Loading...
HomeMy WebLinkAboutPermits - Permits - (3) MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING . � (Print or Type} I �j. .., ( '� MOAN. Cat• ' ` . � '' ..� LOcatidtt CO iA +f" Ilf�.4 3 Name New ❑ Renovation Replacement t] plant Submitte1: Yea❑ No [I FIXTURES X y z �Ic F y iri y //! y 0 Z = W W y J ?� q N O l7 pC R N14 J 0 Z O x N a x N Q a x a N 0 Y x F. Oj y (? W N SL ?4 U a m `� a 0 o a a < N a .J a a a � a < F" o px a Ny Qlt x)9 J rn 0 a N A cc to, O SUB-BSMT. BASEMENT IST FLOOR 2NDFLOOR 3RDFLOOR ,4TN FLOOR STHTLOOR eTH FLOOR 7TH FLOOR 8TNFLOOR feck one: Certkicale InstaillkV Company Name � �t ��' gip- Addrets L 'fit_ ` ❑Pidnership ( Fkrn/Ca. Buskiess Telephone ,Name o1 Cleansed plumber INSURANCE COVERAGE; c `I have a cuttent Itabllity Insurance Policy or ih substantial equWenta Yet No ❑ N you have checked". pleas�/Qlcata the type coverage by checking the appropriate box. A Ilablity Insurance pollcy other" of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the kensee does flat hsY-t1 the tnsutance coverage tequlred by Chapter 142 of the Mara. General Laws, and that my sfgnalure on this pemA application watves this requitement. Check one: Owner ❑ Agent ❑ •of OWTW Of a ACOM eby cw*that&A of the details and infam•11ort I hew 6x�y{wed)In tlon,�r•tFoo and somata to the best of mymyk Mtaow4edpe&rid that ON pkmkW trait and Installatlone p•rlam•d ndw tl»pw ?fa We appi4c 0"WM be In ow"06 os%ith am pertinent pWslons at the Mauadwsetts State Pkxnbino Code and CheMat 42 d at are Lkenio Tltie tk*nse ' � Clty/t'own Type o1 FWAti p License:Maslen Q� ApprKWED(OFFICE USE ONLY) Annneywan ❑ RTH Andover Town of 0 . No. dover, Mass-,—Z2-17— t" LAIKE COCHICtIEWICK ti 0RATED P"' C7 S BOARD OF HEALTH Food/Kitchen PERMI D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.............��--a•l�......4-�.c..... ........ .................. ............ ....... ............ ------- Foundation Rough 0 has permission to erect.... ....... buildings an. ................. .... ... .............................. Chimney to be occupied as.......... hall in fieryrespect conform to the terms of the application on file in Final provided that the person accepting this permit s and By-Laws relating to the inspection, Alteration this office, and to the provisions of the Codes a ration and Construction of PLUMBING INSPECTOR Buildings in the Town of North Andover. VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final pERN47 EXPIRES IN 6 MONTHS ELECTRICAL wspwrow UNLESS CONSTRUCTION S ARTS'.. Rough Service .. ........ ............. .. ........ jauu�...... INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det.- 01 NO rH BUILDING PERMIT = TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION � i � _aryk Permit NO: Date Received ��sspc►+us���y Date Issued: _ .a IMPORTANT: Applicant must complete all items on this page Rr� t PROPERTY OWNER Rnnt MAP NO PARCEL ' ZONING DISTRICT HisW District yes no ' Mack�ne.Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial RIe Assessory Bldg Others y i rreJ acement ,*- molition_� Other Septic UueII Fioodplan 1Netlands 1lUatershed District INaterlSewer DESCRIPTION OF WORK TO BE PREFORMED: Z2� y__ ✓�, / JJ / -mod' [ d t' xcat'on )Please Type or Print Clearly) p OWNER: Name: �, �' . �� Phone � r Address: J)� � CONTRACTOR Name Phone. Address. / is Construction License '' ^Exp. Date; S,upervso — Horne Improvement Leense: Exp.' Date J ARCHITECT/ENGINEER / l `%<. ' Y . 'C Phone: Address: Reg. No. 1 f FEE SCHEDULE:BULDING PE M1T.$12,00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$12&00 PER S.F. X. �� ~� I� �, ✓.� ' ,� ..� Total Project Cost: $ -f FEE: $ ��CJ ` Receipt No.: Check No.: NOTE: Persons contracting with unregistered contractors do not have access to thuguafyur:d Signature of Agentlowner Signature of contrac yr Ii v C ! am x o6 c F: AMINO. �'� v n yi'.-.,,..,.y ' ,.../' .. .-cam r........:.. ...: .......... CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 2161 PROJECT TITLE: North Andover Office Park PROJECT LOCATION: 203 Turnpike Street NAME OF BUILDING: Building 2 SCOPE OF PROJECT: Demolition of Non-structural Existing 2nd Floor walls,ceilings,and finishes. In accordance with Section 116.0 of the Massachusetts State Building Code, 1, Joseph D.LaGrasse,AIA MA,Reg.# 4153 being a registered professional engineer/architect hereby certify that I have prepared or directly supervised the preparation of all design plans, computations as specifications concerning: Entire Project X Architectural Structural Mechanical Fire Protection Electrical Other For the above named project and that, to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable laws for the proposed project. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 116,2.2: 1. Review of shop drawings, samples, and other submittals of the contractor as required by the construction contract documents as submitted for building permit, and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix 1, Pursuant to Section 116.4,1 shall subnut periodically,a progress report together with pertinent comments to the Building Inspector. Upon completion of the work,I shall submit a final report as to the satisfactory completion and readiness of the project for occupancy. Joseph D.LaGrasse,AIA 0 0. f Architect/En it er Date `Qy G7' rt a ' No.4153 ANDOVER, MA FWmishiction control afiridavitdoc-OfficeS One Elm Square a17H OF+� T 978.470.3675 Andover,MA 01810 F 978,470.3670 1I 1 PROPOSAL.No. 9327 U.S. Property Services PAGE NO. E P.O Box 545 1 r3A 3/3/a9 Billerica,MA Y. General Information Proposed by: U.S. Property Services Telephone: (978) 587-2809 P.O Box 545 Fax: (978)587-2809 Billerica,MA Submitted To: First General Realty Corporation Work Performed At: 203 Turnpike Street, Second Floor 93 Union Street, Suite 315 North Andover MA Newton Centre, MA 02459 II. Work Description We hereby propose to furnish the materials and perform the labor necessary for the completion of the work described herein and to commence on the date listed above: • Demolish all walls on the second floor Cost: $29,325.00 • Completely remove all ceiling file systems • Salvageable ceiling tiles will be saved • The items marked for Dr. Watchel will be separated and stored separately from the other items • All flooring will be removed. • Salvageable carpet tiles will be saved • Sink bases and sinks will be removed and saved • All cabinets will be removed and stored on site • Counter tops, glass partitions, doors, frames, associated hardware etc, will be removed and stored on site • Noisy work will be performed off hours III. Exce Lions • Plumbing • HVAC • Carpeting • Electric • Fire Alarms 1 Sprinkler Systems IV. Terms a. All debris will be removed on a nightly basis. b. First General Realty will provide the dumpsters All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work, and completed in a substantial workmanlike manner for the sum of Twenty-Nine Thousand Three Hundred and Twenty-Five... Dollars ($ 29,325.00 ) Payments to be made as follows: 113 Deposit, 113 Progress Payment and 113 Upon Completion `Any alteration or deviation from above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, or delays beyond our control. *Note—This proposal may be withdrawn by us if not accepted within 30 days. U.S. Property Services•Tel:978-587-2809• Fax: 978-587-2809 uspropertyservices@hotmail.com i (Continued on the next page. '. .) PROPOSALNO. 