The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #177-2012 - 1160 GREAT POND ROAD 9/1/2011 TOWN OF NORTH ANDOVER . APPLICATION FOR PLAN EXAMINATION Permit NO: /Q'7 Date Received Date Issued: / / ' ^ IWORTANT:Applicant must complete all items on this page LOCATi'ON TO—1s, Jen,,- . /I Gn 4ILL-A r PP^/D 1112 N. A uet-vnn NIA Print PROPERTY OWNER izi—k 1 5e H o, L- Print MAP NO: u PARCEL:62a ZONING DISTRICT: Historic District yes o Machine 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 ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑-Other iueF w Qi AN t r,1-y - ❑'Wetlands'` ❑ �Watershed,lDistrict'` D S eptic, ❑Well - p t �.� , f` -a •?fTaer/Se�,Ner .add . s;:c DES UR11 El ON OF WORD TO EE-�'-'ERiiO-Rlbf=�D: '4j=L, L,w15TR we r10i,o S_T�2�__ wbUD �12�KE_d S7KV[T(/TLE V 1T-4 73A set+F F+r , c I�,aZlc iAILLWEf Arspe LAZ b f1Ty .M/D---1,7II-I9Y W/26c flrlq 1.trsc r1-rs ��Pnav�►K�r.IfiS_ (Identification Please Type or Print Clearly) OWNER; Name; LoVHN �C?�EPhone: 9a8--t ZS--628U Addressnn 61. swvovER ./UIQ o/Ay`•S �( cHar—/M 7Z:�.A4f es : /ali(sS CONTRACTOR Name: ,ysg-tet=r- MF, Phone: g�-•�s�_2zzU Address: /a s��p rz u�H �n s,.lT>r- -30� n/EEfl1f/q RA AA 07-41N Supervisor's Construction License: e s Exp. Date: 8-zc-tz Home Improvement License: Exp. Date: ARCH ITECT/ENGIN EErzcHrrErrf_Phone: 918--4Yy-3443 Address: Pt Pan r• ANo Y1 " ,c(� Reg. No._ gZo o FEE SCHEDULE:B ULD/NG PERMIT:$92.00 PFR$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$?25.00 PER S.F. Total Project Cost: $ 2,g sem, o0o FEE: $--- woo _ Check No.: 10 �-ct8 Receipt No.:'. ?1115:76 NOTE: Persons contracting with unregistered contractors do not have access to the guaran fund . riatu 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 i ❑ 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 MOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application - ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Cos r(aac ❑ 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 t 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 o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And 1 Hydraulic Calculations (If Applicable) ❑ Copy of Contract a Mass check Energy Compliance Report ❑ 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 lie submitted with the building application Dox Doc.BuildingPermit Revised 2008mi L Dimension Number of Stories: 2 Total square feet of floor area, based on Exterior dimensions. h, 1a-z Total land area, sq. it.: - ELECTRICAL: Movement of Mc;ter 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 ® Notified for pickup - Date I Doc:.Building Permit Revised 2008mi "T J Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stan-,ped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ElElTanning/Massage/BodyArt Swimming Pools El 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 ❑ ❑ �` COMMENTS e CONSERVA T ION Reviewed on, �� Sic�natur COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board-Decision: Comments ,Conservation Decision: Comments 1Wat3r & Sevier Con nection/si nature&D Driveway Permit I �I DPW Town Engineer: Signature: Located 38 Os ood Street X FIRE DEPARTMENT -Temp Dempster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Location 1160 No. 7 7 " D/L Date ^T►, TOWN OF NORTH ANDOVER F R 9 a ; : Certificate of Occupancy $ Building/Frame Permit Fee $ o0 J�cmus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ _ i Check # 7�U L`t 5J O /wilding Inspector NORTH ` � TO" of Andover . . 061 . No. -'1C 1 ��`( - tor, dover, Mass., `�. /�/ Y O �=- LAKE �. I� COCHICHEWICK 7�ADARTED PV C;� S V BOARD OF HEALTH _----� Food/Kitchen PERMIT T D -d-'�)�— ce Sy tr/e/ L 11INSPECTOR THIS CERTIFIES THAT........... ..�..d. ......0 . ' X, 1C -P.............................................................. ........... r oundation' /� has permission to erect......... .............................. buildings on .. ...l�f�..d....... .:.. "�^ f............. ug !C f2h 1 �f'j�5-� �, Chimney to be occupied as............. ............. .:........:........................................ .............:......................: provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Fine' f U 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. PL ING SECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Finale" PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSP CTOR UNLESS CONSTRUCTION STARTS .................................................. Service BUILDING INSPECTOR Fin Olt 1`z- Occupancy Permit Required to Occupy Building GAS INSPECTOR Roughj'� � - Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone �� DEPARTMENT Until Inspected and Approved by the Building Inspector. B ner - ° Street No. SEE REVERSE SIDE 4bea-- Smoke Det.y . `f 7 12. - NORTH Q' TO'" Of And 0 No. :77 - 41 - 7 t° = ort dover, Mass., COC'ICMEWICK 7�s RATED P'P" \' 5� U BOARD OF HEALTH --- Food/Kitchen �..