HomeMy WebLinkAboutMiscellaneous - 7 WILD ROSE DRIVE 4/30/2018N r O Date... ............ nI ........ 0TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that........................................................ e I ........................................ has permission to perform ........ .... . ............................... .................. .... wiring in the building of ............ .................................................. at �7 _p ......................................................North Andover, Mass.. -;I Feer;:Lic. No. ............ .. .. ........ LECTRICALINSPE Check # t commonwealth of Massachusetts OfficialpUse Only Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (�P.A VP h�an�ri APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT WINK OR TYPE ALL INFORMATION) Date:eA_ City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number)_ ^'�7 Owner or Tenant Telephone No.�, Owner's Address chA� Is this permit in conjunction with a building permit? Purpose of Building Eidsting Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity L ti oca on and Nature of Proposed Electrical Work: of Recessed Luminaires No. of Luminaire Outlets No. of Luminaires No. of Receptacle Outlets No. of Switches No. of Ranges No. of Waste Disposers No. of Dishwashers No. of Dryers Heaters KW Hydromassage Bathtubs OTHER: Yes ❑ No (Check Appropriate Boa) Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters No. of Ceil: Susp. (Paddle) Fans No. of Hot Tubs Swimming Pool Q [ r; No. of Oil Burners ------------ No. of Gas Burners No. of Air Cond. T table may be waived by the Ins ector of Wires. No. of ,.,*.r unrnd ❑ I11O4 Totalis I__...__._.._...... Space/Area Heating KW Heating Appliances ICS iv o. of Ballasts. No. of Motors Total HP KVA KVA IRE ALARMS [Na. of Zoness o..ofDetection and Initiating Devices o. of Alerting Devices o. of Self -Contained - eteetion/Aleriin Devices ical ❑ Municipal Connection ❑ Other xurity Systems: lyo. of Devices or Equivalent ata Wiring: No. of Devices or Equivalent ;lecommumcattons Wiring: No. of Devices or Equivalent i Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: , Q' (When required by municipal policy.) Work to Stark ll/01 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 Y BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete - FIRM NAME: 5 C LL LIC. NO.: s Licensee: Signatur (Ifapplic - e, enter "exempt " in the license number line.) - LIC. NO.: 3YL Address: SQA' 4C7-61, 0c.�a/Bus. Tel. No.: 97 . LP; nay *Per M.G.L c. 147, ssecunty work requires Department of Public Safety "S" License: Alt L cl. 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/Aent ❑owner's agent g Signature Telephone No. PERMIT FEE. ,S��` The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 { t www.mass.gov/dia . Workers' Compensation 1witirance Affidavit: Builders/Contractors/Electricians/Piumbers r ulicant Tnfnrma+;^n Name (Business/orgenization/Individual):�//Y,-Q Address: ` 'F>- , _.,111 _ .A -JJ , City/State/Zip: Phone #: _.-CjS cyy Type of project (required: 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.`;Electrical repairs or additions 11. ED Plumbing repairs or additions 12.[] Roof repairs 13.❑ Other omeowners who submit this effidayit indi ;Conhactots cating they are doing all work and then hire outside contractors must ubm a new affidavit indicating such. that check this box must attached an additional sheet showing the name of the sob -contractors and their wort' comp• r l:c� ir,„nation. I am au employer that is providing workers' compensation insurance for my employees: Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip- Attach a copy of the workers, compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Phone #: 'Official use only. Do not write u1 this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Are you an employer? Cheek.the appropriate box: l . V I am a employer with 4. 