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Home My WebLink AboutMiscellaneous - 350 WINTHROP AVENUE 4/30/2018 (26)COMMONWEALTH OF MASSACHUSETTS North Andover BOARD OF HEALTH Kay's Hallmark NAME NUMBER BHP -2017-0144 FEE $60.00 DATE ISSUED March 01, 2017 350 WINTHROP AVENUE --------------------------------------------------------------------- --------------------------------------------------------------------------------------------------- ADDRESS IS HEREBY GRANTED A Dumpster Permit Dumpster PERMIT This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires February 28, 2018 unless sooner suspended or revoked. RESTRICTIONS: Republic Services 978.649.7564 Every otherFriday ----------------------------------------------------------- BOARD OF ---------- -------------------------------------- HEALTH COW ------------------------------------------------------------ ------------------------------------------------------------ BOARD OF HEALTH CHAIRMAN TOWN OF NORTH ANDOVER Community & Economic 'Development HEALTH DEPARTMENT 1,20 Main St. NORTII ANDOVER, MASSACHUSETTS 01845 Phone: 978.688,9540 Fax: 978.688,9542 E -tail: l?ealtlaclept (,northandoverma.gov RECEIVED APPLICATION FOR TIUMPSTER PERMIT PURSUANT TO SECTION 31A AND 31 B OF CHAPTER III OF TIM GENERAL LAWS, AND RULES AND REGULATIONS OF THE NOR THANDOVER BOARD OF HEALTH DATE: Application is hereby made for a permit to maintain a dumpster(s) on property located at 5� t4li �� A-n�� in accordance with the rules and regulations of the Board of IIealth. JAN 12 'Lill I TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Applicant:k8t(j < Property Owner2 -&f // ,- Name of Contact: (��tl�l Owners Address: �Z_!�- �c..J� E�4zu-/ Address:_ 31''"l A✓ a -V7 Ae� �e1�✓GI Ski �/%Q rJJ�k%6 /1�'1 /�Q,� /►�lol<D5 Owners Phone #:el Telephone#: �I Email address: Dumpster Company:-�t�iliiG Telephone#: �% 7 �� P73Y Pick -Up Schedule:_ r On the back of this form, please sketch an outline of property, sho ving the proposed location of the. dumpster(s). Give distance from dumpster to other buildings and lot lines or boundaries. Annual Dumpster Permit Fee: $60,00 per establishment Payable to: Town of North Andover. LATE I+'EE AFTER FEBRUARY 2'8" ".:BE DOUBLED- - $120.00 *Please note that all contact information and the associated fee is required upon application submittal. Page I of I C CA CA U 4261 U c•� c cN N G N Qy N N ° N o p k CCO "o 'dd B o 14) U W Z o '� O O N. 0) U N +� o �i N 0 a 10 Piz a w v a u o o 41� y y t^^St Q) y Q a Q ~ V QJ y M u v � O O /cued H � � • N V ® T Q v U o p0N �U o v CZ -cu 0 o U 0 Nct A� o bZ bA +' Q) 'V m h gym., +�cz' '' m t zPOu� I it v w o o ° o uo b-0 (i u� U it CUCd a ti ' F� U. i�•a }. FSI G iaN• � � U 00 'C; ,� `H cd p 0 . u G O v cdN T1 ra, 0 p x r o c u o ° as u u 41 to 'Q") 0 Q) Cis �� U E� U U Cj Uwcn"w a v Location No. L. Check # 25809 AV ^^'s Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee C $ TOTAL $ Building Inspector COMMONWEALTH OF MASSACHUSETTS TOWN OF NORTH ANDOVER r 1600 OSGOOD STREET Building 20 Suite 2035 - Ph 978-688-9545 Fax.978-688-9542 APPLICATION OF CERTIFICATE OF INSPECTION (14IFee Required (Amount) $ I � �a ii () No Fee Required Date: �`— 1 Accordance with the provisions of the Massachusetts State Building code, Section 108,15, 1 hereby apply for Certificate o Inspection for the below -named premises located at the following address: Street and Number �50 W L— Name of Premises Purpose for the Premise is used. ` (fQ C)ZaaAAA�' �kqiQ Licenses (s) or Permit (s) Required for the Premises by Other Governmental Agencies: Contact Person _ Telephone License or Permit C Agency Certificate to be issued to ,, .— Address 3 6Ert" MF a� n� -4-4 A o4 � Telephone__q __ DEmailf/RI��T/�t�ell)��($4� Owner of Rec of Buildir— Address l et Name of Present Holder of Certificate ar X76 Y L Name of Agency, if any . A W SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR HIS AUTHOIRIZED AGENT INSTRUCTIONS: TITLE V eo to / t 2 DATE 1) Make check payable to: Town of North Andover 2) Return this application with your check to: Building Dept., 1600 Osgood Street, BLDG 20 STE 2035 North Andover MA 01845 PLEASE NOTE: Application form with accompanying FEE must be submitted for each building or structure of to be certified. 3) Application and fee must be received before the certificate will be issued. 0 4) The building officials shall be notified within ten (10) days of any change in the above U TE # Application for Cl. Revised 7112 MD I � C.Ir AL- "cl J c� � �� f,+� ll� TION DATE: CLASSIFICATION OWNER BUILDING NAME OR NO STREET LOCATION INSPECTION REPORT FORM PASSES INSPECTION YES NO DATED TYPE OF OCCUPANCY - Day Care ❑ Auditorium ❑ Restaurant ❑ Cafe ❑ Gym ❑ Apt ❑ School ❑ Common Victualer's ❑ Liquor ❑ Place of Assembly ❑ OPERABLE EXIT SIGN yes ❑ no ❑ LIGHTED EXIT SIGNS NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS yes ❑ no ❑ EMERGENCY LIGHTING SYSTEM dry cell ❑ wet cell ❑ operable ❑ SPRINKLER SYSTEM operable_ p _gage pressure __ ,__,yes _ no q __ SMOKE DETECTOR. . _ ... operable ...� _. _._ .. _ ..... _ yes P no q FIRE ALARM SYSTEM expired date yes no 0 ELECTRIC EQUIPMENT VIOLATIONS yes ❑ no ❑ FIRE RESISTANT CURTAINS OR DRAPERIES yes ❑ no ❑ EGRESSES LAWFULLY DESIGNATED unobstructed ❑ yes ❑ no ❑ HANDICAP ELEVATOR yes ❑ no ❑ STAIRS PROPERLY RAILED yes ❑ no ❑ HALLS AND STAIRWAYS LIGHTED yes ❑ no ❑ UTILITY ROOM — CLOSETS yes ❑ no ❑ RADIATOR GUARDS COMPLIES HANDICAPPED PERSONS LAWS HOW HEAT - BOILER ROdM�OND1�'IOt�. INSPECTOR: BRIAN LEATHE: yes ❑ no ❑ yes ❑ no ❑ NO. FIREPLACES yes ❑ no ❑ 0 6N .6 C U ,O w e0 v NIx N 'C Za `•'� N v 0 zo S9 10 cu U v v » z z x c b� Q) o v o �. o u u +� ab a Y �••� V� v v� � VJ O 2 � U O �•(U � � CL. as � c� oma, z .Q) ;W4 vac. w 1�`l R�O W '� y �C Cn In.,G1 �' C13oo RS C', ° '� � a, V •W ala v� r O .� a •� 1' 3• tVv O� ,� vo et p• w -0It�U°U o w o �" �a ll ° rte, o� v 0 A,_4 V o WN t V tv � 01 � 4 U ^ � � v v C ,may CA Gd •� Q% 3 o 040 a10 44 0 0 I (U zwV) 3So Gt/� A,elg�vv1' Location i,liT�l.�,� ��'- No. Date F TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL Check # 1571 24843 Buil ing Inspector s / COMMONWEALTH OF MASSACHUSETTS TOWN OF NORTH ANDOVER 1600 OSGOOD STREET Building 20 Suite 2-36 APPLICATION OF CERTIFICATEOFINSPECTION DUE IN OCTOBER 2011. (x) Fee Required (Amount) $100.00 ( ) No Fee Required Date: FEBRUARY AND OCTOBER 2011 Accordance with the provisions of the Massachusetts State Building code, Section 108,15, 1 hereby apply for Certificate of Inspection for the below -named premises located at the following address: Street and Number 350 WINTHROP AVE Name of Premises BRIGHAM'S RESTAURANT Purpose for the Premise is used Licenses (s) or Permit (s) Required for the Premises by Other Governmental Agencies: Contact Person License or Permit Certificate to be issued to Address Owner of Record of Building /I;— Name of Present Holder of Name of Agency, if any A enc Telephone�- "-� i� 94 0y O AA -7—f7A, J - -- • 4�� /,-- ali' -. Q`it ` 4 raw,) C'(,/1 Ck/ SIGNATURE OF PERSONS TO WHW CERTIFICATE IS ISSUED OR HIS AUTHOIRIZED AGENT INSTRUCTIONS: TITLE 2 -2 - DATE 1) Make check payable to: Town of North Andover 2)• Return this application with your check to: Building Dept., - 1600 Osgood Street, BLDG 20, STE 2-36 North Andover MA 01845 PLEASE NOTE: Application form with accompanying FEE must be submitted for each building or structure or part thereof to be certified 3) Application and fee must be received before the certificate will be issued. 4) The building officials shall be notified within ten (10) days of any change in the above information. CERTIFICATE EXPIRATION nATF: _ ,- - j �4pplication for Cl. revised 1/08 jmc 1 t 1 Z"- INSPECTION REPORT FORM CLASSIFICATION PASSES INSPECTION YES NO DATED OWNER r BUILDING NAME OR NO STREET LOCATION TYPE OF OCCUPANCY -Pay Care Auditorium Restaurant Cafe Gym Apt School Common Victualer's Liquor Place of Assembly OPERABLE EXIT SIGN yes. no LIGHTED EXIT SIGNS NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS yes no NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS EMERGENCY LIGHTING SYSTEM dry cell wet cell operable S.I?[NKLERS:m7=EM�t��srope�able`,�.1 y -r1 r� y j i "T '9 z r a � F � . E -'z �?c a-• + . a � ,� a t , 4 � � s � �r � {y�r r�7-i �*r —� �-T.'Mr4 �.•l `f.tt'2 ;[RE ALARM, 5YS?E.,� eXptred date;..: ELECTRIC EQUIPMENT VIOLATIONS FIRE RESISTANT CURTAINS OR DRAPERIES EGRESSES LAWFULLY -DESIGNATED HANDICAP ELEVATOR STAIRS PROPERLY RAILED HALLS AND STAIRWAYS LIGHTED yes - no UTILITY ROOM — CLOSETS R:ADIATOR'GUARDS COMPLIES HANDICAPPED PERSONS LAWS HOW HEATED BOILER ROOM CONDITION: unobstructed yes no yes no yes no yes no yes no yes .no yes r no yes no FIREPLACES yes no C F 0 ROOM LOAD IF APPLICABLE 'IVSPECTOR: BRIAN LEATHE. DATE OF INSPECTION 0 ! 1155 SALEM STREET NORTH ANDOVER 1132 SALEM STREET NORTH ANDOVER 1110 SALEM STREET NORTH ANDOVER 1100 SALEM STREET NORTH ANDOVER 1094 SALEM STREET NORTH ANDOVER 1060 SALEM STREET NORTH ANDOVER 1062 SALEM STREET NORTH ANDOVER 1 1044 SALEM STREET NORTH ANDOVER 114 STONECLEAVE ROAD NORTH ANDOVER 1200 SALEM STREET NORTH ANDOVER 1532 SALEM STREET NORTH ANDOVER 1225 SALEM STREET NORTH ANDOVER 1213 SALEM STREET NORTH ANDOVER 1412 SALEM STREET NORTH ANDOVER 1289 SALEM STREET NORTH ANDOVER 1299 SALEM STREET NORTH ANDOVER 1317 SALEM STREET NORTH ANDOVER 1327 SALEM STREET NORTH ANDOVER 1337 SALEM STREET NORTH ANDOVER C. 46260 N. 71ST STREET SCOTTSDALE 1265 SALEM STREET NORTH ANDOVER 1411 SALEM STREET NORTH ANDOVER 1353 SALEM STREET NORTH ANDOVER 1365 SALEM STREET NORTH ANDOVER 1275 SALEM STREET NORTH ANDOVER 1472 SALEM STREET NORTH ANDOVER 2 1210 MAIN STREET NORTH ANDOVER 1288 SALEM STREET NORTH ANDOVER 1300 SALEM STREET NORTH ANDOVER { 1312 SALEM STREET NORTH ANDOVER 1324 SALEM STREET NORTH ANDOVER 1336 SALEM STREET NORTH ANDOVER 1348 SALEM STREET NORTH ANDOVER 1360 SALEM STREET NORTH ANDOVER 1212 SALEM STREET NORTH ANDOVER 1216 SALEM STREET NORTH ANDOVER A Location No. Date "�' r� c ` NaRTN TOWN OF NORTH ANDOVER 1 \,' Check # 1521 7 24843 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ \ ` Building Inspector .'