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Miscellaneous - 471 ANDOVER STREET 4/30/2018
/ 477 ANDOVER ST r 210/024.0-0030-0000.0 Location No. �v "ZdI Date . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ AMEMEMMELV Foundation Permit Fee $ Other Permit Fee J'i'Ali- $ TOTAL $ Check# 2 Building Inspector I _ • 1� IG®-Pd RYInPYJICAT l600�89 Bn� ®9 ,ntf,W//•nt1J��yT -��Sn , OFN(DRTH Al\�(DVER Date: Name of applicant who is purchasing the sign , Site Owner CAR ea// Phone#of applicant who is purchasing the'sign Site Address Name of sign company, tc. i� ,v Phone# ao Mans� ]� ireeIl® Size of proposed.Sign ' HOW attached; against the wall Illumination: a)Not illuminated Roof b)Internaally illuminated ound <fDideimally illuminated•- Cq•emV,%/j .(Ilp 417 /i N�. Other Materials: Proposed Colors: Background Rlvr Lettering ]order ,!:;�i Cost®f Si9-n . l]I��apunfln°edl AttacIlnmmeffitsa . Photographs of building,✓' Hlo-te: No Permanent/temporary sign shall be erected,or enlarged until an Material sample application on the Appropriate form furnished by the Sign Office has been filed Color sample with the Sign Officer containing such information including photographs,plans s Site or Plot Plaa�(Required for.all free-standing signs) ,as he may'require,and a permit for such erection,alteration, . -Drawings of proposed sign aiid scale.drawing or enlargement has been issued by him. Such permit shall be issued only of the Other,specSign Officer deter es that the sign complies or wall comply with all applicable provisions.of the ley-Law. Will sign overhang any public road or walkway Yes ( ) No If Yes,Name ofAgency who mdll provide,liability insurance: /l - I j AN INCO10/P1,F- APPLICATION WILL NOT BE ACC7EP'llp_D DATE]FM ED: Receipt# Check# Revised 10.31.2006Porm sign Permit Application ATE F APPLICANT I ���4i,< OORTH t1 E i 4, 76 r� o TOWN OF NORTH ANDOVER OArED SIGN PERMIT i sgcKus���y DATE: November 2, 2015 PERMIT: 008-2016 THIS CERTIFIES THAT Carroll Industries Inc. has permission to erect two signs on 471 Andover Street — 1- Ground Sign "Remax Partners North Andover" 2- Side of Building " Remax Partners North Andover" and "Circle Insurance Agency" provide that the person accepting this Permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover. Violation of the Zoning of Sign Regulations, Section #6, Voids this Permit. INTERNALLY ILLUMINATED SIGNS ARE PROHIBITED Inspector, f Tuirdings Amount Paid:$30.00 Check 2236 Receipt 29613 I 471 Andover St , EXISTING y�f 7 'a Q. < 9 `1' PROPOSED 0 0 E-MAIL: info@harveysigninc.com 0 978.794-2071•FAX 978.686-1841 CUSTOMERS: Please proofread carefully and sign only if all is correct. INTERIOR/EXTERIOR SIGNAGE Additional charges will be added if any changes or corrections are requested after customer signs off. FABRICATION•SERVICE•INSTALLATION This must be signed and e-mailed or faxed back before start of job 30 OSGOOD ST.METHUEN,MA 01844 X Signature/Date NOTE:LAYOUTS ARE THE EXCLUSIVE PROPERTY OF'HARVEY SIGNS%ANY UNAUTHORIZED USE OR DUPLICATION WILL RESULT IN A 20%CHARGE PER OCCURRENCE PER THE VALUE OF THE COMPLETED PROJECT.©HARVEY SIGNS 2012 ALL RIGHTS RESERVED. l mate TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . . . . . �t�. --4`? . . � � . . . . . . . . . . has permission for gas installation . . . �. . . . . . . . . . . . . in the buildings of. . . 7 . . . . . .�.«?. .! . . . , , , , , , , , , , , , , , , at ,North Ando r, ass. Fee . �. �. . Lic. No. . ?/.7.2.Y t� � . . GASINSPECTOF Check# '7 l 8 8 1 4 7 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY MA/,Ih �i1wMA DATE PERMIT# JOBSITE ADDRESS OWNER'S NAMEe/1 S /a. GOWNER ADDRESS TEL� �FAX TYPE OR OCCUPANCY TYPE COMMERCIAL,R EDUCATIONAL ® RESIDENTIAL PRINT CLEARLY NEW: RENOVATION:0 REPLACEMENT: PLANS SUBMITTED: YES F NO APPLIANCES 1 FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER ! CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR ! FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT 0 EN POOL HEATER I ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER INSURANCE COVERAGE -- - -- — -- - have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ONO EI I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY ® BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER 0 AGENT ED SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in complia ce with all P nent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAMEN LICENSE# SICNATURE -- - - MP El MGF El JP a JGF 0 LPGI CORPORATION 0# PARTNERSHIPS# LLC[J#= COMPANY NAMEI./�& J— g ADDRESS CITY I ► i�1 ��� I STATE®ZIP ]TELT... FAX — CELLEMAIL ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# ,9'//3 -3 PLAN REVIEW NOTES c ' The Commonwealth of Massachusetts - Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/ilia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leaiibly Name usiness/Or anization/individual : Address:_City/State/Zip: p i`�1(�C16'l �/� �y Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I ' 6. E]Now construction employees(full and/or part-time).* have lured the sub-contractors 2.91 am a sole proprietor or partner- listed on the attached sheet.x 7 E]Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. E]Building addition [No workers'comp.insurance 5. El We are a corporation and its 10.[]Electrical repairs or additions required.] officers have exercised their 3111 am a homeowner doing all work right of exemption per MGL I LE]Plumbing repairs or additions myself.[No workers'comp. c.152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' comp,insurance required] 13.❑Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they h're doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employee.. Below is thepolicy and job site information. Insurance Company Name:. Policy#or S elf-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a.copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or oneyear imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. �Idoherebycerr* underthe ginsand enaltieso er'u that the in ormation rovidedabove is true anti correct. P P .fP J ry f Pafore: Date: Phone 4: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit[License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone#: Information and ffnstructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract ofhire,• express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking tTie boxes that apply to your situation and,if r necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LL C or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage, Also be sure to sign and date the affidavit. The affidavit should be,returned to the city or town that the application-far the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' . compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials -Please be sure that-the affidavit is-complete-and rinteclegiliY. TheDePartm6rit hs-providd a sa_c..e_at fhebottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(ifnecessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: Tho GoMxaoamaltl.x o;FMassarl?v:sP�ts Dop.aztaent ofladusizial A,ce!dants Office offwestigatiom 6QU WasUngt<oii Street Boston,MA 02111 TO,#617-727-4900 at.406 or 1:-877,MASS.AIF Revised 5-26-05 FaX#617-727-7749 GENERATOR APPLICATION DATE: <gI I(� LOCATION: OWNERS NAME: ` 1 �5 '0- GENERATOR kw NO INSTALLATION OR GROUND DISTURBANCE BEFORE APPROVALS* CONTRACTOR: Z:.2au�/�i� i�.�a.�,, PHONE NUMBER:(y�6//'B'8- 138 ELECTRICAL GAS RESIDENTIAL COMMERCIAL TEMPORARY LOCATION OFGENERATOR:� w�� *ZONING DISTRICT: *PLANNING APPROVAL (IF IN WATERSHED) rl� *CONSERVATION APPROVAL (e�f�f' IQVI� IRJ� IVv d'1 Date........... ...�7—... . �NORTIy 3�;• ';;';��oo� TOWN OF NORTH ANDOVER PERMIT FOR WIRING f i is • 88,CFmmu This certifies that ............. �. ... .CT�i ..............::�7..e.� has permission to perform ..........3Q�c�J ....................................................................................... wiring in the building of... ttic....Aal . ................................. at ...... .77......................... .. r1............'S.1'................ ...North Andover,Mass. ...... 6 Fee.. Lic.No. .j j*"4# FGj LECTRICALINSPECTOR Chick# J Official Use Only Conyrumoalth of Massachweds Permit No. 1 L Dgvrtmerd of Fim Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: T,>rw_ -1 , G1013 City or Town of MuOn Anb_*_r 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,) t(111 t'A,8 Sk Owner or Tenant CAUEPS 1S C V Telephone No. Ot16f475-335S Owner's Address sf'im-e— Is this permit in conjunction with a buildinrg,permit? [:1 Yes No (Check Appropriate Box) Purpose of Building I 1 tepU"P` U�t�(,�� 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 TvvS�A, l golzw 03�h2A I S} 1_Aj OCANQ4 A�er Completion o thefollowing table may be waived by the Ins ector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminarie Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- EJ No.o Emergency Lighting rnd. 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. Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained .... . .. .................................... ....................... . . 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 KW 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 E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. 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. 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) GENERAL ACCIDENT INS. 7/31/13 (Expiration Date) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: REILLY ELECTRICAL CONTRACTORS,INC LIC.NO.: Licensee: JAMES J.REILLY Signature LIC.NO.: 16666 A (If applicable, enter "exempt"in the license number line) Bus.Tel.No.:508-230-8001 Address: 14 NORFOLK STREET,EASTON,MA 02375 Alt.Tel. &03-.134-00 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 d� Signature Telephone No. PERMIT FEE: / UY\ 5 11/16/06 THU 17:04 FAX 617 393 2415 MEDFORD BUILDING DEPT. Q005 .� The Comirwawealth of Massachmsetls Pepartmertt ofIndvstrial.Aceidenfs Off-lee OfL/zl�es,d al ions 600 Washington Street _ ' Bosion,MA 02HI Workers' Compensation Insurance Aimdavit:Builders/Contractors/Electricians/Plumbers Applicant Information please Print Legibly Name(Business!Organization/Individual): [ (? lac',IzI` A.ddl:ess: Jij Atu��al� �► City/State/Zip: L6d2a fns N?Q Phone#: 50!2�- a3p - doe An' an employer?Check the appropriate box: Type of project(required):PW 1•L►'J l am a employer with 4- ❑ 1 am a general contractor aad I have hired the sub-eonhactors 6. El New construction employees(full and/or part time).* 7. Remodeling 2.�] I am a sole proprietor or partner- listed on the attached sheet.f ❑ g ship and have no employees Il ese sub-contractors have s. ❑Demolition working for me in any capacity. workers'comp.insurance. g, ❑Building addition [No workers'comp.insurance 5_ ❑We are a corporation and its required.) officers have exercised their 10.❑Electrit�ll repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11_❑Plumbing repairs or additions myself[No workers'comp. c. 752,§1(4),and we have no 12.[]Roofnepairs insurance required.)t employees_[No workers' 13.0 Other comp.insurance required.] 'Any applicant that shwks box!11 must also fill out the section blow showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Coutmaors that check,this box must attached an additional sheet showing the name ofthe sub.cont®dors and their workers'camp.policy Mfomnatfon. I am an employer than is providing workers'compensation insurnrtcefor net,emplopem Below is the paficy mrd job site information 1- Insurance Compmly Name: �aJY m- .�ta Policy 4 or Self-ins.Lic-#: u os—e m Qa Fxpiration Date3 311 t Job site Allies, LA-71 City&%awaip: MorAC 1Ol3e L Attach a copy of the workers'compensation policy deciaration page(showing the policy number and expiration date). Failure to secure coverage as required render Section 25A ofMGL r 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine Of ul�to V5000 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of lavestigations of the DIA for it mumce coverage verification Ido hereby CeWir under the I and penalties oa f p4say that the feformadon provided lcove&tree en d.corrsea� i atnre: Date: Ufficiat use only. Do not write in this area,w be complded by city or town ofdaL ! City or Town: Permit/License# Issuing Authority(circle one): I-Board of Health 2-Boildhkg Department 3.City/Town Clerk 4.Eteetrical Inspector Plumbing Inspector G-Other Coutad Person- Ph one I. I .f f -__�CCOMONWEALTN OF MASS :.. LECTRICIANS -' RFGIS.TERED MASTE - R ELIvCfRi [A' 1 ;:y I UES-TiiE .....:...• - A801(ELIC ENSE'��_t:'�`•"' LECTR -t °ti_� J'�1ME-s.: ��i.RiE�'tLY=: :.: .._;:_•.:_-,__.- .. _ A. #{Jif;:,. 11A-''02,157. t4' - IfFiffx' A 07/31/13 ;$$S:OI'r ' r • - i K v MORTGAGE INSPECTION PLAN NORTHERN ASSOCIATES INC. 401 SOUTH BROADWAY,LAWRENCE MA.01843-3522 TEL:(978� 837-3335 FAX:(978) 837-3336 MORTGAGOR: ANSEL REALTY TRUST,DR.DAVID A.ANSEL DEED REF. 2969 / 224 LOCATION. 477 ANDOVER STREET PLAN REF. ASSESSORS CITY,STATE: NORTH ANDOVER MA SCALE: 1"=20' DATE. JUNE f3,2000 0 JOB #: 200/.03331 P 4 isb �-1i of f1*0 ? �1 1000 �' , \ bu ' G A J-I,�s►���,e N �S 3SJ D `1 C� �ray \� � oA) d O y" 75.00' Pr IboC7 "S'VA'c Ll — — qac b J r o-� c trot I I ttzn3 ( it qy I K+ -�-- - - -- t- 0 9 OS- 35 j3d ( co ` oo SNCL.PORCH 2 STORY I X►� a"� F Idb a a�P� . � WOODS #477 I ( 9 r7 )1)1 \d Esc. '�o�ti � I 75.00 ANDOVER STREET � ? 