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HomeMy WebLinkAboutBuilding Permit #740 - 10 WOODRIDGE DRIVE 4/16/2012 NORTI� BUILDING PERMIT °f 16,�"0 TOWN OF NORTH ANDOVER : '� • . p APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received � 9SSgC14Us�� Date Issued: IMPORTANT:Applicant must complete all items on this page -- «..h w r +`sam�.. �"�q`+�`.""�` T ' r £i .wi 'i S'`� 'y�'s�•-s-k f�-� z�`�. ' $,''• t'M"R":So- a+z ,' ""' r..';- ,Y �' :,,. ` f Ttix.r � k �LEA N � NWA ��.:��r�ct�' "''a'.��-�.:ir;.� s>� 5t *,`'".f� r _�r T.'� :� ���-n• ''�;-'"'�'K,t sem"' ` e ,�`.�T FSPR r ERS ;4:'y - F .., c 4 & �, -3.. s'y._5 ". a '�1- _ ;- Y $T�i '4"`f -yfEr '" -✓ � t: aMPF' (3 h AFCEL �. �®I IG 1 �T t+G =� FHisoPdc Das ,�, eso x r. '-��. m'�.-��i'�{`,����s,� ch�ireShcap�{�ldlage esu no �n a'S Y� t'- C xy� W •,a. �' %' # .hk?$c- -Y � '�� �:"`�.ate .�.r�_ �'"N�a_ .� - ,r.�-N.���.,,• _ _ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential j ❑ New Building ❑ One family ❑ Addition ElTwo or more fame,- ❑ Industrial ❑Alteration No. of uriits: ) �yy D Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other .SF�u•PSs�o�.?}=yt`5*:.e; ....�..a.:..�.._ , `"..�r.�-hC•-','s:i#.}d"�.a-.�,.Dw,�.:cs.E.Rcaaitv Y •.ir"}kj.r' DESCRIPTION OF WORK TO BE PREFORMED: e if ti Please Please Type or Print Clearly) � ` �� ��9 OWNER: Name: Wei ; �t,6� , Phone. C� I Address i'g Q� s, �r tom-c ate' t 3`n r x >; #}Fv€ +tr 'kT' . ., -•"tea . 1 x+.ru �:-,rn.aT"' .. '3{".7^r S��.ga. anae;`�` # *M,w 3 t S �� ,r ati j. n I q a+ •s'u vP�'_i k" '�1._ ,� 1 � L .� ,i :r{ �f 1 '� s4 �4C -q- � .�.�5- '�"'`,y,+ }'7t�` �' �,."��„•-c� � i�����"',�"' "�,t"..-en'�`rJ�"PhrOn e:'� "�".t. f�'y r.,,+ �� �'M� fi f®r-1 NTRACTOR if arise z Y �} ` j -x�,y3"` w y '�.';. v ` s v 3�. x .f .a. _ txs`�w,ra�f' � .s-:ya-��- s�s� �- 3- r ra•e; � �' ctic a� 5 yp� i �4 � G�ai � ku � � �5 r i ;r AM �a � !7r'reZ i,.�' s r s•''''-•'.5" ,r3 rQ,n .z-, �` r 'Mill k T'�.."� aix 'E ,�,y >°.f , -c `$^ '- 3��ate' ."`£ 1 7+ zy- ;y^y� u`p•+c �.} c�s 4.( • + 'r7�+fs z-vc t" s 1 "'tv R f �EµfN+ ••E � + �_ i � �i''�?'"'i�.:.i��'`��-�'�.SY' }��� '' ����` "•'h.5t�ks ,s>,� - "'���'kaRa� ;r,.�Yps•"` aG'"���"'aa�°F.-.".��.�f�.b��''1��'�°""�'p.�. ^i ."hi'7, �Nz'n,' ! Pti�YMt r.r rt F ��n tx ,rs � s *"}re±�+�. ;r� ' z�Lx s �-.F- '� a z �`' '�'c r '�"'�r-.;�. '�.'r�'ti. '.-c a•r`� x .+",4. .`�'a :� �l � t t- r 'f��!!��$''�t#7aa u•�3[x a�s.`tr� e� �p'.� ?:.` "�b � ,l>%,"Y`C..� "yam^ fitaAb .7. t�l z-�s�1': '�'„€s,.t ,�1 r'x �',�`�'�.f 44`. ARCHITECT/ENG INEER 3_-3� Phone: �l 0 � G� Z � �- oo Address: 7 �� �� �� �y 4 14 y Reg. No. FEE SCHEDULE:BOLDING P� MIT:$12.00 77000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. /1�. J Total Project Cost: $ 1 (�b�d� FEE: $ . l (� No. J Check No.:. � � Receipt NOTE: Persons contracting wit nregistered contractors do not have access to the guaranty fund s. '� ' F ' Si�nature of contractoriv . { 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 k DATE REJECTED DATE APPROVED al PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED H12ALTH ❑ ❑ } COMMENTS i I Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Conflectibr*Signature& Date Driveway Permit Located at 384 Osgood Street_ FIRES�DEP ►R{TMENT` Temp-Drirrtpster on=site yes x r h o- Located&a#,12 Main Stree# � E FaF �xx � ' jrF s yt x� y x3° fi ski. FtrefiDeparment signature/date OMMENTSfi .7. �c`x-..,*-.