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HomeMy WebLinkAboutMiscellaneous - Main St-30w 0 'Ll. 1,�� Date ... 71 .... . ........ bq .......... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 'T'his certifies that.(��..��.t.LIA has permission to perform .... Y --e v,�cd ............................................................................................. plumbing in the buildings ...... ��A. ...................... at ..... Z -!i - 0 ..... 8 ............ North Andover, Mass. ..... Lic. No. .. .... .................................................................. .. ..... ........ ........ ...... .... Fee4*.i' PLUMBING INSPECTOR Check # �r MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ~ CITY MA DATE �iG fi-�/�( PERMIT# D JOBSITE ADDRESS Z$-3 .a ` S T OWNER'S NAME POWNER ADDRESS TEL FA TYPE OR OCCUPANCY TYPE COMMERCIAL © EDUCATIONAL 0 RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: © REPLACEMENT: PLANS SUBMITTED: YES EQ NO© FIXTURES"I FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM ( _. _ [ (_( _ I ► _�! -�{ _) __� _ t DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN A FOOD DISPOSER FLOOR / AREA DRAIN INTERCEPTOR (INTERIOR) KITCHEN SINK I _ _-.__1 LAVATORY € l _ l 1 __.__1 ____1 _-____1 ____.l _ _.1 _._.__I ..___! _{ ..--._.._J __€ ROOF DRAIN If 11 1 6 1.1 If IIIF—I F-1 SHOWER STALL € .__._! � _- �I ! _ _.._ 1 ( _� .____.. ! ! _____I - € SERVICE / MOP SINK TOILET URINAL ► ...._. _ _! __.__._ [ ____! __.__! _______( ___._-! _.__.! .____.___i ___..__! _.____...! :___. i _._..__._f ____! .WASHING MACHINE CONNECTION _---j _.. _ _ --- J WATER HEATER ALL TYPES WATER PIPING ­ERE-- OTHER 1 INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES ,"NO Ell IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ( OTHER TYPE OF INDEMNITY DI 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 Q AGENT 10 SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliancew th all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME �i _ ( LICENSE # SIGNATURE MP or JP D CORPORATION 0#PARTNERSHIP P# ( LLC [�© COMPANY NAME ADDRESS CITY T`� /Soro STATE ZIP/�TEL FAX L-^ ;CELL Jy {EMAIL__--- 0 zo R a to The Commonwealth of Massachusetts Department of IndustrialAccidihIs Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address:�'� City/State/Zip:WS Phone #:_ gam— �o /9-569 A,rree,yo an employer? Check the appropriate box: 1. L� I am a employer with �_ 4. ❑ I am a general contractor and I employees (full and/or part-time).* have Hired the sub -contractors 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet ship and'have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. E] Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions 13. ❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. i Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:, Policy # or Self -ins. Lic. Job Site Address: Expiration Date: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one=year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: �L Date Dl,--- 44. Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other - - Contact Person: Phone Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, • express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced -acceptable evidence of compliance with the insurance coverage required" Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the effi$ers or far ers, are not requife-ZI to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should , be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)" A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or' -permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of MassaphusPtis Department of Industrial Accidents Office of Investigations 600 Washington Street Boston., MA 02111 TO, # 617-727-4900 oxt 406 or 1-877rMASSAFB Revised 5-26-05 Fax # 617-727-7749 v WW.Mass,govfdza 1 w 1. 