HomeMy WebLinkAboutMiscellaneous - 29A-Francis Street0
North Andover Housing Authority
Joanne Comerford, Executive Director
One Morkeski Meadows (978) 682-3932
North Andover, MA 01845 (978) 794-1142 FAX
(800) 545-1833 Ext. 100 TDD
December 17, 2008
:e
Johann Porter'
'Po
L
2:7Francis Street
7
(North Andover, MA 01845
Dear Johanne:
3 9
In accordance with the North Andover Housing Authority's Lease, effectiveVuly 1, 1997,
as amended and executed by and between Johanne Porter and the North Andover
Housing Authority, the Authority hereby advises you that a private conference will be
conducted forthe purpose of discussing the Housing Authority's intent to terminate your
lease under:
Section X. Termination or Voiding of Lease
1. Sp6cific reasons for the conference: Termination of Lease.
2. Current Lease Provision on which the violation is based upon:
Section IX: TENANT OBLGATIONS: (R) Alterations to the Leased
Premises "To make (and to cause each household member or guest to make)
no alterations or additions to. the interior of the leased premises or to the
int6rior of the building containing the leased premises or to the exterior of the
building containing the leased premises or to the grounds without the prior
written approval of the LHA."
a..,Facts upon which the violation is based: Photos taken (on 11/21/08)
-showing the railing you had installed without the written permission of
the housing authority.
97 �3 7
V
For your convenience, the name, address, and telephone number of the nearest legal
service is listed below:
Neighborhood Legal Services
170 Common Street, Suite 300
Lawrence, MA 01840
978-686-6900. x632
Kindly be advised that if you fail to appear at the conference, and/or fail to make
arrangements for rescheduling the conference, the Authority will proceed with a 30 day
notice to Quit as set forth in your lease.
The conference has been scheduled for Tuesday, January 6, 2009 at 1:15pm at the
authority office, One Morkesk-i Meadows, North Andover, MA.
Contact the Authority office to schedule an alternate time if said scheduled conference is
not convenient.
If this conference is for non-payment of rent, you may disregard this notice if your rent is
paid by the date scheduled for the conference. Please note a copy of this letter will
become a perrhanent record in your file.
S Since il
Y,
usan Christkc'nsen
Property Manager
ince Lixly,
/S
-6-1- �,IAJZ711
Certified mail',
If you feel aggrieved by the Authority's action after the conference, you may initiate the
Authority's established grievance procedure, which is posted on the office bulletin board,
or the Authority will forward you a copy of the grievance procedure upon your request,
or the request of your legal counsel.
it is your right to request, within seven (7) working days of the conference, a hearing
under the grievance procedure. You must request a hearing in person, or forward said
request by first class mail to the North Andover Housing Authority, One Morkeski
Meadows, North Andover, MA 01845. You may utilize a standard complaint form,
which is available at the Authority office. All complaints must be in writing, must
specify the particular facts that are the basis of the complaint, and must specify the action
that you want the Authority to take or to refrain from taking.
PLEASE NOTE: Grievance procedures in cases of non-payment of rent state that in order
to have a hearing the tenant must:
REASONABLY ESTABLISH THAT THIS NON-PAYMENT OF RENT IS
RELATED TO AN ACT OR FAILURE TO ACT BY THE AUTHORITY, AND NOT A
NEGLIGENT. OR WILLFUL DISREGARD OF THE OBLIGATION TO PAY RENT.
PLEASE NOTE THAT ALL LEGAL STATUTES WITHIN THE COMMONWEALTH
REGARDING WITHHOLDING OR RENT APPLY.
OR, if the arrearage is related to a dispute over the amount of rent:
THE TENANT MUST PAY TO THE LHA ALL UNDISPUTED AMOUNTS OF
RENT DUE B,EDORE A HEARING CAN BE HELD.
