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Miscellaneous - 790 TURNPIKE STREET 4/30/2018 (2)
I i o { � c o � �aZ oma: ism o� o m o -mi: Town of North Andover D.B.A. — Zoning Compliance Form 978-688-9545 This form must be reviewed with the Inspector of Buildings. Office Hours are Monday -Friday 8-10 am, and 1-2 pm Monday -Thursday e - 61 Name of Busi Map Lot 00 Phone: �* 4� 3 —r Email Nature of Business: l v' e46 l Rd MOVI &Y - Do you own this property? Yes No inu ni.trint - `I l If no, written permission is required from your landlord. Will you have clients coming to this property? Yes V/No Will you have any employees? Yes 1/ No Will you have any major deliveries? Yes No Description of Business Activity (Must be Completed) Signature of Applicant V For Signage Refer to North dover Zoning Bylaw Section 6 The propose se is e in this zoning district. Issued By Date a&��� 'k e -3 &D see_ z 0 0 CE J v C � O h a 10013 Date'?."l / TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . has permission to perform .... .. ....... S!�- . , plumbing in the buildings of ..... at.. 7r D �1 Yg.H t -C S 1.. .6Z / .-11 .... ��. , jNorth Andover, Mass. Fee. :. Lic. No. l Zo2G �J. G PLUMBING INSP CTOR Check # k L(S 3 y P TYPE OR PRINT CLEARLY MA55ACHU5F_TTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY .��`'/_ MA DATE I/�'ln-,�...t? PERMIT : JOBSITE ADDRESS I ?IG +.✓,/�, ,r%" ..,_ tiOWNER'S NAMEi OWNER ADDRESS ` TELL 'FAY OCCUPANCY TYPE COMMERCIAL ,,.T EDUCATIONAL L,_,..; RESIDENTIAL NEW: [ RENOVATION: .I . REPLACEMENT: ice` PLANS SUBMITTED: YES L N0; - FIXTURES 7. FLOOR BSM ( 1 I 23 4 5 6 7 8 9 0 11 12 13 tr BATHTUB !—� , — „rte— ---d DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR / AREA DRAIN INTERCEPTOR (INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE / MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER I. I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES NO IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICYj4— OTHER TYPE OF INDEMNITY F —' BOND i.....i. OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER i _ AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the belt of my knowledge and that all plumbing Work and Installations performed under the permit issued for this application will be in com liance wi II Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME I ;LICENSE # l ? — -- - I �._,� 6 _.J SIGNATURE 4 7 MP - JP I_. CORPORATION L 41 _PARTNERSHIP #! LLC:. �1 ...____...._.. - COMPANY NAME' 2' - �.,�.,. �o �f : ADDRESS CITYtj!1!�/%li.._ -- -STATE ZIP I TEL r9v� FAX! CELL'— ' EMAIL -- y._ _ At 77 4 The Commonwealth of Massachusetts Department of Industrial Accidents `t Office of Investigations „ 1 Congress Street, Suite 100 .;°= Boston, MA 02114-2017 Print Form Ya n=ti'' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual): y6lvad 1.A -f <I n� Address: 90 "01-1 -,5 /State/ C)A\�(,3 r- Ma Phone #: Ll Are you an employer? Check the appropriate box: 1. PrI am a employer with I �L- 4. ❑ I am a general contractor and I employees (full and/or pat t -time).* 2. ❑ 1 am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ 1 am a homeowner doing all work myself. [No workers' comp. insurance required.] f have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance.' 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' coma. insurance reauired.] S6 - Type of project (required): 6. ❑ New construction 7. ❑ Rernode.ling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 1 1.0 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' compensation policy information. r 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 state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I ant an employer that is providing workers' compensation insurance, for my entplovees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Ly t._. ���-$ �� .�,� Expiration Date: (t'.' "' Job Site Address: %(/f4iAA r S- City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a tine 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 tine 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 cert& under the &ains and enalties o erLu- that thein ormation provided above is true and correct. 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 #: 10014 Date. TOWN OF. NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ...................... .....� has permission to perform .. �' `.�-'"� . `"' r" • ... . �R rC plumbing in the buildings of .....2 G ............ . �'� b � ► r ,l� `t tom. ........... . at.. Fee .......... Lic. No. �......... .... Check 4 M .3y PLUMBING ECTOR P TYPE OR PRINT CLEARLY FIXTURES 1 BATHTUB IRA COAt' ui v,%1r'NK1V1 Arrt_ICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITYy, I1!PaG_f _--.-- MA DATE Iµ z'IIS..... PERMIT JOBSITE ADDRESS I OWNER'S NAMEi -_ OWNER ADDRESS == TEL I OCCUPANCY TYPE COMMERCIALI�. EDUCATIONAL NEW: [ RENOVATION:-- REPLACEMENT: FLOOR- + I BSM 1 2 3 4 5 g 7 6 DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR / AREA DRAIN INTERCEPTOR (INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWERISTALL SERVICE,/ MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER I RESIDENTIAL' .... PLANS SUBMITTED: YES - NO, 9 �i0 I 11 I 12 13 14 ,,.,.wrw"'.r L UVtKAGE: — . ! have a current liabili insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YPS NO ;. IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY;: OTHER f-- .'; TYPE OF INDEMNITY BOND I, . OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. randSIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER i _ AGENT ereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of lily knOwlt dge that all plumbing work and installations performed under the pem,it issued for this application will bi in�Bance all Peronessachusetts State Plumbing Code and Chapter 142 of the General Laws.p nt provision of the UMBER'S NAME f !!a —. `� ��-��-� LICENSE # 1 WG_ I-;. NATURE MP JP I CORPORATION L# j (, PARTNERSHIP;µ # r_ _ LSC COMPANY NAME' - LcL ter_.,._ �•� ADDRESS_--- L_— CITY STATE ZIP y ��_ !} ( Q/ TEL' ?` - - - FAX CELL ' - EMAIL �( 3kw(11eVly(ZO6 Sc os 4 1 � r `, f •, 0 4 .i i :--f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 Print Form W ww. mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): f��t/l�t � �. �[v�� Address: Yo bo -'-Z -�' j :5 City/State/Zi 0i z �y, Phone #: Are you, an employer? Check the appropriate box: Prl am a employer with I �L-- 4• ❑ I am a general contractor and I employees (full and/or part-time).* 2. ❑ 1 am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ l am a homeowner doing all work myself. [No workers' comp. insurance required.] t have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance.# 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL C. 152, § 1(4), and we have no employees. [No workers' Type of project (required): 6. ❑ New construction ❑ Remodeling ❑ Demolition ). ❑ Building addition 10.0 Electrical repairs or additions 1 i.® Plumbing repairs or additions 12.0 Roof repairs 13.❑ Other t comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy informn atio. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities bare employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I ant an Zentplover that is providing workers' compensation insurance./or my employees. Below is the policy, and_job site information. Insurance Company P Y Name:�s �� �� )`�' L,-\ Policy # or Self -ins. Lic. #: w d_ "' f� �� 5 .C-1 Expiration Date: 10 j i .t�L .lob Site Address: 7qL/ ?l/(4 -O S j 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 tine 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 cern i under the .dins and enalties o er'ur , that the information provided above is true and correct. Official use only. Do not write in this area, to be completed by city or town official. City or Town: Issuing Authority (circle one): I. Board of Health 2. Building Department 6. Other Permit/License # City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector Contact Person: Phone #: �1 Q -Pe ,2vv t LA,�-- i Date ... �1 ........... ........... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...................... has permission to perform ................ y ... . ..... ...................................... ... ............. wm o . L a ng,in the building of.... . .... L .. TNS .. ........................... ........................................ Ul ........ 4– ..... . orth Andover, Mass. at ......... I ................ F-ee-iWw— Lic. No. ff .... ................................ . .............. . . ........ ... ELE CAL INSPECTOR Check ;This certifies that OF NORTH ANDOVER "N L5 ...... .... ............. ................................................................................. as permission WA -A h ssion to perform ..... ......... .................... . ............................................. firing in the building ofd..:.............. .......................... at --79D-N-IA ......................l...................................................... North Andover, Mass. Fee ............. C. 1*'IOA,Y�' ............. - PCrRI . . ............ . "A' L, ..... INSPECTOR Check 0,Y) 11582 oil Date ..'!q ....... ................................. ;This certifies that OF NORTH ANDOVER "N L5 ...... .... ............. ................................................................................. as permission WA -A h ssion to perform ..... ......... .................... . ............................................. firing in the building ofd..:.............. .......................... at --79D-N-IA ......................l...................................................... North Andover, Mass. Fee ............. C. 1*'IOA,Y�' ............. - PCrRI . . ............ . "A' L, ..... INSPECTOR Check 0,Y) 11582 oil _ tfPnlntonlUaa&L of Va:ijachiulelb. OfficialUse a1JaP as t±ntenl o Cpp�ira �aruice3 Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK, All work to be performed in accordance with the Massaclmsetts Electrical Code (NEC), 527 CMR 12.00 (PLEASE PRTAT 17V JAX OR E ALL INFORA14TIOA9 Date: City or Tozvn of: ,c,F/ a - To the Impector of Mires. . By this application the undersign1_dd_gP_'1ves notice of his or her intention to perform the electrical work described below. Location (Street & Number) % 9d Owner or Tenan t J Owner's Address Is this permit in, conjunction with a building permit? Yes L-+ No U (Clieck Appropriate Box) Purpose of Building Utility Authorization No. Existing Service New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Amps / Volts Overhend ❑ Undgrd ❑ No. of Meters Number of Feeders and AmpacitT- ,- - Location and Nature of Proposed Electrical Worlc: ✓L Cmmnlalinn nrd— fnllm"Eno 1-hipr,r , A. ,a., J t... rI._ No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans NO' °f Total 'Transformers KVA• No. of Luminaire Outlets No. ofHot Tubs Generators ICVA- No. ofLuminnires Swimming Pool Above [I In- El rnd. i-nd. o emergency rg ting Bntte 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 InitintinE Devices No. of Ranges No. of Air Cond. TDtal Tons No. of AlertingDevices No. of Waste Disposers beat Pump Totals: -Number _Tons 1CW o. of Se1t�Contained Detection/Alerting Devices No. ofDislnvasliers Space/Area Pleating IOW Loc.,11 ❑ Municipal Connection ❑ Other No. of Dryers No. of Water KW Heaters Heating Appliances ICW No, of No. of signs Ballasts Security Systems:" No. of Devices or' I; uivalent Data Wiring: 3 No. of Devices or I✓ quiv.ilent No. Hydromnssage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E quivalent OTHER: Attach additional detail ifdesired or as required bit the Inspector of I-Yfre. Estimated Value of Electrical Work: yOc7' ()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 un] es 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:) 7 certify, Hinder site pouts and penalties ofper�ury,t/rat the ittforn,titiott on Ibis ilpp ,c 'on is trite niid coluplete. ' FIRM NAME: %, %A v G'p C. NO.: Licensee: - Signatu LIC. NO.: (If applicable. enter "exempt" in the license number line.) Bus. Tei. No. - - - Address: �� i1a/S� L�y2�k�riT /,yi/-1(r� Alt.'b'el. No.• 7y/$ *Per M.G.L. c, 147, s. 57-6I, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware dint 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 V Telephone No. r �1 1� H [ra - E C S - Ln .. .. ® a. �.a -Eri tea w P�e4e-"Ir" 47D i e110 �01 LfbAk3 t�e 5 y ew 4D - LM bI l'JC� ' -Cc) CJ pet ;�Il j v w� �I �� � ���I�� M S�-�� �� *211274450* 0/30/2013 ,,000000702732691 This is a LEGAL COPY of your check. You can use it the same way you would use the original check. RETURN REASON (A) NOT SUFFICIENT FUNDS Cash Letter 1 of 1 Bundle 1 of 1 Item 1 of 1 mNSr------___---� ---_ _ ------ ----- -- ra O ROBERT P JR 7ENERIELLO r9 ru PO Box 246 Ln r� Ir MALDEN MA 02146 -"If ru Ul M Ei c O Poy to the Order -0 n r%- OAd o m %.nkofAmerica 0 r.R 0 0 AGM RR o,1OMM C3 mt di1:0 i 1000 &38I: 0046 24089 76 2POO 200 moo... NSF 200 1� 63-131110 AM B8Tt4 'emote $ 0 Z 41:0 11000 L 381:0046 24089 76 2u'0 200 11100000 12 500,1' v v ru o v v ru w t✓ � L, sm ru 0 ru 555 305 094$1 Eo-' 20130521 0000000Q� W x}069762 Ttj� *Eb$ 2014QW CP 004624( Nort& �3G �6�8 i2 �p bl T wNI ,Pve-�OMamS 0135 93003 !:;(942 r Ln r <orooyor O G O O OWv O,UN O G . y a N N ~ -o C3 -0 0 Ca 01 LM I in C3 C3T G 1 �0 1 cr Ln ru ru -0 ru 0 .D U-1 r � w w 1. 11 r wu N w W W W W N, Q' r n I 0 '4 Do not endorse or wrb below this line.l O L- L-' w W ru 0 L -i t✓ Lri L -i 0 0 � 0 f 0 u 0rr 00 0 C3 O- O r u O r O w 0 D2 O O 0 O � � ru O .A 0 .A co ru 0 ru Ln ru Ln .JEncrN,p-� ril N,W nJ w ru ru ru W m cr C3 Er Er •0\-%irLi-iru �n.1-i0-10 O f✓ E' t -r W W w •� Bank #3 ACCT# 8245912840 DATE: 05/30/2013 America's Most Convenient Bpnk® 800-747-7000 TD BANK NA P 0 BOX 1377 LEWISTON, ME 04243-1377 TOWN OF NORTH ANDOVER DEPOSITORY ACCOUNT 120 MAIN ST NORTH ANDOVER MA 01845 THE FOLLOWING ITEM(S)THAT WERE DEPOSITED INTO ACCT # 8245912840 HAVE BEEN RETURNED UNPAID. WE HAVE DEBITED YOUR ACCOUNT AS INDICATED BELOW. THE ASSOCIATED FEES WILL BE REFLECTED ON YOUR MONTHLY ANALYSIS STATEMENT. IF YOU HAVE ANY QUESTIONS OR CONCERNS, PLEASE CONTACT US AT THE NUMBER LISTED ABOVE. CHECK# DEPOSIT DATE CHECK AMOUNT REFERENCE# RETURN REASON 200 05/28/2013 125.00 773098236 NON SUFFICIENT FUNDS TOTAL ITEM(S) I TOTAL AMOUNT $125.00 *211274450* 13 00 000702 � 269 This is a LEGAL COPY o/Your cWZY YOU C. Use use it the same ' would use the ori final . �._.. ick. 9 C3 ROBERT P J -- --- _ Ln ni N% PO Hox 2+6 R »RIEL�O _ NSF aN "4"'EN MA oZ7,� ,. p. Sto C3 O de c the . � ss.t��o ti � o e esn� C3 3 m aa!kofAmerica 13Z ..t rq, mr fa, ...... .�tt/! D dl .0 j iOpQ � 3Sr. 0046 2 r-- ... .• 200 � This certifies that has permission to Date .5..[JQ.k� ......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING IL 0 ... . . .. .... ....... ......................................... . ....... .................................. .. ..... ... ............... ............................................. L A61, wiring in the building of................ at C) .... . ....................... . ...... . Andover, Mass. Fed��:;�� ....... Lic. No. ...... .... ..... EL XmC�AL SPE Check # 16 2 3 ;A -0 - Commonwealth of Massachusetts Department of Fere Services a BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. 1 (/ Occupancy and Fee Checked [Rev. 1/071 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (NEC) 27 CMR 12.00 (PLEASE PRINT WINK OR TYPE ALL .INFORMATION) Dater 3 City or Town of: NORTH ANDOVER To. the Inspec oY of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described bell Location (Street & Number) % ?6 T�i r I,- ,p ([L- ¢<-.-ee-+ CRD Owner or Tenant PC, r+n `r < L 6 Telephone No. f' idr-e /S �-2557- Owner's f%Owner's Address j 3 o /V ccs j3vS -Fpl. Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building tfC," C J e- L 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: 3< � F ac r - Or 4,..;4 lS C! 4k 6 i.. a1__ -.- _rrrr_•. No. of Recessed Luminaires --•• �••-••.-.. , .....,.,r.v- b No. of Ceil: Susp. (Paddle) Fans LW. /.., y uc V,... m" Vy {/{e l r;civr Vf rr{/eJ. No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ o. o mergency ig ting rnd. rnd. Batte Units acle Outlets No. of Oil Burners FIRE ALARM S No. of Zones Fofftitches No. of Gas Burners No. of Detection and /Initiatin Devices No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat pump Number Tons KW ...................... No. of Self -Contained Totals: Detection/AlertingDevices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Water No. of No. of No. of Devices or E uivalent Heaters KW Signs Ballasts Data Wiring: No. of Devices or Equivalent Nod Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent OTHER: 3 '�- �. Attach additional detail if desired, or as regidred by the Inspector of 97res. t Estimated Value of Electrical Work: o? -*10 0 (When required by municipal policy.) r' Work to Start: S Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE O RAGE: 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: INSURA=NCE M' BOND ❑ OTHER ❑ (Specify:) I certify, under tlt pains and penalties_ of per ry, that the in/bimation on this application is true and complete. r FIRM NAME: Cor D r-Ae- e r t- A' 4- �, ,, s �A C.. LIC. NO.: 1V iii `� -33 Licensee: �C� ;z� Signatur - LTC. NO.: (Ifapplicable, enter "exempt " in the licWse number line. Bus. Tel. No. • 9� Address: o � ej v ; 4, d� /1/% elk 9 Alt. Tel. No.:•9 7P- a *Per M.G.L c. 147, s. 57-61, security work requires e ent of Public Safety "S" License: Lic. No. OWNERS 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. ARIMIITFEE. $ ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance with the provisions of M.G.L. c. 143, § 3L, the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall.be limited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending through August 15, 2012. ❑ Rule 8 — Permit/Date Closed: * * * Note: Reapply for new permit ❑ ❑ Permit Extension Act—Permit/Date Closed: Trench Inspection Pass M Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: A Inspectors Signature: Date: SERVICE INSPECTION: Pass 0 Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass M Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Pass ❑? Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: FINAL, INSPECTION: Pass 0 Failed Re- Inspection Required ($.) ❑ Inspectors Comments: —2— Inspectors Signature: Date: DEB WEINHOLD ...TOWN OF MERRIMAC, MA........dweinhold@townofinerrimac.com The Commonwealth of Massachusetts - Department oflndustriglAccidents Office of Investigations 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Orgaaization/Individual): ( Cfor po r r i C1R j ��'s it e- . Address: d2 ���• r t e tom` e City/State/Zip-bone Fby�a 1VA 61 y Phone #: % 9 E Areyouan employer? Check the appropriate box: - Type of project (required): 1.1-! l am a employer with 8 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time) .:'� have hired the sub -contractors �• Remodeling 2111 am a sole proprietor orpartner- listed on the attached sheet. + ship and'have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance, g• ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.n Electrical repairs or additions required.] 3. ❑ X am a homeownerdoing all work officers have exercised their right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp; c.152, §1(4), and we have no 12.❑ Roofrepairs insurance . re uired required.] i employees. [No workers' . 13.❑Other comp. insurance required] "Any applicant that checks box#1 must also fill outthe section below showingtheir workers' compensation policy information. 7 Homeowners who submit this affidavit indicating they a're doing all workand then hire outside contractors must submit anew affidavit indicating such. tContractors 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' ompensati information. � on insranc for my employees. Below is the,policy and j site .� sSac.,��:��� rccy,- Insurance Company Na*nP ,` Policy Mor Self ins. Lie. #: �4�' M Z �Ko 055) j 01.2 o r ,�L Expiration Date: / Job Site Address: > i v t� rV_k P11" f 57 l -e- City/State/Zip: A/Ar AA Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL 0.-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 AIA. for insurance coverage verification. Ido hereby cert ndeyhepains andpenr#es ofperjury that the informationprovided above is true andcorrect. Phone #•.P-6 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. CitylTown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other - - - Contact Person: Phone l s a r . dbM 0NWE.ALTH OF MAS Ai 9Ij It x _ : ELECTRICIANS A REGISTERED SYSTEMA TECHNICIAN 18SUEsS THE ABOVE LICENSE O _ z Y � MARK R)GAUTHIER C o, 73 MELENDY ARD n f 4 • r�Ikt ' -HUDSON ' M-; N H 0 3 9 51'-,4.4 3 4 ,�.. j 2172 D 07/31/13 826G93`` • .. • .q i ! Date ....... ~....1..?.- .. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that........................Cr'9.�L...'�'...... has permission to perform ................ j tiT�U''� b�c.................................................................. wiring in the building of........© .."U2rr> ��k c J ................................................................................. at,., .................`. .....t...P .S ............................ ., North Andover, Mass. .-moo Fee..). "... Lic. No.. E �b�%�................W',�..........'� .'..r ...:....... ........:.... ELI CmcAL INSPECTOR Check # � � 11575 C� Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. 1 /X7,5` Occupancy and Fee Checked [Rev. 1/071 (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 ) FORMATION) Date: 5- 1 O 13 City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention toperformthe electrical work described below. Location (Street & Number) -7 �} . [ *2�1 �� C t^< / �re (Ll FQ Owner or Tenant k -S Pptl'rjU fn S Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes nj-"'No ❑ (Check Appropriate Box) Purpose of Building Q F f t CG Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ New Service Amps / Volts Overhead ❑ Number of Feeders and Ampacity No. of Meters Undgrd ❑ No. of Meters Location and Nature of Proposed Electrical Work: IOIRP, (C e_&ocj ,% Ad A Lui�� c Comnletion ofthe following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires -3-S Swimming Pool Above ❑ In- ❑ rnd. rnd. o. o me�g ting BatteryUnits its No. of Receptacle Outlets _3 .. No. of Oil Burners FIRE ALARMS No. of Zones No. of SwitchesNo. S of Gns Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Tons Tot 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 ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* 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 E uivalent OTHER:( iL °�C► S� ivS A f -A SW mon t v ( 'U h Sa N Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: ,o' (�S�a (When required by municipal policy.) Work to Start: S - (S _ l 3 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 insurpice including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such c=ONDE] m force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OTHER ❑ (Specify:) Icertify, itnder thepain nd penalties ofperjury, that the information on this application is true and complete. FIRM NAME:,. d<ti - rt-' c LIC. NO.: O A Licensee:I'AEui e ,, /� 5e P\ m.,g Signature q. LIC. NO.: (If applicable, enter "exempt" in te license number line) �(� Bus. Tel. No.:Q 7,? - ?75.3,F S/ Address: S.A � j t� 13, ( /% Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance with the provisions of M.G.L. c. 143, § 3L, the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall be limited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending through August 15, 2012. ❑ Rule 8 — Permit/Date Closed: *** Note: Reapply for new permit ❑ ❑ Permit Extension Act — Permit/Date Closed: Tench Inspection Pass n Failed IN Re- Inspection Required ($.) ❑ ispectors Comments: r spectors Signature:Date: VICE INSPECTION: ss 0 Failed Re- Inspection Required ($.) ❑ Inspectors Comments: . Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: �7 Pass Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Pass 0 % Failed 0 Re- Inspection Required ($.) ❑ Inspectors Co ts:CG��j / J__-17-13 Inspectors Signature: Date: rINAL INSPECTION: Pass Failed Re Inspection Required ($) ❑ nspectors Comments: Inspectors Signature: Date: :13 WEINHOLD ... TOWN OF MERRIMAC, MA. .......dweinhold@townofinerrimac.com I J t:C The Commonwealth of Massachusetts Department ofIndustrigl Accidents Office of Investigations 600 Washington Street Boston, MA 02111 UV www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: usA G R ) d)e_- Q Gl City/State�p: L3i 11en)&A /)1,6<i�� Z Phone #: �--- Ar�yan employer? Check the appropriate box: Type of project (required): a employer with 2� 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* 2. ❑ I am a sole proprietor or partner- have hired the sub -contractors listed on the attached sheet. # �• El Remodeling ship and'have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. g, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] 3111 am a homeowner doing all work officers have exercised their right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roofrepairs insurance required.] t employees. [No workers' 1311 Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they ace doing all work and then hire outside contractors must submit anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. 