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Miscellaneous - 90 SUTTON STREET 4/30/2018 (2)
Date.. .<?/7- A .?....... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATIO1 This certifies that . 1-44.- / /.<Y.. /(./-. j....... ��/....... has permission for gas installation ....!�. .::................ . in the buildings of ... lj.................... . at .. �% ...5' !-. ................ North Andover, Mass. Fee.. . ... Lic. No.. ?.O. (.): .. ......... . �s. .�,, ..... �i G U GAS INSPECTOR Check # 5964 MASSACHUSETTS UNIFORM APPUCATON FOR PERNIIT TO DO GAS FrrnNG (Type or print) NORTH ANDOVER, MASSACHUSETTS 1 Building Locations �C) Su ite S Owner's Name New ❑ Renovation ❑ Replacement ❑ Date ` C� Permit # _ A o nt $ Plans Submitted (Print or type) Name Address C l i� Cl -t1-A ,1 i Name of Licensed Plumber or Gas Fitter he ne: Certificate Installing Company Corp. ❑ Partner. ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ If you have checked es pl indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent I hereby certify that all of the details and information I have submitted (or entered) in above app ' tion re u and accurate to the best of my knowledge and that all plumbing work and installations ed under Pe it I ued f t 's plication will be in compliance with all pertinent provisions of the Massachusetts S e G Co� d Ch neral Laws. ICity/Town ROVED (OFFICE USE ONLY) ,a, ❑Signature of Licensed Plum r Or Gas Fitter Plumber _ 6 ❑ G Fitter (cense umber aster Journeyman IIST. FLOOR 6TH. FLOOR (Print or type) Name Address C l i� Cl -t1-A ,1 i Name of Licensed Plumber or Gas Fitter he ne: Certificate Installing Company Corp. ❑ Partner. ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ If you have checked es pl indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent I hereby certify that all of the details and information I have submitted (or entered) in above app ' tion re u and accurate to the best of my knowledge and that all plumbing work and installations ed under Pe it I ued f t 's plication will be in compliance with all pertinent provisions of the Massachusetts S e G Co� d Ch neral Laws. ICity/Town ROVED (OFFICE USE ONLY) ,a, ❑Signature of Licensed Plum r Or Gas Fitter Plumber _ 6 ❑ G Fitter (cense umber aster Journeyman if MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ' POWNER TYPE OR PRINT CLEARLY CITY r ° �— I MA DATE II 1 PERMIT # A17-176 JOBSITE ADDRESS OWNER'S NAME t !N/} t^, ADDRESS TEL FAX OCCUPANCY TYPE COMMERCIEDUCATIONAL Q RESIDENTIAL +1 NEW: Q RENOVATION: 5' REPLACEMENT: Q PLANS SUBMITTED: YES ? NO'A FIXTURES'l 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/OIL/SAND SYSTEM I __._.J _ __--.i ___..,.._i _._.I DEDICATED GREASE SYSTEM '( DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM t ( _ J 1 I E —Ji I _-_I .__ _ [ ____1 i I I _. I DISHWASHER DRINKING FOUNTAIN - ----_-f --- i --_-_f ---._f _ _f ----___I f �_I I ._----_1 FOOD DISPOSER FLOOR/AREA DRAIN i 1 - f I _.._ l . _.__-j INTERCEPTOR (INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN 3 —_ (J _ _ i _ _ _._.J � ._ ..__.__( l ------ --- ___ _ l I ._....... _ SHOWER STALL i __._. _f _ _( = --_._ _ 1 1 � _ __. _ J 1 I SERVICE / MOP SINK l I I -- ! f _ 1 _ __- � __._ _ —_f ___J _---f _--_- I f TOILET URINAL ! _._ I __- _-_ i -1 -_-_-1 __—j ` I .._.__ :.__. _ 1 .____ __-.I WASHING MACHINE CONNECTION ( ! S _ [ 111 11 _-_.__ _..._._. I WATER HEATER ALL TYPES 40 WATER PIPING OTHER I o _ . -- --; ------i f _ 1 _ —_ __I ._._.. - _ _€ _ ! --- € -- ( f --- _ INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES -., _ NO 0 IF YOU CHECKED YES, PLEASE INDICATE TH TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY ( BOND Q 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 Q AGENT Qi SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true nd accurate the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be ' co pl' nce wit II ertinent provision of the (Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME_ "tJi''`—LICENSE # .� I SIGNATURE (VIP JP Q CORPORATION 1 #r_�PARTNERSHIP _f # LLC COMPANY NAME -UMIA ; ADDRESS 0 L./ -�. JI CITY�y7jt, �[_...STATE' ZIP QtJ TEL FAX _� CELL �'� !%�4 EMAIL o z 1El W CL Iii w LL Name Address: City/State/Zip:_ 7. Are you an employer? The Commonwealth of Massachusetts Department of IndustrialAccidents I Congress Street, Suite 100 Boston, MA. 02114-2017 www mass.gov/dia Compensation Insurance Affidavit- Buildexs/Contractors/Electricians/Piumbers. TO BE FILED WITH THE PEP2&TTiNG AUTHORITY. tl'J a L-" /o C� t CSL ( /,4 d1r,?v Phone #: the appropriate box: 1.❑ I employer with employees (full and/or part-time)-* 2. I am a sole proprietor or partnership and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3.0 I am a homeowner doing all work myselt [No workers' comp. insurance required.] t 4. ❑I am a homeowner and will be, hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers' compensation insurance or are sole proprietors with no, employees. 5. ❑I am a general contractor . and I have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance.t 6. ❑ We are a corporation and its, officers have exercised their right of exemption per MGL c. 152 § 1(4) and We have no employees: [No workers' comp. insurance required.] 7 Type of<project (required); 7. New'construotion 8. [] Remodeling 9. ❑ Demolition 10 ❑ Building addition 11.