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Miscellaneous - 190 CHICKERING ROAD 4/30/2018 (2)
�� 1 \ ��,� �� � � � � Date. _ ................ Of<,Ca o7 or ,•,� 0� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACHUS� This certifies that ... n'`Z.............S..C.f/ .. ............... has permission to perform uTL�T Ulni z a wiringin the building offJ....................................`.............................................. at..... . 6.' . . � -!4 !ctc�7.<.��..... North Andover,Mass. Fee...Iz ..---'.. Lic.No.1.. � G�.� ...... . .i? 1 ... f. ELECTRICAL INSPECTOR Check # -� L,wnrnur►wCa►L►► v► ►-iabbac,►►u.'Pc«-"V ---p- --- --- Department of Fire Services Permit No. /�1� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: 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 described below. Location(Street&Number) atciceon Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd❑ No.of Meters New.Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: wy ( ,-G P 4> ' 4c ckgl 2 ak1\1 (fw l S Completion of the following table may be waived by the Inspector of Wires. of No. of Recessed Luminaires No.of Ceil: TransSusp.(Paddle)Fans Total Trsformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.of Emergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets No,of Oil Burners FIRE ALARMS I 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 g No.of Waste Disposers Heat Pump Number Tons 1KW 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 WaterKW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent y 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 Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 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 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 p 'ns ndpenalties ofperjury,that the information on this application is true and complete. FIRM NAM n 7-�*(yGt'�. LIC.NO.: Licensee: p Signature LIC.NO.: /3`720.- (If applicable,e r " �5tthelice a number line. s.Tel.No.: Address: - Cel- / < `G� ]L Alt.Tel.No.: *Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. 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 Owner/Agent A/ Signature _ �� Telephone Nq��e 1p 6�� PERMIT FEE: $ - ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information j�Please Print Legibly Name(Business/Organization/Individual): ri✓!I�' -�`� �C:� Address: 2 City/State/Zip: kcoek Phone #: Are ypan employer?Check the appropriate box: Type of project(required): 1. a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. E]Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. E] Building addition i [No workers' comp.insurance 5. ❑ We are a corporation and its 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 12.❑ Roof repairs insurance required.] t employees. [No workers' 131-1 Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t 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 policy and job site information. Insurance Company Name: ;. Policy#or Self-ins.Lic.#: ���� 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 of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I I do hereby certify under the pains and penalties of perjury that the information provided above is t ue and orr ct, Sianature: Date: AI Phone#: r 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#: p� Official Use Only CommonrveaGth ol a99achudett3 Permit No. Q �D 2epartment o f-7ire Service9 Occupancy and Fee Checked [Rev. 1/07) BOARD OF FIRE PREVENTION REGULATIONS (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 (PLESAE PRINT 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 perforin 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? Yes ❑ No ■ (Check Appropriate Box) I 1 Purpose of Building Condominiums Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Electrical Work: Bonding of the Gastite conduits for 130 units throughout the property Completion of the following table may be waived by the Inspector of Wires Nn.of Total lansformers KVA enerators KVA Date.... I3 �y �.of Emergency Lighting V tte Units a NORTH !RE ALARMS No.of Zones o?:•'"�:;':',�oa9 TOWN OF NORTH ANDOVER . p•of Detection and Initiating Devices PERMITFOR WIRING b. of Alerting Devices ,;,.._�t.•.' .of Self-Contained '"■°' 1 es Metection/Alerting Devic ��SACuS� Municipal Local ❑ Connection El Other E] n1 � C D 1 icurity Systems: This certifies t .hat ............... ...........111........�.•.-..................... V �• � No.of Devices or Equivalent lata Wiring- has iringhas permission to perform TC-` No.of Devices or Fquivslent 7....+.lt elecommunications Willing: (y�' w No.of Devices or Equivalent wiring in the building of.... ............. North Andover Mass. C (desired, or as required by the Inspector of Wires. Fee..:.. .. . ?.....:. Lie.Not ..... ....!...M ........... �� policy.) P P EL CTRtCAL INSPECTOR �ule 10,and upon completion. Check# 1 O ectrical workmay issue unless .s substantial equivalent.The iiit issuing office. v ```�cert`7ry,u`"�`�cf`tn-e pam�•a3ra7vr�ier���:•jt����.�,=•k',ira�=:.��.�.,�,rt�.:._-::.�...:���;> �...�;�._>__ _-•:..-�.complete. FIRM NAME: Helco Electric, Inc. A. All LIC.NO.: A 6238 Licensee: Jim McRobbie Signature l ,Z. 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 a ent. Owner/Agent j� � Signature Telephone No, PERMIT FEE: $ v 94 Z?-Yv Date.... .11A 1NOR7�y ° ' TOWN OF. NORTH ANDOVER o a PERMIT FOR WIRING ,ss�CMUs�t� This certifies that ..........` ................................................... h- has permission to perform "Q�-`ti" '� ..).......... .............. �.. wirin in the bui ing of......:. -t.., Q ✓� i, ..... ................................... q i ..........................� �� °� � . .......,North Andover,Mass. 1 at ...... .. ............................... x Fee:. ............:..Lic.No. a�. . ELECTRICAL INSPECTOR Check# °�(p� G 2 t 3 �- - r v. Z Commonwealth of Massachusetts Oficial Use Only 1 Department of Fire Services Permit No. A.) 7 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07) peaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NEC),527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: 9—,,' Y-- 16- . 6. 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 electri al w rk described below. Location(Street&Number) (, d Owner or Tenant LlFendTelephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building 01nti a,o ce hm Pie X Utility Authorization No. - Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nat1ure of Proposed Electrical Work: P� (��NN Q��-- �y�.N�� X47-- angs Completion of thefollowing 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 w� No.of Luminaires Swimming Pool Above ❑ In- ❑ lNo.of Emergency Lighting rnd. grnd. 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 Pump Number TonsKW 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.