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Miscellaneous - Basswood Cir Bldg 14
t THE NEVE-MORIN GROUP, INC. Engineers • Surveyors • Environmental Consultants • Land Use Planners 447 Boston Street US Route 1 Topsfield, MA 01983 www.novemori,n.com 978-887-8586 FAX 978-887-3480 LETTER OF TRANSMITTAL Date: December 21, 2012 To: Gerald Brown Inspector of Buildings 1600 Osgood Street — Bldg 20 - Suite 2-36 North Andover, MA Re: LOMA Application 9011906rAider--W8ty.& X1401-1405;:Basswood,.Circle.. We are sending you the following: Copies Date No. Description 1 LOMA application These are transmitted as checked below: For Review / Approval x For Your Use 8As Requested For Review / Comment For Your Information For Quote For execution For Completion Remarks: Hi Gerry, Please find attached a copy of the LOMA application that was submitted for the above referenced addresses for your file. The only thing I did not give you is the Master Deed. Any questions please give me a call. Th Signed: _ Copy to: Y � � 1 DEPARTMENT OF HOMELAND SECURITY - FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. NO. 1660-0015 PROPERTY INFORMATION FORM Expkes February 28,2014 PAPERWORK BURDEN DISCLOSURE NOTICE Public reporting burden for this data collection is estimated to average 1.63 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the needed data, and completing and submitting the form. This collection is required to obtain or retain benefits. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing this burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 1800 South Bell Street, Arlington, VA 20598-3005, Paperwork Reduction Project (1660-0015). NOTE: Do not send your completed form to this address. This form may be completed by the property owner, property owners agent, licensed land surveyor, or registered professional engineer to support a request for a Letter of Map Amendment (LOMA), Conditional Letter of Map Amendment (CLOMA), Letter of Map Revision Based on Fill (LOMR-F), or Conditional Letter of Map Revision Based on Fill (CLOMR-F) for existing or proposed, single or multiple lots/structures. In order to process your request, all information on this form must be completed in its entirety, unless stated as optional. Incomplete submissions will result in processing delays. Please check the item below that describes your request: ❑ LOMA A letter from DHS -FEMA stating that an existing structure or parcel of land that has not been elevated by fill (natural grade) would not be inundated by the base flood. ❑ CLOMA A letter from DHS -FEMA stating that a proposed structure that is not to be elevated by fill (natural grade) would not be inundated by the base flood if built as proposed. ® LOMR-F A letter from DHS -FEMA stating that an existing structure or parcel of land that has been elevated by fill would not be inundated by the base flood. A letter from DHS -FEMA stating that a parcel of land or proposed structure that will be elevated by fill ❑ CLOMR-F would not be inundated by the base flood if fill is placed on the parcel as proposed or the structure is built as proposed. Fill is defined as material from any source (including the subject property) placed that raises the ground to or above the Base Flood Elevation (BFE). The common construction practice of removing unsuitable existing material (topsoil) and backfilling with select structural material is not considered the placement of fill if the practice does not alter the existing (natural grade) elevation, which is at or above the BFE. Fill that is placed before the date of the first National Flood Insurance Program (NFIP) map showing the area in a Special Flood Hazard Area (SFHA) is considered natural grade. Has fill been placed on your property to raise ground that was previously below the BFE? ® Yes ❑ No If yes, when was fill placed? April/2005 + month/year Will fill be placed on your property to raise ground that is below the BFE? ❑ Yes* ❑ No If yes, when will fill be placed? / month/year * If yes, Endangered Species Act (ESA) compliance must be documented to FEMA prior to issuance of the CLOMR-F determination (please refer page 4 to the MT -1 instructions). 1. Street Address of the Property (if request is for multiple structures or units, please attach additional sheet referencing each address and enter street names below): 901-906 Alder Way & 1401-1405 Basswood Circle 2. Legal description of Property (Lot, Block, Subdivision or abbreviated description from the Deed): Assessors Map 108C Block 39 Lots 901-906 & 1401-1405 (Oakridge Village - Maplewood Reserve 3. Are you requesting that a flood zone determination be completed for (check one): ® Structures on the property? What are the dates of construction? June 2005 (MM/YYYY) - JV ly 9 DO �v ❑ A portion of land within the bounds of the property? (A certified metes and bounds description and map of the area to be removed, certified by a licensed land surveyor or registered professional engineer, are required. For the preferred format of metes and bounds descriptions, please refer to the MT -1 Form 1 Instructions.) ❑ The entire legally recorded property? 4. Is this request for a (check one): ❑ Single structure ❑ Single lot ® Multiple structures (How many structures are involved in your request? List the number: 2) ❑ Multiple lots (How many lots are involved in your request? List the number: ) In addition to this form (MT -1 Form 1), please complete the checklist below. ALL requests must include one copy of the following: DHS - FEMA.Form 086-0-26, FEB 11 Property Information Form MT -1 Form 1 Page 1 of 2 ® Copy of the effective FIRM panel on which the structure and/or property location has been accurately plotted (property inadvertently located in the NFIP regulatory floodway, will require Section B of MT -1 Form 3) ® Copy of the Subdivision Plat Map for the property (with recordation data and stamp of the Recorders Office) OR ® Copy of the Property Deed (with recordation data and stamp of the Recorders Office), accompanied by a tax assessors map or other certified map showing the surveyed location of the property relative to local streets and watercourses. The map should include at least one street intersection that is shown on the FIRM panel. ® Form 2 —Elevation Form. If the request is to remove the structure, and an Elevation Certificate has already been completed for this property, it maybe submitted in lieu of Form 2. If the request is to remove the entire legally recorded property, or a portion thereof, the lowest lot elevation must be provided on Form 2. ® Please include a map scale and North arrow on all maps submitted. For LOMR-Fs and CLOMR-Fs, the following -must be submitted in addition to the items listed above: ® Form 3 — Community Acknowledgment Form For CLOMR-Fs, the following must be submitted in addition to the items listed above: ❑ Documented ESA compliance, which may include a copy of an Incidental Take Permit, an Incidental Take Statement, a "not likely to adversely affect" determination from the National Marine Fisheries Service (NMFS) or the U.S. Fish and Wildlife Service (USFWS), or an official letter from NMFS or USFWS concurring that the project has "No Effect" on proposed or listed species or designated critical habitat. Please refer to the MT -1 instructions for additional information. Please do not submit original documents. Please retain a copy of all submitted documents for your records. DHS -FEMA encourages the submission of all required data in a digital format (e.g. scanned documents and images on Compact Disc [CD]). Digital submissions help to further DHS-FEMA's Digital Vision and also may facilitate the processing of your request. Incomplete submissions will result in processing delays. For additional information regarding this form, including where to obtain the supporting documents listed above, please refer to the MT -1 form Instructions located at http://www.fema.gov/plan/prevent/fhm/di mt-S.shtm. Processing Fee (see instructions for appropriate mailing address; or visit http://www.fema.gov/fhm/frm fees.shtm for the most current fee schedule) Revised fee schedules are published periodically, but no more than once annually, as noted in the Federal Register. Please note: single/multiple lot(s)/structure(s) LOMAs are fee exempt. The current review and processing fees are listed below: Check the fee that applies to your request: ❑ $325 (single lot/structure LOMR-F following a CLOMR-F) ❑ $425 (single lot/structure LOMR-F) ❑ $500 (single lot/structure CLOMA or CLOMR-F) ❑ $700 (multiple lot/structure LOMR-F following a CLOMR-F, or multiple lot/structure CLOMA) ® $800 (multiple lot/structure LOMR-F or CLOMR-F) Please submit the Payment Information Form for remittance of applicable fees. Please make your check or money order payable to: National Flood Insurance Program. All documents submitted in support of this request are correct to the best of my knowledge. 