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HomeMy WebLinkAboutMiscellaneous - 90 MEETINGHOUSE ROAD 4/30/2018O y O t� 7d O C� 111E WIVIMULV Wt AL H U1''MA.1JA(,t1UJL11 J office Use only DEPARTAIENTOFPUBUCSAFM [Permit No. j ��BOARDOFFMPREVEMONREGULMONSS17(. Rl2W cupancy & Fees Checked C"ILEASE APPLICATTONFOR PERMITTO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 PRINT IN INK OR TYPE ALL INFORMATION) Date Z. n Town of North Andover To the Inspector of Wires: The undersigned applies for d Location (Street & Number) � 10 Owner or Tenant I Owner's Address w �erfo the electrical work described below. Is this permit in conjunction with a building permit: Purpose of Building 'I Existing Service Amps 'Volts New Service /0 S— Amps I JZ Lq olts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Yes I V1 No Overhead Overhead (Check Appropriate Box) Utility Authorization No. Z- 3� Underground " No. of Meters Underground lzr No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total No. of Lighting Fixtures SwimmingKVA Pool Above Below Generators KVA round ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and `.. of Disposals No. of Heat Total Total ! Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP C :wrnqF, rt mmmi mlugmm=C[i aSMULI a Lifftn lLaws tmeti<LtabthYlnuuartoePoh yu>ci>drigCor elate ageailssubstarltiale�trivala* YES NO xrldladvatidptolafs3rlebthe0l YES j IF)Mtw dwdWYES,plemmdca0 fteA eof aAwdWby BOND L.J 07M a 01=SpeffY) B#adDate tc Z f a h�pactirnDatRegllesmd gad Z/ LJ c-�. F ' n&dvalledBMW a1 Weds $ Lio wNa IiaawNo C- Z 7 r0 % Bt>sk=Tel Na �, c p, L� L�6�✓o `P °9-S � w�� Ls��-V I AiMNa ? JRANC'EW •Ianlawat dutcLit sedomnotharethennanoeaompWoritsa*starialepvalalas�,NbmcWMC .ueenthispemitg4&abrnthiSMq*enaY one) Owner Agent Telephone No. pERMU FEE $ signature o caner or gen Date...- ............................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that............................................................ ................................ I/ 4--t- has permission to perform ...... z ................... wiring in the building of /L//(( ................................................... I ............................... 1..../.!.�f.�I111 An 0at Z� J//I //,t" /........................................................... ,North h dover, Mass. ,e,- - (d )6 / / 00 Fee ......... : ........... Lic. N 9{n. / I �(/ /� // ........... I ................................................ N ELECTRICAL , INSPECTOIC Check # 46 5567 I HE (,UMMULVWL'ALjIHUFMAJJMiC,11u5EIIN Office Use only`? DFPARTAIENTOFPUBUC Permit No. J / BOARDOFFIREPREVEI�7TON ONS3VCM]2.W Occupancy & Fees Checked APPLICATIONFOR PERMIT TO ORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THEM SACHUSSTS ELECTRICAL CODE, S27 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Z� 1 p _ Town of North Andover To the Inspector of Wires The undersigned applies for a permit to perform the electrical work scribed below. Location (Street & Number) Owner or Tenant Owner's Address L 6 6%— A i Is this permit in conjunction with a building permit: Yes L \J No (Check Appropriate Box) Purpose of Building —�JGN` v �,� Ut [Lj �,v1 ✓ 1 t� Utility Authorization No. Z 3 Existing Service Amps 'Volts Overhead Underground M No. of Meters New Service 100� Amps(to/ ?