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HomeMy WebLinkAboutMiscellaneous - 41 CAROLINE WAY 4/30/2018 BUILDING FILE � I NOMh h f �CN11f� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 486(3117/09) Date: October 21, 200 THIS CERTIFIES THAT THE BUILDING LOCATED ON 41 Caroline Way Unit B MAY BE OCCUPIED AS Single Family Dwelling IN ACCORDANCE WTTH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Edgewood Retirement Community 575 Osgood Street North Andover Ma 01845 Building Inspector NORTfy Town of : over `'SVT o. o , �` dover, Mass. /7 LKE co Hi y�• 7�S RATED pPG,`�C� 4 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System B I �S�CTOR THIS CERTIFIES THAT....... .. ..G�© 141 ..................�...................ry. . ........................................................... F natio �� � 0 k ef has permission to erect........................................ buildings on ..... /.......C!q,-.v./ `�.` �' .......................... R � �• y to be occupied as yy�� i� ............... ........ ... ... . .. . . ..............................................,U.`C�'Vt(-/-- .......................:.................. C ey provided that the person accepting this pe shall in every respect conform to the terms of the application on file in inal this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of �/` Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 01Z7 �/ C Final ---- PERMIT EXPIRES IN b MONTHS ELECTRICAL INSPECTOR. UNLESS CONSTRU O STARTS Rough t° �� —�.................................................... Service BUILDING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECT R . Rou Display in a Conspicuous Place on the Premises — Do Not Remove Fifial � No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector., Burner Street No. SEE REVERSE SIDE Smoke Det. Registered Architectural and Engineering Services Construction Control Affidavit Project Number; DSA Project#0706.00 Project Title: Edgewood Retirement Community Cottages Project Location: #41 Caroline Way, North Andover, MA 01845 Scope of Project: 22 Individual Cottages In accordance with Section 116.0 of the Massachusetts State Building Code 1,Allen Dewing Jr.,MA Registration #4301 being a registered professional engineer/architect, hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Xx Architectural Structural Mechanical Fire Protection Electrical Other (Specify) For the above named project and that, to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code. All acceptable engineering practices and all applicable laws for the proposed project. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular basis to determine that the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 116.2. 1. Review for conformance to the design concept, shop drawings, samples, and other submittals,which are submitted by the contractor in accordance with requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the 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. Upon completion of the Work, I shall submit a final report as to the satisfactory completion and readiness of the project for occupancy. ptSl SCS �pEVV�,y Eo p o No.4301 en Dewing Jr. CONCORD, AAA �J� U �[Th OF RP�P"''P F:\DSA Project Files\Edgewood 0706\05. Project Word Documents\a.Correspondence and Transmittals\vi. Misc Registered Engineering Services Structural Construction Control Affidavit at Completion of Structural Work Project Number: DSA Project#0706.00 Project Title: Edgewood Retirement Community Cottages Project Location: #41 Caroline Way,North Andover,MA 01845 Scope of Project: Wood Framed Cottage with Concrete Basement and Foundations In accordance with Section 116.0 of the Massachusetts State Building Code,I, Geoffrey S. Conway, MA #32753 being a registered professional engineer (structural),hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: Entire Project Architectural XX Structural Mechanical Fire Protection Electrical Other (Specify) For the above named project and that, to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. I further certify that I have performed the necessary professional services and have been present on the construction site on a regular basis to determine that the work is proceeding in accordance with the documents approved for the building permit and have been responsible for the following as specified in Section 116.2. 