HomeMy WebLinkAboutBuilding Permit #524 - Exception 3/9/2005TOWN OF NORTH ANDOVER WELDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
`� This Section for Official Use Onl
BUILDING PERMIT NUMBER: DATE ISSUED:
C3 " p7®4
SIGNATURE:
Bulldin Commissioner/I or dBuildings Date
1.1 Property Address: 1.2 Assessors Map and Parcel Number.
N` ro, ko Number Parcel Number
1111
1.3 Zoning Information: 1.4 Property Dimensions:
lox 1 S ►
Zonin Dist,ctused Us Lot Area Fronts ft
1.6 BUILDING SETBACKS (ft)
Front Yard Side Yard Rear Yard
Required ProvideR
Provided R red
Provided
1.7 Water Supply M.G.L.C.4o. 54) 1.5. Flood lune bfom,ation: 1.8 Sewerage Disposal System:
Zone
Public ❑ Private ❑ Outside Flood Zone ❑ Municipal On SiteDisposal System ❑
ti �d^
2.1 Owner of Record
I
-o l �t
Address for Service: —�
;Name(Pnn
Telephone
2.2 Authorized Agent
Nam Address
/for Service:
7 �b Q
S,tgnature Telephone
3.1_Licensed Construction Superviso Not Applicable ❑
Address License Number
Qc
Licensed ctio S r: c> „�
Q/ (Expirationto
F C9 b d f ExPuationC _ Dad
ignature Telephone
3.2 Registered ome Imp ro ement tractor
Not Applicable ❑
Company Name ` l
Registration Number
2)
Add�cl
f �--is Cn q 60 /
i
Expiration Date
Signature Telephone
W.,
n
Z
O
Z
M
Location
No. U Date
NpRT�
TOWN OF NORTH ANDOVER
w
9
Certificate of Occupancy
$
s,+cNust
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
$
TOTAL
$�
/ I
Check # 14-7
18L47
Building Inspector
Workers' Compensation Insurance affidavit must be completed and submitted with this application.
issuance of the building permit.
Failure to provide this affidavit will result in the denial of the
Signed affidavit Attached Yea .......❑ No ....... ❑
RV > , ` � MM 'RIX"M`'
C'�3N��Q1�1' Gilt �'�� TIA I� lii� ��►i��� �kt�D` �����TC�;��"Efi� �''A'j
5.1 Registered Architect:
'
Name:
Address
Signature Telephone
R
Area of Responsibility
Registration Number
-
Expiration Date
Name:
Address:
Signature Total
Not applicable ❑
Registration Number
Expiration Date '-'
Name:
Address
Signature Telephone
Area of Responsibility
Registration Number
Expiration Date
Name
Address
Signature Telephone
Area of Responsibility
Registration Number
Expiration Date
Name
Address
Signature Telephone
v to vP 4
41
Company Name: I I -D
Not Applicable ❑
Responsible in Charge of Construction
New Construction ❑ Existing Building ❑ Repair(s) 0 Alterations(s) A/ Addition 0
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
-e_� G��] Alew )�K
BUILDING AREA
EXISTING if applicable)
PROPOSED
USE GROUP Check as applicable)
CONSTRUCTION
TYPE
A Assembly
❑ A-1 0
A4 0
A-2
A-5
❑ A-3
0
❑
IA
1B
❑
❑
B Business _
❑
2A
2B
2C
❑
0
❑
C Educational ❑
F Factory ❑ F-1 0 F-2 ❑
H High Hazard
❑
3A
3B
0
❑
IInstitutional 0 I-1 0 1-2 ❑ I-3 ❑
M Mercantile
0,
" 4
❑
R residential
0
R-1 ❑
R-2
❑ R-3
❑
5A
5B
0
0
S Storage 0 S-1 ❑ S-2 0
U utility
M Mixed Use
S Special Use
0
0
❑
Specify:
Specify:
Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE
Existing Use Group:
Existing Hazard Index 780 CMR 34:
Proposed Use Group:
Proposed Hazard Index 780 CMR 34:
BUILDING AREA
EXISTING if applicable)
PROPOSED
Number of Floors or Stories Include
Basement levels
Floor Area per Floor s
Total Area (sf)
Total Height (ft)
In ndent Structural Engineering Structural Peer Review Rapired Yes ❑ No ❑
SECTION 10a Owner Authorization - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Owner of the subject property
Hereby authorize N. -NCR `V to act on
My behalf, matters relative two work authorized by this building permit application
'timilature of Owner Date
I,
Agent as Owner/Authorized
Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury
Print
of Owner/Agent
Date
3 It
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Item3
Estimated Cost (Dollars) to be
Completed by permit applicant
PP " F
1. Buildi
..
