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HomeMy WebLinkAboutMiscellaneous - 800 MASSACHUSETTS AVENUE 4/30/2018 (2)Location /�"' v` No. o r�� Date �1 -(90 Nom,. TOWN OF NORTH ANDOVER s o •, Certificate of Occupancy $ Building/Frame /Frame Permit Fee $ �ss._....�E 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ old Check # �/G 4 13594 �1 -- Building Osstiector Hoo DWSACHUSETTs AVENUE NORTH ANDOVER, MASSACHUSETTS 01845 February 4, 2000 12 Ms Cheryl Vazza-Scott North Andover Commission on Disability Issues 120 Main Street North Andover, MA 01845 Dear Ms Vazza-Scott: This refers specifically to Item 3 mentioned in Gardner LePoer's letter to you of August 24, 1999, in which he invited NACDI cooperation in checking on Phase One of our changes to the building at,800 Massachusetts Avenue. By now I am certain you have been advised that we were issued a Building Permit on January 20th to construct a handicapped access ramp at the front of the building; handicapped bathrooms on the first floor, and a secondary access stairway from the first floor to the basement level. The bathrooms have been framed out and the rough plumbing is about to begin. The handicapped access ramp is scheduled to start next week. We invite you or any designated NACDI representative(s) to inspect and comment on our plans and construction progress at an early opportunity. In short, we invite your comment and recommendations at this stage of construction. Appointments are requested to insure my presence. I am usually on-site most mornings between 9:00 am and Noon, but I will be available for afternoon appointments if requested. Please call me at th6 museum at 686-0450. Leave a message if I am not there. Or call me at home, 978-462-9461. We look forward to hearing from you or a designated NACDI representative. Norman G. Hansen Administrator Copies: Robert Nicetta North Andover Building Commissioner Martha Larson North Andover Historical Society Gardner LePoer President, Museum of Printing TELLPHONE (978) 686-0450 FACSIMILE (978) 686-1483 http://www.museumofprinting.org e-mail: info@museumofprinting.org ; Date .d . ��.: e.C- N2 4286 -•�hc TOWN OF NORTH ANDOVER 0 p PERMIT FOR PLUMBING i s r This certifies that .. ?�..�� ...�h��•�Y�•�• •�?r• • • • • • has permission to perform .... e �`.` `�.'.`.`. ' ' z o• / plumbing in the buildings of .. -6 rl ! .................... at . • • • • .� • North Andover, Mass. Fee. Lic. No.. S! . L. . ��-�A ....... . 0PLUMBING INSPECTOR V WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR 7PEMIfTO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS 2 U Date Building Location C ` �y S -Ye Owners Name PSC (_4Ae2 Amount Type of Occupancy k4 U S! ✓ ',�— New Q--- Renovation Replacement 0 Plans Submitted Yes No (Print or type) Check one: Certificate Installing Company Name Il r J _ ��? //�'L flil -� ��-- fH Corp. Address 1 d Pager. Business Telephone i;—�_ r Firm/Co. Name of Licensed Plumber. AIA "-,2 ""-/k Insurance Coverage: Indicate the�type of insurance coverage by checking the appropriate boic Liability insurance policy Other type of indemnity Bond Insurance Waiver I, the undersigned, have been made aware that the licensee of this application does nothave any one of the above three insurance Signature Owner El Agent 0 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of m knowledge and that all plumbingwork and installons ed under P t Issued for s application will be in compliance with all pertinent provisions ofthe Massacchu''se tat Bing Code d Chapter�� the Laws. own KOVM (OFFICE USE ONLY Type ofPlumbing License i se Numoer Master Journeyman N2 2195 NOR7M 0 Date ...... /. . 6......!..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .........:� .-..................................................... has permission to perform (2 �t� �...!............................................. .............................. wiring in the building of ......... y (t N...... `� E..... ............ at ....... U ...... V�k cr SS... ..V� .................... . North Andover, Mass. �-�� �/ Fee...tQv:.Gv. Lic.No. �....,, .........................