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Miscellaneous - 550 TURNPIKE STREET 4/30/2018 (11)
Z?- Date ....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............ - I [eA LL) f e r) Ce Z�. ................................................................................................ has permission to perform ......... ... ................ ............................................................. .............. B wiring in the building of ....... &COIC4 e ....... j xr&Jn.i . ........................ Nortoh ndover, Mass. at ......... .+u........... Fee -72-741..... Lic. No. YOW ............ . .... . . .... 1. .1 ...................................... ............. . ......... ............. . , E CTRIC INSPECTOR Check # 2u 4 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked y` BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: November 9, 2015 City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 550 Tumoike St Owner or Tenant Georgetown Bank Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes Q No ❑ (Check Appropriate Box) Purpose of Building Bank 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: NE's! 11�� f7 f— (D r Completion of the following able m6 be waived by the Inspector of Wires. No. of Recessed Luminaires - No. of.Ceil.-Susp..(Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Zo Swimming Pool Above ❑In- Elo. rnd. rnd. o mergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones Z No. of Switches ,^� v No. of Gas Burners No. of Detection and Initiatin Devices No. of Ranges No. of Air Cond. Total Tons g No. of Alerting Devices No. of Waste Disposers Heat Pum Totals umber Tons ------ KW --------------- No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent19) No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: $58,656.00 (When required by municipal policy.) Work to Start: 11/9/2015 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE x❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on is application is true and complete. FIRM NAME: Artisan Electrical Contractors, Inc. LIC. NO.: 408MR Licensee: Albert Lawrence Signature LIC. NO.: (If applicable, enter "exempt" in the license number line) us. Tel. No.' 603-743-4005 Address: 155 Drew Rd Madbu NH 03823 Alt. Tel. No.: 603-285-3779 *Per M.G.L 6.147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner'sa ent. Owner/Agent PERMIT FEE: $ Signature Telephone No. 0h 3 I t m ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/6/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,'the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Stacie Hayner Wieczorek Insurance 166 Concord St. PHONE (603)668-3311 FAX No,A/C No:(603)668-8413 E-MAIL ADDRESS: Stacie@wizinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Phenix Mutual Fire Insurance 23175 Manchester NH 03104 INSURED INSURER B: Artisan Electrical Contractors Inc. INSURER C: 155 Drew Road INSURER D: Madbury NH 03820 INSURER E: INSURER F: 6/17/2015 COVERAGES CERTIFICATE NUMBER:15-16 Basic REVISION NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREJIMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 44001053 6/17/2015 6/17/2016 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: XPOLICY PRO- JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILEtIABILITYEa aBINEDtSINGLE LIMIT $ 1,000,000 A X ANY AUTO ATOSCHEDULED AUUTOSS AUTOS 44001053 6/17/2015 6/17/2016 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ Uninsured motorist combined $ 1,000,000 X UMBRELLA LIAB OCCUR 44001053 6/17/2015 6/17/2016 EACH OCCURRENCE $ 6,000,000 A EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED I I RETENTION $ 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N❑ (Mandatory in NH) If yes, describe under N / A Cov: State of NH 44001053 6/17/2015 6/17/2016 X PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ 500 000 E.L. DISEASE - EA EMPLOYE $ 500 000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Job Site: Georgetown Bank, 550 Turnpike St, North Andover, MA 01845 Solidus 1280 Blue Hills Ave Bloomfield, CT 06002 ACORD 25 (2014/01) INS025 r9111nnn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE rt Wieczorek/DMD ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGES Ref # Description Medical payments Coverage Code MEDPM Form No. Edition Date Limit 1 5,000 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Umbrella(C) Coverage Code CUMBR Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount 0 Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit,3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 7 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium OFADTLCV Copyright 2001, AMS Services, Inc. Fold, Then Detach Along All Perorations 11495 Date...../. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING .. /p/ This certifies that ... ....... V-/,31-, S ..... ... . ... has permission to perform ..... -) .... — ..L' "* e- -, ^ / ........................................................................... plumbing in the buildings of .... ......................... at -12552) ... ................................ --IlortNAndover, Mass. Fee &5 ..... Lic. No. o.g6.5s . ..................... k ... ....... .4--�) ... ... . ................ ....... ........ .. Check # PLUMBING INSPECTOR MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK UM-1, CITY I North Andover MA DATE 11113/2015 j PERMIT # JOBSITE ADDRESS 550 Turnpike Street j OWNER'S NAMEJ Georgetown Bank POWNER ADDRESS TEL �� FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL El PRINT CLEARLY NEW: EM RENOVATION: REPLACEMENT: [ PLANS SUBMITTED: YES NO FIXTURES -1 FLOOR— BSM 1 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM1_ DEDICATED GREASE SYSTEM 3::... D r__w. DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER„ FLOOR/ AREA DRAIN INTERCEPTOR (INTERIOR) ='- SINK C_r , �1 F77KITCHEN LAVATORY ROOF DRAIN SHOWER STALL SERVICE / MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING IT OTHER I 2 1 3 1 4 1 5 1 6 1 7 1 8 1 9 1 10 1 11 1 12 1 13 1 14 INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES [ NO IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY BOND ■ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER El AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME , Jeff Gervais LICENSE # 15653 MP[I JP 0 CORPORATION [# 3554 PARTNERSHIP # LLC0# COMPANY NAME LGervais Plumbing & Heating Inc ADDRESS 317 Southbridge Street CITYAuburn STATEMA ZIP 01501 TEL 508-617 2055 FAX 508-832-4877 , CELL 774-696-3499 EMAIL jeff@gervaisplumbing.com 1 j The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERNIITTING AUTHORITY. Name (Business/Organization/Individual): Address: ,�9 / % snc,. Ai City/State/Zip: Phone #:Z -566' (a 17' Are on an employer? Check the appropriate box: 1am.a. employer with _!