The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 19 SAMUEL WAY 4/30/2018 ' / 9 Snm ✓rG WM1Y � f BUILDING FILE �m CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 462 Date: August 3. 2009 THIS CERTIFIES THAT THE BUILDING LOCATED ON 16 Samuel Way MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Edgewood Retirement Community 16 Samuel Way North Andover MA 01845 Building Inspector 4 AORTFI 1 Oav tiO �r t^ _ �•ja OL cw s q�Too ""'SEt APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION Building Permit.# ADDRESS/LOCATION OF PROPERTY :--ffo :6(6M 1�j Map Parcel Lot Number SUBDIVISION �.�! l�dfl DATE REQUESTED FILED/READY FOR INSPECTION 7 CLOSING DATE ON PROPERTY: FIVE(5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS$20.00)WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. Peliiiit Issued to: Address SIGNED ROUTING CONSERVATION 3 PLANNING DPW-WATER METER SEWER/WATER CONNECTION rW NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF E OCCUPANCYANSPECTION REQUEST DPW � 1 Signature File: Application for OC form revised Jan 2007 NORTIy � c Town of No. 4620 . .......... *y �. o dover, Mass., T O LAKE COCHICMEWICK V ORATED PPS` '�� 7 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System s B INC� INSPECTOR THIS CERTIFIES THAT . .. or.. o has permission to erect........................................ buildings on ...- ......................... ....� .,........................................ Rough -s ' � i V f E Chimney to be occupied as............:..................:.....................................:. �.....��....:................................................................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPEC OR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSP CTOR UNLESS CONSTRUCTION STARTS Rou , - f ...................... .. .,��c`-�r•`3{ ........................... Service BUILDING INSPECTOR F' a ,� -7. zz_ Occupancy Permit .Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove , a L/N7-V 9 �■, No Lathing or Dry Wall To Be Done FIRE DEPARTME T Until Inspected and Approved by the Building Inspector. Burner f �/ ' Street No. --7 /��j SEE REVERSE SIDE Smoke Det. ( � / d Registered Engineering Services Structural Construction Control Affidavit at Completion of Structural Work Project Number; DSA.Project#0706.00 Project Title: Edgewood Retirement Community Cottages Project Location: #16 Samuel.Way,North Andover;.MA 01845 Scope of Project: Wood Framed Cottage with Concrete Basement and Foundations In accordancewith Section 116.0 of the Massachusetts State Building Code,I Geoffrey S.Conway, MA#32753 being a registered professional engineer(structural);hereby certify that I have prepared or directly supervised tlhe preparation of all design plans,computations and specifications concerning: Entire Project Architectural x :Structural Mechanical . Fire Protection Electrical Other(Specify) For the above flamed project and that, to the best of my knowledge,such plans,coriiputations and specifications meet the applicable provisions of the Massachusetts State Building Code,all- acceptable engineering practices and all applicable:laws for the proposed protect. I`further certify that.I have performed the necessary:professional services and have been present on the construction site on a regular basis to determine that the work is proceeding in accordance with. the documents-approved for the building permit aid have been,responsible for the following as specified in Section 116.2. 1 Review for conformance to the design concept,:shop drawmgs, samples,and other submittals,which are submitted by the contractor m accordance with requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required matexiais' 3. Been present et internals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determi e,in general,that the work has been performed in a manner consistent with the construction documents: 6VVIE, rV & ato ��t Geoffre anway;P.E. EY Date s CONWAY - 'io.32758 t!A "fid 0 e"ISTS �Q` £ C Registered Architectural and Engineering Services Construction Control Affidavit Project Number; DSA Project #0706.00 Project Title: Edgewood Retirement Community Cottages Project Location: #16 Samuel Way, North Andover, MA 01845 Scope of Project: 22 Individual Cottages In accordance with Section 116.0 of the Massachusetts State Building Code I,Allen Dewing Jr., MA Registration #4301 being a registered professional engineer/architect, hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project �Z Architectural Structural Mechanical Fire Protection Electrical Other (Specify) For the above named project and that, to the best of my knowledge, such plans, computations and specifications meet the.applicable provisions of the Massachusetts State Building Code. All acceptable engineering practices and all applicable laws for the proposed project. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular basis to determine that the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 116.2. 1. Review for conformance to the design concept, shop drawings, samples, and other submittals,which are submitted by the contractor in accordance with requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine,in general,if the work is being performed in a manner consistent with the construction documents. Upon completion of the Work, I shall submit a final report as to the satisfactory completion and readiness of the project for occupancy. 1 . v � C') e No.4301 Cn CONCORD, n Dewing Jr. Ci '�CIDi OF h"•��'� i F:\DSA Project Files\Edgewood 0706\05. Project Word Documents\a. Correspondence and Transmittals\vi. Misc w- s �s CERTIFICATE OF USE & OCCUPANCY TOWN OF NOR'T'H ANDOVER Building Permit Number 385 (12/9/08) Date: July 15*2009 THIS CERTIFIES THAT THE BUILDING LOCATED ON 19 Samuel Way . MAY BE OCCUPIED AS Sinale Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Edgewood Retirement Community 575 Osgood Street North Andover MA 01845 Building Inspector m 1 t&ORTH c TONM of No. fps o`� dover, Mass.,rz. "+ g� T Q - LAKE 1 I� COCHICHEWICK V 7�A�RATR D PPS` �y ,S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic^System Cy .= .' '.... ... ...:{.... . . ..�..... ., .. ..�......:........... .................. ING NSP D LECTOR THIS CERTIFIES THAT....... ... . .....`. ..././� f...................... Fotindi on Y� has permission to erect...... ... .. buildings on ........... .... IY ... ... ..... F � u , t0 be occupied as.......... w � ..E } > ne� . p ....... ......... Chi g provided that the person accepting this permit shall in every respect conform to.the terms of the application on file in final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. PERWI' EXPIRES IN 6 MONTHS ELECTRICAL INSPE oR. UNLESS CONSTRUCTION STARTS e ��•� � :... ...:. :... Service BUILDING INSPECTOR i:naL Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done FIRE DEPARTM T Until Inspected and Approved by the. Building Inspector. Burner i�� . t Street No. /�Df 1 SEE REVERSE SIDE Smoke De f pORTH 1 o � � s HAAT/O APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION Building Permit# , ADDRESS/LOCATION OF PROPERTY : Map Parcel Lot Number L i SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE(5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS$20.00)WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. PCI—nut IssuSd to: Address SIGNED ROUTI G CONSERVATION PLANNING DPW-WATER METER �8/,o 9 SEWERIWATER CONNECTION FV NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW Signature Fite: Application for OC form revised Jan 2007 r Registered Architectural and Engineering Services Construction Control Affidavit Project Number_ DSA Project #0706.00 Project Title: Edgewood Retirement Community Cottages Project Location: #19 Samuel Way, North Andover, MA 01845 Scope of Project: 22 Individual Cottages In accordance with Section 116.0 of the Massachusetts State Building Code I,Allen Dewing Jr.,MA Registration #4301 being a registered professional engineer/architect, hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project XZ Architectural Structural I Mechanical Fire Protection Electrical Other (Specify) For the above named project and that, to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code. All acceptable engineering practices and all applicable laws for the proposed project. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular basis to determine that the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 116.2. 1. Review for conformance to the design concept, shop drawings, samples, and other submittals,which are submitted by the contractor in accordance with requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine,in general,if the work is being performed in a manner consistent with the construction documents. Upon completion of the Work, I shall submit a final& rt as to the satisfactory completion and readiness of the project for occupancy. 