1 COMMONWEALTH OF MASSACHUSETTS PLUMBERS AND GASFITTERS LICENSED AS A MASTER PLUMBER ISSUES THE ABOVE LICENSE TO: KEVIPJ M .CASHMAN 299 WESTFORD RD TYNGSBORO .MA 01879-2410 12455 05/01/14 183753 } Location 2 e.9 'w NO. Date 40RT#1 TOWN OF NORTH ANDOVER of I 0 Certificate of Occupancy $ CH Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee s TOTAL $ Check # lnspector(�/ COMMONWEALTH OFMASSACHUSETTS TOWN OF NORTHANDOVER APPLICATION FOR CERTIFICATE OF INSPECTION Date: () Fee Required (Amount) O �-- () No Fee Required Accordance with the provisions of the Massachusetts State Building code, Section 108,15, 1 hereby apply for Certificate of Inspection for the below -named premises located at the following address: Street and -� " Number q7g 3 `c n S Name of Premises bin 10 K Purpose for which Premises is Used &; r .5R% A'l Licenses (s) or Permit (s) Required for the Premises by Other Governmenta, l Agencies: `7 Contact License or Permit Certificate to be issued to Address (ie - - Owner of Record of Building ) Address ?91- %%%f 112— Name 12,,.Name of Present Holder of Cgti icate /t/ 14-, Name of Agency, if any a�� OF PERSONS fO-TOHOM CERTIFICATE IS ISSUED OR HIS A UTHOIRIZED AGENT INSTRUCTIONS: A_gencY Telephone x'79 6,9/- ?IqV •TITE 3 050 '` DATE 1) Make check payable to: Town of North Andover 2) Return this application with your check to: Building Dept.,_ 400 Osgood Street, North Andover 1K4 01845 PLEASE NOTE: Application form with accompanying FEE must be submitted for each building or structure or part thereof to bE certified. 3) Application and fee must be received before the certificate will be issued. 4) The building officials shall be notified within ten (10) days of any change in the above information. CERTIFICATE # EXPIRATION DATE: Form revised 11.5.04 jmc FORMSBCC-3 Certificate of Inspection form TOWN OF NORTH ANDOVER INSPECTOR'S NAME OFFICE OF THE INSPECTOR OF BUILDINGS MICHAEL MCGUIRE INSPECTION REPORT FORM CLASSIFICATION PASSES INSPECTION yes 0 no 0 OWNER BUILDING NAME OR NO. STREET LOCATION DATED TYPE OF OCCUPANCY - Day Care Center 0 Aud. 0 Caft, 0 Gym 0 Apt. 0 School 0 Common Victualer's 0 Liquor Place of Assembly 0 Other �"-+� t r 5 N L OCCUPANCY NUMBER (include stories # and occupancy per floor - use reverse side��adL� E X I S T I N G S EXIST SIGN yes no LIGHTED EXIT SIGNS operable 0 yes 0 no EMERGENCY LIGHTING SYSTE M operable IS dry cell 0 wet cell 0 SPRINKLER SYSTEM operable 0 gage pressure yes 0 no —8—� SMOKE DETECTOR operable yes no FIRE ALARM SYSTEM expiration date yes .0 --no 0 ANSUL SYSTEM yes 0 no fl— FIRE ALARM SYSTEM operable municipal 0 yes &--no 0 ELECTRIC EQUIPMENT PROPERLY PROTECTED yes -fl' no 0 EGRESSES LAWFULLY DESIGNATE unobstructed .0 yes --0' no 0 STAIRS PROPERLY RAILED yes $ no 0 HALLS AND STAIRWAYS LIGHTED yes no 0 RADIATOR GUARDS yes 0 no $" COMPLIES HANDICAPPED PERSONS LAWS yes 0 no -'— FIRE RESISTANT CURTA)"YrNS OR DRAPERIES HOW HEATED "I- NO. FIREPLACES ves 0 no BOILER ROOM CONDITIO VENTILATION G C9q JD UTILITY ROOM - CLOSETS C, 0, 0 NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY SHOPS FOR INSPECTOR USE ONLY Revised 2r99 imc Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ... )3./i. -P ........................... has permission to perform .......... plumbing in the buildings of ... 14 .2 ...................... at. 2.S.-.30 .... 1471-7 .... . North Andover, Mass. Fee.3 7 Lic. No..7,>—Ib'0'-) ...... "Ie ....... C heck # 4� - - INSPeCTJR 6311 X MASSACHUSETTS UNIFORM (Type or print) NORTH ANDOVER, MASSACHUSETTS � Building Location -.