HomeMy WebLinkAboutMiscellaneous - 26 MAIN STREET 4/30/2018 (7)FEB -21-2013 13:01 PAUL DAVIES ASSOCIATES
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978 654 5135 P.01i01
February 14, 2013
Mr. Gerald Brown, Inspector of Buildings
1600 Osgood St. -
North Andover, MA 01845
F_
Re: Project 3127
Jeffco, Inc
Eight Unit Condominium
26 Main St.
North Andover, MA
Dear Mr. Brown;
The developer of the above referenced project would like to relocate the second
means of egress of each unit from the second level deck to a rear 2'-8" door.
This complies with the 811, Edition of the Massachusetts State Building Code,
Section R311 Means of Egress.
If you have any questions please call
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to
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PillIL,IDaaviies,,ABA ,tea-$ �.
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MA Regsbafim 3280
AlA PnnPrC Sf I Init A 1 nwPlt. MA 01852 978-459-2154
TOTAL P.01
181 Datc.! lF//; ........
NORTH '14, TOWN OF NORTH ANDOVER
QF .ao 6 0
PERMIT FOR MECHANICAL INSTALLATION
•
This certifies that 014* * Fe��
has permission for mechanical installati,n
in the buildings of T ...............................
North And -over, Mass.
Fee.04�—'... Lic. No�i31 .... ........
Vj C I j ?— -:?, 3 C) - GAS INSPECTOR "I
WHITE: Applicant CANARY: Building Dept. . PINK: Treasurer
� , I
Coin monwealth ofMfassachusetts
shect metal Permit
Date, � _-`— Permit I/
Estimated Job Cost: $�`�,� U 0 Permit Fee::}; —_
Plans Submitted: YES NO Plans Reviewed: 'YES NO
Business License # (9 Applicant License 4 � _
Business Information: (gyp /,
Name: 111i S nY 1•J �J�'1 I`f o•n� _S a�l rid
I
Street: SSS � 6 l "I N _ si- --
City/Town:
Telephone: (���� S U 3
Photo I.D, required / Copy of Photo I.D. attached
(aL restrictcd license
Property Owner /,fob Location Information:
Nairn:
Street: _ _k_Q / L k'� S�-,
City/Town: K) 0 r {-fir )k�ly"r
(Telephone:
YES NO
810T tllit lli
J-2 / M -2 -restricted to dwellings 3 -stories or less and commercial up to 10,000 sq, 1't. / 2 -stories or less
Residential: 1.-2 family N(ufti-('arni(y Condo/Townhouses t,/,- Other^
Corn inorcial: Office Retail Industrial )J'CILICalional
Institutional Other
p
Sgrr�u c
Footage: uncler 10,000 sq, ft. ✓. over 10,000 sq, ft. Number of Stories: 3
Sheet metal work to be completed: New Work: Renovation:
HVAC Metal Watershed Roofing . Kitchen Exhaust System
Metal Chimney / Vents Air Balancing
Provide detailed description of work to be clone:
es
u. kx— a (K `e6—� t
Cl t (U 5 >
5-(2(04 �� o c (- (4" I Imo„ K ej� I
('�- t*-t(_-
c V
s
Nr
INSURANCE COVERAGE:
I have a current liabilit insurance policy or Its equlvalentwhich meets the requirements of M,G.I_. Ch. 112 Yes [dNo ❑.
If you have checked Yes, indicate the type of coverage by checking the appropriate box below:
A liability insurance policy [— Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter '112 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement,
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By chocking this box , I hereby certify that all of the details and Information I have submitted (or entorod) regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and Installations performed under tho permit Issued for this application will he
in compliance with all pertinent provision of the MasSBChUeettS Building Code and Chapter 1.12 of the General Laws.
