HomeMy WebLinkAboutMiscellaneous - 50 EDGELAWN AVENUE 4/30/2018 0
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88E7
':�hc TOWN OF NORTH ANDOVER
�/,�� PERMIT FOR PLUM G
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�,SSACMUS��
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This certifies that . . . . � .f�. . . . . . . . . . ?. . . . . . . . . . . .
has permission to perform . . . . .eft Y. . . . . . . . . . . . . .
plumbing in the buildings of . . . . C. �. . . . . . . . . . . . . .
at . . . 5rU . . �. .`'. . . . . . . . . . ., North Andover, Mass.
Fee. . . .Lic. No..P .`/* . .). .. . . . . . .
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PLUMBING INSPE TOR
Check # 3) t
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
City/Town: ,NOrtM A,A,20-e ,MA. Date: Permit#
Building Location: S() F-06e(A,,..,.J Aye mol Owners Name: i:A/e�—e(l
Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional❑ Residential ER
New:❑ Alteration:❑ Renovation:❑ Replacement: Plans Submitted: Yes❑ No❑
FIXTURES
DEDICATED
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SYSTEMS
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SUB BSMT.
BASEMENT
1sT FLOOR
2"D FLOOR
3RD FLOOR
z4T"FLOOR
5T"FLOOR
6T"FLOOR
7T"FLOOR
8T"FLOOR
Check One Only Certificate#
Installing Company Name:f p qrz a-i S PW(� H i (,
_
F1 Corporation
Address: �Jt'r kx - )I-)— City/Town: Stater
❑ Partnership
Business Tel: 9-?7 Gza-11 G S Fax: ELF!rmiCompany
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-E?1io❑
If you have checked Yes,please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy 0/ 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
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.
By Type of License:
Title ❑ Plumber Signature of Licensed Plumber
Cit /Town Master
City/Town Number: 1 aN 6
APPROVED OFFICE USE ONLY ❑Journeyman
i
00
OMMONWEALFH NI e SACHI."
PLUMBERS'7fi TTE
LICENSED AS A, MASTER,PLUMBER
ISSUES THE ABOVE LICENSE TO: z
SHAUN P PARSONS f
3 FULTON STREET
MET.HUEIJ
,�. MA 01844-7,0.10
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Date. .S.�l
TOWN OF NORTH AN OVER
PERMIT FOR PLUMBING
4 •
SSACMUS�
This certifies that . . . �'. t.�. . . �.'�. �. . . . . . . . . . . . . . .
has permission to perform . . . . 14. r. . . . . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of . . ./.=}-�'!'.�.�. . . 7. . . . . . . . . . . . . . . . . .
' p. . . . , North Andover, Mass.
i '
Fee.21.q. . . . Lic. No. . . . . . . . . c . . . . . .
LUMBING INSPECTOR
Check #
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Date. . ? . .... .. ..
NOFTM
�j pya ��ao ,61tiOL
p TOWN OF NORTH ANDOVER
R • PERMIT FOR GAS INSTAL ION
9 -
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�9SSACMUSESt
This certifies that . . . . l
has permission for,gas installation . . . . . . . . . . . . . . . . . . . . . . .
in the buildings of . . . . . !. ." l .`.j.7. . . . . . . . . . . . . . . . . . . . . . . .
at . . . . F .�q._. . X e . . . . . ., North Andover, Mass.
Fee. . . . , Lic. No.�. . . . . .4-- � ' I . . . . .
G'S�INSPECTO•R
Check# J
7223
MASSACHUSETTS UNIFORM APPLICATONFOR PERMITTODO GAS FITTING
(Type or print) v
Date
NORTH ANDOVER,MASSACHUSETTS
Building Locations —0
Permit#--aL- L
Owner's Name errlw �tnount$
f '��. 4L
New❑ Renovation Replacement Plans Submitted
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SUB-BASEM ENT
BASEM ENT +
IST. FLOOR
2ND. FLOOR
3RD . FLOOR
4TH . FLOOR
STH. FLOOR
6TH . FLOOR
7TH . FLOOR
B.TH . FLOOR 5--
Name or type v Q—heck one: Certificate Installing Company
Ati 1
(� Corp.
Address 0"v � � 6� El Partner. _
Business Telephone ,�,—� j � � aTum/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes [9-- No❑
If you have checked Yes.please indicate the type coverage by checking the appropriate box.
Liability insurance policy ❑ Other type of indemnityBond ❑
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.
