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Miscellaneous - 1275 TURNPIKE STREET 4/30/2018 (6)
8//313 A2"w Sejll-7. 0 N U -`o l Date7/N/ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that. 4 . l� �?_'- ..�E'-- ............ . has permission to perform . I. P..` ? .... . .... .............. . wiring in the building of J? r� : �" - �`.P �' ate .. �-T 5 TUr^�'. t.� ........ ,North Andover, Mass. Y�> ..... �'2-�� ELECTRICAL INSPECTOR Check # 10941 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [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 PRINT IN INK OR TYPE ALL INFORMATION) Date: '-7City or Town of: NORTH ANDOVER 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) 1275 TURNPIKE STREET po- 126-V474? Owner or Tenant BRIGHTVIEW SENIOR LIVING Telephone No. Owner's Address SAME AS ABOVE c Is this permit in conjunction with a building permit: Yes 0 No ❑ (Chec propriate box) Purpose of Building RESIDENTIAL Utility Authorization No. i 2„ 7 f 2 - Existing Service Amps / Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service 4,000 Amps 120/208 Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity No. of Air Cond. Total Tons Location and Nature of Proposed Electrical Work New Electrical and FA systems, low voltage wiring, and a temporary service during construction. Heat Totals: INumber -Completion of the following table maybe waived by the Inspector of Wires. P No. of Recessed Luminaires No. of Ceil-Susp. (Paddle) Fans' No. of ITotal Transformers KVA No tp f Luminaire Outlets No. of Hot Tubs Generators - KVA No. of Luminaires Swimming Pool Abov❑ rnd In- ❑ rnd. No. of Emergency Lighting Battery Un'ts No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposals Heat Totals: INumber ITons IKW No. of Self -Contained Detection/Alertin Devices 1 1 1 No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No `of Dryers Heating Appliances KW security Systems:" No. of Devices or Equivalent Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or E • uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent Other: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 1,440,000 (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 ele trical 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 ] BOND ❑ OTHER ❑ (Specify:) 1( I certify, under the pains andpenalties of perjury, that the information on this application is true and complete. FIRM NAME: Florence Electric. LLC LIC. NO.: A17500 Licensee: Eli Florence Signature LIC. NO.: A17500 (If applicable, enter "exempt" in the license number line) us. Tel. No.: (508) 823-5559— Address: 125 John Hancock Rd. Taunton, MA 02780 Alt. Tel. No.: *Per M.G.L. c. 147, s, 57-61, security wor requires Department ot Public SafetyLicense: Lic. No. 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 PERMIT FEE: $ Signa Telephone No. 30, U� 2 -5 cov a4A.IA eipvf ok (3 p"It 2's-'7 LIvy rn- — Z3 04 "le e 000 0 A Pell-, 9'e pal l ox, r A Ulz s. Ulz Y Its ^z, _ 1 ;vim r``� 14Z LA ai vi I �w Cxj C EEE \\ NX (�i A int° c IN )6 e �• A � Cxj C EEE \\ NX (�i A int° c IN )6 Cxj C EEE \\ NX (�i A int° c IN �r r t103 �2-� �l � L� l J � Ya3 L L3C ? ,2 3e (366 M CSC a.1 f -�,K ��d �71 Vw. I� 0 a.1 f -�,K ��d �71 Vw. Date..�D-1-/Z„ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......�".!�!i. has permission to perform ... / v .t�q ..VO ...... wiring in the building of ............... at. -S LNe h Andover, Mass. ee ..�. ic. No.. � 3.� ......... . ,r'.. u . ELECTRICAL INSPECTOR 'y Check # 6 O J-7 11152 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. C 1 /5�► now Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. ]/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ), 527 CMR 12.00 'LEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of NORTH ANDOVER 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) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? (Check Appropriate Box) Purpose of Building Utility Authorization No. Undgrd ❑ Undgrd ❑ Existing Service AIIA Amps / Volts Overhead ❑ New Service �& Amps / Volts Overhead ❑ Number of Feeders and Ampacity Al 1A Location and Nature of Proposed No. of Meters No. of Meters Completion o the followingtable may be waived bv the Ins ector nf 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 rnd. ❑ rnd. ❑ o. o mergency Lighting BatteEX Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. o Detection and . Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: I Number Tons ............. KW .........""'........ No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ElOther Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of Water KW Heaters of No. of Si ns Ballasts Signs Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: l Mo 5774 i 40 7.4 6 a W 11 12 . � d� as ttac additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work:Tl u.qy- (When required by municipal policy.) Work to Start: o / p— Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE CO GE: 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 ['BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NA — e 11R (f ('a ZP LIC. NO.: Licensee:ed,4 Signature LIC. NO.:43 6 4 J- (Ifapplicable enter "exempt,, En the ' gnse nu e 1 e) �� Bus. Tel. No.: 663'/,2.3'-_5 7% Address: /Y Alt. Tel. No.:4&3 �(p *Per M.G.L c. 147, s. 57-61, security work requires De artment of Public Safety "S" License: Lic. No. J34 q t` OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law, m ignatur below, I h eby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature - Telephone No:PERMIT FEE: $ /,1S '(�036z3 7s62 PiOk �6�3 -�3N- 66y0 /10!f.00���( vv.. 3s z 33Pt y����'b/' 1 2 "712 7 t,;, Z.I ..................................................... _ �_ I, F .e•�.' J.K .1� .