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HomeMy WebLinkAboutBuilding Permit #52-12 - 1801 TURNPIKE STREET 8/8/2011Permit NO: " / Z' Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received I IMPORTANT: Applicant must complete all items on this naLye LOCATION Print PROPERTY OWNER �2-��CILMI Print MAP NO -A7 PARCEL: ra ZONING DISTRICT: Historic District yes no 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 0. Septia El Well ❑'FloodpI'' ❑ Wetlandss Di WatersliedFDistrict ;. ❑ W. ate DESCRIPTION OF WORK TO BE PERFORMED: (Identification– Please Type or P OWNER: N Address 3-7-,� CONTRACTOR Name: T UJ\ Phone: _ 7 s,'j )�0 t 1 Supervisor's Construction License: Exp. Date: l a / Z Home Improvement License: /y% Exp. Date: ARCHITECT/ENGINEER 21`f'LCA,u� () Phone:5 7�� 7 � ' Address: s;'� Mpllvt-tsk MA Reg. No. .,,:!� FEE SCHEDULE. BULDING PERMIT. $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. oy X00 Tota! Project Cost: $ 7i 3� 1?n FEE: $ 96-46 — Check No.: �c1 3® Receipt No.: NOTE: Persons contra cti w'th u egistered contractors do not have ac ce uaranty fund signature of Agent/Owne Signature of con acto 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 PLANNING & DEVELOPMENT 1 'k COMMENTV1'_ !%If - S/, DATE REJECTED DATE APPR VED 0 4'7 1 latIll CONSERVATION Reviewed on Signature fj, COMM A�Com" 31 HEALTH Reviewed on Signature COMMENTS :a 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: IRE DEPARTMENT - Temp Dumpster o site yes. Located at 124 Main Street Fire Department signature/date COMMENTS Located 384 Osgood Street If no Dimension Number of Stories:_ Total square feet of floor area, based on Exterior dimensions. �Zx�-8 Total land area, sq. ft.:�,2� 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 ® Notified for pickup - Date - - Doc:.Building Permit Revised 2008mi 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 NOTE: All durripster 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 2008mi Location l� ���'��4 Le - No. Date NORTH TOWN OF NORTH ANDOVER _ O } : A i Certificate of Occupancy $ d Q , s�cwustt� Building/Frame Permit Fee $� Foundation Permit Fee $ Other Permit Fee $ y TOTAL $ Check # 2 4 4%-j b Building Inspector U) m m m 14m �o m m v y d CO)CD C'7 n Z CO) CD 0 O � .. r c CAL = y i� 0 c v CD CD O CLr CO CD CCD O D C O H CLD y C I H10 O CD Z CDo C CD O Sm 0 Q y C m CO) .O d _ 'm O m C7 0 H!!do m Z =r -0h ?a 'a Fri Con) m N co -40 O Cm = T _ = m O C y n O ao 'o m a . O a n C2 CL CD zi cD ®: CL d m� rn o ON �jH cr CL CL m CA �"{ 1 am N o� cc � ti O O o s, A � O � •� m Z D � Il � #�• �) Al n S d Im 0 C O =cp Ick v C/) (A K, ti ;T �� w �� ti r "�? � `r (� G A \o' (n 91 CD n a "^ O n t7 o- r� o Xz �%) I I !P1Um bi y) GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW .0 1 POST ALL LOT NUMBERS, ADDRESS, AND PERMIT (COPY 0K)..or no inspections INSPECTIONS: (Minimum) Excavation, Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain - pipe/stone/fabric filter/cover and outlet connection. FRAME: Fireblock - over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters - watch bearing at walls. Ridge & Hip - Provide proper connections. Cathedral roof rafters provide proper connections and use "Hurricane 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. 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 Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances - stairways, under beams Attic Access. (min. 2240 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior (not in soffit). 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. '/ of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces - "proper vent", soffit and required ridge vents. 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: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 5" on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag 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. CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER 60 Day Temporary Occupancy Permit Building Permit Number 052-2012 Date of Permit : July 20, 2011 Date CO Issued : 3/29/12 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1801 Turnpike Street, North Andover, MA 01845- Genesis Health Care MAY BE OCCUPIED AS as 50x58 Physical Therapy Addition Certificate Issued to: Building Inspector Fee: $100 Prepaid Receipt: 24458 Genesis Healthcare 1801 Turnpike Street North Andover, MA 01845 JORDAN O'CONNOR & ASSOCIATES architects- 57 rchitects57 Maple Lane Petersham, MA 01366 Tel. (508) 754-3475 Fax (508)754-3477 joconnor@JOAarchitects.com March 26, 2012 Mr. Gerald Brown, Inspector of Buildings Town of North Andover Building Dept. 1600 Osgood Street North Andover, MA 01845 Re: Genesis HealthCare Sutton Hill Center Expansion 1801 Turnpike Street North Andover, MA 01845 First Floor Expansion Contractor: F. W. Madigan Co., Inc. Dear Mr. Brown: Final Affidavit: The architectural work associated with the above referenced project is complete. Based upon site observations and to the best of my knowledge and belief all completed work has been done in accordance with the submitted construction documents and meets all pertinent state and local codes. •Zt� • tz_ date Very truly yours, dO ginal �Sig�na�ture & Seal u Jordan O'Connor, AIA copy: Mr. Ray Mead (Genesis), Ms. Amanda Normandin (JOA), Mr. Kurt Grundberg (FWM), file SM JOHNSON STRUCTURAL ENGINEERING, INC. 30 Faith Avenue, Auburn, MA 01501 (508) 832-3535 Fax (508) 832-3393 Date: March 8, 2012 To: Building Inspector: City of North Andover Re: Certificate of Compliance Affidavit for the Sutton Hill Center Expansion, 1801 Turnpike Street, North Andover, MA Building Official: This letter shall serve to confirm that Johnson Structural Engineering, Inc. has performed the necessary site inspections for the structural portion of the Sutton Hill Center Expansion, and find it essentially installed in accordance with our plans and specifications and to the best of our knowledge and belief are in compliance with the applicable regulati d requirements of the Massachusetts State Building Code - Seventh Edition. IH Of Mgss Johnson Structural Engineering, Inc. Robert A. Johnson, P. E. President �� 9c o ROBERT C JOHNSON m STRUCTURAL -' No -38492 �FVG/STER�� 2 A L ENG\ Commonwealth of Massachusetts Registered Professional Structural Engineer License No. 38492 C MAN ENGINEERING CORPORATION Faith Ave. Auburn, MA 01501508-832-3535 &508-832-3393 Date: March 22, 2012 To: Building Inspector Town of North Andover, MA Re: Certificate of Compliance Affidavit for Genesis Healthcare Sutton Hill Center Expansion project, 1801 Turnpike Street in North Andover, MA Building Official: This letter shall serve to confirm that Seaman Engineering Corporation has performed the necessary site inspections for the Fire Protection, HVAC and Plumbing portions of the Genesis Healthcare Sutton Hill Center Expansion project, 1801 Turnpike Street in North Andover, MA and find them essentially installed in accordance with our plans and specifications; and to the best of our knowledge and belief are in compliance with the applicable regulations and requirements of the Massachusetts State Building Code - Seventh Edition. -'P. Seaman Engineering Corporation Kevin R. Seaman, P. E. President of JNSs KEVIN R. tiG SEAMAN � CD MECHANICAL cn v No. 38130 pF 9FG/ �►�FS�'O�VAI ��G of Massachusetts Registered Professional Mechanical License No. 38130 SHEPHERD ENGINEERING, INC. 1308 GRAFTON STREET $ WORCESTER, MA 01604 $ (508) 757 7793 $ FAX: (508) 753 2309 March 23, 2012 FINAL INSPECTION AFFIDAVIT - ELECTRICAL Inspector of Buildings North Andover