1 _C Insurance Company Name:.T ( P1 � (�� Uk An- ) ' Policy # or Self -ins. Lic. #: 6 � � Expiration Date: </` Job Site Address: D 1 c Y�/`� i City/State/Zip:�1J �JA,I1a iJi. /V14 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 above is true and correct. —/4�1— 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. EIectrical Inspector 5. Plumbing Inspector 6. Other - - Contact Person: Phone #: Informati®n and Instructions - Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced -acceptable evidence of compliance with the insurance coverage required" Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of investigations has to contact you regarding the applicant. " Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current z policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)" A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permitto burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston., MA. 02111 TeX. # 617-727-4900 oxt 406 or 1-877rMASSA.FB Revised 5-26-05 Fax ## 617-727-7749 v WW-mass,gov/dia 6 6 �- Date../ ........................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... ........ . ............ ; ....... I ................. has permission to perform ..... .................................................... I wiring in the building of ...... ........................................... My at ........ .......... North Andover�Mass ; Ule Lic. No/-".97��.. k1I .41 .. I 7X-ZZA--L- INSPrEill Check # r-673 (Ldll111y1Uff1VVt: ff"ff QUA A'drdS.92dti3Oddd��66� Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Permit No. l Occupancy and Fee Checked [Rev. 1/071 (leave blank APPLICATION FOR PERIL H TO PERFORM ELECTRICAL WORK • All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT .INMK OR TYPE ALL _ NFORAMTION) Date: r4. --LI -/ o City or Town of. laT®RT1H[ 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) ?L;) i�> T, (J P I ke ec Owner or Tenant �. r, W i Y! �_� ► rzy Ocz p� �' Telephone No. Owner's Address Is this permit in conjunction with a building permit? 'Y'es P---�No ❑ (Check Appropriate Box) Purpose of Building r, &I , jZ ,Lp C 4E(7\C..e Utility Authorizatibn No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Number of Feeders and Ampacity ` Location and Nature of Proposed Electrical Work: (Z t�� J b ���'��o (�'�, t t-- Id I L C- 9•'! ul�l G I � G.� ' r'.,!e fim, of thv Mllnwinu tahle may be waived by the Inspector of Wires. No. of Recessed Luminaires No. --� ,- No. of Ceil: Sus . addle Fans (Paddle) _Transformers -- Tr s Total KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above In- Swimming Pool rnd. Rrnd. No. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Detection and No. of Switches No. of Gas Burners Initiatin Devices No. of Ranges Tot No. of Air Cond. Tons No. of Alerting Devices Heat Pump Number Tons KW No. of Self -Contained No. of Waste Disposers P Totals: Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW P g Local ElMunicipal ❑ Other Connection No. of Dr ers Y Heating Appliances KW Security Systems:''- No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. H dromassa e Bathtubs Y g No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attacn aaawonat aerau g aestreu, or us reytureu uv crze irtbuu6, , vj rr .. Estimated Value of Electrical Work: , G} s U d G J (When required by municipal policy.) Work to Start: 9 -'ZU - (0 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 GOND ❑ OTHER ❑ (Specify:) Lr 61 Z! I I certify, under thepains andpenaldes ofperjury, that the information on this appl' ation is true and complete. FIRM NAME: S n� �•- P Tn L LIC. NO.: Licensee: %%Q,,,, p( S d� An ^J Signature LIC. NO.: / 7 p R:74 (If applicable, a er "exempt in the license number lin) Bus. Tel. No.; 6:7T k�Z )� 8 Address: AS A f?rt l ell t. ¢��,1�v (e A � A Alt. Tel. No.: *Per M.G.L c. 147, s— 5 6 security work requires Department of Public Safety "S" License: Lic. No. ��4 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's Owner/Agent PERMIT FEE: $ Signature Telephone No. The Commonwealth of Massachusetts Department of Industrial. Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly I Name (Business/Organization/Individual): S ch#� Iti 61 -err l flX Address: City/State/Zip: tl, t k f v'11 CA Phone Are yo n employer? Check the appropriate box: 1. I am a employer with t 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. I ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 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. emodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.0 Roof repairs 13.❑ Other *Any applicant that checks box 41 must also fill out the section below showing their workers' compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, lContractors 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. . A -m i Insurance Company Name: / (I cl Policy # or Self -ins. Lie. #: 6M 77SD aZ :7 Expiration Date: q — Z q— 1 Job Site Address: 9-0y G ('2iu kc SJ S Lal l D �1 — City/State/Zip: /U AA, .iLc,p 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 pffjury that the information provided above is true and correct. --_:5 e7 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 #: 12/10/2008 12:30 6788022402 ANCHOR BILLING 1091 Windward Ridge Parkway Bldg. 30.x, Suite 1.70 Alpharetta, GA 30005 Phone: 678356-0188 Phone: 800-841-1233 Fax: 678-356-0182 PAGE 01 U,--"-1.ed We Know. FoxI I p\,,le 6(411 To; From: GAIL MAUME Fax: 978-688-9542 Pages: 4 Phone: Date: December 9, 2008 Re: Building Inspection CC: Good Afternoon, Attached is the completed Business corm for UroMed, Inc, which recently located a satellite offioe at 790 Turnpike Street in North Andover, MA. I am not able to provide the "Zoning District". I queried the website without success. I have included the building layout of the second floor that was provided by the landlord of 790 Turnpike St. Please let ine know if there is additional information that you require. Thank you so much for your assistance. Gail Maume, Dir., Regulatozy Compliance t�ejerk llo� �61e J�- '&i c6 -9s D( The documents accomparrying this transmission contain confidential health information that is legally privileged This it formation is intended only for the use of the ind h4dual or entity named above. The authorized recipient of thiv information is, prohibited from disclosing this info mxion to any other party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of these documents is strictly prohibited If you have received this information in error, please notify the ,sender immediately and arrange for the return or destruction of these documents. f f5 _ - 6q'e6--- 12/10/2008 12:30 6788022402 ANCHOR BILLING Dec 09 08 01:55p NORTH FlNDOVER 878GO09542 �MptM Va b•+ • c NORTH ANDOVER BUILDING DEPARTMENT 4c 1600 1600 Osgood Street North Andover Tel: 978-688-9545 Fax: 978-688-9542 A=Nm, FD FO TOW Czum SATE: lecc." �c ZBBp' NAME: /o"wc,e � ,l e - PAGE 02 P.I ADDRESS: ik/e :rt � Ze-a-1. blervh 4nao%r ry!A Dl^, - ZONING DISTRICT: 1 w3��m TYPE OF BUSINESS: MCW, BUILDING LAYOUT PROVIDED: ►' ES AVAILABLE PARKING SPACES: c>970 ZONING BY LAW USAGE: rYy O BUILDING INSPECTOR SIGNATURE 9USINESS FORM FOR TOWN CLERK 12/10/2008 12:30 6788022402 Dec t79 08 01:55p NORTH ANDOVER ANCHOR BILLING 9786889542 PAGE 03 p. ^c 2.40 home Occupation (1989/32) An accessory use conducted within a dwelling by a resident who resides in the dwelling as his principal address, which is clearly secondary to the use of the building for living purposes. Home occupations shall include, but not limited to the following uses; personal services sack► as furnished by an artist or instructor, but not occupation involved with motor vehicle repairs, beauty parlors, animal kennels, or the conduct of retail businem, or the manufacturing of goods, which impacts the residential nature of the neighborhood. 4. For use of a dwelling iu any residential district or multifamily district for a home occupation, the following conditions shall, apply: a. Not more than a total of three (3) people may be employed in the home occupation, one of wbom shall be the owner of the hoxrre occupation and residing in said dwelling; b. The use is carried on strictly widtin the principal building; c. There shall be no exterior alterations, accessory buildings, or display which are not customary with residential buildings; d. Not more than twenty-five (25) percent of the existing gross floor area of the dwelling unit so used. not to exceed one thousand (1000) square feet, is devoted to such use. In connection with such use, there is to be kept no stock in trade, commodities or products which occupy space beyond these limits; e. Tbore will be no display of goods or wares visible froth the street; et; f. The building or premises occupied shall not be rendered objectionable or detrimental to the residential character of the neighborbood due to the exterior appearance, emission of odor, gas, smoke, dust, noise, disturbance, or in any other way become objectionable or detrimental to any residential use within the neighborhood; Any such building shall include no features of design not customary in buildings for residential 9 o�/rrJ Sims re Date 12/10/2008 12:30 6788022402 ANCHOR BILLING PAGE 04 00 r q 1 U3 W p im N M - 0 % A 's N O 7 � Cn M o N O so y M y to ,e% M► e�ii in w M 9 �4nao w v1 #^ as m a o �U 3� V n 7 H A d N M .w M � V w Ap w M w O a DEC -09-2008 16:01 From:PRODUCTION 5087865222 To:9786%9542 P.2/4 Mall OPOIcatlon along with ,Altkd Payment and voided Chock. II oppllanblo to: FAST LANE Service Center 27 Mldglate Drive, Auburn, MA 01501+1939 or FAX to 1.609-788.5222 For assistance, p1eab9 call 1101141`891.877-627-7745 PLEASE PAINT OR TYPE +— IMPORTANT Join MndSPikc's FREE r-Trrveler service todaY!'r0 join, visit www,marspike.com Ller all ven;aoa ihol will ac uming vow FAST Uttar- I14M. orWar (rtnylraptl of 4 Iran xtaoroper aacglnp AMJrIRder Olwn ryaaatp to Malec Usti veh" Room '1010 "1 you m im Ilia In Ioa01 ono vah1010 for eerie fion andar rOqueeled eq.sk.re. r Ne1nMe to lee Rd las setae II.e,I IlMsee Paa 1ldmsalist3 (1Norm'NOR LCI GNBg PLATE N0 PLATC TYPE STATEMAI(COPYENICLE MODEL YEAR tiN RTANT "* Ae It cRlM lie Year tulltele lows Nell ; -- _ _- Transponder i (MAXIMUM 4 TRANSPME-FIS PER AC000NT1 - - Rnt(up1 Ntanbw of INTERIOR tmMpondore egttamed _ w 1t $26.05 Number of EXTERIOR 11111111"re mWoeted _._._ s IMA4 Tall Payment `Q QPTIONODlreet PAymerrt from Bank Account (Checking Accounts From All Blinks An AcOW01) Opine I ' YGIA outhe"10 the MD"Mnueeta Tarnplko Aufhodry ro "finish your PAST LANE 0000unt by outom nicany debiting the (eh$ON Only 6111111) I nacoeo" amount from your bank account whenever the beliff a in you 0400imt falls below 010, r*pw ildhing yo edCcunt to o balence of 320 You acknowledge that the MTA rni $*view periodically filo activity In your 000nunl and adjust your $ 20 replenishment amount, h PPPiksble, to mora 44CUMl*y $01100 the average MOM111y costa Incurred by you (A Yoked she& from your anooking account must *000mp" this eppikafton.) By Chewing Option e, yell Ilaeby authorize the hfote*chu. doffs TurnpikeAtdhody (MTA) to InMoto dabn entree Imm your bank account, 11tis authorization Is to remain In loll lame and affect until the MTA has recelvaa wirmn notlffcatian of no Ionalnadon M Sign tkne and in such manner as to afford the MTA maeanable aptaduniy, to got on n. IOPTIONt Credit Caro Payment with Automatic Account Asplenlehnem You authorize the Ma*o*ohu**ule Tumplka Authority to replenish your FAST LANE account by automadcaly billing the 1 noeroesery a"OrM to yourdradt caro wnenavm the balance In your ficomrn falls below SIO, mpisnlohing your account to A $ 20 + balance of 1120• You acknowledge that the MTA may review peritdlact y the DMIVly In your account and adjust your roptenteh• MOM amount, u epplle01% to mss accurately effect the aveege MOnihy odea Incurred by you, [] OPTIONt� Manuel Account Reptighbo NllMt Y011 wilt Oe* a yellow "Low BOW' fight In fro FAST UTNE when your FAST LANE account balance falls below 810; this Yellow "Loi Balance" 41CM Indicates that you will need to ePlonlslu your 0060wit by eondng a chock or making a 00"m $ 2O at ono of Ina FAST LANE GeMoe CemtersThia warning wol rotutl In the Iseumtce of u violation n the accaurd balance falls below $0,04 ael*m torol of payment used for Inhlsi Paymont 0 Cretlll Card 0 Cheat (Payable 10 FAST LANA A"If Old I CREDIT CARO Aequked for Initial P*ym 1`m If tdlootmg Option C. I_.1MC Cl VILA ❑ DIBC 1`j AMEX crop en fkimosr II�''' Iii''11II I a.L_I,r—J I .have reed the information on this epp6a6lion, Including the forms and condidexle. I autnodle payment et, Authelfall cit selected, and certify that till information contained In Ina application M true and accurate. OURT0101 eleNA UR6 Rfd0Ulndn' pATL IMPORTANT NOW F"T LrrAN$ WORK! FAST LANE provides customers with *IOolronlo all collection through the use of a Imnepander, A Irenependor Is o small sleetronla devlaa that 11111111011811110 rhe Inside oI Vow tent whtdehlilld. Ad you paep'through a doelgfMted FAST LANE, Ino transponder In reed, a green',ThonMU,, fight Is fleshed, and your PAST LANE Ironesctlons are autamolloslly ' TMJ eddrdad In your PAST LANE wacum. HKa APPLICATION FOR INDIVIDUAL ACCOUNT Pleea note, Ibis Appllgetlon Is for prlvalMy owned at Iaand 3'alle, 4-11he vehlshs only. Oparaloro of VdnlCIOS with more than 4 drat, or vahleloo with Ilvory, ta.l, or other commercial flames pimliq www.maesplke Dom 1-a7.MA69PIKC 0houdd call tomme at 1-a77-aU.7746 to etwlve a Commoralol Business Account Application, M41YI-1r774tu' %join onnneYwitwwwaiNUM1ka,aom gt0leiric • 4 DIQrr PBPaONAL PIN NUMeMH — Personal (edea Orr I rwhfin to Kuru par mum t oiftyen owns a ever 1M owa) lMemngtion s I I G A G Mall OPOIcatlon along with ,Altkd Payment and voided Chock. II oppllanblo to: FAST LANE Service Center 27 Mldglate Drive, Auburn, MA 01501+1939 or FAX to 1.609-788.5222 For assistance, p1eab9 call 1101141`891.877-627-7745 PLEASE PAINT OR TYPE +— IMPORTANT Join MndSPikc's FREE r-Trrveler service todaY!'r0 join, visit www,marspike.com Ller all ven;aoa ihol will ac uming vow FAST Uttar- I14M. orWar (rtnylraptl of 4 Iran xtaoroper aacglnp AMJrIRder Olwn ryaaatp to Malec Usti veh" Room '1010 "1 you m im Ilia In Ioa01 ono vah1010 for eerie fion andar rOqueeled eq.sk.re. r Ne1nMe to lee Rd las setae II.e,I IlMsee Paa 1ldmsalist3 (1Norm'NOR LCI GNBg PLATE N0 PLATC TYPE STATEMAI(COPYENICLE MODEL YEAR tiN RTANT "* Ae It cRlM lie Year tulltele lows Nell ; -- _ _- Transponder i (MAXIMUM 4 TRANSPME-FIS PER AC000NT1 - - Rnt(up1 Ntanbw of INTERIOR tmMpondore egttamed _ w 1t $26.05 Number of EXTERIOR 11111111"re mWoeted _._._ s IMA4 Tall Payment `Q QPTIONODlreet PAymerrt from Bank Account (Checking Accounts From All Blinks An AcOW01) Opine I ' YGIA outhe"10 the MD"Mnueeta Tarnplko Aufhodry ro "finish your PAST LANE 0000unt by outom nicany debiting the (eh$ON Only 6111111) I nacoeo" amount from your bank account whenever the beliff a in you 0400imt falls below 010, r*pw ildhing yo edCcunt to o balence of 320 You acknowledge that the MTA rni $*view periodically filo activity In your 000nunl and adjust your $ 20 replenishment amount, h PPPiksble, to mora 44CUMl*y $01100 the average MOM111y costa Incurred by you (A Yoked she& from your anooking account must *000mp" this eppikafton.) By Chewing Option e, yell Ilaeby authorize the hfote*chu. doffs TurnpikeAtdhody (MTA) to InMoto dabn entree Imm your bank account, 11tis authorization Is to remain In loll lame and affect until the MTA has recelvaa wirmn notlffcatian of no Ionalnadon M Sign tkne and in such manner as to afford the MTA maeanable aptaduniy, to got on n. IOPTIONt Credit Caro Payment with Automatic Account Asplenlehnem You authorize the Ma*o*ohu**ule Tumplka Authority to replenish your FAST LANE account by automadcaly billing the 1 noeroesery a"OrM to yourdradt caro wnenavm the balance In your ficomrn falls below SIO, mpisnlohing your account to A $ 20 + balance of 1120• You acknowledge that the MTA may review peritdlact y the DMIVly In your account and adjust your roptenteh• MOM amount, u epplle01% to mss accurately effect the aveege MOnihy odea Incurred by you, [] OPTIONt� Manuel Account Reptighbo NllMt Y011 wilt Oe* a yellow "Low BOW' fight In fro FAST UTNE when your FAST LANE account balance falls below 810; this Yellow "Loi Balance" 41CM Indicates that you will need to ePlonlslu your 0060wit by eondng a chock or making a 00"m $ 2O at ono of Ina FAST LANE GeMoe CemtersThia warning wol rotutl In the Iseumtce of u violation n the accaurd balance falls below $0,04 ael*m torol of payment used for Inhlsi Paymont 0 Cretlll Card 0 Cheat (Payable 10 FAST LANA A"If Old I CREDIT CARO Aequked for Initial P*ym 1`m If tdlootmg Option C. I_.1MC Cl VILA ❑ DIBC 1`j AMEX crop en fkimosr II�''' Iii''11II I a.L_I,r—J I .have reed the information on this epp6a6lion, Including the forms and condidexle. I autnodle payment et, Authelfall cit selected, and certify that till information contained In Ina application M true and accurate. OURT0101 eleNA UR6 Rfd0Ulndn' pATL IMPORTANT NOW F"T LrrAN$ WORK! FAST LANE provides customers with *IOolronlo all collection through the use of a Imnepander, A Irenependor Is o small sleetronla devlaa that 11111111011811110 rhe Inside oI Vow tent whtdehlilld. Ad you paep'through a doelgfMted FAST LANE, Ino transponder In reed, a green',ThonMU,, fight Is fleshed, and your PAST LANE Ironesctlons are autamolloslly ' TMJ eddrdad In your PAST LANE wacum. HKa DEC -09-2008 16:01 From:PRODUCTION 5087865222 To:9786889542 APPLICATION FOR INDIVIDUAL ACCOUNT Plea note, this APPlltitlon IA ler p►IVately Otamed or leased p•arle, +41m vahtelM only, operclom of vehldes wlth more than 4 Ilree, or vetrd" with INM ted. or other commercial ioonso pbtiea truxnd colt igiwmo of 1-098.626.3270 to recehre a Commercial Business Account Application. 701oln *soar VIER wtirwdnswlka can REOUIBEa - A DICK PENa0NA1• PIN NUMaER (sown mr a mhme.0 to maws yew smalls Wormo ion onAw a No me P. 3/4 Mall appllsotion okong with Initial Payment and volded'ehock, It opplhufble 10; PAST LANE Service Center 27 Midelate Drive, Auburn, MA 61601 1861 or FAX to 1.508.786.6222 For asaletanco, please call toll -tree 1488-626.3278 PLEASE PRINT OA TYPE AUTHORIZED CON1461' .-I.. I '"I+—IMPORTANT Jnin MaasPike's FREE e-Tirtiveler Rervico today! To,join, visit www,rnaaspike.eorn 7 l iia no vmylmop that will bo unit* your FAS r I.A* trunepondor (monmum of s trnnsoomfill tot occoum) RanlnrMr PYus rasstH�r u hitt* a M sq atria u It Plans nota that ytu hunt Ust of IOpet alta venlNp for each transponder r"41111011. alai m M Im isel Lot seam (how UMMO MI MWNO Lal LICENSE PLATE COLQN IF BPLCIALT/ PLATE, RtDICATf:TYPE MAKE OF yPFIICt E MOLL YEAR UCEN9EPlATENO• BTATt9 I I n s hEO. amEFN A.B. CAPE A ISLANDS _ 1 ! (MAXIMUM 4TRANSPONDERSPER ACCOUNT) Numbar of INTERIOR Imtlspondets requoamd It 00,65 I ' Nornbor of EXTERIOR hatropatdors roQuestsd _ x 630.04 OP110NPayment rrom Bank Account (Clinking Aacaants From All pane Aro A00AP10111) RI I.riYou aNhoria the Masslaftmotiellhmplke Authority to replenish your PAST LANG 00000111 by outonuttlMly debiBng the Nr�?• pecunfy amount from your bank account whana er the balance In your ecaounl Mie below $10, raplentehing your Account bolMnca of $20. 1bu w*nCwtodp that the MTA may review periodically the adMty to your Accamf and adjust you roplenlehment amount. if applloabto, la more accurately raged Ino avorago monthly costs Incurred by you. (A voided deck e l • r from your ctmakIng account must aaempany 00 application ) By C11000htg 0010n B, you horsey atdhorlze 1114 MaMMaehu- u sells TNrnptlte Authority (MTA) to Inglale oeMl erodes from your bank amount This aul odeailon Is to remail M full force r r and affect until the MTA line raceked written notification of no termination In suchtims and In such monner as to afford the l' MTA ►essormblo opporlunRy to act on 0. OPTIONO Credit Card Payment with Automatic Astound AWOnlshmad Y1tu cul arias the Massachusetts Turnpike Arnhoriy In replonlsh your FAST LANE account by automatically billing the necessary armint to yourcredp card whowor ate balance In your account lens below tilt, replenlsldng your account to a 20 IIj'i I '' ; balance of WO You acknowledge that the MTA may ro1Aow psrlaftafy the act" In your Account and ediuet your roplsnish mrd amount, a npplydaWo, to mors 000umisy reflect the average mOfNny Caste Incurred by yol., I' I I Irj1' ! t© OPTIONS Manual Accounl Replenishment I- I Yblt wit we a yellow "Win Balance" light In the FAST LANE when your FART LANE r>cca,nt belmlM faits below pts; lila yellow "LOW Balance' IIgrd Indicates that You will road to replenish your admiral by sanding a she& of making a paymentF 7,�' 00 ii:' i e1 oro of the FAST LANE Servlas Coolers This warning will result m the tseuenae of a viofollon If ba MODIMl tm:fm (Ole I.. 1.. below $0.no. 1:1 it 113 J''11; I ' 1 •INITIAL PAYMP.NT: "tome of the option you selected (B, C. or M and 7tanspondor dopocll (Bowl) -w -mumommmoo Select farm of peymont used for Initial Payment U Credit Card r„j Check (poyeble to FAST LANE) I CREDIT CARD Acquired to Initial Payment 11 choosing Option C. (� MC VISA (] OIBC ❑AMEX ':1rn h I CredkCard WOW n ED xPIRATIOM1111MMMMO j1' 11• a I have read the Information on this appllcatlon, Including tho forms and conditions. 1 authorize paymorn as q�Il tion selected, and corlh'that all Information contained In the application le true and accureto, ..t9•tI1117 i i CUeTOWNBIQNAT'UNU HLQUI140D — I DAT@ ;I NOW FAST LANE WORKS 1-'t• '; I r1. , FART U1N6 prowaos ouatomtxs with electronic roe cWleallon through the use of a hanepondor, A lranoponder Is I i I e small elecgtid0 deyla0 that uplio se to die Inside of your from windshield. As you pose through a designated FAST L.ANC, Ito transponder Is read, a green `rhankYou” light Is lied' Gashed, and Your fAGr LANE transactions are automatically j . p recorded In your FAST LANG account. 19 U 0 MI DEC -09-2008 16:02 From:PRODUCTION 5087865222 To:9786889542 P.4/4 The Medoecng4ono Tw*. ke Authei Vis ►'MTA') FAST 1ANE41 Program and the live al FAST LANE is umlied to patrons who torn the FAST LANE Program and maimdnlhalr eannum In 'grinIl stonaloo, and to valid members al r 7,Povs A FAST 1,ANC niasd0h (n'gheal ethmlhlo' in@ald a omfarl who Il) ndtndlmd a armlplimad FAST LANE hppllnelhfe to the MTA'e FAST LAN! Service Cental; l2) affixed the ►ASt IANE'Ifenlpo1de11011n seaorOsncsuAtiltho inelruotl0na provided; (3)m§InlAafe Ihsir aapodmt acermlt, With outfecienf belittle at all Uma to pay lot all FAST LANE fro sedda s; and (41 ilia the FAST LAND In ossoidonae whti dm FAST IANE Pmurent AOraocern atoll Iia MTA§ rogtdsllios 1, FAST LANE PROGRAM TERMS b CONDITIONS The ralhtwieu §rat Fife rums and ca+di lona governing The FAST UNE Program, which supersede any terms and cortifi iattryou may have previously reaohrod Thad forms and aot+AAiode, together with your application. Ammtituls Iia FAST I ANP Proginn Agramdiil; Plopse fund ell lir Ihv tannl and 41hmlhkhns and rid mmlfe apadotplsm prior In u§h+g a PASi' LANE transponder When o lrunopeador assigns to you Is goad, Vag §grog me falls" I TERMS al The MTA may, tot any time, nreptind or terminale your FAST IANE aaeaad, and/or electronically daectiaat§ vourFAOT IANE p0nennndndsf Int violollnn el applicable hiNSA rngalednns. nr Inn terms anti dtatdl11463 of the FAST LANE PfOaran Agiowtwm You shot/ remefa and by 0abla for ortanstm of all fmw psmlua@, collo: and mord§e owed pursue m to the tome 01 [his enticement. hl The MTA t@surwe rho ilgM ve raises any FAST UNE application nl It may n1 the Mtmd of this ngraomem urn declared or found to be illegal, unenforceable or void. then the MIA oaddw FAST LANE pktra11eh011 Ice folhwod of fill M11lprderle tmJpr that form The ramoindar olihe agreement shell be enforced to the fullael axiom pn'mlited by low R TRANSPONO11R IMAGE al Ymr ngrno /het Iho FACT LANE hnnspondsdd romaine rho property o11he MTA Thi§ (s doqutrad for IpenWAbllpYr w4n4Atythdrpesa,mat ia onhb0th a manherfstn tin ilia propor dluu000l If en inoperable transponder oboe vo i telufn it la ilia MiA. hl You acres to eflu the FAST LANE trmspandarle) in the vehictalol in accordance win the instructions pmridal in the PAST LANK tratmpomfnr kli, and to rise lisp IFmspondodef unty in the vehicles that fail have nailed all yeau ejbdlG dliatl and I4111e100 an necessary. Fallnra Ili do An may salclem yon tin if Vicla fon Firmal, a Ifldea•T0D N-ToR'1 Administrative Fee 'cl You ogro0 thatyou mow not use tiny designated FAST LANE union the Stagnate to properly, equipped with n FAST LANE iranssiotdur and mal vahinlo has boost luted lot or added In you eapllellian mill aaaninH, at You ack0avdiatge that you ore required to @mer and evil all tog plana through A designated FAST LAND Otherwiea, you will be r@Ipured to pay your toll in ash 'al What%tfavellau int Ihu Mulaual0part@ Turnolkeb Ilrriar lyetn r (ioldrdluedgas.wael al Paton 12011 001 still a prom of milt, but IM linin of Gary, Is registered tat the FAST LANF. pene0ralon, Vail Raimo that the FAST LANE system will assume ilio entry point that 1@ football from Ilia point o1 s dl when calculating the ion amount wait may only cement rho tail amount in writing In the FAST LANK Service Comer within suety I801 dove of leo dleputnd 0hnrgc 11 rhe ria k restate, your enaatml will Ire ctedpnA life amatlni at (n@ rommao ton 9 You agree (hot yon vdll comply whh the posted speed 11mlt ler all FAST tMeop Vita oro advised end you apron Iho exceeding tiro posted speed oma Will subject you to flnaa and posm4 iss and/or tenhd0a1tin al Vail! FAST LANA neefotid, gl You agree to Obey so spptiooble IsdAfol atoll alAte laws And regoodbllons plWlltldng the loop hal operation of The MTA§ Iocilities and The FAST LANE Prngpam Failure to riG so pray