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Miscellaneous - 45 COCHICHEWICK DRIVE 4/30/2018 (2)
rwoo CD - i OWAMMI 1 11 1 Date .................... NORTH 0 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING ?o, SAcmUb Z- Thiscertifies that ............................................................................................. -A-- has permission to perform .............................................................. wiring in the building of ...... ............................I............. c.f. I")4NbItif-Mdover,Mass. .... . ........... Fee,';"6'4- Lic.N/,)//Z�� ............. .............. ........ .. .......................... ..... ............. EL EMICAL INSP OR Check # 7992 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked go BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 leaveblank 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 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 bl low. Location(Street&Number) ca r G 1�C (,l 10o 1-e 1� I Owner or Tenant d dy e� Telephone No. � Owner's Address j Is this permit in conjunc ' n with a building permit? Yes 0 No ❑ (Check Appropriate Brox) Purpose of Building I Utility Authorization No. 7 -101 l 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: ✓�e �� ry �e o�.•> r,h< Cryo cyr�► v�Ssc 4 a nr�,it Completion of thefollowing table mav be waived bv the Inspector of Wires. No.of Recessed Luminaires No.of Cev- Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 0 No.of Hot Tubs Generators KVA i No.of Luminaires G Swimming Pool Above El - ❑ o.o mergency Lighting 1 -grnd. nd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of etection an Initiatine Devices No.of Ranges D No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers /� Heat Pump- Number Tons KW No.of Self-Contained j UTotal - . ... . ............................_....... Detection/Alerting Devices { No.of Dishwashers Space/Area Heating KW fLocal❑ unicipal ❑ Oth+er Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or E uivalent No.of No.of Heaters KW Data Wiring: Signs Ballasts. No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No,of Devices or E uivalent 1 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 0 (When required by municipal policy.) Work to Start: V/ Inspections to be requested in accordance with MEC Rule 10,and upon completion.! INSURANCE CO RAGE: 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. r CHECK ONE: INSURANCE DQ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: I Licensee: ` At 1 / ,��pv N IM4(h S'ignature -LIC.NO.: (If applicable, enter"exem t"in the license numb r line.) ����� Bus.Tel.No.: Address: w b Alt.Tel.No.:_ *Per M.G.L c. 147,s.57-61,security work requires Departm nt of Public Safety"S"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) E]owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. Frow fieorgetoan Insurance 9783527719 07/1212006 14:04 4598 P.0011 am A Offl. CERTIFICATE OF LIABILITY INSURANCE PR0°i'cm (978) 352-8000 07 12/204 THIS CERTFICATE IS ISSUED AS A MATTER OF SOFORMATION. Georgetom zaeurance O►8ency, Zan. ONLY AND CONFERS NO , UPON THE CERTIFICME 10 Best Main Street HOLDER TINS CERTIFICATE DOES NOT AMEND, EXTEND OR, TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. - GeootoT,rn lull 01833- INSURERS AFFOR)M COVERAGE INSUREDMAIC 8 Stephen Oiglictti A Sone Plumbing A lffe&ting muRpR&Providence INtual a P-0.110 5112 MSURM -Granite State :safe Xnsurance 8radlord AOA 01835- o: WMAM F- THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE MUM NAMED ABOVE FOR THE POLICY PERIOD NDICATEp,N REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERIIFICATE MAY BE IOPW THTANDINO ANY THE NSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND OR MAY PERTAIN, CONDITIONS D SUCH POLICIES. AG,GATE LIMITS SHOVVN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Mips UPEOFMMINLUM PODGY NUIMIat DAA TN1M A a � CRPO062222 05/14/2006 05/14/2007 UMi1a E GIlMALWIBILRY H ETO NTED s1.000,000 -j CLApASMAOE ®pOCLLR / / SESNEpoCaA n t 50,000 UMEW are s 5,000 "— PERSONAL AAM INJURY 6 1,000,000 GENLA;li6RERAIE tMIfTAMU GENEWAGGROATE S 2,000,000 LICYIm Fl LOC / / .O-0MPMPAQG s 1,000,000 ti C MROSIOMILELIAftm 395037505/09/2006 OS/09/2007 IWYAUTD COAe1NIESNOLELINT $ (Ea ac idw* ALLOWIEOAUTOS ESOODULWAUTOS 800LYINMY i 100,000 HIiEDAUTpB / / / / NON AUTOS DOW LY- Y s 300,000 PPJ)PERTYOAMAGE OARAC!LIAmL11Y (PxaoW-Q S 100,000 ANYAUTO AUTOON6,Y-EAACCDENT I OTM THAN EA AUTOONLY .LCErm�uw�eE<u LMMiIJ1Y / / / / A" s OCCUR ❑CLAMIS MADE V4CHQ9GLWVENCE 41 RRETENTION $ trtAellm AND WM745476 06/01/2006 06/01/2007 qS ANYPROPRI OFRCERRAWNREXCLUDW? E.LEACiACCaENT S 100,000 p dmmp bevndw / / / / EL DISEASE-EAEMPLOYE S 100.000 t�Nar OTHER / / / / UWTs 500,000 GENCHMMOF Ybl1&IIENICLESIgN.W810Ne ADDED 8Y P Baa Los (976) 688-9542 CERTIFICATE HOLDER CANCELLATION SHO" ANY OF THE ABOVE DESc p0Ls BE CAIMELLED BEFORE INE EMPIRATIOM &ATE THEREOF. THE MI U NB WSURER VNLL ENDEAVOR TO MAIL 30 DAYS YMRTTTEN NOTTCE TO THE CERTIFICATE HOLDER NASD TO THE TDMA of Korth LEFT.BUT Ando"r 1600 Osgood St FALAM To 00 80 6NNIN ALL MOSS!NO OBLJOATOR UML"OF ANY MW UPON TIM ' MNBU AOENTEOR NTATNEC. F! A Korth Ando'v'er VA 01845- ACORD 28(2001" 20h!-'77&� %' emn(0/um ELECTRONIC LASER O ACORD CORPORA ITON 18A6 0000-056 i Page 1 dz Date f ,AORTM 1 pti0 TOWN OF NORTH ANDOVER g C A 9 • - PERMIT FOR GAS INSTZLUATION s _ a ,SSACHUS, This certifies that . . . �'.�'�.� .ry .,, /l.<j/,J.�`,�.�".-�'. . . . has permission for gas installation . .R. . . . .f�!:% . . . . . . . . . . . in the buildings of i c . . .�a,�?.�.4. . . . . . . . . . . . . . at 1. .��s. X"!. x. �: �.�. �.l? . .D./.1 . . , No�rtth�Andover, Mass. Fee. Lic. No.. . S. . . . . . GAS INSPECTOR Check# )' 5754 I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) "►. - N ANDOVER Mass. Date 9/27 2006 Permit# tip? Building Location COCHICHEWICK DR Owner's Name CAMPION HALL { Owner Tel# 978 502 6030 Type of Occupancy RESIDENTIAL CONDOS New � Renovation[] Replacement[—] Plan Submitted: Ye P N FIXTURES a U a udrru 'dgs line W �a o x z� o d.Qb � n w � � � �. a U) w U) J z ¢ x w w E~ z fQ- w -' F 7C E H C7 0 u" MOM�- w a = O 2 w ] 3 1X < < 0 0 U � > A a H O w I ' SUB-BSMT BASEMENT 1sT FLOOR l 2"D FLOOR 3RD FLOOR 4T"FLOOR 5T"FLOOR 6T"FLOOR 7T"FLOOR l 8T"FLOOR I Installing Company Name Eastern Propane & Oil, Inc Check one: Certificate Address 131 Water Street Corporation Danvers, MA 01923 Partnership 800-322-6628 Business Telephone# F]Firm/Co. Name of Licensed Plumber or Gas Fitter Scott Cohen I INSURANCE COVERAGE: I have a cu"liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yes' ✓ I No ❑ If you have c ecked,yes,please indicate the type coverage by checking the appropriate box. A liability insurance policy❑✓ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Chec/ k one: Signature of Owner or Owner's Agent Ownef ❑ Agent 1:1- I I hereby certify that all of the details and information I have submitted(or entered)in above ap 4ap ue a accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for wi a in compliance with allertinent rovisions of the Massachusetts State Gas Code and Chapter 142 of the General La By Type of License: 9umber Signature of Li nsed Plumber or Gas Fitter I Title %Gas fitterI 19� •-Master License Number City/Town •-Journeyman I APPROVED(OFFICE USE ONLY) I 1 I I Date . . .. .... .. 40RTk pf 3? y` TOWN OF NORTH ANDOVER 9 PERMIT FOR GAS INSTALLATION �9SSACHUSE� This certifies that . . /F7/4. f. ?'<('. . :. . . .f. . .f?ICA . . . . . . . has permission for gas installation .yz. .x .r. . . . . . . . . in the buildings of .�! �o� �` l . . . . . . . . . . . . . . . . at . . . . . . . . . ., North Andover, Mass. Fee. .q'./. . . Lic. No.. �1.L �.! . . . ! , �... . . . . . AS INSPECTOR/ Check# 5677 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) T — NORTH ANDOVER j ,Mass. Date 8/04 2006 Permit# Building Location COCHICHEWICK DR Owner's Name CAMPION HALL CONDO Owner Tel# 978-502-6030 978-688-8895 Type of Occupancy RESIDENTIAL CONDO New Renovation[] Replacement Plan Submitted: Yell NcE] FIXTURES W w 0 H x x ww 0d E. 0 F dW a 0 �z. a O W `a m W d x F h I H W i - za¢ E6`� 0 O > W 4F U W 2 0 0 2 ir. 3 g < a U a > A a ►W- O r SUB-BSMT �I BASEMENT i 1ST FLOOR i1 2"D FLOOR I 3RD FLOOR 4T"FLOOR 5T"FLOOR 6T"FLOOR 7T"FLOOR 8T"FLOOR Installing Company Name Eastern Propane & Oil, Inc Check one: Certificate Address 131 Water Street ZCorporation Danvers, MA 01923 Partnership Business Telephone# 800-322-6628 Firm/Co. Name of Licensed Plumber or Gas Fitter Z K Wdo ! INSURANCE COVERAGE: I have a cu liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yes No 13I If you have c ecked vees,please indicate the type coverage by checking the appropriate box. A liability insurance policy Fv Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent 13Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for his applicationbe in compl'ance with all i ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gener ws. By Type of License: -Plumber Signature of Licensed Plumber or Gas Fitter Title 4as fitter • -Master License Number �a/ City/Town •-Journeyman �_�APPROVED(OFFICE USE ONLY) /f I Al La 4f "L� 190 11-90 is ��....-r �I SYS � , � � �f 5 ''� I JI �', `lift 1p 1901, All s l fir \ i \ \ \\ re PC i % Siegel Associates, Inc. l CONSULTING STRUCTURAL ENGINEERS 634 Commonwealth Avenue I Newton Centre,MA 02459 i voice: 617-244-1612 �. fax: 617-244-1732 June 20, 2006 Gerald Brown Building Inspector 1600 Osgood Street North Andover, MA RE: FINAL STRUCTURAL AFFIDAVIT Campion Garden House Cochicewick Road North Andover, MA I Dear Mr. Brown, Siegel Associates has been retained by Rob Bramhall Architects to perform as the structural engineer of record for the above-referenced project. In this capacity, we reviewed preliminary architectural plans, performed structural calculations, submitted structural drawings to the architect to be added to their drawing package. During construction we made periodic site visit to inspect the-work completed and discuss framing modifications with the contractor to account for existing conditions and design refinements. Revised framing information was communicated to the contractor by verbal direction and by sketches. We inspected the completed frame on June 16th, and to the best of our knowledge all altered and/or added structural components are sized to adequately fulfill their required function. On the basis of this work, I certify that to the best of my knowledge, information, and belief, the structural work associated with the above-referenced project complies with our original design, with approved field modifications, with the structural provisions of the Massachusetts State Building Code 780 CMR -6, and with accepted structural practice. i� Should you have any questions concerning this letter please contact me. I I Thank you, Siegel Associat9s, Inc. ti�LjN 4F s . S'iEV,- Pt�UL 1"= 1E EL 4'• Steven P. SYg , Principal `,�`� STRU L ` !A? I , I ration O CvCkA x I\At `LJ i�► �f �� Date �� 2 �ORTM TOWN OF NORTH ANDOVER � 9 Certificate of Occupancy $ �' b'•••°''<� Building/Frame Permit Fee $ ,SJ,fCMUSE Foundation Permit Fee $ Other Permit Fee ICS $ c C� 5— — o TOTAL $ 1�— Check # ` v i 775 ) Building Inspector I I I w TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING � ._ � � BUMDING PERNUT NUMBER: 'DATE ISSUED: (2&;re e! ;4 SIGNATURE: 9 r Buildin Colnmissioner/I for of Buildin Date/ .', �.#...•;: I SECTION 1-SITE INFORMATION I I I 1.1 Property Address: 1.2 Assessors Map and Parcel Number: zo t) COCffICH 6WLC, RD 0/0 000 0,00 Map f4uhiber Parcel Number AtODOOM - MA0qS 000 I 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided v 1.7 Water Supply M.GL.G.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT ;strict: Yc No m 2.1 Owner of Record i � i�N ►c�+- t RA r ly N G fv v4D 0 t� )a 0s61-180P 5F Name(Print) Address for Service: o, -4A�1V n dtlQ � <0 tj CMM SSS 'v iJv Signature Telephone I . wneco c rd: i ..e Print Address for Service: - z M Signature Tele hone 9 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ I Licensed Construction Supervisor: D O�d`r�8 U 0 b GJ � License Number ,I Address O O !> /,s I ,�- G gs Expiration Date ic a_ Sign Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ rte' so Companyyrnie �/�'� 3 � M U 4A) Registr�gumber R Address � Mll� � ZExpiration Da Si nature Telephone N W The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations , ,. Boston, Mass. 02111 ' sy Workers'Compensation Insurance Afdavk Name Please Print Name: , Location: city Phone # E I am a homeowner performing all work myself. 71 1 am a sole proprietor and have no one working in any capacity © I am an employer providing workers' compensation for my employees working on this job. Company name: ry,R As S d Address �� S� Ty�/� P'Int S1 city: it)n A a at)G R �► IR 6 B 8 8� - � Phone# � • i Insurance Co. &Q A 1J ITC s'Tf} .1 G Policy# Iit� _ 77.� "� �p 0 do Company name: 4 Address City: Phone#• Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 and/or one years'imprisonment_as.welLas_civil.,penatties in the farm da.sTOP WORK ORDER.,and..a fine of,($10.0,00)a day against..me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains nal es of perjury that the information provided above is true and correct Signature pie Q F � Print name phone# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing Q Building Dept — []Check if immediate response is required ❑ Licensing Board ❑ Selectman's Office Contact person: Phone A- ❑ Health Department ❑ Other NORTH 'q Town of No. j fob �` dover, Mass., o If,O COCMICMEWLA ICK 1 AERATED F' �5 . `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES 11•.� Foundation has permission to on ..Q...aaa•.Nimew.!.fl.k..Rcjat�........ Rough to be occupied as Awis.. Te. -At ofi ..0 . ........... Chimney provided that the person accepting this permit shall in every respect conform to fhe terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUC"1 TON STARTS ELECTRICAL INSPECTOR Rough ,,,.�.. Service ....... . . .. ............. BUILDING INSPECPOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove. Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Bumex z'' •S .w,e, p�.1••� - - --- -- - -- -St:reet-No;--- 'IF REVERSE SIDE Smoke Det. NORTH '9 Town C of , 2 Andover 0 M -0 o y �` d®ver Mass., . o LA C O CHICHEWICK I ' �oRAT E D 1,7 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System • THIS CERTIFIES THAT. BUILDING INSPECTOR . .�....�.��.1 '��•..�IA�IV.lI��..�1X/.I�,�.����CIM����.��. �P....��t!��•.� Foundation • has permission to on ... 