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Permits - Permits - 99 TURNPIKE STREET
f 3 3f P i The Commonwealth of Massachusetts f Department of industrialAceidents .l Congi<•ess Street,Suite 100 Roston,MA 02114 20-17 sY,y, WMP.mass.gov/dia Workers'CompensationlnsuranceAffidavit:Builders/Contractors/ElectticianslPlutnbets. TO BE, FILE'D WITH THE PERMITTJNG A.UT11ORI`I'Y. Please Print Le gib Applicantluformation �� f Name(Business/OrgauizatiordIndlviduai): Address: City/State/Zip: Are you an employer?Check the appropriate box: Type of project(required); lf�J�i am a employer with � employees(full andlor part time).* 7. ❑New'construction 2-❑I am a sole proprietor or partnership and havo no employees working for me in S. �Renlodeling any capacity.[No workers'camp.insurance required.] 9, ❑Demolition 3.❑I am a homeowner doing all work myself.(No workers'comp.insurance required.)t 10 ❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will I1 ❑Electrical repairs or additions ensure that all contractors either have workers'compensation insurance or are sole proprietors with no employees. 12., Plumbing repairs or additions 5.❑1 am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. 13•❑Roof repairs These sub-contractors have cinployees and have workers'comp.insurance.t 14 ❑Other 6.[]We are a corporation and its officers have exercised their right of'exemption per MGL c. 152,§1(4),and Nvo have no employees.lNo workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information, t Fiomeotivners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tContraetors that checkthis box must attached an additional sheet showing the name of the sub-contractors and state whethor or not those entities have employees. If the sub-contractors have employees,they must provide their workers'eornp.policy number. .I am an employer that is providing worlrers'colnpensatiort insurance for my errtployees. Below is the policy and jab site inforutatiort. Insurance Company Name: of(6 / fl� Expiration Date:_ `( I6 - --- Policy#or Self ins.Lie.#: pp ]] p C t� City/5tatelZip:1�/(7i( i`n�C7� � Job Site Address: �� �� Attach a copy of the tivaricer compensation policy declaration page(showiug the policy number anal expiration date}. Failure to secure coverage as requited under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify rr •th pains andpenalties ofperjrrry that the irtforrrtation provided above is it-lic and correct. Date: Si nature: j f� Phone#: Official use only. Do trot ivrite in this area,to be completed by city or town officiaL City or Towu: Permit/License# Issuing Authority(circle one): 1.L13oardHealth 2.Building Department 3.City/ToWn Clerk �.>;lecttical luspectoz 5.Piuntbinglnspector son: Phone#: CloinwniveakIt of Vamaclutjeffi Official Use Only Permit No. 2eparlowni oIJipe SeryiceJ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS rRev. 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code MEQ,527 CMR 12.00 (PLEASE PRINT IN INK OR E ALL INF TION) Date: City or Town of: 71 0 To the InTpect7or of Wires: By this application the undersigned, Ives notice of his or her intention to perform the electrical work described below. V� r Location(Street&Number) 1 5 -, 1�1`14 I>i �e-, /'9 1 11z e 76 -o Telephone Na )I Owner or Tenant �"ke- � 4-� — -�- I�-"' -711,7 Owner's Address 2 7i Rec,(-A Mcl�&) Is this permit in conjunction with a building permit? Yes No El (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead F-1 Undgrd F1 No.of Meters New Set-vice Amps Volts Overhead F1 Undgrd F] No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: r,�,,%e f"C e 111irl, C:)O '5�,.(-v �I(" —e N", Completion of the folloivingtable mov ffe waived y the Inspector oj iFires., No.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above n No.of Emer ng Swimming Pool rud. 1:1 No.of Luminaires grud. ❑ Battery Units g No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS. INo.of Zones Switches . ...... No.of Gas Burners No.of Detection and No.of S ),,5 Initiating Devices T No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices Ilea T©ta .I NO.of Self-Contained No.of Waste Disposers nnbpr. TRP� Detection/Alerting Devices " In Municippi Other No.of Dishwashers Space/Area Heating KW Cal Connection — * Security ems: vi ce Heating Appliances KW SDYst No.of Dryers No.of e s or Equivalent No.of Water KW 0.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.of Motors Total HP Telecommunications Wiring: No.Hydromassage Bathtubs No.of Devices or Equivalent OTHER: Attach additional detail if desired,oras?-equh•edby the Inspector of Wires.- Estimated Value of Electrical Work: 0 0 c') I oo (When required by mtmicipal policy.) Work to Start:,, e, i� t Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE LC RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [4 BOND 0 OTHER F (Specify:) I certify,tinder lite pains and penalties ofterjury,that the information on this application is true and complete. FIRM NAME: 10e R o-S- E lec 4 i c- LIC.NO.:-.91�la/I Licensee: �,r �00;Z&a Signature LIC.NO.: 10%412 (If applicable,entel. %x l"in the license iber line.), JJ1 Bus.Tel.No.: 71RI-2'10 Address: ,F 5,/-. 