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HomeMy WebLinkAboutMiscellaneous - 900 Alder Way Bldg 90 0 A. `� bd a as Of NaRrh TOWN OF NORTH ANDOVER o� OFFICE OF BUILDING DEPARTMENT �* 400 Osgood Street p,�q� �gs'^To North Andover, Massachusetts 01845 4A� `� SAfHUSE Telephone (978) 688-9545 Gerald A. Brown Fax (978) 688-9542 Inspector of Buildings AFFIDAVIT FOR FINAL COST OF CONSTRUCTION In accordance with the provisions o the Massachusetts State Building Code, Article 1, Section 110.4 and 114.2, the total estimated cost of the construction including all related construction costs* of the building located at _ amounts to I, /P7 4,f ka,,j Yk ,being the person referred to as the owner identified below, do solemnly swear that the statements made herein are strictly true and correct and made in good faith. *Related construction costs included all work done with or concurrently with the work contemplated by the Building Permit including demolition, plumbing, heating, electrical, air conditioning, painting, carpentry, landscaping, site improvement, etc. Furnishings and portable equipment are not part of the total construction costs. COMMONWEALTH OF MASSACHUSETTS Signature of Owner s. s. -J-- 16 20 O � Then personall^ y ap�peazed the able named Ta$r a s Lai a 4 a r. and Made an oath that the above statement is true. Before, Me, At, -,:) g=, Notary blic OFFICIAL USE: Inspectional services Department 2005 F:lfinalcostaffidavitfoim Strict code enforcement makes the town safer Before buying, renting, leasing check zoning Baskat® A,evesque t PC,CPA, TA.x .$& Bi.js NESS MAN, -, =NEIVT CC, NL;L[ INN SERVICES August 15, 2006 Mr. Gerald Brown Inspector of Buildings Town of North Andover Office of Building Department 400 Osgood Street North Andover, MA 01845 Dear Mr. Brown: Attached are the Affidavits for Final Cost of Construction for Buildings 6-10 the remaining buildings in Phase I not previously submitted and all of the buildings 11-15 in Phase 11 Meadows. A breakdown of these costs is reported below. Bldg # Direct Costs Site Work Finish Work Total Phase I 6 $1,302,100 $ 264,802 $ 216,P11 $ 1,782,913 7 $ 58,507 -0- -0- $ 58,507 8 $ 69,510 -0- -0- $ 69,510 9 $ 758,859 $134,605 S 109,804 $ 1,003,268 10 $ 90,130 -0- -0- $ 90,130 Phase II 11 $ 755,553 $ 124,785 S 53,554 $ 933,892 12 $ 63,921 -0- -0- $ 63,921 13 $ 787,967 $ 141,662 $ 60,796 $ 990,425 14 $ 753,197 $ 121,263 $ 52,042 $ 926,502 15 $ 442,475 $ 75,332 $ 32,330 $ 550,137 Sincerely, Linda M. Levesque, CPA, MST 33 WALKER ROAD • NORTH ANDOVER • MASSACHUSETTS 01845 • (978) 688-0676 • FAX (978) 688-4542 • www,b-Itax.com (�F Location 3S 7 "%v rM jJ l!•e._ No. 13 Date �' G f NORTh, TOWN OF NORTH ANDOVER � OL 9 Certificate of Occupancy $ s•^° • E��' BuildinglFrame Permit Fee $ ay a ACNUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ i Check # 6)0490 10,78 8375 14M `cL-- Building Inspector j 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 R. Section for Official Use BUILDING PERMIT NUMBER: /3 DATE ISSUED: SIGN 2357 Turnpike St Bldg #7 Date Changed 1 Assessors Map an Parcel Number. it — :T Map Numie Parcel Number p 1.3 Zoning Information: i. Property Dimensions: Zonis Distrid Proposed Use Lot Area Fra fl 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard ReTtired. Provide Required Provided ReWired Provided 1.5. Flood Zone infomntion: 1.7 water supplyM.oi.c.ao. sal l.s Sewerage Disposal system: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal On Site Disposal System ❑ 2.1 Owner of Record N ( rmt) Address for Service: Sig6turc Telephone 2.2 Authorized Agent Name Print Address for Service: Signature Telephone 3.1 sed Construc Su Not Applicable ❑ 1 d �f� � License Number Licensed Constructi Su r: —Expiration Date ._ �� 7 21L4 ature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone 0 M Z 6- Z �y P t4k 3 r v 1 M r` Z 0 as Owner/Authorized 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 a d penalties of perjury I Pfint Name —Slgi&ture of Owner/Agent Date Item Estimated Cost (Dollars) to be mpleted by applicant r permit 1. Building (a) Building Permit Fee I ✓ !JQ Multiplier 2 Electrical (b) Estimated Total Cost of Construction from (6) 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical (HVAC) 5 Fire Protection Total (1+2+3+4+5) Check Number �(6 �g '. .#"4a I'siA S!5'U�y ,.lf � kY �}(IJ;c.:'�i'�., „�.., ��y{pt� �S�Eim Ii.{.ro.�.'�r�,� �,c 4�.. g4�, "iE.0 t;� � Y 4 "L .i.WLi erl: -``���A°k. ihY' . �� fJ �S �`: 2FFki `? l`..-Je IlyJ',7�y ,•.x.,� .�4te� ",..:.� at(rF}+i 4 �, FdiZfi 19`�r 5 vM .18'fn i h 3 } f 1a,zln� sea. � ,_'�, , ^,,�: , t t r � a✓ , t t"=1 r� �°1'r ° r"��. �i . � �: � '+� ;��t, sr �,d �a .�, e ..1-Yif�r�� �-. '� ,.^ NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2ND 3 SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS DIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ."ri >g•i.Yd ,xA{y4-i`i,'kvRMsi$,�;..�$_.. ffe3,4K/.Yxc�s.' kRG, .-: 3;X`✓Plh:t�..S>f��+S 7s7 .Z. a . Eat 1y��i Jk 3r Workers Compensation Insurance affidavit must be completed and submittedwiththis application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yea ....... No.......