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Home My WebLink AboutMiscellaneous - 630 TURNPIKE STREET 4/30/2018N O z. rA cz �r co Om O CO3 O O = W W W O �. /^W ` l� P+N CY ® z ._ W O O O � � � � W• ' o a w° Cf) o v GG .c a G L. U w" ' •� °�° a�' w a W ° cin � w �' v z v a. o G! C O O co cn a co Om O CO3 O = .0O2 m m co CL O O ~ Qv:co CO 3: O m = IN � o ;a. g o Q a• t Q G! C O O .O CL ow C C V U) cc C r Q cc O co Cc co y = t o c o rr 0 u c ® a .� CA O� m y _m s = y c y o E m _ -o o.co3 5 &Z y O CD m C: (� V _ O y.. .0 QI C_ N 1� m O f • m V y O �. O e+ cc 0 O D. C H ® O= : Vf ® C •C _ m m C2COD fV W C �••� •O t Z .� •CD y.r y.r O cc'r co •m d.= C m •y Z V v®�O _O ¢�¢ V� CL m.O� o '1 J O o a U) w 19 W W 19 W co Om O CO3 O = .0O2 m m co CL O O ~ CO 3: o IN � o cc o Q a• t Q C O O .O CL ow C C V U) cc C Q. co 25 U) w 19 W W 19 W M2 Date .12-,1 1/e M 2 :�.,-•_°;:.1�aoL TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 'fir,'+0+..�° ••'`�l9 SSACMUS� This certifies that .../� . �"� ...L ..�! .... .. . has permission to perform ...2...... plumbing in the buildings of .. �` �`... ` . .. !.''` .......... at ..�, .. !'.:. . /. `.. lo.rth Andover, Mass. Fee ..7 ... Lic. No..6 K 7 � .......�P\ . il�_� :F. -1..... . LUMB NG INSPECTOR Check # I1 0 2 l FIYTI IRFC MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: "17• C_� , MA. Date: T;1--/"/0 Permit# �- 4 Bullding Location: 0 � Pr�h-�A,/ Owners Name: Y Type of Occupancy: Commercial Educational ❑ Industrial ❑ Institutional ❑ Residential ❑ New: ❑ Alteration;, ❑ Renovation: ❑ Replacement: Plans Submitted: Yes ❑ No FIYTI IRFC INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes to No ❑ 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 j] Bond ❑ OWNER'S INSURANCE WAIVER: l 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 ❑ Sionature of Owner or Owner's Accent . I.hereby certify that all of the details and information 1 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 wii(be incompliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of thdGeneral Laws ; i '?. _._.4._ ,Type-of.Ltcense __. _._ v.. Signature tensed Plumber _ + �...__ y t .._ . ❑ Plumber fel Master 8 6 7 8 APPROVED (OFFICE USE ONLY) ,:, ❑Jou.meyrltan mbar - - - �( O V w IDS CO). a t� to a I-- Z a} a v� a 0 a -0 z M , w QQz .Q a IX ca z W c�� n. a p I- 3 x .'. z W. a a Z x LL W W. W a o fn I— Q >> U. o 0 g o z z co - _ I- I.- a a m a N m o o W a 0 0 o x Y g 5 o 1 x in In a 9� ,x. a 3� s a..� 3 0 SUB BSMT. BASEMENT .1 FLOOR 2 FLOOR . 3 FLOOR :.FLOOR4 '6 FLOOR 8"! FLOOR Installing. Company Name: Uptack Plumb ing_.f5 Heating,. Inc.._..: - !� Corporation 1415 Address: 32 Rochambault cityrrown:Fiaverhill So,tt,: MA ❑ Partnership Business Tel: 978 372-8503 Fax: 978 521-1438 ❑ Firm/Company Name of Licensed Plumber: Leonard A. )ffia11 INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes to No ❑ 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 j] Bond ❑ OWNER'S INSURANCE WAIVER: l 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 ❑ Sionature of Owner or Owner's Accent . I.hereby certify that all of the details and information 1 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 wii(be incompliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of thdGeneral Laws ; i '?. _._.4._ ,Type-of.Ltcense __. _._ v.. Signature tensed Plumber _ + �...__ y t .._ . ❑ Plumber fel Master 8 6 7 8 APPROVED (OFFICE USE ONLY) ,:, ❑Jou.meyrltan mbar - - - EDWIN A. WALKEY, P.E. 170 WATER STREET SAUGUS, MA 01906 (781) 233-76647410 November 30, 2010 Gerald Brown, Building Inspector Town of North Andover 1600 Osgood Street North Andover, MA 01845 RE: Office Revisions 630 Turnpike Street North Andover, MA Dear Sir: llellzo Pursuant to 780 CMR, Section 116.2.2, I inspected the work performed under the subject contract on 11 /26/10 and 11/28/10. All demolition work was completed on 11 /26. Renovations were completed on 11/28, except installation of new carpet and base, and new door and frame to the office adjacent to the reception desk. The work was scheduled to be completed on 11/29 and the space is ready for occupancy. Please call me if you have any questions or require further information. Very truly yours, Q,I Edwin A. Walkey, P.E. cc: Tim Frahm ,9802 r Date ....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ................ ................................. has permission to perform ............ ............................... wiring in the building of ........ .................................... at .... . . ....................... North Andover, Mass. Fee..(P Lic. No. ......... ...... IMPWMIt Check # 30 n Commonwealth of Massachusetts Official Use only W Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07] (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: //, 2-, 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 & Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Yes No U (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: No. of Meters No. of Meters Completion of the following table may be waived by the Inspector of Wires. K No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans o. of otal Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No, of Luminaires oven- Swimming Pool rnd. ❑ rnd. ❑ o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection an Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers eat ump Totals: m u__er - ons - - '' _____.....-..-"-'.. o. o e - ontame Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Conneectiuniction ElOther No. of Dryers Heating Appliances KW Security System. - No. of Devices or Equivalent No. of Water Kms, No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP elecommunications 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 thepains and penalties of perjury, that the information on this application is true and complete. FIRM NAME:' /& e, LIC. NO.: (7 Licensee: Signature LIC. NO.: (Ifopplicable, enter "exempt', in the license number lime.) Bus. Tel. No.; Address: �j��J� ��2i �!/� �' ;>h, , i1/� O �o �g Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work quires Depailment 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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ rlotjp/t /�4- ir I r. .9766 Date ..... NOR7`I� TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....................., �.., ..n ... z ............ has permission to perform .................. 1"4:;�:j� z_.................................... wiring in the building of ..... �`hirl�l f� r �� 1....%�.!%4............ at ....�......5....T..'................. . North Andover, Mass. Fee .... 1. : Lic. No. ............ ., PLEFiI ; IraPECTU Check # l�ommonwealth o/ Ma64ac4wette Official Use Only _ cc�� c��7 Permit No. `7� � 2epartment o/..fire SQruiceb Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank). APPLICATION FOR PERMIT TO PERFORM- ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical:Code (NEC), 7 CMR 12.00 (PLEASE PRINT BV INK OREA INF RMA ION) Date: ` '� %� 1 City or Town of: A4 Y&— To the-Insp o of Wires: By this application the undersigned gives notice of his or her intention to performhe�electrical work described below. Location (Street & Number) �j�30 / 2� fyl ,p/�� S'brnt , /4)d rM Ad 0Vw Owner or Tenant Owner's Address Telephone No. Is this permit in co nction w�M- ding permit? Yes No ❑ (Check Appropriate Box) Purpose of.Building e-3 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: Comnletion ofthe followine table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans°• Of Tota Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires swimming Pool. Above ❑ n- ❑ g. rnd. rad. o Lighting Battery Units . No. of Receptacle,Outlets No. of Oil Burners FIRE ALARMS No. of Zones - No. of Switches No. of Gas Burners o. of Detection a - - nd Initiatin Devices No. of Ranges No. of Air Cond. Toons No. of Alerting Devices Heat Pump Number Tons o. of elf -Contained No. of Waste Disposers p Totals: _ W_ Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW p g Local ❑ Municipal ❑ Other Cyyonnection No. of Dryers Heating Appliances r Security f Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters I Signs Ballasts I No. of Devices or Equivalent No. H dromassa a Bathtubs Y g No. of Motors Total HP Telecommunications Wi i1va No. of Devices or Ea uivalent 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 and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Conte EI_Pntr i e, LLL LIC. NO.: Licensee: Robert J. Conte - Jr Signature / , LIC. NO.: I a applicable, enter'`exeW t in the license number line. —� - - ll PP. P „ _ Bus. Tel. No 87 6931 Address:72 rreel- nawn . AvPn3uy HavPrhil1, MA 01832-4433 Alt. Tel. No.:978-360-1928 *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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE; $ �,�. �l� � y�- r� ej EDWIN A. WALKEY, P.E. 170 WATER STREET SAUGUS, MA 01906 (781) 233-7664 November 30, 2010 Gerald Brown, Building Inspector Town of North Andover 1600 Osgood Street North Andover, MA 01845 RE: evisions 630 Turnpike Street North Ando Dear Sir: Pursuant to 780 CMR, Section 116.2.2, I inspected the work performed under the subject contract on 11/26/10 and 11/28/10. All demolition work was completed on 11/26. Renovations were completed on 11/28, except installation of new carpet and base, and new door and frame to the office adjacent to the reception desk. The work was scheduled to be completed on 11/29 and the space is ready for occupancy. Please call me if you have any questions or require further information. Very truly yours, Edwin A. Walkey, P.E. cc: Tim Frahm A. tba T..8—.1-4 couat.vlv.. A r c h i t e c t s General Contractor certified / regular mail January 24, 2007 Town of North Andover Building Department Mr. Michael McGuire, Local Building Inspector 27 Charles Street North Andover, MA 01845 RE: 630 Turnpike Street, North Andover Dear Mr. McGuire During November 2006, 1 was in North Andover, traveling west on Turnpike Street and I noticed construction had been completed at the above -referenced address on the lower level and in the parking lot. Prior to this time, The Backyard Collaborative, Inc. ("tbe) had performed a code search and some preliminary plans for a previous tenant of 630 Turnpike Street. The tenant, however, chose to leave the building, and. did not undertake any construction. I later returned to the building to see that a Doctor Rahman, the current tenant, had fitted up the lower level of the building. Upon investigation as to the nature of the fit -up and the name of the Architect, staff in the Building Department told me that the was the Architect of Record.. Additionally, the requested copies of the documents in the property file and discovered a code search previously prepared by the for its client—the one that chose not to fit -up the space. Upon examining the interior and exterior canopies (to the color) I found that the layout was similar, if not identical, to the design the prepared for its client. There are also other documents in the Building Department's file listing G.J. Bruno of 28 Berkeley Street, North Andover, Massachusetts, as the registered architect on the construction permit application for 630 Turnpike Street on behalf of the Rahman Family Trust. As the only Architect at tbc, I am writing to advise you that the did not perform architectural services in connection with the fit - up for the Rahman Family Trust or anyone else presently associated with 630 Turnpike Street. The documentation in the Building Department file used for this fit -up was used without tbc's permission, consent or knowledge. the and I should not be listed as the Architect of Record. Please remove all refe'enc>es to +be as the architect of record from the file: since the and I did not perform the controlled c:_::.:.tructic,� req,;: ed under 1780 C, -IR. Sincerely; aviWlla AIA President cc: Mr. Henry Carpinto, Flagship Realty Dr. Rahman / 630 Turnpike' Street, No. Andover, MA G.J. Bruno, AIA / 28 Berkeley Street, No. Andover, MA W 7 Bridge Street Uriit' 9 x Billerica, MA 01821 tel. 978-667-7971/fax. 978-670-81.38„ email:tbcdsgnbld@aol.com www: tbcarchbuild.net l- Ti—u,..rr—d couono�o+�.•e A r c h i t e c t Genera) C—tr—tor certified / regular mail January 24, 2007 Town of North Andover Building Department. Mr. Michael McGuire, Local Building Inspector 27 Charles Street North Andover, MA 01845 RE: 630 Turnpike Street, North Andover C. Dear Mr. McGuire During November 2006, 1 was in North Andover, traveling west on Turnpike Street and I noticed construction had been completed at the above -referenced address on the lower level and in the parking lot. Prior to this time, The Backyard Collaborative, Inc. ("tbc") had performed a code search and some preliminary plans for a previous tenant of 630 Turnpike Street. The tenant, however, chose to leave the building, and did not undertake any construction. I later returned to the building to see that a Doctor Rahman, the current tenant, had fitted up the lower level of the building. Upon investigation as to the nature of the fit -up and the name of the Architect, staff in the Building Department told me that the was the Architect of Record. Additionally, the requested copies of the documents in the property file and discovered a code search previously prepared by the for its client—the one that chose not to fit -up the space. Upon examining the interior and exterior canopies (to the color) I found that the layout was similar, if not identical, to the design the prepared for its client. There are also other documents in the Building Department's file listing G.J. Bruno of 28 Berkeley Street, North Andover, Massachusetts, as the registered architect on the construction permit application for 630 Turnpike Street on behalf of the Rahman Family Trust. As the only Architect at tbc, I am writing to advise you that the did not perform architectural services in connection with the fit - up for the Rahman Family Trust or anyone else presently associated with 630 Turnpike Street. The documentation in the Building Department file used for this fit -up was used without tbc's permission, consent or knowledge. the and I should not be listed as the Architect of Record. Please remove all references to the as the architect of record from the file, since the and I did not perform the controlled red IRC avi . Ki sella AIA President cc: Mr. Henry Carpinto, Flagship Realty Dr. Rahman / 630 Turnpike Street, No. Andover, MA G.J. Bruno, AIA / 28 Berkeley Street, No. Andover, MA 7 Bridge Street,..Uhit 9, Billerica, MA 01821 tel. 978-667-7971/fax. 978-670-8138 email:tbcdsgnbld@aol.com www: tbcarchbuild.net i, the The Backyard Collaborative, Inc. A design/build firm May 31, 2001 Mr. Michael McGuire Local Building Inspector Town Of North Andover Division of Community Development and Services 27 Charles Street North Andover, MA 01845 RE: 630 Turnpike Street, Lower Level Dear Mr. McGuire: Please find enclosed the Backyard Collaborative, Inc's Code analysis for the above referenced property. Our scope of services pertains to architectural design for the lower level of this property only. In the attached code analysis (enclosed) are the required non-compliant systems and alternatives for each. Please feel free to contact me at any time should you have further questions regarding our reading of 248, 521, AND 780 CMR as it pertains to the proposed medical offices at the above address. Best regards, David A. Kinsella, AIA President CC: Mr. Joseph Desiato MD File 2110 7 Bridge Street; Unit 9 Billerica, MA 01821 tel. 978-667-7971/fax. 978-670-8138 e-mail. Tbcdsgnbld@aol.com RIrE C E 0 V E JUN . 