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Miscellaneous - 85 MAIN STREET 4/30/2018 (3)
t f Town of North Andover A.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. I:rr -+ • iC��agkwn • i a M. I Mapa?-% Lot 66 q3 Phone:�14 17 19 - �1_ ,5 Ce, Email a c►-?-�.e_40 Nature of Do you own this property? Yes No V If no, written permission is required from your landlord. Se e - Will you have clients coming to this property? Yes No Will you have any employees? Yes No. PO r_f1r _, U no+ in Will you have any major deliveries? Yes /No Description of Business Activity (Must be Completed) Darn, Kay, +5 a S eci&( boc c Hgcue. Carr J(h3 c)m e_*i '5 Conik-Kyi o rar 4_5.kl-ot�, Signature of Applicant For Signage Refer to North Andover Zoning Bylaw Section 6 The propos is lowed 'in this zoning district. Issued Date 40 S -- leUlGuo/J86/09VIZa/Pe0/-e6£/e-La/LL-9/9a£/-oh8/Le92ti/woo-jayolaNswooreipaw4oafad/ro£%adl4y=lana6ewi�fiuud/woo'jayolei swoorjauueld/FdA4 's r ' �i uo 25�'► 7b�0� c'�� n .►p� PLav �� y -?w UJ.VaQj jpol woo-) L� -Dl PL I �! -Ty-v.) c�a �Z ►S 2w ?k j+ -�vo �UTA001 f ^raN J901saa awoH pJayo;ai{gwooa LIOZ/IZ/9 l t t r y _ Town of North Andover wiwaD.S.A. — Zoning Compliance Form 01 <x..� D.B.A. A. Top,'`�� 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. Map 11-2-9 Lot 66 q3 Phone: 04Email o f _Inn4, con Nature of Business: Do you own this property? Yes No V If no, written permission is required from your landlord. Se e- . Will you have clients coming to this property? Yes ✓ No Will you have any employees? Yes No Pwthr o_ b -d Will you have any maj or deliveries? Yes No Description of Business Activity (Must be Completed) Dan', c +s a se.Cio.( boc,,fHgcee. carr�ih3 �i,F�- P a+k Le -h cWare_(, aid I ryi en s c ons- o rar -�O.S k to n w Signature of Applicant For Signage Refer to North Andover Zoning Bylaw Section 6 The propos is lowed in this zoning district. Issued Date 0 S 0,!p 1 -- 4 North Andover MIMAP May 9, 2017 029.0-0025 039.0-0052 90 MAIN ST 0.2 -0042 029.0-002b 77 MAIN ST x" 85 MAIN ST 029.0-0043 89 MAIN ST ' 89 MAIN ST 89 MAIN ST 89 MAIN ST 0.2 TOO 44 91.5 MAIN ST C7B MAIN S 91 1/2 T 02.9.0-0056 , 029.0-0060 95 MAIN ST 5 FIRST ST 029.0-0045 029.0-0057 \� 029.0-0046 89 MAIN ST i \0.29`0.-0047` \NR` .� '�%• 029.0-0048 Q MVPC Bo Zoning Overlay Zoning ❑ Municipal Boundary 13 Adult Entertainment Dlstrlc 0 Machine Shop Village Ove Busine s 1 District 0 Busine s 2 District Horizontal Datum: MA Stateplane Coordinate System, Datum NAD83, — Rail Line Watershed Protection Dist Q Busine,, s 3 District Meters Date Sources: The data for this map was produced by Merrimack Interstates Historic Min Area ■ Busine s 4 District IAORTH Valley Planning Commission (MVPC) using data provided by the Town of = Interstate 0 Medical Marijuana ■ Gene Business District Ot t�� p '�� r �.� OO North Andover. Additional data provided by the Executive Office of — Major Road © Dovmtown Overlay District 0 Historic District 0 Planne Commercial Dev Corrido Development Dist �, tt Environmental ARairs/MassGIS. The information depicted on this map is for It be for legal boundary Roads Osgood Smart Growth (40 ,Easements Hydrographic Features .. 0 Conid Development Dist 0 Cortido Development Dist ,; L O to �' 70 planning purposes only. may not adequate definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING ❑ Parcels Streams Induslri I 1 District Industd 12 District * — * �, ^ e" * THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT Wetlands P Industd 13 District * o ��� M ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF Exempt Lands 0 Industri I S District Reside ce 1 District '�. �,� THIS INFORMATION Reside ce 2 District $$ACNU`�i I Ra ide ce 3 District 1 de ce 4 District V = 33 ft w{ }.de ce 5 District `y' de ce 6 District ���ege esidential District 1 i ii C C3J9M'RC.IAI_ A&M .Realty Trust 85 Main Street North Andover MA 01845 5/4/2017 RE: Letter of intent --85 Main Street North Andover MA 01845 Dear Michael, The purpose of this letter is to set forth some basic terms and conditions for a.proposed lease by the undersigned, the "Lessee" and the owner the "Lessor The terms set forth in this letter will not become binding until a more detailed "Lease Agreement" is.negotiated, agreed upon and signed by the parties. A good faith deposit of $1,600.00 will be delivered when a verbal agreement is reached and LOO is signed, which shall be credited towards the first month's rent upon the execution of a full lease and shall be returned to. the Lessee should the parties not agree and sign a lease agreement. 1. Description of Property: 85 Main Street North Andover MA 01845 with approximately 1322 square feet. 2. Lease Terms: Three-year lease with two three year options NNN (water, RE taxes, insurance prorate) with the foilowing stipulations. + Lease to began July V 2017. Access for measurements and contractor estimates shall be allowed with proper notice to Lessor through June 14th. Full access to Lessee to begin June 15th. • Base rent $1650. Year two -.,$1,650 Year three: $1,700. • Option years 3-9 to be based on CPI or 2%whichever is greater. • Lessee has option to end lease with 7 months' notice with additional 3 months of rent.being paid to Lessor if not re -rented after the six months. Notice to be in writing. • Lessee to pay Lessor deposits of 1e months' rent, last month's rent and 1 month security deposit. • Lessee to have 1 parking space 9-5 M -F and space for a small dumpster_ 3, Conditions: « .Lessor to replace the three broken windows in the front, repair woodwork around the front door, clean out basement/storage area. • Lessor to repair.concrete entry at the main entrance « Lessee to re -paint front exterior; replace front door, paint.interior, replace interior/exterior lighting, flooring, build out two.dressing rooms and signage. All with lessor's permission. • Lessee to meet with North Andover building department to get approval and licensing prior to May 31"1. Lessee to confirm electric panel sufficient for business purposes. 4. Subject to: • Lessee obtaining business license and. permits from the Town of North Andover. i Print /V "e t cL e -er(kIa Lessor Print i. COM+il:fYtulA1,J Lessee ewbopp tier+red LC558 � RIOMI «ntiro 410#4 10# 51 PM EDt 596154U)tMY16Z•X17G iP.J01! 7 3:A6YM E'Di. Z14l 1�({.} iYEFIJfA.NC Print - Print — gime Sloan McCarthy �yan McCarthy Lessee History Dani Kaye, LLC will provide a comprehensive luxury styling experience offering women's contemporary brands and gifts that take our clients from work to play. Jaime Sloan -McCarthy has 10 years of experience in luxury fashion and fine jewelry in New York City. She is an A.J,P. from the Gemological Institute of America and an expert at styling, buying; merchandising, planning and executing special events, and developing client relationships. Her work history includes David Yunnan at Saks Fifth Avenue, John Hardy at Bloomingdale's 59t1h Street. Barnet's New York. and Tiffany & Company. Ryan McCarthy, the founder of Muse Intermedia has worked in the non-profit sector for most of his 12 -year career. Prior to founding Muse intermedia, Ryan was the lead developer for the New -York Historical Society. In 2013, Ryan realized he had the capacity and desire to extend his reach and work with a number of organizations, and so Muse Intermedia was born. Ryan brings direction to the company and drives the business forward. From overseeing client services to coordinating project delivery Ryan keeps it all roving smoothly. His clients include the World Science Festival, Center for Social Inclusion, and the Vineyard Theatre. v: ww. museinterrnedia.com AO — Date ........ i. ....2� .............. I ..... ?L A TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies that .................................................... ........................................ -r— o — has permission to perform ......... /SZF� ...... /Z I ........... qq 2 wiring in the building of ............ 0 ... 0 ...... I . ........................................... at ... ...................................................... ,North Andover, Mass. Feel ... Lic. No. C,416-7 ............... . _? z/ 9 =377 -14ECA &i;i�C;i;� Check # 'I "1 0617 10617 ❑ 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 filled on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. GI 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 maybe deemed_bythe.Inspector_of_W-ires abandoned.and.invalid,if he—. or she has determined that the authorized work Las 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. Y �I El The Permit Extension Act was created by Section 173 of Clmapter 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 fmuthers this purpose by establishing an automatic four-year extension to certairrpermits and licenses concerning the use or development ofreal property. With limited exceptions, the Act automatically extends, for four years beyond its otherwis a 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, 1 9Q S—Permit/Date Closed: Z 712 /eo * Note: Reapply for new permit ❑Permit Extension Act—Permit/Date Closed: t� 'A . . a WRIMNt� ? e�nrz: trr',trl o; .� tre arvit23 SOARr OF f=iRE PRE /Ei�! IOti REGULATIONS 41.�yy' Official Use Only Pe „nit lie. fo6 7 I Occupancy and Fee Checked (Rev. 1/071 (leave blank) I APIPI ItC,ATHON FSR PERM[ T TO PERFORM LEHLEC t RICAL V ORK AIf tLur1: to be aer fonned in accordance vnih the (Massachusetts Elect,-ical rode 1 C) 527 C. .12.0t) (P:.EAS'E PPUPT L"AT INQ, 0.R SPE t.L IN,4'Q L//fes 1_TO lDate: 1 or'To ; v a of: �1 t4(� (% L r To the Inspector of Wires: By this application. the undersigned CIVICS _notice of his or herintention to peforrrl the electrical work described beloly. Location (Street & Number) M _ Owner orTe�nant• J L� l r7 Telephone No. 17 x Zl G Owner's Address Kc MPON ,S'T'. A) - Is this pCrrnit-in conji me ion with a Building -permit? Purpose of Building 'E :istiriS SerYice Amps I Volts Net-,° Service .Amps / Volts Yes ❑ No. 91 (Check Appropriate Box) Utility Authorization ilio. Overhead ❑ - Undgrd 0 No. of Meters Overhead ❑ U,dgrd ❑ No. of rtileters Number of Feeders and =kmpaci r Location and Nature of roposed EIectrical Worn:: I � Ji1 ��1 (, �EC'�..��— �:j3��rt Cornvi tio. oftke followin? table may be v ain ed by tFe Inspector of linin-. iINo. No. of Recessed Luninaire: [No. of Ceil.-Susp. (Paddle) Fans of fot f • _. j nsformers MIA I t a INo. of Luminaire Outlets lNo. of Trot Tubs , (Generators KVA L - INa. of LuIm* inaires ! Above In- iLv-im-m-ina Pool I U I'No. 01 emergency i,Ighang Battery Units j Yrnd_ QrnZ. FIRE ALARALARMSIR'o. %ones No. of Receptacle Outlets �? o. of Oil Boners of -- +No. ofsivitch?5 I� :o. of Gas Burners INo. of De' ,n find I, itiatir.E De rices ira. of Ranges N0. of Air gond. To, si 1No. of Alerting Devices No. Waste Disposers lHeatl'ump! Number ITcns__ j Ki"�T -- — No. of Self -Contained. of { TetafS: T I IDetectionlAlertina Devices "t�Ein1CIT1a i No. ofDishtvasllers Space/Area Beating K -W 3 ocal U /_1 ❑ 0 her• ;Connection - f No. of Dryers �Ylea�Ing I -r AppllfinCes �� I Security System s _- * !