HomeMy WebLinkAboutMiscellaneous - 280 Sutton Street\ ..�
(�
(a
t.y
�
V
1
V
��_
I
I
H
cl)
0
C)
CD
C�
C�
00
u
C)
C)
U
(U
C14
m
0
u
0 u
(� a)
rL,
Cd
0
(�
,
(Z
tv
U)
cd
cu
cz
m
Q)
Qj u 44
t
Q) 0
A-- a)
;., Cd
a)
4 , �4-,,
0
Cd
u
1-4-1 '1
C) 0 Q
U
cu
>
rA
2L
Q
ITZ"
0
0
Q)
u (3)
(1)
at
41
(1)
U)
U)
q6)
;J
U)
Q)
14
Q) ct
.9 0) �;
US
0
Cd
U)
0
u
�4. En
0
ra,
14,
u
0 u
00
C)
C14
14.
0
a)
b.0
4-1 Q)
(a)
cd
Cd ;J
x
V-4
Ul) Pc�
14. Cd
cd
,5
cd
�bjD
all
Q)
Q)
ed
En
u
CZ
0) %)
00
14� Cd
En
C14
—ed
Cd
u
�lu
4-- ;-4
u
u
bo 1125
u
cu
u
U
U
IL
�7.
P4
U) pl�
I
H
cl)
2
Location C)g 21ZL+11
-No. Date
,A -
Check # 211V
TOWN OF NORTH ANDOVER
Certificate of Occupancy
Building/Frame Permit Fee
Foundation Permit Fee
11 —1
Other Permit Fee U -21 -
$ Wo,
TOTAL
Building Inspector
COMMONWEALTH OF MASSACHUSETTS
TOWN OF NORTH ANDOVER
1600 OSGOOD STREET
Building 20 Suite 2035 - Ph 978-688-9545 Fax.978-688-9542
APPLICATION OF CERTfFICA TE OF INSPECTION
Fee Required (Amount) 61-D
No Fee Required
Date-�-,/
Accordance with the provisions of the Massachusetts State Building code, Section 108, 15, 1 hereby apply for
Inspection for the below -named premises located at.the following address:
Street and Number 298-
17
Name of Premise,_ j t— Oe,, 71L
Purpose for the Premise is used. T, C S '�-' 'j- V- C""
Licenses (s) or Permit (s) Required for the Premises by Other Governmental Agencies:
Contact Person TeleDhn--
License or Permit
V,9 t
Agenc
Certificate o
Certificate to be issued to,
Address ;Zl a �n IQ4�� Telephone 779,i��?S'J?77
Owner of Record of Building
Address
Name of Present Holder of
., Name of Agency, if an
-01
--l-h,,,- e,4 -
( et,>-t� Y
SIGNATURE OF PERSONS TO WHOM CERTIFICATE TITLE
IS ISSUED OR HIS AUTHOIRIZED AGENT 1310--ly
DATE
INSTRUCTIONS:
1) Make check payable
2) Return this application with your check to: Building Dept,
1600 Osgood Street, BLDG 20 STE 2035 North Andover MA 01845
9
10 -
PLEASE NOTE:
Application form with accompanying_EEE must be submitted for each building or structure or part thereof to be certified.
3) Application and fee must be received before the certificate will be issued.
4) The building officials shall be notified within ten (10) days of any change in the abo
TEg ED
A .9 FYPIRATION DA I P1 OOV
Application for C/. Revised 7112 MD
I I I rx—�,
INSPECTION REPORT FORM
CLASSIFICATION PASSES INSPECTION YES NO DATED
DWNER
3UILDING NAME OR NO
STREET LOCATION
FYPE OF OCCUPANCY - Day Care El Auditorium
0 Restaurant El Caf6
11 Gym El
Apt El
I
3chool Common Victualer's El
Liquor 0
PlaceofAssembly El
OPERABLE
=-XIT SIGN
yes
no
0
-IGHTED EXIT SIGNS
yes
no
n
qUMBER OF GRADE FLOOR MEANS OF EGRESS
DOORWAYS
JUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS
:-MERGENCY LIGHTING SYSTEM dry cell
El wet cell El
operable El
K L' �, R '§Y § TUM' op�qo!6 o
---- — --
-999e Pi@§quTP
El
no
11
)m bitfL6TOR o'Derable,
yes
.0
Qb.
- 0
RE ALARM SYSTEM expired date
YP§
no,
El
:LECTRIC EQUIPMENT VIOLATIONS
yes
no
0
]RE RESISTANT CURTAINS OR DRAPERIES
yes
0
no
n
:GRESSES LAWFULLY DESIGNATED
unobstructed 11
yes
0
no
D
IANDICAP ELEVATOR
yes
0
no
D
;TAIRS PROPERLY RAILED
yes
0
no
n
1ALLS AND STAIRWAYS LIGHTED
yes 0 no 0
�TILITY ROOM — CLOSETS
yes
El
no
0
.ADIATOR GUARDS
yes
El
no
n
OMPLIES HANDICAPPED PERSONS LAWS
yes
El
no
11
OW HEATED
NO. FIREPLACES
es
D
no
0
OILER ROOM CONDITION:
JSPECTOR.- BRIAN-LEATHE.-
69.,
U)
I)L
I Tu
Z.i
�71
"S W,
z 0 z
:3 r
m :3
4 cn�
x WT
cm Z
c
ru
0
rm
L�
LEI
0
0
Lri
ry,
ru
Ln
Ln
0
I-
rm
-6
0
z
�d
z ru
IT
-r
-r4
-r4
11
co
ce)
r--4
C)
*1
C)
C-4
u 0
CIA
C�
:31 Id
C�
C)
14)
co
cz
C,4
U
cn
CD
N.
u
%1.4'. CU
W
0 u
CL)
0
00
Q) .- �d I-
od
CO
cu
0
U)
cd
C
Cl)
w ru
Ud 'It'
".�i
En
Q)
u
4-1 tj
0 U0 eu
-d
r4
U ,A
!� z
(n
;Z4 cu
0 72
T -q
U
rj)
;t.