rasedt in Ones and ssnnhhnsndlor larml0stion of Ircei MDT LANE account. tot you agree to pay ell coals his alsiad wlm the ties Of the FAST LANE froanpoadsrla) Anticipated in Von it YOU Agra to Ahoy 80 slOnsoo. frWycod limit sllpml austerities Ise Iia FAST IANE@ You ugt" Ihat ycu wig not opo tM PAST LAND atom you hove 111C40ved a message in last lens to 'CALL FAS'r LANE* (dgtAlying ►hat a vlaUfimr has seourrefl until you have contacted the FAST LANE Service Colmer and V410104 mal wmh account It hr uutvl aedh+g it The MTA may enter into reciproaed ogreeniante with rdlmr obonalad 11 Vohn FAST LANE valuipondod§I is used of any loll feolhty, parking MaUlry at other leclllty, se4eprlog FAS•r LANE Fie a eovinaminur0hadsm yon Norms rho nil deals incurred in connection" the use of your FAST UNE trnapondoHolvdll be chorgml to yelp ncasurl In lire masseur that yin boyo @rnhonerrd in Joel FAST LAND application and thstyou are respollsibb for all much choices 9. RETURNED, LOSTISTOLEN AND DEFECTIVE TRANSPONDERS 41 If vntn sullen ywa IrinalmriAerld within Factory lag/ daymof opening your FAST LANE account, and It is in good working codlllan loop damaged or cAtn4odt you VAN raaelve a refund equal is the amont of the hasponder Fee paid at the time enc account was olr000d No rotunda will he paid for tr@nepaoda4/) after ah►ory leg) days. let You agree Ilial Vail will molly the FAST LANA Service Coign immediately if your trenspondorlel is Ion or stolen You Agra§ Chet you are fooprmdhlo for any oasis Associaron with env and on times of life PAST LANE Isanspomferlel assigned Is your account prior to §udl notification The roplocemom leo tot loll fur M01e4Irapsoonda(sl h1 ehunl to the amount of that Transponder foo and U§nspomlar Administrative Fie applicable se AI the raple4adwnt dare. dl Detective FAST LANE transponder@ ammt be brought or am to A FAST LANE Service Cantor oar loning pail ev liddlon Datorlvo FAST IANE trommooderg vent W tentacoA from of charge wilhin three 131 years M immie den, 11 the FART IANE rte+spnroter draws vipns cl mlatdo or abuse, or in returned cher throe 171 Van, you will be rogtlred to ptar3mse 4 replacement FAST LANE Irenspnndet The refolearatol leo is oqusl to the amount Al the Tianepandar sou applicable 0m of mu roplasament limits 4. YOUR PAST LANE ACCOUNT a) yea audtuho the MTA to aooa and chag@ all coals aerocimtoA Will, the ate of Van• FAST LANE Itaaopandedo) to 1110'evada amid Anvil nn yore nppliaalnn or your bank account. as applicable b► You coknowledpo that ilia MTA may lovlow pe plastically the omlvhv lel pip eannm t and adjust want raplahishanem amotm it opphaable, to more accurmoty reflect the overage mannishly oasis Inourcpd by 1ple at you often not assign tike abligetiele at hemlflls of Oils 400ta amt Sailboats the storage wrinan consent o1 the MITA or the PAST LANE Service (older. d1 You opium that you am responsible Jet providing the FAST LANE Service Center Will a credit adrd to peal standing Jim, valid, not exposed and below the maximum historical, o banking account win @uf iotnit funk or A poalllve baboc0 In yotr nanoWt r■pheOislmuunl snanum, M 411 oma to appear the oucts ageonl§tod with ynnr two of the FAST LANG Ironepandodst ill 11 ymd have anlacrod'Manuet AcoOnln R4MeMshmma' tie ma payment method lot ver FAST LANE charges And your boloneo falls Wow MAA Vag will he stfrloW Io Iia (aaUewb of a Violation Fine and assml termination, In burl tit rccamt lamination you may be a0awsl to r@tein year FAST LANE ♦eeottn, provided any 401stauAlou belaam to pail in hill and you oero0 in an anommia account tolderoahmom payment method 14101111 nerd or bent aecounl f 11 ymr agran that the MTA shell nor pay any Internet an any FACT (ANE ocaounr pro -poll fialpaa or pity transponder itopneh al You acknowledge And accept that ymr will on ohnrood u leu lot catch returned attack for your FAST LANE Program Account Id Yah barldy that Alt Intervention conlninol in ynnr rvAST IANC mipdpaaloa M pail and accurate Yen agree to totally immediately the FAST LANE Servlae Copier II any at tho information coldninnd 11 Victor appliooliot changes. inchis ing hal furl hrrlgbdift, §OoogOs to addroaa; crodir acrd, bank ornaitm information, and vahinlu mrd liQeteo p]Ole Information Failure to do ea may nJhjuol Vice In a VIn111114A Fins of n Viseo.lilq 1'V•TMI") MIAN4lepative FSia II Admnlstradva loop may he lobed diroalty to your dcaetmf who may only nomell )he impoortion of said oinninmirai ivo lana in wiling In Ilia FAST LAN C. Service Carves' within silly 1001 days al the Ibspond charge 11 the loll is raapimlod, your aaeenil will he credited the smmirn of the toedmdnd Ina it thtpaid Indianian this to Ilia MTA amy iia Inrnvrl aver to a collection e9anav for mdeidsnad ana crdleelMn oullvitlos BVIOLATIONSAND 'VIDEOTOLI: ADMINISTRATIVE PEES a) In ansos where water EArT IANE Iramepondo► Is not read, hot on imago of thovahicha's liasnad plots Il Captured In Ihd lana and the license plate ialoimotioh Ior the vrddrlo is listed in yfub account, the almmodmb fall lhnnunl shall he doditclod from your accmml by ties of Ilm vldnn Imago, totalled oa heroin ago 'vl4001011' of 'edail' A Video Tall 1111-16111 Adndaleltadv4 Fee shall also be applied to yap account bl You acknmv odge and onnapl that well are striated to maintain your FAST LANE account In geed standing AI all Igna and Ilml11 Votpf ssemlhl b ]for co falls ledowuA0 ymr will be 91111j4al to a line Anil pennblae tar un0rdhe ilad use M Ile MST LANE under 730 C M.R 7,04 of. sell r.) You $nine that In the avert your account ]Still below iD 00 don In nil exphud or rejected credit cans, on insufficient honk account balance or an insrdliuium pro•pold Palencia Find you proceed Ihrargh a FAST LAND, ymr atop in vinluorin 0t Ihd FAST LANE Program Agreement and Iia MTA'$ ragalalimne, One you are oeh)oa 10 a vtaleknt AAO 0$040100 tinder Tae C M R 7 04 al, seq. d) Any opo fn 010 FAST LANE by o vehicle that to not listed as a FAST LINE Appdcalicn, A FAST (ANE account not In coca standing, or an invalid member al D ZPass is prohibited, and the registered owner of Any much vehicle is subject 14 a lino bid penaftles under the MTAe ramidelloa al a Vail cont or base a vehiale and caahto a FAST LANE warningluiofetion yon urn Advising that trivial MAlaaehuail$ IAW the MTA moil Issue a vioWlan to Ilia registered towner lir Ilia veMels she rental or imosing campe0y) The ramal at leasing company is recreated Ib provide the MTA with The name and address of the rentsrAossuu within furry, live (45) dove (41.4 K 1201) Upon f0caipt 01 thio Infrmmrotirmwimia the stauMry tithe palled the MTA wl0 iewo the violation to Ilia ratwpaseo The MTA has An 4hllinallo0 or deMllty whensoever In any iontol or lonsurp agreement 11 Vats eta advised end brdmwA4odpu that violauimr onlareamunl cantons ma need in FAST LANEI You agree Ihot if Vail era issued a vinkillon ler mtauhlmlled lime tot ins FAST LANE Swslam trot aro rogioren to sdhale Ili the MTXa rawllail4m 730 C M.R 7 00-7. I2 at. eaq.; for the pafmanl or appeal of rely vinlodono UAdar me MYAe rapplpiions you Hurst pay orappeai in writing coy viulmlun lesnod Ili ymr Within sixty loot Flows p) FeRuro to pay or appeal vielelinn linos within the rims ported and Mine man let daaribed on rho vintntion notice mew result in additimml Violation AamlalsaalNallsto Fuss, (toe termination of Valor applicant. the nml-falllwatnt whiff drbfaf's license and vehiat0 ragioirodon Iry the Rupi fry of Miler Vahloloe fRMV), and an RMV Non-Ranowaf'Masking Fao.' Montt will, ahoy mho 111901011110110161 Iho MTA is aaharitad to permits to racialist shah maniac Inwood h) You agree that Ilia nohimulion nrnvldod Is, cr donrallml In your FAST LANE Account can be goad by the MTA In any ntbninhlrrdlvo nr local prrlcaedi00 by the MTA to collect any mains owsf try vita to Ilia MTA. 0 DISPUTESIRF.fLINDS at 11 youdiapura any P.horge 14 wast FAST LANE bnaohnt you Aprea to uldtRw the FAST LANE Service Camra In writing calf MhlslAlo Delv0, Auhoun, MA 01001, within In* (001 doves ai Ilia disputed 1148(90 creditor help of atemdc. The Mi'A will Investigate the dbpbto and will make a gout] leih dmwrobleliwi of whoth r an adjuslmpot is warraMud You app u III Iho grind Inith dataietliretieN al ilio MTA with regard to your dksponn shall ton final mad IfeRd9 aped you 7 DISCLIIW.R lel Ilia MTA OMIT have nn raopoMlMgIV of Uaadfity, to you for our loos, coal oxpmlao or damage in You. Any pseeongore of your volricla, Singing Gill al your Iniluro to territory Willi fury lam or regul$done, of any terms and conditions of the FAST LANi! Pingrmm Ag11nmad4 or Slut of wooer missile or abuse of o FAST LANE uengrnndm; in tulhrrd tit bhnbW lnstruatinn0 tar the fits and epotation of FAST LANE IranepondWrlst Ill Under no citcwnstericae short the MTA have env liability for any eansnquponipl, indhom, epepiol: im:idaMal, nr prmAive di magnsal tiny kind mieiog Fell 01 your perdglpadnn In the PAST LANE Program o) Except for its affiliations plains perim"it s A Jul and ] (11 knows, the MTA makes no roprnsontaamis tit wnrtandae, axprdee at Implied, vWm respect to the mofohnntobifity or filnons for a Imulpubu imfoo4e or any other roman Will r4apu4l to FAST LANE itempomkra $who file FAST LANE Program dl Except no otherwise spcadied heroin, the MTA shall helped rm IInb101y or nbOgrdlon of env kind vdololamv§r coining our of at year eau al lir dm podampnc4 of the FAST LANEtroroalpntoar, ler) city protect or mammillma of 4 FAST LANE transponder or any detect or maQuncaon in any FAST IANE, crel Ilia leihpe of any FAST LANCe to operate tot any time pr the unnvnllobility it tidy fAST LANEI at Airy toll plain al The MTA 0000 tint warrant that there will be any FAST LANEe, or that any porlicular number of PAST LANE$ will he eveiiahla at any spin place, no thnl rAST LANr will len available el any, other locuhlat 11 You aerate fo imlermilly, defend, and hods hawks ate MTA Irdm Anil ugeina ally ells all damage, lata, deal, es ionso, Gr IlulfOly fetsthry m sdehig Isms, lir all a iesun al the ago or performsnee of the FAST LANE iromponor 0 COLLPATION EXPENSES el Yet naive in Pty Ilia MTA'e oasis, hmhhdhlb ehmn@y/' lass, t'oglob ad to dntnrea me terms and candidates M ilia FAST LANE Plantain and the ordleotian al manias in connection with Ilia use of Mir FAST LANE trsnspar+dorts) 0 NON DISCLOSURE al to eGGtirmeiau will the provisions of 0 L. a SIA, Sullen In Jet mid 10), the MTA and the FAST LANE Service Center shall hold all container accobm informationeoldidatnial, oacapl as arharwish eathorized hot MTA adtmintepetire and legal procsedinge, 10 COVERNINGLAWS Al too FAST LANG Program AOrsomam shah boy Orrvemed by ilia laws of me t:ommarrweofth of MuseschuaWrs Any Icg41 I>r000edlna 0flobte out of or under the FAST JANE Program Agrsemomt elwll be brought in Iia Superior Cmu1 n1 Suaalk County, in Damien. Maaaehwsaho, 11 TERMINATION el You fogy luminous this ogrocmal a any time by rutuminp your Ironspadorlal to tiia FAST LANE: Carolina Confer Treompmelon shaidd Iia Inlunmd its person For fry firs alae prafwill mad Tronspe+dofd will re rola rho progeny of did MTA dildo,' ea alro4malmiosa utm4larmiaotbn and return of your p0he0uoduale), your acaunt Mtance Will by rohrndud to yap. All oundaMinn charges will he doduclad prior In mined It MODIFICATIONS el The MTA may change the'FA$T LANE Program Terme and Condltions' of ally Gma by Owing customers notice Ihorool The tams tied Conditions atoll become effective Steven Ili days attar such nntima less boon swell DEC -09-2008 16:01 From:PRODUCTION 5087865222 To:9786889542 'Fasll.unoG Service Center Commercial 1]oparl mens. 27 Midstale Drive, Auburn, MA 01501 1.877.627-7745 Option 7 Fax:1.508-786.5266 To: From: MaryKate Commercial Capanment ACCT # • COMMERCIAL FAST LANE APPLICATION • RE -ORDER WORKSHEET FAST LANE • COMPANION APPLICATION E -Z PASS BUSINESS ACCOUNT (FOR CURRENT &Z PASS BUSINESS USERS) ' 0POV APPLICATION CQ • / SURETY CREDIT CARO PAYMENT FORM • CHANGE OF PAYMENT OPTION FORM • CHANGE OP INFORMATION FORM (CONTACT, PING ETC,) • TAA TRANSFER FORM • CLOSE ACCOUNT FORM ■ VEHICLE ADWELETE FORM • VEHICLE REFERENCE CODE GUIDE SHEET ■ STATEMENTS • TOLL SCHEOULE—CLASS 1 2 9 4 6 6 7 8 9 BARRIER TUNNELS BRIDGE (PLEASE CIRCLE) • DIRECTIONS—AUBURN EAST BOSTON NATICK SPRINGFIELD (PLEASE CIRCLE) • MOUNTING INSTRUCTIONS • 13UMPFR ROOF4=ERIOR BUS LARGE TRUCK4NYERIOR • PATRON ACCOUNT REPORT -ATTACHED • INVOICE COPY -ATTACHED • OTHER P.1/4 ............................ '80 ti ti' o';:a so 'UwoC — m Cl) q�mcp'� c kow- cmwc8s O O N Wm � J C - c ....` Y ap3: A c FL Z � m � cn W o 0) U. U. as a a O tg z �Q O. L w 8 OC L6 g 2 a c FO �Cl) CO) CO) � J co O a' 1 -OC' idYid to m m.� C Q V1 c0 0 X O w O 0. t1 W O ood ui W O F- V "' o Q� O Z a �w O O w m Q 4 J� Q. I%W V I w UW„oµc� NSI V @W> �S7 �f W I a 00 vv C c oa Z 0 ' c OJJ E ' Z 88 nom' C o o e Q Qvv_0co co CDc co co C6C6 t� _ � a D C t u J 0 Y T- 46 CL 02/13/2006 11:30 4052270751 ZONING ANALYSIS GRP PAGE 01/07 ZA.G ZONING ANALYSIS GROUP, Ltd 2508 Kings way Oklahoma City OK 731201 www.zagaonit - nn td gs 2'17.om I fax. 405.W.07S1 f toll fm. td, 800 558.8716 1 toll free fax 866.899.8021 To; Jerry Brown F� Holly Smith 978-888-9542 paw Puss 7 induding cover pis Dab: February 13, 2006 Res Request for Iftrmsbon Cf: © Urgent E3 Por ReviSW ❑ Ptaese Genarrent ® Ploase Reply C3 Ploose Recycle 1 spoke vdib Nncola Doley d" mommG in raga"% !o the P. "ft leoaled of 790,900 Tarnpice street (parcel M 2101 ^ 1 Tram at vi" scute n quest for bdow r eon in r@gMds is !!Ira property. We are enn+erft wmldng Wilk do Lardsr in a frnaeclal 6=wacdon and mly irdunrsaden yeu am provide would be 9r**L M !hens are aay tees ervolved Please IM me Iww Imr m%6* se t!t!rat 1 can cub M Psynrent as seen as possible. Gall nee D yeu IW40 AM Or cwrnrrlenta. Please sea attached. Thank you so much for eli of your help! RECEIVED 5 2006 BUILDING DEFT. 02/13/2006 11:30 4052270751 ZONING ANALYSIS GRP ZAGZONING ANALYSIS GROUP, Ltd 2508 Kings way, Oklahoma City, OK 73120 1 www.zagzaning.com tel, 405.227.0746 1 fax. 405.227.0751 1 toll fx'ee. tel. 800.558.8716 1 toll fa -m fax 866.899.8021 Data: February 13, 2006 To: Jerry Brown — Town Of Andover Building Inspector Fax 878-688.9542 PAGE 02/07 Re: Request for Zoning Verification Letter for: The Jefferson Office Park located at 7W800 Turnpike Street ( PARCEL ID # 2101098-D- 000843001.0) We have been engaged to prepare a Zoning and Site Summary report for the above- mentioned site. Please consider this a formai request for a letter outlining the Zoning Designation and a Brief Description of the property, as follows: e What is the current zoning of the property including any special, restrictive or overlay district? • Is this project part of a Planned Development? If so, please provide copies. • Was this property granted any variances, special exceptions, or conditional use permits or zoning relief of any kind? if so, please provide a copy. If these were not available, would you briefly outline the conditions of the applicable document? Was this site developed with site plan approval? If so, can we obtain a copy of it andfor the approval letter? • Are there any open zoning/building violations associated with the property? Please provide as much information as possible on your letterhead and return by fax to 866.899.8021 or email to the address below, Please send. a hard copy to the address above. Thank you in advance for your time and consideration on the above matter. If you have any questions or concerns, please do not hesitate to can me at 800.568.8716. My email address is holly.smlth&agzoning.com. Regards, Holly Smith, Information Specialist 02/13/2006 11:30 4052270151 ZONING ANALYSIS GRP PAGE 03/07 ZAGZONING ANALYSIS GROUP, Ltd 2508 Kings Way, Oklahoma City, OK 73120 1 www,zagzoning.conl tel. 405.227.0746 1 fax. 405.227.0751 1 1 toll free. tel. 800.558.8716 1 toll free fax 866.899.8021 Date: February 13, 7006 To: Jerry Brown Re: Request for Certif cates of Occupancy Information for: The Jefferson Office Park located at 790-800 Tumpike Street ( PARCEL ID # 2101098.D- 0008-0001.0 ) To Whom it May Concern: Please provide copies of the Certificate of Occupancy search for the above project. Please contact me at 800.558.8716 if thwe is a fee. Please send copies to me via fax at 886.899.8021 and standard mail delivery. If you have any questions, do not hesitate to give me a call me. Thank you. Best Regards, Holly Smith, information Specialist 02/13/2006 11:38 4052270751 ZONING ANALYSIS GRP PAGE 01/07 ZAGZONING ANALYSIS GROUP, Ltd 2508 KIW Way Oklahoma City OK 731201 www.za8a0nitt -0= W1. 40SX7.0398 I fax. 40.5.227.(1751 I top fie. bd, 800.558.8716 I toll free fax 866.849.8021 To; Jerry Brwm Rroma Hdy smith Paan Papa 7 including cover Pborwa Dab: February 13, 2006 Re: RsqueM for 1nWM§on M. 0 dawn! 13 For Re new M Please Comment ® Please Reply ❑ Please Recycle 1 spoke wNA Yncola Daley tfds nwmi"G in rseard* to tate property located at 79"" . Tw pike !!treat (Pwc*l M 24 .fh. 1 hMW0 alttolehed soave "agaest troy infer n Han In regards to go Proper*- We are atwarently worlda>tl f veld~ the Lender In a ftwwph l bmsecdon and mV InfmnwAlon year can pnavide wotdd be gr*&L It !hers are MW lees b eigod please let sue Naos lnvmW 6* so !last 1 MM SWUNt payntsat as soon as possible. Can nae if yea halve atgl Aeras Or oorwnsnte. Plaine sea attached. Thank you so much for all of your help! 02/13/2006 11:38 4052270751 ZONING ANALYSIS GRP PAGE 02/07 . ZAGZONING ANALYSIS GROUP, ltd 2508 Kings way, Oklahoma City, OK 73120 1 www.zagzoning.com tel, 405,227,0746 1 fax. 405,227.0751 1 toll free. tet. 800.558.8716 1 toll free fax 866.899.8021 Date: February 13, 2006 To: Jerry Brown — Town Of Andover Building Inspector Fax. 878-688-9542 Re: Request for Zoning Verification Letter for: The Jefferson Office Park IOCatsd at 7804M Turnpike Street ( PARCEL ID # 210/098.D- 000"001.0 ) We have been engaged to prepare a Zoning and Site Summary report for the above- mentioned site. Please consider this a formai request for a letter outlining the Zoning Designation and a Brief Description of the property, as follows: • What is the current zoning of the property including any special, restrictive or overlay district? • Is this project part of a Planned Development? If so, please provide copies. • Was this property granted any variances, special exceptions, or conditional use permits or zoning relief of any kind? If so, please provide a copy. if these were not available, would you briefly outline the conditions of the applicable document? • Was this site developed with site plan approval? If so, can we obtain a copy of it and/or the approval letter? • Are there any open zoning/building violations associated with the property? Please provide as much information as possible on your letterhead and return by fax to 866.899.8021 or email to the address below, Please send a hard copy to the address above. Thank you in advance for your time and consideration on the above matter. If you have any questions or concerns, please do not hesitate to cell me at 800.666.8716. My email address is holly.smlt &agzoning.com. Regards, Holly Smith, Information Specialist 02/13/2006 11:38 4052270751 ZONING ANALYSIS GRP PAGE 03/07 ZAGZONING ANALYSIS GROUP, Ltd 2508 Kings way, Oklahoma City, OK 73120 1 www,zagzoning.com tel. 405.227.0746 1 fax. 405.227.0751 1 toll free. tel. 800.558.8716 1 toll free fax 866.899.8021 Date: February 13, 2006 To: Jerry Brown Re: Request for Certificates of Occupancy Information for: The Jefferson Office Park located at 790-800 Turnpike Street ( PARCEL ID # 210/096.D- 0008-0001.0 ) To Whom it May Concern: Please provide copies of the Certificate of Occupancy search for the above project. Please contact me at 800.558.6716 if there Is a be. Please send copies to me via fax at 866.899.8021 and standard mail delivery. If you have any questions, do not hesitate to give mea call me. Thank you. Best Regards, Holly Smith, Information Specialist 02/13/2006 11:36 4052270751 ZONING ANALYSIS GRP PAGE 04/07 ZA.G ZONING ANALYSIS GROUP, Ltd 2508 Kings Way, Oklahoma City, OK 73120 1 www.zagzoning.com tel. 905.227.0746 1 fax. 405.227.0751 1 toll free. tel: 800.558.8716 1 toll free fax 866.899.8021 Date: February 13, 2008 To: Jerry Brown Re: Request for Certificates of Occupancy Information for The Jefferson Office Park located at 790-800 Turnpike Street ( PARCEL ID # 2101098.D- 0008-0001.0 ) Bayed on our records: A valid certificate of occupancy has been Issued and is now outstanding for the Project. For any certificates of occupancy not found; absence of a certificate of occupancy for the Project will not give rise to enforcement action affecting the Project. (See attached copies issued) Certificates of Occupancy for projects constructed prior to the year are no longer on file with this office. The Project was constructed in _: The absence of a certificate of occupancy for the Project will not give rise to any enforcement action affecting the Project. A certificate of occupancy for the Project will only be required to the extent of any construction activity (such as restoring, renovating or expanding the Project or any part thereof.) We are unable to locate a certificate of occupancy for the Project from our records. We have evidence in our records; however, one was issued and has been subsequently lost or misplaced. The absence of a certificate of occupancy for the Project will not give rise to any enforcement action affecting the Project. A certificate of occupancy for the Project will only be required to the extent of any construction activity, restoring, renovating or expanding the Project or any part thereof. The site is still being constructed. The absence of a certificate of occupancy for the Project will not give rise to any enforcement action affecting the Project. A certificate of occupancy for the Project will be issued when all final inspections have been passed. Please call the undersigned if you have any comments or questions. Sincerely, Name: Title: Phone: 02/13/2006 11:36 4052270751 ZONING ANALYSIS GRP PAGE 05/07 ZAGZONING ANALYSIS GROUP, Ltd 2508 Kings Way, Oklahoma City, OK 731201 w—ww,zjtgzoWag.coM tel. 405.227.0746 1 fax. 905.227.0751. 1 toll free. tel. 800558.8716 1 toil hee fax 866.899.8021 Certificates of occupancy issuance North Andover, MA We have been engaged to prepare a zoning report with regard to the above site. As part of this report, it is our standard practice to include answers to the following questions so that we may accurately determine the status of occupancy on site. 1. now does the City Issue Certificates of Occupancy for: (please circle one) Single Tenant Buildings: Multiple Tenant Commercial Building: Apartment Complexes: Shopping Centers: Mobile Home Parks Shells Tenants Both Shells Tenants Both Shells Tenants Both Shells Tenants Both Shells Tenants Both Z. When is a New Certificate of Occupancy required for: (please circle one for each) MOBILE HOME PARKS — Change in Use Yes/DO, Change of Owner yes/no , Change of Tenant yes/no , Tennant improvements yes/no , Renovations/Remodels yes/no 3. If a Property does not have a Certificate of Occupancy on file, would that put the Property in violation? (please circle) yes no 3a. If yes, what would need to be done to take care of the violation? Single Multi -Tenant Apartments Shopping Tenant Commercial Complexes Center Change of Use yes no yes no yes no yes no Change of Owner yes no yes no yes no yes no Change of Tenant yes no yes no yes no yes no Tenant improvements yes no yes no yes no yes no Renovations/Remodels yes no yes no yes no yes no MOBILE HOME PARKS — Change in Use Yes/DO, Change of Owner yes/no , Change of Tenant yes/no , Tennant improvements yes/no , Renovations/Remodels yes/no 3. If a Property does not have a Certificate of Occupancy on file, would that put the Property in violation? (please circle) yes no 3a. If yes, what would need to be done to take care of the violation? 02/13/2006 11:38 4052270751 ZONING ANALYSIS GRP PAGE 06/07 4. How long has the City been Issuing Certificates of Occupancy? S. How far back do your records 9019r. Certificates of occupancy Builduog Permits b. ,Are your records kept on: (please circle all that apply and how far records go back) Computer: Paper: Microfilm: 7. Does the Building Department perform annual Building Inspections? yes no (please circle) 7a. If ao4 does the Fire Department perform annual inspections? yes no (please circle) . Thank you in advance for your time and consideration on the above matter. If you have any questions or concerns, please do not Hesitate to telephone at the toll free number above. Sincerely, By: Printed Name. _— Title: (Title of Government Official) It is my understanding that there.will not be any fees associated with filling this request .Please advise me immediately if this is incorrect TOTAL� $ # :SI �_ u �. c '— Building Inspector ��4 8254 Div. Public Works Location ' No. Date 1. '1 TOWN OF NORTH ANDOVER, tv �;, "Certificate of Occupancy $ • ; ; Building/Frame Permit Fee $ —#— ' Foundation Permit Fee ,- sACHUSE $ '" Other Permit Fee $ Sewer Connection Fee YI' Water Connection Fee TOTAL� $ # :SI �_ u �. c '— Building Inspector ��4 8254 Div. Public Works '�r>r'$:1fIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP KJO. LOT NO. I 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE SUB DIV. LOT NO. LOCATION 790 Turnpike street PURPOSE OF BUILDING office space OWNER'S NAME Meredith & Grew NO. OF STORIES three SIZE OWNER'S ADDRESS 160 Fedrail st. Boston, MA. BASEMENT OR SLAB slab ARCHITECT'S NAME Same as above SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME Pelham Construction SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION office fit -up IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE yes IS BUILDING CONNECTED TO TOWN WATER Iles BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER yes IS BUILDING CONNECTED TO NATURAL GAS LINE no INSTRUCTION SEE BOTH SIDES J • � �� �V\ PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 11 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED SIGNATUR�F��ER ORA T� HORIZED AGE FEE PERMIT GRANTED 19 12 1995 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST 21,203 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY SUILDING INSPECTOR OWNERTEL.