'V TEE v � ca No.4301 yr g CONCORD, /en'Dewin r. PRA ti+ v 7H GF I I i I . F:\DSA Project Files\Edgewood 0706\05. Project Word Documents\a.Correspondence and Transmittals\vi. Misc CHRISTIANSEN & SERGI, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET-HAVERHILL,MASSACHUSETTS 01830-6318 (978)373-0310 FAX:(978)372-3960 Project No.: 06084 July 15, 2009 Ms. Judy Tymon Town of North Andover Planning Department 1600 Osgood Street North Andover, MA 01845 RE: Edgewood Retirement Community Certificate of Occupancy Dear Ms. Tymon: Please consider this letter as a statement of substantial compliance with the approved plans, in accordance with §8.a of the Site Plan Review Special Permit and §l O.a of the CCRC Special permit, for the building, landscaping, lighting 9 and site layout for the following units at Edgewood Retirement Community: 9 and 11 Amelia WaBuildi v ng, landscaping, lighting and site layout are within substantial compliance with minor modifications made to the building size and site grading; 8, 12, 19 and 27 Samuel Way Building and site layout are within substantial compliance with minor modifications made to the building size and site grading. Landscaping and lighting have not been installed. The landscaping is scheduled to be installed b the end of p g Y this month. Christiansen & Sergi, Inc. trusts this is sufficient to satisfy the requirements of the above referenced conditions for occupancy and your office will be able to sign off on certificates of occupancy at your earliest convenience. Should you have any questions or comments please do not hesitate to contact us at the number listed above. Regards, nr:NAs� PHILIP G. EN v [L ti No.28895 Ago 9F�isT��° Philip G. Christiansen, P.E. f. \t0 s � M r CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 383 (12/8/08) Date: duly M 2009 TRIS CERTIFIES THAT THE BUILDING LOCATED ON 12 Samuel Way MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Edgewood Retirement Community 575 Osgood Street North Andover MA 01845 i Buildini Inspector i j I 2s:S. AORTH Town of Andover No. Jb.? dover, Mass.; Q LAKE 1' COC NIC ME WICK ORATED iP�`,`'�� BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System �? q THIS CERTIFIES THAT....... G� . .:�c�� 1�:: f:.: �?'./...�� -„ ,,� ,.:7` I G SPECTOR �l c� oundation ” SG/J�'llJcn G .Z�ry�c�� has permission to erect........................................ buildings on .....a ................................ .........G. ... ............................ Rough to be occupied as............ °Crw......sr.��:/...�ci.?�'L7r:A..........:..:..cr`r�.`r?.��..�.......\�............. p=hi Y provided that the person accepting this permit shall in every resconform to the terms of the application on file in , in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. & L ��/Cl PERMIT EXPIRES IN 6 MONTHS ELECTRIC �,INSPARUNLESS CONSTRUCTION STARTSa� -�Y . =� q.»................................. Roug .........,�,,�,," .,1�� ...... Service BUILDING INSPECTOR inat„k Occupancy Permit Required to Occupy Building GAS INSPECTOR • ou ��l�Za`q Display in a Conspicuous Place on the Premises — Do Not Remove Fyrj 4G No Lathingor D Wall To Be Done l Until Inspected and roved b the Building Inspector. FIRE DEBAR EN P Approved Y 9 P BurnerrJA }• � Street No. SEE REVERSE SIDE Smoke Det. E NORTH F- 71 i r SS�` APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTiON Buildinq Permit# ADDRESS/LOCATION OF PROPERTY : U Map Parcel Lot Number SUBDIVISION S ON DATE REQUESTED FILEDIREADY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS$20.00)WILL BE.CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. Address '� � SIGNED /? C ROUTI G CONSERVATION PLANNING DPW-WATER METER 4/0cr SEWERNYATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYANSPECTION REQUEST DPW Signature File: Application for OC form revised Jan 2007 Registered Architectural and Engineering Services Construction Control Affidavit Project Number: DSA Project #0706.00 Project Title: Edgewood Retirement Community Cottages Project Location: #12 Samuel Way,North Andover, MA 01845 Scope of Project: 22 Individual Cottages In accordance with Section 116.0 of the Massachusetts State Building Code 1,Allen Dewing Jr., MA Registration #4301 being a registered professional engineer/architect, hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project YX Architectural Structural Mechanical Fire Protection Electrical Other (Specify) For the above named project and that, to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code. All acceptable engineering practices and all applicable laws for the proposed project. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular basis to determine that the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 116.2. 