�',._.=- Sy to S/PERMIT T D �. , INSPECTOR THISCERTIFIES THAT.............................:................................................................................................................................. ounda n haspermission to erect........................................ buildings on ..............................:................................:............................... ug tobe occupied as......................:.....................:......................:...................................................................................................: Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Fine C'�a ,"rJ• this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in'the Town n of North Andover. PL SING S ECTOJR VIOLATION of the Zoningor Building Regulations Voids this Permit. Rough,71 / . 9 9 Final ji-ove� PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INS CTOR UNLESS CONSTRUCTION STARTS 'Service BUILDING INSPECTOR Fin ait Occupancy Permit Required to Occupy Building G S7INS Rough �� ''��E Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done DEPARTMENT J Until Inspected and Approved by the Building Inspector. Yner � Street No. SEE REVERSE SIDESmoke Det. ; �Z f � • GENERAL BUILDING NOTES/CHECKLIST-NOT LIMITED TO ITEM LOW C� C S POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY 0 no inspecti ns �s INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame Insulation, inab '� \ FOOTINGS: Continuous Full 2x4 Keyway ( , Continuous strip footings for interior columns `^ C FOUNDATION: Rebar as required Anchor bolts or straps Damproofing1 :* Foundation drain-pipe/stone/fabric filter/co "�_\_Ih d c utlet-connec FRAME:Fireblock-over girts/plates between floor joist _ U Penetrations for plumbing, heat, elec,etc. Walls at stair stringers. Windbrace corners and center bearing partitions.l\ Size ridge to provide full bearing at rafter cuts. '( " Hip and Valley rafters-watch bearing at walls. Ridge&Hip-Provide proper connections. � b Cathedral roof rafters provide proper connection'sal9 I 34s "Hurr cane Clips"tie to plate.` Stair stringers-watch cuts and-heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. !l Girls-solid brick or steel plate bearing at foundations air space at sides in foundation pockets Lateral bracing at ends. Certified calculations. required for Beams/LVL's Truss Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams Attic Access. (min.22x30 w/3' headroom above). tt`� Crawls ace access. (min. 18x24). � Bath exhaust fans to have metal duct to exterior(not in soffit). r Firecode S/R wood frame of"0"clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. c ` of required glazing shall be openable. , Bedrooms required min.20x24 egress window or door Vent ro-attics aces "proper er vent" soffit and required ridge vents. P Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber- Finish Smooth parging, clean joints,8"solid @ combust. DECKS: �house;..provide flashing. shirr �6~-hi@"aluster max space 5"on center. e\$`abeve grade, use 6x6 posts w/lateral bracing. -ag_all_posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. -� Temporary Stairs required for inspection. Re inspection fee- $30.00(Be Ready). Certificate of occupancy required prior to occupying structure.. ' . _r) r 1 U 1 pwlzr- 7- fi =t _ GENERAL BUILDING NOTES/CHECKLIST-NOT LIMITED TO ITEIM4 EiLOW CS POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY 0 Jno inspecti i � y INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame Insulation, I inab I FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns `^ F FOUNDATION: Rebar as required t Anchor bolts or straps Damproofing o , Foundation drain-pipe/stone/fabric filter/cov d utlet_conn ion. \ FRAME:Fireblock-over girts/plates between floor joist I r~ a Penetrations for plumbing, heat,elec,etc. Walls at stair stringers. y Windbrace corners and center bearing partitions.l\ Size ridge to provide full bearing at rafter cuts. �( Hip and Valley rafters-watch bearing at walls. Ridge&Hip-Provide proper connections. l Cathedral roof rafters provide proper connections Na d s "Hurr cane Clips"tie to plate. Stair stringers-watch cuts and,heal support. I Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. �l Girts-solid brick or steel plate bearing at foundations air space at sides in foundation pockets Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses, Solid bearing support for Headers/Beams etc. `J Check headroom clearances-stairways, under beams Attic Access. (min.22x30 w/3' headroom above). tZ`� Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit). h Firecode S/R wood frame of"0"clearance fireplaces&stoves °4 Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. �. e '/of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. R, Vent attic spaces-"proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. ® p Inspections at Footing-Smoke Chamber- Finish 'gyp Smooth parging, clean joints,8"solid @ combust. DECKS: ag t house;.provide flashing. 