$(jQ employees (full and/or part-time).* 2. F J I am a sole proprietor or partnership and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. Q I am a homeowner doing all work myself [No workers' comp. insurance required.] t 4. ❑ I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers' compensation insurance or are sole proprietors with no employees. 5. ❑ I am a general contractor and I have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance.t 6.FJ We are a corporation and ifs offigers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no. employees. [No workers' comp. insurance required.] Type of project (required): 7. [] New construction 8. 0 Remodeling 9. ❑ Demolition 10 ❑ Building addition 11.❑ Electrical repairs or additions 12. Q Plumbing repairs or additions 13. E] Roof repairs 14. ❑ Other xAny applicant that checks box 41 must also fill out the section below showing their workers' compensation policy information Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must -attached an additional sheet showing the name of the sub -contractors and state whether or not, those entities have employees. If the sub-cokrac6s have employees,'tkiey must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees.' Below is the policy and job site information. �.-� w A ` Insurance Company Policy # or Self ins. Lic. #: /q (4)C, ` 416 " ��>� � �5 Expiration Date: �1 Job Site Address: S�o A av_lirS City/State/Zip11111'e*9✓r'� Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby the information provided above is true and correct. Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # I /fo Issuing Authority (circle one): i 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone Information and. Instructions - Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of liire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall. enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill- out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub=contractor(s) name(s), address(es) and -phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should'enter their self-insurance license number on the appropriate line. City or Town Officials Pldase be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-NIASSAFE Fax # 617-727-7749 Revised 02-23-15 www.mass.gov/dia UMAS. fT�j�S . ISSUES TT, FOL.L'MON' Z1 EF15E' , g «AS A MAS�t. E# Y f JE E EY S GERNAki 'p`t G ' 1�1 l{}N A �..: R Date ...,... �.................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that „`,. e" � ........................................................................................................ has permission to perform ..� C..✓L .. wiring in the building ;of ............... �'. —"� �`"� .................................................................................. at(� /1 -�� `t North Andover' Mass. .......1....t........►-r.................................................... . Fee ... � ..!5 7..... Lic. No. 1.�.. .. ELECTRICALINSPECTOR Check 4f Z- 12996-/ S l omrnorewealth o�c�/77ia5sachaasl�a �� Official Use Only ,� - wd. - eLJePartmenE o�..iire �erviceb Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: f, L City or Town oh. NO i� Af,jib To the I sector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) JjTg4) �) tQ�(% p % i� Owner or Tenant &E0 f& E Y'QWA2 S#q 1/. Telephone No. Owner's Address _6:go rU le ..) ) k , 5T Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building 218 ,A% K Utility Authorization No. Existing Service Amps / Vohs 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: ��' t✓ L1� % X� 5 VSrZ7 M Completion of the following; table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Cei1-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑In- 1:1o. grnd. rnd. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers p Heat Pump Totals: Number - __........ Tons ......_--...._---._ KW .---.._- No. o Self- ontamed Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal 1:1 Other Connection No. of Dryers ry Heating Appliances Kms, ecurity Systems:* No of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP r Wiring TelecommunicationsNofDevices No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: ') Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties ofperjury, that the information on this application is true and complete- FIRM ompleteFIRM NAME: LIC. NO.: Licensee:l�l/.i LjQSSignature LIC. NO.: / (If applicable, erste empt" in the license num r line. Bus. Tel.No.. a Address: /d A d� Alt. Tel. No.: S *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage norma ly 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. $ /O f 1 41 t5 ,fie r_ -!A 6 1 vy\ aA The Commonweakh of Massaduseffs DepaFftent ofindustridAccide-sts Office OfInvesdrdons I Congress S&C24 She 100 Bosgon, MA 02114 -2017 - mass gov/ems %rkersl Compensation Insurance Affidavit: Builders/Contracti WEledricians/Flumbers A MUcant Information Please Print Lrlblv Name (Business/Organizatonandividual): -1D I -E,8 6 7, Address: 15 Citv/State/Ziw L% Phone #: Are you an employer? Check the_approprlate box: a 4 Oyer m _aML 4. C] I a am general contractor and I _-With employees (full and/or part-time).* 2. D 1 am a- ole'.proprietor or p1mer- listed on the attached sheet .ship and have no employees These mib-corttractors have working foremployees me in any capacity. and have workers' ' workers' comp. insurance cornp• insurance.![No required.] 