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Miscellaneous - 26 MAIN STREET 4/30/2018 (2)
L FEB -21-2013 13:01 PAUL DAVIES ASSOCIATES cCJF.a�:.iL+�.==in�fl'div.:.x�.ry...z'sr...ts�:x:.a:,e.•. c�. :._...�...._r:n—a.:.�.:...a. z..e: .�. _.__.. � � .._.�.�._......... .._ .. -MA �-IJ-Ar is Pad Da wiies AIifCifD' ft 0 February 14, 2013 Mr. Gerald Brown, Inspector of Buildings 1600 Osgood St. North Andover, MA 01845 Re: Project 3127 Jeffco, Inc Eight Unit Condominium 26 Main St. North Andover, MA 978 654 5135 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 81h Edition of the Massachusetts State Building Code, Section R311 Means of Egress. If you have any questions please call �yt�9iiti?ilia s _ flbi- am a�- Paul L IDraaciim AIA g „' 9 MA Reffisbafim 3280 P.01/01 A A Pnrnnm .St 11nit A 1 owP11. MA 01852 978-459-2154 TOTAL P.01 181 Date . / IF//3. ........ TOWN OF NORTH ANDOVER PERMIT FOR MECHANICAL INSTALLATION 9 'a l / This certifies that .... !..... .`. !�1�!J.. J�. has permission for mechanical installation /V f} .......... ' in the buildings of .. �,.�p ��' .. .................... . at `��.'4'^ ��'?��' . �� : ��.. �.- , North Andover, Mass. Fee.0 uJ.. Lic. No3l .... .......................... Z 1 � 0 GAS INSPECTOR ' WHITE: Applicant CANARY: Building Dept. PINK: Treasurer G' Commonweal-th cif M assachusetts Date: �3 Cstimated Job Cost: $ a 00 Plans Submitted: YES NO Business License # 69 Shed: Metal Permit Permil # ` bp/ Permit I -cc: $ Plans Reviewed: 'YTS NO Applicant License # Business Information: n Property Owner /Job Location Information: Name: ,11i 5 �,,UA y ,J�rto-hKjtali �6 Nat7te: f°' ( U Street: S5 S W V\ si- street: _� M k�,� S-�-, W\ k't k C.it /Town: x� ~ y ICS � c.�.r city/gown: _�.�_z �� Telephone: C 1��� ci S Telephone: Photo I.D, required / Copy of Photo M. attached: YES __ NO Shirr hiHill l ��tinreslricted lice J-2 / M-2-restrictecl to dwellings 3 -stories or less and commercial up to 10,000 sq. Pt. / 2 -stories or less Residential: 1-2farnily Nlulti4amily Condo / TownhouSeS Other Corn inereial: Office Retail Industrial F;cILIcatlonal Institutional Other Square rootage: under 10,000 sq. fl. ✓. over .10,000 sq, ft. Number of Stories: 3 Sheet metal work to be completed: New Work: Renovalion: I-IVAC � Metal Watershed Roofing . Kitchen Exhaust System Metal Chimney / Vents Air Balancing Provide detailed description of work to be clone: Lr� l� uT� W r c i�� +.w� v., , �� A [ c ,`ti i INSURANCE COVERAGE: I have a current liability insurance policy or Its equivalentwhich meets the regUiremrnts of M.G,L. 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 dotalls and Information I have submlttnd (or entered) regarding this application are trun and accurate to the best of my knowledge and that all sheet metal work and Installations performed under the permit Issued for this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 1,12 of the General Laws. Duct inspection required prior to InsUlatlon installation: YES NO Date Date 1'l�ress .hspcctions Comments Final Jimpection Comments Type of License: By ❑ Master Title ❑ Master -Restricted Cily/Town ourneyperson Permit # ❑iourneyperson-Restricted Fee $ ❑ Inspector Signature of Permit Approval Signature of Licensee License Number: -7 -3 I Check at www.mass.nov/dpi Sheet Metal Residential Guidelines / Inspection Checklist Yes 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 journeyperson-to- apprentice ratios Equipment sized per heating / cooling load calculations e/ Duct work sized per manual "D" calculations ✓ Bath / shower rooms contain mechanical exhaust fan vented outdoors 1/ Electric dryer exhaust properly installed maximum total run 35'-0", maximum flexible run 8'-0" Flexible duct runs installed 14'-0" maximum length Volume dampers installed for each supply air branch duct V1— Ductwork installed using proper gauges and hangers Ductwork / plenum connections sealed 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 Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.massgov/ilia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �t```,i5 Cb'ti 1ou (UtAY`t, `j 4kc,�-�4 Address: SS 5 k- A -(, S� City/State/Zip:. `mow 14 �, t Phone #: ��l i 51- 44 6 3 sire you an employer? Check the appropriate box: . ❑'I am a employer with 4 () 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. I 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 11.0 Plumbing repairs or additions 12.