11I am a general contractor and I employees (foil and/or -time).* 2 have lured the sub -contractors I am .a:sole proprietor or partner_ Iisted on the attached sheet, x ship and have no employees These sub -contractors have working for me .in any capacity. [No workers' comp. insurance workers' comp. insurance. 5. ❑ We are a corporation and its required_] 3. ❑ I am a homeowner doing officers have exercised their all work right of exemption per MGL myself. [No -workers' comp. C. 1.52, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] * cornAny applicant that checks bozo # I must also fill out the section below showing their workers' coset' Type of project (required: 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.`;Electrical repairs or additions 11. ED Plumbing repairs or additions 12.[] Roof repairs 13.❑ Other omeowners who submit this effidayit indi ;Conhactots cating they are doing all work and then hire outside contractors must ubm a new affidavit indicating such. that check this box must attached an additional sheet showing the name of the sob -contractors and their wort' comp• r l:c� ir,„nation. I am au employer that is providing workers' compensation insurance for my employees: Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip- Attach a copy of the workers, compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Phone #: 'Official use only. Do not write u1 this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: t Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the'foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. 'However the owner- of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shaU not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance' coverage required" Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, notthe Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy; please call the Department at the number. fisted below. Self-insured comrranies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an appficant that must submit multiple permit/iicense applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy ofthe affidavit that has been officially starnped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit The Office of lnvestipations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-8.77-MASSAFE Revised 5-26-05 Fax # 617-727-774 www.mass.gov/dia Date... ....... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that r has permission for gas installation .. .... ^ . .::......... . in the buildings of .... ............. ....:. '.. ..Y..... . at .. �7 .. L ... , North Andover, Mass. n Fee �7°.... Lic. No.../. . .......................... GAS INSPECTOR Check # /ti t G 6795 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations :Z 4c )14,0, �Cs f ,OP Owner's Name New D Renovation D Replacement 0 Plans Submitted Date / Q Permit Amount$ 7. 1NS JP NCE COVERAGE ! have a current liability lnsurance'policy or it's substantial equivalent Check oBe: Yes If you have checked yes, please indicate the type coverage by checking the appropriate box No� + Liability insurance P Y ED Other type of indemnity ID Bond ,4 Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: er Agent I hereby certify that all of the details and information I have submitted (or enOte ed) in above application 13 a and accurate best of my knowledge and that all plumbing work and installations performed under Permit Iss for this application will be in the compliance with all pertinent provisions of the Mass setts r ���� of -the Genera" �...