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 E uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: /`7a 6a (When required by municipal policy.) Work to Start: i;' 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 work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cover e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 1V BOND ❑ OTHER ❑ (Specify:) 4 I certify,ander the pains and penalties of perjury,that the infornta io this application is true and complete. FIRM NAME: " = d AS V/ _ LIC.NO.: Licensee: �1 4SORJ t� �M zSignatur LTC.NO.: 5.39'0 7,2— (If applicable,enter "exempt"in the license number line) -----.`Bus.Tel.No.•97X-12 &7� Address: , AvT ti 10 Q/yJT- A-Wo-,0311131 3Alt.Tel. *Per M.G.L c. 147,s.57-61,security work requires Departmen of Public Safety"S"License: Lic.No. 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. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c. 143,§3L,the • permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed or t on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166, §32,an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the I notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall.be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit ❑ ❑Permit Extension Act—Permit/Date Closed: Trench Inspection Pass N Failed '❑ Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass 0 Failed Re-Inspection Required($.)❑ Inspectors Comments: 4 Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass M Failed 0 Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Pass 0 Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: FINAL INSPECTION: Pass 0 Failed Re-Inspection Required($.) ❑ Inspectors Comments: r Inspectors Signature: Date: DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com The Commonwealth of Massachusetts r Department of IndustrialAceldents 1 Congress Street,Suite 100 Boston,MA.02114-2017 •� �` www.mass.gov/dia Workers,Compensation Insurance Affitdavit:Builde1s/Contractors/Electxicians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHOR1TY- Please Print Le 'bl Au' licant Information _� t Name(Business/Ozganization/Individual): t� L w Ogle. Address:—�/�340,(l r City/State/Zip: �/►/i�t2 YS`�" ![f f�' 0303/ Phone#: 979' 6 s'/j � • •."iX i•1 ^. f"i Are you an employer?Check the appropriate box: Type of project(required): d): 10 lam a employer with employees(full and/or Part-time)" `l. F1 New'd6nstructlon 2am a sole proprietor or partnership and have no employees working for mein 8. Remo dellAg Kny capacity.[No workers'comp.insurance required.] 9, ❑Demolition 3.Q I am a homeowner doing all work myself[No workers'comp.insurance required] 10[]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole or additions 11.XElectrical repairs proprietors with no emplbyeas: 12.!_s:Plumbing repairs or additions 5.❑T am a general contracto:and I have hired the sub-contractors listed on the attached sheet. 13•.Fj Ro6f repairs These sub-contractors have employees and have workers'comp.insurance: 14.Q Other 6.❑We are a corporatiori and its,officers have exercised their right of exemption per MGL c. 152,§1(4),and we have rio employdes:[No workers'comp.insurance required.] *Any applicant that check's bbx#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 a new affidavit indicating such tContractors that check this liox must attached'an additional sheet showing the name of the sub-contractors and state whether or pot those entities,have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing worker's'compensation insurance for my employees. Below is the policy and job site information. �- Insurance Company Name: ET- I rA) Expiration Date: Policy#or Self-ins.Lie.#: i Job Site Address: U e City/State/Zip: �. /I Y-er �/ Attach a copy of the workers'compensation poli Ideclaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL e.152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby rtify nder tliepa' ndpenalties ofperjury tliat the information provided above is true and correct. Date: Si a e: Phone#: /y �O �H 7 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): i 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• l Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for them employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual',partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enferprise,and including the legal representatives of a deceased employer,or the receivet'6r trustee 6f an individual,partnership,association or other legal entity,employing employees.•However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant-who:has not produced acceptable evidence of compliance with the insurance coverage xequiired" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the Workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub'contractor(s)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. .Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial-Accidents. Should you have any questions regarding the law or if you are required to obtain awoxkers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. # 617-727-4900 ext:.7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 wwwmass.gov/dia F t kk 1 �f OMMONWEALTH OF M. 0 0 0 • o ASSACHUSETTS o ' jUE-`' iNt :FOLLOWING >LIL1 I' E AS:: � R1;C�1'STERE`0 MASTEk CLECTR<I(7j'r} JA�Stl.N LACOMBEj ,. 11 4 23 MON7 VRNON RD + k Z A JH V2 ST \ J NH 0 031-332 114 �0 I i Kittredge Crossing Condominium Trust c/o Property Management of Andover PO Box 488, Andover, MA 01810 978-683-4101 November 3, 2015 J & J Heating and Air Conditioning 17 Arlington Street Dracut, MA 01826 Attention: Tom Dear Tom: The Kittredge Crossing Board of Trustees are greatly concerned about the permits that have not been secured from the Town of North Andover for the installation/replacement of a common area heating system at 190 Chickering Road. In addition, permits were not secured for the four (4) private HVAC systems removed and re- installed.., Payment for services provided Kittredge Crossing will not be rendered until all permits have been received. Kittredge Crossing may secure the services of another HVAC contractor to obtain permits in order to examine the work performed by your company and make any possible changes they may determine necessary to the systems you have worked upon. Cost for these services will be deducted from your invoices payment. The Town of North Andover Building Inspector has been notified of this issue. Thank you for your prompt attention to this matter. Sincerely, The Board of Trustees for Kittredge Crossing Condominium Trust i Via Certified Mail 47009 1410 0000 6125 6927 i cc:'-Mr. Gerald Brown, Building Inspector -Town of,North Andover 1600 Osgood Street, Bldg, 20, Suite 2035 North Andover,MA 01845 THENORFOLK DEDHAMGROUN September 24, 2015 