_*I nVolts Overhead Undergroundc� No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total No. of Lighting Fixtures No. of Receptacle Outlets No. of Switch Outlets No. of Ranges No. of Disposals No. of Dishwashers No. of Dryers No. of Water Heaters No. Hydro Massage Tubs OTHER• Pool Above r1 Below No. of Oil Burners No. of Gas Burners No. of Air Cond. Total Ton No. of Heat Total Pumps Tons Space Area Heating Heating Devices KW I No. of No. of Motors Total Generators KVA No. of Emergency Lighting Battery Units FIRE ALARMS No. of Zones Total No. of Detection and KW Initiating Devices KW No. of Sounding'Devices No. of Self Contained Detection/Sounding Devices KW Local Municipal Other Connections El Insttrar=CDWVV- RttsuantlDdrmgmmiensdMmxhjscMC,aimalLaws IhAtamrru t Imbffitylumm Pblity, mck&gCbrnpJ ' W3r,orL &kfttialegtrivwft YES NO a Ilx�est trWdvatidpro0fofSarnelDdE0ffl= YES����111 ffyouha�cited¢�dYES,pleasein thetypeofm`aagzbY INS&RANCE BOND O�IHER r7 (Please Spa*) EVirafimD* WO&bSrmt Z l O � DaRegt�d Raigh �/ � �� natdVahreof)~7e final k $ Signedunder�ie cf'peijtay Fanal FIRMNAME �'uc vi LiMwNa /✓� /�- 5Z (o LiDa>see NL ��t F .tom ,ate ; Busit=Tel.Na Avg, A1tTelrra INS OWMM'SURANCEW •Iamawateti>< dcLiaiedDMMtha�edrnuranc c,)wW(x abt�arialecNi iatasmquitedby,�G=WLaws anddatnrysigrla maiMpetn>iffbcabmwai mftlegtmanalt (Please check one) Owner Agent a Telephone No. PERMIT FEE $ Signature o caner or gen 6 Location Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ �'�s �•� ME<�' Building/Frame Permit Fee $ s�cus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # %1360. 20, c, Building Inspectljr/ IN ce W O Z a O z LL O Z 3 O Q W O a Z Z MW OC W IL O N a •� N 1- m m O ti W O r 4 O o .U1 W o � a LU � � rc a 213 N L_ O r .o c m m O 0 v� -p c L o Z O O OC 3 w � H m m a 0. c m m � IL az 6 0 N a m z m 0 m > O W E o .mc r +=� Q cO m Z_ CD m coi c J C13CL U) N m to j m c m C 0 t0m O t v1 m CD a c U N a s m U) r O O C C O O a O O m a > IN N v It a c' c 0) 05 co O O CLC) 0 0--c O a3 N_ E CO w Z C W O co C E m O m m LL m cl Q Q Q 0 U) 0° �o2rnca Ow.L F�� c Qo N N 3 0 a) U C ti'c-°vLc3E— oc m 0 m a�. cu N � ��� -.9 mQcorn:? �-3 �— .c+. cn o 0�0 E -j U C LC cj O C O >, U m C L to o U U 0, "P 4O U L C a) L- AS c 0 QQ_rnc 0 o02!•= c Eocn�a cuEQ0 a) \ cc Oa C -0 > U C= +� U �- O 0 O (Dc>. .ycaECOcQ CULOQ a)tA°'a) �a) 0IM L2Mrna)co°°U 1 E/ 0 ) 0 cr 0 O C -0L CL ZOwlnQLov)..c6 (�\ .L� z w w ..ctlU Q a� }• c cmco T m 0 N N z 3 `O o w D Q- z 0 3 O H O v- U O -C a U cm U) N m >+ d Q\ Q O. m CY) Q V v- 0 c 0 co v- iw- W ° CL L ° J d L Copa0'V Q o a) N�arnuQi j o E O L 020 V) LC Ci) z 0 U 3°a?O`O3a� N U) z m LL m cl Q Q Q 0 U) .•.• 4 All 4. 4 4. 4 W Koh 1"j O®Z V Q C N N C N } O O U CD= N 'C O O N u�i D _ 0 C� X LL N Ln C 3 N .y c i �F A -CORD. CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE(MMIDD/YYYY) PRODUCER INSIG-1 12/21/06 DATE (MMIDDIYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION TD Banknorth Ins Agcy Inc (SF) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P . 0 . Box 9040 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Springfield MA 01101-9040 DAMAGES urence) $ 300000 PREMISMED Phone:413-781-5940 Fax:413-733-7722 INSURERS AFFORDING COVERAGE NSURED NAIC# GENERAL AGGREGATE $ 2000000 INSURER AST PAUL TRAVELERS COMABIES Insignia Inc. INSURER B. Technology Insurance company 42376 DBA The gign Center 40 Orchard Street INSURER Nat'l Union Fire Pittsburgh PA 19445 NSURERD Haverhill MA 01830 INSURER E PRODUCTS - COMP/OPAGG $ 2000000 C (�VFRA(:FS LS JI' NSURANCE r'SrEn 5EI W HANE BEEN SSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING TERM OR UN' -I I ION ! IF AW CONI "RAC' OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ^'HIN '-IE 1,SURANCE AFFORDED Br THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH FuATF I- HITS SHOWN MA.r HAVF. BFEN REDUCED BY PAID CLAIMS 1NSR-ADD.L; _ .. .. ._—..