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Building Permit #Exception - 575 OSGOOD STREET 5/1/2018 (8)
ORT" �. BUILDING PERMIT O� Nteo ;6��'O TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received Permit No#: SS � US I Date Issued: - IMPORTANT: Applicant must complete all items on this page �- PROPER#TYQOWNER- -..-- - yes. no: --�'---ffi-�" �rit'='` 100 Year ructure RA k, FZ®NING ®ISTrRI'gT. - _ tH+stor+ctDistnct ye �IVIAF - -- a s, ono, x=- - cMachme Shop Vll"age Yno�_ _ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ElAssessory Bldg Others: ❑ Demolition ❑ Other - :fSeptic 0 Well} 0{Floodplain +oWetlaW 4, Wat_e_rshed#District;, 1 _- _. O,cWater/Sewer.:.—......�_. DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: - 'ContractortNamer Address: Su ervrsorsConstructign License';:_ p fit L+cen - se: r: {Date +Hornelrnp�roeme _- -- - �.� —�-- 4 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Notal Project Cost: $ FEE: $ Check No.: Receipt No..,- NOTE: Persons contracting with unregistered contractors do not have:access to the guaranty fund -- = S+ nature of contractor Signature of Agent/Owner _x.g ' - ' Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products VOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 ■ v c b Plans Submitted '❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TypE'OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision.- Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: FIREtDEP T Located 384 Osgood Street K? t (Locateii '4RTMEN Tempi®_umpster om5ite__ }yes u_at 12411/IainS#reet � �•5 LFire46e artmentas� .p _ gnature%d_`ate s �C4� limension Number of Stories:_ Total square feet of floor area, based on Exterior dimensions._ Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$1oo-$100o fine NOTES and DATA — (For department use) F I ❑ Notified for pickup Call Email ate Time Contact Name = Doc.Building Permit Revised 2014 t%ORTh/ Town of _ ., sAndover i --2.,oa .^K. h ver, Mass, • COC MICNlWKK �1' A 1 S BOARD OF HEALTH Food/Kitchen PERMIT _T LD Septic System THIS CERTIFIES THAT .........0.0 51A.9.44...... COA0....... BUILDING INSPECTOR � ..r......0.�.. ..� �.... Foundation has permission to erect .......................... buildings on ...... .... Rough to be occupied as ...........�VV6. 0.....!!!.........I.e..1%.C1a f..................................... Chimney 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. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUd.. STARTS Rough GService ...... . ............. ................................... BUILDING INSPECTOR Final 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. �e Old School Roofing 297 Littleton Rd ® - Chelmsford, MA 01824 978-251-7663 (Office) - — - 978-251-7664 (Fax) Gloom= www.oldschoolgroup.com CONTINUALLY TRAINED AND CERTIFIED BY AMERICA'S LARGEST ROOFING MANUFACTURERS Edgewood Retirement Community Proposal September 29, 2016 575 Osgood Street North Andover, MA 01845-1935 Phone: (978) 725-3300 Attn: Bob Copolla 1. Job Specifications: Building 3000 2. Job Preparation: *Set up job site and insure attention to your particular concerns. Installing tarps around the areas being worked on to prevent damage to siding,plantings and any landscaping. 3. Remove Old Roof. *We will remove the existing layer of roofing. This allows for inspection of the roof decking,and repair any damaged boards. NOTE: We will replace any damaged or rotted plywood at$2.00 per square foot for% CDX plywood,$2.25 for 518 CDX plywood and$3.00 per lineal foot for deck boards 4. Install Leak Barrier: *Install full cover ice and water barrier. *This for extra protection against"ice damming"-as recommended by manufacturers, 5. Flashing Details: *Install new 8"aluminum drip edge to all rakes and eaves,and pipe flashings All side walls will be removed and ice and water installed with new step flashings. i 6. Shingle Application: Antall a Lifetime Architectural Shingle,CertainTeed Landmark Colonial Slate. 7. Ventilation: *Install a new ridge vent on all dormers. We use a ridged vinyl baffle vent which allows for the best ridge ventilation. 8. Hip&Ridge Shingles: *Install new hip and cap shingles, this provides protection of the ridge vent and a finished look to the roof line. 9. Roof Warranty: ♦Limited Lifetime Manufactures Warranty. (40yrs Commercial) 10 Year Workmanship. 10. Clean-up/Disposal: +Old School Roofing supplies the dumpster.Our disposal costs are based on recycling of the asphalt shingles. Please do not throw any household trash or foreign materials into the dumpster. We will thoroughly clean up and dispose of all materials and debris associated with the job. I *Protection and clean-up of the property are one of our biggest concerns. if. Permits: *Old School Roofing will be responsible for obtaining any and all necessary permits to insure the work is performed legally. 