6 2001 BUILDING DEPT. the The Backyard Collaborative, Inc. A design/build fine May 31, 2001 Massachusetts State Building Code Analysis -630 Turnpike Road, North Andover, MA The following is a review of the Massachusetts State Building Code 780 CMR Sixth Edition, amended 12/12/97, 248 CMR amended 8/9/96, and 521 CMR amended 3/6/98 as it pertains to the fit -up of space for use as a Peditricians Office, located at 630 Turnpike Road, North Andover, MA. The intent of this review is to provide an investigation of major code issues to determine legal requirements for an Office Fit -up of 1,896 gsf (unsprinklered space), in an existing 2 story building presently used as office space.. 780 CMR 1. PROPOSED USE AND USE GROUP CLASSIFICATIONS ARTICLES SECTION 3 Proposed fit -up of 1896 gross square feet including just the lower floor of the existing building. Use group: B Business (clinic) 2. TYPE OF CONSTRUCTION SECTION 6 Construction type: 5B Unprotected 3. HEIGHT AND AREA LIMITATIONS SECTION 5 Proposed Floor Area Proposed Height Allowable Area per floor: Actual Area Proposed: Allowable Height: Street Frontage Increase: 1% excess perimeter Sprinkler Increase: =1896 nsf (2186 gsf) =2 story 30-0 +/- =7200 sf =2186 sf =2 story 40-0 =NA =NA =NA 303.5 REMARKS 606.1 503.3 applies to height; no Sprinkler. 709 T.313.1.2 T503 1 floor T503 7 Bridge Street, Unit 9, Billerica, MA 01821 Tel. 978-667-7971/fax. 978-670-8138 e-mail. tbcdsgnbld@aol.com May 31, 2001 Massachusetts State Building Code Analysis -630 Turnpike Road, North Andover, MA Page 2 -continued Total Allowable Area per Floor: Allowable floor area is 7200 sf. Total area at lower floor = 2186 gsf Minimum fire resistance =0 T507.2 (50 — 0) or greater 4. CHANGE OF USE: Same use 5. FIRE RESISTANCE OF KEY ELEMENTS: 5B UNPROTECTED SECTION 6 - ELEMENT RATING ARTICLES REMARKS HOURS Load Bearing Exterior Walls 0 Non Load Bearing Exterior Walls 0 Fire and Party Walls 2 Fire Enclosures of Exit, Exit Hallways 1 and stairways Shafts and Elevator Hoist ways 1 Other separations 1 Exit Access Corridor NA Tennant space seperation 0 Smoke 'barriers NA Non -load bearing 0 Interior Columns, Girders, Trusses, 0 Framing Bearing Walls Structural Member Supporting Walls 0 Floor Construction 0 Roof Construction, Including Beams, Framing 0 and Roof Fire Separation greater than 30' 6. Fire detection Section 9 None required 7. Fire extinguishers Section 9 1 required. Located and available to Occupants. Recommend 2 be provided. Occupant Load: =19 persons Actual: =not provided T602 T602, 705.2 T602 T602 1 HR permitted; 1014.11;B use; less than 4 story T602 T602, T313.1.2, T602 T602 T602 T602 T602 T602 T602 T602 0 T705.2 May 31, 2001 Massachusetts State Building Code Analysis -630 Turnpike Road, North Andover, MA -continued Page 3 ARTICLES REMARKS 8. OCCUPANT LOAD SECTION 10 B Use group The calculated load is: T1008.12 Gross Area:=1896sf Calculated:=1896/100gsp 9. LENGTH OF TRAVEL SECTION 10 Without automatic fire suppression system a T1006.5 maximum of 200 feet of exit travel is allowed. Proposed length of travel is well below maximum allowable (Actual maximum is 70 feet +/-) 10. REQUIRED MEANS OF EGRESS SECTION 10 500 or less, B is 2 independent exit T1010.2 11. EXIT CAPACITY SECTION 10 Doors, ramps, corridors: 0.2 inch/person x 19 3.8 inches T1009-2 The minimum door width allowed is 32 inches 1014.8.1,1017.3 The minimum corridor width allowed is 36 inches 1011.3 (less than 50 persons) 12. Exit signs Section10 required with emergency electrical system or Self luminous. 6" high red letters. 13. Emergency means of egress lights 1024.0 Section 10. Required to light exit components 14. Interior environmental requirements/habitable space Section 12 minimum headroom of T-6% minimum area of 70sf; 50 cfm fan at restrooms if not running continuously; mechanical ventilation every room or space for human occupancy; light artifical light and natural to provide 250 foot candles May 31, 2001 Massachusetts State Building Code Analysis -630 Turnpike Road, North Andover, MA -continued Page 4 248 CMR 15.Plumbing fixture requirements Required Medical health care building B 1 toilet male and female each T1, page CMR248 74.1 1 lavatory male and femal each 1 drinking fountain per set toilets 2.10.19A Proposed Medical health care building B 1 existing unisex toilet 1 existing handicapped unisex toilet 0 Drinking fountains Note: Unisex toilets allowed through a variance process, if fixtures don't meet requirements of 248 CMR 2.10 (19): Table 1. Both unisex toilet rooms fufill requirements for table 1 and the requirements for 521 CMR with the exception of grab bar size and reach ranges. 521 CMR 16. Change in use an accessible entrance must be provided 3.4 Existing buildings if work less than $100000.00 than only the work needs to comply. 3.3 2- Parking spaces 1- Accessible entrance All- doors, approaches, door hardware and closers Changes in level not greater than %2° Signage on the accessible entrance parking and restrooms Accessible toilets 30.7 780 and 248 CMR 17. Possible non- compliant systems, non-compliant systems and compliance alternatives. Section 34 Possible non-compliant systems Insulation on piping and ductwork Window glazing Non-compliant systems and Compliance Alternatives Ceiling height is less than 7-6 required by code. Existing height is a maximum of 7-2 in most spaces. This is a presently occupied space meeting previous code requirements. A higher ceiling can not be achieved due to structural limitations. No alternative is proposed for this non-compliance. No drinking fountain provided or existing. May 31, 2001 Massachusetts State Building Code Analysis -630 Turnpike Road, North Andover, MA -continued Page 5 No alternative is proposed for the non-compliance. Existing met code at time of installation and user is providing multiple sources of potable water and a refrigerator. Grab bars to be installed to code and reach ranges to be adjusted. Existing electrical fixtures, heating and cooling system and water heater are to be reused. Existing lights and lighting do not meet energy requirements or the Habitable Space requirements (250 foot candles of artifical/natural light in interior spaces) because of no natural light. It is recommended that the lights be allowed to be reused, and supplemented with new conforming light fixtures. The habitable space requirements for ventilation will be met by the use of the existing heating and cooling system. It is not known if this system presently will meet todays code requirements, however it Is assumed the system conformed to code at the time of installation. Compliance alternative Existing bathroom fans shall be upgraded to 50 cfm if not presently 50 cfm. The existing water heaters are to be reused to provide hot water to the new fixtures. It is assumed this heater will not meet todays requirements, but meet the code requirements when installed. Compliance alternative The ceiling space shall be insulated to achieve better energy and sound compliance. Insulate with a minimum of (R19) unfaced insulation. Pipes and duct work shall be wrapped in insulation with a vapor barrier (the vapor barrier should be to the outside because a return air plenum is being used for heating and cooling). The exterior perimeter shall be insulated with a minimum of (R-15) paper faced insulation. 1r Location No. 30o Date M0RTM TOWN OF NORTH ANDOVER O��•.o y O a C 9 • : Certificate of Occupancy $ CNE< Building/Frame Permit Fee $ gAUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 3L)d .� Check # C�() / -0 16155 r j Building Inspector" - 'The Commonwealth of Massachusetts State Board of Building Regulations and TOWN OF NORTH ANDOVER Standards BUILDING DEPARTMENT Massachusetts State Building code 780 CMR APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OF OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Building Permit Number:(3 V D Date Issued: C;� _ / I 1 C-) 3 �.tgnature: /V I i - Building Commissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Pro rty Address- (/ �n Ql 1.2 A ors Ma and Parcel Number. P% t Map Num&r Parcel Number IA Zoning Information: 1.4 Property Dimensions: Lot Area (sq) Frontage(ft) Zoning District Proposed Use 1.6 Building Setback (ft.) Front Yard Side Yazd Rear Yard Required Provided Required Provides Required Provided 107 Water Supply 9M.G.L.C.40.4 § 54 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Q Private Zone Q Outside Flood Zone Q Municipal Q On Site Disposal System 2.1 Owner of Record Not Applicable Q Name (Print),%� � " "\c"V \ i�c, v\ �e�dVt 1, \ V U' '� Address: 1 i, � 1�1 � /1 T()�/n vk `Q 'S-�_ IV o\r 6 L AvxV Gt)-Z1i Signature Telephone ii ii 2.2 Authorized Agent: (�41 r 10 y 2�' ��I'�5 �2� • �{VVl vVAA Name (Print Address Signature Telephone 1,FCT1nN i (-nNSTRTJrTtt1N SF.RV1CFS FAR PRn.wc—rs LESS THAN 35.0011 CITRIC FRET OF F.NCT.nSF.r) SPACF. 3.1 Licensed Construction Supervisor: t; Not Applicable Q Licensed Construction Supervisor: M l (3v j c/y-, g�,/-d jjV\ License Number Address I. it 60 �tvev �c(�� Ls�eat�e lV�A Expiration Date Signature *�� C- ', v� u �L� �- Telephone G9 %' I7 2 Z j — Z �j 3.2 Registered Home Improvement Contractor. Not Applicable Q Company Name Registration Number Address Expiration Date Signature Telephone Revised 1997 JMG SECTION 6 - DESCRIPTION OF PROPOSED WORK check all applicable) New Construction Q 1 Existing Building ® 1 Repairs M Alterations Q Addition Q Accessory Bldg. Q 1 Demolition Q 1 Other Q Specify Brief Description of Proposed 01DO L-ecJ �a,,Q SktiA+roc k 4-c) '�F X iS-s ecoewe X- �c�� Yazh 14 bo Ccv too( "N 'so HAC' S V vC eSS WL l�U 12-c- v S R_J2 LLQ i 5 S Storage Q S-1 S-2 SECTION 7 - USE GROUP AND CONSTRUCTION TYPE USE GROUP Check as applicable) A Assembly A-1 A-2 A-3 A-4 B Business Q E Educational Q A-5 F Factory Q F-1 F-2 H High Hazard Cl Q I Institutional Q I-1 I-2 I-3 M Mercantile Q Q R Residential Q R-1 R-2 R-3 S Storage Q S-1 S-2 U Utility Q Specify: M Mixed Use Q Specify: S Special Q Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS. ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index (780 CMR 34) SECTION 8 - Building Height and Area BUILDING AREA Number of Floors or stories include basement levels Floor Area per Floor (sf) Total Area (sf) Total Height (ft) CONSTRUCTION TYPE lA Q 113 Q 2A Q 2B Q 2C Q 3A Q 3B Q 4 Q 5A 0 5B Q Proposed Hazard Index (780 CMR 34) Existing (if applicable) Proposed SECTION 9 - STRUCTURAL PEER REVIEW (780 CMR 110.11) ( Independent Structural Engineering Structural Peer Review Required Yes Q No Q SECTION 10a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, , As Owner of subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Date revised bldg form/state JMC SECTION 4 WORKERS' COMPENSATION INSURANCE AFFIDAVIT IM.G.L. c. 152 § 25C(6)1 Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Siened Affidavit Attached Yes El No 13 SECTION 5 - PROFFESSIONAL DESIGN AND CONSTRUCTION SERVICES -FOR BUILDING AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE 5.1 Registered Architect: No Applicable Name (Registrant): Address Registration Number Signature Telephone Expiration Date 5.2 Registered Professional Engineer(s) Name Area of Responsibility Address Registration Number Signature Tele hone Expiration Date Name): Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 5.3 General Contractor 11 CAAV-k �• �tl� 11 �/fivV� i �. - w/v' P• O � k\AA, LV\ - Not Applicable 0 Company Name: V NACAN � v"O VO K\ Responsible in Charge of Construction 2S Address - ��---- 60-3- 6:47- 1-771 FSignature Telephone SECTJON IOb - OWNER/AUTHORIZED AGENT DECLARATION I, , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name Signature of Owner/Agent Date SECTION 11 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be completed b permit applicant 1. Building 2. Electrical 3. Plumbing 4. Mechanical (HVAC) 5. Fire Protection / 6. Total = (1+2+3+4+5) f) Official Use Only (a) Building Permit Fee 30/6 X 1 Q Multiplier (b) Estimated Total Cost of 4 l Construction from (6) Building Permit Fee (a)x(b) � V Check Number FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT la (N �G h "U1� ��✓�`�� PHONE 4—,0 '7- ")r )'77� 4qLOCATION: Assessor's Map Number I o PARCEL CL SUBDIVISION LOT (S) STREET I�Y1 `'� �` • ST. NUMBER 6 C� Mr P -0 x ?I a«Ss. us,� ************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENT DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIO DRIVEW. FIRE DEPARTMENT PERMIT '0 3 RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm t {. •.. a r ,, �, J,, .y BOARD'OF BUJLbING REGULATIONS License: CONSTRUCTION SUPERVISOR - 0 Number. CS 072239 Birthdate: 12/21/1959 f Expires: 1212//2003 Tr. no: 13781 Restricted: 00 GORDON L BROWN, - 460 RIVER RDS E "1tiiEARE, NH 03281 Administrator 12 V�T,. � � A r� � V � Y V � i C� I 1 �1 !a R 1 ^. "^ DATE! (MM1VODiyy) r'' v + .