Cbeck one:
Signature of Owner or Owner's Agent Owner ❑. Agent ❑
I hereby by certify that all of the details and information I have submitted(or entered in above a i
best of m knowledge ) pPl n are true and accurate to the
y edge and that all plumbing work and in ons perfo ed under Permit is ed for is application will be in
compliance with all pertinent provisions of the Massac setts tate G d d Cha 14 f General Laws.
1 By. Signature of Lic ed Plumber Or Gas Fitter
Title Plumber 9 9
City/fiown ❑ Gas Fitter Jiceiase Number
13 Master
APPROVED(OFFICE USE ONLY) Journeyman
Date.
0'<",�RT:��o TOWN OF NORTH A OVER
3? •`_� • '• OL
° p PERMIT FOR P MBING
,SSACHUS�
This certifies that . ../ lr�r,t�. . �. �. . . . . . . . . . . . . . . . . . . . .
has permission to perform . . . . t!`''. . . . . . . . . • • • • • • • • • • • • • • • •
plumbing in the buildings of . .17/4 u '�, t. . . . . . . . . . . . . . . . . .
at . . S.v. . �`5-• f0`` '".1J`r. . . . . -• • • • • ., North Andover, Mass.
Fee. . .Lic. No. . 3.�?. . . . . . . . . . -. . . . . . . . .
Lu WING INSPECTOR
Check # ��✓
7056
MASSACHUSETTS UNIFORM APPLICATION FOR-PERMIT TO DO PLUMBING w '
(Print or ype)
Mass. Datiy
20 Per #
Building Locatio Owner' ame
Type of Occupancy 7
New D Renovation 0 Replacement
Plans Submitted: Yes 0 No ❑
FIXTURES
B.P. # SEWER # SEPTIC #
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O= '_' Q O : O O Q � . Q O
m 0 O = M u_ (D D D Q m D O
SUB-BSMT
BASEMENT
1ST FLOOR
2ND FLOOR
q 3RD FLOOR
4TH-FLOOR—
. -
5TH FLOOR
t 6TH.FLOOR
7TH FLOOR
8TH FLO R
nstalling Company Name JVLI�f_Check on
g: Certificate
4ddress
s/Corporation
3usiness Telephone 0 Partnership
flame of Licensed Plumber or Gas Fitter 11 Firm/Co
INSURANCE COVERAGE:
I have a current ability insurance policy or Its substantial equivalent, which meets the requirements of MGLCh. 142.
Yes No . 0
If you have checked yes, please indicate the type of coverage by checking the appropriate box. T
A liability insurance policXj;� Other type of indemnity ❑ Bond 0
OWNER'S INSURNACE 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.
Signature of Owner or Owner's Agent Check one:
Owner 0 Agent 0
iereby certify that all of the details and information 1 have submltte o entered)In above ap licatlon are true and accurate to the best of
y knowledge and that all plumbing work and installations performe u er the permit issue r this applica ion will be in compliance with
I pertinent provisions of the Massachusetts State Plumbing Code a ha r 142 f Gen I Laws.
By
Title S ature of License mber
CiryRown i ��� _
APPROVED(OFFICE USE ONLY) Type of License: IWslaster 0 Journeym an
License Number__
5980 ,
Date..J.�.$...............
5
HORTI�
Ot�.�.o ,•1ti
...,..,oar TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
Ar-
,SSACHUSES `t
5
This certifies that ........ 'I-' ...............................................................
has permission to perform...= ' !.ter r .. : '`+�....,:.. ,. �s - .....
wiring in the building of......��................: . ... ................................................
�� 1.....�. .,North Andover,Mass.
at ..........�.....!.. 1. ... ............
Fee';`.............. Lic.No.'�
ELECTRICAL INSP, Rd
Check #uy
Commonwealth of Massachusetts official Use
Only
l�
Permit No. W
.Department of Fire Services
Occupancy and Fee Checked �^
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 (leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORE(
All work to be performed in accordance with the Massachusetts Electrical Code(ME 27 CMR J00
(PLEASE PRINT IN INK ORPd AL F TIO ) Date: O
City or Town of. To the Inspector of Wires:
By this application the undersi s notice of o her i tention to perform t electrical work described below.
Location(Street&Nu er) (�
Owner or Tenant Telephone No.
Owner's Address
Is this permit in conjunction witha builijmg 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 AmpacityV
Location and Nature of Proposed Electrical Work: Installation of Security system
Completion of the ollowin table may be ivaived by the Inspector of Wires.
