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Miscellaneous - Exception (186)
r October 29, 2014 Gerald Brown, Inspector of Buildings North Andover Building Department 1600 Osgood Street, Building 20, Suite 2035 North Andover ,MA 01845 Re: Brooks School Ice ArenlRemodel Dear Sir: Attached please find the original stamped Final Affidavit for the above -referenced project. The electrical inspector, Peter Murphy, has toured the installation but has yet to sign off on the card. It's left on site for his use. Feel free to call or email with any questions. Ptdferrbd Contr®ctors. Inc. J�hn P Meade Jihn.Meade(@PreferredMechanicaIServices.com a 223 Center Street, Pembroke, Massachusetts 02359 (781) 293-1200/FAX (781) 293-1207 FINAL AFFIDAVIT MECHANICAL DESIGN HEATING, VENTILATION, AIR CONDITIONING AND REFRIGERATION Permit No. 645-14 To the Building Commissioner, Town of North Andover, Massachusetts RE: Brooks School Ice Arena Remodel I certify that to the best of my knowledge, information and belief, the mechanical, refrigeration and cold floor installations at: 1160 Great Pond Road North Andover, MA has been installed in conformance with engineered drawings and specifications, and is in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. 114%-J. c/o Preferred Mechanical Services, Inc. 223 Center Street Pembroke, MA 02359 781/293-1200 PHONE c/misc info/affidavit ✓ 1Verne G. Norman Associates, Inc. Electrical Consultants, Engineers and Designers 210 Winter St. Suite 301 Weymouth, MA 02188-3323 Tel: 781-335-4200 E-mail: vgna@vgna.com Fax: 781-335-5737 September 19, 2014 Mr. John Duffy Preferred Mechanical Services, Inc. 223 Center Street Pembroke, MA 02359 Project: Brook School North Andover, MA Dear John: The following is in response to your e-mail of September 11, 2014 regarding the aforementioned project. It is my understanding that the cubes are within site of the disconnecting means in the panel and, therefore, no additional disconnect switches are required. It may be helpful to install a placard on each cube identifying the circuit number and where the circuit originates on each cube so it is clear where the disconnecting means is located. Please feel free to contact our office if you have any questions regarding the aforementioned material. Very truly yours, f"'& -ac P Frederick P. Goff, P. E. FG1nh \\SBS2011\Data1WPWIN\Brook School -North Andover, MA\Outgoing Correspondence\letter #1 to Preferred Mechanical.docx Date ..... ...�...-1. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............./Y.1e....h f%C/- .......................... ............. has permission to perform ....� P s[J. � Hv. wiring in the building of....... ................................................ at ....�... �.. �'...Q ... k ..... . North Ando er, Mass. Fee .. L, z 5 �. Lic. No. _3?� � .. ............... .............. ELECTRICAL INSPEcTov Check # 73 7z ! Commonwealth of Massachusetts Official Use Only Permit N°. 12-.3s Department of Fire Services 'y t ' t -r7� 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 (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:' -/3 /!/ City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to performtheelectrical work described bel w. Location (Street & Number) // (00 6L53 ' 0 ,i��� C"44- C 6MO ky Owner or Tenant ,1R, d 0o e's ,S►h w l Telephone No. q Owner's Address // (n b T2rRT And :Rd An, v de/ . R/1 n i k1-15— Is this permit in conjunction with a building permit? Yes � No ❑ (Check Appropriate Box) Purpose of Building 12my cmk 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 of the followine table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: p (Paddle) SusFans of TransTotal Trsformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ g rnd. grnd. o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No. of Detection andInitiating No. of Switches No. of Gas Burners Devices No. of Ranges No. of Air Cond. Tonal No. of Alerting Devices Heat Pum Number Tons KW No. of Self -Contained Disposers No. of Waste Dis p Totals I .............. f---*- .......... Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW P g Local ❑ Municipal E] other Connection No. of Dryers r7' Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters I Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent OTHER , pq" G,; Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 36 Osis (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 aims andpenalties of erju 7, that the information on this application is true and complete. . FIRM NAME:t LIC. NO.: Licensee: l� t(�fAp.l C-7-6 r/VA n Signature LIC. NO. :)C-. / J/ (if applicable, enter 'exempt" n the lice a number line.) Bus. Tel. No.: Address: 1P�W14 oQL?2!�ti Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does,not have the liability insurance coverage norma' required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's Owner/Agent Signature Telephone No. PERMIT FEE. $ '771 30-Z i17V 7 i7S 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 shall 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-contractor(s) 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 maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. AIso 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, not the 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 listed below. Self-insured companies 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 applicant that must submit multiple permit/license 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 of the affidavit that has been officially stamped 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. Anew 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 Investigations 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 ofMassachweats Department of Industrial Accidents Office of Investigations 604 Washington Stmet Boston, MA. 02111 TO. # 617-727-4900 eyfi 406 or 1-877�,MA.SSAFE Revised 5-26-05 Fax ## 617-727-7749 vw mass,goV1dia i • I Verne G. Norman Associates, Inc. ' Electrical Consultants, Engineers and Designers r 210 Winter St. Suite 301 Weymouth, MA 02188-3323 Tel: 781-335-4200 E-mail: vgna@vgna.com Fax: 781-335-5737 September 19, 2014 Mr. John Duffy Preferred Mechanical Services, Inc. 223 Center Street Pembroke, MA 02359 Project: Brook School North Andover, MA Dear John: The following is in response to your e-mail of September 11, 2014 regarding the aforementioned project. It is my understanding that the cubes are within site of the disconnecting means in the panel and, therefore, no additional disconnect switches are required. It may be helpful to install a placard on each cube identifying the circuit number and where the circuit originates on each cube so it is clear where the disconnecting means is located. Please feel free to contact our office if you have any questions regarding the aforementioned material. Very truly yours, Fiec%�ic�c P add Frederick P. Goff, P. E. FG/nh \\SBS2011\Data\WPWIN\Brook School -North Andover, MA\Outgoing Correspondence\letter #1 to Preferred Mechanical.docx y�> Verne G. Norman Associates, Inc. Electrical Consultants, Engineers and Designers 210 Winter St. Suite 301 Weymouth, MA 02188-3323 Tel: 781-335-4200 E-mail: vgna@vgna.com Fax: 781-335-5737 September 19, 2014 Mr. John Duffy Preferred Mechanical Services, Inc. 223 Center Street Pembroke, MA 02359 Project: Brook School North Andover, MA Dear John: The following is in response to your e-mail of September 11, 2014 regarding the aforementioned project. It is my understanding that the cubes are within site of the disconnecting means in the panel and, therefore, no additional disconnect switches are required. It may be helpful to install a placard on each cube identifying the circuit number and where the circuit originates on each cube so it is clear where the disconnecting means is located. Please feel free to contact our office if you have any questions regarding the aforementioned material. Very truly yours, fia"a P add Frederick P. Goff, P. E. FG/nh \\SBS2011\Data\WPWIN\Brook School -North Andover, MA\Outgoing Correspondence\letter#1 to Preferred Mechanical.docx ---- Mai QQ 04 02:36p KIDDER BUILDI^iG>c WRECKNG 603282360^t !� i CONCRETE CUTTING GENERAL WRECKING y CONTRACTOR .i HIGH SALVAGE y.� F- U I L D I NQ WRECKEi'iCk, IMC. -' SFECi.4135'c ROSCOE N. KIDDER, PREMENT LICENSED, INSURED & BONDED MLA -Y 3, 2004 Erla_nd Construction :attention: Mark Robinson 87, Second Avenue Burlington, lviq 018031 ' 3 RE: Disposal Sites Brooks School - Athletic f acility North Andover, MA The foIlowulg is a list of disposal sites that Kidder Braiding & Wrecking, inc, �vill'� utilizuly during the above referenced demolition project. Masonry Debris Miles River Sand & Gravel Delo urey's 1ps Tici;, MA !Andover, MA Demolition Debris LL & S Wastewood Processing Salem, N'H Metal Debris Prolerizer, Neu, England Everett, T,SA If you have any questions, or require any additional information, please do not hesitate to call me at 603-382-1422. Sincerely,�:Gr State of New Hampshire County of R-ockingham GeoV ello Genager Debra L. Nickerson -Davis, NP 247 MAIN STREET s ROUTE 121A . PLr IST'OW, NH 03865 0 (603) 382-1422 a FAX (603) 382-3697 AN EQUAL OPPORTUNITY EMPLOYER (A m m m m m m CA E. m COD O COD CA CD CD T CD a y. CD CA a I Fig cn cn n 0 z cn I w cn C20: -0 QS:o So "0 CO) CL CD 0 CD Cl) CD A n a C.) m =r CL=r M cL ON F -n CD =r � CD CO2 CD 3E 4D CD o ch n 4�CD V6 CL 0 cc= CL to 0 =r .c CD CD co 7 C-)= 0 CL CD CO) xw.jj C, CO) CL o CL co cc, ca CD ON co C, OW = 1. CD CD CD CD CD CD CL C -J ci Im 5 =: C CD CD C-2 0 A z 0 0 CFO :7- iL PV GSQ :v g, 0, M n, :3 eD 71 0 r- 0 r - :1 a. .4 - r), F �CL 11 :r rD OCO W r z 0 0 a. J L id Fi Ui V,Y I E' ER THAN A ONE OR TWO FAMILY DWELLING z ;max z North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance w. h the provision of MGL c 40 S 54, a condition of Building Permit Number 6, Js that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: 4e 3 M-< (40 (Location of Facility) Signature of Permit pplicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector t ref - �'�i r!Jiti�e��d s�,R,•e� e (1'd�, RECEIVED M4y 2 0 2004 BUILDING DEPT, ®- ala 111tl.U�i�'� D j u7li1O�,Y"�T�fX-Tarn, Town of North Andover O4 NORTH q Building Department 3� g�'.`�c� »6•a~°o 27 Charles Street 0 North Andover, Massachusetts 01845 # (978) 688-9545 Fax (978) 688-9542 O Building Demolition Affidavit SSACHI!S���y DATE-�I-o�i OWNERS NAME & ADDRESS 42COi(S SC I�oJL T PROPERTY LOCATION l9 CAT PJA 1) DESCRIPTION I jQah T-(L#ML JTVLUCT1AU! 1 CONTRACTORS NAME & ADDRESS L.'/,.4,,t/1j C'�vt/Sr�UC%r�(J Cfi-CrtJ(1�%� j �o 7 DEPARTMENT SIGN -OFFS D.P.W./WA -T7- 'SEWER SAS - ZL I .. I 10� ji V=�l —v ELECTRIC ro = e -m =ts , cS od tY `� TELEPHONE (6 A w ..Lt _ i V A", r.-,, 5 I ►3IW '\1'7 _ _ EXTERMINATOR DUMPSTER- ON/ OFF STREET Gti DIG SAFE NUMBER � /bflo y-1y-oy BLDG_ INSPECTOR DATE RECD RECEIVED l�AY `2 u 2004 BUILDING DEPT, s lM 0 J A a L c. O O (D 0 jj Oto UA O V N N O SA N 04 C L) 69 40 !fi fA w 4 0 w 0 0 W) V L U-U tL L r C LOL �Ew:� N C ? N mac�wt- 4 O w Date.l `'....... o? ° TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that J) .C. a*.( ... 1.. ,l ....................... . has permission for gas installation in the buildings of .....�1. �. `. ..f ..... ..1...C....0-?`� . at .. ���1. .. �.�? �..� ��^.. ... ,. , North Andover, Mass. Fee.Lic. No..c ?...�.. �:.. '��.!1...... . GAS INSPECTOR Check # 6911 r MASSACHUSETTS UNIFORM APPLICATON FOR PERMTr TO DO GAS FITTING (Type or print) Date "�(p - 67 NORTH ANDOVER, MASSACHUSETTS ' Locations � � Permit # C L Owner s Name New Renovation Replacement Plans Submitted E] (Print or type) Name k i __ (.c nit t j Address 1 Name of Licensed Plumber or Gas Fitter Ce one: Certificate Installing Company Corp. Partner. Firm/Co. v� G INSURANCE COVERAGE Check one: I have a current liability Insurance olicy or it's substantial equivalent. Yes 0 No o If you have checked y_es, . ease ' dicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent 0 I hereby certify that all of the details and information I have submitted (or ed) in above applicati ar d accurate to the best of my knowledge and that all plumbing work and installations p ormed Issu or t ' p cation will be in compliance with all pertinent provisions of the Massachusetts St Gas Co d a of th al Laws. (OFFICE USE ONLY) 5ignat'reff Licensed Plumbr Gas Plumber Z), I �, 0 Gas Fitter License um er Master Journeyman x w U un x F CW7 O w W a z z C w m F W y O F Gdp vO� O Ca W E Z Q a. C W a W F x CW7 z �d d W E~ Q W F, Y v� O z O z U O x x o x � ] 3 a$ a> o °a H o SUB -BA SEM ENT B A S E M ENT - 1ST. FLO O R 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8.TH. -FL00R 11 (Print or type) Name k i __ (.c nit t j Address 1 Name of Licensed Plumber or Gas Fitter Ce one: Certificate Installing Company Corp. Partner. Firm/Co. v� G INSURANCE COVERAGE Check one: I have a current liability Insurance olicy or it's substantial equivalent. Yes 0 No o If you have checked y_es, . ease ' dicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent 0 I hereby certify that all of the details and information I have submitted (or ed) in above applicati ar d accurate to the best of my knowledge and that all plumbing work and installations p ormed Issu or t ' p cation will be in compliance with all pertinent provisions of the Massachusetts St Gas Co d a of th al Laws. (OFFICE USE ONLY) 5ignat'reff Licensed Plumbr Gas Plumber Z), I �, 0 Gas Fitter License um er Master Journeyman m • i ... ""Fazaerweaft ofMassachtrse#s kf D�partrrrerrt of . f -Industrial AccEdentr i Office o, f znVesti; ations live,,600 Tfrashirrgtnn Street B0"'ari MA 02.111 r� Workers' Compensafioa 1.nsiuranee ww�v s�gr v/dia , iiicaat �for�ationA-MdaviL- Em1ders/Coot =iors/EiectriciaaslPiQmbers Nie $u�jnw0,geuiza6oMndividusl)' Addxesm . CityLState/Z,iF; Phime Are you as empiayerl Cheek.the a rn PP Priste �boz: ' I:Q I.am a employer with 4 Q I am a general =Pioyees (fun and/ or Part-time).* 2• ❑ 'I am.asok.Proprietw.. or contractor and I have lid the sub-eontra�. ship and heve no empioye= . listed ,I,h on the aft=hed dteet 3 �- sub-contractcm have Working for me in �' eaPe�ity. °OQjP iimuaaticc .. workers' . cam insurance. 5. Q We: W -e a corporation 3•❑ 1 cin a homeowner doing all work and its officers have exercised their rift right of a xcinption MOL tel£ (No•work,�'2, insur•an=required.] ,t Comp.G Per § 14 (4L'and-we have no °u+Ploye:e s [No wor9em' -- Type of Proled (regatted). . 