9327 U.S. Property ® PAGE NO. . P.O Box 545 Billerica,MA DATA 3f3109 (. . . Continued from the previous page) Respectfully Submitted Frank Gomes On behalf of U.S. Property Services ACCEPTANCE OF PROPOSAL The above Payments prices, especifications will Ibe made as outlined abovesfactory and are hereby accepted., y �re a horized to-do the work as specified, Date �/ Signature Date Signature U.S. Property Services■Tel:978-587-2809•Fax:978-587-2809 uspropertyservices@hotmall.com 03/11/2009 WED 16:01 FAX 978 750 0082 FRAVEL INSURANCE AGENCY [�001/001 ACOR€Q,,, CERTIFICATE OF LIABILITY INSURANCE °"1/1 109 PRaoucER THLS cmnFICAT'EISISSLEDASA MATTER OFINFORMA710N Fravel Ineurance Agency ONLY AND CONFERS NO RIGHTS UPONTHECERTIFICATE h Street HOLDER THIS CERTIFICATEDOES NOT AMEND,EXTEND OR & High ALTER THE COVEERAAGEAFFORDED13Y THE POLICIES BELOW. Danvers, IMP. 01923 INSURERS AFFORDING COVERAGE KAIC# I NSIURM 1NSLFRI Rl0.Max Special Specialtz Ins Co, LTS Property Services INSURERM Granite State Lisa Comes �JNSU SURMC: 200 Andover Street, Suite 312 RERD:Peabody, MA 01960 SURERE: ' COVERAGES E INSURED NAMED ABOVE FR THETHE POLICIES OFBEEN ISSUED TO TH ANY REQUIREMENT.sURANCE TERM OR CON LISTEDITION OF ANYwiLOWECONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH POL(CY THIS CERTIIFICATE MAYY BE(ISSUED ORDING MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT YO ALL TtJE TERMS,EXCLUSIONS ANO CONDITIONS OF SUCH pOLICIk&AGGREQATR LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ - ..... INBI D' POLMYNUMSEA p(yLICYEFFEGTVE U DfP€AAT NI LIMITS GENERAL LIABILRY TYPE OF INSURANOF &PREMMES CURRENCE S 1 000,000 70RENTED - X COMMFRCIALGENERALI.SABILIIY MAX013902000209 3/9/09 1/9/10 Vs,eceurenx S50 000CLAhA$MAOE aOGCUR me .m 0UL6ADVINJURY $ 1 000 000 GENERALAWREOAl S 2,000,000 PRODUCTS- GEN'LAGGREGATEUAIITAPPLIESPeR' CpMPh7PA 000 GG 3 ��ODO� P000YE1 PR LOC AIJTOMO»lI,0LIA0LITY COM[jIN1:DSINGLELiMR 3 -• (FA eCclttenll ANYAUTO --•-•-� _- ----- - ALL DANEDAUTOS BODILYINJURY $ — i(Per wb-) SCHEDULED AUTOS ' HIRED AUTOS 9ODILY]NJURY $ (pa ocddat) NON.OANED AUTOS -- l(ea.&W)ERTY0gMAGE g € GARAGE LIABILITY I I AUTO ONLY-EAACCI�ENT_I_S I l EAACC $ j ANY AUTO I ` AITTTD ONDLYA AGG $ EXCE56NMBRELLALIABILTTY EACNOCGUItRENC£ 3 (OCCUR CLAIMSMADE AGGREGAYE $ DEDUCTIBLE $ I !RETENTION $ $ VYC STATU- OTI-F I WOM(ERSCOMPFNSATIONAND 1 13 09 i/19/10 100 000 Yli A I:AA"Y€M.LMLITY TSA / / £-LEACHACGIDENT $ I ANYPROFR€1=TORMARTNEMECUTNe �� / E.4DL$EA,SE-I,+AF;MPWYEE $ 100,000 OFFICERMI£MBF;R0(CLUDE171 --cam (,1�� ILJd yPE dRLPROVIg�Sealow I E.L.DISEASE•POLICYUMIT $ S00,000 OTF1E R I i 1 b6yORIPTlaNOFO PER ATIONS1L06A710N$1VENCLEI$ CXCLVS100ADDEDBYEND6RSEM ENT I SPEC EALPROVISfONS NAOP, "C is named ag an additional insured; CERTIFICATE HOLDERCANOELLAT ION SHOULD ANY OF THE ABOVE DESCRIBED POLICIEBBE CANCELLED BEFORE THE EJIPIRATION DATE THEREOF,THE MUINGINSURERWILLEN0EAVORTO 30 DAVSWRITTEN NAOB, LLC, NOTICETOTHEOERTINCATE HOLDER NAMED TO THE LE ,13U FAILUARTOOOSOSHALL 93 Union Street INPOSENOOBLIGATIONORLUR OF ANY RIND UP THE( SURER,iTSAGENY$OR Suite 315 1RET'RI'SENTATIVES, rleWtOn C9T1tBS, MMIILL 02459 AUTHORIZED REPRE5ENT7 M;;Al(�� ACORD 25(2001108) ACORD CORPORATION 1988 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGt_Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 ............ JAORTH Town Of Andover No. -wl- over, Mass,- 0 0 . COCHICHaWICK ATE W S BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THISCERTIFIES THAT.........AVA4�)o..41e........................................ ....................... ............................ ... -/.... ondatio, has permission to erect........................................ buildings on ....2.0.3......V M-R,,h to be occupied as........44!�R:r....... ------- ....... .......*...... himney provided that the person accepting this permit shall in every respect conform to the terms of the p ication on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of PLUMBING INSPECTOR Buildings in the Town of North Andover. VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT` EVaES N 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU TARTS Rough Service BUILDING INSPECTOR Final OccuparLcy Permit Required to Occupy Building GAS INSPECTOR 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. IL--SEE REVERSE SIDE Smoke Det. BUILDING PERMIT CS�,i4Leo !e'4� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION � z a Permit NO: Date Received �,�ss A *P Olt' ACH Date Issued: "!�`� IMPORTANT: Applicant must complete all items on this page 1L000ITIC1 �'r�rat A k PROI'ER`I '"1OE a � lA`PyNO �Px����L,� �©l�l11�G1STRIG�' H�storro�astri.ct _ des �:o ` � ohknehap�/i11�ge yes Brio _ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family I�tria� Alteration No, of units: ommercia Rem aiirr,le lacement Assessory Bldg Others: Demolitio Other 77. Amemam!a=E tlar►dsEPREFORME D: n r'4Qe_mah_& Identificat'on Please Type o Print Clearly) OWNER: Name: ~ d Phone: 9 Address: 4 ¢PllOne: CO 1TRP TOJf, e f M S5 ONS erv�srOntrionLicer� i�` � ' pa#e �p 'Harme 31m.proVernen��l��cense.. .,. I'. ARCH ITECTIENGINEER 9joC/rr' Phone: Address: 1,14 l/ Cl Reg. No. 7 ! 5-3 - FEE SCHEDULE,BULDING PERMIT:W.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ J ' 6" FEE: $ 3 S "— Check No.:W �� / Receipt No.: (Q NOTE: Per-soils contracting 'th unr•egistei• d co c ors do not have access to the guaran fund Y Signature oT�►gentTOwner Signature of confrac - - The Commonwealtl, of M,7ss0chuset1S Department of Indrestrial Accidents Office a t : + lb ations ' i 600 Washington Street Boston, MA 02111 ;� www.��r.gov/die Mlorkers' Compensation Ills tiralnce.Mf cl wvit. I3nilders/Cointractors/Blectricia:ns/Piumbers A licant Information Please Print Le6libiv Name (Business/organiration/lndividual): p� Address:2 City/State/Zip: A11W Phone Are v u ast employer?Check the appropriate box: 1. I am a employer with 4. ❑ 1 ant a general contractor and 1 Type of project(required); employees (full and/or part-time).* have hired the sub-contractors 5' ❑ Nei'construction 2,❑ 1 am a sole proprietor or partner- listed an the attached sheet t 7 ❑ Remodeling ship and have no employees These stab-contractors have 8, ❑ Demolition working for me in any capacity, workers' comp, insurance. [No workers' comp, insurance 5. We are a corporation and its 9• ❑ wilding addition required.] officers have exercised.their 10•0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 1 l,❑ Plumbing repairs or additions myself. [No workers' camp. c. 152, §1(4), and we have no insurance require C errtployees. [No workers' 12,❑'Roofrepair8 comp. insurance required.] 13.0 Other *Any epplicaet.lhat checks box Al must also fill out the section balm-showing their workers'compensation Policy information. Homeowners who subsnit.this affidavit indicating tlteg at dujltg f�i'4J;3F $f1f[(}iGn}inepttt$jd�4`UE1-. s tion Poll Slinfarbmit atio arX!(jalrli!nQ]C&till xCptttractors that ehecl;this box Fnttsf atraehed an additional sheet showing the natne.af the sub-aontractars and their workers' ,of yi ppiic�indicinfarating such, I am an enrploper that is providing workers'compensation insura ce jar mO,employees, BelOW is[he policy and job site information. insurance Company Name Police 9 or Self-ins. Lic. #: / �� Expiration Date: —� / Job Site Addres . 0 i�� vC CitylStare/Zip: , Attach a edp�r of the workers' compensation policy deciat-anon page(sht,wirig 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 tip to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the farm of a STOP WORE.ORDER and a fine of up to S250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office,of Investigations of-the D1A for insurance coverage verification. I do hereby certi ur r he pains crud penalties of perjury that fie infornraiion provided above is true crud carrea SiQrtat /:190 Date- Phone#; � � Of use nn1p. Do not write in this area, to be completed.bj)city or town official Cih' ar ToNrn: Permit/License# issuing Autlnorit.,(circle one): t. Board of Health 2. Buiiding Department 3. City/Town Clerk 4. Eiectrical Inspector 5- Plumbing Inspector 6. Other Contact Person: Phone JAN-13-2009 10:36 FIRST GENERAL REALTY CORP 617 627 4176 P.002 f AC®RD. CERTIFICATE OF LIABILrry INSURANCE °A1/"109 ' II DDuaaA TIM CEMEATMISS11E "A MATWAOFINTIMATION Fravol Inxurance Alg"ay OWYANO COMM 110F;C,AliBWOIT ATE I4 6 High sCsyst HOLDIM T"18 CGIVNICATEDOE NCB �EMOR k A I7�(rve�a, I9► 019Z3 I.TI> t GaIV�A i�ta7THEPOL•ICIIs M . II L A_ROONO COVEMOE til11C A INwa� r�uaena> cialty'law CO, �— QS Property Services OMRO®c GEw4le» 3tAto L11lf6 amms 200 Andover sYz"t, suits 312 VlttSlD; Peabody, M 01960 caves 111 THE PWCIE51 OF INWRANCI(LIS'ITi'D BMW iMAV6 MCC ISBVEO TO THE INSVRFD NAM b AVI&M FOR THE POLICY PORIOD INDICATED,N0TWITH9YANOIN0 ANY RNOVIR-WNT,TERM OR CONDITION OF ANY CONTRACT OR 074ER OOCWAIENT wITN rleBftCT TV WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INIiVRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUMECTTOALL THU TERMS.O(CLUDIONS AND CONDITION$OF SUCH POLICIES,AGGAEO+ATE WAYS SHOWN MAY HAVE BEFN REDUCED BY PAID CWMA. ., At µOgg Lwrc5 I� Lwp ff Q"Vft a 1 00.O.,Q00 do+ImVk-+LwwAw4aum IOXO13902000200 1/9/09 I/9/10 mad+°ro+If 50,000 k CLAMS WE, OCCUR KCO VV(ArW4 pLV".