3pces CERTIFIED T0:MIDDLESEX SAVINGS BANK 3 y Xaa a = '� o� ' , 1,,,I � , t SFlood hazard zone has been. determined by scale a U a NORTH lo Zoning Bylaw Denial Town Of North Andover Building Department 27 Charles St. North Andover MA.01845 dS�CHUSEt Phone 978-688-9545 Fax 978488-9842 Street: ti wu�. Sf Ma /Lot: y D A plicant: N5J-� /{ _. us ._ _ Q-< u ol. t sir Request: f l v, 'L46 too +- lTro U Date• o Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning 7 -y Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage insufficient 2 Lot Area Preexisting 11 e S 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage y 4 Insufficient Information4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area N 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required Q 5 a 3 Preexisting CBA 5 Insufficient Information . 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 7 e 5 2 1 Complies . 3 Left Side Insufficient 'Ie S 3 Preexisting Height - 4 Right Side Insufficient y e S 4 Insufficient Information y e s 5 Rear Insufficient l Building Coverage 6 Preexisting setback(s) 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting 'Ia S 1 Not in Watershed e 5 4 Insufficient Information 2 In Watershed j Sign ' Nara 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information g Insufficient Information E Historic District K Parking 1 In District review required 1 More Parking Required 2 2 Not in district e S 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pre-existing Parking Remedy for the above is checked below. item# I Special Permits Planning Board Item# Variance 5-Lf Site Plan Review Special Permit C a, q Setback Variance Access other than Frontage Special Permit K- Parking Variance Frontage Exception Lot S ecial Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housin2 Special Permit Variance for Sign' Continuing Care Retirement Special Permit Special Permits Zoning Board independent Elderly Housing Special Permit Special Permit Non-Conforming Use-ZBA Large Estate Condo Special Permit Earth Removal special Permit ZBA Planned Development District Special Permit S ecial Permit Use not Listed but Similar Planned Residential Special Permit S ecial Permit for Si n R 6 Density Special Permit S ecial Permit preexisting nonconforming Watershed Special Permit The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled"Plan Review Nanative'shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file.You must file a new building permit application form and begin the permitting process. / tzd ill`�L' i a 8- -oa Building Departmen Official Signature Application Received Application Denied Denial Sent: If Faxed Phone Number/Date: Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the application/ permit for the property indicated on the reverse side: fis R ' u IO, ��edq�s �k'k,s�pl�e�� �`r�':-.is ' ✓. "'�`,t�...,r�,� 1.. � (e jc4"/a J O VUN-10/vf MIN �o� aNUf v7/U r /5 r -!�z 0 I-el /A nUYj q�J Oar01 QLaLl/$ o m!!r p vrrrrf ��P au n ��/ANtiry og/� V,4 n r d iu,-.lc . P r S e-�-,6,a< < s Referred To: Fire Health Police Zoning Board Conservation De artment of Public Works PlanninS Historical Commission Other BUILDING DEPT H°NTH f q Zoning Bylaw Denial Town Of North Andover Building Department r� 27 Charles St. North Andover, MA. 01845 ",�43 Phone 978-688-9545 Fax 978-688-9542 Street: r7/) N Map/Lot: a y O Applicant: ANSA/ Z°a/� �s_ . �7�..�� �n�P. , s / Request: �4cQ j�1012 Date: _ Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning -3 - 9 Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting L� e S 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area N r,' 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required 5 a 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient y e s 2 Complies 3 Left Side Insufficient 'le S 3 Preexisting Height 4 Right Side Insufficient -►e S 4 Insufficient Information �_j e S 5 Rear Insufficient I Building Coverage 6 Preexisting setback(s) 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting 1 Not in Watershed e 5 4 Insufficient Information 2 In Watershed j Sign 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District Parking 1 In District review required 41� I More Parking Required 2 Not in district e S 2 1 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 1 Pre-existingParking Remedy for the above is checked below. Item # Special Permits Planning Board Item # Variance j3- Site Plan Review Special Permit a, y Setback Variance Access other than Frontage Special Permit IAC- I Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special Permit Special Permit Non-Conforming Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Development District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit S ecial Permit for Sin R-6 Density Special Permit Special Permit preexisting nonconformin Watershed Special Permit �{ f-C-i-U The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file.You must file a new building permit application form and begin the permitting process. _1 duing Department'Official Signature Application Received Application Denied Denial Sent: If Faxed Phone Number/Date: Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the application/ permit for the property indicated on the reverse side: ��. r 3. ✓sK }. *�r y,+Y�p�, ,}� }ti! ,a 4 a! (� ) 4fs it th b�.t �„'? 1.K r } _, z t �i ;y,y q K a N /v'J © � � UN-Caiv��r /�l� �v� a•�� �7%'U�r o J" ops MD e / cJ/` ��l j S 7V L)1 �17� cu YI ��/1�NNl� pay" ('(a NC ce )Oo r � /el �j T S J � S � T6Ac Referred To: Fire Health Police Zoning Board Conservation Department of Public Works Planning Historical Commission Other BUILDING DEPT 2 Silver Ledge Road, Newbury, MA 019511 Office: 975-462-4.331 • Cell: 975-973-23616- l=ax: 978-462-5528 • email: jfix@comcasl.net August. l3,2009 Inspector of Buildings—Town of North Andover 1600 Osgood Street North Andover,MA 01845 Re: Construction at 477 Andover St.,North Andover,MA Dear Building Inspector: Yesterday.I visited the Ansel office building at 477 Andover St.in North Andover to observe the accessible areas of the roof framing renovation. During my site visit I observed that the structural. work appeared to have been constructed in general accordance with—or met the design intent of- the design drawings,dated 5/18/09,prepared and stamped by me. If you have any questions,please feel free to contact me. Sincerely, �M�tM OF h4l'fi4 t� G SEPH P. PTX M STRUCTURAL No.34061 Joseph P.Fix,P.E. �� �astEa�c I Date. . . l:. �? :?9 ... .. NORT/, Of TOWN OF NORTH ANDOVER - PERMIT FOR GAS INSTALLATION t SACHUSES �^+ This certifies that .��y t,c_. . . . _ . ,. . . . . . . . . . . . . . . has permission for gas installation. . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . .•r. ?. . . . . . .. North Andover, Mass. Fee7: .6". . . Lic. No. Y�. . . . . . . . .. . . . . . . . . . / GASINSPECTOR Check# �S 6G -68 1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING L City/Town: Date:�j-���D� Permit# Building Locatic. �/;' oO Z>'P-tom/? Owners Name: / Type of Occupancy: Commercial Educational Industrial Institutional Residential New: Alteration:. Renovation: Replacement: Plans Submitted: Yes No . FIXTURES rn w Z w Y N X< U) U Q X X O F- m _ 0 uj W U W l W WW zzZ < z O W j X p F- to Z � w (n w Q m 0 F- W O Q O a H U) U) U z W O Q w rn p Q = 0 a LL LU I- w W _z x H w o WLLI W z J F— F— O z J (7 u_ _ W W W O Q R w w < w O z 0 h z Q Q Q = I U o o w 0 0 = = _j O a W X H > > O SUB BSMT. BASEMENT 1 FLOOR 2 NL) FLOOR 3 FLOOR , FLOOR 5 FLOOR 6 FLOOR 7 TH FLOOR 8 FLOOR i ! Installing Company Name: Check One Only Certificate# y�,.�.�- Corporation � Address: ��,q S/ City/Town: Statey�(� VVV Zip Cod Partnership Btjsiness Tel Cell: ;; 3 Firm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes�ON0 If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. i 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner Agent Signature of Owner or Owner's Agent By checking this box I];I hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: jBy lumber Title Gas Fitter Signature of Licensed Plumber/Gas Fitter /" Master I City/Town Journeyman LPlnstaller License Number: (— APPROVED(OFFICE USE ONLY Ui7 of To-wn of Andover Massachusetts (Office Hours 8:00A.M to I0.00A.M.) Gas Plumbing Fees Effective March 12,2003 ❑NEw: New Construction and Additions ❑ RENOVATION: Plumbing within the existing system ❑ REPLACEMENT: Removal and replacement of a fixture to the existing piping *ALL TENANT FIT-UPS ARE CONSIDERED "NEII7" PLUMBING FEES New Domestic Construction— up to 3 Units $100 plus $5 per fixture DNEW New Domestic Constriction— 4 units or more $200 lus $5per f acre DNEW Renovation (Domestic) $50 plus $5 per fixture DREN Re lacennent (Domestic) Existing Fixtures ONLY $10 plus $2 er fixture DR-EP Backflow Preventer(for boilers) $10 plus $2 er fixture DREP Backflow Preventer(for irrigation systems) $25-00 DBAK New Commercial /Industrial $200 plus $5 per fixture CNEVA7 Commercial —Renovation $100 plus $5 per fixture CR-EN Commercial Replacement— Existing Fixtures ONLY $5Q_plus $5 per fixture CREP Backflow Preventer(for boilers) $50 plus $5'per fixture CREP I Backflow Preventer (for irrigation systems) $25.00 CB AK Re-inspection Fee $25-0CSp GAS FEES New Domestic Construction — up to 3 Units $75 plus $5 pera liance DNEW New Domestic Construction — 4 units or more $150.plus $5 pera liance DNE\:T Renovation (Domestic) $50 plus $5 pera liance DREN Replacement(Domestic) Existing Appliances ONLY $20 plus $2 per aEpliance DREPj Gas Boiler/Furnace/Conversion Bumer (Domestic) $50 plus $5 pera liance DREN New Commercial /Industrial $150 lus $5 pera liance CN-EW Commercial—Renovation $100 plus $S pera liance CREN Commercial Replacement— Existing Fixtures ONLY $50 plus $5 pera liance CREP Gas Boiler/Furnace/ Conversion Burner (Commercial) $100 Ius $5 pera liance CREN MISCELLANEOUS Gas Log/Fire Place $50 plus $5 pera liance DREN Gas Stove/Heater $50 Ius $5 pera liance DREN L.Utility./ Bar Sinks $10 plus $2 per fixture DREp Ca ped Sewer Lines $25.00 SCAT I Re-inspection Fee $25.00 INSP ': These fees are used if the errniit is f tnic wn.-tx ne y- 'af t:.P i erm inC ,xte •,*C i„ o +t t� lL s vim..- p.urn bin �',ror kc, ttte fee charged will be the fixture fee which appears under renovation, replacement or new work ($2.00 or $5.00) Date PT" TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SS US This certifies . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform plumbing in theAwildings of . . . . . . . . . . . . . . . . . . . . . . at. .-'1.77 ... . . . . . . . . " North Andover, Mass. Fee.. Lic. NoXMI24. . Lx * . . . . . . . . . . . . . INSPECTOR Check !/ 8115 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: ` � MA. Date: ,(,-,Z7-OF Permit# I/5f Building Location: h7 �i�i9Wy�2fj� Owners Name: . ` 1 Type of Occupancy: Commercial Educational ❑ Industrial ❑ institutional ❑ Residential [ New: ❑ Alteration: ❑ Renovation: (7 Replacement: ❑ Plans Submitted: Yes ❑ NO [ FIXTURES z z ut o I � U) U) < to } --1 = Imo- w Cn CL LL z l- Y Q I (n JU W Z = U) Q U) W Z _W W _Z F to O0 _Z H Q � W CL W U) QW Y rn -iQ- X W Q Q h" Z } W W Z U? (D U 2 Q LL Y = O O P S = z Q � Y Uj U-1 Q = w W w � Q Q O rn F- > > O O O z Z E- t>- _ m m Q QZj C� O Y J > J Q LL O SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3 FLOOR 4 1FLOOR 5 FLOOR 61 FLOOR 7 FLOOR -W-f LOOR installing Company Name: Check One Only Certificate # /G. lJ6Lf ,� �7 Q� corporation Address: �l/j City/Town: State: (( / Zip Code:&X ❑ Partnership I Business Tel: �� _ �fi Cell: 2 Fax: �7Z� I ❑ Firm/Company Name of Licensed Plumber . INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes,8=Jo [ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. 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 th I Massachusetts General Laws, and that my signature on this permit application waives this requirement Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that al!of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of m� Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License: Title mber Signature of Licensed Plumber City/Town aster i APPROVED OFFICE USE ONLY Journeyman License Number: �� �� �" :r'p coA tiff DO i ` 'own of Andover Massachusetts (Office Hours 8:00 A.M. to IO:00 A.M) Gas & Plumbing Fees Effective March 12,2003 ❑NEW:New Construction and Additions ❑ RENOVATION: Plumbing within the existing system ❑ ��cEPLACEMENT:Removal and replacement of a fixture to the existing piping ALL TENANT FIT-UPS ARE CONSIDERED"NEA`T" PLUMBING FEES New Domestic Construction — up to 3 Units $100 plus $5 per fixture DNEW I,,Tev�, Domestic Construction — 4 units or more $200 plus $5 per fxture DNEW Renovation(Domestic) $50 plus $5 per fixture DREN Rep]acenitnt (Domestic) Existing Fixtures ONL zT $10 plus $2 per fixture DREP Backflow Preventer(for boilers) $10 plus $2 per fixture DREP Backflow Preventer(for irrigations stems) $25.00 DBAK New Commercial/Industrial $200 plus $5 peTfixture CHEW Commercial —Renovation $100 plus $5 per fixture CREN Commercial Re lacement—Existing Fixtures ONLY $50 plus $5 per fixture CREP Backflow Preventer(for boilers) $50 plus $5 per fixture CRV l Backflow Preventer (for irrigation systems) $25.00 CBAK Re-inspection Fee $25.00 IN yP GAS FEES New Domestic Construction —up to 3 Units $75 plus $5 per appliance DNEW New Domestic Construction — 4 units or more $150 plus $5 per appliance DNEW Renovation (Domestic) $50 plus $S pera liance DREN Replacement (Domestic) Existing Appliances ONLY $20 plus $2 per appliance DREP Gas Boiler/Furnace/ Conversion Burner(Domestic) $50 plus $5 pera liance DREN New Commercial/Industrial $150 plus $5 pera liance CNEW Commercial—Renovation $100 plus $S perappliance CREN Commercial Replacement—Existing Fixtures ONLY $50 plus $5 pera liance CREP Gas Boiler/Furnace/ Conversion Burner (Commercial) $100 plus $5 pera liance CREN MISCELLANEOUS Gas Log/Fire Place $50 plus $5 per appliance DREN Gas Stove/Heater $50 plus $5 pera liance DREN Utility/ Bar Sinks $10 plus $2 per fixture DREP Ca ed Seiner Lines $25.00 SCAP I Re-inspection Fee $25.00 INSP -:`` hese fees are used if the permit is for fni< <-vn,-k ou:y. Il t:.e �ermit ir.c1ud thee; i , t _ es o piumbiug vrorn tEze fee charged will be the fixture fee which appears under renovation, replacement or new work ($2.00 or $5.00) Date..... '• NORTM 51 TOWN"° TOWN OF NORTH ANDOVER Siam. p PERMIT FOR WIRING ,SSACMUSE� Thiscertifies that ... ................................................. ...................................... ................................ ..... .......... t�.94 ����.'has permission to perform A�. ........ i..... wiring in the building of �G-Cvl2 i e;y SSS P —is� •at....L 7 7..�?' .. .................... .North Andover,Mass. �/S .� Fee... ............ Lic.No..S...OQ. ....................... .. .. .. ...... .. .... p / Cje EL. ICAL INSPECTOR /f l j Check # �S6D�j� ���.J� c `J 8296 l.ommonwea&n//t'/amackueetb Official Use Only cc� c7 Permit No. O %� 2epartmenl o1}ire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank) V.- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFO,�TION) Date: xbz/D ip City or Town of: Or r< a tle& 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) *77 y �0 ae i2 S7, ' 2F or Tenant (21)/ re17 'S ��!e fn/C4- t]rr-I e Telephone No 57— 76 �3 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity i' ' Location and Nature of Proposed Electrical Work: �S l ►G'� Ot= St e u t^t o r --t re S 1 f Completion of the followingtable maybe waived by the Inspector of[Vires. r` No.of Recessed Luminaires No.of Ceil: P (Paddle)Fans Sus addleTransTotal Trsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- o.o Emergency Lighting No.of Luminaires Swimming Poo[ d ❑ rnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.o Detection andInitiating Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers eat Pump Number ons o.of Self-Contained P Totals: _._..__..._................_.........__—_. Detection/Alerting Devices _ No.of Dishwashers Space/Area Heating KW Local Municipal, ❑ Other Appliances curity Systems:* No.of Dryers Heating PP ' r Equivalent No.of Water KW NO.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent r� a ecommuntcations Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER U 4 rj_ 16157 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Qua-ec t�• Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Q BOND ❑ OTHER ❑ (Specify:) I certify,under the pains andpenalties ofperjury,that the information on this application is true and complete- FIRM ompleteFIRM NAME: S2 r t S-,c r es LIC.NO.: -- SC Licensee: mQf 1��r `(J�ll Signature LIC.NO.: x15C. (If applicable,enter "exempt"in the!teen umber line.) Bus.Tel.No.: w 0,-3 Address: 1 s, CLI r'1T in 71^. V�y t S 0 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. �LX� ISS OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ �S Signature Telephone No. ✓/ra �a»e��conu�eall/ 4�✓v(aedac�uteeld X DEPARTMENr OF PUBLIC SAFETY S-LICENSE — r ' Number: SS CO 000953 °=r Birthdate: 02/07/1958 Expires: 02/07/2009 Tr.no: 187.0 S-License: ADT SECURITY SERVICE MARK A BROPHY SR 111 MORSE ST G- NORWOOD, MA 02062 Commissioner DIG SAFE CALL CENTER: (( MASSACHUSETTS AN,SER DRIVER'S LICENSE i S29197428 ' WE OF BIRTH CUSS REST HEIGHT 1E1 02-07-1958 D 5.10 M UNRES 02-07-2009 BROPHY r ' MARK A ; 104 BOSTON ST MIDDLETON,MA I . I Fold,Then Delech Along All Perforations -I COMMONWEALTH OF MASSACHUSETTS BOARD I OF ELECTRICIANS FA REGISTERED SYSTEM CONTRACTOR ISSUES THIS LICENSE TO I , TYPE ADT SECURITY SERVICES , INC. MARK A ',BROPHY SR —C 111 MORSE ST N NORWOOD MA 02062-4602 353795 45 C 07/31/10 353795 Fold.Then Delach Along AN Perforallons Date,.3'.3/ If 7/ ...... t �aORTry 1 3?°.<;�``.°.;•;."�o� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ��ss^CHU Thiscertifies that ...........::.......................... ................................................ has permission to perform ...t-.'. ........................^.-s -. ..�......................................... wiring in the building of.....� r..,I.e.:�re........ at q'�......... ... ,Ndrth Andover,Mass. Fee/ ............ Lic.Nog. \. / r .�:.................. G _ .._........ � ELECTRICAL INSPECTOR Check # 5110 Official Use Only Permit No. ��ed�?�uYJ2Z�/��fl'�f d� ,SSrf�Zt.S�77,S C*i S*-o / Occupancy&Fee Checked/105, BOARD OF FIRE PREVENTION REGULATIONS 527 CM 12:00 APPLICATION FOR PERMIT TO PERFORM LECTRICAL WORK All work to be performed in accordance with the Ma chusetts ectrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date 1313,f16 To uhgc nwNaa.avi v • uca. Town of North Andover . The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number yuodvie Sr Owner or Tenant NJ ( r �ft7y T',C(1a-1- Nvzl/l 17119d"e /.4�'e/GS Owner's Address lJ ✓'t~M I Is this permit in conjunction with anbuilding permit Yes �r L No 0 (Check Appropriate Box) © Purpose of Building r i✓1 �i,e )1( u-w hf/c C` Utility Authorization No. Existing Service Amps Voits Overhead 0 Undgmd a No.of Meters New Service Amps Voits Overhead a Undgmd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work T:"V 11-/Y z U-41,,1,11 (J_ "p-N0 "Y lC L' Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above 0 In 0 No.of Lighting Fixtures 10Swimming Pool gmd 0 gmd 0 Generators KVA No.of Emergency Lighting No.of Receptacles Outlets O No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Diposal No. Pumps Tons KW No.of Sounding Devices NoJ of Self Contained No.of Dishwashers SpacelArea Heating KW Detection/Sounding Devices 0 Municipal a Other No.4 Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.If Water Heaters KW Signs Bailases Wirin No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE_ Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO have submitl. d proof of same to the Office YES= NO a If you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE BOND - OTHER . (Please Specify) (Expiration Date) Estimated Value of.Electrical Work$ Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perjury) FIRM NAME L� ! 'J 972! LIC.NO. Licensee 'i ObA411 0ITfqt:x Signature /� LIC.NO. A/ Bus.Tel No. ! Y� J 7 /G Address__j �j t-t err �t) �fl Alt Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $_/GZ) ' (Signature of Owner or Agent) The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: Location: City Phone r—I am a homeowner performing all work myself. F-1I am a sole proprietor and have no one working in any capacity I am an employer providing,workers' compensation for my employees working on this job. Company name: Address City Phone#: Insurance Co Policv# Company name: Address City Phone#: Insurance Co Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 f and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. t I do herby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name Phone# Official use only do not write in this area to be completed by city or town official' ❑ Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#. ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION Location -T n �cJ�oU4(� % l- - No. lNo. oZOa Date 9- (°003 MORTM TOWN OF NORTH ANDOVER F 9 certificate of Occupancy $ b' Building/Frame Permit Fee $ ,SS�CHUSE Foundation Permit Fee $ Other Permit Fee AZA $ —)L TOTAL $ O O s s Check # 5 673 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT � • APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: M SIGNATURE: At Ce.�� Building Commissioner ctor of Buildings Date SECTION 1-SITE INFORMATION I Z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number n 1.3 Zoning Information: 1.4 Property Dimensions: t_ (t3 u5 i N eSs ;-7 T5__' O Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 1.7 Water Supply M.G.L.C.40.5 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSE IPIAUTHORIZED AGENT m 2.1 Owner of Record At��Se.I gea A-Y Trtjs1- L4 7 1 Andover 5 1% ,)0. ye31yee-- f NaTe(Pan Address for Service: e-- �Telephone Signa a/� 2. r of Record: Name Print Address for Service: Z ' M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licerl;ed Construction Supervisor: Not Applicable ❑ ober-r' Moor e Licensed Construction Supervisor: FL 3 License Number Mn Address O. 1 Lni tv Expiration Date I Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ t Company Namp Registration Number kddress soma Expiration Date Z 5i2nature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance a'jdavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building 0 Repair(s) 0 Alterations(s) 0 Addition 0 Accessory Bldg. ❑ Demolition 17 Other 0 Specify Brief Description of Proposed Work: Qc�-Z- le, 3 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OF'>HCIAL USE ONLY Completed by permit applicant 'R" 1. Building (a) Building Permit Fee Q Q(jQ Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I as Owner/Authorized Agent of subject property. Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owwier Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, Q®h e rt M n o r e as Owner/Authorized Agent of subject property r Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief E Q� be --t M Ansc e, Prinze�' 312003 Si ature of Owner/Agent Date � NO. OF STORIES SIZE BASEMENT OR SLAB RD SIZE OF FLOOR TIIVIBERS 1 2 3 SPAN DIMENSIONS OF SILLS DDTENSIONS OF POSTS r DDvIENSIONS 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 i Essex. North Count', Registry of Deeds -381 Con mbn Street Lawrence, Nassachusetts 018,40 091 i9t 0_ IM lila :1ReF i_e_i,`"jJ a , c - •__-.•_ �'{:E . i, tJo :iii ..r D. 'W% f ) l P-lyn-nient Check Town of North Andover t1ORTH Building Department 3�0`�i-10 , 4*, Building 27 Charles Street o :.:7- North North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 e � _ I .au�4TED APa`y y Building Demolition Affidavit �Ss7 CHUS��c DATE _ OWNERS NAME &ADDRESS5-�- 437 AmAnuer 5+• oVQ. Awdcoc PROPERTY LOCATION q -7-7 14 r,,4 0 c>e r 5717 DESCRIPTION l)r`! a:ft®.s k e �3 6 m V G o.,r_A2,j CONTRACTORS NAME &ADDRESS C 6(O i w I U i Qsa ra�a TvrvVto1, e b�t- . NO. Andayer YY\ DEPARTMENT SIGN-OFFS D.P.W./ TER &)IA: � � SEWER GAS - 2t ELECTRIC TELEPHONEcP Ab CABLE TAXES ` �A 90)63 POLICE FIRE p EXTERMINATOR 0 Z'� 103 DUMPSTER-ON/OFF STREET ® -EP 6+rr,c. } DI_G SAFE NUMBER O U. Li O Cc BLDG. INSPECTOR DATE RECD NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in properly licensed solid waste disposal facility as defined by MGL Chapter 111, S 150 A. The debris will be disposed of in: (Location of Facility) Signature of Pe 't Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR ' 1 Number: CS 052483 B i rthdate: 02/06/1960 Expires: 02/06/2005 Tr.no: 7380 Restricted: 1 G j ROBERT G MOORE 137 FOREST ST N ANDOVER, MA 01845 Administrator William Barrett Homes 1049 Turnpike Street No Andover, MA 01845 (978)682-2320 (978)682-2397 fax CONTRACTOR AGREEMENT THIS AGREEMENT made the 29 day of August, 2003 by and between William Barrett Homes , hereinafter called the Contractor. 1049 Turnpike Street No Andover MA 01845 and Ansel Realty Trust , hereinafter called the Owner. 477 Andover Street No Andover MA 01845 Witnessed, that the Contractor and the Owner for the consideration named agree as follows: Article 1. Scope of the Work The Contractor shall Raze the existing 3 stall garage and remove off site in dumpsters. After the garage is removed the area will be able to be used as temporary parking until the parking lot is complete. The contractor is applying for and paying for the permit to Raze. Article 2. Time of Completion The work to be done under this contract shall be commenced on or about ASAP Time is of the essence. Article 3. The Contract Price The Owner shall pay the Contractor for the material and labor to be performed under the Contract the sum of $ 7,200.00 , subject to additions and deductions pursuant to authorized change orders. Article 4. Progress Payments Payments of the Contract Price shall be paid in the manner following. 1 st. At Signing of Contract $ 2400.00 2nd. At completion $ 4800.00 , Article 5. General Provisions 1) All work shall be completed in a workmanship like manner and in compliance with all building codes and other applicable laws. 2) To the extent required by law all work shall be performed by individuals duly licensed and authorized by law to perform said work. 3) Contractor may at its discretion engage subcontractors to perform work hereunder, provided Contractor shall fully pay said subcontractor and in all instances remain responsible for the proper completion of this Contract Sub Contractors work for William Barrett Homes only; any extra work performed will be billed as Extra.Work Orders. 4) All Extra Work orders shall be in writing and signed both by Owner and Contractor. An administrative charge of$50.00 will apply to Extra Work orders over 5. Overages on allowance are not included in the 5. 5) Contractor warrants it is adequately insured for injury to its employees and others incurring loss or injury as a result of the acts of Contractor or its employees of subcontractors. 6) Contractor shall at its own expense,obtain all permits necessary for the work described herein to be performed. The Contractor will also be responsible for implementing on-site work required of the Order Of Conditions(OOC)issued by the Town/City Conservation Commission.The Ownerwill be responsible for implementing all administrative conditions of the OOC including but not limited to required recordings at the Registry of Deeds,bond postings,as-built plans or obtaining the Certificate Of Compliance. 7) Contractor agrees to remove all debris and leave premises in broom clean condition. 8) In the event Owner shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pending payment or resolution of any dispute. 