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HomeMy WebLinkAboutMiscellaneous - 16 EMPIRE DRIVE 4/30/2018 I O75t✓ 4 TOWN OF NORTH ANDOVER 41° p PERMIT FOR PLUMBING '4 ,SS�CNUSF� 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 Check ." � 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 ¢ z SYSTEMS LU z z 4n $ Z W be > z 4A k x to N p 13 W } J U !- W ¢ z z d W z ¢ Z ¢ N Z Q Q Vf UA Z N V1 W �W.. ¢ 0 m �A ¢ ¢ I- N } W ¢ a z&A te N y� 17 0 — X = J Q Q J Q W Q Z ¢ 0 Q W ? W ..J z ¢ Cr ti W 3 3 bc Q YLl- 0 x ¢ x Z Q LL Y LU LU W Q } H W U ►- 3 O 0 3 H > > 0 0 0 z Z Q ¢ Q Q V7 H 0 Q Q Q 0 0 Q 0 3 SUB BSMT. 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) I FEE: $ PERMIT# i I APPL ICA-RON FOR PERMIT TO DO PLUMBING I i NAME&TYPE OF BUILDIN I I i LOCATION-0.17-BUILDING SKETCH I i PLUMBER I LICENSE NUMBER: I I I PERMIT GRANTED D aA i i I i i i PLUMBING INSPECTIOR 7 6 6 U Date.. ��3�. .. ...... NOR 1H o? TOWN OF NORTH ANDOVER • - PERMIT FOR GAS INSTALLATION "S CH 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 U)Ix vi Zjr Y Fes- N H U = Q W � •J l m = O Ui W U N ~ to O W Ir Z Z H Q Z W D � O F- Co W W w � m 0 Q a < W X = X > W w w o LL > W W Z 0 J 1— H O Z J 0 WO � � W H W W Z H >- � � — Q Q m w O z 0 � — > z = U = uj OaWXW >u- > > O 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 { J t 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' I I 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' i I I 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