Loading...
HomeMy WebLinkAboutBuilding Permit #514 - 1600 OSGOOD STREET 2/16/2010 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: / Date Received /110 !o Date Issued: /10 IMPORTANT: Applicant must complete all items on this page LOCATION ' . Sr 0 Print PROPERTY OWN)=R d S ���D ' S."�, .. .- i- C Print - MAP NO:: PARCEL: ZONING DIST.R'ICT- HrstoricrDistrict des o ,Machine Shop Village_ des o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair,Ce2lacement Assessory Bldg Others: Demolition Other 7 r Septic Well' _ 'Rloodplain. Wetlands Watershed District- V,4ter/,S"ewer _ DESCRIPTION OF WORK TO BE PERFORMED: 8P► c s°r��N t,� V ►2r���� Pi�4-r',�n ��r T &/ fvJe-� L%) c IQ-rr?4 L Pt 47-FbRY'n L r—T- Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: — S4 Name: E - Rr4V " } }S Phone": Y� �-(>S S' ,Address: !' 14t, + Na��X} if3? i° ;' ctit r' 'l , � t" 14, 1 ��< S.uPrvisor's C�eesiie�L:ic�nse,: .M b( : Exp. Date-- Rorie°ImprovementLicense:: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ c��, 117, D o FEE: $ Ol5 1 U 0 Check No.: Jy.,?z-3 Receipt No.: c2q�-,F6.. — NOTE: Persons contracting with unregistered contractors do not have access t the u -anun Signature of Agent/Ovuner ,, Signature of contractor Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE MROSALOW " . E Public Sewer Tanning/Massage/Body Art Swimming P Is 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 CONSERVATION Reviewed on Signature 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 Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT Temp Dumpster on site yes no Located at 124 Main Street.: Fire Department:signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRIGAL: 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 ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 1 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 NOTE: 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 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 't NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 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 ❑ 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: Doc.Building Permit Revised 2008 . I I Location— No. ocation No. U Date MORTM TOWN OF NORTH ANDOVER # # Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ s,K„�se 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 2 l 1 Building Insiector NORTH Town of Andover No.�l _ _ � '� /6.. how 0 dover, Mass., COX 1�, COCHICHEWICK, 04ATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �� /� O O O (fl AAOMBUILDING INSPECTOR THISCERTIFIES THAT................... ................. ..................... ............................. .......................... .. ................ Foundation has permission to qMCL....................................... buildings on ?*16.x' .........C9.11111114......#1.441 ............... Rough to be occupied as.....4'po&..&... k/......A' *r......................................................... 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 _HS PERMIT EXPIRES IN NTHS ELECTRICAL INSPECTOR UNLESS CONSTRMON S R TcRough qTI 4 L ............................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocmpy 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. r DEPARTMENT OF PUBLIC SAFETY Elevator Division New Construction / Modernization / Repair / Decommission Permit j aintenance Company: Owner or User: Garaventa USA, Inc. Ozzy Properties,Inc. 999 Candia Road, Building 2-#1 1600 Osgood Street • Manchester, NH 03109 North Andover, MA01845 Located at: Y Ozzy Properties,Inc. Type Class Tag Number Permit No Type'.