6• ❑'New eorisbrucdon . �• ❑: Remodeling 8. Q D-Mbittiom 9• Q BW'Iding addition 10.E .Electrical r$paRs or additions Plumbing repair& or additions 12 -El Roof repairs 1 /mY appjicenr firer —P • rnsursmce mqun ed. J checks b� � l must also fmi out the tscEion below who k thit this aNeva indite�g fhm, ar Being an M* titoirswricart' complacation policy infottneEioR Coauatrfnrs that t heat tFiia tux mustartaeh-� sn a@d.ioes] aheataho end fhm hhe oaiside eonttae{ura most aitbmit anew art:.art a �' tFre nems office sub- affidavit MiC854 suott.' mP�Y� ihe� g fl�tiiarrrg WQr• ..r.., ,�.., conuactots and their workza' cc =p • , it fm 2dott rrifarrriafitrrt �ersafzen `nstcrame for MY =*=. B 1 �aw.�• �Fa+ midioc self Insurance Company Name: Porcy # or Self --ins. Ltc. #: Job site Address: mon L3atc: Attach a copy of the workers' 'coon CnY��eJZrp. pensintios Policy dmia.rafioo page (showil file policy number and e Failure m seaw�e eovetsgc as required under Seaton 25A of xpirafina dale. fine up to S''LSDO 0 and/or one-year im I�1CiL c. I S2 can lead W the itnpositium of miminal Of up W $250.00 a o��' a �� es civil penalties in the form of a SMP WORK p p�us}4es of a. �3 against the violator. Se advised #hat a copy. statement RD and a fine investigations of the DIA for insurance coverage verification; of this may be forwarded to tim p ffiCC of I do hprphn .e.saG -- Jy x.. uie paps acrd peRQtiisr ojper�roy� the injorrrazoa provided above is . brie and comet "teiQl ase only. do or write in finis arra, m be mrrtpje���'' ar town a�r� City or TOWii: IssuiitAuih Pet Jt/L.icease # t. a, SLY (circle one): I. Board of Iiraith Z Suiihfing.DapxAment 6. Other 3. City/Tov ja Cm* Contact Person: 4. Eiectric.•al Inspector 5. Pianibirtg Inspeciar Phone #: iniormanon a- no instructions Massachusetts General Laws chapter 1 S2 requires all =pp 3 oyers to provide workers' compensation for their =ploy=. Pursuant to this stat", an empfgpee is definer! as "..suety person in the service of another under any contract Aim, express or implied, oral or writtsn." An cmpfayer is defined as "an individuB; partnership, nsc:xcfiafion, Corporation or other legal entity, or arty two or more, of tht'famping engaged in a joint enterprise, and includi"S the legal representatives of a dreeasad employer, orthe receiver or lairstee of an individual, partnership, associatiai t or outer legal rattity, =ploy ng employees. 'Howet}:o owner. of a dwelling house having not more that three; apartments and who resides therein, or the occupant of the dwelling house of another who .employs persons to do maim mt==ce, oonstrnction or reptir wcirlc on such dweilinghatne or on the grounds or building appurtment thereto shall nat b=at= of sorb employment be d=ned to ba as employer." ;' Ir VIOL chapter 152, §25C(6) also states that "every state own tonal licensing agency shalt withhold the ismanwor renewal of a Reeasr or permit to operate a business or *v construct bowMV is the commonwealth for any applicant who has tot produced acceptable evidencet�f cumprnwce with the .instrnmM eovemge, required." Additionally, MOL chapter 152, §25C(7) states `Neither tht' c: mmortweaffft. nor arty of its-polifiad m6divisions shail enixx into ally contract for the Petiomtmnce of public wade un tt'1-=e:ptzbl: evidence of cornpbainCC with the ins== requfrz,z- .of this chapter have been presented tD.the cur&a::dng actrhority.- Appfi®uta .. Please fill out the workers' .compensation, affcdevit Cammplemmteiy, by clerking the boxes that apply m. your situation and, if n=sswy, supply sub=cor>ttactnr(s) name(s), ad&MSKe5): trod phone numbers) along with their cartificate(s) of insumn= Limifad'Liabik Companies (6LC) or Limited 1:mbility. Partnerships (LLP) with no employees otherthan the members or.partners, arc not rz<}nind,to carry work=' =3o-Trtpensmion insuirm = Van LLC orLLP dow.have empioyees, a policy is required. Be advise=d that oris affidavit may be submitted to the Department of fndtrstrW A=idm= for contr... cm of insura nc a coverage. Aim *Iba sure to sign and -date the at'fidavit The of -davit should be ranvned to the city or town that the application for the pc mh .or hexose is being requested, notilat Dzpartrnant of Industrial Accidents _ Should you have any questions. rcFLr ding the .law or if you are required to Obtain a workers` . 00%pensation policy, p1me, cell the Department at the •nurzmber. fisted below, Self-insured companim should ants #heir salt -M. sraancc lieenst murd6w of t#re'appropriate iiszr. City or Town O icitals Please be srtre filet the affidavit is complete and printed 6g;fbly. The Department has provided a space at lite bottom of the affidavit for you to fill out in, the event the. Office of Investigations has to con= you regarding tit- appIi=t Please be sate to fM in the perMMicense nurnber which vt,Fll be used as a, eferonce ntunber. In addition, an appikant that must submit multiple pecrnit/ii w= applications in any given ycsw, need only submit onaafftdavit indica *-currznt '. policy information (if ne=sszry) and render "Job Site Address" the appficantshould write "all locations in (city or town)." A copy of the affidavit that has been .offi6ark stamped or marked by tine city or town may be provided to the applicant as proof that a valid affidavtt is on nit for fnrttam permits or licenses. A new affidavit: must be flied out each year. Wheat: a home owcia or citizen is obtsin.mg a ficamm or permit not related to any business or commercial vrature (i.e a Bog license or permit by bum leaves etc.) said person is NOT.requiizd to complete this afrtdaviL The; Office: of Investigptions would like to t3tartk you in advance for your coopiation and should you have any questions, pleast do not. hesitate to gfva us a call The Department's addrtss, telephone.and fax ntunber. . The Commonvmftlth of Nfassachtase s Dcpartfa—nt of 1xidustdal Accidents 4fi6ice of iavcstigntions " 600 Wad ington Stj=t Bost an, MA €12111 TeL # 617-72-74900 6=t 406 or 1-8.77-]aSA.SSAFE Fax;9 61 7-727-774 Bruised 5-26-(15 Www.tanRR gov/dia y ' Date ...e'� ......................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......................................................................................... has permission to perform ....... .. ............................ wiring in the building of ..... .......... ..... .................................. at . North Andover, Mass. .............................................. I ................ Fee ...... � ............. Lic. No ............... ......... ELECTRICAL lNeECTO Check # 1' kri7 III, !/I i,, J , u h lll,:,:r l•, I, 9J1;it l•.l'.,d,'�'�rll,Pl.l�l.,7L ,r.`�,-,. il• :r F:timatvd %'Auc of FIcarical W,n'k, 1 �` I107 I"etIIJII'Ud OY nlulllClpal P1;fll'1.) \York to �tao: �- �-�` In hections to be requestCd in accordance c�ith \IEC Rule i ti, and upon cunlpfution. INS(- R.\.NCE C'OV ER:\(:E: I. by the oc�ncr. 110 pel'nrit fur elle perturnrulce t;t _lectriwl ��,uk ruty i'_ uu , rl� 'ht: hCl'It:il'e I)1';`.ide`.; proot,)t ll;lblllt� III;nr;InCC Ills lntfllr'Z Ct?IilplCtt'tl op.cratloll C Ael,Tle or it r,lf".IaIItIIII .t 111�.1It'ill. nt'ur.i i1c f': iritic: that rn h t:,)%_'r;r,e i ;n G r:a:.::nr.l L;Ir; t hihitrtl prnut r,l arae h: the t'crntil e'.)lirr t flwc. Il�t- r� t l'',t.�: ;��,';1 R.A''t.'i �] ?r • �.li i 1 I t�l'R F] I:;hta.ilw:; ''!'�I�Ir, r,'1r,�2'/!IlE' '/l,�rlf' Jr�7r'. '!r''r rf +r' �rl�•i' 1'Jr r + jj����,,�� /• ••( JN . . JUI'rrJ 'J'�rll `l1.1' 4fJr'r ' R bl 'd.v.tilr;,: /J�/�j�• CZ���•C '.rP r,.J � .•�, � .. •11 ,. rr : %�'. t C. rlsee: — /l 1,1E> ---- 6- -- -- tit rr'-- f -- �,Idress: .. —_�L "' ��'9yr1� S'— . rr .. dot. f -1, "0.: 6f2 626 L — 1It. );:I. No.: --37Ss?3�F ct:urity I�nl r_.;ntra�ti>r l.it:_r •: re luin_� tut this '•rt.rk: It,)�•t;lic,lble, cruor Jho' license IAurnbrr hcrt: ')%N!FR'S INSI't.V.\C E 'bV,\IVER: I ;,ill that Ill,: I,i,. I et:in:,ur„na: :'`i c r•• r It•.luired by law. fay 1111 ual;lturL bc.letr. I hcrI.hy ":line this rt_tluirtnll.'It. 1:11110%- (,-heck cnc)0 t;n ;ter' , 1'..... Owner,'Acyent ratu/'s 13tvli.1,rr�r r'c c'. Commonwealth of MassachusettsLI Department of Fire Services I'"Init �'�• i +% BOARD OF FIRE PREVENTION REGULATIONS llccr.tpanc% -mid Fee Chcckrt.l P [Rev• y oi];,,k, -� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORM 111 rk to i,e hcrtrnntetl in .icconlaro uilh the \Ill„aC11LbC1t, f lcctI'ic.11 Cu,ie I \If.( !. 5?" (AIR I'. ;r) I'LL INE PTL\T1AKOR TYPE ALL IAFI) .11,ITlo,\-J Date:�-�Z�� Cih• or Town of: /1*�-) To /he hl,�'lt'e aor l,l BY this ;lpplic;ltioll the undersigned nuttce is uutperti)rin the lcctriccll ',%ork helMr. Location (Street & Number) 4.qe3 .le:,ct'ihrLl Owner or Tenant /15i,76 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No (Check Appropriate Box) Purpose of Building Ltility ,authorization No. Existing Service Amps / Volts Overhead F-1 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: ('"nl :irriun r;� rhl ;�rllnu;l,:- luJ;le ru,.n ':e )�,.ut-1"1; the !.s ;i :•,r r./ 1 No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans NO ° Total Transformers KVA No. of Luminaire Outlets No. of Hot'Irubs Generators KVA No. of Luminaires Swimming Pool above In- o. o mergency Lighting srnd. "rnd. I Batter ['frits No. of Receptacle Outlets No. of Oil Burners FIRE ALARM No. of Zones No. of Switches No. of Cas Burners No. of Detection and InitiatingDevices No. of Ranges No. of ,lir Cond. Tonsl No. of Alerting Devices No. of Waste Disposers Heat Pump Number Tons I KW_ royals: 'No. of Self-Containe : Detection/Alerting Devices No. of Dishw:>Ishers Space/Area Heating -KW !� Local ❑El Municipal Other Connection No. of Drvers Heating Appliances KW Security Systems:* Vo. of Water No of No. of KW No. of bev ices or Equivalent Heaters Ballasts Data Wiring: ----Signs No. of Devices or Ey uivalent No. Hydromassage 13athtubs Vo, of Motors Tor:rl FIP telecommunications Wiring: No. ut' Devices or Ei uiN alent OTHER: !/I i,, J , u h lll,:,:r l•, I, 9J1;it l•.l'.,d,'�'�rll,Pl.l�l.,7L ,r.`�,-,. il• :r F:timatvd %'Auc of FIcarical W,n'k, 1 �` I107 I"etIIJII'Ud OY nlulllClpal P1;fll'1.) \York to �tao: �- �-�` In hections to be requestCd in accordance c�ith \IEC Rule i ti, and upon cunlpfution. INS(- R.\.NCE C'OV ER:\(:E: I. by the oc�ncr. 110 pel'nrit fur elle perturnrulce t;t _lectriwl ��,uk ruty i'_ uu , rl� 'ht: hCl'It:il'e I)1';`.ide`.; proot,)t ll;lblllt� III;nr;InCC Ills lntfllr'Z Ct?IilplCtt'tl op.cratloll C Ael,Tle or it r,lf".IaIItIIII .t 111�.1It'ill. nt'ur.i i1c f': iritic: that rn h t:,)%_'r;r,e i ;n G r:a:.::nr.l L;Ir; t hihitrtl prnut r,l arae h: the t'crntil e'.)lirr t flwc. Il�t- r� t l'',t.�: ;��,';1 R.A''t.'i �] ?r • �.li i 1 I t�l'R F] I:;hta.ilw:; ''!'�I�Ir, r,'1r,�2'/!IlE' '/l,�rlf' Jr�7r'. '!r''r rf +r' �rl�•i' 1'Jr r + jj����,,�� /• ••( JN . . JUI'rrJ 'J'�rll `l1.1' 4fJr'r ' R bl 'd.v.tilr;,: /J�/�j�• CZ���•C '.rP r,.J � .•�, � .. •11 ,. rr : %�'. t C. rlsee: — /l 1,1E> ---- 6- -- -- tit rr'-- f -- �,Idress: .. —_�L "' ��'9yr1� S'— . rr .. dot. f -1, "0.: 6f2 626 L — 1It. );:I. No.: --37Ss?3�F ct:urity I�nl r_.;ntra�ti>r l.it:_r •: re luin_� tut this '•rt.rk: It,)�•t;lic,lble, cruor Jho' license IAurnbrr hcrt: ')%N!FR'S INSI't.V.\C E 'bV,\IVER: I ;,ill that Ill,: I,i,. I et:in:,ur„na: :'`i c r•• r It•.luired by law. fay 1111 ual;lturL bc.letr. I hcrI.hy ":line this rt_tluirtnll.'It. 1:11110%- (,-heck cnc)0 t;n ;ter' , 1'..... Owner,'Acyent ratu/'s 13tvli.1,rr�r r'c c'. January 31, 2006 Town of North Andover Office of the Building Inspector 400 Osgood St. North Andover, MA 01845 ROLF JENSEN & ASSOCIATES, INC. FIRE PROTECTION ENGINEERING CONSULTANTS BROOKS SCHOOL ATHLETIC CENTER — AUTOMATIC SPRINKLER SYSTEM CERTIFICATE OF OCCUPANCY AFFADAVIT To Whom It May Concern: To the best of our knowledge, based on the information available to us as a result of our contractor shop drawings review and on-site construction surveys of the automatic sprinkler system installed at the Brooks School Athletic Center, we believe the sprinkler system installation has been completed in general conformance with the provisions of 780 CMR (Massachusetts State Building Code). Very truly yours, James G. DiPaoli, P.E. JGD:jgd B30927.01 RECEIVED FED 2 2006 BUILDING DEPT. 1661 WORCESTER ROAD, SUITE 501, FRAMINGHAM, MA 01701-5401 USA, +1 508 620-8900, FAX +1 508 620,0908 www.dagroup.com A SUBSIDIARY OF THE RJA GROUP, INC. THE COMVIONWTAL77IOFAL-LS"CH1.LSETlS Office Use only DI Y IKn11FAT OF PUBL.K. &1 F1,, -1'Y �. Permit No. C/ B0ARDOFFMPRF'VFr1VI70iVREGUTA7IONS 527 011? 12.00 f Occupancy & Fees Checked r SJ APPLICATIONFOR PERMIT TO PERFORVI ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSAC111JSSTS El FUTRICAL, ()DE, 527 CMR 12:00 CLEASE PFJNTIN INK OR TYPE ALL INFORMATION) Date 7 ' tv Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below Location (Street &Number) 114,0 f C �P � Relk-161 P a Owner or Tenant1 c = 5C',hc.•z''r �I r%> s�►� ,t�,t Owner's Address, :U .1 .p t1:.1 Is this permit in conjunction with a building permit: Peso No Purpose of Building /4- h _5c. k, Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity (Check Appropriate Box) Utility Authorization No. Overhead ® Unde, ground Overhead Under. -round No. of Meters No. of Meters Location and Nature of Proposed Electrical Work ,�*7 No. of Lighting Outlets No. of Hot Tubs No of Transformers Total µ No. of Lighting Fixtures Swimming Poul Above. r, Below Cenrrators KVAKVA No. of Receptacle Outlets No. of Oil Burners Emergency Lighting Battery Units No. of Switch OutletsNo. of Gas Burners TNo.-(,f No. of Ranges No. of Air Cond. "rural 1: ALARMS No. of Zones Tons " 1 of Disposals No. of Heat Tutal Total 'runs No..,f Detection and Puri s KW ]naiiaring Devices ' - of Dishwashers Space Area heating KW No. ,f Sounding Devices i^ No. a,f Self Contained - Dric.ction/Sounding Devices No. o! Dryers Heating Devices KW Local Municipal Other Connections ® No. of Water Healers KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors TOLaI.HP OTHER - IrmrarlaeCover� Ptltstzrltbihe>��n�ofIvLGt�IaalLiws Ibaveaa mlmt>kyltm mmpob ynAdngCo l)k* CO, CrZs&btrriale(luiveW YES I NO IharesubniwdvaWptudofsxwlD eOf = YES ( Ifyouhtu dlet�dYE pl e zld tethetypeofcoveageby ending tbe441amaie box. LJ INSURANCE BOND GRIER rtl .,s, *,cily) _ _ (?/R WoMoStatt �3 Sigriecl tlnda tiie 1 pt�jtny 1 f FIRM NAMESignatute S yZ tr%1✓ {� f -r. !{� Is�rr l ValleofFhl" Wo& $ 1XXX-N ICY 1V0. rl(dn_�yt�1e�9cp At Tel Na 'S]iVSURANCEiWAIVEEt Imnitwatetllritlx:I_i:rrr,4)esIwturialaluiv tuTtasIeyttitedbyM;imdXisettsG!nzxWLaws s" . ny sgt>i=e on this pe Yd Vp&ntiun wanes this 1txlutUTrrtt Please check one) Owner Agent Telt:phune No. PERMIT FEE 73 �i() rgna ure o wncr ur <.,�a+n d-� O-� � t 3 � ' D 6 ���. i.J�JG Date .. 