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HomeMy WebLinkAboutMiscellaneous - 555 TURNPIKE STREET 4/30/2018 (2)Date. -?-..1 k'.:'� .3 . . ',; 3?�.<�•�;:��,oL TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ../--. �. �' ... 1.�? S 4,'J.......... . has permission to perform .. c'.(� ................ plumbing in the buildings of .... !....................... at�." .... S..J �Q. , North Andover, Mass. Fee. Lic. No. �.`� `. ? .. ....... / PLUMBING INSPECTOR Check #—f/- 55 59 l4 K ra 41jr J a — MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT T0A30 PLUMBING fPtfnt or Ty") / Permit 1 C ✓ P ermt no . A opP o J Mass. Date. 5� 3 Building Location ,' S S 7' �n ,�c s Owners Name •��ii�✓AE'�2G�e L LI �30,0) tea. iJ %'G�d/!�� rj/1�0 Type of Occupancy j6t4lTiS-',T 4411 ovatio New p Renn LSD' Replacement O Plans SubmItted: Yes ❑ No ❑ FIXTURES Installing Company Name F & W Partnership Check one:. Certificate Address PO Box 59 O Corporation Methuen, MA 01844 ® Partnership Business Telephone (978) 689-7474 p t wm/Co. Name of Ucensed Plumber Robert Frazier INSURANCE COVERAGE: I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ® No ED If you have checked y", please Indicate the type coverage by checking the appropriate box A Uabdity Insurance policy ® Other "of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner O Agent ❑ I hereby oertify that all of the details and information I have submitted for entered) in above application are true and accurate to the gest of my knowledge and that all plumbing work and installations performed undo permit issued tot this application will be in compliance with all pertinent prwisions of the Massachusetts State Plumbing and Chap% 1 Geeet l 11WS. BY- Signature Title gni ure o Type of License: Journeyman ❑ CityRown ' L license Number 13425 I • ti r >= ti ea A n 1 a z° ° m 0 z ■ °� o ® C F c s _ -� O p �D _z *• N CD° •4 = z in z o �? O Z a eu r � c � -Al A � • ti TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies tha... ...... i... � . !T .................. . has permission to perform ....0 . . a..(0. c ................. plumbing in the buildings of ... <9 ................... at ...5. A A ! 4 0 h. Y ............. . North Andover, Mass. Fee. Lic. No. .......... ....... . PLUMBING INSPECTOR Check # c(�-i i'-- 5714 '-- 5714 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) E C a 0 or-ig o✓fr2 , Plass. City, Town Building - - C eD AT: LocationJSS �/eJ�/'4 cI Date_�1'L Zo— Permit # Owner's 1 Name- --Dc .—�170,,,,�rS Type of Occupancy: 60onolcyC,() New Ly Renovation ® Replacement Plans FIXTURES Submitted: Yes ❑ No ❑ (Print or Type) / Installing Cojpany Name ` t E P14 Address ` ' 0, % c� z m J M 0 0 0 h h i c' a z a a 0 w z 0 d U .,1 W of w M w 6 N z O 0 LU a N z .a d z w m t a 0 h U w CL z NpRTH O This certifies that Date....,/,..` .v TOWN OF NORTH ANDOVER PERMIT FOR WIRING ��v 4.�"�i:........... 1 .......................... teas permission to perform ..... � t ?°.. ...... t �� ........... ...... . .................. �(- ez� yriring in the building of.................................................................................. it ..................,t7.4.1...!. er...................... . North Andover, Fee...,.. Lic. No.�...... 6.. �// ����` .,. ..... ELECTRICAL INSPECTOR / v Check # 4428 IRE (-V1 0AWF9LTHOFMASSACFRSE7TS of DEPARTA&WOFPUBLICSAFRY Permit No. MK BOARDOFFIREPREVEN770NRWULMO N527CMR12.00 Occupancy &Fees Checked UAVPPUCATIONFOR PST TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat P C�3 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) i^ y ll h L� h) t� Owner or Tenant ff =ui�a -f Owner's Address L'' Is this permit in conjunction with /a building permit: Yes L.No Purpose of Building V ae Lo Existing Service Amps� Na. of Hot Tubs Volts Overhead New Service+� Amps / Volts Overhead Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work' V. s�-, UJO- 5--5- (Check 5 - (Check Appropriate Box) Utility Authorization No. Underground Q No. of Meters Underground No. of Meters Ncl. of Lighting Outlets / Na. of Hot Tubs No. of Transformers Total G KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground grourid 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 t No. of Self Contained Detection/Sounding Devices Local Municipal Other No.,�f Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Sigm Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER InstmmCaaW. PtttsuaYbdietegt>oerrtatsofMusaclsst CiaraalLam Iha%eaammtL'+abkh&m=Pcbynii&gC.ari) Co&aWorisWmtwW YES NO Iha%esthnitWdvatidpafofsamebtheOlfm YES U NO IfjmhmedaiWYES,pleaseindtc*theWofwmaWbydwcktgtbe r Iow P71s 'lc RaghrLl t`�P� Gil¢tmGedVahaeafE6chicFM alWalc.