1 12. Scheduling: *We do our best to stay within stated scheduling, estimated lob completion 12-14 days. However, Mother Nature and emergencies can lead to delays. We will do our best to limit those delays. We will contact you within 48 hours before installing your new roof and work will not be commenced until you are contacted first. If more time is necessary to accommodate your schedule,kindly let us know. Job Cost: $53,230.00 Payments shall be made as follows: %deposit due before scheduling work, balance due upon completion of the work. QUOTE GOOD FOR 10 DAYS ONLY. All applicable discounts applied. SIGNING INDICATES ACCEPTANCE OF THE PRICES AND SPECIFICATIONS SET FORTH HEREIN AND ACCEPTANCE OF THE TERMS AND CONDITIONS OF THIS CONTRACT. Old School Roofing: Property Manager: Date: Date--i-4 /6 Authorized Representative All rubber porch roofs will be done with.060 EPDM, adhered to -Y2 Insulation Board. Additional WorkAncluded.- Removing siding on dormers to instal/ice and water shield and new stea flashings. If new siding needed an additional cost would amy/v. Full inspection of the main rubber roof. Too include-Inspection ofal/penetrations kWrox 78)clean andsea/an Iy iftingseams Inspection of a//rubber La ps&oints clean and seal as needed. Any serious issues discovered will be written up and discussed prior to any work started Please feel free to call me with any questions. Thank you. Tony Dowd-978-251-7663 CSL#099649 MICAU7447 2 The Commonwealth of Massachusetts r. .{ Department of industrialAccidents X Congress Street,Shite 100 Boston,MA.02114-2017 1M SJ.� www.mass•gov/dia Workers' Compensation Insurance Affidavit:Builders/Contxactors/Electricians/Plnm ers. TO BE FILED WITH THE PERMTTTXNG AUTHORITY- Please Print Le 'bl A Wicant Information Name(Business/Orgahhation/Individual): #I- 5144 tD V Address: V 7 /140_"' �t a��Ly - 64 .3 City/State/Zip: C.6`�l�%✓t Sr�� ,4 Phone#: Z � 2R y z Are yo an employer?Check the appropriate box: Type of project(required): ees(full and/or part-time).* 7. ❑NeW'd6nstr&fion 1 I am a employer with_,� _em to P y In I am a sole proprietor or partnership and have no employees working forme in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. Demolition 3,❑I am a homeowner doing all work myself:[No workers'comp.insurance required.]t 10❑Building addition 4. 1 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 11.❑Electrical repays or additions ensure that all contractors either have workers'compensation insurance or are sole 12T[�Plumbing repairs or additions proprietors with no eniployees. 5.❑I am a general contractor and l have hired the sub-contractors listed on the attached sheet. 11 Ro6f repairs These sub-contractors have employees and have workerscomp.insurance 14.0 Other 6.Q We are a corporation and its,officers have exercised their right of exemption per MGL c. 152,§1(4),and rue have no employees.[No workers'comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: homeowners who suecksbmibhis 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 'comp.policy number. employees. If the sub-contractors have employees,they must provide their workers lam an employer tliat is providingwor^kers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name- Expiration Date: Policy#or Self-ins.Lie.#: City/State/Zip: fob Site Address: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration.date). Failure to secure.coverage e required under MGL c.152,§25A is a criminal violation punishable by a fuse up to$1,500.00 and/or one-year mprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the i a tor.A copy of this statement may be forwarded to the Office of Investigations of the DIA.for insurance coverage verific do . I do hereby cer' -pains andpenalties ofperjury that the information provided above is true and correct: - . Date: Signature: Phone#: f 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 Phone#: Contact Person: -Infor-mation 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 defiuied 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 b6 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 requhred." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub=contractors)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Iudustrial•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"fob 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. A new affidavit must be filled out each year.where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents -" ,L r3 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 vmw.mass.gov/dia �..� OP ID:JG ACORO° Yl CERTIFICATE 4F LIABILITY INSURANCE °�'�`1112016 1ot1v2o1s 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. B 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 Segreve 8h Hall Insur.Assoc.