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Building Permit # 3/25/2015
i � ptORYli ,y BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Z - n Permit NO: 0 ... Date Received3.17,6_10;3m � ��Ssgcwus��y Date Issued: IMPORTANT:Applicant must,complete all items on this page 1 1 1, , . 1• '1�',.,,r�r,��r„I ,i`;;r„, i�;r � Rr%� �l��na,jl. ,�k1 '-1 „tr.,,n:.. � ', � � 1 r I� TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ®Addition ❑ Two or more family ❑ Industrial N Alteration No. of units: ® Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: N Demolition ❑ Other /f1 ,rle 015 �I�%, 1 11 Demo and renovation of an existing space roughly 4 OOOSF work includes: new millwork floors partition walls, ceilings, rework and and installation of new plumbing, sprinkler, hvac and electrical systems. Construction of two building additions roughly 2,500 SF total, work includes: excavation, concrete walls, footings, SOG, combination of steel and wood framing, new floors, partition walls, ceilings, sprinkler, hvac, electric and lighting. Identification Please Type or Print Clearly) OWNER: Name: Edgewood Retirement Community Phone: 978-725-3300 Address: 575 Osgood Street, North Andover, MA 01845 q i ip aiirr�� ail o r m�� Biu i i V � l ' e ARCHITECT/ENGINEER Levi +Wong Design Associates Phone: 978-371-1945 Address: 45 Walden Street, Concord, MA 01742 Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. ,_, Total Project Cost: $ I,r,Io FEE: $ , )c) r Check No : NOTE: Persons contracting h unregistered contractors do na'tt have access to h � the guaranty fund Pik r 1�iar�h����l,1r� U77T1,�1u�Tr�a��rfl, ��,Alr. , Joseph A. Cahalane j Plans Suhilitted ❑ Plans r Construction/Design Senior Construction Plans ❑ Jason S. Orinacoff TYP13.OF SEWERAGE DISPOSAL Senior Project Manager ❑ Construction/Design LEER AP Public Sewer Tai Well ❑ Tot Private(septic tank,etc. ❑ pe l jasong@chap-con.com 617.614.5508 direct 617.908.1123 cell THE FOLLOVI✓IN �����:��c�� �vr�c a r c c oc wvgL T INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On ' Signature_ ° u COMMENTS i rlf PIA-7J Kt!' ,; WIWALLA. 4d 51ye V(f Q e CONSERVATIONReviewed on Sign atu re .. .. _ r COMMENTS d �t )�EALTH Reviewed a Si na�u -� w.."....�. i COMMENTS 00- ) r w t r , ��wr Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Panning Board Decision: Comments conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street n l r, ,/Id//Y, �rJ�%,�/,JJJ%1 I/. r✓ i, ! ✓, / ,r/ / /irr / rr r, / I E DEP � ✓ � i r r /� ,//�//�%� /,, /a,/J /i, i', , // .//��, ✓ r / r o �„ m- ,r ,l r r %! � I � � r / //r ✓/ !r, , , J //Pr /!, /,!/ l� nv /i/r,i,,r ... f �O TH own of { ndover ==M V, ®. I IL V. _ C,, h ver, Mass, 2 CD/5 COCMICMl WICK S U BOARD OF HEALTH Food/Kitchen -PERMIT T D�JSeptic System THIS CERTIFIES THAT .. p �Y &-/,(— .......�17 6 � BUILDING INSPECTOR �7 S O b ................................... Foundation has permission to erect.......................... building on ........�.....0.�rr-......�..�, Rough C�-Y.S c Gf (6.... . ..F, .. �: ...... .f� �...a.G/5 ...... Chimney to be occupied as ........ ...1.".:...: ...................... / ........... provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. �ICU�i�.rr� Q�,� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough Service .... . .. / .......................... ............ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. NORYF1 Town of North Andover p Office of the Planning Department > , * Community Development and Services Division SUS�``y 1600 Osgood Street North Andover, Massachusetts 01845 NOTICE OF DECISION -SITE PLAN REVIEW WAIVER Date of Decision: December 16,2014 Application of: Edgewood Retirement Center 575 Osgood Street North Andover, MA 01845 Property Owner: Edgewood Retirement Center 575 Osgood Street North Andover,MA 01845 Premises Affected: 575 Osgood Street HISTORY AND BACKGROUND On November 24, 2014, representatives of the Edgewood Retirement Center filed a request for a waiver of Site Plan Review requirements with respect to three minor additions that cumulatively amount to just over the threshold triggering Site Plan Review;the additions totaled approximately 2,400 square feet, and the Site Plan Review threshold is 2,000 square feet. The applicant has submitted the following information: • There will be no change in the use of the space as a result of the additions; • No internal residential spaces will be affected or impacted by the additions; • No new additional employees,parking, bathroom facilities, or other occupancy-based facilities will be needed as a result of the additions; • The front-facing facade will keep with the character and style of the existing facade. FINDINGS OF FACT The proposed use has been determined to be minor and can be completed without further review by the Planning Board, according to the following: i.) The proposed change falls into the category as defined in Section 8.3.2.c, which states that the change will not substantially alter any existing operating, functional, or physical characteristics of the site. Edgewood Site Plan Review Waiver December 16,2014 The proposed building additions are therefore deemed insubstantial and in the Planning Board hereby waives the Site Plan Review requirements. Town of North Andover Planning Department By: Matthew Egge, Town Planner By:_ i �j. Jean aright,Into•im Town Planner (on behalf of Matthew Egge) I I {00031658;vl}2 ° 1 i i';►i ;..: �/' yp $l k4 ►l., / I 5S ri \�I z;s if kni - 071 .