•x.r., �ix .� `AY-.. . :.'•�,••. r • sx r x.l� +11.'''•R.i I :'111.: ,It .-.- '1- .( i i . .1',;.• �1. , + , .. •Z i �r 4t0 lAu'. .., 1:.ti r.t1 ' ' 1 , i Date. . %b�%Z: . 9479 pf<NpRTh,�p TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING •�1 +O•+no n0�(4 ,SSACMUS� �. This certifies that .. /! r J.�P� . !?!��. .......... l ... ,.40rohas permission to perform plumbing in thebuildingsof .. !" �1.�l� ......... ..... . at. 7,S'" . ,f v� � ..5� . orth Ando - r, Mass. Fee` /074. ic. No.,1ZY&Y ....... PLUMBING INSPECTOR Check # Z�c `, -C—\ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK U'r P TYPE OR PRINT CLEARLY CITY 0KrH AVb011617 MA DATE PERMIT# JOBSITE ADDRESS 17-75, / c�iYiJ?r1C �r. OWNER'S NAME %3i71h1y-r 111F_y1 21b IJ• Cwonas s r. T�. t,. OWNER ADDRESS 1 Ayf/r9 mus � ell zlzci TEL 010 Z'//®" 7`/7S` FAX OCCUPANCY TYPE COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL ❑ NEW: jk RENOVATION: ❑ REPLACEMENT: ❑ PLANS SUBMITTED: YES �( NO ❑ FIXTURES Z FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE z, / DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOIUSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER / DRINKING FOUNTAIN FOOD DISPOSER FLOOR I AREA DRAIN Q 8A INTERCEPTOR (INTERIOR) KITCHEN SINK 33 ZZ 46 LAVATORY 13 1 #3 S'& ROOF DRAIN SHOWER STALL �Z SERVICE I MOP SINK TOILET ZL URINAL WASHING MACHINE CONNECTION ;3 le WATER HEATER ALL TYPES WATER PIPING OTHER I have a current liability insurance policy or IF YOU CHECKED YES, PLEASE INDICATE THE LIABILITY INSURANCE POLICY ❑ OWNER'S INSURANCE WAIVER: I am aware Massachusetts General Laws, and that my ' SIGNATURE OF OWNER OR INSURANCE its substantial equivalent TYPE OF COVERAGE OTHER TYPE that the licensee signature on this permit AGENT COVERAGE: which meets the BY CHECKING THE APPROPRIATE OF INDEMNITY ❑ does not have the insurance application waives requirements of MGL Ch. 142. YES ❑ NO ❑ BOX BELOW BOND ❑ coverage required by Chapter 142 of the this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ I hereby certify that all of the details and information and that all plumbing work and installations performed Massachusetts State Plumbing Wk"14CodeandChapter NAMEg�� MP IV JP ❑ 1 % :OMPANY NAME � /J PC'f'kfI :ITY 473C40 6300ZO- 4Z/ CELL I have submitted under the permit 142 of the General CORPORATION j't'c� L STATE (.006i MZ or entered regarding this issued for this application Laws.PLUMBER'S LICENSE # ❑ # 206 PARTNERSHIP ADDRESS G%r ZIP 04,0.33 3&14- EMAIL -rmligo'l application are true and accurate to the best of my knowledge will be in mpliance withl Pertinent provision of the SIGNATURE ❑ # LLC ❑ # 0.4ofl �� % eq r N��I TEL &V � G�33 '. .3S (9 CoAl H ui W LL c Cl ~ �e� J S V h f- a- 40 c Cl r 4 The Commonwealth of Massachusetts Department ofIndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 UT www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name (Business/Organization/Individual): /Gf�%�T r� �G tl'1�i✓ / G <i2. �t✓L . Address: ZI3 (%,doo City/State/Zip: y LllS ,✓7i y� CT. 0&03-TPhone #: M& o (s 3 3 301 Are you an employer? Check the appropriate box: 1A I am a employer with 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. I 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 required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6.A New construction 7. E] Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13. ❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they aie doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. F &W276& Oy,�A(GF C O . Policy # or Self -ins. Lic. #: C% L 400000 4''00 O Expiration Date:_ _ /✓®%r%' Rzo-q Yf�� Job Site Address: 1 Z % � �'gYPi 1*C �T. City/State/Zip: Hi kS 1946j`I r Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required.under Section 25A of MGL c.152 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 to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify unJJa dia sins and penalties of perjury that the information provided above is true and correct. Official use only. Do not 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 #' Informati®n and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employerIs defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a j oint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced -acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 1 . . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used asa reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or' -permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth ofMassachusetts Department of Industrial .Accidents Office of Investigations 600 Washington Street Boston, NMA 42111 Tel. # 617-727-4900 oxt 406 on 1-877rMASSAFE Revised 5-26-05 Fax # 617-727-7749 vvwv.znass,govfdia PRO CON4 INCORPORATED Design and Construction Management July 25, 2012 ' Town of North Andover Building Dept. Attn: Mr. Richard Danforth — Plumbing Inspector 1600 Osgood St. North Andover, MA 01845 Re: Brightview Senior Housing —1275 Turnpike Street Piping Materials Dear Mr. Danforth, I understand that you have requested confirmation from the Architect that the piping materials specified by the Plumbing Engineer for the above noted project are in compliance with 248 CMR Massachusetts Uniform State Plumbing Code. Specifically that they comply with section 10.06/(o) which allows for the use of PVC plastic pipe and fittings in certain building types. It is my professional opinion that this facility does comply with the code as