* COMMONWEALTH OF MASSACHUSETTS TOWN OF NORTH ANDOVER 1600 OSGOOD STREET Building 20 Suite 2-36 0 APPLICATION OFCERTIFICATEOFINSPECTION DUE IN OCTOBER 2011. (x) Fee Required (Amount) $100.00 ( ) No Fee Required r Date: FEBRUARY AND OCTOBER 2011 Accordance with the provisions of the Massachusetts State Building code, Section 108,15, 1 hereby apply for Certificate of Inspection for the below -named premises located at the following address: Street and Number 350 WINTHROP AVE Name of Premises BRIGHAM'S RESTAURANT Purpose for the Premise is used. Licenses (s) or Permit (s) Required for the Premises by Other Governmental Agencies: Contact Person License or Permit Certificate to be issued to Address 1 Owner of Record of Building n Name of Present Holder of Name off `Agency, if any Agency Telephone /a V M 6 G', CUL -Gtr o2tlivin/t'�Ma. SIGNATURE OF PERSONS TO WH69 CERTIFICATE IS ISSUED OR HIS AUTHOIRIZED AGENT INSTRUCTIONS: TITLE 4 t42-2��1 DATE ' 1) Make check payable to: Town of North Andover 2) Return this application with your check to: Building Dept., 8 1600 Osgood Street, BLDG 20, STE 2-36 North Andover MA 01845 PLEASE NOTE: Application form with accompanying FEE must be submitted for each building or structure or part thereof to be certified. 3) Application and fee must be received before the certificate will be issued. 4) The building officials shall be notified within ten (10) days of any change in the above information. CERTIFICATE # EXPIRATION AATC- Application for Cl. revised 1/08 jmc a CLASSIFICATION BUILDING NAME OR NO STREET LOCATION INSPECTION REPORT FORM PASSES INSPECTION YES NO DATED TYPE OF OCCUPANCY - Day Care ❑ Auditorium ❑ Restaurant ❑ Cafe ❑ Gym ❑ Apt ❑ School ❑ Common Victualer's ❑ Liquor ❑ Place of Assembly ❑ OPERABLE EXIT SIGN yes ❑ no ❑ LIGHTED EXIT SIGNS yes ❑ no ❑ NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS if EMERGENCY LIGHTING SYSTEM dry cell ❑ wet cell ❑ operable ❑ RINKLER SYSTEM operable B gage pressure_ no SMOKE DETECTOR operable . ©u yes ❑ no 0 ___ FIRr 1LARM SYSTEM expired�datew --,-----yes ❑ no ❑ ELECTRIC EQUIPMENT VIOLATIONS yes ❑ no ❑ FIRE RESISTANT CURTAINS OR DRAPERIES yes ❑ no ❑ EGRESSES LAWFULLY DESIGNATED unobstructed ❑ yes ❑ no ❑ HANDICAP ELEVATOR yes ❑ no ❑ STAIRS PROPERLY RAILED yes ❑ no ❑ HALLS AND STAIRWAYS LIGHTED I no ❑ UTILITY ROOM — CLOSETS RADIATOR GUARDS COMPLIES HANDICAPPED PERSONS LAWS HOW HEATED BOILER ROOM CONDITION: ROOM LOAD IF APPLICABLE TOR: BRIAN LEATH yes ❑ no ❑ yes ❑ no ❑ yes ❑ no ❑ NO. FIREPLACES yes ❑ no ❑ DATE OF INSPECTION ti Location -:: - No. Date �' 'lee) � N�RTM 1 TOWN OF NORTH ANDOVER • ; ; Certificate of Occupancy $ ��b'••�''<�' Building/Frame /Frame Permit Fee $ sJ�cNusa 9 Foundation Permit Fee $ Other Permit Fee 47 $ Uri TOTAL $ Check #'13 /2 ,' Building Inspector COMMONWEALTH OF MASSACHUSETTSTOWN OF NORTH ANDOVER 1600 OSGOOD STREET Building 20 Suite 2-36 APPLICATION OF CERTIFICATE OFINSPEC77ON2008 () Fee Required (Amount) $100.00 () No Fee Required Date: ianuary 20 2010 Accordance with the provisions of the Massachusetts State Building code, Section 108,15, 1 hereby apply for Certificate of Inspection for the below -named premises located at the following address: Street and Number 350 Winthrop Ave Name of Premises Briahams Purpose for the Premise is used. Restaurant Licenses (s) or Permit (s) Required for the Premises by Other Governmental Agencies: Contact Person F/4 R i T, -4q4 & A. License or Permit Aaencv uc wsuea ro Address The Cafe Telephone jZL.6L �24 Owner of RecordDf Building AddressQ n _17 ,s 40 .4Z1 4 Name of Present Holder of Certificate �/� / �� SLS Name of Agency, if any /` , 1.4 i- . '-u <.11� !-- SIGNATURE OF PERS S TO WHOM CERTIFICATE IS ISSUED OR HIS AUTHORIZED AGENT INSTRUCTIONS: I — DATE 1) Make check payable to: Town of North Andover 2) Return this application with your check to: Building Deat PLEASE NOTE. 1600 Osgood Street, BLDG 20 STE 2-36 North Andover MA 01845 Application form with accompanying FEE must be submitted for each building or structure or part thereof to be certified. 3) Application and fee must be received before the certificate will be issued. 4) The building officials shall be notified within ten (10) days of any change in the above information. Application for Cl, revised 1/0;400t, /08 j L • El�w�«,Ay:,, r Trsv� W INSPECTION REPORT FORM CLASSIFICATION PASSES INSPECTION YES NO DATED .+'I�i�i�L41 BUILDING NAME OR NO STREET LOCATION TYPE OF OCCUPANCY - Day Care 0 Auditorium 0 Restaurant ❑ Caf6 ❑ Gym ❑ Apt 0 School ❑ Common Victualer's 0 Liquor ❑ Place of Assembly ❑ OPERABLE EXIT SIGN yes 0 no ❑ LIGHTED EXIT SIGNS NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS EMERGENCY LIGHTING SYSTEM dry cell ❑ wet cell ❑ SPRINKLER SYSTEM SMOKE DETECTOR operable ❑ gage pressure operable 0 yes ❑ no ❑ operable ❑ yes 0 no 0 yes 0 no 0 FIRE ALARM SYSTEM expired date yes ❑ no ❑ ELECTRIC EQUIPMENT VIOLATIONS yes ❑ no ❑ FIRE RESISTANT CURTAINS OR DRAPERIES yes ❑ no ❑ EGRESSES LAWFULLY DESIGNATED unobstructed ❑ yes ❑ no r ❑ HANDICAP ELEVATOR yes ❑ no ❑ STAIRS PROPERLY RAILED yes ❑ no ❑ HALLS AND STAIRWAYS LIGHTED I no ❑ UTILITY ROOM — CLOSETS yes ❑ no 0 RADIATOR GUARDS yes ❑ no ❑ COMPLIES HANDICAPPED PERSONS LAWS yes 0 no ❑ HOW HEATED NO. FIREPLACES ves ❑ no 0 BOILER ROOM CONDITION: ROOM LOAD IF APPLICABLE INSPECTOR: BRIAN LEA THE. DATE OFINSPECTION 1 0 Ct v N q N o P4 a `-' Cf) U W W w w d' O cu It o b�3o R�It V 1 n� a o 44 � � •� � •� � � � w � W vii a� � � UO nz he cri o 0 U w 96 I. U CU y .w+ o r t� �i O rn O to M d'C c� "• w z w in w 1 Location No. Date NORTH TOWN OF NORTH ANDOVER 7 3?O'�t�o ,•1.�.p • . pL : } so ; Certificate of Occupancy $ suHU Building/Frame /Frame Permit Fee $ 9 Foundation Permit Fee $ �,Othe Permit Fee $ TOTAL $ ` V 4/-3 y Check # 2360 Build Inspector / COMMONWEALTH OF MASSA CHUSETTSTOWN OF NORTH ANDOVER .1600 OSGOOD STREET Building 20 Suite 2-36- Tel 978-688-9545 APPLICATION OF CER � TE OFINSPEC770N () Fee Required (Amount) $100.00 () No Fee Required Date: -IV l r Accordance with the provisions of the Massachusetts State Building code, Section 106.5, I hereby apply for Certificate of Inspection for the below -named premises located at the following address: Street and Number Name of Premises Purpose for the Premise is used. _ `��j1yL -' Licenses (s) or Permit (s) Required for the Premises by Other Governmental Agencies: Contact Person _ f� {� T� q Hyl AJI4 License or Permit A enc f LC 5 jQG7,L Certificate to be issued to Address JrD , Telephone Of W-01'0" Owner of Record of Building n 7' ,g /) % K-ec /�PJG � 7-/Z!�il Address x tt6 ��-1 -�� 44� 'k K /(G� Peril Name of Present Holder of Certificate FRI TAC6 y� Name of Agency, if any ' SIGNATURE OF PERSON-YT(5WHOM CERTIFICATE IS ISSUED OR HIS AUTHOIRIZED AGENT INSTRUCTIONS: TITLE Lt, �-l1(0 DATE 1) Make check payable to: Town of North Andover 2) Return this application with your check to: Building Dept. PLEASE NOTE: 1600 Osgood Street, BLDG 20 STE 2-36 North Andover MA 0.1845 Application form with accompanying FEE must be submitted for each building or structure or part thereof to be certified. 3) Application and fee must be received before the certificate will be issued. 4) The building officials shall be notified within ten (10) days of any change in the above information. CERTIFICATE # DATE: EXPIRATION Application for Cl, revised 1/101 jmc N INSPECTION REPORT FORM CLASSIFICATION PASSES INSPECTION YES NO DATED OWNER BUILDING NAME OR NO STREET LOCAT TYPE OF OCCUPANCY - Day Care Auditorium Restaurant Cafe Gym Apt School Common Victualer's - Liquor Place of Assembly t OPERABLE ` EXIT SIGN yes no LIGHTED EXIT SIGNS yes no NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS EMERGENCY LIGHTING SYSTEM dry cell wet cell operable -as- .-.a »-�n�r-„•. �^r"r r w--"P"'2"'-� a "S"..t �,.•�...5 � � r��.--r .. } r-^ a .t ,"^-+ 1 ��T�O•• f s 'm�'�'Ci J ELECTRIC EQUIPMENT VIOLATIONS yes no FIRE RESISTANT CURTAINS OR DRAPERIES • EGRESSES LAWFULLY DESIGNATED unobstructed HANDICAP ELEVATOR STAIRS PROPERLY RAILED HALLS AND STAIRWAYS LIGHTED yes no UTILITY ROOM — CLOSETS RADIATOR GUARDS COMPLIES HANDICAPPED PERSONS LAWS yes no yes no yes no yes yes yes yes no no no no HOW HEATED NO. FIREPLACES yes no BOILER ROOM CONDITION: ROOM LOAD IF APPLICABLE INSPECTOR: BRIAN LEATHE. DATE OF INSPECTION J COMMONWEALTH OF MASSA CHUSETTSTOWN OF NORTH ANDOVER .1600 OSGOOD STREET Building 20 Suite 2-36- Tel 978-688-9545 APPLICA 77ON OF CER TIFICA TE OFIINSPECTION ( ) Fee Required (Amount) O No Fee Required Date: 100.00 Accordance with the provisions of the Massachusetts State Building code, Section 106.5, 1 hereby apply for Certificate of Inspectionfor the below -named premises located at the following address: Street and Number 3s� Name of Purpose for the Premise is used. Licenses (s) or Permit (s) Required for the Premises by Other Governmental Agencies: Contact Person r ' W , , , � , A4 Certificate to be issued to License or Permit A enc Address �d — �''H-� Telephone 0117_C ;Own�eY�ofReF'o'rdof.-,B-,,u,.i-ld.-,i-n-�g. (�X/(G� h Js Location `" 51b / U G 1 No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee the Permit Fee TOTAL Check # �} 23661 C Application for Cl. revised 1/1 o1cmc DATE . , $ )o0 STE 2-36 North Andover MA 09845 $ ---- r structure or part thereof to be certified. V the above information. Buil((i'W9 Inspector 901� INSPECTION REPORT FORM . CLASSIFICATION _ _ _PASSES_ INSPECTION _YES_ _ NO DATED ,jING NAME OR NO STREET LOCATION TYPE OF OCCUPANCY - Day Care ❑ Auditorium ❑ Restaurant 0 Caf& 0 Gym ❑ Apt ❑ School ❑ Common Victualer's ❑ Liquor ❑ Place of Assembl ❑ EXIT SIGN OPERABLE yes ❑ no ❑ LIGHTED EXIT SIGNS NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS EMERGENCY LIGHTING SYSTEM dry cell ❑ wet cell ❑ SPRINKLER SYSTEM SMOKE DETECTOR operable ❑ gage pressure operable ❑ FIRE ALARM SYSTEM expired date ELI—TRIC EQUIPMENT VIOLATIONS -IRE RESISTANT CURTAINS OR DRAPERIES -EGRESSES LAWFULLY DESIGNATED iANDICAP ELEVATOR )TAIRS PROPERLY RAILED IALLS AND STAIRWAYS LIGHTED no ❑ ITILITY ROOM – CLOSETS ADIATOR GUARDS OMPLIES HANDICAPPED PERSONS LAWS unobstructed ❑ yes ❑ no ❑ operable ❑ yes ❑ no ❑ yes ❑ no ❑ yes ❑ no ❑ yes ❑ no ❑ yes ❑ no ❑ yes ❑ no ❑ yes ❑ no ❑ yes ❑ no ❑ yes ❑ no ❑ yes ❑ no ❑ yes o no ❑ OW HEATED NO. FIREPLACES yes ❑ no ❑ OILER ROOM CONDITION: OOM LOAD IF APPLICABLE ISRECTOR.' BRIAN LEATHE: DATE OF INSPECTION ' 1 C z p v tt v CV o N N amigo o s `� '� Et N VJ O p as 'd A C) Z%,) wo .