^i al -�•—� No. of Dev ces or Eclaiy_,tnt 3 No. l:f Water _, l No. of IN o. of (Data Wiring: i He- ters e; -• Suns Ballasts i Equivalent No. of Devices or ,C;uiY Ient I i-_leComnunic3tlJns IiYir.ng: �No. Hydrorfinssnoe FarhtupS _ { yo: of !14otors Total H No. of Devices Ar E�L'iyalent — I07HER: /g7-�333/-dl 1 iia h Q."CfMcnal CE1011 y aesirea, or CS rf:quirCc, u)• t::c�i- iStirnated Value of clect1 el t^Jor::: (Wrien reClllirefl 1)y mliniGip2t policy.)111TOr : iv tZ:i; inspections to be r 1eSted in accordance wit11 MEC Rule 10, and upon Ci•r ipl?LiCn. INSUR." ICF_ COVERAGE-- finless waived by the owner, no permit for the performance of electrical Mork may issue uP_!eS5 the licensee provides proof C, IF liability In surance including "completed operation" coverage or- its sat?stantia] couivait0t. : re undersigned Cern! es that smirch c0 erage is In force, and has exhibited proof -of sarme to the permit issuing office. CHECI:ONE; INSURANCE BOWL 0 G1rlERS eci !�(F Y)' 1 c2r!}r, uflder ! a peirs ar=_d per-�Tties of p�rjur};what ormatior_. on this application is =rue and complete. IRM NAME: LIC. NO.: L•icensPe: 1rY) Cif - �Li SignaPlr LIC. NO.: ;� r (if O.pflCable, enter p ET i : r Lre /:C?llSe rnvnbe Iine.) t , 1 t� Bus. Tef. \o.: Address: C-�= `'� i a'rI r. i� ��5, O c3U �,;� Alt. Te. Tv o.: ``Per ltri.G.L. c. 1=i, s. 5 7-61, securi work requires Dep at L l;eP.t of Public Safety "S" License: Lic. No. o x/53 OV NTBR'S iNSUPANC'E-V AIVER: I EM aware that tie Licensee does not rave the liability insurance covera e 110mlally repaired by-law. iv my signaune c.elur^``Niereb; Yttluirement. I am the (check one) D owner 0 T. -I ie;'S agent. Ovrner/Agent I PER ITT FEE: yJ�� Signature Telephone No. __j CO TEM AC l0c-- -'=;A_F.EGIS i ERED SYS t�� 1�.i r ti --` ISSUESiNcfi80V`UgENS= a - - -=.•r,A.PK_a :BROPHY. SP. : la UNiVEREI s Y -'AVE i'v. 07/51/1•3 _- .S�e�7`` r K-ep Eop ;or receipt and chana! DPS-Ckt u ;,aJ.-r 644•t0i62U7°LtC�55FOnb!t F - J/+.g y� pcPAR t404T 0s= PURLIC SAFELY t?f�" S - License _Numba� SS CO 000453 �~ Expir_s Ay07/2013 Tr. no: 135.0 S -License: ADT I.IARK A BROPHY-SR 410 UNIVERSITY AVcl -G WESTVJOOD, MA 02050 - DIG SA=E CALL CENTER: (68a)s�a2as Comm➢ssioner f i' r) 'Ift , 6 J271 Date..�t..11—�........ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ......jj has permission to perform 4 A ...................................................... 14 plumbing in the uildings of ....... bYJ('..R ................... ............................................ rat ......... .0-1 ' .................. North Andover, Mass. Fee -10, .. .... Lic. No. .............................................................. PLUMBING INSPECTOR Check # MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ' CITY MA DATE(PERMIT # I Z1 I JOBSITE ADDRESS 5 OWNER'S NAME POWNER ADDRESS TEL[:____ 11FAX f TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL © RESIDENTIAL Q PRINT CLEARLY p NEW: EI RENOVATION: ® REPLACEMENT: Ell ('Off ;4 D PLANS SUBMITTED: YES D NO© FIXTURES Z FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OILISAND SYSTEM { __ _J1 _._{ DEDICATED GREASE SYSTEM � ^. [[ J f j J _{ ._.__J —{ DEDICATED GRAY WATER SYSTEM I f _ f { { _� _ I 1 { , J Lf DEDICATED WATER RECYCLE SYSTEM I= DISHWASHER _{ _.-.-J DRINKING FOUNTAIN I I -.-__l ( { (__....._! ! € __......__! ..._...._ I 1 € { .I FOOD DISPOSER i .._.._ _ 1 _._.__.J ---- _({ . _i J i -. - -._J -.- FLOOR/ AREA DRAIN { J � _ _...._� f __..__.J J ._..,_{ _.__(.___._ .___..._ .___.-1 _[ _______I INTERCEPTOR (INTERIOR).._.__._.l .,.__._� (. { .._._J KITCHEN SINK LAVATORY _..-_-. J ROOF DRAIN SHOWER STALL SERVICE / MOP SINK TOILET _.__I ..._._.j ____! _!- UFtNAL _._.j L_j WASHING MACHINE CONNECTION f ----- 1 _._-_J VVIAJERHEATER ALL TYPES WATER PIPING ( i { _...__...J j f OTHER INSURANCE COVERAGE: I have a current liability insurance its policy or substantial equivalent which meets the requirements of MGL Ch. 142. YES --_, NO IF,YiNJ CHECKED YES, PLEASE INDICATE THE TYP F COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY El BOND MI 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. CHECK ONE ONLY: OWNER 01 AGENT SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted or entered regarding this application are true 9nd accurate to the best of my knowledge _ and that all plumbing work and installations performed under the permit issued for this application will be in complighce with all Pertin v Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME LICENSE # a _9 ( SIGNATURE IMP 0 JP D CORPORATION FJ # PARTNERSHIP D#=LLC M{ COMPANY NAME ADDRESS CITY /'eve ST YI C I ZIP TEL FAX CELL rj f S= EMAIL o z ci i LU LL v, n, f The Commonwealth of Massachusetts - Department of IndustrialAccidints 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 Le ibl, Name (Business/Organization/Individual): ✓ 1"/ ���)n� Address: -% c\r5�� City/State/Zip: AQuu c,J� a bl)'5 I Phone #: S 9-a, TD, o Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction em oyees (fall and/or part-time).* have Hired the sub -contractors listed on the attached sheet. 7. ❑ Remodeling 2. LL4am a sole proprietor or partner- ship and'have no employees These sub -contractors have 8. E]Demolition working for me in any capacity. workers' comp. insurance. 9, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ El icaI repairs or additions required.] 3. ❑ I am a homeowner doing all work officers have exercised their right of exemption per MGL 11. lumbing repairs or additions myself. [No workers' comp. c. 152,§ (4 1 , and we have no ) 12.0.Roof repairs insurance required.] t employees. [No workers' 13.❑ 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 are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: ! `/" Q �� e ��/ ' C11 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 7777777777 nformation provided above is true and correct. Signature: Date: I) —m`) 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 Information 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 ol 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 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 permit to 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 Gommonwealtla of Ma ssa..chusetts Department of industrial Accidents Office of Investigations 600 Washington Street Boston., MA 02111 Tel, # 617-727,4900 ext 406 or 1-877,MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.rnass.govldia `COMMONWEALTH OF MASSACHUSETTSSEE 2EMI PLUMBER: AND GwSFITTERS V LICENSED A. A MAS1 ER PLUMBER l ISSUES THE ABOVE LICENSE TO: + SALVATORE J f.IMART. NO 55 MARSHALL �� N REVERE MA 02151-1826 li 15648 05/Lt/14 153675 Location %/ �G ��y J t Check # �/7 7 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee S iy✓V $ � TOTAL $ �j Buifding Inspector LwL /r W 2 O a w a z 0 Lw z D J J J J Q w w E - z 0 dqn s F U c L CU cu LwL /r W 2 O a w a z 0 Lw z D J J J J Q w w E - z c L CU cu cn cn U I � o m L � U 0 o E o' Cl) Cl) C: c6 o E 0 cn 0 Q E Q i O L c Q - a) a) W 0 (1) M c � No ,� p o t E vJ C CL O -0 0 I— . Q O L 0 2 0 0 - z> U O E N C o O 2 -0 cCY CO O E c I E J = �Ecn.O cn .� c p CO N O L p +� 4 p c3 fn in N c N O a) :55 F- U N cuQE rn N -0 p (n 4-0)4- F- C w 0 O = (6 V N O) N F-• i-+ N (n cyU t C ~' Q W L O _ C)- pN in >W F.. C i �'(aI 0 m > N O Z U LL0�'O W w T) LO 00 0) E � +� J co CL F=- O Z �m> LwL /r W 2 O a w a z 0 Lw z D J J J J Q w w E - z / N ..Y 14 IJ I 2 10419 M 'd 0 0 a 9b 7U�cd U :U tt-U O O i0Cd�+ o �0 40, ° U x Cd cn N vi a) cd 0 � � 0 cd O ai U O j � toai60 + y -i Q) 03 O i -i In 9b � y aicd-C� M 'd 0 0 a 9b 7U�cd U :U tt-U O O i0Cd�+ o �0 40, ° U x M 'd 0 0 a Cd I 0 0 ki rev �s 1 O 03 0 N by 4-a O z H U' U h4 P-1 w O Ir 9b :U tt-U O O i0Cd�+ , o U� �0 40, ° U 19 9b Cd cn N vi a) cd 0 N �O cd O ai U O j Q O + y -i Q) 03 O i -i In 9b � y aicd-C� O N uj O F 0 o°� o �� � P. �;Cj Uva 0 U 0 s U Cd I 0 0 ki rev �s 1 O 03 0 N by 4-a O z H U' U h4 P-1 w O Ir 9b 40, 19 9b OM P4 Q S� ao d0 aicd-C� p, bA ¢+ o°� o �� � P. �;Cj Uva 0 Cd I 0 0 ki rev �s 1 O 03 0 N by 4-a O z H U' U h4 P-1 w O Ir 943 Date. . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .. & ... �.t has permission to perform ..F.1."a It sI,, I ( j ct a 41C J)i,. plumbing in the buildings of .:.............. . North An ver, Mass. Fee.')0,.SJ..Lic. No..:; (.(C6 ........ .......... PLUMBING INSPECTOR Check It 024F 1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PL UMBING City/Town: �V j �., MA. Date: permit# - Building Location: �� GGLn Owners Name: am Type of Occupancy: CommercialXj Educational ❑ Industrial[] Institutional ❑ Residential ❑ New: ❑ Alteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes ❑ No A FIXTURES o: DEDICATED 2 Z SYSTEMS w ti w Z Ln VO j in LU sx Z a m Z Q Q ru c7 cr Z p m vZi a a in r' w Ln in �' z d d tY w p J Q w a Q Z a 0 LL' rY, z N C7 � 0. X Q VI Ew F w v p O_ o w a m m o aa LU LU LU o�°Oz ~ oLIJo ., y Ln 3 o W -SUB BSMT. Q � � 3 BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4' FLOOR 5T" FLOOR 6T" FLOOR 7T" FLOOR $T" FLOOR Address: City/Town: Business Tei:- .��5 5� Fax: Name of Licensed Plumber: �� 1 &P-1 V State: /v114 ❑ Corporation ❑ Partnership ❑ Firm/Company INSURANCE COVERAGE: I have a current IiabllitLr 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 of coverage b checking the ❑ g y g appropriate box below. A liability insurance policy. M Other type of indemnity ❑ /_N Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not haee the insurance coverage required by Chapter 142 of Massachusetts General Laws, and that my signature on this permit application waives this requirement. p the >i nature of Owner or Owner's Agent Owner �ck One Only Agent ❑ I hereby certify that all o lthe details and information I have submitted (or entered) regarding this application are true and accur +� Pe�,nKnowledge and that all ►�li,rnhin� work and instaNatio,�s performed under the permit issued for this application will be in compliance with all ene Massachusetts State Plumbing Code and Chapter 742 of the General Laws. a`� to the best of my :le 9 / "�_ y/Town of License: Plumber 5lgnature of Licensed Plumber, Master Journeyman License Number: _42J5 e I I i Fold, Then Detach Along All Perforations COMMONWEALTH OF MASSACHUSETTS . °: • • • • • > PARD LICENSED AS A JOURNEYMAN PLUMBER IMPORTANT NOTICE ISSUES THIS LICENSE TO PERMITS FOR PLUMBING AND GAS INSTALLATIONS ON STATE OWNED OR UIS D TYPE FACILITIES MUST BE FILED AT THE PETER i CRANE OFFICE OF THE STATE BOARD. -j 70 DOUGLAS ST C. HAVERHILL MA 01830-674:1' 753953 21805 05/01/12 753953 Fold, Then Detach Along All Perforations I 111 I� r LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 cell 978-502-5921 REPORT OF SITE VISIT 85-87 MAIN STREET NORTH ANDOVER Building Permit # 625 issued 3/28/07 to Lam Realty LLC. 7/20/07 Site Visit Sunny — 80 Degrees Mr. Ventura had called me and asked for an inspection prior to insulation. I met with Mr. Thomas Ventura and Mr. Al Verdone the Project Superintendent for the project. We reviewed the outstanding items that need to be completed. 1.0 Some rafters at the front of building still require Hurricane clips. 2.0 The direction of the front deck sleepers have to be changed. 3.0 Some of the bearing ends of the second floor LVLs still require a support, a 4" * 4" * 3/16" * 4" long angle with 2-1/2" bolts , bolted into the post can be used at locations where a stud can not be added. The L bracket used at one location is insufficient and needs to be replaced with an angle above. 