__ S 5 r 0Q�. i ,,.,_.� P�90NAtaAn{rinuUnv, s 1,�000,0QQ (iE[VLAQQRCdATI'LMAITAONIIFSPIEA nllaDvcTs•COA6�lOOA4n >I 000 Q 0 I I�aa Avrt�wasll�LwD�rTY c�esanr�sPle�nlav+rr � ANYAUYO (CA wk o ALLVM MJYOO IrOerol4trlstlaVl'Q1 ! .., .. . . WR® 7Oe9 W=XY {u0Ny0wNEOAUTOS f�'o> ,I F ; CAPAULWOUTY AuyOONI.Y•CA CA6NT„ $ „......, E I ANYWO I'AAOO i € AI6 t qIC pVIubI�OLu4tdIHRAI,I LACNOCCvf>A040P I i ,DOC'UTI Ct+vI�SMADE aGefse�i�C I Ss l. i CB)llCTRAE I r REMPON S WORK" CDkIO®rWONAND h V• I.ER sdOLOM 'LIAiIIdTY T&N �►/ ,�/08 1/��/�0 ��CII C T 9 a00.000 ANif RkORl iiY0N1PAi 100,000 OFPiC71111�f1�310ff'IAtD��� IML DI •64EAIP�RTnr'C 1 '. +°� r EL DMAK-POL]CYUm+r t boor 000 D�C°I®11dIiD1'CiEAATwN'f 60aAT10NQ1Y8P11CLp!�tU�HBADDP.O BT PAdo a4.�1I*t/TITIPBCiA7,PR.OVFS10N6 i i I f C ACE CAWMATIM MJQVJO ANY CP T49 ASQW MKAJLZD hDllIM.SBE tAIMCIrIID BCi1IItk THI'D�RAt10N PAIXn X4W.Wgit L*IMSINSWeRWLteN*rAVMVDMAIL 30 DlllxwntF Ivt NAOF, "C. "May*Me 09RT1PWO HOLM KAMEO SO"E LUT.BUT PALLUR9 10 0 0 60 5"L '. ;! 93 VniCs SAC II Y,NOOYuwW)40R All O>1WYItZAC0rfVCQMFJMMTlQW MIllw0URGI%n0A1'NT90m oui a 3XS i � R ,�eTITfe1Y'I�. Newton center, M& 02459 AUTIIVRIaDII!»I TATMI " 1 00/T00� DKOV OWSM UAW 9800 09L W XVJ 9141 M 60OZ/£1/10 TOTAL P.002 �;;;,. vr-...., ,,, ., .:., �,.,..,..:,.,..=........,,.,,.: �;�s'_ a,i.: ;. ,,:.,,.�,�-.,:;...0�-.ry :N:;r -,-.s:.:.,.,�,1.y- _r-.:v' --w. �.v,:��>y�a�r�"% ✓..wW;7",,.,.,'.,,...,.iu-".:M-- .r;.�`p-.'':."-." si �-�i , w r Ma �.,,,• ,,,, ,.a^.,-;- ✓r .i �;'✓�; ..;.--.�':�,�,. ":.^'.,,> -,i"'�+,8�..�;•�`..��a�.,�" „*.,,..-����-�«';�-;,�,u�,.... „'� ''�'.,n-. rr,"`-�' lr""r;r:.,�/'"%'�..'..',x�",: ,rA:�.,.r',a.�.� ,.,:.-.,�` -,,,, �,� ..:.:.,,z,:., n,-,..,... �'.-"'-!.„-.C...-,,,^^"'...�i�`:�......,.s r.Y_-✓T .K._,;✓�.,rY-,... _ _.rm,..-;•,;:w.. ..,-...� w...._.�r...,......, CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 2161 PROJECT TITLE: North Andover Office Park PROJECT LOCATION: 203 Turnpike Street NAME OF BUILDING: Building 2 SCOPE OF PROJECT: Demolition of Non-structural Existing 3ra Floor walls,ceilings,and finishes. In accordance with Section 116,0 of the Massachusetts State Building Code, 1, Joseph D. LaGrasse,AIA MA, Reg.# 4153 being a registered professional engineer/architect hereby certify that I have prepared or directly supervised the preparation of all design plans, computations as specifications concerning: Entire Project X Architectural Structural Mechanical Fire Protection Electrical Other For the above named project and that, to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable laws for the proposed project. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 116,2,2: 1. Review of shop drawings, samples, and other submittals of the contractor as required by the construction contract documents as submitted for building permit, and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix 1. Pursuant to Section 1 16,4,I shall submit periodically,a progress report together with pertinent comments to the Building inspector. Upon completion of the work, I shall submit a final report as to the satisfactory completion and readiness of the project for occupancy. Joseph D. LaGrasse,AIA 1 t m D. LOG e n� i 66f� W 0 m o.4153 tgn tuit of Archite / ngitneer a ANDOVER, "o MA 9y �D't?yF�l� I�PSSPG� n[OF r:llconstructiocl control aftidavit.docOfficcs One Elan Square T 978.4,70.3675 Andover,MA 01f110 IT 978.470.3670 1420 Celebration Blvd. rvww.lagrassearcbiteets.coni Celebration,FL 3474.7 JDLoffice@LaGrasseArchitects.corn AA26001333 JAN-20-2009 10:03 FIRST GENERAL REALTY CORP 617 527 4176 P.005 j FIRST GENERAL REALTY CORPORATION 93 Villon Street,Suite 315 I Newton Centre,MA 02459 } Phone-,617-332.6400 FIX;617-527.4176 ! December 30, 2008 3, US Property Services Sent via facsimile;(978)319-9033 P.O.Sox 645 ! Billerica,MA 01821 Re; 203 Tumpike Street V floor Demolition I i Dear Frank Gomes: This is confirmation of the work to be performed at the above referenced address. We mutually agree the i amount will not exceed Twenty-Nine Thousand Three Hundred Twenty-Five dollars and 00/100 29 32 . 0 ,for the work described on the proposal,attached as Exhibit"A". Your engagement is acceptable subject to the following conditions: Your engagement is acceptable subject 9a9 p to the following conditions; t. All work shall be performed In a good workman like manner and In accordanoe with all town,state and country codes and regulations. 2. Your company and personnel will clean up after completing their work. 3. Your company will provide us with a certificate of Insurance to Include public general liability and i workers compensation,NAOP t-l.0 and First General Realty Corporation,as additional insured. 4, Your company will be responsible for obtaining all necessary permits if applicable. j 3. If you cause a violation to the contract,we can send you written notice and remove you from the ! job within 72 hours of notification limiting payment obligations to only the work completed, 6. The project will be scheduled on a mutually agreed upon date by Contractor and Landlord. 1. The payment terms are as follows:$90715 deposit$9,823.87 progress payment and$9,823.80 j paid within 15 days of completion of work, 8. Should any part of this agreement contradict Exhibit"A",this contract shall govern or supersede. Please sign on the line provided below and this will serve as the basis for our contract. i Sincerely, r f i Joh nier, Do Agreed to �d ie ted by, 01jo oY nk mas, president Date i i t 4AN-20-2009 10:03 FIRST GENERAL REALTY CORP 617 627 4176 P.006 1 U.S. PROPERTY SERVICES PRaPasAe rvo. 3669 P.O.Box 545 PACE NO. 1 Billerica,ANIA 01821 DAT 11/05108 j REVISED 11106/06 Y�S�cral�1�xna�tzon Proposed by; U.S. Property Services Office Hours: Monday-Friday; 8;00am--4:00prn P,O, Box 545 Telephone: (978)319-9033 i Billerica,MA 01821 Fax: (978)319-9033 i i Submitted To; First General Realty, Corp. Work Performed At: 203 Turnpike Rd, 93 Union Street,Suite 315 ed&30 Floor Newton,MA 02459 N.Andover,MA 01845 (617)332-6400 , f Work Oescription: Demo Work IT. ''Work Desciiii2doia f We hereby propose to furnish the materials and perform the labor necessary for the completion of the work described herein and to commence on the date listed above; i Area. 2"d&3,d Flaors l Phase I-3rd Floor Only •Cover appropriate areas for protection ■Cover all heating units with plastic I ■Remove all upper and lower cabinets,countertops,sinks,and ceiling diffusers •Store in a designated area ■Remove all doors and frames Save and More in designated area i ■Remove any Item that can be Saved and stored in the designated area Phas*II-3rd Floor Only ■Remove and dispose of all ceiling fifes and grids l ■Remove and dispose of ceiling light fixtures '. •Electrician Is responsible for cutting all live wires beforo demo work begins IIPhase III-3rd Floor Only Remove all interior walls throughout the entire a floor ■Leave all exterior walls and any structural walls •Leave both stairways,the elevator shaft,and the mechanical room behind elevator I ■Remove shoetroek around the structural columns Leave the columns exposed ■Remove all flooring-VCT,ceramic tile,and carpet •Remove all cove besos and wood bases from the exterior walls I •HVAC contractor is responsible for dfscannecting the units from the walls f -U,S.Property Services will provide labor to move the units to designated areas fi k f (Continued on the next page._.) 