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Home My WebLink AboutMiscellaneous - 30 WILLOW STREET 4/30/2018t- --- - - - - - --- Date .2 .IN� ........ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ...... CVW A ��"- ................................................................. has permission to perform .......... S-I'l.........``....................................................... plumbing in th, -360 ,!, �uildinCs of ..... .... t-0 ............................................. at .... L e ........ ......................... x v,,n A 'North Andover, Mass. ..................... I ....... ....... Fee.!(D ... Lic. No. AW01.1 ..... ................................................................................. PLUMBING INSPECTOR ChecL,4k M j I P TYPE OR PRINT CLEARLY MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY I North Andover MA DATE 2/22/2016 PERMIT # I JOBSITE ADDRESS 300 willow ave OWNER'S NAME EXECUTIVE CENTER LIMITED PARTNgP OWNER ADDRESS 355 MIDDLESEX ROAD TEL 978-657-7300 FAX OCCUPANCY TYPE COMMERCIAL El EDUCATIONAL ® RESIDENTIAL NEW: ® RENOVATION: 0 REPLACEMENT: FIXTURES -1 FLOOR- BSM 1 1 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR / AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK 1 t i LAVATORY ROOF DRAIN SHOWER STALL SERVICE / MOP SINK TOILET WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER I PLANS SUBMITTED: YES[] NO® 2 1 3 1 4 1 5 1 6 1 7 1 8 1 9 1 10 1 11 1 12 1 13 1 14 IN5UKANG1-- GVVEKAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES [j NO IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Ej OTHER TYPE OF INDEMNITYE] BOND El OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 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 AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME I Richard Dumont I LICENSE # F1-61-91---1 SIGNATURE MPEI JP® CORPORATION# 3739 PARTNERSHIP®# LLC®#� COMPANY NAME I Mechanical Air of New England, Inc. I ADDRESS 11 Alden Avenue CITY I Greenland —� STATE NH ZIP L03840 TEL 603-433-0111 FAX 603-433-0187 CELL 603 767-7688 EMAIL I tom@mechairne.com Date . 21� 3 {� .. ... .................. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ................. L.n l4.,�� ................................................................................................... has permission for gas installation . ......(2- .Lk..,, DPr.:2. ............... ................ t Y in the buildings of . L V -..P. . .,- P . ............................................................................................................ L:0 �, r\ -j North Andover Mass. Fee ... ..-.... Lic. No. to 19.x....... f�-1GAS INSPECTOR Check # �" iO�� '� ` MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK _ . 4 � CITY North Andover MA DATE 212�2/2016 PERMIT # Ib i t JOBSITE ADDRESS300 willow ave OWNER'S NAME EXECUTIVE CENTER LIMITED PARTNER GOWNER ADDRESS 1355 MIDDLESEX ROAD TEC 657-7300 FAX �� TYPE OR OCCUPANCY TYPE COMMERCIAL] EDUCATIONAL ❑ RESIDENTIAL❑ PRINT CLEARLY NEW: RENOVATION: Q REPLACEMENT: ❑ PLANS SUBMITTED: YES❑ NOQ APPLIANCES Z FLOORS- BSM 1 1 2 3 4 5 6 7 1 8 1 9 10 11 12 13 14 r--- BOILER _ -- �- BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE Eli I r--- GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT i f OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER seperatinq RTUs in tenants ace 3 I INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES Q NO ❑ I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY [D OTHER TYPE INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 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 AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME I Richard Dumont I LICENSE # 16191 SIGNATURE MP 0 MGF ❑ JP ❑ JGF ❑ LPGI ❑ CORPORATION Q# 3739 PARTNERSHIPF-1# LLC ❑#� COMPANY NAME: Mechanical Air of New England, Inc. ADDRESS 1 alden ave CITY I Greenland STATE NH ZIP 0 3840 TEL 603-433-0111 FAX 603-433-0187 CELL 603-767-7688�EMAILtom@mechairne.com IV/ +. V, I PON* 40 0 4-o G'? A z a 14Z p z O r H A cd v co� 10 z a -1-�0�-0� � coQ.S3r�t _(zfLlc��o-�wL+c�3s Of MO eTN �NQ, 'sawtNus� TOWN OF NORTH ANDOVER PLUMBING PERMIT FEES Fees adopted by the Board of Selectmen: 6-24-2002 , Effective 7-1-2002 Rate schedule for New Building, Additions and Alterations (Residential, commercial or Industrial & Education) 1/10`h of 1.5% of the estimated cost of construction or the minimum fee, whichever is greater. 2. Residential (One (1) permit per building/unit required) Reinspection Fee 30.00 ea. 3. Commercial & Industrial (One (1) permit per building/unit required) Minimum Fee Fixture Fee Large Building $175.00 $5.50 ea. Large or Small Building Divided in Store, Office Office Manufacturing Units, etc. 85.00 5.50 ea Additions Renovations 85.00 5.50 ea. Reinspecton Fee 30.00 ea. Per trip 4. Miscellaneous Fee Minimum Fee Electric or Gas Hot Water Heaters (Plumbing Replacement Only) Minimum Fee Fixture Fee Single Dwelling $55.00 $5.50 Single Dwelling — Renovation to Existing 25.00 5.50 ea. Single Dwelling — Addition 25.00 5.50 ea. Condominium/Townhouse — Unit 45.00 5.50 ea. Replacement of Existing Fixtures Only 30.00 2.50 ea. Reinspection Fee 30.00 ea. 3. Commercial & Industrial (One (1) permit per building/unit required) Minimum Fee Fixture Fee Large Building $175.00 $5.50 ea. Large or Small Building Divided in Store, Office Office Manufacturing Units, etc. 85.00 5.50 ea Additions Renovations 85.00 5.50 ea. Reinspecton Fee 30.00 ea. Per trip 4. Miscellaneous Fee Minimum Fee Electric or Gas Hot Water Heaters (Plumbing Replacement Only) $30.00 ea. Residential BackflowPreventers (Lawn Sprinkler & Sprinkler Head for Boiler (s) 25.00 ea. Commercial Backflow Preventers 60.00 ea. Capped Sewer Lines for Demolition 30.00 ea. 5. Special Fees Repair and Maintenance Permit (for condominium (s) Townhouse (s), Commercial, Industrial and Educational), up to two (2) plumbers, (must have licensed plumber on staff). $250.00 per quarter. Log must be kept for inspection when permit is renewed each quarter or as requested by the Plumbing Inspector. Other fees, if not listed, to be determined by the Plumbing Inspector and shall not exceed $250.00. The applicable fee will double when work begins without the proper Plumbing Permit. LO it c -,h ST I/ /�ncpO,c.2 �.�. o� NO °TM �h O TOWN OF NORTH ANDOVER ' S^C h� LP & GAS PERMIT FEES �3ACHUSEt • r Fees adopted by the Board of Selectmen: 6-24-2002 , Effective 7-1-2002 Rate schedule for New Building, Additions and Alterations (Residential, commercial or Industrial & Education) 1/101h of 1.5% of the estimated cost. 2. Residential (One (1) permit per building/unit required) New Single Dwelling 1 up to 3 appliances New Single Dwelling- 4 Appliances or more Single Family Renovation Residential Replacement of Existing Appliances only Replacement of Water Heater Residential Gas Boiler Replacement and Conversion Burner Minimum Fee Fixture Fee $25.00 $5.50 55.00 5.50 ea. 25.00 5.50 ea. 25.00 5.50 ea 20.00 30.00 Reinspection Fee 30.00 ea. (per trip) 3. Commercial & Industrial (One (1) permit per building/unit required) Minimum Fee New Commercial Industrial, Educational Buildings $80.00 Renovation, Commercial, Industrial, Education Buildings 55.00 Replacement of Existing Fixtures 20.00 Commercial Gas Boiler Replacement and Conversion Burners 55.00 Reinspection Fee 30.00 (pre trip) 4. Miscellaneous Fee Minimum Fee Remodeling of Gas Piping - Residential !�3 (per unit) Remodeling of Gas Piping - Small Commercial 0.00 Swimming Pool Heater 20.00 Temporary Heater 35.00 L.P. Gas Installation Permit 35.00 Roof Type Heat and Air Conditioner Units Up to 25 tons 35.00 Over 25 tons 6.50 per ea.ton Air Conditions Up to 25 tons 35.00 Over 25 tons 6.50 per ea.ton Special Fees Fixture Fee $5.50 ea. 5.50 ea. 5.50 ea. Repair and Maintenance Permit (for condominium (s) Townhouse (s)Commercial, Industrial and Educational), up to two (2) plumbers, (must have licensed plumber on staff). $250.00 per quarter. Log must be kept for inspection when permit is renewed each quarter or as requested by the Plumbing Inspector. Other fees, if not listed, to be determined by the Plumbing Inspector and shall not exceed $250.00. The applicable fee will double when work begins without the proper Plumbing Permit. 2/23/2016 IMG 0558.j pg https:Hmail.googie.com/mail/ca/Mnbox/153Of97a3l3l l4db?projector=1 1/1 Location ` Date P' � I/ No. TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ I L'' err-) Foundation Permit Fee $ Other Permit Fee $ TOTAL $ s Check # r i �! 5 ,, 5 5 / Building Inspect' 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 &'6 1, This Section for Official use onI 01. 0 BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building ComniissionerflaTedorff Buildings 6ate A!Ect, �"P# 1.1 Property Address: 1.2 Assessors Map and Parcel Number: C- 30 WL110 Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage (f L) 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rem Yard Required I Provide Required Provided Recluired Provided J 1.7 Water Supply M.G.L.C.40. § 54) 1.5. Flood Zone Information: 1.9 Sewerage Disposal System: Public 0 Ptivate 0 zone — Outside Flood Zone 0 Municipal On Site Disposal System 0 2.1 Owner of Record &30W-4�j Name (Print) Address for Service: Signature Telephone 2.2 Authorized Agent Name Print Address for Service: Signature Telephone 3.1 Licensed Construction Supervisor Not Applicable 0 Am wrmosex bg. Ao&. es 05,0/4.2 Address License Number c4xe� 4f^j Licensed Co . c on Supervisor: d/—!20 /.goo., Expiration Ifate, re Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name ., Registration Number Address Expiration Date Signature Telephone 'U T ic O 1, 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 Print Name Signature of Owner/Agent Date Item Estimated Cost (Dollars) to be tlr'lf Completed by permit applicant 1. Building ©© (a) Building Permit Fee Multiplier 2 Electrical / jy (b) Estimated Total Cost of D© iv Construction from (6) 3 Plumbing Building Permit fee (a) x (b) r 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number �r) oZ 5 k..tt G (u- 4+ S f>�. wi, i ..�j S xF: �': ZM-,. f :;. ,rp wy I iJ { rs ,� :�r�• t 1:rM'4yy .. �, .Jf k;, ,. 41 .. .'v x ... <, y. x , , Y),.k s. it �,+.:Lx 3`Sdf •4.r 2.,. .. .i [ i� S.rx �: ry� ..'vs.,xt},;taa.f ).3 ;1 T £ ,' , ,?.L�v-. NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE rg a ..�'@MN'�'1 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 ....,..0 No ....... 0 5.1 Registered Architect: ame: ' Address Signature ��,�Peo�,ERRitt S�'r�c\ gNo. 5788 m r K N0. ANDOVER UA Jy of: LIN / t j!AJCK eQA1Sn4Lcc77a•.) Coy Name: r1S6� V/N Responsible in Charge of Construction Not Applicable ❑ Area of Responsibility Registration Number Expiration Date Name: Address: Signature Total Not applicable ❑ Registration Number Expiration Date Name: Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone y / t j!AJCK eQA1Sn4Lcc77a•.) Coy Name: r1S6� V/N Responsible in Charge of Construction Not Applicable ❑ 5ii Jtiiica`blel New Construction ❑ Existing Building Repairs) ❑ Alterations(s) J7 / Addition ❑ Accessory Bldg. ❑ Demolition [I Other 0 Specify Brief Description of Proposed Work: �ivnw4at diw1a 4rov n&,s�-we dievyve bwx& 141wiwAt �,�r � I�lrsc'. fig., ras►s �v�.a �t avt' S X.r o� �crs ❑ ]A 113 ❑ ❑ B Business BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height (ft) Independent Structural Engineering Structural Peer Review Ruluffed Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Cz o.0 a� •P�P�v d 2 a •� - v.� �,,�ti �4 .,� �L c r " as Owner of the property o J Perry Hereby authorize M'7e,,7.11 n all matters Q Signature of Owner f y -s2 d (mow 5 7-/2-& c T-ec•-l' work authorized by this building permit application !0 0 Date to act on USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A4 ❑ A-2 A-5 ❑ A-3 ❑ ❑ ]A 113 ❑ ❑ B Business ❑ 2A 2B 2C 0 0 ❑ C Educational ❑ F Factory ❑ F -I ❑ F-2 ❑ H High Hazard ❑ 3A 3B ❑ ❑ IInstitutional ❑ I-1 ❑ I-2 0 I-3 ❑ M Mercantile ❑ 4 0 R residential ❑ R-1 ❑ R-2 0 R-3 ❑ 5A 5B ❑ ❑ S Storage ❑ S-1 ❑ S-2 ❑ U Utility M Mixed Use S Special Use ❑ 0 ❑ Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height (ft) Independent Structural Engineering Structural Peer Review Ruluffed Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Cz o.0 a� •P�P�v d 2 a •� - v.� �,,�ti �4 .,� �L c r " as Owner of the property o J Perry Hereby authorize M'7e,,7.11 n all matters Q Signature of Owner f y -s2 d (mow 5 7-/2-& c T-ec•-l' work authorized by this building permit application !0 0 Date to act on W� 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 Print Name Signature of Owner/Agent Date Item Estimated Cost (Dollars) to be Completed by permit applicant F(a) 1. Building © © Q Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of g� D© Construction from (6) 3 Plumbing Building Permit fee (a) x (b) r 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number K�4' NR 14 �H� ¢)A `ier'`;2' )tKr�ryS�i .J't a l.Fxir J 4'1F,.J'S� L.. i l'! } i3 j� 44 t �S 6?v] :�l {1 U" •. 4Fi J S y''s 2 '4N .r7a` l� } _.. "44� i". �y \ �.:�/i c.. 1; �i �j tr,3f'�Jii'�-ti i�5 . ''y L} lU 'iS 3 l -... i�ry iiG f x� ,. _h' ,Jci. F -GT�'� �Z�•�+N'h 1.Y h.�� i,`✓�t 'cx�b Rl'Y`=$s+�gl R'�:��1i5'�,�iH?e�. f=}Yi) Y,U.'.:'}. s:,], j..,`j1R'�i� b�u7�„a. Yrr :,l'� } L�. J3�jf ��.�Y^'k a-" NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS IST 2 ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL. GAS LINE 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{ `g'i�+. "r .3 ?�47,� 3^T3dcn ,: 'Y „s {� d1-x{i .,µ This Section for Official Use Onl ' �, . v BUILDING PERMIT NUMBER: DATE ISSUED: /0 C>2001 C SIGNATURE: azj Buildin Commissioner/I or of Buildin to 1. 1 Property Address: 1.2 Assessors Map and Parcel Number: 30U) (� �) Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Fronto 11 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ 2.1 Owner of Record &VaW-A4W ";7 3o wILAA&j 'S7-. Name (Print) Address for Service: Signature Telephone 2.2 Authorized Agent Name Print Address for Service: Signature Telephone 3.1 Licensed Construction Supervisor Not Applicable ❑ a01 WIN 0, So X. es oso,4 a Address License Number %!ftfoe 464PwON a.Z Licensed Co struction Supervisor: r 701-R5%- 30"E1piration ate re Telephones 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name'. Registration Number Address Expiration Date Signature Telephone v n m I 0 M D Z 0 Z M 90 0 r v M ^Z Q =% Name: Location: City Phone = am a homeowner performing all work myself. OI am a sole proprietor and have no one working in any capacity I �I am an employer providing workers' compensation for my employees working on this job. Company name: /'IZ Oo u4we z eucT/ON L10A,iPo u! Address / ,*w !*i'bALr 6P. -yd City: .oS rVN, /moi! . Do?o'Z/O Phone #: 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 fine 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 statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the�pgippend penalties of perjury that the information provided above is true and correct. Signature / Date 40aa0 / Print name �e�VA��/�i• /C� Phone # Official use only do not write in this area to be completed by city or town official' ❑ Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone #: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: -A. w., -V z/ (Location of Facility) 100, Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 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 1► PHONE LOCATION: Assessor's Map Number �r C PARCEL_ SUBDIVISION LOT g ` LOT (S) V" STREET I I t ©(AD ST. NUMBER - *****************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR COMM TOWN PLANNER FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT—:Y"/' �J RECEIVED BY BUILDING INSPECTO Revised 9\97 jm DATE OFFICE OF BUILDING INSPECTOR 3: TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL . SSACNUgE PROJECT NUMBER: PROJECT TITLE: &Kaige4n1 911 PROJECT LOCATION: 30 k//LGO W S7 -- NAME OF BUILDING: NATURE OF PROJECT: oAr,ew P.-emA*yaN IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I, Q)('I+A20 REGISTRATION NO. 5?A13 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL 0 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, 1 SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. SIGNATURE SUBS Rl IBED AND SWORM TO BEFORE ME THIS��`�-DAY OF 2001 Em-E] DA D NO 1AY PUBLIC MYw�eattsomebru ® m \00 7 $�2 ~ & �w k k ix # ` �2§k � &52 20 $ � o / 2 2 / § 2 § NI) k k) k o _k } k / / / of 2 I % / / y p a �..' ƒ § RICHARD MERRILL SWEITZER - AIA - ARCHITECT 3 LONGWOOD DRIVE ■ ANDOVER - MASSACHUSETTS 01810 TEL 978.470.0235 - FAX 978.475.8964 Date: 29 September 2001 To: Kevin Carr TURNER SPECIAL PROJECTS Address: Two Seaport lane Boston, MA 02210 From: Dick Project: Berberian Office Building, North Andover, MA Transmitted Herewith are the following: One each - Town of North Andover - Building Permit Form Town of North Andover - Debris Disposal Form Town of North Andover - Affidavit - Workman's Comp.. 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NDOMINIUM -NORTH ANDOVER, MA -01 845 SCALE: 118*=(' -yea DATE: 'o m MERRILL SWE177ER m AIA w ARCHITECT u ANDOVER w MA 01310 978470.0235 1_14EVISED: .110 no o • 00 - - - - - - - - - - L 0 ® _® --- p 0 x - - - - - - - - - - M 0 M 1-10 1-10 0 ■ ■ Ul 4b.0 "o' no io no 1. r1p 0 a 00 00 1 0 ■ > Ric FC i 9 C�- 75z) Mo x M t,4 CT k , t7b }4o -r S4_XLA5 172AY41M . 65 2ND FL CONSTRUCTION PLAN & RCP I BERBERIAN &ASSOCIATES, INC. RENOVATION - 30 WILLOW STREET GO . NDOMINIUM -NORTH ANDOVER, MA -01 845 SCALE: 118*=(' -yea DATE: 'o m MERRILL SWE177ER m AIA w ARCHITECT u ANDOVER w MA 01310 978470.0235 1_14EVISED: FIRST FL. REFLECTED CEILING PLAN BERBERIAN & ASSOCIATES, INC. SCALE: p RENOVATION - 30 WILLOW STREET CONDOMINIUM -NORTH ANDOVER, MA 01845 DATE: 09/28101 RICHARD MERRILL SWEIT7_ER ■ AIA ® ARCHITECT ® ANDOVER ■ MA 01810 ■ 0 978.470.0235 REVISED: a z � ' A O O y c • - y ri �i n TTS �yTE2.1p� c.�y�TIows FBERBERIAN & ASSOCIATES, INC. SCALE: `N"=IL6 ^1 v '` RENOVATION - 30 WILLOW STREET CONDOMINIUM - NORTH ANDOVER, MA 01845 DATE: 09/001 RICHARD MERRILL SWEITZER ■ AIA ■ ARCHITECT ■ ANDOVER Is MA 01810 ■ ■ 978.470.0235 REVISED: I� ISI i� i i I � v 'iv I Z z I I I rn I I T Woo R RICHq _ z � ' A O O y c • - y ri �i n TTS �yTE2.1p� c.�y�TIows FBERBERIAN & ASSOCIATES, INC. SCALE: `N"=IL6 ^1 v '` RENOVATION - 30 WILLOW STREET CONDOMINIUM - NORTH ANDOVER, MA 01845 DATE: 09/001 RICHARD MERRILL SWEITZER ■ AIA ■ ARCHITECT ■ ANDOVER Is MA 01810 ■ ■ 978.470.0235 REVISED: i� i �yTE2.1p� c.�y�TIows FBERBERIAN & ASSOCIATES, INC. SCALE: `N"=IL6 ^1 v '` RENOVATION - 30 WILLOW STREET CONDOMINIUM - NORTH ANDOVER, MA 01845 DATE: 09/001 RICHARD MERRILL SWEITZER ■ AIA ■ ARCHITECT ■ ANDOVER Is MA 01810 ■ ■ 978.470.0235 REVISED: I < T - Tz- J;4 >7;s\ A 71 m- p iA < T - IWrSlZ.Ibr?