3.""........... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that Cx— has permission to perform/:.'.; .....................................,., ...... wiring in the building of !...� . . . .':..:"-........................................................... at ..... ... , North Andover, Mass. Fee. X.5 .................. Lic. Nb .!' e!+. Y ......�` <1 ......... ELECTRICAL INSPLSCTOR Check # fa TBE COMMONHE4L 'H OF MASM CHUSEHSOfficeUse �yonly DEPARTNIEA7OFPUX1C&t1,'L7T Permit No. 6 � � Or- BOARDOFFIREPRBVFNl1ONREGULAT10NSM7(WRI2.000 Occupancy & Fees Checked 4PPLICATIONFOR PER11!IIT T'O PERFORMELECMCAL 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) Dat oho Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described belpw. Location (Street & Number) Owner or Tenant A, -CZ Owner's Address M 12�c1 iyl Is this permit in conjunction with a building permit: Yes No r7 (Check Appropriate Box) Purpose of Building `j J eC Utility Authorization No. Existing Service 'Amps�Volts Overhead Underground � No. of Meters New Service Amps / — Volts Overhead Underground No. of Meters Number of Feeders and Ampacity � Location and Nature of Proposed Electrical Work 1422 77h7, r Le BV F .jfaw No. of Lighting Outlets No. of Hot Tubs No of Transformers Total KVA No. of Lighting Fixtures 7 Swimming Pool Above r-1 Below r --J.' Generators ' KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units — No. of Switch Outlets --- No. of Gas Burners No. of Ranges No. of Air Cond. Total FIRE ALARMS No. of Zones Tons No. of Disposals No. of Heat Total Total No. of Detection and Pum2s Tons KW Initiating Devices No. Of Dishwashers Space Area Heating KW No. of Sounding Devices No. of Self Contained Deiection/Sounding Devices NolonDryers Heating Devices KW Local Municipal Other Connections No. of Water Heaters KW No. of No. of AL I Signs Bailasis No. Hydro Massage Tubs No. of Motors Total. HP OTHER- hnutartoeCo�+aa� Ptnst>inttothetat}tuerrtents�Gen�aliaws Iha�aanatI�ab�ylrrnnaloeft�lieyirrl>cingC.anpl�e . Co�'a�oritssub�rl�alec}>n'aialt YES NO Il>awst�r, ea aptoofofsart�erotneo� YES ET I)CUbawdrdadY�plewein tnetypeofoav�by dled�utgttle box. �� BOND F-1 DIMER I F-1 )/ FVitanonibe otk�s�.t I �3 ©6 Estirrta�id ValleofEltmtal Wok $' woMo hspec 6cnDae=pes1ed Rough � �' qX 00 SiVied rkrt�ie FIRMNAME 4' rtlicP LioawNoL S� die Lioern�e �!'�� 1� �� �✓�� Soxitt ue Lioer�eNo 9 2 �! ' 5j --reel ����� %% Busit=TelNo. Adrhecz _ 59I�f . es JT �rC�`7 Z,*411ew c e/ fA Alt Tel Na Off` NUZ'SINSURANCEWAIVER;IamawarethattheLiomsedoesnothavethe irmuancecorer,4peritssubstsxrialetltriv.tientastequitedbyMa%ad>useosCeneialLaws and that my signaaue on oris pemut a[Vk3fiM wanes ttnS.104Attn>ent. (Please check one) Owner Agent Telephone No. PERMIT FEE $ %�40 Signature o weer or gen _� Name The Commonwealth of Massachusetts Department of Industrial Accidents Office oflnvestigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Name: -------------- Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am. an employer providing workers' compensation for my employees working on this job. Companv name: Address City Phone#. Insurance. Co. Policy # Company name: , Address City: Phone #' t Insurance Co. Policy # Faikre to secure coverage as required. under Section 25A or MGL 152 can lead to the imposition at cxirnrnal penalties of,a fine up to S1,5tl0.00 � and/or one Yeam'wnpnsonmesitas-welLas.coA.penagiesio-thelixmdA-STDPVADW,DRDERmd_afoe_d-($IMM).aidayWainstme I understand that a copy of this statement may be forwarded to the Office of Investigations of the DtA for coverage verification. / do hereby certify under the pains and penalties orperjury that the irrfonnatian provided above is bue and correct. Signature pate Print name Pbone.# Official use only do not write in this area to be completed by city or town official' City or,Town Pe"nitfi-icensing Building Dept []Check I immediate response is reguked 0 licensing Board p Selectman's Office Contact person: Phone #. Health Department Ei Other 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 Section for Official Use BUILDING PERMIT NUMBER: 1// DATE ISSUED: SIGNATURE: 44v--� R.-►Ovt;A-v, Building Commissioncr/Inseedor of Buildinis Date SkcnwI 1.1 Property Address: 1.2 Assamors Map and Parcel Number: 1�0 P 0 6(-,Akt— Map Number Parcel Number 1.3 Zoning Information: 1.4 Prppwy Dimensions: Zemin District Proposed Use Lot Area (sf) Frontage (ft) 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required== Provided Re 'red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.9 Sewerage Disposal System: Public 11 private 0 Zone -- Outside Flood Zone 0 Municipal on site Disposal System 0 , �W* 2.1 Owner of Record 0/ta Ra -me, (Print) Address for Service Lt/" LP,, Signaj(M Telephone 71-2 Adthot-MA Agent Name Print Address for Service: Signature Telephone Ao"E—T-111 "-t- —STW '3.1 Licensed Construction Supervisor Not Applicable 0 Sem Uj N,\,A Address 3/ 1 0 W N V, \r I VL4,q dc V H License Number Licens-4 4nstructiop Supirvisor: C S b 3Zl Expiration Date tgnatu Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Ir -e..l lkA CO A s-ey CA- t U /\ Company Name. Registration Number '75D G TAvsirk',,� , , \c- (� -,0 Pe Address W V� Expiration Date Signature Telephone "a M X ra --4 M 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 S�CTIUN 111 ESTiIY ATE1 C4N$T#U+ U F,CC S '= Item Estimated Cost (Dollars) to be pl3iAia LTTE aPai; Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of ` ` U v Construction from (6) 3 Plumbing Building Permit fee (_) X (b) d 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number a q5 NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS OT 2ND 3 SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DUMENSIONS 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 _ SRCTION 6 DESCRIPTION OR PROPOSED WORK. (ebeck all applicable)-' New Construction 0 Existing Building's Repair(s) P-F, Alterations(s) Addition Accessory Bldg. 0 Demolition ❑ Other 0 Specify Brief Description of Proposed Work: b U'( / d old . g+� r o o,-vi �-o wee e � P, 0 i SECTION T WGR71 ►VP AND COS'1€RIUC"TION TYPR :: USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 0 A-3 0 A4 ❑ A-5 ❑ IA IB ❑ ❑ B Business ❑ 2A 2B 2C ❑ ❑ ❑ C Educational ❑ F Factory ❑ F-1 0 F-2 ❑ H High Hazard ❑ 3A 3B ❑ 0 IInstitutional ❑ I-1 0 1-2 0 I-3 ❑ M Mercantile 0 4 0 R residential ❑ R-1 0 R-2 ❑ R-3 0 5A 5B ❑ 0 S Storage 0 S-1 ❑ S-2 ❑ U Utility ❑ M Mixed Use_❑ S Special Use _ 0 Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 740 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 sf Total Area s --- Total Height (ft) j Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ I 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 SECTION a — WORKERS COMPENSATION (kG L.0 152 ¢ 25c(6) m Workers Compensation Insurance affidavit must. be completed and submitted with this application. issuance of the building permit. Failure to provide this affidavit will result in the denial of the Signed affidavit Attached Yea .......❑ No ....... ❑ SECTION 5 - PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES FOR BUILDINGS AND STRUCTURES. SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO '180 CMR 11.6 (CONTAINING MORE T!'IAND 35,000 CF: OF ENCLOSED SPACE) 5.1 Registered Architect: Name: Address Signature Telephone 51 Registered Professional Area of Responsibility Registration Number Expiration Date Name: Address: Signature Total Not applicable ❑ Registration Number Expiration Date Name: _ Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Naive Address Signature Telephone S�, Genera!R,Ceutracfofi ; � 4 � „, , �- 211v1 �QA Si -Ai C. les �i Not Applicable ❑ Company N e: 7 t✓ �'�to(v f,,,d Cl U c� R Responsible in Charge of Construction Location �� 7� No. Date TOWN OF NORTH ANDOVER a 9 + ; ; Certificate of Occupancy $ ��a •'<� (Frame Permit Fee $ /2 Building/Frame �— sAcuLl E 9 r Check # Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Building Inspector N 0 =4 R;! W O wV) v Pd ° w O w O w 'C U C W4 w ��; a Qa' O w G w Cd 0 t W w O w cn m p w x Q ono w C w �Z W a cA 8a` cn O cn LZl cn CM I O CD — y O O m m Q CD � H = L O.� 3.0 CD CD O G O _O O d �Q c CO2 cc CL. 02 CO3 2c C3 c C CD V y c C — .0 C cc CO3 c� 0 • C O � C N a C m C L O COB r0+ C Z 6i Z. d • y0.. N 'c$ cm omE 29 mCL*- ev mm cE =O �• y 3 N jz y � c o �y C C ' y O Em Amo c a� m = O r � Of C d C Z 5 m O p V H Z O CL C m h O C = m y F:.. E d=oc ca IS Z LU o oo m 0 g ti d m � O 'O CL4..Cc:IN LZl cn CM I O CD — y O O m m Q CD � H = L O.� 3.0 CD CD O G O _O O d �Q c CO2 cc CL. 02 CO3 2c C3 c C CD V y c C — .0 C cc CO3 ('✓/ze '�ant»znfznleu���t a,� ,��� BOARD OF BUILDING ErGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 083818 r E } Birthdate: 02/13/1958 Expires: 02/13/2007 Tr. no: 8818 Restricted: 00 STEVEN E WHALEN 331 DW HIGHWAy #5 MERRIMM-M Pow The Commonwealth of ,Massachusetts Department of Industrial Accidents 00 Office of Investigations 600 Washington Street �V" Boston, .VIA 02111 z www.mass. gov/dia t s / e Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Hanle Illusincss/l)rganizatitin/ln�liviilual): to C✓ Address: c V S �� �Q \r \L ------- --- - City; State/Zip: MO/I C�S�� 1 Phone #: (00 Cpa ^ tA Ore you an employer? Check the appropriate box: I . ❑ I am a employer with 4. ❑ 1 am a general contractor and I employees ( Full and/or part-time).* have hired the sub -contractors 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sttb-contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their I ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] ♦ employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 1 1.❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other oAry, applicant that checks box # I must also till out the section below showing their workers compensation policy information. r Homeowners µho submit this atlidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box most attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. l nm an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: G R W 0 a �S Policy 4 or Self -ins. Lic. #:C©12,�q Expiration Date:__=( -- Job Site Address: 11W Gncay Rk City/StateiZip: � hC,�Qv�Y__t " \a 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 %IGL 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 tine 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 penalties of perjury that the information provider/ above is true and correct. _ nate: (110/0(, Phone 'G. 60 3 3 6 —7 (o 011icial use only. Do not write in lhi.s area, to he completed by city or town ollicirrl. City or Town: Permit/License # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: January 11, 2006 Mr. Gerald Brown Inspector of Buildings Building Department 400 Osgood Street North Andover, MA 01845-2909 RE: Affidavit for new Toilet/Shower The Brooks School Danforth Gym Renovation 1160 Great Pond Road North Andover, Ma 01845 The attached documentation is for a new Toilet/Shower on tha second floor the Danforth Gym at the Brooks School. I certify that to the. best of my knowledge this meets with the requirements of the North Andover Building department, the provisions of the Architectural Access Board, 521 CMR, the Massachusetts Sbite Building code and all other pertinent laws and ordinances. This work is part of permit #633. Architects & Planners Inc. 17 Elm Street Manchester, MA 01944 cc: John Trovage 1. �►.r� > DO frL ql 40 r PAN, CAT.: (o" LJ.r "rb l L +vhf _. / d FL o ARot �yi� t .31 1 s is JAN -12-2006 THU 01:10 PM FAX N0. P, 02 MOBD CERTIFICATE OF LIABILITY INSURANCE DATE INntpplYYYq 09/2I/200s 003)IM-2-S62 FAX (600224-4012 The Rowney Agency, Inc • 139 Loudon Road P.O. Box Sit Concord, NN 03302-OSI1 THIS CERTIFN:ATE 18 ISSUED AS ONLY AND CONFERS NO RN3HT8 HOLDER. THIS CERTIFICATE DCIS A4 COVERAGE AFFORDS MATTER OF INFORMATION PON TiIE CERTIFICAYE NOT AmE!OD, EXTEND OR BY THE f"OUCIES BELOW. INSURERS AFFORDING COVERAGE NAIL 0 INSUIRD Rally Construction co - c 7SO Past Industrial Park Dr. Manchester. NH 03109 I96UR6RA: Acadia Insurance C an 31325 tMUKRB: 06NENALLMBIUTY tWtItREMc; _ INbURFA D: EACH RRENCE i 11000,029 IN6LRIlR E: PIMLIFDAfSIiA THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMPO ABOVE FOR THE POLICY PER INDICAT:,D. NOTWITHSTANDING ANY REQWREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CEI TIFICATE OY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 16 SUBJECT TO ALL THE TERMS, EXCLU NONS AND A: 0101YIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ' TYPE oP NB111MNCE PDucr NuwNER PO POL u�MTi - 06NENALLMBIUTY CPA012298711 07/01/2005 07/01/2006 EACH RRENCE i 11000,029 X COMMERCLU GENERAL LIABILITY t Z50.00 CMIMt MADEXX OCCUR MEO ExP ( aw m"on) t S A PEtt60NAl AW INJURY $ 1000 00 GlNERAL TE s 2000 OCK AOWG�ATB UMIT APPL16t PER. ?ROOM COMPJOP AC•c / ZION, POLICY X �R6 LOC AUTONKNKR LUUNLlTY X ANV AUTO CAA012299011 07/01/2005 07'/01/2006 COMBINED LNMT (� amm" 1,000,000 A ALL OWNEDAUTOB tiCHEDULEDAUTOt X HARED AUYOb X NOWOAM W AUT06 DODILYTN r (PWpwodo t ppv I Ry s W OPERTY AMAOE GARAGE LIANIUTY AUTO ONLY FJA ACCGMN:' t OTHER EAACC $ AUTO ANYAUTO ERCI A "A"M J" CUA012299211107/01/MS 07/01/2006 WHOCCt WENCE s 1,000, X OCCUR E3 CLAWS MADE AGGREGAT t 1,000, A s t DEDLICT13M t Rt: reNTIoN t WOAKERBC011PEN0AT10NAM NCA012299111 07/0 ZOOS 07/01/2006 X'J T' q EMtPLOYe IETOMIUTY ANrrnDPRteTDRA•ARTNaveJmcuTIVE OOFFFFrERMp�Emmiq EXCLUDED? (PEC A�PRO NS Mlow B,L.6UCHA IDENT t Soo E1. Bt • EA EMPLAY,p i 50010 E.L. DHWM • POUCY L!!!f SOO O OTNER .T P4 L l f RM OA L IITIML MML CCA iWDED ev EMOMEMENri spm L PROYUIon 8HODLO ANY OF THE ANOVC O980MmM It CANC 40 00"I M Rf1PIRATION OAT! T)IERLOF, TN! IBNNNO IN R PMLLFADHAVOR TO MAN. DAY( WRITTEN NOTICE TO TIRE Q TE MOLDER NAMr� TOT" LEFT. BUT FAILURE TIO MARL SUCH NO?IW !HALL IM NOOIRLIG AYION OR NABILITY ANV KIND UPON THE INBURE ITB AOMMM' NEMSENTATINEt. r�O�fRREDREPtTBUNTATNE SAMPLE ONLY ACORO 26 (2001108) "CORI) CORPORATION ise6 al 1 0 VII m F� 43 W co A ui 71 CL a � c c •� rpm- o tv-K C-3 CL :oma. H LO :Eaw c A b D�, ..:oa CD `t � � E ti ` H vs V � Co. O: �• a H r y Oc a c O �L �-tip� mocm H 12 z• oco y: o: 4o,oc 5 a •v� c H a � mcor m c as = o � W z C � o ca c Q oor� ac c x mo,wo S 0 y m z COD 7 h a m� Ocz � H Z er°e .4D � t aim u 9 m f �' 96 O 4 0 oc o o. xRU O Q y C I �o y O o•— Q� A E m mm CL. lu 3� O � ; m Q o c c A 40 C u H d X0 as Z O � d ccIA wa C W cc cc _ • z v •i Q•• w°' w°' V• a°' cn V) c� A ui 71 CL a � c c •� rpm- o tv-K C-3 CL :oma. H LO :Eaw c A b D�, ..:oa CD `t � � E ti ` H vs V � Co. O: �• a H r y Oc a c O �L �-tip� mocm H 12 z• oco y: o: 4o,oc 5 a •v� c H a � mcor m c as = o � W z C � o ca c Q oor� ac c x mo,wo S 0 y m z COD 7 h a m� Ocz � H Z er°e .4D � t aim u 9 m f �' 96 O 4 LLI U) ul U) W W oc W N i r 0 oc z o. O Q y C I Ccm y O o•— Q� A E m mm CL. 3� O � ; m Q o c c a Q 40 C evc C as Z O � d ccIA .E - C Q cc cc _ • CO3 •i Q•• V• LLI U) ul U) W W oc W N i r Date ....................... .... TOWN OF NORTH ANDOVER PERMIT FOR WIRING • A Q�This certifies that..,......