� p U �D luu0 cocu cn 14. °� O V "d •N Cf)V m O u co � (t tt O ° a N U t+ r^cu u -15 `ice O O yy 0 ;0. v � 00 U q4 � � O r -o° � v o~ cn ; z ° � •y 'u w a a a . .U, tZI O O W % V y a) V °cd WLO ti U O i ja U a) U� U V s �N �w .r N lu `N 41 u v ° o V oC46)o as v W '�,� U V v14 °'ucd gD __ .....- �0 MEMO January 25, 2011 Hi Gerry, Can you do something to collect money owed to the Building Department? Casablanca Restaurant, 1070 Osgood Street, has not paid for their November 2011 Certificate of Inspection. Please see the attached letter requesting payment of $100.00. I've also made phone calls asking for payment but apparently they were ignored. Ic Buono Panini Bistro, 200 Sutton Street, has not paid for the Certificate of Occupancy. When John, the manager, came in to pick up his C.O. he didn't have a check with him at that time. He said he would get the check to us but I haven't seen it yet. w c Thank you, Mary C C c a� v g 0 0it UU u 'd 'n u.� W W Bei 0 z 0 y° '�� V �� d � 0 w d w U wo t W06 0 ft V °� t W W +O+ ��~•• c� cz b4 co A t t� �'' �Orr •N W U O O Aa :� U w ° V O / 11PLO v ~ rg �p !►� V b I o� � , Q)U t/� 2 Gi 0 fu w w u w o K.. o ° � a� � � � v LO ( �� V U Q •�� V w Q w A GL .0 pl a to w UW oa:�. V ub O i 44 o � y ++ ti W ✓ V� d � � W d O / Ln M U y rg .e rg v 79 V d •i1 p r.. 04 � C�C d U z�, �w Location / '--�-�-- . No. ( Date MORTp TOWN OF NORTH ANDOVER O Certificate Occupancy + • , of $ Building/Frame Permit Fee $ - Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 17 5�- Building1n�sp�ctor COMMONWEALTH OF MASSA CHUSETTSTOWN OF NORTH ANDOVER 1600 OSGOOD STREET Building 20 Suite 2-36 APPLICATION OF CERTIFICATE OF INSPECTION 2008 () Fee Required (Amount) $100.00 () No Fee Required Date: November 21, 2008 Accordance with the provisions of the Massachusetts State Building code, Section 108,15, 1 hereby apply for Certificate of Inspection for the below -named premises located at the following address: Street and Number 350 Winthrop Ave Name of Premises Briphams Purpose for the Premise is used. Restaurant Licenses (s) or Permit (s) Required for the Premises by Other Governmental Agencies: Contact Person A4 I� 1 i-) %- 9 r^:4 L4 /�,r/i License or Permit Certificate to be issued to Address The Cafe AAgency Telephone 611 _. o k2�-/ Owner of Record of Building Address Name of Present Holder of Certificate A I `p j� 74-411 / %� �/� Name of Agency, if any SIGNATURE OF PERSONSITO WHOM CERTIFICATE IS ISSUED OR HIS AUTHOIRIZED AGENT 'INSTRUCTIONS: TITLE DATE 1) Make check payable to: Town of North Andover 2) Return this application with your check to: Building Dept., 1600 Osgood Street, BLDG 20 STE 2-36 North Andover MA 01845 PLEASE NOTE: Application form with accompanying FEE must be submitted for each building or structure or part thereof to be certified. 3) Application and fee must be received before the certificate will be issued. 4) The building officials shall be notified within -ten (10) days of any change in the above information. CERTIFICATE # EXPIRATION Application for Cl. revised 1/08 jmc INSPECTION REPORT FORM CLASSIFICATION PASSES INSPECTION YES NO DATED BUILDING NAME OR NO STREET LOCATION TYPE OF OCCUPANCY - Day Care Auditorium Restaurant Cafe Gym Apt School Common Victualer's Liquor Place of Assembly OPERABLE EXIT SIGN yes no LIGHTED EXIT SIGNS yes no NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS EMERGENCY LIGHTING SYSTEM dry cell wet cell operable SPRINKLER SYSTEM SPRINKLER _ —operable _ _ .-__.. _gagppressure �.-. yeS _ -_w --n0 .. �SIVIOKEDETECTOR . perable ,:,._. _� w..0 _ _- ._ _ _ .� __ .yes IRE ALARM SYSTEM ex fired date es no ELECTRIC EQUIPMENT VIOLATIONS yes no FIRE RESISTANT CURTAINS OR DRAPERIES yes no EGRESSES LAWFULLY DESIGNATED unobstructed yes no HANDICAP ELEVATOR yes no STAIRS PROPERLY RAILED yes no HALLS AND STAIRWAYS LIGHTED no UTUTY ROOM — CLOSETS yes no RADIATOR GUARDS yes no COMPLIES HANDICAPPED PERSONS LAWS yes no HOW HEATED NO. FIREPLACES yes no BOILER ROOM CONDITION: ROOM LOAD IF APPLICABLE INSPECTOR: BRIAN LEA THE. DATE OF INSPECTION C 4�+ �n ta O V 4 'h d� C A0-4 rw p V w 04 o. � b OU "Oab� U a°,V 41 off.► o V. w Z LC to W V o� a w dotes O 0 4J aj to ir, y•rl Uhff W .}� t V v Z IVA Location No. Date `a gOR71y TOWN OF NORTH ANDOVER Of��••o ,•,1•C 0 A ` Certificate of Occupancy $ f oma_ <.._..... ,`• • Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 19507 Bw ing Inspecto Q No.: Dated �aORTH TOWN OF NORTH ANDOVER ' ° A BUILDING DEPARTMENT �fq q��T•° �PP`t Building/Frame Permit Fee $ SSACHUS� L Foundation Permit Fee $ Other Permit Fee w 6a Building Inspector INSPECTION REPORT FORM CLASSIF PASSES INSPECT N� ye no DATED `{ OWNER "" 1 BUILDING NAME OR N0. ��'' Y�v►1 S hi0�-�� 1r�Ytd[hl e.� STREET LOCATION _ j?.Grb (AD tv tYlo vO r'� TYPE OF OCCUPANCY - Day Care Auditorium.estauran CW Gym Apt. School Common Victualer's Liquor Place of Assembly OPERABLE EXIT SIGN yes no LIGHTED EXIT SIGNS =yesno NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS N );�t— EMERGENCY LIGHTING SYSTEM dry c wet ce operable 5PRINf~ISYTItI oPerabl ... "_ 9.pcesstr ELECTRIC EQUIPMENT VIOLATIONSova �� ,moi 5'�•y yes no FIRE RESISTANT CURTAINS OR DRAPERIES d it, EGRESSES LAWFULLY DESIGNATE -0 �� unobstructed yes no F HANDICAP ELEVATOR yes 't -- .� 1,)1,4— STAIRS PROPERLY RAILED l_iA yes i no HALLS AND STAIRWAYS LIGHTED O - - yes- no UTILITY ROOM - CLOSETS RADIATOR GUARDS N/-1-- yes no COMPLIES HANDICAPPED PERSONS LAWS yes no HOW HEATED f -f f%- NO. FIREPLACES yes no BOILER ROOM CONDITION e/ 117— I ST 7 1ST FLOOR SEATS 1-2 1 1ST FLOOR BAR SEAT OTHER LEVELS OCCUPANCY NUMBER (INCLUDING STORIES # AND OCCUPANCY PER FLOOR USE REVERSE SIDE 77t COMMONWEALTH OFMASSACHUSETTS TOWN OFNORTHANDOVER 1600 OSGOOD ST r , r ATPLICATIONFOR CERTIFICATE OF INSPECTION. Date � � � � b () Fee Required (Amount)-, 0- -_'- _____ No Fee Required Accordance with the provisions of the Massachusetts State Building code, Section 108,15, I hereby apply for Certificate Inspection for the below -named premises located at the following address: Street and Numbe Name of Premises Purpose for whichA mintaca o Licenses (s) or Permit (s) Required for the Premises by License or Permit Governmental Agencies: Agency Certificate to be issued to Address--------------------------------------------------------- Telephone -q-7 k2=4k2'2� Owner of Record of Building Address Name of Present Holder of Certificate Name of Agency, if any --------__ X(' NXTURE OF PERSONS tO "OM CERTIFICATE IS ISSUED OR HIS AUTHOIRIZED AGENT INSTRUCTIONS: 1) Make check payable to: Town of North Andover 4A z: --L TITLE `J -------=-�' B2- ---- DATE 2) Return this application with your check to: Building Dept. 1600 Osgood ST, North Andover MA 01845 PLEASE NOTE- Application OTEApplication form with accompanying FEEmust be submitted for each building or structure or part thereof to be certified. 3) Application and fee must be received before the certificate will be issued. 4) The building officials shall be notified within ten (10) clays of any change in the above information CERTIFICATE OF INSPECTION WORKSHEET REVISED 3.2006 jmc I r Location No. ✓ Date X;I NORTq TOWN OF NORTH ANDOVER 9 * ; Certificate Occupancy ; of $ s�CHus Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # �- GBuilding Inspector // Location No. c r Date ��`°' e,/ ,,ORT1y TOWN OF NORTH ANDOVER 9 i Certificate Occupancy $ of too s�cMus Building/Frame Permit Fee $ Foundation Permit Fee $ ,1 Other Permit Fee $ TOTAL $ Check # 1,7940 Building Inspector COMMONWEALTH OF MASSACHUSETTS TOWN OF NORTHANDOVFR APPLICATION FOR CERTIFICATE OF INSPECTION Date: I �� `Z �(' 0 Fee Required (Amount) () No Fee Required Accordance with the provisions of the Massachusetts State Building code, Section 108,15,1 hereby apply for Certificate of Inspection for the below -named premises located at the following address: Street and _ Number 3o O 2i/ t N f If A 0 P V r Name of Premises i 6 4L-1� 0f S Purpose for which Premises is Used Licenses (s) or Permit (s) Required for the Premises by Other Governmental Agencies: Contact Person CAA. R t' T'A q 4 R 4 All Tel License or Permit Agency Certificate to be issued to,_ i A Address '3,5-0 `t�(il%T lilt d Up y Telephone 68'2,o Owner of Record of Building _ Address Name of Present Holder of Certificate FA? j :F -A y AM III / Name of Agency, if any SIGNATURE OF PERSONS TO WHOM CERTIFICATE TITLE IS ISSUED OR HIS A UTHOIRIZED AGENT DATE t 2/ INSTRUCTIONS: 1) Make check payable to: Town -of North Andover 2) Return this application with your check to: Building Dept.. _ 400 Osgood Street, North Andover MA 01845 PLEASE NOTE: Application form with accompanying FEE must be submitted for each building or structure or part thereof to bE certified. 3) Application and fee must be received before the certificate will be issued. 4) The building officials shall be notified within ten (10) days of any change in the above information. CERTIFICATE # EXPIR,4TIONDATE: Form revised 11.5.04 jmc FORMSBCC-3 Certificate of Inspection form TOWN OF NORTH ANDOVER INSPECTOR'S NAME OFFICE OF THE INSPECTOR OF BUILDINGS MICHAEL MCGUIRE INSPECTION REPORT FORM CLASSIFICATION PASSES INSPECTION yes Ono 0 DATED 'OWNER BUILDING NAME OR NO STREET LOCATION TYPE OF OCCUPANCY - Day Care Center 0 Aud. 0 Caft, 0 Gym 0 Apt. 0 School 0 Common Victualer's 0 Liquor 0 Place of Assembly 0 Other OCCUPANCY NUMBER (include stories # and occupancy per floor - use reverse side EXIST SIGN LIGHTED EXIT SIGNS EMERGENCY LIGHTING SYSTE M SPRINKLER SYSTEM SMOKE DETECTOR FIRE ALARM SYSTEM ANSUL SYSTEM FIRE ALARM SYSTEM operable 0 operable 0 dry cell 0 wet cell 0 operable 0 gage pressure operable 0 expiration date operable 0 municipal 0 ELECTRIC EQUIPMENT PROPERLY PROTECTED —EGRESSES LAWFULLY DESIGNATE unobstructed 0 E X I S T I N G S yes U no yes 0 no 0 yes 0 no 0 yes 0 yes 0 yes 0 yes 0 yes 0 yes 0 STAIRS PROPERLY RAILED yes 0 HALLS AND STAIRWAYS LIGHTED yes 0 RADIATOR GUARDS yes 0 COMPLIES HANDICAPPED PERSONS LAWS yes 0 FIRE RESISTANT CURTAINS OR DRAPERIES HOW HEATED NO. FIREPLACES yes 0 BOILER ROOM CONDITIO VENTILATION UTILITY ROOM - CLOSETS NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY SHOPS no no 0 no 0 no 0 no 0 no 0 no 0 no 0 no 0 no 0 no FOR INSPECTOR USE ONLY Revised 2/99 JMC L Y 0 oo w I s..0 �A Qr� � y d `•� IS v �. rte,, .