(nc PHONE FAX 305 North Main St No Andover,MA 01810 ADDRESS:Lawrence J.Hail PRODUCER cusTohlER ID,OLDSC-1 INSURER(S)AFFORDING COVERAGE MAIC s INSURED Old School Group Inc INSURER A:Northland Insurance dba Old School Roofing wwRERB:Arbella Protection Ins.Co. 41360 297 Littleton Rd.Unit 1 Chelmsford,MA 01824 Drwrmhc:Travelers Ins.Co. 25658 INSURER 0: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR RR TYPE OF INSURANCE L SUBR POLICY NUMBER POLICY EFF POLICY Y LIMITS GENERALLWBOSM EACH OCCURRENCE $ 1,000,00 01 A X COMMERCIAL GENERAL LIABILITY WS260133 12/16/2015 12/1612016 PREMISES Ea ocxiirtence $ 100,00 CLAIMS-MADE Fx-1 OCCUR MED EXP(Any one person) $. 1,00 WS260133 12/16/2014 12H612015 PERSONAL a ADv INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00 POLICY M PRO- LOC $ . AUTOMOBILE LLABILITY COMBINED SINGLE LIMIT $ 1,000,00 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) S rx SCHEDULED AUTOS PROPERTY DAMAGE B HIRED AUTOS 1020000245 06/0112015 06/0112016 (PER ACCIDENT) $ NON-OWNEDAUTOS 1020000245 0610112016 06101)2017 $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS'LIABILITY X TORY LIMITS ER C ANY PROPMEfORIPARTNEWEXECUTIVE Y r N UB-SF630350 "1312016 W13)2017 E.L.EACH ACCIDENT $ 100,00 OFFICERIMEMBER EXCLUDED? FRI N I A (Mandatory in NH) E90922-7-15 _ 10/20/2015 03/08/2016 E.L.DISEASE-EA EMPLOYEE $ 100,00 I desm under DESCRIPTION OF OPERATIONS below r EL DISEASE-POLICY LIMIT 500.00 DESCRIPTION OF OPERATIONS i LOCATIONS!VEHICLES(Attach ACORD 101.Addidonai Schedule.if mom space is regcureM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR®REPRESENTATIVE ®1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CSSL-099649 -—7 Construction Supervisor Specialty -i ANTHONY N DOWD 9 DIGITAL DR#202 NASHUA NH 03062 Commissioner Expiration: 02/28/2018 .�.... ... �c tPunt�itantueall�a�C�/t/�r�a��r<oe(.lr .. -- .. _._.__- •----- ,_. Office of Consume -Mairs&Business Regulation License or registration valid for individul use only — OME IMPROVEMENT CON7;RACTOR before the expiration date. If found e istration: return 9 to. 1 7447 Type: Office of Consumer Affairs and Business Regulation Expiration ia72J2ci� Private Corporat: 1 10 Park Plaza-Suite 5170 OLD SCHOOL GROUP,INC..<° 3 Boston,MA 02116 ANTHONY DOVUD .' 297 LITTLEETON RD CHELMSFORD,MA 01824' L7ndersecretary itiot`vafld without signature . f e Z7,6 HINCKLEY 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 phcdstromnh i nckIcyal I en.co m 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: 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"1.987 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,including, 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, Paul A. Hedstrom PAH i Oil ALBANY ► BOSTON ► CONCORD ► HARTFORD ► NEW YORK ► PROVIDENCE HINCKLEY,ALLEN&SNYDER LLP,ATTORNEYS AT LAW 53153892 vl 098000/9820000 e OQ HINCKLEY I Oi 6 C K H E Y 28 State Street ALLEN 9 .eIts A Boston,MA 02109-1775 � p:617-345-9000 f:617-345-9020 hinckleyallen.com March 18,2015 Paul A.Hedstrom 617 378-4154 phedstrom@hinckle},allen.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 "Planning 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 I I Do ALBANY ► BOSTON ►CONCORD No HARTFORD ► NEW YORK ► PROVIDENCE HINCICLEY,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 Edg ewood 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 I I *ALBANY ► BOSTON ► CONCORD ► HARTFORD ► NEW YORK ► PROVIDENCE 5315o8!1T'VTLB80bI&Yh,806RER LLP,ATTORNEYS AT LAW T0 0',E • • JAN 9 D 59 '87 TOWN OF NORTH ANDOVER �•.,.''.:` 0-VVC1 i MASSACHUSETTS t11 � BOARD OF 'APPEALS G1er.K. January 9, 1987 Samuel -S. Rogers & Edgewood Life Care , Inc. Easterly side of Stevens and Osgood Streets Petition #27-87 Mr. Daniel Long Town . Clerk 120 Main Street North Andover, MA 01845 Dear Mr. Long : The Board of Appeals held .a public hearing on Tuesday evening , October 1'4, 1986, upon the application of Samuel S. Rogers acid Edgewood Life Care , .Inc. . The hearing was advertised in. the North Andover Citizen on September 25, 19861and October 2, 1986 and all abutters were notified by. regular mail . The following members were present and voting : Alfred E. Frizelle , Esq. , Vice-Chairman, Augustine W. Nickerson, Clerk, William J. Sullivan, Walter F. Soule, . and Anna P. O ' Connor. The petitioners seek a Special Permit under Sections 4. 121 (.14) , 10. 22, 10: 3 and 10. 31 of the Zoning By-Law to permit the con- struction and use of a nursing home/convalescent home in the form . of a life care community with 245 living units on a parcel of ••land consisting of approximately S9 acres on the easterly side of Stevens and Osgood Streets in an K-2 residence district . The petition-ers submitted a Memorandum of Law and Facts contain- ing information and exhibits on the project which the . Board voted to accept and to make a part of the record of this matter.. The petitioners also presented evidence . at the hearing : s ' Edgewood Life Care, Inc. : - cont. Page 2 The Board had received letters on this matter and 'they were read into the record of the hearing. The letters are a part of the file in this matter. The. Board voted unanimously