❑ SE+C��[L'.liON. , S ■P>EtOF&WpONALI WIGm Ty�Cy��E�fi� �l > S 1�%17��3ry�Il�i Sj�p �tb 5.1 Registered Architect: Name: ZIA Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name: Address: Signature Total Not applicable ❑ Registration Number Expiration Date Name: Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name r Address ;; Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone � 4 f i� .A�%�1T�� � W r���',• a Not Applicable ❑ Company N Responsible Charge of Construction New Construction V Existing Building ❑ Repair(s) 0 Alterations(s) ❑ Addition LJ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Desc ' tion of Propo Work: ❑ ❑ B Business ❑ 2A 2B 2C USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -I 0 A-4 ❑ A-2 ❑ A-3 A-5 ❑ ❑ IA 1B ❑ ❑ B Business ❑ 2A 2B 2C ❑ ❑ ❑ C Educational ❑ F Factory 0 F-1 ❑ F-2 0 H High Hazard ❑ 3A 3B ❑ ❑ IInstitutional ❑ I-1 ❑ 1-2 ❑ I-3 ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-1 ❑ R-2 0 R-3 ❑ 5A 5B ❑ ❑ S Storage ❑ S-1 0 S-2 ❑ U Utility M Mixed Use S Special Use H1SPP:CC;f:y ci: : : 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: f v BUELDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft Independent Structural Enkmcertng Structural Peer Review Required Yes ❑ No SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMTI' I, Hereby authorize r My behalf, in all matters relative two work authorized by this buil s gnature of Owner Owner of the subject property / Heil to act on permit application Date m. m m m m m _v, H 07 C � CA CD Z y CD o C 0 a. = N �rpm =0 d C2 CD n Q �� �d CD CD o 0 MW C O VAS n C d! �fCD � v y O 10 CD Z St o CD0 O Me 'Ed 1t cn n O cn C O z cn m m ma H 0 9 2I I� cnc/)9 �. P O , w aCn S Cil �0= w ? p�¢ a 39. crrz 0 ro x Q 0 C lD N�l ��6 r FORK 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 ti 0 PHONE LOCATION: Assessor's Map Number � -- /d�l/' PARCEL, Gof off 3_7 � SUBDIVISION 40z IZ2� lG4elLOT (S) STREET ST. NUMBER. lzo �Gn2�1 111 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. SEPTICINSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT DUMPSTER PERMIT RECEIVED BY BUILDING INSPECTOR DATE FORM U - Revised 6.05 JMC eo*'ZY-Of Sent By: TOCCI BLDG CORP; Nom 7819355500; Dec -3.04 9:15AN; the CornmonWaso of Mmschu.& D*Psf&M t of kdusftl At A*r6 Oft of kwooftwuo" &W", Mess. 02111 pbm Plot sm a horn�a�rler p ng al wwk mmr. f am a sole proprISW MW lire to one yla*Mg in an�f cs�►sdbr Page 1/1 I am an ampw)w prvvfdllg work" ll*"Pn for rrryr wgloyfm tsprlditg an Ihb M. MUM 42&i2 -.FE7- a � � -5' ,fie ow bbeaasavywge��,�y,i;purwrsem„ tilt 1.eatotfte elmoral Mlir■+�imod.a.r�olae�.�..m. a.b�ehme�fa vMo1 ,D , n„ p�pp�pp��',�gr IAtbfldMomyofMtsxta modmwbsrtxwa"tomof wof dt1Nt71AAop oM reidf MjW I *hwwby W* wmb "ww mdpwzwn *fp" od a* wmmdm P►a and abor0 is tib windawrer.t CL..&— -IYA Awn. PV'21 /� Ftitt rtsrlle Oflldet wH any OR not ""in t#fit i : by , or tom oar oily or13 Town UdlMorr A' MMMO o MJ0d) s b AMPWW 0 ( UUMMAV JMK Bood Gomm AMf#Drt' � l7 smb~f OITlm Q OFFICE OF BUILDING,INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: PROJECT TITLE: Oakridge Village and Maplewood Reserve PROJECT LOCATION: Turnpike Street NAME OF BUILDING: Buildings Nos. 1-4, 6-28 NATURE OF PROJECT: New Building IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I, William D Loyall o REGISTRATION NO. 36883 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT • ARCHITECTU • STRUCTURAL • M CHANICAL a FIRE PROTECTION • ELECTRICAL • OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLAW COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. PURSUANT TO SECTION 116.2.2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. SIGNATURE SUBSCRIBED AND SWORM TO BEFORE ME THIS 16th DAY OF March 20-k5_ NOTARY PUBLIC MY COMMISSION EXPIRES 22 Dec. 2011 PROJECT NUMBER: PROJECT ✓illIj E , M PGEwo�or� � �7°t/E' - PROJECT LOCATION:��� NAME OF BUILDING: W11 -D144 NATURE OF PROJECT: ry G`''"' IN ACCORDANCE WITH ARTICLE 116 OF THE MASS�►CRHEUGIESTTTS STATE R TION NO. -TU I SSIONA BEING A REGISTERED PROFEL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY ONSRVISED THE CONCERNING: PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SP ENTIRE PROJECT a ARCHITECTURAL Ej STRUCTURAL 0 MECHANICAL 0 a OTHER (SPECIFY) FIRE PROTECTION 0 ELECTRICAL FCR . rc Ac�..'E NAM.." FR.j..E.....t�.. THAT TO To SES! OF �"!:C'�`1triEGc, uu `r: ruy^o�...�r COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE E . RA$„t�t,n�i�c � . & STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY - I FURTHER CERTIFY THAT 1 SHALL ON SITEORM THE ON REGULAR ASND PERIODIC BASIS TO DETERMINE THAT THEY PROFESSIONAL SERVICES AND B EPRWOR IS THE CONSTRUCTION CTI THE WORK IS HALL BE IN ACCORDANCE WITH THE FOR THE FOLLOWING AS SPEC FIE PNS SECTION 116.0 ROVED FORTHE BUI LDING PERMIT AND SHALL 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required filed materials. nate to the stage of construction to become. genera''a'"m!