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HomeMy WebLinkAboutMiscellaneous - 334 CLARK STREET 4/30/2018N TRAVELERS/` 5026 The Charter Oak Fire Insurance Company P.O. Box 1450 Middleboro, MA 02344-1450 01/08/2018 City Building Inspector 120 Main Street North Andover MA 01845 Insured: Downer Brothers Landscaping Inc. Claim Number: FBE9123 Policy Number: 680 -4-1644512 Date of Loss: 01/04/2018 Loss Location: 334 Clark St North Andover MA To: Board of Selectmen Building Commissioner Inspector of Buildings Board of Health A claim has been made involving loss, damage or destruction of the above captioned property which may either exceed $1,000 or cause Massachusetts General Laws Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws Chapter 139, Section 313 is appropriate, please direct it to my attention and include a reference to our insured, the policy number, the claim/file number, the date of loss, and the location. If you have any questions, please feel free to contact me at (508)946-6565 or email me at ETRAUMUL@travelers.com. Sincerely, Evan Traumuller Claim Professional (508)946-6565 Ext. 9466565 Fax: (877)786-5584 Email: ETRAUMUL@travelers.com On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Signature Date P0062 F3162C1S18009005026 00001 N + Y PERMIT NC APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP NO. 7Z LOT NO. I �� 12 RECORD OF OWNERSHIP 'DATE BOOK 'PAGE ZONE SUB DIV. LOT NO. I FI LOCATION ' ? / j !? � ri f'� J / PURPOSE OF BUILDING ,ry ����&, C( Il i9 /3"C, 5 '� OWNER'S NAME / P o oF/7� , `� NO. OF STORIES OWNER'S ADDRESS 3 *7 u oe BASEMENT OR SLAB �J ARCHITECT'S NAME ^ � /� ^ S� SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME ••r SPAN DIMENSIONS OF SILLS DISTANCE TO NEAREST BUILDING DISTANCE FROM STREET n POSTS DISTANCE FROM LOT LINES - SIDES^ j / REAR fE,��rG' GIRDERS AREA OF LOT � ,.! (��h�n —r / FRONTAL ^C IC Zy"HEIGHT OF FOUNDATION �� ll THICKNESS �Z / IS BUILDING NEW SIZE OF FOOTING i // X IS BUILDING ADDITION MAiERiAL OF CHIMNEYQg;C-P f IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE t� C� IS BUILDING CONNECTED TO TOWN WATER /l 1 f LIT BOARD OF APPEALS ACTION, IF ANY ) . . a,,/k Y IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE �s INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 fix_ F�J PAGE 2 FILL OUT SECTIONS 1 - 12 Awa n2�5 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FJLED �Tu�2✓ OF OWNER OR FEej� PERMIT GRANTED IL 11 �119 RM FOR FOUNW►TION ONLY A't� �Y MM lt4.S49A O�tE 1 - FEE Ml�� c-C--7-7--/9fs3 1 ;K g3 o5 :! c7-3 C°©N SV late-{ 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST _ EST. BLDG. COST PER BQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING INSPECTOR .r F31 Vi 'NV'Id 101d S3:)V-Id32! SIHl 'a3SOdW12l3df1S '013 'S3°VVUf' -VE) 'S3H7LIOd H1IM 'S9N1a-11(19 d0 SNOISN3WIa 10VX3 aNV S3NI-I 10'1,' WOUA 30NV1S1a ONV 10-IdOSNOISN3WIa 10VX3 MOHS1Sf1W N01103S SIWIr, aa0D3b JNlalins 4- L N0uonII1SN00 Et --ADN Vd (1000 S1N3WAVdV llwvi mnw 'JNIIV3H ON `I Pic I 491 P"L I.W.9 DIMID313 110 SWOOV dO SVJ �. 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DATE REJECTED BOARD OF HEAL'T'H �tea. L Qti 5e itG _ 1964k)"5�► i [N AC DATE APPROVED�(�'� dr HEALTH SANIIXR!A �v DATE REJECTED PAUL W iMW 0 3 -2,1 -115 DEPARTMENT OF PUBLIC WORKS c Wo - DRIVEWAY PERMIT -a - REi . /WATER CONNEC'I'].UN�_9r,j�Kj FIRE DEPT. yreeC' /J76. A% cal'i" ` //pycnc4i 18.1p* ARM � tup RECEDED BY BUILDING INSI.'ECTION pryi-w% ate L DATE i fi<< 2 ID -1-4 ----- -- BUILma DEPT,_ . This form shall be signed by the agents of the'Pl.aiining and Ilea.,ith Boards, the Conservation Commission Prior to the issuance of afly building permits for the subject lot. This for.rn shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. .. Ott k "Y DIVISION OF SCOTT COMPANY >i October 6, 1987 Marco Rubber 334 Clark Street No. Andover, MA 01845 Proposal for 6,000 square feet masonry building addition. 0"-ne.r.S addition to be ware -house with archway -co existing unit. SCOPE OF WORK 1. Plans and permits Engineering, structural & architec= -: 2. Excavation Digging, grading, compacting and gravel complete to enable to be built as proposed. 3. Sewer and Water Sewer to be connected to Ref.usc: c'uc_ tie-in line approximately 1,60c) i. -e from site; water to be tied into 7.01 y /! line of street. Line to be 6" cis-. iron- Sewer line to be schedu1c -Sr plastic pipe or code specif=icat.lor:s with injE>Ctor pump shown on pla ss . 18 Netherwood"Road - Windham, New Hampshire 03087 40 Rogers Road - Wardhill, Haverhill, Massachusetts 01830 Telephone: 682-8839. 374-0034 - 374-1258 DIVISION OF SCOTT COMPANY 4. Foundation S. Concrete F1nnr 6. Masonr 7. Steel 8. Glass Windows & Doors 9. Paving To be 12" thick, 2'xl' spread foot-:::; with structural steel as engineered b our architect. All concrete 3000 ps.. S" thick on bottom floor, #10 guag, wire reinforcement on both floors. �;... concrete to be 3000 psi. Split rib block, split faced or. scored. Owner to select color and style; 12" block. Structural steel designed for rooiino_ loads to Massachusetts Building Code standards. Steel barjoist and meta:i roof decking. To be bronze colored. Insulated winds and glass doors to be 41, temperer. Style of doors and windows to be des.i.-:r.._ and agreed upon. All paving to be IY' binder coat 1" top coat with 6" bank run gravel. Approximately 10,000 square feet of paving allowed, with parking lot lines. 18 Netherwood Road - Windham, New Hampshire 03087 40 Rogers Road - Wardhill, Haverhill, Massachusetts 01830 Telephone: 682-8839.374-0034.374-1258 t J DIVISION OF SCOTT COMPANY 4. Foundation S. Concrete F1nnr 6. Masonr 7. Steel 8. Glass Windows & Doors 9. Paving To be 12" thick, 2'xl' spread foot-:::; with structural steel as engineered b our architect. All concrete 3000 ps.. S" thick on bottom floor, #10 guag, wire reinforcement on both floors. �;... concrete to be 3000 psi. Split rib block, split faced or. scored. Owner to select color and style; 12" block. Structural steel designed for rooiino_ loads to Massachusetts Building Code standards. Steel barjoist and meta:i roof decking. To be bronze colored. Insulated winds and glass doors to be 41, temperer. Style of doors and windows to be des.i.-:r.._ and agreed upon. All paving to be IY' binder coat 1" top coat with 6" bank run gravel. Approximately 10,000 square feet of paving allowed, with parking lot lines. 18 Netherwood Road - Windham, New Hampshire 03087 40 Rogers Road - Wardhill, Haverhill, Massachusetts 01830 Telephone: 682-8839.374-0034.374-1258 a 10. Supervision 11. Miscellaneous 12. Insulation 13. Roofing 14. Metal Fascard Cott DIVISION OF SCOTT COMPANY A full time supervisor shall be assic<.: to this project to co-ordinate sub co; - tractors and tradesmen, he shall also report to the owner and contractor on production schedules and cc-ordinatio.. Clean up, temporary job phone, buildin, debris removal, temporary conditions, New garage door with bumpers, 2'x4'' wall 141x601, drywalled and insulated. Foundation to receive 2" styrofoarT', insulation 24" below grade. Rooiinc receive 2" Iso-urathane board insulati::,: with fire rating. R factor to be 14.27. Exterior block to have per -lite fil]_eci cores. To be rubber roof balasted with stone. Goodyear, Firestone, Car-lile or equa:. Fifteen year warranty type roof. Metal mansard on top 48" on front elevation. One with 10' return on Refuse Fuel side and complete side facing Meile Paving. 18 Netherwood Road - Windham, New Hampshire 03087 40 Rogers Road - Wardhill, Haverhill; Massachusetts 01830 Telephone: 682-8839.374-0034.374-1258 ., - 15. HVAC .� U DIVISION OF .