�r�! ........r!r .. L/ LliCTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer i U, 4r Tommnnw ato of Mangxrhituf s aqtnrtment of Public: 9--nfetg BOARD OF FIRE PREVENTION REGULATIONS 521 CMR 12:00 Office Use Only �( Q Permit No. ;, b Occupancy & Fee Checked 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 2:0 (PLEASE PRINT IN INK OR TYPE At .INF RMATION) Date City or Town of �1 To the Insp ctor of Wires: The udersigned applies for a permit to perform the el e ical workAdescribed below. Location (Street & Number) X560 �3S ZAd _mss Owner or Tenant & ;In Owner's Address — <-;/" Is this permit in conjunction with a building permit: Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps —J Volts Overhead E. Undgrnd ❑ New Service Amps Volts Overhead ❑ Undgrnd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Meters No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures {' Swimming Pool Above In [Igrnd. ❑ grnd. Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners I Battery Units No. of Switch 9aNem I No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and No. of Ranges No. of Air Cond. Total tons Initiating Devices No. of Disposals I No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained o. of Dishwashers Space/Area Heating KW Detection/Sounding Devices LocalMunicipal ❑ Other ❑ o. of Dryers Heating Devices KW Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors HP OTHER: 2.-- yTotal n t 14A INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES IX NO V I have submitted valid proof of same to the Office. YES K NO C If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE X BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Electrical Work $ Work to Start Inspection Date Requested: Signed under the Penalties of pedury: FIRM NAME 7'41-4 % Cd �-�— A Licensee .51 I • `✓'vii 4 •.T/?� Signature (Expiration Date) Rough Final LIC. NO. cS 35 LIC. NO. Address �%1ie c�6s2��v� le ���✓l�n�//-2 4/SMf! s. Tet. No. It. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) '�� Telephone No. PERMIT FEE $ 4fllm (Signature of Owner or Agent) x6565 4 RECEDE® JUN 07 1999 800 MASSACHUSETTS AVENUE BUILDING DEPT NORTH ANDOVER, MASSACHUSETTS o1845 June 5, 1999 Mr. James Lyons The North Andover Commission on Disability Issues c/o NILP 20 Ballard Road Lawrence, MA 01843 Dear Mr. Lyons: Thank you for meeting with Norm Hansen, our Interim Administrator, Gary Wolf, our architect, and me to discuss our occupancy of the Textile Museum building at 800 Massachusetts Avenue. It was a pleasure to meet Skip and Maureen, Gene and you. We were very happy to sign a lease with the North Andover Historical Society that enables us to launch the museum we've been planning for nearly twenty years, and that, at the same time, provides the North Andover community with a new, compatible tenant for an important local building. We look forward to many years of close relationship to the Town of North Andover. As we discussed at your meeting, the Museum of Printing is proposing several upgrades to the Historical Society's building, almost completely in the form of Building Code and accessibility improvements. The drawings we left for you illustrate the design concepts for a new ramp to provide access to the front portico and main entry of the Museum, for new men's and women's accessible bathrooms on the first floor, and for egress modifications at the secondary stair. We also mentioned proposed signage conforming to accessibility requirements, hardware changes at the doors on the first floor, and a new fire detection and alarm system. The accessiblity-related improvements represent a significant portion of our proposed alterations. (We hope, at a future phase, to install an elevator to provide access to all floors.) As you know, if the cost of construction amounts to less than 30% of the full and fair cash value of the building and is less than $100,000, only the work being performed is required to comply with 521 CMR. Although we are going to spend less than $100,00, which is considerably less than 30% of the full and fair cash value of the building (at some 25,000 square feet, the building is listed on the Assessor's roles as worth $1 million), we are making the entire first floor fully accessible. At the basement and second floors, we will continue the sorts of activities that typified the Textile Museum's occupancy: primarily the internal operations of administration, conservation, storage, research, and related in-house activities. Additionally, on these floors we also will continue the occasional meetings and small gatherings that the Textile Museum hosted and that are part of an educational institution's normal operations. Until such time as we are able to install an elevator in the building, these latter activities will be limited to those that