� 3. Be present at intervals appropriate if the work Lyng wiWMe progress and quality of the work and to determine, in general. performed in a.manner consistent with the mon documents- 9L TION 116.2.2 1 SHALL SUBMIT WEEKLY. A PROGRESS REP PURSUANT TO SEC � TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING I CAMpW UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS To THNC y �55 SATISFACTORY COMPLETION AND READINESS OF THE PR I �^� . A..4 -7'73 BSRIB�F�' S O THIS—�Z&DAY OF 017TrrE 206 :OTA9R '- .�. r�I�c� l)°.'?ncf4io MISSION EXPI r Y PUBLIC MY COM�ru:; - OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CN CONTROL tuws PROJECT NUMBER: PROJECT ✓illIj E , M PGEwo�or� � �7°t/E' - PROJECT LOCATION:��� NAME OF BUILDING: W11 -D144 NATURE OF PROJECT: ry G`''"' IN ACCORDANCE WITH ARTICLE 116 OF THE MASS�►CRHEUGIESTTTS STATE R TION NO. -TU I SSIONA BEING A REGISTERED PROFEL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY ONSRVISED THE CONCERNING: PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SP ENTIRE PROJECT a ARCHITECTURAL Ej STRUCTURAL 0 MECHANICAL 0 a OTHER (SPECIFY) FIRE PROTECTION 0 ELECTRICAL FCR . rc Ac�..'E NAM.." FR.j..E.....t�.. THAT TO To SES! OF �"!:C'�`1triEGc, uu `r: ruy^o�...�r COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE E . RA$„t�t,n�i�c � . & STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY - I FURTHER CERTIFY THAT 1 SHALL ON SITEORM THE ON REGULAR ASND PERIODIC BASIS TO DETERMINE THAT THEY PROFESSIONAL SERVICES AND B EPRWOR IS THE CONSTRUCTION CTI THE WORK IS HALL BE IN ACCORDANCE WITH THE FOR THE FOLLOWING AS SPEC FIE PNS SECTION 116.0 ROVED FORTHE BUI LDING PERMIT AND SHALL 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required filed materials. nate to the stage of construction to become. genera''a'"m!� 3. Be present at intervals appropriate if the work Lyng wiWMe progress and quality of the work and to determine, in general. performed in a.manner consistent with the mon documents- 9L TION 116.2.2 1 SHALL SUBMIT WEEKLY. A PROGRESS REP PURSUANT TO SEC � TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING I CAMpW UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS To THNC y �55 SATISFACTORY COMPLETION AND READINESS OF THE PR I �^� . A..4 -7'73 BSRIB�F�' S O THIS—�Z&DAY OF 017TrrE 206 :OTA9R '- .�. r�I�c� l)°.'?ncf4io MISSION EXPI r Y PUBLIC MY COM�ru:; NONriq of�,.e,,�tio ♦ 0 A ssACHuS�t Gerald A. Brown Inspector of Buildings TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts 01845 Telephone (978) 688-9545 Fax (978)688-9542 AFFIDAVIT FOR FINAL COST OF CONSTRUCTION In accordance with the provisions o the Massachusetts State Building Code, Article 1, Section 110.4 and 114.2, the total estimated cost of the construction including all related construction costs* of the building located at :Z Ac h gt tj/� y amounts to $ S`,f so .7 I, 710 M aj ,being the person referred to as the owner identified below, do solemnly swear that the statements made herein are. strictly true and correct and made in good faith. *Related construction costs included all work done with or concurrently with the work contemplated by the Building Permit including demolition, plumbing, heating, electrical, air conditioning, painting, carpentry, landscaping, site improvement, etc. Furnishings and portable equipment are not part of the total construction costs. COMMONWEALTH OF MASSACHUSETTS Signature of Owner s.s. A - t a,+ i L 20 0 b Then personally appeared the able named The vras l a,,,d,��,` and Made an oath that h above statement is true. Before, Me, IM Not Public OFFICIAL USE: Inspectional services Department 2005 FAfinalcostaffidavitfo,m Strict code enforcement makes the town safer Before buying, renting, leasing check zoning Basilicato &Lev que P C,C PAs ` Tv& BLJNESS MA-1,AGEMVNTCn.-% UURJG SERV!CES August 15, 2006 Mr. Gerald Brown Inspector of Buildings Town of North Andover Office of Building Department 400 Osgood Street North Andover, MA 01845 Dear Mr. Brown: ,h Attached are the Affidavits for Final Cost of Construction for Buildings 6-10 the remaining buildings in Phase I not previously submitted and all of the buildings 11-15 in Phase II Meadows. A breakdown of these costs is reported below. Bldg # Direct Costs Site Work Finish Work Total Phase I 6 $1,302,100 $ 264,802 $ 216911 $ 1,782,913 7 $ 58,507 -0- -0- $ 58,507 8 $ 69,510 -0- -0- $ 69,510 9 $ 758,859 $134,605 $ 109,804 S 1,003,268 10 $ 90,130 -0- -0- $ 90,130 Phase II 11 $ 755,553 $ 124,785 $ 53,554 S 933,892 12 $ 63,921 -0- -0- S 63,921 13 $ 787,967 $ 141,662 $ 60,796 $ 990,425 14 $ 753,197 $ 121,263 $ 52,042 $ 926,502 15 S 442,475 $ 75,332 $ 32,330 $ 550,137 Sincerely, x Linda M. Levesque, CPA, MST 33 WALKER ROAD • NORTH ANDOVER • MA5SACHUSEIIS 01845 • (978) 688-0676 • FAx (978) 688-4542 9 www,b-Itax.com 9 Date..............Q �. HORTM "� TOWN OF NORTH ANDOVER PERMIT FOR WIRING SAC14U This certifies that ...� ......(< w .f..... -...........z .... 1 ....,..... has permission to performs.. ,�( �!s�.«.!.t„..� �(x...... wiring in the building of...