Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 33 WALKER ROAD 4/30/2018 (3)
� y •:1 0� ORTU COVER. IBUK-IGT DEPARTMENT 4. �AR�r n FeF(3 1600 Osgood Street . . North Audover 'del: 97.8-698•-9545 Fax: 978-685-9542 BUSNESSFORM FOR T'OWCLERK DA.: wfiw .ADDRESS;_ �� -aa ilev �� • �rfid i rX � •IV 0(4+1 {� 6ve+�, �� O1 �� ZONWiDISTREM TYPE OF MOVES ciao P e va � t , BDMD)WGL Y0DT PR0Vff)ED' YES ° BUSINESS FORMFOR TOWN CLERX I , I -------i--�-- , I I *L _..- I I ----- - -- -I- --"�f I __ I - I __ I I _1-.-- ---I----I I--I--I ---- -- -I - - - f - r _ �i l � l ( l � l l l ! i, l i•� i l�.-- I - -- --'-- , I - E --L- I ' North Andover MIMAP July 19, 2016 i 1 Rf5 ami 00 0I 083 0-`^� 01�, 3r7 WALKER RD ��� 37 WALKER RD "z. 'ALIKE RD 083.0-0004 33 WALKER RD 33 WALKER RD 33 WALKER RD 33 WALKER RD35 WALKER RD 33 WALKER RD35 WALKER RD f 33 WALKER RD tt, XIS ' +.VN"I�*. 660 C. IGKERING RD 06 0{0001 f= 083.0-0003 _' 69:0 003�T �d� 0 R4 069:0'0031 R2 083.0-0005 125 0 MVPC Bo Zoning Overlay Zoning 13 Adult Entertainment Distric Busine s 1 District Municipal Boundary 0 Machine Shop Village Ove 2 Busine s 2 District Horizontal Datum: MA Stateplane Coordinate System, Datum NAD83, Rail Line iZ Watershed Protection Dist O Busine a 3 District Meters Data Sources: The data for this map was produced by Merrimack Interstates Historic Mill Area O Busine a 4 District 14ORTN Valley Planning Commission (MVPC) using data provided by the Town of — Medical Marijuana G Genem Business District Of ° 4� North Andover. Additional data provided by the Executive Office of — SR B Downtown Overlay District G Plannei Commercial Dev= Environmental AffairslMassGIS. The information depicted on this map is Roads 0 Historic District Corrido " Development Dist ®<<t 3 ( for planning purposes only. It may not be adequate for legal boundary i r Easements LI Osgood Smart Growth (40 Hydrographic Features Corrido G Corrido Development Dist Development Dist O �` . — to 9 definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING Indust ri I 1 District THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY Parcels Sheams Industri 12 District i ^ =: Industri it3 District VL e' Y OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT Wetlands Q Indust I S District ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF Exempt Lands Reside Reside ce 1 District ce 2 District 41,' pO��rt° .�t.�7 SSACMUS� THIS INFORMATION Reside ce 3 District de ce 4 District 1" = 74 ft �.de ce 5 District de ce 6 District ie a esidential District o' g�pR•EFj . �� `4an tib aF,na - n TEV tib'•(,` .1600 Osgood Street �sAcHus��t Nort4Audovpr Tel: 978-698-9545 Fax: 978-688-9542 SS FORM FOR TO 91N CLEW DATE. Nom: AMMM BUMDINGr.,AYODT PROVI]DED: YES ZON1NGEYLAWi SS GE: YES N SIGNATURE EUSM S S FORM FOR TOWN OLERX 2.40 Rome OccupAan (1989132) .An accessow use conducted within a dwelling by a re�dezit wha resides k the dwelbg as his principal address, which is clearly secondary lo tho use. of'the -building for living pluposes. Home occupations shall 'indude,"but iiot'3imited to the following uses; personal services such as famished bY an, artist or instructor, but not occupation involved wida motor vehicle repairs, beau% parlors, animal kennels, or to conduct of retail business, or the nmufa g agoods, which. impacts 6e, residential nature of the neighborhood; 4. For use of a dwelling is any residential district or multi family district for a home occupation, the following conditions shall apply: a. Not more than a fatal of three (3) people may be, employe , U kame occupation, one- Of whom shall bethe-owaer ofthehome cimupatim and residing ini;aid divelling; b. Tho use is carried on strictly witbin.the principal bonding; c. Thexo Shall be no oxfb for alterations, accessory buildings, or display which arc not customary with residential buil fts; . d. Not more than iwmn ,-eve (25) percent of the edft gross floor area of flip dlvG ag Unit. so used, not to excced one thousand (1000) square feet, is devoted to 'such use. la conmcdon.with such use, there is to be kept no stock in trade, commodities or products which occupy space bevondthese Ximits; e. There will be. no display ofgo6& or wares visible from the street; f The building or premises occupied shall not be rendered objectionable or detrimental to the residential character of the neighborhood due to the exterior appearance, emission of odor, gas, smoke, dust, noise, disturbance, or in any osiher way become objectionable or detdmmtalto any residential usewiflikthe, ndghbwhood; g. Any such building shall include no features of design_ mot cusWmary in bindinga. o xas! deni+ i signature E l 1 ` l i I -ilj „ North Andover MIMAP `v June 30, 2016 N5 083 0-0002 \ (0 3:0001 X1 083:0=®005' • MVPC Bo Zoning Overlay Zoning • Municipal Boundary 13 Adult Entertainment Dlstric Busine s 1 District Q Machine Shop Village Ove V Busine s 2 District Horizontal Datum: MA Stateplane Coordinate System, Datum NAD83, -- Rail Line ® Watershed Protection Dist O Busine s 3 District Meters Data Sources: The data for this map was produced by Merrimack Interstates 0 Historic Mill Area 0 Busine s 4 District 14ORTR Valley Planning Commission (MVPC) using data provided by the Town of —I Q Medical Marijuana 0 GeneraBusiness District Ot o r 4ti North Andover. Additional data provided by the Executive Office of — SR Downtown Overlay District 0 Planne Commercial Dev 2 �e<s� ..6 00 Environmental Affairs/MassGIS. The information depicted on this map is Roads © Historic District E. Corido Development Dist ,;. YLforplanning purposes only. It may not be adequate for legal boundary U Osgood Smart Growth (40 0 Corrido Development Dist 0 _ A definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER , Easements ;; Hydrographic Features 0 Corido Development Dist MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING Industri I i District 40 Parcels - Streams THE ACCURACY, COMPLETENESS, RELIABILITY, R S'' -ABILITY Industri 12 District + # OF THESE DATA. THE TOWN OF NORTH ANDOVER F SOT Wetlands 0 Industri 13 District * °0 0 f ASSUME ANY LIABILITY ASSOCIATED WITH THE USL .u6USE OF Exempt Lands 0 Industri S District 940 •+•w�• '' P Reside ce 1 District �/ +ATio THIS INFORMATION Reside ce 2 District �T84CNUSE� R-ide ce 3 District A de ce 4 District 1” = 74 ft ^q pede ce 5 District YYY de ce 6 District � �Z'�7 �lo�l S ���� ;.,��" �f ice' ` `� NORTH ANDOVER BUILDING DEPARTMENT 1600 Osgood Street North Andover Tei: 978-688-9545 Fax: 978588-9542 BUSINESS FORM FOR TOWN CLERK DAA: � ( 27l / J NAME: ADDRESS: 3 3 6,A L L ZONMGDISTRIOT: TYPE OF BUSINESS: o4 cu,"J e.s, BU DINGLAYOUT PROVIDED: YES NO . AVAILABLE PARKING RAMS: ZONING BY LAW USAGE: 'YES NO BULDING WSPEOTOR. SIGNA.TUPIE BUSINESS FORM FOR TOWN CLERK UTPLZ, 2.40 Home Occupation (1989132) An accessory use conducted within a dwelling by a resident who resides in the dwelling as his principal address, which is clearly secondary to the use- of the building for living ptuposes. Home occupations shall 'iiiclizde,'but not 'limited to the following uses; personal services such as furnished by an artist or instructor, but not occupation involved with. motor vehicle repairs, beauty, parlors, animal kennels, or the conduct of retail business, or the manufacturing o�goods, which impacts the residential nature of the neighborhood, 4. For use of a dwelling in any residential district or multi fainly district for a home occupation, the following conditions shall apply. a. Not more than a total of three (3) people may be employed in the home occupation, one of whom shall be the oW ier of the home occupation and residing in said dwelling; b. The use is carried on strictly within the principal building; c. There shall be no exterior alterations, accessory buildings, or display which are not customary with residential buildings; . d. Not more than twmn ,-five (25) percent of the existing gross floor area of ;the dwelling unit. so used, not to exceed one thousand (1000) square feet, is devoted to 'such use. In connection with such use, there is to be kept no stock in trade, commodities or products which occupy space beyond these limits; C. There will be no display of goods or wares visible from the street; f. The building or premises occupied shall not be rendered objectionable or detrimental to the residential character of the neighborhood due to the exterior appearance, emissiozi of odor, gas, smoke, dust, noise, disturbance, or in any other way become objectionable or detrimental to any residential use within the neighborhood; g. Any such building shall include no features of design not customary in buildings for residential use. Date NORTH ANDOVER BUILDING DEPARTMENT 1600 Osgood Street North Andover Tel: 978-688-9545 Fax: 978-688-9542 BUSINESS FORM FOR TOWN CLERK DATE NAME: ADDRESS: 23 .�), ZONING DISTRICT: TYPE OF BUSINESS: i / BUILDING LAYOUT PROVIDED: YES NO AVAILABLE PARKING SPACES: ZONING BYLAW USAGE: YE NO BUSINESS FORM FORTOWN CLERK 2.40 Home Occupation (1989132) .An accesson, use conducted within a dwelling by a resident who resides in the dwelling as his principal address, which is clearly secondary to the use- of the building.. for living piuposes. Home occupations shall `include, "but not *limited to the following uses; personal services such as f unished by an artist or instructor, but not occupation involved v"dth motor vehicle repairs, beauty parlors, animal kennels, or the conduct of retail business, or the manafacturirig of goods, which impacts the residential nature of the neighborhood. 4. For use of a dwelling in any residential district or multi family district for a home occupation, the following conditions shall apply: a. Not more than a total of three (3) people may be employed in the home occupation, one of whom shall be thetowrier ofthd home occupation and residing in said divelling., b. The use is carried on strictly within the principal building; c. There shall be no exterior alterations, accessory buildings, or display which are not customarY with residential buildings; d. Not more than twenty-five (25) percent of the existing gross floor area of the dwelling unit so used, not to exceed one thousand (1000) square feet, is devoted to ' such use. Tn connection with such use, there is to be kept no stock in trade, commodities or products which occupy space beyond these limits; C. There will be no display of goods or wares visible from the street; f. The building or premises occupied shall not be rendered objectionable or detrimental to the residential character of the neighborhood due to the exterior appearance, emission of odor, gas, smoke, dust, noise, disturbance, or in any other way become objectionable or detrimental to any residential use within the neighborhood; g. .Any such building shall include no features of design not customary in buildings for residential use. Signature Date ,33_ 37 �-Jd%d, �PcQ No. 03—ol0/3 Check # ' " 3 Date �� 3 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Feesj $ 3& TOTAL $ 26201 Inspector 6 Building nspe tor w a �! t- ui O a' LL z O 0 z V O (n OASS (D O � ed O O C) r a Z 1 S �O o.L o � �Nc m U L W O 4.1c cn Mn Q N ca N +1 Cy O 0� ai E .� iJ L W c J O O N -C O 3: E N L O C c N U (n Nv L- fl.. mp N O •LJ L ZJi - �C� —co � -C Cl0 cn E E a a� a LL co co cn � .N Nir U -� 0 cn N o)U m 'c (D > �-C N41 O U O -0 m N c c O ON ._ U L > U) N o-2 c E 0 �� oMC cc OL U M (D O � O O C) r Q V CU M t N N N F -N W o � O o QU M W -he OcN 04 N M cC -N ca ti c =00 UJ M c OZ c H V M N O 0 6iN� co � � c M LL c w co D) m 0 L- 0 O U (D Q U) c Cn o o � � M a U o � S- QU u W 1YQ1 V A U Ln C8 boo �c�C70 N U 0 ZI R 0 x O O O 0 a is cl, bA U O U � N •� con G"i O C40 +C4 O o U _� sboo 0 .� > S� C;'.'0 ;-. _ O c�C U U 0 0 >, O U U O � U cd N � O CL+ Cd Sb 0 O A, v' N N O �� rcc) O 0 c, U 73 z � 0 EnU O bA z cd 4.cn ma is 011 0 z 0 0 N 0 Cd 0 U bD 4.4 O z s N bA 40, +�+ O CL+ a�°��. 011 0 z 0 0 N 0 Cd 0 U bD 4.4 O z s N 3okmeaaow G TetreaultCPA Certified Public Accountants Jaylark Realty F. Terry Chan, CPA, PC Street Financial Services Jeffrey Street, CFP Investment & Retirement Planning MjjM Enterprises, Inc. dba UPERCUTS of ME, NH, & MA MjjM Salons MSJJ, I.I.C. I I ice F Rmn Ratte I Construction Ellen C. Shimer-Brenes Attorney At Law Qi Consulting William J. Patterson D.M.D. General Dentistry Fazio Styling Salon Old Center Realty Corp. Michael F Hogan Attorney at Law North Andover MIMAP March 12, 2013 1 j 1 p R 083 0=0001 68346-0002. GOn�I�� 1 069.0-0.029 069:0'-0030 R4 #30, 069.0-0031 083.0-0005, RN 094.0-0003 #34s /I 0$3.0 X0008. / 083.0-0006 04."I60\4 — Rail Line `a Wetlands Zoning Interstates ' `. Exempt Lands -- Busine s 1 District — Interstate II Busine s 2 District Horimnlal Datum: MA Stateplane Coordinate System, Datum NAD83, — Major Roads G Busine s 3 District Meters Data Sources: The data for this map was produced by Merrimack Roads ® Busine s 4 District NORi1{ Valley Planning Commission (MVPC) using data provided by the Town of Genera Business District Of ac r��� ,,, Nodh Andover. Additional data provided by the Executive Office of Ci Easements 10 Planne Commercial Dev ? 00 Environmental Affairs/MassGIS. The information depicted on this map is C3 MVPC Boundary s�i�`• C' Corrido Development Dist 3 II Corrido Development Dist L for planning P 9 Purposes only. It may not be adequate for legal boundary ❑ Municipal Boundary _ O Corrido Development Dist h ., p definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER IndustI 1 District MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING Zoning Overlay e Adult Entertainment k C." Indust 12 District s >r THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY Downtown Overlay District • [3 IndusIn 13 District o to ♦ OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT U1 Historic District O Industri I S Distract ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF ® Water Protection Reside ce 1 District ,' �•�c .�5, f7 THIS INFORMATION O Parcels Reside ce 2 District SSACHUSE to R—I ce 3 District C Hydrographic Features dece 4 District 1 " = 108 ft rde ce5 Distract - Streams de ce 6 Distract ,...ge lesidential District '1 Q 1 9 8 Date... ..... ...l.�..... M HORTM '1 �� °•t;�`" "�o� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that V.. v.....lt .........C7 lx !..................................... has permission to perform ......L..Y..�W ................................. wiring in the building of .............................................................. at ...,?.a�?..l�G- /2 ................ North An over, Mass. • Fee./..70...—. 5�J� ELECTRICAL I CTO Check # CntnWf a naLUL of Maddaciutdatti Official Use Only sc�� cc77 n P'ermitNo. o t' .1Joparfnwru< a��ira Jaruica� - BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked[Rev, 1/07) (leaveblanl:) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance wish the Massachusetts Electrical Code •C), 7 CMR 12.Op (PLEASE PRINT INLVY OR TYPE, uT1011J Date: City or Town o% 0 FO gv( To the Irrsp cto of Wires. By this application the undersign gives no 'ce o his o her intentionLtoperf rm the electrics[ work described below. Location (Street cScNumber) 1�t)d �� l I A6 i CSUt"_ !n 1 1 Owner or Tenant Telephone No. Owner's Address 19A 7-f?2-C" QL) Is this permit in conjunctiati with a building ermit? Yes ❑ No5uthor1zntioallo._1/3o,/86� (Check Appropriate Box) Purpose of Building l Minff r_1T — (jam f Utility Existing Service Amps / Volts Overhead ❑ New Service 410 Amps / ZYu Volts Overhead E] Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /ud /d Ss Undgrd ❑ No. of Meters Undgrd V No. of Meters No. of Recessed Luminaires - 11 - ,�••�••••, X No. of Ceil.-Susp. (Paddle) Tans . '.: 110wr U= ,rurrres u , ure Ins ecror o/ mires. No. of Total Transformers ICVA No. ofLuminnire Outlets No, of Hot Tubs Generators ICVA No. of Luminaires Swimming Pao! Above 1:1tn- ❑ rnd. rad. o. a mergency Liging Bette Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection an Initiating Devices No. of Ranges No. of Air Cond. Tont Tons No. of Devices g No. of Waste Disposers Hent Pump Totais: umber Tons IC No. of eli ontained Detection/Alerting Devices No, of Dishwashers Space/Areo Beating 1CW Locnl ❑ Munfe nnectiton [I Other Co No. of Dryers No. of Ater l�V Heaters Heating Appliances 10V No. of No. of Signs Ballasts Systems: Security No. of Devices or Equivalent Data Wiring: No. of Devices or E uivnlcnt No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiringg: l; No. of Devices or uivalent OTHER: lirracn adaulo11ul aetat! rJ destred, or as required by [lie Inspector of J11rax. Estimated Value of Elec 'cal Work. (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. W - -_ _-INSURANCE-COPE GE:-Un1ess-waived-by the -owners no=per[nit for ttie-performance of electrical. drtt=rney=lssue unless the licensee provides proof of liability ' urance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such cove a is in force, and has exhibited proof ofs e t the p it issuin f/6c . CHECICONE: INSURANCE BOND ❑ OTI�R ❑ (Specify;) ��/moi �iZ I cerci fig, r[nder the pali[s nt[llies of p 'tt[p,11iv rlte itrjnr atilt[ tl 's oppt[calla[: is ir[re mut otu let FIRM NAME: �� .� �j,q z LTC. NO.: , Licensee: & \ er) Signature 14 TA LIC. NO�.: bBus !i �lfaPPlicable, eel. No.:Address: _ AIt. Tel. No: *Per NLO.L. e. 147, s. 57-6I, security work requires Dep est of Public Safitty S"License: Lie. No. � (O�l OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's a enc Owner/Agent Signature Telephone No. PERMIT FEE: 8 O O O v1 69 0 0 OOOvi OM 0 0 0 0 0 0 N b4 b9 b9 0 0 0 0 66 Vl In 69 0 0 vivi6N til 69 0 0 — 69 0 0 O — 0 0 69 0 0 -; 69 0 00000 69 ¢ 0 ti N 69 0 vi N 69 0 r: 6.9 0 -; 6A -- O O -N 69 Q O N 69 0 0 0 0 0 0 vi6wiu•ir» N �--' 69 69 69 0 0 N 69 0 0 69 O 0000 OviOO c/1 69 O N 69 O — 69 Q O G6~964 O O O O 6 -4 M 69 O O 00 Or- �o 69 6964 O O O N b9 z :1 y ti y Cl U W A p c.FS �r o �-+ O v o v ca � W E� d w w a bD cp ce o .� o cca P" cc U3 •% �' ca „ fa U U 0 .r ca V O" ca f3. u ca H o a a 6 o �......a,.. a ......... ;� ................................................ a. ..... ... n ...... ..o �. ca - > o O^ h^ ca. C r b ca L O Q+ O O ca L. L O E" A y j� m ,t3 0 °' cca O 5o o a o o a� P-4 •Cl : '.� c o �, .D A. o as o„ �I--,��cu °> n CL O 5 y a� m U m S 5 h 'cc ca U OO W U O ca is a o) C U ,� Q y H a) ^ ca p �❑ O G O 4) R G C' 'O A O_ 47 �'" w y on 0. O p �' R cVa Y °p a Q�3° o o y tC O O° w 3 y pOp y m m fy �� y i .fl ccn * y ac"i ° e� a> A m c vi ° can a ��� fl v L t7 .O c •a ° o o z a� O 0 on :� `° m a Zfi.. L. M S. y° o 3 0 0 1- v w c�; b a, ca :� m� _ Q ^. U .