of Building
Ex.nting Service Amps / Volts Overhead ❑ Und rd
g ❑ No. of Meters
New Service Amps / Volts Overhead ❑ Und rd
g ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Installation of Security system
Completion of the followin table ma be ivaived b the lns ector o Wires
No. of Recessed Fixtures
No. of Ceil: Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
Swimming Pool Above ❑ In-
rnd. rnd. ❑
o.olmergency lighting
Batte Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS No. of Zones
No. of Switches
No. of Gas Burners
o. of Detection an
Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
g
No. of Waste Disposers
Heat Pump
Number
Tons
KW
No. of Self -Contained
Totals:
Detection/Alerting 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. o Water KW
No. of o. o
Data Wiring:
Heaters
Signs Ballasts
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total IIP
Telecommunications Wiring:
No. of Devices or Equivalent
OTHER: -
Attach additional detail if desired, or as required by the hispector of Wires.
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:)
(Expiration Date)
Estimated Value of Electrical Work: l I ---(When required by municipal policy.)
Work to Start: --^-- Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I certify, under the pains and penalties of perjury, that the information on this application is true and complete.
FIRM NAME: •( ^ LIC. NO.: ] S31('
Licensee: _ John S. Bassett Signature LIC. NO.: 1533C
(//applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 603 594 5928
Address Alt. Tel. No.:
OWNER'S INSURANCE WAIVER: I am aware that the Lic, see 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 a ent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $
Date .. -/ r
:1+ TOWN OF NORTH"ANDOVER
PERMIT FOR(PLUMBING
This certifies that .. '-.-.... P.�:�.-.....� t ............
v
has permission to perform .._.-!`.-:--�►-�- .-? - '..............
plumbing in the buildings of .,�'--! . `t�� ................... .
Ste.
....f..... r'`�r . ....%.. !`TFC North Andover, Mass.
e
Fee--....:.. Lic. No.
PWMBING,lNSPECTOR
Check �
7633 1 ,
I
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
^�
Building Location f7LB/y Owners Name Date
-W`/\\ Permit # .37
1 Amount
V'
Type of Occupancy .,
New Renovation Replacement Plans Submitted Yes ❑ No
T
(Print or type) Check one: Certificate
Installing Company Name M\ U�(I , a;�. , ❑ Corp.
Address ,�)C�� St1N Z �.l\C�� C� �� ' Partner.
Business Telephone '1 R \ • `1\0 - rr)-U'1 / Firm/Co.
Name of Licensed Plumber: Wey-h-'L \ I
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy 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 insuaance
ignature IOwner ❑ Agent M
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 MasskchuseA State Plumbing Code and Chapter 142 of the General Laws.
IBy:
(APPROVED (OFFICE USE ONLY
Type of Plumbing License
Z Z
Mcense NUMDer Master Journeyman ❑
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(Print or type) Check one: Certificate
Installing Company Name M\ U�(I , a;�. , ❑ Corp.
Address ,�)C�� St1N Z �.l\C�� C� �� ' Partner.
Business Telephone '1 R \ • `1\0 - rr)-U'1 / Firm/Co.
Name of Licensed Plumber: Wey-h-'L \ I
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy 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 insuaance
ignature IOwner ❑ Agent M
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 MasskchuseA State Plumbing Code and Chapter 142 of the General Laws.
IBy:
(APPROVED (OFFICE USE ONLY
Type of Plumbing License
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2 Silver Ledge Road, Newbury, MA 01951
Office: 978-462-4331 - Cell: 978-973-2366 . Fax: 978-462-5528 • email: jfix@comcast.net
February 20, 2008
Inspector of Buildings — Town of North Andover
1600 Osgood Street
North Andover, MA 01845
Re: Residential construction at 240 Sutton Hill Road. North Andover, MA
Dear Building Inspector:
I recently made a site visit to the White residence at 240 Sutton Hill Road in North Andover to
observe the construction of the renovation. During my site visit I observed that the W8x21 steel
beam and the Versa -lam columns appeared to have been constructed in general accordance with
the design drawings, stamped by structural engineer Francis Collopy, P.F.