(a) Building Pernit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction from (6)
3 Plumbing
Building Permit fee (a) x (b)07
4 Mechanical (HVAC)
5 Fire Protection
6 Total (1+2+3+4+5)
Check Number
�1+.��.rk�a�„sa b '�, a .� � »,¢,�;r � 4 a a t� f� �'i•'� n 3�{t fi�fr, k F t , r`xe� "`4`.. r c�+ �. F, -w r
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4., S,Y s.y�.F;.a N- Y ., ..��. y fi :r•.t zJ$ '��Ck`£ t k'f'�Syf.. yy r.. '? x. �£ a{'` .. 'F-1 �`�
fix: rnn 3 �� -r, ,. tt ..�,..� ,.. .9.Y '� '6:'Z`C `i9 .'.. '1 l S'si•t.'5r }. gn" '3 ShS..rr.A
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NO.OF STORIES
SIZE
BASEMENT OR SLAB
SIZE OF FLOOR M4BERS 1 2ND 3RD
SPAN
DEMENSIONS OF SILLS
DEMENSIONS OF POSTS
DINIENSIONS OF GIRDERS
HEIGHT OF FOUNDATION
THICKNESS
SIZE OF FOOTING
X
MATERIAL OF CH ANEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
s.: .y .'"}'c�i. AG'^t r k"`"x'µe 7•� rr'R£3., rye ',: +- " yin ,�, ..F' :N"+Ss',1"+s".�v ��. >a�M �aE,,r �
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Jone & Co
General Contractors
97 Druid Hill Rd.
Methuen Mass. 01844
Tel 1978 688 7307
NAME/ADDRESS
Mc Aloons Package Store
531 Chickering Rd.
N Andover Ma. 01810
Estimate
DATE
ESTIMATE NO.
3/1/2005
172
SIGNATURE
TERMS
PROJECT
DESCRIPTION
RATE
TOTAL
Summary
We are requesting a permit to make non structural renovations to the existing
interior retail space as depicted in the 4 plans provided.
Work area 29 ft wide 53 ft back stopping at the walk in / reach in cooler.
Scope of work
Floor
We will remove the existing carpeting & ceramic floor tile to the underlayment.
Install 1/4" underlayment plywood stappled down, flashed, and covered with a
comercial rated vinyl floor tile.
Walls
We will remove the wall standards and sheetrock over the existing plywood
paneling, tape, sand, prime, and finish paint.
Ceiling
We will remove the existing ceiling tile and grid
We will provide and install new fire rated ceiling grid in a 2 x 2 pattern
with Fire Rated Tiles.
ti
Based on Materials, Labor, Debri removal ( by our truck to the Town of
Methuen Transfer station) Building Permit
The proposed cost at this time is expected to be $37,113.00
i
37,113.00
37,113.00
Quote valid for 30 days from reciept.
