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Miscellaneous - 757 TURNPIKE STREET 4/30/2018 (2)
N Location 1 ` +/1 +l J j9,JU ` lNo. { Date � 2 Check # 3 06TI TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ w TOTAL $ k Building Inspector' CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 615-2017 on 12/7/2016 Date: February 1, 2017 THIS CERTIFIES THAT THE BUILDING LOCATED at 757 Turnpike Street MAY BE OCCUPIED AS a store within a store in Stop and Shop IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Stop and Shop Companies 757 Turnpike Street North Andover, MA 01845 Fee: $100.00 Receipt: 31494 Check: 36950 c v C � CD O -0 Cso L �• n cc -a O 0 vCD r cr CD CD o CD CD O N. � v O CD O O a CD o �°0° a�) cn _O 0 =tr <.0 nCD0 -=� c O v; -Oi. H rt gyp' C O ° CL m +n CNW CD r-40. CIO CD N C. 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NEW z _ CLOSET 6'-0" ,� V-, NEW BEER & WINE , 2'-4"x3'-8' IST 1,460 SF 1-" NEW' 4 6,_0„ 5'-O' NEW 4,-0„ NEW 6,-9„ 0 » „ 48 X18 co 3'X3'IN 3'X3' NEW 2'-gam 1O '-o'er DISPLAY DISPLAY 4'-11" - s; OFFICE 6'-0"x7'-6" a LO o z 16 I o SECURITY GRILL z � DOOR CLOUSURE -� - - NEW N e e�®oNEW _ _ �`�®® TBD e®o®©m®mee Noxou BOXOUT N NEW 5�1� 16" BC WALLS COUNTER BY VERMOrSE 2'X4' RE OC 8'-6" HIGH FIXTURE '-g" FRITO E D ITY GATE RELO /8.C\ i i N 26'-4" (4) SELF-SCAN REGISTERS EASYSHOP EASYSHOP EASYSHOP o EASYSHOP RETURN RETURN RETURN RETURN RACKS RACKS —� RACKS RACKS P Y SEI COVaENTSRECEIVA ON 111 16 8.A- ADD PUSHERS FOR 2 DOORS, SPECIALCT REVISIOPROJEN OB - - LIQU��1716RE DATEUU THE STOP & SHOP SUPERMARKET COMPANY LLC c MW I STM Stop &Shop B.B- UPDATED SHELVING HEIGHT TO 66'. B.C- CHANGED BOX OUTS FOR SECURITY GATE RETRACTION CAPS. RELOCATED EXISTING FRITO END FROM 10B/9A. AND RELOCATED END MAIN THE STOP & SHOP SUPER ARKET COMPANY LLC 767 T�1,RPIKE�,STjtEET AARATHI N. ooh _ 1 0 9 2 F-1 New England NORTH D VER, MA 01846 05.16.13 d� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 615-2017 on 12/7/2016 Date: February 1, 2017 THIS CERTIFIES THAT THE BUILDING LOCATED at 757 Turnpike Street MAY BE OCCUPIED AS a store within a store in Stop and Shop IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Stop and Shop Companies 757 Turnpike Street North Andover, MA 01845 Fee: $100.00 Receipt: 31494 Check: 36950 < 0010 -1 ., O = r- y = <. m 0 CA 0 C OCL ' CD CD n C.) m z o =r.a v�" -i 0U) o C O O a m N _W coo -0 CD O -� to 2 O• o Q D O v p 0-� U)a n _ o rt NO' c =. 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U � a o~ � as u Cao R' 3 z U a 0 U] September 1, 2009 Christine Moreau Agnoli Signs 722 Worthington Street Springfield, MA 01101 To whom it may concern: Stop & Shop, being tenant and said owner of proposed signage, hereby authorizes Agnoli Sign Company, Inc, to file, on our behalf peinnits and approvals necessary to perforin the installation of proposed signage. Sincerely, Stephen E Krupski Senior Vice President Construction & Engineering The Stop & Shop Supermarket Company LLC 00 An Ahold USA Company ACORD,M CERTIFICATE OF LIABILITY INSURANCE OAT /200/YYYY) 7 29 2009 ODUCER Phone. 413-538-7444 Fax: 413-536-6020 114 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ames J. Dowd & Sons Ins ONLY, AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bobala Road P.O. Box 10300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, ' . Holyoke MA 01041 INSURERS AFFORDING COVERAGE NAIC # INSURED Agnoli Sign Co., Inc. INSURER A: Travelers 722 Worthington Street INSURER&: . I . M. Mutual Insuran C m a 33758 INSURER C: PO BOX 1055 INSURER 0: Springfield MA 01101-1055 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DO' POUCYNUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY 6309496A387 6/21/200.9. EACH OCCURRENCE $1,000,000 6/21/2010 COMMERCIAL GENERAL LIABILITY CLAIMS MADE RE OCCUR DAMAGETORENTED PREMISES Ea occurence $100, 000 MED EXP (Anyone person) $ 5,000 PERSONAL 6 ADV INJURY $1,000, 000 GENERAL AGGREGATE S 2 O 0 0 O O O GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG 1$2,000,000 POLICY PRO-F-1 RO LOC A AUTOMOBILE LIABILITY ANYAUTO YA0810 6 5 6 7 0813 6/21/2009 6/21/2010 COMBINED SINGLE LIMIT (Ea accident) $1,000,0`00 X ALL OWNED AUTOS SCHEOULEDAUTOS BODILYINJURY $ (Per person) X X HIRED AUTOS NON-OWNEDAUTOS BODILY INJURY f ' (Per accident) X Drive other car PROPERTYDAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY- EAACCIDENT $ EAACC $ OTHER THAN ANYAUTO AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY X OCCUR E]CLAIMS MADE CUP6567CS13 6/21/2009 6/21/2010. EACH OCCURRENCE $5,000,000 AGGREGATE S5,0001000 S $ DEDUCTIBLE $ RETENTION $10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WMZ8003518012009 6/21/2009 6/21/2010 X T CSTA�T- DTH - E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.OISEASE - EA EMPLOYEE $ 1 000 ,000 OFFICERIMEMBEREXCLUDED? 1I yes, describe under E.L. DISEASE -POLICY LIMIT $ SPE61ALPROVISIONSbebw OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ! EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Pu_vrw ZO (LUU1/U5) • I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE RPfR t ©ACORD CORPORATION 1988 V1 - n r m 1 O N 1 A n m m 1* mo MD NZ m Zr a I ZD �m � 4 ~ r DXN o vo vz �' Ar ANIL i �r,M uuu...111 v BZW aAdIllks � m Na (, XM j v J N Ate! 3 N i a 4, a hr � , v I S r , � Y O 6 O i 3 j a P y O 9 A � O F O� Om Om Om OA O O O O O O N O O O+ O N 0 0 0 C. 0 0 4 � A n 0 Z o go Q.g N 00 Z n E m O o 0 NN �O D �90 o OO O �T Z = T o D D g rn 0 m0 Z ^ o � � z � D D Zr N N � ()--1-0 aDZ� o O m Qo < N cn o � mo o # o D a N N n •, r m N O nm jmmV'' v. rti ► .. �D NZ Z r ® 2p Z� r V 11 zx N ay vcM cn O $ oro � , , • m N � N m VN i v i Q .1. 0 r -a -p r ; i N ` ij ;'* • Oe f o c D'^ DOm OA UDm O O O O O O i O O O O O N O O O O O O Z 7 900 0 iii p c N 00 zn� � rn O D�Sp o O z = _ o D D � ZZ g 00 n p rn m z DD z �C CD 14-0 10101010m OCA N N � r) -0 DZ� Z�� p O m go < N N m -� Z # o D � O �O 0 ,6 .f .WA September 1, 2009 Christine Moreau Agnoli Signs 722 Worthington Street Springfield, MA 01101 To whom it may concern: Stop & Shop, being tenant and said owner of proposed signage, hereby authorizes Agnoli Sign Company, Inc, to file, on our behalf permits and approvals necessary to perform the installation of proposed signage. Sincerely, Stephen E,I rupski Senior Vice President Construction & Engineering The Stop & Shop Supermarket Company LLC 00 An Ahold USA Company 0 ♦t�} W ACORD,M CERTIFICATE OF LIABILITY INSURANCE 29 DATE(MM/Dp/YYYY) 7 2009 PRODUCER Phone: 413-538-7444 Fax: 413-536-6020 James J. Dowd & Sons Ins 14 Bobala Road THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY, AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 10300 POLICYEFFECTIVE Holyoke MA 01041 IC # INSURERS AFFORDING COVERAGEama INSURED INSURER A: Travelers INSURER&A.I.M. Mutual Insuran 8 Agnoli Sign Co, , Inc. 722 Worthington Street PO Box 1055 INSURER C: EACH OCCURRENCE T 1 0 0 Springfield MA 01101-1055 INSURER D: INSURER E: NVvGrV%VGJ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR ADDI POLICY NUMBER POLICYEFFECTIVE POLICYEXPIRATION LIMITS - A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 6309496A387 6/21/2009 . 6/21/2010 EACH OCCURRENCE T 1 0 0 DAMAGE PREMISES Ea occurence $100.000. MED EXP (Anyone penton) $5,000 CLAIMS MADE FX_1 OCCUR PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATE LIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $2,000,000 POLICY PRO- LOC A AUTOMOBILE LIABILITY ANYAUTO YA0810 6 5 6 7 0813 6/21/2009 6/21/2010 COMBINED SINGLE LIMIT $ (Ea accident) 1, 0 0 0, ().0 0 X ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY $ (Per person) X X HIREDAUTOS NON-OWNEDAUTOS BODILY INJURY $ (Peraocident) X Drive other Car PROPERTYDAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EAACCIOENT $ OTHERTHAN EA ACC S ANYAUTO AUTO ONLY: AGG $ A EXCESSIUMBRELLA LIABILITY CUP6567CB13 6/21/2009 6/21/2010, EACH OCCURRENCE $5,00.0,000 AGGREGATE $5,000,000 X OCCUR FICLAIMS MADE S $ HXDEDUCTIBLE $ RETENTION $10,000 B WORKERS COMPENSATION AND WMZ8003518012009 6/21/2009 6/21/2010 WC STATU- Ea X TORYLIMITS E.L. EACH ACCIDENT $1,000,000 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED? E.L. DISEASE -EA EMPLOYEE $ 1 0 000 E.L. DISEASE -POLICY LIMIT E Has describe under SPEC IALPROVISIONSbelow OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS CERTIFICATE HULUEK t,AnVCLLAI OUR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE •1rik 4). ACORD 25 (2001/08) OAL UKU t VKr-UKM I IVIY 1700 Location No. 1/ aZ% Date A-/ D � NORTH TOWN OF NORTH ANDOVER SOL r` 9 Certificate Occupancy $ of �'�s ",•° • t�� a s�cHus Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee G 13 k) $ TOTAL _ $ a S' Check # ) 0 Q ro I , p L) (�= -, Building Inspector I C C6 U Q. Q. MY 7I Cn C) a) � (� CO C: . O � C O c = •— , C L O X zSw .Q U d � 66 on U) Q 0 N U) O Iz O cn E o 9 c f� O w D-1 rqr O U� N c �.�m (D (D C: "u L m C O O C O Cn Q) ( L (n C7 .— C O E a) c Q) W O >+ O >, a) > C c9 -0 a) o a) ..O • cn a N _0 C -0 � U Q) L0 —_ N Ji -0 C CU C N N C C m L " O) c4 a) m U N C_ C C m O O Q ca c " -c– cz cc N O cu Cl > O OC U f0 L y > r �O O 1= 0 0 0 3 II n o O p - � •C>3 fn L L O QO U N O N iZ a^)` W O O L` a)" •� Q] 0 o U a) - CCTS ca _ -0 N CZ C CO fa C Cis Q O L O – O O ) a) ` CL m U Q O C OO tB (B O C (B N U C = "C m Z ca S] CL o C/) N d � 66 on U) Q 0 N U) O Iz O i f ii 0 W a W U U W CII F - Z J J O F- CL 0— Q w W J Q O U z Z Q 9 c f� O w D-1 rqr c "u C L� N W Q) (6 O N _0 C (DZ) C cc -0 Cl Q �-a� 0 �O Q� n o O L � •C>3 fn L � _ a^)` W O O L` a)" •� Q] r �a �UCn00 i f ii 0 W a W U U W CII F - Z J J O F- CL 0— Q w W J Q O U z Z Q n b C, LLJ rn J co LL 9 f� O w D-1 rqr "u L� n b C, LLJ rn J co LL NES GROUP New England Security May 22, 2000 Town of North Andover Building Department 27 Charles Street North Andover, MA 01845 Attention: Michael McGuire Re: Fleet/BankBoston 767 Turnpike Street North Andover, MA Dear Mr. McGuire: Enclosed please find check in the amount of $25.00 which will ,cover the permit for sign replacement at the subject site. Please mail permit to NES Group, 5 Prospect Street, Taunton, MA 02780 Attention, Ron Swartz. Thank you for your assistance. Very truly yours, , NES oup Ronald H. Swartz Enclosures Via Airborne Express 200 Myles Standish Boulevard, Taunton, MA 02780 Tel. (508) 823-6531 Fax (508) 822-8930 Bank Design •. Project Management • Consulting In 04 4C' WYNN Wb V!, 464, LO lip bu 2 Illi r! LO lip bu lip �I N V.M 6 z 'v A LL N 0) N ZO oll 1 O c C Q L 0 O z r O C m N CL w R LL U C IC CL E O U Oa M C M Y O 'D cC 7< F L O Z N Q N a ai a cc Q N T U c O cn O m Y C m m T C m Q E O V N 0 Ml a N Q1 V (14 w U U C 12 m N Q F �U m U- 0 O C N 0 C O p C 6 Q O L m Y b co Z In E c Q O .v U Lo Li .� C d cm E mO C U .00 A N E E O U a E a 7 Z �% E r --Lm O1 L L -5 d R C O LL L O. m d x 10 N 0 M N (0 c t0 m m n .0 .to X X H i� L6 o �ca LL Q U) LO p u = T = f� O NC- Z oo C Z9 o w O) ZD ai 07 c O iA V c o .. 'm =p 4)w m :2 w m `�° > LL c C E A LL o E E O U T O W J a E a 7 Z �% E r --Lm O1 L L -5 d R C O LL L O. m d x 10 N 0 C g E = p t0 m m n .0 .to X X H i� J p u O (D m o co a N in z �? - Zp _3 _3 T O W J w E a 7 Z �% E r --Lm O1 L L -5 d R C O LL L O. m d x 10 N 0 C g E = w 0 m LL u t0 m m n .0 .to X X H i� T O W J O CV (� N Q C � w c d E E O u NNALM Q >cl OC O r O Y_ > O //) �+ N U Q� m O Q J m O Z C m Z ci ci ui ci iri _a N H ~ Z. M Z m Z O 0 M �` :� c Q m N O LL m V CL w c d E E O u NNALM Q t U C m N CL m LL m 0 C N O C Q O m O m Z m hi �4 E a z E U LL E E rC CPw v N co N O N E E O U � m L c c p ••— Ol L .p R O LL Oo x <0 d C --l- u LL L O O 7A K 3 0 E2 v co ? -0 0 m O LL w 00m N co Ln — c 3l O NQ y m pC7 zi � tr) Z co (n c n o w c o O L `7 O Q In C fn J Z C .p0 p y w L tL•E LL c d c o CL Q i 3 c o' ai = N E E O U � L c p ••— Ol L .p R O LL L r x <0 d C --l- u LL L O O 7A K 3 0 E2 ? -0 0 m y m .n � c n o c o O L `7 O Q In C fn J Z ro L E a 7 z E C d ••— Ol L .p R O LL L r x <0 d C 7 u LL L O rn X 7A K ro a� A Location 77'5-7 -T-tx k) R e No. Date 1- -7-1 r NORTH TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ ;n C14USE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $rdvo �y'vo 1193 Building Inspector Div. Public Works 0 QOJER 'o OUA J co ti X04 •,� G cn 41 cv r-1 b cn 4-1 v w jo H a 0 ca �a :3 -a ,.., g L4.4 cv w x v o a . o O r-+ E W �4 O w v • J..) z o Q) v a U a . . ,J ,J • �--� 3. W D s G LW0 �o E- U O ' Z ' • 1 ul ai G o ' -• • U O> .,.•a x • ao Q1 a ,q cn O -d U = cn .r -I G QJ m Z�• � QJ N O O O �• w ro .2• G o o r-•+ Csr ~ r (U• ra 4-j G bD O V) -•.•. 3 a1 • G z 3 , • • 4-1 ,-i Q) U ., 4 mc b.A r� v] z Ew G O ,2 z a� w w -LIU) 'x �. a r cn •rti O •r•+ S4 E --i Q) ` ri c a r-1 4-1 G o JO U . � O • G r-1 u ' E� +� QO •r -I 7 W (s7 O { A• 1 u r o M N .a r w m cn v q, Q) . r -i w G O 1 U QO x E co O cn O W S4 U a o o s H ¢ w V) u r-4 4-3 a H F- C� H m w 4-1 O a a H s o a co u 0 J > b 0I /100 21, I� 117Ed�i I I ]Od 200 ON! SNe]S 1NK Od 2E:9 9b,0'c'Ndf S i a U o w � ZD 0 a C2 a' 21, I� 117Ed�i I I ]Od 200 ON! SNe]S 1NK Od 2E:9 9b,0'c'Ndf tt 0 0 u Ell fq r 0 z C W b� U 4.+ a ❑ � U U cc 00 O ca .a cC L 14 N U O U .0 c� O cis N U 0O U .=i aCt 4. O J. cu L Q+ aj 0 O at.y cv O 'Ad cOi v-- CLa. u Uv) y cz O O .O O .!z 72 ° O a' cE� .tea . t1.z �hcz i,� 04 0 z C W b� n a L 14 U pr 'L7 cis N U 0O Q O 4. O U Coo O N O L Q+ r CW v-- CLa. Uv) 0 z C W Location No. IS —,)DO 3 Date 3-13-03 TOWN OF NORTH ANDOVER r•_•oma .. 9 Certificate of Occupancy $ �'7s'••° • E Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ Other Permit Fee S l g'`� $ 3 0 _ TOTAL $ 3 Check #16224 Building Inspector 1Lo ^^l N N N C rrC� V/ � � U C: o - �� m C (� J Um) o C L �- L ca Q' a E 4 0 C) °) L:) Un °� o U E F c O O _ T O > O '0 o c� Um) o C L �- L ca Q' a E 4 C) °) L:) m c O II o E F c O T O > ccs O -000 E V) c� CM M (D O) U C E C5 G O m m a (II 0 O` N 0- d a) O O .0 E O U C -z; T oa0in2 c � � cm O O U M Lcn O C O C C .L.. � O .- a,0 L o Q C = CJ N VI Z m a -E C - 2L N E a = C) U 0-0 C- c o c L U y (4 N 0 C N 0 U C =- Z Z N-0 a0co UJ G 0 w w U w m F- O z J J 0 a J CL a w w J a. O U z z a aro co a� r 1 N c � II c c c� O (II 0 N � c y � � 0) C -p . CS V C O O p L c N c 0 O cu cti p =• = 0 G 0 w w U w m F- O z J J 0 a J CL a w w J a. O U z z a aro co a� r 1 v v v� O bA 3 ce ° 3 >, to PQ 0 rra.. z E'i v O0-4 O 1010 r�; a t 0 wQ H te►�°���h z o'L *** w �-o ° 040 'S b to0 v on Ncl H ,Ln O p p bo , Ed {rv N ~ � 0 U O C130 U) o o ° N v v o v O v v o �i C,3 +, O W cis 9 Lt tit ,gti�o c X W ..% 0 a 0 J c m 4-1 V) v- 0 O z 0 X O DO 2- c aotwoz Zellz LUooxs Q} 0 +J 0 z c 0 W C O 3 A Date...,- . 2.. 7-..�.— TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......... ...AW L q 2 D ...' .......................... �. ................ .................. has permission to perform ..... CC...�. v...... 5.��!�T.7'��.............. wiring in the building of....... �G ..:................................................................. at .........7 �...T �LK. � . , Nort Andover, Mass. ... ........ ......... Fee U5-: '�:.. Lic. No ..2 � 2.�................... ELECTRIC CINSPECTo r j Chock # 35-217 10738 0738 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. -7 �;b Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 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) - 6 '-) 7'1xrn 01lke STre.r Owner or Tenant Stop shdc Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No Dil (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:9r q --(L 7 Y C 6S''Ll S4e/V% - Com letion of the followinatable ma be waived b the In ector o W r No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans t es. No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑Wo-.-51-Emergency rnd. grnd. Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No. of Switches No. of Gas Burners o. of Detection and Initiatin Devices No. of Ranges No. of Air Cond. Total Tons g No. of Alerting Devices No. of Waste Disposers Heat Pump Totals:1. Number ...................................................... Tons 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 ystems: No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: 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: c�yo- ov (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: SR--!-rcyt l CS eorp LIC. NO.: Licensee: -8 r1 r n 4Q C Z 1)c SignatureLIC. NO.: t?O (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.:21."2I�StiSo Address: JT CK e C cc Lh-- 19A r l _ br. 3 � I Lo, cQ m� b t F 1. � Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one ❑ owner [I owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ lO5 .. b w A 1 Date4 PAA.. .. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... /� . .... i�-le dee q . �r . 67'�' , ... (��. ........... ............ ............................................. ............ .................... . ........... has permission to perform .... ... ... / .................. I .............................. wiring in the building of -0Y" ... ........................................................ .............. at ...... 757 1 .......................................... . .......... : .................................. -,.-,,North Andover, Mass �ee..R.-6-7V Lic. No. . ....... ........ ...............- ELECTRICALIN 'P' E, C -T-0, R Check # 2200 `� K � t,,�oasoacractf�At of nNew�'s+�+tasNe Official Use 0* •��`` r•� [{� Permit No. 'LI,�"w� �`>Inr Jiarias 9 Occupancy and Fee Chocked BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/071 heave t+WJcl APPLICATION FOR PERMIT 0 PERFORM ELECTRICAL WORK All work to be performed in aceerdarsor with;tlie Massachusetts Niectrical Code (Q+tFi(� ). 517C R 2.00 (PLEASE PRINT IN INK OR T Y E .11 .1 1N1:'[ MA11101N, Date: C' or Town `(� To the Inspector o/'Wires: o By this appikat on the utsdersittred gives notice of his oilier Intention to the eleetrscal work described below. L, "daa (S~ dt Nmw r) au ( Omer or Teaant J Q C Telephone bio. Owner's Address .�.., Is this pernsit in e"J"etion with a building permit? Yes ❑ No (Cheek Appropriate Box) D_pae er B.Am.. Q 0MO•Cf r � W titility AutAorization No. Overhead ❑ Overhead l Exbtitsg Service Aaxps / volts NM SenimAtm / volts Nrurnber of Feahis and AapicitY Loesdoa and Nature of Proposed Electrical Work: Undgrd ❑ No. of Meta. Undgrd ❑ No. of Meters low be waiwd by the nor Of Wim. • No. of Recouped L umblairss No. of CeiL i, i . (Paddle) Ira s>s o. of TO T _ Ito KV6 Generators KVA No. of Lrmimire Outlets No. of Hot Tubs No. of L umblaires Swiaaasbtg of ❑Above a_ ❑ a of 911000,11111"ey L41111012 Na of Receptacle Outlets No. of Oil rs FIRE ALARMS No. of Zospu No. of Switches Na of Gas �'rwers or Doom" and o. ! �, of Raaf No. of Air C 4 TOMTotal i�0. Aiprti■t Devices 111113 PICOM No. of Waste Disposers ......... _... Level ❑ r1mmumalm❑ OIMor No. of Obhwasl ers SpatWAra eatbig KW Hddog A$ am KWNo.-Of 10bMw Na of Dryers Dab Wbim&* t KW e. o Ballasts 14i: of Hasten rs sions Ior No,or gadydW No, Hydromassage Bad"4110 No. of Motog Total HP OTHER: ; ..- -�-��:..-_-_, �_...0 ,�,�.:r.a ,.> ,..�.�:� bd• Jlir /meeeMor of N'irrr. Estimated Value of Electrical Work W Wq{c -- 1 ions to be r INSURANCE COVERAGE: Unless waived by the the licensee provides proof of liabilX'Sis inch undersigned certifies that such co in force. a CHECK ONE: INSURANCE BOND ❑ 01 c+arj . NXAW the Pains aradpar s"a of pa► wry d FIRM NAME:,Q •• lam._ ,.../_ rm 'Per M.G.L. e. 1 OWNER'S INS requw by law. t Sitsaturreie° A//[X-n {IfIWHl.Mur urs.•. �...... -; ---- ..- (When required by municipal policy.) Ked in accordaaoe with MEC Rule 10. and upon Completion. er. no permit for the perf rmanee of electrical work may issue unless ,'completed operation" coverage or its substantial mWival m. The is exhibited proof of same to the permit issuing office. t ❑ (Specify:) re ial%a wain tog on this gppa a don is dere a+ LLC. NO.o MR - / _... LIC. NO.: _ . •• inr liar irrr.i Tei. No.:!'n�s 3 A&9 mot Ale. Td. Nees Zr�j- siw *,rri) I . a. 7-61. security work nqu of'Public Safty "S" License: Lie. No. J E WAIVER: i am aware a is the Licensee docs n0l hanw the liability insurance coverage normally By my signattim below. I hereby wa yr this requirement. I am the (cheCic one) C-1 owner C3 owner's agmt. T*14phone No. PERMIT FEE: s 4) � 0� Ill V, 0�1 � I M wt 'f �, r� c«�wrbrr ; of Mtn 6d"V� t M4 02111 www. j�ov/tfu. imp Colfapaa>�tioit lauatraailee AAId�,, : BoiMer�l/C'o�trsce�onJE beta Name t11mxgWMKk$ani.ati0Nh di%iduaI): *ydr+1 E 1tt.? L► C ri { _ Ad&m: __ yd1 P►� r! s a w ST city/suftop: St©,ae �►s�1�1+J�L� CiAdJ1D N1x1M #: -f5j - q tS -0 3a. Art yaee M eetapiaYW. Cbeek tlit app up– iate box: 1. ❑ 1 am a aro yer with — d. ❑ 1 am alp employeas (flail and/or part-tieie).have hit's ?. ❑ 1 are a stole prop'ielor or partner- listed on :hip and have no employees Meat: so working for me in any capeck.%, workers' [No workers' comp. insurance t. We are a required.] officers i 1 ❑ 1 am a homeowner doing al I work right of e thyself. No workers' comp. c 152. itatm= ra*dred. j ' employee y 'M a>atra M Mea cheeks Moms r 1 MM dra Qq u1R dW wox+n helm dm l l lorneowrtias,tbaaabaw alis aMl iaAM" they tett dams" *gree k'awastets that irk di bat lame aaaitoaa aYei...116.. AM&. AWeat/irreMke mkWIto .' A Insurance Company Name: /gOIJ 5e_rv, �Ie S :L OC or ('jp(i (bd Policy a or Self -itis. L.ic. e: WG (" _ $�, 'i'il rl/\A I Expiration Date: % Job Site Address: \UfAy, _ Jt_ � �.. _ _ .._.__ ('in State 7.i p: o ?t6 Attach a aW of dw werkm, ago p Pte' +leer P (diem Me peNey aetstlber gad expiralds dace). Failure to faCwo, coverage as r"uired under Section 25A of (it. c. 152 can lead to the imposition of criminal paesities of a fate UP b Si.M.00 andler IMP 'in 0 -8 1. as well ivil pert111ties in the forest of a STOP WORK ORDER and a fine of up to SMAO a clay vioi�lor. Be advised that a of this statement ma) be forwarded to the Office of inrestigatiotes of the coverage verification. i i be rdj Ord j /eeaa w" */Pt*" 0APIEW aaat &W V# xW ,wrdar M 1k arm. M br ole IleJirrrawww /wv�ida/ ab !tart erN/t�rreta �U Ay C*Y e+M M effift L Cly or Two: I ertawLicesm M Imillg Attta mw* (ch th am): 1. 