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HomeMy WebLinkAboutMiscellaneous - 63 EMPIRE DRIVE 4/30/2018 Date. n f //i�........... d .. OF r►ORT/y,� TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION CHU5�t4 This certifies that ..� U. .... .....�.`.�......6...................... ............................... has permission for gas installation ... o o �.......6 ....... ....................... inthe buildings of................................................................................................................... at.... -......Irtv.-..:.......... ........ INN nth Andover, Mass. Fee.,..".O. Lic. No./�. v.. ................................................................ GA INSPECT R Check# J��U . +� 4 U J, MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITYD< oj MA DATE PERMIT# JOBSITE ADDRESS ID a L�mU�lP r_OWNER'S NAME r1 I I )° / ►Z GOWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ® RESIDENTIAL W PRINT CLEARLY NEW.0. RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES❑J NOF APPLIANCES 1 FLOORS--> BSM' 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE - GENERATOR -- GRILLE -1 �-J --- - --- - - - - _ -- -- — INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT _ OVEN POOL HEATER ROOM/SPACE HEATER _ ROOF TOP UNIT TEST ,I NIT HEATER UNVENTED ROOM HEATER ATER HEATER THER l INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES*�tNO El IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY [ OTHER TYPE INDEMNITY F BOND Ej 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 F AGENT SIGNATURE OF OWNER OR AGENT 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 Pertinen ovisio f the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. !, PLUMBER-GASFITTER NAMES LICENSE#36 SIGNATURE MPW MGF F JP ® JGF Q LPGI© CORPORATION©# PARTNERSHIP®#=LLC F# COMPANY NAME: ✓ � �^ ADDRESS J CITYJ STATE®ZIP D/ TEL FAX CELL j EMAIL C _ Y The Commonwealth of Massachusetts { Department of Industrial Accidents M � X Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electriciansli.'lumbers. TO BE FILED WITH THE PERMITTING AUTHORITTY. ..Please Print Le 'h A licant Information Name(Business/Oigai&ation/In&vidual): Address: Phone City/State/Zip: � :. ... Are you an employer?Check the appropriate box: Type of project(required); em to ees full and/or part-time).* 7. ❑NeVV Construction 1, am a employer with P Y 2. I am a sole proprietor or partnership and have no employees Working for me in 8. �Remo deliiig any capacity.[No workers'comp.insurance required.] 9. El Demolition 30 I am a homeowner doing all work myself~[No workers'comp.insurance required.] 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 11.❑Electrical repairs or additions ensure that all contractors either have workers'compensation insurance or are sole 4 proprietors with' "employees: 12 k'lunTb111g repairs or additions S.❑I am a general contrado{and I have hired the sub-contractors listed on the attached sheet. �3•Q Roof repairs These sub-contractors fiave employees and have workers'comp.insurance.t 14.Q Other 6.Q We are a corporation and its.officers have exercised their right of exemption per MGL c. 152,§1(4),and'weHave no employees:[No workers'comp.insurance required.] *Arry applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. i Homeowners who submit-this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such i o meowrs 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. 'compensation insurance for my employees. Below is the policy andyob site X am an employer that is providing-workers information. Insurance Company Name: Expiration Date: Policy#or Self-ins.Lic.