�f...... at-..... .�.... ........•• , North Andover, Mass. Fee r ! . Lic. No./...�� ELECTRICAL NS !1 Check # The Commonwealth 7U�LATIONS assachusetts Office Use Only �) rF Permit No. "TO rT.. Department of Pfety Occupancy & Fee Checked BOARD OF FIRE PREVENTION R 527 CMR 12:00 3/90 (leave blank) APPLICATION FORBPERMperformed in �ordaPEnce with the SRFeOERM ELECTRICAL WORK All work to (PLEASE PRINT IN INK OR TYPE ALL INFOR1 AT N) Date May 24, 2005 City or Town of North An�ajj v , - To the Inspector of Wires: The undersigned applies for a permit to perform the electricaWrk described below. Location (Street & Number) 2357 Turnpike Street ' owner or Tenant Valley Realty Development LLC 8 250mcm Al /4"C Owners Address 2357 Turnpike Street, North Andover, MA Furnish and install Power, Lighting, FA, Telephone for Bldg #9 Is this permit in conjunction with a building permit: Yes[] No X] (Check appropriate box) Purpose of Building Residential Building #9 Utility Authorization No. 161228 Existing Service Amps / Volts Overhead Undgmd[:] No. of Meters New Service 400 Amps 120/208 Volts Overhead Undgrnd XJ No. of Meters 1 house/6 unit Number of Feeders and Ampacity 8 250mcm Al /4"C Location and Nature of Proposed Work Furnish and install Power, Lighting, FA, Telephone for Bldg #9 Total No. of Lighting Outlets No. of Hot Tubs No. of Transformers HVA Above in, No. of Lighting Fixtures Swimming Pool rnd and Generators KVA No. of Emergency Lighting Battery No. of Receptacle -Outlets No. of Oil Burners units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and No. of Ranges No. of Air Cond. Total tons initiating Devices Heat Total Total No. of Disposals No. of .. s Tons KW No. of Sounding Devices No. of Self -Contained No. of Dishwashers Space/Area Heating KW DetectioQundin Devices No. of Dryers Heating Devices KW Local F1 Munie. Conn. Other No. of No. of Low Voltage No. of Water Heaters KW slang Ballasts WIdno No. of Hydro Massage Tubs No. of Motors Total HP Other: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws: YtS ❑ NO ❑ I have a current Liability Insurance Policy Including Completed Operations Coverage or its substantial equivalent. YES NO F -1I have submitted valid proof of same to this office. t'yo; nave checked YES, please indicate the type of coverage by checking the appropriate box: ' SURANCE ® BOND[] OTHER[] (Please specify) Carlin Insurance xprahon Date Estimated value of electrical work $ $848,100 (Total Const. Cost) Work to start Immediately Inspection Date Requested: Rough will call Final will call Signed under the penalties of perjury: FIRM NAME Consolidated Electrical Services a division of Constar ter LIC. No. 17502A Licensee Lawrence Pantano Address 661 Pleasant St. Signature MA 02062-4603 LIC. NO. Same Business Telephone No. (781)-769-7110 Alternate Telephone No. (800)-628-7110 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or it's substantial equivalent as required by Massachussets General Laws, and that my signature on this permit application waives this requirement. ❑ Owner ❑ Agent (check one) (Signature of Owner or Agent) Telephone No. Permit Fee $ 1,272.00 of �� oTM TOWN OF NORTH ANDOVER 32 °©� OFFICE OF BUILDING DEPARTMENT * C 400 Osgood Street / <y North Andover, Massachusetts 01845 61,6 SACH�SE Telephone (978) 688-9545 Gerald A. Brown Fax (978) 688-9542 Inspector of Buildings AFFIDAVIT FOR FINAL COST OF CONSTRUCTION In accordance with the provisions o the Massachusetts State Building Code, Article 1, Section 110.4 and 114.2, the total estimated cost of the construction including all related construction costs* of the building located at . & Z /P4117 amounts to $_ /,_0 0 I, ,(d,,1 „i being the person referred to as the owner identified below, do solemnly swear that the statements made herein are. strictly true and correct and made in good faith. *Related construction costs included all work done with or concurrently with the work contemplated by the Building Permit including demolition, plumbing, heating, electrical, air conditioning, painting, carpentry, landscaping, site improvement, etc. Furnishings and portable equipment are not part of the total construction costs. COMMONWEALTH OF MASSACHUSETTS Signature of Owner s.3. O Then personally ap eazed the able named ?h o M a s La %&.A ,* n i and Made an oath that the above statement is true. Before, Me, AMS Notary Public OFFICIAL USE: Inspectional services Department 2005 FAfinalcostaffidavitfoim Strict code enforcement makes the town safer Before buying, renting, leasing check zoning M Bas&cato &Levesque Pc.cPA, TA.x& BUSINESS MANAGENENr C� JSULfINC, SEMUS August 15, 2006 Mr. Gerald Brown Inspector of Buildings Town of North Andover Office of Building Department 400 Osgood Street North Andover, MA 01845 Dear Mr. Brown: it, Attached are the Affidavits for Final Cost of Construction for Buildings 6-10 the remaining buildings in Phase I not previously submitted and all of the buildings 1 I-15 in Phase II Meadows. A breakdown of these costs is reported below. Bldg # Direct Costs Site Work Finish Work Total Phase I F 6 $1,302,100 $ 264,802 $ 216011 $ 1,782,913 7 $ 58,507 -0- -0- $ 58,507 8 $ 69,510 -0- -0- $ 69,510 9 $ 758,859 $134,605 $ 109,804 $ 1,003,268 10 $ 90,130 -0- -0- $ 90,130 Phase II 11 $ 755,553 $ 124,785 $ 53,554 $ 933,892 12 $ 63,921 -0- -0- $ 63,921 13 $ 787,967 $ 141,662 .