could also occur on the accessible first floor of the Museum were anyone otherwise unable to participate. Additionally, we liked Gene's idea that we might include photos on the first floor of back -of -the -house activities such as conservation work that may not be open or accessible to visitors. I might add that we also have been engaged already in programs at other locations - TELEPHONE (978) 686-0450 FACSIMILE (978) 686-1483 http://www.museumofprinting.org e-mail: info@museumofprinting.org s Thank you for your interest in our project. We'd be pleased to have any comments about our proposed use or about the proposed design we submitted. Don't hesitate to call with any questions. Sincerely, Gardner LePoer, President cc: Robert Nicetta Martha Larson, N.A.H.S. V Date/-/. /-3- lel- - 41 ...... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ... has permission for gas installation A,. ', in the buildings of // K -7 ... ............. at North_,Andover, Mass. Fee...TG.... Lic. No.. .3 ....... .9 ....... GASINSPECTOR Check #,/ 3 0 '::� 5414 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) ,)D�T- M aUDOUE U , Mass. Date Permit #1 7— _ / Building Location - w- i%� A 1�� Owner's Name UOUN iU OU T e of Occu N d F Y� 'ancy USEU.f� >'xJF)IUG New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET X3 Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership Business Telephone 9 7 b-6 8,7-110 5 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have acu renntt liability insoura❑nce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. If you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy X Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in abo pplication are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit iss f r this application will , n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. (j T e of License: Plumber Signature of licensed Plumber or Gas Title Gasfitt er Master License Number 374-5 City/Town Journeyman _ APPROVED O FICE USF ONLY ■�fe��t�������■ t����■ ■NMI MEN . ... WERE NEENEENION«n on MEN 0 ON .gad.va .. ■����������������■ on son Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET X3 Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership Business Telephone 9 7 b-6 8,7-110 5 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have acu renntt liability insoura❑nce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. If you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy X Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in abo pplication are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit iss f r this application will , n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. (j T e of License: Plumber Signature of licensed Plumber or Gas Title Gasfitt er Master License Number 374-5 City/Town Journeyman _ APPROVED O FICE USF ONLY w w LL n r C7 Z• h r I LL N C7 O O O r H o a w z m irO LL z O r Q U IL a a I 0 Ir 6 O it W m -07 Date.LZ .... ............. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............ uaetkE ...... has permission to perform ''[n lel ........ wiring in the building of ................1:., . �T .... M. . ............. at ..... ...... M.45,5 .... 4%� .................... . North Andover, Mass. Fee.....? 7� ... . ... Lic. No lief .................. Check # 7931 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. and Fee Checked APPLICATION FOR PERMIT TO PERFORM/ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Elec jEal Code (MEC), 527 CMR 1 .00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) /Date:_ 1 '2 Z City or Town of. NORTH ANDOVER To the Inspector of Wires By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 80:::�5 PN- -Gs c C U Owner or Tenant Pl' (V1 — IA U S e v W\, Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead Undgrd ❑ No. of Meters New Service iz! Amps /2-D / 2-40Volts Overhead ❑ Und rd g EK No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Elect1.rical Work: E — FEE b DEL E[_ L _�r.(leleG 1kinn nffh, �nllm.r:.o 1..b1., ...,,.� A...,. 11....L r.- --.-rrn_--- CO No. of Recessed Luminaires -- No. of Ceil: Susp. (Paddle) Fans u ane tna cGbVr v rr[reJ. No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. rnd. o. o Emergency ig mg Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of -Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: Number Tons,I{W ..""