Building Department 1600 Osgood Street North Andover, MA 01845 Re: Nursing Home Retirement Centers of North Andover Sutton Hill Expansion 1801 Turnpike Street North Andover, MA In accordance with the Massachusetts State Building Code, I, Robert J. Figuerido, being a Registered Professional Engineer, or a representative of this company, has on March 23, 2012 reviewed the electrical and fire alarm installations at the above referenced facility pertaining to the new Cafe and PT/OT Addition and hereby certify that to the best of our knowledge, the electrical and fire alarm systems for the above named project comply with the Contract Documents and meet the applicable provisions of the 7th Edition of the Massachusetts State Building Code 780 CMR, Section 116.0, 907.0, NFPA 72-2007and acceptable engineering practices, applicable laws, and ordinances for the proposed us�Aancy. i ROBERT J. FIGUERIDO 'F c�, No. 29029 , � Subscribed and sworn to before me this 23rd day of March, 2012 My commission expires: September 13, 2013 5,'E C1_1V ..D 2010 DEC 15 PH tO 16 PLANNING DEPARTMENT Community Development Division 1600 Osgood Street North Andover, Massachusetts, 01845 SITE PLAN REVIEW Any appeal shall be filed within (20) days after the date of filing this notice in the office of the Town Clerk. Petition of: Genesis Health Ventures, LLC 200 Brickstone Square Andover, MA 01810 This is to certify that twenty (20) days have elapsed from date of decision, filed without filing of an appeal. J Date "U Ie I Q6 Joy A. Bradshaw ToKn Cierk Date: December 14, 2010 Date of Hearing: November 16, 2010, December 14, 2010 Date of Decision: December 14, 2010 Premises Affected: 1801 Turnpike Street, Assessor's Map 107B, Lot 80 Referring to the above petition for a Site Plan Special Permit from the requirements of the North Andover Zoning Bylaw, Sections 8.3, 10.3, 10.3 1, and M.G.L. c.40A, Sec. 9. So as to allow the construction of a one story, 50' x 58' addition to the existing building and expanded the parking area, with associated drainage and stormwater management. After a public hearing given on the above date, and upon a motion by Tim Seibert .and 2"a by Courtney LaVolpicello to APPROVE the Site Plan Special Permit, as amended and based upon the following conditions. Vote was 5-0 in favor of the application. _ On' half of the No Andover Planning Board John Simons, Chairman Courtney E. LaVolpicello Timothy Seibert Michael Colantoni Rickey Glover Genesis Health Ventures, Inc:, 200 Brickstone Square, Andover, Ma 01810 i073, Parcel 80 Site Plan Review Special Permit The Planning Board herein APPROVES the Site Plan Special,Permit to construct a one story, 50' x 58' addition to the existing building and expand the existing parking lot and to provide associated drainage improvements and stormwater management. The project is located at 1801 Turnpike Street, North Andover, Massachusetts, 01845, Assessors Map 1073, Parcel 80. The parcel totals approximately 182,000 s.f. This Special Permit was requested by Genesis Health Ventures, Inc, 200 Brickstone Square, Andover, Massachusetts 01810. The application was filed with the Planning Board on or about October 14, 2010. The Public Hearing on the above referenced application was opened on November 16, 2010 with an additional hearing on December 14, 2010, and closed by the North Andover Planning Board on December 14, 2010. The applicant submitted a complete application, which was noticed and reviewed in accordance with Section 8.3, 10.3, 10.31 of the Town of North Andover Zoning Bylaw and MGL C.40A, Sec. 9. The Planning Board makes the following findings as required by the North Andover Zoning Bylaws Section 8.3, 10.3: FINDINGS OF FACT: 1) The specific site is an appropriate location for the project as it is located in the Village Residential Zoning District and consists of the construction of a 2,800 s.f. addition to existing building, 10 new parking spaces, drainage and stormwater management system and associated grading work. The proposed expansion is appropriate for the site in that the expansion will allow for a rehabilitation and therapy facility for occupants of the facility, in a location that will be located next to the additional parking area. 2) The use as developed will not adversely affect the neighborhood as the addition will be located at the rear of the building, and the existing building and landscaping will provide for a significant visual buffer from Turnpike Street. There exists a natural buffer, Harold Parker State Forest, to the side and rear of the site, which screens the development from any residential development. As a result, the overall layout of the site has been designed to minimize visual impacts; 3) The proposed expansion is appropriate for the site in that the expansion is taking place in an area of the existing parking lot that will allow for the installation of stormwater structures that are required for the treatment of the increased impervious area.; 4) There will be no nuisance or serious hazard to vehicles or pedestrians. The proposal will not have a significant impact on pedestrian safety and vehicular circulation within the site as the project will add only minimal additional vehicle trips to the site. Also, the addition will be located close to the new parking spaces thus providing for minimal impact to existing traffic flows. The users of the new rehabilitation area will be the current residents of the facility. 5) Finally the Planning Board finds that this project generally complies with the Town of North Andover Zoning Bylaw requirements as listed in Section 8.3.5, but requires conditions in order to be fully in compliance. The Planning Board hereby grants an approval to the applicant provided the following conditions are met: SPECIAL CONDITIONS: 1) Permit Definitions: 2 Genesis Health Ventures, Inc., 200 Brickstone Square, Andover, Ma 01810 107.B, Parcel 80 Site Plan Review Special Permit A) The "Locus" or "Site" refers to the 182,000 sq. ft. parcel of land with land fronting on Turnpike Street as shown on Assessors Map 107.13, Parcel 80, and also known as 1801 Turnpike Street, North Andover, Massachusetts. B) The "Plans" refer to the plans prepared by Land Planning Inc., 214 Worcester St., Grafton, MA 01536 C) The "Project" refers to Genesis Health -Sutton Hill Center. D) The "Applicant" refers to Genesis Health Ventures, Inc., the applicant for the Special Permit, its successors and assigns. E) The "Project Owner" refers to the person or entity holding the fee interest to the title to the Locus from time to time, which can include but is not limited to the applicant, developer, and owner. 