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Home My WebLink AboutMiscellaneous - 59 MAIN STREET 4/30/2018 59 MAIN STREET / 210/029.0-0039-0000.0 F+- I\ Q I Ul/Z3/mb 15:13 1HAZ 617 665 0401 IeAt,-laKA1 ,ALC, yyvuliuua ' FAX COVER SHEET To PETF'R IVB vg P gl Fhm C rA ll Glar k Foot: 91 v 0"ft PNon�a Past 3 melvdin j 6vt r shat Mdw (- 13 - o r O Ugpmt OWor RwNw ❑Plsa Comment O Pft a Reply 0 Mom*Adwawbfte 140,1- 15 �'l�. irk ; Yoe JQAgvzs1' G0 oN 6�- Main St Al . 4nrdover _ RECEIVED !AN 13 2005 Ta BUILDING DEPT. / �6 `An --� I 19-5 7,-,d 1 � S Nota fie intnal m aontwed In tie message maybe prMleped and=*Ia tal and pmIscleciftmillskkurs. H the reader of thb meseepe b not the inanded redplant,or an employes a spent reeponeble for dwNerinp trb nrss mpe tro intended mdpknt you ere hereby n0ed trot any dlaemineft%dbbbAm or oopytnp of Ne awmwrioston b PMMlsd. If you here realved the ooer uftellm In error.pksss notlfy us tnrrrede>sIY DY replyMp tp the meeeepe and the dodmeM Thank you Mao-Gray Cdpor W 22 Water Street,Cambridp.MA 02141 • phone(617)492-4040 ' fax (614 868-5357 t s� F y�uvciuva [ rnd olr 000 3431 ien�-ins: on�.co f{ 1 Mac--Gray Services, Inc. 8D625.:pt raw 12-7-04kok Service Call Workorder Zai iD:CA N0725174 Customer ID: MEL001 Branch ID: V5 Cust Name: MELILLO, RICHARD Call Status: LSC Location: MELILLO, RICHARD Call Type: 4TORE Site ID: DEFAULT Priority: }sigh Account Assigned Tech: 90BECLAR Address: 62 MAIN ST. Date Entered 1;/10/2005 Date Completed 7(/10/2005 NO, ANDOVER Terms: Q MA 01844 Dwelling Type Phone: (508) 685-5302 Caller: Joanne (owner) Phone: 9786855302 F�0 # i 1 Problem Codes Problse ID Description Service Cali Notes DO1 Dryer no go had fire has sign Resolution Codes { 0 Resolution ZD Resolution Notes y �.�ntL3s VSs c�n�dm Pd��t� PAO - SU�t`SS ��"^ A MrntSS�G� p�L0 2 W t�_ ALL. 0-\1-.S t# Aad fur Es;,Y0a's y�,Mt E i t , I' FA3 51Y 555 b3b'7 ISAU-bKAY ,ALbb I&IUU3/UU3 I �4. A Section 'l Specifications t 301b. Coin Stack Dryer Model Voltage y per( 120 dolts,60 Hz,Single Phase D Wa ht C ac Iba.) 2 x 300 tinder Rotation Dlmenalona Direction noun r dodkwlse 271/2• RP 47 r askd Diameter 30' as askeR Volume 11.25cu.11. Natural(supply Ilne) 4.-10'W.C. r 2211/1 ' Natural umer maM 31/2'W.C. rail Height(wiQi legs) P.(supply ine) 1 -14'W . 76 P. bu r manifold 1'W.C. mail um 77 sm Line Stu /2'NPT y� 31 1 ' 80,000 47 6N6• tantin r ht floor to top 4415/16• Exhaust Air Flow fcfml Doo g ( b 75/1 ' Size 2 '(DPW") of 1 Clearance stands Necessary 3eMce 1 mum lerplh ant attireWarm) im 2 eiboNra { 141t, IarMo1 150-190 F Make-u Air G 1 F minimuml 1 minim8112 .n Pem,wM prsesANedlum 120-17o F el ht 150 F 737 110-150 N some 1 F lectrical Intemationai Voltages Avallabls r" 1 H.P. 1 A e 19.6 sbyle Pr Y 6tl HL•' 1 enrk�s 2 wlm tie gmund Tin. 410 1c I 1 4 i 1 f I „dation % 12 1-nA ! s No. I Date NORTq TOWN OF NORTH ANDOVER 0vw* A Certificate of Occupancy $ °?01.�> �' b'••°''t�' Building/Frame/Frame Permit Fee $ CHusE 9 s Foundation Permit Fee $ Other Permit Fee $ TOTAL $ � Check # 16118 IMr Building Inspector O`NOWTy A tno a 4 3.i p6.) M♦ oL Y oq ?y ASSACHII`+tt CERTIFICATE OF USE & OCCUPANCY TOWN OF WORTH D V Building Permit Number Date c) THIS CERTIFIES THAT THE BUILDING LOCATED ON U /A.) MAYBE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.` CERTIFICATE ISSUED TOj4G� Building Inspector b NORTH O F 1. p i Y �9SSACH US, CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number .�� q Date THIS CERTIFIES THAT THE BUILDING LOCATED ON /7714 IN 5 a N d )Clo 0 2 �i h 7L 41 MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING I CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO _ �Ac.-k a m l 2 A "11 CIWA `l 4 w c,-e_ Building In ector c � P NORTH i leo lin' .. Y ,ssacr+uSEt CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number Date /-o7a - THIS CERTIFIES THAT /1 THE BUILDING LOCATED ON P9A l MAY BE OCCUPIED AS �om M i y IN ACCORDANCE WITH THE PROVISIONS /OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. � CERTIFICATE ISSUED TO ;eGk 63 I -at,o a c t' Cy .a c y114 c Building Inspector i i I • KowzH� O ,tan. Md hmA 9'SSpCHt1`at CERTIFICATE OF USE & OCCUPANCY "OWN OF NORTH ANDOVER Building Permit Number Vr�°I Date Q2 -3 -Qao 3 THIS CERTIFIES THAT THE BUILDING LOCATED ON 4 J MA (A MAY BE OCCUPIED AS /- d i f- (Sa /m ^U IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO s )Vq /A�) s+- Building Inspector I� 4 t4ORTH S «xo N6 ae. �? pp F i �SSacHUS S9 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number Date THIS CERTIFIES THAT THE BUILDING LOCATED ON 617 /?)/q/y S-1- (s-5-6 MAY BE OCCUPIED AS -e t, /2- `-'- IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO �oS,,/to /1 Azvd-ors 1) A-) Building Inspector ® o �� .� dover o. NorthAndover, 1Vlass., � e. ' BOARD OF HEALTH PERMIT TO Food/Kitchen I LD Septic System /_ / BUILDING INSPECTOR 1` THIS CERTIFIES THAT <' °� 1. 4 - ......................................................................................................................................... Foundation r has permission to ems..... �. .. . .............. buildings on ... ......./0....: / )." Rough - = f to be occupied as.....F— .4,VK -."'�-..... �'.,�V,CA U kh C— . C p*i ft€V.c 4 a( 4-Re t e Chimney Av4Bl� ........................................... . . 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. 49, ,13 e , PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids/this Permit. Rough �o p �..P '�a�. "•��,�� . -� ELECTRICAL INSPECTOR �.. .C�f ;`� o� .. '` '!"®' ............... . BUILDING INSPECTOR f fig GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove F. r,/6 I No Lathing or Dry Wall To Be Done FIRE DEP RTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. , Smoke Det. SEE REVERSE SIDE I `q Location IVA /A) S _ No. / Date `/c/ C7 TOWN OF NORTH ANDOVER s Certificate of Occupancy $ s' Building/Frame Permit Fee $ 8 y s�CHUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ y Check # ! / 15523 Building Inspector - TOWN OF`NORT$ANDO VER 43UILiG DEPARTMENT u APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING 2-a .,�''"`v� f x �Ys3a,s} n`` as `?�`" '`� moi,.,. ;.�s t' es gs„�.ty ✓ t -a.. Section for Official Use Oal BUILDING PERMIT NUMBER: DATE ISSUED: � vo SIGNATURE: Buildim Commissioner or of Buildings Date `MAORI , VIVO 1.1 Property Address: 1.2 Assessor;Map and Parcel Number: S9 _ 0 MAN s!Rza-7 0:)-q- 0 9LK 0019 Lot'0000 Map Number Parcel Number 1.3 V Zoning Information: 1.4 Property Dimensions: ' FI��VT� 01J iia41>+l S� Zoning District Proposed Use Lot Areas Frotrta ft 1.6 WELDING SETBACKS(ft) m Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ 2.1 Owner of Record (AdX p¢ A cK CA C:LC. Russ ► e,zT icl+ 59 _ L� MA«! ST O Name(Print) Address for Service ROSS PM17Z(cl� Sorn Signature ^� Telephone A 2.2 AuthfMp Agent Or �,wA)N Ox,�) Nam t Address for Service: O CA 66 3 2-35 76 -2-u Z Signa re elephone m 121,Mr Qo 3.1 Licensed Construction Supervisor Not Applicable ❑ R1Ckpouo S SWIR && A.T W600 Cor C S 6 0 $�f Address License Number 0 U SAtRi' C)Rwr SALCYK N• btb' -n �� Li Construction Supervi r: 7 a 6 �0 Q 77(6/2,0 _ n Expiration Dat Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ ` v RlCi+W j• SAn Q�� A � who C®risT / 6� b�3 Company Name'. Registration Number M A .S uj a op COAD M CV OA) r Address —7 a,4 O r Expiration Date Z Signature Telephone i i _ t Workers Compensation Insurance affida t must be completed fand`submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildin Signed affidavit Attached Yea.......W No.......❑ SECTTorr S-PR4 5"SI4NA ri G t hl�1i C 1 i 1 MON�ERVIC S Int B�1��1�n s7��t�VI�»S s ';T SONSffi1f7C7f)ft,sCO l 35 x` Cr>[i.d iCT ►S>6')i � .._ 5.1 Registered Architect '- Name: Address Signature Telephone NM 2 Rtsterecl fsr &i � . ,TA.M C S A . 0' IJAN P E . o�ms Ec R�3wto o>✓ Area of Responsibility 9TIVMU— Name: "I C PWA S TA00 Registration Number Address: Expiration Date Signature Total Not applicable ❑ Name: Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone t Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date t � i w-P,Ra Smrrk Q.(3.A A•f W dOp Co klsTtvantj Not Applicable ❑ Company Name: Responsible in Charge of Construction �f, ) New Construction 0 Existing Building ❑ Repair(s) Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Descri of Proposed Work: tr e bort-\od ore pe z � > USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly 0 A-1 0 A-2 ❑ A-3 0 lA ❑ A4 0 A-S 0 1B 0 B Business 0 2A ❑ C Educational 0 2B ❑ F Factory ❑ F-1 0 F-2 ❑ 2C 0 H High Hazard ❑ 3A ❑ IInstitutional ❑ - 1-1 ❑ 1-2 ❑ I-3 ❑ 3B 0 M Mercantile 0 4 0 R residential ❑ R-1 0 R-2 ❑ R-3 0 5 0 S Storage ❑ S-1 ❑ S-2 0 U Utility 0 Specify: M Mixed Use V Specify: rS /\ _ ,r'��n,0etf (-4 bat A Zf-S S Special Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft r;a7 Independent Structural Engineering Structural Peer Review Rapired Yes ❑ No SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, t\US S EL- 14L tTRt G1 DF 2 T L•C•C• ,as Owner of the subject property Hereby authorize to act on My behalf,in all matters relative two work Kthorized by this building permit application �L� q Signature of Owner Date V S -X- W D F RACK kg-A1 7 LLC, as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury RU S Se:u., 14 ejuriz.t c.h OF RAu& fTkLT� L:L;c. Print Name — lv"4-44 Signature of Owner/Agent Date . 1 "A E, 9 T 07;0 7�7,� 4 Item Estimated Cost(Dollars)to be Completed by permit applicant : 1. Building o O (a) Building Permit Fee , ( Multiplier 2 Electrical f Slk.pt<,r F tu (b) Estimated Total Cost of QL T�rCroP-s A� �n1 T 1 V�© Construction from(6) 3 Plumbing A -7100 t) Building Permit fee (a)X(b) g 4 Mechanical(HVAC) ('5 Fife-Protection Q p p (? 6 Total (1+2+3+4+5) D 13 Check Number� �a y A 7 t i bra E 1 r r x z r rt�� t tri t ,. 7 k3.i ytr' '�..:; ✓i ;.'t3 :§:,�,5 f g:. _...,� �. 3 _- n vEm .Y lr vc. r i. ON 0"F `�'ka '& t2,.+ �{ xS, j t _2t�a �.Y,. .. J 4 9' r e e.Y .