9) All disputes hereunder shall be resolved by binding arbitration in accordance with rules of the American Arbitration Association. 10) Contractor shall not be liable for any delay due to circumstances beyond its control i including strikes, casualty or general unavailability of materials. 11) Contractor warrants all work for a period of 12 months following completion. See separate warranty for detailed description of coverage and/or exceptions. 12) There is an additional charge for paint colors that exceed 2, trim is not considered a color, $100.00 each additional color. 13) Any landscaping, driveways and sprinklers that we disturb during construction will be repaired to the best of our ability within a reasonable cost This excludes any work that is part of the agreed contracted work and cost is included in the price. 14) If Owner chooses to have their own sub contractor perform work they will solely be responsible to schedule work, delivery of materials and warranty the work performed. If any damage to work that has been performed by or will affect the job performance of William Barrett Homes, then the Owner will be billed directly for cost of repairs. 15) In any case where unsuitable soils exist or ledge is found, an additional charge may be billed to accommodate the additional costs. Article 6. Other Terms: NONE 'I Notice: All home improvement contractors and subcontractors engaged in home improvement contracting, unless specifically exempt from registration by provisions of Chapter 142a of the general laws, must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston MA 02108. Designated Registrants Name Colonial Village Development Corp. Registration Number 134690 Salespersons Name CHARLES_T PISCATELLI Notice: No agreement for home improvement contracting work shall require a down payment(advance deposit) of more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must make,in advance, to order and/or otherwise obtain delivery of special order materials and equipment,whichever amount is greater. Notice: If the homeowner obtains his own construction-related permits for the work described under this agreement, the homeowner is hereby advised that in the event of a dispute,judgment and nonpayment of the contractor, the homeowner will not be entitled to make a claim to or collect from the guaranty fund established by Chapter 142A,M.G.L. Exhibit A I I SPECIFICATIONS As specified in written quote. I GUARANTEE: The contractor shall guarantee that he will make good, at his own expense, any defects arising from poor or improper workmanship for a period of one year after completion or provide the same guarantees from his subcontractors or from manufacturers of materials and/or appliances installed in this home. This building will conform to all municipal, state, and federal regulations affecting this work. See Warranty for details and exceptions. HOMEOWNER: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Signed under seal this s( day of 2003. Signed in the presence of r By It Cf Contractor By w I i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: Location: City Phone aam a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity �am an employer providing workers' compensation for my employees working on this job. Company name: C D l o y i 1 o' U Mo0.-Q P Address ®L4 q --0 12 1 k c-, si— City AnAayer Phone* qlS —to 8"a -- a3aO Insurance Co.-rk op 'T rave t erS T-n e N% YV% C G Policy# (o V t) G-7 33O(-4 g•to-,5-Q3 Company name: Address City Phone#: Insurance Co. Policy# =two 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 andlor one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the OLA for coverage verification. I do herby certify under the pains and penf perjury that the information provided above is true and correct SignatureR penalties Date $ g Print name ^b 6 e r 1 O D(6 Phone# Official use only do not write in this area to be completed by city or town official' ❑ Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION WORKERS COMPENSATION TPravelersproperty Casualty�� t,M—W.fTravelersG P AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (GKUB-7330A86-5-03) NEW-03 INSURER: THE TRAVELERS INDEMNITY COMPANY NCCI CO CODE: 11347 1' PRODUCER: IN TARPEY INS GROUP P INC COLONIAL VILLAGE DEVELOPMENT 442 WATER ST INC PO BOX 567 1049 TURNPIKE STREET WAKEFIELD MA 01880-4667 NORTH ANDOVER MA 01845 Insured is A CORPORATION Other work places and identification numbers are shown in the sch�dhee(nsuredcs mailing address. ion 2. The policy period is from 03-2403 t0 03-24-04 12:01 A.M. a 3. A. WORKERS COMPENSATION IN Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA Two of the policy applies to work in each state listed in B. EMPLOYERS LIABILITY INSURANCE: Part item 3.A. The limits of our liability under Part Two are: <� Bodily Injury by Accident: $ 100000 Each Accident o� Bodily Injury by Disease: $ 500000 policy Limit 100000 Each Employee Bodily Injury by Disease: C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: SEE ENDORSEMENT WC 20 03 06 D. This policy includes these endorsements and schedules: _ SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE o policy will be determined by our Manuals of Rules, Classifications, Rates and Rating 4. The premium for this po y audit to be made ANNUALLY. Plans. All required information is subject to verification and change by ST ASSIGN: MA DATE OF ISSUE: 04-16-03 DD OFFICE: ORLANDO INDUS AFF 161 27TLY PRODUCER: TARPEY INS GROUP INC 004907 4 INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having Jurisdiction have been obtained.This does not relieve the applicant and or landowner from compliance with any applicable requirements. applicant nt and' r landowner.ner from.......�,.,.t.......................................... APPLICANT/�.��1'Z /�Al � / PHONE ASSESSORS MAP NUMBER LOTNUMBER SUBDIVISION LOT NUMBER Z STREET. `177 . mat�o�/ ...............STREETNUMEBER... ........... OFFICIAL USE ONLY ............................................................................ RECOMMENDATIONS OF TOWN AGENTS DATE APPROVED 40 '/VAAATION]ADNMZS OR DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED COQ DATE APPROVED OTT R-. TH DATE REJECTED /DATE APPROVED j(2. J0 OR-HEALTH DATE REJECTED COzvO&-Nrs (, v �A;>p/T/od/ 4MdZ71-1 PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWA DATE APPROVED FIRE DEP TMENr DATE REJECTED COQ RECEIVED BY BUILDING INSPECTOR DATE NORTH Town of 0 Andover No. C; � z � � - ,a _a�o dover, Mass.,- 3 0 E D BOARD OF HEALTH Food/Kitchen PERMIT TO , R , Septic system THIS CERTIFIES THAT.......Av...s.!,!k... .................................. ...Y..........T. BUILDING INSPECTOR .. ..... 'M ................ Foundation has permission to est. A.z..t ....... buildings on... ....... Rough to be occupied as.......DetbAke A........ Y . Lb Chimney ........... . ........% 01...............................1-4-1-1-...........— 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-Vws relating to the I spection, Alteration and Construction of Buildings in the Town of North Andover. *14 / 30 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION Rough ........A..... ..... TARTS4... ..... Service BUILDING INSPECTOR 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street NO. SEE REVERSE SIDE Smoke Det. Linq Location ' No. 0�2 01 Date _LCL—U �oRTM TOWN OF NORTH ANDOVER 3? � • O0L � 9 s ; ; Certificate of Occupancy $ �'�s• E��' Building/Frame Permit Fee $ swcNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 8 z •r _U �j' t Check #673 Building Inspector 1 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH 4 ONE OR TWO FAMILY DWELLING s .... ..,:.... .: -' - '.1:1113: 3UILDING PERMIT NUMBER: D DATE ISSUED: 3 SIGNATURE: Building Commissioner/Inspecior of Buildings Date SEC'T'ION I-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: x/7-7 1 o y Map Number' Parcel Number N Q 1.3 Zoning Information: 1.4 Property Dimensions: f cS;cv�s s e0'775's 1- 7�. Zoning District P osed Use Lot Area(sf) Frontage ft 1.6 BUII.DING SETBACKS ft Front Yar Side Yard Rear Yard Required Pr 'de Required Re *red d L7 tVater Supp M1.5.1.5. Flood Zone Information: 1.8 Sewerage Disposal S Public Private ❑ Zone Outside Flood Zone ❑ Municipal Q_ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSFIIP/AUTHORMD AGENT 2.1 Owner of Record :;. 1177 ,Name(P Address for Service $ ?X 97S -359 ' 1 Sign re � j F5y / Telephone W moi✓i'7'.[� -- W 2.2 Owner of Record: Name Print Address for Service: z y , M Signature..' ' Telephone SECTIO 3-CONSTRUCTION SERVICES 3.1 Licensed.0 on 3.1 Not Applicable ❑ /-moi '' Licensed Construction Supervisor: o 0 License Number Addres /� d a"4 Expiration Date Signature V Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ `�ompany Name. A' ���r. Registration Number :address 91W 6�,;?—oZ 3 Expiration Date is iature Telephone SECTION 4-WOV-KERS COMPENSATION(NLG.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result < in the denial of the issuance of the building rmit. Signed affidavit Attached Yes....... No.......0 SECTION 5 Description of Pro osed Work(check all a Hcable) Addition New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Accessory Bldg. ❑ Demolition Other ❑ Specify Bnef Description of Proposed Work:40 rn r 7'�J e SECTION 6-ESTIMATED CONSTRUCTION COSTS OICIAL.USE:ONLX Item Estimated Cost(Dollar)to be Completed by emut applicant 1. Building (a) Building Permit Fee Multiplier (b) Estimated Total Cost of 2 Electrical ' y Construction 3 Plumbing Building Permit fee(a)Y (b) nn 4 Mechanical(HVAC) Fire Protection Check Number 6 Total (1+2+3+4+51 - G v--- SECTION 7a OWItiER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property. Hereby authorize Q c= fj�l d to act on My behal` ' ma ativ or • razed b is building permit application. /S Date Signature o ie SECTION NER/AUTHORIZED AGENT DECLARATION as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are trate and accurate,to the best of my knowledge and belief 7 Print N' Date Signature of Own /Agent IRS STORIES SIZE NT OR SLAB Is iN3 RD FLOOR TIMBERS DIMENSIONS OF SILL S DIMENSIONS OF POSTS SIONS OF GIRDERS THICKNESS OF FOUNDATION X FOOTING IAL OF CHRANEY l IS BUILDLTiG ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL.GAS LINE 1-71-4X7 Essay. North County Regis-try of Deeds 71 Common Street Lawrence, As5«h6 018-140 09 G0 110 . . mgmk GU''L qiL G 7� (e3Si # S S G iye u DOC. 5-673i . G S . ,m �����c� �.m # y E: : iJa +rte % P. . R C J. owl 17.0 ° 150.01-0 Gyk ' mAK �£ mmw a9yG The Commonwealth of Massachusetts t Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: Location: city Phone am a homeowner performing all work myself. �I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Ci 0 L n1,j 10_ o, a e, %0 e J e- o40 0-\ e Address 10y9 -1—urY\-) piUe, `5+ City V\,)0 +V-N 'P►n (A n LJ e r7 Phone#: Insurance Co-7 g-7 r-a i)e,1 er -S Tn Aem A)i J-.t Policy# ( K/iJ `7 3.30 A$(o-,5 - 03 Company name: Address City Phone#: Insurance Co Policv# 1 1111161111111111111 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 andtor one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and Pena ' s of perjury that the information provided above is true and correct Signature 4�`'�'P Date g a0 Print name K o 1J e r+ m o o'r e Phone# Co$a - a 3a0 Official use only do not write in this area to be completed by city or town official' ❑ Building Dept []Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION 1�,' 7 �' i Z`* I L TravelersPropertyCasualty� I� WORKERS COMPENSATION wM..b—,RavelersGraup v AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (GKUB-7330A86-5-03) NEW-03 INSURER: THE TRAVELERS INDEMNITY COMPANY NCCI CO CODE: 11 347 1. INSURED: PRODUCER: COLONIAL VILLAGE DEVELOPMENT TARPEY INS GROUP INC INC 442 WATER ST 1049 TURNPIKE STREET PO BOX 567 NORTH ANDOVER MA 01845 WAKEFIELD MA 01880-4667 Insured is A CORPORATION Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from 03-2403 to 03-24-04 12:01 A.M. at the insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: $ 100000 Each Accident Bodily Injury by Disease: $ 500000 Policy Limit Bodily Injury by Disease: $ 100000 Each Employee o— C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: SEE ENDORSEMENT WC 20 03 06 a� D. This policy includes these endorsements and schedules: o SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating u� Plans. All required information is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 04-16-03 DO ST ASSIGN: MA OFFICE: ORLANDO INDUS AFF 161 PRODUCER: TARPEY INS GROUP INC 27TLY 004907 Town of North Andover NORTH Q`�t 4l O *•y -rOQ Building Department o 27 Charles Street ~ North Andover, Massachusetts 01845 * _ -_� _ (978) 688-9545 Fax (978) 688-9542 9e°« M:�• O44T/O SSACHUS�� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit.# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in/at: Facility location AV'4'./ Signature Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. • i REQUIREMENTS FOR BULDING PERMIT SIGNOFFS BY BOARD OF HEALTH To be filled out by the applicant and submitted with the Building Permit application 1. What is the proposed project? Deck pool ddition new house other /a� ,p 2. Are plans attached? Yes No (For additions and new houses on septic systems, complete floor plans of proposed construction and any existing house must be submitted. For pools and decks, a site plan with location of pool or deck is required. Dimensions of deck are needed.) 