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HomeMy WebLinkAboutMiscellaneous - 180 CHICKERING ROAD 4/30/2018O n Date .... ........... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .�.f..�c .rz ...A,� e � Q q M rz )6 e— ................................ I.. ........................... .......... has permission to perform ........... ...... ( wiring in the building of................ v ........... I ........................................ �at., ()7 . 20 O�\ UeO- North Andover, Mass. ... ............................................... Fee.�).b.() . ....... Lic. No. .......... . .1....... .... EL CTRICAL INSPECTOR Check # (—P6,121 • ` lfommonwea& o` MaddachudeM cc�� �7 • ,� Apartmed a/.}cc77 ire Serviced BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Q1.0 � 0 Occupancy and Fee Checked [Rev. 1/07] APPLICATION FOR PERMITTO PERFORM ELECTRICALWORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12 00 (PLESAEPRINT IN INK OR TYPE ALL INFORMATION) Date: 8/13/2014 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 descibed below. Location (Street & Number) 180-220 Chickering Owner or Tenant Property Management of Andover Telephone No. (978) 683-4101 Owner's Address PO Box 488, Andover MA 01810 Is this permit in conjunction with a building permit? Purpose of Building Existing Service New Service Yes ❑ No 0 Condominiums Amps / Volts Overhead Amps / Volts Overhead Number of Feeders and Ampacity Location and Nature of Electrical Work: (Check Appropriate Box) Utility Authorization No. ❑ Undgrd ❑ ❑ Undgrd ❑ No. of Meters No. of Meters Bonding of the Gastite conduits for 130 units throughout the property Completion of the following table may be waived by the Inspector of Wires No..of Reccessed Luminaires No. of Ceil-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA Norof Luminaires Swirmrung Pool Above ❑In 1:1No. of Emergency Lighting grad. gmd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total No. of Alerting Devices Tons No. of Waste Disposers Heat PumpNumber Tons KW No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other ❑ Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of Water KW No. of No. ot Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: OTHER: it ,� No. of Devices or Equivalent Attach additional detail if desired,. or as required by the Inspector of Wires. 3E -'mated Value of Electrical Work: (When required by municipal policy.) W l•k to Start: 8/13/2014 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical workmay 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 0 BOND ❑ OTHER ❑ (Specify:) / certify, under the pains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME: Hetco Electric, Inc. Aq AALIC. NO.: A 6238 Licensee: Jim McRobbie Signature ,.q LIC. NO.: 12211 B (if Applicable, enter "exempt" in the license number line.) Bus Tel. No.: (978) 532-7500 Address: Zero Centennial Dr, Peabody MA 01960 Alt Tel. No.: (978) 815-8435 * Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Llc No. OWNERS INSURANCE WAIVER: I am aware the 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: Signature Telephone No. $CD vk 12�3 pe -A, 6J I-'\ /' • The Commonwealth of Massachusetts Department of.IndustrialAccidents s Office of Investigations 1 Congress Street, Suite 100 :y Boston, MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name t liusiucss/O,gani,ition/I»di,idual> : Helco Electric, Inc Address : Zero Centennial Dr. City/State/Zip: Peabody / MA / 01960 Phone # : (978) 532-7500 Are you an employer? Check the appropriate box: 1.0 I am a employer with 37 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. [No workers' comp. insurance required.] ❑ I am" a homeowner doing all work myself. [No workers' comp. insurance required.] t employees and have workers' comp. insurance.+ ❑ We arc a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4); and we have no employees. [No workers' insurance Type of project (required): _. ti. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.Electrical repairs or additions 11.0 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. I Homeowners who submit This affidavit indicating they are doing. all %work and then hire outside contractors must submit anew a ffidavit indicating such. +Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. 1 ant an employer that is providitrg N'ol-her3' compensation instu•atrce for my employees. Below is the polich and job site information. Insurance Company Name: Independence Casualty Insurance Co Policy # or Self -ins. Uc. #: WC1000601606 Expiration Date: 9/30/2014 Job Site Address: 180-220 Chickering City/State/Zip: North Andover, MA 01845 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 tune 1 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 certifh under th f pains and penalties ofperiurr that the inforuration provided above is tare and correct. Date: 8/12/2014 Phone #: V ° (978) 815-8435 Official use only. Do not write in this area, to be completed ht• city or town official. Citv 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 #: A� EP CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYY 9/24/2013 Y) �7HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS PERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Eastern Insurance Group LLC 155 Otis Street Northborough MA 01532 CONTACT Deidre Kittredge NAME: g PHONE (508)393-7744 FA No: AEDRES:DKittredge@easterninsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:The Netherlands 24171 INSURED Helco Electric Inc Zero Centennial Drive Peabody MA 01960 INSURER B :Peerless Ins CO 24198 INSURER C:Independence Casualty Ins Cc INSURER D: INSURER E: INSURER F: rnVFRAr.FS rFRTIFIrATF NIIMRFR-Master 2013 RFVISInNl NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER LICY EFF MM /DD/YYYY) POLICY EXP (MMIDD/YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_1 OCCUR CBP8073145 9/30/2013 9/30/2014 DAMA PREM E TO RENTED 100 000 $ PREMISES Ea occurrence) , MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 ` PRO LOC POLICYFX JECT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1 000 000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS BA8073345 9/30/2013 9/30/2014 BODILY INJURY (Per accident) $ PR PeOPERTnlDAMAGE $ X HIRED AUTOSX AUTOSWNED X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 B EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10,000 $ CU8075045 9/30/2013 9/30/2014 C WORKERS COMPENSATIONX AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) N/A WC100060106 9/30/2013 9/30/2014 WC STA IU-LIM TS OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 11000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Contractors Equipment CBP8073145 9/30/2013 9/30/2014 Leased& Rented Equipment $30,000 r ( DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Town of North Andover Paula 146 Main Street N. Andover, MA 01845 ACORD 25 (2010105) INS025 (201005).01 L,ANI: tLLA 1 IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Fulham/DK1"�`^'^a ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �r 2W �k2o/ ZAt 4X eommonweafth of /I"fjamacl wow � � 1>e�arfineniE o� ire �erviee3 r BOARD OF EIRE PREVENTION REGULATIONS Official Use Only Permit No. Q10 � 0 Occupancy and Fee Checked [Rev. 1/071 APPLICATION FOR PERMITTO PERFORM ELECTRICALWORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12 00 (PLESAEPRINT IN INK OR TYPE ALL INFORMATION) Date: 8/13/2014 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 descibed below. Location (Street & Number) 180-220 Chickering Owner or Tenant Property Management of Andover Telephone No. (978) 683-4101 Owner's Address PO Box 488, Andover MA 01810 Is this permit in conjunction with a building permit? Purpose of Building Existing Service New Service Condominiums Amps / Volts Amps / Volts Number of Feeders and Ampacity Location and Nature of Electrical Work: Yes ❑ No 0 (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Bonding of the Gastite conduits