$ I�oa>seNn __AN -q ,._ I�oa>seNo Ac�c— ��.. 4�s gyz2 / .� i� UXUT cjU? Alt. TelNa OWMMM'S1TISURANCRWAIVER;IarttawatethattheLiari9eJmW drat trat> wvmWorAsst>bsWtialgrAdatasmgjmjdbyMamhEcosGc iedLaws aodittmysig ncnftpamt mvmiwsd iste* mimiat (Please check one) Owner - Agent 76 -4_J Telephone No. PERMIT FEE $ Name Location: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Wofkrers' Compensation Insurance Affidavit Please Print City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for rry employees working on this job. Company name: Address i City: Phone A Insurance. Co. Policv # Company name: Address City: Phone # Insurance Co. Policv #' Failure to secure coverage as required. under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.afine up to $1,500.00 andfor one years' imprisorwnentas waff-as_ciWQenadtiesiolheima-cfAMDPYAMDR)ER md_afiae-d(,31A0M)-aj*wajmnstmp- 1 understand that a copy of this statement may be forwarded to the Office of Investigations of rile DIA for coverage verification. / do hereby certify under the pains and penalties of perjury that the infamabor; prowled abovea bye and correct Signature pie Print name Pbone.# Official use only do not write in this area to be completed by city or town dfic iar City or Town Pirising E:Ichf Contact ❑i Building Dept Licensing Board Selectman's Office Health Department Other G� t�* TO, o: ti ^x Cl) 33 C m U) 0 m L -7J CO) CO) Cl) 10 0 CD C) Z y d o n• r c a� c O CO) cm Q v CD CD o c CD CD o CD ww �. C CDCD H CZ O CO) COC I S- CA O 1 Z OO 0 a O CD O CCD O C• V! O Q V1 = _ao �.m y CL CD o m C ccca 0aC m � CL o CD CD y C y —40N o =r m co 2 > > m y CCD 7 n Z '-`SU ' C2 o v' cj : oo O 'COD . C y CL /V/�J m O y O V/ CD 1 O m � a� o Z y 1C= C cn O v y y pt _ C m. m cu o Cl m Q o 0 c o . n �• z CDo � CDz (n �y d o d wt nC2 c CD .d CD n: O r'^1 �. 7 `D Z , o = 7 � o 7 G r" G � g w OG C 7 w w c O p �' a tz =rO oe o Q y 0 0 C Location @�' No. Date K f �aRTM TOWN OF NORTH ANDOVER-' p Certificate of Occupancy $ Building/Frame Permit Fee $ �� Foundation Permit Fee $ s�cHusE Other Permit Fee $ t Sewer Connection Fee $ Water Connection Fee $ TOTAL $' Building Inspector 12640 Div. Public Works Location S^ "No. Date NORTN TOWN OF NORTH ANDOVER Of<4.60,�N p Certificate of Occupancy $ _ �o Building/Frame Permit Fee $ ` � sM�iwiw.w 4 a JACNUS� Foundation Permit Fee $ pp91 O Other Permit Fee $_ f Sewer Connection Fee $ _C s Water Connection Fee $ TOTAL $ Building Inspector ' Div. Public Works is Li SN N N D = `- `- i z D - 7 D - T y_ 2 N - ? Z 1 z z • v ? X z > n yy r z ti A - n m Z T Z T Y 7 SN N N D = `- `- z D DD 7 D - T y_ 2 N - ? Z 1 z z Z v ? yZy > n yy r R E A - n m Z T Z T Y 7 .i ♦/f D Impo D -1 O •••1 m w m J m c z Se ° m z X C = m�` Z. ` N /Fr m X ^ 1' 0 r, M V nn 4 �� Q � N V N V. o C=C" N d N � � � =� `-�• v .7 N N G Z Z Z Z Z x N 'A Y S . n Z k �61 — m z n = Z __ A n �` 0 T D Z Z ■.. m N z T C� Imo' R f D z /p z z �F z G C � b y — rc� ") 21 M �v 3 Town of North Andover NORTH OFFICE OF o?°� •.;�o COMMUNITY DEVELOPMENT AND SERVICES i • •' 146 Main Street r" WU11AM 1. SCOTT North Andover, Massachusetts 01845 �,'•s ..4 ,y 7s ACMUS t Director In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by NiGL c 111, S 150A. The debris will be disposed of in: (Location of Facility) j% Signature otVermit Applicant / Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Once of the Building Inspector. BOARD OF APPEALS 688-9341 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9340 PLANNING 688-9533 Jl- P.nar-./a ,-#. HOME IMPROVEMENT CONTRACTOR Registration 102097 Type - INDIVIDUAL Expiration 06/30/00 JOSEPH P. BRADISH, JR 9 Moulton Drive/ Box 448 -;f 6,-� Hampstead NH 00,826 ADMINISTRATOR All a1✓11-11aaclumeaj I: DEPARTMENT Of PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Birthdate: CS 021196 05/21/2000 05/21/1945 .... Restricted To: 00 JOSEPH P BRADISH PO BOX 4489 MOULTON OR E HAMPSTEAD, NH 0+826 t e location: 0 I am a -sole proprietor,(general contractor 