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Miscellaneous - 25 COMMERCE WAY 4/30/2018 (3)
in s s c� U� L� 1 Location No. Date 67;z S t t 14oRT1y TOWN OF NORTH ANDOVER L � n Certificate of Occupancy $ Building/Frame Permit Fee$ cNusEs Foundation Permit Fee Other Permit Fee $� Q gSewerconnection Fee $ m Ui `�W O� lnnnection Fee '$ �� ��o Jk)L $9 C`TC SS Building Inspector 1321 -�3 ^. ' Div. Public Works Location J- 04A r2 tl Srrzc— 1 -- No. 6-6 2 Date e � f TOWN. OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ .1 CHUSF Other Permit Fee $ —� Sewer Connection Fee Water Connection Fee $ ca TOTAL $ ooca o—k# 417 cc�� Building Inspector I J 7%16/99 14:29 51000.00 PAID Div. Public Works 7— Location- ocationNo. No.a5 Date NGRT TOWN OF NORTH ANDOV fl Certificate of Occupancy $ i Building/Frame Permit Fee $ �ss�cMusEt Foundation Permit Fee $ ' a Other Permit Fee $ So w Sewer Connection Fee $ t- Water Connection Fee $ '" TOTAL $ 1 L4 41 12377 Building Inspector . Div. Public Works PHONE --CALL FOR A. TIME P.M. M .. -�'L�C PHONED OF 4/ RETURNED PHONE YOUR CALL ' AREA COD NUIyfF6ER..�O EX NSI N 2 ASE CALL MESSAGE WILL CALL Z, AGAIN CAME TO SES YOU STD UL SEE YOU LO TOPS 12. FORM 4003 NOTES.ti'' No 2043 Date... Z1. fy TOWN OF NORTH "ANb(5VER PERMIT FOR WIRING P C This certifies that .........................� j............................ has permission to perform ........ : ..!�:t /J .............. ✓ ?....�j.... �..`................ wiring in the building of ......&. rU �?'�.t l.:! r /. at .........................!,....1...1.......!/.... ..�. � ............... , North Andover,,Mass. Fee....S..7/..:... ...... Lic. No. k(, � / Y U ...................... _��it ..................1...... ELECTRICAL INSPECTOR 0 3 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer a Location 4-- a Lpxk' No. Date 5-1 E-- S4' A 40RTN TOWN` OF NORTH ANDOVEIo p Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ sACHUSE Other Permit Fee bm--mo $ / 3 0 Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 3 "i 'I 4 Building Inspector 1 Div. Public Works Location � � a No. n S� Date .- � -r- &ORTp# TOWN OF NORTH ANDOVER Z/ Certificate of Occupancy $ '�s'•<Mus s�C Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 0,5 qlli - 13 7 6 .2 137b? / ,j Building Ins66tor 7-1 003 Date...,./... TO 2810 NORTH ° '°'"° TOWN OF NORTR ANDOVER Wool Now PERMIT FOR WIRING �,SSACNUS� This certifies that C�.4 . Q..!+ ��`..().1� C. l .� ......... v .. �1............... In 6 has permission to perform ............................................ wiring in the building of ..........n./0: .,.a,.....�Z. p.rl}.,.,.�..C�....!................ at .......... I........c�..t ..��......s r .................................. . North Andover, Mass. Fee...Q.0. 0.... Lic. No..,/.. ,J.d ............................................................ ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File --A"/ / CJ�,Qe -5 t Location r' No. O� - 0 0 Date 5- [-00 ,.o 4 Check # 13704e,, TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee SkjO $ TOTAL $ Building Inspector k Date .:3. `..l '.Y . u l .... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . A � . F- ... Awe C. � .. �G Via/ .'........ . has permission for gas installation ..:...1. ............. . in the buildings of .: �`: ��n .�' ....................... . at . ��..�� t?>.<.�r �� �-...i�;,� . , North Andover, Mass. Fee./57A,':'. tic. No..��%f.7 �? �! .: "?- ........ GAS INSPECTOR U s11 Check # e- 7" � � 3 6 .� 1 N° 2159 Date.. /.�°�... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .............. e J has permission to perform .... �.` . �! `�.".1........ r. ......... �.............................. wiring in the building of .......?5 ? `� ....................... .................................. at .:......A�1.h.....51 ...................... ............. , Nort�h�Arrdov ass. Fee .. (!`�. Lic. No. ... 5 .... ' ..:...................:..... a 'A CAL ELECTRICAL INSPECTOR v� &� q WHITE: Applicant CANARY: Building Dept. PINK: Treasurer N221176 Date :..r�. ...... ..... „ORT► TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies ............. has permission to perform....� ................. wiring in the building of.,, -r �. �-�-?"��.........................�J.................... at .. ........:...:................................... . North Andover, Mass. re-,�� Fee ...., ............. Lic. No..............1............�1:......:;.......-..f .......................... C�ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer N22284 Date ......1..// ....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING r This certifies that , Cq G u < .. �'.. has permission to perform ✓ t G �l �Z' S5/ S /�' f 1 wiring in the building of ....l.. ?.!.?. .. L12 .......... at // .............. ..................... North Andover, Mass. Fee .l� J)..... Lic. No. 0. f .Z .. ............ ELECTRICAL NSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Location (4f��iI�iPC� �/Ay UNrT No. 0 Date -' NORTN TOWN OF NORTH ANDOVER F?O•,t`•o I. ,tiQ Ly i Certificate of Occupancy $ ckuSEt Building/Frame Permit Fee $ Foundation- Permit Fee $ Other Permit Fee $ TOTAL Check # 14 5 34 N3 /�I } + % Building Inspector Date .. 001 ..... o• „ro ,,.•tio of0 TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION 09 . CHUSES .. This certifies that '/" .. ... . —has permission for gas � installation .���. ..�. � f1 in the buildings of ./,C.!�!���.��.'/� %.......... . at '�_ �fj1 Y-,.t�� ...... North Andover, Mass. Fee.�,/�/!c .��! Lic. No.// ;?.Z/ .......................... GAS INSPECTOR Check # 4605 MASSACHUSETTS UNIFORM APPLICATION FbR PERMIT TO DO GASFITTING (Rintar Type) cV Mass. Dat 1 f W Permit Building Location 61ymt 2'•e if Owner's Name iCC�,4 ,asrQ /sledf Type of Occupancy /� cws� New ❑ Renovation k Replacement ❑ Pians Submitted: Yeso Nok' Installing Company Address 11 CA WELL DR LfNlr� T, NH 03031 Business Telephone V63- $ly" Name of Licensed Plumber or Gas Fitter Check one: Corporation ❑ Partnership ❑ Firm/Co. Certificate 2od- G INSURANCE COVERAGE: I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box A IWARy Insurance policy Of Other type of Indemnity O Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chaoer 142 of the Mass. General -Laws, and that my signature on this permit application waives this requirement. Check one: OwnerO Agent O Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and kuttaiiationa performed 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 Laws. l By Tg of License:. Plumber Signature o n um or er Title- Gasfitter �Qtyy er License Number API'�RWEdZbFf- Journeyman i V ■rrr�rrrrrrrrrrrrrrrrrrrr■ ■rrrrrllrrrrrrrrrrrrrrrrrr■ • . ■�rrrr�rrrrrrrrrrrrrr■+r�r■ ... ■rrrr�rrrrrrrrrnrrrrrrrrr .. ... ■rrrrrrrrrrrrrrrrrrrrrrrr■ ... ■rrrrrrrrrrrrrrrrrrrrrrrrr ..■rrrrrrrrrrrrrrrrrrrrrrrrr� . ...■rrrrrrrrrrrrrrrrrrrrrrrrr ...■rrr�r■®rrrrrrrrrrrrrrrrrr ... rrrrrrrrrrrr�rrrrrrrrrrr�■ Installing Company Address 11 CA WELL DR LfNlr� T, NH 03031 Business Telephone V63- $ly" Name of Licensed Plumber or Gas Fitter Check one: Corporation ❑ Partnership ❑ Firm/Co. Certificate 2od- G INSURANCE COVERAGE: I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box A IWARy Insurance policy Of Other type of Indemnity O Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chaoer 142 of the Mass. General -Laws, and that my signature on this permit application waives this requirement. Check one: OwnerO Agent O Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and kuttaiiationa performed 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 Laws. l By Tg of License:. Plumber Signature o n um or er Title- Gasfitter �Qtyy er License Number API'�RWEdZbFf- Journeyman J z O W N W V k LL O a O 0. 3 c J W m W W 0. 46 W a Z z j I., O W r z Q m d F W IL Date No 4741 �� TOWN OF NORTH ANDOVER .o p PERMIT FOR PLUMBING 's CHUS This certifies that ' . .1.09.Ir..1...r/d9 /.f ......... has permission to perform. ....ia C. ........ • .. . plumbing in the buildings of ... /...... /�/................... . at ............ . North Andover, Mass. Fee T? ).. - . Lic. No....... G:. ;>........ ..� .. � . �...... . y PLUMBING INSPECTOR Check # /-/e WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS w&-� Building x,4,2 01"J'^f 0 (, Type of Name Date � Z 7 ..- / Permit # Amount New ❑ Renovation fV1 Replacement Plans tibmitted Yes No E] E (Print or type)�%� / l Check one: Certificate Installing Company Name dhd�i� �. / �� S Corp. Address J0.) "LQ �lf f �Jf� Partner. Business Telephone f,,n 1Z — a l„ Y710 Firm/Co. Name of.Licensed Plumber: Insurance Coverage: Indicate the a of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 1 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 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 Massachusetts to um . g� Chapter 142 of the General Laws. By: Signature ol Licensedun Type of Plumbing Lice Title - City/Town =7cene Numner APPROVED (OFFICE USE ONLY nse Master ® Journeyman Y ..' Ivo©oeo���0000�oor�ooen��� (Print or type)�%� / l Check one: Certificate Installing Company Name dhd�i� �. / �� S Corp. Address J0.) "LQ �lf f �Jf� Partner. Business Telephone f,,n 1Z — a l„ Y710 Firm/Co. Name of.Licensed Plumber: Insurance Coverage: Indicate the a of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 1 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 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 Massachusetts to um . g� Chapter 142 of the General Laws. By: Signature ol Licensedun Type of Plumbing Lice Title - City/Town =7cene Numner APPROVED (OFFICE USE ONLY nse Master ® Journeyman From : J. T. B. ASSOC. PHONE No. : 603 898 0092 Mar. 29 2001 4: 49PM P02 JOHN T. BRENNAN & ASSMUTEB ARCHITECTS IW NTIUw aum BNItm wuXU, V=nAWMnoW,IDP" PLONK (603) 8n "03 J""CIIITBCrB.COM March 26, 2001 Architectural Field Report Construction Review & Progress Report, Re: Interior Expansion/ Retrofit lnnentep°Manufacturing Facility 2s Commerce Way North Andover, MA 01845 As requested I am hereby certifying to the following conditions existing at the time of my review of the construction for the above referenced project. l . Exterior wall drywall 100% complete including primer coat.. 2. Suspended ceiling grid in place. 100% complete. 3. Metal stud partitions w/ rough wiring. l W/o complete and ready for gwb application. 4. Sloped concrete floor transition from new to existing area 75% complete, Approx. 4 " rise. 5. Sub slab Sewer Ejector Pump installed. 75% complete 6. Rough plumbing installed in metal stud plumbing partition. I W/o complete. 7. Main HVAC Trunk lines installed and insulated. 