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B Building Commissioner, or Inspector of Buildings c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Board of Health or Board of Selectmen c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Fire Department or Arson Squad c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 RE: Our File No.: P1500920 Insured: KITTREDGE CROSSING CONDOMINIUM Address: 190 CHICKERING ROAD, NORTH ANDOVER, MA Policy No.: R1373344A Loss Date: 07/30/2015 Loss Type:yp Building or Other Structure Damage A claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Ch. 143, Sec. 6 to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct it to my attention and include a reference to the captioned insured, location, policy number, loss date and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property, and the claim will be paid in our customary manner. Sincerely, I Michelle M. Roust Senior Property Claims Examiner 1-800-688-1825 x1171 NORFOLK&DEDHAM MUTUAL FIRE INSURANCE CO. 222 Ames Street,P.O.Box 9109,Dedham,MA 02027-9109 DORCHESTER MUTUAL INSURANCE CO. Telephone:(800)688-1825 FITCHBURG MUTUAL INSURANCE CO. o Fax:(781)329-1818 r... '� 440% -rd Town of VE / ®verCONTROL ip CONSTRU190N ~ 70 �� COCA over, Mass., i 5 RATED P?C, mNae � , x.003 H BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ A...C�6.... 1� 1 � �� .... .... ............. llP!V..... Foundation has permission to erect....... 1?........... buildings on -Pom...�.k6k .W..4.*.... ..............••.;,,,, Rough to be occupied as / S � .114 Chimney 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. Rough PERMIT EXPIRES IN 6 MONTHS HS Final UNLESS CONSTRUCTION AR S CONTROL ELECTRICAL INSPECTOR CONSTRUCTION Rough ................ ............ .................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove. Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until tnsp pted and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ***********APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT Terra Properties, LL'' PHONE 978-6!57--520U LOCATION: Assessor's Map Number 46 PARCEL--34-,,3-5,36,106 SUBDIVISION Kittredge Crossing Condominiums LOT(S) STREET Chickering Road ST. NUMBER ********OFFICIAL USE ONLY*, ***************************** REC ENDAT! OF TOWN AGENTS: CO SERVATION ADMINISTRA OR DATE APPROVED lez DATE REJECTED COMMENTS / �► G�%�� ' Zoning B and of Appeais DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS `PUBLIC WORKS - SEWERMiATER CONNECTIONS`7 ` J?`ZF✓�_ �7KDRIVEWAY,PERMI v''FIRE DEPARTMENT Cg3 RECEIVED BY BUILDING INSPECTOR DATE= Revised 9197 im E / 6s Town ® - eve r ,7 J CONTROL ® ,.. X70 No. 2z CMSTRUCTION 4 �- o z- over, Mass., re COCHI AO'c?A ED M 1%44.% ZOO S H BOARD OF HEALTH PERM .IT T D Food/Kitchen Septic System THIS CERTIFIES THAT...... BUILDING INSPECTOR 1�.:.1 •... 1E3 I,.�.�,,' ..Q, .... ^^__ • �.... ..... �............. !.�!V....4�� Foundation has permission to erect.......%,rc/.p,w.1>........... buildings on -Pom...�k;Mj4*. .... .................:.... Rough to be occupied as I R �� Chimney 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. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ARIS CONTROL ELECTRICAL INSPECTOR CONSTRUCTION Rough ................ ... ................ ............ ........................ .......................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove. Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until inspgcted and Approved by the Building Inspector. Burner — Street No. SEE REVERSE SIDE smoke net. OFFICE OF BUILDING INSPECTOR a � TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT 1)4NUMBER: ----------------------------------------------------------- __PROJECT TITLE:__— K /pocS'SIN! PROJECT LOCATION: C L C ___j sc g _ Q J ------ ------ OF BUILDING: NAME' I r ----- -- cl iu -- — -�"�:K ;�► ,_Q__�lhn--- 4{ _ u l.� l-v-or.i �S rnr NATURE OF PROJECT: �__________�_—_ —---------- IN ACCO tG W. I aH JARS ICLE 116 OF THE MASSACNOBUILDING11s E, I, V b '� —REGISTRATIONED AR BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THA HAVE(PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN P Q� COMPUTATIONS AND SPECIFICATIONS CONCERNING: . No. 9085 BOSTONMASS , . 40 ENTIRE PROJECT ° ARCHITECTURAL ° STRUCTURAL ° MECHANICAL ° q�TN Of MaSSp FIRE PROTECTION '° ELECTRICAL ° OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to.become, generally familiar with6the 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. PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY , A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. SIGNAT RE SUBSCRIBED AND SWORM TO BEFORE E THIS_ DAY OF _201Q NOTARY PUBLIC MY COMMISSION EXPIRES, � �� M°^T� OFFICE.OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER F 9 ° CONSTRUCTION CONTROL 9s$ncHus°t PROJECT NUMBER: PROJECT TITLE: KTTP.e_'I�C%E SI1JCa PROJECT LOCATION: Zoo L1l�Cl�ER�►JC, �hCA� /' NAME OF BUILDING: eUL T7` r24H/1-Y 1AY-A/N 6. (gVQ1'%J6- y� NATURE OF PROJECT: IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I, REGISTRATION NO. 383 63 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT a ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION ELECTRICAL OTHER(SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. . AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals. which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the 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. PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY , A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. SIG RE SUBSCRIBED AND SWORM TO BEFORE ME THIS i L DAY OF Toc_e; vb2.ti. 20t NOTARY PLOuc MY COMMISSION EXPIRES n'`0.rC�n a��`icO6 OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER N COT .UCTION �. 0L 0 PROJI!tT-NiJMI3 wR: PROJECTTITLE: PROJECT LOCATION: NAME OF BUILDING:_ ►rQl NATURE OF PROJECT: CQ[..oom to l u WIS WYMMd i.wrMiMM..nINW.w4N,.RM.Yrw.rrm IN ACCORDANCE WITH ARTICLE 116 OF THE MASSAGHUSETT: STATE BUILDING CODE, REGISTRATION NO.-31 z BEING A REGISTER51) PROFESSIONAL ENGINEERJARCHITECH HEREBY CERTIFY THAT HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL, DESIGN PLANS, COMPUTATIONS AND SP'ECIF'ICATIONS CONCERNING: ENTIRE PROJECT ARCHITECTURAL � STRUCTURAL� MECHANICAL 0 FIRE PROTECTION � ELECTRICAL 0THER(SPECIFY) Pwo3tNG A�49 Gas FOR THE ABOVE NAMED PROJECT ANIS THAT,TO THE DE'ST OF MY KNCWLEGE, SUCH PLANS, COR PLITATION5'AND SPECT ICATl6h16 MEET TWF APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES• . AND APPLICABL5 LAWS AND ORDINANCES FO»THE PROP0612p.USE AND OCCUPANCY, I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESSNT ON THE CONSTRUCTION SITE ON A RFOULAR AND PERIODIC) OASIS TO DETERMINE THAT THE WORK IS PROCEEEDINO IN ACCOROA,NCE WITH THE DOCUMENTS APPROVFO FOR THE F3UII DING PERMIT AND SMALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIMED IN SECTION 119,0 1. Rev law, for conformance to the eteslgn collcOPt, shop drawings, samples and other submittals which ere Submitted by the contractor Itj accordance with the regillremsnt8 of the constructlon documents. 