4 0 U.S.Property Services TallFax:978-319.9033 •Info aOusproperlyservioes,com ll� I Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A-F and G min.V0041000 fine NOTES and DATA-- For department use ❑ Notified for pickup - Date Doe,Building Permit Revised 2008 I i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING r' I (Type or print) j NORTH ANDOVER,MASSACHUSETTS ( lQ � Qa Date l �Z -07 ~� r��� Building Location O� Owners Name Permit# X7 7, Amount _ j V.> Ak9A-t Type of Occupancy New Renovation Replacement ❑ Plans Submitted Yes NoEl FIXTURES Cr co� z h un Cr O a O rr� CC W raw � t� P;4 Cr S'II BROr BAM)W isr Rum ` 2W FLOOR �WWIMOOR 4IH MOOR SM FLOOR 6M FU= 7MIt"R SI1I I€Dm (Prink or type) Check one: Certificate Installing,Company Named{� I �* � � ���fG[C�li �� �Corp. ���6 Address • Partner. 0G usme . Te ep one Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: ❑ Liability insurance policy Other type of indemnity ❑ Bond Insurance Waiver: I,(lie undersigned,have been made aware that the licensee of(his application does not have any one of the above three insurance rgnature Owner Agent I hereby certify that all of the details and information I lr €nr d(or entered)in a�b e application are true and accurate to the best of my knowledge and that all plumbing wor installati per or €der P t Issued for this application will be in compliance with all pertinent provisions of ass hus S PI n e andt .j ter 142 of the General Laws, l By: rg a ure 01 LICCPKeUm er Type of Plu bing Litlense Citle y y Cit /Town License a €i er Master � man El loFnCF USE ONLY Journeyman NORTHANDOVER OFFICE PARK March 1, 1991) N'lr Michael McGuil-e Building Inspector Town of North Andover C'o1m unity Development & Services 27 Charles Street North Andover, MA 0 184 5 Dear W. N1CGUire: 1 an'i in receipt of'your letter concerning the 2.43 Tuil�pilce Ste �t' uilding. I have ordered the evacuatiotl floor flans f-0111 our sign company and hopefully they will be in place by next week. 1 have also spoken to the Pentucket management advising them that they must allow people to use the stairway if they desire. 'thank you for your help in this matter. Sincerely, �fell McMahan Property ivlanager i 461 Andover Street North Andover, Massachusetts 01846-5070 TOophono 978/686-8635 Facslrnlle 978/687-6043 PERMIT NO. APPLICATION rOR PERMIT TO BUILD********NORTI-x ANDOVER, NIA ,y AIAPNO. LOTNO. qZ 2. RECORD OFOWNERSIIIP DENS BOOK PACE ZONE 5 B DIV. LOT NO. /y LOCATION '[J 0 s-�- PURPOSE OF BUILDING D T }� Ol1TIER'SNAAIE NO.OF STORIES , $ 2 L/ t OWNER'SADDRESS M BASEMENTORSL-AB AItC111TECT'S NAME SIZE OF FLOOR TIMBER!' I 2N 3 BUILDER'S NAME �' SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET DIIsIENS10NS OF POSl'S DISTANCE FROM LOT LINES—SIDES AR DIMENSIONS OF GIRDERS AREAOFLOT FRO E IIEIGIITOF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION =�' MATERiALOFC111MNEY IS BUILDING ALTERATION IS BUILDING ON SOLID Olt FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 15 BUILDING CONNECTS TO TOtVN WATER. BOARD OFAPPEALS ACTION,IFANY IS BUILDING CONNECTED TO TOWN SEWER €• IS BUILDING CONNECTER TO NATURAL GAS LINE mSTlmom 3. PItOPERT'YINFOliNIATION LAND COST EST.BLDG.COST PACE I FILL OUT SECTIONS 1-3 EST BLDG.COST PER SQ.FT. EST.BLDG.COST PER ROOM ELECTRIC METERS MUST DE ON OUTSIDE OF BUILDING SEPTICPERAIlf NO. 7 , ATTACIIEll GARAGES rIUST CONFORM TO STAf Flit REGULATION5 F, 4. APPItO1 EIl 1!1': � C 1 PLANS MUST BE FILED AND APPROVED BY UUILDING INSPECTOR v BIJILILLIIG IPtsPF C Tdlt DATE FILED O%I VERS-M-4 ' C�iJ L CANTR_TELM O 3"" Z '^'� r l � S7 f� l_, / SIGNATURE OF-OWNER OR AUTHORIZED AGENT CONTR.LILff �� �� �° FEE $ C26-1 1L LCA PERM IT GRANTED d � C Revised 5/sM JAI i NORTH Andover Town of No. Q C) i �. oo 1 a == o dover, Mass., COCr+I CHEwIC A K 0RATED pA S E i� BOARD OF HEALTH Food/Kitchen PE MKmik D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT. ....�. '..D I �_ ... ..... .......84M.�. .-..- Foundation has permission to *wel. - 't .. - ............. buildings on ..Q�.. .... /.....V.r .t.;.. r......... ...$-.. Rough A0611 CIS /s.......19a)"A r00 t"....-.-..-.0......... ........di&...................... Chimney to be occupied as................ .... ......... p:,ivided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 m PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI AR % Rough ................ Service .... ...... BUILDING INSPECTOR + Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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- SEE REVERSE SIDE smoke Der. • Commonwealth of Massachusetts Official Use Only mum OWL= Department of Fire Services permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFOWATION) Date: City or Town oft NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention perform the electrical work described below. Location(Street&Number) i Owner or Tenant / cv r cG Telephone No. Owner's Address ,_ Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service �lpAmps / / -\ t Volts Overhead ❑ Undgrd No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No,of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: c " L. Completion of the ollowin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No,of Cell.-Susp.(Paddle)Fans °•°f Total Transformers KVA No.of Lnminaire Outlets No. of Hot Tubs Generators KVA ` No.of Luminaires Swimming Pool Abave ❑ In- ❑ o.of Emergency 0gliting rnd, rnd. Battery Units No,of Receptacle Outlets No. of Oil Burners FIRE ALARMS No, of Zones No,of Switches No,of Gas Burners No,of Detection and —InitiatingotaDevices No,of Ranges No, of Air Cond. Tons No,of Alerting Devices No,of Waste Disposers Heat Pump umber„ Tons KW No.of Self-Contained Totals: . ........... .,.........,..,.,..,... .......,.,.,..,...., Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances XW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No. of Data Wiring: Heaters Si Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications:Wiring: Na.of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: _ f�Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the Iicensee 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 BOND ❑ OTHER ❑ (Specify:) I certify,under the pat aad enalties af�erjttry, that the infortnation on this application is true and complete. FIRM NAME: � �' � ( }o° i LIC.NO.: Licensee: Signature t .. t'.�.�_v—.-_._.� LIC.NO.: 5-oc, (If applicable, enter" empl"in the lice`izse number line.) Bus.Tel.No.: Address: t" ,, -_t o Y i/} Alt.Tel No.: - �1 *Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety"S" License: Lie.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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ \ j tie Golrurlorsipeattll of'Massachusetts vB�1lli'tt1181tt ofllldrlstl'ialAecirlents 4ffIce of Iilvestigatiolls 600 WOS14119toll Street Boston, MA 021.1.1 Workers' Compensation 1u8111-ance Affi Iav t:SB v/pia Applicant Tntonil�tio lx i1exs/Canh:lcta>I`s/Electricialls/i'iiuxi�bers Please Pi•iilt I,e ibY Ntillle (Bltslness�orgat�izatian/Indivtduag �oa, City/State/Zip: Pharie#: Are you au employer? Check the-appra 1rlate o /I box: 1.❑ I am a employer with 4. ❑ Pe Of project(requilrecl); crnployees{flip armd/or pas G_tm�e},* have hired the u 'I` U-conlrr and 1 2.❑ I'asn a solo proprietor or parhler- listed on the atta ed sheet.1 6 New constIllCtion R. ship and have no employeese These sub-cosltractars have 7. ❑Remodeling working for mp in any capacity, workers' coanp. insurance. $' ❑Demolition. No workers' comp. insurance 5. ElWe are a corporation and its q• ElBuilding addition ' required.] offie'ers have Oxeroised their 3.❑ I anm a homeowner doing all work righ of exermlption per MGL I1.❑ Electrical repairs or additions s nmyself. [No workers' comp• o. I52, §1(4), and we Lave no ❑ Plumbing repairs or additions amm insltrcC tquired j t emplo Y em, [No workers 12•❑ Roof repairs ' eaump, insurance regllired.J 13.