HomeMy WebLinkAboutMiscellaneous - 162 SUTTON STREET 4/30/2018� �
I_ �__� j
Date..:��"'-/
..........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .......
has permission to perform -7 .. .....
wiring in the building of- ..............................
.................................... . North Andover, Mass.
Fee. Z, -I ........ ............ N**S* P**E'C"
Lic. No./Z
Check 4
4996
01/21/2004 17:09 9786821646 $� PAGE 02
Commonwealth of Ma
Department of Fire
BOARD OF FIRE PREVENTION
official9�
Permit No. to
Occup"cY and Fee Checked
Rev. 1l/99j eave blank
APPLICATION FOR PERMIT TO,PERFORM ELECTRICAL WORK
,All v,0& to be performed in eccottianee with the Nlasswlusetts Electrical Code (MEG), 527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:
City or Town of: iffY / I/F-P, To she Inspector of Wires.
By this application lite unde�tsigned gives notice of let's or Tintention to perform the elect cal wo[>< described below.
I..oeadon (Street do Number) b � S 1 �
Owner or Tenant 6f .4-7 Telephone No. ���
Owner's Address S
r
Is this permit in conjtt wtt14 a building permit? Yes ❑ No ❑ (Check Appropriate �)
Puroose of Ruildintt =S7t Utility Authorization Na
Existing Service Amps ! Volts
New §gLif& Amps / Volts
Number of Feeders And Ampacity
Location and Nahum of Proposed Electrieai Work:
Overhead [] Undgrd ❑ No. of Meters
Overhead ❑ Undgrd ❑ Na of Meters
tX_1 1 T
t"o 'mono rhe on table mw be waived by the lmuww of Wires•
No. of Recessed Fixtures
No. of Cell.-Susp. (Paddk) Farts
T�ormers KVA
Na of Lighting Outlets
No. of Hot Tubs
GeneratorKVA
Na of "� l.fz�nes
swimmingPool Abffc-
rod. nxd.❑o
rgewy UpOng
B Units
Na of Receptacle Outlets
No. of Olt Burners
FIRE ALARMS
No of Tones
No. of Switcbes
No. of Gas Rantersal
Osteo a"
Initiating Devices
No. of Ranges
No. of Air Cond. Tootns
No. of Alerting Devices
Na of Waste Disposers
HceTotalsp
Nqm-
off__-._-
-__........_._..
NAeateetiot/Akaor �tiatia
Devices
No. of Disbwasbers
Space/Area Heating KW
Local 0Ctma�atf�n ❑ Other
No. of Dryers
Heating Appliances KW
security ypMesas:
No. of Devuxs or FAPUV4kRt
No. or Water KWa
Heaters
No. of
Signs BallastsNa
Data W.
Ilevices or nuivaient
Na Hydr"Ossage Ratbtabs
No. of Motors 'fou HI'
Telecommunications irmg:
Na of Devices or Equivalent
OTHER:
Attach additu mal detail if desired, or as required by the lmspwWr of Wires.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such cove ism force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE [t�B e0NA ❑ Or1 MR ❑ (Specify:)
Estimated Value of Electrical Work:
( xpllrahort Date
( When required by municipal policy,)
Work to Stan: /f/ Z- G Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I caft under thepains mad penniaes ofptriwl4 that the inrjorma ion on /his off Read on is true and cowpkte
FUM NAME: t'�PS LECy77�r�'% �1d- _ �iv(`t- LIC. NO.. S9loZ
Licensee -VIA/ . AIT -d S Sigaatu 65 IAC. NO,; /,�--
((%applica6le enter "�+ pt" in the i m imberbne.) BYA Tel. No.:
Address: j " US6'ar � 7 �i/a /�oUcle.. k,4- el/ Alt Tel. No.:
OWNER'S 94SURAIIJCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally
ro....: w..i Ir.• 1...�. R.• �r r..m..M+n fietn..r /fin.. f�«...Mi�•a 1�f1• Mh..ff•OMOwf T nM Hhs /nT.nnY -1 r-1 n.�.war n.�rr.sr'.• AnsM
4;2�
19 4 0
71 6
. wo
Date ...... ... ........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ... 1-44-k .... T .... ....... .........................
...................
has permission to perform ........ j�.o .. ........... . 5.y
wiring in the building of ....... S.."-Att�An ..... �.v . .......... C
at .......... 51 ...................... . North Andover, Mass i-
<T,-)
Fee..A.
........ Lic. No. .............................................................