+ , a-- ui Ozzy Properties, Inc. EL VV 21'0-W-192 0 0.- ! t fi > 1C-00 OsgQ.od Street -h North Andover, MA 01845 I Equipment or devices subject to the provisions of`55 Ii T ted, installed, relocated or altered unless a permit has been obtained from @,Conatxt a1th� M achusetts, Elevator Division, before the work is commenced. A copy of such permit shall be kept at the site at all�tinv_e' uuhl� e work is in progress. Thomas G.Gatz his commissioner aImpt i 4 DEPARTMENT OF PUBLIC SAFETY Elevator Division New Construction / Modernization / Repair / Decommission Permit aintenance Company: Owner or User: Garaventa USA, Inc. Ozzy Properties, Inc. 999 Candia Road, Building 2—#1 1600 Osgood Street Manchester, NH 03109 ��-- - = - North Andover, MA01845 i Located at: J W Ozzy Properties,Inc. Type Class Tag Number Permit No Type 1t" Fe r- Ozzy Properties, Inc. EL IN 21`0-W-192 0 0.- 1 i j X800 Osgood Street -"---: d North Andover, MA 01845 Equipment or devices subject to the provisions of 51 1- $ " ` 't cted, installed, relocated or altered unless a permit has been obtained from t Corgi ra. ltkr-o M achusetts, Elevator Division, before the work is commenced. 7. w A copy of such permit shall be kept at the site at al h I work is in progress. Thomas G.Gatz nis Commissioner IN to MRB HA4 k6t WOOD AMO FW Q IVAT MY Aft (Q0W4bE=00 � =MW A9 MAIK•NO CKANf.A C3 A000 As roM VJAa,VW LWW CHANCMa NO R®OBIpfT&IntS IRY rap&'at holatwAy do not No pEextend,t4.0# 'r v Q No N -9UBI/T WON FPPROYI�t must be de�tgPlod"ko +r,M it their possible use 0, !hYl1N► 810 OATS _ Sho on fnq ighwo caftit by others. Garaventa Power Independent of I eleama with a minimum MDoor Operator of 5 or 54 LUX omblent required within shaft and on platform at each Ionding. ' Wall 1 Fount Coll ' Station (position ' -- Shditway woes de Installation by Others by Others) (4) J SAttach y N ' ost to I x D r�Loeding �0 «.=a, THE COY tlti,��_ALT H OF MASSACHU` ET S 1 n �, DEPAH MINT OF PUBLIC SAFETI� Bronze o 2 Pled Pont to ro a c These plans ara accepted sUbject to the A a provisions o theCommonwealth of�la sa- AL it chusetts EI va or and Escalat a la- Steel Pond 0 ao tions now in eff act. ;, ; ,••; . .. ;• ,;• .A• 'Date/ Signat e � � I Of y Z m O CL Ji x 46 C D ' e • 40 w N M Z 9ranie ao } o o c � m o Pied Pane! .. p J p i steel Pana! -- •1tornp at Lower, 76 3" Ile) Tt-x Landing Supplied l High h = By Others Curb,in Door UPPER LANDING VIEW eLOWER LANE�I' a VIEW (or of�}ing i' 00 A(S)l INITIAL RELEASE UNITS:INCHES 11/19/09 AH REV. 'SCA!$: 1:40 TOLERANCES: DtWENS30NAL f11/32 ANGULAR. #0.5••.• PROJECTIQN: *1Ejj DATE DRN.BY CHK'BY SERIES 3' GENESIS SWTWAY ASSEMBLY �P 999 CANDIA RD, BLDG. 2-1 . MANCHESTER, NH G31oS OZZY PROPERTIES, INC. ., FH: +F•1'603 869 6553 1600 OSGOOD STREET I ARAVENTA. LIFT + o QO?8 http://www.goraventelift.c*om N. ANDOER MA 01845 PAGE 2 OF 7 e LLFT (NH)ARAVENTA GENESIS VERTICAL PLATFORM LIFT: Code Reference: ASME A17.1 "Safety Code for Elevators and Escalators", Part XX (Commercial Public Buildings) or ASME A18.1 "Safety Standard for Platforms Lifts and Stairway Chairlifts" General: Color — Standard (Anodized aluminium extrusions champagne finished with 16 ga. galvanized steel panels powder coated Satin Grey) Indoor Unit — Floor Mount (ramp required) Number of Stops — Two stop kit Drive Mast: Model — GVL—SW-120 Chain Hydraulic drive system c/w Continuous Mains Power with Auxiliary Battery Power System, Platform Emergency Lowering {shipped loose), Shoring Pin, & Pressure