�> 3fl "c" 1 c New ❑ Renovation FIXTURES TION FOR PERMIT TO DO PLUMBING Plans Submitted Yes Date Permit # Amount 37 11 No 0 (Print or type) -argue- Check one: Certificate Installing Company Name% Corp. Address 5 >o Q r'1 SL IJ R/r ❑ Pier. �Firm/Co. Business Telephone T2 -Y 77-747 47 C Name of Licensed Plumber: Insurance Coverage: Indicate the a of insurance coverage by checking the appropriate box: Liability insurance policyLj Other type of indemnity ❑ Bond ❑ Insu huce Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above surance ;thrjec' gn ture Owner ❑ Agent . ❑ ntered) ' ove application are true and accurate to the I hereby certify that all of the details and information I have subm*e,' best of my knowledge and that all plumbing work and installati e un rmit Issued for this application will be in compliance with all pertinent provisions of the Massachu et slat C d d Chapter 142 of the General Laws. By:14, igna ure cense um r Title e3 Plumbing Lic se �f> L�— City/Town icense Num5er Master Joumeyman ❑ APPROVED (OFFICE USE ONLY LaMarche Associates 5 North Road, P.O. Box 250 Chelmsford, MA 01824 978-256-8586 Fax: 978-256-8590 September 30, 2013 Building Commissioner/Inspector of Buildings NORTH ANDOVER, MA 01845 Board of Health/Board of Selectmen NORTH ANDOVER, MA 01845 NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B Claim has been made involving loss, damage or destruction of the property captioned below, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss, cause of loss and LA file number. Insured: 855 REALTY TRUST Loss Location: 34-36 MAIN STREET NORTH ANDOVER, MA 01845 Policy Number: BOP0100705319 Date of Loss: 9/26/2013 Cause of Loss: Fire LA File Number: MA -2-23364 On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. 0 &NpEPPRC LaMarche Associates, Inc.- 800-349-1525 Page 1 of 1 Kris Kirkpatrick Adjuster i •LE A @ – %jeer wenn ^rrL1t.A I JUN FUO PERMIT I U UU YLUMUINU (Print or Type) NORTH ANDOVER, Maas. Date Building Penna # Location ryl -S Owner's — / Ca �u Name -� nk K Po" New ❑ Renovation ,$l Replacement ❑ Pians Submitted: Yes ❑ No. FIXTURES Check one: Certificate Installing Company Name V1 y! Q�� I . Address El Corp. ❑ Partnership 13FIrm/co. Business Telephone- .Name elephone.Name d Ucensed Plumber— -y1:0 ' INSURANCE COVERAGE: ec one I have a current Ilabllty Insurance policy or Its substantial equWenL Yes ❑ No If you have checked M, please Indicate the - -- type coverage by checking the appropriate box: A Itabllly insurance PoticY_ :❑ ... "'Other type of Indemnity ❑ Bond ❑ _.......... .....-,..-:- _. OWNER'S INSURANCE WANEM 1 am aware that the licensee does not have the Insurance coverage^iequlred by Chapter 142 of the Maas. general Laws. and that my ofgnature on this permit Application- waives .Wa _. _ _ ......_ Check one: _.. _._. emaai.— - „»n _._. Owner [& . �. a(urs o er a Owners roent� I hereby mft that all of the detalls and information I have submitted fa entered) In above application agw bue..and-seemata la "best, knowledge and that all plumbtnq work and initaltations performed under the pe rtM laswd fa Wa application will be.In pertinen provisions of the Massachusetts Slate Plumbing Code and Chapter 142 of s3ener compAance with all >� 17 This Sign9tals o ansa Clty/Town License Number %CJ vr'fiit wo (OFFICE USE ONLY) Type of Plumbing Lkense. Marler ❑ Journeyman 0 Date.7 11f11q 3398 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING I ULM* ACHU This certifies that y- -* ........... .. has permission to perform ... c.#-. 'e."-�A Q ................ plumbing in the buildings of .... el.q. ".7. 0 P ............. at ................. North Andover, Mass. Fee/.