�� � � f► ` / A41 AHT ►� ► Q 9 ;_'� Aim 1 S.r;, f j r �. sN \► ► ►I Ar O�° .A z ti t \a i'Vi ERCT it ell- °� ns Byrn °.jS j�a iRq filly JA IEE ` l S 8 N, EEI7lY•'y ? , 1 HEEtj € / G � � °I dd�$I° s:•i \� rl:t te�it� E S166Ei° E S s !AEj •moi � ' �� 4•�i sE p ( 4 a iii co�^,�",,.r n -`r-'_1 �•� ��_q � `b S'I I � 9 s' o , I W, I e e dsy e Es °° ;plilt •��1_. - �6F�n Ii �E luji 19 5::::; UF` li'�a; `�'• .a' I r i al HUI iv°pif \ � —� ���� �,'s^4 �•"pis+• K° ��� jEEltj ,Ee;A I Z - _-_moi t IN F I4 SITE PLAN ax asvancn CAIS APPROVEDBYTHE REOIBTRY USE ONLY rs E .I TOWN OF NORTH ANDOVER PLANNING BOARD 2: EDGEWOOD RETIREMENT COMMUNITYIN D.re NORTH ANDOVER MA 0 s R 93 .0• PREPARED FOR 33 EDGEWOOD RE'TIREMENTCOMMUNRY 4 E+ORIH s73 OSODQD 5TREIJ ANDOYER.EE 01845 0 1 PROPOS- IMPERVIOUS COVERAGE SUMMARY ADDITION- (3'x17) tea° PAVEMENTAREAPROPOS- 545 S.F. (36S.F� a PATIO 'ePAVEMENTAREA TO BE REMOVED- 605 S.F_ S 3 g NET PAVFatENT AREA R®ICTiON -?50 S.F. m, m PROPOSED BUILDING ADOMON INV IN 9"163.25 O 3 FOOTPRINTAREA $4D7S.F. =z NV 90TTDM158.6C' SMH y7 RIM-tss.15' NET INCREASE IN 2,147 SF. INV IN h 8PVC-156.02' () IN IN 8 8"PVC-149.46' 2 IMPERVIOUS COVER I INV INC 8"PVC-150.23 Q V OUT C 6PVC-149.40; i 2) 10 0 20 40 60 scvc 1=aa 7 � RIM-:69.:6 OMf Oo+noowl // Td INV.A 6"HDP-tE2.66 RIM 16].69' INV.9 6"Hop-162.22 O�IN A 24"5'EEL 161.42' INK C 6"HOP-16224 V OUT B 26•RCP 15136' / WV,0 6'NOP-16222 / PROPOSED ADDIS70N'C' ?G SEWER116, 0: T (7.409 S.F,1 rr M 169.16' DMH Po @ 0 ��G INV 16].34' INV N C �} a GAS `�\9e+^.owl o I9 a INV IN o b�DS P4T9 I Z` CNV IN \\ f�D 9 06e PAVAREAANT PROPOSED \�J 4 ��: TO BE ADDRION'B• \ 6` f�� G g,0 > \.t� f c m (862 S.Fj \ \7w•..rA�l �O'S 2F / \ REMOVED E'' RIM.167.59• NV,IN A-156.1 ..:•'A �p�� /� 8 NV.CUT 3 r• .�$0 / �\ W W 6GP-156.00 PAVEMENT • �W24'RC \ .e /' m•` ? PROPOSED AREA °0°"` \ ^ / \ o RELOCATED TO BE ss.s� ' > WALKS Marchionda 11 RiM-16].18' G \oleP s LP ,J,6Aesodales.LP. IN A 24"RCP 159.16 I\ x\ a(•,g RI fi6.{6� / I 9 12"RW:59.52 \^6 HCOD W 1ER 160.]4'/ N C la"RCP 159.08 ! E101inelbly Rd bm IND 1^.'RCP 159.12 !/ PMOdIO Cduollend SMH ILM 16539' RP2a«MM 0-\GT E'RCP 1EL 158.59 1.1«c LOPAIIdI a o2s9Nc nns,m«dna 4«P 9UIOt u«oadrouno uwna ua el"` dcmpu.0 am OS.V 1N r 71.of, �40nw U=—" MNA Rm a/R.i1'.pY INSET �'�w® 6nL mpYl.«Y W naidJ.NA® 1 ALL d4nm1m1m UMRxS,mNmIR,Mics CiG 91NL K vDRiO)er 116 Yl�dd:wrASlellvtlamm cam4clds 4«T 9ea®wd¢ecRlm11«c nA«dmw4nw 4w nlc Rm 20 to O zD 40 60 PERMUTING PLANS t0U.1MN o nc ulcma avu R RONXIm ro na adllml i9R IClwc "'I'"' 1 dant 9IY11a«omm Haat ro NIY pSAVAR01a: SO4fL`1'20' -,A'L`ITrx:i NOT FOR CONSTAUC170N a�1 x 2T 3 Marchionda a & Associates, L.P. Engineering and ., "i Planning Consultants November 24,2014 Mr.Matthew Egge Town Planner North Andover Planning Board 1600 Osgood Street North Andover,MA 01845 RE: Edgewood Retirement Community Dear Matthew: As a follow up to the informal interdepartmental review meeting held in October,I am submitting a site plan sheets 1 and 2 dated November 13,2014 showing the proposed additions to the existing Club House building at the Edgewood Retirement Community. The proposed additions consist of the following: ® A 1409 sf addition to the east side of the main building entrance ® A 962 sf addition to the west side of the main building entrance ® A 42 sf addition to the Wellness Center located at the northwest corner of the Club House building. The total square footage of the proposed additions is 2,413 sf which exceeds the threshold for site plan review of 2,000 sf.pursuant to section 8.3.2.a.i of the North Andover Zoning Bylaw. On behalf of The Edgewood Retirement Community we are requesting a waiver to site plan review as provided for by section 8.3.2.c for the following reasons. 1. The purpose of the proposed additions is to provide additional space for the operation of the existing programs taking place at the Edgewood Retirement Community. No increase in staffing or resident levels at the facility is required or proposed. As such there is no increase the intensity of uses on the site including no need for additional parking. 2. On sheet 2 of the enclosed plans we have included an impervious coverage summary. Although there will be a net increase of 2,147 sf of imperious area there will not be any impact on the existing drainage system or site hydrology. All the proposed additions are within the same 22.1 acre watershed and as such impact only '/4 of 1%of the water shed area. This minute percentage of increase in impervious area is so small that it will have absolutely no impact on the site generated runoff. 