# ( 617) 330-8139 CONTR. TEL. # ( 603) 635-8651 058659 CONTR. LIC. # H.I.C. # 110155 64`5`vxwo - BUILDING RECORD I OCCUPANCY 12 SINGLE FAMILY S-ORIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION CONCRETEX CONCRETE BL'K. BRICK OR STONE PIERS _ 8 INTERIOR 3 PINE HARDW'D PLASTER .DRY WALL _ UNFIN. FINISH 1 2 13 3 BASEMENT AREA FULL 1/1 1/1 1/1 FIN. B'M'TAREA FIN, ATTIC AREA _ _ NO BMT HEAD ROOM FIRE PLACES MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 _ DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING ASBESTOS SIDING HARD\!J'D COMMON VERT. SIDING _ ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY BRICK ON FRAME ATTIC STIRS. 8 FLOOR I_ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR POOR _ � NONE ADEQUATE tj ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ GAMBRELMANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE X FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS GASOI 7 NO. OF ROOMS L B'M'T 2nd ELECTRIC THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- . RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. 1st 13rd NO HEATING �^ �• '# F. Go 0 . z� � d O m x � O w v (nv v cn o A O o o O w O w r.W U C w 0 a�' w a V a2 cn w d C7 C w rx w o zto v v o O I CD C M C Co •nam C. C W e0 __ O O m Ea CF . m O o n � c d� o �— o ca" �•! C C C' .;.e m m m O y y 3�p = cmm Jy O m V L C y yca � C O E CD ... Amo. .:C.v` m y O .0 c CoQ CA ._ J CL. m CJ v N O p =o o CR CL c N r:: Oti c = m NJ OAD r... co) cc Go CL= cm C3 OF a' o � o 'a = W m0y•= C E-- z 8 C. r=.. m P-4 U v / •� I 0 i Q o z LL CD L ~ LU Z a- 0 ca >- ;z -z z m cm w i o h CD�� Cw w •� m m z It CL CD CD R o O Q d- rma C = R `� a C.3 -J 1 z .Q CO2 o � Z J V � CLy z_ to C C cc W F— y C-9 0 Z � � QZ 2m .Q LU W Cl -U) 104 CHAIR ® L 4 y ®7 2 6'WINDOW MA %ft.th O �\ I 12'-1 1/2' x7� C]TING I I O 0 1 8 © 1 9' I % I 2' 6' WINDOW = = = 12'-3' � I ALIGN 1025 Ft 0-91 WINDOW _ _ — — _ _ �_______ AIR AIL to, 10 2 9, 0' ALIGN r J Q W ARCHITECTURE 12 FARNSWORTH ST. BOSTON MA 02210 (617)350-3035 FAX 350-7603 101 11 DT A AT 1/0 =i --v PROJECT OFFICE General Notes & Spe(iifications 1. ALL LABOR AND MATERIALS SHALL CONFORM TO STANDARD TRADE PRACTICE,MANUFACTORS �RECOMMENDATIONS,FEDERAL,STATE AND LOCAL BUILDING CODE REQUIREMENTS, 2. UNLESS OTHERWISE NOTED,ALL MATERIALS AND METHODS OF INSTALLATION SHALL MATCH EXISTING BUILDING STANDARDS. 3. BUILDING CLASSIFICATIONS; A. USE GROUP ------B (BUSINESS) B. CONSTRUCTION TYPE-- 2C C, OCCUPANCY LOAD-- 1771 USF.= 17 P. 4. MODIFY ANY EXISTING FIRE SUPPRESSION AUTOMATIC FIRE DETECTIORMANUAL FIRE PROTECTIVE SIGNALING SYSTEM AND OTHER FIRE PROTECTION SYSTEM AS REQUIRED TO FACILITATE NEW LAYOUT AS PER CODE REQUIREMENTS,LANDLORD SPECIFICATIONS AND LOCAL FIRE DEPARTMENT REGULATIONS. 5. ANY WOOD FRAMING AND/OR BLOCKING SHALL BE FIRE RETARDANT TREATED. G. LANDLORD SHALL,PRIOR TO DEMOLITION, HAVE THE AFFECTED AREAS OF THE FACILITY INSPECTED FOR THE PRESENCE OF ASBESTOS AS PER EPA REGULATIONS, 7. ALL NEW FLOOR PENETRATIONS FOR MECH. EQUIP,ELECTRICAL EQUIP. AND OTHER OPENINGS SHALL RECEIVE REQUIRED FIRESTOPPING AS PER CODE REGULATIONS AND MANUF. SPECIFICATIONS, 8. WALLS TO EXTEND ONE FOOT ABOVEEXIST CEILING.WITH 3' INSULATION. ABOVE CEIL'G 3' BATT INSULATION. 9. CHAIR RAIL IN CORRIDOR ONLY (106/111) I Partition Schedule I - - - EXISTING PARTITION TO BE REMO r_ NEW PARTIONS (MATCH EXISTING) EXISTING PARTITIONS TO REMAIN — — — NEW PAINTED WOOD CHAIR RAIL I Door Schedule I O EXISTJ MTL. 7 SCHLAGE D- SERIES RHODES REUSE EXISTING OMATCH MTLL G D- 05 IGH X G SERIES RHODES MATCH EXIST'G O EXIST RIES MTL. S HL GE - REUSE EXISTING 4 X T'G MTL. S MATCH EXIST'G OMATCH MTL. SCHLAGE D- 605 BRIGHT BRASS EXIST' SERIES RHODES MATCH EXIST'G Fixture Schedule 120 V DUPLEX @ 18' AFF. TELEPHONE OUTLET,SINGLE GANG 18'AFF, I � 1'771 0 5 scale 10 U.S. F. CLIENT ON KENRICK ASSOCIATES Jefferson office Park 790 Bldg. Andover MA DATE 5/8/1995 A-1 REV. 5/11/1995 102 01 ED Ali Ceiling, FixtUre Schedule 2x4 FLOURESCENT LIGHT NUMMENERE MATCH EXISTING • 2x2 FLOURESCENT LIGHT MATCH EXISTING tsy NA® ® ® �ZJ NEW SPRINKLER HEAD ASP MATCH EXISTING R RELOCATE EXISTING N W 1-6-6 104 NFW SPRINKLER HEAD EX ® EMERGENCY LIGHT EX EXIST SIGN /LIGHT 5 ® RETURN AIR (REUSE EXISTING OR SUPPY PP ff 03 NW ® El SUPPLY AIR (REUSE EXISTING OR SUPPY 102 01 NUMMENERE 1111 MEMO 101 ® N N u S REFLECTED 0 5 scale 10 CEILING PLAN J Q W PROJECT OFFICE CLIENT DATE 5/8/1995 ARCHITECTURE RENOVATION KENRICK ASSOCIATES 12 FARNSWORTH ST. FLOOR 1A-2 BOSTON MA 02210 Jefferson Office Park (617)350-3035 FAX 350-7603 790 Bldg. Andover MA REv.5/11/1995 ' r � FORM U - IAT 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 local or state law, regulations or requirements. ****************Applicant fills out.this section***************** APPLICANT: Meredith & Grew Phone (617) 330-8139 LOCATION: Assessor's Map Number Parcel Subdivision Jefferson office park Lot(s) Street 790 Turnpike street north Andover St. Number suit 108 ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Comments Town Planner Comments Food Inspector -Health Septic Inspector -Health Comments Public Works - sewer/water connections Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected - driveway permit /� Fire Department ���e -�v,�� >o�G=- o-n.w 6 fri U/2 _�; Z 0 7/1�7 Received by Building Inspector 12 1995 Date O1 1 O ;= OFFICE OF BUILDING INSPECTOR - :,.. TOWN OF NOR'1'11 ANDOVER ` CONSTRUCTION CONTROL . „',t1SC wUSCt' I r' PROJECT NUMBER: PROJECT TITLE: Kendrick investment ;, PROJECT LOCATION: 790 Turnpike street Nort , n over, suite,iub NAME OF BUILDING: Jefferson office park NATURE OF PROJECT: office fit -up IN ACCORDANCE WITH SECTION 117.0 OF THE MASSACHUSETTS STATE BUILDING CODE, Q ��1 Registration No. BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT I, HAVE PREPARED ,OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICA- TIONS CONCERNING: ENTIRE PROJECT C, --j ARCHITECTURAL � STRUCIURAL Q MECHANICAL Q FIRE PROTECTION Q ELECTRICAL C1 0111ER (specify)CD FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, '0MPUTATIONS AND SPECIFICATIONS MEET THEAPPLICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES.' ,AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. 4 FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE r I "1PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETEW111IE THAT IT 'A WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENIS APPROVED FOR THE BUILDING •`;,,.,EMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN -SECTION 127.2.2: 1. Review of shop drawings, samples and other submdttals of the contractor as required by the construction contract documents as sutrmitted for building permit, and approval for coufonnance to the design concept. Iill '..•''.1`: 2• Review and approval of the quality control procedures for all code -required controlled 1 materials. I 3. Special architectural or. engineering professirmal.inspection of critical constructimm carpor>ents i1 requiring controlled materials or constructioc specified in the accepted a ineeris ractic standards listed in Appendix B. `g p e PURSUANT TO SECTION 127.2.3, I SHALL SUBMIT WEEKLY , A PROGRESS REPORT TOGETHER ,KIITH PERTINENT COMMENTS TO THE NOR'111 ANDUVhi; BUILDING INSPECTOR. 1 PON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPOR AS TO 11E SATISFACTORY COMPLETION AND READINFq�, 'TffFj,yROJECT FOR OCCUPANCY. S. rF< iii, ' `r0/' 9i (,NAT URE SUBSCR bf D/S`WB: 9 £ THIS �DAY OF 19 'S . A.".,:: MY COMMISSION EXPIRES 110' Zi' Z400 . PELHAM CONSTRUCTION 38 Balcom Rd. Pelham, N.H. 03076 Proposal No: Sheet No: 1 of 2 Date 3/29/95 Proposal Submitted to Work to be performed at Name Chris Williamson Street Kenricks/ 790 Turnpike street Street City North Andover State MA. ClyIbU Federalstreet Date of Plans Architect State Boston , Ma . U217U Telephone Number We hereby propose to furnish all the materials and perform all the labor necessary for the completion of Scope of work as described on page 2 All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of With payments to be made as follows: Dollars ($ 21,203 Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out by Respectfully submitted Per Dwig rown NOTE --- This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Accepted Signature Date Signature D PELHAM CONSTRUCTION Proposal 38 Balcom Rd. Page 2 of 2 Pelham, N.H. 03076 Kenrick Associates 790 Turnpike Street North Andover, MA. Scope of work as follows; 1. Demo; Demolition of interior walls and removal of flooring and base and ceilings useing onsite dumster. 850.00 2. Walls: Install 104 l.f. of new walls, 32 metal studs with 2 drywall 12" above new ceiling. 3053.00 3. Ceilings: Furnish and install new 2 by 2 drop ceiling as per plans. 1800.00 4. Sprinklers: Re -fit for new office layout as per code. 1150.00 5. Floor: Furnish and install new carpet throught build -out area. includes 32 carpet base. 4160.00 6. Windows: Furnish and install three new windows as per plans. 1050.00 7. Doors: Install five new 3,0 x 7,0 raised panel doors in knock down steel frames, includes 10 sets of locksets keyed and mastered as per specks. 3800.00 8. Sound -control: Install 2977 s.f. of 32 insulation above ceilings and in new walls. 820.00 9. H.V.A.C. Install 4 new defusers with flex and re -fit existing to new office lay -out. 525.00 10. Painting: Repair existing walls and paint 2 coats throught space, includes oil on all trim. 2000.00 11. Chair -rail: Furnish and install on all comon walls. 325.00 12. Elec: Rewire office space with MC cabel as per code includes swiching,outlets,EM lighting,exits,overhead lighting and 4 new 2x4 lights 1670.00 Total ........................ 21,203.00 June 6 1995 To: JQW Architecture North Andover Building Department 146 Main Street North Andover,MA 01845 Subject: Completion of Office Renovation at 790 Jefferson Office Park (Floor 1) North Andover,MA I John Q.Williamson Architect ( Mass. licence no. 7476 ) verify observation and completion of Office Renovation at 790 Jefferson Office Park. Work completed by (Pelham Construction). Sincerely .lam `John Q. Williamson,Archiggb t e t t r,t,,��� ,\\\\\PEL S. 'ii SI Cj 9 i SS cJ�i.• .ACHY.• JQW Architecture / 12 Farnsworth Street, Boston MA. 02210 / (617) 350-J035 r PELHAM+CONSTRUCTION 38 Balcom Rd. Pelham, N.H. 03076 T0: Building Department North Andover MA. I Dwight A. Brown of 38 Balcom Road, Pelham,N.H. d/b/a Pelham Construction was the construction supervisor, License #058659 at 790 Turnpike street suite 108 North,Andover,MA. permit #189 Tenant being Kendrick Investment and owner being Merdith and Grew, hereby certify that renovation was constructed under my observation and to Massachusetts State Building Code. Dwight A. Brown Subcr`ibed and sworn to before me this 5--- day of LAS— = 1995 Notary Public My Commission Expires'�`'�JL,-��� y � r O ! to O Q• vi C c, o m � y z ED cis C z Z rnowc G7 y O o d .m3.m CA— .n �a.-Pn m C� m ^. IF as [ ti C �C m -4 o_� ; c O �� _ o *Cr O m �� 3 o Zs o CO) ED o o 2-1 0.z y r a =sm CL c) m g �. r C/)coCD d Omgo n ICAI '00 'C3 Cfl �'*• 0 a cr CD CD � a �� j= CD CCD 0 O � �` •.�" H i m � - .. CD CDO- CD C'), CD O CD 0 �y o a N C CSD - m _. : �, 0 3 CC O O m .. ♦♦'' W m O CD C=2 m CO) o �' J�Z5 mca CD 2m oCD o =� d : o, m CDCD a:g CD 0 0 �o r CD c o O �m - .►� : CD o o C rzN �c �- : 'n :3 C n to 2 : � w�- OO M CL ccn _xT tz El Sk �ca \ NN 54. 7 omq 0 Town Of North Andover Project: Building Department `'146 Main St" Town Hall Annex ? ° ' ° WHTR REAS, ESTATE L.P. o :. 508-688-9545 x . 790-820 TURNPIKE ST ° NORTH ANDOVER MA APPLICANT: "ssgC,ss RE: GRUBB & ELLIS 23 CROSBY DRIVE BEDFORD MA 01730 DATE: JUNE 18,1998 Title of Plans and Documents: SIGN PERMIT APPLICATION DATED 619/98 Please be advised that after review of your Building Permit Application and Plans that your Application is DENIED for the following reasons: Zonina Use not allowed in District Not in conformance with Phased Development X Violation of Height Limila fipyks X Sign exceeds requirements X Violation of Setback (Front7Side Rear Insufficient Lot Area Insufficient Parking Violation of Building Covera e Insufficient Open Space Use requires permits prior to Building Permit Sign requires permits prior to Building Permit Form U not complete by other depart ents Not in conformance with Growth By -Law I Other Remedy for the above is checked below. Dimensional Variance Special Permit for Watershed Review Special Permit for Site Plan Review X SpecialPermit for sign Com let; Form U sign -offs Copy of Recorded Variance Information indicating Non -conforming status Copy of Recorded Special Permit Other Other Plan Review The plans and documentation submitted have the following inadequacies: 1. Information Is not provided, 2. Requires additional information, 3 Infnrmatinn mni drat romp clarification. 4- Information is incorrect. 5. All of the above. # # Foundation Plan Plumbing Plans Subsurface investigation Certified Plot Plan with proposed structure Construction Plans 116 Affidavit Mechanical Plans and or details Plans Stamped by proper discipline Electrical Plans and or details Framing Plan Fire Sprinkler and Alarm Plan Roofing Footing Plan Plans to scale Utilities Site Plan Water Supply Sewage Disposal Waste Disposal Other ADA and or ABBA requirements Administration The documentation submitted has the following inadequacies: 1. Information Is not provided. 2. Requires additional information. Z Infrxmatinn rpm iirac mnra riarification. 4. Information is incorrect. 5. All of the above # 1 1# Water Fee State Builders License Sewer Fee Workman's Compensation Building Permit Fee Homeowners Improvement Registration Building Permit Application Homeowners Exemption Form Other Other The above review and attached explanation of such is based on the plans and Information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new building (7, -)r application form and begin the permitting process. 6/9/98. 6/18198 Building Department Official Signature Application Received Application Denied If Faxed : Denial Sent 6/2/98 Referral recommended: -- Fire - Health Police X Zoning Board Conservation Department of Public Works Planning Historical Commission Other BUILDING DEPT cc: William Scott Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the building permit for the property indicated on the reverse side: �`Oa�� {f��\I..., Al�'a• _.S - I if�iii ��5��; J 1 3 SJF 69� f �' 3 P Y ' THIS APPLICATION MUST GO BEFORE THE ZONING BOARD OF APPLEALS - SECTION 6.6 PARA. 2. l . CANNOT BE INTERNALLY ILLUMINATED 2. CAN ONLY BE 8 FT HIGH 3. CAN ONLY BE 20 SQUARE FEET 4. MUST BE 10 FEET OFF PROPERTY LINE ON A HIGH SPEED HIGHWAY THE ZONING BOARD OF APPEALS CAN OR MAY GRANT A SPECIAL EXCEPTION FOR A LARGER SIGN IF REQUIRED FOR LEGIBILITY. 3 Z 0 a Z W Y = U Z 2 Z Z � Q m m E c Z Y c Zo " ►- o =v v $ U O O t 0 IL 0 0 r� O �D V' CD O Ln U7 m Z N a W € z a o w f� O t � t W (n Y M Iq 1- 6 lf) J dLY LLJ4 W Z , i dS O ~ n � i ro Z m o 0 a Loi 00 Grubb0 is Property Solutions Worldwide June 5, 1998 Bob Nicetta Building Inspector Town Hall Annex 146 Main Street North Andover, MA 01845 Dear Mr. Nicetta: I am attaching this letter to the sign permit application to give you some additional information since we are replacing an existing sign and base that has seen its useful life. Pictures of the existing sign and base are attached. I have also attached a sequence of pictures from the opposite drive lane as one would approach_the drive way entrance where the sign is located. The new sign would be at a height of 15 feet as dimensioned in the new sign sketch: This height is necessary for the sign to be seen from the road above the wetland growth, which cannot be cut down. As one approaches the driveway on the street at the speed limit of 35 mi./hr. one can miss seeing the sign until you are right on top of it. This will add additional safety to cars and trucks making turns into the park. If you have any questions on this application please call me at extension 3005. I would like to pick up the sign samples from your office should I need to go the board of appeals for a sign variance. Sincerely, r G2 Richard A. Profio Manager - Facilities Grubb & Ellis Management Services, Inc. 23 Crosby Drive Bedford, MA 01730 781.275.8383 781.275.6004, fax facility@tiac.net urubbcElfios Property Solutions Worldwide no SIGN OUT OF SITE BEHIND VEGETATION R EXISTING SIGN SNOWING HOW VEGETATION BLOCKS VIEW FROM STREET SIGN STILL OUT OF VIEW SIGN SEEN AFTER IT IS TOO LATE TO MOVE INTO LEFT TURN LANE Grubb & Ellis Management Services, Inc. 23 Crosby Drive Bedford, MA 01730 781.1'/5.8383 781.275.6004, fax facility@tiac.net urubbrMhos Property Solutions Worldwides"' EXISTING SIGN OF THE SAFE SIZE PH®T®GRAPHICS SHOW DETEREATING EASE AND SIGN Grubb & Ellis Management Services, Inc. 23 Crosby Drive Bedford, MA 01730 781.275.8383 781.275.6004, fax facility@tiac.net I O z 71 39 r-7 d G II z O x 00'.n.I?n7'C7,y � o .: o ° o c rnOrn (DCD UO cD p v n p w a 0. o o b c m iv O ° rr -o 'n O r fD p p' Ln w w w rt Ort c c.. N fD � ?• N w a- a 0J rt rt (D •+' cD p O (D (D p (D O O CD UO Q n' y w 1 o � Q7 O n CZ. ar ~ p O O Ocn CD a O w a- O O N '-' 'fi , Q co O rt x x w (D w (D w v' h-' CL (D (D _ ^. p O FJ (1) FJ U) q, (D o �, W rt rt CD ro two 5 C a C) FJ - n o w N• f' w cD 27 rt (D Opo mv H rt rD r n (n CO O W 0p4 IOQ C3 (D Oo (D p o OD i 5 a rt (D En rt O cn rt O rt rt Cl) 0 w s✓ (D a a N "o PO O �d trJ 0 r o til G 9 'd � x b W rt n n o (D rO-r G7 td Ld tai tilr r H z H trJ H n LTJ �a CDD b C O n o d 'CI O H N n C x CL Cn o I O �f (D Q.. (�D CDD 01*N UO rnOrn (DCD UO cD p v n G w N O o p. : Q' n O m iv S. ° ° rr -o 'n o C w r Ln w w w c c.. N fD � ?• N w C . . „o .. -C7 0J N (D •+' cD p O (D (D p r°i� O Q• C7 p 0. UO Q n' y 1 o � Q7 O n CZ. ar ~ p O A CD a O w a- O O N rE3 w b CDD Q co a .may W. O OQ (D w (D w v' rt = ^. p O (D o W 0 (D ^p��+ ro two 5 C a C) FJ - n rn IY7rlO f' w cD 27 rt (D (D F_ rD r n -•ei I �irPJ (D p OD i a cn rt Cl) 0 w s✓ (D a a N "o PO O �d trJ 0 r o til G 9 'd � x b W rt n n o (D rO-r G7 td Ld tai tilr r H z H trJ H n LTJ �a CDD b C O n o d 'CI O H N n C x CL Cn o I O �f FT Property Solutions Worldwide' BUILDING 1 790 TURNPIKE STREET Grubb & Ellis Management Services, Inc. 23 Crosby Drive Bedford, MA 01730 781.275.8383 781.275.6004, fax facility@tiac.net GrubhOlis Property Solutions Worldwide' BUILDING 2 800 TURNPIKE STREET Grubb & Ellis Management Services, Inc. 23 Crosby Drive Bedford, MA 01730 781.275.8383 781.275.6004, fax facility@tiac.net `� i 1f Property Solutions Worldwide" BUILDING 3 820 TURNPIKE STREET Grubb & Ellis Management Services, Inc. 23 Crosby Drive Bedford, MA 01730 781.275.8383 781.275.6004, fax facility@tiac.net GrubbrEllis Property Solutions Worldwide 4. BUILDING 4 820A TURNPIKE STREET Grubb & Ellis Management Services, Inc. 23 Crosby Drive Bedford, MA 01730 781.275.8383 781.275.6004, fax facility@tiac.net N � o CD T :i ' o n Sol(d ^ M k0 N � r- d Ak Town Of Nor& Andover Building Department 146 Main St. Town Hall Annex 508-688-9545 Project: 0004 1aON D �•i 1 r.�_ i SOL a i4vt� 1P 'rq Q�gATID �Z�r-vaj 0��3� 5V'45111 / �!5 DATE: 41� / ✓ APPLICANT: &L% �'� �' �� Title of Plans and Documents:' Please be advised that after review of your Building Permit Application and Plans that your Application is DENIED for the following reasons: Zonin ,Use not allowed in District Not in conformance with Phased Development Violation of Height Limit ns Sign exceeds requirements Violation of Setback/Front2 Setback/FrontSide Rear Insufficient Lot Area Insufficient Parkin Violation of Building Coverage Insufficient Open Space Use re uires permits prior to Building Permit Sign requires permits prior to Building Permit Form U not complete by other departments Not in conformance with Growth By -Law Other Remedy for the above is checked below. Dimensional Variance ecial Permit for Watershed Review Special Permit for Site Plan Review tl Special Permit for sign Complete Form U sign -offs. Copy of Recorded Variance Information indicating Non -conforming status Copy of Recorded Special Permit Other Other Plan Review The plans and documentation submitted have the following inadequacies: 1. Information Is not provided, 2. Requires additional information, 7 rA—ii o mr rinrifiration d Information is incorrect. 5. All of the above. ....-....�--_-- # Foundation Plan Plumbing Plans Subsurface investigation Certified Plot Plan with proposed structure Construction Plans 116 Affidavit Mechanical Plans and or details Plans Stam ed by proper discipline Electrical Plans and or details Framing Plan Fire Sprinkler and Alarm Plan Roofing Footing Plan Plans to scale Utilities Site Plan Water Supply Sewage Disposal Waste Disposal Other ADA and or ABBA requirements Administration The documentation submitted has the following inadequacies: 1. Information Is not provided. 2. Requires additional information. o ,..t.....,..Pi.... -i— m— rlarifiratinn d Infnrmafinn is incorrect. 5. All of the above, ' # Water Fee State Builders License Sewer Fee Workman's Compensation Building Permit Fee Homeowners Improvement Registration Building Permit Application Homeowners Exemption Form Other Other The above review and attached explanation of such is based on the plans and information submitted. No definitive review and + or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to � provide definitive answers to the above reasons for DENIAL. Any inaccuracies, misleading inforrnation, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new building permit application form and begin the permitting process. Building Department Official Signature Application Received Application Denied If Faxed Denial Sent Referral recommended: cc: William Scott Fire Health Police V Zoning Board Conservation Department of Public Works Planning Historical Commission cc: William Scott fie•,, �u � r�.� � �- A{+e Y D�7 U IL W a Y 0 a QIQ M 0 cc ., Z i y� N J o V w N W x � u W W � O z } .y < IL � w W M W z h 8 t z F Z 0 a' L h O u g g u g I L 0 ul U J m J o J • 0 F As�ss:� p W N _ a 0 O > r e h LL➢ a- Q ► • v O a O z < < O Q ¢ ►- V V tl t- w. 0 J 2 Z z W u WW u u . 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CO2 Q .W is .r CD O m Xr E a r : 0 m m c$ tm 4D - m N CC m m _nv a0a N CD C ' v h Z ' O` � O w = CO d O N C O = �G. C r N O W C rC. ���_ li � Or Cr .- v w•� CIO a 4D C � �=0-a �m O O W • O Z CD 0. O y CD Q C I �cm y Q � O O O mm CD CD CD 3� CDca oo cc o a CL cm< C4 M C cc C Z CD CL V W C • C C. CO2 Q .W O O W • O Z CD 0. O y CD Q C I �cm y Q � O O O mm CD CD CD 3� CDca oo cc o a CL cm< C4 M C cc C Z CD CL V W C • C C. CO2 Q VVI Ill JI I'RI UJ JJ t111 U11)N1'iL UUKI' IN111KiUN I r�ri 't1U u^x t UJ'�`ti k General Notes & Specif'icatigr)s 1. ALL LABOR AND MATERIALS SHALL CONFORM TO STANDARD TRADE PRACTICE,MANUEACTORS RECOMNENDATIONS,FEDERAL,STATE AND LOCAL BUIL DING CODE REQUIREMENTS. UNLESS OTHERWISE MOTED,ALL MATERIALS AND ME=THODS OF INSTALLATION SHALL j MATCH EXISTING BUILDING STANDARDS, g 3. •BUILDI'NG CLASSIFICATIONS; A. USE GROUP ------B (BUSINESS) B. 'CONSTRUCTION TYPE- 2C 4. MODIF_r ANY Ex1STING FIRE SUPPRESSION AUTOMATIC FIFE DETECTION,MANUAL FIRE PROTEi--TIVE SIGNALING SYSTEM AND OTHER FIRE PROTECTION SYSTEM AS REQUIRED TO FACILITATE NEW LAYOUT AS PER CODE REOUIREMENTS,LANDLORD SPECIFICATIONS AND L13CAL FIRE DEPARTMENT REGULATIONS. 5.RELOCATE EXISTING LIGHT FIXTURES TO ACCOMMODATE NEW ROOM Partition Schedule -„ UJSTING PARTITION Tp 8E RE►+CVED ems® NE PAPTICNS, (MAT04 EXISTING) EXISTING PARTITIONS T13 REMAIN JQw .RCHITECTURE 12 FARNSFORTH ST. BOSTON MA 02210 (617)3-50--3035 FAX 350-7603 L ,a FEXtUr'e Schedule 120, V DUPLEX Q I8' AFF. TELEPHONE QUTLET,SINGLE GANG 18'AFF. Key Plan pz�aN � 1,684 fo �6 scale 10 R.S.F. PROECi OFFICE =NT REN OVATI ON l v E T FLOOR 3 Jefferson 790 Bldg. SEARCH Office Park Andover MA DATE /25/1997 Sauder Kendall Valley Collection Computer Center all pieces feature solid oak trim and handles. Ready to Assemble. 1. Desk (No. 6697-7072-A) 29'/<"H x 47%" W x 24'/<"D. Features adjustable slide -out keyboard shelf and two drawers with metal runners. 6 -year mfr. limited 12999 i warranty. List Price 196.95. SAVE �. Hutch (No. 6697-6272-A) ` MMW 30WH x 45h"W x 12'/<<"D. Catalog 79.9kesxnecting !. Printer Stand (No. 6697-5472-A) [Incl corner] I N 29'/<"H x 23%"Wx 20%"D. Catalog 59.9 i, It Visions Collection Computer Desk With Hutch 4748-0972-A) 54"H x 53%6"W x 27'/,s'D. Accommodates tower monitor, keyboard, printer and accessories. Side storage area s.dlustable shelf. Extra shelf for disks and manuals above for area. Letter/legal file drawer. Finished in matte black and ;`6 -year mfr. limited warranty. 