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Miscellaneous - 550 TURNPIKE STREET 4/30/2018 (25)
R N 8806 NORTH O 9 • r Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACHuS� This certifies that ... ..! !.!....... .... f . has permission to perform ox, .. plumbing in the buildings of at. �.C,1... Thi/r!'1�J! ... ...... North Andover, Mass. Fee .P.� ... Lic. No../? %r 3 ........r���f c PLUMBING INSPECTOR Check it n -? a I:IYTI IRFC MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: Z/ba� // e� MA. Date: 1,5?— oZ �1 ' �, Permit# Building Location:/,'9 r !S Owners Name: 0/0' 55 R"' ^ /acs f cv- ' Type of Occupancy: Commercial Educational ❑ Industrial ❑ Institutional ❑ Residential ❑ New: ❑ Alteration: ❑ RenovationLo Replacement: ❑ Plans Submitted: Yes ❑ No ❑ I:IYTI IRFC INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes ❑ No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy JZ 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 Signature of Owner or Owner's Agent Owner ❑ 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 ap91 ' ation will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the Genj Laws. /1 By Title Type of License: lumber I Signature of Licensed Plumber �ndsier City/Town ❑Journeyman License Number: APPROVED (OFFICE USE ONLY) _I DEDICATED z C-- SYSTEMS LU o U V Wz �=1 W Z Z 15 LA 19Q � 2 v� LLJ W p a o a W Z9L W mLU OC Z of iA } Z Q y N H Z a X a Ln LU Q w o m H H W a N C a W O O Q W 3 Z a Ln W Y Z a C �` W 0 LLI O 3 w U I2- 2 a m 0 - V Z >> p 0 o Z Z 'A H IW— p Q In W } Q y a a m s m e S o o 2 x g g o Cr v2i v a 3 a 3 a 3 o a a 3 SUB BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4T" FLOOR 5T" FLOOR 6T" FLOOR 7T" FLOOR 8T" FLOOR /� Check One Only Certificate # Installing Company Name: �??., old 4%II&yzw�?S j�cr /%� El Corporation Address, � Z''h Aires .; City/Town:.4 0 X4e��P 1 State: ❑ Partnership Business Tel:&f> of/O I5K 7L Fax: lo3 ❑ Firm/Company Name of Licensed Plumber: ' INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes ❑ No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy JZ 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 Signature of Owner or Owner's Agent Owner ❑ 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 ap91 ' ation will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the Genj Laws. /1 By Title Type of License: lumber I Signature of Licensed Plumber �ndsier City/Town ❑Journeyman License Number: APPROVED (OFFICE USE ONLY) Date. 5!7 6% TOWN OF N6�RJM ANDOVER 3? �a ,,, ......�• 0 ? PERMIT FOR PLUMBING 40 ,SSACHUS� This certifies that � .............. .. . has permission to perform .... plumbing in the buildings of'. ............................... at .... .. .......... k4orth Andover, Mass. Fee.?`-'.. ..Lic. No. r............ � ��L�� ��11 � PLUr4I G I ECTOR Check # [ 7511 V MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TJ DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date -2 O Building Location�EJE� Owners Name / vcf Gfr e lr ems✓ Permit # -6 Amount's Type of Occupancy 1�,ej o1/1 New Renovation Replacement ® Plans Submitted Yes No FIXTURES (Print or type) Check onCertificate InstallinComp y Name n�� �l(/p7 4 `',* M Corp. Address o2 02 gr c_'e P7 E]Partner.' . Business Telephone ��g^— (� p �- g S" Firm/Co. Name of Licensed Plumber.'TO ✓i -10 /j% Alel n -17r-c�e- Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity El Bond ❑ Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does not have any one of the above threeinsurance 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 Mas achusetts S bin a of the General Laws. C BY: ,,,00ignature or McenseaPlumber Type of Plumbing License Title IV / 54 02 City/Town ►cense Numoer Master ® Journeyman APPROVED (OFFICE USE ONLY co MY t=7/ IN 00 11 C, tA ca U) a) C ami c: CD 75 CL L6 O O " WT W. ae O ui ui 47 O� C3OD ui -1 CD I-- S C) GoC:) 0 (91 (U R CL X- ZZ cm m E D Lr) x w a), 1 , Cl) CY) 0 C) CD C3, Wi 6, a 0 it c -0 0 0 0) gf CL• . u o 0 ( o c6 E Ob 69 IS C O If 0 = 0 1- C6 6. a c CL a) 0 6. 0 Q CL E 0 KC Cl) ri co MY t=7/ IN to u 00 11 C, to u 00 C, tA ca U) a) C ami Rl ui U.1 in a CN a.c 0 E a) 04 -All-0 0 Ad CD SLI r_ '0 F- LLJ U.J Lu 14 ca > 0 IU 0 Lul u CA U LP if LLJ C3C (D L 1 ]ID CL of ui U.1 in a CN a.c 0 E a) 04 -All-0 0 Ad CD SLI r_ '0 9L Lul u U LP LLJ ui U.1 in a CN a.c 0 E a) 04 -All-0 0 Ad CD SLI r_ '0 EPI f }� a rn .r 11 ', I r 1 c s' � f s V { 3 y w �1m a :. N F _. ZS t� f.'co �(Ui L C 7 ai 0? I r C7 A' a o;. t= is O � � E = C p O J � W . � �.: 6 W a �UJ s w O 6, Lu1 U- CL CL ss =; O i { o. �V W mjj7. O q w ami x' Co LD o , �"1�,={a w.