9c,r-fi r.1b,^41XjA, CVE03 Alt Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one []owner D owner's.a Owner/Agent 13. C�, -: Signature Telephone No. PERMIT FEE:: $ T'he Commonwealth of Massachusetts Department of Xndustt ialAccidents i m 1 Congress Street,Suite 100 Boston,MA 02114w2017 d fvlviv.rnass.gov/dxa Workers' Compensation Insurance Affidavit:Builders/Contiactor•s/Electricians/i'1umbers. TO BE FILED WI TIT THE PEItmTTING AUTI-IORITY. Ap171rcarlt Information ,� Please Print LelJbI Name (Pustness/Ocgalltzationllndivrdlral):� Address: r; 1 11 / lat /Z tp -,N J„rir4 a�_i_ I'hatie l#: ---- Are you an employer?Check the appropriate box: Type of project(required): 1.�I ant a employer with_.. employees(full and/or part-time).* 7. New construction 2. I am.a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9, ❑Demolition 3.[J I aui a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 ®Building addition <1 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 11.❑Electrical repairs or additionsensure that all contractors either have workers'compensation insurance or are sole proprietors with no employees. 12.E]Plumbing repair's or additions 5,F1 I all,a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.F1 Roof repairs These sub-contractors have employees and have workers'comp.insurancc.t 14.Q Other 6.[l We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'cmupensatioal policy information. ?Homeowners who submit this affidavit indicating they are doing all work and their hire outside contractors must submit a now affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provido their workers'comp.policy number. I aiii ara erraployer 11►at is proviallll lvor^ire►'s'conrperrsatiora lnsaararace for►ray e►nplayees. 73e1o1v is the policy and jab site information. Insurance Company -- Policy#01':.'Sell-ins.T,1C.i€: .._..—.-----_ Expiration Date:___-,---- ate: -._ -- ill the policy number a1u1 expiration date),Job Site Address:_ �m r . City/State/Zip: _ c Attach a copy of the workers' compensation policy declaration page(Shotiv Failure to secure coverage as required under MGI,c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of tip to$250.00 a. day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage vcrificatio '`'► " I alo hereby cer a ac 'th pain and enalties of perjury that t'he infora►urtia►a provided abo ve is trite and correct, Date: f Si�ure' w. Phone#; Official rase only. Do not lvrite in this area,to be completed by city ar•tolpra official City or Town:_ Permit/License# L lltllor'ity(circle one):of IleaItlI 2. 1euilding Department 3.CitylTown Cleric 4.Electrical inspector• 5.Plumbing Inspector ei'so11. Phone#: Application ivuntoer: �.i.li.a Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Al I work to he performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 6/29/15 City or Town of: 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): 99 Turnpike St Owner or Tenant: BGood Burger Telephone No. Owner's Address: Saute Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters E New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Location and Nature of Proposed Electrical Work: Y Completion of the ollolvin table may be waived by the hrs ector of Ifql es. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above © In- ❑ No.of Emergency Lighting rnd. grod. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARj4IS No.of Zones No.of Switches No,of Gas Burners No.of Detection and Initiating Devices No,of Ranges No.of Air Cond. total Tons No.of Alerting Devices No.of Waste Disposers Hot Pump Number Toms KW No.of Self-Contained Totals: ..... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ nlunicipal ❑ Other Connection No.of Dryers Heating Appliances K„+ Security Systems: No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Sim Ballasts No.of Devices or Equivalent No.Hydromnssage Bathtubs No.of Motors Total HP 'Telecommunications Wiring: No.of Devices or Equivalent OTHER: Installation Of l Monitor Module For Ansul System/WO 51634-1 Attach additional detail if desired or as required by the Inspector of!fires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE N BOND ❑ OTHER ❑ (Specify:)First Mercury Insurance Co 2/12115 (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,ituder the pains wid penalties ofperjury,that the irtforination ott this application is trite and complete. FIRM NAME: AFA Protective Systems LIC. NO.: Licensee: Joseph W. Donovan Signature LIC.NO.: 7007 C (Ifapplicable,enter "exempt"in the license nxtnher lime) Bus.Tel. No.: 617-772-5900 Address: 200 High St. Boston, Ma 02110 Alt,Tel.No.: *Per M.G.L.c. 147,s 57-61,security work requires Department Of Public Safety"S"License: Lic.No.: 001097 OWNER'S INSURANCE WAIVER: I ant aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $.150.00 17 1 ne uoninioniveatin of iviassaunusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 SM )vwjv..qiass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): rAFA—Protective Systems,Inc. Address: 1200 High Street City/State/Zip: I Boston,MA 02110 Phone M 1617-772-5900 Are you an employer? Check the appropriate box: Type of project(required): 1. 