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HomeMy WebLinkAboutMiscellaneous - 351 WILLOW STREET 4/30/2018 (3)K- Date .... / 7.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... hwv P ..... has permission to perform ............ (f�f ....... 7-1,1 ...... Ul ..... ..... wiring in the building of .......... P), i /,— 'E .................... ............................ IVIL4ZA4-J '5-7- at............................................................................... . North Andover, Mass. /z 1 S -C - Fee ... Lic. No . ....... /.r.ao ..............h1........-..............ff.............. Check # a .. 0-0 ELECTRICAL INSPECTdk A 7703 M to ate-\ (�cCo'�mmonwauf�h, o���1JJ/�ad4ac�ude� ` - -, '.l�eParlmenf o� Juw �eruiced BOARD OF FIRE PREVENTION REGULATIONS Official -see Un1y Permit No. 170 0 Occupancy and Fee Checked Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AJI work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLRA,SE PRINT IN INK OR TYPE ALL FO TIDN) Date: City or Town of: ,1%4 �-�P 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) — d E,1 Owner or Tenant 13 cA A<e n a \-i Telephone No. Owner's Address Is this permit in conjunction with a building permit. Yes ❑ No ❑ (Check Appropriate Boa) Purpose of Building ,' A.., � Utility Authorization No. Existing Service Amps 1 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: G� of Recessed Luminaires of Luminaire Outlets of Luminaires -------------- of Receptacle Outlets of Switches of Ranges of Waste Disposers Completion the follom . table n be waived by the Inspector of Tota No. of Ceil Susp. (Paddlnsformers KVA No. of Hot Tubs qdO erators'A A oveo Swimming Poo! nd. mergency ig mg t= Units No. of OR Burners FERE ALARMS No. of Zones No. of etection an No. of Gras Burners Initiatin Devices Ttal No. of Air Cond. Tan No. of Alerting Devices of Dishwashers Space/Area Heating KW of Dryers Heating Appliances KW o Water o. o o. o Heaters KR' S' s Ballasts Hydromassage Bathtubs No. of Motors Total HP E] lvlunicipai [3 other Connection ity ystems:* i. of Devices or Equivalent Wiring: i. of Devices or Equivalent ammumcations irmg i_ of Devices or Equivalent Wires. 5 L- Attach m0itioiwl detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work-�tobe O(W1nen required by municipal policy.) - Work to Start: ,.,_ ,� -O Inspeested in accordance with MEC Rule 10, and upon completion. INSURANCE C VERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance ii?cluding "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 R BOND ❑ OTHER ❑ (Specify:),. I certify, under the pains andpenalties ofpeduty, that the information on this application is true and complete.r FIRM NAME: t� LIC. NO.: oZ �� C Licensee: ' ` Sign tune LIC. NO.: (.'applicable, er ' t " in the license number line:) 1 n,, Bus. Tel. No.: - 02 Address: fi r �� 11� L��t�f1%— Alt Tel. No.: *Per MG.L. c. 147, s. 57-61, security work requires Department of Public Safety S License. Lie. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normallyr required by law. By my signature below, I hereby waive•this requirement. i am the (check one)❑ owner owner's agent. Owner/Agent PERMIT FEE. $ , Signature Telephone No. Date 7 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ..........� ................. has permission to perform ..�~/~��_^ �`-`"`..�... ... .... . plumbing in the buildings of at . �`5��... ��'��_ ���........ , North Andover, Mass. Fee''... @ ; .�.�.Lic............... . / PLUMBI G INSPECTOR Check # ll� 8i;;`/7 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or Print) NORTH ANDOVER, MASSACHUSETTS Date / 27—ID- Building Location 3 5 I LJ1 L L 0 w S o U 7;q Permit ,n,, ,�1, A:5 71, Owner V' , L F l' ! U l� q1 L �.7 712" Amount New Renovation rl Replacement 0 Plans Submitted Yes 0 No FIXTURES (Print type) L G � et 4 A � f A Check one: Certificate Installing Company Name � Corp. Address ?0 e � Q 77S- Partner. Fla L L /2 t t, c, -c rh rk • o Z 7 -D� Business Telephone 5,b8— (n Z - g//q r of Firm/Co. Name of Licensed Plumber: L 4✓L Insurance Coverage: Indicate the of ance coverage by checking the appropriate box: Liability insurance policy ' 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 ignature Owner [:] Agent El 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 puformed under Peq6t Issued for this application will be in compliance with all pertinent provisions of the Massachusetts 1 d-epter 142 of the General Laws. BY r e Title Type of Plumbing License City/Town rcense Nurn5er Master V Journeyman ❑ APPROVED (OFFICE USE ONLY r The Commonwealth of Massachusetts Department of Industrial Accidents Office ofInvestigations 1600 Washington Street Boston, MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ,/— %� pt �l L Address: ? n l3 t4 Z-7 1 az7z City/State/Zip: � �- ���LL "Q Phone #: SC& - 4* 6 7 6- 89 lb Are yo n employer? Check the appropriate box: 1. I am a employer with JS-' 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. workers' comp. insurance. [No workers' comp. insurance 5• ❑ We are a corporation and its required.] officers have exercised their 3. ❑ 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' k A comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12.0 Roof repairs 13. ❑ Other =�_ wr * . u,u+: a.so iu� euc Lne sermon neioe sowing +.heir Werke ' compensation policy info^narion. t Homeowners who submit s this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. / D Insurance Company Name: C& AT I h..r,t, Gil �! -1-C hZ ►t, t , Policy # or Self -ins. Lie. #: L FA -D Z I g Expiration Date: 6b Z7 o?ta/a Job Site Address: 13 A kk �" _rG y 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 ceriifyjealir er the pains and that the information provided above is true and correct wgnarure;: U Date: 2-1-716 Phone #: - G 7 G -A L l o Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: X33 I 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 bee 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 permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a homeowner 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 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 Revised 5-26-05 www.rnass.gov/dia f ACO_. CERTIFICATE OF LIABILITY INSURANCE FDATE/DD 01/ 2929/2010010 PRODUCER (508) 677-0407 ANTHONY F. CORDEIRO INS. AGCY. INC. 171 Pleasant Street Fall River, MA 02721- POLICY NUMBER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED LC Mechanical PO BOX 275 Fall River Inc. MA 02724- X INSURER A: Scottsdale Insurance INSURER B: Nothland Insurance INSURER C: Safety INSURER D: Continental Indemnity INSURER E: !N�11/'J J•�N �� 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. /NSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY ATEYMM DDIYYE ( ) POLICYEXPIRATION ( MM/DD/YY ) LIMITS B X GENERAL LIABILITY GR100181-2 10/27/2009 10/27/2010 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE II OCCUR / / / / DAMAGE TO RENTED 1,000,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PE LOC PRODUCTS - COMP/OP AGG $ i,000,000 C AUTOMOBILE LIABILITY ANY AUTO BA 848406 10/21/2009 10/21/2010 COMBINED SINGLE LIMIT (Ea accident) $ X ALL OWNED AUTOS SCHEDULED AUTOS / / / / BODILY INJURY $ 500,000 (Per person) X X HIRED AUTOS NON -OWNED AUTOS / / / / BODILY INJURY $ 1,000,000 (Per accident) PROPERTY DAMAGE$ 100,000 (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO / / / / OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY / / / / EACH OCCURRENCE $ AGGREGATE $ OCCUR FICLAIMSMADE DEDUCTIBLE / / / / $ $ RETENTION $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 46-8059810101 07/24/2009 07/24/2010 TORY LIMITS X TI E.L. EACH ACCIDENT $ 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under / / E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE -POLICY LIMIT $ 500,000 SPECIAL PROVISIONS below E OTHER Commercial Umbrella LHA047981 10/27/2009 10/27/2010 Occurence 5,000,000 Aggregate 5,000,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Proof of Insurance Town of North Andover 120 Main St. North Andover MA 01845- 1 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILUR DO O SHALL IMPOSE NO OBLIGATI0I1 OR LjABI'LJTY OF ANY KIND UPON THE ACORD 25 (2001/08) // ©ACORD COR RATION 1988 INS025 (0108).06 U Page 1 of 2 Date �r.. n f ...... TM Of TOWN OF NORTH`ANDOVER p 9 PERMIT FOR GAS INSTALLATION This certifies that ...