Gauge Motor — 2.2 kW, (3.00 HP), 24 VDC Travel Speed — 340 kg @ 5.2 m/min [750 Ib @ 17 ft/min] Power Supply — 120 VAC, single phase, 60 Hz, on a dedicated 15 amp. circuit Equipped with — Electrical Disconnect (shipped loose), Split Mast Kit Controls: Platform Controls — DMG (Tactile) Push—Button Type c/w Illuminated Directional Buttons, Courtesy Lighting, Illuminated Round (push/pull) Emergency Stop Switch/Audible Alarm Lower Landing Call Station — DMG (Tactile) Push Button Wall Mount c/w Conduit Box Upper Landing Call Station — DMG (Tactile) Push Button Wall Mount c/w Conduit Box Equipped with — Keyed Operation Kit Platform: Size — Mid—Size c/w grab rail, anti—skid deck and 1100mm [43 1/4"] high walls Configuration — Straight Through (180') Exit/Entry -Capacity — Maximum 340 kg [750 Ib] operating load Door/Gates: Lower — 36 wide Bronze Plexiglass Door c/w Powerlock 2000 Interlock & Garaventa Power Door Operator Upper — 36" wide Bronze Plexiglass Door c/w Powerlock 2000 Interlock & Garaventa Power Door Operator Shaftway. Total Unit Weight — Approximately 317 kg [698 Ib] MAXIMUM Lifting Height (H1) — 3124mm [123"] floor to floor Note: Installer can reduce the lifting height as required during installation. Equipped with — Anchor Anchor & Shim Kit, Service Bypass Key Kit, Ramp (Supplied by Others) A(S)I INITIAL RELEASE UNITS: INCHES 11/19/09 AH REV. SCALE: 1:40 TOLERANCES: DIMENSIONAL ±1/32 ANGULAR ±0.5' PROJECTION: *� DATE IDRN.BYICHK.BY SERIES 3 GENESIS SHAFTWAY ASSEMBLY "I' 999 CANDIA RD, BLDG. 2-1 MANCHESTER, NH 03109 OZZY PROPERTIES, INC. PH: ++1 603 669 6553 1600 OSGOOD STREET GARAVENTA LIFT FAX: ++1 so3 ss9 00�$ N. ANDOVER MA 01845 PAGE 1 OF 7 d http://www.garaventatift.com GARAVENTA LIFT (NH) a �, DRAWINGS HAVE BEEN RENEWED AND FOUND THAT THEY ARE (CHECK/SELECT ONE) O ACCEPTED AS DRAWN,-NO CHANGES. 0 ACCEPTED AS NOTED.PLEASE MAKE LISTED CHANGES NO RESUBMITTAL NECESSARY. Tops of hoistway walls which do not extend to ceiling above Q NOT ACCEPTED.PLEASE REVISE AS NOTED AND RE-SUBMIT DRAWINGS FOR APPROVAL must be designed to eliminate their possible use as shelves. SIGNED BY.. DATE Shaft landing lighting circuit by others. Garaventa Power Independent of lift electric with a minimum Door Operator of 5 FTC or 54 LUX ambient required within P shaft and on platform at each landing. I 1 1 I Wall Mount Call Station (Position i X N Shaftway Walls & Installation i X ; by OthersI by Others) (x2) I = I I Attach Mast to 1 X o, Wall per Loading i _ M P. I c Diagram i t o E \ E I . M LON ^ CL I 1 Bronze o 0 M Q 0 Plexi Panel Do ao 000 L o E is_= g I 0 O Steel Panel fl 1 1 1 1 1 1 ••..�•Ir• I• b 1 I � I I O I I I I w+ I I I I 1 I 1 I I I O 1 1 I O I 1 M f'i—AI I O Y IL I _ I IL U) V 1 O O O Ir tl i 3 d �- 11 ) a , 11 11 H L-4 ro a) d = I I caCID x 1 1 s `o ami 4) t i iIl1 d' ++ i i i N O M m I I y d y M 0 M Bronze I Do Y I I ; 0 00 I Do o Goo c, Plexi Panel I I .l1 I 1 J U- 1 I 1 1 1 O O I 1 o 0 1 I 1 1 1 1 1 1 I Steel Panel II 1j ------------- fP--4r------ � r 1 o, Ramp at Lower a� Landing Supplied 76 [3"] High M By Others Curb in Door UPPER LANDING VIEW LOWER LANDING VIEW Rough Opening (by Others) A(S) INITIAL RELEASE UNITS: INCHES 11/19/09 AH REV. SCALE: 1:40 1 TOLERANCES: DIMENSIONAL ±1/32 ANGULAR 10.5' PROJECTION: 0 IEJ DATE I DRN.BY CHK.BY `SERIES 3 GENESIS SHAFTWAY ASSEMBLY CANTER RD, BLDG. MA OZZY PROPERTIES INC. MANCHESTER, NH 031099 ) PH: ++1 603 669 6553 1.600 OSGOOD STREET I GARAVENTA LIFTFAX: ++1 so3 sss oo7s N. ANDOVER MA 01845 PAGE 2 OF 7 d http://www.garaventalift.com GARAVENTA LIFT (NH) a tl C a SECURE LIFT MAST TO BUILDING STRUCTURE AT TIE—BACK LOCATION. 