7...0t. .!.4.. .C... tajc it�........ Rough to he occupied as..... ..........� ..#11f►I� .. ��..a11.i.�IAIEi .. .... Chimney provided that the person accepting this permit shall in every respect conform to fhe terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ............ . ..................... ... .. .... . .... .............. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises -- Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner -4::L .i ,�,• Q/L'�� Street No: - 1'� -�- _ SEE REVERSE SIDE Smoke Det. I �I I k I I 4 Loc ation4 �5- C`�t'Z�J�n No. ;Z Date NpRT►� TOWN OF NORTH ANDOVER � 9 Certificate of Occupancy $ Building/Frame Permit Fee $ s�CHU Foundation Permit Fee $ Other Permit Fee $ G=° TOTAL $ S Check # ( 7759 Bui ing Inspector ! I i i i � f Location Ou C �c �ZJi��f J ' V� (,-) No. Us t Date 7 a/ Af- HORrN TOWN OF NORTH ANDOVER � 9 .so Certificate of Occupancy $ Building/Frame Permit Fee $ �CNUS Foundation Permit Fee $ po Other Permit Fee /)&-wu $ TOTAL $ oa Check # �� 152 P3 17479 X—Bui mg Inspector i 619 Ci5 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT - APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, O DEMOLISFI BUILDINGI M OTHER THAN A ONE OR TWO FAMILY DWELLING . ({{}, ^{.,.,rt..„ ', ;; Ycyr .�'��, -1'�:.sn `r `.' ,r.; i. IL`�'riH�'��9ii��.��� 4i„Lt �” „;�;� _ w �•• _ .� BUILDING PERMIT NUMBER: DATE U" 0S SIGNATURE. ` o ,i Buildin Commissio,_ or of Bluidin Date I 1.1 2 Property Address: 1.2 Assessors Map and Parcel Number: Map Numbg Par el Numb 1 1.3 Zoning Information: 1.4 Property Dimensions: v � A 1 _ Zonin District Proposed Use Lot Areas Frontage ftrn 1.6 B>IM DING SETBACKS(ft) Front Yard Side Yard Rear Yard I 1 Required Provide Required Provided Re red Provided 1.7 Water SupplyM.GL.C.40. M) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal On Site Disposal System 0 II 2.1 Owner of Record --MM �c I�r►t�oe T' oA 1 n)W G Name(Print) Address for Service M Signature Telephone /X 2. uthonzed 6ae /Address for Service: ,x'78' 6 � -v2 2 ®Telephone I vn a ua ' .m n c i 3.1 Licensed Construction Supervisor Not Applicable ❑ - ` f Address n •� �1 k� �/+ License Number 7L 1v t �V -n. �-1� 0 3l 40,Licensed nstruction S upervtsor: Expiration Date icr C�A� L4�� r r Sign Telephone 3.2 Register LIome Improvement Contractor Not Applicable ❑ Y rj Company Name.. Registration Number M Addressnimen= � Expiration to + ? ' s Signature Telephone Workers Compensation Insuianee"affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building rinit. Si ned affidavit Attached Yea.......❑ No.......❑jDI�IU11I ` 1 � 9+ T17 5.1 Registered Architect: , Name: Address r Signature Telephone Name: 7,A�rea of Responsibility nsibility - Address: Registration Number Signature Total Expiration Date j Not applicable ❑ Name' I _ 1 Address Registration Number Signature Telephone Expiration Date i 1I Name Area of Responsibility , I Addre�.s Registration Number hr Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number i Signattzg Telephone Expiration Date r Not Applicable ❑ Company Jame: Responsible in Charge of Construction }f $�� '$� :�F PR�II U ��k all alfpltcable�., New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. 0 Demolition X Otber ❑ Specify 1 Brief Description of Proposed Mork: D Pti0 t T,0 d O ID -1:7X t S Ti x G FD UA) Tro A S),4 is Mo k 1:71(D I o c-ASA a, i USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly 0 A-1 0 A-2 ❑ A-3 0 1A ❑ A4 ❑ A-5 ❑ 113 ❑ B Business 0 2A 0 C Educational ❑ 2B 0 F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard .0, 3A ❑ IInstitutional 0 I-1 0 I-2 0 I-3 ❑ 3B ❑ M Mercantile ❑ 4 0 R residential 0, • R-1 0 R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 0 S-2 ❑ 5B ❑ U Utility _ ❑ Specify: j M Mixed Use 0 Specity: S Special Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floors A Total Areas i Total Height ft � . i Independent Structural Engineering Structural Peer Review Required Yes ❑ No 0 SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT i i, as Owner of the subject property i Hereby authorize to act on My behalf, in all.matters relative two work authorized by this building permit application i Signature of Owner Date I i � f k y3. N: I, as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury Print Name Signature of Owner/Agent Date 14& ,VIVO K i Item Estimated Cost(Dollars)to be �zx s Completed by permit applicant 1. Building (a) Building Permit^Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction from(6) A l 3 Plumbing Building Permit fee (a) x(b) 4 Mechanical(HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) ( 0 Check Number uz o 7 S.h Y.x (.5 ;`.i�3:.°, ?,e 1#,,,Y 11 �, .y �> ..." r..''7).'•+,. f.-�ung 1} ., r.,, t: 't<.�rfi... gn ,ra..r, � 1 ].i rF..�..A _ y:,:.t '� NO. OF STORIES SIZE r - ' BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1ST 2ND 3RD SPAN DEMENSIONS OF,SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND i IS BUILDING CONNECTED TO NATURAL GAS LINE IN r IN IN% IN IN IN, IN NN IN -4rt W 47 .y IN N' I 111111 II Z14 NJkkN �jJjkj1jll p %11 Ijj NY- XX .' jj 11`J 1 IIYIt IIIII pI W, 111111%111111 A U Z, ve 0; A u 1; Zi IN. IN IN I IN IN sip Mile,xl g. � 'V ............. ................... .......... \ ' ------------ Tg P-4180.0 v IN 051, 4 .,, I % oo f f I b V 2 Ir I sp qo yc ZIP t 'A < iq zs pp� r �Y`\� �r�'�,rr `,''' g yy LL .At p 2 44i gig J "R J 2 6. t .................... f E�A 5 3?. 2? P r m A0 �.�. RM 0 @ g 99 Im 2 DRW: ICHK: APPROVED BY THE FOR REGISTRY USE ONLY SITE PLAN TOWN OF NORTH ANDOVER ZONING BOARD OF APPEALS m COMPREHENSIVE PERMIT PLAN got 2:1 . -0m 90 for DATE m —m D=0 THE RESIDENCES AT CAMPION HALL S.. in SURVEYOR: -00.0 NORTHA NDOVER,For MASS. 2 S pd w CD cCAMPION HALL,LLC REVISED BUILDING LAYOUT 4/23/04 28 ANDOVER STREET 1 LAND SWAP PHASING 3#4J H IN DATE ANDOVER, MA 01810 P DESCRIPTION e al � i I I k. - ✓l /� ce �C/J097?/I77.(YIZflJP�C�Z a���oac/ivaelZa � ' I � BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR I Number: CS 022988 Birthdate: 10/31/1943 i y Expires: 10/3172005 Tr.no: 6077 +1 Restricted: 00 ; JOHN GRASSO I ' 865 TURNPIKE ST — F _ NO ANDOVER, MA 01845 Administrator ' i r 9 r I r i t I � I I Ii I I I i c FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*******************i*** APPLICANT ''�' L tiG t` c7JdQ�T(�IPHONE �S-�a7� �o LOCATION: Assessor's Map Number 89 PARCEL_ 7 SUBDIVISION '186i Ie151 W NGES AT CMP(ON NA LL LOT (S) STREET—r Cd G I4 10A C—tui r—K b&— ST. NUMBER *****************************************OFFICIAL USE ONLY*********************************** RECO ENDATIONS OFT N GENTS: CON ERVATION ADMIN STRAT R DATE APPROVED 0 DATE REJECTED COMMENTS N ANNER DATE APPROVED DATE REJECTED COMMENTS O FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED ' SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS �C PUBLIC WORKS -SEWER/WATER CONNECTIONS r ie Y 7-A,5-44 DRIVEWAY PERMIT All, A 7—�6 FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE �6, Revised 9197 jm i t f North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accorAd oerly vision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposecensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: N,DE1 � biSPOSAL. (Location of Facility) Si ature o Permit Applicant Q� to NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Cod cge i LJ kLa �ISPos r� OF AT 064a0lY 1 INfl0SiRhaS J770 R c yCLt/0G P, t a The Commonwealth of Massachusetts � r d Department of Industrial Accidents W Office of Investigations .� Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: I City Phone # I am a homeowner performing all work myself. 0 0 I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: (.'v �) rClZ�1 C,i t�1J / G Address Ci UZ9 M a Phone#: Insurance Co. Policv# I Company name: , Address City: Phone#: D D Insurance Co. ("..� �!� l`1 .5 a /3T� 1/l�S Policy# T I 00 Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 and/or one years'imprisonment as_welLas_civil.,penattiesin the fnrmnfa.STOP WORKORDER..and..a.fine.of.(.$1D0..00).a-lay.againstme.. understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify un pai s and penalties of perjury that the information provided above is true and correct. Signature Date a¢ Print name Phone# d I Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing Building Dept ❑Check if immediate response is required ❑ Licensing Board p Selectman's Office Contact person: Phone#: I] Health Department Other i Jul-OT-2004 05:01pm From-AS INSURANCE SERVICES +STB 988 108Z T-87Z P.001/001 I F-19Z _A-CORD CERTIFICATE OF LIABILITY INSUKANULOPID i MMUCER `.. GRA $- c 07/07/04 C J McCarthy ins Agenay' In,a. THIS CERTIFICATE I$($SUED AS A MATTER OF INFORMATION 'A Hub International b. ]L.zitod CC, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE t99 Ballardvalo St HALOMTHIS CERTIFICATE DOES NOTAMEND,EXTEND OR Wilmington MA Oise-,' ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Phone: 978-657-5101) Fax:978-659-9185 INSURED (NSURERSAFFORDING COVERAGi: 'IIWC# INSUPM A: Mountain Vajley Iudeani C . Grassq Cowltruction Co. Inc. wwRERIk Granite State Insurance Co. 978-685-004,9 INSURER c 865 Turn *Le s set North 99041per 1 91845 1>isUSERo: ....w. COVERAGES INSURERE: I ' _ THE POLICIES OF IN$URANCE LIS 'ii;SE_OW HAVE BEEN 166UED TO THE INSURED NAMED ABOVE FOR Thi POLICY PERM INDICATED,NO MIITHSTANDIN6 ANY REQUIREMENT,TERM OR CC r'DITIO J 01:ANY CONTRACT OR OTHER DOCUMENT WrTH RESP&CTTO Wli1CH THIL;'CERTIFICATE MAYBE ISSUED TA MAY PERTAIN,THE IN$URANCEE A.I:ok�I:D 8Y THE POLICIES DESCRIBED NEREN LS SUBJECT TO ALL THE TERMS,EXCLUSIONS ANC CONpTTTONs OF SUCH OR POLICIES.AGGREGATE LIMITS SI,t OWN r.AY HAVE BEEN REDUM 8Y PAID CLAb LTR NSR TYM+4r OF 1N5UIt\N POLICY NUMSER pA Lam GENERAL LIABILITY A R R COMMERGIALGENe�ALuABILITY 320000895304/OS 05 07/04 OS/07/05 EACHOCCt> wtE =1000000 PR6NlISES Eaeonyq $50000 CLAIMS MADE' OCCUR Miami EXP t�AY one , $�0�0Q L Blanket A;idl,Insd P&RSONALaADVINJ11FtY $1000000 ----- GENBRALAGGREGATE s 20000+00 GEN L AGCR'(3ATE LIN 1 APPLIES PPR POLICY J Loc PRODUCTS-COM�)PIOPAGG $1000000 AUTOMOBILE LWBILM A ANYAUTO MVC7570365/05 05/07/04 05/07/05 fCf-0 wdXw .E Lw s 5'00000 X ALL OWNED AUTC'e X SCHEDULED AMC BODLLYlNJURY S (Perpateon) 8 HIRED AUTOS 5AMW NON-ONNED A UT,.).o._.- iBPOeD►eILcYdaINJURY ROK DAMAGE LF E LIARUry nJra AUTO ONLY-EA ACCIDENT SS I,I OTHER THAN EA44C S AUTO ONLY'. ucG 3 e(CESSMUBRELL.A LbtiNLrf'r OCCUR FACH OCCURRENCP 5 � CIPJIvSMADT? S DEDUCTItL.E 3 RETENTION $ WORKERS COMPENSATION.i jID 8 B EMPLOYERS'LMLITY TORY LMAIT$ EIt ANY PROPRIETORIPARTNfft-WeCUr'NE WC7829900/04 09/30/03 09/30/04 E.L.EACH ACCIDENT OFRCER/M0&aR o(c3100000 LUDEn K a dasc'bewast ELDISEASE•EAEWL01EE $100000 SPECIAL PROVISIONS balow OTHER E.L.DISEASE-POLICY LamT S 5'00000 A Property Section 1320000895304/05 05/07/04 05/07/05 t )ESCRIPTION OF OPERATIONS/L+ ATI :i iEITCLU910N3 ADDED 8Y ENCORSEIIENT/SPECW PROVISIONS I :ERTIFICAT6 HOLDER CANCELLATWN -- CAbIFYON SHOVI.D wNY OF THE A80VE DESCAIBFD POLIM IN CANCaRLED DEFORE THE EIMAI ON DATE THEREOF,THE ISSUING MISURBR WILL ENDEAVOR To MAIL. 10 DAYS MIWTTf � Campion n11, LT.0 0071CETOTIE OAiTWI,1E"MM%MWTOIMU T.WffFI ¢TO MIO SOSk�11 28 Arsdove,r SrIMPOSE NO OBLIGATION OR M01 M OF ANY KIND UPON ft IMtW EK TT`S AGENTS OR Andover M.3 01910 PAPROMINTATr t AUTHOR¢Ep REJ3ElITATIVE ' CORD 25(2001/08) , ORD C RPORATIdt f -88 I I I f I I h Tp Essex North County Registry of heeds 381 Common Street Laurence, Massachusetts 01840 07/21/04 Ch:'.i`''I011 HALL LLC ki i I i i } _ I ff 20 Rec r Type DIECN 50.CSG DOC. 311912 C. P. 20.00 R. D. 5.00 Total 75.00 i E Li Payment Check 71.00 THANK YOW Thomas J. Burke Register of Deeds I Town of North Andover f N°RT01 Office of the Zoning Board of Appeals �: •'.' °°� Community Development and Services Division �. F 27 Charles Street ,-----�"~�t' North Andover,Massachusetts 01845 CNusat D. Robert Nicetta Telephone(978)688-9541 I Building Commissioner Fax(978)688-9542 This is to certify that twenty(20)days have elapsed from date of decision,filed without filing of a _PPe I a DG f Any appeal shall be filed Notice of Decision Date within(20)days after the Year 2004 ov n C�rk thaw date of filing of this notice in the office of the Town Clerk. Pro at: for premises at: Cochichewick Drive NAME: Campion Hall,GLC, HEARING(S): November 18&December 9 2003 Willard D.Perkins,Manager &February 10,March 9,May 13, 28 Andover Street,Andover,MA May 25,&June 15,2004 ADDRESS: for premises at: Cochichewick Drive PETITION: 2003-039 I North Andover,MA 01845 TYPING DATE: June 21,2004 The North Andover Board of Appeals held one public hearing in five regular sessions and two special sessions for the Town Boards and for Citizens'input. The public hearing was concluded on May 13,2004 and the i decision was taken at the second special session,Tuesday the 15th of June,2004 at 7:30 PM in the Senior i Center, 120R Main Street,North Andover on the request for a Comprehensive Permit by Campion Hall,LLC, Willard D.Perkins,Manager,28 Andover Street,Andover,MA for premises at: Cochichewick Drive,North Andover,MA(Map 62,Parcels 94,95& 10). This application is pursuant to M.G.L.Chapter 40B, Sections 20-' 23 for a Comprehensive Permit for construction of 28 condominium units of housing of which 25%(or 7 units) will be affordable units and seeks relief in order to be economically viable and to exempt local needs. The units are to be sold or rented to moderate-income persons meeting the eligibility guidelines established by the Massachusetts Housing Finance Agency(MassHousing).The said premise affected is property with frontage ons the East side of Cochichewick Drive within the R-1 zoning district. The legal notices were published in the Eagle-Tribune on November 3 and 10,2003. The following members were present: Ellen P.McIntyre,Joseph D.LaGrasse,Joe E. Smith,and Richard J. Byers. ' Upon a motion by Richard J.Byers and seconded by Joe E. Smith,the Board voted to GRANT the Applicant the Comprehensive Permit pursuant to MGL Chap.40B,Sections 20-23 for 25 housing units of which 26.9%or 7 units will be affordable per the following preliminary plans: Plan Titled: Site Plan,Comprehensive Permit Plan for The Residences at Campion Hall in North Andover,Mass. Prepared for: Campion Hall,LLC 28 Andover Street Andover MA 01810 r-s Prepared by: Marchionda&Associates,L.P. 62 Montvale Avenue c: Suite 1 l .; Stoneham,MA 02180 ,x' Date: February 19,2004, 1. Phasing,3/24/04,2.Land Swap,4/13/04, 3.Revised Building Layout,4/23/04 Sheet 1 of 1 _Ij ATTEST: r A True Copy Pagel of 2 Town Clerk !II I Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-088-9530 Health 978-688-9540 