11000014MasMw 1 111011d1aM Delo aMwat 3. t:'ity/Te"' ('lent i. Ekctrksl Inspector' K. Plasbiag lae'setor b. Oft* rvpe Of Project (ra01etlrea�: oral contractor and 1 6 ❑)Near►, constructionthe sub-caNrac�orc re attached sheet. 7. ❑ Remodeling contractors have S. ❑ Demolition omp. insurance. 9. (3 Building addition orporation and its ve exercised their 10.0 Electrical repairs or aMitiom emption per MGG. 11.❑ Plumbing repairs or additions 4). and we have no 12,0 Roof repairs j No workers' 13.❑ Other �� atq% IJAe.1 AF0 F rance requioed.j Itm w OArkar% a phtx� atfc+nnMx+n Mien Mrat ownat mm wAwut a anu arY16, a w6caft wuh MW offt a>�wraaaoeas ale Mar %Chem` Voll/ OaM? ra&WAbee AWeat/irreMke mkWIto .' A Insurance Company Name: /gOIJ 5e_rv, �Ie S :L OC or ('jp(i (bd Policy a or Self -itis. L.ic. e: WG (" _ $�, 'i'il rl/\A I Expiration Date: % Job Site Address: \UfAy, _ Jt_ � �.. _ _ .._.__ ('in State 7.i p: o ?t6 Attach a aW of dw werkm, ago p Pte' +leer P (diem Me peNey aetstlber gad expiralds dace). Failure to faCwo, coverage as r"uired under Section 25A of (it. c. 152 can lead to the imposition of criminal paesities of a fate UP b Si.M.00 andler IMP 'in 0 -8 1. as well ivil pert111ties in the forest of a STOP WORK ORDER and a fine of up to SMAO a clay vioi�lor. Be advised that a of this statement ma) be forwarded to the Office of inrestigatiotes of the coverage verification. i i be rdj Ord j /eeaa w" */Pt*" 0APIEW aaat &W V# xW ,wrdar M 1k arm. M br ole IleJirrrawww /wv�ida/ ab !tart erN/t�rreta �U Ay C*Y e+M M effift L Cly or Two: I ertawLicesm M Imillg Attta mw* (ch th am): 1. 11000014MasMw 1 111011d1aM Delo aMwat 3. t:'ity/Te"' ('lent i. Ekctrksl Inspector' K. Plasbiag lae'setor b. Oft* ACORQ CERTIFICATE OF I f THIS C9"WICATE IS ISSUED AS A MATTIW-OF IN OMATMw 0 CERTIFIKATE DOES NOT AFFIRMATIVELY 4M NEGATIVELY AM BELOW. THIS CERTIFICATE OF NrSURA1 SOM NOT COWTIT REPRESMATM OR PRODUCER, AND T CERTIRICATIE HOLD WRWrMT the is an L the tanlpafMT candi Ions Of a* policy, Caftae policies may r"Ulls cerbftvb holdso in lieu of such tem - INSURANCE MMO Olt ALM THE COVERAGE AFFOII fY THE /'OUCIEs CONTRACT 13ETWEEN THE ISSUNdG INSURER(S), AUTHORIZED sf►dofssment. A Satan on this Certifk t doss nOt COMK "" to the Duffy ilsurance Agency, Inc. .sw 781. S93. 1200 317 Broaldlray Myoma Square Lynn, MA 01964-2602 I -# Mk=* ww�eEc RNI etc rt ical Contracting a Consulting Corp. - 42 Pleasant Street Suite C Iwu�Rc Stoneham, NA 02190 ISR D �,A E CdVERAMS 408SO 'RF IkKwA ls) AiF0R01M6 COVERAGE MAIC $ Arbella Protection Insurance._, m- ACORD 26 (2010106) r Tne ACORD name and logo art ro --- Kcvmmun mu L INOICATE6 NOTIMTHSTAPgpdG ANY CERTIFICATE MAY BE ISSUED OR MAY PERTAIN T. TERM OR CONDITION ' CONTRACT OR OTHER DOCUMENT 1MTN RESPECT TO MOCH THIS I� AFF THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIOrS AND CONDITIONS OF SUCH POL LIMITS SrIbWN MAY FIAVE REDUCED BY PA)0 CLAIMS L TYPE OF MM MMOCE om FONCYNYYaER ! _ _� GlNERAL LIA -X a s 40312ru/2o13.12MSM1a EACH p� : i Goo AN CCM�rERGAL GENERAL Lu�$.clT. CAL - -- � PRpffiEaSE•atxuNnoa ! C WASaIAOE X- xCt,R � - t 100 _ MEO EXP (Arty on. Fu.on> s s i PERSONAL A ADV WAY f _ .1.000.. -E GENERAL AGGREGATE i 2 �1 GEN L AC LOWT APPOES PER _X_. - PRT "'+' PROOLICTS CCMPI'OP AGG S -- -- - 2.000 POtiCY LOC 1 �{ -" AUTOYpILe LUIsMrTr 102001283Z 01/22!2011 01/22!2016 --dw— r,- s 1000.9 AN• AUTO A — X O$ LEO .Sr OOD4Y MUURY (Pr mum) ! s rJS EU X X--- _. "0"'0"" MO LY IIN AJRY (Frr aMew-A) S -..._ ruREO AUTOS - X U MEL.LA UAa X OCCUR ^ 460004S702MIL12013 1619/2014 EACH OCCURRENCE s 1.000. A EIICEM$ Luu CLAMSMADE — _ _. _ _ . . X --�. �O 1V AGGRlGATE = AND mIPLovew LiAmUTY Y I N T M 73— ANY PROMIETORIItARTNEPMUCUT M"111111AEM11fift EXCLuDEO^ N/A _ E L EACH ACCIDENT J{ r ry+rss r«an. uWu OESCRIPhON OF OPERATIONS Pao. EL. Oi3EASE - EA EMPLOYEE S E L DiSEAsE POLICY LMR =___ 1 0111WO PTION OF OPERATIOM I LOCATION$ I VSHICLEa rAnMM ACOft TOL. A0al6on« w.wvNy $cNww.. n �o,� .P.e. a r�pulnrO) lectrical contractors e certificate holder is additional insured r CEa!TIFICII'F Mffi_ffCD i....._—• • -_.—.- ACORD 26 (2010106) r Tne ACORD name and logo art ro ACOR°f CERTIFICATE OF ( RTIgCATE am MOT &"VwjATIVELY OR N "lr*luf AWND■ I BELOW. TINS cornMATE OF INSURANCE OOM NOT CONI<TITUTE IMPORTANT: N go csrtlNRaa 1 hoktsr IS an ADI1 URMAL INSURED. B» tl+e antis and ooroM s of the PAY• 11- tM P0**w mw MMM an nl. o.h-fl - Aad.. in «eu of such E:) m ovum Aon Po S«vols, Inc of ROMA 1001 9ntxall 8" Dm+ Sw* ■ 100 Mian. IrL 3313T.&$37 IIONIIED ADP Toue.06: a F. xYi inc toMSL~ D�* Mwh. FL 33173 ALTERNATE EMPLOYER Ram Elaw" C n&A %d ConaaotoV CorDwa: Y. 42 P*M" SDeat Suaa C INSURANCE 1—'`�Tn: OR ALTER THE COVEMN APPOROED BY TNS POLK= TRACT BETWEEN THE OWING INWRE"( AUTHOMMO MM be WWOrMd. N SUBROGATION IS WAIVED, WbJW to wvL A suounent on this osrdrvm* does not co to d" to Aon Rok SRxvlcas. Inc of Roma A No - THIS IS TO CERTIFY THAT THE POLICIES OF owsulimmol USTES BELOW HAVE cEN ISSUED TO THE IINSUFWD NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMEW. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 0Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSKM AND CONDITIONS OF SUCH POLICIES. TS SHOWN MAY HAVE MIA REDUCED BY PALO . LIMITS SHOWN ARE AS REOUESTED lTA TYPE OF NSUAANCE It� � POLICY MUMMA i POLICY Eur UWTE 00IERAL UACILITY COMMERCUL GENERA..IA81-.IT, C,AIMS•MAOf _, JGi.Jk I _� i EACH NCE s ro RENTE0 M S s Mk0kXF(AftwwP@nwjs PIERSOkAL & ADV Y s GENERA. TE f GEM: AGGREGATE UMT APPLIES PER ~_ POUCY PROJECT .00 AUTOMOBILE UASU ITY -I— ANY AJTC A—OW%ED SCHEWAL ALTOS AUTOS NON.Ow%E± MIRED AJ,AUTOS PROOUCTS - COMAPOP AC4 $ s COMIMNIED SING= LIMIT $ BODILY INJURY s BC1W Y1 RY s Per s NMIIIELLA LIA6 LJ OCCUR .EKCESSLMa I I CLABIS-MAIX RETENTIO.. $ LACI+ OCCURRENCE s AGGREGATE s A AND UYLLRY Y t w ANY PROPpETOWPARTNERfXECUTlVf'�1I OFFXXPA EMBER EXC�JOED° __. J N 7 A (WIIOaIery N w DESCRIPTION OF OPERATIONS Daws» NCD 156893 74 MA _ 07A)! -1:1 07,01/14 X NIC STATU- DTH- TORv LIMITS ER E i. EACH ACCM)ENT S 2.000.000 E L 09MASE • EA AIP OYE $ 2.000.000 E L DISEASE POLICY UWT $ 2.000,000 OESCIIIPTION OF OPERATIONS t LOCATIONS I V ENCLES (Alhdt AOORO tot . AoaNwno Ron*^* SstlwmMe. M roan► spew y n■qu~) As *Vonft OWOK Yeas tOr !'b &Dow 'tdmeC a en+ Laovipony "C snow, ADV IUt A. S(N,JH(:t INC . tmvf ' are ?.AYw od neo—:—we ADo" states Oow-Y Try* &Dove nametl duns is an atwmab McObYM r' th3 O.CY ■ CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE i EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. A.UTHOfiQEO REPNESENTATIVE QM ACORD 25 (201OMS) The ACORD name and logo ars m9isterod masks of ACORN ISSUES, TOE FSUOVM UUNSE: Amir RE TIR. PA$ft t:E i Z+ RAM 4tECTR I "L coNSULT i NG , C,_ ANEW # �r l�Alwi 42 PtEASAWt ST Toltmm ;;-PA 62140- 0 9566 Date.....' ........ ..... TOWN OF NORTH ANDOVER p PERMIT FOR WIRING :. ' This certifies that ....R.SI. �'v L..^.... ............................................ has permission to perform ........ S..!.. ............................................... wiring in the building of .............................................. at ........ ,7 5....7....7-v/Z �C�t c.' S.�.AE�C-TRil0ZL North Andover, Mass. ..... ............. OO i '`�....... Lic. No. f 3P7 o _ ? �l Fee ............ ..................,.... �? ... �INSPECTOR Check # �d�� i♦ CNN C,om nonwea& of Mamachaaetb Official Use Only IPermit No. j 2.partmen1 4-7!,,e Jemicea Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. ]107] (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 ININK OR TYPE ALL IA'FORMATIOA9 Date: Aug 2 2 010 City or Town of: North Andover To the Inspector of dl'ires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) Stop & Shop 757 Turnpike Street OwnerorTenant Stop & Shop Supermarket - Telephone No. Owner's Address 1385 Hancock Street Quincy MA Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building Re 1 Utility Authorization No. Existing Service Amps / volts Overhead ❑ Undgrd ❑ New Service Amps / Vohs Overhead ❑ Undgrd ❑ Number of Feeders and Ampaeity No. of Meters No. of Meters Location and Nature of Proposed Electrical `Fork: In front of building outside Install one circuit for four new signs, replace one existing. t rnunlotion the fnUrnt,ino tnhlP mnv ho i,;.,;i o i 1+„ ih, i— ... M.- ! tt No. of Recessed .Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Tofai Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires b Above ❑ In- ❑ Swimming Pool rnd. rnd. o. o Emergency Lighting Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection and Initiating Devices No. of Rarefies No. of Air Cond. Total Tons No. of Alerting devices No. of Waste disposers Heat PumpNumber Totals: Tons ............. KW No. of Self -Contained Detection/Alerting devices No. of dishwashers Space/Area Heating KW Local ❑)d'Iunicipal ❑ er Connection No. of dryers Heating Appliances ION Security Systems:" No. of Devices or Equi alent No. of Water KWNo. Heaters of 4 No. of 4 signs Ballasts data Wiring: j No. of devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications !Firing: No. of Devices or E uivalent OTHER: Replace one existing sign Attach additional detail ifdesired. or as required by the. Inspector of Ifires. Estimated Value of Electrical Work: $ 3 , 0 0 0 ('When required by municipal policy.) Work to Start: 8 / 2 / 10 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no pen -nit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation' coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑X BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the i»%rmation on this application is true and complete FIRM NAME: Professional Electrical Contr4jz„tors of CT, Inc. LIC. NO.: 13965 A Licensee: James T Bisson Signature°1� I IC,NO,: 13965 A 9 A , dfopplicable. enter "exempt in the license number line.—Tel.3 _ 1 � Bus. No.:781-76_ 77E7 Address: 100 Access Road Norwood, AA 02062 l Alt. Tel. No.:. -781-440-2931 `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 A= the liability insurance coverage normally required by law. By my signature below. I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent -�-� Signature Telephone No. �'LllMIT FEE: $ 12 5. 0 0 ^2 m -O m Z PCt- 2 cs H g f 0 O tl �G Z 11 y F i + O1Q n O A• o #; s 3 tti a , R g R g s A 5 n r i eY +. I r ..� � .: 0-4 N 1010 a. c A a ^ 4 o j <m /� 1-0 i" fD 3 3 o i 4GAOAgOg000000 . -1 y� ti� ti ti� ti -ZI • m "`AAA 4O) X V V � P • s «» X x X NA O O ti A A A A A A A A A A A A Zo Z o Z o o Z o 0 0 0 -i -ZI -y -ZI yti Os o py m_ q X p s X m X O X V ' G P I N X Z N ODOy � C1 OO o� °�D p � o rrrr]] rrrr�� artrt]] y rrrr�� frTr�� O O O O to N 0 0 0 0 0 0 0' z z go S?� ng �=NA c N 00 ZnA O NN �Cnp m C N N D— i Q o o QQ p 3 Z Z n p rn O � DD Z�Cm N N p O T go • N O g � o D 0 N • 15, � R 9719 Date ..... h� — z L —/0 ...................... 0 - TOWN OF NORTH ANDOVER PERMIT FOR WIRING E This certifies that ................... M c- -L ..................................................................... has permission to perform ....... ... 1.2 ........ ... ................ sO� Syo wiring in the building of .......... ..... ............. . 4 .............................. at ........ 77 ... 7vA. '4c..P/ North Andover, Mass. -7 Fee .rteLic. No..5—I..%7 12 ............... . ...... ........ n. EL (Cr R IiC A Z INS PEC'M i� Check # vs*� ,. -. a.vffiffluerr> waff"Y Uff u�u�rr��sa�,caad�c a�� Department of Parra Services BOARD OF FIRE PREVENTION REGULATIONS Permit No. =171 Occupancy and Fee Checked [Rev. 1/071 (leave blank APPLICATION FOR PERMIT TO PERFORM (ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code (NEC), 527 CMR 12.00 (PLEASE PRINT WINK OR TYPE ALL INFORMATION) J[) ate: 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 Owner's Address 1`!7W5 -t- TO Is this permit in conjunction with a building permit? Yes UtilityAuthorizatibn No. iVl Purpose of Building C.r�.,. �a���' l�' - ` _Amps YY_ 4V Overhead ❑ Undgrd ❑ No. of Meters Existing Service New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Telephone No. No ❑ (Check Appropriate Box) Location and Nature of Proposed Electrical Work:' y" .;0- ,p rew e No. of Recessed Luminaires No. of Ceil: Susp. No. of Luminaire Outlets No. of Hot Tubs No. of Luminaires Swimming Pool A` No. of Receptacle Outlets No. of Oil Burners No. of Switches No. of Gas Burner No. of Ranges No. of Air Conti. No. of Waste Disposers Heat Pump Totals: Num.. No. of Dishwashers Space/Area Heati No. of Dryers Heating Appliance No. of WaterNo. Heaters KW of Si ns No. Hydromassage Bathtubs No. of Motors OTHER: ,mpletion of the following table may be waived by the Inspector No. of Total (Paddle) Fans . Transformers KVA Generators KVO` bove ❑ In- o. o mergency rg Ing rnd. rnd. Batter Units FIRE ALARMS No. of Zones Total No. of Alerting Devices Tons ber Tons KW No. of Self -Contained "'""' Detection/AlertingDevices Municipal Other ng KW Local ❑ Connection s KW Security Systems:* No. of Devices or Equivalent Ballasts No. of Devices or Total HP Telecommunications No. of Devices or -Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: D O (When required by municipal policy.) Work to Start: %� S %thr f' 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,2" BOND ❑ OTHER ❑ (Specify:) I certify, under the pains andpenalties ofperjury, that the in orm�n this application is true and complete. FIRM NAME: 5I % vn 4 J �v� LIC. NO.: < �� Signature LIC. NO.: Licensee: �L1M 15,U2 .— (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: e S Address: 2 � • Sou+t, t uA4f' 4.a t�'of W Alt. Tel. No. :1 •'St4�i *Per M.G.L c.147, s. 57-61, security work requires Department of Public Sac "S" License: Lie. No. SO+ 1$ OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have th6 liability insurance coverage normally required by law. By #y signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's Owner/Agent TelephoneNo.Saib'3►2�'u3S PERMIT FEE: $ Signature /v� xp x�i / /- , Z - ,0 P-otp O/ rl- The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 19 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): G Address: 2V Sey, -+ , 0--"1Nl�- City/State/Zip : W c,'n A -S - Phone #: S 2> Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 50,t— 4. ❑ 1 am a general contractor and I employees (full and/or part-time).' have hired the sub -contractors listed the attached sheet. # 2. ❑ I am a sole proprietor or partner- on ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. 5. ❑ We are a corporation and its [No workers' comp. insurance officers have exercised their required.] 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7�Remodeling 8. ❑ Demolition 9. ❑ Building addition 10 Electrical repairs or additions 11.0 Plumbing repairs or additions 12.❑ Roof repairs 13. ❑ Other *Any applicant that checks box 41 must also fill out the section below showing their workers' compensanon policy information. 7 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: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: 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 violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided aboveisis true and correct. ... "nnte� lo. I ll ^ 1 Phone #: Sa 3 F o" 11 3 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 8 7 31 Date. 1 0/`1 ate.10/`1 1 -111 +ti TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING T1s_ _et This certifies that (Yj. .. � ....Map, has permission to perform .. (10 ......... plumbing in the buildings of .. :SA . at��F,?5,60 �f North Andover, Mass. Fe'Lic. No......��.. 9y . PLUMBING INSPECTOR Check # J � 3 3i A CDU TT8 UNgORM �.PPLXCATION FOR PLRIi J T TO DO PLUMBIN (Type or print) NOP,UTANDOVER,MASS.A-CHUSEM�{ Date 4AO- `? � ✓ ��r NS%/Owners Name (1 � • - Building I ocatidn Amount 'z' e ofOccu ancy . - Plans Submitted Submitted Yes No -- New Renovation Replacement j Checkone: Certificate (Punt• or type)t K O,/Gt/ Corp. D .� Installing CornpanyName U Q /lL.`I j, �� r j ,C e.✓ s Partner. Address F1 -ev_- 3 i!„c;nacc Telma ane Name of Licensed Plumber: Insurance Coverage; Indicate the I3T e of inSllrance coverage by checking the appzopziaie box: Liability insurance policyYSk Other type of indemnify 0 d, have been made aware that the licensee of this application does not have any one ofthe abov Insurance Waiver: I, the undersignee three ins-umnce _ signature, ' �, Owner I hereby certify that all of the details and information I have submitted (or best of myXrnowledge and that all plumbing work a6ad' to on rforc compliance with allpor6nentprovisions oftheMas chus S lumt - ___ _ .,....,m to Title CiVTO-% APPROVED (oFFICB USE ONLY Agent U L above cation are.tra and accurate to the p uedforthisapplicationwillbein M,a the General Laws. Type of Plumbing License o o 73 Journe an Master TIcease um er ym I N t � ' ` i ■�I, n11 j � t� Y 1 ■��I�i two sea -■ 1` i!' ■� 1v 2 •f' ■■ 1. ■■ :1` i1' ■■ j Checkone: Certificate (Punt• or type)t K O,/Gt/ Corp. D .� Installing CornpanyName U Q /lL.`I j, �� r j ,C e.✓ s Partner. Address F1 -ev_- 3 i!„c;nacc Telma ane Name of Licensed Plumber: Insurance Coverage; Indicate the I3T e of inSllrance coverage by checking the appzopziaie box: Liability insurance policyYSk Other type of indemnify 0 d, have been made aware that the licensee of this application does not have any one ofthe abov Insurance Waiver: I, the undersignee three ins-umnce _ signature, ' �, Owner I hereby certify that all of the details and information I have submitted (or best of myXrnowledge and that all plumbing work a6ad' to on rforc compliance with allpor6nentprovisions oftheMas chus S lumt - ___ _ .,....,m to Title CiVTO-% APPROVED (oFFICB USE ONLY Agent U L above cation are.tra and accurate to the p uedforthisapplicationwillbein M,a the General Laws. Type of Plumbing License o o 73 Journe an Master TIcease um er ym A, The Co MzonwerzZth OfAfassachus&s Depaitnen o f £ndush iaZ ccidenis Offace Of bives9ptions ' 600 Mashinb pn S'reet $osian, .1fm Dull MM-Masago-P dnz Workers' Compensation lagurance Aifxc a t: )3nUders/Contractors/Bleetriciaxns/t'Iumbers kDPECaui-TnforMafion t .mint ' Name (Business/Ord ilizationllndividual): City/State/Zip: 1•,,?�y� trc,a.. Phone#:_ i 27k G 9 T, 2 a s 3 -Are you an employer? Check the appropriate box: 1 -asp a employer with_ • 4. [] I am a ge'zteral contractor and I employees (fall and/or part-time).* ? ❑-I am have hired the sub -contractors a sole proprietor or partner- listed an z`he attached sheet ship and have no employees These sub-. coirfractors have working for me "Many capacity. . workers' comp• insurance, [No workers' comp, insurance 5. ❑ We are a corporation and its reiluiredJ 3 ❑ am a homeowner doing Officers ha -VC exercised their . .r all work right of ex_e option per MGL myself: [No workers' comp. c. 152, §_J (4), and we have nointtrance, required.] t employees. [No workers' comp• im�cf regpisnd ] Type of project (required): 6 ❑ Neu, construction 7. ❑ Remodeling 8. 0 Demoliiion 9. 0 Building addition 10.0 Electrical' repairs or additions I1,[] Plumbing repairs or additions 12.0 Roof repairs 13.0 Other *AM, ='-`r��.t fiat tJpv_ � C.�L•�Uo L.0 S�'Z?'�^ s -- • : own=ho UmiflbaidaVaw �vinauri3 'CCp-c-EC�cpCCy r— - C.M. t -r PCm2u iha -new a mdvit indicatingsuch.4Cont-ctar� that cheGkhisL f.tu s ditMurs dheet showing the name'of the sub-c6nt,=tom and theirworkers' comp, policy informaiiou Ium art emptayer that is providing workers' cornpensauan insurance for my employees B'elah, is Jie policy and job site. irtfa?Trtafaon. Insurance Compiny Policy # or Self --ins. Lic. #: Fx�piration Date: Job Site Address: ' Czty/State/Z' . Attach a copyof the workers' compensation. policy declarati.Qn page (showing the policy xtumber.and expiration date). Failure to secure coverage as required under Section 25A of MCrL c. 152 can lead to the imposition of criminal pul es of a IIne up to S1,500-00 and/or one -•year imprisonment, as well as civil penalties in the form of a STOP WORK pgDg� tl a sine of up to $250:00 a day against the violator. Be advised that a copy of this statement maybe forwardedtp the Office of Investigations of the DIA for insurance coverage verificocn _ I do hereby PA 3 0,; tlzrz�tlze inforraaiiarr provided above*is true and correct _' -_ .Date• 1 G _ � � ,t "' � •� Official use only. Do not writ# in this area to be completed by city or foam offzcwZ City or, TOM. I"erznitucense # I'sSp A.utboriLY '(circle one).' X- Board of health 2• Building, Department 6. Other Contact Person: 3- Citv/Tgwm Clerk 4. EIectricaI Ipspector S. PlrunbiugFnspecfar Phone Date ......r.'.." ..... v.. •`���-• �ppL TOWN OF NORTH ANDOVER PERMIT FOR WIRING 1--! This certifies that ..................... ........................./3....v%e.�...........,.�...... has permission to perform .... L�%y��' �' e /ll h. at .......... wiring in the building of �o�`� S �b (- 7 ................................ �S. �..... p�� � ,North Andover, Mass. ( /f Fee ... Lic. No..1.. Z73/�........... / j� 7 ELECTRICAL INSPECTOR •�J• Check # �� 9360 i ol< &N\ Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No.�� Occupancy and Fee Checked Zev. 9/05] (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 INK OR TYPE ALL INFORMATION) Date April 7, 2010 City or Town of: N. 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) 757 Turnpike Street Owner or Tenant Stop & Shop Telephone No. 978-683-9666 Owner's Address Stop & Shop Supermarket Companies 757 Turnpike Street, N Andover MA Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building Commercial 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: Lighting Upgrade — Install New fixtures inside coolers and freezers. Us- ing existing circuits and wiring. (Dairy, Produce, Deli, Bakery, Seafood, Floral, Meat). Install new fixtures in sales area (floral, front end, bakery, deli) completion of the following table nnav 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- ❑ rnd. rnd. o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pum Number ....................................................... Tons KW No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal El Other Connection No. of Dryers Heating Appliances Kir 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: $12,000 (When required by municipal policy.) Work to Start: 4-7-10 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: O.H. Burg Corp /% _LIC. NO.: 17273 A Licensee: Michael Brace Signature LIC. NO.: 10078 B (If applicable, enter "exempt" in the license number line.) trBus. Tel. No.: 781-344-0522 Address: 117 Tosca Drive; Stoughton, MA 02072 Alt. Tel. No.: *Security System Contractor License required for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $125.00 r- • pORTH 1 Olt 4,09 0 f � z NORTH ANDOVER BUILDING DEPARTMENT 400 Osgood Street Tel: 978-688-9545 Fax: 978-688-9542 DATE: NAME: BUSINESS FORM FOR TOWN aERK 2-a0/.