❑ Electrical repairs or additions iz_ �` Pli bing repairs or additions 13•. [] R66f repairs 14. [] Other *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 tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. ,below is the policy and job site information. Insurance Company Expiration Date: Policy # or Self -ins. Lic. #: Job Site Address: dy LAUr--� City/State/Zip: _ • Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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. A copy of this statement may be forwarded to the Office of Investigations of the DIA- for insurance coverage verification. I do hereby de liepains ar realties ofperjury that the information provided official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License is and. correct tr e . 1(1 Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Phone Contact Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their e&ployees. 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 ofthe foregoing engaged in a joint enferprise, and including the legal representatives of a deceased employer, or the receivef6t, trustee 6f 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 o£the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment b6 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 applicani,who has not produced -acceptable evidence of compliance with the insurance coverage requited." 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 numbers) along with their certificates) 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 maybe 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•Accidenis. Should you have any questions regarding the law or if you are required to obtain a vrotkers' 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 bum leaves etc.) said person is NOT required to complete this affidavit. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 02-23-15 www.miass.gov/dia G'1 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK > I CITY MA DATE / PERMIT# / �� 5 JOBStTE ADDRESS OWNER'S NAME G OWNER ADDRESS TEC— FAX TYPE OR PRINT OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL CLEARLY NEW[] RENOVATION: 2"" REPLACEMENT: PLANS SUBMITTED: YES NO _ APPLIANCES 7 FLOOR -+ BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER _ ... I z•-: _ ,.:1 C.- _ - - - - - .n 1 _.. - - - FIREPLACE FRYOLATOR FURNACE GENERATOR(± GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/ SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER _( UNVENTED ROOM HEATER___ WATER HEATER OTHER �— ^ INSURANCE COVERAGE have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES jEjfNI O 0 1 IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 5311' OTHER TYPE INDEMNITY E] BOND 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 [3 AGENT D SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application ar rue and ccurate to a best of my knowledge ' and that all plumbing work and installations performed under the permit issued for this application will be i comp n with all i ent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Ll 1 01h S v _ LICENSE # SIGNATURE MP -MGF 0 JP 0 JGF LPGI © CORPORATION ©# = PARTNERSHIP 0#[: LLC �- COMPANY NAME: id•JjK�Jn�lr✓(r L�_ _�I ADDRESS�- CITY _ C(1. t _ STATE F;� ZIP ]TEL FAX__ _ CELL ? m f !jt1jEMAIL= H O z H v w w z� C) F] w �- Con '= w o w o H a z w W (1)vi Q wCO CL 5 o w w N a o a a, a �L40 U J E, a a CI) w x w F- LL rA w H °z 0 H U W a rA C x c7 a - a s ,, NORTH ANDOVER BUILDING DEPARTMENT 400 Osgood Street Tel: 978-688-9545 Fax: 978-688-9542 BUSINESS FORM FOR TOWN CLERK DATE: C) � NAME: c,& -y— �; ', C ---L ADDRESS: ZONING DISTRICT: TYPE OF BUSINESS: BUILDING LAYOUT PROVIDED: AVAILABLE PARKING SPACES: ZONING BY LAW USAGE: op NO INSPECTOR SIGNATURE Revved 11.5.04 WSMUS FORM FOR MWN CURK Location No. ��3�5_ Date TOWN OF NORTH ANDOVER 3? •. o s a Certificate of Occupancy $ Building/Frame Permit Fee $ s�CHus Foundation Permit Fee $ Other Permit Fee TOTAL Check #c&,_ 1585® 1 / G/ 'Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING on for Offici Use BUILDING PERNUT NUMBER: DATE ISSUED: SIGNATURE: Buildin Comnlissi2ne�/��or of Buildings Date 5;-0 //-0 Z� 1.1 Property Address: 1.2 Assessors Map and Parcel Number. Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage (ft) 1.6 WELDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required I Provide Rec*ed Provided R red Provided J 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 zone — Outside Flood Zone 0 Municipal On Site Disposal System 0 2.1 Owner of Record T --v- s:t t fj 'Yiroc?tA-A rA Ov-�AG�MQ P '3;k AN ,r MRA Name (Print) Address for Service Signature Telephone 2.2 Authorized Agent R+(r �,trz) ci,� I -1c. sal -T-C&.g kljfu sk Name Print Address for Service: k 6 q7Pj LOS — tASoo 1FA),. g70 -47S — S-778 Signatufe"c Telephone -20 W, MINIM 3.1 Licensed Construction Supervisor Not Applicable 0 1'7\ f, RAVff-�j« S�rQeT �AkAjr-eAJC,(-_ (VIA 0104( C S y0-7 Address License Number 6 -7 Licensed Construction S ;7�-- Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 -5mvr,ts '% • ReAf(f, k ILA -I Company Name., Registration Number' UAVJ (-,0 d -A Address 0 19c4 Expiration Date Signature Telephone 'a M 0 M z 0 z M 90 0 -n Workers Compensation Insurance affidavit must be completed and issuance of the building permit. Signed affidavit Attached Yea .......