TOTAL $37,113.00
SIGNATURE
# FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
APPLICANT FILLS OUT THIS SECTION
APPLICANT [)^- A- LwaPHONE g? a2 'O a 5
LOCATION: Assessors Map Number PARCEL
s
SUBDIVISION LOT IS)
STREETS L� (1- ST. NUMBER S- 3
OFFICIAL USE ONL
RECOMMENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINISTRATOR DATE APPROVED '
DATE REJECTED
COMMENTS
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
wr%I V. rwwc%,1 eu
SEPTIC INSPECTOR -HEALTH DATE APPROVED
DATE REJECTED
COMMENTS
PUBLIC WORKS - SEWERIWATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE,_
RevIaW 11M7 Jm
0
. ko 30�, \CA
u
�'Vl( Akm v -o
rVb V-�'1 �
aook�U( (:77eCkC(V-, (JJOQ (6 WC�O�Ef-
C_e`l�y��90 0aS-7
7;7rIFa raj 1�
1-16, to
The Commonwealth of Massachusetts
Department of lndusbial Accidents
Office of Invesdyadons
Boston, Mass. 02111
Walters' Compensebbn Insurance AfiidaW
Nature Please Print
�l. !,;� r
mown
• rc l!.�.1
I am a homeowner performing all work myself.
I an a sok proprietor and have no one working in any caps*
I am an employer' pmvidng workers' compensation for my emplayees working on this job.
ComDarty name:
Insurartoe Co. PO&W s
Fdkre to aeon coverage at requked under Section 26A or MOL 152 can Iced to the kngocabo l d alink pwwMn d.a floe up to i1,SW.W
andl0roneyeare'Imprb0N. N.es.Wd.mchm400wmjnf6efmmdABTCPVIIDMDRDERmda.fkwd.pIaDAMAd4rapekW.ma I
undwatand that a copy d this atdwrw t may be forwarded to the Office d Invealgetlone d tis DIA for coverage vwftgtion.
I do hereby cerdtoxbf the pat* and perlaNm a/perjwY that rM idb msibn provided above k bus and caned
slinatu Date
Print name c7 t �'�`�-'lti� c� D Phone
OffWW use only do not wrRe in this area to be completed by dty or town dfldal'
CBy or Town ParmltaJcensino
❑ 6ulld V Dq#
❑CheckYimmedele reponse b requirod 13 LtmakV Bowd
❑ selectman's ofte
Confect person: Phone t ❑ Hee/th Department
❑ other
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North Andover Building Department
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
c11,S150A.
The debris will be disposed of in:
L -ry
(Location of Facility)
Sign re of Pe it Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
CORTEGATM
Tile & Square Lay -In
Relative Installed Cost A�mstmg
medium texture
Key Selection Attributes
rs
• Nondirectional visual reduces
Typical Applications Recycled
Color
installation time and scrap
• Offices and conference rooms Content:
• Economical
Patient and exam rooms -
'
•Good sound absorption
assists in addressing HIPAA 22�42%
O
• Reli a ble, proven performance
requirements**
„ t
•Washable vinyl plastic coating
�1
• Auditodums/classrooms 34 CJ6%
White (WM
(Item 761)
•Department stores (Fire Guard)
+
• Restaurants
•
Visual Selection
Tech
Black (BL)
Performance Selection
Item 769
GRID EDGE ITEM
FACE
!1
(D
ULClassified
PROFILE NUMBER DIMENSIONS ACOUSTICS ANTI -
ceilings NRC CAC FIRE SAC' MICROBIAL LIGHT
CORTEGA Tile
:.
Concealed Beveled 745
RESIST PROTECT REFLECT
DURABILITY
K4C4 745M
12 x 12 x 5/8"
300 x 300 x 15mm
0.50 35 Class A Standard 0.86
Standard
CORTEGA Square Lay -In
x
s
15/16' Square 770
lay -in 770M
24 x 24 x 5/8"
600 x 600 x 15mm ®�))
0.55 33 Class A Standard 0.82
f
O�
R
Standard
824
824M
24 x 24 x 5/8"
600 x 600 x 15mm®�))
0.55 35 Standard
0.82
R
Standard
a.