If you have any questions, please feel free to contact me.
Date `�Z/G 4.
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
SSACMt15� / `✓ � I i t �/ /� ..
This certifies that...,,/
has permission to perform.�Xx� .....
plumbing in the buildings of',��C1�
F
at . ,%l/` �zz. /.x... ,! �... , North Andover, Mass.
Fee./. !". Lie. No/��W ..............................
PLUMBING INSPECTOR
Check _
5;4.
MASSACHUSETTS UNIFORM APPLICA
(Print or Type)
V Mass. a
Building Location D'�,
A0 QN - (665- (oI q
New O Renovation O
IN
FOR PERMIT TO DO PLUMBING
rZ 7 — 0 permit t
Owner's Name 6L �Q�l'C� t✓lIr r,�
_ Type of Occupancy S / ri Fr le
Replacement Pians Submitted: Yes O No D
r11Q1:C
Check One: Certificate
Installing ContpanyName /-i�d�,o;. SI��r�,�-�:. p
Address-- yy - o, lo Ct O Partnership
Business Telephone 1- Sit Si
Name of Licensed Plumber
tyJM
INSURANCE COVERAGE:
1 have Yacurrent liability Policy or its substantial equivalent which meets the requirements of MGL Ch. t42
eS
If you have cchhecked yes, Please indicate the type overage by checking the aPproPnate boy.
A liability insurance policy -g Other type of indemnity O Bond G
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage req
by Ctat of the Mass. General Laws, and that my SMnatk� on this Prt applies this reauiruired �t
hapter
*gnature or owner or Owner's Agent
Check one:
Owner Agent G
I 110100Y certify that all of the details and inioanationI ham submitted (or entente in above appficatbn are true and accurate to
D�e'bestft at Wnowledge and that all plkanbmg work and installations Derfarmed undo permit forthis applintion will
pertinent provisions of the sr .F,c2 of me General Laws.
at Licensed
Type of Lk wac Master X. Journeyman
License Nunew - /.93/010
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Installing ContpanyName /-i�d�,o;. SI��r�,�-�:. p
Address-- yy - o, lo Ct O Partnership
Business Telephone 1- Sit Si
Name of Licensed Plumber
tyJM
INSURANCE COVERAGE:
1 have Yacurrent liability Policy or its substantial equivalent which meets the requirements of MGL Ch. t42
eS
If you have cchhecked yes, Please indicate the type overage by checking the aPproPnate boy.
A liability insurance policy -g Other type of indemnity O Bond G
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage req
by Ctat of the Mass. General Laws, and that my SMnatk� on this Prt applies this reauiruired �t
hapter
*gnature or owner or Owner's Agent
Check one:
Owner Agent G
I 110100Y certify that all of the details and inioanationI ham submitted (or entente in above appficatbn are true and accurate to
D�e'bestft at Wnowledge and that all plkanbmg work and installations Derfarmed undo permit forthis applintion will
pertinent provisions of the sr .F,c2 of me General Laws.
at Licensed
Type of Lk wac Master X. Journeyman
License Nunew - /.93/010
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TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
�SACNUSc .•
This certifies that ....lr ``
........
has permission for gas installatiori�/!!/ %i ... .
in the buildings of?/� %/O .............. .
at . .. �!.���fii_1� .. , North Andover, Mass.
Fee.>.... Lic. No.���!. ......................... .
V GAS INSPECTOR
Check #
4658
,FORTH
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Date... ��... .
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
�SACNUSc .•
This certifies that ....lr ``
........
has permission for gas installatiori�/!!/ %i ... .
in the buildings of?/� %/O .............. .
at . .. �!.���fii_1� .. , North Andover, Mass.
Fee.>.... Lic. No.���!. ......................... .
V GAS INSPECTOR
Check #
4658
MASSACHUSETTS: UNIFORM APPLICATION FOR PEf M1R TO DO GASFITTING.
t o Type). � l% Z 7 O —�•5 .�
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Plans Submitted: Yesp No C]
Installing Company Named- AMc.aCc- s Pt 0 cv.d, nc .
Business
Name of Licensed Plumber or Gas Fitter.