If the presiding officer of the hearing panel determines upon review of the tenant's
request that th e facts do not warrant a hearing or, if in the case of a rental dispute, the
tenant has not paid the undisputed amount of rent, the presiding officer can deny the
request for hearing. Such a determination shall be final, subject of course to the appeal to
the court.
If the presiding officer denies the request for a hearing management shall proceed with
termination fot cause.
If the presiding officer determines that the tenant's case warrants a hearing, the
procedures for said hearing are outlined in Section 4 of the Grievance Regulation. The
procedures for the hearing and any actions resulting from the hearing, including appeals
to the LHA Board, DHCD, HUD or the courts are governed by the appropriate sections
of the Lease and Grievance Regulations.
I
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Date/z/*/— .714; ..........
TOWN OF NqfrrH ANDOVER
PERMIT FOR GAS INSTALLATION
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This certifies that 17,4!.,��
has permission for gas installation Al."�'O,: (.e-�
in the buildings of ............
at. "Ple. /:7/Q ...... I North Andover, Mass.
Fee. loo. Lic. No..? � K ) - 'A (— - -
.... .... ...
dA�INSPECTOR
Check# It, .9 ,
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
A)ORITH AWD,�Vr,,� Mass. Date -Permit
—6-2- _L
Building I_ocatIon.17,a7/,j.6/. )JA FkA"C),s ST, Owner's Name jj0P_T11 Atj_006e AuTil
kA),WCk, 14 /1A Type of OccupancyXfS/,QFJJ77�L_ -Y UIJ17S
New E] Renovation [] Replacement Plans Submitted: Yes[] No []
Installing Company Name BAY STATE GAS COMPANY
Addr�ss 55 MARSTON STREET
LAWRENCE, MA 01840
Business Telephone - q 71B-68,7--�1105
Name of Ucensed Plumber or Gas Fitter Francis X. Corkery
Check one:
XD Corporation
0 Partnership
El Firm/Co.
certificate #
1862
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes K No 11
If you have checked yes. please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy K Other type of indemnity D Bond 0
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 OwnerE] Agent El
I hereby certify that all of the details and information I have submitted (or entered) in abo plication are true and accu�gte to the best of my
knowledge and that all plumbing work and installations performed under the permit Iss r this application will n mplianoe with all
in aDo p"ca"on
t 8S r this app,
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gen S.
I
tu s PI
TvDe of Ucense: �*
Title Plumber Signature of censed Plumber or Gas
Gasfifter
Master Ucense Number
City/Town gJourneyman
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Installing Company Name BAY STATE GAS COMPANY
Addr�ss 55 MARSTON STREET
LAWRENCE, MA 01840
Business Telephone - q 71B-68,7--�1105
Name of Ucensed Plumber or Gas Fitter Francis X. Corkery
Check one:
XD Corporation
0 Partnership
El Firm/Co.
certificate #
1862
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes K No 11
If you have checked yes. please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy K Other type of indemnity D Bond 0
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 OwnerE] Agent El
I hereby certify that all of the details and information I have submitted (or entered) in abo plication are true and accu�gte to the best of my
knowledge and that all plumbing work and installations performed under the permit Iss r this application will n mplianoe with all
in aDo p"ca"on
t 8S r this app,
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gen S.
I
tu s PI
TvDe of Ucense: �*
Title Plumber Signature of censed Plumber or Gas
Gasfifter
Master Ucense Number
City/Town gJourneyman
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MASSACHUSETTS UNIFORM APPLICATION FOR PEMMIT TO 00 GASFITTING
(Print or Type)
NORTH ANDOVER Mass. Date/?-: / 2
tuilding Location 4:Z Permit # Zi�Dkoow
Owners Name AJ,4 I -lo u X 1.,#L -f
New -'-1 Renovation 13 Replacement Plans Submitted
P:lY7'UR=1z
(Print or Type) Check one: Certificate
Installing Company Name Corp.
Address 00 (f 0 /-Il Partner.
I- A4 AV A4 f 5* Firm/Co.