� By: . Title City/Town, APPROVED (OFFICE USE ONLY) Signature of Licensed PluWer Or Gas Fitter Plumber 97Yi� Gas Fitter icense 11LAMUZI Master Journeyman SO 0 u -D aaZ O C I., F } W m " x F � +� � v w � w � � a a w d t� F Z E, z x w m w Sy > a �. Q w W O Z t 3 �' W Z C Z rzil W a F W SU B -BA ENT c a > c a o BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. .FLOOR 8TH. FLOOR (Pant or type)./ �� Name_ L L)1 -kos. /�//_� Pj-/�L. Check one: Certificate Installing Company Address 5 �' Corp. rP t 4J� «'1 d kl o3 j Partner. mess a ep one _ Y PtFirmlCo. Name of Licensed Plumber'or Gas Fitter �/� _ �,q,?,� 22 1NS JP NCE COVERAGE ! have a current liability lnsurance'policy or it's substantial equivalent Check oBe: Yes If you have checked yes, please indicate the type coverage by checking the appropriate box No� + Liability insurance P Y ED Other type of indemnity ID Bond ,4 Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: er Agent I hereby certify that all of the details and information I have submitted (or enOte ed) in above application 13 a and accurate best of my knowledge and that all plumbing work and installations performed under Permit Iss for this application will be in the compliance with all pertinent provisions of the Mass setts r ���� of -the Genera" �...� By: . Title City/Town, APPROVED (OFFICE USE ONLY) Signature of Licensed PluWer Or Gas Fitter Plumber 97Yi� Gas Fitter icense 11LAMUZI Master Journeyman SO II CERTIFICATE OF LIABILITY INSURANCE DATE (MMDD/r" 1 03/11/2009 PwxPm (603)898-6320 FAX (603)898-8269 Foy Insurance Group - Salem 130 Main St -Suite 103 Sales, NH 03079 Terri Truhn THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR AL THE COVERAGE AFFORDED BY THE PO ICIES BELOW. INSURERS AFFORDING COVERAGE NAIL 8 INSURm Richard Mhgnau t DSA: Interstate Plumbing A Heating PO BOX 757 Windham. NH 03087 INSURERA; National Grange Mutual 14788 INSURER ft. ' INSURER c: INSURERD' 1 INSURER E: CAVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS I;ERTIFICATE 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 SIiOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. mm fim TYPE OF IMSURANOE POLICY NUMBER POLICY FECTWE POLICY E]ONRATION UIBT6 6E110ERALURBIUTY MPF68377 04/11/2008 04/11/2009 EACHOCCURRENCE B S00, X COMMSMIAL GENERAL _LABILITY DAMAG!° T RENTEQ S Soo CLAMS MADE CJ OCCUR MEDEXPl/vria parsm) 6 10.004 A PERSONAL a ADV INJURY S 50010 GENERAL AGGREGATE f 1000.00 GEITL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO S 11000,00 POLICY JEC LOC AUTOMOBILE LIABILITY e1P95512 05/03/2009 05/03/2009 COMBINED SINGLE LIMIT ANY ALITO M Me mWern 300,ON ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Par Fw4n) > BODILY IN.IIJRY X HIRED AUTO$ X NON.OWNED AUTOS (Par Ndchm) S PROPERTY DAMAGE (Par McdernU GARAGE IIABKITY AUTO ONLY - EAACCIOENY S ANY AUTO oTHER TI IAN EA ACC t AUTO ONLY: AM L 9KCE3SIUMBRELLA NA&LT1Y EACH DDI IRRENCE l OCCUR FICLAIMSMADE AGGREGATE S S _ $ w DEDUCTIBLE RETENTION $ 6 WORKERS CONKAUTION AND WCP95S1Z 04/11/2008 04/11/2009 X Inn SIAIv-OTN- LXL4pI A ANY PROPRNgTORORrPARTN6RI6XECUTNEI AR 91OWLT EXCLUDED E.L. EACHACCJDENT % 100 E.L. DISEASE EA EWLOVf!E S 1000 OFFICERIMEMBER EXCLUDED? if yes, daaaft under SPECIAL PROVISIONS below E.L. DISEME - POLICY LIMIT S 5000 OTHER BEICIBPTION OF OPERATIONS I LOCATIONS 1 VERKSES 1 EXCLUSIONS ADDED BY EIDORSRIBir I SPECIAL PRQVIBIONB North Andover Plw6ing Inspector Attn: Tim Diozi N. Andover, MA $MOULD ANY OF THE ADM DESCRBED POLICIES BE CANCELLED BEFORE THE EXPIRATION OATE THEREOF, THE =DING INSURER WL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICQ TO TWO CERTIFICATE HOLDER NAMED TO THE LEFT. LURE MM},B{ICH NOT" bNALL IMPOSE NO OBLlOATNOH OR 11ABlllTr KING U THE INSURER. ITS AGENTS OR REPRESENTATIVES, ACORD 25 (2001M) FAX: (978)688-9542 GACORD CORPORATION 198A Date. mb ./G 1- ��� TOWN OF NORTH ANDOVER o40 PERMIT FOR PLUMBING ,SSACMUS� This certifies that !