1. Review for conformance to the design concept, shop drawings, samples, and other submittals,which are submitted by the contractor in accordance with requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine,in general,if the work is being performed in a manner consistent with the construction documents. Upon completion of the Work, I shall submit a final report as to the satisfactory completion and readiness of the project for occupancy. A.0 Ap. Jam; p - n No.4301 CONCORD, en Dewing J . MA THGFV+ C,�rV•,fA % F:\DSA Project Files\Edgewood 0706\05. Project Word Documents\a.Correspondence and Transmittals\vi.Misc e CHRISTIANSEN & SERGI, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET-HAVERHILL,MASSACHUSETTS 01830-6318 (978)373-0310 FAX:(978)372-3960 Project No.: 06084 July 15, 2009 Ms. Judy Tymon Town of North Andover Planning Department 1600 Osgood Street North Andover, MA 01845 RE: Edgew►ood Retirement CommOnity Certificate of Occupancy Dear Ms.Tymon: Please consider this letter as a statement of substantial compliance with the approved plans, in accordance with §8.a of the Site Plan Review Special Permit and §10.a of the CCRC Special permit, for the building, landscaping, lighting and site layout for the following units at Edgewood Retirement Community: I • 9 and 11 Amelia Way Building, landscaping, lighting and site layout are within substantial compliance with minor modifications made to the building size and site grading; • 8, 12, 19 and 27 Samuel Wo v Building and site layout are within substantial compliance with minor modifications made to the building size and site grading. Landscaping and lighting have not been installed. The landscaping is scheduled to be installed by the end of this month. Christiansen & Sergi, Inc- trusts this is sufficient to satisfy the requirements of the above referenced conditions for occupancy and your office will be able to sign off on certificates of occupancy at your earliest convenience. Should you have any questions or comments please do not hesitate to contact us at the number listed above. Regards, PHILIP G. v L No.2BM A�G.�FG'lSTE�� S�aNAL Philip G. Christiansen,.P.E. 4ts� �t° CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 387 (12/9/08) Date: July 15, 2009 THIS CERTIFIES THAT THE BUILDING LOCATED ON 8 Samuel Way MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Edgewood Retirement Community 575 Osgood Street North Andover MA 01845 Building Inspector ToNvn of dover 0110 No. 3 9 7y ,; TIP Lo over, Mass., O COCWCHEMCK V ADRATED PPS` 5 '9S E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System iln'k UIDI P T THIS CERTIFIES THAT....... f t ................. aun3a� r'C S . has permission to erect........................................ buildings on ....:.:.. s r ...................................... *tmney 4 t0 be occupied as. F r a F..... ... ..............:......... ......... ......... ......... ....._ °t r provided that the person accepting this permit shall in every respect Conform to the terms of the application'on file in tnat this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of V Buildings in the Town of North Andover. PLLWBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. .� � . Final PERMIT EXPIRES IN 6 MONTHS �F& �ECTRICA/L INSPECTOR. UNLESS CONSTRUCTION STARTS :...::.:.......:.:.... Service ...I,.. ..... ............ ........ .. BUILDING INSPECTOW tnat_. / c3' Occupancy Permit Required to Occupy Building . GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remov%q,,,,, Find; No lathing or Dry Wall To Be Done rr ti£ FIRE,DEPARTMENT Until Inspected and Approved by the Building Inspector. atmer_ Street No. -7 / a SEE REVERSE SIDE Smoke Det. ..S l VIORTH J 01�f4ao F0- ++ L APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Building Permit# ADDRESS/LOCATION OF PROPERTY :-f� Map Parcel Lot Number SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE(5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS$20.00)WILL BE.CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SCI i l Ill Issued t—: e"1 i� "�E�'I j� 1 �a9 ( s , ,•-�'t'�( Address SIGNED ROUTING CONSERVATION PLANNING DPW-WATER METER SEWER/WATER CONNECTION Fy---I q NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYANSPECTION REQUEST DPW Signature File: Application for OC form revised Jan 2007 Registered Architectural and Engineering Services Construction Control Affidavit Project Number_ DSA Project#0706.00 Project Title: Edgewood Retirement Community Cottages Project Location: #8 Samuel Way,North Andover, MA 01845 Scope of Project: 22 Individual Cottages In accordance with Section 116.0 of the Massachusetts State Building Code I,Allen Dewing Jr., MA Registration #4301 being a registered professional engineer/architect, hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project XY Architectural Structural Mechanical Fire Protection Electrical Other (Specify) For the above named project and that,to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code. All acceptable engineering practices and all applicable laws for the proposed project. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular basis to determine that the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 116.2. 1. Review for conformance to the design concept, shop drawings, samples, and other submittals,which are submitted by the contractor in accordance with requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine,in general,if the work is being performed in a manner consistent with the construction documents. Upon completion of the Work, I shall submit a rt as to the satisfactory completion and readiness of the project for occupancy. EL A,9 e n No.4301 CONCORD, 4newing Jr. p �J 1h OF V1' F:\DSA Project Files\Edgewood 0706\05. Project Word Documents\a. Correspondence and Transmittals\vi. Misc • CHRISTIANSEN & SERGI, INC. .j PROFESSIONAL,ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET-HAVERHILL,MASSACHUSETTS 01830-6318 (978)373-0310 FAX:(978)372-3960 Project No.: 06084 July 15, 2009 Ms. Judy Tymon Town of North Andover Planning Department 1600 Osgood Street North Andover, MA 01845 RE: Edgewood Retirement Community Certificate of Occupancy Dear Ms.Tymon: Please consider this letter as a statement of substantial compliance with the approved plans, in accordance with §8.a of the Site Plan Review Special Permit and §10.a of the CCRC Special permit, for the building, landscaping, lighting and site layout for the following units at Edgewood Retirement Community: • 9 and 11 Amelia Way Building, landscaping, lighting and site layout are within substantial compliance with minor modifications made to the building size and site grading; • 8, 12, 19 and 27 Samuel Wav Building and site layout are within substantial compliance with minor modifications made to the building size and site grading. Landscaping and lighting have not been installed. The landscaping is scheduled to be installed by the end of this month. Christiansen & Sergi, Inc. trusts this is sufficient to satisfy the requirements of the above referenced conditions for occupancy and your office will be able to sign off on certificates of occupancy at your earliest convenience. Should you have any questions or comments please do not hesitate to contact us at the number listed above. Regards, PHILIP G. r►ANSEN v L NO.28896 ti SjOkAL ENG Philip G. Christiansen, P.E. DSA Dewing & Schmid Architects July 13, 2009 30 Monument Square Property Address: #19 Samuel Way Suite 200B Edgewood Retirement Community Concord,MA 01742 North Andover,MA 01845 Tel 978.371.7500 Fax 978.371.3388 Subject: Final Construction Control Affidavit 280 Elm Street South Dartmouth,MA 02748 Tel 508.999.0440 In accordance with Section 116.0 of the Massachusetts State Building Code, I Fax 508.999.7709 Allen Dewing Jr., MA Registration #4301,being a registered professional www.dsarch.com engineer/architect certify that I was present on the construction site on a regular basis and observed that work was completed in accordance with our Construction Documents and the State of Massachusetts Building Code and the requirements of the Town of North Andover and its officials for the construction of the dwelling referenced above. pEWr��`�� v � n No.4301 N 7- CONCORD,CONCORD, 9 MA lien Dewing Jr. Date / G LT}{of Date...�.: r�: .. ..... ,.C oT"1'1' TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ACMUSEt /J/f This certifies that G ............................ 4....-....::..?:........... has permission to perform ........�. P ✓.............:...................:................ wiring in the building of at................ ................................ //-�............. . ........ ,North Andover,Mass. Fee., ... .2.9 ... Lic.No.