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Miscellaneous - 802 Waverly Road (2)
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Sign Permit Request January 22, 2014 Town of North Andover, MA Attn.: Gerald Brown Inspector of Buildings/Building Department 1600 Osgood Street Suite 2035 North Andover, MA 01845 Phone: (978) 688-9545 Dear Mr. Brown: This sign permit request is in regards to: Petco (PC -2775) 790 Waverly Road North Andover, MA 01845 �PC��QW Jin UJ5 Enclosed, please find a check in the amount of $96.00 for the sign permit fees, (3) completed sign permit applications, a Letter of Authorization and (1) set of detailed plans for the above-mentioned location. I have included what I believe to be the complete requirements needed to obtain this permit. If I have failed to send any important information, please contact me as soon as possible so that I may get it to you. Upon issuance, I would appreciate it if you could mail the permit back to: Anchor Sign, Inc. Attn: Permit Department PO Box 22737 Charleston, SC 29413 Sincerely, NMegantarrick Permit Coordinator Toll -Free: (800) 213-3331 Direct: (843) 576-3255 Fax: (843) 576-7255 Email: mstarrick@anchorsign.com P.O. Box 22737 • Charleston, SC 29413 Charleston 843.747.5901 • Toll Free 1.800.213.3331 • Fax 843.747.5907 www.AnchorSign.com January 30, 2014 Town of North Andover, MA 1600 Osgood Street Suite 2035 North Andover, MA 01845 Re: Petco (PC -2775) 790 Waverly Road North Andover, MA 01845 To Whom It May Concern: This letter enables Anchor Sign, Inc. to be an authorized agent of the property owner, giving them permission to obtain permits and install signage for the project location listed above. Thank you in advance for all your cooperation. Sincerely, w (Signature) S In (Printed Name/Title) CY O p 0 N O :p Z C U o- U Q C o U M o O C ~ .,r N o (6 O (n c UClE� O c� (D 0 cy CO6.1 OLO0D) o o� .Lm CO 0- o LO = U N O bo v d C o 00 > CL c I c cn (a M J O A U) m O �;~_0 > C F (a > � N U O �U �' in O C a v vi LL O U C 4- 00 (6 �- L C • � O C � o of 0 of O 0) t (:T) N O O O (�t� o N o :2 O > L 0 � N (a > O m N0 -E 4- O L O O = oL1 oQ> W H m w CL w Q 0 U) w a Z D J J J J z w w F - Z c m 0 0 U N Q N C c N U m w 1— o > — 0 O cn a � = W c_ � F- a' O Z z LL O �n �J Z 3.0 O (n O U N d - F- F- F- � U) W AL U 111 W 5 G Q Q w = C d F- NMOL r CY O p 0 N O :p Z C U o- U Q C o U M o O C ~ .,r N o (6 O (n c UClE� O c� (D 0 cy CO6.1 OLO0D) o o� .Lm CO 0- o LO = U N O bo v d C o 00 > CL c I c cn (a M J O A U) m O �;~_0 > C F (a > � N U O �U �' in O C a v vi LL O U C 4- 00 (6 �- L C • � O C � o of 0 of O 0) t (:T) N O O O (�t� o N o :2 O > L 0 � N (a > O m N0 -E 4- O L O O = oL1 oQ> W H m w CL w Q 0 U) w a Z D J J J J z w w F - Z c m 0 0 U N Q N C „ Town of North Andover Office of the Planning Department 4411•° E<� Community Development and Services Division SACHUS Osgood Landing 1600 Osgood Street Building #20, Suite 2-36 P (978) 688-9535 North Andover, Massachusetts 01845 F (978) 688-9542 Karima Besseghir, Store Manager Walgreens 800 Waverly Road North Andover, MA 01845 October 11, 2011 Dear Ms. Besseghir, According to the North Andover Zoning Bylaw Section 8.3.2.c.i, Waiver of Site Plan Review, the changes you are proposing to the building located at 800 Waverly Road. will not require an application for Site Plan Review. The waiver request is granted based on the following information: • During a discussion at the Planning Board meeting on September 21, 2010, the Board determined that the town planner could make the decision regarding the need for Site Plan Review. • The proposed new use, video rentals, is a use which is permitted in the General Business Zone, according to the Town of North Andover Zoning Bylaw section 4.131.1. • The video rental machine, REDBOX, will be installed on the outside of the building, along the southern fagade, within the 7 ft. wide sidewalk. The footprint of the building will remain the same and there will be no changes to the parking and or to the landscaped areas. • The Building Inspector will make