#: Address:_ City/State/Zip: Job Site A number and e irat'on date). Attach a copy of the workers' compensation olicy declaration page(showing the policy gP Failure to secure coverage as required under MGL e.152,§25A is a criminal violation punishable by a fide 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. X do hereby certi under d? pains and al' ofperju at the information provided above rail rect Si Date:afore: _ Phone it: Official use only. Do not write in this area,to he completed by city or town offaciat 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 Phone#: Contact Person' 1 Date.... .?... .. .-.l-S I OF NORTF�,h � TOWN OF NORTH ANDOVER PERMIT FOR WIRING { sS,CHUS� i This certifies that I has permission to perform .......... ... ....... ..................................... wiring in the building of.............. r'� .f.vo................................................................ at ... ... ?......... /N1...2 ...................j\n\`, ..nNorth Andover,Mass. Y'...�4. Fee..,�7 `�..�.�'� Lic.No. ..�............ T Z� ................. ,+ 4 E ECTRICAL INSPECTOR Check# ( y 1 � • - - Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. L2 ,3.-? ,o Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leaveblank) 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 WINK OR TYPEALL INFORMATION) Date: 0! - '/;s 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) o S EW)1p 12c rp!? Owner or Tenant 50 1 Telephone No.`s 7 p'f t t Owner's Address ^�,q,M,r Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Serviced M Amps 1 / 7 C Volts Overhead❑ Undgrd No.of Meters ft New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: .4 t2-J F_) -1IJCa2od-JD G Uri 77- Completion ofthefollowingatable maybe 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 TubsGenerators KVA No.of Luminaires Swimming Pool Above ❑ In- IN o.of Emerge-n-cy-EigEting nd. grnd. 93 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 and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number Tons KW. No.of Self-Contained p Totals: 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 IOV No.of No.of Data Wiring: Heaters Signs Ballasts 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 regadred by the Inspector of Wires. Estimated Value of Electrical Work: _tf.2 G D (When required by municipal policy.) Work to Start: 5 Inspections to be requested in accordance with MEC Rule 10,and upon completion. iE INSURANCE COVERAGE: Unless waived by the owner,no permit for tlic 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 K BOND ❑ OTHER ❑ (Specify:) I certify,under thepains andpenalties ofperju_ry,that the information on this application is true and complete FIRM NAME: C,C AI 15 -ffa A t C LIC.NO.:1,2��g Licensee:(7,4 u,4 l�✓j,�/ Nit/ 5 Signature LIC.NO.: 7y E flfapplicable enter"exempt"in the license number line.) G C Bus.Tel.No.: 2ZZ97T Address: A 8 Ox -Z 2c�fr G.,w� /11 3 3 Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,security' work requires Department of 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 PERMIT FEE.$ Signature Telephone No. The Commonwealth of Massachusetts Department of Industrial Accidents a s d 1 Congress Street,Suite 100 Boston MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information ) Please Print Legibly Name (Business/Organization4ndividual): �'�V ► r. ►��S Address: (7 GX 7 O;033 City/State/Zip:T2Gexl-t k), 1-� Phone#: e) 9 7 3 A3 7 Are you an employer?Check the appropriate box: Type of project(required): 1.N I am a employer withemployees(full and/or part-time).* 7. ❑New construction ees working for me in $. Remodeling partnership and have no em loy g 2.Q I am a sole proprietor or parte p P ❑ any capacity.