it is an assisted living facility, which is specifically listed as an acceptable building type. Please note this building is not a nursing home or hospital, where the use of PVC plastic pipe for drains, waste and vent piping would be prohibited. If you have any questions or comments please do not hesitate to contact me. Sincerely, /Ull/ Erik D. Anderson, AIA Project Architect - Pro Con Inc. cc: Gerald Brown — Bldg. Inspector John Wood, P.E. Mike Callihan Jim Loft, AIA lVo. 30698 o BEOFOM NH. "►��(ro OF Mi�s� Professionals Seal PRO CON, INC. A Stebbins Company P.O. Box 4430 Manchester, NH 03108 603.623.8811 Fax 603.623.7250 www.proconinc.com PRO CON# INCORPORATED Design and Construction Management June 5, 2012 Town of North Andover Building Dept. Attn: Mr. Rick Danforth - Plumbing Inspector 1600 Osgood St. North Andover, MA 01845 Re: Brightview Senior Housing -1275 Turnpike Street Piping Materials Dear Mr. Danforth, I understand that you have requested confirmation from the Architect that the piping materials specified by the Plumbing Engineer for the above noted project are in compliance with the Massachusetts Uniform State Plumbing Code. After reviewing this with John Wood P.E. of Allied Consulting Engineering Services, Inc., the engineer of record, I agree with his letter dated June 5, 2012 stating that the piping materials called out on the engineer's drawings do comply with the applicable code. His letter is attached herein. If you have any questions please do not hesitate to contact me. Sincerely, _,xa T /(,- Erik D. Anderson, AIA Project Architect - Pro Con Inc cc: Gerald Brown — Bldg. Inspector John Wood, P.E. Mike Callihan Jim Loft, AIA No�3OW6) BEDFORD, H. Design Professionals Seal PRO CON, INC. A Stebbins Company P.O. Box 4430 Manchester, NH 03108 603.623.8811 Fax 603.623.7250 www.proconinc.com F.115nells ALL1191D consulting engineering services, inc. Hart Mechanical June 22, 2012 Post Office Box 803 Glastonbury, Connecticut 06033 Attention: Mr. Tyler Miller Subject: Brightview North Andover Piping Materials The piping materials and systems as identified on the design documents for the Brightview North Andover assisted living facility are in full compliance with the Massachusetts Uniform State Plumbing Code throughout the structure's entirety including but not limited to cast iron sanitary drainage serving commercial areas as required by code and poly vinyl chloride piping serving areas as permitted. Copper water and cast iron drainage piping will be installed to serve the following commercial areas: 1. Women's restroom 123 2. Men's restroom 124 3. Mechanical Room 226 4. Water Room 225 5. Commercial Laundry 227 6. Commercial Laundry 228 7. Commercial Kitchen 231 8. Servery 276 9. Janitor's closet 218 10. Staff Lavatory 217 11. Women's Lavatory 216 12. Men's Lavatory 215 13. Men's restroom 253 14. Women's restroom 254 15. R, Pub 251 16. AZ Dining 331 Drainage piping in all other areas will be provided as Poly Vinyl Chloride (PVC) piping as permitted by 248 CMR 10.06(o)2.b. Domestic water distribution piping will be provided as Chlorinated Polyvinyl Chloride (CPVC) in all other areas to the extent permitted by 248 CMR 10.06(m)5. If you require any additional information, or if we can be of further assistance in this matter, please do not hesitate to contact this office. Sincerely, John Wood P.E. 215 Boston Post Road, Sudbury, Massachusetts 01776 H:\41380-89\41380\PLBG\41380-Prohg�,w.wsm (978) 443-7888 Fax: (978) 443-4836 alliedconsuking.net v Andy 11 W, )70 not 1 is' A -N W A& qW" 4; T)KOZ.100 Q h: m W) ! AM- Q it PAWN a NMUO V"a' 01 Ian., il It numaw 1 TL 7 A wo, W: ice fit wly"t- gilh. v Andy 11 W, )70 not 1 is' A -N W A& qW" 4; T)KOZ.100 Q h: m W) ! AM- Q it PAWN a NMUO V"a' 01 Ian., il It numaw 1 TL 7 A wo, K fit WAS, A'. 111 Ai A R& onyx, '"Nov IV; s. AAvnqW Ti A, dqS ,v Ov K mu m nwh AS -A Pli isI! 1011VOW00 qd aW lu a I ;m 3n Y a,, no! MMI ho w0bu if 1.--, PRO CON# INCORPORATED Design and Construction Management July 25, 2012 Town of North Andover Building Dept. Attn: Mr. Richard Danforth — Plumbing Inspector 1600 Osgood St. North Andover, MA 01845 Re: Brightview Senior Housing —1275 Turnpike Street Piping Materials Dear Mr. Danforth, I understand that you have requested confirmation from the Architect that the piping materials specified by the Plumbing Engineer for the above noted project are in compliance with 248 CMR Massachusetts Uniform State Plumbing Code. Specifically that they comply with section 10.061(o).which allows for the use of PVC plastic pipe and fittings in certain building types. It is my professional opinion that this facility does comply with the code as it is an assisted living facility, which is specifically listed. as an acceptable building type. Please note this building, is nota nursing home or hospital, where the use of PVC plastic pipe for drains, waste and vent piping would be prohibited. If you have any questions or comments please do not.hesitate to contact me. Sincerely, 1 Erik D. Anderson, AIA Project Architect - Pro Con Inc. cc: Gerald Brown — Bldg. Inspector John Wood, P.E. Mike Callihan Jim Loft, AIA Professionals Seal PRO CON, INC. n Stebbins Company P.O. Box 4430 Manchester, NH 03108 603.623.8811 Fax 603.623.7250 www.proconlnc.com ALLIMOD consulting engineering services, inc. Hart Mechanical June 5, 2012 Post Office Box 803 Glastonbury, Connecticut 06033 Attention: Mr. Tyler Miller Subject: Brightview North Andover Piping Materials The piping materials and systems as identified on the design documents for the Brightview North Andover