[] Other*Any applicant that chedca box#1 mtta also fill out the section below showing their workers'cotttpensatlon policy inforn>e#Ion t Homeowners who sabmif this affidavit indicating they are doing all work and then hire ontsida contractors must sulmut a new a r 1Contraotors that cheek tills box must attached all additional sheet showing the name ofthe sulrcontraetors and their workers Gor�pOlicydn atirmntIon� I arrt art errtplayer that is Providing mvorkers'correpertsatiort insurance for rrry errtployeeS, I3et irrforrrrrrtion. omV is the policy artW�job site illsurarmce Comnpany Name: f Policy#}or Self-his, Lic. #: Bxpinf don Date: Job Site Address: Attach a copy oftlte workers' campensatiamm policy declaration page(shomvi g lteCity/staalicsl} Failure to secure coverage as required under Section25A of MGL c. 152 can lead to the impositionuumber and expiration elate). fine up to$1,500.00 alld/or one-year imprisonment; as well as civil penalties iu time form of a STpp WORKrmtnal penalties of \ Of UP to$25t},00 a day against the violator. Be advised that a copy oftlmis statemneut sm�a Investigadosms of Ilse DIA for insurance coverage veriftcati Y Uo forwarded to the p E� and a flue 3 on. e of -1 do hereby cetl fy under the alas and ertalties o er•'tu' that the irrforrrtation rout Si ature< # ded above Is fate and corr'et� Phone#: Da e: -------------- F ly, Do 'lot]mite III this area,to Le co►rtpleted by city or'tort�ri official ffr ial. City : rity(circle olle); Pef'usltfl icenlse# a[th 2, Building Department 3. City rOlyu Clerk 4. H[eetr[c, Tuspeclor5. t il3})itm TmmS1TCCtUE' • pS u The Corm!- oiltve(7r't;x q( p4(1ssar_iser.is ?. ttmcr4t +`lam o Pt[�dic Safety fi ROAR0 O Fine prli=s/"),dZ',oth RF.uU1ltT1Gh!i S27 CFi ttrp ]f4i] Qrea(w« r�� e4�te:[ APPLICATION 'r-CR F"EH- r A11- -RO PERFORM EL.ECaf RICAL WORK AtS work t:p in pmvf.ned In ertnfdaner wish the F#at+ethvteRs EJscttlul t w4r., 52�.CMA t�:GO k8LEASF n(,K C;lt a"aE �d x3FF+wtia IUN) TTa[e The �rn•iitwigrsud ap7lics for v permit to Nv,.,O t4 tt,s cleatricai wcr?c 7escriLed Aelarr, 1-9"r.ioa Owner or jeflan :-Uaidi IS tx1" 'j>elrM" Itt conjt4lCtion wick .a .ng pdr•nie: ties IL t, El l (Check A�yroprtate ttox) PuxTVsae of Puil4tn9 , l _�' c- L'cxli:y ,1uti•,aeliaCirt: ttT, _•_,......�.--�.._.,.,.,._�____•- µ•--�.,..., P .,. 1 Yalts tl�crtsaad �.�� Gn�grd��.� llo. aE Y.r.t:mrJ iimi�i�rt�a� .�.�.t�•lutFr:t_1_..._c� ! „Zw��c�u Vnita t7vezbra:3 k lhrdgrd � ?+a. of ?letez, tacneian rnd Nerure sea Elletric.al Work !`,051.4 /� — nk l'Zopo ✓ ��/Y�� "�.�a�•....���itr<.J[J/"� �`�-1 C �7 i i r r �,c � � -� /f � Jf�7��i��,v.�'."'�"�_._./.��7 /�1t17�%✓ /C',�/i`rTM•.-t —t rlC tJ! Y.�P-.�.�� ta, fri 1ighCin$ C`lelr.4t22 — Of Hot Tubs Na. of �rnn3 araaa*s 1Gtu�. . •.- _..ILI lto, nt Li.Qtiting Ftxturrs axis s'._ __....itbava - --w• ___ . .-� usg Yao; r�1d. �u ttr-yy �Ccn�rstors_ .�.. KVti cpta 12 0°flats sin. ul.' 0#l, Nrn�vt t.o of Erfrgenc L -y IFP. of V%.An to S of Air Cvnd. `Tt}tal ho. of Ntp.c ilon arid Moat n€npt+xel.s ha, oir licast Zo%alotaS Initiating. isevt._ms ,... .».__.� ..W __. -• �.....,_ Tni45 x�Sls._ 8.1 hu. of Samdino ix rir_as tto a•f. Dtcbvashera ,Y SpzrefA:e.a Mating 131 Lo, of Self Contained Devict:s lta of t# .: Hext:ng irev#eea i local L Pha[tio#pal r �.. ... .�. 7of _ Cdnaec �U tloOCttNt in, ai< Rater iatrxs _ }in.ut ..r :t Yolta rL ge "-^^�.-• -- 5igr s Elallas.s utrlr -No. hydro HanmA$c 7:ubs (N 1fiS#iRh31t E GOYTPitG�c t'uratsxn;i have to vl"e requirnucancs Qf tiaslash.a.tr.s OeneraA t.s.vs a ourraot 1lxUi.lity Yn•avxrrrc[: t'oli includlnr Cnmpletc3 t,crxtSans Civerage or its srsi5o'catytia. eauivalnnt, Mrs ltc��i T have lobmitted valid r � I£ you hr.w4: ctttckx4 Y1Sf ille1L~r� i,nd.ca:e wise tyke uEtccvr•�age�y checkir.&a thit caprn?riata it>c,x � InsulrVIa I YtJItU !f J ;Pleasr Specify? [1 zft?fnacad Value of Electrical lda;k a Tr.s;4ecrxon Datm kequestedt Rruah r /(-�� Final :•#$ned tw'.Orr thv prnaltirts of pee'r�rr;: ��.._�...,....._._....__. �f L trim no* j-1.�.1t. •........��=-�-.4J...�F-.�....$��tkRf.LS'k '�i-�` �[ G;r.i�. C..�.k�5....'-1�.. no tQltr+ 72tSL'N.CftC� lrA1Y R[ I raa aware that t , hit xei. lfa.M tra G1cct:ste doe-.,, not Gavg .lte trfsuranrtV` �Jc;r"�x st:nti,al a4uivalrtrt As zt�'.tirrd by riassavl�r.Vetts Cenxrai�xwx, and tr:at my signntvxe crs ttlls l4e:s�ts rpplita[tiott a.sivrs Chic rsgr,iremcnt. Qdr,et Agent 4pledrtt ct+eck urlr? VERNix fEk, S to 94 I offl u�I: �nntuwnwett� Qf �B���� l'.rtntt '�..OW . Ee{rmtmet t of Vub{ir i afctt� O=Pwwy A Fee Cho BOARD OF FIRE PREVENTION REGULATIONI k7 CNIR 12:00 ° 0"""r # APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the lvlassacnusetts Electrical Code, 527 CMR 32.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Drta Qj}(r ar Town of NORTH f To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below, Location (Sires( 3 Number) Owner or Tenant �S Owner's Address C la this permit.in conjunction with a building permit: Yes !� No (Check Appropriate eax) Purpose of Budding Utility Authorization No. Existing Service Amps _ _J Volts Overhead Undgrnd ❑ No. of Meters _ New Service Amps 'J Vqus Overhead Unagrna C No, at Motors Numoor of Feeders ana Ampactiy Location and Nature of Proposed Elecirt= 'Norx No. at Lignting Outlets No. of lot '.cs I No. at Translarmers Total i KVA No, of Ughnng Fixtures i Swimming P_at aocva.-- in. 1 . Sri o _ s mo _ Generators KVA No. of Receatacte outlets I Na. at Oft aurners i No. of Emergency Ugnting i Sanary Units , Na. at Switett Outlets I No. of Gas „rr.ers FIRE .1tr#AtntS No. of Zones No. of Ranges No. ct Air C;.rc. 'ota' No. of Osteciton and cn5 Inittaitng Oevtcss No. of Oisaosa€s I No.of How o:ar 'ota, ?ur-cs -on's No. of Sounding Osvkres F No, of Soil Contained No, of Oiahweaners Saace,area r+eat3ng K`.J Oetactton/Sounaing Oevtcas 3 No. of Oryers Heating Covices KW Local i•. Mun€cigat .""Other Connection No, at Low Voltage .' No. of Water Heaters KW Signs ?a tees Wiring No. Hyaro Massage Tuns I No. al ,Momrs ,atai HP OTHER. INSURANCE COVeRAGE. Pursuant to the reoutrements --s .tass;c-.users ;Criers€ Laws I have a current Ltaotitty Insurance Policy incluarng Cz-c-ie€ec Cceranons Coverage or its suestanuai equiwrsn YBS NQ have tugmtttsa vents proof of same to the QHtce, YES = `lO it you nave cnscxea YES. please tnarcate the type Of cc wags py hscttttii�th aaraortau Cox. INSURANC>_ = €80NO = OTHER (Please Srac.�,t Eattmatso Value of Vsctncal Work S �4 {Eatotratan Gswt , Work to Slant Insoec:,on Oate ;;acueszac: Rougn lrinaf 5ignoo under the Pon sr of gartury; r� FIRM NAM ( �~ ca sal, -JC Licensee E'S t1t:. IVO, j 1 I Z22 // G'n S G-a: re l ---f IC. NO. Addrssr �� r 1�? C s t:C �� /y��//C� Aus. Tii. No ^ All. .Tee. Na. OvuttEA'5 INSURANCE WAVER: i am swore that Ina t:censae does nnr nave me insurance coverega or tt■ lijawanitrl egtuvsMne as re. Qu+rep by Massachusetts Grnsrat Law;, ana €hat tnY signarure .sn •nm »ermit aavocaiton waives this reautremant, Owner Agent (P€eeee Creek onor iieonone No. PERMIT FEE S •- l5,gnattue of Owner or A4rnn ' v1iN, i :+sL\ Office use Only G14t of -%000uotm Permit No. ' �, an ,& Fee Checked 1mint of J[Ublk ft ttl at a Cv ---f' BOARD OF ARE PREVENTION REGULATIONS 527 VJR 12:00 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massacrtusetts Electricai Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date �l}�! or Town of NORTH ANDOVER To the inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) c20 4kd Ve Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Pureose of Building Utility Authorization No. Existing Service __ Amps Jlofts Overhead '! Undgrnd No. of Meters New Service Amps J Yoits Cverhead Unagrna r No. of Meters Numcer of Feeders ana Arnpacity Location and Nature of Pfecoseo Electrical 'NgrK j Totat No. of Lignting Outlets I No. at Hot cs No. of transformers KV Na. of Li httn Fixtures II Swimming Pcci A;nOVe— in- No. g 9 Brno. — Smc. Generators No. at Emergency Lignting No. of Heceotacte Cutlets i No. of Cil Burners I Battery Units allo. of Switcn Outlets i No. or Gas =_r.^.ers FiRE ALARMS No. of Zones ,atat Na. of Cete vi ana No. of Ranges I No. of Air CarC. ,o^s Initiating Devices 'peat .Drat Total 'No. of pisaosais No'of Purr.