-adc�)s, ADDRESS: 175q /va'A - //)` kle- S ZONING DISTRICT: TYPE OF BUSINESS: BUILDING LAYOUT PROVIDED: YES AVAILABLE PARKING SPACES: `)%v` /�,o ZONING BY LAW USAGE: YES J NO BUILDING INSPECTOR SIGNATURE Revised 11.5.04 BUSNUS FORM FOR TOWN CLERK MAR -28-05 15:31 Fron:G00DWIN,PROCTER i LLP 6175708150 T-512 15.02M Job -177 W G O O D W i N (PROCTER Candace M. Davis 617.570.1798 cmdavic® goodwinprocter.com February 25, 2005 North Andover Town Clerk Attention: Mike McGuire 400 Osgood Street North Andover, MA 01845 Via Facsimile (978)688-9556 Re: Zoning Apgraya Ladies and Gentlemen: Goodwin Procter Ota Counsellors at Law Exchange Plata Boston, MA 02109 T: 617.570.1000 F; 617.523.1231 Our client, a Rhode Island corporation that is qualified to do business in Massachusetts, recently changed its legal name from Citizens Investment Services Corp. ("CISC") to CCO Investment Services Corp ("CCO"). CCO would now like to conduct business under the assumed name of "Citizens Investment Services" and accordingly requests zoning approval from your department so that we may file a business certificate with the town of North Andover. We note that the office where CCO conducts business under the assumed name "Citizens Investment Services" is the same office where CISC conducted business before the name change. For your reference, I have included the following basic information about CCO: Address: 757 Turnpike Street, North Andover, Massachusetts 01845 Business Tvpg: Financial services Phone Number: (800) 942-8300 Houra of Operation: Monday -Friday 10-7, Saturday 10-5, Sunday 11-3 On behalf of CCO, I respectfully request that the building department grant zoning approval for the above location. If you have any questions about this matter or should you require additional information, please call me at (617) 570-1798. Bestregards, Candace M. Davis 1.1902209692. l r poaTH TOWN OF NORTH ANDOVER �: ;•'',`" "°o° OFFICE OF p BUILDING DEPARTMENT * 400 Osgood St North Andover, Massachusetts 01845 D. Robert Nicetta, Building Commissioner TO: Candace Davis FAX : 617-523-1231 DATE: March 29, 2005 FROM: BUILDING DEPARTMENT TEL: 978-688-9545 FAX 978-688-9542 Telephone (978) 688-95454 Fax (978)688-9542 Per you request the fax transmittal is the Business Certificate for 757 Turnpike Street North Andover. If you have any question please call. A hard copy will be mailed to you. Mike McGuire BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 MR HP Fax K1220xi Last Transaction Date Time Mar 29 2:19pm Type Identification Fax Sent 81617523123.1 Log for NORTH ANDOVER 9786889542 Mar 29 2005 2:21pm Duration Pages Result 1:07 3 OK r' Location No. `�� 3 P Date -� // e' ?>- „ORT#j TOWN OR NORTH ANDOVER Oi �t,Go, � IV ' Certificate of Occupancy $ �7s''•'°''t� Building/Frame /Frame Permit Fee $ scMust 9 Foundation Permit Fee -+A- $ Other Permit Fee C Jr- $ TOTAL $ Check # i/,g o3ii� i555 Building Inspegfor" TOWN OF NORTH ANDOVER BUELDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING �i � -'Y� � f"S" "`�•: � i 4� . .. .q -. �< w This Section for Official Use Onl u -0 2-22110m= r BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Buildin& Colnmissionerff or of Buildings Date ^H� 1.1 Property Address: 1.2 Assessors Map and Parcel Number. 757 -rL.)q1J P1 51- Sri 2/ sw 05PJ-o Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 1141' Zoning District Proposed Use Lot Area4 Frontage (ft)., 1.6 BUILDING SETBACKS (8) Front Yard Side Yard Rear Yard Required ProvideRequired Provided R red Provided 1.7 Water Supply M.G.L.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} j� x ¢ jL �� U 7S ELM J t VH 03/01 Name P nt` � ) � Address for Service (:;,U5 �,3 -7 3 2 Sign Telephone 2.2 Authorized Agent d jJ IC7- 9 C?Q�19*t bT-qM.Y NY, l DI 761 Name P!, Address for Service: y co atu Telephone t . 3'1 Licensed Construction _Supervisor Not Applicable ❑ b170/ o 3z &0 %Address cp—( V%� License Number o,")l Li struc n Supervisor. �/��/�C.X�� Expiration Date Signa re Telephone 3.2 R is ed Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date FEB 2 2 Signature Telephone BUILDING DEPT. 0w, 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 �Sp l� C"-( d-J1 CZo Print Signatur otr ent ate Item Estimated Cost(Dollars)to be� �� �6 Completed by permit applicant 1. Building (a) Building Permit Fee / Multiplier 2 Electrical I c (b) Estimated Total Cost of cy�)() ` Construction from (6) 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical (HVAC) 5 Fire Protection e 6 Total (1+2+3+4+5) 7 Check Number tktvd l'' !'. TiiG ✓6 .!>z '1:A'..i �5 "'� ?� i.>: i J,{„ �b .U4�. �R Ar:4 17 �tni�-EE1.. u�( < S1 Oji,;..v X'f�aF ! 1 h G �' n'"n k i. 1� l f'ti 5 4�1 „ t rr ? ./ ,yet : d, r rh.7'' �{;j�3 3S``fi'`.' t�1t t{ h. '�fS�.-'.G-.`Ft.: SvS�.. jla.'. "F,i+.. ,f�S'� f t �i pf.}}($.�jy�t �.rtY.�Y � *(� Y i h �r • y��' l`.. 3 ,. ,- �;�.'.'a uft fi f4. " ir.� V� r? �f 1'' a f '"1...N . bFh rYidiY N F ) �3SP+pi')X; � .. tiL ..f, V` rF � ✓k ! � tt � N 77y�� , VLF", l .:. { s � .d`� .d. .Mall•5� �'� r ..r,r ...k. ssr. � r ';z�< n�aa4i..�s la.a n4 �udxP( 7tb�r., � � :,;�''�s. .t..yld': .�'. NO. OF STORIES SSE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 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 1 4 -�¢ ..� S� ✓' y ,� i "Y -�4.F£ mom! � h f S>` �" h?.F � YZ! .i.`.. r� vrf, ('. 2 F ' t f .1 : .,, i..�... :. .., .stn ;:. —c p. .. w •,wm. i .. n v ._>��. fbe Workers Compensation Insurance affidavit must 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 ....... ❑ SEC I I4Al S PR© SSfi#I a ifi Siq t C€ Y t�1�t S RVi S t 1E 1 D t AN -D S 'RU S 1t3 �flNS Rt7CT T Cfl1 lTRflL PRR kiANT q 7�� {C6l`TT G 11r�Q A D`35, SFr fl 1 7I�1?1< S'�i 5.1 Registered Architect: � f36g6'n �, Name: "�`,�l Jam► f t' ��1%�1 �r.!""t 6/70 Address $ 37o ora E) Signaturep Telephone S.Z Re[st��ed ,44,4S Area of Responsibility �Z I Name: / Oh cx ayj— _' j� -I/ I _ 2444 NX Registration Number ss: Expiration Date S gnatur Total 6 / v 'Z Not applicable ❑ Name: Registration Number Expiration Date Address Signature Telephone Area of Responsibility Registration Number Expiration Date . Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone ( y �w .�,,•'+ Lk'�"7 � 4�r�fif � � �Ff ^kit. Not Applicable ❑ Co 1 • VA c1l0 !.J C --Z-- Responsib a in Charge of Construction dll Z; t7m M New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s)Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other 0 Specify Brief Description of Proposed Work: �C711117- LX) I1TI �)c-- l�Srl1 A-2 A-5 ❑ A-3 ❑ ❑ Independent Structural En ' cerin Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, _ K-Ic—lU t Hereby authorize C-Afl -4 5 OK My behalf, in all matters relative two Ci Owner of the subject property G O SPie `, S C M Chu) l CZ — authorized by this building permit application 2-1?— /02� Si6iiare ofbwner Da to act on USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A4 ❑ A-2 A-5 ❑ A-3 ❑ ❑ IA 1 B ❑ 0 B Business ❑ 2A 2B 2C ❑ ❑ ❑ C Educational ❑ F Factory ❑ F-1 ❑ F-2 ❑ H High Hazard ❑ 3A 3B 0 0 IInstitutional 0 I-1 0 I-2 ❑ I-3 ❑ M Mercantile ❑ 4 ❑ R residential 0 R-1 ❑ R-2 ❑ R-3 0 5A 5B ❑ ❑ S Storage ❑ S-1 ❑ S-2 ❑ U Utility M Mixed Use S Special Use ❑ ❑ ❑ Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: Independent Structural En ' cerin Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, _ K-Ic—lU t Hereby authorize C-Afl -4 5 OK My behalf, in all matters relative two Ci Owner of the subject property G O SPie `, S C M Chu) l CZ — authorized by this building permit application 2-1?— /02� Si6iiare ofbwner Da to act on FORM - U - LOT 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 2 fi/ r'/�%� PHONE 6 0 3 —i9 3 o`Z ASSESSORS MAP NUMBER ?6"D LOT NUMBER SUBDIVISION NUMBER STREET STREET NUMBER i�.m*................. .......................................mons... ■nfsm■ OFFICIAL USE ONLY ....mo.mr......momnn..l.on■mm...,m■mmn.ssnms■■snmm�nu.n.nnsoonn.fau .,loom• RECONEM EENDATIONS OF TOWN AGENTS DATE APPROVED CONSERVATION ADMINISTRATOR DATE REJECTED CONM1ID S DATE APPROVED TOWN PLANNER DATE REJECTED CONMIENTS DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED COMMENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT Z G l DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMNIEENTS RECEIVED BY BUILDING INSPECTOR DATE F v ✓fie �arrvinaiuueafC� o� �Zr'aaaacfivaeCla BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 043260 Birthdate: 01/16/1951 Expires: 01/16/2003 Tr. no: 5555 Restricted To: 00 CRISPIN J JACHOWICZ 73 GILBERT ST Z2...e y�, FRAMINGHAM, MA 01701 Administrator North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid. waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: 0r (Location o Facility) 5—. 40 ignat re of Permit A plicant ate NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector of NORM OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL dtcNus° PROJECT NUMBER:_ 2.1651005 PROJECT TITLE:, Stop & Shop In -Store Buildout PROJECT LOCATION: 757 Turnpike Street NAME OF BUILDING: Stop & Shop NATURE OF PROJECT: Interior renovation of branch bank. IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I, Peter Roqers REGISTRATION NO._P5o]7 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ARCHITECTURAL 0 STRUCTURAL 0 MECHANICAL n FIRE PROTECTION 0 ELECTRICAL 0 OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT jERED AR0 iT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSP �S ti T. RO fi0 UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO T o No. 5077 SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR O PA Qos, oN. i n MA o4' SUBSC ED 3�PaB S1/1(ORM TO EFORE ME THIS DAY OF IGNATURE F t 20 OTARY P LIC MY COMMISSION EXPIRES MY COMMISSION EXPIRES MARCH 11, 2005 ,IOA 1„ "'•'' OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER • '•;' ��'CONSTRUCTION CONTROL JCNUSt4 PROJECT NUMBER: 21651005 PROJECT TITLE :_, Stop & Shop In -sure Buildout PROJECT LOCATION: 757 Turnpike Street NAME OF BUILDING: Stop & Shop NATURE OF PROJECT: Interior renovation of branch bank, IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I, Peter Ro ers REGISTRATION N0. BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT 0 ARCHITECTURAL N STRUCTURAL 0 MECHANICAL FIRE PROTECTION 0 ELECTRICAL OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPOC'No. R�y�TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INo �� UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THESATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OC.Et��rN7 SUBSCRI TO BEFORE ME THISA"iic DAY OF TURF PUBLIC MY COMMISSION EXPIRESt"ls CO,"AMISSION EXPIRES MARCH 11, 2005 N°Rip OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER ;i.'^•'"'' CONSTRUCTION CONTROL 'TCNU54 PROJECT NUMBER: 2.1651005 PROJECT TITLE Stop & Shop In -Store Buildout PROJECT LOCATION: 757 Turnpike Street NAME OF BUILDING: Stop & Shop NATURE OF PROJECT: Interior renovation of branch bank IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE P , I. Peter Ro ers REGISTRATION N0. SD77 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT 0 ARCHITECTURAL 0 STRUCTURAL a MECHANICAL FIRE PROTECTION 0 ELECTRICAL OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become , generally familiar with6the progress and quality of the work and to determine, in general performed in a manner consistent with the construction documents., if the work is being PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORC�-w TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INS RpmUPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCC14PANNION� F ,� �\ War. Awl - Y AND •� • •� �� COMMISSION EXPIRES =•,, EXPIRES MARCH 11, 2005 H°nr OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL S't"CMU54 PROJECT NUMBER: 2.1651005 PROJECT TITLE: Sto & Shop In -Store Buildout PROJECT LOCATION: 757 Turnpike Street NAME OF BUILDING: Stop & ShoiD NATURE OF PROJECT: Interior renovation of branch bank • IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I. Peter Ro ers REGISTRATION N0, (� 7 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT 0 ARCHITECTURAL 0 STRUCTURAL 0 MECHANICAL FIRE PROTECTION 0 ELECTRICAL OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT S j TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INS UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO Tj=lr= SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR 0 UPA (� a a 50N� k ,v v SUBSCRI ED OR TO BEFORE ME THIS �� - NATUR o '�7—'—DAY OF 20 COMMISSION EXPIRES RY PUBLI.C- MY COMMISSION EXPIRES MARCH 11, 2005 OF Mgrs f RONALD J. ADAMS ELECTRICAL No. 34325 A90 41 STS �FSS10NAl Nit MOwfti O\ '1ti 3 •;�.. ;, 1. O n • �'T�<MUS\t PROJECT NUMBER: PROJECT TITLE:_, PROJECT LOCATION: NAME OF BUILDING: NATURE OF PROJECT: OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL & Shop In"Store Buildout rnpike Street Stop & Sho vations of branch bank IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS S ITATE BUILDING CODE, BEING A REGISTERED PROFESSIONAL ENGINEER/ REGISTRATION NO. �`E�32S HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF A TECH HEREBY CERTIFY THAT I COMPUTATIONS AND SPECIFICATIONS CONCERNING: _ ALL DESIGN PLANS, ENTIRE PROJECT 0 ARCHITECTURAL 0 STRUCTURAL 0 FIRE PROTECTION 0 ELECTRICAL OTHER (SPECIFY) MECHANICAL 0 FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF TH STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. SUCH PLANS AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY, MASSACHUSETTS I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL ANCY. EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS T THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED AND B PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SE 0 DETERMINE THAT TS APPROVED FOR THE BUILDING 116.0 1 • Review, for conformance to the design concept, shop dravAngs, samples a SECTION submittals which are submitted by the contractor in accordance vAth the requirements of the documents. P and other submittals construction 2• Review and approval of the quality control 3. Procedures for all code -required controlled materials. Be present at intervals appropriate to the stage of construction to become, ener with6the progress and quality of the work and to determine, in general, if the wor bein performed in a manner consistent with the construction documents. g ally familiar kis g UANT TO SECTION 116.2 .2 I SHALL SUBMIT WEEKLY, A PROGRESS REPORT THEIRWITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING COMPLETION OF THE WORK, JEC I SHALL SUBMIT A FINAL REPORT AS T INSPECTOR. ISFACTORY COMPLETION AND READINESS OF THE PROO THE SUBSCR ED W BEFORE ME THIS 1114— 7 D O 7 ARY P MY COMMISSION EXPIRES MY COMMISSION EXPIRES MARCH 11, 2005 O� YOPtF � i � •40 • �J�CwUs�� PROJECT NUM PROJECT TITLE:_, PROJECT LOCATION: NAME OF BUILD NATURE OF PROJECT: OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL _Shop In -Store Buildout 757 Turn ike Street Stop & Shop novations of branch bank IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE ATE BUILDING CODE, BEING A REGISTERED PROFESSIONAL E REGISTRATION N0.:i E. - HAVE PREPARED OR DIRECTLY SUPERVISED IED THEE PREPA ATHEREBY CERTIFY THAT I COMPUTATIONS AND SPECIFICATIONS CONCERNING: TON OF ALL DESIGN PLANS, ENTIRE PROJECT ARCHITECTURAL 0 STRUCTURAL MECHANICAL D FIRE PROTECTION � ELECTRICAL OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. SUCH PLANS AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY.MASSACHUSETTS I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY p EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS PROFESSIONAL SERVICES AND B PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION DETERMINE THAT APPROVED FOR THE BUILDING 116.0 1 • Review, for conformance to the design concept, shop drawings, samples d other ubm which are submitted by the contractor in accordance with the requirements of the documents. P and other submittals construction 2. Review and approval of the quality control procedures for all Code -required q controlled materials. FS��H �F MAss9oti we present at intervals e progress and quality o of to o the stage of construction to become, generally o Z� erformed in a manner consistent with the construction documents. g ally familiar work and to determine, in general, if the work is being � RONALD J. AMS ELECDTRICAL U UANT TO SECTION 116.2 .2 I SHALL SUBMIT No. 34325 O THER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER WEEKLY, A REPORT 90 ois rEP `� DING INSPECTOR. F�SS�ONAL �`����� N COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT A ATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR 0 TO THE CY. SUBS IBED WOR TO BEFORE ME THIS DAY OF SIGNATU 20`��_. ARY PUBLIC MY COMMISSION EXPIRES M°` COMMISSION EXPIRES MARCH 11, 2005 PROJECT NUMBER - PROJECT TITLE:_, PROJECT LOCATION: NAME OF BUILDING: NATURE OF PROJECT: OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL 02 & Shop In -Store Buildout 5---Turnpi.keStreet Stop & Sho ovations of branch bank, IN ACCORDANCE WITH ARTICLE MASSACHUSETTS S 1� 116 OF THE MASSACTATE BUILDING COD BEING A REGISTERED PROFESSIONAL EN REGISTRATION NO. E, HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF GINEER/ARCHITECH HEREBY CERTIFY THAT I COMPUTATIONS AND SPECIFICATIONS CONCERNING: . ALL DESIGN PLANS, ENTIRE PROJECT ARCHITECTURAL 0 STRUCTURAL 0 MECHANICAL FIRE PROTECTION � ELECTRICAL OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE S COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. SUCH PLANS AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCU I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PANCY. PROFESSIONAL EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING NALSERVlCES AND B PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN 1. Review, for conformance to the design concept, shop drawings, samples SECTION 116.0 which are submitted by the contractrequirements of th documents. or in accordance with the P sand other submittals e construction 2. Review and approval of the quality control procedures for all code -required 3. Be present at intervals appropriate to the stage of construction to become,controlled materials. with6the progress and quality of the work and to determine, in general, P��H OF MgSS,ycy performed in a manner consistent with the construction generally familiar 9 al, if the work is being RONALD J. G documents. U ADAMS UANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY, A PROGRESS ELECTRICAL THEIR WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING No. 34325 REPORT A� 9�c ° COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPO INSPECTOR. /0 AL ENG\ ISFACTORY COMPLETION AND READINESS OF THE P RTAS TO THE PROJECT FOR 0 C SUBSC IBED ORM TO B FORE ME THIS DAY OF IGNATU 20Q ARY PUB C MY COMMISSION EXPIRES MY COMMISSION EXPIRES MARCH 11, 2005 "Opp �: :-• OFFICE OF BUILDING INSPECTOR a TOWN OF NORTH ANDOVER '•'''•"+t' CONSTRUCTION CONTROL ,=CNUSlt PROJECT NUMBER: PROJECT TITLE - PROJECT LOCATION - NAME OF BUILDING: NATURE OF PROJECT: & Shop In�Store Buildout rn !.L Street Stop & Sho vations of branch bank. IN ACCORDANCE WITH ARTICLE MASSACHUSETTS STATE 116 OF THE I,BUILDING CODE, BEING A REGISTERED PROFESSIONAL E REGISTRATION N0. 3c}. zl HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL D NGINEER/ARCHITECH HEREBY CERTIFY THAT I COMPUTATIONS AND SPECIFICATIONS CONCERNING: . DESIGN PLANS, ENTIRE PROJECT 0 ARCHITECTURAL 0 STRUCTURAL MECHANICAL FIRE PROTECTION ELECTRICAL OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE SUCH COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACH STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. CH PLANS, AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY.USETTS I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES ES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FON OR THE BUILDING C PERMIT AND SHALL BE RESPONSIBLE FOR_THE FOLLOWING AS SPECIFIED IN SECTI N 116. THAT 1. Review, for conformance to the design concept, shop drawings, Samples an submittals which are submitted by the contractor in of the construction submittals n accordance with the requirements construction 2 -7RONALD J ADAMS P No. 34325 sT6Q` A9p�9�G� \SZONAL E� Review and approval of the quality control procedures for all code -required controlled Be present at intervals appropriate to the stage of construction to become materials. with6the progress and quality of the work and to determine, in general, if the work is being rformed in a manner consistent with the construction documents. generally familiar NT TO SECTION 116-2.2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT ER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING IN COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL INSPECTOR. FACTORY COMPLETION AND READINESS OF THE PROJECTFO AS TO THE C A C . THISL�IGNADARE Y OF 0 a �- MY COMMISSION EXPIRES MY ' MARCH 10 OAAREXPIRES applications. network. environment. 