assisted living facility are in full compliance with the Massachusetts Uniform State Plumbing Code throughout the structure's entirety including but not limited to cast iron sanitary drainage serving commercial areas as required by code and poly vinyl chloride piping serving areas as permitted. If you require any additional information, or if we can be of further assistance in this matter, please do no hesitate to contact this office. rel -(k OF J hn W OHN odP.E. WOOD yrn U MECHANICAL No. 45670 215 Boston Post Road, Sudbury, Massachusetts 01776 H:\41380-89\41380\PLBG\CALCS\413eo-pipingmalerials.doa (978) 443-7888 Fax: (978) 443-4636 alliedconsulting.net wr"RO CON INCORPORATED* Design and Construction Maw etnent June 5, 2012 Town of North Andover Building Dept. Attn: Mr. Ricic.Danforth — Plumbing Inspector 1 600 Osgood St. North Andover, MA 01845 Re: Brightview Senior Housing —1:275 Turnpike Street Piping Materials Dear Mr. Danforth, I understand that you have requested confirmation from the Architect that the piping materials specified by the Plumbing Engineer for the above noted project are in cornpliance with the Massachusetts. Uniform State Plumbing Code. After reviewing this with John Wood P.E. of Allied Consulting Engineering Services, Inc., the engineer of record, I agree with his letter dated June 5, 2012 stating that the piping materials called out on the engineer's drawings do comply with the applicable code. His letter is attached herein. If you have any questions please do not hesitate to contact me. Sincerely, /L - Erik D. Anderson, AIA Project Architect - Pro Con Inc cc: Gerald Brown — Bldg. Inspector John Wood, P.E. Mike Callihan Jim Loft, AIA No, 30638 Offs 0A0, NFt. Professionals Seal PRO CON, INC. A Stebbins Company P.O. Box 4430 Manchester, NH 03108 603.623.8811 Fax 603.623.7250 www.proconinc.com I A4� L L I Eel consulting engineering services, inc.I Hart Mechanical Post Office Box 803 Glastonbury, Connecticut 06033 Attention: Mr. Tyler Miller Subject: Brightview North Andover Piping Materials June 22, 2012 The piping materials and systems as identified on the design documents for the Brightview North Andover assisted living facility are in full compliance with the Massachusetts Uniform State Plumbing Code throughout the structure's entirety including but not limited to cast iron sanitary drainage serving commercial areas as required by code and poly vinyl chloride piping serving areas as permitted. Copper water and cast iron drainage piping will be installed to serve the following commercial areas: 1. Women's restroom 123 2. Men's restroom 124 3. Mechanical Room 226 4. Water Room 225 5. Commercial Laundry 227 6. Commercial Laundry 228 7. Commercial Kitchen 231 8. Servery 276 -_9. Janitor's closet 218 Al 0. Staff Lavatory 217 11. Women's Lavatory 216 12. Men's Lavatory 215 13. Men's restroom 253 14. Women's restroom 254 15. IL Pub 251 16. AZ Dining 331 Drainage piping in all other areas will be provided as Poly Vinyl Chloride (PVC) piping as permitted by 248 CMR 10.06(o)2.b. Domestic water distribution piping will be provided as Chlorinated Polyvinyl Chloride (CPVC) in all other areas to the extent permitted by 248 CMR 10.06(m)5. If you require any additional information, or if we can be of further assistance in this matter, please do not hesitate to contact this office. Sincerely, John Wood P.E. 215 Boston Post Road, Sudbury, Massachusetts 01776 H:\41380-89\41380\PLBG\41380-pipingmatedals.doc (978) 443-7888 Fax: (978) 443-4636 alliedconsulting.net 248 CMR: BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS 10.06: continued iii. PEX tubing and fittings are not to be used for steam flushing of water purification systems. Only type 316 stainless steel tube and fittings shall be used for this purpose. . 8. Polybutylene or polyethylene tanks when used for Storage Heaters and when the tanks have been reinforced with a Product -Approved material. 9. 316 stainless steel tanks when used for storage heaters. 10. Polybutylene, polyethylene, natural polypropylene, Type 1 Grade 1 polyvinyl chloride meeting ASTM standard D 1784 and D 1785, schedule 40 or 80 and cross- linked polyethylene shall be used for the purpose of conveying reverse osmosis purified water from a point of purification to a final point of use. 11. The use of a Product -Approved polypropylene homopolymer drain tube assembly that is designed to be vertically mounted in the downturned outlet of a horizontally mounted relief valve provided that the capacity of the relief valve served by the approved drain assembly does not exceed 100,000 BTU per hour. 12. Any pipe, valve, pipe fitting, aerator, or faucet used in a potable water system shall not contain more than 3% lead. (n) Pipe, Fittings and Gaskets. Resilient gaskets specified for use with cast iron soil pipe shall be marked as follows. 1. The exposed lip shall be marked clearly and legibly to include: a. Manufacturer's name and/or registered trade -mark; b. Neoprene; c. Date of manufacture; and d. ASTM'standard. 2. Gaskets for service weight cast iron soil pipe shall bear the letters "SV" on the exposed lip. 3. Gaskets for extra heavy cast iron soil pipe shall bear the letters "XH" on the exposed lip. (o) PVC Plastic Pipe and Fittings. Tq following requirements apply to PVC plastic pipe and fittings. 1. 'PVC shall not be used for drains, waste or vents in commercial kitchens, laundry rooms, public toilet facilities or other commercial areas located in assisted living facilities, hotels, motels, inns or similar establishments, except where provided for elsewhere in 248 CMR 10.06, i.e. 248 CMR 10.06(2)(0)2. 