^I I to 9z 02/05/2003 PRODUCER 603-669-4567 FAX 603-669-4108 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Chase & Durand Assoc. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 119 Walnut Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Manchester, NH 03104 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED )OHN B SULLIVAN JR CORP OF NH INC. INSURER A: ACADIA INSURANCE CO. JOHN B SULLIVAN JR CORP P.O. BOX 10716 INSURER BEDFORD, NEW HAMPSHIRE 03110-6708 INSURER C: INSURER D: INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWI'T'HSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO 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. ISJ3LR TYPE OF INSURANCE;PO FFEC POC RATI N LJ POLfCY NUMBER D M/DD DATE D/YY LIMITS GENERAL LIABILITY PA00OS754-18 04/01/2002 04/01/2003 EACH OCCURRENCE $ 1,000,0 ]!OMERCIAL GENERA(,LIABILITYFIRE DAMAGE (Any one Pre) $ 25O , 0 CLAIMS MADE OCCUR MED EXP (Any one person) $° 5,0 A GEML AGGREGATE LIMIT APPLIES PER: 17 POLICY PRO" JECT LOC AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS A SCHEDULEDAUTOS X HIRED AUTOS X NON -OWNED AUTOS GARAGE LIABILITY 7 ANY AUTO EXCESS LIABILITY X OCCUR CLAIMS MADE A OEDUCTIBLE RETENTION $ WORKERS COMP2NSATION AND EMPLOYERS' LIABILITY A ATALLATION FLOATER y MTRACTORS EQUIPMENT OF PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG S -12 BY ENDORSEMENT/SPECIAL T HARD COPY OF THIS TRANSMISSION WILL NOT BE FORWARDED. CERTIFICATE HOLDER JOHN B SULLIVAN JR CORP OF NH P 0 BOX 10716 25 SOUTH RIVER ROAD BEDFORD, NH 03110 (7 FAX: (603)647-1888 002 1,000 000 1,000 10,000 10,000 E.L. EACH ACCIDENT $ .1; 00Q EL. DISF�ISE . EA EMPLOYE E.L. DISEASE - POLICY LIMIT $ $100,000 Leased, fterr Borrowed Items or INSURER LETTER: CANCELLATION SHOULD ANY OF THE A60VE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE IaAUIN4 COMPANY WL.LENDEAVOR TO MAIL, DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO•THIZ L&I"T, BUT FAlIh1=MAUL $LICH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Ofj�ANY KIND-YP N THE COMPANY, ITS AGfN-)'B OR 9RPREAFNTATIVFQ COMBINED SINGLE LIMIT $ (Ea acctdent) BODILY INJURY $ (Par person 5731-18 04/01/2002 04/01/2003 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) AUTO ONLY • EA ACCIDENT $ OTHER THAN EA ACC $ ;760-18 64/01/2002 04/01/2003 AUTO ONLY: AGG S EACHOCCURRENCE $ AGGREGATE $ $ S 1694-12 04/01/2002 04/01/2003 TORYLIMYfA X cc -12 BY ENDORSEMENT/SPECIAL T HARD COPY OF THIS TRANSMISSION WILL NOT BE FORWARDED. CERTIFICATE HOLDER JOHN B SULLIVAN JR CORP OF NH P 0 BOX 10716 25 SOUTH RIVER ROAD BEDFORD, NH 03110 (7 FAX: (603)647-1888 002 1,000 000 1,000 10,000 10,000 E.L. EACH ACCIDENT $ .1; 00Q EL. DISF�ISE . EA EMPLOYE E.L. DISEASE - POLICY LIMIT $ $100,000 Leased, fterr Borrowed Items or INSURER LETTER: CANCELLATION SHOULD ANY OF THE A60VE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE IaAUIN4 COMPANY WL.LENDEAVOR TO MAIL, DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO•THIZ L&I"T, BUT FAlIh1=MAUL $LICH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Ofj�ANY KIND-YP N THE COMPANY, ITS AGfN-)'B OR 9RPREAFNTATIVFQ NOTICE TO EMPLOYEES NOTICE TO EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 - http://www.state.ma.us/dia As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I (we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: ACADIA INSURANCE COMPANY NAME OF INSURANCE COMPANY 23 COMMERCE DRIVE, BEDFORD, NH 03110 ADDRESS OF INSURANCE COMPANY WCF-0059694-11 POLICY NUMBER Chase & Durand Aswsoc. NAME OF INSURANCE AGENT 04/01/02 - 04/01/2003 EFFECTIVE DATES 119 Walnut Street, Manchester NH 03104 603/669-4557 ADDRESS PHONE # John B. Sullivan, Jr. Corp. of NH, Inc., PO Box 10716, 25 South River Rd., Bedford, NH 03110 EMPLOYER EMPLOYER'S WORKERS COMPENSATION OFFICER (IF ANY) MEDICAL TREATMENT DATE The above named insurer is required in cases of personal injuries arising out of and in the course of .employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the ser- vices provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged four such attention at the NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER t 2001 G.Neil I a CENTIS- Company 720 Intonational Parkway, Sunrise. FL 33325 Call 800-999.9111 or shop online at —1,1110—com to reorder Worken' Compensation (Laminated) x111-ENWD (Non -Laminated) sRl-EMA1 D 0)09 Rmuired by: Mass. Gcn. Laws Ch. 152 Scc. 21 (fur all cmoloycrs). Eos E 0 E a zCV U < y a . . a • cr�i g En v� • (603)893-5030 71 .ti 00 00 x �. a C cq .Ni X }gCN"n cq x ca fix$ �8a 3Q 0 a s L �a< Eos E 0 E a zCV U < y a . . a • cr�i g En v� • H "A" Shwotrock,Re room "8" st astrocic,1-104wy "C" Shokrock,Stakweif `D" shaetror.Kout5we,roadway,wood frame oonatrudlon. Ceiung - nodit abow,roof. Floor Wood =udrudion,dmpped calling ,office s Single phaW ,300 Ms, 125KVP 10-15 Pstlertt ww m /r.-- '`"; Routine warm X-ray and Derlaoorn a T ear 1UT SCALE: UC =1' 0' DRAWN 8Y: ANDY MAMMAY s� 600.351;.3388 FAX 978521-7214 SCA,.e EO 3Jdd ASSOCIATED X-RAY IMAGING CORP DR Rahman 2nd floor East Unit Tum Sheet NAndover,Mat Facm NO D7N G NO Prellminary 1/4" 11/20/02 sHEEr 1 OF 1 JCWI AVNX G31VI00SSV �1 bTZZTZS8L6 bT:TT 600Z/ZZ/T0 Pam 2 Dr N. Andover, Ma SITE SPECS. (Continued) "tV" Vent to outside, min. 10 air exchanges per ;hour. "V I " 3" vent pipe(to outside) dropped from ceiling near corner, approx, 2' below ceiling "W" Duplex I8" above counter. "W I " Duplex 18" AFF under counter approx.center. "X" Open 2". floor drain or as close to floor as possible, near corner of room. "Y" Duplex 20 A, separate circui4l8" above counter, near corner.. "Z" Cold water feed, gate valve, ball valve shut off, end in male garden hose fitting, back flow preventer if required by code, near front edge of counter_ "Z1" Cold water feed, under counter( approx. center) I8"AFF,ball valve shutoff, end with male garden hose fitting. NOTE: Darkroom must be sealed to be" LIGHT TIGHT". 9'd OEOS-668(609) uouueH ueiug dt,6:E0 60 02 UeC ASSOCIATED X-RAY IMAGING CORP. 49 NEWARK STREET HAVERHML,MA, 01832 1-800-356-3388 FAX 1-978-521-2214 SIT>, SPECI)P'ICA?IONS Dr Rahman Tiunpike Street N.Andover,Ma "A" 208VAC, single phase, 100A flush mount, circuit breaker, feed 4/3 S/O cord from bottom of box, leave 6' pigtail. "B" 12" x 12" x 4" flush mount electrical box, C/L under window ,bottoms edge close to floor, (2) 1 "/s",(1) 1 '/,",(2)'/T romex connectors in cover. "C" 12" x 12" x 4" electrical box, surface mount C/L 12" ftom comer, bottom edge ,24" AFF. (2) 1 yz" romex connectors in bottom,(3) %' romex connectors in right side. "D" 4' x 4' electrical boxX from corner,3'AFF,3/4" romex connector in cover, empty 1 "conduit to "C", leave pull wire. "E" Door switch interlock,(Edwards type 60 or equiv_) (2) #18 sa=dcd wires to "B", leave 6' pigtail "F" 2" x 6" x 11'8" board ,surface mount to studs, bottom edge 81" AFF. "G" 2" x 6" x 3' board ,surface mount to studs, bottom edge 85" AFF ,C/L 3' from corner. "B"- "C" (1) 6/3 SO cord, (15) # 14,(6) #12, all stranded THW copper orequiv,6' min pigtail each end, wire markers on each wire. ]DARKROOM "S" 28" counter, bottom edge 33" AFF, support 10# S'd 060S -6G8(609) uouueH uetuH dt,6:60 60 0a Uer DR. RAHMAN I. GENERAL ASSUMPTIONS A. Workload: Radiographic Room- 75 mA'min per week at 100 kVp to the radiographic table, 25 mA"min per week to the wall cassette holder. B. Occupancy Factors and Design Exposures Assume that the wall along which the x-ray machine is placed is Wall D, and the wall cassette holder is mounted on Wall C. Roomlbarrlor Qw"ancv_ gest nn Exm3urpf&g Wall A 0.125 2 mR Wall B 0.125 2 mR Door B 0.125 2 mR Wall C 0.0625 2 mR Wall D 0.025 2 mR Control Booth 1.00 10 mR Floor 1.00 2 rnR Ceiling 0.00 C. Construction Details: All interior walls, disregarding shielding, are two thicknesses of 518 -inch gypsum wallboard_ There is occupancy below the Radiographic Room. The floor height Is 10 feet above the floor of the office space below. Wall C Is taken too extend from the Control Booth partition to Wall D since that is the only portion that requires shielding. D. The x-ray equipment meets all applicable DHHS and State of Massachusetts Reguldons. II. SHIELDING REQUIREMENTS Wall A: 0.5 mm or 1132 -inch of lead Wall B: none in addition to gypsum wallboard Door B: steel door of 1.0 mm total Steel thickness Walt C: three thicknesses of gypsum wallboard, except behind the wall -mounted cassette holder where a four -fool wide sheet of lead of thickness 0.5 mm or 1132 -inch is required. Wall d: none in addition to gypsum wallboard Control Booth: 0.5 mm or 1/32 -inch of lead Floor: 1116 -Inch lead extending 5 feet from Wall D and from Wall A to Wall C. Ceiling: none The above are the minimum required thicknesses. All lead shielding in walls must extend least seven feet above the finish floor. David L. North, $c.M. Certified Medical Physicist MA Reg: 65-0003 Assoc X-taylOrRshman Z9 S9dd 9VWI AVJX G31VI30SSV 11/24!02 VTZZTZ98L6 bT:TT 6092/ZZ/T9 O z rA O s M-� 6 O W 0 E co O O 0 y CDy .CD COCL C 0 co V m r&' CO) O V .7 CO2 G 0 O i O V O a H c CO CM C p 'v M CO �G C A CL CO) Lli M LU V/ w LU cr LLI O Z ww O U w a C y O z w jG (/) Q ro C ..� U w � W 2 D U O u° cn M �I b .1� _ a f° w° U w /1 .r F:M °�° m 4 w v a X U w °�° � ro � cn w ,� 7C 0 ro w L QJ E � o CO v) cn O s M-� 6 O W 0 E co O O 0 y CDy .CD COCL C 0 co V m r&' CO) O V .7 CO2 G 0 O i O V O a H c CO CM C p 'v M CO �G C A CL CO) Lli M LU V/ w LU cr LLI O • d c C C.) ' O � C y O = •dam • : o c O.... m I CD 2 $ E� ' s O o d : ca J� y L: �iE� p p m A ica a- o� t� x'3/1 'O y m O cov E m Z: CL C-2 y m ' co c Cc X U UH o Q CD1 i m = x co : m« 3 :a o A N � N O N p p F' ca = m m LLI= R cr-= CO) dL = r m y Z C5 LO CL y 0 x F— o CL a• m a O s M-� 6 O W 0 E co O O 0 y CDy .CD COCL C 0 co V m r&' CO) O V .7 CO2 G 0 O i O V O a H c CO CM C p 'v M CO �G C A CL CO) Lli M LU V/ w LU cr LLI October 4, 2001 MIKE MCGUIRE — BUILDING INSPECTOR COMMUNITY DEVELOPMENT OFFICES CHARLESSTREET NORTH ANDOVER,MA. RE: 630 TURNPIKE STREET NORTH ANDOVER, MA. DEAR MIKE, ENCLOSED PLEASE FIND PRELIMINARY SITE PLANS FOR THE ABOVE LOCATION. THE "EXISTING CONDITIONS" SITE PLAN INDICATES THE PRESENT PARKING LAYOUT SERVING THE EXISITING THREE STORY OFFICE BUILDING. THE "PROPOSED PARKING" PLAN INDICATES THE REQUIRED SITE MODIFICATIONS FOR THE PROPOSED MEDICAL OFFICE AT THE LOWER LEVEL. THIS PROPOSED PARKING ARRANGEMENT WOULD PROVIDE GRADE LEVEL ACCESS TO THE MEDICAL OFFICE PER ADA AND MASS. ARCHITECTURAL BARRIERS CODE. THE PARKING SPOT AFFECTED BY THIS NEW HANDICAP ACCESS WOULD BE REPLACED AT THE PARKING ROW AT THE OPPOSITE SIDE OF THE LOT. HENCE THERE IS NO REDUCTION IN THE QUANTITY OF PARKING. THERE ARE NO OTHER SITE MODIFICATIONS REQUIRED OTHER THAN THE REPAVING OF THE LOT AT ITS PRESENT CONFIGURATION. IT IS MY UNDERSTANDING THAT THE MEDICAL OFFICE IS AN ALLOWED USE AT THIS LOCATION. ACCORDING TO THE NEW TENANT, THE PROPOSED USE WOULD NOT REQUIRE ANY ADDITIONAL PARKING TO THAT PRESENTLY PROVIDED. THE MEDICAL GROUP PRESENTLY CONTEMPLATING A LEASE AT THE ABOVE LOCATION WOULD LIKE CONFIRMATION THAT THE PROPOSED SITE PLAN MODIFICATIONS AND THE ASSOCIATED REMODELING OF THE LOWER LEVEL (APPROXIMATELY 2,400 SF) DOES NOT REQUIRE A SITE PLAN REVIEW. I WILL GIVE YOU A CALL TO FOLLOW UP ON THE ABOVE. THANKS FOR YOUR REVIEW OF THE ENCLOSED. 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Check # 2- 15765 �% BuGing Inspector -k-, TOWN OF NORTH ANDOVER BUH DING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING This Section for Official Use OnE0=151.11 BUILDING PERMIT NUMBER: DATE ISSUED: 617 1 17 -10 Q_ 9 - SIGNATURE: Buildig Commissioner/InaWor of Buildings Date 1.1 Property Address: 1.2 Assessors Map and Parcel Number: S Map Number Parcel Nun%cr 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area (sf) Frontage (ft) 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required Provided Req*md Provided 1.7 Water Supply M.G.L.C.40. �iM) 1.5. Flood Zone Information: 1.9 Sewerage Disposal System: Public 0 private 0 Zone - Outside Flood Zone 0 Municipal On Site Disposal System 0 2.1 Owner of Record vl V-A 6A F 9 - Name (Print) Address for Service: Signature Telephone 2.2uthorized Agent Crt#, JLQ-� c)L e Print U Address for Service: re Telephone Y 3.1 Licensed Construction SUsores 7 Not Applicable 0 r 3� 0 0 1) C -S A"Wress V License Number M A 131onsed Constructi 7pupervisor: Expiration Date Wature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name_ Registration Number Address Expiration Date Signature Telephone 0 M Z 0 z M 90 0 -n ic M G) i S�UTit�Ai 4 '41r�11� C�1�P�5i�'��'N,(1��. (: ��'; �f►� � 5 . Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yea ...... No ....... ❑ SECTIOAI S PR�iSi0l.' ,Cf1tTt? C`0 UCT110 �1T i0i 11' B tt 1` T 78 IM1R t � C� 11+� T `3�S,OQi GF t F ] NC`i tS1� ! S1PAt'i ) 5.1 Reg eyed Architect: - Name: -2- Address Address Signature Telephone j Total Signature Telephone Name ti `� ° i-, �-'4 w� Y 1 in Char of Construction Telephone 1 i Telephone Area of Responsibility Registration Number Expiration Date Not applicable ❑ Registration Number Expiration Date 't Area of Responsibility x Registration Number t Expiration Date I ` Area of Responsibility Registration Number ` Expiration Date Not Applicable ❑ [`Ski M, &��''I�lkl�i �F;1�`R� !Gl {c1<eck alI applacable� New Construction ❑ Existing Building ❑ Repair(s) ❑ .. Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify " Brief Description of Proposed Work- ("Al�c�� ❑ 1 ❑ ❑ BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft T Independent Structural Engineering Structural Peer Review R Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I> as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Date USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A4 ❑ A-2 A-5 ❑ A-3 ❑ ❑ IA IB ❑ ❑ B Business 0 2A 213 2C ❑ 0 ❑ C Educational ❑ F Factory ' ,❑Y:' F-1 ❑ F-2 ❑ H High Hazard _ ❑ ` 3A 3B ❑ 0 IInstitutional '. - 0 I-1 ❑ I-2 ❑ I-3 ❑ M Mercantile ❑ 4 0 R residential ❑ R-1 ❑ R-2 ❑ R-3 0 5A 5B 0 0 S Storage ❑ S-1 ❑ S-2 ❑ U Utility ❑ M Mixed Use ❑ S Special Use ❑ Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUH DING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft T Independent Structural Engineering Structural Peer Review R Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I> as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Date W 4, I, as Owner/Authorized A t Hereby declare that the statem nts and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signedunder the pains and penalties of perjury �� c3 1 Print N e SiAWW of Owner/Agent Date Item Estimated Cost (Dollars) to be [} i Completed by permit applicant 1. Building(a) S3 91A (a) Building Permit Fee — ,5 Multiplier 2 Electrical (b) Estimated Total Cost of Construction from (6) 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical (HVAC) 2 5 Fire Protection d -O 6 Total (1+2+3+4+5) C Check Number k.�'�„ fht'Y7 '�Y i. ., '4 'T"ac -.�Y 4' �.FfSi�{ a�Fv - kx ttr `, ,. ��.. IiJ i•y.a -1 Fl.:. Y: Settx'�t'}5 .: Si j") a1 ., ,. 'i r;. r�S �.t.., S� �� J:i. 2i �,. u� Sq .E., �s-Y�41 .. � � � } k .' ( 'L A ../. 4f a�53 t b. �l it 1. 7F S°Y 1:?1 `f'7 t x�$4)�St'k it Y ?.ex � N S �YS� 3 t r ll ✓A �• . 5-<.,: - ..u. , t,,., aW : �;' nr , . n .,,� sT,, .,a `?�,V'ii � �{�4 � ..e.t�.<. � : r �� 7:, . <°V NO. 'OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIlvMERS 1ST 2ND 3 P SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CBRvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ✓''�. '� :La -. l.'S�..a .ate.. ).tc3. - �v � _ <,;,16, _ <...`a .S'. .eta Y print 11 Phone am a homeowner performing all work myself. �l am a.sole proprietor and have no on6 working in any capacity an employer providing workers' rpensatiofo' rm C I "PIOYe!!,w-O-rkln9 on this job. Address 5 i s Phone*: rCaw`@ ECF 11506 Overage aS r 3WMd.under-sec�uf 25A or ML i;52-cm-kmd t&ff)& o1.E� . and/or one Yeats• imprisonment as welt as c Rte! :of aflee Ws to Sr..-sm-0E} undemtarui that a o p aces in>the.farrrt of a 1 OP WOOK and alma Cf ($IOOsOO) a day against me t OPY Of this statement maY be forwarded to the Ofrxa of k Of the M for caaerage veru / do herby certify under the pains and pwaes ofpodwr Umt dm Mwnaym pfd abovee is btie arwconvot Signature Bate Print name Phone# W€icial use only do not write in this area to be completed by city or town dilciar ©Check ifimmedrate r�+sponse is 0 Building IDept- Building Dept p Lic nsing Board intact person: Phone # 0 SQlectrrtan .- ice 0 Health Department 0 Ofher b?SMAY S C OPIPENSA TIOv a 92. L73t4?P[/1PC:litL (f liLc74J(2f ( BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR ' I Numbei SSS 059666 i Birthdate Q3/25/1952 f .Expires: 03125/2004 Tr. no: 17297 i Restrjcted:.60 CLAUDE J BEAUDOIN- _ 200 DEPOT RD I HAMPSTEAD, NH 03841; Administrator �I I 0 I-UHM U .- LOT RELEASE FORM 1/.)e��e�w- C9-� -oma INSTRUCTIONS: This form is used to verify that all necessary,approvals/permits frog Boards and Departments having jurisdiction have been obtained. This does not relievE the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION .vw- ii ( APPLICANT 3 A g e e- A h 01 A 0 PHONE LOCATION: Assessor's Map Number l PARCEL_ SUBDIVISION !" LOT (S) _r STREET_ _7C STREET- ST. NUMBER *****************************************OFFICIAL USE RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED TOWN PLANNER DATE APPROVED DATE REJECTED 9 FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMM uHI a grrHUVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEVY.AY PERMIT _ FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9\97 jm Z TE ��/ P14 /./- � � -----r --� '---------'-----'------------ --------- ------- ' INk. t2 xczO E� O �aa a � W O N a O w vV A f� u'2 w V) •'=' c1 z o C w° to a u U coco w CL 0 w Wto w z a w w N '✓ cn O V) I �aa c O N O vV • p, C O moMi • r; +' r •: 2:�' Ea L �r or r Ec S AM CL= • Q m m cc mo _ cm N C C N O O a is m E"SS c cm t = O Qf C mom m cm V m O C C �j. �C N _ m C � `m p N wm LJ.! CMa CD Z O r oc E N o v m c o c y = d O� O ` H = O H v� ty t , a..- a c p co O CD O V Z/D� E CL L O CO) � C c c' CA y O �O m m CD HCD � a co eyv o a �Q o4 - C Cc � V c Z ts CD V H c C C. CO2 LLI 0 U) LLJ U) W w crLU LLJ U) TOWN OF NORTH ANDOVER BUILDING DEPARTMENT' APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING � raThis Section for Official Use Onl BUILDING PERNIlT NUMBER: DATE ISSUED: SIGNATURE: Building CommissionrDate o == MIN Property Address: 1 j ! l 1.2 Assessors Map and Parcel Number. �k -010 � is 1 0 lJ ll ` Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zonin District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Requirmi Provided ReqWmd Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Info tion: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ a-14 2.1 Owner of Record N 'e (Print) Address for Service :iv Signature Telephone 2.2 Tthorized Agent N e rintV Address for Service: S° ature V Telephone ,f 1W t..�.i. 3 1 Li nsed Construction Supervisor Not Applicable ❑ LZY Res �o J� y AUd—rJss License Number �% 6 b-L' sed Construction S pervisor: l r Expiration Date ignature Telephone 3.2 Registered Home Improvement Contractor Not Applicable— ❑ Company Name„ Registration Number Address Expiration Date Signature Telephone M Workers Compensation Insurance affidavit must be completed and submitted with issuance of the building permit. LV Signed affidavit Attached Yea ....... No ....... 0 PRd11 SM01 5.1 Registered Architect: Name: Address Signature Telephone -MMM777 IC Name: Address: Total Telephone Signature Telephone Name Address Signature ICompany Name: I Responsible in Charge of Construction Telephone r to provide this affidavit will result in the denial of the Area of Responsibility X.a WaU allVII L1 UILIUU1 Expiration Date Not applicable 0 Registration Number. Expiration Date Area of Responsibility' - Registration Number Expiration Date - Area of Responsibility Re-istration V11—h— Expiration Date Not Applicable 0 New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition f� Accessory Bldg. ❑ Demolition -,I% Other ❑ Specify Brief Description of Proposed Work: _( )A/176-�z,� 4-1 Q., A-1 ❑ A4 ❑ A-2 A-5 0 A-3 ❑ BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stones Include Basement levels Floor Area per Floor s Total Area s Total Height (ft) Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Owner of the subject property Hereby authorize to act on My behalf, m all matters relative two work authorized by this building permit application Signature of Owner Date USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A4 ❑ A-2 A-5 0 A-3 ❑ ❑ lA IB 0 ❑ B Business 0 2A 2B 2C 0 0 0 C Educational 0 F Factory ❑ F-1 ❑ F-2 ❑ H High Hazard 0 3A 3B 0 ❑ IInstitutional ❑ I-1 ❑ I-2 ❑ I-3 ❑ M Mercantile 0 4 0 R residential ❑ R-1 ❑ R-2 ❑ R-3 D 5A 5B 0 ❑ S Storage ❑ S-1 ❑ S-2 0 U Utility ❑ Specify: M Mixed Use 0 Specify: S Special Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stones Include Basement levels Floor Area per Floor s Total Area s Total Height (ft) Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Owner of the subject property Hereby authorize to act on My behalf, m all matters relative two work authorized by this building permit application Signature of Owner Date co f � C,1-1 � V A. 1, as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury t Name �ignature of Owner/At/ny-) Date ItemW Estimated Cost (Dollars) to be vg Completed by applicant permit 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of 0 Construction from (6) 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number V11 NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST 2ND 3RD SPAN DENENSIONS OF SELLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING x MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE M,M41 2M W W 0 MF WI co f � C,1-1 � V A. Q F_ z c A w A N l,� bn1-1 • ti Cd �, GQ � � • bAv d�Qcd bo � In O O a a�-O , O O •� 4; O �. O N O f "O U• O C a o N O cdvi cod' O U Ccd •� Cd ¢, C., U! 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MIN. • • • PRpp, ED• ------___ 25 X88 ®_ 0):49 GE OF PAyEMENT • • 24 • • I-------- EXISTING RETAINING O WALL TO BE REMOVED • • W( 251X76 - ?1' �� 45.3' 5.7 Z' al C. -� 8X7.5 a �✓ % AC PROP. EDGE OF A VEMENT T • L.J CONDENSERS P248X90 I 1252X89 W • I • • zI PROP. 1 37CRY V) I W In FRMS • Wrz 1 EXISTING I 3 STORY WD.00 • I FR. STRUCTURE • I 630 248 97 • 254X72 252X49 • w Existing Masonry X34 Retaining Wali • I I x• 7.3' KWAY 254X27 37.7' BRICK WA 37.8' • I• • 252X01�� sick eR�CK wqC 2 UP 252X0 O� S..ib Ac. K- 6; b • / C.B. • RIM=250.74' INV.=247.04'00 —... 12-. WATER MAIN • —� EXISTING00 CURB 0 CUT 251 63 -- EDGE OF PAVEMENT • — X TURNPIKE (STATE HIGI-IVAY IAIN ----------- ------------- 12 RCS -BRAIN — — — — — — — AIN I 4 ft. IL MS TechnolOW.c= Computer Sales 3 ft. s ft Service Classes 978-681-8402 M M N 01 fd a a U) 0 U) 4 t ; I r I r I IEC C C C C Si C C C C C SiSiSiSi C C C :--� :--� ..-� .r :--� ..-� n-� n-1 .-1 1--1 rr r-1 1--1 1--1 1--1 1--: ►-� ►-1 r-1 CC C C C C C C C C C C C C C C C C C C O O O O O O O O O O O O .0 .0 O O O O O O N N N N N N N N N N N N N N N N N u N N C C C C C C C C C C C C C C C C C C C C CC C C C C C C C C C C C C C C C C C C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 V U U U U U U U V U U U U U U V U U U U p1 01 01 01 01 01 01 01 01 01 01 01 01 C C: C C C C C C C C C C C C C C C C C C C C C C C C C Y �YYYYYYYYYY �._ V U U U U U U V U U U V V V U V V V V U fU N fd N N fd f6 fd fd fU fU N fa fa fd f6 fU fU fd a d d d d d d d d d d f1 d a d a f1 d Q. t1 CM M M CM M lM M M M M M M M M M M M M O O O O O0 O (D O C) O O O O O O O O O O O O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N N N N N N N N N N N N N N N N N N N N N O O '-+ N N O •--� .--� N O O .--� N N O .--� .--� N O N M M M M M 7 1, M M I j M tD M M tD N O O O O O O O O O O O Cl O O O O O O O O C C C C C C C C C C O ;O O O IO 0 C C 0 0 0 0 0 0 0 N N N N fU fLNCLCL C C C C C C C C C ccccc O 'O O O ccc�O O O O O V V UU'UUUUU cn cn Ol cWcn C31 1 cn 0101C0u u u u UU u u U V V V V U U - t- f- f- fd fd f0 fd N d d d d d f1 d f1 d M m M M M M M M M M M M Cl) 0 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 Cl 0 0 0 0 O N N N N N N N N N N N N N rrn %D MOnM0P, q--OOAM N O O ti N N 0 .--, .--� N O O .--� N M M M M M Ln l j Ln 0 0 0 0 0 0 0 0 0 0 0 0 0 t r u u u u'u u`u u\I.M. u uu u u uuu'Ln Ln LO Ln Ln V) Ln Ln Ln Ln Ln V)(n(n(n U) I N N N N W W W W W W N N N U U U U'U U U U U -U U U U U U U 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Jf-�i Y(p—fp—fp Y Y Y Y Y�p Yfp Yfd Y Ym0 B B B B B B B B B B B B B Ln Ln(n(n(n(n (n W(n En (n Ln Ln Ln M Ln (n U) (n V 1 in (n cn En Ln Ln Ln v) v) Ln Ln Ln Ln x X, X , x xX iLL� iLLs iLLs iLLs iLL�'E iLL� . iLL� iLL� x x x xLLx LX , LLx LLx LLx LL .LLx LLx 1 r r r r r r r r r r r r r r r r r r r 11x ``x LLx LLx LLxLLx LLx LLx r r r r r r r r r r r a U) 0 U) 4 t ; I r I r I IEC C C C C Si C C C C C SiSiSiSi C C C :--� :--� ..-� .r :--� ..-� n-� n-1 .-1 1--1 rr r-1 1--1 1--1 1--1 1--: ►-� ►-1 r-1 CC C C C C C C C C C C C C C C C C C C O O O O O O O O O O O O .0 .0 O O O O O O N N N N N N N N N N N N N N N N N u N N C C C C C C C C C C C C C C C C C C C C CC C C C C C C C C C C C C C C C C C C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 V U U U U U U U V U U U U U U V U U U U p1 01 01 01 01 01 01 01 01 01 01 01 01 C C: C C C C C C C C C C C C C C C C C C C C C C C C C Y �YYYYYYYYYY �._ V U U U U U U V U U U V V V U V V V V U fU N fd N N fd f6 fd fd fU fU N fa fa fd f6 fU fU fd a d d d d d d d d d d f1 d a d a f1 d Q. t1 CM M M CM M lM M M M M M M M M M M M M O O O O O0 O (D O C) O O O O O O O O O O O O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N N N N N N N N N N N N N N N N N N N N N O O '-+ N N O •--� .--� N O O .--� N N O .--� .--� N O N M M M M M 7 1, M M I j M tD M M tD N O O O O O O O O O O O Cl O O O O O O O O C C C C C C C C C C O ;O O O IO 0 C C 0 0 0 0 0 0 0 N N N N fU fLNCLCL C C C C C C C C C ccccc O 'O O O ccc�O O O O O V V UU'UUUUU cn cn Ol cWcn C31 1 cn 0101C0u u u u UU u u U V V V V U U - t- f- f- fd fd f0 fd N d d d d d f1 d f1 d M m M M M M M M M M M M Cl) 0 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 Cl 0 0 0 0 O N N N N N N N N N N N N N rrn %D MOnM0P, q--OOAM N O O ti N N 0 .--, .--� N O O .--� N M M M M M Ln l j Ln 0 0 0 0 0 0 0 0 0 0 0 0 0 z \ - % ,� �\ T 00000000 r O NN r O 0 N O W V O W O>, W i N N N N N N N 00000000 0 0 0 0 0 0 0 0 W W W W W W W W -0 d N N N d N N n n n n n n n n d Obi d� d N N N c0o 3 o 10 10 t0 10 to to t0 nnnnnnnn 0 0 0 0 0 0 0 0 0 0 > > > > > > m m m m m m m m 0 0 0 0 0 0 0 0 0 0 0 0 D 0 D D n n n n n n n n NNd N N NN N. x�7 -x7� xx -x77 x x�7 x7� x T (D (D (D T lD - (D naa0.0.n.ao. d o m m c N -_q `f'i o n n n moc-rr O umi umi urni umi vmi O a a x sr rO�r m m m m m co n0 &�l-i-1 m m t' F 0 0 C 01 s 6 m N n rp 9� N14 171 O O N N m V -A -P,O� N O -4 O ci (A K 0000 00 x OOoOO t0 W V V 111 W N r N O N O r r N N O O O J ID O CO _P6 Ul N N N N N N N N N N N O O O O 00 O O O O O O O O O O O O O O O O W W W W W W W W W W W T Z n n Z Z n n n n n M m m n D D D D 3-�� w m 3 34 O o o d d o/ 01 W c D m m N M 0 03 W m n1 nr nr or m rD (D 00 10 0 m Al W W W (nom c c c c m m m m m mm N -_q `f'i > n n n to V O O O umi umi urni umi vmi O a a t0 rO�r m m m m m N 1n W 7 7 n0 &�l-i-1 m m t' F 0 0 s i W W W (nom c c c c m m m m m mm c' Q' Q U -_q `f'i > n n n '0 'o '0 '0 n n umi umi urni umi vmi r a.== 5,000 O m rO�r m m m m m &�l-i-1 x x x x x x x x x x O O O 0) N O O W Lj N 3 m m n 0 0 O 2 c 3 O D nw = IM C) D c�D r n r N 0 0 N o z 3 9 oa C: UD 3 10 r v or 10 CD W r f j un 05 01 09:'13 the May 31, 2001 tpc The Backyard Collaborative, Inc. A desigNbuild firm Mr. Michael McGuire Local Building Inspector Town Of North Andover Division of Community Development and Services 27 Charles Street North Andover, MA 01845` RE: 630 Turnpike Street, Lower Level Dear Mr. McGuire: ii Please`find enclosed the Backyard Coilaborative, Inc's Lode analysis for the above referenced property. OUr scope of serviC !