�'t' +..�...................... ... w has permission to perform ...� .... .............. . plumbing in the buildings of .. .......................... { 6i P g g .r!! �...... at .....7 . ! . . !�. t ......0.1.1 ....... , North Andover, Mass. Fee. .v. �. Lic. No. ?�'.� t.� . ..� ............. . PLUMBING INSPECTOR Check # O Z 7938 • MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location `7 C�(� J�i aC !/' Owners Name Type of Occupanc-, Date F � S , Permit # Amount !/ �' New Renovation Replacement Plans Submitted Yes L434No VTYTTT7T r,r. Lq kl-LLLL VI- Cype) Installing' -Company Name�J �� ��` f'�� � �� Check one: Certificate Corp. Address X4 cion 11 ❑ Partner. usmess I elephone Q ©�rrm/Co. Name of Licensed Plumber. f (,L(j Insurance Coverage: Indicate the type.of insurance coverige by checking the Liappropriate box: ability insurance policy �1 Other type .of indem ty n Bond Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does not have any one of the above 11 three insurance ignature Owner ❑ ❑ Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work an3iiislli'a' ns performed under P t Issued for this application will be in compliance with all pertinent provisions of the Massachuse Sta / plumbing 'ode d h� 142 of the General Lays. D ... APPROVED (oFFtcE usE oNLy Type of Plumbing License rcense moer Master ❑ Journeyman Date. ,./...` . ......... . ,e1O TOWN OF NORTH ANDOVER rj .4 PERMIT FOR GAS INSTALLATION This certifies that has permission for gas installation .. .....! ................. . in the buildings of % ..... .. ............................. . at ..~'i ...'..�. sj !? �.f. ............... . North Andover, Mass. Fee.-,).). Lic. No........... Check # 4.5 1 J .... ....... GAS INSPECTOR R oto MASSACHUSEIIS UNIMRM APPUCATON FOR PERM TO DO GAS HrrING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date / Q Building Locations �%L�vP�Permit # �� 3 Amount $ Owner's Name N New ❑ Renovation ❑ Replacement Plans Submitted ❑ (Print or type) e: Certificate Installing Company Name /�i✓1�D!/riE ��!//q�i+�6 ��%iU6 �,dG - La orp. Address �D �.EGH //ir/%r/O ❑ Partner. ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter e�o44% < i�p�Yo—r INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked M please in i to the type average by checking the appropriate box. Liability insurance policy P Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Cole and Chapter 142 of the General Laws. (OFFICE USE ONLY) ignature of Lice ed Plumber Or Gas Fitter Plumber ,Z /M ❑ Fitter License Number Master ❑ Journeyman rim A; (Print or type) e: Certificate Installing Company Name /�i✓1�D!/riE ��!//q�i+�6 ��%iU6 �,dG - La orp. Address �D �.EGH //ir/%r/O ❑ Partner. ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter e�o44% < i�p�Yo—r INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked M please in i to the type average by checking the appropriate box. Liability insurance policy P Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Cole and Chapter 142 of the General Laws. (OFFICE USE ONLY) ignature of Lice ed Plumber Or Gas Fitter Plumber ,Z /M ❑ Fitter License Number Master ❑ Journeyman 1 ,r MILLER ENGINEERING, INC. GEOTECHNICAL / SOIL BORINGS / ENVIRONMENTAL / CONCRETE / STEEL / ROOFING / ASPHALT INSPECTION Mail all correspondence to: 100 SHEFFIELD ROAD • P.O. BOX 4776 • MANCHESTER, NEW HAMPSHIRE 03108 • TELEPHONE (603) 668-6016 • FAX (603) 668-8641 July 11, 1994 Mr. Robert Nicetta, Building Inspector TOWN OF NORTH ANDOVER, MA 120 Main Street North Andover, MA 0!845 Re: Firestopping. North Andover Estates, Lot 7 North Andover, MA Project No. 40076.10 Dear Mr. Nicetta: On