769
769M
24 x 48 x 5/8"
600 x 1200 x 15mm ®
lyJ
`Q)) 0.55 35 Class A Standard
0.82
Standard
747
747M
24 x 48 x 5/8"
600 x 1200 x 15mm ®�))
R
0.55 40 Class A Standard 0.82
R
Standard
k
n{
761"
761 M'
24 x 48 x 5/8"
600 x 1200 x 15mm ®�))
0.55 35 Class A Standard 0.82
�,k
Washable
823
823M
24 x 48 x 5/8"
600 x 1200 x 15mm ®aQ)) 0.55 35 Standard
0.82
R
Standard
'yt �
773
773M
20 x 60 x 5/8" O
500
l+J
0.55 35 Class A
ui►
arr ; qtr
x 1500 x 15mm
Standard 0.82
Standard
, k
S
772
772M
R
24 x 60 x 5/8"
600 x 1500 x 15mm C� ®tQ)) 0.55 35 Class A Standard
5
0.82
Standard
K
780
780M
30 x 60 x 3/4"
750 x 1500 x 19mm ®
R
0.55 35 Class A Standard
tr
¢ �f
0.82
Standardtr
Washable VPO finish (plastic coatin
R
t�
anti -odor and stain -causing bacteria Antenna", anels
treatment not available on this item J R /Pjq
'Nt
* Light reflectance values shown as averages Coordinates Withl)
Speaker Panels �
** Installations in Healthcare facilities need to
Fire Guard/ rIc[71
Mr Light
Fire Resistive AHigh
Odor/Stain ai^ Re,,h Ughl
ti
Y>t it
K a
meet
HIPAA oral privacy requirements
Bacteria
R=Upon Rep -t
+"
1
Physical Data,
Material
Wet -formed mineral fiber
Insulation Value
745
Treatment for Odor- and Stain
n
761 -Wel-formed mineral fiber with
vinyl plastic finish
R Factor - 1.6 (BTU units)
-causing Bacteria
Available upon request
��
Surface Finish
R Factor - 0.28 (Watts units)
747, 770, 772, 775, 761,
Warranty,v.axrM1
See pages 231-236 for details
Factory -applied latex paint
769, 773, 780, 823, 824 -
761 - Facto
Factory -applied vinyl -plastic
coating
R Factor -1.5 (BTU units)
R Factor - 0.26 (Watts units)
Recommended Suspension
P Systeme
T�
Fire Performance
Class A: Flame Spread
Backloading
Recommendation
DRAWING k
ITEMS SUSPENSION SYSTEM DETAIL _? Ky
25 or under
(UL Labeled) per ASTM E 1264
Contact TechLine for specific
745 (PG. 222-225)
PRELUDE Concealed Tee Grid (Pg. 196)
Fire Guard: A fire resistive ceiling
when used in applicable UL
information
CONCEALED Z grid or glue (Pg. 194)
770,747,761, 769, 15/16" PRELUDE (Pg. 197, 199)
773, 772, 775,
45
1'
assemblies
Weight; Square Feet/Carton
780
AST M E 1264 Classification
745 - 0.90 lbs/SF; 40 SF/ctn
747 - 0 .85 lbs/SF; 64 SF/ctn
823,824 15/16" PRELUDE XL Fire Guard (Pg. 199)
1
t;
i
Type III, Form 2, Pattern C D
761, 769 - 0.60 Ibs/SF; 96 SF/ctn
•5
761 - Type IX, Form 2, Pattern C D
770 - 0.60 lbs/SF- 64 SF/ctn
772,
773 - 0.60 lbs/SF; 100 SF/ctn
780 - 0.60 Ibs/SF; 75 SF/ctn
891 A9A — 1 nn
UNE Relative Installed Cost
.-gular $ I $$ I $$$ $$$$
le texture
3y Selection Attributes
El ®�)�
4ondirectional visual reduces
• BioBlock paint on face and back
nstallation time and scrap
of HumiGuard panels to inhibit or
Jpgrade look at a modest price —
retard surface growth of
appealing fine textured surface
mold/mildew on painted surface
3ood sound absorption
• 10 -year limited warranty; 15 -year
-ligh light reflectance
with HumiGuard Plus products
® @
and Armstrong hot dipped
durable
HUMIIt
Scratch -resistant oumm ;
galvanized grid
coordinates With O
Speaker Panels VI)
•Ceilings can be installed before
tumidity -resistant it
IN
buildings are enclosed
iumiGuard Plus performance S
00...883 Scratch -Resist
o inhibit panel sag plus
im
isual Selection
RID EDGE ITEM
LCE PROFILE NUMBER
INE
Typical Applications
• Retail/department stores
• Healthcare -
(non -confidential areas)
• Public areas/corridors
• Lab/pharmacy
• Offices/conference rooms
• Schools
9
Recycled Color
Content:
36-68% O
(68% available.