'sn�8 i§"aluster max space 5"on center. r8'=abeve grade, use 6x6 posts w/lateral bracing. i .posts and rails.` . Pier footings down 48", Conc. pad at stair base. �. FINISH: Handrails returned to wall/newall post. �r Guardrails required alongside open cellar stairs. eq 9 P Exterior grading complete. Certificate or occupancy required prior to occupying structure. - � Temporary Stairs required for inspection. Re-inspection fee- $30.00(Be Ready). Certificate of occupancy required prior to occupying structure. N � ryORT►•� ® of 0 Q = LAKE a dover, Mass.,— 91111.1 IV C OC MIC HEWICN yI(. SATED p'? �2 U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............ . . r� ..... �./00I.......................................... """""""""""' Foundation has permission to erect........................................ buildings on .116.E 9�! t�o;"L�/!( ...... .... ........................ Rough to be occupied as SG p.�1. �'. °torr.. �� ! Chimney provided that the person accepting this permit shall in eve respect conform to the terms of tlPpplication on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Afteratidn and Construction of Buildings 'In'the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS T T ►q- ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S� 1L S Rough �j ......... . :..r+.... .... Service B LDING INSPECTOR Final Occupancy Permit Required to Ocatpy 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 SLIDE Smoke Det. NORTH 0 0r6 over = VIA LAKE o '� dover, Mass., 911111 coca CHEwiCH �1' .QS RATED P,Pa,`�� U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............��Iho c..... -.................... ............................................. ......................... Foundation has permission to erect........................................ buildings on .,1 .tl... ,1 TTnGRough to be occupied as................./ /�� ......SOS►. ............... ... .. .. il .�`. � KIM ...... a.� G,�s Chimn y e provided that the person accepting this permit shall in eve respect conform to the terms ofpplication on file in Final- this inal this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alterand Construction of Buildings in'the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST TS Rough ..... .. ....... . . .... ....... Service B LDING 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. ROB BRAMHALL ARCHITECTS August 31,2011 Gerald Brown Inspector of Buildings 1600 Osgood Street North Andover,MA 01845 Dear Gerald: The New dormitory at the Brooks school has been designed in accordance with the requirements of the Massachusetts Architectural Access Board(521 CMR). I have summarized the review of the requirements for this project for your use. Massachusetts Architectural Access Board Regulations All areas open to the general public(residents,students,etc.)are required to comply with the requirements of the Massachusetts Architectural Access Board(521 CMR). This section includes the following major provisions: All public entrances must be accessible(521 CMR 25.1). • All public and common use areas must be accessible and provided with an accessible route thereto(521 CMR Section 8.2 and 20.1). Note that an elevator is not required since the building is less than 3 stories and no common use areas are located on the 2nd Floor(521 CMR 8.5.2). • Based on 22 beds,at least I bed and the associated amenities must be accessible(521 CMR 8.4). • At least 1 dormitory unit must be designed for a person who is deaf or hard of hearing(521 CMR 8.4.5). • Accessible toilet rooms that comply with 521 CMR Chapters 30 and 31 must be provided for the dormitory units(521 CMR 8.2.1). • The apartments are not required to be designed to meet Group I requirements since they are 2 stories in height(townhouses)or not located on the Ground Floor(521 CMR 9.6& 9.3). Since the building contains less than 20 apartments,they are not required to meet Group 2 requirements(521 CMR 9.4). Please call with any questions. Sincerely, ROB BRAMHALL ARCHITECTS, INC. I� Robert A.Bramhall,AIA Principal 14 Park Street Andover,Massachusetts 01810 Telephone:978 749 3663 Facsimile:978 749 9659 REGISTERED ARCHITECTURAL AND ENGINEERING SERVICES CONSTRUCTION CONTROL AFFIDAVIT PROJECT TITLE: Brooks School—New Dormitory PROJECT LOCATION: Brooks School 1160 Great pond Road North Andover, MA 01845 SCOPE OF PROJECT: New construction In accordance with the Massachusetts State Building Code,I John L. Scott,Mass.Registration No.29134 being a registered professional engineer/architect hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION ELECTRICAL CIVIL 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 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 the building code. 1. Review,for conformance to the design concept,shop drawings,samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2.Review and approval of the quality control procedures for all code-required materials. 