1. Review for conformance to the design concept, shop drawings, samples,and other submittals,which are submitted by the contractor in accordance with requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required materials. 3. Been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine,in general, that the work has been performed in a manner consistent with the construction documents. K OF Mgssgc � GEOFFREY Geoffrey G� way, P.E. Date S. CONWAY 00 STRUCTURAL No.32753 ca GIST �Q►���,`�v FSS/ONAL r f I&ORTH O rep `""SE� APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION Building Permit# ADDRESS/LOCATION OF PROPERTY : Map Parcel Lot Number y SUBDIVISION _ FJ)G&A)f� 'Q�c �j,t ,,,�,- j DATE REQUESTED FILED/READY FOR INSPECTION f eA ? CLOSING DATE ON PROPERTY:_ A1�" FIVE(6) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS$20.00)WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. Permit Issued to: Address SIGNED ROUTING CONSERVATION PLANNING 0 loll/v9 DPW-WATER METER 7/6f SEWERMATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF E OCCUPANCYANSPECTION REQUEST DPW YJ4� Gykz Signature i Fite: Application for OC form revised Jan 2007 t Date... .... ...... NORTH 4" TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .. ............................................... ................................ has permission to perform -,./2............................................. wiring in the building of..... ............................................ at .. ...............;(. *,,**,,** ...... .... North Andover,Mass. Fee ..... Lic.No;.,, P . ................PLiR C L i�S iO Check # 8768 l Commonwealth of Massachusetts Official U se 7Only Permit No.Department of Fire ServicesOccupancy and Fee Cked7��BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] ave 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: 0(-1 City or Town of: &Jia O U'(rg 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)) 4_1 CACO&W irJ A) Owner or Tenant h 0 ool- MI F 1 t 16��� Telephone No. �( Owner's Address T Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building 'L*-AW1 _t Jk1CY Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters New Service a QQ Amps 17,O X24-Volts Overhead❑ Undgrd No.of Meters Number of Feeders and Ampacity — 2,0Z, A pYN-0 Location and Nature of Proposed Electrical Work: W f RE A A W Sl L)G LE 1=H m l l�) INW E L x} ' Completion of the following table niay be waived by the Inspector of Wires. No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of TotalTransformers KVA No.of Luminaire Outlets No. of Hot Tubs Generators KVA Above In o.o mergency tg ting No. of Luminaires 12 Swimming Pool rnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Nof Detection and No. of Switches No.of Gas Burners o. Initiatin Devices No.of Air Cond. Total No.of Alerting Devices No. of Ranges Tons Heat Pump Number Tons KW INo.of Self-Contained No.of Waste Disposers Totals: IDetecti(n/Alerting Devices S ace/Area Heating KW Local Municipal ❑ Other No.of Dishwashers ' P b Connection • No.of Dryers Heating Appliances KW urity SecNo. Devi es or Equivalent No.of Water V No.of No.of Data Wiring: Heaters 1 Signs Ballasts No.of Devices or Equivalent No.Hydromassage Batht s No. of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by.municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains andpenalties ofperjury,that the information on this application is true and complete. FIRM NAME: Interstate Electrical Servi srpor.at' LIC.N .:A-5217 Licensee: Pasquale A. Alibrandi Signature I •: (If applicablrater "exe i t"in the license number line.) Bus.Tel.No.:9 7 8—6 6 7—5 2 0 0 � Address: Trebple Cove Rd. , N: Billerica, MA 01 862 Alt.Tel.No.: *Security System Contractor License required 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. I am the(check one) ❑owner ❑owner's agent. Owner/Agent PERMIT FEE: S Signature Telephone No. t L x w Date.f NORTH :� TOWN OF NORTH ANDOVER PERMIT FOR WIRING *A D S,qcl4u This certifies that .