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HomeMy WebLinkAboutMiscellaneous - Exception (120)7551 1 Date..l �1 //j......... TOWN OF NORTH ANDOVER D PERMIT FOR GAS INSTALLATION This certifies that ... 7�4 ' n. �................ has permission for gas installation .... in the buildings of .. .1.�..�e`.�. !2 tf:.� ........... ......� .. . at ..� .� ...5 < L !�+ K ...�R... IS North Andover, Mass. Fee. r,�.. '. Lic. No.. ,�?. y� INSPECTOR Check # `) 3 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 OASF9TT1NG a (Print or Type) mass. Date - 201—o pent o Building Location �v ---�v,4,Owner's Flame Type of Occupancy New ❑ Renovation it Replacement Plans Submitted Yes Q No p � l 1 1 U) W sra e Z eVP7 NJ Pl S/ ; i{..�ii.. f tcc ' f z ^ X ' M� w- `fLLJLU < o f I�f 0� z i— 11 W 111 "! 1- Z t- 0> U- p 1 U J V% z < Lu F SUB-BSMT. BASEMENT IST FLOOR: I 2ND FLOOR . 1 3RD FLOOR 4TH FLOOR 5TH FLOOR STH FLOOR 7TH FLOOR } 8TH FLOOR 4H installing Company (Name_ s -l. � Y/Y �– /r!!� L tt Address u 10 j Business Telephone —7 0 Check one: Certificate *(010*'- Corporation `J ❑ Partnership i✓ Firm/Co. _ Name of Licensed Plumber or Gas Fitter p INSURANCE COVERAGE: 1 have a curre lability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes EV No O If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy pl Other type of indemnity a Bond G OWNERS INSURANCE WAIVER: l 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: aignature of Owner or Owner's Anent Owner ❑ Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the beSt-Of my knowledge and that all .plumbing work and installations performed under _the. permit issu be in compliance with all pertinent provisions ofed for this application will the Massachusetts State Plum 'ng Code and Chapter 142 of the General taws. By hof License Title lumber umber bagnature of Licensed lumber or Gas Fifier CityRoHrn bl'Master APPR0o1E0OFFICEU�SEOhit.Yl 0 Journeyman License Number—L2-5—. Date . ..D"��. / ..... NORT#j TOWN' OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION This certifies that )-�4: . . . . . /74 ... /74 .:........... has permission for gas installation ............ ......... ... in the buildings of .......... ................... at . ................... North Andover, Mass. FeC-10, Lic. Nov . ........... �G I�jl,; , O� Check #' 69b4 MYTI IoGC Z MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING h _`` // � rCoyCC' ', MA. Date: o ZA 0°► Permit# l0 City/Town:� I� co Y Building Location—I—) �C.�O.Q.`A�iY� k'm Owners Name\Qt' i 1r4k L. X-VOLY'1 Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential F. N _ New: ❑ Alteration: ❑ Renovation: Replacement: ® Plans Submitted: Yes ❑ No 31 MYTI IoGC Z H co Y F. N _ 2 LU U Cn ~ 00 W w M Z z 0 J Z O O I.W.. 5 N 2 W 00 Q W > W W m z O OF- Q W IL N O Q W = X LL W > I' U W Q W W W Z Z 0 J 1— P 9 O 0= Z —t W~= (7 LL z. W w W F- W H Z W>- o w fn J Q Q =u. __ m W oaa O Z O U) H- > Z 2 > � > o o SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3 Ku FLOOR 4 FLOOR 5 FLOOR 6 FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate # Company Name-)Z.'� ► r'+�®'1C Installing c-� � Corporation City[Town �s a In Stater Address% \Wev%%%'� 1 �" ❑ Partnership v Business Tel: �®\ Col e, Fax: ❑ Firm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes 20 No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy 9 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box ❑; I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and .. .. . .. .. . _ _ . ___I__ — --__:. t__....A c,.. atm � 1;rntinn will he in accurate to the best of my Knowleage ano inai ail piunwuiy wu, n anu u:awuauv— 1-1v .... — v w..• ..