recommendations, if required, regarding accessibility. If there are anyquestions, please let me know. Wards, Judith Tymon AICP cc: Jerry Brown, Inspector of Buildings BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 i 1 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that sash ........................................................................................... has permission to perform .............................................' ............................... t � wiring in the building of ...A;.4. .................................................... ....................... . North Andover, Mass. Feel. PS -7... Lic. No.A.01,�-�...................................................... .. ELECTRICAL INSPECTOR Check # 6-4/ 4 7529 Commonwealth of Massachusetts OfficialUse Only t Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7 — / 6 —6 % City or Town of: N0. A Al D&Vtf t2. 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) 0(:::, c5 V4 VL -24, 4 Owner or Tenant \/4 A (� r�,Q(, L' S Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes g No ❑ (Check Appropriate Box) Purpose of Building L� c—'1"fi t 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: l A;6 1A U L/j �6i1/ p i= 15 IF Gy/L'o r_, j 4TL'h-t 4T C.->- pow le_ /'.,,,..,lot;n , nrtho fhgowina mhle may he waived by the Inspector of Wires. Attach additional detait if desired, or as require y e nsp 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 MBOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required u ici al It y) Work to Start:/21if,�LsD147-c e✓y Inspections to be requested in accor c with d upon completion. I certify, under the pains and penalties of perjury, that the informa ' o this a • l' ation ru and complete. FIRM NAME: To c c o cot P02A T-1 c,nL LIC. NO.: A iZZ3 3 Licensee: PIC)AA,2D M. G I L A2Dl' Signature �� LIC. NO.: (If applicable, enter "exempt "in the license number line.) , Bus. Tel. No.:97`S—Grrn3 -p2gZ Address: Z % CoD 1�. 5 f31LL E2 1Gq O I 2 � Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Li nsee does not have the liability insurance coverage normally required by law. By my signature below, l hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/AgentPERMIT FEE: $ / Z 5, o0 Signature Telephone No. No. of Total No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Above In- Swimming Pool rnd. ❑ rnd. ❑ o. o mergency rg ing Batte 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 Total No. of Air Co d. Tons No. of AlertingDevices Heat PutT Number Tons KW No. of Self -Contained No. of Waste Disposers Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Municipal ❑ Other Local ❑ Connection No. of Dryers Heating Appliances KW Security Systems: Z No. of Devices or Equivalent No. of WaterKit No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or E uivalent Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or Equivalent OTHER: d 6 th l ector of Wires Attach additional detait if desired, or as require y e nsp 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 MBOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required u ici al It y) Work to Start:/21if,�LsD147-c e✓y Inspections to be requested in accor c with d upon completion. I certify, under the pains and penalties of perjury, that the informa ' o this a • l' ation ru and complete. FIRM NAME: To c c o cot P02A T-1 c,nL LIC. NO.: A iZZ3 3 Licensee: PIC)AA,2D M. G I L A2Dl' Signature �� LIC. NO.: (If applicable, enter "exempt "in the license number line.) , Bus. Tel. No.:97`S—Grrn3 -p2gZ Address: Z % CoD 1�. 5 f31LL E2 1Gq O I 2 � Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Li nsee does not have the liability insurance coverage normally required by law. By my signature below, l hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/AgentPERMIT FEE: $ / Z 5, o0 Signature Telephone No. A Date................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ................. 4UIQ .... ... L ..... L ....... ....................... has permission to perform ... I?F-7';�/Lc .... 