62 Montvale Avenue Tel: (781)438-6121 Stoneham, MA 02180 Fax: (781)438-9654 webslte: http://www.marchionda.com Email: mail@marchionda.com Marchionda & Associates, L.P. Engineering and Planning Consultants Please do not hesitate to call if there are any questions or if any additional information is necessary. S' er ly, arch' nda&Associates, L.P. Pa A. archionda,PE President Cc: Edgewood Retirement Center Trident Advantage Group. i i I i i EDGEWOW March 25, 2015 Gerald Brown Inspector of Buildings Town of North Andover 1600 Osgood Street Building 20, Suite 2035 North Andover, MA 01845 RE: Edgewood Retirement Community 575 Osgood Street To Mr. Brown: As authorized agent for Edgewood Retirement Community, we authorize Chapman Construction to act on the owner's behalf in all matters relating to the building permit and construction for Edgewood Additions & Renovations project at the above referenced location. Please contact me at 978-725-4117 should you have any questions. Sincerely, Robert Coppola Director Facilities Edgewood Retirement Community 575 Osgood Street North Andover, Ma. Client#:1059278 CHAPMCON1 IDDIYYYY) ACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MMDATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Maria Nixon NAME: USI Insurance Services LLC PHONE g55 874-0123 FAX 781-376-5035 12 Gill Street Suite 5500 (AIC MAILo Ext): AIC,Nn ADDRESS, Maria.Nixon@usi.biz Woburn,MA 01801 855 874-0123 INSURER(S)AFFORDING COVERAGE NAIC# wsURERA:Travelers Indemnity Company 25658 INSURED INSURER B:Travelers Property Cas.Co.of 25674 Chapman Construction/Design Company INSURER C:Massachusettts Employers Insura 12886 Chapman Construction Design Holding LLC Charter Oak Fire Insurance Com 25615 84 Winchester Street INSURER D: p Newton Highlands, MA 02461 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MMIDDIYYYY MM/DD/YYYY A GENERAL LIABILITY 9D890943943COF15 1/01/2015 01/01/2016 EACH OCCURRENCE $1,000,000 '.. X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence 5300,000 CLAIMS-MADE Fx_]OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE &2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 52,000,000 17 POLICY X PRO LOC $ JECT D AUTOMOBILE LIABILITY BA3E9844341ND15 1/01/2015 01/01/201 COEaMBINEDccidentsINGLELIMIT $1s 000�000 a X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident 5 B X UMBRELLA LIAB X OCCUR CUP3E984446TIL15 1/01/2015 01/01/2016 EACH OCCURRENCE 520 000 000 EXCESS LIAR I I CLAIMS-MADE AGGREGATE 520OOU 000 '.. DED I X RETENTION$10,000 $ C WORKERS COMPENSATION MCC20020003942015A 1/01/2015 01/01/201 X WCSTATU- OTH- AND EMPLOYERS'LIABILITYSTER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 CERTIFICATE HOLDER CANCELLATION SAMPLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S14075398/M14074667 PRNZP The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations rn ' 600 Washington Street Boston MA 02111 - www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leizibly Name (Business/Organization/Individual): Chapman Construction/Design Company Address: 84 Winchester Street City/State/Zip: Newton /MA/02461 Phone#: 617-630-8408 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 73 4. ❑ I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. E]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I ant art employer iliat is providing workers'compensation insurance for my etnployees. Below is tile policy and job site information. Insurance Company Name: Massachusetts Employers Insurance Policy#or Self-ins.Lic.#: MCC20020003942015A Expiration Date: 01/01/2016 Job Site Address: g 7-�r- O s City/State/Zip:�ar A /oca�r� /yl,4, Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-y r imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a d y against tf, violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations oft DIA for jPance coverage verification. I dotee y re un doer pm=ts r that the information provided above is true and correct. Si nature: -_ Date: J.2 s- t s Phone 1Z 7. moo, $ Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: ffA B N C' K L E Y 28 State Street ALLEN Boston, MA 02109-1775 p:617-345-9000 f:617-345-9020 hinckleyallen.com March 19,2015 Paul A.Hedstrom 617 378-4154 phedstrom cr hinckleyallen.com Mr. Gerald Brown Inspector of Buildings Town of North Andover 1600 Osgood Street Building 20, Suite 2035 North Andover, MA 01845 Re: Edo ewood Retirement Con111uu1ity, Inc —575 Osgood Street("Property" Dear Mr. Brown: As you know,our firm represents Edgewood Retirement Community, Inc. ("Edgewood"). Thank you for providing me with a copy of the January 6, 1987 Special Permit granted to Edgewood by the Zoning Board of Appeals(the"1987 Special Permit"). The 1987 Special Permit lapsed prior to the development of the existing facility, as substantial use or construction had not commenced within the two(2)year period following the issuance of the 1987 Special Permit,as required pursuant to Section 10.31(3)of the By-Laws. Following the expiration of the 1987 Special Permit,Edgewood subsequently commenced construction of the facility pursuant to the Site Plan Review Special Permit referenced in a Notice of Decision of the North Andover Planning Board (the"Planning Board") dated October 5, 1989,and constructed additional improvements to the facility pursuant to the Site Plan Review Special Permit referenced in a Notice of Decision of the Planning Board dated January 15,2008. As such, the conditions and provisions of the 1987 Special Permit, Inctudin-, but not limited to,the provision prohibiting"future expansion of the facility beyond the submitted proposal', are not applicable. If you have any questions, please do not hesitate to contact me. Very truly yours, i Paul A.Hedstrom PAH D-ALBANY V- BOSTON b CONCORD P>HARTFORD ® NEW YORK I> PROVIDENCE HINCKLEY,ALLEN&SNYDER LLP,ATTORNEYS AT LAW 53153892 vl 098000/9820000 ffA 8 C K L E Y 28 State Street ALLEN Boston,MA 02109-1775 p:617-345-9000 f:617-345-9020 hincl<leyallen.com March 18,2015 Paul A.Hedstrom 617378-4154 phedsth•om rr hinckleyallen.com Mr. Gerald Brown Inspector of Buildings Town of North Andover 1600 Osgood Street Building 20, Suite 2035 North Andover, MA 01845 Re: Edgewood Retirement Community,. Inc.