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Miscellaneous - 510 TURNPIKE STREET 4/30/2018 (2)
Q Date. �. ` � . - -/� TOWN OF NORTH ANDOVER o PERMIT FOR PLUMBING �SSA�MUSE` This certifies that ........................................... has permission to perform ... .. ....�.''�� plumbing in the -buildings of( ....' ............................ . at ...-` . ..................�........ North Andover, Mass. (7 r" 1 k. ��� Fee .�.......Lic. No.. �. :_..: .... ....... PLUMBI INSPECTOR Check 5873 i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Tvpe or print) Al' a20c)p00 , MASSACHUSETTS Date O Building Location ,�"//�_�� r .n +o Owners Name —% c, t T Permit # Amount Type of Occupancy C.6 u �4 , New Renovation Replacement Plans Submitted Yes No FIXTURES i (Print or type) Check one: Certificate Installing Company Name M �'_0 V-'< 1:1 Corp. Address v✓(�OX F1 Partner. Business Telephone 9 7 9,'5- 7 - / y 5 '7 ® Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy K " Other type of indemnity 0 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 Signature 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 Massachus s State Plumb, Co a Chapter 142 of the General"Laws. By: Signa ure of Licenseuu er Type of Plumbing License Title City/Town ,censeum eT r Master ® Journeyman El APPROVED (OFFICE USE ONLY Date ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thils certifies that ...... V ... 1. k ............ A ............... 0. (A. has permission to perform ........ ............................................ 41 —-1 - wiring in the building Of ....... 1) ..X.................44 ....... at ..... 71� . ...... L .......... I .............. ................................ /,�korth Andov:Mass. Fee.YgS — .'. 00 .. Lic. No/.. , . .... /0t .17ce) ........ .. .... .. .... ....... .. . . ........ Check # / ELECTRICAL INSPECTOR The Commonwealth of Massachusetts Office Use Onl Department of Public Safety Permit #% Board of Fire Prevention Regulations 527 CMR 12:00 Occupancy & Fee Checked ,1 -// ' 3/90 (leave blank) f/ *-� Y APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date January 14, 2004 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 & Number) 510 Turnpike Street Owner or Tenant John McQarry Owner's Address 401 Andover Street, No. Andover, MA Is this permit in conjunction with a building permit: Yes F 7RNo = (Check Appropriate Box) Purpose of Building Utility Authorization No. 180020 Existing Service 1200 Amps 120/208 Volts Overhead =Undgrd ONo. of Meters ONE New Service 1200 Amps 120/208 Volts Overhead Undgrd]No. of Meters FIVE Nurnber of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers No. of Lighting Fixtures Swimming Pool Generators No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switches No. of Gas Bumers FIRE ALARMS No. of Ranges No. of Air Cond. Tons No. of Detection No. ,f Disposals No. of Heat Pumps kw No. of Sounding No. of Dishwashers Space / Area Heating kw No. of Self Contained No. of Dryers Heating Devices kw Local No. of Water Heaters No. of Signs Municipal No. of Hydro Massage Tubs INo. of Motors Low Voltage Wiring Other: INSURANCE COVERAGE: Pursuant to requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES FX NO I have submitted valid proof of the same to this office YES FX—NO F— If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE . X BOND OTHER (please specify) 2/2/2004 Estimated Value of Electrical Work (Expiration Date) Work to Start Inspection Date Requested: Rough 14 -Jan Signed under penalties of perjury: Final Upon Request FIRM NAME Dumais Electric LIC. NO. 12170A Licensee Mark A. Dumais Signature LIC. NO. 26665E Address 8 Newport Street Bus. Tel. No. 978-683-9438 Methuen, MA 01844 Alt. Tel No. 978-685-4553 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or it's substantial equivalent as required by Massachusetts General Laws and that m t th' y sigma ure on is permit "� v application waives this requirement. Owner Agent (please check one) t Telephone No. Permit Fee /01 (Signature of Owner or Agent) Locations d ��'`"' L �No. 7 cr Date d NTOWN OF NORTH ANDOVER 3? O�,t,, • `•O ,�OL ' p Certificate of Occupancy $ 1 Building/Frame Permit Fee $ Foundation Permit Fee $ sAGMUs Other Permit Fee $ $Oger Connection Fee $ Watar Connection Fee $ TOTAL of AU, Building Inspector `f .L 1. 6339 Div. Public Works DER3fff NO. 's! YR APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /PAGE 1 MAP K-40. NO. 2 RECORD OF OWNERSHIP (DATE BOOK PAGE ZONE JW t�k_jLOT SUB DIV. LOT NO. 1I LOCATION 0 `Tu rn ( - ,� V QVc r PURPOSE OF BUILDING q ( i r i�. OWNER'S NAME NO. OF STORIES IEEE �L,• OWNER'S ADDRESSSt: i / BASEMENT OR SLAB //��lJj?L CL ARCHITECT'S NAME KI SIZE OF FLOOR TIMBERS SPAN BUILDER'S NAMEQ • A arl V DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW eN SIZE OF FOOTING X IS BUILDING ADDITION�jo MATERIAL OF CHIMNEY IS BUILDING ALTERATIO IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER 7ez BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER Yea C. IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 a! PAGE 2 FILL OUT SECTIONS 1 - 12 i ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED_ n SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE -C% 10'v V d 124IS6,0 O PERMIT GRANTED 19 AUG 91993 dl,; e: - -// / 3 j,3s1 OWNER TEL. # CONTR. TEL # J CONTR. LIC. # �� 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST `{ EST. BLDG. COST PER 11114. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD' 1 OCCUPANCY 12 SINGLE FAMILY S ORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION —I g INTERIOR FINISH CONCRETE PINE 3 1 2 13 CONCRETE BL'K. BRICK OR STONE HARDW D PIERS PLASTER DRY _ UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA '14 1/1 1/. FIN. ATTIC AREA _ NO B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WARS I 9 FLOORS CLAPBOARDS B 1 22 _ J 3 I_ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ CONCRETE EARTH HARDVJ'D COMMCN ASPH. TILE STUCCO ON MASONRY _ _ STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR (- CONC. OR CINDER BILK. WIRING STONE ON MASONRY _ STONE ON FRAME SUPERIOR I -I POOR ADEQUATE NONE 10 PLUMBING 5 ROOF GABLE GAMBRELMANSARD I I HIP BATH 13 FIX.) TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING 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 _ Ist 13rd ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. COMMONWEALTH M OF DEPq -- ASSACHUSETTS I ONE RTMENT OF ASNBORTON PLACE SAFETY _ EXPIRATION BOSTON, MA 02108 DACE DATE RES BO ONS �'� 5 % O j S T. h 0 k E • �' (� EFFECTIVE DATE ' LIC_NO. 