� perta6 to architectural design for the lower level of this property only. in the attached code analysis (enclosed) are the required non-compliant systems and alternatives for each. Please feel free to contact me at any time should you have further questions regarding our reading of 248, 521, AND 780 CMR as it pertains to the proposed medical offices at the above address. Best regards, David A. Kinsella, AIA President CC: Mr. Joseph Desiato MD File 2110 7 Bridge Street; Unit 9 Billerica, MA 01821 tel. 978-667-7971 /fax. 978-670-8138 e-mail. Tbcdsgnbld@aol.com jin 05 01 09:03a the 578 670 8138 p.2 the The Backyard Collaborative, Inc. A des/gWbul/d firm May 31, 2001 Massachusetts State Building Code Analysis -630 Turnpike Road, North Andover, MA The following is a review of the Massachusetts State Building Code 780 CMR Sixth Edition, amended 12/12/97, 248 CMR amended 8/9/96. and 521 CMR amended 3/6198 as it pertains to the fit -up of space for use as a Peditricians Office, located at 630 Turnpike Road, North Andover, MA. The intent of this review is to provide an investigation of major code issues to determine legal requirements for an Office Fit -up of 1,896 gsf (unsprinklered space), in an existing 2 story building presently used as office space.. 780 CMR 1. PROPOSED USE AND USE GROUP CLASSIFICATIONS ARTICLES SECTION 3 Proposed fit -up of 1896 gross square feet including just the lower floor of the existing building. Use group: B Business (clinic) 2. TYPE OF CONSTRUCTION SECTION 6 Construction type: 56 Unprotected 3. HEIGHT AND AREA LIMITATIONS SECTION 5 Proposed Floor Area Proposed Height Allowable Area per floor: Actual Area Proposed: Allowable Height: Street Frontage Increase: 1% excess perimeter Sprinkler lncrease: =1896 nsf (21 W gsf) =2 story 30-0 +1- =7200 sf =2186 sf =2 story 40-0 =NA =NA =NA 303.5 REMARKS 606.1 503.3 applies to height; no Sprinkler. 709 T.313.1.2 T503 1 floor T503 7 Bridge Street, Unit 9, Billerica, MA 01821 Tel. 978-667-7971/fax. 978-670-8138 e-mail. tbcdsgnbld@aol.com Jun 05.01 09.04a the 978 670 8138 p.3 May 31, 2001 Massachusetts State Building Code Analysis -630 Turnpike Road, North Andover, MA Page 2 -continued Total Ailowable Area per Floor: Allowable floor area is 7200 sf. Total area at lower floor = 2186 gsf Minimum fire resistance =0 T507.2 (50 — 0) or greater 4. CHANGE OF USE: Same use 5. FIRE RESISTANCE OF KEY ELEMENTS: 5B UNPROTECTED SECTION 6 - ELEMENT RATING ARTICLES REMARKS HOURS Load Bearing Exterior Walls 0 T602 Non Load Bearing Exterior Wails 0 T602, 705.2 Fire and Parry Walls 2 T602 Fire Enclosures of Exit. Exit Hallways 1 T602 1 HR permitted; and stairways 1014.11;B use", less than 4 story Shafts and Elevatcr Hoist ways 1 T602 Other separations 1 T602, T313.1.2, Exit Access Corridor NA T602 Tennant space seperation 0 T602 Smoke barriers NA T602 Non -load bearing 0 T602 Interior Columns, Girders, Tosses, 0 T602 Framing Bearing Walls Structural Member Supporting Walls 0 T602 Floor Construction 0 T602 Roof Construction, Including Beams, Framing 0 T602 and Roof Fire Separation greater than 30' 0 T705.2 6. Fire detection Section 9 None required 7_ Fire extinguishers Section 9 1 required. Located and available to Occupants. Recommend 2 be provided. Occupant load: =19 persons Actual, =not provided Jun 05 01 09:04a the 978 670 8138 p.4 i May 31, 2001 Massachusetts State Building Code Analysis -630 Turnpike Road, North Andover, MA -continued Page 3 ARTICLES REMARKS 8. OCCUPANT LOAD SECTION 10 B Use group The calculated load is: T1008.12 Gross Area:=1896st Calculated:=1856/100gsp 9. LENGTH OF TRAVEL SECTION 10 Without automatic fire suppression system a T1006.5 maximum of 200 feet of exit travel is allowed. Proposed length of travel is well below maximum allowable (Actual maximum is 70 feet +! j 10. REQUIRED MEANS OF EGRESS SECTION 10 500 or less, B is 2 independent exit T1010.2 11. EXIT CAPACITY SECTION 10 Doors, ramps, corridors: 0.2 inch/person x 19 3.8 inches T1009-2 The minimum door width allowed is 32 inches 1014.8.1,1017.3 The minimum corriCor width allowed is 36 inches 1011.3 (less than 50 persons) 12. Exit signs Section 10 required with emergency electrical system or Self luminous. 6"h. gn red letters. 13. Emergency means of egress lights 1024.0 Sectiun 10. Required to light exit components 14. Interior environmental requirements/habitable space Section 12 minimum headroom of 7'-6"; minimum area of 70sf: 50 cfm tan at restrooms if not running continuously; mechanical ventilation every room or space for human occupancy; light artifical light and natural to provide 250 foot candies Jun 05 01 09:04a the 97B 670 8138 May 31, 2001 Massachusetts Stats Building Code Analysis -630 Turnpike Road, North Andover, MA -continued Page 4 248 CMR 15.Plumbing fixture requirements Required Medical nealth care building 8 1 toilet male and female each T1, page CMR248 74.1 1 lavatory male and femai each 1 drinking fountain per set toilets 2.10.19.k Proposed Medical health care building B 1 existing unisex toilet 1 existing handicapped unisex toilet 0 Drinking fountains Note: Unisex toilets allowed through a variance process if fixtures don't meet requirements of 248 CMR 2.10 (19): Table 1. Both unisex toilet rooms fulfill requirements for table 1 and the requirements for 521 CMR with the exception of grab bar size and reach ranges. 521 CMR 16. Change in use an accessible entrance must be prov'ded 3.4 Existing buildings if work less than $100000.00 than only the work needs to comply. 3.3 2- Parking spaces 1- Accessible entrance All- doors, approaches, door hardware and closers Changes in level not greater than %' Signage on the accessible entrance parking and restrooms Accessible toilets 30.7 780 and 248 CMR 17. Possible non- compliant systems, non-compliant systems and compliance alternatives Section 34 Possible non-compliant systems Insulation on piping and ductwork Window glazing Non-compliant systems and Compliance Alternatives Ceiling height is less than 7-6 required by code. Existing height is a maximum of 7-2 in most spaces_ This is a presently occupied space meeting previous code requirements. A higher ceiling can not be achieved due to structural limitations. No alternative is proposed for this non-compliance. No drinking fountain provided or existing. P.5 jun 05 01 09:05a the 97B 670 8138 P.6 May 31, 2001 Massachusetts State Building Code Analysis -630 Turnpike Road, North Andover, MA -continued Page 4 248 CMR 15.Piumbing fixture requirements Required Medical health care building B 1 toilet male and female each T1, page CMR248 74.1 1 lavatory male and femal each 1 drinking fountain per set toilets 2.10.19.k Proposed Medical health care building B 1 existing unisex toilet 1 existing handicapped unisex toilet 0 Drinking fountains Note : Unisex toilets allowed through a variance process, if fixtures don't meet requirements of 246 CMR 2.10 (19): Table 1. Both unisex toilet rooms fufill requirements for table 1 and the requirements for 521 CMR with the exception of grab bar size and reach ranges. 521 CMR 16. Change in use an accessible entrance must be provided 3.4 Existing buildings if work less than $100000.00 than oniv the work needs to comply. 3.3 2- Parking spaces 1- Accessible entrance All- doors, approaches, door hardware and closers Changes in level not greater than %s" Signage on the accessible entrance parking and restrooms Accessible toilets 30.7 780 and 248 CMR 17. Possible non- compliant systems, non-compliant systems and compliance alternatives. Section 34 Possible non-compliant systems Insulation on piping and ductwork Window glazing Non-compliant systems and Compliance Alternatives Ceiling height is less than 7-6 required by code. Existing height is a maximum of 7-2 in most spaces. This is a presently occupied space meeting previous code requirements. A higher ceiling can nct be achieved due to structural limitations. No alternative is proposed for this non-compliance. No drinking fountain provided or existing, 05 01 09:06a the 978 670 8138 p.7 May 31, 2001 Massachusetts State Building Code Analysis -630 Turnpike Road, North Andover, INA -continued Page 6 No alternative is proposed for the non-compliance. Existing met code at time of installation and user is providing multiple sources of potable water and a refrigerator. Grab bars to be installed to code and reach ranges to be adjusted. Existing electrical fixtures, heating and cooling system and water heater are to be reused. Existing lights and lighting do not meet energy requirements or the Habitable Space requirements (250 foot candles of artifical/naturai light in interior spaces) because of no natural light. It is recommended that the lights be allowed to be reused, and supplemented with new conforming light fixtures. The habitable space requirements for ventilation will be met by the use of the existing heating and cooling system. it is not known if this system presently will meet todays code requirements, however it Is assumed the system conformed to code at the time of installation. Compliance alternative Existing bathroom fans shall be upgraded to 50 cfm if not presently 50 cfm. The existing water heaters are to be reused to provide hot water to the new fixtures. It is assumed this heater will not meet todays requirements, but meet the code requirements when installed. Compliance alternative The ceiling space shall be insulated to achieve better energy and sound compliance. Insulate with a minimum of (R19) unlaced insulation. Pipes and duct work shall be wrapped in insulation with a vapor barrier (the vapor barrier should be to the outside because a return air plenum is being used for heating and cooling). The exterior perimeter shall be insulated with a minimum of (R-15) paper faced insulation. Jun 05 01 09:08a the 978 670 8138 p.8 May 31, 2001 Massachusetts State Building Code Analysis -830 Turnpike Road, North Andover, MA -continued Page 5 No altemative is proposed for the non-compliance. Existing met code at time of installation and user is providing multiple sources of potable water and a refrigerator. Grab bars to be installed to code and reach ranges to be adjusted. Existing electrical fixtures, heating and cooling system and water heater are to be reused. Existing iights and lighting do not meet energy requirements or the Habitable Space requirements (250 foot candles of artificallnaturai light in interior spaces) because of no natural light. It is recommended that the lights be allowed to be reused, and supplemented with new conforming light fixtures. The habitable space requirements for ventslation will be met by the use of the existing heating and cooling system. It is not known if this system presently will meet todays code requirements, however it Is assumed the system cen`crn-ed to code at the time cf installation. Compliance alternative Existing bathroom fans shall be upgraded to 50 rfm if not presently 50 cfm. The existing water heaters are to be reused to provide hot water to the new fixtures. It is assumed this heater will rot meet todays requirements, but meet the code requirements when installed. Compliance alternative The ceiling space shall be insulated to achieve getter energy and sound compliance. Insulate with a minimum of (R19) unfaced insulation Pipes and duct work shall be wrapped in insulation with a vapor barrier (the vapor barrier should be to the outside because a return air plenum is being used for heating and cociing). The exterior perimeter shall be insulated wtth a minimum of (R-15) paper faced insulation. .# Hi:. i—v: Yip Li C'pri " :}',.it; r. �•_i'i:iY. ;f,�, Ct; t. SITE PLA14 Q 9. Date .SP .............. � ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that---... ........... .............. ............................... has permission to perfo ........... ...... wiring in the building _pf... ................... ...... . North Andover, Mass. FeeX........... Lic. No ELECTRICAL INSPECTOR Check # 6485 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. �6—yS" Occupancy and Fee Checkedj'°�'� [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 (PL.F.ASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9— 9-0 ( p City or Town of: fJ Pncboy e r 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) fp3ptvy Ke 3rd N:: 10or X17 Owner or Tenant .��yQ,n-� w. E—V ev0--s 010 Telephone No. Si (_g73 to Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. A;a:ps i wits 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 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 Swimming Pool Above ❑In- ❑ rnd. rnd. o. o Emergency Lighting Batteg 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. Tonsl No. of Alerting Devices No. of Waste Disposers p Heat Pump Totals: Number ::ons KW No. of Self-Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No of Dryers Heating Appliances Kitt Security Systems:* No. of Devices or Equivalent No. of WaterI ale; Featers " . No. of No. of Signs Baiiasts • —� ' raid ri�d. ��irinE: No. of Devices or Equivaleni ! No. Hydromassage Bathtubs No. of Motors Total HP re—lecommu.nicationsNoof evices or Equivalent OTHER: 19• Attach additional detail if desired, or as required by the Inspector of 64"ires. Estimated Value of Electrical Work: 795 (When required by municipal policy.) Work to Start: A5 n P 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:) certify, under the pains anti penalties of perjury, that the information on this application is true and complete. FIRM NAME: ADT Security Services, Inc. LIC. NO.: 1533 C Licensee: DOUG BUCKERIDGE LIC. NO.: 2306D (If applicable, enter "exempt" in the license number line.) 213us. Tel. No.: 603-594-5900 Address: 18 CLINTON DRIVE HOLLIS N.H. 03049 Alt. Tel. No.: 603-594-5930 *Security System Contractor License required for this work; if applicable, enter the license number here: SS CC 001594 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 FERMIT FEE: $ L -j S Signature Telephone No. .......... . _ .... .... .... tW4 - r W L- a - G W� r� ZZ C. EL:E)........... ------------ moa ! - '�Y•�: - - - - - - - �b� 5 ppy- _ _ _ _ _�Q� °•°•°•°•°•° • :I, � • a -0 4 i 4 '(jJ a a a s a s a LAL �L -a a a s s 4 s a Q Y _ - - - - r, • • s r r , W.Z �T (- • i • • a i i a++ i a• 4 ' CL 'A _ 4a' +4,7 ai i,,.i a v. a,.. a.,Wa:... ..a:+i o^p.a •. ..a • .a a a a i a a > ,a a ► r • ► •, .• +,i Y/ .+r .'.:r ! 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C.....%........1....<t.l:7h�.�� .....5 ................. . orth Andes r, ass. Fee.. 5:.:.... Lic. No....