[No workers'comp.insurance required.] 9, ❑Demolition insurance required.]t. 3.❑I am a homeowner doing all work myself.[No workers'comp. 10 n Building addition 4.F1 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are Electrical repairs or additionse sole p proprietors with no employees. 12.0 Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs p These sub-contractors have employees and have workers'comp.insurance.t 14. Other`jJ�sA rr 0I G'C t< per MGL c. cers have exercised their right of'exemption p 6.Q We are a corporation and its offs a 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. indicating the are doing all work and then hire outside contractors must submit a new affidavit indicating such. it this affidavit m i g y g Homeowners who submit ities have � #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not thoseentities 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:7f:,h O-C eco-S Policy#or Self-ins.Lic.#: ��cl�G"�-L`'� -- Expiration Date: Job Site Address: oi\ l LO C-Z City/State/Zip:A)G ►J _✓�'� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert' nder th pain' n pen ti f peri tl he information provided above* true and correct. Si afore: Date: �� l X> Phone#: 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 Phone#: Contact Person: OMMONWEALTH-OF MASAC`HUSETT: ; S .T:H E F O L L OW I N S E ISSUE::.;.;::>:..;:.; N.. V i',A-, ;Q.: A S< A :RE' ' JO URN EYMA . <ELECTR r G �G, D<A1 D<!'A DEV I NCENT'I 16 LOST 03048 490 I.. 29743.:..E 07/31/1:6 47255 . . '::COMMONWEALTH OF MASSACHUSETT:. :;`` > BOARD Ut E;L:E'C"I Cl AIDS j SSUES THE FOLLOW I NG Ii :i'CENSE AS A; REG15T-Rto MASTER ELECTRICIA >:DEViNCENT ELECTRIC r F AV 16 A---:-DEi1f l.N C 1=NT I S >, =;�. DZ PO 3'7 3 O.�RC I N E ;; <:NH 03033-031 F3R` ::::;< ;:: ..;;: Y 31.A >. 47225 71 -9 81)7 , Date.�.....z.�...r........�.. l S f NORTH 1 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING CHUs� • This certifies that ....../. ..... 5.. has permission to perform ...� ..'...t......, t �....... ............. wiring in the building of...... ......... ......•..................... at..... .3.........1 ................................................,North Andover,Mass. Fee.D.U:...�: Lic.,No"--.n�........... ... .... 1: ELWMCAL IMPIr/Rr.............. PC'O Check #/2=Z Ci V ti ___ {[{f —-_ __ __...�_� .,,.� . •v.i�7rt7LriYJP,.ttJ t •'u tl f,lt t .�t qrf'. Department of Fire Services ''ettttltt, - %'T''` BOARD OF FIRE PREVENTION REGULATIONS OcctJPiIIt`` and I cc C liccke i 1Re q'o;I - tliaii hl�uit.1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WOR U tturl, ill he t4irtitrluiil in;t4ls+rclattti«itlt !Itr tla ac!tu.itt, I Icilnial("ode(\if t 1. *;27( MR I_'tits LW-, ! RIA [ /\ /.\h t1R C-)!'!. .[LI_ I_�1l1R;tl.11/f).\'I _ !)ate: - Z3 y�d Jrl tllt• l►L'; t-t-fo r n/ tf ire,o. 141 Ihr, .tittTliiatlt4n tfr� untlrr,,Igncd s,ives notice(ti his t+r tier ilitention to (1rrl(4rnl the rlrcirical uto-f�tkticrihed h.:ltttt Loc:ritt►o 14trcrl . Number) T�Q ,/� Telephone No. lh�nrr . \tfdres. -- I— f*- -- I ire, 1% fhi% perutit in conjunctit►n with a building permit,' yes titr � � (("her#. ;\ppropriatc lfut) 1'urptr.�c of liuildirtK ' V-.0 -L- --C --._ d/ t lilit\ Atit horii:rtiutr No.. F;sisttul; �cr�icc trn tolls 0,.erheatl • —I 1`nd9rd 1--i No. of Meters 21cw_"Cul Wc 249-1/ Antpoi !2 </ Volts Osenc�ad -- �2y =_•�__ l.ndf;rt��tt►. ul t'telerc 'Vttnthcr r►f t•cettcrs and Antllacit� ncattrtn ant# Nature (it'll roposed Electrical tt`ork: Iw _ _.------'---------` --- _ . . aw i tt,tS:<Vi! ifr,_" l,9-.••:, rn No. 44 Keceaed Luminaires No.of Crit.-tiesp.(Paddle) Fansr►. o uta franformers hV.