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Miscellaneous - 57 Peters Street
7 `-a 96 8 Date.................................. Y NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING 14 i SSACNUS� This certifies that .......... . 1/' ......... .... 4 :c.j�nc.C—..........'.. 2 1 ....... has permission to perform ...lJQ it ���'................................. + wiring in'the build* ofk4t �- ,&T s� 7 . ............2.s............ .........................North Andover,Mass. ... Lic.No f ' l ter• 0 ..... ....... .......... .... �� ELECTRICAL INSPE&MR Check # Dd r . Ck 2012 Massachusetts Electrical Code Amendments 527 CMR-12.00§Rule 8: In accordance with the provisions of M.G.L.c.143,§3L,the ermit application form to provide notice of installation of wiring shalLbe�uniform throughout the Commonwealth,and applications shall be filed o •the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time of.ongoing construction activity,and may be.deemed.by theInspector-of_Wires abandoned-and-invalid_ifhe—_. ._ or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entitystated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending"through August 15,2012. ❑ Rule 8—Permit/Date Closed: f ***Dote:Reapply for new permi M T)...... U.17..4,,..,.!. A-4 a. r.t---a. Department of Fire Services Permit No. Occupancy and Fee Checked 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 ININK OR TYPE ALL INFORMATION) Date: '--��t'C� 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 ) SI'— '7t� Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: C Completion of the following table may 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 Swimming Pool Above ❑ In- ❑ o.of Emergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners -. No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. TotalTons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons KW No.of Self-Contained .. . ..................................... .. . Totals: � Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other 4, Connection t No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent 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: (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 p 'ns and penalties of perjury,that the information on thi ap licati is true and complete. FIRM NAME: lj� c LIC.NO.: �A Licensee: �Q&/p 49&?d,4!, Signature — LIC.NO.: (If applicable, en "exem t"in the license number line.) Bus.Tel.No.. /� Address: ela A4T S7' U2T;► 4iE-3tsz.� 40_ Alt.Tel.No.: q�,�- 37? -T�3V *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.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 Owner/Agent PERMIT FEE: $ Signature Telephone No. �y The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 9V www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): AID 4-- Address: Address: b-2 Ise2"A 41 :q- City/State/Zip: MOM Phone#: 7J' 02 2,6 z Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. workers' comp.insurance. Y p tY• 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10. lectrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.El Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.]i employees. [No workers' 13.0 Other comp.insurance required.] *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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 4 0-4a,� Policy#or Self-ins.Lic.#: Expiration Date: 3 Job Site Address: �� S` City/State/Zip: 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 v'oI tor. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for' ura c coverage erification. Ido hereby certify under t p s a d pe i s perjury that the information provided above is true and correct. oig ature: Date: I Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# 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#: Date.�A .//3.............. Rrh TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .................................ik...... ............................................................. has permission to perform Y�I(Az. .....\,}. - nng in the building Of ...... .......... .......................... at 15 Andover,Mass. )?�q'Acndover,Mass., E p ......Lic.N01hp ...:...1./ ......... . ............. ......... ... . ... ..... ELE RICAL INSPECTOR Check# 29 Commonwealth of MassachusettsOfficial Use Only � Permit No. Department of Fire Services Occupancy and Fee Checked 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 ININK OR TYPE ALL INFORMATION Date: 3/ 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) 57 Owner or Tenant ?S'61w,* st 4& Telephone No. Owner's Address some Is this permit in conjunction with a building permit? Yes No ❑ _(Check Appropriate Box) Purpose of Building roUtility 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: Completion of thefollowing table may 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 f Swimming Pool Above ❑ In- Elo.o mergency tg ting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges. No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number I Tons_ I KW No.of Self-Contained . Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or E uivalent No.it Waters KW No.of No.ofHeaterData Wiring: Si ns Ballasts No.of Devices or Equivalent No.I:lydroinassage 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 97res. 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,tinder the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: S �.Q �'1kC �fi Signature__ LIC.NO.: (Ifapplicable,enter "ali` xempt"in, a license numb line.) Address: 690. � ` D S / A- vBus.Tel.No.:7°1(Zj Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,securitywork roc it Departinent of Public Safety"S"License: .NLic.No, OWNER'S INSURANCE WAIVER- I am'aware that the Licensee does not have the liability msurai ce 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.$Aa 50 l 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." I 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-contractors)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 anLLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe 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 Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom C 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(ifnecessary)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 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: Tho Commoaweaxt� ofMassachmetts Depaximeut ofhndustrial,Aecldoats • (,�f�iee ol`Tnye�tigatio.�u� 6.00 Washington.Stma BostpMA02111 TQ1,#617-727-4900 Qxt 406 or 1.-877:MASSA.FF Revised 5-26-05 F40 617-727-7749 =i r COhIIM�NWEALTH OF MASSACHliSFTTS _-_ AS AR'G JOURNEYMAN TELECTRICIAN ISSUESA EtABOVE$CENSE TO j SCOTT A M)-ACINT.IRE o MADTy6t f � X36 �SONCl ST :. AMESBU'RY�'� ,RgA;01913-3214 r 4 , 40658= E 0'7%'31/13 840807 - a � e 1 I• r`. i� . is It)/Vo 4v i4 1b.0 l rAn d lb4L 104f SHUUK HAHUY & BACON ljt 002/002 i -- S �100 , -z BaconLLp. X11 �1 www.shb.com �' Barna J.COener August 16,120112 �r}•�"J`fAv, 2555 Grand Blvd. Kansas City Mlssourl 84108-2613 bus 818.474.6550 Sent Via Facsimile: 978-698-9w r•� B16.66e.2432 DD 816.421.5547 Fax North Andover Building Department Cr/�,,,`, bcoaner®shb,com � 1600 Osgood Street North Andover,MA 01845 (! Re: FOIA Request )AI) Our Ref: AKRI.165087 h ZZ11-7,Dear Sit or Madam. D I This letter is to request a copy of the complete building file which your office has regarding the sprinkler system at the property located at 57 Peters Street, North Andover, Massachusetts. This includes, but is not limited Lo, LhC appy al of the sprinkler system following construction, certification for occupancy, p 'ts for modification and/or remodeling, change orders, citations, and all records and related correspondence pertaining to inspections of the building and sprinkler systein for code compliance. We will reimburse for reasonable copying costs, Should you require prepayme or if there are any questions,please call me toll free at 1-800-821-7962, extension 215 contact me at bcosner@shb.com. 11.7 ,L3 Thank you for your attention and cooperation in this matter. Very truly yours, W A) V Berna Jo Cosner, i Geneva Paralegal ; t� dYl Houston 10, Kansas Clry BIC:srj. 1 ' London Mlaml Enclosure Orange County Philadelphia San Francisco Tampa Washington,D.C. 5214062 Q ORTH t, 0" Of Andover0 *y .- -a dover, Mass.; T Q - LAK I`, COCKICMEwICK V 7,95 RATED BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D Z�r( BUILDING INSPECTOR 4 THIS CERTIFIES THAT........... dsi......(J./,4 ..... .e �.5 •••.••• ...... Foundation has permission to or t..............:..... .......... ........ buildings on .. ........ fie ....... .................. Rough Ch to be occupied as.... . . ........ ..... ���lC. -...... GG ...... .... �. �!� ..... Chi provided that the person cceptin this permR shall in every respect conform to the te� application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. - —& � lL. �( �.f' �--- - PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations*Voids this Permit. Rough Final u PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI T TS Rough :........................:..........:............... Service BUILDING INSPECTOR � Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. S � L } w a S SSACHUSf� . CER'T'IFICA'T'E OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 765 Date: August 31, 2010 THIS CERTIFIES THAT THE BUILDING LOCATED ON First United Methodist Church 57 Peters Street North Andover, MA 01845 MAY BE OCCUPIED AS a church IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: First United Methodist Church,57 Peters Street, North Andover,MA Building Inspector Fee: $100.00 Receipt: 3_1 �(� a' Andover Equity Builders, Inc. AA . 60,.7 Turnpike Street Andover North Andover, MA. 01845 A Proposal For: 11 s, enc:.:. BUII ur.home as if it were.b M Name/Addresss First United Methodist Church 57 Peters St. Phone# 978-557-0212 North Andover,Ma. 01845 Fax# 978-557-0213 www.AndoverEquityBuilders.com Date 05/20/2010 Estimate# 412 Proposal for Flood Repairs Description Flooring-Carpet-main level Flooring Subcontractor Services-to supply and install new commercial grade carpet as follows: -supply and install 118.13 yds of commercial carpeting-color TBD -direct glue installation -supply all floor prep and adhesive materials -supply and install 4"rubber cove base as needed Flooring-Carpet-level one Flooring Subcontractor Services-to supply and install new commercial grade carpet as follows: -supply and install 6.66 yds of commercial carpeting-color TBD -direct glue installation -supply all floor prep and adhesive materials -supply and install 4"rubber cove base as needed Flooring Subcontractor Services-install treads on main stairs Division 10-Specialties Sprinkler Work Fire Sprinkler Protection Services-Quality Fire Protection emergency services-invoice#72047(To make the original pipe replacement repairs to the damaged sprinkler feed) Fire Sprinkler Protection Services-Quality Fire Protection reset fire alarm and trouble shoot tamper switches etc...as follows -services from 5-18-2010 to 5-21-2010 Thank you for giving us the opportunity to provide this quote for you! Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above.Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date / /2010 **Federal Law provides you with the right to cancel this transaction,if you so desire,without any penalty or obligation,at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction,you may do so by filling out the following form and mailing it to Andover Equity Builders,Inc.,607 Turnpike Street,North Andover,MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of$ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. ..,.607 Turnpike Street Andover -North Andover, MA. 01845 48 T A Proposal For: ihl' � ; �o . p p..a Bu ldilig; pur.home as if it were o own. Name/Address First United Methodist Church 57 Peters St. Phone# 978-557-0212 North Andover,Ma. 01845 Fax# 978-557-0213 www.AndoverEquityBuilders.com Date 05/20/2010 Estimate# 412 Proposal for Flood Repairs Description -(5-18-2010)coordinate with N.Andover Water Dept.to turn the water on at the street for the sprinkler system;check all repair work for leaks- ok;open,clean&prep the dry sprinkler valve for reset;drained low points;will return to reset valve. -(5-19-2010)serviced the compressor&changed oil-tested ok;attempted reset of dry valve but water leaked past gaskets;gaskets were inverted and still presented leaks; ordered new gasket set. -(5-20-2010)disassembled and replaced all(3)gaskets on the dry valve;reassembled,reset and restored system with water;drain all low points; replaced both tamper switches on OS&Y valves damaged in flood;replaced gate valve on the main drain line;Fire Alarm panel would not clear on sprinkler zone-will return with fire alarm tech to restore system. -(5-21-2010)rewired all sprinkler devices to Fire Alarm Control Panel;tested-ok;cleared all troubles and restored FACP to normal: replaced 3/4"check valve that was defective. Miscellaneous Labor-meet Quality Fire over several days and assist with temp lighting and reset/trouble shoot of main fire alarm service panel and water turn on and secure the building. Division I 1-Equipment Division 12-Furnishings Materials-supply a new double door laminated/thermofoil kitchen cabinet in white with fillers as needed for the wash sink basin just outside the mechanical room. Materials-supply a new 5'laminated countertop for the above cabinet Materials—hardware for above(2 handles @$5 each) Division 13-Special Construction Thank you for giving us the opportunity to provide this quote for you! Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above.Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before'the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date_/_/2010 **Federal Law provides you with the right to cancel this transaction,if you so desire,without any penalty or obligation,at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction,you may do so by filling out the following form and mailing it to Andover Equity Builders,Inc.,607 Turnpike Street,North Andover,MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of$ for the deposit made be sent to: Name: Signature: � �� s.wn►nunw�arw► vi �-�a��ac,nu�oa,c� -------- --- ---� Department of Fire Services Permit No. 94%R BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [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 12.00 (PLEASE PRINT IN)7VK OR TYPE ALL INFORMATION) Date: —f•—/0 City or Town oh 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) T-7 Owner or Tenant1 ,ij `'�tB' Telephone No. Owner's Address 10 Is thispermitin conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building g Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters 96-1 8 1 Date..... `ng table may be waived by the Inspector of Wires. No.of Total N°RrM Transformers KVA 3?0`'��•D'',�°� TOWN OF NORTH ANDOVER Generators KVA ' p o. o mer gency Lighting gPERMIT FOR WIRING Batter Units D��iID•I�'��+ - FIRE ALARMS No.of Zones ss/1CMu5� No.of Detection and Initiating Devices This certifies that -0Y/� t� F No of Alerting Devices c4. .-............... ,,rr�� ""' No.of Self-Contained has permission to perform Detection/Alerting Devices Munic. ..................... wiring in:the buil 'ng ofA <<•` L G , --_ l - Local❑ Connection f. � Other S S................ rtt^/. • Security Systems:- at 2 No.of Devices or Equivalent ........................ ,North Andover,Mass. Data Wiring: Z.S Lic.No! No.of Devices or Equivalent Fee..1.4 ........... "' Telecommunications Wiring: ELECTRICAL INSPECTOR�7 No.of Devices or E uivalent Check tt =�'9�d� desired, or as required by the Inspector of Wires. icipal policy.) Work to Start: Inspections to be requestea in accoruanuo wiLu 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 thNIP ' and penalties of perjury,that the information on thi ap licat- is true and complete. FIRM NAME: cft LIC.NO.: `�� _� Licensee: iG� X�� Signature - ��� LIC.NO.: (If applicable, enLar "exem t"in the license number line.) Bus.Tel.No.:.Tif ArZ-4:c6Z Address: F'2., 9- Ute' /�i�-�L z.� !� Alt.Tel.No.: ! -- 3 915�-5D 3 *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 Owner/Agent Signature Telephone No. PERMIT FEE: $ Date. MQR,M TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING" ,SSACHUS� ' 'This certifies that . . . . r. has permission to perform . . . . .[ C A P.�t-a.If . . . . . . . . . . . . . rl plumbing in the buildings of . . . Jti.t f c l.�,h!�t . . . , , at . . . S. -2 . .Pr ( .,. . . . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee.C✓U. . . . .Lic. No./ . . . . . . . . . L.