9999 ady to Assemble. List Price 359.95. SAYE 44% 4e Black and Mahogany Finish 7814-0172-A) Catalog 199.99. Use The Staples Charge Card On Your Order Bush Computer Desk �sSe"Ly � off -140' A. Desk (No. 4111-7372-A) 30"H x 53'/<" x 29F"D. Conte library oak finish. Scratch -resistant top, CP rage space, metal file management system and pe al with box and file drawers. Pull-out keyboard shelf. (199 6 -year mfr. limited arran . Ready to Assem List Pric 5�� 37% sa3.Cab? � -� 'B. Hutc N 41-6572-A) 26%"H x 51' ti r 0 'IF ICE t, O'Sullivan Four -Piece Computer Workcenter (Nos. 4658-3172-A–Oak, 2863-4472-A–Whitewash, 4658-4972- . Black) Laminate surfaces with solid wood pulls. Includes desk, h ch, roll -about file cabinet and printer cart. Adjustable/removable month shelf, pull-out keyboard shelf. 5 -year mfr. limited warranty. Ready to Assemble. List Price 269.99. 1499440/99 A. Desk Shell: 29%"H x 42%"W x 24"D. SAVE B. Hutch: 23%"H x 42%"W x 11%"D. C. File Cabinet: 26"H x 14XV x 15%" D. D. Printer Cart: 29%" H x 20%V x 15%" D. "—Zq And At All Pages 146-147: Buyer's Guide To Computer Carts • Shelf space for speakers_.___ _ Bush Multimedia 2) a Computer Cart • Software storage { A. (No. 7814-1972-A) 29%"H x 35WW l g x 19WD. Durable, laminate finish. Thin • Pull-out keyboard shelf with T�]Pull-out keyboard and printer shelves, ! Things wrist rest and room for mouse vertical area for tower computer. To Think About _ Maple. List Price 179.95. When • Dedicated printer shelf 99199 Purchasing A • Accommodates mini tower `' A 440E Computer system or vertical CPU storage ' % p B. Hutch (No. 7814-3572-A) Cart... • Lockable caster for mobility �f a v ®. 30X H x 2WW x 19%'D. Maple. Catalog 49.99. I Bush Genuine Oak Computer Station (No. 6696-7172-A) 29WH x 37"W x 18%"D. Vertical CPU storage with adjustable shelf. Includes pull-out keyboard tray with mouse extension and pull-out printer shelf. Solid oak and oak veneer. Ready to Assemble. List Price 299.95. 179 SAVE 99 40% Sauder Heritage Hill Traditional Computer Cart (No. 7341-1172-A) 29%"H x 35%"W x 19%"D. Classic cherry finish is scratch resistant. Features vertical CPU storage area, keyboard/mouse shelf with wrist rest and printer shelf. Hidden casters for mobili- ty. Ready to Assemble. List Price 199.99. O'Sullivan Mobile Computer Cart (No. 2384-1072-A) 33WH x 25%"W x 23%"D. Colonial oak laminate fin- ish. Pull-out keyboard shelf, slanted reference shelf, dual wheel casters. e Holds your complete com- puter system in less than 4 square feet. Ready to Assemble. List Price 99.99. 59f 9940 SAVE % Bush Multimedia Computer Cart A. (No. 4664-2572-A) 29%"H x 35%W x 19!"D. Durable, laminate finish. Pull-out keyboard and t printer shelves, vertical y area for tower computers�, Black. List Price 179.95. 9999 SAV ! 44% t B. Hutch (No. 4747-3472-A) 30'/<"H x 2&� W x 199D. Black. Catalog 49.99. Bush Whitewash Cart (No. 6416-5472-A) 47%"H x 353/8"W x 191/2'D. Malibu.oak laminate. Desk has a oversized keyboard shelf and tack glides Ready to Assemble. List Price 159.95. f� i 79 t 99 50°E/° M&M Folding. Computer Table (No. 4512-9472-A) 48"W x 30"D x 29"H. <, position adjustable board shelf has fork reverse tilt for opti 4 comfort. Baked enar, finish. Gray. Ready t, Assemble. t List Price 94.95. x mm 99 f SULIIYAN mlm SAYE ww F%mc 4947% Delivery On Staples Orders Over $50 ,•�,1. •' PROJECT NUHBEF •1'• PROJECT TITLE: 011 icr or, BU11.11.1NG 1NS111"A" OR '1'O1JN OF NOW11I ANDOVER CONSTRUCTION CONTROL PROJECT LOCATION.: •NAHE OF BUILDINC: Jefferson office park '�. .NATURE OF PROJECT: office fit—up IN ACCORDANCE.WITH SECTION 127,0 OF THE MASSACHUSETTS STATE BUILDING CODE, 1,�,�'t /a� Registration No. BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT 1,11AVE PREPARED :-OR DIRECTLY SUPERVISED TILE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICA— TIONS CONCERNING: ' ENTIRE PROJECT C;;7—D ARCIIITECTURAL STRUCTURAL [=) HECi MIMAL FIRE PROTECTION Q ELECTRICAL C1 OTHER (specify)Cl P•OR TIIE ABOVE NAMED PROJECT AND THAT, TO.TIIE BEST OF MY KNOWLEDGE, SUCH PLANS 'CpHPUTATIOHS AND SPECIFICATIONS HEET THE'APPLICABLE PROVISIONS OF THE HA ;',8TATE BUILDING CODE, ALL ACCEPTABLE ElIG111EER11IG PRACIICES•' Op APPLICABLE LAWS AND ORDINANCES FOR T11E PROPOSED USE A111) OCCUPAN • ®, 1 I �FURTIIER CERTIFY TIiAT I SIiALL l ERFORH T11E NECESSARY PROFESSIONAL' RV R,AESEHT ON' THE COIISTRUCTION SITE ON A REGULAR AMID PERIODIC BASIS 1'0 VETE OF III 'TIIE WORK IS PROCEEDING Ili ACCORDANCE WITH THE DOCUHEIITS APPROVED FOR THE BUILD11IG ]F'F-RHIT AND SHALL BE ftESPOIISIBLE FOR TIIE FOLLOWING AS SPECIFIED IN .SECTION 127.2.2: 11 Reyiew of slap drawings, sasTles artd other subuittals of the cmitractor as required by the pmistruction contract documents as ,submitted for buildilS permit, and approval for confomame to the design concept, 2, Review ptid approval of theduality control procedures for all code—required cmntrolied mterials. 3, Special ard)itectµral or engineering profess imml.inspection of critical colistrvction calpmients requtring cmitrolled tmterials or Construction. specified in -the accepted engfs)eerii,g-practice C4nda rds listed in "nd' x B, r. P�IRSUANT To SECTION .127, 2, 3 i I SMALL SUBHIT WEEKLY r A PROGRESS REPORT TOGETHER •I�,T* 11 PFRT111EIlT COHHENTS TO THE NOR -111 IINDUVLi( BUILDING INSPECTOR. COMPLETION OF THE WORK, 11SlIlALL SU9 T A FILIAL REPORT \S TO fE SAT1S I CQMPLET1011 ¢IID READIN49'S p� $1 1 �5' FT FOR OCCUP `.�'+ �. �G �,�ssioti'•. F S1C,IiA1URE 'c DAY A OF, 19!I SPSCRI n B � #� ?� ��. • F IIUT PUBLI ��✓�iiyQ 'A�H��' ��G`N, MY C011H1SS1011 EXPIRES i iP\3 ��V, Ry QUAD PROVIDE NEW :4x4 304 303 PLYWOOD ;; 305 308 REUSE EXISTING DOOR _ J DEMD/ F=== 302 DEMO EXISTING CLOSET 306 307 CARPET-TANGA TURQUOISE ii REUSE EXISTING 301 VINYL BASE-JADE ii DOOR PAINT-ORIGAMI WHITE i General Notes & Specifications 1. 'ALL LABOR AND MATERIALS SHALL CONFORM TO STANDARD TRADE PRACTICE,MANUFACTORS REC❑MMENDATI❑NS,FEDERAL,STATE AND LOCAL BUILDING CODE REQUIREMENTS• Fixture Schedule 2. UNLESS OTHERWISE NOTED,ALL MATERIALS AND METHODS OF INSTALLATION SHALL 120 V DUPLEX @ 18" AFF. MATCH EXISTING BUILDING STANDARDS. g� TELEPHONE ❑UTLET,SINGLE GANG 18"AFF, 3. BUILDING CLASSIFICATI❑NSA A. USE GROUP------B (BUSINESS) Key M a n B. CONSTRUCTION TYPE-- 2C 4. MODIFY ANY EXISTING FIRE SUPPRESSION AUTOMATIC FIRE DETECTION,MANUAL FIRE PROTECTIVE SIGNALING SYSTEM AND OTHER FIRE PROTECTION SYSTEM AS REQUIRED TO I FACILITATE NEW LAYOUT AS PER CODE REQUIREMENTS,LANDLORD SPECIFICATIONS AND LOCAL FIRE DEPARTMENT REGULATIONS. 5.RELOCATE EXISTING LIGHT FIXTURES TO ACCOMMODATE NEW ROOM AREA OF CONSTRUCTION Partition Schedule EXISTING PARTITION 10 BE REMOVED 1,684 4 PLAN 5 scale 10 ® NEW PARTIONS (MATCH EXISTING) , �+ r�+ EXISTING PARTITIONS TO REMAIN J QW PROJECT OFFICE CLIENT DATE 9/25/1997 ARCHITECTURE RENOVATION NET S FLOOR 3 12 FARNSWORTH ST. BOSTON MA 02210 Jefferson office Park (617)350-3035 FAX 350-7603 790 Bldg. Andover MA OFFICE OF BUILDING 1NSPE(:1011 CONSTRUCTIONTOWN OF A NORTH tCONTROL OVER PROJECT HUHBER: O PROJECT TITLE: MAIV PROJECT LOCATION: Turnpike street Nor , n over, - ;""NAME OF BUILDING: Jefferson office park` '�. NATURE OF PROJECT: office fit -up IN ACCORDANCE.WITH S ',EC '1TION 121.'0 OF THE MASSACHUSETTS STATE BUILDING CODE, �,,�tAAA1U Registration .No. BEING A REGISTERED PROFESSIONAL ENGINEER/ARCIIITECT HEREBY CERTIFY THAT I,IIAVE PREPARED .-,OR DIRECTLY SUPERVISED TIIE PREPARATION OF ALL DESIGN PLAITS, COMPUTATIONS AND SPECIFICA- TIONS CONCERNING: ENTIRE PROJECT CH= ARCHITECTURAL Q STRUCTURAL I= MECHANICAL L= FIRE PROTECTION Q ELECTRICAL Q OTHER (specify)m FOR THE ABOVE NAMED PROJECT AND THAT, TO •TIIE BEST OF MY KNOWLEDGE, SUCH PLANS COHPUTATIONS AND SPECIFICATIONS 1IEET THE'APPLICABLE PROVISIONS OF THE MA ";STATE BVILD1110 CODE, ALL ACCEPTABLE ENGINEERING PRACTICES,' Abp APPLICABLE LAWS AND ORDINAII.CES FOR TIIE PROPOSED USE AND OCCUPAIN 'I 'FUmIER CERTIFY THAT I SIIALL PERFORM TIIE NECESSARY PROFESSIONAL RV 1AESENT ON' TINE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS 1'0 DEIE of ,TjIE WORK IS PROCEEDING 111 ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING if-RMIT AND SHALL BE RESPONSIBLE FOR TIIE FOLLOWING AS SPECIFIED 111 SECTION 127.2.2: 1i RevieW of shop drawings, seriples artd other submittals of the contractor as required by the Fonstruction contract documents as submitted for building perniit, and approval for confonrame to the des igT j concept, 21 Review end approval of the quality control procedures for all code -required controlled :materials. 3, Special architectµral or engineering prof essimial.inspection of critical cvnstrvctirnr caiporrents tequlring controlled tmterials or construction specified in -the accepted engineering -practice •�' Popw1ard4 listed in /tppe::d'x B, i .PyA§gANT TO SECTION .121,2,3, I SHALL SUBHIT WEEKLY r- A PROGRESS REPORT TOGETHER •'Ij' PERTIINEIiT COtilfEt,TS TO THE NUIt'1•II ANUUVLI( BUILDING INSt'ECTOR. pti COMPLETION OF THE WORK, I IS�IALL SIL T A FINAL REPORT TO SAT111 OILY ���111111 1 f , Cp�iPLET10ti RIND READItNENSS 1 T FOR OCCUP O: -a o 0 , ,. `i• co ° .� SIGNAI'l1RE S�1 SCRI n I3 S E.. A DAY ofc'�Q-F_ 19 �,y gCH�'MY C011HISSION EXPIRES �NULI 10S Z460 i,�i//-IIRY IPV`\\\��� Lieneral Notes & Specifications 1. 'ALL LABOR AND MATERIALS SHALL CONFORM TO STANDARD TRADE PRACTICE,MANUFACT❑RS RECOMMENDATIONS,F.EDERAL,STATE AND LOCAL BUILDING CODE REQUIREMENTS, 2. UNLESS OTHERWISE NOTED,ALL MATERIALS AND METHODS OF INSTALLATI❑N SHALL MATCH EXISTING BUILDING STANDARDS. 3. BUILDING CLASSIFICATIONS; A. USE GROUP ------ B (BUSINESS) B. CONSTRUCTION TYPE-- 2C 4. MODIFY ANY EXISTING FIRE SUPPRESSION AUTOMATIC FIRE DETECTI❑N,MANUAL FIRE PROTECTIVE SIGNALING SYSTEM AND OTHER FIRE PROTECTI❑N SYSTEM AS REQUIRED TO FACILITATE NEW LAYOUT AS PER CODE REQUIREMENTS,LANDL❑RD SPECIFICATIONS AND LOCAL FIRE DEPARTMENT REGULATIONS. 5,RELOCATE EXISTING LIGHT FIXTURES TO ACCOMMODATE NEW ROOM Partition Schedule 0 s, Fixture Schedule 120 V DUPLEX @ 18" AFF, TELEPHONE ❑UTLET,SINGLE GANG 18"AFF, Key Plan ---- EXISTING PARTITION TO BE REMOVED PLAN ® NEWS PARTIONS (MATCH EXISTING) EXISTING PARTITIONS TO REMAIN �w L ROJECT OFFICE ARCHITECTURE RENOVATION 12 FARNSVORTH ST: FLOOR 3BOSTON MA 02210 'Jefferson (617)350-3035 FAX 350-7603 790 B 1 d. 1,684 o 5 10 scale R.S.F. CUENT NET SEARCH Office Park Andover MA DATE 9/25/1997 OFFIcr, OF BUILDING 1NS111"'GLOlt 014N OF NOW111 ANDUVEII CONSTRUCTION CONTROL 1 1(MU1(1 I •'„ PROJECT NUHBERI 11'x: PROJECT TITLEI PROJECT LOCATION _ Turnpike street Nort , , n a over, ',NA�fE OF BUILDINGI Jefferson office park NATURE OF PROJECT: office fit—up IN ACCORDANCE. WITH SECTION 121.'0 OF THE MASSACHUSETTS STATE BUILDING CODE, I� �t Registration No. 67647 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCIIITECT HEREBY CERTIFY THAT 1, HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGIi PLAITS, COHPUTATIONS AND SPECIFICA— TIONS CONCERNING: ' ENTIRE PROJECT [j7_D ARCHITECTURAL STRUCTURAL [= HECIIAIIICAL L� FIRE PROTECTION Q ELECTRICAL Q OTHER (specify)[ FOR TIIE ABOVE (GAMED PROJECT AND THAT, 10-TIIE BEST OF MY KNOWLEDGE, SUCH PLANS 'CQHPUTATIOHS AND SPECIFICATIONS HEET TNE'APPLICABLE PROVISIONS OF TIIE HA STATE BUILDING CODE, ALL ACCEPTABLE ElIG111EERIIIG PRACTICES,. ;Ap APPLICABLE LAWS AND ORDINANCES FOR T11E PROPOSED USE AND OCCUPAII 'I"FURTHER CERTIFY THAT I SHALL PERFORH THE PECESSARY PROFESSIONAL ERV .I• 1 _ JESENT ON' TIIE COIiSTRUCTION SITE ON A REGULAR MID PERIODIC BAS15 'I'0 D 1 of ,T'f IE WORK IS PROCEEDING III ACCORDANCE WITH THE DOCUHEIITS APPROVED FOR TIIE BUILD11IG ;PERMIT AND SHALL BE RESPONSIBLE FOB TIIE FOLLOWING AS SPECIFIED 11; SECTION 127.2.2: 1 III � 1. Reyiew of shop drawingsr, smTples arld other suiinittals of the contractor as required by the rpm struction contract documnts as submitted for building permit, and approval for conf orimme ,i;.`, to the design concept, 21 Review ;md approval of the quality cmtrol procedures for all code—required cmitrolled materials. 3, Special arcilitectVral or engineering profess imial.irmspection of critical coristructirn, calpmeilts requitriN controlled materials or crnutruction specified in -the accepted engineerimg•practice Govidards listed in Appexrd'x B, 1. Pp§PANT TO SECTION .121,;131 I SHALL SUBHIIC W[EEEKLY A PROGRESS REPORT TOGETHER .•1 •'j.{' P&RTIjiENT COMMITS T'0 TIIE NUfj'tH ANDOVE1( 13UMANG 1NSPIEG1`011. � I l • +,Uf OIj CMIFLET10N of THE WORK, I 1S,iALL SUE T A FINAL REPORTO dI SATISF ORY ' \���\1111 I II//h , CQMPLET1011 AND READIIJE,%S °� Le 1 j1 T FOR OCCUP ZITS p v SIGNATURE SVPSCRj UnY oF� ig �z. ��'21'Z CIO �` I Y C S 1 tI EX1' IBES COI f2 1 S U ,IiU•f PUBL1 � .. H U 1 i�i��/ �q/RY IP\3` �"\\\ General Notes & Specifications 1. ALL LABOR AND MATERIALS SHALL CONFORM TO STANDARD TRADE PRACTICE,MANUFACT❑RS RECOMMENDATIpNS,FEDERAL,STATE AND LOCAL BUILDING CODE REQUIREMENTS, 2, UNLESS OTHERWISE N❑TED,ALL MATERIALS AND METHODS OF INSTALLATION SHALL MATCH EXISTING BUILDING STANDARDS. 3. BUILDING CLASSIFICATIONS; A. USE GROUP ------ B (BUSINESS) B. CONSTRUCTION TYPE-- 2C 4. MODIFY ANY EXISTING FIRE SUPPRESSION AUTOMATIC FIRE DETECTION,MANUAL FIRE PROTECTIVE SIGNALING SYSTEM AND OTHER FIRE PROTECTION SYSTEM AS REQUIRED TO FACILITATE NEW LAYOUT AS PER CODE REQUIREMENTS,LANDL❑RD SPECIFICATIONS AND LOCAL FIRE,DEPARTMENT REGULATIONS, 5.REL❑GATE EXISTING LIGHT FIXTURES TO ACCOMMODATE NEW ROOM Partition Schedule EXISTING PARTITION TO BE REMOVED ® NEW PARTIONS (MATCH EXISTING) EXISTING PARTITIONS TO REMAIN J QW ARCHITECTURE 12 FARNSVORTH ST. BOSTON MA 02210 (617)350-3035 FAX 350-7603 6. Fixture Schedule 120 V DUPLEX @ 18" AFF. TELEPHONE ❑UTLET,SINGLE GANG 18"AFF, Key Plan PLAN 1,684 1/8„_1,-0„ R.S.F. PROJEC' OFFICE CLIENT RENOVATION NET FLOOR 3 6 0 5 scale 10 EA11R, C In -T °AT 9/25/1997 Jefferson Office Park � — 790 Bldg. Andover 0 CERTIFICATE OF USE &OCCUPANCY Town of North Andover Building Permit Number Date Ad A? 7 THIS CERTIFIES THAT THE BUILDING LOCATED ON 3e-MROVI d F FA t fayt k (79d, MAY BE OCCUPIED AS Q i= F; te- S PQ c C , ,•ice?yq IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO lo?4 ow -e/ CadW ADDRESS ��-�► p' k e S I . Building Inspector b 9 m V/ co W co KNO 0 H 0oRN A 0• Y wo q f ow u z 0.4 t: ca 0 o P4 u x I 0�E U) U) 0 H 0oRN wo q f C O 4-J i Location ^�- " Noj , / Date TOWN OF NORTH ANDOVER �k0RTPf - - Certificate of Occupancy $ Building/Frame Permit Fee $ 1' LO ACMusEth Foundation Permit Fee $ 4- Other Permit Fee $ Sewer Connection Fee $ a. Water Connection Fee $ ' TOTAL $ Building Inspector 10840 Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP d,40. Q LOT NO. (o ®Q I 2 RECORD OF OWNERSHIP (DATE BOOK ;PAGE ZONE SUB DIV. LOT NO. �— LOCATION /0 PURPOSE OF BUILDING In –,%Ge F OWNER'S NAME`, NO. OF STORIES SIZE OWNER'S ADDRESS 1,6C> f <s_� �U_ BASEMENT OR SLAB ^ ARCHITECT'S NAME �r /1 taC 1 GlltN�50 t 1, SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME \ V ,,,, 0, �U ���r "� SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS POSTS DISTANCE FROM STREET DISTANCE FROM LOT LINES — SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS - IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION �e iT� u'' \ IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER �') es IS BUILDING CONNECTED TO NATURAL GAS LINE N O INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING AYTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDIN NSP TOR DATE FILED `) I I � '.L� SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE PERMIT GRANTED 19 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST 22 6Q© EST. BLDG. COST PER SQ. FT. V EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY l BUILDING INSPECTOR OWNER TEL.# 7- SLI`' CONTR. TEL. + ®5/ 0C�5 CONTR. LIC. # `� H.I.C. # i i o 155 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH 3 1 2 I3 PINE CONCRETE CONCRETE BL'K. BRICK OR STONE HARDW D _ PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL '/. 1/2 FIN. B'M'T' AREA FIN. ATTIC AREA _ NO B M'T FIRE PLACES _ _ HEAD ROOM MODERN KITCHEN 4 WALLS I i 9 FLOORS CLAPBOARDS DROP'.SIDING WOOD SHINGLES CONCRETE EARTH B 1 _ 2 �x ------yyy_ 3 _ ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ COMMCN COMMON ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY BRICK ON FRAME ATTIC STIRS. & FLOOR (- CONC. OR CINDER BILK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR II POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE GAMBREL I HIP BATH (3 FIX.( MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ 10 13rd ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS.' WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CN m a z 0 z 0 U El 21 E a) L■ O Z °D CL O h CD Q C I CCM O•— y Q 'C CD .- CO) O O 'FE m m co cc CL I.. = .o O O Q O Lm L. O Q CDQ Ce RS O = � c ev V CL 0 CD C Z 0 CL V CO) O C C CO) Q k.t C OM M o_ c� O c� O h o a G ' a p, C O A m .0 ;t O w O a O a C7 Ea w a c a a aa a W U CL v U w ON N aG w o°4 w ' om w m O cn cn a z 0 z 0 U El 21 E a) L■ O Z °D CL O h CD Q C I CCM O•— y Q 'C CD .- CO) O O 'FE m m co cc CL I.. = .o O O Q O Lm L. O Q CDQ Ce RS O = � c ev V CL 0 CD C Z 0 CL V CO) O C C CO) Q C OM M o_ c� O c� O h C.i •nom G ' ' p, C O A m .0 ;t O Ea c m O CL ON N E= ' om o (N.E m C E N A 03 C42 C2 :L. o i1V cc " V IA N C N m O m O 3 a� m N m m � C C Q y dCZ o 'L m vmvi0 o m Co` a Q, cm cc C Z O OZ p Q H `. a.r h W 'r C r O ev u•. F.. W N EV C C N = C..3 4DCaCO2 QO Q a m� O'er O O P- CL a z 0 z 0 U El 21 E a) L■ O Z °D CL O h CD Q C I CCM O•— y Q 'C CD .- CO) O O 'FE m m co cc CL I.. = .o O O Q O Lm L. O Q CDQ Ce RS O = � c ev V CL 0 CD C Z 0 CL V CO) O C C CO) Q i;i e It.i. (il' ISULI.I11fil, til:ai 1.\.i'1: t4 I'014N OF NUItTH ANDOVER CUtISTRUCT'IOH COHIRUL , , /IlAt wullt PROJECT NUNI)ERt ''�' ItuJECT T1'rl,Et �'IlOJ13CT LUCAT1OIIt �,. 'Turnpike street North, . ArMaover, mn- hAtfE OF BUILDINGs Jefferson office park NATURE OF 11110JECTo office fit -up IN ACCORDANCE WITH SECTION 127.0 OF THE HASSACIIUSETTS• STATE BUILDING CODE, Registration No. -- -(, 13131110 A REGISTERED PROFESSIONAL EIIGMEER/ARCIIITECT HEREBY CERTIFY THAT 1, HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION'OF ALL DESICN PLANS, CU11PUTATIUNS AIIU SI'ECIFICA— TIONS CONCERIIING., ENTIRE PROJECT ARCHITECTURAL STRUCTURAL Cj tfECIlAN1CAL [= FIRE 1'110TECTIUII lD ELECTRICAL [=j 0 OTHER (specify)C.j F.O.R THE ABOVE IIAHED PROJECT AND THAT, TO -THE BEST OF I1Y KNOWLEDGE, SUCH PLAIIS, 0111PU'TATIO119 AND SPECIFICATIONS MEET THEAPPLICABLE PROVISIUIIS OF TIIE tfASSACIIUSEI'Is S•fATE BUILDIIIG CODEC ALL ACCEPTABLE ElIC1NEERI1IG PRACTICES.. / APPLICABLE LAWS AND ORD111MICES FOR TIIE PROPOSED USE NIU OCCUPANCY. I',�'1 `FUR'I'IIER CER'T'IFY THAT 1 SHALL VERFOR1i THE NECESSARY PROFESSIUIIAL SERVICES Ai1D BE ('RESEII•T ON' THE C011STRUCTIO11 SITE UN A REGULAR AIIU PERIODIC BASIS TO I)EIEIIIIINE IIIAI I' • 111E WORK 1S PROCEEDIIIG 1N ACCORDANCE WITH THE DOCUMENTS APPROVED FUR THE BUILDING ';i'F�RlfiT AIIV SHALL BE RESPOIISIBLE FOR THE FOLLOWING AS SPECIFIED 111.SECTIUII 127.2.2- 1. Review of shop drawitigs, satples and outer suhnittals of the contractor as required by the construction contract docurmits as sutmitted for building permit, and approval for canlommice to the design concept. 2. Review and approval of the duality control procedures for all code -required controlled tttater is ls. 3. Special ordtitectural or engineering profess imuil.inspectimi of critical mistructirnt r_mponents requiring crnttrolled materials or construction specified in the accepted enghteeritg practice standards listed in Appendix B. PURSUANT TO SECT'IU11 127.2.39 1 SHALL SUBHIT WEEKLY , A PROGRESS REPURT TUCEIIIER ' III'll PERTIIIEIIT CUIRfENT'S TO THE N6I1'1'II ANDOVl:1t 13U11.U.LNG INSVE'C'Ct)It. 'J.1P611 CUtIPLETIOU OF T[ IE WORK, I SHALL SU13111T A F1tIAL REPORT AS TO TIIE SATI FACTORY CU111P1.E1'lUH AIIDtU-f5$,�UF THE PROJECT FOR OCCUPAIIC I kiln '' �' 51CIIAIl1RE SUIfSCRlI)ED /( aW 1,1.1 if' S-1-1 14-S DAY OF 19 ^tlO1AItYy PUIIll(, ��q�TkOF��s�� 11Y C011111SS1bN EXPIRES FORM U - VERIFICATION 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: �r�c9. o� ��et�J Phone (tel -33 0 L i `I LOCATION: Assessor's Map Number O Parcel O 0 5 Subdivision Lot(s) Street 7 10 1 r r� P cial Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected G .:Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector -Health Date Rejected Date Approved Septic Inspector -Health Date Rejected Comments i i Public Works sewer/water connections - driveway permit Fire. Department fd- v� '6/—/ 7_ g % Received by Building Inspector Date i A� Q 6A N0.Dx Z 0 "oa 0 0 OP t P— <3 O fD 0 07 L- V I I to LO it N 0 w v C' V V \ O \ (U 4 \ A � A� Q 6A N0.Dx Z 0 "oa 0 0 OP t P— <3 O fD 0 07 L- V I I to LO it N 0 w v 7 0� UN vw ¢ Z N ZWS A N Z W Vi 2 z C7 z F- W W � 1- W R. Z 0� �¢w U� ¢WZ ¢ a� R > Z Z F- F- Q F- F- W Z CL a ❑❑❑ z ¢� ¢wF- 0 Pq A !@ r~y W Ja P SW z �.. 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F- Q H0 m N Nx -U WF- PqW A 4 E (� F- N Z Q 6 Z) W 2w 0 z Q' F- a= Q JUJW AJL:) zPq I w0 aVjw ❑ "yam ¢.W WW Fw-¢� ❑" Lj LiF-("W1-Ag Az¢ ~% � 0 4, W ❑F- PQ Ul7F-:D ZW 06 F- LJ ¢AwU' wHp . I W U¢ W LO (A ���� .U� ." 1 z 0 ZZ JzA zw A�z Dr i ❑ `"L.1�3¢W Z rW - <a u LJ-4-'wJ-' QW 0 QA <El W MF- J❑ U � Uzvi� Q'� dor 2¢qc.) F - OH UW � Z wWWZ L`la ggZ -t® Z P❑gzWLO aF=-W Zl7 N ¢! F--�<x Apw �[ �� 0 -J F- 0 (nfS AN o �w��p El P4 p ti moo+-�-O opo- N❑H W U J p U r p� JrrJ �J W� Ir i 00 -i uQJ L0 0 J❑WS ZZ¢'S ❑U��QWZ Z= y.� 7Z mLLn p QF-WM p¢� Pq¢ Pi x¢WL"Wim¢ QN J a F 01 N M u j to C$ CDD w A ' U ui U N ISS ► o y x a ui U ► o y x a a a lz p. �i 2 w�' U a�' w WO oG o c�G p o CO w" oo co to ui U 72 a LM Z o„ C C' I CCM caQ ■� CD CD 0 M ■� W W 0 CD c � C L cc a c,¢ c ca ev ci M co �o a� C Z cm ci y C C C •� cc y f'l A CO CLCL 0.0 \ �; t .CO 1. CD ,.. a U) m CL C/) F.� C e O ci �O {; c� E f o 3 C m q (n U of m ` U) ^� m z r or o o; . m m O CO3 Z 'a o : o of cc t aC 'C m a `m N _ . t 3 $ er; •$F' m CODZ. W o � .. 'o S .� at A c o E:. *' m C.3 4D J2 Go m _ w �c $a..m No 72 a LM Z o„ C C' I CCM caQ ■� CD CD 0 M ■� W W 0 CD c � C L cc a c,¢ c ca ev ci M co �o a� C Z cm ci y C C C •� cc y f'l PELHAM CONSTRUCTION 38 Balcom Rd. Pelham, N.H. 03076 Date: 6/2/97 T0: Building Department North, Andover Ma. I Dwight A. Brown, of 38 Balcom Rd. Pelham, N.H. D/B/A. Pelham Construction was the construction supervisor License # 058659 at 790 Turnpike street North Andover for permit # 172. Tenant being Teledyne and the owner being Meredith & Grew hereby certify that renovation was constructed under my observation and to the Massachusetts Building code. Dwight A. Brown JQW Architecture June 2 1997 To: North Andover Building Department 146 Main Street North Andover,MA 01845 i s Subject: Completion of Office Renovation at 790-3 bldg. Jefferson Office Park (Floor 3) TELEDYNE-NIM,LLC Suite North Andover,MA 1 i i I John Q.Williamson Architect ( Mass. licence no. 7476) verify observation and completion of Office Renovation at 790 Jefferson Office Park. Work completed by (Pelham Construction). EPA `��Sin rely IM 1 OF /hn Q.Williamson,Architect i JQW Architecture / 12 Farnsworth Street, Boston MA. 02210 / (617) 350-3035 Location E No. Date' �Y •.t . .. 40RTM ct,,OD ,.i�. TOWN OF NORTH ANDOVER 00? Certificate of Occupancy $ 449L Building/Frame Permit Fee $ 'ss�cMust�� Foundation Permit Fee $ . Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $, TOTAL $ Building Inspectorjeft ^ i� .0465 Div. Public Works � 0 8 PERMIT NU:. I� a APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MALS d40.� LOT NO. (3 666 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE ZONE SUB DIV. LOT NO. I LOCATION'�- 7e70 I ur np���� sZ . /0-7 PURPOSE OF BUILDING OWNER'S NAME -- OC Grew 1 NO. OF STORIES SIZE OWNER'S ADDRESS Q 5� BASEMENT OR SLAB ARCHITECT'S NAME -- SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET '" POSTS DISTANCE FROM LOT LINES - SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION ;' w I, C IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILEEDy AND APPROVED BY BUILDIN7NTOR DATE FILED -1 /20 /96 ti.+ SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE PERMIT GRANTED -� 19 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST G C) GG EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPCCTOR OWNER TEL. # v � 3 3 o " 2 CONTR. TEL. # 4103 6 35 0 6 1 CONTR. LIC. #� H.I.C.# I I O t 55 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY 5TORIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE PINE 3 1 2 13 CONCRETE BL K. BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL- UNFIN. _ 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 1/1 1/2 3/4 FIN. ATTIC AREA _ N_O B M HEAD ROOM FIRE PLACES MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 �_ _ DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING HARDVJ'D COMMCN MPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIORI� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) GAMBQEL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS B'M'T 2nd _ It 13rd GASOI L ELECTRIC NO HEATING s THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. iL c-, I T H .,do " , - I y 71 c v , I" I I� jIT / o .z A P. I" z f" z )b c-, I T H .,do " , - I y 71 c JQW ARCHITECTURE 12 FARNSWORTH ST. 4BOSTON MA 02210 (617)350-3035 I FAX 350-7603 103 r , 02 PROVIDE NEW LIGHT SWITCH IN 102 AND 103 LIGHTS TO REMAIN PROVIDE A NEW HVAC DIFFUSER TIE INTO EXISTING SYSTEM IN ROOM 103 ELECTRICAL PLAN EXISTING CL. —EQ. �-'E 103 102 NEW NEW OFFICE OFFICE NEW CARPET AND BASE NEW PAINT NEW TENANT TO SELECT COLORS RM EXISTING PT AN 1/(i =1.—U PROJECT OFFICE RENOVATION FLOOR 1 General Notes & Speciftcattons 1. ALL LABOR AND MATERIALS SHALL CONFORM TO STANDARD TRADE PRACTICE,MANUFACTORS RECOMMENDATIONS,FEDERAL,STATE AND LOCA BUILDING CODE REQUIREMENTS. 