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HomeMy WebLinkAboutBuilding Permit #692 - 70 ELM STREET 3/30/2012BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 0—r I+ Kin. � � � Date Received no no DESCRIPTION OF WUKtc 1 u t5t mr-rvr maw. L. t-- �J 0,''' Identification Please Type or Print Clearly) OWNER: Name: Phone: ARCHITECT/ENGINEER Address: Phone: Reg. No. FEE SCHEDULE: BOLDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ ��v FEE: $ Check No.: 2-6?,Pl Receipt No.: 3�- NOTE: Persons contracting with unregistered contractors do not have access to t�ara. _ fug Signature of Agent/Qwner Signature of contras O � T •i a no no DESCRIPTION OF WUKtc 1 u t5t mr-rvr maw. L. t-- �J 0,''' Identification Please Type or Print Clearly) OWNER: Name: Phone: ARCHITECT/ENGINEER Address: Phone: Reg. No. FEE SCHEDULE: BOLDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ ��v FEE: $ Check No.: 2-6?,Pl Receipt No.: 3�- NOTE: Persons contracting with unregistered contractors do not have access to t�ara. _ fug Signature of Agent/Qwner Signature of contras 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 APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/s9nature & Date Located at 384 Osgood Street Driveway Permit FIRE bEPARTMENT ='Temp Dumpster on site yes no Located at 1.24 Maim: Street; ; Fire Qepartmenf sigrirature/da#e '7 Date,-�> ORTN TOWN OF NORTH ANDOVER 0 PERMIT FOR MECHANICAL INSTALLATION V This certifies that ......... ...................... has permission for mechanical installation ...... in the buildings of ... 1 .( .......... at ..... ............ I North Andover, Mass. Fee.i. Lic. No.. . ............... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Commonwealth of Massachusetts Sheet Metal Permit Date: 3 Estimated Job Cost: $ 1 Plans Submitted: YES Z NO Business License # Business Information: k� Name: %t— �( or, I Street: 77 c��y �V City/Town: a eA S e— N I Y1 (� p Tele hone: Permit # (P 9 Permit Fee: $ ) d q Plans ReviewedYES NO Applicant License # Property `Owner / Job Location Information: r Name: 1 '�� �ACk N� ZJi�"�— Street: fj Nk <j�-: City/Town: k, Fk-� C%� le 5 Telephone: Photo I.D. required / Copy of Photo I.D. attached: YES �NO J-1 (Drestricted license Staff Initial J-2 / M -2 -restricted to dwellings 3 -stories or less and commercial up to 10,000 sq. ft. / 2 -stories or less Residential: 1-2 family Multi -family Condo / Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other ✓ C�tjpcl, Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney / Vents Air Balancing Provide detailed description of work to be done: NVk, #I 0 Z W W s•: a O w v U) v v) U co p w O c4 p -C U G i�. U a O c� G iw w W O rs: ai c� � w" p O a4 G w w H wo O z 4. , U) v O V) , c H O C vCD V CL co OCD L E a L 7 m .• O C. ' E C 4.4 _ C c a:R L L r Pi c ` CID d N O N E� m o ie: C.t.3 s r' N O m 3�� o I _ �- O = Oa o o� V y O. w•�Z N CL o.:5 H r y COD CD .S ea = m WC=.N C.Z c .. co V .O p Im� _c CLy CL m� O� Z ca .0 cm A y I.