Business Telephone: 7�1/3-ff-0
Name of Licensed Plumber or Cas Fitter
Insurance Coverag-: Ind;ca,.e t`,e type o,&F insurance coverage by checking the
appropriate box:
Liability insurance policy =--O---,.-Ier type ol" indemnity = Bond
Insurance Waiver- 1, the uncersicned, have been made aware that the licensee of
this application does not have any one of the above three insurance coverages.
Signature of owner/agent of property Owner Agent
I hereby ccrtiCy th4t. all of the details and informaLion I have submitted (or entered) in above application are true and accurate: to the best of my
knowtcd&c and LILat aLL plumbint work and LnstaUAtions -=for=%cd under Ptrr.-it izzued [a: this application wdl be in compliance with ad pettLacat
provisions or Lho hfissachusets State Gas C13de usd CLAP= 142- CC L.%a Gcncrzi LAwu
By
Title
City/Town:
APPROVED (OFFICE USE ONLY)
TYPE LICENSE:
Plurriber Signature- of-��sed
Gasfitter
MA s 4%-- e r Plumber or Gasfitter
Journeyman - / 2 —
License Number .
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(Print or Type) Check one: Certificate
Installing Company Name Corp.
Address 00 (f 0 /-Il Partner.
I- A4 AV A4 f 5* Firm/Co.
Business Telephone: 7�1/3-ff-0
Name of Licensed Plumber or Cas Fitter
Insurance Coverag-: Ind;ca,.e t`,e type o,&F insurance coverage by checking the
appropriate box:
Liability insurance policy =--O---,.-Ier type ol" indemnity = Bond
Insurance Waiver- 1, the uncersicned, have been made aware that the licensee of
this application does not have any one of the above three insurance coverages.
Signature of owner/agent of property Owner Agent
I hereby ccrtiCy th4t. all of the details and informaLion I have submitted (or entered) in above application are true and accurate: to the best of my
knowtcd&c and LILat aLL plumbint work and LnstaUAtions -=for=%cd under Ptrr.-it izzued [a: this application wdl be in compliance with ad pettLacat
provisions or Lho hfissachusets State Gas C13de usd CLAP= 142- CC L.%a Gcncrzi LAwu
By
Title
City/Town:
APPROVED (OFFICE USE ONLY)
TYPE LICENSE:
Plurriber Signature- of-��sed
Gasfitter
MA s 4%-- e r Plumber or Gasfitter
Journeyman - / 2 —
License Number .
Date .... I �z
r% oN r, ........
,,ORTPI
TOWN OF NORTH ANDOVER
4,
04.
0 PERMIT FOR GAS INSTALLATION
4 CU
This certifies that .... /-
has permission for gas installation
in the buildinaof .'7/ -1 �M4
at q-17. t .......... North Andover, Mass.
Fee.c;�?6) . Li No . ..........................
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GASINSPECTOR
WHITE: Applicant &NARY: Building Dept. PINK: Treasurer GOLD: File
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that -7:40C ....... &,Iv ..............
has permission to perform .....
plumbing in thg buildings of ..............................................................
Ffw.'f'<z ........ ...................... .. ........ ort Andover, Mass.
Fee36,0 ..... Lic. Nod ......... ......... ............ ..
........... ..................
Check 31V 4
Date..r:��4*�*/-`**` .........................
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
IThis certifies that7:���.... ":;j
,' 7�' -
...................................
has permission for gas installation .....
- .7�� � .......................................
inthe buildings -of ................................................................ -
............................................
.... . ... . n— .. . ...... North Andover, Mass.
07
Fee., ..... .... Lid. N
...................................... f ..............................
co, t GASINSPECTOh
Check # '-) f' /' L
P
TYPE OR
PRINT
CLEARLY
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY MA DATE j PERMIT #
JOBSITE ADDRESS OWNERSNAME
OWNER ADDRESS TEL &�-_JJFAX
OCCUPANCYTYPE COMMERCIAL 0 EDUCATIONAL
NEW. F-1 RENOVATION: 50 REPLACEMENT: 0
FIXTURES I FLOOR--�--- BSM
NA—THTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIOILISAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/ AREA DRAIN
LAVATORY
ROOF DRAIN
-SHOWER STALL
SERVICE I MOP SINK
TOILET
'URINAL
WASHING MACHINE CONNE
WATER HEATER ALL TYPES
WATER PIPING
OTHER ..... . ..... .