� ) -'�/ i PLUMBING PECT R Check p °) 3 8410 ' MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO I)O PLUMBIl�IG (Type or print) NORTHANDOVER,MASSACHUSETTS /�mrl�o/.5 C�4 pate f1 r G Building Location T> ('"ilwz=5 I Owners Name U)c') i b Permit# • - ,c� Amount e ofOccu anc New II Renovation Replacement Plans Submitted Yes No FIXTURES 0 w a orc rr ;W4 EH < H ra F A a A S03-- 2,- 2M FIBM �iFIlJCIZ 6'IHFIDCR 71SF1�OCR SIS FI�OQ2 Check one: Certificate (Printtortype) l orp. Installing CompanyName Address r 16`- G t'/ Partner. I Business Telephone Firm/Co, I Name o£Lzcensed Plumber: Insurance Coverage: Tndicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity. Bond I • ,Insurance Waiver: 1,the undersigned,have been made aware that the licensee of this application does not have any one ofthe above three insurance Signature ; Owner Agent El 1 hereby certify that all of the details and information I have submitted(or enfered)in above application are.true and accurate to the best of my1mowledge and that all plumbing work and in la pe rmed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massac s to ode and Chapter 142 o£the General Laws. By: zgna1cersecinumuer T e of Plumbing License Title - City/Town Licerig-e iNumber Master Journeyman D APPROVED(oFgCB USE ONLY _ - Date.. . . :/. . . . .. . . .. NORTH 3= °` TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �9SSAC HUSEt This certifies that . . . . f . . . . . . . . . . . . t.. / has permission for,gas installation in the buildings of .)5 f.j rf/.h! . .x!5.1. . at 7. . �?.S . . . !. . . . . . . . . . . , North Andover, Mass., Fee 60..0.. , Lic. o GASINSPECTOR Check-# C27 728.8 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING 00 City/Town:A j4PAvI� L MA. Date: � ' �` �d ---------------------� ---- Permit#--- Building Location:_J_Z_ 1 /2�' __� ------- Owners Name: 5 Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential ❑ New: ❑ Alteration: ❑ Renovation: ❑ Replacement: 9--' Plans Submitted: Yes❑ No❑ FIXTURES Ui w a Q to to U x 1X11 = O w w0 N H O = X W O z Z O wWompix W p LU X W H W Q Lu W Z O = N 0 W w lY x LL , Z V in W Z U' 'j H 1— O z J (7 tL N x Z W W LU O lY = Q W W m w O z 0 N >uj z x v o o w C9 O x x -j O Oa oOC > > > p SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR —3'Y--FLOOR ' 4 FLOOR 5 FLOOR 6 FLOOR 7 FLOOR --8T--FLOOR Check Installing Company Name: One Only Certificate# _f.�-�}��l,.yC.�--L"�1"� ❑Corporation Address:�1�B�p�v� _,S�- City/Town: /� DUgfL �j/� - -1-=��_______ State: ❑ Partnership ______________ Business Tel: �2�����33 ---- Fax: __ ------ ---- _ s ❑Firm/Company -------------- Name __________ _Name of Licensed Plumber/Gas Fitter: J L FI- fur G 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 0---- Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only ---------- r:Wr-----------Wt- Owner ❑ Agent ❑ Si nature of Owner or Owner's A ent — By checking this box❑;I hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By---------------- ------ Ef'Plumber --- --------- - -------------------------- in--------------- ❑Gas Fitter Sign t r f Licensed Plumber/Gas Fitter [- -Master CitylTown......................... ❑Journeyman APPROVED OFFICE USE ONLY ❑ LP Installer License Number: Date. �0. . . . . r 00R':�tic TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUSE� at. 01, This certifies that . . . . . . /��f. . . . . . . . . . . . has permission to perform . . . . . . r�C.. tX /. . . ® . . . !5 �. plumbing in the buildings of . at f . . . . . . . . . . . . . . .. , North Andove , ass. Fee.30 �`L//ic. No./Y . . . . . ., . . . PLUMBING INSPECTOR Check w F' 8358 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: N &2 ,MA. Date: f — ��..�,r /0 Permit# Building Location: .�7 j��J X25 _ Owners Name:FaSTu 1 - T Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional❑ ResidentialEl New:❑ Alteration: ❑ Renovation:❑ Replacement: Plans Submitted: Yes❑ No El FIXTURES DEDICATED s z SYSTEMS Uj z O n > Y V z N = N W Z d W z ►- Y a ut Q Q 0 C ix Q OC W Q 3 N 2 N Q LU M F— W Z F- %n 2 O z V/ W H p Q N D Q z o}c Q �a rx 0 ._ 3 3 W. ~ 3 O Cr X U.3 W G W to J Cr OSS 0 X cc W W = V ~ H H O ~ V > > O 0 z z Q Q Q = f7 VI W Q Q m m o o LL i x g g N ® 3 3 3 0 a 3 SUB tiMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4T"FLOOR ST"FLOOR 6T"FLOOR 7T"FLOOR 8T"FLOOR installing Company Name: CAILAAAA) gTt Check One Only Certificate# ,c, corporation -C), V6 Address: � �L�[oN� S� City/Town:1y_./-}UPQlJ _ State: PI/ ❑Partnership ------v----—__ Business Tel:!�,k �����..� � Fax: ❑Firm/Company ----__ Name of Licensed Plumber: t tF— 9P--'( INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 Yes ETNo❑ 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 --------------------------------------------- Owner ❑ Agent ❑ Signature of Owner or Owner's Agent 1 hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 1 f the G al Laws. By--------------------------- Type of License: Title___ ---- ----------------------------------- [dumber Sign u e f Licensed Plumber City/Town -- B-Master /���� APPROVED OFFICE USE ONLY ❑Journeyman License Number: / i Date...... ......... /f� NORTH 4,,pL TOWN OF NORTH ANDOVER p PERMIT FOR WIRING 0.1 SSACMUS� This certifies that 1�. �T° /�2 �P�fE Q..... .............................�.. /......................... has permission to perform ..!. 6 .......... wiring in the building of r! STUF`�� /'lames% ... ......... at....... .. 2�s.......S T'...................... North Andover,Mass. II o co Fee.t.2 ... Lic.No...'.6.�774............ .. ....... ..........�.... .......... LECTRICAL INSPECrTOR Check # S3 `y,C Commonwea(tfc o� a4�achu�e Official Use Only wo PermitNo." � cc�� cc77 ; e(Jeparf<merch �ewccej Occupancy and Fee Checked BOARD.OF FIRE PREVENTION REGULATIONSOe -blank). APPLICATION FOR`'PER`MIT TO PERFORM ELECTRICAL WORK All work to be performed in'accordance wjtN the Massachusetts Electrical Code C),- ;27-CMR (PLEASEPRINTIN K OR TYPE ALL INFORMATION) Date: C><ty or Town'of ' 1q -lQ -- l/ . : ' To the Invn of Wires. By,this application the undersigned rues ice f his or her intention to perform"the electtical.work described below. - �^ Locahon'(Street&N Ger Owner orTenant' ;cvj� �. ' ��¢ d� �- . Telephone:No. Owner's-Address Is this pertnrt m conjunction with a building permit? , Yes No "Q (Check Appropriate Box) Purpose o p f Building..'.. tUtility Authorization No Existing Service: Amps >.; / Volts . :+ Overhead"Q Undgrd 0 . NO.L of:Meters New Service Amps ( Volts Overhead❑ Undgrd.0 No.of Meters Number of Feeders and Ampacity Location and Nature of Eroposed Electrical Worker letion o the ollowin table na be"waived,b ;the Ins eclor o Wires, No.of Recessed Luminaires No of Ceil Susp (Paddle)Fans: NV Total Transformers . KVA No.of Luminaire Outlets No:of Hot Tubs` Generators'; KVA Above Ino omegency tNo.ofLuminaires Swig mg: rnd. rnd. . _ 'Battery Units No,of Receptacle:0utlets . No ofAl Burners FIRE"ALARMS No.of Zones No.of Switches No.of GasBurn6rsoiof..Detection:and I'itiatin Devices Total No.of Ranges No of Air Cond Tons No of "Alerting Devices No: of Waste Disposers Heat Pump umber Tons KW D.of elf-Contained Totals. Detection/Alertin -Devices No.of Dishwashers Space/Area Heating KW Local Municipal; [] Other Connection No.of Dryers Heating Appliances Kms, Security.Syystems:* No:of Devices or E uivalent No:of Water . No 0 ". Heaters ;. KW o of Data Wirin h, Si ns Ballasts 'No:of Devices or Equivalent i Telecommunications Wiring: No Hydromassage Bathtubs. N.o 'of Motors Total HP No:"of Dcvicesor Equivalent OTHER: Attach additional detail if desrred,oras required by the Inspector of Wires. Estimated value ofE -77 lecttical 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 perfotmance`of electrical work may issue unless the icensee provides proof:of,habilty msurance,includmg"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`acns and penalties of perjury,that the tnformataon on ahts,dppltcatioti is true and complete. FIRM NAME LIC.NO.: Licensee: Signature. LIC.NO.: ��(��l4 (If applicable, ter "exe pt"in the"licerise number l' e.J. Bus.Tel:No.: 11 Address: d )leri� 3 Alt.Tel.No.: 4`79 tf�'r lF, *PetM G L. c 147, 57-61securityworkregwres:Department of Public Safety"S' License: :Lir.No: OWNER'S INSURANCE-WAIVER:.I am aware that the Licensee do"es not have the liability insurance coverage normally required bylaw ,By"my signature below,I hereby waive this requirement, I am the check one []owner ❑owner's a ent. . Owner/Agent Signature : Telephone No,,.,.. PERMIT FEE: $ L q Er f r Date.6W�6. . . "oRTM TOWN OF NORTH ANDOVER * i PERMIT FOR PLUMBING 4 r„ �SS�cNusE� j This certifies that /�/. . G". .!�fir. . . has permission to perform plumbing in the buildings of .�!!' �. . (/.j^. . !°U' ..al'C�t Ilvi at . . !.�! g . . . . . . . . . . . ., North Andover, Mass. Feee.-?.f5.00. Lic. No./3. a4? . . . . . . . PLUMBING INSPECTOR Check # 7.5 8.641 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) T _ Mass.. Date ,j 20�Permit# -- Building Location Owner's NameI IT� _ Owner Tel# ------Type of Occupancy--_w1 _ — -- New ❑ Renovation ❑ Replacement ❑ Plan Submitted: Yes ❑ No ❑ FIXTURES w ; o z > a W x H z o U z PA y w a w z I" � O .� a Q W n: � � � � A � 0 F P4 .7 W � �j � rn Rei F d u H U H 0 _ r"x„ H 0. O a d O 3 o g 3 x H s a A x 101 1 SL1 - MT BASEMENT ' 15T FLOOR 2ND FLOOR ' 3RD FLOOR 4T"FLOG STH FLOOR 6Tn FLOOR 'M FLOOR Tn Installing Company Name 04LAI AiU A-e t-1h--6, Check one: Certificate Address _ &trporation i_ff�6_ _ ` ' El Partnership -- Business Telephone# ��� '��3 ❑ Firm/Co. Name of Licensed Plumber L } k y s INSURANCE COVERAGE: I have a current li, -ity insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 0_ No-❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. A liability insurance policy 9___ Otl'.er 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. Cheek one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent — I hereby certify that all of the details and information I have sub `tied(or entered)in above application are true and accurate to the best:of my knowledge and that all pluntbing work and installations perfor49,�e /n, for this application will be in compliance with all perl.inent provisions of the Massachusetts State Plumbing Code and Chapte Plum ------------_-_... Title City/Town Type of License:Master Eao-- Journeyman 13 APPROVE License(OFFICE USE ONLY) License Number Date. . .�� .��. . . ... .. NORTH 3� TOWN OF NORTH ANDOVER p 9 0� ; PERMIT FOR GAS�INSl,,,,ALLATION g 9S SACHU5ES This certifies that . .(.jlej// . . . .IY n Lel J/ has permission for,gas installation . . . // ,... . . . . . . . in the buildings of pvo/01.".X:'.T . . . . at .7. . .Jar! . . . .-�f. . . .. . . . . . ., North Andover, Mass Fee (J�-' Lic. No../.5.d ! . . . . . . . . .,l f1.�a_.�... .. . .'' . . GASINSPECTOR Check# 7248 MASSACHZ"Wrer-f--, S, NIFORM APPLICATION F R PERMIT TO]DO GASFIrI I'ING Mass. Date20/0 Permit 4 uildin�Location Owner's Name t e T=/3 ;�� FIt4� lle�'d��� CI(r�/yo,q d 7 I kTE/Z S `S% Type of Occupancy C'v!ti/Y. NeW ❑ Renovation _ / ❑ Re.lacenrent C� Plans Suhzrutted: yes❑ No❑ v� U vj V) u" vi va x Cn ro � U `� � � � a08w > � 0Oot � O PO H Ca O ,� SLIB-Bf1Sl..MENT ' BASEMENT � F'11Z5'I'(1ST).FLOOR SECOND(2ND)FLOOR THIRD(fd—))FL(70R 1,OUK11-I( 4'1-H)FL0(--)R FIF' (STH)FLOOR S1XT.I4(G114)FLOOR S] VENTH(7TH)FLOOR E1C;I:I`:CII H)IL J'LOO:C� Insf,illin,C`c�napam .Name r ,r l'_.. 11 Check one: Certificate ��i (3 Corporation business'Telephone Name of Licensed Plumber or Gasfitter — Y o [IPartnership ❑ Firm/Co. INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGI, Ch. 142 yes p....._...... No❑ If you have checked yqs,please indicate the type of coverage by checking the appropriate boa. A habilitl 11-LAu'ance polio ❑~'" Other type of irrcienuut\- ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance covcz-agc required bl'Chapter 142 of the MGL,and that my signature on this permit application waives this requirement. tiicnattire of()X\ner or(7A,"..'s Agent (:hvuer ❑ Aperlt p 1 hereby eertily that all of the details and information I have submitted(or entered)in above application are true and accLu-ate to the best of my knowledge and that all plumbing work and installations performed under the pczlnit issued for this application will be in compliance with all pertinent provisions of tl -.Massachusetts State Gas Code and Chapter 142 of the General Laws. TypeoPLicense: 3y' Title City/'1'o��tz L7"i'Irumber Caster Sigi'ia( �of Licensed lumber/GasliUcr APPROVED (OFFICE tJSE ONLY) ❑ Gasfiucr p Journeyman License Number i i i Date....y.. �..-. .... NOR71� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ACMUS� certifies that co r" 6Y-Sri E This ................................................................... ......................... has permission to perform E/�p... ...��.! GZ! ....... .....`/l.......... wiring in the building of...........'..:..Zs.T-.Ulv„!!.....1�.�� i %�......... ..�rS....P�� ...... -...................... ,North Andover,Mass. E 3� a.... ..�LY: '.1�... . f� ............ Fee � �' Lic.No. F � / .� ELECTRICAL INSP�Ci'OR'� Check # Z h� ✓/ 9370 Clenownwea&of Mamachudeffi Official Use Only cc�� Permit No. 2epart`.d ol.}cc77 ire sewim / Occupancy and Fee Checked % BOARD OF FIRE PREVENTION REGULATIONS [Rev. ]/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Co, e(MEC), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: N' I 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) �� z 5 Owner or Tenant Yi V,,5�- V�,��C MP.�'��.�� Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑. No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Und rd g ❑ No.of Meters F Number of Feeders and Ampacityll-- Location and Nature of Proposed Electrical Work, 4 � t �..:r.� i7Z � i 1�•�- v Completion o the ollowin table iiiay be waived by the Inspect oro f 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 Swimming Pool Above ElIn- ❑ o.o mergency Lighting rnd. rnd. BattepLUnits t No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches N No.of election and 0 .of Gas Burners Initiatin Devices No.of Ranges No..of Air Cond. Total j Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Num ,er..Tons KW o.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW : Local Municipal Connection ❑ Other No.of Dryers Heating Appliances K`�, Security Syystems.* No.of Water No.of D evices or Equivalent No.of No.of Da€a Wiring: Heaters KW Si ns Ballasts No.of Devices:or E uivalent Telecommunications Wiring. i No. Hydromassage Bathtubs No.of Motors. Total.: g No.of Devices or Equivalent w OTHER: , ' ti • _ _. ' fit, ,x��a �a Attach additional detail if desired, oras required by the Inspector of..Wires -_ ? Estimated Value of Electrical Work: '' (When required by municipal policy.) `Work to Start: f Inspections to be requested in accordance.with MEC Rule IO,and upon completion. 4> INSURANCE COVERAGE: Unless waived by the owner;no.permit for the performance of electrical.work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that suc co v rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND [ ❑. OTHER ❑ (Specify:) < ; I cert, under the airs and a hies of perjury,that the information.on this application rs true and complete. FIRM NAME:_LeG�L°C-tA LIC.NO s Licensee: ti + . �+ C�}✓1 L, Signature' LIC NO (If applicable, Hier "e �p�t,'�jn t Bus Address: O�G`7�' Alt.Tel,No.:: 7 dS,� *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 liabilitymsurance.coverage normally required by law. By my signature below,I hereby waive this requirement: I am the(check one []owner [].owner's a en Owner/Agent A Signature Telephone No. PERtYIIT"FEE• i $ �. �4 ��- �� Y Date... .. .l .... �` 4 NORTI, TOWN OF NORTH ANDOVER O PERMIT FOR WIRING • S r "°+,..o•i''`ts AcmU Thiscertifies that ....................... ............................. ........................ i . has permission to perform ..... .. � 1,� ... ....... �%/ wiring in the building of..1�1.??S. ............ . at......:5. .7... 5 T' North Andover,Mass. ... . Lic.No.� 77. ..... P2— Fee...11-2.-.5 !/�r..°'!. ...... .. CAL INSPECTORU (� Check # Sz v '.� 9336 Commonwealth of Massachusetts Official Use Only Department of Fire Services FPerfnit No. BOARD OF FIRE PREVENTION REGULATIONS ancy and Fee Checked 07] (leave blank APPLICATION FOR PERMIT TO PERFORM All work to be performed in accordance with the Massachusetts Electrical CELECTRICA.00WORK (PLEASE PR 7flV LVK OR TYPE ALL WORW TIOA Date• 1a l0 City or Town of: NORTH ANDOVER By this application the undersigned , To the Inspector of Wires: gn gives noti of�.or her�tention to perform the electrical work described below. Location (Street&Number) PE b62 Owner or Tenant Owner's Address Telephone No. Is this permit in conjunction with a building permit? Purpose of Building Yes No ❑ (Check Appropriate Box) 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: V _ A Com lefron of the ollowin table may be waived b the Ins ector o Wires. No.of Recessed Luminaires No,of Ceil,_Susp.