- -VL EVA-TlbKS k VESTArWil k &ASSOCIATES, INC. SCALE: A5 NoTav NOVATION - 30 WILLOW STREET CONDOMINIUM - NORTH ANDOVER, MA 01845, DATE: 01/aziol RICHARD MERRILL SWEITZER ®AIA w ARCHITECT ® ANDOVER ®MA 01810 978.470.0235 REVISED: J;4 >7;s\ 71 m- p IWrSlZ.Ibr?- -VL EVA-TlbKS k VESTArWil k &ASSOCIATES, INC. SCALE: A5 NoTav NOVATION - 30 WILLOW STREET CONDOMINIUM - NORTH ANDOVER, MA 01845, DATE: 01/aziol RICHARD MERRILL SWEITZER ®AIA w ARCHITECT ® ANDOVER ®MA 01810 978.470.0235 REVISED: ROOM FINISH SCHEDULE ROOM NO. ROOM NAME FLOOR BASE WALL CEILING REMARKS FIRST FLOOR 101 VESTIBULE E.T.R. E.T.R. P-1 ACT -1 DOOR & TRIM FINISH, E.T.R. 102 RECEPTION E.T.R. E.T.R. P-1 ACT -1 PAINT DOORS, TRIM , 103 OPEN OFFICE E.T.R. E.T.R. P-1 ACT -1 PAINT DOORS, TRIM 104 OFFICE E.T.R. E.T. R. P-1 ACT -1 PAINT DOORS, TRIM _ .. 105 OFFICE E.T.R. B-1 P-1 ACT -1 PAINT DOORS, TRIM 106 OFFICE E.T.R. B-1 P-1 ACT -1 PAINT DOORS, TRIM 107 OFFICE E.T.R. B-1 P-1 ACT -1 PAINT DOORS, TRIM 108 OFFICE E.T.R. E.T.R. -R--� [-� AA�i—�- f( PAINT DOORS, TRIM -- 109 OFFICE E.T.R. E.T.R. P-1 ACT -1 PAINT DOORS, TRIM `"-;3A9P-4L- 109A PRIV. RESTRM E.T.R. E.T.R. ""ppe ACT -1 PAINT DOORS, TRIM 110 OFFICE f -T. -f" ('`I B-1 P-1 Ate° 5;rg PAINT DOORS, TRIM , 111 CORRIDOR C -I B-1 P-1 ACT -1 PAINT DOORS, TRIM 112 OFFICE E.T.R. E.T.R. P-1 ACT -1 PAINT DOORS, TRIM- °-�-W9 ,TQC -Q �- 113 OFFICE/FILES E.T.R. E.T.R. P-1 ACT -1 PAINT DOORS, TRIM , 1- 114 MEN'S ROOM VCT -1 B-2 P-1 ACT -1 PAINT DOORS, TRIM, ° `"'nBASEj -r 2 115 WOMEN'S ROOM VCT -1 B-2 P-1 ACT -1 PAINT DOORS, TRIMA`�-, R 116 KITCHEN VCT -1 B-2 P-1 ACT -1 PAINT DOORS, TRIM- `oma V'D--BfkST_' F 117 SPRINKLER ROOM E.T.R. E.T.R. E.T.R. E.T.R. PAINT DOORS, TRIM, 118 LUNCH ROOM VCT -1 8=1, '' P-1 E.T.R./P-4 PAINT DOORS, TRIM - , 119 HANDICAP TOILET VCT -1 B-2 P-1 E_T.R./P-4 PAINT DOORS, TRIM - 120 CORRIDOR -(441 C-1 B-1 P-1 E.T.R./P-4 PAINT DOORS, TRIM &-' SE fL-z 121 CORRIDOR (N.I.C.) C-1 B-1 P-1 E.T.R./P-4 PAINT DOORS, TRIM tea';? 04`9E 122 OFFICE (N.I.C.) C-1 B-1 P-1 E.T.R./P-4 PAINT DOORS, TRIM * 123 CORRIDOR C-1 B-1 P-1 E.T.R./P-4 PAINT DOORS, TRIM- 124 OFFICE (N.I.C.) E.T.R. E.T.R. P-1 E.T.R./P-4 PAINT DOORS, TRIM-`svn oncc� r� 125 STORAGE E.T.R. E.T.R. P-3 E.T.R./P-4 PAINT DOORS, TRIM 126 STORAGE E.T.R. E.T.R. P-3 E.T.R./P-4 PAINT DOORS, TRIM °V-fi�cS; , -F 127 OFFICE C-1 B-1 P-1 E.T.R./P-4 PAINT DOORS, TRIM *-W"- BASE, P 2- 128 OFFICE C-1 B-1 P-1 E.T.R./P-4 PAINT DOORS, TRIM 129 OPEN OFFICE C-1 B-1 P-1 E.T.R./P-4 PAINT DOORS, TRIM 130 SERVER E.T.R. B-2 P-1 E.T.R./P-4 PAINT DOORS, TRIM &-W9-BA-SE,- 131 ELEC/TEL E.T.R. E.T.R. E.T.R. E.T.R. PAINT DOORS, TRIM , 132 CORRIDOR C-1 B-1 P-1 E.T.R./P-4 PAINT DOORS, TRIM &-W) BASE, -P-2 133 OFFICE C-1 B-1 P-1 E.T.R./P-4 PAINT DOORS, TRIM &c WB--B,4�SE-,-P=Z 134 CORRIDOR C-1 B-1 P-1 E.T.R./P-4 PAINT DOORS, TRIM &--W6- BA -SE - 135 WAREHOUSE (N.I.C.) E.T.R. E.T.R E.T.R. E.T.R. 136 CORRIDOR (N.I.C.) E.T.R. E.T.R E.T.R. E.T.R. 137 WAREHOUSE (N.I.C.) E.T.R. E.T.R E.T.R. E.T.R. SECOND FLOOR 200 STAIRS (N.I.C.) C-1 E.T.R. P-1 E.T.R. PAINT WD RAIL & STRINGER, P-2 RICHARD MERRILL SWEITZER ■ AIA ■ ARCHITECT ■ ANDOVER ■ MA 01810 ■ ■ 978.470.0235 CORRIDOR C-1 B-1 P-1 E.T.R. PAINT DOORS, TRIM oc--'VVLJ -r 2 Air,201 202 OPEN OFF. (N.I.C.) C-1 B-1 P-1 E.T.R. PAINT DOORS, TRIM , 203 OFFICE (N.I.C.) C-1 B-1 P-1 E.T.R. PAINT DOORS, TRIM 204 OFFICE (N.I.C.) C-1 B-1 P-1 E.T.R. PAINT DOORS, TRIM 205 OFFICE (N.I.C.) C-1 B-1 P-1 E.T.R. PAINT DOORS, TRIM , 206 CONF. RM. C-1 B-1 P-1 E.T.R. PAINT DOORS, TRIM , 207 SPRINKLER RM E.T.R. E.T.R. E.T.R. E.T.R. 208 MEN'S RM VCT -1 B-2 P-1 E.T.R. PAINT DOORS, TRIM k WD BASE, P 209 21 d WOMEN'S RM KITCHENETTE VCT -1 VCT -1 B-2 B -I P-1 P-1 E.T.R. E.T.R. PAINT DOORS, TRIM PAINT DOORS, TRIM 1: G764 Em C-1 -(_AMP T � P-1 - VOL-+MyX COLOP-A l6 ; p-3- CNAA»..; p+F- -� Winoo P3,AGE3 e-2-- Vlm-YL 6 E.T.R.= az t DC{S REMAIN P' o O o V ^ a DATE: 09/x'/01 RICHARD MERRILL SWEITZER ■ AIA ■ ARCHITECT ■ ANDOVER ■ MA 01810 ■ ■ 978.470.0235 REVISED: FINISH SCHEDULE BERBERIAN & ASSOCIATES, INC. SCALE:* NIA II RENOVATION - 30 WILLOW STREET CONDOMINIUM - NORTH ANDOVER, MA 01845 DATE: 09/x'/01 RICHARD MERRILL SWEITZER ■ AIA ■ ARCHITECT ■ ANDOVER ■ MA 01810 ■ ■ 978.470.0235 REVISED: DOOR SCHEDULE DOOR DOOR / CASED OPENING 1 N0. TYpE MAT' L FRAME TYPE 01 W x H THK. FINISH LBL HDWR REMARKS � '� 3'-6"x6'-8" 1YPE MAT'L FINISH 1 3 4 EXIST EXIST GROU 02 3'=6'x6'-8" 1 � EXIST ETR J03 8 SCW 3 4 EXIST EXIST AL IXtS11NG DDDR TO REMAIN 04 3 -0"x6'-8" 1 3 4 PTD g EXIST TO IXISi1NG DDDR TO REMgIN. JUST 8c CLEAN E}(IST J g SCW 3'-Q"x6'-B" 1 3 4 PTD WD P u 2 EXISTING DdOR TO REMAIN 05 8 SCW 3'-0"x6'-8" 8 WD pTD 06 8 SCW 3'_ " i 3 4 PTD g 2 0x6'-8" 1 3 4 PTD WD PTD 2 07 B SCW 3'-O"x6'-8" 1 3 4 PTD @ WD PTD 08 g SCW B wD pTD 2 EXISTING DDDR TO REMAIN 3'-0"x6'-8" 1 3 4 PTD g 2 EXISTING DdOR TD REMAIN 10 8 SCW 3'-0"x6'-8" 1 3 4 WD PTD 10 B SCW PTD g WD p� 2 IXlS11NG DOOR TD REMAIN i 11 3' -0"x6' -g" 1 3 4 PTD g 6 EXISTING DOOR r0 REMAIN B SCW 3'-0"x6'-8" 1 3 4 PTO WD PTD 2 RELOCATED EXISTING a00R 12 8 SCW 3'-0"x6'-8" B WD pTD 13 1 3 4 PTD g WD PTD 2 RELOCATED EXISTING DOOR 14 8 SCW 3'-d"x6'-8" 1 3 4 PTD 2 RELOCATED EXISTING DOOR B SCW 3'-O"x6'-B" 8 Wa PTO 15 B SCW " 1 3 4 PTD g 2 RELOCATED EXISTING DOOR 3'-0 x6'-8" i 3 4 PTD WD PTD 4 16 8 SCW 3'-0"x6'-8" 8 WD pTD 17 8 SCW 1 3 4 PTD g WD pTD 6 EXISTING DDDR TO REMAIN 18 3�-0"x6'-8" 1 3 4 PTD g 6 EXISTING DOOR rd REMAIN B SCW 3'-0"x6'-8" 1 3 4 PTD wD P� 3 19 @ SCW 3'_ " B WD PTD 20 0 x6'-8" 1 3 4 PTD g 6 RELOCATED EXISTING DOOR SCW PR 3'-D'x6'-8" 1 3 4 PTD ETR WD PTD 3 21 wD pTD RELOCATED EXISTING OR 22 A AL 3`-0"x6'-8" 1 3 4 * ETR EXISTING DDDR TO REMAIN I B SCW 3'-0"x6'-8" 1 3 4 A AL 23 C HM PTD g WD PTO 1 N.LC., BY OTHERS 3'-0"x6'-8" 1 3 4 PTD C 2 N.I.C., BY OTHERS 24 8 SCW 3'-0"x6'-8" 1 3 4 PTD HM PTD C 3 25 8 SCW 3'-0"x6'-8" 1 3 4 8 WD PTD 26 8 SCW PTD B WD 3 RELOCATED EXISTING DOOR 3'-0"x6'-8" 1 3 4 PTD 8 PTD 2 RELOCATED EXISTING DOOR, N.I.C., 27 8 SCW 3'-0"x6'-8" WD PTD 28 B SCW 1 3 4 PTD g WD pTD 5 EXISTING DOOR TO REMAIN 3'-O"x6'-8" 1 3 4 PTD 2 0 8 SCW 3'-0"x6'-8" 1 3 B WD PTD 30 B SCW 4 PTD g WD pTD 5 EXISTING DOOR I REMAIN 31 3-d"x6'-8" 1 3/4 PTD B WD 2 B SCW 3'-0"x6'-8" 1 .3 4 PTD PTD 7 32 8 SCW 3'-0"x6'-8" 1 3j4 PID 8 WD pTD 33 C SCW B WD pT D 7 EXISTING DOOR TO REMAIN 34 ETR --- PR 3'=0"x6' -e' 1 3 4 PTD C HM pTD2 35 B HM --- PTD --- --- C 8 36 ETR _ _ 3 -O"x6'-8" 1 3 4 PTD C HM pTD ETR EXISTING OVERHEAD DO --- PTD _ C 9 OR TO REMAIN 37 8 HM 3'-0"x6'-8" 1 --- -- ETR EXISTING OVERHEAp DOOR TO REMAIN 38 A 4 PTD C HM pra AlAL 3'-0"x6'-8" 1 3 4 * C 9 39 @ SCW 3'-0"x6'-8" A AL '� 40 B SCW 1 3 4 PTD g WD PTO I N.LC., BY OTHERS OMIT ALUM. THRES 41 3 0., x6'-8" 1 3 4 PTD B WD 2 B SCW 3'-O"x6'-8" 1 3 4 PTD PTD 42 B SCW B WD 2 43 3 -0"x6'-8" 1 .3 4 PTD @ PTD 2 B SCW 3'-0"x6`-8" 1 3 4 WD PTD 44 g SCW 3,' " PTD B VII 2 EXISTING DDDR TO REMAIN 45 0x6'-8" i 3 4 PTD pTD 2 B SCW 3'-O"x6'-8" 1 .34 PTD B WD PTD 46 @ SCW B yyp 2 EXISTING DOOR rO REMAIN 3'-0"x6'-8" 1 3 4 PTD WD PTD 6 EXISTING DOOR TO REMAIN 47 8 SCW 3'-0"xs'-8" 8 PTO 1 3 4 PTD B WD PTD 6 EXISTING DOOR TO REMAIN * = PREFINISHED HM= HOLLOW ME METAL 4 EXISTING DDDR TO REMAIN 1aJD= WOOD PT 6"0,4- Sj TEMP. CLASS rj E NSUL 0 =i i La4i 1/4' 0 INT.) i j _� DOOR TYPES 1 CLERESTORY BY OTHERS 6 W WOOD i s 0= PAINTED GL= GLASS GYP BD= GYPSUM BOARD HARDWARE SCHEDULE f A170 UTTS EA. LEAF (INACTIVE LEAF) 1 A80PDL& LEVER & VER GRA 1: UNLESS OTHERWISE NOTED, ITEMS INCL GROUPS SHALL BE UDED 1N 1 STOP EA LEAF 3 SILENCERS EA. LEAF AS MAUFHARDWARE ACTURED BY THE FOLLOWING: DEAD LATCH— BUTTS— LOCKSETS— ADAMS RITE 4510 W/ 4560 LEVER STANLEY 4 x 4 FBB STOPS— 1 1/2 PAIR BUTTS Gp4w NORTON 1704 W/ ADJUSTABLE BACKCHECK QUALITY 1337 1 CLOSER 1 1/2 PAIR BUTTS GROW?, IVES 936 BROOKLILINE 4 x 16 1 DEAD LATCH & LEVER 1 CYLINDER 1 OFFICE LOCKSET A73PD 1 CLOSER 1 1/2 PAIR BUTTS 1 STORAGE LOCKSET1 1/2 PAIR BUTTS ' 8- GASKETTTNG & ALUM THRESHOLDEEP 1 STOP 3 SILENCERS 1 STOP A80P0 3 SILENCERS 1 STORAGE LOCKSET ABOPD 3 SILENCERS 1 1/2 PAIR BUTTS 1 CLOSER REMAINDER OF HARDWARE BY MFR 1 A53PD GROW 2 1 CASKET & SWEEP GRQUP4: 1 ALUM. THRESHOLD 1 1/2 PAIR BUTTS GROUP 8. 1 OFFICE LOCKSET A73PD 1 STOP 11/2 PAIR BUTTS yup& 3 SILENCERS 1 PASSAGE LATCHSET A705 1 STOP 1 1/2 PAIR BUTTS 1 PRNACY LOCK 1 1I2 PAIR B 0 UM. 3 SIM. w i - HOLLOW MTL. � 3 0 DOOR FRA O 2; �-� TYPES DOOR &HARDWARE SCHEDULE- . ,,-TTS �� RENOVATION - BERBERIAN $ASSOCIATES 30 WILLOW STREET CONDOMINIUM - NORTH ANDD , INC.. SCALE: N/A RICHARD MERRILL SWEITZER ■AIA ® SER, MA 01545 ARCHITECT ■ AND®VER ■ ®ATE: 09/,o&p1 MA 01810 ■ ■ 978.470.0235—" REVISED: 3 SILENCERS i STOP A405 3 SILENCERS f A170 UTTS EA. LEAF (INACTIVE LEAF) 1 A80PDL& LEVER & VER f . CLOSER -Ek LEAF UNLESS OTHERWISE NOTED, ITEMS INCL GROUPS SHALL BE UDED 1N 1 STOP EA LEAF 3 SILENCERS EA. LEAF AS MAUFHARDWARE ACTURED BY THE FOLLOWING: DEAD LATCH— BUTTS— LOCKSETS— ADAMS RITE 4510 W/ 4560 LEVER STANLEY 4 x 4 FBB STOPS— 179 SCHLAGE-- IVES 436 KEY TO MASTER SYSTEM CLOSERS— SILENCERS— EXIT NORTON 1704 W/ ADJUSTABLE BACKCHECK QUALITY 1337 DEVICES— OORDINATOR— A VON DUPRIN 9927 TL USH/PULL— OLD OPEN— IVES 936 BROOKLILINE 4 x 16 AGNETIC CATCH— USN BOLT— RIXSON RE STANLEY FI ARK "COMBO—QUAD" (ELEC) �VER— IVES 457 1/2 826D NiSH— RHODES 606 SATIN BRASS 0 UM. 3 SIM. w i - HOLLOW MTL. � 3 0 DOOR FRA O 2; �-� TYPES DOOR &HARDWARE SCHEDULE- . ,,-TTS �� RENOVATION - BERBERIAN $ASSOCIATES 30 WILLOW STREET CONDOMINIUM - NORTH ANDD , INC.. SCALE: N/A RICHARD MERRILL SWEITZER ■AIA ® SER, MA 01545 ARCHITECT ■ AND®VER ■ ®ATE: 09/,o&p1 MA 01810 ■ ■ 978.470.0235—" REVISED: �--- DOmo, C__� C7 r- D C) 0D F O OZG� c)x DOS � X , N r-zz u O� iz� ,m 7 K 0 ! --- -� U) D D C O D V rn O CJ GJ II- -T, U) !y �i 4 1/211 �--- U) D D C C7 r- D D 0D _y O OZG� U) � �z c N � m u O� iz� ,m 7 K 0 D G-) D rn rn U) rn O CJ GJ D Warn D C (A � C/) D 0D D O OZG� U) � D N � m rte -- (FT- iz� C . _�zrn D G-) D rn rn U) rn O CJ GJ 0 \ U) i ! D Warn U7 m � C/) D 0D o —, O OZG� C) � z N � m rte -- D CI) U) -I Tt CD CJ'i ;;u O \ m rn F . 00 0D 0 O OZG� N � m rte -- CAJ II� 0 DOOR DETAILS RENOVATION - 30 WILLOW STREET CON BERBERIAN & ASSOCIATES, INC. DOMINIUM -NORTH ANDOVER, MA 8185 SCALE: AS NOTED RICHARD MERRItL SWEITZER ■AIA • ARCHITECT ■ DATE: 09l18/01 ANDOVER ■ MAQ181Q ■ ■ 978.47Q.Q235 REVISED: rDCD U) nTK DC I� 0 0 Z7 N � D rn U) (A (FT- iz� C . _�zrn CD nD �7 rn U) rn O CJ GJ 0 \ rn rnrZ CA /n (A ry DOOR DETAILS RENOVATION - 30 WILLOW STREET CON BERBERIAN & ASSOCIATES, INC. DOMINIUM -NORTH ANDOVER, MA 8185 SCALE: AS NOTED RICHARD MERRItL SWEITZER ■AIA • ARCHITECT ■ DATE: 09l18/01 ANDOVER ■ MAQ181Q ■ ■ 978.47Q.Q235 REVISED: K G-) O I� 0 0 Z7 N (A �rn D iz� C . CD nD c rn U) CJ z mD rnrZ rn /n (A U _- 1 � 7] I— ! t D FT]D C C 7 O0 © \ m D G) 7 I O -D (n ) D (f) z j� TT ;N 2" DOOR DETAILS RENOVATION - 30 WILLOW STREET CON BERBERIAN & ASSOCIATES, INC. DOMINIUM -NORTH ANDOVER, MA 8185 SCALE: AS NOTED RICHARD MERRItL SWEITZER ■AIA • ARCHITECT ■ DATE: 09l18/01 ANDOVER ■ MAQ181Q ■ ■ 978.47Q.Q235 REVISED: K G-) O 0 Z7 C- D© U1 C . 0 U) U) O CJ z rn U _- 1 � 7] D t 7 f 7 I DOOR DETAILS RENOVATION - 30 WILLOW STREET CON BERBERIAN & ASSOCIATES, INC. DOMINIUM -NORTH ANDOVER, MA 8185 SCALE: AS NOTED RICHARD MERRItL SWEITZER ■AIA • ARCHITECT ■ DATE: 09l18/01 ANDOVER ■ MAQ181Q ■ ■ 978.47Q.Q235 REVISED: n /FTI V 1 0 U) ww00 Q 0 11= z ICHg90 jS1 L% m 00 CA 1/41) € 0 G7 rFT1 - D N W ' 00 cn 0 UG) VJ z �zz Mp D P D cn mn ;;u Cn C) � D o0 z uj m O 1 ww00 Q 0 11= z ICHg90 jS1 L% m 00 CA 1/41) € 0 G7 \ CA rFT1 - D 0 w r� r Zo c— D Mp o cn C K 0 c/) z D cn n o0 z uj m 1 FT] 0 i j CA i ; ;TJFTI 1N I � \ CA rFT1 - D 0 w O CA r Y(n- (Am z o o tmnD = = K 0 c/) z D F— m M M FT] m D n = CA ;TJFTI c- II� uj I 0 32" m cn ol 0 w RENOVATION - 30 WILLOW STREET CONDOMINIUM - NORTH ANDOVER, MA 01845 DATE: 09/28101 zl tmnD = = (nD (n m z D —I (f) up --- A r rn n ;;u i� 14„ 32" I 1/4" D \ (J) 00 z G') -u D mz U� F9 G-) m� 0 D G7 � mm 0')� � 4 n (tel U) 0 c— C14 0 Ily Z 0 Wr.t.., J 1 \ cn n TE w ➢� m 00 Z o -1 n ;;u -0 0o m Fri m E m 0 kF- 0 } D (J) s i i a C i ; E i k 1 I DETAILS FBERBERIAN $ ASSOCIATES, INC. SCALE: AS NOTED RENOVATION - 30 WILLOW STREET CONDOMINIUM - NORTH ANDOVER, MA 01845 DATE: 09/28101 RICHARD MERRILL SWEITZER ■ AIA ■ ARCHITECT ■ ANDOVER ■ MA 01810 ■ ■ 978.470.0235 REVISED: A Y PROJECT MANUAL AND SPECIFICATIONS INTERIOR OFFICE RENOVATIONS BERBERIAN & ASSOCIATES, INC. 30 WILLOW STREET NORTH ANDOVER, MA 28 SEPTEMBER 2001 CONSTRUCTION AND PERMIT SET ARCHITECT ■ RICHARD MERRILL SWEITZER ■ AIA ■ 3 LONGWOOD DRIVE • ANDOVER ■ MA 01810 TABLE OF CONTENTS Index Request for Proposal Addenda Form of Proposal Conditions of Contract TECHNICAL SPECIFICATIONS Section Name 00600 Insurance 01000 General Requirements 01030 Alternates 02000 Selective Demolition 03300 Cast -In -Place Concrete 05500 Miscellaneous Metals 06100 Rough Carpentry 06402 Interior Architectural Woodwork 07250 Acoustic Insulation 07901 Joint Sealants 08105 Hollow Metal Doors and Frames 08212 Wood Doors 08350 Access Doors 08400 Aluminum Entrances -(NIC)-By Others 08710 Door Hardware 08800 Glazing 09255 Gypsum Board Assemblies 09510 Acoustical Ceiling Work 09650 Resilient Flooring 09680 Carpet - (NIC) -By Others 09900 Painting & Finishes 10522 Fire Extinguisher Cabinets 10605 Wire Mesh Partition 10800 Toilet A Bath Accessories -(Allowance) 11452 Appliances 11132 Projection Screen 11900 Metal Shelving 12372 Casework 15300 Sprinkler Work - Design Build 15400 HVAC Work - Design Build 15500 Plumbing Work - Design Build 16000 Electrical Work - Design Build 16500 Lighting - Design Build Berberian Office RICHARD MERRILL SWEITZER ■AIA■ ARCHITECT 3 LONGWOOD DRIVE ■ ANDOVER ■ MASSACHUSETTS 01810 TEL 978.470.0235 ■ FAX 978.475.8964 August 30, 2001 REQUEST FOR PROPOSA You are invited to submit your proposal for the following Work: Interior Renovation of existing office space at 30 Willow Street, North Andover, MA 01845. The approximate office area is 5,500 U.S.F. The Work will be in accordance with the Construction Documents, to be issued on September 6, 2001. The Scope of Work includes, but not limited to, interior renovation, including some new partitions, new acoustic ceiling tiles installed on existing grid system, painting, limited millwork, modification of existing Mechanical, Electrical and Lighting systems, a new entry walk and a new wire mesh partition in existing warehouse area. The Bid Documents will be released on September 6, 2001. Two (2) copies of Documents with Proposal Form will be express mailed to each Bidder. A Pre -Bid Conference will be held at the site on Monday, September 10, 2001 at 9:00 AM. Bidders and prime subcontractors are requested to be present. Each bidder is requested to submit to the Architect their firm brochure or resume at this time. ■ Each Bidder and Sub -Bidder, with the Owner's permission, may later visit the site prior to the Bid Date. ■ Plumbing, Sprinkler, HVAC, Electric and Lighting work will be the responsibility of the General Contractor on a DESIGN -BUILD BASIS. ■ Telephone and Data installation shall be by the Owner ■ Proposal shall be a Lump Sum and shall include all taxes and fees and all construction costs including the mechanical and electrical work. Berberion RFP Page 1 of Page 2 REQUEST FOR PROPOSAL (continued) • Proposals shall be due on or before 5:00 PM, Wednesday, September 19, 2001 at the current office of Berberian & Associates, Inc.,857 Turnpike Street, North Andover, MA 01845. ■ Proposals shall be submitted, in duplicate, on the Proposal Form inserted in the Project Manual. The tabulation on the Schedule of Values must be completed. Proposal shall remain valid for 30 days. ■ Proposals may be faxed to (978)682-6866, to be followed by posted hard copies within 24 hrs, ■ The Owner, with the Architect, will open and review each proposal, in private, and reserves the right to refuse or waive any irregularities or informalities, reject any or all proposals. ■ If a Proposal is accepted, the Owner will award a Contract within ten (10) days from receipt of Bids, and select the proposal that serves the best interest of the Project. ■ The successful Bidder will be expected to start work immediately after receipt of Notice to Proceed. ■ The Project is scheduled for completion on or before November 15, 2001. • Bidders shall submit Certificate of Contractor's Insurance, including liability and property damage, and Waiver's of Liens from Subcontractors at the Start - Up meeting. ■ The Contractor shall guarantee all Work for proper and adequate performance for a period of one (1) year after acceptance by the Owner and Architect. ■ Questions shall be directed to the Architect at 978.470.0235. ■ Please respond to the Architect, before September 6, 2001, if you are not bidding. Berberion RFP Page 2 of FORM OF PROPOSAL Date: September 2001 Project: Interior Off ice Renovations - Berberian & Associates, Inc. 30 Willow Street, North Andover, MA 01845 Architect: Richard Merrill Sweitzer, AIA Bidder: To: Mr.. Gerard Berberian Berberian & Associates, Inc. 30 Willow Street North Andover, MA 01845 We hereby submit our Proposal for the Interior Renovation Project as per the Contract Documents dated September 10, 2001 and the related Addenda. Addendum No. dated Addendum No. dated Addendum No. dated Addendum No. dated Having examined the Bid Documents and Addenda, and having visited the project site and examined all conditions affecting the Work, the Undersigned proposes to furnish all labor and materials to perform all the work to complete the Project. BASE BID - ALTERNATE BID NO. ONE - New Ceiling System -(Describe and state amount to be added or deducted from the Base Bid, if accepted.) ALTERNATE #1 (Deduct)(Add) $ VOLUNTARY ALTERNATES - (Describe and state amount to be added or deducted from Base Bid, if accepted). VA #1- Fire Alarm System (Deduct)(Add) $ VA#2 - (Deduct)(Add) $ VA#3 - (Deduct)(Add) $ Bidder Page 1 of 3 Form of Proposal Berberian Office SCHEDULE OF VALUES General Conditions Demolition work Rough Carpentry and GWB work Finish Carpentry & Millwork Doors, Frames & Hardware. Glass & Glazing Resilient Flooring work Paint & Finishes Acoustical the ceiling work Wire mesh partition HVAC work Plumbing work Sprinkler work Electrical work Lighting Miscellaneous (Specify) Allowances (Specify) Sub Total OH & Profit Building Permit TOTAL of BASE BID FORM OF PROPOSAL In compliance with terms stated in the Request For Proposal, we anticipate starting work on and estimate Substantial Completion in calendar days from that date. The following subcontractors are being used for this project: Finish Hardware Glass work Acoustical the work Resilient Floor work Painting work HVAC work Plumbing work Sprinkler work Electrical Work Fire Alarm work Bidder Page 2 of 3 Form of Proposal Berberian Project FORM OF PROPOSAL The Undersigned acknowledges that the Owner reserves the right to reject any or all Bids and to waive any informality or irregularity in any Bid Form and may at his discretion, select the bid and negotiate and award a contract to the bidder that serves the best interest of the Project. By Title Firm Name Address Telephone # fax # e-mail Date Bidder Page 3 of 3 Form of Proposal Berberian Office RICHARD MERRILL SWEITZER ■AIA■ ARCHITECT LONGWOOD DRIVE - ANDOVER ■ MASSACHUSETTS 01810 TEL 978.470.0235 ■ FAX 978.475.8964 Date: 11 September 2001 Project: Berberian Office Renovation North Andover, MA To: All Bidders CC: G. Berberian; Tom Birmingham, BSA ADDENDUM NUMBER ONE The following addendum includes minutes of the Pre -Bid conference held at the site at 0900, 9/10/01 with Jerry Berberian and Dick Sweitzer. The following contractors were present: Channel Building Co,; Turner Special Projects; Martini Northern, Payton Construction; Central Cooling & Heating, Uptack Plumbing & Heating. 