8r homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation polices: compBpgnamet: one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. do hereby cerci . under the pains and penalties of perjury that the information provided above is true and correct / �� Signature �'Date T� Print yI'l H 7 1.S EI Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license # rlBuilding Department [3Licensing Board 0 check if immediate response is required OSelectmen's Office OHealth Department contact person: phone #; nOther (raised 1/95 P1A) 0 i•' :•r p C O wo T Q C/) o A° r. w° b c w U ro ii O a v� a ar ou C ua W o c� c� C w x U O x o c4 C ii H w w v 7 co zu—cz V) c O V) vE � :.m c !J' ail xW� O S Z o� c H � r4 UJ z om O O O Z CL aL O y 0 � CL) — cm I O W .y m m co 0 CD 3.0 coQ CL L O O a �Q C O v J 'fl O C Z co V H C G. _c d y 0 :.m c o •. C H O �^ C O 1: •� V V el: cc O m C 4: t: o � y �' • � C O CD o= Vz 00 s t; CM :ate E O � y �� y t y cm � 3 �• N ; m —m i to V N O L" y 3 cm CD ymm O Q: C" c (i,,� ©• aC� m 0 m N V Z O O O ..- Cf O C Q ` v m C O CO :d �•+ y m r•+ m = m MA R C O F y �E a JZ •c v o, Z o ui 0. ��� g y •= O yO � cc0 C=m O O O Z CL aL O y 0 � CL) — cm I O W .y m m co 0 CD 3.0 coQ CL L O O a �Q C O v J 'fl O C Z co V H C G. _c d y 0 Location No. 9( V Date 3-{ 1- o Check # TOWN OF NORTH ANDOVER Certificate of Occupancy $ N v -- Building/Frame Permit''Fee $ a Foundation Permit Fee $ Other Permit Fee $ TOTAL $ S v -- 16217 �ytit(C-0- - . Building Inspector M TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Section for Official Use Onl BUILDING PERMIT NUMBER: DATE ISSUED SIGNATURE: Buildig Commissioner/Inspector of Buildings Date 1.1 Property Address 1.2 Assessors Map and Parcel Number. C2.5 , - Map Number Parcel Number 1.3 Zoning h►formation: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide R aired Provided Re red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System. Public 0 Private ❑ Zone Outside Flood Zone 0 Municipal On Site Disposal System ❑ 2.1 Owner of Record Name (Print) Address for Service: Signature Telephone 2.2 Authorized ent Name Print Address for Service: Signature Telephone 3.1 Licensed Construction Supervisor Not Applicable ❑ C9 Addres License Number �!C) A Licensed ConA�cnrvisor: f C: Expiration Date Sigriguram Telephone 3.2 ' Home Improvement Contractor Not Applicable ❑ V Company Name Registration Number Address Expiration Date Signature Telephone M X 9 * - a 1, as Owner/Anth6fiz�d Agent Hereby lace that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury s� nt Name \499�� Signa Agent/" D to ' Item Estimated Cost (Dollars) to be F `���(1` Completed b �y permit applicant P Y 1� PP n 1. Building (a) Building Permit Fee Q 0 0 Multiplier 2 Electrical (b) Estimated Total Cost of Construction from (6) 3 Plumbing Building Permit fee (s) X (b) 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Checkf Number �Y'I4 s {+ j__. `y4h t"- ka� r'': T, '3 '�\l."t Zz ,+ 4: 1F�t^�y.� Ys..,.i,,ZN tks� 1✓3 `�3 ? k3 Csb F \"?- aH 5'�t 1{j. i+` t !y •.�Nr-�' _ �} %�. �,�sr✓�))�c};1' �: t{'r'A.,L .: h, ��.,�".tk ,r!,'"vr �.. wx. va p�tN iI," g'a}t 1h -"Yr XYF � r, i.:.K. ^, ..� Lsr 4- �, .•fid 1� ,a u.:.�. n 1�+ � r r . s;trx.'. � � S�1.rw.,� k t ,� , ��.5' NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIWERS 1sT 2ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TONATURALGAS LINE { 13 k.. :�2'h�Y.'''c -•�- kjuiS "Yim S'C'. %:t�ti � � Frv�✓��4'1 `1�A�'T.ca`f".Y""*T.r�'}M� \4.t.�'4,3?-.�,i sem-! �iT�Y Y�S r i Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yea .......❑ No ....... ❑ SECTT4Pt S PROESSIUIbAL )dESirl ANllt L'NS'MR�TC"J[TCN SRVIS l�$TIIi.ItS ANU S"1PRUS StiB.lt"i',Tb CONSTRII�'I4N CO�t�OL l4'�TAI!