2. PVC, Schedule 40 Pipe and Fittings, may be used for the drains, waste and vent piping that serve the sanitary or storm drainage systems in the following buildings: a. residential dwellings; b. assisted living facilities; c. hotels; d. motels; e. inns; f. condominiums; and g. other residential buildings that are similar to 248 CMR 10.06(2)(o)2.a. through 10.06(2)(o)2.f. and that are no greater than ten stories in height. 3. Limited use of PVC for Commercial Buildings. PVC pipe and fittings may be installed for limited purposes in commercial buildings or establishments, provided that the following requirements are satisfied. a. PVC is used for the drains, waste, or vents when the piping serves only the fixtures that are necessary to accommodate waste generated as a direct result of the conduct of business that is particular to the type of commercial establishment itemized in 10.06(o)(3)b. b. PVC Schedule 40 may by used in the following buildings: ` i. beauty salons; ii. barber shops; iii. manicure salons; iv. pedicure salons; v. photo -labs; and 3/11/05 248 CMR - 127 10.06: continued 248 CMR: BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS vi. in commercial buildings that incorporate patron areas for the purpose of serving alcohol, soda or other similar carbonated type beverages where the carbonated liquid waste shall drain directly into a floor sink or floor drain. c. The PVC Schedule 40 shall be installed in compliance with the following: i. No PVC schedule 40 pipe and fittings may be used for the toilet fixtures and other plumbing connections in the building. ii. The piping shall be connected to a main drain or branch drain from other fixtures to provide a point of waste dilution. iii. A label shall be affixed at the point of dilution that reads "Limited Use Waste Drain" in one inch high lettering shall identify the piping. iv. The vent piping from the fixture discharging the waste shall extend to a point six inches above the flood rim of the fixture and then shall re -transition to cast iron or copper piping material as used throughout the rest of the commercial building. 4. Use of PVC Schedule 40 for Dialysis Equipment. Type 1 PVC pipe and fittings may be used as indirect waste piping for dialysis equipment in medical buildings. 5. PVC Schedule 40 perforated pipe may be used for subsoil drainage in commercial buildings. 6. Pipe and Fittings shall be manufactured 'from Type I, Polyvinyl Chloride (PVC) materials having a deflection temperature of 169°F under a load of 264 P.S.I.G. when tested in accordance with ASTM D-648. . 7. PVC materials shall be classified as self -extinguishing when tested in accordance with ASTM D-635 and have a flamespread rating of 0-25 when tested in accordance with ASTM E-84. 8. PVC materials shall meet the requirements of ASTM, CS, and/or NSF Standards. 9. At the request of the Board, the manufacturer of PVC pipe shall submit to the Board the results of tests conducted by an Approved -testing -lab in compliance with 248 CMR 3.00. 4 10. Identification of PVC Pipe. a. The pipe shall be in a light color such as beige, buff, grey, white, cream, and shall be marked in accordance with listed standards. b. The following Listed Standards shall appear on opposite sides of the pipe: Schedule 40, "Size", PVC, DWV-NSF stamp of approval, manufacturer's name and registered trademark, Type and Grade. 11. Pipe and Fittings. a. Identification of Fittings. Fittings shall be in light color as for pipe and shall bear the following markings by molding on the body or hub: i. Manufacturer's name or registered trademark; ii. NSF-DWV stamp of approval; iii. PVC 1; and iv, Size. b. Use PVC fittings ONLY with PVC pipe and ABS fittings ONLY with ABS. NEVER use PVC solvent weld on ABS pipe or ABS solvent weld on PVC pipe. 12. Transition Fittings. Fittings used to connect PVC to other Product -approved materials shall meet the proper standard and comply with the requirements of 248 CMR 3.04: 13. Installation. The following installation requirements and procedures shall be followed when assembling PVC and ABS piping materials. a. Solvent Welded Joint. i. Clean joining surfaces of pipe and fitting with PVC primer. ii. With a natural bristle brush one inch or larger, apply a heavy coat of solvent cement to the pipe joining surface and then a light coat to the socket joining'. surface. iii. Immediately insert the pipe to the full socket depth while rotating the pipe fitting 1/4 turn to insure even distribution of solvent cement. iv. Wipe excess solvent cement from the outside of the pipe at the shoulder of the fitting. 3/11/05 248 CMR - 128 Date .. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that 0oc'�iropIC}�05,'2avpG.,S '3 rc�oa Pt, has permission for gas installation.. 1YQPA., in the buildings of. •.,•„••••..••....•..... at . �� `� • Vl�� 1 u� �.. • • • • • •� .... �......... . ,North Andover, Mass. �Z�1ln� A Fee ..l.Ms.. �.. Lic. No.......... . Mls ................... .. . GASINSPECTOR Check `t nA MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY _// %/✓�oUF� MA j��PERMIT# e.�O _ DATEM JOBSITE ADDRESS 1 Z -7,�- rtAZ / ?