1. R. Sweitzer reviewed important issues regarding this project: a. Schedule is tight but feasible. Completion is scheduled for November 15, 2001, if possible. b. The sub contractors will bid directly to the General Bidders. (Addresses are attached.) c. G.C.'s shall use the Bid Form mailed with the addendum. d. Building will be occupied on the second floor. Tenants will use the new door #21, Corridors 121 and 120 and the stairs to their offices on the second floor. e. All carpet installation is by others, and is not a part of this contract, f. New partitions will be installed on top of existing carpet. g. Vertical blinds remain, but shall be protected from dirt and damage. h. Existing lock sets are to be replaced with new lever lock sets. Butts remain. 2. The walk through brought up the following issues & decisions. a. The painting shall be done after hours. With an alternate cost for doing the work during the day. Tenant work hours are 8:00 to 4:30. b. The borrowed light panels in office 107 will be removed and in filled by the GC, They will not be reused. c. The removal of the old carpet& vinyl base is by the GC; the installation of the new carpeting is by others (Allbright Carpet) and must be completed before the walls are painted. Page 1 of 2 Berberian Office Renovation Addendum No. One ADDENDUM ONE (Continued) 2. (continued) d. The areas with carpet will have new wood base (8-1) to match existing as noted on the Finish Schedule on sheetA-8.Old vinyl bases in any of these spaces shall be removed by the carpet installer. The new wood base is installed by the GC, prior to the installation of the new carpet. e. The plumbing for the relocated sink in the Kitchen 116 can be connected to the main drain in the adjacent Sprinkler Room. f. The existing ceilings system (grid & tiles) in Office 108 and Office 110 shall remain. Replace any damaged tiles with matching tiles. g. GC shall remove the existing VWC in office 108 and replace the damaged GWB in the outside corner. Walls may require skim coating to have them prepared for painting. h. The VWC shall remain on the 3 existing walls of office 110. The new wall will be painted P-1. i. GC shall inspect all existing doors and door jambs for damage. Any nicks and gouges shall be sanded smooth and filled in if required. If damage is too much especially on the edges), replace that section with new. j. It will be necessary to put the 3 offices, 108,109 and 110, on a separate zone. The ceiling supplies diffusers may be relocated nearer the end exterior wall. k. Since the counter in the Kitchenette 210 is minimal, the installations of a small bar type sink, or, a corner sink. I. The RA grille in area 127 shall be relocated to a spot in corridor 128. The duct work will be in the warehouse area. m. The GC should figure on replacing the existing GWB ceiling in areas 1223,127,128,129 132,133 and 134 due to the installation of new recessed lighting and relocation of HVAC ducts. n. The bottom of the truss in the warehouse 137 is 15'-10" from the floor. The WWM partition may require vertical support from it. o. The site can be visited any time during the week from 8:00 to 4:00. Just walk in and identify yourself as a bidder. p. Call the architect at 978,470.0235 with any questions. q. Workbenches and gas valves will be removed from area 129. r. Delete the recessed fixtures type B from areas 127,128,129,133and install relocated existing surface mounted i X 4 fixtures in the same locations. Attachments: Proposal Form for the GCs (by Mail) GC addresses for the Sub Bidders. END OF ADDENDUM ONE Page 2 of 2 Berberian Office Renovation Addendum No. One RICHARD MERRILL SWEITZER ■AIA■ ARCHITECT LONGWOOD DRIVE ■ ANDOVER ■ MASSACHUSETTS 01810 TEL 978.470.0235 - FAX 978.475.8964 Date: 13 September 2001 Project: Berberian Office Renovation, North Andover, MA To: All Bidders CC: G. Berberian; Tom Birmingham, BSA ADDENDUM NUMBER TWO (2) 1. The following SK drawing will become part of the bid set. a. SK -1 is the details section of the light cove in the Conference Room # 206. 2. Refer to the Drawing A-5 RCP [CLARIFICATION]: a. The ceiling system in offices 108 and 110 remain and are not changed. Replace any damaged tiles. b. The ceilings in toilet rooms 114 and 115 will be new and lowered to 8'-0" AFF. Note that this requires lowering the sprinkler head in each (which can be done when system is drained for installation of the back f low preventer). c. Contractor may modify sprinkler system at the time of the shut -down for the installation of the Bask Flow Preventer d. ACT -1 is the new ceiling the specified in Section 09519 -Acoustic Ceilings. e. The recessed 2X2 light fixture type B in the new offices 127,128 and 133 will be changed to a new surface mounted fixture -type 0 -.The new fixture will be specified on Addendum Number Three 3. Refer to Addendum One, item 2 a [CHANGE][ADDITIONAL INFORMATION] a. The application of Polymyx/Zolotone finishes can be done during normal working hours, The alternate cost is for after hour painting. b. The wall finish distributor is: The Righter Group 11 Upton Drive Wilmington, MA 01887 Tel: 1.800.848.4841; Fax: 1.800.391.1470 c. All walls and wood base will be one color, P-1. Color TBD All doors and wood trim will be one color, P-2. Color TBD 4. Refer to Addendum One, item 2c [CHANGE] a. The installation of the carpet will be done AFTER the wall finish is completed, Page 1 of 2 Berberian Office Renovation Addendum No. Two 5. Refer to Addendum One, item 2 g [CHANGE] [ADDITIONAL INFORMATION] a. The existing VWC in Office 108 will NOT be removed, but will remain, except for the section of wall to be repaired. Contractor shall provide new VWC for this area. It will be applied directly over the existing. Contractor shall include an Allowance of $ 10.00/sq. yard for this work. Material & pattern TBD. 6. Refer to the Finish Schedule, Sheet A-8. [CHANGE] [ADDITIONS]. a. Delete " & wood trim" from the Remarks Column from all areas b. Office 108 - Change the Wall finish from ETR to ETR+new VWC. c. Toilet 109A -Change Wall Finish from P-1 to ETR ( repair as required). d. Office 110 - Change Wall finish ETR to ETR and P-1 e. Men's Rm.114- Change wall finish from P-1 to ETR f. Description of finishes on the Finish Schedule TBD. 7. Refer to Drawing A-2-Demolition.[ADDITIONAL INFORMATION] a. Contractor shall be aware of existing wiring in the west wall of Office 110, when opening is cut thru wall into open office area 129 from corridor 111. This opening will be 6'-8" high as shown on elevation B/A-6. 8. Refer to Specifications- Section 15400 HVAC.[ADDITIONAL INFORMATION] a. Contractor shall provide a separate Zone for off ices, 108,109and 110. Locate the thermostat in office 108. b. Contractor shall provide a separate zone for the Conference Room 206 and adjacent areas 201, 208, 209 and 210. Locate thermostat in he Conference Room 206. 9. Refer to Specifications- Section 16000 Electrical {ADDITIONAL INFORMATION] a. Contractor shall provide a Fire Alarm system to comply with codes. This may include a strobe light audible alarm in toilet room 119 and the Conference Room 206. Attachment: SK Number One Page 2 of 2 Berberian Office Renovation Addendum No. Two RICHARD MERRILL SWEITZER ■AIA■ ARCHITECT LONGWOOD DRIVE ■ ANDOVER • MASSACHUSETTS 01810 TEL 978.470.0235 ■ FAX 978.475.8964 Date: 17 September 2001 Project: Berberian Office Renovation North Andover, MA To: All Bidders CC: G. Berberian; Tom Birmingham, BSA ADDENDUM NUMBER THREE 1. The information in all Addenda shall be considered as part of the Contract Documents. 2. Do not scale the plans. Plans have been reduced to fit the drawing sheet. 3. Refer to drawings A-2, A-6 and A-9. CLARIFICATION and CHANGE ■ The clerestory is in rooms 104,105 and 106, running from the hinge jamb of door 03 to the west wall of room 106. Note that the top of the existing walls of room 104 is removed for the construction of the clerestory, and the clerestory returns T-0 on the two walls dividing these 3 offices shown on Detail 03/A-11. • Change Detail 7/A-11 to delete the wood stop for the glass. Install GWB instead like the head as shown in detail4/A-11. The top of this will be below the top of the horizontal wood trim, which replaces the existing head trim at door 03. ■ The new horizontal trim will terminate at the wall between offices 106 and 107. ■ Note that the switching in room 104 will be relocated to side wall. 4. Refer to drawings A-2 and A-3. CLARIFICATION ■ Door # 17 is a new door in a wall opening. There is not a door at this point to be removed. Reverse the location of the refrigerator to left side of relocated sink cabinet in Kitchen 116. This is to permit the access of plumbing from the adjacent Sprinkler Room 117. Rather than trench the concrete floor, fur out the wall behind the sink cabinet to create a chase for the plumbing; OR, modify the interior of the base cabinet to create a plumbing chase. The new walls, type 1, for offices 105,106 & 110 are full height (to the deck above). The new walls for offices 127,128,130,133 and room 119 go to the GWB ceiling. Page 1 of 2 Berberian Office Renovation Addendum No. Three 5. Refer to sheet A-8 - Finish Schedule. ADDITION AND CORRECTIONS ■ Add this Legend to the schedule. - C-1= carpet by others B-1= wood base to match existing B-2 = vinyl base P-1= Polymyx for walls and wood base P-2 = Polymyx for wood doors and trim P-3 = Enamel for HM doors & frames P-4 = Flat ceiling white ■ Corridor 120 - All work is in the contract; delete (NIC) from this line. ■ Lunch Room 118 - Base is B-2 ■ Offices 108 & 110 -Existing ACT shall remain • Delete the words "..& wd. base" from all rooms in the remarks column. b. Refer to sheet A-4 - Second floor Plans and Door Schedule A-9. -CHANGE ■ Door # 42 has been deleted. 7. Refer to Addendum 1: VERIFICATION • Item 2 c. The removal of carpet in areas so noted is by the GC. The installation of new carpet in these areas is by others and after the wall finishes are complete. ■ Item 2 q. The removal of work benches and gas valves will be by others. 8. Refer to Addendum 2: CLARIFICATION ■ Item 8. The existing HVAC units will be retained. The intent is to split the systems to create 2 zones in each. ■ Item 9. The fire alarm system shall be a Basic System, non addressable type, designed to meet the minimum requirements of chapter 9 and chapter 34 of the State Building Code 780 CMR, Sixth Edition. ■ Prime Bidders shall state the amount for this work in the new Form of Proposal on the line VA#1 and state the contractor on page two. A copy of the new proposal form will be Expressed Mailed to Prime Bidders today for Wednesday delivery. END OF ADDENDUM THREE Page 2 of 2 Berberian Office Renovation Addendum No. Three RICHARD MERRILL SWEITZER ■AIA■ ARCHITECT LONGWOOD DRIVE ■ ANDOVER ■ MASSACHUSETTS 01810 TEL 978.470.0235 ■ FAX 978.475.8964 Date: 18 September 2001 Project: Berberian Office Renovation North Andover, MA To: All Bidders CC: G. Berberian, Tom Birmingham, BSA ADDENDUM NUMBER FOUR 1. Refer to Spec. Section 16500 -Fixture Schedule & Sheet A-5, RCP - CHANGES ■ Change the type B fixture in Lunch Rm 118 to Type N — Surface mounted- Lightolier- Lumironde #6731 WH, 11" round X 3° high, w/2 TT 9 W compact fl. lamps, or equal. ■ Change the type B fixture in offices 127, 128 & 133 toType O — Surface mounted fluorescent, 2X2 9 cell parabolic louver- Columbia P2 22-2-32U6 SM -LD 33-S- EB8 120.. ■ Add the new Fixture Types to the Fixture Schedule in Section 16500. 2. Refer to Specifications Section 15500 -Sprinkler Work. ■ Change existing heads to new surface mounted type in all areas receiving new ACT. ■ New heads shall be located in the center of new 2 X 2 ceiling tiles; however it is not necessary to reposition existing heads to the center of ceiling tiles. 3. Refer to the MEP Specifications. -Summary - CLARIFICATION ■ Each Design Build Contractor shall submit engineered drawings of his work, but the North Andover Building Inspector does not require stamped drawings, since the work is modification of existing systems. The architect's stamp is sufficient for the Permit. 4. Refer to Addendum # 3, Item 8, last sentence. CHANGE ■ The revised Proposal Form is faxed with this Addendum. This revised from should be used for your proposal. [For GC's Only] END OF ADDENDUM FOUR Page 1 of 1 Berberian Office Renovation Addendum No. Four CONDITIONS OF CONTRACT The following Conditions of Contract are included as if bound with this document: AIA A107-1997 Edition, Standard Form of Agreement Between Owner and Contractor for a Construction Project of a Limited Scope where the Basis of Payment is a Stipulated Sum. SPECIFICATIONS Technical and administrative requirements for the Project are divided into Sections as follows. General Requirements apply to all work for the Project. SCOPE Architect - Richard Merrill Sweitzer, AIA, 3 Longwood Drive, Andover, MA 01810 Owner - Berberian & Associates, Inc., 857 Turnpike Street, North Andover, MA 01845 Tenants - BayState Anesthesia, Inc. (BSA), occupying areas in the building, and Grasso Construction Co. occupying the one low one story addition on the west end of the building. (This area is not in the Contract - NIC) General Contractor - The corporation, company firm or individual who has entered into this Contract for the performance of the work and has engaged subcontractors to perform a part of the work. The Project consists of selected interior renovation work in the Owner's areas designated on the plans. The Construction Contract will include the General Construction Work and the Mechanical, Electrical and Plumbing Work. The M.E.P. work will be the responsibility of the General Contractor on a Design -Build Basis to follow the intent shown on the Drawings. The Data work will be by the Owner's Contractor. Certain areas of work will be by the Tenant's contractor, and noted on the plans "NIC- By Others". ** END OF SECTION ** Berberian Office September 2001 SECTION 00600 - INSURANCE REQUIREMENTS 1. General Contractor and each separate Subcontractor assumes the obligation to save the Owner harmless and indemnify them from any costs, expense, liability or payment, by reason of any damage to property or bodily injury (including death) resulting there from to any persons or persons as a direct or indirect result of any action, operation or failure to act arising out of or occurring in connection with the work required by this contract. Suck liability is the General Contractor is absolute and is not dependent upon any question of negligence on the part of the Owner , General Contractor or his Subcontractors, 2. General Contractor and each separate Subcontractor further agrees that during the existence of this Contract, adequate insurance coverage will be maintained for Comprehensive General Liability and Personal Injury (including Contractual Liability Insurance against liability assumed under the above "hold harmless" indemnification clause) as well as Workman's Compensation coverage, other insurance required by law and insurance coverages listed below. A. Workman's Compensation - as required by law B. Contractor's Comprehensive General Liability Bodily Injury - limits at least $1,000,000 each person $1,000,000 each occurrence $2,000,000 aggregate C. Contractor's Personal Injury Liability - limits at least $1,000,000 each person $2,000,000 aggregate D. Automobile Bodily Injury - limits at least $1,000,000 each person $2,000,000 each accident E. Automobile Property Damage - limits at least $1,000,000 each occurrence F. Umbrella Liability - limits at lease $ 2,000,000 Serberian Office September 2001 3. Automobile insurance must include non -owner, hired or rented vehicles as well as owned vehicles. Supporting evidence that premiums have been paid shall be included. 4. Fire Insurance - General Contractor shall secure, pay for and maintain whatever fire or extended coverage insurance he may deem necessary to protect himself against loss of any materials, equipment or tools. 5. General Contractor shall provide appropriate protection and insurance against theft, loss or damage for items until Owner occupancy. Deliveries prior to commencement date of construction will not be allowed without prior written approval of the Owner. Storage, handling, transportation and other such costs incurred due to early manufacturer's deliveries are the responsibility of the General Contractor. 6. The General Contractor shall purchase and maintain at all times insurance which shall protect the General Contractor, the Owner and the Architect against any loss or claim for damages by anyone for personal injury, death or damage to property which may arise from the work or operations under the Contract whether or not caused by the General Contractor. ** END OF SECTION ** Berberian Office September 2001 SECTION 01000 - GENERAL REQUIREMENTS SUMMARY The Project consists of the: Interior Renovation of Existing First Floor Office Space 30 Willow Street Condominium North Andover, MA 01845 PROJECT REQUIREMENTS 1. Tenants will occupy the second floor space and warehouse space during the construction period. 2. Material and equipment storage shall be where designated by the Owner. 3. All deliveries shall be through areas designated by the Owner. 5. Contractor's trucks and cars shall park in areas designated by the Owner. 6. Contractor shall provide a dumpster and locate it where designated by Owner. PERMITS 1. Apply for, obtain, and pay for building permits, other permits, and utility company back charges required to perform the work. Submit copies to Architect. INTENT 1. Drawings and specifications are intended to provide the basis for the proper completion of the Project suitable for the intended use of the Owner. 2. Items not expressly set forth but which are reasonably implied or necessary for the proper performance of this work shall be included. COORDINATION 1. Contractor shall coordinate the work of all trades. 2. Verify location of utilities and existing conditions. Notify Architect of conditions differing from those indicated on the Drawings. 