❑ No ....... S'Elm— ON 5.1 Registered Architect: Name: Address 4� with this application. Failure to provide this affidavit will result in the denial of the ISignature Telephone ��F^/,8/����j]$t f+�FyCb`"R'i cv"s Company Name: Responsible in Charge of Construction Not Applicable ❑ Area of Responsibility Name: Registration Number - Address: Expiration Date Signature Total Not applicable Name: Registration Number Expiration Date Address Signature Telephone I Area of Responsibility L Registration Number ' Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone ��F^/,8/����j]$t f+�FyCb`"R'i cv"s Company Name: Responsible in Charge of Construction Not Applicable ❑ ,�',�,1&�'►� 1�' � ,{mak all ap�►ltcal���f� New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) - ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify A Assembly Brief Description of Proposed Work: Ten3aex. T►� ro� S A-2 A-5 i� Ck � ,mac, u�A���d brut 'r . 3-aJ 2SJ��+A�t�tra+e_ ��5�(ia�►� syk j \\i � O'O �\k 0lecY.bdAeJC_ I� 040 y�Ze ii �F�M 0y T%A(,_ 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 I, ,as Owner of the subject property Hereby authorize to act on My behalf, in all utters relative two work authorized by this building permit application Signature of Owner Date USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A4 ❑ A-2 A-5 ❑ A-3 ❑ ❑ lA IB ❑ ❑ B Business ❑ 2A 2B 2C ❑ ❑ ❑ C Educational ❑ F Factory ❑ F-1 ❑ F-2 ❑ H High Hazard ❑ 3A 3B ❑ ❑ IInstitutional ❑ I-1 ❑ I-2 ❑ I-3 ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A 513 ❑ ❑ S Storage ❑ S-1 ❑ S-2 ❑ U Utility M Mixed Use S Special Use ❑ ❑ ❑ Specify: Specify: Specify COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: 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 I, ,as Owner of the subject property Hereby authorize to act on My behalf, in all utters relative two work authorized by this building permit application Signature of Owner Date 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 Item Estimated Cost (Dollars) to be40, Completed by permit applicant 1. Building Pecs P , h df (a) Building Permit Fee '1 9j H j5 . Multiplier 2 Electrical (b) Estimated Total Cost of Construction from (6) i 700 . ©� 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) 1�4�-7 Q� Check Number t .,.'�'n1 '. /q x 3 3L ` .� i• }a'r4 r5 0 R .!•4 it"c. Y !. .. 1 �.• F. lf1 N'W y� i Me Gyyt #my L G ti:!J�' R✓'. klzl zY ..t- 4 ..:' -. hsl<1': '. 4R id' ..'. t 9.;. i '� r.. � }i'.i , •p � �? SY 7(\ t � SIZ� 5��.5,SYf � S �1 �Y �SSk � ri, �' ....w Ri yy.SJ'�� � T+..1�lq� 'N Sii �'e". L yi �l ( }5.{y�r:,� 4` �,j... �i x'11 } P Cti.fc z'` i j(�b A C.4 � 4'Si r' jt �^ 5 d�'i. � Ai.. 1Y� J� v'ki ! ^i� � �k $� /*� 'at't +4tY t Y .# �r)�� l` f '�.T • � �+t` iY 1 '�S.- Y � 3 i f 1{� A 1.�. : ki � NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 D 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CBMINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE m" ..Ya'�'"T ''� V'*" ,ai $',Y X �,,.`i`1tfTZ+'°"•„' O z a ` 0 f N w 0 w a 0 OW H F o A W� o cn a z z ,5 cc w° :j C �, z W R. °�° u W W °�° v � w z °�° C w A W N z cn Q o cn a _ N COD W H W V CA H C .y .E O CL N W t o CD c CDts C H _O C m O ca V Qc cv � z o C2 N r Ea CF m r t a CL N � c :�o m :v$ o c N A mm �3 :off --L- CD V`' _ e O 4-. C "O aC N 4D.2 O Z cc c o CL CLCD o O.O..~ r.+ dL MD O C m N C3 AD cm O C o•� O� CD .LA ZZ d 4... m r a jz (A O N C O A m OI •O m O co c 'c N CD t O Z O O �O �U A W Cf) U) H O 0 O U v cf) v v J F..4 U O O O O v Z O CL O y C O CT CD G _ V*Q CD O m m C Z O 3� O L O O CL a Ma ca O4-0 C ccC v J .� .Q O co CO3 ts C CD 0 CL C.3 CO) cc c C _cc C. 0_ Cn Ir W cr LLIw U) r. BOARD OF BUILDING REGULATIONS ' tragi License: CONSTRUCTION SUPERVISOR ` Number. CS 079821 { ,a Birthdate 07/17/1.962 i ° Expires 07/17/2005 Tr. no; 79821 Restricted 00 , � ,' STEVEN T PEARCE 171 EAST HAVERHILL.-ST LAWRENCE, MA 01841 AA s. Board ofBmlding Regulations and Standards } HOME IMPfQVEMENT CQNTRACTOR Restration 134794 gi a . REYmration .� i��trd STEVEN T. PLAPkt,*33 STEVEN 'PEARCE—,� 171,E. HAVERHILLST LAWRENCE, MA 01841 + _. .,._....m.a 11 Adm-Mmstrator { E AOL A & M Roofing and Sheet Metal Co. Inc. September 4, 2002 Bestway Property Management P.O. Box 32 No. Andover, MA 01845 Attn: Anthony Zimbone Re: Reroofing of Apartment Building 90 Sutton Street, No. Andover, MA Dear Anthony: We have inspected the above referenced project and recommend reroofing utilizing a new fully adhered EPDM membrane roof system. The general specifications for our work would be as follows: 1. The existing roof systems would be stripped down to the wood deck and properly disposed of off site. 2. A 6 mil reinforced fire -retardant polyethylene vapor barrier would be loosely -laid over the prepared substrate. 3. A layer of 3" thick polyisocyanurate having an `R' value of twenty-two (22) would be mechanically fastened to the wood deck. Tapered insulation would be added at the gutter edge to insure positive water flow. 4. A layer of 60 mil unreinforced EPDM membrane would be fully adhered to the insulation in accordance with the manufacturer's specifications. 5. The abutting walls would be properly flashed with 60 mil EPDM membrane. 6. The roof edges would be flashed with new .040" thick bronze aluminum gravel stop.. 7. The front edge of the entrance roof and the back edge of the main roof would receive a new gutter fabricated from .040" thick bronze aluminum. 8. The lower part of the existing wide fascia would be covered with a separate .040" thick bronze aluminum extender piece under both the gravel stop and gutter. 9. Three (3) new bronze aluminum downspouts would be installed at the rear of the building and one (1) at the front entrance. 10. The existing hatch, exhaust fans, chimney, sanitary vents and stacks would be properly flashed to the new roof system. 