3. Is municipal sewer available at this location? Gz) No 4. If sewer is available and a house already exists, is it tied in to the sewer? Yes No S. Is the'location served by private well? Yes No 6. If this project is an addition and the house is served by a septic system, has there been a Title 5 inspection done recently on the septic system? Yes No 7. If,yes, is the inspection report on file at the BOH? Yes No i BOARD OF BUILDING REGULATIONS t License: CONSTRUCTION SUPERVISOR Number: CS 053181 Birthdate: 11/14/1941 Expires: 11/14/2003 Tr.no: 9351 Restricted: 00 CHARLES J PISCATELLI 1 FLASH RD NO READING, MA 01864 Administrator i ,� ✓he Coo7rvncaau�.a`t2 o�✓Glcraoacstu4e�d Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 134690 One Ashburton Place Rm 1301 Expiration: 1/4/04 Boston,Ma.02108 j Type: Private Corporation COLONIAL VILLAGE DEVELOPME �H�F�LS PISCATELLI 1049 TURNPIKE ST. _.. - - —`�G� — -- --- -------- -- I N.ANDOVER,MA 01845 Administrator Not alid without signature I NORT#i Town ofAndover 0 VO No. dover, Mass., q DRATED P' C) S H E BOARD OF HEALTH i PERMIT T D Food/Kitchen Septic System . . . �... ..r.....1..J....�. � BUILDING INSPECTOR THIS CERTIFIES THAT.... . A...411...........�..!� i1IY...... .................................:................................ Foundation has permission to erect....7.*. 5..1............. buildings on 7� ti n�+ ...... ....................... ............................~...... . .....'...... Rough Seek Q ��� A��,��� 00 Chimney to be occupied as..........!i M`....!�...� . �i..... .....� ''I..... .................... ...............................4................ y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in S09 Olnal this office, and to the provisions of the Codes and By-Laws relatinga Inspection, Alteration and Construction of Buildingsto d in the Town of North Andover. 1 It 13 PLUMBING INSPECTOR VIOLATION of the Zoningor Building Regulations Voids this Permit. Rough 9 9 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough .......✓# 44 ...... ............... .....y .` Service BUILDING INSPECTOR 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 Until Inspected and Approved by the Building Inspector. 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T=T I. .. .. - - — — — — — — — — — — — — — — — — — — — — — — — _ _ _ — - - - `11- - - - - - - DDIT�D�J - - — — - - - - - - - - - - - - — — — — — —— — -- - -- - — — — — — — — i. ` —...w —i• —---- . �CRV�V/liV� LIN] FIN15H 2NI2 FLOOD, FOP 471 MOM, r NOPM MOM, • / • ME MEN ME iYYI i�■�1 .�YYlll ]mm= i■W IS/. 7 � •■�■ria O■YYi ■A.Y�Y i Y_Al l ■YYi■ ■www •�.wa ^ _. ■■ ■■LMN � !ME 00 - ---------------- monsoons s '.. ■■■i -- ■■■■■■■■� ■■■■■■■Sol ■� 1 - _ Date..... .. • NOR71{ °ft"`•:•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SSA US This certifies that C.�. .......DC)1� (!!!}... ................ ............................... a has permission to perform ... 7—e�4 4 K ,S�" L! f wiring in the building of..�.N Sr 7 f 4' y tf f ........Tr1...:s....... at...... �P/j....:s..... ............... .N rCfi�ndo` Fee.,..l..�... Lic.No...AIA� .�......... ... /*ECTOR . .......�. ECIRICALINS Check # 5u23 Official Use Permit NcI,02-3 D-A-4--a 4 POO&s4af Occupancy& ee Chec BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 1 700 (Please Print in ink or type all information) Date L To the Ins ctor of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. �n1 c r Location(Street&Number_ Owner or Tenant A ti c 1 Q�.�*�'S/ I f/3�' C f'(1 L QQ��/',f /✓��y/J/L f}� � Fi Owner's Address Is this permit in conjunction with a building permit Yes V No 0 (Check Appropriate Box) Purpose of BuildingDlmi Al I/ V d ��S Utility Authorization No. Existing Service Amps Voits Overhead 0 Undgrnd 0 No;of Met( r New Service Amps Voits Overhead 0 Undgmd 0 No.of Met( Number of f=eeders and Ampacity. Location and Nature of Proposed Electrical Work .�N��,4[.( 6k1 44.0111111 t 7-kc Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above 0 In 0 No.of Lighting Fixtures Swimming Pool gmd 0 grnd 0 Generators KVA No.of Emergency Lighting No.of Receptacles Outlets C No.of Oil Burners Battery Units A No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone _ } Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices _ Heat Total Total No.of Diposal No. Pumps Tons KW No.of Sounding Devices Nol of Self Contained No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices 0 Municipal 0 Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring No.Hydra,Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremenSts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO have submitted valid proof of same to the Office YES= NO - If you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE - BOND - OTHER . (Please Specify) (Expiration Date) Estimated Value of.Electrical Work$ Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perjury: FIRM NAME _T1W)M1 AJ D i 7VII, LIC.NO. r' Licensee 1111/,9 M A -04 xy Signatu LIC.NO tl LT n Bus.Tel No. Address 1 Q L J / D tl(�y4,A1 Alt Tel No. 9 / 6 7�— G ,7 OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coves a or its substantial equivalent as requir y Mass General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) / FEE (Signature of Owner or Agent) Telephone No. PERM VVV y The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 1 am an employer providing workers'compensation for rry employees working on this job. Compga name: Address city.- Insurance. ity/Insurance.Co. Polietr# Comparry name: Rddress. . C[�: Phtitno#: g Insurance Co. Fallu►e:to secxw&coverage as regw.ed antler setbon 25A or its 152 camleedto tne.rpos on of cti<ninal p of_a�fi e;E :; andfor one years'imprisonrr t�syell as�nai peaalties�u3deSomu�f��72aP Tioo�€(, 1DRppj� n understand that a copy of this statement may be-fcxwwded to the office of lnnestigations ti the DIA for coverage nnelifiicalion. /do herby certify wxfar tye&pains and pen&&ibs o/ped vy hW the inlormatforrpm died above its true and correct Signature [date Print name Pbme- Official use only do not write in this area to be mMfeted by city or town otfic iar City of Town Builoli LICheck 0 trnmec#ate response is regu red Lib-Msfn El Seiectm,, Contact person: phone El Heath C D Other Date.... ................`........... m TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �SS�cHusE� This certifies that ... s' v h P 1 y ................................................................................ has permission to perform ° ... ..... .... ..... wiring in the building of......................E I /? d 1 �� T v S p ................................ ............................ at...r"� .� �'!.A.,1..G 0'u*-e ` ...................... .North Andover,Mass. ........ .......... Fee.......... ....... Lic.No.............. .............................. ............................. ELECTRICAL INSPECTOR Check # y THE COMMONWEALTH OF RSSACHUSE77S Office Use only DEPART[Y1KU0FPUX1CS4F= Permit No. BOARD OFFIREPREVE MONREGUTAHONS527 12.001 Occupancy&Fees Checked APPUCATTONFOR PERMFFTO PERF ,RIVI ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTSVICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wire: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) / � �; �✓ Owner or Tenant U (fit f Owner's Address ,fr'E m Is this permit in conjunction with a building permit: Yes® No (Check Appropriate Box) Purpose of Building 4911 -0,1[ ]Al -77117,1 elFl�j 64,, Utility Authorization No. Existing Service Amps / Volts Overhead M Underground No.of Meters New Service Amps Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work l ,c l /1.i a.,,,,,, q_ DA 1 T7u u `1/j/J G�JP 77d,V No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures / `� Swimming Pool Above Below Generators KVA �! ground round No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal � Other ED Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• a bmuanoeCo�rage.RusuargtottlereqtmrarprYsofMassaclnls�tsGa�allaws gba,&aomertliabkka==PbhcymchtdmgCon CoverageoritssubsutWequvakrtt YES NO ID IbavestniiltodvandptoofofsametodieO ice.YES Li FycuhawdrdodYES,pleaseinck&thetypecfcowrageby c g NNC'EPbox BOND 011-ER ( Spofy) F4*afim Dale Estun 1edValueofE clncalWotk$ Work toStart kspearoriDateRequested Rough Final SignedtmderTrlYrtaYmof ' 1 FIRMNAME 111),-4� cl Il'� �i c_, 1� liariseNo. L. C/b/1-�/I pv Solmltue Li=wNo Q Busum Tel.No. �/�QZ�`f L ll�✓ i(.� ALTelNo. OWNER'SINSURANCEWANER,lam awatediattheLmwdoesnothavedkmsrmwoDNaageorgsatsMDtWegwvalattaslecumxibyMassadmscM Laws and tha rrysigromondrispeiInitTplicaftoriwaiNtsihisrequiturtent (Please check one) Owner F-1 Agent Telephone No. PERMIT FEE$ Signature o _ wner or Agent Z The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 0 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ElI am an employer providing workers'compensation for n y employees working on this job. Company name: Address Cifi/. Phone#: Insurance.Co. _ Policv#_ Company name: Address City- Phone# Insurance Co. Policy# Failure to secure coverage as required-under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to$1,5oo.00 and/or one years'imprisomnentas vee[Las_civil.penal iesin.thelffin-faSTOP.WORK ARDPRand a.fine.of_($1-ODM)aANagainst.me. 1 understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. l do hereby certify under the pains and penalties of perjury that the information provided above is bye and correct. Signature Date F r Print name Pbone.# official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing Building Dept E]Check if immediate response is required 0 Licensing Board F1 Selectman's Office Contact person: Phone#: 0 Health Department Other r r N2 I 73 Date......... ...... ... ....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......)..M.1.0-F........ ........Tw.c................. . ......... .... has permission to perform ...,* C.. L.,( n, /5 ............ wiring in the building of.... ................................................................ at...... ...........................North Andover,Mass. Fee... Lic.No.A11V37t10............................................................. ELECTRICAL INSPECTOR C k C15��� 06/10/98 10:57 75.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer 4 Town of North Andover f N�RTN Office of the Zoning Board of Appeals ;? •�' �'` Community Development and Services Division 49 27 Charles Street North Andover,Massachusetts 01845 �cM �'Ss"CH us� D. Robert Nicetta Telephone(978)688-9541 Building Commissioner Fax(978)688-9542 Any appeal shall be filed Notice of Decision within(20)days after the Year 2003 date of filing of this notice in the office of the Town Clerk. Property at: 477 Andover Street NAME: Ansel Realty Trust HEARING(S): 5115&8/12/03 ADDRESS: 477 Andover Street + PETITION• 2003-012 North Andover,MA 01845 TYPING DATE: August 18,2003 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday,August 12,2003 at 7:30 PM in the Senior Center, 120R Main Street,North Andover,MA upon the application of Ansel Realty Trust, 477 Andover Street North Andover requesting a Variance from Section 8,Paragraphs 8.1.2&8.1.7 for relief of off-street parking regulations and Table 2 for relief of front and side setbacks;and a Special Permit from Section 9, Paragraph 9.2 in order to construct an addition on the existing footprint of a non-conforming structure on a non- conforming lot. The said premises affected are properties with frontage on the West side of Andover Street within the B-4 zoning district. The following members were present: William J. Sullivan,Walter F. Soule,John M.Pallone,Ellen P.McIntyre, and Joseph D.LaGrasse. Upon a motion made by John M.Pallone and 2dby Joseph D.LaGrasse,the Board voted to GRANT the applicant's request to WITHDRAW THE VARIANCE PETITION WITHOUT PREJUDICE. Voting in favor: Walter F. Soule,John M.Pallone,Ellen P.McIntyre,and Joseph D.LaGrasse. William J. Sullivan abstained. Upon a motion made by John M.Pallone and 2 by Joseph D.LaGrasse,the Board voted to GRANT the Special Permit from Section 9,Paragraph 9.2 in order to construct an addition on the existing footprint of a pre-existing structure on a non-conforming lot per Plan of Land in North Andover,Mass prepared for Ansel Realty Trust and A &C Realty Trust Date:August 6,2003,Rev:August 11,2003 by Stephen E. Stapinski,R.L.S.,Merrimack Engineering Services,66 Park Street,Andover,Massachusetts 01810 and Plans for Ansel Realty Trust,477 Andover Street,North Andover,MA.Date:7/22/02 on the following condition: 1. The applicant will provide a Mylar of the Rev:August 11,2003 Plan of Land. Voting in favor: Walter F. Soule,John M.Pallone,Ellen P.McIntyre,and Joseph D.LaGrasse. WilliarH. Sullivan abstained. w The request to withdraw the Variance from Section 8,Paragraphs 8.1.2&8.1.7 for relief of off-street `kin regulations and Table 2 for relief of front and side setbacks withoutre'udice did not allow relief for P J paring a40eF.: relief for driveway width. No setback requirements were addressed t z F_.r-. 0 n`: The Board finds that the applicant has satisfied the provisions of Section 9,Paragraph 9.2 of the ZoningL.Ryla*tliat such change,extension,or alteration shall not be substantially more detrimental than the existing structiFS to the neighborhood. CD Pagel of 2 Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 Town of North Andover Office of the Zoning Board of Appeals o? • °' `'' °°A Community Development and Services Division # _ 27 Charles Street ► °t,.