�.. �,�...................... .�.� .. ... ' .................... EL'�CTRICAL INS ECiU Check # a The Commonwealth of Massachusetts 0 a $e O M" DepaMnent of Public Safety Permit No._ BOARD OF FiRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy a Fee Checked-. 3M (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Art w -x to - performed In se=men Mtn the Mejeaenu""s El@cc 0 al Code. 327 cmn IZ.W (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date L City or Town of- - A K)Dpycp _ The undersigned applies for a permit to perform the electrical work described below. -------To the hlspecter of Wires: Location (Street S Number—&ao -rue ,3i>i 1<I- cC "FV -r- Owner or Tenant - sNinve- Owner's Address 1�� /� P j K'tZ"f �-i f l%c NV1n n tUi Is this permit in conjunction with a building permit yes Cl no Ch, .; Appropriate riate Dox) Purpose of Building.j(/ioc Utility Authorization No. ( k A ra Existing Service Amps _) Volts New Service Amps Volts Number of Feeders and Ampacity Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ Location and Nat -,e of Proposed Electrical Work JF��/rr oy, t-1 No. of Meters No. of Meters --- No. of lightinq Outlets No. of Hot Tubs INo. of Transformers —TOTAL r No. of U9tj,,in9 Fixtures Above In Swimmin Pool rnd. ❑ qrnd ❑ -- KVA Generators KVA No. of Emergency Lighting��r- No. of Receptacle Outlets No. of Oil Burners Battery Units FiRE ALARMS No. of Zones No. of Switch Outlets No. of Gas Burners No. of Ran esTOTAL No. of Air Conditioners ONS No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained . No. of Disposals HEAT TOTAL TOTAL No. of Pumps TONS KW No. of Dishwashers- � ' `Space/Area Heatin _ .)(H/._... 0etectioNSoundin Devices , _- _ . ,. _ • idunicipal - Local ❑ Connection ❑Other' No .of" D erzHeatin Devices Kw . No, of Water Heaters KW ' NO—Of., No. of Signs:-. Ballasts - Low Voltage ' Wtrin No. of Hydro Message Tubs No. of Motors Total HP' /QfTi� Y OTHER:_ INSURANCE COVERAGE: Pursuant to the requirements of MassachUsetIs,General Laws I have a current Liability Insurance Policy Including; Completed, Operatiods°Coverage or its substantial equivalent: YES/Q NO Q I haave'subMIit4 valid proof of same to this offles. YCS Q NO If you have -checked YES, please indicate thei typA.oticovbragb by checking the appropriate box;-"' INSURANCSM BONG ❑ .OTHER'. (Please Specifyt . ._ - (Expfratfan�Datej .' Estimated Value.of Electrical Work S Work to Start Inspection Date., Requbtfed: Roughr__�_ Fria! Signed under the penalties of perjury: FIRM NARAE.-,� XAA _LIC. NO Licensee ; x SignAfu r Lid. Address N BSC /.230 �.,� �Oi1�'.� _ �` ��.. Bus. tel No J Y�� RNIB T: H... p BZIv Alt. Tel. No OWNER'S INSURANCE WAIVER: `t am -aware that the Licensee does not have the insurance coverage or its substantial equivalent as required b Massachusetts General Laws, and that my signature on this application waives this. requirement.Owner Agent (Pleas's c17 hecit'one _.Telephone No. PEHh1IT FEE S. (Signature of Owner or Agent) - 4©23 14'11 J -d Z---- Date ........�`a.................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING rThis certifies that ........................ r ................................... ,.has permission to perform-.--.-"...: ....:::.::......................................................... c wiring in the building of ...... - ...>-, ?.................................... at .. "U...,:2 .-...... �.......................... ` ........... . North Andover, Mass. Fee.. � ........... Lic. Nod .!%... .........:�..... ...........t �...................... ' --ELECTRICAL INSPECTOR Check # �%�/ Official Use Only "{ Permit No. ayf t e«t od �` Ste`/ Occupancy & Fee Checked L BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 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 To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical_work described Location (Street & NumberLZ, 3 U T�r�'✓��jl 2� _ Owner or Tenant /Z e�N tW/fAl CWT Owner's Address �SAvrlc� 7 Is this permit in conjunction with a building permit Yes 06 / No ❑ (Check Appropriate Box) Purpose of Building`►7E Oi�A L PrLr9 L f 1 �� Utility Authorization No. Ebsting Service 5/99ES Amps 4/22Voits Overhead ❑ Undgmd ❑ No. of Meters New Service Amps Voits Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work /L��/1 a F iT f/PPvu /00 - uoo cSc fT OCHER: _S , INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalYES NO = have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type o coverage by checking the appropriate box INSURANCE = BOND = OTHER =. (Please Specify) . (Expiration Date) Estimated Value of Electrical Work$ A2_00,0, to Work to Start F a.40—eY Inspection Date Resquested 4/-11.,L C.4" Rough Final Signed under the Penalties of perjury: LIC. NO. FIRM NAME THE--J-Z-eA1 (r �cRf NO. .23227 e 40d'`>' Bus. Tel No. 623 — 5_'/r— Z S Address /y- P,? slEa/ 110 /YIE'rt/l "*74 Cie A111 Alt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my;sgnature on this permit application waives thisrequirement. Owner Agent (Please Check one) % 6ti No. PERMIT•fEE $ / (Signature of Owner or Agent) Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ t No. of Lighting Fixtures Swimming Pool gmd ❑ grnd ❑ Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners BatteryUnits _F No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of Di sal No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring f No. Hydro Massage Tuds No. of Motors Total HP OCHER: _S , INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalYES NO = have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type o coverage by checking the appropriate box INSURANCE = BOND = OTHER =. (Please Specify) . (Expiration Date) Estimated Value of Electrical Work$ A2_00,0, to Work to Start F a.40—eY Inspection Date Resquested 4/-11.,L C.4" Rough Final Signed under the Penalties of perjury: LIC. NO. FIRM NAME THE--J-Z-eA1 (r �cRf NO. .23227 e 40d'`>' Bus. Tel No. 623 — 5_'/r— Z S Address /y- P,? slEa/ 110 /YIE'rt/l "*74 Cie A111 Alt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my;sgnature on this permit application waives thisrequirement. Owner Agent (Please Check one) % 6ti No. PERMIT•fEE $ / (Signature of Owner or Agent) Plan Review Narrative The following narrative is provided to further explain the reasons for the action on the property indicated on the reverse side: Fire Health Police Zoning Board Conservation Depa tment of Public Works Planning Historical Commission Other BUILDING DEPT ZoningBylawDenia12000 µGfY7-H"'`T Zoning Bylaw Review Form Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 SSS" Phone 978-688-9545 Fax 978-688-9542 Street: 3 0 Re' 6 -f– Ma /Lot: I�Y g 1,41 q Applicant: ia13 `rvrn7 tYe /?Galf 7-r,,4+ pjeop,e 4 wgRAILT2_. Request: A.)7Vrr ro r, 'Re, Y — ParXI,rr Date: DI.. .. h.. ...J. .r -ease be auviseU L1101. drier review or your Application and Plans your Application is / DENIED for the following Zoning Bylaw reasons: Zoning 'ej,O ) Nlr.njmvtYVGt �Ool(ZD Remedy for the above is checked below. u Item # Special Permits Planning Board Item # Item Notes Setback Variance Item Notes A Lot Area Common Driveway S ecial Permit F Frontage variance for Si n 1 Lot area Insufficient R-6 Density Special Permit 1 Frontage Insufficient Supply Additional Information 2 Lot Area Preexisting —2 —Frontage Complies 3 Lot Area Complies 3Preexisting frontage H e S 4 Insufficient Information 4 No access over Frontage B use 5 Insufficient Information 1 Allowed y g G — Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 5 Special Permit Required Insufficient Information 3 4 Preexisting CBA Insufficient Information y S C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 4 Left Side Insufficient Right Side Insufficient 3 4 Preexisting Height Insufficient Information g 5 Rear Insufficient I Building Coverage 6 Preexisting setback(s) V_j e S 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D 1 Watershed Not in Watershed e S 3 4 Coverage Preexisting Insufficient Information S 2 3 In Watershed Lot prior to 10/24/94 1 Sign Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 2 3 In District review required Not in district Insufficient Information 41e S 1 2 3 More Parking Required Parking Complies Insufficient Information Nlr.njmvtYVGt �Ool(ZD Remedy for the above is checked below. u Item # Special Permits Planning Board Item # Variance I1,`4 Site Plan Review Special Permit Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway S ecial Permit Height Variance Conr1rea.ate Housing Special Permit variance for Si n Continuing Care Retirement Special Permit Independent Elderly Housing Special Permit Large Estate Condo Special Permit Planned Development District Special Permit Planned Residential Special Permit Special Permits Zoning Board Special Permit Non -Conforming Use ZBA Earth Removal -Special Permit ZBA Special Permit Use not Listed but Similar Special Permit for Sign R-6 Density Special Permit Other Watershed Special Permit Supply Additional Information The above review and attached explanation of such is based on the plans, request for or information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for this action. Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by referen e. The building department will retain all plans and documentation for the above file. 6-7-O� -6-9-0/ ,Gilding Department Official Signature Application Received Application Denied Denial Sent: If Faxed Phone Number/Date: Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .. 7.�.... /*-< c L .............. has permission to perform .... .............. plumbing in the buildings of ............. at ........ N Tth Andover, Mass. ...... ...... Fee ..... Lic. -L iu M B I N G IN SPEC OR Check # 3 5345 0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) - NORTH ANDOVER, MASSACHUSETTS G 3 � �•�'"� Date Building Location �(�y�pi//!/\ e Owners Name �kk 4 %Q � Permit Amount / 2 3 Type of Occupancy New 0 Renovation ® Replacement ® Plans Submitted Yes 0 No E] 3 (Print or type) c \ Check one: ^� Certificate Installing Company Name [- . ip, Address lPartner. usmess Te one 6 r6�� /..� A p * Cifiq, n - 3! ?X7 0 Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance 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 Signature Owner 13 Agent I hereby certify that all of the details and information I have submitted (or enteredin above cation are true and accurate to the best of my knowledge and that all plumbing work and installations ormed der I ssued for this application will be in compliance with all pertinent provisions of the Mas sett ` t g Code Chapter 142 of the General Laws. By: 3agnature oru)z- ,affFeTriumoer Type of Plumbing License Title ,_.,�--, „s �., City/Town ice�1Gum er Master oumeyman APPROVED (OFFICE USE ONLY L.J • i il -�-------- -.-�---�-5--�- i: , 3\/ 0M EMMA�----M.M -.----M- M5-- �. ��.--�---- 0--.---MM----5 (Print or type) c \ Check one: ^� Certificate Installing Company Name [- . ip, Address lPartner. usmess Te one 6 r6�� /..� A p * Cifiq, n - 3! ?X7 0 Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance 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 Signature Owner 13 Agent I hereby certify that all of the details and information I have submitted (or enteredin above cation are true and accurate to the best of my knowledge and that all plumbing work and installations ormed der I ssued for this application will be in compliance with all pertinent provisions of the Mas sett ` t g Code Chapter 142 of the General Laws. By: 3agnature oru)z- ,affFeTriumoer Type of Plumbing License Title ,_.,�--, „s �., City/Town ice�1Gum er Master oumeyman APPROVED (OFFICE USE ONLY L.J 04 Nofor a aaa Zoning Bylaw Review Form Town Of North Andover Building a< � g Department 27 Charles St. North Andover, MA. 01845 ass"` Phone 978-688-9545 Fax 978-688-9542 Street: ?vrW10t K e_ G4_ Map/Lot: r,- C1 Applicant: Request: 6,3oT-brw ill>✓ Ze_4 f,�T2vSf ^- Pietm A. NA1',9TA PARKUuG Date: — �•��„".. "' y"ul „NNn%,auvn anu mans your Application is APPROVED / DENIED for the following Zoning Bylaw reasons: Zonina Remedy for the above is checked below. Item # Special Permits Planning Board Site Plan Review Special Permit Access other than Frontage Special Permit Frontage Exception Lot Special Permit Common Driveway Special Permit Congregate Housing Special Permit Continuing Care Retirement Special Permit Independent Elderly Housing Special Permit -Large Estate Condo Special Permit Planned Developrnent District Special Permi Planned Residential Special Permit R-6 Density Special Permit Item # Variance Setback Variance Parkinq Variance Lot Area Variance Height Variance Variance for Si n Special Permits Zoning Board Special Permit Non -Conforming Use ZBA Earth Removal Special Permit ZBA Special Permit Use not Listed but Similar Special Permit for Si n Other Su I Additional Information The above review and attached explanation of such is based on the plans, request for or information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for this action. Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. Building Department Official Signature Application Received Application Denied Denial Sent: If Faxed Phone Number/Date: Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting S 2 Frontage Complies 3 4 B Lot Area Complies Insufficient Information Use 3 4 5 Preexisting frontage No access over Frontage Insufficient Information c -t e- S 1 Allowed i e S G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 5 Special Permit Required Insufficient Information 3 4 Preexisting CBA -- Insufficient Information i.t S C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 4 Left Side Insufficient Right Side Insufficient 3 4 Preexisting Height Insufficient Information S 5 Rear Insufficient I Building Coverage 6 Preexisting setback(s) S 1 -- Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D 1 Watershed Not in Watershed Lt S 3 4 Coverage Preexisting Insufficient Information S 2 3 In Watershed Lot prior to 10/24/94 j 1 Sign Sign not allowed A 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 2 3 In District review required Not in district Insufficient Information `l S 1 2 3 More Parking Required Parking Complies Insufficient Information IIV5u%IC-i L 1`ia`,:!f� Remedy for the above is checked below. Item # Special Permits Planning Board Site Plan Review Special Permit Access other than Frontage Special Permit Frontage Exception Lot Special Permit Common Driveway Special Permit Congregate Housing Special Permit Continuing Care Retirement Special Permit Independent Elderly Housing Special Permit -Large Estate Condo Special Permit Planned Developrnent District Special Permi Planned Residential Special Permit R-6 Density Special Permit Item # Variance Setback Variance Parkinq Variance Lot Area Variance Height Variance Variance for Si n Special Permits Zoning Board Special Permit Non -Conforming Use ZBA Earth Removal Special Permit ZBA Special Permit Use not Listed but Similar Special Permit for Si n Other Su I Additional Information The above review and attached explanation of such is based on the plans, request for or information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for this action. Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. Building Department Official Signature Application Received Application Denied Denial Sent: If Faxed Phone Number/Date: Plan Review Narrative The following narrative is provided to further explain the reasons for the action on the property indicated on the reverse side: Referred To: Fire Health Police Zoning Board Conservation De artment of Public Works PlanningHistorical Commission Other BUILDING DEPT 7n ..7].,1 �v---- uy•aWLC;M,tlLvvv Date. 4.,� .... ... �71.4v 1 No 3C9 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .............C..* ... ....... i:t C. I R.(, .. (. r -f .. I ................. has permission to perform .......1.1.''R. a. n ... � v�................................. wiring in the building of ...... ..................................................... at. ...(�7,3( ......... North Andovtr, ....... ... ... ........ . ,VMassr. Fie ..t_!�C)d,( Lic.No .............. ............. LEcTRICAL INS ZCTOR \h ,'c k # W HITE: Applicant CANARY: Building Dept. PINK: Treasurer „r.,.�_.,.,.a„�„r="�ar.��'�*'+.,c�aG„it�r ':.. �...�r^• .,.. N -dc's a r:...r•�..;r^.h: � w:a, _ r+ ,. ,w,.. , ,. .n v , yy,. , a55�D CITY OF BOSTON office Use Only }E°s�oN INSPECTIONAL SERVICES DEPARTMENT Permit No. �y 1010 MASSACHUSETTS AVENUE, BOSTON, MA 02118 635-5300 ((�j� pp (� mrt ��tpp I} rt �{p �t p# Occupancy & Fee Checked BOSTONIA a 1 'ho (fommoitutonith of hitt �ttChu Etta I I 7 �,. cormrrann. eave b ank) 1.630. Repartment of Ilublie 3ttfetU.• Ward BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Area APPLICATION' FOR PERMIT TO PERFORM ELECTRICAL WORK All work to beperformed in accordance. with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INfORMATION) Date City or Town of t1lottY Ari ntI e — To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) (�Floor Owner or Tenant Tel. No. Owner's Address SRS Is this permit in, conjunction .with�a building ,permit: Yes © No ❑ (Check Appropriate. Box) Purpose of Building S /OQC- Utility Authorization No. Existing. Service o Amps./ZoO US7 Volts Overhead ❑ Undgrnd ® No. of Meters New Service Amps Volts Overhead ❑ Undgrnd ❑ No. of Meters Numberof Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- grnd. El grnd. 1:1/ Generators ©(7�Kd No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units_ No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and No. of Ranges No. of Air Cond. Total tons Initiating Devices No. of Sounding Devices No. of Self. Contained No. of Disposals' No. of Heat Total Total Pumps Tons KW No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices Local Municipal Other' . ❑ Connection No., of Dryers . Heating Devices KW ;� No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts, Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current.Liabi)ity Insurance Policy includ- ing Completed Operations,Coverage or its substantial equivalent. YES, El NO ❑ I have submitted valid proof .of same to the Office. YES . tg NO ❑' If you have checked YES, please indicate the type of -coverage by checki the appropriate box._ INSURANCE ❑ BOND ❑ OTHER ❑ (Please Specify)-�Z (Expiration Date) Estimated Value of Electrical Work $ � - ` � //` Work to Start .9'5d_P Inspection Date Requested: Rough "� Final Signed under the Penalties of P rjury: FIRM NAME r `rs111. t LIC. .NO. Licensee A.t�s'�•uj C lr-i�Jrd�� Signatire LIC. NO. Y Bus. Tel. No. Address b�� L U%�� r �-r+�% %%%I455, 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 Generale Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) Notify Inspector for rough and/or final inspection. Permit must be obtained before commencing any, and all work in compliance with G.L.C. 141 & all applica- ble laws & ordinances is required and understood. X-6796. DATE DESCRIPTION OF WORK/COMMENTS INSPECTOR N'' , "s•�_[-t'� r`��^xF[i, tis �r�r•�F'�" ,{mi+,.F,.-e,Ty �*+r•s ` .'i' "g��:.(Rr.r`�-a ... i .rt�;..;�,.,�t, ;F.,� ��,�tn:'-+ ..,Zy,-,• -,r 1" lair r "ti--� :� . i r' "x•«,.��. �-. x �, ,. { ti CITY OF BOSTON INSPECTIONAL SERVICES DEPARTMENT 1010 MASSACHUSETTS AVENUE, BOSTON, MA 02118 • 635-5300 P �l�e C�ommonwettltfl of �tt�ttttcilu�Etttt Departtnetttof Public *afetU BOARD OF FIRE,PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only Permit No. Occupancy & Fee Checked 3/90 (leave blank) Ward Area APPLICATION FOR PERMITJO PERFORM ELECTRICAL WORK A1da 1 work to be performed in accornce with the Massachusetts Electrical Code, 527 CMR 12:00 i. (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date City or Town of On r't � 41/,104 Citi 0--r— To the Inspector of Wires: The undersigned applies for a permit Location (Street & Number);;^^�� I! Owner or Tenant. perform the electrical work described below. r /L P ► Ke .a �fre_f + Floor f Tel. No. Owner's Address a tY /Yf f7 Is this permit .in conjunction with.a building permit: Yes ® No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization. No. Existing. Service d Amps #40 Z6'9' 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 No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ / Generators /00 C No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones` No. of Detection and No. of Ranges No. of Air Cond. Total tons Initiating Devices . No..of Sounding Devices No: of Self Contained No..of Disposals No. of Heat Total Total Pumps Tons KW No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices . Local Municipal ❑ Other ❑ Connection o. oDryers No. D Heating Devices KW No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: A/ 6 INSURANCE COVERAGE: Pursuant to the_'requirements of Massachusetts General Laws I have a current Liability Insura e Policy includ- ing Completed Operations Coverage or its substantial equivalent. YES ❑ NO ❑ 1 have submitted valid proof of sdme to the Office. YES .6 .NO ❑ If you have checked YES, please indicate the type of coverage by checkbing the appropriate box. // INSURANCE ❑ BOND El OTHER El(Please Specify) �� %`� /t,/K;7' ,, ,, fes, / �t{t D� (Expiration Date) Estimated Value of Electrical Work $ '-` . % ,// Work to Start- Inspection Date Requested: Rough i.!%+ -� Final .� �f �/ �> / Signed under the Penalties of Perjury: 47 1f.+ FIRM NAME� LIC. Licensee +'�+ +' L Signatu��...1 re d-yy LIC. NO. Bus. Tel. No. Address % % /`i% %� / r( / i ti" LCCA\Ja.C. %` , t' Jri S Alt. Tel: No. v 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 $ (Signature of Owner or Agent) Notify Inspector for rough and/or final inspection. Permit must be obtained before commencing any, and all work in compliance with G.L.C. 141 & all applica- ble laws & ordinances is required and understood. X-6796 O O r "-o DATE DESCRIPTION OF WORK/COMMENTS INSPECTOR k� S�DF CITY OF BOSTON No. of Transformers Total KVA INSPECTIONAL SERVICES DEPARTMENT ' 1010 MASSACHUSETTS AVENUE, BOSTON, MA 02118 • 635-5300 O 'q C 014f TQtumottwealt4 of Massar4uutts ONDITAAD. 1630. 'f Department of Public j%fetU No. of Oil Burners BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only Permit No. - or 70 Occupancy & Fee Checked 3/90 (leave blank) Ward Area 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 City or Town of h # A &&Z t,)— To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below.' Location (Street & Number) 63 Fa, i yf_ P; k'e.y �, Floor Owner or Tenant Tel. No. Owner's Address _J iiiknu Is this permit in conjunction with.a building permit: Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 440f' Amps EZ,O / rag Volts Overhead ❑ Undgrnd 0 New Service Amps Volts Overhead ❑ Undgrnd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Meters 1 No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above IIn- rnd. 1:1rnd. ❑ ) Generators /0 0 C No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and No. of Ranges No. of Air Cond. Total tons Initiating Devices No. of Disposals No. of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained Ito. of Dishwashers Space/Area Heating KW Detection/Sounding Devices LocalMunicipal El Other ❑ Connection No. of Dryers Heating Devices KW No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy includ- ing Completed Operations Coverage or its substantial equivalent. YES ❑ NO ❑ 1 have submitted valid proof of same to the Office. YES 9 NO ❑ If you have checked YES, please indicate the type of coversge by checki the appropriate box. INSURANCE 1-1BOND 1-1OTHER❑ (Please Specify) f%C_t_ A,yt133� X164 / (Expiration Date) Estimated Value of Electrical Work $, 3 ,boa Work to Start �� Inspection Date Requested: Rough ✓ Final Signed under the Penalties of Perjury:, Q FIRM NP Licensee Address LIC. 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 $ (Signature of Owner or Agent) Notify Inspector for rough and/or final inspection. Permit must be obtained before commencing any, and all work in compliance with G.L.C. 141 & all applica- ble laws & ordinances is required and understood. X-6796 M 0 -n 0 m 0 O m Z I z W V m n O C7 O F?iiii�r;nl ni;4ti �s�t,�_4Jtir.�t ltit�Fk,Ltir_"Ilfl(_FAGE 01 , p mow•., GENERATOR DIVISION AVER TOOL. 20 Cedar Street Renwis, Sales & ke Framingham, MA 01702 (508) 872-8880 * Fax (508) 820-8856 E-mail: wes@Aaverivtool.com www.waverlytool.com ?Name: lint Warren Date: 4-20-0 Address: C/O C & W Electric Phone. 978-863-5552 .. — city, State, Zip: �,� rY' 5,) Fax: 978-863-9930 Attn: E -Mail Location: Waverly Tool is pleased to quote the./ollowing equipment for the above project; Quantity: 1 _ Brand: Koliler Model: 100 P.Z -Kw: 100_Am-=Es_---430"olta: 1201208 _ Phase: 3 Fuel: L/P 60 Hz with the standard equipment and the following options: ✓ Flexible Fuel and Exhaust Connectors ✓ Jacket Water Heater Exhaust Silencer – Critical ✓ Safeguard Breaker ✓ Starting Batteries with Rack and Cables 0 Remote Enunciator Panel Weatherproof Enclosure w/ Mounted Exhaust 0 _ Gallon Day Tank C Sound Attenuated Enclosure 0 — _ Gallon Sub -base Fuel Tank. ✓ Oil .Drain Extension Kit Double Wall / LTL. Listed ✓ Automatic Transfer Switch Model :__GLS400 ✓ Over Voltage Protection Shutdown ✓0 Exercise Clock ✓ Dec 3+ Controller ✓ a Battery Charger ✓ Run .Relay V Main Line Circuit Breaker: Rated 404 Amps 0 Pre -Alarms 0 ✓ Cooling System w, Unit Mpunted Radiator L TOTAL NET PRICE F.O.B. S-2-3 .500.00 (DOES NOT INCLUDE TAX) This quonalion expires 60 dabs from the above date. �:a,��xzn;»'(.i•:�:r`aat�.R«��H.nz<�n;t:4:a::;,,:u:x�;<s:txosfsx4ti Prr_e includes ire-delivery_p ep ration* deliverty o N srth Andovex end Start ,`_ _ Not Included in the abgyt9nce are the followiz��' –___F lectrical / CsLs hook ups Customer Waverly Tooi – Generator Division r lion a(-,cV Zce, pleasesign and return: a copy to Wewerly Tool vier f= at (50e) 820-8856_ I'll —.1 �l 14.0.7 I'MA 41.111 t 0+41 UU0 a MORTGAGE INSPECTION PLOT PLAN..-4�/- NORTHERN ASSOr-,IATES, INC. 630 rUqN,0r*1E 5 WE 7' N, A NL'70 VER kA. 0 JV;!5 rt! MORTGAGOR ri ADDRESS OF PRINICIP DEED E- BUILDING PLAN FIEF. IT DA i r= OF (NSPEC,1ION�-�MA.,Z.-J.,__jrj_qj V., hCv j J-Ul;'.N pr k E: S-rp- E E 7- 0. riot I NOTE: N1 r70rt719e jn$"am we, PfQMd for "'ong"99 lat"'Pa"91 Ind 12 nail to be yv4d 'JP" 'a & swot, Nceftm okslo&.ufwt Inc I FURMER STATE TWAT 14 MY wkolpesgtOWAL OPINION lhaptimiple accepts rc miWilbl-Ily lot dornegfis %3W by anyone 01hu #an ft S4Jd rritirigagoo oulbuickill and ill SIFU amct W with III 0100ased monVays Wfrhg Le Bald with lhe Nalback 0".1mmil 0; the kcal la"Ing eyAnzmas. and that Vwg ...v no smcro4chm@fttj vi,mia, k"PMVWfdmls viWay a=% I vrp" Jim OKWPl as V/.V. ak-_a4 A.1 k fill? sliciw-� 2 5i=,?thpir a . w ALSO-. 3VA0- +5, r4e3 Pro"ffy a' P'-PV#d n azewd.i�7w fit Tfcmlod S, 0,ti 11 n41 of Flood Would Asea. landLyd3 for Mortgags Loan NCDetSont 31 4410AImJ by U,. t, .,Idm ivo� PmP*eV I .n If POW I'lLuld ft, %"d0lwm0ft6F1vvdHo1a,d of Land SLir"yol end Cl%i EmLieom IA: FloodHazmddatorminsd I -M i -lis, FINIum 0`106d 1001 ttocation e�-- 26 No.16' !7 Date ci NpR7M t q TOWN OF NORTH ANDOVER ?' • • f ty • Certificate Occupancy $ of �'�s'^•�'t<� s�cMus Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ l� %heck #5 k? i 13 61 0 %` --Building Inspect® i' TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING air DATE ISSUED BUILDING PERMIT NUMBER:�2 7' SIGNATURE: uildin Commissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 VJPropertAddress: ur4(�i-e 5-t-6 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone - ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record �//�� I_ ?T- n a ra ►! 630 NamePrint) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3 Licensed Cons on Su rvisor: i nsed Construction Supervi05V `� / Address Signature Telephone Not Applicable ❑ 3 License Number. Expiration Date--7 3.2 Registered Home Improvement Contractor TIm 1l(j 0h er (�00 g Not Applicable ❑ 111663 Company Nam ;( (,U e- Uc h S S Registration Number ress !