1 understand that any false statement may be punishable by fine or imprisonment under Title 18 of the United States Code, Section 1001. Applicant's Name (required): Oakridge Village - Maplewood Reserve Mailing Address (required): Boston, MA 02110 63 Atlantic Avenue Company (if applicable): Affinity Realty & Property Management Daytime Telephone No. (required): 978-686-4800 C.10 sloe- So leMi Fax No. josepti@ aRini}Yr-fod+y. Com E -Mail Address (optional): ® By checking here you may receive correspondence electronically at the email address provided): Sign re Date (required) ff equired) 'V r- DHS - FEMA Form 086-0-26, FEB 11 Property Information Foran MT -1 Form 1 Page 2 of 2 DEPARTMENT OF HOMELAND SECURITY - FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. NO. 1660 -MIS ELEVATION FORM I Expires February 28, 2014 PAPERWORK BURDEN DISCLOSURE NOTICE Public reporting burden for this data collection is estimated to average 1.25 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the needed data, and completing and submitting the form. This collection is required to obtain or retain benefits. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing this burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 1800 South Bell Street, Arlington, VA 20598-3005, Paperwork Reduction Project (1660-0015). NOTE: Do not send your completed form to this address. This form must be completed for requests and must be completed and signed by a registered professional engineer or licensed land surveyor. A DHS - FEMA National Flood Insurance Program (NFIP) Elevation Certificate may be submitted in lieu of this form for single structure requests. For requests to remove a structure on natural grade OR on engineered fill from the Special Flood Hazard Area (SFHA), submit the lowest adjacent grade (the lowest ground touching the structure), including an attached deck or garage. For requests to remove an entire parcel of land from the SFHA, provide the lowest lot elevation; or, if the request involves an area described by metes and bounds, provide the lowest elevation within the metes and bounds description. All measurements are to be rounded to nearest tenth of a foot. In order to process your request, all information on this form must be completed in its entirety. Incomplete submissions will result in processing delays. 1. NFIP Community Number: 250098 Property Name or Address: 901-906 Alder Way & 1401-1405 Basswood Circle 2. Are the elevations listed below based on ® existing or ❑ Proposed conditions? (Check one) 3. For the existing or proposed structures listed below, what are the types of construction? (check all that apply) ❑ crawl space N slab on grade ❑ basement/enclosure ❑ other (explain) 4. Has DHS - FEMA identified this area as subject to land subsidence or uplift? (see instructions) [:]Yes ®No If yes, what is the date of the current re -leveling? / (month/year) 5. What is the elevation datum? ® NGVD 29 ❑ NAVD 88 ❑ Other (explain) If any of the elevations listed below were computed using a datum different than the datum used forthe effective Flood Insurance Rate Map (FIRM) (e.g., NGVD 29 or NAVD 88), what was the conversion factor? 9 BJl�d�n� Local Elevation +/-ft.= FIRM Datum � 6. Please provide the Latitude and Longitude of the most upstream edge of the structure (in decimal degrees to the nearest fifth decimal place): Indicate Datum: ® WGS84 ❑ NAD83 ❑ NAD27 `t. 2.6228 Long. -71.0606 Please the Latitude and Longitude of the most upstream edge of th� �in decimal degrees to the nearest fifth decimal place): provide Indicate Datum: ® WGS84 ❑ NAD83 ❑ NA 7 Lat. 42.6217 Long. -71.0603 Lowest Address Lot Number Block Number Lowest Lot Elevation* Adjacent Grade To Base Flood Elevation BFE Source Structure 901-906 Alder way Building 9 117.5' 114.14' FEMA Simplified Method 1401-1405 Basswood Circle Building 14 114.3' 112.50' FEMA Simplified Method This certification is to be signed and sealed by a licensed land surveyor, registered professional engineer, or architect authorized by law to certify elevation information. All documents submitted in support of this request are correct to the best of my knowledge. I understand that any false statement maybe punishable by fine or imprisonment under Title 18 of the United States Code, Section 1001, Certifier's Name: John M. Morin License No.: 39836 Expiration Date: June 30, 2014 Company Name: The Neve -Morin Group, Inc. Telephone No.: 978-887-8586 Email: john@nevemorin.com Fax No. 978-887-3480 N OF Mq Signature:a ;q Date: December 14, 2012 v `Yyk &-'L' • JOI N.M. 'sv, MORIN CIVIL , No.4061I * For requests involving a portion of property, include the lowest ground elevation within the metes and bounds description. Please note: If the Lowest Adjacent Grade to Structure is the only elevation provided, a determination will be issued for the structure only. DHS - FEMA Form 086-0-26A, FEET 11 Elevation Form MT -1 Form 2 Page 1 of 2 ' I Continued from Page 1. Lowest Adjacent Address Lot Number Block Number Lowest Lot Grade To Base Flood BFE Source Elevation* Structure Elevation This certification is to be signed and sealed by a licensed land surveyor, registered professional engineer, or.architect authorized by law to certify elevation information. All documents submitted in support of this request are correct to the best of my knowledge. I understand that any false statement may be punishable by fine or imprisonment under Title 18 of the United States Code, Section 1001. Certifier's Name: I License No.: Expiration Date: Company Name: Email: Signature: Telephone No.: Fax No. Date: * For requests involving a portion of property, include the lowest ground elevation within the metes and bounds description. Please note: If the Lowest Adjacent Grade to Structure is the only elevation provided, a determination will be issued for the structure only. Seal (optional) DHS - FEMA Form 086-0-26A, FEB 11 Elevation Form MT -1 Form 2 Page 2 of 2 DEPARTMENT OF HOMELAND SECURITY - FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. NO.1660-0015 COMMUNITY ACKNOWLEDGMENT FORM Expires February 28, 2014 PAPERWORK BURDEN DISCLOSURE NOTICE Public reporting burden for this data collection is estimated to average 1.38 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the needed data, and completing and submitting the form. This collection is required to obtain or retain benefits. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing this burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 1800 South Bell Street, Arlington, VA 20598-3005, Paperwork Reduction Project (1660-0015). NOTE: Do not send your completed form to this address. This form must be completed for requests involving the existing or proposed placement of fill (complete Section A) OR to provide acknowledgment of this request to remove a property from the SFHA which was previously located within the regulatory floodway (complete Section B). This form must be completed and signed by the official responsible for floodplain management in the community. The six digit NFIP community number and the subject property address must appear in the spaces provided below. Incomplete submissions will result in processing delays. Please refer to the MT -1 instructions for additional information about this form. Community Number: _250098 Property Name or Address: 901-906 Alder Way & 1401-1405 Basswood Circle A REQUESTS INVOLVING THE PLACEMENT OF FILL As the community official responsible for floodplain management, I hereby acknowledge that we have received and reviewed this Letter of Map Revision Based on Fill (LOMR-F) or Conditional LOMR-F request. Based upon the community's review, we find the completed or proposed project meets or is designed to meet all of the community floodplain management requirements, including the requirement that no fill be placed in the regulatoryfloodway, and that all necessary Federal, State, and local permits have been, or in the case of Conditional LOMR-F, will be obtained. For Conditional LOMR-F requests, the applicant has or will document Endangered Species Act (ESA) compliance to FEMA prior to issuance of the Conditional LOMR-F determination. For LOMR-F requests, I acknowledge that compliance with Sections 9 and 10 of the ESA has been achieved independently of FEMA's process. Section 9 of the ESA prohibits anyone from "taking" or harming an endangered species. If an action might harm an endangered species, a permit is required from U.S. Fish and Wildlife Service or National Marine Fisheries Service under Section 10 of the ESA. For actions authorized, funded, or being carried out by Federal or State agencies, documentation from the agency showing its compliance with . Section 7(a)(2) of the ESA will be submitted. In addition, we have determined that the land and any existing or proposed structures to be removed from the SFHA are or will be reasonably safe from flooding as defined in 44CFR 65.2(c), and that we have available upon request by DHS -FEMA, all analyses and documentation used to make this determination. For LOMR-F requests, we understand that this request is being forwarded to DHS - FEMA for a possible map revision. Community Comments: Community Official's Name and Title: (Please Print or Type) Telephone No.: Gerald Brown, Building. Ins ector 978-688-9545 Community Name: Commu .ty fficial's Signature: (required) Date: North Andover B. PROPERTY LOCATED WITHIN THE REGULATORY FLOODWAY As the community official responsible for floodplain management, I hereby acknowledge that we have received and reviewed this request for a LOMA. We understand that this request is being forwarded to DHS-FEMAto determine if this property has been inadvertently included in the regulatory floodway. We acknowledge that no fill on this property has been or will be placed within the designated regulatory floodway. We find that the completed or proposed project meets or is designed to meet all of the community floodplain management requirements. Community Comments: Community Official's Name and Title: (Please Print or Type) Telephone No.: Community Name: Community Official's Signature (required): Date: QHS = FEMA Form 086-0-26B, FEB 11 Community Acknowledgment Form MT -1 Form 3 Page 1 of 1 FEDERAL EMERGENCY MANAGEMENT AGENCY PAYMENT INFORMATION FORM Community Name: North Andover Project Identifier: 91-906 Alder Way & 1401-1405 Basswood Circle THIS FORM MUST BE MAILED, ALONG WITH THE APPROPRIATE FEE, TO THE ADDRESS BELOW OR FAXED TO THE FAX NUMBER BELOW. Please make check or money order payable to the National Flood Insurance Program. Type of Request: LOMC Clearinghouse ® MT -1 application 847 South Pickett Street ❑ MT -2 application} Alexandria, VA 22304-4605 Attn.: LOMC Manager l FEMA Project Library ❑ EDR application } 847 South Pickett Street JJ Alexandria, VA 22304-4605 FAX (703) 212-4090 Request No. (if known): Check No.: �- Amount: 800.00 ❑ INITIAL FEE* ❑ FINAL FEE ❑ FEE BALANCE** ❑ MASTER CARD ❑ VISA ® CHECK ❑ MONEY ORDER *Note: Check only for EDR and/or Alluvial Fan requests.(as appropriate). **Note: Check only if submitting a corrected fee for an ongoing request. COMPLETE THIS SECTION ONLY IF PAYING BY CREDIT CARD CARD NUMBER EXP. DATE . FT I I I - FFT-T--1 m m 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Month Year Date NAME (AS IT APPEARS ON CARD): (please print or type) ADDRESS: (for your credit card receipt -please print or type) I DAYTIME PHONE: Signature FEMA Form 81-107 Payment Information Form i Z_ ■ • ■ a II IN' +� t MIN OR '�..-'F''�: M. 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PROGRAM •Amount -Invoice Date Invoice Number' Voucher # Description 12/15/2012- LOMR.F APP 00100293 800..00 12/16/2012 Check 31201,.0024.5.2 800:00 .. .r . P. c>' '` `t^3?,,,�,s-' _ .,.' n.Lt'r'�' 'f'-�'s rx„e + "`�''t. ;xK,'K'` �.� r'-..'•` �''a�'.'. CRY r.Mr.:. ° �s"^ •. k:'_ .C�°.zi-fit `:.y4"_A:r`�fi, _b!Sai-,g,.._`v`.:. - -.e°..•.fw.-a' 6t -f ,tp^+Trgg .'� Lef G r.�s RUN a.;.r..,-,y-.5.,;?' #-rp -'•- F :'f ikdeitinYyr*�e9nt*ic�k3ePY*fie*4eie*�eieieieK,fe'kde***9tI e r+ PAY h :Hundred and no/TOWBO , ARS: �� � f F"'t'.. .air'°',,€`'. s'+�k,} .++'� :- r rrG� ''r .F i+✓-� . %• s, rw prtr+ `E.3Y'c�(r �'�dCf'`r: l� m �+rr -t-?� ..?N. o. ,"`}..2an.s M-. te4 >i�a "' •'�a �'"-4` �'. N.:7.H'. -# „`3k`�:�-: :sr ra-s'Fd f _ ?}wren 4jx- k -..r. 'o. '` iex x,� .5'_s°ft?,n .i -- •y ���` r� "' �`e�,,,,x. .. 'nEf �t > $ F r s. # u IP"M6i n�4t'S' F..3F.-3- Ea.- *(s 3 Ys i e �`S i*¢iArid h p• ska.1 t:K yr-o-i-� t,r e'.. �w a n .f THE NATIONAL, FLOOD INS PROGRAM : — * s Z ORDER ' c. 4 n OF AUTHO ED S�GNATURE" NOT VALID AFTER DAYS u'00245PiP �:OLL30L3901: 2L42L-&4511' �; 6165 � Date../..`..1'.5..'..... TOWN OF NORTH ANDOVER p PERMIT FOR WIRING 9 This certifies that .......... ��L........................... ............. has permission to perform, ..:.......... ...... .......................................... AI wiring in the building of ...?'.......... .. +�-�' ............ at . .... .......... . ....... ......... 6..... , North Andover, Mass. Feel.1).4M.. ... Lic. o/lft _, ��-�.r...I!,Ii,� , ELECTRICAL INSPECTOR Check # Office Use Only The Commonwealth o Massachusetts " Permit No. p' Department of Public Safety Occupancy & Fee Checked 1d6,0 0� BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 r� 0 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts -Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date September 6, 2005 City or Town of North Andover the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 2357 Turnpike Street Owner or Tenant Valley Realty Development LLC Owner's Address 2357 Turnpike Street, North Andover, MA Is this permit in conjunction with a building permit: YesEl No❑X (Check appropriate box) Purpose of Building Existing Service New Service Residential Building #14 Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Work 400 Amps 120/208 volts 8 250mcm AI / 4 "C Utility Authorization No. 161228 Overhead UndgrndE:] No. of Meters Overhead Undgrnd X❑ No. of Meters 1 house/5 unit Furnish and install Power, Lighting, FA, Telephone for Bldg #14 No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above and ln- and Generators KVA No. of Receptacle -Outlets No. of Oil Burners No. of Emergency Lighting Battery units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Ab. of Ranges No. of Air Cond. Total tons No. of Detection and initiating Devices No. of Disposals Heat No. of P..s Total Total Tons KW No, of Sounding Devices 'No. f Dishwashers S ace/Area Heatin KW No. Self -Contained 9 P 9 Detection/Sounding Devices No. of Dryers Heating Devices KW Local n Munic. conn. Other No. of Water Heaters KW No. of Signs No. of Ballasts Low Voltage Whin No. of Hydro Massage Tubs No. of Motors Total HP Other: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws: YES ❑ NO ❑ I have a current Liability Insurance Policy Including Completed Operations Coverage or its substantial equivalent. YES ® NO ❑ I have submitted valid proof of same to this office. If you have checked YES, please indicate the type of coverage by checking the appropriate box: INSURANCE ® BOND[] OTHER❑ (Please specify) Carlin Insurance _ xptra on ate Estimated value of electrical work $ $706,700 (Total Const. Cast) Work to start Immediately Inspection Date Requested: Rough will call Signed under the penalties of perjury: FIRM NAME Consolidated Electrical Services a division of Final will call LIC. No. 17502A Licensee Lawrence Pantano Signature �s111 LIC. No. Same Address 661 Pleasant St. Norwood, MA 02062-4603 *-' 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 $ 1,060.00 C I 3 A WEl D N Dio F "DOK w = _ El 2 3- CL ° n T = D 3 2 < 6' c ❑ ®❑ ❑ m ❑ ❑� c a = D D3 ° a vm Na»u n " d 3 Qaac o u 3 c %. 