Duct inspection requlred prior to insulation Installation: VES NO
Date
Date
Pl-ogress Inspection's
Comments
Final .I.nsImetion
Inspector signature of Permit Approval
Signature of Licensee
License Number: 5 -7 3
Check at www.mass,gov/dpl
Type of License:
By
❑ Master
Title
❑ Master -Restricted
Cily/Town
Journeyperson
Permit fE
❑Journeyperson-Restricted
Fee $
❑
Inspector signature of Permit Approval
Signature of Licensee
License Number: 5 -7 3
Check at www.mass,gov/dpl
4
�
SheetMetal Residential Guidelines / Inspection Checklist
No N/A
Detailed description and sketch of sheet metal system to be installed has
been provided
All workers performing sheet metal work onsite has valid Massachusetts
sheet metal license
_ All sheet metal work being performed with proper joumeyperson-to-
apprentice ratios
Equipment sized per heating / cooling load calculations
Duct work sized per manual "D" calculations
✓ Bath / shower rooms contain mechanical exhaust fan vented outdoors
Electric dryer exhaust properly installed maximum total run 35'-0",
maximum flexible run 8'-0"
Flexible duct nuns installed 14'-0" maximum length
Volume dampers installed for each supply air branch duct
Ductwork installed using proper gauges and hangers
Ductwork / plenum connections scaled substantially airtight
Ductwork insulated by means of external covering or internal lining
New/clean - properly sized filter installed (final inspection)
Testing and Balancing report complete (final sign -off)
The Commonwealth of Massachusetts
Department of IndustrialAccidents
1UV Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information ` ,+ Please Print Legibly
Name (Business/Organization/Individual): WNVi C eq i0 (jA (u;au Y`1' ` j 1.,Vkq ,r
Address: SS S A�-c, S{
City/State/Zip: Phone #: �Ci )q) b S 1- 44 6 3
kre you an employer? Check the appropriate box:
, [g I am a employer with 4 V
4. ❑ I am a general contractor and I
employees (full and/or part-time).*
have hired the sub -contractors
❑ I am a sole proprietor or partner-
listed on the attached sheet. t
ship and have no employees
These sub -contractors have
working for me in any capacity.
workers' comp. insurance.
[No workers' comp. insurance
5. ❑ We are a corporation and its
required.]
officers have exercised their
❑ I am a homeowner doing all work
right of exemption per MGL
myself. [No workers' comp.
c. 152, §1(4), and we have no
insurance required.] i
employees. [No workers'
comp, insurance required.]
Type of project (required):
6. ❑ New construction
7. ❑ Remodeling
8. ❑ Demolition
9. ❑ Building addition
10.❑ Electrical repairs or additions
11.❑ Plumbing repairs or additions
12. F1 Roof repairs
13.[VOther 14 UA L
iy applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
omeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
ntractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information.
rn an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
brmation.
urance Company Name: 9U(t_55
icy # or Self -ins. Lid. #: k -o l h d. o ,5 l � x tj Expiration Date: 6 1 5 oh
Site Address: A A&,\,�,_ -5_4 u w, k t— `6 City/State/Zip: 04, V-L(P&(A
:ach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
lure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
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
ip to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
estigations of the DIA for insurance coverage verification.
1 hereby certify under thejuwt&andpenalties ofperjury that the information providejd above is trite and correct.
nature: Date:
`-) tsl-Lt4o 3
?fficial use only. Do not write in this area, to be completed by city or town official.
:ity or Town:
Permit/License
ssuing Authority (circle one):
. Board of health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
Other
I \�
rj
HEATING SERVICE
Load Short Form
Entire :-louse
Franks Heating Service
555 Woburn St, Tewksbury, MA 01876 Phons.,: 978-851-4403 Fax: 978-851-0398
ry X11 pll..
For:
�L Main st north andover..