100% Carlson Carlson 959 Concord Street Framingham, Massachusetts 01701 508.370.0100 phone www.carlsonsolutions.com 508.626.2390 fax In accordance with Chapter 1, Section 116 of the Massachusetts State Building Code, I, Ronald J. Adams being a Professional Engineer/Architect, certify that the plans for Citizens Bank, 757 Turnpike Street, N. Andover, MA have been prepared under my supervision and to the best of my knowledge, such plans conform to the provisions of said Code, all acceptable engineering practices and all applicable laws and ordinances. And, further, that I or my representative will supervise the inspection of the construction as specified in Section 116.2.2 and submit reports as required by Section 116.4 of the Code. %,ZH OF 4148,9y c o� RONALD J. G� ADAMS ELECTRICAL cn No. 34325 ASO 9�G�STER�O k�� Subscribe �F �At�rr� ore me this 6 Day of 200 ,2- My commission expires: SCA A. ERRY Common eaublic lth of Massachusetts My Commission Expires }n. CIJVO 9 r 2- /c=. lE= 2 Date GLiU�I� Notary Public Date Atlanta Boston Charlotte Chicago Dallas Denver Kansas City Los Angeles Milwaukee New York Phoenix San Francisco applications. network. environment. 100% Carlson Carlson 959 Concord Street Framingham, Massachusetts 01701 508.370.0100 phone www.carlsonsolutions.com 508.626.2390 fax n In accordance with Chapter 1, Section 116 of the Massachusetts State Building Code, I, Ronald J. Adams being a Professional Engineer/Architect, certify that the plans for Citizens Bank, 757 Turnpike Street, N. Andover, MA have been prepared under my supervision and to the best of my knowledge, such plans conform to the provisions of said Code, all acceptable engineering practices and all applicable laws and ordinances. And, further, that I or my representative will supervise the inspection of the construction as specified in Section 116.2.2 and submit reports as required by Section 116.4 of the Code. H OF MASs� �0 9°ti RONALD ADAMS ELECTRICAL No. 34325 Subscribe 6 Day of My commission expires: re me this _, 20 Ov2 CAROL A. SKERRY Notary Public Commonwealth of Massachusetts;' My Commission Expires I, November 14, 2008 V, QQ,-It-� Signature `/ Date eq 4A4t,& Alw- Notary Public Date Atlanta Boston Charlotte Chicago Dallas Denver Kansas City Los Angeles Milwaukee New York Phoenix San Francisco applications. network. environment. 100% Carlson Carlson 959 Concord Street Framingham, Massachusetts 01701 508.370.0100 phone www.carlsonsolutions.com 508.626.2390 fax I In accordance with Chapter 1, Section 116 of the Massachusetts State Building Code, I, Ronald J. Adams being a Professional Engineer/Architect, certify that the plans for Citizens Bank, 757 Turnpike Street, N. Andover, MA have been prepared under my supervision and to the best of my knowledge, such plans conform to the provisions of said Code, all acceptable engineering practices and all applicable laws and ordinances. And, further, that I or my representative will supervise the inspection of the construction as specifie required by Section 116.4 of the Code. r OF M�s01, �g C! RONALD J. Gp ADAMS 4 ELECTRICAL cn No. 34325 \�0- QISTEP�O���� Subscribe' 6 Day of before me this 20 W GRRY My commission expires: Notary Public i Commonwealth of Massachusetts My CommisSlon Expires November 14, 2008 Section 116.2.2 and submit reports as Signature U 2�C-1,- -Z_ Date Notary Public Date Atlanta Boston Charlotte Chicago Dallas Denver Kansas City Los Angeles Milwaukee New York Phoenix San Francisco applications. network. environment. 100% Carls'on Carlson 959 Concord Street Framingham, Massachusetts 01701 508.370.0100 phone www.carlsonsolutions.com 508.626.2390 fax In accordance with Chapter 1, Section 116 of the Massachusetts State Building Code, I, Peter T. Rogers being a Professional /Architect, certify that the plans for Citizens Bank, 757 Turnpike Street, N. Andover, MA have been prepared under my supervision and to the best of my knowledge, such plans conform to the provisions of said Code, all acceptable engineering practices and all applicable laws and ordinances. And, further, that I or my representative will supervise the inspection of the construction as specified in Section 116.2.2 and submit reports as required by Section 116.4 of the Code. .,,. .,��� %, j'RED ARV- lloel'� S 7To, /I 4L Sign ture a No. 5077 3 � BOSTON. � ?i MA Date LFA ESQ' Subscribed and sworn to before me this 13 Day of 20 0 ;- Notary ublic C2-1 /3oz Date My commission expires: Atlanta Boston Charlotte Chicago Dallas Denver Kansas City Los Angeles Milwaukee New York Phoenix San Francisco applications. network. environment. 100% CarlsonCarlson 959 Concord Street Framingham, Massachusetts 01701 508.370.0100 phone www.carlsonsolutions.com 508.626.2390 fax n In accordance with Chapter 1, Section 116 of the Massachusetts State Building Code, I, Peter T. Rogers being a Professional r/Architect, certify that the plans for Citizens Bank, 757 Turnpike Street, N. Andover, MA have been prepared under my supervision and to the best of my knowledge, such plans conform to the provisions of said Code, all acceptable engineering practices and all applicable laws and ordinances. And, further, that I or my representative will supervise the inspection of the construction as specified in Section 116.2.2 and submit reports as required by Section 116.4 of the Code. ERED A�,�N rj4�c' R T. R J/ I -A 0 �1! S O �� GF Signa ure C-) ¢ No. 5077 � BOSTON. 3 Z ^- MA 41 ///lll/// VVV �� Dat �9�TH OF 191 Subscribed and sworn to before me this 13 Day of , 20 0; - My commission expires CAR®L A, SKERRY Notary Public Commonwealth of Massachusetts My Commission Expires November 14, 2008 I A i" - Notary Public Date Atlanta Boston Charlotte Chicago Dallas Denver Kansas City Los Angeles Milwaukee New York Phoenix San Francisco applications. network. environment. 100% Carlsbn Carlson 959 Concord Street Framingham, Massachusetts 01701 508.370.0100 phone www.carlsonsolutions.com 508.626.2390 fax In accordance with Chapter 1, Section 116 of the Massachusetts State Building Code, I, Peter T. Rogers being a Professional r/Architect, certify that the plans for Citizens Bank, 757 Turnpike Street, N. Andover, MA have been prepared under my supervision and to the best of my knowledge, such plans conform to the provisions of said Code, all acceptable engineering practices and all applicable laws and ordinances. And, further, that I or my representative will supervise the inspection of the construction as specified in Section 116.2.2 and submit reports as required by Section 116.4 of the Co( Subscribed and sworn to before me this 13 Day of , 20(3;1- Z 00 Z I J& A V— N Publi Date A. SKERRY My commission expires:Notary Public Commonwealth of Massachusetts My Commission Expires November 14, 2008 Atlanta Boston Charlotte Chicago Dallas Denver Kansas City Los Angeles Milwaukee New York Phoenix San Francisco 4 CD M m Cf) O CO) CD'O az CD O CL r- d d O ? CL o p a� Q co CCD 0 .. .. V -11M C2 y d O CO) O CO) CA 10 CCD 0 O C Vi O Q' CA i norm a y = O !09 O Ci mc)a� m z yCD ?� y =r m .-► =r d CO) CD �Omy p N ?m ; _ Q CD CA cop O 1 `+ q c IN O ti CO'! :� \ :` W • O �r CL r C - m�?o :� m y ' w • 1 'Tj VJon o : `0• n �, SO a � � A �. 0 zy d � : Q :IV ^�\M�' ►moi C/) -C.- "C ti � C '� y O m `dy N :C 4,-m -- C zy CD o. Cn co Oil CD r` W o.� FF C', y0 oil .� :Z o=: cn(nw o CD rO ~�rD y -xo w //�� ,,3 -Xco �' / 1• , J �,o w aGa "� r b n z�aa x CD a8n 0 a 00 0 Gy r IV co �^ Cl)x n p. n O m 0 c ica-2 57�la � si�10 sem- P 3 - �, ops fid© October 27, 1997 Northpoint Realty Development Corp. 231 Sutton Street Suite 1A North Andover, MA 01845 RE: Stop & Shop, North Andover, MA Attn: Louis P. Minicucci, Jr. Thomas Laudani Gentlemen: We are submitting our cost estimate update for the proposed Stop and Shop Facility in North Andover, for your review. Our estimate is based on performing construction on a C.M. basis as outlined in our C.M. Proposal dated 9/16/97. The following documents constitute the basis of our cost update: Site: Site Drawings 1-13 - Merrimack Engineering Services - 8/6/97 Flood Storage Facility - Merrimack Eng. Services - 8/6/97 Offsite Drawings 1-5 - Merrimack Engineering Services 8/6/97 Earthwork Spec. - Goldberg Zoino - 8/26/97 Sub Surface Report & Borings - Goldberg Zoino - 8/26/97 Buildings: Specification - Landry Architects - 9/5/97 Drawings - Landry Architects - 9/5/97 Cost Breakdown: A. Sitework Onsite Sitework $ 2,290,000. Offsite (Route 114) Sitework including signals $ 289 000. Site Lighting $ 50,000. C.M. Fee $ 100.000. Total Sitework $2,729,000 B. Building Construction Building Excavation & Backfill $ 75,000. Concrete $ 375,000. Masonry $ 253,000. Structural, Deck, Joist $ 458,000. Misc. Metals $ 75,000. Inst. Alum. Base by Stop & Shop $ 2,500. Unistrut at Meat Room $ 5,000. Louvers & FI. Hatches $ 5,000. Corner Guards $ 2,000. Lt. Gauge & Metal Studs $ Inc. In Drywall Carpentry & Millwork $ 93,500. FRP Panels (No Sub.) $ 33,000. FRP Column Covers $ 7,600. Vinyl Soffit & Trim $Inc. In Carp. Insulation $Inc. In Drywall Memb. Roof & Flash, Asphalt Rfg. $ 189,500. Caulking & Masonry Sealer $ 25, 800. Masonry Sealer $Inc. InCaulk. H.M. Dr. & Frames, Hdrw., Wd. Doors & Frames $ 33,400. Special Doors $ 30,300. Alum. Entran., Storefronts & Glass $ 47,500. Auto. Entr. - Door Control $ 56,500. Finish Hardware $Inc. In H.M. Drywall $ 2071000. Ceramic, Quarry, FI. Brick, Thresh. $ 70,000. Suspended Ceiling $ 63,000. Resilient Flooring $ 52,000. Spec. Flrg. Epoxy Duraflex No Sub. $ 7,000. Painting $ 42,500. Toilet Parts. Polymar HDI $ 5,000. Toilet Accessories $ 2,000. Loading Dock Equipment $ 251000. Entrance Mats $ 8,000. Elevators $ 136,300. Plumbing $ 4101000. Fire Protection $ 76000. Mechanical - HVAC $ 272,000. Hood Fire Supress. System $ - Electrical $ 500,000. Building Subtotal $ 31643,400. General Conditions $ 212,200. Fee $ 1901000. Sub Bonds $ 30,000. Building Total Building & Site Total CLARIFICATIONS, EXCLUSIONS, ALLOWANCES: EXCLUSIONS: Unsuitable soil removal (6,000 c.y. c@ 12 = 72,000 +/-) Signage Order of Conditions (Final) Roof Top Units RTU 1 & 2 (By Owner) Temp. Control & EMS (By Owner) Utility Company Charges Security System Equipment FF&E Refrigeration Refrigerators and Freezers Items not Required by Documents Building Permit (52,000 +/-) G.C. Bond Cost (45,000 +/-) Contingency $ 4,075,600 $ 6,804,600 ALLOWANCES INCLUDED: I. Winter Conditions for Building 50,000. 2. Site Lighting Conduit, Poles, Fixtures 501000. 3. Meat Room Unistrut System 5,000. 4. Electrical Service Conduit/Conc. 141000. 5. Sub Bonds 301000. 6. Signalization and Associated Work @ 114 95,000. CLARIFICATIONS: 1. Schedule is based on commencing by December 15, 1997, and achieving substantial completion by 9/15/98. 2. Sitework value engineering is ongoing and will be furnished as soon as available. Please call if you should have any questions. Very tr Patri J. Saitta Vice President a, a4 L ?do &51 �e t!O b G,lO hC l 600 40%3 X. 10.5 -- C3�,s - Y �r� 19' a v� a 4\1 rt -e - i �' s�� Q -c . 4!D G 2;z sem. da to , r of,5, vv �, ra5•� 37-� .dt> 12/10/1937 7.1:46 978-682-6472, MINCO CORP PAGE 02 MARATHM ---"CONSTRUCTION, INC. CAPE STYLE PROTOTYPE STORE Budget Estimate for Northpoint/N. Andover August 18, 1997 Revised 9/15197 Item Description Budget Cost Section 01 Testing and inspections 25,000.00 Section 02: Sitework and Utilities 2,246,700.00 Demolition 65,400.00 -- Lancscape/Irrigation 100,000.00 --r Sidewalks 15,000.00 Building Earthwork 110,000.00 Offsite improvements 277,400.00 Section 03: -, Miscellaneous 25,000.00 Foundation 190,000.00 Slabs 170,000.00 Docks 25,000.00 Section 04: Masonry 230,000,00 Section 05: Structural Steel 535,000.00 Miscellaneous Metals 140,000.00 Section 06: Rough Carpentry 90,000.00 Finish Carpentry 60,000.00 Section 07: Roofing 200,000.00 Caulking and Waterproofing 25,000.00 ESTIMATE.WK4 87 Elm Street, Hopkinton, Massachusetts 01748 (508) 43545363 FAX 435-0557 12/10/97 12:47 TX/RX N0.6847 P.002 0 I 12,'10/1997 11:46 979-682-6473 MINCO COP PAGE 03 II Section 08: Hollow Metal Doors, Frames and Hardware 37,000.00 Overhead Coors 30,000.00 Aluminum Storefront 48,000.00 Entry Doors 58,000.00 Section 09: Drywall 150,000.00 Painting 42,000.00 Ceramic Tile 55,000.00 acoustic Tile 73,000.00 VCT 60,000.00 Epoxy Flooring 8,000.00 Section 10: Dock Equipment 28,000.00 Toilet Partitions and Accessories 8,000.00 Mats 6,000.00 Section 14: Elevators - 2 EA. �. 115,000.00 Section 15: Plumbing 330, 000.00 Sprinkler 95,000.00 HVAC 355,000.00 Section 16: Electrical 490, 000.00 Permits 0.00 General Conditions: 120,000.00 Overhead and Profit: 125,000.00 Project Total: 6,772,500.00 Note: No Performance or Payment Bond costs carried. 2 ESTIMATE. WK4 87 Elm Street, Hopkinton, Massachusetts 01748 (508) 435-5363 PAX 435.0557 12/10/97 12:47 TX/RX N0.6847 P.003 0 03/06/02 WED 11:30 FAX 508 626 2390 CARLSON Q003 ACORD, CERTiFICATEOFLIAgILITY]NSU RANCE pagelof3 DATE tODUCER 02/103ATE2 977-559-6769 TNISCERTIFICATE ISISSUEDASAMATTEROFINFORMATION Will1120icNorthAmeriea,xnc.-RegionalcartCeater HOLDER. TONLY ANOHIS CERT FICA E DOES NOT AMEND, S NO RIGHTS UPON THE CERTIFICATE OR 112013. Tat�m18onlevard ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOWPhoeni , Az8502 B phoeau , INSURED CarlsoaIrnplementationAsrociates,xac. Mconcordstreet 2ndFloor Framiagh=,MA01701 A INSURERSAFFORDINGCOVERAGE -001 ANYREQUIREMENT,TERMORCONDITIONO ��CO TRACTOROTHERDOC MENtW1�THR�PECT OOWii1Ct1THISCERTICFICATEMAYSE SSUEDOR POLICI RTAGG;k GATELim(TSS OWWAyHAVEB POLlC DUCESCRI9EDMEREINISSUB IECTTOALLTFIETERNS,F,(CL►jCERTIF CATEMAITIONSOFSUCH POLICIESAGG,3EGATELIMITSS►{pyyMAAYI {gyFgE�QEDUCED6YpgiDCLAIMS, ___j CWMSMAOE U OCCUR 4LS00041202 7/1/2001 7/1/2002 8 aUTOMOaiLELMaQW TXCONS0830489 /1!2001 B ANYAUTo )�►coN5a83o539 /1/2001 B ALLOWNEDAUTOS AOSCONS0830588 /1/2001 /1/2002 SCHMUMAV703 R HIREOAUTOS NON,OWNEDuMS ANYAUTO C SSLIAa1LTh� CQ0719659 �CE 1IF-�"Yi OAR CLAIMSMAD5 DEoucmt RETENTION $10,0 WORKERECOMPENSATIONANO EMPLOYERSUABRJTY Cit4zensBink Attn:Mr.K.Watson 875EInStreetne-2 Manthester,NH03101 /1/2002 COMSINEMINGLel nT /1/2002 IEaudNenO S1,000,000 /1/2002 aoaLYIN,IURY 4pGPNroON3 L RY �ILMNJ 0 9 PROPERTYDMtgGE CPemootaee"M s OTHER'MAN AUTOONLY: 7/1/2001 7/1/2002 SfroULDANYOFTNEA60VEDESCRIBEOPOUC1ESeECANCELLED8FF0RE1H DATOTM£REOF,Tx £EXPIRATION EISSU1Na1NStt1t£RWIu£NDEAVORTOMAIL �Y9 W bMN N"CETOYMECERTWfCATENOLOERNAMEOTOnigLEFT,8UTFAILURET000 SOSNAt.L IMPOS"O OBUGArOM OR UABIUYYOF ANYKIND UPONTH£INSUREII. RS AGErtS OR Co11:373106?plt71718Cert:1494303 C ACOROCORPORATIOM988 03/06/02 WED 11:30 FAX 508 626 2390 CARLSON 11002 Certificate of Insurance This certificate is issued ss a Mader of infomadon only and conferrer no rights upon you the certificate holder. This ocnifrcare is not an insurance policy and does not amend, extend, of alter the covage afforded by the policies listed below. This is to certify ebat (Name and address of lrsured) CARLSON ASSOCIATES INCORPORATED 3200 BRISTOL STREET SUITE 300 Iaberty is, at the issue date or this eettificab; insured by the Company under the pabey(ies) !rated below. The insurance affordod by the listed poticy(ies) is subject to all their lama, exclusions and conditions and is not altersd by any roquirenwt, tam or condition of any convect or other document with rcepect to which this certificate may be issued. Bspiration Elgirstion Ms) -. Policy Number(s) Units Vabilltv 711/02 WC7-111-251617.011 Coverage afforded under WC law of Employers Liabuity Continuous" Extended dye following spates; Bodily injury By Accident .4 ^ CA, CO, Cr, FL. OA. IL KY. MA, X Policy Term 5500,000 Each Accident NC, Nti, au. NV. NY, sc. TX, wl Bodily injury By Disease 550Q000 Policy Linolt Workers Compensation 8edtly injury By Disaase $500,000 Each Person General Aggregate -Other than Prod/Completed Operations General Liability ProducWcompleted Operatiaus Aggregate Claims Mede Oxaaretue Bodily Injury and Property Damage Liability Per Occurrence Retro Date Personal and Advertising injury Per Person I Organintion Other Liability or Liability Each Accident - Single Limit - B. I. and P, D. Combined Automobile Liability Owned Nan -Owned Hired Each Person Each Accident or Occurrence Each Accident or Occurrence SS SS SS C Re: Job #11651005-Ci6rena�Stop & Shop O Additional Insured with respoct to General Liability: C itims Bank and Stop and Shop Stores M M E N ' T S y..., .....,a. .P ...............ra yr wwrmvu lour, yw Will or, nunrrea n coverage ns axmnnatees or F(MC C before the ocroueate expiration date. HowiYer, you anll not be notified annually of the continuation of coverage. Special Notice - Ohio: Any person who, with intent to 4dksud or knowing that he I she is facilitating a fraud against an insurer, submits on opplicatien or files a claim containing a false or doocptive statement b guilty of insurance Saud. Brspestant infw-46- to Florida policyholders and oertifioate holders: in the event you have any questiom or need infonryion about this certificate for any logon, please contact your local soles produce, whose name and telephone number appears in the lower right hand earner of this certificate. 'the appmpriatc local sales office o,arling address may also be obtained by calling this number. Notice of cancellation: (not applicable unless a number of days is entered below) . Before the aged expiration date the company will not cancel or reduce the insurance afrorded undue fl+ vej policies until at least 30 days notice of aueh cancellation has been mmled to: Certificate Holder Attn: Mr. K Watson CnVENS HANK 875 Elm Street, NE&2 L Manchester NH 03101 Curlier D. Mcl.elaa I Authorized remetative —1 OtGce l Phone WESTON, MA/781.491-8900 Date Isemedt 2113/02 Prepared By: JP This ctrdricane is eaec%AW by Liberty Mmual lnsvanee Group ea respects euelr hheunrnee as is afterded by swso companies. BMWs 03/06/02 91D 11:31 FAX 508 626 2390 CARLSON Q005 Page3of3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement onthism"f'catedo esnotconferrightstothecertitiicateholdednlieuofsuehendorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holdednlieuofsuchendorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between affirmatively or negatively amend, extend or alter the coverage afforded by the the Issuing insurer(s), authorized representative or producer, and the certiricate holder, nor does it policies listed thereon_ ACOM25-S{7197) Colt:373106rp1:71718Cert:1494303 PHONE CALL /0'r-2 FOR - _ DATE ` TIME P.M. (L�;4` M PHONED OF y /�� /� RETURNED PHONE YOUR CALL AREA CODE NUMBER EXTENSION PLEASE CALL MESSAGE WILL CALL (a . L-'7L/eCW8 YN AGAIN tyC w; LL poor M1w j?e6 L) 000) SEE YOUO /Z WANTS TO SEE YOU SIGr4E1Jr��.s9r1�, TOPS FORM 4003 I I r,IDTES NORTHPOINT REALTY DEVELOPMENT CORP. December 1, 1997 Mr. Robert Nicetta North Andover Building inspector North Andover Town Hall 120 Main Street North Andover, MA 01845 RE: Proposed Super Stop & Shop, North Andover, MA Dear Mr. Nicetta: Please find enclosed the certification from the project architect that the proposed Super Stop & Shop will be built in compliance with the final drawings as approved by the planning board. Thank you in advance for your cooperation in this matter. Enclosure (1) cc: Tom Laudani.. . DOC: Northpoi\nicetta Sincerely, /Orp- Louis P. Minicucci, Jr. President Real Estate Consultants • Land Planning and Development • Commercial Development 231 Sutton Street - Suite 1 A, North Andover, MA 01845 0 508-687-6200 • FAX 508-682-6473 s RICHARD E. LANDRY, AIA 395 MAIN ST. UNITS 7 & 8 SALEM, NH 03079 TEL: (603) 890-6414 FAX: (603) 894-4358 November 19, 1997 Mr., Louis Minicucci, Jr., President Northpoint Realty & Development Corp. 231 Sutton Street North Andover, MA 01845 RE: Proposed Super Stop & Shop, North Andover, MA Dear Mr.Minicucci: Per the final decision of the North Andover Planning Board relative to the new Super Stop & Shop on Route 114, this certification is with respect to the plans for the building and signage. I hereby certify that the final plans as drawn by my office, are in substantial conformance with the drawings listed at the end of the decision. If you should have any questions regarding this matter, please contact me. / G\S-,EKED AR�y�T ��'���p ERNFST�g2Fc� 114 No. 3: *6iNDHAM, �J q�TN 0 MPSSP r' 1- QFC 8 197 I LCC Ni c 12-05 - 7 997 4 : 22Pt l FPa,-1 C.>A I GLE ENGINEERS INC 508 S82 94-2? daigle engineers inc 1 east river place meMuen, ma 01844 (978) 682-1748 voice (978) 682-6421 fax Date: Dmember 5, 1997 RE: STRUCTURAL PEER REVIEW SUPF,R STOP & SLOP FAX COVER SHEET- OFFICE HEET FAX OOP`s' BENT TO TBF, FOLLOWING: ATTENTION COMPANY FAX NO, Robert Nicetta Town Building Inspector 688-9556 TOTAL NUMBER OF 1PAGF,S INCLUDING THIS PAGE 2�1 OFFICE U$E O FAXED CHECK.pFF ONCE FAX HAS BEEN SENT COMMENTS: Dear Bob: Please note: that our $2,900.00 (twenty nine hundred) is a firm price unless we find significant problems that would require additional revim time. Also, as I ni ntioned over the phone, Article "I" says that the owner should be the one hiring the peer r eviit-w engineer. MB NAME! sent by Bob Daigle (ex. 15) RECEIVER 'please contact serldcT- immediately if less than the specitled number of pages is received, or if any poqpp is not legible. P_ 1 12/05/97 17:26 TX/RX N0.6767 P.001 N VA ?2-0-S-1997 .4.22PM FPOt4 L.>A I GLE 04G I NEEPS INC SLS S82 G,121 daig[e engineers inc east river place - December 5, 1997 Robert Nicetta BuHding Inspector Town Building 120 Main Street North Andover, MA 03.845 Me -01844-3818 - tel RE: STRUCTURAL, PEER REVIEW SUPER STOP'& SHOP STORE/ NO. ANDOVER, MA (DEI PROJECT NO. 97662) Gentlemen, -6421 Per your request, we are subrrAtting this proposal to you for conducting a "peer review" of the structural design for a ncwv super Stop & Shop store. The building is to be constructed by Northpoint Realty on the Mcl,ay property on croute 114 in North Andover, MA. - GENERA , DESCRIPTION - -d�mr,�aa Based on the stamped plans submitted to our office, this building has appr=mately 67,000 square feet of space which consists primarily of one story construction with the exception of a mezzanine in the rear, and an office mezzanine in the front. This is similar in nature to the Stop & Shop stores that our office has designed in the past. SCOPE OF SERVICES - Our services under this contract woWd entail conducting a peer review of the structural de- sign in accordance with the Massachusetts State Building Code, Appendix "I7' (copy attached). Upon completion of our review we will issue a report stating if the structural design, is in compliance with building code requirements'. and, if not, which aspects require additional revtow or modification by the E.O.R, (Englne(�r-of-Record). If these potential, issues are minor in nature and can be handled over the phone., we will do so as part of our base fee. If adjust- rrwxits are required, a revised set of structural drawings (in duplicate) would have to be, re- submitted to us for verification that all issues noted have been properly addressed. (One set of the drawings would be for our record and one would be subrnitted to your office along with our letter of acceptance.) Said drawings shall bear a revision date along with the "wet seal" and original signatq a of tbi; E.O.R. so that our final letter of acceptance can be issued with explicit reference berg made to the approved drawings. Information Req*rpment$- The following infonnat4on would be needed for us to com- mence with this project: 1) Author tion from your office to proceed. (this was given to us by you verbally on 12/5/97). 