2. UNLESS OTHERWISE NOTED,ALL MATERIALS, AND METHODS OF INSTALLATION SHALL MATCH EXISTING BUILDING STANDARDS, 3. BUILDING CLASSIFICATIONSi A. USE GROUP ------B (BUSINESS) B. CONSTRUCTION TYPE-- 2C 4. MODIFY ANY EXISTING FIRE SUPPRESSION AUTOMATIC FIRE DETECTIORMANUAL FIRE PROTECTIVE SIGNALING SYSTEM AND OTHER FIRE PROTECTION SYSTEM AS REQUIRED TO FACILITATE NEW LAYOUT AS PER CODE REQUIREMENTS,LANDLORD SPECIFICATIONS AND LOCAL FIRE DEPARTMENT REGULATIONS. 5. ANY WOOD FRAMING AND/OR BLOCKING SHALL BE FIRE RETARDANT TREATED. 6. LANDLORD SHALL PRIOR TO DEMOLITION, HAVE THE AFFECTED AREAS OF THE FACILITY INSPECTED FOR THE PRESENCE OF ASBESTOS AS PER EPA REGULATIONS. 7. ALL NEW FLOOR PENETRATIONS FOR MECH. EQUIP,ELECTRICAL EQUIP. AND OTHER OPENINGS SHALL RECEIVE REQUIRED FIRESTOPPING AS PER CODE REGULATIONS AND MANUF. SPECIFICATIONS. 8. WALLS TO EXTEND ONE FOOT ABOVE EXIST CEILINaWITH 3' INSULATION. ABOVE CEIL'G 3' BATT INSULATION. 9. REUSE EXISTING ELEC./CEILING IF NEAR PROPOSED NEW LOCATION. CONFIRM WITH OWNERS REP. TO CONFIRM Partition Schedule NEW PARTIONS (MATCH EXISTING) EXISTING PARTITIONS TO REMAIN Door Schedule I nE IEXIST'CIEXIST'GI EXIST'G I REUSE EXISTING I MTL. I Fixture Schedule O 120 V DUPLEX 2 18' AFF. TELEPHONE OUTLET,SINGLE GANG 18'AFF, N 0 5 scale 10 CONTE INS. Jefferson Office Park 790 Bldg. Andover MA DATE 9/17/1996 A 1 • 7 ctso ;O ts c ` lA" O y O �ci d C NCD C R :Q s y Ea o CJ \' :on C7 [ o m O O m� CD v` y H CO CA 'fl C m (� Inr5lgo Ei C O �T� E co :yCD m V H O O Z C L ® tm C Q y m C C _ a' _. N C3. 0 F- o p m r V? m WC ea y=.., � = r... H Mdt Z p rr m OC � v y p CLU m p m C Vi a m '0 p 5 2 R c L O 0 V �_0 Z Q. y � C C O CD caCD 0 E v_ 'E CD CLO o a w o w co Cj a p w ca ^ ^ ® ♦r C Cc v Z3 .y o O CD Q U O V C C C z CA 0 w O C7 C7 z U w Q �r c.: w O W u — G w2 cn w° . a�' Gcow U x w C2 cn w w cn cn ctso ;O ts c ` lA" O y O �ci d C NCD C R :Q s y Ea o CJ \' :on C7 [ o m O O m� CD v` y H CO CA 'fl C m (� Inr5lgo Ei C O �T� E co :yCD m V H O O Z C L ® tm C Q y m C C _ a' _. N C3. 0 F- o p m r V? m WC ea y=.., � = r... H Mdt Z p rr m OC � v y p CLU m p m C Vi a m '0 p 5 2 R c L O 0 V �_0 Z Q. y � C C CD caCD v_ 'E CD CLO o cc o ., co Cj 0 Q ca ^ ^ ® ♦r C Cc v Z3 .y o O CD Q U O V C C C c CA 0 G Locatiori 1LG No Date °RTS TOWN OF NORTH ANDOVE11 p Certificate of Occupancy Building/Frame Permit Fee $ Foundation Permit Fee k Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ 7 TOTAL $ Building Inspector 47 '3 9818. Div. Public Works i W O i J 0 zIK a d g IK d Q a W IL 0 IX L 0 r- u u ►- uu u z s d M Uz < m I - W W m W m U W0 f Y0 rc m r • ak a � J Q LU ui U/ w Y O O U O U U 2 u b0 x W z < N_ Z N F J m ¢ I O J 3 3 a J a Q 1 I W UI N I ! J 0 f 0 F < z W z 4 m 0 0 0 0 t7 m m w _O m o_ F Z OJ m J F O p Z J W W W O m w J mcr m 0 LL U' Z O O Z = 0 N 0 z 0 Z 0 z U 0 K 0 O. 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J SnN�vr joiaadsu but j1 •.w,,�`y ssau(l(lv CPO aO.L (12nssl alvalmIRT) 'A'Idd,V XVW SV H.L 30I SI�IOISIA02Id dHZ HZIM (INV aaoo 9NI(Iloff UVS S1.IaSIIHjVSS� Sv mumao dg Avw 33NVQ2I0JZ)v KI � ILIO Qa,LV30'I 0NIQ'IIng dH.L -7 I"u Smm,Luaj SIH,L aagwnN Iiwaad Buiplin8 area � � -f JGAOpuV UPON 10 ul%Ol Jl3 Ndd (1330 '8 3Sn d0 31dO1d11U33 x con G a, a i2 cn V Q W L Q co a Q (A o � I c, o _ CD CDco m m CD =3 o �CL-) co o Q cc L Q d Q� Q y C c � cv V J� d Q � ZG3 V 0 CLy � C C. •� C 0. 0 uu a, z Q W L Q co a Q (A o � I c, o _ CD CDco m m CD =3 o �CL-) co o Q cc L Q d Q� Q y C c � cv V J� d Q � ZG3 V 0 CLy � C C. •� C 0. 0 Locationy �Gt Pf�� Date ��pp gORTI� ,TOWN OF NORTH ANDOVER p `Certificate of Occupancy $ Building/Frame Permit Fee $ I3S �Z �ss�cwuSEt ti Permit F $,_ �- ` Other er ' i -Fe . S'e' wer.0 tion -Fee �$ Water�Connec'ti�on ee $ J. u)ilding0`lnspect6r j V lel 9,6-3,q v I c Works PERMIT xo. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. 0") LOT NO. 00 2 RECORD OF OWNERSHIP jDATE (BOOK ',PAGE ZONE I SUB DIV. LOT NO. 5 uMe ?t �— LOCATION -7-70/ 5`�2t&�Z IyCI PURPOSE OF BUILDING OWNER'S NAME (be R �� \�,M OL G ��w NO. OF STORIES SIZE OWNER'S ADDRESS !_ r_�p�� �; Q� G BASEMENT OR SLAB ARCHITECT'S NAME - �`J�I;i 11 jly� V'/'� SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME Il � �U ��.U`T�Q� SPAN -- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW / /V SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION I-,���C r� u IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Y �� IS BUILDING CONNECTED TO TOWN WATER )es BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER 9C5 I IS BUILDING CONNECTED TO NATURAL GAS LINE N (, INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED / J \/ / V 1 SIGNATURE FEE G PERMIT GRANTED f 14AY - 3 1996 , 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST 26 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPECTOR OWNERTEL.# C4 17' 336 C6 t%.\Ll CONTR. TEL. # AO -3 6-S5 7 6S 1 CONTR. LIC. # d J -i� 6 H.I.C. # It o 55 %31 a F BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILYSTORIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION I 8 INTERIOR FINISH CONCRETE�}II� PINE 3 I 2 13 CONCRETE BL'K. BRICK OR STONE HARDWD PIERS PLASTER DRY VJALL _ x _ UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ '/. 1/1 1/. FIN. ATTIC AREA NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 —22-J-�� ZCI 3 X _ DROP SIDING CONCRETE WOOD SHINGLES EARTH HARDW D COMMON ASPH. TILE ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR II POOR ADEQUATE 1 NONE 5 ROOF 11 10 PLUMBING GABLE X BATH (3 FIX.( GAMBREL -d —1P MANSARD TOILET RM. (2 FIX.( FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK' SLATE NO. PLUMBING TAR & GRAVEL STALL SHOWER _ _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR F6%N. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 12nd I _ lit 3rd ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. c C i A FORM U - VERIFICATION 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 local or state law, regulations or requirements. *************^***Applicant fills out this section*****************'' APPLICANT: _VS2r QvN, Phone (62) A 3's Z65) LOCATION: Assessor's Map Number 0� 6 Parcel 0 05V Subdivision Street 7-7-U I U'R1�1 Lots) 005 0 St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector -Health Date Rejected Date Approved Septic Inspector -Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department %2k��� Z,�e� ✓�s �f/ �� �� 117 1L.e-- Received by Buildin Inspector L __` - _ { , Date MAY - 3 1996 f , +'~ "�► OFFICE OF BUILDING INSPECTOR MAY — 3 1995!1 ' T'OUN OF NOF!•1'11 ANDOVER CONSTRUCTION CONTROL PitOJ£Ci NUHBER: PROJECT TITLES HC -- PROJECT LOCATION t i�) -NAME OF BUILDINOi_ S ,NATURE OF PROJECT C,:. INACCORDANCE WITH , ,SECTION 127:01 OF THE MASSACHUSETTS STATE BUILDINC CODE, ... Is - Jo�I� Q, �%`�/«K«V Registration No. 74 ?� BEINC A REGISTERED PROFESSIONAL EIIGINEER/ARCIIITECT HEREBY CERTIFY THAT 1° HAVE PREPARED 'OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICA- TIONS CONCERNING! ENTIRE PROJECT [;1 ARCHITECTURAL 6 , STRUCTURAL HECHA11ICAL C FIRE PROTECTION Q ELECTRICAL =1 OIlIER (specify)[ FOR THE ABOVE NAMED PROJECT A116 THAT, TO THE REST OF MY KJ1OWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE'APPLICABLE PROVISIOIIS OF 711E MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES.' AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARX PROFESSIUVAL SERVICES A111) SE PRESENT ON THE CONSTRUCIION SITE ON A REGULAR AVD PERIODIC BASIS TO DETElUJINE MAT THE WORK IS PROCEEDING IN ACCORDANCE WIIH THE DOCUMENTS APPROVED FOR THE BUILDING Y PERMIT AND SHALL BE RtSPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN.SECTION 127.2.21 1. Review of shop drawitgs,` "les and other suhaittsIn of the contractor as required by the construction contract docunwi s as submitted for building petudt, and approval for confornottce to the design concept. , 2. Review and approval of the quality control procedures for all code -requited tonttolled noterials. 3. Special architectural or engineering prof essiona1.Inspect ton of critical c instruction cogxn*nts requiring Controlled materials or corutruction specified in the accepted engineering practice standards listed in Appendix B. 'PURSUANT TO SECTION 127.2.31 1 SHALL SUBMIT WEEKLY , A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS \TY9``` ,111 0 tlRi ANUUVE:.:. BUILL)ING INSYEC'I(lK. �> \ l.) ..�pY,;,,,! UPON COMPLETION OF THS toAt, �# _-kUBHIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND R>rAd1N 5S FT}lE[ I JE y , FOR OCCt}PAtICY F 1(.l ' s , S4 C HU - RC1 SUBS KID ` OAY of�SICI19 .'PRE 9�� M41Y PUALIC/ MY COHNISSIUti EXPIRES Illo ZOOS I L MAY - 3 1996 . mh 04 w A ]OS Q rfffl QV O 2 a. a. 02 03 ALIG 4 PLAN 1/819-1,-0" J G. 7 W ARCHITECTURE 12 FARNSWORTH ST. BOSTON MA 02210 X17)350-3035 \X 350-7603 PROJECT OFFICE. RENOVATION FLOOR 1 106 CLIENT General Notes & Specifications 1. ALL LABOR AND MATERIALS SHALL CONFORM TO STANDARD TRADE PRACTICEAANUFACTM RECOMMENDATIONS,FEDERAL,STATE AND LOCAL BUILDING CODE REQUIREMENTS, 2. UNLESS OTHERWISE NOTED,ALL MATERIALS AND METHODS OF INSTALLATION SHALL MATCH EXISTING BUILDING STANDARDS. 3. BUILDING CLASS IFICATIONS+ A. USE GROUP ------B (BUSINESS) B,CONSTRUCTION TYPE-- 2C C. OCCUPANCY LOAD-- 930 U.S.F.= 9 P. 4. MODIFY ANY EXISTING FIRE SUPPRESSION AUTOMATIC FIRE DETECTIORMANUAL FIRE PROTECTIVE SIGNALING SYSTEM AND OTHER FIRE PROTECTION SYSTEM AS REQUIRED TO FACILITATE NEW LAYOUT AS PER CODE REQUIREMENTS,LANDLORD SPECIFICATIONS AND LOCAL FIRE DEPARTMENT REGULATIONS. 5, ANY WOOD FRAMING AND/OR BLOCKING SHALL BE FIRE RETARDANT TREATED, 6. LANDLORD SHALLtiPRIOR TO DEMOLITION, HAVE THE AFFECTED AREAS OF THE FACILITY INSPECTED FOR THE PRESENCE OF ASBESTOS AS PER EPA REGULATIONS. 7. ALL NEW FLOOR PENETRATIONS FOR MECH, EQUIP,ELECTRICAL EQUIP. AND OTHER OPENINGS SHALL RECEIVE REQUIRED FIRESTOPPING AS PER CODE REGULATIONS AND MANUF. SPECIFICATIONS. 8. WALLS TO EXTEND ONE FOOT ABOVE EXIST( CEILING,WITH 3' INSULATIIIN. ABOVE CEIL'G 3' BATT INSULATION. �N 9. REUSE EXISTING ELEC./CEILING IF NEAR PROPOSED NEW LOCATION. CONFIRM WITH OWNERS REP. TO CONFIRM Partition Schedule 107 NEW PARTIONS (MATCH EXISTING) EXISTING PARTITIONS TO REMAIN Door Schedule O EXIST' EXIST G EXIST'G REUSE EXISTING O HATCH MTL. MATCH EXIST' O7 30FXISTr, MTL. MATCH EXIST 4MTL, MATCH EXIST' RTL MAICH 108 5 rXISTIC MTL. MATCH EXIST' 6 "'C MTL. MATCH EXIST' Fixture Schedule 120 V DUPLEX @ 18' AFF. 11111- TELEPHONE OUTLET,SINGLE GANG 18'AFF, N 1336 0 5 10 scale U.S.F. DE❑S SUITE Jefferson Office Park 790 Blda. Andover MA DATE 4/30/1996 A I MAY - 31996 Ceiling Fixture Schedule ®2x4 EXISTING LIGHT MATCHH EXIS EXISTING EMERGENCY LIGHT CJ `4 JG W ARCHITECTURE 12 FARNSWORTH ST. BOSTON MA 02210 (617)350-3035 FAX 350-7603 1/U -1 -U EX I I EXIST SIGN /LIGHT RETURN AIR ® SUPPLY AIR PROJECT OFFICE CLIENT RENOVATION DE❑S SUITE FLOOR 1 Jefferson Office Park 790 Bldg. Andover MA 0 5 scale 10 DATE 4/30/1996 A-2 1 Fp� 0 • V` ON F9- w A a� c w° CO 0 E -4 z z� ° w° aG v U w o w z a°' w a o � u U w a w a°' v w a O w � a°' w z w w � w 9Q ° 2 v cn (� ° cn :0 L G O `t vV y L q yx�l CD � L:L cr p� :,. a) - .) O : o n y Q 'C �o`a> mm 0�o co G _ CCD CD R : � 1 L L }• CD CA M �+ G� CM �°��° H O 0 C . G J m j V L r .a W EL H W C CL � Q E m y 'D CD CDrn O �-.' :yvm K O O O M.2 > v J 'O � c rn O ca CD 11� a3 O ® CL r' H Z 0 fS1 U C Q co y O G .OCD CD= o c: CD CD C40 ''' o W O �«, G� 'v� CD—McCLiml G O y N C..0 — CC Eo D U cn O Q fA cm C• W.5 o t3 CLJ S cc m am o O H c CD C•= -.m � CERTIFICATE OF USE &OCCUPANCY Town of North Andover Building Permit Number 7 Dated THIS CERTIFIES THAT THE BUILDING LOCATED ON ?,70"Gt���Pllcr�/® MAY BE OCCUPIED AS 04 C�' IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO %�'iD� d �� �'�� ADDRESS O1 1 V` � � a x z It w v, V G c 0 w m c .- ;c r y= I a ts CD 0 CL a° �J E S O �:. God m v o l m c E �` CL. CA CD 12, q cn cm CO W o w i E ii U m a.V a. m C � = m Oc c _ c L— c :cmc o = m :opo N :a 1- o O F- o MR— m :5 w c h dt O Z �, oC E 3:"sw O V m p m C z_ cc w =`y= a a co 0 CDL O v Z °D O y � C ICD cm C p 'O CD �E m m CD O CD CD D O CD v L � R O � ca C O ccC J Z w c �+ C cc CA 4 A Q 00 o cn cn co 0 CDL O v Z °D O y � C ICD cm C p 'O CD �E m m CD O CD CD D O CD v L � R O � ca C O ccC J Z w c �+ C cc CA PELHAM CONSTRUCTION 38 BalCom Rd. Date 6/1/96 Pelham, N.H. 03076 T0: Building Department North Andover, MA. I Dwight A Brown of 38 Balcom road Pelham,N.H.. D/B/A Pelham Construction was the construction supervisor license # 058659 at 790 Turnpike street North Andover, Ma. for permit # 173 tenant being Deos INC. suite # 109 and owner being Merith & Grew Hereby certify that renovation was constructed under my observation and to Massachusetts State Building code. Dwight A. Brown i ,,1 May 1996 To: JQW Architecture North Andover Building Department 146 Main Street North Andover,MA 01845 Subject: Completion of Office Renovation at 790 Jefferson Office Park (Floor 1) Deos Suite North Andover,MA I John Q.Williamson Architect ( Mass. licence no. 7476 ) verify observation and completion of Office Renovation at 790 Jefferson Office Park. Work completed by (Pelham Construction ). Sincerely ohn Q.Williamson,Architect JQW Architecture / 12 Farnsworth Street, Boston MA. 02210 / (617) 350-3035 .. Location Q • No., Date` t P f N°RTM TOWN OF NORTH ANDOVER i?.•', , ,, Opt � � . a Certificate of Occupancy-, $ Building/Frame Permit Fee $ It. I <�' fi sAGMUSE Foundation Permit Fee $ mu i Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ + t;• �46 Am /0 r .7 Buildirig�h�spe�t 4 02/07/96 11:34 106.71 PAID ' 9. Div. Public Works PERMIT NO. 16 ,_APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE l MAP 4,10.6 \ LOT NO. d Q S S 2 RECORD OF OWNERSHIP (DATE BOOK :PAGE ZONE I SUB DIV. LOT NO.I s LOCATION 7"iCy -�u a�1P1 h t s -�EeT t oFs PURPOSE OF BUILDING 0-ccIc-E SuITe's OWNER'S NAME MC IZttJ %,r tj V� G -QGlO NO. OF STORIES � SIZE OWNER'S ADDRESS' 60 Fedvz cc> -1 '5\ 2-xam,)V,- BASEMENT OR SLAB ARCHITECT'S NAME ` L `_ v` �y 1 �-�, v\o \S SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME \`_ _v\� SPAN -- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES REAR " " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW tq O SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION dIX- kLE j= T - u -0 IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO. REQUIREMENTS OF CODE yes IS BUILDING CONNECTED TO TOWN WATER y�5 BOARD OF APPEALS ACTION. IF ANY .^ IS BUILDING CONNECTED TO TOWN SEWER yeS IS BUILDING CONNECTED TO NATURAL GAS LINE �r7 INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 r PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR PERMIT GRANTED (9 19 A 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST '3 L 00 EST. BLDG. COST PER 96. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSP&MIlt OWNERTEL # 336 CONTR. TEL. # 6 � 3- 6 3 S <66 5 t CONTR. LIC. k O S S 6 S) H.I.C. # l s S �d' 1 OCCUPANCY SINGLE FAMILYSTORIES GABLE r HIP MULTI. FAMILY BATH (3 FIX.) OFFICES lx— APARTMENTS FORCED HOT AIR FWW. TOILET RM. 12 FIX.) CONSTRUCTION 2 FOUNDATION X 8 INTERIOR FINISH 3 1 2 13 PINE HARDW D PLASTER CONCRETE CONCRETE BL K. BRICK OR STONE ASPHALT SHINGLES PIERS LAVATORY _ DRY YJALI _ X _ X _ X _ UNFIN. 3 BASEMENT B'M'T 2nd _ 1st 13rd I AREA FULL FIN. B M'T' AREA '/i 1/7 1/1 FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 X _ DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING ASBESTOS SIDING HARDI'J'D COMMON ASPH. TILE VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAME _ Ix BRICK ON MASON Y BRICK ON FRAME ATTIC STRS. 8 FLOOR I_ CONC. OR CINDER BLK. WIRING STONE ON MASONRY 5 ROOF II 10 PLUMBING GABLE r HIP BATH (3 FIX.) GAMBRELMANSARD Ax FORCED HOT AIR FWW. TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES X LAVATORY _ WOOD SHINGES _ KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL B'M'T 2nd _ 1st 13rd I STALL SHOWER r BUILDING RECORD = •, 12 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. 6 FRAMING 11 HEATING r WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FWW. TIMBER BMS. & COLS. STEAM STEEL BMS. 3 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL ELECTRIC B'M'T 2nd _ 1st 13rd I NO HEATING P 0 71 Y 1-0 9G,036358G51 P. 02 IL TCITHL P. 0-- 12:30 FPCIII THE HEI&I D,1GURID i II T > I r1l V) zi lZI It P 0 71 Y 1-0 9G,036358G51 P. 02 IL TCITHL P. 0-- OFFICE OF 13U11,U1NG 1NSl)GCTOR _ T 0141 OF NOR'I'11 ANDOVER r• f CONSTRUCTION CONTROL 7 PROJECT NUHBER: PROJECT TITLEr 1 l a CK t PROJECT LOCATIONS Usv,Tt` *Igtoig . 'NAME OF BUILDINGt� _et Q t�� Q \� �= ICG (7 p•.�\ ,t ' ,NATURE OF PROJECT r d IN ACCORDANCE WITH SECTION 127.0 OF THE MASSACHUSETTS STATE BUILDING CODE. (I LA L1.Lt W-t5CJa) Registration No. � BEING A REGISTEREID PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT 1, HAVE PREPARED r' OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIf'ICA- TIONS CONCERNINGt ENTIRE PROJECT r---1 ARCHITECTURAL STRUCTURAL Q MECIIANICAL C:::j FIRE PROTECTION Q ELECTRICAL E::3 OTHER (specify)( FOR THE ABOVE NAMED PROJECT AND 'THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COHPUTATIONS AND SPECIFICATIONS BEET THEPAPPL,ICABLE PROVISIONS OF Tim KASSACHUSETIS STAIE BUILDING CODE] ALL ACCEPTABLE ENGINEERING PRACTICES. AND APPLICABLE LAWS AND ORDINANCES FOR TIIE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR A111) PERIODIC BASIS TO IiETER11111£ THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENIS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN.SECTION 127.2.2: I. Review of shop drawings, smples and other submittals of the contractor a$ required by the construction contract dpwamts as subrdtted for building permit, and approval for confgrmal e to the design concept. 2. Review and approval of the quality control procedures for all code—required controlled ',• n�teriala. 3. Special architectural or engineering proles siona1.Inspect ion of critical construction cotlxnients requiring controlled mterials or construction specif Led in the accepted trigimerb-S practice .standards listed in Appendix B. "Pl RSUANT TO SECTION 127.2.31 1 SHALL SUBMIT WEEKLY , A PROGRESS REPORT TOGETIIER WITH PERTINENT COMMENTS TO THF NORT11 ANUUVEAU, BUILDING INSPECTOR. UPON COMPLETION OF THE ���TiP. S L'%;SUBMIT A r111AL REPORT AS TO T'1EE SAT.IStACI'ORY CWLETION AND P.EADIN 3` t l`' liE_+P dT_ FOR OCCUPAt1CY. 5 d i ..9 6�c � • b SUBSC RN Thi, r ii, DAY of 19 L ^N Y pllPrMY CUMMISS1011 ExrIRES FORM U - VERIFICATION 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: ` N� �`^S� Cyc�\(J Phone 603'6351�� LOCATION: Assessor's Map Number Parcel Subdivision Lots) Street :2<:�6 1 V,ZC ST St. Number���� I 0 S ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Comments Town Planner Comments Food Inspector -Health Septic Inspector -Health Comments Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Public Works - sewer/water connections - driveway permi Fire Department Received by Building Inspector Date . J Q ARCHITECTURE 12 FARNSWORTH ST. BOSTON MA 02210 (617)350-3035 FAX 350-7603 PT.ANT 1/8- =1'-0-- PROJECT OFFICE RENOVATION FLOOR 1 " General Notes & Specifications 1. ALL LABOR AND MATERIALS SHALL CONFORM �ED i? TO STANDARD TRADE PRACTICE MANUFACTORS EXIST'G REUSE EXISTING RECOMMENDATIONS,FEDERAL,STATE AND LOCA EXIST' MTL. BUILDING CODE REQUIREMENTS. .tOFM CL MAIGH E IST' MTL, WXMWAON 2. UNLESS OTHERWISE NOTED,ALL MATERIALS No. 7476 AND METHODS OF INSTALLATION SHALL MATCH EXISTING BUILDING STANDARDS, 81MON 3. BUILDING CLASSIFICATIONS A. USE GROUP ------B (BUSINESS) B. CONSTRUCTION TYPE-- 2C C. OCCUPANCY LOAD-- 930 U.S.F.= 9 P. 4. MODIFY ANY EXISTING FIRE SUPPRESSION AUTOMATIC FIRE DETECTION,MANUAL FIRE PROTECTIVE SIGNALING SYSTEM AND OTHER FIRE PROTECTION SYSTEM AS REQUIRED TO FACILITATE NEW LAYOUT AS PER CODE REQUIREMENTS,LANDLORD SPECIFICATIONS AND LOCAL FIRE DEPARTMENT REGULATIONS, 5. ANY WOOD FRAMING AND/OR BLOCKING SHALL BE FIRE RETARDANT TREATED, & LANDLORD SHALLPRIOR TO DEMOLITION, HAVE THE AFFECTED AREAS OF THE FACILITY INSPECTED FOR THE PRESENCE OF ASBESTOS AS PER EPA REGULATIONS. 7. ALL NEW FLOOR PENETRATIONS FOR MECH, EQUIP,ELECTRICAL EQUIP. AND OTHER OPENINGS SHALL RECEIVE REQUIRED FIRESTOPPING AS PER CODE REGULATIONS AND MANUF. SPECIFICATIONS. 8, WALLS TO EXTEND ONE FOOT ABOVE EXIST CEILING,WITH 3' INSULATION, ABOVE CEIL'G 3' BATT INSULATION, 9. REUSE EXISTING ELEC./CEILING IF NEAR PROPOSED NEW LOCATION. CONFIRM WITH OWNERS REP. TO CONFIRM Partition Schedule = EXISTING PARTITION TO BE ISTING) REMOVED I m� NEW PARTIONS (MATCH EX EXISTING PARTITIONS TO REMAIN I Door Schedule I U EXIST' EXIST'G EXIST'G j REUSE EXISTING EXISTT EXIST'G EXIST'G REUSE EXISTING Q3 EXIST' MTL. MATCH EXIST'G 4 MAIGH E IST' MTL, MATCH EXIST'G OMATCH EXIST' MTL, MATCH EXIST'G Fixture Schedule 120 V DUPLEX @ 18' AFF, TELEPHONE OUTLET,SINGLE GANG 18 -AFF, N 930 0I�I-LJ�5 1 l0 U.S.F. cum PALLADIAN SUITE Jefferson Office Park 790 Bldg. Andover MA DATE 10/16/1995 A-1 3 . JQW ARCHITECTURE 12 FARNSWORTH ST. BOSTON MA 02210 (617)350-3035 FAX 350-7603 REFLECTED CEILING PLAN 1/8" =1'-0" PROJECT OFFICE RENOVATION FLOOR 1 Ceiling Fixture Schedule 't"' ,� "�=.' "� 2x4 FLOURESCENT LIGHT , MATCH EXISTING of �. 7418 EMERGENCY LIGHT rE-71 IEXIST SIGN /LIGHT RETURN AIR ® SUPPLY AIR c' PALLADIAN SUITE Jefferson Office Park 790 Bldg. Andover MA 0 5 scalJO DATE 10/16/1995 A-2 i - V Z Q L � O or W� Cl) L O LL _z 0 O W C O V F - LL F- W � w a � o 0 � � z Y C"� cis � xa a o rm o0 w H � � O Oa ~� z c� m A v o aw a a dK Q\ L U r uml om• Iz : . o= -s . W :z CO cn .� m z :cam O i Q U: CZ cm c :mom d :gym O N N "' c 0 0 H r CO)CIO Cc =CO \� N f �1\\ cm, M CD o m C.D� m m k •— o cm c c W w ac= m Z = V N O ` O m CL C H =3 0 N H m ~ m COP) O ea= mLLI y=,, .y amevCOJ c Z V CS •m` G m. C 0 _ eye o y•� O H- = .0. C._... m i �4 co O E co O O G.) Z CO O y I °' o' CO) Q -0 O — M E m m CD 0 co CL H= i. a co O >.. Co CD D O L m O Q CL cm¢ y C O C � � ev V J � C Z CD V y .0 C R y 0 w w'�' x Z n z � z p c, f A ^J =� ..a O G cs w ra U > w > L 00 ' w O z U U �L G u O = w Cf) O G r�cn �- r uml om• Iz : . o= -s . W :z CO cn .� m z :cam O i Q U: CZ cm c :mom d :gym O N N "' c 0 0 H r CO)CIO Cc =CO \� N f �1\\ cm, M CD o m C.D� m m k •— o cm c c W w ac= m Z = V N O ` O m CL C H =3 0 N H m ~ m COP) O ea= mLLI y=,, .y amevCOJ c Z V CS •m` G m. C 0 _ eye o y•� O H- = .0. C._... m i �4 co O E co O O G.) Z CO O y I °' o' CO) Q -0 O — M E m m CD 0 co CL H= i. a co O >.. Co CD D O L m O Q CL cm¢ y C O C � � ev V J � C Z CD V y .0 C R y 0 PELHAM CONSTRUCTION 38 Balcom Rd. Pelham, N.H. 03076 Date 2/21/96 T0: Building Department North Andover, MA. I Dwight A. Brown of 38 Balcom Road, Pelham, N.H. d/b/a Pelham Construction was the construction Supervisor, License # 058659 at 790 Turnpike street North Andover, MA. for permit # 31 Tenant being Palladian Mortgage and owner being Meredith & Gr8w hereby certify that renovation was constructed under my observation and to Massachusetts State Building Code. 'Vv � �. Dwight A. Brown I Febuary 21 1996 To: JQW Architecture North Andover Building Department 146 Main Street North Andover,MA 01845 Subject: Completion of Office Renovation at 800 Jefferson Office Park (Floor 1) (Palladian Suite) North Andover,MA I John Q.Williamson Architect ( Mass. licence no. 7476 ) verify observation and completion of Office Renovation at 800 Jefferson Office Park (Palladian Suite). Work completed by (Pelham Construction ). a Sincerely John Q.Williamson,Architect ' e i w JQW Architecture / 12 Farnsworth Street, Boston MA. 02210 / (617) 350-3035 ,�'�'°r-. �" ......,.w a��r;, �'•'r"*....i%w `�.+'.�'!�''•`'tsl'^.i .wt"` � s'gSya� .. fes" -. . �,.�,. . Location No. Date �. TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ <�^ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee of TOTAL $ 0 C i 0 7 1996 Building Inspector : �{ 6pRTH ANDOVER COLLEC704 11._ 144.2 Div. Public works PF.WAHT '40.1 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. V PAGE 1 MAP K-40. Cpl LOT NO. 0050 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE ZONE SUB DIV. LOT NO. F) LOCATION 7C�6 j j'� I �o PURPOSE OF BUILDING C) OWNER'S NAME eCSZ,1 t- Ok,c (�a�� NO. OF STORIES 3 SIZE OWNER'S ADDRESS %66 Fe&@YZL, l � �� i`A �. G1 �'\ BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME Pe- 1 N� �����C������ SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO RECIUIREMENTS OF COVEV COVE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROCVE/D BY BU I INSPECTOii DATE FILED 6 / Z / .b\\ SIGNATURE OF OWNER OR AUTHORIZED AGkNT FEE PERMIT GRANTED TJ 1 19 1 i 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST 7 O 6 Q U EST. BLDG. COST PER SO. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 ' APPROVED BY -OWNER TEL.# 6 f? -33(03 "6+4y CONTR. TEL. # CO2) -63S 1865 1 CONTR. LIC. # 0 SSAS 7 H.I.C. # 1 / (5 Q 59� r BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY _ S ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA - APARTMENTS I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE PINE 3 1 2 13 CONCRETE BL'K. BRICK OR STONE HARDW D PIERS PLASTER DRY WALL _ 0( _ _ UNFIN. 3 BASEMENT AREA FULL 1/1 1/2 1/. FIN. B M AREA FIN. ATTIC AREA _ _ NO B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS CONCRETE EARTH B 1 2 3 _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY _ HARDW D COMMON ASPH. TILE STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIORPOOR _ ADEQUATE I NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBREL MANSARD ..TOILET RM. 12 FIX.) FLAT SHED WATER:CLOSET _ ASPHALT SHINGLES LAVATORY', WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. g HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS B'M'T2nd _ t t 13rd s GAS OIL ELECTRIC NO HEATING y r ae .. -- O x C/) � 'S Town of North Andover- OFFICE OF �� o •' �° L COMMUNITY DEVELOPMENT AND SERVICES ° � a 4. 