to continue the public hearing to obtain more information on the proposed project•, environmental impact and traffic. A second session of the public hearing was held on November 1.8, 4 1986. The petitioners presented more evidence and submitted an Environmental Notification Form prepared by Tech Environmental , Inc. of Boston, and a Traffic Impact Analysis prepared by Rizzo Associates , Inc. of Natick The Board voted to receive the reports and to make them a part of .the record, of this matter. At bothublic hearings several P g persons spoke in opposition to the proposal including the Planning Board. The basis of opposi - tion can be characterized as follows : concerns over building. in the watershed, increased traffic, questions regarding drainage, and concerns over the definition of a . nursing home contending` that the facility was not a nursing home pursuant to the By-Law. The Planning Board while crediting the merits of the proposal objected on procedural grounds contending that the matter should be sent t.o Town Meeting for consideration. Lette_rs. were received from persons in opposition and are part of the file on this mutter. The Board had received additional letters and they were read into the record of the heari n .. The letters t.ters are in the file on this matter. At a regular meeting of the Board on December 9, 1986, upon a motion by Mr. Sullivan, seconded by Mrs. O ' Connor, the ,Board voted four in favor with Mr. Nickerson opposed , . to hold a Special Meeting on January 6, 1987, to further discuss the granting of the Special Permit and to decide on definite conditions for granting the Special Permit. On January , 6, 19871 the Board held a' Special' Meeting with members , Mr. Frizelle, Mr. Soule, Mr. Sullivan, Mrs. O' Connor and Mr. Nickerson present. Upon a motion made by Mrs. O' Connor and seconded by Mr. Soule, the Board voted four in favor with Mr. Nickerson opposed , to GRANT a Special Permit under the pro- visions of the Zoning By-Law to SAMUEL S. ROGERS AND EDGEWOOD LIFE CARE, INC. to permit construction and use on the site of a nursing home/.convalescent home in the form of a life care community with 245 living units , as requested and described in the application and the Memorandum of Law and Facts submitted by the petitioners . The Special Permit is granted subject to the following conditions , which are imposed pursuant to the Board ' s authority contained in Section . 10.3( 2) of the Zoning By-Law, subject to the following conditions : Edgewood Life Care, Inc. - conte. Page 3 1 . SEWER Petitioner .in accordance with its offer shall tie into ' the town sewer. The Special. Permit is subject to : Town of North Andover Public Works certification and approval to tie into the Towrl sewer line provided • said sewer line is adequate to handle 26, 30.0 gallons of . sanitary sewage per day . Failure to obtain said approval shall nullify this Special Permit. Said sewer connection shall be made at the town sewer line on Osgood Street near the Town Building . Petitioner ,shall lay the sewer line down Osgood Street and shall make con-. nections available to abutters on Osgood Street. If approved by the Public Works , then the sewer line shall be installed with pipe and material approved by the Public Works prior to the issuance of a building permit for con- struction of the Life Care Facility. The petitioner shall obtain all permits necessary to perform installation of the sewer line on Osgood Street and shall restore the road to good condition using . materials approved by the Highway Department and .approved by the Highway Superintendent. The petitioner shall give adequate notice to all abutters of any closing of the Road. and shall coordinate with the North Andover School Department regarding construction during school operating hours. Plans setting -forth construction of the sewer line shall be submitted to the Public Works and the Board of Appeals for approval prior to .construction. The petitioner shall post a bond if required by the Public Works and/or Highway Department in an amount satisfactory to cover the performance of .the sewer line construction. 2. WATER - Prior to the issuance of a building permit for the . life care acility, the petitioner shall obtain approval from the Town of North Andover Public Works and a certificate that the town water source is adequate to provide 26 , 300 gallons of water per day. Failure to obtain said approval, and certificate shall nullify this Special Permit . Ed-gewood Life Care, Inc. - cont. Page . 