����{..Sr �.x ,es"�_.�'c�t'�.. T w.. *, Ys��,,w• .- ,.� ,kE" e,' r -' a�'`�'"9�, � S r*�-'+ en-�"-e3"�°1•g-s.^�.,. ryx� a . ?"Y ry-.� _ ,•�...rs. �.-Y..��'.:�r-- �a_"F' z�' .� ,r.::'�`' ,s �"��''-^�'� ,r�'• � � S;�-''�-�lt..�e�- ,,.,x �.^. ,� � 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.$100-$1000 fine NOTES and DATA— (For department use) I� i ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract - ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products J NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks I ❑ Building Permit Application L3 Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit I New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 htLocation/0 4001014I No. Date e ' TOWN OF NORTH ANDOVER Certificate of Occupancy $;. �d Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# ! 25192 Building Inspector IAORTH Town of ? : '' Andover .0 V, Ila a4 . No. 7 o , dover, Mass., C . to Q LAKE A- Is COCHICHEWICK V 7�ADR�4TED CP���� -PERMIT T `S U BOARD OF HEALTH Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......... .... 4..' ...... ... . . ' Foundation has permission to erect........................................ buildings o .......... Rough to be occupied as.... .. ... .............� .................. ............... ��. ......................... Chimney provided 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 II PERMIT EXPIRES IN 614QNTHS ELECTRICAL INSPECTOR I � w UNLESS CONSTRUC . ,.� S TS 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 FIR_ E_DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. OP ID:OU.IA sACF� LLD" DATEM!IMDNYYYI CERTIFICATE OF LIABILITY INSURANCE- 104110112 THIS CERTIFICATE 16 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 COVERAOIE.AI*ORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISTsMIi+lG INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDEP IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to j the terms and conditions of the policy,Certain policies may reciutm an endorsement. A statement on this cartificsID dads not confer rights to the certificate holder In lieu of such endurseme PRODUCER 978-N 21 T Macdonald&Panglone Insurance NP q g ¢ P.O.BcIX 428 978-ta$$ 36 tae 104 Main Street Ar ss North Andover,MA 018A5 Donald Scheinach Woumc R ma 0 G C 0 N 4 INSURER(B)AFFOROM COVERAGE NAIL A INSURED D G Contracting,Inc INSURERA:Traveiers Prop&Casualty CL 25674 4211 Pleasant St wsuFu3Rs.Safety Insurance Company 454 North Andover,MA 01845 VsuRER c.ChaTtls INSURER D MURER E: ROMER F- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BFJ.OW(AVE BEEN ISSUED TO THE INSURIFD 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. INSR ITR TYPE Of INSURANCE POLICY NUMER 69fdFi130tYYYYfMWDDPNMLIIYRTS- GENERAL LIABILITY EACH BICE $ 1,000,0001 O RlEt� A X con,R0IERCIALGENERAL LIAISUTY -680-15531118-1-ACJ-11 05117111 05117112 �s g 300,00 CLAIM$-MADE ®Deem MED.EXP(Anyanepw=) $. 