51PIlyr F ... ( �.......... wiring in the building of .......... S ..................................... at .......... ?M2 (VA. OFCk:!. e.40 ..................... . Jorth Andover, Mass. . Fee ..:Z�W7'0�'P-. Lic. No..'iF�+ 7-4 ........... Check -:5'iLECTRICAL INSPECTOR # 3-3-5-2- 7094 ,a \ Commonwealth_ of Massachusetts Urrrclal _ - Department of Fire Services Permit No. —7Q B 1. OARD O,F.::FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / 2/Yl 6 City or Town of• A�, To the Inspector of Wires: By this application the undersigned gives notice of his or her intention. to perform thee�= electrical work described below. Location (Street & Number) (Seo �t9uQ ��i �r ��� 02— Owner or Tenant Wt-� ��/jGG n S r Telephone No. Owner's Address Sf%/Y1 e. Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building %2 -1A tY S1'FJ 4C Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service q00 Amps / 0 / p`U Volts , Overhead ❑ Undgrd No. of Meters Number of Feeders and Ampacity . �` J t 01 U0 Location and Nature of Proposed Electrical Work: f-16 // 1,eC 7'/1 JG 171C /,-,C lv t -�,{ ��yrh ti c /'eG Completion of thefollowing table may be waived by the Inspector of 11, res. No. of Recessed Fixtures . No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above nd El In-rnd. ❑ No. of Oil Burners No. ol Battery Units FIRE ALARMS No. of Zones No. of Receptacle Outlets/ No. of SwitchesNo. of Gas Burners No. of Detection and C' InitiatingDevices No. of Ranges No. of Air Cond. T sl LqV No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Numbe ..................... IToffs ..................... K_ W - No. of Self -Contained r Detection/Alertin g Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances Kw 6 9 Security Systems: No. of Devices or Equivalent No. of Water / KW Heaters l • No. of No. of Signs Ballasts _ Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Hires. 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 ® BON ❑ OTHER ❑ (Specify:) Dowling Insurance Agency 5/9/07 (Expiration Date) Estimated Value of Electrical Work: pn 1� 0 0 o (When required by municipal policy.) Work to Start: Inspections to be requested in I certify, under Ibe P ain§ and penalties of perjury, that the NC. , FIRM NAME: AVERILL ELECTRIC CO. I Licensee: Francis M. Averill Siv6tl with MEC Rule 10, and upon completion. on this application is true and complete. LIC. NO.: 15567 A LIC. NO.: 15567 A (Ifopplicable, enter "exempt" in the license number line) Bus. Tel. No.: 781-963-3698 Address: 17 Techincal Park Drive, Holbrook Ma, 02343 Alt. Tel. 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. S5-f-Q.� O k j f P, 0 7 P011 3 IJ k 4 69A,-� .. f3 -0 7 �� Raltz� Pol,.b 3 - d-',, -,D 7 qq,,-c V LI tapete-r� All ('i`i-- C+4b � J / - ! I- 0,7 Pyl �d -,g 7 PAl pa-�o -7 (31 F"rM Z 6k 7- l 3 -07 Jbj_ L2 19 Location OCA No. Q� Date 6 G TOWN OF NORTH ANDOVER Certificate of Occupancy $ 00"' Building/Frame Permit Fee $ Foundation Permit Fee $ , Other Permit Fee $ TOTAL $ Check # v 15-60p" 2051 Building Inspector CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 043 (7/25/2006) Date: Jul 17.2007 THIS° CERTIFIES THAT THE BUILDING LOCATED ON 790-800 Waverleyoad MAY BE OCCUPIED AS ACCORDANCE WITH THE CODE AND SUCH OTHER ii 1pl VCH3 t link 1 — imut " "113muaa IONS OF THE MASSACHUSETTS STATE BUILDING .TIONS AS MAY APPLY. Certificate Issued to; Mark investments 800 Waverley Road Norffi Andover MAO1845 Buildi g Inspector APPLICATIONAPPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Building Permit #a43 ---15 �2 ADDRESS/LOCATION OF PROPERTY : <Socz� (.c)LGa, C4 I Ale -15 Qej�j Map 2-7 Parcel Lot Number t� t` t8 c �t a a c Z 42.5 2G SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (6) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING Jc 0 N S E R* -.'AT 10 N PLANNING DPW - WATER METER,' SEWERIWATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN: SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW A�r-- Signature File: OC form revised 2006 Al mG�ejtnn 5,6, �__ gb) r 0117 �1 0 1 1 ON Q\ w ►� � W O y � VO V � w cn w° U a pG C ` cn a�' w a] cn W Q\ p� X 0 a U Z. 0 u W O L O Z CD CL O CO) G - c cm CA O-0 O— y O O 'E m m Cl - L.. ~= O a a �a co c 0 0 '`'• ��pp O C3 J 'CS ■Q O CD c Z CD 0 CL �..