4 Petitioner shall at its own expense install any necessary water pipe to the site ; the size , materials and location shall be determined. by the Public Works . . The petitioner shall obtain all permits necessary to perform installation of the water line on Osgood Street, and shall restore the . road to good condition using materials approved by the Highway Department and approved by the Highway Superintendent. The petitioner shall give adequate notice to all .abutters • of any closing of the road and shall coordinate with the North Andover School Department regarding construction during school operating hours . Plans setting forth construction of the water line shall be submitted to the Public Works and the Board of Appeals for approval prior to construction. The petitioner shall post 'a bond if required by the Public Works and/or Highway Department in an amount satisfactory to cover the performance of ' the water line construction. 3. SOLID. WASTE The Special Permit. is subject to the condition that the estimated 50 cubic yards of solid .waste per week shall, be removed by a contract disposal service with no impact .,, financial or otherwise upon t'he Town of North Andover. 4. TRAFFIC The Special Permit is conditioned upon the following . relating to traffic : During construction, all construction. vehicles shall enter and exit the site using the north portion of Osgood Street , with entry on said Osgood Street from either Prescott Street or at. the intersection of Routes 125/133 (Chickering Rd. & Osgood St. ) . At no time during construction shall vehicles use Stevens Street or the, southern portion of Osgood Street beginning at the intersection of Stevens Street. The petitioners shall post a sign on the property and shall require any general contractor and subcontractor to observe said conditions . The petitioners in accepting the Special Permit agree to such conditions. Edgewood Life Care, Inc. - cont . Page S After completion of construction the following conditions shall be observed : All delivery vehicles shall use the northern portion of Osgood Street with entry and exit at either Prescott Street or at the intersection of Routes 125/133 ( Chickering Road and Osgood Street) . A sign shall be posted .at the entrance/ex.it ' road indicating a right turn only. A stop sign shall also be posted. A traffic island shall be installed at the entrance/exit road onto Osgood Street - in .such a manner requiring traffic to make a right. turn only . Plans for such traffic island shall be approved by the Board of` Appeals. Plans for the entrance/exit road shall be approved by. the Board 'of Appeals. S . WATERSHED - CONSERVATION - DRAINAGE The petitioner shall not construct any building within 50' from the watershed district . All plans shall be submitted to the Board of Appeals for approval . Prior to the issuance of a building permit for construc- tion, the petitioner shall have the watershed boundary, as set forth in the Zoning By-Law and as shown on the plans submitted to the Board , delineated by erecting a barrier of such material approved by the Conservation Commission. Said boundary shall be certified by a registered engineer and approved by the Building Inspector. At no , time shall earth be moved nor heavy equipment be used withi.n .10' from said . watershed boundary.. The Special Permit is• conditioned upon the petitioner obtaining approval from the Conservation Commission. The Special Permit is conditioned -upon the requirement that all surface drainage shall flow toward the Merrimack River, away from Lake Cochichewick. Surface drains shall be installed on the entrance/exit .road 'and the petitioner shall agree to provide at its expense drainage on Osgood Street and• Stevens Street if necessary as determined by the Highway Depar'tment., Plans for said drainage on site, entrance/exit road and off site shall be submitted to the Board of• Appeais for approval prior to construction. At no time during construction shall runoff enter any public way. ;- Edgewood Life Care , Inc. - cont. Page 6. 6. CONSERVATION EASEMENT In accordance with theoffer of the petitioner, the petitioner shall offer to the Trustees- of the Reservations , some other agency. or the Town of North Andover, a conservation easement. Said easement shall among other things provide that no construction shall occur at any time within the Watershed District (between the Lake and Watershed boundary shown , on the plans) as defined in Section 4. 133 ( 3) of the Zoning By-Law in effectat the issuance of this Special Permit and as defined on ' the plans submitted to this Board. Notwithstanding the foregoing , this Special 'Permit =is conditioned upon the condition that no construction shall occur at anytime within the Watershed District (between i the Lake and the ' Watershed boundary shown on the plan) as set forth in Section 4. 133 (3) of ' the Zoning By-Law in effect at the issuance of this Special Permit,. and as . defined on. the plans submitted to this Board. The existing dwelling on the northeast portion of the property . abutting the lake shall be subject to the provisions of Section 9 Non-Conforming Uses of the Zoning By-Law. . ' 7. MISCELLANEOUS The petitioner shall at all times provide access by abutters and persons having a right to use theexisting • driveway access to their property .during construction. 