9 3/8" 42 5/8" STRUCTURE/BLOCKING BY OTHERS Ref Brkt Center TO MEET LOADS LISTED ON LOADING DIAGRAM. a � `0 c Frame mounting detail t -q- o ��, Clear Platform M o 0:2 r i width C*4 o a /35 3/4" 36" C o Door Swing " FINISH OPENINGS FOR DOORS MUST Garaventa Power 1 3/4 BE CAREFULLY LOCATED AND SIZED Door Operator. Jamb AS DRAWN — COORDINATE WITH Depth GARAVENTA'S PROJECT MANAGER. 1. No return wall this side. 2. Wood Stud (Blocking) req'd for Door frame anchoring UPPER LANDING PLAN VIEW DEDICATED CIRCUIT SUPPLIED BY OTHERS: 120 VAC / 1 PHASE — 60 Hz. \F� Conduit and devices to suit local codes and QJ�' Garaventa Power a recommended 15 amp. dedicated circuit. 58j" Door Operator haftway/Pit Length Provide intercom system S1/8" Aluminum Diamond Plate for access to lift for key Ramp Provided by GUSA. operated lifts — per A.A.B. Finish: 5052 H32 — Bright Finish (521—CMR). By others. , L o I I .. 135 3/4" ' Clear Platform I oor Swing o§ -t o-C 0 o Length I I r7 U— 0 v w 56 3/4- /' C-4o'N M r-3. moa � � I 1 ____________J M0 1 3/4" NOTE!!! a aa)i Jamb 1. No return wall this side. CLEAR HOISTWAY WIDTH & 0 Depth 2. Wood Stud (Blocking) req'd LENGTH MUST BE HELD TO for Door frame anchoring DIMENSIONS SHOWN TO wood stud req'd ACCURACY OF +/— ". for door frame mounting. LOWER LANDING PLAN VIEW frame dr he of above) OBS CHANGED PLATFORM SIZE TO CUSTOM LENGTH & WIDTH — 12-22-09 — KM A(S) INITIAL RELEASE I UNITS: INCHES I 11/19/09F AH REV. SCALE: 1:40 1 TOLERANCES: DIMENSIONAL ±1/32 ANGULAR ±0.5' 1 PROJECTION: *- i:a I DATE I DRN.BY CHK.BY REVISION B — CHANGE ORDER PROPOSAL P''' 999 CANDIA RD, BLDG. 2-1 OZZY PROPERTIES, INC. MANCHESTER, NH 03109CID 5rI1N PH: ++1 603 669 6553 1600 OSGOOD STREET a FAX: ++1 so3 ss9 oo�s N. ANDOVER MA 01845 PAGE 3 OF 7 tl http://www.garaventalift.com [GARAVENTA LIFT (NH) a SYM. DESCRIPTION VALUE (MAX.) F2 L1 1000 Ib PAYLOAD (MAX.) 3335 N [750 Ib] (reactions based on F1 = or largest platform) 4448 N CAR (PLATFORM) WEIGHT 1110 N [250 Ib] F2 MAST WEIGHT 2002 N [450 Ib] ' F3 FLOOR REACTION 3225 N [725 Ib] F4 FLOOR REACTION 2225 N [725 Ib] I F54 TIEBACK REACTION #1 934 N [210 Ib] TIEBACK REACTION #2 934 N [210 b] j VQ_ I L1 L2 L3 PLATFORM SIZE ' 764 [30.08"] 61 [2.40"] 122 [4.88"] MID—SIZE I FS-2 C . MODEL MAST HEIGHT TIEBACK HEIGHT 0 120" 3718 [146.38"] 3625 [143.0"] I N ° v 2187 [86.0"] ' E w • 4-1 I L0 H SPECIAL NOTE: I M 0. W These are reaction forces generated by the lift. I _ Adhere to local building codes, regulations, and + cYi safety factors for supporting structures. Consult a m structural engineer or architect in your jurisdiction. I w o, F I = c Y ~ U V) I Q BASE MOUNTING DETAILS I 44 3/4" I z N 00 43 5/8" 1 I Y U N I O Y � U I � 01/2" (x4) o ' t` c co A I N v The information contained in this drawing constitutes the Intellectual 50 [2"] Property, including, but not limited to, knowledge, trade secrets, and proprietary information which is the exclusive property of Garaventa L2 Accessibility. All information contained in this drawing is to be held L2 in the strictest confidence by the recipient, and is not to be copied, disclosed to, or transmitted to any third parties without the express F4 F3 L3 written authorization of Garaventa Accessibility. @)2005 GARAVENTA ACCESSIBILITY. DETAIL 1 — SHAFTWAY MODEL LOADING DIAGRAM A(S) INITIAL RELEASE UNITS: INCHES 11/19/09 AH REV.I SCALE: 1:40 TOLERANCES: DIMENSIONAL ±1/32 ANGULAR 10.5' PROJECTION: -0 i I DATE I DRN.BY CHK.BY SERIES 3 GENESIS SHAFTWAY ASSEMBLY CANTER RT, BLDG. MA OZZY PROPERTIES INC. MANCHESTER, NH 031099 PH: ++1 603 669 6553 1600 OSGOOD STREET I GARAVEN"rA LIFTFAX: ++1 so3 ss9 0078 N. ANDOVER MA 01845 PAGE 4 OF 7 d http://www.garaventalift.com GARAVENTA LIFT (NH) a 3-0 or 3-6 x 6-8 DOOR 34 1/8" DOOR OPEN 90' 36" DOOR 39 5/8" DOOR OPEN 90' 42" DOOR 85 � IT 85 3-0 or 3-6 x 3-6 GATE . 