`"(_'(_)T I COMPANY 16. Water Sprinklers 17. Electrical 18. Conservatinn Wnrk 19. Painting 20. Existing Building Heating in new ware -house space to be suspended unit heater. Lennox., Bryant, or equal brand; gas fired if available. Standard system with alarm system to fire department. New 200 amp, 3 phase system. Ware- house area to have florescent or meta- },glide. Outside lighting to be Hercur;, `.'',Dor. All wiring of heating units and e alarm system. C.)nservation work to be performed as on approved plan and spec. I::xterior walls to be painted to mato coats masonry latex. To be stained to match existing buildlnc to continue from new to existir,: ding: 18 Netherwood Road - Win( `I<;r,,, New Hampshire 03087 40 Rogers Road - Wardhill, H -; ; ;; ;, Massachusetts 01830 Telephone: -,1034.374-1258 Marco Rubber Co. 334 Clarke St. N. Andover, MA. 01845 Ott +i ! L V k0 4_0 DIVISION OF SCOTT COMPANY May 26, 1 988 NEW OFFICE; AREA 18 Netherwood Road - Windham, New Hampshire 03087 40 Rogers Road - Wardhill, Haverhill, Massachusetts 01830 Telephone: 682-8839.374-0034.374-1258 Plans & Permits FRAMING: Walls to be framed with. 2"x4" wood studs. Deck to be framed with. 21x10', 16" on center with. 3/4" t.g. plywood. DRYWALL: Installation of 1" drywall on interior walls. Exterior walls to be 5/8" drywall, both sides. CEILINGS: Suspended ceilings to be metal grid with 2"x4" tile 7#56705, or equal. ELECTRICAL: Lights to be 2x4 drop -ins. Outlets & switch.es per code. SPRINKLERS: Will be installed above and below suspended ceilings, according to Ma. code. HVAC: Gas-fired roof top unit with. ducted return will be installed. Unit to be Lennox, Bryants, or equal, PLUMBING: Installation of 1 Ladies' and 1 Mens' bath.. Pipes to be copper and Underground to be 4" cast iron. One 24" vanity and ,-one elongated water closet; .per bath, is included. PAINT: All walls to receive 1 coat of primer and 2 coats of eggsb.ell paint. Two colors to be picked by owner. 18 Netherwood Road - Windham, New Hampshire 03087 40 Rogers Road - Wardhill, Haverhill, Massachusetts 01830 Telephone: 682-8839.374-0034.374-1258 Marco Rubber(cont'd) o tt ')27C11 AN, .� e k.1-1 DIVISION OF SCOTT COMPANY May 26, 1 988 Page 2 NEW OFFICE AREA DOORS: Will be solid core birch., stained or finished natural. LOCKSETS: will include 2 privacy sets, 10 locksets and 2 passage segs. CARPET & LENO: A Leno chip floor will be installed in the two baths and foyer. Carpet (2 colors) to be picked by owner. There is an ;x18.00 per sq yd allowance, including vinyl cove base. DEBRIS: Contractor shall clean & dispose of all debris. OOb z deo f z 10, r, G z� Y ----- ,� o► g e I o -� S Q,RCd - -R(J&P.E rz Z C -TA I h41 Imo( G W L 4.8 y A i fl d - 0 � 0 03,1 N P- ►►So w01 CO c I ti p B 3be HIPP F � D A2rPosF 34° )`5: Ll �vFpC,F'A14aLEi�gp-34) (SEC PAvE Srde b = q,0 Sld& „a, _ b (�wN zX°% = 4-'7°1 5iIcle c- c c Aec lc q -t 4171 2 = /421 2 W s� c,Hr O� �c�Nc, wt1)r,ff - VErZ-C Ica L Lv = 1b6#//f4 Q. \\/FGG, A = C4 SX 9) ; 2 = 21, 6 Q/ k\/t. = '214 K /oo;r = 2 /60* 12EcTAWC3LE ,c�c G�33x/ = G 33rd 1N>L = 3>< ISD = 94q,S� WALL lib X IS b � , �► P ll 5b T6►h ZYi — -�- p ? Twh 2g °X216a = tr5`b116 2/60 CZ- = 2447 Cos zs = 2 len R 2tba ; e*-;-.S-2&'x 2447 CC ) = DlmenSl.r�vt5 Ioacis t. . 10 000 F�AfZcv - urf3-c� ReTAINtNC \,UALL G, (PV ERTvM,N /y.J c) - wbovf bwsP A /�ov�1n9 Pec7(a4 A. 6,3x.1,0=�,3R. S= 3,t9' A3,x3,1S tit/�r/� $�Pr'ri%?ec{Gy�flP;�p = I,Ox 5,o °Q,v �= S,S� A 49 5 :�A = 15, 3 M - 6 9.3 5- V V F= R T I C ,4 Lar rea s AxIS DisrAgct- 69, 3s I d� 5 ?14. B I L I'C y. oJ= \VA L L lot al) sFrrn 13sd�X 5,5' _ -7425� Mvr. 9 4.9 5 x 3,15 = 2 9 11.0.9 ►# em1 -4`ved9e ! C, TIl?PtNG SAF.ET,{ FA.croR 2G,61s,9 46bo = 5;78 o. r', SLID 1 14' i 5,4 t= E -c Y t=A c To je • P =r) CoP�tic/Pn1� g4�.5*V4 13: o#�-2160 ;2�= 3379,$* Pt wc:"rse �sl,Cl) ng = 3375,5 xo,4 1351.8 At I-PgiStan ce 5ae4k9l.r--crejvr 13571,8 1150 = /,l7 4 2 v.5� IcEy. 14 r 4 P61 a e 9 - tel— . I` hl I? CC> - Ou 1313OR, 1ZF7'A',►1,,) t►-iG \yALL- 7- lz-,Y TlZ`i 5!- 6"\\)►DE fO0TINc-, OF CONC. \V C- (7C E - V C R -T (c AL WearF(� c I Oa#�-1 �v ed g e z 16 o Foo f i j -r� E TAN 4 L fr �, = s, s ►c t= s. s °0 W4 Wall 5fe` �'''1. 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SLIp►Nc, ' AFET-( FAcro2' P= 115-0# W t3so 4 azS # cPhc % \V Z Ibo = 4335- 4.3 35- x., d4 X17 3�4` '; ►ISO = I •sol c 2 u5E Lam(, f> 1. 4 0 �- - 5 - NA NA A izco 2 U B 2 Te F Y A- I N I Nt (a "\\v/4 L L_ t T' = 43'1 A 780# f , it 78ox4x44x/2=74,e20,0 s .�+ Zo�000X,87x 8 TIZ Y 5' ®6 r 14A = o, G 2 Cm a, S' 3 �d = 3 C1+ECk Pu14.cH SI+EA,R . vsTEM 15,00Wl2r7510fk-' 144= 52Ps�c iio ep '#y Psl P vwc D4�(2 X60 , l4d )} 5.2 = 20i2sr t I io o STt M a,= l,2y a1lIK = 6,241K V = 78o*,x 4-r = 3120 C.HC-cK $oN 7 x.87X8 v s 3�I = 3 Z 4 PSS L 6 o psi tZ A.97x8 a« o'oo' i MA Rcn T2.v R T 1N Itil `VA LL Ion 1-Fl�ibi \VAu. ('CONTIMUC'D) 14 A5= 3,4s = 1 ► so X 3 - 3 450' . cl = to 3 4.5 �V _/ D I, 7 PSI G 140 o �� 3,Rx87x�b e v= 34sd s 33. i >'s� c 6o d k lZ"x As = oo29 A 12 iz z D36 0. 36 -L 2 = o.18 v5>= 1`4 ® IZ" o,c, i M,&,Rcc, 2U 5 6 -E TZETAI W I NC W4 LLS -dll V)A.LL i Conal»t�eci� Tewp. Seel = Oct 2!57 b, 3G : 2- o,��a 1ey vlrec>/ Each Oar v G 9.4 0 /Z117� 1� ® 4 1,6'' y 41 au Prfrcall� j---4�po hloT SURCH&RC,E WALL Ly WtTI4 SLOptt4G EAfZ74 a O�\VEEPS 0`� STONE IK t�O1�Xi�Of Pocict_T N �� WITI{ FILTCQ r7Aal21C AOOUW. >- t9 - I 1* d ® I Z'� II M � ALL SZ EEL �� (rQ IZI =0 u r If 4" � N L � � U - P Bi • S o t' S 14A (J P l c F A44 WO 2OITA)NlII/ G WAU,S l o r �1��� � ��l«! � 6 � MGN• ofAfZco jZvrsF3E2- R -(/N WA, LL IDS 6q VALt CoNTINtD) 4!(, of S TE Nt QI O i -I I � � • d = I o n� _ 1, 15' 3 3,4-5 , = 0/27 X/o USE #S ® 6o,c, N�9h Low o $oN D 3 34S'o W4�ii = 10 1,7 P51 G 14o or 3,9x,8>x�o 1JL- 4 5 O 6 ---� It v Ps x,P,'7x/b I EE "A ST - Et L _1 A5 = o07S A Izx iz o• 3 6 -1- 2 = o , 18 U5, :�4 (5� 12" o,c, 14A (J P l c F A44 WO 2OITA)NlII/ G WAU,S l o r �1��� � ��l«! � 6 � MGN• P9, 8 of 1`�A2Cv �UB _w. R WA, --L s \ QUA LI._ WZ t,- Lo" FOoI I N G C Co 171 l h I•ed d, STA i3 t L (T ©}= t,VA, LL 2,3#X 3,33 s �3oS�34 5-0 91 - M,v edge' t3o it 5) Zd = 6 g 23. ►# r2,$98,rt z e.�T i PP FET`( I=-Acrc>z z Z tz,898 - 2305.0 = 5,5� 7Z ol` 6075 Loaf, clnly 7b S LID ING SAF E7 -t` -i FAC70Iz - U S E K C- 5LoI ' Do WcT SVVCHAPGIE wALL JWITH SLOPING U&RTH //7"K t 4 i i'oF, IZ I ki TZ C 1 W G ST E Iu L- roo-(1 1- tt7 04 ?51 _ V vz s4 e vh = 12 oo -' 2 = 6 cn ' 144 = 4 i2 - I l o , ' , �G v%zsiPvn �� eclge� 13 0� 1 144+ 4 2= 13,2 A LL 4 ®lz. o,c, i I = TAMP• STECL_ i O Ea�- oois'xt'gd =.3612=.!$ o : #4196'lo'c II V Sf✓Q U 121 E ��/ • - } -lo U K' f" .,4 PORTAL METAL PRODUCTS, INC. 1141 (2) CONSTRUCTION DETAILS SWING DOOR '/4 Size Details Note: Construction details show a standard Portal Doors are shown in conjunction with Series narrow stile door. Doors are also available in 1000,13/4 x 41/2" flush glazing. Other framing medium, wide, and flush stiles and with a wide systems may be easily adapted to create a variety of optional hardware and push/pulls. unique Portal entrance. m 4 OFFSET PIVOT L4 O CENTER HUNG DOOR ©1986, Portal Metal Products, Inc. DOOR -3 r PORTAL METAL PRODUCTS, INC. 1301 CONSTRUCTION DETAILS CENTER HUNG DOOR ALP - OFFSET PIVOT CENTER HUNG DOOR OFFSET PIVOT SWING DOOR '/a Size Details ALT. O 0 © 1986, Portal Metal Products, Inc. DOOR -4 h i t' PORTAL METAL PRODUCTS, INC.1301 NARROW STILE DOORS STILES -21/$" TOP RAIL -21/2" BOTTOM RAIL -4" ADD %" FOR GLAZING STOPS SPECIFICATIONS FOR STANDARD DOORS & FRAMES Portal doors shall be constructed of extruded alu- minum shapes for stiles and rails. All aluminum shall be 6063 -TR with all exposed surfaces given a 204 R1 clear anodized finish or #313 dark bronze anodized finish. Wall thickness of stiles and rails shall be a minimum of '/s". The door thickness shall be 13/4". Stiles and rails shall be bolted and electric arc welded to heavy anchors at all four corners. Meeting stiles of all double doors shall be weatherstripped. All center pivoted doors shall be weatherstripped on lock and pivot stiles. All glazing beads shall have neoprene inserts for clean, puttyless, snap -in glazing. Exterior © 1986, Portal Metal Products, Inc. SWING DOOR glazing bead shall be nonremovable. Butt hinged doors shall be furnished with 1/4' aluminum hinge reinforcing plates. All doors furnished with standard push-pull hardware, maximum security lock and adjustable door leveling screw for minor clearance adjustments. Frames shall be constructed of seamless extruded aluminum tubes of 6063-T5 with anodized surface. The basic shapes shall measure 13/4" x 41/2". Frames for butt hinged doors shall be furnished with 1/4" alumi- num hinge reinforcement plates and weatherstripped door stops. DOOR -5 NG. i Featuring. 