8. PLANS The petitioner shall prepare site plans and present same to the Board of Appeals for approval. Said plans to contain: Drainage calculation, run off control , detention areas (specifically storm water, salts and pollutants) ; Extent of excavation activity such as earth removal. permits and percent of disturbed land ; Erosion control program ;- Tree cutting plan and detailed landscaping plan ; Road profiles, detailing grades, and area of cuts and. fills ; Phasing of development ; Watershed modifications , if any ; Monitoring review process" for compliance with plans , conditions and regulations ; Dedication of open space. Said plans shall provide for minimal cutting of trees .and Edgewo,od Life Care, Inc . - cont. Page 7' shrubs along the access and on 'the site. All earth removed shall be limited to the construction site of the building and entrance/exit road. The facility shall be constructed and operated. in conformance with all State and Town statutes, codes, by-laws", rules and regulations . ; No future expansion of the facility beyond the submitted proposal shall be permitted on - this site . The facility shall be constructed in a manner so as to allow access to fire vehicles on all sides of the building. The petitioner shall be required to plow the entrance/exit road and remove snow if necessary and shall limit the use of chemicals and salt for road maintenance and .snow/ice control. The threshold question to be determined is whether the proposal is a, nursing or convalescence home as set forth in the 'Zoning By-Law. The Board finds that the proposed facility is a Nursing and Convalescent home as . set forth in Sec. 4. 121 ( 14) of the Zoning By-Law which allows nursing homes and convalescent homes in an R-2 District by Special Permit. In making this determination the Board finds that Massachusetts General Laws Chapter 111 Section 71 is applicable as follows : " . . a convalescent or nursing home is .defined as any institution, however named, whether conducted for charity or profit , which .is advertised , announced or maintained for the express or implied purpose of caring for four or more persons admitted thereto for the purpose of nursing . or convalescent care. " Further the B.oard finds that Massachusetts Department of Public Health Regulations. 105 CMR 150. 001 is also applicable as follows - . . . any ollows : . . . any institution, however named , whether conducted for charity or profit, which is advertised, announced or maintained with long-term resident nursing , convalescent or rehabilitation care ; supervision and care incident to ' old age for ambulatory persons ; or retirement home for elderly persons . Long-term care facility shall include . convalescent or nursing homes ; rest homes , infirmaries . maintained in towns and charitable homes for the aged. ". The Board finds that the life care community proposed is a nursing and convalescent home because it will have a Health r ' Edgewood Life, Care , Inc. - cont. Page ' 8 Center with a skilled nursing facility providing nursing convalescence and long term care (as further set forth 'in the Memorandum which was received in evidence by ,the Board) ; and 245 living units of one - two bedroom units designed for elderly residents. The building( s) containing these living unitswill also contain a central dining room where each resident is changed : for one meal each day and may choose to eat 3 meals each day.. All utilities , weekly housekeeping and• €lat laundry service will be included. A variety of support services are also included' such as personal care including bathing , dressing , medication . .monitoring. as well as psychosocial support•. Transportation service will . also be included . Lounge and activity areas will be located throughout the complex for use by . residents as . .further defined in the Memorandum received in evidence by the Board. Based on the information submitted by the petitioners contained in the application, the Memorandum, the Traffic Impact Analysis , f the Environmental Notification Form and the testimony at the public hearing , the Board finds the following facts : This project will be a nursing home/convalescent home in the. form of a life care community with living units consisting of a broad spectrum of facilities for the elderly. The residents will .be offered living area,` healt---hcare support services and long -term •care . The site is - located in a Residence 2 (R-2) zoning district . Section 4. 