2. Review and approval of the quality control procedures for all caderregl�lrert crarltro'led materials, 3. 89 present at intervals appropriafa tO thO stai3e construction to becnrns, generally familiar with6the progress and quality Of the work and to determine, In general, if the work is haing � performed In a rnanner conslstent'wlth the construction documents. j .JOEL ' PURSUANT TO SECT;0N 1'16,2 .2 I SHALL. SU»MIT WEEKLY , A PROGRi-SS REPOT :�"` GORDON TOGETHER WIT1"1 PERTINENT COMMENTS TO Ti IE NORTH ANDOVER BUILDING INS O'R!�H/WCAL UPON COMPLETION Or THE WORK, I SHALL. SUBMIT A FINAL. REPORT AS TO THP_ GAT ISi=ACTORY COMPLETION AND READINESS OF THE PROJECT FOR 0 FANCY. ,t NATURE S03SC2L'IEf~DAND SWORM TO 13E_rnRE MF THIS ! CLAY OF 20 MY C:OVI41SSION EXPIRES 6035279191 FAG-E. 2/7.7 OFFICE OF 13UILDING INSPECTOR h TOWN OF NORTH ANDOVER - CONSTRUCTION CONTROL ° ,CMuNa PROJECT NUMBER PROJECT TITLE: /40 T7ZEDGF" C2.&S'j-/nr C, PROJECT LOCATION: N - l7�OVP.Q �Zcm NAME OF BUILDING:__ �UtLL/ISI ntU y NATURE OF PROJECT: iN=E E WITH AVC 116 OF THE MASSACHUSETTS STATE RL1 DING CODE, IREGISTRATION NO, SDS BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CE=RTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ARCHITECTURAL Q STRUCTURAL MECHANICAL_ FIRE PROTECTION (E:LEC:TTRICAL. DTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PIANS, COMPUTATIONS AND--SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES, AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND 13 EPRESENT ON THE CONSTRUCTION SITE ON AGU RE LA O R AND PERI 4tc BASIS To DETERMINE THAT THE WORK IS PROCIFEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL_BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECT(ON 916.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor In accordance vvith the requirements of the construction documents. 2. Review and approval of the quality control Procedures for Off cads-required controlled materials. 3. Be present at Intervals appropriate to the std of corMtuctian to become, generally"liar Wth8the progress and quality of the Work and to determine,,in general, if the work is being performed in a manner went with the corWnction documerds. PURSUANT TO SECTION 118.2 .2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVE=R BUILDING INSPECTOR. , UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMP ETION AND READINESS OF THE PROJECT FOR OCCU C . GNAT SUBSCFa PD AND S O M TO BEFORE ME THIS DAY OF 20�� Z4AK60C. MY COMMISSION EXPIRES � � t , ., � i. �. �. ` } 1 � i >. ,� ,�� ���'� \ � r. I 03/14/'2003 12; 52 603-352-7005 WV ENGINEERING PAGE 02 OFFICE OF ®UILbING INSFEr• R " TOWN OF NORTH CO STRUClIOU CONTROL PROJECT NUMBER: PROJECT TITLE; PROJECT LOCATION: NAME OF SUILDING, NATURE OP PROJECT! IN ACCORDANCE WITH ARTICLE lie OF THE MASSACHUSETTS STATE RUIL13ING CODE, IMA4L 'b. :V1 AEk-ZZ 8 -REGISTRATION NO, �N BEING A REGISTERED PROFESSIONAL ENGINEERIARCHITECH HEREBY GERTIJ°Y NAT t HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF AI-l_DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT Q ARCHITECTURAL Q 64UCTURAL 0 MECHANIC,& FIRE PROTECTICNV ELECTRICAL OTHER(SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST Glp MY KIVQWLEGE,SU(:H PLAITS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THIS MASSACHUSETTS STATE SUIWING CODE,ALL ACCEPTABLE ENGINEERING PRATICES, AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED UISI AND OCCUPANCY, I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND 6 EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PER10C)IC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROk*n FOP THE BUILDING PERMIT AND SHALL 13E RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 118.0 1. Review, for conformance to the design concept,shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the constructlon docurnenta. 2, Review and approval of the quality control procedures for all code-required controlled materlais. 3, Be present at Intervals approprlata to the aNga of construction to became, generally familiar Mth6the progress and quality of the wotk and to determine; in gavral, If the work is being Performed In a manner latent with the owstrimon documerda. PURtUANT To TOGETHER YVIITSECTION EROTINENT COMMENTS To THE WEEKLY.ANDOVER SU�10ING IM RT PEC OR 7 . UPON!COMPILETION(iF.THE WORK,I SHALL SLOMIT A FI . REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF rHE PIR ECT FOR AN Y. SUBSCRIBED AND SWORM TO BEFORE ME THIS �` S TURF Nely CO;MIVIISS;ON EXPIRES KRISTEN TANDY,Notary Publio My COrrlmisslOn Expires November 10,2Q)4 1 CONCORD LUMBER CORPORATION Please Reply to:P.O.Box 1526 •Littleton,MA 01460 •(978)486-9877•Fax(978)952-2408 CONCORD LUMBER CORPORATION LITTLETON-LUMBER THE ARCHITECTURE DEPARTMENT ROBERT J. VORBACH- ARCHITECT P.O. BOX 1526 - 55 WHITE.STREET LITTLETON, MA 01460 TELEPHONE: 978-486-9877 FAX: 978-952-2408 DATE: 3-14=03 BUILDING DEPARTMENT - INSPECTIONAL SERVICES NORTH ANDOVER, MASSACHUSETTS RE: KITTREDGE CROSSING BUILDING 4 ADA COMPLIANCE Dear Sirs, The Architecture Department at Littleton Lumber, Robert J. Vorbach, Architect has supervised the design of and the construction drawings for the above mentioned project. Upon review of the drawings this office certifies to the best of our knowledge that the building is in compliance with both exterior, and interior mandates of The Americans With Disabilities Act (ADA) as they apply to the project type, and scope. E4ED An Sincerely, No. 9085 STON, Robert J. Vorbach ArchitectFlTI OF M�SSQ�� The Architecture Department Littleton Lumber-Littleton, Massachusetts Concord Lumber Littleton Lumber Littleton Millwork Kitchen Works 126 Lowell Road,Concord,MA 55 White Street,Littleton,MA 542 Newtown Road,Littleton,MA 77 Great Road,Acton,MA October 30 0 e , 20 2 Mr, Tom Daigneault Opechee Construction Corporation 11 Corporate Drive Belmont, NH 03220 RE: STRUCTURAL. PEER REVIEW FOUNDATION REVIEW - BUILDINGS 'A', 'B , 'C' AND 'D' KITTREDGE CROSSING ROUTE 125 - NORTH ANDOVER, MA (DEI Project No. D0738- Billing Group 001) Dear Tom: Our firm was retained by Opechee Construction Corporation to conduct an independent struc- tural engineer review on the cast-in-place concrete foundation design for Buildings `A', B', `Cand `D'in the above referenced project, The objective of this review being to determine if the structural plans and specifications for the foundations on the above referenced project are in compliance with Structural Code requirements, following the guidelines established in " Section 110.11 and Appendix I " of