--- ----- 'T— LTR INSRD TYPE OF INSURANCE I POLICY NUMBER EXCESS/UMBRELLA LIABILITY L. _. _. C IX °`_aIR (� CLAIMS MADE EBU3948704 I Ix PETE NT uN $10,000 WORKERS COMPENSATION AND B EMPLOYERS' LIABILITY Awe I>ti'o kit a rPAutaERlExeCUnvE TKC3124578 0I I LR/MEMBER 7.XQU9EU^ I /es jesarc,e unoer SPL''":A: Pgw'S'?NS below OTHER A Garage Keepers I660585SC38A Legal Liability DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEC To provide evidence of insurance. CERTIFICATE Hol nFR OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE 75 1 000 1 000 12/12/06 12/12/07 AGGREGATE $5,000,000 $ $ 12/12/06 12/12/07 EL.EACHACCIDENT $500000 E DISEASE - EA EMPLOYEE $ 500000 E DISEASE -POLICY LIMIT $ 500000 12/12/061 12/12/071 Garage 100.000 -11r QLLM I IVIY GENERIC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Insignia, Inc, dba The Sign Center NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 40 Orchard Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Haverhill MA 01830 REPRESENTATIVES, ACORD 25 (2001108) TD Banknorth Ins. Agency, Inc © ACORD CORPORATION 1988 DATE (MMIDD/YY) DATE (MMIDDIYY) LIMITS GENERALUABILITY A X ' -OMMERI- Al. 3ENER.AL LIABILITv t G:Ms M DE L X Uo uR 6605858C38A 12/12/06 12/12/07 EACH OCCURRENCE $1000000 -RENTEa DAMAGES urence) $ 300000 PREMISMED EXP (Any one person) $ 100 00 PERSONAL a ADV INJURY $ 1000000 --i -------�— GENERAL AGGREGATE $ 2000000 r — GFN1 AGGREGATE LIMIT APPIJES PER j POLICY JECT LOC PRODUCTS - COMP/OPAGG $ 2000000 AUTOMOBILE LIABILITY A AN Aurc P BA8642C340 12/12/06 12/12/07 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 jI ALL OWNED AUTOS BODILY INJURY (Per person) $ r X SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per (Per accident) X Comp $500 PROPERTY DAMAGE (Per accident) $ X Collision $500 GARAGE LIABILITY -! ANY AUTO AUTO ONLY - EA ACCIDENT $ EXCESS/UMBRELLA LIABILITY L. _. _. C IX °`_aIR (� CLAIMS MADE EBU3948704 I Ix PETE NT uN $10,000 WORKERS COMPENSATION AND B EMPLOYERS' LIABILITY Awe I>ti'o kit a rPAutaERlExeCUnvE TKC3124578 0I I LR/MEMBER 7.XQU9EU^ I /es jesarc,e unoer SPL''":A: Pgw'S'?NS below OTHER A Garage Keepers I660585SC38A Legal Liability DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEC To provide evidence of insurance. CERTIFICATE Hol nFR OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE 75 1 000 1 000 12/12/06 12/12/07 AGGREGATE $5,000,000 $ $ 12/12/06 12/12/07 EL.EACHACCIDENT $500000 E DISEASE - EA EMPLOYEE $ 500000 E DISEASE -POLICY LIMIT $ 500000 12/12/061 12/12/071 Garage 100.000 -11r QLLM I IVIY GENERIC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Insignia, Inc, dba The Sign Center NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 40 Orchard Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Haverhill MA 01830 REPRESENTATIVES, ACORD 25 (2001108) TD Banknorth Ins. Agency, Inc © ACORD CORPORATION 1988 Mar 07 07 02:21p TARA LEIGH DEVLPMT 9786892310 p.2 I • 4 i2 REM=165.2.3 � IMJ-I%-162.53 INV -OUT= 162.13 Vile 0 N1E�TING}�oUS�. CoNA)ADMS air-DA6LAY, 7,kkM --- S.f1�. rseo'}-i o�n a} Publ i c W4y OPOAD St 6U LaG irT 1 b N �o- L` i kS-BUfLT RETAjwj, Wk_L (iYp.) AL y�c \� Cl l t.. 0 EXISTING DRIVEWAY -� EASEMENT (PLAN REF.