HomeMy WebLinkAboutMiscellaneous - 25 COMMERCE WAY 4/30/2018 (6)ti
Date ....... 6
N2 1/23
0. TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .........
. ................................
has permission to perform ....... .......
wiring in the building of ... .....................................................
at ... .... PA C' ....... North And6ver', Mass.
ct
Fee....,4'..6�j. Lic. No. ... . . .... ........ ... I ......................
ELE CAL INSPECTOR
100.00 PAID
o6/15/99 14:33
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
�1AP
Ufflca Use Only -70-:z
I PARC J gcar�11B>i�g Permit No.
Occupancy ,& Fee Checked
80AR0 OF FIRE TIONS 527 CMR 12:00 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 1200
(PLEASE PRINT IN INK OR TYPE �LL INFO 1�1TION) Date May 24, 1999
City or Town of North An over,
To the Inspector of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) Clark Street, North Andover, Y1A
Owner or Tenant Wheelabrator/Massachusetts Refusetech Inc.
Owner's Address Clark Street, North Andover, MA
Is this permit in conjunction with a building permit: Yes ® No
❑ (Check Appropriate Box)
Pur-,ose of e iad".. g Trash } _plant
r t�tw,ny �+ w energy Utility Authorization No.
Existing Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters
New Service Amps _,/ volts Overhead ❑ Undgmd ❑ No. of Meters
I _
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work Install three -1 1/2" empty conduits to ash
,facility, add buried grounding conductor and install two floodlights
No. of Lighting Outlets No. of Hot Ibbs Total
No. of Transformers KVA
? NO Of Ltghtlng FlXtures ° In- rj v
Y- '' ��$WlmtTting-POOL '..gmd9md;❑ Generators , ry' 5 k,n.IKVA �. '..
No • .oi Receptacle Outlets L' N0::
No 2042
Date......
NOR71�
Of «w .a,ti
TOWN OF NORTH ANDOVER
0
PERMIT FOR WIRING
ss^cMus�
This certifies that .................... �l �).. {............ ..... .............................
has permission to perform .....
/�..n�........... f..` ......... F../.�.s/ �..���.....................
wiring in the building of .... ! 1�.:/T
........ ........
at ............ .. oz? x.......po ..................... . North Andover, Mpg'.
Fee ... .4.��...v�.... Lic. No. �. {...'�.�....Y�%r, ...... .t .. i�z
ELECTRICAL INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
_ COM IONWEALTHOFLtilA,S�.'�1UMSEM Office Use only
• - M-.
BLP9R 31=0FPUBLICSr•1FE7Y Pcm»t No.
BOARDOFFTREPREVErMONREGU A770NS527C,Y1R12:1X1
Occupancy & Fees Clieckcd
A.P.PLICA TTONFOR P RAET TO PERFO"ELE=(:AL 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. IIVL4P k) PARCEL
Location (Street & Number)
Owner or Tenant
Owner's Address
Is this permit. in conjunction with a building permit: -T - Yes
Purpose of Building
(Check Appropriate Box)
_ ... Utility Authorization No. D
�Y�grez'/
Existing Service
Amps
/
Volts
Overhead Underground
New Service
Amps
/
Volts
Overhead Underground
Number of Feeders and Ampacity - - -
Location and Nature of Proposed Electrical Work
No. of Meters
No. of Meters
Nc: of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No. of Lighting Fixtures
Swimming Pool Above.
Below
Generators
KVA
ground
xround
No. of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting Battery Units
No. of Switch Outlets
No. of Gas Burncra
FIRE ALARMS
No. of Zones
N of Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No;Disposals
No. of Heat Total Total
J
Pumps
Tons
KW
Initiating Devices
No: .:£Dishwashers
No. of Sounding Devices
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local Municipal
Other
No. of Dryers
Heating Devices KW
Y
COIRlectlons
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
Pio. Hydro Massage Tubs
No. of Motors
Total HP
OTHER ��`✓� 5ile-olr )
u.- 1u • • :r..•- • :U (• 1 :• a :IN•6 •. ..�.+ .::r.
noun:• . u • ••: • •s� �- • i - •iu- a► � • � • - •�:•�:• •:c•• u•i•sc• i - r • •• _ • • :•u .� i -
.u• soar •••
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•� • �n� no•:a,•.• lar ' :� :,r.• ' • •� � s
btg=u=metimam ct nw1.