121 ( 14) of the Zoning By-Law allows, nursing homes and convalescent homes in an R-2 district: by Special Permit. The proposed facility is a nursing home complex offering nursing and convalescent care to the elderly. The elderly population of North Andover and surrounding areas is in need of such a facility which offers a. wide range of ' living , health and social . services. Edgewood Life Care, Inc: , which will own and operate the facility, is a subsidiary of Life Care Services Corp. (LCS) . LCS has be and managing life care communities for more than 25 years and has developed more than 50 such communities across the country. There will be 245 living units in the facility. A central dining room will provide food service to the residents. A broad range of social services will be .. available, as well as residential healthcare services, involving wellness programs and assistance-iri-living services. - The on-site Health -Center will provide for the -health needs of the residents with a 45-bed, long-term care r Edgewood Life Cate , Inc.. - cont. c Page 9 facility- and ambulatory health care services. A resident needing nursing care will be. accommodated without the necessity of being transferred off-site.— The nursing facility will be licensed by the Massachusetts Department of Public Health. The total investment .in - the project will be substantial. Since this is a private project, the Town will benefit from the real estate taxes generated. 'The . taxes will be considerably more than those generated from a subdivision - of private houses .. These taxes would be available to the Town without the necessity of the Town' s providing many of the services required for residences , such as plowing , tree service , road maintenance and schooling. for children. It is expected that most of the employees will be residents of this ,area. In granting the Special, Permit , ,the Board makes the foa-lowing findings and conclusions : 1 . The Board has the power to grant the Special Permit under ' the provisions of the Zoning. By-Law, Sections 4. 121 ( 14) 5 10. 225 10.,3 .and 10. 31 . 2. All conditions set out in Section 10. 31 are found to be m e.t. 3. The site is a S9-acre parcel and ,—therefore , has more than sufficient area to accommodate the project. Only ,a small portion will be used for the specific use , leaving the rest as open space. The project is far more desirable for the location and the Town of North Andover than a traditional housing subdivision. The site will provide a good setting for the project which will be architectur- ally appropriate. It will be protective of the watershed and will cover far less area than a traditional housing subdivision. The site is appropriate for the use and buildings . -4. Since only a small portion will be dedicated to the specific use, the neighborhood will not be adversely affected. The building and ancillary facilities will be sited well back from the public road. The siting and architecture will be such. as to allow the facility to blend in with the location and the neighborhood. S. There will be some increase in traffic , as would 'be expected with any development of the site. The increase can be characterized as light to moderate , particularly when compared with the flow of . traffic in . a residential • Ed-gewood Life Care , Inc.. - cont . Page 10 development. The public will not have general access to the site. There will be no small children in the area. as a result of the proposed use. 6. An investment in the amount set out requires that adequate and appropriate facilities will be provided for the proper operation of the proposed use. The Health Center com ponent .must be built to satisfy the requirements of the Department of Public Health and all state fire , safety, and building codes. Municipal water supply is available . to the site and at the expense of the petitioner if necessary. The facility will be .tied into the public sewer system at the expense of the petitioner and , therefore, at no cost to the .town. 7 . The use is in harmony, with the general purpose and intent of the Zoning By-Law. The proposed use is a permitted use under the By -Law .by .Special Permit. Sincerely, BOARD OF APPEALS Alfr E. Fri.zel Esq. Vic Chairman AEF/jib ov �! ID18D Hill DA 4323 .Rq` P61 kjja RECEIVED nn T O fYN O F K O RT H ANDOVER -DANIEL LONG >IfAS8A0KU8ET9 NORTh1iT 0WHIIAE •�� I ' 34. �•y � � 0A�Rl VCT r wM5 30 m /i 'I :1 r AnyappDal shallbe filed "" ATM* P� Wdhin(20)tl poi tershe PN• " I•i date offiiinpoflhisNotica NOTICE OF DECISION cWt it inihe Offmae the Town CIO& i Date.AFtP&.P.."MA ?`19�............ xt ::. 'kil�,�I I ••sokt L Date 98 q: of Hearing p !bar•21S 1 IlkP 24 BtltiOA ofn acdp.00s L4t. care iac:..................�. Premises affected =est sid�_of 0 good 8traat .........•....................•... Referring to the above petition for a special permit from the regvirementd of the .Torth.lada s&cACA I -Allar.. F1{ so as to permit smu..Mm A .tht.CAOabyctigT:'jy��,, yQ.u Z tgra%.te�J. dWf45.81 tetei.l5 Jad 3ne tevti nslqiWi3tcRetirement center. After, lb b71e hearing.given on•the above date. the Planning Hoard voted � 1�•.`:;$ to AARF-r........the .....§la Plsn„1taier ..._. .... .. .. IIS 1. 