1 am a employer with 40 4. In I am a general contractor and 1 6. New construction employees(full and/or part-time).* have hired the sub-contractors Remodeling 2. 1 am a sole proprietor or partner- listed on the attached sheet. 7. ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. workers' comp. insurance. 9. Building addition [No workers' comp. insurance 5. EJ We are a corporation and its 10. Electrical repairs or additions required.] officers have exercised their 3. 1 am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.[M Roof repairs insurance required.]f employees. [No workers' 11M other Low Voltage Install comp. insurance required.] I I *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. l anz an employer that is providing ivorlcers'conipetisatioii inisurarzce far my employees. Beloiv is the policy and job site information. I Insurance Company Name: Technology Insurance Company Policy#or Self-ins. Lie.M I TWC3464077 Expiration Date:.2/12/2016 Job Site Address: -4-60-04214-e City/State/Zip:. /0 0',1,1 /Y A p d 6 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 abo e is h,ye an correct Signature: -5900 Date: UP Phone M 16177772 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 Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M TOWN OF NORTH ANDOVER tDQ�asgovd Street ` # — . SIGN P RMIT APPLICATION Site Owner - Tel ` Applicant nt - 1 Wyo Site Address ' . '_ '' _ '1- WA Size of Proposed Sign ? Map Parcel Estimated Cost of Sign How attached: a Against the wall � { ) 9 Illumination: (a) Not illuminated (� (b) Roof { } (b) Internally illuminated { } (c) Ground ( ) (c) Externally illuminated { } (d) Other { } Proposed Colors: Background Materials: Lettering Border -4 Required Attachments: No permanent/temporary sign shall be erected, or Photographs of building enlarged until an application on the appropriate form Material sample furnished by the Sign Officer has been filed with the Color samples Sign Officer containing such information including Site or Plot Plan (Required for all free-standing signs) photographs, plans and scale drawings, as he may Drawings of proposed sign require, a permit for such erection, alteration, Other, specify or enlargement has been issued by him. Such permit shall be issued only if the Sign Officer determines that the sign complies or will comply with all i applicable provisions of the By-Law. Will sign overhang any public road or walkway: Yes ( } No (� If Yes, Name of Agency who will provide liability insurance: AN INCOMPLETE APPLICATION WILL NOT BE ACCEPTED. Date Filed: m Signature of Applicant { No drop Valence shown . Dropheed dolt comet�a MIWMI,2110 WINAWN Valence not approved . i APPROVED 04-08-15 dB2 � s ! \s Sunbrella v "Jockey Red"a g ARCHITECTURE 23'wide _ REAL FOOD FAST Ira Balineacross front 3/8"deep,cut out letters, "real food fast;(V=2.875"tall) FJ Green MP 09142 MP 13552 5"deep,cut out letters"b.good" QTY:1 92"x 38.5' 18.875"tall,Ce =9"tall) 2"deep wood backer, painted two colors SundraMa Red U existing lighting jockey red MP 10252 bostonoug n www.bostonsign.com Project Name: Bgood north andover sign7ype: storefront 40 Piymptort Street Boston,MA 02118 Tel.617-338.2114 Fax 617-482-4825 Drawing number: 1.0.0 Drawing Date:4/1/15 Approved By: Date: 50.6rmnx50.8mm{?"x2") _ V onpb wag cleat 9S75mm(516)pin baH mm x �,g Nis m�.x 2'}angb letter cavuathrougt&bolt db � yv� yr sasmmtlwlnatneadcae ti eoontonlrrk EehIntl lazbn moo.:; \ \ �\\� ���. E i alwnInum-gb tbat sttatAatf to Wilding w 9.525mmx763mm(3+8"x3") sign s axiating well(wood) �i # NO z J G Sunbrella "Jockey Red"awning with 6e valance 23'wide REAL FOOD FAST across front side e � 3/8"deep,cut out letters, I "real food fast, (non=2.875"tall) Yellow Green MP 09142 MP 13552 .5"deep,cut out letters"b.good" 18.875"tall,re =9"tall) 2"deep wood backer,painted two colors No [ SunDela red ate existing lighting jockey red MP 10252 bostionn) [M WWW.bostonsign.com Project Name: BgOOti north andoVeC Sign Type: storefront 40 Plympton Street Boston,MA 02118 Tel.617.WB-2114 Fax 617.482.4825 Drawing number: 1.0.0 Drawing Date:4/1/15 Approved By: Date: I I The Comrnonwealfli of Massrrchusefts , Department ofludustrialAccidents I Congress Street,Suite.100 Boston,MA 02114-2017 wwlurnass.govldia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/P1unibers, TO BE FILED WITH THE PERNUTTIN'G AUTHORITY. AvylicantInformation Please Print Le 'lrl Name(Business/Organization9ndivid 1): �M Add1•ess' �3I,(�i r �1� e---- City/State/Zip: /� / Pho1 e o/ Y Are you an employer?Check the appropriate box: Type of project(required): 1.111 am_a employer with . employees(full and/or part-time).