8. Roof mounted IIVAC equipment installed. HVAC approx 60% complete 5. Electrical Power rough @ 100% complete. March 26, 2001 Architect's Field Report AIA DOCUMENT G711 OWNER ❑ ARCHITECT ❑ CONSULTANT ❑ FIELD ❑ PROJECT: Executive Quarters Office Building FIELD REPORT NO: 25 North Andover MA ARCHITECT'S PROJECT NO: 90616 DATE 03/14/01 TIME 1:15 PM WEATHER partly sunny / Windy TEMP. RANGE 41 deg F EST. % OF COMPLETION CONFORMANCE WITH SCHEDULE (+, —) WORK IN PROGRESS PRESENT AT SITE 1. installation of furred, curved ceiling at front entry 2. GWB taping at elevator shaft base and stairs to basement and second floor tennant areas 3. installation of suspended ceiling in third floor tennant area 4. insulation of some chiller piping 5. prep/sanding of piperails for painting OBSERVATIONS 1. hay bales removed at front entry which were intend as ground frost protection 2. all electrical sub panes[ installed and connected 3. some interior toilet room finish materials stocked 4. stairs all taped 5. partitions framed and GWB installed at some tennant areas 6. some light fixtures and diffusers installed at third floor 7. elevator pit ladder installed, still water in pit 8. transformer installed 9. exterior of building complete except for,entries 1d30 Dtimiina 1002 6 l M t k�Q 3A1 393 INFORMATION OR ACTION REQUIRED 1. Koch Architects is not aware of fit -up documents and permits for tennant areas; are these constructed on a design -build basis ? We can only certify construction of the base building. ATTACHMENTS 11*04 ArW"Ae� 36 Essex Road, Ipswlch, Massachusetts 01938 - 2532 telephone: (978) 3565065 facslmlle: (978) 3569171 AIA DOCUMENT G711 - ARCHITECT'S FIELD REPORT - OCTOBER 1972 EDITION - AIA® - © 1972 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006 AW 1 "toy; 0�900--, m L ! unny, urscs? Wo Y 0 ASIN cc CIS - son fWay wplzb;wks Autun --t 'AN - , -- —1 # )t Z till van'scs fxv. YnonvaQw. V -onto ka 1 MY.- - A ON, 14 NORTPI Ott��.o .��tiO OL F 9 1 _ i • i, : 1 SA HUS Date,/.: e. .-.1 . ` TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING i This certifies that CG............. has permission to perform ... M .�.......... . plumbing in the buildings of at .. 2. ?...<'�. �`." . ......�r -" ....... North Andover, Mass. Fee, %. 3. Lic. No. W. `.` ... ... La ...... . 1 PLUMBING INSPECTOR Check # 5468 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING S.:r\ CPrW or rye Mus. Date �.Pcrmtt 51 Building Lo"UorL a /21t�z f/L �rl�t --- r—Owne(.°Nemo_ lel X Pe of Occupancy /fid Now Renovation 0 Replacement ❑ Plans Submrttod: Yes O NoA5_ FXURES i N N M N O X �' y Ww X HLi C N N X V W U1 - X W O O r r( W ,i '4N;° �c N V a d 0 ►W- u x `c r .mac u ° .( M Yj' O N N14 x .i N I+ x O Q H X X W `W, W Y W �L J ea N Q �' C O� J J C CC w< 0 u z 66 V S O K c p 3Ua-83raT. SASIUZNT IST FLOOR =ND FLOOR i r 3RD FLOOR 4TH FLOOR STWtL00A eTK FLOOR 7TKFLOOR aTKFLOoa • I lr'"111:19 Company Name_ AMA Address 11 CALDWELLDR UNIT #1 Check one: Ccrtr(lute Corporation Busine a Telephone b0' ❑ Partnership vame ,t Ucensed Plumber �' /� �„ ,( �� f ❑ Flrm/Co. INSUR4.NCE COVERAGE: have i curront pbulty lruurance poltey of Its substantial equivalent which meets the requirements or MGI Ch. Yes t No 0 You have checked=, please in Icato the typo coverage by checking the appropriate tyux. IlabO;.y Insurance policy Other typo of IndcmNty ❑ Bond O )WNE,,'S INSURANCE WAIVER: I un aware that the llconsae does not have =haptcr 142 of the Mass, General Laws, and that my signatuthe Insurance covenpe required by re on this permit application waives this requirement. Check one: -V'16ku1g o u or nus —, Owner ❑ Agent ❑ MrobY cuUfy Uat all of U►e dilalls and Womu lion t have submitted b( mtued) in above �+owtad4 and lhat to Numbing worse and LUWISUonS perfomud under tha t Issued WS appikiUon will banes D �u with all mY artlnu►t wOvlslons of the W.saachusatts State Ptumblr p Code and Chapter lac of the C;enw41 taws. ]Us hy/Town TM of Llose : Wuter'r Journeyman ❑ �� Ucente Number I/.�y� • Iff N1 M Q , r • ., $tt ! �' ' , t., •' .tom � �: � • . • �, � • , � � y a . Iff N1 M ThEC0AW0ATWEALTH0FyWSACHUSEM Office Use only DEPAffMEAT OFPUX 1CS4FMY BOARDOFFIREPREVEMONRF.C41IAUONS527CMR12.M Permit No. Occupancy & Fees Checked APPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) ,25- Owner 25- Owner or Tenant 6c= Owner's Address S.*y7 e Is this permit in conjunction with a Purpose of Building -----1t51- No. No. o No. of No. of D No. of Vo. of 49S4 Date... • •l � �i �!• ORTH ANDOVER TOWN 01F FOR W1R►NG PERM �. this certifies that rfom' .T Mass. ve has permisslonto ,�.,�f'`�"' North Ando of . ' in the buildin8 GtJ ' ; ):.�P< R vd1r111g .(J I / fR1cAL1NSYPCCO at .ECT ......................•••o% (% Lic•N feeP5. Jo. Hydro Check # appropriate Box) Utility Authorization No. n No. of Meters No. of Meters trmers Total KVA KVA y Lighting Battery Units No. of Zones .es evices nicipat^ Other --� sections u weaamentLialxlftyhmuanoepblicyurh>d Cot> QwrageoritswbsutequivalaY yES �NO vesubrrtdtedvardptwfofsametAtheOffioe YFB L T r- j) lf}auhavedtedced 3dngthe box �LTJpeindthetype(o�fcob3' URAN(EBOND r7OTFiETZ M Spey) - > r• �r, . �:.�. ri.., • ::::.::: Expira6mDak EstmWdvaly dBectwatW0& $ Rcxtglt Ftnal NAMEd� T/tell. C%moi c, //2 LicawNo. /� d 63 BtWessTEi o. r03 12'S INSURANCE W AIL Tel No. AIVER,IamaWatethattheLi=wdoesnothavetheinsr&=coveragecr"lsubstantialequyblasmgLuWbyMassac}n CfnetaiLaws atmysignaftmonthispemritapplicah® thisTegtut u. se check one) Owner Agent Telephone No. PERMIT FEE �%. Ilb ure o caner or gen 4254 Date ... A ... /�.AZ . ...... 0 ,,4,0' 0 r;;"� "INN) TOWN OF NORTH ANDOVER PERMIT FOR WIRING A This certifies that ... ;:. li: � ...... ?'z"4— .......................................... has permission to perform _..Z-�n ........................... ... ............. wiring in the building of ..... ................... at ............... . North Andover, Mass. ' -- -e..& ............................. FeeA15 ...... Lic. No . ........... �' –44.00- '��ELEmicAL INSPECTOR Check # /r202) M THECOWOAWF,ALTHOFAMSACHUSETISFOccuPancY Office Use only DF-PA�'OFPUBucs FEIY BOARDOFFIREPREVEN770N .41. REGUTA770NS527CNIItl2.� s Checked ` APPLICATIONFOR PERMI'1'TO PERFORMELECMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, $27 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 2 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Purpose of Building Existing Service 572& o Amps/may Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �( Yes E�No 0 (Check Appropriate Box) Utility Authorization No. Overhead Underground �-'� No. of Meters —! Overhead Underground No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Lighting Fixtures Ili Swimming Pool Above round No. of Receptacle Outlets No. of Oil Burners No. of Switch Outlets No. of Gas Burners No. of Ranges No. of Air Cond. Total No. of Disposals No. of Heat Tons Total Pumps Tons No. of Dishwashers Space Area Heating No. of Dryers Heating Devices Vo. of Water Heaters / KW No. of No. of do. Hydro Massage Tubs Signs Bailasis No. of Motors Total HP FT4F.R •r E"!�'r�Pit-Gid,... ,r'� //. . /?J— .u. vi iransrormers Total GeneratorsKVA :Below round — —1- guliGY Lignung tsattery Units FIRE ALARMS Total No. of Detection and KW Initiating Devices KW No. of Sounding Devices No. of Self Contained Detection/Sounding Devices KW Local unicipa] LJ Connections No. of Zones QOther ---� tta =Gc) nW- R>�ranttotheiecprtar sofMas GataalLaws waamaltLiab&ykmmnceFblicymdii CM CoveWCIrZmbstardiaie#vab t YES mmbmdtedvardproofofsametotheomce-YES E3----NOEl box LL ��JJ Ea ffym bavec mimdYESpleas>vind&thetypeoofc-ove'�by MANCE BOIND [] MiER [] (ppm ) /� - -711--l-63 k t0 Start Fstmi*d ValveofEwft1cal Wolk $ xlunderTieFtrmkiesofpetjtuy Rough Final 4NAME �/� 7`/ /V L % f C- � J Q/3f�L (i v,er✓ %lL-/ �Jll sigpahneG �( ,,// LioenseNo / / a %f Busme Tel No. IEZ S INSURANCE W AR Tel No. ANIIt;IamawatethattheLuer�sedoesnothavetheir�uatx�mvera�ct;oritssutlmfialequivalentastegtiiedbyMamchiazGer Laws at rrry signah ue on this peurM application waives this Iequiteari�u se check one) Owner ® Agent Telephone No. ! s s igna ure o caner or gen PERMIT FEE `,. , Name Name: Location: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Comnanv name: Address City: Phone # Insurance. Co. Policy # Company name: Address City: Phone #- Insurance Co. Policv # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to $1,500.00 and/or one years' imprisonment_as_wetl_as.cb.il.penattiesin-the%rnrif-a_STDP WORK_ORDFRand..a.fine.of-($111.0M)-a-day-igainstme. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. l do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. ► Signature Date Print name Phone.# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing I] Building Dept ❑Check Y immediate response is required Q lJcensin(, f.' Board p Selectman's Office Contact person: Phone #.- E] Health Department F, Other 0 PALMER AND SICARD INCORPORATED Plumbing - Heating -, Air Conditioning 140 Epping Road EXETER, NEW HAMPSHIRE 03833-4559 (603) 778-1841 TO ZQFAX (603) 77778-00119 44— qtr c e9m vere-WC& W "il WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via ❑ Shop drawings ❑ Prints ❑ Plans ❑ Copy of letter ❑ Change order ❑ DATE f /j JOB NO. ATTENTION RE ILI ❑ Samples COPIES DATE NO. DESCRIPTION t ao D D THESE ARE TRANSMITTED as checked below: (� For approval For your use IV( As requested WFor review and comment ❑ FORBIDS DUE REMARKS COPY TO ❑ Approved as submitted ❑ Approved as noted ❑ Returned for corrections the following items: ❑ Specifications ❑ Resubmit copies for approval ❑ Submit copies for distribution ❑ Return corrected prints ❑ PRINTS RETURNED AFTER LOAN TO US SIGNED: If enclosures are not as noted, kindly notify us at once. v b z Q 0 m �o n n M> --� m a mn C W x 90 O ® C' <C m -p �a z 0 I s� ¢� i o w ,cj o rl H U , a 0 H W •G! ��: C ' O i GQ u U)bo o a Z ro Q w° cn w° u x q w cn CO �W v �) 0 �+1 6 O 2 v ►"V O co O Z ZCD d O y p c Ico � C ca QCD•� y O O m m c ``O O CDO � � D O R O d — I� c0 CID� Qd O O co Z vy C.3 co) J C V y C 0 U) U) T- W, W ccW U) •G! ��: C ' O i CO.t C.) i• = o o Zia V 3 o c. N E c .� _ V co _ CO �m y N ED J N Cc -0 = C N N l0 = O E o 0 Ir aCj m y m ; _ = O Of t: :coa d== A O m is V N O S Z L O I y o C c n4 y W O t m r = w w .E ca'0 C .N a o V ® p ®E= y CL ®'2O 5 zip a � y'= O g a 064-o �W v �) 0 �+1 6 O 2 v ►"V O co O Z ZCD d O y p c Ico � C ca QCD•� y O O m m c ``O O CDO � � D O R O d — I� c0 CID� Qd O O co Z vy C.3 co) J C V y C 0 U) U) T- W, W ccW U) CERTIFICATE OF USE &OCCUPANCY 11 Town of North Andover r Building Permit Number 30,—(ti-z� ��� Date lb=T-r7+. em M ram 'CMZ^ THIS CERTIFIES THAT THE BUILDING LOCATED ON 05Cn.► -nr►6- QO . L W 5t%-ocrm Pte, MAY BE OCCUPIED AS A— N • C AOc cow IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 'AORT01 CERTIFICATE ISSUED TO Qac M ' ADDRESS ? /1 A n m e, �j°'"""°� Building Inspector f�--L�02 Date ... C� N2 2891 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....,,4 k i-Ttin ? r' .......... da) ... :�.. -) ..... has permission to perform .... ..i..o ............................................. wiring in the building of ...... e/f. ............................................. 11 at .......