� CO) � c CL _ c COD LLI 0 N LLI U) C9 W W W U) oo� O y � VO V � C R m C E 3 m� !� o a h V � C shm 45 0 0 .. P, CD fi� c .ice m a L O . �y h � : 3 O N C � p *-b ti C CA c y a CD KS m CIOcm ""' •+ c Mai M=�a Ca* s:. SCM m 4:41 C3.5 hZ O 0"- d Co c Z o N nwo CO W CC Z ++ O c � fyA 'a G.Z ''� z LU C3 4D con COD m� o� Go 06cl p� X 0 a U Z. 0 u W O L O Z CD CL O CO) G - c cm CA O-0 O— y O O 'E m m Cl - L.. ~= O a a �a co c 0 0 '`'• ��pp O C3 J 'CS ■Q O CD c Z CD 0 CL �..� CO) � c CL _ c COD LLI 0 N LLI U) C9 W W W U) ARCHITECTURAL DESIGN AFFIDAVIT Permit No. 043 To the Building Inspector, of the Town of North Andover: Re: Walgreens store # 10209 Ward: I certify that, to the best of my knowledge, information and belief, the plans and computations accompanying the attached application concerning the locus at Waverly St. and Rt. 114 North Andover, MA Ward: are in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. NANCY J. IHEORM MEOMM No. 41347 4!34-7 Mechanical—Mass. Reg. No. Edwards and Kelcey Architectural and Design Services, Inc. Company 343 Congress Street, Boston, MA 02210-1131 Address 617-242-9222 Phone Date: Then personally appeared the above-named / v� �i�. McGWros and made oath that the above statement by him is true. Before me, My commission expires: ��l���j/3 ) ot�M.'ess ;''• �,rA- CH ie,!4o �► w :m s ; C:\Documents and Settings\wwalkerl\Local Settings\Temporary Internet Files\OLK278\Walgreens Architectural Design Affidavit.doc P0. VVI, NI// j11111u1NIN/•••, ARCHITECTURAL DESIGN AFFIDAVIT To the Building Inspector, of the Town of North Andover: Re: Walgreens store # 10209 Permit No. 043 Ward: I certify that, to the best of my knowledge, information and belief, the accompanying the attached application concerning the locus at Waverly St. and Rt. 114 North Andover, MA Ward: are in accordance with the requirements of the Massachusetts pertinent laws and ordinances. J DF V:ILLIAN r� fro. 2��963 c� AL O � Signed Electrical—Mass. Reg. N°.2 9 and computations Code and all other Edwards and Kelcey Architectural and Design Services, Inc. Company 343 Congress Street, Boston, MA 02210-1131 Address 617-242-9222 Phone Date: Then personally appeared the above-named W. Thompson Greer and made oath that the above statement by him is true. Before / SRE "" am a My commission expires: 3/� S' 20/� °•�G'� .•• c ���k'�•ti y ,, Xq RC1 �.w s� C Documents and Settings\wwalkerl\Local Settings\Temporary Internet Files\OLK278\Walgreens Architectural Design Affidavit.doc ARCHITECTURAL DESIGN AFFIDAVIT Permit No. 043 To the Building Inspector, of the Town of North Andover: Re: Walgreens store # 10209 Ward: I certify that, to the best of my knowledge, information and belief, the plans and computations accompanying the attached application concerning the locus at Waverly St. and Rt. 114 North Andover, MA Ward: are in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. , Signed �p y MICHAEL ,, A. V CASSAVOY m No. 30166 Structural—Mass. Reg. No. Edwards and Kelcey Architectural and Design Services, Inc. Company 343 Congress Street, Boston, MA 02210-1131 Address 617-242-9222 Phone Date: (!; �'/' ?- - �/0-j Then personally appeared the above-named Michael Cassavoy and made oath that the above statement by him is true. Before me'�— My commission expires: 3� S/ZO/ w ISl'�,.Vsv .� C Documents and Settings\wwalkerlTocal Settings\Temporary Internet Files\OLK278\Walgreens Architectural Design Afdavit.doc yr,_ OLICi ARCHITECTURAL DESIGN AFFIDAVIT Permit No. 043 To the Building Inspector, of the Town of North Andover: Re: Walgreens store # 10209 Ward: I certify that, to the best of my knowledge, information and belief, the plans and computations accompanying the attached application concerning the locus at Waverly St. and Rt. 114 North Andover, MA Ward: are in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. Signed I ���RED ARArchitectural—Mass. Reg. No. 88�iP \.