2) Waivers: The Applicant has requested waivers from the following provisions of the Town of North Andover Zoning Bylaw, including Section 8.3.5.e (xix) — Traffic Study, (xxii) — Fiscal Impact, and (xxiii) — Community Impact. As part of this decision, the Planning Board has granted the above waivers, in that it has found that the Applicant has provided sufficient information as part of its application to address all traffic, fiscal, community, and other impacts.. PRIOR TO THE START OF CONSTRUCTION A) A detailed construction schedule shall be submitted to the Planning Staff for the purpose of tracking the construction and informing the public of anticipated activities on the site. B) All applicable erosion control measures must be in place and reviewed and approved by the Planning Department. C) Yellow "Caution" tape must be placed along the limit of clearing and grading as shown on the plan. The Planning Department must be contacted prior to any cutting and or clearing on site. D) A pre -construction meeting must be held with the developer, their construction employees, Planning Department, the Conservation Commission Agent, and Building Department (and other applicable departments) to discuss scheduling of inspections to be conducted on the project and the construction schedule. E) The developer shall provide the Planning Board with copies of permits, plans and decisions received from all North Andover land use Boards. F) Per the Order of Conditions specified by the town of North Andover Conservation Commission, the developer shall designate an independent Environmental Monitor who shall be chosen in consultation with the Conservation Commission and Planning staff. The Environmental Monitor must be available upon four (4) hours notice to inspect the site with the Planning Board staff and shall submit a copy of all reports required by the Conservation Commission to the Planning Office staff. ' Oenesis Health Ventures, Inc., 200 Brickstone Square, Andover, Ma 01810 107.B, Parcel 80 Site Plan Review Special Permit PRIOR TO THE ISSUANCE OF A BUILDING PERMIT A) Three (3) copies of the signed, recorded plans must be delivered to the Planning Department. B) One certified copy of the recorded decision must be submitted to the Planning Department. C) A bond in the amount of $10,000 shall be posted for the purpose of insuring that the site is constructed in accordance with the approved plan and that a final as -built plan is provided, showing the location of all on-site structures. This bond shall be in the form of a check made out to the Town of North Andover. This check will then be deposited into an interest bearing escrow account. DURING CONSTRUCTION A) Dust mitigation must be performed weekly, or more frequently as directed by the Town Planner, throughout the construction process. B) Any stockpiling of materials (dirt, wood, construction material, etc.) must be shown on a plan and reviewed and approved by the Planning Staff. Any approved piles must remain covered at all times and fenced off to minimize any dust problems that may occur with adjacent properties. C) It shall be the responsibility of the developer to assure that no erosion from the construction site shall occur which will cause deposition of soil or sediment upon adjacent properties or public ways, except as normally ancillary to off-site construction. Off-site erosion will be a basis for the Planning Board making a finding that the project is not in compliance with the plan; provided, however, that the Planning Board shall give the developer written notice of any such finding and ten days to cure said condition. PRIOR TO THE ISSUANCE OF A CERTIFICATE OF OCCUPANCY A) The applicant must submit a letter from the architect and engineer of the project stating that the building, landscaping, lighting and site layout substantially comply with the plans referenced at the end of this decision as endorsed by the Planning Board. Alternatively, the applicant and/or property owner may provide a bond, determined by the Planning Board, to cover the full amount of the landscaping materials and installation if weather conditions do not permit the completion of the landscaping prior to the use of the building. PRIOR TO THE FINAL RELEASE OF ALL SECURITY AND ESCROWED FUNDS A) The Planning Staff shall review the site. Any screening as may be reasonably required by the Planning Staff will be added at the Project Owner's expense. B) A final as -built plan showing final topography, the location of all on- site utilities, structures, curb cuts, parking spaces and drainage facilities, including invert elevations of all stormwater structures, must be submitted to the Planning Department. 0 Genesis Health Ventures, Inc., 200 Brickstone Square, Andover, Ma 01810 107.13, Parcel 80 Site Plan Review Special Permit C) The Planning Board must by a majority vote make a finding that the site is in conformance with the approved plan. GENERAL CONDITIONS A) Any plants, tree, shrubs, or fencing that have been incorporated into the Landscape Plan approved in this decision that die or fall into disrepair must be replaced by the project owner in perpetuity. B) Snow storage shall be managed as outlined in the Operations and Maintenance Plan. C) The contractor shall contact Dig Safe at least 72 hours prior to commencing any excavation. D) Gas, Telephone, Cable and Electric utilities shall be installed underground as specified by the respective utility companies. E) The hours for construction shall be limited to between 7:00 a.m. and 5:00 p.m. Monday through Friday and between 8:00 a.m. and 5:00 p.m. on Saturday. F) No open burning shall be done except as is permitted during burning season under the Fire Department regulations. G) The provisions of this conditional approval shall apply to and be binding upon the applicant, its employees and all successors and assigns in interest or control. H) Any action by a Town Board, Commission, or Department, which requires changes in the plan or design of the building, as presented to the Planning Board, may be subject to modification by the Planning Board. I) Any revisions shall be submitted to the Town Planner for review. If these revisions are deemed substantial, the developer must submit revised plans to the Planning Board for. approval. J) This Special Permit approval shall be deemed to have lapsed after December 18, 2012(two years from the date permit granted), exclusive of the time required to pursue or await determination of any appeals, unless substantial use or construction has commenced within said two-year period or for good cause. For purposes of this development, the developer shall be deemed to have undertaken substantial use or construction if the developer has begun site grading and tree clearing as noted on the Grading & Utilities Plan, sheet 5 of 10. K) The following information shall be deemed part of the decision: Plan titled: Existing Conditions Plan for Facility Expansion.of Sutton Hill Center 1801 Turnpike St. North Andover, MA 01845 Prepared for: Genesis Health Ventures, Inc. 200 Brickstone Square Andover, MA 01810 Prepared by: Land Planning, Inc. 5 Genesis Health Ventures, Inc., 200 Brickstone Square, Andover, Ma 01810 107.B, Parcel 80 Site Plan Review Special Permit 214 Worcester St. Grafton, MA 01536 Scale: 1" = 40' Date: October 13, 2010, revised to 10/29/10, 11/29/10 and 12/08/10 Sheets: 1-3 Other Documents: Application with Narrative cc: Town Departments Applicant Engineer Abutters Assessor 0 O, NORT :1h , r ' a s �r ��SSACHus t� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 52-12 Date: April 18, 2012 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1801 Turnpike Street, Genesis Health Care MAY BE OCCUPIED AS a Physical Therapy Building IN ACCORDANCE WITH THE .PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Genesis Health Care 1801 Turnpike Street North Andover, MA 01845 A44AP41. &4.� Building Inspector Fee: Prepaid Receipt: 24458 APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION Qq iOC.IK MwKw V RATED �P" �.