HomeMy WebLinkAboutMiscellaneous - 16 EMPIRE DRIVE 4/30/2018 I
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TOWN OF NORTH ANDOVER
41° p PERMIT FOR PLUMBING
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This certifies that . . . . . . . . . . . . . . . . . . . .
has permission to perform . . . . . . . . . . . . . . . .
plumbing in the buildings of . . Q"'). . . . . . . . . . . .
at . . . . . . . ((-0. . . . . �Q! . . . . . . . . . . . . , North Andover, Mass.
Fe .Lic. No..io.3W . . . . /I.. . . . . .
1,aPLUMBING INSPECTOR
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
City/Town: hCGVLW t1tW cam/ MA. Date: ti Permit#
Building Location: ) # (, SMT,�(�6 Owners Name: O&C-A73-0 fd" �(�L
Type of Occupancy: Commercial
❑ Educational❑ Industrial ❑ Institutional ❑ Residential
New: Alteration:❑ Renovation:❑ Replacement:❑ Plans Submitted: Yes❑ No❑
FIXTURES
DEDICATED
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SYSTEMS
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BASEMENT
1'FLOOR
2ND FLOOR 2.
3"D FLOOR
FLOOR
FLOOR
1 6T"FLOOR
7'FLOOR
8'FLOOR
Check One Only Certificate#
Installing Company Name: GA LI MSKY PL0i'I l6I Kk,, 4 KC-AT14 C
[?(Corporation
Address: P-0, rSDX 1701 city/Town: N AV C R Rt LL state: Irl.k-
---------— ----- --- -------- ----- ---- -------------
--_- ----—-----0 Partnership
Business Tel: X11$- '���I- 17�f°� Fax: q-I&''Sail-c.413i ❑Firm/Company
Name of Licensed Plumber: STEPNEA C. GALL O-g, L?
INSURANCE COVERAGE: ,_,/
I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes {v� No❑
If you have checked Yes,please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy [Y Other type of 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
❑
Signature of Owner or Owner's Agent Owner E] 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 compliance with all
Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
By Type of License:
Title [?"plumber Signature of icensed Plumber
City/Town Master
APPROVED(OFFICE USE ONLY) ❑Journeyman License Number: 10347
FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIONS)
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FEE: $ PERMIT#
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APPL ICA-RON FOR PERMIT TO DO PLUMBING
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NAME&TYPE OF BUILDIN
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LOCATION-0.17-BUILDING
SKETCH I
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PLUMBER
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LICENSE NUMBER:
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PERMIT GRANTED D aA
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PLUMBING INSPECTIOR
7 6 6 U Date.. ��3�. .. ......
NOR 1H
o? TOWN OF NORTH ANDOVER
• - PERMIT FOR GAS INSTALLATION
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This certifies that . . . . t,� 5 A.`. .j. . . . . . . . . . . .
has permission for gas installation . . . .tvW. /./. .A 0.5 e. . . .
in the buildings of . . . . .0-I.C.`:1I .�:1,11-d. . . . . . .I t( ... . . . . .
at . . . . . ! � . !✓�-. . . . .. . . . . . . .. North Andover, Mass.
Fl&).- !'Q. Lic. No.10- .Yl. . . . . . �'44tc-.Z�
GAS INSPECTOR
Check#
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING
City/Town: 44-04L .r MA. Date: 5' -5 -L/ Permit#
Building Location:L,br117 Owners Name: 0&d -QLA (4—Ij "-r-
Type
LC
T of Occupancy: �` " Industrial Institutional Residential
cu anc Commercial Educational Indust a
YPe P Y ❑ ❑ ❑ ❑
New: Alteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes❑ No❑
FIXTURES
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SUB BSMT.
BASEMENT r
1 FLOOR
2 FLOOR
3 FLOOR
--4'FLOOR
5'H FLOOR
6 FLOOR
7 FLOOR
-i'FLOOR
Check One Only Certificate#
Installing Company Name: GAL100 PLUM[SlkX. 4 4CATING
+Corporation 31910
Address: P•O• bOX 1)o i Cityrrown: 14A QQLKL LL state: M
❑Partnership
Business Tel: q79-S74- 17143 Fax: cl1t- 5*1—el 131
❑Firm/Company
Name of Licensed Plumber/Gas Fitter: ST E P N E-0 . C. GALX 051<4
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 Yes [!(No❑
If you have checked Yes,please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy E' Other type of 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 Owner's Agent
By checking this box E];I hereby certify that all of the details and information 1 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
compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
Type of License: 44 � [�
'
By [PtIumber C,
B
Title ❑ Gas Fitter Signature of L ensed Plumber/Gas Fitter
ZMaster
Cit /Town ❑Journeyman
�
City/Town License Number: l0� %
APPROVED OFFICE USE ONLY ❑ LP Installer
FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIOWS)
FEE: $ PERMIT#
APPLICATION FOR PERMIT TO DO GAS FITTING
NAME_&TYPE OF B III DIN
LOCATION OF BUI .DIN
SKETCH
PI. NBER GASFI IL LP INS,7'ALLER
LICENSE NUMBER:
PERMIT GRANTED EI 'DATE;
GAS FITTING INSPECTIOR
f-
41
LAWRENCE H. OGDEN,P.E.