July 7 and 8, 1994, a visit was made to the North Andover Estates project in North Andover, Massachusetts. The purpose of our visit was to determine the presence of firestopping within the vertical stud wall encompassing the stairway at the center of the dwelling on Lot 7. A slot cut in the stud wall sheetrock within the stairway between the first floor level and basement provided access for us to determine the presence of interior firestops at the stair from the first to second floor. Through the slot, wood blocks occupying the full area between studs were found. A similar access hole was made in the garage wall at the family room stair and again blocks were found to occupy the full area between studs. Based upon our observations, the report of construction crews at the site, and the presence of suitable firestops observed at another home being constructed at North Andover Estates; it appears that firestopping has been provided in accordance with the Massachusetts State Building Code, Article 3403.2.7. CORPORATE OFFICE: 100 SHEFFIELD ROAD • P.O. BOX 4776 • MANCHESTER, NH 03108 • TEL(603)668-6016 • FAX (6031668-8641 130 EAST MAIN ST. • P.O. BOX 11 • NORTHBOROUGH, MASSACHUSETTS 01532 • TEL. (508) 393-2607 • FAX 15081393-8490 21 MARKARLYN STREET • P.O. BOX 1087 • AUBURN, MAINE 04210 • TEL (2071786-4249 • FAX (207) 777-1822 .6 J In addition, the rough framing at the home on Lot 42 was inspected by a representative of the Town of North Andover on April 1, 1994 and found to be satisfactory. Firestops should have been framed into the stud walls at that time. Should you have any questions, please feel free to contact the undersigned. Very truly yours, MILLER ENGINEERING, INC. James A. Murphy, P.E. Staff Engineer JAM/FRM:pam :�� .; LkA Frank K. Miller, P.E. Vice President e Location'� �1. 1G 1%cwC *o. !f Date F-5- TOWN 5- TOWN OF NORTH ANDOVER . ' p Certificate of Occupancy $ • : Building/Frame Permit Fee $ Ar.0 t� Foundation Permit Fee $ Other Permit Fee $ o -z) C) Sewer Connection Fee $ Water Connection Fee $ TOTAL 08:51 20.00 PAID Building Inspector ?103 Div. Public Works .3 & #7 L�*ation rio. Date A? el 44pORTIy TOWN OF NORTH ANDOVER OL p Certificate of Occupancy $ - Building/Frame Permit Fee $ CS . "�i�'°',•°''tom Foundation Permit Fee $�" / d`t� • „� SSACHUSE Zn Other Permit Fee $ y Sewer Connection Fee $ i� Water Connection Fee $ '^ s TOTAL $ 7v A C, 3 8 wilding Inspector 7038 Div. Public Works No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ k5'0'0 C) * ; Building/Frame Permit Fee $ Foundation Permit Fee $ l U v s�cnusa • Other Permit Fee $ Sewer Connection Fee $ .,e Water Connection Fee $ TOTAL Mv Building Inspector 6 7 4 .. Div. Public Works Location 2 FK ✓C �' f No. Date Y TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ 0 Water Connection Fee $ J TOTAL $ ifs � • Building Inspector. ,�✓ N S' Lr �� Div.`Public Works Z 0 0 Z i w J 0 m w t UL J < M ON, � -- C. -. oa< g M m fl Q C LL w � r I it 0 0 d ` W Z = 0 U �[ �l m f O U U d F 2 0 M ►- p d U J ZO a m m m u t Z F F F U N J F W ZO J IA -- C. -. oa< M m fl Q C LL w � r I 0 Z a w �[ �l Z f O Z 0 F 2 0 M ►- W J ZO a t < U N J F W ZO J IA V < f F i W O J WDw 0 0 z<< Z y O_ 0 LL O z 0 < 4 J 2 Z J It J UU 4 _Z 0 O > 0 F �` Z Z O J J J m O 0 ^ m W N W m m m J < IFl1 W < O < N tll N 3 m N d 1 v C. N Q Cam. w � r —. . f I F1 >ON N ImryrN yQ NmfO>D p znnm on TDD 0Arm Am0 mIQm~ N I'm m AZ nzZ Qmm QmtiTx Cy- NezV D8 a -1zD I_N_n �z0 MOZ mmrn- �Oz mz(IAA-9=Ov m n ' r r2O r 7cp coo AD z�Z D I° 0 —Ni 0G) O A In mm ZZAZZOOpN 00 DO OONy 11 D Q ; OO. A 1D1 �Z 'D< mT{3 O p ti Z m m Z D 10?