�`� BUILDING PERMIT # SACHUS� ADDRESS/LOCATION OF PROPERTY: Map Parcel Lot Number 1 SU DIlSION: DATE REQUESTED FILED/READY FOR INSPECTION: CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. Permit Issued Address: TOWN ENGINEER, CONSERVATION APPLICANT SIGNATURE ROUTING SITE PLAN —DRIVE -WAY REVIEW❑ p46 y "(/ia DPW -WATER METER SEWER CONNECTION yl�Bf'� DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW_/ SIGNATURE File: Application for OC form revised Jan 2007/2011 Oi MORTR �ry CHU`'E4 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER 60 Day Temporary Occupancy Permit Building Permit Number 052-2012 Date of Permit: July 20, 2011 Date CO Issued: 3/29/12 THIS CERTIFIES THAT THE BUILDING LOCATED ON18011801 Turnpike Street, North Andover, MAStreet , North Andover, MA 01845- Genesis Health Care MAY BE OCCUPIED AS as 50x58 Physical Therapy Addition Certificate Issued to: Genesis Healthcare 1801 Turnpike Street North Andover, MA 01845 Building Inspector Fee: $100 Prepaid Receipt: 24458 �L Commonwealth of Massachusetts City/Town of System Pumping Record NORTH ANDOVER Form 4 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. 1` ` " m - local Board of Health to determine the form they use. The SysterqPumpY the local Board of Health or other approving authority within 14 ddvs from the pumping date t accordance with 310 CMR 15.351. 4. Effluent Tee Filter present? ❑ Yes X No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System Pumped By. J n_. - Name vehicle License Number Wirv� ZN_4&' c._MPiniG.� _ Company 7. Location where contents were disposed: - - - - - Earth Source Inc.-- _ 1.950 Broadway_ Signature of Hauler Dat 02767 _ j�a�il�kiarrl, MA —_ _ Signa_ture of Receivi_ng Facihly Date 15form4.doc• 03106 System Pumping Record • Page t of t A. Facility Information W #.v t t Important: whenforms fillon ng 1 System Location: Y TOWN OF NORTH ANDOVER HEALTH DEPARTMENT thecut corms to ihC computer, use I�� only The tab key to moveour Address m A cursor • do not use the return - '-'- .1 - City(rown State Lip Code key �--� 2. System Owner: ,` i 1 CSt r� t,c.�S to F�c1 i Address (d dlfterent from location) City/rown St e — - Lip Code Te none umber B. Pumping Record 1. Date of Pumpingpa�� 2. Quantity Pumped Gan�d'. 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other (describe); - - 4. Effluent Tee Filter present? ❑ Yes X No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System Pumped By. J n_. - Name vehicle License Number Wirv� ZN_4&' c._MPiniG.� _ Company 7. Location where contents were disposed: - - - - - Earth Source Inc.-- _ 1.950 Broadway_ Signature of Hauler Dat 02767 _ j�a�il�kiarrl, MA —_ _ Signa_ture of Receivi_ng Facihly Date 15form4.doc• 03106 System Pumping Record • Page t of t � X3,5 NF _ �. 2n„E4 N69'24'00"E N81 •pg 4 2 N6 61.28' LP 55.02 36.31' CP` bp o \I >3``� �s Cr . oz �I 4;IS �� 5 9 Prop gneeronks N483 9 30" N1423• X66 e 3phw 4, �1 Hgs og p 30. rE 3s 8S VI. 101j 2691 '0� \N i 5 05 95' `��� �1 .2 Ll Ilk OF M4s � sqc C) NORMAN yG G. m HILL O No. 41786 ti J I -S` � v U r � Q o'L9—!( LAND PLANNING, INC. Civil Engineers • land Surveyors Environmental Consultants tot 82,08's AS eq 0 qes ft c ZONING DISTRICT: VILLAGE RESIDENTIAL REQUIRED PROVIDED AREA 43,560 S.F. 182,085 S.F. FRONTAGE 85 FT. 458.45 FT. FRONT YARD 25 FT. 127.8 FT. SIDE YARD 15 FT. 146.2 FT. REAR YARD 1 30 FT. 1 30.3 FT. 1 certify that the structures are located on the lot as shown on this plan. I further certify that the structures are not located within a Federal Flood 1,00J, • t Zone per FIRM Community #250098 Panel #0015 C dated June 2, 1993. No certification is hereby made with any respect to any other provisions of the local Bylaws, or any other requirements / relative to the legal establishment of structures and improvements on said premises. note 1: CMR 5403.1.7.2. Footings on or adjacent to slope surfaces shall be founded in material with an embedment and setback from the slope surface sufficient to provide vertical and lateral support for the footing without detrimental settlement. note 2: The contractor must contact all utility companies and "Dig Safe” before excavation begins. We assume no responsibility for damages incurred as a result of utilities omitted or inaccurately shown. As -Built Addition Plot Plan of Sutton Hill Center Located At 1801 Turnpike Street North Andover, MA Prepared for Genesis Health Ventures, Inc. 200 Brickstone Square Andover, MA 01810 Owned by Nursing and Retirement Center of the Andovers, Inc. 200 Brickstone Square Andover, MA 01810 Sep. 28, 2011 scale 1 "=40' 167 HARTFORD AVENUE 214 WORCESTER STREET 1115 MAIN STREET P. 0. BOX 644 BELLINGHAM, MA. 02019 ROUTE 122 HANSON, MA. 02341 HOLDEN, MA. 01520 508-966-4130 GRAFTON, MA. 01536 781-294-4144 508-829-3006 508-839-9526 G 7393 6 0 a a W o O v u. w° `o C/)w° O � z z A a C b x G U w U � a to ap' w 0. W u x ap' cn C w O U x p a C w w' w A w w . v m� z N cin Q p cn Ivi 10 O z CD O C Q iW v V ci CL c ev ev CDCDC :A O L iA m C �/ J O O = s r.. O d -•� e c •oc z scmdoorm c r= m L c IL z ►� :. m(n �� z= N N O C O O W m � CD 0 c U y m m D vJ CM" c w CLct CO P-4 x; y O. G O ` Z Of ts . CLO c Q O N m C �C S m m o N CK a0+ N m y0+ �" m Z MO LO) D. O C Z ac E ��QNCOZ v O O AO CO) l..ai I O � a_ h O O CLCD L � � O c L cya o a c10 O caC O C Z CD 0 CL C.) CO) R C C C C W 0 U) W W LLIW oc W ivia.N.saimu.scm-, - mpm micut m r ullm. Odaut.v Board of Building, Re-Watinns and Standards Construction Supervisor License Expiration: 1/28/2012 Tr,': 19067 07/20C//2,011 13:39 5087544483 FW MADIGAN CO INC .111v Wr1trr#VT&rmUttl0- UJ lrlaautaa iacsocitu Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA. 02111 PAGE 01 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/FI.ectaricians/Plumbers Applicant Informatlion Please Print L,exibly Name (Business/orpiizat orfindividual):� F W Madigan Company, Inc. Address: 367_ Chandler Street, PO Box 20670 City/State/Zip: Worcester MA 01602 . Phone #: 508-753-1459 Are you an employer? Ch'cckthe•appropriate box: 1. ] I am a employer with 25 4. ❑ I'am a general contractor and I employees (full and/or part-time).* have hired. the sub=contractors 2_ ❑ I am a sole proprietor or partner- listed on the attached sheet t ship and have no employees These sub -contractors have working for me in any capacity: workers' comp. insurance, [No workers' comp_ insurance 5. ❑ We are a corporation and its reqs] offiecrs bave exercised their 3. ❑ 1 am a homeowner doing all work right of exemption per MGL myself [No workers' comp. c. 152, § 1(4), and we have no msux'ance required_] fi employees. [No workers' coup. insurance required_) Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. [►Building addition 10. [1 Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12_[] Roof repairs 13.❑ Other Any applicant that checks box #1 In= also, fill out the section below showing their worlm' compmsetion policy aifbm►ation: t Homoownem who submit this affidavit indicating they am doing all work and then' bice outside vontmetors must subrrut a new affidavit it &*Ming such =Contractors tat check this box lmust ettecbed an additional sheet showing the name of the rut-conoactoRs and their workers' comp; policy inforn3ation. I am an employer that 1s providing workers' compensation insurance for my employees. Aelow is the policy and job site infornaatioK. Insurance Company Name: Travelers Policy # or Self -ins. Lie. #: 6524N472 Expiration Date. Job Site Address: 1801 Turnpike St. _ Cyty/Seip: N. Andover, MA 01845 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration, date). )Failure to secure coverage. as required undet Section 25A of MGL c.15.2 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 tb $250.00 a daya aW" t the violator. Be advised that a copy of this'statement maybe forwarded to the Office of . Investigations of IA f insurance coverage verification_ I do hereby erti ins and penalties of perjurythat the information provided above is t and correct. S" attire: Date: Pbo-ne_ 5 8-753-1459 Oficial use only. Do root 