$ 60,796 $ 990,425 14 $ 753,197 $ 121,263 $ 52,042 $ 926,502 15 $ 442,475 $ 75,332 $ 32,330 $ 550,137 Sincerely, Linda M. Levesque, CPA, MST 33 WALKER ROAD • NORTH ANoom 0 MASSACHUSETfs 01845 • (978) 688.0676 • FAx (978) 688-4542 • www.b-Itax.com e� v ♦ i s •• • C+ .tom,. s � {•tea,,,,, " CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 780 (,6/23/2005) Date: Ami126. 2006 THIS CERTIFIES THAT THE BUILDING LOCATED ON 2357 Turnpike. meet Bldg 49 — 6 Units 900 Adler Way MAY BE OCCUPIED AS Tawe House - 40B Condo IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Units 901-902-903-904-905-906 Certificate Issued to: y -a y t T LL 231 Sutton Street Ste 1B North Andover MA 01845 Building Inspector 3 0 FM4 0 s? c H � c Si' .Q C O: y m f�Ea cs- 0 y C O• o0 tsc� y to *a' E cc �: N OR m , w -c o :b iw -cam I o >► ao m N �. 1� �icha .� Q' :mom m =Z o cmc Q, C Q ` ` m c C � ei�awo r� Wr=+ rZ.+ CL.S Z W �EL. 5,080 o H CD a •� �- s N � o F- Sam •A I Me law z O H m M CL O c 0 a� ca ev W CA O ca y C O O C A a Cie 3� m o L L- C2. CL C_ a J O as z ti Ci CL h C 0 W W 19 W v V v� w A WC w° vi w° U a C7 a 0 C o°G vo c H � c Si' .Q C O: y m f�Ea cs- 0 y C O• o0 tsc� y to *a' E cc �: N OR m , w -c o :b iw -cam I o >► ao m N �. 1� �icha .� Q' :mom m =Z o cmc Q, C Q ` ` m c C � ei�awo r� Wr=+ rZ.+ CL.S Z W �EL. 5,080 o H CD a •� �- s N � o F- Sam •A I Me law z O H m M CL O c 0 a� ca ev W CA O ca y C O O C A a Cie 3� m o L L- C2. CL C_ a J O as z ti Ci CL h C 0 W W 19 W Rbbert Cu -,m--- m---An-,g I � -,s- & Associates, PL---,L----,C 181 Bow Bog Road Bow, NH 03304 (603) 224-7453 boWpe(c)-comcast.net (603) 224-7467 CONSTRUCTION AFFADAVIT Subject: Maplewood Reserve Building 9 Route 114 North Andover, MA certify to the best of my knowledge, information and belief that the automatic sprinkler system installed to provide protection for the building are installed in accordance with 780CMR, MSBC 6th Edition 13R. Work associated with the fire alarm system is not within the scope of the sprinkler contractor. Installing Contractor: Hampshire Fire Protection (603) 432-8221 Engineer Name: Robert B. Cummings Company Name: Robert Cummings & Associates, PLLC Address: 181 Bow Bog Road Bow, New Hampshire 03304 Telephone: (603) 224-7453 MA Registration No.: 39299 Date: March 22, 2006 W# 0WMb*0&PkGj CHAN KRIEGER & ASSOCIATES . 8 Story Street . Cambridge MA 02138 . 617 354 5315 tel . 617 354 3252 fax . www.chankrieger.com ARCHITECTURE and URBAN DESIGN AFFIDAVIT ARCHITECTURE To: Building Inspector Town of North Andover Re: Oakridge Village — Building #9 Subj.: Building completion Lawrence A. Chan, AIA Alex Krieger, FAIA Tom Sieniewicz, AIA Alan Mountjoy, AIA Patrick Tedesco, AIA Date: 3/14/06 I, Thomas M. Sieniewicz, being a registered architect in the Commonwealth of Massachusetts, attest, as being the architect of record, that I have personally supervised the preparation of architectural plans and specifications for the project noted above. To my best knowledge, the plans and specifications comply with the requirements as set forth in the current Commonwealth of Massachusetts Building Codes. Myself or a representative of this firm has made approximately 60 site visits to review the construction and I hereby attest that, to the best of my knowledge, the construction has been completed in accordance with our plans and specifications. Sincere Thomas M. Sieniewicz, AIA, AICP Massachusetts Registration # 7969 i PLUMBING DESIGN AFFADAVIT TOWN OF NORTH ANDOVER I certify that I or my authorized representative have observed the Plumbing work for Building no. 9 at 900 Alder Way. To the best of my knowledge, information and belief, the work has been done in conformance with the approved plans and the provisions of the Massachusetts State Building Code and all other pertinent laws, rules and regulations of the town of North Andover. George Dubin Dubin Engineers 29370 Engineer MA Reg. No. 40 Willard Street, Quincy, MA 02169 617-376-8877 Address Signature March 10, 2006 Date Then personally appeared the above-named George Dubin and made oath that the above statement by him/her is true. Before, me, My Commission Expires N J. DU MT, Notary Public Commewe M of N Iu"b kkCwrftmEfcp ='K'*v 17, 2011 3:aua stotse em tt mivwrrommn3 SAM ZAX ASSOCIATES Phone: (617) 479-7415 CONSULTING ELECTRICAL ENGINEERS Fax: (617) 770-1423 E -Mail: mzaxOzaxenginecring.com 1400 Hancock Street - PO Box 690353 Quincy, MA 02169 ELECTRICAL FINAL AFFIDAVIT I, or my authorized representative, have observed the work associated with Permit No.5810, as in accordance with Section 116. of 780CMR dated 5/24/05, for 900 Alder way (building #9), located in North Andover, Ma. And to the best of my knowledge, information, and belief, the work has been done in conformance with the approved plans and with the provisions of the Massachusetts State Building Code and all other pertinent laws and regulations of the Town of North Andover. James P. Stroke 20068 ENGINEER - MASS. REG. NO. 1400 Hancock St., Quincy, MA 02169 ADDRESS March 13,2006 Date Then personally appeared the above-named James P. Stroke And made oath that the above statement by him is true. Before me, My Commission expires l0 -z� 20 ROBERT F. KRW JR. Notary Public YComMowdtComma of Massachusetts NO fly Commission Expires 1UV Octobe! 