Planning 978-688-9535 I Town of North Andover f MORTa Office of the Zoning Board of Appeals Community Development and Services Division y�� M 27 Ch azles Street North Andover, Massachusetts 01845 D. Robert Nicetta Telephone(978)688-9541 Building Commissioner Fax(978)688-9542 Drawingtitle: Conceptual Landscape Plan Prepared for: Campion Hall Preliminary Design,North Andover Prepared by: Huntress Associates,Inc. 17 Tewksbury Street Andover,Massachusetts 01810 Date: 5.10.04 DrawingNo.L- - landL2 � Plan Titled: Campion Hall Prepared for: Campion Hall Prepared by: Rob Bramhall Architects ' 38 Main Street Andover Massachusetts 01810 Voting-in favor were Ellen P.McIntyre, Byers. � tyr ,Joseph D. LaGrasse,Joe E. Smith,and Richard J.B The I 1 page complete Decision with the 24 written communications,7 findings of fact,20 general conditions, 27 specific conditions,25 waivers,and associated Plans are on file at the Zoning Board of Appeals,27 Charles Street,North Andover,Massachusetts and can be viewed during normal office hours. I Town of North Andover Board of Appeals, , eph D. LaGrasse,A ing Chairman 2004-039. M62P94,95,10. Page 2 of 2 I i r� t^s V J— Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-088-9530 Health 978-688-9540 Planning 978-688-9535 I 4 I Decision on Comprehensive Permit Application Campion Hall, LLC 28 Andover Street Andover, MA 01810 Petition No. 2003-039 PROCEDURAL HISTORY Campion Hall, LLC, ("The Applicant")filed an application for a Comprehensive Permit pursuant to M.G.L. Chapter 40B, Sections 20 through.23, to construct 28 units of condominium housing of which 25% or 7 would be set aside as "affordable," in the Residential 1 (R-1)zoning district, located at Campion Hall, Cochichewick Drive, North Andover, MA 01845, ("the Property"). The Applicant is a duly organized Massachusetts Limited Liability Company and has submitted the required evidence of site control to the North Andover Zoning Board of Appeals. The Comprehensive Permit application was submitted to the North Andover Town Clerk's office on September 30, 2003 at 1:52pm. Prior to the submission of the Comprehensive Permit application, the Applicant applied to the Massachusetts Housing and Finance Agency (MassHousing) for a project eligibility letter through the MassHousing Housing Starts program. MassHousing reviewed the Application and issued a Project Eligibility Letter to the Applicant on July 24, 2003. The Applicant has proposed no other subsidy programs. The Applicant has chosen the Citizens' Housing and Planning Association(CHAPA), as the agency to monitor the resale of the affordable units. The Applicant submitted plans prepared by Huntress Associates dated September 30, 2003 to the North Andover Zoning Board of Appeals with the submission of the Comprehensive Permit Application. The North Andover Zoning Board of Appeals circulated the plans for review to the North Andover Police Department, the North Andover Fire Department, the North Andover Conservation Commission, the North Andover Board of Health, the North Andover Planning Board, the North Andover Department of Public Works and the North Andover Board of Selectmen. Partly as a result of comments and recommendations made by these Boards, the Applicant submitted revised plans dated Revised April 23, 2004, which are the plans upon which this decision is based ("Approved" plans). There are no outstanding issues raised by any Town Boards. All issues have been satisfactorily addressed by the Applicant. The Town of North Andover Zoning Board of Appeals, after publication in The Eagle-Tribune on November 3, 2003 and November 10, 2003 and due notice sent to all abutters and interested parties, opened a public hearing on November 18, 2003 at the North Andover Senior Center at 120R Main Street, North Andover, Massachusetts. North Andover Zoning Board of Appeals members present were Chairman William J. Sullivan; Walter F. Soule, Vice Chairman; Ellen P. McIntyre; Joseph E. Smith;Richard J. Byers; John Pallone; and Joseph D. LaGrasse. A Waiver for Time Extension was signed prior to the October 14, 2003 North Andover Zoning Board of Appeals hearing by Willard D. Perkins, Manager for Campion Hall, LLC, for the Comprehensive Permit Application to be continued and heard at a regular hearing to be held on November 18, 2003 at 7:30 p.m.; an additional Waiver for Time Extension was signed on that date and also on hearing dates of December 9, 2003, February 10, 2004 March 9, 2004, and April 13, 2004. The public hearing was closed on May 13, 2004 when the Board voted to take the hearing Under Advisement. Two open Under Advisement meetings were held on May 25, 2004 and June 15, 2004. The Board voted to grant the Comprehensive Permit to Campion Hall, LLC during the June 15, 2004 meeting. Page 1 of 12 ii i I At the November 18, 2003 North Andover Zoning Board of Appeals hearing, and at subsequent hearings held to continue the public hearing, the Applicant was represented by Willard D. Perkins, PE, Manager of Campion Hall, LLC, 28 Andover Street, Andover, MA 01810; Christian C. Huntress, Huntress Associates, Inc., 17 Tewksbury Street, Andover, MA 01810; Andrew Zalewski, The MZO Group, Inc., 92 Montvale Avenue, Stoneham, MA' 02180; Rob Bramhall, Rob Bramhall Architects, 38 Main Street, Andover, MA 01810; Michael J. Rosati, Marchionda 8 Associates L.P., 62 Montvale Avenue, Stoneham, MA 02180; and Andrew Schwab, Curran Construction, Inc., 8 Stone Post Road, Salem,.NH 03079. The premises, which is generally known as Campion Hall, is located on Cochichewick Drive, North Andover, Massachusetts and is currently owned by Technical Training Foundation, a non-profit charitable organization based in North Andover. Their deeds to the Property are recorded at the Essex North Registry of Deeds in Book 2744 Page 155, and Book 2857 Pages 286. The parcels are also identified as North Andover Assessor's Map 62 Lots 10, 94, and 95. The site is irregular in shape, set between two existing neighborhoods, and consists of 5.9 of land with 864 feet of frontage on Cochichewick Drive. The vacant, tum-of-the-century Kunhardt mansion, guesthouse, and garage building still exist on the Property. Although these structures appear to be in very poor condition, according to the applicant and their consultants, they are restorable. With the exception of the garage and part of the carriage house, they are to be renovated under this proposal. The garage and cabana portion of the carriage house are planned to be razed. The site is presently served by municipal water and sewer. The site is located in zoning district Residential 1 (R-1). Multi-family dwellings are not allowed by right in R-1 districts. Wetlands as defined by the Wetlands Protection Act MGL Chapter 131 Section 40 were not found on the site. The property is located within the Lake Cochichewick watershed, but lies entirely outside of the Watershed Protection District. Campion Hall is not located in a 100-year floodplain. However, based on a site walk, the administrator for the Conservation Commission requested that the applicant investigate a small, isolated wetland area apparently located on an abutting property. This was investigated and found to be non jurisdictional under state law and beyond a 100' building buffer. According to the applicant, Campion Hall, LLC had conducted many neighborhood meetings and made many revisions to address area concerns. Perhaps because of this, during the course of the public hearing there was very little public input. The North Andover Zoning Board of Appeals heard favorable testimony from Mr. Thomas R. Fandel, 95 Campion Road, an abutter. Mr. Fandel was a strong advocate for the project and requested that the Board act quickly to allow the developer to begin construction. The Board also received a letter from another abutter, Mr. Edward Hassey, 66 Bonny Lane, regarding a request for a buffer from his yard. During the course of the public hearing Mr. LaGrasse and other members offered site plan suggestions that the applicant agreed to consider. The suggestions concerned aesthetics, unit density,building locations, landscape buffers to the neighboring properties, etc. Based on these comments the applicant came up with a revised plan that deleted two of the market rate units, but included the same amount of affordable units. The plan as revised is as follows: eleven 1, 2, and 3-bedroom units in the Mansion, two 2-bedroom units in the Carriage House, 1 single-family, four-bedroom, detached home that will be on a separate buildable house lot, and twelve 3-bedroom townhouse units arranged in 4 clusters of three units. Except for the Mansion, all units are to be woodframe buildings. Parking shall consist of 42 garage spaces and 44 surface spaces; total parking is 84 spaces. In order to achieve their allowed limited profit figure while deleting the two market rate units to limit density as the Board requested, the applicant proposed that in return the Board would allow some flexibility in the location of the affordable units. Thus the applicant has proposed putting five affordable units in the mansion, one affordable unit in the existing guesthouse, and one affordable unit in a townhouse. The detached single-family residential unit would be market rate. During the course of the public hearing, the Board of Appeals also received and considered the following written communications: F Page 2 of 12 Meeting Date Document From Contents Document Date Pre-Meeting #1 Campion Hall,LLC The Residences at Campion Hall-Application Town Clerk date stamp 9-30-03 To: 11-18-03 #2 Willard D.Perkins,Manager Hearthstone Realty Corporation-Letter agreeing to 10-9-03 scheduling 1st meeting 11-18-03 1 #3 Chief William V.Dolan NA FD-Review of Campion Hall application 10-9-03 #4 Chief Richard Stanley NA PD—Response Memorandum to Campion Hall 10-21-03 Application #5 Julie Parrino,Conservation Inspection Memorandum of Campion Hall application by 11-3-03 Administrator Conservation Commission #6 NA Board of Selectmen Comments on Campion Hall 40B Project 11-6-03 #7 Jack Sullivan,Director of NA DPW-Campion Hall 40B proposal—Preliminary 11-10-03 Engineering comments #8 Harry K.Harutunian, NA Public Schools—Proposed 40B Application located 11-12-03 Superintendent of Schools in North Andover #9 Pamela DelleChiaie, NA Board of Health—Applicant Notebook Feedback 11-13-03 Secretary Campion Hall,LLC Waive time constraints to 12-9-03 11-18-03 #10 Wetlands Preservation,Inc. Wetland Resource Area Report 11-18-03 To: 12-9-03 #11 Willard D.Perkins,P.E., Hearthstone Realty Corporation-Response to Comments 12-2-03 President from Town Departments ' #12 Julie Parrino,Conservation NA Conservation Commission-Re:Campion Hall 12-3-03 Administrator Wetland Delineation , To: 2-10-04 #13 Willard D.Perkins,P.E., Hearthstone Realty Corporation-Letter to ZBA about 1;30-04 President project progress #14 Thomas J.Keeffe,PE Tutela Engineering Associates,Inc.—Rae's Pond 2-4-04 Wastewater Pumping Station Evaluation #15 Michael J.Rosati,Project Marchionda&Associates,L.P.-Response to NA DPW 2y6-04 Manager item#1 #16 Edward Hassey Letter to Walter F.Soule—abutter concerns 3-4-04 #17 Willard D.Perkins,P.E., Hearthstone Realty Corporation—6-month progress 3-9-04 President report ` To: 4-13-04 #18 Tim Downey VHB-memorandum to Timothy B.McIntosh,VHB re: 2124-04 Asbestos,Lead and Radon Sampling Report of Environmental Remediation Services,Inc., faxed 3-9-04 #19 Tracie Lenhardt&Mathew VHB—Engineering review 3-22-04 Goldstein,P.E. 1 #20 Michael J.Rosati,Project Marchionda&Associates,L.P.—Letter response to VHB 3-25-04 Manager 3-22-04 review. #21 Daniel L Slowe, Environmental Remediation Services,Inc.—Response to 3-12-04 1 Environmental Consultant VHB 2-24-04,rec'd 4-5-04. #22 Jack Sullivan,P.E. DPW response to Marchionda&Associates Site Plan 4.6-04 Under #23 Campion Hall,LLC The Residences at Campion Hall Pro Forma, 7 pages Rev. 5-18-04 Advisement 5-13 to 6-15-04 #24 Kathleen Szyska,President North Andover Historical Commission—Response to 6=14-04 request about status of Kunhardt Estate,or, Campion Hall on the National Historic Register In addition to the foregoing materials, the North Andover Zoning Board of Appeals retained Vanasse Hangen Brustlin, Inc. (VHB)to provide a technical review of the Applicant's application, revised plans and studies and to present findings of this review to the Board in writing. This review was paid for from funds received in advance from the Applicant for this purpose. i Page 3 of 12 ` I i I The public hearing was closed on May 13, 2004. The.North Andover Zoning Board of Appeals made the following Findings of Fact and Decision subsequent to the hearing. These findings are based on the preceding 24 submissions, which include, but are not limited to, the following materials, which are on file at the North Andover Zoning Board of Appeals and are being incorporated into this decision as a portion of this Application for a Comprehensive Permit. FINDINGS 1. The Applicant The Applicant, Campion Hall, LLC, is a "limited dividend organization" as that term is used in M.G.L. Chap. 408 §21 and 760 CMR 30.02, will sign a Regulatory Agreement with the funding to limit g 9 a9 enc Y profits, and is eligible to apply for and receive a Comprehensive Permit. Campion Hall, LLC is a qualified applicant pursuant to 760 CMR 31.01 in that it is a limited dividend organization, the Project is fundable by the Massachusetts Housing and Finance Agency's Housing'Starts program, and has control of the site as that term is used in 760 CMR 31.01. 2. Statutory Minima for Low and Moderate Income Housing. The Town of North Andover has not met the statutory minima set forth in M.G.L. Chap. 40B§20 or 760 CMR 31.04. 3. The Project. The Project, as shown on the"Approved"Site Plan, consists of 25 condominium units and 1 single- family, detached home, arranged on the 5.9-acre property as follows: 11 one-, two-, and three-bedroom units in the Mansion 2 two-bedroom units in the Cama House 1 single-family, detac 9ehed home and 12 three- bedroom townhouse units arranged in 3 clusters of four units. The Project's name will be The Residences at Campion Hall. I 4. Affordable Housing to be Provided. A minimum of twenty-five per cent(25%)of the units shall be"low or moderate income housing" as that term is defined in MGL Chap. 406§20. The Applicant has agreed to a restriction on affordability. The duration of the affordabilityrestriction shall be for a term date of this Decision or, of 99 years from the in the event of approval of the affordability restriction by Massachusetts Department of Housing and Community Development, in perpetuity or such other term contained in such restriction, as specified in the Conditions to this Decision. 