��!.. _ . ...... ... .. . .. ... . .. / ELecrrucni.I p Check # / 8605 • -` Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. ' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/051 (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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: tl City or Town of: MOOVIE Z 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) \S --�1A'MlsCZ WAY Owner or Tenant a7myn6ii try Telephone No. Owner's Address A95 O S OO Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building *7WELL 106, Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service 5&0 Amps 1ZA. 12ra Volts Overhead❑ Undgrd No.of Meters Number of Feeders and Ampacity 1-- Z00 A CAP Location and Nature of Proposed Electrical Work: UE'l;, .5"Dj ai£ fn rl )LJ `bio r a w& Completion of the following table may be waived by the Inspector of 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 AboveIn- o.o Emergency Lighting No.of Luminaires •o Swimming Pool Qrnd. ❑ Qrnd. ❑ i'Battery Units No.of Receptacle Outlets t `d No.of Oil BurnersFIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiatine Devices Total s No. of Ranges No. of Air Cond. Tons No.of Alerting Devices No.of Waste Dis osers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW Local E] Municipal Connection ❑ Other Heating Appliances KW Security Svstems:* No.of Dryers No.of bevices or Equivalent No.of Water KW No. of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of YVires. Estimated Value of ectrical Work: (When required by municipal policy.) Work to Start: , . ) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE-RAGE: 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 NAME: Interstate Electrical ServicJs rporat '_ LIC.N .:A-5217 Licensee: Pasquale A. Alibrandi Signature 1 (If applicablrater "exe z t"in the license number 1 ine.) Bus.Tel.No.:9 7 8—6 6 7—5 2 0 0 Address: X16 Tregie Cove Rd. , N. Billerica, MA 01862 Alt.Tel.No.: *Security System Contractor License required for this work; if applicable,enter the license number here: 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: -�' Signature Telephone No. T- P-2-7 ------------------------- r Date.................................. ,40RTM TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHUS This certifies that .......... LC /9 ............................................ ....................... perform ........ on to pe ..................... ......:�F .......... -2 has permissi ...Ly - wiring in the building of........... ............ ..................... ............................. at.... ....... ...................... North Andover,Mass. Fee..!1 .... Lic.No. ............. ......... ...... Check 8660 - wmmonwealth Of Massachusetts OfficiEJ Department of Fire Services Permit No.BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee ev. 1/07] (leave b APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORKAll work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 C~pp r� (PLEASE PMT ININK OR TYPE ALL INPORALITIOM Date: 3 City or Town of. NORTH ANDOVERBy this application the undersigned gives notice of his or her intention to perform the To thi electrical work des nbed bel Location(Street&Number) ow. Il Owner or Tenant ti Owner's Address Telephone No. Is this permit in conjunction with a building permit? Purpose of Building �,p$,�,�h�%� Yes No ❑ (Check Appropriate Boa) Existing Service Amps / VUtility Authorization No. �_Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps olts Number of Feeders and.Ampacity Overhead❑ Undgrd ❑ No.of Meters Location and Nature of Proposed Electrical Work: SAc v r /Ai/V"'1 Com letion of the followin table be waived the I ector of Wires. No.of Recessed Luminaires No.of CeiL-Sus o.of p.(Paddle)Fans Total No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool d e ❑ in- ❑ o1 o mergency No.of No.of Receptacle Outlets oil Burners grnd• Batt- Units No.of Switches -E ALARMS No. of Zones No.of Gas Burners No.of etection and No.of Ranges Initis ' Devices No.of Air COnd. otal No.of Waste DisposersTons No,of Alerting Devices eat Pump —"'umber ons Totals: KW- No,of on ed ete No.of Dishwashers Space/Area Heating KW Dction/Alertin Devices Local❑ Municipal No.of Dryersg� Connection 0 Other ting Appliances KW Security Systems: No.of Water No.of No.of Devices or Equivalent Heaters ' _ 0.0 Data W' Si s No.Hydromassage Bathtubs Ballasts No,o Devices or E uivaient OTHER: S No.of Motors Total HP Telecommunicationor s Wiring: .d� ��,/ No.of Devices E uivalent �Cu�,' Estimated Value of Electrical Work: Attach additional detail if desired, or as required by the Inspector of Wires. Ili , Work to Start: (When required by municipal policy.) 