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Lica�ee �� �- o c� l S Sere BumvssTelNa ha tZ
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A1tTel.Na
OWNER'S p4SURAI�CE WAIVER; Iamawatethattl eLi=m doesnoduw d-ieinstua =wvm=Cr tss s isbrlbiec}aNa�tasreq-medtyNl� <xr�a1Laws
aLrlihatmy sigrrabue o: r dris peQnitappr wars this rel}mt'rna>t
(Please check one) Owner Agent
Telephone No. PERMIT FEE S
SiLumrure o -)wner or �-YcnL
102 Date.. y=..!� ...........
TOWN OF NORTH ANDOVER
PERMIT FOR MECHANICAL INSTALLATION
F A
t a •
This certifies that ...,� / . ��� ��! .. . • . .. `• ...14 `. .
has permission for mechanical installation ... iU .. % t..... • .
in the buildings of .. f ��.:�.... C.`.:.:.F.....................
at ...... �. �.'" ... • • • • • • .. , North Andover, Mass.
r
Fee.?QQ. Lic. No........... ........! .....� .......
' GAS INSPECTOR `�
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
APPLICATION FOR A PERMIT TO INSTALL
FURNACES, BOILERS,
r ROOF TOP UNITS, AIR CONDITIONERS, EM GENCY GENERATORS
I hr /
TO -THE NORTH ANDOVER
INSPECTIONAL SERVICE DEPARTMENT
The
rungeer igsned applies for a permit to install the following at:
Location 6w,
V/�fCJl
Owner of permises / 1�� /1`%f//41///D✓I Address l (1� 1119 Ala
Name of mechanic Aow m kdd Address /kld /2-v /y 104U'
Building occupied for a 771(E` I t; Material of building V/ C C
t
Kind of fuel G( Chimney No. of flues Size
Chimney Thickness Lining
f
If steel stack location Diameter
ht
DESCRIPTION OF HEATING APPARATUS
Kind of heater D How many 7 Make �/7-"
BTU Input
Location in building_
Protected against fire as required
How protected
See the State Code (Pertaining to Chimneys, smokestacks and heating apparatus).
ROOF TOP UNITS OR EMERGENCY
�GENERATORS 2/1
Make �i�%%� Wei ght /J U S
Dimensions Length
Width Height
Location in buiding How supported
Size of roof timbers Material of roof timbers
Span of roof timbers Distance on center.
Protected against fire as required How protected
AIR CONDITIONS
Kind of apparatus Make
w A�.'"KliP
HVAC FORM
REVISED 316198
Date
N2 4311
TOWN OF NORTH ANDOVER
0
PERMIT FOR PLUMBING
This certifies that ............
has permission to perform
plumbing in the buildings of ... C ..................
at .... / ......... .,,—North Andover, Mass.
Fee Lic. No.. ? ...... .. i .... ........
PLUMBING INSPECTOR
WHITE: Applicant CANARY: Building Dept PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date ^"0.0
Building Location c� l� Owners Name Permit #_
Amount
Type of Occupancya ✓Y!/�%
New M Renovation [:] Replacement [:] Plans Submitted Yes n No
(Print or type) Check one: Certificate
Installing Company Name /���1�11_✓ �- CA �� Corp.
ElPartner.
11 Firm/Co.
Name ofLicensed Plumber.
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate boac
Liability insurance policy 14 Other type of indemnity Bond ❑
Insurance Waiver. L 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 Mass efts to Plumb' Code and Chapter 142 of the General Laws.
By: =10r. o kens um er
ype of Plumb License
Title
City/Town tense � er Master Journeyman
APPROVED lmia us$ oNLY T
3349 Date . ? ... t. '......`..... .
RTH TOWN OF NORTH ANDOVER
pytao ,s1yo
p PERMIT FOR GAS INSTALLATION
\°_ ".•=•tom:• ._ a
S,
This certifies that ..1 f . 7. r�. / c h
has permission for gas installation ....
in the buildings of .... �! .............................
at ..JJ. /........... , North Andover, Mass.