—575 Osgood Street("Property") Dear Mr. Brown: Our firm represents Edgewood Retirement Community, Inc. ("Edgewood") and at your request, we submit to you the following analysis of the relevant approval required in connection with Edgewood's request for a building permit for proposed minor renovation of the existing structure on the Property, which would add roughly 2,400 square feet of gross floor area to the existing structure located at 575 Osgood Street. By way of background,pursuant to a Notice of Decision of the North Andover Planning Board (the "Plalming Board") dated October 5, 1989 (the "1989 Decision"), the Planning Board approved the Site Plan Review Special Permit for the construction of a Continuing Care Retirement Center. On January 15,2008, pursuant to a Notice of Decision of the Planning Board dated January 15, 2008 (the "2008 Decision" and together with the 1989 Decision, collectively referred to herein as, the"Decisions"),the Planning Board approved a Site Plan Review Special Permit authorizing, among other things, Edgewood to convert the"Mille Barn" structure into two (2)residential units and add them,together with twenty-two (22) attached and single family cottage style units, to the already existing 219 units, bringing the total number of units onsite to 243. The Decisions require that all construction previously approved must conform to the previously approved plans and specifications and that any changes must receive prior written approval of the Town Planner. Additionally,pursuant to Section 8,3(2)(a)(ii) of the Town of North Andover Zoning By-Laws (the "By-Laws"), because the construction of the proposed addition would result in 0-ALBANY lo- BOSTON r> CONCORD ® HARTFORD ® NEW YORK P� PROVIDENCE HINCKLEY,ALLEN&SNYDER LLP,ATTORNEYS AT LAW 53150813 v1 098000/9820000 Mr. Gerald Brown Inspector of Buildings March 18, 2015 Page 2 the addition of more than 2,000 square feet of gross floor area to an existing structure, Site Plan review by the Planning Board is required,unless the Planning Board makes a determination that submission of a site plan review application is not required, which such determination the Planning Board may make without a public hearing pursuant to Section 8.3(2)(c) of the By-Laws. By letter to the Planning Board in November of 2014, Edgewood, through its architect,requested a waiver of Site Plan Review pursuant to Section 8.3(2)(c)(ii) of the By-Laws, which was subsequently granted by the Planning Board on December 16, 2014. As Edgewood has complied with the terms of the Decisions and received a waiver of Site Plan Review,the proposed renovation of the Property does not require any additional Town Board approvals. . If you have any questions, please do not hesitate to contact me. Very truly yours, Paul A. Hedstrom PAH Enclosure V ALBANY iL Bp�OSST�yOyN 1� CONCORD t- HARTFORD F NEW YORK ® PROVIDENCE 5315o8gTVcT USdff7J8*28U6RER LLP,ATTORNEYS AT LAW Department of Code Enforcement Debris Disposal Affidavit In accordance with the provisions of GL,c. 40,see. 564, a condition of permit# is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defingd by GL,c. 111, sec. 150A. The debris will, or has been disposed of at: 68 Hopkinton Rd, Westborough, MA 01581 Location of Facility 575 Osgood Street, North Andover, MA 01845 Location of action/jobsite (Street Address) Si ature of applicant/contractor Date ol nd " 1 ostd CO b 30S L 4 So�C�01 y r-Or svow 1 Initial Construction Control Document m To be submitted with the building permit application by a. z , d Registered Design Professional for work per the 8t1i edition of the SYp�Ow, Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Edgewood Additions and Renovations Date:March 18,2015 Property Address: 575 Osgood Street,North Andover,MA 01845 Project: Check(x)one or both as applicable: X New construction X Existing Construction Project description: Renovations to Wellness Center and single story additions to Clubhouse I Ruth Neeman MA Registration Number: 20028 Expiration date: 8/31/15 , am a registered design professional, and 1 have prepared or directly supervised the preparation of all design plans, computations and specifications concerningr: X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with tyre progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports (see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a `Final Construction Control Document'. Enter in the space to the right a"wet" or electronic signature and seal: ` w „ iiw tNe N ip ti " E1 �.