5. ®We are a corporation and its 3. D 1 a homeowner doing all work officers have exercised their myself. If. (No workers' comp. right of cxa*tion.perMGL insurance.required.1t c:152; § 1 , (4),znd we have to �mploym. [No workers' coon. insurance remired.1 .Type of project (required): -Ne!w-construction .7. IgRemodeling 8. E] Demolition .9. n Building addition 10.0 Electrical repairs or additions 11.0 Phunbing repairs or additions 12..0 Roof repairs 11.0 Other *Any appliamt that chocks box #1 must also fill out the "on bdm simwingdoAr wotim 'compen"oupolicy information. t Hameawnen who submit this affidavithulicatial they am doing all wwk=d then him opWde couttacturs mud submit anew affidavit indicating such. tC=mwtmthat chock this boa moat attached imadditions! sheet gwwWgthe'noft' of the sub-couftotuts-anduste whether or not thoseantities have employees. If the sub-conouters have mplwpm they must pm" their vakers'comp.policy amber. I aps an emplo job Below 6 thepollcy dad ske infomsedon. Insurance Company Policy # or Self -ins. p Job 6iie Address. . LL) AM, - Yn `City/State/Zi Attach a copy. of the workers' compensation policy declaration page(showing the policy number and expiration date). i Failure to secure coverage as required under Section 25A of MOL c. 152 can lead to the imposition of criminal penalties of a One -up.to $1,500.00 and/or one -yew imprisonment, as well as civil penalties in the form ofaSTOPWORK ORDERand a.fine of -up to $250.00 a day. against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations oftine DIA for insurance coverage verification. I.do'hereby cshe pains wpanadeYes of 9hat the Informadon provided above is trae and correct Date: JF&V Ogg% 11 g# ertYyAnder Phime Official use on&. Do not wMe In this area, to be complied by city or town o City or Town: 'PermittlAcense Issuing 0 _ g Auth rity (circle one): Ie Board of Health 2. Building Department 3, atyr-fown' Clerk 4. Electrical Inspector 'S. Plumbing Inspector 6. Other Contact Person: Phone #:— l � .Alm cmrron-:leaith of ',tassacn�sers ,eoartment of �uoiic Safety _.cense: SSCO-000756 WAYNE R MCINTOSH `,- 818 MULBERRY R&q z CANTON OH744711 �",•�,..�yT. ommissioner 05/19/2016 U N a) � CL O N N � C cu Cl) N od U) O J � � m O a) cu m C- cn LOE X 0 -0 O ap 0 U X n. -C- C-) co v O I � c N c o O Fn C L 'j _ Q O E (A ` (D a) D o 4- O N c o J i U > O cu N C m O M O > U X — O (1r) a "� C OQ I- O O �ZCY� Q. 0 C CU �-- �: i) N ;� H 0 4- (n O cn YcuE.C- o N O CO 0 a) 0) C i E a) O �_ ) O cu C O o CD ocn> 13 W H m 2 O w CL W Z W I— Z_ J J J J Q W H- Z C 0) U a) W 0 C O a) O W U) > ca a Z a W H C' O Z 7 L. Li O `n V Z O (n Y C M 00 C O 0 0 a) O � C) N Q a' to F - ON O cn W s`e O O r w I O�, N tiMo.L ° o h ** Q W m 2 F- U N a) � CL O N N � C cu Cl) N od U) O J � � m O a) cu m C- cn LOE X 0 -0 O ap 0 U X n. -C- C-) co v O I � c N c o O Fn C L 'j _ Q O E (A ` (D a) D o 4- O N c o J i U > O cu N C m O M O > U X — O (1r) a "� C OQ I- O O �ZCY� Q. 0 C CU �-- �: i) N ;� H 0 4- (n O cn YcuE.C- o N O CO 0 a) 0) C i E a) O �_ ) O cu C O o CD ocn> 13 W H m 2 O w CL W Z W I— Z_ J J J J Q W H- Z • bY O �-O > i c Qcal Y/ L ILI N C 7 u W Q • N � E --o wV c C) .^o.RP c � N �/1 N ctl N N O C W a+ O v d Q � N m C � C 'cC 41 to M ttl m W %c9 Location /�,I �y ' t � No. V V v 4�p Date �Z Check # 12q,;S 29796 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $" Foundation Permit Fee $ Other Permit Fee $ TOTAL $ r Building Inspector P-4 N -r i.(1) 191 A F A O A rA N 0 0 a 4-10 r' Q ua 0 0 �a60 01 WE D s Q� N. �(b U) 0 0 0 to 0 0 a �d�bna• bt-U� U cd a1� 0 N p .�OU�. •o o .� •� U �I ;>,,o U s4 Id O� h0- 04 cd 0 °�� o o O cd cc) , j'd ¢, PO +O' 0 0 H w U O U :�N P-1.�' Zo 0 z �,�°ri Ua 10 , h F51 Cd 0 U 0 z 2 A a Q 0 CA gh I° rA bn `8 9i .� •r _ t,,q 80 �a o U bn . p, 0 o�°�,�°' �Uv�A0 10 , h F51 Cd 0 U 0 z 2 A a Q 0 CA SECTION 6 SIGNS AND SIGN LIGHTING REGULATIONS 6.1 Authority and Interpretation .This Bylaw is adopted, as a General Bylaw pursuant to Chapter 93, Section 29-33, inclusive, as amended, and a Zoning Bylaw pursuant to Chapter 40-A, as amended of the General Laws of the Commonwealth of Massachusetts. This Bylaw is hereby declared to be remedial and protective, and is to be so construed and interpreted as to secure the beneficial interests and purposes defined in Section 6.2 of this Bylaw. 6.2 Purposes 1. The regulation and restriction of signs within the Town of North Andover in order to protect and enhance the visual environment of the Town for purposes of safety, convenience, information, and welfare of its residents. 2. The restricting of signs and lights which overload the public's capacity to receive information, which violate privacy, or which increase the probability of accidents by distracting attention or obstructing vision. 3. To encourage signage and lighting which aid communication, orientation, identify activities, express local history and character, serve educational purposes for the public good. 4. The reduction of visual and informational conflict among private signs and lighting and between the private and public information systems. 6.3 Definitions 1. A -Frame Sign/Sandwich Board: A portable, temporary sign or device capable of standing without support or.attachments. 2. Accessory Sign - A sign that advertises activities, goods, products, or a specific use, owner, or tenant, available within the building or on the property on which the sign is located, or advertises the property as a whole or any part thereof for sale or rent. 3. Animated Sign: Any sign that uses movement or a change of lighting to depict action or create a special effect or scene. 4. Building Frontage - The length in feet of a ground floor level of a building front or side facing a street (or facing a right-of-way accessible from a street) that is occupied by an individual business. S. Directional Sign - A non -accessory sign containing no advertising and giving direction to community (non-commercial) activities, buildings, areas, such as cliurches, schools, playgrounds, museums, historical sites, public buildings, etc. Sign not to exceed 12"00". 6. Display Window Signs - Temporary signs on the surface of or inside display windows, lighted only by the general building illumination. 7. Erect --Shall mean and include to construct, place, relocate, enlarge, alter, attach, suspend, and post. 8. Flagpole - A pole erected on a roof, or projecting from a building or structure or on the ground. 9. Freestanding Sign - Shall mean and include any sign not attached to a building or the ground. 10. Ground Sign - Any sign erected on the ground which is self -supported and anchored to the ground. 11. Illuminated Sign - Illuminated sign shall mean any sign illuminated by electricity, or other artificial light including reflective or phosphorescent light and shall include location of source of illumination. 73 12. Marquee - Any sheltering structure of permanent construction projecting from and totally supported by the wall and/or roof of a building. 13. Non -Accessory Sign - Any sign that is not an accessory sign. 14. Obscene - shall have the meaning as that term is defined in Massachusetts General Laws Chapter 272, Section 1. Massachusetts General Laws, Chapter 272, Section defines "obscene" as follows: 1. appeals to the prurient interest of the average person applying the contemporary standards of the county where the offense was committed; 2. depicts or describes sexual conduct in a potentially offensive way; and 3. lacks serious literary, artistic, or political or scientific value. 