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CGMMUNITY:°NOGG 25Q098 .::..:::.::: AFFECTED NUMBER:25009:C0381F MAP PANEL I - Oakridge 901-906 Alder (Nay Structure X — 116.7 feel — Village/ Maplewood (Building 9) (Unshaded) Special Flood Hazard Area (SFHA) - The SFHA is an area that Would tie inundated by the flood having a 1 -percent chance of being equaled or exceeded in anv.Aiven vear (base flood). ADDITIONAL CONSIDERATIONS (Please referto the appropriate:section on Attachment 1. for the additional t;onsiderattons listed below,) , DETERMINATION TABLE (CONTINUED) PORTIONS REMAIN IN THE SFHA ZONE A This document provides ane Federal 'Emergency °Management Agencys determination regarding.. a..Yegdest for "a Letter of Map 'Revision based on Fill for the, property described above. Using .the Information submlffed. and. the effective National Flood Insurance' Program (NFIP) map, we have determined that the structure(s) on. the property(ies) Ware riot. located in the SFHA; an area inundated by the flood. having a 1 -percent chance of being .equaled or exceeded: in, any given year (base. flood). Thls document revises the effective NFIP map to remove. the subject property from the .SENA located on :the: effective NRP map therefore; the Federal mandatory flood insurance requirement does. not .apply.. However, the lender .has rhe option: to continue the .flood insurance. requ'irerrtehf to protect :Its financial risk on the loan, 'A Preferred Risk Policy (PRP) is available for buildings located.outside the SFHA. In forinatiorv.about fhe.PRP and hoWr"one can appy is enclosed. This determination Is based on the flood data presentty: available The enclosed d0currierits. provide additional information regarding_ this determination. If you have any questions about this docurnent; please cohtact . the FEMA. Map Assislahce Center toll free at (877) 336-2627' (877 -FEMA MAP) or by letter addressed to the Federal Emergency Management Agency., Engineering Library, 84.7 South Pickett Street,. Alexandria, VA 22304-4605. Wks Roddguez,.P,E„_Chief Engineering:Mahagement grandh 1 00ratlnsurance and.fvl tigation Admifiistration E: 713l201'2: ' .. .. .......... . LATITUDE. & LONGITUDE OF PROI?PRTY: FLOODING SOURCE: LOCAL FLOODING JAPPROXI.M.Att SOURCE.:OF LAT -8 LON'Q: ARCGIS 10 42.623, -71.061 DATUM: NAD. 83 DETERMINA7'I:ON. OUTCOME 1%AI>tNUAL LOWEST LOWEST BLOCK/ LOT SUBDIVISION WHAT IS :FLOOD. CHANCE ADJACENT LOT SECTION STREET REMOVED FROM. FLOOD. GRADE ELEVATION THE SFHA ZONE ELEVATION ELEVATION (NAVD S$) I - Oakridge 901-906 Alder (Nay Structure X — 116.7 feel — Village/ Maplewood (Building 9) (Unshaded) Special Flood Hazard Area (SFHA) - The SFHA is an area that Would tie inundated by the flood having a 1 -percent chance of being equaled or exceeded in anv.Aiven vear (base flood). ADDITIONAL CONSIDERATIONS (Please referto the appropriate:section on Attachment 1. for the additional t;onsiderattons listed below,) , DETERMINATION TABLE (CONTINUED) PORTIONS REMAIN IN THE SFHA ZONE A This document provides ane Federal 'Emergency °Management Agencys determination regarding.. a..Yegdest for "a Letter of Map 'Revision based on Fill for the, property described above. Using .the Information submlffed. and. the effective National Flood Insurance' Program (NFIP) map, we have determined that the structure(s) on. the property(ies) Ware riot. located in the SFHA; an area inundated by the flood. having a 1 -percent chance of being .equaled or exceeded: in, any given year (base. flood). Thls document revises the effective NFIP map to remove. the subject property from the .SENA located on :the: effective NRP map therefore; the Federal mandatory flood insurance requirement does. not .apply.. However, the lender .has rhe option: to continue the .flood insurance. requ'irerrtehf to protect :Its financial risk on the loan, 'A Preferred Risk Policy (PRP) is available for buildings located.outside the SFHA. In forinatiorv.about fhe.PRP and hoWr"one can appy is enclosed. This determination Is based on the flood data presentty: available The enclosed d0currierits. provide additional information regarding_ this determination. If you have any questions about this docurnent; please cohtact . the FEMA. Map Assislahce Center toll free at (877) 336-2627' (877 -FEMA MAP) or by letter addressed to the Federal Emergency Management Agency., Engineering Library, 84.7 South Pickett Street,. Alexandria, VA 22304-4605. Wks Roddguez,.P,E„_Chief Engineering:Mahagement grandh 1 00ratlnsurance and.fvl tigation Admifiistration 16 2 of 2 DETERIVIINATibU T Date: January 22, 2013 lCasb No,: 113M -10974A Federal Emergency Management Agency Washington, D.C. 204'72 LETTER OF MAP REVISION BASED ON FILL DETERMINATION DOCUMENT (.REMOVAL) ATTACHMENT IDDITION * AL CONS[OE-RATIONS) (A. LOT BLOCK/ SUBDIVISION SECTION . . LOMR-F I Oakridge 1401-14.05 Basswood Structure x Village/ -Circle (Building Maplewood PORTIONS OF THE PROPERTY.IRW _7 AIN- IN THE S'FHA.(This Addit - .1001* Con'sideration applies. to:the preceding 2 Properties,) Portions of this property, but not the subject of the, ent d6cum.0ht, May remain in the, Special Flood Hazard Area, Theref6re, any future constr Liction or substAhtial irnptoverhOnton the -property remains subject to Federal, State/Commonwealth, and local regulations for floodplain: madagernerit. ZONE A (This Additional to-h8ldleirEition applies to the*prece.d.in.92 Properties.) The National Flood Insurance Program map. affectin .this h PrOPPrItY depicts a Special Flood Hazard Area that was P determined using the best flood hazard data :avail8ble W:F E - 'MA , but ' with out perf6fting 6: detailed: engineering, analysis. The flood elevation used to make this determination: is based on -appr ' oximaiO methods:and.has not been formalized through the standard process for establishirrg:base flood eleVafloft8pu . Wished in thipflood Insurance Study, This flood elevation is subj[Potto chance. . s This attachment provides additional information regarding this request. if you :have any questions about this atta0hrnLht, please contact the FEMA Map Assistance Center toll free at (67 . 7) ;336 -2627(877 -FEMA MAP) or by letter. addfessed to. the Tederal 5-mergeripy, Management Agency, Engineering Library, 847 South Pickett Street, Alexandria, VA.2230.4.-4605.. Ldis.RoOdgueti: PJE,C.hief. .. ... . ....... . En anag�Tqnt-BrOnch . . ..... . .... ... ...rfl P$UY60be':9 "MItil .111jan .ga * A dMinj§1rati6n 1%ANNUAL LOEST. LOWEST WHAT IS CHANGE A)JACEN T LOT STREET REM— b:i#Rbm . ........ .. FLOOD F�00] GRADE * ELEVATION THE_ SFHA: E --EV .1 EL... AT (NAND : 88) Oakridge 1401-14.05 Basswood Structure x Village/ -Circle (Building Maplewood PORTIONS OF THE PROPERTY.IRW _7 AIN- IN THE S'FHA.