��` T13 "� L"�R l lt6 tv+�i'�'�C`A'1�� 1� �� GF bF �NCT�lS1�b'S�'A�) 5.1 Registered Architect: , Name: Address Signature Telephone Name: Address: Signature Total Name: Address Signature Telephone Name Address Signature Telephone ,A i Name Address Signature Telephone III Old Company Name: Responsible in Charge of Construction I Area of Responsibility Registration Number Expiration Date Not applicable ❑ Registration Number Expiration Date Area of Responsibility Registration Number Expiration Date Area of Responsibility Registration Number Expiration Date Not Applicable ❑ New Construction ❑ Existing Building ❑ Repair(s) 0 Alterations(s) ❑ Addition' ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: c 2A 2B 2C 0 0 ❑ USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ A4 ❑ A-5 ❑ lA 113 ❑ ❑ B Business ❑ 2A 2B 2C 0 0 ❑ C Educational ❑ F Factory ❑ F-1 ❑ F-2 0 H High Hazard ❑ 3A 3B ❑ ❑ IInstitutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ M Mercantile ❑ 4 0 R residential ❑ R -I 0 R-2 0 R-3 ❑ 5A 5B ❑ ❑ S Storage ❑ S-1 ❑ S-2 ❑ U Utility ❑ M Mixed Use ❑ S Special Use ❑ Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft Independent Structural Engineering Structural Peer Review Required Yes ❑ No 0 SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Date I ` as Owner/AvdZ57W Agent Hereby eclare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury nt Name Signa Agent D to 1' Item Estimated Cost (Dollars) to be Completed by permit applicant 1. Building (a) Building Permit Fee S 0 n Multiplier 2 Electrical (b) Estimated Total Cost of Construction from (6) 3 Plumbing Building Permit fee (g) X (b)� 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number SI H' ... / 5 n^ .'' } " J '. �` '1,;..� � lla n• xf'� l;. � lit. r Lthvx t'.a fiL � 4Q��2,k' t �1 .�.f�� �1'. � (� l� � ?���IV-1 „�� `� - 1 „b�tgfftf -.�°.> �Y -if t 7t v t..i ^i,F t`S.r' J 3 1 �- y �'✓ 4 1Yj" 1yFS C `�' Y5 4a': F.: )�/ �3I)»Y 'fix t. �& :�(:v, .J ,.'�7'•y., Y' ..'h ,r .k }€� a>R4Y�... tS�i)t s� fN'v`,...,��S, P��r....� Ya�ti r�Q�.L: i{'.h•>'�.�Yu. ;��w ^ 3.`�. l31 hJ{, 5 n����f4.p 5�'��Z�(( 1,(�l� �' <. 6'iv. 'k,#„, v�•y'S, .''!' (' » f �t",xY,. i. i s+ft k 'v`� n.7. ,�€. .h, � h, . i� ..�'�t. 1 �,�wt. !° NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS ls'' 2 D 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIlvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ),.-' s ,a."`i'F 'c- .��tssuz✓�' xS t.a yam+ f* ,yfi� cs..� ,r FIA II TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Section for Official Use Onl BUILDING PERMIT NUMBER: A1/6)DATE ISSUED: �3 a SIGNATURE: Buildin Commissioner/I or of Buildings Date MEMO 1.1 Property Address:/ 1.2 Assessors Map and Parcel Number. oo az- Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Fronts ft 1.6 BURDING SETBACKS (ft) Front Yard Side Yard Rear Yard R ed Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ ❑ zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ r �Private 2.1 Ownerof Record 17 V1 A%- -1Name (Print)Address for Service n./ p ��, J% e Signature ( ' Telep one 2.2 Authorized ent Name Print Address for Service: Signature Telephone 3.1 Licensed Construction Supervisor Not Applicable ❑ r 1 04H 1 43 Addres License Number ANN bc) v SIZ. Licensed Construction upemsor: 2 `( `a , . 6 , . Expiration Date tom' Signa ' Telephone 3.2 %p)fer6d Home Improvement Contractor Not Applicable ❑ Company Name'. Registration Number Address Expiration Date Signature Telephone j FORM U -.LOT, RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT J� � �;` ,a PHONES -69' G _19'18 LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) i . j STREET W �t V�.� � 6/ST. NUMBER � ************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER COMME FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMM DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTION DRIVEWAY PERMIT. FIRE DEPARTMENT v e RECEIVED BY BUILDING INSPECTOR Revised 9\97 jm 3/10 Z_ TE Name The Commonwealth of Massachusetts Department of Industrial Accidents _ Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name: :ZY-U-koi - E2Z; Location: 1" -!, TV fZO 5?► Vii . Please Print Phone # (rte j I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address city- Phone # Insurance. Co. Policv # Company name: Address City Phone #: Insurance Co. Policv # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to $1,500.00 and/or one years' imprisonment_as well_as_civil4=altiesiniheioun-faSTOP.W.ORK ORDFR_and_a.fine cf_($1-ODM)-aday againsim-- I understand that a copy of this statement may be forwarded to the office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and Aena#ies of perjury that the information provided above is true and correct Print name Official use only do not write in this area to be completed by city or town official' _'�6 3S 12 City or Town Permit/LicensiLig Building Dept ElCheck if immediate response is required [] Licensing Board p