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HomeMy WebLinkAboutMiscellaneous - 802 Waverly Road�7 Date ...................... d TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ................. .....................a ..............has permission to perform,. -;7;7..,................................................ .................. wiring in the building of ......................................................... at.!M( ... ... .. ............... . North Andover, Mass. Fee..................... Lic. No............... ........................ ............... ELECTRICAL4NSPEC(OR Check # 7375 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No.3 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. I/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: City or Town of. NORTH ANDOVER f-- S _ 0-7By this application the undersigned gives notice of his or her intention to pe�formthene�ctri al woector of rk scribed below. Location (Street & Number) f�1 1, �,L".,, t,. D ,_I Owner or Tenant Owner's Address Telephone No. Is this permit in conjunction with albuilding permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building /?c7q- / SA/<5 Utility Authorization No. Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: No. 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 No. Hydromassage Bathtubs OTHER: Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ Completion o the No. of Ceil: Susp. (Paddle) Fans No. of Hot Tubs Swimming Pool "'vve ❑ grnd No. of Oil Burners No. of Gas Burners No. of Air Cond. Tc Tc Heat Pump Number Tons Totals: Space/Area Heating KW Heating Appliances KW No. of No. of Signs Ballasts No. of Motors Total HP No. of Meters No. of Meters y -table may be waived by the ln.cnortnr nsw;— No. of Total Transformers KVA Generators KVA 0.0 mergency ig mg Batter Units FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Alerting Devices No. of Self -Contained Detection/Alertina Devices Local ❑Municipal Connection ❑ Other ecurity ystems: No. of Devices or Equivalent Data Wiring: No. of Devices or E uivalent Telecommunlcatl0ns Wiring: No. of Devices or E uivalent SO Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: '��p00 (When required by municipal policy.) Work to Start: S- I H-07 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such cove ge is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE M BOND ❑ OTHER ❑ (Specify:) certify, under the pains anti penalties of perjury, that the information on this application is true and complete. FIRM NAME: 7,y%A�if�S G�ntnv�vicAT�.s C1toy�' TdJL 1 LIC. NO.: Licensee: $/ - /N3 49 ^ o Signature (Ifapplicable, enter "exempt" in the license number line.) - LIC. NO.: Address: Av o"y —AV4 �,A,cK dl�' 2 �; 038�I o Bus. Tel. No.:_Go3-y3t- g/5S *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Alt Lie. No.6a3- d3 t/-ayN? 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 agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ °% Date.f z. ../—O d t ,ORT" TOWN OF NORTH ANDOVER j PERMIT FOR WIRING � ��)L l- CL & e -. L eo-iThis certifies that .......................................................................... has permission to perform X..'lV ................................................................... wiring in the building of .......4........................................................ at .......... Of.....W/��titfy�....lati`.../ ........................ . North Andover, Mass. IS StS 7 Fee...' Lic. No .............. .................. ......................j!fZ. . ELECTRICAL INSPECTOR Check # -3-3 3 S'Z 7093 -\ Commonwealth of Massachusetts I/ Ir Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS V111CIa1 USG vu�• Permit No. D � 3 Occupancy and Fee Checked [Rev. 11/991 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 PRINTIN INK OR TYPE ALL INFORMATION) Date: �i�d City or Town of: o fi f'/a 10/ 1vv Gn- 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) iSPe-) G(�,s�t/E/1�c, /Z( Owner or Tenant Pc-'Fco Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building ee -744 1 / SPS ,�f £'.. Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service -6-(—)0 Amps 6/ c� OPVolts Overhead ❑ Undgrdo No. of Meters Number of Feeders and Ampacity�� J ��4 94r i `s(� Location and Nature of Proposed Electrical Work: 1177-7A e�l'eC%/r'lre"O/ e".0 /l. /L Comoletion ofthe following table may be waived by the Inspector of Wires. No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans No. ofTotal Transformers � KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting FixturesY Swimming Pool Above ❑ In- a rnd. rnd. o. o Emergency ►g n Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS INO.ofZones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. S Tads I g No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number -. . ..... To s .......... KW ._...._._._.._.._...... No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of Water `� KW Heaters v� No. of No. of Sins Ballasts Data Wiring: No. of Devices or Equi alent No. Hydromassage Bathtubs No. of Motors Total HP 3 Telecommunications Wiring: No. of Devices or Equivalent OTHER: n Attach additional det&l ij"desired; or as required by the hispector of Wires. 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:) Dowling Insurance Agency 5/9/07 Estimated Value of Electrical Work: 1).rO, QQ 0 (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to beErequested in accordance with MEC Rule 10, and upon completion. I certify, under the ins and penalties of perjury, that the ' orn tion on llrls application is true and complete. FIRM NAME: AVERILL ELECTRIC CO. INC. , LIC. NO.: 15567 A Licensee: Francis M. Averill LIC. NO.: 15567 A (/fapplicable, enter "exempt" in the license number line) Bus. Tel. No. 781-963-3698 Address: 17 Techincal Park Drive, Holbrook Ma 02343 Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ o- Rkj��, -eq.-T40�6-r, Sc -9k /_ y o 7 _ f�1-7 Rox-yk t9r 9 r / ti`_ o -7 Pte. 5wv WbLt) 3 .7 3 o`7 p--tt h 4PPkWO 0-,,- 1,T Y 23,®z 041 fvy-,d enc 7^2-07 P Al Date .-.!Zz7.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that- -:-n�........ ....... has permission to perform ............. .............................. ................ wiringin the building of ...................... V .......................................................... �lJ at ....... A -"I. ....................... . North Andover, Mass. Fee'�....... ...... Lic. No . ............... ........ ........................ ELECTRICAL INSPECTOR Check # amm* Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No.9, BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEQ),5�7 CMR 12.00 MA (PLEASE PRINT IN INK OR TYPE ALL INFORTION) Date: S' `/17 0 7 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) i Owner or Tenant Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes ❑ No [� (Check Appropriate Box) Purpose of Building &-_4-q(( Utility Authorization No. Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ Location and Nature of Proposed Electrical Work: No. of Meters No. of Meters Completion of the following table may he wnived h„ tho tn.cnortor of Wiroe No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of ota Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above In- 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 No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: Number I Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. o Water KW Heaters No. o No. o Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: .50Uhd LfLer (,oro Vto-i Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electri a] Work: �t!, groo (When required by municipal policy.) Work to Start: / 7 Q I 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 airs and penalties of perjury, that the information on this application is true and complete. FIRM NAME: " rc), L41(_ , -F ,t t, LIC. NO.: Licensee: A f- Signature LIC. NO.: (Ifapplicable, ent� e- r "ez��t" in the license umher line,,.) n��� Bas. Tel. No.:4b33�C -99r1' 5_ Address: ��� �Sv �j�oa W4.Fy SQ� s�, /Ur7` Alt. Tel. No.:7,a1-3?6-3 5:;6 *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) E] owner E] owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ d R o Date. ��7 - A TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... ..... has permission to perform lt�--Il ........................ . ...... wiring in the building of ............ d ........... .............................. at ....k4.:-7 ..... ................. 'North Andover, Mass. Fee. . ....... . . ...... Lic. No. .... . . = si ............. Check # 7387 Commonwealth of Massachusetts r Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. 73 f% Occupancy and Fee Checked [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (M21", , 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: � U City or Town of: NORTH ANDOVER To the Insp ctor Wires.- By ines:By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) r-01 Klave,--(b 16W or Tenant /:>—c G® Owner's Address Telephone No. -VS--7 -62 1 Is this permit in conjunction with a building permit? Yes Ei��No ❑ (Check Appropriate Box) Purpose of Building 4 -e,14 Z_ 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: Completion of the followine table may be waived by the lnsnector of lVires 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 Above In- Swimming Pool rnd. ❑ rnd. ❑ o. o mergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones d,, No. of Switches No. of Gas Burners No. of Detection and InitiatingDevices No. of Ranges No. of Air Cond. Total Tons g No. of Alerting Devices No. of Waste Disposers Heat Pum Totals Number Tons KW No. of elf- ed Detec ' ices No. of Dishwashers Space/Area Heating KW Loca nicipal Other nnect No. of Dryers Heating Appliances KW uri ices or E uivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Te ecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the hispector• of Wires. Estimated Value of Electrical Work: `'Ir (When required by municipal policy.) Work to Start:! p Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE C VE ACE: 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 cover�aa;a is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER ❑ (Specify:) / certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME:%�`P �, LIC. NO.: Licensee: r -«r /r-,.1- A-ki Q Signature LIC. NO.: /GJI3 (lf applicable, enter "exempt" in the license numbed r line.) Bus. Tel. No.: 6-17 35 Z 94'x©0 Address: Alt. Tel. No.: 4!1--Z ii7 *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑owner ❑owner's agent. Owner/Agent ILI le Signature Telephone No. PERMIT FEE. $ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 V s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �-V� /_ L USC [aw Address: )C �%) ty p: �� w fs' 0 5 Phone #: �03 �$2 �� Ci /State/Zi Are yZin n employer? Check the appropriate box: 1. a employer with &&e— 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t listed on the attached sheet. + These sub -contractors have workers' comp. insurance. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of p ect (required): 6. eco construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other *Any applicant that checks box # 1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: "'J." Policy # or Self -ins. Lic. ,-a Expiration Date: 66 /2-5"/o Job Site Address: & �G o 90 -Z /r& AW City/State/Zip: /t/ W�c p4 1,�e Attach a copy of the workers' compensation policy d claration 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 maybe forwarded to the Office of �4Itivestigations of the DIA for insurance coverage verification. Ido hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Z Phone #: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # ;'5-/1e- /,,, - -, � > 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 #: d NORTH �Y ♦ i ,aaACNV� CERTIFICATE OF USFlA OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 546 (2/9/2007) Date: _ July 2, 2007 THIS CERTIFIES THAT THE BUILDING LOCATED ON 802 Waverlev Road MAY BE OCCUPIED AS Commercial Retail Store ll ,� IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Rice North Andover LLC 802 Waverley Road North Andover MA 01845 h"t Building Inspector m m m 4 m x m SnMOMv m y �■ � d CA CM) CD 0 C) Z t=ip C. O �� � � O O.= y .o o CD o p CL � O Q CD CD O CCD C CD y. CL p y CO CD C2 CO) O CD � Z 71 CD CD 0 I o s zC y 0 Q' CA _ EL O CO) So "o =nom o Q C:2 tio..c m 9 � EF -0 y =r d � d O Er �o o ti o CO) M.' O =r m _ 7 o o 0 p t o1 0 oZy W I. =r d a (41OCO 0 CO o =_ = ooCAco .(1 m cc CL > CO 0- d H � Nk _? H 0 CA 0 :� SCO w CA 0 02 )v4% , Er a � ,. a ° a, 1 O CD _. 