�. A H 4 4A j y �; � _ D ? }'rA y V �a a a m W W W 0 W W O a 4 P4 A C� x>' v� 3 3 3 0> epi a 0 U n /'1 (� ro A U U r-. i--. n 42 o U 0 /'� I\ /1 O ca A U /ti /� ro .a Qa"Q l n r� r1 .•. /ti ^ ^ rti ^ ca A U v d� bA . -, — vj y U 'o I� ,1 r-. r1 a A U •--• a .0 ; p c 0. Z 5 O nl 5 H U .� vii a b n c :3 �' R a o o Q ° y a v O ca b aLi v °o 1 •5 Q .0 6w c N° O O a n. Z w a ° n >, L ca 0 �•. CO > 9 .4 'O ca a ,��• i s .. is y 7 +� U a v of aLi N a O C p o E o a? y U ca U aLi . 5 ., O cC°i ; cc O b cc o, p W o cs 0 U ca Q ,s 0 5 rn a 5 o o cn G 0 v O 'fl oU° >.b�.n0.1 L 5 c� Cr cv 5 O 0 c, 0. y 0 .. U L 5 N •� _ 5 o 5 y 0 ..G > O b C 'v0 �+ '••' at -� .0+ a ^ OQ 0 Uy � c. E - vo ca ca RU `U' 5 a v5 [a W W c"0.U o O 4,� aL a i i—• Cj >a) H � rti r•. a> rr•-� C cJ A CO /1 .0 CO ca A O a O c0 ca .O ca, U c m .O ca .O O > � a) CNp e3 eni y O v u� 7 O c�a y ca O y jr ca caO ca Q 0. cn x CL4 SHv��_c�w_U U0UA Q > c!�"� f`l M 'j-4 M V•1 �O O O v1 cV 69 O coo O O O O O O O v1O cV N •--� N Sl 69 69 69 O O OO 0 0 0 C C et N 69 69 Fi5 0O � 6% 0 vi N 6R O O O O 0 0 0 0 0 0 0 0 N N N N � 69 69 69 00 O O t i O N +n 69 6R 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 V1 O O tn V i V1 O O O d' 'IT. - 69 rl N •-� C'l �-- M N N 69 69 b9 69 6f3 69 6.9 69 69 69 64 0 0 -; 69 0 0 64 O O O O O O c/1 V1 69 f'l N 69 &} O O - 69 :1 W ti y Cl U W p c.FS �r o �-+ O v o v ca � a •5 a bD cp ce o .� cca cc •% �' ca „ fa U U 0 .r ca V O" ca f3. u ca H o a a 6 o �......a,.. a ......... ;� ................................................ a. ..... ... n ...... ..o �. ca - > o O^ h^ ca. C r b ca L O Q+ O O ca L. L O E" A y j� m ,t3 0 °' cca O 5o o a o o a� ..o •Cl : '.� c o �, .D A. o as o„ A °> n O 5 y a� m U m S 5 h t5n a W U O ca is O +' o) C U ,� 'b ti cn y 7 L A 3 a) ^ ca p �❑ O G O 4) R G C' 'O A O_ 47 �'" w y on 0. O p �' R cVa Y °p a q W o o y tC O O° w c y pOp y m m fy ov> bb y i .fl ccn * y ac"i ° e� a> A m c vi ° can a Q_ to fl v L t7 .O c •a , , q o Q o o b >+ en w ar a ca O a� O oo L g on :� `° m a� ,. 5 m R o .� a> ° o 3 0 0 1- v w c�; b a, ca :� m� _ Q ^. U .�. A H 4 4A j y �; � _ D ? }'rA y V �a a m W W W 0 W W c a �Q 4 P4 A C� x>' v� 3 3 3 0> o .Ic- Est% a U n /'1 (� ro A U U r-. i--. n 42 o U 0 /'� I\ /1 O ca A U /ti /� ro .a Qa"Q l n r� r1 .•. /ti ^ ^ rti ^ ca A U v d� bA . -, — vj y U 'o I� ,1 r-. r1 a A U •--• a .0 p c nl M vii 000 001 O 0 W Qw O � O Hw 040"oo ON �W00 >; CZ H d a w E� W d U W Z O rn U LZ TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ........................ has permission for gas. installation ......... in the buildings of .......... I North Andover, Mass. Fee. Lic. No:` .... GAS INSPECTOR �' Check#:/ero 7065 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FrUING (Type or print) NORTH ANDOVER, /MASSACHUSETTS Building Locations C l l 0+ e Owner's Name New Renovation Replacement Plans Submitted Date 1,6,30.0q Permit # %t'z) 3 Amount $ 7— 5!�__ (Print or type) Name Check Certificate Installing Company Corp. Address A AV) WIAMTO 0(/) L �-V�e) Lz"0146E 41W [—] Partner. usmess TelepFone -7B' _ (,0R7_ -7 Firm/Co. Name of Licensed Plumber or Gas Fitter jNSURANCE COVERAGE ' Check one I have a current liability Insurance po or it's substantial equivalent. Yes No 0 If you have checked yes, please !0 tate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts Siaje Gas CpAhtnd Chapter 142 of the General Laws. (OFFICE USE ONLY) Siknatuof Licensed Plumber Or G F' er- P er W Gas Fitter License NiUnber 0 Master EiJourneyman L • ,,• (Print or type) Name Check Certificate Installing Company Corp. Address A AV) WIAMTO 0(/) L �-V�e) Lz"0146E 41W [—] Partner. usmess TelepFone -7B' _ (,0R7_ -7 Firm/Co. Name of Licensed Plumber or Gas Fitter jNSURANCE COVERAGE ' Check one I have a current liability Insurance po or it's substantial equivalent. Yes No 0 If you have checked yes, please !0 tate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts Siaje Gas CpAhtnd Chapter 142 of the General Laws. (OFFICE USE ONLY) Siknatuof Licensed Plumber Or G F' er- P er W Gas Fitter License NiUnber 0 Master EiJourneyman The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Naive (Business/Organization/Individual): Address: City/State/Zip: Phone #: Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t workers' comp. insurance. 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.0 Roof repairs 13.❑ Other `ATiy applfean, Mat Me= box 911 ^e;:t alav tall out the section below showing their workers' compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employeex Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone #: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a. deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability.Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. _ City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in— (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit.. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of industrial Accidents Office of Investigations 600 Washington. Street Roston, MA 0.2111. Tel. # 617-7274,900 ext 406 or 1-877-,MASSAFE Fax # 617-72.7-7749 Revised 5-26-05 uwvv.mass.gov/dia Date.... .'........... �.:. �' %. aOKY" t'`° '°�"° TOWN OF NORTH ANDOVER o ' p PERMIT FOR WIRING _„=M_ / This certifies that ........ :�...'1- .'...F :.:.:............... haspermission to perform ..:..::.........................................:.......11.................. wiring in the building of ..................... ............................................ at ..... ..........:........%.'...:? ...:............%... ,North Andover, Mass. Fee.................. LIc. No. .:.::..:./.................................. .. ::. . ELECTRICAL INSPECT Check # G <' 9101 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (leave blank APPLICATION FOR PERMIT To PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 52MR12 � WORK (PLEASE PMT ININK OR TYPE ALL INFORM1gTl0 City or Town of: NORTH AANDOVER NI Date:olr of �Wiref Bythis application the undersigned gives notice of his or her intention o perform the electtrical wo described below. Location (Street & Number) 3 OQ_K 9!V � Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps _Volts New Service Amps _ / Volts Number of Feeders and.Ampacity Location an Nature of Proposed Electrical Work: A- QWIM4 VF Telephone No. Yes ❑ No ❑ (Check Appropriate Bog) Utility Authorization No. Overhead ❑ Undgrd ❑ No, of Meters Overhead ❑ Undgrd ❑ No. of Meters Estimated Value of Electrical Work: Attach additional detail if desired, or as required by the Inspector of Wires. Work to Start: (When required by municipal policy.) d in INSURANCE COVERAGE: Unless waived by the ownepections to be re o pecrmit for the performancece with IVMC le 10,o el and upon completion. the Iicensee provides proof of liability insurance includinoperationg f electrical work may issue unless or its substantial undersigned certifies that such coverage is in force, and has exhibited proof of same oerage the permit issuing officeuivalent. The CHECK ONE: INSURANCE [L --*'BOND ❑ OTHER ❑ (Specify:) I certify, under the ins andpenaldes ofperjury, that the information on this application is true and complete. FIRM NAME: Licensee: LIC. NO.: ep, 26 (If applicab r ent "ere pt " in a lice a nu) ber 1i Signature LIC. NO.: Address: l Bus. TeL No.:�S`O F 78� � *Per M.G.L C. 147, s. 57-61, security work re uires D I Alt. Tel. No.:7 OWNER'S INSURANCE W q apartment of Public Safety "S" License: Lic. No. RIVER: I am aware that the required by law. By my signature below, I hereby waive thiLicensee does not have the liability insurance coverage normally Owner/Agent s requirement. I am the (check one) ❑ owner El owner's agent. Signature Telephone No. PERMIT FEE. S, �� No. of Recessed Luminaires Com letion o the ollowin No. of CeiL-Sus; p. (Paddle) Fans table may be waived by the Inspector o Wir No. of No. of Luminaire Outlets No, of Hot Tubs Total . Transformers "TA No. of Luminaires Swimming Pool Above ❑ In- Generators KVA o. o mergency ig No. of Receptacle Outlets d' d. No. of Oil Burners g Batt= Units No. of Switches FIRE ALARMS No. of Zones No. of Gas Burners NO..of Detection and No. of Ranges No. of Air Cond. Total Initis Devices No. of Waste Disposers ns eat Pump Number Tons No. of Alerting Devices Totals: _._'. - No. of Self -Contained No. of Dishwashers Space/11 A11 rea Heating Deteetion/Alertin Devices No. of Dryers 11 KW Head n11 11 11 A g Appliances Local ❑ Municipal Connection ❑ Other No, of Water Heaters' KW No. of No. of Security Systems: * No. of Devices or E uivalent i s SBallasts Data Wiring: No. Hydromassage Bathtubs . No. of Motors T Total HP T No. of DeviceLor Equiv el communications Wiring ent OTHER: No. of Devices or Eaurv81Pnt Estimated Value of Electrical Work: Attach additional detail if desired, or as required by the Inspector of Wires. Work to Start: (When required by municipal policy.) d in INSURANCE COVERAGE: Unless waived by the ownepections to be re o pecrmit for the performancece with IVMC le 10,o el and upon completion. the Iicensee provides proof of liability insurance includinoperationg f electrical work may issue unless or its substantial undersigned certifies that such coverage is in force, and has exhibited proof of same oerage the permit issuing officeuivalent. The CHECK ONE: INSURANCE [L --*'BOND ❑ OTHER ❑ (Specify:) I certify, under the ins andpenaldes ofperjury, that the information on this application is true and complete. FIRM NAME: Licensee: LIC. NO.: ep, 26 (If applicab r ent "ere pt " in a lice a nu) ber 1i Signature LIC. NO.: Address: l Bus. TeL No.:�S`O F 78� � *Per M.G.L C. 147, s. 57-61, security work re uires D I Alt. Tel. No.:7 OWNER'S INSURANCE W q apartment of Public Safety "S" License: Lic. No. RIVER: I am aware that the required by law. By my signature below, I hereby waive thiLicensee does not have the liability insurance coverage normally Owner/Agent s requirement. I am the (check one) ❑ owner El owner's agent. Signature Telephone No. PERMIT FEE. S, �� ;, . ........ lo ' The Commonwealth of Massachusetts Department of Industrial Accidents Office ofInvestigations 600 Washington Street Boston, MA -02111 www.mass-gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electrici.ans/Plumbers Applicant Information Please Print Legibly Naive (Business/Organization/Individual): 41;�( y Address: rn /�o-/ •�i_�� City/State/Zip: ///,GI', {[,% O/L " 44&v Phone #: ,9 $ ' 3 Z9 •) 7 Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11-❑ Plumbing repairs or additions 12-❑ Roof repairs 13.❑ Other ers compensateon policy inlormatton. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that isproviding workers' compensation insurance for my employees Below is thepolicy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: Attach a copy of the workers' City/State/Zip: compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct Signature: Date: ,Phone #: Official use only. Do not write in this area, to be completed by city or town official f City or Town: Issuing Authority (circle one): Permit/License 4 I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Are you an employer? Check the appropriate box: 1. ❑ 1 am a employer with 4. ❑ I am a general contractor and I - eigloyees (full and/or part-time).* have hired the sub -contractors 2. I am a sole proprietor or partner- listed on the attached sheet. T ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5- ❑ We are a corporation and its required.] 3. ❑ I am a homeowner doing officers have exercised their all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. No workers' comp. insurance required.] Any applicant that chocks box �] -us, also fill out the section below showing their work Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11-❑ Plumbing repairs or additions 12-❑ Roof repairs 13.❑ Other ers compensateon policy inlormatton. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that isproviding workers' compensation insurance for my employees Below is thepolicy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: Attach a copy of the workers' City/State/Zip: compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct Signature: Date: ,Phone #: Official use only. Do not write in this area, to be completed by city or town official f City or Town: Issuing Authority (circle one): Permit/License 4 I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability.Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. _. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permittlicense applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog Iicense or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth. of Massachusetts Department of industrial Accidents Office of Investigations 600 Washington Street Beston, MA.. 0.21:1.1 Tel. # 617-7274-900 ext 406 or 1-877 MASSAFE Fax # 617-727-7749 Revised 5-26-05 u .mass..�ov/dia NORTH ANDOVER BUILDING DEPARTMENT 27 CHARLES STREET Tel: 978-688-9545 Fax: 978-688-9542 DATE: 3— 3 6) _ (g:) NAME Rr tIC 2 s Vv -� - ADDRESS 3 3 ZONING DISTRICT TYPE OF BUSINESS: Zc,� k � 0 ID BUILDING LAYOUT PROVIDED: YES NO AVAILABLE PARKING SPACES ZONING BY LAW USAGE: YES NO BUILDING INSPECTOR SIGNATURE Location _ 33 to 4 I Kms' No. Date 11-t-0 �r TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ °?� D Foundation Permit Fee $ Other Permit Fee $ TOTAL $ o2 f D s Check #I (D RID 17757 �2( Building Inspector -. Q 0 z M 90 0 aaa� r M r G) TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 't. - WELDING PERMIT NUMBER: DATE ISSUED: V SIGNATURE: Building Commi oner/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel umber 1 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided ReqWred. Provided 11 1.7 Water Supply M.G.L.C.40. 54) Public ❑ Private ❑ 1.3. Flood Zone Information: Zone Outside Flood Zone, ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT ' > i t l i C iSfi�l rt: YnS P.In 2.1 Owner of Record I L J ame (Print) MOULTDN 171. ,MYDoV C_rat� Address for Service : 6y.-- '33 9 v 6-W?- -3 2 .a Signature Telephone 22 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: L(ensed Construction Supervisor: Address Signature t Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ ompany Name Ky ) J egistration Number Address AR y' -Jo(JT,✓a� +lj'i ,L /�'(9 0==4A114,Expiration Date Signature_ — Telephone -. Q 0 z M 90 0 aaa� r M r G) SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. —Signed affidavit Attached Yes .......❑ No....... 0 SECTION 5 Description of Proposed Work checka llcable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: /&�'- /tt --� 4 I SECTION 6 - F.STIMATFn CnNCT21TrT1nN rncTC Item Estimated Cost (Dollar) to be Completed bv permit applicant OMCL4L USE. ONLY 1. Building !/ © p 0 , _ (a) Building Permit Fee Multiplier 2 Electrical --a (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) �---- 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number aa:.a.aavi� iw v��1�r.a�rfv llava�aL�tf 11V1\ iV DL' l.Vl�'iiL:;lrili Wt1L�P1 OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRVIBERS SPAN DIMENSIONS OF SILLS DIMENSIONS 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 TON� ATU2AL GAS LINE i ERS* 0 I h cd D J w O O EM4 b�O�o d z LLI CLM a 0 a O a C1 O O w w NA a chi a o w o w G x u x � ,� a G w w o a t7 o w 4 o z 41 uo D J w O O EM4 b�O�o d z LLI CLM M 0 w a • 0 HA E Z CIO y CL 0 v cc M y 0 'oCL C40 0 U C c C40 0 CM C o m m 3 .o o t- L d O C. cmQ S ccc .v CD Z s CO)CDCL C W 0 U) Y/ C9 W W C9 W N O C1 O O C h O C V C C W m O Z CD cc Q E c� 3C.2 ocm E N W � N GO cm C : � m .NO � C m J = N CCU N C �O 10N `m o acs m N :fO m ro Q e: C O�:CNa 0 C -1 to �o`o O • o. I c 3 $ z o dim $ o W 0 X0.15 z w c +r MLU C Z CM 4D 5 H a = � CLE M 0 w a • 0 HA E Z CIO y CL 0 v cc M y 0 'oCL C40 0 U C c C40 0 CM C o m m 3 .o o t- L d O C. cmQ S ccc .v CD Z s CO)CDCL C W 0 U) Y/ C9 W W C9 W N 10/29/2004 09:36 FAX 16002/003 �!!-C�i.•'"T�i��'�:�N•st vaA�.�+.r tai:[�'?�j yr��i�r'h.• w�1*1R"i ��`yy�bj� �! $MM' y.. 1 Sr {a�'1"`c�'�'rJ-" �s 'r—`��-r—. �.... _ � V PRODUCER 7HI. CEM1nCAT@ iS ISEUED'A3 n MATTER OP ti+�OANULTIDN ONLY A1iD 44INFIERG NO RIGHTS UPON Marsh Canada Limited THE CERTIACATE HOLDER. THIS CERTIFICATE DOES ROT AMEND, CXTENn OR AI,TT.'R,7NE COvcRAOE ' 70 University Avenue AFFORDED BY THE MLICIl6 R£LOW. - COMPANIES AFFORDING COVERAGE Toronto, Ontario Canada M5J ZS4'I, LMIRt A Liberty Mutual,l"nsuranee) Company COMP/NY Q LETTEq a l a 3N J ((JDO V INSUALQ COMPANY L.CTTCR C Interlock Industries tris. Unit #7, 25 Walpole Park South COMPANY 1e?T6R D j Walpole, MA 02081 COMPANY Lenin • Certificate No. 027 F I TIyIS 19 TO C[PT1Py THAT TI>: 1`OIIoES 0r IN6URANCELI$TEO BEIOW NwvC BI/rt ISCuiO TO THc.INStIr<6V N�LMr;O'APOYe OA TIIF POLICY PERIOD rNDICATCO. HOT'WirH>IT.wD1N0 ANY REOVIREMI:NT. TERM OR.CONOITIDN OE ANY CONTRACT OR OTHER DOCUMCHT WITH RES000T TO WHICH THIS CCRTIFICATE MAY M MUUED OR MAY IJM?AW, Tk IHSLIRANC:E ARPORDED 9Y TMi ICIP9 O 4CRIc,6p „ER H rg SUIUICT TO Alt VI TEAMS R%9 WONS AND (ONOITIONJ QF SUCH rdLI0%. LIMIT: SHOWN MAY HAVE 811N RCD CEO BYC AIIwC• T LTR TYPR Of IyeunANC31. POLICY KWUR POUCY CFFECYIVC KATE IMMJDDIVY) MICY M1111ATION DAT'C IMM/DD7YYI _PAID uNUT= OWRAL LIABILITY L OGNEIWL ADGREOAT E COMMERCIAL GENenAL 1`710OUCTUOMP/Or AGG. jL'IAAmuTY CLAIMS M40C I I OCCUR. 77 .: �• FC83ONAL 6 AOV. INJVRY CYWNCM'3 5 CONTRACTOR'S pnOT. EACH OCCURRC'NCE 911144 QAMAC:F• IAny &- Fill MfO, EXPCHGE Wy one pe,w) AOTOMO1061 MAORITY ANY AUTO COMEWED SINou VIAT ALL OWNED AUTOS gcHCOVLED AUTOS OODILY IWtMv IPer I+�M) MJSCD AUTOS NON-OWNSO ALMOS ' BODILY INJURY IPer :eelaencl GAlLtG1 LInAILITY MOPOrry DAMAOL• OCC$6 LIABILITY . . CACN OCCVR?IGNCt UM@AELLA iORM AOOAEGATe 07MCA THAN UMDRILLA LOAM A wORIC[R9'CQMP2NOATION ANO WCT-871-072231-054 07./01/.2004 02/0712005 - x I 6TATUTORYLIMR3 EACIIACCIOEuT 11.000,OOO.00 W ..ASE-►OGCY LIMIT 61,000.000-00 eMPt0Y1nL' LWatyrl DISFA66AAC4 EMPLOYE= x-000,000.00 OTr7lR . DESCRIPTION 0/ OPERA'nOd81LOCAT10/151VtHICLE1Rt1C1ALTr MS Re: Proof of Workers.' Compensation Coverage, 7o Whom it May Conceirn SHOULO ANY GF THE,ADOVE DESCRISCO POLICIES BE 0 DEFQRe > NL:E ' TME eXp1RAT{ON DATe TNERI; , TFIQ 16jL1 l)MPAPtT W L ENDEAVOR TO Mai,Q.OAYS WRRTEN NOYICE TO YIiE'CErIr.1F1CATe it NAMeD TO 'ItE LEFT. OUT FAILURE TO MAIL *V(;H ' - NOTICE SHALL IMPOSE MM 08UGATIO LLIA UTY OF NY LINO UPONTHC`COMPANY;.Iy$I. AGENTS OR R£PSE!ENTATIV66. y AUTI+OnITlD mISCNTOFM IC4N tiMITCO �• /' 10/29/2004 09:37 FAX 003/003 A COR .-RTl Fl C -.