on items white (WH)
1774,1775,1776)*
34%
(Fire Guard)
Performance Selection
UL Classified ANTI -
(D ACOUSTICS SAG MICROBIAL LIGHT
DIMENSIONS ceilings NRC CAC FIRE RESIST PROTECT REFLECT DURABILITY L$,>
16" Beveled 1775 24 x 24 x 5/8"
Tegular 1775SP**
El ®�)�
1775M 600 x 600 x 15mm
00...8883 Scratch -Resist
1852 24 x 24 x 5/8"
600 x 600 x 15mm
El T@1852M
1777 24 x 48 x 5/8"
600 x 1200 x 15mm
® @1.777M
16" Angled 1774 24 x 24 x 5/8"
Tegular 1774SP**
El ® @
1774M 600 x 600 x 15mm
���
853 ' 24 x 24 x 5/8" ❑ ®�)�
G) /1 ,� fZ 1853M 0 x 600 x 15mm
1-C�?G
1776 24 x 48 x 5/8"
1776M 600 x 1200 x 15mm
® @
Light reflectance values shown as averages
I
Contact your Armstrong representative for ordering
Available -0
s Op
Antenna Panels T
information on high recycled content items.
Anti odor/stain-causing bacteria treatment
coordinates With O
Speaker Panels VI)
is standard on this item '
0.50 35* Class A
0.50 35
0
0.50 35 Class A
0.50 35 Class A
0.83 Scratch -Resist
M 4A1
0.50 35
00...8883 Scratch -Resist
®
®
0.50 35 Class A
0.83 Scratch -Resist
'"•"
®
®
R
00...883 Scratch -Resist
mi
im
0.50 35
0.83 Scratch -Resist
0.50 35 Class A
0.83 Scratch -Resist
'"•"
in
® R
mi
lyJ
Fire Guard/
Sag
Anti -Mold AMi-
High Light
Fire Resistive
Resistance
& Mildew Odor/Stain
Reflectance
a dmpeMaMu
Bacteria
3 dr. Rus
q Upon gepuest
V"'e 400 qw ce
rl
hysical Data U
Aerial Backloading Recommended Suspension System DRAWING
t -formed mineral fiber Recommendation DETAIL
dace Finish Contact TechLine for specific ITEMS SUSPENSION SYSTEM (PG. 222-225)
information 1775 9/16"TRIMLOK Screw -Slot (Pg. 204) 34
:tory-applied latex paint 9/16" SILHOUETTE Boft-Slot (Pg. 200-201) 33
•e Performance Weight; Square Feet/Carton 1777 9/16" SUPRAFINE (Pg. 203) 31
ss A: Flame Spread 25 or under 1774, 1775 - 0.75 lbs/SF; 64 SF/ctn 9/16" INTERLUDE (Pg. 195) 32
Labeled) per ASTM E 1 126 r u 1776, 1777 - 0.75 lbs/SF; 80 SF/ctn 9/16" SONATA (Pg. 202) 54
Guard: A fire resistive41852, 1853 - 1.2 lbs/SF; 48 SF/ctn 9/16" TRIMLOK Screw -Slot (Pg. 204) 34
ceiling 9/16" SILHOUETTE Bolt -Slot (Pg. 200-201) 33
Bn used in applicable UL Treatment for Odor- and 1852 9/16" SUPRAFINE XL Fire Guard (Pg. 203) 31
emblies Stain -causing Bacteria 1853 15/16" PRELUDE Fire Guard (Pg. 198) 1
'TM E 1264 Classification 1 standard.