5100 . PERSONAL E AIN INJURY $ 1,000,00 GENERAL AGGREGATE $ 2;I101>;00 GFML AGGREGATE LIMIT APPLIES PER: PROn1m•COMPIOP AGG $ 2,000100 POLICY I X SO' LOC $ AUTOId481LELIAD&ITY GD>tla 811 EL180T (Ea aaaenl) s 1,000,0(y ANYAUTO BODILY Rd upy tPw pecsm) $ ALL OWNED AUTOS BODILY"WRY IPerawawq a B X 'SCWDULEDAUTOS 31I W38 137112111 07112112 PROPERTY DAMAGE 8- X HwxD AUros $ B X NO*OWNED AUTOS $ s UN BRE e A LIAROCCUR -EACH OCCURRENCE $. EXCESSLIA6 HCLAJMS-MADE AGGREGATE $ DEDUCTIBLE $ YYORKERSCOMPENSATION X FIATF1` 711- AND EMPLOYERS•LIAB[LnY C ANY PR4PRETOR/PARTNE!4rXrGWNE Y I N 000$874107 03!31112 03131113 x L EA0i PCGlwl T $ 1,000, OFFICERIMEMSEdEXCLUDED? MIA (MMKIAWFy In KH) ILD -FA EMPLO . $ 1,000,00 R aes«Ibe mtQar DESCRIPTION OF OPERATIONS below E.L.DISEASE-Fi}LICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS l VEHICLES(Aaaah ACORD 109,Addillanal Renuul<s SehaWa,11 mora spwm Is required) CERTIFICATE HOLDER CANCEIIA71ON S"OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P.R.A.Properties,L P. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Princeton Properties roperties Mngt,Inc ACCORDANCE WITH THE POLICY PROVISIONS. do Princeton Properties 9 Silver Drive AUTMORIZEDREPRESEWATIVE Nashua,NH 03060 AWZ ©1988-2009 ACORD CORPORATION- All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts - Department of Industrigl Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organization/lndividual): �`v �7( u r7 Address: �Iy Q' Ur76(t,- City/State/Zip:_ VVVI G1 Phone#: 6 (� 7 >q7 Are you an employer?Check the appropriate box: Type of project(required): 1.Vam a employer with_ 3 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or-part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.x �• ❑Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. g, ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.E1 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' 13.FJ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 7 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name:. C�0 �( C I 7 Policy#or Self-ins.Lic.M LA) C 0 0 I 0 Expiration Date: 5 ! 7 Job Site Address. 1 V d �` (61e- " City/State/Zip: 4`"t`YVVIy C) t/g Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. X do hereby certify itin ze pains andpenalties ofperjury that the information provided aboveistrue and correct. - Signature: Date: Phone#: 47 ?1 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone#: _ Information. and Instructi®n8 ' Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or.written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. Fran LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents fox confirmation of insurance coverage. AIso be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(ifnecessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance.for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone anal fax number: The Gona-AOnw-eaA of massa.,chusetts - Dgp.ar(merit of Industrial Accidents Office o£Iavestigations 600 Washingto»Street Boston,MA.02111 `I`e1,#617-7.27-4900"t 406 or 1-877,7MASS.AFE Revised 5-26-05 Fay,#617;,727-7749 Www wass,govfdia v ponTk TOWN OF NORTH ANDOVER q OFFICE OF ' BUILDING DEPARTMENT �a 400 Osgood