'S # 020— z4 -x$74 PHOTO (BLASTING OPR ONLY) F Ef'Ll a+ ,. HEIGHT: DOB: T()6/23/192. CARRiHIS �CUMENT MUST SE 07HERS-RIGHT THE NTHEPERSONOF THUMB PRINT HOLDER WHEN EN- GAGED IN THIS OCCUPATION. 4 Ci"ia IN 'r . 4A x2141 NOT VALID UNTIL SIGNED BY LICENSEE AND STAMPED - OR -SIGNATURE OF7 OFFICIALLY HE COMMISSIONER SIGNAT LICENSEE ^�N .� COMMISSIONER 'z i DRIVER*E� LlCEII.. ia •. ; t { e 5-10, i x RIDGE qA s COMMONWEALTH M OF DEPq -- ASSACHUSETTS I ONE RTMENT OF ASNBORTON PLACE SAFETY _ EXPIRATION BOSTON, MA 02108 DACE DATE RES BO ONS �'� 5 % O j S T. h 0 k E • �' (� EFFECTIVE DATE ' LIC_NO. 'S # 020— z4 -x$74 PHOTO (BLASTING OPR ONLY) F Ef'Ll a+ ,. HEIGHT: DOB: T()6/23/192. CARRiHIS �CUMENT MUST SE 07HERS-RIGHT THE NTHEPERSONOF THUMB PRINT HOLDER WHEN EN- GAGED IN THIS OCCUPATION. 4 Ci"ia IN 'r . 4A x2141 NOT VALID UNTIL SIGNED BY LICENSEE AND STAMPED - OR -SIGNATURE OF7 OFFICIALLY HE COMMISSIONER SIGNAT LICENSEE ^�N .� COMMISSIONER FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** /APPLICANT : in � r1 ' A YD S Phone �D� • �i �i- Z 4( ✓ LOCATION: Assessor's Map Number Parcel /Street ubdivision 7'0,t �r Lot(s) 1 !v J St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Comments Date Approved Date Rejected Date Approved Town Planner Date Rejected Comments Food Inspector -Health Septic Inspector -Health Comments Date Approved Date Rejected Date Approved Date Rejected AUG 91993 Public Works - sewer/water connections i - driveway permit 1 /Fir Department Gh- 8L� Received by Building Inspector Date 0 New England Telephone NYNE:; Company 100 Gay Strent Manchoslei, Now Hampshirn 0310 August 4, 1993 Chain Construction Corporation 76 Winter Street North Reading. MA 01864 Attention: Mr. Allen Mintz, Treasurer RE: NET E911 Control Center Project - North Andover Dear Mr. Mintz, We are currently processing your contract for the above named project .for your low bid of: Forty Three Thousand, Two Hundred Ninety Dollars ($43,290.00). So as not to jeopardize this project's schedule, this letter is notice for you to begin the project, expending contract identified labor and material not -to -exceed $38,000.00 until the contract is executed. It is understood that your Insurance Certificate, which shall comply with all provisions of Supplementary General Conditions, Article No. 23, will be forwarded to me as soon as possible, and will be fully in effect prior to actual work commencing. Please call Mr. Larry Minehan on (508) 750-0563 if there are any questions. truly yours, David Hill Area Operations Manager - Corporate Services Center North cc: King/Warner Associates D. B. Hill Files 0 z U) m m D 0 z T Z D r CO) CD C z CD O CL r O Co aCC2 -v O J= CD WC CL Q CLO O O CD CO) 0 -v CD 0 C3 CA d O n CD 0 CD CD y CD CO2 C 0 CD CDO �M V n 0 0 z i o f Z O o 0 C _a icD coo C4 C o c: V) y �m 0 z d -4 Cc', O C C', = 0 C m 1 H =mn CD n vim... C C. ti � .-�. O TI CD CL 0 � O y CO2 �m�m a -0 o ZC'o O y� 0 I gCO CL r► =r 4c OCD y c W C, mCLCD d y vJ eyQw =CD% gr CM 0 33� -0ca 9,x 0: N� CD at C42 ,�y qac 3 CDd CL C-3C2o ^; C W. C d C/) � °' rr Y °� o N � o G n O w 7z G y � z w n - gi G OQ T G w ►-3 � cn "a � (D p R\ x x z ° O M )MM3 0 O C 4 I NORTH ANDOVER MECHANICAL LIC. NO. SC004522 82 SOUTH BROADWAY ST. LAWRENCE, MA. ' 1 H Y D R A U L I C C A L C U L A T I O N S C O V E R S H E E T 510 TURNPIKE ST, NORTH ANDOVER MA, 2ND FLR W A T E R S U P P L Y STATIC PRESSURE (psi) 50 RESIDUAL PRESSURE (psi) 46 RESIDUAL FLOW (gpm) 1180 B O O S T E R P U M P S NUMBER OF BOOSTER PUMPS 0 S P R I N K L E R S MAXIMUM SPACING OF SPRINKLERS (ft) 14 MAXIMUM SPACING OF SPRINKLER LINES (ft) 12 SPECIFIED DISCHARGE DENSITY (gpm/sq. ft.) .1 THIS SPRINKLER SYSTEM WILL DELIVER A DENSITY OF .1 gpm/sq. ft. FOR A DESIGN AREA OF 1596 SQ. FT. OF FLOOR AREA THIS SYSTEM OPERATES AT A FLOW OF 212.48 gpm AT A PRESSURE OF 28.37 psi AT THE BASE OF THE RISER (REF. PT. 3) PIPES USED FOR THIS SYSTEM 101 CAST IRON CEMENT LINED (150) 001 SCHEDULE 40 002 SCHEDULE 10 NORTH ANDOVER MECHANICAL LIC. NO. SC004522 510 TURNPIKE ST, NORTH ANDOVER MA, 2ND FLR i e HYDRAULIC CALCULATIONS AT SPECIFIED DENSITY THE FOLLOWING SPRINKLERS ARE OPERATING IN: [ ] TEST AREA 1 [ ] TEST AREA 2 [ ] TEST AREA 3 [/REMOTE AREA Elevation of sprinklers = Elevation above water test. REF. PT. K ELEV. FLOW PRESSURE ft gpm psi 120 5.60 34.00 19.61 12.26 121 5.60 34.00 17.90 10.21 122 5.60 34.00 17.88 10.20 123 5.60 34.00 17.80 10.10 124 5.60 34.00 17.78 10.08 127 5.60 34.00 19.58 12.23 128 5.60 34.00 17.25 9.49 129 5.60 34.00 17.24 9.47 130 5.60 34.00 16.92 9.12 131 5.60 34.00 16.90 9.10 132 5.60 34.00 16.82 9.02 133 5.60 34.00 16.80 9.00 THE SPRINKLER SYSTEM FLOW IS 212.48 gpm THE OUTSIDE HOSE FLOW AT REFERENCE POINT N0. 1 IS 100.00 gpm [ ] THE INSIDE HOSE [ ] RACK SPKLR'S. [ ] YARD HYDT. FLOW IS 0.00 gpm THE MINIMUM DENSITY PROVIDED BY THIS SYSTEM IS 0.100 gpm/sq. ft. THE FOLLOWING PRESSURES & FLOWS OCCUR ---> AT REF. PT. 1 <--- STATIC PRESSURE 50.00 psi RESIDUAL PRESSURE 46.00 psi AT 1180.00 gpm TOTAL SYSTEM FLOW 312.48 gpm AVAILABLE PRESSURE 49.66 psi AT 312.48 gpm OPERATING PRESSURE 38.64 psi AT 312.48 gpm PRESSURE REMAINING 11.02 psi THE/ABOVE RESULTS INCLUDE 5.00 psi FRICTION LOSS AT REF. PT. # 2 FOR A [ t/f BACKFLOW PREVENTER [ ] METER [ ] DETECTOR CHECK VALVE [ ] OTHER DEVICE PAGE 1 NORTH ANDOVER MECHANICAL LIC. NO. SCO04522 510 TURNPIKE ST, NORTH ANDOVER MA, 2ND FLR k PAGE 2 A MAX. VELOCITY OF 13.65 ft./sec. OCCURS BETWEEN REF. PT. 11 AND 14 Sprinkler-CALC Release 7.2 Win By Walsh Engineering Inc. North Kingstown R.I. U.S.A. FITTING Equivalent Length per NFPA 13 1994, 6-4.3 '-' Indicates Equivalent Length. 