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 # Sutton hili Addition 1801 Turnpike St North andover, MA 01845 Job # 11-023 Site Work $120,000.00 Foundation $40,000.00 Steel Structure $85,000.00 Building Envelope Masonry $14,000.00 Windows $10,000.00 Doors $4,000.00 Roof $30,000.00 Interior Fitup Drywall $70,000.00 Doors $15,000.00 Millwork $48,000.00 Paint $81000.00 Flooring $26,000.00 Misc Specialties $21,300.00 Sprinkler $36,000.00 Plumbing $39,800.00 HVAC $38,500.00 Electrical $117,400.00 Contract Total $723,000.00 Construction Control Affidavit The Eighth Edition of the Massachusetts State Building Code (IBC — 2009), per section 107, requires most buildings to be designed and built under the supervision of a Massachusetts Registered Architect. In some instances a Registered Professional Engineer may provide incidental architectural services when associated with their design work. It is the responsibility of the Registered Professional completing this form to insure compliance with the applicable Building Code regulations. ADDRESS: Genesis HealthCare,1801 Turnpike Street, North Andover, NIA 01845 PROJECT TITLE: Sutton Hill Center Expansion NATURE OF PROJECT: One story facility expansion, one story with associated site improvements. SCOPE OF PROFESSIONAL WORK: Architectural NAME OF ARCHITECT/ENGINEER: Jordan O'Connor, AIA REGN 7655 In accordance with Section 107 of the Massachusetts State Building Code (IBC — 2009) and in compliance with the Massachusetts General Law section 112, I hereby state that I am the Massachusetts Registered Professional Architect/Engineer responsible for the preparation of the plans and specifications for the following sections of the project: Entire Project X Architectural _ Structural _ Mechanical _ Fire Protection Electrical Other To the best of my knowledge and belief these plans conform to all of the requirements of the eighth edition of the Massachusetts State Building Code (IBC — 2009), all applicable laws, amendments and ordinances, and acceptable engineering practices. I further state that I shall perform all of the necessary professional services required to insure that this project is constructed in accordance with the approved plans, Building Code summary and specifications including periodic site visits and the submission of periodic project compliance reports to the Building Dept. Subscribed and sworn to before me this tOl day of Notary Public 3 My Commission expires CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: DATE: May 19, 2011 PROJECT TITLE: Genesis Healthcare Sutton Hill Center PROJECT LOCATION: 1801 Turnpike Street, North Andover, MA NAME OF BUILDING: Genesis Healthcare Sutton Hill Center NATURE OF PROJECT: New 1 -story addition off of existing structure IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUILDING CODE, I, Kevin R. Seaman REGISTRATION NO. 38130 BEING A REGISTERED PROFESSIONAL ENGINEER HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS, AND SPECIFICATIONS CONCERNING: X HVAC ARCHITECTURAL STRUCTURAL MECHANICAL X FIRE PROTECTION ELECTRICAL X OTHER (SPECIFY) PLUMBING FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERNG PRACTICES, AND ALL APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. 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 SECTION 780 CMR 116.0, 7th EDITION OF THE MASSACHUSETTS STATE BUILDING CODE. NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: PROJECT TITLE: Genesis Health Care Facility PROJECT LOCATION: 1801 Turnpike Street NAME OF BUILDING: Sutton Hill Center Expansion NATURE OF PROJECT: New PT/OT Addition IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUILDING CODE, I, Robert J. Fi4uerido, REGISTRATION NO. 29029, 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 I Other Mechanical Fire Protection Electrical X 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 AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. 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 AS SPECIFIED IN SECTION 116.2.2. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit, and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code -required controlled materials. 3. Special architectural of engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix A. Pursuant to Section 116.2.3, 1 shall submit required progress reports together with pertinent comments to the North Andover Building Official. Upon completion of the work, I shall submit a final report as to the satisfactory completion and readiness of the project f tJhis report shall include date of final inspection and an original stamp. ROBERT J. SEAL: SUBSCRIBED AND SWORN TO BEFORE ME THIS 20th DAY OF May , 2011 NOTARY PUBLIC MY COMMISSION EXPIRES ON September 13. 2013 IECEIVED MAY 2 4 2011 MADIGAN CO. UNC, ACRRL CONTRACrOPS CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: DATE: May 19, 2011 PROJECT TITLE: Genesis HealthCare Sutton Hill Center Expansion PROJECT LOCATION: 1801 Turnpike Street, North Andover, MA. NAME OF BUILDING: Genesis HealthCare Sutton Hill Center NATURE OF PROJECT: Building Addition IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUILDING CODE, I, Robert A. Johnson REGISTRATION NO. 38492 BEING A REGISTERED PROFESSIONAL ENGINEER HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS, AND SPECIFICATIONS CONCERNING: HVAC ARCHITECTURAL x STRUCTURAL MECHANICAL FIRE PROTECTION ELECTRICAL OTHER (SPECIFY) PLUMBING FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERNG PRACTICES, AND ALL APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. 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 SECTION 780 CMR 116.0, 7th EDITION OF THE MASSACHUSETTS STATE BUILDING CODE. JORDAN O'CONNOR & ASSOCIATES 57 Maple Lane Petersham, MA 01366 February 1, 2011 Mr. Ray Mead Senior Project Manager Genesis Health Care Construction Division 200 Brickstone Square Andover, MA 01810 Re: Genesis Healthcare Sutton Hili Facility Addition North Andover, MA Mass. State Building Code Review — 7`h edition Dear Mr. Mead: architects Tel. (508) 754-3475 Fax (508)754-3477 joconnor@JOAarchitects.com The following represents a summary of the applicable regulations of the Massachusetts State Building Code (7"h edition) as they affect the above referenced project. It is based upon the Permit Set dated 2-1-i 1. This summary shall also be included as part of the building permit application via the General Contractor. Site Information and Setbacks Per Land Planning Inc. Property Ownership/Authorized Agent Genesis HealthCare, 200 Brickstone Square, Andover, MA 01810 Agent: Mr. Ray Mead, Senior Project Manager Construction Services - General Contractor: pending Worker's Compensation Insurance Affidavit Per General Contractor Professional and Construction Services Architectural: Jordan O'Connor & Associates, Jordan O'Connor, AIA #7655 MA Structural: Mr. Rob Johnson PE, Johnson Structural Engineering Inc., 30 Faith Avenue, Auburn, MA Mechanical engineering: Mr. Kevin Seaman PE, Seaman Engineering Corp., 30 Faith Avenue, Auburn, MA Electrical engineering: Mr. Bob Figuerido PE, Shepherd Engineering Inc., 1308 Grafton Street, Worcester, MA Description of Proposed Work: A new single story new facility located on the first floor adjacent to an existing Nursing Home. The new facility is comprised of a new entry, waiting area, conference room, caf6, PT/OT therapy, speech, nurse/reception, shower/restroom and circulation space. The new facility shall be constructed directly adjacent to the existing facility and be structurally independent of the existing facilities. Per 705.1 the new facility is intended