the Massachusetts State Building Code, 780. CMR, Sixth Edition. This objective is limited in that it is to be only to the extent necessary to render an opinion regarding the stability and integrity of the primary foundation systems of the buildings. At no time shall it be construed that our office (Daigle Engi- neers, Inc.), the Structural Engineer Project Peer Reviewer, through this peer review, is supplant- ing, or joining with, the S.E.R. (structural engineer of record) in his or her professional responsi- bility for the design of the foundation systems for Buildings `A', `B', `C' and 'D' at the above refer- enced project. For our review, your firm provided us with the following structural drawings (bearing the wet seal and signature of the Structural Engineer of Record): Buildings 'A' & 'R': drawings No. S1-AB through S7-AB; Building 'C': drawings No. 81-C throtigh SS-C; Building'U': drawings No. S1- D through ;S10-D. These referenced drawings, as prepared by JSN Associates, Inc., of Ports- mouth, NH, had the date 05/07/02 in the title block and the hand written date of 10/29/02 on the P.E. seal (wet seal) and were, The Structural Engineer of Record (SER); Hossein Salehkhou, P.E., signed and wet sealed these documents. As stipulated in "Appendix I" of 780 CMR, our office performed the following tasks: [Daigle Engineers, Inc. 1 East River Place Methuen, MA 01844-3818 978 682 1748 978 682 6421 fax www.daigler).e.com __ Page 2 of 2 October 30, 2002 Structural Peer review Off ® Mr. Tom Daigneault 1, Checked,to assure that the design loads are in conformance with the requirements of . I the Massachusetts State Building Code, 780 CMR- Sixth Edition. 2, Checked that the design criteria and assumptions conform to 780 CMR, and are in general compliance with accepted engineering practice. 3. Checked that the organization of the structure is conceptually correct and that the load paths are adequate to deliver forces from the building frame to the foundations and into the supporting subgrade. 4. Performed independent calculations for a representative fraction of the foundation Sys- tems, components and details, adequate to form a basis for our conclusions. During the.course of our review of the foundation design, we exchanged correspondence with, and conferred directly by phone with Hossein Salehkhou„P.E., the SER, to request clarifications and to discuss issues of concern. All such issues of concern on the foundation design have been re- solved to our satisfaction. It is our professional opinion that the design loads and design assumptions used for the design of the building foundations on this project conform to the requirements of the Massachusetts State Building Code, 780 CMR, and are in accordance with accepted engineering practice. We further state that there are no unresolved disputes between the structural engineer of record (Hossein Salehkhou, P.E.) and the independent structural reviewing engineer (Daigle Engineers, Inc) related to the building foundation design on the above referenced project. We trust that this will satisfy the needs of your office. Please call if you have any questions or concerns. Very truly, DAIGhE ENGINEERS INC i Donald L. Peach, M.S., P.E. (ext. 119) Senior Structural Engineer dpeach a@ aiglepexom DLP/dlp Ili DE? • 10/30/02 0 125 PM ♦ e D0738B00011-lolnni i, .o., _•, Permit Number RESch'eck Compliance.Certificate Checked By/Date Massachusetts Energy Code W ARCy� REScheckSoftware Version 3.5 Release 1 Data filename:A:\\OWCHEE-bldg 4.rck TITLE:Kittredge Crossing No. 9 5 g g BOST O MASS. �J L CITY: Andover �lTR OF MPSSP STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE:Multifamily HEATING SYSTEM,TYPE:Other(Non-Electric Resistance) DATE:01/07/03 DATE OF PLANS: 5/28/02 PROJECT INFORMl TION: Building 4 North Andover,MA COMPANY INFORMATION: OPCHEE Construction Corporation 11 Corporate Drive Belmont,NH 03220 603.527.9090 NOTES: Based on: Therma-Tru Classic Fraft Sidelite w.Half Doorlite Paradigm Windows Low E Andersen Patio Door COMPLIANCE:Passes Maximum UA=5552 Your Home UA=467 17.0%Better Than de(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R Value U Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 16796 30.0 0.0 588 Wall 1: Steel Frame, 16"o.c. 19630 15.0 0.0 1643 Window l:Wood Fr�me:Double Pane with Low-E 3645 0.330 1203 Door 1: Solid 91-4 0.260 238 Basement Wall 1:Wood Frame 7134 0.0 10.8 392 Wall height:9.5' y IA Depth below grade: 7.0' Insulation depth: 9.5' Floor 1: Slab-On-Grade:Unheated 794 10.8 539 Insulation depth:4/A' Floor 2:All-Wood JQist/Truss:Over Outside Air 110 30.0 0.0 4 Furnace 1:Forced HQt Air,78 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheckVersion 3.5 Release 1 (formerly MECchec4 and to comply with the mandatory requirements listed inAhe REScheckInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CUR 1310 and J4.4. Builder/Designer Date 4 t � REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.5 Release l DATE:01/07/03 TrME:Kittredge Crossing Bldg. I Dept. Use Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] I 1. Wall 1.: Steel Frame, 16"o.c.,R-15.0 cavity insulation Comments: I Basement Walls: [ ] I L Basen)ent Wall 1: Wood Frame,9.5'ht/7.0'bg/9.5'insul,R-10.8 continuous insulation Com"aents: Windows: [ ] I 1. Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: #Paned Frame Type Thermal Break?[ ]Yes[ ]No ComTents: I Doors: [ ] I 1. Door 1: Solid,U-factor:0.260 Comments: Floors: [ ] I 1. Floor 1: Slab-On-Grade:Unheated,4.0'insulation depth,R-10.8 continuous insulation Comments: Slab insulation to extend down from the top of the slab to at least 4.0 ft.OR down to at least the bottom of the slab then horizontally for a total distance of 4.0 ft. [ ] I 2. Floor�,All-Wood Joist/Tiuss:Over Outside Air,R-30.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,78 AFUE or higher Make and Model Number Air Leakage: [ ] I Joints,pengtrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ l 1 When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rat4 manufactured with no penetrations between the inside of the recessed fixture and ceiling vity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in-accordance with Standard ASTM E 283,with no more than 2.0 cfrn(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbsW pressure difference and shall be labeled. i I i I i j Vapor Retarder: { ] j Required on the warm-in-winter side of all non vented framed ceilings,walls,and floors. Materials Identification: [ ] j Materials and equipment must be identified so that compliance can be determined. [ l I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ) j Insulation R values and glazing U-factors must be clearly marked on the building plans or specifications. j Duct Insulation: [ ] j Ducts shakbe insulated per Table J4.4.7.1. Duct Construction: [ ] j All accessible joints,seams,and connections of supply and return ductwork located outside conditioned pace,'including stud bays or joist cavities/spaces used to transport air,shall be sealed j using mac and fibrous backing tape installed according to the manufacturer's installation j mstructia . Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] I The HVAC system must provide a means for balancing air and water systems. j Temperature Controls: [ ] j Thermostat's are required for each dwelling unit(non-dwelling areas must have one thermostat for j each syste or zone). A manual or automatic means to partially restrict or shut off the heating j and/or cooing input to each room shall be provided j Electric Systems: [ ] j Separate electric meters are required for each dwelling unit i j Heating and Cooling Equipment Sizing: [ ] j Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and AA j Circulating Hot Water Systems: [ ] j Insulate"ating hot water pipes to the levels in Table 1. I j Swimming,Pools: [ ] ( All heated swimming pools must have an on/off heater switch and require a cover unless over 20% j of the heating energy is from non-depletable sources. Pool pumps require a time clock. I { -Heating4mCoohngPipmg.I ilation: [ ] j HVAC piping conveying fluids above 120 T or chilled fluids below 55 OF must be insulated to the levels in Table 2. / Y V 1 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature up to l„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System nm § Range(1) 2"Runouts V and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressurc/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD,(Building Department Use Only) I I I Fil• i ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: Location: City Phone 0 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ® I am an employer providing workers'compensation for my employees working on this job. Companyname: OP>EL+-F— 6. t 7'GZVG.TTD An�t -770NI Address I C--n12P0Z4qE DTZ!VE City: F—E.Lmci> 4— 4 Niki 03ZZ6 Phone#' 603— SZ7-9040 Insurance Co. MF—MI L Policy# 31 O 290C)I&F Company name: Address City: Phone#: Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a rine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this ent may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the ains and enalties 9f perjury that he information provided above is true and correct. Signature Date 10-3 1 -(J2 Print name a Dt+(<? ek-t i( Phone# 01_S O SOTc' Official use only do not write in this area to be completed by city or town official' Building Dept F-1 Check if immediate response is required Building Dept p Licensing Board O Selectman's Office Contact person: Phone#: ❑ Health Department Other FORM WORKMAN'S COMPENSATION RD ' , ,. ��� •*. 'IJ�� r� IMM/DDIYY) 08/13/02 PRODUCER 603-643-4540 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION A..B. Gile, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 66 COMPANIES AFFORDING COVERAGE Hanover NH 03755 COMPANY A MEMIC INDEMNITY COMPANY INSURED COMPANY Opechee Construction B 11 Corporate Drive COMPANY Belmont NH 03220 C COMPANY D COV RAGES y 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ CLAIMS MADE ❑OCCUR. PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE S FIRE DAMAGE(Any one fire) $ MED EXP(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY•EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE S UM3R`""FOR.' AGGREGATE $ OTHER THAN UMBRELLA FORM $ A WORKERS COMPENSATION AND 1810060597 8/14/02 8/14/03 X T RY IMT OER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 500000 THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE-POLICY LIMIT $ 500000 OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS PROJECT: KITTREDGE CROSSING, NO. ANDOVER, MA CERT�I• �TEy�O�LDE#i� _. ' . � :�� �. ^����„ � � y�AiV�ELL 1Tt01V�"°� � - �, � i�' ;� TERRA PROPERTIES, LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL P.O. BOX 3039 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ANDOVER, MA 01810 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORI P ESENTATIVE _ y r a�xa+s { CO D25 5 f95i 3,> 3 _ -. iU 131 88 �Q mop o � October 30, 2002 Mr. Tom Daigneault Opechee Construction Corporation 11 Corporate Drive Belmont, NH 03220 RE: STRUCTURAL PEER REVIEW FOUNDATION REVIEW - BUILDINGS `A', `B', `C' AND D KITTREDGE CROSSIN ROUTE 125 - NORTH ANDOVER, MA (DEI Project No. D0738-Billing Group 001) Dear Tom: Our firm was retained by Opechee Construction Corporation to conduct an independent struc- tural engineer review on the cast-in-place concrete foundation design for Buildings `A', B', `C' and `D'in the above referenced project. The objective of this review being to determine if the structural plans and specifications for the foundations on the above referenced project are in compliance with Structural Code requirements, following the guidelines established in " Section 110.11 and Appendix I " of the Massachusetts State Building Code, 780 CMR, Sixth Edition. This objective is limited in that it is to be only to the extent necessary to render an opinion regarding the stability and integrity of the primary foundation systems of the buildings. At no time shall it be construed that our office (Daigle Engi- neers, Inc.), the Structural Engineer Project Peer Reviewer, through this peer review, is supplant- ing, or joining with, the S.E.R. (structural engineer of record) in his or her professional responsi- bility for the design of the foundation systems for Buildings `A', `B', `C' and `D' at the above refer- enced project. For our review, your firm provided us with the following structural drawings (bearing the wet seal and signature of the Structural Engineer of Record): Buildings `A' & `B': drawings No. S1-AB through S7-AB; Building `C': drawings No. S1-C through S8-C; Building `D': drawings No. S1- D, through S10-D. These referenced drawings, as prepared by JSN Associates, Inc., of Ports- mouth, NH, had the date 05/07/02 in the title block and the hand written date of 10/29/02 on the P.E. seal (wet seal) and were. The Structural Engineer of Record (SER), Hossein Salehkhou, P.E., signed and wet sealed these documents. 'As stipulated in "Appendix I" of 780 CMR, our office performed the following tasks: I Daigle Engineers, Inc. I East River Place Methuen, MA 01844-3818 978 682 1 748 978 682 6421 fax www.daiglepe.corn DEI 10/30/02 3:25 P&I D0738BG001L103002.doc Page I oF2 i Page 2 of 2 October 30, 2002 _ Structural Peer Review ® ® Mr. Tom Daigneault 1. Checked to assure that the design loads are in conformance with the requirements of the Massachusetts State Building Code, 780 CMR- Sixth Edition. 2. Checked that the design criteria and assumptions conform to 780 CMR, and are in general compliance with accepted engineering practice. 