�_;_ North Andover,Massachusetts 01845 ACHU`�� D. Robert Nicetta Telephone(978)688-9541 Building Commissioner Fax(978)688-9542 Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the date of the grant,it shall lapse,and may be re-established only after notice,and a new hearing. Furthermore,if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2)year period from the date on which the Special Permit was granted unless substantial use or construction has commenced,it shall lapse and may be re-established only after notice,and a new hearing. Town of North Andover Board of Appeals, IA William I S ivan,Chairman Decision 2003-012. Page 2 of 2 v� C RO r IC CD Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 The Commonwealth ofMassachusetts FOR OFFICE USE ON Y Department of Public Safety Permit No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy & Fee Checked (leave blank) APPLICATION FOR PERMIT TO .PERFORM ELECTRICAL WOR All work will be performed in accordance with the Massachusetts General Code.527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date JUNE 1, 1998 City or Town of NORTH ANDOVER To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below: Location(Street and Number) 477 ANDOVER STREET Map: Lot: Owner or Tenant CHILDRENS MEDICAL CENTER Zone: Owner's Address Is this permit in conjunction with a building perinit? Yes ❑ No❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Underground ❑ No. of Meters New Service Amps / Volts Overhead ❑ Underground ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work WIRE TWO AIR CONDITIONER .SYSTEMS.' . No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above gmd.❑ In-grnd.❑ Generators KVA No.of Receptacle Outlets No.of Oil Burners No.of Emerg. Lighting Battery Units No.of Switch Outlets No.of.Gas Burners FIRE ALARMS No.of Zones No.of Ranges No.of Air Cond. Total Tons No.of Detection'and No.of Disposals No.of Total.. Total Initiating Devices Heat Pumps Tons KW No.of Dishwashers Space/Area Heating KW No,of Sounding Devices No,,rofers No.of Self-Contained �Y Heating Devices KW Detection/Sounding Devices No.of Water Heaters KW No.of Signs No.of Ballasts Local❑ Muncipal Connection ❑ Other No.of Hydro Massage Tubs No.of Motors Total HP Low Voltage Wiring OTHER INSURANCE COVERAGE:Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or itssubstantial equivalent-YES.❑NO❑ I.have submitted valid proof of same to this office.YES❑NO❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box. INSUItANCE112 BOND❑OTHER❑(Please Specify) EASTERN CASUALTY INSURANCE CO 7/18/98 Estimated Value of Electrical Work$ (Expiration Date) Work to Start Inspection Date Requested:Rough Final Signed under the penalties of perjury: FIRM NAME MDF ELECTRIC INC. A12376 Mark D. Fialkowski LIC.NO. Licensee Signature LIC NO E28618 Address 3 Felton Terrace Peabody, 1 019 978-532-1742 Bus.Tel.No. Alt.Tel.No. 978-535-9612 OWNER'S INSURANCE WAIVER:I am aware that the Licensee DOES NOT HAVE the insurance coverage or its substantial equivalent as required by Massachusetts General Laws and that"iny"signature"ori this permit application waives this requirement. Owner❑ Agent❑ (Please check one) h� (Signature of Owner or Agent) Telephone No. PERMITTEE$ 75.00 , Location No. d Date j + 9 TOWN OF NORTH ANDOVER A Certificate of Occupancy $ i y - �e Building/Frame Permit Fee $ T1'eOene•A 'h f ,SSACMUFoundation Permit Fee $ _ i ..' Other Permit Fee $ Sewer Connection Fee $ }} Water Connection Fee $ 3 TOTAL $ uilding Inspector T') , v J '67 11:46 94.00 PAID U Div.Public Works PER311T NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. J PAGE 1 MAP 44 0. Q1 LOT NO. Q _0D3� 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE ZONE SUB DIV. LOT NO. F- LOCATION �1 O - PURPOSE OF BUILDING S'1 1 .2A&` ?G OWNER'S NAME (�(' Q ^ SCJ` NO. OF STORIES Lo E 7-1 f 3 OWNER'S ADDRESS C�� �.1� Ivl _ BASEMENT OR SLABfe���.l ��lJ ARCHITECT'S NAME n 'O. E SIZE OF FLOOR TIMBERS Ji3TJ2X_V f.'� 2ND 3RD BUILDER'S NAME ` ,V M� SPAN 1 1 k DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS Z -2,A46 DISTANCE FROM STREET 57f� POSTS k I Z DISTANCE FROM LOT LINES-SIDES VV „1 REAR GIRDERS ` L. 1, AREA OF LOT i 4%)�uLR FRONTAGE rl:— HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW `V l SIZE OF FOOTING l\ X 1 IS BUILDING ADDITION n`� MATERIAL OF CHIMNEY IS BUILDING ALTERATION 1�+ IS BUILDING ON SOLID OR FILLED LAND so C. WILL BUILDING CONFORM TO REQUIREMENTS OF CODE S ` IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION,JF ANY IS BUILDING CONNECTED TO TOWN SEWER T4 IS BUILDING CONNECTED TO NATURAL GAS LINE N� INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST Ll,35-6 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. r� PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTIAIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BUILDING INSPECTOR SIGNAT OF ER OR OR E A NT F E E OWNER TEL.# 9--1 c;- S5 PERMIT GRANTED CONTR.TEL.# `S �3 5: 141 19 CONTR.LIC.# I H.I.C.# C7 18� v BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES - THIS SECTION MUSTSHOW EXACT DIMENSIONSOFLOT AND DISTANCE FROM MULTI. FAMILY j__[OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 I 2 CONCRETE B PINE BRICK OR STONE HARDW'D _ PIERS PLASTER DRY WALL UNFIN. /� c 3 BASEMENT AREA FULL IN. B'M'TAREA 1/1 /? 1/ FIN. ATTIC AREAYI�M�S lft- NO BM'T FIRE PLACES HEAD ROOM MODERN KITCHEN v 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDVJ'D T '1 V ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE E:t- 1 STUCCO ON MASONRY _ STUCCO ON FRAME t BRICK N MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. "f STONE ON MASONRY WIRING !� STONE ON FRAME SUPERIOR POOR_j ADEQUATE NONE 5 ROOF 10 PLUMBING GABLFI I HIP BATH f3 FIX.) _ GAME.EL NSARD TOILET RM. FIX.) 1 FLAT ED WATER CLOSET _ ASPHAL SHIN LES LAVATORY WOOD 5 IN ES KITCHEN SINK SLATE NO PLUMBING TAR 8 GR STALL SHOWER _ ROLL RO FING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC Ist 13rd NO HEATING r ■ . r o or -_ t:" 9 . over No. 024 W dover, Mass., 0 -:_ ' LAKE 19 -C OCHKNEW CK BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.............................................6AI...(.........A&I6j/......................................................... Foundation has permission to 14M...... .......... buildings on..........�..77...... Rough ............ .�r.......... ....... ..... to be occupied dU� fl4r.0-ZE............ ig-04..................................................... Chimney provided that tha,person accepting this permit shall in every respecl conform to the terms of the application on file in Final this office, and 'o the provisions of the Codes and By-Laws relating to the lnsp�'.;ctlon, 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 N 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ................................. .... ... ................................................ Service RIDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR nal RPisplay in a Conspicuous Place on the Premises — Do Not Remove Fi No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Wf Date N2 3 4, of, T" a TOWN OF NORTH ANDOVER � 0 PERMIT FOR PLUMBING ;,sSACMUSEi This certifies that . . . . . . . . . . . . . . . . . . . . has permission to perform . .. . ... ... ... . . . .�. . . . . . . . . plumbing in the buildings of ., Q*. :. . . . . . . . . . . . . . . . . . . . . . . . -:�' at`y. �. . . .-. �-�'."`'`-. . . . . . . . . . . . . . . . . . North Andover, Mass. Fie . . . . . . .Lic. No.:,'.'!.;` . . . . . . . ... . %r? . . . . . . . . . . . �- PLUM 1v,/INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR P T TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS ADate Building Location �� IQn1d o�e Owners Name 10 U' �NS e Permit# 3v Amount .mss" Type of Occupancy New rl Renovation rj Replacement 1:1 Plans Submitted Yes E] No rl FIXTURES E- rAa rA CCw ~•` E, CA , J w w w x rZF A A SI�B3VIC Bti9�14IIYT IST HffR ZDFUXR 3M FiOCR 4IS FLO(R SM ROCR 6IH FIOQt 'TIS RaR SIS FIO(lt (Print or type) Check one: Certificate Installing Company Name L l�O J } Corp. Address C i-1 e S 4 Partner. Business Telephone 7 g ZS- 313 3 Firm/Co. V7 Name ofLicensed Plumber. /9-h/ y e V Cb Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate boat Liability insurance policy El Other type of indemnity El Bond ❑ Insurance Waiver I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance ignalure Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massac S lumbin Code and Chapter 142 of the General Laws. By: S►gna ot Licensedum er Type of Plumbing License Title City/Town icer a iNumuer Master Journeyman APPROVED(OFFICE USE ONLY 66 �, sl!s; (!!jt (611utUltlhwalth of fila> sadjuuletts OrarP V%e Only tlepMrhirif of ptAhc Safety Permit No. h0AR0 OP FIRE WVtNtION MULATIONS 527 CMR 12:00 Occupancy & Fee Che%- 3/40 !leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Massachusetts Electrical Code, 527 CMR 12:oo (PLEASE PRINT IN INk OR TYPE ALL /INI okMAAJtION) Date Ifs Amp City or town of No o r f/! d e c- To the ln�!)ector of Wires: The undersigned applies ora to perform the electrical work described below. Locallon (Street A Number) y 1,7-7 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No ;C►eck Appropriate Box' Purpose of Building Utility Authorization No. t allsting 96tvicb Amps / Volts Overhead ❑ Undgrd ❑ N-3. of Meters New Service Amps I Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work e— „i')'" 11 rzirr P 6� TOTAL No.of Lighting Outlets No. of Hot Tubs No. of Transformers KVA Above n- No.of Lighting Fixtures SwimmingPool rnd. 1:1 rnd. Eli Generators KVA No. o Emergency Lighting No.of Receptacle Outlets No. of OII Burners Batter: Units No. of Switch Outlets No.of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges No.of Air Conditioners Tons Initiating Devices Heat Total TotalNo. of Sounding Devices. No.of Disposals No. of Pumps Tons KW No. of Self Contained No.of Dishwashers S ce]Area Heating KW Detection/Sounding Devices Municipal ((��'' No. of Dryers F-lealin Devices kW Local❑ Connection L_JUther o. o o, of ow Voltage No.of Water Heaters kW Slims Ballasts Wiring No. Hydro Massae Tubs No. of Motors total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusttes General Laws I have A current Liability Insurance Policy Including Completed Operations Coverage or Its substantial equivalent.YES P81 NO O t have submitted valid proof of lame to this office. YES%NO❑ If you have checked YES, please Indicate the type of coverage by checking the appropriate box. INSURANCE � BOND 0 OTHER❑ (Please Specify) Estimated Value of Electrical Work: (Expiration Dale) Work (o Start IIt?Y17,7 Inspection Date kt:quested: !tough Final Signed under the penalties of perjury: FIRM NAME r17 e/ �"/e e�f G�.�f ,Z,�-c LIC. NO. �/3?i�r .Llcensee L e-O cx f c✓ ,`rA e l Signature a LIC. NO.E �'�3_ Address cze r oti 147,i e pro s w:c�� /`IQ L,9� Bus. Tel. i o.S-J$73,S6-Y0-S"6 Alt. Tel. No. .OWNER'S INSURANCE WAIVER:I am aware that the Licensee dob*hot hive the Insurance coverage or Its substantial equivalent as required by Massachusetts .Genera) Laws,and that my signature on this pdrmit application waives this requirement,Owner Agent (Please check one) c (Signature of Owner or Agentelephone No. PERMIT FEE S t) z� Date.....1...... ...�. 725 ..�.../�.. t NORTq 4, TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING ,SSACMUSES ,N This certifies that ..... .......... . / ..... has permission to perform ... ....... v wiring in the buildi g of.....,� �...C�L,..!!r� �� ............................ 0 at C...,[..7 lel G p ..... .... ....!Y.IIL..::...2...........:........................ .North Andover,Mass. Fee....Y!2.cv.-...... Lic.No..-�.l..3. //............................................................ O ELECTRICAL INSPECTOR C 1<-3► S WHITE:Applicant CANARY: Building Dept. PINK:Treasurer 0\0 Date l- f NORTH o TOWN OF NORTH ANDOVER p BUILDING DEPARTMENT Building/Frame Permit Fee $ SACMUSE Foundation Permit Fee $ Other Permit Fee $\tb•Oi] 1 µ1. •�^ Budd[,nsp6r oma_ PERAHT NC. `b APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.f/ ff00/ racy i NIAP,;lO. v_I LOT NO. 3� 2 RECORD OF OWNERSHIP IDATE BOOK PAGE - I F2, 'tSUB DIV. LOT NO. /�` l s � 6+ 1,t'i S I '� LOC.IT.ION tet_ ����� �T 1 PURPOSE O►F BUILDING vs`v F,6 G GGF,-; �.r OWNER'S NAME } �� / co NO. OF STORIES ( SIZE '7,3557 G OWNER'S ADDRESS 9dJ1v SIYl.n 1, "Vj X11 �imA BASEMENT OR SLAB / ARCHITECT'S NAME ��VYIES ��Vf�6�LS Y�� SIZE OF FLOOR TIMBERS IST 7/ 2ND 3RD BUILDER'S NAME �il�rn.tl`I QAL� LSA SPAN -- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS - --- DISTANCE FROM STREET z-51 POSTS '+DISTANCE FROM LOT LINES-SIDES `-S I REAR GIRDERS AREA OF LOT cb -I c sr- FRONTAGE ! HEIGHT OF FOUNDATION THICKNESS 1� i. 15 BUILDING NEW � '7 SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION �C7' IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY Q verF'w �I�.��✓7 IS BUILDING CONNECTED TO TOWN SEWER F�/V IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST owre SEE BOTH SIDES EST. BLDG. COST PAGE I FILL OUT SECTIONS I - 3 EST. BLDG. COST PER 80. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED 1� BOARD OF HEALTH SIGNATURE OWNER OR AUTHORI ED AGENT FEE PLANNING BOARD PERMIT GRANTED o, BOARD OF SELECTMEN BUIL]INNG INSPECTOR WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer I OCCUPANCY r 1 SINGLE FAMILY Si OklES PLAtJ OF LdND MULTI. FAMILY OFFICES Z'C- PAW VZEAL,TV Teu5T APARTMENTS >TEo nN I�IORTFI ANDOVETL MLa. CONSTRUCTION xGLE r.co • R�I�}jUu v81�a3 a 2 FOUNDATION 8 INTERIOR FINISH ° ¢Icue¢D F Kern C,Guo e55ac,eTEs ne CONCRETE CONCRETE BL'K. PINE BRICK OR STONE HARDW-D PIERS PLASTER _ __ uoLTH�u�cc Me . DRY WALL I "� UNFIN / i q ' 3 BASEMENT I 4- i/ AREA FULL FIN. B'M'TAREA FIN. ATTIC AREA NO BMT FIRE PLACES ' 0 HEAD ROOM _ MODERN KITCHEN _ 4v �4?V c i< 4 WALLS I 9 FLOORS v o - TS oo�� c - -os-E _ ❑_ CLAPBOARDS B 1 2 3 ✓? e`cETOGr L.�T,g '^ DROP SIDING CONCRETE �_ � WOOD SHINGLES EARTH ? ePawE��oa m LQzA ASPHALT SIDING HARDW D ° _ @'_7.Ts s.c.