4.0 The LVLs at the third floor dormers on the left side of the building need to be connected together. 5.0 The rear deck ledgers need to be fastened to the building with two rows of Fastenmaster 5/16" * 3& 5/8" Ledgerlok bolts. Verification that the sill is solid must be made. 6.0 Basement sills at the rear of the building should be checked and replaced if necessary, there is obvious decay at the sills over the basement windows. 7.0 The Simpson diagonal bracing mentioned in the May 4, 2007 report needs to be added at the rear corners of the second floor walls. 8.0 The dimensional problems with the stairs from the second floor to the third floor at the front that have to be corrected. 9.0 A second means of egress from the second floor unit is required. I informed Mr. Verdone that I have to perform a final framing inspection before insulation is started and that they must also contact the Building Inspector, I also called Mr. Ventura and left a similar message. Submitted Lawrence H. Ogden P.E. 7/20/07 Cc, Mr. Thomas Ventura Mr. Al Verdone 1 LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 cell 978-502-5921 July 21, 2007 Mr. Gerald Brown Building Inspector Town of North Andover 1600 Osgood Street North Andover, MA. 01845 Re: Building Renovations 85-87 Main Street North Andover for Mr. Thomas Ventura Building Permit # 625 issued 3/28/07 to Lam Realty LLC. Dear Mr. Brown As you are aware I prepared and certified the framing plans 3/26/07 for the above project. The framing plans are depicted on sheets A-5, A -6,A-7 & A-8 with General Notes shown on sheet A-12, on plans prepared by G. J. Bruno and Associates dated 3/20/07. As required I am providing Construction Control for the Structural portion of the project per the Construction Control document I signed dated March 27, 2007. I have attached my inspection reports for 5/4/07, 5/29/07,6/29/07 and 7/20/07. Should you have any questions please do not hesitate to call. Yours truly, N Lawrence H. Ogden RE Cc. Mr. Thomas Ventura. Mr. Al Verdone LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 cell 978-502-5921 REPORT OF SITE VISIT 85-87 MAIN STREET NORTH ANDOVER Building Permit # 625 issued 3/28/07 to Lam Realty LLC. 6/29/07 Site Visit Sunny — 75 Degrees I met with Mr. Thomas Ventura and Mr. Al Verdone the Project Superintendent for the project. At the time of this visit the framing had been substantially completed the LVLS required to be added to rear second floor beams were in place , we discussed the location of supports that have to be added under these LVL's. I reviewed the outstanding items required from my last visit and gave Mr. Ventura and Mr. Verdone a copy of my previous reports thru 5129/07. Mr. Verdone stated the dimensional problems with the stairs from the second floor to the third floor at the front that will have to be corrected. I also told him the sleepers supporting the deck at the front of the building over the entrance roof must be changed so they are perpendicular to the joist below not parallel as constructed. He also stated there was no resolution as yet on the second means of egress from the second floor unit. I informed Mr. Verdone that I have to perform a final framing inspection before insulation is started and that they should also contact the Building Inspector. Submitted Lawrence H. Ogden P.E. 6/29/07 Cc, Mr. Thomas Ventura I&. Al Verdone LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 cell 979-502-5921 REPORT OF SITE VISIT 85-87 MAIN STREET NORTH ANDOVER Building Permit # 625 issued 3/28/07 to Lam Realty LLC. 5/29/07 Site Visit Sunny — 80 Degrees I met with Mr. Bob Stevenson of S&S Building and Remodeling who has taken over as the Project Superintendent for the project. At the time of this visit the framing had been substantially completed the LVLS required to be added to rear second floor beams were in place , we discussed the location of supports that have to be added under these LVL's. I informed Mr. Stevenson that Mr. Verdone was to add Simpson straps at the intersection of the studs thru the plate in the front third floor area where the shed roof was added, and to add 2- H2.5 at each rafter and ceiling joist location at both new and existing rafters and that Nr. Verdone was also to add Simpson diagonal bracing will be added at the rear comers of the second floor. walls. Mr. Stevenson stated there were some dimensional problems with the stairs from the second floor to the third floor at the front that will have to be corrected, I suggested he discuss this issue with Mr. Gerry Bruno. I informed Mr. Stevenson that I have to perform a final framing inspection before insulation is started. Submitted Lawrence H. Ogden P.E. 6/18/07 Cc, Mr. Thomas Ventura LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 cell 978-502-5921 REPORT OF SITE VISIT 85-87 MAIN STREET NORTH ANDOVER Building Permit # 625 issued 3/28/07 to Lam Realty LLC. 5/4/07 Site Visit Sunny — 70 Degrees I met with Mr. Al Verdone the Project Superintendent for the project. At the time of this visit the framing had been substantially completed with the exception of the LVLS required to be added to rear second floor beams. The LVL'S as shown create a head room problem so Mr. Verdone requested I review to see if they can be reduced. These can be reduced as revised on a sketch I issued dated 5/7/07. I reminded Mr. Verdone to add Simpson straps at the intersection of the studs thru the plate in the front third floor area where the shed roof was added, also reminded him to add 2- H2.5 at each rafter and ceiling joist location at both new and existing rafters and that We agreed that Simpson diagonal bracing will be added at the rear comers of the second floor walls. Submitted awrence H. Ogden P.E. 5/7/07 Cc, Mr. Thomas Ventura Mr. Al Verdone METAL FIRE ESCAPE LADDER TO GROUND REVISEDSECOND �LQQ R PLANI SCALE -1 /8" _ 1_011 G J BRUNO AND ASSOCIATES RESIDENTIAL DESIGNERS TOM VENTURA 28 BERKELEY ROAD 85-87 MAIN STREET DWG NO. 8787 NORTH ANDOVER MA NORTH ANDOVER MA 01845] DATE: 3/2l1/p7 Z 0 a J w a w Xo C=) w N 0 - IL � � Q U- 0 O m �Q w� L w x i rn I1 Q � =4 > J [ ZZ L n' LL �a wo . w u °1' co .z iA avu te. 0_$. �Q ate Ute; I - j.. C=) w N 0 - IL � � Q U- 0 O m �Q w� L w x i rn � =4 J [ ZZ L n' LL �a u co .z C=) w N 0 - IL � � Q U- 0 O m ... .. ... . .... .... .... zP '(A"v O w. J U n �a c nW of w i c r. r. (n 0 Y n Z Z J K h Q � ' i. GG C L r Fn ry LL,Z� �F LO0 OD Z .f BUILDING DEPARTMETN Community Development Division Mr. Richard S. Else 160 Commandants Way Chelsea, MA 02150 Re: 85-87 Main Street Dear Mr. Else, December 11, 2006 Please be advised that as owner of record of the above property, the building is in an unsafe condition the porches are collapsing/open abandoned building. Under 780 CMR 110.0, Applicant Permit, you are hereby ordered to make the structure safe and/or demolish the building with filing a written application with the Building Office and obtain the required permit. In accordance with Sec. 118.4 Violation Penalties of the Massachusetts State Building Code 780 CMR — Sixth Edition your failure to bring the building to a standard of safety within thirty days of receipt of this violation notice letter will result in criminal charges being filed against you in District Court, with possible fines of $1000 being levied for each day such violation exists. 1f you have any further question please contact me at Building Department 978-688-9545 between 8:30 — 10:00 AM and 1:00 — 2:00 PM. Sincerely, Gerald A. Brown Inspector of Buildings Cc: Charles Blaisdell, Esq Curt Bellavance, Director Mark Rees, Town Manager 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 918.688.9541 Fax 918.688.9542 Web www.townofnorthandover.com 0- 1� Gerald A. Brown Inspector of Buildings TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts 01845 RI -61 ti X, -Y/ f/✓F 34-C—ayC-sort 0-2619 Re: 15!_6. W: v:i':y-Road gr— f 7A I .Sk Dear Mr. Shea: Telephone (978) 688-9545 Fax (978) 688-9542 January 9, 2006 J� Please be advised that as owner of record of the above property, the buildingns in an unsafe condition ( are in/ violation of 780 CMR 121.0 Unsafe Structures. Under 780 CMR 110.0, Applicant Permit, you are hereby ordered to make the structure safe and/or demolish the building with filing a written application with the Building Office and obtain the required permit. In accordance with Sec. 118.4 Violation Penalties of the Massachusetts State Building Code 780 CMR — Sixth Edition your failure to both cease and desist the non -permitted demolition work and obtain the required demolition permit within thirty days of receipt of this violation notice letter will result in criminal charges being filed against you in District Court, with possible fines of $1000 being levied for each day such violation exists. Please call me at the Building Department telephone 978-688-9545. 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UOo w�wN.WW�Uz r�WaD�Oz�rw�O�wx.W�W� UU�CO HO�Cl oO) z0F;oZ `' `vA�4WaOE" A� ° U 0 aOW�WN�`o Coa�cxza �az� oW�°Cl)u "rrao�n 40 vawA U A�0rA o 0 w zOr Z U 0�rn4 O �w�zoW -x z0Uw�o�00 w�xU�8OWW,< UV dzuUa(Aw mwC 3ooMW U a 4 wwa w��aow UP a0�a� °w AAzO ZEad"3'' Z� OU��Uppx zza0zz�rAzdr� wOxaw o30� !x�o�03�wN AQP Zxo W 0 �o3a�w�«w03��� wwd NHw w wF�Ozo zo Ov,v�W� AH�aoOaU°oU� aa� 0��w w� �Sv zva�Oo�gU v)w waagqNd�z��oH wq a� �a�Ha oo H� CID w oz A A¢Z Ove Ww H�,axW A�apo�z aocaOd�F Fa'dAInaE-��Wz�tY,v� a3aZgc� u AOdaVC7 a�Zoga5�x5 V3 I �a o wUa�,x 4 U4) C7oa �v, a awU c7A xc7p aAA �" a �U r,�, o�av�QUa �z,a aa a�w a V�UU Wa azc7° ¢�z oOw a� Nw�awa� zA°aN��AWQ z � Ao� �v�iww� �aiaa¢ 0� °MO H�A aaUw a�w�d0 [.yMON1 W � N O O H • v� ww O� 00 Waw 00 O -A00 W c? CN SEP -11-2007 10:06 AM LARRY OGDEN 978 352 2858 P.02 LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 -352-2858 cell 978-502-5921 August 30, 2007 Mr. Gerald Brown Building Inspector Town of North Andover 1600 Osgood Street North Andover, MA. 01845 Re: Building Renovations 85-87 Main Street North Andover for Mr. Thomas Ventura Building Permit # 625 issued 3/28/07 to Lam Realty LLC. Dear Mr. Brown As you are aware I prepared and certified the framing plans 3/26/07 for the above project. The framing plans are depicted on sheets A-5, A -6,A-7 & A-8 with General Notes shown on sheet A-12, on plans prepared by G.J. Bruno and Associates dated 3/20/07. As required 1 am providing Construction Control for the Structural portion of the project per the Construction Control document I. signed dated March 27, 2007. I have attached my inspection reports for 8/30/07. Should you have any questions please do not hesitate to call. Yours truly, awrence H. Ogden RE Cc. Mr. Thomas Ventura. Mr. John Berthold SEP -11-2007 10:07 AM LARRY OGDEN 978 352 2858 P.03 LAWRENCE H. OLDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352.8318 fax 978 —352-2858 cell 978-502-5921 REPORT OF SITE VISIT 85-87 MAIN STREET NORTH ANDOVER Building Permit # 625 issued 3/28/07 to Lam Realty LLC. 8/30/07 Site Visit Sunny — 80 Degrees I met with W. John Berthold of Berthold Construction who has taken over as the Project Superintendent for the project. At the time of this visit the framing is completed. The outstanding items listed in my report of 7/20/07 have been satisfactorily addressed. Therefore it is my opinion that the framing is acceptable and the contractor can proceed with insulation once he receives approval from the Building Inspectors office. Submitted Lawrence H. Ogden P. E. 8/30/07 Cc, Mr. Thomas Ventura Mr. John Berthold 11 SEP -11-2007 10:06 AM LARRY OGDEN 978 352 2858 P.01 LAWRENCE Z OGDENv P.E. 198 EAST MAIN STREET GEORGETOWN, MA. 01833 978-352-8318 fax 978 -352-2859 CoU 978.502-5921 DATE: . -.94 t I I zz MENTO TO: fv^k TOTAL 0 PAGES 3 &Q1 L, p i,V e. j^j S IN- r f,74. FROM: Lawrence H. Ogden, PROJECT: PURPOSE: VIA! Fox to a e) 0 gs q- Z. Pf D I's Rep j4,, -t, p Lawrence H, Ogden CC: Tranamittal.doo 04/07/2008 14:07 FAX 9787942088 LAW OFFICES DOMENIC J. SCALISE ATTORNEY AT LAW t 89 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 TELIEPHONE (978) 582-4153 FAX (978) 794-2088 EMAIL CUS(kscaliio•C0M Telefax to the following number: COMPANY: ' J A) IF ALL 1 ABOVE This teleeopy is attorney6-client privileged and eonaine confidential infofmstion intended only for the person(s) named Above. My other distribution, copying or diaelmwt is stNedy prohibited. If you receive this teleoopy in wror, please notify us immediately by telephone, and return the orig%sl tri w0sion to us by mail without making a copy. Attention: RR: 2 Message: g001/002 k if OFF 1 &w A4 !moi !