�:� ani a w ) • V a � Zo LO c +r 4 V °'so a o U') bM to ice. a 14 4-4 b u ea q n y m O b ��w C u � qj v� V O rr°nn V� vii •vi � w a fu U Y 0 oo w I s..0 �A Qr� Location No. Date ,AoR,k TOWN OF NORTH ANDOVER A Certificate of Occupancy P Y $ CMUst<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee C�7 $ to TOTAL $ Check # X�0 i 2 0 8 %�S 0 U ' Building Insp6ctor Location`-�� No. Date 0 `a,7 4 M TOWN OF NORTH ANDOVER o Certificate of Occupancy $ scwus t Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ 16re, TOTAL $ Check # /d' 20830 Building Ins or COMMONWEALTH OF MASSACHUSETTS TOWN OF NORTH ANDOVER 1600 OSGOOD STREET Building 20 Suite 2-36 APPLICATION OF CERTIFICATE OF INSPECTION 2007 Date: p () Fee Required (Amount) $100.00 () No Fee Required Accordance with the provisions of the Massachusetts State Building code, Section 108,15, 1 hereby apply for Certificate of Inspection for the below -named premises located at the following address: Street and � � © VVI �, Number V V/ Name of Premises B R I G 1y Q M Purpose for which Premises is Used R r :. n , �L= C Licenses (s) or Permit (s) Required for the Premises by Other Governmental Agencies: Contact Person Tele hone License or Permit A enc ,,eiuncaie io oe Issuea to Address Telephone Owner of Record of Building • Address Name of Present Holder of Name of Agency, if any SIGNATURE OF PERSONS TO WHOM CERTIFICATE TITLE IS ISSUED OR HIS AUTHOIRIZED AGENT �L� INSTRUCTIONS: DATE I ( I t5"10 17 1) Make check payable to: Town of North Andover 2) Return this application with your check to: Building Dept., PLEASE NOTE: 1600 Osgood Street, BLDG 20 STE 2-36 North Andover MA 01845 Application form with accompanying FEE must be submitted for each building or structure or part thereof to be certified. 3) Application and fee must be received before the certificate will be issued. 4) The building officials shall be notified within ten (10) days of any change in the above information. CERTIFICATE # EXPIRATION DATE: Application for Cl. revised 5/07 jmc INSPECTION REPORT FORM CLASSIFICATION PASSES INSPECTION YES NO DATED OWNER FA R I [),E# %4- 1> 134C BUILDING NAME OR NO 35-0> STREET LOCATION MYTH YTH flO 1 Avg TYPE OF OCCUPANCY - Day Care ❑ Auditorium ❑ Restaurant )< Cafe ❑ Gym ❑ Apt ❑ School ❑ Common Victualer's ❑ Liquor ❑ Place of Assembly ❑ OPERABLE EXIT SIGN yes ❑ no ❑ LIGHTED EXIT SIGNS NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STOREYS yes ❑ no ❑ ELECTRIC EQUIPMENT VIOLATIONS FIRE RESISTANT CURTAINS OR DRAPERIES EGRESSES LAWFULLY DESIGNATED HANDICAP ELEVATOR STAIRS PROPERLY RAILED HALLS AND STAIRWAYS LIGHTED yes ❑ no ❑ unobstructed ❑ yes ❑ no ❑ yes ❑ no ❑ yes ❑ no ❑ yes ❑ no ❑ yes ❑ no ❑ UTILITY ROOM — CLOSETS yes ❑ no ❑ RADIATOR GUARDS yes ❑ no ❑ COMPLIES HANDICAPPED PERSONS LAWS yes ❑ no ❑ HOW HEATED NO. FIREPLACES yes ❑ no ❑ BOILER ROOM CONDITION: INSPECTOR: BRIAN LEATHE. d EO 0 U t3! �J N N -; U0 TZ D cC a .� _ 0 cu 0 v cu ` o .r o bo �+ G��,u P j -4 U) VTj opo U2 0 _tk Lo U U -0 +�. ° o p cu 4.6 w H . v N � v A v w .p O 0. cd `� 16A�, D' y tU a bo v egt[ aj vi EO 0 z O F� b f� V / F ---I U. 0 LLJU w U— H ui U 0 0 a W " m. LL O z Z) O c� W 0 0 z Q z 4- 0 z ai t c L _N V J � O C cl O N U. w Ul)/ 0- V ) Q z cQ G Q LL co = ) -J Q LU- - U V C CL r `r NJ V 0 v 0 ca C O O lu W N N *0UO �J O iQ L O O •� C) i O v +L+ V O tai N /�� V O - W p p ami } z O F� b f� V / F ---I U. 0 LLJU w U— H ui U 0 0 a W " m. LL O z Z) O c� W 0 0 z Q z 4- 0 z ai t c L _N V J � O C cl O N U. w Ul)/ 0- V ) Q z cQ G Q LL co = ) -J Q LU- - U C CL 0 4._+ 0 NJ V 0 v 0 ca C z O F� b f� V / F ---I U. 0 LLJU w U— H ui U 0 0 a W " m. LL O z Z) O c� W 0 0 z Q z 4- 0 z ai t c L C cl �. Q coW C CL 0 N L N N uj Qi O iQ L O O •� C) i O v +L+ V O tai N 10- O N ami } a ° U � O C L v O O O y � J J O � � O V N �-- a Q Q QCLi d U �D V N �` A fu .O 2 1 O ci d N 3 w O cp O �� L N U co O N cu �- o U � Ur Location 3 60 Wlo -/� rsao A Ole e -13f,1540 s No. �/ 80 "x003 Date a - a 7-a©03 MORT� TOWN OF NORTH ANDOVER L P Certificate of Occupancy $ •s Building/Frame Permit Fee $ Foundation Permit Fee f $ Other Permit Fee C y $ TOTAL $ Check # i r W a 16100 AC..�-- Building Inspector Date C4 COMMONWEALTH OFMASSACHUSETTS TOWN OFNORTHANDOVER 27 CHARLES ST APPLICATIONFOR -CERTIFICATE OF INSPECTION Fee Required (Amount) l D No Fee Required Accordance with the provisions of the Massachusetts State Building code, Section 108,15, I hereby apply fog Certificate of Ins ectwn for Me below -named premises- located at -the following adVress: Street and Number_ Name of Premises Purpose for which Premises is Used �� —(� Q1 -'*,,.A Licenses (s) or Pexmit{s) Required for the License or Permit Certificate to be issued to Address �d Owner of Record of Building Address �_ dl r6 Name of Present Holder of Certificate Name of Agency, if any TURE OF CERTIFICATE IS ISSUED OR H,IS A-UTHOIRIZED AGENT INSTRUCTIONS: -Governmental Agencies: Age _ Telephone '' — to k�%5�2 Zj t TlAM. b TITLE 1i� 2 - DATE 1) Make cheek payable to • Town of North Andover 2) Return this application with your check to: ,BuildhyDe t 27 Charles Street, North Andover MA 01845 PLEASE NOTE: Application form with accompanying FEE must be submitted for each building or structure or part thereof to be cert 3) Application and fee4nust-be- received before -the certi flcate will -be -issued. 4) The building officials shall be notified within ten (10) days of any chane in the above in ormation. CERTIFICATE # EXPIRATION DATE: FORM SBCC-3-74 REWSEB 2199jmc TOWN OF NORTH ANDOVER INSPECTOR'S NAME OFFICE OF THE INSPECTOR OF BUILDINGS MICHAEL MCGUIRE I NS PECT-ION iKEPORT FORM •��/ CLASSIFICATION PASSES INSPECTION yes o CI DATED 3 BUILDING NAME OR -NO STREET LOCA 6) TYPE OF OCCUPANCY -Day -Care-Center fl #id. 0 -Cafe D Gym E Apt. 0 School 0 Common Victualer's 0 Liquor 0 Place of Assembly 0 11 Other OCCUPANCY NUMQER EXIST SIGN LIGHTED EXIT SIGNS EMERGENCY LIGHTING SYSTE M SPRINKLER SYSTEM SMOKE DETECTOR FIRE ALARM SYSTEM ANSUL SYSTEM FIRE ALARM SYSTEM operable operable 0 operable W -expiration-date dry cell 0 wet cell gage pressure operable 0 municipal 0 EXISTINGS yes )F- no 0 -yes A -no -0 yes no 0 yes no -yes _0 -no 0 yes e no yes � no 0 ELECTRIC EQUIPMENT PROPERLY PROTECTED yes IP no 0 EGRESSES LAWFULLY -DESIGNATE unobstructed 0 STAIRS PROPERLY RAILED/I yes 0 no 0 HALLS AND STAIRWAYS LIGHTED 10 Its yes 0 no 0 RADIATOR GUARDS �J� yAc 0 ;;o 0 C:OMPUES HANDICAPPED PERSONS LAWS .-yes . — .-no .9 FIRE RESISTANT CURTAINS OR DRAPERIES HOW HEATED f— � (`E NO. FIREPLACES. yes 0, no BOILER ROOM CONDITION /v fr\ VENTILATION UTILITY ROOM - CLOSETS �. NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS 'F(` A) `I a- r, Lo ? P— NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY A/ FOR INSPECTOR USE ONLY Revised 2/99 JMC 55 VS LO a� LO 0 z ° O WW a/ w U U) � 1 _ V. W >� p0 O W :3 ray O He Cd U. H p� O W � U ca Q O z N O as IL OL _ U(a U W W 72 0 0 V x ca H c .0 0U) U) 0 0 U) U) N C Cd C C U U 4 Cd + W 0 0 Q Q 0 0 w Cd a a (d U E. O a� O Cd U i♦ U as Cd 0 .bb z Lm u o V o � a zz N � � ° s u ora Cd m 4 b 0 u a Cd ° .. -� o c. 4J U . a M a H° O M C4 ,� Cd O U bio� z O U 3 O U .0 0U) U) 0 0 U) U) N C Cd C C U U 4 Cd + W 0 0 Q Q 0 0 w Cd a a (d U E. O Location r No. Date l ,.ORTof TOWN OF NORTH ANDOVER • . • OL 9 Certificate of Occupancy $ '�s'"•° • Eta Building/Frame Permit Fee $�� s�cHus ; Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # `---Building Inspector 1_'4, �W TOWN OF NORTH ANDOVER 27 CHARLES ST APPLICATION FOR -CERTIFICATE OF INSPECTION Date () Fee Required (Amount) () No Fee Required Accordance with the provisions of the Massachusetts State Building code, Section 108,15,1 hereby apply fog Certificate of Inspedion for -the below -named premises locatedat -the following address: Street and .Number 95-0 Name of Premises �� W lAf o P fav = Purpose for which Premises is Licenses (s) or Per-mi4s) Required for -the Premises byVther-Goner-nmental Agencies: License or Permit Agency Certificate to be issued to ss �� ,�,�,�� s*— Telephone Addre Owner of Record Address_ Name of resent Building Name of Agency, if any A A SIGNATURE OF P. of Certificate WHOM CERTIFICATE IS ISSUED OR HJS A-UTHOIRIZED AGENT INSTRUCTIONS: TITLE DATE 1) Make check payable to: Town of _North Andover 2) Return this application with your check to: Ruildby DePt 27 Charles Street, North Andover MA 01845 PLEASE NOTE: Application form with accompanying FEE must be submitted for each building or structure or part thereof to be cert 3) Application andfee must.be received -before -the certif4catewill-be issued 4) The building officials shall be notified within ten (10) days of any change in the above information. CERTIFICATE # EXPIRATION DATE: FORM SBCC-3-74 RE)qSEB 2199 jmc TOWN OF NORTH ANDOVER INSPECTOR'S NAME ' OFFICE OF THE INSPECTOR OF BUILDINGS MICHAEL MCGUIRE INSPECT4ON-REPORT fORM CLASSIFICATION PASSES INSPECTION yes Ono 0 DATED l _ OWNER .0 & VA BUILDING NAME OR -NO. J STREET LOCATION 3^� TYPE OF OCCUPANCY.