-Al- j '0415 CCRT"I HARISWCANADA Umim) FICATE IS ISSUED AS A MAT -r AND CON FORMATION ONLY! '800 - 5-50 TERS Nb RIGHTS UPON THECC-PTIFICATE 34OLD'ER- THIS Vancouver; -B.C. CANADA V6r, 2KJ CERTXFXCATE DOES NOT AMEND, EXTEND 'OR ALTER'THE COVERAGE AFTORI)tD DYTHE POLICiE,- BELOW. CERT�FLCATEND: COMPANIES AFFORDING GOVERA AArne p �s5vr4jjcc Cormny r uc nF *hisri jc-% int, cp:+rgNr C3 The Commonwealth ofMassachatsetts Department of bidustrial Accidents Office of Investigations ----- �,< 600 Washington Street, ;"h Floor �i Boston, Mass. 02111 Workers' Compensation Insurance Affidavit: Building/Plumbing/Electlical Contractors name: .�iVEC�/� Jt��' /�' i�f��P -r � S Ah lio2N 1t / f g Zeklvc �( address: F — 5" V.41 p0 2r- PA /2 city `i/R f 1!20 211"� state: /YA zip: OA D J phone # IV — ❑ I am a homeowner performing all work myself. Project Type: ❑ New Construction []Remodel I am a sole proprietor and have no one working in an capacity. EJ.. ..... : ..::, .::.r.rU.I�a C 'Pn: q"r: �'A: ..t,. �.•::�. .j.. r;F:i J.".J:�i'2. "qi•Y ,11' ?(CA:'};;a l,'.r�,,•,;.L ..f':. u. Addition .. ,.-.41A.. }.:.+. vvC. rcr. w..:...,'i� ......1 ............. .�!�': �tl:., ,,.r4 a: ;a� -'tip ': i'�'r t•�'� �iA�i rt J,. ;u:". f:�•`;i._, . �ti+km:bit:.i+vl•�.,�::i'.`:fiSY.fJ•..rh::.J:t`•:;�f�:�'.61K.�,�'6..:. ❑ I am an employer providing workers' compensation for my employees working on this job. company name: address �' �. �^ W opo �Q ... n �i� RA 9btL'le I / r} t' city: W i�C. %� .. /T jr!I c%4� �' � phone # . CJ� insurance.co. olid # y.. 7y �,±• (( p9 ��y�g;. �[ �.. . ' n, . .; I E " ' ,: .. - ` , 2�I`�ua. - 4- , +• '4i1, ' 3, - • g' - 1'LTV _ hY_.J . dS:SLtW w1' `.5n /�'f1Ar2;7JL`li, j• ❑ I am a sole proprietor, general contractor, or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation polices: company!.name: . address: _ city:tihone #= insurance • :o. oli WNW _ 11 `li J i company name: ' address. city tihtine # insorance.co. olic Aar:emitk e%:.:;�,� Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminAr al penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of $100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. 1 do hereby certify under the pains ury that the information provided above is true and correct. Signature 7 .rte Date 2� /� Print name _ _ �/G,/t0 G a L1 / �2�5/ti N Phone # / moi �$ i�J6 , RR /e�Qle official use only do not write in this area to be completed by city or town official city or town: permit/license # ❑Building Department ❑Licensing Board ❑ check if immediate response is required ❑Selectmen's Office Qlfealth Department contact person: phone #; []Other (revised Sept. 2003) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an'individual, partnership, association, corporation or other legal entity, or any two or more of .the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the -occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract'for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. V t � L 01, Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be retumed to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. 5 -.nr - if� � r,-.�..rS. yµ.3ti ir,:SG?'yb4 'il' "tg}::i�;i sC+i�?.�;tg.htpbTi.;?il�' ���:�•.�k�5, � : �l� tf� :�54 Ta�.:� ;�., ::r' 'n;. •.m.. "'�t.,`.n;+�;_r ,.,��;;;'kr' „Lf, �;���" a. . c,' :.1: i •4. f R j:. :ilp ..t.? (".: ':'L'i!1:-�iJ !�}. : "w �;I y ti-� • t .L i� � A 'h • •l. ,� f. -'r.: F .i''. 1 4:1 � .{°.7... �.i++" :.�;i+'�,� i`': ri{, !'! yr .lT♦& =i7, WC y. Y. tui siS.t� `rvu7:2i'-'••F.i�f�i.:>, L:if�.Gj�.. ,L�e1�L'����i� iN�+ "5^' ��;Yie.:-d.y.-s:.s5',;A `ns. ;r.»'�'�,�^ I st> .-r',. ^'+'spa :t♦-rr'�.,,.y,;t. i xw� t-�, y�srJ,.rb.��:•5 r�11�i.,,..,1. 1�r. The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7`h Floor Boston, Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406 P co U ami Lo Eo a N ('to a00 cM 7 N t 1�1 4 -4U CC3 i ed'� L.�• O O L P' Z j 10 N CO i A �—n' Q C4 z U E c Q d c a V H LO q N E I to z W 't N m CO N a sx w m ViN a > y 00 c c o oCL Cab W z O. ai y°i, ❑ w}U O N a0 = Q' Q J W O v o a ¢ C) Q � +-�CL ❑ CC3 t 4 -4U CC3 i ed'� O O L P' Z j 10 N W}� A �—n' Q W N J W 0 YOd2 U J QLLJ OQo J F-_�YNQ ZZ*3: 0 z h i ed'� L 9 Q F- O m 1 z U E c O d c a V H LO q N E I to z W 't N m CO N a sx w m > V F=- O re c c o oCL m z O. ai w}U O W a0 = Q' Q J W O v o a ¢ 0g�° H YO N Q - Agreement Between INTERLOCK INDUSTRIES, INC. TE Unit 7, 25 Walpole Park South nA a ® Walpole, MA 02081 Registered as a Massachusetts Home Improvement Contractor mk�gy—�Jq Registration #129369 Customer Service: 1 -866 -588 -ROOF Factory Use Only 9 13132 off, O(q le)6i��2 3 .3 NameZ4. Jm(rj (,(,( A-) (the "Buyer") Date 00 Job Address -33 AI- R G-jZ ,��� _ �L� � Phone City/Town kog%/ A/Fn2T�Y Zip aJ — Buyer's Home Address SS k'1D�OL)y s7; — r &//)oVr=,,f' yn Zip 0 The Buyer is the registered owner of the land and premises described in the job address above (the "Premises") and hereby contracts with Interlock Industries, Inc. (the "Contractor") and authorizes the Contractor to furnish all necessary materials and labor to install, construct and place the improvements according to the following specifications, terms and conditions (the "Specifications") at the Premises. SPECIFICATIONS YES NO =� ROOFING MATERIAL YES NO OWNER WILL 4;T-' Shingle - Color , 7 �L �Y k"',_ Supply adequate electrical power. Locationr Shipment �v _�' Be responsible for all rot damage and other necessary l5 roof repairs. (ie) Roof decking, fascia boards, etc. _ Flash Skylights - Number Roof repair work may be undertaken by Interlock at a _per Flash Vents cost to be mutually agreed in advance between the Interlock Underlayme t parties. Snow Guards '° PCs. PtAC15 ROOF REMOVAL 8e7W 6iV Start date: Strip existing roof - layers. 2),D6--5 _1,?' Haul away roof debris and pay refuse fees. IF POSSI s , N t I f f e oca on Io o r bin ,a=t7 g -S _ fF13� p/� tL1l/ �� Supply'/z' plywood. �r _;�� Oo THIS CONTRACT INCLUDES:. NON"PRORATED, LIFIFfIME LABOR4 PRODUCT ARRANTY ON ALL INTERLOCK MANUFACTURED PRODUCTS. WARRANTY IS SENT DIRECTLY TO BUYER AFTER COMPLETION AND PAYMENT IN FULL. WARRANTY IS TRANSFER BLE. Financing Requested Yes V' No Pre -Approved Interest Rate 10.9% to 14.9% Payment not to exceed $ Sales Price $ Sales Tax $ Sub -Total $ tl- Down Payment $ �00 I ()WV\ Total.Balance on Completion $ zo. %Q �- U 77, MAKE ALL CHECKS PAYABLE TO: INTERLOCK INDUSTRIES, INC. Do not sign this contract if there are any blank spaces. IN WITNESS WHEREOF, the Buyer and Contractor have hereunto signed their names this day of 4116-206)1;,� The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor. has a dispute concerning this Contract, the Contractor may submit such dispute to a private arbitration servi e which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be req ire to sub o such arbitration as provided inMQL c 142A. r Signed Per: �.r �' :,,,;� Buyer INTERLOCK INDU IES, INC. Signed Buyer Witness This Agreement is a binding agreement and contract between the parties. This is not a credit transaction and will not be financed by the Contractor. If financing is required, the Buyer hereby authorizes the Contractor to obtain credit information and the Buyer hereby agrees to provide and sign all necessary documents required by any third party financial institution to complete the financing, immediately on request. The Buyer hereby acknowledges receipt of this Agreement. See reverse of Agreement for additional terms and conditions. Form CON -MA -0204 All surplus material is the property of the Contractor o ©o0:0 Li z za z " � °o ao <�, a. Ti rn o R° o o °q :o G C� C r " a " - o o R oh 0 o 0 o y ntti ° ow " n c!a opm�' o oq n o �' CA z 0 N 1 - I f } N 4 Location No. i%% Date "GRT" TOWN OF NORTH ANDOVER SGL Certificate of Occupancy $ �� s'•"°�;<�' Building/Frame Permit Fee $ +cHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 133 • f Check # �y li 7625�- Building Ins or TOWN OF NORTH ANDOVER WELDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY WILDING OTHER THAN A ONE OR TWO FAMILY DWELLING 71, ;fN Section for Official Use Onlil; BUILDING PERMIT NUMBER: 177 T DATE ISSUED: SIGNATURE Odin % Commissioneranspedor of Buddings Date -16 -651 sacnim f. sin 1.1 Property Address: pc 1.2 Assessors Map and Parcel -7)Assessors M* Number Parcel Nutnbtr 1.3 Zoning Information: 1.4 Property Dimensions: ZoningDistfict hqmwdUse ia-A—rea (sf) Froqtage(ft)___ 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Provided Required Provided —Required 1.7 Water Supply hLGJ..C.40. 34) 1.5. Zoos Flood Zone Inforostion: Ovaide Flood Zoos 0 1.8 Sawarap Dkpoul Symor muoidpal on Site D4osd Syd= 0 Public 0 Privab 0- R., �77.77_3 2.1 Owner of Record TR Lq Name (Print) Address for Service: Signature Telephone 2.2 Authorized Agent Name Print Address for Service: Signature Telephone N M,777714 3.1 'tensed Construction Supervisor Not Applicable 0 Pep Address License Number Li seLdConsntruction Supervisor: ExpAtior; to §g–nature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name. Registration Number Address Expiration Date Signature Telephone n C X- �p'o Agent j 1-iP J. d Aare that the statements I t) Z6 4j ,as Owner/ uthorized information on the foreeoine awlication are true and accurate. to the best of my knowledge and belief. Sign under the pains and penalties of perjury Print Name Signature o OWner/Agent l6ate ��My 1 yam."��A Item Estimated Cost (Dollars) to be Completed by permit applicant 9MCUL, , USI.ONLY A0,/," 1. Building , . 2 (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+5) Check Number ! 7 �£ �T y {•j � � 3 3�� yi° Y• {f 1 C J ! � r! A �tf (Aj t ^ ) \ i � NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 3 RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS BIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRVINEY t IS BUILDING ON SOLID OR FILLED LAND 1S BUILDING CONNECTED TO NATURAL GAS LINE SECTION 4 - WORKtitS COM PENUTitlf!1 QKQL C 152 1 255(6) Workers Compensation Insurance affidavit st becompleted and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yea ....... No..... _:7 SECTION S - PROFESSIONAL DESIGN APED COPTST ucTIONstimCES FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL MMSUAP"-D* "I CM 116 (CONTAINING MORE THAND 35,000 CF. OF ENCLOSM SPACE) 5.1 Registered Architect: Name: Address Signature Telephone 5.2 Reostered Pmfeula.al EmBlsicetr(sk . D nr. ti/ Area of Responsibility Name: Registration Number Address: Expiration Date Signature Total Not applicable ❑ Y Name: Registration Number Expiration Date Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone s Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Ge:�arat .S P_ U C)pri /i h.1/ E C. I.JL. P-�� Not Applicable ❑ ConwwName: y ., Responsible in Charge of Construction 0 SECTtOR 6 DESCRIPTION OF PIROPOBBD O)RB (,chock all applicable) New Construction C Existing Building Repair(s) - Alterations(s) _ rXddition = Accessor% Bldg. = Demolition ❑ Other = Specif)- Brief (Description of Proposed Work: % - I i �'t 1► f/ l /,��l Ar 7— C47 -e,4,. ,J ✓nor' jt�7- Rid SUT"l- TiSt QWW AND C0NMIIC'1(' ! T"% USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly 0 A-1 ❑ A-2 ❑ A-3 ❑ A4 0 A-5 ❑ IA IB 0 0 B Business A QS 2B 2C 0 ❑ C Educational ly F Factory 0 F-1 ❑ F-2 ❑ H High Hazard ❑ 3A 3B ❑ ❑ -1 Institutional 0 1-1 0 I-2 ❑ I-3 0 M Mercantile ❑ 4 ❑ R residential 0 R -I ❑ R-2 ❑ R-3 ❑ 5A 5B ❑ 0 S Storage ❑ S-1 ❑ S-2 ❑ U utility 0 M Mixed Use 0 S Special Use ❑ Specify: Specify: Specify: COMPLETE TRIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN U: Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: r r1;,7t' BUILDING AREA �n EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area 1 ULill Independent Structural Engineering Structural Peer Review Required Yes ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT No ❑ 1, as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application ISignature of Owner Date w O O FM4 ERS r� I � 50 P4 0 a a C � O h C v C.3 CL c ev ev m c `o a CD EQ c x w° v chi A w° d G u c x a a aG 7� w w w a�G w � C7 a�' w WAW A4 rA 6 z cn o cn Q fij 0 O.L m mc_ E N �O N N C, 3 m m� y �m a z N O O Em W acm im a 1,0021— cp O m c cS S m z CO2 co 0===s 1=•N = W C Z ~�N o O h �'C=M 3 z N Boacm r CL4.0 zip y y E a. O v CW ir y CL y O O C cc h 3 LLI 0 W to 19 W W W 0 50 O 7 C � O h C v C.3 CL c ev ev m c `o CD EQ c m0 = 0 0. EC Q fij 0 O.L m mc_ E N �O N N C, 3 m m� y �m a z N O O Em W acm im a 1,0021— cp O m c cS S m z CO2 co 0===s 1=•N = W C Z ~�N o O h �'C=M 3 z N Boacm r CL4.0 zip y y E a. O v CW ir y CL y O O C cc h 3 LLI 0 W to 19 W W W 0 o Aspen Roofing Services, Inc. Page No. Of pages. 4 Florence Street, #3 Salem, MA 01970 740-88308830 PROPOSAL (978) TO: Michael Goodwin PHONE: 978-423-8463 DATE: 3 — 12 - 04 71 Middle Road Brentwood, NH. 03833 JOB NAME/LOCATION: 33 Walker Road, N. Andover, Ma. We the undersigned agree to furnish material and labor to do the following specified work, subject to terms and conditions on reverse side hereof. If work is accepted, please sign one copy and return with deposit to our office. We do not schedule any work until a signed copy is on file. 1. Rip existing shingle roof system down to wood decking. 2. Furnish and install new wood decking if needed @ $3.50 per foot up to 32 square feet any more than this amount will be completed with owner's written permission: 3. Furnish and install a new 30 year GAF Timberline architectural shingled roof system complete with roof paper. 4. Furnish and install new aluminum 8" drip edge at all perimeter edges. 5. Make proper flashing connections to all roof projections. 6. Cut existing ridge line, furnish and install new ridge vent capped over with new matching shingles. 7. Furnish and install ice and water protection for approximately 6'/ft. wide at all gutter edges and 18" wide on either sides of valleys. 8. Furnish GAF 30 year material warranty. 9. Furnish two year labor guarantee. 10. All work to be done in a professional and timely manner. All job related debris to be removed from roof and properly disposed. All grounds to be left in a neat and orderly appearance. 11. For your convenience, please see enclosed Certificate of Insurance. 12. Furnish roof work permit as per local building department. This proposal is valid for thirty 30 days. The undersigned property owner agrees to pay for the work specified, the sum of ($13;328.00) dollars THIRTEEN THOUSAND THREE HUNDRED TWENTY EIGHT DOLLARS Deposit Installment Balance $ 1,332.00 -10% @ SIGNING $ 5,331.00 — 40% @ START OF $ 6,665.00 @ COMPLITION JOB AND DELIVERY OF MATERIALS to be paid upon completion Due upon 1/2 job completion Aspen Roofing Services, Inc. I have read the above contract and hereby accept the same. Approved by: George M. VanHillo DATE IMMI00— COR CERTIFICATE OF LIABILITY INSURANCE 12/30/2003 PRODUCER (781)681-6656 FAX (781)681-6686 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION J,Barry Driscoll Ins Agcy, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 600 Lon water Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 9 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW P.O. Box 9120 Norwell, MA 02061 INSURERS AFFORDING COVERAGE I NAIC a INSumo Aspen RooTing Services, Inc. INSURERA: American Cas.Co.of Reading, PA ; 1 4 Florence St., Unit #3 wsURERB: Transcontinental Insurance Co. iTransc Salem, MA 01970 INSURERC: Transportation Insurance Co. Transp INSURER 0 I INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NC . :- -S _ _ ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TOW HICH THIS CERTIFICATE MAYBE SS_ = - kAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDI' '•S .-Jffc .Te I IUITC eunIA/M uAV WAUF APPM RFr)I Ir.Fn RY PAIn CLAIMS. INS d TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS OENERALUAWLITY TCP1098411283 12/31/2003 12/31/2004 EACH OCCURRENCE S 1.000.000 RFMtG, TO RENTED S F 1-00 , 000 X COMMERCIAL GENERAL LIABILITY MEO EXP (Any one person) S 3 , DO CLAIMS MADE 7 OCCUR PERSONAL & ADV INJURY S 1 , 000 , 00 A GENERAL AGGREGATE S 2,000 . 00 GEML AGGREGATE LIMIT APPLIES PER. POLICY X PRO • JECT LOC PRODUCTS • COMPrOP AGG 5 > • 000.0001_ AUTOMOBILE UABIUTY ANY AUTO SAP1098411378 12/31/2003 12/31/2004 COMBINED SINGLE LIMIT (Ea acaoenl) S 1,000.0001 ALL OWNED AUTOS BODILY INJURY (Per person) S X SCHEDULED AUTOS BODILY INJURY S B X HIRED AUTOS X NON-OwNEO AUTOS (Per accuoenl) PROPERTY DAMAGE (Per acc-oe„I) GARAGE LIABILITY AUTO ONLY . EA ACC DEN' S OTHER THAN EA ACC S ANY AUTO AUTO ONLY AGG S EXCEssrUMBRELLA LIABILITY CUP1098411333 12/31/2003 12/31/2004 EACH OCCURRENCE S 2,000 , 000 AGGREGATE S 2 .000 , 00 OCCUR CLAIMS MADE S C 1 S — RDEDUCTIBLE X RETENTION S 10,000S WORKEJU COMPENSATION AND WC1098411235 12/31/2003 12/31/2004 X "r STATu•T oT F a E L EACH ACCIDENT S 1,000.0001 EMrLOTERS' UABIUTY C ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED' El DISEASE • EA EMPLOYEd S 1,000.006 E1 DISEASE •POLICY LIMIT I S 1,000,000 646mot LIMN t;CIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ACORD 25 (2001108) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED SE;CQE ” EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEA�CQ w 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE -OLDER .AME BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGAT,ON DQ _ AB OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE ^ B. Driscoll/]KT OACORD CORPORATION '93e e North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: WkrL..- W(574.1 ml d i �,re)0V - (Location of Facility) Signature of Permit Applicant 9 - /0' C; 9 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector • ` ` \ l \ i � � �� Oz \ \ 7 n \ - . 0 7 / \ @ / .kL E/� 2 # 5/ S \ 5� �\ �e \ b #� 0 7 © m9 \ \1 \ 0 \ %k2 . y m x m C m m cn F, m w a- d ce CM) 10 O CD .. Z y CD 0 . =r O dS. y o v CD CD O CLQ CD CD CD C CD y� -• CD CL v y -• o o I Co CD C2 CA O CD Z O CD O CCD i Id cn c^^ n O z cn C O cn �z c n 0 c � i m a�Ic N U2 m 1 N 3 y O L CL O -�o•a o I m . = O Z�.n O N !! SO� N O o�� m • �CD Cl CU N 3: = N . 25 CA Cl) m T m CA S CL Or .� S a �•_ U2 m Irl y O • CA to O A cc. N O sm �CD �o = o m ate: C ncO = o c o o Imm Emi vz I z 0 c � pC 07 gi Irl vz I z 0 c Date . 1 -../o c �� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . T.j K .. C . � . !II /-.." I . G ................... has permission to perform ...�i.a.! l S� l� . plumbing in the buildings of�j y1c.�-................... at...-' 3 ... (.� .,!! � ../. "IY............. North Andover, Mass. Fee./�.