Fee d./0 .... Lic. No........... ..........................
GAS INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
Ji
MASSA I APP CATON FOR PERMIT TO DO GAS FITTING or print) PARCEL Date
NORTH ANDO
Building Locations
/� S6�-
Owner's Name
New P Renovation ❑ Replacement ❑
Plans Submitted ❑
19
Permit # 3,3
i
Amount S
i
'
its
(Print or type)Check one: Certificate Installing Company
Name;?,�))V n cC:) 'S 1\ C a (-S
® Corp.
Address
elephone
Name of Licensed Plumber or Gas Fitter �S�6 1417) O jz4bel-y
4
❑ Partner
❑ Firm/Co.
INSURANCE COVERAGE Check one:
I have a current liability insurance policy or it's substantial equivalent. Yes 10 No 0
If you have checked ves• please indicate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity ❑ Bond ❑
Owner's Insurance Waiver. 1 am aware that the licensee does not have the Insurance coverage required by Chapter 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 E]Agent
❑
hereby certify that all of the details and information 1 have submitted (or entered) in above aonlication 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 �(aje Gas�Code and Chapter 1.32 of the General Laws.
By:
Title .
CiryiTown
i
APPROVED (OFFICE Use r)NLY)
of Lic4ded Plumbef-6r Gas Fitter
�1?4dmber A-) -;7
Gas Fitter )cense iNumoer
❑ [✓taster
❑ Joumeyman
^M 1980
Date ... ld../� ...
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
1 c
This certifies that ..........&./ P..�I ...: /:= Ft ii............................
...
has permission to perform ..... e wl,� G<<...`..... ...............................................
wiring in the building of ....... (�r2 Ej:�.... *.� !C !1���.... cJrYl,�l ?°Ic'�P. (war l
f C ! 011 � '
at...........,�!.....e........................................................ . Xorth Andover, Mass.
r
Fee.. �S:!��`.:.("Lic. No.����.1°�........... ...;>-ate ..1........I,. ....
/ELECTRICALINSPECTOR
b
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
THEC'(U1l l[b101N1WEALTHOF1t�JASS�C�YiI,STIS oboe Use only
DE99RT1ZF 0FPUBUC&41;= 'IsePermit No,
C
BOARD OFFIRE'PREVE MONREGUTATl'ONS527CW 12-00
Occupancy & Fees Checked
APPLICATTONFORPERMIT TOPLRFORIVI==CAL WORK V
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 SE IPT. 11 I t9 Ci S
Town of North Andover
To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below. MAP qjZ.—PARCEL
Location (Street & Number) I -a
Owner or Tenant V-,� 0-k * A (j -n Ck WU&A, C CQm jUA,
Owner's Address FFY2 O_C0OC-I•. t 0 C -L k sa'stO N Si tAo LLt S Y\V. N+ Gw C /'Cow r.
Is this permit in conjunction with a building permit: Yes I ^ I No F7 (Check Appropriate Box)
Purpose of Building CT -F t CL / Lk GtyZ aw U F►�CT V 12t rvG (.e7 P�ENQcJs C Utility Authorization No. _
Existing Service Amps / Volts Overhead M Underground
New Service -Z500 Amps Z77/4$d Volts Overhead r7 Underground
•.
Number of Feeders and Ampacity 1. . ZOO A IM I
T 30 '-4 LJ (o 'ce
No. of Meters
No. of Meters —_
k (- k'kOoSe
Location and Nature of Proposed Electrical Work 2 W E'N0V AT t Cs ERt 5T t N G p LAW T l 0 M U Lt l L 6 N A VJ 1 7
No. of Lighting Outlets
No. of Hot Tubs
No. of TransformersZ 5 �iiA Total
KVA
No. of Lighting Fixnaes
Swimming Pool Above.