0 -0 • CDf px a �y t ! CD � CD -0C • - r a �� Q �o too�: p C1 o v» oGc w CrJ M o w ZC)�� w C w 0 ti o y 'J �t n 0 r z a- O C7 , �O v N .. FZ N z �� 0 Z�x G O O 7d a\ o tai n IL I � \ omi 0 9 0 s 12126754227 SUM Architects 09:19:35 a.m. 20-06-2007 1 /1 �► SBLM Architects + 151 West 20" Street New York, New York 10001 Telephone 2127 995 5600 Fax 212 675 4228 pmagnuson®sblm.com www.sbim.com Town of North Andover Building Department Mr. Gerald Brown, Building Inspector 1600 Osgood St. North Andover, MA 01845 June 5, 2007 Re: Petco - Tenant Improvement Project at North Andover Waverly Road Permit No. 546 SBLM Project # 06065 Architect's Affidavit - Construction Progress Observation #2 Please accept this letter as a record of our site observation visit held on 30 May 2007 with our Mechanical/ Plumbing/ Electrical Engineering consultant and the General Contractor, D.F. Pray General Contractors. Based on our field observation, construction is progressing in accordance with the construction docurnents Prepared by our oto and approved for permit by the building department. Please tet us know if you require any additional documentation from the Architect or Engineers of record. Mass. Registration No. 9336 Subscribed and sworn to before me Ide dsy cf nl Q- 200 1-0 4r114'L 0'yPublic 0W-10-Amh WavQ-0W.doo My commission expires on GERALDINE O'MAMONY NOTARY PUBLIC, State of Now York No. 01OM5058177 Qonwftsllo E*iw Somber 06 2OLL APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Buildinq Permit # 5-4(4> ADDRESS/LOCATION OF PROPERTY :77o wPyj3Z c 1?) +0 C) Map Z-7 Parcel Lot Number t6., t7 k s,1g ?n z ( z 3 �f ZS ZL SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING CONSERVATION PLANNING 0 DPW - WATER METER 561 SEWER/WATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST 104 in Signature File: OC form revised 2006 CONTRACFOR'S MATERIAL &TEST CERTIFICATE FORA BOVEGROUND PIPING PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. . ,.v�LI\� 1 IYl11VIC Date PETCO 1/31/07 RT. 114 and Waverly Rd North Andover, MA 01845 PLANS ACCEPTED BY APPROVINGAUTHORITY('S) NAMES North Andover Fire Department ADDRESS 124 Main Street North Andover, MA 01845 INSTALLATION CONFORMS TO ACCEPTED PLANS EQUIPMENT USED IS APPROVED IF NO, EXPLAIN DEVIATIONS ® YES ❑ NO ® YES ❑ NO INSTRUCTIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION ® YES ❑ NO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: 1. SYSTEM COMPONENTS INSTRUCTIONS ® YES ❑ NO 2. CARE AND MAINTENANCE INSTRUCTIONS ® YES ❑ NO 3. NFPA 13A ® YES ❑ NO LOCATION SUPPLIES BUILDING: ENTIRE SPRINKLERS YEAR OF ORIFICE TEMPERATU MAKE MODEL MANUFACTURE SIZE QUANTITY RE RATING TYCO TY -FRB 2006 112"' 16 155 TYCO EC -14 2006 W o 50 155 PIPE AND FITTINGS Type of Pipe: BLACK STEEL SCHED. 10 & 40 Type of Fittings: CAST & DUCTILE IRON THREADED & GROOVED ALARM VALVE OR FLOW INDICATOR ALARM DEVICE MAXIMUM TIME TO OPERATE THRU TEST CONNECTION TYPE MAKE MODEL MIN. SEC. RISER CHECK VALVE VICTAULIC 717R FLOW SWITCH POTTER VSR-F Q DRY PIPE OPERATING TEST DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. TIME TO TRIP THRU TEST CONNECTION* WATER PRESSURE AIR PRESSURE TRIP POINT AIR PRESSURE TIME WATER REACHED TEST OUTLET* ALARM OPERATED PROPERLY MIN. I SEC. PSI PSI PSI MIN. I SEC. YES NO Without Q.O.D. ❑ ❑ With Q.O.D. iF Nn FXPI Alu• All ❑ MEASURED FROM TIME INSPECTOR'S TEST CONNECTION OPENED. ADDITIONAL EXPLANATION AND NOTES (BACK) OPERATION ❑ PNEUMATIC ❑ ELECTRIC ❑ HYDRAULIC PIPING SUPERVISED ❑ YES ❑ NO DETECTING MEDIA SUPERVISED ❑ YES ❑ NO DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS ❑ YES ❑ NO f IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING IF NO, EXPLAIN DELUGE & PREACTION ❑YES El NO VALVES DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT OPERATE MAXIMUM TIME TO MAKE MODEL SUPERVISION LOSS ALARM? VALVE RELEASE? OPERATE RELEASE YES NO YES NO MIN. SEC. ❑ ❑ ❑ ❑ HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi (13.6 bars) for two hours or 50 psi (3.4 bars) above static pressure in excess of TEST 150 psi (10.2 bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to prevent damage. All aboveground piping