Job:
Date: Jan 16, 2013
By: mfh
HEATING EQUIPMENT
Make
Trade
Model
AHRI ref
Efficiency
Heating input
Heating output
Temperature rise
Actual air flow
Air flow factor
Static pressure
Space thermostat
80 AFUE
0
Btuh
0
Btuh
0
OF
766
cfm
0.035
cfm/Btuh
0.50
in H2O
COOLING EQUIPMENT
Make
Trade
Cond
Coil
AHRI ref
Efficiency
Sensible cooling
Latent cooling
Total cooling
Actual air flow
Air flow factor
Static pressure
Load sensible heat ratio
0 SEER
Area
(ft2)
0
Btuh
0
Btuh
0
Btuh
766
cfm
0.050
cfm/Btuh
0.50
in H2O
0.90
2190
ROOM NAME
Area
(ft2)
Htg load
(Btuh)
Clg load
(Btuh)
Htg AVF
(cfm)
Clg AVF
(cfm)
ent
128
2525
812
89
41
din kit
200
3071
2190
108
109
lav
46
698
947
25
47
liv
298
3728
4127
131
206
bed2
174
1374
710
48
35
wic
33
696
100
24
5
bath
55.
853
968
30
48
bed1
158
2701
2467
95
123
hall
123
642
539
23
27
wic2
91
1385
281
49
14
m bath
56
591
615
21
31
nen
7911n
1F7R
193
79
mas
Oto vvv
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed.
2013 -Jan -16 13:11:41
r�-
` wrightsaft" Right -Suite® Universal 2012 12.0.09 RSU10062 Page 1
%ICC% FAWrightsoft HVAC2\Projectt24 Main st north andover end unit.rup Calc = MJ8 Front Door faces:
Entire House d
1734
21774
15332
766
766
Other equip loads
0
0
Equip. @ 1.00 RSM
15332
Latent cooling
1646
Tl1T A 1
4 �-n A
114'7 A
4 t-In7 0
/_,
I V I J %LO I/ Olt 4 1 1 11+ 1 U.7 / 0 / uu l uu
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed.
2013 -Jan -16 13:11:41
WrightSOft" Right -Suite® Universal 2012 12.0.09 RSU10062 Page 2
ACCP FAWrightsoft HVAC21Project\24 Main st north andover end unit.rup Calc = MJ8 Front Door faces:
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Client#: 53676
HILLISFRAN2
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
1 1118/2013
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. if SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
HUB International New England
299 Ballardvale St
Wilmington, MA 01887
978 657-5100
CONTACT
NAME: nee. certificates@hubinternatio
PHONE 978 657-5100 866-475-7959
AIC No Ell: AIC Nol:
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC tY
INSURER A: Peerless Insurance Co 24198
INSURED
INSURER B: Atlantic Charter 44326
Hillis Corp
DBA Frank's Heating Service
555 Woburn St
INSURER C
INSURER D:
Tewksbury, MA 01876
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDLSUBR
INSR
WVD
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MM/DD/YYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
X B;nkt Add Ins: Prod/
X
X
CBP1059734
Compl Ops:as per
6130/2012
executed
06/3012013
contract
$1,000,000
DEAACCHq�OECCCURRENCE
PREMISES Ea xcur soca s300000
MED EXP (Any one person) $5,0O0
PERSONAL & ADV INJURY $1,000,000
GENERAL AGGREGATE s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X jE LOC
PRODUCTS - COMP/OP AGG s2,000,000
$
A
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
X HIRED AUTOS X NON -OWNED
AUTOS
X
BA1059735
6/30/2012
06/30/201
CEaMsBcNd.ntSINGLE LIMIT $1,000,000
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
Per accident
A
X
UMBRELLA LIAR
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
X
CU8917751
6/30/2012
06130/2013
EACH OCCURRENCE s3,000,000
AGGREGATE $3 000 000
DED I X RETENTION $10000
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITYER
ANY PROPRIETOR/PARTNER/EXECUTIV'E Y / N
OFRCER/MEMBER EXCLUDED?
a
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
WCA00514205
6/30/2012
06/30/201
X T C STAT T OTH-
E.L. EACH ACCIDENT $500,000
E.L. DISEASE - EA EMPLOYEE $5OO OOO
E.L. DISEASE - POLICY LIMIT $5OO OOO
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
1600 Osgood Street, Bldg 20 ACCORDANCE WITH THE POLICY PROVISIONS.
Suite 2-36
North Andover, MA 01845 AUTHORIZED REPRESENTATIVE
%� .X C40"--
@ ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S853214/M745169 D KO04