� ,x.3" a F t 3 7f k !fir.2 5s> v:e t' !.d > .c ��• ry` NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sr 2ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CBRvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE t- 4✓��'"''s:. a'cr"'i+a rk"g -k'.r's'm5 r.S' -� -�'„''c��r` ,a':sr.`�'a"' i t �' 'k' Y•t 1 -a;s�-. _ [c "<< acs ,r - rr, FORINT - U -AOT RELEASE FORM INSTRUCTIONS: This form is used.to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT RACK RL A"-r�i LL (-- PHONE 56 ASSESSORS MAP NUMBER LOT NUMBER - UOQ LOT': 0 660 SUBDIVISION LOT NUMBER STREET MAW ST- STREET NUMBER Jrq — 0 Itil A/,V OFFICIAL USE ONLY RECONEMENDATIONS OF TOWN AGENTS DATE APPROVED CONSERVATION ADMINISTRATOR DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORDS-SEWER/WATER CONNECTIONS D Y PT b 2-DATE APPROVED M F DAR DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE JAMES A. O'DAYAE. Office: (978)687-6350 599 Canal Street Res: (978)687-1729 Lawrence,MA 01840-1233 April 10, 2002 Mr. Michael Mc(Juire Town of North Andover Building Department 27 Charles St. North Andover, MA 01845 RE: Structural Report for Rack Reality LLC— 59-67 Main St —Nord,Andover, MA Dear Mr. McGuire- On ApW 9, 2002 1 again inspected the fire damage at the above referenced property. Initial demolition work and clean up of the damaged areas has begun. 'the ceilings and walls were exposed in the most severely damaged section of the structure. Based on this inspection I recommend the following be done, • Remove the entire roof and ceiling on the rear of the building on the Waverly Road side beginning at the tear wall and proceeding toward Main S tree t to the 41h roofjoist on the Main Street side ofthe chimney ',rws should be the full,width from the Waverly Road exterior wall to the exterior wall facing the IT . • Iliere are some slightly damaged joists from this point toward Main Street and these should be reinforced simply be adding an abutting parallel member of the same size at each joist. • The interior wall ftom the chimney to the Waverly Road has several severely damaged studs, which must be replaced. • The framing and wall, around the large window facing Waverly Road has been severely damaged and must be replaced. It appears that this should take care of all the structural repairs and i-eplaccinents required. However continued demolition and removal of the roof may indicate other spots, which require attention in the manner discribed above. There appears to be no structural damage to the rest of the building only smoke and water damage. I will however, on an ongoing basis, continue to monitor and inspect the demolition and subsequent construction to insure all unsuitable material is removed and replaced. I also recomtnend that a building permit be issued in addition to the existing demolition permit to allow'die replacement of the roof as rapidly as possible to prevent any further damage to the remainder of the structure due to exposure to the elements. Should you have any questions please call me. Very truly yours; A OF ODAY CK James A. O'Day P.E. NM22M 4a% cc:Rack Realty 1-11C, JAMES A. OTA Y AE. Office: (978)687-6350 599 Canal Street Res: (978)687-1729 Lawrence,MA 01840-1233 April 11), 2002 lVir. Michael MC(Jaire ToWil of North Andover Bui I ding Department 27 ( haries St. No.rfll Auidover, NU 01845 RE: Struclural, iZeport for Rack R-eality LLC' 59-67 Main St, _,VI Mr.. IMCG vire:: Ca Aprd 9, 2002 1 agpin iiispected die fire damage at the above - ferenced pr,,)pertv,, I lifial Q deltioli-tion work and clean up of We damaged areas has begun. '17he Ceilings and wails, wexe exposed ill the most severely damaged section ol,'Ifie slTuciure. Based on1 this 1i ISnCCti0"_ I recommend the fol lowiaj ,be done. Remove the attire r0o.fand ceili-ng on (lie rear ofthe buildinp,oll.the Waverly Road sidde, beginiiing ai the [car wall and proceeding toward NIzin Stre ct to the UiroofjolSt on dic.Nfain Street side of the chimney. This should be the fullwidth from the waverly Road exterior wail I'D tile exterior wall facing tile "U". I'liere are some slight.1'y damaged joists from this roint toward Main Street and fluese should be rcinfbrce;d sinzp!y be adding an abutt-ing paraticl mcniber ofilic sa m* e size at each j,ai-st. 111C int('fior wall ft on the chilliney to the Waverly lZoad has severaj severeiv , Y datna( ed studs, which ntust be rcplaccd. rm - 01 The ftamirig,and wall around the large window facing Waverly _head has been sevorely daniaged and must be rep!aued. it appcars, that fais sht ould tales care of all. the structival repairs _x-L Howcv r cion demohtion and removal of file roof may indicate oilier spots,.ts, which requu`e auendon in file manner discribed above. 'Fhere appears to be tio structural damage to t'he rest of the building only smoke and water daniage. I will. 1lc)wcver, ork an ongolIA basis, continue to irionitor and inspect the demolition and subsequent conitruction to insure all unsuitable.material is removed and replaced. d'so "OTTIT11CII(i that a budding Permit be issued in addi'lion to Ific existing demobfion permit to allow file replacentomt of the roof as vapidly as possible to pr v t e on any turther damage 1c) therl—mainder (A'the staicture due to exposLar c to tile elenIcts n Showd you have any qucstiom please call me. Vtxv truly yoursi.. IA OF t,,, AMALFRED VDAY n. 0 CIVL Iaraes A. 0'17ay,1'.E. ce: Rack R.ealty L.I.,c, OEM Engineering and Fire Investigations 634 State Road, Suite K North Dartmouth,MA 02747 800-326-5811 Gary B. Pease, C.F.E.I. Tel: 508-997-4900 Fire Investigator Fax: 508-991-8824 Res: 413-568-7706 Res Fax: 413-568-7706 www.efiinfo.com TO DATE TIME.A AM PM P FROM PHON ( ) i H OF CELL( ) O ` ` FAX N E M E M s E A M E O E•MAILADDRESS SIGNED PHONED❑ CALL GETURNED WANT��O WI CALLEI WASI URGENT 0 w o QI METHUEN, MA FREE ESTIMATES TEL. 683-5127 Family Roofers & Painters _( VAI NT 'F INTERIOR.EXTERIOR PAINTING �1 CARPENTRY-ALL ROOFING V+ SNOW BELTS \V ' 168 MAPLE STREET AL FOURNIER METHUEN, MA 01844 Ob 1 0 � � c � �(�f �� 1 � � �� / .�- t 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE improvement contractors and subcontractors who 4. persons dealing in the sale of goods or are registered or required to register. materials who neither arrange to perform nor R6.1.4.2 Advisory board: The director may ' perform directly or indirectly any work or labor in connection with the installation of or application appoint an advisory board which may review proposed suspensions, revocations, and . the goods materials; 5 administrative penalties against any registrants, 5. any owner personally doing residential and shall make recommendations to the director contracting work on his/her own home; 6. any individual who performs construction relative thereto. The advisory board shall include srelated labor or services for a home improvement ix members, any four of whom will constitute a quorum;the fund administrator,a representative contractor or subcontractor, for wages or salary and who does not act in the capacity of a home of the attorney general, a representative of a improvement contractor or subcontractor; consumer group appointed by the secretary, a representative of the Massachusetts Homebuilders 7. any contractor or subcontractor who works on Association who is a registered home one residential contracting undertaking or project by one or more contracts.where the aggregate improvement contractor or subcontractor, a contract price to the owner is less than $1,000; Representative of the National Association of the Remodeling Industry,and a BBRS staff member. Provided, however, that the contract is not in an amount of less than $1,000 for the purpose of R6.1.5 Persons Who Must Register: evading 780 CMR R6 or M.G.L. c. 142A. 8. any person who engages in the business of a R6.1.5.1 General: All home improvement home improvement contractor or subcontractor on contractors and subcontractors, as detmed in other than a full-time basis,and who has earned in 780 CMR R6, except those exempt in 780 CMR gross revenues from residential contracting work, R6.1.6,shall register with the director by filing an less than$5,000 in the previous 12-month period; application prescribed by the director. 9. any person acting as a home improvement R6.1.5.2 Designated individual: In the case of contractor or subcontractor who was enrolled as a registration by a corporation or partnership, an full-time student in a secondary school or college individual shall be designated to be responsible with degree granting authority from the for the corporation's or partnership's residential government of the state in which the school is contracting work. located, for the immediately preceding academic semester and is also enrolled as a full-time student R6.1.5.3 Liability: The corporation or for the next academic semester, in the same or a partnership and its designee shall be jointly and similar degree granting secondary school or severally liable for the payment of the registration college provided that at least%of the number of fee, the payment to the guaranty fund, and for employees of the contractor or subcontractor are violations of any provisions of-780 CMR R6, similarly enrolled in secondary schools or including actions by the registrant's employees, colleges and that the home improvement subcontractors or salespersons.. contractor or subcontractor does not reasonably expect to earn or does not in fact earn, in gross R6.1.6 Persons Exempt From Registration or revenues, more than $5,000 from residential Renewal: Any person exempt from registration contracting work; under 780 CMR R6.1.6, and does not voluntarily 10. persons who install any or all of the register, is not subject to any of the provisions of following: 780 CMR R6 or M.G.L. c. 142A. Persons exempt -central heating, from registration are: -air-conditioning systems, 1. the Commonwealth or its political -energy-conservation devices,or subdivisions; - provides conservation services conducted by 2. any school, public or private,offering as part or on behalf of a public utility under a of a vocational education program courses