15. Off -Premise Sign — A sign or outdoor display that advertises products or services that are not sold, produced, manufactured or furnished on the property where the sign is located. 16. Permanent Sign - Any sign permitted to be erected and maintained for more than sixty (60) days. 17. Primary Sign - The principal accessory sign which may be a wall, roof, or ground sign, as allowed in Section 6.6. 18. Projecting Sign - Any sign which is attached or suspended from a building or other structure and any part of which projects more than twelve (12) inches from the wall surface of that portion of the building or structure. 19. Roof Sign - Any sign erected, constructed, and maintained wholly upon, connected to, or over the roof or parapet of any building with the entire support on the roof or roof structure. 20. Secondary Sign - Is a wall, roof, or ground sign intended for the same use as a primary sign but smaller dimensions and lettering, as allowed in Section 6.6. 21. Sign - A sign is any structure, mechanically or electrically driven, still or moving device, light, letter, figure, word, model, banner, pennant, trade flag, or representation that is designed to be seen from outside the lot on which itis erected. It advertises activities, goods, places, persons, objects, institutions, organizations, associations, businesses or events, products, services, or facilities available either on the property where the sign appears or in some other location. The definition includes electric signs in windows or doors, but does not include window displays or merchandise. A sign may be permanent or temporary. 22. Sign Size (Area) (a). For a sign, either free-standing or attached, the area shall be considered to include all lettering, wording and accompanying designs and symbols, together with the background, whether open or enclosed, on which they are displayed but not including any supporting framework and bracing which are incidental to the display itself. (b). For a sign painted upon or applied to a building, the area shall be considered to include all lettering, wording, and accompanying designs or symbols together with any backing of a different color than the finish material of the building face. (c). Where the sign consists of individual letters or symbols attached to or painted on a surface, building, wall or window, the area shall be considered to be that of the smallest rectangle or other convex shape which encompasses all of the letters and symbols. 23. Temporary Sign: A sign permitted to be used on a short-term basis for the duration of no longer than sixty (60) days unless otherwise specifically provided herein. 74 24. Wall Sign - Any sign affixed to, suspended from or painted on a wall, window, marquee, or parapet. 6.4 Administration and Enforcement 1. Enforcement - The Building Inspector is hereby designated as the Sign Officer and is hereby charged with the enforcement of this Bylaw. a. The Sign Officer and his duly authorized agents shall, at reasonable times and upon presentation of credentials, have the power to enter upon the premises on which any sign is erected or maintained in order to inspect said sign. b. The Sign Officer is further authorized, upon notice as herein provided, to order the repair or removal of any sign which in his judgment is a prohibited non -accessory sign, or is likely to become dangerous, unsafe, or in disrepair, or which is erected or maintained contrary to this Bylaw. The Sign Officer shall serve a written notice and order upon the owner of record of the premises where the sign is located and any advertiser, tenant, or other persons known to him having control of or a substantial interest in said sign, directing the repair or removal of the sign within a time not to exceed thirty (30) days after giving such notice. If such notice and order is not obeyed within such period of time, the Sign Officer and his duly authorized agents shall, at reasonable times and upon presentation of credentials, have the power to enter upon the premises on which said sign is erected or maintained and repair or remove, or cause to be repaired or removed, said sign. All expenses incurred by the Sign Officer and his duly authorized agents in repairing or removing any sign shall be assessable against any person who failed to obey said notice and order and shall be recoverable in any court of competent jurisdiction if not paid within thirty (30) days after written notice of assessment is given by the Sign Officer at any such person. 2. Permits: a. No permanent sign shall be erected, enlarged, or structurally altered without a sign permit issued by the Building Inspector. Permits shall only be issued for signs in conformance with this Bylaw. Permit applications shall be accompanied by two (2) prints of scale drawings of the sign, supporting structure and location. A copy of any relevant special permit shall also accompany the application. All ground or roof signs shall be registered and identified as required by Section 1407.0 of the State Building Code. b. Notwithstanding anything to the contrary in this Bylaw, any permanent sign authorized under this Bylaw may contain any otherwise lawful, non-commercial message which does not direct attention to a business or to a service or commodity for sale in lieu of any message or content described in the applicable regulation. 3. Non-conformance of Accessory Signs: Any non -conforming sign legally erected prior to the adoption of this provision, may be continued and maintained. Any sign rendered non -conforming through change or termination of activities on the premises shall be removed within thirty (30) days of order by the Building Inspector. No existing sign shall be enlarged, reworded, redesigned, or altered in any way unless it conforms to the provisions contained herein. Any sign which has been destroyed or damaged to the extent that the cost of repair or restoration will exceed one-third (1/3) of the replacement value as of the date of destruction shall not be repaired, rebuilt, restored or altered unless in conformity of this Bylaw. 75 4. Street Banners or Signs - Street banners or signs advertising a public or charitable entertainment or event, by Special Permit from the Board of Selectmen. Such a sign shall be removed within seven (7) days after the event. 6.5 Prohibitions: 1. No sign shall be lighted, except by steady, stationary light, shielded and directed solely at the sign. Internally lit signs are not allowed. 