Check one:: Certificate:.
❑ Corporation..
❑ Partnership
A Firm/Co.
INSURANCE COVERAGE*
I !tee a c"_nwq I3alr t y ' Ir ' ' ` or."k S bstLnu equtiw at w ichi r -t' eats r e -qui remer4a of.'I ' �. • 142.•.
Yes No O
If you have checicsd-Mg::plass*Wstaew4ype-:covmge:by checking the :appropdsti box.
A liability insumnce:'polky X Otter..typeol indemnity. CL. Bond ❑
OWNER'S INSURANCE WAIVER:1 am aware that the licensee does rod have- the insurance .coverage required by
Chapter 142 of the .Mass. General :Lawa. and bd.my signature on -this -permk application waives this requirement.
Check one:
Signature of -.Owner w-:Owrwrs AgeOwnerO Agent Ont, .
I hereby certify that all of the details and information I have submitted (or entered) in above application am We and accurate to.the beat of my
knowledge and that all plumbing work and installations perforated under the 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
T of License:
Title Ium er gna cel m or i
Master License Number 3IC(D.
City/Town Journeyman
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4TH FLOOR
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6TH FLOOR
TTH FLOOR
BTH FLOOR
Installing Company Named- AMc.aCc- s Pt 0 cv.d, nc .
Business
Name of Licensed Plumber or Gas Fitter.
Check one:: Certificate:.
❑ Corporation..
❑ Partnership
A Firm/Co.
INSURANCE COVERAGE*
I !tee a c"_nwq I3alr t y ' Ir ' ' ` or."k S bstLnu equtiw at w ichi r -t' eats r e -qui remer4a of.'I ' �. • 142.•.
Yes No O
If you have checicsd-Mg::plass*Wstaew4ype-:covmge:by checking the :appropdsti box.
A liability insumnce:'polky X Otter..typeol indemnity. CL. Bond ❑
OWNER'S INSURANCE WAIVER:1 am aware that the licensee does rod have- the insurance .coverage required by
Chapter 142 of the .Mass. General :Lawa. and bd.my signature on -this -permk application waives this requirement.
Check one:
Signature of -.Owner w-:Owrwrs AgeOwnerO Agent Ont, .
I hereby certify that all of the details and information I have submitted (or entered) in above application am We and accurate to.the beat of my
knowledge and that all plumbing work and installations perforated under the 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
T of License:
Title Ium er gna cel m or i
Master License Number 3IC(D.
City/Town Journeyman
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No. Date _1�Z3�
sACMusEt�'
: SJ 788
TOWN OF NORTH ANDOVER
Certificate of Occupancy
$ �� r
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Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
CU
$ o
Sewer Connection Fee
$
Water Connection Fee
$
_
Z
TOTAL
K2
$
Building Inspector
Div. Public Works
Location 23% — Z4C' Sv iiw Sr
No. Date
A
rORp TOWN OF NORTH ANDOVER
3'r •.. _' - • OL Irk
ku
p Certificate of Occupancy $
Building/Frame Permit Fee $
'� s "°' E Foundation Permit Fee $
JACMUS
Other Permit Fee $ eOS �
` Sewer Connection Fee
' Water Connection Fee $
$ �_` Q -.
TOTAL
Building Inspector
^ '
7815 Div. Public Works
r
PEIiJ1IT NO.
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE 1
MAP iqO.
LOT NO.
2 RECORD OF OWNERSHIP iDATE
BOOK 'PAGE
ZONE
SUB DIV. LOT NO.