- Z" -Care--C n r E Aud• 0 -CaM B -1 Apt• 0 School 0 Other Common Victualer's 0 Liquor Place of Assembly 0 OCCUPANCY NUMBER EXIST SIGN LIGHTED EXIT SIGNS EMERGENCY LIGHTING SYSTE M SPRINKLER SYSTEM SMOKE DETECTOR FIRE ALARM SYSTEM ANSUL SYSTEM FIRE ALARM SYSTEM ies # and -occupancy 4loor use4ever-se- ' n -operable -0 operable dry cell 0 wet cell 0 operable 0 gage pressure operable 0 expiration -date To f operable 0 municipal �Cf ELECTRIC EQUIPMENT PROPERLY PROTECTED EGRESSES LAWFULLY -DESIGNATE unobstructed 0 STAIRS PROPERLY RAILED /t//? - HALLS AND STAIRWAYS LIGHTED RADIATOR GUARDS COMPLIES HANDICAPPED PERSONS LAWS FIRE RESISTANT CURTAILS OLS M TIEC HOW HEA I ED BOILER ROOM CONDITION VENTILATION ox L'�'e S NUMBER -OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY SHOPS � EXISTINGS yes no -yes -no -0 yes ,0 no,>I�t' yes .til/ no -yes -no yes Q/no 0 yes flo no 0 yes ,A--', no 0 ryes --B-- -no 0 yes /0' no 0 yes no 0 yes no 0 -yes �� -no -0 FIREPLACES -yes u no e (_/ �44 FOR INSPECTOR USE ONLY Revised 2/99 JMC r 9 o - O o D, ti �' o � ID y b u U O 4 • • • • • . IO O N Y w O H z o � � b Y d s v � v r L b >+ u C 4 L � u O r 9 o u D, �' •a y U O • • • • • • • • • • • • • • . W w b Y •"U ✓ C v/ >+ u 4 L � u O L V 94 W a O U r 9 u D, �' •a y U LON (ON W 04 Y •"U ✓ C v/ Y L O a CO u O V 94 In a O 4 >4 O cn . . . . . . . . • • . . p CV .......... O U j .......... a 6. y V � q� r Q r 9 u D, �' •a y w � a O E � r 9 • No.: Date 0 . 7 °o� TOWN OF NORTH ANDOVER BUILDING DEPARTMENT q °•��■• Building/Frame Permit Fee $ SSACHUS� Foundation Permit Fee $ Other Permit Fee $ �• n� 1 Building In§pector 4 05/08/98 12:36 40.00 PAID COMMONWEALTH OFMASSACHUSETTS ` TOWN OF NORTH ANDOVER A PPLICA TION FOR CERTIFICATE OF INSPECTION Date () Fee Required (Amount) () No Fee Required Accordance with the provisions of the Massachusetts State Building code, Section 108,15, I hereby apply for Certificate of Inspection for the below -named premises located at the following address: Street and Number 3 5'0 W IA111_ f RO P t4V15 Name of Premises JcF <f 8FA to Purpose for which Premises is Used Licenses (s) or Permit (s) Required for the Premises by Other Governmental Agencies: T ironcv nr Prrmit Agency Certificate to be issued to Address !34�-L-o 41gyAap 4 UE Telephone to d'2 ^ 0 S -21Y Owner of Record of Building Address Q Name of Present Holder Name of Agency, if any of Certificate SIGNATURE OF PERSONS Ta WHOM CERTIFICATE IS ISSUED OR HIS AUTHOIRIZED AGENT INSTRUCTIONS: 1) Make check payable to: Town of North Andover TITLE 4 - G -- 9 9— DATE O IS76 2) Return this application with your check to: Building Dept., Town Office BuVding 120 Main Street, North Andover MA 01845 PLEASE NOTE Application form with accompanying FEE must be submitted for each building or structure or part thereof to be certified. 3) Application and fee must be received before the certificate will be issued. 4) The building officials shall be notified within ten (10) days of any change in the above information. CERTIFICATE # J0/ EXPIRATION DATE.• (',A i � - �;p FORM SBCC-3.74 TOWN OF NORTH ANDOVER INSPECTOR'S NAME OFFICE OF THE INSPECTOR OF BUILDINGS INSPECTION REPORT FORM ATION �ASSESSPECTION es DATED CLASSIFICY OWNER BUILDIN STREET TYPE OF OCCUPANCY - Day Care Center ❑ Ad. ❑ Cafe ❑ Gym LJ Apt. LJ School ❑ Common Victual's ❑ Liquor ❑ Place of Assembly �I Other OCCUPANCY NUMBER (include stories # and occupancy per floor - use reverse side EXI-STINGS EXIST SIGN yes G. -ono ❑ LIGHTED EXIT SIGNS operable yes ❑ no C EMERGENCY LIGHTING SYSTEMoperable dry cell ❑ wet cell ❑ SPRINKLER SYSTEM operable ❑ gage pressure yes no ❑ SMOKE DETECTOR FIRE ALARM SYSTEM ANSUL SYSTEM FIRE ALARM SYSTEM operable ❑ expiration date —4�, operable ❑ municipal ❑ ELECTRIC EQUIPMENT PROPERLY PROTECTED EGRESSES LAWFULLY DESIGNATE unobstructed ❑ STAIRS PROPERLY RAILED HALLS AND STAIRWAYS LIGHTED yes no yes ❑ no ❑ yes 4--- 'no ❑ yes &/ o ❑ yes QY no ❑ yes❑ yes ❑ no ❑ yes ❑ no ❑ RADIATOR GUARDS yes ❑ no ❑ COMPLIES HANDICAPPED PERSONS LAWS yes ❑ no ❑ FIRE RESISTANT CURTAINS OR DRAPERIES HOW HEATED NO. FIREPLACES yes ❑ no BOILER ROOM CONDITION VENTILATION UTILITY ROOM - CLOSETS NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS! NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY Use reverse for comments ?,v- C5-- F,�' .......... ......... yo • g c a 06 t C .w .......... N �o cz C y CQ; y ti � c U] � fy ... O � •� ��Cii 0.1 �j p � 00'. V o U cel C « p. off, ~ a • �. ?+ C V tF . p d y i +'�.. •w a -3t �. d o: a)• i131 AD �• W C . • • . . . . . . . 'V 7 C O a d w d o V vEMSI pE 1t w 'v Location 35v No. — t � � �� Date NORT1y TOWN OF NORTH ANDOVER Ot�t.ao :a,y0 . Certificate of Occupancy $ Building/Frame Permit Fee $ """° Fou dation Permit Fee $ ,SSAGNUSEt ( , Sewer Connection Fee $ Water Connection Fee $ (J TOTAL $ Af- "Building Inspector ry 10830 Div. Public Works z ' __ M COMMONWEALTH OF MASSACHUSETTS TOWN OF North Andover APPLICATION FOR CERTIFICATE OF INSPECTION ` (x) Fee Requited (Amount) ri u ( ) No Fee Requited In accotcdance with the ptcoviziows o6 the Mmsachu/setts State Buitding Code, Section 108, 15, I hereby apply {ion a Cetcti6icate of Inspection 6otc the below -named pum.czu .located at the �IoUow.inq addtcu s : Stkeet and Number Name o6 Ptcemiz ens PuApo s e (on Which Licem e (.$) otc Petcm-i t (,s ) Requited bon The Pnem7'za-B—y 0- GoveA—mental genc.ca: Lice m e otL Pettm.it Cetctc icate to be i/s�sue to _ Z- Addte�s/s Owner of Recokd o n Addtce's's Name o6 Ptce/so '56 C icate Name o � Agent, i� any SIGNATURE OF FLRSUN-10&,MUM CERTIFICA77-- IS ISSUED OR HIS AUTHORIZED AGENT INSTRUCTIONS: Agency ...... ........ 1) Make check payable to. Town of North _Andover 2) Retu An this appZi.cation with your check to= Town of North Andover ' Building Dept. 146 Main Street - Town Hall Annex North Andover, MA 01845 PLEASE NOTE: 1) Appticati.vn 6otcm with accompanying bee must be zubm.itted 4otc each buitding oA zticuctutce ok Patc t theAeo 6 to be ceAc i6 ied. 2) Appticati:on and bee must be %ece i.ved beUone the ceA�,i 6icate w,i P.P be u,�sued. 3) The budi qg o 4 �ic.i.at �s haU b e nod i6ied within ten (10) days o% any change � n the above v e ,ie .in4 otcmatio n . CERTIFICATE # 8/ EXPIRATION DATE: 2,L2--j FORM SBCC-3-74 J Z O = M. 0D DD r1J OOZN X <<i Z mmmo :B:u0. yy<D or'm0 S' A O N < m N n� 2N Ul El D D n 2 KO i U) U) RR O 0< er O M !.. O m CC) ru U) N m C n og 2 ru U) z w t?� CD . ca rti O 111 r� 03 72 U W 133 03 +w �I � t^� (� O, -j I C O ru J Z O = M. 0D DD r1J OOZN X <<i Z mmmo :B:u0. yy<D or'm0 S' A O N < m Ul El D W- KO p_ RR r er m !.. O m OD o O C n 2 Z �J ca COALMONWLAL111 OF I iASSAQIUSLLIS 7., `FeC �k t �-t Date (X )q- ln"acco,tdance with the ptovisions o6 the Mass acluAs &W State &Uding Code'f "Section 1087 15, I. hereby appty bon a Cati6icate o6 In4pection 6o,% the--betow-named ptemims.'tocated at the 6ottowing addusz: Street and NumbeA Name o6 PtemisU PuAjoo-6 e bon WhLch-77L-6�u- " Us 0-d G7- Licenze(.6) o,% PeAmit(.6) Requaed 6otthe P;Lemizez by 0:6 eA-- oveA)vnentU-- genc,,,W. UdOnA e on Pekmit Via OwneA o4 Re AddAez,s ' Name o 4 Pte Name o6 Agent, e ".6 ,9 i6 any ........ Sl(�NATURE OF PERSON TV WHOM CERTIFICAIL IS ISSUED OR HIS AUTHORIZED AGENT INSTRUCTTONS: 1) Make check payable to: ' Town of 'North Andover eA-1I _ Z, 12 ..... 2) RetuAn this appZcation with yours check to: ' Building Dept . , Town * 0f t ice 'Bulld 120 Main Street, North Andover, MA 0184c PLEASE NOTE: 1) Apptication JoAm with accompanying bee must be subinitted bon each. buitding on ztAuctuAe on pant theAeo6 to be ceAti6ied. 2) Appticat;Zon and bee must be neceived be6o,7e .the ce,a,U6,Zcate wiU be Lmued. 3) The buitding q4iciat shaU be noti6ied within ten (10) days o6 any change in the above in6mma on. CERTIFICATE 0 EXPIRATION DATE: --FORAl SBCC-3-74 PHONE`'`CALL' � / A.M. FOR DATE TIME P.M. Y .. M OF Z So- " RETURNED PH05Jlg YOUR CALL AREA CO NU BER EXT SION PLEASE CALL' M WIEE CALL AGAIN CAME TO SEE YOU WANTS TO SEE YOU SIGNED TOPS "` FORM 4003 TOWN..OF-_"N01:T11 ANDOVER INSPECTORS NAME OFFICE OF -THE. -!-INSPECTOR OF.. BUILDINGS - .INSPECTION REPORT FORM CLASSIFICATION �� PASSES INSPECTION yes= no Q DATED OWNER BUILD STREE' TYPE OF OCCUPANCY - Day Care Center ;Q Aud. ,C7 Cafe L% Gym E7 Apt. C7 School Q Common Victualer's ,4:7 Liquor L7 Place of Assembly 4� other OCCUPANCY NUMBER gide E X I S T I N G EXIT SIGN ,_e yes [ no Q' LIGHTED EXIT SIGNS operable D y Q J eft yes z= no C��I EMERGENCY LIGHTING SYSTEM operable /Z7-1 dry cell L� wet cell C� SPRINKLER SYSTEM operable 0 gage pressure yes L7 no SMOKE DETECTORS operable Q% c� yes ZY7' no %i FIRE EXTINGUISHERS expiraticn date _c- / i0 yes LQt-Y'�no ANSUL SYSTEM FIRE ALARM SYSTEM operable C7 ELECTRIC EQUIPMENT PROPERLY PRO`I'ECTZD EGRESSES LAWFULLY DESIGNATED STAIRS PROPERLY RAILED HALLS AND STAIRWAYS LIGHTED RADIATOR GUARDS COMPLIES HANDICAPPED PERSONS LAWS FIRE RESISTANT CURTAINS OR DRAPERIES HOW HEATED BOILER ROOM CONDITION yes L-9--i)o /--' municipal L7 yes /,-7 no fes, y e s L5"n o C' unobstructed La7/yes LZ-/� no NO. FIREPLACES yes C no yes no �— yes l_..% no yes o Z= v e s /_A - ro =_ 1 yes 0 no Lc-- VENTILATION UTILITY ROOM - CLOSETS NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY SHOPS use reverse for- conunents I � T .r•.•^r�,-�'ts�7...,. s•- . ..,,. y w�• D ,r •wee+" 7' � , Y. w�,•^•.^kt'arFs#,sti,sy!'ta� 'r. ^. u � •.K.,. _ �� i..' •�� 1hhMM��..♦♦♦♦♦11111 w+�" - � _,.�^� .� � ,�„"'°' .. ._ ... _ .. m I Location No. E:;�' / Date y" 12 9� TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ �i�b'•^°''c�' Foundation Permit Fee $ ss�cMuse Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL 331 9698 $� / Building Inspector 40.00 PAID Div. Public Works TOWN OF NU1 T11 ANDOVER INSPECTORS NAh1E 81 OFFICE. OF THE IP.S-PECTOR OF BUILDINGS INSPECTION REPORT FORM 4MA "" CLASSIFICATION PASSES INSPECTION yes no Q DAT ...-- OWNER BUILD STREE TYPE OF OCCUPANCY - Day Care Center = Aud. = Cafe = Gym L% Apt. ,� School = Common Victualer's 4:7 Liquor = Place of Assembly = other OCCUPANCY E X I S T I N G EXIT SIGN 3 eats � �1 �yes no C' D Y /✓` LIGHTED EXIT SIGNS operable ZEr yes no EMERGENCY no EMERGENCY LIGHTING SYSTEM operable iP7 dry cell wet acell L SPRINKLER SYSTEM operable LI�gage pressure yes Xl no SMOKE DETECTORS operable -7 yes U no �=' FIRE EXTINGUISHERS expiraticn date _ yes C= no _% ANSUL SYSTEM yes IY uo FIRE ALARM SYSTEM operable L% municipal 4J yes no ELECTRIC EQUIP119ENT PROPERLY PROTECTED yes Le no � EGRESSES LAWFULLY DESIGNATED unobstructed L./ yes no STAIRS PROPERLY RAILED N//u yes ' no !