* 7. ❑New constriction .a fk a sole proprietor or partnership and have no employees working forme in $ E Remodeling capacity.[No workers'comp.insurance required.] 3. I am a homeowner doing all work myself.(No workers'comp.insurance required.)t g El Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑Building addition ensure that all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs or additions proprietors withno employees. 12,Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet, 13. Roof repairs These sub-contractors have oniployces and have workers'comp,insurance.# p 6.❑We are a corporation and its of�cers have exercised their right of'exemption per MGL c. 14.Q Other 152,§1(4),and we have no,employees.[No workers'comp.insurance required.] 7. *Any applicant that checks box 41 must also fill out the section below showing their workers'oompensa€ion policy information. t Homeowners who subniif this affidavit indicating they are doing all work and then hire outside contractors must submit a now affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, if the sub-coii[ractors have employees,they must provide their workers'comp.policy number. I am an employer that ispioviding warkem'compensator insurancefor my employees.'Below is thepolicy acid job site information. Insurance Company Name: Policy#or Self-his,Lie.#: Expiration Date: Job Site Address- c City/State/Zip: Attach a copy o ork rs' comp psation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a,STOP WORD ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby i y tordei•f/repairs rdp rralties ofpei jury that the inforrrration provided above is trite and correct. Si nature: Date: Phone official use only. Do not write in this area,to he 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#: RDA CERTIFICATE OF LIABILITY INSURANCE PATE(MlNUOlYYYYI 12l04M 4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemenk s. PRODUCER CONTACT Aon Risk Services,Inc of Ffodda NAME: Aon Risk Services,Inc of Flodda 1001 Bdcicelt flay Drive,Suite#1100 PHONE FAX Miami,FL 33131-4937 AIC Na Ezt:BOD-743-8130 AIC No:80D-522-7514 EA ADDRESS: ADP.COI.Center Aon,00rn INSURER(S)AFFORDING COVERAGE NAIL 0 INSURER A.- New Hampstdre Ins Co 23841 INSURED INSURER 6, ADP TotalSource COXXi,Inc 10200 Sunset Drive INSURER C Miami,FL 33173 ALTERNATE EMPLOYER INSURER D: Ebacher Piumbing S Heating Inc INSURER E: 40 Portsmouth Rd Amesbury,MA 01913 INSURER F: COVERAGES CERTIFICATE NUMBER:951052 REVISION NUMBER:. THIS IS TO CERTIFY THAT 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 j CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 13Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED. INS TYPE OF INSURANCE ADDLSUBR POLICYNUMBER POLICYEFF POLICYEXP LIMITS LTR INSR WVD MMIDD MMfOD i COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S ! DAMAGE TO RENTED j CLAIMS-MAOE ❑ OCCUR PREMISES owxenca S i MEDEXP(Anyoneperson) $ PERSONAL L ADV INJURY S GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PROJECT❑LOG PRODUCTS-COMPIOP AGO $ OTHER $ l - B ED 5 LE Li M IT AUTOMOBILE LIABILITY a accident S ANY AUTO BODILY INJURY Perperson) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident S s NON-OWNED E HIRED AUTOS AUTOS (Per acddeni S S J UMSRELLALIAB OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE S DEC RETENTION S WORKERS COMPENSATION X STATUTE ER A AN D EMPLOYERS'LIABILITY YIN WC094'184667MA 07/011/4 07/01/15 ANY PROPRIETOWPARTNER/EXECLmVE E.L.EACH ACCIDENT $ 2,000,000 OFFICERIMEMBER EXCLUDED? N I A (Mandatory InNHI E.LDISEASE-EAEMPLOYEE S 2,000,000 N res,datr�e under DESCRIPTION OF OPERATIONS below E.L DISEASE-POUCY LIMIT S 2,000,000 €' DESCRIPTION OF OPERATIONS?LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space to required) a AN wuricaft employees worldng for the above named cient.company,paid under ADP TOTALSOURCE,INC:s payroll,are covered under the above stated policy. The above named client is an alternate employer under this policy. CERTIFICATE HOLDER CANCELLATION 7ovm of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1600 Osgood Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELtVEREO IN Building 20.Suite 2035 ACCORDANCE WITH THE.POLICY PROVISIONS, North Andover,MA 18450 AUTHORIZED REPRESENTATIVE M 'Swic � r ,9kj 01988-2014 ACORD CORPORATION.All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD AM V%ORTII Town Andover p ....... ........ 5- C6 '- No. (5 ,� -r h h ver, bass, C oenue.n w.eK y p0 ATEO F'e�,`,C� `S V BOAR F HEALTH Foots/Kitchen '"? PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ... ,7� .. . . .. �a�° ,� tD .: ................ ....................................... .... ��1.. ..G�.¢.._... Foundation erect .. ... .. build' On s� ..I.: ::!�.... �/ ., Rough has permission to ere .........•.•.•... . �' �a /' f� (" y k Seas to be occupied as ....f�.......