--s tons K':J No. of Sounding Devices No, of Seif Contained No. of Disnwasners ! ScacefArea �-Ieatirg K.'J Delec:;on/Sounding Devices Municipal 1 No. of Or�ers I Heattng Devices KW Loca� Connection _Other i No. of No. of Lo%v Vcrtage No. of water Heaters KIN Sicns Eailasts wirinc Nd. Hyaro Massage Tubs No. of Motors Ti aiF OTHER: INSURANCE COVERAGE: Pursuant to the requirements at Massac-nusers general Laws I have a current Liability Insurance Policy incluatng Cam ed Cceraucns Ccverage or its suostant[al equivalent. YES = NO _ t have suornatea valid proof of same to cite Office. YES NO = if ycu have checKea YES. please inoicaie the type of coverage by checKing the apprdyriate box. INSURANCE Z/ BOND - OTHER ._ (Please Scec:tdl (Exnlrat[on Datel Estimated Value of S?ectncal WorK S Warx to Start _L,CL� 96 Insoecuon Date Recues:ac: Rougn Finai Signeo unaer the Penalties at perjury: FIRM NAME nid�tJ e LIC. No. � 5 A 08 rF Licenses LIC. NO. .�� Bus. Tat, No. 0- - Address (a t� iIP �c7D.� G /.2£clf Y SS Alt. :el. No. OWNER'S INSURANCE WAIVER: I aril aware that the t-,censee Coes. not have the insurance coverage or its suosiantial equrva[ent as re• buirea by Massacn usetts General Laws. ana that my signature on tots permit aoplicatton watves this requirement. Owner Agent (Please checx one) /V J` 'etecnone No. PERMIT FEE 3 # L3.-7 (Signature of Owner or Agenn t`o565 C� LPr&-rmit tocs Uss Only� .+3t;tIIT•.;az= Lr guhur 2-ife, ct dt Fee Clapped60APiD OF rtRE PREIEafTICN REuJLAIZC.ISs27C;1Ri2;�i7peeve blank) (� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in ac=rdanca with the Massacnusetts E:ectricai Cade, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFOR,.IATION) Dace A 9 tMj� or Town of To the Inspector of Wires: The uderstgned applies for a permit to perjorrt't the aiec:rtcat 'nrarit described teiow. Location (Street 3 Numcer) I` .3 Cwner or Tenant Pert1 L�t<ck L A CS C C'.vner's ACCress S Is this permit in ccn;unction with a: puildir.g er--tt: Yes '� +Vo i_ (Check Appraprtdte 9CX) P jrcCsa Cf c uiicir.c Utility Autrcrization No. �.Y=s•`ing Sarvica Amps t Vc::s Cverr,eac Unecrnc ice; No, of Meters view 34rAce Amps ' Vc:ts Cvernez-- UncG na No. of me,.ers dumper cf Feecers ar.a Amcac::y arc Nan-re C` t,cccsec ;isc:.._,. `.':c.- a. ',.cz i `,to. ci �anstormers Nc. _. _.gHnng ..ut:ets �, Vo. cr 11.grttng =,xtures Sw+trr..+ng =_ct .e_ nr-c. _ l Generators KVA No, of ;rnergency L�gn ing Na. cr :1scsc:ac:�+ +Outtets `tc. c, :a :,..Hers t ea^err Units r _ _ k =0R= AL�n41S No. of Zones I, No. �wiiC^ w s:38t5 NO. 5. =as Nc. cr Ranges `tc. ;: ;r C.. e. _s Initiating Cavicas I Na. ct Ciscosals 'tc•a:'P„-cs = s :1 No. of Stunting Cevicss No. at Self Canta+nec No. v Zisnwasners �cacErAre3 jean- C;f c7etec:;anr5oune+ng .?evlcss i ,,, •[:v _ cal i Mun+c:cat �Gtnar j No. ar �rvers seer., �ev:css Cnnnec::on Nc, ar NO, za � _ctv I/cttage Nc. of '.Vater ieatars CPI 5;cns c3:=asa :vtr:nc No. Svc:c Massage uW5 No. Cr-==. INSURANCE CC VEPAGC. Rumuant :o :ne recc:uernents a: ::ass:<n:.sat:s ;!metal Laws r - t have a currant L:ac+iity tnsuf3nc8 ?W'Isc'y •nc:.c:ng C3t•'cteteC Cesra^cn5 'average or its suCs:anuaf eeafva+ent. YES ,_ NO _. have suamtc ea vane prat at soma :o :re CMca. `C = :f ycu eve C^eCcea YE3, ;lease inelcate ;ne rype of cCvarags cY -nec:cing :ne accroanate pax. tNSURANC' = 3CND OTHER = tP'eass SCec::•/1 - tE,ccirauon Oates Eswrataa Vaitte of S'ac:ncat 'Narx S :vcrx :o Star / // /9� tns=eccan �a:a =ac_as:zc: +rr•eugH gnat Sig:iea .;neer :Ze Penafttes Of penury: W:;=.%t NA11AE L g LIC. No.- - /��1t /J �� l ��LfA I� Sus. :St. .No. at) Aar Alt. ;el. No. e CWNER'g INSUPANCS WAIVER: I am Aware chat T.e LXL-nse•e tees +•Ct Nave .ne insurance Coverage Or 1t3 SUCStanftat eaurvate nt as +e- vrnEd aulfea ay MassaCnuSettz General Law$, aria mat my x�H.a,tc;[e =R �:s aerr..It AFS+'rocaticn Walvis$ In+s reaufroment. C Agent k t P'ease enecx Onek seencne No. PERMIT FE 3 (Signature of Cwner:r Melia ��== f . i r . MASSACHUSETTS UNIFORM APPUCA7110N Fon PERMIT TO DO PLUMBING (Flint of fywl N0,RTH ANDOVER. Mass. Date � li ! IQ �f `v 7 tau+tdtsna f P11=4 *Ownaes Locstlott Name New C1 Renovation l Reptacament ❑ Plans Submitted: Yes d No ❑ FIXTUHES log Ill +� w J a r< a a?9 d Is 1 M tM M M = s 1" U X, M wo < ar K u x a at " a M = e ? 06 r x s N6 rc .Y x szie6i a s w o SAalXtttlT I 1a•T IL0001io 1110 FLOOR ( I 3n0 FLOOR I I I I I # I I I I I I I I ATM rll I I I I I I I I I I I I I I I aTH FLOOR I 1 I+ I +I II STH FL00r1 I I I I I I 8714 FL00l1 Q C.`"k one: CarIXIcxte Installlnq C. mpiny N/ame / ,,, C] Corp. Address — .. 7" ( P� i ]r i ���i� �_.✓6� �P.,�:��.,� 01Pirtner2h1p ❑ Firm/Co. Business Telephone 0 2 s, Name of Licensed Plumber c INSURANCE COVERAGE: t1. acx one I have a current Ilablifty Inauranca policy cr Xs tubttintlal equN-aJer0_ Yes No ❑ If you haya checked .�Lej, please Ixxifcate the ty-pa cc-�erxga by clhal;Mng the apprcpriate box. A Ilabi:ty Insurance p-61cy ❑ Cther ct k-�denMiy ❑ Bend ❑ OWNER'S INSURANCE WAIVER: I am awsre ttAt the Iicensea the Inauranca coverage required by - Chapler •142 c4 the Maaa. General tl and that my signature on ihla permA ippticiflon waives this requirement.. - Check one: C ner ❑ Agent ❑ Nignatc;* of Own& or Owner a Apant I harsby certify that 0 of the dotal and lnlormWon f hays submitted Fx sntsrsdl in abo" =p5catk5n us (me and ac=mate to the best of my krKr gs and that is phnnbfnq wak and Insta.latk�ns -+dv.T d Exl th4s ptmwt laserea Far thla appkatJon will tN in Gom0ancs with 0 parifnsnt pto'l of the fta"Achusads Slats F^+xnbt ry C,7aa and C:h=tsr 112 d Dy QmattJra '1` s•ed Fitimlow y�ls , , ay Lkxns4 f*xnbse z CSylTown _. Type of Ptumbina Lk*nsa: Matter ArfTX7,''ED tCIFF?CP USE WWI Journeyman ❑ Y o , • • 1094c"Y"oaty a .The Commonwealth pf m?assachusetts ( r<.•tc Y�.� l a 17cpartrnuit of FubllG Softly • o«.,panty t ear ., _� , $WlFtO OF E7iM PREVE)IMOH FtEGtliA310td5 5Z7 CldR 1200 3/90 <t�aw•1+rd�) APPUCATiON FOR PERMIT TO PERFORM ELECT'RICAL.•WQRK '•. IUI work eo bt pafarR,cd to uacnrdancs with tltie Iiauwehuecas t:lctsrteat Code 5x7 CeKn Z2.'W (VLWFi pmna Xn nm om xXL,'E dam. nwomm=os) .Cc:-' jr',or Tasra To tho Xaspector of Llires, . ahe undersigned applies £or s peraLt to rarforu tba clectricx*j uvric described below. , • , Loc=tioR (5tarecC & tumbeX) ) c. Ounce`s Address Ys thtX per%Lr. In conj=ction uLth a building perait:e Yes 0 No •(Check Appropriate•Zox) Purpose. of 73uildLng ) IFtil. tY A,}tho:izxtLoa t10. • Extstiag ServLee Aam / Volts Overhtad 13 undg:d❑ no. a. Y.cze;s l�u�tvica leaps / Volts Overhead ❑ Undgrd Q tto. o: t'ate.s� ' Huiaber of Fccders and Acpact j Locsti<Lon'and ttatura.af proposed )electrical l;oex f No. of Lighting Outlets No. of Not: Tubs tto o ;sns:orae.s iozal No. of Lighting Fixtures Sui=Lng,Pool drove xn- t;1 grnd, grad. LJ Generators nYA ..No. of tCeceptaalrs Outlets, I tto.. .o; Ou ur:,ers �No. of Emergency UghtLaZ ' Battery U:ti.v i'o. oF,SaLtctt Outlets No. of Gzs 11a-nn•.^• TYRE ALtR`IS to. a: +onov , �.: No. of rInges, vo., , 'At, Cond. Xotat No. of Detection and tons Intriating DevX"s 0: ;to.•of'Dixposals • ' No. of Ilea:. Total, T¢ta;L rtmos Ana tto of Sounding Devices No. of bEvhuashers ContaL ' ,l g { ' Detection/SouodLng Otsv.ces No. of Dryers s ' ,cr Hcat:Lng Devices 1,u, CocaL� t�'nicipwl �4c: r •..• Connection No.! E'Fater'He atars._ No, o too. ,os Lou Voltago ' Stvns uallascs iJirinp No. hydro ttassage 'tubs i 0. of t•totors Total lip ' Oxm'. r INSURANC>: COVERAGE: Pursuant to the rcqutrtwents•ot; tWsachuseCts Central. Yaws �. have acurrent I. bi.l.iC Usurance' Policy Ln'cluding'Completed Operations Covtrase s subbsstantizI. equivalent. US L NO Q Y have subniur d valid proof of :sec¢ to Chis,ofEice, Ii0 LE you have chi please indicate the,• type,of coverage by checking the appropriate box INSURANCI; UOND Q Oil=❑. (please 5pecify3 • : estimated Value of Electrical work Work to Sc rrk elspecci,on ©ate RA:quireds lrouEtt Final Stgned.under the penalties of perjury: e Conf �`r��n�i(�.�1 2 bi,r�q�en�z e �f:lam .Yc xv •► X.tcensct 5iEnaturc�T� .11�' LYC. 0.�- '•Address aou LL %viTE TLC Sr ►`-1�} Dl r nus. xel.. Na.� Alt. Tel.. No. ` 04Ri 1$ UsURANCE VATVM. 3C am avare Chat the LL"nst4 does ,not have tha it►suryuce coverage or is su •+ rtantixl equivslenC as r.4quir4d b 5ias01nor.sct;tS Central vs, and tat wy signatura on this permLt .