#?) . 4,". 4 H O LL O z O .P M04 » *i U) Q W O Z Z 7 2 lzW IL Z a N c 0 O O a -Q m c t .. N > O 13o m � O z 0 0 o c� F- CL m m m £ c c m a Q O a U) O CD O W 0 E E 00 v c -p C O E ° O .&.-C E vO C 0 CL CO t -- O cm G L O U m ui 0 O 2 c m N O N = C m > m C v1 J i m C m 0) � F- w LL W v m O A c E O o o € a t C U ... O C O 0 m 0 c O t=- m t 0 c, w 'O a o > N TOWN OF NORTH ANDOVER GAS INSPECTION TESTED //i DATES INSPECTOR (G Z t NAME STREET ST. NO. (s LOT NO. PERMIT N0. ok FIXTURE t MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER, MASSACHUSETTS Building Locations Permit # Amount $ Owner's Name New D Renovation Replacement Plans Submitted U z o ] $ z H wa z U w x a z w F a o a> O r z < w d x F Ew. a O w >t:, F Ew„ F a x o x 3 a a u °a > °a SUB -BASEMENT z F o BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR =H_= (Print or type) Name Ch k one: Certificate Installing Company Corp. Address Partner. usmess a ep one Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 13 If you have checked Yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy 13 Other type of indemnity 13 Bond Nop D 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 Agent 13 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber Gas Fitter Eicense um er Master Journeyman I• Date ..... 7..:3./.-. D.7. TOWN OF NORTH ANDOVER PERMIT FOR WIRING Z This certifies that ..........P.......... �.1�......................... has permission to perform ...... 601RU.N.r��. . .��..'....:....el".Ilf............... wiring in the building... oz -;z .......................... at ......%�.. �..:!......... '�011SE........... ,North Andover, Mass. Fee. ......... Lic. No. MP1..... .................... ..:..f! .... ELECTRICAL INSPEC� Check # �U,�r�3 7546 February 14, 2014 THER9OP8ffOdOQ�D[EDG4ARlli GROUPm FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS, CH. 139, SEC. 313 Building Commissioner, or Inspector of Buildings c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Board of Health or Board of Selectmen c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Fire Department or Arson Squad c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 RE: Our File No.: P1470158 Insured: MEETINGHOUSE COMMONS C/O CROWNINSHIELD MANAGEMENT Address: MEETINGHOUSE RD, ICEHOUSE RD„ NORTH ANDOVER, MA Policy No.: R0623917A Loss Date: 11/30/2013 Loss Type: Building or Other Structure Damage A claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Ch. 143, Sec. 6 to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct it to my attention and include a reference to the captioned insured, location, policy number, loss date and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property, and the claim will be paid in our customary manner. Sincerely, Lorraine A. Peirce Sr. Property Claims Examiner 1-800-688-1825 x1139 NORFOLK & DEDHAM MUTUAL FIRE INSURANCE CO. 222 Ames Street, P.O. Box 9109, Dedham, MA 02027-9109 DORCHESTER MUTUAL INSURANCE CO. Telephone: (800) 688-1825 FITCHBURG MUTUAL INSURANCE CO. Fax: (781) 329-1818 r Commonwealth of Massachusetts Official Use Only , Department of Fire Services Permit No. Occupancy and Fee Checked r BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code EC) 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pethe electrical work described below. Location (Street & Number) �(� /�(.