and program approved by the department of public training in any aspects of home construction or utilities; home improvements; ,11. any contractor or subcontractor who works 3. electricians, plumbers,architects or any other exclusively in any of the following home persons who are required by law to attain improvement areas: standards of competency or experience as a -landscaping; prerequisite to licensure for and engaging in such -interior painting or wall covering; trade or profession and who are acting exclusively - finished floor covering, including, but not within the scope of the profession for which they limited to,carpeting,vinyl, tile,non-structural are currently licensed pursuant to such law, hardwood; construction supervisors excepted -fencing or freestanding masonry was; -above-ground swimming pools; 792 780 CMR-Sixth Edition 2/7/97 (Effective 2/28/97) 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS ADMINISTRATION 108.3.5.2 Exemptions from Construction those categories of building and structures Supervisor License requirement: A for which the BBRS does not require a construction supervisor's license is not license, provided that those municipalities required for: which have estab-lished licensing 1. roofing,siding,erection of rooftop solar requirements for construction supervisors collectors,construction of swimming pools, prior to January 1, 1975,may maintain their the erection of signs, installation of existing licensing requirements. rerlacement windows not involving 108.3.6 Registration of Home Improvement structural modifications, the erection of Contractors: In accordance with the provisions tents; of M.G.L. c. 142A, no home improvement 2, projects which are subject to contractor, or organization or firm shall be construction control(section 116:0); involved in the improvement of any existing 3. agricultural buildings which are not owner occupied one to four family residential open to the public or otherwise made building unless said home improvement available for public use; contractor has registered with the BBRS in 4. Massachusetts registered engineers and accordance with the rules and regulations for the Massachusetts registered architects registration of Home Improvement Contractors as provided such engineers and/or architects set forth in 780 CMR R6. comply with the Construction Supervisor oversight requirements set forth in 780 1083.7 Certification of Inspectors of Buildings, CMR R5 generally and 780 CMR Building Commissioners and Local Inspectors, R5.2.12,as applicable; The rules and regulations for the Certification of 5. the practice of any trade licensed by Inspectors of Buildings,Building Commissioners agencies of the commonwealth(see M.G.L. and Local Inspectors shall be as set forth in c.112, §81R),provided that any such work 780 CMR R7. is within the scope of said license, including, but not limited to wiring, 108.4 Enforcement: Whoever violates the plumbing gas fitting, fire protection provisions of 780 CMR 108.0 or any rules and systems, pipefittinhereunder,or who falsifies g,HVAC and regulations , refrigeration equipment. or counterfeits license,registration or certification issued by the BBRS,or who fraudulently issues or 1083.5.3 No municipality shall be prohibited accepts such a license, registration or certification from requiring a license for those individuals shall be punished as provided in 780 CMR 118.0 or engaged in directly supervising persons shall be subject to any other penalty provided for by engaged in construction, reconstruction, law. alteration,repair,removal or demolition in I i i 11/27/98 780 CMR-Sixth Edition 18.1 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE 111.5 Debris: Asa condition of issuing a permit for six months each, may be granted in writing by the the demolition, renovation, rehabilitation or other building commissioner or inspector of buildings. alteration of a building or structure,M.G.L. c.40, Work under such a permit in the opinion of the § 54 requires that the debris resulting therefrom building commissioner or inspector of buildings, shall be disposed of in a properly licensed solid must proceed in good faith continuously to waste disposal facility as defined by M.G.L.c. 111, completion so far as is reasonably practicable under § 150A. Signature of the permit applicant,date and the circumstances. It is the sole responsibility of the number of the building permit to be issued shall be owner to inform, in writing, the building indicated on a form provided by the building commissioner or inspector bf btiildings of any facts department, and attached to the office copy of the which support an extension of time. The building building permit retained by the building department. commissioner or inspector of buildings has no If the debris will not be disposed of as indicated,the obligation under 780 CMR 111.7 to seek out holder of the permit shall notify the building official, information which may support an extension of time. in writing,as to the location where the debris will be The owner may not satisfy this requirement by disposed. informing any other municipal and/orstate official or department. 111.6 Workers' Compensation: No permit shall For purposes of 780 CMR 111.7 any permit issued be issued to construct,reconstruct,alter or demolish shall not be considered invalid if such abandonment a building or structure until acceptable proof of or suspension of work is due to a court order insurance pursuant to M.G.L.c. 152, § 25C(6)has prohibiting such work as authorized by such permit; been provided to the building official. provided, however, in the opinion of the building commissioner or inspector of buildings,the person 111.7 Hazards to air navigation: Application for so prohibited by such court order, adequately building new structures or adding to existing defends such action before the court. structures within airport approaches as defined in M.G.L.c.90,§35B and any amendments thereto or 111.9 Previous approvals: 780 CMR shall not language substituted therefor, must include a require changes in the construction documents, certification by the applicant that; construction or designated use group of a building 1. Either a permit from the Massachusetts for which a lawful permit has been heretofore issued Aeronautics Commission is not required because or otherwise lawfully authorized, and the the structure is,or will be;a)In an area subject to construction of which has been actively prosecuted airport approach regulations adopted pursuant to Within 180 days after the effective date of 780 CMR M.G.L. c. 90, §§ 40A through 401, or; b) in an and is completed with dispatch. approach to Logan International Airport, or; c) 111.10 Signature to permit:The building official's less than 30 feet above ground level,or; signature shall be attached to every permit; or the 2. A permit from the Massachusetts Aeronautics building official shall authorize a subordinate to Commission is required pursuant to M.G.L.c.90, affix such signature thereto. §35B and a copy of said permit is enclosed with the application. 111.11 Approved construction documents:When,, Applications for permits to build a new structure or the r building,,official; has; determined"that;the add to an existing structure requiring the filing of a Proposed cotisti'dction conforms to'the provisionsof Notice of Proposed Construction or Alteration(FAA 780 CMR and other applicable laws,by-laws,rules Form 7460-1) with the Federal Aviation and regulations under his/her jurisdiction, the Commission shall mail a copy of the completed building official shall stamp orendorse in writing the FAA Form 7460-1 to the Massachusetts Aeronautic three sets of construction documents "Approved". Commission within three business days after One,set of the approved.construction.documents submitting said form to the FAA. shall be retained by the building official,one set by the head of the local fire department and the other set 111.8 Expiration of permit: Any permit issued shall be kept at the construction site, open to shall be deemed abandoned and invalid unless the inspection of the building official or an authorized work authorized by it shall have been commenced representative at all reasonable times. within six months after its issuance; however, for cause,and upon written request of the owner,one or 111.12 Revocation of permits:The building official more extensions of time,for periods not exceeding shall revoke a permit or approval issued under the 22 780 CMR-Sixth Edition 11/27/98 y The Commonwealth of Massachusetts Department of Industrial Accidents Office op intrestigations t Boston, Mass. 02111 Workers`Compensation Insurance Affidavit Please Print I MEN mi- Name: RACKRCALJ"� Cry, oF- ( USS NCMleui Location: NA I M ST City b R-I�d Pr►J 0 J L7t Phone 5 0& - D-C�, -a-I S"C am a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. Company name: Address City: Phone-#--- Insurance hone#-Insurance Co. _ Policy# Cornpanv name: Address City: Phone# Insurance Co. Policy Failure to secure coverage as required under.Section 25A or MCL 152 can lead to the imposition of criminal penalties.of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. i understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage veri ication. !do herby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date Print name Phone# Official use on not IY do write in this area to be completed by city or town official' 11 Building ©epi 0Check if immediate response is required Building Dept [] Licensing Board p Selectman's office Contact person: Phone#: n Health Department Other RM WORKMAN'S COMPENSATION i TOWN OF NORTH ANDOVER Office of the_Building Department Community Development and Services 27 Charles StreetNorthAndoi-er w y Atka 3Mmadiusetts 01845 9SSgCHUS t D, Robert Nicclta, Telephone(978)>88-9545 Buildip' co► inissioner FAX(978)688-9542 DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and as a condition of building permit # the debris resulting from the work shall be j disposed of in a properly licensed solid waste disposal facility as defined by'MGL c 11, s 150a. The debris will be disposed of at/in: i (Site location) z— Signature of permit applicant Date Michael McGuire,Local Building Inspector James Decola,Electrical Inspector James Diom,GasMumbing Inspector I NORTH Town of ®ve r 0 No. Z'79 0 LA 0 over, Mass., COCHICHEWICK 0RATED C:) BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System A BUILDING INSPECTOR THIS CERTIFIES THAT..... A elk /?co a 1�r A, k ............................................ .................................................................................................... Foundation has permission to .............I.... buildings on ..47.91n..�O.......ly)A.I.A).......%S..-/7................... Rough to be occupied as... 1.4-lKa.a..!'nA....si.V.%.%A ... ...4-IR ej.,e.#v 44&1 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. ..2- ')PI3 go 91 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Rejuioes F411 PERMIT EXPIRES IN 6 MONTHS Final Fit-r- FAIAPM-L ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS -f sSys VVx Rough t.t ........................................ ................... 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. JAMES A. OTA Y P.E. .;99 Canal Street Office: (978)-687-6350 Lawrence,MA 01840-1233 Res.: (978)-687-1729 September 14, 2002 Mr. D. Robert Micetta, Building Commissioner Mr. Michael McGuire,Building Inspector Town of North Andover Building Department 27 Charles Street North Andover,MA 01945 RE: Fire Stops— 59-67 Main Street North Andover,MA Gentlemen; We have inspected the above referenced property to determine where and if any additional fire stopping is needed. We have determined that fire-stops are required between the first floor ceiling and the second floor deck at exterior walls. They are also required at the intersection of the second floor ceiling and exterior walls and around all wire and pipe penetrations. This can be accomplished by packing a Fire Rated Sealant with a UL rating as manufactured by 3 M, Tremco or Metacaulk, around all wire and pipe penetrations. The balance of the spaces can then be packed with Owens Corning UL rated Sound Attenuation Fire Batt Acoustics-Fire-Thermal, Mineral Wool Insulation. It is our observation that the perimeter boxed out soffit on the building exterior is directly attached to the exterior wall and there are no penetrations to the interior(ie. wire or duct openings) and therefore fire stops are not required. Should you have any questions please call. Very truly yours; �\ �EB �yit TN OF 4A��s Q�o�� K' �®Qo�� o MOW== � .. w No.9236 a y1, BEVERLY. 2 Fss��NAL OF a James A. O'Day P.E. Gregory K. Boghosian Architect .LAMES A. OTA Y P.E. r4499 Canal Street Office: (978)-687-6350 Lawrence,MA 01840-1233 Res.: (978)-687-1729 September 14, 2002 Mr. D. Robert Micetta, Building Commissioner Mr. Michael McGuire,Building Inspector Town of North Andover Building Department 27 Charles Street North Andover, MA 01945 RE: Fire Stops— 59-67 Main Street North Andover,MA Gentlemen; We have inspected the above referenced property to determine where and if any additional fire stopping is needed. We have determined that fire-stops are required between the first floor ceiling and the second floor deck at exterior walls. They are also required at the intersection of the second floor ceiling and exterior walls and around all wire and pipe penetrations. This can be accomplished by packing a Fire Rated Sealant with a UL rating as manufactured by 3 M, Tremco or Metacaulk, around all wire and pipe penetrations. The balance of the spaces can then be packed with Owens Corning UL rated Sound Attenuation Fire Batt Acoustics-Fire-Thermal,Mineral Wool Insulation. It is our observation that the perimeter boxed out soffit on the building exterior is directly attached to the exterior wall and there are no penetrations to the interior(ie. wire or duct openings)and therefore fire stops are not required. Should you have any questions please call. Very truly yours; EA � 'uC t _tel OF Aj K. MOH JAM ALM =r w No.9236 q OQ+IY BEVERLY, F Q1 MAX NAL OF �p5� James A. O'Day P.E. Gregory K. Boghosian Architect III � 4060 Date.......71 -16-t.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING ss,4c US 'j7 This certifies that .... ........ ...... ................. has permission to perform .....1.&.......W./........... .............. �- :ring in the building of.......... ......................................... a;,).. 7 ..�7......GG Z ^...... ..........., rth An7dover Maw. 'Ile Lic.N ........ .................. Fee.;.............. .. ........ ...... ECTRICAL INSPECTOR Check # 7-3 ' lrcntnsorttusQUhn`/Ita�Jat/uclsul For ice Use Only (Rev."I'll 1JsPa��nrsr�of}irs Jirvicsd Permit Number. Occupancy&Fee BOARD OF FIRE PREVENTION REGULATIONS APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (ALL WORK TO BE PERFORMED WITH THE MASSACHUSETTS ELECTRICAL CODE 527 CMR 12:00) L� PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: Z-- City or Town of: ,� y,,(�iizr v'`t 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) I Owner or Ten$nt: /��ss . Owner's Address: t Is this permit in conjunction with a Building Permit? Yes ❑ (Check Appropriate Box) w Purpose of Building-0,04e 3 —,ee /Utility Authorization M Existing Service: 2Ua Amps J Xci/ Z Volts Overhead M--' Underground.0 #of Meters New Service: Amps / Volts Overhead 0 Underground.❑ #of Meters: Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Work: c w�io � "'o� j rr No.of Recessed Fixtures No.of Cell.-Susp.(Paddle)Fans No. of Transformers Total KVA No.Of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool: Above ground ❑ In Ground ❑ #of Emergency Lighting Battery Units I No.of Receptacle Outlets No. of Oil Burners Fire Alarms #of Zones #of Detection&Initiating Devices t No.of Switches No.of Gas Burners #of Sounding Devices: #of Self Contained Detection/Sounding Devices tl No.of Ranges No. of Air Conditioners TOTAL TONS: I Local o Municipal Connection o Other o No of Waste DisposalsHpat Pump Totals: Security Systems: Number.:. TONS:_ KW:., ... No.of De'ces.or.Equivalent i No.of Dishwashers Space/Area Heating:_KW Data Wiring,No.of Devices or Equivalent: No.of Dryers Heating Appliances KW Telecommunications Wiring:No of Devices or Equivalent: No: of Water Heaters KW No, of Signs:_#of Ballasts: OTHER; #of Hydro Massage Tubs No. of Motors Total HP INSURANCE COVERAGE: Unless waived by'the owner,no permlt 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: INSURANCEOND ❑ OTHER ❑ Please specify: Estimated Value of Electrical Work 5 (When required by municipal policy) G Work to Start: Z-- Inspections to be requested in accordance with MEC Rule 10,and upon completion f /certify,under the pains and penalties of perjury,that the Information on this application is true and complete. Firm Name: 4�, LIC.#�y/��3 3 Licensee' v A ` ,( w ! /Signatur LIC.*megJ /F3 �/ (If applicable,enter"e mpt'to I e lice s um�bbeer line) Adtlress O /ts s �� "�'� Bus Tel.#F�` 7-2�� AI:.Tel.# i OWNER'S INSURANCE WAIVER:I am aware Ina!the Licensee does not have the Lability insurance coverage normally required by law. By my signature belov.,I hereoy waive this requirement. I am the(check one) Owner n OR Agent c Signature of Owner/Agent Telephone 9 PERNUT FEE:S Oftfca Use Only )� � �� u E LIIIIITITIIIIlUPEI I IIf I gar4imittS Permit No. r -� 13E artinziTt a f VuhUr —,%fEtg Occupancy& Fee Checked BOARD OF FIRE PRET ELATION REGULATIONS 527 C'dR 12:00 0 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cade, 527 (NJR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date '/ (XX or Town of NORTH ANDOVER To the I pecto of Wires: The udersigned applies far a permit to perform the electrical work described below. Location (Street & Number) 66,,4``!/AYP t7— Owner or Tenant 12—0 &/Z455 Owner's Address Is this permit in conjunction with a building permit: Yes _ No (Check Appropriate Box) Purpose of 9uildina Utility Authorization No. Existing Service Amps _J Veits Overhead _ Unagrnd No. of Meters New Service Amps _� Voits Overhead _ Uncgrna r No. of Meters Numeer of Feeders and Amcacity Location arc Nature of Proposed Electrical .Verk f Total No. of L:gnting Outlets I No. :,t Hct _.obs No. of transformers KVA I ,above !n- No. of Lignttng F,xtures Swimming moos grna. — cmc. _ ! Generators KVA No. of Emergency Lighting No. of Recectacie Outlets No. of Oil =urners ; .Sacery Units No. or Gas Burners t (( I No. of Swttcn outlets FIRE ALARMS No. of Zones I totat No. at Fetection and No. of Ranges I No. of Air Ccnc. tons Initiating Oevtces He Total Total No. of Oiseosats No•cf Ru_ys ,ons K'.V No. of Bouncing Oevtces _ No. of Self Contained No. of Cisnwasners - ScaceiArea Heating Kbv OetecnonrSounaing Oev,ces Muntcioat ^Other O Hea;tna Oev:ces KW I Lccar Connecc:on Na. of rvers No. of No. of Law Voltage No. of .Vater Heaters KielI Signs Ballasts wirmc No. Hydro Massage Tubs No. of !.Molars Tatar HP s // C(L/ INSURANCE CCVE?AGE: P-.:rsuant :a the reautrements at massacnusars general Laws I have a current Liaetiity Insurance Policy including Coma: tea Ocerauens Caveraae or ;ts sues;antral eeuivatent• YES /Y NO — I have suamtttea valid proof at same to the Office. YES NO L-lea you nave cnecxee YES. ;;tease noicate :he riee{rat`coverage cy checwng trte asp crtate cox. INSURANCE 3CNO = OTHER = (Please Scec:ty) (Exotrauon Dater Estimated Value at Etectncat Work 5 Wdfx :d Start Inscec::on Oate RdCuestec: Rougn Fnat -. Signed under : Pe aloes at pe ry g arm FIRM NAME UC. NO. LIC NO. Licensee �i /�Sgnature /�� 7� -- 1/� � d ' �(Jf��C/� "" ` © a7 Sus. ;et. No. CJT Alt. ,et. No. Addressas OWNER'S INSURANCE WAIVER: I am aware that the ucenses foes rot nave me insurance coverage or its suostanttal eautvaleAgent encs eutreo by Massachusetts General Laws. and :hat my signature on :n:s aermt aeptrcauon waives tuts redutrement. Owner (Please cnecx one) :e+ecnane No. PERMIT FEE S (Signature of Owner or Agenn c�oac �,,,-.....,y,.