to act as a new independent facility and be separated from the existing facilities by a new rated fire wall. The new facility shall be installed with an automatic fire suppression system and be fully accessible to the disabled. Original facility: grade level: 17,325 sf first floor: 16,000 sf second floor: 11,360 sf third floor: 11,360 sf ---------------------------------- Total gross: 56,045 sf Maximum existing height = 42'-0" New facility: first floor, slab on grade: 2,825 sf gross Maximum height (ie: average height of new canopy to average grade plane) = 17-6" +/- Number of stories: one (1) Use Group and Construction Type: Existing: The original facility was designed as a Nursing Home (use group I-2) for Nursing and Retirement Center of the Andovers (circa 1988). It is primarily composed of load bearing masonry walls with 8" thick concrete plank floors and roof. Existing sections indicate the use of fireproofing on all exposed internal structural steel. Based upon this it is assumed that the construction type is at least Type IIA. The facility is fully sprinklered and protected by a complete fire alarm system including horns, strobes and pull stations. New Facility: 2 The new facility, per Owner direction, is an I-2 use. As required per MGL 111 section 71 the type of construction shall be 113. Note: The proposed cafe area is less than 750 sf and has an occupancy load of less than 50. Per 302.2.1 this space may remain classified as part of the I-2 use. In a similar manner the PT/OT + Kitchenette space is, per Owner direction, expected to have no more than 16 occupants at any one time. Although these two spaces total 796 sf net, which exceeds the 750 sf threshold set in 302.2.1, it is felt that the space is still consistent with an I-2 use due to the low occupancy load and large amount of therapy equipment. The office function is less than 10% of the new facility floor area and does not exceed that tabular values of height and area for a B -Business use (Per Table 503, B use, type IIB construction: 4 stories, 23,000 sf/floor max), OK. Applicable Codes 730 CMR Massachusetts State Building Code — 7�' edition 248 CMR Massachusetts State Plumbing Code Current 1999 National Electrical Code 521 Massachusetts Architectural Access Regulations —latest edition Guidelines for Design and Construction of Hospital and Health Care Facilities — 2010 527 CMR Board of Fire Prevention Regulations, latest edition Dept. of Public Health, Long Term Care Facilities, 105 CMR 1500.000-159.000 B. Accessibility Review: 3.2 All new construction of public building shall comply. 13.1 The new facility does not offer overnight accommodations as these accommodations are provided in the existing separated Nursing Home facility. Based upon this it is felt that the new facility, by way of offering discreet intervals of therapy/cafe, is more closely aligned with Doctor's and dentist's offices, counseling offices, offices of chiropractors, psychologists and psychiatrics and laces providing health services that do not require overnight accommodation. As such, per 13. 1, the new facility falls under 11.00 Commercial Buildings. 11.4 The restrooms are open to the public and shall be accessible per 521 CMR 30.00 Public Toilets. 11.5 Public telephones are not provided. 11.6 Transaction area (ie: Nurse/reception) shall conform to 521 CMR 7.2.2 Other transaction areas. 7.2.2 The new Nurse/reception area shall be on an accessible route and have a portion of the counter be at least 36" long with a height no greater than 36" above finish floor. 22.00 23.00 Refer to civil engineering drawings. 24.1 A new exterior accessible sloped path shall be provided to connect from grade to main front entry. The slope of this path shall not exceed 1:20 and is, therefore not defined as a ramp. Note: the sloped path of egress shall accommodate the passage of a wheeled stretcher unit. 25.3 Entry air -locks shall be provided that complies with fig. 25a and is approachable to meet 25.2. 26.6 All doors shall comply with the required maneuvering clearances of this section. 27.1 New exterior stairs shall conform to the requirements of this section. A 48" clear width between rails shall be maintained. 29.1 Changes in floor finish thickness (typically carpet to vinyl tile) shall be via reducer strips that comply with the requirements of 29.2 and 29.3 30.1 New accessible restrooms shall be provided per the requirements of these sections. All requirements of Section 30 shall be followed. Note the tub in Toilet 109 shall be non -accessible by design and per Owner input in order to provide necessary rehabilitation. Note: A fully accessible shower unit shall be provided in the accessible shower room 105B. 32.1 The kitchenette in the caf6 will have an accessible height countertop with an accessible sink, refrigerator/freezer and storage. The range top shall not be open to the public (ie: locked out) and operated only by staff. A pantry unit shall not be installed due to the transient nature of the clients as well as the staff utilization of other onsite commercial kitchens for needed storage. The kitchenette in the MOT space is meant for rehabilitation therapy associated with non -accessible kitchen features. With the exception of an accessible sink all other features of the kitchenette (ie: storage, washer/dryer, dishwasher (verify with Owner), stove/oven, etc.) shall be by design and per Owner input, non - accessible. 33.1 The changing area shall provide accessible clearances including a bench, sink, storage and mirror to conform to the requirements of this section. 4 36.1 A drinking fountain or a water cooler shall not be installed per the Owner. 37.1 No public telephones are to be provided. 40.1 - A fire alarm system shall conform to the requirements of this section. C. Building Code Review Chapter 3 302.2 The proposed cafe area is less than 750 sf and has an occupancy load of less than 50. Per 302.2.1 this space may remain classified as part of the I-2 use. In a similar manner the MOT + Kitchenette space is, per Owner direction, expected to have no more than 16 occupants at any one time. Although these two spaces total 796 sf net, which exceeds the 750 sf threshold set in 302.2.1, it is felt that the space is still consistent with an I-2 use due to the low occupancy load and large amount of therapy equipment. 308.3 Per Owner direction the facility shall be classified as I-2 although it's actual operation, as noted in 13.1 above, is more closely aligned with commercial buildings (ie: use group B -Business). Chapter 4 407.1 The I-2 occupancy shall comply with the provisions of this section and other applicable provisions of this code. 407.2 Corridors are continuous to exits (including horizontal exits). 407.2.2 Nurse/reception station shall be open to the corridor. 407.3 Corridor walls shall be constructed as smoke partitions (per section 710.3, non- rated) unless required otherwise. 407.3.1 Corridors, other than those required to be rated shall not require rating or closers. Corridor doors in smoke partitions shall not be equipped with closers but shall be equipped with positive latching. 407.4 The new facility has an occupancy load of less than 50 persons therefore an internal smoke barrier is not required. Note: The new facility shall be separated from the adjacent existing short stay unit by way of a fire wall. This, in affect, shall act as a second means of egress for both the existing short stay and the new facility. 