� Phone number: (978) 371-1945 Email: rneeman a,lwda.com Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x' project design plans,computations and specifications that you prepared or directly supervised.If`other' is chosen, provide a description. Version 06 11 2013 Initial Construction Control Certification z To be submitted with the building permit application by a dRegistered Design Professional T, for work per the 8th edition of the Massachusetts State Building Code, 780 CMR, Section 107.6 Project Title: Edtewood Retirement Community-Additions &Renovations Date: March 18,2015 Property Address: 575 Osgood Street,North Andover,MA 01854 Project: Check one or both as applicable: X New construction X Existing Construction Project description: Concrete,Steel &Wood Framing for Building Additions &Renovation I Amir S.Mesgar Mass.Registration Number 48814 Expiration 06/30/2016, being a registered design professional, hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [ ] Entire Project [ ] Architectural [X] Structural [ ] Mechanical [ ] Fire Protection [ ] Electrical [ ] Other for the above named project and that such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a "Final Report/Approval Documenf' indicating that the work has been performed in accordance with the approved plans and this code. I hereby attest under the pains and penalties of perjury that all of the information contained in this document is true and accurate to the best of my knowledge and belief. Ye b��F �t�1 n Actual wet or Electronic signature and seala of registered design professional: i� c� k.t-19fat':� No.48814 Phone number: 617-948-5600 Email: amesgar@lafp.com Building Official Use Only Building Oficial Name: Permit No.: Date: Version 9-25-2012 <n\ Initial Construction Control Document .UV* To be submitted with the building permit application Registered Design Professional for work per the e edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Clubhouse Additions/Renovations Date: 3/20/15 Permit No. Property Address: Edgewood Retirement Community - 575 Osgood St. Project: Check(x)one or both as applicable: New construction Existing Construction Project description: Renovations to Fitness wing, Additions to Clubhouse per drawings dated 3/1/15, with Rev. 1 (3/19/15) on drawings H-0, H-1, and FA-1 . I Gary M. Elovitz —MA Registration Number: 3 5 4 51 Expiration date: 6/3 0/16 am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [ ] Architectural [ ] Structural [x] Mechanical [X]Fire Protection [X] Electrical [X] Other:Describe Fire Alarm for the above named project and that to the best of my knowledge,information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee), subject to contractual arrangements with my client, shall perform the necessary professional services and be present on the construction site at intervals appropriate to the stage of construction: 1. Review,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the,provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments,in a form acceptable to the,building official. Upon completion of the work,I shall submit to the ial a'Final Construction Control Document'. RYAI Enter in the space to the right a"wet"or 01, electronic signature and seal: No TE Phonenumber: 617-527-3353 Email: gary@energyguys .com Building Official Use Only Building Official Name: Permit No.: Date: Version 06 11 2013 FIRE PROTECTION SYSTEMS NARRATIVE REPORT 780 CMR ® 901 .2.1 EDGEWOOD RETIREMENT COMMUNITY CLUBHOUSE First Floor Renovations and Additions 575 Osgood St., North Andover, MA Prepared For: N G North Andover Fire Departmen CE March 19, 2015 011, Q (I.a) BASIS (METHODOLOGY) OF DESIGN Section 1- Project description The project is interior renovations to the Fitness wing, and two small additions to the first floor of the Edgewood Retirement Community Clubhouse building in North Andover. Fire protection Work for the project includes minor modifications to existing sprinkler and fire alarm systems and emergency lighting as needed for changes to interior partitions and space use in the renovated Fitness area, and extension of existing sprinkler and fire alarm systems and emergency lighting as needed to the two new construction areas. Section I - Building Description: The existing building is two stories above-ground with a partial story partly below grade. Building Use Group: A-3. Building height: Approx. 36 ft. from lowest adjacent grade to highest roof Number of floors above grade: 2 Height of highest floor: 12 ft. above lowest adjacent grade level. Number of floors below grade: 1 Edgewood FP Narrative - Page 2 of 6 Building square footages (approximate): Existing (unchanged) Renovation New 1 st fl: 18,428 4,292 2,404 2nd fl: 14,090 0 0 Total: 35,518 4,292 2,404 Type of construction: Type 513 construction. Stairwell and shaft enclosures have one- hour rating (connecting up to three stories). Hazardous materials usage and storage: None High storage of commodities: None Site access arrangement for emergency response vehicles: Vehicle access to front and one side of the building. (Not changed by the project.) Section 2 -Applicable Laws, Regulations and Standards a) 780 CMR eighth edition - Chapter 9 b) NFPA Standards 13 (2013), 14 (2013) and 72 (2010) c) 527 CMR "Fire Prevention Regulations" d) ADA Accessibility Guidelines Section 3 — Design Responsibility for Fire Sprinkler System & Fire Alarm System Professional Engineer: Gary M. Elovitz MA PE# 35451, HVAC Energy Economics, Inc. 184 Gibbs Street Newton, MA 02459 tel 617-527-3353 The professional engineer (PE) provides a partial design and specifies the design criteria to be used by the installing contractor. The installing contractor will finalize the system layout, provide calculations to confirm the design criteria, install and test the system, and certify system