5. Access and Traffic Issues. There shall be one driveway entering the property for the condominium units, and one driveway for the single-family, detached home. The North Andover Zoning Board of Appeals finds that the proposed access is properly designed and safe to accommodate the needs of the Project for ordinary and emergency services. 6. Su2wrt by Town Board and Agencies. During the course of the public hearings, the North Andover Zoning Board of Appeals sought and received comments and concerns from Town boards including the Department of Public Works, the Police Department, the Fire Department, the Conservation Commission, the Board of Selectmen, and the Board of Health. The Board also considered the input of Vanasse Hangen 6rustlin, Inc. (VHB), who conducted an independent technical review of the Applicant's application, revised plans and studies and presented findings of this review to the Board in writing. The Applicant has satisfactorily addressed all issues raised by VHB and town agencies and there are no outstanding issues at this time. i 7. Waivers Granted. As part of its application for a Comprehensive Permit, the Applicant submitted a list of requested waivers to the North Andover Zoning Bylaw and other Town rules, regulations and bylaws. The North Andover Zoning Board of Appeals finds that these waivers, included herein as revised, are necessary to make the Project economically feasible and grants the requests. i DECISION ' Based on the above findings and a 4-0 (four to zero)vote of the North Andover Zoning Board of Appeals taken on June 15, 2004, a Comprehensive Permit for the Project, subject to the following twenty(20) general conditions, twenty-seven (27)specific conditions, and twenty-fire(25)waivers, is hereby APPROVED with the following conditions. Page 4 of 1 2 I � COMPREHENSIVE PERMIT CONDITIONS A. GENERAL CONDITIONS f 1. The"Approved" Plans as detailed herein shall not be substantially changed, altered or reconfigured in any way without prior notice to the North Andover Board of Appeals. In accordance with DHCD Guidelines(http://www.state.ma.us/dhcd/components/hac/GUIDE.HTM)the Board will decide within twenty days whether the change is substantial or not. If the Board determines that the change is substantial(in accordance with HAC Regulations 760 CMR 31.03(2)(b)(3))it must hold a hearing within 30 days to decide whether to permit the change. 2. All requirements of the Housing Starts program as administered by the Massachusetts Housing Finance Agency are to be met. The MassHousing Regulatory Agreement and Deed Rider are to be executed by the Applicant as required by the program and shall be recorded at the Essex North Registry of Deeds. In the event that the applicant finances the project privately or through a lender other than MassHousing, the applicant will get final approval of this Comprehensive Permit from MassHousing prior to any new construction on the site. 3. The number of units to be constructed under this Comprehensive Permit is twenty six (26). The developer has agreed to an allocation of units such that there will be a total of 7 affordable units (26.9%) with five affordable units in the Mansion, one affordable unit in the Carriage House, and one affordable unit in a townhouse. 4 4. All affordable units are to be sold through a lottery process in accordance with Massachusetts Department of Housing and Community Development guidelines. All fees and facilitation are to be the responsibility of the Applicant. Seventy per cent (70%) of the affordable units shall be set aside for North Andover residents in accordance with DHCD regulations. I 5. The applicant shall make every effort to comply with all the provisions of this decision. However, in the event of conflicts between this decision and Massachusetts law(including regulations of the Department of Housing and Community Development and MassHousing), Massachusetts law shall take precedence. In that case, the applicant shall give timely notice of such a conflict to the North Andover Board of Appeals. i 6. Occupancy for each unit is expected to take place as soon as is reasonably practicable after completion of construction, issuance of Certificate(s) of Occupancy by the building commissioner and'conveyance to individual unit owners. 7. During construction, all local, state and federal laws and regulations shall be followed regarding noise, vibration, dust and blocking Town ways. At all times, the Applicant shall use reasonable means to minimize inconvenience to the residents in the area. ' 8. The Applicant shall comply with all bylaws, rules and regulations, and codes pertaining to the development of the site, unless expressly waived herein. 9. Before beginning any construction under this Comprehensive Permit, other than site work and interior environmental remediation and demolition, the Applicant shall furnish evidence to the Building Commissioner that this decision and the plans with the revisions necessitated by this decision, have been recorded with the Essex North Registry of Deeds. All plans shall include either an Engineer's or an Architect's stamp, as appropriate. Documentation of recording, including document number, or a book and page number shall be provided to the Building Commissioner. I I Page 5 of 12 i i � 4 � 10. The Applicant shall be responsible for the snow removal, trash removal, rubbish removal, recyclable materials removal, road maintenance, and storm drainage maintenance on the property until such time as the organization of unit owners for the condominium assumes those obligations, which shall be stated in the condominium rules and regulations. 11. A Certificate of Insurance, naming the Applicant as the named insured, which shall include(coverage for general liability in an amount not less than $2,000,000, automobile liability, umbrella coverage, and Workmen's Compensation, shall be submitted to the North Andover Zoning Board of Appeals, prior to the beginning of construction, including site preparation. I I 12. The Building Commissioner shall be the authorized agent of the North Andover Zoning Board of Appeals and/or the Town of North Andover for the purposes of enforcement of any of the conditions, restrictions, or requirements of the Comprehensive Permit and is authorized to enforce any of these provisions in the Superior Court of the Commonwealth. 13. Prior to obtaining a building permit for construction of the townhouse units, the Applicant shall submit final construction drawings and a final site plan to the Building Commissioner for a technical review to assure general compliance with the"approved plans"as provided in the Massachusetts Comprehensive Permit Law. In the event that there are changes that the Building Commissioner considers substantial, the Commissioner shall submit them to the Board of Appeals for determination whether a substantial changes does in fad exist(in accordance with section A-1 above). 14. The Applicant shall not be permitted to receive a building permit for construction of the townhouse units until such time as the Applicant has delivered a draft copy of a MassHousing Housing Starts Regulatory Agreement to the Building Commissioner. The North Andover Zoning Board of Appeals acknowledges that the form of the Regulatory Agreement may be revised with respect to the details of reporting and similar requirements regarding the methods of achieving and monitoring compliance with substantive goals, based upon review of the form by the monitoring agent to be selected. 15. The Comprehensive Permit is granted based on the Application and no use and no other improvements substantially different from those contemplated by the Project Plans referenced above, and submitted with the application, shall be deemed permitted by virtue of the granting of the Comprehensive Permit. 16. The Comprehensive Permit shall run with the land. 17. The Comprehensive Permit shall become void in the event the Applicant does not obta�n a building permit in connection with the Project within three(3) years after the date of recording of this Permit by the Applicant with the Essex North Registry of Deeds,which is not subject to an appeal or contest. 18. The waivers from all local bylaws, rules, and regulations that have been granted are attached. All other bylaws, rules, and regulations remain in full force and effect. The Applicant shall pay all fees required for this property. No municipal fees are waived unless expressly stated in this decision. i 19. The Project shall comply with all applicable state and federal regulations including but not limited to State Building Code, State Sanitary Code, Architectural Access Board Regulations, and Plumbing, Electrical and Fire Codes. 20. The Massachusetts Architectural Board Rules and Regulations, 521 CMR shall govern handicap accessibility. f� I I i Page 6 of 12 t T , ' I I B. SPECIFIC CONDITIONS f 1. The Project, as shown on the "Approved" Site Plan, consists of 25 condominium units and 1 single- family, detached home, arranged on the 5.9-acre property as follows: 11 one-, two-, and three-bedroom units in the Mansion, 2 two-bedroom units in the Carriage House, 1 single-family, detached home, and 12 three-bedroom townhouse units arranged in 3 clusters of four units. The Project's name will be The Residences at Campion Hall. According to the site plan, the total number of parking spaces shall be 84 for an overall parking ratio of 3 + parking spaces per unit. One parking space for the 11 'units in the Mansion and the 2 units in the Carriage House shall be assigned to 13 of the 16 garage units. 1 2. The Applicant shall develop and sell these units as condominiums (except for the single-family detached home) and not as rental units. The rules and regulations of the condominium shall contain a provision which is not less restrictive than the following: i Any lease or rental of a unit by a Unit Owner, other than by the Declarant, shall be subject to the following conditions: a. Such lease or rental agreement shall be in writing; b. The lease or rental agreement shall apply to the entire unit, and not a portion thereof; C. The term of the lease or rental agreement shall be for a term of not less than six(6)months; i d. The occupancy of the unit shall be for not more than two(2) unrelated people; e. The lease or rental agreement shall expressly provide that the lease or rental is subject to the Master Deed, the Organization of Unit Owners and the Rules and Regulations of the Condominium; and f. A copy of the lease or rental agreement shall be provided to the Organization of Unit owners. g. Leasing or renting of the affordable units shall be prohibited, except as governed by the provisions of the Regulatory Agreement and Deed Rider. 3. The Applicant shall develop a preference policy for sale of the affordable units in conformance with guidelines established by the Massachusetts Department of Housing and Community Development (DHCD). To the extent permitted by Massachusetts law, residents of the Town of North Andover are to be granted a local preference for the affordable units. In no case shall local preference be granted for more than seventy per cent (70%) of the affordable units. The Applicant shall work with the Town of North Andover toward this goal. 4. The Applicant has agreed to hire as outside monitoring agent, Citizens' Housing and Planning Association(CHAPA). 5. All of the units in the Project that are designated as "affordable" shall be available for purchase by persons whose income is no more than 80%of the area median as determined by the U.S. Department of Housing and Urban Development. The affordable units shall be indistinguishable from;market rate units in the Project from the exterior. A list of the affordable unit numbers and a plan showing their location shall be submitted to the Building Commissioner at the time of application for a building permit and to the North Andover Zoning Board of Appeals for their file. t i Page 7 of 12 i 6. The Residences at Campion Hall will have scheduled private curbside trash pickup. 7. There shall be one driveway -for the condominium units to the site as shown on the final revised preliminary site plan and one driveway for the detached single-family unit. 8. The applicant shall verify the fire hydrant locations with the North Andover Fire Department. 9. There shall be master fire alarm box(es) and fire protection systems as required by the North Andover Fire Department. i 10. The execution of Form °U" by the North Andover Department of Public Works shall constitute approval acceptable to the North Andover Zoning Board of Appeals relative to all on- and off-site drainage and utility issues. 11. The Applicant shall provide details on the sewer main and sewer services including profiles to the North Andover Department of Public Works as part of the technical review. I 12. Cross connection details and proper backflow information regarding water tie-ins and the type and size of water services shall be provided and approved by the North Andover Department of Public Works; such approval shall not be unreasonably withheld and shall be issued in a timely fashion. . 13. Installation and maintenance of the sewer conduits on the site, both force main and gravity, and the sewer pumping station, shall be the responsibility of the Applicant and subsequent condominium association until such time as the Town of North Andover requests a legal transfer to the Town. The Applicant or the condominium association shall transfer the ownership of the sewer, in whole or in part, to the Town of North Andover at no cost. The sewer pumping station shall remain privately owned and maintained. 14. Screening and landscaping shall be substantially in compliance with the approved plan provided. 15. Final plans stamped by an engineer shall be submitted depicting the location and height of proposed retaining walls that exceed four feet in height. 16. Finalans shall be submitted specifying pacifying measures to stabilize slopes proposed to be greater than 3:1. 17. Stormwater runoff, other than roof runoff, shall be pretreated prior to being recharged. 18. Final plans shall be submitted specifying measures to inspect and maintain stormwater management areas, along with providing an adequate overflow mechanism. 