� , ocr ►_ F CF d a Q)s0, LL. Em: in z' ._y' h ` CL � mo- r � it C� O �` O — , v 06 � obi � E;; we � O oo wo o 0 o 'S 'a Q, c � W o o ° a ° a C E "' E Q 1 c s' � f s V { 3 y w �1m a v . CDC) j N h? 1 5 t Date 3ja�,...o �e oL TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 5 �,SSACMUSEtS This certifies that ......... ............. ...... has permission for gas installation ..�j%!ZE'l�...4i ✓ �.. �. wn i r in the buildings of ... Ct:C�ss��.%... �.... ......... Aat 5 SC.%... %U�/.��/.`'E..........., North nPover, ass. Fee /. <.) ... Lic. No.. .. ............ . ,, . . GAS INSPECTOR Check # zp H MYTI IRPC MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town:=/d/o� �i, MA. Date/.a_ al °% ` 1 / Permit# Building Location: Owners Name:Ciass4�A!/ ,-,,,ef jecc ^ Type of Occupancy: Commercial Educational ❑ Industrial ❑ Institutional ❑ Residential ❑ New: ❑ Alteration: ❑ Renovatiol� Replacement: ❑ Plans Submitted: Yes ❑ No ❑ MYTI IRPC INSURANCE COVERAGE: I have a current liablUly insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes ❑ No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Aaent Owner E] Agent El By checking this box ❑; I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and dcourdce to me oesc or my nnowieoge ana inat au piumomg work ann installations performed under the pe it issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Qkhpter 142 oftlW General Laws. By Type of License:/GAY -[?Plumber Title'Gas Fitter Signature of Licensed Plumber/Gas Fitter Q -Master Cit /Town LJJourneyman APPROVED (OFFICE USE ONLYI ❑ LP Installer License Number: f' 3 � 3 0 ZLLjY U = � 0�1 M 2 W W O= U N H w W Z z O Z 0 W M w W O� Lu U) Al W Q W � W `i W Z — _ 0) in W 0 W = W Z 0 W = I % W W Z 5. T J 1— F— O Z J C7 LL W H W W v o o LL _ = g 'O (L �° > > > l- - SUB BSMT. BASEMENT 1 FLOOR 2 NuFLOOR 3 KuFLOOR 4 FLOOR 5 FLOOR WH FLOOR 7 FLOOR 8 1 H FLOOR Installing Company Name: � / 'Ys Check One Only Certificate # �� L�r�9� h ( �' ❑ Corporation Addres 1/ City/Town: State: .f9T ❑ Partnership Business Te1:Ar83 /0 Ij/75� Fax: �c'5 ,Ve;o /,2j �� CG%/ ��� � 3 c� -ZO T-7 ❑Firm/Company Name of Licensed Plumber/Gas Fitter: G�iG LG' L INSURANCE COVERAGE: I have a current liablUly insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes ❑ No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Aaent Owner E] Agent El By checking this box ❑; I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and dcourdce to me oesc or my nnowieoge ana inat au piumomg work ann installations performed under the pe it issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Qkhpter 142 oftlW General Laws. By Type of License:/GAY -[?Plumber Title'Gas Fitter Signature of Licensed Plumber/Gas Fitter Q -Master Cit /Town LJJourneyman APPROVED (OFFICE USE ONLYI ❑ LP Installer License Number: f' 3 � 3 0 COMMONWEALTH OF MASSACHUSETTS IN rLUMbStil `J LICEN.5ED AS A MASTER PLUMBER ISSUES THIS LICENSE TO MICHAEL J ASH JR d hf 10 WOODR IDGE DR ALLENSTOWN NH 03275-2603.1 13123 05/01/12 763622. M�P8HIRE pR "xa ` 06AHM72011 M72 ClASS O R -MC WB 00111972 Ew. ISS. QSN21Z006 REST. ExRofti 0ii sExa M tt� J ASH LMICHAEL 10 WOODRIDGE OR ALLENSTOWN NN OWS �I 0"— " TOWN OF NORTH ANDOVER Ile p PERMIT FOR WIRING This certifies that --��. �� has permission to perform wiring in the building of .........�!v - ................'!..`'`'4 at ...7-Y : .................... . North Andover,, -Mass. �` �// Fee ...... ........... Lic. No..... G.4!�'e ........... . . . .. .............. A. LECTRICAL INSPE R �� [' Check N 7678 A Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. C� Occupancy and Fee Checked [Rev. 1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: '7, 2 -7. v -I WORK , 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) Owner or Tenant (= v �� 9 J c V (__ t2 f � � S � � �t i Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes OK No ❑ (Check Appropriate Box)" Purpose of Building Z ST AW K,14 �' i 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: � ` c'* lZC—o p�vCrr9roF -F Cvn0%t..,e T <-T '.9 f Completion a"'- ollowin table may be waived by the Inspector of Wires. Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 00 y0 v , (When required by municipal policy.) Work to Start: 9, 7 7 • 01 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 t BOND ❑, OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: r; —v2 (-1 circ. r C LIC. NO.: Licensee: �-� ��, �Z, e1Signature AA,4 LIC. NO.: (If applicable enter "exempt " in the license rsumber line.) 7 `l I _ Address:_�u o Si t L tti n Y N -� M n U l y Bus. Tel. No.: 1 "7 Y, Z 3 ��► j Alt. Tel. No.: *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 normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ a No. of Recessed Luminaires No. of Cell: Susp. (Paddle) Fans 0.0 Total Transformers KVA No. of Luminaire Outlets Zr o No. of Hot Tubs Generators KVA No. of Luminaires 40 Swimming PoolAbove In- ❑ ❑ o. o mergency ig g rnd. rnd. Battery Units No. of Receptacle Outlets 1 6 No. of Oil Burners FIRE ALARMSNo. of Zones No. of Switches No. of Gas Burners No. of etection and Initiatin Devices No. of Ranges No. of Air Cond. Tons No, of Alerting Devices No. of Waste Disposers eat Pump Number- Tons _..... _ _ Totals. o, of Self -Contained Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW Local Afunicipal ❑ Connection ❑ No. of Dryers Heating Appliances KW Security Systems:* No. ofater Heaters' No. of of o. No. of Devices or Equivalent Data Wiring: Signs Ballasts . No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications iring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 00 y0 v , (When required by municipal policy.) Work to Start: 9, 7 7 • 01 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 t BOND ❑, OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: r; —v2 (-1 circ. r C LIC. NO.: Licensee: �-� ��, �Z, e1Signature AA,4 LIC. NO.: (If applicable enter "exempt " in the license rsumber line.) 7 `l I _ Address:_�u o Si t L tti n Y N -� M n U l y Bus. Tel. No.: 1 "7 Y, Z 3 ��► j Alt. Tel. No.: *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 normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ a The Commonwealth of Massachusetts In Rkt I Department of Industrial Accidents ,t Office of Investigations `•'" - 600 Washington Street Iit tt Boston, MA 02111 www.massgov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Anylicant Information Please Print Legibly Name (Business/Organization/individual)' V'�--"(-Z---v� C (K_ < Address: (-e City/State/Zip: t,.1 1- ,k r< :�y — Phone #:. Co c 4,Z Y 39 Are you an employer? Check the appropriate box: 1.5_ ['am a employer with �_ 4, ❑ 1 am a general contractor and I employees (full and/or part-time).* 2. ❑ i.am.a.sole proprietor or partner- have hired the sub -contractors listed on the attached sheet. I ship and have no employees These suit -contractors have working for mein any capacity, workers' comp. insurance. [No workers' comp, insurance 5. ❑ We are a corporation and its required.) 3. ❑ 1 am a homeowner doing all work officers have exercised their right of exemption per MGL myself. [No-worke'rs' comp. c. 1.52, § 1(4),' and we have no insurance required.] t employees. [No workers' comp. insurance required..] " Type of project (required): 6. ❑ New construction 7. (Remodeling 8. [j Demolition 9. n Building addition 10. ❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.[] Roof repairs 13.❑ Other ^11JV -PIJ ilt u1aL cnecas oox s c must also fill out the section below showing their workers' aompmsatioe policy information, t Homeowners who submit this affidavit indicating they ate doing all work and then hire outside contractors must submit anew affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp, policy inf )r adon. I Man employer that is.provuttng workers' compensation insurance for my employees: Below is the policy and job site information. Insurance Company Name:__ C u t„c t, e r C r< Policy # or Self -ins. Lie. #: Expiration Date: Job Site Address: SS'v TL K— P k( ' S n2— c- i City/StatelZip: k U q n O vh ,4 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 c /9F under the pains and penalties of perjury that the information provided above is true and correct �er-- Phone #: l0 1-7 0,2% 3 16 Ofj°icfal use on1y. Do not write in this area, to be completed by city or town of iciaL City or Town: Permit/License # T- Z -7, v? Issuing Authority (circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. 