\ q din. of I.untinaire Outlets Nil.of Ilo{ fobs — Generators hV,� No- rut' I.rrnrinaire% \hove rt- I ----- Swimming toot 1 r -; t►. fe Unit% nc� .r;; rn� iIrn(}- �"� grnd. L� Batten ['nits 1fr►_ Orf F(cceplacle()trtivts ilio.of oil Rurner% —_ —.— FIRE •\LAK•tis No. of Z()Fle\ No_ of St%itches No. of(.'a% Burners N`*o­.__oT Detection ant --� — _ Initialing De'.ices No. of air Cond. otat (arts No. of Alerting I)r%ices �u. rat tt;r�rc 1)i�pnscrs ca( ump om er t ons h o. o c - unt:rtncd Totais: ! l UetectioniAlertrn g Del,ic' � t. Nit_ (if SI)ace)Area licatiu;; 1�tt i_, unicipal r , Ltwal!.- t t)ther --— ' Connection 1u. (if 1)1"ter' Ileatill' •\pplianct'S Sccurit� tiNvtcros: —t h tt tr. t �G+terNu.•of hes ices or Fa uit;ticrtl o.o -r► ticatcrs htt Data tt'irin .: Signs Ballasts1+ Vu .of I)•� c n:cs or !a ui�aiutt 1rr►. (l�drorua��;tt�t• Kathtuhs , — fro. of Motors l r►tal H1, ckcontntunrcatu►ns trin 4)1fil.R: trt .t#int I ,11IaJl:'ti ... � ,',1. •-� :r• :,.ru:�,:; � „ l�;•;•: .;.:. „ � .ilni" „t i (ii:trti,tl ttur{,: _ ____ tt�-hilt riyuirit! lTt ntaluiti Tu �tilii_t ) '. It) `t.ut / Z� �l �frt�fteetit►rt. tohe rryucNlcd III ,"v"I'd:ttfii• Ni lit, \111 f tlttii In ---- Jrttt ulhFlt it+lttj`titt„t. Ok1-.12 \(.,E: l nlrti> uai�iii ht the ,411419-4. !)4+pk:rntit low tlii pCHol-111,111"C ut i1cctn—d tttxh Itt,rn Illi III t'I!'„ i jilt,\!,ii�. 4T(t 4t 4t tft II,Ihlllt� Irt�llrirllCl' {Ili lllltllt_••l t+Ii:IT1l'tY'i#tt� � ,.7i� - !"9-r<flttflt tis it. .ilh.t;tali.;i JI c<lit"�l"r".�.-.l �,l:r rll�i - 111,41 �11ih 1.(4bt•ra Wil• r\ - i9-. .110 ha"i\hthitet) 11144(4l ut alttl.' t<41119- hrinill [.)1111.11 i f {`ttil.it� t /tv rti/1'. urrr/rr fhe/Milli, !rail penaltie.► ufnerjarr. t/rut Ike ill 1tti{':: ji►raurtiurr fill thisgl,l,Ilin111111tiurl 15 t/ur' rJ irrrn/,/ive. '49-(11 ♦ � ..5.�r #.1( \t) 1 f y_ ,SS MIlt'iilia' �- �� -•�-- • --------��`--/�iy�C� l��.__�/1d"Y_�TN. Tet_ tit►.: ------ .._ ~9-1.4!1 9-l'. ti, .iclN ( ta1(1,iCt11f t t�iit.i (!11\1 K ♦ ISSI 1'tton9-i #itritC#ti.attr ,ti —i411!9-1 Ihi RAN( ftt \ILER: 9- -- t liitt�ii ,h,1 t ,!„I i,:Jf, tlti liahilit9- !n,llr.tlti.; i<+1il.t+_i Hi;I11),tilt !it nnctl 1,•, t.t`,1 (9-1 !t!t .t�• 1, 1 _t rturi hi1t19-1. i 1?crib! u.u1t: Iltt lit.uir9-ntiru 1 .0?t til ' 1 i (1tli�f t+n9-t "..t 119-1 i t i 1ign:►rtrrc Tetetrttr,rrc• �(,. P/:K�1IT /•�l-:F.': S ! Date. 88 , 6 /// No 'rot TOWN OF NORTH ANDOV PERMIT FOR PLUM G f 'SSACMUS� f �f This certifies that . . . . . . . �/�. s(. ... . . . . . . . . . . . . .. . . . . . has permission to perform . . . . . . .. . . . . . . . . . . . . . . . �C plumbing in the buildings of . . � `� `.� . . . . . .�. . . . . . . . . . . . . . at . > .??.. . . . . . . . . . . . ``. . . . . . . . . . .i. . , North Andover, Mass. Fee 32 . . . . .Lic. No.. . . . . . . PLUMBING INSPECT,OR� Check # 3 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: /V. _, MA. Date: 1 3 ti I Permit# Building Location: ��D tO6 e(Awl A✓e-- -4--cr)— Owners Name: R��--� 1 ►9/e e L(_ Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential New: ❑ Alteration: ❑ Renovation: ❑ Replacement: [ Plans Submitted: Yes❑ No❑ FIXTURES ca C6 W LU co a co v = mW W v co 0 = co 0 W w QQ O J } W O w y w w W m o Q a LU H o 0 w X Q' > fA V Z w w O W W 0 Q W x X W U �. Q 3 J W Z = W ~ co Z Z W > W Z F H O Z J QU' LL W l.- FW- W v o o LL t7 t9 x x 0 00. a x > > > 0 SUB BSMT. 'BASEMENT ''V" FLOOR 2 Nu FLOOR 3 FLOOR C FLOOR --i'FLOOR 6 FLOOR 7 FLOOR V FLOOR Installing Company Name: P cus t-1 t r, Check One Only Certificate# ❑Corporation Address:� City/Town: M e Wim. State:_ell ❑ Partnership Business Tel: 017�-6 V.