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, in general,if the work is being performed in a manner consistent with the construction documents. 1 shall submit periodically,a progress report together with pertinent comments to the Building Department.Upon Completion of the Work as needed,I shall submit a final report as to the satisfactory completion and readiness of the project for occupancy. Signature Subscribed and sworn to me this—. 3�'� day of 20l NOTARY PUBLIC My Commission Expires On KATHLEEN HILLER,Notary Public My Commission Expires September 23,2014 -1- REGISTERED ARCHITECTURAL AND ENGINEERING SERVICES CONSTRUCTION CONTROL AFFIDAVIT PROJECT TITLE: Brooks School—New Dormitory PROJECT LOCATION: Brooks School 1160 Great pond Road North Andover, MA 01845 SCOPE OF PROJECT: New construction In accordance with the Massachusetts State Building Code,I,—Robert A.Bramhall Mass.Registration No._8200_being a registered professional engineer/architect hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ENTIRE PROJECT _X_ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION ELECTRICAL 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 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 the building code. 1.Review,for conformance to the design concept,shop drawings,samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2.Review and approval of the quality control procedures for all code-required materials. 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,in general,if the work is being performed in a manner consistent with the construction documents. I shall submit periodically,a progress report together with pertinent comments to the Building Department.Upon Completion of the Work as needed,I shall submit a final report as to the satisfactory completion and readiness of the project for occupancy. Signature Subscribed and sworn to me this day of krlyn- 2011 � fi) 4"L_& — NOTARY PUBLI My Commission EDWARD M.NYME Notary Pubic,CommoMMM of Maaeschumb My Commkaion Fom August 4,2D17 -1- {r ' muma husett%- Uep;t1•tntenl ul'Public S'Arcq iSuard ul'Buildimt Rc�ul:uiuns:u►(1 4tand;u•dx construction Supervisor License License: CS 74387 KEVIN P RANDALL 91 WALKER R ST NEWTONVILLE, EWA 02460 Expiration: 812612012 2450 REGISTERED ARCHITECTURAL AND ENGINEERING SERVICES CONSTRUCTION CONTROL AFFIDAVIT PROJECT TITLE: Brooks School—New Dormitory PROJECT LOCATION: Brooks School 1160 Great pond Road North Andover, MA 01845 SCOPE OF PROJECT: New Construction In accordance with the Massachusetts State Building Code,1, Erik M.Gath Mass. Registration No. 48162 being a registered professional engineer/architect hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL X MECHANICAL FIRE PROTECTION ELECTRICAL 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 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 the building code. 1.Review,for conformance to the design concept,shop drawings,samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2.Review and approval of the quality control procedures for all code-required materials. 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,in general, if the work is being performed in a manner consistent with the construction documents. I shall submit periodically,a progress report together with pertinent comments to the Building Department.Upon Completion of the Work as needed,I shall submit a final report as to the satisfactory completion and read' ss of the pro'ect for occupancy. Signature JU Sub * bsw to me this 24th day of August 2011 . October 24,20 14 NOTARY PUBLIC My Commission Expires On IA OF 4f4,9 ERIK M. tiG GATH m o MECHANICAL + DONNA P. HAGENS _ No.48162 C' NOTARY PUBLIC 1 900 /STER�� COMMONWEALTH OF MASSACHUSETTS Fps/0 My Commission Expires Oct.24,2014 NAL REGISTERED ARCHITECTURAL AND ENGINEERING SERVICES CONSTRUCTION CONTROL AFFIDAVIT PROJECT TITLE: Brooks School—New Dormitory PROJECT LOCATION: Brooks School 1160 Great pond Road North Andover, MA 01845 SCOPE OF PROJECT: New Construction In accordance with the Massachusetts State Building Code,I, John C.Pierga Mass.Registration No. 48291 being a registered professional engineer/architect hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION X ELECTRICAL 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 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 the building code. 1.Review,for conformance to the design concept,shop drawings,samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2.Review and approval of the quality control procedures for all code-required materials. 