No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Lighting Outlets No.of Hot Tubs Generators KVA
No.of Lighting Fixtures Swimming Pool Above ❑ In- ❑ t o.o mergency ig ing
rnd. rnd. Battery Units•
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
r o Detection an
No.of Switches No.of Gas Burners No.Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons g
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 [IOther
Connection
No.of Dryers Heating Appliances Key Security Systems: �9
No.of Devices or Equivalent
(/
No.o Water KW No.o No.o 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.
4 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:)
��) (Expiration Date)
Estimated Value of Electrical Work: �� , �/C.� (When required by municipal policy.)
Work to Start-ELZI Inspections to be requested in accordance with MEC Rule 10,and upon completion.
I certify, under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: ADT Se LIC.NO.: 1
49
Licensee: John S. Bassett _ Signature _ LIC.NO.: 1533C
(Ifapplicable,enter"exempt"in the license number line) Bus.Tel.No.: 608 594 5928
Address Alt.Tel.No.:
OWNER'S INSURANCE WAIVER: 1 am aware that the Licgnsee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $711,
i
r
Date.. . .2 J`..r/. .. ......
s
N°RTM
pF .ao 1tip
or TOWN OF NORTH ANDOVER
• PERMIT FOR GAS INSTALLATION
SACNuSEt h
Yhis certifies that . . . ' 1:�►� f--^ . . . . . . -. .: . �`' �. . . . . . .
has permission for gas installation :. .- : . . . . . . . . . . . . .
in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . .
at . . . . . . .. North Andover, Mass.
Fee.?�!, . . . . tic. No.. . .`:-'. 1F. . .:-`?� , 5,, . . . . . . . . . .
-GAS INSPECTOR
Check# /''/, V l
3749
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
NO KTIY R1Vd aV rk, Mass. Date � �` a`' 1g Permit # 3 7 4
rr
.7 ' -
' Building Location S'U /�D C-F L AW A) Owner's Name fig S L t719lzY
Type of Occupancy D��r`
New r7 Renovation E] Replacement Plans Submitted`: Yes❑ No ❑
Q
H W N
y-
0
N U
NG Vf C O > 4f r
W W `' O U m �"" x Jf
a N.
z o u a e c o Q ~ uJ
O
116
Q 67 N F- ` H
- ¢
WW Q* J z Q= S ¢ Q W r W
Z < W =j Q C Z .p z W C N _
Q W > w x z. < < < o o , c o ou
a c > Q a o
BASEMENT
I ST FLOOR
i 2ND FLOOR
3RD FLOOR _
4TH FLOOR '
STH FLOOR
6TH FLOOR
7TH FLOOR
STH FLOOR
Installing Company Name C ll�=/1 /� f /Cfi 4-L!'(T Check one: Certificate
Address rr? M#L2/L I'A/ R ❑ Corporation
l�lV 1)° U/--g M'9S01&! P Partnership V1 1
Business Telephone g�� ��Z� ❑ Firm/Co.
Name of Licensed Plumber or.tas Fitter `�9106e w � �$�
INSURANCE COVERAGE:
I have a current,liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes LX No G
If you have checked Yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy Other type of indemnity❑ Bond ❑
OWNER'S INSURANCE.WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner[] Agent (I
I hereby certify that all of the details and information I have submitted (or entered)in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
BY T of License- /
umber Si ature of Licensed PILIbber or Gas Fitter
Title .Gasfitter
Master License Number
City/Town = Journeyman
APPRCNED(OFFICE USEONLY)
Location
�4 c�q� �� Wit/ 14vf 1/0/ 5�
No. Date
HORTh TOWN OF NORTH ANDOVER
O? • •OR
F p
Certificate of Occupancy $
US Building/Frame Permit Fee $ `30
Foundation Permit Fee $
Other Permit Fee $
' TOTAL $ 341
Check # o2-7 OS
17836
Building Inspector
_A
' TOWN OF NORTH ANDOVER BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
Section for Official Use Onl ic
BUILDING PERMIT NUMBER: r DATE ISSUED:
Z
SIGNATURE: O k:
BUB din Commissioner r 5Buildings Date
f
Y 1.1
1.2 Assessors Map and Parcel Numbs:
Map Number Parcel Number
O c O
1.3 Zoning Information: 1.4 Property Dimensions: v
Zahn District Proposed Use Lot Area Frarta ft
1.6 BUIIAING SETBACKS(ft) M
Front Yard Side Yazd Rear Yard
Required Pvide Provided p�,i� i I.