leakage shall DESCRIPTION be stopped. PNEUMATIC: Establish 40 psi (2.7 bars) air pressure and measure drop which shall not exceed 1-1/2 psi (0.1 bars) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop which shall not exceed 1-1/2 psi 0.1 bars in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HRS. IF NO, STATE REASON: DRY PIPING PNEUMATICALLY TESTED Z YES ❑ NO EQUIPMENT OPERATES PROPERLY ® YES ❑ NO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? TESTS ® YES ❑ NO DRAIN READING OF GAG CATED NEAR WATER SUPPLY TEST RESIDUAL PRESSURE WITH VALVE IN TEST TEST I CONNECTION: 10 PSI CONNECTION OPEN WIDE __Lr. PSI UNDERGROUND MAIN AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING OTHER EXPLAIN VERIFIED BY COPY OF THE U FORM NO. 85B ❑ YES ❑ NO FLUSHED BY INSTALLER OF UNDER- GROUND SPRINKLER PIPING ❑ YES ❑ NO BLANK NUMBER USED LOCATIONS: NUMBER REMOVED TESTING NONE GASKETS WELDED PIPING ® YES ❑ NO IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR-3? ® YES ❑ NO DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR-3? Z YES ❑ NO WELDING DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? Z YES ❑ NO CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL (DISCS) CUTOUTS (DISCS) ARE RETRIEVED? ® YES ❑ NO HYDRAULIC NAME PLATE PROVIDED IF NO, EXPLAIN: DATA NAMEPLATE ®YES ❑ NO DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: REMARKS NAME OF SPRINKLER CONTRACTOR: TESTS WITNESSED BY FO ER ER (SIGNED) TITLE DATE Acic= `7 SIGNATURES r 6. ZZ. a e.WT CTOR (SIGNED) DATE TITLE ye••-, a •-- I (6. Z'1 - -,i ADDITIONAL EXPLANATION AND NOTES (BACK) ' BOHLER ENGINEERING, Pc. June 28, 2007 North Andover Planning Board c/o Lincoln Daley 400 Osgood Street North Andover, MA 01845 Re: Proposed Walgreen's & Petco Certificate for Occupancy 790 & 800 Waverly Road North Andover, MA Dear Mr. Daley: 352 Turnpike Road Southborough, MA 01772 tel: 508.480.9900 fax: 508.480.9080 fax www.bohlereng.com RECEIVED JUN 2 9 2007 NOR I tl ANDOVER PLANNING DEPARTME T ZMCt Enclosed herewith you will find a copy of the As -Built survey for the above mentioned project. The As - Build plan is entitled, "Alta/ACSM Land Title Survey, Walgreens, Salem Turnpike and Waverly Road, dated 06/01/07 revised through 06/20/07, prepared by Control Point Associates, Inc.". Also enclosed herewith you will find a.letter from Bohler Engineering stating that the project has been substantially constructed to the approved plans. We offer the following in response to the conditions "Prior to verification of the Certificate of Occupancy" as outlined in the Notice of Decision: Condition #5 Prior to verification of the Certificate of Occupancy A. Attached is a letter form the civil site Engineer stating that the project substantially complies with the plans referenced in the decision. B. Site lighting has been installed consistent to the approved plans. C. Site lighting has been installed consistent to the approved plans. It was designed as to minimize impacts to abutting properties and streets. D. Certification of the fire sprinkler is anticipated any day. Once received, it will be forwarded to the Board. E. Comment noted. It is believed that all required permits have been obtained for tile signage that has been installed onsite. F. All Massachusetts Highway permits have been obtained and the access to the site has been installed consistent to the MHD and Planning Board approved plans. I ask that you please review the enclosed information and consider endorsing the application for a Certificate of Occupancy for the Petco and Walgreens project. Should you have any questions or comments regarding this matter, please do not hesitate contacting me at 508-480-9900. Sincerely, BOHLER ENGINEERING, P.C. 1 James A Bernardino, P.E. Other Office Locations: ■ Albany, NY ■ Purchase, NY ■ Ronkonkoma, NY ■ Center Valley, PA ■ Chalfont, PA 518.438.9900 914.251.9800 631.738.1200 610.709.9971 215.996.9100 ■ Warren, NJ ■ Towson, MD ■ Sterling, VA ■ Warrenton, VA 908.668.8300 410.821.7900 703.709.9500 540.349.4500 CIVIL & CONSULTING ENGINEERS ■ SURVEYORS 0 PROJECT MANAGERS ■ ENVIRONMENTAL CONSULTANTS ■ LANDSCAPE ARCHITECTS . 