� HALLS AND STAIRWAYS LIGHTED yes -7v do �? RADIATOR GUARDS yes no no COMPLIES HANDICAPPED PERSONS LAWS yeses FIRE RESISTANT CURTAINS OR DRAPERIES yes no Z-' HOW HEATED r -t -I NO. FIREPLACES yes no L' BOILER ROOM CONDITIGN VENTILATION C) UTILITY ROOM - CLOSETS Q)V- NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS 2 - NUMBER NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY' SHOPS use reverse for conunen is Lootion No. L,� .. l� Date ` CJ go NORTH TOWN OF NORTH ANDOVER Of.o �ti O f?. • _ OOp r+ Certificate of Occupancy $ Q # Building/Frame Permit Fee $ cM'�`� undati n Permit Fee $ ermlt Fee $ `� Sewer Connection Fee $ Water Connection Fee $ - TOTAL $1' 20 3�Building Inspector TO8 0 3 Div-9mbRe-works y-_ CUMt.!0NwLAL I II 0V PaASSA(jIuSL I I S - 1' TOWN OF NORTH ANDOVER APPLICATION FOR CERTIFICATE OF INSPECTION Date /D- 5 (X) Fee Requited (Amount)�4D _ ( ) No Fee Requ itted In accordance with the pnovis,ionvs o6 the tfamachws e ttz State Bu, .edin Code, Section 108)115, I heAeby apply Soy. a Cehti6icate o6 Inspection Son the be -m -named pnem-iaez toeated at .the So.e.eow.ing addAezz : 1*7 S.theet and NwnbeA 35 Name oS PAemu es PuApo,6e Son wrack PALem L.ieens e (a) oA PeAm,c t (,s ) Requilted Son .tlLe Pneinc�ses y U.�te ave�ejuneEitagenc-ce L.icems e on Pehmi t 4A LA24-- Agena Celct, tieate .to be .vs/sue l t° „ -'`� T,� �n� � -- AdcG%as 0 — OwneA o6 Refo,,Ld o n Addams Name oS PAmewt o eta Oita i.ea.te Name o6 Agent, .4-'6 any . a 0 WHOM E: IS ISSUED OR HIS AUTHORIZED AGENT 11 INSTRl CTI'ONS: 1) Make check payabee .to: Town of Ivortlt Andover 2) Re to to this appt i.eati.on with yowt check to: PLEASE NOTE: 13 TxYr Building Der) t...,, Town Office BuiId. i.rtg-,—.- 1Z0 Main Street, North nd ver, HA 01845 , 1) AppZi.eati.on Sonm with. accompanying See must be subm,:tte o•t each. bui£fulg oA btttuc me oA pwc t .theAeo S to be een ti.s.ied. 2) App.eieation and See mwst be tecei..ved besote the c2ttis.ieate �aiee be �s3ued. 3) The building o66.cciae 6ha.P.l' be not died a tfu l ,ten (10) day.3 os any eha;ige ,in .the above .in S cAma,ti:o n . CERTIFICATE # 8 It C�.r�` �y �EXPIRATION L r11 E : FOU SBCC- 3- 74 e w 0 L En u u ro Ia. ro U T T L .,q u tC a co O Aj En C 0 .� to u a a M 0Q1 w a u w N � cv� .,A u co • a 4.1 $L4 Q u W 7 O 00 ti •-i ts � w •a m O `� a A4 u C 0 u '1i u a a M ►O+ i� u w N � cv� .,A u co • a 4.1 $L4 01 }, H u 00 ti •-i � w y u a Q ►O+ 14-4 4J O N 01 }, H u 00 ti a •a V TO Town of North Andover Building Department FROM: Nancy L. Juskin DATE: 10/04/93 Brigham's Inc. SUBJECT: LICENSE/PERMIT RENEWAL Below you will find listed the Brigham's license/permit to be renewed: BRIGHAM'S STORE # 8Qa ADDRESS: North Andover Mall, Route #114, North Andover, MA. 01845 LICENSE/PERMIT: Certificate of Inspection FEE: $40.00 FRANCHISEE: Non -equity franchisee: Fari Tayarani BRIGHAM'S OFFICE ADDRESS: BRIGHAM'S INC. 30 MILL STREET ARLINGTON, MASSACHUSETTS 02174 Please return the renewed license/permit to: Ms. Nancy L. Juskin Brigham's Inc. 30 Mill Street Arlington, Massachusetts 02174 The renewed licenses)/permit(s) will be forwarded to the appropriate store(s). If you should have any questions, please do not hesitate to call me at (617) 648-9000, extension v ?$. Nancy L. Juskin Property Manager Enclosure(s) �r0-10a1)a-7-2/i OCT 2 0 1993 TOWN OF NURT11 ANDOVER OFFICE OF TILE INSPECTOR OF BUILDINGS INSPECTION REPORT FORM INSPECTORS NAME CLASSIFICATION PASSES INSPECTION yes no Q DATED OWNER BUILDING NAME OR NO. Jb STREET LOCATION NSI. r TYPE OF OCCUPANCY - Day Care Center L-% Aud. D Cafe CI Gym C'7 Apt. School Q Common Victualer's ,C7 Liquor = Place of Assembly = other OCCUPANCY NUMBER (include stories r and occupancy a Rs-� y pp -r floor - usp,r- v e r se gi r E X I.S T I N G EXIT SIGN LIGHTED EXIT SIGNS operable yes Z2f7"" I 1 C yes �no EMERGENCY LIGHTING SYSTEM operable /22"' dry cell ZZ7'�_ wet cell =/ SPRINKLER SYSTEM operable gage pressure yes zL:� no L-7 SMOKE DETECTORS operable yes U no FIRE_ EXTINGUISHERS expirytic ti date yes np i ANSUL SYSTEM FIRE ALARM SYSTEM operable ELECTRIC EQUIPMENT PROPERLY PROTECTZD EGRESSES LAWFULLY DESIGNATED STAIRS PROPERLY RAILED HALLS AND STAIRWAYS LIGHTED RADIATOR GUARDS COMPLIES HANDICAPPED PERSONS LAWS FIRE RESISTANT CURTAINS OR DRAPERIES municipal unobstructed C HOW HEATED L4Zf% CS S NO. FIREPLACES BOILER ROOM CONDITICN VENTILATION 3es / J uo /1:7 yes Lz1-iio =, yes L,5�no =7 yes L�-% no /__' yes Z-7 no yes ��_� no yes no y e S 110 yes no yes D no LL=' UTILITY ROOM - CLOSETS (��k NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY If � SHOPS use reverse for continents LocationC 'd No. ad ad C "4.1 Date TOWN OF NORTH ANDOVER A Certificate of Occupancy $ Building/Frame Permit Fee $ Foun0qtipn Permit -Fee $ e it;�ee $ Sewer Coririeopon Fee $ �C ,.,Water,Connection Fee $ � C pvvZ 7 i// �`- 6659 Building Inspector Div. Public Works Date CL)i%1MUNWLAL 1 N C& h1ASSAL11UjL i i S , . TOWN OF NORTH ANDOVER APPLICATION FOR CERTIFICATE OF INSPECTION (X) Fee Requited (Amount) p01 am& ( ) No Fee Requited In accordance with the puv.us.ionz o6 the Mazzachuetts State Buitding Code, Section 108, 15, 1 hereby apply bon a CeAt-i6icateo6 Inspection bon the beeow-named pemiusez tocated at the 6ottowing adAeaz : 3 0 1.t/� f—hip op /VvE //V- q m4u Street and Number ' '* Name o6 Pnenu,6 es -- Punpose 6oA Wh,ich--F,—%ei�ez .v, u16e est urant Licervse(a.) oA Pe�unitl�) Requ.i�ced bone Pnem�se�s yb-7c`rielc avennment gencces: Licem e of PMMi t .. Agency Common Victualler Food Service Board of Health Milk Board -of Health CVLtc �cate to be izzued to— Addne,s.s Owneh o{y RecorLd o g' Bel i and 9e1 tRl t TrlS(landlord) Add,teh ni 275 �Rgt Street, Tewksbury, -- M as h Name ob Present o eA o 6 C VLtC6tcdzf grigham's Name o6Agent, 16 any. None Brigha 's, . Inc .. ...... . IS ISSUED OR HIS AUTHORIZED AGENT October 4, 1993 T INSTRUCTIONS: 1) Maize check paya r?e to: TOWN OF NORTH ANDOVER 2) RetuAn th" appti.cation with youA check to- Building De 't. , Town Bldg. 120 Main St., North Andover, MA 01845 r PLEASE NOTE: l) 2) 3) Avoti.cation 4wun with. accompanaing 4ee mutt be zubm,c tted {yon each buitding on sthuctuAe o)t paha theAeo 6 to be cen ti hied. Appti.cati:on and bee must be received be{yone the centi4icate witt be ,u66ue.d. The bu it iing o U { is i.at z hatt be not i.6.ied within ten (10) days o6 any change .in the CERTIFICATE # e1C�-06a77// EXPIRATION DATE: FORM SBCC-3-74 above CHECK NO* - 27711 CHECK DATE 10/15/93 30AALL STREET ARLINGTON, MA. 02174 PAYMENT ADVICE STUB 1 OF INVOICE COMMENT GROSS DEDUCTIONS AMOUNT PAID NUMBER DATE 10-4000 10/01 40*00 40000 ' off DETACH BEFORE DEPOSITING b • it . D+ ° � w O ......... .... • n.l N u 42 O Qi y `ti to r � � u p, a` 'ty •� Uo4M {f0 N ' o 93 b • d: V. • ......... . Ci At � a .o •N �j �• �° At �+�► � ISI <' °i d • .......... O � HT1 C�' � fZ; d. .......... ......... •� 'r hal ►r • •.. O , 'Q; '!S 4 .� .84 ca • w o' � ai3inlD M. C .......... w 1 Ol para i. ow .� « ya•� • � i•t A' v O � v t ENst ve •� v v � Trill 0�11 anni. TO Building Department Town of North Andover FROM: Nancy L. Juskin DATE: 9/25/92 Brigham's Inc. SUBJECT: LICENSE/PERMIT RENEWAL Below you will find listed the Brigham's license/permit to be renewed: BRIGHAM'S STORE 41 804 ADDRESS: North Andover Mall, Route #114, North Andover, MA. 01845 LICENSE/PERMIT: Certificate of Inspection FEE: $40.00 FRANCHISEE: Non -equity franchisee: Fari Tayarani BRIGHAM'S OFFICE ADDRESS: BRIGHAM'S INC. 30 MILL STREET ARLINGTON, MASSACHUSETTS 02174 Please return the renewed license/permit to: Ms. Nancy L. Juskin Brigham's Inc. 30 Mill Street Arlington, Massachusetts 02174 The renewed license(s)/permit(s) will be forwarded to the appropriate store(s). If you should have any questions, please do not hesitate to call me at (617) 648-9000, extension 4158. Nancy L. Juskin Property Manager Enclosure(s) SEP 2 81992 f DEF'��R�VaiL;' TOWN OF NU1IT11 A[4)OVER INSPECTORS NAME ��/ OFFICE OF THE INSPECTOR OF BUILDINGS 01-Y16 INSPECTION REPORT FORM 4z�_ CLASSIFICATION PASSES INSPECTION yesZE�flno Q DATED OWNER BUILDING NAME OR N0. � � STREET LOCATION am 14 9�__i Z�� 4" TYPE OF OCCUPANCY - Day Care Center Q% Aud. ,Q Cafe E7 Gym ,Q Apt, School Q Common Victualer's Liquor LQ Place of Assembly Q other OCCUPANCY NUMBER (i�nycl ud r ori es and o n .ncy Oar fl oo use r v rsP side E X I S T I N G EXIT SIGN �/ LJ� no Q' LIGHTED EXIT SIGNS operable zo, yes yes Qy'' no = EMERGENCY LIGHTING SYSTEM operable dry cell SPRINKLER SYSTEM wet cell 4-7 operable gage pressure yes Q��iio Z_ SMOKE DETECTORS operable yes o no FIRE EXTINGUISHERS expiraticn date "' 93 yes 110 Q ANS UL SYSTEM U FIRE ALARM SYSTEM operable municipal IQ yes yes � uo �' l_7 no Z4 ELECTRIC EQUIPMENT PROPERLY PROTECTED yes no EGRESSES LAWFULLY DESIGNATED unobstructed L� yes no I STAIRS PROPERLY RAILED yesC )o HALLS AND STAIRWAYS LIGHTED yes C10 RADIATOR GUARDS COMPLIES HANDICAPPED PERSONS LAWS yes�c10 !