3. Verify dimensions on Drawings with dimensions at the Project. Do not scale Drawings. CUTTING AND PATCHING 1. Provide cutting and patching work to properly complete the Project. 2. Do not remove or alter structural components without written approval. 3. Cut with tools appropriate for materials to be cut. 4. Patch with materials and methods to match material being patched and repaired. 5. Do not cut and patch in a manner that would result in a failure of the work to perform as intended, decrease fire performance, decrease acoustical performance, decrease energy performance, decrease operational life, or decrease safety factors. FIELD ENGINEERING 1. Verify and locate utilities, existing facilities, and equipment. 2. Survey and layout improvements, utilities, and components. Berberian Office SECTION 01030 - ALTERNATES SUMMARY 1. Refer to Bid Form for the Scheduled Alternate 2. Refer to the Voluntary Alternate line items on the Proposal Form. Generally only the items specified will be considered. However, if a proposed alternate can accomplish the terms of the Contract Documents with a savings in cost or can be delivered sooner than item specified, a Voluntary Alternate will be considered. Submit price for each alternate. Include cost of modifications to other work to accommodate alternate. Owner and Architect will determine which alternates are selected for inclusion in the Project. SCHEDULED ALTERNATES - State amount to be deducted or added for each on the Bid Form 1. Alternate No. i - In lieu of painting the existing ACT grid system(specified in 0990), remove the existing grid system and replace the entire existing ceiling system with a new system as specified for areas 101 to 116 inclusive. END OF SECTION Berberian Office September 2001 SECTION 02050 - SELECTIVE DEMOLITION SUMMARY 1. Provide selective demolition of interior partitions & walls designated to be removed. 2. Protect portions of building, site and adjacent structures affected by demolition operations. 3. Remove abandoned utilities and wiring systems. 4. Notify Owner of schedule of shut-off of utilities which serve occupied spaces. 5. Provide temporary protection from demolition operations. 6. Verify conditions at site to determine whether demolition methods proposed for use will not endanger existing structures by overloading, failure, or unplanned collapse. 7. Perform demolition operations to prevent dust and pollutant hazards 8. Perform demolition operations by methods that do not endanger adjacent spaces, structures, or the public. SELECTIVE DEMOLITION 1. Survey existing conditions and correlate with Drawings and specifications to verify extent of demolition required. 2. Masonry walls and GWB partitions for new doors, tenant entrance door and cased openings. 3. Toilet room walls to provide the new handicap toilet room. 4. Ceiling tiles in office areas where noted. 5. Provide pollution control during demolition operations. ** END OF SECTION ** Berberian Office September 2001 SECTION 03300 - CAST -IN-PLACE CONCRETE SUMMARY 1. Remodel existing concrete slab 2. 3. , as required, for new plumbing work in handicap toilet. 2. Provide new concrete walks for new tenant entrance and a new Owner's entrance as detailed on site plan. PRODUCTS 1. Concrete Design Mixes, ASTM C 94, 28 -Day Compressive Strength3500 psi compressive strength 2. Formwork: Plywood or metal panel formwork sufficient for structural and visual requirements. 3. Concrete Materials: ASTM C 150, Type I, Portland cement; potable water. Normal weight aggregates, ASTM C 33 INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. Comply with ASTM C 94, CRSI Manual of Standard Practice, and ACI publications. Provide Concrete Finishes For Formed Surfaces 2. Surfaces Not Exposed To View: As -cast form finish. 3. Surfaces Exposed To View: Smooth broom finish with trowelled edges for exterior work. 4. Floor surfaces: Trowelled smooth for installation of floor covering.. END OF 5ECTION Berberian Office September 2001 SECTION 05500 - MISCELLANEOUS METALS SUMMARY 1. Provide miscellaneous metalwork ,including items fabricated from iron and steel shapes, plates, bars tubes, pipes, etc. PRODUCTS 1. Steel angle lintels for new openings in masonry walls. 2. Miscellaneous supports required for door frames, ceiling soffits support, and any work in other Sections. QUALITY ASSURANCE 1. Take field measurements prior to preparation of shop drawings. 2. Prepare shop drawings as required. INSTALLATION 1. Comply with requirements of Section 01000- Project Requirements 2. Furnish diagrams and instructions for installation of anchorage of lintels in existing concrete masonry walls. 3. Provide temporary bracing and shoring of existing masonry walls as required for installation of new lintels. 4. Replace any removed masonry units and repair both interior and exterior face of work areas to existing conditions. END OF SECTION Berberian Office September 2001 SECTION 06100 - ROUGH CARPENTRY SUMMARY 1. Provide Rough Carpentry: Wood grounds, milers and blocking; Wood furring; Wood studs; Wood backing panels. Refer to Section 09215 and 09255 for steel studs. PRODUCTS 1. Lumber standards and Grade Stamping: PS 20, American Softwood Lumber standard and Inspection Agency Grade Stamps. 2. Construction Standards: PS 1, US Product Standard for Construction and Industrial Plywood; APAA PRP -108; Interior Wall Framing: 2X4 studs 16 inches OC; Perimeter Wall Framing: 2X6 studs, 16 inches OC. 3. Fire- Retardant Treatment: AWPA C20 for lumber and AWPA C 27 for plywood: noncorrosive type. 4. Dimension Lumber: Light framing stud, No.3 or Standard Grade; any species of grade indicated. 5. Concealed Boards: 19 % moisture. 6. Miscellaneous Lumber, Blocking and Nailers: Moisture Content -19% - Standard Grade light Framing. INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. 2. Comply with NFPA Recommended Nailing Schedule, and NFPA National Design Specifications for Wood Construction. 3. Comply with APA Design and Construction Guide, Residential and Commercial Construction. 4. Provide milers, blocking and grounds where required. Set work plumb, level and accurately cut. 5. Comply with manufacturer's requirements for treated materials. ** END OF SECTION ** Berberian Office September 2001 SECTION 06402 - INTERIOR ARCHITECTURAL WOODWORK SUMMARY 1. Provide Interior Architectural Woodwork: Standing and running trim to match existing; New P.Lam Countertops for Existing Cabinetwork; Door frames to match existing, Framed openings. Coat Closet - Refer to Section 12300 for casework. PRODUCTS 1. AWI Standards: Architectural Woodwork Institute (AWI) "Architectural Woodwork Quality Standards. 2. Fire -Retardant Treatment: Lumber - AWPA C20, non -corrosive interior type, Plywood - AWPA C27, non -corrosive interior type; Particleboard - ASTM E 84, flame spread 20 or less 3. Interior Standing and Running Trim: Species for Opaque Finish - White pine or Poplar; Grade - Premium; or match existing. 4. Interior Plastic Laminate Clad Countertops - Kitchen Areas and Toilets. Laminate - High-pressure decorative laminate, NEMA LD -3; Grade - Premium; Core -As allowed by grade; Edge - Laminate. 5. Interior Frames and Framed Openings: Species for Opaque Finish - White Pine or Poplar; Grade - Premium. Configuration to match existing 6. Shelving: Species for Opaque Finish: Hardwood veneer plywood with solid hardwood edgeband; Grade - Premium; Melamine Shelving . Shelf Supports: Recessed, Surface mounted and slotted standards (See details); Closet rods - Chrome plated steel with intermediate supports. 7. Auxiliary Materials: Screws FS FF -5-111, countersunk; Nails: FS FF -N- 105, countersunk; Anchors - Type required for secure anchorage. 8. Interior Plywood: MDO board for new backboards , if required. Paint to match wall prior to installation of any equipment. See details 9. Finishing for All Interior Architectural Woodwork: Opaque Finish: Premium grade with rubbed medium (satin) gloss sheen. Refer to section 09900 for special finishes for doors and frames. INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. 2. Comply with standards referenced. 3. Back prime work all work before installation. 4. Provide trim for scribing and site cutting. 5. Install work plumb, level and in proper alignment. 6. Provide work free from tool marks and blemishes. 7. Securely fasten to substrates. 8. Touch-up damaged or abraded finishes. END OF SECTION Serberian Office September 2001 SECTION 07250 - ACOUSTICAL INSULATION SUMMARY. 1. Provide sound insulation in the new stud stud walls as shown and where indicated. PRODUCTS 1. Blanket/Batt Insulation: Glass fiber or mineral slag fiber, ASTM C 665, Type II (Faced one side). 2. Accessories: Adhesives and mechanical anchors. INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. 2. Install insulation with continuous coverage to provide optimum performance. ** END OF SECTION ** SECTION 07901 - JOINT SEALANTS SUMMARY Provide joint sealers at interior vertical and horizontal joints. PRODUCTS 1. Silicone Elastomeric Joint Sealants: Type and Application - One -part mildew -resistant silicone sealant, ASTM C 920, for wet and sanitary applications, interior use. 2 Latex Joint Sealants: Acrylic Type - Acrylic -emulsion, ASTM C 834; Application: Interior joints in vertical and overhead surfaces with limited movement. 3. Specialty Sealants: Type and Application - Synthetic rubber for acoustical sealant for concealed joints; Type and Application - Butyl -polyisobutylene sealant and tape sealant for concealed joints. 4. Auxiliary Materials: Plastic foam joint fillers - Elastomeric tubing backer rods; Bond breaker tape. INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. 2. Test sealant adhesion for each substrate required. 3. Install in proper relation with adjacent work. 4. Clean adjacent surfaces soiled with sealant immediately. ** END OF SECTION ** Berber+an Office September 2001 SECTION 08212 - WOOD DOORS SUMMARY 1 Provide Wood Doors: Interior flush solid core wood doors to match existing. PRODUCTS 1. Products: Morgan complying with the following: 2. NWWDA Quality Standards for Flush Solid Core Wood Doors: NWWDA I.S. 6. 3. AWI Quality Standards for Flush Solid Core Wood Doors: AWI Architectural Quality Standards. 4. Finish: Shop prime; Site finish by others.. INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. 2.. Comply with NWMA IS -1 and AWI [WIC] Quality Standards. 3. Pref it doors to frames, premachine doors for hardware, and factory bevel. 4. Install with not more than 1/8 -inch clearance at top and sides, 1/4 inch at bottom unless undercut is required. 5. Comply with NFPA 80 for rated assemblies. 6. Install new hardware on both new and existing doors as scheduled. **END OF SECTION ** Berberian Office September 2001 SECTION 08105 - HOLLOW METAL DOORS & FRAMES SUMMARY 1. Provide hollow metal doors and frames where indicated and/or required. 2. Submit shop drawings. PRODUCTS 1. Products: Steel craft or equal complying with the following. 2. Frames: F-Series,16 gage sheet steel, factory primed; ASTM -A366 3 Doors: L-Series,14 gage sheet steel, flush panel, factory primed doors with reinforcing for hinges and locks. 4. Refer to door schedule for sizes. INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. 2. Installations shall conform to manufacturer's instructions and NFPA pamphlet 80. 3. Contractor shall check door #35 and repair as required for proper operation. END OF SECTION SECTION 08305 - ACCESS DOORS SUMMARY 1. Provide access doors for walls and ceilings where indicated and/or required. PRODUCTS 1. Products: Milcor or equal complying with the following. 2. Frames: 16 gage sheet steel. AISI No. 4 satin finish with flange suitable for adjacent material. 3 Doors: 14 gage sheet steel, flush panel, factory primed doors with cylinder locks. Size to be determined the field, to range from 4"X4" to 12" X 12". INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. 2. Refer to Mechanical Plans and RCP. Exact locations TBD in the field. END OF SECTION Berberian Office September 2001 SECTION 08710 - DOOR HARDWARE SUMMARY 1. Provide hardware for all new swinging doors. 2. Remodel existing hardware on existing doors as indicated 3. Comply with code and accessibility requirements. 4. Refer to Door and Hardware Schedules on the Drawings. PRODUCTS 1. Products: Lock Sets - Schlage 2. Locksets and Latchsets: 'A' series keyed lever lock; Saturn design. 3. Lock Cylinders: Interchangeable type. 4. Keying: Owner's requirements and match existing keying system. 5. Hinges and Butts: Full -mortise type -3 per leaf 6 Closers: Low frequency type. 7. Hardware Finishes: Bright brass, US 3, except Polished stainless Satin stainless finishes for Toilet Rooms. 8. Door Trim Units: Kickplates and related trim. 9. Stops for each door. 10. Silencers for each door QUALITY ASSURANCE 1. Submit four (4) copies of a complete hardware schedule in a vertical format to architect for approval. 2. Submit all required templates as required by the schedule to door manufacturer after schedule has been approved. INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. 2. Comply with DHI "Recommended Locations for Builder's Hardware" and hardware manufacturers instructions. 3. Replace all knob type lock/latch sets with new lever locks as specified. END OF SECTION Berberian Office September 2001 SECTION 08800 - GLAZING SUMMARY 1. Provide glass for clerestories. 2. Provide Mirrors where indicated. 3. Remove existing borrowed light panels for re -use on the second floor. PRODUCTS 1. Mirrors - Silvering and protective coatings; High -Performance Coatings with eased edges. 2. Glass - 3!8°clear float glass with ground ends for butt glazing. 3. Sealant - clear silicone for butt glazing,. 4. Mastic: As approved by mirror manufacturer 5. Setting blocks, spacers, and compressible filler rods INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. 2. Comply with manufacturer's recommendations and details 3. Set mirrors on stainless steel channels and adhere to CMU and GWB walls with mastic. 4. Install clerestory butt glazed panels as detailed. 5. Clean and polish all glass work after installation END OF SECTION Berberian Office September 2001 SECTION 09255 - GYPSUM BOARD ASSEMBLIES SUMMARY 1. Provide Gypsum Board Assemblies: new office partitions 2. Gypsum Board Attachment: Gypsum board nail -attached steel studs and/ or wood studs and furring. PRODUCTS 1. Products: National Gypsum Gold Bond 2. Gypsum Board: Gypsum Wallboard - ASTM C 36, regular, foil -backed, and fire -rated types, 1/2 inch typical thickness; Water -Resistant Gypsum Backing Board: ASTM C 630, regular and fire -rated types 1/2 inch typical thickness; Joint Treatment - ASTM C 475 and ASTM C 840, 3 -coat system; Installation Standard - ASTM C 840. 3. Trim Accessories: Material: Metal or plastic trim; Types - Corner bead, edge trim, and control joints; Decorative Profiles - Aluminum reveals and channels for Lighting Coves. 4. Steel studs -3-5/8" (or Match existing partition width), 16 ga. C -Style with floor and ceiling tracks. Installation standard -ASTM C645. 5. Refer to Section06100 Rough Carpentry for Wood Studs. 6. Steel Framing for Suspended and Furred Ceilings: Furring Channels - ASTM C 645, 25 gage (.0179 inch) resilient channels; Accessories - Hangers and inserts; Installation Standard - ASTM C 754. 6. Auxiliary Materials: Gypsum board screws, ASTM C 1002; Gypsum board nails, ASTM C 514; Fastening adhesive; Concealed acoustical sealant; Mineral fiber sound attenuation blankets.(Section 07250) INSTALLATION 1. Comply with standards referenced above and ASTM C 840 and GA 216. 2. Install joints only over framing members. Do not allow butt -to -butt joints. 3. Provide blocking for items such as railings, grab bars, casework, toilet accessories, and similar items. 4. Provide acoustical sealant at runner tracks, wall perimeters, openings, expansion, and control joints. 5. Install gypsum board assemblies true, plumb, level and in proper relation to adjacent surfaces. 6. Where new partitions meet existing construction, remove existing corner beads to provide smooth transition. 7. Provide 3 -coat joint treatment such that, after finishing, joints are not visible. 8. Sand and leave ready for finish painting and wall treatment. END OF SECTION Berberian Office September 2001 SECTION 09519 - ACOUSTICAL CEILINGS SUMMARY 1. Base Bid: Provide new acoustical ceiling tiles in existing grid system. Paint existing grid - Base Bid. 2. Alternate Bid: Provide all new ACT system, including new grid system and new tiles. PRODUCTS 1. Ceiling Tiles - Armstrong, Cirrus Angled Tegular wet -formed mineral fiber ceiling tiles with factory applied vinyl latex paint, white, light reflectance Of 0.83": 24" x 24" x3/4" Class A Fire -Guard. 2. New Grid System (Alternate Bid)- Armstrong Prelude XL Fire Guard, 15/16 " Exposed Tee System, complete with attachment devices and hangers as required, edge molding and trim. Color -white. INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements 2. Coordinate work with other trades, especially Painting, Lighting, Mechanical and Fire Protection. 3. Base Bid - Remove existing ceiling tiles and light fixtures as indicated. Paint the existing exposed grid system, including edge molding. ( See Section 09900). Install new ceiling tiles with pattern or grain running one way. 4. Alt Bid - Remove entire existing suspended ceiling system in all areas and install new exposed grid system with tiles as specified for Base Bid. 5. At time of completion, furnish one unopened box of full size tiles for maintenance stock to the Owner. END OF SECTION Berberian Office September 2001 SECTION 09650 - RESILIENT FLOORING SUMMARY 1. Provide vinyl composition tile flooring as Scheduled PRODUCTS 1. Product: Vinyl Composition Tile as selected by the Architect 2. Size: 12" X 12" X 1/8" premium vinyl composition the flooring. 3. Auxiliary Materials: Edge strips, reducer strips, terminations, adhesives and mastics. 4. Vicryl base, 4" high. Cove base for the floors; flat base for carpeted areas. Standard colors TBD. INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. 2. Prepare surfaces by removing existing floor covering, cleaning, leveling and priming. 3. Level to 1/8 inch in 10 feet tolerance. 4. Install tiles with tight joints and required patterns. 5. Apply concrete slab primer if recommended by flooring manufacturer, prior to application of adhesive. END OF SECTION SECTION 09680 - CARPET (NIC) SUMMARY 1. All carpet work will be done by the Owners Carpet Contractor 2. Carpet Contractor shall be responsible for the preparation of surfaces to be carpeted. PRODUCTS -( NIC) 1. Products; Broad loom to match existing: 2. Carpet Pad: As recommended by manufacturer 3. Auxiliary Materials: Edge guards; Adhesives, cements and fasteners. 