LOCATION2�/1 �� �'"C`O1�f
V
PURPOSE OF BUILDING C)C.j-c, Tr_
OWNER'S NAME~? ®Q l M-
NO. OF STORIES a SIZE
OWNER'S ADDRESS -1' 1 ,AY '� A J 11�
(`'[��B��CVl
BASEMENT OR SLAB
ARCHITECT'S NAME " ` ` S
BUILDER'S NAME �•� ��G�_
V L /� 'L ✓1/���fJ !/L
SIZE OF FLOOR TIMBERS IST z�8 2ND 7 �C� 3RD
L Q
SPAN ` .7 1
L w
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
POSTS I./a 11 (QL
((
r
DISTANCE FROM STREET I
DISTANCE FROM LOT LINES - SIDES "] REAR 0
GIRDERS
AREA OF LOT /� �CR.A. FRONTAGE 'o
cess
HEIGHT OF FOUNDATION 1
bt
THICKNESS l1 2 1
INEWS BUILDING BUILDING NEW
SIZE OF FOOTING _
X ,
IS BUILDING ADDITION , 7
'v
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION
I Q
IS BUILDING ON SOLID OR FILLED LAND
J (+ aL t�^
WILL BUILDING CONFORM TO REQUIREMENTS OF CODEL
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE / �p�
(
IS BUILDING CONNECTED TO TOWN WATER
`�(e
BOARD OF APPEALS ACTION. IF ANY
1 V-14-
IS BUILDING CONNECTED TO TOWN SEWER
BUILDING CONNECTED TO TOWN SEWER
L(,eS
IS BUILDING CONNECTED TO NATURAL GAS LINE 'e -s
INSTRUCTIONS '* Sim
W. �m
SEE BOTH SIDES 11L`
PAGE 1 FILL OUT SECTIONS t - 3 v1sk` ' _ e&,
PAGE 2 FILL OUT SECTIONS 1 - 12 •3(/^�V `
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE fILF.46 k 2I 2-I (lq
SIGNATURE OF OWNER OR AUTHORIZED AGEI T ((
FEE�
I
PERMIT GRANTED 4%01
19
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3 PROPERTY INFORMATION
LAND COST --------
EST. BLDG. COST (�1 00 (,
EST. BLDG. COST PER SIIQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
INSPECTOR
OWNER TEL. N L "t 5 r �`
CONTR. TEL. ayE� a . S335
CONTR. LIC. # P1
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BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA -
APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
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CONSTRUCTION
ENGINEERING
SERVICES
F,DC
New Meadows Professional Building
447 Old Boston Road
Topsfieid, MA 01983
.Attention: Jim Bourgeois
Dear Jim
g4-5�1`l
12 PLEASANT STREET
NEWBURYPORT, MA. 01950
TEL. 508-465-2216
January 11, 1995
At your request, I have inspected the exposed second floor
framing at 238 Sutton Street, North Andover, MA. After measuring
member sizes and performing the appropriate calculations, I find
that th.e resulting stress levels are appropriate for an attic
loading in conformance with the Massachusetts Building Code.
The second floor should not be used for anything other than
Light: storage without r-einforcerxent.
Please Teel free to call should you have any questions.
whp��A
`AA,e^
ELL
1 Cb L
4��`LL`,.tv�Jfa
� -17 -95
A I D
Very truly yours,
�-/John S. O'Connell, P.E.
STRUCTURAL INVESTIGATIONS & DESIGN 0 SITE ENGINEERING O CONSTRUCTION COST ESTIMATES
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it 11 ,
Registry of Deeds
Northern District of Essex County
r'
Lawrence, MA 01840
12/05/94
.
KEVIN IN MUFi FHY DR
# 10 Recotime 1032 Type DEC 10.00
Postage 0.29
..
-
Total 2
10.�
.-
# 11 Payment Cash 20. �0
12 . ,,
# .... _
THANK N YOU! P
onlyS J. Burke
,
Register of Deeds
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• CF yORiM
OFFICES OF: o?' �`'' �� Town of `
D
APPEALS NORTH ANDOVER
BUILDING
CONSERVATION ss °get DIVISION OF
HEALTH
PLANNING PLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIRECTOR
120 Main Street
North Andover,
Massachusetts O 1845
In accordance �� he provisions of MGL c 40, S 54, a condition of Building Permit
Number _ is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S
150A.
The debris will be disposed of in:
LAW
Z,r,-L c1, L, let
cation of Facility)
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.
. 6 �18G BOA80R>rc-LlY
Gkt�1EL.L1HG
TOWN OF NORTH ANDOVER
MASSACHUSETTS �QRI}";iOYER
Any appeal shall be filed
within'(20) days after the
date of filing of this Notice
in the Office of the Town
Clerk.
