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HomeMy WebLinkAboutBuilding Permit #487 - 49 CAROLINE WAY 3/17/2009BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: U / Date Received Date Issued: 92 IMPORTANT: Applicant must complete all items on this page LOCATION!^ t--=� Print t PROPERTY OWNER• ---' Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village ves no TYPE OF IMPROVEMENT PROPOSED USE Re Iden ' Non- Residential New One family Addition Two or more Ifamity Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: e -F, /Z:,. N E:I•--, J ! ein> Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name:-- Phone: Opt' C=7 Address: Supervisor's Construction License: 4cD2-t Home lm ARCHITECT/ENGINEER Address: Exp. Date: -7 Exp. Date: Phone:`) 79 57 I 7z✓� Reg. No. FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.010 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ G I-[ FEE: $ Check No.: 10 0 NOTE: Persons contracting with Signa Receipt No.: V77,3 do not have access to a guaranty fund ire of contractor Location No. / Date Check # D Z. ` TOWN OF NORTH ANDOVER Certificate of Occupancy $ /00 d0 Building/Frame Permit Fee $ 6 p�2 9- Foundation Permit Fee $ /00 Other Permit Fee $ TOTAL $ 0, 9. e 2�8�3 Building Inspector 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 DATE REJECTED DATE PPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on .3//1 Sianature HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments fi Conservation Decision: Water & Sewer Connection/sem DPW Town Engineer: Signature:_ FIRE DEPARTMENT - Temp Dui Located at 124 Main Street Fire Department signature/date COMMENTS Com r- �,ite yesi Lim M Dimension Number of Stories: t Total square feet of floor area, based on Exterior dimensions. to 40 Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — (For department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 No 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 dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Building Permit Application Revised 2.2008 V CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 487 3/17/09) Date: October 21, 2009 THIS CERTIFIES THAT THE BUILDING LOCATED ON 49 Caroline Way Unit B MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Edgewood Retirement Community 575 Osgood Street North Andover Ma 01845 Building Inspector 2 U v o m c c ti o ` C H O_ C �"• O V V cc : = C r r C) i L- CD CD Ea CE : = is CD :oa E c C r ts a Mvi ev m m CO) y `! Qf m c c , 'a a m y A :C y m V� o y O cm's Q C C3. c �Jvy O Q Z ' � c � o CL. 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LU LU CA Registered Architectural and Engineering Services Construction Control Affidavit Project Number_ DSA Project #0706.00 Project Title: Edgewood Retirement Community Cottages Project Location: #49 Caroline Way, North Andover, MA 01845 Scope of Project: 22 Individual Cottages In accordance with Section 116.0 of the Massachusetts State Building Code I, Allen Dewing Jr., MA Registration #4301 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 XX Architectural Structural Mechanical Fire Protection Electrical Other (Specify) For the above named project and that, to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code. All acceptable engineering practices and all applicable laws for the proposed project. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular 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 116.2. 1. Review for conformance to the design concept, shop drawings, samples, and other submittals, which are submitted by the contractor in accordance with requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. Upon completion of the Work, I shall submit a fmalt as to the satisfactory completion and readiness of the project for occupancy. Q�csN, DEW/�,�jF� � v Q � C) No. 4301 ca CONCORD, All/'n Dewing Jr. MA �J _ V �l�V OF AriP`''P F:\DSA Project Files\Edgewood 0706\05. Project Word Documents\a. Correspondence and Transmittals\vi. Misc Registered Engineering Services Structural Construction Control Affidavit at Completion of Structural Work Project Number: DSA Project #0706.00 Project Title: Edgewood Retirement Community Cottages Project Location: #49 Caroline Way, North Andover, MA 01845 Scope of Project: Wood Framed Cottage with Concrete Basement and Foundations In accordance with Section 116.0 of the Massachusetts State Building Code, I, Geoffrey S. Conway, MA #32753 being a registered professional engineer (structural), hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Mechanical Other (Specify) Architectural Fire Protection XX Structural Electrical For the above named project and that, to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable laws for the proposed project. I further certify that I have performed the necessary professional services and have been present on the construction site on a regular basis to determine that the work is proceeding in accordance with the documents approved for the building permit and have been responsible for the following as specified in Section 116.2. 