`.. Lic. No.. . �.......... . PLUMBING INPECTOR Check # � } '6' -1 6G14 MASSACHUSETTS UNIFORM (Type or print) NORTH ANDOVER, MA iSSACHUSETTS 3-3Building Location ) LVA !ken 9J J Owner Name New ©- Renovation ❑ Type of Occi Replacement �� FIXTURES NATION FOR PERMIT TO DO PLUMBIN Date � cf �y#��- �YfdtJ`�ti Permit# Oly Amount /g -,p Plans Submitted Yes 0 No ❑ (Print or type) / // Check one: Certificate Installing Company Name iA Cr. iQ%Z i�1 �!y /j7 f� /!v u Corp. ❑ Partner. ® Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: ❑ Liability insurance policy El Other type of indemnity 11 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 M I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plurr bing Code and Chapter 142 of the General Laws. own ZOVED (OFFICE USE ONLY. Type of Plumbing License e 3 F1lcense uUMM er Master Journeyman (� 6 Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING goc? ..... ............................... This certifies that ' has permission to perform_.. S!`...c................................................ ` wiring in the building of ........................`.`. -............................................. .3� `'� �.. , North Andover, Mass. 07 Fe t.......... Lic. No. ELECTRICAL INSPECTOR Check # 5213 TBE COAMOATWEALTHOFA WBUSE77S Office Use only DEPARTM6AT0FPUBLICS4FETY Permit No. C5a / 3 BOARDOFFIREPREVENTIONREGUTATIONS527CMR12 00 &yrp', . / I Occupancy & Fees Checked APPLICATTONFOR PERIVQT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street 6 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes + �No � (Check Appropriate Box) Purpose of Building i %7��0r-�� T %"J�V 5,m /G/,7 Utility Authorization No. Existing Service Amps / Volts Overhead Underground No. of Meters New Service Amps Volts Overhead Underground ED No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total � KVA No. of Lighting FixturesSwimming Pool Above M Below Generators KVA round ground No. of Receptacle Outlets4� • No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners No. of Ranges No. of Air Cond. Total FIRE ALARMS No. of Zones Tons No. of Disposals No. of Heat Total Total No. of Detection and Pumps Tons KW Initiating Devices No. of Dishwashers Space Area Heating KW Np. Sounding Devices tof No; of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local O Municipal Other Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. HyVro Massage Tubs No. of Motors Total HP OTHER. Instua =Corr -age. Ptnst=tothelegtli mieDNofNb%a lnsettsGa)edLaws Ibawaau�ttIiaAtykmra ceFOhcyinckxhngCompletCoverageOrilssubs�mtialegtlivala>x YES =^NO IhawsubmilmdvalidproofofsametotheOffiae, YES FyoubawdtededYES, pleweitic�thetypeofcowrageby d>edong the bo u / �y� INSURANCE BOND OIIiEit (PleaseSpecafy) / y �/ ' �• /�P-2- - : - Esfnnalad Value of Eloc" Wodc $ ,sem-00 Rough T:; Fula] iicensuNo. A � 55,--, LicerwNO BusffnsTetNo. ,*cr�-a -,- Arlrlit ccr�C� �tJf i�P ✓C7 f7�✓N- i /�� %r�•Lf CJ% 8 Alt Tel. No. OWNER'S INSURANCE WAIVER, I amawaredmttheLicerredoesnothave theinstuatxeoovetage orits substantial egtuvalentas togmedbyMassachusetTs Gme al Laws and that my sigroltue on thispermit application waives this regtlue�natt (Please check one) Owner Agent 0 �-s✓/ Telephone No. PERMIT FEE $ Signalure ot Uwner or Agent The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address a City: Phone # • Insurance. Co. Policy # Company name: Address City: Phone #• Insurance Co. Policv # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to and/or one years' imprisonment -as _well_as_civil.,penaltiesin1heform -of a_STOP WORK ORDER..and_a fine_cf.(.$1DO.00.) a-dayagainst..me. understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and conect. Signature. Date Print name Phone # Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing E] Building Dept ❑Check if immediate response is required C] Licensing Board ❑ Selectman's Office Contact person: Phone #: F -I Health Department ❑ Other Date. & . / ...... r TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that has permission for gas installations,"'l-Z.L!.f.�:.,!z-�. in the buildin s of North Andover Mass. Fee. Z, . Lic. No..,-;F.7f.'-5 . .......................... GAS INSPECTOR Check #����3 t 403 MASS APPROV&L #� MASSACHUSETTS UNIFORM APPi at Mass. euad1110 P FOR GASFITTING J� Perms S �4 owners Name Type d O1GY O r Natio a Perm "dw ❑ Reptaccment Q plant Submitted, Ya❑ No ❑ Iva-esxT. esfaEfrt>ExT QST FLOOR 2ND FLOOR *RD FLOOR 4TH FLOOR STH FLOOR STH FLOOR ?TK FLOOR `TH FLOOR hats ft Company Warne YANKEE GAS Check one: Ceditkate Address 140 SOUTH MAIN STREET 11 Corporation 103CC MIDDLETON r MA 01949 , [ . Partnership Business Telephone 9 7 8 -7 7 4 -2 7 6 0 = Firm/Co. Marne of Licensed Plumber or Gas Fitter WILLIAM R- HARRT S INSURANCE COVERAGE: I Iave a etnrerst liability kwurance policy Or Is substantial equivalent white rr.*=t bw requirements of MGL Ch 142. Yes M No O if you have checked yep- please Indicate the type coverage by checking the zwopriate box A liability Insurance policy [3 Other typo of indemnity 0 bond ❑ OWNER'S INSURANCE WAIVER: i am aware that the licensee does nct have the insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this perft Wiation, waives this requirement. Check one: Owneej- Agent ❑ Signature of Owner or Owner's /Agent 1 hereby owtify that all of the details and i 1wrnation I have sub mined (or entered} in above &vP; atiw are true and accurate to IN gest of my - knowledge and that all plumbing wilt and installations pertonned under the peunit' ittia n be ' with all pertinent provisions of ft Massachusetts State Gas Code and Chapter 142 ct tM gy T of Ucmw: Plumber mature or mer iHle juastteeref !tense wnbe 3 7 8 5 d*/Towrr Journeyman a a o: W a % c a o a a=} W Q O � V c so 2 a ac w = es m� er a s e 0 Z i O n x i Q O J n e y o a. a<e Iva-esxT. esfaEfrt>ExT QST FLOOR 2ND FLOOR *RD FLOOR 4TH FLOOR STH FLOOR STH FLOOR ?TK FLOOR `TH FLOOR hats ft Company Warne YANKEE GAS Check one: Ceditkate Address 140 SOUTH MAIN STREET 11 Corporation 103CC MIDDLETON r MA 01949 , [ . Partnership Business Telephone 9 7 8 -7 7 4 -2 7 6 0 = Firm/Co. Marne of Licensed Plumber or Gas Fitter WILLIAM R- HARRT S INSURANCE COVERAGE: I Iave a etnrerst liability kwurance policy Or Is substantial equivalent white rr.*=t bw requirements of MGL Ch 142. Yes M No O if you have checked yep- please Indicate the type coverage by checking the zwopriate box A liability Insurance policy [3 Other typo of indemnity 0 bond ❑ OWNER'S INSURANCE WAIVER: i am aware that the licensee does nct have the insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this perft Wiation, waives this requirement. Check one: Owneej- Agent ❑ Signature of Owner or Owner's /Agent 1 hereby owtify that all of the details and i 1wrnation I have sub mined (or entered} in above &vP; atiw are true and accurate to IN gest of my - knowledge and that all plumbing wilt and installations pertonned under the peunit' ittia n be ' with all pertinent provisions of ft Massachusetts State Gas Code and Chapter 142 ct tM gy T of Ucmw: Plumber mature or mer iHle juastteeref !tense wnbe 3 7 8 5 d*/Towrr Journeyman Date.. /� !V ..... 10N, TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ............... i ........ 10' has permission for gas installation ---A — " .............. '47. - - �-- in the buildings of .... .................... at )� ..... North Andover, Mass. Fee`' -'.. Lic. No:..;�.-/f ... ......... ........ GA, INSP, R Check # MASSACHUSETTS UNUDRMAPPUCATON (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations 3 3 LA- � - a 0 - A F' � U xi -,O� Owner' SVI New Renovation Replacement 2 PERIVW TO DO GAS FrYMG Date 10-14-o Permit # Amount $ �- Plans Submitted or type) ` ` drmk-s r Check one: Certificate Installing Company Name �N'� ti Corp. Address APP&A-44-01LtZ d 0 Partner. -rp5w 'ILI, , M /4- Business Telephone q 7> 39 6' 1271 a Firm/Co. Name of Licensed Plumber or Gas Fitter �D ,ii�aro INSURANCE COVERAGE Check on I have a current liability Insurance policy or it's substantial equivalent. Yes NoO If you have checked yes, please i icate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity 1:1 Bond D. 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 1:1 Agent 0 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 Massachusejtj State Gas Co"ndAapter 142 of the General Laws. VED (OFFICE USE ONLY) Signature of Licensed Plumber ��OGs�Fitter Plumber 1 © Gas Fitter Icense Number Master 1�- Journeyman W wa rA a a H x a� H a z O H a w w H vO� a G C7 z U 0 qa E x04 g yO z(n Cw7 O pa `� O x w A cW7 a UO a A a H O SUB -BASEM ENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR I STH. FLOORELI or type) ` ` drmk-s r Check one: Certificate Installing Company Name �N'� ti Corp. Address APP&A-44-01LtZ d 0 Partner. -rp5w 'ILI, , M /4- Business Telephone q 7> 39 6' 1271 a Firm/Co. Name of Licensed Plumber or Gas Fitter �D ,ii�aro INSURANCE COVERAGE Check on I have a current liability Insurance policy or it's substantial equivalent. Yes NoO If you have checked yes, please i icate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity 1:1 Bond D. 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 1:1 Agent 0 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 Massachusejtj State Gas Co"ndAapter 142 of the General Laws. VED (OFFICE USE ONLY) Signature of Licensed Plumber ��OGs�Fitter Plumber 1 © Gas Fitter Icense Number Master 1�- Journeyman r' Location R No. 4� Date f TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ ACHUs Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # C; %%6 `t 7/_54 wilding Inspector 3 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER TTHeQANN A�OpNp�E ORS FAMILYDWELLING �TA,W�gO i.'"/�.t9 _. J ! (�..-- b- L M1( ' S -F �'S t - s•°3'ti.55 T 'k . 3t 8 31YJ 13�.C.�'on �oLL �U'AYiciQ� Use ®�6l Y BUILDING PERMIT NUMBER: DATE ISSUED: 6 (D c5 - !Q C/ SIGNATURE: C Buildin Commissioner or of Buildin Date 1.1 Property Address: 1.2 Assessors Map and Parcel Number: SO-) t"A2 f def k � 1 E3 - /a r ap Nurtaber Parcel Num JAI3A'' 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ ,4�' V n . ... _ y....r 2.1 Owner of Record _ - Name (Print) Address for Service: pp Y Signature ' Telephone 2.2 Authorized Agent Name Print Address for Service: Signature Telephone 3.1 Licensed Construction Supervisor Not Applicable ❑ r �,T!�_Li Address License Number f / Licensed Construction Super. ~.. _ Expiration Date/ / ! 7 �V " / V Signature Telephone 3.2 Registered Home I! provement Contractor Not Applicable Company Name ------- Registration Number Address-------- --------------------- Expiration Date Signature Telephone M 's v n M O 0 M D Z O Z M tz Id'! �-�► ,� rs� �d t as 01 er/Authoriz d ge e � Heiebbbyy declare that the statements and information on the foregoing application are true and accurate, to the lest of my knowledge and belief. Signed under the pains and penalties of perjury CL, Print Name 47 --`- -9ignature of Owner/Agent Date Item Estimated Cost (Dollars) to be Completed by permit applicant I . Building (a) Building Permit Fee 0c) 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+5) Check Number ` NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sr 2ND 3 R 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 5 sh l Name: Address Signature Telephone S� Regfst�ed fl?ra8ee��n�t ���� ;' Name: Total Signature Telephone Name Address Signature Name Address Signature Company Name: IResponsible in Charge of Construction Telephone Telephone Area of Responsibility Registration Number Expiration Date Not applicable ❑ Registration Number Expiration Date Area of Responsibility Registration Number Expiration Date Area of Responsibility Registration Number Expiration Date Not Applicable ❑ a CtJ!F�`iTI�t t!4)!I #check all appleable? '. New Construction ❑ Existing Building V Repair(s) ❑ _[_Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ ❑ A -I 0 A4 0 Demolition 0 Other ❑ Specify ❑ Brief Description of Proposed Work: ❑ ❑ B Business D -s' t 2A 2B 2C ❑ ❑ ❑ C Educational ❑ F Factory ❑ F-1 0 F-2 0 BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s TGtal Height 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 1, ,as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Date USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -I 0 A4 0 A-2 A-5 ❑ A-3 ❑ ❑ ]A IB ❑ ❑ B Business D -s' 2A 2B 2C ❑ ❑ ❑ C Educational ❑ F Factory ❑ F-1 0 F-2 0 H High Hazard 0 3A 3B 0 ❑ IInstitutional ❑ I-1 ❑ I-2 0 I-3 ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-1 0 R-2 ❑ R-3 ❑ 5A 5B ❑ ❑ S Storage 0 S-1 0 S-2 ❑ U Utility M,Mixed Use S Special Use 0 ❑ 0 Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: 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 TGtal Height 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 1, ,as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Date FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is usedio verify that all necessary approval/ permits from Boards and Departments having jurisdiction, have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. tsaaaassassnasasassaa*SEES aa00aasaanasassaaaaaa�asassssasssaaassaf■saaaasas■ APPLICANT PHONE 5 ASSESSORS MAP NUMBER F LOT NUMBER - t� c W ry �p- r --, v&*a ,e- SUBDIVISION LOT NUMBER STREET Gi%� K� /�C R—b STREET NUMBER 3� esu*aa;■i�aasaaaaaaasa.■aaaaaasa-.asaaaasasaaasaaa�saaaasaaa.aaasa-aaaaaaaasa-s■ OFFIerAI. USE ONLY �saasasaasa.■saaassaaasaa�.asassasaassasaassasa�assssaaaaaasaa■asaaa.a,aaman ■-aaa { RECOARWENDATIONS OF TOWN AGENTS ssasaaaaasa.aaaasasaaa■asaanman aaaamaRoams now asoon aaaarssasaaSEEM aaamaaaaaas■ CONSERVATIONAI?NIlNISTRATOR DATE APPROVED DATE REJECTED CONIIVIEIV I'S TOWN PLANNER DATE APPROVED CONIIvIENTS FOOD INSPECTOR - BF.ALTH SEPTIC INSPECTOR - HEALTH COMMENTS DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT 1' / DATE APPROVED FIRE DEPARTMENT l / DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR - DATE The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print Cite eec C )P t4j 41 , 0 ! <�Ll ( Phone # I am a, homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 0 I am an employer providing workers' compensation for my employees working on this job. Comoanv name: Address City Phone #: Insurance Co. Polio Company name: Address City Phone #: Insurance Co. Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to $1,500.00 and/or one years' imprisonment -as _well_as_civiL.penaltiesin.lhe form nfa_STOP WORK _ORDER..and.afine .of.(.$100.00)_arlay against -me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of pedyry that the information provided above is true and correct. 4 Print namer��u M A-7 b1-7 7 �e' f 8 r Phone # - qCD <61. Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing ❑Check if immediate response is required Contact person: Phone #. ❑ Building Dept ❑ Licensing Board ❑ Selectman's Office ❑ Health Department ❑ Other 4 /ze �ah��u�ouuea�i a�,/��ac�uaeG� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 082196 I Birthdate: 11/09/1976 4n Expires: 11/09/2005 Tr. no: 82196 Restricted: 00 SHANNON J SIROIS 428 MT VERNON ST �o LAWRENCE, MA 01843 _ Administrator 4 North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: �ryor (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 11 0 n Srral st�ling:staflon 2.5 sq. wide 3 11.5 sq. d8e p I iTY'wl x 1 $",d 4: It3 alio L-�ar(e styling - tate. w0 i.,7 1.5sqd ... V 5 ft. v.iks 4 di Meter. 45 rA W s? W aG ^\O w U) u cn 0 czy C w° aG U x 0 H r w 0 W a�' c� w a�' w C h O 1 cn O cn O am z O O v TIT w P4 • ,,b O L _O v Z co d O y D � O CM C C C.— cm•— cm m 0 CD = O� O O 0 O Cc o a m:ca o � c R ca C Z0 CL � C■2 h c ■ C cts CL ^^ca it W Y/ U) 19 W W Y/ C � ;CD O C2:3 C h O ' ' C r.+ O .CL 1 Cc ev c s c oM CD E� CF I C.2 c. M o = Q �m E a mm o Z 0 3 z ® C! . h C13 z m�N O O O m o atm m 0 : eo m oC ` _ cm C L; C C H Q C ® v N z m �'� O O` w O 01 Q v m ` C a p 2 m C C O CD CCD� p N coot 4- i0f S ~ O � m m �"' L4� OC .y .0� fir=... C � H cc E `a.t c 5 o IDS ca Z o H a o-210 ®.o g = � a.*,. Cl O O v TIT w P4 • ,,b O L _O v Z co d O y D � O CM C C C.— cm•— cm m 0 CD = O� O O 0 O Cc o a m:ca o � c R ca C Z0 CL � C■2 h c ■ C cts CL ^^ca it W Y/ U) 19 W W Y/ A 'A 12 , el)� Date .....i .... ................ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............... ............................................................................... has permission to perform ... 41 ........ ............... j,ter"...-I J wiring in the building of ...... ........ ..................................... D at .... .......... ,North Andover, Mass. .......................................... Feel ........ Lic. No.!�.A-/ ................... ................ .. ...... ..... ELECTRICAL INSPECTOR Check # it 6 7 L� R &ZN Conmonmf/I of AftSSifhiLlS f OwKialuse Only P+ennit No. _ �y Dqw nlef/t of Fie ServicesOccUpalacy and Fee Chedmd /0&"00 BOARD OF FIRE PREVENTION REGULAT10NS _ 1U99] �k APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in am rdance with the Massachusetts Electrical Code (N)EC 27CR12.00 PLEASE PRINT IN INK OR TYPEALL INFORMATION) Date: � 3 ( City or Town of It -6 1 An d p UA i'_ To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical wont described below. Loi 2tlonm(Street & Number) Owner or Tenant n Owner's Address FA_ Is this permit in oonjudction with a building pwnW- Yes ❑ No Purpose of Building Utddy Existing Service Amps / Volts Overhead ❑ New Service Amps 1 Volts Overhead ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Telephone No. 97Y- 0000 (Check Appropriate Boz) mthorization No. Undgrd ❑ No. of Meters Undgrd ❑ No. of Meters Comof&e _AW*warhieWaimdbyAVofWaec Nb. of eeemw Fumum Na of Q&Smp- (Paddy Na of not Tow Fads Tr m KVA Gemermlon KVA No. OfL-i OaBds No. of I Irl ftm Abm Swies� Pod ❑ ❑ Batim Ups No. of Rede Ondeft Nmef0RBWmn FM ALARMS IN& of Zen" No. of Smikbes No efCmc Bias r%LofDeftCffMm1d Devi= No. of Rouges No► of Air CAN& T SpaedMea Hem Tom Toes ops KW No. Deviar De Devi= Local❑ ❑Other Na of Waste Disposers Na afDiriwaslrs No. of Dryers Headm Applammm KW Nei wofwmer KW IIS Bads a l NiLefa eines or No. Hydroms=ge B Na ofMotors TOW HP - T Ns. of Daviees ar ggmiv OTHER: INSURANCE COVERAGE: Unless waived by the owm, no permit for the perftmance of electrical work may issue unless the licensee provides pmof of liability iffiwranee indudinn "completed operation" coverage or its substantial equivalent The uadersipW rectifies that such coverage is in force, and las eadn'bited proof of same to the permit issuing dice. CHECKONE: 1NSURANCE)6 BOND ❑ OTHER ❑ (speafY�Prrl�•, ��� ;rps: a p Estiinated Value of wadc �©p, Oo (� by �� pdic'-) Work to Start: 6 3 haus to be requested in accordance with MEC Rule 10, and upon completion. 