Below
Generators KVA
f1
and
and
No. of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting Battery Units
No. of Stir•itch Outlets
No. of Gas Burners
FIRE ALARMS No. of Zones
10
No. of Ranges -
' No. of Air Cond. Total
i
Tons
No. of Detection and
20
No. of Disposals •
:No. of Heat•-� Total 7 Total
P 1�
Tons •
KW
Initiating Devices
No, of Sounding Devices
20
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local MunicipalX a Other
Nn. of Dryers
Heating Devices KW
Cormectiom
No, of Water Heaters '7 . k.` KW
No. of No. of
Siena
Bailasis
_
!Viso. Hydro Massage Tubs
No.tof-Motors
Total HP
OTHER.
ia` ... r :r.• • 1.I • 1• :• a :.: v e... ; ::16 :•: •
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Town. of North Andover
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES
30 School Street
WII,LIAM J. SCOTT North Andover, Massachusetts 01845
Director
NOTICE OF DECISION
Any appeal shall be filled
within (20) days after the
date of filling this Notice
in the Office of the Town
Clerk.
Petition of Appledore Engineering, Inc.
Premises affected one Clark Street
NORTh
��0'�t�ao ia'�•ti•0
OL
—r;
rn
aD
c_
�-�
M77
_MEE -17 ,
Date February 17, 1999
�' e
Date of Hearing 1/5/99, 2/9/99, x/16/99
Referring to the above petition for a special permit from the
requirements of the North Andover ZOninq Bylaw Section 8.3 (site plan review )
so as to allow the:: construction of an addition to the existin gbuilding located
at one Clark Street
After a public hearing given on the above date, the Planning Board
voted to Approve the Site plan Review - Special Permit
based upon the following conditions:
Signedc
CC: Director of Public,Works Richard S.Rowen, Chairman
Building inspector
Natural Resource/Land Use Planner Alison Lescarbeau, V. Chairman
Health Sanitarian
Assessors John Simons, Clerk
Police Chief
Fire Chief Richard Nardella RECEIVED
Applicant
Engineer Joseph V. --Mahoney FEB 17 1999
Towns Outside Consultant
File Planning BoartUILDINGDEPT
Interested Parties •
CONSERVATION - (978) 688 9530 • HEALTH - (978) 688-9540 • PLANNING - (978) 688-9535
*BUILDINGOFFICE - (978) 688-9545 • *ZONING BOARD OF APPEALS - (978) 688-9541 • *146 MAIN STREET
1 Clark Street
Site Plan Review - Special Permit
The Planning Board herein approves the Special Permit/Site Plan Review for the
construction of an addition to the.existing building in the Industrial - 2 Zoning District.
This Special Permit was requested by Appledore Engineering, Inc., 600 State Street, Suite
D, Portsmouth, NH 03801. This application was filed with the Planning Board on
December 4, 1998.
The Planning Board makes the following findings as required by the North Andover
Zoning Bylaws Section 8.3 and 10.3:
FINDINGS OF FACT:
1. The specific site is an appropriate location for the project as it is located in an
industrial park and is zoned for industrial use.
2. The use as developed will not adversely affect the neighborhood as sufficient buffer
have been provided as well as conditions on the hours of operation, the location of the
HVAC units and other noise producing elements;
3. There will be no nuisance or serious hazard to vehicles or pedestrians-,
4. The landscaping approved as a part of this plan meets the requirements of Section 8.4
of the North Andover Zoning Bylaw;
5. The site drainage system is designed in accordance with the Town Bylaw
requirements.
6. The applicant has met. the requirements of the Town for Site Plan Review as stated in
Section 8.3 of the Zoning Bylaw-,
7. Adequate and appropriate facilities will be provided for the proper operation of the
proposed use.
Finally the Planning Board finds that this project generally complies with the Town of
North Andover Zoning Bylaw requirements as listed in Section 8.35 but requires
conditions in order to be fully in compliance. The Planning Board hereby grants an
approval to the applicant provided the following conditions are met:
SPECIAL CONDITIONS'
1. Prior to the endorsement of the plans by the Planning Board, the applicant
must comply with the following conditions:
r
a) The drainage consultant, and DPW have approved the final plan.
c) A bond in the amount of $10,000 shall be posted for the purpose of
insuring that a final as -built plan showing the location of all on-site utilities,
structures, curb cuts, parking spaces and drainage facilities is submitted.
The bond is also in place to insure that the site is constructed in accordance
with the approved plan. This bond shall be in the form of a check made out
to the Town of North Andover. This check will then be deposited into an
interest bearing escrow account.