(Paddle)Fans Noof Tota! No.of Luminaire OutletsTransformers KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In_ o. 113111''[11,15 d• d. Batte Units g No.of Receptacle Outlets No.of on Burners . , No.of Switches F�"E�S No.of Zones No.of Gas Burners o..of Detection and No,of RangesTotal InitiatingDevices No.of fir Cond. No.of Waste Disposers eat p Number ons ns No.of Alerting Devices Totals: --s . o.of a f-Contained No.of DishwashersDetection/Ale rDevices Space/Area Heating KW Local[] unicipal No.of Dryers gA Connection Other Heating PPRances KW Security Systems: 1111.of Water Heaters KW o.. of No.of No.of Devices or E uivalent Si s Ballasts . Data Wiring: No.Hydromassage Bathtubs No.of Devices or E uivaient g No.of Motors Total HP No. Wiring: f OTHER: No.of Devices or E uivalent Estimated Value of lectrical Work��_60D Attach additional detail if desired, oras required by the Inspector of Wires. Work to Start (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no the licensee provides proof of liabilityPermit for the performance of electrical work may issue unless 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 I certify, under the pains and enaltes t ❑ (Specify.) FIRM NAME. p fpm'ury, at the information on this applicatmn is true and corn Tete -�s .g blC `sc,� c�oA Svc p Licensee: N LIC.NO.: v (If applicable, ent exem to the license number li Siguatur LIC.NO.: Address: Bus.TeL No.:Cook �i g 1 [ t *Per M.G.L c. 147,s. 57-61,security work re quires D �� Alt.Tel.No.:4�8 y13 r to S OWNER'S INSURANCE W q Department of Public Safety"S"License: WAIVER: I am aware that the Licensee does not have the IiabiIi Lrc.No. required by law. By my signature below,I hereby waive this requirement. I am the(check one) []oy�,ner coverage normally Owner/Agent Signature ❑owner's agent. Telephone No. PERMITfO�r U� i Q `� 1 J -��Grr-� f� �/i�-l'L� �, �� �����ld �. �: r The Commonwealth of Massachusetts i J� Department of Industria!Accidents # ` J Office o Investigations atta ..C,, .f g ns M;+' f 600 Wirshin,Qton Street Boston, MA 02111 P Www news,ov/dia Workers' Competesation Insurance ormatan AffidavitBuider /Cnractors/EiectriciaA licnt as/pf ambers Please Print LeQibl Natiie(Business/owization/Individual): I ° Address: City/State/Zip- Phone 9. . Are you an employer?Cbeek.the appropriate box: 1•Q Iamaem 1 Typeemployer of prej�t(regained): 2•Qemployees(full and/or part-time).* have hired the sub-cofactors 6. E]New construction I am.a.sole proprietor or partner_ Iisted on the attached sheet. 7. ❑Remodeling ship and.have no employees These sub-contractors have working far me in any capacity, workers' comp.insurance. S. Q Demolition required-]workers'comp insurance 5. ❑ W ee are a corporation and its 9' Q Building addition w officers h I0. have exercised the' Electrical I am a homeowner do' m Q '�repairs or additions mg all work right of exemption per MGL I I J7 PIumbing repairs,or additions rgyself. [No workers'comp. c. 15Z §I(4);and we have no .� insurance required.]t employees. [No workers' 12,Q Roof repairs Any applicant t shat COMP. insurance,requirad) I3.❑.Other checks ba#l must also fill out the section below showing their workers'compensation policy information the who nnbmit this affidavit indicting they are doing all wo*and then hoe outside con Ol1Dn that check this box musrattached an additional sheetsho moors�submit a new affidavit indi wing the'UM of the s,tb.ct,r�r�ctod ft�s..::� cWa6 such. I an an employer that is pro"nng:workera'co information. mpennsadonx 'rrsurance for my.enrtployem below is the policy mod job site Insurance Company Name: ' Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: Attach a copy of the workers'coat City/State/Zip: pensatiion 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 trim' nal fine up to.$1,5D0.00 and/or one-year imprisonment, es of a Of up to$250.00 a da P onmenti a well as civil penalties m the form of a STOP WORK ORDERanda fine InvestigationsY Afar insurance violator. ra advised that a copy of this statement may be forwarded to the Office of of the DIA for insurance coverage verification. i I do hereby certify under the pains acid penalties of perjur3' that the intfnrmadonrov' p cried above is tnue and coned 5itmature: ' Date.- Phone 9- Official use only. Do not write in this area,to be complete[by cbj or town officio( City or Town: Issuing Autho Permit/License# tiE3'(circle one): I.,Board of Health Z. Saiidirtg 6.Other ct PersonDepartment 3.CityaOwn Clerk 4. Electrical Inspector S. Plumbing I r � Conte mpecto : Phone#: i Date. . 7. .... . s� I i NORTH pE 4��ao ,^1ti0 0� °p TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �9SSACNUSEt� This certifies that .. . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . in the buildings of . . . YI..f: at . . ...5. .). . .l'�. � G. y. . . . . . . . . . . . . . . .. North Andover, Mass. Fee. .?.!—.-. . Lic. No.. ....?. . . . . . . . . . . 7. . . . . . GAS INSPECTOR Check## 5881 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date 124-16 `7 NORTH ANDOVER, MASSACHUSETTS ' Building Locations S` �`��-�L� Permit# Amount$ 2 — Owner's Name /1LZ� il`�:+✓ C New D Renovation Replacement Plans Submitted x z F a a v w o U m x z z z H w wa wx x w 3-!t z G zW o -t w 0: 41 0 z O A aw Qo x z > SUB -BASEM ENT B A S E M ENT / IST. FLOOR 2ND . FLOOR r� 3RD . FLOOR 4TH . FLOOR _ 5TH . F L O O R 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) / / o Check one: Certificate Installing Company Name �' V /Gi�P J G�� ® Corp. Address ���X ��2� Partner. 0 !/-f A4=1 j) -Z Business Te ep one of �� l_ ZD ©'Firm/Co. Name of Licensed Plumber or Gas Fitter /3 d zo /9'/ INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 1 NoO If you have checked Les,please indicate the type coverage by checking the appropriate box. Liability insurance policy D' Other type of indemnity 1-3 Bond 13 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ® Agent 0 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 f r this application will be in compliance with all pertinent provisions of the Massachuse S to Gas ode and Cha ter 142 o e General s. BY Signature of Licensed PI Plumber er Or Gas Fitter Title _ City/Town [] Gas Fitter License um [3—master APPROVED(OFFICE USE ONLY) Journeyman .. .• Office Use ullP Crum multi of Mus Permit No. 4 t arp mrw of Public %fL2g Occupancy A Fee Clocked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 m0 peave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK W. All work to be performed in accordance with the Massacnusetts Electrical Code, 527CMR 12..00 • (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date � ' � � / `•, '5; or Town of NORTH ANDOVER To the Inspector of Wires, The udersi ned applies fora permit to perform the electrical work described below. Location (Street Number)b r7 6I — l Q s s Owner or Tenant LJ /y L1 ZY j p T— c 19 z)/�c : Owner's Address ol J J Q I C Is this permit in conjunction with a building permit: Yes _ No "� (Check Appropriate Box) Puroose of Building Utility Authorization No. Existing Service Amps Volts Overhead ;_l Undgrnd ❑ No. of Meters New Service Amps —J Volts Overnead _ Und rnd g � No. of Meters �• Number of Feeders and Ampacity Location and Nature of Proposed Electrical Wori< ���" SEpEAT'C f C r iJl i Sy NVEnGko Jf X12©Dy - crfv e tr-T-C, 17 C3( 7_57 OG CXC5S - 67-00Z-FPONGChgl�6-L T0.rool- -5?#F,�� No. of Lighting Outlet I No. of Hot _cs I No, of Transformers Total KVA Above.— In- No. of.Lighting Fixtures I Swimming P^oi I" ' grr.o. _ grub. Generators KVA No. of Emergency Lighting, ' No. a1 Recebtacie Outlets I No. of Oil Eurners I Battery Units b' No. of Switch Outfets I No. or Gas turners FIRE ALARMS No. of Zones No. of Ranges I No. of Air C.:rc. Tota' No. of Detection and cns Initiating Devices NO. of'Ois003als I No.of Heat To:ai dist Pur-cs :ons KW No. of Sounding Dwices No. of Sort Contained No. of Oishwasners I SoaceiArea Heating KW OetectioMSoundinq Devices No. of Oryers Heating v Devices KW Local '_ Municibat ._ Connection Other ,I No. of No �)r Low voltage No. of Water Heaters KW I Signs ?ailas:s Wiring :i No. Hydro Massage Tubs i I No. of Motors Total HP r OTHER: t• INSURANCE COVERAGE. Pursuant w the reouirements or %iassacnt secs general Laws I have a current Liability Insurance Policy inclubing C:,m^:eiec Ocerations Coverage or its substantial equivalent. YES- NO li have suomittso valid proof of same to the Office. YES NO – If you have cheCxed YES. ease inoicate the is – y P! type by,° 1 checking the aoprooriats box. :. tl INSURANCE BOND = OTHER = (Please Scec:Nt) Estimated Value t E!ectncal Work S (Excitation Oatei ; �-e?� i9 GvIGC Work to Start Inscecaon Date Racues:ec: Rough Final Signed under this Penatti s ofperjury: C P,�� 43 i'1'?79 61/ FIRM NAME ' Licensee S' C. NO. '. n7 (� p� 6_' A�d� A 1 S;;gr.a:ure �+( �5 1 / C. Address ! I aI t 7-,6tNO -TT-01 tW. y I y 3 Bus. Tel. N 11 L 7 /1P 6� Alt. Til. 40. OWNER'S INSURANCE WAIVER: I am aware that.the Licensee ^_oes not nave the insurance coverage or its substantial equivalent as rw ` quires by Massachusetts General Laws. ano that my signature on ^.is permit application waives this requirement. OTIAr Agent (Please check onel' l Taieonone No. PERMIT FEES (Signature of Owner or Agents c Date-A .. /0'7 :p LA 1223 TOWN OF NORTH ANDOVER O ,^ PERMIT FOR WIRING +. - 9SS^CHO A ` This ` certifies that 1-.'e 4?..i .. .C .............. ......... has permission toperform .... ° A c $ wiring in the building of..... h.`. ......�. ............... at.. .. ' -.. /�5.....5t................................... ,North Andover,Mass. CU s. Feef-3.0.......... Lic.No..al N ................................. ......... ELECTRICAL INSPECTOR O cc(.$ - WHITEN Applicant CANARY: Building Dept. PINK:Treasurer q7 �' _ Office Use arty o / I szl# Ztt Permit No.131 / T u�I>' �,tIITIITIIIIIllIP��I IIf � A Gccu anc & Fee C.iecked �• (,'� ISO (leave blank) BOARD OF FIRE PREVENT[ION REGULATIONS 527 C'dR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance N' ith the Massachusetts 'Electrical Cade, -427 CNIR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date l or Town or NORTHiP�VER To the Inspector of wires: The udersigned applies for a permit to�perfarm the e.1/e_ycttriiccall work described below. Location (Street & Number) _`-� F / `/z5 s Owner or Tenant C,-vner's Address Is this per in conjunction with a building permit: Yes Na (Check Appropriate box) Par^cse of Suildinc Utiiity Auth,cnzation No. Existing Service Amos _J t/Gi'S Overread _ Unogrnc Na: of deters New San.ice Amos _J Jait3 Overhead Uncg'na �_ No. of Nteters Numcer of Feecers ana Amcacity L ccaticn anc Nature of Prcposed Eec*,nC2-1 "lcrx j Total 1 No. of '.ignang Outlets I No. Z. T �s No. of ranstormers K a l ` � I shover– tn_ _ No. ar,Lic�httng r xtur Swimming Pict Brno. _ cmc. ! Caneratgrs KVA i I Na. at Emergency Lighting Na. t =ecea[aCte Outlets No. Cf Cil �urner5 ; 3arery Units i No. ai Switcn outlets No. ar Gas =urners ` r--RE .ALARMS No. of Zones - { Total No. at Detection and. No. ai Ranges No. cf Air Can,c.. tons I inittaung Cevices Hezt TTata' Ne. of Oisoosals I No.ar crai N ?+__s Tans KVJ o. of Bouncing Cevices APR 9 190 i No. of Sett Contained No. ai•Zisnwasners - SeaceiArea Heating Kt's Oetec::onrscunaing Devices IL — Municioat ^-Other No. of Dryers Heaana Oev:ces coat Kvv _ Connecaon No. or Na. ai. i. Law icitage No. of'Water Heaters KVJ 1 Signs Sailass wir.na Na. Hvaro Massage Tubs i. No. of ?Actors Total 07HEF ��- LC �( �� Vic; G(244�-�., INSURANCE CCVEPAGE: Pursuant :o mereauirements of massacnusacs ;er,erat Laws NO' = I have a current Liabtiity Insurance Poticy inctuctng C tea Ooerattens c–zveraae or ;ts sucstanaal zauivateht. YES nave suaminea valid groat of same to the office. YES NO � It you nave c. tec YES. ;:teaseineic3te :he ty. o average cy cnecxtng the alar anate oax. INSURANCE / SCNO = OTHER = I,P!ease Pec:yj (F_aotracton Oatei Esttmacea Value of E!ec:ncal Work S Wcrx :a Start Inscec:tan Oate,Racuestec: Ra gn gnat Signea unser the.P=natttes ou 1 �jV" [ UC. NO. / / =iRM-NAME UC.�^ ? j Li � censes L �� Signature N . •s/�f?T�///7 LfT'/��/////-���(l/�� //////��...� /'1 � (E Bus. Tal. N o. ACcress f `P/ V ti `—�E�""�� (�d f�Jc Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware :hat the Licensee apes at nave the insurance coverage of its suastantffil eCtttvalen�t e5 te' au.reo 3V Massachusetts General Laws. Ana :oat my signature an :n:s aermit acaticadan waives this res Utfem ent. Qw�/0 ®� I,P!ease cecx one) etecncne No. PERMIT PE_ S iSigr.ature of Cwner ar Agenn `J'"' .7`� � ...`_.'rte`^'"_..-..�,'r�,,,.,w-v+,...���.;rr.�y;:r.,`,,.r.,;`.,r v ��-•u �� . - Date...... ��... .. ... " ;,fl 863 t NOR7M, TOWN OF NORTH ANDOVER OL F 9I PERMIT FOR WIRING ,Ss4c USS This certifies that ..... .U\�� . (.MSA...:C A has permission to perform ........` . .� E.L .. ...... . .... ....................r."............. wiring in the building of.....15.t. �. .M .�. .. 1n u r 4v t............ . ..... .. .... at .. ,�r .7......'�e5...�J#................. ,North Ando r, ...... .. 4 c r Fee. .0.. Lic.No. -...�.: .. .. ....... 1' .... I�nLECTRICAL INSP CI'OR 91.00 pRID 10:4 WHITE:Applicant CANARY:Buildi ep. . PINK:Treasurer o 1 Ok ti 19 gw" fix . F - rr nay `+,�'.,.� `' �. �• � Raw tt', •, ..; 401 �• a'' s ccs, as^ -yrn .. ., `' r '° ca y. vqi R ta •'' i .aye OWN s• s a s yy - 14 � s 3 h Concord Elevator's PROLIFV is built for yF rITO, continuous, reliable performance,incorporating f A the structural strength of the .� building with dependable, f >° hydraulic power, heavy- gauge steel construction t and solid state electronics. The PROLIFT°can quietly �. WN and efficiently serve from �r 2 to 7 staggered landings. ry ` Concord Elevator's ' f PROLIFT®is manufactured "n'" to the exacting standards of ffi the elevator industry and provides a lifetime of ° dependable service. Ideal W4 for both Commercial and OCT 21 1993 Residential applications. s T . 4011 r AR Ar URES' )LIFT, F E#,T, ---on" 'P�� � �� Technology ogy ���� ��.0 "".=~°� �����O�~°"e CONCORD'S Special Elevating Devicmuethe affordable solution totoday's ban �io, moaonoao requirements cfmuki'|ovb|public buildings. Developed mconjunction with the International Year n,the Hu . dependable unit meets the demand for low cost vertical transportation for the physically The p*uuF/Oincorporates ISr proven elevator technology '''~'~~^`'```^'~~^~~^''~^`'~`~'~ Safe, uopowde�� ono|ovam,gu�omi|owmum� --'` -- �,�,�cpowe,ouppm,uuyo famonodtomobi|din structure. ~ easily located,power A'''-----'- ' ''~^' offers simplicity and economy' mr vertical - - - c�� light "mushroom" h~ head unit.puxnvmmn,onmxxaov�u�mot��u' n�nimo|pit6o~`hund nm special - --' at ene00000��h�o'for easy overhead clearance;easy systeminoluoeothn 'fluohinokde' operation.Adigital floor indicator installation with only single phase o�wm�e�m�mormoo��mrm power m �qu|nou - i mm)swing clear entrance, door mnhmwrway. complete with vision panel, and DESIGNED FOR SAFETY concealed type owe/-'-- �u CONTROLSs~~~d~p~'E~'~p~~' designs f door opener and a concealed ° Key controlled constant pressure p~~~~''»~' ~'"`"`"'"' ^''"^have been inuse for decades,the variable speed door closer ° Floor selective operation with digital floor indicator incab and PROuFr»"'"=' incorporatesSAFETY FEATURES oxentrance ways mdisplay the smooth imuwe" a"=^ ^""^""'°`"",""""p"^= °Amivmepdevice mo�ionmmocab wumnmo "flush ~^''~^^~' ~^'e~~ ~ oownopoou'limiting flow control xniswvay 'safe �'i wh�»mo �o --' '' valve Provided with printed circuit cab travels.The open-end cab o Upper andlower limits ~~ umugn��m��ouuoummvoo ° ��k cable ----`~-~~~`'-'~^'``~~ using m|' ---and � mcoa»| u control pano|h,,oasyaomiuo mobility onyo,auno) °Optical scanner floor selector -- wheelchairs. -Travelling nuoo�� ° Emxo�-x~' |�m,ingvalve� oomm|for q~ i� operation per minum(u1om�).mi�vmuux pump ~~ indicate ridingcab, ----- ° --~ battery � floor selection comfortable barrier-free access homg�do�vo automatic recharging '� � lift indown direction from inside ENTRANCE FEATURES Moob0ft Option shown � the cab inommofbui|dingpowo, ° 2Hou,UUUuCfi,om�dUun� vV|osn4m���F OPTIONS AVAILABLE *yoR»uuC OpT|OmS ' tai|un» entrance assembly °Convvrd Elevator has ustandard ^ |mmnad � ° Emergency�urmand au*om� �i« ° � ngo�anonoxp000dhou"y 1 2 b| ° Somihu| |ooa mcar*m»�»»«y|�hV»gi» duty�oo|hinges a`~ cable ' * event °Aummmiopowo door operator »«mnmnu synchronized °---- concealed indoor frame telescopic�y|o�$onunit. T»*»*am*o in designed»«���ST�FFC|smT °�umumn- - utilizes pulse° ustage telescopic DESIGN FEATURES width modulation �� m,joboim|o�miono~»on,mo onxo,aonu ' ° 3stage to|0000pio ` ° Minimal space aUuc�ion and o�u�ab|ospeed oomm| ma«x»'h«|*i»»«»d»dbu� - ---- ----— inadvisable. " Nvouonomcxa|oon�iono^ and p�voumuonumvu sggnnm*o= ceiling PERFORMANCE ° Load bearing»»pit««»' ° vm,iamespeed cono°�*udoor ° Rated i 1�OO| � °Optional| i of o|oue, Car gate manual o,powo ' °• maximum tna�|:5O'o^(may uo h «memmu(Re»id«mia|v»i� »» |� ° Aummaduoonnd(Roodonh�n hodby|ooa codes) ° - - - � ^ n. visible ° Somonup to seven °A|uminum pushplate,door units only) ° 000�o|mU"'=side �x ° Speed:oo/ (nominal) °on'moverhead c/earanuois handle and kick p|moo ""p^= ° cone�npmooureUooroo�oUvo required* ° Integrated mg � | atinnonuuigmd only)in stainless = ° """"= control ° 1ooecable dnuunreaches mmpooiounindiomTelephone pbn"�''"""" ° Smooth stops and starts and greater heights a lower costs frame °4Oft.per minute with quality ride due vohyd�u|iu °AuvummiohmodUghnng "muminumchecker p|�o|anUing n«nm»P(R»»id»mia|u»im«»|0 ° Manhinnoabin� drive system "1 \o2hydraulics o|imin�onthe sill � - needho ,hole and ° |�numd,*mm*call Uumonand ° UnivomaUmypuokago ` °Cumomcar sizes and -in to ,iomoo�|yo|o�r�|yoiupmtoodon '~' `^^~' ° Mudu|iftoption'upgrade Most units " BectricaNyoommUodhmnU*| o|uminumframowd-optionoo f CAR INTERIOR �k�r«�d�mo�ammmuh� wo�.g|mmand mi'~� °Awide no|m�ionofima,io, °Audio alert upon door ° Residential LRcab interiors and melamine panels oponing/floo,o,,iva| flooringWoual alert with digital display Oak and =" ^|uminmoimorio r° Stoin|emthmond|anQovortioa| upon door opening/floor arrival stainless control pano Spring ° Choiuonfsteel ohecko,p|meo, ' skid resistant rubber flooring � ° Spacious 8'o^(2030 mm) oidowalswith solid ceiling with udown lights � °Stainless steel moak handrail located oncontrol wall 14)^RR ss"n,,„sy,l„k� t _A1�\�4 ", JWIZ ,M' 1. vm"Gd,r »-,,N>P•z^*,'.),-:. Y�Nn1u'�u1@,g,,'^ ,yC\,s.a;ls'""),`;,.:.u��u&1 .a4'�°>3:,ti' moi,.,r'N A .,..d7,A()dt".j�r1 Tan ,. , ,, 3. t ; V a)' 1# .1 —. >tiN 9 , -��1* ,'�t"5 \ @'I� a� �\-;@v-�"�\\ .