Q)
0)
164
0
V
u cu
0 -W
4�
Q)
tj 4
cd 60
C)
cu
Qn w
;j
J) CA
ri)
W
rn
0
0
U
cl m
:t
;J
VC)
u
cd
;.
o
"I o
U')
00
0
u
u
rt
CD
C14
Cd ell
bc
q6)'
W
uo PC)
14,
Cd
0
cz
C�3
U
cz
aj
u
14,
a
U:t,
Q)
14. (U
rA
rn
C�l
u
0
0
o t-7
ti
cu
cu
M
0
TI r
I�j
0
(z
0
.,j
;z
CU —4
.,m 0
W
ril
0
U
cz U
11
-) 0
Location C,
Check #,--.2b I I
26326
Date 411,2,� 113
If
TOWN OF NORTH ANDOVER
Certificate of Occupancy $-
Building/Frame Permit Fee
Foundation Permit Fee
Other Permit Fee C_r
TOTAL $
COMMONWEALTH OF MASSACHUSETTS
TOWN OF NORTH ANDOVER
1600 OSGOOD STREET
Building 20 Suite 2035 - Ph 978-688-9545 Fax.978-688-9542
APPLICATION OF CERTIFICATE OF INSPECTION
(q/-Fee'Required (Amount) $
No Fee Required
Date: LPA 27
Accordance with the provisions of the Massachusetts State Building code, Section 108, 15, 1 hereby apply for Certificate o
inspection for the below -named premises locateq at.the following address:
Street and Number 2-- b<i� 5 Lt4o-413 -
Name of Premises
Purpose for the Premise is used. -.4 /5�- 4.
Licenses (s) or 'remises by Other Governmental Agelicies:
Contact Person TeleDf
License or Permit Agenc
Certificate to be issued to Telephone
Address
Email
Owner of Record of Building
Address
Name of Present Holder of Certifica e —4,_ 1&r—
Name of Agency, if any
SIGNATURE OF PERSONS TO WHOM CER*FICATE TITL
IS ISSUED OR HIS AUTHOIRIZED AGENT '41 , ip 1 14
DNrE
INSTRUCTIONS:
1) Make check payable : Town of North Andover
2) Return this application with your check to: - Buildin-gDept.,
1600 Osgood Street, BLDG 20 STE 2035 North Andover MA 01845
PLEASE NOTE:
Application form with accompanying_EEE must be submitted for each building or structure orpart , thereof to be certified.
te will be issued.
3) Application and fee must be received before the certifica inform
C4) The building officials shall be notified within ten (10) days of any change in the above if?fl,0VE1
.3–( _
r.FRTIFICATE EXPIRATION DATE: a
Application for Cl. Revised 7/12 MD
3LASSIFICATION
)WN
3UILDING NAME OR NO
3TREET LOCATIO
INSPECTION REPORT FORM
PASSES INSPECTION YES -. NO DATED
'YPE OF OCCUPANCY - Day Care D Auditorium ii Restaurant El Cafo 0 Gym E-) Apt D
'chool [I
Common Victualer's 0 Liquor 0 Place of Assembly 0
OPERABLE
XIT SIGN yes 13 no D
IGHTED EXIT SIGNS
'UMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS
UMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS
yes 0 no D
MERGENCY LIGHTING SYSTEM dry cell
11 wet cell 11
operable
El
INKLIER:SYSTEM IJ16 .0
�:no. D.
Vldi�h.DETECTOR, 60 p
yes
'D
no 11
RE- ALARM SYSTEM �)�pi�ed rdAtb- -
E1
-rf6� 0
-ECTRIC EQUIPMENT VIOLATIONS
yes
no 0
RE RESISTANT CURTAINS OR DRAPERIES
yes
El
no 11
3RESSES LAWFULLY DESIGNATED
unobstructed 0
yes
0
no 11
%NDICAP ELEVATOR
FAIRS PROPERLY RAILED
\LLS AND STAIRWAYS LIGHTED
yes 0 no n
-1 LITY ROOM - CLOSETS
kDIATOR GUARDS
yes D no 0
yes 0 no 0
yes El no 11
yes 0 no El
)MPLIES HANDICAPPED PERSONS LAWS yes 0 no 0
f7ll ;-,III .;N
)WHEATE15 NO. FIREPLACES es 0 no 0
)ILERROOM CENDiTION. -
3PECTOR: BRIAN LEATHE:
I
�u 2� Z"
610820
U) Z M;ud 1RX).
ru A 0) T- C: m
gz Fn >:I a
0 -ZO=Z
= (o 0 z
a �o Mo
U -i U) -4 < 0-
m m
0 r) U)
U-1
�n
ru -n
U -i
Ln
0
0
[r3
LLJ
0
ru
0
o �G4
>
(n
ED
cy 4
I
4
J�
CD
CD
ti
u
co
CD
'cl
CA
CD
C14
CA
C-4
00
C D
C11
t
-e
ca
CD
.5
U
(=) w
42
di cz r�
cl
>�
o
cu 0
cu
�z (U Q
0
0
Q)
0
Cd
00
'4
aj
0
U)
4�
;--I
Cd N
0
P.
CZ rj)
Q)
'A
elf)
ri
42
U
J-. u
0
U -i-4 W
Q)
0 U 44
.45 -0
-4�
Im4 w P� ,�
cr�
Ln b
tj
u 0)
(u
a)
m bo
It
Cd ra,
0 'T�
1%13
00
C)
CA
tA *
bi:
0
b�o
cu
41
(U
;Z! 421
CIS
o
o
cd
(U in co
4m' bjD
T -q
t:1
;� .