24, 2008 March 9, 2006 Tocci Buildign Corp. 660 Main Street Woburn, Ma. 01801 Re: Completion of Mechanical Services — Compliance Certificate Project: Oakridge Village — Andover, Ma. Phase I Building 9 4133 SOUTHERLAND HOUSTON TX 77092-4416 PHONE (713) 460-7300 FAX (713) 460-7301 The mechanical installation for the building referenced above has been completed using plans and specifications prepared by this office. Periodic observations visits were made by qualified individuals from this office to check for general conformation of this installation with our plans and specifications. In my opinion based on our experience, knowledge, information and belief. Installation of the mechanical system and operations has been performed in general conformance with plans and specifications prepared by this office. We further believe that we have met those requirements in so far as our responsibility for design, review of shop drawings, and periodic observations of the work for conformance is concerned. Please feel free to contact us of we may be of further assistance. tfully Adeokun, P.E. 9 o FELIX F. ADEOKUN m MECHANICAL No. 45974 9 0 2 lSTEP� NA MAR EAG\ MAR X 3 2006 0 ISD AT 9 STRUCTURAL FINAL AFFIDAVIT To the Inspectional Services Commissioner: I certify that I, or my authorized representative, have inspected the work associated with Permit No. dated , locus Oakridge Village and Maplewood Reserve Building No. 9 - Turnpike Street, North Andover, MA Ward (on the dates given below or on at least occasions during construction), and that to the best of my knowledge, information, and belief the work has been done in conformance with the pellnit and plans approved by the Inspectional Services Department and with the provisions of the Massachusetts State Building Code. Inspection Dates: 9/l/05, 11/23/05 14 December 2005 William D. Lovallo P.E. Engineer - Massachusetts Reg. No. 36883 LeMessurier Consultants Inc. Company 675 Massachusetts Avenue, Cambrid_ee, MA 02139 Address (617)868-1200 Telephone Then personally appeared the above-named William D. Lovallo and made oath that the above statement by him is true. Before me, z? Ape Notary Public My Commission expires December 22, 2011 'o .` Town of "*3*c ws ° NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: Ku'laP yd1'0gP INSPECTION DATE: Date: UNIT NO.: See Be[ow FLOOR: A1-4 WING: BUILDING NO.: 9 REMARKS: B Ld9 !� ur1 �f 5 /CiNc� 011 (2nd --S CoiaaAle—ff + %fwEl a re Sr+ - Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - finalPlumbing and /®r gas - finaf� Other: Date: Date: y-11-06 Date: Inspector Inspector Inspector (�.._ Y�r..Dma_ Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: C of O # Inspector Inspector Inspector, VA �i I Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT'' 4 PERMIT NO.: PROJECT: i - M�b�P�S INSPECTION DATE: 8 Z 3;46 UNIT NO.: FLOOR: ��'ONG�Q�"—° 1 WING: !`r b BUILDING NO.: REMARKS: 1010 "w� . i q 4 Excavation - depth and soil conditions Date: Framing - Date: Other: Date: Inspector Inspector Inspector Footings and foundations and drains - Date: Inspector Insulation - Date: Inspector Other: Date: Inspector Electrical - rough - Date: Inspector Plumbing and/or gas - rough - Date: Inspector Other: Date: Inspector Electrical- final r-1Plumbing Date: I -Z ' )ly--46 Inspector/ , /� and/or gas - final Date: Inspector Other: Date: Inspector Fire Dept - oil burner, tank, stove, smoke detectors Date: Inspector Final inspection Date: Certificate of Use and Occupancy Date: C of O # Inspector Inspector Town of North Andover Building Department 400 Osgood Street North Andover MA 01845 978-688-9545 Fax 978-688-9542 APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION ADDRESS/LOCATION OF PROPERTY: �22 /0zL1' --z 1P, DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY DOLLARD $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. Signature OFFICIAL USE ONLY �rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr�rrrrrirrrrrrrr■ ROUTING D.P.W. - WATER METER ((�� J C�,�� DATE 3j 1 -7/0 b D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. WIWA SIGNATURE/DPW AUTHORIZATION APPLICATION CERTIFICATO OF OCCUPANCY revised 11 .15.2004 Location No.Igo i 6 Date - 3L&)`�.?'.._ TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check 4 001' 0t0 37 3-3 Building Inspector CA m m m 4 m y m m y O 0 CD O CD 0 l Oq Z AL � O ?