123 Tewksbury Street, Andover, Massachusetts 01810 Tel: (978) 475-4500 / Fax (978) 475-8778 Sep -04-02 06:46 From-A&V ROOFING & SHEET METAL CO, INC, o , Mr. Anthony Zimbone Bestway Property Management Page Two September 4, 2002 9184759716 T-202 P.02/02 11. The completed Firestone EPDM roof system would be warranted for a period of fiftC (15) years covering labor and materials. A separate twenty (20) year warranty woulc cover the roof membrane. The price for the above Scope of Work would be Forty -Nine Thousand, Seven Hundred doll♦ ($49,700.00). Included in this price is the cost of the local building permit. Please note thatm replacement of deteriorated wood blocking and/or decking or refastening of loose wood decl i would be at additional cost on a Time and Material basis. i If you would like to proceed with this work, we would require a down payment. The terms would be 30% upon acceptance of our proposal, 30% at the half -way point of the project, 3(35 upon completion and 1011/6 upon delivery of the warranty. Please contact our office if you have any questions or need additional information. We appreciate the opportunity to quote you on this project and look forward to working with Sincerely, 471�4AO" James A. Loos Vice President k)fe K o-� S e P4 a3;�ao The specifications and conditions are accepted and you are authorized to proc By: Date: — ,- Date.!"G .�. 0' TOWN OF NORTH ANDR ! t s PERMIT FOR PLUM TING s y This certifies that ... �� has permission to perform .... ................................ plumbing in the buildings of ... 113t f ./.c-,. ..P.!ti. t . K!. . at .......... North Andover, Mass. Fee /¢/. . . . . Lu. No. ql- i ... .......�l .. ��_....�..--a ......... PLUMBING INSPECTOR Check # 7399 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, SACHUSETTS rr 11 ate —s— Building -S U Building Location V Y�Owners Name ermit # q 5 S#[ ( C�re�! C ( mount O � `� 'I�+pe of Occunancv New P1, Renovation (Print or type) Installing Company Na Address Replacement FIXTURES Plans Submitted Yes No 11 / ^ eck e: Certificate Corp. Partner.' Business Telephone d 0 Finn/Co. Name of Licensed Plumber. Insurance Coverage: Indicqte thh type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity [— ];I Bond Insurance Waiver. I, the and , igned, have been made 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 information I have submitted ent ) i best of my knowledge and that all plumbing work and 'atio and compliance with all pertinent provisions ofthe MassaF etts P e By: rgrra rcens ,Tide Type of Plumbing License City/Town Q License m eFi r" Master APPROVED (OFFICE USE ONLY Agent 0 ',s" are true and accurate to the Ar this application will be in 42 of the General Laws. Journeyman ❑ Date ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... . .................. has permission to perform .............. pFdrzG1-5 .... wiring in the building of ..... ! ?� $.TA6My .... &.LLe ......................... at ............... ql�?. su .................... . North Andover, Mass. Fee ..A//4 Lic. .......... Check # ELECTRICAL INSPECTOR � 7036 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. { _ ,3e, BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11-2-2006 City or Town of: NORTH ANDOVER to the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 90 SUTTON STREET Owner or Tenant BESTWAY REALTY LLC Owner's Address 90 SUTTON STREET Telephone No. Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building Office Space LOWER LEVEL ONLY Utility Authorization No. none required Existing Service Amps 120/208 Volts Overhead ❑ Undgrd ® No. of Meters 1 New Service Amps Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Renovation to existing office space No. of Recessed Fixtures 65 No. of Ceil.-Susp. (Paddle) Fans No. of Tota Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures 65 Above In- Swimming Pool rnd. ❑ rnd. F-1Batte o. o mergency Lighting Units 12 No. of Receptacle Outlets 75 No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches 20 No. of Gas Burners No. ot Detection and 10 Initiating Devices No. of Ranges No. of Air Cond. 4 Total Tons 10 No. of Alerting Devices 9 No. of Waste Disposers Heat Pump Totals: Num._ er Tons KW No. o Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ® Other existing Connection No. of Dryers Heating Appliances g PP 4 KW Security Systems: No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydro massage Bathtubs No. of Motors Total HP Telecommunications Wiring: g No. of Devices or Equivalent OTHER: INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licen- see provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certi- fies that such coverage is in force, and has exhibited proof of same to the permit issuing office. tCHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) i Estimated Value of Electrical Work: $ (When required by municipal policy.) (Expiration Date) Work to Start: 11-02-2006 Inspections to be requested in accordance with MEC Rule 10, and upon completion. 1 certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: WILLIAM J. IANNAZZI, INC. LIC. NO.: 13592A Licensee: WILLIAM J. IANNAZZI Signature Wil,UPV1 . 1. IawwnZZ� LIC. NO.: 13592A Bus. Tel. No.: 978-696-7300 Address: 191 CHANDLER ROAD ANDOVER, MA 01810 Alt. Tel. No.: OWNER'S fNSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. LCT'T ot �,Z, - (��O 6 fi� Date. ?!C. ",ORT :'14o TOWN OF NORTH ANDOVER _= ° PERMIT FOR PLUMBING -,SSA` � � • This certifies that ... /- t�.�. . �? .. 1�.�. `................. -` has permission to perform .... Ca L plumbing in the buildings of ...R': E ... .. M= ................. North Andover, Mass. Fee. . JA— --.Lic. No..lJ�.I. ......�`� ice`........ )--L INSPECTOR f Check # 7170 W y MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS jatel/ rJ G . Building Location / Owners Name Permit # % t 7 o Amount r%,L New Renovation Replacement FIXTURES (Print or type) Installing Company Address r\ Plans Submitted Yes Corp. Partner. . Firm/Co. r No Al Certificate Name of Licensed Plumber u/ Insurance Coverage: Indi to the a of insurance coverage bycheckink the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the and gned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature IOwner El Agent n I hereby certify that all of the details and information I have itted (or entered) in abo�' plica 'on are true and accurate to the best of my knowledge and that all plumbing work and i Natio p under it u for�this application will be in compliance with all pertinent provisions of the Mass usetts te� mb' a 42 of the General Laws. By: SignatureWLICenSea Fluinber Title Type of Plumbing License City/Townense umDer Master Journeyman ❑ APPROVED (OFFICE USE ONLY Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SS4CHUS This certifies that ... ...................... has.permission to perform ... � . ... . . . . . . . . . . . . . . plumbing in the buildings of.. ............... at ........... ..... North Andover, Mass. 7 Fee P . Lic. No. j. ....... ........ LUMBfNG INSPECTOR Check # 7453 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS 2 -�Date44� U �% Building Location q/ V©rtJJ Owners Name /fic�Jt/ �1 AP/ Perm�^ 3 Amount % ®7 Type of Occupancy New E] Renovation Replacement Plans Submitted Yes No FIXTURES (Print or Installing Address Check one: Certificate 11 Corp. E]Partner. 1-1 Firm/Co. Name of Licensed Plumber. 9�gV,,nV AJ Insurance Coverage: Indicate the iypb of insurance coverage by checking the appropriate box Liability insurance policy 11 Other type of indemnity 11 Bond J 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 informationW*Ua itted (or entered) in above pplication are true and accurate to the best of my knowledge and that all plumbing work ands p ed P i ued for this application will be in compliance with all pertinent provisions of the Mase P mb' a pt of the General Laws. r By: a orLicensea FlumBey e of Plumbing Licens Title 1 Z%5? City/Town License um er Master Journeyman APPROVED (OFFICE USE ONLY ILI Th t��., r6s w0 1 (Ay -00- y 0 to < PUBLIC HEALTH DEPARTMENT Community Development Division June 24, 2007 Jackie O'Dwyer, Owner 207 Shannon Road North Andover, MA 01845 Re: Plan review — It's Time to Create, 90 Sutton Street Dear Ms. O'Dwyer, The Health Department has received your application submitted on June 18th, 2007 for a new food establishment; to be located at 90 Sutton Street, but unfortunately cannot approve the plan at this time. Please see the list below of items that need to be addressed prior to plan approval. Please submit changes, or explanations as needed, as soon as possible so we may assist you in moving forward in this process. The Health Department looks forward to working with you towards a common goal of providing safe food to the citizens that live and work in the Town of North Andover. Once the items below are addressed satisfactorily, a plan approval letter will be provided to you and forwarded to the Building Department. 1. Specification sheets submitted for the oven and refrigerator only. The sink, grease trap, table, shelving etc, are not included. In addition, the two submitted do not indicate whether the pieces of equipment are NSF or UL certified. Please submit and identify each piece of equipment with a number and then identify the location on the plan. 2. #5 of the establishment form indicates washing of equipment with antibacterial soap. This is not an acceptable statement. Attending the food safety class will assist you in understanding the proper cleaning and sanitizing methods. Basically, it is wash, rinse and sanitize with bleach, Quaternary Ammonia or iodine. Address question 3. For clarification, cheese is a potentially hazardous food as well as the pizza dough. Although an unlikely source, if handled incorrectly, contaminated and held at the wrong temperatures, bacteria could multiply and cause a food borne illness. No action needed 4. The grease trap has not been installed to date. Please have your plumber contact the local inspector so that the proper size is used. 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com 5. Finish Schedule — a. States that the food storage floor is VCT. Unable to locate storage area on the plan. Please identify. b. Other storage identified as concrete floor. Please identify c. Toilet rooms sheet rock. What type of covering, to allow easy cleaning is being used? FRP, washable paint. d. Garbage storage says floor is unfinished concrete. This is porous and will absorb leaks and odors. Please clarify and change as needed e. Warewashing area is the area around the 3 -bay sink. Wall behind the three -bay must be made of durable washable material. Not paint only. f. Please identify on plan and fill in finish schedule 6. #14- dumpster in parking lot. Does not describe location and surface. All dumpsters must be placed on a concrete pad and enclosed with a fence per local regulations. Please resolve issue 7. Page 13 Plumbing connections — please request information from your plumber and fill in the applicable areas; Toilet, sinks 8. I. #55 where is the mop/slop sink located? Cannot locate it on plan in the bathroom. Is it a floor or wall hung unit? Where will the mop be hung? 9. Please note that sponges may not be used on food surfaces in a permitted kitchen. No action needed 10. #56 Food prep sink not found on plan, no spec.sheets provided. Please clarify 