�-• '�.rs rvvy-wr�ii..sr..".err*+'--"--..�-�---+.:::}o+y-arr-.+<..._:: .�ti.+ .;.��.-Y-..�-,..4�y�-i.,�4�,r ~: Date..... .1? f l..a j d w^ H 1 3 HORT1� °ft TOWN OF NORTH ANDOVER O p PERMIT FOR WIRING �,SSACMUSEt - z i This certifies that ...fic... .�.��..f.......�:-/F� �.«/ c .......:.:......... has permission to perform ...../�.F:. (e.. ...�..1` wiring in the building of........ ....... at............1....Y1.1 .............5.f.................................. ,North Andover,Mass. Fee..... ............. Lic.No. .D)Mit ............................................................. ELECTRICAL INSPECTOR C � 08/14/97 12:07 20.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 3670 Date... HORTp + TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING SS MUS This certifies that . ... ....... ......... ....................... . .................................... has permission to perform .... ......... ,'e.yd wiring in the building of...�iqr—/( A-,:F/// ..............I...................r....................................... at .... ......... ...7.......01. Kh 27HC0AW0iV#FALTHOFA A�MCVJ SEM nice Use only�""�"' DAPARMWOFPUBLICS MY • Pemut No. �.� BOARDOFFREPMEW ONR1 VLAHdO N527(MZZ-W �•--�,-... Occupancy&Fees Checked • 11 APPUCATIONFORPERWTO PEUORMELwmc• ALL WORK AL WORK TO BE P PERFORMED IN ACCORDANCE WrfH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 3 Town of North Andover To the Inspector of Wires: . The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 5 9—6/--G ;j 49, S��; � 1R1 1W Owner or Tenant �14,714G/4" 21—:54�yt L L L Owner's Address14 Is this permit in conjunction with building permit: Yes No (ChB Appropriate Box) Purpose of Building Utility Authorization No. 0600/vL Existing Service Ames /� o Volts Overhead -- .L�� U d No.of Meters ,7 New Service Amps / Volts Overhead -•�l -- Underground No.of Meters ED` Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tuba No.of Transformers Total No.of Lighting Fixtures Swin nringPoot Above ;:.Below KVA ve K VA No.of Receptacle outletsAvound No.of Orl Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No:ofZ.onEs Tons No.of Disposals No.of Hem Total Total No.ofDetationaad Wda Jo.of Dishwashers T063 KW liogl3mices Space Area Heating KWJNa of Sounding Devices of$elfCbot¢ined . lo.l►f Dryers etectionifteadine Devieea Heating.Devices I KWcal municipal Other lo.of Water Heaters KW No.or Connections 4 No.of Si Bailasis o.H dio Massage Tubs No.of Motors Total HP NE .• � `�� -- ��✓� �. .�°t�r�7�- OGS/rte 0 .r/1.�� rartceE',ot�A,sttantb$tett�tpiartt�Ist�sC>ertaaiI�ws ��J—'�''`"/lat/tz0 0.�(1,��e�v(/C� ��51��,� eatxaattLiabYiyhszratmeR tgittckdrg �s��aia]tioelirtt 1f1�S NO eatbm9ledtaGdptoofafsane1D$le0Y)�'s NO �""E' �prialebrsc E�1 W ��urKl�'�iePt3�tEies �`A/ - - 't1�AME -- Lit�aueNa �,�1 • f�� Met P ,, L�oaseNo a Sef Q BttsQlessTeLNo S' !o EJZ'S IIVSCJRANt W. AILTcLNa _�f 7 S`�-'S 3 6 ANER;lantawate theLit�etloes__,_,�$teinstzratoecae�� ••-�---�---.-. tntysigrWtserstftPe tn$appfiMfiMwM,CSfis.10Wia Cert � by hat C laws ;e check one) Owner Agent J Telephone No. PERMIT FEE$ � MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) = WITH ANDOVER , Mass. Date Dec . 3 - 19-91 Building' Main Location 59 �1ai n Street Permit# Owner's Kin Subs Name g New ❑ Renovation"❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑ Y er _ C = O ¢ H _ cn LU w cn w U D _ cc > O J = H Q Z O m N w ¢ m W ~ w w O g a w Q U) to U U W cr <n w Q ¢ 0 F- = OC W w U J Z Q = w = C7 = w LL w U J U W Q W > =Uj W j Z Q = Q m O O w = O W H or = O 0 _ LL 7 � � U � U = > o (L F- o SUB-BSMT. BASEMENT !! 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Check one: Certificate Installing Company Name Andover P 1 g . & H t g . C o . Inc . ❑Corp. 1031 Address 5731 S 0 Union Street ❑ Partnership Lawrence , Ma 01843 ❑ Firm/Co. Business Telephone 685-8383 Name of Licensed Plumber INSURANCE COVERAGE: Check One I have a current liability insurance policy or its substantial equivalent. Yes ❑ No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not havethe insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check One: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License: y Title ❑ Plumber Signature of Licensed Plumber ❑ Gasfitter License Number 6739 City/Town ❑ Master APPROVED(OFFICE USE ONLY) ❑Journeyman Date. . .f �3�! - . .. . =� r NORTH TOWN OF NORTH ANDOVER OFtt�cu �c�'t'p 60 PERMIT FdA TALLATION . 40 60 �44SNr DEC 03 �SSAC HUS�� I No,AndoV 2 This certifies that . . . .� . . l,,r.4.1!'.t• • • • �'�9/ • • • • • • .• has permission for gasp�installation in the buildings of . `f�. r '• '„1. . . . . . • • • • • . . . , • !. :- : , North Andover, Mass. Fee. .!& .. -:. Lic. Noy.//: ./. . pprallt� GASINSPECTOR CANARY: Buildin Dept. PINK:Treasurer GOLD: File WHITE:A9 Location- No. ocation No. Date '`' r ' „ORT„ TOWN OF NORTH ANDOVER of J o • 140 .. H?,•�1 • 09 Certificate of Occupancy $ Building/Frame Permit Fee $ 'I',�''•••'•'<�'' Foundavon Permit Fee $ SS4c 14Ust . .fJ*er-Permit :Fee $ Sewer Connerlide $ Water ction.Fee $ TOTAL Building Inspector Div. Public Works 00RTii e OT �1-JI.ED 16 "lw- PA cocnucncw,cN 1• '9SU�ArED Pkr `t I5 S'gCHuse T 0 W N O F N 0 R T H A N D O V E R DATE: NORTH ANDOVER, MASS . PERMIT S I G N P E R M I THIS CERTIFIES THAT. . . . ..'445.7` c_ � 4�.:.. _ . . . _ _ . . . has permission to erect . .� �. �`� 5. _ . . . _ . . . _ . . . . _ . on . . . . . . . . . . . provided that the person accepting this Permit shall in every respect conform to the terms of the appli- cation on file in this office , and to the provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover . f VIOLATION OF THE Zoning or Sign Regulations , Section #6 , Voids this Permit . w Inspector -of Buildings I l W a..r- SPA�E FOR Foa LEASE Q, CEASE r- virus 5G1t.5tt� - -•._ 508685 � � _ ASIS ,�� hs � -bZ- r \\\�• Y�i \\\�� ri -.- 1 �I i� - r. (,' �_ P~� 1' �� Y Y ,� - \ M :w rtyj: ..i -�..�I e w �� f �` ` � ft 6 ._� yv � • I 1 SIGN PERMIT .APPLICATION ? NORTH ANDOVER BUILDING DEPARTMENT { Division of Planning & Community Development l r Date Filed: J1fNuAr� 2T 1. Site Address f ��i✓ JI /�i'U/r_r,� ��/� o�e,2 } /' ! U 3 % ' �2 . Owner 5� ! �lte�`��h ��rc�' �t�U.IS"� ��•C.�.,� Applicant wL )q" G/U(,-6rti<' LJ �; � s /�iv ,cl� �n 4. Number of Signs Size of Sign(s) cZX !O a X19 ; I S . Site of Proposed Sign(s) Zkio IY1tl,N5T, / W.NVE -y Ise'° , 6 . Materials : � 'Mi)o mftg:rNr PLYWOOD wIltY-1 Deco rave n2I M I i 7 . How attached: (a) Against the wall j (b) Roof ( ) (c) Ground (d) Other 8 . Illumination: (a) Not illuminated (b) Internally illuminated ( ) (c) Illuminated from separate service ( ) 9 . Proposed Colors : Background DA Lettering God coLA(Z. Border. C0LXXZ ."Td2-1 rVi 10 . Will sign overhang any public road or walkway: Yes ( ) No (X) 11 , If Yes . Name of Agency who will provide liability insurance : I12 . Attachments : ( -,Photographs of building ( ) Material sample ( ) Color samples ( ) Site or Plot Plan .(Required for all free-standing ( signs) -',Drawings of proposed sign ( ) Other, specify 13 . Is Board of Appeals decision required? Yes ( ) No ( ) Signature o `Applicant 1988 1044 JOHNSON ST. NO. ANDOVER, MA. 01845 i III QUO�C —Tp--(m -DfS6� GaE[Er'J s c(-'N 5 w o-TH C-�OL'o ups/s of-� z +110 ---� 360 gc)E UX74GvE7 WAO&O oahE- =mP 04197 ctPoLT TT 'T clE �vtt'wS 0*� -T-\me KeD �o Ilk ° d ° JNKUM U O 4 fl 0 0"I S FJ-7 v.G-S-9z) —rmtryl CLL a 5�i-�'�' /Y��9"i�' S*� Location c �T� No. 23q Date S y TOWN OF NORTH ANDOVER ;�• ?o.t...° :•,foo Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ � s�cNust Other Permit Fee $ 2— Sewer Connection Fee $ Water Connection Fee $ TOTAL i tding Inspector }?? :i8 25.00 PAID Bbi Div. Public Works f111T NO. n .ZZ APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE E � - ,,MAP i-40. T NO. 2 RECORD OF OWNERSHIP JDATV BOOK 1PAGE ZONE ` rB DIV. LOT NO. I I vz— OCATION PURPOSE OF' O NER'S NAME (J,i� /''�// l` (�� I-VY'Cl �1,1 !�• NO. OF STORIES �� - SIZE OWNER'S ADDRESS �-V- A 9A-A4w/,>, LVAtyX.,1 ,4AIf BASEMENT OR SLAB ARCHITECT'S NAME 9 � SIZE OF FLOOR TIMBERS IST 2ND 3RD ✓BUILDER'S NAME RUS(O-L l-k--gzSrfl-(c4 SPAN DISTANCE TO NEAREST BUILDING 1• 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 CHIMNEYt: - VL UILDING ALTERATION �' �0� IS BUILDING ON SOLID OR FILLED LANDL BUILDING CONFORM TO REQUIREMENTS OF CODE YLO IS BUILDING CONNECTED TO TOWN WATER B011RD OF APPEALS ACTION. IF ANY `l J / IS BUILDING CONNECTED TO TOWN SEWER �•/- N IB BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS QMocev Vw k.,WV8 3 PROPERTY INFORMATION /iAgi F�f)L) LAND COST SEE BOTH SIDES _Ste' EST. BLDG. COST -3()Q D .. PAGE 1 FILL OUT SECTIONS 1 - 3 �j �J EST. BLDG. COST PER SQ. FT. .. PAGE 2 FILL OUT SECTIONS I - 12 O n LC 4 DOWN RCRoOF EST. BLDG. COST PER ROOM ^Y � � SEPTIC PERMIT NO. ELECTRIC METEP6 MUST BE ON OUTSIDE OF BUILDING (`4 Pcrto y SID 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED +NSD APPRO^/VED BY BUILDING INSPECTOR "--DATE FILED d d� � ` e. •UILDINO INSPKCTOR SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E a-`� OWNER TEL.# PERMIT GRANTED CONTR.TEL.6' Zv' 19 CONTR.LIC.# H.I.C.d J roll . BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY Si011 E5 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 1 2 I3 CONCRETE BL'K. PINE _ BRICK OR STONE HARDW D _ PIERS PLASTER _ _ DRY WALL _ UNFIN. 3 BASEMENT IF AREA FULL I FIN. B M " AREA _ 1/4 1/1 % - FIN. ATTIC AREA _ N_O 11 M FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDSB 1 2 3 DROP SIDING CONCRETE �_ ' WOOD SHINGLES ASPHALT SIDING HARDW*D ASBESTOS SIDING COMMON _ i VERT. SIDING ASPH .TILE STUCCO ON MASONRY _ STUCCO ON FRAME 1 1 Y ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC.OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.1 GAMBREL MANSARD TOILET RM. 12TOILET FIXE FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK i $LATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROIL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 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 OI l B'M'T 2nd _ ELECTRIC lot 13rd I NO HEATING X. DFRII 4. TONM Of over No. 25 '' m dover, Mass., 1'h Aqv 19 2�l AKE L w CHEW ex L��• " `7 BOARD OF HEALTH PERMIT T Food/Kitchen Septic System THIS CERTIFIES THAT......... .. l... ..4k.ei. .....tr!