- d OEEv trl�' DMWNG• l�•I -� - ASBESTOS SIDING VERT. SIDING ASPH. TILE U STUCCO ON MASONRY _ +i - �A STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR - pu72E.V BRICK ON FRAME I F ==_z. EY�I�T DWELL. Ex�ST.OWEII. CONC.OR CINDER BILK. a_zY _ r�zv- - 41� STONE ON MASONRY WIRING STONE ON FRAME _ -"-= •- *Ee si SUPERIOR I� POOR ADEQUATE NONE " �- 5 ROOF 10 PLUMBING --------------- s3 a GABLE HIP BATH 3 FIX. GAMBREL MANSARD TOILET RM. 12 FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY AIJIDOVE{Z 1—bTATEHlG—Le0o (PBL',C—WIDE) eiTZSET WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TA & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE FLOOR �x� ° oo e C�ou L�E"LEBY EEQTIFY THGT THE PZGR.RTY LINES SHOWN STO QE 60lJND—J TILE DADO QEFECEUCE PLeu] -E4E0N 6QErNE LINES PVIDING EV��TIUG OWNEC]HIPS- O) CL�urOu c GOORVu•�x[�u -'-=THE LINE]CF STCi-ETS 6uD WGYS.E[E 7uOSE Oc RICLIC ?L.lu:SiEjyl4E 111u -2a¢IVeTE STCEET50e weYS GLGEpDY ESTpOLISHE� C G IDS T9e T u0 NE W LINES FOC Di VISION CK EXISTI uG OWiuEC 6 FRAMING I) 11 HEATING WOOD JOIST PIPELESS FURNACE HP�OL NEw WGvb eCE puOwu.CFUCTNEe CECnaY _ et[HGVE CONFOQNIED TO THE eULE.S pN0 QEGLILATIONS , _ FORCED HOT AIR FURN. cc TUE 2EG�srE¢oG�EEos tN aaEcpQ,uG Tuis vLnu TIMBER BMS. &COLS. _ STEAM STEEL BMS. &COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G T4IS SUQVEYpuO PLGN WEZE PZEPGQEp III pGCOCDANCE YJ j� UNIT HEATERS vertu TUE P¢aGEDL¢GL nuD rECHUK1EC DeQDBFoe THE A� L� P[eCT,CE G6 LEYING IU THECG'4MGNWEGLTH Oc / LJ 7 NO. OF ROOMS OIL SU¢VuG9secuusErrs B'M'T � ELECTRIC .y Isr I I Z_ NO HEATING Locu3 LON �F SCGLE I= i rT. E ' � j r r +�� r. a „,. t� CHANNEL ' \D June 23, 1989 Inspector Gagnon North Andover Bldg. Dept. North Andover, MA 01845 RE: 477 ANDOVER STREET Dear Mr. Gagnon, As requested, I am submitting to you a list of work completed at our project on Andover Street. Originally, we were issued a permit to build, however no building or remodeling actually took place due to us selling the building as is, therefore, we performed only typical duties. Work completed: (1) General Clean-up: removal of wallpaper and carpets. (2) Removal of old siding - new siding installed and painted. (new shutters also) (3) Repaired and secured brick steps and railings. (4) Installed new front door and side lites. (5) Installing new aluminum gutters. ` s. J (6) Landscaping Channel's understanding is that the building department will now give final approval. If there should be any questions, regarding this matter, please feel free to call me. Sincerely, Sonyield y Project Manager SF/mk Channel Building Company, Inc. • Planning • Engineering • Construction 242 Neck Road 0 Haverhill, MA • 01835 0 508-374-4511 0 FAX 508-373-4900 J 6 1 2 8 t E X 1i I IJ I T successors And include he e3aion shall Lessor, which 0XPr lease to Lessee so aall,itsj due5 hereby 'assigI)s where the context t --ind assigns where st Admi0istra- which expression shall include o tile cnteXtuccessors60 Admits, and the Lessee leases the following described premises' 12 parking spaces located on the property of the Lessor at 203 Turnpike Stre4t and r Street, North Andover, MA.Andove 4$1 The term Of this lease shall ba for ninety-eight PS) Years and endingon September on September 9, 1982 bl, 2080, The Lessee shall pay to the LuOSOI: annual rent at the rate of $240.00In equal semi-annual installments Of $100,00. The rent specified herein shall be adjusted annuall during the lease term, 4 on the first day of January of each year "'Price Index (as that term is here- c6ording to any increase in the according in,�ftar defined) from the price index as of January 1 of the calm - It there aholl. i hich the term of this lease commenced U;� year n W fie be.'any increase in the Price index, then the monthly rent speci r r' 1�y multiplying the same by a fraction, the numera 4_44%i1 be adjusted Anuary ,J-8vj s #1-k for of which is the Price Inde;� as Of the &PP"ca"e J Adju5Lment date and the denominator ofwhichis the price 7ndex 1'% as 'of January I preceding the commencement date. In no event, hall svch monthly rent ever be reduced on account of any immediately preceding lease year. adjustment below the such a Jus X,,, as used in this lease, %) Price Index. The term "Price Inde means the Consumer Price index for all urban consumers All Items (unadjusted) , 1967 - 100, first S i. iry. us City Average, "I -'.antics, U.S. Department Of Bureau of Labor shed by tile Labor, in 1978• if th,, Bureau Qf Statistics should cease «a publish such idex in .L_s present form and calculated on the preSen (basis, the cumvarable index or an Index reflecting chpngeS oo price ermined in a substantially similar manner shall be designated by, mseo in this lease. The Price Inds,-: AS 1 Uf Suet datL S L w 1C11 dark_ 1i r''!' '.It L11C :1 whicr. the applici4u.Lon it; date Pre' to be mach. Since a ice index to tllo- application of a motes 4hich a determine~ Section me Qt be as tion of i_ applic', to be M? neer ry adjuut-Aients 14e. I between LeSLjr ant? :11 be i retro,.. _ively, within a reasonable alter ren 2d cOmp11.,4_iuns can readlb-ty be uompleted. A H' OIH,J JLL''r TEL hc, 47COr18 jUn 20,88 15:29 F.Ui p the Lessor as udditiun4l rent tl�rce ,-,The Lessee shall Pay ,.� 71 any i ncre�G in real estate taxes levied against 1'�{�t ;�•R41.1sK Agx'`Fent i3�) of 'aand of which the lea$Oda, remises� e a part, over those ihcuxred or levied during :the ,calendar. Yoar ending 1992, and of an non-recurring expenses including put .;y'`,:; '.��_ti•. ;�kh ie, per cent t34) y •. )not�lmited to repaving and, replacement of lighting fixtures, and an requirement imposed on the Lessor by any govcrrvu4ntal authorit � > ,Thia ,increase shall be prorated should this lease terminate before khe' e,nd of any calendar years The Lessee shall luakt: payment •• '�ithfn ten (10) days of written, notic- .Jrom the Lessor that such `�^`,„,t��F�• .��, , are payable pY the Lessor. expenses, or iricraased•taxes,:, a payments to be made by ,the Lessee hereunder shall be paid as ,..: ;,•.-;���"�'; ?rent` dithin ten days from•.khe receipt Qf,�a statement of such chary by, a Lessee. •,r 'a' •i The Lessee shall use x e;leased_�remises only for the purpose • of, parking for the tenanta;+,,guests, and. invitees of the premises �locatpd at 471 Andover Stzeet'and 477 -Andover Street, North �;• ;, 6.' Lessee shall not permit•any;.p¢e ,a the leased premises 41 , which will make voidable any insurance. an the property of which tithe' leased premises are a part, ,or on.-.the contents of said propert -..,�•1;�,.:^:` ,,1 or_;�wliich shall be contrary to lair'or. regulation from time to time established-by the New England Firs Insurance Rating Association, • , ,:. or any similar body succeeding to its powers. The Lessee shall 't ;ori demand reimburse the Lessor, and all other tenants, all extra .';,. ' •.• ; 'r. the Lessee' use of the premises. �ti.•�j.�a�t,t'�'r:; . insurance premiums causer by ; h OIHhd TULLY TEL No . 470061e Ju[i 20 H 1F:3U F r. ;r.. jr otl+er ,casualty, or be taken by eminent dau,aiu, tfii I.c--ssce' 7; c� t {,' X1..".4 'R•rking spaces shall be reduced in the :;acne proportion as the '.V4(•j►�. , 1 nwaber of parking spaces. . when such ? ,, ' eduction in the overall remises substantidll �,`, r`S�¢, Ifs�� ' renders the lea ved p ,' I�•��� . fJir�, casualty, or taking . t �� ` t unsuitable for their intended use, a just and proportionate abate- 'Ment of rent shall be made, and the Lessee may elect to term nate this lease it: the Lessor fails to give written notice within thirty (34) day ,.' ,s•�-,':5 of intention to restore leased premises, or b. the Ledsor fails to restord the leased prdsui ses to a Conditian �,►�'wp,•,,. .substantially suitable for their intended use within DinEty 190 C ff 1 'Aays of said fire, casualty ar taking. "'l.;'. ;► ;;i�� '.The Lessor reserves, and the Lessee grants to the Lesser, all 'rights which the Lessee may have for damages or injury to the leased premises for any taking by c n+inert domain, except for damage to the Lessees fixtures, property or equipment. In the event that; a. The Lessee shall default in the payment of any installment of rent or other sum herein specified and such default shall continue y�. ( s after written notice thereof; of or. ten I1D1 daY • ,,,,r,-.'1,;l �, :d b. 'The Lessee shall default in the observance or performance O any other of the Lessee's covenants, agreements, or obligations �',:'�,••.1y ,, hereunder and such default shall not be corrected within thirty t'.. (30) days after written notice thereof, 'than'then' the Lessor shall have the right thereafter, whip such defaul r!•k 'F�t1 continues, to re-enter and take complete passessior► a# the, leased premises, to declare the term of this lease ended, and remove the Lessee's effects, without prejudice to any remedies which might be .otherwise used for arrears of rent or other default. The lGeB6a ��k�{�• shall indemnify the Lessor Against all loss of rent and other ,v a,.`. payments which the Lessor may incur by reason of such tarmination during the residue of the term. If the Lessee shall default, efts reasonable notice thereof, in the observance or performance of any conditions or covenants on the Lessee's part t0 be observed or -•;;•�,'.�•�}�•� performed under or by virtue of any of the provisions in any ( article of this lease, the Lessor, without being under any obliga- -:,fi,,`�"r�"�r� .tion, to do so and without thereby waiving Such default, may remedy „e 0,1rS such;default for the account and at the expense of the Lessee. If Lessor makep any expenditures or incurs any obligations for thein of mons in connection therewith, including but not 5limited to, reasonable attorney's fees in instituting, prosecuting .\:.'r: `' rgra defending any action or preceeding, such sums paid or abliga- ,, t"zona incurred, with interest at the rate of six per sent i0l Per J'. annum and costs, shall be paid to the lessor by the Lessee 4s ",I 4A A��,��' additional rent. 16.E Any notice from the Lessor to the Lessee relating to t y ,• � py� apad premises or the occupancy thereof, shall be deemed duly erved, if left at the leasers premises addressed to the Lessee Or, . i , �,f„mailed to the leased premises, registered or certified mail, .i4.1.t, ., 1,•• , - - - - - - - H:'U1AN TULL'Y TEL rdc. . - - - - - 4700610 Jun 20,88 15:31 F.09 F` }, �,}�°� ; nested, Postage prePaid, addressed to the receipt req nota .rom the Lessee to tile �.essor relating to the Any premises or sa the occupancy thereof, sl►all ba di:>riiied duly err+yet+y ® rif mailed ,to the Lessor by registered or rrs:ri if c d mail. � k` '; 1 � ' nested, postage prepaid, addressed to the Lessor ,; .;, ;return receipt reg ,i j, w;t t §�' AtiQuch ami,ir.aemn asp the [,sa,aaAt may fraimm Clu1+a to tiffs►® aclviwe n noticed shall be paid and autmt to the writing. All rent and at 1 i � ' ;'r_1 + �( !,i'"' i•4 15},`�R mhe Lessee shall at the expiration or other termination Of remove all Lessee's good and effects froom the lease xertisea, and cause the removalocoda and effects of his pf the g 1' � ; a, invitees and tenants. In the event of the Leasee`$ tailor I ,. .1. ;Gr �#', w.; � to -remove any of said property from the premises, Lessor is hereby ,.. authorized without liability for loss or damage thereto, and at th l ; , i. •�:i;�.�,��;t�S�! sole. risk of Lessee, t4 remove and store any of the property at j°a:}�;1}t' .Lest;ee's expense, or to retain same under Lessor's control or tq' $ell at public or private sale, without notice, any or all of ,,,,1.,., ,. •,: the ,property not so removedand to al>E>1! rhe net pr:t. �. ? ;V,41g to the payment of any sum due hereunder, or to dc:stro. tiu4t1 property. al ice, light, repair and The Lessor shall operate, equip, p m$intain the entire parking"eas for the intended purpose in an , . .. +'':,,;:''►;;: un; f orm manner but in such manner and/or by such 'designees as the Lessor -shall in its sole discretion, from time to time, deker- '; ',s+m^ change the size, location, eleva- �,i�� thine and may, from time to time, iii, ; 'i��.'I•' 't,iap, nature and the use of any parking are$ and may n►$ke inatalla `r ►;► ! I, tjorns therein, and move and remove the 'same. jb�, en S, • The Lessee and its concessionaires, officers, employees, Ag Cu§tomers and invitees shall have the non-exclusive right in comma , pith the Leaser and all others to whom the Lessor has or may here- = „4, tt f ter grant rights, to use the demised parking spaces subject to such reasonable rules and regulation$ as the Lessor may from time oto 'tithe impose upon all users of the parking areas. The Lessee I•j � ��°?� arees after notice thereof, to abide by such rules and regulation g m i:lr t' .and;to use its best efforts to cause its concessionaires, Officers, s and invitees to conform thereto. The employees, agents, customer .4e$apr may at any time close any or all of the parking area to mak s; 'e•), repaira or changes, to prevent the acquisition of public rights in such area, or to discourage non-permitted parking; and may do such other acts in and to the parking areas as in its judgment may be desirable. The Lessee shall upon request, furnish to the Lessor ,t; ? f the cars operated by the Lessee and its thq'Jicerise numbers o concessionaires, agents, officers and employees. The Lessee shall • t`>ir not at any time interfere with the rights of the Lessor and ot4er tenants, its and their concessionaires, officers, employees, agent , ',4 JA fyatomers and invitees, to use any part of the parking areas and gflcommon areas. ;,�.x+41 �4.. '.�•!��: R=OIhPd I& TULLY TEL Ho . 