11. The convection oven appears to be in the main area. What provisions are being made for safety of the patrons? Patrons are not allowed in the kitchen of an establishment. Previous conversations held with the Health Staff revolved around placing the oven in the alcove kitchen area and the 3 -bay near by. Please address 12. There is no handsink for the employees or for the patrons who are cooking. It is recommended that one handsink be place near the food prep area for adults and one at a lower level for the children. All should have liquid soap and paper towel dispensers. Note: Bathroom sinks do not substitute for hand washing sinks. Add handsink(s) 13. Contents of plans — items missing a. (1) Equipment is not drawn to scale b. (8) Does not show all storage areas etc c. (9) Complete finish schedules and plumbing schedule Please contact this office if you have any questions regarding this correspondence. Once these items are address a Health Department approval letter will be issued and you may move forward in the process. Sincer , Sawyer, S/R Public Health Director Cc: Gerald Brown, Inspector of Buildings file 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com a,K CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 303 10/17/2006) Date: December 20, 2006 THIS CERTIFIES THAT THE BUILDING LOCATED ON 90 Sutton Street MAY BE OCCUPIED AS Tenant Fit Up Office Space IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: EastwayRhe lty Trot. 90 Sutton street North Andover MA 01845 Building Inspector O z 717 .,._. 1, ` �ts :oma O N m Nil C O vV .Q m d C • OC r.+ �40 O R : m : N y E a '® Y s '. d C o CD c N O N �:�3 CM O N .� m � a y � O ECOD �v o c •; CLv m Hm� °c cmC c DC30 1- p C 41 A.NZ O V w CD C3- O C_ � m N m C �C = m CL. N ~ •O N myO..~ O LU m C 'r != .y C C Z m •N O V •O p ®�'o C3 c Vi a o� o _C.`CL �•� O F- z *-aim 1 CDE CD 0 Z CD Q O y � C CA CD e I C C Q•� .� y 0 0 �E m cc CD 0 0 CL _~ � CDO � � 0 Q _m CD 0. Q CL C 0 Co V —J.0 CL 0 CD ca tsCD CLC C) CA C CL C .® C .y Peterson/Griffin Architects, Ltd. 880 Main Street, 5th Floor, Waltham, Massachusetts 02451-8532 Date: December 19, 2006 To: Mr. Gerald Brown Inspector of Buildings 1600 Osgood Street North Andover, MA 01845 Re: Architects Construction Completion Affidavit 90 Sutton Street North Andover, MA 01845 Permit # BP -303 Tenant/ Bestway Realty Trust Owner: 90 Sutton Street North Andover, MA Architect: Peterson Griffin Architects, Ltd. 880 Main Street, 5th Floor Waltham, MA 02451 (781) 455-8883 Tel: (781)455-8883 Fax: (781)455-1183 www.pga-archi tects. com Comments: The project identified as "Ground floor renovation" noted above has, to the best of our knowledge, been built in accordance with the permitted drawings and specifications. To the best of our knowledge this project meets the requirements of the Massachusetts State Building Code, its referenced codes, town and local codes as applicable, and is ready for occupancy by December 19, 2006. Signature Date .......... �.a.o O` 'N ,.t,� ..-,._�, ppm TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..............Z Z/............ .......... has permission to perform ... � Iv o l> P� ...................Q .............................. wiring in the building of gcSTUIa � �AL'T/ L /j ....... ................. .y.. .......................... T-oti , North Andover, Mass. Fee ... &C ...... Lic. No.r3 9 -!} ......... /� , LECMICAL INSPEcrbR Check # /V L Apr 20 07 08s25a 9787254791 _ Commonwealth of Massachusetts Only Department of fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy anti I'ee Checked _I Rev. f 1 /99) leave h)altk _ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the MilssuchOW1I5 hlectricat taxi: (MI:C), 527 UMR 12.00 (PLE4.Sr PRINT IN INK OR TYPI: ALL INFORMATION) DUIC; 4-19-07 City or Tuwn uf: iVQK'l,ti ANDOVER to * )—vneCtor (?fWires, By this application the undcrsigrtcd gives notice of'his or her intention to perform the electrical work dmribed below, Location (Street &. Number) 90 SUTTON STREET Owner or Tenant BFSTWAY REALTY LLC l'elephone No. Owner's Address 90 SUTTON STRFET is this permit in coiliunction with a building permit? YCs ❑ No ® (('heck Appropriate Box) Purpose of Building RESIDE N IA1, Utility Authorization No, none retioired Existing See vita 400 Amps 120/208 Volts Overhead U l lndgrd ® No, of Meters 1 New Service Amps _ Volts Overhead ❑ Undgrd ❑ No. ol'Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: DRY OUT & RLSTORE POWLR 'ro MAIN GEAR Nn ol'Rece�red Fixtures No. of Lighting Outlets No. of Lighting rixtu,es t No. of Receptacle Outlets No• of Switches No. of Ranges No. of Wastc Disposers No. of Dishwashers A I No, of Ceil,-Suxp. ('Puddle) I:ans No. of llot Tubs Swantlning pool ow-luive nrEl - No. of Oil Bumers No. of*Gas Burners No. of Air Cond. teal f t 111p umber , l i Totals: Space/Area Heating! KW No. of pryer. I leating Appliances KW No. of WaterKW o. of u. of Haters 5i•• is Rztllast, No. Hydro massage Bathtubs No, of Motors Total HP p'n IER: TURN ON GEAR & RFSTORF i IRF. ALARM No. of . pta� Transformer-,, KVA Generators KVA ling Batt�c''y Units FIRE ALARMS Na of7,olles i0. of Detection and Initialin _Devices No. of Alerting Devices No. of ScL— .ontalne Delection/AlCrtillP, Devices local Municipal ❑ Connection tlthrr c. •a, ,a Security S Stents: No. of Devices or Equivalent Data Wiring: No. of Devices or Equivalent Fe ecTotnm n catlons iring: No. of Devices or F.ouivale nt INSURANCE COVERAGE. Unless waived by the owner, Ito pt:rrlit for the perfo,nnauce ofelectrical work may irssue unless the licen- see provides proofofliability insurance including "committed operation" coverage or its substantial equiv,llent. The undersigned certi- fies [hat such Coverage is in force. and has exhibited proof 01'same to the permit issuing ofl5cc. CFIFCK ONE: INSURANCE -[D BOND ❑ OTHER ❑ (Specify:) Lstinmed Value of Electrical Work: $ (When required by municipal policy.) (Expiration Date) Work to Start: 4-I9-07 InspeCtions to he requested ill accordance with MFC Rule 10, anti upon completion, / certljy, undtrr rite pnrna n►td pencrlries a/ perjwv thin rhe ilrrnoNan un this upp/it'utiun is true amicomplete. FIRM NAME: WILLIAM J. IANNAZ'ZI, INC. I.IC. NO.: 13592A Licensee:: Will JAAM J. IANNAZZI Signature WGLI.bArna . 