% :..:.:.....:..:.... '..... ... r4 has permission for gas installation in the buildings of . % : �� �`.. .. .. ............... at : �'-% �"'.... � .. .... , N h Andover, Mass. Fee. ..... Lic. Nol,-.!;7,r\ �,C!!c - .�..u........ 'YGAS INSPECTOR Check # U � //� O 7061 C MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING ' City/Town �rl/`v �-- Date: �..�,� Perm ... _ Building Locatic .- S ... VVf./ G?C� ... �,, ...._ Owners Name Type of Occupancy: Commercial Educational Industrial R# Institutional Residential New CAlteration: Renovation~w. Replacement Plans Submitted:. Yes .. No , , FIXTURES W WY Z 0 a O Cn m = W W UO y ~ W W z l- Oz 0O a z p W W O m z W O O 1"- W z n, n v, > m U �p w Q W z rn w W 9 m C7 w z Q t ii ag u) = N w O Q= I— WO W O a ux— W > U W z z W 13: WW o O J J QU' �U' P P Q Q z z O z J m W O O a O z W N � O ~ H>> H W W W W O t=i. SUB BSMT. BASEMENT 1 ST FLOOR `' FLOOR .s FLOOR 4TIF FLOOR STH FLOOR 6 FLOOR 7 FLOOR 8 FLOOR I T Installing Company Name:1 j.F —7 Check One Only Certificate # Corporation ? Address City/Town r�� j/ State MA Business Tel:J... ..� .,,? . _ Fax. %g? � P hi Partners p i r Name of Licensed Plumber/Gas _ 3Firm/Company!. INSURANCE COVERAGE: 1 have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes Noj, If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity Bond', OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 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 Owner's Agent By checking this box ❑; I hereby certify that all of the details and information 1 have submitted (or entered) regarding this application are true and ccurate 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. _. .._.__ __.. _ .... _._.____. _.:Type of License: 01 BY mow, M . ,:»...... LJ Plumber Gas Fitter Signature of Lice se Plumber/Gas Fitter Title Master Cit /Town , _� Journeyman License NUmbe . Q { y LP Installer �4! _7_ ✓a APPROVED OFFICE USE ONLY In rT3 r n U w trJ r 0 0 0 '17 C) rr C LOD C17 O z r lk Location 3SZ 6J)1/Ow !rl- �' , No. _3-7 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 4,0 -w— Foundation Foundation Permit Fee Other Permit Fee TOTAL Check #/6,9yd 0 6/S, 11,T4 t: 2 r6J Building Inspector a `ilo �**-to M I W CL Z a W c v m O m CL u c O` 1 Vb Y L Co m � Oo N M N O W m m O c N ti O u' O U1 H W v E tW- oa OAC °' coo W c v m O m CL u c O` 1 Vb L O O a_i -p c L 0 Z LU O O Q1 = ' O 3 m W c o- z 6 ° °" C7 N N m oCIDLU > ~ m vi O co _Z � E m c O m m o Z m '- 5 W Z z N N � U � N d m O O cm G O C � o' o cv a> W c v m O m CL u c O` 1 Vb C ,_ ►N 11 (o �0 C� 0 U U I i� 0 0 U O U U O OQ O y v • H ..r vi U U IN s� gb ! W O .� 20 C,, —C, b a O U � •O � O 0 O C's U Ci 00 _��� o i c zo_cl U 3 0 � U 0, z c).�a 0 0 U LI Ir I Lumen Q% b y • H ..r O o in. C�. 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O z5.� . O N. O CD c =r 7 N e coS m m N m O O Q, co N � O N d N d 1 C CL: N IQ ..� C .� m N ` N Q N c�: H O z 0 r �y 0 C/) cn 2 O gi wOQ ny c� ro (�q w \` 7 G C) 7z �y y G G CD cn an Urt O �- ro M nn MLIRIVERMOOR ENGINEERING, LLC PROFESSIONAL ENGINEERS RIVE rtmooal SITE OBSERVATION REPORT Rpt -Date February 29, 2008 Observ. February 27, 2008 Date: /11 By: Brian K. Jones, Pl� Project: Attendees: Bake `N Joy Foods Spill Containment Foundation, and Shelter Paul DePew, BNJ Brian K. Jones, PE, Rivermoor Rivermoor Engineering performed a site observation of the spill containment foundation and new fabric covered shelter at the above referenced project on 2-27-08. Our observations and comments are as follows: Progress ➢ Foundation complete ➢ Fabric structure is structurally complete. Comments ➢ Foundation conforms to the design sketch dated 9-27-08. ➢ Based upon our site observation and review of the structural drawings prepared by Big Top Manufacturing, the structural system for the shed conforms to the design drawings dated I I - 29-06. ➢ Non-structural comments; louver and man -door remain to be installed. P. DePew reports that the work is scheduled to be completed by 3-1-08. OF MgsJ . Cc: Bake `n Joy Foods — Paul DePew BRIAN ONES STRUCTURAL f, p No. 32337 v O 10 NEWDRIFTWAY, SUITE 101 - SCITUATE, MA 02066 TEL. (781) 545-2848 - FAX (781) 544-7729 Professional Engineers Rivermoor Engineering, LLC. 10 New Driftway — Suite 101 Scituate, MA 02066 781.545.2848 fax 781.544.7729 