407.4.1 A refuge area in the new facility is needed for the twenty existing patients form 5 the existing facility = 20 x 30 sf/ea = 600 sf total. The combined areas of caf6, MOT and corridor exceed 600 sf. In a similar manner the existing facility could experience 47 clients (per new facility occupant load) x 6 sf/ea (due to non -bed confined) = 282 sf. The existing corridor area + patient rooms exceeds this amount, OK. 407.5 There are no patient sleeping units with the new facility. 407.6 Automatic Fire Detection: Refer to fire alarm narrative and drawings per Shepherd Engineering Inc. 407.7 The facility is equipped with an existing secure yard on a lower floor accessed via the existing building. Chapter 5 503.1.3 It is intended that the new facility shall be a separate building. Therefore there will be two buildings on the same lot. Table 503 For type IB construction, I-2 use: 160' max. height, 4 story max, unlimited floor area. 504.1 Allowed tabular height = 160', actual=17'-6"' +/- , OK. Number of stories allowed = 4, provided =1, OK. Increase in height and number of stories is not required. 506.2 Frontage increase not required. 506.3/ Table 506.4 Area modifications: not required as the actual new facility area of 2,825 sf is not bound due to an unlimited area parameter. 508.2.1 The misc. storage areas in the new facility total less than 10% of the floor area and will constitute a non -separated accessory use. Note: Waste and linen storage rooms are less than 100 sf. Chapter 6 602.2 The intended type of construction for the new facility shall be IB. 603.1(1) It is intended to have fire retardant wood blocking in portions of the interior walls 2 that are non-loadbearing and rated for less than 2 hours, non-bearing exterior walls that are non -rated and roof construction as permitted in Table 601. 603.1(2) Thermal and acoustical insulation shall have a flame spread index of 25 or less. 603.1(5,11) Combustible interior finish such as doors, door frames, blocking, window sashes and frames is allowed. The facility shall be designed to have a portion of some areas to have combustible wood trim and wainscot paneling. Table 601 For type IB construction: Structural frame: 1 hour reduced from 2 hour due to support of roof only (exception b) Bearing walls (interior and exterior): not applicable Non-bearing walls and partitions (exterior) Per input from ICC Tech. Dept the requirements for the exterior non-loadbearing walls associated with the fire wall shall conform to section 705.4/705.5/705.6 and not Table 602. Non-bearing walls and partitions (interior) 0 hours Floor construction (including supporting beams and joists) 0 hours due to slab on grade Roof construction ((including supporting beams and joists) 1 hour Table 602 Fire resistance rating required for exterior walls for use group I-2, type IB: Per input from ICC Tech. Dept the requirements for exterior walls shall conform to section 705.4/705.5/705.6 for fire walls and not Table 602. Chapter 7 704.3 The new facility does constitute an additional building on the same lot and shall be regulated as a separate building. 704.5 For rated exterior walls with a separation distance greater than 5', the walls shall be rated for exposure to fine from the exterior. For rated exterior walls with a separation distance less than 5', the walls shall be rated for exposure to fire from both sides. 704.6/ 704.11 The roof deck and supporting construction is non-combustible. Per exception (3) an exterior wall parapet is not required. 7 704.8 Openings within rated exterior walls: Refer to following analysis on fire walls. 705.2 The proposed fire wall shall offer a structural separation with the adjacent facility. 705.4 For type IB construction the I-2 use shall have a 3 hour fire r6sistance rating. 706.5 Horizontal continuity: Per exception 3 the fire wall shall terminate at the inside face of the exterior walls due to non-combustible wall construction and sprinkler protection. 705.5.1 A rating of 1 hour is required for 4' on either side of the new fire wall. The new construction shall be rated for 1 hour for this 4'. The existing masonry veneer with cmu backup is assumed to be equal to 1 hour rated construction and extends the required 18" horizontally as required by 705.5. Therefore no additional remedial rated work is required with regards to the existing construction. 705.5.2 Per exception 2: Horizontal projecting elements with concealed spaces shall have the rated construction extend though and past the concealed spaces. 705.6 Vertical continuity: The existing roof is a ballasted system covering an EPDM system, rigid insulation above the concrete roof planks with an assumed classification at least of Class B. The roof of the new facility shall be of Class A construction and its roof components are non-combustible. There are no roof openings within 4'-0" of the new fire wall. Given the new facility's Class A roof and the existing concrete roof plank it appears that the migration of fire in a vertical manner is contained and satisfies the intent of exception 3. 705.6.1 The new facility shall have its fire wall extend vertically to the underside of the new non-combustible roof deck which is approximately 29" above the height of the lower existing roof. This is less than the minimum 30" required but the existing lower roof structure exceeds a 1 hour rating for 10' beyond due to its plank construction, OK. 705.8 Per Table 715.3 for a 3 hour fire wall: fire door assembly rating shall be rated for 3 hours. Opening width is not restricted due to sprinkler protection on each side of fire wall. 706.0 Fire Barriers: Required at 4'-0" lengths of horizontal run of the fire wall at the exterior walls. This portion of the wall, per 705.5 (1)/705.5.1, shall be rated for one (1) hour. 707.0 Shaft Enclosures: Not applicable. 708.0 Fire Partitions: Not applicable due to zero (0) rating. 708.3 Table 1016.1 Per Table 1016.1 the corridors are not required to berated for I-2 use with sprinklers. Per 407.3 the corridors shall act as smoke partitions. Per 710.3 smoke partitions are not required to be rated. 708.4 The facility shall have the corridor walls extend to the underside of the non- combustible deck. The corridor ceiling is non -rated due to 0 hour rating required in Table 1016.1. 709.1 Smoke Barriers: not applicable. 710.1/3 Smoke partitions: shall conform and be continuous to the underside of non- combustible deck. 710.5.3/ 407.3.1 Per 407.3.1 in non -rated smoke partition walls door openings are not required to be rated or equipped with closers. 711 Horizontal Assemblies: Applicable due to Table 601 for 1 hour rating of roof construction, including supporting beams and joist. 711.4 The rated assembly shall be created using spray on fire proofing materials. Skylights are allowed to be unprotected and penetrate through the rated deck as the structural integrity of the fire resistance rated roof construction shall be maintained via the spray on fire proofing material. 712 Penetrations: Penetrations through new rated construction shall conform to the requirements of this section. 715 Table 715.3 Fire door rating for 3 hour fire wall = 3 hour. Door rating for smoke partitions = 0 hours 715.3.8 Fire doors, including 20 minute rated doors (if any), shall be self or automatic closing. Table 715.5.3 Wire glass is not allowed in the 3 hour rated fire doors. 