RESIDENTIAL Xj
PLANS SUBMITTED: YES R-1 N091
10 1 11 1 12 1 13 1 14
I have a current liabilily nsurance policy or Its substantia;,e",qui"va�le"nt-w-hl-c-h,m-e"et-s-th-9, requirements of MGL Ch. 142. YESJN NO 0
IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY K OTHER TYPE OF INDEMNITYE] BOND 0
OWNER1 INSURANCE WAIVER: I am aware that the licenses does not have the Insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this permit application walves this requirement.
CHECK ONE ONLY: OWNER 0 AGENTE]
SIGNATURE OF OWNER OR AGENT
i—hereby certify that all of the details and information I have submitted or entered regard! this application are true and accurate to the best of my knovAedge
and that all plumbing work and Installations performed under the permit Issued for this application YAII be In oompliance Wth all Pertinent provision ofthe
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
/SIGNATURE
PLUMBER'S NAME LICENSE #
M P 07 jP& CORPORATIONEI# PARTNERSHIP El #= LLc 13 L
COMPANY NAME -1
ADDRESS
ZIP TELE
CITY STATE
FAX CELL
;w EMAIL
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY MA DATE PERMIT#
JOBSITE ADDRESS <= —JOWNERS NAME
G
OWNER ADDRESS
TE�- ��FAX E—
TYPE OR
PRINT
OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIALA$
CLEARLY
NEW.E-3 RENOVATION: D REPLACEMENT. -AV PLANS SUBMITTED: YES E.1 NO F-1
APPLIANCES FLOORS- BSM 1 2 3 4 5 6 1 7 8 9 10 It 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR J
GRILLE
INFRARED HEATER
LABORATORY COCKS L.J
MAKEUP AIR UNIT
OVEN
POOL HEATER
ROOM / SPACE HEATER
ROOF TOP UNIT
JEST
UNIT HEATER
UNVENTED ROOM HEATER
WATERJ EATER.---___ 17-3 ----1
OTHER
L2i
J
INSURANCE COVERAGE
I have
a current liability nsurance policy or Its substantial equivalent which meets the requirements of MGL. Ch. 142 YES [al-N"O
I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY [IV" OTHER TYPE INDEMNITY 0 BOND [7]
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this permit application wlhm this requirement.
CHECK ONE ONLY: OWNER 0 AGENT
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and Information I have submitted or entered regarding this application are true and accurate to the best of my knovAedge
and that all plumbing work and Installations performed under the permit Issued for this application vAll be In compliance with all Pertinent provision of a
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASIFITTER NAME LICENSE #PEga 00- SIGNATURE
MP 0 MGF E.11 JP JGF [j LPG1 Ej CORPORATION Ej# PARTNERSHIP D# LLC [:]#
COMPANY NAME] ...... J—Pat A4 � ..= ADDRESS (� . ........
CITY L41 �14 I WIZIP. TEL
STATER
FAXI CELL _jjEMAIL=. __j
SeI95vlotl " // -..? Ir- AS7
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit No#: lu Date Received
Date Issued I —a-) - � S,
� . W IMPORTANT: A-DDlicant must COMDlete all items on this -Daae
LOCATION s 7' otlO. Xp1,,,,,,-e4- mof 0/�,Wf—
Print
PROPERTY OWNER 41,0 )% Alp i. ev 14,94J
n�V&d e A -
Print _J 100 Year!*ructure yes n
MAP PARCELIOL-047 ZONING DISTRICT: Historic District yes
Machine Shop Village yes
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New Building
�'V One family
El Addition
El Two or more family
El Industrial
El Alteration
No. of units:
El Commercial
X*I�epair, replacement
El Assessory Bldg
El Others:
El Demolition
El Other
[I Septic El Well
El Floodplain 0 Wetlands
El Watershed District
El Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
Identification - Please Type or Print Clearly
OWNER: Name:A10Z,*1, Phone: ';,>f
Address:
Contractor Name: TdNe--s IVo 1�12Ai- Phone: 17 V 4 f,; - 3
Email: -T -e
-
Address:
Supervisor's Construction License: C,5 - 5'P'"L- Exp. Date: / /-.20 .