2. Prior to the start of construction:
a) A construction schedule shall be submitted to the Planning Staff for the
purpose of tracking the construction and informing the public of
anticipated activities on the site.
b) All erosion control must be installed as shown the approved and endorsed
plans.
c) The applicant shall determine the preexisting conditions of the noise levels
emanating from the site are to determine the baseline noise conditions of
the site area. The noise survey will provide evidence of the origin of
surrounding noise and therefore a baseline condition from which the
applicant determine their increases. The noise levels shall not increase the
broadband level by more then 10 dB (a) above the ambient levels or
produce a "pure tone" condition as set forth in DAQC Policy 90-001, the
guideline for 310 CMR 7.10. The applicant may use relevant professional
sound emitting data from the prior building use to build a baseline based on
prior use of the building and grounds. References to sources for data must
be included in the material.
3. Prior to FORM U verification (Building Permit Issuance):
a) The final site plan mylars must be endorsed and three (3) copies of the
signed plans must be delivered to the Planning Department.
b) A certified copy of the recorded- decision must be submitted to the Planning
Department.
4. Prior to verification of the Certificate of Occupancy:
he
a) The applicant must submit a letter from the architect or engineer of the project
stating that the building, signs, landscaping, lighting and site layout substantially
comply with the plans referenced at the end of this decision as endorsed by the
Planning Board.
2
b) The landscaping must be planted as shown on Sheet 5 of the approved and
endorsed plans.
c) All lighting shall have underground wiring and shall be so arranged that all
direct rays from such lighting falls entirely within the site and shall be
shielded or recessed so as not to shine upon abutting properties or streets.
The Planning Office must approve any changes to the approved lighting
plan as submitted by the applicant.
d) The building must have commercial fire sprinklers installed in accordance
with the North Andover Fire Department.
5. Prior to the final release of security:
a) A final as -built plan showing final topography, the location of all on- site
utilities, structures, curb cuts, parking spaces and drainage facilities must
be submitted to and reviewed by the Planning Staff and the Division of
Public Works.
6. Any stockpiling of materials (dirt, wood, construction material, etc.) must be
shown on a plan and reviewed and approved by the Planning Staff. Any approved
piles must remain covered at all times to minimize any dust problems that may
occur with adjacent properties. Any stock piles to remain for longer than one
week must be fenced off and covered.
7. In an effort to reduce noise levels, the applicant shall keep in optimum working
order, through regular maintenance, any and all equipment that shall emanate
sounds from the structures or site.
8. No HVAC equipment or other equipment that will emanate noise -exceeding levels
cited herein shall be placed on the exterior of the structure. Such equipment shall
be enclosed as shown on the plans.
9. All site lighting shall provide security for the site and structures however it must
not create any glare or project any light onto adjacent residential properties.
10. The hours for -at least 75% of the traffic associated with trucks entering the site for
shipping, receiving and waster hauling shall be limited to between the hours of
7:00 am and 7:00 p.m. Monday through Saturday.
At
11. Any plants, trees or shrubs that have been incorporated into the Landscape Plan
approved in this decision that die within one year from the date of planting shall be
replaced by the owner.
•o
12. The contractor shall contact Dig Safe at least 72 hours prior to commencing any
excavation.
13. Gas, Telephone, Cable and Electric utilities shall be installed underground as
specified by the respective utility companies. Utilities may be installed above
ground where sub -surface conditions do not permit such installation. Evidence of
such must be provided by the applicant.
14. No open burning shall be done except as is permitted during burning season under
the Fire Department regulations.
15. No underground fuel storage shall be installed except as may be allowed by Town
Regulations.
16.. The provisions of this conditional approval shall apply to and be binding upon the
applicant, its employees and all successors and assigns in interest or control.
17. Any action by a Town Board, Commission, or Department that requires changes in
the plan or design of the building as presented to the Planning Board, may be
subject to modification by the Planning Board.
18. Any revisions shall be submitted to the Town Planner for review. If these revisions
are deemed substantial, the applicant must submit revised plans to the Planning
Board for approval.
19. This Special Permit approval shall be deemed to have lapsed after two years from 21191J001
the date permit granted unless substantial use or construction has commenced.
Substantial use or construction will be determined by a majority vote of the
Planning Board.