198 EAST MAIN STREET
978-352-8318 fax 978—352-2858
cell: 978-502-5921
August 31, 2011
Mr. Robert Messina
Orchard Village LLC.
277 Washington Street
Groveland,Ma 01834
RE: THE WILLOW GB# 6213
Lot 11 Empire Drive,North Andover,Ma. 01845
Dear Mr. Messina
As you requested I visited the site 8/30/11 to review the installation of the
Engineered Materials consisting of LVLs and Engineered Joist utilized in the framing
of the above project. These are shown on plans prepared by G.J. Bruno and Associates A-
1 to A-5 Dated 7/30/09 with the framing sheets certified by me 6/15/10.
The following items require additional work as discussed at the site with Mr. Jeff
Horne.
1. Straps at the 2-9.25 LVLs second floor framing plan at the front of the garage
and the Simpson LCC3.5-3.5 cap as shown in sketch SK-1 dated 2/15/11 were
not installed.
This detail should be followed on all future Willow Units.
Based on the above site visit and based on what I could visibly see provided the
above additional work is completed I can certify that to the best of my knowledge the
LVLs members and Engineered Joist utilized in the framing as shown on the drawings
are installed properly and meet the loading conditions of the7th Edition of the
Massachusetts State Building Code for 1&2 Family Residences. All other framing
requirements of the drawings and code,including but not limited to materials, nailing
schedules,blocking, connections and other details are the responsibility of the licensed
construction supervisor responsible for the project.
Should you have any questions please do not hesitate to call.
Yours truly,
14 Of,yam
u jW4 �9
Lawrence H. Ogden P.E. Structural 27765 o AROL� H
Cc: Mr. Gerry Bruno Mr. Jeff Horne DiN ti
Copy mailed to Mr. Robert Messina F es o
T Elk- t9/3
s,/ NAI EIA
32 Date......"..... ........... ...
NORTH
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
SACHUS
Et
This certifies that ........ .... .�- ........................./.
has permission to perform ... . ...../'-:� ..............................................
wiring in the building of.......4�.4........
.....................................................
at 4d4/.......�../ ....... North Andove )4ass.
Fee....lLic.
Check # AZ
Commonwealth of Massachusetts official use only
®epartment of Fire Services Permit No.
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _
[Rev. 1/07] (leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
W y®R
(PLEASE PR ATEV AW OR TYPE ALL MFORW TI0A9 Date:
City or Town of: NORTH ANDOVER
By this application the undersi ed To the InspeetoY of Wires:
gn gives notice of his or her intention to perfotm the electrical work described below.
Location(Street&Number) /
Owner or Tenant
Owner's AddressTelephone No.
ter
Is this permit in conjunction with a building permit? Yes
Purpose of Building N° ❑ (Check Appropriate Box)
Utility Authorization No._/f D
Existing Service Am / Volt
Overhead ❑ Undgrd❑ No.of Meters
New Service !i& Amps2(/jLyy Volts Overhead Number of Feeders and.Ampacity ❑ Undgrd No.of Meters L_
Location and Nature of Proposed Electrical Work:
Completion of the followin table may be waived by the Ins ector of Wires.
No.of R (Paddle)-Recessed Luminaires No.of Ceil:Sus of Total
D �'a )Fans No.
No.of Luminaire Outlets No.of Hot Tubs Transformers KVA
Generators KVA.
No.of Luminan esSwimming 11001Above ❑ In_ o.o mergency Ig g
--, No.of Receptacle Outletsd• nd. ❑ Batte Units
No.of Oil Burners FIDE ALARMS No.of Zones
No.of Switches No. of Gas Burners No.-of Detection and
No,of Ranges Initiatin Devices .