�'�1, applicacio t+aives thin roq ire,o t. Ouner Agent (Please check on (ICJ No. `r ' ' `".' �o •. w pate PDAAS1,916 CITY OF VONNOW APPLICATION FOR A PERMIT TO ®® PLUMBING Location of Job Name of Owner c,, 7VCi Address How is Building Occupied? Residential ❑ Commercial Industrial ❑ Other ❑ New ❑ Renovation Replacement ❑ Other ❑ Installing Company `�U�'i- ` V y'"L �, k Address Plans Submitted Yes❑ No Jsiness Telephone i FIXTURES IA Ai y a o � G C3 ((f 7 L flf N 7 O O rn a z - Cn cs fl a LL SUB-BSMT. BASEMENT 3+ , 1ST FLOOR 2N1;FLOOR 41 y ZS 3RD FLOOR 7 '7 4TH FLOORIle ' 5TH FLOOR 6TH FLOOR 7TH FLOOR ❑ I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of owner of owner's agent 1 have a current liability insurance policy to include complete operations. 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 pertVrisioof the May chusetts State Plumbing Code and Chapter 142 of the General Laws. The above is nd xecut by me under the penalties of perjury in accordance with Secfion 1A of Chapter 286, G Designation & Maass. License No. r Sig ture of Licensed Plumber + a . P � ■ 1 �S 1 � 1 N .. _ �La FINAL. R . �� �- NFINAL ORT}y A T �+ (3 w n o f6 O0 . No. ndover F- 7d er, Mass.` - I AL" 19 C rt� ttE w3CK J S$ PERMIT LD BOARD OF HEALTH THIS CERTIFIES I .. . . ...Sr._ . _ fBUILDING INSPECTOR has permission to erec .. buildings o l-A■s• ...op-rime Rough to be occupied as............ Chimney Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES I ONTHS ELECTRICAL INSPECTOR Rough UNLESS CONS UCTI A S Service e Final • BUILDING IN OR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until inspected and Approved by S� D t" Building Inspector office Use Only T (14t T1tiI1I)SoIInalti If ffhM5 1MrtW Permit No. ;$epartmtnt of Publtr *nfetig occupancy& Fee Checked gQ (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK V All work to be performed in accordance with the Massacnusetts Electrical Code, 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Bate (M)i! or Town of NORTH ANDOVER_ _ To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) AJ Owner or Tenant /1/Q/ZTH /fly -- Owner's Address Is this permit in conjunction with a building permit: Yes No C (Check Appropriate Box) Purpose of Building 12 Z54, e c Utility Authorization No. Existing Service Amps Volts Overhead 'I Undgrnd ❑- No. of Meters New Service Amps ---Volts Overhead Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical 'JVorx r H {f - 1 I No. of ranstormers Total No. of Lighting Outlets I Na. _f a[ xs KVA Above.--- 'n- No. of Lighting Fixtures Swimming �,ci grnd — ❑rnc 1 Generators KVA No. of Emergency Lighting No. of Receotacie Outlets I No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones total No. of Cetection and No. of Ranges No. of Air Cont. Ions initiating Devices Heat :o;ai -atal ' No. of Dlsoosais I No.�f Pumcs ons KIN No. at Sounding Devices No. of Sait Contained No. of Dishwasners I SoaceiArea Heating K VJ Detect:anisounding .C.avices Municinat No. of Dryers Heating Cevices KW Local J Connection l Other No. of No. or Low Voitage No. of Water Heaters KW I Signs Sauasts Wiring No. Hycro Massage Tubs No. of Motors Iota: HP OTHER: INSURANCE COVERAGE: Pursuant to fife requirements -t '.Massac::userts general Laws I have a current Liaoility Insurance Policy inc;ucing C:.mo:etec Ccerattgns Cavefage or its suostanlial equivalent. YES = NO _ € have suornitted valid proof of same to the Ctftca. YES = .140 If you nave checxec YES. Tease inaicate the type of coverage by chacxtng the appro riate pox. INSURANCE BOND = OTHER W (Please Scac:ty) (Expiration Date) Est=mated Value of Electrical Work 5 Worx to Start _2/9 S Z!?-C _-_ Inscec-on Cate F.ecuestec: Hough Final Signed under the Penalties of perjury: ���✓� LIC. NO, FIRM NAME �/460 Licensee (2 rZti1 Ea+'?t� Signal[:re Llc. NO. Q Bus. :el. No. y �� Acdress 6 0 ' ao 4-C Alt. ,et. No. OWNER'S INSURANCE WAIVER: I am aware trial .tie Licensee aces not nave the insurance coverage or its substantial equivalent as re- cuired by Massacnusetts General Laws. and that my signature on ;nts permit aopiication waives this requttement. Owner Agent iP!ease cnecx one) ;eiegnone No. PERMIT FEE $&. ti (Signature of owner or Agenu X-i565 O 0 SC- L- -r.e e- _ Qov e- --------------- y l r H CA �r m . SOME " ' .� IAA �- ter- .............. Town o k. over- 0 0 VA kP-1 No. C) r dover, Mass., 19 COC*ICHEWjCK 0"?ATr:() BOARD OF HEALTH Food/Kitchen PERMIT T D SCJ1Zi(_ Sy.4(7111 4 z4--oi D BUILDING INSI'l-I'Cl'OR THIS CERTIFIES ................. .....P19Ak.. .1 F)uridatiOn 9,77.......... has permission'to ewt......e 4 buildings on .... Rough .......... ......... ChillITICY .......... ...................................... to be occupied as..............Z�A,(Z:7_0� ...'3........... ... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Firial 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 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUC TIONST AITS e Rough ............I.-............. ........ ........... ......................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. NORTHANDOVER OFFICE PARK January 24, 1996 Mr. Robert Nicetta Building Inspector Town of North Andover Main Street North Andover, MA 01845 Dear Mr. Nicetta; This is to advise you that JMT Construction has our permission to perform demolition and renovations for Pentucket Medical Associates. The demolition and renovations are located in the original space occupied by Pentucket on the ground floor of the 203/209 Turnpike Street building of North Andover Qf ice Park. Pat7cia A, McMahan Property Manager 461 Andover Street, Suite 210 North Andover, Massachuseiis 01846-6070 Telephone 6081685-8535 Fac$lmlle 508l687-6043 r ARCHITECTURAL D E S I G N CONCEPTS I N C 0 R P O R A T C D 48 SALEM STREET BRADFORD, MA 01835 TELEPH ONE(508)3 74-03 36 February 14, 1996 Ms. Sue Walker Pentucket Medical Associates No. Andover Office Park 203 Turnpike Street No.Andover,MA 01845 Re: Project#96341 -Pentucket Medical Associates Suite Renovalions Dear Ms. Walker, It is my understanding the building inspector has requested a letter to accompany the plans provided by this office for the renovations at 203 Turnpike Street,No, Andover, MA. Please be advised Architectural Design Concepts,Inc. has prepared plans, sheets#Al.1,A2.1 and A2.2, enclosed herewith,which were drawn for the purpose of the minor renovations to your office space. These plans were prepared for the relocation of several doors and partitions in accordance with the design changes requested. As this is an existing structure, the plans are only for the minor remodeling work,and do not contain information for HVAC, plumbing, electrical or fire alarm systems. It is my understanding that any proposed changes to those systems will be prepared by others. Please be advised that these plans have been sealed and signed by a registered architect licensed to practice in the state of Massachusetts. I further reiterate we consider these changes minor in nature and were prepared in accordance with Article 32 of the Massachusetts State Building Code. If I can be of further service please don't hesitate to call me. Very truly yours, / V W. 0BAADFORD G6orge azoyk 5 MA GER/hlk �`� 9�ly OF @�1PSS�r Enclosure FORK U -- IDT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** "CAM: �1 U�1`��� li�r,���� � �1.t���� Phone NO�i� LOCATION: Assessor' s Map Number Parcel Zr division Lots) _ �a-Y1Ps � b> St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments I Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit y/Fire Department t Received by Building Inspector Date i i I i .'Mae ia•,y ' OFFICE .OF BUILDING INSPECTOR TOWN OF NORT11 ANDOVER CONSTRUCTION CONTROL '..PROJECT NUMBERS , '• PROJECT TITLEs �4 - . . , f�J�r lI A),J rv))F..I- (-PROJECT � LOCATIONS l�/�, I i4 LI!?.