Selectman's Office Contact person: Phone A- ❑ Health Department Ei Other North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: l.n; C1 t (Location of Facility) z� nature of Permit Applicant ,.71/,7 %01 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through.the Office of the Building Inspector ' c �' lug af'✓��a ' , ` /lae ran�rrta�uarea q BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 044143 ' Birthdate: 05/29/1959 r ' Expires: 05/29/2004 Tr. no: 23447 Restricted: 00 JEAN D ABOJE721 22 MONTEIRO WAY' N ANDOVER, MA 01845 Administrator O z � w ozUD a O W g � o o w (n a v cn ° A m C o w � o cG U G w 0 W a� �' bo o w is a w a � a W �D0 o w cn w" a 0 U z v, ono o P4 LZ z w A 0-4 °�' w �' cn i o co V :co ' A2 C �. O ts O C ca '� :•dam CD o oCLf N o= :o - CM 16, :mc CD 3 y .1 m as A C C O Eg 9J` CLvU: m Qy m ; 9i t t L o CM CO cc � 2 � CL � L p. .y CL= Z o a; MA E u=•N O U .m 0 40 E . C* _C CL o o 0 g H O O ►s o_ ®a 0 CD 0 co Z 0 v I CO) CD .E CLL CD O 03 Q m CL CO2 CL CO2 c 0 U) U) Irw w crW U) `� 0lflc. U+c Onl The Commonwealth of Massachusetts (� u-. o �� �+3Y�r.r.lc lo. ar771 Dcpartment of Public safety �( Occu"ncy S :'.• C?uck.d BOARD OF FIRE PREVENT70N REGULATIONS 527 CMR 12'W 3/90 (143Y. blJnk) =•��! ICATION FOR PERMIT TO PERFORM' ELECTRICAL WORK ,U vork to bs perforrned In accordance with the Musaehuscru Electrlal Code, 527 CMR 12:00 '2F= Ili DM OF. 41ORLTORH=10N) Date IJL�1-2 Cicy or Towu of--&J(-)Ucay To the Inspector o Wires: !�t un.t rsizned applies for a permit to perform the electrics) work described below, - (Street. & Number) �-5 TVYUM K�= c: o: Tcnanc �.tz pewit in conjunction with a building permit: Yes ❑. No IN (Check Appropriate Box) o' Building Cc Utility Authorization NO. = s;: -.g Service Asps / Volts Overhead ❑ Undgrd ❑ No, of Heters c� ;< eco Amps / Volts Overhead ❑ Undgrd ❑ No, of V ter.z o= Feederz and Ampaeity <o and Nature of Proposed Electrical Work J L►CC �x IGMY7 Lo ,4 M R- — (� 1'1` C 71-� 11 C2 8A Nov+ l COVERAGE: Pursuant to the requirements of Massachusetts General Laws s:e arcurrenc Liabtlit Insurance Policy including Completed Operations Coverage or its substantial ::talent. YES(3 NO I have submitted valid proof.of same to this office. YES Q NO C] l? yo,, have checked YES, please indicate the type of coverage by checking the appropriate bo'x. ® BOND ❑ OnEM❑ (P1493e Specify) xp ration ace =„tested value of lectriealWork S Inspection Date Required: Rough Final :!;�.ec -;oder the penalties of perjury: Barker r1 ectz'ic S vice Inc. LIC. No. A15392 ::_ Pr J _..cr.seer "avid Barker Signature - LIC N0. E24156 5� Lakeshore goad, Boxford, M.A 0].921 Bus. rel. No. 7) °33=3503— ss Alt. Tel. No.—T a= 2 7.�15 ?NSURANCE WAIVER: I an aware that the Licensee does not have the insurance coverage or IC5 sub- raauired by Massachusetts General us, and that my signature on this permit �? L:g^ting Ouclets No. of Hot Tuba No. of Transformers total Kv A .c. of Lighting Fixtures Swimming Pool AboveIn- rnd. ❑ rnd. ❑ Generators KV:1 ho. of ?.ecepcacle outlets No. of Oil Burners No.• Emergency Lighting $aCCerUnits o. of S itch Cutlets No. of Cas Burners FIRE ALAR`IS No, of zoneo of Detection and loons .• '=nge3 No. No, of Air Cond. Initiating Devices No. of Sounding Devires No. of Self Contained Detection/Sounding Devices Local ❑ Municipal ❑Other Connection :., or D!sposals No. of Heaps Toms Total o: Dishwashers S ace/Area Heating y1W P g Heating Devices KLl :io. o; Water Heaters KSI. No, of No. of Si ns Ballasts Lou Voltage uirin ;yc:o uassage Tubs No. of Motors Total HP COVERAGE: Pursuant to the requirements of Massachusetts General Laws s:e arcurrenc Liabtlit Insurance Policy including Completed Operations Coverage or its substantial ::talent. YES(3 NO I have submitted valid proof.of same to this office. YES Q NO C] l? yo,, have checked YES, please indicate the type of coverage by checking the appropriate bo'x. ® BOND ❑ OnEM❑ (P1493e Specify) xp ration ace =„tested value of lectriealWork S Inspection Date Required: Rough Final :!;�.ec -;oder the penalties of perjury: Barker r1 ectz'ic S vice Inc. LIC. No. A15392 ::_ Pr J _..cr.seer "avid Barker Signature - LIC N0. E24156 5� Lakeshore goad, Boxford, M.A 0].921 Bus. rel. No. 7) °33=3503— ss Alt. Tel. No.—T a= 2 7.