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
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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 ,
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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
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only The tab key
to moveour
Address
m A
cursor • do not
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2. System Owner:
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Address (d dlfterent from location)
City/rown
St e — - Lip Code
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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
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REQUIRED PROVIDED
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43,560 S.F.
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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
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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
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