-�.J—, 7. . Lic. No.. ............................. PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 1-6cation 10 No. � 2, IS " 1- 7 b S K Date S- 2 L TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Serw6r Connection Fee $ Water Connection Fee $ � k, -11 1/ q t I �, " TOTAL $ -7 Building In!i-pect6r Div. Public Works 4 . ,to b m ;d d a y z H H d N E C 2 O rt no ::I, y H O M O rt w O rt a c O (n H t-+ rt rt rt C Cn � rD (D a n o ::1 n rt a 7d z a o (D O a n rt cn H O C (D :3 M (D (n cn w F H rirt O M rt w O �l (n M (D A. rt H O rt (D O (D b (D H i (D n r w n (D w ro m 0 04 E b O rt F� . rt ri 0 w d : (D w 0 •7cr cn F' • F-' w(D rt n 00 rt 0 o �v � :d QQ O •� (D ::j Oo UQ rt .�•. G O M rti F- FJ- �3' w rt F- H. rt ::' (D (n .V o r D (n FJ - rt a `j :;' H. Cn Fl • rt (D (n ID 0 (D rn rt Qo O �3 H. C M w O F�M F- X w H- rt n O rn o En w (D �0 c �J c O F'• a (D F� n a rt � (n rt O �3 n r* (D rt (D H (D b (n O (D E b n I-drl(D r* m 0 o n o C n M N. O .R . Fl- (n rt FJ- M • 0 0 b m ;d d a y z H H th y N E a o c C) C=i It x a z a o c z C=i :d p O 3 a c CIO rxj t tr !2 til -S SIGN PERMIT,APPLICATION NORTH ANDOVER BUILDING DEPARTMENT Division of Planning & Community Development 12. Attachments: ( X ) -;Photographs of building ( ) Material sample ( ) Color samples ( ) Site or Plot Plan (Required for all free-standing signs) ( X ) *Drawings of proposed sign ( ) Other, specify 13. Is Board of Appeals decision required? Yes ( ) No (X) fit: 46's-0 Date Filed: 29 July, 1991 1. Site Address 30 Main Street North Andover, MA 2. Owner John D. Caron 3. Applicant Caron Funeral Home 4. Number of Signs one Size of Sign(s) 30"x36" Y - 5. Site of Proposed Sign(s) 30 Main Street North Andover, MA 6. Materials: hardwood (Poplar) /4"x6" . pressure treated post/ steel bracket 7. How attached: (a) Against the wall ( ) (b) Roof (c) Ground (X ) (d) Other ( ) 8. Illumination: (a) Not illuminated ( ) (b) Internally illuminated ( ) (c) Illuminated from separate service (X) 9. Proposed Colors: Background dark green Lettering gold Border. none 10. Will sign overhang any public road or walkway: Yes ( ) No (X) 11. If Yes, Name of Agency who will provide liability insurance: 12. Attachments: ( X ) -;Photographs of building ( ) Material sample ( ) Color samples ( ) Site or Plot Plan (Required for all free-standing signs) ( X ) *Drawings of proposed sign ( ) Other, specify 13. Is Board of Appeals decision required? Yes ( ) No (X) fit: 46's-0 a-tg;;) �i 4 ri) 0 P. 0 0) 0 g �J (D �31 0 fn 0 m 0 w Locati 1091 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works • rd • } rFa ri• �• � •• Y i'9 'b r t i a Pd x y t=i H C 2 o rt b �r H H O M O ri w z O ri _V O cn H r rt rt cn a -IV "d y (D (D a w n H a (D n [T] o n rt a s x Z a O (D P. y o C (aD a w M (D (n (n w F'• H F ( rt O tai rt w o � cn v rt (D o O `< (D b (D I (D r•( H r w n (D w •v m n Qo b o rt " (n F� ::1 O n O n N. 0 w .1t• g (n Z (D F" w w rt FJ- 0 0 (D n . N rt O 'rat H. Oo QO •� OM rtH. r w rt F—' F-'• (n .. N• (D •� •1 + cn ::j (DGQ • w rt �r F' w •� Cn (D 7d N• (n rt • r rt (D Oo o cn �' •� .� • H. r- 0 O H rt t7 O • O F. U. rt `G (n rt O rt �r (D rr a' (D Fi• H (D b •`I cn o (D 'd b n 0 rt :N (D n o O C 0 M N• O N• (n �J rt N• M • O O En a • rd • } rFa ri• �• � •• Y i'9 'b r t i a Pd x y t=i H H � o N N v _� z _V � O f SIGN PERMIT.APPLICATION NORTH ANDOVER BUILDING DEPARTMENT Division of Planning & Community Development Date Filed: 29 July, 1991 1. Site Address 30 Main Street North Andover, MA 2. Owner John D. Caron 3. Applicant Caron Funeral Home 4. Number of Signs two Size of Sign(s) 18"x24" 5. Site of Proposed Sign (s) 30 Main Street North Andover, MA 6. Materials . z 11 m . d . o . / 4"x4" pressure treated post / wrought iron bracket 7: How attached: (a) Against the wall ( ) (b) Roof (c) Ground (X) (d) Other ( ) 8. Illumination: (a) Not illuminated (X) (b) Internally illuminated_, ( ) (c) Illuminated from separate service ( ) 9. Proposed Colors: Background «%—grYer-- .\jj Te 0.