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 hire, 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 aparKinents 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 license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence.of compiiance 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-contractoir(s) name(s), addresses) 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 cavy 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, nofthe Department of Industrial Accidents. Should you have any questions regarding the lawor if you are required to obtain a. workers' compensation policy, please call the Department at the nurnberlisted below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and 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 bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents �y Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-8.77-MASSAFE Revised 5-26-05 Fax ## 617-727-7749 www.mass.gov/dia 2774 Date... 0, TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... -Al ......... P .......... .................................. Chas permission to perform ..... ........ 4 4,-j .... ......... wiring in the building of ........ ...................................... at .... /.................................... . North Andover, Mass.�.�.r ... t /��/ 1 Fee ... ...O. . Lic. No . ............ EteciRICAL iNspiscrok Check # z WHITE: Applicant CANARY: Building Dept. PINK: Treasurer "AN ]HL' MMMUAWLALIHUPA14NM(,HUNP11Juttice use only 7 41 DEPARTA1 VTOFPUBLKSAFM permit No. BOARDOFMEPREVENTIONRWRATIONS527OV 12-l/0 � Occupancy &Fees Checked • � I APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT 1N INK OR TYPE ALL INFORMATION) Date /a -1/1•1,W) 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) Owner or Tenant V; , JL 2..)C• -Lug S Owner's Address (4q - -- I i y % /4--- S f • A X c. Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) I Purpose of Building A S •E - Utility Authorization No. Existing Service Amps/ Volts Overhead Underground No. of Meters New Service Amps /� Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work g�.' t .r c 4Y w -t/ No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground M 2round _p No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local ^ Municipal Other L� Connections No. of Water Heaters KW No. of No. of t Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER lrrstaa=Caaa Rasttattcbthemgme xrtsdN4assadws&Ga?aalLaws Iha�eaa>rlartLrdbt7dyh�slraztoePt�iCyatch>�ItgCat a Co�eageorils �ialac�rivalaE YES [a NO Iha%est.ftn2edvaafidP%30f0fs3tre1othe0ffi= YES NO � If}(uhatedudWYES,pkmemdc*thetWofwvaiebydxckirgthe box WSURANCE BOND OTl M (PleaseSpecdy) ExpiratianD* Est1m*d Valuec#Plect %ml Wodc $ WaicIDSlart InspectiotDaleRagt>ested Rough Feral Signed ut&Tr Rnabies ofperjuay. FIRMNAME A-/ bAt i f 9- ck K L- , LiDUWNa Licff=/G-e %� '� •• w •-t z r' Sigrtatute LiwwNo r a BukxssTe.Na Address pbZ ocx&= A.1-& Wa—,,G., -x H1Z111ty Sa..ee .• s4. /LPj•ACa;Aw-t/t A4-- AkTeLNa OWNER'S INSURANCE WANEE2; l �rtawatethattheLi�e does�iheinstxanoecaer�etr�s stalegtrivalentas tt�gt>IIadbyMassadast� Oarral Laws andthatmysernths peffr� �p6t�otrwai�s oris tegueanatt (Please check one) Owner r7 Agent Telephone No. PERMIT FEE�/C Office Use Only _ wr The Commonwealth of Massachusetts /S d Permit No. f 3 -! E Ct Department o! Public Safety ed�I BOARD OF FIRE PREVENTION REGULATICNS 527 C`AR 12:00 Occupancy a Fee check _ 3190 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Mt worst to 00 peAom»a In sccerdanp ""et Me Ma.ssacnusens E!ectncal Code. 5V CMAt2= �� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date To the Inspector of Wires: City or Town of r -The undersigned applies for a permit to pertothe eiectncal work desk ibed below. 7 fA ` Location (Street & Number) um er) �u-"�'2*-, -L— Owner or Tenant (If t `'' Owner's Address-11,no 17, (Ch—. -k Appropriate Box) Is this permit in conjunction with a building permit yes Purpose of guiidtng_�g�� Utility Authorization No. `Jolts Overhead C1Undgrd ❑ No. of Meters Existing Service ._ AmpsJ r %0 Ampsr o ? Vcits Overhead ❑ UndgrdFi No. of Meters_J_� New Service t _ _/q. Number of Feeders and Ampacity ^ r Location and Nature of Proposed Electrical Wor i�'i L L i �c.C1tc, � TOTAL I No. c.t Hot Tubs No. of Transformers KVA No. c` liahtin Outlets ;oave r-- In r" KVA 1Swimrrino Pool arnd. ! crnd I Generators No. at Liahtina Fixtures No. of Emergency Lighting INo. of Oil Burners I8attery Units No. of Recaotacle