20. The following information shall be deemed part of the decision:
21. Plan titled- North Andover Commerce Center
Sitework Approval Drawings
Clark Street
North Andover, MA 01845
Prepared for: One Clark North Andover, LLC
121 Middle Street
Portland, Maine 04101
Prepared by: Appledore Engineering, Inc.
600 State Street, Suite D
Portsmouth, NH 03801
4
Dated: December 4, 1998 ..
Revised- February 9, 1999
Sheets: 1 through 10
b) Report: Drainage Study
for North Andover Commerce Center
Clark Street
North Andover, MA 01845
Prepared for: One Clark North Andover, LLC
121 Middle Street
Portland, Maine 04101 -
Prepared by: Appledore Engineering, Inc.
600 State Street, Suite D
Portsmouth, New Hampshire 03801
Revised:. January 20, 1999
Dated: December 4, 1998
22. The applicant may construct only the parking spaces on the northern side of
Clark street adjacent to the building until such time as the use of the
property requires the construction of the remaining spaces located on the
southern side of Clark Street. The applicant shall notify the Planning Board
in writing of their intention to expand into the other parking area prior to
the construction of the spaces.
cc. Director of Public Works
Building Inspector
Health Administrator
Assessors
Conservation Administrator
Planning Board
Police Chief
Fire Chief
Applicant
Engineer -
File
Lot 1-2B-1 Orchard Hill Road - Site Plan Review
5
3000 Date . A ...... .... . ..
a NORTH TOWN OF NORTH ANDOVER
pf•��a° ,a,ti0
PERMIT FOR GAS INSTALLATION
f A w
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SAC MUSE .C-a
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This certifies that.. - .......... `..:
has permission for gas installation '.
in the buildings off... • • • • •
at /... / ..................... . NortAndover, Mass.
Fee: 5--: :. Lic. Nod// ...... ..........................
GAS INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
P
4
ti
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
' , .1 0i 0U'Qr— , Mass. Date Z 19— Permit #
Building Location CIOwner's Name RAm ASSe-t H4NjtA.,.4,
••`r Type of Occupancy [ �hl✓h
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'New ❑ Renovation ❑ Replacement &( Plans Submitted: Yes❑ No ❑
Installing Company Name CAC ME'HANICAL Check one: Certificate
Address 68 Stiles Rd Corporation 2101C
SALEM, NH. ❑ Partnership
Business Telephone 1-800-840-2158 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter FR A mr F. S f'.0 PR FMUT I C 0
INSURANCE COVERAGE:
I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes )a No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy M 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 El
I hereby certify that all of the details and information I have submitted (or entere ' bove application are true and accurate to the best of my
knowledge and that all plumbing work and Installations performed under th -permi ' ssued for this a7cawill be in compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 f d eneral LawsT e of License: �Plumber ignatureo cense m er or Gas Fitter
Title ±iGastitter 10043
aster Ucense Number
city/Town Journeyman
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Installing Company Name CAC ME'HANICAL Check one: Certificate
Address 68 Stiles Rd Corporation 2101C
SALEM, NH. ❑ Partnership
Business Telephone 1-800-840-2158 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter FR A mr F. S f'.0 PR FMUT I C 0
INSURANCE COVERAGE:
I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes )a No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy M 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 El
I hereby certify that all of the details and information I have submitted (or entere ' bove application are true and accurate to the best of my
knowledge and that all plumbing work and Installations performed under th -permi ' ssued for this a7cawill be in compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 f d eneral LawsT e of License: �Plumber ignatureo cense m er or Gas Fitter
Title ±iGastitter 10043
aster Ucense Number
city/Town Journeyman
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Date,/U
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that .....!`� N?r G! ..�...). 1. C—. l`?. ..........
has permission to perform . D A41 %". i...� . if-,
plumbing in the buildings of. C'e� r ..�f. .. .
at ...?' 7.. • • • • • , North Andover, Mass.
.7�
PLUMBING INSPECTOR
10/12/99 12:13 250.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MAP 3 J
MASSA HUSETTS UNIFORM APPLICATION FOR PE TO DO PLUMBING
�/� y� n Date /D — 2 — S
Building Location on C/r���� �0� Owners Name /UH C.',Permit 2—
Amount 2c J B, r"—
Type of Occupancy �()✓�@- /'C`.