����. - '^�,uV ',��, �F :' � ,� Nom . \ NCRRD1S PROI.IfT , TANDARD DES GN� LAYOVT�_ � y " LAYOUTS FOR STANDARD SIZES SHOWN "VARIOUS MODELS&SIZES AVAILABLE" HOISTWAY PLANS** ROOF BTACR(rF AEQ'D)BY OTHERS - 66" 1875 66" 1675 HOISTWAY HOISTWAY n61 1/2" (1560) 81 1/2" (1580) m 4" (100) PLATFORM (15) 4" (100) PWTFORM 5/8" (15) 10 3/4" ~ �� 10 3/4"(273): f- OW —I , o (273) a 6 � O w � NNi �' < W � � • 0to 9 F TYPE 1 z° m TYPE 3 a `•- a°c oq o I w w 10,0 I 40" (1220) J e" " (RO)- F m is 61 t 4" 1656 88" 1675 HOISTWAY HOISTWAY 6/8" (15) 80" (1525) 6/8" (16) 5/8" (16) 81 1/2" (1580) 4" (100) PLATFORM PLATFORM ` 10 3/4".. 1,—. .owl .� � H@g --1 (273)10 3/4" . (273) (� ' p m .� � < N �� O � N • • N � O '� v Y N m xM° nO° m FFOm 'mEr,7p TYPE 2H m F ' .r TYPE 4 oz Ir � M C � i PIT 8"(208)MIN. aw .. I 48" (1220) J 4s N D "HOU-LESS"JACK UNU v (RO)• R 4 ARCHITECT NOTE: WITH CABLE HYDRAULIC UNIT ANOMINAL SIZE PIT AND OVERHEAD REMAIN CONSTANT ROUGH OPENING(MIN) (REFER TO SHOP DRAWINGS) REGARDLESS OF TRAVEL. "HOISTWAY PLAN SIZES FOR i.e...PIT IS ALWAYS MIN.8"(205)AND "HOLELESS"STYLE AND N OVERHEAD IS ALWAYS MIN.96"(2440) T1:2 CABLE" HE SAME' HYDRAULIC ARE BASED ON 1000 lbs(454 Kg)CAPACITY NOTE: o. HOISTWAY MUST BE PLUMB AND SQUARE AND TO SIZES SHOWN....ALL z DIMENSIONS INDICATED ARE FINISHED F DIMENSIONS. m A a MACHINE ROOM PREFERABLY LOCATED ON THE LOWER LEVEL ADJACENT TO THE HOISTWAY.THE MINIMUM SIZE IS 3' x 4' DEDICATED TO LIFT EQUIPMENT ONLY.AN OPTIONAL d m MACHINE CABINET IS AVAILABLE. R2 n z aRi O 10, U m a o g S pq p APPROXIMATE *** REACTIONS PIT 8"(206)Mar. N.B. CONCORD'S PROGRAM OF R, R2 R3 R4 1:2 CABLE HYDRAULIC" PRODUCT IMPROVEMENT IS R CONTINUOUS. WE RESERVE THE KIPS I kN KIPS kN KIPS kN I KIPS I kN 3 RIGHT TO MODIFY SPECIFICATIONS WITHOUT NOTICE. 0.40 1 1,78 0.25 1,11 5.00 22,3 1 3.60 116,00 .F rv��s-, ', u� � _ �,q,,n �*.U�+.r, y�',. n�'.�'w\�13y \" y^��:, +' \w `�Mra z •'�9 ,,�� R �'+Axnw'�'\" f��+ '� ;,'� *�''�"��" r,�, � »+^ aw�r -,. ,:�.H.,1..�'=� � LY `n,�tr`,vwt,' ��,.> .:Y+.wr.`+a� ` ,`� •',Aa 'fid,:wt m v11 .w � �dti„ k �n ^� 5 „w � PROLFT° : HTE ` { xr+ i7..w•�-may.- -' T"e''"�k � _� '"" .,�r 9�'#'�� �G .i+:� 16'" ,,�4. �N^" ��' f�a ^wax'` �� ''err ,�e�n, �, GENERAL 9. Power supply:as required by site conditions. PUMPING UNIT&MOTOR CONTROL hydraulic system.The check valve will close and The lift shall meet or exceed CAN/CSA 10. Lighting supply:115 Volt,1 Phase,60 The pumping unit and motor controller shall be stop the hydraulic jack from descending 8355-M90 in Canada or applicable sections of Cycle,15 Amp. integrally mounted on the pump unit frame and immediately on sensing negative pressure. ANSI A.17 in the USA,Including local codes and 11. Door Opening:35"x 6'8"(890 x 2030 prewi ed and tested prior to shipment.Control' TERMINAL STOPPING DEVICES regulations except where specified'otherwise. mm)nominal. circuitry to be'solid state'and located in car Normal terminal stopping devices shall be op- SCOPE 12. Jack Type:1:2 Cable Hydraulic. control station enclosure.The pump unit control tically sensed at the top and bottom of runway I 1. Furnish all labor,material and equipment 13. Door Opener Type:Pro-auto door opener. valve shall be a.'unit'type which includes all to stop the car automatically. necessary or required to fully complete the 14. Levelling Device Type:Optional sensor hydraulic control valving inherently.This valve GUIDE RAILS AND BRACKETS installation of the hydraulic lifthas indicated CAR ENCLOSURE shall incorporate the following features: 1. Steel machined'T"Guide Rails and on the Drawings and Specifications. 1. Walls-MCP melamine panel 1/2"(12 mm) • Up direction acceleration speed adjustment, brackets shall be securely fastened to the 2.This specification is intended to cover the stainless steel trim-Type 304 q4 finish, for a smooth start building structure. complete installation of the Concord Prolifte Panels removable for maintenance and • Smooth stops,at,each landing shall be an 2. Brackets shall securely hold the guides in a Design. installation requirements. inherent feature of the valve plumb and straight position regardless of PREPARATORY WORK BY OTHERS 2.Ceilings-1/2"(12 mm)melamine. • Adjustable pressure relief valve cab loading. The following preparatory work to receive the 3. Floor-Checker plate steel or rubber Manually operable down valve to lower lift in 3. Guides shall be bolted through the hoistway elevator specified in this section,is part of the non-skid sheeting. the event of an emergency enclosure with back-up plates,washers and work of others sections: 4. Handrail-One handrail shall be located on • Pressure gauge,indicating in BARS/psi nuts.This may be altered with approval of I' 1. Drive unit enclosure(machinei'room)to control wall of the cab. • Pressure gauge isolating valve,manually the architect, meet applicable codes and standards. 5. Emergency Operation-The carriage will be operable CAR SLING 2. Permanent power to operate the lift to be equipped with a battery operated light fix- • Gate valve,to isolate cylinder from pump unit Car sling shall be fabricated from structural provided to a lockable fused/cartridge type ture,emergency lowering device and alarm • Adjustable flow control valve to set maximum steel members with adequate bracing to sup- disconnect switch with auxiliary contacts which can be actuated on failure of normal down direction speed. port the platform and cab.The buffer striking for emergency lowering and provide 115 volt building power supply.Battery will be • Electrical solenoid for down direction control member on the underside of the cab sling must lighting supply and disconnect.Refer to rechargeable type with an automatic stop the elevator before the plunger reaches its CYLINDER AND PLUNGER 1 architectural drawing for permanent power recharging system. down limit of travel.Guide shoes shall be 1. The cylinder shall be constructed it steel specifications and location of disconnects. 6. Car Operating Panel-It shall consist of one mounted on the top and bottom of the car sling Temporary pipe of sufficient thickness and suitable p ry power may be provided to constant pressure light-up button for each safety margin.The top of the cylinder shall to engage the guide rails.Guide shoes to be be equipped with a cylinder head with an expedite installation of the lift.,' landing and an emergency stop/alarm but- solid slipper type with polyurethane inserts. 3. Provide appropriate sleeves for both the ton mounted on a removable stainless steelWIRING internal guide ring and self-adjusting electrical conduit and hydraulic line from panel(Type 304 b4 Stainless Steel Finish) packing. All wiring and electrical connections shall comp- the drive unit enclosure to the jhoistway(as to totally enclose the elevator control 2.The plunger shall be constructed of a steel ly with applicable codes.Insulated wiring shall shown on drawings).Trenching may be re- circuitry. shaft of proper diameter machined true and have flame retardant and moisture proof outer quired if the machine room is not adjacent 7. Digital Floor indicator located in the control smooth.The plunger shall be provided with covering and shall be run in conduit,or elec- to hoistway. panel will display the location of the a stop electrically welded to the bottom to trical wireways.Travelling cables shall be flexible 4. Provide Drive Unit Enclosure light and light elevator in the shaftway prevent the plunger from leaving the and suitably suspended to relieve strain. switch,located to comply with applicable 8. Car Lighting-The car lighting shall consist cylinder. EXECUTION codes.and standards. of 2 low voltage stainless steel down lights. 1. Examination 5. Provide an enclosed,plumb and square The failure of one lamp shall not cause the CABLE All site dimensions shall be taken to ensure hoistway with smooth interior surfaces. remaining lamps to extinguish. Minimum 2-3/8"IWRC Galvanized Aircraft Cable that tolerances and clearances have been Include for fascias or furring of hoistway 9. Automatic light feature-allows the lights in Minimum breaking strength is 14,400 lbs.each. maintained,and meet local regulations. interior. the car to automatically turn on when the 2.Preparation 6. Provide a framed and enclosed legal elevator door is open and to stay on when SAFETY DEVICE Pre-inspects the construction and service hoistway,including drive unit enclosure,as the elevator is in use.The elevator lights A"Slack/Broken Cable"safety device shall be requirements for work by others.These required by the governing code or authority. will automatically shut off by use of a timer supplied which will stop and sustain the elevator requirements will be included in drawings, 7. A)Suitable lintels over landing entrances when the elevator is not in use. and its rated load,if either of the hoisting diagrams,engineering data sheets and are to be provided. 10. Platform Toe Guard-A platform toe guard cables become slack or breaks.The safety special instructions before the work B)Provide rough openings as per the lift shall be provided at each car entrance device shall be resettable by the operation of commences. contractor's shop drawings. opening to extend below car entrance the elevator in the upward direction.A switch GUARANTEE 8. Provide substantially level pit floor slab to opening for safety. shall be mounted in such aposition to sense The lift contractor shall provide three(3) support loads indicated on the lift RUNWAY ENTRANCES the operation of the safety device,and will open months free service from the date of approval contractor's shop drawings. Complete entrance assembly to carry a fire the safety circuit to the controller to prevent by local authorities.The entire lift and all 9. Provide adequate support for guide rail label from UL/ULC certifying it has been tested operation of the lift in either direction. component parts shall carry a one(1)year fastenings. and approved for minimum fire separation of GUIDE YOKE guarantee.The guarantee shall be for the 10. Provide light,receptacle and switch in pit, 1-1/2 hours.The landing entrances shall be The 1:2 guide yoke/sheave arrangement shall be replacement of defective parts,at no cost but located to comply with applicable code. supplied as an integral unit,prewired,zinc wipe supplied with a sheave,guide shoes,roller bear- shall not include the lobor costs required to 11. Provide pit water proofing or sump pump,if coated and ready for installation at the site. ings and adjustable cable guards.The sheave replace the defective part or parts. required as allowed by Code. Each integral landing entrance shall have the shall be finished with_rounded grooves to fit the INSTALLATION 12. Provide pit ladder for pits 3'0"(914 mm)or following equipment included and mounted: cables supplied. 1. Install all components of the elevator that more in depth. • Door vision panel approximately 3"x 26-3/4" are specified in this Section to be provided, 13. Provide finish grouting and masonry around (75 x 680 mm)of clear wired glass(or to the HYDRAULIC VALVE and that are required by jurisdictional doorframes. maximum permitted by the fire label)with In addition to the standard operating features of authorities to licence the elevator. 14. Provide finish painting of landing entrances. aluminum finish frame the hydraulic control valve,there shall be a 2.All installation work of this section will be QUALITY ASSURANCE • Swing clear non-exposed heavy-duty steel pressure sensitive check valve which will performed by trained employees of the lift 1. Subcontractor Qualifications hinges activate when negative pressure is sensed in the contractor A.Execute work of this section only by a • Interlock shall be provided with an electric company who has adequate product contact which will interrupt the power to the liability insurance in excess of one control mechanism if the door is in the open million dollars. position or not securelyclosed and locked to 8.Skilled tradesmen must be employees of prevent movement of the elevator when the Head Office(Toronto) l the contractor to perform the work on a door is open 10 timely basis. •Door to be 35"x 80"(890 x 2030 mm) Concord Elevator Inc. 2.Requirements of Regulatory Agencies (nominal subject to site limitations),swing CONCORD 10 Whitmore Road A.Fabricate and install work in compliance type Woodbridge,Ontario L4L 7Z4 with applicable jurisdictional authorities. • The door locking mechanism shall be of the ELEVATOR INC. 416-856-3030 B.File shop drawings and submissions to concealed type with no visible beak local authorities as the information is • The operating(landing)control shall consist Tor:416-798-7599 made available.Company pre-inspection of an infrared key/call control and a digital Fax:416-851-6556 and jurisdictional authority inspections floor indicatorUlm, US: 1-800-661-5112 and permits are to be made on a timely • Automatic power door operator shall be basis as required. concealed type which utilizes pulse width C.Payment of operating licences shall be modulation for accurate and adjustable speed Sales,Installation and Service Branch Offices in Toronto,London,Ottawa and Vancouver. the responsibility of the owner. control and pressure sensitivity SUBMITTALS Door closer shall be concealed type with 1. Shop Drawings variable speed adjustment Concord(London) Concord(Ottawa) Rokirk Industries Ltd. A.The shop drawings shall show a • Door shall be equipped with aluminum push 425 Consortium Court 5310 Canotek Road,Unit 36 2805 Murray Street complete layout of elevator equipment plate,pull hand and interior kickplates London,ON N6E 2S8 Gloucester,ON K1N 9N5 Port Moody,BC V3H 1X3 detailing dimensions,clearances and • Lock shall be time delayed electrically Tel:519-681-3311 Tel:613-749-2775 Tel:604-461-6636 location of machinery. controlled for vandal resistant security FAX:519-681-3494 FAX:613-749-6844 FAX:604-461-0525 B.Loads and reactions shall be provided by Upon door opening/floor arrival,an audio the lift manufacturer and detailed on alert shall sound and a digital signal shall drawings. indicate a visual alert for the visual and 2.Samples hearing impaired Provide sample chart of cab interior color Landing sill shall be aluminum checker,plate r finishes. LEVELING DEVICE WHITAKERS PRODUCTS 1. The lift shall be provided with a 2 way level- Data ing device which will maintain the carriage 1 OF NEW ENGLAND 1. Model:Prolift° - within 1/2"(12 mm)of the landing by ` 2. Rated Load:1,000 lbs.(454 kg) optical sensor. 2 KUNIHOLM DRIVE I 3. Rated Speed:30 f.p.m.