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,in general,if the work is being performed in a manner consistent with the construction documents. I shall submit periodically,a progress report together with pertinent comments to the Building Department.Upon Completion of the Work as needed,I shall submit a final report as to the satisfactory completion and readiness of the project for occupancy. Signature 1k. Subs 'bed and swo to me this 24th day of August 2011 . October 24,2014 NOTARY PUBLlit 0 My Commission Expires On P�_SH OF RqS, JOHN C. tiG s c PIERGA ELECTRICAL v + No.48291 DONNA P. HAGENS *� NOTARY PUBLIC COMMONWEALTH OF MASSACHUSETTS SSS/ONAL ANG My Commission Expires Oct.24,2014 REGISTERED ARCHITECTURAL AND ENGINEERING SERVICES CONSTRUCTION CONTROL AFFIDAVIT PROJECT TITLE: Brooks School—New Dormitory PROJECT LOCATION: Brooks School 1160 Great pond Road North Andover, MA 01845 SCOPE OF PROJECT: New construction In accordance with the Massachlisetts State Building Code,I, J! �yE� 451 L+� Mass.Registration No. % being a registered professional engineer/architect hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION ELECTRICAL 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 ng Code.All acceptable engineering practices and all applicable laws for the proposed project. I further certify that I shall perform the necessaryprofessional services and be resent on the construction site on a regular ular and P p g 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 the building code. 1.Review, for conformance to the design concept,shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2.Review and approval of the quality control procedures for all code-required materials. 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,in general, if the work is being performed in a manner consistent with the construction documents. I shall submit periodically,a progress report together with pertinent comments to the Building Department.Upon Completion of the Work as needed,I shall submit a final report as to the satisfactory completion and readiness of the project for occupancy. ` Signature SubscriW and sworn to me this 'L S 7H day of A44UrT 201.1 O2�j5r2oi3 NO UBLIC My Commission Expires On ERIN E. WALKER NOTARY PUBLIC �2 COMMONWEALTH OF MASSACHUSETTS -1- {..,N.+MY COMMISSION EXPIRES.02/1�5/2O 3 The Commonwealth of Massachusetts 1 Department of Industrial Accidents 1''E M. - Office of Investigations :'EN 600 Washington Street Boston, MA 02111 www.nzass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual); ^1 vier eorvsrAue-neN CcR?.. Address: /o K&-NAA1&Y i20 5c lr-- 30 7 City/State/Zip: i1477phlogm x44 o2494 Phone #:_78/--q53 -2z2o Are you an employer?Check the appropriate box: Type of project(required): 1.Q I am a employer with 2_� 4. ❑ 1 am a general contractor and 1 6. 0 New construction P (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet t 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition. workingfor me in an capacity, workers' cotnp. insurance. y p �'• 9. ❑ Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its 10.7 Electrical repairs or additions required.] officers have exercised their 3.❑ i am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[No workers'comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.)t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks boz#l 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. xContractors that check this box must attached an additional sheer showing the name of the sub-contractors and their workers'comp.policy information. !am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: /1_2A11 .zgE71S 1A15*61 0A1e.E eo. Policy#or Self-ins. Lic.#: USS-42/21-5/oy-P1i'W Expiration Date: ?-30-00// .lob Site Address: 9�--140,CL /iso City/State/Zip: A14v.40azx ililp 0%45- o,oM rW aiL/>ovE�, At/A 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. Ido hereby certify under he pains ndpenalties of perjury that the information provided above is true and correct Signature: Date: 9/9 s1// Phone 4: ?6/- 453-2220 x107 Official use only. Do not write in this area,to he completed by city or town official, City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: FIRE PROTECTION NARRATIVE Brook Academy New Dormitory , North Andover, Massachusetts DATE: AUGUST 25, 2011 TO: North Andover lnspectional Services z OF M FROM: Mike Denommee r NETT t (sm ECK _+ BLW Engineers M CAL 446 SUBJECT: Brooks Academy—New Dormatory � PROPOSED FIRE PROTECTION SYSTEMS COPIES TO: File Gentlemen, in accordance with the Massachusetts State Building Code 8"' edition chapter 9, we respectfully submit for your review this narrative on the proposed new fire protection systems at the new Dormitory building located at the Brooks Academy campus in North Andover, Massachusetts. SECTION 1 —BUILDING DESCRIPTION 1. Building use group is R-2 (Dormitories) and R-3 (Apartments). a. Basement floor area=6,072 square feet b. First floor area=6,072 square feet c. Second floor area=5,900 square feet d. Attic floor area=unfinished attic 2. Type of Occupancy Within Building-Residential. 