2. No illumination shall be permitted which casts glare onto any residential premises or onto any portion of a way so as to create a traffic hazard. 3. No sign shall be illuminated in any residential district between the hours of 12:00 midnight and 6:00 a.m. unless indicating time or temperature or an establishment open to the public during those hours. 4. No sign having red or green lights shall be erected within sight of a traffic signal unless approved as non -hazardous by the Chief of Police. 5. No animated, revolving, flashing, or exterior neon sign shall be permitted. 6. No pennants, streamers, advertising flags, spinners or similar devices shall be permitted, except as allowed by the board of Selectmen. 7. Corner visibility shall not be obstructed. 8. No sign shall be erected, displayed, or maintained upon any rock, tree, fence, or utility pole. 9. No sign shall be erected, displayed, or maintained if it contains any obscene matter. 10. Flags and insignia of any Government when displayed in connection with commercial promotion. 11. No sign shall obstruct any means of egress from a building. 12. Non -accessory signs are prohibited except for directional signs as allowed in Section 6.6, B. 13. No signs shall be attached to motor vehicles, trailers or other movable objects regularly or recurrently located for fixed display. 14. No off -premise signs. 6.6 Permitted Signs (Fee Required) A. Residence District - Accessory Signs - The following signs are allowed in a residence district as well as all other districts. 1. Primary wall and roof signs attached to or part of the architectural design of a building shall not exceed, in total area, more than ten percent (10%) of the area of the dimensional elevation of the building as determined by the building frontage multiplied by the floor to ceiling height of the individual business or as specified in applicable sections of the by-law. 2. One (1) sign, either attached or ground indicating only the name of the owner or occupant, street number and permitted uses or occupations engaged in thereon, not to exceed two (2) square feet in area. Such sign may include identification of any accessory professional office, home occupation, or other accessory uses permitted in a residence district. Ground signs shall be set back a minimum of ten (10) feet from all property lines and a minimum of forty (40) feet from all residential districts or structures. 3. One (1) sign oriented to each street on which the premises has access, either attached or ground, pertaining to an apartment development or a permitted non-residential principal use of the premises, such sign not to exceed ten (10) square feet in area. 4. One (1) unlighted contractor's sign, not exceeding twenty-five (25) square feet in area, maintained on the premises while construction is in process and containing information relevant to the project. Such sign shall be removed promptly after completion of the construction. 76 5. One (1) unlighted identification sign at each public entrance to a subdivision not exceeding twelve (12) square feet in area; to be removed when the subdivision roadway is accepted by the Town. 6. Ground signs shall be set back a minimum of ten (10) feet from all property lines and a minimum of forty (40) feet from all residential districts or structures. 7. Off -premises Signs: Only signs pertaining exclusively to the premises on which they are located or to products, accommodations, services or activities on the premises shall be allowed, except that an off -premises directional sign, designating the route to an establishment not on the street to which the sign is oriented, may be erected and maintained within the public right-of-way at any intersection if authorized by the Board of Selectmen or on private property if granted a special permit by the Board if Appeals. Such sign shall be authorized only upon the authorizing agency's determination that such sign will promote the public interest, will not endanger the public safety and will be of such size, location and design as will not be detrimental to the neighborhood. At locations where directions to more than one (1) establishment are to be provided, all such directional information shall be incorporated into a single structure. All such directional signs shall be unlighted, and each shall be not over four (4) square feet in area. B. Temporary Signs: Temporary signs shall be allowed as provided below, and provided that they comply with the following: (a) Unless otherwise specified in the Bylaw, temporary signs must comply with all applicable requirements for permanent signs, including issuance of a sign permit. 1. Temporary signs, of not more than twelve (12) square. feet in area, erected for a charitable or religious cause; requires no sign permit and is to be removed within thirty (30) days of erection. The Building Inspector shall maintain placement controls. 2. One (1) temporary unlighted real estate sign advertising the sale, rental or lease of the premises or subdivision on which it is erected to be no larger than twelve (12) square feet. The Building Inspector shall allow a sign larger than twelve square feet if. The property fronts on a State Highway, such as Route 114 or Route 125 and a larger sign is needed for legibility purposes; The total area of the sign does not exceed 10% (10 percent) of the wall area it is to be located upon. Such sign shall be removed fourteen (14) days after sale, rental or lease. 3. One (1) temporary unlighted sign not larger than twenty-five (25) square feet indicating the name and address of the parties involved in construction on the premises. 4. Temporary signs not meeting requirements for permanent signs may advertise sales, special events, or changes in the nature of an operation, but shall not otherwise be used to advertise a continuing or regularly recurring business operation and shall be removed promptly when the information they display is out of date. The sign(s) must be removed within thirty (30) days of erection. 5. Temporary signs pertaining to a candidate or ballot question appearing on the ballot of an election duly called in the Town of North Andover shall require no sign permit and shall be allowed in all zoning districts. Such signs permitted by this Bylaw: (a) shall only be permitted on private property; (b) shall not exceed six (6) square feet in area per sign and shall not exceed in aggregate twenty-four (24) square feet in area per lot; (c) shall not be higher than three (3) feet above ground level; (d) shall be stationary and shall not be illuminated.. 