."' No. ofSelf-Contained Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal El Other Connection No. of Dryers No. o Water Heaters KW Heating Appliances KW No. o No. of Signs Ballasts Security Systems:* No. of Devices or Equivalent Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent ((�� OTHER: I -C ��' L�t"i� r I •C._ Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: . Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of.same to the permit issuing office. CHECK ONE: INSURANCE —BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME: /Vap< .,,e Alec Jrr ica ( LIC. NO.: 6C( Licensee: 6te-011t,—:I NcjSignature LIC. NO.: (If applicable, enter 'exempt" in the license numbgr line.)Bus. Tel. No..• % - U % Address: 10 © t. Ji ncS }f'� ��r� Alt. Tel. No.:291—, 122- 7,00 *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 Signature Telephone No. PERMIT FEE. $ / — 3— ;, ��,� o� ! J, 30—� l t Date ..... ............. TOWN OF NORTH ANDOVER PERMIT FOR WIRING 7) This certifies that ...'.�----�:-�, ........ ................. has permission to perform ............ _;r -f .......................................... wiring in the building of . .... .......................... ........... ... at........ ........................................................ North Andover, Mass. fee Lic. No.IZYa,�� ............. . .. . . .......... . .. .......... ...... E ECTRICALINSPECTOR Check # M Clmmonwea& o f Masaachumth Official Use Only �'7 Permit No. f Z 2epartment o1 }ire Services �^ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK \1! work to be performed in accordance with the Massachusetts Electrical Cc e (r EC), 527 CMR 12.00 % N - 0 kA �- z co =J nV_ J h 66 7LU ;k: co =J nV_ J h 66 Sul_ X z W W W IVf 7LU ;k: co =J nV_ J h 66 Sul_ X z BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of.MGL_c 40 S 54, a condition of Building Permit Number baa —� (0 &-> 0 Is that the debris resulting form this work shall be disposed of in- a properiy licensed solid waste disposal facility as defined by MGL c 11, S 150A, The debris will be disposed of in: ce KL G -e o rz Location of Facility A Signature of Permit Applicant 7 D;9 NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 4 a r W The Commonwealth of Massachusetts _ Department of Industrial -Accidents Ctfica cf Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print Name: J o b TS oo Location: l� Ci� n 51 LLI—6 '3 f P � I am a homeowner perrcrming all worts myself. F-1 F7 I am a sole proprietor and have no one working in any capacity CI am an employer providing workers' compensation for my employees working on this job. Comoanv name: -Tk< �� �� CL CA RP(* T6.n Address) 3 6 x Lt ) u n Cihi N • �� A 1 P 4: /� (� (7 1 t) Phone T7 �t `l G 6 IL1 - � S I Insurance Co Z U P- �(-u G- P-'oy r Pclicl m S- 3 3 o D e I Comoanv name' Address City' Phone #• Insurance Co. Police Y mI Failure to secure coverace as required under Section 25A or i1GL 152 can lead to the imposition of criminal penalties of a rine up to 51,500.00 andlor one years' imprisonment as well as civii penalties in the f.crm ct a STOP WORK ORCE:P and a fine cf (S100.00) a day against me. I understand that a copy or ',his statement may be forwarded to the Office cf Invesiigaticns cf the DIA for coverage verification. I do hereby certify under the pains and penalties or perjury that the information provided above is !rue and correct. Sicnature Cate 1 Print name 3o k,,) to p Iso P Phone - qIf, 6 6 `t -'3 SI J Official use oniy do not write in. this area to be comcleted by city cr town cificai' C°ty or Tcwn Permitll-icensinc ❑ Building Dept ❑Check d immediate response is required ❑ Licensing Board ❑ Selectman's Office Contact person Phone health Department Other �,ie.�P rxa�wiea/� o�✓�aaaaciu�ae� °1 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR I' i Numbw. -CS 022409 Al 4 Expires. fl9/ ._ �rRestd JOHN H WATSON EDGEMERE RD, BOX 414. N READING, MA 01864 a 2/21 Tr. no: 5728 tad' To: 00 ,Administrator s, 0 WON" E w A o O w `u v cn o U z � A m� O w s O a' v c U G u, H W ato p u: C w a H u W a W p w c9i C ti. a O F U W a � p c� C w z a w v 7 w z cn o v cn 0 0 z c c m c o Z C H ou �••aC O CO ♦:mo C43 O :EQ ' m c Wmo ' N ♦:Ec om CM �mc moo "Ca m �•:mm �CD 61 m� O A � N A m co N m CL y m C F- p y mom~ W co C �+=•�� � c .y CLm c •N V •m p mF cn C CA CL m� �� 0aOMm z 0 a O 0 a, Q 0 co .co co C O co 0 _m Q. CO) O .C.) H 0 CL•C CO2 ,AND, O V CD C. cn C O O7 C O •C m co 0 U) LLJ w w crW U) obese Deliver immemare AUG -27' 99 (FRI ) 09 : 13 NORTHEAST I.L. P. . CAROM : N E PR I FITER ANL PLML I SHER 978 689 4488 P.002 PNO-IE SIO, : AU9. 