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Home My WebLink AboutBuilding Permit # 6/1/2016 (2) „- tAORTR �i BUILDING PERMIT o "w TOWN OF NORTH ANDOVER ° , APPLICATION FOR PLAN EXAMINATION tr Permit CVC1; Date Received °pATao npp,Q°(`a Date Issued: t 'YSACEw`� IMPORTANT AROicant must com fete all iterns an this7-77-7 4 ;;i/i rl /rr�/r'' / m;m�w.«tiww«,ww. x arm✓aawv,��«wwm, yw u,� / IIS �,.� 7 � �' r C10 r TYPE OF IMPROVEMENT �. PROPOSED—USE—-_ Residential Non- Residential i J New Building One family I Addition Two or more family Industrial Alteration No. of units. 'Commercial Repair, replacement Assessory Bldg Others: Demolition Other Sectio Will,'; Flb,+ dplaln ell rlrl , WA9 lee a rsk d I;;Di rl k C r .3 C /VIL 1416 (f �6 44.)4 11 /11-1 0P Idetttifieation Please`Iype.or Print Clearly) OWNER: Name: ��,( ' . vPhone: 71 k e? "”`°°"" m Address: TT r /�R °ji a i/ �i/�'✓'��r ':r / rr�/i�i `ri / ri r/ 1/ Ph �w.,r �� r � d � ,,, r r, j i � perlsrs„Cestr+ e�klerr ieene ; r E [dater ' r I;lorn �rnprqun icee Epp make 1 / ARCHITECT/ENGINEER Phone: '171 Y L '-L12� Address: ° d° m &2g m! eg. No, FEE SCHEDULE:SULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125,00 PER S.F. Total Project Coat: $ /0 q FEE: $ q tr Check No.: r= Receipt No. N(NOTE: 1'ersorzs contractin g tUzt z urrre t rezl contractors z/o not have ucces.s,to t7uarcz„ ign ur .afi A, ent✓ 3; ,. �igrt tur of ci ntr°ackor, �u� moinre"!r� Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMENTS CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street FIR �DEPARTMENT T � �� imp Dum�st�;f•�,on bite~> yds ►�o ` , yy �� ..�x�f .;' y� - �� D✓ Y f 3�� rs�'x � X44 fr � .r< r f� `r w � ' UO�IYIE� � ,�,r�'��' ✓-zn.,g.:m Jai ''-�S�L sW� � ,r .`^ r, s 7 kz-' � '� a" �„�� y `� c p� OORTH Town of ndover No. ON I - a6l C, ver, Mass, PJ e. 2b I ® LAK@ COCr/1C K@WICK y�• �43OJaATE® lI BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT ... BUILDING INSPECTOR has permission to erect buildings on ... Foundation .......................... . ... ..... ... ... ..... . ..... .......... • �� Rough ® ugh tobe occupied as ........ .. ................. .... .. .. .. .. ....: . . ... ......... .....®..` ............ ...................... chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating tot a In pection, Alteration and Construction of Buildings in the Town of North Andover. Ic ® PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids thislPermit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS 00% Rough Service .............. .... .... 0 ..... ... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy Buildin Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall T® Be one FIRE DEPARTMENT Until s ece and Approvedthe Building Inspector. Burner Street No. Smoke Det. Page 1 of 1 VA'Ase CONSTRUCTION Client: Watts Water Technologies Project: Water Heater Upgrades Location: 815 Chestnut Street- North Andover Date of Estimate: 30-Mar-16 Plan Date: 7-Mar-16 Estimate#: E16-042 Estimate Summary CSI Trade Cost 02100 Demolition $1,800 06000 Rough/Finish Carpentry $23,550 07000 Thermal and Moisture Protection $1,300 08100 Doors, Frames and Hardware NIC 08800 Glass&Glazing NIC 09250 Drywall See Carpentry 09500 Acoustical Ceilings $1,850 09650 Flooring NIC 09900 Painting $1,450_ 10100 Specialties NIC 11100 Equipment NIC 12100 Furnishings NIC 15300 Fire Protection NIC 15400 Plumbing $34,159 15500 HVAC $54,750 16000 Electrical $3,250_ TOTAL $122,109 Wise Constructiori� Eric Libby WS - Jackie C )skey TOM om .�. - ., -r: M :,`s-_nr w .r�pa,Wr;@" � x,. zff -. ..g �� ^. c�,.Wiz'. .r, .... ENGINEERS 200 Brickstone Square Andover, MA 01810-1488 RE)K Ut2je stiri dr How Engineering,,+ ecl-PeOPle P: 978-296-6200 1 F: 978-296-6201 LETTER OF TRANSMITTAL TO: Wise Construction DATE: 5/26/16 PROJ.NO: 20150277.03 21 East Street ATTN: Gerard Blanchette Winchester,MA 01890 RE: Watts Water Technology Water Heater Upgrades-Permit Pkg. WE ARE SENDING YOU Under separate [] ' via Wise to Pick-Up 5/26/16 Attached [] ❑ F-1Plans F] Submittal Shop drawings ❑ Prints ❑ ❑ ❑ Copy of letter ❑ Change order Diskettes Specifications Other COPIES DATE NO. DESCRIPTION 3 sets 5/26/16 1 Permit Drawings 1 set 