1.7 Water1.3. Flood Zana h ounad
SupplyM.G.L.C.40.t54)12. 1.8 Savvuage D;spoad system;
Public 0 ftwua 0 zone outside Flood Zane 0 Municipal on She Disposal System 0
O
2.1 of Record
ref-l/v z z O.
(Print) Address for Service:
rn
� Telephone
2 ent
r Address for Service: Z
Telephone Z.
M
go
+.1 Liomsed Constraettim supervisor
Not Applicable ❑
License Number 0
,iceased Construction Supervisor: ;-
Expiration Date ic
' Tel one r �
2R7&tered Home Improvement Contractor Not Applicable 0 v
1
:out Name
' Registration Number
M .
i
f rEMirati ,
� Telephone O°Date
1
,
New Construction 0 Existing Building ❑ Repair(s) ' 0 Alterations(s) ❑ Addition 0
Accessory Bldg. 0 Demolition 0 Other ❑ Specify
1 .
Brief n of Proposed Work:
1 .
,
l
,;ft
i
USE GROUP Check as a licabfe CONSTRUCTION TYPE \ j
-A Assembly 0 A-1 0 A-2 0 A-3 0 1A ❑
A4 0 A-5 0 IB ❑
B-Business 0 2A ❑
C Educational ❑ 2B 0 i
F Facto 0 F-I 0 F-2 0 2C 0 i
H High hazard ❑ 3A 0
1 Institutional 0 I-1 0 I-2 0 I-3 0 3B ❑
M Mercantile 0 4 ❑
R residential 0 R-1 0 R-2 0 R-3 0 5A ❑ .
S Storage 0 S-1 0 S-2 ❑ 5B ❑
U utility 0 Specify:
M Mixed Use 0 Specify:
S Special Use 0 Specify:
COMPLETE THIS SECTION 1F EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE
Existing Use Group: Proposed Use Group:
Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34:
BUILDING AREA EXISTING if applicable)
PROPOSED
Number of Floors or Stories Include t ,
Baseroent levels i
Floor Area per Floor s
Total Area
Total Height ft
i
Independent Structural Engineering Structural Peer Review Required Yes ❑ No 0
SECTION 10a Owner Authorization- TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner of the subject property
He authorize to act on
Hereby
MY behalf;m all matters relative two work authorized by this building permit application
I
Signature of Owner Date_ . .
1
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as Owner/Authorized
are ! 1- statements and information 11 the foregoing application are4rue:an. accurate,to the best of my
Icnowledge and belief.
J'.. under thepains and penalties of.•
W1212 (��)Z'�WZ
.1 ature . . —/ ISate
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Completed
f,';i +b$47.E� ��'4. Q :�� 1•� ,�
�a c k •fi5F5y }is Tai
1 Estimated /' •/ 1
(a) Building Permit Fee
Multiplier
(b) Estimated Total�Cost oij
Construction from /
5 Fire Protection
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ws .,.,ni a rkr,E .ir t•�y� '� �=tfti�{a r � "��� �4l� s�y.�,� ;� ,+��y, r i� ��gt }q� �c,;��'�rcN� �d psi « i
k'�.e%�i,• � ;. >"� f' �•°3'.F;r,�r�f'�f ��e`¢ 1�� ,n Y��n� '� }�j� .�s� �n�d;��x n�;�3n^ � �'�i t��","i '„e� �iS��Y�+'�.��, y fl �
���,� �s ..r+� ^ ;? ;.�.,t: t,�Y*����':��r4,r?rFd ��';.'•4't���'�7t� �y tn� fi,� fir- �� r f.� e�yf,�� +r�.t'�'�rrr� '' ':�3w�.�;,t A e �'tis a�, �;., t• •y.'
• OF ••I
SEE OF ••• TaMERS
N1 L
DFIvIENSIONS OF i
DENENSIONS OF POSTS
DIMENSIONS OF r •
BEIGHT OF • D• • TIIICKNESS
SIZE OF •• i
-MATERIALOF u i
BUILDING
IS BUILDING ON SOLD)OR FILM LAND
IS • TO NATURAL GAS LINE
Mn `t4t U F� -,rr,r" �°•/",,3 a T `fi. '�t'�F�4 r ?n .�� Y,t 5 '4'���q k•° �e"�'i a,}' '?��.} '�,G a r ..�a,F•F:.,
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Larr-mark Insurance 3-,W769987 09/15/04 08165em P. 001
9_CQRP. CERTIFICATE OF LIABILITY INSURANCE �� C °° ("""�°^"""'
^2 06127103
PaooucrDtCERT—H LIED A$ OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
I,andm"k Insuranoo Agency, Ilia HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
198 Massachusettr Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
North Andover UK 01843-4190
Fho»w:978•-688-8829 Naz:978-975-3987 INSURER8 AFFORDING COVERAGEMum _ NAIC 8
,wtwRmA: A.i.K. 1tt1tv81 Ins C •
R I xOfessvA 1Artval IOsulame Co. 15024 _
.._. _.