*,- Fax: • 0'Ft'm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes$1Vo❑ 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 Signature of Owner or Owner's Agent Owner El Agent El By checking this box❑;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. Type of License: n By ❑ Plumbers Title ❑GWitter Signature of Licensed Plumber/Gas Fitter [master City/Town [-]Journeyman License Number: APPROVED OFFICE USE ONLY El LP Installer 7 Date. J . /��! . .. . .... . 40RTH pf +�ao ,e�hp l TOWN OF NORTH ANDOVER O � D PERMIT FOR GAS INSTALLATION SSAC NUSE This certifies that . . . Cr. `.!y.f�� `l . . . ��� . rf. . . . . . . . . has permission for gas installation . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . at . . / . . �.2 . /4. "e. . . . . . . . ., North Andover, Mass. Fee.fiU0. . . . Lic. No..l . . . . . G S`INSPECTOR r Check# MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING CityrTown: MA. Date: Permit# Building Location: 0 f/-YA 5 J - f.1•s.,(— Owners Name: 19 A u&' —T Type of Occupancy: Commercial ❑ Educational❑ Industrial❑ Institutional❑ Residential New: E?r Alteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes❑ No❑ FIXTURES LU Uj Y = Z to U a m = Ir 0 0 (W7 W U W H !D O W W z z z F W W 0 Q D W W I M O Q a 1- o W X W > to v z O I-- W vn O a W 0 = E- w WWzW w F- o > U W z Irm -� 1- H O z -j 0 W W � ui t•- � W z W } N =� a Q Qm W O z 0 W _ > z M 0 0 0 _ _ > O Q O w z z W Q t- J O 11 fes' fY H > > > 3 0 SUB BSMT. BASEMENT 1 FLOOR 2NOFLOOR -S'FLOOR 4 1H FLOOR 5 FLOOR -i'FLOOR 7 1H FLOOR 81H FLOOR Installing Company Name: GAL100 PLymamy, {� oG Check One Only Certificate# [Corporation Address: P.0. (50)C 1101 CityrTown: NAQE(LI+t LL State: rA•tV E]Partnership Business Tel: 4�j-37y- 1743 Fax: GAS- Sc21 y 13( ❑Firm/Company Name of Licensed Plumber/Gas Fitter: STE P N 12N3 . C. GALz NSYN INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 Yes ZNo❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Q' 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 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. B Type of License: By [dumber AC Title ❑ Gas Fitter Signature of L ensed Plumber/Gas Fitter WMaster City/Town ❑Joumeyman License Number: APPROVED OFFICE USE ONLY ❑ LP Installer Date//Vz. . . . 88 . 5 ".oRT"rho TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 40 tSAC04U5��, This certifies that . . . . . . . . .r . . . . . . . . . . . . . . . . r has permission to perform . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . at . . . . "' - !�`',/1!!'. ` . , North Andover, Mass. Fee.y?.0 . . .Lic. NoJG. .`'. /). . . . . . . . . . PLUMBING INSPECTOR Check # ((O MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town:_f`1043 h PNrj- 1 MA. Date: Permit# Building Location:_ Owners Name: orC,►„o,reQ V 1(L�LU-, Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional❑ Residential ER- New: Alteration:❑ Renovation:❑ Replacement:❑ Plans Submitted: Yes❑ No❑ FIXTURES DEDICATED ac Z SYSTEMS z W Y W z H V) x h a o in %n 4AI.- Y Q v1 LU � cQ Ujj �7 OC � Z � z W z W z d' h Z F L H z N 4('n X 4n W Q 3 m vl OC oc } W Q Y w (g 0 a x = J Q Q ae 0 ' Q 4j a Q z o 0 o: o: _z 1A D z V d W 3 LL �..' Ln d' W D a W H J oG oC a. ot! 0 3 z Q Y W Q } 1- W u F- O O 1. U > > C O O z Q Q Q x V1 W Q Q y 4 Q Q 1A 1A 0 C Q Q 0 0 l a m m o o LL x Y J J � ,SUB BSMT. BASEMENT 1 1 1'FLOOR I 1 2ND FLOOR Z. P FLOOR FLOOR 5T"FLOOR FLOOR T"FLOOR FLOOR Check One Only Certificate# Installing Company Name: VA L i MSKY PLOMPSl f�k, d4 JACAT14 dcorporation 2)(al(o Address: P-0- COX 1701 city/Town: N AU C-PPir i. state: M. ----------- ---------— - ------ ------------------------- ❑Partnership----- -- - --- -- ---_._.._ _ _. Business Tel: q1$- 37y- 17'f 3 Fax: q 7$'j ;Ll-e41301 ❑Firm/Company Name of Licensed Plumber: STEPKEA C. GALL O!5y 6? INSURANCE COVERAGE: 1 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 of coverage by checking the appropriate box below. A liability insurance policy Q� 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 1 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. BY Type of License: ` Title p(Plumber Signature of icensed Plumber City/Town p'Master License Number: 103413APPROVED(OFFICE USE ONLY [:]Journeyman r LAWRENCE H.OGDEN,P.E. 198 EAST MAIN STREET GEORGETOWN,MA 01833 978-352-8318 faa 978. 