'a ng. e tud P -A ;A .10 171. e, "Rim' I Features: • Tubular fixed rail . Adjustable steel ball bearing wheels • Double pile weatherstripping . Frames equipped with integral fin • Weatherstripped interlocking meeting & lock rails . Bronze baked or white acrylic finish • Spring loaded latch with positive locking . Tested to meet or exceed AAMA • Glazed with 518" insulated glass requirements of HSA2HP TYPES AND SIZES (Viewed from outside) R] a Window Size Chart -' 2020 3020 4020 5020 6020 Model Buck Size Rough Opening _- 2020 23'/e x 223/+ 235/a x 23'/4 –+ — –; { 3020 35'/8 x 223/* 355/a x 231/+ 4020 47118 x 223/, 47518 x 231/4 3030 4030 5030 6030 5020 59'/e x 223/, 595/a x 231/4 6020 71'/8 x 22 3/4 715/8 x 231/4 2030 23'/a x 343/, 235/e x 351/4 3030 35'/a x 343/. 355/a x 35'/+ 4030 47'/a x 34 3/4 4751e x 35'/4 5030 59'/a x 34 3/4 59518 x 351/4 6030 711/9 x 343/4 71518 x 351/4 3040 4040 5040 6040 3040 3511a x 463/4 355/e x 471/4 ,4044( 47%U 63/4 475/e x 47'/4 5040 591/a x 463/+ 595/e x 471/4 6040 71'/a x 463/4 715/8 x 471/. 3050 351/a x 583/4 355/e x 591/4 4050 471/8 x 583/+ .475/a x 59'/4 4050 5050 6050 5050 591'/a x 58 3/. 595/8 x 591/4 6050 71'/a x 583/. 71514 x 591/+ Sizes below (7020-9050) contact manufacturer for certification. 7020 83 x 22 3/. 831/2 x 231/4 8020 95 x 22 34 951/2 x 231/4 — 9020 107 x 223/4 1071/2 x 231/4 7020 8020 9020 7030 83 x 34 3/4 . 831/2 x 35'/4 8030 95 x 34 3/4 951/2 x 351/4 —i 9030 107 x 34'/4 1071/2 x 351/4 7040" 83 x 463/4 831/2 x 471/4 7030 8030 9030 8040 95 x 463/4 951/2 x 471/4 — I -- 9040 107 x 46114 107112 x 471/4 7050 83 x 581/4 831/2 x 59'12 8050 95 x 58 ?4 951/2 x 591/4 9050 107 x 58 34 107112 x 591/4 _ 7040 8040 9040 7050 8050 9050 FULL SIZE SECTIONS Series 2100 Meeting Bail I Manufacturer reserves the right to alter desig in this brochure and production schedules without notice. * * * * * * * * * * SERIES 2100 SPECIFICATIONS********** 1. GENERAL- Horizontal silding windows shall be Series 2100. Windows shall meet or exceed requirements of AAMA HSA2HP. 2. MATERIALS - A. Frames and sash shall be 6063 - T5 extruded aluminum alloy with a nominal wall thickness of .062 and the sill shall have a nominal wall thickness of .078. The fixed rail member shall be of tubular construction. B. Standard finish shall be bronze or white baked acrylic enamel. C. Weatherstripping shall be silicone treated pile. 3. CONSTRUCTION - A. Frames shall have an integral fin around entire perimeter and should be mechanically joined with screw fasteners. The sill shall have a slow pitch with weep slots for adequate drainage. B. Window panel shall interlock at center meeting rail and also at lock rail. 4. HARDWARE - A. Moveable sash shall be equipped with an all aluminum spring loaded self-locking latch which shall engage into the frame jamb. B. The moving sash shall be equipped with two adjustable steel rollers. 5. GLAZING - Shall be factory glazed with 5/8" insulating glass panels. 6. INSTALLATION - All windows shall be erected by others in accordance with manufacturers recommendations without forcing, springing, or twisting. Head and sill members shall be aligned and parallel and square with jambs. A sealant shall be provided by the erector and applied to provide a water tight seal between windows and surrounding construction. 7. SCREENS - (When specified) shall be hollow box frames wired with fiberglass wire mesh. INSTALLATION DETAILS FRAME CONSTRUCTION BRICK CONSTRUCTION Head MASONRY CONSTRUCTION ` Sill lode1 ************************A ********** fit' * ms-rRIBUTEn BY: '-•; Vii•. .'• „�' : Head MASONRY CONSTRUCTION ` Sill lode1 ************************A ********** fit' * ms-rRIBUTEn BY: COs - IVB w��c�oe�a + N.M►Do�cl. ��lJ� Fermis Structural Associates, Inca 1 SHEET NO. SUITE 305, 190 01D DERBY STREET OF io HINGHAM, MA 02043 CALCULATED BY S DATE 5/21 8 8 CHECKED BY DATE SCALE ..... ..... ..... .... ..... ...... ...... ...... ...... ..... ...... ...... ...... ...... ............................ ..... pp.aQ..........�,o..�aaQ.r... d€ G NoW...v.. ... ...........................:.........4:........................................... e.5........... `... :............_.....................................:..................�`-........_R.1..,.T.......St+l.daRlf�fc......A@C..1..1ua.a .......s............ ....................................... ... G Px� :.........................:.............................:......................;..........;.............. ;.............. ...................... ,.............. .... e.�to ,....t. .�.�......a ..... a.R•s,.......... 2 x ..... .............:..............:........3.;.....P.0................4....... i............. .............. .............. .... ...... ..... ..... ...... ...... ...... ..... ......................... .......................... ............. s..... ......... ......... <.... ....r... ........ ..... ... ....................... ....... .. ............_1:.....!C .....G`...G.._........�r........... .,............,...... ........ ...... ...... .. .,..............,.�..S .-S.........s ................; Irl c.. .� :.........: .....A...". ... ...Q.R .iF�.........Awri .. ...... ..... P�aa i rJ8 $ v TIFF ............. r ............. ........................all ... .... .. _.... .. _ i.... ...1 .. ..... ...... ...... ..._>.... .._i.... ...... ...... ..... ....... ... .. .....................................................a...... .......`................................................. ...... ...... ...U...5..�...a...3.Q..._1�C....I..2.........70..�..s..�s...... �.4..j.19.8.�... ...... r .....:.... 1 :W....�t ............�0..................... .F ...... ...................................... ............... k.8.-:...D ......... ..... ire ........................:..........i............ . .............................. ...... ...... ...... .... <GAR1C ............................................. ..... . Gfi 1 FT?.... / i Pis* ............:..............:.........r..i........ .....:......... ........................, .'...........°.�..... ,' . ...,.........`..1...i..............t..............i............_....................._b 1 —..._. ...... 90...P 5..,.._.....DQ1F..Y....� ost� ............................... ............ ............. '.........—..................... :...... ................ _............._f........�.j ........................ v, ...� Qa............. } F .Sa ..... .... ..... 22 PSF A� .............,...........:..................y .............. it �..t.. :.........:...............t....y.........,�..:...........t...i.......i.........................;..............;.................................... ..... ..... °I r I 1 :..............:..............:.............. ............. ............ :. ........... :{ ..... a-T u a u ............:..........................:...........a.................................;.... .; 7 N E SL KO s' ......; ....... .. ...... 2 TOT Li LoAo :LVE LOAD i57 ' ......... ............. ............. .......................................... ....... � ...... 9`0 _...: 17.x. Ilio..................:... . ....................................................................................................................................... .... ....... ........ .._'. .... ........... ........1..x.5..................... ... ..... ..:.............:........... .:............. ...... Kt2 .............. 2.5..6 ,.. 1 g8...........7.o s ........... .............. <............_;.............. ;............. ... ........... ............ _. ....:.... .... 1 ................................. 