•- r-•..... •----- --- ----- mnli.nra with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By ® Plumber ❑ Gas Fitter Title [ Master City/Town []Journeyman APPROVED OFFICE USE ONLY ❑ LP Installer Signature of Licensed Plumbeerr./Gas Fitter License Number: '�NCo2. O IN x 0 7 w r w a .a z c� 0 6 Q CA p O W # F w w z O � w cG a .o o cL w N " 3 U p x° w ;0 w A F Ci Q r c7 U J ' 7N G n. a. N Q wLLIp N t=-1 U .7 O w C.1 I x 0 7 w r w a .a z c� 0 6 Q CA p O W # F w w O � w cG a a o cL w p " 3 p x° w ;0 w A F Ci Q c7 U J n. a. va Q x w a a 6 z a a w w A a c7 wLLIp .7 w � I ;a. Date ............. N2 4470 TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING 41 '�ACMUS` This certifies that ....... ............. ,has permission to perform . '..,� ��. �:`'.-``�• • • . plumbing in the buildings .. '.......... • • • .. • • . • at. Y7 . .,�...r......./... North Andover, Mass. Fee...... L No....................... Bi,1`PLUMB! G' SPECTOR Check # AYZ- WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO no PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS ^ Date -12- Building Building Location Of Permit_ Amount New ri Renovation 1:1 Replacement x Plans Submitted Yes M No (Print or type) Check one: Certificate Installing Company Name Corp. Addres W 3 0 Partner. W -&,400 c Business Telephone Firm/Co. Name ofLicensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy F1 Other type of indemnity 11 Bond ❑ Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does not have any one of the above 'three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumb Cod d apter of the General Laws. By:tgna oT.Licensea riUMDer Type of Plumbing License Title ? City/Town Lei ensse INUMDer Master Journeyman ❑ APPROVED (OFFICE USE ONLY . .r • ` I iiiiiiiiiiiiiiiiiiiiiiiii 'i;••'iiliiiiiiiiiiiiiiiiiiiiii '� •. • • iiiiii�iiiiiiiiiiiiiiiiii . • • iiiiii�iiiiiiii�iiiiiii�i ••iii�iiiiiiiiiiii�iiiiiiii : • iii�iii��iiiiii�iiiiiiiii� ••iiiiiiiiiiiiiiiiiiiiiiiii� • iiiiiiiiiiiiiii iiiiiiiii (Print or type) Check one: Certificate Installing Company Name Corp. Addres W 3 0 Partner. W -&,400 c Business Telephone Firm/Co. Name ofLicensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy F1 Other type of indemnity 11 Bond ❑ Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does not have any one of the above 'three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumb Cod d apter of the General Laws. By:tgna oT.Licensea riUMDer Type of Plumbing License Title ? City/Town Lei ensse INUMDer Master Journeyman ❑ APPROVED (OFFICE USE ONLY . TOWN OF NORTH ANDOVER BUILDING DEPARTMENT is lur uommiLS! er/ r of Buddings Date 1.1 Property 1.2 Assessors Map and Parcel Number: Q�!® Map Number .. Parcel Numbs �7-roc 0 0 e 0 1.3 Zoning Liformatim:1.4 Property Dimensions: Zarin Distrid Proposed Use Lel Area Fronts ft 1.6 BU LDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide I Provided Provided 1.7 Water Supply M.G L.c.40. 34) 1.5. Flood Zone Intoimation: 1.8 Sew -V Disposal System: Public ❑ private 0 zow Outside Flood Zone 0 Mmicilw On Sita Disposal Systam ❑ 2.1 Owner of Record t) Address for Service . signature Telephone rn 1 Address for Service: Z 1146 Telephone Z , m. � I 1.1 licensed on petvisor Not Applicable ❑ License Number o 7a2 0 / "'J' �.. .i Constru on SpPervtsor / �t ^ i d , % `� l / a Date 2Z — tignature U Tel r hone � L'. v.2 Registered mtA C'ale❑ ompaay Name Registration Number6)4e Lj m . l �p r ,j Expi� Daft ignature Telephone I. Y.taJ Workers Compensation Insurande affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance. of the building permit. Signed affidavit Attached Yea .......0 No ....... ❑ j MI—I - 5.1 Registered Architect: Name: Address Signature Telephone x. .r Area of Responsibility Name: Registration Number Address: Expitation Date Signature Total Not applicable ❑ Name: Registration Number Expiration Date Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone i Area of Responsibility Registration Number Expiration Date Name Address i Signature Telephone Not Applicable ❑ Company Name: Responsible in Charge of Construction P'l,i...i.,�e:KtN:.,.....aB..,.a.,�.. EEEEE:q#R;8;4 New Construction 0 PROPOSED Existing Building 0 Repairs) ❑ Total Area Alterations(s) ❑ Addition 0 Accessory