2) Construction Docummts- Geotechnical report (verbal request was made to E.Q.R. 12/05/97). Struct= ,,i calculations (upon request) Construction drawings and specifications have alre4dy been famished to us by your oTce. P 2 r" 3 Rl r, [Er. DEI. 12105197.4,00 PM - SSNA9712,SAM • PAGE 1 1 .� f. L.UILZ-iNC r 12/05/97 17:26 TX/RX N0.6767 P.002 '12 -D. -S-1997 4:24 -PM FPD 4 LDA I GLE EI\IG I VEERS INC 502 8 882 642? page 2 of 2 December 5, 1997 Robert Nicetta Stop & Shop- Peer Review Once we receive this information, It will take no longer than five working days for us to issue our report. This may be less if we receive prompt Cooperation from the E.O.R. As soon as we rec-LAve and verify that the revised drawings (if required) are complete. we would then is- sue our letter of acceptance with respect to our peer review. - FEE FOR SUMMA - Our fee for conducting this review will be $2,900,00 (twenty nine hundred dollars). This fee would be billed to ,you upon completton of our services. - EXTRA SERVICES - Ai�fAli11e011lI1PA1111 This proposal is based on the assumption that the design will be in substantial agreement with the code and standard practice. If there are any rnaf or issues that must be resolved due to lack of compliance with the code, extra charges may be required to offset our costs. This cost would be b0led to you on an hourly basis to coznpensate us for added revtezv time. This would be based on the following rates. Principal $125.00 Lead Engineer $95.00 Engineer $65.00 We will advise you of any extra sezvices before we proceed with such services. Should you have any questions with respect to the contents of this proposal, please do not hcsitate to contact our office. We thank you for this opportunity to be of service to you and look forward to working with you on this project. Very truly, D LE INEE INC R . ai . P.E. President/ S ctur-al Engineer encl.: Appendix "I", MA State Building Code RKD/keo DEI. ♦ 121051A7. 4,00 PM. s$NA9712,.aAM • PAGE 2 Authorization to Proceed: omp�py Name. pnn e Authonzed Agenft ame: pnn e ant's 4na are: Date; P..3 12/05/97 17:26 TX/RX N0.6767 P.003 0 12-0-S-7997 4:24P1 l FPO? l DA I GLE ENGINEERS INC SOB GS2 6-427 P. 4 APPENDIX I INDEPENDENT STRUCTURAL ENGINEER REVIEW I-1 Primary structure; For the purposes of the independent structural engineering review, the primary structure shall be defined as the structural frame, the load supporting parts of floors, roofs, and walls, and the foundations. Cladding, claddirrg framing, stairs, equipment supports, ceiling supports, non -load bearing partitions, and railings are exclu structure. I-2 Reviewing engineer: The reviewing engineer shall be engaged by the owner. I-2.1 Qualifications: The reviewing engineer shall be a registered professional engineer, registered in Massachusetts, qualified by experience and training and who shall have had structural design experience with buildings or structures similar to that covered by the application for the building permit. The reviewing engineer shall be impartial, and shall be independent of the architect of record, structural engineer of record, and contractors and suppliers who will bit involved in the construction of the structure. 1-3 Criteria for ,review: The reviewing engineer shall review the plans and specifications submitted with the application for the building permit for compliance with the structural and foundation design provisions of the Code. The reviewing engineer shall perform the following tasks: i. ' Check to assure that the design loads conform with Iso Ch1R, 2. Check that other design criteria, and design assumptions, conform. to 780 CMR and are in accordance with accepted engineering practice; 3. Review geotechnical and other engineering investigations that are related to the structural design to determine if the design properly incorporates the results and recommendations of the investigations, 4. Check that the organization of the structure is conceptually correct ; and 5. Make independent calculations for a representative fraction of systems, members, and details to check their adequacy. The number of representative systems,, members, and details shall be sufficient to form a basis for the reviewer's conclusions, 1-3.1 Structural Calculations: The structural calculatkms prepared by the structural engineer of record shall be submitted to the reviewing engineer, upon the reviewing engineer's request, for his or her reference only. The reviewing, engineer shall not be obligated to review or check these calculations. If the design criteria acid design assumptions are not shown on the drawings or in the computations, the structural engineer of record shall provide a statement of these criteria and assumptions for the review, I-4 Structural engineer of record; The structural engineer of record shall retain sole responsibility for the structural desi2A and the activities and reports of the reviewing engineer shall not relieve the structural engineer of record of this responsibility, 1-5 Report and follow-up: 1. The reviewing engineer shall prepare a report to the building official stating whether or not the structural design showy~ on the drawings and the specifications conform with the structural and foundation requirements of 790 C -MR, Said report shall be based on the review as prescribed in this appendix and shall include a summary of all deficiencies, if any, which cannot be resolved with the swartural engineer of record. 2. The structural engineer of record shall review the reportt of the reviewing engineer, and notify tht building official in writing, whether or not he agrees with or disputes the conclusions and recommendations of the reviewing engineer. 3. Unresolved disputes between the structural engineer of record and the reviewing engineer shall be submitted by the building official, the owner, the structural engineer of record or the reviewing engineer to the Structural Peer Review Advisory Board for resolution. 4. Any changes to the structural design subsequent to the original submission of the plans and specifications shall be shown on revised drawings and specifications, submitted with an amendment to the application for permit. The reviewing engineer shall review the changes on the revised drawings and specifications, and, if the original report does not account for the changes in said drawings and specifications, a supplementary report relating to the changes and prepared by the reviewing engineer shall be made to the building official. I -G Foundation permits: When the plans and specifications are partially complete and an application is made for a foundation permit, the reviewing engineer may review the .foundation plans and specifications .on a conditional basis, provided that the reviewing engineer is given sufficient documentation so that he can perform Appendix I-3 Tasks 1, 2, 3, and 4 for the whole structure, and so that he can perform Appendix 1-3 Task 5 for that :17197 (Effective 2/28/97) 790 CMR -Sixth Edition 751 12/05/97 17:26 TX/RX NO.6767 P.004 0 780 CN R: STATE BOARD OF BMI)ING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING COPE part of the foundation covered by the application for foundation permit. The rmviewing engineer shall prepare a report on that part of the foundation covered by the applii;4tion for foyn4i0n permit, as prescribed in Appgpoj� 1-5, statin$ 4U conditions Upon which the re r hi3 �oqe�. Whin SMC reviewing engineer review �1 cgMpl�;Qo fjaps and specifications as prescribed .in Appendix I-3, the reviewing engineer shall reperform Tasj s I, Z, 3, and a, m necessary, to include ail the revisions to the design substjt ¢nt to the application for the foundatigrt pettnitt. 752 780 CMR - Sixth Edition 2/7/97 (Effectivt 2124/97) 12/05/97 17:26 TX/RX NO.6767 P.005 m S engineers E / V gle nc 1 east river place - methuen ma - 01844-3818 - tel 508-682-1748 - fax 508-682-6421 December 10, 1997 Robert Nicetta Building Inspector Town Building 120 Main Street North Andover, MA 01845 RE: STRUCTURAL PEER REVIEW SUPER STOP & SHOP STORE/ NO. ANDOVER, MA PROPOSAL SUPPLEMENT (DEI PROJECT NO. 97662) Dear Bob: Per your verbal authorization, our office commenced our structural peer review of this pro- ject on Friday 12/05/97. As I mentioned to you this afternoon, our review has found numerous deficiencies with the structural drawings. To this point we have submitted 44 items to Dubois Engineering for re- view and revision. Tomorrow we will be finishing up with the steel columns and the overall review. Because of the unanticipated number of problems, we must seek an extension on our previ- ously quoted fee. Assuming all our comments are properly addressed when the E.O.R. re- submits the plans, an additional $1,000.00 will be needed to cover the added review time that we have spent on this project. In anticipation that an additional go -a -round will hap- pen, we suggest that a provisional amount of $750.00 be allocated to cover that possibility. This would not include formal arbitration if the E.O.R. does not agree with any issues that we feel are critical. Our office will bill this project to you on a not -to -exceed basis up to a limit of $4,650.00 (forty six hundred and fifty dollars). This amount is broken down as follows: Original Proposal $2,900.00 Added review time (first pass) 1,000.00 Provision for extra review 750.00 Total $4,650.00 (Not -to -exceed amount) OiLr fins] cornxxients will be sent to the E.O.R. by tomorrow, then the ball is in his court. We will help expedite the job when we get the updated drawings. Hopefully it will be as simple as issuing a letter to you stating that the revised plans meet the approval of our peer review. If you have any questions, please do not hesitate to call. Very truly, DAI/GLE� INE INC Rb rt,K. Dai e, P.E. President/. ctural Engineer " RKD/keo DEI. • 12/10/97.5:14 PM • SSNA9713.SAM • PAGE 1 PAY RICHARD E. LANDRY, AIA D/B/A LANDRY ARCHITECTS 395 MA IN ST., UNIT 7 SALEM, NH 03079 9/90 BankBoston, N.A. Boston, MA 118006 1 2 4118 1:0110003901: 013 1 SECURITY FEATURES MICRO PRINT SOHDERb COLOR[ D HHICK r',,! Ir HN ✓;111! I,LL1Hr. vP! HE% H;;F SIDL IVIiSSING FEATURE INDICATES A COPY REMITTANCE ADVICE 5-39/110 s 8124 DOLLARS c Siam( 1 Location U tUoc.J ff 7 75 TUROP, kE No. L / 1 �k*el N° 12402 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee ENC -r, $ c� Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 4 65o xx Build ector Div. Public Works w Location Sf `4i 7 n TuRNpI.E st; No. 6 Date . /e OFF ek*8 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee t tai. $ Sewer Connection Fee $ Water Connection Fee $ . k5b: 3- F TOTAL.,- ' $ 4.a<oSuxx - Building-InSpector Div. Public Works '12-10-1997 5 : 22Phl FPa,.l DA I GLE Et\tG I NEEDS 11\1C 6078 652 6421 P- 1 daigie engineers inc FAX COVER SHEAT .� 1 east river place Methuen, ma 01344 ($08) 632-1748 voice 1508) 682-6421 fax OFFICE USE ❑ FAXED Date: 1.? ^ fps `� i GKEcK uFF QNGE FAX HAS BEEN SENT RIS: FAX COPY SENT TO THE FOLLOWING.' ATTENTION COMPANY Fa�tNO, f�>Of-2- I To, A) o�- +Ud• AAJV0V CC =ae �Q5-5(, TOTAL NUMBER OF PAGES INCLUDING THIS PAGE CQ1�+Q�N'x'S= FILE NAME: Serit by: RECEIVER: Please contact sender izn=ediately if less than the spccified number of pages is received, or if any portion is not )egibIc. 12/10/97 18:25 TX/RX N0.6861 P.001 12/10/97 15:17 508 6889556 NORTH ANDOVER P.001 ***** ERROR TX REPORT ***** *************************** TX FUNCTION WAS NOT COMPLETED TX/RX NO. 6855 CONNECTION TEL 19788343187 CONNECTION ID START TIME 12/10 15:16 USAGE TIME 00'00 PAGES 0 RESULT NG 0 STOP daigle engineers inc 1 east river place - methuen ma - 01844-3818 - tel 508-682-1748 - fax 508-682-6421 December 5, 1997 Robert Nicetta Building Inspector Town Building 120 Main Street North Andover, MA 01845 RE: STRUCTURAL PEER REVIEW SUPER STOP & SHOP STORE/ NO. ANDOVER, MA (DEI PROJECT NO. 97662) Gentlemen: Per your request, we are submitting this proposal to you for conducting a "peer review"sof the structurai design fora new super Stop &:Shop store. The building is to be constructed by Northpoint Realty on the McLay property on route 114 in North Andover, MA. - GENERAL DESCRIPTION - Based on the stamped plans submitted to our office, this building has approximately 67,000 square feet of space which consists primarily of one story construction with the exception of a mezzanine in the rear, and an office mezzanine in the front. This is similar in nature to the Stop & Shop stores that our office has designed in the past. - SCOPE OF SERVICES - Our services under this contract would entail conducting a peer review of the structural de- sign in accordance. with the Massachusetts State Building Code, Appendix "I" (copy attached). Upon completion of our review we will issue a report stating if the structural design is in compliance with building code requirements; and, if not, which aspects require additional review or modification by the E.O.R. (Engineer -of -Record). If these potential issues are minor in nature and can be handled over the phone, we will do so as part of our base fee. If adjust- ments are required, a revised set of structural drawings (in duplicate) would have to be re- submitted to us for verification that all issues noted have been properly addressed. (One set of the drawings would be for our record and one would be submitted to your office along with our letter of acceptance.) Said drawings shall bear a revision date along with the "wet seal" and original signature of the E.O.R. so that our final letter of acceptance can be issued with explicit reference being made to the approved drawings. Information Requirements- The following information would be needed for us to com- mence with this project: 1) Authorization from your office to proceed. (this was given to us by you verbally on 12/5/97). 2) Construction Documents - Geotechnical report (verbal request was made to E.O.R. 12/05/97). Structural calculations (upon request) Construction drawings and specifications have already been furnished to us by your ,office. ncr 0 DEI. • 12/05/97.4:00 PM • SSNA9712.SAM • PAGE 1 �._ Page 2 of 2 December 5, 1997 Robert Nicetta Stop & Shop- Peer Review Once we receive this information, it will take no longer than five working days for us to issue our report. This may be less if we receive prompt cooperation from the E.O.R. As soon as we receive and verify that the revised drawings (if required) are complete, we would then is- sue our letter of acceptance with respect to our peer review. - FEE FOR SERVICES - Our fee for conducting this review will be $2,900.00 (twenty nine hundred dollars). This fee would be billed to you upon completion of our services. EXTRA SERVICES - This proposal is based on the assumption that the design will be in substantial agreement with the code and standard practice. If there are any major issues that must be resolved due to lack of compliance with the code, extra charges may be required to offset our costs. This cost would be billed to you on an hourly basis to compensate us for added review time. This would be based on the following rates: Principal $125.00 Lead Engineer $95.00 Engineer $65.00 We will advise you of any extra services before we proceed with such services. Should you have any questions with respect to the contents of this proposal, please do not hesitate to contact our office. We thank you for this opportunity to be of service to you and look forward to working with you on this project. Very truly, D LE INEE INC R ai , P.E. President/ S ctural Engineer encl.: Appendix "I", MA State Building Code RKD/keo DEI. • 12/05/97.4:00 PM • SSNA9712.SAM • PAGE 2 CompanyName: (printed) Authorized gensName: pnn e Agent's Signature: Date: APPENDIX I INDEPENDENT STRUCTURAL ENGINEER REVIEW I-1 Primary structure: For the purposes of the independent structural engineering review, the primary structure shall be defined as the structural frame, the load supporting parts of floors, roofs, and walls, and the foundations. Cladding, cladding framing, stairs, equipment supports, ceiling supports, non -load bearing partitions, and railings are exclude structure. I-2 Reviewing engineer: The reviewing engineer shall be engaged by the owner. I-2.1 Qualifications: The reviewing engineer shall be a registered professional engineer, registered in Massachusetts, qualified by experience and training and who shall have had structural design experience with buildings or structures similar to that covered by the application for the building permit. The reviewing engineer shall be impartial, and shall be independent of the architect of record, structural engineer of record, and contractors and suppliers who will be involved in the construction of the structure. I-3 Criteria for review: The reviewing engineer shall review the plans and specifications submitted with the application for the building permit for compliance with the structural and foundation design provisions of the Code. The reviewing engineer shall perform the following tasks: 1. Check to assure that the design loads conform with 780 CMR; 2. Check that other design criteria, and design assumptions, conform to 780 CMR and are in accordance with accepted engineering practice; 3. Review geotechnical and other engineering investigations that are related to the structural design to determine if the design properly incorporates the results and recommendations of the investigations; 4. Check that the organization of the structure is conceptually correct ; and 5. Make independent calculations for a representative fraction of systems, members, and details to check their adequacy. The number of representative systems, members, and details shall be sufficient to form a basis for the reviewer's conclusions. I-3.1 Structural Calculations: The structural calculations prepared by the structural engineer of record shall be submitted to the reviewing engineer, upon the reviewing engineer's request, for his or her reference only. The reviewing engineer shall not be obligated to review or check lam: - I10.11 these calculations. If the design criteria and design assumptions are not shown on the drawings or in the computations, the structural engineer of record shall provide a statement of these criteria and assumptions for the review. I-4 Structural engineer of record: The structural engineer of record shall retain sole responsibility for the structural design, and the activities and reports of the reviewing engineer shall not relieve the structural engineer of record of this responsibility. I-5 Report and follow-up: 1. The reviewing engineer shall prepare a report to the building official stating whether or not the structural design shown on the drawings and the specifications conform with the structural and foundation requirements of 780 CMR. Said report shall be based on the review as prescribed in this appendix and shall include a summary of all deficiencies, if any, which cannot be resolved with the structural engineer of record. I. The structural engineer of record shall review the report of the reviewing engineer, and notify the building official in writing, whether or not he agrees with or disputes the conclusions and recommendations of the reviewing engineer. 3. Unresolved disputes between the structural engineer of record and the reviewing engineer shall be submitted by the building official, the owner, the structural engineer of record or the reviewing engineer to the Structural Peer Review Advisory Board for resolution. 4. Any changes to the structural design subsequent to the original submission of the plans and specifications shall be shown on revised drawings and specifications, submitted with an amendment to the application for permit. The reviewing engineer shall review the changes on the revised drawings and specifications, and, if the original report does not account for the changes in said drawings and specifications, a supplementary report relating to the changes and prepared by the reviewing engineer shall be made to the building official. I-6 Foundation permits: When the plans and specifications are partially complete and an application is made for a foundation permit, the reviewing engineer may review the foundation plans and specifications on a conditional basis, provided that the reviewing engineer is given sufficient documentation so that he can perform Appendix I-3 Tasks 1, 2, 3, and 4 for the whole structure, and so that he can perform Appendix 1-3 Task 5 for that 2/7/97 (Effective 2/28/97) 780 CMR - Sixth Edition 751 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE part of the foundation covered by the application for foundation permit. The reviewing engineer shall prepare a report on that part of the foundation covered by the application for foundation permit, as prescribed in Appendix I-5, stating all conditions upon which the report is based. When the reviewing engineer reviews the completed plans and specifications as prescribed in Appendix 1-3, the reviewing engineer shall reperform Tasks 1, 2, 3, and 4, as necessary, to include all the revisions to the design subsequent to the application for the foundation permit. 