� yes z�� nu ? �I FIRE RESISTANT CURTAINS OR DRAPERIES yes = no HOW HEATED L�'�� NO. FIREPLACES yes Q no �I�Y BOILER ROOM CONDITICN i VENTILATION UTILITY ROOM - CLSETS NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY SHOPS use reverse for continents Location ' ii i /f No. ` `� 9� i,''�h i _ . Date �pRTM TOWN OF NORTH ANDOVER p ,�ao ;a,tip • a pG asiiswdl S Certificate of Occupancy $ • Building/Frame Permit Fee $ as U Foundation Permit Fee $ C� Other Permit Fee $ 'LP, Sewer Connection Fee $ r .O + 01 Water Connection Fee $ 01 TOTAL LV Building Inspector Div. Public Works Date (;U41ONWLAL I N 0 1.iASSAl Wl L 1.1 S TOWN OF NORTH ANDOVER APPLICATION R CERTIFICATE OF INSPECTION n (x) Fee Requ,iAed (Amount) p co No Fee RequiAed In accordance' wi th the Pnay.iis.co7 o6 the Mas�sachuze t6 State Building Code, Section 108,15, I hereby apply bon a Cetti6.icate ob Impecti.an bon the below -named pAemizu Located at the bott.ow.ing addtcu s : StAeet and NumbeA 35D Name o6 PAemiz e.6 Purpose bon Which Aem�u L a c enh e (z) on Perim t (-s ) us�s e - - �, — -- RegL.,i.ed 6oh_ Vie Pp.e,7L(J a by Vthelpi �L�2'LV11 ^,pati .gen:, ens: L.icenz e on ' Pel AUAgency .. Common Vict"aller _ Fnnd Service Board of Health Milk_ Board of Health CV1ti6 cafe to be izzued to Bri ham's Add,%as 30 Mill Street, Arlin ton, Massachusetts 02174 mailing Address Owneh ob Re -co -Ad --o ng Delta and Delta Realty Trust AddAez.6 875 East Street,•Tewksbury, Massachusetts 01876 Name ob Ptnent HotdeA o ex ica.te Brig am s Name ob Agent, .ib any'' one Brigham's, Inc. By•. ...Senior -Vice -President, -Finance and SIQNATURE OF Administration IS ISSUED OR HIS UTHORTZED AGENT September 11, 1992. Non -equity franchisee: Fari Tayarani DATE INSTRUCTIONS: 1) Make check payab.te to:. muw,.iv OF i,v,OAcTn, ANDOVER ...... . .. ... . - 2) Retutcn thin appticati.on with your check to: * Building Dept. , Town Bld'g''.',- 120 ldg, 120 Main St., North Andover, MA 01845 PLEASE NOTE: 1) AppZicat.ion boAm with accompanying bee must be zubmitted boA each buitd.ing aA ztAuctuAe oA pa&t theneob' .to be cuttib.ied. 2) AppZication and bee mu,6 t be kece.ived beboAe the ce&ti.U.icate wilt be i66ued. 3) The buitd%ng o66.icia.2 6haU be noti6ied within ten (10) days o6 any change .in the above .in6mnat i:on. �...l� CERTIFICATE # / 42 - 16, EXPIRATION DATE: 3 FORM SBCC-3-74 forighariO. DATE- 9/17/92 30 MILL STREET ARLINGTON, MA. 02174 PAYMENT ADVICE STUB 1 DE 1 INVOICE COMMENT GROSS DEDUCTIONS AMOUNT PAID NUMBER DATE 91192 9,/11 V 09732 4000 4000 DETACH BEFORE DEPOSITING /67z ��ii r-ro z O •$ Q� u I �U N Ito H ti u O I •N � ro t N tka z w c� S Z a �� .u° V h �♦, a o tt Q /67z ��ii r-ro z O •$ Q� u I �U N � H ti u O I •N � ro t N tka z w c� S a �� .u° V h �♦, a o tt Q � O h a C� /67z ��ii r-ro d O •$ rn u I �U C C/) v ........... ti /67z ��ii r-ro b. a O •$ rn u I �U C C/) O ........... t4 u O I •N � ro t N tka rkA , s 'u c� S a �� .u° V �♦, a o tt Q • J ci t i '� C� ff >. r f. I Yk i• CM• l i • tF: �.�N• Y1'yt !• _ .. C fi,�'J%hV"i 01 ... �N *��°� .. td .� >4 w O 123 • t R i • • • • • i t Y • Y ��.4 4 •� .. !J• Y Lry O ' o d b. a O •$ rn u I �U C C/) O ........... t4 u O I •N � ro � N 'u c� a �� .u° V q •$ rn u I rn C C/) rn t4 u O I rn � w o� �� .u° a a Q q •$ u I Z C C/) rn t4 u O I rn � w t* C� h m •$ u I Z C C/) 00 t4 u O I t; a w h m TO - DX T.` - �( FROM .!:PAD MO. 23-176--400 SETS �!O. 23-37:i-100 S ---TS TO DA-qlo 1� E, FROM AMPAD MO. 23-5 73-400 SETS MO. 23-373- 700 CE"S TOWN OF N011111 A[40VER INSPECTORS NAME OFFICE OF THE INSPECTOR OF BUILDINGS INSPECTION REPORT FORM,, CLASSIFICATION PASSES INSPECTIONY es= no Z7 DATED69 OWNER BUILDING NAME OR NO. STREET LOCATION S7-Vd TYPE OF OCCUPANCY - Day Care Center = Aud. L7 Cafe = Gym ,C7 Apt, 47 School Q Common Victualer's ,4(7 Liquor = Place of Assembly = other 4:&d 1771t k. OCCUPANCY NUMBER (include ori s r nod occupancy perr floor - use reverse sjdc S EXIT SIGN LIGHTED EXIT SIGNS operable z= EMERGENCY LIGHTING SYSTEM SPRINKLER SYSTEM SMOKE DETECTORS FIRE EXTINGUISHERS ANSUL SYSTEM C-YP .�- FIRE ALARM SYSTEM E X I S T I N G yes -,E7' no d yes A2� ' n o Lam• operable /-2�` dry cell ,7 wet cell /�7 operable Lam^ gage pressure yes �7 no z - operable= expiraticli date operable ,E;;� ELECTRIC EQUIPMENT PROPERLY PROTECTED EGRESSES LAWFULLY DESIGNATED STAIRS PROPERLY RAILED �J% HALLS AND STAIRWAYS LIGHTED IV municipal Z= unobstructed = RADIATOR GUARDS • r COMPLIES HANDICAPPED PERSONS LAWS L FIRE RESISTANT CURTAINS OR DRAPERIES A10,VE HOW HEATED --0 jqj NO. FIREPLACES BOILER ROOM CONDITICN �-' VENTILATION (� UTILITY ROOM - CLOSETS NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY SHOPS yes no yes 1)o yes Z�:7 no yes 4;=7- 110 yes -Z: �7 no /J yes no yes /-% no C/ yes �� no yes 110 yes nU yes no L-7 yes = no 4:-7 k 10 Building Department Town of North Andover APR I f ROM Nancy L. Juskin DATE: 3/27/91 Brigham's Inc. SUBJECT: LICENSE/PERMIT RENEWAL Below you will find listed the Brigham's license/permit to be renewed: BRIGHAM'S STORE / 804 ADDRESS: North Andover Mall, Route #114, North Andover, MA. 01845 LICENSE/PERMIT: Certificate of Inspection FEE: $40.00 FRANCHISEE: Fari Tayarani BRIGHAM'S OFFICE ADDRESS: BRIGHAM'S INC. 30 MILL STREET ARLINGTON, MASSACHUSETTS 02174 Please return the renewed license/permit to: Ms. Nancy L. Juskin Brigham's Inc. 30 Mill Street Arlington. Massachusetts 02174 The renewed licenses)/permit(s) will be forwarded to the appropriate store(s). If you should have any questions, please do not hesitate to call me at (617) 648-9000, extension 058. fj Enclosure(s) Nancy L. Juskin Property Msnager COMMONWLALTH OF MASSAQiUSL7JS TOWN OF NORTH ANDOVER APPLICATION FOR CERTIFICATE OF INSPECTION Date 2_16_91 ( X) Fee RequiAed (Amount) $40 annual ( ) No Fee Requ. ed In accordance with the ptoviz.tons o6 the Mai,6achu�sett5 State Bu.it i.ng Code, Section 10&,15, I hereby apply bon a Cutti6icate o6 Inspecti.on. Uan the below -named pnem.use .Located at the UoUowt ng adAesz : Street and NumbeA 350 WinthropAvenue Name o6 Premi�se�5 BRIGHAM S INC. Store #804 _ Punpo,se bon Restaurant Licevuse(d) o& Pejum-ct(.6) Regwv,.ed (yo& the Prernise/s by ti�c� �c e1c� „ei a .geneses: Libe" e cin PeAfilit ..may Common Victualler Food Service Board of Health i Board of Health _ C�e�ctc�tie e to be is/sued to righam's Addne�s�5 6 hli 11-5 rEet, r 'ng on, assachusetts 02174 Owneh o4 Reco,,Ld o4 Buitding Delta & Selta Realty Trust AdAa,6 875 East Street Tewksbury Massachusetts 0.1876 Name a4 P&eSerLt a en a eJitc tieate Brigham's Name o4 Agent, 14 any'' None Location No Date , TOWN OF NORTH ANDOVER of -. -on „ Certificate of Occupancy $ t4L Building/Frame Permit Fee $ s s�cMue h Foundation Permit Fee $ � B � By CVewer Permit Fee $ SAM � u �OConnection Fee $ J 190ater Connection Fee TOTAL r ndovee Colledoy { Senibr Vice President, Finance and HILt Administration March 27; 1991 VAI L r Andover Building Department Office Building Iain St., North Andover, MA 01845 matted bon each buiZding on dttuctuhe 0 - At 4icate wiU be ,i6,5ued. , (10) days oU any change to the above Building Inspector Div. Public Works 1992 EXPIRATION DATE. March' '4, FORM SBCC-3-74 Im u u ro a ro U 0 L u .r4 u ro CL ro U 0 u ul 0. O L.1 C F+ o .a U �Oi 0 .......... N aJ u ro a ro � U H O to O r-1 N -cc u >i W a u H r� cn u O a V + ✓ + Q 1 `V U ^ N U k+ O caO a �w w 0 L 0 u ul 0. O L.1 C ro u o .a v� 0 .......... N aJ u ro a ro � U -a 0 O .,.4 ai v� u U) u U)u N O r�7 � N y O to O r-1 N -cc u 4.1 W a u w N O a u N V U ^ N U4-1 v caO Pr �4 V -a 0 O .,.4 ai v� u U) u U)u N O r�7 y O to O r-1 N Q) O 4.1 a u a u V U ^ U4-1 .-I ai v� � U) u U)u N O to r-1 N Q) O CS a V of NOR 1, OFFICES OF: o?' �< Town Of APPEALS : •� NORTH ANDOVER BUILDING CONSERVATION ss"C" s`s t 1 V LS1ON ()F HEAUM PLANNING PLANNING & CONINIUN1'I'Y UEVELOPMEN'I' KAIif:N I I.P. NFI,SO )N, I )IRFC-1 ( )It February 15, 1991 Brigham's Inc. (Store #804) 350 Winthrop Avenue North Andover, MA 01845 C/O Nancy L. Juskin, Prpty. Mgr. To Whom It May Concern: 12() Nl;i it Sticc•I No rl I i Am lc wcr. kirtss,xdttisclis 018,1 W17)G8 14775 Please complete the enclosed form and return immediately with the required fee to this office. Call us at 682-6483, X30 to arrange an appointment for the necessary inspection. Thanking you in advance for your cooperation in this matter, we remain Very truly yours, NORTH ANDOVER BUILDING DEPT. D. ROBERT NICETTA, BUILDING INSPECTOR /gb ��' (.,�U�.�—�f (.�ZG� G'1.�� tet.6�G1•s'L � �j��e,��,G,�7�'1�1 91j1'1��1i1111'!i. To Building Department FROM Nancy L. Juskin Town of North Andover Brigham's Inc. SUBJECT: LICENSE/PERMIT RENEWAL DATE: March 15, 1990 Below you will find listed the Brigham's license/permit to be renewed: BRIGHAM'S STORE # 804 ADDRESS: North Andover Mall, Route #114, North Andover, MA. 01845 LICENSE/PERMIT: Certificate of Inspection FEE:_ $40.00 FRA.'�'CHISEE: Fari Tayarani BRIGHAM'S OFFICE ADDRESS: BRIGHAM'S'INC. 30 MILL STREET ARLINGTON, MASSACHUSETTS 02174 Please return the renewed license/permit to: Ms. Nancy L. Juskin Brigham's Inc. 30 Mill Street Arlington, Massachusetts 02174 The renewed licenses)/permit(s) will be forwarded to the appropriate' store(s). If you should have any questions, please do not hesitate to call me at (617) 648-9000, extension # 58. Nancy L. Juskin Property Manager Enclosure(s) a 6 CoQ i, BU!LDiNG DEPARTMENT No.: i iv'HR 1 j ��:. Date TOWN OF NORTH ANDOVER BUILDING DEPARTMENT Building/Frame Permit Fee SS�CHUS� Foundation Permit Fee cf � �t#e* Permit Fee r -- l7 , Building Inspector MMONWEALTH OF MASSACHUSETTS TOWN OF NORTH ANDOVER APPLICATION FOR CERTIFICATE OF INSPECTION Dates1-23-90 (X) Fee Required: $40.00 0 Annually t ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 108.5.1, I hereby apply for a Certificate of Inspection for the below -named premises located at the following address: Number and Street.- 350 WINTHROP AVE. Name of Premises: BRIGHAMS INC. STORE ## 804 Purpose for Which Premises is Used.- RESTAURANT License(s) or Permit(s) Required for the Premises by Other Governmental Agencies. - Licence or Permit Agency Common Victualler Food Service _ V Board of Health Milk Beard of Health Certificate to be Issued to: Address: (offices 30 Mill Street ,Arlington MasszchsuettsM 02174. Owner of Record:Delta & Delta Realty Trust Address: 875 East Street, Tewksbury, Massachusetts 01876 Name of Present Holder of Certificate Brigham' s Name of Agent (if any) _ None Brigham's, Inc. SIGNATURE OF PER ON TO WHOM Title Officer CkTIFICATE IS ISSUED OR HIS March 15, 1Q90 AUTHORIZED AGENT DATE -...r__.. a INSTRUCTIONS: 1) Make check payable to: The Town of North Andover 2) Return completed application and check to: Town of North Andover Building Dept. 120 Main Street North Andover,Ma.01845 PLEASE NOTE: 1) Application form with accompanying fee must be 0� � submitted for each building or structure or part lL� 5 �`�y l5 Ci thereof to be certified. In2) Application and fee must be received before the flut' I lnn^ l,� certificate will be issued. I 3) The building official shall be notified within ten days of any changes in the above information. BUILDIi•!1 : t 1' CERTIFICATI #: 81 EXPIRATION DATE: 3-4--50 O N • -u al. as •a cr CO �O 0. to : o � : to 4-J: 4-)• h co: �. X, ca i� rj)• a to to aj x o +pi `�• to �• O .