34 1/8" GATE OPEN 90' 36" DOOR Call Stn 39 5/8" GATE OPEN 90' 42" DOOR Anchor PLAN SECTION - 85 85 TF 42 3/4" FRAME FOR STD 36" DOOR Call Stn r , , 48 3/8" FRAME FOR Anchor d _' 42" DOOR PLAN SECTION 36" NOM FOR STD 36" DOOR 41 5/8" NOM FOR 42 3/4" FRAME FOR 42" DOOR STD 36" GATE 48 3/8" FRAME FOR 42" GATE 36" NOM FOR STD 36' GATE 41 5/8" NOM FOR 42" GATE o ,o Z N Z 1N O d^ O O r, O < O r E O = E N LO f0 O) 01 FRONT VIEW FRONT VIEW LH AS SHOWN; RH OPPOSITE LH AS SHOWN; RH OPPOSITE A(S)l INITIAL RELEASE UNITS: INCHES 11/19/091 AH REV.I SCALE: 1:40 1 TOLERANCES: DIMENSIONAL ±1/32 ANGULAR ±0.5' 1 PROJECTION: -0 1EET DATE DRN.BY CH BY SERIES 3 GENESIS SHAFTWAY ASSEMBLY Cp "" 999 CANDIA RD, BLDG. 2-1 MANCHESTER, NH 03109 OZZY PROPERTIES, INC. PH: ++1 603 669 6553 1600 OSGOOD STREET GARAVENTA LIFTFAX: ++1 so3 ss9 oo�s N. ANDOVER MA 01845 PAGE 5 OF 7 d http://www.garaventalift.com GARAVENTA LIFT (NH) a WIRING DETAILS —] Phone Line Shaft/landing lighting circuit by others. Independent of lift electric with a minimum 0 tional i 1 of 5 FTC or 54 LUX ambient required within shaft and on platform at each landing. Call Stations = 12 wire bundle — Interlocks = 6 wire bundle------- Upper Landing PDO Trigger = 2 wire bundle--------- Cali Station ALL CONTROL Upper Landing O��P WRING 24V DC Interlock � Upper Landing Power L_=I i Door Operator Assy (if Provided) I iI I II MAINS POWER I Mid Landing Frame Mount ( ( I DEDICATED CIRCUIT SUPPLIED BY OTH Call Station ERS: stop 120 VAC / 1 PHASE — 60 Hz. (for St ' IConduit and devices to suit local codes and unit) I a recommended 15 amp. dedicated clrait ' I Mid Landing HItheLOCATION OF POWER FEED Interlock 1. Bring power feed for lift to a 2"x4" Box located beside lift Mast — on the side closest to the lowest Mid Landing LE:VPower Door entrance/door. Operator Assy i I (if Provided) 2• HEIGHT: Locate the J—box at a height of 50" vertically from the pit floor to the bottom of the J—box. 3. HORIZONTAL: Locate the J—box within 6" of the inside I i I comer of the hoistway. (see drawing). I 6" Max Lower Landing I Call Station l 7n7 om drawing ' UFT MAST f O your I I Lower Landing Interlock __ I 2'x4"Junction Box with Power feed for lift. i I Located in corner adjacent i I Lower Landing to door/entrance I i I Power Door --- 1 Operator Assy `-------- (if Provided) A(S) INITIAL RELEASE UNITS: INCHES 11/19/09 AH REV.I SCALE: 1:40 1 TOLERANCES: DIMENSIONAL ±1/32 ANGULAR ±0.5' PROJECTION: * f I DATE IDRN.BY CHK.BY SERIES 3 GENESIS SHAFTWAY ASSEMBLY "" 999 CANDIA RD, BLDG. 2-1 OZZY PROPERTIES, INC. MANCHESTER, NH 03109 PH: ++1 603 669 6553 1600 OSGOOD STREET a GARAVENTA LIFTFAX: ++1 so3 ss9 oo�s N. ANDOVER MA 01845 PAGE 6 OF 7 t� http://www.garaventalift.com GARAVENTA LIFT (NH) PROVISIONS BY OTHERS (Genesis Shaftway Vertical Lift) PART ONE: WORK TO BE COMPLETED BEFORE SCHEDULING OF LIFT INSTALLATION 1. Provide clear and direct access to the location of the lift — to allow for delivery in place. 2. Provide permanent dedicated power to lift as coordinated by approved shop drawings and/or Garavento Proj Mngr. 3. When indicated on drawings, provide a Fused, Lockable, Heavy—Duty Disconnect by others, located as coordinated by Garaventa's project manager. Provide auxiliary contact switch inside the disconnect for drive systems which utilize battery power. 