> Dp3 NNS -Z O 1>O C 3 EL O A O 0Dt,Z a 0O yr 3:Q 0 x Z 3 O m x < Z p O Z�OG1CAa Q D Z D A Nrna Q titi r O'> NZx Q ��m a y O D aN p -i (12 (1 �w W TT z z z A O n D 3 T A n r v m y A y= O m O A (i V; = S '° A O 2 z p p m D m Z` D A m O m 0 O m A m _A = z O > n D~ Z~ f p N N p O Z z S A A N ~ O` m z D 3 D A N N Z > om S O p QO„COm_N< 3 n 3 T -al A T N '• z p x�n� G� A- ~ O y A S A X` Z Z O X r P N DZ N�0m > Dz A l Y �_ A pGlx y a m C m -L f r S m D A a 0 I I I I a zv Op rnm 2 �, to X� �Z Z O --LL O A Z _A w i m I I _ I I,� I` II II I —, I ILI�JJIW —. . f I F1 >ON N ImryrN zm MMO Do m z O 3 N I'm M X 00 a -1zD I_N_n �z0 MOZ �Oz m00 in r r2O r — c) coo r • -+ D z�Z I° 0 —Ni :0D n In mm 00 DO 3 —. . f I F1 s 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 local or state law, regulations or requirements. fills out this section***************** APPLICANT: LOCATION: Assessor's Man Number Subdivision �Q- Street Phone Et -5 06� -qq d Parcel Lots) r St. Number ************************Official Use Only************************ TI SOF TOWN AGENTS: )OPI J� t) Date Approved tion Administrator Date Rejected 17 Iwo •0 91-747 Comments Food Inspector -Health Septic Inspector -Health Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date Approved 5 Date Rejected Date Approved Date Rejected Date Approved Date Rejected CtiaV 2 3 iq Date FROM :'ASSOC CONCRETE COATINGS INC JUL.12. 1994 4:41PM P 1 PHONE NO. : 603 6693240 ' i- Wk AIOR FOUNDATION WAT6000FlNp D'qft80V- CONCRETE CONCRETE COATINGSo INC. 476 VALLEY STREET. MANCHESTER, N.H. 03103 .(603)669.2780 .1-800-367-1 21 9 -FAX (603)669.3240 July 12, 1994 Tall Brothers, Inc. Lot 7, North ,Andover Estates North Andover, MA Attn: Mr_ Jem+es Bagley Post -It'" brand fax transmittal memo 7671 1N of pages ► G co, co. Dept. Phone N Fax N Fax N On the 11th of July, I rent to Lot 7 regarding a dampness problem in the basement_ It is my finding that the problem is condensa- tion. I will try to explain this for you_ The concrete mixture used in your basement walls and floor contains water. Some of this water becomes an integral part of this concrete when the concrete solidifies_ The remaining water is necessary to insure complete wetting of the mixture and allows the concrete mixture to flow easily and effectively into all parts of the forms when the concrete is poured. Every cubic yard of concrete requires more than 30 gallons of water for mixture reaction and handling_ The average basement requires approxmately 50 cubic yards of concrete for the walls and .floor, hence that foundation contains 1500 gallons of water_ After the concrete solidifies, the additional water contained in the concrete mixture diffuses over time from the surface of the concrete and evaporates into the basement apace. Frequently the foundation is backfilled and the first floor is installed before all the water has evaporated from the foundation walls and floor_ The basement should be ventilated or a dehumid- ifier used until the moisture is completely removed from the foundation walls and floor_ In some areas of the country this takes 6 to 12 months_ If this moistuz•e is not removed from the basement, eventually the air in the basement cannot hold all this moisture and water drop- lets form. These droplets will form on cold objects in the base- ment such as cold water pipes, steel support posts, oil tanks, the basement floor and sometimes on the lower sections of the foundation walls_ Since the warmer air rises, the upper sections of the wall remain dry even though the moisture is condensing on the lower sections of the wall _ U The easiest ggprQach for removing the excess moisture from the basement is to open the basement windows and allow the outside air to displace the moist air in:the basement_ The faster approach is to run a dehumidifier'' until the moisture is removed_ One homeowner opened the windows and used a fan to remove