for 130 units throughout the prope Completion of the following table may be waived by the Inspector of Wires Reccessed Luminaires No. of Ceil-Susp. (Paddle) Fans No. of Total lof Transformers KVA 10 f Luminaire Outlets No. of Hot Tubs Generators KVA Iof Luminaires Swimming Pool Above E:1In E] No. of Emergency Lighting gmd. 9md. Battery Units lof Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones Iof Switches No. of Gas Burners No. of Detection and Initiating Devices jof Ranges No. of Air Cond. Total No. of Alerting Devices Tons { Pump Heat Pum Number Tons KW No. of Self -Contained l of Waste Disposers Totals: -. DetectiorVMcrting Devices of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other ❑ of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent I of WaterKW No. of o• o Data Wiring. ' I Heaters Si s Ballasts No. of Devices or Equivalent Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent hi, 3 '\ HER: M Attach additional detail if desired, or as required by the Inspector of Wires Lated Value of Electrical Work: (When required by municipal policy.) irk to Start: 8/13/2014 Inspections to be requested in accordance with MEC Rule 10, and upon completion. SURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical workmay issue unless licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The dersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. ECK ONE: INSURANCE E BOND ❑ OTHER ❑ (Specify:) 1 certify, under the pains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME: Helco Electric, Inc.LIC. NO.: A 6238 AA A4 Licensee: Jim MCRobbie Signature l" ,:1.PUN LIC. NO.: 12211 B (if Applicable, enter "exempt" in the license number line.) Bus Tel. NO.: (978) 532-7500 Address: Zero Centennial Dr, Peabody MA 01960 Alt Tel. No.: (978) 815-8435 * Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Llc No. OWNERS INSURANCE WAIVER: I am aware the 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: $ Signature Telephone No. `"14q-t �hc= IIf( ne (Bus"' dress ,IStatp-/ l �e you an e larvae employ I atn a ship ay Nvorkii [No 'A afn nlysc t insul *AiIY aPPb � Homco�ti Contract( employee I am a► [nsurau policy I Job Sit pttac Failul fine 1 Of uX lm,e I do Sig Ph a t 1 Communication Result Report ( Aug,25. 2014 10:49AM) • 1) Town of North Andover 2) Community Development Date/Time: Aug,25. 2014 10:48AM File Page No. Mode Destination Pg (S) Result Not Sent ---------------------------------------------------------------------------------------------------- 2905 Memory TX 819786864664 P. 2 OK ---------------------------------------------------------------------------------------------------- Reason for error E.1) Hana up or line fail E.2) Busy E.3) No answer E.4) No facsimile connection E. 5) Exceeded max. E—mai 1 s i z E. 6) D e s t i n a t i on does not suppo rt IP—Fax ti(01➢7daIll�eontr yAa m°nw°°!oi °�er71!'!!�°ednu#f Pn Wa- e t'O .UaPa.GAanl-.iAn-hericvb Oceulmncy and Pee cherloj BOARD OF FIRE PREVENTION REGULATIONS APPLICATION FOR PERMITTO PERFORM ELECTRICALWORK A➢ wat m be padvmed i...�..d+.ovwen d:eMaewdnueuci4minl Code (MECj ber G%R re m n1ffA9PXA-TJ1VE L0R TIPBALLIMKIR MYOM Date: 9/13/2014 GYty or TolvnaE North Andover TP tOelRapectm•afJpll•es: 8y 1M3 appSoRaa Ru m�deraigrea gives noaae. his m nm inhtllmt m perkaas ltre elewdwl tank desdbed belvn. I..ne.. (BneeeR Namba) 180-220 Chickering Oram -Taal Property ManagementafAndover rerepno.end (97is)b83-4101 Onvt. A".-. PO Bm Ma Andover MA 01810 k thh pamhk jmnslm.e0hebuUdingPmnftP ra ❑ Ne M (cheek App.PAare Roil P.q.. afRdldlvg Condominiums uanty Ambm4ad..N.. Hd.ft Service An / vola avaaed ❑ a Fd ❑ Bw.Maas N—Se.ri.e Ary+ / wltr Ovwkcd ❑ uwo ❑ x. dMma Numb.z dP'eedaa mdAmpaaty foutl.n and llxme dEl.otricd w� Bortdmg of the Gastitp conduds for 130 units throughout the property /j„.nl••:��dcAefd/owaambfemwLo aairedbsebe2napAeAvdFr— •. ftleee.smdlaumn.ber Na.ICd,Al.p pud4a 7Rne oaf a RNA C fami.rmc OeOrn Na dHmTWa Gmusea EVA d'far®drt. S--.gP.M ❑ to nn arranarmgla¢ibrb ant. ad. ud. R pvcle OmYn Nadoa Bon— RIDEALfHG9S W..afz—. dSfbrba N..ofGn Bvms �nlawf.nra Peo+ou .Bags No.fAvOmd. Tem No-ofkkoiv n x- E mr .fWae D.p.xrs "�`PrdR' O1�g T.ns ^.