. Treat -Treatment is 1774, 1776 15/16' PRELUDE (Pg. 197, 199) 6
e III, Form 2, Pattern C E standard. Treatment available upon
request for items 1776 and 1777. Also Compatible With
:ulation Value Warranty 1775 9/16"SUPRAFINE (Pg. 203) 31
actor- 1.6 (BTU units) See pages 231-236 for details CAC 33 9/16" INTERLUDE (Pg. 195) 32
actor - 0.28 (Watts units) 9/16" SONATA (Pg. 202) 54
Seisinic Selector
�
rrstr'°^9
Arrrlstrong Suspension Systems that meet seismic requirements for all seismic risk ranges (Zone 0-4 or Category A -F or both).
FACE PROFILE LOAD DURABILITY
DIMENSIONAL
HEAVY INTERMEDIATE LIGHT
HUMIDITY/ CHEMICAL FIRE
pIK? 9/16" 15/16" 1-1/2" TEE REVEAL
SEISMIC
DUTY DUTY DUTY
CORROSION RESIST RESIST RESIST
g�pensfon Systems - General Applications
W M1ALIATUCCO/PLASTER •
}IpUME XL 9/16" • •
��
• •
XL 9/16" • •
i3
•
$�tATA 9/16" • •
•
XL 3W*
XL 15/16" •
XL Fire Guard 15/16" •
RAf1NE XL 9/16" •
a3pRAfINE XL Fre Guard 9/16" •
pi�UDE Concealed Tee •
mbn Systems -Special Applications
CLEM ROOM Hot Dipped Galvanized •
PROMIN XL
tier App tions
Pi;iEt.UDE PLUS XL •
iiri Guard 16/16"
AL PRELUDE PLUS XL 15/16" •
W 3-4 •
O,E,F ® I
' 3-4 •
AU
•
331.4 •
D,E,F IIS
•
$5 PRELUDE PLUS XL 15/16" •
4
•
*np•tNion Systems - Design Options
W M1ALIATUCCO/PLASTER •
•
3-
•
XL 3W*
hOW (grid System
DD FE FF
► hiiowinq calling systems were tested for seismic performance
3-4
® 0
to
®® y'
seismic
y Zona 3-4
1Mtflgsrld seis * forces in all zones and categories. Full scale tests cxrepna o. E a r
Sag Fire Guard
Resistance
Q
F, a 4,"WCWOIC%d following guidelines of ICBG AC
156.
<arSisn+c Mai
3dmps4lGPta
-Q
p
` 'rawci
PANEL SIZE/
(D
0
PANEL/EOGE DETAIL
LENGTH
WEIGHT
'SEISMIC INSTALLATION REQUIREMENTS
O
; .�FIDer Lay-iwTegular
y
2 x 2 2 x 4
<2 5 Lbs /SF
•
Lay-"nffegular
2 x 2, 2 x 4
<2.5 Lbs./SF
p
Vector
2 x 2
<2.5 Lbs./SF
Seismic Vector Clips are recommended to maintain
n
3
equivalency to standard lay -in and tegular ceilings for zones 3-4
(D
0)and
categories D E F y
n
Vector
2 x 2
<2.5 Lbs./SF
Seismic Vector Clips are recommended to maintain
equivalency to standard lay -in and tegular ceilings for zones 3-4
(D
and categories D E F
N
Vector
2 x 2
<2.5 Lbs./SF
requirements are integrated in the panel installation
r
6All
0
Lay-m/Tegular
2 x 2
<2.5 Lbs./Panel
C
Hook-on/J-bar
Variable
Variable
U profile installed maximum 4' O.C. Panels require minimum of
(n
_1
one clip per panel or one clip every 2' of width on the Fall -4 edge
3
Vector
2 x 2
< 20 Lbs./Panel
Seismic Vector Clips
n
Lay In Tegular
�---_.