�y�� 0 J. Iqr F Edwards and Kelcey Architectural and Design Services, Inc. No. 8886 Company SWZM SCOTT' MA 343 Congress Street, Boston, MA 02210-1131 oFWs Address 617-242-9222 Phone Date: -T Then personally appeared the above-named William J. Walker and made oath that the above statement by him is true. Before My commission expires: 3l% S1ZC>% 3 C:\Documents and Settings\wwalkerl\Local Settings\Temporary Internet Files\OLK278\Walgreens Architectural Design QKW) y�. ..•EXP •`' '� 0i 497 w CONTRACTOR'S MATERIAL 8 TEST CERTIFICATE FORA BOVEGROUND PIPING PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME Date WALGREENS 1/31/07 PROPERTY ADDRESS RT. 114 and Waverly Rd North Andover, MA 01845 NU, txrvAw: 'MEASURED FROM TIME INSPECTOR'S TEST CONNECTION OPENED. ACCEPTED BY APPROVING AUTHORITY('S) NAMES North Andover Fire Department ADDRESS 124 Main Street North Andover, MA 01845 PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS EQUIPMENT USED IS APPROVED IF NO, EXPLAIN DEVIATIONS ® YES ❑ NO ® YES ❑ NO INSTRUCTIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN ® YES ❑ NO HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: 1. SYSTEM COMPONENTS INSTRUCTIONS 2. CARE AND MAINTENANCE INSTRUCTIONS 3. NFPA 13A ® YES ❑ NO ® YES ❑ NO ® YES ❑ NO LOCATION SUPPLIES BUILDING: ENTIRE YEAR OF ORIFICE MAKE MODEL MANUFACTURE SIZE QUANTITY TEMPERATU RE RATING TYCO RF II 2006 '/Y" 26 155 TYCO TY -FRB 2006 '/2" 6 155 SPRINKLERS TYCO DS -1 2006 '/1, 6 155 TYCO EC -11 2006 %11 41 155 TYCO ELO-231 B 2006 %11 12 186 PIPE AND FITTINGS Type of Pipe: BLACK STEEL SCHED. 10 & 40 Type of Fittings: CAST & DUCTILE IRON THREADED & GROOVED ALARM DEVICE MAXIMUM TIME TO OPERATE THRU TEST CONNECTION ALARM VALVE OR FLOW INDICATOR TYPE MAKE MODEL MIN. SEC. RISER CHECK VALVE VICTAULIC 717R FLOW SWITCH POTTER VSR-F O DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. DRY PIPE OPERATING TEST TIME TO TRIP THRU TEST CONNECTION" WATER PRESSURE AIR PRESSURE TRIP POINT AIR PRESSURE TIME WATER REACHED TEST OUTLET' ALARM OPERATED PROPERLY MIN, SEC. PSI PSI PSI MIN. SEC. YES NO Without Q.O.D. ❑ ❑ With Q.O.D. ❑ ❑ NU, txrvAw: 'MEASURED FROM TIME INSPECTOR'S TEST CONNECTION OPENED. • OPERATION ❑ PNEUMATIC ❑ ELECTRIC ❑ HYDRAULIC PIPING SUPERVISED ❑ YES ❑ NO DETECTING MEDIA SUPERVISED ❑ YES ❑ NO • DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS ❑ YES ❑ NO IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING IF NO, EXPLAIN DELUGE & PREACTION ❑ YES ❑ NO VALVES DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT OPERATE MAXIMUM TIME TO MAKE MODEL SUPERVISION LOSS ALARM? VALVE RELEASE? OPERATE RELEASE YES NO YES NO MIN. SEC. HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi (13.6 bars) for two hours or 50 psi (3.4 bars) above static pressure in excess of TEST 150 psi (10.2 bars) for two hours. Differential dry -pipe valve clappers shall be left open during test to prevent damage. All aboveground piping leakage shall DESCRIPTION be stopped. PNEUMATIC: Establish 40 psi (2.7 bars) air pressure and measure drop which shall not exceed 1-1/2 psi (0.1 bars) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop which shall not exceed 1-1/2 psi 0.1 bars in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HRS. IF NO, STATE REASON: DRY PIPING PNEUMATICALLY TESTED ® YES ❑ NO EQUIPMENT OPERATES PROPERLY ® YES ❑ NO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? TESTS ® YES ❑ NO DRAIN TEST I READING OF GAG CONNECTION: OCATED NEAR WATER SUPPLY TEST PSI RESIDUAL PRESSURE WITH VALVE IN TEST I CONNECTION OPEN WIDE Lj . PSI UNDERGROUND MAIN AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING OTHER EXPLAIN VERIFIED BY COPY OF THE U FORM NO. 85B ❑ YES ❑ NO FLUSHED BY INSTALLER OF UNDER- GROUND SPRINKLER PIPING ❑ YES ❑ NO BLANK NUMBER USED LOCATIONS: NUMBER REMOVED TESTING NONE GASKETS WELDED PIPING ® YES ❑ NO IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR -3? ® YES ❑ NO DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN WELDING COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR -3? ® YES ❑ NO DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? ® YES ❑ NO CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL (DISCS) CUTOUTS (DISCS) ARE RETRIEVED? ® YES ❑ NO HYDRAULIC NAME PLATE PROVIDED IF NO, EXPLAIN: DATA NAMEPLATE ® YES ❑ NO DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: REMARKS NAME OF SPRINKLER CONTRACTOR: SIGNATURES ADDITIONAL EXPLANATION AND NOTES (BACK) Date..........z'./.