- Lettering gd—(',rQ�„� Border. none 10. Will sign overhang any public road or walkway: Yes ( ) No (X) 11. If Yes, Name of Agency who will provide liability insurance: 12. Attachments: ( X ) Photographs of building ( ) Material sample ( ) Color samples ( ) Site or Plot Plan (Required for all free-standing signs) ( X ) *Drawings of proposed sign ( ) Other, specify 13. Is Board of Appeals decision required? Yes ( ) No (X) "o •:: 1 F '' COLE SIGN CO. 27 North Main Street NORTH ANDOVER, MA 01845 COLE SIGN CO. f. 27 North Main Street NORTH ANDOVER, MA 01845 PD zkRKU-N(B rp- Two wooden signs on wrought iron brackets w/4"x4" pressure treated posts to be placed on front lawn of 30 Main St. at edge of either driveway. COLE SIGN CO. 27 North Main Street NORTH ANDOVER, MA 01.844, COLE SIGN CO. 27 North Main Street NORTH ANDOVER, MA 01845 al In QW, L'u w co Al cm C14 d z CO w co -10 0 ''Ot I P_ 0 0 cc 3E)VSS3ft SIGN PERMIT APPLICATION NORTH ANDOVER BUILDING DEPARTMENT Division of Planning & Community Development Site Address Owner 6P6Y-7 Applicant (d�� c t� Number of Signs Site of Proposed Sign(s)�r Date Filed: Size of Sign(s)�X 3C n_Glw 6. Materials: (� � � �o�3 C� 7. How attached: (a) Against the wall ( ) (b) Roof ( c ) Ground G' l'7 G' 377— r(d) (d) Other ( ) 8. Illumination: (a) Not illuminated (b) Internally illuminated ( ) (c) Illuminated from separate service ( ) 9. Proposed Colors: Background (�2—-',L`rJ Lettering Border 7- 10. Will sign overhang any public road or walkway: Yes ( ) No (� 11. If Yes, Name of Agency who will provide liability insurance: ;,''12. Attachments: -,Photographs ( of building ( ) Material sample ( ) Color samples ( ) Site or Plot Plan (Required for all free-standing signs) *Drawings of proposed sign ( ) Other, specify 13. Is Board of Appeals decision required? Si,glhature of Applicant ... Yes ( ) No ( ) DEC 2 7 Ic"-^ 6 Lob ON Ell" in I Location Et-, k­xt�� No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ I-Foundatioa Permit Fee $ Other Permit Fee- $ ,, A, 00 Sew'_ � Cbarqc�Jo e e DF e $ r.Connection Fee $ TOTAL $ 0 Bulldirig-lnsp6ctor Div. Public Works Location No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ 4' +�.99 Building/Frame Permit Fee $ CHU Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. 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O Y d h a. ` O u co • 6ui Y C � 4 = 7 Y �• Ul) i V h 0 ` a, 3 L > W ca e X 0: w ar H y � � Y V �' •�% W1 1 1 O ' ,S/ �• W C O OO Q °° c •o o .o N vI •• w o d a c C-ai' � O of Gi Y y r O W U •� v to ., d a ° as V •> H c _ '� O H a m > Is Z V) W J ZD .Q H V X a 4 in C is V in u p a a. E c a. Cc V 0 ca a � O Z COM),.AONWEALTH DEPARTMENT OF PUBLIC SAFETY 1010 COMMONWEALTH AVE. .OF BOSTON, MASS. 02215 MASSACHUSETTS L I C Eli SE EXPIRATION DATE CONSTR. SUPERVISOR 06130/1'991 3 EFFECTIVE DATE UC -NO. RESTRICTIONS NONE 0 6/3011989 033031 .RICHARD L HAYNES ..17�NEWTON RD SS 020-26-1064, PLAI-STOW NH 03865 PHOTO ISLA STING FEE: 100A.T' OTHERS - FIGHT THUMB PRINT DOB: 12129/1934 -THIS DOCUMENT MUST BE CARRIED ON THE PERSON OF TkE HOLDER WHEN ENGAG. ED IN THIS OCCUPATIOI, NOT VALIDAUNTIL SIGNED BY LICENSEE AND OFFICL&LILY STAMPED SIGNATUR. E OF THE COMMISSIONER E OF LIC-ENSEE COMMISSIONER ENCLOSE CHECK OR MONEY ORDER FOR REQUIRED FEE, M A r AP7�E TO I "COMMISSIO E BLIC SAFETY" (D� bfll SEqD A�G '41 PLEASE NO EpEtINCREASE It EFFECTIVE HUI. 1: 198:9 �l SIGN NAME IN FULL -ABOVE SIGNATURE LINE rl .► STEM 1, AND IRON INC. Steel Stairs • Spiral Stairs • Ornamental Metal Fabrication • Iron Products Trailer Hitches • Fisher Plows' /V r w /V Richard Haynes Stephen Winter 17 Newton Rd., Rle. 108 Plaistow, NH 03865 (603)382-8367 T- 13�t �u 0e( ropaiia Page No. of Pages \ i RICHARD'S STEEL & IRON, INC. ROUTE 103 PLAISTOW, N.H. 038651 Tei. 332-8367 PROPOSAL SUBMITTED TO- PHONE DATE STR Try V JOB NAME CITY. STATE AND ZIP C DE JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for. to M LOA fo cli,, I� O 0- C. -ii: ---c- t> c'- L� Ga ,h �Y� 'i�ca CiYv U� ll Mr C`LjpL1j;r hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: ..