1 corder paws m<dPma hes efpa#nry, tiff N i�%raieasiorr art dr s appRaafios is bite mrd Vic ;t - Licensee: LIC. NO» FIRM NAME: t Licensee: Taly l OLE-,!, svwtm LIG NO.: - S ,IfWfimble enter eoewpt-in Bm TeL N S- —ol AE3 2 Address: liV%i' eX© A1L.TeL No. - OWNER INSURANCE WAIVER: lam aware that the Lidinsec, does not have the imanee eoveragc no®ally req,ired by law Bymy sigmem below Thereby waive this regrkemeaL I am the (dtedc ane) ❑ owner ❑ owner's agent Suture, T Na PERMIT FEE: $ Date .. L!:. �?..:. °. Z.... o? ` TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION �q `otry r This certifies that ..�..../,. . ............. has permission for gas installation . ; ./.�.•:..:: r.. ............ in the buildings of,f? .......................... at ........... North Andover, Mass. Fee..' Ci..:.. Lic. No. > .................... ........ GASINSPECTOR� Check # j MASSACHUSETTS UND ORM APPUCATON FOR PERMPT TO DO GAS FT-rIING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date L4— _ .�— Building Locations Permit # .3 0 Amount $ ` Owner's Name New E] Renovation Replacement E] Plans Submitted 0 (Print or n — - 'Q20c one: Certificate Installing Company NameUy1�c.'F', Wi'111�C.t?� Corp. Address$ ElPartner. Business Telephone �—I�- �►5''1-�1`F^LV ® Firm/Co. Name ofLicensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 1:3 No[3 If you have checked yes, please indicate the type overage by decking the approwiate box. Liability insurance policy® Other type of indemnity Bond 0 J 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 [3 Agent ❑ i hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. (OFFICE USE ONLY) PM Signature of Licensed Plumber Or Gas Fitter ® Plumber j i aGasFitter LicenseNUMDer Master Journeyman WIN IMI�§ / 1 -----------------__-- 01 (Print or n — - 'Q20c one: Certificate Installing Company NameUy1�c.'F', Wi'111�C.t?� Corp. Address$ ElPartner. Business Telephone �—I�- �►5''1-�1`F^LV ® Firm/Co. Name ofLicensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 1:3 No[3 If you have checked yes, please indicate the type overage by decking the approwiate box. Liability insurance policy® Other type of indemnity Bond 0 J 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 [3 Agent ❑ i hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. (OFFICE USE ONLY) PM Signature of Licensed Plumber Or Gas Fitter ® Plumber j i aGasFitter LicenseNUMDer Master Journeyman lw Date. .. ..` . ........ or TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION s a SS CH SES j This certifies that !% ...... .'` .. C ....... ....... . r has permission for gas installation .:..:.4 :..... ............... in the buildings of ...... at.... .. ...' �...... ,North Andover, Mass. Fee..:...' . Lic. No..?:::.°..<:. �...t........ ...... . `GAS INSPECTOR Check # S ..UJ,r P MASSACHUSETTS UNIFORM APPLICATON FOR PER NIIT TO DO GAS FITTING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date _?p Building Locations _3 3 W lti L 14 }� �� ti _ �l Permit # 9 6 Amount $ -Owner's NameJea-sl' L d-1 e ye S G I/ V p G New ❑ Renovation ❑ Replacement ® Plans Submitted ❑ (Print or type f• f �� � � / r � � C�k one: Certificate Installing Company Name H i GL ,�� _ _ n 1- Li Co -LZ rp. Address -L L 112 J9Ve-,Y/_1__ n 36 5f ❑ Partner. Business Telephone YJ 0 2 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® No 0 If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ® Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ T hh- re..F: C.. 4L _1 ..11 _CaL _ J _._'t ______, ___.. _, ...... w v •i iy •.y,µ11, MMU 11111/1111aLlull l have suormueQ for entered) In above application are true and accurate to the best of my knowledge and that all plumbing work and installations performedder Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus j tate ('r an pter 142 of eneral Laws. (OFFICE USE ONLY) Signature of Plumber ❑ Gas Fitter ❑ Master ❑ Journeyman D. FLOOR 4TH. FLOOR 6TH. FLOOR (Print or type f• f �� � � / r � � C�k one: Certificate Installing Company Name H i GL ,�� _ _ n 1- Li Co -LZ rp. Address -L L 112 J9Ve-,Y/_1__ n 36 5f ❑ Partner. Business Telephone YJ 0 2 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® No 0 If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ® Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ T hh- re..F: C.. 4L _1 ..11 _CaL _ J _._'t ______, ___.. _, ...... w v •i iy •.y,µ11, MMU 11111/1111aLlull l have suormueQ for entered) In above application are true and accurate to the best of my knowledge and that all plumbing work and installations performedder Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus j tate ('r an pter 142 of eneral Laws. (OFFICE USE ONLY) Signature of Plumber ❑ Gas Fitter ❑ Master ❑ Journeyman sed Plumber Or Gas Fitter 209)6 Icense Number Architedare Pew ARCHITECTS - PLANNERS 531 SOUTH STREET TEWKSBURY, MASSACHUSETTS 01876 (978) 694-1620 March 22, 2000 Building Inspector Town of No. Andover Town Hall Annex NoAndo MA 01845 . ver, 33 t/r ` ,' 141 1 K k I j c � RE: Office Building,+ AWie Rd., No. Andover, MA �0 I On March 2, 2000, I inspected the frame of the above building. The frame was installed in accordance with the Architectural drawings and the building meets the Massachusetts State Building Code. If you have any questions, please feel free to contact me at my office. Sincerely ours, ; Charles A. Tanzi, Jr. r SEWK U , MA GAJ:. ACTH OF Mass G MAR z 9 P000 f� f Architedare Pew ARCHITECTS - PLANNERS 531 SOUTH STREET TEWKSBURY, MASSACHUSETTS 01876 (978) 694-1620 March 22, 2000 Building Inspector Town of No. Andover Town Hall Annex No. Andover, MA 01845 RE: Office Building, 33 Wake Rd., No. Andover, MA , On March 16, 2000, I inspected the insulation of the above building. The insulation was installed in accordance with the Architectural drawings and the building meets the Massachusetts State Building Code. .,j. If you have any questions, please feel free to contact me at my office. R r MAR 2 9 2000 �' N° ?535 Date ...... .1, .. �U.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .......... U.......= '..S. .. ........................ 'Dvhas permission to perform �.,....................................................... wiring in the building of ........\'i, �:�so. �v v tr W ........................................................... at....a l,.r/Z...!�`7 - .. orth Andover, ads. ...........�. ll .............. ZT��, Fee... �.:.. v Lic. No.�r.1i3............. .................:ELiC i CALM P Check # - ,7 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Conunonwea o� /I/ae�ac/iuda� For Office Use Only (Rev. 11/99) cc�� cc77 Permit Number: Occupancy & Fee BOARD OF FIRE PREVENTION REGULATIONS APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (ALL WORK TO BE PERFORMED WITH THE MASSACHUSETTS ELECTRICAL CODE 527 CMR 12:00) City or Town of: Ni) ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her int ntion to perform the elle trical work described below. �V zM Location: Street & Number W iV in om—S No. Of Lighting Outlets 6AC6S Owner or Tenant: No. of Lighting Fixtures Swimming Pool: Above ground ❑ in Ground ❑ �+{ C Owner's Address: No. of Oil Bumers Is this permit in conjunction with a Building Permit? Yes ❑ No (Check Appropriate Box) Purpose of Building: P106 Utility Authorization #: Existing Service: Amps / Volts Overhead ❑ Underground. ❑ # of Meters New Service: Amps / Volts Overhead ❑ Underground.❑ # of Meters: Number of Feeders and Ampacity: No. of Dishwashers Location and Nature of Proposed Electrical No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Transformers Total KVA No. Of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool: Above ground ❑ in Ground ❑ # of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Bumers Fire Alarms # of Zones # of Detection & Initiating Devices # of Sounding Devices: # of Self Contained Detection/Sounding Devices Local o Municipal Connection ❑ Other ❑ No. of Switches No. of Gas Bumers No. of Ranges No. of Air Conditioners TOTAL TONS: No. of Waste Disposals Heat Pump Totals: Number: TONS: KW: Security Systems: No. of Devices or Equivalent No. of Dishwashers Space /Area Heating: KW Data Wiring, No. of Devices or Equivalent: No. of Dryers Heating Appliances KW Telecommunications Wiring: No of Devices or Equivalent: No. of Water Heaters KW No. of Signs: # of Ballasts: OTHER; # of Hydro Massage Tubs No. of Motors Total HP INSURANCE COVERAGE: Unless waived by the owner, no pe for the performance of electrical work may issue unless the licensee provides proof of liability insurance including 'completed operation" coverage or its substantial aq alent. The undersigned certifies that such coverage is in force d has exhibo proofof same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ Please specify:�I��G'�r Estimated Value of Electrical Wi 5&$ 1 , (When required by municipal policy) Work to Start: !/ v \/ Inspections to be requested in accordance with MEC Rule 10, and upon completion. certify, kinder the pains and penalties of perjury, that the Information on this application Is true and complete. � # ^ S Finn Name: t%/1 L G /�C %� / /C CSO -Z;/C- LIC. Licensee: / `% �y�/� J2 Signature: ELIC. # A Si -3'3 ((iiJf�applicable, enter " empt" In the 1� nse num4 r line) r Address:�6 C�lf/L �E!��/i/a /� e� //(� �/Y�'� �i4 U���✓�Bus. Tel. # �f3 Alt. Tel. # OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) Owner ❑ OR Agent ❑ Signature of Owner/Agent: Telephone # PERMIT FEE: S A TZ n Date. .t.......' .. .. N2 f, j', n r �',� •� -:'�o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACNUSE( This certifies that .. :..� ...:�.1.!. _ . r. r ... `'........... . has permission to perform .�.... �... (- �� .................. . plumbing in the buildings of .. 4.-l.�..... at ...3 .3 ..rA ..... n ........ North Andover, Mass. FeO! .! ..... Lic. No...('6 ......... . PLUM SPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date Z o Building Location k e''L Owners Name iL 14 tfe r2Sct Permit # y Amount New 0— Renovation [] Replacement [:] Plans Subm ttd Yes [] No FIXT-111RES • (Print or type) ^� Check one: Installing Company Name . �l S J'F /�cvv�— 4�7' Corp. Address 4-Z /3y t Partner. Business Telephone y aFirm/Co. Name of Licensed Plumber: Insurance Coveraize: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy a Other type of indemnity ❑ Bond ❑ Certificate 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 installatio s performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mas sac tts to Pl Bing a and Ch ter 1 of the Gen al Laws. L By Signature ot Licenseau Fer Type of Plumbing License Title gn) -3 City/Town Eicense NumDer Master 13/ Journeyman ❑ APPROVED (OFFICE USE ONLY 70 Date.:.....ti........... N�RTN TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 4 • SSAC14 This certifies that .......................`............. . has permission for gas installation .. .............. in the buildings of ..... ...........'f :...�..... F �' at............ l ......... , North Andover, Mass. Lic. No........... ........................... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) G ,A)© Mass. Date_3/9 19 00 Perm # P Building Location ? 49 C1r-,E Owner's Name T pe of cupancy New Renovation p Replacement [] Plans Submitted: Yes[] No Installing Company Name GA, -5 Check one: Certificate Address �L, Corporation /03 _ 1,120l65 -ACA/ 1-�'A ❑ Partnership Business Telephone 9 7 k - 7 75v- 2 760 [] Firm/Co. Name of Licensed Plumber or Gas t=itter /% /<-- ZZeS%StS!) INSURANCE COVERAGE: I have a curren .j liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box A liability insurance policy P(--, 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 ❑ 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 the permit issu for this pii n will m ce�with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gen I Laws. < BY T of license: of Plumber Signature Cj-c-enseT Plumber or Gas Fitter Title asfitter aster License Number - �' CitylTown Journeyman OFFIC S O t 111111111 ■111 NEENREMiNNii�■ NNEio■ ®S■ ... ■ti■i�t����ii�iiitfnf��■ NNE Installing Company Name GA, -5 Check one: Certificate Address �L, Corporation /03 _ 1,120l65 -ACA/ 1-�'A ❑ Partnership Business Telephone 9 7 k - 7 75v- 2 760 [] Firm/Co. Name of Licensed Plumber or Gas t=itter /% /<-- ZZeS%StS!) INSURANCE COVERAGE: I have a curren .j liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box A liability insurance policy P(--, 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 ❑ 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 the permit issu for this pii n will m ce�with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gen I Laws. < BY T of license: of Plumber Signature Cj-c-enseT Plumber or Gas Fitter Title asfitter aster License Number - �' CitylTown Journeyman OFFIC S O Date. i N' 4194 4, TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that�..... .'...!� 4 ............. . has permission to perform ..dGf.`' ... �.�`.�.................. plumbing in the buildings of . C --e ....... at ..3/... ZA.*!?. I, - North Andover, Mass. Fee 1.©x ' . Lic. No. ,// 3 S. ........... PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date Building Location;3Ilck✓ I.a�X. 0N�� QOwners Permit # � Amount ..— Type of Occupancy CArv. ria �i New ® Renovation Replacement 13 Plans Submitted Yes ❑ No FTNTITRF.& (Print or type)Check one: Certificate Installing CompanyName(-\�,^t—?(L\(. &rft'L S Gb,,�ST(LAO�S Corp. Address �� `��— �CL�u,c. Partner. taW1- vtiR Business Telephone Finn/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: ❑ Liability insurance policy El 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 Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By:Signa uire of Licensed Plumber Type of Plumbing License Title ' City/Town License Mumner Master Journeyman ❑ APPROVED (OFFICE USE ONLY • .r ♦ .. •NOON N 0 moma NOON (Print or type)Check one: Certificate Installing CompanyName(-\�,^t—?(L\(. &rft'L S Gb,,�ST(LAO�S Corp. Address �� `��— �CL�u,c. Partner. taW1- vtiR Business Telephone Finn/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: ❑ Liability insurance policy El 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 Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By:Signa uire of Licensed Plumber Type of Plumbing License Title ' City/Town License Mumner Master Journeyman ❑ APPROVED (OFFICE USE ONLY n.. i. V 7 . P C U t C C U L U — L n r n w �h in ,.4 u n J zt CA C C C U U = C 'n �l Ell O C 7 . P C U t C C U L U — L n r n w �h in ,.4 u n zt CA C C C U U = C r) � n 'n �l Ell O C 7 . P C U t C C U L U — L n r n w z in ,.4 u n zt CA C C C U U = r) � n • O ' ' n lu C z � U A 7 'n �l Ell O C 7 . P C U t C U L U L U — L n r n w in (A w in ,.4 u n zt CA C C C U U = lu s Location 33 * %A 1 V5- R Z D No. 5-03 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ 7 Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works Locations A f R R l No. 6:03 Date NORTp TOWN OF NORTH ANDOVER Certificate of Occupancy $ ��s "••°' E<�' Building/Frame Permit Fee $ s�cMus — Foundation Permit Fee $ Other Permit Fee $ n \ TOTAL $ '071 Check # 135 32 Building Inspector Location ` :Z2 No. OQ- V'��.•o \ Certificate of Occupancy $ Building/Frame Permit Fee $ - Woundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # IJUU� Date & - �, e -'o TOWN OF NORTH ANDOVER 7/' 7/7 00 Building Ins R�Ior C o ~+ Z LU � 2 � a a r� Q � Vl r+ 2 L � 1 C o ~+ Z LU I a r� L � 1 7_ O C C n n n cn +n +n — n w C LW —— C C C <n c = `—n `-_-F o ~+ Z LU a r� L � 1 FORM U - LOT RELEASE FORM - INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTION PHONE (9';Y3 -N9() LOCATION: Assessor's Map Number s "PARCEL bow A, 13 C'D. SUBDIVISION LOT (S) 0 STREET�9�cu�Z_ ,`Z- ST. NUMBER ' 3 ***********OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: i g(-(-L,\LL"54p, CONSERVATION ADMINISTRATOR DATE APPROVED 1 - I COMMENTS U b, Lt'o- �'WJ L - COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE REJECTED_ I-,- Z6bb " DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS-SEWER/WATER CONNECTIONS ©� l� �V �� —— l 9 DRIVEWAY PER IT W,�qI Ta -&J —/S —� % FIRE DEPARTMENT w RECEIVED BY BUILDING INSPECTOR Revised 9197 jm DATE � • � OV y N I� C C C C _ n Z _ x OV y C C _ n Z _ Lr rl {CC l a II x ✓ u 40 I? 3I� y J ✓ IL 2 o ca M �V I v4 i IC/ � L 1 i x Zt i y rl it a !i u 40 I? 3I� - IL o ca v4 i - � L 1 i Zt i x. i y • f r T 7 " Z _ arm FFtYy�'.f,'���.re.s .rlrtR+a,tlgi"%4y�,}� q..Z. to .. ,._ .. -.L - •� s..• �.� 7`f h�.'+?�; � .+_le+Zs�r �.� � Vis' .. e io ZS -4 ® 725 q N- Date.. ................... NORTH of °m TOWN OF NORTH ANDOVER r Y RECEIPT S`S'dCHUSG� This certifies that ..........C'Ctlp .................:... 3pz.o� has paid ........ .. f� for ...W4T�`3�?�tfL'� 3714)e, �KdTQ' ............. Received by.............11fl ••,••, ............................................................. Department .............../....�C1f .! L.....t�0� WHITE: Applicant CANARY: Department PINK: Treasurer 1452 , APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. Application by the undersigned is hereby made to connect with the town sewer main in subject to the rules and regulations of the Division'of Public Works. The premises are known as No or subdivision lot no. Owner Contractor 19 1? Street, t/� f--1 Street 3 C'J6 Address Address pplicant's Signature PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to to make a connection with the sewer main at 4'-/( subject to the rules and regulations of the Division of Public Works.. Inspected by Date r Street .Division qf.Public Works By See back for rules and regulations -� -o make a connection with the water main at ` (�( Q'Qt� D - -Street of - subject'to the rules and regulations the Division of Public Works. �.. Inspected by Date o O m 'I n c) z Z O ---- r [O 0 D m c O I N W d Q ID O ... m H Wn m w o o o O� cn Z O K C 00OD N J C: -10 O o co O O n ., Da o Q N O Z, Z O 3 cm -u 0 a CA X z r t BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: 9'� 01.[ 1.1 i.