�(........... ..............!'t /�.....:................... has permission to perform......�!,?.�...�.....:....�......,...1 �.�..K... ..�........ wiring in the building of .✓.�'... ..... :.......... . ...... �lj at . ........_!f�...!!..-r. ..... , North Andover, ass. FeeA .-�........ Lic. Np'a ? :?�.?.;1.......h t . �l! 1.-C �!•. ,.,! / �ELECTRICAL INSPECTOR Check # . 1 4. it Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGXJLATIONS Official UseOnly Permit No. �D Occupancy and Fee Checked 7,5 [Rev. 11/99] leave blank APPLICATION FOR PERMIT 10 PERFORM ELECTRICAL WORK All work to be performed in accordance wit the. Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL" NFO TION) Date: 5-26-05 City or Town oh North A dover To the Inspector of Wires: By this application the undersigned gives noti of h's or her intention to perform the electrical work described below. Location (Street & Number) 1160 Great ndjkoad Owner or Tenant Brooks Academy Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes x ❑ No ❑ (Check Appropriate Box) Purpose of Building Educational Facility Utility Authorization No. Existing Service NA Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service NA Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Gymnasium renovation ('mmnlotinn nftho fnllnwin tnhln mmi hn u—i—d by tho 1.-,mno.tn of Wi.- No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans v TransTotal Trsformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑In- ❑ rnd. grnd. o. of Emer-g-e-n-e-yl—ighTifig 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 Tons "'' KW """""" No. of Self -Contained Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal [:]Other Conner ion No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of WaterKW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices pr Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector 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 X❑ BOND ❑ OTHER ❑ (Specify:) One Beacon Ins., Co. (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: ASAP Inspections to be requested in arc rdance ule 10, and upon completion. I certify, under the pains and penalties of perjury, that the infor a on t ratio true and complete. FIRM NAME: Tocco Corp. LIC. NO.: A12233 Licensee: Richard Gilardi Signatur LIC. NO.: A12233 (If applicable, enter "exempt" in the license number line) us. Tel. No.: (978)663-0292 Address: 29 Cook St. Billerica Mass. 01821 Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Lic nsee 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. $2,275.50 c N cc Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION APPLICATION FOR PERMIT All work to be performed in accordance �witt/l (PLEASE PRINT IN INK OR TYPE ALL' NFORMf City or Town of: North A dover By this application the undersigned gives noti°'je of his of Location (Street & Number) 1160 Great P nclLm Owner or Tenant Brooks Academy Owner's Address TIONS Official Use Only Permit No. _ 51 3 Occupancy and Fee Checked [Rev. 11/99] leave blank TO PERFORM ELECTRICAL WORK the Massachusetts Electrical Code (MEC), 527 CMR 12.00 TION) Date: 5-26-05 To the Inspector of Wires: her intention to perform the electrical work described below. /? r:,i Telephone No. Is this permit in conjunction with a building permit? Yes x ❑ No ❑ (Check Appropriate Box) Purpose of Building Educational Facility Utility Authorization No. Existing Service NA Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service NA Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Gymnasium renovation No. of Recessed Fixtures .c Jvu�rvc.c No. of Ceil.-Susp. (Paddle) Fans cuute mayae waivea oy the Inspector oJ Wires. No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑o. o mergency Lighting rnd. rnd. 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 Initiatine Devices No. of Ranges No. of Air Cond. Tonal No. of Alerting Devices No. of Waste Disposers Heat Pump Number Tons "' KW No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Waterof No. No. of No. of Devices or Equivalent Heaters KW Si Yns Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent OTHER: ..u�.. uuuuwrzuc uecutt y aestrea, or as required by the Inspector 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 X❑ BOND ❑ OTHER ❑ (Specify:) One Beacon Ins., Co. .Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: ASAP Inspections to be requested inUrdance ole 10, and upon completion. I certify, under the pains andpenalties of perjury, that the injocatio rue and complete. FIRM NAME: Tocco Co . % Aq LIC. NO.: A12233 Licensee: Richard Gilardi Signaturei. LIC. NO.: A12233 (If applicable, enter "exempt" in the license number line) us. Tel. No.: (978) 663 -029? - Address: 29 Cook St., Billerica, Mass. 01821 Alt. Tel. No.: OWNER'S INSURANCE WAIVER: 1 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. $2,275.50 �e� �� lb — z 7 .� � s O � O�� �/Lz � �� , P� r'1 c NORT1{ TOWN OF NORTH ANDOVER E �: ;•'"`° �.'•.�°oma OFFICE OF ° + BUILDING DEPARTMENT Street «^ 400 Osgood �Sswcaus�s North Andover, Massachusetts 01845 D. Robert Nicetta, Telephone (978) 688-95454 Building Commissioner Fax (978) 688-9542 t V-1 Brooks School North Andover Engineering Staff, My recommendations during a recent electrical inspection with Mercier Electric, at the New Athletic Facility of Brooks School in North Andover, is to have your staff review the placement of 120 -volt plugs for additional GFCI protection coverage for the safety of the students and others using the locker & shower room areas in the future facility. NEC requirements for GFCI of your sink areas is covered very well but due to the use of hair dryers and other types of small appliances by the students, that could be used in a potential damp & wet location, in these areas, must also be addressed. . Using more GFCI protection devices in these areas for the safety issues provided to the complex will out weigh the cost. Joe, Mercier Electrics job site supervisor has the information on the circuits and receptacles that were under d;scussion at the inspection of the Brooks School facility on June 9, 2005. Thank You, Pt -ter Murphy W iring Inspector North Andover '\RD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688- 17le oj c zecle(� 17� 6v� c 6, Z Ar 1.3coil 13�pl Ire, lels 7e— 7A -F I' ex e-0 0 d41 y rA d 0 r r 0 C Z n �tJ < Brooks School Areas for Partial Occupancy Item Room Number/Room Name 1 102 Vestibule 2 103 Lobb 3 106 Wrestling Multipurpose 4 107 Gym Wrestling Storage 5 108 Athletic Director 6 109A Kitchen/Cop 7 109B Associate AD 8 111 Training Room 9 112 Office 10 113 Exam 11 114 Storage 12 115 Vestibule 13 116 AV 14 117 Equipment Issue 15 118 Laundry 16 122 Corridor 17 123A Vestibule 18 123B Mens Toilet 19 124 Janitor 20 125A Vestibule 21 125B Womens 22 126 Vending 23 128 Vestibule 24 130 Corridor 25 131 Vestibule 26 132 Girls Locker 27 133 Shower 28 134 Toilet Room 29 135 Female Faculty 30 136 Corridor 31 137 Janitor 32 138 Female Locker 2 33 139 Female Locker 1 34 140 Team Room 35 140A Corridor 36 141 Corridor 37 142 Male Locker 2 38 143 Male Locker 1 39 144A Corridor 40 145 Corridor 41 146 Showers 42 147 Drying 43 148 Toilet Room 44 149 Corridor 45 150 Janitor 46 151 Vestibule 47 152 Male Faculty 48 152A Toilet/Shower 49 153 Bos Locker 50 154 Vestibule 51 155 Mud Room 52 156 Storage 53 157 Electric 54 158 Telecom 0 Eriand Bid/dInJ Solurions Through Commilonwa and Teamwork Juni: 14, 2005 Mr. Roberto Filice Cannon Design One Center Plaza Boston, MA 0210$ RE: Brooks School Project No. 03036 Dear Roberto, r.r�c We wish to advise that all of the life safety, plumbing and electrical systems for the new athletic facility at Y Brooks School have been inspected and approved for issuance of a temporary occupancy certificate. The areas inspected include the locker rooms, wrestling room, 1�` floor of the mezzanine and the lobby area. Based on the: above we request that your office prepare and issue for the North Andover Building Departn=t the associated affidavits from you oii`ice and engineers To allow for the issuance of a temporary occupancy permit. S Vu CONSTRUCTION INC. Daniel J. e4'� nagan Senior Project Manager DJF/rind cc: Regan Associates, Sean Regan F:\EMmid Vircetory\02 Pf0imt Upea-ations\2 Current Projects\03036 Brooks School A[hletic\Archimct Correap\Cannon Design 2.25.05.doo Erland Consrruction, Inc. 183 Silcon(l Avenue I Burlinc)ton, Massachusotts 018031 www.eflsn(i.com I p: 781.272.9440 I f: 781,272.0601 I Erland Brooks School Construction Personnel Control Policy The Erland Construction Superintendent, Mark Robinson, will notify Brooks School Staff when there is a requirement for construction personnel to enter the School's space. To enter the school spaces access badges will be required. The badges will be issued by Erland on an as -needed basis and will be collected after the access is no longer required. Erland will maintain a sign -in log and keep track of construction personnel in the building at all times. Brooks School staff will be informed of our system and will contact Erland's Construction Superintendent via his cell phone should they see any workers in their space without a badge. Our goal is to conduct our construction operation in a manner that has minimal impact on the school and summer camp programs. The safety of all individuals (students, campers, staff and construction workers) is our highest priority. Should you have any concerns or questions please contact Erland Construction Superintendent Mark Robinson at 781-760-5219 OFFICE OF BUILDING INSPECTOR 0 "� A TOWN OF NORTH ANDOVER .'. CONSTRUCTION CONTROL 'igC.Hi7S'k PROJECT NUMBER: 2 6 1182 A PROJECT TITLE: 81400ISS SCH001- AlaV 4r/tLEi1C- F,% -IL -47-K PROJECT LOCATION: N o e-TH ANpayg l2 i MA NAME OF BUILDIN NATURE OF PROJECT: NVW l eM�TpgcmA ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUIL I G CODE, !!7A� REGISTRATION NO. 1�5 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT • E HITECTURAL STRUCTURAL • MECHANICAL • FIRE PROTECTION • ELECTRICAL • OTHER (SPECIFY) dcl.�P e� CSse, H-=�6yo FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled mater' 3. Be present at intervals appropriate to the stage of construction to become, generally famili- with6the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTO UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCC,UPANCYr��. `� p-� SIGNATURE SUBSCRIB D AN WORM TO BEF E THIS 17 DAY OF -u 20 NOTARY PUBLIC MY COMMISSION EXPIRES q l,� 9 PROJECT NUMBER: -I,o 1 i&2 - 011 t PROJECT TITLE: ooKS SG"oq, Nvw AT*ua1C PROJECT LOCATION: tio�"CN gnlod,��Q. MA NAME OF BUILDING: t NATURE OF PROJECT: `vu Cr1-61gVcv10e3 IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I John M. Swift, Jr. REGISTRATION NO. 36840 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT • FIRE PROTECTION • ARCHITECTURAL • STRUCTURAL • MECHANICAL • ELECTRICAL • OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the wo performed in a manner consistent with the construction documents.SAS SWIFT, JR. MECHANICAL No. 36840 SUBSCRIBE ANDS ORM TO BEFORE HIS y�IVHIUKt �.. DAY OF L �-2 _ 20 O� NOTA BLIC MY COMMISSION EXPIRES i I OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: -I,o 1 i&2 - 011 t PROJECT TITLE: ooKS SG"oq, Nvw AT*ua1C PROJECT LOCATION: tio�"CN gnlod,��Q. MA NAME OF BUILDING: t NATURE OF PROJECT: `vu Cr1-61gVcv10e3 IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I John M. Swift, Jr. REGISTRATION NO. 36840 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT • FIRE PROTECTION • ARCHITECTURAL • STRUCTURAL • MECHANICAL • ELECTRICAL • OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the wo performed in a manner consistent with the construction documents.SAS SWIFT, JR. MECHANICAL No. 36840 SUBSCRIBE ANDS ORM TO BEFORE HIS y�IVHIUKt �.. DAY OF L �-2 _ 20 O� NOTA BLIC MY COMMISSION EXPIRES i I SAT OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER 9� CONSTRUCTION CONTROL PROJECT NUMBER:"Ii�'L - a% PROJECT TITLE: oo�C.S SG�ioc� NEW AT*_bt1c PROJECT LOCATION: �o�."Cb! AntoG/�ft MA NAME OF BUILDING: NATURE OF PROJECT: '91m Cern .1g1Co-'Ttoo IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I, Theodore G. Fowler REGISTRATION NO. 37972 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT • FIRE PROTECTION • ARCHITECTURAL • STRUCTURAL • MECHANICAL • ELECTRIC7AA OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. , a.1AAA.? s . F:Lrr..T;�a.i.; SIGNATURE SUBSCRIBED AN SWORM TO EFO ME THIS�DAY OF ' �7 200 5' NOTA Y PUBLIC MY COMMISSION EXPIRES pit" OFFICE OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER �`q'• 3� CONSTRUCTION CONTROL �eyu' Eta PROJECT NUMBER: d I $$z. 01 PROJECT TITLE: a Sww�OI. A*A%j T+C. 00►L;f-J PROJECT LOCATION: I�(V�•:� /d�A NAME OF BUILDING: NATURE OF PROJECT: IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, �i 1, .tl bo&V-A—L*." REGISTRATION NO._ 3Woty0 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECTHEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT • ARCHITECTURAL STRUCTURAL MECHANICAL • FIRE PROTECTION • ELECTRICAL • OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND Efa (RESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with Ithe progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. N of N,a4"`�. - - - - JOHN R. yam\ BOEKEIhtAN o STRUCTURAL "I No. 3C960 „/" A /ONAIE�G4� nNATURE I SUBSCRIBED AND SWORATO BEFORE ME THIS DAY OF 20 NOTARY PUBLIC MY COMMISSION EXPIRES Nx ' r — — — — — — — — — — — — , o of ��--�\ i Io X / I❑ cl 01 a of �� 11 20:43 7919259399 Ted Greenlaw P.E. 183 Columbia Rd. Hanover, MA 02339 tel# 781-826-8369 fax 9781-826- 8399 E -Mail tedgreenlawp.e@worldnet.att.net Tune 3, 2005 Dan Flanagan Erland 83 Second Ave. Burlington, MA 01803 RE, Brooks School Athletic Center 1160 Great Pond Road No. Andover MA Sir: On this day I inspected the pre-engineered steel structure under construction The inspection was limited to lines 1 thru 3. 