Home Imr)rovement License:
Date:
ARCH ITECT/ENGI NEER Phone:
Address: 17 F -q C4 — Reg. No.
FEES CHEDULE. BULDINGPERA,;4�7$1,9071�-$1000.00 OF THE TO TALES TIMA TED COST BASED ON $125.00 PER S.F.
Owl—
Total Project Cost: $ FEE:
Check No.: I k q
NOTE: Persons t
Receipt No.:
contractors do not have access tojhe guarantyf4pd
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
4. Building Permit Application
,4. Workers Comp Affidavit
Photo Copy Of H.I.C. And/Or C.S.L. Licenses
4. Copy of Contract
Floor Plan Or Proposed Interior Work
Engineering Affidavits for Engineered products
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
,;6 Building Permit Application
Certified Surveyed Plot Plan
Workers Comp Affidavit
Photo Copy of H.I.C. And C.S.L. Licenses
Copy Of Contract
Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (if Applicable)
Mass check Energy Compliance Report (If Applicable)
Engineering Affidavits for Engineered products .
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
�6 Building Permit Application
4� Certified Proposed Plot Plan
4� Photo of H.I.C. And C.S.L. Licenses
Workers Comp Affidavit
Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Copy of Contract
2012 IECC Energy code
Engineering Affidavits for Engineered products
10TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doc: Building Permit Revised 2014
Plans Submitted 0 Plans Waived 11 Certified Plot Plan [I Stamped Plans 11
TYPE OF SEWERAGE DISPOSAL
Public Sewer El
Tanning/Massage/13ody Art El
SWi1n1niRg Pools
well El
Tobacco Sales El
Food Packaging/Sales El
Private (septic tank etc. El
Pennanent Dumpster on Site El
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On Signature_
COMMENTS
CONSERVATION Reviewed on Siqnature
COMMENTS
HEALTH
A
COMMENTS
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition N
Planning Board Decision:
Comments
Conservation Decision: Comments
Zoning Decision/receipt submitted yes
Water & Sewer Connectioni Permit
DPW Town Engineer: Signature:
LOcated 384 usgood Street
,PRE-40115PARTMENT -TOmpiRumpstero'n�site qes
Lioc-8fedlatl,'l',2'41-M-�iin,,Str6et
jitentzi' natUr �i, e
e/d t
COMMMTS
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.sloo-sl000 fine
NOTES and DATA — (For department use
Ll Notified for pickup Call Email
Date Time Contact Name
Doc.Building Pennit Revised 2014
Location �IoaJ8-
No. 61!
Date
Check
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee 4>--�?7
Foundation Permit Fee
Other Permit Fee $-
TOTAL $
( I -
Building Inspector
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WCAMERICAN
ABINET
436 Broadway
Methuen, MA o1844
978-687-6825
Bill To:
North Andover Housing Authority
i Moreski Meadows
North Andover, MA o1845
978-682-3932
PROPOSAL - 29A Francis St.
10/0z/15
... ....... ...
L
Cabinets
Contractor's Choice
$ 3,072.00__
Newberry Birch
Finish: Autumn
All Plywood Construction
Counters
$ 820.00
Aq�jare E�ge Laminate
Travertine - #3 z6-58
4 Inch Backsplash
Hardware
Allison Knobs 53012 -EB (17)
A9 --0- O�
Allison Pulls #53013 -EB (6)
Tax Exempt #: 042427248
n/a
Delivery
--- ---- -- ------------------ ------ - ---------- - -------- -
$ 85-00 1.