/ —AE a&// Mel Ch -4t rye Total Number of Pages (Including This Cover Page): 04/07/2008 14:07 FAX 9797942088 LAW OFFICES LAWRENCE H. OLDEN, P.E. 198 EAST MAIIV STREET GEORGETOWN, MA 01833 978-35241.318 fax 978 352-2858 cell 978-502.5921 February 15, 2008 Mr. Gerald Brown Building Inspector Town of North Andover 1600 Osgood Street North Andover, MA. 01845 Re: Building Renovations 85-87 Main Streef Borth Andover forNvfr. Thomas -Ventura. Building Permit # 625 issued 3/28/07 to Lam Realty LLC. Dear Mr. Brown As you are aware I prepared and certified the framing plans 3/26/07 for the above project. The framing plans are depicted on sheets A-5, A -6,A-7 & A-8 with General Notes shown on sheet A. 12, on plans prepared by 01 Bruno and Associates dated 3/20/07. During the course of the project I performed the duties required for Construction Control for the Structural portion of the project per the Construction Control document 1 signed dated March 27, 2007. Inspection reports for my visits from 4/18/07, to 8/30/07 have been previously submitted. With this letter I certify that to the best of my knowledge based on my site visits that the structural work was performed properly and in compliance with the construction documents referenced above. Therefore in my opinion regarding the structural framing the project is ready for occupancy. Should you have any questions please do not hesitate to call. Yours truly, wrence H. Ogden P.E Cc. Mr. Thomas Ventura. is OF M 4. 2!1 Sj0$ T1s\� "�,'� •`..:._; • ''t:�•%� e 002/002 LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 cell 978-502-5921 REPORT OF SITE VISIT 85-87 MAIN STREET NORTH ANDOVER Building Permit # 625 issued 3/28/07 to Lam Realty LLC. 8/30/07 Site Visit Sunny — 80 Degrees I met with Mr. John Berthold of Berthold Construction who has taken over as the Project Superintendent for the project. At the time of this visit the framing is completed. The outstanding items listed in my report of 7/20/07 have been satisfactorily addressed. Therefore it is my opinion that the framing is acceptable and the contractor can proceed with insulation once he receives approval from the Building Inspectors office. Submitted Lawrence H. Ogden P.E. 8/30/07 Cc, Mr. Thomas Ventura Mr. John Berthold LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 August 30, 2007 cell 978-502-5921 Mr. Gerald Brown Building Inspector Town of North Andover 1600 Osgood Street North Andover, MA. 01845 Re: Building Renovations 85-87Main Street North Andover for Mr. Thomas Ventura Building Permit # 625 issued 3/28/07 to Lam Realty LLC. Dear Mr. Brown As you are aware I prepared and certified the framing plans 3/26/07 for the above project. The framing plans are depicted on sheets A-5, A -6,A-7 & A-8 with General Notes shown on sheet A-12, on plans prepared by G.J. Bruno and Associates dated 3/20/07. As required I am providing Construction Control for the Structural portion of the project per the Construction Control document I signed dated March 27, 2007. I have attached my inspection reports for 8/30/07. Should you have any questions please do not hesitate to call. Yours truly, �v awrence H. Ogden RE Cc. Mr. Thomas Ventura. Mr. John Berthold Date ,�—�.. �.? .q 7 .... p� TOWN OF NORTH ANDOVER P PERMIT FOR GAS INSTALLATION This certifies that ....... ....................... /...... . has permission for ga�-s• installation--*' in the buildings of ..................... at . As. .. , North Andover, Mass. r ` Fee,!....' ... Lic. No../1- �� �. til l ��.......... . GAS) PE CTOR Check # 3-3 S 5944 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date Building Locations P S— 1�ti fA- Owner's Name New D Renovation Replacement D SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. w 6TH. FLOOR 7TH. FLOOR BTH. FLOOR z a w O F" w a V u w x I- z H Z w Q w > x z w d SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR BTH. FLOOR 'Print or type) r Name, b Z Address � 9 �L/ k ru d ci Name of Licensed Plumber or Gas Fitter , /'—% Permit # /1/5112 Amount $ Plans Submitted D Jr Check one: Certificate Installing Company E] Corp. ElPartner. 0 Firm/Co. INSURANCE COVERAGE k one: I have a current liability Insurance policy or it's substantial equivalent. YeSc13 If you have checked ves, please indicate the type coverage by checking the appropriate box. No Liability insurance policy P Other type of indemnity 13 Bond 13 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. Signature of Owner or Owner's Agent Check one: Owner 13 Agght rl I hereby certify that all of the details and information I have sub 'tted entere ) i abov plication are true and accurate to the best of my knowledge and that all plumbing work and i al do per o ed un er er i sued for this application will be in compliance with all pertinent provisions of the Massac usetts S to G ode a a ter 42 of the Laws. Title City/Town ED (OFFICE USE ONLY) Signature of Licensed P1u � r60Fitter Plumber MOGas Fitter License um er Master DJourneyman e L N LL W V7 a cK z U ° p Fd a O a a � H O E. x p a W z > U d x Check one: Certificate Installing Company E] Corp. ElPartner. 0 Firm/Co. INSURANCE COVERAGE k one: I have a current liability Insurance policy or it's substantial equivalent. YeSc13 If you have checked ves, please indicate the type coverage by checking the appropriate box. No Liability insurance policy P Other type of indemnity 13 Bond 13 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. Signature of Owner or Owner's Agent Check one: Owner 13 Agght rl I hereby certify that all of the details and information I have sub 'tted entere ) i abov plication are true and accurate to the best of my knowledge and that all plumbing work and i al do per o ed un er er i sued for this application will be in compliance with all pertinent provisions of the Massac usetts S to G ode a a ter 42 of the Laws. Title City/Town ED (OFFICE USE ONLY) Signature of Licensed P1u � r60Fitter Plumber MOGas Fitter License um er Master DJourneyman e L N LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 cell 978-502-5921 February 15, 2008 Mr. Gerald Brown Building Inspector Town of North Andover 1600 Osgood Street North Andover, MA. 01845 Re: Building Renovations 85-87 Main Street North Andover for Mr. Thomas Ventura Building Permit # 625 issued 3/28/07 to Lam Realty LLC. Dear Mr. Brown As you are aware I prepared and certified the framing plans 3/26/07 for the above project. The framing plans are depicted on sheets A-5, A -6,A-7 & A-8 with General Notes shown on sheet A-12, on plans prepared by G.J. Bruno and Associates dated 3/20/07. During the course of the project I performed the duties required for Construction Control for the Structural portion of the project per the Construction Control document I signed dated March 27, 2007. Inspection reports for my visits from 4/18/07, to 8/30/07 have been previously submitted. With this letter I certify that to the best of my knowledge based on my site visits that the structural work was performed properly and in compliance with the construction documents referenced above. Therefore in my opinion regarding the structural framing the project is ready for occupancy. Should you have any questions please do not hesitate to call. Yours truly, /C Lawrence H. Ogden RE Cc. Mr. Thomas Ventura. Ott; o \ s� ! G 9�Y RENCE 3 \ G Al ?� 'GLD 7i' � Sr' OS C :, � ;v FS: Date :j-. TOWN OF NORTH ANDOV PERMIT FOR PLUMBII This certifies that .................. ............... has permission to perform,- . . . . . . . . . . gs of .............. plumbing in the buildin at ................... North Andover, Mass. 04'. Fee .... Lic. I .................. PGIJIVIBING INSPECTOR Check #?- 7333 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS , r Building Location O cPA", 14 Date 3— 2 s —0-7 Permit # ;_, i D ,, Amount / C6 �- U"( f 9LS Type of Occupancy New ri Renovation E3 Replacement 0 Plans Submitted Yes [] No FIXTURES Wrint or type) 1 ' n Check one: Installing Company Name Alt 64 Corp. Addres$ � �' S �/ L `� Partner. Business Telephone ? 7 4) t 3 Firm/Co. Certificate Name of Licensed Plumber. C � .) I It,— L Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box Liability insurance policy M Other type of indemnity 11 Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have sub ed or ent in ove P ication are true and accurate to the best of my knowledge and that all plumbing work and ' to ati performed un er P it sued for this application will be in compliance with all pertinent provisions of the Massa us to P bing Cod an a e General Laws. By: Igna o rce er Type of Plumbing License Title /) r 7.3 C7 City/Town icense Numoer Master ® Journeyman El (OFFICE USE ONLY « ti LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 cell 978-502-5921 April 19, 2007 Mr. Gerald Brown Building Inspector Town of North Andover 1600 Osgood Street North Andover, MA. 01845 Re: Building Renovations 85-87 Mair, Street North Andover for Mr. Thomas Ventura Building Permit # 625 issued 3/28/07 to Lam Realty LLC. Dear Mr. Brown As you are aware I prepared and certified the framing plans 3/26/07 for the above project. The framing plans are depicted on sheets A-5, A -6,A-7 & A-8 with General Notes shown on sheet A-12, on plans prepared by G. J. Bruno and Associates dated 3/20/07. As required I am providing Construction Control for the Structural portion of the project per the Construction Control document I signed dated March 27, 2007. I have attached my inspection reports for 4/4/07, 4/9/07 and 4/18/07. Should you have any questions please do not hesitate to call. Yours truly, wrence H. Ogden RE Cc. Mr. Thomas Ventura. Mr. Al Verdone LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 cell 978-502-5921 REPORT OF SITE VISIT 85-87 MAIN STREET NORTH ANDOVER Building Permit # 625 issued 3/28/07 to Lam Realty LLC. 4/4/07 Site Visit Cloudy - 40 degrees I met with Mr. Al Verdone the Project Superintendent for the project, He informed me that work had begun Friday March 30, 2007. At the time of this visit the rear third floor and roof had been removed the third floor TJI joist were in place