New Renovation Replacement ❑ Plans Submitted Yes No
TiTVTTT1D1 C
(Print or type) Check one: v Certificate
Installing Company Name 1/vl@,cf S, (' ?� �' ( Corp.
Address r Partner.
Business Telephone �� n % �i r�� Firm/Co.
Name of Licensed Plumber:
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy P Other type of indemnity Bond ❑
Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner Agent
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 Mas4h#tts StWlum)ing Cade and Chapter 142 of the General Laws.
By:
Title
City/Town
APPROVED (OFFICE USE ONLY
Type of Plrkhbing License
�a 7
License NumDer Master ® Journeyman ❑
•
...............
WITSMOM -......M.M-..........M..M
W! -, oil U r7i'MMMOMMOMMINNOMMMIlkUp1000000".
FIRM
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1 11 •
MON
(Print or type) Check one: v Certificate
Installing Company Name 1/vl@,cf S, (' ?� �' ( Corp.
Address r Partner.
Business Telephone �� n % �i r�� Firm/Co.
Name of Licensed Plumber:
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy P Other type of indemnity Bond ❑
Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner Agent
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 Mas4h#tts StWlum)ing Cade and Chapter 142 of the General Laws.
By:
Title
City/Town
APPROVED (OFFICE USE ONLY
Type of Plrkhbing License
�a 7
License NumDer Master ® Journeyman ❑
Location
yNo.
Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # A,��
13 6 /; Building Ins etor
TOWN OF NORTH ANDOVER BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
M'!MKI-This Section forOfficialUse On]
BUILDING PERMIT NUMBER:
-
DATE ISSUED:
TuSIGNATURE:
S, 14 -'2-eo-t�
BuildiU Commissionerfinspector of Buildings Date
1.1 Property Address: 1.2 Assessors Map and Parcel Number.
0016, obis ovi4-
Map Number Parcel Number
1.3 Zoning Information:
1.4 Property Dimensions:
epu,�-n !;at-
tic s r, lj e,
Zqiinj District Proposed Use
Lot Area Frontage (ft)
1.6 BUILDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Required I Provide Required Provided
Required Provided
1.7 Water Supply M.GJ,.C.40. 54) 1.5. Flood Zone Information:
1.9 Sewerage Disposal System
Public 0 Private 0 zone - Outside Flood Zone 0
Municipal On Site Disposal System 0
2.1 Owner of Record
2At-,
Name (Print) Address for Service:
Signature Telephone
2.2 uthorized Agent m.c-.
eiqAd -2-�— - s. M10
- A -U y ff?g-
NAMe P Address for Service:
Telephone-,'
'10 g
I'M 11"Ai WIN, 06"FANNININ-R! IRV.. IT
3.1 Licensed Construction Supervisor Ajq,906-%1,t C. 1-1 ATS Not Applicable 0
Address License Number
LK'en� � � ?,-Z? ZOO
Con coon Supervisor:
Expiration i Date
Telephone
3.2 Registered Home Improvement Contractor
A4.
Not Applicable 0
-
Company Name,.
Registration Number
Address
Expiration Date
COPY A
Signature Telephone
ASSESS
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PERMIT PENDING 0
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1'-4 Ue'\' C- YA A'4�G' ` as Owner/Authorized
TO
Agent
Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury
Print Name
Vzxbn-��� —7—od-
SignaWer/Agent Date
Item
Estimated Cost (Dollars) to be�
Completed by applicant
permit
1. Building
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction from (6)
3 Plumbing
Building Permit fee (a) x (b)
4 Mechanical (HVAC)
5 Fire Protection
6 Total (1+2+3+4+$)
Check Number
-..X1
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T7•.4� W✓y i� {4
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n_s�.. t. �Yl�. vx. ) ;. (� �. 35 'x ::-.d d 4
�7.?+i� �(�?�. :E.�-Sf `+-�. i $ 3 \';. }}P .{�i ;raA.."" Y`1
f > \;: ( RS
5 ..�+.r�FT ,,:�f - F.. u��..ss7i"iRS Z4 t}4�clt ,?..: iii GYiS l'. ,%' ! H �� �i.�; �') 1}'n...'k D '*iW .! �L d 9I .'.:. -•
ff --:r {`�. � .,{ t"\'.4 � 4)i -;•i' li.Y�:: t,'4 sU"" ...e F.�,i f 1X�_;r �{� 4&K :%A�k� 3 � Ott ry�
r7
4 _3,..,b >i.4 � Y�'�. kP-ar':,v 4.._ ,J Wit.. .r•'Ilff ..,l�t^'L`r�'
',+>�t^i a'��� i�Li��„�'.�Y#�'P, �2�+'i; � k9b .. �.{, � „�'�-.'.-,v�3"�ly y, '. �� fJ.Ati� t 1 'tem i n��1�'�' { :�, 5 ]i f {S t. �7 S � '.�e�x4%.( 3 CiY �{1�
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS 1 sr 2ND 3RD
SPAN
DEMENSIONS OF SILLS
DEMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
. 1 `u^#tYkY`°t.2 +r x may.» tit
4 z{
C "`C I„
.t�Y .�
sEc�ox a ��>� cEr�s�►r�ol� s��. � �.� ��
.