3. Building is 40'-11"from lowest level slab to high point of sloping roof. 4. Construction type is 5b. 5. Hazardous Material Storage—not applicable 6. High Piles Storage Over 12 Feet—not applicable 7. Vehicles can access the site via Service Rd.,to the building's entrance. Page 1 of 7 i FIRE PROTECTION NARRATIVE Brook Academy New Dormitory North Andover, Massachusetts SECTION 2—APPLICABLE LAWS,REGULATIONS AND STANDARDS 1. 780 CMR THE MASSACHUSETTS STATE BUILDING CODE, 8"' edition 2. 780 CMR CHAPTER 9, "FIRE PROTECTION SYSTEMS" 3. NFPA 13 "STANDARD FOR THE INSTALLATION OF SPRINKLER SYSTEMS" 1999 edition 4. NFPA 25 "STANDARD FOR THE INSPECTION,TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS" 1998 edition 5. M.G.L. 148 MASSACHUSETTS GENERAL LAW CHAPTER 148 "FIRE PREVENTION"(as applicable) 6. 527 CMR FIRE PREVENTION REGULATIONS (as applicable) 7. NFPA 14 "STANDARD FOR STANDPIPE AND HOSE SYSTEMS" 8. NFPA 24 "STANDARD FOR PRIVATE SERVICE MAINS" 9. All applicable regulations and criteria of the local fire department and the owners insurance authority. 10. All applicable sections and regulations of OSHA and ADA. 11. NFPA 70 NATIONAL ELECTRIC CODE 12. NFPA 72 NATIONAL FIRE ALARM CODE 13. Town of Newton—Fire Department Rules and Regulations for Fire Alarm and Sprinkler Systems. SECTION 3—DESIGN RESPONSIBILITY FOR FIRE PROTECTION SYSTEMS 1. The sprinkler contractor shall provide a registered professional engineer(PE)who shall produce a complete set of hydraulically calculated sprinkler and standpipe systems drawings as required by NFPA-13, NFPA-14 and NFPA-24 latest accepted editions. The sprinkler contractor's registered engineer shall make the drawings complete in every respect and shall show all piping runs, lengths, dimensions, fittings, elevations call-outs, sprinkler head locations, pipe sizing, hangers, seismic bracing, equipment layouts, hydraulic calculation nodes and all appropriate details. The sprinkler contractor's registered engineer shall provide all hydraulic calculations to verify the pipe sizing of the sprinkler and standpipe systems. The sprinkler contractor's registered engineer shall stamp all sprinkler drawings and hydraulic calculations and shall submit these to the fire department and owner's insurance authority for approval and permit. No fire protection work shall begin until the sprinkler contractor has obtained approval for all sprinkler and standpipe systems from the fire department and the owner's insurance authority. The sprinkler contractor will conduct a new hydrant flow test at the site in order to obtain current flow and pressure data and shall use this newly obtained Page 2 of 7 FIRE PROTECTION NARRATIVE Brook Academy New Dormitory North Andover, Massachusetts data to perform the hydraulic calculations for the fire protection system shop drawings. SECTION 4—FIRE PROTECTION SYSTEMS TO BE INSTALLED The new sprinkler systems will be automatic, wet pipe sprinkler and standpipe systems for the building interior spaces. The building sprinkler systems will be designed in accordance with NFPA-13. Due to the construction of the building and in accordance with NFPA-13, concealed spaces above ceilings will not be provided with sprinkler coverage. All sprinkler heads used shall be listed residential type in dwelling spaces and listed quick response type for all areas outside of dwelling spaces. Temperature ratings for all sprinkler heads shall be in accordance with NFPA-13. Standpipe systems shall be provided in accordance with NFPA-14 and the Massachusetts State Building 8"'p g Code 8 edition. The new fire sprinkler systems systems in the building will be supplied via a new underground fire service main connected to the site water main. The new underground fire service main will be brought up into the sprinkler room within the new building. The new fire service main will be provided with a new double check valve backflow preventer at the point of entry into the sprinkler room. A new single wet system alarm check valve will be located on the sprinkler system side of the backflow preventer. This wet system alarm check valve and riser will supply all of the sprinkler / standpipe systems in the building. A fire department connection will be located on the outside of the building and ata point of vehicle access. The fire department connection piping will be provided with a check valve in accordance with NFPA-13. An electric alarm bell will be