chaestl�Haygnt 6 Constr.
rta�marc
$M St
l4Oth4eA 1511 01844 .._
COVERAGES
THE POLICIES OF INSURANCE UVW BELOW HAVE BEEN ISSU90 TO THE INSURED NAATW ABOVE FOR TTm POLIDY PERDD Nw-ATED.NDTWITHETANgm
ANY REQIlFMAENT.TERM OR CONDITION OF ANY OONTRACT OR OTHER OOCI SAENT WITH AtSPECT TO"M TH3 VORTIFICATE MRY SE MMM OR
MAY P�TAN TNC QiOURIVVLL'AF►OROED BY THE POLIC"DESCRIBED HEREIN W SUBJECT TO ALL THE TERMS,EXCLUSioN8 AND CONOTT M OF BUGH
MR"AITR LMT#6HOWYH MAY HAVE IM RFFX X:FO try PAD OLAW.
a1M ......__ _._.. ......POLICY NUMBER pQL�ry
Vq TYPE OF ROURANCE DA DfiR .INRTa
01INeRALweuTY PALHOCCURRCN= $300000
8 07�LGGHPALUAIfIIY CM100367642 PROA3sidoawronw �� _f 50000
CA=MADC TO=*' Namw(AATonrmW) f
% Business Owners 05/05/03 05/05/04 PUMNLLaAi;;r1WURY a 300000
GENERAL AnGR!(ATE :600000
OFxLADCRGCATTUMRAPPLIEBFEit PRODUCT,6•CCMMOPADO f 600000
171 POLICY I 129 ...1 LOC
AVTOMOBK¢LIAMUff
M,�OSN=LIAR
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ANL'Auto
AUOWMAUN6 - --- —
>!CHW H FDAUIOR TlOgLY INJURY f
VV Pte)
...
Hum AU1A9 ... - .. .
,
.. NON MWJ)AUT06 ��„ I i
CARAGS LIAILMY AVN piLY•U Aa_,SENT f
ANY AUTO ••'-• - •-• .. ...__
O1H6R THAN YrA ACC i
AVID Mkvr ADO f ... .._�_
EJWRaNMBRfLlrA LIMIU Y UCH OCCURRBICF f
QOCA
RETENTION S
WORKERS OMIPS NUTION AND I Laura
VOUYM LMWUIY
A ANY **B= BELOW
E_MCHACCUMM f 100000
EL OQEA9c EAQVLOVe s 100000 .
NTTIEIt TLL nK1EA8E•PCLICY LAIT $500000
.
' PIONalL00A71WNa IvpAG.LaIFkOLUaIONa AODfiD BY NIOORSOIBITffPGC1AL vIfIONf
""Workers CQmP=sation Certificate to follow directly from A.I.M. for policy
# ANC7012920012004 effective 5/8/04-5/8/05.
CERTIFICATE HOLDER CANCELLATION
I HEMITA7 SWmLO ANY Of THF AB04 D"Clullm POULeB 26 CANCILLED soma TNF&-RATTON
Heritage Green Cond�oNDini VOID DATE DATE TNR dW,THE 133UMS MOM WILL E cOvOR TO MNL _...-.DAY&MRMM
Affii COXV. ty, Rea ,�
lty property t
LLC MML To TM CWnFrATE HOLDER NAMED TO TNF LUT.BUT FAILURE TO 00 SO SMALL
f 9�arrwood Ave. NPOU NO URLIOATION OR LMLTTY OF ANY KM UPON TWO NMMFR,Ra ADERIS OR
North Andover MA 01845 R7RODOWAMM.
ACORD 25(2001!08) CORD CORPORATION 1
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09/28/2004 12:55 5088656809 LEO TURNER PAGE 02/04
HAli4"V'iiPa'Y INQU' �TI�IE� _
TEST RESULTS
Harvey Manufactured Windows and Doors
• U-Factor in accordance with NERC-100-97, • Air infiltration in accordance with
based on whom window value ASTM E 283 0 1.57 PSF(25mph)
HwwYri vine and sandard size $ vin� p�o
doors with Low-ElArgon
qualify for the ENERGY STARS program throughout the United States.