w
41
Ed
Q)
Iku
cu
14�
Qj
C)
cd
CA
CA)
L-
U3
0
�D
C�
164 m
cu (U
�a
o
u t
r i, -4
rij J)
�Z) w
Z,-_
'4-4 Q)
cu
U
cd U
4
At
2-()!2� -�:) C.�, -�6") 5�� �e e+
Location-
J� - Gf�L��� -7
No. Date I ?,O� 12—
Check#
25146
TOWN OF NORTH ANDOVER
Certificate of Occupancy
Building/Frame Permit Fee
Foundation Permit Fee
Other Permit Fee
TOTAL
COMMONWEALTH OF MASSACHUSETrSTOWN OF NORTH ANDOVER
1600 OSGOOD STREET
Building 20 Suite 2-36
4PPLICAYYONOFCERYYP7CATEOFINSPEMON2012
(x) Fee Required (Amount) $100,00
No Fee Required
Date:
Accordance with the provisions of the Massachusetts State Building code, Section 108,15, 1 hereby apply for
I
Certificate of Inspection for the below -named premises located at the following address:
Street and Number
.Name of Premises
Purpose for the Premise is. used
Licenses (s) or Permit (s) Required for the Premises by Other Governmental Agencies:
Contact Person
License or Permit Agenc
Certificate to be issued to:
Address Telephone
Owner of Record of Building—
Address
Name of Present Holder of Certificate
Name of Agency,
SIGNATURE OF PERSONS TO WHOM CEACTIFICA TE - �—,T TL
IS ISSUED OR HIS AUTHOIRIZED AGENT —� � L — I �1—
DATE
INSTRUCTIONS:
1) Make check payable to: Town of North Andover
2) Return this application with your check to: Building Dent,
1600 Osgood Street, BLDG 20 STE 2-36 North Andover MA 01845
PLEASE NOTE.
Application form with accornpanying_LEE must be submitted for each building or structure or part thereof to be certirted.
3) Application and fee must be received before the certificate will be issued.
4) The building officials shall be notified within ten (10) days of any change in the above information.
c2d /0
INSPECTION REPORT FORM
CLASSIFICATION PASSES INSPECTION YES NO DA- TED
OWN
BUi,.."ING NAME OR NO
STREET LOCATION
TYPE OF OCCUPANCY - Day Care 0 Auditorium 0 Restaurant 0 CaM 11 Gym 11 Apt 0
School 0 Common Victualer's 0 Liquor 0 Place of Assembly 0
L7%11 blkifi
yes
no
LIGHTED Q(IT SIGNS
yes
no
NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS
NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS
EMERGENCY LIGHTING SYSTEM dry cell wet cell 0
operable
0
SPRINKLER SYSTEM operable El gage pressure
yes
0
no
SMOKE DETECTOR operable El
yes
0
no
11
FIRE ALARM SYSTEM expired date
yes
El
no
El
ELI�PTRIC EQUIPMENT VIOLATIONS
yes
0
no
0
RE
I ' F �ESISTANT CURTAINS OR DRAPERIES
yes
0
no
El
EGRESSES LAWFULLY DESIGNATED unobstructed El
yes
0
no
[I
HANDICAP ELEVATOR
yes
0
no
0
STAIRS PROPERLY RAILED
yes
El
no
11
HALLS AND STAIRWAYS LIGHTED
117 no c
UTILITY ROOM — CLOSETS
yes
El
no
0
RADIATOR GUARDS
yes
El
no
0
COMPLIES. HANDICAPPED PERSONS LAWS
yes
0
no
11
HOW HEATED NO. FIREPLACES
yes
11
no
0
BOILER ROOM CONDITION:
ROOM LOAD IF APPLICABLE
INSPECTOR: BRIAN LEATHE.-
DATE OF INSPECTION
0
--4 -n
CD 0)
0
z
<
3 (0)
C) —
C) c
CL
(D
0
CL
ZY
K a
(n
0
u
X 0
:3
m
0
0-13
0 l<
"n
:3
0,
z c
0
0
Cr
U)
CD
>
0
CL 0
0 0
<
-
of
NE
Sr
r
0
0 CL
=r
CL
tk
(D
(D :3
g� 0
FF cr
CL
co 0
-4
C,
OD
0
9D r -
(0 M
I
CP
J� :E
En
Li Lj
9
0
z
CL
(D
0
CL
(D
(n
0
1
m
0
0-13
F 0.
"n
<
0
(D
CD
0
CD
a
0
:3
rh
44r* T
0 40
0
0 0
aF*
(no b z
a z 0
0
0 G) -n
CL
�n z
, M 0
CD -v ;u
CD
. > -q
U);u m
C. -4 >
CD CZ
r�3 M 0
C.) Z
a)-jo
z <
0 m
M_ ;0
0
0
CD
'�. ***-4 �tj4a
_�C��
F71r
-M a. 'Q
a 0
lu
R (D
—*P I D
'IUD
ID
IPD
@
4
z
eD
Zt :3
r)
r)
CD
eD n
5. &
eD
B. 4;
@D oz
eD
rj)
0
e"D
ed
5*
eo rA
In
0,
cl)
m
I
M
Z
lu
IeDD
z
HJ
ID
16
A
Location
No. Date a,)
I TOWN OF NORTH ANDOVER
0
Certificate of Occupancy $
Building/Frame Permit Fee $
INU
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # / � ��
2 2 ri , 7
Building Inspektor
COMMONWEALTH OF MASSACHUSETTSTOWN OF NORTH ANDOVER
1600 OSGOOD STREET
Building 20 Suite 2-36
A MICA YYON OF CER YYHCA TE OF EVSPECUON X8
Date: Tanua[y 20
Fee Required (Amount) $100,00
No Fee Required
Accordance with the provisions of the Massachusetts State Building code, Section 108,15, 1 hereby apply for
Certificate of Inspection for the below -named premises located at the following address:
Street and Number 208 Sutton Street
Name of Premises 7he Cafe
Purpose for the Premise is used. —Restaurant
Licenses (s) or Permit (s) Required for the P,-rVrnJjes by Other Governmental Agencies:
Contact Person --I, %J.C-k 'XICLts ZY
%111,ludw to oe issuea to
Address The Cafe
Owner of Record of Building
Address
Name of Present Holder of
Name of Agency, if
License or Permit
z-c:;,y Jjata, 34,.
i-43 t)/
le
SIGNATURE OF PERSONS TO WHOM —CERTIFICA TE
IS ISSUED OR HIS AUTHOIRIZED AGENT
A INSTRUCTIONS:
DATE
Agenc
Telephone?7 r7'7_
7
TITLE
1) Make check payable to: Town of North Andover
2) Return this application with your check to: Building Dept.