Outlets �F�IREALARMS No. of Zones No. of Switch Outlets No. of Gas Burners TOTAL o. of Detection and No. of Air Conditioners TONS Initiating Devices No. of Ranges HEAT TOTAL TOTAL No: of Sounding Devices No. of Pumps TONS KW No. of Self Contained No. of Disposals Detection/Sounding Devices No. of Dishwashers Soace/Area Heatino KW Municioal ❑ ❑Other Heating Devices KW La at Connection No. of DryersNo. of No. of ILow Voltage No. of Water Heaters KW Ballasts (Bions Ballasts Wirino No. of Hvdra Massage Tubs No of Motors Total HP 0TH ER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws 1 have a current Liability insurance Pali �nciuding Completed Cperations Coverage or its substantial equivalent. YES Q NO Cl I haave submitted valid proof of same to this office. YES a NO Q If you have checked YES, please iodic t the type of coverage by checking the appropriate box. INSURANCE BOND ❑ OTHER ❑ (Please Specify) (Expiration Date) Estimated Value of Electrical W rk 5 Rough F^� Work to Sta I Inspection Date Requested: 9 Signed under the penaities at perjury: I a �f LIC. NO FIRM NAM LIC.NO.�,/ Licensee Signature . Q r r ��� �e Bus. Address tel. No. Alt. Tel. No. ent as aired by Massae CWNES'S INSects General Laws. and It am myasig acture an t the Ch ssacp�caaon waves this equiirement.not have the insurance �Owneror itsAgent (Please check one) — PERMIT FEE 5 =— Teiecrcne No. __ of I 11_16 t � xy D COMMONWEALTH -_ OF MASSACHUSETTS¢ REGISTEREDF ELECTRICIANS ! MASTER`tEL\ECTRICIAN ISSUES THIS EASTMAN ELECTRIC—TOI .... PAUL EASTMAN JR COMPANY 507 EAST SIXTH STREET SOUTH BOSTON 15279 q MA 02127-305 07i31i98 991460q 2915 *mow--+� ,......:�;,. .,r�, pp.. .,� — __.► Date...." ..Q...�`..,. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........P ........c. has permission to perform ......... G.X.e....--h................................................. wiring in the building of .......u.i .�1�'��.�--"............... at .........Cc .................................. North Ando , FeAA: ..,c.A&ic. No. .- :� 9. #:.. ... ELECTRICAL INSPECTOR /114/% 11:56 WHITE: Applicant LANA Building Dept. 456.00 PAID PINK: Treasurer GOLD: File n (1) a 4-) G • x In, co co b cn v • -4 cn 4 �4 r d �• cz G . w ( •w O PG t7 O + O p W N O j` z V o v b w d a4rJro a N 2 O o +3 41 H •. • o o � Op E ^n �• o > o re.� GL cn z7 U Q' K'. y • cA r I G 4J a +3 Cl) O W V iI �4 G Co Z Z u 4-j p \ w c� r. . co *P r. O o r -I • G oD • cti cd H �• cin N ap z U v c •4 O. +1 U 4 O �. � w o • (1) O H + S'• a cn oD N • U) O • �-+ •r -I � •r -I G Q co N � 00 •� G W 0� Cli G W o ,� -4 z H � v) f aa1 w G O N m v) U bo w p � o o U a o o d W t!1 w •r-1 r4 H AG H cn 3 + 4-1 O d W co G N cl� O �-I r� a H -C o a U 4-j 9 z N N 00 O O 00 O C1 N Z r a Ln 00 0 —1 4 O¢ � a� `� a� � U) Fr w° � ani dq mO Q 0 O 4 fA 4.1 Q V CA U O O U.b ' �.O U � o .lc� Ir � � U O¢ rA x N U 44 O U) N M O N -P 1 4-) 1n -r f15 (d O —1 p O rQ �: O f~ r Z U) 4-) v U 00 o 0 00 (1) N r 0+ d0 O O O ,-+ 0 O -+ O U) N P4 0 EO 04 o �v v �4 o -P � a o ao O (.O Ln o 0 �? .d cc w. a Im S Ln rn \ 00 N N .--i cn a� a� Fr w° °' 9b dq Q 0 CA U ' o o w 9b c c a u�Ca55 Ln rn \ 00 N N .--i Memorandum To: Bob Nicetta, Building Inspector OW From: Kathleen Bradley Colwell, Town Planner Date: April 12, 1996 Re: "Fuddruckers" at "The Crossroads" - Lighting of signs I have reviewed and approved the revised lighting for the Fuddruckers sign showing three goose necks lamps instead of two. t� 1 RPR 1 2 1996 i Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover, Massachusetts 01845 Memorandum To: Bob Nicetta, Building Inspector From: Kathleen Bradley Colwell, Town Planner_ Date: March 15, 1996 Re: Signs at "The Crossroads" I have reviewed the proposed signs for "Fuddruckers" and "The Vineyard". These signs as presented are acceptable to the Planning Board. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 0 o c� F74 LLc� �A O 1-4 � L a LL co � H u No O ry lr 1 o 0 0 0 �C3�7 O. *ulna 7� f" y� I''•• is . .. ... � � .� 'f..• ..2 A,.y V:L .....r•..