No.of Air Cond. Total
No.of Waste Disposers
Heat Pump Number Tons ns No.of Alerting Devices
Totals: `-` -- --•-...... ..... _ No.of Self.-Contained
No.of Dishwashers _. Deteetion/Alertin Devices
Space/Area Heating KW Loca1❑ Municipal
No.of Dryers Connection ❑ Other
�' Heating Appliances KW Security Systems:
No.of Water No.of No.of Devices or E uivalent
Heaters KW No.of
. Si s _ Ballasts. Data Wiring;
No.Hydromassage Bathtubs No.of Devices or E uivalent
No.of Motors Total HP Telecommunications Wiring:
OTHER: No,of Devices or E uivalent
Estimated Value of Electrical Work: Anach additional detail if desired,or as required by the Inspector of Wires
Work to Start: (When required by municipal policy.)
INSURAN
Inspections to be requested in accordance with MEC Rule 10,and upon completion.
the licensee CE COVERAGE: •Unless waived by the owner,no permit for the performance of electrical work may issue unless
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
I certify, under the pains and enalties ofp er u ❑ (SPecify:) .
FIRM NAME. �, �, I ry,th
at the information on this application is true and complete
�i'7.r Licensee: �—
l LIC.NO.:
Signature
(Ifapplicable, en r"exempt"in the license number line.) �77'IC.NO.:
Address: Bu
s.t2 Na.: /e f�7 -2/0,c�
*Per M.G.L c. 147,s.57-61,security work requires D Alt.Tel.No.:
OWNER'S INSURANCE WAIVER; I a aware that Licensee does not have ublic Safety 'the liability Lnc No.
required by law. By my signature below,I hereby waive this requirement. I am the(check one) []owner coverage normally
Owner/Agent [I]owner's agent
Signature
Telephone No. PERMIT EE:$ a
ELECTRICAL PERWT NO. INSPECTION REPORT:
ELEC RICAL INSPECTOR-DOUG SMALL
M
:
Failed—[ ] nrequired[($50.00)-[ j
'Signature-no initials)
2.FINAL INSPECTION:
Passed— Failed—[ ] Reinspection, required($50.00)-[ ]
Inspectors'comments:
(Inspectors'Signatu e-n initials)
Date
3.UNDER GROUND INSPECTION:
Passed—[ ] Failed—[ I Re-inspection required($50.00)
Inspectors'comments:
(Inspectors'Signature-no initials) Date
4.INSPECTION—SERVICE:
DATECAL TIONAL GRID: NA14Id;:
Passed—[ Failed—[ j Re-inspection required($50.00)-[ ]
Inspectors'comments:
(Inspectors'Signature-no initials)
Date G -
5.INSPECTION-OTHER:
Passed—[ ] Failed—[ ] Re-inspection required($50.00)
Inspectors' comments:
(Inspectors'Signature-no initials) Date
DOOR TAGS ARE TO BE ED-LOU-1 AND LEFT ON SITE IF THE AREA TO BE INSPECTED IS NOT
ACCESSIBLE AND A RE-INSPECTION OF$50.00 IS TO BE CHARGED.
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, M4 02111
www rmsass gov/dia
Workers' Compensation Insurance Affidavit: Batilders/Contracturs/Electricians/Plumbers
Applicant Information
Please Print Ile ibI
Name(Business/Organization/Individual):
Address:
---------------
City/State/Zip: Phone#:
Are you an employer?Check the appropriate box:
[2.
❑ I am a em to er with 4. Type of project(required):
P Y ❑ I am'a general contractor and Iemployees(full and/orpart-time).* have hired the sub-contractors6. ❑New construction❑ I am a sole proprietor _
p p or or partner listed on the attached sheet �• ❑Remodeling
ship and have no employees These sub_contractors h
ave 8. Demolitio
working for me in any capacity. workers'comp.insurance. ❑ n
[No workers' comp. insurance 5. ❑ We are a corporation and its 9. ❑Building addition
required.] officers have exercised their 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions
myself. [No workers'comp. c. 152, §1(4),and we have no
insurance required.] t 112.E]Roos repairs
� ] emp,�oyees. [No t=�orlcers'
comp,insurance;required.] 13.0 Other
;.A MY applicant that cheeks box 41 must also fill out the section bell-,showing heir woe vrs'compeas24ou policy information
Homeowners who submit this affidavit indicating they are 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:
Policy#or Self-ins.Lie.M
Expiration Date:
Job Site Address:
City/State/Zip:
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 ofthis statement
Investigations of the DIA for insurance coverage verification maybe forwarded to the Office of
I do hereby certify under the pains and penalties of perjury that the information Provided ab
ove is true e and correct
Signature-
Phone
i ature:Phone#:
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#:
re� -
, h
CERTIFICIAATE OF USE & OCCUPANCY
TO OF NORTH ANDOVER
{
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Building Permit Number 669-2011 Date: July 19, 2011
THI ERTIFIES THAT
THE BUILDING LOCATED ON 16.Empire Drive, Lot 1, North Andover, N A
018,4.5, 40B
:Orchard Village, LLC
MAY BE OCCUPIED AS 2ingle-famiji1y IN ACCORDANCE WITH THE PROVISIONS OF
THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS
MAY APPLY. ,'
Certificate Issued to: .:Orchard Village,LLC
44 Great Pond Road Drive
Bozford,MA 01921
M .444
Building Inspector
Fee: 100.00 previously paid
Receipt: 24070
LOT I
EMPIRE DR.