ELEcmicAL INSPECTOR
CU
C
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
VP The Commonwealth of Massachusetts
Department of Public Sofcty
7
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12C
IF
M1•r,1t So, (6{
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed In accordance with the Massachusetts Electrical Code. 521 CMR I2:00
(PLEASE PRINT IN INK OR TYPE ALL IITFORHATION) Date 7- /y- 98
City or Town of /j/Q/2771 Qi✓DD✓C/e To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Humber) 11.2- SU r-rym . ,rkeeT
Owmer or Tenant.SUTTON SQ uA2E A,Q o?,,4.y if,6 /ea^e.4e7ye
Owner's Address SAME
Is this permit in conjunction with a building permit: Yes ❑ No a (Check Appropriate Box)
Purpose of Building Utility Authorization 110.
Existing Service i Amos / VoltsOverhead ❑ Undgrd F-1170, of Meters _
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity.
Location and Nature of Proposed Electrical Work Installation Of Alarm System
No. of Lighting Outlets
No. of Hot Tubs '
No. of Transformers Total
No. of Lighting Fixtures
Swimming Pool Above In-
grnd. ❑ grnd. ❑
Generators KVA
No. of Receptacle Outlets
No. of Oil Burners ,
Batter Emergency Lighting
Units
No. of Switch Outlets
No. of Gas Burners
FIRE ALARMS No. of Zones
No. of Detection and
Initiating Devices
No. of Sounding Devices
No. of Self
fSelf ContaineDe tec t ion ding Devices
Local ❑ Municipal ❑ Other
Connection
No. of Ranges
g
-Total
No. of Air Con d. tons
No. of Disposals
No. of Heat Total Total
Pum s Tons KW
No. of Dishwashers
Space/Area Heating KW
No. of Dryers
Heating Devices KW
No. of Water Heaters KW
No, of No. o
Signs Ballasts
Lorinoltage , A , l��
A44
No. Hydro Massage Tubs
No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial
equivalent. YES ❑ NO ❑ I have submitted valid proof of same to this office. YES ❑ NO
If you have checked YES, please indicate the type of coverage by checking the appropriate box.
INSURANCE p BOND ❑ OTHER ❑ (Please Specify)
Estimated Value of Electrical Work S a59
e p Expiration Date
Work to Start 7-1111•-9f, Inspection Date Requested: Rough Final 7"2,0-9J*
Signed under the penalties of perjury:
FIRM NAME A.D.T. S6CURITV -SYSTEMS NORTHEAST INC. LIC, NO. 1231C
Licensee DONALD . -A 89ooks Signat a NO. 1231C
Address 60 William Street, Wellesley, 8 s.el. No. 4l -739-4400
Alt. Tel. No. (781) 431-5831
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or Its sub-
stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit
application waives this requirement. Owner Agent (Please check one)
Oo
Telephone No. PERMIT FEE S
Signature of Owner or Agent
Lod'ati6n
No. !Z—AGO Date
TOWN OF NORTH ANDOVER
jjjMM- Certificate of Occupancy $ 0
Building/Frame Permit Fee $
CHU Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
12669 07/06/98 09.08 115.00 Pom
, Div. Public Works
Ldfitibn
No. �-7 Date 714X�
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee
Other Permit Fee
Sewer Connection Fee
Water Connection Fee
TOTAL
Building Inspector
07/06/98 09.08 115.00 IrkAlb
Div. Public Works
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?fG� ri(`Iy Itrill
PON
liv(_Gf,,PORATty
7/2/98
Nevin Greano, D.G.
g Algonquin Rd
Danvers, MA 01923
Dow Di Grearia:
E'no•losed are the radiation Shielding rec.-rpli—niirni tations we €°lana pr;-4,pared "'Oe the
radiographic X-ray Wit lri your facility. Ple 4e read tho rec.cj rmondations ca refully to
determine that the assumptions via have made are carred. YOU rr USt sand the
enclosed copy of the recommendations to:
Radiation Control Pcogr'am
State Laboratory Institute; 7th f`lo�:lr
305 South Street
Jamaica Plain, MA 021 J40
roassact' u.setts Regulation 105 CWR Part 12.0.403(b) r&quires that you subriit a c;OPY ref
the Martis for teview and approval. The regulations also require that you retain the
original report for inspection by the Radiation Control Progrann. The miles also Mate that
an interlock and/or warning iigtht shall be installed at all egresses from the x-ray room.
For diagnostic x-ray installations, the warning light shall be wired to the rotor of the x-ray
system. You should he familiar with 105 CMR Part 120.400, X -RMS IN THE HEALING,
ARTS so that you operato your radiation machine in cornplianoswith State regulations.