(.15 m/s)(nominal) 2.All limit and leveling device switches shall HOLLISTON, MA 01746 4. Car Dimensions: be located in a position to be inaccessible 35"Width x 60"Depth(890 x 1525 mm) to unauthorized persons(ie:located behind 1-800-752-0163 FAX 508-429-6974 5. Levels Served ........................ cab control wall accessible by removable 6. Number of Openings...... ......... panels). 7. Travel................... ..... ..... 3. All limits shall be optically sensed for quiet j 8. Operation:Constant pressure floor selection operation. Distributed throughout North America push button with anti-creep. 4. Final mechanical limits will be provided. Printed in Canada SPECIFICATIONS STANDARD EQUIPMENT INCLUDED IN THIS PROPOSAL LIFT NAME: PROLIFT COMPLETE CAB 6'-8" HIGH WITH LAMINATED PANELS EGG CRATE CEILING (NON LOAD BEARING) CEILING LIGHT WITH ON/OFF SWITCH CHECKERED PLATE CAB FLOOR - PRIMED ONLY- ---- OPTIONAL CAB DIMENSIONS 3' X 4' , 3' X 5' , CUSTOM SIZES AVAILABLE CYCLINDER SINGLE 'STAGE, ROPED HYDRAULIC, TWO STAGE, PUMP AND RESERVOIR (PRIMED ONLY) CONTROLLER PREWIRED AND MOUNTED TO PUMP UNIT) T-RAILS, RAIL STOPS, MOUNTING BRACKETS AND FASTENERS HOISTWAY SWITCHES AND CAMS KEY CONTROLS - CAB AND LANDINGS EMERGENCY LIGHT EMERGENCY STOP AND ALARM EMERGENCY LOWERING DEVICE WITH BATTERY HANDRAIL (SINGLE) 750 LBS. CAPACITY PIT SWITCH WARRANTY: ONE YEAR FOR LABOR MATERIAL AND PARTS FROM DATE OF INSTALLATION DELIVERY TIME: APPROXIMATELY 8-10 WEEKS AFTER CONFIRMATION OF THIS PROPOSAL AND RECEIPT OF THE DEPOSIT. OPTIONAL ITEMS AVAILABLE AT ADDITIONAL COST: 2- MANUAL CAR GATES (VISI-FOLD TYPE) CAPACITY 750 lbs. OR 1000 lbs. 5 STOP PACKAGE TELEPHONE CABINET (PHONE BY OTHERS) OPTIONAL ITEMS AVAILABLE AT ADDITIONAL COST: POWER OPERATED DOOR AND CUSTOM FRAME COMPLETE WITH INTERLOCK (TYPE M) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1, 550.00 PER DOOR 2 - AUTOMATIC CAR GATES . . . . . . . . . . . . . . . . . . . . . . . . . . . .add $5, 600. 00 WORK TO BE DONE BY OTHERS ARCHITECTURAL STAMPED DRAWINGS DETAILING THE SHAFTWAY, DIMENSIONS, LOCATION OF CONTROLS, SWING OF THE DOORS AND GATES, LIFTING HEIGHTS, RUNNING CLEARANCES, AND OTHER PERTINENT FACTS WILL NEED TO BE SUBMITTED TO COMMUNICATE SPECIFICALLY WHAT YOU PROPOSE TO DO. DETAILED INFORMATION WILL BE SUPPLIED. WE ARE NOT IN A POSITION AT THIS TIME TO GUARANTEE ANY OF THESE WILL BE PERMITTED. SUITABLE FIRE RATED HOISTWAY ENCLOSURE INCLUDING FIRE RATED DOORS AND HARDWARE. SHAFTWAY WALLS TO SUPPORT GUIDE RAIL MOUNTING SUPPORTS. DETAILED INFORMATION. WILL BE SUPPLIED. FOR THE PROLIFT AND RESIDENTIAL ELEVATOR, PROVIDE A FIRE RATED MOTOR ROOM APPROXIMATELY 3' X 51 AREA ADJACENT TO THE SHAFTWAY WALL THE RAIL WILL BE MOUNTED AGAINST. THE MOTOR ROOM DOOR IS TO BE A SELF CLOSING AND LOCKING DOOR. FOR THE PROLIFT AND RESIDENTIAL ELEVATOR, PROVIDE 230-VOLT, 1 PHASE, 80-100 AMP. POWER SOURCE INCLUDING MANUALLY OPERATED FUSED LINE DISCONNECT (TO BREAK BOTH LINES) LOCATED IN THE MACHINE AREA. 115-VOLT LIGHT IN THE MOTOR ROOM. SELF. CLOSING AND LOCKING DOOR ON THE MOTOR ROOM. A 120 VOLT LIGHT AT THE TOP OF,'THE SHAFTWAY WITH LIGHT SWITCHES AT EACH LANDING. GUIDE RAIL AND AUXILIARY MOUNTING SUPPORTS. A 12" PIT IS REQUIRED IN THE FLOOR OF THE BASEMENT FOR THE PROLIFT. RESPONSIBLE FOR THE COST OF THE STATE ELEVATOR PERMIT. i - RESPONSIBLE FOR THE COST OF THE STATE ELEVATOR PERMIT. CUSTOMER FULLY RESPONSIBLE FOR OBTAINING ALL NECESSARY PERMITS FOR THE INSTALLATION OF THE LIFT, INCLUDING LOCAL BUILDING PERMITS, ARCHITECTURAL ACCESS BOARD VARIANCES, AND OR OTHER CODE COMPLIANCE ACTIONS REQUIRED TO BEGIN WORK. COPIES OF THESE DOCUMENTS MUST BE FILED WITH US PRIOR TO 'BEGINNING WORK. A VARIANCE IS REQUIRED FROM THE STATE ELEVATOR SAFETY BOARD TO ELIMINATE THE CAR SCISSOR GATES IN EXCHANGE FOR PROVIDING CUSTOM FRAME DOORS WHICH ELIMINATE ALL INTERIOR HOISTWAY SHEAR POTENTIAL. THIS PROPOSAL ASSUMES A NON-UNION SHOP. INSTALLATION WILL BE ACCOMPLISHED BY OUR FACTORY TRAINED TECHNICIAN DURING NORMAL WORKING HOURS, AS ARRANGED AND SCHEDULED BY US. WE WILL ARRANGE EVENING AND WEEKEND INSTALLATION UPON REQUEST, WITH EXTRA COST, PREMIUMS AND OVERTIME TO BE PAID BY THE CUSTOMER. ACCEPTANCE OF PROPOSAL: It is understood that these items are custom made and therefore are not subject to cancellation other than during the first three (3) business days after signing contract. The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as outlined. Payment will be made as outlined above. I also accept optional proposal--Please check here ( ) Accepted by Date (Customer) 'r h t ion i -T `uod�05 Ts o Iwo S 4 0a 5 P,. s k 1 O x, y4R> AREA PA .�. � CALLED . O NORTH STAIR C 106 O' - DF I ilm TTT RE - �{ up Z colicD—T ►au.cw CLASS RM CLASS RM CLASS RM O I �• _ 2 HALL ' 10� • _ r R[T:RII AIR rllMYII r sign!RN R TN T,011,n1V " iA UTAJI ! 3 Avco s Z 2 Wt 10T {1 10� O TYPICAL. t e11�LVMG�• � u.AT=woo ,. ON LEY"mm P } "R IL •LAN AND A!2 1.OR DlTA1 STORAGE AN 1 AT TTQGL coLunao t AT T>•.uvu j /03 noLD� n ' TYPICAL, ,e,e :.. LAMA TID WOO e°amTMAUG W% I HALL O AND Aa a DKTAAA MECHANICAL o►Orr."CoWn" 102 "Tun AT TH$LKYUL -. Orr." O { IOI 011osLiR . i 1� nem HAXJ A1T nw AT O Z J 9=WrL . �. _ ►LUTaR sown! 1 / �Ib TOLLET 6T 1 canon T-o-AR IOi Tip ARfA. I Y� TOILET 1♦r - . •ACR or MTB y*` LEVEL 3 ooNcrolwOTe ( I �� O� 'T �® 9O ABOVE O �. a.�Lvu ao. /•t Z 101 — P 1 . -- r- O DUCE M f�MG WVATOR —M CldMf 4.r TIRIRW 11' t TYRNN41! p' . : I C= ICLAS r �-t• ea i � nffkvta I ion ~ NVAC 4 OK• f � ,moi' • `• ��•+�-a••i�'GT 'TH�=• , I ` LEVEL 2 1 - + LEVEL I ABOVE I r tura '� elneveei , 'ENTRANCE i ASOVE .; 1w aews i e- y • "'V,.r. .». .. � ..«....-.: y ..... ._.-... ,.. ,:.•.,� 2u.i.,..ts.,:a., +-..-r _.. ... .r .4 ,.,<.-_. ...._....w: . .•,..r. ,.- _d„- ,. NOTES: , L LEE AS FOR WALL TYPES •� • I. CALLED NORTH — i ! ,IOD. NO: 11:- DRAWN, �+L A F; © )GALE, )/I[•r • ar 11 O ]aDr I ESIY,TING CHAIN LINK DATES, E/21/!_ FENCE ALONG TMESE 1 ✓ r---_,I.i____� TWo AN Eb IM R BE RiV.�IO/10/13 EXIST•G CONC REMOVES DOR ACCESS AND i •.< / ,67001- TO RE-INSTALLED) u,nt a REMAIN IN.G ------ a" R B --- - i a4 paTAai'SR Y . .:.w.. ! - aACM a»►r•r ST y •' G M-021 kA isrc. err alfPAVMG IN.C1cc Q �1L__:==0 STOR 211 Q ` _: - --- -- ------- ------ -lr- 74Raya su � _• _ mss r I I DOOR 1Y O 1 I Y.•if 11 � ua CORT•R � .roR RlTYRN AA; 1 i avrLaD ar ua pO11T'R . - ):� RaTAI ROOK 4laLa I O N � iI ►OR RlTYRN AR: I WM.iD 1Y 411E COA 1 Z Q I, ii �/VESLE ��L L it CLASS RM I V .. ,�; - 4!N CONTR II _ _ _ - _-•_ - _._._ _-.. _ _.`'_ - ------_-.__ _._-__._ _ - __--_-._ _•._ - HALL MOL!•M IX,aT4 }•� •- 1Ol -. RCMaa rot war Q w nw4 Loop. F15-1 uai mw vlr+rr aX..cT Lou*wN ��"� •' ap� Jqq C' W a'. v ARCMTICT {TYPICAL. 11 EXISTIG CONC V `� \ wlAR TALI. SANOTUARY LTooP To ( Q/- W y 1 !I sea A..aatw REMAIN aoaa e•Nu r 1,a.wcTu.er. / 0 Q f- M I, (TTP) rXibT'G DR Y I�=- ----- - -- ---- ------ _ _ - I, -- ------ SEE�µA%D1LE�------- - _ -- , ) ]q 7r ,�" FAVIMG ? Q .� .I - _Ir— L 1 I<I =------ ' - ----- - ---- --' 11 � � aoa TOL It A #I I I I rL`000�rroaE C II ! I1 ` F(�� a1n1i_i <taA " F ala ItyD �� I LopiS c,.-Har ., faa I 6 U CLASS pXe wr eaT..ro_o / -- - ----T --- - -------- n•TLLroeowue I 70 M ,i-• '.>tni•L I ROOM p`Iz `pucrM•w �.1 ,1 TO OaT ON A{ -1 U mcT3A' sos ►arLooR 4o aoi '•ro aK �- z 2.0 41&n / AUDIO I •••� C TO LILT �� I SMUL<_.V S 'Iiliiw.0•• • w:.i.,no 4R RO'.•aiiTirlN STAIR 301 •.O O - 1 ND fat r �• 3a0 Q To.Tnc ABOVE 1 )°1 r..VATOR REMOVE EXILING 1 �� REPLACE WI T NSTOOPASLOPED t / >9 S: Ip C '�. _ r " •- t ( Im , ti� Ab TO BRING FLUSH� 0- I 11111.117H Pik. 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Y a~•� .. t t�.i� t t .. - ''a rr+►t•�a"`•!' � fir .+• .r. 31 fit..:.p...•...xv 3 .•�•-' .. . . sL�+..-� �+. fa, �, r 4,,.>t,»Et• Z.-.;a:-�•.,,,;. s9�1' "r :.c ADDITION AND ItCNOVATIONS .r_:.;•-•.rl;;"'-"•.` PAUL D `' ' AOR �P e - DOUGLAS,MINOR.�t A.. - ; FIR5T NITED MET_H0015T;.CHURCH : "'�` - - + ides s,*ARCHITECT' ;d:� 1�� 4 Lam® L; - r •t'Y"1;,.�� G.•�lw+ti+�✓a..w+.w.l�a-.•. ..•.-•� .s.'"'t.,•... ti.. J�•: ".r1.."t,-+•t .-!`., � � H a 11J '-a a r✓.' :•f..wtu:... ?G• "ST i2 F p T '-•'�4.1'�:'iL:,C,•x,-.X�.c•`-'7'1'!E::T ! * _ t ARCHITECT'S FIELD REPORT PROJECT: First United Methodist Church FIELD REPORT NO: Six North Andover, MA ARCHITECT'S PROJECT NO: 9214 DATE: 18 October 1993 TIME: 1:30 PM WEATHER: Sunny TEMP: PRESENT AT SITE: Chris Luongo, Superintendent; carpenter. Site subcontractor Form crew Bill Pickles, FUMC WORK IN PROGRESS Concrete placed for footing around kitchen and bathrooms;concrete being placed for footing of east wall. Form being constructed for 1st underpinning(corner of existing Sanctuary). PDM verified intermediate piers to be T-0" wide and extend into Level One T-0" from face of existing foundation wall. PDM approved"overpouring"of pins under new arches(using 3,000 psi mix in lieu of 2,500 psi specified)and light vibrating;will inspect condition under existing arches and decide if this is appropriate in lieu of hand-packed grout (PDM scheduled to meet with Jon Buhl on 10/19). Existing footing under R.E.Wing is higher(above new Level One floor slab)than anticipated from original building plans; detail for thickened slab won't work. Plan is to place footing below new slab at new wood arch locations, bringing columns for these arches down to the footing, then pin wall (including wall immediately adjacent to new arches)as a normal pin,continuous flat face about 8" in from face of existing footing. This pour will be about T-8" high. PDM to review with Buhl. I OBSERVATIONS Rebars in place for footing of east wall;also 2x's for keyway and vertical dowels. Spacing randomly checked, 12"o/c. Forms min. 12" high. Dowels were sticking out of freshly poured footing around kitchen. Second delivery of concrete for footings (3:00 PM) from Redi-Mix Concrete, Wilmington MA: 7-1/2 CY, 3,000 psi mix for footing under east wall. There is still no evidence of water at the bottom of the excavation nor any signs of a rising water table on the any of the side walls of the excavation. ITEMS TO VERIFY INFORMATION OR ACTION REQUIRED T.O.W.elevation and pocket detail(if required)for east wall based on truss detail. PDM to Fax to site by j Wed AM. i ATTACHMENTS OCT ' 1 1993 REPORT BY: ' �r 1, 1 DATE: J CC: Nicetta - Pickles - Cookson - Martins - Field - Other r ARCHITECT'S FIELD REPORT PROJECT: First United Methodist Church FIELD REPORT NO: Seven North Andover, MA ARCHITECT'S PROJECT NO: 9214 DATE: 20 October 1993 TIME: 1:00 PM WEATHER: Overcast (light sprinklers earlier in day) TEMP: 54 PRESENT AT SITE: Chris Luongo, Superintendent; carpenter. Site subcontractor Form crew WORK IN PROGRESS Footing along east wall has been poured(safety caps are on top of dowels);footing around kitchen stripped and one face of wall form set up, some rebars in place. Underpin at corner of Sanctuary poured (on 10/19), T.O.C. about 3" above bottom of existing footing. Formes placed for pins on east face and north face immediately adjacent (single pour extending in behind corner pin). Pin under 3rd new arch has been poured (both of these on 10/19);formwork placed for pin under 5th arch. Base under pins has been leveled by mechanical tamping of virgin soil. Pin at end of east wall under R.E. Wing has been poured; short section of footing needs to be poured. Footing under 3rd arch on this wall has also been poured; (Buhl agreed at yesterday's conference that i proposal to place continuous pin on top of these footings was OK). Currently placing form for pin under southwest corner of R.E. Wing(at Stair B);because of step down in existing footing along south wall of R.E. Wing,pin at this corner will be same elevation as new footing for Stair B. This entire area has been prepared(compacted)for all of stairway footings. PDM requested a check on footing depth; MCC verified that B.O.F. would be 4'-0" below finish grade. The original detail for thickened ("taller") slab adjacent to existing footing is still valid for wall from approximately second arch to corner at Stair B. PDM, MCC, and Site Sub-contractor established location for fire hydrant - about 3' in from 6x6 at edge of parking, 1-2' behind new sidewalk (previously reviewed and approved by Bill Pickles). This general location had been approved by Fire Department on 10/19. Water Department came out on 10/19 and installed temporary valve on end of existing water service within excavation of Level One. Berm has been completed; trench yet to be dug and leaching stone placed and surface rip-rap placed. Area of new parking has been prepared , awaiting sub - base OCT 2 119 3 OBSERVATIONS ITEMS TO VERIFY INFORMATION OR ACTION REQUIRED PDM to Fax MCC a letter specifying size of stone in leaching trench beyond parking lot. ATTACHMENTS REPORT BY: DATE: CC: Nicetta - Pickles - Cookson - Martins - Field - Other J OCT 2 i i QO) An .co Acca AM= PAUL DOUGLAS MINOR, A.I.A. A .a00000 .6PAUL DOUGLAS MINOR, A.I.A. .aooMe= .aooanaa000 ARCHITECT .aooaoaacma .a00000c00000 ,=13111180131:00 oni 'o cs ►, ai 1 A -- a3G1 ,d r A .ao an oar.aa ea i aoo as --,eno Ioa 1 26 MAIN STREET CONCORD, MA 01742 (508)369-8448 SITE VISIT First United Methodist Church North Andover, MA DATE: 10/7/93, 2:00 PM PRESENT: Karen Bradley, Town of North Andover Chris Luongo, Martins Construction Co. Paul D. Minor, Architect 1. Viewed the area of the parking lot expansion and retention area berm; KB indicated flexibility in the layout of the berm to allow the saving of as many of the existing trees as possible (one large clump will come out; remove scrub brush around base of birch trees but save the birch trees, move one large bush out into the yard. 2. KB saw no need for specific erosion control measures, i.e. hay bales or silt fence, but we should keep an eye on the weather while soil is stockpiled before seeding has been completed and if it appears there will be a substantial rainstorm certain measures might want to be taken to prevent erosion and silting of adjacent lawn area (including Tribune). 3. Earth from excavation for forming the berm to be moved into area starting 10/9; digging trench for stone, placement of stone and general formation of the berm should be taking place over the next 2 weeks. CL anticipates that paving for parking area will also be completed this fall. 4. Concluded site visit with walking along perimeter of site looking at relocated bushes. KB satisfied with final locations. 5. Except for any specific issues which may arise during construction of the berm, the next involvement by KB would be changes we might propose in exterior colors or finish materials which would need to be reviewed and approved by her. 6. All other matters of construction will now be handled by the Building Department (Mr. Nicetta). OCT 2 1 1993 ARCHITECT'S FIELD REPORT PROJECT: First United Methodist Church FIELD REPORT NO: Five North Andover, MA ARCHITECT'S PROJECT NO: 9214 DATE: 15 October 1993 TIME: 3:00 PM WEATHER: Sunny TEMP: PRESENT AT SITE: Chris Luongo, Superintendent Site subcontractor Form crew WORK IN PROGRESS Hole has been partially excavated in the area of Level One to level of new footings and forms for footing of east wall (along parking lot) are in place; footing formwork around kitchen and bathrooms have been completed and Monday morning stepped footings down to Level One footing will be completed. Also Monday AM area under corner of existing Sanctuary will be excavated in preparation for underpinning(1st major pier). Re-bars to be delivered Monday AM. Concrete scheduled to be delivered 1PM. A concrete testing agency has been scheduled for this first pour. Material at base of excavation is a mixture of sand and gravel(appears to be virgin);beginning to encounter the glacial till at bottom of new footings. All existing footings bearing on virgin soil. Sewer line location is uncertain;a buried manhole was pulled out earlier this week. 6"clay pipe goes around existing Sanctuary (thru location of Stair C?). Not sure if this is line to street - seems to pitch towards manhole! Need to excavate further. Going to make tap for new water service on Thursday (10/21), need to determine location of new Fire Hydrant. Parking lot expansion area has all been stripped; there will be a gravel base going in under the blacktop (sitework sub does not want to pave on the dirt no matter how good it is). Loam has been stockpiled at corners of parking lot (on grass). One bush and one tree have been relocated and a lot of the scrub brush on the church side of the birch clump has been removed. OBSERVATIONS There is no evidence of water at the bottom of the excavation, nor any signs of a rising water table on the any of the side walls of the excavation. ITEMS TO VERIFY INFORMATION OR ACTION REQUIRED MCC to contact Fire Department to discuss location of Fire Hydrant. Sitework sub-contractor needs to know size of stone in trench and along top of roof drain outlet swale. PDM to talk with Kaminski. - — Minor and Lu o will both call Nicetta to invite him out to the first pour. ATTACHMENTS OCT 2 1 log, REPORT BY: DATE: J iJ CC: Nicetta - Pickles - Cookson - Martins - Field - Other OFFICE OF BUILDING INSPECTOR s TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL (508) 682-6483 x30 �JSACMUS4 . PROJECT NUMBER: PROJECT TITLE: f001`0%.3 kPNA-VWS -rO FAZT) 6NN60 M'FgWjtr (y LVfj1-) PROJECT LOCATION: 51 $ Z`1RV-,T NAME OF BUILDING: :�}j�nt'btjr%o rA8Tj d ?ty 04L)pjCjV) NATURE OF PROJECT: 'Pzr11tO PajW;71Vhz IN ACCORDANCE WITH SECTION 1270"0 OF THE MASSACHUSETTS STATE BUILDING CODE, I' -- UL �• �^�'e Registration No. /�(01 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT I. HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICA- TIONS CONCERNING: ENTIRE PROJECT (] ARCHITECTURAL Q STRUCTURAL C-1 MECHANICAL Q FIRE PROTECTION Q ELECTRICAL Q OTHER (specify)CD Q %0*60 %1aC41ri FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE'APPLICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES. AND APPLICABLE LAWS AND ORDINANCES FOR.THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETEP41NE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN .SECTION 127.2.2: 1. Review of shop drawings, sales and other submittals of the contractor as required by the construction contract documents as submitted for building permit, and approval for conformu ce to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Special architectural or engineering professional.inspection of critical construction camponents requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. PURSUANT TO SECTION 127.2.3, I SHALL SUBMIT WEEKLY -.