and work had begun on the new roof structure. We reviewed the drawing requirements for additional post in the basement, required wood cheek walls from the second floor steel beams to the floor framing, the LVL Ridge beam required for the front portion of the roof that is remaining in place and the need to install Hurricane clips for the roof rafters. Mr. Verdone discussed a proposal to relocate the internal second floor stair way, I suggested He contact the Mr. Bruno and the North Andover Building Department to discuss this revision. At the time of this visit to the best of my knowledge it is my opinion that in general all work is being performed in a manner consistent with the construction documents. Sub itted awrence H. Ogden P.E. 4/19/07 Cc, Mr. Thomas Ventura Mr. Al Verdone LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 cell 978-502-5921 REPORT OF SITE VISIT 85-87 MAIN STREET NORTH ANDOVER Building Permit # 625 issued 3/28/07 to Lam Realty LLC. 4/9/07 Site Visit Sunny - 50 degrees I met with Mr. Al Verdone the Project Superintendent for the project. At the time of this visit the framing of the roof was substantially complete the LVL Ridge at the front roof had been added and footings for the basement post had been placed. An issue arose concerning the head room for a door from the third floor bedrooms to an interior stair leading down to the second floor living room below. Due to the pitch of the front roof there is insufficient head room for the door. The best solution appears to be to raise a portion of the front roof over the stair and relocate the door and stair. We also discussed the need to replace the 2* 12 roof joist over the front entrance area, the drawings show this area being removed and replaced with TJI joist. It was decided to modify this and to place an LVL beam at mid span and keep the existing 2* 12s in place. The next day I furnished Mr. Verdone the design requirements for the LVLs and their supports. At the time of this visit to the best of my knowledge it is my opinion that in general all work is being performed in a manner consistent with the construction documents. Submitted awrence H. Ogden P.E. 4/19/07 Cc, Mr. Thomas Ventura Mr. Al Verdone • . I L LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 cell 978-502-5921 REPORT OF .SITE VISIT 85-87 MAIN STREET NORTH ANDOVER Building Permit # 625 issued 3/28/07 to Lam Realty LLC. 4/18/07 Site Visit Cloudy Rain - 40 degrees I met with Mr. Al Verdone the Prod ect_ Superintendent, for the -project ' the.proj ect: At the time of this visit the naming had been substantially completed with the exception of the LVLS required to be added to three rear second floor beams, additional studs in the exterior walls and some minor details. The roof revision at the front had been completed I asked Mr. Verdone to add Simpson straps at the intersection of the studs thru the plate in this area. He also requested a substitution to the H-10 Hurricane clips specified we agreed to revise this to 2- H2.5 at each rafter and ceiling joist location. We also agreed that Simpson diagonal bracing will be added at the rear corners of the second floor walls. I s Verdone if:dunng the.camse -af:the work -ay Actmioraied .portions of the existing. framing were uncovered,. He indicated that no deteriorated areas were uncovered. The LVL used to support the lower front roof section was notched at the steel 1eamb=jigg becam. of-aponflict vAth.1he S1Wj:be=Ban= ThistunditimwAbe corrected by blocking both sides of the LVL and adding a beam hanger to support the beam beyond the notch. I reviewed the framing of the front commercial area. At the time of this visit to We& M -area halbeeft performed in a manner consistent with the construction documents. Therefore insulation -can be installed -in -this area. A -final review -of the gaining portions of the structure will be conducted when the work is complete. Lawrence.H. Ogden P -.E. 4/19/07 Cc, Mr. Thomas Ventura AI 024.19 Date.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,�-4,xo v This certifies that .................'07..... . . ............................................................ has permission to perform ............ ..................... wiring in the building of................. e� . .. ................................................ at .......................... M#. I.W ..... .......... North Andover,"ass. Fee.J... ........... ........... I �, 6v,�, .Z-.S-'��. Lic �'t�EqOR . ...... Check # Commonwealth of Massachusetts Official Use only t Department of Fire Services Permit No. 7 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. I I/99j leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ( C), 527 CMR 12.00 S v\ (PLEASE PRINT IV INK OR TYPE ALL INFORWYYON) Date: /—? \` City or Town of: Al 1&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) 06- s/ - Owner or Tenant it Owner's Address i13 X;A Is this permit in conjunction with a buil permit? Yes ❑ Purpose of BuildingQ j y S� ©� Telephone No.9�0 No ❑ (Check Appropriate Bos) 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: Comelettort nfthe fnllnwi,ry tnhle mm, ho wnivnii tin er,� T«. e�t.,..,f LU...a� of Recessed Fixtures No. of CeiL-SusA (Paddle) Fans _0:_ o. of Total 1_ Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures 3 Swimming Pool Above ❑ - ❑ rnd d. o. o Emergency ng Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No, of Gas Burners No. of Detection an InitiatingTotaDevices No. of Ranges No. of Air Coad Tons l No. of Alerting Devices No. of Waste Disposers Heat P Totals: I Number I Tons JKW No. o ontame Detection/Alerting Devices - No. of Dishwashers Space/Area Heating KW Local ❑ MunicipalC1 Other No. of Dryers No. o ea KW Heaters Heating Appliances KW °' S s Ballasts of No. ofData Systems: c No of Devices or Equivalent Wiring No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Te ecommunications Wiring: No. of Devices or Equivalent OTHER: frnacn aaartionat detail ifdesired or as 7wWred by the Inspector of Wires INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) 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. I cerdfy, under thepairs andpenalties ofpedury, that the information on this application is true and complete. FIRM NAME: &rtx.X o LIC. NO.: F R1 O R,3 Licensee: Aox 0lei Signature LIC. NO.: Fa/ 09-3 (1fapplicable enter ` in the IiceTase rnmtber Y .) Bus. Tel. No.:- 279 95j �5 Address: ©' -4 �� Alt Tel. No.: p 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. $ �' / ! � �, / � � i Me Commroa wafth of Massackwein ftwit wwt of IwdW&fid Acci*nts OR" of 1ntl�tts 1 600 Wnot kLV" SftW �J Baudw, MA 02111 �% twt+rrutltrsarrrtdl�r rz Workers' Compeesatioa tsswramm Affidavit: Bogs/Cootractors/Ekdrkiam/Pia®bers Ate' ,,t tsfbMatios fie eft LWIr Mame inwinessAkpn imiaNlm6vi W): ityrstatelzip: �YJ/ o 6Sn #-� A" ----. Are yem as emplaW. Cheek the'apM wpr`k bez: Type KIw+jeet ( = 1. ❑ 1 am a employer with 4. ❑ I ant a general contractor and 1 6_ ❑ New construction employers (fail and/or part-time).' 2.)Ki am a sok proprietor or partner- have hirod the sub-cantractors listed an the marched shest. = 7 ❑ Remodeling ship and have no employees These sttb•coMactors have S. ❑ Demolition working for me in any capacity. (No workeW t workers' comp. ino rano. s ❑ q ❑ &ice addition requ red. j offices have exercised their 10.WElectrical repairs or additions 3. ❑ 1 am a homeowner doing all work runt of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, § 1(4). and we have no 12.❑ Roof repairs insurance required.] w employees. [No workers' 13.❑ Other comp. insurance required.] i '-.any #I nen sten ran uss we sectiu� tttwrr sauwiue worterti' wniparsados norkr isfixmsrioo. Ik---,w9 wW saran Iris MI k idkWiaa *q arae duiwasn weat..s We. riot oraside ooerrsaars sMrrt sebanil a aew attidsvit ieiicsting such. :k uawftIas ion ebeet ibis bm ama sredisd sw *MW ad shed sMoUMa the Deere of dm s4immacka aed +Meir workers' MW. pdiry ia(.nW... 1 +uv Nw enrVMya alien Is P "A ft WM in M, cenreWserliner iftserm cr fe► a!p en jWWY Nle it Mepo ft ad frb Sr 60MAwmiam Insurance Company Name: Policy # or Self --ins. Lie. !i: i Expiration Dole: Job Site Address: City/StudZip. n; Atteeh a copy of dw workers' eampteandean pdky eteelaratien pqe (sraw%X ttte pricy ar N&cr a W expbutbe 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 aed(or one-year imprisonnem; as well as civil Penalties in the form of a STOP WORK ORDER and a fine of up to $230.00 a day against the violator. - Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for kwrance oaverap verificdimL !deA e0cWA*&%hFekePWhWaedPeeeeW91alP9Flo+l*+$AnebfWx&w*upwri& &msecbturnedcowecv. (field ase oedj. Derr woo wv*e IN &k &M% as Air card by dry err wean e, f jnW City or Town: p� M Inning Antleorky (circ* ow): I. Berard of Health i 8eilding Deputmeot I Cityfrown Clark 4. Ekdrkai laspeeber S. phMbiag laspeeter 6 other Contact Pierson: Phone Ms Y LU z W Z6 > 0 Lu J) o. ut I- - 0 CF o CU 0),- 0- ay. Cc 0 (D (D ,r_ - 04 G -Z 0- 0 -0 (Ly- (j). 0. < —V M = .0 o O 4) 0. S- 16. 0 > m E2 e O LO Ca .t. c) W: 2- W X - o CL b >- Lu J) o. ut I- - I Location No. Date AORTA, TOWN OF NORTH ANDOVER Oi "•o ',M�O • G e o ; : Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL S/y� $ ���-- Check #/� 24543 wilding Inspector C— I Iz O cd i 03 la rvm sir O 1.1.41 9 u z z 14 u 0 b Mn bA i� O 04 O a-+ Ai* � 4 � a2 �+ Z, ° 2 Q" O N .2 R .� N P ° o ° 3 a 'A��o,�s O cd i 03 la rvm sir O 1.1.41 9 u z z 14 u 0 b Mn MANtcuFm8 * 1PEIACUR" A HAIRS'iYL NO-WA,X-SUPPLIVa Page 1 of 1 c http://thumbp l 3-bfl.thumb.mA.yahoo.com/tn?sid=1412206506&mid=AD3ai2IAAB5kTm... 9/5/2011 NORT1t Ori° OR 9SSAc4us�'� Zoning Bylaw Review Form Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 Phone 978-688-9545 Fax 978-688-9542 Street: M A / A-) Ma /Lot: -v 3 Applicant: 5 rl Request: ao' xa j R —/mv�- ,� Sf��a r .. c/ �a,✓ Date: g a D "'-' Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning Remedy for the above is checked below Item # Special Permits Planning Board Item # Item Notes Setback Variance Item Notes A Lot Area Common Driveway Special Permit F Frontage Variance for Si n 1 Lot area Insufficient Inde endent Elderly Housing Special Permit 1 Frontage Insufficient Earth Removal Special Permit ZBA 2 Lot Area Preexisting S 2 Frontage Complies Special permit for preexisting 3 Lot Area Complies 3 Preexisting frontage y S 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required L/ e S 3 Preexisting CBA S 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient 3 Preexisting Height S 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient l Building Coverage 6 Preexisting setback(s) e -S 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting `/ S 1 Not in Watershed � 5 4 Insufficient Information 2 3 In Watershed Lot prior to 10/24/94 d 1 Sign Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 2 3 In District review required 1 Not in district Insufficient Information &/ S 1 2 1 3 More Parking Required Parking Complies Insufficient Information 4 Pre-existin Parkin Remedy for the above is checked below Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Si n Continuing Care Retirement Special Permit Special Permits Zoning Board Inde endent Elderly Housing Special Permit Special Permit Non -Conforming Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Develo rent District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Sign R-6 Density Special Permit Special permit for preexisting Watershed Special Permit ;.o.