6. Temporary A -frame Sign Permit. The Building Inspector may issue a permit for the temporary placement of a freestanding A-frame/sandwich sign which (i) announces a performance, an event, or is for directional purposes; ii) must be securely anchored so as to 77 not blow over and is professional in appearance; iii) must be removed at the close of each ' business day and at the expiration of the permit; iv) may not obstruct a public or private walkway, or be placed on public property. The maximum area shall not exceed eight (8) square feet on each side, and a maximum height of five (5) feet above the ground. The temporary permit may impose limiting conditions, including among other matters the number allowed at each business property location. 7. Unless otherwise specified in this Bylaw, temporary signs pertaining to other non- commercial issues shall require no sign permit and shall be allowed in all zoning districts. Such signs shall be subject to the limitations set forth in subsection (5) (a) -(e) above. 8. Identification Signs or entrance markers for a church, or synagogue shall not exceed a combined total of thirty (30) square feet and provided that there shall be no more than two (2) signs allowed on the premises. 9. Notwithstanding any other provisions of this Bylaw, signs may be erected for posting land; example, no hunting, no trespassing, etc. C. Residence Districts: Non -accessory Signs - Directional signs by Special Permit from the Board of Selectmen, limited as follows: 1. Two (2) signs for each activity, not exceeding 6"x30" in size. 2. Ground signs not exceeding eight (8) feet in height. D. Business and Industrial Districts: Accessory All signs permitted in residence districts as provided in Section 6.6(A) and 6.6(B), except that temporary real estate signs may be as large as twenty-five (25) square feet. Each owner, lessee, or tenant shall be allowed a primary and a secondary sign. Said sign may be used as ground, wall, or roof signs. No lot shall be allowed to have more than one -(1) ground sign structure. 1. Primary wall and roof signs attached to or part of the architectural design of a building shall not exceed, in total area, more than ten percent (10%) of the area of the dimensional elevation of the building as determined by the building frontage multiplied by the floor to ceiling height of the individual business or as specified in applicable sections of the by-law. 2. One (1) permanent ground sign of not more than twenty-five (25) square feet in area and extending not more than eight (8) feet above ground level. Larger or taller signs may be allowed by Special Permit of the Board of Appeals, if said Board determines that the particular sign will not be incongruous with the district in which it is to be located nor injurious to traffic and safety conditions therein (1998/31). 3. For premises having multiple occupants, a single sign, either attached or ground, identifying those occupants. The total area of attached signs including this one, shall not exceed ten percent (10%) of wall area, and the area of any freestanding sign allowed under this paragraph shall not exceed twenty-five (25) square feet. 4. Temporary unlighted signs inside windows, occupying not more than twenty percent (20%) of the area of the window requires no sign permit. 5. No sign shall project more than one (1) foot over any public right-of-way shall be covered by appropriate liability insurance as determined by the Building Inspector and verified by a certificate of insurance filed with the Town Clerk. 6. Service stations or garages may divide the allowed wall sign area into separate, smaller wall signs indicating separate operations or departments. A freestanding ground identification sign of fifty (50) square feet with price sign incorporated is allowed. 7. For active fuel dispensing Service Stations, with multiple tenants, on the same lot: One single free standing ground identification sign of 50 square feet is allowed, which is to include within the 50 square feet, the identification of the multiple tenants on this same lot. The Service Station identification / information shall be at least 60% (may be greater) of the total free standing ground sign. Pricing information, if advertised, to also be within the allotted square 78 footage for service stations. The maximum height (including pylons) of this free standing ground sign shall be 16 feet from ground level (1998/30). 8. Building directories (if located outside) may be affixed to the exterior wall of a building at each public entrance. Such directory shall not exceed an area determined on the basis of one (1) square foot for each establishment occupying the building. 9. Traffic Control orientational and guidance signs located on private properly, up to four (4) square feet in area, displayed for purposes of direction or convenience, including signs identifying parking, fire lanes, rest rooms, freight entrances and the like. E. Shopping Centers 1. Signs are permitted in residence districts, except that temporary real estate signs may be as large as ten (10) square feet. 2. Signs attached to a building or its canopy, parallel with the facade and not projection above the roof -line, advertising the name of a firm or goods or services available on the premises, provided that the total area of all signs erected on any wall by any occupant may not exceed twenty percent (20%) of the portion of the wall area assigned to that occupant. In no case shall any occupant's sign total more than two hundred (200) square feet facing any single street. 3. For any retailing complex comprising three (3) or more enterprises on a single lot and fifty thousand (50,000) square feet floor area or more, one (1) ground sign for each street on which the development fronts, containing the name or other identification of the area occupied by the complex. Each sign shall be no larger than one hundred (100) square feet. Such sign shall not be located within ten (10) feet of any property line or the line of any way, and no part of the sign shall be more than twenty (20) feet above the ground level. 4. Temporary, unlighted signs, inside windows, occupying not more than fifty percent (50%) of the area of the window requires no sign permit. F. Office Parks 1. Signs as permitted in residence districts, except that temporary real estate signs may be as large as ten (10) square feet. 2. One (1) sign for each street upon which the premises has frontage, identifying a subdivision of lots for office development. This sign shall be no greater than eight (8) feet in height and no larger than twenty (20) square feet in area except where the property fronts on a high-speed, limited access highway, in which case a special exception may be granted for a larger sign if required for legibility. 