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HomeMy WebLinkAboutMiscellaneous - Chestnut St 4907, , LA 'N2 2172 ,&ORTN 0 SS US Date. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that --2— ...................................... 11 has permission to perform /) ............................................................... wiring in the building of ... ...........`11' ...........1 ' 1 .. ..................................... ............. . North Andover, Mass at ........... 0 ...... ....................... Fet-:� ...... Lie. No. ...... ........... I ........................... I ....................... Ic2l I T / I ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Office Use only THECIOMMONWEALTHOFMASS4CHU'SE77S DEPARTMOYTOMBUMFEtY Permit No. a7/ BOARDOFMEPREVEM ONREGMTCOMS5r M l2.M r Occupancy &Fees Checked APPLICATIONFOR PRRMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE W[TH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 -1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 7 9 Z> C 1 P141 % Owner or Tenant 9/} Vh/ d? C 2:— Owner's Address To the Inspector of Wires: Is this permit in conjunction with a building permit: Yes 0 No (Check Appropriate Box) A Purpose of Building P U---C�Zl, Utility Authorization No. Existing Service Amps / Volts Overhead M Underground a No. of Meters New Service 000 Amps a.' / t 10 Volts Overhead [:3 Underground' No, of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work bi, ' crk No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total ,D KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground 1:1ound No. of Receptacle Outlets O No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and ilo. of Disposals ` No. of Heat / Total Total ( P s 6 Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW / No. of Self Contained Detection/Sounding Devices LocalMunicipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER ManxeCovear- Pursu3ttothetegtl unentsofMassadiB&GwaalLaws Iba,�eaamatL2bdtykEw&oePo ymlmhgCanpide CovwdFcr�ssibstE legivalat YRS © NO a liv�eahnioadvaWptoofofsamiotheOffm YES If}autmedtaWYES,pLmemdc&thetypeofoo&aWbydtadangthe ® BOND o OTI-llR o ftm) FA n%WdV"dE1ed ral Wok $ Wodciosw b D ingxcbmD&Rqles<ed Ratgtl a - of - f d Final C l� t>ztde�ieFt�of FIRM NAME 'C� 2 �� G G V C lioatseNa L- (� �� -G :DR /� BusinessTeLNa L�� - G 3 Addos �G�,VQ 5��.,,. ° ' Ak.TdNa OWNER'S INSURANCEWAVE&Iamteg<madbylvbmdtis&Ge ed Laws md@tatmy seai&panitWplimmvai dismgmmut. (Please check one) Owner Agent E315 Telephone No. PERMIT FEE c�� 3562 Date . .. 4. �?e...... I E"o TOWN OF NORTH ANDOVER ptao ,a�bp . PERMIT FOR GAS INSTALLATION ,SSACHUSE f 1 7 This certifies that :................ .. �. . has permission for gas installation ...�-�. ..... in the buildings of ...................... at 410 r": ` ? 1' � , North Andover, Mass. Fee. . Lic. No........... .i6; f ; ........ GAS INS�ECTDR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACII APP CATON FOR PERMIT TO DO GAS pxM ING 'Type or print) PARCEL ate 7-� a NORTH AYDO Building Locations yg%( ( ll C Permit # Owner's Name New Renovation ❑ Replacement ❑ Amount S� . Joyce-- Plans Submitted ❑ (Print or type), Name - Address Business Name of Licensed Plumber or Gas Fitter Check one: Certificate Installing Company Corp. Partner. Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ If you have checked ves, please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 132 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent\ Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 1.32 of the General Laws. By: Title . CiryiTuwn APPROVED (OHICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber zof)60 ❑ Gas Fitter (cense Ivurnoer Master Journeyman t� (Print or type), Name - Address Business Name of Licensed Plumber or Gas Fitter Check one: Certificate Installing Company Corp. Partner. Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ If you have checked ves, please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 132 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent\ Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 1.32 of the General Laws. By: Title . CiryiTuwn APPROVED (OHICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber zof)60 ❑ Gas Fitter (cense Ivurnoer Master Journeyman N2 42-78 Date! TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .................... has permission to perform 4 ........................ plumbing in the,buildings of at. ......................... North Andover, Mass. c.—/'79 PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO-LUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date 22 —7 — a�,d Building Location Owners Name 0,Ic L Permit #� ;7 Amount Type of Occupancy New Renovation Replacement Plans Submitted Yes No FIXTURES q (Print or type) Installing Company Name Address Name ofLicensed Plumber. Check one: 11 Corp. _ riPartner. QFirm/Co. Certificate Insurance Coverage: Indicate th type of insurance coverage by checking the appropriate box Liability insurance policy Other type of indemnity Bond ❑ Insurance Waiver. L the undersigned, have been made aware that the licensee of this application does not. have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have sub (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing w ons ed under Permit Issued for this application will be in compliance with all pertinent provisions of the tate bing Code and Chapter 142 of the General Laws. By I qauim kens um er f Plumbing License Title Ci /Town �� h' icense um er Master Journeyman APPROVED (OFFICE USE ONLY 0 . . 11 Location �Oi9 No. 6-11 Date /9, 40RTh TOWN OF NORTH ANDOVER A Certificate of Occupancy $ o •. Building/Frame Permit Fee $ Iq a 3 JACHus <� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ ,M Js3b 49 Water Connection Fee $ TOTAL y� $ Building Inspector Div. Public Works t A - FliI '7 z J L4 J 0 z °Q�o 1�l z Ln I 21=22 ^= O 0 z O Z Ol O ? - _ O '0 r m (A LO vim, Y z O z O z O z ZO N n W Z n 0110 z O "" O " N _ R J o 00 � p t" O y N i TJ -zoo, r n Qs � IVw h 06s I a W g 1. o 39 a J- -x )< 3 bo ©65 a 3 ►� o 3 vkr a 3 o xaV 384 X65 a c� H 1,<a8 39a /-Z X,3 0 3 f. o ®bs 3 `l o p i x 3 G4 ®es a 3 c� a ��o a j q coo o - ,- 5D, `f 7 3 Growth Management Bylaw Exemption Statement Town of North Andover Building Department This farm shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of,North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. ar&ef ppijPnt ory8uii�i Perm(below) Address of Propei7y fol• Permit (below) 0T 7 C/��s7;-0 z -y Map and Parcel ;3rpose �of A�pplication (check below) Phone Number of Ap icant: -,ingie Family Two. Famiiv I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does campiy with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing. this farm does not absolve, me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when -the Building_ Permit ig issued Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and -the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in existenca as of the effective date of this by-law, provided that no additional residential unit is created_ _ The lot(s) werelwas created prior to May 5,'1996 are exempt from the provisions of this Section 8-7 of the Zoning Bylaw. This application is for dwelling units.for low and/or moderate income families or individuals, -where all of the conditions of 8.7.6.care met andlor represents Dwelling units for senior residents, where occupancy of the. units is restricted to senior -persons through a property executed and recorded deed restriction running with the land.