�oJS pc v h•Mc�P t �1 +`� L dollars ($�t s00 Pay ent to be made as follows: Q 00—e 6/4792-A2 All material is gudFante�o be specified. � work to be completed in a workmanlike manner according to standard practrceS Any alteration or deviation from above specifica. Authorized .�--"— tons involving extra costsWill be executed only upon written orders. and will become an Signature — extra charge over and above the estimate, All agreements contingent upon strikes, accidents Or delays beyond our control Owner to carry fire, tornado and other necessary insurance. Note: This propos Tay be Our workers are fully rovered by Workmen'! Compensation Insurance. withdrawn by us If not accepted within— (I.tys. .0 rreptatirp of 1CL1posal --The above prices. specifications and conditions are satisfactory and are hereby accepted. You are authorized signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: _ Signature 0 M x P) x P C/) cn 0= 0 0.<a WrA 3 M W 0 5, cn CD � 0 Or z -C c �l :3, iF = � CL - - a I Z C) > 0 og , 0 m CD �i -, CL D) CL '.7 CCLL Fl- < > > 0 ol CL, =r M CD m 0 ICDL ow :r 3 CD < M � _ 3 1:11 'D (D CL C oo (D =I ID 10 - CD CD �l o:r, 10D 8. w 0 2 0 ID 0 m 3 CL -4 OSOM > CL X z c 0 (0 ;, m - Z w E3 CL (D (D 0 0-- to F.,l CL (D OL CL 0 1-0 =r ID 0 a Go (D :1 0 C, CD 0 m z CD ID 01 . (D cD cD , (D =r ('D L> 11 r3 El Z<-' Ak m 0 m 'o > r).Q U EL ID X cD M C 5D RD S -n -a) o CD CD (D C� :1) , , (D CD PL (0 CD CL CL ; :� z � CD . < (D 0 S. i'. CL F, c 'I ID 0 CD T. T. Cb 3 c . 'm > o CL m (D CL CD . = 00 CL (D 0 a) El Ll m (D = C<D 0 0 0 00 < 0 0. ',D 0 3 M 0) 0 � < 'D CD CL frz m CD < 00 (D CD 0 n (D 3 0 LU LU 0 CL (A uj w t z 7-) 17, z co U. 0 LLJ > 0- a: C') 049 LL Ld CL c 0 v to -0 '0 'A z r �o 0 to x r 'E 0 3N m �Oco C 0 M-0 ID V z 0 CLCD Lu >� r E m E M- -00 07 , '- 0 t: c- r- 0 c Ouf< CLOLUCE .0 .c 0 CLUO o 0 cc CL .0 0 N 'a r m d CD E m c r w U) Fl LA z w w m �M4 Clq rH Ln CID M P 789 248 187 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to John D. Caron Street an� No. Home ----aro.n.Funeral - `Znd lAe t P.o., st.?e �9 No. Andover. MA Postage Certified Fee Special Delivery Fee Relted Ufte (IRI I R'f k� �ed asth , D to om.K - ae 01 ".1 Rel n Re whom, D nd A ery s TOT!20:�g Postmark or Date Q LAJ LU Ul ui m cc 'm IL �m Ln CoD ca UA < C5 Z tm cc CoD CZ Lu E' it CD C.2 11 uj CoD I Z c5c CD COD �— w 0 ms C, cm CL -C c uj > be > 'U g3 cm ul EP -,t w Er LLj m C/) LU E S, Ci :FE m 2 cr 'i 2 Q KAREN I-I.P. NELSON, DIRE -C-11'011 May 18, 1989 John D. Caron Caron Funeral Home 30 Main Street North Andover, MA 01845 Dear John: I still have not received your plans to complete the fire escape at the Funeral Home. Kindly refer to our letters of April 6 and 27, 1989. Contact this office immediately with your intentions and plans for this project in order to avoid the consequences of legal action. Yours truly, D. Robert Nicetta, Building Inspector DRN:gb cc: Dir., DPCD CERTIFIED MAIL y MOP 1M Town of ) I2)o Milill ` BUILDING o NORTH ANDOVER N01-11) ivulMc.l. �I.