19. Infiltration of roof runoff shall be considered in the final design of the stormwater management system to the extent that it is practical and feasible. 20. The final design plans shall show curbing where needed to direct runoff into the, stormwater i management system. Sloped granite curbing shall be provided on slopes and curves. ! 21. Final plans shall be submitted to include an operation & maintenance plan for the stormwater management system. 22. This Comprehensive Permit is conditional on the Applicant obtaining fee simple interest in the Property. i 23. The construction of The Residences at Campion Hall shall be in general accordance with the phasing plan shown on the Site Plan, Revised Building Layout 4123/04 project plans filed with the application, the phase intervals shall be no greater than two years once construction starts. f Page 8 of 12 i j s I• I 24. Applicant shall supply fire hydrants on-site and shall connect the buildings to the town of North Andover Fire Department System in a manner satisfactory with the North Andover Fire Department. 25. The Board of Appeals, pursuant to the authority contained in Massachusetts General Laws Chapter 408, Section 21, hereby issues to the Applicant all of the locally obtainable permits needed ito construct the Project, subject to the express terms and conditions of this Decision. Consequently, this will confirm that the Inspector of Buildings may rely upon this Decision in determining whether the Applicant has fulfilled the preconditions for obtaining building permits for the Project. Except for the express reservations contained in this Decision, the administration of the building permit process for the Project is to be conducted subject to(a)the state building code, (b)applicable state laws, (c) state permits and approval for which this Board can not and has not issued, and (d) the terms and provisions of this Decision. In order to qualify for building permits, the Applicant is not required to obtain local sewer connection permits from .the North Andover Board of Health or the North Andover Sewer Commissioners, provided that the North Andover DPW has reviewed and approved the technical aspects of any such connections. 1 26. Restoration plans for both the Mansion and the Carriage House shall retain the integrity and the historic nature of the original building. All materials and color shall be specified and submitted for final review prior to the issuance of a building permit. 27. Final site improvement drawings shall be submitted for approval prior to a building permit the site improvements shall detail the following: A. Trash containers shall be located and screened. B. Ground mounted HVAC equipment shall be concealed. C. Provide lighting plan and details. D. Sidewalks, paving, curbs, and brick shall be defined. E. Fences and retaining walls shall be defined. F. Signs, benches, and fire hydrants shall be located. ; G. Outdoors active and passive recreational areas shall be located. H. Terraces, garage, and sidewalk lighting shall be located and defined. f i Page 9 of 12 I Approved Waivers to the By-Laws and Regulations in Effect in the Town of North Andover , For the Approved 26 Unit Residential Housing Project To be known as The Residences at Campion Hall i at Campion Hall, Cochichewick Drive, North Andover, Massachusetts Waivers requested are those expected to be required from the Zoning Bylaw as amended through the Annual Town Meeting of 2002 for the development of this project in accordance with revised plans and drawings(Approved Plans") listed below. i Prepared by Sheet Title Rev.Date Huntress Associates, Inc. L1 Conceptual Landscape Plan 5/10/04 Huntress Associates, Inc. L2 Conceptual Landscape Detail 5/10/04 Marchionda&Associates, L.P. Sheet 1 Site Plan RevAQ3/04 I Rob Bramhall Architects 1 of 6 Townhouse Elevations(Typical) Rob Bramhall Architects 2 of 6 Townhouse Floor plans: 1't Floor (Typical) I Rob Bramhall Architects 3 of 6 Townhouse Floor plans: 2nd Floor (Typical) Rob Bramhall Architects 4 of 6 Carriage House Floor plans I Rob Bramhall Architects 5 of 6 Mansion Floor plans: Garden Level & 14 l Floor Rob Bramhall Architects 6 of 6 Mansion Floor plans: 2"d&3dFloors The proposed development shall require the following waivers from the North Andover Zoning By-Law. Section 1 -Pumomm; 1. A Waiver is granted from this section where the regulations vary and/or in conflict with the regulations as provided by Chapter 40-B of the General Laws of the Commonwealth of Massachusetts, which shall govem this Application,where they are in conflict I Section 4-Buildings and Uses Permitted: 2. A Waiver from Section 4.1.1.1 is granted which states: In the zoning districts above specked, the following designated buildings and alterations and extensions thereof and buildings accessory thereto and the following designated uses of land, buildings, or part thereof and uses accessory thereto are permitted. All other buildings and uses are hereby expressly prohibited except uses which are similar in character to the permitted uses shall be treated as requiring a Special Permit. A waiver from this section is granted since the proposed multi-family use is not allowable in the Residential- 1 district A mufti-family use does not require a Special Permit t Page 10 of 12 , 3. Waiver from Section 4.1.1.5 is granted which states: No private or public(198520) way giving access to a building or use not permitted in a residential district shall be laid out or constructed so as to pass through a residential district. This section is waived in entirely to allow such access since the private or public ways are located in and through a residential district that does not allow multi-family residences. 4. A waiver from Section 4.121.1 is granted which states: One family dwelling, but not to exceed one dwelling on any one lot. A waiver from this section is granted to allow mufti-family residential uses since the Project is a multifamily residential development on a single lot(with an additional single-family home on a separate buildable lot)that has a total of 8 residential, and garage buildings located within an R-1 district.Waiver includes the ability to have multiple building and mufti-family development in this zoning district. 5. A waiver from Section 4.136.3.a.iii(5)is granted to allow propane fuel tanks to be buried within the General Zone of the Lake Cochichewick watershed. 6. A waiver from Section 4.136.3.b.ii is granted. This waiver is granted as this section may be construed to hinder the development of this Project as indicated on the site plan. 7. A waiver from Section 4.136.3.c.ii is granted in its entirety. This waiver is granted as this section may be construed to hinder the development of this Project as indicated on the site plan. i 8. A waiver from Section 4.136.3.c.iii is granted in its entirety. 9. A waiver from Section 4.136.3.d.iii(2), (3), (4)and (8)is granted in its entirety. ' k 10. A waiver from Section 4.2 Phased Development Bylaw is granted in its entirety. This waiver is granted as this section may be construed to hinder the development of this Project as indicated on the site plan. 11. A waiver from the Table 1 Summary of Use Regulations is granted. This waiver is granted to allow for multifamily dwellings and associated uses in the zoning district,which the property is located where it is not permitted by right. 12. A waiver from Section 5 Earth Materials Removal is granted in its entirety. This waiver is granted as this section may be construed to hinder the development of this Project as indicated on the site plan. 3 Section 7-Dimensional Requirements: 13. A waiver from Section 7.1 Lot Area is granted in its entirety. i 14. A waiver from Section 7.1.1 Contiguous Buildable Area is granted. 15. A waiver from Section 7.1.3 Restrictions is granted in its entirety. 16. A waiver from Section 7.3 Yard Setbacks in accordance with the following table is granted: Front: 30' Front: 15' Side: 30' To Side: 8' Rear: 30' Rear: 15' i 17. A waiver from Section 7.4 Building Heights for all existing buildings in excess of 35' is granted. Page 11 of 12 II Section 8,Supplementary Reuulations: 18. A waiver from Section 8.1.7 is granted which reads: A parking space shall mean an area of not less than 9x18', accessible over an unobstructed driveway not less than 25'wide to allow for driveways 20'wide as indicated on the site plan. 19. A waiver from Section 8.3 Site Plan Review in its entirety is granted in as much as this Project isregulatedby the requirements under a Comprehensive Permit(Chapter 40B)and is exempt from such review. I Section 10-Administration: 20. A waiver from Section 10.3 Special Permit is granted in its entirety in as much as this section could be construed to be applicable to this Project. References are made to various special permit-granting authorities that are in conflict with the requirements under a Comprehensive Permit (Chapter 40B) and this Project is exempt from such review. Wetlands Bylaw: 21. A waiver from the Town of North Andover Wetlands Protection Bylaw, Chapter 178, and the regulations pertaining thereto, is granted with respect to the definition of a resource area. Isolated wetland on adjacent parcel to become non jurisdictional. { Subdivision Bylaw: 22. A waiver from the Town of North Andover Subdivision Control Bylaw is granted. Local Board of Health Bylaws: 23. A waiver from the Town of North Andover Board of Health Bylaw, as it pertains to this Project, is granted where it is more restrictive than the State Sanitary Code. I Bonds: 24. A waiver is granted from all Town of North Andover's regulations requirements for cash bonds related to this Project.In lieu of such cash bonds, a letter of credit or other security agreed to by the Applicant and the North Andover Zoning Board of Appeals shall be provided at the time of the commencement of site work in the amount to be determined by the North Andover Department of Public Works, to cover the cost of the road opening within the public right of way, including the water and sewer connections. Fees: 25. Any waivers that may be granted for municipal fees shall be at the discretion of the Board of Selectmen of the Town of North Andover. I i i . I Page 12 of 12 Town of North Andover TN Office of the Zoning Board of Appeals Community Development and Services Division 27 Charles Street North Andover,Massachusetts 01845 l� 'Js;C1;uS•� D. Robert Nicetta Telephone(978),rr`888-4� j f '0: 3 Building Commissioner Fax(978)688-9542 ' Minor Modification to Notice of Decision Year 2004 I Property at: for premises at: Cochichewi�k Drive 4 NAME: Campion Hall,LLC, DATE: June 22,2004 Willard D.Perkins,Manager 28 Andover Street,Andover,MA ADDRESS: for premises at: Cochichewick Drive PETITION: 2003-039 North Andover,Massachusetts 01845 The minor modifications to correct clerical typing errors for the Comprehensive Permit by Campion Hall, LLC,Willard D.Perkins,Manager,28 Andover Street,Andover,MA for premises at: Cochichewick Drive,North Andover,MA(Map 62,Parcels 94,95& 10). are as follows: Page 1 of the standard decision form should be corrected to 26 housing units: Upon a motion by Richard J. Byers and seconded by Joe E. Smith,the Board voted to GRANT the Applicant the Comprehensive Permit pursuant to'MGL Chap.40B, Sections 20-23 for 26 housing units of which 26.9%or 7 units will be affordable.per the following preliminary plans: i Page 2 of the standard decision form should be corrected to 12 pages: The 12 page complete Decision with the 24 written communications,7 findings of fact, 20 general conditions,27 specific conditions,25 waivers,and associated Plans are on file at the Zoning Board of Appeals,27 Charles Street,North Andover,Massachusetts and can be viewed during normal office hours. Page 2 of the 12 page complete Decision should be corrected to 5.9+acres: The site is irregular in shape, set between two existing neighborhoods, and consists of 5.9+acres of land with 864 feet of frontage on Cochichewick Drive. Page 4,the word following should be corrected to foregoing: These findings are based on the preceding 24 submissions,which include,but are not limited to,the foregoing materials,which are on file at... Page 4 FINDINGS item#4 omitted phrases should be added: Affordable Housing to be Provided. A minimum of twenty-five per cent(25%)of the units shall be"low or moderate income housing"as that term is defined in MGL Chap. 40B §20.The Applicant shall execute and record with the Registry of Deeds, a Regulatory Agreement, approved by the Town, and shall execute and record with the Registry of Deeds a Deed Rider approved by the Town, which shall be an affordable housing restriction in accordance with MGL Chap. 184,sec. 26 31 32 and 33. The duration of the affordability restriction shall' be for a term of 99 years from the date of the Deed Rider or,in the event of the approval of the affordability restriction by Massachusetts Department of Housing and Community Development,in perpetuity or such other term contained in such restriction, as specified in the Conditions to this Decision. i Pagel of 2 Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-68R 95 35 I we- i Town of North Andover M0RT11 Office of the Zoning Board of Appeals o Community Development and Services Division 27 Charles Street " °+ North Andover, Massachusetts 01845 ' S 'IS/1CNUst1 D. Robert Nicetta Telephone(978)688-9541 Building Cannrissioner Fax(978)688-9542 Page 5,GENERAL CONDITIONS item#2 omitted phrases sliould be added: All requirements of the Housing Starts program as administered by the Massachusetts Housing Finance Agency are to be met.The MassHousing Regulatory Agreement, which shall be approved by the Town, and Deed Rider, approved bythe Town,which shall be an affordable housing restriction for a term of 99 years In accordance with MGL Chap. 184,sec. 26, 31, 32 and 33,shall be executed by the Applicant and recorded at the North Essex Registry of Deeds In the event that the applicant finances the project privately or through a lender other than MassHousing,the applicant will get final approval of this Comprehensive Permit from MassHousing prior to any new construction on the site. Page 7,#3 omitted phrase should be corrected to: The Applicant shall work with the Town of North Andover Community Development Department, and approved by the North Andover Zoning..Board of Appeals. Page 9,#1 omitted phrase should be corrected to each of: One parking space for each of the 11 units in the Mansion and the 2 units in the Carriage House shall be assigned to 13 of the 16 garage units. Page 9,#26 omitted phrase should be corrected to the Building Commissioner and to the Board. All materials and color shall be specified and submitted to the Building Commissioner and to the Board for final review prior to the issuance of a building permit. k Page 9,#27 omitted phrase should be corrected to the Building Commissioner and to the Board. Final site improvement drawings shall be submitted to the Building Commissioner and to the Board for approval prior to a building permit. Page 2, 6'h ¶ During the course of the public hearing Mr. LaGrasse and other members offere site plan suggestions that the applicant agreed to consider. The suggestions concerned aesthetics, unit density, building locations, landscape buffers to the neighboring properties, etc. Based on these comments the applicant came up with a revised plan that deleted two of the market rate units, but included the same amount of affordable units. The plan as revised is as follows: eleven 1, 2, and 3-bedroom units in the Mansion, two 2-bedroom units in the Carriage House, 1 single-family, four-bedroom, detached home that will be on a separate buildable house lot, and twelve 3-bedroom townhouse units arranged in 3 clusters of four units.Except for the Mansion,all units are to be woodframe buildings. Parking shall consist of 42 garage spaces and 44 surface spaces;total parking is 86 spaces. Page 2 of 2 I I Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 979-689-95.10 Health 978-688-9540 planning 978-6,88-9531 C WORTH '9 Town of _� RAndover 0 No. m s I LA dover, Mass., CRA-q e-1, COCMICMEWICK V ADRATE D BOARD OF HEALTH PERMIT d/Kitchen Se 'c System • xv, LDING INSPECTO THIS CERTIFIES THAT-T .".4 ...k . ga . . . . .. .................. oun on " � • has permission to _ ___ _ on 4.