\
\
27.3'
28.8
EXITING \
FND.
-A OF
f J. N
SE 1
No.33191 ti
.O Py
OFESS%Da
lq�O SURV�O�
10.3'
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FOUNDATION LOCA TION THIS ORA WING SHALL NOTBE USED BY THE CLIENT FOR ANY
PURPOSE OTHER THAN THAT OUTLINED ABOVE.EXCEPT WITH
THE WRITTEN PERMISSION OF CHRIST}ANSEN&SERGI INC.
CLIENT ORCHARD VILLAGE, LLC FURTHERMORE THIS DRAWING IS THE COPYRIGHTED PROPERTY
OF CHRISTIANSEN&SERGI INC.AND MY UNAUTHORIZED USE IS
THIS CER77RCATION ISMADEAND UMITEDTOTHEABOVECLIENT PROHMED.CHRISTIANSEN&SERMTAWS NO RESPONSIBILITY
LOCA TION.#16 EMPIRE DR. NOR TH ANDO VER,MA. 'VFORTH.E� uHS.E.OEF.TVH's ORA W'NGORANY
!
DATE.4/15/11 SCALE.-l!--30' BASED ON SCALED DATA Oft YTHE PRtMARYSTRUMIRE
SHOWN IS NOT LOCATED INA FLOOD HAZARD ZONEAS SHOWN
ON FEMA FLOOD INSURANCE RATE MAP.COMMUNl7YNO.:250M
OPDBC DATE-SM9992ONEY
PROFESSIONAL ENGINEERS& LAND SURVEYORS
CHRISTIANSEN & SERGI, INC,
160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830
WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX 978-372-3960
D WG.NO.:06029.001.047
Page 2 5-24-11
RE: THE KINGSTON GB# 5341 Lot 1 Empire Drive,North Andover,Ma. 01845
Based on the above site visit and based on what I could visibly see provided the
above additional work is completed I can certify that to the best of my knowledge the
LVLs members and Engineered Joist utilized in the framing as shown on the drawings
are installed properly and meet the loading conditions of the Massachusetts State
Building Code for 1&2 Family Residences. All other framing requirements of the
drawings and code, including but not limited to materials,nailing schedules,blocking,
connections and other details are the responsibility of the licensed construction
supervisor responsible for the project.
Should you have any questions please do not hesitate to call.
Yours truly,
�
L
�s�. Ogden P.E. Structural 27765 WREN
tiN
� T
OL
D.:N
v' 1
Cc:.Mr. Gerry Bruno Mr. Jeff Horne A��F 765
Co mailed to Mr. Robert Messina °FF 'NAL
Copy S�oNAt ENc'
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LAWRENCE H. OGDEN,P.E.
198 EAST MAIN STREET
GEORGETOWN,MA 01833
978-352-8318 fax 978-352-2858
cell: 978-502-5921
May 24,2011
Mr. Robert Messina
Orchard Village LLC.
Empire Drive
North Andover,Ma 01845
RE: THE KINGSTON GB#5341
Lot 1 Empire Drive,North Andover,Ma. 01845
Dear Mr. Messina
As you requested I visited the site 5/24/11-to review the installation of the
Engineered Materials consisting of LVLs and pre-engineered floor joist utilized in the
framing of the above project. These are shown on plans prepared by G.J. Bruno and
Associates A-1 to A-5 Dated 6/9/10 with the framing sheets certified by me 6/15/10 with
sheet A4 revised 8-25-10.
The following items require additional work.
1.0 The exterior sheathing at the garage doors was not installed per the details as
shown on sheet A5,the sheathing of the wall sections is to extend over the full
height of the header,the sheathing was blocked out from the header rendering
the performance of this prescriptive garage door wall bracing alternative
useless. Apply sheathing to the interior side of the wall panel sections as
shown on the attached sketch SK KINGSTON 5-24-11.
2.0 Install Detail R-2 as shown on sheet A-4
i
The details used in the design of houses in this project are based on code
requirements prescriptive alternatives or engineered design solutions.There are
specific reasons for the details shown on the drawings,decisions by the framer or
lumber supplier to modify details and specified items should not be made without my
approval.
I