(This Addit - .1001* Con'sideration applies. to:the preceding 2 Properties,) Portions of this property, but not the subject of the, ent d6cum.0ht, May remain in the, Special Flood Hazard Area, Theref6re, any future constr Liction or substAhtial irnptoverhOnton the -property remains subject to Federal, State/Commonwealth, and local regulations for floodplain: madagernerit. ZONE A (This Additional to-h8ldleirEition applies to the*prece.d.in.92 Properties.) The National Flood Insurance Program map. affectin .this h PrOPPrItY depicts a Special Flood Hazard Area that was P determined using the best flood hazard data :avail8ble W:F E - 'MA , but ' with out perf6fting 6: detailed: engineering, analysis. The flood elevation used to make this determination: is based on -appr ' oximaiO methods:and.has not been formalized through the standard process for establishirrg:base flood eleVafloft8pu . Wished in thipflood Insurance Study, This flood elevation is subj[Potto chance. . s This attachment provides additional information regarding this request. if you :have any questions about this atta0hrnLht, please contact the FEMA Map Assistance Center toll free at (67 . 7) ;336 -2627(877 -FEMA MAP) or by letter. addfessed to. the Tederal 5-mergeripy, Management Agency, Engineering Library, 847 South Pickett Street, Alexandria, VA.2230.4.-4605.. Ldis.RoOdgueti: PJE,C.hief. .. ... . ....... . En anag�Tqnt-BrOnch . . ..... . .... ... ...rfl P$UY60be':9 "MItil .111jan .ga * A dMinj§1rati6n 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 #14 Subj.: Building completion Lawrence A. Chan, AIA Alex Krieger, FAIA Tom Sieniewicz, AIA Alan Mountjoy, AIA Patrick Tedesco, AIA Date: 8/15/06 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. Sincerf t'IFtH *b - Thomas M. Sieniewicz, AIA, AICP Massachusetts Registration # 7969 im wftfy Pubik 0WAIMN OF IWiACMM My Commmion Expire March 22.2018 _ _ 2'�"AN i Robert Co � _ _s �s,citoPLLC 181 Bow Bog Road Bow, NH 03304 (603) 224-7453 bobcte(d)comcast.net (603) 224-7467 CONSTRUCTION AFFADAVIT Subject: Maplewood Reserve Building 14 Off of Route 114 N. Andover, MA I 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 and NFPA 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: August 14, 2006 RECEIVED AUG 14 2006 F OCCI BUILDING CORPORATION .F FE- I S"'.1 .+...+�.+= Vr WWAA MV ^WW; l Elft TOW- K OF 1!t]M IIM R t3�` ll fi N COMMIOL PMCUE1;T* MEIt?R - Pr+aaQCT,afl� PWIRIWTWCAIMI. 41 a it A-^� 9 OyFR NAME OF 191111.MIsk NAIIIRE � FllS.IECf;� 11 �. —[] F�-nn ► l -y � SI N ir' IFi YATk# [41WT}1E 11 ST�►Tf MSIAO- WMG A FWMS it O PV"ESSICMft QMINEEWARCHM i A IY dCEWL1FY TM t i co PLAMPNS AM SPWJKATOO COMCMW- PRIM P WEM � -OCMfTEGflM&,� 9MUCAMAL( AROW01C.11L() FM TK A80W. MUM FRAWT JM7MAT, T-QTM,WW OF MI'MiIdYILM MM fRIMl4, 90~A'i &W W%XWWATXl h EFI PIRACHOVE '!# .MR! hP'aLlC�4M,E LtM11�F8l�lO G M4� li8i � COCiIPraNG4', t ruoW,,Jk rFkl WW W p"D 1. it%lMliw4 IMr'C�knfiMlGi k1 Qlb��f A� �� !!1 a+w "=mum sr — pub** aase+rlt >�1I� � OlM �t1elAil dtlrtfa7Fy/11M6. fbFviOly s110 Tlts y pub** Aht ��4d�+�sd oa�+!41a tY�6s 3. las p1®entAt Yl�enrain 9RR�4PdM�i► � or �abudiep lo-se�rut 4b fwnMla Mwe"o Rpm +dog* Wm*wwl AvIfll RL 150- IT"v=k3 kbft pARKIF"Inaftamw 4001lilifllMlRlIlem1wing sdM11 ow P%MaUA yT TO 6FCTiC]h1 M2 :x 1 dK&LL MISW SIIIEMV . A IPS REPpRj TOGET140t'AIITH MRTMENr cr WAWS Til TM MDRrH A11 D&MR iUTLJDM Ib .FON COWX.rfQH OF TM WMKL I M4A1,1.191.IBMIT.4 FW& 04URiT AL!3 10 SA-nSFAGIMY 1;Ci1 MEnON A%V RFADIF* pF TM FRMWf IG�1R SU " 1@ED AND SMMW T0 Mr -CRE. W Ht$,o � v DF Z... .- - IvriTARY P11E1_1C btY �OEdN KAREN J. DUDLEY w - Notary Public Commonwealth of Massachusetts My Commission Expires Nov 17,2011. OF!✓gS GEORGE DUBIN N0.29370 'P p ►O,F` SFO/STERE 'n�S�ONAL E���: Y �� � .. S�.r / '�,,. (1(�r��i � .. "r :. m �, . May 22, 2006 Tocci Buildign Corp. 660 Main Street Woburn, Ma. 01801 Re: Completion of Mechanical Services — Compliance Certificate Project: Oakridge Village — Andover, Ma. Phase II Building 14 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. Respectfully Felix F. Adeokun, P.E. of M,qSSq°ti o FELIX F. G ZF ADEOKLI C)0 MECHANICAL NQ,4-5.974 ISD AF 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. 14 - 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 permit and plans approved by the Inspectional Services Department and with the provisions of the Massachusetts State Building Code. Inspection Dates: 2/22/06 23 February 2006 William D. Lovallo P.E. Engineer - Massachusetts Reg. No. 36883 LeMessurier Consultants Inc. Company 675 Massachusetts Avenue. Cambridge. 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, ell Notary Public My Commission expires_ December 22, 2011 EO c DSA fi7M 0FPVRLV3UW LPerUrdtNM0.BaW0FFIl�Is'PMVl�T11�OiVRFX,i/lA1Igi1 M7adRjzs Fees Checked APPUCA71ON FOR PERMIT TSO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WrrH THE MASSACHUSM ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Due Town of North Andover To the Inspector tres: The undersigned applies for a permit to perform the electrical work described below. JZ/ Location (Street 3 Number) d35 7 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes[:] No [:3 (Check Appropriate Boa) Purpose of Building Utility Authorization No. Existing Service Amps. olts Overhead O Underground No. of Meters New Service Amps..../...�V olts Overhead =] Underground Q No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Na of Ugh ft Outim No. of Hot Tubs No. of Mu sibmers Tots) KVA Na of Uabdag FI>;tma Swtrnadna Pod Above Balm (imrerswrs KVA No. of Receptwk Oudea No. of OB Bun o Na of F.rOe pm7 Uandna Banary th is Na of Switcb Oudea No. of Ou Own= FIRE ALARMS No. of Z.onu No. of Rendes No. of Air Cond. TOW Ton W of Deleedon od ®� No. of Dispo"k Na Of Had TOW TOW pomps Ton KW Ioidwing Devices No, ofSoundinS DA= No. of Dishwuben Spwo Arn Huff KW No. of Self CocwhW LaW DcW Othu Na of Dryer Heating Devioeu KW No. of Won Hester KW Na Of Na of Sion BAMU6 No. Hydro Mutye Tabs Na of Mown TOW HP ]ranrtaet7omage Pltaretbfrera�ierneobafMastacfaradsClmesalLaws lhatea=wI in6 ftft=raeikic,YtrrfrdrBClornM IhavesUhrri Wvaf PW,0fs=bfre0ih-. Y$4 rym hm I 1 g 0 fte bac IIVSURANC>t BCTD � t7If�R � �1mseSpt�dyj Do FsinedVatreafEh"Wadt S W0&10& t lrspeniarDaleRmad Roo Arnl *WdFbvMofpajW.. FWNANE Lit=Na 1ffi�e 10VD Liosam BTd Na AXTUNo, GWISR'SMJRANMWAMR;Ia nawndadleLimwdb„mh�lheiramtoeoone gorlts�hrearmlagiivaimtasaz}iredbyMaesacfiselttG�alLawa ardQWnVs AnonfiapearitImphM t (Please check one) Owner a Agent Telephone No. JERMrr FFA S Signalum or Owner or Xglut s;� Location �jgq ly �� 3 T urw)0j4v 1- No. 01 a s Date C/ _.0 �o�,_ TOWN OF NORTH ANDOVER o w •a? r7� • � ; , Certificate of Occupancy $ Building/Frame Permit Fee $ ') 01S Foundation Permit Fee Other Permit Fee TOTAL Check # 011711 1866 $ /I /li( , c,- -- Building Inspector / Plc � 767 SIGNATURE: 14A (6—` 1.1 Property Address: 1.2 Assessors Map and Parcel Number. 0401, Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 2.1 Own of Record Name (Print) Address for Service : a' v Signature� 7 Telephone 2.2 Authorized Agent Z/:3a Name Print Address or Service: 3.1 License ' Su - r Not Applicable 0 License Number Expiration Date Licensed Constructi Su ON Telephone 'j — Z P2Rc*gistW,red Home Improvement Contractor Not Applicable 0 Company Name Registration Number Address Eviratim Date Signature Telephone v n rn O M M z z M 90 O D Sv C rn r r z G) Workers Compensation Insurance affidavit ust be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Si ed affidavit Attached Yea ....... V No.......❑ I VMOK r 5.1 Registered Architect: j Name: Address Signature Telephone g Area of Responsibility Name: Registration Number Address: Expiration Date Signature Total Not applicable ❑ Name: Registration Number Expiration Date Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Not Applicable ❑ Company Nam Responsible in Cluge of Construction New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. 