�... .....60V....................... ......................... Chimney provided that the person accepting this perm t shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and ,PLUMBING INSP OR Construction of Buildings in the Town of North Andover, Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final G ' PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTORou F UNLESS CONSTRUCTION. STARTS .-�.. Service ......................:.....:...............'...........,........................ Fin 7— BUILDING INSPECTOR GAS INSPECTOR OccupaneV Permit Reg iiidcding, Rough Final r ��j�f A O�h-d Display in a Conspicuous Place on the Premises ❑o Not Remove FIRE DEPARTMENT No Lathing or Dry Wall To Be Done Burner Until Inspected and Approved by the Building Inspector. Street No. Smoke bet. n (6y L5 v! 2 q /� IORT,, ' irown o t An yr ® ~~' h ver, Klass, 14 tOCNK"awoc" �.� 0RATED '��,�'45 s � BOAR OF HEALTH Food/Kitchen -7PERMIT T LD Septic System THIS CERTIFIES THAT ............................................................................................................................ BUILDING INSPECTOR has permission to erect g Foundation/'=. t ................ buildings.on a.......... ......................................................................... z., Roughrs : tobe occupied as ................................. . ,.........:..................................................................................... Chimney y res provided that the person accepting this permit shall in every conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. LUMBINGG.INSP OR Rough4e;deJi �'"� VIOLATION of the Zoning or Building Regulations Voids this Permit. Final J1$ , PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR v UNLESS CONSTRUCTION. STARTS Rough ., a,v : �' - r Service ............................................. ................................ Fin Cram 6—I j! BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to ®ccujZy Ru Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final '-�`��`3��A . No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. � v4ORTH ' Yown ofsAndover ® Nov (% i�K. h ver, Mass, CPC MIC nC w.[K y ATEv � U BOAR?OF HEALTH Food/Kitchen,�r' T PERMI Septic System THIS CERTIFIES THAT ......:................................:....:..:...:........................................................................ BUILDING INSPECTOR has permission t0 r .......................... buildings. ........,,........... ..................................................... Foundation at e erect on Rough�r��. :a tobe occupied as ................................................:..........,..........................................,,.,...,,.,.,.......*........... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application al_ on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. LUMBINGINSP OR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Service......................:.........I............. Fin 7— /3- / BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final A tlA�4 No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det, y� •J� ,,r .i �trl �N�S�f 1 r Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost d% ZO 262,700.00 m $ - $ 3,152.40 Plumbing Fee $ 394.05 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 394.05 Total fees collected $ 4,040.50 99 Turnpike Street 850-15 on 4/27/15 Tenant Fit UP B Good Burger 001? 'Ff Town of ndover No. `/ p h ver, lass, �19 COC MIL M4 wKK y1' ! C' S V BOARD OF HEALTH ERM D Food/Kitchen P IT Septic System THIS CERTIFIES THAT . G.' �'� .,��,')..�', , e'��...... .......�.�.�..........................................I...... BUILDING INSPECTOR YY � � � r'� � • has permission to erect .......................... buildings on ..... . .,E-'. .,....F.-6. ........................... Foundation rr l( Rough to be occupied as ....:.,�..."//� � ..4�. ;........1. .,., .� ...................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI N TARTS Rough Service . ......... .......r. ...........................................,.....,......... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector, Burner Street No. Smoke Det. Good Burger 111 Turnpikestreet North Andover Contractor Pro. Design& Construction co.LLC Contact Wallace Wallace Cell 617-448-8998 E-mail wallaceho@comcast.net 218 Willard street Quincy mass 02169 Description Performed By Architectural Jordan N/A BIM Application B Good N/A Fire dept. Review Pro Design No Cost Electrical carp.finishes Pro Design $27,000 'temp lights&power During demo Pro Design $3,500 Plumbing&gas carp.finishes Pro Design 35,000 Big Dipper Pro Design 7,500 Flood exhaust&fresh air Non-heated Pro Design $18,000 Interior hardware's carp.finishes Pro Design 3,800 Walls framing&finishes Corp.finishes Pro Design 20,000 Slab cut/removed For plumbing Pro Design 8,000 Flooring carp,finishes Pro Design 14,000.00 Mint Box core.finishes Pro Design 