a l."J lj� U u `, MAR 0 3 20018 CERTIFICATION a _ CONSTRUCTION CONTROL — FINAL AFFIDA PROFESSIONAL ENGINEERING SERVICES DATE: February 29, 2008 LOCATION: 351 Willow Street, North Andover MA Date on plans and/or specifications submitted for approval and issuance of the building permit: Rivermoor Engineering foundation sketch SK -1 9-27-07, and Big Top Manufacturing Fabric Covered Structure 11-29-06 Addendums/Revisions Date(s): None In accordance with Section 116.0 of the Massachusetts State Building Code, 780 CMR, 6'b Edition neering.com I; Brian K. Jones, PE being a registered professional engineer certify that I have performed the necessary professional services for the portion of the work (discipline) for which I am directly responsible as identified in Section 116.2.2 (Phase I - project close out only) and described as follows: 1. Review the construction documents. 2. Perform a final as -built site observation to become generally familiar with the quality of the work and to determine, in general, if the work was performed in a manner consistent with the construction documents. Pursuant to Section 116.4, the work has been performed in accordance with the appWed plans. JH OF ;yq� BRIAN �; c s JONES N U STRUCTURAL, No. 32337 0 Professional Engineer (original) Seal Signatur� Structural Discipline — Area of esponsibility .M.G.L. Ch.. 112, 23.1 C 290 CMR Date z r li✓ 1 ��d vt� ` �' r'-' Location J J No. Date f NORTH TOWN OF NORTH ANDOVER s Certificate of Occupancy $ Nust< Building/Frame Permit Fee $ 07 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 207�'� Building Inspector m m m m m mm S- CO) O CD CD Z O CD t CD I. cn cn \ / O cn 9 O cn 2 o� O cn C 0 c gig o m Z aq cc c H y CD c m C7 H o It cc, 3. ._ �D La. �c a c T CD O m H O y OO O a n O OZ y !O'7 N �m CL ?� m m H n a�.0 N 01y :3 : nm a coJE CO CO) CD _H • �Ir 1cm o c CD G, moo: 0 CD Wim. a3 .Z co) I CD Wim: aVS� n 0 _ Vic: = eo 9 C/) C/) o o m C o o o CD o OZ G7 co az rt tz O r , z O (0J y 0 19 O C CD r m m X x CA Q) Epmm v, y C � O � O CD c' Z v) CL r C O. F y o p CD CD o CL cr: �d CDo CD C O yCD' CL O CO) C I C c -O m O =r2 0 -• N O QN comm CO) O H �EL O m Qn Cl) c°:oa C2 =rMy =rm ,���os O y m O m y p o i; m ma > > o m n y' n O y -00r . ?I► r a C �.m cnm m r.-: (n m c» O m CL H a •� 1�1 m l..' O d = Q CL N Z' m CD CaQ 1 Cy MCD Go 0 CD Orn1 O a� 0, zmoi, zD o m CD l/J CO) CD '• CD ate. O all cn cn m ;a cn �n? r ?? qd cn `/) Irl CL tv tz V� tz tz n tz O 9 ol .7 �+ CL 0 GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS,. ADDRESS, AND PERMIT (COPY 0K)..or no inspections INSPECTIONS: (Minimum) Excavation, Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain - pipe/stone/fabric filter/cover and outlet connection. FRAME: Fireblock - over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters - watch bearing at walls. Ridge & Hip - Provide proper connections. Cathedral roof rafters provide proper connections and use "Hurricane Clips" tie to plate. Stair stringers - watch cuts and heal support. Joist hangers - fully nailed w/ hanger nails. Sill plates 2-2X6 (1 PT) w/sill seal. Girls - solid brick or steel plate bearing at foundations '/ " air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances - stairways, under beams Attic Access. (min. 22x30 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior (not in soffit). Firecode S/R wood frame of "0" clearance fireplaces & stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8% of floor area. % of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces - "proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing - Smoke Chamber - Finish Smooth parging, clean joints, 8" solid @ combust. DECKS: Lag to house, provide flashing. Rails min. 36 " high, Baluster max space 5" on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re -inspection fee - $30.00 (Be Ready). Certificate of occupancy required prior to Occupying structure. P f F Date .... I - j 2--o7 .............................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING fA/'J'Vr;7 This certifies that ................. e1?, .................. ee--� -Z� .......................... has permission to perform ......... wiring in the building of ......1: 6— ....................................... at ................ .........S....!...,,.,,,,,,, . North Andover, Mass. . ........ .. ....... ... .. ... ...... Fee ... ................ Lic. No.../Z.'qzr .......... ELECTRICAL INSPECTOR'"Check # 7153 It �N Commonwealth of Massachusetts Official use Only Department of Fire Services Permit No. 7/S-3 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1-4-2007 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) 351 Willow St. South Owner or Tenant Bake'n J Owner's Address same Telephone No. 978-666-4937 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 ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install new outside light pole No. of Meters No. of Meters Completion of the following table may be waived by the Inspector of Wires. 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 In- Swimming Pool rnd. Above ❑ rnd. ❑ o. o mergency Lighting Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: Number � Tons KW "' " ' 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 KW Heaters No. 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 desired, 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:) Federated 3/25/07 (Expiration Date) Estimated Value of Electrical Work: $3300.00 (When required by municipal policy.) Work to Start: 1-4 2007 Inspections to be requested in acc ce with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the informono this app tion is true and complete. FIRM NAME: Cranne Electric Co., Inc. LIC. NO.: Al 1918 Licensee: Brian Cranney Signature LIC. NO.: E25704 (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.. _1-978-750-6900 Address: 10 Rainbow Tern, Danvers, MA 01923 / 41 Indusrtial Dr., Exeter, NH 03833 Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ $60.00 Date.. 'V/......... ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .......4.:....".14i i��el .... ..... ............. . .......... .... has permission to perform ...................... wiring in the building of ......................................... ... ...North Andover, Mass. .... Fee./-.; .. ........... Lic. No. #... ......................... ELECTRICAL INSPECTOR Check # —eR219-1 7072 n Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. �C l�- Occupancy and Fee Checked [Rev. 9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: (o 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) c Owner or Tenant �k.� �"A Telephone No. 978"to93_ Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building 'I A )Q �� ,SL,, �7Q CA -014( Utility Authorization No. Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: C Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Httacn aaaitional detail i� desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work. (When required by municipal policy.) Work to Start: , b (p Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE CO ERA E: 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 Venalties BOND ❑ OTHER ❑ (Specify:) 1 certify, under the pains and of perjury, that the information on this application is true and complete. FIRM NA E: r r �1..��eS L'LXC ,-% �o+� ��cl�. LIC. NO. j�. Licensee: o.�re Signature LIC. NO.: C 0 (Ifapplicable, enter "exempt" in the license number line), A Bus. Tel. No.:�l�3' ifSQ— Ili 1 Address: t�0 Ro-S 3 1 �% r\�oti jAA c)Z3 (-,-j Alt. Tel. No. `Zv1��12y'1a�ti *Security System Contractor License require for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. 1 am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 12,5, 0 „..,p urt uj erwwuvwirlg iaoie may ne waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets"" No. of Hot Tubs Generators KVA No. of Luminaires . 0 Swimming Pool Above ❑ In- ❑o. o Emergency Lighting rnd. rnd. Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Tonal No. of Alerting Devices No. of Waste Disposers Heat Pump Number Tons K No. o elf -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. Devices No. of Water No.KW No. o No. o of or Equivalent Data Wiring: Signs Ballasts No, of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Httacn aaaitional detail i� desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work. (When required by municipal policy.) Work to Start: , b (p Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE CO ERA E: 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 Venalties BOND ❑ OTHER ❑ (Specify:) 1 certify, under the pains and of perjury, that the information on this application is true and complete. FIRM NA E: r r �1..