Revietl s/25/04 pg 1 of 2
Cirnr Insnlawd Low-E [Aw•L/Aron Air
-Fades R-Vdae -Faoter R-V U-IRWA r R-Value I1112ft2 =
c6nl>a'
�Nn,r�Nnovvs
Classic Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94 .10
CiacsWr,DauLiu Hurwj(vMded Sash&Frame) 0.49 2.04 0.36 2.70 0.33 3.03 .14
Classic Acousfcal Double Hung STC40 0.33 3.03 0.25 4.00 0.24 4.17 .17
Signature Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94 .04I
Skrilinrs Double Hung(Welded Sash&Frame) 0.50 2.00 0.37 2.70 0.33 3.03 .16
Sfimfine Single Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 0.33 3.03 .16
Vinyl Casement/Awning 0.47 2.13 0.34 2.94 0.31 3.23 .04
Vinyl Casement/Awning and Thermal Panel 0.31 3.23 0.25 4.00 0.24 4.17 .04
Vinyl Designer Shapes 0.49 2.04 0.33 3.03 0.29 3.45 --
Vinyl Hopper 0.47 2.13 0.35 2.86 0.32 3.13 .03
Vinyl Picture Window 0.47 2.13 0.32 3.13 0.28 3.57 .01
Vinyl Roller- 2 Lite and 3 Lite 0.50 2.00 0.36 2,78 0,33 3.03 .09
(2-tile)
Test msufis are based on awrew al sbw
Mw Test teslas for other wryl wixim made upon mWm
Tempered T'empn*d '[ mpened DbL'temp. Air
Clear Low-h Low-E/,Argon Low E/Arg lufAtradon
U-rector R-V" Wadw R-Vahe U-Fadar R-Valoe U-Fador R-Wae cwff �[
a l O oar 77b.-so., ._� 4� 2- U IN 0:35 2.86
'Alf vinyl windows with Low-VArrpn qualify for the ENERGY STAR program duoughout the U.S.
The use of tempered low-E sass may effect ENERGY STAR quakk aWn in your regions.
All voluee are eubject to change vv ihW nodco due to periodic re-ging.
09/28/2004 12:55 5088656809 LEO TURNER PAGE 03/04
shatf dose the door around the Jamb frame adding
additional r,.ecurky and tightness. The sash shall have a
AJ removable interior snap-in glazing bead, which will allow
replacement of glass without taking the entire sash apart,
t�eoaoUcls+�'� A vianyt snap an in»ariock cover shall be applied to each of
the meeting rail styles.
Vinyl Patio Door Sore"Construodan: The door soreen frame shall be of
heavy tubular aluminum, reinforced at the comers with
14110"'. Vinyl Patio MW ext ud d corner keys for maximum Wrenpth. In.wl
Appltcatons: Residential screening shall be 18 x 16 non-glare fiberglass mesh held
Lightooraltrerdatl in plebe with avinyl screen spline.
Arnll Wa Rrdshes: Shall be solid vinyl throughout in
DbftgMdft Fudares white and almond.
Custom Manufactured to Size
Welded 8wh Comws Weagnmtripping. MotheisUipping on the analn rianie
Reinforoed Sash Panels perimeter shall be silicone treated woolpile with a
polypropylene in in the Center. Each sash meeting rail
Stas Uratlaans
Standard Sizes: 5068,6068,8068 �I positive interocor too e
of selpe wetalters4tpping and a
Custom btize—Max. opening; lk fiple seat.
24de Width 86" Height 92" Max Ul 180 Hardware: A variety of hardware and locking systems are
3-ft AW 144' Height 92" Max UI 228 available. See options.
4-litc Width 192" Height OT Max Ul 276
GkWng: Insulating glass shall have an overall thickness
of 719"with a rrilnlmum 0/r3" air apace. Insulating 91wa
ARCHITECTURAL SPECiFICAMNS sandwich shall use a one-piece steel Uchannel design
glass spacer, and shall have a desiccant matrix extnrded
Garland: Manufactured by Harvey Industries,Inc. into the base of the 1lehan". A butyl sealant ensu be
w*uded around the entire perimeter of the spacer to
Operation: Operating panel shall glide on tandem ny un achieve a seal. Ali ghm shall be tempered type B
anlju�in wrNeels. Wlwals shall glide on a solid anodated domestic float type. A dual durometer snap in glazing
aluminum mdnoraf. Sbitionary panel shag be fired at bead shall metre the glass in place along the inside
head and silt with an aluminum angle. Panels shall have penrmeter,
pos93ve interlock at the meeting rail when in the ck'* el options: Grids - Colonial contoured aluminum In-glass.