Bldgk: 0 Demolition 0 Other ❑ Specify Brief Descri f sed Work: r USE GROUP Check as a licabfe CONSTRUCTION TYPE -A Assembly 0 A-1 ❑ A4 0 A-2 A-5 0 0 A-3 0 1A IB ❑ ❑ B'Business ❑ 2A 2B 2C 0 ❑ ❑ C Educational 0 F Facto 0 F-1 0 F-2 ❑ H High hazard ❑ 3A 3B 0 ❑ 1 Institutional , ❑ I-1 0 I-2 ❑ 1-3 ❑ M Mercantile ❑ 4 0 R residential 0 R-1 ❑ R-2 0 R-3 ❑ 5A 5B ❑ ❑ S Storage ❑ S-1 ❑ S-2 ❑ U utility 0 Specify: M Mixed Use ❑ Specify: S Special Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUIL DING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor Total Area Total Height R d Peer Review Rec Yes ❑ No 0 SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, 1 as Owner of the subject property Hereby authorize toact on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner IM as Owner/Authorized , C, knowledge and belief. Si der the pains and penalties of pe�ury M/D s— i • li Si ture of n�t JV - 'r Date 3�RER'RrSRS'L'F:il.8R�6�nY+ny�i�YR:'.Y#kY��G:��AiK 2Fr���a..'i� o -A.}' •�C�����tNas� Estimated Cost (Dollars) t be kiyrv9 ,ss�t pS.'+C;i I Completed by permitaPplicant m, (a) Building Permit Fee Multiplier (b) Estimated Total Cost oil Construction 1• • 1Building Permit fee (a) x (b 5 Fire Protection • Total � 1 �J • OF ••E WI -AM• • 1 SIZE OF FLOOR TRvMERS iST 2;L) ,1 DEMENSIONS OF i DEMENSIONS OF POSTS DMENSIONS OF: GIRDERS BEIGHT OF • •TfUCKNESS SIZE OF •• i MATERIALOF IM IS BUILDING ON SOLID OR FILLED LAND IS BUILDING • • NATURAL GAS LINE ,}- ' r`. .E c#4}`�, , ���' .�^�F'��`. �,���:7�t. �";�' h �a^'��f-'F��kl�y;y�;YiS �'� ��Y�,.;n i�+� {`$;'.-�sy�Ft a�°.. tr���.. n��'�i0. k����'�ref,��K¢a<`'�f E�}��'�'�;• `"i.�t�,? ..:i w O O E04 Ak W 0 a UJ z am C O F4gi; m C ;;O O x C ra '� O ` C y O O O w" O.� a w" w CL m ev w a X �o A o cn Ak W 0 a UJ z am O z 0 (A y0 0 V CO 0 23 CLh O V cc C cc CLy ,�I L ra CD C. y C W 0 U) N 19 W W 19 W U) C O m C ;;O O C ra O ` C y O O O O.� CL m ev O C cz O ' o 0 Ea C CD _O 'Zr : d h EE O H � cm mi :m CIE o L� 3 CD • � N C_ '3 C = m zip 42 .Z C C O W O m IO n COD .0 �fQQCm Z o o � Q=~ LC O_V •OO..ltoe-mll- CLI • C* W o �w.�Z Z .� CLSol .... ow 0 Z V a CD Is N a� O �= aMW COD � O z 0 (A y0 0 V CO 0 23 CLh O V cc C cc CLy ,�I L ra CD C. y C W 0 U) N 19 W W 19 W U) 09/28/2004 12:55 5088656809 LEO TURNER PAGE 02,'04 iF•/AR�/Jiir Y /NOiJ'�TR/E� �n TEST RESULTS Harvey Manufactured Windows and Doors • U.Factor in accordance with NERC -100-97, • Air infiltration in accordance with based on whole window value ASTM E 283 0 1.57 PSF (25mph) Harvey vlrryl windows and standard size Harvey vinyl patio doors with Low-E/Argon qualify for the ENERGY STARS program throughout the United States. 'AII vinyl windows with Lws+JAw qualify far the ENERGY STAR program ltuoughout the U.S. The use of tempered Low -E On rney affect EN :gGY STAR quafi6cation in your region. AN vokwo are subject to diange without nohcg due to pe eft rates". rn Geer Insaleted Low -E Low E/Aratm Air FW,W R-Vdm -Fsder It -Val- W?.d. R -Val. �R p cba/!C A!4YL MNQM Classic Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94 .10 Ct=.ac Doulu Hurx3 (VWded Sash & Frame) 0.49 2.04 0.36 2.70 0.33 3.03 .14 Classic Acousdcal Double Hung STC40 0.33 3.03 0.25 4.00 0.24 4.17 .17 Signature Double; Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94 .041 Slirnline Double Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 0.33 3.03 .16 5feniine Single Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 0.33 3.03 .16 Vinyl Casement/Awning 0.47 2,13 0.34 2.94 0.31 3.23 .04 Vinyl Casetnent/Awning and Thermal Panel 0.31 3.23 0.25 4.00 0.24 4.17 .04 Virnyl Designer Shapes 0.49 2.04 0.33 3.03 0.29 3.43 -- Vinyl Hopper 0.47 2.13 0.35 2.86 0.32 3.13 .03 Vinyl Picture Window 0.47 2.13 0.32 3.13 0.28 3.57 .01 Vinyl Roller- 2 Lite and 3 Lite 0.50 2.00 0.36 2,78 0.33 3,03 .09 (2 -lite) ' Test mita are based on aornr Dow Sim Nees: Tear rests for over VW windm &Awe upon request Te Pered . Tempered '[dampened DbL Temp. Air Cspar I.AW. ' Low-E/Argan Low E/Arg 11"M *08n I�ATI-�Q� U-Faaw R-Vdaie U-NOw R-Vahw U-Fackw R -Value U-Fladw R-Vdoe cfidNP � �F $oQ 50 .fl0 tl 41 x'44 0.,'4 2 44 t13S 2.9B OC . 