-rhank you `0l' using PCI to prepare yc:)urn shielding r•eoOmmlandiiot ��r. 1, you hive
questions ,lease Gall me at 207-79,5_22459,
�.. f,r:r
Mai
CC�rtit F� ro
Masi eg t{
t'4(S, L)l�lC� —=g.
it real Physicist
`curl 5.0090
P0. Pox 272, Ai:burri, ivicl!nN 04'51 +''- g .O r' T:J7.2459
r1.0. et,,x 41175, Siation A, PC'iiand, %Ialne 041M so 207-773-`,70
F.ECEIIIED FROM 1 77952444 Ci7.E+;'.199: ��i:'S F'.
pl-lysir's corisultanis
1 WC OR P6 RAT F D
K. GREENE, D.C.
162 SUTTON STREET
ANDOVER, MA 01945
R-ADIATION SHIELDING SPECIFICATION WM. ARY
CHIROPRACTIC RADIOGRAPHY ROOM
7/11/98
See Fig. 1
WALL &
Total shielding reqUirad:
2.5'sheetrod�
Existing shielding:
2.5" 6heetrock
Additional shielding recommended: encled;
NONE
WALL. 8:
Total shielding required,-
0.25 mrn lead
Existing shielding;
ricine
Additional shielding recommended:
1132" lead shielding along en ire control wall to a height of 7'
including window.
WALL 0:
Total shielding required:
NONE
WALL D:
Total shielding required,
1.8' sheatrock
Existing shielding:
1.3" shee;trock'
Additional shielding rec*rnme�nded:
",i" additional sheetrock along en ire
well to a height of T'
WALL E:
Total shielding required-,
NONE
WALL F:
Total shielding required:
1,2 rrim lead
Existing shielding:
0.5 mm lead
Additional shielding recommended:
1/32" lead shielding 4' wide by Thigh
centered behind upright
bucky.
FLOOR G: -rotal Shielding required'.
lWing required:
CH If
iw.0M"
#.:,
AFMO
1-4
I - QNL
NONE
0, B 72, A; I bIMia ane () 42 12-(1274'. lk 2G7-715.2499
RIO. Rox 4117",", Stain A, Poilian'l, Mame' 041;)1 -
R E C E I I) E D F R1_1 11 2[1779`2'444 C, 7 02.199:? ( Cl
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AS,.30CIATED f;_Rr;Y
FP6E E
A
SCRIPTION
.)YSTENI DIF i� tl.�� 4.. apac7ty t(D [I'lect the needs of a ,,icte
5cc.rt�.n's M -.X 325 g.cnei'atc�r k►� .
�,f the �.c3rttro l sand transfol�tlre�r
ra.n.ge, of users. The simple, tion�p�. �r7�v°esign a' e, ffice, clinic:, and hospital wliere
make this unit, ideal i'ryr use ir-t the. T
a. hi d}11.y reliable generator is rectuir. ed in << rrrirr.i.z� gal c�TCiU� 171t Of space.
d
• Control panel designed to provide simple,
easily understood controls.
•
Panel mounted reread kVp meter
. �'
rior to e:�pnsui e).
(indicates kVp p.
P tel mounted n`:iA meter 10ovides reaclinfp
of actual m.A. during exposure.
Voltage, cl�rn 7e~T,r
S�a.tor .
• 7 step l.iz�e � ,,
+e ;Bucky on. -off switch.
signal
terminat.jon of
� �ltidible s7t.,n:� indicates E
ray exposure.
i ,uppl eedl ,�ith solid state timer.
e Btxilt=tn clr, c ilt breaker pI.'Ot.�GtS Circuitry
;against line current overload.
* Includesc:ir•cu.it-EY fnr. filam rt boost aTtd
stabilization.
0 Rotor. control with ol_ren stater safety
interlock.
vded. for oper-
ation
i
e 24 VAC pozk•et- supply p
oaf Collirnators and locking devices.
ptJ\Vel 5Llj?j�l.y Ct7tiTte(-tions p; -o ided for
alternate incoming voltages
(approx. 200 250V).
Y
• Solid state silicon 11i.,11 vcltaa�erec:tifief s
i ro ide full.
wave rectification.
o Compact Circular transforsTa,er utilizes
taeoj7ret-je tie, l reve7-ttiY'�.g, ail seepage,
Trartsfrrrrrtcr easily stored under Scotco
and most otli.er trebles.
12 foot, 3 wire}line L;arle and 2") fOnr
control-to-tral:lsforrner cable.
Y 4
Specifications sub;c:ut tc7 chande with^ut notice: #E311 i 1
r
i,� � ... 1 , 1 h, t, i.7..
.
fifi;l26/1990 12: 5 9-795'7122'14
cw
1;0i.JR available moL"'-
Uni-iviast+ r 6215, 600 n-IA.Ca71()() kVP
(;,00 mA.0125 kVp.) (With ti�CR
Uni-Max 325. 300 rnM,4125 k%,/P.