1 found that the red iron, being frames, purlins, girts, and misc., to be erected in compliance with. the erection drawings supplied by the manufacturer. As well, this portion of the structure is erected in compliance with the applicable portions of the 6 edition of the Mass Code, and industry standards for workmanship, and tolerances. Respe y Te cenlaw P.E, oaoq v C.. QAE'EM;'UV e iD% W ! L;r PAGE 02 JUN -05-2005 09:41 7eie269333 99%< P. 02 41 Q 29:43 7818258399 PAGE 02 Ted Greenlaw P.E. 183 Columbia Rd. Hanover, MA 02339 tel# 781-826-8369 fax 9781-826- 8399 E -Mail tcdgreenlawp.e@worldnet.att.net June 3, 2005 Dan Flanagan F..rland 83 Second Ave. Burlington, MA 01803 RE: Brooks School Athletic Center 1160 Great Pond Road No. Andover MA Sir: On this day I inspected the pre-engineered steel structure under construction The inspection was limited to lines 1 thru 3. .1 found that the red iron, being frames, purlins, girls, and misc., to be erected in compliance with the erection drawings supplied by the manufacturer. As well, this portion of the structure is erected in compliance with the applicable portions of the 61h edition of the Mass Code, and industry standards for workmanship, and tolerances. Respe y / 'T" oc 0. Fits Te cenlaw P.E, orORE u C, �^ d�M✓�V No. ��9! e rJ7S� / `.. JUN -06-2005 Oe: 41 7818268399 98 P.02 JUN -17-2005 12:42 ROLF JENSEN AND ASSOCIATE 5086200908 8.02%04 w �1RIR' June 17, 2005 Town of North Andover Office of the Building Inspector 400 Osgood St. North Andover, MA 01845 ROLF JENSEN & ASSOCIATES, INC. FIRE PFIOTECT0111 ENGINEERING CGNSWANTS BROOKS SCHOOL •- AUTOMATIC SPRINKLER SYSTEM PARTIAL. CERTIFICATE OF OCCUPANCY AFFADAVIT To Whom It May Concern: The attached affidavit is amended as follows: To the best of our knowledge, based on the information available to us as a result of our contractor shop drawings review and on-site construction surveys of the automatic sprinkler system installed at the new Brooks School Athletic Facility, we believe the sprinkler system installation in the areas of the building submitted for partial occupancy have been completed in general conformance with the provisions of 780 CMR (Massachusetts State Building Code), upon correction of the following punchlist items: • An additional sprinkler is provided under the open stair as shown on the contractor shop drawings. A sprinkler is provided in the alcove in front of room 123A. Very truly yours, James G. DiPaoli, P.E. JGD:jgd 630927,01 :661 WORCESTER ROAC. SUITE 50',-RAMINGHGM, MG 01701.5409 USA, r9 SUE 820.8900 FAy -s 508 62C{73C8 wvwv.rlaarouD. com A SUBBIDIARY OF THr; RJA GROUP, INC. JUN -17-2005 12:42 ROLF JENSEN AND ASSOCIATE OFFICE OF BUILDING INSPECTOR ' TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL 5086200908 PROJECT NUMBER: e I ?_ ,-32. O 9 r PROJECT TITLE: Bryy0ks 1.5'L400 t PROJECT LOCATION: ��/ arh ftv,v��✓ rl�t 55Q.C�iLc S2 NAME OF BUILDING:, / NATURE OF PROJECT: IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, 'b REGISTRATION NO._4/S',/ 7 q BEING A REGISTERED PROFESSIONAL EN I:BY R FY THAT I HAVE PREPARED OR DIRECTLY SUPERVI D T i �F A GN PLANS, COMPUTATIONS AND SPECIFICATIONS C CERNINV"I"' +Lp ,. 2Tt -4;, +t IAgW.r09W t!OS.OP EltigXJ'14iti�Wit 1tM a ENTIRE PROJECT • ARCHITECTURAL • STRUCTURAL • MECHANICAL • FIRE PROTECTION ELECTRICAL. • OTHER ;;SPECIFY) _ FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES_ AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents_ 2. Review and approval of the quality control procedures for all code -required controlled materials. 3. Be present at intervals appropriate to the stage of construction to becorne, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FORCUPANC IGNATURE OY SUBSCRIBED ANDS RM 70 girFOR E THIS C►AY OF 20 NOTARY PUBLIC MY COIVIMISS EXPIRES _ P. 03,/04 JUN -17-2005 12:42 ROLF .JENSEN AND ASSOCIAT;; 5086200908 P.04/04 A Thera personally appeared before me, the undersigned notary public,_ Z_,4v-eS f✓' 9D 1 proved to me Rough satisfactory evidence of identification, whichwere, �to be the person whose name is signed on the preceding or attached docurr.ent and acknowledged to me that he/she signed it volu:atarily for its stated purpose. 45-r.7.j1C-) N beelfh in STVOTMWAMAY M bEHPOMMN �► E��IIa�� TOTAL F.04 �Of Massachusetts The Construction Testing People' -Page 1 5 Richardson Lane, Stoneham, MA 02180 781-438-7755 (Voice) 781-438-6216 (Fax) Fireproofing Report Report Date 06/20/2005 Report No. 5 Job Number 8885 Building Commissioner Project Brooks School Athletic Fac.-N.Andover,M Attn: Robert Nicetta 27 Charles Street N. Andover, MA 01845 Contractor Erland Construction WEATHER: .TIME: 7:00 AM CONTACT: Superintendent Mark Robinson of Erland NUMBER OF DENSITY TESTS: INUMBER OF COHESION TESTS: SUMMARY: Previously completed spray intumescent fireproof paint, Cafco spray fils WB3 at gym tapered columns and horizontal girds were inspected. Completed members at Column line G at 1-10, visually inspected, revealed completed acceptable coverage application throughout area. Random thickness testing was also performed on all completed members. Results of all testing averages was also in compliance with job and U.L. Designations, X649, 1HR rating tapered columns at 75 mils and horizontal girds, also 1HR 65 mils. Spray intumescent paint inspected was found complete and in compliance and no discrepancies noted. These observations were related to Mark Robinson prior to departure. GENERAL REMARKS: Inspector Name Premium Time Hour Travel Time R. Havey No Min Day REVIEWED BY: William P. Crabtree 4.1� Our reports are available in PDF form via email. Please email us at reports@utsofmass.com for more information. cc: Erland Construction Co. Attn: Daniel J. Flanagan Cannon/Boston, Inc. Colleen McKenna/Roberto Filice Regan Associates, LLC Attn: Sean M. Regan Brooks School Attn: John Trovage Cannon Design Attn: John Boekelman . . . . . . . . . . ............ . ....... ......... 16. id .. . Idbiel:: N c sus r e ...... .. - . ... ... . . . . ........ ..... . Date;: . . . . . . . . . . . . . . . . . . . . . :.3:0:f.:: :2005 .... .. . ... .... .... ...... ... .. .... .............. 27: Charles Street:.. ........... Pr No .. ...... o 8046'7 North ......... ........... ...... ......... ........... .... ...... Project Name .: . ... ... .:::D*dnf orth Renovaaion ....... .... ........... ........ .... ...... FAX :p .. ... ....... 978 ... ........... ......... . ............. .... .. ...... .......................... ............... - ... .......... 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I � ... ... ...... ...... ............... V. I ... I .................. .......... ....... ....... vv ........ ........ ......... . . ..... . ................. .................. ........... ................. I .................... ................ I ......... . ....... I .... . . .. ...... ...... ....... `......... ...V ..... ... ....... ............... ............. ................ ...................... ........... — .............. —.1.1- ............ .......... . . .... .............. Das: PTaaagan . .. .... ........ ........... ...... .............. ............ .......... ............. ......... .......... ....................... .. .................................................. . ................. ...... 83 Second. ..................Sux7i............ ................... ............ .......... ...... ................. ......... Avt oil. ,.:::v mx:� � olovlv. .......... ......... ........ . .......... V ............ .............. ....... .. . ....... ...... ....... ......... .. .. . . .... ............... ....... .......... .......... V.. ....... .................. ...... ...... . . . . .... .......... ...... V .......... ....... ................ � � I ..... I I I ...... .......... . . . ..... ............ .............. ............... ................... ........................ ........... . .......... ........ ....... — ....... ............. ....... - I ....................... ...... ...... ........ .................... ............. I ............ ................ ....... .............. ....... . . . . . ..... . . . ..... ...... .... ...... .............. .......... .. .......... ............ .......... . v ...... ... Sentyja .. .... ........ Ax,;. 0:.PggL ........ ..... .............. .......... ...... ......... .... .......... ... ....... ....... ......... .. Tor your: . ... 0 �':::O:Miiibuitioi�. xvll.�C) Express .:::::0 Record Inforrnation:v ........... ..... . �PV4. A'Tq ............ . ... ..... qqom:ql'Im nA& Archi If enc osures not as -no d' . . .... V ...... ......... We ....... V... . ....... ys Tonfirmatioitrequested: ::::�:0,,Y69:,. olmovq . ............ :Extra Copies '... ........ . ...... . ....... . ....... . .......... ......... ..... . . .. ...... ........ .......... .:B Peter Muer . ..... . .... . Architect's Field Report FIELD REPORT N°: 20467-002 ARCHITECT: Olson Lewis Dioli Doktor Architects & Planners, Inc. DATE OF OBSERV: June 28, 2005: 11:30 AM PROJECT: RENOVATION OF THE DANFORTH GYM BROOKS SCHOOL 1160 GREAT POND ROAD NORTH ANDOVER, MA 01845 PERMIT No: #633 ARCH'S PROD. NO: 20467 OWNER: BROOKS SCHOOL 1160 GREAT POND ROAD NORTH ANDOVER, MA 0184 PRESENT: Peter Miner, Olson Lewis Dioli & Doktor Architects WEATHER: Overcast 78-80 EST. % Foundations: 0% Structural Steel: 0% COMPLETION: Demolition: 30% Finishes: 0% Rough Carpentry: 0% Painting: 0% Doors/Frames/Hdwe:0% HVAC: 0% Windows: 0% Plumbing: 0% Gypsum Wallboard: 0% Electrical: 0% Mill and Casework: 0% Fire Protection 0% Roofing: 0% Specialties: 0% Masonry: 0% Finish Carpentry: 0% WORK IN PROGRESS: • Demolition continues in the area of the locker rooms and the old squash courts in Squash Center B. • Opening cut in wall of new Rowing Center to remove material from demolition. • New steel roof support beams resting on floor of old squash courts. • Contractor stated that fire alarm system and lighting is being maintained in areas being demolished. • Roof material has been striped from the project area. • Roof insulation and waterproof membrane are in place. • Sprinkler and ductwork started in the old gym area, future Squash Center A. 20467 Brooks School page 1 of 2 Architect's Field Report - In general, the work appears to be satisfactory and in accordance with the documents approved for the building permit except where noted above. The materials and workmanship appear to be consistent with standard construction practices and meet the requirements of the Massachusetts State Building Code. REPORT BY: Peter Miner, Architect Olson Lewis Dioli & Doktor Architects & Planners, Inc. 17 Elm Street, Manchester -by -the -Sea, MA 01944 978-526-4386 20467 Brooks School page 2 of 2 VA Transmi", ........... ... ... ............ . . . . . .... ............. .... ...... . ........................ ............ .. ........ . . . . . . . . . . . . . . . ........ ................... ...... ... ............ . . . . . . . . . . . . . . . . . . . . . . . . 2005.:. 22:::: ............. .... .... 6, * ........... .......... .. ... . .. . ................ ..... .. .. ... ..... ... .......... .. . ... ......... I ..... ........ ....... . ...... ....... ..... ... 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I ........... .... ............. ................ . ... ........................ . ............. ............ ..... .. .... ........ . ........ ...... .... ....... ................. ....................... ............................... .......... . .... .............. . ...... ................. ................. .................... .. ...... .. .. ............................. ........... ............. ... ............ :..............:'':<.':::::::::.;.............. ......... . . ........ .................... .......................... .......... ..... — ................... ........................ .... ... Y ........ ....... . .. . .................. . . .... . ... .. ........ .................. ........... .......... . ........ . ................ ............... ....... .......... .. . . . ..................... .......... ............ ............. ...... ................... ......................... . ... . . . ... ....... .. . . . ........... . ...... ...... .... ....... ....... ..... ............ ............ I ...... .... .... ................. .... .......... .. . . . . ...... ....... ...... .......... ............ . ...... ...... . . ... ... ....... ........ I ........ ........ .............. ...... ................... .......... .............. ............... ....... .............. ............. ........ - ........... ......... . . ...... ................... . .. ..... ........ ...... ...... ..... .. . ........ ... ......... ...... ...... ....... ........... ........ ........ ......... .. .... ..... .... ............ . ................. ......... ................ ............ . ........... ...... ... . ..................................... ......... ........... . — ...... . ........ . . . ............ .......................... :OR - : :: 0: Distribution. I . re ,:.:,:o b ............. Appt6�4: b.*V .... ... ......... ............. ... ........ ....... .......... 20M:01 ..... ....... ....... ........... . ..... if enclosures :.are -not astiOtO< pease ................... ...... . ........ ..... �onfirmatioqt . . ... ....... . . ... ..... ............... .... ............... ..:::Extra: G . .......... .... ................. . ......... .. ...... ....... ...... ............ .... .... I ....... ........ ... ........... .... ....... I ...... ... . . ............ ......... ...... . .. .. ...... ... ..... ............. .. ........ ......... r Architect's Field Report FIELD REPORT NO: 20467-006 ARCHITECT: Olson Lewis Dioli Doktor Architects & Planners, Inc. DATE OF OBSERV: September 19, 2005: 4:00 PM PROJECT: RENOVATION OF THE DANFORTH GYM BROOKS SCHOOL 1160 GREAT POND ROAD NORTH ANDOVER, MA 01845 PERMIT NO: ARCH'S PROD. NO: OWNER: PRESENT: WEATHER: EST. % COMPLETION: WORK IN PROGRESS: #633 20467 BROOKS SCHOOL 1160 GREAT POND ROAD NORTH ANDOVER, MA 0184 Peter Miner, Olson Lewis Dioli & Doktor Architects Sunny 70-75 Light Rain Foundations: 60% Demolition: 80% Rough Carpentry: 30% Doors/Frames/Hdwe: 10% Windows: 30% Gypsum Wallboard: 20% Mill and Casework: 0% Roofing: 50% Masonry: 15% Structural Steel: 80% Finishes: 0% Painting: 20% HVAC: 25% Plumbing: 30% Electrical: 60% Fire Protection 60% Specialties: 0% Finish Carpentry: 0% • New structural steel is in place in the Rowing Center. Lintels have been installed for openings in the exterior wall, interior lintels in process of being installed. • Most duct work installed in Rowing center. • Sprinklers and lights installed in Rowing center. • Gyp board walls have been installed at new lift and existing stair in lobby. • Concrete block walls are being installed. • New ramp poured between Lobby and Rowing Center • HVAC work is in progress. All major pieces of equipment and most of the ductwork has been installed. • Squash court walls have been installed in both Centers A & B • New lighting installed in squash center B. • New windows are on site. 20467 Brooks School page 1 of 2 Architect's Field Report • The new gable roof over the front entrance has been framed. In general, the work appears to be satisfactory and in accordance with the documents approved for the building permit except where noted above. The materials and workmanship appear to be consistent with standard construction practices and meet the requirements of the Massachusetts State Building Code. REPORT BY: Peter Miner, Architect Olson Lewis Dioli & Doktor Architects & Planners, Inc. 17 Elm Street, Manchester -by -the -Sea, MA 01944 978-526-4386 20467 Brooks School page 2 of 2 le BLW Engineers, Inc. 311 Great Road, Post Office Box 1151, Littleton, Massachusetts 01460 tel: 978.486.4301 fax: 978.428.0067 www.blwengineers.com Field Report To: Peter Miner 17 Elm Street Manchester -by -the -Sea MA • 01944 (tel) 978.526.4386 • (fax) 978.526.8375 PLUMBING / FIRE PROTECTION Code Violations Observed: • None Changes that affect Code Compliance: • None Date: 09.20.05 1 Job No: 04095 Project: Brooks Gym Location: North Andover, MA Contractor: Weather:Sun owner: Brooks School Temp: 70 Present At Site: David Catanzaro — BLW Engineers Observed substantial changes between approved plans and work in progress: • None Observed conditions identified as constituting an immediate hazard to the public: • None Work completed to date: Fire Protection • Sprinkler main, distribution piping and sprinkler heads for the new squash courts, over the old Gymnasium, have been installed. Piping has been painted. • Sprinkler main, distribution piping and sprinkler heads for the new squash courts, over the existing squash courts, have been installed. Piping has not been painted. • Sprinkler main, distribution piping and sprinkler heads for the first floor area excluding the squash court areas are nearly complete. Sprinkler mains have not been connected. • Sprinkler main, distribution piping and sprinkler heads for the second floor area being installed. Sprinkler mains have not been connected. Plumbing Copies File SIGNED To Page 2 of 2 BLW Engineers, Inc. 1 311 Great Road, Post Office Box 1151, Littleton, Massachusetts 01460 tel: 978.486.4301 fax: 978.428.0067 www.biwengineers.com Field Report • Rough -in for the water cooler near the squash court is nearly complete Work in progress: Fire Protection • Sprinkler piping mains, distribution piping and head installation for the first floor excluding squash court areas is ongoing. • Sprinkler piping mains, distribution piping and head installation for the second floor is ongoing. Equipment On -Site but not installed: • None Work to be completed: Fire Protection • Sprinkler mains, branch piping and sprinkler head installations for the first floor areas excluding the squash courts are ongoing. • Standpipe risers and fire department hose valves. • Sprinkler room work including backflow preventer, wet system alarm check valve and trim, reworking of the piping per the drawings. • Sprinkler mains, branch piping and sprinkler head installations for the second floor areas are ongoing. • Fire Department Connection and associated piping. • Remote test and drain valves and drain piping Plumbinq • Installation of water cooler near squash court. • Installation of Janitor's sink. • Installation of water cooler near existing toilet rooms. Items Discussed at Site: Plumbing A conflict between a existing 4 inch sanitary stack and the plan for the new construction has been discovered. The existing sanitary stack will be located per plumbing sketch SKP-1. The existing domestic water serving adjacent areas of the building is connected to the existing fire sprinkler main. This will be disconnected and relocated to connect to the existing domestic water main. Copies File SIGNED To Page 2 of 2 Date .. `�-/.�0,,�! of -•"�o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SACNUS� This certifies that .... ..................... has permission to perform .....l plumbing inZv-77 uildings of 1J at . //(4Q . ................. vrth Andover, Mass. PLUMBING INSPECTOR U Check 1 !/ i i I 1r MASSACHUSETTS UNIFORM APPLICA�ON FOR (Print or Type) 0 Building Location I i to 0 New ❑ Renovation 19 B.P. # SEWI �q # E /7 A� 75 PERMIT TO DO PLUMBING 2 0 i Permit # —a-4 Owner's Name _QRce;'s .Sc–Aoo4- Type of Occupancy acement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES SEPTIC # Installing Company Name APOLLO PLG & HTG INC Check one: Address 1SHATTUCK ST PO 80X 466 Corporation LAWRENCE, MA 01842-0966 ❑ Partnership _ Business Telephone 978-688-1755 ❑ Firm/Co. Name of Licensed Plumber DONALD DESRUISSEAUX Certificate x 097C INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.' Yes N No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy. ® Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the 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 ❑ '—n uy curvy runt au ut the oeians ana inrormanon t nave submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installation performed under the permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Layrs. By Title nature of Licensed Plumber Typo of License: Master X1 Journeyman 17.1 Cityrrown License Number 8699 APPROVED (OFFICE USE ONLY) ■■■■■■■■■■■■■■■■■■ mom ■■mom ■■■■■■■■■■■■■ mom ■■■■■■■mom ...■■■■■mom ■■■■n■■e■■■■e■MEMO .... ■■■■■■■■■■■■■■■mom ■■■■■■■■ ....- ■■■■■■■■■■■■■■■ ONE ■■■■■■■■ ..- ■■■■■■ mom ■■mom ■■■■■■■■■■■■ ... ■MONO ■NNE ■■■■MEN ■■■■■■■■■■ . ..- ■■■■■■■■■■■■■■■■■■■■■■■ONO ..- ■■O■■■■■■■■■■■■■■■■■■■■ENE ... MONO No Installing Company Name APOLLO PLG & HTG INC Check one: Address 1SHATTUCK ST PO 80X 466 Corporation LAWRENCE, MA 01842-0966 ❑ Partnership _ Business Telephone 978-688-1755 ❑ Firm/Co. Name of Licensed Plumber DONALD DESRUISSEAUX Certificate x 097C INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.' Yes N No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy. ® Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the 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 ❑ '—n uy curvy runt au ut the oeians ana inrormanon t nave submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installation performed under the permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Layrs. By Title nature of Licensed Plumber Typo of License: Master X1 Journeyman 17.1 Cityrrown License Number 8699 APPROVED (OFFICE USE ONLY) r O D v imn K A m a o O o O n m z m o m c n 0 as z o c T s o z o o z � o =a 0 0 0 'D r C i W z 0 V w 0 0 m N N Y N m 0 O z N -rG 1 Y7i Location lj 4 0 t No. Date NORTI� TOWN OF NORTH ANDOVER 3? � • 0 to s ; ; Certificate of Occupancy $ sACNUs t�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # t Building Inspector i TOWN OF NOR' VER BUILDING DEPARTMENT� 3 i APPLICATION TO CONSTRUCT REPAK RENOVATE, CP.AtNGE THE USE OR OCCUPANCY OF, OR IDEMOI,ISH ANY BUILDING � OTHER THAN A ONE OR TWO FAMILY DWELLING � - = Section for Offeial Use BUILDING PERMIT NUNMER: � �3 DATE ISSUED: Jj SIGNATURE:. Building Commissioner f of Buildings Date 1 ��� � , 1.1 Property Address: 1.2 Assessors Map and Parcel Numiser-. ()3 a a - `(-D NumberParcell Number 1.3 Zoning Information: 1.4 Property Dimensions: 1 Zonin District Proposed Use Lot Area Frontageg 1.6 BUII1lDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required Provided R Provided 1.7 water Supply M.GJ-C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone outside Flood Zone ❑ Municipal on Site Disposal System ❑ {Record y ti y 2.1 Owner of Name nt} Address for Service: " s' Telephone 2.2 Authorized Agent rvi L'2 J /maciv✓�G.z_ t�Z 5'z�c �yL> j3viz�>,,.cTr�x //7 Na" / Address for Service: :f 1//✓j— 7�; -17Z- 9-rJ Stgaature Telephone �' - . rilklml Boom 3.1 Licensed Construction Supervisor Not Applicable ❑ rrlakw, JZ. f0maj," J j 3 -/meq Address license Number Licensed Co on Supervisor. a ` Expiration Date ?�✓ " / Signatu Telephone 13.2 Registered Home Improvement Contractor Not Applicable ❑ Cor6pany Name Registration Number A iOress Expiration Date Signature Telephone X 0 M m Z 90 0 r v M G) Compensation I1• Insurance11completed submitted1 Workersf 1 • 1 :/ davitill I the ssuance 1the buildingpermit. SignedaffidavitAttached f ` t`1 1pm @ �. f( <' } ��'}'�1� f .C�¢ r4 eat' a � 5 ..4 `s( i 7s ;c .�- IMI 3i e•'d�TiT%iYiL�{l - , _ 5.1 Registered •ai�.�.-f C ,• AR a' AddressM ,"1 \►�� � Gj S � I • Signature 11.1' ...�..�`15C+IkYYi R"'.: iA4.'S�S�"ttr .�i'S#-+^-,�°�'�4L:.:Ew•..- � A ,i Address: � r Signature • ' A J► \ \ Not applicable. EA y• ii► • h.n': Registrationsa. Number Expiration Date Area ICAL- of Responsibility Name Registration1 • - Address— -06 Expiration Date Signature Telephone 1 Responsibility Registration Number ExpirationDate Name Address Signature - - 1 1 • 1 ' q5�+ '� MPi,�ti n£foi%`�m.r➢`a'fA'H`7dt.:h�r'°tP'x',[s 3jj�t^�f4Vi1 u'�,�.�°z+_ f.�`5 i`�eJt. jF..��WAeauea�n�baa+i •u�`;Fv .�.xY:ccSvntr`'. � "I::fi.4ii.F'rL �! .:,%��C4;4`w:,� �f]J� , ���+r�,,//� •� Not Applicable . 1 11 I'', mrn },d.:a : New Construction ■ • r� \ • rl \ / \ ■ Brief Description of Proposed Work: � ' � 1.7�:. A •.' � .1 ►�4i:�.'= ��,� % .'� rte/ � ,� .. _� r�t i• �� u • ir1 MIMI USE GROUP (Check as a licable) CONSTRUCTION TYPE -- 1 1 ■ ■ ■ ■ R. I III,, ■ 06.2 1 ■ ■ _ \ ■ ■ ■ ■ ■ ■ ©� \ ■ ■ ■ 1M Irz 1 COMPLETE '1 1N EF EXISTING11 1 1 • NG RENOVATIONS,D OR CHANGE INExisting , • Use Group:— • / / • i1 • 1 G Existing {#�4YYi�ffi?Y!'.+i' T314.�1'2. L+d�LS• t�,�vxM �� <<.d`J1rYfiv.1'•n4 �rnVSMYh.,.•.�,SYxYxG.`Xs.!7r.!..m ..� .1 Ku—mbcr of Floors or Stories Include Basement I \ is 1' 1 • W"M.- '1 Total Structural Engineering Structural Peer Review SECTION 10a Owner Anthorizadon - TO BE COMPLETED WHEN Yes ❑ No ❑ APPLIES FOR BUILDING PERMIT 2 ?L4L 1'b a K, J�Aw Owner of the subject property Hereby authorize L a^� V A n S 44 -, to act on My behalf; in all matters relative two work authorized by this building permit application (L n l L 3 g a s- i Signa of Owner Date 1 • i NZMKONN I "N I Vol m 5• • i :1 1,: 1 1' 11 1 1/ 1 1 11.1 1 1 1 1 1' 1 1 1' .. / K 1 1 1 1 1 1 • 1 1' I :w 1 1 • 14" R3c�•Ae'.+�LC`� r.'�:?r.Ki .. .: �G.y�3.Y.G.x r...a>±.^••i;,.�.Gx rS.•.H 'k Y �. .s :,.�c.i _ iy ��v,�, 11 1 1 .11 � r M# si y ,z[�"`�,�,� �9sh�•��G i �` � �6;h �{ a �, kt.(n ,3r :n' ��,j-yhct n �ryiew rt { ...��� { . r� f �'.�^I r� :,+' � - x�" T ✓ 'a 7 i_ � 4-r- ,, ^Y D /'}��.✓ 5'4 L .-� y !Y 4 .y" `y �'1t1i.'j- Mty. �� 4 M4�"N} h�iT �' I jfi <t 7 e � 1K !r?� V`C'^y. y.,J e7:14S4i.4iCS'A.{�r"J2G�,i�1.sM�A!...�M21�: e�i1YA.�.,.,x..f��>f..:g��i ,..&.iic:�3fG.%��I�i`fi4�i �\r?�.a..?':i�."����Vw ,F.3..3b't`.....f..+'1"l:�`S yF 7 {L t ,�'�. 5��� .k 1 S. 'w� ?j � q�' t'{, �yn�fr ..'nTr..i:Y� . �.:.•.J.S':Lw.+r_r3��'"RsV'�R,'..-.F�. r.-..r�: .f1.rA.,, u...�wi�}L��Yi-aa.� BASEMENT OR SLAB SIM OF FLOOR TIMBERS ` 1 'l1 DEMENSIONS OF SILLS .ME.POSTS - DIMENSIONS OF GIRDERS THICKNESS SIZE OF •• i MATERIAL OF IM IS BUILDING ON SOLID OR FILLED 1.4,LT6) 1 • i NZMKONN I "N I Vol m 5• • i 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 SECTIO APPLICANT � Z V IJ PHONEy �5 -6�I1 ?-., LOCATION: Assessors Map Number PARCEL SUBDIVISION LOT (a) STREET I { C -T I � ST. NUMBER OFFICIAL USE ONL RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER I / DATE APPROVED _fit/) foT DATE REJECTED FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Re~ X197 jm . E AR - MEMO TO: Office of Building Inspector Town of North Andover 4i- �` Y� s °ase FROM: John T. Olson Olson Lewis Dioli & Doktor Architects & Planners, Inch 17 Elm Street ^` Manchester, MA 01944 DATE: March 17, 2005 RE: Massachusetts State Code Article 34 Repair, Alteration, Addition and Change of Use of Existing Buildings Danforth Gymnasium Renovations Brooks School 1160 Great Pond Road North Andover, MA 01845 Investigation and Evaluation of Existing Conditions Programs: Brooks School seeks to renovate the existing Danforth Gymnasium by installing new international squash courts in the existing gymnasium, replacing three "American" squash courts with two international courts and replacing the existing locker rooms with a rowing facility. The work is entirely within the existing building shell with no additions. There is no change to the second floor use. Use Group: The existing space would be classified as A-3 Assembly. The proposed use would be classified as A3 Assembly, a continuation of the same use group, thus the requirements of 3404.0. Requirements for Continuation of the Same Use Group apply. 3404.3 New Building Systems: The first floor of the building will be renovated. This will include a new mechanical system, new electrical systems, minor plumbing revisions and a new sprinkler system. These will comply with applicable codes for new construction. The roof will be replaced and insulated to meet the prescriptive insulation (R20) requirements. New and replacement windows will meet the prescriptive 0.7 U value. 3404.4 Alterations and Repairs: See permit drawings. 3404.5 Number of Means of Egress: There are seven egress doors on the ground floor exiting directly to the outdoors, which exceeds the number required. There are two stairs to the second floor, one is enclosed; one is open to the lobby with fire rated enclosures separating the majority of the second floor and lobby from the stair. While this may have been legal at the time (1979), our understanding of the code is that the stair must be enclosed. We have added a one hour stair enclosure per code. 2 Second Floor Exit Capacity (2-3'doors) 480: Second Floor Gym -Volleyball Courts Area 3528 SF. The life safety code, NFPA 101, recommends using 155F/pp in a gymnasium, this gives an occupancy of 235. The ancillary spaces have a maximum estimated occupancy of 50. The total occupancy of 285 is less than the available capacity of 480. First Floor: There are six exits with seven 3'doors giving a total exit capacity of 1680. The squash center has five exit doors for a total exit capacity of 1200. Total net area is 13,000 SF. Using 15 SF/pp gives an occupancy of 867 which is less than existing capacity. This is far beyond any actual occupancy. Squash courts have 2 players/ court unless coaching is going on. Still, during practice, the total occupancy might be thirty people. During matches there are 10 active players and some spectators. We have provided bench seating for approximately 250 and some standing room. Certainly, the occupancy will never exceed the exiting capacity of 1200. The rowing center net area (less the tanks) is 3860 square feet. At 15 SF/pp the occupancy would be 257. The exit capacity is 480. This is a practice facility and would not have spectators. The tanks offer 16 rowing positions. We will also add some rowing machines. The actual occupancy would probably never exceed 30-40 people. 