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that 41`J/�yW11,1/, ....Fza'���AaaW5.........; L has permission to perform ....... CC' T Ui2/. H! .....,�................... ......... wiring in the building of .......... W#.4- e ................................ 2 GtJ1l%IL ............... . No Andover, Mass. Fee ....2J�...... Lic. No. L . ............................ .........vim ELECTRICAL INSPECTOR Check # 3S9:5- 7492 y Commonwealth of Massachusetts lugDepartment of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only dTU .2 Permit No. % Ll 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 INFORMATION) Date: City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) eaz W Iry °�/l iJ� /�/�� IIB✓ 01U-eK- V� , Owner or Tenant �,JM lfeA0S Telephone No. Owner's Address Is this permit in conjunction with a building permit? Purpose of Building CC—k'61 L Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Yes ❑ No V (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters Location and Nature of Proposed Electrical Work: '1i i0ti2 e CCTV (,)ee1 ior Completion of the following table may be waived by the Insnector 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 Above In- Swimming Pool rnd. grnd. o. o Emergency Lighting Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners 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 Pum Totals Number. .. on KW No. of elf -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of Water K Heaters W No. of No. of Signs Ballasts Data Wiring: 7,� No. of Devices or E uivalenC— No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent 10 OTHER: Attach additional detail if desired, or as required by the Inspector of lVires. Estimated Value of Electrical Work: �s®i� (When required by municipal policy.) Work to Start: `1 -Z^ O -J— 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 cover e is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) 1 certify, under lite pains and penalties of perjury, that lite inform ion on this application is true and complete. FIRM NAME: til kC C _ LIC. NO.:(• Licensee: Signature LIC. NO.: (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.&03-Z3S'�j`IU Address: 0 l7t/l T VVI nV 0367 Alt. Tel. No.: *Per M.G.L C. 147, s. 51-61, 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 y signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agen Signature/44PERMIT FEE. $ ��-----__T.elephone No. W3 --z 3s --10)0'7f - The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 "s5 - www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: 15ta ✓vim PIN- 01701 Phone #:_C003- 235- 990'� Are you an employer? Check the appropriate box: am a employer with 9_ 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. [No workers' comp. insurance required.] 3. ❑ 1 am a homeowner doing all work myself. [No workers' comp. insurance required.] t 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' comp. insurance required.] Type of project (required): 6. ® New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions I l .❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other *Any applicant that checks box #I must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and than hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. l Insurance Company Name: Policy # or Self -ins. Lic. #: Py�%Q 1 Expiration Date:(, It Z 1 0 Job Site City/State/Zip: I )Uti} AA 00 0 e -v- M 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 u0er the pains and penalties of perjury that the information provided above is true and correct. Phone #: c Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # —1)n - 0 Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone Date.. c--, TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............. A�V'A- -O-z /—'o ....... . A-4. .............. . has permission to perform ..... 