'T' Indicates Threaded Fitting 1=45 Elbow, 2=90 --------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------- Elbow, 3='T'/Cross, 4=Butterfly Valve, 5=Gate Valve, 6=Swing Check Valve FROM TO FLOW PIPE FITS EQV. H -W PIPE DIA. FRIC. ELEV. FROM TO DIFF (gpm) (ft) (ft) C TYPE (in) (psi) (psi) (psi) (psi) (psi) 1 2 212.48 80.00 352 29.95 140 101 3.850 0.014 3.467 38.64 33.66 1.52 2 3 212.48 6.00 22 13.60 120 1 4.026 0.015 0.000 33.66 28.37 5.29 3 4 212.48 7.00 0 0.00 120 2 4.260 0.011 3.033 28.37 25.26 0.08 4 5 212.48 23.00 3422 54.92 120 2 4.260 0.011 7.367 25.26 17.02 0.87 5 6 212.48 34.00 2 8.98 120 2 4.260 0.011 0.000 17.02 16.51 0.50 6 10 212.48 34.00 3 21.12 120 2 4.260 0.011 0.000 16.51 15.90 0.62 10 11 173.28 12.00 0 0.00 120 2 4.260 0.008 0.000 15.90 15.82 0.08 11 12 86.60 12.00 0 0.00 120 2 4.260 0.002 0.000 15.82 15.80 0.02 10 13 39.19 2.00 3T 8.00 120 1 1.610 0.056 0.867 15.90 14.47 0.56 11 14 86.68 2.00 3T 8.00 120 1 1.610 0.244 0.867 15.82 12.52 2.44 12 15 86.60 2.00 3T 8.00 120 1 1.610 0.243 0.867 15.80 12.50 2.43 13 20 19.61 5.00 3T 8.00 120 1 1.610 0.016 0.000 14.47 14.27 0.20 14 21 35.70 5.00 3T 8.00 120 1 1.610 0.047 0.000 12.52 11.90 0.61 15 22 35.67 5.00 3T 8.00 120 1 1.610 0.047 0.000 12.50 11.89 0.61 21 23 17.80 10.50 0 0.00 120 1 1.610 0.013 0.000 11.90 11.78 0.13 22 24 17.78 10.50 0 0.00 120 1 1.610 0.013 0.000 11.89 11.75 0.13 13 27 19.58 8.00 3T 8.00 120 1 1.610 0.015 0.000 14.47 14.22 0.24 14 28 50.98 8.00 3T 8.00 120 1 1.610 0.091 0.000 12.52 11.07 1.45 15 29 50.93 8.00 3T 8.00 120 1 1.610 0.091 0.000 12.50 11.05 1.45 28 30 33.73 10.00 0 0.00 120 1 1.610 0.042 0.000 11.07 10.65 0.42 29 31 33.70 10.00 0 0.00 120 1 1.610 0.042 0.000 11.05 10.62 0.42 30 32 16.82 10.00 0 0.00 120 1 1.610 0.012 0.000 10.65 10.52 0.12 31 33 16.80 10.00 0 0.00 120 1 1.610 0.012 0.000 10.62 10.50 0.12 20 120 19.61 7.00 322T 9.00 120 1 1.049 0.125 0.000 14.27 12.26 2.00 21 121 17.90 7.00 322T 9.00 120 1 1.049 0.106 0.000 11.90 10.21 1.69 22 122 17.88 7.00 322T 9.00 120 1 1.049 0.106 0.000 11.89 10.20 1.69 23 123 17.80 7.00 322T 9.00 120 1 1.049 0.105 0.000 11.78 10.10 1.67 24 124 17.78 7.00 322T 9.00 120 1 1.049 0.104 0.000 11.75 10.08 1.67 a 27 127 19.58 7.00 322T 9.00 120 1 1.049 0.125 0.000 14.22 12.23 2.00 tj,zeS 28 128 17.25 7.00 322T 9.00 120 1 1.049 0.099 0.000 11.07 9.49 1.58 29 129 17.24 7.00 322T 9.00 120 1 1.049 0.099 0.000 11.059.47 1.58 1 30 130 16.92 7.00 322T 9.00 120 1 1.049 0.095 0.000 10.65 9.12 1.52 -O-1 31 131 16.90 7.00 322T 9.00 120 1 1.049 0.095 0.000 10.62 9.10 1.52 32 132 16.82 7.00 322T 9.00 120 1 1.049 0.094 0.000 10.52 9.02 1.51 33 133 16.80 7.00 322T 9.00 120 1 1.049 0.094 0.000 10.50 9.00 1.50 A MAX. VELOCITY OF 13.65 ft./sec. OCCURS BETWEEN REF. PT. 11 AND 14 Sprinkler-CALC Release 7.2 Win By Walsh Engineering Inc. North Kingstown R.I. U.S.A. A 150.00, 140.00 100.00 120.00 P 110.00 R 100.00 E 90.00 S 00.00 S 70.00 U 6000 R 6000 E 40.00 00.00 20.00 10.00 0.00 WATER SUPPLY/DEMAND GRAPH 510 TURNPIKE ST, NORTH ANDOVER MA. 2ND FLR 6184 i Date. A. 7.-.6L-�." t NORTH 1 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that �".''� �` . a/ .............................................. }........................................ has permission to per .......... ....................................x.. ......... R *iring in the building of .... ....... -.-...................................................... North Andover Mass. Fee ...... Lic. No/. 7�! :...-:":............'... l'..: c:... `.. 4s •f 0"r, ELECTRICAL INSPECRX Check # �� V The Commonwealth of Massachusetts Department of Public Safety Board of Fire Prevention Regulations 527 CMR 12:00 Office Use Only Permit # 41 Occupancy & Fee Checked r 3i90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date October 27, 2005 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 & Number) 510 Turnpiek Street Owner or Tenant Pico Trust John McGarry Owner's Address 401 Andover Street North Andover Is this permit in conjunction with a building permit: Yes [ 7X No (Check Appropriate Box) Purpose of Building Utility Authorization No. 431165 Existing Service 1200 Amps 120/208 Volts Overhead F—]Undgrd IANo. of Meters New Service 1200 Amps 120/208 Volts Overhead F-1Undgrd Fx]No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Six Nine No. of Lighting Outlets No. of Hot Tubs No. of Transformers No. of Lighting Fixtures 255 Swimming Pool Generators %No. of Receptacle Outlets 229 No. of Oil Burners No. of Emergency Lighting Battery Units 30 No. of Switches 63 No. of Gas Burners 8 FIRE AT No. of Ranges No. of Air Cond. 8 Tons 60 No. of Detection 27 No. of Disposals No. of Heat Pumps kw No. of Sounding 30 No. of Dishwashers Space / Area Heating kw No. of Self Contained No. of Dryers Heating Devices kw Local No. of Water Heaters No. of Signs Municipal I No. of Hydro Massage Tubs JNo. of Motors ILow Voltage Wiring Other: (8)125 amp 1201208 volt panelboards (1) 700 amp 1201208 volt 5 gang meter stack(]) 400 amp 1201208 volt 3 gang meter stack INSURANCE COVERAGE: Pursuant to requirements of Massachusetts General Laws i. have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES FTNOF I have submitted valid proof of the same to this office YES NO 'If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE FZ7 BOND OTHER (please specify) 2/2/2006 Estimated Value of Electrical Work (Expiration Date) Work to Start Inspection Date Requested: Rough Upon Request Final I cert, under the pains and penalties of perjury, that the information on this application is true & complete. FIRM NAME Dumais Electric LIC. NO. 12170A Licensee Mark A. Dumais Signature -I-yj Q 1Q,wy,, ,n*A o) LIC. NO. 26665E c— Address 8 Newport Street Bus. Tel. No. 978-683-9438 Methuen, MA 01844 Alt. Tel No. 978-685-4553 * Security System Contractor License required for this work; if applicable, enter license number here OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or it's substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (please check one) 1, Telephone No. Permit Fee�� i (Signature of Owner or Agent) Commonwealth of Massachusetts Office Use Only Department of Public Safety Permit# 4,,/,P Board of Fire Prevention Regulations 527 CMR 12:00 Occupancy & Fee Checked `°, c 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date October 27, 2005 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 & Number) 510 Turnpiek Street Owner or Tenant Pico Trust John McGarry Owner's Address 401 Andover Street North Andover Is this permit in conjunction with a building permit: Yes 0 No F (Check Appropriate Box) Purpose of Building Utility Authorization No. 431165 Existing Service 1200 Amps 120/208 Volts Overhead F—]Undgrd-]No.ofMeters New Service 1200 Amps 120/208 Volts Overhead =Undgrd FX]No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Six Nine lo. of Hydro Massage Tubs INo. of Motors iLow Voltage Wiring ither: (8)125 amp 120 / 208 volt panelboards 1 (1) 700 amp 120 / 208 volt 5 gang meter stack (1) 400 amp 120 / 208 volt 3 gang meter stack VSURANCE COVERAGE: Pursuant to requirements of Massachusetts General Laws ,have a current Liability Insurance Policy including Completed Operations Coverage or its substantial #quivalent YES l x NOF I have submitted valid proof of the same to this office YES xX NO f you have checked YES, please indicate the type of coverage by checking the