352-2858 cell: 978=502-5921 February 2,2011 Mr. Robert:Messina Orchard Village LLC. Empire Drive North Andover;Ma 0.1845 RE! THE BRENTWOOD GB#6314 Lot 23 Fmpire Drive;North Andover,W 01845 Dear Mr.Messina Ase . you requsted I visited the site 2/1/11 t6:review the installation of the Engineered Materials consisting of LVLs and Pre-Engineered floor joist utilized inahe framing of the above project. These are shown on plans prepared by GI Bruno and Associates A-1 to A-5 Dated 6/9/10 with the`framing sheets eertified by me 7/7/10 and revised 8/25/10. The following items require additional work_ 1. Insure that all LVL beams are connected to with Fasten Master Truss Lok as shown o%n the drawings. A few beams did not have these connections. 2. The 3/4"plywood at the ceiling joist to rafter detail at the LVL beams was>not installed as shown on SK-1 dated 12/1/20.02 which was a revision to accommodate revised:hangers. At this time it would be extremely difficult o install the plywood shown iri this detail therefore i instructed JeffHorn to Plywood over the exterior ceiling areas behind the beams,'ths is to resist the thrust from the roof rafters: Based' an the above site visit and based',on what I could visibly it isi . b1y see provided the above additional work is completed I can certify that to thebest of my knowledge the LVLs members and`Pre-Engineered floor joist utilized in the framing asahown on he drawings are:installed properly and meet the loading conditions of the Massachusetts` State Building Code for 18c2 Family Residences. This certification assumes that all other` framing requirements of the drawings and code, including but not limited to materials; n411ng chedules,blocking;connections and other details were properly complied with by the licensed construction supervisor responsible for the project. Should you have any questions please do not hesitate to call. � 4 Your truly, / o AWPECE mss. awrence H. Ogden P.E. Structural 27-65 Cc:Mr. Gerry Bruno �F sr N A — -. Copy mailed to Mr. Robert Messina,44 Great-Po ndRoad,Boxford,Ma. 01921 Z��� p l` LAWRENCE P.E. 198 EAST MAIN STREET GEORGETOWN MA 01833 978-35278318 fax 978-352-2858 eell• 978-502.5921 February 2,2011 Mr. Robert Messina Orchard Village LLC. Empire Drive North Andover,Ma 01845 RE: THE BRENTWOOD GO 6314 THE FOX BROOK GB#F676 Empire Drive,North Andover;Ma. 01845 Dear Mr.Messina During my, site visit of 2/1/2011 Mr. Jeff Horne asked me if it would be acceptable to revise the main roof rafters from SPR2*12 @ 12"to Douglas Fir Larch North at 16"oc. He said he was using the Douglas Fir rafters any way because of their length:which was not available in SPF: 1 reviewed this revision and it is acceptable using Douglas Fir Larch:North, With pecifications ofFb.= 1350 psi. `fv= 180 E.= 1.9. All other details including SK-1Bentwood;Fox Brook dated 12/1/2010 should Still be followed. This:revision applies to both the Brentwood and Fox Brook units. Should you have;any questions please do not hesitate to call. Yours truly, Lawrence H.Ogden P.E. Structural.27765 Cc: Mr. Gerry Bruno Copy mailed;to Mr:Robert Messina,44 Great Pond Road;Boxford,Ma. 01921.