�asg4m....I7 I"f........................ BUILDING INSPECTOR BUI " "" Foundation has permission to swab......P Q .......... building n ..... ` '�!v.. / t ............. Roust, t0 be Occupied as........l�c! tt........ .... 00 ........................................................................ 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 celating.to.the.lnspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Roush PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION�k�ARTS Roush ........... .... Service ...... ................................. BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building- GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Fi ugh Fnal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. t Smoke Det. - � The Commonwealth of Massachusetts f Department of Industrial Accidents . -- 5 /f�td dlmffgsUios 00 W Street y 6 Washington S eet Boston Mas 02111 v Workers' Compensation Insurance Affidavit name Inc-atiomcity 1J o phone ion am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity F1 I am an employer providing workers' compensation for my employees working on this job. comp name address- city: phone#. insurance co po(icv# 1 am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name address .. �. phone# I i�urance co policv# company name • address 1;: phos _....... insurance co ooticv# a � ona ee aeccssa Failure to secure coverage as required under Section 25A of NtGL M can lead to the impositioof criminal penalties of a fine up to S1 500.00 and/or n one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against mo I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify nder the pains d penalties of perjury than the information provided above is true and correct I Signature o Date _ d�!Q Print name' �"�S��k 11e1''�11�' G�� Phone 1 .��U 6 � Aor-f—fl—ci-I use only do not write in this area to be completed br city or to-s oMcial citti or town: per-wit/license X riBuilding Department C]Licensing Board 0 check if immediate response is required ClSelectmen's Office 1 C]Healtb Department contact person- phone ii; MOther (mc,iised 3/95 PIA) I ,. . .. .. j - ". - i. .i 7 I YJ11 .. - .� .. Y. � .. ' 1 .. .: Town of North Andover I I MaRTI M 3 ° OFFI F . . �? 'F a , 1. COMMUNITY DEVELUPl�1ENT Al -D SERVICES � . . � . 1 . ..Y .• i L'� l�5 LILiYi�JQWi �.J-x ..A.' 1. •SID '� 'Tk " KEwE�rx R .aHON r Vor�h Andover, il�iassachusetts 013= 'ss4�H�5=j z1. Dlrecror ;,* m (�08).68;8-3SS ° } ,, . £ ' s fi i ,, . r._ ., P!zase pr'rt �(, _; 3; s ,'e 1 . D�1.. J "1 t Y �a q t 1, y 4 JOa LOC,kt tq pq �- � �, 5 � � ,-' r;f ` `um0er. S .��L aCdIeSS ' Section.0i towm a .. i '} �, i'" , ' l "r_O�iE�GVti� " V S S'i't "lIztGi-F: � -.(o - t�I"�(a .. .„I 3 a �°,°. ;tea i1dISIe s a: _ i.^..,o .bore, .. 4�'or. . . r ' .'r P'.ZGn�..• �i.�ILI�G DDRyBS c��N," /fir ?t�/I,Oq�V ': L�'k�%2�E�Cti-. c �S { ''y�}I F1f , x t x 4, ,,, m - - mow.raP'wr - - } `,`( A-, �� -.CytvrTowr S late Z.n coce t 1s , r J; 4 L'' 1 . r��}# T le curent exe�rption for "ho eo�vne•s'c:��s eren�ec 1G inc?uce 016vner-occupied d�vellia;s 1. r;' 3;y„" !',6',,*,�� 'o r,.six units:or less:'ana to.,al-1 -x�S_..�� hGT.SeCLv=- a ?^_;ace- an indiLidual for._hire wi'*1. dOeS �'� t= (3 �aot possess.a licsuse. provided,that;the''owner ac's.as_supervisor. (State Building;Code Sac - ;) �' ` 309 1.1 tion ; , , * K F 11. `l 1 x - t f s A. 8. , R DE: vT:'IOv DF. HOytEO w:.?:� i :' RerSOn(S}.W110 fl�Vns'a pard' Oi,.c_C'C ':VP1Ca _es5,.-e .�S'ides"Or'inter_cs to reside.a Whic. h?' 'x = there is;.or is,intende3'to'ba a OMS :o si.Y far-MI7, G:Ve�ling, attached or.detached°s uctures ac= g .. q} 5;- - - .- --. ... '; ; nF,cessorr to'such use and/or fa�=_st:.iC.= . persCi Vi o1constcc+.s more than one home in a f z ,fir , - ., g., ttivo-„ear period shall not:be coas. zrea a•hoIneb:yT,'r . Such "hoaieo;vner” shall submit to z _ 'the Building ©fficial..oa a fo,r..aceeptabia to rya 3uiidin; Ofiic_al..u�?at he/she shall be ' �, a `respons>ible�for all`such:work oerormed under the building permit. (Saction 109.1.0E x, j s yi` ' a �� ', , r i�x y�,lhe,l ncersigned `�homeOwIIe. =as , es esJOr5.0ilitV �Cr Compliance vital the Statn Building n Code and' other appllcable Cv^^C?S ` :2 tis .^.:'as.2:C _eT-.aLOIIS. } sr r Y% a' we , M_, r . . _ ` i ` Ti1e-unCerS:i�AEd `�110iile0wrie'`, ':C?.�__aS.t.SiaC tee°Sue u:dErs- nds &,i 1c%vm of LNo '� �TKiO�i er e. t 4 Bu /ging DeoarL.al8IIt..mlIIlmu^''ins-ze---- . arcceduzes'and reo:uireme tS and tihat heithe .ruin I y . r e '�^.L:.__ r sr, x CGinDIV ,with said'DroC dures arC a:s 1 j i � �:4 r, r � - ' --,, C'`4 y Y a _ `} C �E�, 9 _ �n V IG. ATL s � ,; �.0.fE0 V�fER S S '° ° z - s f ` y °; �oP; O1 - OF BL ILD- G fl .C_3.=. !6 I z F �+ote: Three famiivr .1,d�veliings 3�.OG1S c�oic'feet..or larger. �vilT be �ecuired to Camay with State Building Code Section L%0. Construction Control... k S ' WARD OFr I PPE LS 688-9541 , BUII.DIDIG 688-9545 ° CONSERVATION 688-9330 HE LTH 688-9540 PLANNWG 688-9533 j Julie Purino D.Robert\iceaa Micbad Howard Smdra Stun :. K uhlom&'d1�Y'C Iweil" . - ° \ _ Office Use Only. / of Liam IInWraith af 505ar41gEtts Permit No. i � � �C�1II121IIEri2 IIf�tlll�it �fP2tj Occupancy& Fee Checked �+ 19) 3Jg0 (leave blank) BOARD OF FIRE PRE 'JENTiON REGULATIONS 521 C!�iR 12:fl0 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CM 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date QjW or Town of NORTH ANDOVER To the In peat of Wires: The udersigned applies for a permit to perform �,'cthe Aelectrical work described below. t�Location (Street & Number) / ly, ��1lu 257- Owner or Tenant llluilog 60I15y Owner's Address Is this permit in conjunction with a building permit: Yes _ No (Check Appropriate Box) Purpcse of Building Utility Authorization No. Existing Service Amps Veits Overhead _ Undgrnd r'' No. of Meters New Service Amps Voits Overhead - Uncgrnd No. of Meters Numcer of Feeders and Ampacity Lecaticn aria Nature of Prcposee Efec:ncai 1.11crK Totai No. at _:gna7--_5ng Outlets I No. of Hot - s No. of Transformers KVA Above— in- No. at Lighting Fixtur s }'+', i Swimming ?poi grna _ Erna I Generators KVA v No. of Emergency Lighting No. of F.ecectac'.e Outlets I No. of Oil Eurners j .Sarery Units No. of Swncn Outlets No. or Gas Surners I FIRE .ALARMS No. of Zones No. of Ganges No. of Air CTotal No. of Detection and ;rc. tons I Initiating Oavtces i Heat Total Total No. of Oiscosais Noor?u-cs Tons K',y No. of Sounding Devices i No. of Sett Contained No. at Cisnwasners - ScaceiArea Heating KVJ Oetec;:aniSounaing Oevtces KW L — Municiaai Other No. of Orlers Hea;:na Devices I °Cd1 Connec;:on No. of No. at Low `Joitage No. of 'Water Heaters KVJ Signs Badas;s Wir:nc No. -ivcro Massage Tubs No. of Motors Total HP INSURANCE COVERAGE. Pursuant ;o the requirements at '.iassacnuse-s general Laws _ I have a current Liaetiity Insurance Policy inciucmg Cg ^eject Oceratjens Coverage or ;is suostanttal ecuivaient. YES �NO — have suomirtea valid proof at same to the Office. YES NO = If you nave cnecxec YES. please tnaicate :he type t average Cy checKtng the app orate pox. 999 INSURANCE BONO = OTHER = (Pease Scec:!y) (Exotrauon Oatei Estimated Value of E!ectncal Work 5 Warx :o Start Inscec;:on Data Racuestac: Rougn Fnat Signed under ;h P nett of per) : /(�(mJ //'�r11 LIC. NO.. FIRM NAME C N Licensee �G ` Signajue �7 a 5 Bus. _91. No. C / t. :el. a Addres r - OWNERS INSURANCE WAIVER: I a aware !nat the L:censee aces r.at nave rhe insurance coverage or its suostannal eaujvalenAj E51 je cuwrea civ Massachusetts Generai Laws. and ,nat my signature on ^:s oerm:t aepucaaon waives this reawrement. Owner ge (Pease cnecx one) ^Jc� :eiecnone No. PERMIT FEE 5 [Signature at Owner or Agent) "'" Date....... � . . :- 1114 N°RTM TOWN OF NORTH ANDOVER p PERMIT FOR WIRING US This This certifies that ..... has permission to perform ....... ............... wiring in the building of at.....(..?.... Y1 r.`:?.......2............................... .North Andover,Mass. Fee'O()\V.......... Lic.No. ................... 5 ELECTRICAL INSPECTOR Q 3`( 5 12:07 20.00 PAID up�� WHITE: Applicant CANARY: Bw 'ng ept. PINK:Treasurer Location L-7 �V\N i No. -SLI-4-- S Date Tc�k ti 14-/552— TOWN SSLTOWN OF NORTH ANDOVER ..off .•.`., •_• ooeI Certificate of Occupancy $ x + Building/Frame Permit Fee $ t i sAC �s t� Foundation Permit Fee $ Other Permit Fee $ REMWUPA ' e $ Water Connection ee $ JUAt 5 1992 $ No.Andover Collector Building Inspector Div. Public Works NORTH } O� ,,-V D 16 T O W N O F - N O R T H A N D O V E R LAKE COCHICHEWICK DATE• �IL �•9 AR'g OTE D p' "`� NORTH ANDOVER, MASS . SSACHU9 PERMIT # Z 'S S I G N • P E R M I T d THIS CERTIFIES THAT. . . . . . . 1116. S' M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . { has permission to erect 01VIr. =7/4`A +-Ack ..Wk .S!0 on . ..7. • provided that the person accepting this permit shall in every respect conform 5� to the terms of the application on file in this office, and to the provisions 'r of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover. p VIOLATION of the Zoning or Sign Regulations , Section #6 , Voids this Permit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Building Inspector C,C Memo from JIM SCUITO T %NI�P� SONS le we/n� y 6�9 gb33 i SIGN PERMIT .APPLICATION ' c NORTH ANDOVER BUILDING DEPARTMENT Division of Planning & Community Development i Date Piled: z_ . Site Address Owner �. Applicant j uT6) Number of Signs I Size of Sign(s ) 4:� I ` . Site of. Proposed Sign(s ) ( � Materials : How attached : (a) Against the wall ( ) b Roof � (c) Ground l J d Other Illumination : (a) Not illuminated ) ' (b) Internally illuminate (c) Illuminated from separate service ( ) Proposed Colors : Background w / Lettering Border. Will sign overhang any public road or walkway : Yes ( ) No +_ . If Yes , Name of Agency who will provide liability insurance : Attachments : ( ) -'Photographs of building ( ) Material sample ( ) Color samples ( ) Site or Plot Plan .