%..))Q j A. tf.. Eq� ...No Andover Mass. .......... ..... vv Fee ... Lic. No. ................... .. ......... E , iCAL INSPECTOR Check# �<31A�'- Ic WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Design, Inc.; 603 434 4815; Jan -17-00 3:06PM; Page 4/5 • 40 Harvey Road Londonderry, NH 03053-7400 EAM DESIGN INC. ♦ ARCHITECTS 603 434-4060 Fax: 603 434-4815 1985 E -Mail: teamdesign@worldnet.att.net January 14, 2000 Town of North Andover Building Department 146 Main Street North Andover, MA 01845 Attn. Robert Nicetta Building Inspector Re: innerstep Boston I Clark Street Dear Nlr. Nicetta, lnnerstep Boston, presently located in the Alphatron building on Ward Hill, is proposing to relocate their operations to space within the North Andover Commerce Center for electronics assemblies. On behalf of lnnerstep, I am requesting modification of the required approval per the procedural requirements stated in 248 CMR 2.10 (19) (a) 0) with respect to plumbing provisions of this code. *I'he owner is requesting that the minimum number of plumbing fixtures be reduced based on actual employee counts, in lieu of a number based on occupant load calculated from Table 1008.1.2 780 CMR - Sixth Edition. The requirements (ratios), as outlined in section (l9) and related table, for employees, (non -industrial) and (industrial factory) will be maintained. The owner has supplied Team Design, Inc. with maximum employee counts per shift, break schedules, and typical male/female ratios, as herein attached. "these factors when considered in conjunction with equipment layouts, walls, aisles and corridors, assembly and work tables, and storage rack space allocations, offer further justification to reassess the required occupant loads per 248 CMR and 780 CMR with regard to minimum toilet facilities. I have included as supporting materials, a comparison sheet showing our method for arriving at a fixture count and a copy of the proposed floor plan. I appreciate your time in considering the owner's request, and if you require further information, please do not hesitate to call. Team Design, h David L Rienstra Jr Project Manager. CC: Peter Novello, innerstep Daniel A. Bisson AIA, Senior Partner James H. Delisle Richard Stanley Walter F. Gleason, Senior Partner Maureen E. McBride Claire Wilkens Orvis W. Bonney, iii, Junior Partner David L Rienstra Jr Kevin J. Uhlman Edward W. Huminick, Business Manager J3n/�• m Design, Inc.; 603 434 4815; Jan -17-00 3:07PM; Page 5/5 Y,c „C Ver' ise Space 96 as defined on Sheet A2.I of Shell Building drawings: 35,196 sq. J CMR Seth Ed: , T bl 1 I ttion a e 008. 1.2 Maximum floor area allowances per occupant. Business areas: 100 gross 5645 sq. ft. / 100 = 5.6.45 --- 57 57,12 = - 29 ea. m/f Male toilet Female toilet sink (ea) drinking fountain 1112 5 1 /20 1140 1 29/25 = 1.16 - 2 29/20 = 1.45 - 2 29140 = .725 -- I 1 Using actual employee counts, we would like to propose the following: Male toilet Female toilet sink (ea) drinking fountain 11/25 1/20 1/40 1 7!25=.28--1 8120=.4-1 8/40=.2-1 1 Industrial areas: 100 gross 29551 sq. ft. / 100 = 295.51 296 / 2 = 148 ea, ►n./f Male toilet Female toilet sink (ea) drinking fountain <: 1/20 1/15 1/30 I/100 148/20 = 7.7 148,115 = 9.8 148/30 = 4.9 296/100 = 2.9 Using actual employee counts, we would like to propose the following: 110 actual current + 10 future + 120. 120/2 = 60 ea. male,/female Male toilet Female toilet sink (ea) drinking fotmtain 1 / 20 1/15 1/30 1/100 60/20 = 3 60/15 = 4 60/30 = 2 120/100 = 1.2 - 2 Daniel A. Bisson AIA, Senior Partner James H. Delisle Richard Stanley Walter F. Gleason, Senior Partner Maureen E. McBride Claire Wilkens Orris W. Bonney, III, Junior Partner David L Rienstra Jr Kevin J. Uhlman Edward W. Huminick, Business Manager E I r X. 40 Harvey Road Londonderry, NH 03053-7400 TEAMDESIGN INC. ♦ ARCHITECTS 603 434-4060 Fax: 603 434-4815 Est. 1985 E -Mail: teamdesign@worldnet.att.net LETTER OF TRANSMITTAL TO: Town of North Andover ATTENTION: Bob Nicetta - Building Inspector PROJECT: 1 Clark Street FROM: David L Rienstra Jr DATE: Jan. 19, 2000 WE ARE SENDING YOU: Q Attached ❑ Under separate cover via the following items: ❑ Shop drawings Q Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change Order ❑ Disk ❑ Other COPIES DATE NO. DESCRIPTION Al Floor Plan - Preliminary - Innerstep Tenant Fit -up THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted❑ Resubmit _copies for approval Q Use ❑ Approved as noted ❑ Submit copies for distribution Q As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ Prints returned after loan to us ❑ For bids due 12000 REMARKS: BY: David L Rienstra Jr, Team Design Inc. COPY TO: JAN 1 9t'r?� a BUS ILL'iN`, DF,.j � l.,Ti a�� t E�ENT Daniel A. Bisson AIA, Senior Partner James H. Delisle Richard Stanley Walter F. Gleason, Senior Partner Maureen E. McBride Claire Wilkens Orvis W. Bonney, III, Junior Partner David L Rienstra Jr Kevin J. Uhlman Edward W. Huminick. Business Manager 1 Office Use Only � P TOMM011=10 of Ittosttr,4�uoe##o Permit No. O lBP;}tm-tment of Puhltr [fPtg Occupancy & Fee Checked — (✓v BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 2/12/01 City or Town of North Andover To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 25 Commerce Way Owner or Tenant Innersterp Owner's Address Same Is this permit in conjunction with a building permit: Yes © No ❑ (Check Appropriate Box) Purpose of Building manufacturing Utility Authorization No. Existing Service Amps —J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps —J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity `Location and Nature of Proposed Electrical Work renovation of office/manufacturing area No. of Lighting Outlets 60 No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures 60 Swimming Pool Above grind. ❑ In - grind. ❑ Generators KVA drops No. of Receptacle Outlets 86 No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets 6 No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices 4 No. of Ranges No. of Air Cond. Total tons No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices 2 -- No. of Dryers Heating Devices KW LocalMunicipal ❑ ❑Other Connection No. of Water Heaters KW No. of No. of Signs Ballasts Low Voltage Wiring No. Hydro Massage Tubs No. of Motors Total HP 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 ❑ 1 have submitted valid proof of same to the Office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the a��jj r�ropriate box. INSURANCE `Lf' BOND ❑ OTHER ❑ (Please Specify) n Estimated Value of Electrical Work $ 45,800.00 Work to Start 2/20/01 Inspection Date Re( Signed under the Penalties of perjury: Final (Expiration Date) FIRM NAME Andover Electric Servic LIC. NO. 14302A Licensee Robert J. Branca Signature LIC. NO. Address 206 Andover St . Andover0/ 810 Bus. Tel. No. (978)475-4995 Alt. Tel. No. (978)475 -4442 -- OWNER'S INSURANCE WAIVER: I am aware that the Licensee Ks not have the insurance coverage or its substantial equivalent as re- A. quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) (Signature of Owner or Agent) /�,�U Telephone No. PERMIT FEE $Pls. Adv i s e ............. ..: ................. ........... ... ........ :: ...... x, ........... ........ ........ .......... .......... . .. ........... ... ............ . ...... ... ... ... ...... ...... .... .... ....... ... .... ............. .... ...... DATE (MMMONY) .......... X X. ��J! Fi!il A TE ll.......l.".: :i�i� iT 01/29/01 JA . ..... ILI T .......... ..... ........................ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SAMEL INSURANCE AGENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 15 CENTRAL ST. COMPANIES AFFORDING COVERAGE ANDOVER MA 01810 COMPANY A ASSURANCE CO. OF AMERICA INSURED COMPANY ANDOVER ELECTRIC B COMMERCE INSURANCE COMPANY COMPANY SERVICES INC 206 ANDOVER ST -SUITE #5 C MARYLAND COMMERCIAL INS. GP. COMPANY ANDOVER MA 01810 D EASTERN CASUALTY .............. ........... ............... . .............. ..>3::'3:3'........... ....... ... ............ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY CFP 16027733 03/23/00 03/23/01 GENERAL AGGREGATE s2,000, 000 PRODUCTS - COMP/OP AGG s2, 000, 000 X COMMERCIAL GENERAL LIABILITY CLAIMS. MADE rX OCCUR PERSONAL & ADV INJURY $1, 000, 000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE 61 000, 000 FIRE DAMAGE (MY one fire) $ 300, 000 MED EXP (Any one person) 1 10 1* 000 B AUTOMOBILE LIABILITY 00MMKW7918 03/23/00 03/23/01 15 00',7000 COMBINED SINGLE LIMIT. ANY AUTO ALL OWNED AUTOS BODILY INJURY X SCHEDULED'AUTOS (Per person) BODILY INJURY X HIRED AUTOS r;�71 NON -OWNED AUTOS (Per accident) X PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY - EA ACCIDEN ANY AUTO OTHER THAN AUTO ONLY: nU Ant MCW' C EXCESS LIABILITY CFP 16027733 03/23/00' 03/23/01 EACH -OCCURRENCE $1,000,000 UMBRELLA FORM AGGREGATE $1,000,000 OTHER THAN UMBRELLA FORM ....... ........ D WORKERS COMPENSATION AND WC97455001 04/23/00 04/23/01 X ITwocRyLIMITS ........... ............. .- ..... . - ..... .... . .............. — - ........... — ... .... ..... ..... EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 100,000 THE PROPRIETOR/ F;�71 LIMIT 500,000 PARTNERSIEXECUTIVE rJlj INCL EL DISEASE -POLICY Is OFFICERS ARE: EXCL EL DISEASE -EA EMPLOYEE I $ 100, OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED ON LIABILITY TOWN OF NORTH ANDOVER 27 CHARLES STREET EET NO. ANDOVER, MA 01845 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL. ENDEAVOR, TO.MAIL.. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Jonathan M. Samel, CIC, L BP A T -- N ASSACHUSETTS UNIFORM APPLICATON FOR PL+ RMIT ✓Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations &M."9Qi26a �AJA Owner's Name New ❑ Renovation d Replacement ❑ 90 GAS FITTING Date / Permit 9 o i/ Amount S J d Plans Submitted ❑ 0 (Print or type) Name C �"� Name of Licensed Plumber or Gas Fitter �741"e j Z,: -t 601,0 Check e: Certicicate Installing Company ED"'Corp. 1607 -- C ❑ Partner. ❑ Firm/Co. INSURANCE COVERAGE Check on I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑ (fyou have checked ves, please r tate the type coverage by checking the appropriate box. Liability insurance policy 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 ❑ herebv 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 per-tormed under Permit Issued for this application will be in compliance with all pertinent provisions of the IvlassachuseState Gas Code an apter I '' of the General Laws. -7 — � By: Title C i ryi Tow n A,PPROVED r>Eric:- utiF')Ni.Y, 4� mature of Licensed Plumber Or Gas Fitter Plumber /0 2j ❑s Fitter I rcense iNumoer IffMaster ❑ Journeyman .r 0 (Print or type) Name C �"� Name of Licensed Plumber or Gas Fitter �741"e j Z,: -t 601,0 Check e: Certicicate Installing Company ED"'Corp. 1607 -- C ❑ Partner. ❑ Firm/Co. INSURANCE COVERAGE Check on I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑ (fyou have checked ves, please r tate the type coverage by checking the appropriate box. Liability insurance policy 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 ❑ herebv 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 per-tormed under Permit Issued for this application will be in compliance with all pertinent provisions of the IvlassachuseState Gas Code an apter I '' of the General Laws. -7 — � By: Title C i ryi Tow n A,PPROVED r>Eric:- utiF')Ni.Y, 4� mature of Licensed Plumber Or Gas Fitter Plumber /0 2j ❑s Fitter I rcense iNumoer IffMaster ❑ Journeyman ThEC0MM0NWE4LTH0FM45S4C71USEI7S Office Use only DEPARTMEYTOFPUBLICSAFETY Permit No. BOARDOFFIREPREYFM70NREGUTAT10ASV7CMR 12�I10 � I Occupancy &Fees Checked APPUCATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat A ©C) Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number)C Owner or Tenant�unt,c2�;�,� Owner's Address S Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building 01F/r i C Ic- 765 Utility Authorization No. Existing Service Amps / Volts Overhead Underground No. of Meters New Service f Fo— Amps 2?) / Y JoVolts Overhead M Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA ,+lo. of Lighting Fixtures Swimming Pool Above M Below Generators KVA ground ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units /D i4o. of Switch Outlets No. of Gas Burners ALARMS No. of Zones No. of Ranges No. of Air Cond. TotalFIRE / VU Tons No. of Detection and No. of Disposals No. of Heat Total - Total Puns Tons KW Initiating Devices No. of Sounding Devices 13 No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local umcipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Bailasis No. YTMassage Tubs No. of Motors Total HP OTT?rwR hwarneCaear- Rrlsuatbthetegtmarta�afly Gat®1Laws - Ihawaa=tLabtlityh>Sst =Pobyin kdngCaTOl* CaeWcrtss>bstatWgmvaimt YES E] NO ihme%lbm wv&dptoyofsaneiotheo>li= YES U No Ify uhmedmdmdYFS,pf mrdc*thetypecfwmaFbydtdmig&te NKRONCE M� ❑ � o ) FsthrmtedValued kc fical Wade $ WodctoSiatt hispectimDaieReqnswd Rao Faal SWiedtnderTie%>aha 1. FIRM NAME '/����5 /.d2 -,L licaiseNa Lica= Sip, _ /5 �" / IjanseNo ( J - rz LOULS B6=TdNo. /_Z_ 2-3/-2(�_ Adless__/2 1-- AkTel.Na OWNER'SWSURANCEWAIVER,IamawmethttcI arsedoes t theitmra m�aageer�as a>dai�ri�eiasrecgaedbybi�da>setrsCrateaiLaws andtiatrrrysigta enthispenntappkabottwaitsthistew*wnat. (Please check one) Owner a Agent $��dldO Telephone No. PERMIT FEE $ THEC0MMONWFALTHOF11�4S.SACHUSEITS Office use on 17j UVA DEPARTMENTOFPUBLICSAFM Permit No. a`'/BOARDOFMEPREVF. MONRBgM4TIOAND70212* Occupancy & Fees CheckedPPUCATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00' �, (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover The undersigned applies for a permit to perform the electrical work described below. To the Inspector of Wires: Location (Street & Number) - _ C l-l?ek S7eF67 /1/' fiv L)0V C4 Owner or Tenant T,U A? It" A S T t- P Owner's Address Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead o Underground No. of Meters New Service Amps /� Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA groundground o. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cord. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices Np. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW k a Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER e e +- '0034, hur&=Caea Rursu3tbthetagtmartatisafMmdiBMGalnalLam Ihareaax=tLiabtldyhm>ta=Pobcym&dingCaTow CaaaWatsstigataleWnrdkit YES Z10--/ NO a lha%ewbmi Na6dpttaf0fSametoth OT= YES If}wtmcdtadWYES�pltmmk*theWcfwmaFtrydxckigthe INSURANCE [[7r BOND OTHEP, p � )EViziticn D* lit, j jEtmatedVahiecfEledci9 Wads $ WakmStat 1� 1 ��iy kwc i D*ReWes'Wd FIRMNAME Lionce Stglatae Roo Fatal :rl Li=MNa __TIM ; ardrm - ALTdNa OWNER'S MYLANCEWAIVER; I ammv=#UtheL=wdxs nottheit�tranectae�eailss it a(ecgavalatasrecltmedby d�CseltsCsraalLaws andd atiiiysigriAmc it mpanitWpimbmvaimsdzmp'==t (Please check one) Owner r7 Agent ED Telephone No. PERMIT FEE $ � � Yr11e• Yss. 771e Commonwealth of Massachusetts D"irtment of Public Safety permit ft. otev►..e► a roe Checked I)OARD OF FIRE PREVENTION REGULAIIONS S27 CMR 1200 3/90 (leave blankl APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work lo be performed M accordance w th the Massachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK ORE ALL INFORK&TTIION) Date 4q City or Town of_7 n -A) Woe U To the Inspector of Wirest The undersigned Applies for a permit to perform the electrical work described below. Location (Stra Owner or Ienan Owner's Address Is this permit in conjunction with a building permits Yes ❑ No Ea (Check Appropriate Box) Purpose of BuMLng 1.i.L•� �(�"�SS Utility Authorisation NO. Existing Service Asps / Volts Overhead ❑ Undgrd ❑ No. of Meters__ New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of lreters Dumber of Fe-eders and Ampaeitr Location and Nature of Proposed Electrical Work kroyt La staSt-5t,-- No. of Lighting Outlets No. of Lighting Fixtures No. of Receptacle Outlets i No. of Switch Outlets No. of Ranges No. of Disposals No. of Dishwashers t No. of Dryers No. of Not Iubs Swimming Pool grnde ❑ grnd. ❑ No. of 011 Burners No. of Gas Burners No. of Air Cond. Neat Tota No. of Pumps TO Space/Area Heating Heating Devices otal tons Total No, of No, of No. of Water Heaters Suns Ballasts No. of Transformers Total EVA -- — Generators EVA No. of Emergency Lighting Battery Units FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices KW No. of Sel� Contained Detection Sounding Devices Local ❑ Municipal ❑Other Connection _ Lou Voltage .<?i7/9/ /A / G.. cv . Cr No. Hydro Hassage Tubs INo. of Motors Total HP I INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I'have a current Liabilit Insurance Policy including Completed Operations Coverage or Its substantial equivalent. YES [] NO [J I have submitted valid proof of same to this office. YES ❑ NO C1 If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND ❑ UMR ❑ (Please Specify) (Expiration bsteT Estimated Value of Electrical Bork S Work to Start r36 Inspection Date Requested$ lough Final Signed under the penalties of perjurys FIRM NAHE n �y LIC. No. / j / ('— Licensee 1Z%(� /��Sf1QQQCC� {� Signature (�o>Iy (J -,�Q ODM LIC. • 140. C Address e) �/(q G} Bus. Tel. N4 o.. ` Alt. Te 1. No. - OWNER'S INSURANCE WAIVtR: I an aware that the Licensee does no �e the insurance coverage or is sorb atantial equivalent as required by Massachusetts General Laws, an that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEB S Signature at Owner or gent White Copy - Office; Yellow Copy - Contractor; Pink Copy - Fire Dept. C �, N- 01 ,\ �-( vrrr�� vi iirvr�eryrasivrrJ Boston, Mass. 02 7 Workers' Compensation Insurance Affidavit Please Print ., _. .. .._...___.. ;:"' -••... . ..S'-'.:-.�.. �r:�' - -'sem - - ys:= r+ - Location: • Ci Phone am a homeowner performing all work myself. �I am a sole proprietor and have no one working in any capacity ® I am an employer providinworkers' compensatio f r my -employees working on this job_ .r rl Co n name: Address Ci Phone tk Insurance Co Policy # Failure to secure coverage as required under Section 25th or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 andtor one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a rine of ($100.00) a day against me_ t understand that a copy of this statement may be forwarded to -the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penetties of perjury that the information provided above is true and correct .. ,r . &i, P _ Date d? d a a Print ficial use only do not write in this area to be completed by city or town official' ❑Check if immediate response is required Building Dept Contact person_ Phone FORM WORKMAN'S C0MPENSATIOf4 # 664- 447 -4a 03 0 Building Dept E] Licensing Board p Selectman's office _ El Health Department 0 Other °• OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: //��y��q� PROJECTA . PROJECT LOCATION: NAME OF BUILDING: NATURE OF PROJECT: IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CON _�s2—r--�zj��av►.z�.0 REGISTRATION NO. BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ❑ ARCHITECTURAL STRUCTURAL ❑ MECHANICAL ❑ FIRE PROTECTION ❑ ELECTRICAL ❑ OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIR CATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL AC. CEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND' PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCt7:RDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. 3. Be present at intervals appropriate to the: stage of construction to become, generally familiar with- the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. PURSUANT TO SECTION 116.2 .2 I SHALL SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPEC UPON COMPLETION OF THE WORK, I SHALLS0,6MIT A FINAL REPORT AS SATISFACTORY COMPLETION AND READ!NESS OF THE PROJECT FOR 0( SUBSCRIBED AND SWO NOTARY PU THIS-LZ7 DAY OF �L'9 '.st) �vKENNETH W. 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Rc S y O Q m N Z EL -0C 0 0 .0 H to = 0 co CS CL 0 m 9. !'! m ..a c M.?'p N Z ..= a EL =+ N o 'f7 aCA = m CO) O .-r � ,0 -� S IE? m _CD 0 m 0 OHO = .Q ZS.cwj - o o -s 7o'i j �N=_01 ;a CL O5 g .� OCO N g � 0CL (RI CD d N CL P6 CD' Co O N co O w co),? = COY :N a J J 0 # t O 0 ;Q :44� • H m O �CD �.. y I y m :Q _ c CDIm ic o o-� s a cn s'x 1 � 4 o r "0 :1 C o o C o n w rr, 5) Ul omi 0 O C l.th 111-11L I t lir OWNER [� SUBSTANTIAL COMPLETION ARCHITECT °' CONTRACTOR EL4-- AIA DOCUMENT G704 FIELD 0� (Instructions on reverse side) OTHER PROJECT: INT15NOOK FXP,&J+510A/Axwr-iTPROJECT NO.: Mid (Na/m, and address) l WNr--- KSTV f 141 4L1-F^c'C ry tom! I;fiGl L..1'T� ,r1 CONTRACT FOR: )`41/a .WAY !4K�/4E.tZ M4 TO OWNER:/ (rVamr (onl addrrss) CONTRACT DATE: N/A 0)945 TO CONTRACTOR (.Vance and address) AiKg5 Fie" GJUI T� Zmc Pott J MQ 0404 t DATE OF ISSUANCE:�ArrL 19A*-IQ4E WE1Gqr-L PROJECT OR DESIGN ATE PORTiOi ALL�INCLUDE: /Ll�-itJtl�.� GTS-/.�'//✓a� .US,�', /�! c /cld>� � �G� �o�ir � u�/ 5� �Lv� 00' 141)4 4*e; C-0/ ;hg4p, (:f �n P�tfS aljs�lq T�c�/L1�y. The Work performed under this Contract has been reviewed and found, to the Architect's best knowledge, information and belief. to be substantially complete. Substantial Completion is the stage in the progress of the Vtlork when the Work or designated portion thereof is sufficiently complete in accordance with the Contract Documents so the Owner can occupy or utilize the Work for its intended use. The date of Substantial Completion of the Project or portion thereof designated above is hereby established as KMLL'-f CP►J J]')2t)CT-)0t4 75;Q F-AerT 114Va9T-AJAL plc. �� Ivy A-t -c'N', i�tc 1} pk4rH to which is also the date of commencement of applicable warranties required by the Contract Documents, except as stated below: A list of items to be completed or corrected is attached hereto. The failure to include any items on such list does not alter the respon- sibility of the Contractor to complete all Work in accordance with t ntrac o ments. Jds h(—!6N1 oGl�s �8 j ARCHITECT DATE G' The Contractor will complete or correct the Work on the st of items attached hereto within L JOK,1QtJ days from the above date of Substantial Completion. �e�l,\.1 ►.Y,��-��� iso•, � �q — 2�1.—a j CONTRAC OR B DATE The Owner accepts the Work or designated portion thereof as substantially complete and will assume full possession thereof at (time) on (date). 12e4 /'%1V1k7&-r-1 ,tJT' _ Z 3/o/ BY f DAT Ae responsibilities of the Owner and the Contractor for security, maintenance, heat, utilities, damage to the Work and insurance shall be as follows: (Note—Owners and C0)`71ractor,s legal and insurance counsel should determine and review insurance requirements and coverage.) CAUTION: You should use an original AIA document which has this caution printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced. �,����Rj AIA DOCUMENT G704 • CERTIFICATE OF SUBSTANTIAL COMPLETION • 1992 EDITION • AIA® • ©1992 • THE ;``'jl//4 AMERICAN INSTITUTE OF ARCHITECTS, 1.735 NEW YORK AVENUE, N.W., WASHINGTON. D.C. 20006-5292 r� WARNING: Unlicensed photocopying violates U.S. copyright laws and will subject theviolatorto legal prosecution. G704-1992 L KELLY CONSTRUCTION CO., INC. Construction Management • Design/Build • General Construction April 23, 2001 Construction Contractor Certification Per Mass Building Code 780CMR, 116.3, Item #3 Re: Interior Retrofit Innerstep Manufacturing Facility 25 Commerce Way, Unit #6 North Andover, MA 01845 INCORPORATED SINCE 1978 750 EAST INDUSTRIAL PARK DRIVE MANCHESTER, NH 03109 Tel (603) 627-4203 • Fax (603) 627-3460 www.kellyconstruction.com As requested, I am certifying that to the best of my knowledge and belief, construction has been completed on the above referenced project in substantial accord with 780 CMR 116.3, Items 1 and 2 and with all pertinent deviations specifically noted. Signed: � [/ Richard R. Dalphond Project Manager Dated: Y/t7/° / JOHN T. BRENNAN & ASSOCIATES ARCHITECTS 103 STILES ROAM, SUITE 202 SALEM, NEW HAMPSHRRE, 03079 PHONE (603) 893-4693 JTBARCHrrECrS.COM April 17, 2001 Architectural Field Report Final Construction Review & Progress Report. Re: Interior Expansion/ Retrofit Innerstep Manufacturing Facility 25 Commerce Way North Andover, MA 01845 As requested I am hereby certifying to the following conditions existing at the time of my review of the construction for the above referenced project. Site Visit Tuesday April 17, 2001 1. Project is substantially complete and ready for occupancy. 