5. Carpet Installation Method: Direct glue installation INSTALLATION PREPARATION 1. Carpet Contractor shall prepare all surfaces specified for carpeting by cleaning, leveling and priming. 2. General Contractor shall install new bases and painting work prior to install of carpet. END OF SECTION SECTION 09900 - PAINTING & FINISHES SUMMARY 1. Provide the painting work shown on the drawings and specified herein, including but not limited to the following: a. Multicolored waterbase finish by Zolatone for wall surfaces b. Metallic waterbase coating by Zolatone for doors and wood trim c. Provide surface preparation and painting for metal doors and frames. d. Paint existing ceiling grid prior to installation of new ACT. PRODUCTS 1. Basecoat as recommended by the manufacturer. 2. Multicolor wall finish - Waterbase Prism Color by Zolatone 3. Metallic finish for doors and trim-waterbase Lluminations by Zolatone 4. Semi gloss acrylic enamel for Hollow -metal doors and frames and miscellaneous metal work as noted. 5. Flat latex coating for re -finishing ceiling grid system in all areas on first floor. 6. Finishes shall be ready mixed, with no field mixing or tinting required. 7. Colors shall be from manufacturer's color blend group. SUBMITTALS 1. Submit product data, samples, 12" X 12" mockup of each color, extra stock of one (1) unopened gallon of each type of paint used. 2. Compliance with VOC and environmental regulations EQUIPMENT 1. Apply finishes with equipment recommended by the manufacturer. Use air spraying equipment with internal mix spray gun, ASME rated dual -regulated pressure pot, and compressor sized to provide necessary volume of air to spray gun on a continuous basis EXAMINATION 1. Verify that substrates are ready to receive the specified finishes and are in accordance with the manufacturer's requirements. 2. Beginning of application means acceptance of substrate. PREPARATION 1. Protection: mask adjacent surfaces to prevent over spray. 2. Remove items ( switch plates, hardware, etc.) that are not to be finished from the surfaces which are being coated. 3. Patch and repair substrates. Remove all wall covering from walls to be finished. Remove all remains of adhesive. Sand with 100 grit or finer sand paper, spackle, putty, and caulk existing surfaces to produce smooth and uniform substrates. Touch up painted or primed surfaces with compatible paint or specified base coat. 4. Wood surfaces shall be sanded smooth and free of marks. Berberian Office September 2001 APPLICATION 1. Apply each type of coating in accordance with manufacturer's instructions. 2. Base coat: Apply as many coats as necessary to produce a uniform substrate appearance. Do not exceed manufacturer's recommended coverage rate. Allow to dry prior to application of subsequent coats. 3. Sand: Over GWB and wood, sand the basecoat with 100 grit or finer sandpaper. Remove dust. 4. Multi -color Finish -Apply in two steps: a. First Step - Apply high pressure spray coat to completely cover base coat and achieve a continuous uniform film. Comply strictly with manufacturer's instructions for application rate. b. Second Step: Apply low pressure spray coat adjusted to produce uniform pattern and texture matching approved sample. Slight variations in pattern and color blend are normal for multi -color coatings. c. Clear Over -Coat - Apply in strict accordance with Manufacturer's instructions. d. Coatings shall match approved mock-up and shall be free from runs, sags, holidays, and excessive tactile texture. Transitions shall be clean, sharp, and without overlaps. 5. Semi gloss enamel finish- Apply in 3 steps. a. First step - Apply first coat (primer) after surfaces have been thoroughly cleaned from grease. b. Second Step: Apply second coat in uniform and continuous film in Accordance with paint manufacturer's direction. 5. Paint for grid system- apply in one coat. a. First step - Apply first coat if manufacturer requires a primer. b. Second step- Apply second coat in uniform and continuous spray for complete coverage of exposed surfaces, PAINT SCHEDULE 1. Provide paint systems complying with the following schedule: a. P -1 -All wall surfaces: Zolotone Prismcolor 2 coat sprayed on system. b. P-2 -All wood doors/ trim: Zolotone Lluminations metallic sprayed on system. c. P-4- GWB ceilings: 1 coat latex primer for new work;I coat latex finish -flat d. P -3 -HM doors/frames: 1 coat rust inhibiting primer; 2 coats latex enamel -satin e. P-5- Ceiling Grid: 1 coat latex enamel - satin CLEANING AND PROTECTION 1. Clean up all over spray and spills. Remove masking tape and protect coating from damage 2. Touch up and repair coatings damaged by Work. 3. Replace all items removed from the walls. Clean as required prior to re -installation. END OF SECTION SECTION 10522 - FIRE EXTINGUISHERS and CABINETS SUMMARY: 1. Provide fire extinguishers and cabinets a. Fire extinguisher cabinets - four required. b. Fire extinguishers - 6 required SUBMITTALS: 1. Submit product data. PRODUCTS: 1. Standards: UL and FM listed extiguishers. a. Type - Multipurpose dry chemical type. b. Rating: Sized for project requirements. C. Match esisting 2. Cabinets: a. Larsen's Model ALO -3216 -'Occult" solid door, witrh vertical die cut red lettering to read 'FIRE EXTINGUISHER' INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. 2. Install fire extinguishers and cabinets where shownon the plans and at mounting heights indicated. END OF SECTION SECTION 10800 - TOILET ROOM ACCESSORIES -(Allowance) SUMMARY: 1. Include an allowance of $750.00 for furnishing and installing toilet room accessories. SUBMITTALS: 1. Submit product data, samples. PRODUCTS: 1. Products: As selected by Architect complying with the following. a. Paper towel dispensers. b. Toilet tissue dispensers, single roll. C. Waste receptacles. d. Grab bars for Handicap toilet. e. Soap dispensers, surface mounted. INSTALLATION: 1. Comply with requirements of Section 01000 - Project Requirements. 2.. Install accessories whre indicated in the plans. END OF SECTION SECTION 10605 - WIRE MESH PARTITIONS SUMMARY 1. Provide wire mesh partition in warehouse where indicated. SUBMITTALS 1. Submit product data, shop drawings, samples. 2. Verify field measurements of actual location. PRODUCTS 1. Manufacturer: AcornWire & Iron Works, Inc (800).552.2676 A. Steel, wire, square steel tube posts, steel angles,plates,channel framing and stiffeners, line posts. B. Height - 8'-0 C. Construction must be able to withstand a horizontally applied normal load of 50 psf at any point on the panel assembly. D. Standard duty 3.5mm diameter intermediates -crimp steel wire woven into 38 mm diamond mesh E. All material shall be shop primed and shop painted in standard color of a recommended manufacturer's f finish 2. Deliver wire mesh items with cardboard protectors on perimeters of panels and posts wrapped to provide protection during transit and storage at site. INSTALLATION 1. Comply with requirements of Section 0100 - Project requirements 2. Examine floors for suitable conditions where wiremesh items will be installed. Proceed with installation only after unsatisfactory conditions have been corrected 3. Coordinate installation of anchorages for items supported at walls and f loor. 4. Anchor wire mesh partitions to floor with 3/8" dia. with postinstalled expansion anchor clips located at each post and corner. 5. All work shall be accomplished in strict accordance with the manufacturer's instructions. END OF SECTION Berberian Office September 2001 SECTION 11132 - PROJECTION SCREEN SUMMARY: 1. Provide recessed projection screen in the existing ACT ceiling of the Board Room. PRODUCTS: 1. Ceiling recessed matte white electric roll -down screen - Model: Da -Lite " Boardroom Electrol", as manufactured by DaLite Screen Company, Warsaw, Indiana Video Size: 50" X 67" Screen Adjust: Limit switch to be set in the field per Architect's instructions. Screen Finish: Matte white Electrical: Electrically operated 115 volt (60Hz)1.13 amp, complete with low voltage 3 -position switch. INSTALLATION: 1. Comply with requirements of Section 0100 - Project Requirements 2. Install in a recessed box in the ceiling plenum constructed from GWB to provide a totally concealed compartment to satisfy the local building code for plenum ceiling requirements for installation of electrical work. END OF SECTION Berberian Office September 2001 SECTION 11452 - APPLIANCES SUMMARY: 1. Install appliances furnished by Owner PRODUCTS: 1. Products a. Upright refrigerators; one (1) 32" wide for Kitchen # 116; b. Undercounter refrigerator for 2'd Floor pantry INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements 2. Install refrigerators in Kitchen 114 and in Pantry on Second Floor. END OF SECTION SECTION 11900 - METAL SHELVING SUMMARY: 1. Install metal shelving units where directed. SUBMITTALS: 1. Submit product data, shop drawings, maintenance data. PRODUCTS: 1. Products: Supplied by the Owner INSTALLATION: 1. Comply with requirements of Section 01000 - Project Requirements. 2. Install metal shelving in Warehouse Area 137 as and where directed. END OF SECTION Berberian Office September 2001 SECTION 15500 - SPRINKLER WORK SUMMARY 1. All Sprinkler work shall be done on a Design Build Basis. 2. Scope of work is minor modification to the existing system. 3. Sprinkler Contractor shall be responsible for producing engineered drawings required for Building Permit, the Architect and the Owner. PRODUCTS 1. Existing risers, lines and heads shall be re -used. However, the heads shall be thoroughly cleaned and new escutcheon plates provided as required. 2. Provide new heads for the new first floor spaces as required. 3. Provide a new back-flow preventer for the existing system. INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. 2. Refer to the Construction Plan for the location of new offices and work areas; and the RCP for the location of the sprinkler heads, both existing and proposed new. 3. Coordinate all work with other trades affected by this work. 4. Submit shop drawings to show installation of the new back-flow preventer in the existing - Sprinkler Room. 5. Shut downs required for this work must be made by the General Contractor at least 24 hours in advance of the shut down. Shut downs affecting normal work routine of the second floor occupants shall be done after normal working hours. Include any overtime costs in Bid Proposal. 6. Contractor shall provide As -Built Drawings at the end of the project. END OF SECTION Berberian Office September 2001 SECTION 15300 - HVAC WORK SUMMARY 1. All HVAC work shall be done on a Design Build Basis. 2. Scope of work is minor modification to the existing system. 3. HVAC Contractor shall be responsible for producing engineered drawings required for Building Permit, the Architect and the Owner. PRODUCTS 1. Existing diffusers and registers shall be re -used. However, they should be thoroughly cleaned, and if necessary, repainted white to match acoustic ceiling tiles. 2. Provide new combination light/exhaust fans for the first floor toilet rooms. 3. INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. 2. Refer to the Reflected Ceiling Plan for the location of the supply diffusers and return air grilles. 3. Submit catalog cuts of new items to Architect for approval before ordering 4. Coordinate all work with other trades affected by this work. 5. Submit shop drawings to show duct work, registers, access panels, thermostat locations, VAV locations. b. Shut downs required for this work must be made by the General Contractor at least 24 hours in advance of the shut down. Shut downs affecting normal HVAC service of the second floor occupants shall be done after normal working hours. Include any overtime costs in Bid Proposal. 7. After completion of HVAC work, Contractor shall balance systems and submit report to the Owner and the Architect. 8. Contractor shall provide As -Built Drawings at the end of the project. END OF SECTION Berberian Office September 2001 SECTION 15300 -PLUMBING WORK SUMMARY 1. All Plumbing work shall be done on a Design Build Basis. 2. Scope of work is minor modification to the existing system. 3. Plumbing Contractor shall be responsible for producing engineered drawings required for Building Permit, the Architect and the Owner. PRODUCTS 1. Some existing plumbing fixtures will be re -used and some will be replaced with new. Reused fixture shall be thoroughly cleaned. 2. Provide new toilets and lays for first floor toilet rooms. Note that toilet Rm #118 is the handicapped toilet for the building.. 3. Provide a new S.S. sink for pantry on 2"d floor INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. 2. Submit catalog cuts of new items to Architect for approval before ordering 4. Coordinate all work with other trades affected by this work. 5. Shut downs required for this work must be made by the General Contractor at least 24 hours in advance of the shut down. Shut downs affecting normal Plumbing service of the second floor occupants shall be done after normal working hours. Include any overtime costs in Bid Proposal. 7. After completion of Plumbing work, Contractor shall balance systems and submit report to the Owner and the Architect. 8. Contractor shall provide As -Built Drawings at the end of the project. END OF SECTION Berberian Office September 2001 SECTION 16000- ELECTRICAL WORK SUMMARY 1. All Electrical work shall be done on a Design Build Basis. 2. Scope of work is basically additions to the existing system. 3. Electrical Contractor shall be responsible for producing engineered drawings required for Building Permit, the Architect and the Owner. PRODUCTS 1. Existing risers, circuits, outlets shall be re -used. However, all circuits shall be tested for allowable loads. 2. Provide new switching as required and wherever . 3. Provide outlet boxes for data lines where indicated. 4. Provide battery operated Emergency Light units where shown and/or required, INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. 2. Refer to the Construction Plan for the location of new offices and work areas. 3. Coordinate all work with other trades affected by this work. 4. Shut downs required for this work must be made by the General Contractor at least 24 hours in advance of the shut down. Shut downs affecting normal work routine of the second floor occupants shall be done after normal working hours. Include any overtime costs in Bid Proposal. 6. Contractor shall provide As -Built Drawings at the end of the project. END OF SECTION\ Berberian Office September 2001 SECTION 16500- LIGHTING SUMMARY 1. All Lighting work shall be done on a Design Build Basis. 2. Scope of work is basically the replacement of existing lighting with new fixtures. 3. Electrical Contractor shall be responsible for producing engineered drawings as required for Building Permit, and by the Architect and the Owner. PRODUCTS 1. Existing risers, circuits, and switches shall be re -used. However, all circuits shall be tested for allowable loads. 2. Provide new switching as required and wherever shown . 3. Provide outlet boxes for data lines where indicated. 4. Submit catalog cuts for all light fixtures for architect's review and approval 5. Distributor for most light fixtures is Omni-Light,Inc, Burlington, MA -(781) 272-2300 INSTALLATION 1. Comply with requirements of Section 01000 - Project Requirements. 2. Remove existing light fixtures. Note that some are to be relocated. The remaining becomes the property of the contractor. 2. Refer to the Reflected Ceiling Plan for lighting layout. 3. Provide the fixtures noted in the schedule below. Provide proper lamps for each fixture. 3. Coordinate all work with other trades affected by this work. 4. Shut downs required for this work must be made by the General Contractor at least 24 hours in advance of the shut down. Shut downs affecting normal work routine of the second floor occupants shall be done after normal working hours. Include any overtime costs in Bid Proposal. 6. Contractor shall provide As -Built Drawings at the end of the project. FIXTURE SCHEDULE A - Pendant mtd 8' -fluorescent- Finelite 55PM-8-2T8-SC-SPEC-1220-FE B - Recessed fluorescent 2X2- 9 cell parabolic louver -Columbia P4D 22-2-40U6 G -MA 33 -5 -LE 120 C - Recessed 8" aperture compact fl. downlight -EdisonPrice DPX226/8 120 EOL D - Recessed 8" aperture compact fl. wall washer - EdisonPrice DPX226/8WW 120 EOL E- Existing lights to be re -used and/or relocated F - Recessed Direct/Indirect fluorescent- Mark-POR226 2 40W BX -EDB 120 G - Fan Light - Broan Solitaire Ultra Silent-# S110FLUE w/ compact fl. lamps, w/ 69WL/VL single function switch. H - Existing track lights to be reused and/or relocated I - Recessed 4" aperture incandescent down light - PrescoliteH4R-T42C-120V-50W PAR20 J - Wall mtd. direct/indirect fluorescent -Finelite 55WM-12'-1T8-SC-SPEC-120-FE (3-4') K - Battery powered emergency lights - to match existing L-1- Universal Mtd, LED clear edge -lit Exit Sign - Prescolite-LEP CSR CUR W -A2 L-2 - Universal Mtd, LED clear edge -lit Exit Sign - Prescolite-LEP CSR CUR W -A2 M- Pendant Mtd- Orbiter Maxi (from Omni -Lite, Inc.) END OF SECTION Berberian Office September 2001 This certifies that .. l �/✓i!�!`.�... . /� �. � .'.e-... �. Q. ` has permission to perform �� . � .?'�? .1�.� c l� .......... j...... wiring in the building of at .... .C� .. C�� : �/. ....... . Fee -2?. —. . Lic. No..�t! Ch4k # 1 I b 1 I 1323 ........ , Nort�ndover, Mass. ELECTRICAL INSPECTOR / ppCH O y7 00 can ,j M42 'c7 Ncl cyd tvj N O o m ei qo F-) ,� o U o V 0 a 44 a ci „ ca O `C7 .i., .� ,°-� W Q N o' ti p q O 4i o $ate o bn -, bo y ni O N - qw a❑i r! 94 O w O lC1 r7 � � N � • O ym O N F S O =+ w N b❑ O N co G N m v7 c v m �oC❑ oo b ,6.d N .'- Ngg cd •.� p O 0 O O •'Oi Q Ei N w O ,C U O •? 'o •w '• •N O m g Q y w0 R E by 3 ;; N V] ti O b9 4& 8b y N N p N O' 't7 fOd p •-�, O 0., O 0 O O h iC `R U .0 c. y o O aN � �w o4 o aH 3 (lc� W Y n a b o S P� bo v ❑ W y q Q. y •q &4 'ren vi aqi w CV .fl O. C ,o p o p 'n ayi. Ri ,.' - W Nti p•1 O cC a' •-' w0 4jCIA N v '0 .22- .0 N q &' q x ❑ 404 a cai E : z iF 41 O LIM W, Commonwealth of Massachusetts Official Use Onl Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 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:�- 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) icy cs i --PrQ ��a� AN �N� Telephone No. Owner or Tenant ^�c�a. 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: 1 -r-77-4., fn W, —my hp wnivpd IN the Inspector of Wires. Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work J=D' (When required by municipal policy.) Work to Start: 1 ,Xl 0-%4 -�, 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 cover3gpTs in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, under thepains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME: f +�`+ jEia0-A e- --rAj,-- LIC. NO.: 44 l N031 Licensee( (t N (If applicable, enter "exempt" in the license number line.) Address: C-'. g,�Q P"'t t,.lo "^ *P M G L 147 s 57-61 security work requires Department of Public Safe Signature "S" License: Bus. Alt. LIC. NO.: E Tel. No.:_2ai n2 -*-1-1 Hy k Tel. No. • �i M2 5-9- ?a Lic. No.� OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally I required by law. By my signature below, I hereby waive this requirement. Owner/Agent Signature — Telephone No. I am the (check one) ❑ owner ❑ owner s agent. LARMITFEE: $ _j ................. b Total No: of Recessed Luminaires No. of Cell: Susp. (Paddle) Fans Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires t Above In- Swimming Pool rnd. ❑ rnd. ❑ No. of Emergency Lig ting Batter Units No. of Receptacle Outlets t No. of Oil Burners FIRE ALARMS No. of Zones No. of Detection and No. of Switches No. of Gas Burners Initiatin Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices HeatPu Number„ Tons KW """ No. of Self -Contained No. of Waste Disposers p Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection ElOther No. of Dryers Heating Appliances KW Security Systems-* No. of Devices or E uivalent No:,of WaterKW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent Telecommunications Wiring: No. �3ydromassage Bathtubs No. of Motors Total HP No. of Devices or E uivalent nTNF.R Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work J=D' (When required by municipal policy.) Work to Start: 1 ,Xl 0-%4 -�, 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 cover3gpTs in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, under thepains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME: f +�`+ jEia0-A e- --rAj,-- LIC. NO.: 44 l N031 Licensee( (t N (If applicable, enter "exempt" in the license number line.) Address: C-'. g,�Q P"'t t,.lo "^ *P M G L 147 s 57-61 security work requires Department of Public Safe Signature "S" License: Bus. Alt. LIC. NO.: E Tel. No.:_2ai n2 -*-1-1 Hy k Tel. No. • �i M2 5-9- ?a Lic. No.� OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally I required by law. By my signature below, I hereby waive this requirement. Owner/Agent Signature — Telephone No. I am the (check one) ❑ owner ❑ owner s agent. LARMITFEE: $ ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance with the provisions of M.G.L. c. 143, § 3L, the 9, permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed y #. 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 Ail electrical permit shall be issued to the' person, firm or corporation stated on the permit application. Such entity shall be responsible for the 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 IN Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass Failed Re- Inspection Required ($.) ❑ Inspectors Comments: . Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass ❑? Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Pass [N Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: FINAL INSPECTION: Pass 0 Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: DEB WEINHOLD ...TOWN OF MERRIMAC, MA. .......dweinhold@townofinerrimac.com 21 - The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston, MA 02111 sY www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lellibly Name (Business/Organization/Individual): Address: (perme-Q 4 �S�',�re a City/State/Zip: -'t ✓" F1- k Phone #: 79 S - _�,;k �- - S9- &D Are you -n employer? Check the appropriate box: 1. am a employer with G 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. # ship and have no employees These sub -contractors have working 'for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.¢ officers have exercised their 3.0 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.] t 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 12.0 Roof repairs 13.❑ Other Any applicant that checks box # 1 must also fill out the section below showing their workers' compensation policy information. 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. am an employer that isproviding workers' compensation insurance for my employees. Below is thepolicy and job site !formation. isurance Company Name: CS�s��A-✓j olicy # or Self -ins. Lic. #: 1, _yj N 5 d 10 Expiration Date: ib Site Address3 o w SAN ow L -r- City/State/Zip:_N . 44,Qu,-,r .ttach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). ailure to secure Nverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ne 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 F up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of rvestigations of the DIA for insurance coverage verification. do herek certify undep the pains and penalties of perjciiy that the information provided above is trate and correct. obi ._/`f `i8 Official lase only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # td 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 #: 1 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their 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 enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of 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 required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public 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 certificate(s) 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 a workers' 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 permittlicense 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 of 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 Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1- 877-MASSAFE Fax # 617-727-7749 evised 5-26-05 wwW ma.cc Qnv/rlia 0 Date...../.42 v... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that le__� 0� I ...................................... I ........ ..... has permission for gas installationVS� ... \�,-P (%j r�� ........................................................ A? in the buildings of at ........... ov\-., North Andover, Mass. Fee .??�..... Lic. No. HA-� ................................................ GASINSPECTOR Check # n 0,.- .-J07 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY lVD/Lr % i t rri2_ MA DATEL� 0 / PERMIT # JOBSITE ADDRESS (JL) W iLLQII S !-] OWNER'S NAME cc r e r-&-ri`t�h_ j GOWNER ADDRESS 1C� TE 7 -� ��j x/53'FAXF--- Tp�T OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ❑ RESIDENTIAL[] CLEARLY NEW: ❑ RENOVATION: [I - REPLACEMENT: R1 PLANS SUBMITTED: YES ❑ NO E APPLIANCES 1 FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER DIRECT VENT HEATER FURNACE HEATER MAKEUP AIR UNIT OVEN POOL HEATER ROOM I SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEAT I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL. Ch. 142 YES [a NO ❑ I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY [0 OTHER TYPE INDEMNITY © BOND ❑. OWNER'S INSURANCE WAIVER: I am avrare Drat the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER F-1AGENTE]SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance I Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME IMark Caples LICENSE # 15985 SIGNATME MP 0 MGF © JP ® JGF ® LPGI ® CORPORATION ❑# 13547 C I PARTNERSHIP ❑#® LLC ❑#® COMPANY NAME: Central Cooling & Heating, Inc. ADDRESS 19 North Maple Street CITY lWobum STATE MA ZIP 01801 TEL 781-933-8288 FAX 781-932-9017 CELL 781-844-4393 EMAILFmcapies@centralcooling.com 1b)p1L`j 4e C'b �?I ma0I r v'` rA O z 0 U a a� d y, o a z W � O ~ w H a LUO a ~ a 3 7 Q W � d O ;T4 W W N z a a a J d Q M = W H LL O U a � C9 O O � a ' www niass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Narne. (Business/Organization/Individual): Central Cooling & Heating, Inc. Address: 9 North Maple Street /State/Zin: Woburn, MA 01801 Phone #: (781)933-8288 Are you an employer? Check the appropriate box: L I am a employer with 70 4. I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.* required.] 3. ❑ 1 am a homeowner doing all work myself. [No workers' comp. insurance required.] t We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. 171 New construction 7. ❑ Remodeling 8. F1 Demolition 9. n Building addition l0.❑ Electrical repairs or additions 11.0 Plumbing repairs or additions 12.0 Roof repairs 13A Other HVAC *Any applicant that checks box #1 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 state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Arbella Indemity Insurance Company Policy # or Self -ins. Lic. #: 0048681113 Expiration Date: 11/30/2014 Job Site Address: 3 0 w' I 10-1,0 S-1 /V. /Tr/xV�iZ t l i% 0/f/d 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 do hereby certify under tl�rl in jnd penalties of perjury that the information provided above is true and correct. Phone #: (781) 933-828`,, Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Id , i 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 #: The Commonwealth of Massachusetts --- Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 ' www niass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Narne. (Business/Organization/Individual): Central Cooling & Heating, Inc. Address: 9 North Maple Street /State/Zin: Woburn, MA 01801 Phone #: (781)933-8288 Are you an employer? Check the appropriate box: L I am a employer with 70 4. I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.* required.] 3. ❑ 1 am a homeowner doing all work myself. [No workers' comp. insurance required.] t We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. 171 New construction 7. ❑ Remodeling 8. F1 Demolition 9. n Building addition l0.❑ Electrical repairs or additions 11.0 Plumbing repairs or additions 12.0 Roof repairs 13A Other HVAC *Any applicant that checks box #1 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 state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Arbella Indemity Insurance Company Policy # or Self -ins. Lic. #: 0048681113 Expiration Date: 11/30/2014 Job Site Address: 3 0 w' I 10-1,0 S-1 /V. /Tr/xV�iZ t l i% 0/f/d 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 do hereby certify under tl�rl in jnd penalties of perjury that the information provided above is true and correct. Phone #: (781) 933-828`,, Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Id , i 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 #: DRIVEO-LlCe NSE M2451. OOB 112-.1(,119p, '. x CLASS REST NOT SEX D 5* M MARKS 11EXINGTON ST WILMINGTON, MA 01897 COMMONWEALTH OF mAss HUSIETTS alRAYION VF COMMONWEALTHETTS xmm"01"� This certifies that ....�f�U ss! r� ...�� ,.. �............... . has permission for gas installation. .. ! '` , , , , f in the buildings of ... J6 ..f ..... , . . at .. North Andover, Mass. Fee . S ✓i�,L� No.. GASINSPECTOR Check # 6530 .G TYPE OR PRINT CLEARLY STOVE MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY: A3446a4eLDATE: PERMIT# JOBSITE ADDRESS:C f /l/ i�d r OWNER'S NAME: /'1 OWNER ADDRESS: TEL FAX: OCCUPANCY TYPE: COMMERCIALg EDUCATIONAL ❑ RESIDENTIAL ❑ NEW: ❑ RENOVATION. REPLACEMENT: ❑ PLANS SUBMITTED: YES ❑ NO ❑ FLOOR-. Bsmt 1 2 3 4 1 5 _6T_7 1 8 .9 I 10 1 11 12 1 13 14 I have a dent INSURANCECOVERAGE lftft ho Kane Pommy or its l equivalern which meets the requirements of MGL. Ch. 142 YES Ff NO ❑ If you have checked _YES, please indicate the type of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee _ the itstrance image required by Chapter 142 of the Massachusetts General Laws. and that my signature on this permit application waives this requirement; SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER ❑ AGENT ❑ hereby certify that all of the details and information 1 havesu Pbmitted (or entered) regarding this application are true and accurate to the best of my Knowledge and that all work and under the perp t issued for this application will be in compliance with all Pertinent P&A'bn of the Massadxrwb State Plumftg Code and Chapter 142 of the General taws. PLUMBERIGASFITTER NAME:_ __.- -1 As d —n dx LICENSE #3 ! Tt J��`` COMPANY NAME:_ /F'rZox &Lu, ADDRESS: 3 T�-npj.. 11 CITY : STATE: Q_ ZIP: FAX—J-7-0 - - -ZS G-77* TEL: 9-78 - .4zs=yam CELL:_ T12 - 9,703 EMAIL: %h�'ana �xviurn�ing�ha%%,p� Lihe .�.r".. iJ1� MASTER AY JOURNEYMAN 0 LP INSTALLER 0 CORPORATION V#1 PARTNERSHIP ❑ # LLC ❑ # Bft LIC ;ASFiiTERS ENSED &S A JOLII;NEYMAN PLfjmBER--.- 'SSUES THE ABOVE LICENSE TO: THOMAS�P' X 38..- LITTLE -TVP NPIKE RD -SH -IRLEY.' NA: 4:64-2223. 26690 --------------------- - ---------- SAC.-WSt-:77 S -7- C-: XS LICUMSED AS A MASTER PLUMB R:._' -ABOVE-LICENSE ISSUES THE To 0 LIT --1 L E TUkA-l�lKtE-.R-D_ SH.-RLE:Y:- HA -01464-22 13781 05/01/14 1.6318 i Date.... s'�... %``° '• "� TOWN OF NORTH ANDOVER PERMIT FOR WIRING �� C� This certifies that ...'.................... has permission to performU...........................1:. wiring in the building <......... `''.!}--.... ` .."d.. .................. at ` U �. ..r.. -4f— —� '✓ - ..... ... , North Andover, Mass. Fee.��... ... Lic. No`�`�............. � ` • i � LECTRICALINSPE � v Check # /1 717 h � e —..■•fi##1vfi1wCs11l.n or riassaehuseits Officia] Use Only Department of Fire Services UVPermit No. -/ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked v. '1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code (MEC) 0WORK (PLEASE PRIN7'INAW OR TYPE ALL WORMATION City or Town of: NORTH ANDOVER ) Date. By this application the undersigned gives notice of his or her intention to perform the To the el� electrical e�ctorwliescnbed below. Location (Street &Number) 2j (] A 9 r `it' . c�1 Owner or Tenant '6 2 Owner's Address `3c Telephone No. Is this permit in conjunction with a building permit? Purpose of Building Yes El No -9—(Check Appropriate Boz) _AkLVi tV r __ 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 A rapacity Loc on and Nature of Proposed l A Electrical Work: r; �'3c1 eA o ,.r, L a i i No, of Recessed Luminaires of Luminaire Outlets of Luminaires Of Receptacle Outlets INo. of Switches No, of Ranges No. of Waste Disposers No, of Dishwashers No. of Dryers Heaters KW No. Hydromassage Bathtubs 4 (OTHER: 1 _ the of Cerl,Susp. (Paddle) Fans of Hot Tubs be waived by the Generators KVA Swimming Pool iou e ElIn- o. and Bal No. of OR Burners FIl+ No, of Gas Burners ( o. No. of Air Cond. otal Tons No. eat �P Totals: umber Tons ----- I No. ". Deb Space/Area Heating KW Lova Heating Appliances KW Sect No. of ,. _ _ Z No. of Motors Ballasts. E ALA LMS INe. of Zones of Detection and Initiatilm Devices Of Alerting Devices of Self: Contained :ciion/Alertin Devices d nnal ❑ Conneciciption [I Other city Systems: * lo. of Devices or Equivalent Wiring: in. of Devices or Eanivait-uf Total Hp Ielecomn No. of Wires. Estimated Value of Electrical Work: 70 additional detail tf desired, or as required by the Inspector of Wires, Work to Start 200 - .(When required by municipal policy.) In + -�j spections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCECOVERAGE: 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 E --BOND ❑ OTHER ❑ (Specify:) I certify, under pains and penalties ofper• jury, that the inforrnation on this application is true and complete, FIRM N Licensee: S LIC. NO.: 2 (7fapplicable{ enter "exempt" in the icecnumbga line.) atnre LIC. NO.: Address: ` Bus. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires D Alt Tel. Nn.: OWNER'S INSURANCE WAIVER: I am aware that the does not Safehave ,the Iiabili Lic. No. required by law. By my signature below, I hereby waive this requirement I am the (check one) ❑ orance wner normally Owner/Agent ❑ owner's agent Signature Telephone No. PERMIT FEE: $ f wealth of Marsachuseitts Department of fndttstr&d Accidents Office of Invest[ ations tt",, g " ilk r 600 Washing ton Street �! Bostorc, MA 02111 w►v>F -n=sgov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/kiec tricialils/Plambers A . iicant Information Please Pr'itt LeQibl Naine (Business/Organizatiomndividuul); Address• C city/state/zip Phone # . 7IAmyoumployer?-Check theaPPreP�te box: mployer with �4. ❑ I am a general contractor and I .. TYPe ofPref (req.uimd):ees (full and/or part-time).* . have hired the sub-eont actors 6 ❑ Naw construction . . I am: a sole proprietor. or partner- Iisted on the attached sheet ! 7. Q Remodeiing ' ship and have no employees 7itese sill -contractors have working for me in 8• Q Demolition' any capacity, workers' comp. insurance. eq workers' comp, insurance 5. ❑ We are a corporation and its - 9' Q Building addition ~ required.] officers have exercised their 10. Eiactrical repairs or additions 3. Q I am a homeowner doing all work right of exemption per MGL l 1.❑ Plumbing repairs or ad i myself.. [No -workers, Camp. c..152, § 1(4), and we have no arfians insurance required;] t. employees, [No workers' 12•17 Roof repairs comp• insurance required.] 13.❑.Other 'may aPPuct that checks bob# 1 mum also fill out the section below showing their workers' 00 t homeowners who submit this affidavit indicetio th an loin all work mpensatimi Poi icy mfomtation. lConuaetors that check this box mustadtaohed an additioasl sheat show' end then hhe outside con uaetm must submit a new affidavit indi x ung the name of the sub-cMft-"tDm and their workers' e,m_. Policy mfin sift 1 arra an employer that.is ro . � r � cy ininnastion. p . "ng:warkers compensad&a insurance for nry. e infornurfinn. m loyeA : Below is -Me PaNcy and job site Insurance Company Name.' Policy # or Seif-ins. Lie. #: Expiration Date: Job Site Address: Attach a copy of the .workers' com CrtY/staie/Zip' pensation policy declaration page (showing the policy cumber and expiration dafej Failure to secure coverage as required. under Section 25A of MGL c. 152 can lead to the imposition nuof mber fine up to $1,500:00 and/or one-year imprisonment, as well es civil penalties in the form of a STOP WORK ORpcnahies of a DER n4 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 do hereby certify under e p and p allies of perjury that the Wnrmation provided above is true and eorred Si 5- Date: Phone #: Offirirrllae only. Do not write in this area, to be completed or town o by �3' ffrciaL City or Town: Permit/License # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. City/iown Clerk 4. Electrical Inspector 5. Piumbing Inspector 6.Other Contact Person: Phone#: kw Information and Instructions Massachusetts General Laws chapter 152 requires all emp 3oyers to provide workers' compensation for their 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." y An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more ofthe'foregoing engaged in a joint enterprise, and includirig the legal representatives of a deceased employer, or the receiver or trustee •of an individual, partnership, association or other legal entity, employing empioyees. 