4700618 Jun 20,18 15:32 F .10 1B. Lessor agrees that it shall not impede or obstruct Lessee's direct access from 471 and 477 Andover Street to the parking areas at 203 Turnpike Street and 451 Andover Street. Lessors: V�cto'rmC. Ha-tem, Indivi�a��y�-- and as Co-Partner of Bixby & Company (as his interest, if any, appears) And as President of Poste Realty Corp, (as iks interest, if any, appeprs) Benjamin C.0s good ,_Inoividua I] __ and as Co-Partner of Bixby & Company (as his interest, if any, appears) Poste Realty Corporation as its interest, if any, appears) BY --------aiY authorizedW�`---- reg or an he is^ ece er i Essex Superior Court Case ivil ction No. 193112 liatem at al V. Osgood at al Le ee: _ - _ u orrz Z[ William J. Dalton COMMONWEALTH OF MASSACHUSETTS ESSEX, SS, SEPTEMBER 9, 1982 Then personally appeared the above-named Gregg Jordan, Receiver as aforesaid anis the above-named William J. Dalcon, in his official capacity as hereinbefore Mated, each of whom aeknowiedbed the foregoing to be his refcpective free act 'nd deed, before we, Notary Public. Rkharld G. AuaAan My Conuninsion ExpirLs* 3-22-85 R<OIHh TULL`'i' TEL Na . 4T 00618 Jun 20 H 15 33 P. 11 l 18, Lessor agrees that it shall not impede or obstruct Lessee's direct access from 471 and 477 Andover Street to the parking areas at 203 Turnpike Street and 451 Andover Street. Lessors: Victor -:-Hatem, IndividuaTly— and as Co-Partner of Bixby & Company (as his interest, if any, appears) Benjamin C:Osgood,Indivi�ualiy`f and as Co-Partner of Bixby b Company (as his interest, if any, appears) Poste Realty Corporation as its interest, if any, appears) BY Gr g J 4ns e isRe eiv ex Superior Court Case Civilon No. 193112 Hatem et al V. Osgood et al t Lessee: _- _--auryy-aut-FiorizeT -" ------_. P, T,iLL j E a0 , - - - 47J061c J 1ri C, H 15 27 C` ASSIGNMENT OF LEASE I, Robert E. Webster , Lessee under a certain Lease dated September 9, 1982 by and between Post Realty Corp, and Bixby & Co. (as Lessor) and the undersigned (as Lessee), which said Lease is the subject of a certain Notice of Lease dated, September 9, 1982 duly recorded with Essex North District Registry of Deeds at book /(,6 4, page /3/ and which said Lease deals wit,, twelve parking spaces located on the property of the Lessor's at 203 Turpike Street and 451 Andover, North Andover, Massachusetts, DOES HEREBY ASSIGN all of the right, title and interest which the undersigned Robert E. Webster, Trustee of Regency Realty Trust has in and to said Lease, and said Notice of Lease. Signed and sealed instrument this 20th day of August, 1985. iMert E. Webster _ Trustee of Regency Realty Trust ACKNOWLEDGEMENT COMMONWEALTH OF MASS. ESSEX, ss. August 20 1985 Then person appeared the above-named Robert E. Webster, trustee of Regency Realty Trust and acknowledge the foregoing instrument to be his free act and deed as trustee as of es id, before me. Not y PUD11C - Robert W. Lavoie M commision expires: 7/16/87 TMJ!L' _L t,4o f � K1606vaT ` hOTNE OF LEASE Cy Notice ie hereby given of the following Laaeet Date 4f Executl0n7 September 9. 1982 Partici: , Lessor - P09te Realty CGrp. a+d Bixby 6 CO- 1 � Leases - Robert 8, Webster, as Trustee of Regency Realty trust f � PYCmteeN Lpnnecl: f Tvelvc (12) parking spaces locnted ou tho property of the Leasors at ti 203 turnpike Street and 451 Andover SErect, Hvrtlti Andover, lfatloachueeita. FM Yarn, 4 ►� rocuencIAS on September 9, 1982 and expiring on September g, 2080. yearn, LES5URt 1 Byl " ,Yr 1 rcB6 r. �, c 'giver i+ LESSEE00 : ° ^'. „ ,rt E. Webster, Trustee Of 109ener Aenity Trust C MMNWFALTH OF HASSACHUSETTS F September 9, 1482 t airy appeared the abovrnamcd CrcKg Jordan aid ec nowlodgnd the iR t n t r ,,s-; • .'4oent to bepio free act and decd, -fore me. ry Fuh3tc Hy 'ommieafvn Expixeei �� f COFDtONWEALTH OF MASSACHUSETT6 Septanbet 1��• . LSSBX� BS. Then !Me aboVe-namred gnbert E. Webtlter end eaknawledped phreonally eppeatad the foregoing tnetrumettt to be W free,4cs�er d, re ac Trustee o! AodoocY a Realty Trust. ary ', Tty Co eeion Expire& f � X9834 pecorded Sept.2?.,1902 at 915UAM @1i -`-�'` i••r.......,�.�v�c 1 ,3 UNIFORM APPLICATION FOR PERMIT TO DO -GASFITTING (Print or Type) NORTH ANDOVER , Mass. Date 10 22 I y`(o Building Per 2-3 � 2-- Location j j�� �� mit # Owner's ►2 �S « /JfCvK OGF=tc�` Name _ ►�?>! !� r S L J New ❑ Renovation p Replacement 9r Plans Submitted:. Yes p No s+ a u s ac n ach i z t» ale d j h W h a y x a z ae tr >• z a e d M H K O tlX zw J FF K h M r O� 1� yJyj r r d S ��i. a u aoe > o a o SUf!—sSMT. sAIEMEHT i IST FLOOR 11410 FLOOR I 3RD FLOOR 4TH FLOOR STH FLOOR ! STH FLOOR i 7TH FLOOR t STH FLOOR , ' Check one: Certificate Installing Company Name—JA=LU /�� �7a►�r� p�� t N � . MCorp. 23! Address P, fl L 6b'K Ej Partnership S�r4_) ❑ Firm/Co. Business Telephone tio0 af3 ZCo3 Name of Licensed Plumber or Gas t=itter �N► � INSURANCE COVERAGE: Check OW I have a current liability Insurance policy or its substantial equivalent. • Yes 1f" No p if you have checked yea, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy ❑ Other type of Indemnity O Bond Cl 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: %nature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered)In above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under theperm(it Issued for this application wi I be M compliance with all perUnent provisions of the Massachusetts State aas Code and Chapter 142 of the www wy T nse: TIiM Plumber na •o nse u er or as er sillier CttyRown Master License Number /0Sl ❑Journeyman AF'f'10VED (OFFICE USE ONLY) Date. � 2332 D ..& .2 -��.... s cF1H0 oT b TOWN OF NORTH ANDOVER or • 0 PERMIT FOR GAS INSTALLATION,, N .J� D ••`ty Cr+ i �9SSACNUSES S N t This certifies that . . . . . . has permission for gas installation . '��<. .�^�-� a. . .'l . (t� in the buildings,of /J --?. t. . . `. . . . . . . . . . . . . . . . . . . . . . ! at 7. . . . . . . . . '... . . . . . . . ., North Andover, Mass. i Fee. .I�. . . Lic. No.f 0. /:7. . . . . . . . . . . . . . . . . . . . . . . . . . . . (/�� GAS INSPECTOR 1 WHITE:Ap f 6 CANARY:Building Dept. PINK:Treasurer GOLD:File a Location y'1'i �-�• T �. No. DateOf MORTN TOWN OF NORTH ANDOVER ' VA21L p Certificate of Occupancy $ Building/Frame Permit Fee $ CMUSE� CHU Foundation Permit Fee $ SSA �'�' Other`Permit Fee $ 1 Sewer Connection Fee $ Water Connection Fee $ i TOTAL $ Building Inspector Div. Public Works NORTH t OF � ED 6 � N 0 R T H A N D O V E R O = LAKE T COCHICHE WICK DATE: \� LA0"? PPS\ �� 3\ O �SSgCHUS�� NORTH ANDOVER, MASS . PERMIT S I GN PERMIT THIS CERTIFIES THAT. tL .Z4 s�?4 �tS . . . . . . . . . . . . . . . . . . . . . . . . . . . . i - has permission to erect -WAV. . K, . !jtic�-.A , . on .y�� provided that the person accepting this permit shall in every respect conform F to the terms of the application on file in this office , and to the provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover . VIOLATION of the Zoning or Sign Regulations , Section #6 , Voids this Permit . vss Building Inspector a SENDER: Complete items 1 and 2 when additional services are desired, and complete items 3and 4. Put your address in the"RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you.The return Nei t fee will provide you the name of the person delivered to and the date of deliver . For additional ees the following services are available. Consult postmaster for ees and check boxles or additional service(s)requested. 1. ❑ Show to whom delivered, date, and addressee's address. 2. Restricted Delivery Addressed charge) (Extra charge) 3. ALAddd t/� // 4. Article NumDer /( f6 vi �s Type of Service: ❑ Registered ❑ Insured r Certified ❑ COD Express Mail ❑ Return Receipt Mefor Merchandise �/ Always obtain••sfgoature of addressee or agent• 'd DATE DELIVERED. 5. Sign u ss ee 8. rgssee's Address (ONLY if X fouested add fee paid) 6. Signature — Agent X 7. Date of D iv ry PS Form 315 11, Apr. 1989W. .1989-238-815 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS Print your name,address and ZIP Code In the space below. • Complete items 1,2,3,and 4 on the U reverse. �p • Attach to front of article if space permits, otherwise affix to back of article. PENALTY FOR PRIVATE • Endorse article "Return Receipt USE, $300 Requested"adjacent to number. RETURN Print Senders name, address, and ZIP Code in the space below. TO �n� r 6L���p�1✓ Z /�2a�1� •�j� P 686 476 435 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL Wit (See Reverse) s Sent t Street d No. P. a and ode /t— Postage S Certified Fee p, Special Delivery Fee o Restricted Delivery Fee Return to wh ate De ere an OD Ret c s t >3 m, Dat q eli d TO �� tag e1 a mPostmar 3 co E 0 LLN a STICK POSTAGE STAMPS TO ARTICLE TO COYER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) �. t 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the article. « 3. It you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space per- mits. Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1'of Form 3811. 6. Save this receipt and present it if you make inquiry. *U.S.O.P.O.1987.176.131 OFFICES OF: o?°;.��°T "" + Town Of 120 Main Street BUILDING NORTH ANDOVER North Andover, CONSERVATION ,' ` Massachusetts 01845 HEALTH �SS CH e4SDIVISION OF (508) 682 6483 CMU PLANNING PLANNING & COMMUNITY DEVELOPMENT • L KAREN H.P. NELSON, DIRECTOR January 215, 1990 Ansel Realty Trust C/O David & Gail Ansel 477 Andover Street North Andover, MA Rea Signage - 477 Andover Street Dear,* Dr. R Mrs. Ansel : You are hereby requested to appear at this office within ICI days from date of receipt of this notice with completed application for sign permit. The fee for said permit in amount of Twenty -five dollars ($55. ) is also due at that time. Please be informed that there is a Three hundred dollar ($300. ) per, day violation fee which may be imposed if your sign permit is ' not paid for or, your sign must be removed within ten ( 10) days. a Thank you for your immediate attention to this matter. Yours truly, D. Robert Nicetta, Building Inspector DRNagb Pw .. T COLE SIGN CO. lo7Fi�l S't�n �Ae� /yam 1 q O Sj 27 North Main Street NORTH ANDOVERi MA 018: °.� COLE SIGN CO. w' 41 27 North Main Street NORTH ANDOVER,MA 01845 Q C� 0D i a®G3� 11f ®OdCfoC�� sa o ' Q '61 �- - - - - - - --- --- ------ _y COLE SIGN CO. 27 North Main Street COLE SIGN CO. NORTH ANDOVER,MA 01845 27 North Main Street NORTH ANDOVER.MA.n 1 { t f e f { ,.._. ..� _IS..� �O\� AUG 3 019,897 LDING DEPARTMENT COLE SIGN CO.-- l" O — /ofr}I S' ��62� -2 q O E/ Pr" ,27iNorth Main Str'ieet !7 � NORT.H;ANDOVER!f*?0lB r COLE)SIGN CO. 5th J h l 27 North Main Street NORTH ANDOVER,MA...01.845 — — ` J ° Q � RO Q dd X°a ° o nM06 ® COLE SIGN CO. COLE SIGN CO. 01 27 North Main Street27 North Main Street NORTH ANDOVER,MA 01845 NORTH ANDOVER.MA nt 1 LNaWIUVd3a JNIa1� end new+ w �•���..� wf'�$�rrn r w^� t �ea:anom..aem-.c.an - v�.w.m.+Mrr.Y_ s•.r+uuacwr.�.na..-.u.a..rs.r.u...,.r...w.ar - «.- �.ao...r...a.s ..a. r....r..w.....a+e•r�v»_ -. v�._ .. .. �.r e. ...�«_. r _ — �. �-+..-.a.waw+n a..-�.w v-ran-«a+�.-.- _a- .•�+.re.—.:.a.«r�w«.�. AUG 2 4 1989 SIGN PERMIT APPLICATION BUILDING DEPARTIVIEN NORTH ANDOVER BUILDING DEPARTMENT ivision of Planning & Community Development Date Filed: g Z I 1. Site Address 2 . Owner 3. Applicant IL "-,"-, Sze i 4. Number of Signs I Size of Sign(s ) S . Site of Proposed Sign(s) F&jk:—% bV- j3uU-_Z)\ Yl2 6 . Materials : t,auo7 7 . How attached: (a) Against the wall ( ) (b) Roof ( ) (c) Ground (�f" (d) Other ( ) 8 . Illumination : (a) Not illuminated ( ) (b) Internally illuminated ( ) (c) Illuminated from separate service (✓� 9. Proposed Colors : Background 'V-tlAC_K Lettering -r.4(1 Border WkA 10. Will sign overhang any public road or walkway: Yes ( ) No 11 . If Yes , Name of Agency who will provide liability insurance : 12 . Attachments : ( ) -'Photographs of building ( ) Material sample ( ) Color samples (�) Site or Plot Plan (Required for all free-standing signs ) (�) -;Drawings of proposed sign ( ) Other, specify 13 . Is Board of Appeals decision required? Yes ( ) No ( ) w r 'Signature of Applicant 1988 COLE SIGN CO. O 1198927 D NORTH ANDOVER,MA 01845 North Main Street COLE SIGN CO. 27 North Main Street UUUULLLLIIII AUG�G"v NORTH ANDOVER,MA 01845 BUILDING DEPARTMENT D o 0 OQ� 0 00 —copy a„ 0 Q 0 00 000 OF MOM I�Wa O WN purr Dad�d Qo 1101t(O' MOP TOIDJOPO —z,or�V COLE SIGN CO. 27 North Main Street NORTH ANDOVER,MA 01845 COLE SIGN CO. 27 North Main Street NORTH ANDOVER,MA 01845 11 Li Y3'37�'iFFit19.77 v:�i�1,`J�q SIMI LAC®infant Formulas / y Isom I rSoy Protein Formulas ALIMENTUM�Protein Hydrolysate Formula With Iron �-7' uWA �a T7 4T -�w BU 3U LDING T 006"Ou THE IMPORTANT FIRST YEAR ROSS LABORATORIES COLUMBUS, OHIO 43216 2312/JUNE 1989 FE-3Division of Abbott Laboratories,USA LITHO IN USA v,v- v Y I IZ C M E �. S(DUCY Com, t ! SO 00 NJ 410 -•4S - OS" E .O ZD ! I N EXIST 3STi�:_ ! COti:�_ 3l-CSC'-_. -- a o" I DEED E00` ico04 AG E -TTS S F --- - ol PAGE J ! oo II r;yIh111Jp) X .i� - I r� Q LJ Z -- - '� ,p(�'r-� ? ".v _ •' ;� --�t fi__ � �`�' >i rte`_ _ -!�E EXIST. JWEt_!.. I EXIST. DWELL.0 14 ? ' I ljl 9 PZ - 19Z4ST4,TE HIGHWAYL_ "OULVIDL) ZE.13Y CE V-T1FY THAT THE P20PLZTY LINES SHOWN STONE gOU�J(7� �, (1=0uraD) :ON %eF_THF_'bWE.S DIVIL71MG EXISTING OWNEC!t)WPS, THE LINES 0P STZtETS LWE? WAYS.vE�E THOSE.OF PUE)LIC DZIVATE. STZF_ETS 0V_ WAYS &LI'_CADY I<STal3L15PE-R THAT X10 ti1EW LIMES Por- DIVISIOIJ OG EX15T1 UG OWNE V_- �S Or- KIEW W4`<S d2E 5140VVM. L PUIZTHE2 CE2.TIPY I i4,&VECOIJPOtZME_P TOTHE RULES AND ;ZEGULAT)O1.)S "HE F-EG1STEZ OF DEEDS I►J P2EPA;MG THIS PLaN. pA.VI®d.WEl38Etz 12EG LdWp SuK.vE.Yo� �jITE SUVIVE.Y AMP PLAW WERE PPEPAreEV JU ACCOV_F.&QCE ^� A TkEPfZOCEDU2AL.AIJD TECNJUICAL STAI,JVA-'.ePS FOS THE _FICE. OF LAND 5UV_VEY1!`1G III TNECOMVOQWEALTH Or- �aCPIUSETTS. -U- 0 w -B 2 7 W, +-- --- � +� PLAN! 3 "U)I,NG DEPARTMENT -SCALE l'=1000'+