appropriate box. r NSURANCE FX BOND OTHER (please specify) 2/2/2006 t ;stimated Value of Electrical Work (Expiration date) Nork to Start Inspection Date Requested: Rough Upon Request ! Final certify, under the pains and penalties of perjury, that lite information on this application is true & complete. r`IRM NAME Dumais Electric LIC. NO. 12170A Licensee Mark A. Dumais Signature -J)1 Q I,t,_/y"� ,Q L LIC. NO. 26665E Address 8 Newport Street _ Bus. Tel. No. 978-683-9438 Methuen, MA 01844 Alt. Tel No. 978-685-4553 * Security System Contractor License required for this work; if applicable, enter license number here OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or it's substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner I,gent (please check one) Telephone No. — Permit Feed (Signature of Owner or Agent) b. of Lighting Outlets No. of Hot Tubs No. of Transformers F o. of Lighting Fixtures 255 Swimming Pool Generators o. of Receptacle Outlets 229 No. of Oil Burners No. of Emergency Lighting Battery Units 30 o. of Switches 63 No. of Gas Burners 8 FIRE ALARMS No. of Detection 2i No. of Sounding 30 No. of Self Contained Local 1 o. of Manges No. of Eli. Cona. -8 'ions 6u o. of Disposals No. of Heat Pumps kw o. of Dishwashers Space / Area Heating kw 'o. of Dryers Heating Devices kw 'o. of Water Heaters INo. of Signs IMunicipal lo. of Hydro Massage Tubs INo. of Motors iLow Voltage Wiring ither: (8)125 amp 120 / 208 volt panelboards 1 (1) 700 amp 120 / 208 volt 5 gang meter stack (1) 400 amp 120 / 208 volt 3 gang meter stack VSURANCE COVERAGE: Pursuant to requirements of Massachusetts General Laws ,have a current Liability Insurance Policy including Completed Operations Coverage or its substantial #quivalent YES l x NOF I have submitted valid proof of the same to this office YES xX NO f you have checked YES, please indicate the type of coverage by checking the appropriate box. r NSURANCE FX BOND OTHER (please specify) 2/2/2006 t ;stimated Value of Electrical Work (Expiration date) Nork to Start Inspection Date Requested: Rough Upon Request ! Final certify, under the pains and penalties of perjury, that lite information on this application is true & complete. r`IRM NAME Dumais Electric LIC. NO. 12170A Licensee Mark A. Dumais Signature -J)1 Q I,t,_/y"� ,Q L LIC. NO. 26665E Address 8 Newport Street _ Bus. Tel. No. 978-683-9438 Methuen, MA 01844 Alt. Tel No. 978-685-4553 * Security System Contractor License required for this work; if applicable, enter license number here OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or it's substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner I,gent (please check one) Telephone No. — Permit Feed (Signature of Owner or Agent) R ©� G (— K-0 (�� �6111OZ-1/65,//�y (Z d /03 3i-C:g� �� s Office Use Only 1 01 4Q Clam ummith of 5usar4min Permit No. lepartment trf Iluhlic —AIIfttq Occupancy & Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:000 Qeave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date /0 —.;, (j}� or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to performt�the electrical work described below. Location (Street & Numberr)/ �j 5/0 TU„A(P` ik ` or- Owner or Tenant �� V %< C Owner's Address Is this permit in conjunction with a building permit Purpose of Building Existing Service Amos _J Volts New Service Amps _J Voits Number of Feeders and Ampacity Location and Nature of Prccosed Electricai Work Yes _ No X.I. (Check Appropriate Box) Utility Authorization No. Overhead ' Undgrnd -1 No. of Meters Overhead 77 Uncgrna No. of Meters No. of Lignting Cutters i i No. of Hot ---s i Total No. of Transformers KVA No. of Lighting Fixtur s �`` V VVVV _ _ I in - i Swimming Pool Sma e_ erne. _ ! Generators KVA No. of Emergency Lighting No. of Recectacie Cutle i No. of Oil Burners 3acery Units No. of Switch Outlets I No. of Gas 3urners I FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges No. of Air Cone. tons Initiating Devices No. of Disposals N°'°f Heat Total Total i Pumas Tons KW No. of Sounding Devices No. of Serf Contained No. of Dishwasners I SoaceiArea Heatinc KW Oetect;oniSoundtng Devices No. of Dryers Heating Devices KW Local Municipal Other _ Connec•: on _ No. of No. of Low vcitage No. of Water Heaters KW i Signs Ballasts Wirinc _ No. Hydro Massage Tubs/ of Motors Total HP OTHER: ` �G,S �^ 1 %&g ,I -N�o. L INSURANCE COVERAGE: Pursuant to the reou:rements of :.tassac-user:s general Laws _ _ I have a current Liaptiity Insurance Policy inciueing Co eiee Oceratiens Coverage or its sucs:anual eauivaient. YES NO _ I have suomltted valid proof of same to the Office. YES NO __If you nave checxee YES. alease indicate ;he ty of NO oy checking the aqyrooriate DOX. INSURANCE SCNO _ OTHER _ (Please Scec:fy) (Expiration Datel Estimated value of E?ecthcal Work 5 Work to Start Inspec::on Date Recues;ec: Rough Final Signed under ;he Penalties of pertu I /�LA 0 FIRM NAME - 2 G I�i�t( G(7 ° LIC. NO. f,'e Licensee CC r G� Signature LIC. v0. ?� Sus. Tel. No. a Fj 7 Address 6303 1 Alt. Tel ^to. OWNER'S INSURANCE WAIVER: 1 am aware that th L:censee Coes not nave the insurance coverage or its suostant:af eauivaient as re- atured by Massachusetts General Laws. and :hat my signature on :his aermrt application waives this regwrement. Owner / Agent kP!ease cnecx one) ! 7eiecnone No. PERMIT FEE 5 / f 116 Signature of Owner or Agent) x-6565 0 Date....3l..�..l...G TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .`� a ' S ................................................. has permission to perform `.. �' T ............................................................................... wiring in the building of............y� c G A r/ " �..................................................................... ..................... «t:at ........�)fl.. ........................ . (North Andover, Mass. Fee .... / ?.o...... Lic. No.. J r�I l p p ...... ..:..1.p. �U (...... �M.. M C *fit ro-c�_ ELECTRICAL INSPECTOR .heck # 1`078 The Commonwealth of Massachusetts+' Department of Public Safety Board of Fire Prevention Regulations 527 CMR�12:00 Office Use O�y Permit # Occupancy & Fee Checked 3i90 (leave blank) APPLICATION FOR PERMIT TO 'RFORM ELECTRICAL WORK All work to be performed in accordance with assachusetts Electrical Code, 527 CMR 12:00 r (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date March 17, 2004 City or Town of North Andover To the Inspector of Wires: The undersigned applies fora permit to perform the electrical work described below. Location (Street & Number) SIO Turnpike Street Owner or Tenant John McQarry Owner's Address 401 Andover Street, No. Andover, MA Is this permit in conjunction with a building permit: Yes F—X—] No = (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead =Undgrd =No. of Meters New Service Amps Volts Overhead =Undgrd =No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Elevator Feeder & associated wiring No. of Lighting Outlets No. of Hot Tubs No. of Transformers No. of Lighting Fixtures 1 Swimming Pool Generators No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switches 1 No. of Gas Burners FIRE ALARMS No. of Ranges No. of Air Cond. Tons No. of Detection No. of Disposals No. of Heat Pumps kw No. of Sounding No. of Dishwashers Space / Area Heating kw No. of Self Contained No. of Dryers Heating Devices 1 kw 1 Local No. of Water Heaters No. of Signs Municinal No. of Hydro Massage Tubs INo. of Motors ILow Voltage Wiring Other: (1) 200 amp feeder, (2) 20 amp 125 volt feeders, INSURANCE COVERAGE: Pursuant to requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES X NOF I have submitted valid proof of the same to this office YES NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND OTHER f (please specify) 2/2/2005 Estimated Value of Electrical Work (Expiration Date) Work to Start March 22, 2004 Inspection Date Requested: Rough Upon Request Signed under penalties of perjury: Final Upon Request FIRM NAME Dumais Electric LIC. NO. 12170A Licensee Mark A. Dumais Signature LIC. NO. 26665E Address 8 Newport Street Bus. Tel. No. 978-683-9438 Methuen, MA 01844 Alt. Tel No. 978-685-4553 A OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or it's 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 1 9 0 (Signature of Owner or Agent) ;° 559 NORTI{ OL •; SA Date.. Date../ a.3x...11.61.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .............�...... .. . .............. has permission to perform -X. ...:.. �..... L wiring in the building of ..........., ! ...... ��.,4..�..................... ... at ...67,0.. .. ........... , North Andover, Mass. Feet. ....... Lic. No.. ? j. .✓-........................................................... ELECTRICAL INSPECTOR li/01A r,� ppn�,, WHITE: Applicant CANARY:'H}ifltJing Dept. PINK: Treasurer Location -5 fD No. /9-61 MORTh 3?0.1'����o f R P / v (,.) (r) I ke S Date CY- ° —C) 3 TOWN OF NORTH ANDOVER I Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # '2 Z I / / v Q 666.1, /MAf(C.- Building Inspector 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 Old ;-2 BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: BuildiN Conunissio�rq or of Buildings Date "'M X MEMO 1.1 Property Address: 1.2 Assessors Map and Parcel Number. S27 Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: ZoningDistrict Proposed Use Lot Area (sf) Frontage (11) 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide RequirW Provided 'red Provided _R 1.7 Water Su 1.5. Flood Zone Information: ,pplyNiG.L.C.40.%54) Zone 1.8 Sewerage Disposal System: Public )e Private 0 - Outside Flood Zone Municipal On Site Disposal System 0 2.1 Owner of Record -17a s Name (Print) Address for Service : Si re Telephone 2.2 Authorized Agent =-- & —Z is, Name P for Address for Service: 7,�11 9 7? Sigr(aKre ---ATelephone 3.1 Licensed Construction Supervisor Not Applicable 0 -�iqp/ 0. 00( s . 4 - Address License Number Li Li sed n ctio permsor: Expiation bate I eephone 3.2 Registered'Rome h6Prov t Contractor Not Applicable 0 Company Name ', Registration Number Address Expiration Date Signature Telephone F- eL3 NUP 0 M Z 0 Z M 90 0 -n ic M Q /LAIC US 7� as Owner/A.uthered Aoeffr Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury 77; F I Print Name 03 Si toreo Owner/Agent Dat Item Estimated Cost (Dollars) to be Completed by applicant t s( } permit J i 2 .nod :j,.t 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of U`7l V Construction from (6) 3 Plumbing Building Permit fee (.) x (b) A 4 Mechanical (HVAC) 5 Fire Protection �-- 6 Total (1+2+3+4+5) l JD Check Number #�' Kh�pil NO. OF STORIES SIZE �O k BASEMENT OR SLAB SIZE OF FLOOR TRvIBERS A 1sr 2 ND 3RD SPAN DEMENSIONS OF SILLS N DEMENSIONS OF POSTS DIN ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY r IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 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 nermit I Signed affidavit Attached Yea ......X No ....... ❑ 5.1 Registered Architect: 72� Name: A11-1 &4).3 - Telephone No. 4496 -r Q WINDHAM, Ty OF MASS z ,q 04;19 Responsible in Charge of Construction Not Applicable ❑ Ar st 90 Name:' ,p 'T[�U 11 �, � /50J IS m ti6i[F4{ltiii Nr6AL Cn Address: No.3 9 7 do Ex /pNAI.ENG\� Signature Total Not applicable ❑ Name: Registration Number Expiration Date Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signatur$ Telephone Area of Responsibility Registration Number Name Address Expiration Date Signature Telephone . `'i.e:'l. !'�',.r..r.C�'ifl f:r..,s.• iri'..iiat v... A ._4,r# .1+. fi, Sti:S;. r_,. z ,q 04;19 Responsible in Charge of Construction Not Applicable ❑ Q ': +IrPQ►tow,( alb appuble New Construction ❑ Existing Building X Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: 0 A-3 ❑ ❑ 1 1 B BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor (sf) 92 lfa Total Area Total Heie Structural Structural Peer Review Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,yo/v/ 2� A/C vAIM Y as Owner of the subject property Hereby authorize �41//1� �l�G�� to act on My behalf, in all matters relative two work authorized by this building permit application ih o� S' tore a Date USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A4 ❑ A-2 A-5 0 A-3 ❑ ❑ 1 1 B 0 0 B Business 2A 2B 2C ❑ ❑ C Educational ❑ F Factory ❑ F-1 0 F-2 0 H High Hazard ❑ 3A 3B ❑ ❑ IInstitutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A 5B ❑ ❑ S Storage ❑ S-1 0 S-2 ❑ U Utility ❑ ❑ 0 Specify: M Mixed Use Specify: S Special Use Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor (sf) 92 lfa Total Area Total Heie Structural Structural Peer Review Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,yo/v/ 2� A/C vAIM Y as Owner of the subject property Hereby authorize �41//1� �l�G�� to act on My behalf, in all matters relative two work authorized by this building permit application ih o� S' tore a Date OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL sScMu+� PROJECT NUMBER: PROJECT TITLE:_ PROJECT LOCATION: l J/O /�/�'/,�/i�//C� �'% /Ij/Q fZ2V NAME OF BUILDING: NATURE OF PROJECT:pf . S'/�y�'Y �� Vi}j6 /��%�/TJQJL% 14) OF &Us'L 10I)A/9 IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, Do l3O I S REGISTRATION NO. are q 0 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT 1 HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT a ARCHITECTURAL STRUCTURAL MECHANICAL H OF Mgss9 c O DALE � IS O FIRE PROTECTION ELECTRICAL OTHER (SPECIFY) U DUB IS RAL No.36907 FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLAN COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACH 3 ALtiNG STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES. FOR THE PROPOSED USE. AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a.manner consistent with the construction documents. PURSUANT TO SECTION 116.2 .2 I SHALL SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY--__ SUB BED AND SWORM TO BEFORE ME THIS 25- DAY OF AVCA411-11, "v20* COMMISSION EXPIRES TARY PUBLIC MY COMMISSION "Rf PR. 16, MN NORTH OFFICE OF BUILDING INSPECTOR Of OR . p _ TOWN OF NORTH ANDOVER �•' `7 CONSTRUCTION CONTROL ssCHU PROJECT NUMBER: PROJECT TITLE: D/�/C,!�- &P/L.a//{/6 PROJECT LOCATION: �5%D /�//P��,/>°l/l� _S'T /`✓D�/y /2 /�,} NAME OF BUILDING: NATURE OF PROJECT:,,-? IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I, L-- ZI-91yoey REGISTRATION NO. YV9K, BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT 0 ARCHITECTURAL V STRUCTURAL 0 MECHANICAL 0 FIRE PROTECTION 0 ELECTRICAL � OTHER (SPECIFY) No. 4496WuNoHAM N.. FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUS OF STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE. AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a.manner consistent with the construction documents. PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY, A PROGRE REP RT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER B LDIN NSP C UPON COMPLETION OF THE WORK, 1 SHALL SUBMIT A FINAL REPOR AS T THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FO OC UPAN Y SUBSCRIBED Alp S IORM TO BEFORE ME THIS6161�_DAY OF p TA PUBLICY MY COMMISSION EXPIRES i CONSTRUCTION SCHEDULE 510 Turnpike Street North Andover, MA The elevator addition and 2nd floor handicap bathroom at the 510 Turnpike Street, No.Andover, MA building shall be according to the following schedule, pending receipt of the building permit. All work shall be in accordance with the plan entitled "RENOVATIONS TO: OFFICE BUILDING 510 TURNPIKE STREET NORTH ANDOVER, MASSACHUSETTS ARCHITECT LANDRY ARCHITECTS" and dated 8/21/03, Job No. 0251. 1. General: a. Dumpster Delivery. b. Temporary fencing as required. 2. Prepare area for handicap bathroom. 3. Install plumbing, electrical, tiles and accessories in handicap bathroom. 4. Cutting and excavation for CMU. 5. Install footings and steel per plan. 6. Install masonry per plan. 7. Install windows per plan. 8. Install elevator. 9. Repair roof as required. 10. Clean site and prepare for repaving and landscaping. 11. Repave and landscape. Coolidge Construe on Co., Inc. Aug. 25, 2003 510 Turnpike St., Construction Schedule 8/25/03 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having. jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICAN7�%O/�/'�%� PHONE9f7 LOCATION: Assessor's N12o Number ajJ �d PARCEL SUBDIVISiON; LOT (S) STREET- -7' (lST. NUMBS}/t/ ****x***********************************OFFICIAL USE RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED TOWN PLANNER COMMENTS DATE APPROVED DATE REJECTED_ k. ►... FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED / .� COMMENTS 5ro �ul.no•�r Sf: td, ��n,Ile� d O AC_ PUBLIC WORKS - SEWER/W JTER CONNECTIONS -2111-44_ D cIVE�NA .9edI&TV1W 64*4 FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR Revised 9197 jm J/?,7/a3 DATE The Commonwealth of Massachusetts Department of Industrial -Accidents Office or In lesticiations Boston, Mass. 02111 Workers' Compensation lnsurance Atrrdavit FIF,-me Plejse Print Name: n: Ci"L.i Phone T I am a homeowner performing all work myself. C I am a sole proprietor and have no one wcrkino in any capadp/ I am an emelcyer providing workers' compensation folr my employees working on this job. Comcanv name e06Z/C>6E �U%�✓ l/C/��/l/ �d/d/n Ad'dress L/i 7 4/E/,QaPK1e- 37-7 / w 01nl : Phcne T- !?7P - COO Insurance Co.Asa�„//�T1���I�LOY�/ZSsCa Police m Zw(,76Qo3796�1�000? GC�� Comoanv name: A.dd l.i Phone ' Insurance Co Policy Y Failure to secure ccverace as recuirec under Section 25A or MGL 152 can lead to the imrcsition cf cnmirai penalties of a rine up to 31.500. CC an--'cr one years' irnprscncem as 'Ne:l as c:vii penalties in ':e form cr a STCF WCRK CRCER and a 5re cf (5100.00) a day a,sirst me. I understand that a copy cf ;his state reit may ce for,varcea to the Office a Invest:canns J :`e CIA --cr caverace verlricZ.ion. I co Hereby csriry und/�/; 2insMrdden- " sofpenuryhat t'hen " rmaticn proviced accve is ne arc ccrrec:. � p Sicnature . Date d o? Print name /QU/>b I GSC/% Phcne', 97fy/f7 04)) Ocic:al use only do not write in this area to he comcleted cy c::/ cr ;own crndaf C;ty or Town Per"L'Licensir.c ❑ Bui/ding Dept [Check d immediate resccrse is required ❑ Licensing Ecard r i Selectman's 1i;`ice Corrac: rerscn P,hrne T C Health Department Other V It 1-00 M 0 Q Q ; N J � uw� v; c Z L M Z 0 co aoz o U o 0 I� m d 7 r X z w m F a o � < O a QOU< NZcr j w o OQ. Z Q FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having. jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ***********-******************APPLICANT FILLS OUT THIS SECTION*... APPLICANT�O/�/"� 7��JPHONE J/cC LOCATION: Assessor's Mao Number PARCEL ,0� SUBDIVISION LOT (S) STREET ST. NUMBERQU USE RECOMMENDATION—SOF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS 5to %u�1'.�p• /PUBLIC l WORKS - SE'NER/WATER CONNECTIONS A - e �1 DRIVEWAY PERMIT 1111W OW40 1pk�� Lwrz oue4 'FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm w - W ;tic o: Date ..... ... `... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ..�. ...(�.....<.��.��!.......... has permission to perform .../�/�% .��/.<�..................... . plumbing in the buildings of ....�.'..� .`.... �.`�.� .t.. ......... at ....�..'. �..'��.!` .`./.