91 .135 - 2,r } -2 6 7 : •o t ............ .................................................. ...... /i ...... ...... ...... i : : : : : : : : : : : ...........>.....:..............._�......e...1.. Hi.U-;..3_QtiC..�Z,... ?cuSTS......D K.....F�?R. SNowoR.«R l_Oo.OT....... ... ... .. S: BERNARD ..........................:.............;.............<.............;..............:..............:.............. :.............. :.............. :............ _,............................,............. .,.............,............. ..............'. .._:.... .._: ...... ..... ..:.... ... pslk..._Ir.X.. .... 2N So15T5 GLf! . SP►.*► '29 D r- V1 W T si 22 N ..... ..�..... ... .... ...:........ O FSS k ....................................................................... :............ _:. 0.._ ..r...... ..R ...Z°..$...PL.F TOTAL 4o RD .02 �.�VE. LOAG.._ p .IC � t�iEv. L.oao a GAI_C vL.lirl�p G.... q ........$..Y...... PAW V M1 a Inc, G'ft1 Man 01471. S R • ' !�•� � ,c ~ PAGE NO. , ' ************************************************** * S T A A D - III * ^ * REVISION 10.0 (VERSION 10 LEVEL 0) * * PROPRIETARY PROGRAM OF * * RESEARCH ENGINEERS,INC. * ` * DATE= JUN 1, 1988 * * TIME= 11:55: 0 * ************************************************** 1. STAAD PLANE ' 2. UNIT POUNDS FEET 3. JOINT COORDS ' 4. 1 0 0; 2 5 0; 3 5.33 0; 4 6.33 0 5. 5 6.83 0; 6 10.66 0; 7 13.58 0 6. 8 16.40 0; 9 18.75 0; 10 20.75 0 7. MEMB INCIDENCE 8. 1 1 2; 2 2 3; 3 3 4; 4 4 5 9. 5 5 6; 6 6 7; 7 7 8; 8 8 9; 9 9 10 10. UNIT KIP FEET 11. MEMB PROPS 12. 1 TO 9,TABLE ST W16X26 13. CONSTANTS 14. E 29000. ALL 15. SUPPORT 16. 1 TO 10 PINNED 17. PRINT ALL ** PROCESSING MEMBER/ELEMENT INFORMATION. ** PERFORMING BANDWIDTH REDUCTION. ORIGINAL BANDWIDTH = 1 REDUCED BANDWIDTH = 1 ** PROCESSING SUPPORT CONDITION. ' STAAD PLANEPAGE�NO. � ` ]� JOINT ----------------- COORDINATES ' COORDINATES ARE FEET UNIT ` JOINT X Y Z 1 0.000 0.000 ' 0.000 2 5.000 0.000 0.000 3 5.330 0.000 0.000 ` 4 6.330 0.000 0.000 5 6,830 0.000 0.000 ' 6 10.660 0.000 0.000 7 13.580 0.000 0.000 8 16.400 0.000 0.000 ' 9 18.750 0.000 0.00O 10 20.750 0.000 0.000 . ' 0STAAD PLANE PAGE NO. ************ END OF DATA FROM INTERNAL STORAGE ************ 18. UNIT POUNDS FEET 19. LOAD 1 DL ONLY 20. MEMB LOAD 21. 1 TO 9 UNI Y -22 22. LOAD 2 LL TRAP 23. MEMB LOAD ` 24. 1 TRAP Y -30,-37.53, 2.74, 5.0 25. 2 TRAP Y -37.53,-38.63 26. 3 TRAP Y -38.63,-41.97 27. 4 TRAP Y -41.97,-43.63 28. 5 TRAP Y -43.63,-56.37 29. 6 TRAP Y -56.37,-66.10 30. 7 TRAP Y -66.10,-75.53 31. 8 TRAP Y -75.58,-83.33 . 32. 9 TRAP Y -83.33,-90.00 33. LOAD COMB 3 DL + LL + DRIFT 34. 1 1 2 1 35. PERFORM ANALYSIS ** CHECKING LOAD DATA. ** PROCESSING AND SETTING UP LOAD VECTOR. ** PROCESSING ELEMENT STIFFNESS MATR-lX. 11:55:17 ** PROCESSING GLOBAL STIFFNESS MATRIX. 11:55:18 ** PROCESSING TRIANGULAR FACTORIZATION. 11:55:18 ** CALCULATING JOINT DISPLACEMENT. 11:55:19 ** CALCULATING ELEMENT FORCES. 11:55:19 36. PRINT ANALYSIS RESULTS � . , STAAD PLANE PAGE NO. 5y JOINT -------------------- _________________JOINT DISPLACEMENT (INCH RADIANS) STRUCTURE TYPE � = PLANE . JOINT LOAD X -TRANS Y -TRANS Z -TRANS X-ROTAN Y-ROTAN Z-ROTAN 1 1 0.00000 0.00000 0.00000 0.00000 0.00000 -0.00021 2 0.00000 0.00000 0.00000 0.00000 0.00000 -0.00008 3 0.00000 0.00000 0.00000 0.00000 0.00000 -0.00029 2 1 0.00000 0.00000 0.00000 0.00000 0W0000 0.00009 2 0.00000 0.00000 0.00000 0.00000 0.00000 0.00006 3 0.00000 0.00000 0.00000 0.00000 0.00000 0.00014 3 1 0.00000 0.00000 0.06000 0.00000 0.00000 0.00006 2 0.00000 0.00000 0.00000 0.00000 0.00000 0.00003 3 0.00000 0.00000 0.00000 0.00000 0.00000 0.00009 4 1 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 2 0.00000 0.00000 0.00000 0.00000 0.00000 -0.00003 3 0.00000 0.00000 0.00000 0.00000 0.00000 -0.00003 5 1 0.00000 0.00000 0.00000 0.00000 0.00000 -0.00002 2 0.00000 0.00000 0.00000 0.00000 0.00000 -0.00007 3 0.00000 0.00000 0.00000 0.00000 0.00000 -0.00010 6 1 0.00000 0.00000 0.00000 0.00000 0.00000 0.00002 2 0.00000 0.00000 0.00000 0.00000 0.00000 0.00004 3 0.00000 0.00000 0.00000 0.00000 0.00000 0.00006 7 1 ~ 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 2 0.00000 0.00000 0.00000 0.00000 0.00000 -0.00001 3 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 8 1 0.00000 0.00000 0.00000 0.00000 0.00000 0.00001 2 0.00000 0.00000 0.00000 0.00000 0.00000 0.00002 3 0.00000 0.00000 0.00000 0.00000 0.00000 0.00003 9 1 0.00000 0.00000 0.00000 0.00000 0.00000 0.00001 2 0.00000 0.00000 0.00000 0.00000 0.00600 0.00002 3 0.00000 0.00000 0.00000 0.00000 0.00000 0.00003 10 1 0.00000 0.00000 0.00000 0.00000 0.00000 0.00002 2 0.00000 0.00000 0.00000 0.00000 0.00000 0.00008 3 0.00000 0.00000 0.00000 0.00000 0.00000 0.00011 , STAAD PLANE ' ^ -- PAGE NO. 6 SUPPORT REACTIONS -UNIT POUN FEET STRUCTURE TYPE = ------------------ ________________JOINT � PLANE JOINT LOAD FORCE -X FORCE -Y FORCE -Z MOM -X MOM -Y MOM Z 1 1 0.00 46.76 0.00 0.00 0.00 0.00 � 2 O.00 9.55 0.00 0.00 0.00 0. 00 3 0.00 56.31 0.00 0.00 0.00 0.00 2 1 0.00 95.87 0.00 0.00` 0.00 0.00 2 0,00 89.72 0.00 0.00 0.00 0.00 3 0.00 185.58 0.00 0.00 0.00 0.00 3 1 0.00 -2.92 0.00 0.00 0.00 0.00 2 0.00 8.78 0.00 0.00 0.00 0.00 3 0.00 5.87 0.00 0.00 0.00 0.00 4 1 0.00 1.33 0.00 0.00 0.00 0.00 2 0.00 10.76 0.00 0.00 0.00 0.00 3 0.00 12.09 0.00 0.00 0.00 0.00 5 1 0.00 51.27 0.00 0.00 0.00 0.00 2 0.00 119.47 0.00 0.00 0.00 0.00 3 0.00 170.74 0.00 0.00 0.00 0.00 6 1 0.O0 76.87 0.00 0.00 0.00 0.00 2 0.00 194.68 0.00 0.00 0.00 0.00 3 0.00 271.55 0.00 0.00 0.00 0.00 7 1 . 0.00 61.48 0.00 0.00 0.00 0.00 2 0.00 186.59 0.00 0.00 0.00 0.00 3 0.00 248.07 0.00 0.00 0.00 0.00 8 1 O.00 57.75 0.00 0.00 0.00 0.00 2 0.00 197.70 0.00 0.00 0.00 0.00 3 0.00 255.44 0.00 0.00 0.00 0.00 9 1 0.00 50.18 0.00 0.00 0.00 0.00 2 0.00 190.91 0.00 0.00 0.00 0.00 3 0.00 241.09 0.00 0.00 0.00 0.00 10 1 0.00 17.90 0.00 0.O0 0.00 0.00 2 0.00 72.42 0.00 0.00 0.00 0.00 3 0.00 90.32 0.00 0.00 0.00 0.00 ` STAAD PLANE �- PAGE NO. %.I- MEMBER � MEMBER END ----------------- FORCES STRUCTURE TYPE = PLANE ALL UNITS ARE -- POUN FEET MEMO LOAD JT AXIAL SHEAR -Y SHEAR -Z TORSION MOM -Y 1 1 1 0.00 46.76 0.00 0.00 0.00 2 0.00 63.24 0.00 0.00' 0.00 2 1 0.00 9.55 0.00 0.00 0.00 2 0.00 66.76 0.00 0.00 0.00 3 1 0.00 56.31 0.00 0.00 0.00 2 0.00 130.00 0.00 0.00 0.00 2 1 2 0.00 32.63 0.00 0.00 0.00 3 0.00 -25.37 0.00 0.00 0.00 2 2 0.00 22.96 0.00 0.00 0.00 3 0.00 -10.39 0.00 0.00 0.00 ` 3 2 0.00 55.59 0.00 0.00 0.00 3 0.00 -35.76 0.00 0.00 0.00 3 1 3 0.00 22.45 0.00 0.00 0.00 4 0.00 -0.45 0.00 0.00 0.00 2 3 0.00 19.18 0.00 0.00 0.00 4 0.00 21.13 0.00 0.00 0.00 3 3 0.00 41.63 0.00 0.00 0.00 4 0.00 20.67 0.00 0.00 0.00 4 1 4 0.00 1.78 0.00 0.00 0.00 5 0.00 9.22 0.00 0.00 0.00 2 4 0.00 -10.37 0.00 0.00 0.00 5 0.00 31.77 0.00 0.00 0.00 3 4 0.00 -8.58 0.00 0.00 0.00 5 0.00 40.98 0.00 0.00 0.00 5 1 5 0.00 42.06 0.00 0.00 0.00 6 0.00 42.20 0.00 0.00 0.00 2 5 0.00 87.70 0.00 0.00 0.00 6 0.00 103.80 0.00 0.00 0.00 3 5 0.00 129.75 0.00 0.00 0.00 6 0.00 146.01 0.00 0.00 0.00 6 1 6 0.00 34.67 0.00 0.00 0.00 7 0.00 29.57 0.00 0.00 0.00 2 6 0.00 90.88 0.00 0.00 0.00 7 0.00 87.93 0.00 0.00 0.00 3 6 0.00 125.54 0.00 0.00 0.00 7 0.00 117.50 0.00 0.00 0.00 7 1 7 0.60 31.91 0.00 0.00 0.00 8 0.00 30.13 0.00 0.00 0.00 2 7 0.00 98.66 0.00 0.00 0.00 8 0.00 101.04 0.00 0.00 0.00 3 7 0.00 130.57 0.00 0.00 0.00 8 0.00 131.17 0.00 0.00 0.00 V.00 -41.20 0.00 -35.28 0.00 -76.48 41.20 -31.63 35.28 -29.77 76.48 -61.39 31.63 -20.18 29.77 -30.46 61.39 -50.64 20.18 -22.04 30.46 -40.96 50.64 -63.00 22.04 -22.32 40.96 -56.23 63.00 -78.55 22.32 -14.88 56.23 -45.01 78.55 -59.89 14.88 -12.37 45.01 -42.12 59.89 -54.48 ° STAAD PLANE -- PAGE NO. MEMBER END ------------------- ________________ALL FORCES STRUCTURE TYPE = PLANE ALL UNITS ARE -- POUN FEET MEMO LOAD JT AXIAL SHEAR -Y SHEAR -Z TORSION MOM -Y 8 1 8 0.00 27.62 0.00 0.00 0.00 9 0.00 24.08 0.00 0.00' 0.00 2 8 0.00 96.66 0.00 0.00 0.00 9 0.00 90.00 0.00 0.00 0.00 3 8 0.00 124.28 0.00 0.00 0.00 9 0.00 114.08 0.00 0.00 0.00 9 1 9 0.00 26.10 0.00 0.00 0.00 10 0.00 17.90 0.00 0.00 0.00 2 9 0.00 100.91 0.00 0.00 0.00 10 0.00 72.42 0.00 0.00 0.00 ' 3 9 0.00 127.01 0.00 0.00 0.00 10 0.00 90.32 0.00 0.00 0.00 ************** END OF LATEST ANALYSIS RESULT ************** 37. FINISH *************** END OFSTAAD-III *************** ****** DATE= JUN 1,1988 TIME= 11:55:24 ****** MOM -Z 12.37 -8.21 42.12 -30.71 54.48 -38.91 8.21 0.00 30.71 0.00 38.91 0.00 v Bermis Structural Associates, Inc. SUITE 305, 190 OLD DEROY STREET' HINGHAM, MA 02643 9 . ......... ....... ... ....................... ........... PROUCT 2041 Int. Gmtm. Moa 01471. 