'AII vinyl windows with Lws+JAw qualify far the ENERGY STAR program ltuoughout the U.S. The use of tempered Low -E On rney affect EN :gGY STAR quafi6cation in your region. AN vokwo are subject to diange without nohcg due to pe eft rates". 09/28/2004 12:55 5088656809 LEO TURNER PAGE 03/04 JV AN ARCMUCIVRAL Vinyl Paldo Door MOOdi vinyl Paso w" AppRcad ns: Residential Light Coxiearorcial Dh0quls" Features Custom Manufactured to Size Welded Omh Gomm ro Reinforced Sash Panels Size Un ftAtlons Standard Sizes: 5088, 606th, 8088 Custom fte— Max. Opening: 24ite Width 88`Height 92' Max 011 W 3-ftOft 144' Height 92" Max UI 228 44 to Width 197 HeigM Or Max 01276 ARCHITECTURAL SPECIFICATIONS. Gewal: ManufvWred by Harvey industries, Inc. Opwallim : Operating panel shall glide on tandem nybn adju�.rlieesb. Wheels she/ glide on a Wid anvcited aluminum monorat Stdonary panel shall be fbred at head and sill with an aluminum angle. Panels shall have p62Wve int took at the mem rail when in the do"A Rataiertak: Ennis extrusion shag be 100% virghi PVC. Jamb Emma shWl have a minimum of 8 hollows, and have a nominal wtdl tWokness of 0.100". Frame CanstsmMM: Comers shall be fnmd whh a closed cel foam sealing pad, butt -jarred and mechanically fastened with four stErintesi; steel screws per comer, andwrrd Indo kftgrd eKbuC*n screw bosses. Semen track and nail fm are inteVul to the frame, The heed and Oft oftwton shah have a minimum of 8 hollows, and have a nominal wall thickness of 0.100'. The ail shall have six tubWar hollows and a nominal wad thickness of 0.100". A vinyl over shall be snapped onto the #ted jamb inside leg to diva jamb a finished appearance. Sash Coesfim *on: Sash panels shall have mitered and Won welded toners. Sash profiles shalt have a nominal wall thit1kn0se of 0.100". Sash fame shall have five tubular hollows and shall be reinforced with a 0.0W' thIck extruded aluminum channel in the meeting nails and bcidr,ta stiles. A univus pocket perimeter on the door panel shall dose the door around the jamb frame adding Additional security and tightness. The sash shall have a remavaWe Interior snap -in glazing bead, which wig allow replacement of glass without taking the entire sash mart. A vinyl snap an interlock cover shag be applied to each of the meeting rail styles. Scram Construction: The door soreen frame shag be of heavy tabular aluminum, reiriforced at the comers with extruded corner keys for maximum Wonoth. Inswi screening shall be 18 x 16 non -glare fiberglass mesh held in place with a vinyl screen spline. Avible Finishes: Shag be solid vinyl throughout in white and almond, Wftatlrerstdpping; Ytheathet:;iripping on the main name perimeter shall be silicone treated woolpiie with a polypropylene fin in the center. Each sash meeting rail shall contain on* course of fln4ype weatherstripping and a positive interlock for a triple seal. Hatdwara: A variety of hardware and locking systems are available. See options. Gbuft: Insulating glass shall have an overall thickness of Ile' w tin a minimum 3/8" air space, Insulating qlasa sandwich shall use a one-ple0e steel Uchannel design glass spacer, and shall have a desiccant msabix extruded into the base of the U.channel. A butyl sealant oWl he extruded around the entire perimeter of the spacer to achieve a s". AN glass shag be tempered type B domestic float type. A dual durometer snap in glazing bead shall secure the glass in place along the inside perimeter. Optmns: Grids - Colonial contoured aluminum In -glass. (Xazhi8 - Low -E, Argon -Med Low -E, and beveled glass. 