4. Provide dry, square, and level pit of size as indicated on approved shop drawings. Design and construction to bear all floor reaction loads as shown. The floor/ base which supports the Lift shall be concrete or a design approved by a licenced engineer, and must meet fire code requirements. Exposed wood (flamable material) floors are not permitted in the shaft or directly under the lift and must be coverred with sheetmetal or equivalent. 5. Door sill supports that are plumb and in line from floor to floor. 6. Unless otherwise requested, entrance walls shall not be erected — do not frame rough openings until door frames are set in place. 7. Hoistway of sufficient height to allow for 6'-8" headroom clearance above lift platform when at the top landing. 8. Hoistway machine tower wall supports as necessary to bear the "tie—back" loads shown and located on the drawings. This support will be designed and approved by the architect, structural engineer, or owner's representative. Garaventa bears NO RESPONSIBILITY for the design, construction or placement of rail wall blocking or supports. 9. Provide complete, square, plumb and true hoistway of inside clear finished dimensions shown on the approved lift shop drawings. No ledges or setbacks are permitted in the hoistway. Do not construct the hoistway using architectural plans or contract drawings that were not coordinated with the lift shop drawings. 10. Provide GFI service power outlet in shaftway or within 25 feet of lower landing entrance. 11. Provide lifting beam or bracket — where required. PART TWO: WORK TO BE COMPLETED AFTER THE INSTALLATION OF THE LIFT AND LIFT ENTRANCES 1. All wall patching, refinishing made necessary by the installation of any device or fixture in any wall, floor or ceiling. 2. Provide hoistway lighting with guard — to satisfy all applicable building codes. 5 FTC or 54 LUX minimum required in hoistway at all levels. 3. Provide smoke alarm in hoistway where power—shut vent system is used. Wiring to vent or alarm panel as required for proper vent activation. 4. Provide final securing / mounting of door frames in wall. Door frames shall be flush to inside wall of hoistway. 5. Complete all painting of walls inside the hoistway, and hoistway doors. 6. In Massachusetts, all enclosed, fire rated hoistways must be ventilated to outside air. The design and type of vent must comply with applicable building code and any energy conservation sections of that code. The size shall not be less than one square foot, and must be located in the ceiling or as close as possible to the ceiling. Fixed open ventilation is not permitted without written consent from the building code enforcement agency having jurisdiction. Power shut vents may be used as long as they are wired to open under power outage, fire alarm activation, and temperature rise in the hoistway. PART THREE: GENERAL NOTES AND REQUIREMENTS 1. In Massachusetts, sprinkler systems are not authorized in Lift/Elevator hoistways or pits. If contract drawings or the local authority requires sprinkler installation, DO NOT approve the lift shop drawings until this issue is resolved. 2. Any glass installed in any Lift hoistway wall must be Laminated safety glass with code data permanently affixed to each individual panel (ASME Z97.1). The surface must be flush with the inside face of hoistway walls. 3. Provide any additional emergency signalling devices as needed for lifts located in remote areas. 