'Howeverthe 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 merntenance, construction or repair work on such idwelling 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 1fe construct buildings in the commonwealth for any applicant who has not produced acceptable evidence.of compliance with the insurance imverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealthnor any of its political subdivisions shall enter imo any contract for the performance of public 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 ,r necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s)' 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' cornpensation insurance. If an LLC. or LLP does have employees, a policy is required. Be advised that this a.ffidavit.rnay be submitted to the Departraent 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 a workers'. eonepensation policy, pinsrcail the Department at the nuunber.listed below. Self insure companies should entertheir sell=instaance'.iicanac numiier on the•appropriateline. City or -Tows Officials Please be sure that the affidavit is complete and printed legibly. The Department hes 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. inustsubmit multiple permNiicense 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 of1he affidavit that has be:ein 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. Anew 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 bum leaves etc.) said person is NOT required to complete this affidavit .The Office of Investiptions would like to thank you in advance for your cooperation and should you have any questions, piesse do not hesitate to give us a call. . The Department's address, telephone and fax number. . The Commonwealth of Massarhusetts Departrnen of Industzial Accidents Office of Imestigations ' 600 Washington Street Boston, MA 42111 TeL # 617-72-74900 ext 406 or 1-977-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia 44 r Date ..... .' ................ .. i �aORT1i TOWN OF NORTH ANDOVER PERMIT FOR WIRING L.! "" This certifies that .... . .'"�........ c. ��f�. /T ....... FIZ. ......... has permission to perform ...%.Q.. x...7.....4 .......... wiring in the building of ..,%klzg. .�.lf{!e,...... ►.E 1 / '-,................ Pat .........,. ©...J..�.-...!..... ......... , North Andover, Mass. coo �. - Fee tt Lic. No. Z 1f% ��%% y� ELECTRICAL INSPECTOR Check #✓_ L_-- 10 - Date. ...... . 1�. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies thatw'�. ....... . �� has permission for gas installation ............. .............. . in the buildings of � ? .- �-,-�-''. ��` ......- � .... . at �—'��..?` ....... (...., NNorth Andover, Mass. Fee'*-'rv� �. Lic. No..�J f. !.... .tom ...... . GAS INS. (/ Check # MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFiTTING (Print or Type) -/ Mass. Date Permit .. Building Location �G% �� /O�l ice/ Owner's Name%��-5 4 - Ii*w r, Type of Occupancy C - New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes[] ' No ❑ installing Company Name POWDERLY & SONS check one: Certtilcate # --126UMBiNG & 1 IEhTING, Mt6 Address Box 235 O Corporation !if IVIA 61865 6 87)96Y_0164 ❑ Partnership Business Telephone - ❑ Firm/Co. game of Licensed Plumber or Gas Fitter loe"ae?4-ltl INSURANCE COVERAGE: )have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 2�' No ❑ If you have checked Yes, please indicate the type coverage by checking the appropriate box. 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 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit issued for this application will be In compliance with all Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Genera laws. T e of License:% -u Plumber Signature o cense um er as rtter F�� Gasfilter Zkin aster License Number City/Town Journeyman fiC7VF.D O C • O . MEN MANNIAMMENEEME ARM MENNEN MUMMEMEMINKME IME Emmons MEN installing Company Name POWDERLY & SONS check one: Certtilcate # --126UMBiNG & 1 IEhTING, Mt6 Address Box 235 O Corporation !if IVIA 61865 6 87)96Y_0164 ❑ Partnership Business Telephone - ❑ Firm/Co. game of Licensed Plumber or Gas Fitter loe"ae?4-ltl INSURANCE COVERAGE: )have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 2�' No ❑ If you have checked Yes, please indicate the type coverage by checking the appropriate box. 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 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit issued for this application will be In compliance with all Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Genera laws. T e of License:% -u Plumber Signature o cense um er as rtter F�� Gasfilter Zkin aster License Number City/Town Journeyman fiC7VF.D O C • O . t' f ap k Commonwealth of Massachusetts Official Use only Ar Department of Fire Services Permit No. Occupancy and Fee Checke 2® BOARD OF FIRE PREVENTION REGULATIONS11/99 =� ev. leave bl APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C), 5 7 CMR 12.00 (PLEASE PRINT IN INK OR ALMFO TION)Date: City or Town of: To the pec or of Wires: By this application the undersigned 'ves n lice of is or her intention to perform the electrical work described below. Location (Street & Nu er) 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: Comoletion of the following table may he waived by the Inanertnr ofWirev No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In ❑ d, rad. o. o mergency ig g 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 an Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: INumber I Tons I KW I , No. of Self -Contained 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 Heaters KW o. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desirec( or as required by the Inspector of Wires. 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: Estimated Value c Work to Start: I certify, under FIRM NAME: Licensee: (If applicable, enter Address: �) Work. (When required by municipal policy.) (Expiration Date) Z Inspections to be requested in accordance with NEC Rule 10, and upon completion. penalties of perjury, that the information on this application is true and complete w LIC. NO.:� D 11 in the Signature V W NEWS INSURANCE WAIVER: I am aware that the Licensee does required by law. By my signature below, I hereby waive this requirement. Owner/Agent Signature Telephone No. IC. NO.: HA ( us. Tel. No.r4%�KV- t 7, Cc Alt. Tel. No.: (p 1:1 �9)Y 5- 0 ?"C9 not have We liability insurance coverage normally I am the (check one ❑ owner El owner's ent. PERMIT FEE. S l N2 3 f Date.z' ..... .-..................... TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that ' has permission to perform •..:.-. •;:............................. wiring in the building of at ...... ................... .North Andover, Mass. Fee.................... Lic. No.............. ........................................ :..................... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer I The Commonwealth of Massachusetts Department of public Safety BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3S�ALcA�, /00 Lp/j e fe L 7J i9 Office Use /Only Permit No. l �'•�� Occupancy 3 Fee Checked 1�_ o` 3t90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Alf work to be pertom+ed 1n == W= with ttw Massacnuseas EIOC W Code. 527 CMR 12-00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date— If) , /6 -- C?1 City ar Town of - .. iv[>XT-A17-/V1J0t/6—A—'. To the Inspector of Wires: -The undersigned applies for a permit to perform the �eiecctncal work described below. Location (Street i£ Number)— ,Owner or Tenant 12 EIZ 1 A/Q Owner's Address lr--�WI C- IS Is this permit in conjunction with a building permit yes V no ❑ (Ch -A Appropriate Box) Purpose of Building Utility Authorization No. Existing Service _ Amps i Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Vofts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nat - -,e of Proposed Electrical Work No. of lichtinq Outlets INo. of Hot TubsTOTAL INo of Transformers KVA No. of Lighting Fixtures No. of Receotacie Outlets - No. of Switch Outlets No. of Rances No. of Disoosals No. of Dishwashers No. of Dryers No. of Water Heaters KW No. of Hvdro Massage Tubs OTHER: Above J r- In Swimmino Pool amd. arnd ❑ (Generators KVA No. of Emergency Lighting No. of Oil Burners Battery Units No. of Gas Sumers RE ALARMS No. of Zones No. of Air Conditioners TOTAL TONS No. of Detection and. Initiating Devices 1 HEAT TOTAL No. of Pumos TONS TOTAL KW No. of Sounding Devices No. of Self Contained Soace/Area Heating KVy Detection/Sounding Devices Devices KW No. of Ballasts No. of Motors Total HP Municipal Connection ❑ Other „•.�a,nnr�L.c �.vvcr+.yuc: rursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ❑ NO ❑ 1 haave submitted valid proof of same to this office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE �6 BOND ❑ OTHER ❑ (Please Speciiyl (Expiration Date) Estimated Value of Electrical Work S Work to Start Za-tel1 —d �. Inspection. -Date Requested: Signed under the penalties of perjury: /l - FIRM. t NAME L- �� eCI . T,3 USC Licenseey /fit-/-rTf6 �y /�-�- - �1 Signature _ Address 3 $ I l JT U/L) 5 -f- Rough Final LIC. NO ` 7 -2 7 UC. - NO- O le � Bus. tet. No_ X178 ?75=1 S`3�L OWNER'S INSURANCE WAIVER: I aware that the Licensee does not hAft. Tel. No - Massachusetts General Laws, and that at my.signature on this application waives this requirement Owner Agent (Please check one) /n , - Telephone No -----PERmrr; � S . t/ v (Signature of Owner or Agent) r r ' C1111 � (�\CMti - COMMONWEALTH OF MASW'.MUSETTS OF ELECTRICIAW4, REGISTEREDSYSTEM YSTES THISEMENs�ri�RACTOR JOSEPH F LAGANA JR 38 ALLSTON STREET LAWRENCE MA 018".1-230 776 C 07/31/04 363081 .=Nmmm_ . _ Fold, Then Detach Along All Pedoreiio 1 i Suoiier POd IIV 6uoly 4oe1e0 ue41'P'0d i Z90£9£ h0/i£/L0 Q LLLT. I £ £2-1h8I0 Vw 3ON3HMV'l N 133H.LS kOlSlly 9£ sr VNb9V'1 3 Hd3SOr ; 013SN3011 SIHl S3nss I 1 N`dIOINH311131SAS G3H31SI93S r S113Sf1HOVSSdW d0 H11d MNOWWOO, N° -C n Date... f................�........... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .............: . ...................................:........................................... has permission to perform wiring in the building of ..................I/. .......................................................... at ............r :. - ... ,North Andover, Mass. ..........�................. Fee..................... Lic. No. >......................................................................... ELECTRICAL INSPECTOR Check # ' / ' / �- WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 0" It The Commonwealth of Massachusetts oust. we Only Permit :to. Department of Public safety occupancy & re• Qucked � •3 BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM. ELECTRICAL WORK All work to be periormed In accordance with the Maasachuserts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INFO OR ME ALL INFORH4TION) Date City or Town of D�11'� {� �j�_ To the Inspector of Wires: The undersigned applies for a perait to perform the electrical work described below. Iocatioa (Street & Number)/� m (ezl 110 W `7 Owner or Tenant 85/L6" /Iy�� 6 A-soca fk7CS ,� 1i t Owner's Address _6141► (C _ Is this permit in conjunction with a building permit: Yes X1 No ❑ (Check Appropriate Box) Purpose of Building (9—FFLCE Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Hew Service Amps / Volts Overhead ❑ Undgrd ❑ No. of 'eeters Humber of Feeders and Ampaeity. Location and Nature of Proposed Electrical Work^f- No, of Lighting Outlets No. of Hot Tubs No, of Transformers Total KvA No. of Lighting Fixtures 4,//� Swimming Pool Above In- [] grnd. ❑ grnd, ❑ Generators KVA No. of Rece tacle Outlets P No. of Oil Burners No. of Emergency Lighting Battery Units No, of Switch Outlets 4y() No. of Gas Burners FIRE ALA IS No. of Zoneo No. of Detection and Devices No. of Sounding Devises No. of Self Contained Detection/Sounding Devices Local ❑ Nunicipal ❑ Other Connection No. of Ranges No. of Air Cond. Total tonsInitiating No. of Disposals — No. ofHeaps Total Total Tons No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water Heaters No, No. of Signsf Ballasts Low Wirinoltage No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERACE: Pursuant to the requirements of Massachusetts General Laws I have a current LiabilityInsurance Policy including Completed Operations Coverage or its substantial equivalent. YES D NO [ I have submitted valid proof of same to this office. YES ® NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate �/box. INSURANCE ® BOND ❑ OTHER ❑ (Please Specify) (S7"0a xpiration ate Estimated Value of lectrical Work $ Work to Start 10410 Inspection Date Required: Signed under the enalties of perjury: FIRM NAME Barker rlPctric SPrvicP, Inc. , Rough Final LIC. No. A 15 3 9 2 Licensee r a %rid Barker Signature LA�UiAl LIC NO. E24156 Address 50 Lakeshore D.oad , Boxford, NLA 01921 Bus. Tel. No. 7) 03 Alt. Tel. No. 50 352-0068 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General �ws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S /mob Clonariirn of Ownar nr Aopn[ NORTH o� ,•1tio O 9 SACNUSE� This certifies that Date. el��: 1 ' TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ............. has permission to perform .. .1. I'.'. : . ..•. " ` plumbing in the buildings of ..�. !!::.... �'�" .. �...... . at ... ...................... . North Andover, Mass. Fee. .... Lic. No.. ... ...... 7........ . %3 PLUMBING INSPECTOR Check # / /� � `� r Su30 Date% :�Z HORTti TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SA This certifies that '��!`G�..-C� : , 9�-'Vt has permission to perform ...................... plumbing in the buildings of'..'`''" , ,'�� ........ �w........... North Andover, Mass. . Fee/do..... Lic. No...... 7 7-- PLU INSPECTOR Check # 4982 RECORD OF PAYMENT OR EMPLOYEE PAY STATEMENT r DATE TO THE ORDER OF ' GROSS i SOC. SEC:.: INC. TAX i ST, TAX ! CHECK NUMBER NET AMOUNT 10-11 -01 "-T� ,UrJ / f1 ch1 r. f•''b l q `/ry-' X2 j i1 PAY PERIOD FROM TO r RATE OF PAY Form No. PD -14 -BPD -2 NEGOTIABLE 0 m O1 J Q U_ z Y �a = a L C Q W Co CO a c) co Co10 m � � q b p 0,7 cp I _atn LO C Co 3�CII 06 ob 3 Mm Z (!1 r N — x C- M C- H co MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Mass. Date 19 Permit 4t '3AB ? a tv. IF Building Locationy WI'LWW Owner's Name �i��'4-lA A Z�- 1i A- a t Type of Occupancy fid' New ❑ Renovation Replacement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES Check one: Installing Company Name 11 %'�r 4L PIP$ Iiia orporation Address 1 t•iy �Mf,� C3Partnership k .7a _ . . . ❑ Firm/Co. Business Te!ephone tl Name of Licensed Plumber A&M Certificate �T� .-C� 1q INSURANCE COVERAGE: I have Yes rr, t liability Policy or its substantial equivalent which meets the requirements of MGL Ch. 142. If you have ch tked yes, please indicate the type coverage b checking 9 Y g the appropriate box. 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 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and info ti I have the best of my knowledge and that all plumbing, rk and in, be in compliance with all pertinent provisions o the Masdat ftnSt-6—re of Lia Type of License: • License Number (or entered) in above application are true and accurate to under the permit issued for this application will r7priumpng Code and Chapter 142 of the General laws. C z zY _z Q F- co Y. _j CO OU Zz W W x W 01 N W w Q¢ = co aUj ¢_� f_ ¢ w m Y¢ z �a LL z c7�a¢ww�a a z 3 x cn c�Z¢m¢v�W 0 a f- a cnz 0 0< Z a a O LL E- ¢ N W H W C G Lu Lu Y CA a ¢¢ 0 1- Z Z c W M LL L' W W a U> ►- Q F=- Q= O= cn a a U) a 0 a¢ Q Lu a o Y U W = ra w a 0 a_j ¢¢ pO s~ U Z c4 C� to rn SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Check one: Installing Company Name 11 %'�r 4L PIP$ Iiia orporation Address 1 t•iy �Mf,� C3Partnership k .7a _ . . . ❑ Firm/Co. Business Te!ephone tl Name of Licensed Plumber A&M Certificate �T� .-C� 1q INSURANCE COVERAGE: I have Yes rr, t liability Policy or its substantial equivalent which meets the requirements of MGL Ch. 142. If you have ch tked yes, please indicate the type coverage b checking 9 Y g the appropriate box. 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 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and info ti I have the best of my knowledge and that all plumbing, rk and in, be in compliance with all pertinent provisions o the Masdat ftnSt-6—re of Lia Type of License: • License Number (or entered) in above application are true and accurate to under the permit issued for this application will r7priumpng Code and Chapter 142 of the General laws. C Date. Z .1. . -. : ". . -. ./ ....... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ........................................ has permission for gas installation A in the buildings of . �. .2. r:..:...... ........ ....... at ......... North Andover, Mass. Feer Lic. No.' 4:; .... ............ GAS INSPECTOR Check# Ab'rj 13 J7, MASSACHUSETTS UNIFORM APPUCATON FOR PERNffr TO DO GASG (Type or print) Date d ZZ NORTH ANDOVER, MASSACHUSETTS <211-% r.^. I /Z Owner's Name New ❑ Renovation P Replacement ❑ MV 010 al rIN. I.M. Plans Submitted ❑ (Print or Name of Licensed Plumber or Gas FitterTt'1�r�r..�-T 7—, - INSURANCE - CJIQQk one: Certificate Installing Company EL Corp. ❑ Partner. ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes � No❑ If you have checked ,M, please ' indicate the type coverage by checking the appropriate box. 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 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ I hereby certity that all of the Beta is and intonnation 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations Rerformed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts S e Zi4 Code an"havier 142 of the General Laws. (OFFICE USE ONLY) Signature of ❑ Plumber ❑ Gas Fitter Master Journeyman • FLOOR (Print or Name of Licensed Plumber or Gas FitterTt'1�r�r..�-T 7—, - INSURANCE - CJIQQk one: Certificate Installing Company EL Corp. ❑ Partner. ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes � No❑ If you have checked ,M, please ' indicate the type coverage by checking the appropriate box. 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 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ I hereby certity that all of the Beta is and intonnation 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations Rerformed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts S e Zi4 Code an"havier 142 of the General Laws. (OFFICE USE ONLY) Signature of ❑ Plumber ❑ Gas Fitter Master Journeyman 3 License um er MORfq 0 ,SSACMUSEt This certifies that ................... ................ ............. has permission to perform ... ........... plumbing in the buildings of at ............................... North Andover, Mass. -1 Feehk ..... Lic. No..'!