�O Ewa Q m aA 2 sar•my POO G� ql o 9Mm T zr • a m In y • � 0 p a co =r6 to oegg °C C a =r0 ME � 13m 40 c� m F �x `•� C 'Omg CLI :O w O =aQ o tow a �1 :c Nva:+' o C76 o goo •_ CIL C -3 O m =a I z 0 L7 0 0 c zto ° CCU POO G� ql o T o r n o CA oil I z 0 L7 0 0 c m m m m y m y mm v C � col o C Z ti CL n. 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H O aa.a ,cr g CL N -- m .to { N m :C N Z dMb..► N •+ Cl) .�ftc CD H Ap :moi �c CD m� 0 W Z '� c o� Q 10 =rQ 7b4b D m Los � o C.= CD : m Cn cn :03cp Cl Z tv i �J bOD IN O ❑q l • p p _ Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: f > �� r��{N �+ �`'�� INSPECTION DATE: 6-J) ` 25 UNIT NO.: FLOOR: 01'd-fif `r 1,2412 WING: 4 BUILDING NO.: i REMARKS: r f t 10et; ' '!:rt.5 t r'i�a�Lt'9�ta L{17r/'fal�%til7t Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: Date: Date: �. Inspector Inspector Inspector Electrical - rough - Plumbing and / or gas - rough - Other: 6-23-05 Dater Date: Date: Inspector Inspector X _,- Inspector y Electrical - final i Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: -Cof 0# Inspector Inspector Inspector Norm #Wb Action Press, 0tl5-7000 The Commonwealth of assachusetts Office Use Only Department of -'` BOARD OF FIRE PREVENTION I APPLICATION FOR PERN All work to be peKormed in i (PLEASE PRINT IN INK OR TYPE ALL INF City or Town of North Permit No. " iC Safety Occupancy & Fee Checked �j JLATIONS 527 CMR 12:00 3190 (leave blank) ' '! TO PERFORM ELECTRICAL WORK ' nee with the Massachusetts -Electrical Code, 527 CMR 12:00 ��-- Date'May 24, 2005 2 �t�f' To the Inspector of Wires: The undersigned applies for a permit to perform the electrirawbrk described below. Location (Street & Number) 2357 Turnpike Street owner or Tenant Valley Realty Development LLC owners Address 2357 Turnpike Street, North Andover, MA No. of Hot Tubs Total No. of Transformers KVA Is this permit in conjunction with a building permit: - Yes[] NoE] (Check appropriate box) Purpose of Building Residential Building #9 Utility Authorization No. 161228 Existing Service Amps / Volts Overhead UndgmdM No. of Meters New Service 400 Amps 120/208 Volts Overhead Undgmd Xr No. of Meters 1 house/6 unit Number of Feeders and Ampacity 8 250mcm AI / 4"C No. of Disposals Heat No. of Puma Total Total Tons KW Location and Nature of Proposed Work Furnish and install Power, Lighting, FA, Telephone for Bldg #9 No. of Lighting Outlets No. of Hot Tubs Total No. of Transformers KVA No. of Lighting Fixtures Swimming Pool Above in. ma and Generators KVA No. of Receptacle -Outlets No. of Oil Burners No. of Emergency Lighting Battery Unita 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 Inifiatna Devices No. of Disposals Heat No. of Puma Total Total Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No. of Self-Contained Detection/Soundi Devices No. of Dryers Heating Devices KW Local Munlc. Conn. Other No. of Water Heaters KW No. of sl No. of Ballasts Low Voltage Wirt irm No. of Hydro Massage Tubs No. of Motors Total HP Other: 9 - E COVERAGE: Pursuant to the requirements of Massachusetts General Laws: 0 ❑ 1 have a current Liability Insurance Policy Including Completed Operations Coverage or its substantial equivalent. 0 ❑ 1 have submitted valid proof of same to this office, checked YES, please indicatelhe type of coverage by checking the appropriate box: E ® BOND[:] OTHER (Please specify) Carlin Insurance alue of electrical work $ $848,100 (Total Const. Cost) xpuaonDate Immediately Inspection Date Requested: Rough will call Final' will call r the penalties of perjury: Consolidated Electrical Services a division of ConSlac-Hrtematbr►s� LIC NO 17502A Lawrence Pantano 661 Pleasant St: Signature _ MA 02062-4603 LIC. NO. Same e No. (781)-769-7110 Alternate Telephone No. (800)-628-7110 ►NCE WAIVER: I am aware that the Licensee does not have the insurance coverage or it's substantial equivalent as required General Laws, and that my signature on this permit application waives this requirement. ❑ Owner [:]Agent (check one) Owner or Agent) Permit Fee $ 1,272.00 Telephone No. `��itv�r�d�ll ohm 6- /s;'_.as 1J��cbiw� ►ve% % <J�-� ` "r/.c. . Date. ��� ?........ µpRTM pf 1 , 6. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION C H SS•�CNUSEtt This certifies that.. A �. �.f . A � `.� . �...... • • • .......... . has permission for gas installation .. !�{.` `...13".! .. ! in the buildings of ... `'e� ` /........................ at ..` G�. %/•<<! • •' ' • • • , North Andover, Mass. Fee.Lf .0... Lic. No. 9 ,.0 y.. GASINSPECTOR y Check # 5358 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type)V Q Irl ?0 Away v e e Mass. Date l?