$ ----A,-a46.00
Please sign and date below to confirm shown above and return a signed copy to American Cabinet to
place your order. A 5oO/( depo , it is required at time of order. The remaining balance is due upon
delivery. Please under9tan hat, by signing this proposal, you will not be allowed to cancel or
of thi r Ver. Price is subject to change once a field measurement has been taken.
return all i:5..pgi�'
Date:
Thank you for your business!
10/02/2015 16: 55 9786876837 AMERICAN CABINET PAGE 05/08
2- Cl 4 - FC,, P � e-)
Notc., This dmwing Jq on kirtigic Designed. 9/30/2015
interpretation of the genem I Printed; lo/l./2015
apponronc* ofthe design. it iA
not meant to be an exact mdition. 20/2-0
AH I Vriiwitm 11: 1
10/02/2015 16:55 9786876837 AMERICAN CABINET PAGE 04/08
Notc:'11115 drawing in an artimir
intcrpretation of the general
uppcomrice ofibe de -sign. It lit
not meant to be an execL mndikion.
T)r—qil.zncd: 9/30/2015
N"fod: 10/l./2015
2020
All I Dmwin At ly.. 1
0
T_
10/02/2015
T_
16:55 9786876837
0
Cf)
U3!CP C14
'I, I to . ......
29"
AMERICAN CABINET
2-01 A Rq,"05
562'11
. ... .. 12" X_
15"
I/
PAGE 03/08
c6
0)
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All dimensions.sim designations ThiS i$ an oziginal design and must Designedi 9/30/2015
xiven aresubject tn verifIrAt;o" oil nc4 bc m1cased or e6pirAl tinluaz 1011/201,-1
job q1te and e4justment to rjtjnb applicable Iret J'As bcm paid orjob
conditiom. 2020 Order placed.
FmncisSt 2 All PmWing #;I No Scale.
North Andover MIMAP November 23, 2015
\013.0-002
18.0-0068-- 018.0-0059
01B-0_0'
7-IrWAVERLY RD
028.0-006SV6--_ 018.0-0060
40 PATRIOT ST 31 PATRIOT ST
013.0-0023 7 AVERLY RD
013.0-00313 018.0-0061
008.0_0005
19 PATRIOT ST
013. -0039 \018.0-006 018.0-0062
008. 0-04.0 28 P TRI T T 83 WAVERLY RD
BALDWIN ST 013.0-0042
\67
�( eet 12 GILBERT ST
008- 013.0-00 19.0-0042
.0-0012
22 GILBERT ST 014.0-0001 9i WAVERLI� RD/
5 FRANCIS ST 019.0-0013
7 PATRIOT ST
014.0-0003\
27 FRANCIS ST
WIN -ST 27 FRANCIS ST 1 FRANCIS ST
013.0-004729 FRANCIS ST 014.0-0006 cv(ep-
29 BALDWIN ST \1
25 FRANCIS ST� .\6xl
019.0-0016
27 BALDWIN ST31 FRANCIS ST23 FRANCIS ST
008.0-001 014.0-0022
27 BALDWIN ST 33 FRANCIS ST
6 FRANCIS ST 0191.0-0017
25 BALDWIN ST33 FRANCIS ST
10 FRA
014.0-0020
009.0-0074 \2,� BALDWIN ST 014.0-0018, 014.0-0023 106 WAVERL4 RD
21 BALDWIN S. 24 FRA CIS ST / / t---
014.0-0016 110 WAVERLY RD
32 FRANCIS ST
009.0-0003 014.0-0024 114 WAVERLY RD
14 BALDWIN ST 014.0-0014 X
46 FRANCIS ST 014.0-0027 121 WAVERLY RD116 WAVERLY RD
014.0-0028 J / /
0 4.0-00��_014.0-0025
- 26
014.0-00 2 014.0-0030 1 1
0'14.0-0029 127 WAVERLYRD
L9
009.0-0005 01
1 1 1
014.0-0033 014L-00131 SjO-0022
C04D, ST
BALDWIN ST
I UNION' T 13 UNION ST 5 UNION ST 107 SECO I ND ST
I
61 UNION ST 74� 1
_
----Union-Street- -Main Street- -
-T -7
90, 69' F
i 014.0-0005 01,4.0-003�
('11.4.0-00218 UNION Sj2 UNION ST' � 114 SECOND ST