PLEASE NOTE. 1600 Osgood Street, BLDG 20 STE 2-36 North Andover MA 01845
Application form with accompanying-fEE must be submitted for each building or structure or part thereof to be certified.
3) Application and fee must be received before the certificate will be issued.
4) The building o icials shaft be notified within t
fr en (10) days of any change in the above infonnation.
CER TIFICA TE # EXPIRATION
DATE.
Application for CL revised 1108jmc
DA 04 9 to a
0" 4wo,
2,1tio lAD
mom
047jW00 'j- 5?_/0
6Ar 4000
INSPECTION REPORT FORM
CLASSIFICATION PASSES INSPECTION YES NO
DATED
OWNER
BUILDING NAME OR NO
STREET LOCATION
TYPE OF OCCUPANCY - Day Care 0 Auditorium 0 Restaurant 0
CaM 0 Gym 0
Apt 0
School 0 Common Victualer's 0 Liquor 0
Place of Assembly
0
EXIT SIGN
yes
0
no
0
LIGHTED EXIT SIGNS
yes
0
no
0
NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS
NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS
EMERGENCY LIGHTING SYSTEM dry cell 0 wet cell 0
operable 0
SPRINKLER SYSTEM operable 0 gage pressure
yes
0
no
0
SMOKE DETECTOR operable 0
yes
0
no
0
FIRE ALARM SYSTEM expired date
yes
0
no
0
ELECTRIC EQUIPMENT VIOLATIONS
yes
0
no
0
FIRE RESISTANT CURTAINS OR DRAPERIES
yes
0
no
0
EGRESSES LAWFULLY DESIGNATED unobstructed
0 yes
0
no
0
HANDICAP ELEVATOR
yes
0
no
0
STAIRS PROPERLY RAILED
yes
0
no
0
HALLS AND STAIRWAYS LIGHTED
I no 0
UTILITY ROOM — CLOSETS
yes
0
no
0
RADIATOR GUARDS
yes
0
no
0
COMPLIES HANDICAPPED PERSONS LAWS
yes
0
no
0
HOW HEATED NO. FIREPLACES_yes
0
no
0
BOILER ROOM CONDITION:
ROOM LOAD IF APPLICABLE
INSPECTOR: BRIAN LEATHE.
DATE OF INSPECTION
4
I
0
a, d
cu
CD
0'
cu
-'rju
r-4
(U
I'll— "0
Oo
1
4j 0
4.
W
Q)
—4
C)
C*4
0, =
C*4 ;�q
u
44
WU
rj
m
-0 A-
Q)
o
Q)
-V
0 u
Q)
0
00
;64
4)
4a 0)
04
rj)
�
u
u
0 0
(U
>
'ICI
-z, 0
u
0
CL,.0 U)
0
w
"d
41
Q)
cts b.0
U)
V4
q
r�
Q)
9
4�
IL-4 'o 4
0 ES
04
1-0
U)
00
CD
;-4 $z
C)
0
u
bo
C4
Q)
0
#
po
u
2
—8. ,
412
73
C'u
Qj
Q,)
zi jou IS,
Q) Q)
qg,
ti
2'
Q)
"t2
V.
ts
"§ %;
4.6
on
S
Qn
pw
cts
W W
ed
Q)
u cm
u
cu
0
COMMONWEALTH OF MASSACHUSETTSTOWN OF NORTH ANDOVER
so 1600 OSGOOD STREET
Building 20 Suite 2-36
APPLICA YYON OF CER7YFICA TE OFEVSPEMON2008
(Plo" Fee Required (Amount) $ 100. 00
( ) No Fee Required
Date: --JanuM 25, 2011
Accordance with th6 provisions of the Massachusetts State Building code, Section 108,15, 1 hereby apply for
Certificate of Inspection for the below -named premises located at the following address:
Street and Number 208 Sutton Street
Name of Premises The Cafd
Purpose for the Premise is used. Restaurant
Licenses (s) or Permit (s) Required for the Premises by Other Governmental Agencies:
Contact Person
License or Permit
�gency
Certificate to be issued to
Address The Cafe Telephone77,f- 057,1777
Owner of Record of Building
Address s�t&,
Name of Present Holderof Cerifficate
Name of Agency, if any
SIGNATURE OF PERSONS TO WHOM CER TIFICA TE 711 TL E
IS ISSUED OR HIS AUTHOIRIZED AGENT
DA TE
INSTRUCTIONS:
1) Make check payable to: Town of North Andover
2) Return this application with your check to: Buildinja Dept,
PLEASE NOTE. 1600 Osgood Street, BLDG 20 STE 2-36 North Andover MA 01845
Application form with accompanying_EEE must be submitted for each building or stnicture or part thereof to be certified.
3) Application and fee must be received before the certificate will be issued.
4) The building officials shallbe notified within ten (10) days of any change in the above information.
CER TIFICA TE # EXPIRATION
DATE. -
Application for Cl. revised 1108jmc AP 0
BUILD:,*,'.,, IN&7,�:r'TO.1�
INSPECTION REPORT FORM
CLASSIFICATION PASSES INSPECTION YES NO DATED
O)YNER
BLOING NAME OR NO
STREET LOCATION
TYPE OF OCCUPANCY - Day Care El Auditorium
0 Restaurant 0
Caf& El Gym 0
Apt El
School Common Victualer's 11
Liquor 0
Place of Assembly
El
OPERABLE
EXIT SIGN
yes
no
0
LIGHTED EXIT SIGNS
yes
no
0
NUMBER OF GRADE FLOOR MEANS OF EGRESS
DOORWAYS
NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS
EMERGENCY LIGHTING SYSTEM dry cell
El wet cell 11
operable El
SPRINKLER SYSTEM operable 0
gage pressure
yes
0
no
0
SMOKE DETECTOR operable El
yes
0
no
0
FIRE ALARM SYSTEM expired date
yes
El
no
0
El�-TRIC EQUIPMENT VIOLATIONS
yes
El
no
11
FIRE RESISTANT CURTAINS OR DRAPERIES
yes
no
El
EGRESSES LAWFULLY DESIGNATED
unobstructed
0 yes
0
no
0
HANDICAP ELEVATOR
yes
0
no
0
STAIRS PROPERLY RAILED
yes
0
no
0
HALLS AND STAIRWAYS LIGHTED
0 no F1
L�TILITY ROOM - CLOSETS
yes
0
no
0
RADIATOR GUARDS
yes
0
no
0
C�MPLIES HANDICAPPED PERSONS LAWS
yes
0
no
0
HOW HEATED
NO. FIREPLACES
ves
0
no
0
BOILER ROOM CONDITION:
ROOM LOAD IF APPL-ICABLE
INSPECTOR. BRIAN LEA THE.