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 the licensee provides proof of liability insurance including" of electrical work may issue unless i undersigned certifies that such coverage is in force, and has completed Operation"coverage or its substantial equivalent. The CHECK ONE: INSURANCEexhibited proof tsame to the permit issuing office. R' BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties o er'u FIRM NAME. fp I �''that the mfonnation on this application is true and completes Licensee: � LIC.NO.: 9(415-GC - 11.Qi h(If applicable, enterpr, Si a tore imithI � LIC.NO.:,Z�2 V,71)- erne.)Address:,: / y" , L-4Cff�,Ps7l� /�ff� /Cf�/ Bus.Tel.No.97�(of��-G Y�� *Per M.G.L c. 147,s. 57-61,security work re uires D Alt.Tel.No.: OWNER'S INSURANCE W q epartrnent of Public Safe "S" Safety License: Lic.No. AVER: 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/Agent ❑ owners agent Signature Telephone No. PERMIT FEE: $ i Q �+ ��. LG �-z 2 -. r �� ' x �, r r� �� 'l The Commonwealth of Massachusetts „ Department o-f Industrial Accidents j J Office of Investigations i;tilt 600 Washington Street ,� Boston, MA 02111 t; www."nusgov/dia . Workers' Compensation Insurance Affidavit: Buiiders/Contractors/Eiectricians/plambers Aaniicaat Information Please Print Legibly Name (Business/organization/Individual): ��V�� 17`jl/P17 f /e1/M Address:_a- 7 /til City/.State/Zip: L rer►t..t /elf} o/�y� Phone#: . rAf G42 —6 Y-/- Are ou an employer?Check the appropriate box: 1.[' I aro a employer with 4, 'type of preject(required): ❑ l am a general contactor and I employees(full and/or part-time).* have hired the sub-contractors 6. ( 'New construction 2.❑ I am.a:sole proprietor or partner- listed ori the attached sheet t 7. ❑ Remodeling ship and have no employees These sub-contractors have S. Q Demolition working for me in any capacity. workers' comp.insurance. [No workers' comp. insurance 5. o• Building addition P ❑ We are a corporation and its required.] officers have exercised their 10.F7 Electrical repairs or additions r 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself [No-workers'comp. c. 152, §1(4),and we have no insurance required.)t 12.[] Roof repairs equired employees. [No workers' comp. insurance required.] 13 ❑Other 'Arty applicant tient checks bo>L#I must als r o frit out the s=ion below showing their worked'compensation policy information. riomeowners who aubmft this affidavit indicating they ars doing ail work and then hire onside contmetors must submtt a new affidavit indicating such the that cheek this box mustatraeieed an additions)atreetshowing the name of the mb cogtrttctots and their worm'cc-:p.polici- . I am an employer that is protriding:workers'compensation insurancefor nay employees: Below is thePolic}'and job site information Insurance Company Name: G ed n g.X/C ------------------------------ Policy#or Self-ins. Lic.#: WL S L3S9 % Expiration Date.. S-—/O— q Sob Site Address: / Jq L Gt/ City/State/Zip;il/. 4.v povF/Zfy/�' Attach a copy,of the_worker-V compensation po icy declaration (showing Pat's the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can Iead to the imposition of criminal es of a fine Lip 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. 4 I do hereby certify under the pains anOenaides of perjury that the informationry ' P v�ded above is true and correct Si tore: Date: SZ y Phone#: 9 x (� y 7 y VT70fflcialonly. Do not write in this area,to be completed by city or town ofcial n: Permit/License# ority(circle one): 1. Board of Health ? Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: l i Date.. 3 .. . . . ... .. Of MO DTk ,'1' TOWN OF NORTH ANDOVER i 0 � y PER�IT FOR GAS INSTALLATION This certifies that . . lb?. . ... . . . . . . . . . . . . .1. .?�. . . . . . . . . . . . . . has permission for gas installation . ./ 't.t' . t R . . . . . . . in the buildings of . . .t6' at �?.:: . . ., North Andover, Mass. Fee. .f(�4? .Lic. No./?.f.:7 7 . . . . . _ CaAS INSPECT Check# t o 674 Q � � � �► �i �Q T�, � p N W tl� A{ -� C � r g g CONVERSION BURNER -� DIRECT VENT HEATERS DRYERS rte. FURNACES > ❑ GAS GENERATORS ILI GRILLES 13 M1313-1 .. n HEATER RANGE ❑ M HEATING BOILERS CKS LABORATORY CO y , OVENS ' ❑ � POOL HEATERS R i RANGES ❑ ROOF TOP UNITS $ 3 ❑ TESTS ❑ UNIT HEATERS IrA ...� UNVENTED ROOM HTRS. VENTED ROOM HTRS. ❑ �' ❑ 8 g WATER HEATERS ❑ roR OTHER FIXTURES: o ❑ p n' �' l Date �3 f TOWN OF NORTH ANOOUER ' 3? ��,' _.,+ a SOL � - •v - � PERMIT FOR PCUUMBING ,SSACMUSE� This certifies that has permission to perform .� �. . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . ':'` -�. . . . . . . . . . . a at .� . . . . . . . . . . : . . . . . . . !r_/U `, . . . . . ., North Andover;Mass. Fee . .-. .Lic. No.�� 3�. v,- . PIGBING INSPECTOR " Check # 79F2 S S 4lor ARBA DRAINS S BACKPLOW PREV. ` BATHTUBS �` �► DISHWASHSRS DISPOSERS FLOOR DRAINS ' rdµ. OAS TRAPS ❑ X11 .. HOT WATER TANKS ¢ S' Q ' KITCHEN SINKS ' LAUNDRY TRAYS ❑ 1 LAVATORIES ROOF DRAINS ❑ �? SHOWER STALLS � 4 ® SLOP SINKS ❑ TANKLESS i URINALS WASHING MACH.CONN. ❑ ❑ ❑ WATER CLOSETS ❑ WATER PIPING E3lot PIXTURBS� S' S. I000;_ 8. 13