4,000.00 Lightings carp.finishes Pro Design 6,000.00 Roofing Mall roofer Mall roofer 4,200.00 Bathrooms carp.finishes Pro Design 8,400.00 General building supply Pro Design 26,000 Dumpster&trash Pro Design $5,000.00 DPW permits Pro Design $1,800.00 Permits Pro Design $3,800.00 Grand total $196,000.00 lten'ws supply by B ood Music systern John 01h"Ito cables&Chairs window couufiwtet's Gin recWrn wood John 011nft') All signafoe Hoston sign Firs:Alarm Unknown Sir kl� Dispensers nsers paper Jasovi Aions� j ( /J loo, North Andover Health Department Community Development Division April 24, 2015 Fresh Choices, dba b. good James Pinho, Manager 100 Andover Bypass Ste 202 North Andover,MA 01845 Re: New food establislunent review; b. good, 99 Turnpike Street, Eaglewood Plaza Dear Mr. Pinho, The Health Department received the plan revisions submitted for the new establishment to be known as"b. good" located at Eaglewood Plaza,North Andover. All issues noted perfidiously have been addressed and the application has been approved. Looking forward towards pre-opening; prior to receiving your permit to operate you will, at minimum,have two to three Health Department inspections; a construction inspection and a final food inspection. When all equipment and structural elements are in place, a construction inspection should be requested. It is not expected that the equipment be up and running at this inspection. Please call the Health Department a few days ahead to avoid any delays. At that time, a complete punch list will be provided by the inspector. Once completed,please call the Health Department for re-inspection. The Building permit will be signed off by the Health Inspector when the list is satisfied. Once all other departments are satisfied with the construction,the building department will then grant you occupancy approval. As it is difficult to anticipate details at the time of this letter of approval,the next steps toward opening will be based on the specifics that exist at that time. The Health Inspector will instruct you on the process, and you will discuss together, when you may begin bringing in food and when food preparation may begin. Just prior to issuing the Food Establishment Permit to Operate,the inspector expects to view food properly stored; on shelves, in refrigerators,in storage closets etc. Each establishment opening is unique, so feel free to contact the Health Department at any point in the process. B-olow-are-gunle—comr an-pitfalinIr ca scans duly n.............. rng ifTrio n i cl with: All lighting over food prep, service and wash areas must be non-breakable. This includes hanging lights or pendants over the bar area.No unprotected glass can be over food areas. Also, North Andover Health Department, 1600 Osgood Sheet, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 b. good plan approval April 24,2015 any ceiling tiles over food or food prep areas must be washable and all high wash floor areas should have a curved base coving along the walls. Bathroom walls must be non-porous surface behind all fixtures and splash areas; at least 4 feet high and curved base coving along the walls. **Please submit the enclosed general food establishment application and your annual fee of$185.00. Note that a final food inspection will not be scheduled until the application is received and all permit fees are paid.*" "*Please complete and submit the enclosed dumpster permit and annual fee of$60.00.** Some of the items needed to receive the permit to operate are: 1)The establishment will be clean of all construction materials; floors and surfaces all cleaned. All contractors shall be complete. 2)The hand sink(s) and bathroom(s) will have immediate access to wall mounted paper towel and soap dispensers and they must be stocked. 3)The ladies room will have a covered trash can for feminine item disposal 4) Signage: Bathroom(s) must have"employee inust wash hands before returning to work" signage; hand sinks must have signage"hand wash only"; 3-bay labeled"wash, rinse, sanitize";prep sink"food prep only" 5) Sanitizer bucket should be made up and test strips available. 6)Label grease trap per plumbing code If you have one or more interior grease traps please note the plumbing code 248 CMR 10.09 (m): LA laminated sign shall be stenciled on or in the immediate area of the grease trap or interceptor in letters one-inch high. The sign shall state the following in exact language: IMPORTANT: This grease trap/interceptor shall be inspected and thoroughly cleaned on a regular and frequent basis. Failure to do so could result in damage to the piping system, and the municipal or private drainage system(s). 7) Signage for allergens and disclaimers placed as required by law 8) Proper disclaimers on Restaurant menu as needed. 9) Gloves must be on site. Please note that the state does not recommend the use of latex gloves due to some person's sensitivity to latex that may cause them illness. 