0 Dem lition ❑ Other ❑ Specify Brief Description of Proposed Work: USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly 0 A-1 ❑ A-2 0 A-3 A4 0 A-5 ❑ ❑ IA 1B ❑ 0 B Business ❑ 2A 2B 2C ❑ 0 ❑ C Educational ❑ F Factory 0 F -I 0 F-2 ❑ H High Hazard ❑ 3A 3B ❑ ❑ IInstitutional 0 I-1 0 I-2 ❑ I-3 ❑ M Mercantile ❑ 4 ❑ R residential 0 R-1 ❑ R-2 ❑ R-3 0 5A SB ❑ ❑ S Storage 0 S-1 0 S-2 ❑ U utility ❑ M Mixed Use ❑ S Special Use ❑ Specify: Specify: Specify: COMPLETE THIS SECTION IF EXLSTING 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: FM BUILDING AREA EXISTING ifapplicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor sf Total Areas Total He" t ft Structural Enaineerina Structural Peer Review Yes ❑ No 0 SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Owner of the subject property Hereby authorize My behalf; in all S' of d6er Date act on nerWy declare that the statementsand ias Owner/Authorizes# knowledge and belief. nformarion on the foregoing Signed under the pains and penalties ofapppejj licaUion are true and accurate, to the best of my b / b ury r Of Owner/) 1. B=uilding 2 Electrical 3 Plumbing 4 M� cal (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Estimated Cost (Dollars) to be P-1– .. NO.OF STORIES°` BAF-MENI OR SLAB SIZE OF FLOOR TIMBERS SPAN 1 DEMENSIONS OF SILLS DEMETVSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION SIZE OF FOOTING MATERIAL OF CFEy IS BUII,pING ON SOLID OR FHJ ED LAND IS BUII.DING CONNECTED TO NA ,..,.-....._. 1TIRAL GAS LINE SIZE X .on (a) Building Permit Fee Multiplier (b) Estimated Total Cost of Construction from (6) Builduig Permit fee (.) x (b) Check Number /f Sent By: TOM BLDG CORP; 7819355500; Dec -3.04 9:15AM; Tho C►monwSoM of chuSel(S DOPo'*Mt & kWUSftl Accj*t* ofce orl�tva� �wm, Mays. 02111 Wbr►s' A C. a J atlf o r10f11�vYIRier ming alwad MAW I om a sole ptopl a ?Me ft cm Yrofidrg in Y 7Ml am an ampi%w p workw COWsaWn for rry grfogim worfg an dit*. QMIM Page 1/1 *&TWO 00* under" p.M„ RW)9 I.Wlss'p'""0* UOnNNM pwi6d won At ee. aw FTt N.Ire�er... �.rw �/lwn . ,✓7�i �� 1 � . PM oRiCW e�aany - dv nd wnb re tliWai�si to City ar Tmn �Y �+ aQlrlar ion © LkaNnMOV Smd cxr�raapeno!►; 0 n'e aww _._. �...� p , flop&*" Ocher North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: of Facility) Signature of Permit Applicant Z? 7all Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector J i OR�AA 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 FILL$ OUT THIS SECTION APPLICANT A1/ LOCATION: Assessors Map Number ' SUBDIVISION STREET 14r�- FICIAL USE ON RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER FIRE DEPARTMENT C� DUMPSTER PERMIT PHONE PARCEL_Z2 LOT (S) 3 % ST. NUMBER RECEIVED BY BUILDING INSPECTOR DATE FORM U - RevbW 6.05 .IMC Sent By: TOM BLOB CORP; 7819355500; Dec -3-04 9:15AM; Page 111 an a � t>r'1t � taOlf! plt7pr� � jlaVe �p Of N W�:lillg �R � C: i am RR wu ftw pnvA*q w&jw cwpwmmlmfbrrnywfoWM AdM1rdLe ex..... �1L•. �. L.L..-_ 'v 1 PW 2 FiyAM� 10 Md111r00uMgbls 1eq�/o�} YgO�r�on ZSA � 114E 1Qt cwe lead b ws w�iloh darbtiwl orrw► er, a 1N� w ee ='I.bb ■1►alNyr�'inp+Irod�Ah/R�s�o�fometl�7�141O11�R�ada�ralpim0���4q�� 1 �Mlrldthr �o0py dtAlr slNNnlnl n�yr bslbnranlsd totAspRa d kr�otl0reo. d QNOIA�roori�gsMuAfe�6as. cbhwoiwapAyWNW "Paw WWI I Iies*rpm"tWa. „prwtld.enwiai.anQm� r drool Print 0OW uNan4l dv not In tlfl�iNi b dy tr tarn alllgd GyarT - E3 OW [JJChrlokii�w�ilo n�ortas i rapwi�d 0 �.....r p y,�yeJlf�oA►Jn�Al�rd�.Q�ftp q Oftr• d� u o w C v cn a U -a o w o w U c w a W a o pG c ti. a W W o cw U G w UW o w w co cn cn � m c C y O C •dam ac 'M� m : o cc �q a CL y tom: E o m o on • m c �i o o3v z • _= y : y O C O :mom acs m NJ m cc iz o cm c d C t C1 y Z 0 r C O C H C Q y m C •O = m mom,,, o N F- 0 iIl O y0„ ~ m t •Go dtO C Z oc •E n CJD •y o0 ca a m. OS J _ cc ` to = o r r 0 aACC 91 R, R, z O U 2 0 7 O CD Z o. CD CO) � C I ocm CD y CD �E m m 0 co CD 3.0 as � � L moa a CMa o *•- Cc caFL 0 CD 'p C ZCL � C3 y c C — C C — d CIO ch II -w YI W W I% W U) R;: A a w° Cf) C4 w ° 1:4 U iL 19 a U w aW. A °Cd �° C/) C ° cn o � O cc �d'fl d c O O cc O . •: a EQ �! o Cq L � CL O m p 0�CD m= 'moi o �3vz O y _ h A h1 o� CD 0 cm .�.nvo VJ OCC Of 1 �omoc `1 •:= y a _ O.CZ m a ooa m a = m : ca 'c m $ m r CO2 ID «. C cc E 5=LU L- 0 cma .y o CM C.3 a g0. s .00 o g� o t-- S a m z 0 w w a Q z O U 4-J O CM I O � 0 � y O O 'E m m 3 .o O O � i � O d a oMQ co O 2 'D O C Z CD 0 CL V CO) cc C— '� C c — C. y LLI Ck CA LU U) ce W W 19 LUW U) 0 �5 APPLICATION FOR4SEWER SERVICE CONNECTION'5 -e North Andover, Mass. Application by the undersigned is hereby made to connect with the town sewer main in r5�-�"Y.� ��Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. ! 40 `� ��_ G`J LI,�Y�I( ( j Street or subdivision lot no.�C^ c Owner Contractor Address A A cant's Signature PERMIT TO CONNECT WITH, SEWER MAIN The Division of Public Works hereby grants permission to to make a connection with the sewer main at % cik C _ i Street subject to the rules and regulations of the Division of Public Works.. Division of Public Works / 1A ay %P�f Inspected by Date See back for rules and regulations rj ��, 40 � APPLICATION FOR WATER SERVICE CONNECTION`? North Andover, Mass. �� 1 Application by the undersigned is hereby made to connect with the town water main in �'� �`r Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. or subdivision lot no. ! Owner Address Contractor Ad A icant's Signature Street PERMIT TO CONNEC WIT WATER MAI The Board of Public Works hereby grants permission to `' -G c ` to make a connection with the water main at Street subject to the rules and regulations of the Division of Public Works. Board of Public Works By Inspected by Date See back for rules and regulations v NO oTN i qi b•,n ,aSACMtt� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 225 9/28/2005 Date: August 24, 2006 THIS CERTIFIES THAT ' THE BUILDING LOCATED ON 1401, 1402, 1403,1404, 1405 Basswood Circle formerly known as 2357 Turnpike Street MAYBE OCCUPIED AS Town Houses — 5 units IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Vallg ooh LLC 231 Sutton Street Ste 1B North Andover Ma 01845 Buildin Inspector C N o Q Si ao S. y CL m 0 =i m �ac i m �. Z CD N o �-c y=.j F '.1 RLm L' C m �0m m 0— H N� 3E � O D = �.0 Cie [n,�i o 0 C2 z < e2 it. CD coo n Z y_c. a o o Nw �. eo CL o ?s:�' ` CL r Cn = CD C/)m on, COD m an ca , :w o N G C) Q 0 z m -, � CD m a4L C.CD 12 CD a��� a �► CL _ �; C Cn co A N o Y/� C ? m m N �1 . CD o 0 0 v ILI):c CD CD N _ CL CD O > > y (xj C= CD Dr CO) Cos 10 CD Z .... a IF A -o O CCD C=L C �: • CD rm CD . cn n 0. O O p p p p M 31 o a z hh w �' n W L O e N to A, y 0 9 0 c APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION Buildina Permit # ��' ® --1 j 0 ( (40Z— 1 4P,� 404- 140 -- ADDRESS/LOCATION OF PROPERTY Mapip, .41 , Parcel .17-,? 4 '® ` Lot Number SUBDIVISION DATE REQUESTED FILEDIREADY FOR INSPECTION 6-2- 1 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 DOLLARS $20.00) WILL BE CHARG96 IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING CONSERVATION PLANNING JPW - WATER METER ,dENIERIWATERCONNECTION Q NOTE 24�U�Z�Eo DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYANSPECTION REQUEST File: OC form revised 2006 f NORTH TOWN OF NORTH ANDOVER v I'to Ye4- 3� OFFICE OF A BUILDING DEPARTMENT iE �o 400 Osgood Street �vss^CHU North Andover, Massachusetts 01845 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 —/.y -%R a ss wOzY C'i . /L amounts to $ `I SG, 012 ,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. ,, s + Ile 20 Ob J Then personat a eared the able named and Made oath that the above statement is true. Before, Me, At,' _ No ary Public OFFICIAL USE: Inspectional services Department 2005 F:lfmalcostaffidavitfonn Strict code enforcement makes the town safer Before buying, renting, leasing check zoning SAM ZAX ASSOCIATES Phone: (617) 479-7415 CONSULTING ELECTRICAL ENGINEERS 1400 Hancock Street - PO Box 690353 Quincy, MA 02169 ELECTRICAL FINAL AFFIDAVIT Fax: (617)770-1423 E -Mail: mzax@zaxengineering.com I, or my authorized representative, have observed the work associated with Permit No.6065, as in accordance with Section 116. of 780CMR dated September 6,2005, for Building #14 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. AA4i James P. Stroke 20068 ENGINEER - MASS. REG. NO. JAMES P. i 1400 Hancock St., Quincy, MA 02169 STROKE j ► ADDRESS No. 68 August 15,2006 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 /0 , Z� 20 G_ ROBERT F. KRIM Jk Floury Public G0mmonweaM of Masaac.lara M My CommMlon ExpOw October 24,2W6 The Commonwealth of Massachusetts Office Use only . ' Permit No. 6 Department of Public Safety Occupancy & Fee Checked 1d6-0 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 APPLICATION FOR PERMIT TO PERFORMELECTRICA(leave blank) All work to be performed in accordance with the Massachusetts -Electrical Code , 527 CMR 12:00 L WORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 2357 Turnpike Street Date September 6, 2005 To the Inspector of Wires: /y Owner or Tenant Valley Realty Development LLC Owner's Address 2357 Turnpike Street, North Andover, MA Is this permit in conjunction with a building permit: Yes❑ NOE] (Check appropriate box) Purpose of Building Residential Building #14 Utility Authorization No. 161228 Existing Service Amps / Volts Overhead[:] Undgmd❑ No. of Meters New Service 400 Amps 120/208 Volts Overhead❑ Undgrnd x❑ No. of Meters 1 house/5 unit Number of Feeders and Ampacity 8 250mcm AI14"C Location and Nature of Proposed Work Furnish and install Powe L" h r, fig t►ng, FA, Telephone for Bldg #14 No. of Lighting Outlets No. of 'Hot Tubs No. of Transformers Total No. of Lighting Fixtures Abovein Swimming Pool KVA and Generators KVq No. of Receptacle -Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total tons No. of Detection andinitiating Devices No. of DisposalsHeat Total Total No. of puma Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No. of Self -Contained Detection/Sounding Devices No. of Dryers Heating Devices IMI Local Munic. Conn. Other No. of Water Heaters KW No. of No. of Low voltage SI ns Ballasts Whin No. of Hydro Massage Tubs No. of Motors Total HP Other: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws: YES ❑ NO ❑ I have a current Liability Insurance Policy Including Completed Operations Coverage or its substantial equivalent. YES ® NO ❑ 1 have submitted valid proof of same to this office. If you have checked YES, please indicate the type of coverage by checking the appropriate box: INSURANCE ® BOND❑ OTHER❑ (Please specify) Carlin Insurance Estimated value of electrical work $ $706,700 (Total Const. Cost) xpva ona e 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 Cons arinte LIC. NO. 17502A Licensee Lawrence Pantano Signature LIC. No. Same Address 661 Pleasant St. Norwood, MA 02062-460 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 $ 1,060.00 F r�> 0 k-- (b -"S s 0P>7 /& _ai- A4-z-� O O Office use only The Commonwealth of Massachusetts Permit No. �y 6� Department of Public Safety Occupancy & Fee Checked /4("v BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (lea bl k 1 ve an ) APPLICATION FOR PERMIT TO PESRFeOERM ELECTRICAL WORK Bperformed in accordance the (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 2357 Turnpike Street Date September6, 2005 To the Inspector of Wires: Owner or Tenant Valley Realty Development LLC Owner's Address 2357 Turnpike Street, North Andover, MA Is this permit in conjunction with a building permit: YesE] Nog] (Check appropriate box) Purpose of Building Residential Building #14 Existing Service Amps / Volts New Service 400 Amps 120/208 Volts Number of Feeders and Ampacity Location and Nature of Proposed Work Utility Authorization No. 161228 Overhead❑ Undgrnd❑ No. of Meters Overhead❑ Undgrnd E No. of Meters 1 house/5 unit 8 250mcm AI / 4 "C Furnish and install Power, Lighting, FA, Telephone for Bldg #14 No. of Lighting Outlets No. of Hot Tubs of Transformers Total No. of Lighting Fixtures Above Swimming Pool Ahmd I KVA and M Generators KVA No. of Receptacle -Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total tons No. Detection and Initiatin Devices No. of Disposals Heat Total Total No. of Pumps Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No.of Detection/Sounding ction/Contained on/Soundin Devices No. of Dryers Heating Devices KW Local F1 Munic. Conn. rl Other No. of Water Heaters KW No. of No. of Low voltage SI ns Ballasts Wiring No. of Hydro Massage Tubs No. of Motors Total HP Other: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws: YES ❑ NO ❑ I have a current Liability Insurance Policy Including Completed Operations Coverage or its substantial equivalent. YES ® NO ❑ I have submitted valid proof of same to this office. If you have checked YES, please indicate the type of coverage by checking the appropriate box: INSURANCE ® BOND[] OTHER[:] (Please specify) Carlin Insurance Estimated value of electrical work $ $706,700 (Total Const. Cost) xpira on a e 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 Licensee Lawrence Pantano Signature Address 661 Pleasant St. Norwood, MA 02062-460 LIC. No. 17502A 1 Ir Nn gAMA 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) Permit Fee $ 1,060.00 Telephone No. 717E' - NJ . f Town of SAC s '' NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: ��� J PROJECT: T6V_ Mellkyl)) INSPECTION DATE: Z - 7 - 0� UNIT NO.: �-'� �� FLOOR: WING: BUILDING NO.: Inspector REMARKS: �2 P_ y, c -e-- i 0's(/ M.4-)5 w 5y ZZ3S 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--rougkr- Plumbing and/or gas - rough- Other: Date: "-2 _e7 Date: Date: Inspector F'y '+'l Inspector. Inspector Electrical - final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector. Inspector 1h. �re Dept - JI burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: C of O # Inspector Inspector. Inspector c Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: 6c6 PROJECT: ' � kii )4S INSPECTION DATE: 2-2.()6 UNIT NO.: Sri FLOOR: REMARKS: i WING: BUILDING NO.: Iq 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 - Uw?S Plumbing and/or gas - rough - Other: /•S Date: L " Z�Q Date: Date: Inspector �rN'1 Inspector Inspector. Electrical - final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector. Inspector dire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: C of O # Inspector Inspector Inspector 1*1 X ... I Z-\_ CommoffiWeaith of Massachusetts Depa"tnent of Fire services BOARD OF'FIRE PREVENTION REGULATIONS OffivaFA7se Only - Permit No. __�� (; Occupancy and Fee Checked _ Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Ekurical Code (MEQ. 527 CMR 12.00 WORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 10/5/05 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) Oakridge Village, Maplewood - Drive OwnerorTenant Oakridge Village & Maplewood Reserve Telephone No. Owner's Address Maplewood Drive , North Andover, MA Is this permit in conjunction with a building permit? Yes ❑ NOD (Check Appropriate Box) Purpose of Building CONDOS Utility Authorization No. Existing Service. Amps / Volts Overhead ❑ Uudgrd ❑ No. of Meters NewSe Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrial Work: Installation of primary and secondary conduits with pull string i �i S • t` e No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans _ K AV/RR Py ///C ligMar yJ nrns. °• ° eta Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of lighting Fixtures Swimming Pool ❑ Above Iarnd. ❑ bmergency Batt Units rag No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. otSwitches No. of Gas Burners 140. of aad Initiatkm Devices No, or Ranges No. of Air Coad. Toa No. o f g Devices No. of Waste Disposers Heat mp Totalr. umber Mons o. ata R92qkYAkrt&% Devices No. of Dishwashers SpacelAren Heating KW Local ❑❑ Other Conneetioa No. of Dryerf Heating Appranees ICWNpeY orEquivalent No. of WaterRK Ncaters o Ballast Data W- No. of gDevic s orFauivalelit No. Hydromassage Bathtubs No. of Motors Total HP mmuatcatioasrang: No. of Devices or ntvahot OTHER: 14"m"- acrau V 00004 or as ngWrtd by the lnspeaw of fru= 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 olix antial equivalent. The undersigned oettirks that such coverage is in force, and has exhibited pmofofsame to the permit issuing office. CHECK ONE: INSURANCE [il BOND ❑ OTHER ❑ (Specify:) ct _ 2006 Estimated Value of Blecu icat Work:(Expiration Date) (Whets required by municipal policy.) Work to Start: inspections to be requested in accordance with MEC Rule 10, and upon completion. I cert&, ander the palks and penakles ofperjury, that the otm Ion is Nott h tate and eotnpleta FIRM NAME: Lauderholm Electric Company,l . LIC. NOA16672 Licensee: ' Peter W.Landerholm Sigaature LIG Nn;FRRR�� (/f applkobte. enter exempt" In the It can number tines) Bus. Tel. No. :508 Address: 19 River idn?304-30 38 Alt. Tel. No.• OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this.tt quirement. 1 am the (check one) ❑ owner ❑ owner's agent. Owner/Agent . . OSignature Telephone No. PERMIT FEE: $ I Z - .--.��: - —; jv-c- LIg, 66(z- �� D k- 5-V- U;t,b,C---jL gxe,.,a 0 A c'-- -�-- I kt 0�9,p� uk",V,4 O14- -S- t3-- v JPQ-" 0 C ' Town of Iq NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.:.;�906SS PROJECT: Imo..- —INSPECTION DATE: UNIT NO.: S FLOOR: WING: BUILDING NO.: REMARKS: __ /yo/' / 7 o z- 7! 7 l N05 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 - A&UG Plumbing and/or gas - rough - Other: Date: ' 0`9- D lo �'� Date: Date: Inspector Inspector Inspector. Electrical - final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector. Inspector ,:ire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: C of O # Inspector Inspector. Inspector I �A Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: 063 PROJECT: �� `. - }` i s l�' �-� INSPECTION DATE: UNIT NO.: 5:l V. .� FLOOR: WING: BUILDING NO.: REMARKS:�-- J 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 - j- 7 S Plumbing and/or gas - rough - Other: r Date: Z Inspector f�rl Date: Inspector Date: Inspector. Electrical - final 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: C of O # Inspector Inspector. Inspector h ,4 O O ' 1 Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: _�'- 6 PROJECT:_T /J.) INSPECTION DATE: UNIT NO.: - f FLOOR: WING: BUILDING NO.: ILI I REMARKS:e' 4 1/< <--''• Il't�.1��C r 1 Z= �5 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: ", '? " 0 6 Date: Date: Inspector t` Inspector Inspector. Electrical - final 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: C of 0# Inspector Inspector. Inspector •' c Town of `1,3usNORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: oQ KftcicjC'V1//ag F+ INSPECTION DATE; .. Y UNIT NO.: Ste Beton✓ FLOOR: ALL WING: — BUILDING NO.: REMARKS: LdA /y 5 1q61 13a 5sc�oyd C rfL f' Yoh. I yo,3 I y© y Cox",&ef e — ALL 7-eWP'S Se 4 - %— 20.06 /�y Excavation 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 - ;a.and/ gay.- rough -� Other: Date: Date: Date: Inspector Inspector. Inspector Electrical - final Plumbing and/argas - final Other: Date: Date: Date: 2d Y 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 ,....:;. ..�;,,. -. ,� . ... .,mow .. , .: .. .... ,,..- ,.., .:� �. .._ .. , ... - .. _ ., , .... -._F.. «.a. -.r .. •.rY„-�.jr�'` r' ' PERMIT NO.: UNIT NO.: _ REMARKS: MORTH O. • b Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PROJECT: V!Ila1 d L INSPECTION DATE: J -<r_ FLOOR: sir, -r r. WING: BUILDING NO.: tf j 41 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 f,Fough - Other: Date: Date: / ' . 6 Date: Inspector Inspector Inspector Electrical - final 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 rorm ff r Hcuon rrese, 000-ruuu ,r V 4 Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: no IC riI gCO V1 l FAQ P INSPECTION DATE: 1-01-06 Date: Inspector UNIT NO.: See 65PLou1/FLOOR: ACL WING: '— BUILDING NO.: REMARKS: 84,AQ / tj% " .S 44n I -f,5 — Ga5 Pitt! From Meter $Qr-S W M►eChan ita C ROO'W5 - u n r 4- # `s i yo /4 / y41.2. / 4/0.3.1 / y a y, / qo.3`. -reS+ed ro 3 psx . 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/o gas - rough - Other: Date: Date:9-06 Date: Inspector Inspector Inspector r Electrical - final 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 corm axrD Ncuon rress, can-iuw o Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: OaK r idgC VI /lau e- INSPECTION DATE: UNIT NO.: See S CL.Qkl FLOOR: A LL WING: --"" BUILDING NO.: /y REMARKS: BL -1!4 :# /Y - S- un IfS L444 ter P/ PE' 4 t irtdl Vlduu L. i n it.5 7'es ted. tD 1.2s- ani .2S•uni-#'sgt y©l�1 0;Z 1YO3 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 -lumbin nd/or gas - oug - Other: Date: Date: 51-03F Date: Inspector Inspector 1p Inspector Electrical - final 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 rorm #x mumon rrow, 000-.uuu w� \ l 0 Town of a NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT:. _ o t kf l;k4p V, Mae?P INSPECTION DATE: J UNIT NO.: SPe iPtaaJ FLOOR: WING: ---- BUILDING NO.: REM�RKS: PFJ C WQ:S re ':k V&17 -t 0-t Ufi /-,V46's 14111, W , % llu , /I,O t/, /'lar rA r a Roof Iii ll el W/-" � -'tjo ]le r 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 - qum in and /or gas - ough - Other: Date: Inspector Date: , - y Inspector .� +� ,, Date: Inspector I Electrical - final 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 rurm •= ncuun rrew, 000-iuuu f •� i. - ��w rr �++ 71 AL �i^•.A �' sYL `S' '" ° ."� ` '" a;Y" t ,t r , , ..y. . �y : : pt'N s :f ifrir • • ` r ti _. , ^. p sem:. i �- �.� ;�; �. X.1 r.10 w': * O• ��Rr1. .e .•,40 O . ; Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT:__ _OCQ K t IcW & 1/ hast a INSPECTION DATE: 1-Y-006 Date: UNIT NO.: ALL FLOOR: WING: ""P""' ` BUILDING NO.: Footings and foundations and drains - REMARKS: L&J units water Na t n From meter Room ro ind�'vidua C uh )4-s 7"e.5 -ted ?'y /ZS p5 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 - lumbin nd/or gas rou h - Other: Date: Date: ' 9 " 0 6 Date: Inspector Inspector lJ Inspector Electrical - final 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 run- Rug hcuun rras , ow-iuw Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: as Krtda e VrIla4e INSPECTION DATE: 3-16-14 UNIT NO.: FLOOR: 04A t5; a WING: BUILDING NO.: REMARKS: &J!9 # �y �f_'M P • Heater e i Ped + fe 5t,ed. one ? e m P flea ter YS4 >� B ru —` GA S 7"A G -- 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 /ogas -rough - Other: Date: Date: 3-16 -0 6 Date: t (—� Inspector Inspector `� l ...�,� _ Inspector Electrical - final 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 Form #995 Action Press, 665-7000 000000000000 00000 YOUNGBLOOD CO., INC. A, 32 Ashland Street Haverhill, Massachusetts 01831 (978) 373-5607 Lic. 2174C TO Taco L coy /00 CHANGE ORDER NO. ADDRESS f DATE 3-/6-0,6 PHONE JOB NAME AND LOCATION OQ Kr t JOB NUMBER _?O Z. — '� CraSP�Pe TPST Terap Heafe�� Bcd / DATE OF EXISTING CONTRACT QUANTITY SIZE TOTAL 9© Tro c P1.Pe 2 a u to -rZari�, 51ra,96 f- F� ¢fIn 'X (P, Q Co c4 Pl-,h l X 3.� , f O T4 L. 3 Ilan NIS WE AGREE hereby to make changes as specified above, at this price L> L> 1:> $ DATE, v� _ PREVIOUS CONTRACT AMOUNT $ (A THO IZ I A R REVISED CONTRACT AMOUNT $ ACCEPTED: The above ices and specifications of this Change Order are satisfactory and are hereby accepted. All work to be performed under same terms and conditions as specified in original contract unless otherwise stipulated. Date Signature .• ,40 o � i • 4 Town of =< vNORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: Q& kridae- whlaa go INSPECTION DATE: 6 ",2 2 -04 UNIT NO.: SPe Reta,.JFLOOR: A t C WING: BUILDING NO.: REMARKS: Re - -res r For 6a.5 raQ-s psr Noy �yoz iso �, �o� i ©. s� ,00 Grece 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/ o , as - roug Other: Date: Date: jA �' • "06 `�—� Date: Inspector Inspector. 1�,r� Inspector f Electrical - final Plumbing and/or gas - final Other: Date: Date: w Date: Inspector Inspector. Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: C of O # Inspector Inspector. Inspector