�. ' .l . ............. . North Andover, Mass. Fee /t c. "... Lic. No..r'`! ......... PLUMBING INSPECTOR Check # 5;67 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBIN I (Type or print) !Y NORTH ANDOVER, MASSACHUSETTS Building Location New M Renovation Owners Name I Type of Occupancy Replacement FIXTURES Date Permit # Amount 4" y Plans Submitted Yes 11 No ❑ (Print or type) Check one: Certificate Installing Com any Name / 11 Corp. /J Address A4 �" L v/ 11 Partner. Business Telephone /tl /- Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type 6f i surance coverage by checking the appropriate box: Liability insurance policy ❑ Other type of indemnity Bond El 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 Signature I Owner ❑ Agent 11 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 pe ormed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mr husetts tate Code and Chapter 142 of the General Laws. By: L'SignafurF 01 LlcensearIUMDer Type of Plumbing License Title City/Town reense 7=677- er Master Journeyman ❑ APPROVED (OFFICE USE ONLY U ( —e/4, Date ... (i ................. I TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . / . �... G.ti. r,�'.� "•!' has permission for gas installation ... r in the buildings of �. �'. .............................. . at ... ?. r.�............' . • • • • • • • , North Andover, Mass. Fee.. Lic. No.. .cr S s.... .. / GAS INSPECTOR Check # �� / (- 4714 M MASSACHUSETIS UNIFORM APPUCATON FOR PERM TO DO GAS FMING (Type or print) NORTH ANDOVER, MASSA,�C/HUSE/TTS Building Locations _ _ _ �w 7 6, w /�'/`— New ❑ Renovation ❑ Owner's Name Replacement of Plans 4iitted Date Permit # "or % ( r Amount $ !O r -- (Print or type)n��P�l/ Check one: Certificate Installing Company Name d / j l =T�� i, G�%l ❑ Corp. Address U' Partner. C I/ ; Business Telephone E]Firm/Co. Name of Licensed Plumber or Gas Fitter A INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 1:1 Noo If you have checked Les, please indicate the type coverage by checking the appropriate box. Liability insurance policy M Other type of indemnity 1:3 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 Agent13 I nereby cerctty mat an or the aetans ana intormanon i nave sunnuttea (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 MassacNa et(� Stite G, s �,c_e,and Chapter 142 of the General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) :Signature of Licensed Plumber Or Gas Fitter © Plumber ,, ZZ Gas Fitter 16ense Number Master Journeyman a aO OU M E. x x D' z E» W W C7 W F � z p E. O cn Oa O c4 W > F \VV W �L �,' W W W x CW7G F z F Z W W C7 P4 U z z a < o W a H ` o O° O° W a� w � A c7 .a U 9 D A a H O SUB -BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. F L O O R — 6TH. FLOOR 7TH. FLOOR -H 8TH. F L O O R F (Print or type)n��P�l/ Check one: Certificate Installing Company Name d / j l =T�� i, G�%l ❑ Corp. Address U' Partner. C I/ ; Business Telephone E]Firm/Co. Name of Licensed Plumber or Gas Fitter A INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 1:1 Noo If you have checked Les, please indicate the type coverage by checking the appropriate box. Liability insurance policy M Other type of indemnity 1:3 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 Agent13 I nereby cerctty mat an or the aetans ana intormanon i nave sunnuttea (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 MassacNa et(� Stite G, s �,c_e,and Chapter 142 of the General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) :Signature of Licensed Plumber Or Gas Fitter © Plumber ,, ZZ Gas Fitter 16ense Number Master Journeyman "/ Q O a ram W W ui am el O J. �om mac' V � r• w Q; E a a cc • 2 _ o s t o � u �; v cn U ►-a G p w O c� x U W. W p w G w W W 0 rs: c�' G w a o w w , o� cn " O cn ui am � c cm o•— V� p 'O m m CD ow � L CL ♦... �3 'v O O G i coa o a W vm4 ca Cc ,v w d Oca Z ,D C C3 ca fir.. C y el O J. �om mac' V � r• w Q; E a cc • 2 _ o s t o � � }' IH s T vv �: .a- Ij v 2 a ar C o c E � c cm o•— V� p 'O m m CD ow � L CL ♦... �3 'v O O G i coa o a W vm4 ca Cc ,v w d Oca Z ,D C C3 ca fir.. C y el O J. �om mac' V � r• w Q; E a w • 2 _ o s t C .. Ij v o C o c E N � O 7: (n: o m3 � «• �k 'Cam O� V . O� cc 'O N W O o m0 cm . CLC.) a.: m 2: . C C Nmo '_ Q; v �N O m Q COD .�:•O x m mY3 N ~ +0+ H O W 0 2220 rr�r. -043 Z 'N •- m !.s oc E & CODC-1o Z v o 0 0 c g V_i x 0' A CD 0 � = ` y,0 c =tea..m� � c cm o•— V� p 'O m m CD ow � L CL ♦... �3 'v O O G i coa o a W vm4 ca Cc ,v w d Oca Z ,D C C3 ca fir.. C y Location i No. Date -3-JI-a6 NORTH TOWN OF NORTH ANDOVER 3? i • O F R A _ r Certificate of Occupancy $ Building/Frame Permit Fee $ s�CHUs Foundation Permit Fee $ Other Permit Fee $ TOTAL $��' �. Check # C;22C9:1 191,77 �-i�--Building Inspecfd i M F t^ { • • i�L. • CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 20 (7/13/05) Date: March 31,2006 THIS CERTIFIES THAT THE BUILDING LOCATED ON 510 L=ike Street Suite 202 MAY BE OCCUPIED AS Tenant Fit Un IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. TEMPORARY PERMIT FOR CERTIFICATE OF OCCUPANCY Three (3) Months Certificate Issued to: PILO Trust — I McGarry Tntstee 510 Turnpike Street Building inspector 40 1 0 E ui om 4 1` �+ o y t:� c IL t . CD C= V € a cn o � "is Z cm E o m'i► o ` e. _ Cf) Go 4b 3CR .. s y CC O W :.= we w � d CLS m ma =o cm O ` 6- c y O O m �•�Z O � ' C � C_ Q m _ C s p N ~ w H y m aLU 0 O C w O •y o o c Z CD W •E v •y O C.3 CL C" `ol s O cs , m 5 I U z 0 U CO3 y O a� m r -'s CA 0 CLCIO C O cc lookC cc y 6.7 CL CO2 C 0 cc U) ix W LLI 19 LLIW U) g� ° w° �°' U T�Jw" i�. as cn cn ui om 4 1` �+ o y t:� c IL t . CD C= V € a cn o � "is Z cm E o m'i► o ` e. _ Cf) Go 4b 3CR .. s y CC O W :.= we w � d CLS m ma =o cm O ` 6- c y O O m �•�Z O � ' C � C_ Q m _ C s p N ~ w H y m aLU 0 O C w O •y o o c Z CD W •E v •y O C.3 CL C" `ol s O cs , m 5 I U z 0 U CO3 y O a� m r -'s CA 0 CLCIO C O cc lookC cc y 6.7 CL CO2 C 0 cc U) ix W LLI 19 LLIW U) Location '6-10 No. ' Date i Nom,. TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ \s:��, S <� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ n Check # 3891 a a yo -- aC/40- 17866 x14,U (Cz4-.-, Building Inspector 11/24/2004 13;01 PAZ 978 483 7878 Coolidge ConstructLan Co TOWN OF NORTH ANDOWR -BUILI)ING DEPAS ArPlACATION TOCONSTAMf RVA lk UPWVA% CRAMS 1= tWOR *CtWAMCVC*. ;;;2!