� .tet• rz• o p1 U E: 4--1 Z; W. 4-) 4-� T u .rA u ro a ro U L+ 0 u U) C O O H u U V) •a ro a H wN 00 . O rn u C1 � Q� U u>4 \a 0 0 w, 01 � T N H � W cn u V a ro v N U WO C9 00 a .cU+ a a N po 0 a L V) C O O N •rl H U):3 •a ro U rn o wN 00 . O rn u C1 � Q� U u>4 \a 0 0 w, 01 lrl N U 44 ro a ro v N C O .H 0 H U):3 •a �u rn o wN 00 . O rn u C1 � Q� U u>4 \a 0 0 w, 01 M t• C O .H u rn o u 00 . v rn u M V 01 I rn u p) 44 O fn N C9 00 a .cU+ • a a ry U I U u m a ro U N 0 u u u 0 a co U 0 V H u U rz F4 43 n: d W � 0 w w vy, 0 u W 00 0 Cd 0 >4 rl fj7 �n v cn � •a u d ago U w 44, 0 a c a O L En T V to .,4 rz F4 43 d W � .0a w w vy, 0 u W 00 Cd 0 P64 +, C: V .,4 u b 43 C: O .,4 u b .0a vy, 00 tj � •a u u ON 44, a c V V 14.1 a TOWN OF NORTI-1 A14DOVER INSPECTORS NAME OFFICE OF THE INSPECTOR OF BUILDINGS INSPECTION REPORT FORM CLASSIFICATION .PASSES INSPECTION yesLU no Q DATED OWNER ' BUILDING NAME OR NO. STREET LOCATION TYPE OF OCCUPANCY - Day Care Center Q% Aud. Q Cafe Z-7 Gym �.% Apt, ,q School Q Common Victualer's /F Liquor Q Place. of Assembly Q other OCCUPANCY NUMBER (' _ ---1.b11.L:_lll�_B t° r 1 P� �r a I7 d O(' r I t n a n � r .+� +• �' � �� EXIT SIGN E X I S T I N G LIGHTED EXIT SIGNS operable Zyes Q no Q yes /j70' no C7 EMERGENCY LIGHTING SYSTEM SYSTEM operable �Z( dry cell /Zr operable e wet ce /_7SPRINKLER 1. gage pressure yes no /Q SMOKE DETECTORS FIRE EXTINGUISHERS operable QJ yes Z�:7 no /--7 expiraticn date � oP� �, �c��5� yes zg,�` no rQ ANSUL SYSTEM FIRE ALARM SYSTEM operable Q% municipal Q yes L� no � yes no ELECTRIC EQUIPMENT PROPERLY PROTECTED yes EGRESSES LAWFULLY DESIGNATED unobstructed Qa yes �,/ no no 1=7 STAIRS PROPERLY RAILED HALLS AND LIGHTED 'RADIATOR GUARDS (COMPLIES HANDICAPPED PERSONS LAWS FIRE RESISTANT CURTAINS OR DRAPERIES yes Q no . yes � no yesCQ no - yes 9 no yes = no HOW HEATED N0, FIREPLACES yes D Ilo BOILER ROOM CONDITION �J VENTILATION (UTILITY ROOM - CLOSETS (NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY CD SHOPS Z use reverse for comments gh allvlli- TO Building Department Town of North Andover INTER -OFFICE MEMORANDUM FROM: Nancy L. Juskin DATE: Brigham's Inc. August 11, 1988 SUBJECT: LICENSE/PERMIT RENEWAL Below you will find listed the Brigham's license/permit to be renewed: BRIGHAM'S STORE # 604 ADDRESS: North Andover Mall, Route #114, North Andover, MA. LICENSE/PERMIT: Certificate of Inspection FEE: $40.00 FRANCHISEE: BRIGHAM'S OFFICE ADDRESS: BRIGHAM'S INC. 30 MILL STREET ARLINGTON, MASSACHUSETTS 02174 Please return the renewed license/permit to: Ms. Nancy L. Juskin Brigham's Inc. 30 Mill Street Arlington, Massachusetts 02174 The renewed license(s)/permit(s) will be forwarded to the appropriate store(s). If you should have any questions, please do not hesitate to call me at (617) 648-9000, extension #81. A�� Nancy L. Juskin Property Manager Enclosure(s) 01845 COMMONWLALI H OF h1ASSAQIUSLI,TS TOWN OF APPLICATION FOR CERTIFICATE OF INSPECTION K 600y Date - _ y �% , J , ( 1 Fee Requited (Amount) yC o •-- 1 No Fee Requiked In accordance with the-ptovisionz ob the Mays.6achu/sett6 State Buitd.ing 108.-15.0 I heAeby apply bot a Cett.ib.icate o6 Tmpection bot the beeow-named at the 4ottowing addu/ss: Skeet and Number*Le Name o6 Ptemi6esPutcpo,se bot Which L.icens e (.d) of PeAmii (.s ) Code, Section ptemizes Located Yd— .us U.6 ed R�tur RequiAed bon th.e Prem -"u -&y--R en�nment genc,teA: L.icews e ah Petim.it . Agency Common Victualler Food Service Bnard of Health Board of Health Cent .kale to e izzue to Brigham's Address 30 Mi11 Street Arlin ton Mss chuset Owner o6 Recmd o6 BuiZdiWg De to & Delta Realt Trust Add,te6,6 875-East'Street, Rewks6ury, Massachusetts 01876 Name ab Ptezent o eta etc ccate Brigham's Name ob Agent, tib any.. one Brigham's, Inc. By... Vice President/Controller IS ISSUED OR HIS AUTHORIZED AGENT August 1.1; 1988 . . .................. INSTRUCTIONS: 1) Mahe check payable to: IL 2) Return this appt i.cati.on with youA c PLEASE NOTE: 1) App.eication 6wun with accompanying {dee mutt be zubmitted bot each bwitding on bttuctute on pact theA64 to be eeAi:b.ied. 21 Appti:cati:on and bee mint be tece ived bebote the eett-i6 ieate wiU be ,uszued. 3) The buil ling obb.ie,i.at zhaU be not.ib.ied within ten (10) days ob any change .in the above .inbotmat on. r �, r 1 EX�'IRATIVN DATLi .. ..... /,gf 9 CERTIFICATE # .. �� ......... � , �_TV5. . �� bC� g32Z AUG 15 19P FORM SBCC-3-74 BUILDING DEPT, 0 L.1 u �d a cd U ua N o 0 >, � 41 .,.4 u m Cl. �o U O H ro a `n ......... U � OH W 1 a• a d •a U O Vi w u): N O .a 4.5 0 : ?q: to u 414 4-1 U 0N u N• to a co U rz) 0 W o V .a Cf) o P4to H a z � too 4-1 to� z co W U +�• : �• �. a: a E; •a z h to to y o 441 �I W : • • .r •a 4 toU. o 4-1 N . ' JP ' .01 11A0 11Y1 y�I 44, y-•► ~ w F'' 14) Z4 14, r01 to N .�t � oON 4-5 .d s •a 0 T-4 U 0 L.1 u �d a cd U ua N o 0 >, � 41 .,.4 u m Cl. �o U O H ro a `n ......... U � OH W 1 a• a d •a U O w N O u uco r4 wW 414 U 0N u a co U 0 N d � ua 4 o a O � ro a U � to •a uco r4 wW co c U 0N tva o P4to o q •a .01 r01 to N oON qk)~ 4.1 tj ON H l`— ;� N N a U Q w .to to •a ej A d � w u :2z O En � Cl) 41 H i4l Q O co4.1 l U a � h U COMMONWEALTH OF MASSACHUSETTS X=/TOWN OF NORTH ANDOVER APPLICATION FOR CERTIFICATE OF Date ,MaAc h 4, 1987 3 n' INSPECTION (X) Fee .Required (Amount) $40.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 108,15, I hereby apply for a Certificate of Inspection for the below -named premises located at the following address: Street and.Number Nahth Andoveh. Matt 350 GJi thtco Ave. Name of Premises B)iciham'.,s Inc. tore Purpose for Which Premisas is Used Restaurant License(s) or Permit(s) Required for the Premises by Other Governmental Agencies: License or Permit Agency ��mr��ri Vi 6t�a_l l er Fc)E)4--SQ1=l6Q Board of Health Mi 1 I� Board of Health Certificate to be Issued to Bri ham's Address 30 Mill Street, Arlington, MA. 02174 Owner of Record _of Building Delta & Delta Realty Trust Address__ 875 East Street, Tewksbury, Massachusetts 01876 Name of Present Holder of Certificate Brigham's Name of Agent, if any None Brigham's BY: � President SIGNATURf�oFIPJRSON TO WHOM TITLE CERTIFICATE IS ISSUED OR HIS AUTHORIZED AGENT April. 16, 1987 INSTRUCTIONS: NOTE: FRANCHISEE IS JOE CHIDIAC DATE 1) Make check payable t o : TOWN OF NORTH? ANDOVER 2) Return .this application with your check to :Building Dept'., Town Bldg., North n over, MA. PLEASE NOTE: 1) Application form with accompanying fee must be submitted for each bui3d- ing or structure or part thereof to be certified. 2) Application and fee must be received before the certificate will be issued. 3) The building official shall be notified within ten (10) days of any change in the above information. CERTIFICATE #. R/ EXPIRATION DATE: Ma,,Lch 4, 1987 / Ct,*6c)96 FORM SBCC-3-74 7 W . N •rl O N co Z. rz EO 4J �,, o .......... o 41 O a. FSI o H 14) a � O U o' `n E-4 G rasp -u P6, aN 2 to o Q o Z to +a Q1 to w ra H ,� It to PQ c � ' 44 0 'too u W.� o ..... .... .......... �,� a : „o 4.5 •ts a. °�' epi a aoi o as U �4 ro J4 ej a N v I �3 4i to u t+' tl U L+ O •N o N; to 0. I: F, w u 2 b p40- : O .......... O cn a is3L %AO t: f1 O to 00 U N r co o a ,�; h .a tj 4 �d •C/3 r Emory µi:�.rl�.''.l4io�t J TO�ail�ing_Ilepar .m nt FROM Nancy L. Juskin DATE Apri 1 16, 1987 Town of North Andover Briglam's Inc. subject: LICENSE/PERMIT RENEIVAL Below you will find listed the Bri.gham's license/permit to be renewed.: BRIGHAM'S STORE # 804 ADDRESS:_ North Andover Mall, Route #114, North Andover,, MA. 01845 LICENSE/PERMIT: Certificate of Inspection FF.E : $40.00 FRANCHISEE: Joe Chidiac BRIGHAM'S OFFICE ADDRESS: BRIGHAM'S INC. 30 MILL STREET ARLINGTON, MASSACHUSETTS 02174 Please return. the renewed license/permit to: Ms. Nancy L. Juskin Brigham's Inc. 30 Mill Street Arlington, Massachusetts 02174. The renewed licenses)/permit(s) will be forwarded to the appropriate store(s). If you should have any questions., please. do not Hesitate to call me at.(617) 648--9000, extension #04. Enclosure(s) RECEIVED APR 2 119-07 NORTH ANDOVER BUILDING DEPT. a Nanc L. Juskin Administrative Assistant cil�l�ica:�c>r:: OF NORTH, ° "° o" �- m Town of 12()M;lil) -St R•c;l n NOW)ivxlOv�;r, AI'1'LALS NORTH ANDOVER WSS7CilLISCIIS 01845 BUILDING I H\ ItilON OI ((i 1 7) (iR:: 4.77 (;ONti1:1 tVA I IOi� 1-11-ALTI-1 PLANNING & COMMUNITY DEVELOPMENT PLANNING KAREN 1 Ll'. NFILSON, I)IRI:CTOR Matcch 26, 1987 Nancy Juskin Sti.g ham' z 30 Mitt Road ktt'.ington, MA 02174 DewL M,S . J"kin: ThiS i/s to noti6y you that the CeAti/,)ication ion BAigham'Is, Inc. n.e�stauna.nt expi)Led on Manch 4, 1987. 1 am enceo/sting a 6onm bon you. to eomptete and netu,,Ln to tW o{{rice togetheh with a $40 nL nittamc.e due ()on cea i(l ieati.on {gee. Ptease make vAangemevut6 ;,on an im/spe.cti.on 15oon pops,sibZe by contacting tW o�16ice. You" thul y, ' Cha-cte,s H. Fo/stet(., Imspecton o6 Buitdinp CHF: ,gb Fnctolsune cc: Div '. DPCD Date COMMONWEALTH OF MASSACHUSETTS BUILDING DEPT, TOWN OF 120 MAIN ST NOKIR ANDOVER, MA 01845 APPLICATION FOR CERTIFICATE OF INSPECTION ( ) Fee Requited (Amount) r. ( ) No Fee Requited In aeeondanee with the pnovizionz of the M"zaehu�sett6 State Building Code, Section _ r 108;;15, I hereby apply bona Cextib.ieate ob Iruspecti.on ban the betow-named ptemised .located at the bottow.ing adds us : w' ✓Street and Number Name - o 6 Pnemi s ens _ Puhpo/s e bon Wh.ieh7nemi.6 e s .c 6 U.6ed L.ieense(.b) of Penm-ct(/s) Regu,iAed bon the nem-use/s, by eic oveAnmenta genciu: Licen.s e on Permit a Ag ency e --. cafe to e i6zae to .� , . . Addne,a.s Ownen ob Recon a ung Address . . Name o6 P&ez ent HoedeA o4 CeAti4icate _ Name ob Agent, .ib any ...� SIGNATURE OF PERSON TU NHOM CERTIFTUTF— IS ISSUED OR NIS AUTHORIZED AGENT INSTRUCTIONS: 1) Matte check payab.2e to: • TOGIN OF NORTH'ANDOVER... ..... ..... 2) Retutcn thin appti cation with youtc check to: ' ' 'CNARLFS 'H.' 'FOSTER, BLDG INSP 120,Main St., Nanth Andover, MA. 01845 PLEASE NOTE: 1) AppZicat.ion bonm with 'accompanying. bee must be submitted . bona each bu it -ding on dtnuc tutee ot pant thetceob to be eent.ib.ied. 2) AppZicat.i.on and bee mutt be n.ece i-ved bebote the eeAtib.icate wilt be iz sue.d. 3) The buitdi.ng obb.ieiat sha.Z be noti6ied within ten (10) days ob any change .in'the above .inbonmati:on. CERTIFICATE # ............... ...... EXPIRATION DATE: •.......� q FORM SBCC-3-74,