�15 ?NSURANCE WAIVER: I an aware that the Licensee does not have the insurance coverage or IC5 sub- raauired by Massachusetts General us, and that my signature on this permit TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..................................................................................... has permission to perform—.'.'-'.� .. �..j .. .... f .............. wiring in the b!!i �din r. .............. at ....... ....... . North Andover, Mass.� Lic. N4 .... ..... Fee,/ .. ......... .................................................. ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Date la - C.. <'�-. N2 45c"Q r 0�':��o TOWN OF NORTH ANDOVER F PERMIT FOR PLUMBING u a s ,SSACMUs� This certifies that . Y' 'a F`?!!� ,�/. has permission to perform ... �?��-5 . ?`.............. plumbing in the buildings of � �/-c at ............. North Andover, Mass. Pee .J v.... Lic. No.. K ? S.. .......; ...... . PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Mass. Date EE? . 1 got Permit # s v Building Location S��v� r U P -Gy J?t 6 Owner's Name 19/10"A g r_1191 ASsN. Type of Occupan y 60c f °A 0 Ffrl GA -7 New. ❑ Renovation ❑ B. P. # SEWER# y y W Y J y } y Z y Q o— .� y y U) 2 H W W d y D 4i S Q 2 :�: 3: O 2 !- V S r ? E' < < TO y to Q to o a r sue—BSMT. BASEMENT r - 1ST FLOOR s ' 2ND FLOOR Y 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR4F1 Fil Replacement dPlan FIXTURES SEP C C > Q v 7 a O D W W 3 e 0 - W Y m y = p Cs� Tie'a. 0 9L to O} fn '� ZWO ir 3 iiai WOQ a Installing. Company Nameo�F��� Address_ Business Telephone g 8 5� 3 y xrol, Name of Licensed Plumber _J'OSA9�jV cv submitted: Yes ❑ No ❑ Check one: ❑ Corporation j� Partnership ❑ Frm/Co. Certificate 7# Y,/ / _ INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes W No ❑ If you have checked Les. please Indicate the type coverage by checking the appropriate box A liability Insurance policy f Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: �9nature of Owner or OwnersAgent Owner ❑ Agent ❑ hersbycertify that all of the details and information 1 have submitted (or entered).in above application are true and accurate to the best of my :nowiedge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all xrUF*Pmvisions of the Massachusetts State Plumbing Code and Chapter 142 of the General laws. iUe t Signature Licensed Plumber Type of License: Master - YiT01Mn Journeyman ❑ DIED (OFFICE S ONL) License Number C > 4J v 7 a O D W W 3 e 0 - W Y m y = p Cs� Check one: ❑ Corporation j� Partnership ❑ Frm/Co. Certificate 7# Y,/ / _ INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes W No ❑ If you have checked Les. please Indicate the type coverage by checking the appropriate box A liability Insurance policy f Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: �9nature of Owner or OwnersAgent Owner ❑ Agent ❑ hersbycertify that all of the details and information 1 have submitted (or entered).in above application are true and accurate to the best of my :nowiedge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all xrUF*Pmvisions of the Massachusetts State Plumbing Code and Chapter 142 of the General laws. iUe t Signature Licensed Plumber Type of License: Master - YiT01Mn Journeyman ❑ DIED (OFFICE S ONL) License Number 4171 40RTN Of .4 0 S SACHUS Date 'e - TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ........................... . has permission to perform . ' .. '......`.S!../ I / ................... plumbing in the buildings of ... ./? i , j- 't I .................. at .......... ................e.i .7.......... North Andover, Mass. Fee. Lic. No../ . ....... ........ .......... PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASS CHU TTS UN FORM APPLICATION FOR PERMIT TO DO PLUMBING (P or T /// c3 i �L Mass. ate 114(— 22 Permit # _ Building Location 5SS Tvr °tti�S l/ IZOwner's Name l U�i'e� Type of Occupancy Newp Renovation Replacement ❑ FIXTURES Plans Submitted: Yes ❑ No ❑ Installing Company Name �&�42 5f3hS Check one' Certificate Address Y, 0f — \O -Z-- C1 Corporation :) cy fe d\ Ax A kocRartnershlp Business Telephone 9%�i -37q -7�537 ❑ Fmi/Co. Name of Licensed Plumber J�5-'e- INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes $�_ No O If you have checked yes. please Indicate the type coverage by checking the appropriate box. A liability Insurance policy �k— Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement. Check