3JO JOB tk-,4-CL" t-,,geVq SHEET NO. 9 OF 1 C) CALCULATED BY DATE -171-11g. I I CHECKED BY DATE RrAl F qu ' JOB Nit.. Lem } Bermis Structural Associates, Inc. SHEET NO. `0 OF to SUITE 305, 190 OLD DERBY STREET HINGHAM, MA 02043 CALCULATED BY S A DATE CHECKED BY DATE PROWC1204-1ees Inc, Groton, Mui 01471. 81 fl]TAW 10 MOITAIIATeAl SLIT 3V1 I 1,U3VGD 2A0 IT AJUDH "'Vi, APPLICATION FOR WATER SERVICE CONNECTION Y ludi-tj8ib til to lial qi� bid -n 'if .1U q va noi, W 2nisl jmw dl;vv 1.9clMr.1 Yfiw V06 ni 'f.: aAioiV :)itduq lo, noi?ivia orifi mo-il limiqq bilsv r) JU('4 IN" North Andover, Mass. 19- .9bs* rizihil grit wolqd 19gl 9vfi iR, ruui-iinim s b9II&Teni q( Application by the undersigned is hereby made to connect with the town water main in. Street, subjett't'62the rules affid-rlegGldtioris bf 1M.Divisior1fof tPublic)Works-.1i ft1(J1iW belliIA-md ad :v The premises are known as No. vmidl'i '*Mvt "r '4H lirrb Street or sub#yision lot no. lfiups to 19119"M "Y19.-ancil 5,- .1 Own r Address an Contractor Address \FIL HJiw qqyT si-0 9d! lo od 11t3d -.�qolq 6 -12r;- )ns A%pi y1i 'q 22md oo, Tooi t qff 'I I A Alwlicant's Signature �1. P F U, E: L I C L V,'ORKS PERMIT TO CONNECT WJTH The Board of Public Works hereby grants ermission to to make a connection with. the water main at subject to the rules and regulations of the Division of Public Works. By Inspected by Date WATER MAIN See back for rules and regulations 2 Street 1( .1 Board of Public Works Date.Z- This certifies that .. ,lam ...`.... S .... %.` ................. . has permission to perform .Xe zf c..... wiring in the building of ....`�,�%Ur�!.e n.... j��•r . �„ at �?, .. Cfr!r. .....S r77 ........... North Andov r, Mass. Fee .? zf :.,�< Lic. No. � D % `%?�". � . f .. .... ... v ELECTRICAL INSPECTOR 'Check # _��; �� ✓✓✓✓ -C\ Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [Rev. 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT WINK OR TYPE ALL INFORMATION) Date:�- City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) G Owner or Tenant t Telephone No. Owner's Address r'✓v) Is this permit in conjunction with a bd ding permit? Yes ❑ No (Check Appropriate Box) Purpose of Building r t CS i1 C eUtility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Com letion nf the followin table may be waived by the In ector of Wires. Attach additional detail y aevrea, or as requzrea oy we impec,ur ui rr tr ca. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with NEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains andpenalties of perjury, that the information on this application is true and complete. aa FIRM NAME:. 6.)Ca N LIC. NO.: d /T Licensee: I �13 [_ l�� �s Signature LIC. NO.:� (If applicable, ent"exem to the lice�s numb line.) ( Bus. Tel. No.: Address: � LS c71 U ! 7 T k/ J Y`t f ) f- V M U 1 �i VtO Alt. Tel. No.: 0 `Per M.G.L c. 147, s. 57-61, security work requires Department of Public afety "8" License: Lic. No. 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 agent. Owner/Agent PERMIT FEE: $ ?, 2 Signature Telephone No. {� of Total No. of Recessed Luminaires No. of Ceil:p• (Paddle) Fans Suss TransKVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above In- Swimming Pool rnd. ❑ rnd. ❑ o. o mergency Lighting Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Detection and No. of Switches SNo. of Gas Burners Initiating Devices No. of Ranges Tot No. of Air Cond. Tons No. of Alerting Devices Heat Pump Number Tons KW No. of Self -Contained No. of Waste Disposers P Totals: � ��K ������.................................. Detection/AlertinLy Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ElOther Connection No. of Dryers Heating Appliances KW SecuritNo. of Systems:* or Equivalent No. of WaterKW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices orEquivalent dromassa a Bathtubs No. Hydromassage y g No. of Motors Total HP Telecommunications Wiri ng No. of Devices or E uivalent OTHER: f o f �' ufJ !�e nt S G f Attach additional detail y aevrea, or as requzrea oy we impec,ur ui rr tr ca. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with NEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains andpenalties of perjury, that the information on this application is true and complete. aa FIRM NAME:. 6.)Ca N LIC. NO.: d /T Licensee: I �13 [_ l�� �s Signature LIC. NO.:� (If applicable, ent"exem to the lice�s numb line.) ( Bus. Tel. No.: Address: � LS c71 U ! 7 T k/ J Y`t f ) f- V M U 1 �i VtO Alt. Tel. No.: 0 `Per M.G.L c. 147, s. 57-61, security work requires Department of Public afety "8" License: Lic. No. 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 agent. Owner/Agent PERMIT FEE: $ ?, 2 Signature Telephone No. {� f ' ._ • ��1utl.r.l..R�-f.•��j.C�����-{�y-/�'��QTJ%.r�-ITfJ%f-"R.Jj��'1 `L ®w p�j �i+�'� �.ns.l��.+:1'UJ4.+L�RI .x.`e+�J�. iY��i XOM PASA -4 I'ailed-�[ e- pect�o� XequzxecT($�0.00) j YmspectQxs' �o7nme�ts: ' -Ilk ^ •. [xnspecf oxsy HxC'Matoxe -5to PxNals) Pate �'assec�•-- �+'aileti--[ �' � �e-�ns�eetio�,xe�uixeci ($0.00)-• j �` . 'toxS' Comments, (Inspectoxs� �zgnatuz'e •• �.o fxtztials) ,� • � � k date •-- Z � %� 'assed •- j � �+'azlet�•- I � �Z.e�fns� ectzo�,�e[luixet� �$�QA Q) � j � aspectoxs' comments. , cllnspectors" Signataxe-• l.o znifaW Pate . ectbxs' eommep:fs: Nuerl•- giggturo-io jnftiab) . r7 Pate qS'xcTxON-• OWER. II 'ed'--['azle�� [ J- atensecttonxer�uixet� ($0.00) - [ BCtOI.'u9 COLTi7�7.�I1t3a _ • �liisj]ectox�' xgnaiure��oii�itfals) Pate Ydll� T AC—I..Q A'pV IVn' 'W. XVA MTV d't hT.W.PrpDYE .gT'pv..,w TPW. A'Pv..A'd`dD'€M,iiT.gv l'v E2 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 J www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): E / ecl f , ` c X -/-i C , Address: (- -) i� n -/ P � 7 r / D l 5 Llo City/State/Zip:_ e icJ n j9- . Phone #: '79/- 2 VS 1�2 j Are you an employer? Check the appropriate box: 1.0I 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 me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3.0 I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] i employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10,9 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12. ❑ Roof repairs 13.❑ Other *Any applicant that checks box # 1 must also fill out the section below showing their workers' compensation policy information. f 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 employees. Below is the policy and job site information. Insurance Company Name:_/ Policy # or Self -ins. Lic. #: C.J YJ (f Expiration Date: `� Job Site Address: .3 3 J I /`f i� �� . r City/State/Zip: %Y . �i &/yy 4 Y 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. 1 do hereby certik-rmder oepaiws-ycnilenalties ofperjury that the information provided above is true and correct. Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # - 1 L - Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other 1. Contact Person: Phone #: 11 L 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 permit/license 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 burn 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 Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE [devised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia I P J i J r 7 CONTROL # H O 2 6 8 4 0 IMPORTANT, YIf this license is lost or destroyed, notify your Board at th Division of Professional Licensure, 1000 Washington S Suite 710, Boston, MA 02118-6100• If your name or address shown is changed, notify your boe of correct name or address to insure proper mailing of n( Renewal Application. Always refer to your license numb This license is subject to the provisions of the General La as amended. It is a personal privilege, and must not be loar or as to any other person. Keep this license on y person or posted as required by law. 1', r.Flfi. t !' � �� Je�� ��rn�r���� 9 � � � �� � ��- �-- _ ��%_.