This is to certify that twenty (LO) days
hate elapsed from date of decision filed
without filing of an`appeal.
Q
Date
Joyce A. Bradshaw
Town Clerk
NOR7N 1
Of�...c y +
n
,SSACHUSE�S�
NOTICE OF DECISION
JAN Z4 1142 V.134
Date . ,Januarx , i c ,1994 ...........
November 30,�1993
Date of Hearing December 7,..1993 .
January 4, 1994
January 18, 1994
Petition Of,Dr:.Sudarshan,Chatterjee,.,_...,.
Premises affected . ?38�?40, Sutton, Street . ............ . ..... . . .
Referring to the above petition for a special permit from the requirements
of the.Ngnt4.4in gYtrV.�gping.Bylaw.-.Section.8:3.;,Site.Plan.Review....,..,.,.
so as to permit , the. pppypFpion. of, a, residential, structure, to, be, used, as. , .. .
D P �S�i4nal.4 hoes..........................................................
After a public hearing given on the above date, the Planning Board voted
CONDITIONALLY
to APPF,9YE......... the ..PS TE. PLAN, REVIEW ......................................
cc: Director of Public Works
Building Inspector
Conservation Administrator
Health Agent
Assessors
Police Chief
Fire Chief
Applicant
Engineer
File
Interested Parties
based upon the following conditions:
Signed a .
�J
Richard, A..Nardella,,Chairman,..
John, Simons,, Vice, Chairman, , . , . .
Joseph, Mahoney,, C�erk, . , , , . . , . ,
Richard. RoYJeir...................
John, Dac hiiAp,. Asi;ociate Mefnber,
Planning Board
f"°Rio,
°
KAREN H.P. NELSON Town of
1}ireetor '�'�•' a '
' NORTH ANDOVER
a BUILD'NG
CONSERVATION ,@s�OM ses DIVISION OF
HEALTH
PLANNING PLANNING & COMMUNITY DEVELOPMENT
Mr. Daniel Long, Town Clerk
Town Building
120 Main Street
North Andover, MA 01845
Dear Mr. Long:
January 24, 1994
120 Main Street, 01845
(508) 682-6483
Re: 238/240 Sutton Street
Site Plan Review
The North Andover Planning Board held a public hearing on
November 30, 1993 in the Senior Center behind the Town Building
upon the application of Dr. Sudarshan Chatterjee, 42 Jay Road,
North Andover, MA., requesting Site Plan Review approval for
238/240 Sutton Street, under Section 8.3 of the North Andover
Zoning Bylaw. The legal notice duly advertised in the Lawrence
Eagle Tribune on November 15 and November 22, 1993 and all parties
in interest were properly notified. The following members were
present: Richard Nardella, Chairman, Joseph Mahoney, Clerk,
Richard Rowen and John Daghlian, Associate Member. John Simons and
John Draper were absent.
The petitioner was requesting Site Plan Review approval to
allow the conversion of a residential structure to be used as
professional offices.
Mr. Mahoney read the legal notice to open the public hearing.
The following information was provided to the Board:
- professional office building use for a cardiologist to
run patient street tests.
- no exterior change other than handicap ramp
- landscaping plan to soften appearance of parking lot
- interior unoccupied attic area/ no plans to use it
Zoning Bylaw differentiates between clinics and professional
offices, (i.e. dentist) and it will be a 2 person operation. The
question is the intensity of use. There will be two small suites,
less than 1,000 sq.ft.
S •
Page 2:
238/240 Sutton Street
Mr. Nicetta stated that there were a number of problems.
1. change of use issue and non-conformance to Mass State
Building Code
2. Is it a medical center? If so, it falls under State
Building Inspector's jurisdiction
3. ZBA determination on the use is necessary which will
affect the number of parking spaces required.
Mr. Kenneth Crouch questioned snow removal efforts and the
ability to maintain the parking spaces.
On December 7, 1993, the Planning Board held a regular
meeting. The following members were present: Richard Nardella,
Chairman, Joseph Mahoney, Clerk, Richard Rowen and John Daghlian,
Associate Member. John Simons and John Draper were absent.