2 x 2
< 20 Lbs./Panel
N
y I� Tegular
2 x 4
>20 and <56 Lbs./Panel
2 slack wires per panel are required
.�.. _ -Uv-in Tegular
,?�' RH'20G I -all 4 and
4 x 4
>56 Lbs./Panel
Independent support
p PPort of panel is required for all installations
9
rt
----__ 5
<10 Ft.
Seismic clips required
O !j(
Fall and 4A
<10 Ft.
Seismic clips required
"
Fall and 5
<10 Ft.
Seismic clips required
Fail 4 and 5
MOnlck
<6 Ft.
Seismic Gips required
<8 Ft.
6" or less C channel only
_
<48"
6" or greater C channel only
j2.
30" x 8 Ft.Use
with drywall grid and backloading as designed
4 x 8
8" screw spacing required with drywall grid as designed
In84ti1 On Proper suspension
system per ASTM E 580.
Contact Techl-ine
at 877
276 7876.
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Date .... . 1. c/'...7.....
AaTOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
This certifies that .........14 ...... p..........Jc. &f G........./... ........ F ..........
has permission to perform ..........0 �'.�..`/......�.:. ��F... SCSI !9
/� r
wiring in the building of ..................C...�� �..c�,n.. !/�!.. 5..............................
5-3/ e4'16
at................................ ............................... .. , North Andover, Mass.
Od
. SC
Fee ..� � -'... Lic. No ...r ... ...... ... ....................
i jS 3 ELECTRICAL INSPECTOR
Check # ;-,57a ✓ i
�'
7729
l_.ommonwea& o/ lMa66114uJeth Official Use Only
i
2cc c� Permit No. '7
epartment o/ }ire Services
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR/12.00
(PLEASE PRINT IN INK OR TY ALL INFO ION) Date:
City or Town of: %� J�Tt �� T� To the Inspector of Wires:
By, this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & Number) G;% C—IV1C %f e, /-,/ /U .
Owner or Tenant /tet C ,/�L U y ? Telephone No. 74 4 -
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
!&-re-m
Completion of the. following table may be waived by the Inspector of Wires.
No. of Recessed Luminaires
No. of Ceil: Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires.
Above In-
Swimming Pool nd. ❑ rnd. ❑
o. o Emergency ig ing
Bafteg Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
and
o. Inof itiating
Initiatin Devices
No. of Ranges
g
No. of Air Cond. Total
Tons
No. of Alerting Devices
g
No. of Waste Disposers
Heat Pump
I Number
.---...
Tons
K
...........
No. of Self -Contained
Totals:.._.
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local Municipal ❑ Other
No. of Dryers
Heating Appliances KW
urity Systems:*
s or uivalent...-
No. of Water KW
No. of No. of
Data Wiring:
Heaters
Signs Ballasts
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or E uivalent
OTHER: U 9USL
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: ! f (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE Q BOND ❑ OTHER ❑ (Specify:)
I certify, under thepains andpenalties ofperjurry-, "that the information on this application is true and complete.
FIRM NAME: RJT �r (�A %1 -r k l 7CPs CV LIC. NO.: J-I5c.,
Licensee: mar 1L-?)y0k0hW Signature � i LIC. NO.: -15C
(Ifapplicable, enter "exemt inthelicen nline.) Bus. Tel. No.: to 0 3 5�
5gd4
Address: 4, 'r E,� h TC ---14 . pkt
I S. 4 4 O 3 0 Alt. Tel. No.:
*Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OCO1`J-2--)
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (check one) owner ❑ owner's agent.
Owner/Agent
Signature i - Telephone No. PERMIT FEE. $ '7-
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