�' �' ���� •L��Z`��� iii ���� ,sem_ ��f c�r�./� _ _ .�a�__-fid �. __ �_ .�r� f �-.s _fes ��� � -,��� �__.__ -�- Printing Property Page 1 of 1 Print Ownerl RIVERVIEW GLOUCESTER LLC Owner2 Address 334 CLARK STREET Map/Lot 077.0-0017-0000.0 Lot Size 2.18 sq. ft. Fiscal Year 2010 Land Use Code 316 Last Sale Date 10/31/2007 Book/Page 10957 Total Valuation $695200 Building Type Year Built Finished Area 9600 sq. ft. Assessor Map NorthAndoverAssessorMap77_26x36.pdf http://maps.mvpc. org/NorthAndovermimaplIdentify.aspx?datatab=ParcelB asic&id=077.0-0017-00... 10/28/2011 Town of North Andover Town of North Andover, Massachusetts ' Municipal Information r P ...>.-•.� Mapping A p pp gc cess Program aro (MIMA ) Base Map Zoning 2008 Aerials watershed Zone 11 Utilities I Q Sizep[]u Owner Help Scale 1" =F203 ft 078 01 0 B & M RAILROAD 1 selected To Mailing Labels To Spreadsheet ,n t IM -0021 Road - A. 615.0-0003 077.0-0017 677,0-0014 0TA1-0013 ;.:. - 077J1114012 ,i: _ 077,0-0003 Get Plctometry Imag Go Map Image v3.1.2 AppGeo Save as Page 1 of 1 Selection Legend Location Markup Select (show all) - I Parcels - Owner lAddress Lot GREATER LAWRENCE SANITARY DIST 0 B & M RAILROAD 1 selected To Mailing Labels To Spreadsheet Property 11 Building Permits 11 Planning 11 Septic Putt Print Ownerl GREATER LAWRENCE SANITARY DIST Owner2 Address 0 B & M RAILROAD Map/Lot 075.0-0003-0000.0 Lot Size 90.95 sq. ft. Fiscal Year 2010 Land Use 901 Code t mor est I Mattimack \"alley Planting Comrtr'sslon does not make any watranty, expressed or Impied, rrn as?urne any legal HarAity or Maponffi5tdy lar the accuracy, completeret ,.J.. at usefl*vass of the Geograptsc Information 5y>.ten (&) Data or any curer data provided hefein. The data Was not take the place of a Wessional su *y and has no legal bearing on the the sNipa, sze, location, cr existence of a geographic teatue, prape•ty wa, or poil•.ical represemalion. MenLnsek Valley Planning CcmmIs ion requests LLL 'try that any use d M inlamallon t+' accomperled tly a retetetce to Its sowce and tha Merrimack Valley Planning Curanisvim's caveat that It makes no warmnlies w representations as to the acattacy at Said intnrmadan. Any use of this Infamnation is at the reciplern Is mm risk. http://maps.mvpc.org/NorthAndovermimapNiewer.aspx 10/28/2011 Town of North Andover Town of North Andover, Massachusetts Municipal Information Mapping Access Program (MIMAP) Page 1 of 1 Selection Legend Location Markup FSelect (show all) Parcels Owner I Address Lot GREATER LAWRENCE SANITARY DIST 10 B & M RAILROAD, 1 selected To Mailing Labels To Spreadsheet Print Ownerl GREATER LAWRENCE SANITARY DIST Owner2 Address 0 B & M RAILROAD Map/Lot 075.0-0003-0000.0 Lot Size 90.95 sq. ft. Fiscal Year 2010 Land Use 901 Code r ..t cafe -- -- 41 ~ ` Mardmack Valley Manning Commission does awl make any warranty, e>;rerse-d a Implied, mX assure any legal ®ability or re=.ponStbEty for the axwacy, oompletanem ,.� or "u1ness d the GeogteprNC Wbrnaton System (CM1 Data or any other data provides hetero. The data does not take the place of a ptoteswonel srrvey and has no legal hearing on the tnae shape, rim, location, or existence of a geographic leahm propyty, are, or political representetion. Merrimack Valley PlannkV Cu mt ion requests that any use of this Intcrmatlon b- accanpanied by a reference to Its sowce and the Meadmack Vafley Planning Commission's caveat that It makes no wenantles or °� repres2tttaUons as to dr+accuracy of said IntorrnaSon. Any use of tills Intonation Is at the rsiplent s a+m risk. http://maps.mvpc.org/NorthAndovermimapNiewer.aspx 10/28/2011 Date.`..��'. . .�+ TOWN OF NORTH AND VER �r • �.. o„ .� O0 ° PERMIT FOR PLU GING + •� , ,••`<5 ter: ,� � +}— �, (��., This certifies that ..... ..lc. - -.�!- ..................... has permission to perform plumbing in the buildings of ....... JA- �................ North Andover, Mass. Fe&?.(....... Lic. No%� U��.. `� �i� ,�� �i............... . PL�J,MVNG INSPECTOR Check # 71'17 e MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) ti��T� flNj)flt/zq Mass. Date R -O 2006 Permit Building Location 33 y C'/A,l< -5—nie a— Owner's Name Lr0/✓ LLL AlS,r; y Type of Occupancy New ❑ Renovation ❑ Replacement; Plans Submitted: Yes ❑ No� FIXTURES Installing Company Name Stark & Cronk Plumbing & Heating, Inc. Address 308 Main Street, Groveland, MA 01834 Business Telephone 978-372-6981 Name of Licensed Plumber ec one: Certificate 1KI Corporation 2486C ❑ Partnership Firm/Co. INSURANCE COVERAGE: 1 have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 9 No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy X Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance covera required by Chapter 142 of the Mass. General Laws, and that rn signature on this permit applicati waives this requirement. Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or e the best of my knowledge and that all plumbing work and installations erfi be in compliance with all pertinent provisions of the Massachusa PI By z -r TM Check one: Owner ❑ Agent ❑ aplication are true and accurate to ermit issued for this application will and Chapter 142 of the General Laws. e Signature of Licensed Plumber City/Town Type of License: Master 23 APPROVED (OFFICE USE ONLY) License Number 11027 Journeyman ❑ ■■ a a a - ■ n • mom Installing Company Name Stark & Cronk Plumbing & Heating, Inc. Address 308 Main Street, Groveland, MA 01834 Business Telephone 978-372-6981 Name of Licensed Plumber ec one: Certificate 1KI Corporation 2486C ❑ Partnership Firm/Co. INSURANCE COVERAGE: 1 have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 9 No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy X Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance covera required by Chapter 142 of the Mass. General Laws, and that rn signature on this permit applicati waives this requirement. Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or e the best of my knowledge and that all plumbing work and installations erfi be in compliance with all pertinent provisions of the Massachusa PI By z -r TM Check one: Owner ❑ Agent ❑ aplication are true and accurate to ermit issued for this application will and Chapter 142 of the General Laws. e Signature of Licensed Plumber City/Town Type of License: Master 23 APPROVED (OFFICE USE ONLY) License Number 11027 Journeyman ❑ } J z O LU I w U LL U- 0 O O LL O J w m 0 z O H U w d U) z_ C/) U) w O x Q-1 LU w LL U) LU U H L11 Y U) U) z O F- U w a m z_ J Q z LL O z O z m J a_ O 0 O w CL O LL z O F - Q U a a Q 0 z J D m LL O LU a w Q Z w a z w w m 2 D J CL Q w F - z C� H LU CL w Q D O U w d z z m 2 D J d r 1 NORTH ,'�'O 3r °` TOWN OF NORTH ANDOVER p .... D i PERMIT FOR GAS INSTALLATION p9 This certifies that .... —1,-, .....'% � -.^. ° ... has permission for gas installation �-' "`^ �--Z; ! k in the buildings sof `..... .. , North Andover, Mass. Fee. � ` `7. Lic. No. L/ /z/p... .°r . �? �ir�!t .. ...... GGAS INSPECTOR Check # 1.G6 y1}=�S.4.C`IUSEii! j UNIFCF-t+&; A.FPL!CA 17 - (P^ntcr IyFej �.�'� __ ��iia, �� =.=:ion ���F CGL✓I� �,t" - !,A Jew , Lit• -cne: R IMI i TO DO CASr=i IiING „n vre%=Nane�VCGp ��IJlater � ��CCS'it��., Fecf C�:Fzne; Crim Kti Crci to ftenaysucn '_ r epla�menc'; Flans Sunmittec: Yes r� Na Q F:L.