�,t wtil:•.S�rd •r r,:AA9�fu1/�R 1!''ly KAM---*M No. 15000 I PROJECT ((� sUBJECTAWNING STANDARDS FOR 1lOY 10h AMM-P.O. BOX 9'P2 (814) % ""' ,S) O ILLUMINATED IMAGE (sia) w�, to (ats) e.a-eao, 2 1/4!' TYP SECT. SCALE: r = V-0' ZEE CLIP TEK SCREWS ISSUED BY T McCONNELL DATE 12/19/95 REV PAGE No. TAPER ANCHOR BOLT -1 /2" O, GR 5 STL MIN. RATING 2336 PSI TENSILE, 3804 PSI SHEAR IN 5000 PSI CONC. IM MORTAR JOINTS, PLACE ANCHOR BETWEEN SOLID BRICK SO SIDES BEAR AGAINST SOLID BRICK —� AWNING AT WALL JAN C 4 h7" DRAWING No. BSC -1449-95 I CHG. N/C I SHEET 2 OF 2 LAR /111) /11-7)! M No. 15000 i PROJECT B=*S . SUBJECTAWNING STANDARDS FOR 1409 10th ATEM-PA. ON 702 01 (844)" " """ 1001 % ILLUMINATED IMAGE (els) 9w-9aer FAX pts) o�9—ea90 TYP SECT. SCALE: 3` = t' -T fz"eu-"-OL's ISSUED BY T McCONNELL DATE 12/19/95 W. GWD. PAGE No. J-1/2"0, GR 5 STL PSI TENSILE, 3804 PSI �I CONC. AWNING BASE PLATE DRAWING No. BSC -1449-95 I CHG. N/C I SHEET 1 9E 2 Ihiy�mw� Town of North Andover*NORTH 1 OFFICE OF 3� O COMMUNITY DEVELOPMENT AND SERVICES ° 146 Main Street North Andover, Massachusetts 01845 r Awr-t.�C- T -C -D ��`' � Memorandum To: Bob Nicetta, Building Inspector From: Kathleen Bradley Colwell, Town Planner Date: March 15, 1996 Re: Signs at "The Crossroads" I have reviewed the proposed signs for "Fuddruckers" and "The Vineyard". These signs as presented are acceptable to the Planning Board. [r. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Y t� Y2 L4 iA�,-4- r Location S L Tom' No. C:> S7 2— = Date' r J NOkTM TOWN OF NORTH ANDOVER O�i�o >e1ti Certificate of Occupancy $ w :% : Building/Frame Permit Fee $*Argo 9!% cMusEt� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ •TOTAL $ �/�/--�u Buildi Spector 034%612:10 2.076.00 PAID 9575 Div. Public Works W O 0 u LL 0 N r z W I W K ] z a Z w < Ix LL O Z i O IK LL < 2 U J W z a L O < J LL 0 m p Ix J < 3 10m z 0 ol z � � � Q r 0 3 z a8 m a � W d = � > r U U U mr a_ L a Z 0 J NI J W W W m a J W V 3 0 o 0 V C.) Z 0 O W 2 �.. 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Z 3 4 8Q1 Z L O I I M �, r V gm~ O 0 D A� N O N T D D =y;Q 171 H 1O 00z�IC) A A '"m>> r) `2^ 0p D9 A D IO A W T Anzz AOO N a;N D=Iz m� p 0 O Am mmn7[7c f1 f1 yy Op �w pw D Nxfl^ �r O AP°^'pD OOOONOr Z Z N NO A i� C 0mm A m O T N; n a O D Z m x 0 N Z Z Z A A> 3 O O z O N N C) 2 x Z 0 A 0 3 ti T y T T c Z D N 3 D 3 N^ a T O r N N o 0 Z> 3 N m m 0 3 D N S z� D N O z o < O T O n 0 x N m D T O m Z A r ZA rn Z 0 N Z N 0 _ Z p N < �r •� A N z O 1�; � N � I I iii H l- I N , I I �D ..1 C O G� DZDpOmOo rNyo C A D S ~CD^� y O + ti '- mmpa -� ; OD0-�DDOti y Z A H Q1 D N aC y D n x NOD (1 DO AZ W �'_' OAZ T T Z cpvx Z A <NAZ' v� D :il C ON TO 'U mx A O Qm x;p pm. T n- y x ,•� Z l p N D O Z x C Z A A W y A -N1 ~ r Zp y=pA 00„CO A w_N_ K^3" ON X 7 m vAi xm^ � A ti N =' O O A , D m i Z '^ X ti F Z Z ci y N C C Q° •' ^ N D A p A Z LL OZD A^ ~ A A T TJ O DD y A T Z m = N X 510 O Atil- N Z Z I II - II I I T -L �__I_ I♦J_I_ I♦J SON N Nr N Zm n(A-4 DO N Z °C �X� D 3nN 0�0 1Ap:E pian MX -12 D 1111 O 100-1 AZO 1nU3 T0Z �N mW0 NCZ r N Ov0 -1c)r "up 0 r -1 a Z�z Iv 0� nz 10 mm NIq � m 00 3 l FORM U - VERIFICATION FORM INSTRUCTTONS: 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 Brom compliance with any applicable local or state law, regulations or requirements. ** ******'******Applicant fills out this section***************** APPLICANT: UD�/2uci Phone &6 )7 -7q -q1/57— LOCATION: Assessors Map Number . Parcel Subdivision Lot(s) V�treet C _SRaAro:S 04�;? Sisis�A,rJ6—C'�!� St. Number ************************Official Use Only*********************** RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Comments Town Planner Comments 'Food Inspector -Health Date Approved Date Rejected Date Approved Date Rejected Date Approved j;�&A6ZZ,:6 Date Rejected Date Approved Septic Inspector -Health Date Rejected Comments Public Works - sewer/water connections - drivew permit V'Flire Department 7, C',A Received by Building Inspector '*---Date Z d WOtid Wdv L° e L 966 L-6 L -S Feb-26-96 04:OOP P�02 2 OFF'i� 7P T Qt7' ICE OF 13UJLViN0 INSVE67i lk Fe7N OF Wkllf ANb0VER,'_____.,__. 0 -PROJECT TITLE: y u�orucKers P P 's t u PROJECT LOCATION: '"nossroads sho-rnin-) Plazn NAM or SUILIDINCI Crcssroads sborpi n-1 Plaza P NATURE Of PROJECT3 IN ACCORDANCE WITH SECTION 127.o or THE MASSA CHUSETTS STATE BUILDING CODE, m r) BEING A REGISI'F-RED PROFESSIONAL rHC1NttR/ARCR1TEci IIEREBY CERTIFY THAT I KAVF PREPARED "..OR DIRECILy SUPERVISED T11Z PREPARATION OF ALL DESIGN pjAIIS. GUMPUTAI, IONS AND SPECIFICA- 71ON5 CONCIERNIAGi ENrIAE PROJECT L:Zj ARC if -11 E C I V kAL f� STKUCTURA)j HECIIN)CAJ, FIRE PROJECTION ELECTRICAL (gppCjfy1r.