4 7 -�./ ...... .... &111f.l. 7 ...................... wiring in the building Of ...... JAA v— r . .............................................. at . f4P ......... ........................ .North Andover, Mass. Fee .,%............ Lic. Noj-.S—.7434 ............ ........ i ... LECTRICAL NSPECrOR Check # -r-,6 9 8 9 A A Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [Rev. 9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 61&r l3 City or Town of: AA t07,10C) l�'�2 . 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) _ % 0 C W `/ -f- / / Owner or Tenant �/(� `�l f Telephone No.5O9- CP—e Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building eerwe-- 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: -- AfS7*t,L Comoletion of the follnwina tnhle mm, ho wnivod h„ the incnecior nt wirev 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 Above In Swimming Pool rnd. rnd. o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. oT Detection and Initiatin Devices No. of Ranges No. of Air Cond. Total Tons g No. of Alerting Devices No. of Waste Disposers Heat Ht Pump Totals: :Number., Tons K No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances Kms, Security Systems: No. of Devices or Equivalent No. o Water KW Heaters No. of No. of Si ns Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: o10,000, 00 (When required by municipal policy.) Work to Start: l l3 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 P--19'OND ❑ OTHER ❑ (Specify:) Z/,Y,,.7G / certify, under dee pains and penalties of perjury, that the on this tipplicati n is true and complete. FIRM NAM�2,tIDez"�oe le LIC. NO.: Licensee:Yr/i� �r Signature LIC. NO.: /-#S`-763 (Ifopplicable, t r "e empt- in the ll�'ccense number line.) ,// Bus. Tel. No.: �74r 3%S"1A Address: �,5 �Ao-V4 L.�Lr , �C 1,M � Ql Alt. Tel. No.? *Security System Contractor License required for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ D � �y a Location f4V(,� 4/ ' �/ No. �L/ Date 7 3 -0 -7 MORTIy TOWN OF NORTH ANDOVER 3?Of,(`•O I•,h0 O � A i Certificate Occupancy of $ s�CHus Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #-, S� 2 0 6 3 Z�z building Inspector ��- � ��e �' � �p- -� Location Y,/b2 ` `''' P, Date .� a c� G TOWN OF NORTH ANDOVER o •. 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C C L1 fn r � o O V = a r e X, 4..42 v c in pp k 5U ar -p' � •ti S o a R H E " c� �•o'�' CL q o enat� 4A .'N a. 0�1 a a�C�rn`C�O to , 4, OOf ZbS6889846 xgwnnuu uJ .__ SNDIS3$ 6£STz£b£09 Ida 9"o L003190/£0 6,;d15/2007 03:13 FAX 6034321539 � � � 511dV RSV" c .f IZO02 215 '78 L 29.1 P.02/02 IfilI /I/�(Jfilm Meech 15,200 7 ; RE: Signage fir WdgreenIS #1020 800 Waverly Rd' Nortb Ar.tdover, MA A 1'8455047 Co Whom It Way Concern: Pleaw know ol a1l:sign$ a listed baw will beax:ternall . S ,.: :will.nqt;laeinc�rr�y il!�yGilti�i�iii�ted'it�i.�t tr, ��;.•: . y Uin1T1$"ornot'tllu iins 01. (2) se4 of 26'8.1.,,' WALCiRFrE1+�'S: Scriit ldt ;' , {�) sits o!' 16" 24I4k.letter's (2) sats of .16" PEAR 4ACY 'letters (1) set of .l0" D'RIVt 11 HRU- P (1) set of`l0" ECIT'%itters (i) C'; learance panel " (1) Interior Mortar & Pestle tower sign (1) Shared Pylon w-OAH of'17'8" • Ir you have any questions or cone ernv I' '1 r eara°k�c:rsacht�d at 2 6481'-l�S Qx 177 ai ' Tbanl� yuu far; otrcc+ fi,..