one: Owner ❑ � Agent ❑ Signature of Owner or Owners Agent I hereby certify that all of the details and information I have knowledge and that all plumbing work and installations per pertinent provisions of the Massachusetts State Plumbing ( By Title City/Town APPFK) EU (OFFICE USE ONLY) nilted (or enlerod) in a ve appli lion are true and accurate to the best of my A under the perm t is!", for application will be in compliance with all and Chapter 142 the neral ws ncM Type of UcenVe: Master 1�1— Journeyman E) License Number. � (3 ���■ ONMENOMEN ONE ■t■ .. ■OEN NNEMENNOO■ not►JNONE • .. ■�ENOMEMENEENNIONNO®NOON ''NONE ONEENNEEMENNOMEN Installing Company Name �&�42 5f3hS Check one' Certificate Address Y, 0f — \O -Z-- C1 Corporation :) cy fe d\ Ax A kocRartnershlp Business Telephone 9%�i -37q -7�537 ❑ Fmi/Co. Name of Licensed Plumber J�5-'e- INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes $�_ No O If you have checked yes. please Indicate the type coverage by checking the appropriate box. A liability Insurance policy �k— Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement. Check one: Owner ❑ � Agent ❑ Signature of Owner or Owners Agent I hereby certify that all of the details and information I have knowledge and that all plumbing work and installations per pertinent provisions of the Massachusetts State Plumbing ( By Title City/Town APPFK) EU (OFFICE USE ONLY) nilted (or enlerod) in a ve appli lion are true and accurate to the best of my A under the perm t is!", for application will be in compliance with all and Chapter 142 the neral ws ncM Type of UcenVe: Master 1�1— Journeyman E) License Number. � (3 Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street North Andover, Massachusetts 01845 WILLIAM J. SCOTT Director (978)688-9531 April 14, 1999 Eileen O'Connor Bernal, Esq. Devine, Millimet & Brach, P.A. 12 Essex Street P.O. Box 39 Andover MA 01810 Dear Ms. Bernal, Esq: ° Fax (978) 688-9542 Please be advised that the property located at 555 Turnpike Street known as Chestnut Green Condominium is located in a Business 4 District. If you have any questions please call. Very truly yours, P Michael McGuire, Building Inspector MM:jm BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street North Andover, Massachusetts 01845 WILLIAM J. SCOTT Director (978)688-9531 Eileen O'Connor Bernal, Esq. Devine, Millimet & Brach, P.A. 12 Essex Street P.O. Box 39 Andover MA 01810 Dear Ms. Bernal, Esq: April 14, 1999 el -1R i i # Fax(978)688-9542 Please be advised that the property located at 555 Turnpike Street known as Chestnut Green Condominium is located in a Business 4 District. If you have any questions please call. Michael McGuire, Building Inspector MM:jm BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 WN—by yy 11:48 FKUM:ULVINE M1LL1ME1 9(8b845054 TU:508 b88 9542 PRGE:05 DEVINE, MILLIME" I' &BRANCH PRorESSIQNAI, AssOCIA710N •AwoMys M I,AW 12 Essex Screec V0. Snx 39 Andover, MA 01810 Marijo McCarthy, Esq. April 9, 1999 Tel: 978.475.9100 Aage2 781-942.0932 Fax: 978.470.0618 1, Michael Maguire, .in my capacity as Building Inspector for the Town of North Andover, hereby confirm and verify the above -referenced information as provided with regard to the By -Laws and Zoning Map for the Town of North Andover. Michael Maguire EOBleer 0 tV.r1BEBNALILF7TEBatMf;CABl'MY I -11t �vGa. 1-e STS� 7'Urn,/9' AI C � v � �'�"` � C� N aaM r o%vM Ilve s s V _�—. .Lj ,, 0' /<""O W v;' 3 Cs �Oco T -a j6N HF'K-by yy 11:43 FRUM:DEVINE MILLIMET 9786845054 TO:508 688 9542 DEVINE, MILLIMET & BRANCH PROFESSIONAL ASSOCIATION o ATTORNEYS AT LAW Vkloh Pafw 111 Amhurst Street P.O. Box 718 Manchester. NH 03105 Tel: 603669.1000 Fax: 608-888-6647 Date TO: it 9, 1999 Michael Maguire North Andover Building Inspector Fax Phone: 688-9542 Re: 12 Essex Street P.O. Box 39 Andover, MA 01810 Tel: 970476-9100 781-942-0932 Fax: 978470-0916 Number o�iges including cover sheet PAGE: 01 FROM: Eileen O'Connor Bernal, Esq. Devine, Millimet 8 Branch, P.A 12 Essex Street P.O. Box 39 Andover, MA 01610 REMARKS: ❑ Urgent ❑ For your review ❑ Reply ASAP C] Please Comment THIS TRANSMITTAL IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED, AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW, IF THE READER OF THIS TRANSMITTAL IS NOT THE INTENDED