— FOR TKE ABOVE NAMED PROJECT ANO THAT, TO THE BEST OF HY KNOWLEDGE. SUcl.; PLANS, "HPUTA110"S AND SPECIFICATIONS MEET TWAPPLICABLz PROVISJUIIS OF VIE MA5SACHI1Sj-,-rjS STATE B01LDING CODE, ALL ACCEPT"LE VICINEEPINC rpACTICES. .AND APPLICABLE LAWS AND ()RD1K"V1;S FOR THE PROPOSED USF, , AND OrCVPA1)uY. I FURTHER C&Rjlfy THAI 1 MkLl, PERFORM THE NECESSARY PROPESSIQUAL STIPVICES AILD III* PRESEST ON THE CONSTRUCTION SITE 00 A REGULAR APO PLRIODIC bASIS T0,j,rrVTqjjfjF: 7 ILA T THE WORI(..! - . 15 PROCEEDING IN ACCORDANCE WITH THE VOCUIIENIS AFFROVED FOR TIIE RUILDINC P.LRHIT AND SKALL BE RESPONSIBLE FOR THE FOLLOVING AS SPECIFIEu 1W SE-TIO" 12).2;7: 1. F&vleQ of shop dtowirgs, SaMles SM other submittsIS OF the r.-,mtrartor as r#qjjred trf tilm umzcnj_-t'o"` contract dwumnts As s0dtted f" buildiig pennit, and oppruval for conformm" to the des 4n Cm Lpt. 2, Review and approval of t* quality ccrTrol procedxcra-s for all cOc%---requ1r4rd contmIlsd 3. Special architectural Or ensintserLrS profe-sslonal -jr1spectlicm of erjj:,Laj C(:y1Lstr_tjc1m cerT A�R rem$ requiring Controlled materials or ounstrucrAm tpecjfje4 in the ,accepted "bwgrLyg practice standards listed in Appendix & .g PURSUANT To Stmotj 127.2.3, 1 SHALL 5UBIIII Id C E 1K L Y A PAUGPESS gtpOR7 TOGETHER PERTINENT CM01ENTs TO IRE NOR-111 ANL)UVER 1SUjLj)j.N(; INSPE(71'0R. UPON COMPLE11ON OF THE 'WORK, I SHALL SUsmIT A FIVAL REPORT AS TO I 1Vm_iA44r&U "TORY ,,COmPLZTION AJID RZADINEss Or TuE PRoircT FOR OCCUP V. 41 iuBSCRISED D SWORN TO BEFORE HE TRIS DAY, VOIARY rv*tri --M-f 10"HISSI-00 EXTIRE @_ }22 ZR/ ;!E /77/ \\� /I\ < � !,. |z @a- �. 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CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 052 Date MAY 1 7 t 1996 THIS CERTIFIES THAT THE BUILDING LOCATED ON550 TURNPIKE STREET (CROSSROADS PLAZA) MAY BE OCCUPIED AS RESTAURANT (Fuddruckers) IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. "°"'" CERTIFICATE ISSUED TO Fuddruckers . Inc. 4. 550 Turnpike St. w ADDRESS north Andover, MA -t-�- 3ACHU5 Building Inspector a Town of North Andover f AORTN 1 OFFICE OF ��O`1"10 '..'N COMMUNITY DEVELOPMENT AND SERVICES p 146 Main Street North Andover, Massachusetts 01845 9SSACHUS�t (508)688-9533 MEMORANDUM TO: Janet Eaton, Administrative Ass't Licensing Commission FROM: D. Robert Nicetta, Building Comm. DATE: May 20, 1996 RE: Fuddruckers, Inc., 550 Turnpike Street, Crossroads Plaza Fuddruckers Restaurant has completed tenant fit -up and has been issued a Certificate of Occupancy (see attached). The Restaurant, Wine and Malt License may be released for this location. N/g BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D. Robert Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell Certification of Substantial Completion AIA Document G704 - Electronic Format PROJECT: (Name and address) Fuddruckers Restaurant Crossroads ShoppingPlaza Route 114 North Andover. Massachusetts MCSZ411310" (Name and address) Fuddruckers, Incorporated One Corporate Place 55 Ferncroft Road Danvers, Massachusetts DATE OF ISSUANCE: May 14, 1996 Distribution to: OWNER [Fuddruckers, Incorporated ] ARCHITECT [Dembling + Dembling Architects ] CONTRACTOR [Straight Up Builders Incorporated ] FIELD [ OTHER [North Andover Building Department ] PROJECT NO.: 854500 CONTRACT FOR: General Construction CONTRACT DATE: February 22, 1996 TO CONTRACTOR: (Name and address) Straight Up Builders Incorporated 23 Prescott Street Medford, Massachusetts PROJECT OR DESIGNATED PORTION SHALL INCLUDE: Fuddruckers Tenant Fit - The Work performed under this Contract has been reviewed and found, to the Architect's best knowledge, information and belief, to be substantially complete. Substantial Completion is the stage in the progress of the Work when the Work or designated portion thereof is sufficiently complete in accordance with the Contract Documents so the Owner can occupy or utilize the Work for its intended use. The date of Substantial Completion of the Project or portion thereof designated above is hereby established as May 15, 1996 _ which is also the date of commencement of applicable warranties required by the Contract Documents, except as stated below: All items not 100% completed and operational at the time of the walk-through. Warranties for those items shall commence when the items have been deemed completed by the Architect or Owner. THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. AUTHENTICATION OF THIS ELECTRONICALLY DRAFTED AIA