provided on the outside of the building adjacent to the fire department connection. A master water flow switch will be provided on the sprinkler riser in the sprinkler room. The fire department connection will have the ability to charge all of the sprinkler and standpipe systems in the building. The sprinkler systems in the new building will be supplied via sprinkler riser that will be located in a main egress stairway of the building. Each floor will be on a separate sprinkler zone and an isolation zone valve, check valve, flow switch and pressure gauge will be provided on the sprinkler main serving the sprinkler systems of each floor of the building. An inspectors test and drain valve will be provided at each floor zone station. A drain riser will be provided and will collect the test and drain valves on each floor and will discharge to outside the building. All sprinkler risers will be provided with isolation valves at the base of each riser for separate isolation. Page 3 of 7 FIRE PROTECTION NARRATIVE Brook Academy New Dormitory North Andover, Massachusetts The sprinkler systems throughout the building will be automatic wet pipe. All sprinkler systems will be designed and installed in accordance with NFPA-13. General use areas and assembly areas will be hydraulically calculated per NFPA-13 at a light hazard occupancy, with a design density of .10 gpm per the most remote 1500 square feet. A 100 gpm hose stream allowance will be provided. Mechanical rooms will be hydraulically calculated per NFPA-13 at an ordinary hazard occupancy group 2, with a design density of.20 gpm per the most remote 1500 square feet and will be provided with a 250 gpm hose stream allowance. The residential areas in the building will be calculated using the compartment method and the area / density method in accordance with NFPA- 13. All residential sprinkler heads will be supplied with flows and pressures in accordance with the sprinkler head manufacturer's listings and NFPA-13. All standpipe systems will be hydraulically calculated in accordance with NFPA-14 and the Massachusetts State Building Code 8th edition. All control valves will be electrically supervised. All sprinkler systems shall be UL listed and / or FM approved for fire service use. All sprinkler systems and equipment shall be rated at 175 psi working pressure. The fire department connection will have the ability to charge all of the new sprinkler and standpipe systems in the building. A new hydrant flow test will be conducted by the sprinkler contractor in order to obtain current flow and pressure data. This flow data will be used to hydraulically calculate the new sprinkler systems for the fire protection system shop drawings. All sprinkler and standpipe systems will be designed, tested and installed in accordance with the applicable sections of the Massachusetts State Building Code 8th edition and NFPA-13 and NFPA-14 latest accepted editions as well as the regulations and guidelines of the local authority. All sprinkler systems will be seismically braced in accordance with the Massachusetts State Building Code 8th edition and NFPA-13. All sprinkler systems will be designed, tested and installed by a sprinkler contractor licensed and experienced in Massachusetts for fire sprinkler systems. SECTION 5—FEATURES USED IN THE DESIGN METHODOLOGY FIRE ALARM SYSTEM 1. The fire alarm system shall be an addressable system that meets UL, the requirements for NFPA and the North Andover Fire Department Bylaws. The devices shall be installed in accordance with the floor plan layouts. The main fire alarm control panel shall be located in the main electrical room with an annunciator located in the main Page 4 of 7 FIRE PROTECTION NARRATIVE Brook Academy , New Dormitory North Andover, Massachusetts lobby. The remainder of the building will be provided with required pull stations, speaker strobes and strobe only units as required by NFPA, ADA and Massachusetts State Building Code. 2. New Audio/visual alarms shall be utilized throughout the facility and the coverage shall meet the requirements of NFPA and ADA. Visual alarms shall be utilized in small areas such as bathrooms and corridors were ample audio alarm is present. 3. Non-system combination smoke/carbon monoxide detectors will be provided in each dorm room. Smoke detectors shall be located in the corridors connecting the dorm rooms. Accessible units shall be provided with Strobes to meet the requirements of ADA. 4. A radio-controlled master box and antenna will be provided as required by the North Andover Fire Department as well as a key box and beacon. 5. Batteries shall provide for 24 hours of operation followed by a 10-minute ring down. Battery calculations shall be submitted by the EC with the cut sheets and drawings to the fire department for review and approved. 