3 Lite Units, 4 Lite Units are available. Hardware -White, almond or bright braes ftnieh harndleeet with duo! -pant locking system and Wylock, standard. Optional muI0- point locicng system also available. Flush mount dearboit. Corrosion resistant stainless steel rollers are avatlaable. Instalkitlon: InsWation shall be in accordance with the manutacturer'S printed mizuwroons. Warranty lMbrmaBon: Available upon request. ROW to i Ann lndusWn axiom warranty for comphft details, REV07,04 09/28/2004 12:55 5088656809 LEO TURNER PAGE 04/04 c J P O r .. 00CX.wQ U Q Qw ow UA°. amx z�Q Ow Q moo° g�3 wo F -u a o o�. x A w V V pOwpop�� aw F• � °q�3 w� ooW aawHw 4O oQ a�H aoC Z. t 19/94/2994 97:19 5988b5b8U3 LtU I UMINLM �m-rte . I .9r '• ✓1LP V0477/!)Z09LI.!!BQ.(A./L Iyd .. �.���,,�ewl4. ' BOARD OF BUILDING REGULATION§T License: CONSTRUCTION'SOOERyISOR ! w. Number: CS 065281 jI �e Birthdate: 09/28/1961 Expires: 09/28/2005 Tr. no: 6728.0 Restricted: 00 j PAUL BRUNO 1841/2 SUMNER'ST r_�t E.BOSTON, MA 02128[ Administrator DATE (MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 10/25/2004 PRODUr ER 617)472-3000 FAX (617)472-7248 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Burgin, Platner, Hurley Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 14 Franklin St I HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR Quincy, MA 02169 Joanne Pilling INSURED B & M Restoration & Contracting, Inc. 107 Orleans St East Boston, MA 02128 COVFROPFS INSURERS AFFORDING COVERAGE NAIC # INsuRER A: Employer's Fire Ins Co 20648 INsuRERB: One Beacon Insurance 20621 INSURER C: AI(, INSURER D INSURER E: up�20 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN -MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR hm ADWITYPE OF INSURANCE POLICY NUMBER _ POLICY EFFECTIVE DATE (MMIDDIM 03/17/2004 POLICY EXPIRATION DATE IMMfDDfYY1 LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR FBR4409SS 03/17/2005 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED E lOO, OO PRMIqFq (Fa MED EXP (Any one person) $ S , OO PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY j� LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUT OMOBILEE LIABILITY ANY AUTO ALL OWNED AUTOS QBXB26SIO 12/13/2003T2/13/2004 COMBINED SINGLE LIMB (Ea accident) $ 1,000,000 B X SCHEDULED AUTOS HIRED AUTOS RY �p�on) S X NON-OWNEDAUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE E (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT E ANY AUTO H --OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIIIMBRELLA LIABILITY OCCUR D CLAIMS MADE EACH OCCURRENCE b AGGREGATE $ S - DEDUCTIBLE - RETENTION $ 3 - - -- - WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 87687928 V 06/10/2004 06/10/2005 X I wC STATU- oTH- LIM C ANYICER/MEETOR AR NERIE ECU IVE E.L. EACH ACCIDENT E 100,000 E.L. DISEASE - EA EMPLOYEEI $ 100,000 If yes, describe under SPECIAL PROVISIONS below OTHER E.L.DISEASE -POLICY LIMB S S00,000 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS OB: HERITAGE GREEN CONOMINIUMS, N ANDOVER, MA AFFINITY REALTY & PROPERTY MANAGEMENT LLC 63 ATLANTIC AVENUE BOSTON, MA 02110 ACORD 25 (2001/08) rANrFI I AT7nN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Michael Prenderoast/nF:m ©ACORD CORPORATION 1988 TOWN OF NORTH ANDOVER WELDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE nW USE OR OCCUPANCY OF, OR DEMOLISH , ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Section for Official Use Onl BUILDING PERMIT NUMBER: DATE ISSUED: W k- A I // -1 W SIGNA tsuilain ssl=r/ �.r-of Buildings Date "erty A": 1.2 Assessors Map and Pared Number. Map Number Number 07 - 0 017q 60 IQ to 1.3 Zoning Information: 1.4 Property Dimensions: ZonmgDvAnd Proposed Use Lot Area (sf) Fronts ip (f L) 1.6 BURRING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide ReqWred Provided Provided 1.7 Water Supply Mai -C.40. § 54) 1.5. Flood Zone i;i'o�atiou: 1.9 Sawear Disposal System: Public 0 Private 0 zooa Oubido Flood zona 0 Municipal On Site Disposal System 0 is 2.1 Owner of Record 12- 01 Name t) Add= for Servi& Signature Telephone MX 12 ent po Jame > t Address for Service: z 0 ;ifinfitum Telephone z f - - — M u Licensed Copstruction Supervisor �2Not Applicable 0 1,*,Yq = �u 6,5 d-9 %dd7I � License Number icensed S r Date -02- 2- 2� �� t ature, ign:7=�� Telephone ;.2 H Not Applicable 0 ,Home 7r,=�e ;ompany Nwwal� Registration Number 0 le /�o PJ-04-ol. r EV"m Date iff-nature C/ G) T L fiii "N.