___ntr dSdFLemioed dDiAwuhr.. SP..elpsea fg� EW Ines ❑ Gmmna. ❑ �� ❑ .Dias H..i rAPPgaon. EK' S.w,:vr9rrmar` J .ate e¢r EW 1Vmve 11.aeaa m.,�.ae�.a ode RahnM N.-dM.lm. TnIHP "O'9' •+ E Atdreh edditioo.fdetailifde..+aj oreem7.A•edbytdaln4eeefar oflP 'mated Value of Eiedsical Work tV✓nen regotred bymuold➢AIPalicyJ a Rmt 8/13/1014 Imperdarsn De req.eyei macoorAa.mawanteSL Rule lo,a.duponov.pkn... TIUNCECOVRRAGR Ual.xs.vaived by the an—r, no permfffor the performance afelecaiM1WWknRy� mu.less hcm mpsmides proofafliablttylmu—lndadingomnpkoed operadoo"manage- Rs sabsmntial egatvalentThe dasigned ce 0. that such -4e is m fame•Rod has e.hmit.d proof dsane to the permfr ksuing-ia. BCE ONE INSURANCE 0 BON® ❑ OTHER❑ (spedfy.) aan..Asa ..d oar lnatrkemt aam onew.vpliu6•anaa'a...dmw�t. Z "W a+raa no.d+k v.Mar. FUL Amn. Helco Electr' inc. JIG N01 Afi238 ldeea.m Jim MdUbbie slgarutt MG NO, 12zU B m�lvPemab ersn trema•mxxir semmmnv.e./ BPS Te6 Na-: (978) 532-7500 Addrra: Zero Cemennial Dr Peabadv MA Ol%0 ART& No.: 1978) 815-8435 •Pan.4lel.),ar/aa,awmrty�oekreq,dro neprannadPus➢cs.htr'S larenx tie Na. OWNFAts INSURANCE WAWE6: I m... the th Liemea desrafdda the barmy In—rovatge noroaa, ,vtoiadlry l...R,rof"Fl"I.'rhelmr,llweynaimrN:lydrer. lar ou (abaA. i ❑ ❑ m„ro'mt. SigAga” PERMITFEE:$ �j7jt7-�^SA- Signruaa rd.Pbon.Nw 4126 p."Vta..1 k� ��� — 'm� 9'— u i"/ — P'x)` Z "W a+raa no.d+k v.Mar. FUL Amn. Helco Electr' inc. JIG N01 Afi238 ldeea.m Jim MdUbbie slgarutt MG NO, 12zU B m�lvPemab ersn trema•mxxir semmmnv.e./ BPS Te6 Na-: (978) 532-7500 Addrra: Zero Cemennial Dr Peabadv MA Ol%0 ART& No.: 1978) 815-8435 •Pan.4lel.),ar/aa,awmrty�oekreq,dro neprannadPus➢cs.htr'S larenx tie Na. OWNFAts INSURANCE WAWE6: I m... the th Liemea desrafdda the barmy In—rovatge noroaa, ,vtoiadlry l...R,rof"Fl"I.'rhelmr,llweynaimrN:lydrer. lar ou (abaA. i ❑ ❑ m„ro'mt. SigAga” PERMITFEE:$ �j7jt7-�^SA- Signruaa rd.Pbon.Nw 4126 p."Vta..1 k� ��� — 'm� 9'— u i"/ — P'x)` KITTREDGE CROSSING CONDOMINIUM TRUST 978-686-4800 Office April 7, 2008 63 AtfanticAvenue (Boston, Massachusetts 02110 Susan Sawyer, REHS/RS Public Health Director Public Health Department 1600 Osgood Street North Andover, MA 01845 978-686-4489 (Facsimile RE: Kittredge Crossing Condominium, 220 Chickering Road, North Andover, MA Dear Ms. Sawyer: We are in receipt of your letter regarding the fence surrounding the pool at Kittredge Crossing Condominium. Please be advised that when the property was first built, 2002- 2003, the pool was the first structure to be in place. At that time all plans were submitted to the Town, illustrating the type of pool to be built as well as the type of fence that would surround the pool area. Permits and sign offs were received from the Town of North Andover pertaining to such. Every year since being built, the Association has paid for, and received, a permit to open the pool. At no time was the fence ever mentioned as not being in compliance with State Regulations. As I drive around looking at properties, I have noticed that a number of pools in the Commonwealth of Massachusetts have this type of fence surrounding their pools. At this time we are requesting that the pool fence at Kittredge Crossing Condominium be "grand -fathered in" and the Association allowed to have the current fence remain. Changing the fence at this junction would change the aesthetics of the property and make it less appealing from the view on Route 125. Also, as permits were issued for this fence type at the beginning of the permit process, we request that the fence remain. Your assistance with this matter is greatly appreciated. I await your response. cerely, P R ititC�_v Patricia Forde Property Manager cc: Gerald Brown, Inspector of Buildings c:\mydocuments\kittredge\sawyer-pool fence