2. All work in the area of construction is complete except for some minor tasks. 3. All required safety functions are in place and operating. Note: All work has been performed in accordance with the approved plans and 780 CMR. 17, 2001 BORDEN CHEMICAL DIVISION OF BORDEN, INC. March 27, 1975 Mr, Charles H. Fester Building Inspector City Hall No. Andover, Mass. 01845 Dear Sir: The purpose of this letter is to advise you that the plans for the PVC Blending Tower presently under contract for construction with Herbert En- gineering, Inc. of Worcester, Mass. comply to the best of my knowledge with all Environmental Pro- tection Agency regulations presently in effect. Very truly yours, BORDEN(HEMICAL CO. William C. Angell Project Engineering Supervisor WCA : pjb cc: SSF Mr. Paul DeSalvo Herbert Engineering 90 Prescott St. Worcester, Mass. 1 CLARK STREET, NORTH ANDOVER, MASSACHUSETTS 01845 • TELEPHONE (617) 686-9591 D R' V A _ ^ '{ YL Z L Y Z r z a z H � a a i O m o 'p N S v W n G {L D m ? _ � - - _ Z Z C C C R -1) v. m A - c = _ D Y Y D I I ,A ® .- - z v. - - n a fi _ Z V 7r p r, r- z k- v, D v Z Z .� m_ r� Z Vn a Z >y t m �Q Z m -, z z i ; m z � V Z u z W 37 cm < -" V. -'M. D t m' 7 m v V m �+ (yn� Z 77 F T M v; X T m �N �_ Z m m m - W w rr,v 0 oo Z Q 5 z m m y w N LA rr. X 0 f7 F' k - n K YS X p1• z m T z ��T+ m N t r " � J _ Z x Z 3 n n rt m n ? o 0 m a m r rh D CD r c z z m a crrtft z 0 z r m D u D z a uO , i In z A m W m _ w y . n r � _ ^ '{ YL Z L Y Z r z a z H � a a i O 'p N V: �• ? v ? N d Z ^ 0 v 00 C C C C m Z Z I I ,A ® .- - z v. - - a N m Z Z ? t% z k- r � f N Vn H m �Q N R n m !Z� zQ�J C)(y� m 37 cm < -" m r (yn� 77 F T M v; �N �_ Z m m m W CL n 0 0 Q 5 z m m N LA rr. X n K YS X m T m t r " � Z 3 n n ? o 0 m z z a 0 z r m D u m a m i In z A m w _ ^ '{ YL Z L Y Z r z a z H � a a i O 'p N .. .. V1 W m r N 0 v 00 z 7 s co v N �A I I ,A ® .- w z v. C N m if- X- z k- � f v m M n m m 37 cm < m �N ©_ LnLn Z O 'p N N z 7 s w z v. C if- X- k- � f � a } a o 0 N a Z jr W (nU)119 in0a LU W M 6 z 3 �¢ x w Q o w° V a U) o 1-0 U z z � (d b w° G s U c w" o U a t o Pi c w x ° w GO Z u w w w to" o C2 „ 4 cn G ii 0 H w a z m o 0; c w H w Q u' " w Z cn 61 E cn qj' O m C c5 co C N _O C ".' O CO.) C.3 :'ate ; ac m c civ O d y; E a :mo til: dd�� M: o m v� E R N O N N 3 C N N C O O CD 0 cm to: CD Nm m m =CD O C7> � Ad m o 2: 2; cc Z o a -eek. o cm O C COD CL � N �+ C L cm,m m co _ LL N m R A mat O N E c Z o ui m c m c y m 'ro C, m g _ SON'S 2 Cz�co>0 i9 2 M CD O CD C vM Z C� CL O I o � CD cm V1 0 'O O CD ow a HL = O � O � , O � O 00. ca O cz CD Z co V CO) � c Lo i U ui 0 U) U) w W crW x F�� FE -RD CONSTRUCTION, INC. 4 Clinton Drive Hollis, NH 03049 BankBoston.: ' ' BaNtBosim, N.A. New Hampshire 5-39 055752 11110 DATE CHECK NUMBER 6/16/99 055752 NET AMOUNT PAY EXACTLY ** Twenty Nine Thousand. Two Hundred Fifty and 00/100 $ 29,250.00 DOLLARS PAY CLNPP(2) S NAT S REQUIREP IF OVER $1,000 TO THE Town of North Andover, Ma.. ORDER Bldg Department n OF Charles St. ! J AUTHORIZED SIGNATURE North Andover, MA 01845 11'05575 211' 1:0 110003901: 453 1896611' Location Civ No. Date N°RTM 1'y0 TOWN OF NORTH ANDOVER ?i..a .y O. • Certificate of Occupancy $ 2Tc E2 i : ; Building/Frame Permit Fee $ "4CHUSt Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ a �° C k SSS 76-2 Building Inspector 13211 Div, Public Works 990712 Csewer ti:e in fee 5000.00 5000.00 ONE CLARK STREET NORTH ANDOVER, LLC C/O ARIES PROPERTY COMPANY 121 MIDDLE STREET DATE CHECK NO, AMOUNT PORTLAND, MAINE 04101 7-12-99 Af 11 $****5,000.00 Fay: *****************************************Five thousand dollars and no cents PAY q TO THE ' \ ORDER OF TOWN OF NORTH ANDOVER `^ P.O. BOX 124 NO. ANDOVER, MA 01845 TWO SIGNATURE RE UIRED F R AMOUNTS OVER $2500.00 ii'00004 ii, i:0 L L 200365 :93601 8 135 20 � nrr, �� » r��•�trHr L.117tr[I I ��LM11'1 r Certificate of Insurance THIS CERTIFICATE 19 iSSURD ASA MATTER OP INFORMATION ONLY AND CONFERS NO RICH M U?CN YOU THE CERTIFICATE HOLDEN. THIS CEI17.?JCATE IS iv UT AN INSURANCE POLICY AND DOES Nt%AIAEND, EXTEND, OR ALTER THE COVERAGE AFFORDED JY THL POLICIES LISTED BLOW. This Is to Certify that FERD CONSTRUCTION, INC., FERD CORPORATION, INC., � AND FERD GAUKSTERN Name and LIBERTY 4 CLINTON DRIVE ,— address of MUTUAL HOLLIS, NH 03049 Insured. Is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The Insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and conditions and is not altered by any requirement, term or conCition of any contract or other document with respect to which this certificate may be issued. - it tris eertineate expiration oats is continuous or extenaea tern, you wnI oe notltree It coverage Is terminated or reauoed Derore the certificate expiration data SPECIAL NOTICE•OHIO: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE is FACILITATING A FRAUD AGArNIT AN INSURER, SUBMITS AN APPLICAtION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT 4 GVILTYOF INSURANCE FRAUD, IMPORTANT NOTICE TO FLORIDA POLICYMCLDERS AND CERTIPICATS NOLDERS -IN THE EVENT YOU HAVE ANY QUESTIONS OR NEED INFORMATION ABOUT TH18 CERTIFICATE FOR ANY REASON, PLEASE CONTACT YOUR LOCAL SALES PRODUCER WHOSE NAME AND TELEPHONE NUMBER APPEARS IN THE LOWER RIGHT HAND CORNER OF THIS CERTIFICATE. THE APPROPRIATE LOCAL BALeI OFFICE MAILING ADDRESS 4e y ALSO BE OBTAINED BY CALLING THIS NUMBER, NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW,) BEFORE Liberty Mutual Group THE 3TATED EXPIRATION DATE THE COMPANY WI'A NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST XX DAYS :P NO -CE OF SUCH CANCELLATION MAS BEEN MAILED TO, M ASSET MANAGEMENT INC CERTIFICATE RICK HANSON HOLDER 121 MIDDLE STREET PORTLAND, AAE 04109 RECEIVED L_ �``+� 1 t3 Linda A. Madden AUTHORIZED REPRESENTATIVE Bedford, N.H. (800) 502-3936 04/30199 OFFICE PHONE NUMBER DATE ISSUED RS"2A R12 This certificate is exccutcd by L130TY MUTUAL GROUP ANItIttsOug,in as is afforded by Those Companies BS 772L R2 "JILDING DEPT. EXP. DATE �] CONTINUOUS VPOLICY 1 TYPE OF POLICY ❑ EXTENDED NUMBER LIMIT OF LIABILITY POLICY TERM Ii WORKERS COMPENSATION 711(99 WC7-111.223012-028 I COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES; NEW HAMPSHIRE EMPLOYERS LIABILITY Bodily Injury By Accident $500,000, Each Accident Bodily Injury By Disease $500,000, Policy Bodily Injury By Disease j $500,000, Each GENERAL LIABILITY 711199 "YY7.111.223012.058 General Aggregate • Other than Protlucts/Gompleted operatio $4,000,000. I ® OCCURRENCE Products/Completed OperatlonS Aggregat ! $2,000,000. ❑ CLAIMS MADE I Bodily Injury and Property Damage Liability $2,000,000. Ctxurronee I Personal Injury RETRO DATE $2,000,000. Oranelzegon Other FIRE LEGAL LIABILITY- Other MEDICAL PAYMENTS - $100,000. $5,000 PER PERSON !AUTOMOBILE LIASILI 7!1199 AS7-111.223012-048 Each Accident -Single Limi $1,000,000. B.I. and P.D. Combined Each Person ® OWNED j Each Accident or Occurrence ® NON -OWNED I HIRED Each Accident or Occurrence OTrIER UMBRELLA EXCESS LIABILITY 711199 TH1.111-223012.038 86,000,D010. EACH OCCURRENCE SS ODo,REODO. GENERAL AGGREGATE $21,000, TENTION ADDITIONAL COMMENTS ADDITIONAL INSURED: One Clark Street North Andover, LLC; Aries Clark Street, LLC; Mugar Clark Street North Andover, LLC; Mugar Family 1995 Investment, Ip; Aries Property Company, LLC;' Brownfields Recovery Corp.; Ram Asset Management, Inc,; Ann Goggin; Howard Goldenfarb; David Ting; Jack Thomas: David Mugar, Town of North Andover, MA PROJECT: North Andover Project - it tris eertineate expiration oats is continuous or extenaea tern, you wnI oe notltree It coverage Is terminated or reauoed Derore the certificate expiration data SPECIAL NOTICE•OHIO: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE is FACILITATING A FRAUD AGArNIT AN INSURER, SUBMITS AN APPLICAtION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT 4 GVILTYOF INSURANCE FRAUD, IMPORTANT NOTICE TO FLORIDA POLICYMCLDERS AND CERTIPICATS NOLDERS -IN THE EVENT YOU HAVE ANY QUESTIONS OR NEED INFORMATION ABOUT TH18 CERTIFICATE FOR ANY REASON, PLEASE CONTACT YOUR LOCAL SALES PRODUCER WHOSE NAME AND TELEPHONE NUMBER APPEARS IN THE LOWER RIGHT HAND CORNER OF THIS CERTIFICATE. THE APPROPRIATE LOCAL BALeI OFFICE MAILING ADDRESS 4e y ALSO BE OBTAINED BY CALLING THIS NUMBER, NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW,) BEFORE Liberty Mutual Group THE 3TATED EXPIRATION DATE THE COMPANY WI'A NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST XX DAYS :P NO -CE OF SUCH CANCELLATION MAS BEEN MAILED TO, M ASSET MANAGEMENT INC CERTIFICATE RICK HANSON HOLDER 121 MIDDLE STREET PORTLAND, AAE 04109 RECEIVED L_ �``+� 1 t3 Linda A. Madden AUTHORIZED REPRESENTATIVE Bedford, N.H. (800) 502-3936 04/30199 OFFICE PHONE NUMBER DATE ISSUED RS"2A R12 This certificate is exccutcd by L130TY MUTUAL GROUP ANItIttsOug,in as is afforded by Those Companies BS 772L R2 "JILDING DEPT. 40 Harvey Road Londonderry, NH 03053-7400 TEAMIDESIGN INC. ♦ ARCHITECTS 603 434-4060 Fax: 603 434-4815 Est. 1985 E -Mail: teamdesign@worldnet.att.net Mr. Rob Nicetta, Building Inspector Town of North Andover 146 Main Street North Andover, MA 01845 Dear Mr. Nicetta, Pursuant to Massachusetts State Building Code, 780 CMR- Sixth Edition, 116.2.2 "Architect/engineer responsibilities during construction:" we have been and will continue to review the progress and conformance to design, of 1 Clark Street, also known as North Andover Commerce Center. In response to subparagraphs l., 2., and 3. we exhibit the following: 1. Copy of Project Submittal Action Report for this project. This sheet accompanies all submittals made to us, and assists us in tracking them. We also keep a log of submittals as they are received, and at your request, will be happy to furnish a copy of this log at regular intervals. 2. The Project Submittal Action Report must accompany all submittals, including test reports. 3. Team Design takes part in weekly meetings and walk throughs at the job site. Evidence of participation is in the form of meeting minutes prepared by the owner's representative. If Team Design can be of any assistance in providing you additional documentation demonstrating compliance with the Building Code, Please do not hesitate to call. Respectfully submitted, Cc: David L i nstra Jr - Proje Dan Bisson, Project Architect, Team Design, ..., . Commonwealth of Massachusetts License # 7186 Brian Gagne, Aries Property Company Mark Crisman, Project Manager - Ferd Construction, Inc. RECEIVED JUL 2 0 9999 BUILDING DEPT. Daniel A. Bisson AIA, Senior Partner Kyle Barker David L Rienstra Jr Walter F. Gleason, Senior Partner James H. Delisle Richard Stanley Orvis W. Bonnev. III. Junior Partner Maureen E. McBride Claire Wilkins C/P4 5 n-7,,iJ vo7i r -«^P -s ©0 7/2,j j5 `�� w ce -l� 116 RYIC �'�,, FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. * * * **1 A*******AA11%*`*****APPLICANT FILLS OUT THIS SECTION* ,/APPLICANT One Clark St. North Andover L.L.C. PHONE-A2AI-1-774-1030 V,tOCATION: Assessors Map Number 13 PARCEL - SUBDIVISION - LOT (S) 14, 15 & 45 ✓STREET Clark Street ST. NUMBER 1 .