—.—' has permission to perform ......................................... wiring in the building of....... . ................ at......'/' / North Andover,Mass. Fee .... Lic.No..25.k5.G............6�2 -;l RE Check # 8762 �-� Commonwealth of Massachusetts Official use only . Department of Fire Services Permit No. ° Occupancy and Fee Checked '" �1-- BOARD OF FIRE PREVENTION REGULATIONS V. 1/07] eaveblaak 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 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) '// t�Q r®�j,� 1-"AA,- Owner or Tenant ��i� eve-6, i,�� Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Boz) Purpose of Building�,�S���� f/`�j Utility Authorization No. Existing Service Amps / volts Overhead ❑ Undgrd ❑ Na.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 followingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans o.of o� ti Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No. of Luminaires S Pool Above o.o mergency vv><mming grnd. ❑ d. Battery Units N.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones r No.of Switches No.of Gas Burners o..o Detection an Initis ' Devices if- No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposerseat �P er ons o,of a ontain Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ c'P ❑ Other Connection No.of Dryers Heating Appliances KW ecun' Systems:* o.of ater No.of Devices or Equivalent Heaters KW o Signs Ballasts Data Wiring' No.of Devices or E uivalent No.Hydromassage Bathtubs No. of Motors Total gp elecommunmcationsWiring: OTHER: �1 No.of Devices or E uivatent v rq �i r/�Gr".�'� Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: /� J (When required by municipal policy.) Work to Start 9- 9 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 cove a is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER ❑ ec'(S : PY) I certify, under the pains,andpenalties ofperjury, that the information on this application is true and complete FIRM NAME: SJ VR '411 Maw e►i/� 17 LIC.NO.: 9y.SG Licensee: -d,4e r# & Sy ll/ya p Signature(If applicable, enter "exempt"in the license number I:ne.) LIC.NO.: -2.2 9 7J Bus.Tel.No.: y ZY Address: / i JU S r L AIA 41C /� � Alt.Tel.No.: ' *Per M.G.L c. 147, s. 57-61,security work requires Department o Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement I am the(check one) ❑ owner ❑ owner's agent Owner/Agent Signature Telephone No. PERMIT FEE: S ' The Con2monwealth of Massachusetts ` Depanment of Industrial Accidents f lit�;� Office of'Invesdgatious 600 Washington Street .sa Boston,�;•! n, MA 02111 Workers' Com enation www Mms gov/dta . P Inshranee Affidavit: Builders/Cont'actors/Electricians/Pirambers A licaat Information NJ Please Print LeQib ame (Business/orpnization/individuai); Address: City/.State/Zip; Z—=~0 Phone#: . rl 7J- to e�2 -6 s�7X F employer?Cheststheemployer with J aPPrepriiatebox: ees(full and/or * 4' ❑ I am a generalcontractor and I Type of prefect(regnir : o}e Pte-time). have hired the suis-contracton 6 �ew construction proprietor or partner- listed on the attached sheet.t 7. Ship and have no employees These sub-contractors have ❑Remodeling working forme }n any capacity. workers' comp.insurance. g ❑Demolition [No workers'comp.insurance 5, We 9• Buil ❑ area ❑ di corporation add' required.) rp ration and its ng 'tion Officers: h 1 3•❑ I ain a ho have exercised their 0•❑Electrical meows airs or homeowner doing all work right of exemption per MGL I 1• � additions myself[No•workers'corn . ❑ Plumbing repairs or additions insurance required.)t P C. 152, §t(q),and we have no '. employees. [No workers' 12.❑Roof repairs COMP• insurance required.] 13•[�_Other t Ho applicant that checks box'#I must also fill out the section below showing t Homeowners who submit this affidavit indicating they are doingall wotic their workers'compensation policy iofonnation. 