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial if the
issuance of the building permit.
Signed affidavit Attached Yea .......❑ No ....... 0
SEMPS 5 1 0 U100", A C STRUCi ttlt+t R TC S) BIIi%1�> t � II ES t1 E # fi�1
:IIO1±TS'�IIC'�'i®�T C(D'�it4JI �"�A� �`Ci► �R ��6 ��CIi�'.t�N laiQ�E �I�A�►`3:�, C.°F��l►��iC3:hl� �i'A)
5.1 Regi eyed Architect:
7— VOA
Address
G8(
Signature Telephone
5.2 Regisld Prafe3Stien.� ;��3�, y � � �".
Area of Responsibility 4
Name:
Registration Number
Address:
Expiration Date
Signature Total
Not applicable ❑
'
Name:
Registration Number
Address
f%
Expiration Date
Signature Telephone .
V
Area of Responsibility
Registration Number
Expiration Date
Name
Address
Signature Telephone
f
Area of Responsibility
Registration Number
Expiration Date
Name
Address
Signature Telephone
fe i dull
CS
r
Not Applicable ❑
Company Name:
Responsible in Charge of Construction ,
PRQ >V .tcheci`gll atarsieal�i�. '.'
New Construction ❑
Existing Building
❑
Repair(s) ❑
Alterations(s) ❑
Addition ❑
Accessory Bldg. ❑
Demolition
❑
Other ❑ Specify
Brief Description of Proposed Work:
(7n �'��
dy-1,5
I� �21 bG
�.dJSZt lord,,
2A
2B
2C
❑
❑
❑
Existing Use Group: Proposed Use Group:
Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34:
BUILDING AREA EXISTING if applicable) PROPOSED
Number of Floors or Stories Include
Basement levels
Floor Area per Floor s
Total Area s
Total Heieht (ft)
Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑
SECTION 10a Owner Authorization - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Owner of the subject property
Hereby authorize to act on
My behalf, in all matters relative two work authorized by this gilding permit application
Signature of Owner
Date
USE GROUP Check as a licable)
CONSTRUCTION
TYPE
A Assembly,
❑
A-1 ❑
A4 ❑
A-2 ❑ A-3 ❑
A-5 ❑
lA
IB
❑
❑
B Business
❑
2A
2B
2C
❑
❑
❑
C Educational ❑
F Factory ❑ F-1 ❑ F-2 ❑
H High Hazard
❑
3A
3B
❑
❑
IInstitutional ❑ I-1 ❑ 1-2 ❑ I-3 ❑
M Mercantile
❑
4
❑
R residential
❑
R-1 ❑
R-2 ❑ R-3 ❑
5A
5B
❑
❑
S Storage ❑ S-1 ❑ S-2 ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE
Existing Use Group: Proposed Use Group:
Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34:
BUILDING AREA EXISTING if applicable) PROPOSED
Number of Floors or Stories Include
Basement levels
Floor Area per Floor s
Total Area s
Total Heieht (ft)
Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑
SECTION 10a Owner Authorization - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Owner of the subject property
Hereby authorize to act on
My behalf, in all matters relative two work authorized by this gilding permit application
Signature of Owner
Date
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