---�►-*,.,***.,.***.****~*..*****OFFICIAL USE RECOMMENDATIONS OF TOWN AGENTS: - C014SE�ATION ADMINI�TRA`TOR COMMENTS_ TOWNIPLANNER r COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED _,� O DATE REJECTED �7j ` rrhS+N L) c dL -nS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED_ DATE APPROVED DATE REJECTED_ PUBLIC WORKS - SEWERIWATER CONNECTIONS DRJVEWAY PERMIT JIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE The Commonwealth of ttilhs. ach=etts Department of Industrial Accidents MICS 01/M OWYMMNS 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit city Ds I am a homeowner performing all work myself. C] I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. somF�Y rartte: RECEIVED MAY 0 4 1999 Pe -rd Canstruct:ion:,....: :nC` 4.....Cli.nton Drive address. Hollis, NH 03049 ( 603) 88'2-6471 city: phone t;: insurance co Liberty Mutual poylf WC7=111 2:23:0:12-028::: In I am a sole proprietor,42, I contrac o or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation polices: company names De12rizio & Garofano Construction Co., Inc. address: 248 Everett Street td r Chelsea, MA 02150 phone#r ( 617) 884'-.1802 insurance co. pr.(;anr--Hg Tnsuradc-eAgency.` InM21icv# {MA) WCV002oZ6502 �\ address. 3::3::::: Walnut -Hi 11 Road ;; cim Derry, NH 03038 phone#: ( 603) 425-7666 Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 andlor one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date 4-30-99 Print name Phone # (6 0 3) 882-6471 I fficial use only do not write in this area to be completed by city or town official city or town: permit/license p rlBuilding Department C]Licensing Board O check if immediate response is required oSelectmen's Office C)Health Department contact person: phone q; FlOther (revised 7/95 PIA) : - rz 6 _ t tea q n. • .. '. — � •fie t--�..:�..� - _�—yn�.,....f-4 �"�i••-�_. � ^� r.ow.�.,,Ta �...+-a+.-... �. .v_.- ,",y���` y 92. ` BOARD OF BUILDING t REGULATIONS ' q L License: CONSTRUCTION 'CONS �-.""'�"' PERVISOR ' Number: GS 055Jet 1 00 c �. Bi date: 04/08/1964 ; Expires:.Q4/08/2001 _ Tr. no: 8818 -RestrictedTo: 00 ROBERT C GARG NO° A 132 DUTTON RD '� �•i""� • I;. �'i !�ta.�'' PELHAM NH 03076 r . Administrator t ..„ ; �k ; sr S- c^a•.•—.ru�.yTe.ay,�"'-c��' xt y� f a's'•as+trF �. W Xz Gfs 4. y S t t 4 - " ✓iie �a�nrnwovureaCC� a`���(/LaJJaC�uJeCCJ DEPARTMENT OF PUBLIC SAFETY �. CONSTRUCTION SUPERVISOR LICENSE Number:.. Expires: Birthdate: CS 033-500" '04/08/1999 04/08/1964 Restricted To: 00 ROBERT C GARGANO 486 SIMPSON MILL RD �' PELHAM, NH 03076 a a z > i c A m 0 r i z m A P\ I� 3 A = r 0 O 0 nz Z� Z m m r m m n 0 r n ft O r r °1 r cc C � 6 O O v r I Q C> N =pf i N r Z m Z P\ I� 3 tll 0 m z 0 z♦ 0 z A N r N m 0 0 i m m m c>1 -ni x A N 0 n t7 O r r °1 0 m n 0 > i O O v r C z 0 C> > A -I i N r Z m Z n Z AA N m W c n n n a p A m m N C i m N 0 O O n m m a m m n mn O 0 + + Z Z ' > r pr z W r O N N tll 0 m z 0 z♦ 0 z A N to N i i i r r C r n n t7 N N A n n n 0 0 D m m r < z 0 C> it i m r Z m Z n Z AA O m W � D n a p A m m N m N tll 0 m z 0 z♦ 0 z N to N A N N N C A 0 0 D A r C C C> it i i r Z Z Z n Z O m 0m >> n n a p A m m N m N m 0 C O 0 0 m m n mn 0 0 > r z z z r N i> Z Z Z L1 G1 L1 0 A A 0 z N pp > m O a m 3 3 m 3� m r m m Q N 0 p O 0 A m N > Z 0 >0 ir i m 1" N i Z m i i _ 3 Z m N C V ?_ 0 •I A ° > n cl Z < c a rf C < m rl 0 2 C Z 0 } DI O. A 0 0A Q O m 1 > m �I fA N N N N 2 m N N N m > Z O I C p N Z C C C A 0 2 Z 0 3, 0 0 0 0 o Ir, i m i 0 N m Z N M m r 0 m i i n 0 c1 i1 0 0 0 0 m N 0 A A w 0 0 0 z n z 0 c � A N N a v Z Z Z m x 0 0 0 T N i> _c r OI m m m r z 1 AO H r m m Z 4 .4 O i m N N A 0 0 -4 0 0 A Q A N N _i Z Z V 0 0 0 m 0 0 r it N > A F* m( A Z z 0 ( f i O 0 N > m m m m x x ° m Z' x I z 1 m �^ Oo o X ti m I> m Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover, Massachusetts 01845 DirecJ. SCOTTtor In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number 6 o / is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by NTGL c 11 l; S 150A. The debris will be disposed of in: L t A t e� Ali e. r4-0 (� W A S (Location of Facility) ` V CAYU �c�v iwee � v e �.1 C,�- A Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. 69 APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 p ii TIM�L ��i w O O EM4 Ori 1� 2 It u WW �C <� 1 W J= 9 " lf U O i "%4 O z c o m c c is O B. O C wv 1�� ev • : lJL � � • J �om E a s5 7 *r V mm maa 3 JZ 0 t .5 ` a tT /0% ,fi4� O C YES �j CL ca m - '?tca zo CD �o Q: = N Q — dt �7 m C V H = C Cr C C O. Q (a m C •O Z m_ *.. N H ' aOH m W cc LLJ • A �O /o C O HN = Z w •E o •o, O • Co d O� H = eyv zip CL 06 •— E cl O M O O• ti Z O D CO) O CO) CD as cc O a� v CO) d y C cc C cc CO) 0 a a000� o o a c9i w z z w° c�° U w w w w u a o 1� 2 It u WW �C <� 1 W J= 9 " lf U O i "%4 O z c o m c c is O B. O C wv 1�� ev • : lJL � � • J �om E a s5 7 *r V mm maa 3 JZ 0 t .5 ` a tT /0% ,fi4� O C YES �j CL ca m - '?tca zo CD �o Q: = N Q — dt �7 m C V H = C Cr C C O. Q (a m C •O Z m_ *.. N H ' aOH m W cc LLJ • A �O /o C O HN = Z w •E o •o, O • Co d O� H = eyv zip CL 06 •— E cl O M O O• ti Z O D CO) O CO) CD as cc O a� v CO) d y C cc C cc CO) 0 ,ego YRS b6 �0�4NORrH q1, �0 1��? � .` °° at m NORTH ANDOVER FIRE DEPARTMENT CENTRAL FIRE HEADQUARTERS 124 Main Street �,95 OA IilC�P ��J North Andover, Mass. 01845 WILLIAM V. DOLAN Chief of Department To: Carl DuBois, FERD Construction From: Fire Chief William Dolan RE: Former BordenResinite Plant ClarkRoad, North Andover . . , . , , I Date: 3 November 1998 Chief (978) 688-9593 Business (978) 688-9590 Fax (978) 688-9594 Thank you for your Memo of October 28, 1998 regarding the former Borden Resinite Plant and your outline for demolition of part of that plant. On Friday — October 30 —1 performed a walk through of the plant with Greg Canovitch and Lt. Andrew Melnikas the department's Fire Prevention Officer. Our intent is to work with you and RAM Asset Management to revive this facility as a benefit to our community. Our goal is to insure the safety of people and property while your work continues. I have outlined what our regulatory mandates are regarding this project. This department will make the following comments, and actions to be taken based upon its authority under Mass. General Law Section 148 and the Fire Prevention Regulations of the Commonwealth of Massachusetts 527 Code of Mass. Regulations and all reference documents. The department will assume its responsibility and work in conjunction with the building commissioner in those areas as described in the State Building Code 780 Code of Mass. Regulation. The North Andover Fire Department shall furnish an order form for a "supra" secured key access box. The Fire Prevention Officer shall designate a location for the box to be welded onto the proposed eight -foot security fence. All keys shall be provided to the fire department for access to all areas of the work site and these keys will be placed in the secured key access box. Please reference the attached Town by-laws 69-8 & 69-8.1. The existing supra box, which is located on the building, can be reused on the finished building if the applicant desires. If there is intent to reuse the existing fire alarm control panel and master fire alarm box, the reuse will require the approval of the fire department as part of the fire alarm rsyslt^erre; n :, r ' NOV 4 1998 �— SERVING PROUDLY SINCE. 1921 The department will be primarily concerned with compatibility with the final system and that all components have been tested for the designed service. The list of bullet items listed of your memo "Items for the Fire Department" are acceptable to use with the following comments: 1. The fire prevention officer will need details of the "temporary wood enclosures" that are intended to be installed. 2. Permits for welding are required at the fire department and shall conform to 527 CMR 39 Welding and Cutting 3. The fire prevention officer shall designate a storage are for flammable and combustible liquids, flammable solids and flammable gases in accordance with 527 CMR 14. Permits for these will be required. 4. The fire prevention officer shall designate in accordance with 527 CMR 10.07 5. Dumpsters shall be located twenty-five (25') feet from any building. 6. A permit is required to disconnect and shut down the any sprinkler system. Sprinkler systems will not be allowed to be compromised where the fire fuel load exists and poses a potential threat to the building and adjacent structures. These permits shall be issued with the coordination of the following operations: • The demolition of the older part of the plant occurs as the first phase of the project to eliminate the fire fuel load in the plant. • The demolition of the older part be coordinated with the fire department and that the demolition be performed in a manner which will create a "fire break" between that being demolished and that part of the building to be renovated. • The fuel load (combustible materials) be removed from that portion of the building which is to be renovated. We look forward to working with you and FERD construction in this demolition and reconstruction process and to safely bringing the vision RAM has for this building to a reality. Lt. Andrew Melnikas will be our contact during this project, and I am available if you need to talk to me. William V. Dolan, Fire Chief Cc: R. Nicetta, Building Commissioner M. McGuire, Assistant Building Inspector Lt. A. Melnikas, Fire Prevention Officer W. Scott, Community Development Director Fm D z• _C I � '1 •a z ' z ^ m z N m Z It m !G) CJI ON N 1 U1 Ca --1 i O 00 00 J --1 D A m V, N �P _ r _ ON ,A F - o _ C o D z• _C f"` 3 Z <0 o m !G) Y z ® M " co < M � > i D z• y Y z � > i V: N C N D A m V, V V. _ r _ Z z _ C _ u A C > >zz D D m Z m H . rO F) m i n m M ' .• Q Dom' c �[ O -i A Z z Vi R zzy Y z w C) mm D O y r N m W E D -n p -� V. -i X D z m LA 7 N N M z �_Q r M z m m 4 z T zN A O z C7 id ii rt � X rt rt z M � � 3 v a rn A m y ca rt z o m O r� ct z z m H rt �1 � n o , C Z I ♦ � n . Ia (] N 40 Ln R'' lil N •7_ v � N N d Z Z M, ? z m !; � z z z 70 'F. m L", m n Z Z Y M N N z Ix c1 z M V) — 1 z V .,..I N Id N w - z y Y z o � N p C M u N m -Vi V>z Z m Z m H . rO F) m i n m M o Q o 3 w D O m r £O E M z m N •7_ v � N N d Z Z M, ? z m !; � z z z 70 'F. m L", m n Z Z Y M N N z Ix c1 z M V) — 1 z V .,..I N Id N w - z y Y z o � N p C N m H- C) H . 