1 yGR:y RECEIVED 44 tSa9 .'S �/Q JUN z 91001 ,&MM.0 eNUR I -H ANDOVER PLANNING DEPARTMENT a4A rho ,rf 9SS+SCHUS� APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION Building Permit # 5 -A�> ADDRESS&OCATION OF PROPERTY :740 wp�l�mLc_A f C. ---- Map Z7 Parcel Lot Number Q6.,1'7, 1801 `7c, .2 1 23,-_ SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED COi'i�C.7ff— ��AT101m PLANNING DPW - WATER METER SEWERIWATER CONNECTION [S7O NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW A"— .jjj&.� Signature File: OC form revised 2006 Z'd 91Z6-Z8L-60b aemol eyj }e 6ulssojo eL0:60 LO OZ unf 6X. ` RECEIVED d � JUN 2 9 2007 NORTH ANDOVER �'4s `z� ��i{� PLANNING DEPARTMENT s�c�us� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Buildin4 Permit #<D -= l Slo ADDRESS/LOCATION OF PROPERTY : WR\JG< llr4 It "d, g.een-S C— Map Z7 Parcel Lot Number jr,, (.5 k -I 2. 2� ZG — -T —�— T C SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING CONSERirATi^vN PLANKING FT DPW - WATER METER SEWERIWATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST File: OC form revised 2006 C' d 9 I• Z L-Z8L- I,0t, aemol eyj le 6ulssojo ezom LO OZ unf BOHLER ENGINEERING, Pc. June 28, 2007 North Andover Planning Board c/o Lincoln Daley 400 Osgood Street North Andover, MA 01845 Re: Proposed Walgreen's & Petco Certificate for Occupancy 790 & 800 Waverly Road North Andover, MA Dear Mr. Daley: �T ECEIV�,) . 352 Turnpike Road uthborough, MA 01772 07 tel: 508.480.9900 JUN 2 g Zp fax: 508.480.9080 fax NOR1 H ANDOVER www.bohlereng.com PLANNING DEPARTMENT Enclosed herewith you will find a copy of the As -Built survey for the above mentioned project. The As - Build plan is entitled, "Alta/ACSM Land Title Survey, Walgreens, Salem Turnpike and Waverly Road, dated 06/01/07 revised through 06/20/07, prepared by Control Point Associates, Inc.". Also enclosed herewith you will find a letter from Bohler Engineering stating that the project has been substantially constructed to the approved plans. We offer the following in response to the conditions "Prior to verification of the Certificate of Occupancy" as outlined in the Notice of Decision: Condition #5 Prior to verification of the Certificate of Occupancy A. Attached is a letter form the civil site Engineer stating that the project substantially complies with the plans referenced in the decision. B. Site lighting has been installed consistent to the approved plans. C. Site lighting has been installed consistent to the approved plans. It was designed as to minimize impacts to abutting properties and streets. D. Certification of the fire sprinkler is anticipated any day. Once received, it will be forwarded to the Board. E. Comment noted. It is believed that all required permits have been obtained for the signage . that has been installed onsite. F. All Massachusetts Highway permits have been obtained and the access to the site has been installed consistent to the MHD and Planning Board approved plans. I ask that you please review the enclosed information and consider endorsing the application for a Certificate of Occupancy for the Petco and Walgreens project. Should you have any questions or . comments regarding this matter, please do not hesitate contacting me at 508-480-9900. Sincerely, e BOHLER ENGINEERING, P.C. James A Bernardino, P.E. Other Office Locations: ■ Albany, NY ■ Purchase, NY ■ Ronkonkoma, NY ■ Center Valley, PA 518.438.9900 914.251.9800 631.738.1200 610.709.9971 ■ Warren, NJ ■ Towson, MD ■ Sterling, VA ■ Warrenton, VA 908.668.8300 410.821.7900 703.709.9500 540.349.4500 ■ Chalfont, PA 215.996.9100 CIVIL & CONSULTING ENGINEERS 0 SURVEYORS ■ PROJECT MANAGERS ■ ENVIRONMENTAL CONSULTANTS ■ LANDSCAPE ARCHITECTS 40 - L 'BOHLER ENGINEERING, Pc. June 28, 2007 North Andover Planning Board c/o Lincoln Daley 400 Osgood Street North Andover, MA 01845 Re: Petco & Walgreen's Certificate for Occupancy 790 & 800 Waverly Road North Andover, MA Dear Mr. Daley: 352 Turnpike Road Southborough, MA 01772 tel: 508.480.9900 fax: 508.480.9080 fax www.bohlereng.com We have reviewed the As -Built plan is entitled, "Alta/ACSM Land Title Survey, Walgreens, Salem Turnpike and Waverly Road, dated 06/01/07 revised through 06/20/07" for the proposed Petco & Walgreen's. We have compared the As -Built plans to the site plans that were endorsed by the Planning Board. In comparing those plans we have found that the building, signs, landscaping, lighting and site layout substantially comply to the plans referenced in the Notice of Decision from the Planning Department. I ask that you please review the enclosed information and consider endorsing the application for a Certificate of Occupancy/ Inspection. Should you have any questions or comments regarding this matter, please do not hesitate contacting me at 508-480-9900. Sincerely, BOULER ENGINEERING, P.C. A Bernardino, P.E. Other Office Locations: W041029 Ltr Planning Board 6-28-07.doc ■ Albany, NY ■ Purchase, NY ■ Ronkonkoma, NY ■ Center.Valley, PA ■ Chalfont, PA 518.438.9900 914.251.9800 631.738.1200 610.709.9971 215.996.9100 ■ Warren, NJ ■ Towson, MD ■ Sterling, VA ■ Warrenton, VA 908.668.8300 410.821.7900 703.709.9500 540.349.4500 CIVIL & CONSULTING ENGINEERS 0 SURVEYORS ■ PROJECT MANAGERS ■ ENVIRONMENTAL CONSULTANTS ■ LANDSCAPE ARCHITECTS Planned Commercial District / Site Plan Review. Special Permit - Map 27, Parcels 16 through 26 .Walgreens Pharmacy &Retail Building November 15,2005 v.) site screening and street trees; vi.) drainage facilities; vii.) site restoration; viii.) final site cleanup. h) The applicant shall provide the Planning Board with copies of permits, plans and decisions received from all other town boards, commissions or departments. In addition to receipt of these plans, the applicant shall supply the Town Planner with a letter outlining any and all revisions resulting from said permits, plans and decisions received from other town boards, commissions and departments that differ from the approved plans referenced in Condition 22. i) Building pen -nits must be obtained for retaining walls over 4' high. 4. Prior to FORM U verification (Building Permit Issuance): a) The Planning Board must endorse the final site plan mylars and three (3) copies of the signed plans must be delivered to the Planning Department. b) One certified copy of the recorded decision must be submitted to the Planning Department. c) The applicant shall adhere to the following requirements of the North Andover Fire Department and the North Andover Building Department: i.) All structures must contain a commercial fire sprinkler system. The plans and hydraulic calculations for each commercial system shall be submitted for review and approval by the North Andover Fire Department. Plans and hydraulic calculations for each commercial system .must also be supplied to the Building Department. d) An as -built plan must be submitted to the Division of Public Works for review and approval prior to acceptance of the sewer appurtenances for use. e) . Maintenance easements must be submitted for Town maintenance of the sidewalks located within the Route 114 Right of Way. 5. Prior to verification of the Certificate of Occupancy: a) The applicant must submit a letter from the architect and engineer of the project stating that the building, signs, landscaping, lighting and site layout substantially comply with the plans referenced at the end of this decision as endorsed by the Planning Board. b) The Planning Staff shall approve all artificial lighting used to illuminate the site. All lighting shall be built in accordance with the documentation and approved plans. as referenced. c) All lighting shall have underground wiring and shall be so arranged that all direct rays from such lighting falls entirely within the site and shall be shielded br recessed so as not to shine upon abutting properties or streets. The Planning Staff shall review the site. Any changes to the approved lighting plan as may be reasonably required by the Planning Staff shall be made at the owner's expense. All site lighting shall provide security for the site and structures however it must not create any glare or project any light onto adjacent residential properties or oncoming traffic. d) The commercial fire sprinkler systems must be installed in accordance with referenced standard NFPA 13D and in accordance with 780 CMR, Chapter 9 of the Massachusetts- State Building 5