Robert Nicetta, Building Inspector, told the Board that the
structure needs to be reviewed. There is a change in use,
therefore building must be brought up to current building codes.
Mr. James Bourgeois requested continuation, in the meantime
address structure issues.
Mr. Nardella asked the Building Inspector and the applicant to
discuss the building use issues and parking.
The Board to continue the hearing until the next meeting,
January 4, 1994.
On January 4, 1994 the Planning Board held a regular meeting.
The following members were present: Richard Nardella, Chairman,
John Simons and Richard Rowen. JoSeph Mahoney, John Daghlian and
John Draper were absent.
Mr. James Bourgeois told the Board that after discussion with
staff, he has decided to call the use proposed, a medical office
and not a professional office.
Mr. Nicetta told him that changes need to be made to the plan
so that the number of parking spaces required for the use can be
calculated.
remove stairs to attic and provide. alternative access,
label all features on plans.
basement - designated as unoccupied - need to label it
for use as storage, etc.
Page 3:
238/240 Sutton Street
first floor - have not specifically designated what rooms
will be used for, need to designate them, i.e. how many
employees
Mr. Nicetta told the applicant he must designate use of all
areas in order to calculate parking.
Mr. Bourgeois:
925 sq.ft..first floor, therefore total medical offices
are 925 sq.ft. because not using attic or basement.
Mr. Nicetta told the Board that their decision must state that
attic and basement can never be used.
Ms. Colwell stated that there is a need for three parking
spaces for 925 sq.ft. plus a space for each employee.
Mr. Nardella stated that the Board has decided that it is a
medical office and not a professional office.
Mr. Bourgeois to work with Mr. Nicetta to resolve
internal plan issues.
decision will be specific to use.
The discussion continued to January 18, 1994 meeting.
On January 18, 1994 the Planning Board held a regular meeting.
The following members were present: Richard Nardella, Chairman,
John Simons, Vice Chairman, Joseph Mahoney, Clerk, Richard Rowen
and John Daghlian, Associate Member. John Draper was absent.
Mr. James Bourgeois presented the floor plan to the Board.
On a motion by Mr. Rowen, seconded by Mr. Mahoney, the Board
voted to close the public hearing.
On a motion by Mr. Rowen, seconded by Mr. Mahoney, the Board
voted to approve the decision as amended.
Attached are those conditions.
Sincerely,
North Andover Planning Board
Richard A. Nardella,
Chairman
cc: Director of Public'Works
Building Inspector
Conservation Administrator
Health Agent
Assessors
Police Chief
Fire Chief
Applicant
Engineer
File
238/240 Sutton Street
Site Plan Review Conditional Approval
The Planning Board makes the following findings regarding the
application of Dr. Sudarshan Chatterjee, 42 Jay Road, North
Andover, MA 01845, requesting a change in use of an existing
building from residential to a medical office in an Industrial -S
zone as required by Section 8.3 of the North Andover Zoning
Bylaws:
FINDINGS OF FACT:
1. The proposed use as a medical office and site design for
this lot are appropriate, as the site is zoned Industrial-
s.
2. Adequate vehicular and pedestrian access into the site has
been provided with the adherence to the approved plans.
3. The plan as approved meets the requirements of Section 8.4
(Screening and Landscaping) of the Zoning Bylaws, with the
addition of the enclosed conditions.
5. The applicant has met the requirements of the Town for Site
Plan Review as stated in Section 8.3 of the Zoning Bylaw.
6. Adequate and appropriate facilities will be provided for the
proper operation of the proposed use.
Finally, the Planning Board finds that this application generally
complies with the Town of North Andover Zoning Bylaw requirements
as listed in Section 8.3 but requires conditions in order to be
fully in compliance.
Therefore, in order to fully comply with the approval necessary
to change the use of the facility as specified in the Site Plan
Review application before us, the Planning Board hereby grants an
approval to the applicant provided the following conditions are
met:
SPECIAL CONDITIONS:
1. This site plan review approval is for the creation of 925
square feet of medical office space contained on the first
floor. This approval does not authorize the use of either
the basement or the attic.