4. Where power door openers are used, provide: a) source of power, b) Blocking as required for support, c) concealed wiring to remote located lift call stations. 5. Tops of hoistway walls which do not extend to the ceiling above must be designed in such a way to eliminate the possibility of their use as shelves for storing items. 6. Placement of lift and doors to be situated in relation to other adjacent building elements to allow for full compliance to the ADA, AAB 521—CMR or equivalent local codes or regulations and local building codes. Garaventa bears no responsibility for building structures not associated with the lift or hoistway which may impede on clear floor space required for accessing the lift. 7. Provide for any and all items identified as "by others" on lift shop drawings. 8. Lift installation, and all associated construction items and accessories must be complete before lift inspection with state officials may be scheduled. 9. In Massachusetts — Provide a buzzer & intercom system as required by AAB — 521—CMR for lifts that are Key operated. The intercom should be provided at the lift and connected to a location w/in the building where the key is maintained. 10. Provide safe working environment for installation crew. Warn workers in advance of any hazardous conditions which may be present. A(S) INITIAL RELEASE UNITS: INCHES 11/19/09 AH REV.I SCALE: 1:40 TOLERANCES: DIMENSIONAL ±1/32 ANGULAR t0.5' PROJECTION: } DATE I DRN.BY CH BY SERIES 3 GENESIS SHAFTWAY ASSEMBLY 999 CANDIA RD, BLDG. 2-1 MANCHESTER, NH 03109 OZZY PROPERTIES, INC. CID PH: ++1 603 669 6553 1600 OSGOOD STREET GARAVENTA LIFTFAX: ++1 so3 ss9 oo7a N. ANDOVER MA 01845 PAGE 7 OF 7 d http://www.garaventalift.com GARAVENTA LIFT (NH) The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Uf 600 Washington Street Boston, MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information PIease Print Legibly Name(Business/Organization/Individual): �.�aRAV .NTO V C ft - Address: 9 9 9 P lA N A O Ab. City/State/Zip:rn A AdCS TER,M4 0),09 Phone#: 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 6. E]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.E]Electrical repairs or additions 3.❑ I 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' c 13.® Other Rl°PIOC� j„1 F% omp.insurance required.] Any applicant that checks box#1 must also Fill out the sectiou below,showing(heir 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ON 1 f re 1� S-N)C S r,R E conn Aq N Policy# r Self-ins.Lic.#: 7©<Lp CP S Expiration Date: / Job Site Address: �4'v� OSG*t?Q�a s�" A/O A4/'0,>w/'City/State/Zip: C2/41> 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 ce der th pains�andp ?y that the information provided above is true and correct. Si ature: /` � Date.: Phone#: 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.PIumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions 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 of public 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-contractor(s)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. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also 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(if necessary)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. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum 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 and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-72.7-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 wvvu,.mass.govldia