(Required for all free-standing signs ) ( ) -,Df�awings of proposed sign ( ) Other , specify Is Board of Appeals decision required? Yes ( ) No ♦ 0�natulr_e of Applicant JUL -00 Q BUILDING DE�ARTiViEKI M S3 E3© Memo from JIM SCUITO W �S� U �� 3 i SIGN PERMIT .APPLICATION s NORTH ANDOVER BUILDING DEPARTMENT Division of Planning & Community Development i ' ,. Date filed: Site Address . � 7 X,�NV ST i Owner Applicant Number of Signs I Size of Sign(s ) e:� / �L12 s Site of. Proposed Sign(s) Materials : �jjJLJ How attached : (a) Against the wall ( ) (b) Roof (c) Ground (d) Other ( ) 1 • Illumination : (a) Not illuminated X ) (b) Internally illuminated ( ) (c) Illuminated from separate service ( ) Proposed Colors : Background (�✓ l' Lettering 67 Border. Will sign overhang any public road or walkway : Yes ( ) No If Yes , Name of Agency who will provide liability insurance : Attachments : ( ) -',Photographs of building ( ) Material sample ( ) Color samples ( ) Site or Plot Plan .(Required for all free-standing signs ) ( ) -;Drawings of proposed sign ( ) Other , specify Is Board of Appeals decision required? Yes ( ) No nat re of Applicant r Location s//� No. l'/ Date 40RT#1 TOWN OF NORTH ANDOVER SO' No �,ti0 ' Certificate of Occupancy $ �'s'••°'E<� CH Building/Frac ) Permit Fee $ s� us Foundation :rmit Fee $ Other Pern Fee $ TOTAL $ Check # Building Inspector 1546 I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT... APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING x '' a, s d'z}s�' This Section for Official Use BUILDING PERMIT NUMBER: / DATE ISSUED. / a C 0 SIGNATURE: Buildin Commissioner/I &of buildings Date 1.1` Property Address: 1.2 Assessors Map and Parcel Number: 16 ST L4 COWkQ UAA o a-g , D b 0 3� f3t�zK 12fS�+7At. Map Number Parcel Number 5 UNITS h��X� C ooG.O Lor 1.3 tonin Information: 1.4 Property Dimensions: v � 7 Q Ca9vra2 Loi n Zonin District Proposed Use Lot Area Fronta ft —4 1.6 BUILDING SETBACKS(ft) m Front Yard Side Yard Rear Yard Required Provide Required Provided R 'red Provided � 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Infomntion: 1.8 Sewerage Disposal System: \ Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ 2.1 Owner of Record C � C u L,L Name(Print) Address for Service o� - 3 l�- �-�Sri m Signature Telephone M 2.2 Authorized Agent RL) i �# Z Name Print Address for Service: O Signature Telephone Z M 903.1 Licensed Co tion Supervisor Not Applicable ❑ nd L,7 ( , Address O License Number ra 104 H o 3c) -n Li nstruction Su sor: (?f - D Expirat� — y - 1= Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ v ® (�C c)3 Company Name, Registration Number rn r 3Gr r Ads dr 7 Z C 21 r Expiration Date Z � s 7�Ze Signa re Telephone G) *41- � � Workers Compensation Insurance affidavit st be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the. issuance of the building permit. Signed affidavit Attached Yea....... No.......❑ SECTI4PT S P�©�$SSIQIY4 .)dESIG ZC+ NM-PUCJEI�l�t S. t'1RC)r�S E? 3 IIIc tG5 Alm `RIle SLJI t"1!`�t3 CON;51731f7C'TI�N C(31��ttNJ lE'��'�"TCS 316(C[Il' A�Tfl+�A��T�`�5, Gg,bF��'?S1lyb Sll'� ) 5.1 Registered Architect: Name: Address Signature Telephone 3 2 R istered. ►fess 3$ j Area of Responsibility Name: GVtL 9A CAIJ A, S Registration Number Address: Signature Expiration Date P� Total Not applicable ❑ Name: , Registration Number Address Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number I Signature Telephone Expiration Date mak` Not Applicable ❑ Compahygame: Responsible in Charge of Construction New Construction ❑ Existing Building ❑ ir(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition Other ❑ Specify Brief Description of Proposed Work: --rAJ Twi o LXX i o PREP. 6:-mo , 6F. 1 /WAI&n 13u) c-o lij G . USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ IA ❑ A4 ❑ A-5 ❑ 1 B ❑ B Business ❑ 2A 0 C Educational ❑ 2B 0 F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A 0 IInstitutional ❑ I-1 ❑ I-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use "" Specify: q Curn1A0AAsc. S Special Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: R BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floors 1w SQ Pr Total Areas q d p $Q T-71 Total Height(ft) Y-1�1 AS Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ,as Owner of the subject property Hereby authorize to act on My behalf,in all matters relative two work authorized by this building permit application Signature of Owner Date I, Ry OF RACK RvK:r� L.L%C. as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury USS 14OL-r2 l C.4 Print Name Signature of Owner/Agent Date r # to Item Estimated Cost(Dollars)to be e I Completed by Permit applicant 1. Building (a) Building Permit Fee j0 K Multiplier 2 Electrical A A (b) Estimated Total Cost of r �� /v Construction from(6) 3 Plumbing N t Building Permit fee t,l X(b) �+ Jot (. 4 Mechanical(HVAC) { 5 Fire Protection N �• 6 Total (1+2+3+4+5) Check Number tF �7 � 3 t� Y✓ r19 vy,.Y+�,� t�bhx^.t ..g' ft-n'.�;;)[u rtr� � 4 m :Y�'� .;} *4eP 4y`fl�-^:k,{ F .,p`$c r�attrf i^ P,t.,A i. n:.•i E 3V kwF 4#-f� ?..4G�'i5F1 ht,: �. 3t'y l�1;/1 {A �Sjyr. F3 .tv .rr7: rm� fs s 1�t.r r5 J_�, k. �' �+zt 4 f�n' w i\rt 2 z r"t sk 1 Y rfd .r Si.:z,y La✓ .; '{s x .- U' Tu>'r,' ",` ✓.;,��' '.h. :. ��; �;:, �� ?'' �" -"-<r�+� 4u)S:..�i�.+� )+zs"1�x:: � 's:.�'d."L�t?� .-.k�i,x� �`..�r t,Z ? Y k r[�'t}..v �. '£i fv1�1" t t. ..mob 4 .+M f. �„t t s fi n.IFb r,.. >r, €cad::,..'1. ?..r... it ...: :?.t"9, ,r't YE"?:!-„' '.w•.'-�'K, .ti n,el., '.iiv*t; `�,,,t. ,rr..z r:„ F.. .5: a _' ��t :'..�,t�f`,;.� �,vt NO.OF STORIES '1 SIZE BASEMENT OR SLAB d� �jA,SCh(,taU^t' SIZE OF FLOOR T11vIBERS 1ST 2ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ;., � .k�foa ✓ t`�"�*--sE� � .'�a.�,s-„r,.'�z'$''��, r_ �, €�4.:.r�� a§,�€ 2�.��Sr'�'�` � ��'� 4: I +��t�' � J'rS' �f ': �ts"C+�.:i•k•S+�-�.4'Cif•�i'S- �.:.d HUE�OPROYEKEN1,CONTRRCTOR t Registration 146663 '� Ezpirition, 712102 p k Type 010 01 Y04D CONSTRUCiTO.N , Richard'-,Smith G�tame o �`' 8S Shore-Drive ADMINISTRATOR T. Sales, KH. 03019 ✓lie t�arwzanureczt o� aaaaduaelld sa# (BOARD OF BUILDING REGULATIONS . License CON_ STRUCTION•SUPERVISOR .� Number,CS 070882 Birthdate 07/2811956 , Expires",0712812003' Tr.no: 11727 _ - RestjlCWd To .. RICHARD J SMITH 86 SHORE DRIVE SALEM, NH 03079 Admfniftafbr 4; Commonwealth of Massachusetts Division of Occupational Safety gl, Robert J.Prevoso.Deputy Director Deleade -Contractor RICHARD SMITH Eff.Date 05/03/01 Exp.Date 05102/02 DC001721 , Member of C.O.N.E.&T. 02, BO w III��III��IAII�iIII�I��IIIII�I�I� BOSTON-RENEW ( 1 TOWN OF NORTH AND0'V1, o2 w H i� J-JW644ev Office of the Building Depaa tinent Cofflin n tyr Dev06pflient and Services 27 Charles Street. North Andover,Massachusetts 0184 �4SSRGii�tS t D,Robert R�icetta, Telephone(978)688-9545 Building Commissioner FAX(978)6.,88-9542 i I DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and as a condition of building permit# the debris resulting from the 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 at f in: POE,, U (Site location) _ 2 d2 - Signature of permit applicant Date Michael McGuire,Local Building Inspector James Decola,Electrical Inspector James Diozzi,Gas/Plumbing Inspector f The Commonwealth of Massachusetts i . _s> Department of Industrial Accidents I 0hice of Investigatlons Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: Location: City Phone am a homeowner performing all work myself. �I am a sole proprietor and have no one working in any capacity E]L])-dm an employer providing workers'compensation for my employees working on this job. company name: Gra Address City: Phone,- Insurance Co, Poli Com :n name: Address City: Phone# Insurance.Co. Policy# Failure to secure coverage as required under section 25A or MOL 152 can lead to the imposition of criminal penalties.of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby cert' un er the pains and Pena les of perjury that the information provided above is&ue and correct Signature Cil Date 2 C7 2 Print name Phone# (0/— Official use only do not write in this area to be completed by city or town official' ❑ Building Dept []Check Y imsponse is required Building Dept Ij Licensing Board [l Selectman's ice Contact person.-7Z, d Phone#. o � Z V 0 Health Department El Other RM WORKMAN'S COMPENSATION 1 i t�g � !p ailsJIB 61 4.0Fi� iiC41� 'q mom '(�� { f s i��;' iiti�`i.€ as " 4 f � 1 '•eE Cf �, �left-w 00801d 02/26/2002, 15:16 19766853855 MATTHEWS INS PAGE 01 • ` CRD„ CERTIFICATE OF LIABILITY INSURANCEDATE{MMIDDlYt) �2/2s 2002 PRODUCER . THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Matthfews Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 182 Parker street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ,Tawrence, MA 01643 978-68- -1112 INSURER$AFFORDING COVERAGE 018"Nc Smith, Richard D/S A INSUR£RA Zurich-American InB CO ALT wood Construction I LRaRI: �- 86 Shore RD WSURERC Salem, NE 63079 I1SUREcR0: IvSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE poR THE POLICY PERtOv INDICATED.NOTWIT"TANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BR ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMIT SHAWN SIA.