DATE OF INSPECTION
APr-RC.'
BU!LDING i, -C -fO
I
w
0
-XI wi
0 >1
rA
rij
al
1w, 18,
>
0
(U
j� -11.4
.(h
bo
Z
N?
IS I
tj
65
Tj
Q) rm
bc
TI
79
ca
Gn rij
fu
w
Location
No.
Date
23763
BuildiU6 insp��dtor
TOWN OF NORTH ANDOVER
0
16.
Certificate of Occupancy
$
MU
Building/Frame Permit Fee
$
Foundation Permit Fee
$
/0--t—he'� P e r m i t F e e
$ 06
TOTAL
$
Check # /vp
23763
BuildiU6 insp��dtor
COMMONWEALTH OF MASSA CHUSETTSTOWN OF NORTH ANDOVER
.1600 OSGOOD STREET
Building 20 Suite 2-36- Tel 978-688-9545
APPLICA YyoN OF CER yyFICA TE OF 17VSpECIyON
Fee Required (Amount) $100. 00
No Fee Required
Date:
Accordance with the provisions of the Massachusetts State Building code, Section 106.5, 1 hereby apply for
Certificate of Inspection for the below -named premises located at the following address:
Street and Number ? C/) k� lh��*
Name of Premises
Purpose for the Premise is used At
Licenses (s) or Permi equ'r d for the Preir �Sesby Other Governmental Agencies:
Contact Person AL
License or Permit Agenc
Certificate to be issued to
Address Ea V'f. &OFT. A
Telephone L
Owner of Record of Building
Address
Name of Present Holder of Certificate
Name of Agency, if any
SIGNA TURE OF PERSONS TO WHOM C CA TE E
IS ISSUED OR HIS AUTHOIRIZED AGENT
V 2�o
INSTRUCTIONS: DATE.
1) Make check payable to: Town of Ain . h A dover
Ainrfh A
2) Return this application with your check to: Buildin Dept,
PLEASE NOTE. 1600 Osg-ood Street, BLDG 20 STE 2-36 North Andover MA 0.1845
Application form with accompanying- EE must be submitted for each building or structure or part thereof to be certified.
E_
3) Application and fee must be received before the certificate will be issued.
4) The building officials shallbe notified within ten (10) days of any change in the above information.
CERTIFICA TE # EXPIRA TION
DA TE.
Application for Cl. revised 1/10/j'mc
C -I
,
INSPECTION REPORT FORM
CLASSIFICATION PASSES INSPECTION YES NO DATED
OWNER
BUILDING NAME OR NO
STREET LOCATIO
TYPE OF OCCUPANCY - Day Care Auditorium Restaurant Caf6 Gym Apt
School Common Victualer's Liquor Place of Assembly
OPERABLE -
EXIT SIGN yes no
LIGHTED EXIT SIGNS yes no
NUMBER OF GRADE FLOOR MEA14S OF EGRESS DOORWAYS
NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS
EMERGENCY LIGHTING SYSTEM dry cell wet cell operable
D
0
's --P TTEEPJ1
7' -i` 7, ,7,
0! 0 aw
d!
Jj�
ELECTRIC EQUIPMENT VIOLATIONS yes no
FIRE RESISTANT CURTAINS OR DRAPERIES
EGRESSES LAWFULLY DESIGNATED unobstructed
HANDICAP ELEVATOR
STAIRS PROPERLY RAILED
HALLS AND STAIRWAYS LIGHTED
yes no
UTILITY ROOM — CLOSETS
RADIATOR GUARDS
COMPLIES HANDICAPPED PERSONS LAWS
yes no
yes no
yes no
yes no
yes no
yes
yes
HOW HEATED NO. FIREPLACES yes
BOILER ROOM CONDITION:
ROOM LOAD IF APPLICABLE
no
no
no
INSPECTOR: BRIANLEATHE.
DATE OF INSPECTION
4 96
g, C14
44
j goo
Aw
S
U0
t4
wl
Wall 84
fa
404
416
Qb %
M 0 to to
an
tu
iz iE
Location
1'rel
Date 3
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
PHU
Foundation Permit Fee $
Other Permit Fee C --f s
TOTAL $
Check # 11117 7-3
2 - 0 46)
Building lnspe�cip(
COMMONWEALTH OF MASSA CHUSETTSTOWN OF NORTH ANDOVER
1600 OSGOOD STREET
Building 20 Suite 2-36
APPLICA 77ON OF CER 770CA M OF INSPEC77ON 2008
Fee Required (Amount) $100. 00
No Fee Required
Date: k'
Accordance with the provisions of the Massachusetts State Building code, Section 108,15, 1 hereby apply for
Certificate of Inspection for the below -named premises located at the following address:
Street and Number 208 Sutton Street
Name of Premises The Cafe
Purpose for the Premise is used. —Restaurant
Licenses (s) or Permit (s) Required for the Premises by Other Governmental Agencies:
Contact Person
License or Permit
Certificate to be issued to
Address The Cafe
Owner of Record of Building
Addres, z wo'�-S'�as
V'% - V11"
Name of Present Holder of Certificate C_Vouc \' �i�
Name pFAgQRcy, if Wy n
Agency
Telephonee"' V 695- � F7 7
SIGNA TURE-OF PERSONS TO WHOM CERTIFICATE TITLE
IS ISSUED OR HIS AUTHOIRIZED AGENT 11-2 _ tl�e6_
DA TE
INSTRUCTIONS:
1) Make check payable to: Town of North Andover
2) Return this application with your check to: Building Dept,
1600 Osgood Street, BLDG 20 STE 2-36 N�rth Andover MA 0 1845
PLEASE NOTE:
Application form with accompanying_EEE must be submitted for each building or structure or part thereof to be certified.