� I 1j. Roal afmrwhw� I 2W --'. amik row 2", it 41 Owner of Road rs000 aT, -I W--, I _-, 9 ON lift D;Ppmw spfift a IA4dIN=Far 9"vjw,, W#Np m Li -o2,3 7Z x4smWa "W" Lq4toramod Codnictor Nalt ARM 71 zo" d 09E ZZE 184 saw lAAes %Uum Wd ET:90 *FOOZ-SZ-AON .,:(al eck aUapplicable) New Construction 0 Existing Building r] Repair(s) ri Alterations(s) 1-1 Addition i i .Accessory Bldg. 0 Demolition Other FI Specify Brief Description of Proposed Work: TYPE A Assembly 0 A-1 0 A4 0 BUILDING AREA EXISTING if applicable) PROPOSED --------- -- Number of Floors or Stories Include Basement- levels USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly 0 A-1 0 A4 0 A-2 0 A-3 A-5 0 0 1A 1 B 0 0 B Business 0 2A 2B 2C 0 FJ 0 C Educational 0 F Factory 0 F -I 0 F-2 0 H High Hazard 0 3A 313 0 0 1 Institutional 0 1-1 ❑ 1-2 0 1-3 0 M Mercantile 0 4 0 R residential 11 R-1 0 IZ-2 0 R-3 0 5A 513 S Storage 0 S-1 0 S-2 0 U utility 0 Specify M Mixed Use El Specify: S Special Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED --------- -- Number of Floors or Stories Include Basement- levels Floor Area per Floor (sf) Total Areas I VL --1 Independent Structural Engineering Structural Peer Review Required Yes 0 No _ L4 SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property Hereby authorize ��J ��eMy behalf, in all el�two workauthorized building -permit application of Owner to act on — &' �() �Z- Date 414/94/1004 13:07 FAI 878 889 1844 Coolidge Coatetructlon Co laDo2 10 Si®mcm T"Weift Adder: si;aa+e you l Name: ftut= Tol*bMs rum. �uawe 7elt�or►e Adder �'�°'0 Tolrphet�c rrw k gm of� Ba;NU* Q—a Ditto Not QSno n �+gali E*AEM; note *rn Nimbw Ewkwim Dille Notwmpfk" D t0'd 09£i ZZi tEL sao!�+as atltl?I Wd Zt:90 V09Z-SZ-AON ,as Owner/ Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under/t'h'e pains and penalties of perjury . Aed����y Print N met1 lure of Owner/A nt Date Item Estimated Cost (Dollars) to be O�FIQA'tr;USE OI�ILit ; Completed by permit applicant Y 1. Building �EU (a) Building Permit Fee , uV Multiplier 2 Electrical (b) Estimated Total Cost of Construction from (6) 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical (IIVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number gets � nr�k' NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T MBERS 1 ST 2 ND 3 RD SPAN ! DEMENSIONS OF SILLS DF.MENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION ITUCKNESS SIZE OF FOOTING X MATERIAL OF CHRANEY IS BUILDING ON SOLID OR FILLED LAND 1S BUILDING CONNECTED TO NATURAL GAS LINE 11/12/2004 FRI 11:44 FAX .A-�,r CERTIFICATE OF L ODUCER (191)S99-2200 FAX 177171 C.21 -211A Farquhar & Black 95 Exchange Street Suite 101 Lynn, NA 01901-147S DDA: Mike Fieuriel 20 Norris Street Revere, MA 02151 Y INSURANCE ONLY AND CONFERS NO RIGH S UPON THE HOLDER. THIS CERTNF'ICI%TE DOES NOT AME INSURERS AFFORDING COVERAGE NSURGRA: Penn -America Insuran wURER8-- LibertY Mutual VmURER C: INSURER D: MISURER E. 0001/001 CATS N-1 OR MAIC # THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO7WftHSTANDIN ANY REOUIREMENT. TERMOR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJE=CT TO ALL TME TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ST D TYPE OP INSURANCt;POL7C7 NUMBER Y POI.IGT EFFECTIVE XP TION MRAL Lmrm taaBluPOTr PAC6414430 08/12/M4 08/12/2005 EACH OCCURRENCE � x COMMERCIAL GENERAL LIABILITY ^1„ 000, 01 DAMAGE TO RENTED CLAIMS MADE [K] SO OCCUR MED EXP (Any one peram) S A 5.01 BY ENDORSEMENT Plum Trust 401 Andover STreet North Andover, NA 01845 %CORD 25 (2001/08) FAX: 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TNEREOF, THE 1SSUM INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE NOLpER NANO TO THE LEFT, BUT PAILJRE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABCIIy OF ANY KIND JPON THE INSURER, ITS AQBNTS OR REPRESENTATIVES. r"0R=0 REPRE9ENTATWE H sto_ pher &anjgXMq- ®ACORD CORPORATION 1088 GEWL AGGREGATt', LIMIT APPLIES PER: 7 POLICY E-1 PROT LOC PERSONAL 8 ADV INJURY 5 GENERAL AGGREGATE S PRODUCTS - COMPIOP AGO $ AUTOMOBILE ANON LIABRITY ANY AUTO ALL OWNED ALITOS SCIIEDULEDAUTOS HIRED AUTOS -OWNED AUTO00 COMBINED SINGLE LIMIT S (EA aWdont) BODILY INJURY $ (Per Person) INJURY S (Per tatBltlent) PROPERTY DAMAGE $ (Per ywdcnt) GARAGE UABIUIY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC i AUTOONLY: EXCE59AlMBRELLA 17ABILTtY OCCUR Q CLAIMS M4pE DEDUCTIBLE RETENTION $ AGG $ EACH OCCURRENCE 3 AGGREGATE a $ $ N3 WORKERS COMPENSATION AND EMPLOY@RS'UANUTr ANY PROP� IEPORIPARTNER/EXECUTNE OFFICE EXCLUDED? WVyes, de�ceibc Yndcr SPECIAL PROVISroNS below OTR WC5315347888013 08/28/2004 08/28 005fmgrr $ oTI� E.L.EACH ACCIDENT $ E.L DISEASE -EA EMPLOYEE S E.L DISEASE- POLICY LIMIT S BY ENDORSEMENT Plum Trust 401 Andover STreet North Andover, NA 01845 %CORD 25 (2001/08) FAX: 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TNEREOF, THE 1SSUM INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE NOLpER NANO TO THE LEFT, BUT PAILJRE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABCIIy OF ANY KIND JPON THE INSURER, ITS AQBNTS OR REPRESENTATIVES. r"0R=0 REPRE9ENTATWE H sto_ pher &anjgXMq- ®ACORD CORPORATION 1088 11/24/2004 13:08 FAX 970 085 7878 C001145e Countruction cc 41004 North Andover Building Department 1'01: 878-588.S54s DEBRIS DISPOSAL FORM In ace0dance with the provision of MGL c 40 S S4, a aomcliffon of Building Permit Number is -that the debris resulting from thisvork shall be 61spos9ed of in a properly licensed solid wa$te disposal facility as defined by MGL c 11. S 150 A., The debris will be disposed of in: (LadAlor of Facility) oel Signature of Permit Applicant Det9 NOTE: Denvimom permit fmm the Town of kwlh /Meclovar mud be obtained for this projoC} thmugte.thee Office of the et"V ingwaw 'rr £0 ' d 09E T ZZ£ T84 saw n +as %WtIA Wa 21:90 b00Z-Sit-ICON U) o m v U � co co c N O LL U) 2 c C , CU o 0 a E co > 3 aw LO -i a C C6 CL 0 0) U o � U N � U W C � Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 Building Demolition Affidavit DATE /0 ti pORTH q r6 . O ti fO •($;�f gcHus���y OWNERS NAME & ADDRESS :!Z0/ /Lm 'yx. — PROPERTY LOCATION ` 5-/D %%/ �/�/�E- `�' 2 DESCRIPTION - 6-IYDV1109 rf7/L/x'Ja CONTRACTORS NAME & ADDRESS nOL/oar- , T/ GAS ELECTRIC TELEPHONE CABLE TAXES /- f O V - POLICE - FIRE EXTERMINATOR DIG SAFE NUMBER �4 o 6 BLDG. INSPECTOR DATE RECD H I Z w O 0 F=4 M 0 E * - � c COL C o �Ea d3' w c O' ts N O E c CD mi V yCL m E �m O �N N t r.+ O m �co N 32 c.�� 0 •N N C C . N W O +: �Em aCD N N' M 0 t= o oc= 'S Co v Nz ` `As c O cm n c Q vo`,mc c x ON. not C042 w t m w W CO COLS Z LU t� N O C.) m COD n • O� O z Sn In zip L 0 CDCL y C y y O � CL 0 CD CD NNB., o ►��r 0 4.4 ZL •� h 2 L ts• c 0 U C.3 O cc C a ev CA 0 LU U) W 19 W N o w x w x a aa a w ci w c� w w w w c� w x � o cn cn M 0 E * - � c COL C o �Ea d3' w c O' ts N O E c CD mi V yCL m E �m O �N N t r.+ O m �co N 32 c.�� 0 •N N C C . N W O +: �Em aCD N N' M 0 t= o oc= 'S Co v Nz ` `As c O cm n c Q vo`,mc c x ON. not C042 w t m w W CO COLS Z LU t� N O C.) m COD n • O� O z Sn In zip L 0 CDCL y C y y O � CL 0 CD CD NNB., o ►��r 0 4.4 ZL •� h 2 L ts• c 0 U C.3 O cc C a ev CA 0 LU U) W 19 W N