«'-�I.s.LU. l.A. .. .� Rough to be D~...o ..o��.R�C��►��e. . Y .• Q..� � . Chimney provided that the person accepting this permit shall in eve "res ect conform to the tars of thea lication n ry P pp o flle In Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBGIN ECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRIC SPECTOR UNLESS CONSTRUC STARTS Rough ............... ... ...�....................... ............................................. Service .. BUILDING INSPECTOR Final INSP Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final FIRE DEPARTM -- — -- --- Until Inspected- and the Building. Inspector._ _— _ — � s � tdd Approved by — -Bu er -- — - —- • • b='�' eet No. � ��� SEE REVERSE SIDE moke Det. i I � e Location co c A' c A ` & t c e De. a No. S Date '07 6" b3 MORT►, TOWN OF NORTH ANDOVER O } ° Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ ,I ss+cNust 9 Foundation Permit Fee $ ! e ,-1PZ. Other Permit Fee o F $ TOTAL PP-fl—+ $ n p Check # 19 i 6 4 u G V ,fit ' C -�--- J Building Inspector AORTH ow-n --of co" = iC Lo dover, Mass:; �„� ACOC MIC 7� DRATE D IF C:0 -- S$ H E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System doom BUILDING INSPECTOR THIS CERTIFIES THATAr�.� �.... 1�11!r vhf f� Foundation ha ermission to erwt.. f.h!► Y.�•........ buildings on ........... ..rd..... w.,.�!..t.........D.R...!. Rough , o be occupied as..3 N...A.60.0.06... Chimney pleaded that the person accepting this perm shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION S ARTS ELECTRICAL INSPECTOR Rough BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT r Until Inspected and Approved by the Building Inspector. Burner Ae Street No. SEE REVERSE SIDE smoke Det. Location No. c 't.> C�s�St` 'er4,Cc7� Date / a l�- yc"y^tag> i F ?°.,Mo oT : TOWN OF'NORTH ANDOVER ; F p + Certificate of Occupancy $ • i # 'SJ�cMust< Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee`V;L42 $0 �t TOTAL $ eao� Check #a('66 t 17478 Building inspector 1 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT ; APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, Old DEMOLISH)uw BUILDING fTi OTHER THAN A ONE OR TWO FAMILY DWELLING r K 3 F x `T�9$See on for Official Use 1-MM BUILDING PERMIT NUMBER: DATE ISSUED:_,µ o Z` 1tt's S SIGNATURE: �� • �►' Building CommissionE/Imedor of§uigngs Date j 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number .1.3 Zoning Information: 1.4 Property Dimensions: v A Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS(ft) I rn Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 1.5. Flood Zone Information: 1.8 Sew sal System: I ?� 1 7 Water SnpplyM GL C 40 If 54) ��Po Public ❑ Private ❑ ZOIIe Outside Flood Zone 0 Municipal On Site Disposal System ❑ ."Now 2.1 Owner of Record o 11146- -C,PAtAL= _711S1ioIAJ(;-- go ONTO I Name(Print) Address for Service: '--� M Signature Telephone 2.2 uthorized Agent Nam Address for Service: '114 Z --— - -------_ '7e- � 77 O Signa re Telephone M 3.1 Licensed Construction Supervisor Not Applicable ❑. ro 4 Ill y D � s Address License Number O 6,' -ro RNP(IK16 k4jo, -n Licensed traction Supervisor: r�/3/ > Expiration Ddle Sign lure Telephone r 3.2 Registered ome Improvement Contractor Not Applicable ❑ : n a ny CRSS-O f // Company Name Registration Number M INC- r— Address vQ X -- Expiration Date Signature Telephone It I I i Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building unit. 11 1. Sig ned affidavit Attached Yea.......❑ No.......❑ 5.1 Registered Architect: Name: Address Signature Telephone i lli ![s�ec� [esst��tal�� �s i Area of Responsibility Name: Registration Number Address: Expiration Date Signature Total Not applicable ❑ Name: { Registration Number Address i Signature Telephone Expiration Date i Name Area of Responsibility Address Registration Number f+ Signature'j Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature 'y Telephone Expiration Date A 5<,ID /� 1 a W G�l fl r� l �j Not Applicable ❑ Company Name: --ll •nn Responsible in Charge of Construction New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition 0 Accessory Bldg. 0 Demolition ❑ Other ❑ Specify I x Brief Description of Proposed Work: I . USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 0 A-2 ❑ A-3 0 1A ❑ A-4 ❑ A-5 0 IB ❑ B Business ❑ 2A ❑ C Educational ❑ 213 ❑ F Factory ❑ F-I ❑ F-2 ❑ 2C ❑ H High Hazard 0 3A ❑ IInstitutional ❑ I-1 0 1-2 ❑ 1-3 ❑ 313 ❑ i M Mercantile ❑ 4 ❑ j R residential 0 R-I 0 R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑. 'S-1 0 S-2 0 5B ❑ U Utility ❑ Specify: M Mixed Use 0 ''' Specify: , S Special Use 0 Specify: - COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE i } i Existing Use Group: Proposed Use Group: i Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED J Number of Floors or Stories Include Basement levels Floor Area per Floor(s j Total Area(s Total Height ft Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SOWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING --F— ECTION 10a Owner Authorization- TO BE COMPLETED WHEN PERMIT i, as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Bate I, as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury I I Print Name ` Signature of Owner/Agent Date 112.11 Item Estimated Cost(Dollars)to be � �4� Completed by permit applicant I Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction from(6) 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical(HVAC) 5 Fire Protection 1112. 114 x 6 Total (1+2+3+4+5) CheckNumb%2 k l eJa — r��`Dc:,i r it_ T'9 d/ � Y''�tf er a"e� rr d oY ) t ,� � � r }x 4 SFr �7„ +•tj�` ��i•y�tti�° hry.'x y }-_ �rI ,+: .,e ,..,:,. �' Fr_}.£,r sr`'43�.L, nia" (;--i•r �",._.. ..> '` ...3$.-;...� ,usil.^ r -. NO. OF STORIES SI BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1ST 2ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS { DEVIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS I SIZE OF FOOTING x MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE i LiL5n C �.1ORTH own of t 4Andover No. Q S 0 = over, Mass.,; AA LA COCHICHEWICN �. 7 ADRATED 5 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System • 0 BUILDING INSPECTOR THIS CERTIFIES THAT 44l1:`11 ...d .. / � .. / Foundation �Mk.Wi has permission to erect.. A.I.CAft..... I .on ...Ir.'.1 }Re,&IF ..C�.l� '! N Rough to be occupied as............4:!.VA^."ULX-A . t. i �/S/��! Chimney ....... ...24t ........ ...............provided that the person accepting this permit shall in every respect conform to rms of the plication on file ?A1 Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION S ART ELECTRICAL INSPECTOR Rough . ... ....... ......... . .............. Service BUIL ING INS R Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No.— _ - SEE REVERSE SIDE Smoke Det. NORTH Town of 4Andover No. o dover, Mass.,S Zt �. COCHICHEWICK V 7�S RATED P? �i BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT 1 ��lk +�h�ll ..pir?i oual 4 j11. .. ...... . �...4 .......• Foundation has permission to erect...`.WA.(.W0..... dkm*.on ...0 CDC H:I+CH-e �I1� 1 Rough to be occupied as............ !4�' ' ! � +..'ft.�Cs .. ... ... it Chimney provided that the person accepting this permit shall In every respect conform to the terms of the plication on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildin4s in the Town of North Andover. PLUMBING INSPECTOR VIOLAVON of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION S ART ELECTRICAL INSPECTOR Rough ... ....... .... .... . .............. Service BUIL ING IN E TOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT. Until Inspected and Approved by the Building Inspector. Burner Street No. - IFSEE REVERSE SIDE `� �' g Smoke Det. Location �►�Ct� t� l��`�"c �i . �C� •0`�?No. Date b NORTH TOWN OF NORTH ANDOVER ' + Certificate of Occupancy $ J''•°M 'tBuilding/Frame Permit Fee $ �CUS Foundation Permit Fee $ Other Permit Fee i.)cmo $ ISO TOTAL $ Check # 'SCvt�rL►4jv �� 1777 Building Inspector � _ I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, ODEMOLIS ANY BUILDING STI OTHER THAN A ONE OR TWO FAMILY DWELLING ..J•,.a 4.- 4n£' a s eal.,r -r }xr 3'�'•..,257� �+,,,,e_ Amt !� •-;k e ,�- , _r,.-..._v.. s . :.,,� tr'`�193 S�C$eolA fEh�'Official�TSe IJPI' -ra FBUII,DING PERMIT NUMBER: 0 / DATE ISSUED: 2J SIGNATURE: • Buildin Comniissionerll or of Buildings Date ._• .. ......� ...:_..:. s. ..tea.: x,�. ^s 1.1 Property Address: 1.2 Assessors Map and Parcel Number: �A o At AW0 L-1,61 I fk? Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: I 0 Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS(ft) I rn E Front Yard Side Yard Rear Yard 4 I Required Provide Required Provided Required Provided � I i 1.7 Water Supply$M .G.L.C.40.§54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: I Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ f 4 2.1 Owner of Record -T44 ir- TGzr-WAhc*L 4 M tN 106 r-040fir(ad Name(Print) Address for Service: TTI Signature Telephone X 2.2 Authorized Agent Address for Service: " z *t z Signature Telephone rn 3.1 Licensed Construction Supervisor Not Applicable 0 A) oC AddressLicense Number g AID �� DA3 Licensed Construction Supervisor: 10-.,r Expiration Dai Sign Lure Telephone .� 3.2 R - r Home Improvement Contractor Not Applicable ❑ -71120 -302 Company Name Re stration Number P �'J >R� P r 4� � rn Address --- —F- — -���►` �-- —�'t3-'t -- + A P Expiration Dat z �. Signa -.Telephone t� I J l �x S ,� .�. Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Sig ned affidavit Attached Yea.......❑ No.......❑ ..CONS AU '.�^P'V'L ML, �`3 ✓f3'�- 1i..1�'� �._z SisiVif i+. ry6.�8' i.. r7 9��i,�a� � ..c: ., . . .. ....:1 •..:: 5.1 Registered Architect: s Name: 6 Address Signature Telephone I6ClSt� �n�i� s�" Y r Name: Area of Responsibility r Registration Number Address: Signature Total Expiration Date Not applicable ❑ Name: Address Registration Number j Signature Telephone p Expiration Date r l ' Name Area of Responsibility Address Registration Number Si i•e Telephone Expiration Date I � Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date �� �f` ," Not Applicable ❑ CompanyNva e: Responsible in Charge of Construction 1 4i' s i New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 0 1 Accessory Bldg. ❑ Demolition Other ❑ Specify Brief Description of proposed Work: (1, 12 DE> rte► , _MA_c�t1_ Or!) c 15 9 L)D S) USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly 0 A-1 ❑ A-2 ❑ A-3 ❑ ]A 0 A-4 ❑ A-5 0 EBBusiness 1Bucational 0. 2A 0 i 2B p F Factory , • 0 F-I 0 F-2 0 2C 0 H High Hazard 0 ' 3A 0 IInstitutional ❑ I-I 0 I-2 0 I.3 0 313 ❑ 1 M Mercantile fl 4 0 � R residential 0 R-1 0 R-2 ❑ R-3 0 5A ❑ S Storage 0 S-I 0 S-2 0 SB p U Utility ❑ Specify: 1 M Mixed Use ❑ Specify: 1 SS pecial Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: 7Propossed Group: Existing Hazard Index 780 CMR 34: rd Index 780 CMR 34: E BUILDING AREA EXISTING if a livable PROPOSED Number of Floors or Stories Include Basement levels i Floor Area per Floors 1 Total Area s Total Height ft f Independent Structural E!%!neering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUEL DING PERMIT' I' ,as Owner of the subject l property � Hereby authorize - My behalf, in all matters dative two work authorized this buildin to act on �' g pe � , I Signature of Owner Bate I, as Owner/Authorized Agent Hereby declare.that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury Print Name Signature of Owner/Agent Date i Item Estimated Cost(Dollars)to be Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction from(6) 4'X:5-0 3 PlumbingBuilding Permit fee (a) X(b) p� 3 S��c✓_ 4 Mechanical(HVAC) 5 Fire Protection 6 Total (1+2+3+4n+5) ?� Check Numbe�Z'C�{,,,1 t , M{ -r^4 f 1.. a t;yrs= S i Y,fix�'''_^A ..'��V(✓-1�i' � 5 ik <��'�.��.. s s f s�: �._. x � {o .: tF�} 4r _zr N � 4 .e. tt.,, a .k t o.e, z� r� �r.-.�y� Sf'..a>r r, t`. :.}�tx t jt•, '" 3t �g��ri 4xC����t+y= {"5 _.'�f 4� tSy��r5. 4 t �.xy4 ,„y r,1. x't� 4 �, �," �.�,.: ��.ti...1,:"kC l; Yf{�.�J�,5:i.� t��-iC�-.n�.v1�44��'q.,•S F 5 F ;•.J..�...3Y.:.� p �. -:a;: NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TMMERS lsr 2ND 3 P 1 SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIlviENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CEIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE .r _7 7,5N I NpRT►y Town of _ .. 4 over No. 0 i{ �, =s A o dower, Mass., A+• • O �COCMICMEWICK 7d A0RATE0 1 BOARD OF HEALTH PERMIT \,S',ec Kitchen System • UILDING INSPECTO THIS CERTIFIES THAT :(�` 311R ,�IiOQ�T� .....reap.... � 4F6, nd on • has permission to n . 1�{�1. !4 !! ...IDW91. rs...........��1�1ugh t0 � �!! .�1'�'�!t. , 1.. .. .��/V. .� 1 ........ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBG INS ECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough IT PERMEXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST S ELECTRIC SPECTOR Rough . .. ... .. . .. .... ............ Service BUIL G INSPECTOR Final INSPEC r Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final /FIRE DEPARTMENT BuerNo.SEE REVERSE SIDE Det. Locationt� ['/ (� z is�` �fe No. .j J Date 107—6 U a NORTp TOWN OF NORTH ANDOVER 9 # y Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ CHusE 9 Foundation Pgrmit Fee $ Other Permit Fee ch,„,NYS $ 8� TOTAL $ 1 Check # '� Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OIEMOLISH BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING > : a �� ys # z> ' This Section for Official Use qni ic BUILDING PERMIT NUMBER: DATE ISSUED: —i I Z SIGNATURE: AA, I !? Building Commissi2ner/I or of Buildings Date 112, 1.1 Property Address: 1.2 Assessors Map and Parcel Number: All, Map Number Parcel Number toe, 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(,f) Frontage(A) --I M 1.6 BUILDING SETBACKS(ft) Front Yard Side Yard Rear Yard Rred Provide Required. Provided ReqWred Provided 1.7 Water Supply NLGL.C.40.954) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 zone- Outside Flood Zone 0 Municipal On Site Disposal System 0 2.1 Owner of Record 00Cfv- w� J. C-L njj I't Name(Print) Address for Service (9 79) rnTSi e ne 2.2 Authorized Agent Name oseinQ > Address for Service: Z 0 Sign Mure Telephone Z M 90 3.1 Licensed Construction Supervisor Not Applicable 0 KXS.Cmr tjInt a.t,v CS 001,?OR Address License Number 0 / oe? 417 MgA I Ict 1,14,j 0 8 -n Licensed Construction Supervisor: /a/3:-1./0� > 3Expiration Date 82 X7 Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name" Registration Number M Address Expiration Date Signature Telephone sEc�tox 4Q�S� AQr { Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. j Signed affidavit Attached Yea...... No........❑ ECTI4A1 5 R� IQI TG1�t STRUMON SIRv1CC s QR� H�ttGs Stu+ 3 3RES SUMO + �QNSBUCOI�I GY3R<?i�1QA `TQ CR t! +p!iAtTfl + 3S, 18F;Q F.IC'L?S1CD S'A ). ::` 5.1 Registered Architect: Name: I Address Signature Telephone l S1JC}C( �1'O1�C 0 A� , Area of Responsibility Name: Registration Number Address: Expiration Date Signature Total Not applicable ❑ Name: Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number I Signature Telephone Expiration Date Nam ; . Area of Responsibility Ad,44ress Registration Number Signature ' Telephone Expiration Date 1 U 1 Q C c.IC Not Applicable ❑ Company Name: Responsible in Charge of Construction ,�,, ,�; �► :.��'P�A! .„lam�tl, (deck all applicablc:�., � New Construction ❑ Existing Building ❑ Repair(s) ❑ FAlt-eration ❑ ❑ i ,_Addition ❑ Accessory Bldg. ❑ Demolition Other ❑ Specify Brief Description of Proposed Work: N0316, Ats �t �,. USE GROUP Check as applicable) CONSTRUCTION TYIsE A Assembly 0 A-1 0 A-2 ❑ A-3 ❑ IA 01 A4 ❑ A-5 ❑ 113 0• B Business ❑ 2A 0 C Educational ❑ 2B ❑ F Factory ❑ F-I ❑ F-2 ❑ 2C 0 H High Hazard ❑ 3A ❑i IInstitutional ❑ I-1 ❑ I-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑; R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑' S Storage 0 S-1 0 S-2 0 5B ❑ U Utility ❑ Specify: i M Mixed Use ❑ - Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE''IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: a BUILDING AREA EXISTING if applicable) PROPOSED j Number of Floors or Stories Include Basement levels Floor Area per Floors Total Area s Total Height ft Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT _ RtAo I Q "=- e, Li � a ,as r of the sub o Ject property ereby authorize `( to act on My behalf,in all matters relative two work authorized by this building permit application Nf r A ; Siguacurt��vwner Date I, �^r as Owmer/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury Pri V11- vRa"g- /2 vz Si tureo er/Agent Date Item Estimated Cost(Dollars)to be � f Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Ehn c �Tv -am from(6) .v o ao �. 3 Plumbing Building Permit fee (a)x(b) 4 Mechanical(HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number v tKS. l. 1s�'5ksY',,t-.'�x:,; Sy n33g r}/1:r6r M' n t t<),r s'52- NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2i1D 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHININEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Y' I Dec 04 02 12: 53p KIDDER BUILDING@ &WRECKNG 6033823697 1+p. 2 -12/04/2002 11:26 978-683-4771 M.E.C. PAGE 02 , TOW 14 OF NORTH ANDOVER BU MDING DEPARTINENT"" _.-.-.AjQgAeavrW we 5&(M oocv _ro 0Tf1E>t A ONE OS TWO FAUMV DWOI LRC S&R is for oftial un Od BUEM94G Pl3EtMR' DATE ISSUED: -4 Z 0 SIGNATURE; ffililaing COMO uWauffanspWtor of Date 1.i P WMY Addie: 1.2 Ammoun M"and wad Number Mw Nwnbw Perad Nwebw i 1.3 Zoaios wamdim: 1.4 1Rapaty Die icM: I 0 _ Z a - -� zce Drria tk. LA Ari. a 1.6 BUIIaIIYG SMACKS(R)l m Front Yard Side Yard dear Yard. Rieqdrad Pmvidod RegEirad Provided I i 1.7 Wow owrb 1AG1..C.4. sq 1.2. Mm Zoo 1who i m 1.1 S-W W Di*wd ar— PdtYe 0 lbw 0 z, Oi16 rdwd zw 0 I t.tmk%A a Sie Arrpe..1 sp4 O 1 2.1 Owow of Raootd Name(PAiat) Zws for Servioa:'— m sr ra Tdeph I M 2.2 Aulhaiaed Avant _ a Nme Print Additw box Service: lz 0 sistdute Telephone 'm 3.1"j,,joc-nradCW*uetiouS � -_....,..__...__.._ NotApplicabk Adorer, 1 LiteeeeNumbw - t , eturo Telephone 3.2R-Si., P Homo lmpow attCA Not ApOk" 0 i i CowMy Ntwe R4,tatios NU*Adr m � Addttls � •n• Sig/u►mrc Td oplm.e F Daft G) �I i I Dec 04 02 12: 53p KIDDER BUILDING@ &WRECKNG 6033823697 +p. 3 •12/04/2002 11:26 978-683-4771 M.E.C. PAGE 03 Women Compensation iamwom a as vil must be compkW and submitted with this application. Failum to provide this affidavit will muh in thc•drnid of" issuance of the budding it. Signed allidavil Aumdmd Yea....... No.. .A 5.1 Regislemd Archited: Name: I I I Afters ` I Sig otum Telephone i Area of Respomibiuity None: I ftiMation Number Addmse:. bOadion Date S*dt= TO • I Not applicabic 0 f Name: I Rcgismon Numbs 'AddmS$ Sid wbm Telephone Expmdioo Dau I Name Area of R espofflibility f Addmm Registration Ntunba E Signatum Te1gAonc Expiration Dere I Name Area of Reaponsibitity i Address Registrelm Munber Signatttrte Telepbatc Ex hsfiun Date NotApp3icabk ..0_.. I I Dec 04 02 12: 53p KIDDER BUILDING@ &WRECKNG 6033823697 1p. 4 I ' I I i • I I WARD OF BUILDI ILicen NG:Rg�� ON$ A . 6 �QNSTRUCTIQN SUREhtVI$QR f..,; 1 Num �• _ F 001908 003 Tr.Tr,no: 9808 Re RO :I SCOE N KIDD 245 MAIN STNH f-•. '. �' PLAISTOW 03865'' AdminisUdtor • I i i �..; DEPARTMENT OF PUBUC Ur�.Rao: ISTING L ENGINEER I m ' NU be�r�l _ 050342 f iT I j ,qa3 Tr.no: 9309 I R -_- i OSCAE N KIDD _� 1, I 2 i p LAISTOW, NH 03865'- ! � Commies oner r B I ; I I _., I I I I I 1 SUBMITTED BY: t A%, &;.HOME ;.HOMSDealer-name— - CHIMNEY RELINING:SYSTEMS Street --Gita tate_Zip ; home 1222 � ,D ate SUBMITTED.TO: r Name Phone ���' �s'.— 7 Z Street /s-5 / ('Slcc�f ST Job Location 'rry 'C/C_ e,�/tE'r City, State, i JOB DESCRIPTION: 7A STSitj �1lT�L A-77--_57, T1, �f ti.%�r�tys 71--0T 1,-;1Y i J;.lyl//r/C 1-""4671 w"ih 76 1✓i!r f�/l[i�iLT >�lirCTy�j� fIYT r/lG/r��:G.v �'/r�i<�.. 4/iJ �T t orf t L Cte, or AP 1 TERMS OF PROPOSAL: All material is guaranteed to be as specified. All work to be 7CL';�� Q completed in a substantial workmanlike manner according to Amount$ . Pro oral good for � days. I? P g Y specifications submitted, per standard practices. Any alteration Terms ofYm a ent or deviation from above specifications involving extra costs will be P executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Property owner to carry fire, tornado and other necessary insurance. Our Authorized signature �� �"2' workers are fully covered by Workmen's Compensation Insurance. a ACCEPTANCE OF PROPOSAL: The above prices,specifications and'conditions are satisfactory and are hereby-accepted: You are authorized to-do the work as specified. Payment will be made as outlined above. Si atureDate of acceptance _ P r+rreTr't�ac��f"°nrz� I _ 666616 KIDDER BwI nIN , &aNRECKINC, INC 247 Main Street - PL41S OW-1VE RAMPS 1RE 03865_— -- - - — i (603) 382-1422 Fax (603) 382-3697 l MICROWAVE ENGINEERING PHONE DATE I TO: 978-685-2776. 9/26/.02 1 ATTETNION: BOB BARTLETT 1551 OSGOOD STREET CHIMNEY''SJOB NAME/ ArION f NORTH ANDOVER MA 01844 COCHICITUATE DRIVE NORTH ANDOVER MA I JOB NUMBER 978-975-4363 JOB PHONE i DEMOLISH AND REMOVE 3 CHIMNEYS DOWN TO 12" ABOVE ROOF LINE. CAPPING OF CHIMNEY BY OTHERS. NOTIFICATION BY KBW. PERMITS BY OWNER. i CUTTING AND CAPPING OF UTILITIES BY OWNER. FIRE AND POLICE DETAILS BY OWNER IF REQUIRED. KIDDER NOT RESPONSIBLE FOR TESTING, REMOVAL OR DISPOSAL OF ANY HAZARDOUS WASTE OR OIL TANKS. I I I ` V1(E PROP p Six Thousand ggE herebyto furnish material and labo Tine r— o plete in accordance with the above specifications, I IHudred Fifty and !68/1 Dollars ons;for the sum of: Dollars —_ 6, 950.(DO Payment to be made as follows: _ dollars($ i PAYMENT TERMS TO BE NEGOTIATED. IF PROPOSAL IS ACCEPTED, PLEASE SIGN AND RETURN COPY. THANK YOU All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices.Any alteration or deviation from above specifications Authorized involving extra costs will be executed only upon written orders,and will become an extra Signature 4 charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tomado,and other necessary insurance.Our workers are tuily covered by Workers Compensation insurance. Note:This proposal may be withdrawn by us if not accepted within ay5 s. /ACCEPTANCE OF PROPOSAL—The above prices, specifications and conditions are satisfactory and are hereby accepted. You are Signature authorized to do the work as specified.Payment will be made as outlined above. l I I Date of Acceptance: , Signature _ I i PRODUCT Iii?BTFOLD Al k)TO RT OOMPWON 771 OU-O-VUF ENw-t.— nnn_9Pn Reofder. nry 11/18/2002 MON 14:50 FAX 1 978 521 5301 CITY INSURANCE 0011/001 Uk X 1:,4IL" SUN X A CORR �1�1 X-5; 11/18/2002 100 Ini FAX (978)521-5301 THIS CERTIFICATE IS ISSUED AS P MATTER OF INFORMATION ty znsurar-ce Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 709 South Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1297 COMPANIES AFFORDING COVERAGE .............................. f6i...C6..................... .............. ........................ dIndustry... ; ... Haverhill, MA 01831 COMPANY Commerce an Attn: Ext: A INSURED.........................I-.............................. ......................................................................................................................................................•.......................... ................................... Kidder Building & Wrecking Co. COMPANY 247 Main Street ...............1.11............................................................................. ...............................I....... Plaistow, NH 03865 COMPANY C ................I.............................................................................................................................. COMPANY D 7— gig FY THIS Is TO CERTIx.FY 5 "'MR, U ".1.0 07" THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TER INDICATED,NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH ,S EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ............I................................. ................................................................................................................... .......•........ ..................................... CO LTR TYPE OF INSURANCE POLICY EFFECTIVE::POUCY EXPIRATION POLICY NUMBER DATE(MMIDDIYY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE .3 .FF�MERCfAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ CLAIMS MADE occuR ....................................................................... .... ......... ;PERSONAL&ADV INJURY OWNER'S&CONTRACTORS PROT: ............ EACH OCCURRENCE ..................................... ............................... .............. FIRE DAMAGE(Any one fire) S .. ..... ................ MED EXP(Anyone person) AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO CO :S ALL OWNED AUTOS .............................................. ................................... BILY I SCHEDULED AUTOS (PaODt persoNJURY .. n) HIRED AUTOS ............................................... ....................................... BODILY INJURY NON-OWNED AUTOS (Per accidanV .................................. ................................................. ........................ PROPERTY DAMAGE :S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ;S ANY AUTO OTHER THAN AUTO ONLY. ...................................... ............. REGATE:5 ............. EACH ACC30ENT:S AW EXCESS LIABILITY EACH OCCURRENCE 5 UMBRELLA FORM ................ ;AGGREGATE; .................. OTHER THAN UMBRELLA FORM .......... .................... WORKERS COMPENSATION AND X WC STA Li- TOR M EMPLOYERS'LIABILITY ..... .......Y..L.1 ITS............ER........ EL EACH ACCIDENT 2 C -25 ................... A '714E PROPRIETOR/ X .INCL !W 969 -23 0710112002 07/01/2003 ............1.990,000 EL DISEASE-POLICY LIMIT :S 1,000,000 PARTNERVEXECUTIVE .............................................. OFFICERS ARE: EXCL ..................................... EL DISEASE-&A EMPLOYEE!S 1,000,000 OTHER DESCRIPTION OF OPERATIONStLOCATIONSNEWICLMSPECIAL ITEMS FAX 978-975-4363 Job site; Cochic-Ituate Dr, North Andover MA 44 a t 8 X SHOULD ANY OF THE ABOVE DESCRIBED POUCIES 88 CANCELLED BEFORE THE EXPIRATION DAYS THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Technical Training Foundation 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Bob Bartlett BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR UABIL14 1551 Osgood St OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. North Andover, MA 01,843 AUTHORIZEDREPRESENTA Dougl as Cox :�R ;X;X: -�x 11/08/02 ConfirmNet -> 19789754363 Pg 2/2 f i I s r- y ."a.. 4 Nr i tri r - a ✓x W �r Nx M-..n -,""` * DA'T`(MM/DDIYY) .:. �4CORDT�I � 1G �i' as r 11/08/02 PRODUCER 1-978-458-1865 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fred C. Church ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR One Merrimack Plaza ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Lowell, MA 01853-1865 COMPANY i A Interstate Fire and Casualty INSURED COMPANY 4 Ridder Building & Wrecking Co., Inc. B Crum & Forster COMPANY 247 Main Street C Specialty Surplus Insurance Co. COMPANY Plaistow, NH 03865 D THIS IS TO CERTIFY THAT THE POLICIES OF INSUANCE LISTED BELOW 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 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TR LTTYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MMIDDNY) DATE(MMIDDIYY) B GENERALLIABILITY 5430888909 07/01/02 07/01/03 GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG $ 2,000,000 CLAIMS MADE F7x OCCUR PERSONAL 6 ADV INJURY $ 1,000,00o OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,080,000 FIRE DAMAGE(Any on fire) $ 100',000 MED EXP(Any one person) $ 5,000 g AUTOMOBILE LIABILITY 133668935 07/01/02 07/01/03 1 ANY AUTO COMBINED SINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULEDAUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ I PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY i EACH ACCIDENT $ AGGREGATE $ A EXCESS LIABILITY UM01605196 07/01/02 07/01/03 EACH OCCURRENCE $ 5,060,00o X UMBRELLA FORM AGGREGATE $ 5,000,000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND EMPLOYERS' WC STATU- TH LIABILITY TORY LIMBS ER THE PPoOPoETORI EL EACH ACCIDENT $ PARTNERSiEXECU WE INCL EL DISEASE-POLICY LIMIT $ OFFICERSARE: EXCL EL DISEASE-DISEASE $ I OTHER C Pollution Liability 4ZH12854800 07/01/02 07/01/03 Each Loss & Agg. 110001000 I DESCRIPTION OF OPERATIONSIL OCATIO NSIVEH I CLE SISPECIAL ITEMS JOB SITE: CHIMNEY'S 0 COCHICITUATE DRIVE, NORTH ANDOVER, MA , I bI r1ICAI }J>t113 € k_ T�'iELt�kTNN a r} 1 u. .. .: r . + :. •i.