2. A minimum of 7 parking spaces must be reserved and marked in
the parking lot behind the building for use by the medical
office. If 7 parking spaces is determined not to be
adequate by the Building Inspector, the applicant must come
back before the Planning Board.
1
3. Prior to endorsement of the plans by the Planning Board:
a. Sheet A-1 must be changed to reflect the use of all
rooms shown on the floor plans.
4. Prior to FORM U verification (Building Permit Issuance):
a. The decision must be recorded at the Registry of Deeds
and a copy sent to the Planning Office.
5. All artificial lighting used to illuminate the site shall be
approved by the Planning Staff. All lighting shall have
underground wiring and shall be so arranged that all direct
rays from such lighting falls entirely within the site and
shall be shielded or recessed so as not to shine upon
abutting properties or streets.
The site shall be reviewed by the Planning Staff. Any
changes to the approved lighting plan as may be reasonably
required by the Planning Staff shall be made at the owners
expense.
6. Any plants, trees, or shrubs that have been incorporated
into the Landscaping Plan approved in this decision that die
within one year of planting must be replaced by the owner.
7. The contractor shall contact Dig Safe at least 72 hours
prior to commencing any excavation..
8. Gas, Telephone, Cable and Electric utilities shall be
installed as specified by the respective utility companies.
9. All catch basins shall be protected and maintained with hay
bales to prevent siltation into the drain lines during
construction.
10. No open burning shall be done except as is permitted during
burning season under the Fire Department regulations.
11. No underground fuel storage shall be installed except as may
be allowed by Town Regulations.
12. The provisions of this conditional approval shall apply to
and be binding upon the applicant, it's employees and all
successors and assigns in interest or control.
13. Any revisions to this plan must be submitted to the Town
Planner for review.
14. This Special Permit shall be deemed to have lapsed after a
two (2) year period from the date on which this permit was
granted unless substantial use or construction has
2
commenced. Thus this permit will expire on Y ,/9f6.
The following plans shall be deemed as part of the decision:
Plan Entitled: Site Development Plan
Prof. Office Building
232 & 238/240 Sutton Street
North Andover, MA
Sheet: L2-1
Dated: Jun 25, 1993; final revision Jan 4, 1994
Plan Entitled: Landscaping Plan
Prof. Office Building
232 & 238/240 Sutton Street
North Andover, MA
Sheet: L4-1
Dated: Jun 25, 1993; final rev. Jan. 4, 1994
Prepared By: Thomas E. Neve Associates, Inc.
447 Old Boston Road
Topsfield, MA
Plan Entitled:
Floor Plans •
Prof. Office Building
232 & 238/240 Sutton Street
North Andover, MA
Sheet:
A-1
Dated:
Nov. 9, 1993, rev. Jan 4, 1994
Plan Entitled:
Elevations
Prof. Office Building
232 & 238/240 Sutton Street
North Andover, MA
Sheet:
A-2
Dated:
Nov. 9, 1993
Prepared By:
EDC
New Meadows Professional Building
447 Old Boston Road
Topsfield, MA
cc: Director of Public Works
Building Inspector
Health Administrator
Assessors
Conservation Administrator
Planning Board
Police Chief
Fire Chief
Applicant
,Engineer
3
e
1 �
File
Sutton.240
4
♦ ° O
4
CONSTRUCTION
ENGINEERING
SERVICES
EDC
New Meadows Professional Building
447 Old Boston Road
Topsfield, MA 01983
Attention: Jim Bourgeois
Dear Jim:
r
• Y 4 l
12 PLEASANT STREET
NEWBURYPORT, MA. 01950
TEL. 508-465-2216
May 1, 1995
At your request, I made a pre -close -in structural inspection
of the renovation project at 2.38 Sutton Street, North Andover, MA,
on April 28, 1995. With the following exceptions, I find the
structural work to be in conformance with the intent of the
contract drawings and the Massachusetts Building Code.