I 21;b SECOND k
0109-0-0008 4 UNIONST'13 UNION ST30 UNIM STi14
UNION ST
66 . NION S ' T 014.0-0034
009.0-0023 1 014.0-0047)
1 024.0-0019
0114.U-UU57
014.0-0035
10 ANNIS S 1 147 WAVER Y RD 019.0-0058
014. -0036
01 1 4.0-0046 144 WAVERLY RD
/
oo9.o_0009 014-0-0045
1 1 34 UNION ST k-- 014.0-0048
13 ANNIS ST 14 ANNISS ST 014.0-0015 01,4.0-004
15 1 W
0 .0-0021 VERLY RD
�02-4 I I WAVERLY RD
El MvpC B.
13 Municipal Boundary
Horizontal Datum: MA Stateplane Coordinate System, Datum NAD83,
- Rail Line
Int rstates
ItORT"
Meters Data Sources: The data for this map was produced by Merrimack
Valley Planning Commission (MVPC) using data provided by the Town of
- 1
"R
'90 '..
North Andover. Additional data provided by the Executive Office of
Environmental Affaim/MassGIS. The information depicted on this map is
0
for only. It may not be adequate for legal boundary
Roads
t I Easements
El Parcels
I, 'A
'A 'jFP
planning purposes
definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER
MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING
THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY
Trails
OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT
ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
Hydrographic Features
THIS INFORMATION
Streams
Wetlands
Exempt Land. 1" 128 ft 4-
11/23/2015 11:13AI4 FAX 4135925218 DPM CMS FAIA 120002/0002
MA5,1ACH
M HRO
INSURAMCFE
GROUP
MASSACHUSETTS WORKERS'
INSURANCE CE
ITEM I.
PARTICIPANT NAME AND MAILING ADDRESS:
North Andover HA
Box 373
North Andover, MA 01845
ITEM 2.
CERTIFICATE EFFECTIVE FROM: 06101115 TO:
Effective 12:01 A.M. Eastern Standard Time at the
MPENSATION A�D EMPLOYER'S LIABILITY
!ICATE INFORM�TION PAGE
ICATENO: WCMN0112
1: 042427248
ITY: Non-profit, public employer
06101116
pant's mailin1g address.
I .
ITEM 3.
COVERAGE: kers' Compensation Law
A. Workers' Compensation Insurance: Part One of this certificate applies to the Wor
of the Commonwealth of Massachusetts.
B, Employers' Liability Insurance: Part Two of this ertificate applies to work in the Commonwealth of
Massachusetts. The limits of liability under Part Two are: I
Bodily Injury by Accident: $1,000,000 — each a0ident
Bodily Injury by Diseage- $1,000,000 certificate limit
Bodily Injury by Disease: $1,000,0001 — each e ployee
M,
C. Other States Insurance: Massachusetts Limited Other States In
D. This certificate includes these endorsements and schedules:
WCNGOOOO Insurance Certificate I
WCNGTERR Terrorism Risk Insurance Act Enjorsement
ITEM4.
The premium for this certificate will be determined [ y our Manuals of I
Plans. All information required below is subject to �erificatlon and che
SEE EXTENSION OF INFORMATION PAGE
ti
This certificate is hereby countersigned by
es, Classifications, Rates and Rating
e by audit.
on 4/29/2016
Date
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