- For_ purposes of this Section "senior" shalt mean-p,ersons-over-the age of 55: This application is a part of a development project which voluntarily agreed to a minimum 40% permanent reduction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the trail, with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection_ This application represents a tract of land existing and not held by a Developer in common ownership with an aejacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the pard. This appiicadon represents a lot which is ready for building permits,(Le. all other permits: from -all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year, one building permit will be. issued per Year per: Development until such time as the Development Schedule accommodates issuing building permits_ Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate info m , or the checkin off of an. above item which does not comply, whether done to my knowledge no ' gr nds fa uildin , Department to issue a Building Permit. igna of caner r Aultherized Agene e ttached Budding Permit Date This form must be attached to the it ' Permit upon application for such permit P I mecnea Dy�sare I CITY: Horth Andover SIfSE: Assachusetts EDD: 6321 COl>51AOC1TWi TYPE: 1 or 2 Family, Detached HFAM SY5M TYPE: Other (lien -Electric Resistance) DAIS: 10-31-1999 MU: LOT 7 PROJECT I1ff0WfAT10H: mum OUT CWAW INTORMTIOR; — - !tOSQU1TD BROOK DEVELOPl W CORP. MIIAHP3: PASSE$ Required UA • 567 Your Home • 419 Area or Cavity Oat. OlaziWDoor Perimeter R -Valve R -Valve U -Valve OA --------------------------------- ------------------------------------- CEILIliOS 1440 30.0 0.0 5t CEIM: Raised Truss 90 30.0 0.0 3 WAILS: Wood Frans, 16' O.C. 2609 19.0 0.0 169 MMI: Windows or Doors 311 0.370 100 OIAIIRO: Windows or Doors 67 0.30 25 DOORS 40 0.350 14 DOORS 38 0.490 19 FLOORS: Over Unconditioned Space 1500 30.0 0.0 49 HVAC EMPNENT: Furnace, 86.0 HUE HVAC EOUIPOT: Air Conditiouer, 10.0 SEER ------------------------------------------------------------------------------ WMIAHCE SIATWNT: The proposed building design described here is consistent with the building plans, specificatiox, and other caicalations sataitted with the permit application. The proposed building has been designed to meet the reguirevsnts of the Aaseachgnetts Energy Cade. The heating load for this biilding, and the cooling load if appropriate. has bean detemned using the applicable Standard Design Oonditions found in the Code. The HVAC eguipmsnt selected to heat or cool the Wilding shall be m greater than 125% of the design load as specified in Sections 700C1OY 1310 and J4.4. Bvilder/Desigaer Date r4A FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having. jurisdiction have been obtained. This does not relieve the applicant.and/or landowner from compliance with any applicable or requirements. * *** ***** F F INFILLS OUT T 1 I SECTION"' � C S APPLICANT ` � v G� l' PHONE_ LOCATION: Assessor's Map Number l ,FC' 3 PARCEL T 5T SUBDIVISION j"%%I�%l1-7 G/'" LOT (S)_ STREET v('�y U� �/ ST. NUMBER Ob U S c O N LY*******tom***** N tcu RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED�: n27. wc. DATE REJECTED COMMENTS � 5� TOWN PLANNtK UA I C AY r MU V CU DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWERIWATER CONNECTIONS ljee— A--rWt4 DRIVEWAY PERMIT �� �C� L(> LO 9 r1/ FIRE DEPARTMENT Ot.►'2j" Ic, S(Mbkc d,F,-eC-kbrR-_,�IT- ?,.f -T-6 tv,ZTAt� �f1!Y�t�'f i2il�jy RECEIVED BY BUILDING INSPECTO Revised 9197 jm DATE Name Lc The .Commonwealth of Massachusetts Department of Industrial -Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit `J Please Print �y -77 %(� f���1 dvK, /�' f ✓ Phare I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capadry aI em an employer providing workers' compensation for my employees working on this job. Comoanv name. Address Citv: Phone T Insurance Co. Policv n t Comoanv name: Address Insurance Co. Polio✓ Y Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition cr cnminal penalties of a fine up to 51,500.00 and/or one years' imonscnment as .veil as c:vii penalties in the form of a STOP WORK ORDER and a fire cf (5100.001 a day against me. I understAaccpystatement may be forwarded to the Office of Investigations cf :he DIA for coverage verification. do herairs an n ies cr erfury that the information provided above is true and correct. SionatPrint nPhone Official use oniy do not write in this area to be completed by city cr town crficiai City or Town Permit/Uccnsino Building Dept ❑Check .f immediate response is required ❑ Licensing Board .Selectman's vffCB Contact person: Phone R Health Departrnent U Other C/) m m m m 0 m co o _ CA 10 cfl c 0 L�� V! d• _ y C 0 c H CD 0 CD CD _3 y, CD N 0 O CD 0 C CD C C?