Street North Andover,Massachusetts 01845 S�eNuget D.Robert Nicetta, Telephone(978)688-95454 Fax (978)688-9542 Building Commissioner CONTROL CONSTRUCTION- SECTION 116.0 M.S.B.C. CERTIFICATE OF ENGINEERING/ARCHITECTURE BULDING INSPECTOR TOWN OF NORTH ANDOVER 400 OSGOOD STREET NORTH ANDOVER MA 01845 I, &:,36ar E. t 1; DON ,HEREBY CERTIFY THAT THE BUILDING CONSTRUCTED AT Wood Ridge Homes DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE AND APPLICABLE FEDERAL REGULATIONS FOR THE FOLLOWING: Extending existing construction combustion air intake vents from the cold attics through the roofs so as to aid in keeping the cold attics cold to reduce severe ice dam problems. Wood Ridge Homes contains 230 units. AUTHORIZED SIGNATURE: DATE: D 1 G-. . -z-, REGISTRATION: G�,/ OF MA N po. NOTE: ENGINEER"WE BE AFFIXED TO THIS FORM ON Control Construction Form revised 11.15.2004 BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 EXISTING EQUIPMENT NOT BEING ALTERED: ` BOILER: REPCO #LA750 9"MIN / HW: AMERICAN NATURAL GAS 40 GALLON A FG6140T403NOV 3'(TYPICAL) i MINIMUM SEPARATION 9"H DE 9"V j 9"MIN! IA; NEW 8"0 INTAKE VENT PIPE EXISTING B VENT CHIMNEY NOT EXISTING MAKE—UP AIR VENTS THROUGH CLOSET I BEING REVISED CEILING TO ATTIC. %"x10"(2) NOT CONNECTED TO EQUIPMENT / ATTIC I I -- I zz I EXISTING ATTIC \%/ INSULATION 1 I HIMNEY CONNECTS' 'TO BOILER & HW I I THEATER I I \ I � I TYPICAL 1ST FLOOR MECHANICAL CLOSET LOCATION VARIES I I 1 i � I 1 2ND FLOOR ! I � SCHEMATIC OF WOOD RIDGE I HOMES TOWN HOUSE I E Ic ——1 ST FLOOR AL - -- - -- ------- AL V i SCALE:NTS REFERENCE WOOD RIDGE HOMES CONSTRUCTION Commercial DWG NUMBER Construction. DATE: 04/05/2012 _ 10 WOODRIDGE ROAD MANAGEMENT Consulting.Inc. 313 Cd1MA 0 S6vv)1, DRAWN BY: BMG REVISION NO. NORTH ANDOVER "°''° "921,9 51]330930° 61/330.... 0:163 fax Infn�°3lasldicmi APPROVED BY: JB — COMBUSTION INTAKE REVISION —1 Consulting Engineers/Construction Managers oersr� TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 400 Osgood Street * North Andover,Massachusetts 01845 D.Robert Nicetta, Telephone(978)688-95454 Building Commissioner Fax (978)688-9542 CONTROL CONSTRUCTION- SECTION 116.0 M.S.B.C. CERTIFICATE OF ENGINEERING/ARCHITECTURE BULDING INSPECTOR TOWN OF NORTH ANDOVER 400 OSGOOD STREET NORTH ANDOVER MA 01845 I, Rao eraT iJ • 0 y I; W14 ,HEREBY CERTIFY THAT THE BUILDING CONSTRUCTED AT Wood Ridge Homes DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE AND APPLICABLE FEDERAL REGULATIONS FOR THE FOLLOWING: Extending existing construction combustion air intake vents from the cold attics through the roofs so as to aid in keeping the cold attics cold to reduce severe ice dam problems. Wood Ridge Homes contains 230 units. AUTHORIZED SIGNATURE: DATE: ® Ft'l�4— 4- REGISTRATION: No• NOTE: ENGINEER"WE BE AFFIXED TO THIS FORM Control Construction Form revised 11.15.20(14 BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 tti.achusctts DCpa, l,11C. Public a It"Eti B Ott il'ot Bttaiiltng,Re solations and Standards � X' Construction Supervisor License 0cense: 0S 1821 DAVID,P GULEZIANt ' 428s PLEASANT N.ANDOVER.`MA 01845 Expiration: 10/2/2013 1 <`.. f c�m�ni sltrnci •'< 44T t, 6