752 780 CNfR - Sixth Edition 2/7/97 (Effective 2/28/97) daigle engineers inc 1 east river place ! methuen, ma 01844 (978) 682-1748 voice (978) 682-6421 fax Date: December 5, 1997 RE: STRUCTURAL PEER REVIEW SUPER STOP & SHOP FAX COVER SHEET OFFICE USE EdFAXED CHECK -OFF ONCE FAX HAS BEEN SENT FAX COPY SENT TO THE FOLLOWING: ATTENTION COMPANY FAX NO. Robert Nicetta Town Building Inspector 688-9556 TOTAL NUMBER OF PAGES INCLUDING THIS PAGE COBEIAENTS: Dear Bob: Please note that our $2,900.00 (twenty nine hundred) is a firm price unless we find significant problems that would require additional review time. Also, as I mentioned over the phone, Article "I" says that the owner should be the one hiring the peer review engineer. LFILE NAME: RECEIVER: Sent by: Bob Daigle (ex. 15) Please contact sender immediately if less than the specified number of pages is received, or if any portion is not legible. TOWN OF NORTH ANDOVER 120 Main Street North Andover, MA 01845 Facsimile Transmittal Form Date: /��% -1d Addressee: Name: Firm: Street: City: From: Ir Fax Num.: Name: Dept: Community Deveionm 1*6 Main Street North Andover, MA 01845 Telephone: (508) 688-9535 Fax Number: (508) 688-9542 Total Number of Pages, Including Cover Sheet: Z--- I �- i L1 i C Z-, [ ccr-i daigle engineers ince 1 east river place - methuen me - 01844-3818 - tel 508-682-1 December 10, 1997 Robert Nicetta . Building inspector Token Building 120 Main Street North Andover, MA 01845 RE: STRUCTURAL PEER REVIEW SUPER STOP & SHOP STORE/ NO. ANDOVER, NIA PROPOSAL SUPPLEMENT (DEE PROJECT NO. 97662) Dear Bob: - fax 50$-$82-6421 Per your verbal authorization, our of -flee conunenecd our structural peer review of this pro- ject on Friday 12/05/97. As I mentioned to you this afternoon, our review has found numerous deficiencies with the structural drawings. To this point we have submitted 44 items to Dubois Engines:ring for re- view and revision- Tomorrow we will be finishing up with the steel colunuis and the overall review_ Because, of the unanticipated number of problems, we must seek an extension on our previ- ously quoted fee. Assuming all our comments are properly addressed when the E.O.R re- submits the plans, an additional $1.000.00 will be needed to cover the added review time that we have spent on this project. In anticipation that an additional go -a -round will hap - p( -.n, we suggest that a provisional amount of $750.00 be allocated to corer that possibllity. This 'would not include formal arbitration if the E_O.R does not agree with any issues that we fecal are critical. Our office will bill this project to ,you on a not -to -exceed basis up to a limit of $4,650.00 (forty six hundred and fifty dollars). This amount is broken down as foUows: Original Proposal $2,900.00 Added review time (first pass) 1,000.00 Provision for e:,,'tra revieuT 750.00 Total $4.650.00 (Not -to -exceed amount) Our final comments will be sent to the E.O.R. by tomorrow, then the ball is in his court. We will help expedite the ,job when we get the updated drawings. Hopefully 1t will be as simple as issuing a letter to you stating that thee revised plans meet the approval of our peer review. If you have any questions, please do not hesitate to call, very truly. DAT GLE EINE S INC E0. Rpb-dA K. Dame. P.E. President/ �truetural Engineer RKD/keo DEI. - 12/1011)7-6;14 P M - SSNA9713. SAM -PAGE 1 npr 1 1 1991 12/10/97 18:25 ; TX/RX N0.6861 P.002 N TOWN OF NORTH ANDOVER 120 Main Street North Andover, MA 01845 Facsimile Transmittal Form Date: / Addressee: Name: Firm: Street: City: From: Fax Num.: 1010- 473 Name: Dept: Community Development and Services 146 Main Street North Andover, MA 01845 Telephone: (508) 688-9535 Fax Number: (508) 688-9542 Total Number of Pages, Including Cover Sheet: Additional Comments: No 2J69 Date .................................. U.. 4,, TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING ........... This certifies that �� ................................. . ........ ............... .. has permission to perform ............ .. ....... ................. .................................. wiring in the buildbyof-;-;.�........ ................................. at 0.�X. ....... . .............................. . North Andover, Mass. Fee-- S .............. Lic. N;' ... `�.? . ............................................................... ELECTRICAL, INSPECTOR 10/08/98 14:25 35-00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Office Use Only o- of 4e (90mmanu tao of +iIttngar4usettn Permit No. 4° Bepartment of Vublic 04ttfetg Occupancy A Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3190 peave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 / (PLEASE PRINT IN INK 9R TYPE4LL INFORM=41 N) Date City or Town of IV OlerW A/�ODdG—/e • To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work describedbelow. Location (Street & Number) �V Z,�/ kr /'TC &Y ` ��/�/P��Ce / G Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes ❑ Purpose of Building No li' (Check Appropriate Box) Utility Authorization No. Existing Service Amps _/ Volts Overhead IJ Undgrnd ❑ No. of Meters SO Service Amps���Volts C/1 Overhead Ul Undgrnd ❑ No. of Meters Number of Feeders and Ampacity t: Location and Nature of Proposed Electrical Work :Z22 lf-i No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In-- grnd. Elgrnd. CG Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection And No. of Ranges No. of Air Cond. Total tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices LocalMunicipal ❑ Other ❑ No. of Dryers Heating Devices KW Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP - OTHER: 7—" INSURANCE COVERAGE: Pursuant to the requirements of M achusetts general Laws / I have a current Liability Insurance Policy including Co mpl Operations Coverage or its substantial equivalent. YES � NO G 1 have submitted valid proof of same to the Office. YES a N0 ❑ If you have checked YES, please indicate the type of coverage by checking the appr9priate box_ _Z_ �� /�� /2m V /_ g5w INSURANCE BOND 0 OTHER C (Please Specify) - 1� (Expiration Date) Estimated Value of Electrical Work $ _ Work to Start /v Signed under the Penalties of perjury: FIRM NAME Licensee saJ Inspection Date Requested: Rough Final{/t// LIC. NO. A d-X2L_ LIC. NO. o? / e 2 Address c -z -b V &A=t KUA. O _rX /f1=:E&11 l .4(A 00C4,\ -'i Alt. Tel. No_ OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owner Agent (Please check one) c?car PERMIT F;77 S — .1 . A 1.11 <>::: >. :::.::.:.::.:..... ::::....::...:.::.::....:.. :::..::.:::.::::.::.:::.:::;.::.:::::::::.:.:�:.�::::::::>::>::::>::::<:::;..::::...�:::::::.:.:�::::.::.�:. m► ..........................................................::..:.::::::............................. 5/22%98 PRODUCER DOBAX INSIIRANCE AGENCY, INc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION r 7 �� AVEx[rE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE i HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. o. $ox 333 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NEWTON CENSE MA 021S9_ COMPANIES AFFORDING COVERAGE COMPANY Hanover Insurance Company A INSURED Tri-State Signal,_Inc. COMPANY 26 Thayer Road B Waltham, MA 02154 COMPANY C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TI;E INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POLICY EXPIRATION LIMITS DATE M/DD (M /YY) DATE (MM/DD/YY) A GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE XtOCCUR ZHN5152589 * PRODUCTS -COMP/OPAGG $ 2,000,000 PERSONAL & ADV INJURY $ 1,000,000 t 4/01/98 4/01/99 X OWNER'S& CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 % Per Project General FIRE DAMAGE (Any one fire) $ 50,000 X Aggregate applies CG2503 MED EXP (Any one person) $ 5,000 A AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ 1,000,000 X ALLOWNED.AUTOS BODILY INJURY $ X SCHEDULED AUTOS AMN5152534 * 4/01/98 4/01/99 (Per person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ A EXCESS LIABILITY EACH OCCURRENCE $ 5,000,000 % UMBRELLA FORM UHN5152588 * 4/01/98 4/01/99 AGGREGATE $ 5,000,000 OTHER THAN UMBRELLA FORM s $ A WORKERS COMPENSATION AND X I STATUTORY LIMITS EMPLOYERS' UABILITY EACH ACCIDENT $ 500,000 WZN5152581 4/01/98 4/01/99 THE PflOPRIE7OR/ X INCL t PARTNERS/EXECUTIVE DISEASE - POLICY UMIT $ 500,000— 00,000OFFICERS OFFICERSARE: EXCL DISEASE -EACH EMPLOYEE $ 500,000 OTHER • DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS RE: All operations of the above insured at Stop & Shop Store #092, Route 114 & Williams Street, North Andover, MA. * Additional Insureds: George R. Cairns & Sons, Inc.; Stop & Shop Supermarket Co. George R. Cairns & Sons, Inc. 21 Old Ferry Road Methuen MA 01844 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS . OR REPRESENTATIVES. i 417 *Sr %7/- &/y/ ^ Alk V a I I r Location wrLCvc,� St.%�1 7�T'c,2N�'.,�c- 1bz&-T" No. 5-76- f- Date1-10 ` -7 TOWN OF NORTH ANDOVER A Certificate of Occupancy $ Building/Frame Permit Fee $ sAcmusE Foundation Permit Fee $�5t"' —z Other Permit Fee $ Sewer Connection Fee $ a" W t r Connection Fee $ ae M TOTAL _$ ��'� �S RIX' i. Building Inspector .. Div. Public Works al W ° a i P. 04 la W i s s W z u IL 0 J W 1• Z z 0 0 ryZ I 1� W L 0 L V1 IA z 0 u a r E u 0 Z S 3 F� 0 1 > > 2 1. 1 �0 O � M r Z z 0 z 1 0 W 1. ♦ 0 < c 0 Z < Y u • u • Y OJ r 0 O 0 0 Z < < Z p t z= O 0 O 0 • O o ~ 1 V I M W a • O J O W {^J1 < < 1 i 0 O i Y r Y; • • a a 0 �0 V H H ra 41 .N O U U x � o � i LLJ CD C¢.. L� 0 m �" U- W !- O 1—• uj t D j II i • � C� � W > a p � < O 1 v b •'I i - j ♦i� I �) i + 16 < W d W II 0 Cl ro, CO) CM) 00 0 CD 0 z CO) a CM3• =r CL So o C-3 C:) CD IC CD 0 CL Cr CD =r Mml w -0 10 1'* =r -4 C E-1 0 A) x CA Cr CA 0 CD C4 3 C I) cc) C-) cc 0 Co CL C-) m zV-* 's 0 C ' ► w IIIC4 0 S, S = :: COL 4 M Po CL M CD0 O 0 =r!R : O O 0 g E,: on N ace. ICM Era CL 40 0 C/) Co Ca 9 C/) CD 0 W: n tk 0 s s- g o 0 Co CA z BL: QcL =r C W= a ol CA -0 JE 0 E CA CD a C'n. cc, O cc n• o =r 0 z CEtg CD t M C= "0 > g Ca oq C. m W CO - -0 C=L-oo 55 ry C=,m z CD C3 mmq 0 z C ro �' T 5' L T CT: 10 '10 OQro W ::r CL 4) el 0 � ro ro M � M x 0 0 rA 0 *440 %M 4 H 0 9 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ""**"''***********APPLICANT FILLS OUT THIS SECTION APPLICANT /VO2I—J�We Z W�17 LOCATION: Assessor's Map Number /J SUBDIVISION S 0D� t ,Jo4iJ STREET Vii`/�� Tila.� p S'Z�- Cviccoad RECOMMEN4ATION PHONEc�6�c� PARCEL V L/7, /Z, /9 LOT (S) r7,— ST, NUMBER %6% *************OFFICIAL USE ONLY AGENTS: CONSERVATION ADMI"NIStRATOR DATE APPROVED j� DATE REJECTED COMMENTS ` � � � 12Q W64 Mq4 94 5 � ���� � -- --- TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS _j 4r' FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENTQ tar /,�9�D -, rr RECEIVED BY BUILDING INSPECTOR �� DhE 1.. WO '. � 7C 77 k._ . .fir. November 1, 1997 Department of -Environmental Protection 10 Commerce Way Woburn, MA` 01801 Re: Appeal of Order of Conditions DEP File #242-875 / Route 114, North Andover, MA Dear Sir or Madam: Reference is made to my letter to you dated September 30, 1997, in connection with the above -referenced matter. I hereby withdraw my appeal pursuant to M.G.L. c. 131, § 40, and the regulations promulgated thereunder. I request that the appeal be dismissed, and that the above -referenced Order of Conditions not be modified or superseded. I waive my rights to further appeal regarding this matter before DEP. Thank you.for your attention to this matter. • V y truly yours, Louis Kmiec, Jr. El ,vP �nrnrlrnnrnecr��ir rl...116JJUCf7.l.�Jel�1 ' DEPARTMENT OF PUBLIC SAF E1Y CONSTRUCTION SUPERVISOR LICENSE Nuiber: Expires: Birthdate: CS 042329 02/01/1998 02/01/1951 Restricted To: 00 van.# x ori � THOMAS 0 LAUDANI 733 TURNPIKE ST 1209 N ANDOVER, MA 01845 Commonmeaft6 of ]MG566c6usetts DRIVER'S LICENSE 012401547 02-01-99 -02-01-5A M ° &VE1*1 /4&t•/:A 1:14.91 1:141mLd D 5-10 LAUDANI THOMAS D 733 TURNPIKE ST �`— UITE 209 ANDOVER MA 01845-6157 rcrruRe eEiuw OFFICE OF BULLOING INSI'ECFOR .` TOWN •OF, NURT11 ANUOVER CON5TRUtTIOH CONTROL ,. 1 •IVwl 1/ - •-.�..••••�.•. ... •�� .iU^dH•e•. •�•V•.Tif.rr�.a.��l �. PROJECT NUMBER: • - ./ F. 1•. ' .. .. •-www _ ._ PROJECT TITLE, `51?1w� PROJECT LOCATION: Nmr OF BUILD Ilia: `. NATURE OF PROJICTI _ A� 1'�l�J t�dJ'e�' `OHO -F �J,L� Pte- . •... . IN ACCORDANCE VITH SECTION 127:0 OF T118 MASSACHUSETTS STATE BUILDING CODE, C • 0QL-t-(, Registration No. 3 ti' Co 50 ' ; BEING A REGISTERED PROFESSIONAL ENGINEER/ ARCIIITEC'T IIEREBY CERTIFY TIU,T I, HAVE PREPARED OR DIRECTLY SUMVISED THE ?REPARATION OF ALL DESIGN PLANS, CUMPUTATIOT+S A11D SPECIFICA- •_:.7ION5 CJi±CEFtNINC_ ENTIRE PROJECT ARCHITECTURAL C= STRUCTURAL CM MECIl11tl1CAL [� FIRE PROTECTION M ELECTRICAL [ OTHER (specify)GE)" CIVIL. FOR THE ABOVE NAMED PROJECT A11D THAT, TO THS p_?T OF :!Y K;TCuLECCE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE'APPLICAELE PROVISIONS OF T11E HASSAGHUSETTS STAIE BVILDING CODE, ALL ACCEPTABLE E:.CI!;r--RIj;G Pp4CIICEr..' WAND APPLICAALE LAWS AND ORDINA?ICESS FOR 'TRE PROPOSED USE A110 OCCUPANCY. I FURTHER CERTIFY THAT I SHALL -PERFOP-i THE 11_CESSARY PROFESSION-AL SERVICES AND BE PRESENT ON THE COITSTRUCTION SITE ON A P.EGULAR JUID PERIODIC BASIS TO UETEIIIIIIIE TRAT THIS WCR.1t IS PRCCEEDING II; ACCORDANCE WI—H Ili:, DOCt'l1E112S APPROVSD FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN .SECTION 121.2•z: I • Review of shop drawings, saTlas and c&er 5Vbr4 tta? s of 6e =ntractor as required by t11e et mEtM:iert c mtraet doctrmt 3 93 Sub-it:tad fizz ,4IdL:g permit, and aFproval for conform me • to the design = apt. 2. Review and appru al of the quality cmtml proce�sr�s for all co&-r_ q�v�ired cc�,trolled . materials. . 3• Special architectural er engineeringF.�fess:C-.al Anspactim of tritical ccruc:vc_icn cosecs requiring evntreiled materials Cr crrs:rfi_icn spaci led it+ the actepced en ImprirQ praccicr standards 1Lsted in Appendix B. •,PURSUANT TO SECTION 127.2.3, 1 SHALL 5U8111T WEEKLY A PROCRESS REPORT TOCETIIER yITH PERTINENT COjMENTS TO THE NORTH ANUIUVE!,, BUILDING INSPECTOR. UPON COtIPLETION OF THE WORK, I SHALL S1,13MIT A FINAL RSPORT AS TO 711E SATISFACTORY ,COMPLETION 11110 READINESS OF THE PROJECT FOR OCCUPAI+CY. r� ' �GI U TICf�ATUR£ 5U95CRiB1:17 AND SWORN TO BEFORE ME T'T'I5 .t3,�i 19 �YJ lvoAdr 11!07/97 14:07 %Y9786852357 • • CHARLES CONSTR. lw--- CONS rRUcmN COMPANY, INC. FAX DATE: /// %1,497 PAGE 1 4F TU: .2? az3,r rez,.- MESSAGE: a%C✓!rte _ ---a -wmL WILL NOT Gr BE MAILED. E i N o dentiali : This Fax Transmittal is intended only for the addressee 'mdential and priviledged Any ise,led`abo f f ¢ ldisclosure, eopying, or communication of this trans"tission is strictly prohibited If you.greLnot.1hi addressee, please contact us as soon aspossible: 200 Sutton Street, North Andover, MA 07845 978-686-9526 Fax., 978-8$5.2357 Lb6I L AON } ul 11/07/97 15:08 TX/RX N0.6349 P.001 t� IV N ■ 5 u [ W 0 C i �r z 0 0- z z 0 V 0 r Z V Z x O O [ W r < 3 2 3 0 I- 0 0 r O w r u W z z .0 u 0 z_ i O I J I I Y z Z 0 0- u u I< M J < W L L t• 0 0 [ < 0 • r S u O z S F� 0 0 f.. < I N � I � I ' W � y t " Y . � 1 z 0 0 �° u o g Z yl w u i Z 46 I cb hi 0 1 0 w �oa i:• N p 0 O I • J J F � p � N i • y W t7 0 O `O i J W � < z < ;. V+ O • M u O d Z o Z Z 2 h, N Li 0 0 < f 5 u [ W 0 C i �r z 0 0- z z 0 V 0 r Z V Z x O O [ W r < 3 2 3 0 I- 0 0 r O w r u W z z .0 u 0 z_ i O I J I I Y z Z 0 0- u u I< M J < W L L t• 0 0 [ < 0 • r S u O z S F� 0 v � � N ri U u V U x C-6 1' z -. C) �. o CL W O L1. i W O • � J ef' II z �! 0CD <r0 LJ J G r ] W Z 66 • W J r 0 < r" 'I r O Y o- w M o c [ c2 o < u • t t W < 0 i L -_-_.— U 0 f.. I � I � I Z " Y . � z z 0 0 u u W W p 0 O • J J F � p � N • y W t7 0 0 v � � N ri U u V U x C-6 1' z -. C) �. o CL W O L1. i W O • � J ef' II z �! 0CD <r0 LJ J G r ] W Z 66 • W J r 0 < r" 'I r O Y o- w M o c [ c2 o < u • t t W < 0 i L -_-_.— U N a r-1 U h V) a p t� u ~ N � O p. W a � z ►� �1*1 C O C ADO � E .0 U C w O w C Z a+ x° w w (� W W a�' " .� w a p F a 00 a�' w A W C ca O 2 Ei vi �+ g� Ll ''c O V)i 1LL l � �ui h y • at • o z 2;a z wo P-4 C CJ is w ADO h Q CD C p L O ;;C O c Z hO O C o Lz "r O p 'o Q co C= .9 m m ' (IL• cc C-5 m r 40. L� W •: l� - F � J y 1 •� C a' W Cr ►A d c E oto C V v ; c mi CD E m a y H cm O y . CO to y O O ?: E y C/) 400 CL. o ' co mCt O a _ m O: ' � C1 y O v yr ca > Z o Cca C m:til to C C mm t W C mc .... .b- O V a cjwe m� CIO = A O h � O = *- ao- CC 2;a z wo P-4 C is w ADO h Q L O Z hO D C CO CM "r O p 'o O 2;a z wo P-4 C E ADO co L O Z hO D C CO CM co O p 'o O co m O .9 m m CD cc G O O G O L �Q c O co co C Z cots V y c C N N 0 .tl 1 V N FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from ` Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. **APPLICANT FILLS OUT THIS SECTION APPLICANTNa���; �m•1�'!��'� �/�,� PHONEZ6�6 LOCATION: Assessor's Map Number PARCEL y , SUBDIVISION S7Q_;0:;" t 1-41rD.4 LOT (S) STREET TrP•v,110p S'1_Z-C 4W r7- ST. NUMBER 75 OFFICIAL USE ONLY RECOMMENQATIONS/OF )TOWN AGENTS: CONSERVATION ADMINIS BATOR DATE APPROVED / f DATE REJECTED COMMENTS ` u �� ��1'Vlt,fl tr,(i ��V�; �Ctjl �f� ����'��GTic PIS cob-Lks-0- TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS1L� `j. FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED 77L�z 71 DATE REJECTED COMMENTS I PUBLIC WORKS - SEWER/WATER CONNECTIONS 1����/ 4' DRIVEWAY PERMIT FIRE DEPARTMENT"�'it�, Z✓L �w � _J0 1i 6-1 RECEIVED BY BUILDING INSPECTOR DATE ` - NOV 707 .LOUIS J. KMIEC, JR. 707 Turnpike Street North Andover, MA 01845 November 1, 1997 Department of Environmental Protection 10 Commerce Way Woburn, MA 01801 Re: Appeal .of Order of Conditions DEP File #242-875 / Route 114, North Andover, MA Dear Sir or Madam: Reference is made to my letter to you dated September 30, 1997, in connection with the above -referenced matter. I hereby withdraw my appeal pursuant to M.G.L. c. 131, § 40, and the regulations promulgated thereunder. I request that the appeal be dismissed, and that the above -referenced Order of Conditions not be modified or superseded. I waive my rights to further appeal regarding this matter before DEP. Thank you for your attention to this matter. • v truly yours, Louis Kmiec, Jr. • NOV 71W . rf OEPWRTNENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Nutber: Expires: Birthdate: CS 042319 01/01/1998 02/01/1951 Restricted To: 00 THONWS 0 LAUOANI 133 TURNPIKE ST 1209 N ANDOVER, NA 01845 -A---- - � commonwealth of loarmchusetts , a I DRIVER'S LICENSE 012401547 N2-01-99, /!IIi•!1+!I:u:I F17.Y f4xY11#V 02-101-5I M wcrxr u:nta:� rssy� ru!h:u D 5-10 LAUDANI < THOMAS D 733 TURNPIKE ST UITE 209 ANDOVER MA 01843-6157 01 ,•1 Z PROJEC? NUMBF.Rt�` PROJECT TITLEr PROJECT LOCATION: .- NAME OF BUILDING: OFFICE OF BULLUNG INSPEC'i'UR TOWN -Of NURT11 ANUOVCR CONSTRUCTION CONTROL .. ... ..:.:,�-; -.; sem._' • ' `s:.0 . t.J,' 1.. OF !'ROJi~CTi A► hlsL••:I LdJ'r"�`f7 `F �J` �j�-•� p�"'-i�1"'"'"' .. • .. IN ACCORDANCE WITH SECTION 127.0 OF THE MASSACHUSETTS STATE BUILDINC CODE Registration No. 3 BE1NG A RECISTERED PROFESSIONAL ENGINEER/ARCIIITECT rIEREBY CERTIFY TIIA* I. HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESICx PLANS. CUHPUTATIONS AND SPECIFICA- •'.:.7IONS CO1'7CEF{.�1INC: ' ENTIRE PROJECT ARCHITECTURN, STRUCTURAL MECIIAtIICAJ, FIRE PROTECTION a ELECTRICAL En OTHER (spetify)Q ' CIVIL_ FOR THE ABOVE NAMED PROJECT AND TUr, TO THS °.?T OF :!Y K;rCuc,EpcE, SUCH PLANS. COMPUTATIONS AND SPECIFICATIONS MEET THE'APPLICAELE PROVISIONS OF THE RASSACHUSETIS STATE BUILDING CODE, ALL ACCEPTABLE E:IC I:�E;.RI1�G P a ACI I CE:.' E '.AND APPLICA9LE LAWS AND ORDINANCES FOR Ti E PROPOSED USE AND OCCUPAIICY. I FURTHER CERTIFY THAT I SHALL -PERFOPy THE ?I='WES�SARY PRCTUSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A PECULIR ALIO PERIODIC BASIS TO UETEM1111E TIIAT THS VOLK IS PROCEEDING IN ACCORDANCE WITH V17 DOCUmS112S APPROVED FOR THE BUILD111C PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN.SECTIO11 121.2.2: 1• Bevies, of shcp drawings, saTplas wid ether 5'J r^+_tta!s of ttie c„nwaczor as required by Cie =or vc:Lcm =ntract docunmt.s dt subrji=red fc. bt.,ldL:& pe.ti:/atZd afiproval for eonfotmme to the design ='inept. 2. Iteviesr and aPpraeal of the (ILMIL q C--ntrUl proce�.Zts for all cCc-rtquired ccntrolled waterials. 3. Special architectural er engineerl.ngF.;,._ss:t-al .ins�cf:st�s of tritical ccn ermtier cerrVr 4nu requir" ecntmlled materials er c=.s;rsr.icm spociiied in ttie accepted a elmerim praccic° standards listed in Appendix B. PURSUANT TO SECTION 121.2.3, 1 SHALL SUBMIT VEL' KLY A PROCRESS REPORT TOCETIJER vITH PERTINENT COMMENTS TO FRE NORTH ANUuVER, BUILDING INSPECTOR.1. . UPON COMPLETION OF THE WORK, I SHALL SUIXIT A FINAL REPORT AS TO TILE SATISFACTORY ;COMPLETION AND READINESS OF THE PROJECT FOR OCCUPAIICY. '' • ' sICt�ATURi �J� = SUBSCRIBED AND SWORN TO BEFORZ ME THIS �G v.,%T OF�--19 2rJ Nufar� A)b/ld. i 11,!07!97 14:07 $9786852357 CONSTRUCTION COMPAW INC. CHARLES CONSTR, 2 001/001 FAX 0 G DATE: / 1,9 PAGE 1 OF TO: FROM:"� �� i i MESSAGE: Z Cr 0 421 4 C �S OSI iC&.XL WILL WILL NOT l� BE MAILED. " 1V o dentiali : This Fax Transmittal is intended onlyfor the addressee ' UAWabolveni may contain information that is confidential and priviledged Any use, disclosure,_ copying, or communication of this transmission is strictly prohibited If you -are mot -the addressee, please contact us as soon as possible_ 200 Sutton Street, North Andover, MA 01845 978.686-9526 Fax: 978-685.2357 Lbol Z AGN N IV 11/07/97 15:08 TX/RX N0.6349 P.001 Ldcation 04 I,JiLLaw "Z t -Ar•OvPkc` sr No, Date ? 9£, i TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ CD — Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 455 oc� Building Inspector r 09/25/98 09:44 455.00 - t •7 Div. Public Works Location No _ Date TOWN OF NORTH ANDOVER Building Inspector 09/25/98 09:44 455.40 PAID Div. Public Works F A Certificate of Occupancy $ Building/Frame Permit Fee $ ��b'••° •'<� s1ACHUSt Foundation Permit Fee $ Other Permit Fee $ ' Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 09/25/98 09:44 455.40 PAID Div. Public Works M O z t L s w a. u E w N Z W � W ` F 5 �J v Z �• s ;oq _ Z - Y n 1 N N y X � w c 1�1 � F+I , O r ,z z Q 3 3 oq Q _ z vi z Z - m _ s Q z � w z w z E- z - ul}} 0 u�d xE Ln z pie ? z Z - w N W L Z N Z w NN z w Z t r a J ¢ L.10/ W GL. C-10 Y� c Q a �- V LU yy��• TA w w j� u H s < J►+s► v z z z L LLJQ r _ fJ� nL` y v C Q �! Z N L zZ 2 3 ¢ Z a E.. C C N z Z r - L O .