3) Application and fee must be received before the certificate will be issued.
4) The building officials shall be notified within ten (10) days of any change in the above information.
CER TIFICA TE # EXPIRATION
DATE:
Application for Cl. revised 1108jmc
INSPECTION REPORT FORM
CLASSIFICATION PASSES INSPECTION <�_NO DATED
OWN
BUILDING NAME OR NO
STREET LOCATION
TYPE OF OCCUPANCY - Day Care Auditorium Restaurant af,6 Gym Apt
School Common Victualer's Liquor Place of Assembly
EXITSIGN jit,01- 1-45-11 no
LIGHTED EXIT SIGNS no
NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS
NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS
EMERGENCY LIGHTING SYSTEM dry cell wet cell operable
SPRINKLER_SYSTEIM. operable gage,pressure yes_
Ef ___)_ -
��_MOTE DItTECf(jR -'o-p-
. . . .... ,prable ---no
FFI RE ALARM SYSTEM expired date no ---
ELECTRIC EQUIPMENT VIOLATIONS el� I yes no
FIRE RESISTANT CURTAINS OR DRAPERIES
EGRESSES LAWFULLY DESIGNATED
HANDICAP ELEVATOR/-//
STAIRS PROPERLY RAILED
HALLS AND STAIRWAYS LIGHTED
no
UTILITY ROOM — CLOSETS PX -
yes no
unobstructed . yes
yes
yes
yes
RADIATOR GUARDS yes
COMPLIES HANDICAPPED PERSONS LAWS
HOW HEATED NO. FIREPLACES es
BOILER ROOM CONDITION:
ROOM LOAD IF APPLICABLE 9 �_
INSPECTOR: BRIAN LEA THE.
9', VkT
no
no
no
no
no
no
no
t� DATE OF INSPECTION
ZI
V)
Qj 0-0 0
'o, u u
4-A
T)
u 44
z 4 iy) m
u
OC)
Iva
cz 0
fu
C4
U
rA
4. (2)
rj
u
Q)
Qd Q)
"c')
Q,
Q)
11 �
v)
I:L(
CU
u
Q)
u
Q
u
rA
V)
Q)
w
cu
rA
-
lw
%1
00
0
wl
u In Q
s F�5 ;�,
o
f14
u
w
0 u
a)
rA
cr)
1:� Q)
Q)
u
4-A
F,
u
cu
rj)
CU U
U ct
Z cp
cu cu
rL
Ql
—z
-W
fu
0
Iru
w
fu
;s 0
u
93
CU
U3
cz
U
cz
Z
U-)
Doce
COMMONWEALTH OFMASSACHUSETTS
TO WN OF NOR TH A NDO VER
A PPLICA TION FOR CER TIFICA TE OF INSPECTION
11---5 -Foa
Fee Required (Amonnt)
No Fee Required
Accordance with the provisions of the Massachusetts State Building code, Section 108,15, 1 hereb�l appl-,� for
Cer[Ificare of Inspection for the belotu-named premises located at the following address:
�\7 zon ber
S-�- 9
o", e
PkTj,)()�(f JUT lChich Premises is
I Agencies:
(s) or Permit (S) Required for the Premises by Other Governmenca
Liccn,e or Pcrmit
a(! io hc issued to
Ajdres�
6–L�on S�+ Telephone 6 OL- �?77
S 60—
�jj'Record of Build'ng S
AJdTe-��,_ aco
of Present Holder of Certificate
.\'�i In V--Crf'�A-Cn L , iftan)
V--Q�
S+1
V
C 0
PEJO,;�S -TO W�TOM - CERTIFICATE TITLE
'S ISSI 'ED OR HISA U, THOM ZED AGEJ`N1T
DATE
LIV,51 j'R UcTiollvs�
1) Make check pa-vable to: Town of North Andover
Building D�pt, Town Office Building
Rcmrn thi's application with your check to: -
12 0 Main Street, Norrh A n clo ver MA 01 S45
PL EA SE NO TE.- I ing or structure or part thereofto be,�eril"'Icul.
ApplicotI071 jurrn icith accompan-,ing FEEmust be submitted for each bu'ld'
3) Applicanon and fee must be received before the certificate will be issued.
4) The bi4ilo!ing officials shall be notified within ten (10) days of any change in the above information.
CER TIFICA TE # EXPIRA TION DA TE
-)RAI
TOWN OF NORTH ANDOVER INSPECTOR'S NAMF
OFFICE OF THE INSPECTOR OF BUILDINGS JAMES MCGUIRE
INSPECTION REPORT FORM
CLASSIFICATION— PASSES INSPECTION yes Ono 11 DATED
OWNER c��o_r�,e_s
BUILDING NAME OR NO.
ao 8
STREET LOCATION.
TYPE OF OCCUPANCY - Day Care Center Aud. Gym 0 Apt. 0
Use reverse for comments
School 0 Common Victualer's Liquor Placeof Assembly
C� 9
Other I
OCCUPANCY NUMBER (include stories # and occupancy per floor - use reverse side
EXISTING
EXISTSIGN
yes no
LIGHTED EXIT SIGNS operable 0 VC
yes
no
EMERGENCY LIGHTING SYSTEM 10J�operable D dry cell 0 wet cell 11
)<
SPRINKLER SYSTEM operable 0 gage pressure
yes
no
SMOKE DETECTOR operable 11
yes
no
FIRE ALARM SYSTEM expiration date
yes
no 0
ANSUL SYSTEM
yes
no 11
FIRE ALARM SYSTEM operable 0 municipal 0
yes
no 0
ELECTRIC EQUIPMENT PROPERLY PROTECTED
yes
no 0
EGRESSES LAWFULLY DESIGNATE unobstructed El
yes
no 0
STAIRS PROPERLY RAILED
yes
no 0
HALLS AND STAIRWAYS LIGHTED
yes
no 11
RADIATOR GUARDS
yes
no 0
COMPLIES HANDICAPPED PERSONS LAWS
yes
no 0
FIRE RESISTANT CURTAINS OR DRAPERIES
HOW HEATED FIRER ACES
ves
BOILER ROOM CONDITION
VENTILATION
UTILITY ROOM - CLOSETS
NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS
NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY
SHOPS
FOR INSPECTOR USE ONLY Revised 3t98 JMc
Use reverse for comments
/ A
No.:
Date //-/I/- .