24 1999 02:10PM P1 800 MASSACHTISETTS AVENUF. NoAiw ANDVVEt WWSACHUiFM 01845 August 24,1999 Ms Cheryl Vasa -Scoff North Andover Commission on DisabilityT.ssues I20 Main Street North Andover, MA 01815 Dear Ms. VaUa-scott Thank you and your colleasues for meeting ruffle me to allow me to clarify the intention and plans of the Museum of Printing. T've found over the years that people working in public life can usuall}, find accord in face to face discussions. We coucw that: (1) The Museum of Printing wit) prepare a documcat detailing implementation procodtires and policies daaigned to help the museum comply with ADA and State n quirts events. After initial drafting,, I will meet with you to take advantage ofyour expertise in policy matters; $ubsequontly, this da.ument will be submitted to the Museurn Board of Dirdotors for adoption. (2) The Museum of Printing will proceed immediately to raise money to complete phase two of planned changes to the building, which phase will include an elevator to both the upper and loweff'tWorn targeting the outside date for completion of this phase as 2005. We anticipate coaptation earlier and wig proceed immddiately as funds allow. The Museum understands that not having completed phaco twe of our building plan restricts use of the second floor and lower level. (3) The NACDI will have our complate cooperation in checking on changes being made in the building for phase one; Le., the proposed ramp, bathroorns, etc, acid on subsequent phases. WG invite NACDI recommendations and help in being sure that cOntmctors meet ADA requirements. It is my understanding that when the Building Commissioner contacts the NACDI prior to issuing a pwmit for the changes anticipated in phase due; the NACDI will verify that t1my have no objection to issuing the 130, pit for this phase of the work. Sincerely, Gardner 3. LePow President cc; Robert Nicetta North Andover Building Commissioner `Y1 EP2WNr (978) 686-0450 hftp!//Www,muscurnofpriating.org ECEi1/E® AUG 2 7 1999 UILDING ®EPS' FAGSIWJLE (978) W-148.1 e-mail: info(+museumofprincing.org s a ig Locafion No. �� Date � -r,4' TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $� Check # �? Q lo� 18 r r L 2 0 Building Inspecto,/f ti. TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSfRUC1f.R1L+P RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING S ft BUILDING PERMIT NUMBER: rDATEUED: SIGNATURE: Building Commissioner/InSmUor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: Zoninz District Proposed Use 1.4 Property Dimensions: Lot Area Fronts 8 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide red Provided ReqWred Provided 1.7 water Supply M.G.L.C.40. 54) 13. Flood 2O°0 moo : Public ❑ Private ❑ Zoe Oubide Flood Zane ❑ 1.: 3ewerade Disposal system Municipal ❑ On site Disposal system ❑ SECTION 2 -PROPERTY OWNERSHM/AUTHORIZED AGENT 'i ctflCt: NO 2.1 Owner of Record f CD •'l 7 ✓ g 6 0 Name (Print) Address for Service: / all 17 Signature Telephone i 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor. Address Signature Telephone Not Applicabl License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (XG.L C 152 Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildina nennit Signed affidavit Attached Yes .......0 No ....... 0 SECTION 5 Descrl tion of Proposed Work check ad a Me New Construction ❑ Existing Building ❑ . Repair(s) ❑Alterations(s) 0 Addition 0 AccessoryBldg. ❑ Demolition . ❑ Other ❑ Specify Brief Description -of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed brmit a licant OFFICIAL USE ONLY 1. Building (a) Building Permit Fee-- eeMulti lier Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (+) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 v Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT A I, ° 'e w— , as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in allafters rel a work authorized by this building permit application.,�/ Si titre of Date SECTION 7b 'OWNER/AUTHORIZED AGENT DECLARATION I, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 S7 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GMDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY 1S BUU DING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE v • z 6, 1 C ra C O •C _O C �p O GG1i C� dC dO W :Z O cm a a a C a c32� A a Cc S Oc E a � O C oQ 10 • C Q go `O e3 Z o' _ c o Cd ' O c ~ • 0:d LyY r C N mH o_ • dt W C ZO c W w U G w" a °bra. pG w W ° aG � iz O Z U) G.a cn C ra C O •C _O C �p O GG1i C� dC dO W :Z O O a Z CL . O y � c I C= Cm ® �— ' m m it �z �.