-®RTS PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVE BUILD1NSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REP TH SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. ` SIGNATURE SUB CRIBED AND SWORN TO BEFORE ME THIS DAY OF 0CW,8&-X 199 OTARY PUBL C MY COMMISSION EXPIRES I . t 'ANN lon PAUL DOUGLAS MINOR, A.I.A. /■s�n■m """"'■ ARCHITECT .mn■■an /m -- anA VAI .■■ ■■ ■n ANa men o --All i■■ 26 MAIN STREET CONCORD, MA 01742 (508)369-8448 Preliminary Affidavit To the Building Inspector of the Town of North Andover: I certify, pursuant to 780 C.M.R.'Section 127.0, that to the best of my knowledge, information and belief, the plans accompanying the attached application concerning the structure at 57eters Street First United Methodist Church are in accordance with the requirements of the M ssachusetts State Building Code and all other pertinent laws, rules and regulations of the T wn of or n and the Commonwealth of Massachusettts. 3567 Signature Architect Mass. Reg. No. 26 Main Street, Concord, MA Address Date Inspection Affidavit I certify that I shall make site visits appropriate to the phase of the work from start to completion of constction to observe compliance with the approved plans and the Massachusetts State Building C Stio e n 127.0. Further,I shall submit,bi-weekly.a progress report with all pertinent comments f r' the ite visits. At the completion of the construction, I will submit a report as to the satisfactory co pletio and readiness of the project for occupancy. Items not affecting occupancy (e.g. paint, co metic ork etc.) n ed not be completed. However, all pertinent deviations from the approved bu lding er it ocu is will be noted. 3567 Signature Architect Mass. Reg. No. 26 Main Street, Concord, MA 1/%0/9 3 Address Date Then personally appeared the above named Paul D. Minor and made oath that the above statement by him is true. Before me, � 93 My commission expires Notary ublic e • �► Ces'E)eo8fMler�; 1998 .: Aa .c� Acca Aaoca Aaocoa A0E0000 Aoon000H3 PAUL DOUGLAS MINOR, A.I.A. .acocaco0a Aa000caco0a ARCHITECT ,ca000caccoa .cocaoococcoa AOOGaoDocDcaOa i -Qo• ga. A boos V. r, i AD -- cool A r A i ADD Do car.Do AID 00o no --,don ADD 1 26 MAIN STREET CONCORD, MA 01742 (508)369-8448 20 October 1993 it Mr. Robert Nicetta, Building Inspector Town of North Andover 120 Main Street North Andover, MA 01845 Dear Mr. Nicetta: Please find enclosed copies of my Field Reports for the Methodist Church current through today. Also enclosed is the report of a Site Visit with Kathleen Bradley of the Planning Office. Chris Luongo, Superintendent for Martins Construction Co. said you visited the site yesterday and requested a letter from me regarding soil conditions within the excavation. As I've indicated in my Field Reports the bearing material under all new footings is excellent. From the many different areas that I have seen, there is either sand, gravel or glacial till for bearing; all footings are able to bear on virgin material that has been compacted only to the extent of providing a smooth surface for setting forms. We actually encountered the glacial till much deeper than our original test holes would have indicated therefore the excavationstraightforward.e rocess has been rath r p I checked with my structural engineer and was told that footing design is based on a 2-1/2 ton soil bearing capacity which is conservative for the material we have encountered. Three of the four extreme corners of the deep excavation have been completed to date and there is yet to be any sign of water or evidence of a water table ever reaching the bottom of footings. For this reason, the Building Committee has decided to delete the inside and outside foundation drains shown on the foundation plan. The solid drain from the roof leaders IS still included, with an outfall as shown on the drawings along the west line of the parking lot. TerItu u have any further questions please do not hesitate to call. y rs, I Paul D. Minor', . .A. OCT 2 1 1993 cc: Martins Construction Co. Bill Pickles, FUMC Bob Cookson, FUMC Jon Buhl, P.E. PER.AftT NO._3S� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. 'Q4.1AS� �,, SC Es) MAP 4-4O. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. -0 N — LOCATION 51 p� STS PURPOSE OF BUILDING Rs 041bo5 OWNER'S NAME -T�%�%C � IST W 1MIO gA4bTWIST ` NO. OF STORIES Ir0 �lhSIIZE OWNER'S ADDRESS �^ T. CSIJN.Y-ililliW ' BASEMENT OR ARCHITECT'S NAME (.)Aux,10,10, w►�1.1b2� �1 J SIZE OF FLOOR TIMBERS IST 2ND 3RD _ BUILDER'S NAME 1�1p(1.nfas fjwy&uc,,-lbs W,lwi. SPAN -- DISTANCE TO NEAREST BUILDING ^~/ DIMENSIONS OF SILLS _ T �".. D,e�o1Nc� DISTANCE FROM STREET POSTS ��� F` DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION 4155 MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING O OLI R FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY ✓' IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE C0�°lSTRUCTION INSTRUCTIONS 1yy'� �. 3 PROPERTY INFORMATION Set I O•� �� fee LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ.IFT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILLED AND APPROVED BY BUILDING INSPECTOR CONTROL V DATE FILED f-+ � STRUCTIO! •- BOARD OF HEALTH SIGNAXURE OF O ER O UTHOR[ZED AGENT F E OWNER TEL.# �$Z- 3 PLANNING BOARD PERMIT GRANTED CONTR.TEL.#� 'j•. D BOARD OF SELECTMEN BUILDING INSPECTOR • 1 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I s�oRlEs THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND;DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF'BUILDINGS._ WITH,-.PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION ' 2 FOUNDATION 8 INTERIOR FINISH ' CONCRETE d 1 2 13 CONCRETE 81.K. PINE BRICK OR STONE HARDW D' PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM _ MODERN KITCHEN i 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD4J'D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK c SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. ` a . TIMBER BMS. &COLS. STEAM STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR _ WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS I OIL • B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING NORTH Town of Andover 0 No. . h �T� �3 o - Anrt dower, Mass., 19 b3 // COC MIC NL WICK �� ' GO:dJTRUCIIUni ORATEDPPa\ �C) �S BOARD OF HEALTH Food/Kitchen . PERMIT T D Septic System M BUILDING INSPECTOR THIS CERTIFIES THAT .. .. t N. .... "k ... ►V•�•••• ..........• Foundation has permission to erect........ ......... buildings on ..V7...R-Ts.� ......smz ......••.......•••••.• Rough CONTROL K.C� ��/1s$ CO:dSTR .. Chimney to be occupied as....................�.�.�'.�................... ............!�►ax��.......................................................'.......UCTIRl11........ provided that the person accepting this permit shill in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIO TARTS ELECTRICAL INSPECTOR Rough • lFodTt 4 4 Fou m b��T a N Service .................. ......... ........................................................................... ��ti1A�� u N�R BUILDING INSPECTOR t3.� 3 S Final �` $ M� CONTROL Occupancy Permit Required to Occupy Building CONSTRUCTION GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONTROL CONSERVATION FINAL Street No. coz"ISTRIxTic'm Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT LEV U I '11%2,q't T NO. 3s� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. ` '` ' ' ✓ PAGE 1 MAP 4d0. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE CONTROL — ZONE SUB DIV. LOT NO. �'�i ���,�,ION LOCATION ISI I rTV9G s PURPOSE OF BUILDING Cc)GF•J RFU&)NUS OWNER'S NAME ST ��- 1,.1JM ^,y. WII-� NO. OF STORIES SIZE VI��+oV ,yfiTliMo+ OWNER'S ADDRESS C, i* %� N•�� e.. �_A BASEMENT OR LA —_ ARCHITECT'S NAMEUL 4. / 1' 7-►ri SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME \w�A�n�� i...lfncY� CO INL• SPAN -� }�- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS Vl L.LI (g•� DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON OL OR FILLED LAND `SksS WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY ++UUJJ IS BUILDING CONNECTED TO TOWN SEWER rrim-roal IS BUILDING CONNECTED TO NATURAL GAS LINE WiNSTRUCIION INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED�AND APPROVED BY BUILDING INSPECTOR '�/ DATE FILED 9 �+ -{✓ CONTROL /{n?nrrt�r r,.,- BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT °"`V rYft3U 111yl F E E 4SS0 j R'L PERMIT GRANTED OWNER TEL.# vJv 't36,5 PLANNING BOARD 19S3 CONTR. LIC.a BOARD OF SELECTMEN "' BUILDING INSPeCTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I S ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS O•F:BUILDINGS: WITH'PORCHES. GA- APARTMENTS 'RAGES, ETC. SUPERIMPOSED..THIS REPLACES PLOT PLAN. CONSTRUCTION r•, .. . ' •` .. .e e 2 FOUNDATION _ 8 INTERIOR FINISH + CONCRETE d 1 2 13 tt J CONCRETE BL'K. PINE ' _I BRICK OR STONE HARDW DPIERS PLASTERDRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M'T' AREA _ 1/1 +/2 1/. FIN. ATTIC AREA _ NO B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS n s CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDVJ'D ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME i CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR ADI� POOR EQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK -i SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR_FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING NORTH own of Andover VIA y q. � r. No. 35 $ (,ui,i RILL �D L A r. ort dower, Mass., SOT' - 13 199a CO2STRUCTIU�i �A COCHICt,, 11C I I �SDRATED PPG 4 BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT.1124-4 .......... N�.tZ....� 9r&.��..`*4 Oro".............. Foundation has permission to erect...... ............ buildings on ..53....jifts.......$.......................................... Rough Map to be occupied as................. ..... ....... . .. . .. ....................... J,.�STRi;G�aui�............ Chimney thprovided that the person accepting this ermit shall in every respect conform to the terms of the application on file in is office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION TARTS ELECTRICAL INSPECTOR i`DOT�� �C f��►1� �O t�AI���OIV Rough 1 t��A1< <U_> 1-4 N 1.............................. ............................................ Service ��'R. ............................ BUILDING INSPECTOR • �. • b* OM1 V�ftwra- CONTROL Final Occupancy Permit Required to Occupy Building CONSTRUCTIUN GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONTROL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT PETIT NO 3�8 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. ' ! PAGE 1 MAP 4-40. LOT NO. G®NrROL 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE I SUB DIV. LOT NO. J aj6ff —I LOCATION ^ -srg�e�" PURPOSE OF BUILDING e]�71�1tiIt5 1 OlK , uofW OWNER'S NAME-Mo$T�b_ t� WyMO t&SjWjV �_ NO. OF STORIES SIZE OWNER'S ADDRES�ISFVI fA ` BASEMENT SLA - ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME ( I,�c /.,�-tS�Q,��.,r,a.1 r„y� �I,y , SPAN �C�m �7� DISTANCE TO NEAREST BUILDING �J.71� �"�+V 1 1 �V t/v •"V DIMENSIONS OF SILLS -_ ___-1�✓�`' "�'„ 'y�79 DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION Lf IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER CONTROI IS BUILDING CONNECTED TO NATURAL GAS LINE CONISTRUCTIQN INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ, FT PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DAT F D 9 Z (C���O�i�NTROL((YY��'{��t�@@ �dl6i�i+J lRUU1I11414 BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE ��$G �� PERMIT GRANTED OWNER TEL.#_._,_SZ-_530 PLANNING BOARD CONTR.TEL.# Z. d CONTR.LIC.# ®oARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT'AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS -- RP .. ; AGES, ETC. SUPERIMPOSED. THIS REPLACES LOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. BMT AREA _ '14 '/t 1/. FIN. ATTIC AREA _ NO B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDVl D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIORI� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT A SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING - WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM } STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING 0 o � � �� Andover 0 i � No. 3'x'8 - y . (+�► ! - - `�J§nr dower, Mass., St��T• 3.�_19Q 3 COCMICHL-CK l. . AORATE BOARD OF HEALTH PERM. IT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT�i�'b�.��..s."..��..G���.��. :�.. ...�.C���s�..�l�l. ..�..•..�T.............................. Foundation has permission to erect......WO b............... buildin s on ... .....�4�� Rough t0 be occupied as h ��!4e! ....... .....fit l �x ........ CGS: "f'i;1.... .... Chimney p .............. e provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-haws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR . VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST ARTS ELECTRICAL INSPECTOR Rough uv�IDFTtb1.l :... .... ..............:.........::...................:::............................. Service BUILDING INSPECTOR Final �.•� � CONTR01- Occupancy Permit Required to Occupy Building GAS INSPECTOR la in a Cons icuous Place on the Premises — Do Not Remove Rough Display Y • P Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CNITR01. CONSERVATION FINAL Street No. i. :.i Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT HAUS 70 pB W PEB'lfIT NO.q,5$ APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. `5F'A n+ugrl, AGE 1 c�c MAP 4-40. LOT NO. CONTROL 2 RECORD OF OWNERSHIP DATE BOOK PAGE ZONE I SUB DIV. LOT NO. WNSTRUCTION i LOCATION 5.1 VVQC <JTes� PURPOSE OF BUILDING OWNER'S NAME -rAUSTGjg!5_ J'S7 (JN�� tA � C W1'e, NO. OF STORIES 1`�G ISIZE OWNER'S ADDRESS J G �+�,�I� N� AN( , BASEMENT O SLAB -- ARCHITECT'S NAME 1./ O-J.AnJ�,- SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME '�� Ci� rn` r ' SPAN DISTANCE TO NEAREST BUILDING 1, ll W. V DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION it MATER:AL OF CHIMNEY IS BUILDING ALTERATION J IS BUILDING O SOLID R FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE 3 PROPERTY INFORMATION INSTRUCTIONS CONSTRUCTION PERMIT FOR FOUNDATION ONLY LAND COST At SEE BOTH SIDES REGULATED BY PARA, 114.8-S. B.C. EST. BLDG. COST If 10� DOa I PAGE 1 FILL OUT SECTIONS I - 3 EST. BLDG. COST PER SQ. FT-. PAGE 2 FILL OUT SECTIONS I - 12 DATE-V—" —93 FEE PAID 105-56t ' EST. BLDG. COST PER ROOM - -- SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR CONTROL �iSTRUC`TZtIN DAT FLED t BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE SS~D dG OINNER TEL.# �aZ- PLANNING BOARD PERMIT GRANTED CONTR.TEL.#. 1 0 $ /a 19 1�3 CONTR.LIC.