�C m S O N O Q N CD CIO m m C N t7 3 =r ��. N --1 m N 5R�+d m CLO • m -4 C m y C 1 O 5!R tr•- m co) CD to .0., 7 �1■7, O O O N' O ^ O O m: f y � M tC O ?Sr CD V c onm n_� y O • `C ffD^ N CD c t9 N ca 3 »O .. O moi U:w z o ? . c � m �. CD C ju ' c, n 0 0; n: CD: O i S d 0 0 0 d rn ro 9Lago 0C) °= n. O vCc n 7 °= O wG r G� 7 °= D O arc O � [ r O C fD O a. x n :r et n O d O x y 0 0 c -1 LnLn m a� a n a ro z o V rD 71C 3.c .. o_ CU o + O ro o ro ro 0- C '* Q n O Ln n m + CLn c lu m o E O' Ln ro r La QJ QJ O. Z) E r cl �* 7 0 c POR • -V' P r�1 O c z v a 0 z z 0 TOWN' OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone (508) 685-0950 Fu (508) 688-9573 DRIVEWAY PERMIT Date: LOCATION: BUILDER: phone: OWNER: phone:' The North Andover Superintendent of Highway Utilities & Operations MUST be notified of the grade and set -back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: N2 912 a� APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. 19I Application by the undersigned is hereby made to conriect`with`the town water main inStreet, subject to the rules and regulations of the Division of Public Works. The premises are known as No. �/ (� ����YLc1 Street or subdivision lot no. / C;:�04 z k4 ���z �l rcz.- 9.5 t Owner U e,4,a.o,, Contractor 4 (5t`.ez'�) PERMIT TO CONNECT WITH WATER MAIN �The Board of Public Works hereby grants permission to �' ' � to make a connection with the water main at L.,iC 4 subject to the rules and regulations of the Division of Public Works. Inspected by Dat czrk7 r Z 2 t°ca Street B rd o ub is Works By. See/back for rules and regulations / LAf 11 V CL S c�-(� / e-�Yt�rl ate Ui�c�� 1454 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. D `$ 19 Application by the undersigned is hereby made to connect with the town sewer main in ktyf Street, subject to the rules and regulations of the Division of Public Works. li The premises are known as No. `C? Street or subdivision lot no. Jre 6G Z — '164Z Owner Address Contractor PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to -,g?— to make a connection with the sewer main at Street subject to the rules and regulations of the Division of Public Works.. Inspected by Date Division of Public Works _ ti By� I ��� �) See back/for rules and regulations p C�14 t` �i � 9 Lkt /1-41 .n5 lk . � 9 z G ` UqK 1 .14 U U U C Z Z 'Z O O ° O U' U U Z v. ° C ~ Z y O O O O O Z 7 2 U O ` V a Is � O tl _ a CI N La Sent by:6 Ooc-A'-99 I5=26 from 9783733968- Pale ii 1 LOT A2 ' i81 �'e r LOT 7 FXtST/N6 � IYDIEnON .oe £LEY.=271.6 i �G FOUNDATION LOCATION PLAN cL rmt RALPH JOYCE TW CE"UXtrAW IS U4W ANO UWMV V "K ABOW CiiEAlr. LOCATION: LOT a CHrMUT SMUT NORTH AMOVFR. AIA LOT A2 %. LOT 8 I caner mar w iwwm s"WomNow ooraMs m BE NONCOM Wow fillummom ffN►ISi1SL 1pAAi /R1.AAA3 M Aiii�r Iwa �1�7E� Aa QZA�+1t�1 or IWA mm NOW SMV ow �71ii7�6 3iWi 0 OOROMMICRAW.WDOM ama air aws"Awcw "m Sam" arms Nor at alb M ow AaIMr lw ANY mnmff om D" Aar a aim IAAS160m► ow off VWYM Ffmmum OF OAunamm t AAS alli affumm u ass awMa a VE ar"am mwmr a, ammuffm t mw me IAO Aw amorrAomm w a pammamnam a Baer ron No mromm #W M AMOWNE s US ar M,� 'tea AW MW SCAL£.• I" = 40, OATEN NOVU8ER 19, MR CHRIS TIANSEN &SERGI°mmo "°� 9 rM Nr aWA MWEN t Saga MM J. 0RAWNWOMM012012 ot 'C'�y��G__- Cvc-37-99 t5:2s frow 978 3 LOT A2 A ly woe Lel J-1 of Lor 7 EXISTING i0UNUTION EUV.. -271.6 i i i �%p O k ` 1 / sy FOUNDATION LOCATION PLAN CuFm; RALPH JOYCE nM r"nfKAt700 IS I" AM L/wr£a 70 W ABM 0A�MT. LOCATION: LOT 8 CHESTNUT STREET NORTH ANDOVER. AIA q,; LOT A2 %. LCT 8 -0A 0690 1 1 1 4 cm" war Aa mmr S1Mmm aloe CI I -, M TM mossm scar alaaloons a• Or tau rla or -"a N 0/R. 11R im AK Now ANI' go" 0mm ar annumm R1LY Im aw•s Mau .or ar um .r ?w arm Eos mw PMW WM r" Wr &WO AastrEMPr UM 7Mc VWnW ranasa. W QVAwM & SW as n.ABsa.s Nff a s ar mMasr IW Irwmr[Y Ar aaMUMM r MW Aft $M AW ditTs =V uet Rt F"Vv ilof 1DE ri11iA7+�L Ia< A► a ANr N>a<- SCALA 