The exceptions are as follows:
1. The rear ell was originally intended for use as an exam
room with fairly heavy camera equipment. For that reason, a
carrying beam at mid -span was called for. It is my understanding
that space is now intended for office use only, so the carrying
beam was not installed. However, the existing 2 x 10 framing is
not adequate to carry the proposed office loading. Therefore,
additional 2 x 10's should be sistered to every other existing
joist (32 " o.c.) to achieve the required capacity.
2. The new 3" ID SWP column under the street end of the
westerly existing main carrying beam in the basement is not yet
installed.
3. Two out of the three 2 x 12's in the southerly span of
both of the new carrying beams are spliced at 'mid -span. Another 2
x 12, 6 ft. long, should be nailed to both sides of the beam on
these spans, centered on the splices.
Please feel free to call should you have any questions.
cc: Kevin Murphy
Very truly yours,
I �V
John S. 0 -'Connell, P.E.
STRUCTURAL INVESTIGATIONS & DESIGN ❑ SITE ENGINEERING ❑ CONSTRUCTION COST ESTIMATES
V
EDC*Inc,.
W* MEADOWS IRCF°.SS*HAL 61L1nG
u7 = eoS-roH rro n 7DPSFFILD-IA Ol%J
(508)887-8586
I
TO North Andover B ui 1 di ns� Dent _
120 Main Street
North Andover, MA 01845
Attn: �1r. R,_C�1ant»c�ni , Tn�_�Pc�I oz
i HE FOLLOWING WAS NOTED
REPORT I
'G
Foundations -'
Structural 5 d �� rc r 7L7 h.. G� 6-- S . ��..g .
a lYoYl ��l �5
Masonry
Plumbing f'� frLr EGD a�
Interior Finishes ki-a'/
1nS is �q
Roof & Exterior .Finishes , , ^- t-; o - L� P /e
Signed
Ion
66
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C;+
0 80 ORD, a 1
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��lh 'OF I's
Office Building Conversion
:c7 1CN
238/240 Sutton Street
K. Murphy I
Dr. . S. Chatterj ee
-..
=
P�Ez-C.N AT SiTE r
0
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Foundations -'
Structural 5 d �� rc r 7L7 h.. G� 6-- S . ��..g .
a lYoYl ��l �5
Masonry
Plumbing f'� frLr EGD a�
Interior Finishes ki-a'/
1nS is �q
Roof & Exterior .Finishes , , ^- t-; o - L� P /e
Signed
Ion
66
CS
C;+
0 80 ORD, a 1
v
4� !
��lh 'OF I's
CONSTRUCTION
ENGINEERING
SERVICES
EDC
New Meadows Professional Building
447 Old Boston Road
Topsfield, MA 01983
Attention: Jim Bourgeois
Dear Jim:
12 PLEASANT STREET
NEWBURYPORT, MA. 01950
TEL. 508-465-2216
May 1, '_995
At your request, I made a pre -close -in structural inspection
of the renovation project at 238 Sutton Street, North Andover, MA,
on April 28, 1995. With the following exceptions, I find the
structural work to be in conformance with the intent of the
contract drawings and the Massachusetts Building Code.
The exceptions are as follows:
1. The rear ell was originally intended for use as an exam
room with fairly heavy camera equipment. For, that. reason, a
carrying beam at mid -span was called for.- It is my understanding
that space is now intended for office use only, so the carrying
beam was not installed. However, the existing 2 x 10 framing is
not adequate to carry the proposed office loading. Therefore,
additional 2 x 10's should be sistered to every other existing
joist (32 " o.c.) to achieve the required capacity.
2. The new 3" ID SWP column under the street end of the
westerly existing main carrying beam in the basement is not yet
installed.
3. Two out of the -three 2 x 12's in the southerly span of
both of the new carrying beams are spliced at mid -span. Another 2
x 12, 6 ft. long, should be nailed to both sides of the beam on
these spans, centered on the splices.
Please feel free to call should you have any questions.
Very truly yours,
:.Tohn S. O'Connell, P.E.
cc: Kevin Murphy
v ;"�47 1 0
STRUCTURAL INVESTIGATIONS & DESIGN ❑ SITE ENGINEERING 13 CONSTRUCTION COST ESTIMATES
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