�tis x'huSr.Us OIg 15 CONSERVATION f HEAL"T"H ,SSACMU`+ft DIVISION OF (508) (382-6483 PLANNING PLANNING & COMNIUNI'I'Y DEVELOPML-'N'I' KAREN I-I.P. NELSON, DIRE -C-11'011 May 18, 1989 John D. Caron Caron Funeral Home 30 Main Street North Andover, MA 01845 Dear John: I still have not received your plans to complete the fire escape at the Funeral Home. Kindly refer to our letters of April 6 and 27, 1989. Contact this office immediately with your intentions and plans for this project in order to avoid the consequences of legal action. Yours truly, D. Robert Nicetta, Building Inspector DRN:gb cc: Dir., DPCD CERTIFIED MAIL y OF NORh V OFFICES OF: o �m Town of APPEALS NORTH ANDOVER BUILDING CONSERVATION seCHUSE44 DIVISION OF HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR April 27, 1989 John D. Caron Caron Funeral Home 30 Main Street North Andover, MA Dear John: 120 Main Street North Andover, Massachusetts O 1845 (61 7) 685-4775 In accordance with our letter to you dated April 6, 1989, you are hereby reminded that you must complete the fire escape from the upper floor of the Funera Home by May 7, 1989. To this date, you have not contactA this Department for the necessary inspections. Your earliest attention to the above matter would be greatly appreciated, in order to avoid legal action being instituted by this Department. Yours truly, f �o._. D. Robert Nicetta, Building Inspector DRN:gb cc: Wm. Dolan, Fire Chief Dir., DPCD P 7B9 248 178 RECEIPT FOR CERTIFIED M0,11 - NO INSURANCE COVERAGE PROVIDED '- N OT FOR iNTERNATIONAL MAIL % (See Reverse) Sent to John Caron Street an tJn. 10 -Main St. P -O., State and ZIP Code No. Andover, MA 01845 Postage Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Dalljpa�ed Return Recei in I)ate, and ei TOTAL Pftag( #�7,'es )'7' n Q� PostmarkAW �i LU t2 0 �i N. v P ca "2 T RLU Lu 5 cc ca ci C', CD OF E Mu E -6 M :�E 7& LU C, E CC CD ca 00 C2 LU Lu C.3 mL .,6 LU 2 -T E I.- co LL, a- lo cc I- uj C., Co CL. W C.3 ;E = E is Lu z C m ', LA; C4, LU C3 LL CL 5 LU > oo.- C., Z m= E '> LU 13 Ca 75 a Lu uj u -!n CO) W ci 2? E 'r ui m M. c �t 0 D E c wo a u a) (D , (D > w a)= > 00 0 M W E o u E C>D => r- 0 L) 0 > (L) c to El 0 LLI m 0 a) 'a Z 00 0 .2 2 E m < < 0 . 3 .2 'a c 0 . 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MMO'o >SOCLZ 1 0 MCLOP30, CO3-.02-0-0 3=-< M z 0 Q.n CD O'D Z cr- CD o —so) (D OCLM M '0 CL C ; o 0 r 0 0 cr x o CIL I z CL 0, 4 N on, 0 — we I 'a 'a m z c 0 > . m 0 "n T 0 c m c z --4 m 0 m r (1) m m < F) m FICES OF: d APPEALS BUILDING CONSERVATION HEALTH PLANNING m OWII of NORTH ANDOVER A r" g. ;�Ss�c�wsEst I )I\lSl� )N O1� PLANNING & C0NI1lIUNYrY I)EVELOPMENT KAR1:N 1 I.I'. NI'LSO N, I)IRECT(M April 6, 1989 John Caron Caron Funeral Home 30 Main Street North Andover, MA Dear John: Enclosed is a copy of complaint received from the North Andover Fire Department which is self-explanatory. 120 Mi')I11 Street North Andover, NI;)ssr)c:h))setts ()1845 ((i 17) 685-4775 We request that the fire escape from the upper floor be completed within 30 days of receipt of this notification. This Department shall be called upon to perform the proper inspections when project is completed. Yours truly, D. Robert Nicetta, Building Inspector DRN:gb cc: Dir., DPCD Enc. N.A.F.D. Cert. Mail 10 6 WILLIAM V. DOLAN Chief of Department N011111 n14Pf,)V1".- 1 CI13E DEPARTMENT (:FII I 11N.,x1111` I InuOuAurERs 124 Main Street North ni0over. P 1nr;s. 01845 i r To: Bob Nicetta, Building Trispector From: Lt. Andrew Melnikas, Fire Prevention Re: Caron's Funeral home, Main Street Date: March 30, 1989 Tel. (508) 686-3812 Extensive renovation has been clone to the Caron property on Main Street. As a result, there is now only one exit for any occupant on the second floor. This is totally unacceptable to the Fire Department. Please convey this to the owners and ask that they give this problem their immediate attention. Lt. Andrew Melnikas, Fire Prevention officer f I P tl I 11I/ 1 1:/`�1Z BUIL.IJING Ui:'.1 1. � - J "SP�IUKE 1)1=1 P T IHS SAVE LIVES" MAP �_ Town af.. `NORTH ANDOVERPARCEL Su t� Lwt bet', : � r'' WP-E-� 13 LD67Z BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: ��O"V-pa COMM �a. INSPECTION DATE: UNIT NO.: FLOOR: WING: BUILDING NO.: REMARKS: �t/�-�p/ T1.1S(�Ell I�So i bl �IE'E�9-t�C+y�ii0C3 Dam i2�i zP ��02 70 Date 2, V401VTol so TOWN OF NORTH ANDOVER 1, 0 Certificate of Occupancy $ Building/Frame Permit Fee $ *Arm* Foundatioo Permit Fee $ ACH Other Pefinit Fe;e&"Y-/4 $ s� SaWkir Connection Fee $ Wat WConnection Fee $ TOTAL $ s - z �"2 0 Building Inspector 66-50 Div. 