146 Main Street y KENNETHR.IVAHONY North Andover, Massachusetts 01845 ,SSAGHUS�` Director (5508) 688-9533 Please print. DATE j0h4 JOB LOCATION er "HOMEOWNER" Name PRESEN , MAILING ADDRESS FC` -OWNER LIC: -NSE E.XL ,IPTION City/Town � Jl S:eet address �3 =/ me prone T S tate Section of town Work phone Zip code The current exemption for "homeowners" ,lvas erenced to include owner -occupied dwellings of six units or less and to alley such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Sec- tion 109.1.1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of ':and on which he:'sLe resides or intends to reside. on which there is, or is intended to be, a one to si_x famIlV d:,:ellins, attached or detached structures ac- cessory to such use and/or farm st;uc-.uzes- A person who constructs more than one home in a two-year period shall not be considered a homec,vmer . Such "homeowner" shall submit to the Building Official, on a fort, acceptable to the 3uiidin; Official. that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner- assumes for compliance with the State Building Code and other applicable codes. by-laws, rules and regulations. The undersigned "homeowner" cer-,i w es that heishe understands the Ton of \To- Andover Building Department minima^ inspection precedu:es and requirements and that he/she will comply with said procedures and HOMEOWNER'S SIGNATURE APPROVAL OF BUILDDG OFFICLaL Note: Three family dwellings 35,000 cubic feet, or lager, will be required to comply with State Building Code Section 1270, Const uction Control. M BOARD OF APPEALS 688-9541 BUn.DNG 688-9545 CONSFRVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 n Julie Putin D. Robert . w=an 1fdm+ Howard. Sandra Starr KatWcca Bradlry Colwell vi �zr • z 0 W 2 t4 rrV f-� i W O O L O O v Z co CL O y C c �co cm c CO) Q co .� y CD O - FE m m co O Co H� CL 3 O co i Co CD Q L cc O Q CL �Q y C O 4-0 C !C O C co O Q V to O C •� C cc Q COD is U W U W W � O W> q Z v z \%.." z �" U z Cf) w A� � O V W V u Q a i� ; -p v G "� _c C4 W W -C w z Q a`i , y o a w cn > > w �° @ U G °�° C4 w W > m cn iw °7° m C4 w cc cn cn 0 W 2 t4 rrV f-� i W O O L O O v Z co CL O y C c �co cm c CO) Q co .� y CD O - FE m m co O Co H� CL 3 O co i Co CD Q L cc O Q CL �Q y C O 4-0 C !C O C co O Q V to O C •� C cc Q COD is C O CE) C C V : O N cc O � cd CO C O : N ems 5 C n o a T: OL +' C* ca 7 c ;mom E CD Ma �G0= tj N m CO2 CMm C J y • CO::pq.� 'C CO2 m C CO5 m o :ave m : N y C2 C Q �_ N H O c0, Z C o ,«. C=z c � � . N C •C _ CPO N `r :go COD- ~ s N cya tL •y m r-.C� r Qs C ... O WE =� ZS v •N Z O L- d Q.0 cm � p Q m _ A m 0y C =a cc ::p 0 W 2 t4 rrV f-� i W O O L O O v Z co CL O y C c �co cm c CO) Q co .� y CD O - FE m m co O Co H� CL 3 O co i Co CD Q L cc O Q CL �Q y C O 4-0 C !C O C co O Q V to O C •� C cc Q COD is Location _ � 30 Y 3" P - No. Date 93 TOWN OF NORTH ANDOVER,,, Certificate of Occupancy $ U Building/Frame Permit Fee $ 4 0 OL F'--j-Nation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ �PR `o,Ar Connection Fee $ AA nii _ TOTAL $ `� 5•�% (, ! Building Inspector Div. Public Works PERMIT, NO. 'o n G/ v i � MA$4U f CATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. �GE 1 d LQ_�. 2 RECORD OF OWNERSHIP IDATE BOOK '.PAGE ZONE SUB DIV. LOT NO. a LOCATION+ -mss, '� _ 796 1 UPH0hC .51 5O&r PURPOSE OF BUILDING o <c GAJ OWNER'S NAME Ijy91'A,I L4(3tk kc, 14 L'. t NO. OF STORIES SIZE OWNER'S ADDRESS �c��G�d ��\�fv �\)��` p` L• BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME yg , `h^ /^������ CC\ CL� SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES — SIDES REAR GIRDERS AREA OF LOT . FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS @.UILDING ALTERATION tf6 ,iy�, IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS dF CODE �i IS BUILDING CONNECTED TO TOWN WATER - BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING t ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR 1 DA FILED �� •� SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E 41"1 /,� PERMIT GRANTED OWER TEL. #6175 236 CONTR. TEL. k '�5 QTR. LIC. Qsl� FIC --,J EUILDING DEPARTMENT FM 3 PROPERTY INFORMATION D COST EST. BLDG. COST 9" t 3 o a EST. BLDG. COST PER BQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF NEALTN PLANNING BOARD BOARD OF SELECTMEN a 4 & MWIL"INO INSPECTOR i MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION 2nd I S INTERIOR FINISH CONCRETE B 1 BUILDING R "CORD CONCRETE BL'K.PINE 1 OCCUPANCY .- HARDW D 12 ;1 i SINGLE FAMILY _ _ STORIES PLASTER DRY -WALL THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM _ UNFIN. 3 s BASEMENT AREA FULL FIN. B M AREA LOT LINES AND EXACT DIMENSIONS. OF BUILDINGS. WITH PORCHES, GA- FIN. ATTIC AREA N_O B M RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN..t, . FIRE PLACES _ _ HEAD ROOM i MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION 2nd I S INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL'K.PINE BRICK OR STONE NO HEATING HARDW D _ _ _ _ PIERS PLASTER DRY -WALL _ UNFIN. 3 s BASEMENT AREA FULL FIN. B M AREA _ 1/1 1/2 1/1 FIN. ATTIC AREA N_O B M FIRE PLACES _ _ HEAD ROOM MODERN KITCHEN 4 WALLS -77771 9 FLOORS CLAPBOARDS B _ 1 2 3 _ _ DROP SIDING WOOD SHINGLES CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ HARDIU D COMf.ACN ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME. .. _ BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER BILK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBRELMANSARD A TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS i NO. OF ROOMS GAS OI l B'M'T 2nd I _ ELECTRIC 1st 13rd NO HEATING e=. U) §�}/ / // z ƒ CL z 0ED 2 iEm1 Ge<z \/ - z 0CL x e z % 0LU Ir T EL c� =e ) a: 0. « £ 2 �o>4 �k|! % § 2 \ ) a: 0. \ -0 ( 4 § \ \) . » 7 \ k \ 3 \ _! > ƒ 4 § . \ 7 \ . - o« 2 § ,QA ( §B \= ^\ 2 z 0 / §( \ X22 ' o LU f} \ B■'@ r 2 . v § 0 § \ LU (/ �zo2/ 0 e/ @gz Lu1-- ° / ƒ 7 7 § &%z- X0 0' $\ e ® w , 3 @ ) _e . (L0 § U. 0 O m E § 0 2° « £ 2 �o>4 �k|! % \ ) a: 0. \ . ' \ .zir� :§§■ \ \ 222; 4 § . \ § ƒ §� 2k}k . §B ^\ § \ z ' o LU r 2 . v § 0 § \ , « Vascutech, Inc. 790 Turnpike Street North Andover, MA . Suite 304 IN Proposal No. PELHAM CONSTRUCTION CORPORATION sheet No. 1 of 2 790 Turnpike Street d/b/a Balcom Road Construction Date 4/21/93 North Andover, MA 01845 �VProposal Submitted To Work To Be Performed At Name John Horan/Hamilton Realty Co. Street Vascutech/790 Turnpike Street Street 800 Turnpike Street City or n over, MA City North Andover State � Date of Plans State Architect Telephone Number 69-5-6236 We 85— We hereby propose to furnish all the materials and perform all the labor necessary for the,completion of Scope of work as described on page 2. All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work 'pnd completed in a substantial workmanlike manner for the sum of ****Nine Thousand Four Hundred and N0/100***************** Dollars ($9,400.00**I. with payments to be made as follows: Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out by Respectfully:] Per / mi ted Dwight Brown Note — This proposal may be withdrawn by us if not accepted within days ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Accepted Signature Date Signature I Proposal Page 2 of 2 Vascutech, Inc. 790 Turnpike Street North Andover, MA 01845 Scope of work as follows: 1. Demolition: Walls and carpeting $ 600 2. Sprinkler work $ 800 3. Ceilings: Install new 2x4 drop ceilings $1,300 4. New walls: 3 1/2 " metal studs with 1/2" drywall to extend 12" above above ceiling. $1,650 5. Doors: Install 5 new knock down metal frames with (5) 3'0" x 7'0", 1 3/4" SC birch doors. Includes all hardware. $1,000 6. Carpet: Install new 30 ounce carpet with 3 1/2" vinyl base $1,360 7. Painting: Paint new tenant space two coats, latex flat - includes painting of doors and frames, semi gloss oil. $1,000 8. H.V.A.C.: Distribution of heat and AC diffusers to accommodate new office layout. $ 400 9. Electrical: To provide all necessary outlets and switching for new office layout - includes lights as required. $ 960 10. Countertop: Furnish and install 14 linear feet of countertop with necessary supports. 330 Total Cost..... $9,400 OF NORr{,1 " OFFICES OF: Town of a °n APPEALS o;=:� r' .NORTH ANDOVER BUILDING CONSERVATION gg'°R° DIVISION OF HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR 120 Main Street North Andover, Massachusetts O 1845 (617) 685-4775 In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number "756 is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: y (Location of Facility) SignaCure of Permit Applicant �z2 /53 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. 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 local or state law, regulations or requirements. *.***************Applicant fills out this section***************** APPLICANT: H A Is, a_ -t6 atk Phone LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Comments Town Planner Comments Food Inspector -Health Septic Inspector -Health Comments Public Works - sewer/water connections - driveway permit L,---F/ire Department " Received by Building Inspector Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date ell93 • I 0) W cd i•+ o u O w v v U) O a' b w :: C:5 Uw co a O U r-40-4 ow co Clul x a O w n Vi O U d a' G x w w 0-4 c0 o cn Q OO cn .fl C O Q amc0 C4. z .; Z �o�. a ®yc = m m mo y LU • E o ui.~ C •NMD :: C:5 � •� �C N R O � cm fl. m O O m C CO) a' +r CO L r m H EQ 0 o a0m z � m 0 CL N E O cm "m c a to ev • m m y C J C •Cp O 'O ' O Z m Sm O .fl C O Q amc0 C4. z .; Z �o�. a ®yc = m m mo y LU cc = ui.~ C •NMD :: C:5 � •� CL=OC -- v V_ H � cm V m 0 CO) a' O mCL cc 0 o a0m g 0 H O U M co O co • L O �••� s Z C. O y D C — Cpm CO) RD O 0 — y O .O co �E m m 03 CD CD R � O L O co L to O Q a o�Q O cccc .v0 CL J 'C C#2 t5 C.3 CO) C c CO) J Z LL Z O a w U) z O U Wi cc W d } z LL a cc C CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number THE BUILDING LOCATF MAY BE OCCUPIED AS WITH THE PROVISIONS SUCH OTHER REGULATIONS AS MAY APPLY. 091-7 THIS CERTIFIES THAT Date if -Ir -"9a CERTIFICATE ISSUED TO ADDRESS ()Ilk 0) 01,44 aN • 0—) Q O z • 5 0 F ui.= c H A W O •m w v �' w ��N w` Nco Oma p `,� = t d �„ CD CD 0 CLO _ � y =tea.- m �r mM.e I N _R i d �m3 c0 H CD co � •R O � N O N Eco fl -Ci i mor CJ y O cu '> Z n= ua m 3 ro- \ 6 Q o a ° G W C°D 7 > id m 2 G v O w° U) w° _C U w c°G iw ° rx C cn u. ° G c� w' 3 w cn cn • 0—) Q O z co CL N t CO) O N _ O cm CD cm m L O cm c_ N 6i t y.+ 0 Z O IN ca coCA .E co L co .0 C O co V 'i7 CO) C O C Q CO) C O V 0 ci co CO)CL C J z LL P. cc LL a Z O LL � a W C/) LL O C • 5 0 cts CD ui.= c H A W O •m fl. Cc LAJ ... c , O � 4t C.3 Nco Oma p `,� = t d �„ CD CD 0 CLO _ � y =tea.- m �r mM.e I N _R i d �m3 c0 H CD co � •R O � N O N Eco fl -Ci i mor CJ y O cu '> Z n= = m m 3 co CL N t CO) O N _ O cm CD cm m L O cm c_ N 6i t y.+ 0 Z O IN ca coCA .E co L co .0 C O co V 'i7 CO) C O C Q CO) C O V 0 ci co CO)CL C J z LL P. cc LL a Z O LL � a W C/) LL O C cts CD ui.= •N A •m EL = •+ CoE LAJ ca cm m C.3 p `,� = CIO d m O :0 'O _ � y =tea.- m co CL N t CO) O N _ O cm CD cm m L O cm c_ N 6i t y.+ 0 Z O IN ca coCA .E co L co .0 C O co V 'i7 CO) C O C Q CO) C O V 0 ci co CO)CL C J z LL P. cc LL a Z O LL � a W C/) LL O C Location %%��/^ % ZlkNl-? l KE S 7- 4 4 "o. Date 6//4 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee ,4 O'L� Other Permit Fee $ Z- 0 0 ✓ ,'�� Sewer Connection Fee $ �- `'� A► ';Water Connection Fee _ r TpTAL r X2-01 t9 o UN. Pumic vvorKS PERMIT NO. 2.3 3 4 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. G PAGE 1 MAP NO. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE ZONE SUB DIV. LOT NO. LO,CATION�%']_�D__ � � j//�` � PURPOSE OF BUILDING 6 s �. / OWNER'S NAME - NO. OF STORIES SIZE OWNER'S ADDRESS /h V BASEMENT OR SLAB ARCHITECT'S NAME �� f SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME v.4,/G ayf SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET a POSTS DISTANCE FROM LOT LINES IDES �(?(/O REAR /° 7 l " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY ` IS BUILDING ALTERATION /,' L� `/' //��y AN (/SNN TL3 IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST 300000 1 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM f SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR D . FILED - 9 -2-- p BOARD OF HEALTH SIG URE OF O ER OR AUTHORIZED AGE - _ -o�oS F EE Z©, �O CONTR. TEL. # -© 41 / CONTR. LIC. H� -3 PLANNING BOARD PERMIT GR NTE BOARD OF SELECTMEN 611 5kaoo,11-7 Ll k JUN 81992 l�-`�� BUILDING INSP OR BUILDING RECORD 1 y OCCUPANCY 12 , SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION _ _ 8 INTERIOR FINISH CONCRETE PINE B 1 _ 2 13 CONCRETE 81. K. BRICK OR ST DNE HARDW D PIERS { PLASTER DRY WALL iJ _ UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ FIN. ATTIC AREA N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 �_ 3 _ _ _ DROP SIDING CONCRETE EARTH WOOD SHINGLES ASPHALT SIDING HARDJ'D ASBEST S SIDING _ COMIACN ASPH. TILE VERT. SIDING STUCCO- ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR BRICK ON FRAME I_ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIORI—f POOR ADEQUATE 1 NONE 5 ROOF 10 PLUMBING GABLE GAMBRELMANSARD I A HIP BATH (3 FIX.) TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN.: TIMBER BMS. &COLS. _ STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T2nd �- 3rd 7 ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONSOF LOT AND DISTANCE FROM LOT. LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. .e BENNETT & PLESS INCORPORATED ` 1900 Century Place Suite 300 Atlanta, GA 30345 404 325.2000 FAX 404 325-2716 December 10, 1991 Ms. Kari Calbreath EDS Video Services 3490 Piedmont Road Atlanta, Georgia 30305 C o n s u l t i n g S t r u c t u r a l E n g i n e e r s RE: 1.8M Antenna & Cushioned Cross Roof Mount John Hancock 790 Turnpike Street North Andover, MA 08145 B&P Job No. 91280.19 Dear Kari: 930 McCallie Ave Suite 100 Chattanooga, TN 37403 615 756-7943 Bennett & Pless, Inc. has evaluated the cushioned cross roof mount for the above referenced project. The mount can be located on the roof directly over interior column C-6, while providing adquate factors of safety against overturning and sliding for a wind speed of 85 miles per hour at a height of 50 feet above ground per ANSI A58.1-1982, Exposure "C11. If you should have any questions or if we can be of further assistance, please do not hesitate to contact us. Sincerely, BENNETT & PLESS, INC. T President tl PJJ �► JUN 81992 1 I 4- 't7 0 0 0 0 L U (on , c co o O p. W _ C C c C � O Q 0 N > _0 C7 m D AC Z c O Q QI co OI f7 Q CV N 0 p i U � cz -o m U) o p O o T3 U z UL I } 21 m 4- 't7 0 0 0 0 L U c L W C 1 C � 0 0 4- 't7 0 0 0 0 L U PRODELIN Features • Transmit quality, precision, one-piece reflector. • Offset reflector optics for reduced blockage, low sidelobes. • Custom-designed RF transceiver support system. • Available as receive only - upgradeable to receive/ transmit • Designed for 125 mph wind loading. • Designed for full -orbital arc coverage. • Reflector de-icing (optional). Prodelin Corporation specializes in the design and manufacture of small aperture antennas. Prodelin has invested heavily in the manufacture of antenna products, especially for direct reception of signals by business and residential users. Prodelin is committed to the production of high quality, low cost and easily deployed antenna systems. The small aperture antenna systems feature reflectors made of sheet molding compound (SMC), a material unequaled in terms of strength, surface accuracy and durability. Each system features a sturdy steel support structure and is available with a variety of feed, mount and pedestal configurations. Specifications Electrical 1.2M 1.8M Rereivefi'rnnemit RPrPiuPfrrnncmlt 2AM 12araivairroncmit Y Antenna Size 1.22M (48"dia.) 1.8M(70.86" dia.) 2.44M (96" dia.) Operating Frequency (Receive) Elevation over Azimuth 11.7-12.2 GHz 101 to 701, Continuous Fine Adjustment (Transmit) 360° Continuous 14.0 - 14.5 GHz 2 inches per hour Midband Gain Receive 41.7 dBi 45.0 dBi 47.5 dBi (± .2dB) (Transmit) 43.2 dBi 46.5 dBi 49.2 dBi Sidelobe Envelope, Co-Pol Mainbeam < 0 < 70 29-25 Log 0 7° < 0 < 9.2° +8 9.2° < 0 < 48° 32-25 Log 0 48° < 0 < 180° -10 Cross-Pol Isolation >30 dB on Axis VSWR 1.3:1 Max. Antenna Noise Temperature at 200 Elevation at 301 Elevation 26°K 22°K 23°K 19°K 19.4°K 15.5°K RF Interface Available in a variety of designs MechanicaVReflector Reflector Material Glass Fiber Reinforced Polyester SMC Polyester Glass Antenna Optics Prime Focus, Offset Feed Mount Type Elevation over Azimuth Elevation Adjustment Range 101 to 701, Continuous Fine Adjustment Azimuth Adjustment Range 360° Continuous Rnvimnmental Performance Wind Loading (Operational) 50 mph Survival 125 mph Temperature (Operational) -400 to 140°F Survival -501 to 160°F Rain (Operational) 1/2 inch per hour (Survival) 2 inches per hour Ice (Survival) 1/2 inch Radial Atmos heric Conditions Salt Pollutants and Contaminants as encountered in coastal and industrial areas M6� lmkmmm_ P� RODELIN C 0 R P° 1 1 T i° N PO Box 368 • 1700 NE Cable Drive • Conover NC 28613 • 704/464-4141 • Fax 704/464-5725 AnY appeal shall be filed within (20) days after the cat, of ;i ;; ct tl-,is Notice in the Office of the Town Clerk, t NORTh O t«ac �e,h T �9SSACMUS S� TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS Communications Link.Corp. 790 Turnpike Street North Andover, MA 01845 ****************************** REC`_IV':') DAnNIE'_ L` * illy �g 18 11 03 W'92 Petition #016-92 DECISION The Board of Appeals held a regular meeting on.Tuesday, May 12, 1992 upon the application of Communications Link Corp. as a Party Aggrieved of the Zoning Bylaw for the review. of a decision made by the Building Inspector. Section 8, Paragraph 8.6-. for' the installation of one (1) _satellite antenna. on the roof of the premises located at 790 Turnpike Street. The following members were present and voting: Frank Serio, Jr., William Sullivan, Walter Soule, Raymond Vivenzio and Anna O'Connor. The. hearing was advertised in the North.Andover Citizen -'.on April 29 and May 6, 1992 and all abutters were notified by regular mail. Upon a motion made by Mr. Sullivan and seconded by Mr. Soule, the Board voted unanimously to relieve. the Party Aggrieved from, the building. inspector's decision and to authorize the placement of the antenna on the roof with the condition that the antenna be restricted to receiving only. Dated this 18th day of May 1992. BOARD OF APPEALS F ank Sffi erio, J Chairman 4 V Jul JUN Q V 199QQ 2 BUILDING L)Ei'AR M'L,',: i � 4 kk ,y appeal shall be filed thin (20) Ways after the atL Of of this Notice the office of the Town lerk. a Tq YE R Ian L 3 �tOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION Date ... KAY. 1 199 ........... Petition Na... . 016-:92 ............. Date of Hearing.. May. 13.,..1992 ... Petition Of Communications. Link -Corp ........................................... .......... Premises affected .790. Turnpike. Street....... . 1 Referring to the above petition for a. 1- 1 Mmp F fl, I Tarty. Aggrieved of the Zoning Bylaw so as to permit overturn of the Building Inspector's decision so as . to .. allow installation nstallation .. of. one `Satellite . antenna . 'on" *the* roof '6f* thV 'buii1ding. 14"AntRvennik ............................................................................. ............................................................. ....................... After a public hearing given on the above date, the Board of Appeals voted to . QVEIiTVM the the Building Inspector's decision. ...................................... :and-.-haeby,--=ffioriw-.:ttm,-.Building:.Inspector-to.,.imme.'a Terrnit.-to:;. Communications. Link .Corp. ................................... . for the construction of the above work, based upon the following conditions:. that the antenna be restricted to receiving only. Signed �J " Frank Serio, Jr., Chairman ........................................... I William Sullivan, Vice -Chairman .................. I ............ * ............ Raymond Vivenzio ......................................... Anna O'Connor ........................................ ................................. Board of Appeals N O O o m y p m m co D m �p .Zi ... 0 0 it' %0 A N Q nib a 0 D O = 0O ♦ Z `A o 'n "° Z -A D ; m $ 0 �1 Z �D m 000 = = I m m y om>=m v = C7 T m I m D r 1 C� m cc (N S ==mr. 00 6 00 0 ♦.. D = 7� C) tr O y a = . Cly .X1 Emi ♦ G ,Zm; j CmyC >OZ� r OpOm Z. m 3NII ONOIV (1103 WOom �o mNN Qm h A� 0 0-0 10, rt ♦ m 2t O 1 CA 0 2 O zr<m m Hr yZ00 > o Y f: C— V m CA C'i N m m` :1 -• Cm a r C a „Z 3-em m im. m�rri Tm < �z m" n G r C RI y i z CICS vl n ►- mO 0 N ro Z �. r1 — rN r D r �i W N Z w M m < V O Z O CD rm ca 0 s v VQ C �• ? O_• p m < < I d p�j v � O � O CD ? � CDD a c n Y� O = po o s � H 3 - D � .H �p 3 a � 70 1O > Z a Z � 3 n y O V� e m O CL m z i Z „ CD ca 0 m C ? C p m < < T d p�j � CD ? � CDD a c n c o D � .H �p ao � 70 > Z m Z n O (A r, O m m z i Z „ O n mm n n D �o 0 _ 0 O � � w Location 79 w/--�/ lze No. %il Date Z NORTH TOWN OF NORTH ANDOVER 3? • 1 n CL S� Uv F p Certificate of Occupancy $ Building/Frame Permit Fee $ o ,Fcs gdation Permit Fee $ r s Other Permit Fee $ 19*wer Connection Fee $ �N Water Connection Fee $ %� }} J -A Building Inspector '+ l Div. Public Works PEBlfIT NO. 006 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. i4PAGE 1 MAP KBO. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE ONE SUB DIV. LOT NO.F--11 LOCATION %]C��. �pN�ea �l-(-1rGC �� PURPOSE OF BUILDING 0 9.e- R0,vo • �4+ !f A /`1 /�J OWNER'S NAME/,L f7, NO. OF STORIES SIZE / p Q o 47ir OWNER'S ADDRESS Cy -00 7%k���/'CtC BASEMENT OR SLAB 6 L ARCHITECT'S NAME iO.;�n� SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAMETr q�``� eoys� SPAN DISTANCE TO NEAREST BUILDING _— DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES – SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW /V/A SIZE OF FOOTING X IS BUILDING ADDITION I/ ` ft- - MATER:AL OF CHIMNEY /I/ b4 - IS BUILDING ALTERATION Ye r IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE f IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY N`1 IS BUILDING CONNECTED TO TOWN SEWER '%(j IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS I - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR / DATE FILED .4 SIGNA�URE QFOW ER O =ORIZED AGENT � FEE PERMIT GRANTED ,/ 19 e 74-wliv1 OWNER TEL. #_ logs -)3G tzc: If y CONTR. TEL. # O 33 C0NTR. LIC. # 00CIV 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST 13, o 0 a EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. v {"cII Atei1- Glr���.l1� �G..• �jlt,—� e� .r&j.,,-e.L Iee/i C S�OkIES ' MULTI. FAMILY OFFICES �1 e— APARTMENTS it —txoollf &i ,'4 CONSTRUCTION 2 FOUNDATION CONCRETE ye -4' 4" 8 INTERIOR FINISH 3 1 2 13 :j7DR— CONCRETE BL'K. PINE ' HARDW D PLASTER Y VTALL UNFIN. BRICK OR STONE PIERS 3 BASEMENT^//11- AREA FULL FIN. B'M'TAREA '/. 1/2 1/. FIN. ATTIC AREA N_O BM'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ — _ 4 WALLS I 9 FLOORS CLAPBOARDS DROP SIDING WOOD SHINGLES B 1 _ --2- 3 ------111_ — _ — CONCRETEI— EARTH HARD!✓'D COMMON ASPH. TILE ASPHALT SIDING ASBESTOS SIDING _ VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. 8 FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR POOR — ADEQUATE NONE ADEQUATE 5 ROOF 10 PLUMBING GABLEHIP GAMBREL FLAT BATH (3 FIX.) MANSARD TOILET RM. (2 FIX.) SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES — TILE FLOOR _ TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN.. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd_ To . 13rd ELECTRIC NO HEATING v {"cII Atei1- Glr���.l1� �G..• �jlt,—� e� .r&j.,,-e.L Iee/i C 1,1 'e- t /l -o, o_ . le fj Zjl sw� i�G�Pl' J 41r i 1eqo- e.4 �1 e— G 't apt it —txoollf &i 1,1 'e- t /l -o, o_ . le fj Zjl sw� i�G�Pl' J FOIA U TOWN OF NORTH ANDOVER LOT RELEASE FORPI SUBDIVISION ASSESSORS MAP SUBDIVISION LOT(S) PERMANENT ADDRESS (ASSIGNED BY D.P.W. VSTREET _ %fJ ?�..,. ,�j'�e /APPLICANT _may",, ,biz, �c.: / ��, PHONE L/DATE OF APPLICATION TOWN USE BELOW THIS LINE PLANNING BOARD DATE APPROVED TOWN PLANNER DATE REJECTED CONSERVATION COtalISSION UUNSERVATION ADMIN. BOARD OF HEALTH u/rr HEALTH SANITARIAN DEPARTMENT OF PUBLIC WORKS DRIVEWAY, PERPiIT / SEWER/WATER CONNECTIONS FIRE. DEPT . ��1 & �/ lel11 IF// , �e TGc.. i C) (L �i�� 1 c� i : o �Y4 � RECEIVED BY BUILDING INSPECTION DATE DATE APPROVED DATE REJECTED PATE APPROVED DATE REJECTED �nT�? �� f/@centir 7 Or /re 6� This form shall be. signed by the agents of the Planning and Health Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. 6a 3G ,., . .,l 1. f i•� t t::. n Y � ' Im .) NM<rymxN � I. IR lo o x a t r iNiYf�iYI kw Jo, 7 f •. h � slzgzxx� . ....�v�i.•.w.r�vv„I..vM�I•'n►•I�►VMI•n.�V MNIw-vw+bN'v VAI•/:• •�'il'tf l•/�� -M Q m I W Z► vri 0 a ' C --4%% • A p I G� O Z f C r+ i '• p t++ k z �, v a z m z r (A m m co fA x s r @ '. =_nom•; p r. N • � i iNf'1 �MOh 4tn; 1 - pgAT O. n O m p 'o I 1 nO0 m -+ D z p 1 l.* rn \ rn - O C7 N ,p D C)"c � z � 11 �•1 ti Z V! j 4)% UI C7 r ? , i t i v m i m y H O z O n v C T 0 i rr rm Q TO m • 7 2 ��7K` �Q'TI $'r �.r4 rr. `si o v c r m d �, 2 f3 j-4 c (AU) 00 2 n Q M m Z r rrf> D O rh bf T I � C ,y :w a rA z V z CG /'�•� v / Lf) •• Z Lf) .. o z i► •E � _o s cn f- > W (� C O yX U e°o W L4r) ° wZ m� ZD � O O Z C `o N C Z O z c _0 C � 0 m > M M r oc oc � W W Z Z W Z LULU •. - Q o p Z Z V Z oe Q m N m C E < J L CM C Q V j L V LU CD CO L c h m W Ha. YcME CL a` O cr ii ON a: cn U. O ¢ U. m m :w a rA z V z CG /'�•� v / Lf) •• Z Lf) .. o z i► •E � _o s cn f- > W (� C O yX U e°o W L4r) ° wZ m� ZD � O O Z C `o N C Z O z c _0 C � 0 m > M M a � H 0 .