3. Signs for individual properties or tenants shall be limited to a single sign no larger than three (3) square feet per tenant. Individual tenants must have Letter of Permission from property owner. The Board of Appeals may grant a Special Permit for an exception for a larger area where this will not impair legibility of other signs or be incongruous with the surroundings, based upon consideration of the number of occupants and signs per building, size of building and integration of sign and building design. G. Industrial Districts 1. Signs as permitted in residence districts, except that temporary real estate signs may be as large as twenty-five (25) square feet. The Building Inspector shall allow a sign larger than twenty-five (25) square feet if: a) The property fronts a State Highway, such as Route 114 or Route 125 and a larger sign is needed for legibility purposes; b) The total area of the sign does not exceed 10% (ten percent) of the wall area it is to be located upon. Such sign shall be removed fourteen (14) days after sale, rental or lease. 2 Signs attached flat against the wall or canopy of a building, or projecting not more than six (6) feet above such wall, advertising the name of the firm or goods or services available or produced on the premises; provided that the total area of all such sighs does not exceed twenty 79 percent(20%) of the area of the side of the building to which they are attached or two hundred (200) square feet, whichever is less. One (1) ground sign, containing the name or other identification of the use on the property, for each street on which the property fronts, each sign is limited to an area of one hundred (100) square feet. Such sign shall not be located closer than forty (40) feet to any property line or twenty (20) feet above ground level. H. Guidelines 1. The following are further means by which the objectives for signs can be served. These guidelines are not mandatory, but degree of compliance with them shall be considered by the Board of Selectmen, Planning Board, Zoning Board of Appeals in acting upon special permits authorized by the Zoning Bylaws and by the Building Inspector in issuing a sign permit authorized under this Section of the Zoning Bylaw. Efficient Communication: 1. Signs should not display brand names, symbols or slogans of nationally distributed products except in cases where the majority of the floor or lot on the premises is devoted t manufacture or sale or other processing of that specific product. 2. Premises chiefly identified by aproduct name (such as a gasoline or auto brand) should devote some part of their permitted sign area to also displaying the identity of the local outlet. 3. Signs should not contain selling slogans or other advertising which isnot an integral part of the name or other identification of the enterprise. 4. Sign content normally should not occupy more than forty percent (40%) of the sign background, whether a signboard or a building element. 5. Signs should be simple, neat and avoid distracting elements, so that contents can be quickly and easily read. Environmental Relationship 1. Sign design should take into consideration the scale of the street to which the sign is oriented and the size, brightness, style, height and colors of other signs in the vicinity. 2. Sign brightness should not be excessive in relation to background lighting levels, e.g., averaging not in excess of one hundred (100) foot lamberts in the downtown or similarly bright areas and not in excess of twenty (20) foot lamberts in unlighted outlying areas. Building Relationship 1. Signs should be sized and located so as to not interrupt obscure or hide the continuity of columns,_ cornices, roof eaves, sill lines or other elements of building structure and where possible, should reflect and emphasize building structural form. , 2. Sign material, colors and lettering should be reflective of the character of the building to which the sign relates, just as sign size should be related to building size. 3. Clutter should be avoided by not using support brackets extending above the sign or guy wires and turnbuckles. Landscaping, Buffering, Lighting 1. In Shopping Centers and Office Parks, landscaping shall be provided and maintained in accordance with planting approved by the Planning Board and incorporated as part of the plans on which the Special Permit of the Board of Appeals is based. 80 2. In all industrial districts, landscaping shall be provided and maintained in front yards and in side yards abutting public ways for aesthetic reasons to break up lines of buildings and for screening accessory facilities under the requirements discussed below. Specifically, in all Industrial and Business Districts, landscape screening shall be provided adjacent to: a. Abutting existing residential properties; and b. Abutting limited access highways in addition to the landscaping in front and side yards mentioned above. Landscape screening shall consist of planting, including evergreens, the plantings to be of such height depth as is needed to screen adequately from view from abutting area any unshielded light source, either inside or outside. (Section 6 amended May 6, 1996 Annual Town Meeting, Article 21) 81 SECTION 7 DIMENSIONAL REQUIREMENTS 7.1 Lot Area Minimum lot areas for such uses in each district shall be as set forth in Table, of Dimensional Requirements, which is hereby made part of this Bylaw. 7.1.1 Contiguous Buildable Area (CBA) As of April 28, 1986, the area of any new lot created,/encral ar n a street or recorded way open to public use, at least seventy five (75) percent olot area required for zoning shall be contiguous land other than land located within a lias wetland resource areas in accordance with the Wetlands Protection Act, Massaeral Laws, Chapter 131, Section 40 and the Town of North Andover Wetland Protection ter 178 of the Code of North Andover. The proposed structure must be constructedignated contiguous land area. 7.1.2 Lot Width For any lot created after May 1, 1995, the min' um width of the lot shall be a distance of one hundred (10 0) feet between the street frontage and t ont building line The width shall be measured in a line parallel to the street. This requirement sh apply in all zones except Residence 4 (R4) and Village Residential (VR); for zone R4, said m' um width of the lot shall be a distance of (eighty) 80 feet and for zone VR, said minimum wi of the lot shall be a distance of (eighty) 80 feet. 7.1.3 Restrictions 1. When a fifty (50) foot aight line is drawn to divide a lot in two, and the perimeter of the smaller piece is greater than o hundred (200) feet, then such smaller piece shall not be included in the calculations whe etermining: lot area contiguous buildable area (CBA), or street frontage as required by th ummary of Dimensional Requirements (Table 2) of this bylaw. This restriction applies only, lots created after May 1, 1995. 