_ — f_ 1 g .aa ll # n Building LoPermit cation C .; Owner's Nameyil 1 e xy f De ✓ Type of Occupancy LLc New Renovation Replacement Q Plans Submitted: Yes i;y No 11 Installing Company Name Youngblood Co., Inc. Check one: Certificate Address 32 Ashland Street EX Corporation Haverhill, MA 01830-4143 rJ Partnership Business Telephone 978-373-5607 O Firm/Co. Name of Licensed Plumber or Gas Fitter David Youngblood INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch, 14Z. Yes ZJX No C7 If you have checked ves. please Indicate the -type coverage by checking the appropriate box. A liability insurance policy (�X Other type of indemnity ❑ Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner sAgent Owner(:] Agent 7 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and acL-urate to the best of my knowledge and that all plumbing worts and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene�Ljce Ely T of License: title Plumt�er S4gnature of um r or Gas Fitter Gasfitter r l/ I' Dry/TownMaster license Number 7�%"7 Joumeyman H N S W N i!f WO r en W W ti. V1 C Q U m C7 J Q W J) m in LU 1- y C a d H LU H W z U W (a = f• < of cc a G y W W C7 W a J J < _ = UA = WQ W c Q W ~ W W ~ < < W W 7 < W< C ~ >- us m ^' .r D .,, W 4 0 W �. col c y SUB—aSMT, -A- 1 1 1 H - BASEMENT 1 1ST FLOOR I ) I 2ND FLOOR 3RD FLOOR ATH FLOOR ! I STH FLOOR 6TH FLOOR 1 TTM FLOOR I STK FLOOR Installing Company Name Youngblood Co., Inc. Check one: Certificate Address 32 Ashland Street EX Corporation Haverhill, MA 01830-4143 rJ Partnership Business Telephone 978-373-5607 O Firm/Co. Name of Licensed Plumber or Gas Fitter David Youngblood INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch, 14Z. Yes ZJX No C7 If you have checked ves. please Indicate the -type coverage by checking the appropriate box. A liability insurance policy (�X Other type of indemnity ❑ Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner sAgent Owner(:] Agent 7 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and acL-urate to the best of my knowledge and that all plumbing worts and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene�Ljce Ely T of License: title Plumt�er S4gnature of um r or Gas Fitter Gasfitter r l/ I' Dry/TownMaster license Number 7�%"7 Joumeyman W W W a i a 49 Ld 0 J O z d Town of NORTH ANDOVER • BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: /`'�C �iSr bezel S INSPECTION DATE: l Z o5 UNIT NO.: V Uw�rs FLOOR: WING: BUILDING NO.: REMARKS: Excavation - depth and soil conditions Date: Inspector 4e Framing - Date: Inspector Other: Date: Inspector Footings and foundations and drains - Date: Insulation - Date: Other: Date: Inspector Inspector Inspector Electrical - o_ob - 6 U'v/ 7-5 Date: 1 ` 0(57 -dS Inspector pj`� Plumbing and/or gas -rough - Date: Inspector Other: Date: Inspector Electrical - final Date: Inspector Plumbing and/or gas - final Date: Inspector Other: e Date: Inspector Dept - oil burner, tank, stove, smoke detectors Date: Inspector Final inspection Date: Inspector Certificate of Use and Occupancy Date: C of 0# Inspector wi .ad.e Date. �. ? �T /OWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING T9 D SSACMUSE� This certifies that V'!� • • • ....... • • • • • • has permission to perform .. �Y.r ```.. `.... ........ • .. • • • plumbing in the buildings of ........ .......� f'. `.:.�`..... , North Andover, Mass. Fee6.2 ).'.. Lic. No...`'1 t C .`T ....... - l !. -?� " r . ... . PLUMBING INSPECTOR Check # f f 6587 'MASSACHUSETTS UNIFORM APPLICATION FOR PERIY TO DO PLUMBING (Print (x Type) Mass. Date 19 - Permit # -� 6u gdinq l=tJon owner's NW-ne J /� .. Type of Cccrpane`J__4�%�8lCt IN v New ❑ Replacement �] Plan Submitted: Yes Ja' No ❑ FIXTURES IrL=fing Company Name Y o u n g b l o o d C o. ,Inc . G'xc; one:. Certificate Address 32 Ashland Street � Corporatjcn Haverhill, ISA 01830-4143- ;'artner.�tiip 8usine - ' eiephcne 9 ; 8 -'_, ;- 3 6 0 ; ❑ r rm/Co. Name of (_terse =!umber David Y o u n z b i o o d IN!5.URANCE CCVERAGF- 1 Psave i current ;iacdihi insuranr pdicy ci s sub=ntiaj tp-uivalept whiCr meets the requirements cf C -L ❑X NQ ❑ l } it YOU have _-7Gcked 'yes. please '.ndicate Zhe tYPe C-OvGS3ge 0y :hccxing tete appropriate box. i A iiacuity ln4uranc= pcdc/ EXC•.har ypC of ;ttdurnrty i n i CWNER'S',±Su � RANCC ?MAP!E.--.. 1 -'.m 72WAic .�'.3I "� ie 11C'.!l:e.'e "Ce.S :ICT IdV!! Jle ;nzsUidnC.'.. u �OVC"'LItSlrw' . Zer .. �r :.e ?Hass_ Ge-ge � �ws. aria hat ,iy signature an :itis -z:•mrt acpilctlon v- p`�y cc­ :wner !: (;cnt :.�Qn1[lrrC :Jr C*ref :.r :..vnef : AQCnr hereDt/N <h3t ±i! ai `1te det dew inrorr tltion ! ;,Ave "xrCmittsa for +nteraa) 'n .ino+re :are luo nci ;ace grata c :hs ,navnaege :nd ^.at zui piurnowq wo K and 1gMZ1 _WnS Oertormee tx1ow :he Rorma =acs for 'his a0Dik=1zn mil -:e rcm:rcru of :ta :: t co+no►iac� wnh vl :nrtinent '.1a:sac-tu:,,atts nate Pfumoing i ; o .rw �71D" tlf i4c :r he nem `-aws. Title aQnawre of _'=1530 !antes =tv/ Tawn " e or i;c:�n_e: 'Avner 7 ourneymdt :- F� >>c iNl: , tensa 'Jut 2 vi N m a1 O Y < ►' an f' _ o O D Z N N << W Gam„ ` O a- H = n 'n p U m Y < W = = 3 F - x o_ x m w}< _` c a C << r- o 14 m me o 3- r •n „ v n < e m o I S[18-BSMT, j ' 9ASEMEri, ;ST FLOOR 23 1 I 1 ► 22,40 FLOOR 112 V219 Ij I Iq 1 1 1 3R0 FLOOR 1 1 1 -3 1 ( 1 1 ATH FLOOR 1 1 1 + y f 1 1 5TH FLOOR 1 1 1 1 1! 1 6TH FLOOR 7TH FLOOR IrL=fing Company Name Y o u n g b l o o d C o. ,Inc . G'xc; one:. Certificate Address 32 Ashland Street � Corporatjcn Haverhill, ISA 01830-4143- ;'artner.�tiip 8usine - ' eiephcne 9 ; 8 -'_, ;- 3 6 0 ; ❑ r rm/Co. 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