{,��,v(�LQ�S�� u � \ Owner or Tenant ` IP -A, -A- G (mac ( A f &A7(`' Telephone No. 3 , Owner's Address C-v4v,--k-t5vt. VLr6;L v.- , 1 !✓ . A-,� I Is this permit in conjunction with a building permit? Yes YNo ❑ (Check Appropriate Box) Purpose of Building CQAA✓Lp J /yl-LgnA,� Utility Authorization No. Existing Service Amps/ Volts verhead ❑ Undgrd ❑ No. of Meters New Service Uva' Amps / 2 Volts Overhead ❑ Undgrd [ij/ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: L 1 )i ,L C Cmmnlatinn of tho fnlln—ina t.,hlo .., , t,., .G,. r,,....,.,..,. . � w:.. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans w. No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑In- El rnd. rnd. o Emergency Lighting Batte ry Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: I Number I Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local[E] Municipal ❑Other Connection No. of Dryers No. of Water Heaters Heating Appliances KW No. o. of No. of Signs Ballasts Security Systems:* Data Wiring: No. of Devices or Equivalent No. of Dvices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent OTHER: Attach additional detail ijdesired, or as required by the Inspector of Wires. Estimated Value o Electrical Work: ,� �� (When required by municipal policy.) Work to Start: 3 t 0 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE C VE GE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such cover is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: KK.-IL-�t—,ruvwinFs LIC. NO.:!! I Licensee: Signature Lm�LIC. NO.: 6-Z:? (If applicab ent "exempt" in the /ic se number line.7 Bus. Tel. No.: Address: LL S �Z) i A%- Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, s urity work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ 'g, i1-, 2-e7 oe� r."C,�j o /-c & —/,/- -g a e9 v Vi FROM A FAX NO. :7812461683 Jan. 14 2008 03:25PM P2 Pabc 1 of 1 O'Sullivan, David From: O'Sullivan, Davi Sent: Monday, Janua 14, 2008 2:20 PM To: Tom Zahorulko' Subject: FW: Meeting House, Amenities Center In North Andover, Massachusetts Tom, I spoke with the engineer and we are fine as you can see below, the code requires the wiring to be covered with gypsum board or other covering for a 15 min protection Let me know if you need anything else. I will forward a copy of this to Jerry Brown by fax. David H. O'Sullivan, AIA, CAASH email: osulli,(c�osulllvanarchitects;com. tel: 781-24B-1667 fax: 781-246-1683 cell: 781-2543705 O'Sullivan Architects, Inc 201 Edgewater Drive Ste 215 Wakefield, MA 01880 www.osullivanarchitects.com From: Bob Greene (mallto:rgreene(gebsnh.net] Sent: Monday, January 14, 200812:13 PM To: O'Sullivan, David; John Harper Subject: Amenities Center In North Andover, Massachusetts David, In our opinion; the Massachusetts Electrical Code does not restrict the use of non-metallic sheathed cable (type NM Romex) in an "Assembly" use group building of type 58 construction as long as the Type NM cable is concealed in accordance with the requirements of Article 334.10 (3) and the building; or portions thereof; are not required to be of fire rated construction (see Article 518.4(B).....................please contact me if you should have any questions, Regards, Bob li;ahnrt .i�. G rerylt. ,i'c. �rittc:ipnl Rogincerccl Ekvilding, Systems. 