1,q A.vt.LrI-e. � 1 -IC, NO.: 13592A Address: l9t (:1(AND1,1 It ROAD ANDOVER MA OIti10 Bus. Tel. No.: 97&-4a6-7300 OWNER'S INSURANCA.'. WAIVER; 1 Olt,a-m dtot the I.ic.cmcc d<xs "W hurt the Inability ins-urance coAveragc normally required by law. 13y a+y signature below. i hereby waive this requirement. 1 am The (check one) ❑ wvncr ❑ owner's a wat. Owner/Agent Signature Telephone No. PERM/T FF.i: x k Date ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING e This certifies that ... yl�.... -7 .................................................. has permission to perform ....... �."e .................... wiring in the building of ....... ................. at ... ..... .................................... . North Andover, Mass. .... j4 Fee . .... ( . .... Lic. NoaK'q?-'4 ... .......... ELECTRICAL IAP 7' Ive- Check # r 7341 Rpr 24 07 07:56a Commonwealth of Massachusetts Department of Fire Services kt I BOARD OF FIRE PREVENTION REGULATIONS 9787254791 Official Use Only Permit No. —7 5�// Occop-micy and Fmi� Chmikexl Rev. 11/99] lave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perlormed in accordance will) the Massachttsetts tilectrical Utde (MF.('), 527 CMlt 12.00 (PLEASE PRINPIN iNK OR ?TPE ALL INFORMAL ON) Datc: 4-24-07 C:lty or'l own ol: NORTH ANDOVER to thin lnapector of Wires_ By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location ('Street & Number) 90 �1.1'170N STREET caner or Tenant ,-- LIESTWAY REALTY LLC 'Telephone No. Owner's Address 90 SUTTON STREET Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appibpriate Box) Purpose of Building RESIDENTIAL &. COMMERCIAL SUITES Utility Authorization No. _none rc uirod Existing Service Amps Volts Overhead ❑ Undgrd E No. of Meters New Service Amps Volts Overhead ❑ Undgrd ❑ No, of Meters Number of Feeders an(1 Ampacity Location and Nature of Prapo.cd Electrical Work: DRY OUT & RESTORE POWER TO OFFICE SUITES Nu, of i ccm;scd Fixiures No. of Ceil.-Susp. (Puddle) Fans No. of Ira ytormen h V No. ol'LighlingOutlets No. of'Ilot Tubs Generators KVA No, of Lighting Fixtures Above ln- Swimming Pool erttd. ❑ md. o. o ..rnCr8CnCy .iy lints ❑ saltier lJnits No. of Receptacle Outlets No. of Oil Bunters FIRE'• ALARMS No. of Zones No. of Switches No. of Gas Burners o. of'Detection election un Initialing Devices No. of -Ran -es No. of Air Cond. Taut Torts No. ol'Alerting Devices No. of Waste Disposers treat t t"" Totals: Nt"" er onso. o`t'Seeit-uontame Detection/Alcilins Devices No. of Dishwashers Spatz/Area 1 seating KW Local ❑ Murueapa ® Other Connection No, of Dryers I leatind Appliances KW Security systems: No, o Devices or Equivalent No. of Water K W b0.eaten No. o o. of Sins Ballasts Data Wiring: Nrr. pf Ih:viw� in F. uivulutl No, I lydro massage Bathtubs No. of Motors Total I -IP a econununtcallons rang: No. of Devices or Equivalent OTNLR: T1 ST dl) "-STORI: 130WF.R TO OFFICF. SVITFS. REPLACE ANY DEVICE ie:REC,SW THAT SUBMURGED INSURANCE COVE RAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless die licen- sce provides proof of liability in.nurancc including "cvinplctcd uperition" coverag,; or its substantial equivalent. 171c undersigned ccrti- ftcs Ilett such coverage is in fierce, and has exhibited proof of same to the permit issuing office. CIIECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) _ (Expiration Uutc}" Estimated Value of Electrical Work: S (When required by municipal policy.) Work to Stan: 4-19-07 Inspections to be requested in accordance; with MFC Rule 10, and upon completion. I cerlrfy, under the puins and pe nalthm of perjurv, that rhe it f)rmrrlivn on this pIyWcatien is rade and complele. f -'IRM NAME: WILLIAM J. IANNAZZi, INC. LIC. NO.: 13592A Licensee: WILLIAM J_ IANNAZ71 Signatui� .bvi•l•liArx I. la wtgzzi LIC. NO.. 13592A Bus, Tel. No.: 978-686-7300 Address: 191 CHANDLER ROAD ANDOVER, MAO 18 10 All.1cl. No.: QWN1:R'SINSUItAN<:1; WAIv'1'.R: I a+n awirry; t►rat the l.iecnacc dues at�t hove the Nahility insurance cavt:ragc normally rrr�uirod tri law. By ney signature below, I hereby waive this requirement. I ant the (check enc) ❑ uwncr ❑ uwncr"s agent. Owner/A,,cnt —'� Signature _ Telephone No. f ERMIT FEE.- $ a kt Date................................... c TOWN OF NORTH ANDOVER PERMIT FOR WIRING s -rh s .. S tifiesthat ......... i ha?nission to perform .....d�!1..� . ...... P9r.....G cfoQ y in the building of ............ � � �.�..�... �. ........�...�'�.t/,�./.... 9 � a � / ...,�... ....... ,North Andover, Mass. �.%Ul..�...... ....527..... Lic. No/3S.7:2-�........�� .... t. �J ! ELECTRICAL INSPE OR �{. c k # '0Vf u �t Commonwealth of Massachusetts Department of Fire Services 11 BOARD OF FIRE PREVENTION REGULATIONS Permit No. 6; Occupanc% and Fee Checked (Rcv. 9 0�� Iea�C hLulkl APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 11 !„n -k to he hertarmcd in acuu-danCe kith the \I:1'611chuSCtts [dccU-icaI Codc t\II':0. 