installation for code compliance at completion. Section 4— Fire Protection Systems to be Installed FIRE SPRINKLER SYSTEM NFPA 13 wet-pipe sprinkler system as required per 780 CMR Table 903.2 Renovation Areas: The existing sprinkler system will be modified to provide full coverage of the space. Edgewood FP Narrative - Page 3 of 6 New construction areas: Full sprinkler coverage will be provided, fed from an existing 6" sprinkler main adjacent to the new construction area. Light hazard: max. 225 sq. ft. per sprinkler. Sprinkler spacing: Max. 15'x15', except that in small rooms (up to 800 sq. ft.) sprinklers may be up to 9 ft. from the wall. Complete automatic sprinkler protection will be provided throughout the building, including above the ceilings (in areas of combustible construction). STANDPIPES Standpipes are not required per MA Building Code section 905, and will not be provided. FIRE PROTECTION WATER SUPPLY & DISTRIBUTION Water supply with backflow prevention, fire department connections, alarm bell, flow switches, inspector's test and drain are existing to remain. Sprinkler zoning is existing to remain. FIRE ALARM SYSTEMS The building has an existing fire alarm system. The project will include relocation of existing devices and addition of new devices as required. A. Initiation: 1. Sprinkler flow and tamper (supervisory) switches - existing. 2. System smoke detectors in elevator lobbies for elevator recall - existing. 3. System smoke detectors in common hallways: not required by Code, provided as voluntary additional protection per NFPA 72, 17.5.3.3. 4. Manual pull stations will be provided at each exterior egress door. 5. Duct smoke detectors on air-handling systems larger than 2,000 CFM shall shut down the air-handling fan and initiate a supervisory signal. B. Notification: Horn/strobes and strobes will be provided for occupant notification as required, including visible alarms in public and common areas. C. A beacon will be provided that will light upon initiation of any fire alarm - existing. D. Alarm retransmission by Master Box- existing. EMERGENCY POWER Edgewood FP Narrative - Page 4 of 6 The building has existing emergency generators and transfer switches. Exit signs and emergency lighting will be wired to existing emergency (life safety) power panels. Section 5 - Features used in Design Methodology a) Occupant notification and evacuation: The premises fire alarm system will provide audio and visual notification of an alarm condition throughout the building. b) Emergency response: Fire alarms will be transmitted to the Fire Department (via Master Box). c) Construction activities: The General Contractor is responsible for safety during all construction activities. d) Testing, monitoring and maintenance: The Owner will have a service contract with a fire alarm vendor for periodic testing and maintenance of the premises fire alarm system. The fire alarm vendor will also monitor the system remotely for trouble and supervisory functions. Section 6 - Special Consideration None required (1.b) SEQUENCE OF OPERATION FIRE SPRINKLER SYSTEM Wet Pipe Sprinkler: Heat produced from a fire melts the fusible link or breaks the glass bulb on one or more sprinkler heads, causing the sprinkler(s)to open. Water from the water filled pipe is discharged immediately from the sprinkler head(s)to control the fire. The fire department may pump the fire department connection to supplement the system. Sprinkler system water flow alarms activate upon-system flow and indicate to the FACP an alarm condition. The sprinkler(s) continue to flow water until manually shut off. FIRE ALARM SYSTEM In accordance with the Massachusetts State Building Code, the operation of a manual station or activation of any automatic alarm-initiating device (water flow) shall cause the following to occur: Transmit the alarm to the Municipal Fire Station via the Master Box. Sound audio and visual notification devices in the approved building evacuation sequence. Light the exterior alarm beacon. Flash an alarm LED and sound an audible signal at the FRCP and the remote annunciator. Edgewood FP Narrative - Page 5 of 6 Upon Acknowledgment, the alarm LED shall light steadily and the audible shall silence. Subsequent alarms shall re-initiate this sequence. Alarm, trouble, and supervisory signals will also be transmitted to a Remote Supervising Station. EMERGENCY GENERATOR In the event of loss of normal electrical power the emergency generator will start and the transfer switch will switch power on emergency panels to the generator. The generator has sufficient fuel capacity to power the lights for at 1 Y2 hours. (1.c) TESTING CRITERIA GENERAL TESTING CRITERIA The general contractor has overall responsibility for setting up and coordinating all acceptance testing with authorities having jurisdiction. All testing shall be in accordance with NFPA requirements, the Massachusetts State Building Code, 8th Edition, the National Electrical Code, and the contract specifications. FIRE SPRINKLER SYSTEM The sprinkler contractor is responsible for setting up and coordinating all sprinkler system acceptance testing. All testing shall be in accordance with NFPA 13, the Massachusetts State Building Code, and contract specifications. FIRE ALARM SYSTEM The completed system shall be subject to the final