TOWN OF NORTH ANDOVER
BUILDING DEPA*RTMENT
Building/Frame Permit Fee $-
Foundation Permit Fee $
Other P_grmit Fee
Building 1
U)
1400
tv
%+4
0
0
*-q
.,t.A
u
W. -A
q6)
z
44
'o
4!
06
CD
N
ti
!&
N
%--4
u
0
u
ti
co
93
(3)
;�
C)
tn
KJ
110
W-1
7E
1).) C)
00 tr--,
IN
cl
Q)
u
cu
cu
1.4
0.4
as
F-
ID
ii
c
CIO
U
C)
M
ro
0
:M
a)
u
cu 0'
0
-0
CU
41
I ct
(3) CU
u
o
cz
cu
co
a)
lut
CA
(ad
4 eQ
cn U
cu
0
u
cu
a
0
0 u 0 r�
z
0
P4
rn
>1
P4
P4
Q)
9
qz
7g
r -\v
z
-0
cu
Q74-�
Location C;�6
No. (,I T Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
A-1
Foundation Permit Fee $
Other Permit Fee
TOTAL
$ '7
Check# /3 6?
19188
�—Buillding I - c o,
1-1 14
Location-C—J6
No. ("O'l, Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
-TS CHUS Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ '710
Check # 1-3 4 -
Building In pector
COMMONWEALTH OFAMSSACHUSETTS
TOWN OFNORTHANDOVER
1600 OSGOOD ST
APPLICA TION FOR CER 77FICA TE OF LIVSPECTION.
to
Date Fee Required (Amount) ---
No Fee Required
Accordance with the provisions of the Massachusetts State Building code, Section 108,15, 1 hereby apply for Certificate
Inspection for the below -named premises located at the following address:
Street and Number— 2-xPx, ---------------
Name of Premises ---- I&C,
Purpose for which Premises is
Used
Licenses (s) or Permit (s) Required for the Premises by Other Governmental Agencies:
License or Permi
t
Certipcate to be issued to
Address --- 17L� Telephone �17r
V
Owner of Record of Building
Address 1A
Name of Present Holder of Certipcate_
-Name of Agency, if any -----------
r
" A
z&M
SIGNATURE OF PERSONS TO WHOM CERTIFI CATE TITLE P
IS ISSUED OR HIS AUTHOIRIZED AGENT
INSTRUCYYONS. DATE
' 1) Make check payable to: Town of North Andover -----------------------------------
f 2) Return this application with your check to., - Building Dept.
1600 Osgood ST, North Andover MA 01845
PLEASE NOTE
Application form with accompanying FEE must be submitted for each building or structure or part thereof to be certified.
3) Application and fee must be received before the certificate will be issued.
4) The building officials shall be notiped within ten (10) days of any change in the above information.
CER 7 YFICA TE # EXPIRA 77ON DA TE.
CERTIFICATE OF INSPECTION WORKSHEET
REVISED 3.2006 jmc
CLASSIFICATION
OWNE
BUILDING NAME OR N
INSPECTION REPORT FORM
PASSES INSPECTION yes no
STREET LOCATION ;1_0
D A T E D
TYPE OF OCCUPANCY - Day Care Auditorium. Restaurant �Ca f 65 Gym
School Common Victualer's Liquor Place of Assembly
EXIT SIGN
LIGHTED EXIT SIGNS
Apt.
OPERABLE
,���no
4�E� no
NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS
NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS
EMERGENCY LIGHTING SYSTEM (��) Cld7cell wet cell operable
SPRINKLER SYSTEM operable gage pressure y e s (-, �no
SMOKE DETECTOR operable ves I�Zy
FIRE ALARM SYSTEM expiration date_ 'I:,, �es no
ANSULSYSTEM yes 0
FIRE ALARM SYSTEM qp municipal 0
erable yes
ELECTRIC EQUIPMENT VIOLATIONS yes
FIRE RESISTANT CURTAINS OR DRAPERIES
EGRESSES LAWFULLY DESIGNATE unobstructed no
HANDICAP ELEVATOR yes no
STAIRS PROPERLY RAILED yes no
HALLS AND STAIRWAYS LIGHTED A- yes no
UTILITY ROOM - CLOSETS
RADIATOR GUARDS yes no
COMPLIES HANDICAPPED PERSONS LAWS or -co-, yes no
e--,) Im—
HOW HEATED �� (2L —NO. FIREPLACES ves no
BOILER ROOM CONDITION
1ST
FLOOR SEATS
1 ST FLOOR BAR SEAT OTHER LEVELS
OCCUPANCY NUMBER (INCLUDING STORIES # AND OCCUPANCY PER FLOOR USE REVERSE SIDE
m
m
u
ra.
El
Q
tj Z
(A
0
cc 0
Simi
CU (P
cu w
r.
en
Q
(L'
-2
Q)
18
�z
M
0 .41
bo
ri
cq
(L) CU
u
14.
14.
0 C,
Q) u
0
0)
16.
z
u
-;gj
4 zu
z
Lf)
cu
iz
CU ;-I
CD
rA,
(U 14'
u
CU Q)
rL
Zn
W
CIO
1-4
tj
u
14�
u
(U
ed u
cu
m
m
ON
10 L
aj
u
Q)
U.)
"U
'4
C)
W
4� Q)
C)
'E,
P� .;b
U
u
U)
'o CU
�o li�
CD
CD
r4
cr�
z
0
0 0
a) (U
0
u
0 0
u cu u
z U--)
0
PT4
u
u
0
0
cu
cu cu
z
,tzt� Q)
OC)
eq
4-4
0
S 14�
'4-4 0
W-4
0 (3)
Q)
;wj
u
2i
Z
ta
114
4-4
-i�
P. -A
�D
00
93
zft ,
O;�
!:E
cu,
u
'Z6)
U
cu
Qj
qj
U
C�4
CU
u
4-b
;%
o
U
CU
14
0
co
r�
u
ON
10 L
aj
u
Q)
U.)