/)(e _ OWNER'S NAME 3 PC I k GOWNER N 3A ADDRESS Z/6 C W471z E'S , V. -I M TEL FAX TYPE OR PRINT OCCUPANCY TYPE COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIALX CLEARLY NEWX RENOVATION: ❑ REPLACEMENT: ❑ PLANS SUBMITTED: YES NO ❑ APPLIANCES Z FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE - DIRECT VENT HEATER DRYER FIREPLACE 3 FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT / OVEN 1, POOL HEATER ROOM / SPACE H . ATER ROOFTOP UNIT ZS s TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER" OTHER O iZ INSURANCE COVERAGE I have a current liabili insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES ❑ NO ❑ I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY X OTHER TYPE INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in lance with all P rtinent prov�f the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ::� PLUM BER-GASFITTER NAME CJ�jj -/ P(,-P'IC LICENSE #/1-74o � SIGNATURE MP [X MGF ❑ JP ❑ JGF ❑ LPGI ❑ CORPORATION $# ZY11C PARTNERSHIP ❑ # LLC ❑ # COMPANY NAME /-/ &,- H6,4W6 L ADDRESS /93 0 4K W-00) CITY i✓ 3y,7 f/ STATE ZIP 666 3.3 TEL(9&0) & 33 - 3 3 53 FAX&00) ZSD'SNZ/ CELL�7Z4.,- 30G EMAIL nA a 1 w F O z z O F v w a. U) z a z 0.4d w °❑ � Z z o ❑ � w � ~ w O O w v W :m z 3 Aw z a wLU > ow U) a 9z w a 0 w d w N a (� ZO a+ a a � U �.r �r J F, a a w � w = w H LL F'^ O z z 0 H U W a z d m 0 .�,ivision of Professional Licensure: License Search The Official Website of the Office of Consumer Affairs and Business Regulation (OCABR) Division of Professional Licensure Mass.Gov Home State Agencies A -Z Topics Home > Division of Professional Licensure > Check A Professional License By the Division of Professional Licensure LICENSEE Name:GARY F. WELCH, HOLYOKE, MA ..This Licensee has additional Licenses, click here to view them."" Licensing Board: PLUMBERS Et GASFITTERS License Type: MASTER PLUMBER License Number: 12965 Status: CURRENT Expiration Date: 5/1/2014 Issue Date: 10/26/1999 Exam Date: 9/11/1999 School: This web site displays disciplinary actions dating back to 1993. This license has had disciplinary actions taken during this time. Click here to view this information. The page above has been generated by the Division of Professional Licensure web server on Wednesday, April 24, 2013 at 2:47:39 PM. © 2007-2011 Commonwealth of Massachusetts Page 1 of 1 Mass.Gov ONLINE SERVICES Check a License Locate a Licensed Professional Online Address Change Contact the Agency More... REFERENCES & RELATED INFO Disclaimer Regarding Website License Searches Enforcement Process Glossary Glossary of License Status Codes More Site Policies Contact Us http://license.reg. state.ma.uslpubLiclpubLicenseQ.asp?board_code=PL&type class=_M&1... 4/24/2013 o �� =r o a y0= y � d O CD � CD a d 3 Y m D pp= O cn o Q CD N O w cn r WARD MANUFACTURING 176454 C � i - 'Training Certificate + TIRs is to cert that i Paul Copson has successfu(Cy comp(etdthe + { 'N'ARDFLEX 7nstafition Training Session. 1 �� June 23, 2010 Lhte 1Varc�'Mant factun:n�, 9�u. t Welder Re -Qualification Record Data of Test: 05/25/2012 Welder Name & IDS: Rids Gates - A92 National Grid Spec. 03002"L Weng Procedure (WPS): SMAW- E601MO10 D.H. Company: Neuco Coda Specification: API 1104 Location: River Rd. Lawrence State. MA Time of Day: 8:00 am Temperature: 60 F Weather Conditions: Outdoor Welding Time 1 HR Position: 2G Wind Break Used: No Amperage. 100.120 Voltage: 20-25 Welding Machine: Miller PipePro Sim: 304 Mstarial Grade Pipe 1: ASTM Al 06 GR B Pipa 2: ASTM A106 GR B Thickness Pipe 1: 0.25 Pipe 2: 0.25 Fillet Weld Sin to 7018 urr" Pipe Diameter: 6' Wald Reinforcement (Cap): 1116 Bead # 1 2 S d S 6+ Elec. Size: 1/8 6/32 5/32 502 Eitc. Type: E6010 E7010 E7010 E7010 Inspector Name: (prdd) John Fiske Visual Inspection accepted by Inspector: NO name) Data. 05/25/2012 Send coupon to nraopreph intqrecfion prodder v M copy of #6 j. 4 to ULD for proces*V, Test Resuits Radiograph or magnetic particle reports verified and loceptablo: (signetwe) Date: 05/25/2012 "am (,dA, John Fiske I Month successfully completed: Date: L&D signfine) nationalgr d Thi Power G` nt O i Has complied NNqth the- require-ment,-, of AWS QC1, Standard for AWS Certification of Welding lnspector&, with-, With outX eye correct -ion. color blind 2OM-91. VW�� 'dent Cevffic24e Number CSi julv 12015 AWS Certification Cb;ijr' Expiration.Date To confirm the cumcmt ceffification of this cm-dbolder. call Alf S Certification Dept., 1-305-4-43-9353, Process Filler Metal ANNS ASME API SN'MW_UH E7018 IN SE RVICE E7018 SMAW-UH E-109-16 SMAW —DH E6010/7010 SMAW —DH E801OG GMAW-UH R70S-6 GMANV-Dli ER'70S-6 GTAW ASME P1 GTAW AS ME PS To confirm the cumcmt ceffification of this cm-dbolder. call Alf S Certification Dept., 1-305-4-43-9353, 550 N.W. LeJeune Road, Nbanil, FL 3 )3126 NOTfF- It is rhe q itsponsibility the cardholder to if CeafflCation Dept. of address changes. accepibi ae- Date, 05125,120,12 John Fiske. Kame (print), 6 Month successfully completed, Date: (L&D sf_gnatiure) nation �A�t nalwid > -- — — — — Inches s — *M x IQI — — — — — j — — — F C Wall Trikkness OT (D V 44 LT 11C E171 CM 0 --I J— f"grity rD fioerlwfl H3 Tr rlllmt,-x'j It V *I I I I r"t��1 IC1 This is to certift, that NAME: Rick Gates Welder ID # A92 Has successfully comp=leted the processes listed and is authorized to Weld in accordance with applicable codes and National Grid Operating Procedures. Expiration Dates Noted on back of card Qualified By : John Fiske Authorized By - Ralph Bava,ro a Ameflacan %moding SMOSRU Certifies Thai WELDING IN SPECTOR T N/A NLA BLACK LIGHT INTERVY MsTAfrn N/A Fw/-' N/A —,-mfwm. IVA SIGIMMES POST CLEANING INSPVCtOR 5/25/2012 ora s: NLA,, N/A -- -------- N/A —1 UIR!ho'. MIA rlllmt,-x'j It V *I I I I r"t��1 IC1 This is to certift, that NAME: Rick Gates Welder ID # A92 Has successfully comp=leted the processes listed and is authorized to Weld in accordance with applicable codes and National Grid Operating Procedures. Expiration Dates Noted on back of card Qualified By : John Fiske Authorized By - Ralph Bava,ro a Ameflacan %moding SMOSRU Certifies Thai WELDING IN SPECTOR T Fest ftsuft Radiograph car magnetic particle report verified and acceptable: (signature) _ date. 0512512()112 Name (print): ,tgl3n 1`'is�e 6 Month successfully completed: Date: (L&D signature) national flF CA''romt?; National t -e F ra � o Y 1 z' 2312 P=EC? M&Y—aag""Qt1' alifi ion I:jGiOF C13mF+{?s' �- r R - w1eld JOB ftR. Gates A52 "CARTV New We NO: tvwremr, MA. t PE i EQLlI a'Eh 1. X1,7{: `.E'wX, - Cz li's�i�i�-Sftl KAp div:, PY-1. srv�.0 su PAO corflxro . As Welded s �S ltd A#E�ltL�t _ .... ... 