(Zc t t t r \lnz=linaC--mpanv Name EAST ER_�T PR.O P a_i?TE ec OIL, Z1TG . C�teciCane: C,arditc�E. Address 1 3 i WALTER ST DA.Y7ERS MA 0.1923 Carporaiinn Esssrrrate-.Valuear-Waric:. _ __ C-- .: Ptirmcaaig. Rusin—'sin800-322-662.8' f Q. RrrttrC:z. Name of U=nzed Mumt:er arC-= icier Rr ., c-,, , : •+ ba' + -- ----- -- - INSURANCZE =VEgAGE: I have a cirre ianiiity insur-�rtca paiiey or its suias`mrttial equivalent whimh meets the requiremeriM at MCi Ch. 142, Yea G No Q If you have cited -ed ties, ppie/ indicate the type =verage by checting the aaprgpriaie box. A llahillty insuran= policy �" anter type at Indemnity C Hand Q (OWNER'S INSURANCZ WAIVER: I am aware that the licanses does_ not have. the insurance =venae required by Chapter 14-7 at the Mass. General Laws, and the my signature an this permit application waives this requirarnent. G`teeic one: 4wner(lAgentQ S+anature of owner or Qwnmrs Aaenr I hereby csntfy that all of the derails and infarmadon i have submitted (crenmredl in above application are cue and;z—zrate to the bemaf myknowledge•andtrtatailplumbinaworkandinstdlaugnsperrormeeunderthepermttissuedfortttisappticadonvvillbeinm liancavAth all percnent provisions ar the Massarstuseas Slate Gas Cade ane Chanter 142 pfthe -ere Laws. Ar a� 6y T ype arlicanse: (- Plumber �+pnature ar Li�nsets Piumoer a �- Title CasttttEt /"Z> � % ldas�r license Numner City/?awn L.Jaumevman APPgQVE� GFFtCc'JSc Gi�IL: ) N N LU N C N N C v U a?- W N C F- N C / C7 W J N C W O U �' = N _ Q 4 W W� = V W W N W W 4 ¢ a C C W U Lll N N 4 ¢ til 2 W C7 a U- — V N L" LU ? J 4 W 7 2 W 4 C Q a O o W e a N LU Q = a V = u. 3 a V 1 v s c a f- a sue-aSMT.I E SEMENT 1STFLOOR ZND FL44R I I I I I I i i� I I I I I I I I I I I I I I' 3R0 FLQ0A STH FLOGR STH FLOOR I I I I I I I I I I I I I I I I I I B T H F L Q'C-R ., . -- I. L:. I .. I.- .I-. .. I _._ I_,-._. L. I....I_..- 7H FLa'a.R 9TH R F:L.(Zc t t t r \lnz=linaC--mpanv Name EAST ER_�T PR.O P a_i?TE ec OIL, Z1TG . C�teciCane: C,arditc�E. Address 1 3 i WALTER ST DA.Y7ERS MA 0.1923 Carporaiinn Esssrrrate-.Valuear-Waric:. _ __ C-- .: Ptirmcaaig. Rusin—'sin800-322-662.8' f Q. RrrttrC:z. Name of U=nzed Mumt:er arC-= icier Rr ., c-,, , : •+ ba' + -- ----- -- - INSURANCZE =VEgAGE: I have a cirre ianiiity insur-�rtca paiiey or its suias`mrttial equivalent whimh meets the requiremeriM at MCi Ch. 142, Yea G No Q If you have cited -ed ties, ppie/ indicate the type =verage by checting the aaprgpriaie box. A llahillty insuran= policy �" anter type at Indemnity C Hand Q (OWNER'S INSURANCZ WAIVER: I am aware that the licanses does_ not have. the insurance =venae required by Chapter 14-7 at the Mass. General Laws, and the my signature an this permit application waives this requirarnent. G`teeic one: 4wner(lAgentQ S+anature of owner or Qwnmrs Aaenr I hereby csntfy that all of the derails and infarmadon i have submitted (crenmredl in above application are cue and;z—zrate to the bemaf myknowledge•andtrtatailplumbinaworkandinstdlaugnsperrormeeunderthepermttissuedfortttisappticadonvvillbeinm liancavAth all percnent provisions ar the Massarstuseas Slate Gas Cade ane Chanter 142 pfthe -ere Laws. Ar a� 6y T ype arlicanse: (- Plumber �+pnature ar Li�nsets Piumoer a �- Title CasttttEt /"Z> � % ldas�r license Numner City/?awn L.Jaumevman APPgQVE� GFFtCc'JSc Gi�IL: ) .w JI 1 c P r t` a J Q p II to D m II � c m r L L' _ p u! O C LL G p 1 O � m r Q U J a 4 LLI L JI 1 7WE &071>!s?iME4Z?P tr7?X45S146);?QSS77S Do -"-t 4 P-" 5144 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only Permit No 7 - Occupancy & Fee Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts (Please Print in ink or type all information) Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number 3 3 e�i 421 its/G S ,' Owner or Tenant y/ v` lq,'?,GU )0146 13 y Electrical Code 527 CMR 12:00 Date G. 1 1U l0 To the In6jector 6f Wires: Owner's Address Is this permit in conjunction with a building permit Yes ❑ No v" (Check Appropriate Box) Purpose of Building � ALP 17"O l' Utility Authorization No. E)dsting Service Amps Voits Overhead ❑ Undgmd ❑ No. of Meters New Service Amps Voits Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 021 A 0' 2 �A)<7A//. 7 t%I fl/,/.11I S-ZIr"C''7- /i/-ri/T3- OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General laws 1 have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = h ed valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURAN E BOND = OTHER = (Please Specify) (Expimtlon Date) P/ Estimated Value of Electrical Works /v f X Work to Start Inspection Date Resquested Rough Final Signed under NAME the Penalties of perjury: �� A, NG l L (IW !4 A-) � li��i7'%L � L LIC. NO.�//��j�_G% Licensee_ 11/1 9 ll a Signature -,SI�� B 03 .� 6 Z Address 14 7147-/G /V !� Aft Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equival nt as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE b_ _— (Signature of Owner or Agent) c � H tdoc � Total No. of Light8ng Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimming Pool gmd ❑ gmd ❑ Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cord Tons Initiating Devices . Heat Total Total No. of Di sal No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers Space/Area Heating KW DetectionlSounding Devices ❑ Municipal ❑ Other No. of Dryers Heatinq Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring No. Hydro Massage Tuds No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General laws 1 have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = h ed valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURAN E BOND = OTHER = (Please Specify) (Expimtlon Date) P/ Estimated Value of Electrical Works /v f X Work to Start Inspection Date Resquested Rough Final Signed under NAME the Penalties of perjury: �� A, NG l L (IW !4 A-) � li��i7'%L � L LIC. NO.�//��j�_G% Licensee_ 11/1 9 ll a Signature -,SI�� B 03 .� 6 Z Address 14 7147-/G /V !� Aft Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equival nt as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE b_ _— (Signature of Owner or Agent) c � H tdoc � 4 ` N 1 J)7 Date ........ � ..1."/.1.4. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........... ca.U................... has permission to perform ........ .44 j�! .......}% r� Cr4 s ........................................ wiring in the building of ....... .! .cv....... ! e. at...3.. L.... dG al.... 51 ............................... . North Andover, Mass. Fee...Q ...j� Lic. No. ?A1(.............................................................. ELECTRICAL INSPECTOR C � ��gj921-0:38 50.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (a� (Print or Type) r /L- Mass. Date •3 19 /� Permit # i�Lr 0 Building Location-33Ytt.�:dLr f -- Owner's Name 2,,L�, ` Type of Occupancy. New ❑ Renovation U Replacement [;+� FIXTURES Plans Submitted: Yes O No EF piing Company Name Uptack Plumbing & Heatin Ire, 32 Rochambault Street Haverhill, MA 01832 ,.Itl(,ss Telephone 508 372-8503 JIM of I icensed Plumber or Gas Fitter Leonard A. Hall I n c. Check one: Certificate IXJ Corporation 11 Partnership U Firm/CO. INSURANCE COVERAGE: n current liability insurance policy ur i0 substantial equivalent which meets the requirements of MGI. Ch. 142. tit'sNo f', W 11,1ve checked yes, please indicue the Iype ( overage by checking the appropriate box. .II,IIIIy insurance policy I k Olher type nl Indr'mnity I Bund I OWNER'S INSURANCE WAIVER: I am aware that the h(.ensee does not have the insurance coverage required by Chapter 142 of the Mass. ''lie •II Laws, and that my signature on this permit Ippli(olion w,llve, Ihi, mquirenxvll, n•rlue of Owner or Owner's Agent Check une: --- Owner I i Agent! i111 �iu that ill U llrn d(undJ Clhc,{x•roLl'nwrd lura du,r,gl,Idi r'tliunl„ril rruuIII,- 11rilhIx'n uu•nI lnuvn...."'it IIID M.111,01(o Ulu•}I(x `,l ui,< i.10,1ndr Chaptw 14211 nI IN-(r,t nrrral Lm,. l vpv nl luon,r IRnauur ­1Li rrl Wunllx'r ui GI. fillrr --._. I��w n,•hn.��� „r•,I,,. NI,r,Ilx•r f USt )NL N) ..8..6 7 8... 'I'Hr)Vkli rt)f li C� ILI I Lin ,!