+a v..: .4, ,L.. .. -A: ,w_ _ ..<. ,...' .,..G.c_�.. �-,.rY'?i,1 ..T,1�:F, et'...,,- M.i., .t"{:..i Jr: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TECHNICAL TRAINING FOUNDATION EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 36 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO BOB BARTLETT MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 1551 OSGOOD STREET COMPANY ITS AGENTS OR REPRESENTATIVES. I AUTHORIZED REPRESENTATIVE i NORTH ANDOVER, MA 01844 (j DDAVIS I 840184 1 ..•.yr`4 +a. .. ,yr . r i -.- - f. ... .. _. {. .. - P Y • c .� ' la u�r�, M _ .�w�.. a - Authormfloono Represent - To Whom It May Concern; November 6, 1998 Mr. Robert E. Bartlett is authorized to represent the interests of the Hefni Technical Training Trust regarding matters concerning the property known as Campion Hall. i Ibrahim El Hefni,Trustee, Hefni Technical Training Trust i I! i i I i�. I x.10 R TFt LEO � 0 0 - over No. ,3J yO •Z 0� COCHIC dover, Mass., ADRATE D p'P�,��y SS H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR �i� �� THIS CERTIFIES THAT���.��.� �....�it!�i1V,.. _.,,.....�vV "" Foundation has permission to e«..t..R•. +o u.I............ buildings on ........... ..r d.....I..4.... .w.�.�!. ...... ..... ...l... Rough p� ..3......C.I�.I.w�........ ... s�....d... w.........................I.......".....A69#* ....R............... to be occupied as � �,,. V �0 � �0���p Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIONS ARTS ELECTRICAL INSPECTOR Rough OOP ................................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove F nal No lathing or Dry wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner r Street No. SEE REVERSE SIDE smoke Det. I r i I I a Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services I Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 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 I (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I City or Town of: 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) ( �'�,(/ (CAI,5 LUt C/,C Owner or Tenant Telephone No. Owner's Address I Is thisermit in conjunction with a building permit? Yes 0' No El (Check Appropriate Box) P J g Purpose of Building Utility Authorization No. ' Existing Service Amps / Volts Overhead ❑ UOdgrd❑ No.of Meters New Service Amps / Volts Overhead❑ _,` Undgrd❑ No.of Meters I I Number of Feeders and Ampacity I Location and Nature of Proposed Electrical Work: j nfthe following.table may be waived by the Inspector of Wires. - Total No.o t ) :VA No.o :VA Ig No.a Date _- No.1 t NORTH Zones O ,�ao ,a 9ti . No. �0 °0 TOWN OF NORTH ANDOVER A No. PE:RMI'T FOR WIRING No. "Ss,cNusfcty :es No. ] Other No. This certifies that ..... fly/, /<- J uivalent �- No ...... , has permission to perform :t�C/ ;` l uivalent `r:..': t C. 1 J rin . No wiring in the building of. le �, ;.j .... :X (-.z!6 j C ;�I - ,. � uivalent /_.. { �t—I 6 Inspector of Wires. ~�................. ..� c n pec or . ••-.,, North Andover A4ass. may s IN _.__.. s Fee..................... Lic. No. ......... %, y Issue unless the uivalent. The J,.. t,f................�;.f;:r.. q ELECTRICALINSPECTOPo (!••,• un. ;e. , Check # Pira on Date) Es--- �— I Work to Start: !: I D i cRIC FuJiCK_... 1 i o I CUS ' I 13:41 97868�84a ��� I ��..� al��i 1aro6Co.com . . I y ASL TOW Iq'Yq CS�'I T it JJ i �y,lY�6S�rY ' i It f OF � 8 gs �3 I �- Lbnt+! � rte: 3�t't .�l�r'�t' �•�� x4146 a" �►.+�} I eft•MA 01810 COXSACKM W 1m1 t°&DaUaftRaW Hudson valey Carte zw 12S 0 r•eva• 9l -800. ? •7 SE'Fax t.9oo-242 r PQ" , '0410 i-ax. 1-800-222-7309 ax: •0f9i 1-800-442.6734 � ax' f-So0,4,�a33r i ' � t Commonwealth of Massachusetts Official Use Only Permit No. O Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leave blank .APPLICATION FOR PERMIT TO PERFORM ELECT R CAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ,527 MR 12.00 (PLEASE PRINT IN INK OR TTP AL INFORMATION) Date: / 06 City or Town of, IJ DbViGg To the Insecj6r of Wires: By this application the undersigned gives notice of his or her intention,to perform the elecIrlical work d?sm'bgd below. Location(Street&Number) 1 Owner or Tenant C / // leph one No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building cavi Utility Authorization No. Overhead Ams / Volts Ove ❑ Und d gr' No.of Meters❑ Existing Service p g New Service C2/W Amps 1Q6 / Volts Overhead❑ Undgrd No.of Meters ! Number of Feeders and Ampacity Location and Nature of Proposed Ele rical Work: 410 Completion of the ollowin table may be waived by the Inspector of Wires. 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 Above n- o.o Emergency rg mg I ONo.of Lighting Fixtures Swimming Pool rnd ❑ rnd. ElBatte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.o Detection an 'c No.of Switches Initiatin Devices TotalNo.of Alerting Devices I No.of Ranges No.of Air Cond. Tons I Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers S ace/Area Heating KW Local ❑ Municipal ❑ Other p g Connection Heating Appliances KW Security Systems: No.of Dryers No.of Devices or Equivalent No.of Water Kms, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desire4 or as required 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 s e to the permit issuing office. / BOND OTHER (Specify-,. � f'� CK ONE: INSURANCE ❑ ❑ CHE (1_Virat' Date) Estimated Value of lcc 'cal Work (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,and t e sand penalties or'ury,that the info o this application is true and complete. Z, FIRM NAME: CTIrV49LIC.NO.: Lzu _5 Licensee: � Signature LIC.NO.: ®J� 7 O (Ifapplicab ter` empt"in th�Izc nse nline.) Bus.Tel.No• - - ����s: Alt.Tel.No.: R'S INS CE WAR:-I am a are 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:$ Signature Telephone No. Receiptp Commonwealth of Massachusetts 01,11cial Ise Only Permit No. Z/25 Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9,051 tlea�eblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK. VI \\ork to be performed in accordance\\i Ill the\lassac 11 UsettS Flectri ca I Code 1\II: .521711101112.00 WL E,ISE PRIN NX INK OR TY I L L INFOR 114 T10 V) Date:-h City or Town of: OM V W —DOVER— To the Inspellor IJ-Vires: By this application the undersigned gives notice of his or her intention to Pfftbrlil the electrical work described below. Location (Street Sc Number) cockicic4ol,C Iv( Owner,or Tenant j cjyj 777 Telephone No. Owner's Addre IqQP) Is this permit in conjunclion with a �uilding permit? Yes X No ❑ (Check Appropriate Box) Purpose of Building_�hbqs. z Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd❑ No.of Meters New Service 00 Amps /W /2W Volts OverheadF_1 UndgrdF] No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion able,Intiv be waived bv 1he Inspector qf jjire, No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle) Fans No.of Tolal Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above r-j In- ❑ No.of Emergency Lighting rnd. and. Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.ofDetectionid — Initiating Devices No. of Ranges No.of Air Cond. TonsTotal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW NO.of�Sclf-Co�ntained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Ej Municipal n Other Connection W Security Systems: No.of Dryers Heating Appliances #KW No.of Devices or Equivalent No.of Water No.of Heaters KW No.of Data Wiring: A Signs Ballasts No.of Devices or Equivalent 1'� No. Hydromassage Bathtubs No.of Motors Total HP ITelecommunications Wiring: No.of Devices or Eauivalent OTHER: Estimated Value of lectri ,I Work: 111tichaddiliollal th"(111 if(lesired. oi-(is roptired by die/11S/A L101'0j 1171'q.., L, (When required by municipal policy.) Work to Start7 Inspections to be requested in accordance with 'VIEC Rule 10, and upon completion. permit for the performance of electrical work may issue 1.1111CSS INSURANCE OV AG : Unless less waived by the ow ner, no pet I the licensee provides proof of liability iI1SLIraI1CC inClUdill',1"completed operationcoveratzc or its Substantial eqUiVidClIt. The tindersi-fied certifies that Such COvoAge is in force,and has exhibited proof of same to the permit isuiwy office. I, CHECK ONE: INSUR \NCE BOND ❑ (.)mFR ❑ (Spccily:) 0 7 /I. /. 4 016 I� 411 L Nolylp eft. 1cerlqj,_widerthepq isandpeta tW n ihis ejpj)lj�tl lid C FIRM NtkN[E- L I C. N 03_ 71C)2_31 Licensee: 1 S Signature LIC. 6L 1`6 Address: B us&AUo.:R24L_42 0—%5 Alt. Tel. No.: *Security System Contractor License I-C(lUircd for this w` ork; if applicable,enter the license number here: L OWNER'S INSURANCE WAIVER: I am aware that the Licensee doeSnot heive the liability iIlSLjrancecovcrac normally required bylaw. By Illy signature below, I hereby waive this requirement. lartithe(clieckone)E] owner [] owner's itgent., Owner/Agent r iignature TclLphone No. 7FE. S Commonwealth of Massachusetts Oficial_Usa.Only t c6 Department of Fire Services Permit No. 17 - Occupancy and Fee Checked , BOARD OF FIRE PREVENTION REGULATIONS Rev. 11/99 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MECJ 527 MR 12.00 (PLEASE PRINT IN INK OR TYP ALL INFORMATION) Date: o� City or Town of: t • �r��y�� To the Inspect r of Wires: By this application the undersigned gives notice of his or hgr intention to perform the a ectrical work described below. Location(Street&.Number) C G4 Owner or Tenant eC, Telephone No. 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 Amps / Volts Overhead❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Com lesion of the ollowin 'table may be waived by the Inspector of Wires. No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No. of Lighting Outlets No.of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ o. o mergency �g ing rnd. rnd. Batte Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No. of Switches No.of Gas Burners No.o etection and Initiatin Devices No.of Ranges No,of Air Cond. TotaTons l No. of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals:[ Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal El Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Watero.of No. No.of Devices or Equivalent- Signs uivalent Heaters KW Data Wiring: Si ns Ballasts No.of Devices or E uivalent No.Hydromassage BathtubsNo.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required 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: INSURANCE BOND ❑ OTHER ❑ (Specify) arrhy�0 Estimated Value of Electrical Work: (Expi tion Date). (When required by municipal policy.) Work to Start: Ins ection p s to be requested in accordance with MEC Rule 10 and completion. upon P I certify, under the p9ins and pen-alties of perjury,that the information i this application is true and complete. FIRM NALIC.NO.: Licensee: Signature LIC.NO:: Z.`�� (If applic9,,ej;W�Ipt"in the license nwnLL�line) � Bus.Tel.Addres DIr�1x��0 ICQ c}��t�h1 �.� �3Q Alt.Tel.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 Signature Telephone No. PERMIT FEE: $,��� Date..... ...„ ..�9 , f NOR7M " TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ACNUs�� This certifies that ........ .: ............ .. ................ has permission to perform ......... -�,.�� e06-- wiring in the building of....... .�y `54.....4... . .................. North Andover,Mass. Fee.... ' 1.`.! .... Lic.No...5 .Q Z g......... .,.,� '--t Q �� ELECTRICAL INSPECTOR Check !i � 6f1.4a i Commonwealth of Massachusetts Official.Use.Only ` Department of Fire Services Permit No. / 2-0 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leave blank 4 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK y All work to be performed in accordance with the Massachusetts Electrical Code(MEC 5 CMR 112.00 I (PLEASE PRINT IN INK OR TYPE AL INFORMATI� Date: . I City or Town of. V. /J � To the Inspector of Wires: I By this application the undersigned gives notice of hid,or herintention to perform the el trical work described below: Location(Street& Number) C ,J..'1 w N 7kno C ' Owner or Tenant C H N t C A U TR A I I►'U fFrephone No. � Owner's Address Is this permit in conjunction with a buil g permit? YesNo El (Check Appropriate Box) i Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Uriiigrd ❑ No.of Meters Number of Feeders and Ampacity I i Location and Nature of Proposed Electrical Work: i Completion,othe ollowin table may be waived by the Inspector o Wires. No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No. of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA Above ❑ In- ❑ o. ot Emergency LightingNo. of Lighting Fixtures Swimming Poolrnd. rnd. Battery Units � No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of Detection and No. of Switches No.of Gas Burners No. Initiatin Devices ,I No. of Ranges No.of Air Cond. Tons ToFa-1 No. of Alerting Devices Heat Pum Number Tons KW No. of Self-Contained No. of Waste Disposers Totals Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local [:] Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No. of Water No.of No. of Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required 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. I CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) i Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. l I certify, under the parts artd penalties o perjury,that the oratation on this applfi �liar is true and complete. E FIRM NAME: /s C SICK/IV9 LIC.NO.: 37001E Licensee: /TIP 12/ Signature LIC.NO::_&03 7S` h i (Ifapplicable, enter "ezenipt"in the license number line.) Bus.Tel.No.:3 702%6 L% Address: Alt.Tel.No.: i 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 [:1 owner's agent. I Owner/Agent Signature Telephone No. PERMIT FEE: $14" i I i