(HAVF @1l C?llJG�t1@K Q C1�4lAAS. TT'PEOFINWMNCE POUCYNUMUR YEF UCY to GENEQAL uAWtm If(M WIpiS �AcHacuRRL�NCE �$1,000,000 X CAL4afRc!AL"NEPAL LLAegtTv — r� FREDAMA3EI90YmervC 5 000 cLAINSI.LaC-R IJO•xuR WOFV(Anraw elsaw) $5,000 SCP37691988 02/21/02 02/21/03 PeRsmL&AovINJuv sl 000,0 GENERAL AGGREGATE 42, 000,000 GCN't.P.GGREGATE!.!NOT APPLIES PER !POLICY PRO PRODUCTS•COMa4OP A(iC I S2,-200,000 -t Lot. �OMDEILE LIABILITY ANY AJTG COMBINED SINGLE LINT $ tEa acvmern; ALLOYeNEDAUTUS Sl11EDU:F_DAUTD3 BODILY NJURY $ �Br DOt35an) NIREOA11TO4 I 140NOW4EO AUTOS 1 BODILY INJURY PROPERTY DAMAGE $ GARAGE UAWLITY t°e<icuOenU A�rr Auro AUTO ONLY.EA AGGIDENT OTHER THAN EA.A C. Y W10 ONLY: AGG S E*X-CFS3 LMASILITY IOOCUR £ACHOCCiRRENCs S MA,MS NIAPe AGGREGATE S DEDUCTIBLE $ RETEWION = $ WMKEASCOLIPEN$ATIONAND ` EfypIOYERw'LIABILITY ♦1,�p•BTATU WC3769391900 TOOI LIM a x! 02/21/02 02/21/03 IE-k. $100,000 1Q.L.PIW.A$E•EAEMPLOYEE $100,000 !I OTNER E.L DIGEASE•POLICY I IftpT 3500 000 I aticm TION OF OPERA TIONw L CAyjOh$y(NICLrsfIEXCLUBWN3 A 090 DYEt/DOREEMENTIRPECUAL PR01404 CERTIFICATE HOLDER ADDITIONAL N UMD:PauRER LETTER, CANCELLATION >ZMIOULD ANY OF THE ANOVE DeSMVED"L,CMEw BE NC CAELLED E RA Irma E7ApRAYpN Smith, Richard DATE rNtReOF,TRE WANG INGURER Mil UVIAYOR To MN9YR L oAYS ITTBN B8 6 Wood Construction NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE 6 Shore Rd LOT,OUT FAILURE To 00 30 SMALL Salem, WH 03079 arrOGL No DBUGAT10N OR LUftU Y OF ANT KIND UPON TOE U15411ER,ITB AGENTS OR RNPREMTAnvgA AUoIII ACORD 26-5 trout, - 0 ACORO CORPORATION 1968 Jul 17 01 03:58p- Town of Merrimac 978 346-052 ---- p. 2 • `' ` :IFe t�mmonwea�of�f •s 07mbunt of Indutti'ia-rAxidenU Oft 600W="Wtm Sfta ft$Un,*!02111 W0dM='ComvenaaUon h==ft ASdevit APPLICANT INFORMATION P_lean PRINT LeAb Name: i.ocation: C Telephone# D I am a homeowner pm* ming all work myself: DI sole proprietor and have no one working in my opacity 81'zm an employerpmvY work='comp�sat:on for m y employees woz u this'ob �Ar �8 Company Name: `V 62) Address: / `C City' TelephontM.!---(— r70� 0�7� u11 iasurance Compsa;" /. ,r:. 1, Policy D I am(circle ane) sale propzieuu,goal coatraetor or homeowner and have who have the workers' co hired the woconte-toes listed blow foilowiag mpeasation policies: Company Name: Address- City; Tolaphose# Insurance Company: Policy M Con'ipany Nar:te: Address: City: Telephone# :asurance Company Policy k Attach addifioaai sheet if necessary Failure to secure coverage as required tmdw Section 25A of MOL 15B can lead to the imposition of criminal peaalties:or"a fate up tp$!,$OD.OD and/or one years'imprisonment as well as civil pena)t.s in the form of a STOP WORK ORDER andafineofSlQO:AC•aday againstme. I understand thcopy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verantion. 1 do hereby a :u the pains and p 0fPe1w7'that the Inforn:adon above&true a>w eorrca f Signature: Date: Print Name: Phone# l Official Use ONLY-Do not wrt:e in this area o Building De=rtmant City or ToA n: Per lit/License P o Ucensing Board a Selectmen's COW a Ct�clt if Irnmed response is regWred is Healtn Department Other a NORT#q Town of _ RAndover -1,1� 1�...'.1:i�! ! "Ut'. y -off O dover, Mass., COC MIC "'cK V °RATED � S BOARD OF HEALTH Food/Kitchen PERMIT. T D Septic System �a c% .. .cd BUILDING INSPECTOR THIS CERTIFIES THAT d\ h.. ............... ..........` .�....... ..... ......................................................................... Foundation haspermission to efegt.. ....�..... ........ bulldin son ..... ........................................................................................ Rough to be occupied as.../............ � //�� 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. oZ o>//a C/ �O -CR PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR 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. Smoke Det. SEE REVERSE SIDE NpRTfy ® o _ _ 4 over No. * - _ dover, Mass., 51 COCHICHEWICK ADRATED PP��(� S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System .. .cd � BUILDING INSPECTOR THIS CERTIFIES THAT.....Rq.0( ...... ...............`t.�... ... ...!'�.............................................................................. Foundation / %57 has permission to e�e4t.. .c/cc...l..�'..'�...... buildings on ..... ....................�......�!9:.1/V 5�............... Rough ...................... plop—d r— E/ p !a I � Chimneyto be occupied as.:. ............................ ...... ......................................................................................................... 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. oZ of/3 cj► l � PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. T Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS 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 Lathingor D Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Location No. /`5 fan Date MORTh TOWN OF NORTH ANDOVER F 9 Certificate of Occupancy $ s'•••�'E<t' Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ .r Other Permit Fee $ TOTAL $ 12y '• Check # 16167 ` //� _Building Inspect G � TOWN OF NORTH ANDOVER SIGN PERMIT APPLICATION Site Owner , - Applicant -s Site Address (� �/�j/� � Size of Proposed Sign_ 4 -S� ,1Z11t- _S� r— j How attached: a Against the wall�� Illumination: a) Not illuminated b. Roof O b} Internally illuminated c) Ground c) Externally illuminated__ d) Othe Material . /� / Proposed Colors: Background __ �3,,/�s Lettering 7 �` Border 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 been filed with the Sign Officer containing such information including Material sample 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 sig _ sign complies or will comply with all applicable provisions of the By-Law. Other, specify47 �` t Will sign overhang any public road or walkway es ( ) No If Yes, Name of Agency who will provide liability insurance: b AN INCOMPLETE APPLICATION WILL NOT BE ACCEPTED f DATE FILED: -:00103 Z S16NATUE OF APPLICANT revised:jm- 8/98 « ,t r»� 0 e � e 0 0 d Q 0 Vn o nn nn 0 o u V 0 NI V V V �OtPCJ:i� � SIGNA RAMA wants to ensure your iob gets done right. MVIOM M saw ■Please carefully proofread for any misspellings or errors ■Peel free to make any changes you see fit. Attn: ■If there are no changes to be made,Please sign below. From:Maxine Mane Also,please keep in mind,due to varying inks and pigments,colors may not be exact. Phone:918-688.3111 -A 918.688.3993 °°�`�"` Fax: SIGNA-RAMA Requires a signature before continuation of anyproduction of this job. Thank you for choosing SIGN-A-RAMA for your sign needs. i pORTH O� '�to O 0 A A toc.u[wewnta`y1' ��SSACH1,15 TOWN OF NORTH ANDOVER SIGN PERMIT DATE February 18, 2003 PERMIT # 15-2003 This is to certify that ROSSETTA'S HAIR SALON has permission to erect a 20 INCH X 45 INCH HANGING WALL SIGN on / at 65 MAIN STREET Providing that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-laws relating to the sign regulations of the Town of North Andover. Any violations of the Zoning Regulations regarding Section 6 of the Zoning By-law will void this permit. Internally illuminated signs are prohibited Inspector of Buildings Date Date ` C %0'r"1 �� tioot TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACHUS� This certifies that . . . . . . . . . . . . . . . . . . . has permission to perform . . . .P A . . . . . .7. . . . . . . . . . . . . . . . . . . plumbing in the buildings of ... . . . . . . . . . . 74 at . . . . . . . !Irl!. .F l. . . . . . . . . . . . . . . ., North Andover, Mass. Fee. . . . .Lic. No.. .S ` 1.�. . . . . . . . . ... . . (PLUMBING INSPECTOR Check # U 5544 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) �^ NORTH ANDOVER,MASSACHUSETTS ad h G V✓1 I C c �V -i /U3 S o /� Date /3 / Building Location ")/!/lei �1/ Owners Name /Q ` ��/J,✓'�� Permit# Amount /— � Type of Occupancy if � S �y n-F New ® Renovation [:]"'----Replacement ® Plans Submitted Yes ❑ No FIXTURES �+ W H W H x W w W A w A va PQ a R4SUOM M HfM I I 2M MOM �HDM 4MFLOCIZ sYsFLOCIt 6M HIM 7M MOS M Hoat (Print,or type) j'' Check one: Certificate Installing Company Name I?�.1 1 UL7 l�G�l P �d–fs� ❑ Corp. Address S–p t ->Z b 2 1 ❑ Partner. Business Telephone (.o r 9- Z rV ❑ Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy n/ Other type of indemnityBond LS El El Insurance Waiver: 1,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner FZ- �— Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installationsp ormed under Permit Issued r this appli tion will be in compliance with all pertinent provisions of the Massachus tat lu bing Cod and Chapter7 of the eral Law r By: M763VZ'ot Licensedum er ,77 Type of Plumbing License Title . City/Town License Number Master Journeyman ®- APPROVED(OFFICE USE ONLY { � i �.. �� t • Location ` No. ��'� Date NORTII TOWN OF NORTH ANDOVER O � 9 ' Certificate of Occupancy $ �s�.►cMusEt� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ n� TOTAL $ Check # 1667 Building Inspe or TOWN OF NORTH ANDOVER SIGN PERMIT APPLICATION of�� i5 • 07�5�� Site Owner Applicant Site Address Size of Proposed Sign o How attached: a� Against.the wall lllumination: a) Not illuminated b' Roof ( ) b) Internally illuminated ( ) c) Ground ( ) c) Externally illuminated ( )4 d) Other ( ) Proposed Colors: Background �S 2 Lettering Border: , e_ 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 compl Other, specify y with all applicable provisions of the By-Law. Will sign overhang any public road or walkway Yes O No (� If Yes, Name of Agency who will provide liability insurance: ANANCOMPLETE APPLICATION WILL NOT BE ACCEPTED DATE FILED: „GAO63 revised:jrn- 8/98 SIGNATURE OF APPLICANT SIGN PERMIT WORKSHEET Property Owner / n Business Name �� LV1C19- )Qe PPi/e Property Owner Address Sign Location Address n74110 Zoning District to /-3 10�/ +F- �q,� Allowed Area �� v�( � y Proposed Area �- a g n Allowed Height N Proposed Height_ A) Allowed Setback /4 Proposed Setback A) I1 Map C>9 CJ Lot� Estimated Cost$ Fee$ Q �— Permit Application Received �d Permitov /Denied Inspector c A-9 cr,�� ` 02 b Lop x T k ',otc% ay' a' CT�C7 r g 71 .. i, �, C�C�ED a C/3 C� Z' V 21 X11 �Lp�� GROW I Plinio a Li 1pn� I It, [I 31,311on 41 . e;� 4 0 I y s JillI � 0ORTH i(} S.tLED j6t �o �A OQ cocaue«e+.rcK� �' SSACHU`�ti TOWN OF NORTH ANDOVER SIGN PERMIT DATE MAY 14, 2003 PERMIT # 23 - 2003 This is to certify that YE OLDE PEPPER CANDY CO. has permission to erect a 1- 2 FOOT X 10 FOOT & 1- 2 FOOT X 14 FOOT WALL SIGNS on / at 59 MAIN STREET Providing that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-laws relating to the sign regulations of the Town of North Andover. Any violations of the Zoning Regulations regarding Section 6 of the Zoning By-law will void this permit. INTERIOR ILLUMINATED SIGNS ARE PROHIBITED spector of Buildings Date