• 3 i.. :. '. ,�atter.. . Sincerely, Dawns Clark Project Manager East Coast Sign Advertising , • ' 6058 Route 13 Nonh v, soca T',(15j'ti$4-'ttrD'•+�f�1ie:+r2y�J' 1' 3TPL P.02 0315/2007 03:13 FAX 6034321539 Walgreens Robert Casey KCSIGNS From: McEvoy, Jeannine Umcevoy@townofnorthandover.com] Sent: Tuesday, March 13, 2007 9:31 AM To: kcsigns@verizon.net Subject: Walgroens Robyn, 10003 Page I of 1 Please be advised that the Building Department is processing permits for your sign an o:.icab n for Walgreens at 802 Waverly Rd. The application indicates that you are identifying 9 of Ilse 1C .iigns to be internally illuminate which is not allowed in North Andover according to the Zoning B y Las I called your office last week and discussed this with someone in your office. I was to] :; that ; t letter would be sent negating the illuminated signs. To date, I have not receive a letter verify i cig w l at type of lighting the signs would have. Please call me so we may address this issue. Also, the 5'x2" X 573/8" is not allowed tI t :.refc e e will not be permitted. Jeannine McEvoy Building Department 978-688-9545 978-688-9542 fax 3/15/2007 OVER *** Z"•� "o `y O.L 7 F 0 0 ccl o N .� N � N O o H 'y w z v 4.0 , to ts. A 0 cl U 71 3 ¢c�C70 ca U C m �b N b m 00 G U 5,' i o ¢ OD cd a Ell ° �w cd �1. O U O to vOi C m �b b 00 G U 5,' i C� cd N OD cd a Ell ° �w cd �1. O U O to vOi cl 03 m cd o } t1" t2, ° m 0 oU U Q, O AU "0 in. 40. C,2 •0 d 1 m �b b i SZ O a Ell ° 04 �a u •0 d 1 6 1L # 9906 KL 91Z! 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ISO MIR 15 Petco Signs — 802 Waverley Road, corner of Waverley & Turnpike 6.6.DBusiness and Industrial Districts: Accessory All signs permitted in residence districts as provided in Section 6.6(A) and 6.6(B), except that temporary real estate signs may be as large as twenty-five (25) square feet. Each owner, lessee, or tenant shall be allowed a primary and a secondary sign. Said sign may be used as ground, wall, or roof signs. No lot shall be allowed to have more than one (1) ground sign structure. 1. Primary wall and roof signs attached to or part of the architectural design of a building shall not exceed, in total area, more than ten percent (10%) of the area of the dimensional elevation of the building as determined by the building frontage multiplied by the floor to ceiling height of the individual business or as specified in applicable sections of the by-law. Primary wall sign = North Storefront = Waverley Road 110' x 23' = 2350 sq. ft. 10% = 253 sq. ft. Primary sign = "Petco" = 107 sq. ft. + "Grooming" = 18 sq. ft. = 125 sq. ft. Primary sign complies. 6.3.17 - Secondary Sign - Is a wall, roof, or ground sign intended for the same use as a primary sign but ;smaller dimensions and lettering, as allowed in Section 6.6. Secondary wall sign = East Storefront = Turnpike Street 106' x 23' = 2438 sq. ft. 10% = 244 sq. ft. Secondary sign = Petco" = 107 sq. ft. Secondary has less area than the Primary, but the lettering and symbol are the same size as the Primary.. ©3 V .4 .Ts Vl O H U O o 0 o �o a 0 4. o o N 0. 0 0 .� o o 0 H c � N�y o N N r �0.+ A a .4 .Ts Vl O H U O o 0 o �o a 0 4. o o N 0. 0 0 .� o o 0 cso RAY b Q) V) 0 a 0 a w 0 v N Af v 0 x 'o 0 CO 0 1-1 CA b4 U CO +- O 9b•� �� �n O b •" Cl W •� 'L1 p .n v as Cd to to to ao.� cl . �w CZ .� O, O c~o L4 A w. b v o U cd y ri 0 O i.i • !A ZU3��va,o on ..fl Aas 1" 40. V) an 1-1 CA a� cl 0 b bQ y on ..fl TsaNQ'oo� rA oo°�'3 a� aa. 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CCS co � Lna 0 "B O ' a Ro a a on as v Q a W U W m F- 0 a a 3 z 0 H U_ C3, a W W a a 0 U 4 z u a a CS. w O ¢ 0 0 IN 0, �o �o ZIA .aZ Fw��a 0 o4�, nnl Vum�99 s�y'um Fg5�a '3Um Uw Q0.ja ccIL Q 4-7 Location No. Date��� 0 MORTM TOWN OF NORTH ANDOVER s 9 Certificate of Occupancy $ �'�S' •�t� Building/Frame Permit Fee $ s�CHUs Foundation Permit Fep $ Other Permit Fee � $ TOTAL $ Check # c 2Ob67 �< Building Inspector 03/26/2007 08:39 FAX 7810829726 Iv FORD SIGN 0 in 0 0 1 0 MEN. bA ab 0 02 09/28/2007 08:99 FAX 7819829728 FORD SIGN FORD SIGN SERVICE, INC. P.O. BOX 156 ABINGTON, MA 02351 PM: 781-982-1466 FAX: 781-982-9726 3/1912007 TOWN OF NO. ANDOVER ATTN: BUILDING DEPT. 15 OSGOOD STREET SUITE 2-36 — BLDG 20 NO. ANDOVER, MA 01845 RE: PETCO WALGREENS PLAZA N0. ANDOVER, MA Ni Jeanne, Enclosed is our check for $90.00 for three sign permits we spoke of over the phone today. I have also enclosed a self — addressed stamped envelope for you convenience. Feel free to call me if you have any questions. Very, truly yours, thwen Ready Project Coordinator I [A 001