❑ Roof repairs 13.[1Other 14V-A(— ,y 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 irn employer that is providing workers' compensation insurance for my employees. Below is the policy and job site brmation. ` urance Company Name: 9p_e{ 1 -55 /! icy # or Self -ins. Lid. #: L`' t h a. 0 Expiration Date: 50 1 � Site Address: A + k ` '6 City/State/Zip: 0141 AILLf AAA ' 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 tp 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. P Itereby cert under thejudy&andpenaldes ofperjury that the information provided above is true and correct. iature: Date: )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. PIumbing Inspector Other Load Short Form Job: Date: Jan 16, 2013 Entire House By: mfn HEATING SERVICE Franks Heating Service 555 Woburn St, Tewksbury, MA 01876 Phone: 978-851-4403 Fax: 978-851-0398 Pr • • • Ulm For: Main st north andover end unit 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 Design lnfoernation Btuh Htg Clg Infiltration Outside db (°F) 1 88 Method Simplified Inside db (°F) 70 75 Construction quality Tight Design TD (°F) 69 13 Fireplaces 1 (Tight) Daily range - M Inside humidity (%) 30 50 Moisture difference (gr/Ib) 28 28 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 °F 625 cfm 0.036 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 625 cfm 0.050 cfm/Btuh 0.50 in H2O 0.89 2225 ROOM NAME Area (ft2) Htg load (Btuh) Clg load (Btuh) Htg AVF (cfm) Clg AVF (cfm) ent 128 2623 860 95 43 din kit 200 2689 2225 97 111 lav 46 57 10 2 1 liv 298 3029 3695 110 185 bed2 174 1535 759 56 38 wic 33 394 55 14 3 bath 55 0 0 0 0 bed1 158 1899 1935 69 97 hall 123 714 572 26 29 wic2 91 675 183 24 9 m bath 56 107 572 4 29 nen OC70 10-4n 100 A7 11100 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2013 -Jan -16 13:11:17 + wrightSOW Right -Suite® Universal 2012 12.0.09 RSU10062 Page 1 "CCA ...ghtsoft HVAC2\Project\24 Main st north andover middle unit.rup Calc = MA Front Door faces: Entire House d 1734 17293 12506 625 625 Other equip loads 0 0 Equip. @ 1.00 RSM 12506 Latent cooling 1574 w-nw 477 r1'3 9Ar17Q Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2013 -Jan -16 13:11:17 wrightsoft" Right -Suite® Universal 2012 12.0.09 RSU10062 Page 2 ...ghtsoft HVAC2\Projed\24 Main st north andover middle unit. rup Calc = MJB Front Door faces: ainItuft W. 1— Ln 4 Ln N fi tn ainItuft W. 1— Ln 4 Ln N tn MW -'R co CO) CO) LUZ LLJ C/) Y. M z I LLI Z 00 -4 LL ui co > m LLI LU aur < > W uj>- LJJ z Z 0 LU LuLn mo C) Lu 0 lu i Clinnttt- R197A NII 1 ICFRAN9 - A!CORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM1DDNYYY) 1/18/2013 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($), 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: PHONE 978 657-5100 (F 866-475-7959 AIC No Ext : A1C No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC p 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: COVFRAGES 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 ADD INSR SUER WVD POLICY NUMBER POLICY EFF MM/DDNYY POLICY EXP MM/DD/YYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx� OCCUR X Blnkt Add Ins: Prod/ X X CBP1059734 Compl Ops:as per 6130/2012 executed 06/30/2013 contract EACH OCCURRENCE $110001000 PREMISES Ea occur ence $300000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X JECT LOC PRODUCTS - COMP/OP AGG s2,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOSAUTOS HIRED AUTOS X NON -OWNED AUTOS X BA1059735 6130/2012 06/30/201 INED Ea e,.diSINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X CU8917751 6130/2012 OG/30/2013 EACH OCCURRENCE $3 000 000 AGGREGATE s3,000,000 DED I X RETENTION $1 OOOO $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE Y / N OFFCER/MEMBER EXCLUDED? a (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WCA00514205 6130/2012 06/30/201 X T STATU- OTH- O E.L. EACH ACCIDENT $500,006 E.L. DISEASE - EA EMPLOYEE $500000 E.L. DISEASE -POLICY LIMIT 1$500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S853214/M745169 DKO04