�tT� �• Location of Facility Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector own of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 30 School Street North Andover, Massachusetts 01845 WILLIAM J. SCOTT 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 Security Realty Trust Premises affected 33 Walker Road lu Date July 9, 1998 Date of Hearing 7/7/98 Referring to the above petition for a special permit from the 0 requirements of the North Andover Zoning Bylaw Section 8.3 so as to allow to construct a 6,900 SF 2 floor wood frame office building. After a public hearing given on the above date, the Planning Board voted to APPROVE the Special Permit - Site Plan Review based upon the following conditions: 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 Applicant Engineer Joseph V. Mahoney Towns Outside Consultant File Planning Board Interested Parties CONSERVATION - (978) 688 9530 • HEALTH - (978) 688-9540 • PLANNING - (978) 688-9535 *BUILDING OFFICE - (978) 688-9545 0 *ZONING BOARD OF APPEALS - (978) 688-9541 • *146 MAIN STREET 33 Walker Road Site Plan Review - Special Permit The Planning Board herein approves the Special Permit/Site Plan Review for the construction of a 6900 SF office building located in the General Business (GB) Zoning District. This Special Permit was requested by Security Realty Trust, 33 Walker Road, North Andover, MA 01845 on land owned by F. Scott Follansbee. This application was filed with the Planning Board on May 20, 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 adjacent to an existing office building; 2. The use as developed will not adversely affect the neighborhood as sufficient buffer have been provided; 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 and has been reviewed by the Department of Public Works; 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: a) The propane tank location and design mist be reviewed and approved by I the NAFD. b) The final plan must be reviewed and approved by the drainage consultant, DPW and the Town Planner and subsequently endorsed by the Planning Board. The final plans must be submitted for review within ninety days of filing the decision with the Town Clerk. , c) A bond in the amount of five thousand dollars ($5,000) 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. 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: 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. b) The lighting for the new building must match the existing lighting on the site. c) The landscaping must be planted as shown on the approved and endorsed plans. ` f.a 6- T 1 d) The Planning Staff shall approve all artificial lighting used to illuminate the site. 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 Staff shall review the site. Any changes to the approved lighting plan as may be reasonably required by the Planning Staff shall be made at the owner's expense. e) 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) The Planning Staff shall review the site. Any screening as may be reasonably required by the Planning Staff will be added at the applicant's expense. b) 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. 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. 9. 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. 10. The contractor shall contact Dig Safe at least 72 hours prior to commencing any excavation. 11. Gas, Telephone, Cable and Electric utilities shall be installed underground as specified by the respective utility companies. 12. No open burning shall be done except as is permitted during burning season under the Fire Department regulations. 13. No underground fuel storage shall be installed except as may be allowed by Town Regulations. 14. 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. 15. 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. 16. 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. 17. This Special Permit approval shall be deemed to have lapsed after (two years from the date permit granted) unless sub tantial use or construction has commenced. Substantial use or construction will be determined by a majority vote of the Planning Board. 18. The following information shall be deemed part of the decision: a) Booklet titled: Application for Site Plan Review Special Permit 4 Brookmeadow Office Park Phase III Dated: May 20, 1998 Prepared by: New England Engineering Services Inc. 33 Walker Road, Suite 23 North Andover, MA 01845 b) Plan titled: Site Plan Brook Meadow Office Park 33 Walker Road . North Andover, Massachusetts 01845 Prepared for: Security Realty Trust 33 Walker Road North Andover, Massachusetts 01845 Prepared by: New England Engineering Services, Inc. 33 Walker Road Suite 23 North Andover, Massachusetts 01845 Dated: April 28, 1997 Sheets: 1 through 3 4 +. I CC. Director of Public Works Building Inspector Health Administrator Assessors Conservation Administrator Planning Board Police Chief Fire Chief Applicant Engineer File 33 Walker Road -Site Plan Review sM�F� Wt •• .+� t 5 \ ^ � Reuistry of Deeds Northern District of Essex County Lawrence, NA 01840 1O/18/99 SECURITY REALTY TRUST CMC # 12 Rec: Type NOTIC 14.00 lnst 37583 Total 14.OO # 13 Payment Chpck 14.00 THANK YOD! Thomas J. Burke Register of Dud, 10/2/1999 14:19 9786357362 r OLD CENTERREALTY CO Location 3-7 d PAGE 02 No. Date K91FrM TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ - Other Permit Fee $ 0 14 SZ Sewer Connection Fee $ 24z' 00 Water Connection Fee $ IoEZ. TOTAL $ ,1 8 01 si��%Ay . j. MARYLAND CASUALTY COMPANY SPECIALTY CONTRACTORS POLICY"- COMMON DECLARATIONS RESIDENTIAL GENERAL CONTRACTORS PROGRAM This policy consists of the declarations as well as the coverage forms and endorsements listed on the Forms and Endorsements Applicable List. NAMED INSURED AND MAILING ADDRESS CYPRESS BUILDERS INC P 0 BOX 398 N ANDOVER IIA 01845 BRANCH NAME AND ADDRESS ZURICH GROOP-MRTFORD 500 ENTERPRISE DRIVE - 48 ROCKY HILL CT 06067 ( 860) 257-650 BUSINESS ENTITY: CORPORATION AGENCY NAME AND MAILING ADDRESS L I NR I C BROTHERS INSURANCE AGENCY 287 LINDEN ST WELLESLEY VA 02181-5910 (781) 235-3100 POLICY Y pERIpQ POLI FROM TO 08/06/1999 06/06/2000 12:01 am 12:0 T am In return for the payment of the premium, an j� to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. This policy consists of the following coverage parts. This premium may be subject to adjustment. COMMERCIAL PROPERTY COVERAGE PART Pi MRJRA 198.00 COMMERCIAL GENERAL LIABILITY COVERAGE PART S 6,112.00 PREIMIiIN SIZE CREDIT f 126.00 - TOTAL POLICY PREMIUM{ S 6,184.00 Countersigned by Authorized Representative Date ,+ InCI.0.3 f.prriyAtaO TON.�.1 .1 IpSYlQnN s.lvlcQQ 041i6Q. JAC. .iM 11. p..lnii300, ON C.pY.-Qh. IAS...... SovicQ. oi1icQ, m.,, 1984. '690' CoprrryAl, tu.lygnQ C....hr C4 -1--y. 1993 VG E0. Ip.93 INSURED'S COPY A, 999 10/2/1999 14:19 9766857362 OLD CENTERREALTY CO PAGE 05 romy 'NUMBER MUM E E339 H_D RGP 23135230 AI T02208984 13848-001-p0001�RANCH 12 ZURICH GROUP -HARTFORD RENEWAL EFF 08/08/1888 10/22/1999 14:19 9766857362 OLD CENTERREALTY CO PAGE 04 L POLICY: NUNBEii: ;> .'INUMIRER: ;: :.:::/tC.::.: #':::.rACCOLWT :I1dJY i D ROP 23135230. 02208894;.. J�►I+DIT:, .:::;:: `: `' 0003213849-001-00001 ANNUAL BRANCH 18 ZURICH GROUP -HARTFORD RENEWAL EFF 08/08/1888 SPECIALTY CONTRACTORS POLICY"' SUPPLEMENTAL DECLARATIONS RESIDENTIAL GENERAL CONTRACTORS PROGRAM OLQiAGE PAi2TlSl AND FARM.::: OR ®1DORSBJT COITION POLICY DECLARAT I OILS COON OTHER NAMED INSURED: 760006 1093 CYPRESS BUILDERS INC MON POLICY DECLARATIONS COMMON OTHER NAILED INSURED: 760006 1093 E I F BUILDERS INC COMMON POLICY DECLARATIONS COMMON OTHER NAMED INSURED: 760006 1093 METACOM REALTY TRUST DOWN COMMON POLICY DECLARATIONS cum NAMED INSURED: 760006 1093 E-1 STREET CONSTRUCTION CORP COMMON POLICY DECLARATIONS CSN OTHER NAMED INSURED: 76OD06 1093 FULL CIRCLE CONSTRUCTION CORP con mom >60007 EA. 10.93 INSURED'S COPY 07/04/1999 1. 1. 1 10/2/1999 14:19 9786857362 Quote Number: 037879-00 Quote Period: 08/16/1999. 08/16/2000 Issue Date: 06/15/1999 Legal Status: CORPORATION Officers V SCOTT FOLLANSBEE OLD CENTERREALTV CO PAGE 03 Liberty Mutual Group r P.O. Box 7077 Portsmouth. NH 03802-7077 Telephone: (800) 451-1853 FAX: (603) 431-5693 Insured: S B HOMES INC AND SCOTT PROPERTIES INC & E & F BUILDERS INC AND SCOTTSDALE CORP. PO BOX 398 NORTH ANDOVER. MA 01845-0()00 FEIN: 042881961 Title PRESrntEAS Included/Excluded INCLUDED Workers Co Eusation Insurance offered by this quote applies to the following states: M Employers Liability Limits of Coverage: Bodily Injury by Accident: 100,000 Each Accident Bodily Injury by Disease: 500.000 Policy Limit Bodily Injury by Disease: 100,000 Each Employee Location Number and/or Address 01 33 WALKER ROAD, NORTH ANDOVER, MA 01845 Loc. Class State # Code Description Estimated Exposure Rate/ $100 Premium MA 01 0042 LANDSCAPE GARDENING & DRIVERS 0 7.10 0 5221 CONCRETE OR CEMENT WORK - FLOORS, DRIV 0 13.45 0 5474 PAINTING OR PAPERHANGING NOC & SHOP OP 0 11.97 0 5606 CONTRACTOR - EXECUTIVE SUPERVISOR OR C 10,920 3.55 388 5645 CARPENTRY - DETACHED ONE OR TWO FAMILY 42 1221 5 8742 SALESPERSONS. COLLECTORS OR MESSENGERS 0 0.43 0 8810 CLERICAL OFRCE EMPLOYEES NOC 12,600 0.22 28 Location Total 421 PREMIUM SUMMARY Charge Description Factor Status Premium MA TOTAL CLASS PREMIUM MA MERIT RATING PLAN 421 0.950 .21 LOSS CONSTANT 50 MA STANDARD TOTAL 450 EXPENSE CONSTANT 200 MA MACHWC (SURCHARGE) 1.054 24 MA FINAL TOTAL 674 Total Premium and Surcharges 674 Account Number: 1458623-owo rage 2 MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.0 CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: Office Building HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 10-25-1999 DATE OF PLANS: 10/10/99 TITLE: OFFICE BUILDING OLD CENTER REALTY PROJECT INFORMATION: BROOKMEADOW OFFICE PARK COMPANY INFORMATION: SECURITY REALTY TRUST 33 WALKER RD NORTH ANDOVER MA 01845 COMPLIANCE: PASSES Required UA = 1501 Your Home = 824 Permit # Checked by/Date Area or Insul Sheath Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS: Raised Truss 3300 38.0 0.0 84 WALLS: Wood Frame, 16" O.C. 4000 13.0 3.0 285 GLAZING: Windows or Doors 560 0.350 196 DOORS 260 0.350 91 SLAB FLOORS: Unheated, 48.0" insul. 230 6.0 168 HVAC EFFICIENCY: Furnace, 90.0 AFUE HVAC EFFICIENCY: Air Conditioner, 14.0 SEER -------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater 1than 125% of the design load as specified in sections 780CMR 13101and J4-4. Builder/Designer Date(Q 60 A2 .MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 OFFICE BUILDING OLD CENTER REALTY DATE: 10-25-1999 Bldg. Dept. Use CEILINGS: [ ] 1. Raised Truss, R-38 Comments/Location Insulation must achieve full height over the exterior wall. WALLS: [ ] 1. Wood Frame, 16" O.C., R-13 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U -value: 0.35 For windows without labeled U -values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] 1. U -value: 0.35 Comments/Location SLAB -ON -GRADE FLOORS: [ ] 1. Unheated, 48.0" insul., R-6 Comments/Location Slab insulation to extend down from the top of the slab to at least 48" OR down to at least the bottom of the slab then horizontally for a total distance of 48". HVAC EQUIPMENT EFFICIENCY: [ ] 1. Furnace, 90.0 AFUE or higher Make and Model Number [ ] 2. Air Conditioner, 14.0 SEER or higher Make and Model Number THERMOSTATS: [ ] Adjustable thermostats required for each HVAC system. AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air -tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating and cooling equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: All ducts must be sealed with mastic and fibrous backing tape. Pressure -sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each dwelling unit (non -dwelling areas must have one thermostat for each system or zone). A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each room shall be provided. ELECTRIC SYSTEMS: Separate electric meters are required for each dwelling unit. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 1250 of the design load as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------------- N(D N C' fD tD n roc 3rm CD n N 00 CD N M p --i 0 � '�' _ Q4� K CD (D 'JU 0 o _s; - N •) � � V. fD ° 1p�� CL 3 a A o.= o Co rL cD � n� o � _ O N � o ^0 \/ OI• A `D O Wa ID c n ,`�' a D O W C (D'C .0 w -� Z �Z D CD CL 46IMJPo N o m X n W6 az O ;u O W 0 Mi �U-i LnM o n 5 6 (� ai o �n ° fD O , Z �°ai -, 0 U1 G 133m m0 C E o Q. O Vb Q a �. C �* E �q m `� l3 ^O 0 a 2 � 0 �« n a, 0 5 s E 0 -" a .� cr Ln.N m x ? 1 ^ W 0. J �- E -� M ^� 3 0 '-► c O � Z� c y O O x. Con N(D N C' fD tD n roc 3rm CD n N 00 CD N M p --i 0 � '�' _ Q4� K CD (D 'JU 0 o _s; - N •) � � V. fD ° 1p�� CL 3 a A o.= o Co rL cD � n� o � _ O N � o ^0 \/ OI• A `D O Wa ID c n ,`�' a D O W C (D'C .0 w -� Z �Z D CD CL 46IMJPo N o m X n W6 az O ;u O W 0 Mi C/) 33 m U) Cn 0 O cm CD s y -o CD 0 O CO) O CO) E-1 d 0 CDO rrt CD CD 3 CO)CD 0 0 CCD 0 L� It Aoo3 ..too w No VJ n 0 cn C 0 z _cn �Z c� H C• y O Q In = dp �.CD y -•i O m O m m !'! m n M a, °« m c =n 0 m r« c d C',CD � O m H � -i N p ? m : eD 2 o z f1 a H CL CD C COL 3 :" CD O DJ N V1 CA d a Q 'T CD a '� yA�CD to m A CO) H + :� m��CD co W H a A to � . . 00 O !D O - 7.,4 w: cD CD C o �D CD �a . cy: @aZ t CDIot d. a Q "d CA 0 o cn . 0, . =1 3 ro �' z c� n o S w o zr O �? w O �? (� , w (� � =. n a x 0 4 rA omq 0 0 c T2 i Ta 1237 4, 0 4- Wlwmw . at SSA HUS Date .... / ....... — TOWN OF NORTH ANDOVER PERMIT FOR WIRING C This certifies that ..... ........ ......................... has permission to perform ..... wiring in the building of .... .. Lr.L... kc!mt-V .... I ..................... at .....1......... ,North Andover, Mass. Fee,?Et..-A ..... Lic. No.42?.1D ..........................................A**L* *INSPECTOR* *****'*****- * ELECTRIC WHITE: Applicant CANARY: Building Dept. PINK: Treasurer u4e Lrommonwalth of oadpwtm F i4mIttttnt of Public *af q BOARD OF FIRE PREVENTION REGULATIONS 521 MR 12:00 OMce U» ONY ° Gl Penek No. 0._ O=ptllncy A tie 0wom — 3*0 (low bft�rtlt) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work o be performed In accordance with the Massacnusetts Electrical Code, 527 CMR 12..00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date - %1--1y-i __;11,_ or Town of NORTH ANDOVER To the Inspector of Wlnst The udersigned applies for a permit to perform the electrical wo::71' kribed below. Location (Street & Number) __ �3 Get /�Itir 1 Owner or Tenant Owner's Address _� Is this permit in conjunction with a building p rmit: Yes _ Nock Appropriate 80X) Purpose of Building Utility Authorization No. _ 'e Existing Service Amps Volts Overhead `i Undgrnd CI No. of Meters __ • New Service Amps _� Volts Overnead C Una rno i . 9 No. of Meters Number of Feeders and Ampacity t Location and Nature of Proposed El�e^ctricalWorn No. of Lignting Outlets I No. of '-lot ' -s I No. of Transformers Total KVA No. of Lighting Fixturesi Swimming P:oi Aacve.— In - Swimming _ grna. _ I Generators nA No. of Rsceotacie Out,No. of Emergency Lightingsts I No. of Oil corners Battery Units No. Of Switch GulletsI No. or Gas :urr.ers FIRE ALARMS No. of Zones No. of Ranges I No. at Air Ccr.c. 'alai No. of Detection and y. :Cris Initiating Devices NO. Of Oisoosais I No.ot Heat To:a' 'alai ?urr.cs :ons KW No. of Sounding Devices No. Of Oiahwasnera SoacerArea Heatir.q K1v No. of Sail Contained Osteetion/Souncing Devices No. of Dryers I Heating Devices KW Local -' Municioai r— Other — Connection No. of Water Heaters KW No. of I Signs ?ailas;s Low Voltage i Wiring t No. Hyaro Massage Tubs I No. of Motcrs alai HP r l OTHER. ; t.. 4FIS ;. i. . INS „PAANCE COVERAGE: Pursuant :o the reou,rements or ttassacnusers yenerat Laws I have a current Liability Insurance Policy incluatng CCmC:ei orations Coverage or its substantial equivalent. YES have suomittso valid proof of same to the Otfice. YES _ VO _ It you neve choCxed YES. please inOicate the type Of coverage Dy checking the apprcori INSURANCE ONO = OTHER = (Please SCec:"�) Estimated Value` of Vectncal Work S (Excitation Dalai .� Work to Start /� �% 7 Insoecnon Dau ;;acues:ec: Rougn �y_ 7�' Final Signeo under the Penalties of perjury: /� FIRM NAME l4 S /Z �/ UC. NO. Licensee Sigr.a:ure. UC. NO., _ y;. r.- I� Bus. Til. No. Address o Ci! AllTel. No. OWNER INSURANC'e WAIVER: I am aware that the Licensee coes not nave the insurance coverage or its suostantial equivalent as tw . quire* by Massacnusetts Generai Laws. ana that my signature an :ris -ormit application waives this requirement. Owner Agent (Plea" Check ones' Teteonone No. PERMIT FEE S r v ._ {$ignature of Owner or Agenti .1 I N2 2'i99 Date ... ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...................... ; .... . .. .......................................... has permission to perform .... : ......... ............................................................. wiring in the building of .................... ...... �/ !c...� �./ at..� ......................... /� ......... ..................................... . North Andover, Mass. Fee."f7 ...... .. .. ............. ........................... ..... .... Lic. No ..... ...... 4.; (I ELEcrRicAL INspEcrOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Office se nl - p Of 'DllTTIlIII wralth Df �ca55cath115Ytt5 Permit No. - - _._. ..' Erpa lixitnt Df rublit: er-deg Occupancy ,& Fee Checketi'�� BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3190 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 3 ` -7 - G L City or Town of ,[tl • %art% �s e- e h To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) ? 