�, ��� :,,h� ��["A NAME OF BUILDING: NATURE OF PROJECT s � t # 1 f) IN ACCORDANCE, WITH SECTION 127.0 OF THE MASSACHUSETTS STATE BUILDING CODE, . Registration No. —4-101, BEING A REGISTERED PROFESSIONAL MIMWE"CR/ARC11ITECT HEREBY CERTIFY THAT I, HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATIO14 OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICA- ":.TItiNS CONCERNING: ENTIRE PROJECT © ARCHITECTURAL STRUCTURAL C] MECHANICAL L� FIRE PROTECTION Cj ELECTRICAL Q OTHER (specify)= FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE'APPLICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE] ALL ACCEPTABLE E11G114EERING PRACTICES.' ► ' -. AND APPLICABLE LAWS'AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I , FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE , ;PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETE1111INE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESP014SIBLE FOR THE FOLLOWING AS SPECIFIED IN ,SECTION 127.2.2: 1• Review of shop drawings, sarrples and otlier submittals of the contractor as required by the construction contract docunents as sundtted for building permit, and approval for conformance i to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled rmteriais. a 3. Special architectural or engineering professional.inspection of critical construction carponents requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. ,PURSUANT TO SECTION 127.2.3t I SHALL SUBMIT WEEKLY , A PROGRESS REPORT TOGETHER .. � Tll PERTINENT CORHENTS TO THE NOR'I'll ANDVVE111 BUILDING VYPECTOR. UPON COMP ORK, I SHALL SUBMIT A FILIAL REPORT A T SATI FACTORY COMPLETI OF THE PROJECT FOR OCCUPANCY. 48t� + ,,• is MA S G ATURE SUBSCRIB �T WO p���a EFORE ME THIS DAY OF 19 HOFM NOTARY PUBLIC MY COMMISSION EXPIRES CERTIFICATE OF USE & OCCUPANCY Town Of North Andover Building Permit Number / Date__. THIS CERTIFIES THAT THE BUILDING LOCATED ON ._..__.__ U MAY BE OCCUPIED AS d ��` r c c—� IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. oT; + CERTIFICATE ISSUED TO IEWu�llfj�' l ��} I c 3r :` - �c A ADDRESS 3 J'/KE ilding Inspector NORTH Town of 0 over No. 44- / c, o dover, Mass., 19 C O.C.1 C nE—JCK A°Rgrev p,P��,�C7 5 BOARD OF HEALTH Food/Kitchen Septic system PE MIT T r,� BUILDING INSPECTOR THIS CERTIFIES THAT Yam ._.� I Vie .................n-). .� ....LfDe!�C.. .....................................� ......... ......... ... Foundation !iL �11� ............. has permission to erect } YAP..'.. buildings on ........ .. ........ _. 1......_._.'�...... � ou mot .............. ------................._-------- 12 Chimney to be occupied as............ o.�- . ......Z..............d. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in ina 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 PERMIT EXPIRES IN 6 MONTHS VC// 'r UNLESS CONSTRUCTION ST TS ELEC CAL INSPECTOR Rough Service ..................... ........ ........... .. U BUILDING INSPECTOR Fin // <- Occupancy Permit Required t0 Occupy Building GAS INSPECTOR 1VVA-- DisPlay in a Conspicuous Place on the Premises -- Do Not Remove FinalRough No Lathing or Dry Wall To Be Done FIRE D PARTMENT Until Inspected and Approved by the Building Inspector. Burner I Street No ' Smoke Det. 1 I ARCHITECT'S FIELD REPORT 1 ADC PROJECT: Pentucket Medical Associates,No. Andover,MA REPORT NO. 1 CONTRACT: JMT Construction PROJECT NO 96341 DATE: February 2I, 1996 TIME: 9 a.m. WEATHER: Rain/40 degrees PRESENT AT SITE: George E.Razoyk(ADC,Inc.);Tian Frahm(JMT Construction); Sue Walker (Pentucket Medical Associates) WORK IN PROGRESS: Drywall/Electrical ITEM NO. 1. New corridor partitions have been installed- the installation of these partitions go all the way to the .underside of the floor deck above in accordance with the drawings. Contractor informed me that the rough inspection for plumbing and wiring has been completed and approved as well as the building inspector's department. 2. Doors have been removed from existing closets for installation of new doors. 3. Presently completing drywall- informed contractor that he is to fire tape top of partition to underside of deck or provide fire safing. cc: Ms. Sue Walker- Pentucket Medical Assoc. ,Tim Frahm-JMT Construction` Robert Nicetta-Building Inspector Report By: 'George E.Razoyk Anyone disagreeing with items on this report shall inforin ADC in writing as this is a wrilten project record. Arcl►itectural Design Concepts,Ine. 48 Salem St.,Bradford,MA 01835 (508)374-0336 y ARCHITECTURAL �A C A O N C E P S I N C 0 R P o R A T E D 48 SALEM STREET BRADFORD, MA 01835 TELEPHONE(508)374-0336 March 18, 1996 Mr. Robert Nicetta,Bldg.1nspector Town Hall Annex Main Sheet No.Andover,MA 01845 Re: Project#96341 -Pentucket Medical Associates 203 Turny ike Street, No, Andover, MA Dear Mr.Nicetta, Please be advised this office has inspected the above referenced project in accordance with Section 127 of the Massachusetts State Building Code. The work as constructed is in conformance with the construction drawings prepared by this office and,therefore,comply with the Massachusetts State Building Code. Very truly yours, George oyk, Al GER/hlk F��rMOF% cc: Ms. Sue Walker Pentucket Medical Associates Mr, Tim Frahm - 3MT Construction 341 CO02,DOC rAO 'TH . � � over 0 0 � �. n O ��� dover, Mass., Z r-1 19 g� cockle MEW,cK AERATED AP���(� 5 BOARD OF HEALTH Food/Kitchen Septic System PERMIT T l,� '2'- G9 ' 4 h" -6 BUILDING INSPECTOR THIS CERTIFIES THAT......fZ/..�.............. . ............----. ...... Foundation has permission to ereet......e.?Ye .. buildings on........ .. .......... . r�41....l.....? ---........T.......... ou n n .............. to be occupied as...------..... �?.—.2 '!".. ..............d` ..` .:.�. -- Chimney y Ch' e provided that the person accepting this permit shall in every respect conform to the terms of the application on file in zna this office, and to the provisions of the Codes and By-taws 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 7 _ G� PERMIT EXPIRES IN 6 MONTHS C� -��'3' ,UNLESS CONSTRUCTION ST TS ELEC4CAL INSPECTOR Rough. Service BUILDING INSPECTOR A>0 Fi Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final /Vvx--- No Lathing or Dry Wall To Be Done FIRE D PARTMENT Until Inspected and Approved by the Building Inspector. �y Sumer Street No. Smoke Det. MEMORANDUM TO: SUBJECT: FROM. MESSAGE- )CI �Q APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 �P +40. I LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK -PAGE — �... .Z lit SUB DIV. LOT NO. F_ LOCATION ti c r PURPOSE OF BUILDING !SSF, � OWNER'S NAME Wow* Qg1 h ���{ '`�[I ,. �5/ NO. OF STORIES SIZE 'G✓ OWNER'S ADDRESS r)t),3 ` UI%y2 gi BASEMENT OR SLAB ' V - --- ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME r• 1 SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET " POSTS DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION: THICKNESS IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATIONr� l IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS 9F CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION J / SEE BOTH SIDES /v� �'t-C-(C-�/ � ( [' -L LAND COST !! EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ, FT. EST. BLDG, COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR TE FILED. �N a' BUILDING INSPI[dMA SIGNATURE OF OWNJR OR AU ORIZED AGENT F E E �. `�`C7 OWNER TEL,# PERMIT GRANTED CONTR.TEL.# C " C CONTR.LIC.# " H.I.C.# PERMIT 110. � APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 'NO. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ?ONE SUB DEV. LOT NO, 1 LOCATION 7�"-1 PURPOSE OF BUILDING o f� r �C OWNER'S NAME �/ � NO. OF STORIES SIZE OWNER'S Ai DRESS `^/ J� ,✓�. � Lam` [ O � /�, 6��� / BASEMENT OR SLAB ARCHIT 'S NAME / SIZE OF FLOOR TIMBERS TST 2ND 3RD BUILD 'S NAME ^5 !` SPAN DISTANCE TO NEAREST BUILDING l DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES —SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO ftQUIREMENTS OF CODE V & IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER Alc-J IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST •"� g,J0c/, ellb PAGE I FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. Ff. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG, COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND PPROVED BY BUILDING INSPECTOR DATE FILED) _11,, r..' BOARD OF HEALTH 51L'Zi, 'R'E OF OWNER OR AU H IZEO AGEN r 06 o-.ER T E L6 FEE .3� �O? 1 R.!.I C.4,�. .5" '�^ -•- PLANNING BOARD PERMIT GRA D BOARD OF SELECTMEN UILD Na 8PEGTOR