"U
'4
C)
W
4� Q)
C)
'E,
P� .;b
U
u
U)
'o CU
�o li�
CD
CD
r4
cr�
z
0
0 0
a) (U
0
u
0 0
u cu u
z U--)
0
PT4
u
u
0
0
cu
cu cu
z
No.: Date
ttORTH
Ot
TOWN OF NORTH ANDOVER
0 BUILDING DEPARTMENT
... Building/Frame Permit Fee $
s CHUS
Foundation Permit Fee
Other Permit Fee $ , /, --'
217, jo'� a
11/17/98 09:19
A
ow co
0
..........
co
1
C�4
r�
..........
LA
cn
0
04
cn
C)
>4
C)
04
E-4
.........
Ile
co
pq
..........
rl
JZ-
cu'.
cc
PC4
4-4:
ca
0.
m
-it
E-4 :
u):
CO.
40.0
*.#
ID
piq
zi
zt
A
ow co
0
..........
co
1
C�4
r�
..........
LA
cn
0
04
cn
C)
>4
C)
04
E-4
.........
..........
A
ow co
0
$4
0
c
-4
rX4
PP
- wr.
A
E4
I
2
d
3
2f
19
cc
Ix
In
0
x
..........
co
1
C�4
r�
$4
0
c
-4
rX4
PP
- wr.
A
E4
I
2
d
3
2f
19
cc
Ix
In
0
x
!�17- N -
q
Vate
60
(X Fee Requi,%ed (Amount)
No Fee Reau.Lted
jn accoAdance with the pLovi6ion.6 o6 Vie Massacltuzett6 State Buitdbzg Code, Section
108,15, 1 heAeby appty 6o,% a Cexti6icate o6 In6pection 6olL the betow-named ptemisu tocated
at the 6ottowing add,%ezz:
StAee,t and NumbeA _' a 0 b ';�-)
Name o6 PAemLsu' -VVp
Pu/Lpo,se 6o,% Which—FAen"e-6 Az Used
License(z) o4 PeAmit(.61 RequLted 6o,�7
Owne)L o6 Reco/Ld o6 Buitding
Addke,s,s
Name o6 P&esent HotdeA 06 Ce&ti6icatF—
Name o6 Agent, 4'6 any—
-1 F I CATE
STGR= 0� VLKSUN JU WHOM CERT
jS ISSUED OR HIS AUTHORIZED AGENT
n-
Aem.UU by
k ci C/ (-si-
oveAnmentat Agencie,6:
b ena
I ITLL
DAYE
INSTRUCTIONS:
1) Make check payabte to: of 'North Ando've r' ... . . . . . . .........
2) RetuAn thi6 apptication with youA check to: ' Building Dep*t*. , To'w'n Off' ice Bu . i . Id
120 Main Streety North Andover, MA 0184 --
PLEASE NOTE:
APPUcatiQn 60,vn with accompanying 6ee mu6t be .6ubmztted 6ot each buitding o& stAuctuAe
o,% paAt theA66 to be cetU6ied.
2) Apptication and 6ee murt be teceived be6ote the ceAti6icate taW be imued.
3) The buUding 066iciat .6hatt be noti6ied within ten (10) days 06 any change in the above
in6oAmation.
CERTIFICATE
EXPIRATION VATE:
FORM SBCC-3-74
21 on
Date 31/94/97
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
Building/Frame Permit Fee $-
Foundation Permit Fee
atj Insnectim
rm,
SgetriRec Kee
4o.00
No.: Date 11 04 107
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
Building/Frame Permit Fee $
Foundation Permit Fee $—
Ar- ifirnte r%f Trvcwction lin.ry)
err -Permit Fee $
A A
iL
Building Inspector,
11/21/97 11:37 40. 00 PAID
TOWN OF Nul'\T11 A1400VER INSPECTOR� tIAME
OFFICE OF T11E INSPECTOR OF BUILDINGS
INSPECTION REPORT FORM
SSIFICATIONZ2 PASSES INSPECTION yes= no ED
ER
ILDING NAME OR NO -74-k "00
TREET LOCATION
YPE, OF OCCUPANCY - Day Care Center Aud. Cafe ZE�Gym /--7 Apt.
School Common Vi.ctualer'2 Liquor Z= Pl
ace ofAssembly
other
CUPANCY NUMBER
'.'.IT SIGN
GHTED EXIT SIGNS operable
ERGENCY LIGHTING SYSTEM operable /_-7 /M dry cell z=
AINKLER SYSTEM operable = gage pressure
)KE DETECTORS
E EXTINGUISHERS
UL SYSTEM
E ALARM SYSTEM
operable Z--7
expiraticti date
operable =
EQUIPMENT PROPERLY PROTECTz-D
'�TSSES LAWFULLY DESIGNATE13i
11RS PROPERLY RAILED
,LS AND STAIRWAYS LIGHTED
JIATOR GUARDS
,,1PLIES HANDICAPPED, PERSONS LAWS
jiE RESISTANT CURTAINS OR DRAPERIES
municipal =
yes Z
y e s no
wet cell =,
yes z= no
yes
14�-' 11
IF, 0
�= 7
yes
zi:�� 110
OF GRADE FLOOR MEANS
C,
3'
0
X—,
yes
n 0
=
e s LC�-n o L=7
unobstructed
�)'N HEATED NO. F11LEPLACES
OILER ROOM CONDITICN
ENTILATION
y e s Z=, i i o /'-'
y e s fl�7 i i o —r =7
yes 110
y e s 110 Z=
yes no Z: --
yes Z=7 ti o L�:,,
TILITY
ROOM - CLOSETS
U�03ER
OF GRADE FLOOR MEANS
OF EGRESS DOORWAYS
J,NU3ER, OF SEPARATE STAIRWAYS ACCESSIBLE PER STURY
A0PS
r -p%,011910 for. (:nfiw! ont-,
-0