3. Checked that the organization of the structure is conceptually correct and that the load paths are adequate to deliver forces from the building frame to the foundations and into the supporting subgrade. 4. Performed independent calculations for a representative fraction of the foundation sys- tems, components and details, adequate to form a basis for our conclusions. During the course of our review of the foundation design, we exchanged correspondence with, and conferred directly by phone with Hossein Salehkhou, P.E., the SER, to request clarifications and to discuss issues of concern. All such issues of concern on the foundation design have been re- solved to our satisfaction. It is our professional opinion that the design loads and design assumptions used for the design of the building foundations on this project conform to the requirements of the Massachusetts State Building Code, 780 CMR, and are in accordance with accepted engineering practice. We further state that there are no unresolved disputes between the structural engineer of record (Hossein Salehkhou, P.E.) and the independent structural reviewing engineer (Daigle Engineers, Inc) related to the building foundation design on the above referenced project. We trust that this will satisfy the needs of your office. Please call if you have any questions or concerns. Very truly, DAIGLE ENGINEERS INC G, Donald L. Peach, M.S., P.E. (ext. 119) Senior Structural Engineer, dpeach@daiglepe.com Akl-:' .DLP/dlp ,: 1 DEI ♦ 10/30/02 ♦ 3:25 PM ♦ ♦ D073S©GOOIL103002.dOc♦ Page 2 of 2 i at least seventy five(75)percent of the minimum lot area reqs fired for zoning shall be contiguous land other than land located within a line identified as wetland resM f Ge areas �and the Tordance with the Wetlands own of North Andover Protection Act, Massachusetts General Laws, Chapter 131 Sect Wetland Protection Bylaw, Chapter 178 of the Code of Noi-'h AndoverThe proposed structure must be constructed on said designated contiguous land area."A w:giver is granted from this section so much as the addition of the 5,000 SF t of the Trustees of Reservations's lend area to the main portion of the lot constitutes a new lot, or that the project would be required io meet these requirements. 2 A waiver from the dimensional requirements Of SE :tion 7.3 Yards (Setbacks) is granted for a!1 zoning districts listed. This waiver is granted to construct the buildings as indicated on the site plan. See the specific listing in Table 2 below. 3. Awaiverfrom the dimensional requirements of Sectio n 7.4 wilding weights is gand a dolled roof districts listed.This waiver is granted to'construct a three sto.y building with a basementp as indicated on the Architectural Drawings. See the specific: listing in Table 2 below. 4. Awa=ver from the dimensional requirements of Secti an 7.5 Lot Coverage is granted for the zoning districts listed. This waiver is granted to construct the bui dings as indicated on the site plan. See the specific listing in Table 2 below. 5. A waiver from the dimensional requiremepts of Seciion 7.6 Floor area Ratio (FAR) is granted for the zoning districts listed. This waiver is granted to constrL-:-t the buildings as indicated on the site plan. See the specific listing in Table 2 below. 6. A waiver from the dimensional requirements of Secii cin 7.7 Dwelling Unit Density is granted for all zoning districts listed. This waiver is granted to construct th:� buildings as indicated on the site plan. See the specific listing in Table 2 below. 7. The following list of waivers as described above are c -.anted from Table 2,Summary of Dimensional Requirements, as referenced throughout the'lay-Law: Tab e 2 changes are listed below for all zoning districts. TABLE 2: The following waivers are required as listed in thh: table: - a. Change height to 55' from 35' in the R-4, R•, , B-1 Zone b. Change front and rear setback to 10' from R-4, R-5, B-1 Zone C. Change side setback from 15' in R-4 Zone, ,?5' in R-5 Zone and 20' in B-1 Zone to 9.83' in these three zones. d. Delete FAR requirement in B-1 Zane. Page -18- e. Delete lot coverage requirement in R-5 and 3-1 Zone f. Permit density of 19.90 units/acre in R-4, R-,i and B-1 Zone for "Density Max/Acre" line. g. Delete note 2 requirement for an additional 5' buffer zcne adjacent to a residential district as this note may apply to I his project. h. Delete the note 6 requirement for townhous: dimensions as this note may apply to this project. I. Delete the note 7 requirement for additional °equirements for apartments and townhouses as this note may apply to this pt eject. j. Delete the note 12 requirement for multi-fancily structures and site plan review requirements as this note may apply to this :,roject. Section 8 Supplementary Regulations 1. A waiver from Section 8.1.2 listing of Uses and Minir ium Spaces Required for Off-Street Parking. This waiver is granted to allow for the parking ratios indican:d on the site plan. Change Minimum Spaces Required from 2 spaces per unit to 1.6 spaces per unit.This Includes all associated accessory uses such as the complex office and common spaces. 2. A wa'sver from Section 8.1.7 is granted which reads:): parking space shall mean an area ofnotless than 9'x18; eccessible over an unobstructed driveway not 1 yss than 25'wide.A waiver from this section is granted to allow for driveways of 24' wide adjacent to pe;king spaces and 20'wide where driveway is used for two way access between parking areas in which n,: parking space is directly accessed from the 20' wide driveway. 3. A waiver from Sections 8.1.8 is granted which reads. For multifamily dwellings the front yard shall not be used for parking for accessory uses. A waiver from ti,is sectiori In its entirety is graved in as much as this section could be construed to prohibit parking as ins:icated on the site plan. 4. A waiver from Sections 8,1.9 is required which read:: in all residential districts the front yard shall not be used for parking for accessory uses.A waiver from ti-is section in its entirety is granted in as much as this section could be construed to prohibit parking as ini:icated on the site plan. 5. A waiver from Section 8.3 Site Plan Review in its er tirety is granted In as much as this project is regulated by the requirements under a Comprehensive Pe: mit (Chapter 40B) and is exempt from such review. Page -19- 1 FORM U - LOT RELEASE FORMCLI - rN INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT Tarr i PrnpPrtieS, LT ' PHONE 97b-6b7-b20u LOCATION: Assessor's Map Number 46 PARCEL-34,35,36,106 SUBDIVISION Kittredge Crossing Condominiums LOT (S) — STREET Chickering Road ST. NUMBER ************************************OFFICIAL USE ONLY*********************************** REC_QA;MqNDAT12n OF TOWN AGENTS: CO SERVATION