- z .I C.t3m E MA N O N c cp 32 O m 0 cm c 'c N 0 t 0 Z O s F. O O U p� z 0 u Cf) WE n O 0 o ZCD Q. 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CO) O TU es s o Soler & Palau USA I Qty: I 1 Tag: I EF -1 Project: JELM STREET CHURCH EXHAUST SQB18-1 F 28 K GGI H I LL Centrifugal Square Inline Duct Fan -Belt Drive �PI�I I�+1 ��---ILMI Q I IrR I i �I���I IT Fan RPM STANDARD FEATURES: AMCA Air and Sound Licensed • Standard Disconnect (Except Explosion Proof) • Non -Overloading Aluminum Backward Inclined Wheel K} Power (HP) SE ME FPM (TS) FPM (OV) 1040 Statically and Dynamically Balanced Wheel • Variable Pitch Drives .25 .714 20% T 0.83 F 5037 Standard Through 3 HP • Drives Sized for a Minimum of 150% of Drive Horsepower • 2 Year Fan and 1 Year Motor Warranty • Heavy Gauge Welded Galvanized Construction • Heavy Duty 200,000 Hour Rated Pillow Block Bearings • Integral Duct Connectors • Removable Access Doors B Performance Altitude n/a Temperature n/a Density .075 (Feet): (Fahrenheit): (Lb/Ft3): Motor Information: (Wired for 115V) HP RPM Volts/PH/Hz Enclosure [Efficiency -I Mounted 11 230V/1PH/60HZ O PROOF DRIP STANDARD YES ISound Power Levels - Octave Bands LwA DBA Sone 1 1 -121 3 1 4 �- 6 7 8 77.3 65.8 13.7 178.5 179.7 1 78.9 174.8 172.1167.4 160.6 153.1 Submittal Notes: iw in Dimensions (Inches) F 28 K GGI H I LL _ 23.8 �l+l l3 IrN �PI�I I�+1 ��---ILMI Q I IrR I i �I���I IT Fan RPM Flow (CFM) SP (in W.G.) Power (HP) SE ME FPM (TS) FPM (OV) 1040 3600 .25 .714 20% T 0.83 F 5037 1604 Altitude n/a Temperature n/a Density .075 (Feet): (Fahrenheit): (Lb/Ft3): Motor Information: (Wired for 115V) HP RPM Volts/PH/Hz Enclosure [Efficiency -I Mounted 11 230V/1PH/60HZ O PROOF DRIP STANDARD YES ISound Power Levels - Octave Bands LwA DBA Sone 1 1 -121 3 1 4 �- 6 7 8 77.3 65.8 13.7 178.5 179.7 1 78.9 174.8 172.1167.4 160.6 153.1 Submittal Notes: iw in Dimensions (Inches) F 28 K GGI H I LL _ 23.8 �l+l l3 IrN �PI�I I�+1 ��---ILMI Q I IrR I i �I���I IT Note: Accessories may effect dimensions shown. Avg. Shipping Weight (Lbs)*: 190 *Includes fan, motor, and packaging. Accessories: 24 X 24 AUTO EXHAUST DAMPER • LABEL UL/CUL 705 LISTED POWER VENT (7091) • MOTOR COVER ASSY SQB 18 • HANGING ISOLATOR RUBBER SQ 18"-20" ASSY KIT THERMOSTAT 1 STAGE COOLING 80-130 DEG -F --Fan Curve ••••• Horsepower -•-Static Efficiency —System Curve ----StallCurve in W.G. HP SE 1.36 0.87 90 1.22 , ,., 0.79 81 1.09 -' -• ... _..-. _. _. _�•� «•:`,`� ••• `'�•. 0.7 72 �•,.• 0.95 *'�°�.• . `• ' 0.61 63 0.82. '.. � • ` �.' �� 0.52 54 0.68.N �••' � - --•-._......_....., .���.` 0.44 45 0.54 •`.'��.• `_�.`•`'�,0.35 36 0.41 .+'��•'• "� 0.26 27 �' 0.27 ••. * �..