Loading...
HomeMy WebLinkAboutMiscellaneous - 575 TURNPIKE STREET 4/30/2018 (8)G°� 12/12/2006 TUE 13:01 FAX 6172423457 _ The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Center for Environmental Health V Radiation Control Program MITT ROMNEY Schrafft Center, Suite 1 M2A GOVERNOR 529 Main Street, Charlestown, MA 02929 KERRY HEALEY (617) 242-3035 (617) 242-3457 - Fax LIEUTENANT GOVERNOR TIMMOTHY MURPHY SECRETARY PAUL J. COTE, JR. COMMISSIONER December 12, 2006 JoAnne Cahill, Office Manager Orthopaedics Northeast, PC 575 Turnpike Street, Suite 11 & 17 North Andover, MA 01845 RE: Shielding Design: New X -Ray Suite #17 Dear Ms. Cahill: The Radiation Control Program has reviewed a shielding design consisting of a floor plan, workload information, and use factors. 9002/003 The Radiation Control Program is of the opinion that the submitted shielding design is drawn in conformance with modern radiological health practice and hereby approves it. The Radiation Control Program requires (105 CMR 120.000 in section 120.030) that the registrant shall notify the Department in writing within 30 days, before making any changes which would render the information contained in the application for registration, certificate of registration or an approved shielding design no longer accurate. If you have further questions, please contact me at (617) 242-3035. >ii erel�y;,, Vfadin F. Broderick RTR (M) ationn Control Program M/jfb Date...// / f.. S TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies ......................................................... ..................... has permission to perform .............................................................. lo .................. wiringin the buildingof .................................................................................... Q, ........... -Mass. at ............ .......... .............................. ... ... . North Andover; Fee ............... Lic. Noh �,ek ............. ALEi"'RICALPN�SPECTO Check # 84 D ,,4 Cflmrnonwea/th ofMassa.�hwsetts official Use Only Permit No.`��� Department of Fire Services Occupancy and Fee Checked A)15 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] leave blank APPLICATLON 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: k l- C3- -- D OU K City or Town of: 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) S - S Owner or Tenant Owner's Address �ec�L. FSC t S� ,s czu�. NQS tA- � Telephone No. bo3-�`13-a�iou Is this .permit in conjunction with a building permit? Yes ❑"' No ❑ (Check Appropriate Box) Purpose of Building ,,1'\%iW _ ev.c„n \ i tkcc`py 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:V111�e . ck c � c.\�� e.MF�aenC� Li4�'�r•.� _ Completion o�rhe jollowtn` table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans o. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above n- Swimming Pool rnd. 11 In- o. o Emergency Lighting Batte Units No. of Receptacle Outlets b No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches�— Lk No. of Gas Burners o. o etection an Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: umber """""""............ Tons """"""""""""""' KW No. of elf -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ un'cipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. o Water KW Heaters o. o o. o Si ns Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP a ecommunications iris No. of Devices or Eq uivalent OTHER: Attach additional detail if desired, oras required by the Inspector of Wires. Estimated Value of Electrical. Work lasoo 0 U (When required by municipal policy.) Work to Start: I t - e IL - a cru V 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 cov age 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 and penalties ofperjury, that the information on this application is true and complete. FIRM NAME: — 4 M 6, �1 c L l e t . nL i !g / 14 C_ LIC. NO.: Licensee: /}. H r—HO JUV h u -r o n- C^ Signature LIC. NO.: (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 978-37.1- 7 Address: le S /4- v c. u )t. 0 ()Nr r 14A v E -n If I L C, U/8'S S Alt. Tel. No.: SOP -155- TTY-) *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 Signature Telephone No. I PERMIT FEE: S -r vu ate. /� .... . . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING t5 ,SSACMU9� This certifies that ........... .. ... ......... . f has permission to perform-.... ...... ......... ,,mo�ii.. ��...... . plumbing int e=buildings of ......... '' ': . !- ........... at - .,..... , North Andover, Mass. 7 - Fee.. r...... Lic. No... - { ......:............ . ' vPLUMBI, INSPECTOR Check # 6 l,—? 