3 w y § 69-7 NORTH ANDOVER CODE § 69-8.1 fine, submit an appeal in writing to the Board of Fire Engineers, presenting any evidence to show the fine is unreasonable and/or inappropriate. The Board of Fire Engineers shall, within fifteen (15) days from the date of the appeal, respond in writing and the decision of the Board shall be final and binding. § 69-8. Forcible entry of unoccupied premises. When the Fire Department responds to an alarm of fire, transmitted by a fire detection and alarm system, where the premises are unoccupied; the Department is unable to gain access to the structure; and is unable to contact any of the individuals listed, for access; the Fire Officer in command, may, if he has reasonable concern or suspicion. that a fire exists within the structure, make a forcible entry to determine whether or not fire conditions exist. If this action becomes necessary, the Fire Officer shall: A. Notify the Police Department of this action. B. Secure the premises insofar as feasible. C. Continue efforts to contact the individuals listed as responsible for the structure. D. Enter the action taken in the Fire Department log. § 69-8.1. Secured key access. [Added 54-87 ATM, Art. 401 Any building other than a residential building of fewer than six (6) units which has a fire alarm system or other fire protection systems shall provide a secure key box installed in a location accessible to the Fire Department in case of emergency. This key box shall contain keys to fire alarm control panels and other keys necessary to operate or service fire protection systems. The key box shall be a type approved by the Chief of the North Andover Fire Department and shall be located and installed as approved by the Chief. Any building owner violating this Article after receiving due notice by the Fire Department shall be subject to a fine of fifty dollars ($50.). '_5.6904 M M M M 0 M 7 to 0 CA Cl) CO) CA M3 n CD CD CD CO) CD C0! I Z CD CD M� 0 CO g'R c OOC m -4 _ 2L C:�^ a' y CO) am m C-3 ar-a T>;�i CA m w =0=rCA O CArD A o m a� = CO) o m CDR x . n C2 Z o CA ccl CO) ? i D CS. o ��• m m y C70 CD Na m Ah y ;w ri 11 CL C. c CD y !� .-► •� O m ;♦ n_ ... O CD 0 1 � � • A D ... C CD• ., . CD H ' O C0CD do C. 0 CD 0 '�+ y 2L C:�^ a' "z i"' y � ar-a T>;�i p w O CArD A o rA rA L) 0 c TBECO1fffONWE LTHOFIYI SS"r-.lC7lL:S'= office Use DFP?9RTUE7VT0FPUBVCS4b= Permit No. ty %? BOARD OFF7REPREV=ONREGUL9770NS527CYlR 12.•!X1 Occupancy & Fees Clteckcd APPLI-CATTONFORPERAIRTTO,PERFO"ELLE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CiviR 12:00 / (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover The undersigned applies for a permit to perform the electrical work described below Location (Street & Owner or Tenant Owner's Address To the Inspector of Wires: r,�fra-0011 S Is this permit. in conjunction with a building permit: - - Yes Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Nu�abec of Feeders atd Ampaciry Location and Nath of Proposed Electrical Work • m (Check Appropriate Box) Utility Authorization No. 90-2 Overhead Underground No. of Meters Overhead Underground No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of fi ghtmg Fixtzres Swinmung Pool Above. Below Generators KVA ground EL ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets - No. of Gas Burncr3 LIRE ALARMS No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Disposals No. of Heat Total Total Pumps Tons KW No. of Dishwashers Space Area Heating KW Detection/Sounding Devices Local MunicipaConl nections r7 Other No. of Dryers Heating Devices KW No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER A,41 Sr LC' � .; .- . :Y.,f: • :A` :;tl f. 11" :. a :1.:.'6 . ...:. i C:16 .:.: � - •'. .. 7 :1; .. tl il- ;rld 6411JOAMAtl vim.n.-• .. -.:(' •�N . 1... •. :..g- . 16 ` U:.I :1 :. , .: ; • " IDIOM! . I.. M; !: `:111• [• I - �it 1- • . 1 v • . :• It • 1 1J• 1•:f` t:.l .n .n... •on- •unan:. - • •.R:.I.r. .1 be . 1 I's ,6.. gym- • wet I:. • • ,�. us 4 �• 1 v 1 ..:. /� X66 r .47- 1a( X21 r,,o� 9,!�2 362k;- rl�(�w lir�S Tw l �v AIL Te1Na OWNER'SINSURINCEWAIVER, Iamawa<ethattbel-ka edoesnAlrzmtheitrstuarleeeaee*t0--aitsa±stnbalequv alasrectmedblNbssadm� GairalLaws ;4nd thatmys; mbm ai disparritappficatmwamfisreel.merncri (Please check one) Owner r7 Agent Telephone No. PERMIT FEE S SiL azure of owner or . gen[ rn OO n m m Ln W S O N Y iI co a J I II II 61 F� I i C � m _®D � o � i m co i rn OO n m m � S V N N Y V. V. V• __ Y G i � i � � O O A. {1}x P. - D m. F M M F N Z X M. z m. J I I.J x Z b ! V � i N D I i N � n !I ^ Nm � ) ct < i I � z m z a rt rt z _ z "• � 7 C ! m D z y rt N m 0 0 y (t T I Hm I "I n I Z I � V- V: p V. p U N p � nn T. � 7 7 Y �• UD ... - .. 7 rn OO n m m � � O O A. {1}x - D m. F M M F N I X z m. J I I.J x Z ! � i N I i !I � Z I � z "• � 7 The Commonwealth of Massachusetts Department of Industrial Accidents olficeal/arest/ga0fis RECEIVED 600 Washington Street Boston, Mass. 02111 MAY 0 4 1999 Workers' Compensation Insurance Affidavit Apollo Environmental Co. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date 4-30-99 Print name Phone # ('603) 882-6471 official use only do not write in this area to be completed by city or town official city or town: permit/license # rlBuilding Department C]Licensing Board C] check if immediate response is required ❑Selectmen's Office C]Health Department contact person: phone #,- rlOther (revised 3195 PJA) ill Oy. L)t,.)A1NL1i0 INOUMA14t..= 0-ktil CO -a7 1 U. I Q -4,1. I t ja V"4v. i iI A�00. EI'�I Eat VATE PY. PATE IN 4 PR UCER 04/2 99 NFORMATION DOSAnCtiS Inaurance AqCy, Ino. CERTIFICATE ren Walnut H , 11 park EXTEND OR Woburn KA 01801 ICIES SELOW COMPANY 81-935-0400 FIw. 17t -564 No. A Scottsdale insurance INSURED .—�79 33 5 CorqMmy COMPANY COMPANY 16 Travelers Property Casualty IiePrizio Garoranc COMPANY Construction Co., Inc, C Eastern casualty Insurauce 248 Zvorett at Chains& NA 02150 THIS Is -0 C M RTIFY THAT THE POUCIES OF 1k4SUw%NM LISTED KLCW HAVE BEEN ISSUED TO THE INURED NAMED ABOVE FOR THE pOLIcy P INDICATED, NGrftT HSTAwiNa ANY REWRIMENT. TEPW OR OONDIMN of AM/ CONTRACT OR OTHER ISO VMNT Wrrm RESPECT TO WHICH THIS CERTIFICATE MAY BE iSMD OR MAY PERTAIN, THE WstWME AFFORDED By THE POLICIeS MSCRIBED HEREIN IS SU&IeCT TO ALL THE TEWS, EXCLUSIONS AND COMMONS CF SUCH POL(Ctes- LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID --LAW. INSURANCE POUGY NUMBER POLICY EfFECrIVE IPGXYE�MRA UwTrS TYPE OF TION DAM (NI"00YY; DAM (MWOWC1. GENERAL LIAMITY - _2ENERAL AGGREGATE )!2 A C XCOMNERCIALGCNERALWASILITY CLZ0443239 01/01/99 01/01/00 PROo—UCTS. C--Omwpfop S 1-1 —000-1 00 Q -W8 MADE WCUR I 5 ACV IN"Y 61 cool 00 i "ft :1 VWNEKS & COWRACTOR'S PROT EACH 00GIARENCE tsi00011100 COntractUral Liab 1FIREQwA0EMC4*&") $1,00 OQ LA�UTOIVIGXE LIABILFTY ANY AVTQ B I ALL CXINEG AU ROG X SCHGDLILEC AUTO$ [.4 WKC-DALIT03. I X, NON1,OWNEDAVt06 AOR"97OX432499 M M FXP (Any **Parma) $1,000--T 01/01/9,9 01/01/()0 00M8INED SINGLE UMiT BOXY NJURY (ftpwwn) 5 1'000'U t 0 DOMY "J rw —ONURY"; 11,000, "Additional Insureds Limits are no XOUtur than those required by contract" Additional jingUred & rear 2 rOzd Canutzuctlon, Inc. and the Town a ecta to 0 : i;27—North Bah r, MR PWZZCT: Vorth ArmVoxmr Commscm Center 12MC-1 RECEIVE ............. .. MAY 0 41999 3UILDING DEPT opF;p . . . . . . . . ... . . !7 T $H0QL0 ANY OF WE ABOVE 0E=R*WPCLCW�S BE CANCQUiED ser-gRenjE i EXPIRAYIQN DATE THEREOF, 7$4t IMM CO WAVY WILL 9NOCAVOR TOMAK I -XO—* DAyswwreN Nonce To rHe caRTFr-Anz 4owen NwEoTo T1 . Len: I! FLIT VA96URE TO MAIL qtXH NOTICe $HALL!Mp08Z No O8j3A-.00N OR UjdXrFy ,-V ANY MC UPON THC CAXaPAW, rT8 AGI!Nn 04 REPRCSE"FA IfUE8, 11�r�RIEPREMWA O, I "Tj MOPERTY DAMA41E $500,000 ."--n GARAGE LIAGILTY AL10 ONLY - EA ACCIDENT S 0 T W- RLT!41A IN A V T 0 ANY A.UT CA01 ACCIOGNI 3 '0 AGGREGATE 3 AUMGRELLA EXCESS LIARC.n iFA04 F;oRm i I TSA 01/01100 0VCURRENCQ s 6, 000 , 4 f AGGREGAM $6,000,000 LUTS I $ OTHER THAN UMBRELLA rCAM WORKERO COWENSAMNANU eAPLQYERV LMtL-TY -j -EL EACH ACC4DENT C THE PROPRrETORI' Rkgrwwexiinu !Vp INCL(XQ 0MCERS ARE: EXCLWa, ToFCV002 65012 07/30198 07/30/99 S 500, 000 ELWEAn - PO; . JC Y L N M �iz09FASE - CA EMPLOYSE i 1581 f 0 0 OW 1 600,000: "Additional Insureds Limits are no XOUtur than those required by contract" Additional jingUred & rear 2 rOzd Canutzuctlon, Inc. and the Town a ecta to 0 : i;27—North Bah r, MR PWZZCT: Vorth ArmVoxmr Commscm Center 12MC-1 RECEIVE ............. .. MAY 0 41999 3UILDING DEPT opF;p . . . . . . . . ... . . !7 T $H0QL0 ANY OF WE ABOVE 0E=R*WPCLCW�S BE CANCQUiED ser-gRenjE i EXPIRAYIQN DATE THEREOF, 7$4t IMM CO WAVY WILL 9NOCAVOR TOMAK I -XO—* DAyswwreN Nonce To rHe caRTFr-Anz 4owen NwEoTo T1 . Len: I! FLIT VA96URE TO MAIL qtXH NOTICe $HALL!Mp08Z No O8j3A-.00N OR UjdXrFy ,-V ANY MC UPON THC CAXaPAW, rT8 AGI!Nn 04 REPRCSE"FA IfUE8, 11�r�RIEPREMWA O, I "Tj Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street WII.LIAM J. SCOTT North Andover, Massachusetts 01845 Director In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number j � I is that the debris resulting From this work shall be disposed of in a properly licensed solid waste disposal facility as defined by NtGL c 1 11, S 150A. The debris will be disposed of in: D&B Waste Facility Wendell, MA (Location of Facility) Signature Permit Applicant 3-29--99 Date NOTE- Demolition permit from the Town of North Andover must be obtained for this project through the Once of the Building Inspector. L. - RECEIVED MAY 0 4 -1999 BUILDING DEPT BOARD OF APPEALS 689-9541 BUILMNG 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 APR - 5 1999 FERD CONSTRUCTION, INC. Hpwty lti KAREN H.P. NELSON der' Town of 120 Main Street, 01845 Director NORTH ANDOVER (508) 682-6483 BUILDING ;'' •::"<Y CONSERVATION "" DIVISION OF HEALTH PL UNNI NG PLANNING & COTWMUNITY DEVELOPMENT _1��`� DEMOLITION OF BUILDING AFFIDAVIT DATE March 23, 1999 OWNER'S NAME & ADDRESS One Clark Street North Andover L.L.C. c/o Ram Asset Management, Inc. - 121 Middle St. - Portland, ME 04101 LOCATION OF PROPERTY TO DEMOLISH One Clark Street DESCRIPTION Removal of 71,719 Sq. Ft. of Existing Building (see sheets Dl -D4) CONTRACTOR'S NAME & ADDRESS Deprizio & Garafano 248 Everett Avenue, Chelsea, MA 02150 DEPARTMENT SIGN --OFFS ,/ pf-3c�1Soc�o-o ctw�C.� � 1 1) 1, 4A DEPT. OF BLIC WORKS �TER�-T d -Q � S ' GAS A 4 Ste€ T., ELECTRIC TELEPHONE EXTERMINATOR DUMPSTER - ON/OFF STREET DIFF STj2.r-IFIT- DIG SAFE NUMBER 1069 (50 5 ✓l 1 RECEIVED DATE RECD BLDG. INSPECTOR MAY 0 41999 re V�C&:5 C vf-rf J'�' , Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street North Andover, Massachusetts 01845 WILLIAM J. SCOTT Director (978) 688-9531 May 1, 1999 MEMORANDUM TO: D. Robert Nicetta, Building Commissioner FROM: William J. Scott, Director, RE: 1 Clark Street Fax (978) 688-9542 On today's date at 12:05 p.m., Gayle Tierney in the Tax Office called to advise this office that the taxes are paid for 1 Clark Street. There is a $43,000 tax credit on that property. RECEIVED MAY 01 1999 BUILDING DEPT. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 0 RECEIVED MAY 0 4.1999 STELLOS ELECTRIC 125NBU LDBINGshwa,DEPT, (603) 882-3126 Fax (603) 882-0128 DATE: APRIL 21, 1999 JOB NAME: NORTH ANDOVER COMMERCE CENTER SUBMIT TO: MARK CHRISMAN c/o SUBMITTED BY: GREG AHEARN FERD CONSTRUCTION CO. 4 CLINTON DRIVE HOLLIS , NH 03049 603-882-6991 fax 603 ELECTRICAL DEMOLITION — PHASE 1 Intent of Phase I electrical demolition will be to remove the 2 incoming services on the North side of the Borden building to prepare site for renovation and additions. Per our Sketch SKE-P 1 dated April 20, 1999 we will be removing Electric Services No. 1 & No. 2. The associated branch circuit panels inside the building will be refed from the remaining active services at a later date. Work under Phase 1 will consist of the following. Service No.1 Consists of a pad mount transformer fed underground from Utility pole P2 P2 was originally fed overhead from Utility pole No. P 1. P2 is currently disconnected from that 15 KV line at pole P1 located at the street. Pole P2, the pad transformer and all associated High Voltage equipment above and below the ground ,will be removed completely from the site. Service No. 2 Consists of 3 —15 Kv kettle type transformers mounted on the ground in a fenced area Transformers are fed aerial from Utility pole P4 located in the same fenced area Pole P4 is fed aerial from Pole P3 located at the street. Mass Electric is scheduled to cut away Aerial conductors at P3 which feed P4 Pole P4, the kettle transformers and all associated High Voltage equipment will be removed completely from the site. Services 3, 4, & 5 All three services are currently energized and will eventually be removed and replaced with a new 2400 amp 277/480 volt 3 phase 4 wire located at the southwest side of the building.. Th(pMej of roperty has contracted with a company to remove all the high voltage egmpm nth d spose of it properly. Please forward this documentation to the building dept and all other interested parties. or h 0 FERD CONSTRUCTION, INC. v JOB 1�1,����iC��l��QZ, 4�U`S\�ii� i� IOTEQ • STELLOS ELECTRIC SUPPLY, INC. SHEET NO. -1>62l�6vQ -IiIQ.4F • 125 Northeastern Blvd. P.O. Box D CALCULATED BY DATE NASHUA, NH 03061-6004 (� `� \ �J (603) 882-3126 • FAX (603) 882-0128 CHECKED BY Com, '((''�� �V �E A`QUQ DATE ` 4i Q 6 SCALE PRODUCT 204.1(Single Sheets) 2D5-1(Padded) ®® Inc., Groton, Mass. 01471. To Order PHONE TOLL FREE 1.800.225.6380 io 'ON! 