2Corrt:actors that check this box must end then hits outside contractors must submit a new affidavit inti' �taehed an additional sheer showing the name of the su imting such I am an employer that is rov' b' r�ctoss and Ow r wori,,'Com p i&ft wor P•Polis; r`.,'saation. information. S kers compensation insurance for my e n+Ployees: Below is the policy med,%o6 site lnsuranee Company Name: a Policy#or Self-ins. Lie.#: WG Expiration Date: 5=&I Job Site Addr•es • A? Attach a copy of the workers' compensation..poiicy declaration tie sho Crty/Ste/Zip: i9lV�D6�f� �J� failure to secure cove;a a as pa„ { wing the Policy number and expiration dst4 g required under Section 25A of MGL C. 152 can lead to the imposition of Criminal fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER tiro)a of up to$250.00 a Penalties of a Investigations against the violator. Be advised that a co of this statement may be forwarded to the fine gallons of the DIA for insurance coverage verification. Py y Office of I do hereby certify under the pains a / Penalties Of Pe1lurJ'that the infarnration provided above is true � Sr ttae: r�j-u� and eomed Phone Z Y 7 JJictaI use Only. Do not write to - Uusarea,to be contplgted by C.1'or town offirxa( City or Town: Issuing Authority(circle Permit/License# I. Board of Health 6.Other 2 Building Department 3.City/Town Clerk 4.Electrical Inspector S. Plumbing inspector ------------ Contact Person: Phone# I Date Z,/X �..... .. pF „ao 41 .. TOWN OF NORTH ANDOVER p 9 41 PERMIT FOR GAS INSTALLATION �lsJ^C MUSEt . f This certifies that . �r?� .f? .(. . /. �. T�. ,/ . . . . . . . . . . . . ... has permission for gas installation `°: . . . . . . . in the buildings of 5.� . A. . . . . . . . . . . . . . . . . . . . . . . . . u- Q c � at . .�!/. . . . . . . . . . . . . . . . . . . ., North Andover, Mass. Fee. )IR° Lic. No. 1�(.12. . . . . . . . . . .. . . . . . ASINSPECTOR Check# � ) 6823 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING CityITown-.I �'I h &-dever MA. Daft: /1S 7j Permitg �- Building Location:'i/ G r 1 n e k)a v Owners Name: Edcl'e l)IV,/ PLO�f rte man n Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional❑ Residential New:E3""'Alteration:❑ Renovation:❑ Replacement_❑ Plans Submitted: Yes❑ No❑ FIXTURES W W Y = Z a oC O ujF z t=- �a z =' w z 0 ~ 3 tZu w W ; m O I` a iW- O � > tAts � soW -ul 0I � mo � ♦W.. a = u. � 0 W oc W J F0 W O Z 0 E'. t W � � W L n°. o� z � > o SUB BSMT. BASEMENT •9 FLOOR I FLOOR 3m FLOOR 4 FLOOR —i'—FLOOR 6 FLOOR 7 FLOOR 8 FLOOR Check One Only :Cer#I`I cafe g stalling.Comparhy Nameflf �lt1 �ltn • --ice in - — A 6 J. � Mia p� � � 2 - Partnership Business FirmiCompany Name of Licensed PlumbedGas Fitter INSURANCE COVERAGE: --- I have a current I rhmuance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes® No❑ N 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 an this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ SWnature of Owner or Owner's Agent By checking this box ;I Weby cerffy that all of the details and h9brmation I have submitted(or entered)."m Ing this application are true and accurate to the best of my Knowledge and that all plhanbing work and installations performed under the permit issued for Oft application will be in cwnpliance with an Pertinem provision of the U3888chusetts State Plumbing Code and Chapter 142 of the General Laws. Type of Licelaw GSrinDFlaw e ®Nastier, Si nature of i Plum F' MOAN �u� n License Number. 1 `t APPROVED OFFICE USE ONE Date. � u°�. . . 04 "011,„ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUS� This certifies that .... . . . . . . . has permission to perform . . . .r. .. . . . . . . . . . . . . . . . plumbing in the buildings of . .,'J S X. . . . . . . . . . . . . . . . . . at . . ./y./. . . !! �J t `. . . . . . . . . . . . . . . . . North.Andover, Mass: Fee. Lic. No.. . PLUMBING INSPECTOR Check # 8091 t _ _ 1l • -- -- .. is 11111 0 WO HOT WATER TANFM 11111IMPTInT MITT. 1 d�� I,r,,,,,,, • • • ■ _ (� ■ .z r7r!"T WATER PIPING RMAUAWP