111c. 22 ,MarlOWstOr Rond, Suite $A J)etxw, N14 03039 Phum: (603) 870.9ppy flow.: (603) 412.04,16 Fico: (603) 4324255 l irrrril.` .rgraaNra(ri`elir,rh,�re1 1/14/2008 IV DateZ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ........./! - .....`..........% . ......... . has permission to perform ..� 1...._. J:,. ,, .f, •=.......... plumbing in the buildings ......;�.,.':. ��,.�. at .. ...........r.. .....? .. ...... , North Andover, Mass. ` �PLUMBINGJNSPECTOR Check # 7536 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS � Date 0 G % Building Location 6 mfC S lvvet. Owners Name 16tyn (Z'e/6 ei1'—e j 0 Permit #1176;z Amount " Type of Occupancy New [:Ej/"' Renovation Replacement 1:1 Plans Submitted Yes ❑ No (Print or type) Installing Company Name Address C2)6 Check one: Certificate ElCorp. E] Partner. 11 Firm/Co. Name of Licensed Plumber: `Y11 t Lp,,Q4_ Insurance Coverage: Indicate the t of insurance coverage by'checking the appropriate box: Liability insurance policy Other type of indemnity ❑ 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 IOwner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusep7Spte Plumbing Cale and Chapter 142,,6f the General Laws. By: VED (OFFICE USE ONLY Type of Plumbing License 1s -/S-:2 icense 1,4umDer Master 121- Journeyman ❑ ter' I . �MMM MMMMMMMMMWMMMMMMM DIVADOI ..P,,,mmmmmmmmmmmmmmmmmmmmmm...r MMMMMMMMMMMMMMMMMMMMMMMMMN ,MMMMMMMMMMMMMM®MMMMMMMMM MMMMMMMMMMMMMWMMMMMM mmmm NOMMMMMMMMMUMMEMMMMMMOMMON (Print or type) Installing Company Name Address C2)6 Check one: Certificate ElCorp. E] Partner. 11 Firm/Co. Name of Licensed Plumber: `Y11 t Lp,,Q4_ Insurance Coverage: Indicate the t of insurance coverage by'checking the appropriate box: Liability insurance policy Other type of indemnity ❑ 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 IOwner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusep7Spte Plumbing Cale and Chapter 142,,6f the General Laws. By: VED (OFFICE USE ONLY Type of Plumbing License 1s -/S-:2 icense 1,4umDer Master 121- Journeyman ❑ t ti CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 7025-1-07j Date: July 2, 2008 THIS CERTIFIES THAT THE BUILDING LOCATED ON 90 Meetinhouse Road ' MAY BE OCCUPIED AS Club House IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to; Meetinghouse Commons. LLC 121 Carter Field Road North A 0 1845 wilding its or CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 702(5-1-07) Date: June 13, 2008 THIS CERTIFIES THAT 1 THE BUILDING LOCATED ON 90 Meetinghouse Road MAY BE OCCUPIED FOR THIRTY (30) DAYS AS: Club House IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Meetinghouse Commons, LLC 121 Carter Field Road North Andwer, MA 01845 Building Inspector 1 Town of North Andover NORTH Building Department 27 Charles Street o North Andover, Massachusetts 01845 4 (978) 688-9545 Fax (978) 688-9542 A�RArgo �SsgcHuse APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION r ADDRESS�1 LOT NUMBER WAA SUBDIVISION 1 �Q DATE REQUEST FILED DATE READY FOR INSPECTION �/ 13 TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED ALL WORK AND SIGN-OFF'S MUST BE COM E ED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENT -F E ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTU DOES NO T ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING D.P.W. — WATER METER l4- DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. 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