7919 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building LocationS?,S�'Tt.t cri jar lye � � ` Owners Name No c7� G: aS l ke 'HaSDate _1! �� 0 ,,� f Permit # / 0 CT� A- b ver Type of OccupancyAmount l� e ^ /-�- a X� New Renovation M Replacement Plans Submitted Yes ❑❑ No PTVTTTD'L-o (runt or type) Installing Company Name ,1—Check one: Certificate Corp. Address _ oLa a L4/t C ds?Cr -5,7, , L< 0 Partner. Business 1 elephone El Firm/Co. t Name of Licensed Plumber:M (1`7c (�� �e r I G e(- t .Insurance Coverage: Indicate the type of insurance coverage by c 'hecking the appropriate box: Liability insurance policy ❑ Other type of indemnity ❑ Bond Insurance Waiver. I, the undersigned, have been made aware that the lice three insurance nsee of this application does not have any one of the above Signature Owner ❑ 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusett State Plumbing de d Chapter 142 of the General Laws. By: 'gnaWre o' l..icens um er Tide Ty of P1 bing License City/Town 'cense um er APPROPROVED to�tcE USE ONLY Master Journeyman ❑ Date . U..... . TOWN OF NORTH ANDOV STA This certifies that ..r�................... has permission for gas installation ' ..... . ....... . in the buildings f ........................... .. .- ... at ....... - 'b.. ...`.. ...., North Andover, Mass. Fee°- . v.. . Lic. No..!a.4 .? .. .............. ......... . GAS INSPECTOR Check # r 6614 F MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locutions 6 l.(�`l P t IQ ( Owner's Name New ❑ Renovation Replacement ❑ Date Permit # Amount $ Plans Submitted ❑ (Print or type) Name_ Address V,q t as i Cc- . S C_, E o ++. c ✓1 s( r Name of Licensed Plumber'or Gas Fitter ` v It ( It I- 6cr- Check one: Certificate Installing Company ❑ Corp. ❑ Partner. Firm/Co. INSURANCE COVERAGE I have a current liability Insurance' policy or it's substantial equivalent. Yesc❑e: If you have checked Yes, please indicate the type coverage by checking the appropriate box. No❑ 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. Signature of Owner or Owner's Agent Check one: Owner 13 Agent -13I hereby certify that all of the details and information I have submitted (or entered) inabove application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas ode an Chapter 14 f e General Laws IBy: ity/Town, PPROVED (OFFICE USE ONLY) c Signature of Licensed Plumber Or Gas FUitter ❑ Plumber Gj3 ❑Gas Fitter (cense um er ❑ Master ❑ Journeyman f Construction Control/Final Report North Andover, Massachusetts PROJECT TITLE: NEURO -REHAB ASSOCIATES INC. d.b.a. NORTHEAST REHABILITATION OUTPATIENT CENTER PROJECT LOCATION: 575 TURNPIKE STREET, SUITE 11 NAME OF BUILDING: CHESTNUT GREEN NATURE OF PROJECT: 1884 sf Renovation to existing Physical Therapy Clinic. IN ACCORDANCE WITH SECTION 127.0 OF THE MASSACHUSETTS STATE BUILDING CODE, 780 CMR I, JOHN T. BRENNAN, REGISTRATION #AR -4808 BEING A MASSACHUSETTS REGISTERED PROFESSIONAL ARCHITECT DO HEREBY CERTIFY THAT THE RENOVATION TO THE EXISTING MEDICAL OFFICE SPACE HAS BEEN COMPLETED IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS PREPARED BY MY OFFICE AND, TO THE BEST OF MY KNOWLEDGE, DOES CONFORM TO ALL APPLICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES AND ALL APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY AND THEREFORE IS APPROPRIATE FOR OCCUPANCY AT THIS TIME. SIGNA DATE: A '� 'Y O 0 �.. O � h (� cn 5v W j Ua�' a°4a 0. A '� o o H t� 'Y O 0 �.. (� cn 5v W j Ua�' a°4a (� 20 V) U) o o H t� © 3v >1y l 3 0 0 y �' ► g � c O y - fir �o ��- C �N o o H t� 0 OO W O 79 O O L O Z � CL O y � C _ AD CM D _ O.� y O O m m .co t0 � C O cm O O� CL. CM< ca0 ccc Q c Z di CL V y O C c — '- c !ccCL = H 0 0 c O y C �. CL /. d C R A I. O C O - 0 C mm v � y toZ O y `�; 3 •• (�• o C C NO �.Ea cm y m 'fl CD C �t cm's c •J C.C= ID o C C m `o � •S ..: caoo c •C H = m m y m C `m o N Y y W O A 'fla'C_, .... •N o C a = Z y a 4D CIO s" CO2 s a4 -m> 0 OO W O 79 O O L O Z � CL O y � C _ AD CM D _ O.� y O O m m .co t0 � C O cm O O� CL. CM< ca0 ccc Q c Z di CL V y O C c — '- c !ccCL = H Office Use Only / v P (fammunwratO of flagoCat useft9 Permit No. 3epartmrnt of Public �Afrtu Occupancy ,& d Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/so (leave blank) f/ g APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date / �/ 0- (X* (X* or Town of NORTH ANDOYER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) � ber) 6— ' '" f 2 v"ic, / /,Z:/ 7 Owner or Tenant/V10�U ` /< 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 _J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Co eted Operations Coverage or its substantial equivalent. YES/of NO I have submitted valid proof of same to the Office. YES � NO ::If you have checked YES, please indicate the typcoverage by checking the approfiriate box. INSURANCE BOND OTHER � (Please Specify) (Expiration Date) Estimated Value of Electrical Work S Work to Start Signed under th Pe alr" ((ties f pe)r� FIRM NAME E"v