�conforr�in 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 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 permit application form and begin the permitting process. �ulld g Department Official Signa lf�e Application Received Application Denied Plan Review Narrative The following narrative is provided to further explain the reasons for DENIAL for the APPLICATION for the proorty indicated on the reverse side: •.t�� d $yp,• ��M/ �TiMI�. r✓7 �/ y :vl�C d! �.I � 4:2}'� 5 � � r �u�.t � Police Zoning Board 3~ / /`I S PC/�� �er�vr�� / � �r r>r�cST/ti Planning t>N C'vn,l—al^vri��L s�1�uc/vr4p— Other Building Department Y A.lS d- C -�: oti -71k 0�- i 2�A uJ Referred To: Fire Health Police Zoning Board Conservation Department of Public Works Planning Historical Commission Other Building Department 'EJEETED TUW N OF NORTH ANDOVER WELDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING t # Sec>htra for Official Use BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Buildia& Commissioner or of Buildings Date �yt 1.1 Property Address: 1.2 Assessors Map and Pawl Number: �s N'A,a . . C A _ �M - (� x� Map Number Parcel Number N,"Rrff 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage(ft) 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard ReqWmd Provide RNttiwd Provided R red Provided 1.7 Water Supply M.G,L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone outside Flood Zone ❑ Municipal On Site Disposal System ❑ Y• 2.1 Owner of Record Name (Print) Address for Service: 78- Signature Telephone �r 2.2 Authorized Agent Name Print Address for Service: Signature --- —-------- Telephone -- 3.1 Licensed Construction Supervisor Not Apphcable ❑ t Address 7V License Number Licensed Construction SupervisV T Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address - - – --------------- ---- --- --- Expiration Date - Signature Telephone SECTION 4 Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yea .......❑ No ....... ❑ SEMOk 5 PROFMIWQ 4b)--- Si C CONSTRUCTION +Cd��llr �1�' T. 5A Registered Architect: Name: Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name: Address: Signature Total Not applicable 0 Registration Number Expiration Date Name: Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone :ompany Name: kesponsible in Charge of Construction Not Applicable ❑ >; ', 01' O T"ql[� It ) ,: folie k ail atsalrcablel New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. 0 Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: {{�� AA LJ �t s � l IA IB ❑ 0 B Business I USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly 0 A-1 ❑ A4 ❑ A-2 0 A-3 ❑ A-5 0 IA IB ❑ 0 B Business 0 2A 2B 2C 0 0 0 C Educational 0 F Factory ❑ F-1 0 F-2 ❑ H High Hazard 0 3A 3B ❑ 0 IInstitutional ❑ I-1 0 I-2 0 1-3 ❑ M Mercantile ❑ 4 0 R residential 0 R -I 0 R-2 ❑ R-3 ❑ 5A 5B 0 ❑ S Storage ❑ S-1 0 S-2 ❑ U Utility 0 Specify: M Mixed Use ❑ Specify: S Special Use --1 ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area (sf) Total Hei ' t ft Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT r Owner of the subject property Hereby authorize V S cci# �C?U( ��'C . to act on My behalf, in alt matters relative two work authorized by this building permit application �c Signature of Owner Date I, w; as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury Print Name Signature of Owner/Agent Date OEM Item Estimated Cost (Dollars) to bex. hit`° s 4K Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction from (6) 3 Plumbing Building Permit fee (i) x (b) 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number Jt vEf^". r7�.`• ;�. #•, z . 't�%F' }� �h.) �,v.z,, -..r_._,�C�:++Syyi... 5;t :''>f.P. ,u. .F:°' a.w,+,,�#.,' s ?1�r.."t'��?r.�7z.1....�. . +T+y :,. ' rV,"i.:i'.- .ir'...v, ?:{..F. : f:.: B«".� ',�`2•,',x..�'.�,. .�<t�, '.;J*�r.��' ;jva ^ .4k?re.a'i. ts.. ', IN :`ti.',;.G:t^�'..: .`:h+a��a1.a ..'iyNu�l��r`a',Y"i...%�ctS'• MEMO, �'i(` a'.A].'L,�,"l,f�y.vi:T�...,. `C 1 �..,( ;: Ak t�'•r rf. yaWi•�a ,,A' .» }: '+: �.y"���',n`f�,-`-.„:k "++ra,+{ 't"<14ry:�r"wj Vy. �i k.y3F>�n`�5,; ,y'..�Onfs F)�7: ?^''- Man, NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sr 2 NO 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING x MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL. GAS LINE `P ��ck'3lR.?�. 1�''Y f��. rin`�t?L k"211(."'S::'�RsL'i y .','4 a'li s','„a""�';. •..;r'{y'+i :£ Y3 (i 7�j��T; ���•t `"vlM Y fi AtJ �-y 'v'cr ,�.aF 3? lC �itJK'4�i'y�.t �'Ch"i �' Y. R 'i Ort- ... E'i+�R�r,M,l�m'J ,.'i�:`� � :., ,r � r ,i'.`l� �dP` y ,si i!�y g�°'}��'`#i .�,A`'r�, .! ���-'ti .r� ,.t- . 1 i t •u , ,1. 1n 7 —1m 4I - F— LU - Hw � 4 (L N z O all 11.1 z (M w K (j0 0 Q ZQ CL cy Ge � z a N 111 f- U O 4 .; Ln z Ln � r m lU to Dec 0 lu 0 �Lx Ocnw �a oLu % « i & � « u &k) m Q § [ / ) §\ � 2 _/ w q � ` g / .gym • k § \ //Q) ` ���s R § •§U0 u§ p� !|§ u #oo� U R•- a!2§= § k-� ���` ~ ¥ § & § k�(� z,.o C) Q ft -n- §§S& #- e ���.■�� °tan: z Ln Ln o u ;'Sag ��E< z o !D x�IL 0 0 ek uw_,c 5 IL §�F d§�, U�§; ue:< �e/� k ms�§ LL- ■l�18; & -E x § xa.® g2 2 -® � £�§§ §§ � § o i§.. „ „ , „ 2 ,fTf uj « & � « u Q « � 0 w q J§ J= w, La q§ m & w ¥ ,. U § C) Q m 2 co « < UJ Ln Ln > LU + ? )§ cr Cf) r- o 0 0 ek 7 7 } 5 IL §�F 555 (LOD2 LES IL f -- North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant 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 or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT WIC-"� ri a LOCATION: Assessor's Map Number o SUBDIVISION STREET 96 M%I �/ PHONE q 7 $ ?W 46 VY PARCEL 'i 3 LOT (S) ST. NUMBER ********** **************** ***********OFFICIAL USE ONLY**************** ****** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED DATE APPROVED DATE 'REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm 0 i NOTES: 1. PROPERTY LINES FROM PLANS AND DEEDS OF RECORD. 2. SEE TOWN OF NORTH ANDOVER MAP #29, LOT #43. FOR SITE 3. ZONING IS GB (GENERAL BUSINESS). 4. SEE DEED BOOK #3173, PAGE #024 FOR SITE. APPROVED BY THE TOWN OF NORTH ANDOVER ZONING BOARD OF APPEALS UAIE FOR REGISTRY USE MAIN (PUBLIC—VARIABLE WIDTH) STREET CEM. CONC. RAMP BRICK WALK vIAP 29, LOT 42 N/F J&M REALTY TRUST Z BIT. DRIVE — DUMPSTER CEMENT PAD MAP 29, LOT 56 N/F RODNEY A & BARBARA S. MACIEJEWSKI MAP 29 LOT 43 5579± S.F. 9 "I HEREBY CERTIFY THAT THE PROPERTY LINES SHOWN ON THIS PLAN ARE THE LINES DIVIDING EXISTING OWNERSHIPS, AND THE LINES OF THE STREETS AND WAYS SHOWN ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED, AND THAT NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR FOR NEW WAYS ARE SHOWN AND T IS PLAN CONFORMS TO THE RULES AND RE�ULfATIONS OF THE REGISTRY OF DEEDS." r'. 06/09/03 STEP � ST,' .INSK'I, R.L.S. DATE BRICK WALK 0 0 MAP 29, LOT 44 N/F ATLANTIC REALTY TRUST PASSAGE WAY (12' WIDE) MAP 29, LOT 46 N/F PAUL DEDOGLOU, TR EVROS REALTY TRUST PLAN OF LAND IN NORTH ANDOVER, MASS PREPARED FOR OWNER/APPLICANT RICHARD J. ELSE 85 MAIN STREET NORTH ANDOVER, MA TEL. (978) 975-4044 SCALE: 1"=40' DATE: JUNE 9, 2003 40 0 40 80 IMERRIMACK ENGINEERING SERVICES 66 PARK STREET ANDOVER MASSACHUSETTS OIBIO TEL. (978) 475-3555 ,4 Office of the &dla hng Department 3DCV001-1?awnt and. Services 17 CNiHes Street North L`Y.T'?dV#'ver, Mas'. achus--ettsd 01845 IryIC.F%i.uti;' t.�FFr"pf?i. ""€.1':i:a'ir?e'Pt't' November 21, 2003 Richard S. Else 85 — 87 Main Street / North Andover, MA 01845 RE: Roof Top Display 89-9545 X 6S8-95 12 Dear Mr. Else: Please be advised that upon an inspection on the above date it has been observed that an illegal sign display has been installed on the roof of the above noted structure. The specific illegal display is an inflated type. Please note the attached sections from the Zoning Ordinance of the Town of North Andover that is relevant to this display, which must be removed immediately. This letter is a cease and desist order that this illegal display be removed immediately. Please contact me so that we may abate this activity in a timely manner. I may be reached between the hours of 8:30 — 10:00 AM at 978-688-9545. Respectfully, Michael McGuire Local Building Inspector , "j 6.2 Purposes 1. The regulation and restriction of signs within the Town of North Andover in order to protect and enhance the visual environment of the Town for purposes of safety, convenience, information, and welfare of its residents. 2. The restricting of signs and lights which overload the public's capacity to receive information, which violate privacy, or which increase the probability of accidents by distracting attention or obstructing vision. 16. Roof Sign - Any sign erected, constructed, and maintained wholly upon, connected to, or over the roof or parapet of any building with the entire support on the roof or roof structure. 18. Sign - A sign is any structure, mechanically or electrically driven, still or moving device, light, letter, figure, word, model, banner, pennant, trade flag, or representation that is designed to be seen from outside the lot on which it is erected. It advertises activities, goods, places, persons, objects, institutions, organizations, associations, businesses or events, products, services, or facilities available either on the property where the sign appears or in some other location. The definition includes electric signs in windows or doors, but does not include window displays or merchandise. A sign may be permanent or temporary. The Sign Officer is further authorized, upon notice as herein provided, to order the repair or removal of any sign which in his judgment is a prohibited non-accessory sign, or is likely to become dangerous, unsafe, or in disrepair, or which is erected or maintained contrary to this Bylaw. The Sign Officer shall serve a written notice and order upon the owner of record of the premises where the sign is located and any advertiser, tenant, or other persons known to him having control of or a substantial interest in said sign, directing the repair or removal of the sign within a time not to exceed thirty (30) days after giving such notice. If such notice and order is not obeyed within such period of time, the Sign Officer and his duly authorized agents shall, at reasonable times and upon presentation of credentials, have the power to enter upon the premises on which said sign is erected or maintained and repair or remove, or cause to be repaired or removed, said sign. All expenses incurred by the Sign Officer and his duly authorized agents in repairing or removing any sign shall be assessable against any person who failed to obey said notice and order and shall be recoverable in any court of competent 10.13 Penalty for Violation Whoever continues to violate the provisions of this Bylaw after written notice from the Building Inspector demanding an abatement of a zoning violation within a reasonable time, shall be subject to a fine of three hundred dollars ($300). Each day that such violation continues shall be considered a separate offense. (1986/15) x o -C o V) o� - ,-.. v 0 u cuo V �U) W FTI >� U U }.y o t6 � U rn d� 'N m v u u m x o -C o V) o� - ,-.. v ., U w 'a. U) z L.. 0 w lowa V un o -C H - ,-.. v u cuo W FTI U U }.y t6 c ., U w 'a. U) z L.. 0 w lowa V un - ,-.. 