3: ,/� Owner or Tenant r�r1 T,/C'yl I Owner's Address��vGN Is this permit in conjunction with a building perm; Yeess 'lam No ❑ (Check Appropriate'Box) Purpose of Building%/ii z hlf Utility Authorization No. �✓�`6 -301 �-- Existing Service Amps _� Volts Overhead ❑ Undgrnd ❑ No. of Meters _ New Service ZcIO Ampstel 2 U Volts Overhead ❑ Undgmd �No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets /G I No. of Hol Tubs I No. of Transformers Total KVA No. of Lighting Fixtures I Swimming Pool Above ernd. ❑ In• grnd. ❑ ( Generators KVA No. of Receptacle Outlets �(/ v I No. of Oil Burners I No. of Emergency Lighting Battery Units No. of Switch Outlets 3' U No. of Gas Burners FIRE ALARMS No. of Zones Z No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local r---1 MunicipalI--(Other _;,_, Low Voragt Wiring No. of Ranges I No. of Air Cond. Y Total tons z Q No. of Disposals I No.of Heat Total Total r Pumps Tons KW No. of Dishwashers Space/Area Heating KW No. of Dryers I ----- — ,.r- No. of Wa!er Heaters KW Heating Devices KVJ No. o' t1o. of signs Ballasts No. Hydro Massage Tubs No. o1 Motors Tota! HP V I r'ItH: INSURANCE COVERAGE: Pursuant to the requirements of Massachuse:ts general Laws I have a current Liability Insurance Policy includino Complete- perat ons Coveraoe or its subs:antia! equivalent. YES I have subm;tted valiC proof of same to the Office. YES ' NO C If you have chec checking the appropked YES, please indicate the type of coverage by ri a box. INSURANCE Z --BOND G OTHER D (Please Specify) a Estimated Value of Electrical Work S (E;xpiratlon Date) Work to Start ~t - % — -r'G Inspection Date Requested: Rough I✓- �'/ 1 %ee"—Finat Signed under the Penalties of perjury: FIRM NAME ` -' f, , Licensee _0a," Z LIC. NO. y/ LIC. NO.. 5� Z Address r Bus. W. No. y1•l—` 2 Alt. Tel. No OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee d es not have the insurance coverage or its substantial equivalent. as re- quired by Massachusetts General Laws• and that my signature on this permit application waives this requirement. Owner Agent (Please check one) C Telephone No. PERMIT FEE S (S19r'al U!e of Owner or Aced; 7-E`_E_` / dJ �y r, W t Redgate Pasture Definitive Subdivision The Planning Board herein APPROVES the Definitive Subdivision for a four (4) lot subdivision, made up of four new single family homes known as Redgate Subdivision. Redgate Realty Trust, 33 Walker Road, North Andover, MA 01845 submitted this application on May 14, 2001 in accordance with the Order of Remand issued by the Land Court on October 22, 2001. The area affected is located off Salem Street in the R-2 Zoning District, Map 65, Lot 21 & 164. This approval is for the construction of four lots ONLY. The Planning Board makes the following findings as required by the Rules and Regulations Governing the Subdivision of Land: A. The Definitive Plan, dated November 22, 1996, revised last on 2/26/01 includes all of the information indicated in Section 3 of the Rules and Regulations concerning the procedure for the submission of plans. B. The Definitive Plan adheres to all of the design standards as indicated in Section 7 of the Rules and Regulations. C. The Definitive Plan is in conformance with the purpose and intent of the Subdivision Control Law. D. The Definitive Plan complies with all of the review comments submitted by various town departments in order to comply with state law, town by-laws and insure the public health, safety and welfare of the town. A review by Coler & Colantonio, the town's outside engineering consultant, dated March 20, 2001 indicates that all outstanding engineering issues have been addressed. Also, a review by James Rand, Director of Engineering from the Department of Public Works, indicates that all slopes have been stabilized satisfactorily. (memos attached). Furthermore, a separate cash performance bond, as provided in condition 3c, will be posted to ensure the stabilization of the slopes for a period of three years from the date of completion of slope construction or acceptance of the subdivision roadway by Town Meeting, whichever comes first. E. The Definitive Plan complies with all standards and requirements of the Zoning Bylaw and the Board of Health. Finally, the Planning Board finds that the Definitive Subdivision complies with Town Bylaw requirements so long as the following conditions are complied with: 1 1) Environmental Monitor: The applicant shall designate an independent environmental monitor who shall be chosen in consultant with the Planning Department. The Environmental Monitor must be available upon four (4) hours' notice to inspect the site with the Planning Board designated official. The Environmental Monitor shall make weekly inspections of the project and file monthly reports to the Planning Board throughout the duration of the project. The monthly reports shall detail area of non- compliance, if any and actions taken to resolve these issues. The environmental monitor referred to in condition #1 must provide in-depth reports relative to the stabilization of the slopes located on the rear of Lots 2 and 3. The environmental monitor shall make weekly inspections during the construction of the slopes and file the weekly reports to the Planning Board throughout the duration of the project. The environmental monitor shall schedule monthly inspections with the Town Planner and the Town Engineer of the Department of Public Works during the construction of the slopes until the slopes have been fully constructed. The environmental monitor shall appear before the Planning Board at one point during and upon completion of the construction of the slopes to present their findings as to the slope stabilization. 2) Prior to endorsement of the plans by the Planning Board the applicant shall adhere to the following: a) A Site Opening Bond in the amount of ten thousand ($10,000) dollars to be held by the Town of North Andover. The Site Opening Bond shall be in the form of a check made out to the Town of North Andover that will be placed into an interest bearing escrow account. A covenant (FORM I) securing all lots within the subdivision for the construction of ways and municipal services must be submitted to the Planning Board. Said lots may be released from the covenant upon posting of security as required in Condition 5(c). b) The applicant must submit to the Town Planner a FORM M for all utilities and easements placed on the subdivision. C) All subdivision application fees must be paid in full and verified by the Town Planner. d) The applicant must meet with the Town Planner in order to ensure that the plans conform to the Board's decision. A full set of final plans incorporating a landscaping buffer comprised of trees of an evergreen species along the frontage of Lot 1 on Salem Street to adequately screen the detention pond must be submitted to the Town Planner. Additionally, the plans must be revised to incorporate a detail of erosion control matting for the slopes on Lots 2 and 3; and to include a detail of the detention pond depicting a v -shaped outlet containing adjustable baffles to accommodate the 25, 50 and 100 year storm must be submitted to the Town Planner for review and approval prior to 2 endorsement by the Planning Board, within ninety (90) days of filing the decision with the Town Clerk. e) The Subdivision Decision for this project must appear on the mylars. f) All documents shall be prepared at the expense of the applicant, as required by the Planning Board Rules and Regulations Governing the Subdivision of Land. 3) Prior to ANY WORK on site: a) Yellow "Caution" tape must be placed along the limit of clearing and grading as shown on the plan. The Planning Staff must be contacted prior to any cutting and or clearing on site. b) All erosion control measures as shown on the plan and outlined in the erosion control plan must be in place and reviewed by the Town Planner. c) A Slope Stabilization Bond in the amount of twenty thousand ($20,000) to be held by the Town of North Andover. The Slope Stabilization Bond shall be in the form of a check made out to the Town of North Andover that will be placed into an interest bearing escrow account. These monies may be utilized by the town to ensure the stabilization of the slopes. These monies, or the balance thereof, will not be released until three years from the date of completion of slope construction or acceptance of the subdivision roadway by Town Meeting, whichever comes first. For Purposes of this section, "date of completion of slope construction" shall be defined as complete when the Town Engineer certifies in writing to the Planning Board that the slopes have been constructed in accordance with the approved plans and this decision. Furthermore, the Town Engineer shall not make this determination until a joint site visit has been scheduled with the Planning Board. 4) Throughout and During Construction: a) Dust mitigation and roadway cleaning must be performed weekly, or as deemed necessary by the Town Planner, throughout the construction process. b) Street sweeping must be performed, at least once per month, throughout the construction process, or more frequently as directed by the Town Planner. c) Hours of operation during construction are limited from 7 a.m. to 5 p.m., Monday through Friday and 8 a.m. — 5 p.m. on Saturdays. d) 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. 3 a 5) Prior to any lots being released from the statutory covenants: a) Three (3) complete copies of the endorsed and recorded subdivision plans and one (1) certified copy of the following documents: recorded subdivision approval, recorded Covenant (FORM 1), recorded Growth Management Development Schedule, and recorded FORM M must be submitted to the Town Planner as proof of recording. b) The applicant must submit a lot release FORM J to the Planning Board for signature. c) A Performance Security in an amount to be determined by the Planning Board, shall be posted to ensure completion of the work in accordance with the Plans approved as part of this conditional approval. The bond must be in the form acceptable to the North Andover Planning Board. Items covered by the Bond may include, but shall not be limited to: i) as -built drawings; ii) sewers and utilities iii) roadway construction and maintenance iv) lot and site erosion control v) site screening and street trees vi)drainage facilities vii)site restoration viii)final site cleanup 6) Prior to the issuance of a building permit for an individual lot, the following information is required by the Planning Department: a) The applicant must submit a certified copy of the recorded FORM J referred to in Condition 5(b) above. b) A plot plan for the lot in question must be submitted, which includes all of the following: i) location of the structure, ii) location of the driveways, iii) location of the septic systems if applicable, iv) location of all water and sewer lines, v) location of wetlands and any site improvements required under a NACC order of condition, vi) any grading called for on the lot, vii) all required zoning setbacks, viii)Location of any drainage, utility and other easements. 11 c) All appropriate erosion control measures for the lot shall be in place. The Planning , Board or Staff shall make final determination of appropriate measures. d) Lot numbers, visible from the roadways must be posted on all lots. e) An as -built plan must be submitted to the Division of Public Works for review and approval prior to acceptance of the sewer appurtenances for use. f) The roadway must be constructed to at least binder coat of pavement to properly access the lot in question. Prior to construction of the binder coat, the applicant shall ensure that all required inspection and testing of water, sewer, and drainage facilities has been completed. The applicant must submit to the Town Planner and the Department of Public Works an interim as -built, certified by a professional engineer, verifying that all utilities have been installed in accordance with the plans and profile sheet. g) The applicant is required to pay sewer mitigation fees in accordance with the current and prescribed policies at the Department of Public Works. Proof of payment must be supplied to the Planning Department. h) If a sidewalk is to be constructed in front of the lot, then such sidewalk must be graded and staked at a minimum. 7) Prior to a Certificate of Occupancy being requested for an individual lot, the following shall be required: a) All necessary permits and approvals for the lot in question shall be obtained from the North Andover Board of Health, and Conservation Commission. b) Permanent house numbers must be posted on dwellings and be visible from the road. c) There shall be no driveways placed where stone bound monuments and/or catch basins are to be set. It shall be the developer's responsibility to assure the proper placement of the driveways regardless of whether individual lots are sold. The Planning Board requires any driveway to be moved at the owner's expense if such driveway is at a catch basin or stone bound position. 8) ' Prior to the final release of security retained for the site by the Town, the following shall be completed by the applicant: a) An as -built plan and profile of the site shall be submitted to the DPW and Planning Department for review and approval. E b) An as -built plan and profile of the slopes on Lots 2 and 3 must be submitted to the DPW and Planning Department for review and approval. c) The applicant shall petition Town Meeting for public acceptance of the street. Prior to submitting a warrant for such petition the applicant shall review the subdivision and all remaining work with the Town Planner and Department of Public Works. The Planning Board shall hold a portion of the subdivision bond for continued maintenance and operations until such time as Town Meeting has accepted (or rejected in favor of private ownership) the roadways. It shall be the developer's responsibility to insure that all proper easements have been recorded at the Registry of Deeds. 9) The Applicant shall ensure that all Planning, Conservation Commission, Board of Health and Division of Public Works requirements are satisfied and that construction was in strict compliance with all approved plans and conditions. 10) The applicant shall adhere to the following requirements of the Fire Department: a) Open burning is allowed by permit only after consultation with the Fire Department. b) Underground fuel storage will be allowed in conformance with the Town Bylaws and State Statute and only with the review and approval of the Fire Department and Conservation Commission. 11) There shall be no burying or dumping of construction material on site. 12) The location of any stump dumps on site must be pre -approved by the Planning Board. 13) The contractor shall contact Dig Safe at least 72 hours prior to commencing any excavation. 14) Gas, Telephone, Cable, and Electric utilities shall be installed as specified by the respective utility companies. 15) Any action by a Town Board, Commission, or Department which requires changes in the roadway alignment, placement of any easements or utilities, drainage facilities, grading or no cut lines, may be subject to modification by the Planning Board. 16) The utilities must be installed and the streets or ways constructed to binder coat two years from this approval. If the utilities are not installed, the streets or ways are not constructed to binder coat and the Planning Board has not granted an extension by the above referenced date, this definitive subdivision approval will be deemed to have lapsed. 17) This Definitive Subdivision Plan approval is based upon the following information which is incorporated into this decision by reference: 0 Plan titled: RedGate Pasture Definitive Subdivision Plan North Andover, Massachusetts 01845 Dated: November 22, 1996, revised 9/2/97, 12/26/97, 1/19/98, 6/14/99, 2/26/01 i Applicant: RedGate Realty Trust 33 Walker Road North Andover, MA 01845 Civil Engineer:New England Engineering Services, Inc. 33 Walker Road, Suite 23 ! North Andover, MA 01845 Sheets: 1-7 Scale: 1"=40' Report titled: Drainage Report Prepared by: Daniel Koravos, P.E. 25 Teloian Drive Hudson, NH 03051-3937 Dated: April 4, 1999, revised March 22, 2000 Attachments: March 20, 2001 Engineering Review, Coler & Colantonio Memorandum to Heidi Griffin from Jim Rand dated 6/4/01 7 U COLERz ENGINEERS AND SCIENTISTS March 20, 2001 Heidi Griffin Planning Board 27 Charles Street I North Andover, MA 01845 ! RE: Supplemental Engineering Review Red Gate Pasture Revised Definitive Subdivision Dear Ms. Griffin: In response to your request, Coler & CoIantonio, Inc. has reviewed the supplemental submittal package for the above referenced site. The project has been reviewed for conformance to the requirements of the "Rules and Regulations Governing the Subdivision of Land" in North Andover as well as standard engineering practice. The submittal package included the following information: Plans Entitled: • "Red Gate Pasture, Definitive Subdivision Plan" seven sheets dated 11/22/96, revised on 2/26/01, Prepared by New England Engineering Services, Inc. Reports Entitled a Response letter dated February 26, 2001 prepared by Benjamin C. Osgood, Jr. Current continents are in italics. Previous comments are screened. Subdivision Requirements: 1. Section 3. C.) 3.) c.) A test pit is shown in the 6riginal detention pond area. Based upon the information in New England Engineering Services letter, ground water is locates! 2 to 3 feet below the surface. The new detention ponds are located in cut areas ranci'ng in depth from 8 to 1*2 feet. This could result in unstable slopes in the detention basins. We anticipate that slope stability will be a concern. The Applicant. may want to consider alternatives to patching unstable slopes with tip rap. This is not desired in residential sites_ 101 Accord Park Drive 781 982-6400 l Norwell, MA 02061-1686 Pax: 781 982-5490 j Test pits typicallyshould be provided in the Vic:inin, of the proposed house lova it ns. and the deterltim? basin on Lot 4..1 hese le:sis should be perjf117;1t'Cl l7)' Cd licensed SC3dl el'ahrator to indicate high,groundwater Condition;'. In precious submissions it h(, -is been rec( •gnizeil that the sea. OW7 irater table is cippro imatelr 10 -incites below grade. No additional testing has been provided. As noted abore estimated high groundwater is within. 10" of the sutfaee. The design indicates founalatiori.s below the high roundlvater elevation. T lie plans and details indicatefoundation drains 077 eac11 house, which di.sseharge overland. The minim an coL'er over the proposed curtain drains should be indicated- A slope stabilization and maintenance plan including details of stabilization inethods should be pro)-ideaL No Additional testing uaforinaation has been provided for the snville within lot d. It is our andersta►nding that estimated high grounahvater is within 10" of 'the existing .s7lrfaace. Overall, the site requires ex-tensive cul. Groundwater is proposed to be directed to the infiltrationldetention basin via c7.ntain drains, fotlndclrion drains or overland Hair from these pipes. The groundwater could contribute extensiveflow to the basin elven ebbing a nota -stoma period. Co. nstant floir from these grounehvater .sources into the hOltrcation basin miry' shorten the ireful life of they basin. The Mnof f from the .subdrain located on the east side of the .slope (inv. 170.00) slioiild be directed a1u•ay from the eastern abutter to be consistent with the hydrology catchment area plains. Care .should be token during construction to assure the eastern abutter- is not impacted from an increase of storm water onto their property. The minimuna cover over the proposed curtain drain appears to be 30". Tlae slope Stabilization plan includes placing rip -rap in the areas offgroundw'ater breakout, i, -ill, loam and seed covering the rip -rap. The DMI should review and c:onurlent oil the slope staabili;.alian method. A gravel drain has been added to the bottom of the infiltration basin. The. drain appears to have adequate capacity to dissipate groundwater flow. We recommend the DPW to comment on slope stabilization. ?. Section 3. C.) 3.) d.) See Drainage Issues below. Section 3. C.