��eS L'LXC ,-% �o+� ��cl�. LIC. NO. j�. Licensee: o.�re Signature LIC. NO.: C 0 (Ifapplicable, enter "exempt" in the license number line), A Bus. Tel. No.:�l�3' ifSQ— Ili 1 Address: t�0 Ro-S 3 1 �% r\�oti jAA c)Z3 (-,-j Alt. Tel. No. `Zv1��12y'1a�ti *Security System Contractor License require for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. 1 am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 12,5, 0 Date... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that i:-!�'-4 .............................................. has permission to . ... . wiring in the building of .... ..... ...... .......... ....... ................. .................... . N rth Andover, Mass. Fee/ � ...... Lic. No/) A................... Check # INSP.-E. �-- -'� ' 6 ij L" "I JW ti Commonwealth of MassachusettsOfficial Use Only I Permit No. G q -)Department of Fire Services ' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3 - 3d - o 6, City or Town of: Ivo. R.,izk>vc72— 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) -.3 s 1 tN t L, L c, Owner or Tenant ISA ,:�,E- ',n/ Sc=l �Z Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No Q' (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: Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Fixtures ,c;z> 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 AboveIn- Swimming Pool rnd. ❑ rnd. ❑ o. o Emergency Lighting Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. TotalTons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number Tons I KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW p g Local ❑ Municipal ❑ Other Connection of Dryers Heating Appliances KW SteNo. Sec ritNoyof Devices or Equivalent No. of Water KW Heaters No. of No. of I Signs Ballasts Data Wiring: I No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications No. of Devices or Equivalent OTHER: Attach additional detail if desired, 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 [E' BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in Vor nc I certify, under the pains andpenalties of perjury, that the infor FIRM NAME:'JpGco Ca��.Pi1T7Gvt/ Licensee: RICUA4D N` • 6; 1-A/8pSignature (If applicable, enter "exempt " in the license number line.) Address: Z 9 Coo K Sr. 5 /4Z -4W "C4. MA 43 OWNER'S INSURANCE WAIVER: I am aware tbaf the Licensee does required by law. By my signature below, I hereby waive this requirement. Owner/Agent Signature Telephone No. Rule , and upon completion. tion is t ue and complete. LIC. NO.: 4 1 2 2 3 3 LIC. NO.: us. Tel. No.:978 -663-029'2 / Alt. Tel. No.: not ha'�e the liability insurance coverage normally I am the (check one) ❑ owner ❑ owner's agent. PERMIT FEE: $ / 2 S MITT ROMNEY GOVERNOR KERRY HEALEY LIEUTENANT GOVERNOR March 6, 2006 Commonwealth of Massachusetts OFFICE OF CONSUMER AFFAIRS DIVISION OF PROFESSIONAL LICENSURE The Office of the Board ofExaminers of Paul W. DePew 351 Willow St., South North Andover, MA 01845 Plumbers and Gasfitters 239 Causeway Street, Suite 400 Boston, Massachusetts 02114 JANICE S. TATARKA DIRECTOR, OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATION GEORGE WEBER ACTING DIRECTOR, DIVISION OF PROFESSIONAL LICENSURE DEPUTY DIRECTOR FOR ENFORCEMENT JOSEPH A. PELUSO, JR. EXECUTIVE DIRECTOR FOR THE BOARD OF THE EXAMINERS OF PLUMBERS AND GASFITTERS PAUL KENNEDY, SR. CHAIRMAN FOR THE BOARD OF THE EXAMINERS OF PLUMBERS AND GASFITTERS Re: Granted Variance Bake'n Joy Foods 351 WILLOW ST. SOUTH, NORTH ANDOVER Dear Mr. DePew, Please be advised, on February 22, 2006, in the "Council Chambers" of the Old Quincy City Hall, located at 1305 Hancock St. Quincy, Massachusetts the Board of the State Examiners of Plumbers and Gas Fitters discussed and Granted a variance to modify the requirements of 248 CMR. (Code of Massachusetts Regulation) 10.00: Uniform State Plumbing Code sec. 10.10 (18) Table 1. The Granted variance is: [To vary the requirements of 248 CMR sec. 10.10 (18) Table 1 as requested and permit the alteration of existing plumbing and the use of a single unisex handicap accessible toilet facility.] R This variance is based solely on the presentation, information and documentation submitted in the application by the petitioner and is applicable to this location only. All other work shall comply with the rules and regulations of 248 CMR. Sincerely, For the Board Orman .St. Hi Ore, Jr.