- ce• / - - It Uj 21 • -10 Wj CL 0 14 ■■■■■■■■■■■■■■■■■■■■ ■■■ ■■■■■■■■■■■■■■■■■■■■■NONE ... ■■■EE■EEENNN■■■E■■■P■■■■■ ,... ■■■■EON■■■■■■■■■■■■■■■■■■ .... ■■N■■NN■EENENNNN■N■■■E■■■ •• mom MEMO ... ■■■■■E■■N■■■N■■■NN■■E■■■■ piing Company Name Uptack Plumbing & Heatin Ire, 32 Rochambault Street Haverhill, MA 01832 ,.Itl(,ss Telephone 508 372-8503 JIM of I icensed Plumber or Gas Fitter Leonard A. Hall I n c. Check one: Certificate IXJ Corporation 11 Partnership U Firm/CO. INSURANCE COVERAGE: n current liability insurance policy ur i0 substantial equivalent which meets the requirements of MGI. Ch. 142. tit'sNo f', W 11,1ve checked yes, please indicue the Iype ( overage by checking the appropriate box. .II,IIIIy insurance policy I k Olher type nl Indr'mnity I Bund I OWNER'S INSURANCE WAIVER: I am aware that the h(.ensee does not have the insurance coverage required by Chapter 142 of the Mass. ''lie •II Laws, and that my signature on this permit Ippli(olion w,llve, Ihi, mquirenxvll, n•rlue of Owner or Owner's Agent Check une: --- Owner I i Agent! i111 �iu that ill U llrn d(undJ Clhc,{x•roLl'nwrd lura du,r,gl,Idi r'tliunl„ril rruuIII,- 11rilhIx'n uu•nI lnuvn...."'it IIID M.111,01(o Ulu•}I(x `,l ui,< i.10,1ndr Chaptw 14211 nI IN-(r,t nrrral Lm,. l vpv nl luon,r IRnauur ­1Li rrl Wunllx'r ui GI. fillrr --._. I��w n,•hn.��� „r•,I,,. NI,r,Ilx•r f USt )NL N) ..8..6 7 8... 'I'Hr)Vkli rt)f li C� Y M 7 3 N 1 � � n '9 m T T m t w rn r - :fit 1 O z r A C) m CA z ' 1 0 Z H 2 H 0 Date. j, NORTH q TOWN OF NORTH ANDOVER pFt„ao . ti0 4.i PERMIT FOR GAS INSTALLATION LL This certifies that . /;q � �1... ��'� .�� ................. has permission for gas installation. in the buildings of r ..................... . at ...... • • • • . • , North Andover, Mass. Fee. �� . Lic. No... ... .......................... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer ........................; .y..l.. j..�...... .ojq •ai'I ...........�.�.. �3 . ssey�i `ianopud gVON...................................... ......................,�:..... .,...........................,........F .......... 3o 8uippq aqj ui 8umm ' . ,....... ,.,.rr.......e...... uuo3i2d of uoissiumd suq . ......... 1'eql soup= sigl ONIHIM HOA lIWH3d W H3AOaNV HIMON d0 NMOl Commonwealth of Massachusetts Oficial Use Only Permit No. 445-67 Department of Fire Services Q, Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev. 11/991 leave blank E�V�D I APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 0-3 City or Town of: 1%4oe)W /11-/40Qkj'/p To the Inspector of Wires: ANUOVER POLICE DEPgRTMEI By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number)1)14 ell,4Arl-IV /U'g" (,��,,,c�,r /�i1,���� .1 / 4t&r Sipes Owner or Tenant 733V 64aiyog( S% IV6- IU&JOGAIZ Telephone No.7�/-7a9-S3�'3 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ® No. of Meters % New Service ,10 Amps /6 /,2 —Volts Overhead ❑ UndgrdJK No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: � fY/OUlz Sflullee 1 C'A t/?Qm 19rApcL4 7' mg Ael? &&,a -711� /lle FFG-) AO raM6e rte- dAV20 . - !-- ro/;,,...,fthe fallawino table may be waived by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: 1NSURANCEX BOND ❑ OTHER ❑ (Specify:) (Expiration Date) . Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:-- /7 Q Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under thetins and penalties ofperjury, that the information on this application is true and complete FIRM NAME: -,— i1 CYC LIC. NO.: / 71/ _-11 Licensee: k7j Se,0Vz! 'Ilfl'410 Signatur LIC. NO.:�%�1�� (If applicable. enter "exempt" in the license number line.) Bus. Tel. No.: Address: O = S 2 /� © Alt. Tel. No.: _ OWNER'S SURANCE WAIVER: I am aware tha 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 agent. Owner/Agent PERMIT FEE: $ J� ' U� Signature Telephone No. Rece�rfi 0 ���- - No. of Total No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures AboveIn- Swimming Pool rnd. ❑ rud. ❑ o. o Emergency tg ing Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Detection and No. of Switches No. of Gas Burners Initiatin Devices 1►1o. of Ranges No. of Air Cond. Total No. of Alerting Devices No. Heat Pump Number Tons KW No. of Self -Contained No. of Waste Disposers Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heatin g KW Local --I Municipal El Other Connection No. of Dryers Heating Appliances Key Security Systems: No. of Devices or Equivalent No. of WaterNo. Heaters KW of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or Equivalent OTHER: _JJ'. _)J.. :1 :l J.. ..J n.r Av /r.e r.,fn0l•//tY of {{�f1Y.T. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: 1NSURANCEX BOND ❑ OTHER ❑ (Specify:) (Expiration Date) . Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:-- /7 Q Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under thetins and penalties ofperjury, that the information on this application is true and complete FIRM NAME: -,— i1 CYC LIC. NO.: / 71/ _-11 Licensee: k7j Se,0Vz! 'Ilfl'410 Signatur LIC. NO.:�%�1�� (If applicable. enter "exempt" in the license number line.) Bus. Tel. No.: Address: O = S 2 /� © Alt. Tel. No.: _ OWNER'S SURANCE WAIVER: I am aware tha 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 agent. Owner/Agent PERMIT FEE: $ J� ' U� Signature Telephone No. Rece�rfi 0 1' ui� 6/6/03 11:01 AM Sender's Fax ID: 9789880038 Page 5 of 5 DATE(MMIDDAYYY) ACORD! CERTIFICATE OF LIABILITY INSURANCE OP ID JZ FOURS -1 o_6106103 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION C J McCarthy Ins Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE A Hub International limited Co HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 229 Andover Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wilmington IIA 01887 A Phone: -978-6,17-5100 Fax: 978-658-9185 1 INSURERS AFFORDING COVERAGE NAIC # INSURED INSUPERA- Travelers Insurance Co !'''SURER. 6: Travelers Insurance Co. —� g IPer project aggre Four Star lighting,Inc. INSURERC Travelers Insurance Co. 142 Carter Street i INSURERD -- - -- ------+--- --- -.._ - — Tewksbury MA 01876 INSURER E. I COVERAGES THE POLICIES OF INSURANCE LISTED BELOVV HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICA'_ MAY BE ISSUED OR MAY PER': AIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE 1.I1`01TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRDD'L LTR NSR. TYPE OF INSURANCE j POLICY NUMBER POLI CT EFFECTIVE POLICT EXPIRATION DATE MMIDON DATE MMIDDIYY LIMIT5 120 Main Street IMPOSE NO OBLIOATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR GENERAL LIABILITY 1 I E:.CN pr G:.R2EI.,!: �_ : 1,000,000 A a COW4EROkLGtel-RALucS,urr I680712Y5684 77 P17FM TE"i 03/19/03 03/19/04 1 PrEMISE=_i_ ,-rE..:, s300 000 I • I CLAIMS MADE $ I CJCC"�' M fAny vie perscr,—_____�_. S5,000 g IPer project aggre PEP -OWL GAUVINJUP.' 11,000,000 GErJALAGGQEGr': 152,000,000 � L:.3GFEGATE 'JMIT APPLfEa:PEP 1 cPDDUCTa'-CCIAPI'Ji'•:.�G •i t2,000,000 aF.D- I IFC' dCY JECT I LOC LIABILITY I 1 C-f:T,IBr�ECSNd=LF-;.II•M1' B ��T,,011011ILC e,fd7AJf i BINDER/ AUTO 1 04/24/03 04/24/04 esacc,ner.I y Z, 000 , OOO (�ALL >YtdED, OTOS rSi: F1-" --E L' a'CS i ---r g i',iRED ?lJTOS aUDIL Mfr„+ r.'- $ NJIJ �JIb'I.IeD A.JTti9 ;Pe ac I I � PP�.PERT"Q.;'nAGF 'I S I • i I iffier a�7,ieXi I^ GARAGE L!ABILiTY I - H k:�"G CiNJL E, CIDEIJT 1 f-.:..:i':J:II r- A.." 1 5 . EXCESSlUMBRELLti LIABILITY rcr_P_ 1000000 A cLarms AAD,- BINDER UMBRELLA 04/11/03 _---__ _------- 04/11/04 RETEiTJ _ 10000 W.DRNERS COMPENSATION AND j $ EMPLOYERS LIFBI TY C IEUB712Y570302 AN"1ROPRIE 17111RE;111, `,'1 02/26/03 '— 02/26/04 e,_ Ah. D 500000 I L._ OFECE13111O6.6ER _,c(:LU0E07 - _)6EASE- EA 500000 SSPEC111LPPC1I2I:112 EL. "iEA:sE-FOLIE"r L!IJIT $ 500000 OTHER I I I I DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Communication Equip -cable & satellite install GERTIPIGATE HQLUER CANCELLATION TOWN -20 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED EEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF T, BVT FAILURE -0 DO SO SHALL Town of No. Andover 120 Main Street IMPOSE NO OBLIOATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR Andover MA 01845 REPRESENTATIVES. AUTHORIZED RE SENTATNE L AC:ORU 25 (2001!08) _03ACORD (7ORPORATION 1988