} 3.} k.) g.) Satisfactory. roadway stationing has been added. 4. Section 3. C.) 3.) k.) h_) Satisfactory, the lot plan has been corrected. 5. Section 3. C.) 3.} k.) j.) Satisfactory, The water main has been relocated and the hydrant has been shown. Ei_ Section 3. C'.} 3.} k.) k.) Satisfactory. the contours have been extended. 7. Section 3, C.) 3.) k.) L) Satisfactory. the foliage lint: has been added to the drainage 1. ins. 2 8. Section 3. C.} 3.) k.) m.) previous correspondence recommended that test pits be excavated within the proposed detention Basin and at locations of major cuts in slopes to detennine the elevation of the groundwater table. Reportedly, seasonal high water will be as close as 10'- to the surface based on hand testing performed. This could result in long term. maintenance difficulty for the town due to groundwater breakout, unstable slopes and difficulty maintaining vegetation. Subdrains should be located upgrade of potential groundwater breakout on the.cut slope, generally this is at or near the top of the slope. Sales to the catch basins should be more defined. There is significant flow to these inlets in large storm events The si+•ale details rare inconsistent with lite plans. Comment ren'tains. Ae sivale detail has been modified to march the plans. The Swale pitch is 18% and it is unclear that it will not erode drie to high flow velocities. The nvale detail has been fnodlfled The detail.shod;s a 12" depth of rip-r£ep, consisting of stone between 6" and 10" in .size, h should be noted that long term naailatencuace diculh-,for the Town nagy result due to groundwater breakor.€t, unstable slopes and maintaining vegetation on the slopes.. 9. Section 3. C.) 3.) k.) n.) We recommend that the existing drainage channel. which was observed by us in the field, be indicated on die plans. This channel should also be used in the drainage calculations for the flow path. This channel was located in the slope and not in the field. No farr-ther c ontnent ! 0. Section 3.C.)3.)k.)p.) The profile does not comply with all the requirements of this section. The proposed roadway grade should be indicated and the location of the . benchmark should be indicated on the plan. Existing sideline grades have not been shown, elevations have not been labeled at the top and bottom of all even grades, 35' intervals and on vertical curves. The stopping sight distance at the vertical ctirve station 00+40 to 00+90 is inadequate for a speed of 30 miles per hour. information is still missing from the profile. Specifically, roadway grade is not indicated, sideline grades have not been shown, elevations at 25 -foot intervals on vertical curves and stopping sight distance is not in conformance with the requirements. It is assumed that a waiver will be requested from the stopping sight distance requirement. The plans hire been amended to include roadway grades, side line grades, adegrutte vertical curve design and 25 -foot elei-ations intervals at reriical crt►-'.e locations_ A sight distance studj- and remediatioft plata has been performed and submattect No fin -thea" ronunent. 11. Section 3. C.) 4.) Satisfactorv- 3 i' 12: Section 7.) A. 3.) b..) Thera, is insufficient data on the profile to determine if the leveling area is adequate. Sete 10. Above There appetir:s to be a 50' lei Wing urea with a % slope. This cormrent is sati,sfaetorily addressed. 13. Section 7. D.) It is our understanding the Planning Board will decide whether a sidewalk is required or a donation will be made to the sidewalk fund. No further comment. 14. Section 7. E.) 1.) Satisfactory, the street trees are shmvn on the plans. The Planning Board may require information on the type of tree to be Planted. Trees should be indicated outside of the right of way. The proposed street trees have been relocated Ourside of the R.O. gi . No further- conwient. 15. Section 7. G.) 1.) Satisfactory, electric lines shown on the plans. lb. Section 7. L_) 1.) Satisfactory. the proposed fire hydrant is shown. 17. Satisfactory, a north arrow has been shown on the Locus plan. 18. Erosion control measures etre shown on the plans. however, they should be clearly labeled and/or shown on the legend. Erosion control measures should also be shown around catch basins and detention pond outlets. We recommend that a stabilized construction entrance be provided and erosion control be installed along the Salem Street right of way. We r'econimered that a sati#iictnrY Jlope hIspectiOrr, maintenance anc]stabilizatioll plan be .submitted. A stabilized construction entrance has been indicated ort the plans. Erosion control htis beers provided throughout the limit of work. No further conunent. 19. The Proposed sub -drain locations should be shown on the plans and detailed. The plans seem to indicate erosion control measures only. We understand the symbols on the plans. No, f urther comment. Drainage Issues: 30. Satisfactory, Moth Pte and Post construction drainage area pians have been submitted. 21. Satisfactory, runoff cure numbers now include rneadow. 11 22). Satisfactory, the sheet flow lengths used in the sR-55 caiculations are now 1.00 feet or less. 2:3. The comment on the outlet structure is no longer applicable. The impact ofexisting flow and pipe capacity, in the Salem Street drainage s,Fstem should be considered. It is possible that the Salem Street system is more restrictive than the proposed outlet ? structure. This could result in offsite impacts. Outflow -s from the proposed outlet j structure will enter the municipal drainage system for the :10 and 100 -ye., - stornls_ The ex sting mmnk pal s: }'sten] should be modeled for these storms. Comment remains. The proposed oozes and volumes to the elisting municiral stvrrr7w°c,ter s��.rtem. are reduced from existing conditions. The proposed detentionfinfiltration basin slco,ticl be excavated to the elevation of the underlying sand} soil and backfilled witlu Similarly pen,iouas nuiterial. The functionality of this basin is contingent upon writable soils at the bottom of the basin. A now has been added to sheet 5, Sediment basin and infiltration/detetttiott pond detail stetting all loam, .subsoil. Jell or other eleletericaa7s rnezterial ,Ozexll be removed ire the area of the basin bottom and replaced with clean santl. Top area with 4" loanzv sand, rake satooth and seed. 7iPir. alll, loanz.), sand has a lower permeaMity thctti J. sand. We recommend that testing to demonstrate compliance with the design be required_ A gravel drain has been added to the bottom of the infiltration basin. The drain appears to have adequate capacity to dissipate groundwater flow. 24. It is unclear if the proposed drainage channel will be located in -the Salem Street right- of-way. ight- ofway. The dimensions of the channel, its detailed, are inconsistent with the overflow- ditch described in the drainage report. The overflow ditch does not appear to be included in the drainage model. Capacity calculations should be included in the drainage report to support the proposed design. The plans do not indicate a channel, although a channel detail is included in the report. The rip -rap shales should be indicated as such o7, the pla77s_ These ,swales should be modeled for relocily and capuc•ity. The reported Swale at Salem Street should be indicated alid modeled The rip -rap swcale detail u;as clarified. Reportedli=. there is no Swale e_i-rsting or proposed at Salem.Street. The design calculurion for the level spreader should be submitted. Existing spot grades in the vicinit_s: etf'the proposed level spreader should be subinitted. Based on the new .spot elevatiolis.. the /low.from the detention basil, appears to flow into Salem Street within ea proposed depression. 1 --he proposed elevation at the northeast property corner (Flee. 144. 74)e higher than elle northwesterly ele ation of 143.67. The rim of the e'-visring cutch basin Iovated northwest of Mus area ,s elev. 144.29. C'cc,Ir,cleatio7z.l.for The level lip spre�ade:r are irtclucled with the letter re:cporrse. 5 I The detail anti plans shoir er lengih of appro. iniateh- -15'. T lue c alcUlatiotis use 31 ' The calculations do not appeeir to he cxrn.tii,,tcciit ti►'ith the plans and details. Additional spot grades have been added to the grading plan and the flow from the basin appears to flow to the double catch basins. Satisfactorily addressed. 25. The regulations require a catch basin to manhole arrangement. The plans ittdieate the outlet from Pond 17 enters a catch basin. The outlet from this pond should discharge into a ►nanhol.e. This design should be revised to comply with Town requirements. Satisfactory. Xo ji rrher comment. ?6. The ultimate discharge of the closed stormwater system in Salem Street is not described in the report. Calculations should show this system has the capacity for the new flows. The intent of the design is to meet or reduce existing runoff rates. The tinting of this runoff to the street system and the additional runoff volume may .impact the existing system. If the capacity of Salem Street system is restricted, the increase in total runoff could result in offsite impacts. The Past-deNrelopment ninoff volume entering the Salem Street drainage system will increase for all storms. The Department of Public Works should be aware of this especially if the drainage system is currently undersized. 'Volume calculations for the infiltration area should be clarified in the report. In addition, we recommend that the infiltration system be further detailed to indicate sections and elevations on theplans. The sample design in the report indicates pipe outlets from each Infiltrator versus the design proposed_ It is unclear that the increased volume from development has been accommodated in the design. The report lists total runoff volume pre and.post, however, it is unclear where the values for post development are in the report. The proposed sub -surface detention basin has Been redesigned as a surface infiltration basin. It is unclear that the proposed Detention Basin nit Lot 4 is located above the grounifivater table. In addition, the ultirtiate di.schailge. pointironz Detctitio,-t .Basin A-1 slzould be clarified, detailed and iirodelecl A iiiodel fof tilts basin should be prm,ieled and a satisfactor►= overflow should be designed anti indicated. Tjw berm on this brisin shoidd be iridened to $ feet The grading for the Swale area within Lot 4 will result in the discharge of ,;rvttstcltvater to the .swale. The discharge point for bavin A-1 has been clarified Please see cormriern #34 regarding the ,spot grades. The beim iridth ha.S been widened to 8 -feet. Spot grades have been provided. however it is unclear, bused oil the proposed spot grades hoar or where the ivater it -ill enter the Salem Street drainage system frrom ill e prcrposetl itifiltrcrtiorz/eletc:ritic►ii lictsin. :lhe tratel-crppeciry to pudelle bene-eetz tlue exisfing catch basin located northeast of the proposed (entrance and the proposed spot elevution of 1-44.74. Satisfactorily addressed. 0 Additional Continents � i. The proposed roadway will have a slope of 8t �..It is our understanding this issue was discussed with the Planning Board and the change in grade was rec6mmended. No7 further comment. 28. The detention ponds do not provide an emer ency sl: illway. Calculations should include routing of the 100 -year storm with a plugged outlet to assure the spillway is adequately sized. Overflow from basins could damage homes as currently designed. Spillways have been provided and have adequate capacity. ?Vote that the design .requires that. overflow spillways discharge to the street. The nnpact (7f'this condition should be modeled and indicated See response to coniment 26. 29. The drainage design at the steep slope .may result in maintenance problems. The calculated 100 -year flows from subcatchment area 5 and 6 arra 6.1 and 3.3 efs respectively. This now could result in scour at the bottom of the slope. Since the sig ale is proposed to be located within the right -of -w ay, the Town will be responsible for all maintenance associated with this Swale. Details of these swales should be included in the plans. Grate capacity calculations should also be included in the report to support the design and assure flow, does not by-pass catch basins. Swales have been eliminated and inlets prodded. Grate capacity calculations have not been prop: ided. Inlet capacities have been provided, hoii•En-er each o}'the inlets are unlikely to capture the indicated capacities. The calculations tare based on an acsitrned depth offlow. Acnial valises should be utilized. Inlet capacity calcidations home been modified to represent tile actual flow depth conditions. By pass has been indicated at catch basins 7&8, which is 770t cOnSTstc'ru with the model, however it is unlikely to have a significant impact. No_furtluer coYY ment. 30. Detention pond 12 is missing the 174' contour on the uphill side. Satisfactory. 31. Detention pond 17 is missing the 162' contour on the uphill side. Satisfactory - 3Z. It is unclear where reach 8 is located. The calculations are not consistent with the design in this area. No fttither comment. 33. The area measured for subcatchment area I v, -as 6.1 acres. The report uses 5.62. The area should be double checked. Subcatchrnent area..; -5. 6, 8. 13.ard 14 were also not consistent with our calculations and should be checked. Satisfactory. _____. 7 i 34. The curve number and areas should be checl e::l for subcatclunent area 13. Good lawn Ev th B soil t}ye should have a i:l`� =fel . mote that the assuinphon used results to a more conservative design. No f in -cher comment. 35. It is unclear if the existing house located in subcatchment area 14 was included in the calculations. The open space is described as good. however, a CN of 69 was used. We believe this should be 61. Note that the assumption used results in a more conservative design. No further comment. 36. We recommend that an outlet structure with two openings be used on pond 17 Versus the two pipes over each other. The inlet stntcture to the infiltration basin has been tnoelified to include only ofte pipe and a FES. We recommend than the outlet apron be constructed of rip- rap fo3- erosion control. The drainage basin model indicates an inflow of 15.58 CFS. it is unclear thar tire proposed 15 -inch inlet pipe can acconanaoda to this.17mr. The pipe culculations f rr the 100-_veaar storm consi.s7 of Me same data as the 10-year.ctorm. The 100-year.stonn pipe calculations should be rerised The 15 "inlet pipe has been cheurged to 21 ''. The 21 '• pipe wither slope of I.8%c appears to htn,e cade(lauate calJacit►:. The drain line profile on sheet 5 should be upefe-ded to reflec r this change. The plans have been revised, satisfactorily addressed 37. The sedimentation basin and check dam should be detailed Details have been protides!, fi)r the check dam and seditneJrtalion basin. No firttIaer corrtrnent. 33. Contours are incomplete at the top of the slope on Lot -1. Complete topography on Lor,2' has been indicated- However, the topagrgplry at tjw tznt�h etrd of the .site ,slroaalal he indicated No f tither comment. New comments dated October 4, 1999: 1. The extent of vegetation removal. which is required for adequate site distance as per the submitted study-, should be indicated on the plans. The Ihnit c!f clearing has been itulicated can the plans. No fut7her cozlwnent l 2. Section 7.)N.)4.) The proposed double catch basin should be clearly indicated on the plans. Ae dorible catchh basins hai,e been indietrted on the plcnl•s. No /ilrther colatretit. 3. The ultimate discharge point for the proposed footing drains, sub -drains and cul -fain drains should be indieated and modeled. A trench drain or swale should be constructed at the top of the proposed slope, on the southern end of the site. Tile proposed curtain drains...Iboting drains and sub -drains 1voltld diseltarge ground►raler and could result in erosion as designed! A foundation drain outlet detail has been added to sheat 5. SutisfttrtorilY addressed. 4. The overflow spillway for Detention Basin A l is indicated as a sharp crested 'weir and modeled as a broad crested weir. The rnodel ha.s been naodifted to represent the proposed conditions. ,'lro. furrher coinnrent. S. Based on input at public hearings the easterly abutter expressed concern relative to groundwater influence on their basement. The house should be indicated on the plans. A curtain drain is indicated adjacent to this property. The capacih, of this drain during storm events should be evaluated. Tlie curtain drain at .the eastern property litre has been modeled.. however the proposed inrltration area u•uuld inchide all bonorn area belovs the outlet hire77. Ivo farther coria ent. We appreciate the opportunity to assist the Planning Board on this project and hope that this information is sufficient for your needs. We would be pleased to meet with the Board or the design engineer to discuss this project at your convenience. If you have any questions please do not hesitate to contact us. Very truly yours, COLER & COLANTONIO, INC. John C. Chessia, P.E. cc: Benjamin C. Osgood, Jr., President Devra Bailen Esq. 9 Division of Public Works 384 Osgood Street North Andover, MA 01845 Aft Phone 978-685-0950 Fax 978-688-9573 To: Heidi Griffin, Town Planner From: James Rand, Jr., Director Of CQ J. William Hmurciak, PE, Dire Date: June 4, 2001 Re: Red Gate Pasture Engineer Plan reviewed "Definitive Flan RED GATE PASTURE located in North Andover, MASS" revised 2/28101 The March 20, 2001 memo from Coler & Colantonio on page 2, 5t' paragraph references the DPW on slope stabilization. The engineer has proposed what appears to be a satisfactory solution to the slope stabilization and we have no additional comment. If the revised plan addresses the issues stated in my memo dated January 16, 1998, the plan is satisfactory to us. C:MIEMOS HEIDIG 2001AREDGATE 6.401 0 Page 1 IV To u hn Form - L a5 Departmental Referral Form Building Inspector Open Space Committee Director of Community Development Director, Public Works Fire Chief Health Agent Police Chief From: Town Planner and / or Planning Secretary, Planning Office Re: Preliminary Plan Definitive Subdivision Special Permit Site Plan Review Date: A Public Hearing has been scheduled for p.m. on to discuss the plans checked above. (Preliminary plans do not require public hearings.) The Technical Review Committee Meeting is scheduled for: Thank You. JUL 8 1998 J