RECIPIENT, OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR DELIVERING THE TRANSMITTAL TO THE INTENDED RECIPIENT, YOU ARE HEREBY NOTIFIED THAT ANY DISSEMINATION, DISTRIBUTION OR COPYING OF THIS COMMUNICATION IS STRICTLY PROHIBITED. IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR. PLEASE NOTIFY US IMMEDIATELY BY TELEPHONE, AND RETURN THE ORIGINAL TRANSMITTAL TO US AT THE ABOVE ADDRESS VIA THE U.S. POSTAL SERVICE. THANK YOU. HHH-1013 9y 11:48 FROM:DEUINE MILLIMET 9786845054 TO:508 688 9542 DENINE, N1111AMET& BRANC31 M 1, m t t'r April 9, 1999 VIA TELEFACSIMILE: 688-9542 Michael Maguire North Andover Building Inspector 27 Charles Street North Andover, MA 01845 Re: Unit #44A, 555 Turnpike Street Chestnut Green Condominium I N- ­41A I16x6":' Dear Mr. Maguire: Thank you for taking the time to meet with me today with regard to the above -referenced property. As we confirmed during that meeting, this 1141.11-11 xiv I property is located in a Business District 4 Zone. 1,.,,, A. R I Previously, I inquired with you regarding the building and/or occupancy permits for this location, and you informed me that due to severe water damage of stored files, certain permits issued prior to 1989 were no longer accessible. You believed the for Chestnut Green Al- ­J., I 'a It. x. 16 H"IL". permits were destroyed in this manner- RAN-. As I will be unable to provide the commercial lender investing in this property with copies of either the building and/or occupancy permits, I drafted a very basic zoning letter to the attorney for that lender. As we previously discussed, it is necessary for me to obtain some type of verification from the Town that the information provided in this letter is correct. I drafted a brief paragraph with your signature line on this letter. I ask that you review the language of this paragraph and contact me with regard to the same. `11x116 11 1 .6ilur WO, I I'I't --.-1 PAGE: e2 Andovvr. MA of 110 TO: 97S.475-1)WO 7M -442-0012 FIX: 978,470-0618 NH It I immr-n. NI I WN -by 'JJ 11:4U FKUM:UEVINE MILLIMET 9786845054 T0:508 688 9542 n DEVINE, MILLIMET'& BRANCH 1*101-ISSIONAL ASSOCIATION • ATTORNEYS AT LAW Again, thank you for your cooperation with this matter. l took forward to speaking with you in the inunediate future. Very truly yours //}} & USW 6' ta-Cs Eileen O'Connor Bernal EOB/eer Enclosure Ci:�ELHF'RNALU-kl7kR.VtA/CQ1./IRK LTR PAGE: 03 12 E.scx Srreer. P.O. }aux 39 Andover, MA 0 18 10 Tel: 978.475-9100 781.942.0932 Fax: 978-470-0618 HrK—UJ 7y 11:4b F FUM: UEVINE MILLIMET 9786845054 T0:508 688 9542 DEVINE, N41HF1NIFT & BRANCH knFESilINA I. INS111;1;1'I'I,IIV @ A'I"f1iKVIS15 NI' 1, t1i �Pn,l•�n..l I ,'..,.da••,I�, A. .,, A • :d,, ... It • N„ A., It ' h 1, I�,,,I.,'•. �,,•',•I��,:. In,,. 1 •I,•h,; ,• ,r,. nn,.,, No I :,u• ,,I I I,,,;,, I r. W01 nl I I..,.1 ....... r;.40 n,.., 1•,,, a I.a........ •:,,d w ,..,.,,,n'. I. April 9, 1999 M�uijo McCarthy, Esq. Widett & McCarthy, P.C. 1075 Washington Street West Newton, MA 02465 Cte: Zoning Compliance Property: Unit No. 44A, 555 Turnpike Street North Andover, MA 01845 Borrower: Reichter Nominee Realty Trust Lender: Fleet Bank Dear Attorney McCarthy: Please be advised that the above -referenced property, in its proposed use by the above -referenced Borrower tis a business office space complies with the Town of North Andover Zoning By -Law as most recently amended. The unit to be secured is located in a business condominium complex commonly known as "Chestnut Green Condominium" which according to the North Andover zoning Map is fully located within a Business District 4. Section 4 of the By -Laws defines the "Buildings and Uses Permitted" within the Town, and Subsection 4.129 more specifically defines the acceptable facilities which are permitted within a Business 4 District. Item 2 of that subsection reads, "Business, professional and other offices." The proposed use by the Borrower meets that definition. This information is provided solely for the use of Fleet Bank and. its attorneys with regard to the financing of the above -referenced unit, specifically for a loan to be issued to the above -referenced Borrower. No other use is authorized or intended. Very truly yours t9 Eileen O'Connor Bernal PAGE: 04 13 F_,., .c 1'.i.?. Kx 0) AnJ„vc,, MA 0 18 10 TA; 078-475.1IA) Fuc; 97n-470,0oid M„nch�•�,.r, r1r t North I Lmipron, NI I