114A.�°i6Qy�q�t�C'�Ia.... � z�r ryr�rx Vislblc y�rs.E;ar , y� ..y 1 �yh( j[`¢/p �]�{� p�� e-' j `T:"�eef.%Y 1. t I Ci5vtc• API 1+A.04. ,60th �ition :.'s!!e%E: 7M1 if flux mommm'10E 3+DE4 :A0i Rev, 3.3 IroemrE 4,2.4.1. $A. Red K01124 Acceptable !rr=o*tm None WIRRMCHARACTERIOCS AS PEOLIESTE , OY POWDER, MAGNETIC RAR'ncu, INSPECTION W S Wit: AC THE FOLLOWING WELDS: s t ar: MAXIMUM 314" Fillet, welded by Rick Gates A92 ESITtV`Y VERIFIEO BY EWWW'. Pre auge rCWqPWHT NO: P-1 Ox MA SC, FIEW VEMED BY RESULTS: ALL WELDS INSPEM-, WERE FOLIND ACCEPTABLE TO CODE AND mmmm. GAUSS METER SPECIFICATION ATTi E Of ;NSPECTtO faww in mo: OFMAGEWTION e MIA Welder - u ' -cation Record } Date of, Testi t241201Weider Name & 1.17: Rick Gates A92 1 Nationat Grid Spec, 0020- L Welding Procedure ) SMA - lE7018 U,H, � �-i ny: Neur.0 Code specification. API 1104 Location: Lawr n State: M, A Time of Day: g-30 ars Temperature- 60 f j Weather Conditions: OutdoorWei-ding Time .8 hr PQsiti= 5G 1{ Wind Break Used: No ,Amperage. 1QO-120 Voltage, 20 - 25 { Welding Machine: h0ler PipePro Size: 304 Material Grace Pipe 'i: ASTM Al 06 Gly 9 Pipe : � Thickness Pipe 1. 0,28 Pipe 2: Fillet Weld Size 1/4- 1 JE,-2reUHOnyj Pipe Diameter: 6' Weld Reinforcement (Cap): Bead # 1 2 4 5 6* !Alec. Size: 18 Elec. Type: E7018 E7018 E701 1 Inspector Name: (pri tf _ Johr Pisl<e Visual Inspection accepted by Inspector: (sign narnp) fate; 05,P24/2012 Send coupon to radiograph inspecl;on pToviees wilh copy of this fo � td orvilai tc L O for as sing. Wally Rvan From: Liz DiTommaso <liz@arc-fire.com> Sent: Tuesday, July 09, 2013 12:20 PM To: Wally Ryan Subject: Brightview North Andover Hi Wally, Per discussion, below is the information that you requested for each fireplace; MA Approval, pipe run and model We will be onsite tomorrow to finish unless the rain pours down. Library, Room 132: Heat & Glo 6000C -IPI MA Approval Code: G3-1210-274 Pipe: Qty 8 4' sections Qty 4 90® Elbow Qty 1 45® Elbow Qty 2 12" adjustable Qty 3 12" section Qty 1 6" section Qty 2 4" section Qty 1 2' section Qty 1 vent Qty 1 Power vent & wiring harness IL Living, Room 250: Heat & Glo 6000C -IPI MA Approval Code: G3-1210-274 Pipe: Qty 2 4" sections Qty 1 12" section Qty 1 900 Elbow Qty 1 12" adjustable Qty 3 4' sections Qty 2 4511 Elbow Qty 1 vent IL Dining, Room 246: Heat & Glo ST-36TRB-IPI MA Approval Code: G1-1208-208 Pipe: Qty 17 4' sections Qty 7 90® Elbow Qty 1 12" section Qty 1 3' section Qty 4 12' section 1 M 4 Qty 1 12" adjustable Qty 1 6" section Qty 1 Flashing Qty 1 Cap Qty 3 Firestop Qty 1 Power Vent & Wiring Harness AL Living, Room 213: Heat & Glo 6000C -IPI MA Approval Code: G3-1210-274 Pipe: Qty 4 45® Elbow Qty 1 90® Elbow Qty 2 4' sections Qty 2 2' sections Qty 1 12" adjustable Qty 2 12" section Qty 1 vent ZZ 'IBX�O1I1yJIGlS'O Sales Architectural Fireplace of New England, Inc. 15 Colonial Drive East Hampstead, NH P: 603-362-0020 F: 603-362-0022 www.arc-fire.com 2 TO � DATE) '�AM P FROM PHONE( ) H' CELL ( �r) OF FAX ( ) pOpH� Itl E .....E m M s s E A �r G E Q E-MAIL DRESS SIGNED PHONEDg YOU ❑ WILL CALL ❑ BACK CALL RNED ❑ WAS IN ❑ URGENT ❑ SEE AGAIN 11/08/2012 09:42 FAX 186063 i w P.O. Bog 803 Glastonbury, CT 06033 Phone: 860 633-3353 Fax: 860 633-3375 Fax Cover Sheet 33375 HART MECHANICAL, INC. To: Steve Galinskir, Plumbing and Gas Inspector Company: Town of North Andover Fax: 978-688-9542 Phone: From: Tyler Miller Date: 11/8/12 Page i of 3— including this 4 over page. Originals will not follow: 6 Originals will follow by: O Mail ❑ Fedex ❑ UPS Subject: Brightview Senior Living —1275 Turnpike St. North Andover, Good Morning Mr. Galinsky, Please see the attached docul Section 18 Classification of a The information presented w,, www.mass.gov www.malegislature.gov If you have any questions Tyler Cr License #P1204872. F1 40359 & S1 MA License #2819C, SC103876 & 2253 NJ License #36B100557900, 154176 Oneumentl .nts in regards to the above mentioned r isted living residences. gathered from the websites listed below: e don't hesitate to call, 508-726-3696. [A 001 /004 jeot and in reference to Chapter 191): P.O. Box 803 Glastonbury, CT. 06033 Phone 860-633-3353 FF 75 11/08/2012 09:43 FAX 18606333375 HART MECHANICAL, INC. Z002/004 LG,L,, - ChaOter 19d, Section 18 h I://www.mass.gov/legs/laws/mo/l9d/19d-18.htm The General Lamds of Massachusetts) 00 Ta N fon Previous Section PART I. ADMINISTRATION OF THE GOVERNMENT Qt"ff2ble ofContente (91192Mh Page Genera! Court Home TITLE 11. EXIECU AND ADMINISTRATIVE OFFICERS OF THE rAsss. ov COMMONWEALTH CHAPTER 19D. ASSISTED LIVING Chapter 191): Section 18. Classification of assisted living residences Section 18. (a) Assisted living residences shall not be subject to the provisions of sections twenty-five B to twenty-five H, inclusive, section fifty-one and sections seventy E to seventy- ee B, inclusive, of chapter one hundred and eleven or the, seventh full paragraph of section nine of chapter forty A of the General Laws. (b) No person or residential f cility offering, providing or arranging for the provision of assistance with or supervision of instrumental activities of daily living only shall be required to obtain certification under this chapter or a license pursuant 1 io section seventy-one of chapter one hundred i aid eleven of the General Laws. (c) For the purposes of this chapter, and any other general or special law classifying real estate property for the purpose of taxation, and r otwithstanding the provisions of section twenty-seven C of chapter twenty-nine of the General Laws, a municipality shall classify the portion of any building operated as an assisted living residence in the same category as property held or used for human habitation. 