test and acceptance, UL certification and periodic inspection and testing, and the Massachusetts State Building Code, NFPA 72, Chapter 10 as follows: The test shall be conducted by the installing contractor and certified testing company. Each and every new device shah be functionally tested. Upon function test of each device, the corresponding event sequences shall be verified. Subsequent events shall include system annunciation and Remote Station reporting. Fault conditions shall be simulated and verified as to their proper reporting and system response. These shall include loss of AC power, battery standby operation, and wiring faults of the modified circuits. A complete report demonstrating the activation and subsequent acknowledgement of each activation shall be generated. An annual test and inspection contract will be in evidence at the time of final testing. The final system acceptance test shall be conducted by the holder of the test Edgewood FP Narrative - Page 6 of 6 contract, and witnessed by the local authority having jurisdiction. Upon successful test and acceptance, the testing company shall issue a final report and certificate of compliance. Testing and inspection shall be conducted by the testing company of record as described and in accordance with NFPA 72, chapter 10. Section 2 — Equipment and Tools FIRE SPRINKLER SYSTEMS The sprinkler contractor shall be responsible for providing all required equipment and tools, including but not limited to: hydrostatic testing equipment, pressure gauges, hoses, nozzles, manufacturers instructions, radios, etc. FIRE ALARM SYSTEM The Electrical Contractor shall provide all tools necessary to complete the successful testing of the Fire Alarm systems. Section 3 —Approval Requirements The General Contractor will obtain written approval of all acceptance testing from the North Andover Fire Department. Report all system failures to the General Contractor, North Andover Fire Department, and design engineer. Provide the North Andover Fire Department with copies of NFPA 13 and 72 testing certificates, instruction manuals and as-built drawings. The building owner will submit to the North Andover Fire Department the names and telephone numbers of emergency contacts. COMcheck Software r i a Interior Lighting Compliance rtifi t 2012 I ECC Section 1: Project Information Project Type:Addition Project Title: Edgewood Retirement Community-Clubhouse Construction Site: Owner/Agent: Designer/Contractor: 575 Osgood St. Gary M Elovitz, PE No.Andover,MA 01845 Energy Economics, Inc. 184 Gibbs St. Newton,MA 02459 617-527-3353 gary@energyguys.com Section 2: Interior Lighting and Power Calculation A B C D Floor Area Allowed Allowed Watts Watts/ft2 Addition(Office) 2246 0.9 2021 Renovation(Exercise center) 2981 1 2981 Renovation(Retail) 297 1.4 416 Total Allowed Watts= 5418 Section 3: Interior Lighting Fixture Schedule A B C D E Fixture ID:Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Watt. Addition(Office 2246 scift) R-1:R-1(A):Recessed:Other: 1 19 40.4 767.6 R-2:R-2:Recessed:Other: 1 27 17.5 472.5 LR-1:LR-1:Recessed linear:Other: 1 10 41.4 414 LR-3:LR-3:Recessed linear:Other: 1 3 41.4 124.2 LR-5:LR-5:Recessed linear:Other: 1 4 27.7 110.8 U:U:Utility 2'x2':Other: 1 1 40 40 UC:UC:Under-cabinet:Other: 1 6 10 60 Renovation(Exercise center 2981 sci t.) P-1:P-1: Pendent:Other: 1 1 36 36 R-1:R-1(A):Recessed:Other: 1 37 40.4 1494.8 R-2:R-2: Recessed:Other: 1 23 17.5 402.5 R-7:R-7:Recessed-wet:Other: 1 4 16 64 LR-2:LR-2:Recessed linear:Other: 1 10 18.7 187 U:U:Utility 2'x2':Other: 1 1 40 40 W-1:W-1:Vanity:48"T8 32W:Electronic: 2 2 64 128 Renovation(Retail 297 sq.ft) P-2:P-2: Pendent:Other: 1 4 7.5 30 R-2:R-2:Recessed:Other: 1 12 17.5 210 LR-6:LR-6:Recessed linear:Other: 1 10 18.7 187 Total Proposed Watts= 4768 Project Title: Edgewood Retirement Community-Clubhouse Report date:03/17/15 Data filename: D:\Active\Current\LWDA\Edgewood\Edgewood.cck Page 1 of 2 Section 4: Compliance Statement Compliance Statement: The proposed lighting design represented inthis document isconsistent with the building plans,apeomoudvnu and other calculations submitted With this permit application.The proposed lighting system has been designed to meet the 2012 IECC requirements in COMcheck Version 3.9.4 and to comply with th anclatory req e in theRequirements ChNbo Gary M. E-.' __-' -_ /17/ 15 Namo-Titlognature / Date@ DIRIIII 11�by G�,y M,EWAPE � ~~ � Section 5: Post Construction Co ~0NX��ance StatementRea � Record Drawings and Operating and Maintenance Manuals: L) 1. Construction documents with record drawings and operating and maintenance manuals provided to the owner. � � Lighting Designer urContractor Name Signature Date � Project Notes: No exterior lighting � � � | | � Project TN": Edgowood Retirement Community'Clubhouse Report date:03/17/15 � COMcheck Software Version 3.9.4 Inspection Checklist Energy Code: 2012 IECC Requirements: 83.0% were addressed directly in the COMcheck software Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) �3 Low Impact (Tier 3) Project Edgewood Retirement Community -Clubhouse Report date: 03/17/1 Data D:\Active\Current\LWDA\Edgewood\Edgewood.cck Page 1 of 5 2012 /ECC Plan Review Complies? Comments/Assumptions C103.2 'Plans,specifications, and/or ❑Complies 'Requirement will be met. [PR4]1 calculations provide all information ❑Does Not ;with which compliance can be !determined for the interior lighting liFlNot Observable and electrical systems and equipment ❑Not Applicable and document where exceptions to ;the standard are claimed, Information provided should include interior lighting power calculations,wattage of bulbs and ballasts,transformers and _ ;control devices. C406 ;Plans, specifications, and/or ;❑Complies Requirement will be met. [PR9]1 calculations provide all information ❑Does Not with which compliance can be determined for the additional energy ❑Not Observable !efficiency package options. ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) �2�Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Edgewood Retirement Community - Clubhouse Report date: 03/17/1 Data D:\Active\Current\LWDA\Edgewood\Edgewood.cck Page 2 of 5 2012 IECC Rough-In Electrical Inspection Complies? T Comments/Assumptions C405.2,2. ;Automatic controls to shut off all ;❑Complies Exception: Lighting controlled by occupancy sensors. building lighting installed in all ❑Does Not (buildings. ❑Not Observable f ❑Not Applicable C4bS,`;2,1. Independent lighting controls installed ❑Complies Exception: Areas such as security or emergency areas that 1 per approved lighting plans and all j❑Does Not need continuous lighting, PL2312 manual controls readily accessible and ❑Not Observable 'visible to occupants. ❑Not Applicable C405.2.1. ;Lighting controls installed to uniformly ❑Complies Exception: Areas that are controlled by an occupancy sensor. 2 reduce the lighting load by at least j❑Does Not [EL15]1 50%. ❑Not Observable ❑Not Applicable C402,2, ;Daylight zones provided with �;❑Complies Exception: Requirement does not apply. 3, individual controls that control the ❑Does Not j j"ELS lights independent of general area FI Not Observable lighting. f❑Not Applicable C405.2.3�;Sleeping units have at least one ❑Complies Exception: Requirement does not apply. [EL17]3 %master switch at the main entry door ❑Does Not ;that controls wired luminaires and ;switched receptacles. ❑Not Observable ❑Not Applicable C405.2,2, ;Occupancy sensors installed inI❑Complies Requirement will be met. 2 required spaces. ❑Does Not [EL18]1 ❑Not Observable; ❑Not Applicable 0405.2.2. Primary sidelighted areas are ❑Complies Exception: Requirement does not apply. 3 ;equipped with required lighting ❑Does Not [EL20]1 ;controls. j❑Not Observable ❑Not Applicable 0405.2,2. ,Enclosed spaces with daylight area ❑Complies Exception: Requirement does not apply. 3 under skylights and rooftop monitors ❑Does Not [EL21]1 are equipped with required lighting i❑Not Observable', controls. ❑Not Applicable C405.2.3 ;Separate lighting control devices for 1EIComplies Requirement will be met. [EL4]1 ,specific uses installed per approved ❑Does Not ;lighting plans. ❑Not Observable f ❑Not Applicable 0405.3 e Fluorescent luminaires with odd ❑Complies Exception: Requirement does not apply. [EL19]3 numbered lamp configurations that (❑Does Not j are with 10 feet center to center(if recess mounted)or are within 1 foot I❑Not Observable edge to edge (if pendant or surface ❑Not Applicable mounted)shall be tandem wired. _ C405.4 Exit signs do not exceed 5 watts per�l❑Complies Requirement will be met. [EL6]1 face. ❑Does Not ❑Not Observable', ❑Not Applicable C405.2.3 ,`Additional interior lighting power 1EIComplies Requirement will be met. [EL8]1 allowed for special functions per the ❑Does Not approved lighting plans and is automatically controlled and ❑Not Observable', Gseparated from general lighting. ;❑Not Applicable Additional Comments/Assumptions: 1 HighImpact(Tier 1) 2 Medium Impact(Tier 2) ��3 Low Impact(Tier 3) Project Edgewood Retirement Community -Clubhouse Report date: 03/17/1 Data D;\Active\Current\LWDA\Edgewood\Edgewood.cck Page 3 of 5 [1High Impact(Tier 1) edium Impact(Tier 2) 3 Low Impact(Tier 3) y 2 f M Project Edgewood Retirement Community- Clubhouse Report date: 03/17/1 Data D:\Active\Current\LWDA\Edgewood\Edgewood.cck Page 4 of 5 � 012 IECCT Final Inspection Complies, Comments/Assumptions C408.2.5. Furnished as-built drawings for Zkomplies � I electric power systems within 30 days DDoes Not [FI16]3 �of system acceptance. �MNot Observable EINot Applicable C303.3,C4 Furnished O&M instructions for ElComplies 08.2.5.2 systems and equipment to the FlDoes Not [FI17]3 building owner or designated representative. FINot Observable 1EINot Applicable C405.5.2 Interior installed lamp and fixture ElComplies See the Interior Lighting fixture schedule for values. [F]18]1 lighting power is consistent with what DDoes Not is shown on the approved lighting �FINot Observable ,plans, demonstrating proposed watts i are less than or equal to allowed EINot Applicable C408.3 Lighting systems have been tested to ElComplies F13311 ensure proper calibration, adjustment, ElDoes Not programming, and operation. TINot Observable �,DNot Applicable C406 �Efficient HVAC performance, efficient LIComplies Requirement will be met. [F13411 lighting system, or on-site supply of MDoes Not renewable energy consistent with what is shown the approved plans. FlNot Observable EINot Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) ` Project EdgewoodRetnementCommuniLy - C|ubhouse Report 03/17/I5 � Data D:\Acbve\Current\LVVD/VEdgewood\Edgewood.cck Page 5cf 5 