�4}' C j itis i } Y...-�. r,� �F'� 4; a. "X'n :.r-, `� Workers;Compensation Insurance affidavit must be.completed and submitted with this application. Failure to provide this affidavit will result in the denial of the I issuanw,of the building it. Attached Yea .......❑ No ....... 0 ' - {(S�1igned•affidavit .C'�.�'.."Y!4ill F... 'v^ .�"_ .• , H .Fl { •L y^' 5.1 Registered Architect: Name: Address -Signature Telephone 5 Area of Responsibility Name: Registration Number Address: Expiation Date Signature Total Not applicable ❑ Name: Registration Number Expiration Date Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name . Address Signature Telephone I Area of Responsibility Registration Number Expiration Date Name Address Signature, Telephone AMMONNOWASKOWN SWIM 1 Not Applicable ❑ Company Name: Responsible in Charge of Construction w ..... .. .. ..... .... .. .. •. ,. ... .-.,: New Construction 0 - r .vn. -.• v: c Y4 dx•.�. Existing Building ❑ vn:,0•Y .�.• 6Y<'a:F'Y.T„a:�..; .9Ti'p,+rti^`. Repair(s) 0 Number of Floors or Stories Include Basement levels Alterations(s) 0 Addition 0 Accessory Bldg, 0 Demolition ❑ Other 0 Specify Total Height ft Brie ztion of Proposed Work: � AIM4 / USE GROUP Check as a licabfe CONSTRUCTION TYPE A Assembly 0 A-1 0 A4 0 A-2 A-5 ❑ A-3 0 0 1A IB ❑ ❑ B'Business 0 2A 2B 2C 0 0 0 C Educational 0 F Factory ❑ F -I ❑ F-2 0 H High Hazard 0 3A 3B ❑ ❑ IInstitutional 0 I-1 ❑ I-2 ❑ I-3 ❑ M Mercantile ❑ 4 0 R residential ❑ R-1 0 R-2 0 R-3 ❑ 5A 5B ❑ 0 S Storage ❑ S-1 0 S-2 0 U utility 0 Specify: M Mixed Use 0 Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING ifapplicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area Total Height ft Independent Structural ERER=LAS Structural Peer Review Required Yes ❑ No 0 I SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT i I, as Owner of the subject property Hereby authorize to act on t'vly behalf, in all matters relative two work authorized by this building permit application I Signature of Owner Rate f as Owner/Authorized Ile-reby declare t the statements and information on the foregoing application are.true and accurate, to the best of my knowledge and belief. Sign der the pains and penalties of perjury Of Item 1. Building 2 Electrical 3 Plumbing 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Estimated Cost (Dollars) to be Completed by permit applicant M.1-: (a) Building Permit Fee f Multiplier (b) Estimated Total Cost of Construction from (6) ' Building Permit fee (a) x (b) Check Number NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST 2 No 3 RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE y m m OCm m m y v m so H A Z CD CLto CL a� .p .o 0 o p 06 c� "Cd CD O CZ O CD CO) O d O c y d 0 0 CD Ow �o CO) y z Al 2 rn 0 0 Cl) Pri Poo go' G C) rA CA � 7d 7d M v 1 ON3 0 09/28/2004 12:55 5088656809 LEO TURNER P HAM�1/iirY' /NC>ftJ�Tl�/E� TEST RESULTS Harvey Manufactured Windows and Doors • U -Factor in accordance with NERC -100-97, + Air infiltration in accordance with based on whole window value ASTM E 283 0 1.57 PSF (25mph) PAGE 02/04 Harvey vinyl windows and standard size Harvey vinyl patio doors with Low-E/Argon qualNy for the ENERGY STARS program throughout the United States. 