00 'N u u � o 0 � � X •*y U a o nt _ v� 1.4 E H � 110. U U o o oU W v +tz 1-4 , EO co O O cn U Location S 5 zAA No. �-6-- Cl / Date -3 Ao NORTIy TOWN OF NORTH ANDOVER •,hOe Op O:O•,•``D ' Certificate of Occupancy $ Building/Frame Permit Fee $ �H�S t� Foundation Permit Fee $ t Other Permit Feed ��r'�� $'�G Sewer Connection Fee $ Water Connection Fee $ TOTAL $ G �- Building Inspector i 93 Div. Public Works rCOMMONWEALTH OFMASSACHIISETTS 1 I,23 Date -g � TOWN OF NORTHANDOVER 27 CHARLES ST APPLICATION FOR CERTIFICATE OF INSPECTION Fee Required (Amount) () No Fee Required Accordance with the provisions of the Massachusetts State Building code, Section 108,15, I hereby apply fog Certificate of Inspection for the below -named premises located at the following address: Street and Number 95 Name of PremisesoZ ( t/ Purpose for whMoaq 'Premises is Used . Licenses (s) or Permit (s) Required for the Premises by Other Governmental Agencies: License or Permit A encu _ 42w1-1 cTeR K -&C. C',. -- Certificate to be issued to Address � 5 RakA Telephone_q-72-08271690 Owner of Record of Building Gh aA d S Address Name of Present Holder of Certificate Name of Agency, if any nni Aml 04�'w SIGNATURE OFPERS NS TO WHOM CERT ICATE TITLE IS ISSUED OR A UTHOIRIZED AGENT /- DA TE INSTRUCTIONS: 1) Make check payable to: Town of North Andover 2) Return this application with your check to: Buildinz Dent 27 Charles Street, North Andover MA 01845 PLEASE NOTE: Application form with accompanying FEE must be submitted for each building or structure or part thereof to be cert 3) Application and fee must be received before the certificate will be issued. 4) The building officials shall be notified within ten (10) days of any change in the above information CERTIFICATE # RQ6 % i' q EXPIRATION DA TE. FORM SBCC-3-74 REVISED 2/99 jmc 4Q n /?iv VS L) TOW14 OF NURTII AkDOVER INSPECTORS IJAh1E OFF.10E OF TILE INSPECTOR OF BUILDINGS INSPECTION REPORT FORM LASSIFICATION PASSES INSPECTION yes= no Q DATED WNER UILDING NAME OR NO. T'REET LOCATION YPE OF OCCUPANCY - Day Care Center ;C% Aud. Q Cafe L% Gym C7 Apt. Q School Q Common Victualer's 4-:7 Liquor Q Place of` Assembly Q other —_CUPANCY NUMBER (in.l tdP s orio—z r and ocru ancy�12pr floor.__ usP rPvPrsp sirs E X I S T I N G XIT SIGN IGHTED EXIT SIGNS operable = yes l-7 no =- yes =7 no=., ',IERGENCY LIGHTING SYSTEM operable = I dry cell D wet cell Q" PRINKLER SYSTEM operable Q gage pressure yes z= Bio ;0KE DETECTORS IRE EXTINGUISHERS NSUL SYSTEM IRE ALARM SYSTEM operable Z_% espiraticu date operable C/ :TRIC EQUIPMENT PROPERLY PROTECTZD :SSES LAWFULLY DESIGNATED AIRS PROPERLY RAILED ELLS. AND STAIRWAYS LIGHTED IATOR GUARDS .'LIES HANDICAPPED PERSONS LAWS 1. RESISTANT CURTAINS OR DRAPERIES municipal Q unobstructed Q r HEATED NOS, FIILEPLACES -)ILER ROOM CONDITION NTILATION ILITY ROOM – CLOSETS BER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS BER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY OPS \ use revers,p for comj,,titt. yes no �=' yes L7 no 3,09 7 s /= n o i yes /LI 110._^ yes no yes no yes % no Q' yes %J no Q yes no - yes no yes no L_,, yes = no LL:7 y 3738 Date TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING �SACMUS�� �1 (rThis certifies that _ ..j� .:01�� .......... . Chas permission to perform- �!!....! .......... plumbing in the buildings of ...--•./ ...',,,� Q---'... . pp at. C% - ............ North Andover, Mass. Lic. N/nr. ,� / ... ............................. . PLUMBING INSPECTOR 06/24/98 15:03 25.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATI FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, C Date Building Location Permit # iy Amount Owner's Name New Renovation Replacement q Plans Submitted FIXTURES (Print or type) + Check one: Certificate Installing Company Namer//�'J�N_ -L/�'7� Corp. Address—60 rS Partner. Business Telephone — Firm/Co. x Name of Licensed Plumber:' / IMU L Insurance Insurance Coverage: Indicate the a of insuran a coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond ❑ Insurance Waiver: I, the undersigned, have been mide'aware that the licensee of this application does not have any one of the above three insurance signature Owner I hereby certify that all of the details and inforr1havebest of my knowledge and that all plumbing wcompliance with all pertinent provisions of the By: bignavure or Do Type of P1uI Title / City/Town 'G i em er APPROVED (OFFICE USE ONLY Agent 11 fed (or egatergd) :in abovyhk Ic :)ee true and accurate to the his application will be in of the General Laws. Master I /1 Journeyman ❑ CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number — 185-2012. Date: September 6, 2011 THIS OUT-01TE-S -T--ft"- THE BUILDING LOCATED ON 85 Main Street North Andover, MA 01845 Janine's Beauty Works MAY BE OCCUPIED AS --beauty salon-A-beamt- v-sulpvlv-. IN ACCORDANCE WITH THE PROVISIONS --OF THE MASSACHUSETTS -STATE BUILDING CODE AND SUCH DTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Fee: 100.00 Receipt: 24542 Lam Reailty Trust .37.2 Bay Meadows Drive Naples, Florida 34112 -Building - Inspector I 1 Date 7- 7- S 7 . 0 TOWN OF NORTH ANDOVERg BUILDING DEPARTMENT A Building/Frame Permit Fee $ Foundation Permit Fee $ `•w' Other Permit Fee S,(fN $ �o r. 0 0-k -r,--1 .I'l Building Inspector t • • W CO V 04 w 0 14 0 +1 U v a In G H I QO 7 vJ r d � r -I •rl ` A 1'� 2 � ca r -I � N 1� � W 41 v�.�1 �' 2 co -C 41 I - w OJ ER *** d H �y V • ' 0 1-4 -C H M - •r. �c •b C14 in H N qw co E O v b tL a " tNGO 3 O y .r., 3 ' � O H '•0 0 � v1 . •Z b 10 .4� r Q ti H Y d W w v o o 0 • W CO V 04 w 0 14 0 +1 U v a In G H I QO r -I •rl ca r -I N 1� � 41 v�.�1 �' 2 co -C 41 I - w 3 7 �y V • ' 0 1-4 -C •b N E co E O v b tL a " G cu 3 v .r., '•0 0 � v1 . •Z b 10 Q Y 0 w 11 w v o o 0 0 u G o ? U o> •rI 1 v C6 •r, o Lr .1V •r 1 O v G d U v cn 3a N $4 $4 G x z° •° v N 41 w i G O O r -I o H a s coV I� rn w v bo Hvro •� 0 N 41 ,,� •� 41 cn � E . w al �' '44 O ° 41 a v, U to G G v t4 •rl o •.•I !-1 v •r 1X 41 r4 41 0 4-1 cd N F 0 by G •ra r•-1 O W V) G •� v u�i H W•o 41I x -q u v w G O a E co O cn O V v G G v H Q. O d y H ri) U • 41 0 O F X. o a u 4 • \ �r • W CO V 04 w 0 14 0 +1 U v a In G H m 10 Andover Limousine Luxury At An Affordable Price Rgbert Vargas P.Q. Box 3176, Andover, MA 01810 (508)_475-3932 m a Z LOW I rA t R U R .M7 I. 4:1 ol 4t cc .� R w1 U Q ;00- O Fn �/1 ��� bA'e�40•y� O C �' ° a 9bCA � 'rig •� �' � y >' �, • c . _ a� a R OW U o cc zz� ��.�o��cc O z a U 3 EN 3 9 Ia bQ L7 cq C w° Ln R � O O. Vo O z a U 3 EN 3 9 Ia 0 O zzw 0 0 a 0 U 0 w a as 0 A a U � • 4 � � pq h 0 O zzw 0 0 a 0 U 0 w a as 0 0 O zzw 0 0 a 1 e � F U 1 X1111111111111 .............. ' pLocation �Mo. Date NORTH TOWN OF NORTH ANDOVER Of�t�o ,,h0 Certificate of Occupancy $ ..� �� CE09i� ra�°i Permit Fee $ -` ,►�,b'R� a LLE ermit Fee ss�cNust $ `~ Other Permit Fee $ -i' ewer_Gonnection Fee $ v AUWon Fee $ ;=4) TOTAL $ Building Inspector Div. Public Works DEMERS SIGN CO.- Complete O: Complete Sign Service • Boats • Trucks • Banners • Carved, Sandblasted • Show Card • Illustrations Don Demers • And More (603) 425-2440 C l4 E N N U c coo oco co— r 00 0) 'o (>,)0,C) � 0 CD � NQO J �L� L% SOX ��ZLL a N T ao AfT N tO rn W v A i e It ra FV z C7 N N w � o � v\ • z � 14 G 3 � 0 0 O c�� H • G cn d W Q w E v a U) b O G 0 U v G 0 ro I� G oD v x G bD • r.i U) O G G 0 N 4J 4.J w O z O N H Q r••a O H INO R, E (n • 14 G • 0 0 • G cn • o w • U > o • O • 4J 1 G • U CZ 3 • v +� v • 14 • O • �, • �4 G • 4j v v -H •> G • v ro U) G • G O • G v •� • o U 4J • ,� o oD • � v • cn � • E +� "AD �4 �, • a1 G vl • v • v a 4-3 4J 14-4 0 oD G • G o oD r- 04-.3 v .r., ro • C.i 41 -4 • U ro N • ro U �4 • r-4 +J o 3 • U (n a ro • v �4 ro • �4 v i O N 4-J H 41 _C b 4-•1 W G O co W o 4-3 �+ ro m U) E v N 4-j w b E4 v o V W � v '' V v b v v a v� > -w 4J H O H cz 4 a � o E v a U) b O G 0 U v G 0 ro I� G oD v x G bD • r.i U) O G G 0 N 4J 4.J w O z O N H Q r••a O H INO R, L w 0 W W Z ui 0 0 U a 2 N (bV• ,7 a W M � I LU H � I o ° W, cS (bV• ,7 cS �l V FF yiJ 1 CA I GGG , t A(PhO :11ID CERTIFICATE OF. INSURANCE :ISSUE DATE (MM/DD/YY) 3229 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND flames P. Hainsworth Insurance Agency, S UPON THE CERTIFICATE HOLDER. I IncCONFERS NO S CERTIFICATE 150 T°iain Street DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE BELOW, North Prdover, r•fass 0;845 -POLICIES COMPANIES AFFORDING COVERAGE COMPANY A LETTER Penn dill ers Ihitual Ins Co. COMPANY B INSURED LETTER Century 21 MbLennan & Comti_ any COMPANY 85 Main Street LETTER C' North Andover, Mass 01845 COMPANY D LETTER COMPANY E LETTER COVERAGES:.. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE X OCCUR.to bP, issued 3/1/93 3/l/94 PERSONAL & ADV. INJURY $ OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 11000'000. FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM — WORKER'S COMPENSATION STATUTORY LIMITS AND EACH ACCIDENT $ EMPLOYERS' LIABILITY DISEASE—POLICY LIMIT $ DISEASE—EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS//VEHICLES/SPECIAL ITEMS awning over side walk at 85 Main St No Andover, Mass Town of !North Andover is named as additional insured. CERTIFICATE HOLDER'..',''_`.CANCELLATION.,: :.:,, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of North Andover '. EXPIRATION DATE THEREOF, -,-THE ISSUING COMP ENDEAVOR TO 120 ''''ain Street MAIL 1 1 DAYS WRITTEN NOTICE TO THE CERTIFI ATE HOLDER MED TO THE North Andover, Mass 01845 LEFT, BUT FAILURE TO MAIL SUCH NOT SHALL POSE NO OB IGATION OR LIABILITY OF ANY KIND UPON THE COM , ITS A E E ENTATIVES. AUTHORIZED REPRESENTATIVE i ACORD 25-S 7/90 '`^`' ©ACORD CORPORATION199 0 0)"4- 6,T NLO ❑ O U(0 0 z c� rn UJ Q) ,U ami UJrrRR� 70 70cc Ld � '2 c `� o �Y W aa)3 � U E � O in O:3 ca (z 7 c CEJ � L m�mUcn-Q DEMERS SIGN CO. 118 For.dway Ext., Derry, NH 03038 (603) 425-2440 , CENMY a.t Nedehn an g► Cornpahyr AWN lW> : �1e�i1 �►holeX� j M a. �at h �'. SIZE:. CcNsTZ )c -'Tl l4 Pt pe me. Vvhife, SIGN PERMIT.APPLICATION NORTH ANDOVER BUILDING DEPARTMENT Division of Planning & Community Development Date Filed: r 1. Site Address����,f y 14LVCLI f 2. Owner �f ,'c�hc� c� lsf= �� i 3. Applicant --��N,�7 r Ao kE/YIY4A/ 4. Number of Signs / / Size of Sign(s) X 3 x c/' 4211 ly), 5. Site of Proposed Sign(s) x ay 6. Materials ; e -11)k,41)-9) �✓ 7. How attached: (a) Against the wall (b) Roof ( ) (d) other 8. Illumination: (a) Not illuminated (b) Internally illuminated ( ) (c) Illuminated from separate service ( ) 9. Proposed Colors: Background Lettering _ k)h i i ,�- Border. , 10. Will sign overhang any public road or walkway: Yes (4 No ( ) 11. If Yes, Name of Agency who will provide liability insurance: 11)1"5L,1A14-41 ted' 12. Attachments: ( ) -'Photographs of building ( ) Material sample ( ) Color samples ( ) Site or Plot Plan .(Required for all free-standing signs) ( ) *Drawings of proposed sign ( ) Other, specify 13. Is Board of Appeals decision required? Yes ( ) No ( ) ignature of Applicant 1988 Location IN 0. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $" ' ;"F[uilding/Frame Permit Fee $ �r610ndation Permit Fee $ Other Permit Fee $ Sewer Connection Connection Fee $ - 199&ter Connection Fee $ TOTAL $ Building Inspector Div. Public Works 'PERAIM NO. • a/ + to APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. MAP 4-40. ZONE a LOT NO. I SUB DIV. LOT—NO.13 2 RECOID OF OWNERSHIP DATE i C• BOOK 'PAGE LOCATION C! „� SCJ 11 /pfj 73Vgex.r .i 1 It PURPOSE OF BUILDING �9q� a OWNER'S NAME = C�`1Vr ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING NO. OF STORIES SIZE `• OWNER'S ADDRESS\1Ci.