1. Review for conformance to the design concept, shop drawings, samples, and other submittals, which are submitted by the contractor in accordance with requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required materials. 3. Been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, that the work has been performed in a manner consistent with the construction documents. OF J_,?, Z 0� , ss�c GEOFFREY yG Geoffrey S. ay, P.E. Date x S. CONWAY O STRUCTURAL -y o No.32753 to Ago FSS IS ��4 APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Building Permit # Ll &-� ADDRESS/LOCATION OF PROPERTY : -" J- C p-61 j T Map Parcel Lot Number SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION I D 6 ZQg 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 RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THF ATRI In -In 1pG DOES NOT MEET ALL APPLICABLE CODES. --- Pei � iiit Ess-ue� tC: Address SIGNED ROUTING CONSERVATION � �k a PLANNING © la` lcl �, DPW - WATER METER S(o�o9 SEWERtWATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THEEQ OCCUPANCYIINSPECTION REQUEST DPW _ ;JC�.5ivt1 Signature Fite: Application for OC form revised Jan 2007 Registered :Architectural and. Iinginccring Scrvices Construction Control Affidavit Project Number: DS_1 Project #0706.00 Project 'Title: l :dgewood Retirement Community Cottages Project location: 949 Caroline Way, North .Andover, NIA 01845 Scope of Project: 22 Individual Cottages In accotyJance with Section 116.0 of the Massachusetts State Building Code 1, .Allen Dewing jr., ,,\I.1 Registration #4301 being a registeletl professional engineer/architect, hereby certify- that I have prepared t>r directl►• supervised the preparation of all design plans, computations and specifications Concerning: Entire Project tl architectural Structural \lechallical Dire Protection Electrical Chhcr (Specify) I:or the above named project and that, to the best of my kno ictige, such plans, computations and specifications nncet the applicable provisions of the Massachusetts State Building Codc. All acceptable engineering practices and all applicable laws for the proposed project. 1 further certify- that I shall perform the necessary professional services and be present on the constntction site on a regular basis to determine that the work is proceeding in accordance with the documents approved for tine building permit and shall be responsible for the following as specified in Scction 116.2. 1. Rcview for conformance to the design concept, shop drawings, samples, and other submittals, which arc submitted by the contractor in accordance with requirements of the construction documents. 2. Review and approval of the cluality control proccdures for all code -required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. Upon completion of the Work, I shall submit a final t as to the satisfactory completion a►nd readiness of the project for occupancy. \�KE0 Aft., DEW1i-���a No. 4301 CONCORD. :\ cn Dewing lr. MA � OF F.\DSA Project Files\Edgewood 0706\05. Project Word Documents\o. Correspondence and Tronsmittols\vi. Mise � :,C O o f /y{ {i CD Ce 0 O 0 a Q � o c QJ W'Z o w a cn W co w a v U w a p rs: � C w V W p w c�' w - m m o w G w" I a W w m o z cn v Q O cn c o : m c r C Ca O N O vV C. Cc QC A ed :,C O f /y{ {i CD Ce i.�� .1 Q W O V Q Q � o c QJ c o : m c r C Ca O N O vV C. Cc QC A ed _m ' C MC3 °l. Nom Z �1 o a ® co �Jm0o ;QRZ coo.o = D :opo a ~ sS N O S~ W C N.='OZ ui LL ® .y CL= A C ,-. N Q cm G co H $ n.= E N zip s N C O A CD ac cm c m 0 cm c N 0 Z r.+ O 2 O s 0 T El CD O E W L. O V Z a O y cm CO) O y d? .co) E m m 03 CD cm 03 G O eca o a EL ca CO3 ccc C3 'p CL CD 0 c Z s C3 CL C..3 to � C CL C C 0 LU cl U) uj 19W W W U) :,C O o cc CD Ce - L o c QJ S tm co C c:r - m m cCD N � L L �3 cm O C C � a _m ' C MC3 °l. Nom Z �1 o a ® co �Jm0o ;QRZ coo.o = D :opo a ~ sS N O S~ W C N.