6. Emergency lighting shall be provided throughout the facility and consists of LED exit signs and egress lighting via battery ballasts within normal fixture lighting. 7. Tamper, flow and pressure switches shall be provided to accommodate the sprinkler system being installed. The tamper and flow switches shall be connected to the Fire Alarm Control Panel via addressable modules. I� SECTION 6—TESTING CRITERIA 1. All Testing of the new underground fire service main and the building interior sprinkler and standpipe systems devices, piping, heads and valves, shall be performed by a licensed sprinkler contractor, experienced in the installation and testing of fire sprinkler and standpipe systems in the state of Massachusetts. This sprinkler contractor shall provide all coordination of the sprinkler tests with the fire department. All sprinkler and standpipe systems tests shall be witnessed by the fire department, owner's representative and owner's insurance authorized personnel. Sprinkler contractor shall give notification to the local fire department, owners representative, owners insurance authority and all other authorities, prior to the conducting of any sprinkler and standpipe tests. 2. All sprinkler systems testing shall be performed in strict accordance with NFPA- 13,NFPA-24 and NFPA-25, latest accepted editions. 3. The sprinkler contractor shall provide all equipment, water, pumps, labor, etc., necessary to conduct all testing required by NFPA 13, 24 and 25, and shall obtain all required approvals from the fire department, building code official, owner's insurance authority, and all other authorities upon completion of the sprinkler Page 5 of 7 FIRE PROTECTION NARRATIVE Brook Academy New Dormitory North Andover, Massachusetts systems testing. All dates and times of the sprinkler systems testing shall be coordinated by the sprinkler contractor with the fire department, owner's representative, and the owner's insurance.authority. 4. The sprinkler contractor shall be responsible for the supervision of all installation, testing and flushing of the new underground fire service main for the building up to and including the final connection to the existing site water main. The sprinkler contractor shall fill out testing and flushing reports for all of the underground fire service piping and all of the s rinkler and standpipe systems piping within the building in accordance with NFPA-13 and NFPA-24. SECTION 7—EQUIPMENT AND TOOLS 1. The sprinkler contractor shall have at the site, at the time of sprinkler installation and testing, and readily available for use and inspections, all .tools, equipment, permits, hoists, scaffolding, piping, fittings, valves and all required tools and equipment necessary for the complete installation of all fire protection systems. 2. The sprinkler contractor shall provide all gauges, valves, hoses, smoke, etc., required for an operational test of the installed fire sprinkler system. Remote test and drain stations shall be provided for system performance testing. 3. The sprinkler contractor shall have, at the site, the manufacturers instructions and nameplate data for all fire sprinkler equipment, and devices being used in the sprinkler systems installation. SECTION 8—APPROVAL REQUIREMENTS 1. Upon successful inspection and testing of all fire sprinkler systems, the sprinkler contractor shall obtain written approval of the completed fire sprinkler system from the fire department, owners insurance authority, and all other code officials. Copies of all written approvals shall be turned over to the owner representative. 2. If a code official should find cause to reject any portion of the fire sprinkler system installation or testing, the sprinkler contractor shall be responsible for correcting the problem in a timely manner. Upon completion of all corrective measures undertaken by the sprinkler contractor, a new test and inspection shall be again coordinated by the sprinkler contractor, and witnessed by the fire department and all other authorities as previously stated. 3. The sprinkler contractor shall submit stamped and signed sprinkler design drawings and hydraulic calculations and obtain all required permits prior to the installation of any fire sprinkler systems. The sprinkler plans shall be in accordance with the Massachusetts State Building Code, 8"' edition, chapter 9, as well as the requirements in NFPA-13 latest accepted edition. Page 6 of 7 FIRE PROTECTION NARRATIVE Brook Academy New Dormitory North Andover, Massachusetts 4. The sprinkler contractor shall obtain all document of acceptance as required by the Massachusetts State Building Code, 8th edition, chapter 903.4, and shall submit all such documents as required, to the owners representative and building code officials. I� it I II I Page 7 of 7 I