(,,kis l SCR)
I jn Matic ;?12,,), 3()Qm�,.0%U12r� kVp.
(vein, :,CFO
Uni-Pdr2ti<; 325, :3()o mA. L412 kVp,
(%,jthout S("'R',
Universal's Chiropractic; Raymastt)r
Sy;tem sate •,,f)e pare when it C:OmeS
to defining the riped-A of today',
C,_iroprr3ctic professional,
r llt , te!iability, ease of Lisp!
1 -lige .iur'. Y
3,e- i)uzz words to be :�trre, however,
whet"� f (.fomes to choosing tura tthers
that offers those unigl.
u>art be only one choice, Univorsal's
Chiropractic Aarmaster.
Tl}or(Dughiy at Frame in private, group, or,
clinical application, this affordable state
of the art system(, designed by profes-
sionals, for profess !onaln provides full
radiographic capability for comprehen-
sive skeletal studies so essential to the;
modern Chiropractic office.
ce) urnn allows for floor to ceiling or
floor to wall fnount interchangeably,
for easier, quicker installations:
light beam
collinh�tor.
allows
vilfiabie tS.I.D.
zystem provides effortless vertical
motion.
horizontal stainless
steel bearings, assures smooth
tubestzlnd movement.
from 141/x" to
699,-" above floor to sr,pport a
wide range of diagnostic
procedures.
to
receptor to assure proper,
alignrnent.
0onve-
niently carlirolled near Band grips.
between 86"
and 120
allows Cabinet to rest comfortably
under the chin of 6'5" tall patients.
grid cabinet.
for excellent scat -
ter reduction.
A':S0('.'J ATED . ,-F'A`-(r
8' or '12' tracks for USE,
yvittl of)tionrj.l tables li!>ted '.below.
14,,,,•36, b0oky with
8;1, 1Ci:i or '12:1 ;stir) 69 line fiber .
yrid.
holds cassettes from 8"
to 17" vertically, for expanded'
(,()':()graphic capability.
With 10,1
iirie £31,
10;1 or 12.:1 ratio grid
and cwsIsII 1e tray,
with '103 line 6:1, .
i0;1, or 12:1 ratio, grid and u
casette t; ay.
141(x17" systertl supplied with
hang on cassptle holder at n.0
76" dtatiosjary Top `fable
76" 2 %Nay Float Top Table
7661 or &3" 4 Wav Float Tap Table
Five Year lEquiPM4.111t Warranty
specifications subject to change
without notica.
Conforms to BRH Standards at time
of shipment.
Faked on Durable Shadow White
Finish TOP
Made In USA H ONr(Nr33;
W UL —,
PAGE 04
LENGTH 6 FT
FLOOR.. I Op view
1arc.
"NOT 1'0 GCALEE"
.............
1 A' X 3 A'
GRID CA61NE7 �-------
FLOOR TO,
CEILING
I
Will'- - 7—-
e.
I
+'Mf1 T I
78 7,'9•
(515.5" MAX. ALL
2U' M N
.............
T.,
FLOOR TO,
CEILING
120* MAX.
atoms I� 21.01N'
operator of exposure really condi- i Ji
VEL
,._ .
tion, When 14"6" Gc1S. E'ttC? iS Ui"'
I
fully inserted into cabinet.
for• 14" X 17" FHONT VIEW
a)d smaller oas5ettes fits in upper Avai,able front mock for quick, simple
or lower position of grid cabinet. Insialtotions.
Unlversal/AIIII ?MaC]ing, Inc, 4011 sites( Grand Avenljs Teep,1) ,y. ;j12-270,-4488 =1r
Chicago, Iliinoi 60651, Teiex'.. 6F171473 /
D
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l
1711c-1
D
1��tsS
14'-0"
San Lau Realty Trust
109-123 MAIN STREET, SUITE E2
NORTH ANDOVER, MA 01845
TELEPHONE (508) 686-8683
FAX (508) 681-8498
July 6; 1998
Building Inspector
Town of North Andover
120 Main Street .
North Andover, MA 01845
Re: Building'Permit - 162 Sutton Street, North Andover, MA
(Sutton Square)
To Whom it may concern,
I Anne M. Messina, President of Sutton Square LLC do hereby assume all
responsibility and risk for work being done at the above mentioned location prior to the
written approval from the Radiation control program approval board.
Sincerely yours,
SU 3'ON SQUARE LLC
4M.'Messina, '
President
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,40*Tpl
TOWN OF NORTH ANDOVER,
Certificate of occupancy $
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Building Inspector
7
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Div. Public Works
Location
No.' n Date
,40RT" TOWN OF NORTH ANDOVER
0 U,�
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