10)At minimum, employees should be trained on the sick policy and sanitation basic 11)Directions on mixing the sanitizer should be available to the staff. Thank you for your cooperation in this matter. If you have concerns about any of the above conditions;please contact the office. We look forward to working with you in the effort to provide safe food to our citizens. If you have any questions,please contact our office at 1-(978)-688-9540. Sincerel , S�awyei, HS�RS y --- Public Healtector North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover,MA 01845 Phone: 978.688.9540 Fax: 978.688.9476 I b. good plan approval April 24, 2015 items'of Deficiency noted ; 'Corrective Action Page 7#4 Written policy to exclude or restrict food workers who are sick or Please revise; describe have infected cuts and lesions was indicated but not described or provided. procedure, type of containers etc. OK - - - 7 7 7 3 Page 8#8—It is indicated that all PHF's will be"kept on ice"when they are Please describe in what capacity not refrigerated in order to minimize length of time in the temperature these items will be kept on ice. danger zone,This meaning of"on ice"is very vague. OK - _------ - - - - ---- - - - - - Page 9 Table—It is indicated below the table that PM are cooked to order Please review the cooling and never cooled,however, soups are listed on the menu and their reheating process for the PHFs that are process is indicated on the following page. listed on your menu OK no cooling of plif; discarded Page 12 Table#16—Location of"waste"grease storage receptacle was not Please provide location of grease provided storage receptacle for fryolator grease OIL in trash area - - - --- I Page 14#22—It is indicated that ice is made on premises but ice maker Please indicate location of ice location is not provided maker has ice machine i Page 15 #24—Calculations for necessary hot water was not provided Please provide calculations OK - --- ----- Page 15#26—No information provided on backflow prevention devices Please describe how backflow prevention devices are inspected and serviced OK Page 16 #35 ---No information provided about how linens will be cleaned Please revise OK outside off-site company Page 16#37-38 Location of clean and dirty linen storage was not provided Please provide location for both clean and dirty linen storage OK storage area 1F Page 16 #39 — No indication of type of containers used for bulk-food Please revise OK storage E .- P-age--1-6-#40-=-No--specifications-provided-for gust-hood P-lease-revise-OIL received i, ---- - ------ __. - -- - - - Page 17#43—No information provided regarding prep sink Please detail answer OK North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover,MA 01845 Phone: 978.688,9540 Fax: 978.688.8476 b. good plan approval April 24, 2015 - - - 3 Land Wash Sinks were indicated in the legend of drawing A6.00 however Please review and indicate only 2 were shown. where the third sink is OK. 2 handsinks; 10 feet from prep, warewash and cooking areas. In the additional prep area there is no hand wash sink present Please revise OK plan changed _ . _ *Discuss Tablet vs.Paper form of MSDS booklet Procedure for access in ease emergency OK North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 rim" IOU tkORT ow Tor it 0'1" wn 0%1 n U ® No. ra L.Ka ver, Mass, 1' 2 aGr� cocNrcMcw.c. L1' BOARD OF HEALTH LD Food/Kitchen Septic System THIS CERTIFIES THAT ..� �f "� r90 ` 44/C_ BUILDING INSPECTOR p g � 7- f" � .. Foundation has permission to erect .......................... buildings ., .. ... ........ ... .................. ..................... ` .. Rough to be occupied as ............. �`.�. .::.: ?! '.... ©......�' ... .... �Y ! .��I6�c f chimney provided that the person accepting this permit shall in every respect conformo the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough MONTHS PERMIT EXPIRES I 6 MONT S ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO STARTS Rough ......'......'. Service ............,...... ... . ..40/ �� ................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Bet. Good Burger 111 Turnpike street North Andover Contractor Pro. Design&Construction co.LLC Contact Wallace Wallace Cell 617-448-8998 E-mail wallaceho@comcast.net 218 Willard street Quincy mass 02169 Description Performed By Architectural Jordan N/A B©H Application B Good N/A Fire dept. Review Pro Design No Cost Site prep. Demo Complete Gutted Pro Design $4,000.00 Electrical Corp.finishes Pro Design $17,500 Temp lights&power During demo Pro Design $3,500 Plumbing&gas Corp.finishes Pro Design 25,000 Big Dipper Pro Design 7,500 HVAC Pro Design $8,000 Hood exhaust&fresh air Non-heated Pro Design $14,000 Interior hardware's Corp.finishes Pro Design 3,800 Walls framing&finishes Corp.finishes Pro Design 20,000 Slab cut/removed For plumbing Pro Design 8,000 General carpentry Corp.finishes Pro Design 5,000.00 Flooring Corp.finishes Pro Design 