527 (AIR 12.60 11'LE:INEPRLNT1A INK OR TYPE. ILL AFt)RHITIoN) Date: City or Town of: Qo , kil) _ TO 117e l/l.,•herlur 01 WilTS. fay this application the unJersi;lied �i�es notice of his or her intention to perform the electrical „cork described bulil,v. Location (Street Sc Number) 9-0 S 0— j"'� �_ ) _�:=S,--r (honer or Tenant k7D, �Ij A. Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building GU JJULaL!� I Ltility authorization No. Existing Service [7.= Anips ZJ✓/ pVolts Overhead EI -1, ❑ No. of Meters New Service Amps / Volts Overhead ❑ Llndgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ( •umplel(on ,;/ Ihr ;r;llrni ir, > /able ma 1;e ; -:ui ,I ;,v the /,l.yr;cia,>1• ri/ IV, No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires SwimminR Pool %bone ❑ In- ❑o. o Emergency Lighting Lyrnd. rod. o1Battery Units No. of Oil Burners FIRE ALARMS No. of Zones No. of Receptacle Outlets No. of Switches No, of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond.Total No, of Alerting Devices Tons g No. of Waste Disposers Heat Pump Totals: Number Tons KW No. of Self -Contained ; Detection/alerting Devices No. of Dishwashers S ace/Area Heating KW Municipal P' g Local ❑Other Connection No. of Dryers Heating Appliances KW Security.Systems:* No. of Devices or Equivalent No. of Water KW Heaters — _—_ No. of No. of Si ns Ballasts __- Data Wiring: No. of Devices or Equivalent_ No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. ul' Devices or Equivalent OTHER: Illiv.Ill ,„G.hnurlu Jchill il,IrSri(,I..A,,LPrcluirc,l1.1,hc:,+j. ,.i ,r: (!•: f.r:tiin:ttvd VJuc of Electrical Work: (\•k hen raluired by municipal policy.) �bork to Start: In:,pcctions to be rcquCsted in accordance with :\IEC Rule 10, and upon completion. IiNSI-RANCE C'OVERA("E: L nless waivvd by the uwncr. no permit for the performance of electrical work may i _AIC unto', Ihr licensee prc� ide (�roofnf liahilit� insurance includinr� "_onlplctcd rpermion" co,era e or its •�.Ib lantial ytli,•Ilunt. I hr• r,nder:•i,.ncd cxtiflc: that :uch cup ' 5!."c i:. ill furcv. And bels c•.hihitcd proof i1 ;ar•le to the permit i ,,uin office. !.ider'lie )RENS ., , . .;N .'L/,,• rpp!icRr/ur, !., ;1•,,,, ,,.��(r r.„'��/�r,�r1•. C. o.. 1_3�ZA_ 1, .. ,; ;•..,:Ic. .a r 1.1 r, 11,, i•,. r. ni' %its. T.J. No.: - �ddress:� lf!,I.- `:-;Ccurity Sv"Icm Contractor L.iCCnsC rvLluircii for this v,ui-k; il';I 0CAIC. Cntcr the: IICUMC IlLlIiIl%l- here: ;AVNIER'S INSURAN(:E INAIVER: I am aware that th:cn Q I.i,zec /,;,. 171 )1 /71 Tc the 1i:.IbiIit,, insur;ulcv r:.r%n c n,_rn?;III _. luquired by lanv. By m\ :.i nature belol.r, I hcrLl'y VVaiVC this, requirumutt. 1 am the (.-heck ono ❑ ,.rs,nur ❑ u ':, .l,,illt. Owner/A.en t „;ai:ltua'a: e.. {c �ii2,;,ta: • ;. — � ��:�.9��t*% ,M.',L','ri'• '4" ,5�v 0 (Z' S- O C c S CABLUSPLICING TESTING S div. A.H. Shepherd Assoc., Inc 22 Woburn St., Reading, MA 01867 & T (781) 944-5513 LOW VOLTAGE SWITCPpq RDS 10 DATE �'Cu /u CUSTOMER' I T LOCATION JOB NO. TESTER WITNESS m SHEET of ID A14))l K-14411 BUILDING NAME LOCATION MANUF TYPE MANUF ID MANUF JN CONSTRUCTION SECTIONS DRAWING VOLT RATING . 009 ,Wl) JOB NO. AMP RATING METERING I TYPE PHYSICAL INSPECTION PROTECTIVE DEVICES BUS CONNECTIONS f WIRING CONTROL WIRES; BUS CONN.GROUNDING LGO�E R INSTALLATION ENCLOSURE CLEAN INSULATION RESISTANCE PH. A - GRND PH. B - GRND PH. C - GRND PH. A - PH. B IV 11 /7) PH. B 7 - PH. PH. C - PH. A Z) PH. A - PH. C 'PH. E PH. A PH. C - PH. B COMMENT: 10 It This certifies that ..........!# Date.... ....` G� � )F NORDOVER MIT FO=G G j ..... ..... has permission to perform .... ..... �7..... .lrr 1 YSe4l' ............. t -wiring in the building of , .............. 1 q..d .1 zw.I ........................... F at �....t!.� / , North Andover, Mass. .. //...... .J......... l~ee...?V1 .... Lic. No.(. 4.4.x.. �!`r... •1 � ELECTRICAL INSPECTOR �i /� '� Check # r• � cJ y 6655 �_ ,` 1 r Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05) (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CM 12.00 (PLEASE PRINT IN INK OR TYPE LLINFORMATION) Date: City or Town of: A.lgd 144 To the Inspector of Wires: By this application the undersigned Ives notjpe of hi or her mtUtio�perform the electrical work described below. Location (Street & Number) o(f/ Owner or Tenan Telephone No. Owner's Address jb %Z/lk"t—o-', /Cl/�- C5) Is this permit in conjun tion wit a uildi g pe i ? Yes No ❑ (Check Appropriate Box) Purpose of Building /t�f�M .3'd d/h Utility Authorization No. Existing Service Am\pj / Volis Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity 3 Z ev& Location and Nature of Proposed. Elec Kcal Work: % i%r %� �r�i.� (f _ /311,4— Completio4 of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ n- ❑ rnd. grnd. o. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pum Totals Number Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: ��0 0 Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of El trica W rk: (When required by municipal policy.) Work to StartCXU Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such cover is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE oveBOND ❑ OTHER ❑ (Specify:) I certify, under lite p an nd p hies f perjury that the /n orioG a plication is true and complete. FIRM NAME- d4 LIC. NO.: Licensee:c: +, f Signature 9-- LIC. NO.:� �/- (If applicable, Hw � —en-7ter "exemp to 1 I en a ber li ) Bus. Tel No. �'y&C�97� Address: ! K � 111 40991) Alt. Tel. No.:7� � *Security System Contractor License required for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ SignatureturaTelephone No. /I