Pon" GlazingLow-E,
- Argon-filled Low-E,and beveled gess. 3
Mafa fhft• Frame extrusion shall be 100% virgin PVC. Ute Units, 4 Lite Units are available. Hardware -White,
Jamb frame shall have a minimum of 8 hollows,and have almond or bright banes firdch hendlecet wirh dual-pant
a nominal well thiokaness of 0.100" locking system and keylock, standard. Optional multi-
point locking system also available. Flush mount
Fi<aw Cons wellior Comers shall be fitted with a dosed dendbok. Corrosion resistant stainless steel rollers are
cell foam sealing pad, but-joined and mechanically avaliable.
tasWed with four slgilrleas steel screws per comer, lnstadlattlon: installation shall be in accordance with the
anchored Onto integral exbusion screw boss". Serwon
track and nag fm are k ftWW to The frame. The head and manufaeturer'g ported lrmtructonrs,
jamb w*uskon shall have a minimum of 8 hollows, and ~antykMbmration:Available upon request
have a nominal wall fhiclorese of 0.100'.The sill shall have
six tubular hollows and a nominal wall thiclsnew of 0.100".
A vinyl c&*w dtail be strapped onto the fixed jamb inside
leg to give jamb a finished appearance.
Sub ConstrucGon: Sash panels shall have mitered and Reitan to Urdnsu/as actual N'
fusion welded toners. gash profiles shall have a nominal for om aloaw Y
Wali ttkimese of 0.100 Sach frame shall have five comp
left
twlar hollows and shall be reinforced with a 0.080"thick
extruded alumiwm channel in the meeting raft and
koeft Wles.A unique pocket perimetifr on the door panel
REO/07,V4
09/28/2004 12:55 5088656809 LEO TURNER PAGE 04/04
4 D/t6'
Harvey Industries, Inc.
Vinyl Patio Door
04 (1/2 ScWe)
4 15/14"
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4 1 O
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C1 20
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.........................
0
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+- 4 1/,2' 3 13/16' 4 11/16'
REV. 1104 AS 307
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A 1. 16 OZ.LEAD COATED COPPER FLASHING TO EXTEND BELOW THE BALCON
DECK,AND DRIP EDGE BRAKED 1"
2. FLASHING TURN-UP IS TO BE TIM WID'T'H OF THE DOORJAMB,AND
q PLACED TIGHT TO THE'ROUGH OPENING. THE TURN-UP IS TO BE SEALED
m BETWEEN THE FLASHING AND THE WALL WITH SEALANT OR MASTIC TO
PREVENT WATER BY PASSING THE FLASHING TURN-UP.
0 3. TOP EDGE IS TO BE RETURNED TO STIFFEN THE COPPER FLASHING.
4. ALL CORNERS ARE TO BE SOLDERED,ALTERNATE IS TO PLASH THE
o ENTIRE AREA WITH BITUTHENE MEMBRANE,OR PERMA-BARRIER TAPE A
r MANUFACTURED BY WR GRACE CO.
N 5. FLASHING IS TO BE SET FLUSH WITH THE FLOOR,AND THE CONCRETE FIL
o- REPLACED OVER THE FLASHING. CONCRETE FILL IS TO BE HELD %z"BACK
cn FROM THE EDGE OF THE BALCONY TOP ALLOW WATER DRAINAGE.
lD
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LIMITED WARRANTY
SOLID VINYL PATIO DOORS
o www.harv*yW.com 1.80o-9iiAl�ltL�1f LD
Harvey Scud Vinyl Patio Doors are m .-afecbured tom ran* This warranty covers cnty rrrenefacturing defacts, is
materials of she highest query using the most up-to-ale 1117tU401 10 raltal" or replachag defaellve Parts or CLAIMS PROCEDURE `J'
and modern produd3on techniques.'they are warranted for canPonsrrts and paying for the costs of rattan o
ion to the manall"Mxer^s nesresl ping of coC
residerdW installations as follcevs. x
business, and doe a rat Include labor or ulnen costs Tc make a ciairn under tide vnarranty, tine buyer should s
UP"ME WARRANTY Incurred in the removal, replaaar avd,
Iaatallstion,or contact the seller horn whore the product was purchased `r
The aedbr�ded, seMd vinyl merrnbehra, eaeenirrg and reinslatlation of the product or any part or component within a reasonable tLns after the dlscoyery of the derrDd. cc
component mechanical parts are warranted againa of the product it the boyar has not nresivad a eatlsfatXcry response barn 1
dellecis in material and workmanship for as long as the the seller. you must iteen notl!y Harvey Industries, ins,
"Vml purchaser owns and-asides in the house in which Tlds warranty Is m ade b the ariglmal purrhssar only. Custorner Sarvlee Department, 725 Huse Road.