`l� %] BASEMENT OR SLAB 1 ARCHITECT'S NAME V 4 SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME 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 0/i/ MATERIAL OF CHIMNEY IS BUILDING ALTERATION (VDCI�rJV 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 FEE ,�Jp J # PERMIT GRANTED "� 0 OWNER TEL. CONTR. TEL. # 19_ CONTR. LIC. # 0 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST Q© EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY WARD OF HEALTH PLANNING WARD WARD OF SELECTMEN BUILDING INSPECTOR PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING `• MUST CONFORM TO STATE FIRE 1 ATTACHED GARAGES REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE ,�Jp J # PERMIT GRANTED "� 0 OWNER TEL. CONTR. TEL. # 19_ CONTR. LIC. # 0 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST Q© EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY WARD OF HEALTH PLANNING WARD WARD OF SELECTMEN BUILDING INSPECTOR I OCCUPANCY SINGLE FAMILY S-ORIES _ MULTI. FAMILY OFFICES _ APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D — — PIERS PLASTER _ DRY VJAIL _ _ _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 1/1 1/1 1/. FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARMU D ASBESTOS SIDING _ COMtACN VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME STONE ON MASONRY STONE ON FRAME WIRING SUPERIOR I�POOR ADEQUATE NONE 10 PLUMBING 5 ROOF GAB HIP GAMBREL MANSARD FLAT SHED _ BATH (3 ( TOILET RM.M, ) FIX.) WATER CLOSET _ ASPHALT SHINGLES _ LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING 11 'HEATING 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. li 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. 6 COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS GOAL 7 NO. OF ROOMS B'A'T 1TRIC 3rd I NOCHE TING 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:ZVCAAR ) & I-, LSF- Phone So V LOCATION: Assessor's Map Number Parcel 3 Subdivision Lot(s) Street.St. Number _ ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Comments Town Planner Comments Date Approved Date Rejected Date Approved Date Rejected Date Approved Health Agent Date Rejected Comments Public Works - sewer/water connections driveway permit ire Department Recei ed by Building Inspector Date c C'2 (20-o i n,., a I I 60 0 yo11 • rP ' r6 40 � 't a 4 CN �f Form 3800, June 1985 *U.S.G.P.O. 1989-234-555 1 f FfP 6M 70 N a M n CD 7 CD y to ID O m N A j a to a O (D cl -n (D m CD d .N j � ( Z m 7 i -nN fp O p N m (D 1 0 O 0_ CDf a �0 o r J' 121 V M M n o z nu ti y W O D n c3 t Z m.M j mn o M o n 31 -4 9 � rig p m nu �Fv m o _ STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) 1. If you want this receipt postmarked, stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2. If you do not want this receipt postmarked, stick the gumMd stub to the right of the return address of the article, date, detach and retain the receipt, and mail the article. 3. If you want a return receipt, write the certified mail number and your name and address on a return receipt card, Form 3811, and attach it to the front of the article by means of the gummed ends if space per- mits. Otherwise, affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested, check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and present it if you make inquiry. * U.S.G.P.o. 1989.234.655 40'1 a� w a d O v L $ w T a z A o C o w o w nc U cz c w" O o w c. w a W z x U • o 1:4 v cn w 0 U w ¢ o 04 c w W w w = ° 6 cn 0 ° N C c c o ELL` g� c co L- 0 Z o � LLI� C L O y o 0 Z Coo L) ICO CM O LL p ac H .co coco mm z ev cv Cl- ow ~� o) CD c i y Q O CDci 1 � C us C O. y cc C O Ci "r p CO J u C* CD ZCL_ V O .. v2 LL � c CS..- E : y . i m CA. 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CD CD L O O CL CM< C o � cc v J� c Z CD z0 CL _ �..± ca c �C C a CA C3 0 z Z Z c •C- CD m c o � c N O C ;vV •O.L nc CCc ev r o :o N � EQ L v co N O m "+ o cm y • m � d ca Ma 0 C � CO L zip Cc CA �y O O :Ey m v mo ate, �N m � t L. m O ��, O> C 1i o.cL m LD O CD coN 1•�Z O QO. •O Q m : i m C = � m :mea N CL H N m COD y0+ r0+ A L ea co) •m �O.t C +••' m •N Z O LU U p m C VD O' m O 'O =� Mcc .-m� H 0 W H 0 U rn • U co co Q O z LL CO i F O V Z Q c � C i Z E co cm o CD 0 LU y mm C �� Z i CD C..) CD CD L O O CL CM< C o � cc v J� c Z CD z0 CL _ �..± ca c �C C a CA C3 0 z Z Z �?= 6672 Building Inspector Div. Public Works Location No. Date ,,ORT�y TOWN OF NORTH ANDOVER .�1h•00 Aaama Certificate of Occupancy $ Building/Frame Permit Fee $ SncHust Foundation Permit Fee $ np Other Permit $ Sewer Connection Fee $ Water&pnnection Fee $ ----'"r"— 2. �OTAl- $ e-)�) �?= 6672 Building Inspector Div. Public Works � p ",P/EW4IT N0. / APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 440. LOT NO. I 2 RECORD OF OWNERSHIP DATEBOOK 'PAGE ZONE SUB DIV. LOT NO. 1Ci S I l%3173i o0ay LOCATION JJJ PURPOSE OF BUILDING /1 l� OWNER'S NAME lL LLICS+� NO. OF STORIES SIZE � y i 1© '7 OWNER'S ADDRESS QOn p A /� � �lCl! BASEMENT OR SLAB ARCHITECT'S NAME ,AIA ©`OT �Rt [ IZE OF FLOOR TIMBERS 1ST 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 Mo ` i! C IJD. /F V 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 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. p PAGE 2 FILL OUT SECTIONS i - 12 EST. BLDG. COST PER ROOM 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 DATE FILED BOARD OF HEALTH SIGNATURE WN OR THO ED c FEE if' PLANNING BOARD PERMIT GRANTED OWNER TEL. #fig 19 rC� CONTR. TEL. # CONTR. LIC. # BOARD OF SELECTMEN OCT 2 61993 ` �� BUI INO INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS _ 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 AREA FULL FIN. B M AREA '/. 1/7 1/. FIN. ATTIC AREA _ NO B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS DROP SIDING WOOD SHINGLES B 1 2 3 CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING HARD"d'0 COMMON ASPH. TILE STUCCO ON MASONRY _ _ STUCCO ON FRAME BRICK ON MAS NRY ATTIC STRS. & FLOOR BRICK ON FRAME I_ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIORI� POOR ADEQUATE NONF 11 10 PLUMBING 5 ROOF GABLEHIP GAMBREL BATH 13 FIX.) 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 I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. S COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GOAL BTRIC itA T 13 d i NOCHEATING y\ 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. 0 OFFICES OF: APPEALS BUILDING CONSERVATION HEALTH PLANNING �+ •• Tow - mot.. �:-. _ 12o Main street rth Andover NORTH ANDOVER Massachusetts.01845 DIVISION OF (617) 6854 75 PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR C I- 1. - In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number I// ' % 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 - 'lite debris will be disposed of in: OR i id 10N) Ek V\fSCa (Location of Facility) OLD C L pvv k -k- kkO L p �.o-ls Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. t\ r 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 lav, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: _, l -t I c a aao </ CLS Phone 6d91 V7S^-JS-?,6 LOCATION: Assessor's Map Number Parcel SubdivisionTue 0 3 1`�� � E Q� 9 L/ �i Lat (s ) Street g St. Number ************************Official Use Only************************ RECCZREMDATIONS OF TOWN AGENTS: tl�f' "` `�` Date Approved Conservation Administrator Date Rejected Comments i I_i i- i -i Comments Health .agent Comments Public Worcs - sewer/water connections - driveway per=it Fire Department ' Date Approved��— Date Rejected Date Approved Date Rejected Received by Building Inspector Date H x A o u u� o u° v p H P -1 z A ]� co C ° v c m w O w w x : � � o z v w ° 0wGC/) 0 S. V) x O u w z sU w z w w A Gz w' U) v xo co . c c m c c � o ` c H O = :moo �v yCD c o ` N ' Ea �03c co �o .= o •� CL N E E oCD � o o c a.= € tq N � 3 a � c C N A O m W co 0 0 Q -v I.: m =o rm itcO Q 'o acz 'o m C2 m V h O C Z Ci Of cciO. c 2 :m o3 N ~ $ y m o a) LL c JRca CL= ,. co) O W .L- v mv cm _OO C. m O : = eyv aLyo C H t C._.,. CO 91 0 a f - KR 6 O C J z o CO 0 O v z °' Q O D CO) co O! Z O CO CD 0 C m m W z o a� oCD� O i Co co 0 Q L cC O Q o- �a y C o � � cC cc O C) J CL .c 0 Q Z CD z_ V y C �C C CL CO) C'3 G z Z Z J Location go- No. 15y Date v Of NORTq,h TOWN OF NORTH ANDOVER n Certificate of Occupancy $ Building/Frame Permit Fee $ . *99 J'a+cMusEt� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ U Buildingc46r Ins P Div. Public Works � 1 O v G to N E Y. W z w U a N C:: i ` C _ O r � i � C y> U � N O Q p, p C w U C o y W C O e W U cal U U uFi 000` U U U U U U iCj i O ..1 w Za a �❑ F Z . w Z w L w z. z O O U O U. O U < -� v~i W v~i w �n w w h v O O O U U z o 0 0 0 z z U ��. C) 1k�. f1 O w w O - p. Z Z p o. O O :4c c c 41 N C is q 0.1 A N 4 Z C to to A p p to Z 4 rOr h� ,..R 1 0G1 _. w c w � a>1 _ulz M LQ O O V\ 14J O O U W Cir F ? c O w F O ] h cn U W C'� � � cn Z O ..^•. O E.., Z C C Z a• Z O W y ' w ~ ...� U .. _. •. C W w ~ °' Z � Z U .� F F r < p > > '•7 C F^ w U �< ''Z W a � p � r � � � w a .: p to U w � �► F z w U a N C:: i ` C _ O r � i � C y> U � N PROPOSAL ....... ". .," . .. . ....0 .. .m - ... w L,j LJ Z J S 11/08/1999 22:01 /x,16038980376 STAPLES PAGE 02/02 RIN .57 IK1AI B -,-O? cs }� FRW e, MEr ,Ex�`+4RXt C) OOK ex it 301 (WALI.5) OS 1 S'TIN6 ProFeslep .. « .. m .. PRODUCER Rizzo Insurance Group Agency, 385 Broadway DATE (MM/DD/YY) 11/10/99, {>: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANY Revere MA 02151 A Arbella Protection Insurance INSURED COMPANY Vincent DeMarc.o B 36 Blaine Street COMPANY C Malden, MA 02148 COMPANY I - D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY HIRED AUTOS .. GENERAL AGGREGATE s2,000, 000 X PRODUCTS - COMP/OP AGG s2,000, 000 COMMERCIAL GENERAL LIABILITY - "NON-OWNEDAUTOS - j x CLAIMS MADE ❑X OCCUR PROPERTY DAMAGE $ PERSONAL & ADV INJURY $1, 000 j 000 EACH OCCURRENCE $1 , 0 0 0, 0 0 0 OWNER'S & CONTRACTOR'S PROT tb i 11/9/99 11/9/00 FIRE DAMAGE (Any one fire) $50,000 AUTO ONLY - EA ACCIDENT $ ANY AUTO MED EXP (Any one person) s5,000 OTHER THAN AUTO ONLY: EACH ACCIDENT $ AUTOMOBILE LIABILITY AGGREGATE $ ANY AUTO COMBINED SINGLE LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS '1\ Floral Designs by Kimberley 85 Main Street N. Andover, MA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UP9*--THE CO1bijANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRE TAT E ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person), HIRED AUTOS .. • - "NON-OWNEDAUTOS - j x BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TOAY OMITS R :: EL EACH ACCIDENT $ THE PROPRIETOR/ ' INCL PARTNERS/E7CECUTNE EL DISEASE - POLICY LIMIT $ OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS '1\ Floral Designs by Kimberley 85 Main Street N. Andover, MA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UP9*--THE CO1bijANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRE TAT E ¢ 70 v aG o E 'a. a H G] cz -0 G G° OA rL C E U m w o r.i C CO 0 �a w a w u w W _C °° ° u: u ( cn C [i a G ° C� C: ti z w d Q w 6J W Z cn D E cn LU m CL N N M O i N C O rn CD rn C m o o, c 0 N CD t 0 Z 0 8 CD F. 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