+ cc CD C L C3 o a CMQ c = 00 O c ev CJ CL 0 'v CD c Z ts CD 0 CL C.) W O c c c 0. y 0 cl W ce W W W H cm E C c32� A m Cc S Oc E O ewe o ac, O C oQ 10 • C go `O e3 Z o' _ c o Cd ' O c ~ • 0:d LyY r C N mH o_ • dt W C ZO c W _N € ~ $ ace, 'oV O CO • � a.1m- O O a Z CL . O y � c I C= Cm ® �— ' m m it �z �.+ cc CD C L C3 o a CMQ c = 00 O c ev CJ CL 0 'v CD c Z ts CD 0 CL C.) 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N NORTH ANDOVER OLDE CENTER HISTORIC DISTRICT COMMISSION CERTIFICATE OF NON -APPLICABILITY This certificate of non -applicability is issued this 27th day of April 1999 to The Trustee of Reservations in regards to the property at the parking lot at the corner of Chestnut & Andover Street in accordance with Chapter 40C paragraphs 5 through 10 of the General Laws of the Commonwealth of Massachusetts as amended and the by-laws of the North Andover Olde Center Historic District Commission. This will allow the erecting of a bulletin board at the site as approved by the commission. ,awze6, George H. Schruender, Jr. Chairman NORTH ANDOVER OLDE CENTER HISTORIC DISTRICT COMMISSION CERTIFICATE OF NON -APPLICABILITY This certificate of non -applicability is issued this 27th day of April 1999 to The Museum of Printing in regards to the property at the 800 Massachusetts Avenue in accordance with Chapter 40C paragraphs 5 through 10 of the General Laws of the Commonwealth of Massachusetts as amended and the by-laws of the North Andover Olde Center Historic District Commission. This will allow the erecting of a sign in front of the building as approved by the commission. George H. Schruender, Jr. Chairman `II r � h a 4,4 4N 4 M Om �' W OZ o d m o Wz W �_0 0IE . N �o m w 0 w o OV ►- 0z z oN �� J ' � = Q Z w EEISO U IR B ¢', o r a O a LLo � VO r � h M AJI i .Mom AISW -�- Date. . s. NORTH Of.T��D TOWN OF NORTH ANDOVER } -X PERMIT FOR GAS INSTALLATION .o This certifies tha/... ......... c ffV,,�j has permission for gas installation . '%%— Ab in the bilding//s of X :� ... ............... at .. .1.... / � Jj . . .4..... , North Andover, Mass. Fee: • Lic. No ... �,ff5.7 .......................... GAS INSPECTOR Check #Ag�xvl F's4677 MASSACHUSETTS UNIFORM APPLICATION (Print or Type) r MC) ID - — ,Mass. Date Building Location g�� S 1 it New ❑ Renovation ❑ ) � � 6 - P yso C(R PERMIT TO DO GASFITTING lo- X00'iP ermit _Owner's Name _ Type of Occupancy �95 t./ Plans Submitted: Yes❑ No Installing Company Name 6eLzy°a n iCre— gr-&cQw a;l Address Y t_, y• 1TC Business Telephone Name of Licensed Plumber or. Gas Fitter —/Check one: Certificate L� Corporation 11, 22 ❑ . Partnership p Firm/Co. INSURANCE COVERAGE: I have a current I' biltty insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have.checked Yes. please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information 1 have submitted (or entered) i e application are true and accurate to the best o1 my knowledge and that all plumbing work and installations performed under the p�eG4neral ssued for this application will a in compliance with all pertinent provisions of the Massachusetts State ,Gas Code and Chapter 142 o IA S. gy. T of license: Plumber ('�o�ire of LJcen tum Gas Fitter Title Gastitter Master License Number �'1 '" SSS QtyRown Journeyman t�Yl — JAS t APPROVED( 1 . NL = Nunn "Mom EMENEENEEMEMEN 2ND FLOOR SEEN 7TK FLOOR mom Installing Company Name 6eLzy°a n iCre— gr-&cQw a;l Address Y t_, y• 1TC Business Telephone Name of Licensed Plumber or. Gas Fitter —/Check one: Certificate L� Corporation 11, 22 ❑ . Partnership p Firm/Co. INSURANCE COVERAGE: I have a current I' biltty insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have.checked Yes. please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information 1 have submitted (or entered) i e application are true and accurate to the best o1 my knowledge and that all plumbing work and installations performed under the p�eG4neral ssued for this application will a in compliance with all pertinent provisions of the Massachusetts State ,Gas Code and Chapter 142 o IA S. gy. T of license: Plumber ('�o�ire of LJcen tum Gas Fitter Title Gastitter Master License Number �'1 '" SSS QtyRown Journeyman t�Yl — JAS t APPROVED( 1 . NL N ' W v 32 W N soff•M 10 v z• 1 r r LL N' 4 } J v 2' O O p W O a r U• � W. - O W IA' Z 6 O a a O � a LL = 3 O, O J r W Q m V J a d Q . W W LL N ' W v 32 W N soff•M 10