the puddles of condensed water that dripped from cold water pipes onto the basement floor- ooreandwseveralawindows toallow basement could open the outside stair d the moist air to escape. This technique -may have to be repeated frequently. until all the moisture has evaporated from the con- crete foundation. A simple technique to use to determine if the dampness on the walls and/or floor is condensation is to chip a small piece of concrete from the damp surface or drill a hole to about 1/8 inch depth and examine the concrete beneath the surface. Dry subsur- face concrete is an indication that the moisture on the surface is condensation due to the moisture in the basement, Sincerely, William Vincent Project Manager /cm_p.dampbase w MILLER ENGINEERING, INC. (EQTE04NICAI / SOIL 80PWG9 / ENNVAONMENNTAL / CONCRETE /STEEL / ROOFING / ASPKALT NNSPWTION MONI all eomVondonae to. 100 SHSFFIELO ROAD - P.O. BOX 4776 - MANCHESTER. NEW HAMPSHIRE 03108 - TELEPHONE (603) 668-6018 - FAX 1603) 668.8641 July 11, 1994 Mr. Robert Nicetta, Building Inspector TOWN OF NORTH ANDOVER, MA 120 Main Street North Andover, MA 01845 Re: Firestopping North Andover Estates, Lot 7 North Andover, MA Project No. 40076.10 Dear Mr. Nicetta: On July 7 and 8, 1994, a visit was made to the North Andover Estates project in North Andover, Massachusetts. The purpose of our visit was to determine the presence of firestopping within the vertical stud wall encompassing the stairway at the center of the dwelling on Lot 7. A slot cut in the stud wall sheetrock within the stairway between the first floor level and basement provided access for us to determine the presence of interior firestops at the stair from the first to second floor. Through the slot, wood blocks occupying the full area between studs were found. A similar access hole was made in the garage wall at the family room stair and'again blocks were found to occupy the full area between studs. M Based upon our observations., the report of construction crews at the site, and the presence of suitable firestops observed at another home being constructed at North Andover Estates; it appears that firestopping has been provided in accordance with the Massachusetts State Building Code, Article 3403.2.7. CORPORATE OFWHCI)~ 100 SHEFFIELD ROAD - P.O. BOX 4776 - MANCHESTER, NH 03108 - TEL MOM 668-6016 - FAX MOM WS -8641 130 EAST MAIN ST. - P.O. BOX 11 - NORTHBOROUGH, MASSACHUSETTS 01532 - TEL (508) 393-2607 - FAX (508) 393-6490 21 MARKARLYN STREET 6 P.O. BOX 1087 - AUBURN, MAINE 04210 - TEL (207) 786-4249 - FAX (207) 777-1822 Xn addition, the rough framing at the home on Lot 42 was inspected by a representative of the Town of North Andover on April 11 1994 and found to be satisfactory. Firestops should have been framed into the stud walls at that time. Should you have any questions, please feel free to contact the undersigned. Very truly yours, MILLER ENOINEERI:NG, INC. p,m..y et . OWAt-ofy p 0c. 00 James A. Murphy, P.E. Staff Engineer JAM/FRM:pam Frank K. Miller, P.E. Vice President CERTIFICATE OF USE & OCCUPANCY 'o,aan ofi North Andover Building Permit Number 554 (1993) Date i j1Y 14. 1994 THIS CERTIFIES THAT THE BUILDING LOCATED ON 7 WILD ROSE DRIVE (Lot #7) - 'TYPE A MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/2 CAR GARAGE IN ACCORDANCE & SUNROOM WITH THE PROVISIONSOF THE AS MAY MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS CERTIFICATE ISSUED TO Toll Bros., Inc. Huntingdon, ADDRESS PA Building Inspector Z Z_ Z O CA T ••0 z coZ CD O CL r a� O MqCDv CL Q C') CCD 0 0 c CD m _. _L v C) co CD z _ CO2 CD q �Mp.j LTJ M) CD O rM CD CDa y. CD CA O 0 CD 0 CD 240 m m -M O m a m G - W V J rf"p o 0 4F a t., � v z. 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