DOCUMENT MAY BE MADE BY USING AIA DOCUMENT D401. AIA DOCUMENT G704 - CERTIFICATION OF SUBSTANTIAL COMPLETION - 1992 EDITION - AIA - COPYRIGHT 1992 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006-5292. WARNING: Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced under license number 1296001281 and can be reproduced without violation until 12/20/96. Electronic Document Service G704-1992 1 A list of items to be completed or corrected is attached hereto. The failure to include any items on such list does not alter the responsibility of the Contractor to complete all Work in accordance with the Contract Documents. ARCHITECT BY Daniel W DATE: ©S' Dembling, A.I.A. , The Contractor will complete or correct the Work on st of items attached hereto within 14 days from the above Date of Substantial Completion. CONTRACTOR BY Mark Willms DATE: The Owner accepts the Work or designated portion thereof as possession thereof at 12:00 AM (time) on May 15, 1996 (date). OWNER BY Larry Nelson, VP Construction and DesignLr, DATE: substantially complete and will assume full The responsibilities of the Owner and the Contractor for security, maintenance, heat, utilities, damage to the Work and insurance shall be as follows: (Note --Owner's and Contractor's legal and insurance counsel should determine and review insurance requirements and coverage.) AIA DOCUMENT G704 - CERTIFICATION OF SUBSTANTIAL COMPLETION - 1992 EDITION - AIA - COPYRIGHT 1992 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006-5292. WARNING: Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced under license number 1296001281 and can be reproduced without violation until 12/20/96. Electronic Document Service G704-1992 2 /e:�7 01 get e,� BUILDERS, INC, 23 Prescott Street Medford, MA 02155 Tel: 617-396-7800 Fax: 617-396-2130 am DEMBLING + DEMBLING ATTENTION Robert Nicetta North Andover Building Department 120 Main Street North Andover, MA 01845 T: (508) 688-9545 F: (508) 688-9542 Enclosed please find the following: ❑ Drawings (Originals) ❑ Project Manual ❑ Drawings (Prints) ❑ Report ❑ Specifications ❑ Copy of Letter Via: ❑ Mail ■ Overnight Delivery TRANSMITTAL May 15, 1996 PROJECT Fuddruckers Restaurant Crossroads Shopping Plaza DDA No. 95-041 From: William S. Van Benthuysen, A.I.A. Project Architect ❑ Samples ❑ Shop Drawings ❑ Change Order ❑ Hand Delivered ❑ Computer File ❑ Proposal ■ Other ❑ To Be Picked Up Number Date Item No. Description 1Certificate ............................. ............................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................. ........................ ........................... of Architecture ............ I........................................................................................................................................... I.................... For: ❑ Approval ❑ Review ■ Your Use ■ As Requested Remarks: As we discussed, the Certification of Substantial Completion with Punchlist is being sent to the Contractor and Owner for signatures, we will forward it to you as soon as they have completed that. Please feel free to call if you have any quer Copy to: File + Chron d:\word net\projects\1995-pjs\#95-041 \bldgdept\nicetta\trans\051596.doc MAY 1 6 1996 ARCHITECTURE INTERIORS PLANNING 307 Washington Avenue Albany, New York 12206 USA T: 518.463.8066 F:518-463-8610 Internet http://www.DDArch.com/ Town of North Andover f ,.oRrk OFECE OF COMMUNITY DEVELOPMENT AND SERVICES ° 146 Main Stred =4NETH R_ MAHONY North Andover, Massachusetts 01845S�cKUS Director (508) 688-9533 CERTIFICATE OF ARCHITECTURE BUILDING INSPECTOR TOWN OF NORTH ANDOVER 146 MAIN STREET - TOWN HALL ANNEX NORTH ANDOVER, MA 01845 GENTLEMEN: I, Daniel W. Dembling ,HEREBY CERTIFY THAT THE BUILDING CONSTRUCTED AT Crossroads Shopping Plaza DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE FOR THE FOLLOWING: Fuddruckers Restaurant Tenant Fit -Up AUTHORIZED SIGNATURE: DATE: REGISTRATION STAMP: I *� 15 NOTE: ARCHITECT "WET STAMP" MUST BE AFFIXED TO THIS FORM. MAY 1 6 1996 BOARD OF APPEALS 688-9341 Julie Purim BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688x9535 D. RnDat Niceaa Wchad Howard Sandra Stair KmWoen Bradley Colwell I Pa Y , T . � � ..:i. �.-+'(•` j�k/`� 'y_`y}' V li'. ., CIS L 1 1 d 5 f . II �T qy9 dP} 1r }` .,yh' [� T+, Y + 6 tvM l .. rth lh! ! 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