( Associate Executive Director'- The irectorThe Board of the State Examiners of Plumbers and Gasfitters cc: Plumbing and Gasfitting Inspector Mr. James 1. Diozzi PHONE - 617-727-6388 FAX - 617-727-6095 WEB - http:/Avww.mass.gov/dpl/boards/pl/ MITT ROMNEY GOVERNOR KERRY HEALEY LIEUTENANT GOVERNOR Commonwealth of Massachusetts OFFICE OF CONSUMER AFFAIRS DIVISION OF PROFESSIONAL LICENSURE The Office of the Board of Examiners of Plumbers and Gasfitters 239 Causeway Street, Suite 400 Boston, Massachusetts 02114 TO: James L. Diozzi 146 Main St. North Andover, MA 01845 FROM: The Board of Plumbers & Gas Fitters DATE: February 6, 2006 RE: 351 Willow St. South, North Andover BETH LINDSTROM DIRECTOR, OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATION GEORGE WEBER ACTING DIRECTOR, DIVISION OF PROFESSIONAL LICENSURE DEPUTY DIRECTOR FOR ENFORCEMENT JOSEPH A. PELUSO, JR. EXECUTIVE DIRECTOR FOR THE BOARD OF THE EXAMINERS OF PLUMBERS AND GASFITTERS PAUL KENNEDY, SR. CHAIRMAN FOR THE BOARD OF THE EXAMINERS OF PLUMBERS AND GASFITTERS It has been the experience of this Board that the input given by the Local Plumbing and/or Gas Inspector on a variance request from their cities or towns has a great impact on the decision made. The Board will hear the above mentioned request at a public subcommittee meeting Scheduled for FEBRUARY 22, 2006 in Council Chambers at Old City Hall, 1305 Hancock St., Quincy. MA PHONE - 617-727-6388 FAX - 617-727-6095 RECEIVED FEB 8 2006 BUILDING DEPT. WEB - http://www.mass.gov/dpl/boards/pl/ T.. MITT ROMNEY GOVERNOR KERRY HEALEY LIEUTENANT GOVERNOR Commonwealth of Massachusetts OFFICE OF CONSUMER AFFAIRS DIVISION OF PROFESSIONAL LICENSURE The Office of the Board of Examiners of Plumbers and Gasfitters 239 Causeway Street, Suite 400 Boston, Massachusetts 02114 Correction Letter TO: James L. Diozzi 146 Main St. North Andover, MA 01845 FROM: The Board of Plumbers & Gas Fitters DATE: February 6, 2006 RE: 351 Willow St., South North Andover BETH LINDSTROM DIRECTOR, OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATION GEORGE WEBER ACTING DIRECTOR, DIVISION OF PROFESSIONAL LICENSURE DEPUTY DIRECTOR FOR ENFORCEMENT JOSEPH A. PELUSO, JR. EXECUTIVE DIRECTOR FOR THE BOARD OF THE EXAMINERS OF PLUMBERS AND GASFITTERS PAUL KENNEDY, SR. CHAIRMAN FOR THE BOARD OF THE EXAMINERS OF PLUMBERS AND GASFITTERS It has been the experience of this Board that the input given by the Local Plumbing and/or Gas Inspector on a variance request from their cities or towns has a great impact on the decision made. The Board will hear the above mentioned request at a public subcommittee meeting Scheduled for FEBRUARY 22, 2006 in Council Chambers at Old City Hall, 1305 Hancock St., Quincy. MA at 9:00 A.M. a PHONE - 617-727-6388 FAX - 617-727-6095 WEB - http:/twww.mass.gov/dpl/boards/pl/ MITT ROMNEY GOVERNOR KERRY HEALEY LIEUTENANT GOVERNOR March 6, 2006 Commonwealth of Massachusetts OFFICE OF CONSUMER AFFAIRS DIVISION OF PROFESSIONAL LICENSURE The Office of the Board ofExaminers of Paul W. DePew 351 Willow St., South North Andover, MA 01845 Plumbers and Gasfitters 239 Causeway Street, Suite 400 Boston, Massachusetts 02114 JANICE S. TATARKA DIRECTOR, OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATION GEORGE WEBER ACTING DIRECTOR, DIVISION OF PROFESSIONAL LICENSURE DEPUTY DIRECTOR FOR ENFORCEMENT JOSEPH A. PELUSO, JR. EXECUTIVE DIRECTOR FOR THE BOARD OF THE EXAMINERS OF PLUMBERS AND GASFITTERS PAUL KENNEDY, SR. CHAIRMAN FOR THE BOARD OF THE EXAMINERS OF PLUMBERS AND GASFITTERS Re: Granted. Variance Bake'n Joy Foods 351 WILLOW ST. SOUTH, NORTH ANDOVER Dear Mr. DePew, Please be advised, on February 22, 2006, in the "Council Chambers" of the Old Quincy City Hall, located at 1305 Hancock St. Quincy, Massachusetts the Board of the State Examiners of