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L 3: -4 6) -4 ii 3: 00 0 ZM MMO 0 > > > 0 0 Z w w I - 00 n m 0 znnca�wv a 0 0 < > :E a p 0, O> 4 ;� > Z �z 0 > w mim PMX :2 C. n r) 0 n z 0 z Xwo ii 6 -1 > > c z -i rq x M Z, 0 - 0 m Wsz v F u) r20 0 Zq -' &) r Tog r * >*> n 04 > z x 0 m m -q m 00 :� x m 3: > 00 0 � > o o z z o 0 z c o Z 0 0 o 0 C) ol 0 z 0 w Z Z C) 3: �- 3: z Z LA Z Z 0 D 0 Z 0 > > 3: -0 z > o > 0 0- M 0 01 > 0 v Z z 3: 0 M 0 �4 z ol o Z w m M M Z z 0 0 a > 3c 0 J-1 0 0 -TFII I I I I I I I I I LLL I LLi j I I z 0 0;;X>Z>Zommm 0 Z > 0 L% ;; < :E , am > 0 > > a > r) m 0 > r) 0 to 31 0 T T Z m c 0 ;2 > z: > co 4 :0 c 0 --o c ?1 .0 n > r):E 3: 0 z > z > > n x z Z -i 0 >3-Z�F20"Zi > 0 -0 z M:E > > 02 oo-09�,M-3:T � m m !A X z o F) -4 m M-ifo - m x m 5� �E 2 2 0' x > > Lo OM Z >z < A. '%Ox C: w 60 'Z' m 0 > V 0 0 0 m ;a r -j >01 6) -4 ii Mro ZM MMO I Z Cox c M X 0 0 U) :E mim PMX -1 z > Xwo ii 6 -1 ;gz2 rq x M Z, 0 - 0 m Wsz v F u) r20 0 Zq -' &) r Tog r * >*> z 04 > z x 0 m m -q m 00 :� x N - -- 11 %- �P- qpbL-_ _ __ _ — _ I Page of �M KA vjlltilaaa Leo Berube, (617) 688-4371 Ray Berube, (617) 687-7419 BERUBE AND SONS L`'s ' `' ® U4 0 - Side Walls, Roofing, Windows & Doors 473 Andover Street �°1 n., v" Lawrence, Mass. 01843 PROPOEOL SUB TTED TO PHONE DATE C STFIVY < JOB NAME , CITY, STATE and ZIP 90DE JOB LOCATION r ARCHITECT DATE OF PLANS JOB PHONE q. We hereby submit estimates for: G%Zsu� r S � We Propose hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: dollars ($ Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or Authorized deviation from above specifications involving extra costs will be executed Signature only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. NOTE: This propos ay be Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. ACc $CUCe Of PrOPOSW — The above prices, specifics ions and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment Signature will be made as outlined above. Date of Acceptance: Signature OFFICES OF: APPEALS BUILDING CONSERVATION HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR I 20 Main Street North Andover. Massachusetts o 1845 , (617)685.4775 -r, In accordance with the provisions 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 properiv licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: /I (Locttton of Facility) �'�.� PtL2� I /i1nature of Permit Applicant Date VOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. i (Q�-s NORTH ANDOVER DIVISION OF PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR I 20 Main Street North Andover. Massachusetts o 1845 , (617)685.4775 -r, In accordance with the provisions 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 properiv licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: /I (Locttton of Facility) �'�.� PtL2� I /i1nature of Permit Applicant Date VOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. i m m - 0 a7 mz � z y � cn z r 7� v, D O CO) � m -n °* C � -n x bh O oil Y T CO) O DCD Z CO)T CD z CL d �• CO) O v CD CD o Q C7 CD O co m z m W Go = CD y' CD D D . p CO) m oz to CD < z y v O m CO') O CD -n o z D C CD r cm Or a cr Cole, dc oz �0 CD O»Cl) H CL 0 m0. O 1{� �� �; —�do =r CD =r M CO3 m CD O CD H p N o =r CD _ > > CD C co O n CD C = H 7 CL ^s /) os? � l J o co cn 0-4 C2 CA � o ? C� ff ^^ n-► CD co) �—+ • V J N N `< O CD CD CSD w -CA to O O CD It CD 01)CD o �9 co') r � CD d• d d z • as C d CD to : A y , o ►�+ O CD a cn d - 0 a7 ^n 7z y � cn r 7� O n fD -n °* C M C/) C/' -n x bh O oil Y 0 H 0 9 0 'O a r