ADMINISTRA OR DATE APPROVED DATE REJECTED COMMENTS Zoning B and of Appeals DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS_ DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR _ _DATE oZ Revised 9197 jm OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL ,sSAC"°5 PROJECT NUMBER: 4PROJECT TITLE: 441 Cr45611v<� PROJECT LOCATION: CLI u a NAME OF BUILDING: U NATURE OF PROJECT: K Ll 46 U&r t-t IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE I, REGISTRATION NO. 3836-4 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN P zt %"AOF COMPUTATIONS AND SPECIFICATIONS CONCERNING: HOSSEIN mm o SALEHKHOU v STRUCTURAL v, No.38367 ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL 9FGIS FIRE ELECTRICAL PROTECTION HE O ® C � OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT TO THE BEST OF MY KNOWLEGE SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals, which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the 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. PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY , A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. a, UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OC UPANC . URE SUBSCRIBED AND SWORM TO BEFORE ME THIS 7 DAY OF 20 O NOTARY PL WC MY COMMISSION EXPIRES 1�l avG� Z �6 } i v Y .� L Ali� (� n R •f TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING " OTHER THAN A ONE OR TWO FAMILY DWELLING , J .mTllis Section for Official Use®nl BUILDING PERMIT NUMBER: DATE ISSUED: 0dwowX SIGNATURE: O —Buifft Conunissioner/I or of Buildings D to P4 ss.�.h ri Baa.-^ 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 200 CN/G/tEe/n/4 2z - /V. AVbOVE2 /`�/� Map Number . Parcel Number C=r- C7 1.3 Zoning Information: 1.4 Property Dimensions: v 2 .2 Bl. Ry, Rs /,�ovs/�G 2�s, 82A/ -'t 3Y6. Z7 Zonis District Proposed Use LoArea Frontage ft 1.6 BUILDING SETBACKS(ft) Front Yard Side Yard Rear Yard Required Provide Required Provided Reqlfimd Provided /o ' I /2./4, N 1.7 Water S M.G1,.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Or Private 0 Zone Outside Flood Zane' G-- Municipal On Site Disposal System ❑ r}h.a,tf 2.1 Ownerof Record .e e77 LLG 23/ _!/rro,J ,ST j f, ame(Print) Address for Service r � 979 - G 87- Gaon M Signature Telephone 2.2 Authorized Agent CHEE O.VST�uGn.� 2 I/ (,O�t'l�B9TL� �J.e/!�E �ELMaNT /V/'/ xzzo Name Print Address for Service: Z 603-sa7- pogo O ' Signa Telephone Z m '}3 4' .l'F. R 90 ~ 3.1 Licensed+Construction sor Not Applicable ❑ FA 2 I w O S C 0795-22- Address License Number O 2 In Rt i ,e St CvN co,e.N /PJM 033o/ lif Licensed ction sor: - /U - Z 7- O'/ g3 8 Expiration Date 1 Telephone r r Registered H e Improvement tractor Not Applicable >_ v Company Name. Registration Number M AIA r Address r Expiration Date ^ZZ `' Signature J Telephone Y s�cTTol�a � �� Q � x 152: Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yea.......F1 No.......❑ SECTIOPISStO . I] Si t 'CO, ��R'V��)ftS VOR B1 Il�t & CON STRtTC1rt©14T C€31�f3L 11"1[11 `' 11# X6(�ON'I, �!�MORE��ifAt�D 3S,t�GF t3��Ci�?5I�D S1p14 n 5.1 Registered Architect: ; DOBE 2-T. VO R3i� Name: Q SS W N I T,5�* ST L/TTG,ETOnI t j A O 1gs � Address BO 79 4186 111' 77 Signature Telephone -of 14// 055E i s .SA L jr y K Nov Area of Responsibility' . Name: . r7T UC PO2T,5H0(/!N r NN 03 gQ/ Registration Number Address: 3 83(97 _ �-- X 03- '13-7 "$ia3 `/ Expiration Date S' afore - PyOA-,E _ (13o%y Not applicable 0 Name: _ Address Registration Number Signature Telephone Expiration Date Name Area of Re sponsibility • Address Registration Number ` Signature Telephone Expiration Date Name 1 J Area of Responsibility Address Registration Number Signature Telephone Expiration Date 1 Opect+ELE CONS7YZUCVonJ COZp Not Applicable ❑ Company Name: F-4 rz.%JC y Mil t/p Responsible in Charge of Construction New Construction Existing Building ❑ Repair(s) ❑ -----[Alterations(s) ❑ [Addition. ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: �J UF2rtcCoiL WiVSTX UG 7tECv yam, BU/LD/nl� USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ ]A ❑ A4 ❑ A-5 ❑ 1B ❑ B Business 2A ❑ C Educational ❑+ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard,. ❑ 3A ❑ I Institutional— ❑ -I-1 ❑ 1-2 ❑ I-3 ❑ 3B ' M Mercantile •p-` '' 4 ❑ R residential ' - ""R-1 '' =`' 'R=2 ❑ R-3 ❑ SA ❑ S Storage - ❑ ,S-1.; ❑. :S-2'' 5B ❑ U UtilityqSpecity:Specify: F M Mixed Use S Special Use Specify: COMPLETE THIS SECTION EF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR QUNGEAN USE I Existing Use Group: se Group: Existing_Hazard Index 780 C Proposed Hazard Index 780 CMR 34: k. . BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include 9 s ro 2 ES ¢ Basement levels Floor Area per Floors Total Areas 7b Total Height ft �1fi S` N PEA/ ,-- Ind ndent ce ctural En ' rin Structural Peer Review Required,. Yes No ❑ EC N 10a n_er A rization- O BE COMPLETED WHEN HERS AGED * " R C TRA O PLIES FOR BUILDING PERMIT as Owner of the subject property Hereby authorize dPFCHEF CON57-gUc7?cN 60ep- to act on My b all tters ork authorized by s building permit applicati Signature of Owner e 1 i I� N I, ZdW5/G/4 C vCG i as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate,to the best-of my knowledge and belief. Signed under the pains and penalties of perjury lavws All 4-ucc Pri ame _ .'.__F - of Owner/Ag nt Date y� Item Estimated Cost(Dollars)to be 1 °k Completed by permit applicant _> I. Building az�7 - (a) Building Permit Fee Multiplier f D 2 Electrical 2,10 (b) y o2 y o -� (b) Estimated Total Cost of Construction from(6) 7L& ano 3 Plumbing � Building Permit fee (•)X 39� Doo 4 Mechanical(HVAC). 221 1 vo Less 5 Fire Protection 7S- 9 t� b:l t yL oZ, O O 6 Total (1+2+3+4+5) u 4 e_ "" Check Number I t7 � /'�4o �ti:+:.' t E t T' Pr � �' :amu..:. ��tr'r.� ?^�'1 _ �`). ...v � -L l � �M✓aJ1Y.s� yld''.�yS�.'M al Iy r, 1 S,;), "/ Ly�I F�k` t-1.-r.P 4!: � '.'?.;k ...xF 1,� �j 7..�J x-{kF .. � .«5.c a,Y y 3• �.r ,* �j�`5, � ��r..�` 1.��7p �,r 4tY S.i.�,Y„ �r4 tr-ae,k b' bP.....flJ told S>:;;rl � :,c`l� n.-%� ��-� �Lz r.4y m��a�i�':ya j i.,.;+ts x +..-,'?�„�}{ .....s._d.•,�`'xt,,.. z�.1W3'n !%Y. .�,�>,s�..'�.�u ,As�<.,3 r Y r. s. Ir`t,^ ,:'�J x.z i .r r .z 2 �Y F t..i. �..., :. .�. . a, � R� ,.fir A:.re-. �' .., ., ,r� �n� v.z«st •,�,r�s�r� � ,. +, NO.OF STORIES r SIZE r BASEMENT OR SLAB SASEriE,v i •_ SIZE OF FLOOR TIMBERS 1S 2ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS' -DIMENSIONS OF GIRDERS . HEIGHT OF FOUNDATION THICKNESS �z SIZE OF FOOTING 3 _ 41 Vq,e E S X II I MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND L z v IS BUILDING CONNECTED TO NATURAL GAS LINE YC-5 {"—�r81 YwS ,n ,.a' --•xssgf`�"�"'x+ y+,i�'' `r >�i .r, y'"j x•s -� '` 4 c �,�3 # a-cee�"'�a"'�-,s_+ "T'�?'I�k��� -t"*,.s.�x-et'�v 't�.,�'� ��';- .�la �%.°" �N ky�������.v. �J '�✓�€ �.:. t s.: �- a +y