� a CL � c � R w i O CL u a, E c a cg c C _ c � z C OC CL o �, 3 � Q o m V Q R y m •C MA L WD W) •� • _ Q J >E CL M uj CO) M LL. 0 uj Isr, r=- k— c W6 uj 0 v rs :r_ FIN Location- No. ocation No. DateG- "ORTM TOWN OF NORTH ANDOVER i O.i�.ao .a,1•C •... ` _ a CaL �C7 �il A Certificate of Occupancy $ Building/Frame Permit Fee $ 07 ' Foundation Permit Fee $ sACMUS CEIII�I� $ ewer Connection Fee $ �� t7r Mection Fee $ NO. Andel-Alleotor $ , 7 Building Inspector 1 v Div. Public Works avo•-- I APPLICATION FOR PERMIT TO BUILD — NORTH AND\R, MASS. /PA A 1 MAP 4d0. LOT NO. I 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE ZONE % SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING OWNER'S NAME IA-_ 1 P CART /fQl� j` NO. OF STORIES SIZE J OWNER'S ADDRESS Boa T BASEMENT OR SLAB ARCHITECT'S NAME % 1 afj:_ 1 VT /+ •�7� SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET "' POSTS DISTANCE FROM LOT LINES - SIDES REAR ' GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW a SIZE OF FOOTING X IS BUILDING ADDITION N&, MATER:AL OF CHIMNEY &, f IS BUILDING ALTERATION - I•� QC�AY� IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �G•� IS BUILDING CONNECTED TO TOWN WATER ��- BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER Q•� IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST IE FILED AND APPROVED BY BUILDING INSPECTOR DATE FI4iED SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE l�'�/% Ta. PERMIT GRANTED CONTR. TEL. _. �� 27 19 G/, CONTR. LIC. N 7/,177 ids 1; *4 1*% 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST vary EST. BLDG. COST PER Sp. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4. APPROVED BY J� BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN t BUILDING INSPECTOR r BUILDING RECORD :.._ 1 OCCUPANCY i, 12 • SINGLE FAMILY SiOHIES- MULTI. FAMILY LLIL7A LOFlIGES__ " APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 I 2 (3 CONCRETE BL'K. _ PINE BRICK OR STONE HARDW D PLASTER PIERS _ DRY WALL _ UNFIN. 3 BASEMENT f,/ rA71 AREA FULL FIN. B'M'TAREA 1/1 FIN. ATTIC AREA _ NO BM'T FIRE PLACESi _ HEAD ROOM MODERN KITCHEN _ _ 4 WALLS I H FLOORS CLAPBOARDS g _ _ DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ HARDW'D COMMCN ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY- BRICK ON`FRAME.. ATTIC STRS. &FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIORPOOR _ ADEQUATE NONE S ROOF 10 PLUMBING GABLE I I HIP BATH (3 FIX.) GAMBREL FLAT MANSARD TOILET RM. (2 FIX.) _ SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ v er- TILE FLOOR _ TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS DAA ELECTRIC NO HEATING B'M'T 2nd _ tsr 13rd ... � .., -.. �. •_ ...�� . • • ':•. -.; 1. I THIS SECTION MUST SHOW EXACT, DIMENSIONS OF LOT AND DISTANCk FROM LOT LINES AND EXACT DJMEN'SfONS•-OFA BUILDbN'G$.' MWITH°PARCHES, GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PL -OT' -.PLAN.."` t-— a! 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: _ /44�[ �6, R« 14 Y Ca Phone G 8j- 6 211 C LOCATION: Assessor's Map Number Parcel Subdivision S� ��e-.� - U�f'(C'c < <°,�, Lt Lot (s) Street St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Comments Town Planner Comments Health Agent Comments Public Works - sewer/water connections - driveway permit Fire Department -`--ry I Z Received by Building Inspector Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date J/ 0 N 3 m zO 7 m O` m v o N O�� �o m NI rn o o 0 `?t " Z 00 'n 0 N Z �O 0 D 9 W Yn m X r z C T m m a i ZH� .+ W Cm -uz Yry r O = T 00 c 0 ZImO `.. Y/ = ^ 4 Iu �o °pp N i�Zc O N �^ n ; O W3+ri a 1: �m-a Omz -► f� d Q(? a 0Zyi c C C j m y '.Z: r 0 in OL �m WM =: 0 zO 7 m O` m v ,. O�� �o m c� rn o o 0 Z 00 'n 0 fsy� Z �O 0 D D O 00 .p m X r z C T m m a ZH� .+ r Cm -uz Yry r n m cn a< W3+ri W 1: -��_.�•3NIl Moly al Of W 0 G 70 r G C m c� O m r�aaz Z 00 'n 0 W O n N Ci H i11 z -i �'• ,ro < m X r ; ; _ Y O m=O m ZH� .+ Cm -uz Yry r n m cn a< W3+ri C1 1: f� •A:&-4 Q(? C j 0 in om m =: 0 LA SO r rn r_ .-.._ ......,......, __ J z ao -n m 1!cnm < - m y 9 O Q z h �i 3 c 0 C" a o6 p S A A .o .. (� m ". y _• md c 70 to 7• MM H� v -, A O A A ft y p .. t�1 V M 0 m 0 ypop r] p A A �• !� 00 O IT v m N n r'7 c W o• z �. X 1 m :00- , goo —y OD am m r•► _ ►� m o y o y 'D IT t eD O e�4 p O •� A' A 00 • on O S2: vii Z: o O: A =A CA ao -n m 1!cnm - m Tom 3 c 0 3 m 0 0 :3 =r 0 m °-' m md c fu 3 to v n ^ c 0 m v m N n O m m z z O 0 c c� E 2 z O w Q�� PM C C � •O Q W H O vi F T = C cc v V LA V L Li Y m m L U ii L o c 2 iI j L Ol W o m c m to iL. OD o' fL U: m C E m to Q�� PM C C � •O H O vi F .; o y :z lw 'v • _: r �, o Ec a 4 W) O •a* C ci 3 V Z �. ... C p m O V Q (Loll b► v $ y CD m �C a ° aZ CL to C C ° rA W. > LLJ C J Z LorA •' • � a: •o w e O DO Q Z V � •O C6 O O N e W O w 5t N a+ y y 'D y Z O F s a°e c O U •E E c O V. go 40 C6 H O F a lw 'v Ec a 4 W) O •a* C to 3 V Z = ... C p m O V Q m �C CL to C C J Z Location No.i Date-v?�'-�� H . NCRT" TOWN OF NORTH ANDOVER Certificate of Occupancy $ " Building/Frame Permit Fee $ cMusE�h ��undation Pe mit Fee $ �QPe1a Other �Pe m t U� Fee$� 'Sewer Connection Fee $ �jG 2%r Connection Fee $""-! �► �. ^� (A OTAL $ Building Inspector Div. Public Works fIT NO. " APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE SUB DIV. LOT NO. ,LOCATION _ %11- 'r- '" PURPOSE OF BUILDING �, �/NER'S NAME SP. NO. OF STORIES SIZE �O,WNER'S ADDRESS 4. BASEMENT OR SLAB 16RCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD aGILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET - POSTS DISTANCE FROM LOT LINES — SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATER:AL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 - ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS ' PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR t/ FILED SIGNATO.RE OF OWNER OR AUTHORIZED AGENT FEE � r a &/OWNER TEL. PERMIT GRANTED i-ICONTR. TEL. #. aL� 19 ,AMR. LIC. # />D7/3Sl ► j` � �3V i AUG 2 7 192 I 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN 11ULP, L eu1"INQ INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 ? I SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA - APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. 1st CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE a 1 2 13 CONCRETE BL K. BRICK OR STONE PINE HARDW D PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M'T' AREA 'h 1/7 1/1 HN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS II 9 FLOORS CLAPBOARDS B 1 22 J 3 I_ _ DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARD\r✓'D ASBESTOS SIDING COMMON VERT. SIDING _ ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY BRICK ON FRAME ATTIC STIRS. & FLOOR _ ,CONC. OR CINDER ELK. - WIRING STONE ON MASONRY STONE ON FRAME SUPERIORI� POOR _ ADEQUATE NONE - 5 ROOF 10 PLUMBING GABLE I HIP BATH )3 FIX.) _ GAMBQEL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR _ TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd ELECTRIC _. 3rd NO HEATING 1st z LL PM LU z CC M z sm cr W a cc r L LU W cc LU O. OR c •_ m 0 09 Q u 0 oc O _ W tA W � u 96 16 G z z z96 W WQ (� V h W Q z z V ?vi CC V V 0 m m L c °'E L s rn J W L U '> L a c Y �O L c 07 c 'O m - O E U. o� co U. cc iI in v� LU O. OR c •_ m W } a: LU y z O Q Q H W W 00 Z w O U U)OC O� N O LL w Co Q .---. z z D U O Wr Iii c� O } LL Z r ►M'> U O meq o W • ? w cr w W 14. m U ¢ Q O Z r: W U. w p O LLT" �+- :.'► _.c z LL 0F - O W a o Z z _ H w p W I.- � 0 N Q 4 W Z ,.Wr--- �. �.. :...� . C. W Q N W Z = W 0 � U N GC M D LL P 0 2 O p r W MO 0 w Z f` Q F�g1 z 0 a N > -� O W QM " z V < NW Q na J2 IL Q N W a aLU 3O wof H p. OZ O= (/j H Q O� a{ N p i o fn • ° r- z S2 N C = } Q Uu.� �.VO N U M X 2 00 Rpf' Z LL W \ OQLU ,i 0 tN p w G m v w O 0�oC z y FGD ALONG LINE J F- W W j M 00 V a p► a ° .— z \g i 00 p Q OV W M-� ed" ¢ X \ir0 `Owl LU O¢ i yOZR A� ON �w2U O r F 6 w U O %%=z N • O mo=w= ON O F N Boo. (� O 2 0 \ W=z m 00 LU 1 LL x o O Mz N i 7PiAM CONSTRUCTION b a B lc m Roa Construction 0 urnpMe Street North Andover, MAO 1845 PHONE NUMBER: Proposal Submitted To Proposal Proposal No, CORPORATION Sheet No. 1 of 2 Name.4.. P.aul.Stuart/Hamilton Realty Co. Street.r,_._..8.00Turnpike Street City !North Andover Telephone Number 508-685-6236 Date. 8/5/92 Work To Be Performed At Street_ Turnp :ke.....S.treet,, 3rd_ F1.,, . City .... __Nor th Andover _ .-Store MA Date of Plans Architect -- We hereby propose to furnish all the materials and perform all the labor necessary for the completion of Scope of work on page 2. ------------ All material is guaranteed to be as specified, and the above work to be and specifications submitted for above work performed in accordance with the drawings ***** and completed in a substantial workmanlike manner for the sum o1 Twelve Thousand Two Hundred and NO/100************** Dollorst$12,20U.0U I. with payments to be made as follows; Any alterotion or deviation from above specificotions•involving expo costs, will be executed only upon written Orders become an extra charge over and above the estimate, All ogreements contingent , and will p control. Owner to carry fire, tornado and other necessary Insvronce upon above worit, Workmen's CompensaposnbandnPublic Liability Insvronce on above work to be taken out by Respectfully submitted Dwight Brown Per Note —This proposal may be withdrawn by us if not accepted within days ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified, Payment will be made as outlined above. Accepted Signature Date _Signature Proposal Page 2 of 2 Advacare (Additional Space) 790 Turnpike St. North Andover, MA Scope of work as follows: 1. Demolition and removal of build -out includes carpet, base and ceilings. $1,800 2. New carpet - 30 oz. includes base $41000 3. New ceilings $1,500 4. Sprinklers $1,000 5. Electric - provide and install nine (9) power.pole. Run a 240 circuit to computer room, rehang lights and install outlets as required. Includes EM lighting and exits as required. $2,800 6. Paint - two (2) coats,.latex flat in space, includes frames. $1,100 Total $12,200 El OFFICES OF: APPEALS BUILDING U)NSE tVA'110N HEALI'H PLANNING NOR 1N Town of a NORTH ANDOVER DIVISION (W PLANNING & COMMUNITY DEVELOPMENT KAREN F l.i'. NELSON, UIIIEC"1'011 120 Main Street North AndOver. tV1f1SSi1('ht1Fi(:1IS M H45 ((i 17) 6H5 -477S In accordance with tt . provisions of MGL c 40, S 54, a condition of Building Permit Number is that the dcbris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11I, S 150A. The debris will be disposed of in: sus moo. (Location of Facility) '01��.Ov dei— , .4%4 46 S gnature of Permit Applicant ate NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. �J C POOL H A CL a I n A 0 Z OD A 7 z O i • I I 17 a! 3 m ,r m m -ncn m m �, 0 m 3 o m v y; � C1 r c D C ao m CA W N � n -,AA (A ° T S 70 -LL O rA W W vi O 0 C z C m 91 ZZ30 m 0 91 CA \I 1�u i3 as a O Z F'ma CD Z U. Oo 64 69 69 EA EA fA 69 c v 3CC O H a� C a V O O a OJtR ys� LL. LL Z U. Oo U U O 0 = a Eo a� a C li C O Z .. E op 3CC O H a� C a V O gi OJtR ys� j Y 3 U 7 a PERM? NO. lah APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /PAGE 1 MAP K40. LOT NO. I 2 RECORD OF OWNERSHIP :DATE BOOK :PAGE ZONE SUB DIV. LOT NO. LOCATION p '! „I/rnr-l�Y:a�erVO✓6 PURPOSE OF BUILDING J ION L` A 06 OWNER'S NAME /1 1.�+ /� L (� �i C G �� V / . � NO. OF STORIES ? SIZE � ..1 G.v"u OWNER'S ADDRESS Q,G� r� �•h.CG ,� BASEMENT OR SLAB s`I 4 6 ARCHITECT'S NAME I ,F Q, i.^, f L•• �+ SIZE OF FLOOR TIMBERS IST VA- 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES — SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW A%o - SIZE OF FOOTING X IS BUILDING ADDITION NO MATERIAL OF CHIMNEY IS BUILDING ALTERATION - X/es . • ff et 4.9lvgVt G„� T IS BUILDING ON SOLID OR FILLED LAND j", WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER %/c BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER 4/e f IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE I FILL OUT SECTIONS I - 3 PAGE 2 FILL OUT SECTIONS I - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING _r ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BYYj BUILDING INSPECTOR DAT FIL D TL//U4 ,- 199P— - RE OF OWNER OR AUTHOR -MD AGENT FEE S� OWNER TEL 0 - PERMIT GRANTED CONTR. TEL CONTR. LIC. # �LeuC /S 19 -2 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST 3o6a EST. BLDG. COST PER SQ. FT. *r EST. BLDG. COST PER ROOM 7 SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN NUILMIna I1416PECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES_ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA - APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. wa l }�a �c fit./i•....r✓ i n c, 1i.�e, ee.-ri, 74%c, '. 't Y,: f 7�i'. oc t fj° �f t c 6:4/ I,, c // G a,. 4 t.., c -h?nv , /C�°e tr%cs GAS 7 NO. OF ROOMS CONSTRUCTION 2 FOUNDATION _I 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE _ HARDW D - NO HEATING _ PIERS PLASTER DRY VJALL FIN j— BASEMENT AREA FULL FIN. B M'T' AREA '/. 1/2 1/. FIN. ATTIC AREA _ NO BM'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS _ CONCRETE EARTH B 1 2 3 _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING HARDW D COMMON ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME X ATTIC STRS. & FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I POOR _ ADEQUATE NONE 5 ROOF 11 10 PLUMBING GABLE GAMBRELMANSARD I I HIP BATH )3 FIX.) TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING- TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ . t*!-t,qvr X 1 TILE FLOOR _ TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. )L HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS wa l }�a �c fit./i•....r✓ i n c, 1i.�e, ee.-ri, 74%c, '. 't Y,: f 7�i'. oc t fj° �f t c 6:4/ I,, c // G a,. 4 t.., c -h?nv , /C�°e tr%cs GAS 7 NO. OF ROOMS OIL -- B'M'T T;,--1 2nd I _ ELECTRIC - NO HEATING 3rd .lti.., � • 0 3 0 FM4 Q i to to Cd 2 F - Er ui CL i- z w W LU 'CIM e c d e u C 1c, p C � " O � u U d C O as 0 �. es a v, i V O � y0: O .■.A■yv °v y O, C.0 • : y CL. ' V1 Od 3 > W 'Is totW I °' j: y • ; a {,= 4: =� aa+ o o ao Q °° �o o •o H CL = F 0 a O a+ O OFC o o. s °Q O U •E u •o c_ a96 40 3 F' _N �+ o �v (-+ -r ... .$a m > V) V) W J ZD :U lz Z r,p :cc H O E CL - WL Q a 'a C C Ma O *+ a O CL W C C ,u Z :D c � o V 0 O Z O W W W d. W d O � L6 Z Z H Z W C ? 0 Z Z V �. m m L C E J t :3 J s.+ L V L Y c �° c C Q ¢ Q co u U. ii � ii ¢ ii m LU 'CIM e c d e u C 1c, p C � " O � u U d C O as 0 �. es a v, i V O � y0: O .■.A■yv °v y O, C.0 • : y CL. ' V1 Od 3 > W 'Is totW I °' j: y • ; a {,= 4: =� aa+ o o ao Q °° �o o •o H CL = F 0 a O a+ O OFC o o. s °Q O U •E u •o c_ a96 40 3 F' _N �+ o �v (-+ -r ... .$a m > V) V) W J ZD :U lz Z r,p :cc H O E CL - WL Q a 'a C C Ma O *+ a O CL W C C ,u Z :D c � o V 0 O Z M N Ol O i R %low 0 tfda8 s1. n 0 3 0 EM4 4 4 w z w rn C � W-0 a b W Z 96 ? W Q 0 u o O H a r Z' u 'a E916. O L C Ir U U- p C 2 iZ J W p m C ¢ to u 0C ¢ ii O Y O to y w z w W ZD N C � .Q H � o O H a r Z' u 'a c U •v L a ca °0 s a _.y 4 E c i cn 40 o a E c a. a O C C = Z •- •V CL p 4� •C,3 C O .u. V Q C m ` � H C yV) � w lXj C. to .� 4A C =v, X1+1 �X c W 41 40 e H y 4i C •O %, ( '• C ° m • d/ •� � V e ° N m ° n.i g h � 41 t a°r lu Z o z a •� a r � � o y h rn a �, o F r.. ° a m > W ZD N .Q H � o wl em a L a C s C i a E c a. cg O C C = Z •- •V CL p 4� •C,3 C O V Q C m .c � w C. to .� C X1+1 L+ J Building Insp c or .a - *7 07/07/% 9.� 1+7.50 PAID 110 f 4 � 8 - Div. Public Works Location 770 tZi' oroh-zE -5:f- - 51,lle- : No. ` A-7 Date NQItTq TOWN OF NORTH ANDOVER qk Certificate of Occupancy $ Building/Frame Permit Fee $ ^°' E<�' s�cHus Foundation Permit Fee $ -Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ / 4 7 F s L+ J Building Insp c or .a - *7 07/07/% 9.� 1+7.50 PAID 110 f 4 � 8 - Div. Public Works .2ERX NO -w �/ a l 3✓ APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 9V0. LOQ NOn I 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE SUB DIV:'LOT NO. -LOW '7L�i� --vr �� 1•� �-1 146PrW �A�.( 1�� !�, PURPOSE OF BUILDING �r+� Lc r� / u� I OWNER'S NAME'`��`���J1 NO. OF STORIES SIZE OWNER'S ADDRESS �N!Nciql- 1� ` BASEMENT OR SLAB _ ARCHITECT'S NAME, SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME - ,gyp �Vk��t.3C' ` SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW 140 - SIZE OF FOOTING X IS BUILDING ADDITION 110 MATER:AL OF CHIMNEY IS BUILDING ALTERATION 0 (Zr-ICJS ��� _ �� IS BUILDING ON SOLID OR FILLED LAND - WILL BUILDING CONFORM TO REQUIREMENTS OF CODE y//,�� l a' IS BUILDING CONNECTED TO TOWN WATER- Z�o� BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER . IS BUILDING CONNECTED TO NATURAL GAS LINE u �� INSTRUCTIONS SEE BOTH SIDES No PAGE 1 FILL OUT SECTIONS I - 3 PAGE 2 FILL OUT SECTIONS i • 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING s ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR D E FILED SIGNATUR OWNER OR AUTHORIZED AGENT FEE OWNER TEL. #6.r 3,�� PERMIT GRANTED CONTR. TEL. # 60619 ; j y ? 19 CONTR. LIC. 6 S 0 3 PROPERTY INFORMATION LAND COST EST. BLDG. COSTa0 / !f Sd _ 7 Lj EST. BLDG. COST PER SQ. FT. . EST. BLDG., COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN SWI&J-PINIA INSPECTOR Bi: 4 BUILDINOJECORD 1 OCCUPANCY 12 SINGLE FAMILY I STORIESTHIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES �_ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA - APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. !3-Zc�\� CONSTRUCTION 2 FOUNDATION _ 8 INTERIOR FINISH 3 1 2 13 PINE CONCRETE CONCRETE BL K. BRICK OR STONE HARDW D PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT I , AREA FULL FIN.B M'TAREA '/. +/1 l/. FIN. ATTIC AREA _ NO SMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 �_ 3 _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAME _ - CONCRETE EARTH HARD"JD COMMCN ASPH. TILE BRICK ON -MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR I= CONC. OR CINDER BLK. WIRING STONE ON MASONRY _ STONE ON FRAME 11 SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 11 10 PLUMBING GABLEHIP BATH (3 FIX.1 GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR _ TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING '''rT., RADIANT H'T'G ' UNIT HEATERS 7 NO. OF ROOMS B'M' O ECTRIC HEA ING !3-Zc�\� Q M' s 1 �ots cc C N . O C d C ' : 61 C co O co H +�' E a CD. - Z Q: as :k:oo. C C.3 CD s cm Co C H R d ` a L CO 1 : LTH H ti : 03 3 'O C �' O Lcc o CO) N cm CD c J: CO) V N O L :coo cm O. C Nm O Cp N �C _ ~ y� GD W LL. MD c ev •- •CA a L c Z = C3.0 v m C3.0 c g C4 d m m O '� _ 9) = LO N = 0 H r $ o....Cc � 0 r r-•-d U i- - U 71 0 U ON LJ CO L O Z co O y C C IO C O .0 y -CD m m CO..� ' O Co CL~ r1... W a O L Q CD L O O Q CO2 R coo CD CL C -D Cl) �C C CO2 J Q z Ni A jG cn p u Q v O u o c GG x U W W o r.4 v ? FORM U - IAT REIZARR FMM 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 local or state law, regulations or requirements. *****************1*Applicaant fills out this section***************** 1APPLICANT: IA e �`I a0KU0'-\(J Co Phone LOCATION: As_essor's Map Number Parcel Subdi:is ion Lot (s) St. Number *ict*c*�c*�cctt*i�c*t*t*�cxtiQfilCial Use RECOMMENDATIONS OF TOWN AGENTS: Date Arproved Conser-:ao_on Ad-_nistratcr Date Rejected Cc= en -_ Town Panner Ccr,�:.ertc Fccd wcr�:s - se:rer,'water connect -ons - dr_vewa%: ner it F: -.re Denar--nen': Date Amnroved Date Rejected Date Annroved Date Rejecmed Date Apprcve•i Date Rej Recai%:ed by Bui-lding Inspector Date PELHAM CONSTRUCTION 38 Balcom Rd. Pelham, N.H. 03076 Proposal No. Sheet No. 1 of 2 Date 5/23/94 Proposal Submitted to Work to be performed at Name John Horan / The Hamilton Co. Street Turnpike street Clty, North Andover, Lipton 790 Turnpike steeet Street City North Andover State Ma Date of Plans Architect___. State Ma • Telephone Number 685-6236 We hereby propose to furnish all the materials and perform all the labor necessary for the completion of Scope of work as described on page 2. All material is guaranteed to be as specified, and the above work to be fcrformed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Dollars ($ 14, 540, 00 With payments to be made as follows: Any alteration or deviation from above specifications involving extra costs. will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out by _ Respectfully submitted. Dwight Brown Per NOTE •-- This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Accepted Signature Date Signature ?LA-- k PELHAM CONSTRUCTION 38 Balcom Rd. Pelham, N.H. 03076 11 Proposal Page 2 of 2 Lipton,Inc. 790 Turnpike street North Andover,Ma. Scope of work as follows: 1. Demo: Demolition of interior walls and ceilings and removel of flooring and base. 2. Walls: Install new office walls as per plan includes demising wall. 3. Ceilings: Furnish and install new 2x4 drop ceilings throughout tenants space. 4. H.V.A.C. Distribute H.V.A.C. throughout new office build -out. 5. Doors: Inttall four raised paneled doors with all hardware and one new entrance door building standers. 6. Sprinklers: Refit new buildout with sprinklers as per code. V. Electric: instali all outlets,swiches,li}hts,exits, and E.M. lighting -as per plan, includes tenants reqest for ded: outlets. 8. Floor: Furnish and install new 30 oz carpet throughout build -out area.Includes new base board. 9. Windows: Furnish and install three 2x5 windows as per plan. 10. Painting: Paint (2) coats latex flat all walls includes sime- gloss oil on all wood work. A' x 41 u to T u z-1 x o r v z 0a4 � z a < ;C12 C 0 o z A :U ?G u N z w� A �v o 2 V cn c 00 w a � a � w 0ow Ws > :4 U )w �0. i y ppn m cc nnc N D EQ L � • v : C C O co JE c,* r.+ �0+ s cp as c E !� m m a H O � L CO cm3 L N y... C_ • m N •_ ..►:—m CA / N LB . H �m Gp 3 CC s c c S, c cQ CL z :r m vmpH O C Z C O cm C = m .=,,, N ~ +p• vi mom~ m y C p R cc •N C.L O C Z oc •E E - N o C CA CD cm CIO n m 00 S eyv 'a�y� O p..L.. m :Do ry/ rn WIN y co .9 co L co L O CD C3 m CO)CL O O O Q CO) c O V cc C CL CO2 D C2 co O � i co Q O Q a �Q 4-0 C O O J � O Co Z C13 cm y �C J Q z LL z 0 a cr- LU cn Z C) C..) \v • :cc O M ;C12 C ' oo CS :U ?G O �'iz ` v C.3CD N D EQ L � • v : C C O co JE c,* r.+ �0+ s cp as c E !� m m a H O � L CO cm3 L N y... C_ • m N •_ ..►:—m CA / N LB . H �m Gp 3 CC s c c S, c cQ CL z :r m vmpH O C Z C O cm C = m .=,,, N ~ +p• vi mom~ m y C p R cc •N C.L O C Z oc •E E - N o C CA CD cm CIO n m 00 S eyv 'a�y� O p..L.. m :Do ry/ rn WIN y co .9 co L co L O CD C3 m CO)CL O O O Q CO) c O V cc C CL CO2 D C2 co O � i co Q O Q a �Q 4-0 C O O J � O Co Z C13 cm y �C J Q z LL z 0 a cr- LU cn Z C) C..) M N m 0 z E CD a co C m E. x a 0 ON r ., ; Otttce Use Onhf /+Z( j T @ 0) LIIII M131IIUPrith af Permit Na. `z5 ant Occu FCecked +�P;I'1T�IiEit2 � �ll�illt �°tIfttj P / &eeh (leave blank) BOARD OF FIRE PREVENTION REOt1LZONS 527 C'dR iZ:'JO APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MR 12:00 All work to be performed in accordance with the Massac;tusetts Electrical Cade, 527 C (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date L W or Town of NORTH AKI)OVFR To the Inspector of wires: Tile udersigned applies for a permit to perform the electrical work described below. Location (Street & Nurnber) ��) O 1 �30-6 _ Owner or Tenant Owner's Address Is this permit in canjunction with a building permC it: Yes No (Check Appropriate 8Cx) �, \ C So Utility Authcrization No. n ...�racse of 5uildl a O� C VcitS Overread _ Unagrnd Al No of Meters - Existing Service �00 Amps _I New Service Ames _J -NIC i ts Overread Uncgrna I_ No. at Mews Numeer of Feeders and Amcacity . Lccaticn and Nature of ?rc::osed S!ec:ricai "Jerx No. ct l:g.^,ting Ouciecs No. of 'Ligtltcng �tztures , No. cf =ecectacle Outlets No. of SwitCn Outlets No. at ;Rances Swimming ?cct g^ a i No. of Cil Surners No. cr Gas Eurners 'O(at No. ct. Air ;.enc. (ens I To(ai I NO. at ranstormers KVA MGenerators KVA I No. at emergency Lignnng I Saaery Units "'RE .ALARMS No. of Zones No. at Cecection arta. initiating Oavices Heat Taal Tocai No. of Oiscosais No.cf ?un -s :ars •Ct.V No. ct Scanting Cevices y No. at Se(t Contained I <`v CetecroniSounatng Oewces No. at Oisnwasners` - SoaceiArea reaar.a I - .._ Heating Cevices C+V :. Muntcloai —other .I ccs( C1nnec::on _ Na. of •priers _ No. ct. No, at I Law Voltage No. of Water Heaters i{VJ Sicns Ballasts ;r.nc w. No.:+yarn Massage Tubs I. No. ct Molars Tota( HP OTHE?. INSURANCE COVERAGE: Pursuant ;o tne-recturemen(s of .Aassacnasaca general laws - _ Czrnc:eeee Oeeraaens -C.:veraae or ;is sues;an(ial eCuiva(enc. YE3 NO have a current Liaotiity Insurance ?alit•/ nc!ucmg NC It you nave CneCxeQ YES. i(ease inQtC3te ;h@ (V09 of coverage cy 'lave suanitReQ VdIiC prCOf C� Sam@ to (he cHice. YES _ _ cnecx(ng the aoproonate pox. INSURANCE — BCNO = OTHER = iP!ease Scec:ty) (Exa(fatton Oace). sumatea Value of E!ectncai 'Work 5 �" Final lnscectcon Oate Racues;ec: Rougn +Ncrx :o Start of r� G 8/ Signeci unser ,ne-Penalties perlury! UC. Na. -;RM :vAhtE L, l�9,+C LIC. NO. �----- ,/¢Y .•/ licensee Bus. Tal. No. Alt. Tet. NO. Accress nsurance coverage or its suostanual eeutvalenrt este' OWNER'S INSU RANCc'vVA1VEH: l am aware tr.at the C:cer.sea apes not nave (ne waives ;Ills reautrement Ow er g cutrea my Massacnusetts General laws. anQ :Ila( my signature cn ':s cermtt acoucanon tP!ease cnecx one) o$;NIIT FE= atecnone No. --- iS gracure of Cwner or A99Mt .�c�a Date.... �TJO883 NOR71{ - Cal TOWN OF NORTH ANDOVER o $ « PERMIT FOR WIRING ' ,SSACHUS� - r This certifies that ....... has permission to perform . ......... S� �....:. �- � wiring in the building of ..li 4 w �� k - t ............... North Andover, Mass. at ...7. Q.�... Lip. No...�� ..... ................................................ ELECTRICALINSPECTOR WHITE:. Applicant CANARY: Building Dept. PINK: Treasurer L