'Alt vinyl windoft with L&m6FJArgon quafgy for the ENERGY STAR program tluoughout the U.S. The t" Of tampered Low -E glass try of ed ENERGY STAR qualilimbon in your region. AN values are etrbject to change vathout noticd due to parodic ro-UM". re Clear Insub"d Low -E LawlJArgtm Air .Frio. R-V.Ine -FOCW R-V &R d . R -Vohs In> oa illM MNDM Classic Double Hung (Mechanical) 0.50 2,00 0.37 2.70 0.34 2.94 .10 CWmuk Dauble Hutxi (VMded Sash & Frame) 0.49 2.04 0.30 2,70 0.33 3.03 .14 Classic Acouskal Double Hung STC40 0.33 3.03 0.25 4.00 0.24 4.17 .17 Signature Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94 .041 Slirnline Double Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 0.33 3.03 .16 Sfoniine Single Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 0.33 3.03 .16 Vinyl Casement/Awning 0.47 2.13 0.34 2.94 0.31 3.23 .04 Vinyl Casement/Awning and Thermal Panel 0.31 3.23 0.25 4.00 0.24 4.17 .04 Vinyl Designer Shapes 0.49 2.04 0.33 3.03 0.29 3.45 -- Vinyl Hopper 0.47 2.13 0.35 2.86 0.32 3.13 .03 Vinyl Picture Window 0.47 2.13 0.32 3.13 0.28 3.57 .01 Vinyl Roller - 2 Ute and 3 Ute 0.50 2.00 0.36 2.78 0.33 3.03 .09 (2 -file) •Ttw insults are bLW on cww*Wsbw MW TW resWs fororw td* ndm tHtmWe won Tempered Tempered Tempered DbL Temp. Air Clear Low•1G Low ElArgon Low E/Arg Wd r"On U -Factor R-Vda V -Four R-Vahu U -Factor R-Vdoe U -Factor R -Value CWIV '""Hitt v .�`wtinyi"�atia [lour (3 50 ~? A0 i3.d1."' 2,+dd' 0:?el 2 94' (3.35 2.86 = 69 'Alt vinyl windoft with L&m6FJArgon quafgy for the ENERGY STAR program tluoughout the U.S. The t" Of tampered Low -E glass try of ed ENERGY STAR qualilimbon in your region. AN values are etrbject to change vathout noticd due to parodic ro-UM". 09/28/2004 12:55 5088656809 LEO TURNER PAGE 03/04 JW-Af � a A� Vinyl Patio Door 11110 el: Vinyl POO Door Appltplim: Resider W Light oommerdal DhMnWs" Features Custom Manufatured to Size VWd&d Sash Comers Remforoed Seta Panels Sias llmliailons Standard Sizes: 5088, 60G8, 8tIW Custom Size— Max- opening: 24ft Wkdlh 96" Height 92" Max UI 180 3-ite Width 144' Height 92" Max UI 228 44tc Wkdth 192" Height 97 Max UI 276 ARCHITECTURAL SPECIFICATioNS. Gwwal: Ma nufakxured by Harvey Industries, Inc. Operdla : Operating panel shall Gide on tandem nylon Wjkp b whmab. VVIvels shah glide on a road anvdited aluminum monorail. Stationary panel shah be fled at head and sill with an aluminum angle_ Panels shall have poaWve inEOdook at the mem rail when in the de*ed plos"• 18ailer111ls: Freeze exttvslon shall be 10096 virgin PVC. Jamb frame shall have a minimum of 8 hollows, and have a nominal wall thickness of 0.100". From Construcmm: Comers shall be noised with a closed cell foam sealing pad, but -joined and mechanically fastened with four stainless steel straws per comer, onchond info arbgml #xtrusion screw bootee. Screen track and nag fin are kftgrW to the frame The head and Jamb extrusion shah have a minimum of 8 hollows, and have a nominal wail thickness of 0.100'. The sill shag have six tubular hollows and a nominal wall thickness; of 0.100". A vkryl corer shall be snapped onto the fixed jamb inside log to give jamb a finished appearance. Sash 0onsbtuMon: Sash panels shall have mitered and fusion welded corners. Sash profiles shall have a nominal wail t olmose of 0.109'. Sash frame d»g hwe five tabular hollows and shall be reinforced with a 0.080" thick extruded aluminum channel in the meetahg raft and Weft aides,. A milwe pocket perimretar an the door panel shall dose the door around the Jamb frame adding additional security and tightness. The sash shall have a removable interior snap -in glazing bead, which will allow replacement of glares without taking the entire sash apart, A vinyl snap on interlock cover shall be applied to each of the meeting rail styles. Sore" Construction: The door screen tame shall be of heavy %filar aluminum, reinforced at the comers with ext uded carrier keys for maximum strength. Ins".rt screening shall be 18 x 16 non -glare fibergiass mesh held in place with a vinyl screen spline. AvdWe Finishes_ Shag be solid vinyl throughout in whits and almond. VftaGw *Wpprng: Weathanetripping on the rnaln name perimeter shall be silicone treated woolpile with a polypropylene fin in the center. Each sash meeting rail dealt contain one course of fuh-We wouthemtrlpping and a positive intertock for a triple seal. HahlWare: A variety of hardware and