Inspection Date Requested: 'moo(AA (-,0-) , Final LIC. NO.,A Licensee 0\u-t7A­kw bA` Signature �j��1Bus. Tel. No. G Address q 4 v j� � a Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S (Signature of Owner or Agent) x-5565 Total No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA No. of Lighting Fixtures /�, I (fG Above Swimming Pool grind. ❑ In - grnd. ElI Generators KVA No. of Emergency Lighting No. of Receptacle Outle I No. of Oil Burners Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Total No. of Ranges No. of Air Cond. tons Initiating Devices Heat Total Total No. of Disposals No.of Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices Municipal 11 Other Local ❑ Connection No. of Dryers I Heating Devices KW No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Co eted Operations Coverage or its substantial equivalent. YES/of NO I have submitted valid proof of same to the Office. YES � NO ::If you have checked YES, please indicate the typcoverage by checking the approfiriate box. INSURANCE BOND OTHER � (Please Specify) (Expiration Date) Estimated Value of Electrical Work S Work to Start Signed under th Pe alr" ((ties f pe)r� FIRM NAME E"v Inspection Date Requested: 'moo(AA (-,0-) , Final LIC. NO.,A Licensee 0\u-t7A­kw bA` Signature �j��1Bus. Tel. No. G Address q 4 v j� � a Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S (Signature of Owner or Agent) x-5565 Date... /. � ....� il�i753 ,&ORTPI - - - 3?°;< TOWN OF NORTH ANDOVER PERMIT FOR .WIRING ,SSACMu`�� N •j?: r. 4,1 This certifies that ....:... -....: has permission to perform .......... �.. �X ....• wiring in the building of ... 214. ..��.. ...........�� ,. T at ... ..., ... r ......:. , North Andover, Mass- �, w ! Fee... .......... Lic. No:./p.. � .......................................................... ELECTRICAL INSPECTORI. WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 4; jr - —.. �IAS6AL' SETTS UNIFORM APPLICATION POR - PERMIT T -O- DO-GASFITTING (Print or Type) NORTH _ANDOVER, , Mass. Date 19 Building 75- 1--L//w A Permit # ,T Location �� .S`7` Owner's Name _ No AvodYt� P%,S64L r(' t&A-Px New ❑ Renovation ❑ Replacement [I,—� Plans Submitted: Yes ❑ No 9-- Installing Com nyName_(�aRF—PI"A IJ Address_1 k /L vim( t✓ �/ Sa4-1 e,� /�(/ o �`j Check one: Certificate Q Corp. Ei Partnership Ca-FtFf'n/Co. Business Telephone_ 1n V -5 746 &S--S--- Name aSSName of Licensed Plumber or Gas Fitter �� wl e_— INSURANCE ✓ INSURANCE COVERAGE: Check one have a cement Iiabliity Insurance policy or its substantial equivalent. Yes b�� No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy Ur-" Other type of Indemnity O Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the Ilcensee 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 ❑ %natute of Owner or Owner's Agent 1 hereby certify that an 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 an plumbing work and installations performed under than Issued for this appl Ion will be In compliance with all pertinent provisions of the Massachusetts State Das Code and Chapter 142 of tha flaws Cftynown APPfK&TD (OFFICE USE ONLY) Tof License: NIMaster Plumber n ns um er or Gas Filter Gasfilter C� Journeyman License Number M P (:7 7 mu/t1/t1■ NNNNNNN Installing Com nyName_(�aRF—PI"A IJ Address_1 k /L vim( t✓ �/ Sa4-1 e,� /�(/ o �`j Check one: Certificate Q Corp. Ei Partnership Ca-FtFf'n/Co. Business Telephone_ 1n V -5 746 &S--S--- Name aSSName of Licensed Plumber or Gas Fitter �� wl e_— INSURANCE ✓ INSURANCE COVERAGE: Check one have a cement Iiabliity Insurance policy or its substantial equivalent. Yes b�� No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy Ur-" Other type of Indemnity O Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the Ilcensee 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 ❑ %natute of Owner or Owner's Agent 1 hereby certify that an 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 an plumbing work and installations performed under than Issued for this appl Ion will be In compliance with all pertinent provisions of the Massachusetts State Das Code and Chapter 142 of tha flaws Cftynown APPfK&TD (OFFICE USE ONLY) Tof License: NIMaster Plumber n ns um er or Gas Filter Gasfilter C� Journeyman License Number M P (:7 7 Id m m •o C � X 3: n m o0 -� o O 0 Z � O s z 0 xi .n ' rn. I M ! o .w m ' 1 m m •o r n D o0 -� ►m - O 0 Z � O O z 0 xi .n -) M ! o .w m o 0 0 ' � Q � N ^1 ' • z O ! ;7 Date.. . 667 TOWN OP NfEjOVER PERMIT FOR GAS INSTAL" SSACHUSE Vo . 1, V14, This certifies that ... has permission for gas installation, R-191ti-CIP. in the buildings of 0Au r ; t``t`�r at i- I,.-bl. 4-rV NAo&r VAn'dolve Mass. Fee. .12 ..... Lic. Nomil?'VIj. ......... ........... GAS -INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Tfeasurer - GOMFile