--f 0.17 18 0.14 0.09 9 i' _� �•� --- 0 0 395 790 1185 1580 1975 2370 2765 3160 3555 3950 CFM AIRTECI OP ID: R1 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDONM) TYPE OF INSURANCE 12/07/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemen s . PRODUCER 781-665-2775 McLaughlin Insurance Agency 828 Lynn Fells Parkway 781-665-0295 Melrose, MA 02176 John E. McLaughlin Jr. NAMEC7 PHONE FAX No. arc Nc E-MAILs GENERAL LIABILITY INSURERS AFFORDING COVERAGE NAIC M INSURERA:ACadla Insurance Com any INSURED Air Technologies Inc. Ms. Christine Cutrufo INSURERS: A 99 Crescent Ave INSURER C : INSURER D: Chelsea, MA 02150 INSURER E: 07/01/12 INSURER F: MED EXP one ) S 10,00 s.Vvr-I%A%3GJ CFRTIFICATF NIIMRF:0- OCVICIrAW WrIl1OCO. THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER MMD F MMDO Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS�AADE FK OCCUR PA50021351-10 07/01/11 07/01/12 DIMAZE TO PREMISES acTED $ 300,000Y MED EXP one ) S 10,00 PERSONAL a ADV INJURY $ 1,000,00 X Per Project Agg. GENERAL AGGREGATE S 2,000,00 GEHL AGGREGATE LIMIT APPLIES PER POLICY PRO- LOC PROOUCTS-COMPDP AGG S 2,000,00 mp Ben. S 1Mill/2 M A AUTOMOBILE LIABILITY ANY AUTO MAA5004073-00 07/01/11 07101/12 COMBINED SINGLE LIMB Ea accident S 1,000,00 BODILY INJURY (Per Person) S X ALL OWNEDSCHEDULED AUTOS X AUTOS HIRED AUTOS X NON-0WNFD AUTOS BODILY INJURY (Per acadW) $ PROPE TY t DAMAGE .PEgdT $ S A X UMBRELLA LIAR EXCESS LIAe -ED X I OCCUR CLAIMS -MADE UA5002357-10 07/01/11 07/01/12 EACH OCCURRENCE S 6,000,00 AGGREGATE s 61000100 TD X RETENTION S 10,000 $ A WORKERS COMPENSATION ANO EMPLOYERS' LIABILITYLIMITS ANY PROPRIETOWPARTNEWEXECUTIVE YIN OFFICERRAEMBER EXCLUDED? a (MmKWc y In NN) RIPMOONNOF O« MRATION below N / A 5002360-10 07/01/11 07/01/12 X IOC STATU• OTH E.L.NT S EACH ACCIDENT 500 00 r E.L. DISEASE -EA EMPLOYEE S 500,00 E.L. DISEASE -POLICY LIMIT S 500,00 A Leased Equipment PA50021351-10 07/01/11 07/01/12 Limit 100,00( Bus. Prop 5,00 DESCRIPTION OF OPERATIONS I LOCA71ONS I WINCLES (Attach ACORD 101, Addidonal Ramaks SchedW% N mora apace is n ukvd) Evidence of Insurance for Operations Usual to the Named Insured. VCR r IrrVM 1 G nVLYCR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESEMATIVE Ak 1�1;v ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and 1090 aro registered marks of ACORD 9 COMMONWEALTH OF MASSACHUSETTS :.• .. SHEET METAL WORKERS A5 A MASTER -UNRESTRICTED ISSUES THE ABOVE LICENSE TO: PAULE MARCHANT �U 22.:SPRINGWELL RD BILLERICA MA 01821-302 1677 09/28/13 48561 Massachusetts - Di:pmlment of Public Safett Board of Buildin- Regulations and Standards Construction Supervisor License License: CS 75297 PAUL E MARCHANT 22 SPRING WELL RD.. „ s BILLERICA, MA 01821 ?1,` Expiration: 9/15/2012. Tr=: , 3791 S3ACHUSETTS /'rte RIIRS IGEN E r'r {i UMBER•� 35850666 r4p_ 0899 ' lk- 014 09-15 195x? CLA55 REST HGT SEX5-11 ro ����"�•� k t ,,._q _ �, l- ' ;'01IARCHANT M 9AUL E 22 SPRINGWELL RD �s.• e F'i'r » r BILLERICA, MA 01821.3028 TECHNOLOGIES INC. MECHANICAL CONTRACTORS 99 CRESCENT AVE., CHELSEA, MA 02150 PAUL E. MARCHANT VICE PRESIDENT (617) 884-9805 FAX (617) 884-9809 pmarchant@airtechnologiesinc.com www.airtechnologiesinc.com TECHNOLOGIES INC. MECHANICAL CONTRACTORS 99 CRESCENT AVE., CHELSEA, MA 02150 PAUL E. MARCHANT VICE PRESIDENT (617) 884-9805 FAX (617) 884-9809 Pmarchant@airtechnologiesinc.com www.airtechnologiesinc.com