7 719.2 Concealed thermal and sound insulation shall have a flame spread index of 25 or less and a smoke -developed index of not more than 450. Chapter 8 803.1 Class ratings: Class A: Flame spread 0-25, smoke developed 0-450 Class B: Flame spread 26-75, smoke developed 0-450 Class C: Flame spread 76-200, smoke developed 0-450 Table 803.5 For use group I-2 in a sprinklered facility: Vertical exits and exit passageways: Class B with exception (a, b) Corridors: Rooms and enclosed spaces: Class B Class B (exception h, i) Exception (a): Class C interior finish materials are permitted for wainscoting and paneling of not more than 1000 sf of applied surface in the grade lobby where applied directly to non-combustible base or over furring strips applied to a non- combustible base and fire blocked per 803.4.1 Exception h: Class C allowed in administrative areas. Exception is Class C allowed in areas with a capacity of 4 persons or less. 806.5 Combustible trim, exclusive of hand and guardrails, shall not exceed 10% of the aggregate wall or ceiling area in which it is located. This criteria shall apply to Dining/Activity area. Grade level lobby is restricted per Table 803.5 (exception a). Chapter 9 Refer to drawings and specifications Chapter 10 Means of Egress 1003.3.3 The corridors may have a 4" projection from the side when located 27" to 80" above the walking surface. 1003.3.4 Protruding objects shall not reduce the minimum clear width required in section 1104. 1004.1.1 The occupant load for the new facility shall be based upon Table 1004.1.2 B -Business use =100 sf gross per person. Cafe assumed to be closest to Assembly, unconcentrated = 15 sf net per person. PT/OT space assumed to be closest to Exercise rooms = 50 sf gross per person. Total occupant load = 47 persons. Refer to Code Plan for occupant load summary. 10 Please note that the number of actual patients served is restricted to the twenty (20) short stay residents immediately adjacent to the new facility. 1005.1 Egress width = .2" per occupant for "other egress components" (ie: non -stairs). Total door width offered = (2 x 36" at door 102) + (3'-10" at door 132) =118" total. Capacity =164"/.2" per person = 590 occupants > actual occupant load of 47 persons, OK. [Note: Egress at door 132 is through a horizontal exit due to fire wall. There is no change in door width at door 132 (ie: original door width of 46" is matched by the new 46" wide door offered at door 132.] 1005.2 Door encroachment: Doors opening into the path of egress travel shall not reduce the required width to less than %2 during the course of the swing. When fully open the door shall not project more than 7" into the required width. 1007.1 Two means of accessible egress are required, two are provided (vestibule 100 and horizontal exit inward at door 132). 1008.1.1 Size of doors: The I-2 portion of the facility shall offer 46" doors which allow for a 41.5" clear width when opened ninety degrees. The fire doors adjacent to the existing I-2 facility shall be sized at 46" wide to allow a 41.5" clear width when opened ninety degrees. Minimum door height = 6'-8" (80"). 1008.1.2 Doors serving an occupancy of 50 persons or more shall swing in the direction of egress travel. Although the new facility's occupancy is less than 50 persons all egress doors shall swing in the direction of egress. 1008.1.3.2 Power activated egress doors shall conform to this section. 1008.1.4 Door landings at either side of the door shall be at the door elevation with a maximum slope of 2%. 1008.1.9 Due to the existing facility having an occupancy load greater than 50 persons the doors associated with doors 132, 100 and 100a shall be equipped with panic devices. 1008.1.3.4 The new exterior egress doors may, at Owner's option, be equipped with access control that will meet the requirements of this section. 1010.1 Not applicable as the exterior sloped path of egress is pitched at 1:20 maximum. 1011.1 Exit signs shall be installed to meet the requirements of this section. 11 1012.0 Guards shall be installed at all exterior paths of travel that are located more than 30" above the grade below. 1012.2 The height of the guards shall be equal to 42". 1012.3 Opening limitations: Shall have balusters or ornamental patterns such that a 4" dia. sphere cannot pass through any opening up to a height of 34". From a height of 34" to 42" a sphere 8" in diameter may not pass. 1013.3 The maximum common path of travel distance allowed = 75 feet > 68'+/ - provide, OK. 1015.1 Travel distance: Per Table 1015.1 for I-2 use, sprinklered = 200' maximum > 47'+/- provided (from door 132 to door 100a). 1016.1 Per Table 1016.1 for I-2 use with sprinkler: corridor rating required = 0 hour. Per 407.3 the corridors walls shall act as a smoke partition which is non -rated per 710.1/710.3. 1016.2 Due to use of the new corridor as a horizontal means of egress from the existing I-2 use a 96" corridor width (clear trim to trim) shall be maintained 1016.3 Dead end maximum allowed = 20', actual provided=17'-6", OK. 1016.4.1 Note: The corridor ceiling shall be unrated due to the use of non-combustible ceiling and utilities above ceiling system and with rating of 1 hour satisfied by way of spray on fire proofing. 1018.1 The occupant load of the new facility is less than 500 persons and, per Table 1018.1 requires two exits. A total of two exits are provided via door 132 and doors 100a. 1020.2 Exit passageway width, per 1016.2 is 96". Per exception of 1003.3.3 each handrail may encroach upon this width not more than 4". 1021.1 Horizontal exits: Per 1018.0 two exits are required. One is provided directly to the exterior at door #100a (2 -36" wide doors). 1021.1 (exception 1) allows 2/3 of the total means of egress (ie: 2 x 2/3 = 1) to be a horizontal exit for an I-2 use. The other means of required egress is provided at door #132 which is a horizontal exit via a new fire wall. In a similar manner the existing I-2 use also uses the new horizontal exit offered at door #132 to replace its original means of egress. Per 1021.1 (1) this existing I-2 use is allowed to have up to 2/3's of its required egress 12 by way of a horizontal exit. 1021.2 A new 3- hour rated fire wall acts as the required separation. 1021.3 The openings within the fire walls shall be self closing or automatic closing when activated by smoke detectors per 907.10. 1021.4 Capacity of refuge: For I-2 use assume 30 sf/person. It appears that the existing corridor within the I-2 space is adequate for Vi the new facility load. In a similar manner the new facility's corridor appears to meet the size needed for the anticipated portion of the I-2 use. 1022.1 Exterior exit ramps and stairwells: As noted in 1010.1: Not applicable as the exterior sloped path of egress is pitched at 1:20 maximum and therefore does not qualify as a ramp. The exterior stair is offered for convenience as egress is by way of the sloped path at 1:20 pitch. Chapter 12 Interior Environment 1207.1 1207.2 1207.3 Sound Transmission: The new facility does not house any dwelling units therefore the STC ratings required by this section are not applicable. Chapter 14 Exterior Walls 1405.15/ 1405.16/ 1405.17/ 1/2 The exterior fiber cement lap siding and trim shall conform to the requirements of this section. 1406.2.1.1 For fire separation of 5' or less: combustible exterior wall coverings shall not exhibit sustained flaming as defined in NFPA 268. It is proposed to use cementitious siding in these areas. Per James Hardie MSDS sheet #22 (d:9-15- 08): Fire and Explosion Hazard: 1. Flash Point: not applicable 2. Auto -ignition: not applicable 3. Non-flammable and non -explosive End of Code Summary Very truly yours, 13 Jordan O'Connor, AIA copy: Mr. Rob Johnson (JSE), Mr. Chris Robinson (SEC), Mr. John Shepherd (SEI), Ms. Amanda Normandin and Mr. Tim Cooper (JOA), fide 14