2. Any lot c ated after May 1, 1995 shall have a lot depth of thirty (30) feet or more for at least eighty 0)percent of the minimum length of its frontage as required by the Summary of Di sional Requirements (Table 2) of this bylaw. The lot depth shall be measured as a line dr perpendicular to the street. 3. o lot, upon which is then located any buildings or with respect to which a permit has been issued nd is then outstanding for the erection of any building, shall be subdivided or reduced in area in any manner unless said lot shall thereafter fulfill the lot area, street frontage and yard space requirements of this Bylaw except as may be permitted otherwise by the provisions of a variance granted by the Board of Appeals. If land be subdivided, conveyed, devised or otherwise transferred in violation hereof, no building permit or other permit shall be issued with reference to any of the land so transferred or to the lot(s) retained until all of such land and lots meet the requirements of this Zoning Bylaw. Any land taken by eminent domain or conveyed for a public purpose for which the land could have been taken shall not be deemed to be transferred in violation of the provisions hereof. 7.2 Street Frontage Minimum street frontage shall be as set forth in Summary of Dimensional Requirements (Table 2) and the lot line meeting these requirements shall constitute the "street frontage" for the lot. In no case shall actual street frontage at the street line be less than seventy five (75) feet; except as allowed by Section 7.2.2. Corner lots shall be required to have the required frontage only on one street. In determining the fulfillment of the minimum area and minimum street frontage of a lot required in any zoning district, there shall not be included any land within the limits of a street upon which such lot abuts, even if the 82 a The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Batten Bros., Inc Address: 893 Main Street Wakefield, MA 01880 Phone #: 781-245-4800 Are you an employer? Check the appropriate box: 1. ® I am a employer with 15 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance required.] 5. ❑ We are a corporation and its 3. ❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, §1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13.9 Other Sign *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. +Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AIM Mutual Insurance Policy # or Self -ins. Lic. #: AWC 40070313422015 A Expiration Date: 8/27/16 Job site Address: 550 Turnpike Street city/state/zip: No Andover, MA Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify ugdg{ the painland penalties of peijury that the information provided above is true and correct. Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # 11/06/15 n Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #• ` WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PACE A.I.M. Mutual Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800) 876-2765 NCCI NO 26158 POLICY NO. AWC-400-7031342-2015A PRIOR NO. I AWC-400-7031342-2014A ITEM 1. The Insured: Batten Brothers Inc DBA: Mailing address: 893 Main Street FEIN: **-***0669 Wakefield, MA 01880 Legal Entity Type: Corporation Other workplaces not shown above: 2. The policy period is from 08/27/2015 to 08/27/2016 12:01 a.m. standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers' Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per $100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium INTRA 74877 INTER SEE CLASS CODE SCHEDULE Minimum Premium $550 GOV GOV STATE CLASS MA 9552 Total Estimated Annual Premium $44,510 Deposit Premium $11,629 State Assessments/Surcharges $34,831.00 x 5.7500% $2,003 This policy, including all endorsements, is hereby countersigned by 08/10/2015 Authorized Signature Date Service Office: Northstar Insurance Services Inc 54 Third Avenue 300 First Avenue Suite 100 Burlington MA 01803 Needham, MA 02494 WC 00 00 01 A (7-11) Includes copyrighted material of the National Council on Compensation Insurance, used with Its permission. $ �0- 12.10 w°° o O v a) O 41 v1 =_D N co C ce W (n Q �! _> i L bm0 O O°° O ed °� t 7 i c an -W -- F C� N yC,p N •y 3 rg o s A V O Z 3 +v+ 10J cn 0> PD = O F c c a� O— �> a N Z o a1 G% coW w 01 J O F3Q _ 09 =8 edo Q +, V) M co U U) o o Ao ii o4) 1 0=9 ® -Z ;' LD mH 3 4 U U Q ql a3i L n E � — `° LL c d U adi of m o � NLL C 7 O O ) N C U S N N 4! 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NORTH TOWN OF NORTH ANDOVER PERMIT FOR MECHANICAL INSTALLATION 9 s � a X 6 This certifies that (': r//�/ j r9 cinl. ^. • • f . �... . has permission for mechanical indi'lation .... /—/,-V1.'?ZZ......, at ........... in the buildings of .. .. ..:1?"�' .. 1•� -• X1/(1_ !✓r�t S h Andover, Mass. h. �•. y • � Nort` Fee /-Q; �... Lic. No./A-:./... ........ ............. . .I. GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Commonwealth of Massachusetts Sheet Metal Permit 2G( Date: �a' I <1 Permit Estimated Job Cost: Permit Fee: $ 6 Plans Submitted: YES NO Business License # 35511 Plans Reviewed: YES NO_X_ Applicant License #pftaoat ' Business Information: Property Owner / Job Location Information: Name: ex�at Sl�rn� no, , Name:,, .. J1 1`n`G - + Street: '550 _ GU,AJ dre Street. 31� ano��i (/�,� l City/Town: 9019 � , � City/Town: 1U6 � k 14 Telephone: 1 (olD - oRO 55 Telephone: Photo I.D. required / Copy of Photo I.D. attached: YES NO Building Type: Residential: 1-2 family Multi -family Condo / Townhouses Commercial: Office >( Retail _X,_ Industrial Educational Institutional i Building Cubic Footage: under 35,000 cu. ft. i over 35,000 cu. ft. Sheet metal work to be completed: New Work: Renovation: j HVAC K Metal Roofing Kitchen -Exhaust System Chimney / Vents Provide brief description of work to be done: y, ° I S �rS � ►� f�ei�5 r��/ .uPLJ D6tC.� 1c�0✓ _ 19/ geK5 12e `s Tr