5/26/16 2 Design Affidavits THESE ARE TRANSMITTED AS NOTED BELOW For approval EJ Approved as submitted F] Resubmit copies for approval Submit copies for distribution ❑ For your use Approved as noted ❑ Returned for corrections El Return corrected prints As requested ❑ ❑ Prints returned after loan [] For review and comment DUE ON: REMARKS CC: RDK File Signed: If enclosures are not as noted,kindly notify us at once. Q:\2015\20150277.03-W WT Training Center HW system Upgrade\0200 Correspondence\202 Transmittals\16 Wise Libby Permit Package 5-26.doc m Anrinvar I amhorct I Rnctnn I r'harintta I nurham <LIN\ Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional ar for work per the 8'h edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Watts Water Technology Water Heater Upgrades Date: May 24,2016 Property Address: 815 Chestnut Street,North Andover,Massachusetts Project: Check(x) one or both as applicable: New Construction X Existing Construction Project description: Removal of individual water heaters throught the Basement, First and Seconf floors. Pipe the domestic hot water service back to new Smartplace Heat Exchanger recently installed. 1, Keith Giguere, MA Registration Number: 49637 -Expiration date: 6/30/16, am a register-ed design professional, and that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: ] Entire Project I [ ] Architectural ] Structural ] HVAC ] Fire Suppression—NFPA 13 [X] Electrical Fire Alarm -NFPA 72 ] Plumbing for the above named project and that,to the best of my knowledge, information and belief, such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my designee) shall perform the necessary professional services in accordance with the Professional Standard of Care and be present on the construction site on a periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17. (not applicable) 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. The Contractor shall be responsible for performing the work in accordance with the contract documents and shall be exclusively responsible for its construction means, methods, sequences and procedures, and for construction safety. Nothing in this document relieves the Contractor of its responsibilities regarding the provisions of 780 CMR 17. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a 'Final Construction Control Document'. I"OF 4044s Enter in the space to the right a"wet" KEIcy TH E. or electronic signature and sea]: GIGUERE (P ELECTRICAL No.49637 Phone number: 978-296-6357 /ST Erna 1.�gi�uere �rdken gineers�.com Buili�hgafffifieial Use Only Building Official Name: Permit No.: Date: Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 8"' edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Watts Water Technology Water Heater Upgrades Date: May 24,2016 Property Address: 815 Chestnut Street,North Andover, Massachusetts Project: Check(x)one or both as applicable: New Construction X Existing Construction Project description: Removal of several small water heaters throughout the building and revise distribution Piping back to Smartplate Water heater System. 1, Scoff Guertin,MA Registration Number: 46837 -Expiration date: 6/30/16, am a i-egistered design professional, and that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: ] Entire Project ] Architectural ] Structural ] HVAC ] Fire Suppression—NFPA 13 [X]Electrical Fire Alarm -NFPA 72 [X] Plumbing for the above named project and that,to the best of my knowledge, information and belief, such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I (or my designee)shall perform the necessary professional services in accordance with the Professional Standard of Care and be present on the construction site on a periodic basis to: 1. Review,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, (not applicable) 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. The Contractor shall be responsible for performing the work in accordance with the contract documents and shall be exclusively responsible for its construction means,methods, sequences and procedures, and for construction safety. Nothing in this document relieves the Conti-actor of its responsibilities regarding the provisions of 780 CMR 17. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the bu' AM incl Construction Control Document'. X) SCOTT Cz. G ZP GUESTIN Enter in the space to the right a"wet" MECHANICAL or electronic signature and sea]: No.4W7 N Phone number: (978) 296-6338 Email: sguei-tin@RDKEngiiieers.com Building Official Use Only Building Official Name: Permit No.: Date: The Coninionwealth of'Massachusetts [t ... Departinent of Industrial Accidents Office of'Investigations a 600 Washington Street Boston, MA 02111 www.inass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individttal): Wise Construction _ Address: 21 East Street City/State/Zip: Winchester, MA 01890 Phone #: 781-721-1100 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ® I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ® Remodeling ship and have no employees These sub-contractors have g• Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp. insurance camp. insurance.1 required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL 1.2.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp, insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Beloit,is the policy acrd job site information. Insurance Company Name: DeSantiS Policy#or Self-ins. Lic. #: WCC50050135352015AMA Expiration Date: 6/27/16 Job Site Address: 815 Chestnut Street City/State/Zip: North Andover, MA 01845 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. rd,gena s o e ' • that the information provided above is true and correct. J fy der the pains�r� �t �l ltie�J ��rrry . I do hereby certr nrr Signature: A4 '' �'1s w- Date: 05/20/16 Phone#: 781-721 -1100 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Cleric 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: i— -I yr IIJ- LU DATE(MMIDD/YYYY) CERTIFICATE ' I ' 06/24/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORT"ANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on th,s certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Phone:781-935-8480 NAME: DeSanctis Insurance Agcy,Inc. Fax:781-933-5645 PHONE F 100 Unicorn Park Drive Arc No Ext): Arc No): Woburn,MA 01801 EMAIL ADDRESS: PRODUCER CUSTOMER ID#:WISEC-1 INSURER(S)AFFORDING COVERAGE NAIC# INSURED Wise Construction Corp INSURER A:Liberty Mutual Insurance Cos. 21 East Street INSURER o,.Associated Employers Winchester,MA 01890 INSURER C:Nautilus Insurance Company 17370 INSURER D:American Insurance Company INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 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. ILTR TYPE OF INSURANCE DLSUB POLICY NUMBER MM/DDY�Y POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1.000,00 A X COMMERCIAL GENERAL LIABILITY TB2Z11261323025 06/27/15 06/27116 PREMISES Ea occurrence $ 300,00 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 10,00 X Per Project Agg PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY X PROJE - LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 B A X ANY AUTO AS2Z11261323015 06127115 06/27/16 BODILY BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS X HIRED AUTOS (Per accdent)AMAGE $ X NON-OWNEDAUTOS $ X UMBRELLA UABX OCCUR EACH OCCURRENCE $ 10,000,00 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,00 A TH7Z11261323035 06127115 06127116 DEDUCTIBLE $ X RETENTION $ 10,000 $ WORKERS COMPENSATION X I WCYT M T- 0TH- AND EMPLOYERS'LIABILITY I S - B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N CC50050135352015A 06127/15 06/27/16 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? ® N I A (Mandatory In NH) MA E.L.DISEASE-EA EMPLOYEE $ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 C Pollution Liab CPL201193411 T06/27/15 06/27116 lAggloccur 3mil//mil DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) "ADDITIONAL INSURED LIMITS ARE NO GREATER THAN THOSE REQUIRED BY WRITTEN CONTRACT." Evidence of Coverage CERTIFICATE HOLDER CANCELLATION EVIDE-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EVIDENCE OF INSURANCE ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESEN IVE 19 -2009 ACORD CO 0 N. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-097661 Construction Supervisor ERIC S LIBBY 200 JEWETT ST GEORGETOWN INA +r-jZ'7 CA— Expiration: Commissioner 08/09/2017