3404.7 Exit Signs & Lights: These are provided. 3404.8 Means of Egress Lighting: Emergency lighting is provided. 3404.9 Height and Area Modifications: The building exceeds height and area requirements as provided by Table 503 and Section 506 Area Modifications. Height will conform with the addition of the sprinkler system. Since there is no change in use and no addition, 3404.9 does not apply. 3404.10 Existing Fire and Party Walls: The main gymnasium (Squash Center A) was constructed around 1950. It would be classified as 3B construction with exterior masonry walls, steel roof structure and heavy timber floors. Subsequently, Squash Center B was added (ca. 1958). It is wood frame construction and would be classified as 5B construction. There is no firewall or fire separation from the two. In 1979, the building with the rowing tanks was added. It would be classified as 2C construction with steel frame, CMU walls and concrete floors. A two hour fire separation was provided and will be maintained. It is not constructed as a party wall. Without party walls, the building must be classified as 5B construction. As such it exceeds the area limits for 5B construction. Since there is no change of use or addition, per 3404.9, height and area limits do not apply. Note that a complete sprinkler system is being provided as well as the maintenance of the two hour fire separation. 3 3404.11 Fire Protection Systems: The building will have a complete new sprinkler system per 3404.12.3. 3404.12 Fire Protection Systems are Required for the Following Cases: Existing buildings which are "substantially renovated". They will be provided. 3404.13 Enclosure of Stairways: The existing open stair will be enclosed with a one hour rated enclosure. 3404.14 Assembly Use Groups: Assembly groups shall comply with 3400.3.item 6. We are maintaining the same Assembly Use Group (A3). Since we are not changing occupancy group and we are not changing the Assembly Use Group this does not apply. 3404.17 Fire Hazard to Adjacent Buildings: The proposed uses will decrease the population of the building. There is no increase in hazard to adjacent buildings. The addition of a sprinkler system will significantly reduce the hazard to adjacent buildings. 3404.18 There is no assessment on the existing building. We will proceed with making the building comply with MAAB. We will add a lift for second floor accessibility, widen undersize exit doorways, add railings to the existing ramp, raise the floor in the squash center for squash court accessibility, provide wheelchair seating provisions at the squash -viewing platform, modify hardware etc. to make the building compliant. 3404.19 Energy Conservation: We will comply with 3407 for energy-related alterations. 3408 Structural Requirements for Existing Buildings Our structural engineer has attached a letter confirming his evaluation of the existing building. The cost of alterations with deductions cited in Table 3408.1 Note 3 will not exceed 50% of the value of the building so we are in Seismic Category 1. PROJECT NUMBER: "11 it � �1� ���,... a ���►:�. PROJECT LOCATION: ti!i<■�� ;I 62m; '+moi ►J NATURE OF PROJECT: ti, r �► WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, K:xa. REGISTRATION NO. BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT 0 ARCHITECTURAL 0 STRUCTURAL[] MECHANICAL 0 FIRE PROTECTION ELECTRICAL OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE. AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. 3. Be present at intervals appropriate to the stage of constriction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a.manner consistent with the construction documents. PURSUANT TO SECTION 116.2.2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS �O THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANI SUBSCRIBED AND SWORM TO BEFORE ME THIS fh �.,..�v^� /%DAY OF ,� 20 o 5 NOTARY PUBLIC MY COMMISSION EXPIRES �1,2, � G °% OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER °; CONSTRUCTION CONTROL. PROJECT NUMBER: "11 it � �1� ���,... a ���►:�. PROJECT LOCATION: ti!i<■�� ;I 62m; '+moi ►J NATURE OF PROJECT: ti, r �► WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, K:xa. REGISTRATION NO. BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT 0 ARCHITECTURAL 0 STRUCTURAL[] MECHANICAL 0 FIRE PROTECTION ELECTRICAL OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE. AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. 3. Be present at intervals appropriate to the stage of constriction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a.manner consistent with the construction documents. PURSUANT TO SECTION 116.2.2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS �O THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANI SUBSCRIBED AND SWORM TO BEFORE ME THIS fh �.,..�v^� /%DAY OF ,� 20 o 5 NOTARY PUBLIC MY COMMISSION EXPIRES �1,2, � G °% FOLEY & BUHL STRUCTURAL ENGINEERS February 3, 2005 Mr. John Olson Olson Lewis Dioli & Doktor Architects & Planners, Inc. 17 Elm Street Manchester -by -the -Sea, MA 01944 Re: DANFORTH GYMNASIUM RENOVATION Brooks School N. Andover, Massachusetts Dear Mr. Olson: Our interpretation of the Massachusetts State Building Code requirements as called for in Section 34 of the Code referring to "repair, alteration, addition, and change of use of existing buildings" comes to the following conclusions: The work as shown on the contract drawings does not indicate alterations to the overall existing structure or its existing system for lateral load resistance, nor any structural additions. The use of the building remains the same. The determination of the applicable Seismic Hazard Category as per Table 3408.1 is based on the following: There is no change in Use Group and the expected total cost of alterations is less than 50% of the assessed valuation of the building. This establishes a Seismic Hazard Category of 1. The existing lateral load capacity and lateral load systems are not being altered. Therefore the existing structure, as required for Seismic Hazard Category 1, is in accordance with Code section 3408.5.4.4 stating that the earthquake resistance needs to comply only with the requirements of 780 CMR 3408.3.5. Analysis of the existing floor framing based on Code section 3408.5.1 shows that the load capacity of all floors meets or exceeds the live load requirements as shown in Code sections 1605.0 through 1608.0, 1613.0 and 1614.0, inclusive. Therefore posting of live loads, as referenced to in 3408.5.2, is not required. The existing structure also complies with the requirements for resistance to applicable wind loadings, i.e. a modified wind load of 14 psf . (3408.4.2.1 referencing Table 1611.4, Zone 3, Exposure A). Such loading is being resisted by the existing bracing and all other elements being considered as stated in 3408.3.4.1. The above iisted code interpretations lead to our conclusion that no additionai retrofitting of the existing structure is required to comply with Chapter 34 of the Massachusetts State Building Code. Very truly yours, Hans H. Weiss, P.E. FOLEY & B U H L ENGINEERING, INC 9 GALEN ST. • SUITE 240 WATERTOWN, MA 02472 TEL (61 7) 926-91 50 FAX (61 7) 924-4467 Richard A. Foley, P.E. R}CHARO�4 A. pY, AFFIDAVIT FIRE PROTECTION DESIGN To the Building Commissioner: Permit No. I certify that to the best of my knowledge, information and belief, the plans and computations accompanying the attached application concerning the locus at Ward are in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. Commonwealth of Massachusetts County of On this day of Kenneth R. Beck - 38446 ENGINEER - MASS. REG. NO. BLW Engineers, Inc. COMPANY 311 Great Road, Post Office Box 1551, Littleton, MA 01460 ADDRESS 978.486.4301 7:[91,1 2005 , before me, the undersigned notary public, personally appeared Kenneth R. Beck , proved to me through satisfactory evidence of identification, which were Personal Knowledge to be the person whose name is signed on the preceding or attached document, and who swore or affirmed to me that the contents of the document are truthful and accurate to the best of his/her knowledge and belief. Before me, My Commission expires Fire Protection Desgin Affidavit.generic.doc AFFIDAVIT MECHANICAL DESIGN Permit No. To the Commissioner: Re: VID 050" 1�6J et r Ward I certify that to the best of my knowledge, information and belief, the plans and computations accompanying the attached application concerning the locus at TW &.0rz 5��94-x NPO C 4-E PaJZ&�r A)UM �&XM& Ward are in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. Commonwealth of Massachusetts County of Kenneth R. Beck - 38446 ENGINEER - MASS. REG. NO. BLW Engineers, Inc. COMPANY 311 Great Road, Post Office Box 1551, Littleton, MA 01460 ADDRESS 978.486.4301 PHONE On this day of 2005 , before me, the undersigned notary public, personally appeared Kenneth R. Beck proved to me through satisfactory evidence of identification, which were Personal Knowledge to be the person whose name is signed on the preceding or attached document, and who swore or affirmed to me that the contents of the document are truthful and accurate to the best of his/her knowledge and belief. Before me, My Commission expires Mechanical Desgin Affidavit.generic.doc AFFIDAVIT ELECTRICAL DESIGN To the Building Commissioner: Permit No. I certify that to the best of my knowledge, information and belief, the plans and computations accompanying the attached application concerning the locus at are in accordance with the requirements of the assachusetts StateyBuilding Crode and all other pertinent laws and ordinances. Commonwealth of Massachusetts County of Stephen J. Sullivan - 27913 ENGINEER - MASS. REG. NO BLW Enaineers. Inc COMPANY 311 Great Road, Post Office Box 1551, Littleton, MA 01460 ADDRESS 978.486.4301 W:C6P►1:9 On this day of , 2005 , before me, the undersigned notary public, personally appeared Stephen J. Sullivan proved to me through satisfactory evidence of identification, which were Personal Knowledge to be the person whose name is signed on the preceding or attached document, and who swore or affirmed to me that the contents of the document are truthful and accurate to the best of his/her knowledge and belief. Before me, My Commission expires Electrical Desgin Affidavit.generic.doc MAR -16-2005 11:30 The Conmomvealth of,+fassachusegys Department of Industrial Accivents 600 Washingt&M Styret "Floor Boston ,Mass 02111 Workers' CoMptliskii0n, Insurance AMda0t; 811ifiding,flumblug/Eleclirleal Contractors n.beg AKULE—r!,a_11d Construction. Inc. ldd&,.ssv 83 Second Avenue 0 P. 02 U I am a homeowner '4W1)ffT-,j all workmyselfProject Type: L) A S010 Proprietor and have no one working in any capacity, New Construction Remodel L7 Building Addition iT UZIE, an employer providing workers' compensation far MYemployees working onthis 'job. -snrrtornt llama' addreist- 83 Second Avenue dtva 8111 lin tan, !�A d1803 81-272-9440 IlMyce to. Co=erce and -Industry ins WC968-34-92 I am a sole proPnictor, general contr'sclor,'or, horne'C'w'-nerd have the following workers' Compensation polices,, (circle ootte) an ave hired the coniraeto*rs listed below who have imonn!v name: addrn& addrUst F1145rc to secure coverage as required under 'Section TSA rjr?46, 152 can lend to the imposition or criminal penalties of a 0 . me I up to 51.504.00. , . 1 . i , A . ty , or I @04 Years' lmliFISO""'t"t '" well as civil PRIPIR1110 In the form ora STOP WORK ORDER a"d S line sf SIOO-00 i dry A21lAAt me. I unilmrstond that a COPY sfthis statement m*Y be forwarded to the Office of investigations at the DIA for coverage vq:1r1fW4tlqft. I do hereby Print am" --molal MAE only Iff? the Pains gpdpenallies of perjury rho, the IjIform4lign prjqded dbove Dare Pfionc#M1-222-2jAo M, 0 not wrote in this area to be COmPlettil by city or town *Me1gl Elty or tower " "r W .___ .1 .... . L .... I I .......... Lloleherk if linknedisfe response is required ElLicensing Board OSelectmen'i Office contact person:. CH0811h Depsrrmcnt i_._ 20, J3114nto: North Andover Building Department DEBRIS DiSPOSAL FOR Tal: E178-688-8545 In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL ci1,S150A. The debris will be disposed of in: 3a-lem 'transfer Statiou. Salem. PA (Location of Faciii 1)) � s Signature of Permit Applicant xamit Robfu on, Project SuoezIntendent Xar 3, 2004 - - - Date NOTE- Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector CA m m m y m N mm _ CO) 10 CDCLz Cp O O = O' CZ a� -o .o 0 o p a� Q CD Cl cw CL v �C CD y CD O CO) d _ d 0 _ COD O C CO3 d n CD O _ CD CD CO) CD y R0 19 0 • • <i-93�g s � �"as g �P, f 2 �Ci oa He a o m �} m -4o_mf oSte y 0 --� =_ o m IS f �� o�CC22 z �1 ►b = Er rn a = act• -� CD cm 0 c n� CLI P. o E -Q z� a CL m Ca rr^^91 VJ H H.� :A 3 m N o CN m O �o :.z o >` Y CA c _yam � C) : '+ • = •.; 0 = m 0 1 �o 7 c = �% H 0 o to azr 9.o o T cn ro O � 7d 7d H 0 Y4s��^� C� �C-:)C Enter construction cost for fee cal lu R, sPr�NKIe sgst,p�V\nc��� $ 1, 517, 000.00 Construction Cost _ t� Building Fee $ 15,170.000 Plumbing Fee $ 2,275.50 Gas Fee Electrical Fee $ 2,275.50 Total fees collected $ 19,721.00 e CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 633 (4.27.2005 Date: November 8, 2005 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1160 Great Pond Road MAY BE OCCUPIED AS Danforth Gym IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. TEMPORARY PERMIT 6 MONTHs Certificate Issued to: Brooks School Pursuant to the items 1160 Great Pond Rd Listed in the attached document. From Mr. James R. Pugh North Andover MA 01845 Business Manager Brooks School �?-, _ „",, /J Building Inspector -�— 11% m m m m Y/ m y m CD a: C2 CO CD COO) 10 CD O CO) d d 0 CO) O C CO) d CD O �rt CD CO) CD CO) 0 CCD O CD oftft...Z. (A: n c Cc � -4 cz C�O� _ d0<COO 'o y o OO 9aC2 3 m C2 tp Zas S� N N O � m :V' ICR _ �mo oOZy.