#_4?f2eg:q BILK ++`IT �-6,60 —a BOARD OF SELECTMEN PERMIT FOR FRAME/BUILDING LESS FDA sSo ' dFIDE KNIT$� �anq-2 ,2 FEE PAIDi.9f=n�� 0p BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY12 . SINGLE FAMILY S OkIES r THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF"BUILDINGS..WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 I 2 13 t' { •.r °i " CONCRETE BL'K. —{ PINE BRICK•OR STONE- ` HARDW D — PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T' AREA _ '/x 1/7 1/1 FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS f CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDYJ'D ASBESTOS SIDING COMMCN VERT. SIDING ASPH.TILE _ g ' STUCCO ON MASONRY i_ ��j Lr; I �SyR t J?Yp del)31 T STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING x STONE ON FRAME 1 t'Sia SUPERIORPOOR ADEQUATE I-i NONE 5 ROOF 10 PLUMBING GABLEHIP BATH Q FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ y= ASPHALT SHINGLES LAVATORY _ {I } '•u:�r i WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. , TIMBER BMS. &COLS. STEAM STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR L- WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS _ 7 NO. OF ROOMS GAS y OIL ...N ; ' i «' 3JE�.I• ` ii"'> f3-� n-1 rI ' B'M'T 2nd _ ELECTRIC q '�AM!Z : "�J Ist 13rd 'I NO HEATING -� r x T� a.:o�"m r-ar•.R6�x�w.'=.+.+w's'm��•,' . r . {t'�, ff ar *-W 3 m NORTH Town of _X ;oAndover No.3 S S )3 Z Fort dover, Mass., S�t�T /3 1933 CONTROL _ CONSTRUCTION � °� Coc.CEJ_ C,< � ADRATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT. V1•�► h .'...�.�.... Ii«.! .... ... 4! - ........ Foundation has permission to erect..... vv">............�buildings on ..... .. ...�. .� !....VM_-r1k OL..•••.................. Rough to be occupied as...............t YIc Q ... ..... � r. 5........................MUSTRUCTION............... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR r Rough ��� �OCl/�1�/4�ION -... . .. i_ L........................................ Service VA I 4A&3�t BUILDING INSPECTOR Final n=, CONTROL f3 .P 3" #rc�pcillcy Permit Required to Occupy Building MSTRUCTION GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough p Y p Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. CONTROL CONSERVATION Det. SEWER/WATER FINAL CONSTRUCTION DRIVEWAY ENTRY PERMIT .� �. .e —j.,ro.".ty�r>•.Y'i"."„J�...iyd:.t,+v."”,•r.... �.;x....-`'.i`�"" '�s "-xL...1.._. Location No. 3Sf3 Date NO"T" TOWN OF NORTH ANDOVER o�,,van •�.,�° . p Certificate of Occupancy $ • _ + Building/Frame Permit Fee $ S CRUS�� .� Foundation Permit Fee $ Other`P�mit Fee )��(Q $ /00 � r Sewer Connection Fee $ Ir Connection Fee $ DOTAL $ X00Al " V� A Building lnspeci'tor• ?12 .6359 Div. Public Works ease ROIJ rl P Q ostt•,, owl"g request Pe aw•!„o rd � AN° JVG � REQUEST �4 DlE To and APpR�VE FDRw t" ARD RETURN ;' KEEP oR D r V� �SC RE Ew w,T \ N ARD Dade ME �- '. � ;�� �,:„• From w i' TMRMIT NO. 3s8 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. O�rrlal� PAGE 1 MAP i4O. I LOT NO. 2 RECORD OF OWNERSHIP iDATE (BOOK 'PAGE — ZONE SUB DIV. LOT NO. OCATION r� � G p PURPOSE OF BUILDING u/10US WNER'S NAME-�I�uS�eS- I$'C Uh)j"ao Mej�IST 0*1WA NO. OF STORIES VI SIZE ,odWNER'S ADDRESS >��1 V�C•IJ /jc ,-STQb(CTVJ A �j5ftff4fj BASEMENT OR SLAB — ARCHITECT'S NAME Ir� I�.Y1n1u0C� •1 SIZE OF FLOOR TIMBERS IST 2N tj 3RD UILDER'S NAME Mftnj.4 CJ*3S'TkV:rlfJlj e+' 1NG- SPAN / DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS L DISTANCE FROM STREET "' POSTS DISTANCE FROM LOT LINES-SIDES REAR " GIRDERS C ' vs l AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION 1 LAND COST SEE BOTH SIDES TL S t o EST. BLDG. COSTMIF Q. ` PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. . EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 r SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR e 13 DAILV•'TEE-FILEED` /-/-7 Q � BOARD OF HEALTH PIGNATURE OF OWNER OR AUTHORIZED AGENT FEE IF /GD OWNER TEL.#Q� N- 3(,J PLANNING BOARD PERMIT GRANTED CONTR.TEL.#_ CONTR. LIC.#Q t9 tg_0 BOARD OF SELECTMEN � I / BUILDING INSPECTOR . I BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I I sORIEs THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS-0F BUILDINGS: WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN,, CONSTRUCTION - 2 FOUNDATION 8 INTERIOR FINISH CONCRETE a 1 2 13 CONCRETE BL'K. ---I ��{ PINE BRICK OR STONE I HARDW D PIERS PLASTER _ DRY WALL o UNFIN. ? 3 BASEMENT AREA FULL FIN. B M'T' AREA _ '/. +/r l/. FIN. ATTIC AREA _ NO B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS____7j 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDNVD _ ASBESTOS SIDING _ COM/dON VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY. ATTIC STRS. & FLOOR BRICK ON FRAME CONC. OR CINDER BLK. I r STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR 7 ADEQUATE NONE Z 5 ROOF 71 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING `1 t RADIANT H'T'G �x UNIT HEATERS 7 NO. OF.ROOMS GAS >F OIL I B'M'T 2nd _ ELECTRIC 1st 13rd" I NO HEATING F-• IAORTdy To" of � � ` y� Andover 0 „r> ��9' `�.�.lP�'`�'IHy�:� t1% No.-3'5 g3 D • - �u� Or U* _ 1973 dower, Mass., . �O �.4�ON II, � ' • t'A COC MIC ME WICK\�� 7 0RATr F'P� �� BOARD OF HEALTH PERMIT D Food/Kitchen Septic System r '� ['I BUILDING INSPECTOR THIS CERTIFIES THAT. 4.44ffw�.M?._ .�.. N. ...���•��......•••• Q'• •••••••••••• Foundation has permission to we*.........�T..IC.....DC buildings on .x,7..3...;1ftrr..�ml........;�Tmae....1................... Rough .......................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough �� Final PERMIT THS U r C N STARTS ELECTRICAL INSPECTOR � � `` ` Rough D .......... .....• . Service ................ ..... .. ......... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a. Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT OFFICES OF: d Town of 120 Main Street APPEALSNORT[I ANDOVER North Andover. r BUILDING b; �s� Massachusetts O 1845 CONSERVATION DIVISION OF (617)685.4775 HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR In accordance with therovisions 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 c 111, S 150A. The debris will be disposed of in: (Location of.Facility) ` i Sifnature of Permit AP- cant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. fir °+-.p,,,,,.,�;;,..,�p ....._y' ..-...r...:..'r........._.. .--'�..r•.�+,css:..•....i+aat:•��-� ..._-� � r Location No ti Date TOWN OF NORTH ANDOVER % Certificate of Occupancy $ 41r: * > Building/Frame Permit Fee $ 'Ss�cMuSEt Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ fi Building Inspector +I313e06 25.00 PAID F 10? � /97 Div. Public Works PERMIT NO. v APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 JvIAP K�9E� LOT NO. 2 RECORD OF OWNERSHIP :DATE BOOK :PAGE ZONE SUB DIV. LOT NO. LOCATION P PURP0SE k� r _ f WNER'S NAME Q p NO. OF STORIES SIZE OWNER'S ADDRESS &rJ Q� A BASEMENT OR SLAB ARCHITECT'S NAME vv�� �5 �� ��� D SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME �� SPAN -- 17 DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BU.LDING ALTERATION < IS BUILDING ON SOLID OR FILLED LAND ILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES � �n -(/ �' CiV�YyL/®S/��On -EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 �7_�` Y/�� ( /e[ EST. BLDG. COST PER 8Q. FT-./ PAGE 2 FILL OUT SECTIONS 1 - 12 �Q / vNe EST. BLDG. COST PER ROOM ����x �2 // V B /� ��� •7^ �. _..1-- SEPTIC PERMIT NO. ELijTRIC METEPS MUST BE ON OUTSIDE OF BUILDING T 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PL/ANS MUST BE FI APP VE BUILDING INSPECTOR `DATE FILED / BUILDING INBPKCTOR SIQMXtURE OF OWN R OR AUTHORIZED AGENT F L�� E E �� .C OWNERTE2 -OL �® PERMIT GRANTED sluV v7 r CONTR.TEL.# 19 CONTR.LIC.# ooA5 H.I.C.# �0U r- co BUILDING RECORD I OCCUPANCY 12 ' SINGLE FAMILY _ SiORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND+DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL'K. PINE _ BRICK OR STONE H PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 14 1/3 FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS , CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARD%U D ASBESTOS SIDING _ COMMON VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR POOR ADEQUATE 1--i I NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET.RM. (2 FIX.( V V FLAT SHED WATER-CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING I MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM \ STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T2nd _ ELECTRIC 1st 13rd NO HEATING j Location [?Y No. 1 Date 11 r NCRTM TOWN OF FORTH ANDOVER F p Certificate of Occupancy $ 441 a" Building/Frame Permit Fee $ 7/ CHUSEI Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL f$1 y r Building Inspector 15448 Div. Public Works f PERMIT NO. �� APPLICATION FOR PERMIT:TO BUILD***X***�NORTtI' NDOVI✓R, IYIA h AL\PNO. LOTNO. 2. RECORDOFOIYNERSIIIP i DATE B, 'OIC PAGE "LONE SUB DIV. LOT NO. ; , LOCATION F QTE-2-5 T� PURPOSE OF BUILDING '� �1 1 S-7 J ! {- O\\'NER'S NANIE T p�Lj I 1�� IT �, S ,' l � _ �l " 1` l� NO.OF STORIES SIZE �i V O\YNER'SAUDRESS G • BASEMENT OR SLAB ARCHITECT'S NAME NU {i) SIZE OF FLOOR TIMBER$'`, # 2 BUILDER'S Nr1AlE L �V SPAN } jl(.' DISTANCE TO NEAREST BUILDING UTAIENS[ON§OFSILLS IS DISTANCE FROM STREET UIMENSIONSaFPOSTS a DISTANCE FROM LOT LINES-SIDES REAR DIAIENSION$-PFGIRDERS ',; AREA OF LOT FRONTAGE IIEIGIITOFFOUNDATION ; . ! .TLIICKNESS ' IS BUILDING NEW SIZE OF FOOTING j X IS BUILDING AUDITION AIATERULOFCIIIq[NE}' IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL Bl11LDlNG CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTEp TO TORN 1VATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEIVER i IS BUILDING CONNECTED TO NATURAL GAS LINE 1NSTUCTIONS 3. PROPERTY INF0121 LHON LAND COST �C I EST.BLDG. COST v� PAGE I FILLOUTSECTIONS 1-3 EST.BLDG. COSTPERSQ. FT. eEST.BLIIG. COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. A'FPACED GARAGES Ml1ST CONFORM 7"O STATE FIRE REGULATIONS 4. APPROVED BY: �/v✓ PLANS IUST BE FIL��)APPROVED D}'B[11Lll1 ECTOR BUILDING INSPECTOR J . J1 i DATE FILED OR'NERS TELA 4S-2-- -MoS j Y CONTR.TELI/ CONTR.LICH a � q SIGNATURE OF O\VNER OR AUT11ORIZED AGENT FEE 11.LC.# PERM IT GRANTED l� 19 Revised 5/5/99 JNI � fi All communication is to be thru the Church representative,. Robert W. Cookson, Tel. (978) 682-6890, Fax (978) 681-5200. Contractor further agrees to furnish and install complete, (1), 3 window unit as a sample for Church approval. The unit shall be installed approximately (1) foot to the right of the door(with the concrete walk), on the north side of building section #3. Contractor agrees to perform the above work, furnishing labor, materials and services for the following pricing: Building section #1, window repair: $ 2,304.00 Building section #2, window replacement: $20,262.00 Total contractrice $22,566.00 P Cost to repair concealed damage: Labor @$35.001hour Materials @ Cost Terms of Payment: Enclosed with contract:------------------------------$ 9,026.00 After the complete installation of 30 double hung windows:---------------------------$ 6,770.00 After acceptance by the Church of ah work to be performed under this contract:------------$ 6,770.00 Delivery: Sample window installed el 9 weeks Balance of windows nista ed 10-12-99 weeks For Louis Baron For the Church Construction Co. Board of Trustees Louis Baron Date dward blocki Date Page 2 of 2 i sA;s AX >>r:,i;ea �,:21A� A'„_- aa�t�ttxu�33 A\r�y 1 tstitcviv 'A = i J-� r: CERTIFICATE OF LIABILITY INSURANCE 11/0 /99 PRG)UCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arr.arican Phoenix Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Caddell & Byers HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ona Industrial Avenue Lcaell , 111 01851 INSURERS AFFORDING COVERAGE NSLaED ms ;ES A:Travelers Insurance Company Lo lis Baron Construction ;IN,sV,= 95 Nesmith Street Lc 7.'`f e 11, ILA 01852 NS-PEE: COVERAGES THr POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTA"1THSTAND ING AN` REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MA', PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH PC. CIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR - - - - - POI.CY EFFECTIVE ;POLCY EXP RATION LTR TYPEOF'NSURANCE POL CYNUMBER DATE MM DD DATE MM DD L,MITS A 3ENERA LLABLTY I680812Y6389COF99 04/22/99 04/22/00 1, 000 , 000 X 0 V A_. E\= A AR -Y _DA;,%A„='Ai y onef'c; 5300 000 -- 0 .,_A VS VA:= X. DD%- _- =X';A,yDie oc'sa1;. .55_1 000 SD\A-&A--IV \--Y Si 000 c 000 5_NE-A_A33-E3A-E s2 , 000 , 000 _ _A 3 H3A-=_ . -A''I_ES'=ZZ, oD IC-s-COVD,O'A S2 , 000 , 000 X 'O_CY UITOMOB LEL'AB LTY COIV,8IN=DSINC—EV1- A'_,_0W\EDA OS 'OJ-Y \"„,Y 5 S0--D,--EDA--CS c de'i I; 5 .,.c.de'lI -,ARAGE L A8 L TY A'„-C C\-Y- EAACC'D=N-,S .. _ A\YA„-O 0-_----.;A\ =A ACC .> ___---- A,--00"-Y: XCESS L AB L TY =AC-OCC---z C= 5 A SrORKERSCOMPENSATONAND I680812Y6389COF99 04/22/99 ' 04/22/00 4O-v_VVs �=_ V-LOYERS L;A8 L.TY --- EAC-:A::Ci7EiV7 � M.L.DIS EAS E-HA'=:V?LOPE='S -_.L.DISEAS=-')-ICY_IiVJTj S —, fHER DESC9 PTONOFOPERATONS/LOCATONSIVEH CLES/EXCLUS ONS ADDED BYENDO.RSEMENT/SPEC AL PROV'S ONS Ope -ations usual to contractor . CERT=ICATE HOLDER ADD TONAL INSURED, NSURER LETTER. CANCELLATION SHOU LDANYOFTHEABOVE DESCR BED POL C ES B ECANCELLED BEFORETHE EXP RATON Tow-i of N . Andover DATETHEREOF,THE SSU NG NSURER. 4V LLENDEAVOR TO MA LI O—DAYS VJR TT EN r NOT CETOTHECERT FCATEHOLDERNAMEDTOTHELEFT. 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':dq. t} ::`:.k L, 1c Z,,:.x.. a _: ,.:..F. -. .-. ...:a t... k'r ,;x ,.}: x ,: .., r �.':}...,r 4w r r r, 't. ,.3 .: •...•.,. r' «.. .f, S c,:.�r. .,,k'`i-t r. , n _„ r ,.,97 , z t o- o:' S; },a.b:a .r,. , .. r ?7 6.,,I ,i,. .� }. ;a .r a t. „_6. J xw .rG i 3 t , i �,�5J , i rE,,. :;tl .I,'d+ �( 'l+iJ {9 '� f - t 1 `.d;. 3:.. �p t.' ii. s. SPd sr Y t. .c y' S ,.C.+_ i' 1 .1.. f K. i 'fit'' j{}$, r L .. + I i } ` Y 1 ..r'3}L �.a �, t�' i .t, ,t�>{S. ;d:; t r 'tx ,..z r 4. {: s r _ �I .. Fr. ..- ,.... ,3 .. ,, r,.,..,.' >. .. _:.1. r."q"'7 t' :. d¢A .9, -.q..Y (. d,.. ,�'. '`^i. �., I. _9, v t_ i .i r .,t i. '_} fi ,x i t . .J t -eS:. -..,i Yt13:t ct _ - d tx ;a• J } - ,� i. F t .t ::� k- - -3d,a ,tea d ?" , - r+k: `=iF f• r } t:,r:. s r a -t . „. I: .. ! .! .nJr't .,-.,..,,. f3. a..rn q. E kt ,}:, y' ].,}{. f. ! , (. } , .:•... 3 1.: jt+{�df`4. A: (... .. }r ..,:.}', -. 3 Y,.r v:•. Wi J.t .: .r,__ ):..,._, ':frr ,_. .. ._ ..'T.....-.;S"s _..,... .3"� -_� _'.11,Yl _. P. ir. ,_,.,_ -. ,:.- '�..,,.Su-..„e '?«.2....k.l-..,r,.,1,1..•e ,..,.i 7...L,CL1,._ -...x:�:Y_ -.-_, -,.:I'. . .v,.i .m ...1 BUILDING DEPARTMENT- DEBRIS DISPOSAL FORM: In accordance with.the provisions of MGL c' -40 S 54,a condition-of Building Permit Number Is that the debris resulting form this work shall be disposed.of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: 3TF_4D,-M AK) ST Lo E-U, - - Location of Facility Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 1 NORTH 0VM Of. - L dover o�A COCHI E dover, Mass., ��S�RATEO 54 BOARD OF HEALTH Food/Kitchen . IJERMIT T D Septic System ® `� W BUILDING INSPECTOR THIS CERTIFIES � 4 THA0 T...0...... ........... ................................ .......... ........I.................... ...... .................. ........................................................................ Foundation ation .................... ....... : ....... Roughhas permission to . ... l �c.� ... buildings .......... ......... OF.` to be occupied as... . . Dip Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough,-_ PERMEXPIRES IN 6 MONTHS Pinal W W 0 6L q NMI& amp AIM IT ELECTRICAL INSPECTOR VM X 61 UNLESS CONSTRUCTIONmSTAPAIIS Rough alk ® 44f............... .............................. Service e BUILDING INSPECTOR Final OCCZlpCl1lCy Pe'!mit Required t0 Ocdup -Building GAS INSPECTOR Rough Display in a Conspicuous Place; on the Premises Do Not Remove Fina, No Lathing or Dry Wall 1,o Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. r---�- - ---_...�__-_.._ ____���/s3 �� ,` �� ��� �e r ��� 1 r .0 v e �.i`i vi, � S U t � � ���� sem- Zt `(`Vtu-5s Ov- S� 2-v S e F;tz$r ru.VT-R O- �-t Peyr Out) 3 Q. CVIWA f'ga.�e sd c )+,Vn.e, -b r--,-Il vwr mrSX--e� - SP2iru &32 -!4WXc✓►4,c- 'Fa P.% t--�, pt,ij=; , ALa i a LC- - a 9 ' i a.Z - ,see f2,¢/'Z!