'NOlionHISNOa a83:A �G1q�l9�Q m 31 m m 0 m L`J y Ca v CA C4 CD 0 .7 a CD 114 CD _a CO) CD CO) I O �F CD C CD N a0 C N m d O d .rt O "• CD a� O Cl) ?m O ® C 0 CS 0 O N c) ; . m ? • n � � 'to CL O CD O N C j O m CL � m .♦ N d N Qclo d m 5 CDC CD CD jorab t -9 :w CD i0a 0 CD 0 N ,00 . CD ,w 0 om' ?m' N O 7 r:V • CD O O n d O 0 CO o cn o w o VJ cn ?? w 7� - r^ w ooCCL o M w -p w n -z G ;00 G 5 �' cn O o 'TI r� �:)-y 0 19 , 0 c CD i NORTH q O ttLeo ,6 s O O Ofi coc.wcw.�+cw y1• �V cHUSti��y APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION ADDRESS/LOCATION OF PROPERTY: DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK'AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECT ]ON FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES' SIGNED ROUTING CONSERVATION PLANNING El ,/DPW - WATER METER 2 -Sep-IN,A"�o �76� NOTE 6'P[ -C 1 ff pEj:� DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO,,gBRPTT,L OF THE OCCUPANCY/INSPECTION REQUEST vDPW Sianatiare File: OC forth revised 6/8/98 �.8 6,496,'AN o (rfgPZow5r) 7,64-• 70�! FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ---******-"--*APPLICANT FILLS OUT THIS SECTION' ,/APPLICANT One Clark St. North Andover L.L.C. PHONE___ ZD -7-) 774-1030 v,f-OCATION: Assessor S Map Number 13 PARCEL - SUBDIVISION - LOT (S) 14, 15 & 45 ✓STREET Clark Street ST, NUMBER 1 ...r.-=--��----��-••--•••.•-••"'"•"•'OFFICIAL USE ONLY'•"�" v RECEIVED BY BUILDING INSPECTOR RECOMMENDATIONS OF TOWN AGENTS: C04SE�VATION ADMINISTRATOR COMMENTS_ TOWN kANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED_ {/ L -Ur ''t 0 DATE APPROVED DATE REJECTED. DATE APPROVED DATE REJECTED_ DATE APPROVED DATE.REJECTED_ S h c DATE Office Use Ontyq ?i/u (S�IY LIIIiIIIIIIIIIUP.�1If-�5c��LIIE Permit No. p( jf� i EeVMtnz= of Vlllll[L fmfttq occupancy A Fee Checked BOARD OF FIRE PREVENTION REGi1LAT10NS 521 CUR I2:00 3r90 peeve blank) �0 14 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ;I All work to be performed in acrprdancs with the Massachusetts Electrical Cade, 527 CM'R 12:00 �( (PLEASE PRINT IN INK OR TYPE ALL INFO RMATION) Oate n��^m1�s�, 1��5 V tM or --Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 1 Clark Street Owner or Tenant Borden Global. Packaging, Ltd. r Cwner's Address 1 Clark Street Is this permit in conjunction with a building hermit: Yes _ No iX (Check Appropriate Box) Purpose of Suiidino Utility Authorization No. xisting Service J Amps _J Voits Overread l! Uncgrnd [ No. of Meters New ServiceAmps _J lairs Cveread ❑ Und-ma ❑ No. of Meters Numcer of Feeders and Ampacity Location and Nature of Proposed Electrical `NcrK Maintenance t - ! Total No. of Lignt;ng Cutlets No. of :-ct os i No. of -ransformers KVA .;Cove.— in - No. or _.gnnng-x:ures Bw�mrr:r., ?cc: _,_C _ _ ! KVA grn _rnc. Generators I No. of Emergency 'Lignting No. or :Recewacie Cutlets No. of Cil=urners I Sanery Units j No. of Switch Cutlets No. or Gas Surrers I FIRE ALARMS No. of zones No_ of _election ane To;at -I No. of Ranges ; No. o: A r Cora. :ors Initiating Oevices Leat Tctai .alai No. of Oisccsais No cf ?-.;r =s _ors K.V No. 'ct Bouncing Devices No. of seit Contained No, of ^is^wasners ScacerArea .=eavr.g 4."J I Ce:ec::on/Sounaing Devices I Municioai Other No. of Orvers ✓.a:;nc _ev,ces K%J oc�i Connec;on No. of NC. Jt I Low `:o[tage No. of water Heaters KJV Sicns 3a:las:s Winnc No. ^vcro .Massage Tubs No. at '-• •ors Total HP 07-. INSUPANCZ CCVERAGE. Pursuant to the recurer..era :!assacnuse general Laws _ I nave a current Liaciiity Insurance Peticy inruc:r.g Cor..c:etec C^erat:ens Coverage or its sucs:antial eeuivaient. YEB NO _ Nave sucmiitec valid proof of same to the Cftice. YE: - NO If you nave checked YE_, please inaicate the type of coverage cv Jy�'necxing the aopropnate box. sel�4 ��,pvr ✓ / INS vURANCE - BONO -` OTHER :--tP'ease Scec:fv} (Expiration Oatet j Esamatec Value of E'.ectrical work S Final Work to Start Inszec::en I -ata Recues:ec: Rough Signec unser me Penalties of perjury: FARM NAME Borden Global Packaging, Ltd. tic. NO. t_censee i 1/ygnature ✓Llc. NO. c34�J3 3us.-el. No. 686-9591 Alt_ Tel. No. acCress CWNEFI•S INSURANCE WAIVER: I am aware :nat :rte LXersee cCes ret nave :Me insurance coverage or its substantial eeuwalent as re- cuuea oy M ac usetts General s, aha :hat nv §:gravure on :rs Cermet application waives this reeturement. Owner Agent (Pleas n x no) :eieoncne No. PERMIT FEE S - ignature of Owner cr Agent) JAN 1 0 40 Harvey Road nn Londonderry, NH 03053-7400 TEAM ESIGN INC. ARCHITECTS 603 434-4060 Fax: 603 434-4815 Est. 1985 E -Mail: teamdesign@worldnet.att.net FIELD REPORT------------------------ March 28, 2000 Weekly Job Meeting. Minutes Distributed by Ram. Final Report Attended by David L Rienstra Jr Reviewed: • Signage - owner and tenant to work out. • Key distribution and Knox box location. • Dumpster pad schedule. • Moving issues. • Punch list - Ram Management and Team Design to conduct Preliminary walk - through. Observed: • Construction complete. Only punch list items remaining. Conditions reviewed in office with Dan Bisson. Submitted by: David L Rienstra Jr Daniel A. Bisson AIA, Senior Partner Walter F. Gleason, Senior Partner Orvis W. Bonney, III, Junior Partner Edward W. Huminick, Business Mana James H. Delisle Maureen E. McBride David L Rienstra Jr Pia, Opp l l Richard Stanley Claire Wilkens Kevin J. E. Uhlman .1 "1 40 Harvey Road ARCHITECTS Londonderry, NH 03053-7400EAM ESIGN NC.* 603 434-4060 Fax: 603 434-4815 Est. 1985 E -Mail: teamdesign@worldnet.aft.net FIELD REPORT------------------------ March 21, 2000 Weekly Job Meeting. Minutes Distributed by Ram. Attended by David L Rienstra Jr Reviewed: • Schedule, impact of epoxy paint application, items remaining, move -in coordination, possible punch list schedule. • Requisition 1 in progress. Application 2 expected. • Dumpster location - Innerstep needs room for two 7 yard dumpsters. • Fire extinguisher locations, keying and distribution. Observed: • Lighting and electrical complete. • Acoustical ceiling grid and lighting - complete at rear, office continues. • Final painting complete. Touch up required in some locations. • Plumbing fixture installation complete. Toilet partitions installed. • Vct the installed. • Epoxy paint floor continues. 1C.�l ��G\S L • Carpet installation just beginning. Conditions reviewed in office with Dan Bisson.�9er 0 F Submitted by: David L Rienstra Jr Daniel A. Bisson AIA, Senior Partner James H. Delisle Walter F. Gleason, Senior Partner Maureen E. McBride Orvis W. Bonney, III, Junior Partner David L Rienstra Jr Edward W. Huminick, Business Manager APR f` Bi.►ilfli6l�s�� ��k,"'f'1E"� dsifl�i�� Richard Stanley— Claire Wilkens Kevin J. E. Uhlman N2 2511 Date.. ......................... TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING ............. This certifies that . 2A has permission to perform . ........................................................... wiring in the building Of ............ . ..................... .......... ...................... (17 at ... e-., North Andover , Mass. ........................... Feek.1 r . ..... Lic. No'.Z .............................................. ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer ' s Rough Service Final Z 04P 0alltlllvnwrti1t4 of Massar4usdw Office use only Department of Public Safety Permit No. 11 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupy a Fee Checited 3/90 Ileave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachuseas Electrical Code, 527 CMR 12:00 z (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) ` 1 Date �� ✓� ~ ©O J City or Town of � "py To the Inspector of Wires) The undersigned, applies for a permit to perform the electrical work described below. Location (Street 6 Number) I � � t"4 ��F,,P—c" Owner or Tenant AtIu t` A ' Owner's Address 0'v Is this permit in conjunction with a building permit: Yes No (Check Approprtat ) Purpose of Building kT=El 1.5 4;=Utility Authorization No. Existing Service Amps / 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 - TOTAL No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA Above Swimming Pool grnd. In. ❑ grnd. ❑ Generators KVA No. of Lighting Fixtures No. of Emergency Li ting No. of Receptacle Outlets Gs No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners -To-tal FIRE ALARMS No. of Zones No. of Detection and .No. of Ranges No. of Air Conditioners Tons Initiating Devices ---- Heat Total otat No. of Sounding Devices. ,No. of Disposals No. of Pumps Tons KW No. of Self Contained --- Detection/Sounding Devices No. of Dishwashers Soace/Area Heating KW Municipal ------- Local❑- Connection Other Dryers Heating Devices KW No. of No. of Low Vo tage No. of Water Heaters KW No. of Signs Ballasts Winn No. Hvdro Massage Tubs No of Motors Total HP OTHER: INSURANCE COVERAGE :.Pursua to the requirements or massacnusaea u�11��a1 �..� I have a current Liability Insura a Policy including Completed. Operations Coverage or its substantial equivalent. YES' NO :have submitted valid proof of same to this office. ES O U If you have check ES, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND ❑ OTHER❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work $ Ot�b Inspection Date Requested: Work to. Stan nalties of try: Rough Final Licensee Address NO. liefma . am All. t et. NO. OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massacftusetis General Laws, and that my signature on this permit application waives this requirement. Owner Agent (P!ease check one) � Cay Telephone No. PERMIT FEE S V (Signature of Owner or Agent( CERTIFICATE OF USE & OCCUPANCY Town of north Andover Building Permit Number Date (,5- / — o D THIS CERTIFIES THAT 00,0#104ef- THE BUILDING LOCATED ON QNB3F d�� Al/l �) MAY BE OCCUPIED AS / /1 fAl Nd A dvMN m ff c r-- IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. ,C c as ,� SPA c �e # �, T" CERTIFICATE ISSUED TO ADDRESS 's^CMU'` Building Inspector s•. M" a ° F-4 a ° U .) p N \ w �� H �� w m c C i G4 � u?x 0 Q t---\ °�° V °�° r,he M x °�° Q w z o 0 w° U)w° U w 00 W ° U) w rL G o w� cn cn s•. M" v U O 0 I co O co L cm 0 o � d O y � C I CC_ ca Q c •y CO m m O co 3� O O G O L _O O d cmQ CA C o=s c cc CJ J� C. 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