�, ) 8 6 $lsgl �3 Expirati D to nature Telephone N SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Compensation Insurance affidad must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buil ng permit. " Signed affidavit Attached Yes ....... PT No ....... ❑ SECTION 5 Description of Proposed Work cher applicable New Construction ❑ Existing Building V Repair(s) Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Wo SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant�_ MAPOFlFICIAIUSE ONLY z 1. Building V (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OW"'RS AGENT O&QONTRACTOPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Her authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SEC ON 7b O"ER/AVTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject Verty by declare that the sta ements and information on the foregoing application are true and accurate, to the best of my knowledge andbelief Print me Si e of Owner A ent / �jD Date � NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T ABERS IST 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Feb -01-00 09:54A DeAngelis Ins Agcy 978 681 0773 P.01 ACORDTM CERTIFICATE OF L.IABI`LITY INWRZANCE 02/01/2000 PRODUCER FAX 9786823397 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DeAngelis Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 283 Merrimack Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Methuen, MA 01844 COMPANIES AFFORDING COVERAGE COMPANY Legion Insurance Company Ann: PATTI HERCULES Ext: A INSURED James Gallagher COMPANY B 352 Howe Street Methuen_ MA 01844 COMPANY C COMPANY D COVERAGES THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS YY) DATE (MMlDD1DATE (MMlDDIYY) GENERAL LIABILITY ,. GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG S CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) S MED EXP (Anyone person) S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIREDAUTOS BODILY INJURY $ " (Per accident) NON -OWNED AUTOS PROPERTYDAMAGE S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S . AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE S • UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND f - - TORY LIMITS ER EMPLOYERS'- LIABILITY A WCIO2SS7O EL EACH ACCIDENT S 100,000 05/07/1999 05%07%2000 THEPROPMETORI INCL EL DISEASE -POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE OFFICERS ARE EXCL EL DISEASE - EA EMPLOYEE S 100,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES!SPECIAL ITEMS CERTIFICATE ISSUED IN THE INTEREST OF THE NAMED INSURED AND THE CERTIFICATE HOLDER LISTED BELOW. CERTIFICATE IS SUBJECT TO THE COMPANY'S CONDITIONS AND EXCLUSIONS. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL - 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. TOWN NORTH ANDOVER BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY BUILDING DEPT. OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 146 MAIN STREET NO ANDOVER, MA 01845 AUTHORIZED REPRESENTATIVE .Qv�� David Segal/PAH !(// OACORD CORPORATION 1999 ACORD 25-S (1/95) The Commonwealth of Massachusetts Department of Industrral��ccc'ents GF, ice cf Investigations Boston, Mass. 0211 11 Ncrkerc' Comcerrsaticn Insurance A,'Fidavit Flame Please i-�ii r cc Cis 1 Fhcne CI am a homeowner per, c Hing all work myself. I am a sole prcpretcr and have no One `NCrkina in any C p2cty I am an emcteyer providing workers' compensation for my empic/ees `NCrking Cn this Job. Ccmcanv name: Add �hrne =- insurance Cc. Pclic•r I Comoanv name: ress Thane =' Insurance Cc. polio/ Failure to secare coverage as recuirec under Seddon or VIGL !ZZ con lest to the mccsiiicn of carrirai cenaities of a rine up to S i, °c0.CO anc1cr one years' impnscnment s ,veil as c:vii penalties in UMe form cf a S CF'/,/CPK C&RCEF and a Fire (51 CC.CC) a day -3931r-s-,me. I understand that a cc.cy of ;his statement may ce fcr.varcec to the Ctfics of Invesccaticns of 'he CIA fcr ccverace vermcaticn. I de hereey cem y under Fhe tains and cenalties of perjury that he information provided accve is `rue and cored.'. Sicn2ture Print name ;ale F h c n e Cffic:al use only do not waste in this area to t;e corncleted �y c::y cr ,c:vn c ,oaf Tcvn P=rm;ilLic�^s�rc • Cty or Euiidirc Cert ❑ L'consinC Eeard . [Clock ,f immediate resccrze is required �e!ec.,I'S Gfrice L Fhc.^e - C reaith Decarrmert C Trac: erscrr C Other Page No. of Pages JIM GALLAGHER CONSTRUCTION 352 Howe Street METHUEN, MASSACHUSETTS 01844 (978) 686-8163 PROPOSAL SUBMITTED, TO = PHONE DATE STREET JOB NAME CITY, STATE,AND ZIP CODE , JOB LOCATION ARCHITECT DATCOF PLANS JOB PHONE We hereby submit specifications and estimates for: ............................ ,..... .................. ....................................................................................... ........................................................................................................................................................... ....... _.................................... ... ..... _........................................................................... ... .......... --... - > / i r jj t .............. ... �....ti.. .. II �....................r t %r.__t. f......................:...........................................�...................... ;`:. .. ... :_ __........_ _...�...>. _i ...._--........_............................... _ ....... — . _ �1................�.. :.I _...� ,„.• {' . ..........................._1 -.1. ...... l.._._ .......... _....... __.................................. ...... _ t ,...�1 / ..... r d.....L..._L.................../ ....:............1.... r... C....(`(..l...J - 4 ...1.....L...._..............._..tt�_............1�c:..._........................_.......... ................................._..., ... .............I... ..........<..... .... j J i : , r f i yr t "1 j C 4 t) f �, irY f __...... .........._...._.........._............ 11421l.. ......._... .__............ L .✓..._...__..._...�J a, ....._...�...1..,........,r: '; 'r' ; ' 1 /�/ '� L1 �' �' �y �', t 4. ... ...._......_ __ _.__...__...........-............................ .._..._..._....._._. - '......:...F::...1:..!.....1..... -:; ........................r.. `....... _.... ........_...... ........�........C..._.._.......................... r WP f r0p0.6P hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: �'� ice; �� (1.•' `' � � f % j:' i � 1. t r , / �""----__...,..---��:......_.._.....,_„�" / f' dollars ($ -�✓ ) Payment to be made as follows: • All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica• Authorized tions! extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tomado and other necessary Insurance. f tote: This proposal fnay be ✓ Our workers aro fully covered by Workmen's Compensation Insurance. withdraw y us if not accepted within days. jkxjrrVtwt of i rDpDjoal—The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature;:' f to do the work as specified. Payment will be made as outlined above. / Signature .l.. 7 '{ Date of Acceptance: � , o W O W 2 o g s H C�,-) 2 C7 Q � ZWZW co Z _ W a Ln � ti rn c Q 5 ~ th m CM Z 0 501)O I � 7 � 60i O N Do�aa Q C) : m m C 7 t X Z m W o W O W 2 o g s H C�,-) 2 C7 Q � ZWZW co Z _ W a Ln � ti O z A OC co j4 w°0 cn O z z 5 •� w w Q~ O U w w co oG O w U w � n 0 O E� w z C7 � w w w A w co o z n Q eu _ O c nn E a N _ CA O U3 C co O v cm m 0 cm c C N m L_ O Z 0 g cm F. co O E O O Z O O y CDM CD L cl O C O O Q CL CA O O CA C O V cc L O C..i O CO) C CO CM C O D � m C c �- 0 o � C. C N O H C 0 R O V V d C R td i m C ;= O Cc O CAm EQ CF 'mom o a. r CO om c CD O :oma • c m : y R O y C42 CM CD 'fl C � m 1 =C C42 y y m • 0 m a� y m m • c= o _ F. Z • cc 0 c o Q m CL y m C = m m.=.p H O CL rr WZ y m 7g JZ LL �y me lW l0 •d= H y oc �E :;; v 0 o, W n CO2 CD o = �O = A =D 0 H E a N _ CA O U3 C co O v cm m 0 cm c C N m L_ O Z 0 g cm F. co O E O O Z O O y CDM CD L cl O C O O Q CL CA O O CA C O V cc L O C..i O CO) C CO CM C O D � m C C. H 0 4 0 LU U) Ir W Er uiw U) Date ..... ) ....... 3 ..2............ TOWN OF NORTH ANDOVER PERMIT FOR WIRING - This - .. r,.* ............... This certifies that ..... ......... has permission to perform ...... /Y .... !Iz?../ .............................................. wiring in the building of ...... P../I. ............................. at ....... 4.Z2 ....... ...................... 6. North Andover, Mass. .... Lic. No. ................. L. 7D .. ..... 6, ..... ............ ..... ELEcTRICAL INSPECTOR Check # 7 L J 7 4355 THE COMI%IONWE4LTHOFMAMCHU,SE77'S' Office Use only DEPAWARATOFPUBLICSAFETY Permit No. 3J. J BOARD OFFMPREVEMONREGUTAHONSR7CAR12.00 Occupancy & Fees Checked APPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 ;PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date -��'- Town of North Andover To the Inspector of Wires: Che undersigned applies for a permit to perform the electrical work described below. ,ocation (Street & Number) (p 3 ✓ �� It �e S % i $ % -� ¢' )wner or Tenant (1 )wner's Address this permit in conjunction with a buil 'n p rmit: Yes No F7 (Check Appropriate Box) e urpose of Building W�@ L� -C ( i C Utility Authorization No. AAA xisting Service Amps / Volts Overhead Underground '� No. of Meters ew Service Amps / Volts Overhead Underground No. of Meters umber of Feeders and Ampacity )cation and Nature of Proposed Electrical Work Qo. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA . do. of Lighting Fixtures Swimming Pool Above Below Generators KVA �ground 13 ground lo. of Rel ptacle Outlets No. of Oil Burners No: of Emergency Lighting Battery Units lo. of Switch Outlets No. of Gas Burners o. of Ranges No. of Air Cond. Total . FIRE ALARMS No. of Zones Tons o. of Disposals No. of Heat Total Total No. of Detection and Pumps Tons KW Initiating.Devices o. of Dishwashers Space Area'Heating KW No. of Sounding Devices No. of Self Contained Detection/Sounding Devices �. of Dryers Heating Devices KW Local Municipal Other Connections �. of Water Heaters KW No. of No. of Signs Bailasis �. Hydro Massage Tubs No. of Motors Total HP 3ER,-- leeA 7'd(:FV / P�, ee d k /` - R - 41 at�eeAv>� Ptnbthei�gmerr�a�9sof�C>�alLaws aama�tliab>btylt�sta�oePblicymc Cari>pl Cov orrtsst alecg�ivaler� YES NO :st>brnu�dvatidproofofsarrle&�dleOl ce YF� (� ifycthaw drdodYES, pkwemdakdrPAM ofcowgr-by �- 1RANCE- ADSW �' Z,j -�� JiMectimDaleRegiested Fsdtr>a>edVal<IeofFde�ricalWodc$ Rough Final �t ► junderTiePwaltiesofpffW-. 1 NAME v`h kj � a _/ CC�C-1 14 C' Lio wNo. 3ee Yh l�— bVwk T4s Sigllatiue L,=wNo /2 P,1�9 BuMX!ssTeL1\b 403 �. Alt Tel. No. Je 10S� ER'SINSURANCEWAIIE2; lam awarethatdleLmwdoesnothaveth--ma 2nceoDvaageoritssubslantdegtuvalaltasopnedbyMassachusetlsCtnelalLaws 3tmysignahmonftpmntaMhcaftonwaivestlristegtlust =L se check one) Owner O Agent ® �,CIO Telephone No. PERMIT FEE $ Signature ot Uwner or Agent The Commonwealth of Massachusetts Department of Industria! Accidents Office of investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print Location: City Phone # I am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity 1 am an employer providing workers' compensation for my employees working on this job. Company name: Address Rn 5a City: Ay -6- r ,�%f/ o3,13) - - Phone #: 6 6 i� 4�_ 7 / "70 /t, /1-7 Company name: , Address g,o03S 6 26/ZD01- City: Phone Insurance Co. Policy # FaRkre to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of crirninal penalties of:a fine up: to $1,500:00 and/or one years' imprisonment_as_va�lLas_civil penaltiesinlheiorm-fa-ST_OP WORK ORDER.-nd_afore_cf.($IDDM)-aliayagainst:me t understand that a copy of this statement may be forwarded to the office of Investigations of the DIA for coverage verification. do hereby certify under Me pains and penaitfes:ofperjury that the infwnaboon provided above its true and c ooect. a a -a K -63 Print name Wo rs -4 r , L�x e G V. P P_bone.# a3 -G may- i 7 d Official use only do not write in this area to be completed by city or town officiar City or Town Permit/t.icensing. El Check if immediate response is required Contact El Building Dept .p. Licensing Board E] Selectman's office E] Health Department Ei Other V Z Q 0. V V O 06 W U) D ti. O W Q V LL. W V pJelk Q ' MOI . ++ 19 W a O a z a. O z O z O F- a� Q CO CS � A a � 3 v� � w � �W)a� HSO a E0.0 I� �P U �z� o ul z 0 � � A a � �z� A ooz pW E-+ O U CO u• It 1� e 0 3- %4 `° JU ER " Q �) ES o ^v: `V z W � 1 7. GOP Q" N .®, � •, I V o> E � d O ': t�7 i M x �• •- -�i � a ,� a� s is m v 0 ro ow, x a m c w�' cid w w cry cin V) u• It 1� e 0 3- %4 `° JU ER " Q �) ES o ^v: `V 7. GOP Q" N .®, V o> E r s z 0 4m ma N �p =� N N O O - N L m m CQ - LA m m = O Of C 1=0 a �_ w c t O �- m .mom o' � o a 5 L W c = � CO) d= O C Z oc •E 0N o V m 0 a= c F= CL CD o _ y •O cz cc F- .c $ 06:4a0- m E o U cD cCO L7 O 006 MCD ,:r _ qd y C; p C? CP CD CO CO L L Z cco L i" m U CCOto— Cc A�' A O O OCo O L E c 6l CL ILUW �� LO d NCD and I 0 O CD O CD . o � °' a O y � C C C CO) CD — CO) CD m m CL - co � O � D O L ca m O d CL CMa ca o cc .CL O CD C z_CD CL V V2 � c C. 0 LU fr LLJ LLJ cr LLI LU U) - a Q. U _ M O m A si V y O o ccCi cc v �. ca u): o to El CS = U o o w° cn w° a°'. U w ° Do V) C2 ii C/)cn 0 O CD O CD . o � °' a O y � C C C CO) CD — CO) CD m m CL - co � O � D O L ca m O d CL CMa ca o cc .CL O CD C z_CD CL V V2 � c C. 0 LU fr LLJ LLJ cr LLI LU U) - :=CJ L� y m 9 m pC U o ' m A si V y O o ccCi cc C/J CS = CL_ m :gym= �.i �O = m :0�3 r0. y 02" 2" H m .. F3 CD =O �S C ui =o= AR y... y-. m � •O C.t.= S w. m y Z O .CO oul O•CD o� = CL O COO a �I dpi C3 . C. � m a C/) 0 u cm •:� C2 C'y/1 t ... Y ym3( C a• ' � � m •) VJ A 2Em =0 a E. � 0 O CD O CD . o � °' a O y � C C C CO) CD — CO) CD m m CL - co � O � D O L ca m O d CL CMa ca o cc .CL O CD C z_CD CL V V2 � c C. 0 LU fr LLJ LLJ cr LLI LU U) - :=CJ L� y m 9 m pC U m A si V y O cc C/J CS = a m :gym= �.i �O = m :0�3 r0. y 02" 2" H m W =O �S C ui =o= AR y... y-. I. -ON C.t.= S w. m y Z O .CO O•CD o� = CL O COO a . C. � m a 0 O CD O CD . o � °' a O y � C C C CO) CD — CO) CD m m CL - co � O � D O L ca m O d CL CMa ca o cc .CL O CD C z_CD CL V V2 � c C. 0 LU fr LLJ LLJ cr LLI LU U) - O U A C/J �.i �O .CO W O C/) 0 O CD O CD . o � °' a O y � C C C CO) CD — CO) CD m m CL - co � O � D O L ca m O d CL CMa ca o cc .CL O CD C z_CD CL V V2 � c C. 0 LU fr LLJ LLJ cr LLI LU U) GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS, ADDRESS, AND PERMIT (COPY OK)..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 provideproper 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. Surf. DECKS: Separate permit required: 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 - $25.00 (Be Ready). Certificate of occupancy required prior to occupying structure.