•. Z Z C a Q ^ S z = Z z Q z- � 2 z z z Z z -. t* c Z Q Q Q Q m ^ L_ T O z t L s w a. u E w N Z � W v F 5 �J v Z �• s ;oq _ Z - Y r 1 -611. toouuea , a1,Awdaduje&J OEPARINENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number ;, Expires. Birthdate: CS 886123 04108/2000 04/0811949 Re VRted :To, 00 PAUL M ALBANESE 25 NARJAN DR E BRIDGEWATER, NA 02333 a DIVISI Master Construction Control Affidavit IILU AAKAIRS Date:7 September 1998 Project Number: 98-808-0-03 Project Title: BankFoston Banking Facility at Storer Stop c& Shop Project Location :North Andover, MA. Scope of Work: Architectural Services for Branch Bank as noted on Drawings and Specifications dated 6 May 1998 and further modified during Construction. In accordance with Section 116.0 of the Massachusetts State Building Code, Sixth Edition dated 2/7/97, I Alfonso W. Nardi, MA. Reg. No. 4943, being a registered professional engineer hereby certify that I have prepared or directly supervised the preparation of all mechanical design plans and specifications for the above noted project and that; the Project will be constructed to meet the applicable provisions of the Massachusetts State Building Code and all acceptable construction practices and applicable laws pertaining to the the proposed Protect 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 determine that the work is proceeding in accordance with the documents approved for the building pernut and shall be responsible for the following: 1. Review of shop drawings, samples, and other submittals of the contractor as required by the construction contract documents as submitted for building permit, for conformance to the design concept. 2. Review quality control procedures for materials delivered to site. 3. Where appropriate, review of critical architectural components requiring control as per Building Code Appendix B. Pursuant to Section 116.4, I shall submi' periodically, a progress report with comm to the Building Inspector along with on-going changes to the Project Scope and fu er Drawing and details to be submitted to the building department via the Contractor. �cyo W. a �C•1 o � No. 4943 v BOSTON t MASS. 9F a W Cd V;�,, . im J OI , Z 0 EME4 � ui z � M 0 w a U 2' C> U Q [k Cr ;__ aD 0 CO cc z 0 D H M E L t 0 CD C.3 a CO) 0 O C. CO) 0 L) 0 •c m CO)CL 0 1p� Oa O CE cn cn im J OI , Z 0 EME4 � ui z � M 0 w a U 2' C> U Q [k Cr ;__ aD 0 CO cc z 0 D H M E L t 0 CD C.3 a CO) 0 O C. CO) 0 L) 0 •c m CO)CL 0 1p� i Location Vt/1Z40w ST/7S? TWO'b'if No. 4l (1 t- ra-S7� Date .� a ci MORTN TOWN OF NORTH ANDOVER L A Certificate of Occupancy $ 7 * ; ; Building/Frame Permit Fee $ 0-7, Foundation Permit Fee Other Permit Fee Sewer Connection Fee Water Connection Fee TOTAL c Building Inspector Div. Public Works 1i Z 4Q g LL m 0 0j am WN o W 0 ` Z 0 m u u u < d a F < Z_ U J J m = J iv s I W W � W t we C a Z LL LL 0 0j z �D J J W N M Z < F a F Z Z_ Z = J U 0 C ci V {� O HH O J a m QCE W 3 0: 0 0 O O U U = M, Z LL LL 0 0j J J J W Z < F a F Z Z_ Z = J U 0 C V {� O O a a m O O 0 0 f �U VV r F K G F a W U Z U 2 U Z � O J J J m 0 0 W m F• I U a LL H W W < W W 0 < < < 7 > > w m W W U < Z W Z Z Q a Z V Z Z I J f H F < W m m m J J < W C1 U' W 1' < F 13 W C '� O O 3 ; V C , N a_ a_ a, N 0 W < < J r < J < 0 IL W !< i N J 0 0 < m 0 0 0 < a_ a 3 m a d d W d d F M W a M, ty t 0 m � y w too, _ J W N a C a J t p� W v a W Z . v > 3 a 0 z m Z IW 0OmJ m De D 0 0 00 0 O r WW a Z 14 LLO Ww 0 0 W Z N 4 N h 4 z m Oa m O t W �o L CL 0 7 1 J N . N a `V W \ 'N F W ¢ Z W F F O < Z <O a Z Z < j- 0 O a a Wt w C a w <W W 0 U N O O O < m CA W a a W. r z W J W lY r a JO O 0 Ix m LL LL W W u u Z Z N I a JL r z 0 m LL A z ILL �rE." 0 F[ U L • N NN1 c3- 9 LL w c W 2 0 0 U U UL V �i w w '- < j 9 0 0 L W } Gm • ■ U Z Z U z r r r 3: O O W W W 0 U u = A I L �rE." 0 12;'10/1997 11:46 978-682-6473 MINCO CORP REALTY DEVELOPMENT CORP. FAX COVER SHEET DA'Z'E: FAX NUMBER: - TO: COMPANY: CITY/STA rE: FROM: t ov\ 1 N� C --ti rQ. - TOTAL PAGES TO BE TRANSMITTED INC.LUDrNG COVER: Message: If you have any questions or meed additional information please call. A -508) '3 L/L PAIGE +31 Conf oentiali ...Notice: The document(s) accompanying this fax contain confiderttiAi information which is iegatty privileged. The information is intended only for the use of the intended recipient named above, if you are not the intended recipient, you we hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on the contents of the telecopied information except in its direct delivery to the intended recipient named above is strictly prohibited. If you have received this fax in error, please notify us immediately by tcicphone to arrange for return of the original documents to us. Please call if you do not receive all pages. DOC: 1pmin ort hpoiilfax.tnst i Real Estate Consultants • Lan8 Planning and Development 0 Commercial Development 231 Sutton Street - Suite 1 A, North Andover, MA 01845 • 508-687-6200 - FAX 508-682-6473 12/10/97 12:47 TX/RX NO.6847 P.001 0 0 Iz m cl- C\ 0 W s.: 0 D J ,�•N0 P+ O1**� O 0 LU z CD Ir - CA (� ° 0: VF Z . t; cm fti J m cCD E N 1p L 7 4:D,. 3 .. s 22 m • v: t/0 'E o ev CLU (� _ o . y wff c 'COD C_cob W mom m Q: Lip V ti O 0 O Z �: o •.. v �0CL y O C �C = m m 3o IV Oo H m GO Cc w W COU. .. c •- •vi Cz C E Z o r '00 .y O LU V '1 C O Vi O. O 32 O � ` _ y O =M CLZ O C x O CL � O a O y I � tm C � 0 � w M O O �g m m � w a a W a � u w N a vi Q or. o w o a: ate, U w" w a w C�7 a w AG cA o cn cn D J ,�•N0 P+ O1**� O 0 LU z CD Ir - CA (� ° 0: VF Z . t; cm fti J m cCD E N 1p L 7 4:D,. 3 .. s 22 m • v: t/0 'E o ev CLU (� _ o . y wff c 'COD C_cob W mom m Q: Lip V ti O 0 O Z �: o •.. v �0CL y O C �C = m m 3o IV Oo H m GO Cc w W COU. .. c •- •vi Cz C E Z o r '00 .y O LU V '1 C O Vi O. O 32 O � ` _ y O =M CLZ O C x O CL � O O O y I � tm C � 0 � M O O �g m m CL t O � �3 .0 O O � O e_cv o a CL ca C O d O D C z co c C Ell 1� 0 ik Aj �i► N 2 CA V C x CL V Ell 1� 0 ik Aj �i► N 2 CA V 2-24-1995 9:38PM FROM p 5 OFFICE OF BUILDINC INSPEGFOR TOWN -OF NORTH ANUOVElt-- L'.. (� _ CONSTRUCTION CONTROL ,'. ,• .. .. .. .. ..ter l. •, •��,: PROJECT NUMBER: J r PROJECT TITIES PROJECT LOCATION: Kam I 1 Lt-0c,J 97 NAME OF BUILDING: 4:�;7uv 7�!-v1'. !jne _........._.. _ _......._ . ,. . '..NAIURE OF PROJirC7s A Ej� C3o0 + �.� •s_ �---�*.. . IN ACCORDANCE WIIH SECTION 127.0 OF TiIE MASSACHUSETTS STATE BUILDING CODE, . I' I(, �• DQ• 1.�• Registration No. 'BEING A REGISTERED PROFESSIONAL 9i /ARC1iITECT HEREBY CERTIFY THAT 1. HAVE PREPARED OR DIRECTLY SUPERVISED TIDE PREPARATION OF ALL DESIGN PLANS, CUHPUTA?lOtiS AND SP£CIFICA- ..:,7IONS COnCERYIyG: ENTIRE PROJECT ARCHITECTURAL E"`1 STRUCTURAL CZ !lECIlAtI1CAL Q FIRE PROTECTION Q ELECTRICAL Q] OTHER (specify)(::) FOR THE ABOVE NAMED PROJECT A11D THAT, TO VHE B_ST OF MY K:tCWLECGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE•APPLICAPLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGIN"RING0 PRAC1ICE5. AND APPLICA3LE LAWS AND ORDINANCES FOR THE PROFOSED USE AND OCCUPANCY, I FURTHER CERTIFY THAT I SHALL PERFOP-! THE N=CESSAPY PROFESSICNAL SERVICES AND BE .:" PRESENT ON THE COItSTRUCTION SITE ON A RESULAR AND PERIODIC BASIS TO UETE[U1111E IRAT THZ WCRX IS PROCEEDING 114 ACCORDA1;CE W17H THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESP014SIBLE FOR THE FCLLOPING AS SPECIFIED IN .SECTION 227.2.2: I• !review of shop drawings, saTples end ether subr.+ttals of the c-nrr-ac_or as required by the cant=vcticn r--ntract docutents as submitted ic. Wilding permit, wij apprmal for conforrmnce' - to the design Ccncept. 2. Review and approval of the quality ccnt=1 proce�..aes for all code-required ccz,trolled materials. 3. Special architectural or engineerlrg F:rfessiC--.al .insp-_cticn of critical ccrstructicn co pcwe- s requiring controlled materials Cr c„--rstsvc_icn SP°-ified in &e ac-epted en "mer" practice standards listed in •_ Appendix B. PURSUANT TO SECTION 127.2.3, I SHALL SUBMIT WEEKLY A PROGRESS REPORT TOCETIIER KITH PERTINENT COMMENTS TO tHE NORTH ANU:JVE::: BUILD NSPE — K. . ,UPON COMPLETION OF THE WORK, I SHALL SU2.41T A F'I;IAL R PORT TO HE AT CTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPA1tC. SUBSCRIMED AMID SWORN TO BEFORE HE THIS a? �= DAY OF ANN F. VII LE AIRE, Notary Public tt•UT AA Y PUBLIC �,Commission Expires August 26, 20011 ••• HY COt-t?lISSIOt7 EzriRES"' �!'j!0,0 0:,-"' un�run P. S 2=24-199S 9:38PMFROM OFFLCE OE 8UiLU;ING INSI'EC'1UR " = 'f OWN,�OF.,NUR-II ANU4VEit . •... •,._...:f,. .: <,.. '; 1. ONS?RUCT3t)?fMONTROL ''' PR03ECT HUHBERt =,' •: PROJECT TITLE: "15tQ'r✓ � � t C3Q PROJECT LOCATION: lZoLw1g. it lAiru O •! , •.. �..�.....,..� • HARE OF BUILDIHC: ,� �rO + ' -4,..; NATUR£ OF pAOJ EC7 t 1 �'�LJC�• �L ,.. �,�_,,,.,r.. .�� ;.,...�, •. �,�..�� IN ACCORDANCE UITH SECTIO14 12-7.'0 OF Tilt MASSACHUSETTS STATE AUILVINC CODE, Dt ao1S, Rcgistrstion No. 3007— 5T' BEING A REGISTERED PROFESSIONAL FNGINEERJARCHITECT HEREBY CERTIFY THAT I, IU/ VE PREPARE[ OR DIRECTLY SUPERVISED THE PREPARATION OF ALL AESZCh PLANS, ^UHPUThTiOtrS AND SPECIFIC; :,TIONS 60f7CEMING_ E.NTIP.E FROJECT r_—J AACHITECTU?A-1 URhY. C90 HECf1.1!icAL rI FIRE PROYTECi1cs ELLCTRsC�,! J OTf1EN. i peclfl)CJ FOP TFE ?.ED'r' 1r:P EC v R1, C: A,1tU TKAT, ;0 T:• -:E _,T �? ``' i s GnL�� .�, SU '1i i LA''!S COMPUTATIONS A14D SFZCIFICA:'IONS HEET TPiE'APPL1C:,?LE PROVISiGNS OF T111L `fir\SSACHUSETIS STATE BUILDISC CODE, ALL ACCEPTABLE PP_4C,ICES. ANd APPLICABLEDI LAWS AND ORNA10ES tOR Tf{-E PFOFOSZD USt MID OCCLIPA11CY. I FURTHER CERTIFY THAT I ShALL PERFOF_'; T.47 NECESSARY F?CFSSSICf�AL SERVICES Idir) BE PRESENT ON THE CONSTRUCTION SMOtt A %EGUL,13 A. PEF1001C BASIS TO UETEiL111NE TRAI THS WCR_'C IS PRCCEEDINC IN ACC0RDA1<C_ WITH THE DOCLMENIS APPROVZV FOR Tilt BUILDI11C PERMIT AND SHALL. BE RESP014SIBLE FOR THE iOLLOVINC AS SPECIFIED IN -SECTION 127-2-2.- 1. 21.2.2:1. Review of shop drawirgs, carples wd ether rub --s tt2ls of the crn=acter as rewired by t1le crest wt -Len =tr2ct doca=ts as rd1z Sst:ed Ecr and afiprcv-al for eanfonmree to the design «ncept. 2. Review and agpraval of the Qvalicq c-nx---vl precee-=is for all code,rtquired crntrolled matetdals. - - 3. Sgeeial architercural er of critical ccrist;utic'n earlw= requir" eontmlled materials er c-vs:zr.x_-_icn sp-e=i.:ied in the accented eNimerisg Praccict standards listed in Appemix 9. •PURSUANT TO SECTION 127.2.3, I SHALL SUVII•T PF_RtoD)GAUy., A PROCRESS REPORT TOCETMER viTH PERTMENT COHME14TS TO tHE NORTH ANU::vJrs: BUILUII:C 1NSPE.CToR. UP& COMPLETION OF THE WORK, I SHALL SUZ.41T A FINAL REPORT AS TO THE SATISFACTORY .COMPLETIOZI MID READINESS OF THE PROJECT FOR OCCUPANCY- •,_ S1Ct��TURE = 5UBSCRIBA ANASW TO BEFORE HE THIS unY OF ()C40" -_19O.-•.._-1- NOTARY PUBLIC HY CORN I SS IOtt Eos 1RZ5 =9 v r _wn_- SEP.-30'97(TUE) 16:23 LANDRY DESIGN GROUP 2-2d-1995 9.36PM FROM TEL:603 894 4358 i ' OEF]:CE QF BUILDINC INS111 CaWN'OENUR'I11 ANUO INSTRUCTION CONTROL �+- • ,PROJ - - -• .. .. ._��_-: .:ice::. r PROJECT TITLEr Super Stop & Shop :.PROJECT LOCATION: Route 114-& Willow Street NAKB QF BUILDINC: Super Stog•-fir Shop NATURE OF pRpJgCY, Anew- IN ne IN ACCORDANCE VITH SECTION 127;0 OF THE KASSACHUSE I•—Wayne Grif f ith., or. my auth sized RegLatratio BEING A REGISTERED �igiARCHITECT RE OR DIRECTLY SUPERVISED TUE PREPARATION OF ALL DESICNEPL. .:TIONS COACEILVING: ENTIRE PROJECT r-= ARCHITECTURALr-1 FIRE PROTECTION (D ELECTRICAL [� R P. 002 P. S 'TS STATE BUILDINC CODE. No. 35519 Y CERTIFY TitAT I, ILAVE PREPARED "S, CUHPUTATIOt1S AND SPECIFICA_ URAL (__1 HECIIA11IGU. = OTIfER (specif„)M FOR THE ABOVE NAMED PROJECT AILD THAT, TO T!i� a=;r OF ur KNOWLEOGE, Such PLAITS, COMPUTATIONS AND SPECIFICATIONS MEET THE -APPLICABLE PROv SIOriS OF TILE HASSACHUSETTS STATE BUILDINC CODE, ALL ACCEPTABLE E;,GII,E�RII;C °P4CIICE 1AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED US_ 111D OC rD CL.1ua cY. I FURTHER CERTIFY IHAT I SHALL PERFOP-t THE NECESSARY PRC ESSICN.AL SERVICES AII0 BE -” PREScNT ON THE CONSTRUCTION SITE ON A ?sCUL,iR FCLLO1:I. TA:iD PERIODIC BASIS TO lJET£f11tL1IE THAT THE WCR't IS PRvGEEDI�IG INaCC0it0Ar:Cc i+i;ii THE DQCtFfEti2S APPROVED PERliiT AND SHALL BE RESPOtiSIBLE FOR THE } D FOR THE BUILDINC AS SPECIFIED 1N .SECT10rt 117.2,2: I• -"gw of shop drMrSj, sarplcs and ewe: Slh�-±tta; c=Cwcticn Wntract docus mc3 LS s rre r s of t`+e c=nuaCcor as required br die to the deli acted fc iLldtj3 Fe t, and approval for conlomm,ce • 8n umcept. 2. Revier.+ and aprwal cf the quality c,^nt-oi proce,�•�es for al] codtir- ast:erlals. quired centrclled 3. SPecial erchitecturaI Or englne.riri F::;_ss:raI.ins requiring contrulied materials cr ctrs;r.�:tc�•r spsciiiedtls top acrd c�uc=vrsiar corpenen_s scanndards listed in Appendix B. uiB Pring practice PURSUANT TO SECTION 127.2.3, I SKALL SUENIT periodically, A PROCRESS REPORT TOCEIIIER UlIH PERTINENT COMMENTS TO THE NOitTR ANU:;YI:;; !3tliLUlNG INSYJ<C'1'UR. UPON CONFLETIOK OF THE WORK, I SHALL SLIZ4IT A FINIAL REPORT AS TO THE SATISFACTORY :CoriPLgTION AND READINESS OF ?IME PROTECT FOR OCCUPAt, CY. JSJ RS/gyp SyIO BEFORZ ME THIS THAT OF19 -.. � N.t7TVPUBLIC • tsr COtt2SISS10r ExriRfST_ OCT.-01'91(WED) 09:34 LANDRY DESIGN GROUP TEL:603 894 4358 P. 002 2-24-1995 9.38PM >= ROM P. S .M r OFFICE OF BUILDING IN51'ECEOR TOWN -OF HORT11 ANDOVER -f CONSTRUCTION CONTROL ~ ' PROJECT NUMBERS • r PROJECT TITLBs - ..r��.- .* PROJECT LOCATION: 11 NAME OF BUILDING: `�7LLQ NATURE OF PROJEC2siL1► �, .non .. IN ACCORDANCE WITH SECTION 127:0 OF THE MASSACHUSETTS STATE BUILDING CODE, I. Lawrence A. Farrer Registration No. 30388 BEING A REGISTERED PROFESSIONAL ENCINEER/gijUaWt IIEREBY CERTIFY THAT 1. IIAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN pLAIIS, C0HPUTAT10t1S At1D SPECIFICA, .,ArIONS C=CI %NL,,4G_ Fal10X���d ELECTRICAL EUOTHER (apecif7)p FOR THE ABOVE NAMED PROJECT AND THAT, TO'THE BEST Or My K;10WL!DGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE'APPLICABLE PROVISIOt1S OF T11E liASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGIN'=RING P°4CT10ES.l AND APPLICABLE LAWS AHD ORDINAIICES FOR THE PROFOSED U_z AND OCCUPAttCY. I FURTHER CERTIFY THAT I SHALL YERFOPy I4- NECESSARY PR,.F..SSIC.o : ,� that I or nn authorized representativbbe AL SERVICES AND W PRESENT ON THE CONSTRUCTION SITE ON A11YL)jX AN PERIODIC BASIS TO DETEMIDIE TIIAT THE UCU IS PROCEEDING III ACCORDANCE WITH THE DOCUHEIIIS APPROIED FOR THE $vILDIt1G PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOVINC AS SPECIFIED Iv.SECT1011 127.2.2: 1 • ' evIew of shop drasdrC$. samples and cthe: s.jb-+._a;s of t -he cmtractor .s required by the cmSt:_vctlen mncrxt doc mmi as scbrAtt:td!c. �t•�Idir permit, and appm-21 for Coniornnnce' to the design ccmept. 2. Review and aFpruval of the Qualltyproce:•�es for all code-r- nsaterlals. quired ecritrolled 3. SPecial erchitectural er en Ir"rirtg F: V!_ss:rr�[.ins�ccicn of critical ccnsczvc:im cevc-rem •s requirirg contmIled materials er a rszraC_icn sp-=ified in Lhe ar_tpted "ine2r' icy, standards listed in Appendix B. N OF Mgss9 PURSUANT TO SECTION 127.2.3, 1 SHALL SUBMIT lYl$1NM A PROCRESS TOC£ o VITH PERTINENT COMMENTS TO fHE NORTH ANU1;vE:; BUILUIt�C 1NSl't:CI'U -wRtNC N •� A. FARRER UPON COHPLETION OF TRE WORK, I SHALL SL•B:iIT A FINAL REPOR 70 THE COMPLETION MD READINESS OF THE PROJECT FOR OCCUPA14CY �,� G�STB.¢�`�4�'� SIGIsAI�l = SUBS RIBED AND SWORN TO BEFORE HE T11I5 �S� DAY pF_19 e N N•UT r Y PUB4IC KY COhmISSI011 EXPIRES Locationz 7i No. `f 3 G Date -3"0 021 NORTol TOWN OF NORTH ANDOVER • OL .. p Certificate of Occupancy $ s,cwUsEc'�' Building/Frame Permit Fee $ 2j Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �• f 1 5 _6 5 O'Building Inspector TOWN OF NORTH ANDOVER WELDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING ry0 This Section for Official Use Onl n .. L x BUILDING PERMIT NUMBER: el:?— P DATE ISSUED: �. 2—o -v SIGNATURE: -� e-0 Building Commissions or of Buildings Date ME 1.1Property Address: .S' � 1.2 Assessors Map and Parcel Number: Map Number Parcel Numt�a 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage fl 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Recluired Provided Re red Provided 1.7 Water Supply M.G.L.C.40. § 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zane ❑ Municipal On Site Disposal System ❑ 2.1 Owner of /.Record Name (Print)" Address for Service: 9 © 461 Signature Telephone 2.2 Authorized Agent Nance Print Address for Service: Signature Telephone UIS, 7776aZl '0110 ?X 3.1 Licensed Construction Supervisor Not Applicable ❑ 1 L e Bre -c> -,( Address License Number Licensed Cion c *on Supervisor: Expiration Date tgnature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ �Nam¢ t� 077W4r- �- Company e„ 7.6 hrlzf1J- '- SFR! Registration Number ,1r"a Address • Expiration Date ff - a Signature Telephone T M Z 0 v n M 0 M Z 0 Z M 90 0 v M r r Z G1 I, 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 Print Name Signature of Owner/Agent Date Item Estimated Cost (Dollars) to be t� ` Completed by permit applicant ," ; . 1. Building (a) Building Permit Fee Q (,►� Multiplier 2 Electrical (b) Estimated Total Cost of Construction from (6) 3 Plumbing Building Permit fee (a) X (b) .4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number c� 1 �P" kf � �YM4 $� ::.� � �'..,�� }�:., 5 :: �J l,L id4 ��� S Y tR� f. l4 (t . i�'�.. �+• lMa ! �j�.f...��,? T!''e ��ifii' f y>,,}try �+¢ �,�.:� �kti.i ..Y� 2 t � �):..: a 'b`` .i'�,Y, Yl of r a1. r.:rn. xn�;. ' �:�!'. �:.tk � `f \ �}..,�,1 �' , �iS 1�. 1�'1{{� Yi � �'. � ii . L3G w.. ( .ki' i.11' �{ . ?;!?£ � ii h. � h .iY N3 ! 'U. X.r. t Y ,-k'S \ '.� 1 S y4�, ,,F l•`{, d'Y k li err NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sr 2ND 3 KD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERLAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL, GAS LINE "` p. ,+ "�. ... t5 f7 -k .. f' �` �MYf 4� ji+�` . lbf..hS k -t Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yea ...... No ....... ❑ SECTiorl 5 >pB�;fl1�A, rir UO.", sxr�s l�+ERI�tS Al�lb �1[�'S SB"#', Tfl 5.1 Registered Architect: -\ Z Name: Address Signature Telephone ,3 a` Area of Responsibility Name: Registration Number Address: Expiration Date Signature Total Not applicable ❑ Name: Registration Number Address Expiration Date Signature Telephone Area of Responsibility Name Registration Number Address Expiration Date Signature Telephone Area of Responsibility Name Registration Number Address Expiration Date Signature Telephone 3 .: Si .yJ. n't"i �F=iii+: f Not Applicable ❑ Compan Name: ,41/`D C., Responsible in Charge of Construction Structural Engineering Structural Peer Review Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Hereby authorize__J_) My behalf, in all matters Of Owner of the subject property two workanthorized by this building permit application r to act on New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition Other ❑ Specify Brief Description of Proposed Work: USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly 0 A-1 ❑ A-2 0 A-3 0 A4 ❑ A-5 ❑ IA 1 B ❑ ❑ B Business 0 2A 2B 2C 0 0 0 C Educational ❑ F Factory ❑ F-1 ❑ F-2 ❑ H High Hazard ❑ 3A 3B 0 ❑ IInstitutional ❑ I-1 ❑ I-2 ❑ I-3 0 M Mercantile 0 4 ❑ R residential ❑ R -I ❑ R-2 ❑ R-3 ❑ 5A 5B ❑ ❑ S Storage ❑ S-1 D S-2 ❑ U Utility ❑ M Mixed Use 0 S Special Use ❑ Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: ch L Yft 1� ���• 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 Structural Engineering Structural Peer Review Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Hereby authorize__J_) My behalf, in all matters Of Owner of the subject property two workanthorized by this building permit application r to act on - • "r: )iii 4 '•-o: \: ::'F: . 3i%?•i:•i:•iiiiiii:•iii: ......... ii:trii};4:Li:•ii'4:4:•i:?iii:'• •""•�••una�, mm/uurI l .:. .. is ... i?. '• k'�•' k' x•:.r:•i:.:ir i:.i:.i:.: >iix ii:.ri?:•i:•ii:•:::•:::•:>i:•.....•`.•i:•i:•>:•::•:??: 1 / ?.;t ::i::i::}.....: .. .: :. •. i%:.; ::. :'.•: .:: :i:} •::- : :{$:. i. : •.{. a• :: ^' :: :'..i• .+.�(j�::;:`•} ; : ••.iii:•:.::ii::::•iiii::?`i:iii:•:.::::2::?i:.i:•Si:<•'.•ii: i:::ii::ij}:i:.i>:•::i::..... i::. 2•ii:.i :. .i:. :..:•. i�.•.. :': .• a R17r/•• i,..i:.i:•: i:.>:•::.>:.::11 ......?....... •oi:2•i:•:i:.i:•:ii:.:.i:.i:.::.ii:.i:.ii•.ii•::::::.:;•;•>:tt•>::' ::.;;;•i:;•:•.;•ii;;:.>i;:•ii:;•;:•>i:•:t•:;<•i;i:2.;:.iii:.i:•:i:.;;:;.;:.;:t•i:.:�:.:;;:.»:•ii�:;2•;i:.;i:.i:.:.i:.i.................:t...........:............................::::.........:.::....:.: U2/ •:.::::::::::::::::..........................:::::::.:•::.06/02 ::.:... .... ........... :•:::::::.:•:•:::•::::::::::::::::::•::::.:::::......................,.........................:....................:..:::::: •n?,•. n.. n...:v........%:::::fitii:•'.24:t+.?2tb:.ittt.:4%L iis2.isLY: Yii:2t2.ii:Ji:±2>.G:•isSk28iY:Y:{2r.......... 2?.:2?222.Y2%::2r22{23ii:• • • • •. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND BOYNTON INSURANCE AGENCY CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 72 RIVER PARK STREET POLICIES BELOW. NEEDHAM, MA 02494 COMPANIES AFFORDING COVERAGE ........................................................................................................................................................................ �J� A COMMERCE INSURANCE CO. . INS[RtED................................................................................ ..................................................................................................................................................................... COMPANY B OHIO CASUALTY GROUP LETTER ....................................................................................................................................................................... COMPANY `, - D. Pallotta Construction LEITER Company, Inc. :...coMPANY.................................................................................................................................................. D 176 King St. LETTER Hanover, MA 02339 ....................................................................................................................................................................... COMPANY E LETTER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .......:.......................................................................................................................................................................................................•......................................................................................... CO:TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE (MM/DD/YY) DATE (MM/DD/YY) LnvIITS GENERAL LIABILITY GENERAL AGGREGATE S 2,000,000 :........................................................................................ ;.......... X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGGR. $ 2,000,000 .. CLAIMS MADE X OCCUR : :PERSONAL &ADV. INJURY S 1,000>� B <::z•: ......... .......... BKW 52531311 .:.. 01/13/02 01/13/03................................................................................ X : OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE S 1,000,000 ........:......................................................: ........ ....................................... FIRE DAMAGE (Airy one fire) S100,WO .................................... ... MED. EXPENSE (Arty one Person) S 500 AUTOMOBILE LIABILITY : COMBINED SINGLE ......; ANY AUTO LIMIT $ 1,000,000 ;........2 ALL OWNED AUTOS ............................................. ......................... INJURY ........ :.: X :SCHEDULED AUTOS (DILY Peer per-n) s................................... A........ : OOMMY52270 07/30/01................................................. 07/30/02 X HIED AUTOS BODILY INJURY X : NON-OWNED AUTOS : (Per accidem) $ GARAGE LIABILITY •• it PROPERTY DAMAGE $ EXCESS LIABILITY :.......... EACH OCCURENCE 5...... 4,000,000 B X UMBRELLA FORM BX052531311 ...................... .................. .. .... 01/13/02 01/13/03 AGGREGATE $ 4,000,000 OTHER THAN UMBRELLA FORM ::.:::::.........:::::::: X :STATUTORY LIMITS WORKER'S COMPENSATION :......... ............................. ............::.::::.:::::::::::. B AND XWO52531311 EACH ACCIDENT S 1(� 12/05/01 12/05/02 ................................................ ............... ... DISEASE-POLICY LIMIT S OO,QQQ :. EMPLOYERS' LIABILITY ..................... .................................. DISEASE-EACH EMPLOYEE S 100,000 OT1JER 3. DESCRIPTION OF OPERATIONS/LOCATIONS/VEMCLFS/SPECIAL ITEMS PROJECT: STOP & SHOP DISPOSITION CONTRACT ADDITIONAL INSURED ON GENERAL LIABILITY ONLY: FLEET NATIONAL BANK Scott Sumner Attn: Director of Project Manage CB RICHARD ELLIS CORPORATE Faciliti 777 MAIN STREET Management HARTFORT, CT 06115 FAX:781-467-2709 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO t MAIL 1Q_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR C LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 0 . 7/. f BOARD OF BUILDING REGULATIONS ;k License: CONSTRUCTION SUPERVISORt z Numbed _yCS 067358 i B I i WAW`0]102%1941 t xpiresA t� >02 2004 Tr. no: 13.213 Restricted DAVID C BORDEN 61 DOBSON BRAINTREE, MA 02184'. f Administrator ` f 3 go O z IV) M tv W A o U P* z .: a O H W a W c0 Z a OH U z c � o a z A y CD _ O; .� w° v N ch chi �a o r. w° pG .0 U Q w" ato O ra w" � O w i G w" c7 O w G x x w G co o cn v Q vi . � o c� o ` C H c 'r O c.w •ate CLC �v o m c — t o ' o � N E a o c 0 r o o. N E c ,0 0 �4 0 0 O r 0 C �`► y OM � o .03CIO CD � _ m •O O C N gp y Eco CD O :=z O E Ir Ma N N C O 75 cm c CRm o. CM c N m t 0 Z 0 O w a �91' O CD E O i � O v Z O CL. O CO) C C O cm I O� O — y O O = O� O O O� Cc O d CMQ Cc CL 0 CD c Z G3 CL C7 y C CL O c— '— c CO2 0 U) U) Ir w CCw U) .: COL =0 :C,3 o c0 Z c � o a H a y CD _ W :oz3 ; CL F COD o r off R Z W C O �r�t r C r •fyA m O C � •E O.t � r CS N ui L- om�c COD a O :20 .0 S =210 �OCD h 0 OZaOm E Ir Ma N N C O 75 cm c CRm o. CM c N m t 0 Z 0 O w a �91' O CD E O i � O v Z O CL. O CO) C C O cm I O� O — y O O = O� O O O� Cc O d CMQ Cc CL 0 CD c Z G3 CL C7 y C CL O c— '— c CO2 0 U) U) Ir w CCw U) ff Date .... : 6 �7 ....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... has permission to perform ................................................... wiring in the building of .................................................. ....... ... ............. ..... ......... .... ............... , forth Andover, Mass. Fee Lic. No. ...... ; ELECTRICAL !q ..... F—. fj Check # U earr C The Commonwealth of Massachusetts Office Use Only I Permit No. Department of Public Safety Occupancy & Fee Checked �" BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (I lank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All workto be performed in accordance with the Massachusetts -Electrical Code, 527 CMR 12:00 INT IN INK OR TYPE ALL INFORMATION) City or Town of N. Andover The undersigned applies for a permit to perform the electrical work described below. �1 1 Location (Street & Number) Willow Street N. Andover, MA Date June 27, 2005 To the Inspector of Wires: Owner or Tenant Stop & Shop Supermarket Co. Owner's Address 185 Campanelli Drive Braintree, MA Is this permit in conjunction with a building permit: Yes❑ No❑X (Check appropriate box) Purpose of Building Existing Service New Service Supermarket Amps Volts Number of Feeders and Ampacity Amps Volts Utility Authorization No. Overhead[] Undgrnd❑ Overhead❑ Undgrnd❑ Location and Nature of Proposed Work Repake sales floor lighting No. of Meters No. of Meters No. of Lighting Outlets No. of Hot Tubs Total No. Transformers of KVA No. of Lighting Fixtures Above in - Swimming Pool rrnd rnd El Generators KVA No. of Receptacle -Outlets No. Oil Burners No. of Emergency Lighting of Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total tons No. of Detection and Initiating Devices No. of Disposals Heat Total Total No. of Pum s Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No. of Self -Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local F1 Munic. Conn. F1 Other No. of Water Heaters KW No. of No. of Low voltage Signs Ballasts Wiring No. of Hydro Massage Tubs No. of Motors Total HP Other: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws: YES ®z NO H I have a current Liability Insurance Policy Including Completed Operations Coverage or its substantial equivalent. YES NO I have submitted valid proof of same to this office. If you have checked YES, please indicate the type of coverage by checking the appropriate box: INSURANCE ❑x BOND[:] OTHER❑ (Please specify) Aon Risk Services, Inc. of Mass 4-1-06 Expiration Date Estimated value of electrical work $ Work to start 715/2005 Inspection Date Requested:Rough Ces Will call Final Ces Will call Signed under the penalties of perjury: FIRM NAME Consolidated Electrical Services Licensee Lawrence D. Pantano Signature Address 661 pleasant Street, Norwood, MA 02062 LIC. NO. LIC. NO. 17502A Business Telephone No. 800-742-7240 Alternate Telephone No. (781)769-7110 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not havdhe insurance coverage or it's substantial equivalent as required by Massachussets General Laws, and that my signature on this permit application waives this requirement. []Owner ❑ Agent (check one) (Signature of Owner or Agent) Telephone No. Permit Fee $ 125.00 1"s 0left •. y HM0.j 41 J Cl N Lem A V Z � a. w U 0 in F 00 Z oa od = w2 �19 o a� � zLL W V O 0 z W 3; � A W a W a A •.-� W 0left •. y HM0.j 41 J Cl N Lem A to ed O z rA 9- Im :cam o �¢ `• w � W \; w � 77 W O C.3 .a m eca ° °o v w cn ca min p o C U w a x o G w w W o G pG cn ts. °0 o q n! w W L ° m cin C/) Im 0 �Q 14 L CD E O o v a O y a c i Com_ H p 'O CO2 O O m m CD CD CL ~ _ CD O� 3.0 C L a- cmQ c o�� C� v J .� O c z CD CL C.3 y c C C c CO2 E U) w W Cr CO 3 :cam o m c c :oma \; h O C.3 .a m eca p :.0c \ O N 1"' 1 OQ ~ = s ' N E (Y� a:.` "CCDM^ a V, � 3'V w m a%, ru: y C= 'o �= - aC m L: N m ; E s -Cc* a i � �c0a �• N O m • ID C7 N O � In z Le O a a0 y ID c o � o m CIO LJJ Cm NmpF- w= -2 w O •%1 ::,Cc A C Cit o'mN '02 Z O U m ED QCD Q y Z O' co mM O: a 0 Go=C J !- t r a w CO 0 �Q 14 L CD E O o v a O y a c i Com_ H p 'O CO2 O O m m CD CD CL ~ _ CD O� 3.0 C L a- cmQ c o�� C� v J .� O c z CD CL C.3 y c C C c CO2 E U) w W Cr CO 3 08/09/2018 09:58 FAX 978 409 8122 HEALTHY COMMUNITIES 10 001 Healthy Communities Tobacco Control Program A Boards of Health Partnership Andover Dracut North Reading Methuen Reading Middleton Stoneham North Andover Topsiield CE RTIMD MALI, -RETURN RECEIPT RE U11S ED drt REGUiAR MA1L June 3, 2004 Super Stop and Shop 757 1.urnpike St. North Andover, MA 01845 Re: North Andover Board of Health, Ticket # 0186 (Tobacco Sales To Minors) Atte: Manager/Owner: On June 2, 20M your establishment was issued ticket 110186 for a violation of North Andover Board of 14calth regulation Section 2(a) entitled "Article X Tobacco Control .Regulations" forselling tobacco products to a minor. As outlined on the ticket, and as explained to you upon issuance of the ticket, you have the following alternatives: 1. gleet to pay the fine ($100.00) within 21 days of the date of issuance of the ticket. 2. Elect to contest the matter in a non -criminal proceeding by making a written request within 21 days to the Lawrence District Court, Fenton Judicial Center, 2 Appleton Street, Lawrence, MA 01840. FAILURE TO PAY OR CONTEST THE FINE WITHIN 21 DAYS OF VIOLATION MAY RESULT IN ISSUANCE OF A CkIMINAL COMPLAINT. Under Massachusetts General Laws, Chapter 40, Section 21 D (Non -Criminal Disposition Statute), "Ifany person so notified to appear before the clerk or a district "'0111" faits to pay the fine provided hereunder within the time specifjed...the clerk sham no"ify the enforcing person who Issued the original notice, who shall detereritre whefhrr M apply fvr the issuance of complia regulation. " nt for the Violation of the appropriate ordinance, bylaw, rule or All payments of fines shall be made to the Town Clerk, Town Hall, 120 Main Street, North Andover 01845. If you have already made payment, thank you. -_1 Please feel free to contact me if you have any questions regarding this Konald N. Bea - Program Director 20 Main Street, Andover, MA 01810 Tel: 978-749-8999 366")0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... ... . has permission to..................................................... wiring in the building of .......... 7t77� . . ....... �< ...... ..... 6 ...... af Y, f:. I ................ . North Andover, Mass. Fe&W . ....... ic. No/.� L . . ........................... ELECTRICAL INSPECTOR Check # THEC0MIV 0Nff.4LTHOF 4maff SEt7S Office Use only D011?71 F OFPUBM, +TY Permit No. <2eo� BOARD OFFIREPREMWONRFGUL4HO1 iYS27CMR 12- Occupancy & Fees Checked `A --I APPLICATIONFOR PERM' TO PERFORM ELECTRICAL WO ALL WORK TO BE PERFORMM TN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat 3 t_i oz Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. LocationStreet & Number) %`SAN 1 k E Owner or Tenant ('��/dt, 'A j-, Owner's Address _ /Op v Z;:1-1 S7— AljAve�lw, Is this permit in conjunction with a building permit: Yes M No ® (Check Appropriate Box) Purpose of Building 914A Utility Authorization No. Existing Service AmpsI Volts Overhead Underground Q New Service Amps volts Overhead Underground Number of Feeders and Ampacity 'Location and Nature of Proposed Electrical Work /y-�3 //IO��p No. ofMeters No. of Meters No. of Lighting Outlets No. of Lighting Fixtures No. of Receptacle Outlets No. of Hot Tubs Swimming Pool No. of Oil Burners Above ground Below No. ofTransfomrers Generstom.. Na of Emergency Lighting Battery Units Tc K1 K1 No. of Switch Outlets No. of Gas Bumers No. of Ranges No. of Air Cond. Total FIRE ALARMS No: of Zones Nd: of Disposals No of Heat Tons Taal Total No. ofDeteatimmd Yo. of Dishwashers Space Area Heating ?obs KW JEWNo, LrilislingDeviees ofSalrtdiea Devices i Na ofSafCct teined'. to. of Dryers Heating -Devices � KVIr DeteceiorJSoandirrg `Devices Loci! 0 MunicipalOther Connections �. V of Witter ter Heaters KW No. of No of Si Bailasis o. Hydro Massage Tubs I No of Motors Total IIP ratECOMeW Plaatartbtheletltitaita��Gtsraalia► . eatxnatLia�yit�ratnepbfityirdudatg ��� . e�t#tn�lodra5tip©afaisameb V0Ap Y� NO Q ifjarlta�drecl°edYlpreaseiric�lethelypeoiaa►bolg bSlatG � oL1 b� - dinda't'�iePfofpajuy. iNAh �.rX l E&vlz /zi /.✓� 36 /o/W Fitt'SINS ]RANCEWANEE;Ia mraethattheljm=A ynatlro Y A P wa%tsthisraquaunal ;e check one) Owner Agent M AltTdNa Telephone No, PERMIT FEE 3� R ...................................... ;::<................................... ACORD PRO DUC ER...................................... I INSURED Fred C. Church, Inc. One Merrimack Plaza P.O. Box 1865 Lowell, MA 01853-1865 QSI Security, Inc. 136 Harvey Road Londonderry NH 03053 rDATE(MMDDNY:::. / /Y �r �s 1 1 '> ::I`:«> ''<`<>< <';; <`>«» 2/08 02 :::::::::.:::::.::::............................................................................................................. 978-458-1865 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANY A Royal COMPANY B Hartford Insurance Company COMPANY C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) A GENERAL LIABILITY PSP127403 7/01/01 7/01/02 GENERAL AGGREGATE $ 2000000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Town Hall Attn: Wire Inspector 27 Charles Street North Andover, MA 01845 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRIIT+TEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILUR � O -!M IAL '�$,Vc ATO A IINMS O OBLIGATION OR LIABILITY OF ANY KAND UPON THE ,COMP�8LjVA �PRESENTATIVES. rHORIZED S NTATIVE �7j/'j — __ Y 6 I . f. . r X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F OCCUR OWNER'S & CONTRACTOR'S PROT PRODUCTS - COMP/OP AGG $ 2000000 PERSONAL & ADV INJURY S 1000000 EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Any one fire) $ 300000 MED EXP (Any one person) $ 10000 A AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PSP 127403 7/01/01 7/01/02 COMBINED SINGLE LIMIT $ 1000000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ., ... __.' EACH ACCIDENT $ AGGREGATE $ A EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM LA3660480001 7/01/01 7/01/02 EACH OCCURRENCE $ 1000000 AGGREGATE $ 1000000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL 08WBCEF5728 7/01/01 7/01/02 X WC sT0TH- TORY LIMIT ER EL EACH ACCIDENT $ 1000000 EL DISEASE - POLICY LIMIT S 1000000 EL DISEASE - EA EMPLOYEE 1 $ 1000000 B OTHER Workers' Comp- MA Employers' Liability 08WECCE2340 7/01/01 7/01/02 WC Statutory Limits Accident $1000000; Disease Limit $1000000;EA Emp $1000000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Town Hall Attn: Wire Inspector 27 Charles Street North Andover, MA 01845 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRIIT+TEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILUR � O -!M IAL '�$,Vc ATO A IINMS O OBLIGATION OR LIABILITY OF ANY KAND UPON THE ,COMP�8LjVA �PRESENTATIVES. rHORIZED S NTATIVE �7j/'j — __ Y 6 I . f. . r 3657 / Date... .. TOWN OF NORTH ANDOVER PERMIT FOR WIRING K 4y 1� C �Ct�t �r h ra This certifies that ................i..�,. a1.........:�-.......................�............................ has permission to perform ............. r �.d t7cJ................. t..r`.................................. wiring in the building of ....... s... .:.,�,-R.�?...... Q. tA ............................. �S at ......�,5.....7......:�.Gf„ f�{� ®/............././UiCTRIC;AL orth Andover, Mass. Fee. /4�., .. Lic. No. �!.�� ✓ ...INSPECTOR Check # �� Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only. _ Permit No. 3 Date Issued: APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3-13-02- City or Town of: Wo. /%ccov C r 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) 757 %c/ri► Pi A e S A -e - e 74' Owner or Tenant Citizens Bank (Stop & Shop) Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building Banking Utility Authorization No. Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters Front end of store f'mmmlotinn oftho fnllntvino tahle may he Waived by the InSDector of Wires. No. of Recessed Fixtures 1 No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets 6 No. of Hot Tubs Generators KVA No. of Lighting Fixtures 4 Swimming Pool rnd. Above In- ❑ rnd. ❑ o. o Emergency �g tmg Batte Units 2 No. of Receptacle Outlets 15 No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches 3 No. of Gas Burners No. of Detection andInitiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number Tons ...................... KW .. ....... No. of Self -Contained Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW Local E]Municipal Connection E] Other Dryers No. of D Heating Appliances Key Security Systems: No. of Devices or Equivalent No. of Water Heaters KW No. of Signs No. of Ballasts Data Wiring: 10 No. of Devices or Eq uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: 10 No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licen- see 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 0 BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: 12,000.00 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the infor at n on this application is true and complete. FIRMNAME: Sullivan & in Licensee: John McLaughlin 5ignale (If applicable enter "exempt " in the license number line.) Address: 74 Lawley Street Boston, MA OWNER'S INSURANCE WAIVER: I am aware that the Licensee signature below, I hereby waive this requirement. I am the (check on Owner/Agent Signature n LIC. NO.: A: 11433A LIC. NO.: E: Bus. Tel. No.• D0 Zi :02122 Alt. Tel. No.: not have the liability insurance coverage normally required by law. By my owner ❑ owner's agent. _ Phone: - IInsurance on File: Will Fax: Permit Fee: Receipt #: Date: 5 ; J Date .....`..:..../ NORTp °f�"��;•'"o TOWN OF NORTH ANDOVER p PERMIT FOR WIRING l This certifies that �r r has permission to perform.... � ��'..' ' .......................................................................... wiring in the building of ...... r' at................-.��....7......� �.. ':1�!....�r.....J .:..1, North Andover,.. Mass./ Fee.,/ ................ Lic. No.............. .............. ....... / ELECTRICAL INSPECTOR Check # �1 ,' Commonwealth of Massachusetts official Use only SS - Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev. 111991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (Iv1ECI 527 CMR 12.00 (PL FASE PRINT IN INK OR TYPE ALL IVFORMATION) Date: 0 ::2 - City or Town of: Nof4-k 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) `I5'1 ) LAr ri 1 e- Owner or Tenant C'; T-Z.ery �s A IU K — STUn S h c�(p Telephone No. Owner's Address `— Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Boz) 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: Installation of Burglar Alarm f i-mm�tahnrr Ar trre r n,....:..,. ..Ll_ _ t _ No. of Recessed Fixtures ��••• •-••�•• No. of Ceil.-Susp. (Paddle) Fans Juuie may ae aanea ov rive ins ector of -Wires. No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures a Above ❑ ln- ❑ Swimmin,Pool . o. o meits Y ig ting r- rnd ornd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALAR bIS No. of Zones No. of Switches No. of Gas Burners \o. of Detection an No. of Ranges No. of Air Cond. TotaInitiating.'Deices Tons No. of Alerting Devices No. of Waste Disposers Heat Pump umber ons I.W No. of Self -Contained Totals: Detection/Alertina Devices No. of Dishwashers Space/AreaHeating KW Local ❑ "unicipal [I Other nnection No. of Dryers Heating Appliances KW ecurity SN -stems. No. o Water No. of No. o • evices or Equivalent Heaters KNV Signs Ballasts Data Wiring: No. of Deices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP a ecommunicatiors inng: - No. of Devices or Equivalent [OTHER-: .•irraca additional detail 1 desired• oras required by the Inspector of Wires. 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:) Estimated Value of Electrical Work: $ (Expiration Date) � (When required by municipal polis}•.) Work to Stan:. a -r S_ D a Inspections to be requested in accordance with MEC Rule 10. and upon completion. I certify, under thepains and penalties of perjury, that the information on this application is true and complete, FIRNf NA,NIE: ADT Security Services 111 Morse Street, Non ood,fiLA 9206,3 . NO.: 1533C Licensee: John S. Bassett Signatur LIC. NO.: 1533C (If applicable, enter "exempt •• in the license number line.) ! Bus. Tel. No.:. Address: Alt. Tel. No.:9a8 OWNER'S INSURANCE WAIVER: I am aware that the Li ensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PEXIIIT FEE: S �� 1 Location��-` No. 0-�; - Date i a 9,�f"•34 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ r'o Sewer Connection Fee $ Water Connection Fee $ TOTAL $ da T6:::) Building Inspector 100'00 PAID Div. Public Works ♦t 5 Location) No. Date TOWN OF NORTH ANDOVER o Certificate of Occupancy $ Building/Frame Permit Fee $ cMusE� Foundation Permit Fee $ ' Other Permit Fee $ - Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works Anita L. Poyaht Permit Coordirtator/Customer Service POYANT SIGNS INCORPORATED 2812 Acushnet Avenue New Bedford, MA 02745 1-800-544-0961 (508) 995-1777 (508)995-6114 Fax i Creative Visuallrnagery Since 1938 CO d w O Z Q S w O Z C Oj m a 01 ZE v p N Da C 3 O L O U N CL CO c O o U � W C V- U N � T U a -J w cn � m c a � m c � LL O Z L t L 0 •� O a Cl) N od w ai CL 0 Z-� N > o C/)O WCL CL N c Q co *k �" U — O U) U N O �' Z U N Q Z O OCO I}— c p ui O W fL o ~ Osw W o r rn -C c v� YX -a. N o rn > 0.; c «r !A Fin a, 0 3 O o N co a� T v o N !V UJ N U) CD to N O LLCL O O W E O H U L En o am C N fl. to m O a H.r- 0 L °: 1 N Da C 3 O L O U N CL CO c . /r �ijy�r• � p rl�'� .�-. U. 1 m 1 -I T cn N v 3 n m X R o' o N 1 � o � 0 D Z o v N co 14. 1 C O n 0 ✓� m o ^ 3 0 , m 3 co CD N o N V3 N �,CD v � o o �• -I T cn N v 3 n m X R o' o N 1 � o � 0 D 4� L U) � 0 L n Z O :3 =r o _? \4 O a N N o tai N 0 rt Q =r C O O N. 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