11/08/2012 09:43 FAX 18606333375 HART MECHANICAL, INC. IA003/004 Qeneral Laws: CHAPTER 9D, Section 1 Page 1 of 2 111H me ClmeAry FAQs 'f.lii;�lg'J GSNL,Rai,CatllrrD�- sits nwrch� Tl E COMMONWEALTH OF MAxsS.ACHU F.?n.S options C Mese;ehusmlt: Laws - 6111e State Budget people Committees Educate Engage Events Redistricting Massachusetts Laws General Laws Maseachuaetls Constitution printpage ! PART I ADMINISTRATION OF THE GOVERNMENT General Laws (Chaptera 1 through 162) i PREV NEXT TIT ! II EXECUTIVE AND ADMINISTRATIVE OPRICERS OP THE Rules i CO MMOM WeAtTH PREV NEXT i ! CHAPTER 19D ASSISTED LIVING ! PREV NEXT �.... .. �.... . .......�.�_.._............. .. . ............... ... .... ..... .. . ...... .. ............... . .............. _._.. _.._........_.��.y S ion i Deflnitlons PREV NEXT .... .... ..... ....... .. ....... ........ ........ . .. Section 1. When used In this chapter, unless the context othrwlse requires, the following terms shall have the following meanings; "Applicant", any person applying to the department for origir at certification as a sponsor. "Assistance with activities of daily living", physical support, aid or assistance with bathing, dressing/grooming, ambulation, eating, tolleting or other slrnllar tasks. "Assistance with" or "Supervision of instrumental activities ol dally living", providing support, aid, assistance, prompting, guidance, or observations of m6i I preparation, housekeeping, clothes laundering, shopping for food and other items, telept oning, use of transportation and other similar tasks. "Assisted living residence" or "Residence", any entity, howeer organized, whether conducted for profit or not for profit, which meets all of the following citeria: 1. provides room and board; and 2. provides, directly by employees of the entity or through arrangements with another organization which the entity may or may not control or oWr, assistance with activities of daily living for three or more adult residents who are not related by consanguinity or affinity to their care provider; and 3. Collects payments or third party reimbursements from orn behalf of residents to pay for the provision of assistance with the activities of daily living r arranges for the same. "Department", the executive office of elder affairs_ "Elderly housing", any residential premises available For lea a by elderly or disabled Individuals which Is financed or subsidized In whole or In pa by state or federal housing programs established primarily to furnish housing rather th n housing and personal services, hup://www.malegislature.gov/Laws/GencralLaws/Parti/TitleIUChapter l9D/Secti on l 11/8/2012 11/08/2012 09:44 FAX 18606333375 HART MECHANICAL, INC. eneral Laws: CHAPTER 9D, Section 1 under chapter one hundred and eleven. , the individual who has general administrative ch4rge of an assisted living /4004/004 Page 2 of 2 'ersonal services", assistance with or supervision of activltl 5 Of dally living, self- Iminlstered medication management, or other similar Services specified by regulation, but >t Including concierge services, recreational or leisure serve es, or assistance with strumental activities of dally living, it", an adult who resides In an assisted living residen a and who receives housing and I services and, when the context requires or permits, such individual's legal native. "Self-administered medication management", reminding resl ents to take medication, opening containers for residents, opening prepackaged medication for residents, reading the medication label to residents, observing residents while they take medication, checking the self-administered dosage against the label of the container, and reassuring residents that they have obtained and are taking the dosage as prescribed. "Skilled nursing care", the skilled services described In 106�MR 456.252 as revised on July first, nineteen hundred and ninety-one. "Sponsor", the person who Is named In the certification of ad assisted living residence. "Supervision of activities of dally living", reminding residen to engage In personal hygiene and other self-care activities and, when necessary, observin or assisting residents while they attend to activities such as bathing or dressing to assure the r health, safety or welfare. "Unit", a portion of an assisted living residence designed for nd occupied pursuant to residency agreements by one or more individuals as the p1 1 to living quarters of such individuals. ite MP I jamuawgla I priya+s,glatemenl Copyright ® 2012 The General Court, All Rights Re¢erved httn://www.malegislature.gov/Laws/GeneralLaws/Partl/Titiell/Chaptert. 9D/Sectionl 11/8/2012 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 20, 048, 00'0.0'0 $ - $ 240,576.00 Plumbing Fee $ 30,072.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 30,072.00 Total fees collected $ 300,820.00 1275 TURNPIKE ST