1 " = 40' DATE: MOVEAMER 19, 1999 CHRIS NNSEN &SERGI o iw or awfa m s mw ■c J. 12 C Dec -17-99 15:26 from 9783723968# Y - page 1 1 - LOT A2 5� �L g �f , L=48'� \ r LOT 7 /\/ FXISTJNG OUND TION ELEV =271, 6 ell iim �� ar FOUNDATION L OCA TION PLAN CLIENT? RALPH JOYCE M 7W ARM CUM LOCATION: LOT 8 CHESTNUT STREET NONIN ANDOM. MA SCALE: 1' = 40' DATE: NOVEMBER LOT A2 %. LOT 8 I Amir wr lw Ruoff ar.NR K D c tv ,wffoff MM or -UM a POMM, aawsrwam aE:ar=M MW Or OMM ANr afro► 5= as 90MOOMO tMflso wN pw1 AMUL wr aE MW ar me MW ANP AMM' 1WW areae TW INT WRJW AMW.UCT ■ N eat /ieAra6rCE an mom If }M< cavolwWw rM01l1rf or aw" MMlOr : M& 1M: MD ANT U*MnUa=V 4W IS lyGfJM7gtORMW W ! MW MM NEI M"WWW roe UK suWWJNM rear wa ANr I!�- M EW 00WA/M »Wt 1-7 19, Ing y CNRISTIANSM &SERGI �VRA12012 >, M IJK DIM J> oasm or amsmow 0 low ae 44 Jan 05, 15:40 EST by: ADLDavid T. Louis INSURED SULLIVAN ANTENNA & ALARM ROBERT SULLIVAN D/B/A. 27 MIDLAND STREET LAWRENCE, MA 01840 (I5:4I) Page I of I f�t%F)t?:`'.<'` DATE (M►vDD/Yn ............... 01/05/00 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A AMERICAN EMPIRE SURPLUS LINES COMPANY B GRANITE STATE INSURANCE CO COMPANY C COMPANY D 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 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPEOF INSURANCE NCE POLICY NUMBER POLICY EFFECTIVE DATE IMMMOM) POLICY EXPIRATION DATE (MMIDD/YY) LIMITS EACH OCCURRENCE S GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX] OCCUR OWNER'S & CONTRACTOR'S PROT 9 GL 6 5 3 9 0 9/10/99 9/10/00 GENERAL AGGREGATE x 200,000 PRODUCTS • COMPAjP AGG S 200,000 X TORY ,A ER PERSONAL & ADV INJURY $ 100,000 EL DISEASE -POLICY LIMIT $ 500,000 EACH OCCURRENCE $ 100,000 FEE DAMAGE (Any Oro file) $ 100,000 OTHER MID EXP (Any — Ie—) S 5,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTO$ NON -OWNED ALTOS - COMBINED SINGLE UNIT S 80DILY INJURY S (Per P"W) BODILY INJURY (Per awkieru ffi PROPERTY DAMAGE S GARAGE LIABILITY ANY AUTO AUTO ONLY • EA ACCIDENT S OTHER THAN AUTO ONLY: EACH ACCIDENT $ DESCRIPTION OF OPERATIONSA.00ATK)NSAIEMICLESISPECIAL ITEMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MICHAEL MCGUIRE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY RS AGENTS OR REPRESENTATIVES. AUTHORGIED REPRESENTATIVE David T. Louis DL A EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE S AGGREGATE $ $ WORKERS COMPENSATION ANBD EMPLOYERS' LIABILITY THE PROPRIETOR/ NCL PARTNERS/EXECUTIVE OFFICERS ARE EXCL W C 8118 0 2 4 5/10/99 5/167-00 X TORY ,A ER EL EACH ACCIDENT S 100,000 EL DISEASE -POLICY LIMIT $ 500,000 EL DGEASE EA EMPLOYEE S 1 0 0, 0 0 0 OTHER DESCRIPTION OF OPERATIONSA.00ATK)NSAIEMICLESISPECIAL ITEMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MICHAEL MCGUIRE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY RS AGENTS OR REPRESENTATIVES. AUTHORGIED REPRESENTATIVE David T. Louis DL A Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 ttORTy q O �t4eo � 1r o p 'Q� t [WwKw APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS —II l 0 LOT NUMBER / SUBDIVISION 4/_A7 9!�r/00__r DATE REQUEST FILED 911155 DATE READY FOR INSPECTION , 1 11l Cl �/ / • ' FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTINGi /j, CONSERVATIOi4� ", A PLANNING 1 D.P.W. –WATER METER d �� DATE I lJV DATE / Z DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIG INSPEC N REQ ST DATE. SIGNATURE / DPW AUTHORIZATION g1OZ51oa CERTIFICATE OF USE &OCCUPANCY Town of North Andover Building Permit Number Q'// THIS CERTIFIES THAT Date Z000 THE BUILDING LOCATED ON 90 - MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Cdr jo ADDRESS r c"Us Building 1-1f (s , C C o m = O .y O d0 d� O n m m y n d n a =0 0 Z I'D W W ?a5 �• 1 O CD CO2 CD m t m > >� O .00► U2 . 0 O O OmQ1 yO W • _ c-� �.- C O :� ; Ca C) Z CA llt7 CD O 'C a CL F< On t% m y C to .�. y y m 0 cuH co a. a 2 m O p c� H +••� C y m CD =rCL cr 20 PAW. �m r•F �J m m CD CD Er ON CD 0 CD m �o CD� rn CL: c to � pG S y CA O CDC3, CD CD = o a DJ aC', - te• � CD jLb .. n AS O a� O Olt7 G G U O d p ~ per OG4 OG7 r O N 5 C a � z n In �x r.