• mz ao n =r = C �'�: d a CL 0 0 m Ir O C c� v+ Q a=:�c _ C3• CL gj IEm H 1 : A CD �oC z=� I 0ED o, G CD 0 t C� ON n=y► _ : C C O ' O m *: m �o �q �� � O w O r ol Ml n rA W U) H 0 0 c LMo.n� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 633 4.27.2005 Date: November 8. 2005 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1160 Great Pond Road MAY BE OCCUPIED AS Danforth Gym IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. TENIPORARY PERMIT 6 NIONTHS Certificate Issued to: Brooks School Pursuant to the items 1160 Great Pond Rd Listed in the attached document. From Mr. James R. Pugh North Andover MA 01845 Business Manager Brooks School '91 _ „,e, /J Building Ifispector �9 uj am 0 :U C � C ; L O V C3 �d � C 2 g 'ZIr4G ,,_���,,, p ,G\ 0 W v z v � cn w a: U w �J ,tj� c� u. 90 V) v) uj am O L V z CL O CO) � C I �cm ca a O O m m O � � 3� O � � L cma C cc V c Z � C.3 y O C C O COD ul U) UA U) W W 19 ui ,W,ww Y/ 0 :U C � C ; L O V C3 �d � C 2 O L V z CL O CO) � C I �cm ca a O O m m O � � 3� O � � L cma C cc V c Z � C.3 y O C C O COD ul U) UA U) W W 19 ui ,W,ww Y/ AW'a- Vicnqu n 51Lmmus November 7, 2005 Mr. Gerald Brown Inspector of Buildings - Building Department 400 Osgood Street North Andover, MAO! 845 Dear Mr. Brown: As a long-time member of the North Andover community, Brooks School has strives to maintain safe and modern facilities for its students, faculty, and guests. The recent renovation of Danforth Gymnasium demonstrates this commitment as the new Squash Center, Rowing Center, and entire first -floor area have been built to current state and local codes. The sprinkler system has been upgraded throughout the entire building, and a new wheelchair lift provides an accessible route to all areas of the building. Furthermore, over the next six months, Brooks School will extend the improvements into the building with the following: 1) install a fire alarm system throughout the second floor, 2) bring the two toilets on the 1 st floor into code compliance, 3) add accessible toilet and shower on the 2nd floor, 4) add additional emergency lights to the 2nd floor spaces not renovated under the current contract, 5) add additional exit signs on the 2nd floor as required under the current code, 6) add exterior landscape signs that indicate the path from the handicap parking beside the new Rowing Center around the building to the main entrance, 7) construct a new exit level platform and stairs at the exit between the Squash Center Annex and the Art Building at door 112-4. 8) add a steel plate to close the gap between the building and exit stairs from the back of the Rowing Center at door ST2-EX2.. Please let me know if you have any questions or comments. Sincerely, James R. Pugh "Business Manager"1 978-725-6212 978-725-6215 fax iPug h(a)-brooksschool.org November 7, 2005 Mr. Gerald Brown Inspector of Buildings - Building Department 400 Osgood Street North Andover, MA 01845 Dear Mr. Brown: As a long-time member of the North Andover community, Brooks School has strives to maintain safe and modern facilities for its students, faculty, and guests. The recent renovation of Danforth Gymnasium demonstrates this commitment as the new Squash Center, Rowing Center, and entire first -floor area have been built to current state and local codes. The sprinkler system has been upgraded throughout the entire building, and a new wheelchair lift provides an accessible route to all areas of the building. Furthermore, over the next six months, Brooks School will extend the improvements into the building with the following: 1) install a fire alarm system throughout the second floor, 2) bring the two toilets on the 1 s` floor into code compliance, 3) add accessible toilet and shower on the 2nd floor, 4) add additional emergency lights to the 2nd floor spaces not renovated under the current contract, 5) add additional exit signs on the 2nd floor as required under the current code, 6) add exterior landscape signs that indicate the path from the handicap parking beside the new Rowing Center around the building to the main entrance, 7) construct a new exit level platform and stairs at the exit between the Squash Center Annex and the Art Building at door 112-4. 8) add a steel plate to close the gap between the building and exit stairs from the back of the Rowing Center at door ST2-EX2.. Please let me know if you have any questions or comments Sincerely, Dames R. Pugh Business Manager 978-725-6212 978-725-6215 fax jpug h(.brooksschool.org October 31, 2005 Mr. Jerry Brown Town of North Andover 27 Charles Street North Andover, MA 01845 RE: Final Affidavit The Brooks School Danforth Gym Renovation 1160 Great Pond Road North Andover, Ma 01845 Mr. Brown, I certify that I, or my authorized representative, have inspected the work associated with Permit number #633. To the best of my knowledge, information, and belief the work has been satisfactorily completed in conformance with permit and plans approved by the North Andover Building Department and with the provisions of the Massachusetts State Building Code and all other pertinent laws and ordinances and ready for occupancy. Sincer�y;�� I/1 .31 'G John V. Olson, AIA O Lewis & Dioli Architects # f Architects & Planners Inc. 17 Elm Street Manchester, MA 01944 Cc; Jim Pugh, John Trovage, Erland Construction October 31, 2005 Mr. Jerry Brown Town of North Andover 27 Charles Street North Andover, MA 01845 RE: Final Affidavit The Brooks School Danforth Gym Renovation 1160 Great Pond Road North Andover, Ma 01845 Mr. Brown, I certify that I, or my authorized representative, have inspected the work associated with Permit number #633. To the best of my knowledge, information, and belief the work has been satisfactorily completed in conformance with permit and plans approved by the North Andover Building Department and with the provisions of the Massachusetts State Building Code and all other pertinent laws and ordinances and ready for occupancy. Sincerety, John T. Olson, AIA Qlson L�wis & Dioli Architects & Planners Inc. 17 Elm Street Manchester, MA 01944 Cc; Jim Pugh, John Trovage, Erland Construction October 31, 2005 Mr. Jerry Brown Town of North Andover 27 Charles Street North Andover, MA 01845 RE: Final Affidavit The Brooks School Danforth Gym Renovation 1160 Great Pond Road North Andover, Ma 01845 Mr. Brown, I certify that 1, or my authorized representative, have inspected the work associated with Permit number #633. To the best of my knowledge, information, and belief the work has been satisfactorily completed in conformance with permit and plans approved by the North Andover Building Department and with the provisions of the Massachusetts State Building Code and all other pertinent laws and ordinances and ready for occupancy. Since a ,. ;' ✓!' " �, t Ear. 3:r's ! John T. Plson, AIA lson ewis & Dioli Architects Arc rtects & Planners Inc. 17 Elm Street Manchester, MA 01944 Cc; Jim Pugh, John Trovage, Erland Construction FINAL CONSTRUCTION AFFIDAVIT PROJECT NUMBER: DATE: 10 1 as ( 'D .5 - PROJECT TITLE:-bRC-,&k4J Sit -=x- - c,0:�, V-tj'M'X wom PROJECT LOCATION: 1 � GO Co?Z V' -R-ahJ '�c� s � Ae-, .Oelt- IN ACCORDANCE WITH SECTION 116.2.2 OF THE MASSACHUSETTS STATE BUILDING CODE, I, Stephen J. Sullivan REGISTRATION NO. 27913 BEING A REGISTERED PROFESSIONAL ENGINEER HEREBY CERTIFY THAT I AM RESPONSIBLE FOR THE CONSTRUCTION PHASE SERVICES FOR THE ABOVE REFERENCED PROJECT CONCERNING: ENTIRE PROJECT ARCHITECTURAL FIRE PROTECTION X ELECTRICAL STRUCTURAL MECHANICAL OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, THE BUILDING WAS CONSTRUCTED IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS PREPARED AND/OR AMMENDED BY THIS OFFICE. FURTHERMORE, THE BUILDING APPEARS TO HAVE BEEN CONSTRUCTED IN ACCORDANCE WITH THE PROVISIONS OF 780 CMR. Stephen J. IGNA JURE Sullivan Electrical `n ephen J. Sullivan, P.E. No. 27913 r. Electrical Engineer LW Engineers, Inc. �SS/ONAL��G 311 Great Road, PO Box 1551 Littleton, Massachusetts 01460 Tel: 978.486.4301 Fax: 978.428.0067 Commonwealth of Massachusetts Countyof `'xl'Obt_Escx On this �[ S day of CEG-j0,£i0- , 2005 , before me, the undersigned notary public, personally appeared Stephen J. Sullivan , proved to me through satisfactory evidence of identification, which were Personal Knowledge , to be the person whose name is signed on the preceding or attached document, and who swore or affirmed to me that the contents of the document are truthful and accurate to the best of his/her knowledge and belief. Before me, 10U18 J.L. eeRw►RD, JR. Cp WAW480 of w lR624,21M My omm ssion expires finalaffadavit-elec. doc FINAL CONSTRUCTION AFFIDAVIT PROJECT NUMBER: Vn2c r- o� DATE: l 5 - PROJECT TITLE: azu- r--!; !Ei.Ax-,L, OL J Co V/iajrq-4,,.r.L, PROJECT LOCATION: (1(00 612wk=r- -Paas FGA , iUOr?- -1t• kwpo�►vM IN ACCORDANCE WITH SECTION 116.2.2 OF THE MASSACHUSETTS STATE BUILDING CODE, I, Kenneth R. Beck REGISTRATION NO. 38446 BEING A REGISTERED ARCHTIECT/ PROFESSIONAL ENGINEER HEREBY CERTIFY THAT I AM RESPONSIBLE FOR THE CONSTRUCTION PHASE SERVICES FOR THE ABOVE REFERENCED PROJECT CONCERNING: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL X MECHANICAL FIRE PROTECTION ELECTRICAL OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, THE BUILDING WAS CONSTRUCTED IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS PREPARED AND/OR AMMENDED BY THIS OFFICE. FURTHERMORE, THE BUILDING APPEARS TO HAVE BEEN CONSTRUCTED IN ACCORDANCE WITH THE ROVISIONS OF 780 CMR. r S NATURE No. ,. Commonwealth of Massachusetts County of M %O,DLESC—tf Kenneth R. Beck, P.E. BLW Engineers, Inc. 311 Great Road, PO Box 1551 Littleton, Massachusetts 01460 Tel: 978.486.4301 Fax: 978.428.0067 On this 91 St- day of t _R1 F3E-2 , 2005 , before me, the undersigned notary public, personally appeared Kenneth R. Beck , proved to me through satisfactory evidence of identification, which were Personal Knowledge , to be the person whose name is signed on the preceding or attached document, and who swore or affirmed to me that the contents of the document are truthful and accurate to the best of his/her knowledge and belief. Before , ? LOUIS J.L. BERNARD, JR. ' Notary. Public CommoAweaflh,o( MassachusaNs My Commission expires *CorrM*Wm Ex0w Feb24, 2M FF— S2L,,A-ay finalaffadavit-mech l .doc FINAL CONSTRUCTION AFFIDAVIT PROJECT NUMBER: O40`'S •oo DATE: to •'ZF( a. - PROJECT TITLE: TaotCx� SGkEooL — b (,JN[yv1?/1 e)VCT PROJECT LOCATION: Il(00 62e�kT CY'46 VLaL'�4 A)-C>rr—ri( 4,�q-11�0,jelrt, IN ACCORDANCE WITH SECTION 116.2.2 OF THE MASSACHUSETTS STATE BUILDING CODE, I, Kenneth R. Beck REGISTRATION NO. 38446 BEING A REGISTERED ARCHTIECT/ PROFESSIONAL ENGINEER HEREBY CERTIFY THAT I AM RESPONSIBLE FOR THE CONSTRUCTION PHASE SERVICES FOR THE ABOVE REFERENCED PROJECT CONCERNING: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL X FIRE PROTECTION ELECTRICAL OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, THE BUILDING WAS CONSTRUCTED IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS PREPARED AND/OR AMMENDED BY THIS OFFICE. FURTHERMORE, THE BUILDING APPEARS TO HAVE BEEN CONSTRUCTED IN ACCORDANCE WITH THE ROVISIONS OF 780 CMR. ,^ SIGNATURE �IFtF�iIY'm' l.. X0.38+ Commonwealth of Massachusetts Countyof ' BO O LE &EK Kenneth R. Beck, P.E. BLW Engineers, Inc. 311 Great Road, PO Box 1551 Littleton, Massachusetts 01460 Tel: 978.486.4301 Fax: 978.428.0067 On this Sf day of Or- 6,)RcP— , 2005 , before me, the undersigned notary public, personally appeared Kenneth R. Beck , proved to me through satisfactory evidence of identification, which were Personal Knowledge , to be the person whose name is signed on the preceding or attached document, and who swore or affirmed to me that the contents of the document are truthful and accurate to the best of his/her knowledge and belief. Before , LOUIS J.L. BERNARD, JR. Notcry PtBriC COAIMWANI 1 d usegs /,My Commission expires &tOWmista►I *ftFeb24,2006 (?,y2c P -a Y 7-97 finalaffadavit-fp l .doc Elevator: 210-W-175 Printed - 10/27/2005 Chapter 143 of the General Law, Section 65 states the (elevator inspection) certificate shall be posted in a conspicuous place in or near the cab or car of such elevator. Location: Brooks School 1160 Great Road North Andover, MA 01845 Owner: Brooks School 1160 Great Road, North Andover, MA 01845 [issued ❑ Work ❑ None DPS-VJ3-E'_ Q 70" -0505 -PC -GPS -051005-9125 The Commonwealth of Wtassachus-2tts Department of public Safety One Ashburton Place, Boston, MA 02108-1618 '? CERTIFICATE FOR USE OF ELEVATOR Chapter 143, General Laws, as amended Location: 1160 Great Road, North Andover MA Capacity: 9.50 Pounds Speed:` Feet per minute State ID#: 210-W-175 F. T. #: 6 002501 Issued on: 11/01/2005 F. F.: Now Expires: IJ / o I/ 20+1 Apply for Re -inspection Thomas G. Gatzunts 60 days Prior to Expiration Date. Commissioner IN CASE OF ACCIDENT NOTIFY (617) 727-3200 AT ONCE. AFTER 5:00 PM & WEEKENDS, CALL (508) 820-2121 REPORT UNSAFE CONDITIONS TO BUILDING MANAGER / OWNER FEB -07-2005 1230 MERCIER ELECTRIC CO 508 792 0988 P.01i02 Job# 6899 Fee: $7,500.00 ` WdAuseo* 714EMMMONW ALTHOFAIASSACWSETTS P�em�tNo. ---� / 9QMp OF FIRE Pt�R10 ��� REGULATIONS 527 (BAR 12:00 Ooa,patrry a Fee ChAdr `_.. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AM wwk b 1e perfotftted h (P:eit! pfd kl Ilrk Orbpe iM hfOrifralipD) - Town of North And ove Toga,. �„r M (r�1 Thte u�aet�; + 000m to a pert* b P orro f)ie deWit al rrp* adrbW b,* w. 5 v U. L0ca01(4m a 1160 Great Pond Road. owns. a twrart pool owners Add�esa it flee p h aolit�4o xrn wMA a fyuio4>➢ parnit Yea No p"`°D"ati Facilit E*M^9 Sarvbe UbAy A"E'°'tr'1f4" Ne. tsSl'1!' aldoe 9 S �, --OR—�M+ve'48 7 voles urd�rra ' No aMalara� Nunbet a Feeders and %Wgm -X Na or Mebm LxasararroNan orwoQO°°dno pLd Wak 1 ew a ectrical and tire alarm wiri for new thletcx�facilit ."Voice/data end[iVAC control wiring.•-is'wxclude& . alo.er � ..mow tra�sorrrKrs KYA 1 Abaaa � b war 0—Aft •adOsneratpa Ir .rod !NA y , na w enrege„er�phM,,e n No.d A• 1, � _�W �k'1q�dZene ' T91%y 1. NOefAfrOsrq ` +� .d " ' 4 a ;flame �DmA*c" TsrK No. of KW 'alb. ot�DeNoes ,... .. ,iersrinp -►ti 3, �. NpoJMi�.drCarteib�d. 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Siztly-j q ems' (�-�c.�xr•j o fes. �l�dlL.y► L�GEc�� 'Yat 41ee�� _ I /- as - -M �"Q•9iwl�c,q )PC --V tV.4LLS ms's ao0*0* ..00► s4sw&- v,c, 00I A01 s aQ AA--� 7-�„ ► ��' � ,'�xrm v / ���� � �/d� G -'06U •.. t'x- g ir/o�' r L�TT��C -�"'. � /�� ,QP1300, IIe;A� �/ 9 ►�Cy w- Olt�Y✓�r�f yes s ���° �ca2 .� LZ��