14,000.00 Millwork Corp.finishes Pro Design 6,000.00 Mint Box Corp.finishes Pro Design 4,000.00 Lightings Corp.finishes Pro Design 6,000.00 Roofing Mall roofer Mall roofer 4,200.00 Ceilings Drop Pro Design 6,000.00 Bathrooms Corp.finishes Pro Design 8,500.00 Masonry work Trenching Pro Design $2,000.00 General building supply Pro Design 23,000 Dumpster&trash Pro Design $5,000.00 permits Pro Design $1,200.00 Permits Pro Design $3,800.00 Grand tote) $200,000.00 I i F. r I I • o`NoxtN 1 �11 O+Mr°err{4g SSACIIUSE CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 850-15 on 4/27/2015 Date: July 13, 2015 . THIS CERTIFIES THAT THE BUILDING LOCATED ON 99 Turnpike Street MAY BE OCCUPIED AS a restaurant--B Good Burger IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Eaglewood Property LLC 99 Turnpike Street North Andover,MA 01845 Building Inspector Fee: PrePaid $100.00 Receipt: 28697 Check : 1513 NUNN SORT" own of 2 �•• � :'�'' Andover - O No. � .. . .... .... y ?, ver, Mass, ^� Q I.AK1 �, C O(_MiC ,q °RwTeo +`P�`�,�G3 BOAR F HEALTH Food/Kitchen �� j�PERMIT LD Septic System , . f6U_/{ ��O�r` � BUILDING INSPECTOR THIS CERTIFIES THAT , (.... . ................... .........,.,....................,..... � � ,..���.....ar.'1....•...................... Foundation s ;•� . has permission to erect .......................... buildings on .. ....... Rough.' ........................ Chimney .............. to be occupied as .... ... ...... ..... .. ...,....,..,.......... this ermft shall in every respect conform to the terms of the application provided that the person accepting p on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and ,.PLUMBING iNSP OR Construction of Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final d4v ( '7 )5 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS "C°g �� � Service r .............................................. Fin �� �� �`� ~ BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Final ��3'�� ace on the Premises - Do Not Remove Display in a Conspicuous PI No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. p� NL) ...... T he Commonwealth ss se s City\Town of North Andover Certi irate Ins action In accordance with 780 CMR, Chapter 1 (The Sixth Edition of the Massachusetts State Building Code) and Chapter 304 of the Acts of 2004 (an Act to further enhance fire and life safety),this temporary certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to B Good Burgers 99-2015 Indentify property address including street number,name,city or town Certificate Located at Expiration 99 Turnpike Street July 2016 Use Group Restaurant Allowable Classification(s) Occupant Load 48 Certificate of inspection is hereby issued by the undersigned to certify that the premise,structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall allow for the temporary use as herein described and in conformance with any and all conditions as identified below. It shall be framed behind clear glass and\or laminated and posted in a conspicuous place within the space as directed by the undersigned. Failure to post the certificate,failure to comply with conditions or,tampering with the contents of the certificate is strictly prohibited. Conditions of Temporary Use � Name of Municipal Name of Municipal Gerald Brown,Bldg. Insp. Date of Fire Chief Building Commissioner Inspection July 13,2015 Signature of Municipal Signature of Municipal Fate of Issuance July 13,2Q15 Fire Chief Building Commissioner f / Town of No. ,. VOW . m ver, Mass, 0 s _ BOAR _F HEALTH Food/KitchenPERMI T LD . - Septic System �'— � � THIS CERTIFIES THAT ...., ��`��......,...../.. � � � '� BUILDING INSPECTOR has permission to erect .......................... buildings-on ....,./.. .. . � C ...... ,:� ,,,..,......,............ Fond ation `-- r to be occupied as ... Rough .. Chimney .. ........................... ............................. y . provided that the person accepting this permrt sall in every respect conform to the terms of the application ai on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. LUMBING INSP OR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. e Final PERMIT EXP1111RES IN 6 MONTHS ELECTRICAL INSPECTOR{,, ou Service ...................... ......`................................................... Fin BUILDING INSPECTOR �'` F GAS INSPECTOR Rough is lay in a ons icu® � lace re ises — of Final - } Oviv No Lathingor Dry Wall To Be Done FIRE DEPARTMENT t Until Inspected and ApprovedBuilding Inspector. Burner Street No. Smoke Det. VIA toRIN Aaws vd."ERTIFICATE OF USE & OCCUPANCY r 1`0WN OF NORTM ANDOVER Building Permit Number 850-15 on 4/27/2015 Date: July 13,2015 THIS CERTIFIES THAT THE BUILDING LOCATED ON 99 Turnpike Street MAY BE OCCUPIED AS a restaurant—B Good Burger IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Eaglewood Property LLC 99 Turnpike Street North Andover,MA 01,845 Building' Inspecio'ri- Fee: PrePaid $100.00 Receipt: 28697 Check : 1513