� "W .......... ... ............. e�? PLUMBING INSPECTOR SPECTOR Check it Date/d ."y TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING. 4082 It MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location 30 LAJ Owners Name of Dit I&-11-01 Permit #—e% Amount z2 e: New F-1 Renovation 0N Replacement ❑ Plans Submitted Yes [:] No ►' 1 a (Print or type)D Check one: Certificate Installing Company Name l ®Corp. Partner. , Finn/Co. Name of.Licensed Plumber. J+Cr� ( -r�, MAL -6 -to . iW�C Insurance Coverage: Indicate the type of insurknce coverage by checkine theapprop an to box: Liability insurance policy M( Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitt o tered) in abov application are true and accurate to the best of my knowledge and that all plumbing work and installatio perfo under.1P Issued for this application will be in compliance with all pertinent provisions of the Massachusetts tate PI 142 of Gene 1 Laws. By igna o um er T of Plumbing Licens Title � City/Town ►cense um er Master Journeyman ❑ APPROVED (OFFICE USE ONLY a MORT1f,y � s °sxau*C CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number % Date THIS CERTIFIES THAT THE BUILDING LOCATED ON 0 CQ MAY BE OCCUPIED AS C t Gle— IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHU TS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO a U ADDRESS /(Oct) Building Inspector .6, O z LOW �� IJ ° E-4 PLO U _ w w 44 z w z O i �� G � co = r O o a O w Cl) "Na C w U w C.2S a w m a w o W cn cn IJ .A a R, CM I O y •— m m CD w CD L Cc o a M: 07 Q y .0" C ccc L3 J •0 ca C � � V y C r"-1 o m c c v O i C H O = r O C.2S d = O A I� KL m c D m I ♦: r m r0+ H ' J eE= r c.= 3 y n' _ = Q: y C ca E co ev �: as c==o _a Nc m cm AN �-mor m `c ♦' v � Z p . CL Q C 0 i 'm = •O = m mJEo N y O O ~ m t W G O r fl Z r .y r p '� dt C r m .y cv Z O � C* a m � O .� I.- .A a R, CM I O y •— m m CD w CD L Cc o a M: 07 Q y .0" C ccc L3 J •0 ca C � � V y C r"-1 RICHARD MERRILL SWEITZER - AIA ■ ARCHITECT 3 LONGWOOD DRIVE ■ ANDOVER • MASSACHUSETTS 01810 TEL 978.470.0235 • FAX 978.475.8964 Date: 10/11/01 To: Tony Maggio NorthStar Plumbing Address: 30 Willow Street North Andover. MA From: Dick Sweitzer Subject:Berberian Project Transmitted herewith are the following: 2 each sheet A-3 and SK #2 (C.043) [Use for plumbing permit] —.5 tx- ,,j C TTA Pzo L -71--j `10 I =IJ G LT cs) jZ 4-4 T to -C".eN DYE UL. A - Piz Ald'.N'4-v��11-1 I 1.,j 5'T KTI -Tc I J.1ZO IDo -Ay. Cv-J-T'ec-T.o'.. N%'gr Oil 'f F -F -�45VV R-NML�- J -A-- -T -T -�fVem-�+t-tFp It A 14� i MH 40- I pi I zo L Cp// 0/0 V41— .... L L L I L -7 L-(,, 1. 1,1: 4A3? -4 ceL05 111-7 .4* 1 .-M—k-=7Z TZ JLL $0 �� 4 No n- N 3 4, Date ........... 7 .. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......... ..... ..... CC C. ......................... has permission to perform ...... .............................................. wiring in the building of ....... 12� ... S ... j ...... ........................................................ at ............ ............. North Andover, Mass. d Fee.. ... .......u Lic. No. . .... ........... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Official Use Only (� Permit No. �� J rD& C09V19V109WEALgyf OF 9KASSAMVSE27S Department of (Public Safety Occupancy & Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CNIR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 C R 12: (Please Print in ink or type all information) Date a To the Ins for cft Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work delsci i" below. Location (Street & Owner or Owner's V Is this permit in conjunction with a building permit Yes No 0 (Check Appropriate Box) Purpose of Building Q, -"rnm-f, (ILi A I Utility Authorization Existing ServiceAmps Volts New Service Amps Voits Overhead 0 Undgmd 0 No. of Meters Overhead 0 Undgmd 0 No. of Meters Numbeeders and Ampacity Location and Naturae of Proposed Electrical ER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES - NO = have submitted valid proof of same to the Office YES , NO = If you have cj�gclf2d YE,S ease indicate a of coverage b t�ckin �e appropriate box INSURANCE = BOND = OTHER = (Please Specify) (J j fl`.�(1 uy (Expiration Date) Estimated Value of Electrical Work$ _. Work to StartInspection Date Resquested_ Signed under the Penalties of pedury-` ` n I� ^j�,� FIRM NAME V � ► ( ( (Signature of Owner or Agent) NO. ?EJ33 does not have the insurance coverage or its substantial equivalent as required by Massachusetts i waives this requirement. Owner Agent (Please Check one) .l Telephone No. PERMIT FEE Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA No. of Lighting Fixtures Above 0 In 0 Swimming Pool gmd 0 grnd 0 Generators KVA No. of Receptacles Outlets (� No. of Oil Burners No. of Emergency Lighting Ba Units No. of Switch let M No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of Diposat No. Pumps Tons KW No. of Sounding Devices NoJ of Self Contained No. of Dish ashers S ce/Area HeatingKW Detection/Sounding Devices 0 Municipal 0 Other Local Connection V No. of Dryers Heating Devices KW No. of No. of Low Voltage No. ul "Water Heaters KW I Signs Bailases Wiring No. Hvdro Massage Tuds I No. of Motors Total HP ER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES - NO = have submitted valid proof of same to the Office YES , NO = If you have cj�gclf2d YE,S ease indicate a of coverage b t�ckin �e appropriate box INSURANCE = BOND = OTHER = (Please Specify) (J j fl`.�(1 uy (Expiration Date) Estimated Value of Electrical Work$ _. Work to StartInspection Date Resquested_ Signed under the Penalties of pedury-` ` n I� ^j�,� FIRM NAME V � ► ( ( (Signature of Owner or Agent) NO. ?EJ33 does not have the insurance coverage or its substantial equivalent as required by Massachusetts i waives this requirement. Owner Agent (Please Check one) .l Telephone No. PERMIT FEE Location® t //0 U--) No. �.�.3 Date `/ y — yl MORTq TOWN OF NORTH ANDOVER •• 0 - Certificate of Occupancy $ ��s',•E<� Building/Frame Permit Fee $ s�cHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ .3 a Check # 5 0? O% C i �7 /M / I J t ,i / Building Inspector 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 for Official Use Onl�Lha BUILDING PERMIT NUMBER: / e J 3 DATE ISSUED: J 0a ) SIGNATURE: u Buildin& Conunissionerfl or of Buildings Date AAErM1 n 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 110 7. L/I COAl MarrNumber Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area Frontage ft 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Reqt1ired Provided Re red Provided 1.7 Water Supply M.G.L.C.40. 54) Public ❑ private ❑ 1.5. Flood Zone hdor ation: 1.8 Sewerage Disposal System: Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ 2.1 Owner of Record � /' G/'i�?o1 i 0 . �v✓ S Nam nnt) Address for Service: kon :22 r� Signature Telephone 2.2 Authorized Agent Name Print Address for Service: i Signature Telephone hh 2 01-01-4911 3.1 Licensed Construction Supervisor/ Not Applicable ❑ Address License Number F 3t,) I.y� Licensed Construction Supervisor: Expiration Date F Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name', Registration Number Address Expiration Date Signature Telephone 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 Print Name Signature of Owner/Agent Date '[ Item Estimated Cost (Dollars) to ber�, s Completed by permit applicant 1. Building {— (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of _ D �� Construction from (6) 3 Plumbing Building Permit fee (a) X (b) 307, - 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number / hZD�._, �.� Wk) lJ,- i,�'i )Sr3'd'L J I� =. y} ;J-'-t�k 4i - i£ 9j1 k'��,5'��if y�b�£X•>i�3a{t�� j r,Y ,' f``x`.*. YM ljft fR�j� �l Z' n. }.•5 !»�A� � r [ } NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS I Sr 2ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL, GAS LINE 4 Workers Compensation Insurance affidavit must be completed and submitted with this application. issuance of the building permit. Failure to provide this affidavit will result in the denial of the Signed affidavit Attached Yea ...... No ....... ❑ CTClSSEON 5 - PR©FTONAL UTW ANO - t"iiu MS, ;mo i W " CONSTR>€iCT>Ct3N CD,IRflL i�'1[Iafl' TMJ GSR 11 (C+Ox3ix Mfg if 35,t GF [?F FNG3bSi� A'A) 5.1 Registered Architect: Name: Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name: Address: Signature Total Not applicable ❑ Registration Number Expiration Date Name: Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone v C a Company Name: Not Applicable ❑ Responsible in Charge of Construction `SZ�+�'!`� ,6,�E�;R�'Tii11N:'1l'1 1�tfI(1��,: fchec%�Ilantslicabie'�=;". New Construction ❑ Existing Building Gly Repair(s) ❑ Alterations(s) ik' Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: �c.✓o � r.�� Da 011ila �� C,2fZ s ❑ A-3 ❑ ❑ IA 1B BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Heiaht lftl Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Owner of the subject property Hereby authorizec,y My behalf; in ll matters ati two work authorized by this building permit application Signature of Owner Date act on USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -I ❑ A4 ❑ A-2 A-5 ❑ A-3 ❑ ❑ IA 1B ❑ ❑ B Business ❑ 2A 2B 2C ❑ ❑ ❑ C Educational ❑ F Factory ❑ F -I ❑ F-2 ❑ H High Hazard ❑ 3A 3B ❑ ❑ IInstitutional ❑ I-1 ❑ I-2 ❑ I-3 ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A 5B ❑ ❑ S Storage ❑ S-1 ❑ S-2 ❑ U Utility M Mixed Use S Special Use ❑ ❑ ❑ Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Heiaht lftl Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Owner of the subject property Hereby authorizec,y My behalf; in ll matters ati two work authorized by this building permit application Signature of Owner Date act on qu 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 Print Name Signature of Owner/Agent Date Item Estimated Cost (Dollars) to be � v RD Completed by permit applicant 1. Building {—� (a) Building Permit Feed �p ® Multiplier 2 Electrical (b) Estimated Total Cost of G �� s Construction from (6) 3 Plumbing Building Permit fee (a) x (b) �7 3olli 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) CheckNumber 14-0 4 I tP.}e1 hlyd WF`y943 £"i 31 7h1�,�i�.� R �7 a ! � ��`,-; xyi r� •. .,:. .� .� 1 .�' wr t._�... a iY' s^' ,.t. 5 � f �r r.: FY..f ..1A t��`y P; 4''tF �i• � (?. c! NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TMIBERS 1 2 ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING x MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE • .. ^ ` '.: Editk 3` "s3h':. y]` <— i^v�)t...t".. .. .., .. e. —`-. .,.... t. 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 „ti n, s +.* t , > „ vt� -%Section for Official Use Onl N EM- 1- .a.. Jifi�k4' BUILDING PERMIT NUMBER: E } DATISSUED: 9e„� /� —a 00 Atlkx-1 SIGNATURE: Building Commissioner/I or of Buildings Date 1.1 Property A/ddrreess: 1.2 Assessors Map and Parcel Number: M Number -7. L--, Parcel�� A/1 1.3 Zoning Information: 1.4 Property Dimensions: 6-4 Zoning District Proposed Use Lot Area Frontage ft 1.6 BUfLDING SETBACKS (ft) Front Yard Side Yard Rear Yard ReqWred Provide Required Provided Re red Provided 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal On Site Disposal System ❑ yytr 2.1 Owner of Record ? Nam Tint) Address Service: koD :2252 d Signature Telephone 2.2 Authorized Agent Name Print Address for Service: Signature Telephone �d: b 3.1 Licensed Construction Supervisor Not Applicable ❑ r Q CS 5? Address License Number F Licensed Construction Supervisor: Expiration Date Signature Telephone y R 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name,” Registration Number Address Expiration Date Signature Telephone Z 0 V-� v M >n<.1 `GJ 0 M n Z 0 Z 90 0 r v M r r Z ^ Q 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�Ay S_ta�,_ AILle S�Gr�eS/� PHONE LOCATION: Assessor's Map Number l© l,7C PARCEL SUBDIVISION LOT (S) / STREET %v I ! /0 CJJ ST. NUMBER *****************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR COMMENTS TOWN PLANNER COMM FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIO DRIVEWAY PERMIT. FIRE DEPARTMENT i.'. RECEIVED BY BUILDING INSPECTOR Revised 9\97 jm rA TE fe %o�re»zan�eeertllf �� llnaurc�ru3ell,'s BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 077991 Birthdate: 08/30/1967 i 9f Expires: 08/30/2004 Tr, no: 77991 Restricted To: 00 SCOTT W FUMICELLO 1 WILLARD CIRCLE ANDOVER, MA 01810 f Administrator I` I AC��7 CERTIFICATE OF LIABILITY INSURANC�.CSR TL ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ISC1 MDATE(MM/.DD/YY) -08/27/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wilmington Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Five Middlesex Avenue Unit 14 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. 6. Box 1010 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wilmington MA 01887-0580 Phone:978-658-3805 Fax:978-657-5724 INSURERS AFFORDING COVERAGE INSURED INSURERA: Maryland Casualty Insurance Gr INSURER B: 08/27/01 INSURER C: Scott Fumicello 1 Willard Circle Andover MA 01810 INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY NEW 08/27/01 08/27/02 FIRE DAMAGE (Any one fire) $ 300000 CLAIMS MADE [X OCCUR MED EXP (Any one person) $ 1000 PERSONAL &ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 1000000 POLICY PROECT LOC J AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON-OWNEDAUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ $ DEDUCTIBLE - $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS LICK I Ir lliA 1 C nVLLJCR D4 1 AUUI 11UNAL INSUKEU; INSURER LETTER: t ANL CLLFI I IVIV BAYSTAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Baystate Anesthesia IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 30 Willow Street REPRESENTATIVES. N Andover MA AUUKU za-5 (nai) UACORD CORPORATION 1988 A IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (7/971 � � '`--------^--- � 'x � ^ / - .[---~---'-- ' ' -� - - - � ' � - c C town of Aorth Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 6-88-9545 Fax. (978) 688-9542 DEBRIS DISPOSAL FORM NQi2T� 0 r° �qAT!° In accordance with the provisions of MGL c 40 s 54, and.a condition of Building permit-# the debris resulting from the work shall .be disposed of in a properly licensed solid waste disposal facility as defined by MGL cI I, sI56a- The debris will be disposed of in /at: Facility location Signa re of Applicant 2 Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. NZ 0 z M z o o w° a cin 1:4 o v z G o co w° a U m w 94 o w �' caoj ' a a°' w GG w w W a cin w a p H w a ro w z w w a W z cin o cn Zi o :arc o `o O N d �C.) CM. o: cccc m c o� E It a o N c M _ 0 Q IS IS L cm CD c fti N �• N Qf 1: m N gyp: •_ _ � :Ems o v m o S CLC -3m \: a O ; Q'L= O 07 @OCa 5 C N m N_ C�v •�OZ O'. w C O c_ H m 0. � H m c •C ~ r0- N m H ea CODCD LU �2 Z �N O s ea C •GZ• O S to — w o N Z O ui CD COD S a CNe m��C.2 �Ly'� g O a.. -m> C 6u O v r`V �.d 2 O co cm OCA C _ CD CD ca Cc CD �� ••r CL co = .a CD a� o o e_wv O a a CM< o Cc CJCIOJ CL CD C CD V CO) � C . C c CO2 0 N 0 Irw w ccw W ,542 NORTH C' cf � ° �•,�tio OL o f P I Date../AA;-..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING r This certifies that e has permission to perform ................. wiring in the building of......1,!.3�ll..l'`f.�t..:.!.............................................. r J' � at .............. ............ 1.&..'.. ..... ...................... .. ,North Andoa+er„Mai. Fee .. . .: V�.. Lic. Nol.7..�}.. ....... . , . ..../- /.�.............. ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 1 Office Use only The Commonwealth of Massachusetts Department of Public Safety Permit No. T occupancy S Fee Quacked BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 12.'00 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AU work to be psriormed In accordance with the Maaaachuserts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE AM I2�FORM&T�ION) Date / % 0 City or Town of Ari 1.1 oil l..I L To the insp ctor 6 Wires: The undersigned applies for a permit to perform the electrical work described below. Location um (Street & Hber) S6 i i I I Ow Owner or Owner's Is this permit in conjunction with a building permit: Yes ❑ No (Check Appropriate Box) Purpose of Building ( �`' Utility Authorization N0. o R ! 6 Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Serv-ica Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters iNumber of Feeders and Ampaeity -1 A •--rte _ Location and Nature of Proposed Electrical Work IZ-t= LJi ( C 4-p�1(i I Uff C1_� r^ .„ ",,. is Total N`'. of 'Lighting Outlets No. of Hot Tubs No. of Transformers KVA No. of Lighting Fixtures SwimmingPool grovernd. ❑ 8 n- ❑ rnd. Generators KV.1 of Receptacle Outlets No. of Oil Burners No.No. Batter EUni[sncy Lighting ":o. of Switch Cutlets No. of Cas Burners FIRE ALAR:LS No. of Zones No. of Detection and Total No. of Ranges No. of Air Cond. tons Initiating Devices No. of Sounding Devises No. Detection/Sounding eDevices unicial Local ❑ Connection ❑ Other t No. of Disposals Heat Total Total No. of PumPs KU No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water Heaters KW No, of No. of Si ns Ballasts Low Voltage Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES (3 NO I have submitted valid proof of same to this office. YES ® NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER ❑ (Please Specify) - (Ex ration ate estimated Value of Electrical Work $ j Work to Start Inspection Date Required: Rough Final Signed under th penalties of perjury: FIRM NAME Barker r1PCtric SPrvicP, Inc. LIC. NO. Al 5392 Licensee nayid Barker Signature " fjrtz NO. E24156 Address 50 Lakeshore Poad , Boxford, MA 01921 Bus• Tel. No. . 8 Alt. Tel. No. % 8 OWNER'S INSURANCE WAIVER: I am aware that the Ligensee does not have the insurance coverage or Ics sub- stantial equivalent as required by Massachusetts General th Laws, and at my signature on this permit application waives this requirement. Owner Agent (Please check one) -•'I -1 1 A Telephone No. PERMIT FEE S FIRST FLOOR CONSTRUCTION FLAN BERBERIAN S ASSOCIATES, INC. 1 I DATE: 09P28/01 RICHARD MERRILL SWEITZER ® AIA ■ ARCHITECT ■ ANDOVER ■ MA 01810 ■ m978.470.0235 H-1 o m 3 i cin I T 00 o -I m P D m D or,i = c) �m i c a o FIRST FLOOR CONSTRUCTION FLAN BERBERIAN S ASSOCIATES, INC. SCALE: 1/8"=1'-0" RENOVATION - 30 WILLOW STREET CONDOMINIUM - NORTH ANDOVER, MA 01845 DATE: 09P28/01 RICHARD MERRILL SWEITZER ® AIA ■ ARCHITECT ■ ANDOVER ■ MA 01810 ■ m978.470.0235 REVISED: 5EC40*1 D �_ I o ccn m m Ily 0 :;o W.F. �o a r9 c N rn � f m m i on -0 0 :;o W.F. a r9 N rn � o m w � n Inn -r c,, _o N T1 J CD m 0 � m j a �� N j D Q C3 orn r D mo O 17 ALIGN o co D r D r ® o . �Z _ o Z N i� z �I m , o on -0 :;o W.F. a r9 0 o m w � n Inn -r c,, _o N T1 J CD m 0 ---- W.F. 0 m w � ►' o o _o N T1 J m m o m _cno O r �rn s� ( 1ALIGN_ 0 N Q WCD CA m ALIGN i CD C Q3 FF - CD I C) m n D �m o com o n a INTI N Dn oQ Ism to 0 o m m rn m 4+ D O O -r� i ?! � n � -� D D m =-1 I n � o N _0 m m z ALIGN z�z ALIGN O m O � o O m \ m o t� �� conr mm G� qm mOm z �. 18 -v� (ejOj'i�: QD N�'T SCALE 17�;A�N►RIc�S FIRST FLOOR CONSTRUCTION PLAN BERBERIAN A ASSOCIATES, INC. SCALE: 1/8"--V-O' i RENOVATION - 30 WILLOW STREET CONDOMINIUM - NORTH ANDOVER, MA 01845 DATE: 091/01 RICHARD MERRILL SWEITZER ® AIA ® ARCHITECT ® ANDOVER w MA 01810 ON 0 978.470.0235 REVISED: Sr✓� L lU