Lftnchester, NH 03103. The claim should IderM the
They are Installed.
The Ustime covarage offered by thle ,warranty v it order m tuber, produot type, dribs product was Installed,
gutobe
t. Ppocuct
TWEMTY YEAR WARRAN warranted against of the est o Nee orcatily cease, dinal owners ofn the Sale athet operty or death la�ard ��to the product In a�n�frwonspl n is bplaoe.from a
Insulatfntl Glass.Insulating glassgal props
material obstrrxdlon of transparency msrlft from flim Mistime eovaraga In this warrant/ is interded to cower
formation or dust collection an the Interior aurftces for a indhiduai homeowners end does not apply to products
period of Mrec►ty years,according to the fallovring forrraula: purctased by or fnetalfed upon property awned by, for PUttClf4SER f H IWWOWNER
0-19 eats 10496 example, oor;matioM govemcner" agsnd�es,
Years 50% pw h�k+ trusts, reliplous organbeadoM schools, or
11-f9
cooperative housing arrangements. or installed on Name r
16-23 years 25% apalibnent buAGNngs or any other type of buildings or r'
c
EXCLUSIONS AAD LIMITATIONS premises nut used by hdkndual homeowners as twit Address
The above warranty periods commence on flee oats of residence. For such purchasers tx arNtles to which this C
shipment tom the manufactr.ring facililly. Ilfetbne ooveraye does rat apply,the warranty period will Cky,St,Zip
be(10)years reliowing ft data of arlpinaf inetaktion.
This warranty does not coverbroken guar tom somenlag: Phone f 1
damages resulting from improper Installation;damages Its statements coratalned herein set forth tha only
caused W airborne pollutants such as sett of acid rein. express warwritles*file above products Ary knplied
Negapenoe or unreasonable use (nciuding failure to vmwardiss hoposed by law,such as Implied wan artles DEALER 1 CONTRACTOR
pnhovideraasonabie and necessary nsairntetharwe); s6eea of rwarchantat>itlly or Rosea 961 a particular purpose.
rsetrttlr►g tom bcalll d application of heat that causes arra lurched In time to the duration of the above express n Co "um IMst
sweesive temperature differential over the glass surface wrarrandes. Name fR1B506f crane t
or the edges of Ire uml; damage resulting from &%
ighlning, w4ridslomm earti'quake s. windbome objects, The erasnufaeftw shag wool be fable ft the buyer for Clly,St 19ARp.t*k wig
strain applied to the unit by movement of the Wilding Mincident �
al or darmes
gfor breech ofany
inadequate provision hrr expansion or contraction d wrilhnorlmpNdwarrtnty. Indaflebon Dobe
barring numbers;condensation on wkxiows at a natural
result of humidity within fhs house and the difference Some states do not allow imttatrona on burr an
between Nle Inlemal and exterior temperahuesr Installation implied wet"lasts, and some states do not allow the Order#
In ships,vehicles,or outside the eontirertel Untted States; exclusion or imitation of incidental or eonsequerrlial
seal failure If the Deal tars been subject to Inmersion in damages,so itre above limitation or exohralons mey riot Phone � l
water;ass of God or other causes beyond the control of applyta you.Ttnls warranty gives You speefflc legal rt�lhta,
the manufacturer, sand you may have other rights which very Ronan state bo
state, �v 1e
i
i
NORTIy
Town of Andover
0
No. Jd 7
o 1A over, Mass.,—.,/
4�4 co C V .
00 ATED
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
THIS CERTIFIES THAT......r A PJ ��..VVBUILDING INSPECTOR
... ......... ............................................. ..................... .... .......................................... Foundation
............ buildings on.0......................... ..... I ..............
has permission to erect..... 457���.... ... ......... Rough
tobe occupied as_ .....411:11200.111P..1111................................................................................................................ Chimney
provided that the peroac�cep�tln.g jthWis permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relfing to the Inspection, Alteration and Construction of
Buildings In the Town of North Andover. 5*IS- PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTIONS ELECTRICAL INSPECTOR
42 Rough
.............................................................WAM.............................................. Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the .Premises — Do Not Remove Rough
Fin;3d
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE__Jl Smoke Det.