Plumbers and Gas Fitters discussed and Granted a variance to modify the requirements of 248 CMR. (Code of Massachusetts Regulation) 10.00: Uniform State Plumbing Code sec. 10.10 (18) Table 1. The Granted variance is: [To vary the requirements of 248 CMR sec. 10.10 (18) Table 1 as requested and permit the alteration of existing plumbing and the use of a single unisex handicap accessible toilet facility.] N This variance is based solely on the presentation, information and documentation submitted in the application by the petitioner and is applicable to this location only. All other work shall comply with the rules and regulations of 248 CMR. Sincerely, For the Board Orman R: St. 1-4fre, Jr.( Associate Executive Director The Board of the State Examiners of Plumbers and Gasfitters cc: Plumbing and Gasfitting Inspector Mr. James 1. Diozzi �,� PHONE - 617-727-6388 FAX - 617-727-6095 WEB - http:/twww.mass.gov/dpi/boards/pl/ January 19, 2006 Peter C. Ste f anini, Architect, P.c. Bake'n Joy Foods 351 Willow Street South North Andover, MA 01845 Toilet Room Renovations Schedule of Existing / Proposed Toilet Facilities AREA EMPLOYEES REQUIRED FIXTURES WOMEN MEN WOMEN MEN Office 20 19 1 1 Production 1 45 1 3 Warehouse 0 10 0 1 FIXTURES PROVIDED * WOMEN MEN 2 2 2 WC/2 Lav 1 WC/1 U/2Lav 1* 3 1 WC/1 Lav 2 WC/1 U/2Lav 0 1 1 WC/1 Lav Existing Production Women's Toilet Room has two WC's and two LAV's — reduction in fixture count reflects actual usage and spatial requirements to update to current standards. 0 nt)nd ,.liLf'.t }ll}})kinton ?nl i,;S.achuso—,L:S 0174S v:108A37.7. i1 f:508.435.727.3 The Commonwealth of Massachusetts Division of Registration BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS 239 Causeway Street r Boston, MA 02114 Forms available at http://www.state.ma.us/reg/boards/pl/f"orms.htm APPLICATION FOR VARIANCE FROM STATE PLUMBING $75.00 FEE PAYABLE TO THE COMMONWEALTH OF MASSACH 1, Name Of Applicant Paul W. DePew (Print Clearly). 2. AddressOfAppl i cant3, 3. Title Or Position 351 Willow Street South, North Andover-, MA 01845 Plant Engineer Daytime Telephone Number: 97A -683-1414x118 5. A- Location Of Variance Request 351 Willow Street South, North Andover,MA 01845 B- Name and Address of Present Property Owner Muffin Realty Trust 351 Willow Street South, North Andover, MA 01845 6. Name And Address Of Proposed Or Current Occupier (Tenant? Of Building Where Variance Is Requested 13ske'n.ley Foods 351 Willow Street South North Andover MA 01845 h. Names Of Other Parties Involved Including: Engineers: Architect: Contractors Scott Construction Plumbers: Galinsky Plumbing Peter C. Stafanini, Architect PC Provide A Brief Description Of The Requested Variance With The Applicable Section Of The Code And Attach Plans Construction/Renovation of existing women's toilet room to a Unisex toilet room per 248CMR 2.01(1) - refer to attached drawing A1.1 and schedule of existing/proposed toilet facilities. 7. Reason(s) For Requesting This Variance. State All Hardships: Existing facility, construction and employee use does not allow enough area for handicapped renovations of both men's and women's facilities. 8. Has The Plumbing Project For This Variance Been Completed Yes No Proposed Variance Is. Considered: New Construction: Renovation—x 10. MANDATORY: ORIGINAL LETTER FROM THE LOCAL BOARD OF HEALTH ADDRESSED TO AND PETITIONING THE BOARD OF STATE EXAMINERS FOR THIS VARIANCES MUST BE SUBAUTTED wrrH APPLICATION - C.M.R. 142 SECTION 13 Date Of Application Signature Of Requesting Party FOR YOUR INFORMATION A. Attach Necessary Additional Information With This. Application Bt Variances Are Customarily Hord At A,50commi Subcommittee Meeting U- Wally Wd On The Last Wednesday Of E40 Month. The Full @R -98 Board Meeting Is Held The Following. Wednesday And The Board Will Act On The Subcommittee s Recommendations. C. CUR 248 (The State Plumbing And Fuel Gas Code) Are Available From The State Book Store, Located In Room 116, State House, Boston, MA 02133. Telephone 617-727 2834 For Current Cost Plus Mailing Charges. D. Mail Or Deliver A Copy Of This Application (No Fee Or Plans) To The Local Plumbing Inspector, E. 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