locking systerns are available. See options. Ging: Insulating glass shall have an overall thickness of 71W' with a minimum $Ar' air space. tnsuladns qlaes sandwich shall use a one -place steel U -channel design glass spacer, and shall have a desiccant matrix extruded into the base of the I- ehannef. A butyl sesiant shell he extruded around the entire perimeter of the spacer to achieve a seal. All glass "I be tampered type 8 domestic float We. A dual durometer snap in glazing bead shall woure the glass in place along the inside perimeter. OpWns: Grids - Colonial contoured aluminum Ind. Glazing - Low -E, Argon -filled Low -E, and beveled gds. 3 Lite Units, 4 lite Units are available. Hardware -White, almond or bright braes finish handleeot with dual -pant Ioctkirhg system and keylock, standard, optional mufti - point locking system also available. Flush mount deadbdt. Con%rion resistant stainless steel rollers are evadable. Installadw: Installation shall be in accordance with the manutacurers ported into actions. Warranty Inllonnaattan: Available upon request RWINr to Harvey hubs les actval warranty for cornpkte details. REV 0704 09/28/2004 12:55 5088656809 LEO TURNER PAGE 04/04 Harvey Industries, Inc. Vinyl Patio Door (1/2 scale) 4 9116' V3 � I� C Z; QO ¢ �U U f� W w ow UNo Aa wo o z z w�a zo Fx �Awuw 0 zoA`� I co E6cvW cawH'� c� CoA 3W Ow H�Hu I'd 92LG 9S8 BOS I a8U AId 8 13IWUa W06:80 b0 bR das 10!04/2004 07; 19 5088b5b80'J btu iur:rvr-R 1 09,20 Z FL s ° s 9 R s15 CLI _ i(O0*1 a p Rmffi N Qlb CL 0 CA fit] o Z t' m'� 6y `� b:F MAI S a m O u0110 S p A Ulf aC avie 1- ,Ira wal 'j Igg 0" It $te a � 2 G �� 'A IL :. r. 010 r. rip P E 0::12 5 .0 Lift p W g m 8 m q+z SR _pS$� ✓tie r�i»nmxooriura%l�r o�.Tt'��Xaaae�r-F " BOARD OF BUILDING REGULATidS i;V OR License: CONSTRUCTION SUPERVISOR Number: CS 065281 i Birthdate: 09/28/1961 Expires: 09/28/2005 Tr. no: 6728.0 Restricted! 00 PAUL BRUNO 47 184 1/2 SUMNER ST E. BOSTON MA 02128 Administrator ACORD TE (MMICERTIFICATE OF LIABILITY INSURANCE DATE(MWDDlYYYY) 2No4 PRODu E�17)472-3000 FAX (617)472-7248 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Burgin, Platner,-Hurley Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 14 Franklin St. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Quincy, MA 02169 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Joanne Pilling INSURERS AFFORDING COVERAGE NAIC # INSURED B & M Restoration & Contracting, Inc. INsuRERA: Employer's Fire Ins Co 120648 107 Orleans St East Boston, MA 02128 CAVFROPFR INSURER B: One Beacon Insurance INSURER C: AIG INSURER D: w'f INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR A mm DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 03/17/2004 POLICY EXPIRATION LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR FBR440955 03/17/2005 EACH OCCURRENCE $ 1,000,000, '000,00 DAMAGE TO RENTED $ .ZOO OOO MED EXP (Any one person) $ S'000 PERSONAL & ADV INJURY $ 1,000,000 GENL AGGREGATE LIMB APPLIES PER: POLICY JEC LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS QBXB26510 12/13/2003 12/13/2004 COMBINED SINGLE LIMB (Ea accident) $ 11000,000 B X SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per person) X NON -OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO HOTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE 7- RETENTION L. WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC7687928 V 56/10/2004 06/10/2005 X WC STATU OTH C ANY OFFICER/ME BER EJ CLUDED? �� E.L. EACH ACCIDENT $ 100,00 0 E.L. DISEASE - EA EMPLOY - $ 100,006 If yes, describe under SPECIAL PROVISIONS below OTHER E L DISEASE - POLICY LIMIT $ S00,00 O DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS OB: HERITAGE GREEN CONOMINIUMS, N ANDOVER, MA renronwTr ■..,....-.. AFFINITY REALTY & PROPERTY MANAGEMENT LLC 63 ATLANTIC AVENUE BOSTON, MA 02110 ACORD 25 (2001108) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Michael Prenderoast/nFm ..Aw ©ACORD CORPORATION 1988