='OZ ui LL ® .y CL= A C ,-. N Q cm G co H $ n.= E N zip s N C O A CD ac cm c m 0 cm c N 0 Z r.+ O 2 O s 0 T El CD O E W L. O V Z a O y cm CO) O y d? .co) E m m 03 CD cm 03 G O eca o a EL ca CO3 ccc C3 'p CL CD 0 c Z s C3 CL C..3 to � C CL C C 0 LU cl U) uj 19W W W U) 11 REScheck Software Version 4.1.4 Compliance Certificate Project Title: Edgewood Retirement Community Report Date: 08/21/08 Data filename: F:\DSA Project Files\Edgewood 0706\04. MA Energy Code Check\0706.00 Unit B.rck Energy Code: Massachusetts Energy Code Location: North Andover, Massachusetts Construction Type: 1 or 2 Family, Detached Heating Type: Other (Non -Electric Resistance) Glazing Area Percentage: 23% Heating Degree Days: 6322 Construction Site: Owner/Agent: Designer/Contractor: 575 Osgood Street Dewing & Schmid North Andover, MA 01845 30 Monument Square Suite 200B Concord, MA 01742 Com liance':° la r. V P uF?asses ��. +t Compliance:. Basement: Solid Concrete or Masonry 1846 0.0 10.0 103 Wall height: 7.5' Depth below grade: 7.5' Insulation depth: 7.5' First Floor: Wood Frame, 16" o.c. 1854 21.0 0.0 79 Windows: Wood Frame:Double Pane with Low -E 361 0.300 108 Door: Solid 42 0.290 12 Door: Glass 58 0.290 17 Ceiling: Flat Ceiling or Scissor Truss 1725 38.0 0.0 52 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 4.1.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be Zgreaan 125% of the design load as specified in Sections 7$OCMR 1310 and J4.4. Name -Title Si ADate SSOC, 14,Tr- Project Notes: Unit B �ql CAwLitJE COA T Project Title: Edgewood Retirement Community Report date: 08/21/08 Data filename: F:\DSA Project Files\Edgewood 0706\04. MA Energy Code Check\0706.00 Unit B.rck Page 1 of 1 CERTIFICAT'L OF LIABILITY INSURANCCI OP ID B DATE(MMIODIYYYY) WINDO-4 11 03 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE McLaughlin Insurance Agency HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 828 Lynn Fells Parkway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Melrose MA 02176 Phone: 781-665-2775 Fax:781-665-0295 Windover Construction, Inc. Attn Karen Cochand 13 Elm Street Manchester MA 01944 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURER A: Aspen Specialty Ins. Co. INSURER B: United Specialty Insurance Cc. INSURER C: OneBeacon Insurance Group INSURER D: American Interna1:11 comoaniee THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY GL000574-01 01/01/07 EACH OCCURRENCE O1/01/09 PREMISES Eeocauence) $ 1 QQQ QQQ 350,000 CLAIMS MADE OCCUR MED EXP (Any one person) $ EXCLUDED PERSONAL &ADV INJURY $ 1,QQQ QQQ GENERAL AGGREGATE 3 2 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRODUCTS - COMP/OP AGG 3 2 r 000 000 JECOT- LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Esseddent) $1,000,000 ALL OWNED AUTOS C X SCHEDULED AUTOS FB1E07908 04/01/08 BODILY INJURY 04/01/09 (Per person) $ X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLALIABILITY B X OCCUR D CLAIMS MADE CXA4GS708 09/25/08 EACH OCCURRENCE 01/01/09 AGGREGATE $5000000 $ 5000000 DEDUCTIBLE $ _ X RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X TORY LIMITS ER ANY PROPRIETORIPARTNER/EXECUTIVE WC6967012 03/20/08 ID 03/20/09 E.L. EACH ACCIDENT $500 QQQ OFFICERIMEMBER EXCLUDED? If yes, describe under E.L. DISEASE -EA EMPLOYEE $ 500 QQQ SPECIAL PROVISIONS below OTHER E.L. DISEASE -POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Edgewood Retirement Community Renovation and Expansion, North Andover, MA Bank of America, N.A., their subsidiaries, affiliates and parent companies; and their repective officers,directors, trustees, managers, members and employees are Additional Insured on all policies abover (except for WC & employers liability) for liability arising out of the operations of Windover CERTIFICATE HOLDER ,.,,.,,.M, , —1-1 EDGEW-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Edgewood Retirement Community DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Inc NOTICE TO THE CERTIFICATJE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 575 Osgood Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR N. Andover MA 01845 REPRESENTATIVES, AUTHORQE R NTA E O ACORD 25 (2001/08) V LZ© ACORD CORPORATION 1988 N ✓lie &�vnwnusea aye✓j%aaaacizuaela i BOARD OF BUILDING REGULATIONS 1f License: CONSTRUCTION SUPERVISOR Number SCS 094621 �F g�lh�074MIT19 70 Expires ' 07101 /2010 Tr. no: 94621 tk I -- i Res*�tr�� E + CORY ,E FISHER(r 30 JORDAN STF2EE� ' 'J (7 - �J BEVERLY, MA 01915 Corimmissioner