-6 ? �•� #3S'S ��7"� N va t % $ C ik, 'S l' Jeo" Prete H- - 1 Office Use Only u Lgiautmnnulrttlth of fassarbugef 9 Permit No. pC 0111—/ _- gfpAT32ItPti2 of'PIIltlits�"AfYh1 Occupancy& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 1 s/so (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 C 12:00 ` (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date si (M* or Town of NORTH ANDOVER To the Inspector of Wires: / The udersigned applies for a permit to pert rm the electric I ork des- ibed below. \/ Location (Street & Number) `s 7 i �f' e.)lgma C22 - 9 YYY Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps _J Volts Overhead f� Undgrnd ❑ No. of Meters New Service Amps _J Volts Overhead C Undgrnd LJII No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work i � No. of Lighting Outlets No. of Hot Tubs I No. of Transformers Total KVA Above—, In- No. of Lighting Fixtures I Swimming ?poi grna. grnd. r I Generators KVA No. of Emergency Lighting No. of Receptacle Outlets I No. of Oil Burners I Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones No. of es Ran9 I No. of Air Cond. Total No. of Detection and tons Initiating Devices Heat Totai Total No.of No. of Disposals Pumps Tons KW No. of Sounding Devices I� No. of Setif Contained No. of Dishwashers ! SpaceiArea Heating KW Detection/Sounding Devices No. of Dryers I Heating Devices KW Local — Municipal E Other Connection No. of No. of Low Voltage No. of Water Heaters KW I Sicns Saiiasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of '.Massachusetts general Laws I have a current Liability Insurance Policy including Comcietec Operations Coverage or its substantial equivaient. YES = NO _ 1 have suomitted valid proof of same to the Office. YES = NO = If you have checked YES. please indicate the type of coverage by checking the ap r nate box. INSURANCE BONO = OTHER = (Please Scec:fy) (Expiration Date) s _ Estimated Value ofE!ectrjcal W k S� Work to Start Inspection Date Recuestea: Rough F nal Signed under then It es of e FIRM NAr ry t r 9 r t �/T AJ t LIC. NO. ME � Licenses �t (7 �A/��Sig�n/attire ?� _LIC. Address — �//4 T-&A r� �� LA""' f7 �.9� Bus. Tel, f o. C�c3 Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee aces not have the insurance coverage or its substantial equivalent as re- auwrea by Massachusetts General Laws, ana that my signature on this permit application waives this requirement. Owne AW (Please check one) Teteohone No. PERMIT FEE S ( gnature of Owner or Agent) C`�.s � x55a"5 ;i ... "" ,.�:c*+�z.:����.,.,R •s-���'iG�`,.e.,-+..h..t�—� Vii' Date..... ,... .: 2 o t 40 Q-, f: TOWN OF NORTH ANDOVER PERMIT FOR WIRING r �,SSACMUS� ,x This certifies that y .. ... .................... ...." r' .... q � has permission to perform IL wiringin the building of.................................................................................. at d .., ....;n ..�'. ..:....•.,...:......~`............................... ,North Andover,Mass. .... Lic.No—L... o. .`.f...A/.t. ........ .......... ...................... ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File # MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 CASFITTING x (Print or Type) l NORTH ANDOVER Mass. Date Ihuilding Location Pe fletiS S �� Permit # 2,00 .� Owners Name /y ®g �,��v{s � . Y • New 77 Renovation Replacement Plans Submitted D FIXTURE'S N , W • N _ z s �; to a t» C: a y = z G1 W La W Z -1 0 1-1 1 0 1 a LU 0 0 Oto F� m W d a: -1 W Q W tt toZ W >.. o 0 Z .14 cc W W O ? t- Za F- W= 0 — Q 0 ra y C W O 4 G I 4 Q O O W O W !- a o 1- o SUA—,3S7.tT, � t BASEMENT IST FLOOR i 2ND FLOOR ! ! 3RD FLOOR I I 4TH FLOOR I STH FLOOR 6TH FLOOR I 7TH FLOUR l 1 8TH FLOOR (Print or Type) Check one: Certificate Installing Company Name C\le_c ✓e2 �'�5 �.�/( Corp. Address q "` C� e C_L::4 Partner. 112,2 9 i P 4 Gfi�7 y�yp- Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter Insurance Coverace. Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy im Other type of indemnity u Bond Insurance Waiver: I , the undersigned, have been made aware that the licensee of this appiication does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner 17 Agent I hereby certify that all of the deuds and information 1 have submitted (or entered)in above application are true and accurate to the best of my knowledge and that sU plumbing work and hnstatlations perfornied under Permit isseed fo: this apptintion will be in compliance with all Fertineat provisions of tho blAssachusetts State Gas Cade and Chapter 142 of tho General Laws. By TYPE LICENSE: Plumber Title Gasfitter Sig a are of Licensed City/Town: Master Plumber or Gasyitter Journevman (�- ?/3 2, APPROVED (oFFiCE USE ONLY) License .lumber Date... sib 14`17 f 5p� y 40RTM -1ti TOWN OF NORTH ANDOVER : p �t Sao :. a°pp< o p PERMIT FOR GAS INSTALLATION Gi��SSACMUSEtty O C: Xhis certifies that . . . . . . . . .. . . . . . . . . . has permission for gas installation- ... . ..: -P . s � j f �f in the buildings ofi: ! { .`. r` . .f.� at S. .. . . . . . . . . . .. North Andover, Mass. Fee. —Lic. No. Z-3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . GL-t{ GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File 4 Location oar 1` t: No. �c::)- Date ad Dl NORTp TOWN OF NORTH ANDOVER 1. p • s ; , Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # zx/w 15028 / Buil g Inspector b TOWN OF �OR t H ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER:,. DATE ISSUED: ij I SIGNATURE: L Building Commissioner/I for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: L) / AA`p n y Flq M14 Map Number Parcel Number (V 1.3 Zoning Information: 1.4 Property Dimarsions.. Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.5. Flood Zone nformaon: 1.8 Sew sal 1.7 Water Supply M.G.L.C.40. Information: a 54) � �° System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ ag SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Alwo Name(Print) Address for Service t ' Q Signature Telephone q7Cq 6 0 2�S3® CNU 2.2 Owner of Record: Name Print Address for Service: Si afore Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Applicable Lice sed Cpnstruction Supervisor: License Number Address Expiration Date Q Signature Telephone Fm 3.2 Registered Home Improvement Contractor Not Applicable Companyf4ame Registration Number Address Expiration Date Si nature Telephone t r ' SECTION 4-WORKERS COMPENSATION(AML. C 152 § 25c(6) 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 Yes.......❑ No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building Repair(s) Alterations(s) ❑ Addition 0 Accessory Bldg. 0 Demolition ❑ Other ❑ Specify Brief Description of Proposed Work:TAI rt/F 13U/G D1/V� L ��L 74, /I Oom! 401 jtD� tP1ffV1a03'4l�P 10191T' X6i , h«S H-45 9,ffff /9' OUB,. 7H5 flPo NO 0DQlfof G %� 5rrTf�� V /�/ LoR1}VIWl�I �IlVF_ 7 V5.11491 C D _ /LL Roam L 15 New 9'E1FM7 E k-*' 5w17-MM SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be Completed b ermit a licant . ...: Y v kY x 1. Building M 60 qt i Vol VA(715 F,1?5 (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC C>,,'� 5 Fire Protection 6 Total 1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO Itt COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION / A OF l l� 9VIrc I, �0 ��j r `/V•. CooK55e� -0/7 TV��4/9/'t P 4F//?I as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Na Si attire of weer/Agent Date / NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRABERS iST2ND 3RD SPAN DMENSIONS OF SILLS DIMENSIONS OF POSTS DEIvMNSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BMDING CONNECTED TO NATURAL GAS LINE The Thornton-Tomasetti Group Inc. Thomton Tomasetti Engineers ■ LZA Technology ■ LZA Associates September 18, 2001 Michael Maguire,Building Inspector Town of North Andover Building Department 27 Charles Street North Andover,Massachusetts 01845 Re: Proposed Partition First United Methodist Church 57 Peters Street North Andover,MA Dear Mr.Maguire: On behalf of the First United Methodist Church and its Board of Trustees, I have reviewed their Permit Application and accompanying supporting documents to erect a new permanent partition between Rooms 401 and 402 on what the church refers to as Level 4. The church building consists of 5 half-levels. The location of the new partition is in the same location as a former sliding partition,which the church wishes to discontinue. The church is a Use Group A-4 and Construction Type 5B. I have spoken with Robert Cookson, representing the Board of Trustees, and I have spoken with you regarding this new partition. The Trustees intend to erect a wood 2 X 4 @16 in. standard stud wall,with no electrical outlets,and no interconnecting door, sheathed on both sides with one layer of unrated gypsum wall board. Therefore,the erection of the partition does not require skilled tradesman, as the church wishes to perform this work with volunteer labor. Each of the rooms will continue to be served separately by lighting, switches and electrical outlets in the existing walls and ceiling. Each of the rooms will continue to be served by existing sprinkler heads. Each of the rooms will continue to have two remote means of egress,as indicated on the plan. As we discussed,the new wall will be constructed in accordance with 780 CMR 3606.2.4.1, except you have indicated that, if the wall height exceeds 108 in.,the Town requires the addition of solid blocking fire-stopping at mid-height. The Trustees intend to erect the wall, install wall board on one side, and request your office for an inspection of the construction prior to installing wall board on the final side. I find the proposed construction of this new partition to be consistent with the Sixth Edition of 780 CMR— Massachusetts State Building Code. I further ask that you include this review with the church's Permit Application and grant the required building permit. If you have any questions,please call me. Sincerely, The Thornton=Tomasetti Group,Inc. \N OF a� COLIN yGN S SIMS Colin G. Simson,P.E. F o.z$sai�o�4 Vice President �Q,� cIST�Ea ONAL E� 131 Tremont Street, 3rd Floor■Boston,MA 02111-1317 ■Tel. 617-338-0708 ■Fax. 617-542-1285 New York, NY- Newark, NJ ■Trumbull, CT■ Boston, MA■ Philadelphia, PA-Washington, DC Gaithersburg, MD ■ Fort Lauderdale, FL-Chicago, IL. Dallas, TX■Tustin(Orange County), CA FORM U - LOT RELEASE FORM r .. INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards'and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT PHONE LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT(S) STREET 174f S ST. NUMBER ,/ *****************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS I TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEW Y PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm x N Y t e 1 Ld .�y ' i . ..s F .;}'l�-aei-�`+ �'+'�.• ! �t,,'nxe��-kc'``�`�+n•' r}��r' !�• 'x� vH,�,IFs'}".S.�S�'�ca'a�;. v �..+f •. .:`.x�yf s,P !i&! ,,+f=?:B .a.S +- #:�s4a�r,va6 "iY IT+°T;'. . ':.�..- , e.'�.,✓': sl{.7tw?.' v r:i 3 `.:'.`n.�'.-`''ti' •a..'�t� w . i . r t ,� < rrY• a �y,, !''kf 1. G f r`.„ , ,.. ""t C, ♦ .r 'Y"r ta, ' f 1 ' , �7's,yf• �v,, /• T :y ;t: y?9 Y.h ,' y ti i v .tvr,$,. I.,r !� .�.;' i`. t'' , _ :.:. � @:' .: !-. . .,. •� ►IY� !!' a 4ir.'* :.Jx1r t.R. i.4 r'Y;}*a. a'`+� Py i':.-,rH, •.�$TZ�y'n..tijb J_.3 '-7'�T'•/t t� v.�r/a ,:'Y...iV..�e��;�•"ki�.�!t !� � ��� ✓�iyl �`�fx`t s � rr,S.a ro.c S �','3.r:._�rSlr'r•'>+'PsK vtw Will '; , ,k', "''Lr �'. !;'1• '.>,"` ,o-.�a raai ,;r, -a.� o ai t x.,;: — . i •:a:. 'irrrtr�: p+r.� r r'� h s k 9:•�?I 1. �•,�iF. .y, ;sl. 7 ++•L:'{Z i. !f'.;s{ `' 5..1 + yj::t tT'i-, t .t. .,a aaw"t .r.I ,l.' ! ra.� .x ' !�s>r i ,�-•I,� �f, 'a }°i'. d:.}, �t "..d0.i�ri5't.'� ;�'- r TM—f •nx"-•e.... .) ''t. .,S'C ... .'^ t.,•k.n;2v,K' r � r. s .n-Y+�f �.t t�,e,H.t :,t ♦ j!"!' }P . ►�'' .v, 'x- .... l,y 1. t r. 2� �4,; ,tA.r y'7 � ✓u{$�. �' YS l'b� `�t3 r}S�,' 7 r t - r .. ,s <••>y? ,.r^'i•r y:<•C,v� ve+� =r:�.d.�a;_"'r r.,r y,•i r .. 1 7f'!i'.d d -y:::,.'•" 3'ikT '1�` v(.K,►, nr l `FS.yy�Y I� {,. r r ? t .. 44 .... nA ... t t M1vr yeti. . r. w � I t�J Q z `��to s... ..., I— .... 1 .,. 1 1.... ...; �.�_.;:,.,.•.r. Y irx� fl . zn Mr IM I: w - CN CkA�Vl inM r m ® ® b ' a rx n tl D o IA to CP uw rN � a -X� � . - `i1:• '-.� 1 ... .. .. � ... .. .. � . . _ - ,- +♦Ir���et•.k•�atm�".3.f4,}`,�;Sa.t-�ax .,�ry ti _ ` s r' — — ;. «yT�M: - .. yy -yuxf{•t ��y�v�nyf�t-,y �' r+'� { �' ! r 'r�.. 'r •'C.x r�Li:'�.�+arrJyr•+r.wa:P.y.. .. .`,. «:! r ... :r-�. .i' y i/-.�3 f ?;1^Ya !^' J°. .•IFy�••}.v !✓ _ :s.'F-w�r!•a. .r ..d!1 aY�a!""77— .� 'J�� f}x- ADDITION AND Itt:NOVAT10Nb c..z:s.:.�,..: s.T,._.;..a.,.x t: .t::+a� Lraw7 nn;x ; " OR PL-'AI S' '-s' t,l. PAUL DOUG MIN0R"A A. r r.,,+., - FIRST?UNITED METHOpIST.�CHURCH; ;", ; ,4 A; -�•�:rr' `�:^ 1. .« �.a. ....�. r;=r'tr,:«• �,.;: 1. ` AR HITECT W Q ti �s'� ;� U E L. ,Lj,,:r.�.:. 51'PETERS'S REST ,,,..+n o.: ''�:._ '?3 rad ... -- ,..r: -ay 1 74 MAIN STREETt' yc:;:k..a .t'r'.:�C NORTH Town of �,E D Andover N r =µ L 7O• C 0--Wk 47 .1 —ol dpi/ � oCH A dover, Mass., %S RATED p'PG,��� H ` BOARD OF HEALTH PERM. IT T D Food/Kitchen Septic System THIS CERTIFIES THAT .... ����f� ��������7' CAV I� BUILDING INSPECTOR BUI . �..... .... ...... ............................................................ ............................. ................. ....... Foundation has permission to erect... /4i" V. .. buildings on ..��,�.....P1Et rs... ... r'�.' ........... Rough to be occupied as �0 ���� �.... ~ w �'AurOO 01 '140* Chimney :. . . . . . . . . . . . ........... ........ .. . . .................................................................... provided that the person accepting this permit shall in every respect�conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-laws relating to the.Inspection, Alteration and Construction of Buildings in the Town of North Andover. a V 1 4 �s, � PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES I 6 MONTHS THS Final � V UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough .. ke4ou.. BUILDING INSPECTOR Service Final Occupancy. Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. First United Methodist Church 57 Peters Street North Andover, MA 01845 Tel: 978-682-5305 E-mail: fumc@netway.com Rev. Barbara B. Herber, Pastor August 28 2001 Town of North Andover 27 Charles Street North Andover, MA 01845 Attn: Mr. Mike McGuire - Building Inspector Dear Mr. McGuire: The Board of Trustees at First United Methodist Church, 57 Peters Street, North Andover would like to place several traffic control and parking lot control signs in the Church parking lot. Enclosed is a copy of a mylar diagram of the Church property with the current parking lot outlined in green. On the diagram we have marked the location of the proposed signs and on an additional enclosure we have diagramed the content of the signs. We would appreciate your consideration of this request for permit. Please let me know if you require additional information and the procedure to follow to obtain the permit if it is approved. Very Truly _ o rs, d q g I a � Albert Chiemiego / �1.%ua Member of The Bod of Trustees - First United Methodist Church 24c Farley Street Lawrence, MA 01843 (or Church Address above) Tel # 978-687-4337 (day) U encl c t � cc: Rev. Barbara B. Herber, Pastor Mr. Paul Carlotto - Chairman Board of Trustees Pr t FIRST 1),V ) TEI �1ET}�oD�ST CHc,'RCN `ARK,A✓T LoT Pro Po sGD v E!�TS. _ S ct LocL Tic,tl �;�1��AM H tscI�s to i CoM � / a s, A I ; _-- g First United Methodist Church -- RRKI � G FOR , s � NuRCH 0siNE- sS bR By PERMi /8 // x 2 it SPEED S I g LIMIT Loc ciTt e.,Q Nar 1.6 S1jV$ u'I/ be � czTia o� Ta /YJ�T,9 L �-eLiANNCL S!�a a STS SPEED - �Rtv � rN�o c�rawad LIMIT -- -.. LOCA r o� m-.cue o-t /91.6cwlu"'Au uNAurHORtzED vEHia.E,s 1 THOU - - WILL BE Lo c,,`T�o-nt SHALT + TOWED AWAY NOT t` PARK:; I AT OWNER'S $ HERE: EXPENSE IZ"x (8'' 12ux 18 TOWN OF NORTH ANDOVER SIGN PERMIT APPLICATION Site OwnerA5T IvTffa/�/,�T Applicant a Te f'L��TC'1�i���e^ �9P�,� �� 'moa. //;6 i;--S Site Address .J 7 IQE—Ij:�e_5 ST,2 T 1V't-rt1 A,udod�r M,4 Size of Proposed Sign L P B Z f�y`/haG7iJ�Ce 5-R-C diaS How attached: a) Against the wall ( ) Illumination: a) Not illuminated b) Roof O b) Internally illuminated ( ) c) Ground c) Externally illuminated ( ) d) Other ( ) Materials: tyie-ta 1_- AL�,MrN;�,� Sia,J Proposed Colors: Background W i4 r't�E- Lettering BLac. 4 ore Red 614ckc�G, loyo S-F L Pos� Border BL,�cfc NwTs -4 LT-5 Required Attachments: Note: No permanent/temporary sign shall be erected, or enlarged until Photographs of building an application on the appropriate form furnished by the Sign Officer has Material sample been filed with the Sign Officer containing such information including photographs, plans and scale drawings, as he may require, and a permit Color sample for such erection, alteration, or enlargement has been issued by him. Site or Plot Plan (Required for all free-standing signs) ✓ Such permit shall be issued only if the Sign Officer determines that the Drawings of proposed sign ✓ sign complies or will comply with all applicable provisions of the By-Law. Other, specify Will sign overhang any public road or walkway Yes ( ) No (✓) ® E C E 0 V E If Yes;. Name of Agency who will provide liability insurance- n 90(0 AUG .AN INCOMPLETE APPLICATION WILL NOT BE ACCEPTED ' BUILDING DEPT DATE FILED: revised.jm- 8/98 SIGNATUR�' APPLICANT lvDo2 K Te t q7F-687- �'-37 7