0Ilki a: D7r&ator of roblLo W*rka based upon the following conditions: II'i n Hoard of Pablic Works zi9l--I a -mror ]wilding Inspector Hoard of Health Signed - ; , r Coesartatlon Cd.aiseion assessors p°PF�l.ff»t+t ;:a.SM !n, rt �'f•j;,' paid Chi&! ••.•. lire Chief - .Sohn.filpm 1R.. L xoginear Erich Ititsac6e rile. Interested Parties I,I .I,); :i;"'.:I Faal Hedatro& ll; iial i i I3Planning Board....... IJ '11 jk Ii ll'I P { A N! i .. 4':;1. t c'+ a LbD I1 U tL J 5g JUN 11200.1' f` BOARD OF APPEALS �.. li • ' x..; BKS �M 345 oFp,7-S OF. Town Of Noah Andover moi': dtiuowo NORTH ANDOVER usero0184s DON jMVAMN y D;vL9;oNnF csoele9Z64a3 = .: P . •7;.ti+, �.". �G PLANNING tc COMMUNITY DEVELOPMENT KAREN H.P.NELSON,DMECI'OR October 5, 13E9 Daniel Long, Town Clerk Town Hall ••iFr 120 Main Street i: :: North Andover, NA 01845 ks Re: Edgewood L:ie Care Special Permits under �x Section 8.3, Site Plan h-.- £ Aeview; Section 13, *T`' Continuing Care Retirement Center; Section 11.3, Planned e . Development District �4'-^•' F „ Dear Mr. Long; The North Andover Planning Board held a public hearing on July '`- ,•" 27, 1989 in the Town Hall, Library/Conference Room, on the applications of Samuel S. Rogers and Edgewood Life Care, 1 Johnson Street, North Andover, MA. The hearing was duly advertised in the North Andover Citizen on July 6 and July 13, 1989 and all parties of interest were notified. •The following members were present and voting; George Perna, Chairman; John Simons, Clerk; &rich Hitzsche, Jack Graham and Paul Hedstrom. The petitioner is requesting Special Permits under Section 12.3; ." Section 10.31; Section 11.3 and Section 13 of the North Andover Zoning Bylaw as they relate to a Continuing Care Retirement Center and Section `;. Kl s.3, Site Plans Review. The purpose of the the Site Plan is to build-Ing 125,812 sq.ft., three (3) story, 250 dwelling construct a build r ;'cx. ` units, 45 bed long term nursing ,facility of a Continuing Care Retirement Center on 62.29 acres, more of less on the east side of carr ::,ab:-:„•..... ;;,i .�k Osgood Street in a Residential-1 (R-1) and Residential-2 (R-2) Zoning District and watershed Overlay District. _ E ! ., John Simons =end the legal notices to open the public hearings k on the speoial permits. John Simons stated that there were several letters and other correspondence in the file ,for public inspection. 1R....,;,. George Perna asked Chris Huntress, to. comment on the application. Chris seated that the applicanti had been before the Tech:;ical Review Committee and that a number. of issues were resolved. .. Clifford Elias, representing Samuel S. Rogers and Edgewood Life µ 5` Care, presented the Board with two separate packages. 1) large loose leaf book, called the Information Book; 21 a memorandum package for official records of this application. The Board accepted the packages. fit:. 4 �sfc'A •r r! Pag7.2i .r 4323 v y rt ^li Hr. Elias asked that the Board visit the site and 1060 ^,Y , .f ..l •.': x- Street where a model of the proposed is being displayed. The major difference in this application from the preli {si Y �,ll Plans is the location of the access toad. There x111 he torn xi Ift j 1, town sewer by the developer. Sixteen acres of the proposed ro; rt be disturbed. A now traffic study has been done frith minimal i F•I,, a The proposed will be done in two phases : 5[ 1• health center and dwelling units ' 4 1 2• last two building nearest the lake, the pool auditorium. , The cost per unit will be around $190,000 with monthly maintenance fees from $900 to $1400. Some of the parking x111 ire underground, 132 spaces spaces shove ground for a total of 368 p s and seventy five (175) parking spaces. One pend; :,•� �� � �, people have signed up already with sixty pert; t ; r (60k) North Andover residents. Hr Elias presented the Board wit! a> l !! samples of agreements. !x' Chris Huntress spoke on the circulation of the traffic f' Erich Nitzsche stated that a workshop would be a Proposed project. Erich suggested appropriate on th p gkl„ ggested a site xalk to view the access• r, 1II,t; :: The Board will neer on Saturday, July 29, 1 Osgood Street. 989 at 8:00 a.m. Tit' : f! jI John Simons commented on looking at the scale model in conjunction with the massing. Paul Hedstrom asked if a Form A P: existed, was it a legal lot of record. Hr. Elias said, no not George public input. Erich Nodlinger, ay ;J:•i; -s;, ge Perna asked for representing the Rockve , gave the Board a letter on issueshli y client wanted addressed: zE ls `id, 1• access issues to be address-ed as a subdivision� tsl 2. drainage ' 3• public utilities for abutting owners q; emergency access to be maintained S. landscaping and screening to be done carefully. Hr Wodlinger asked that the concerns be made part of the conditions. George Pernaque tioned why the access road was moved. C: Elias stated that there were two reasons for the access road being ' �F i' s di li i• conservation 2. safer Y Attorney Arthur Hughes, representing the Hary Charles Esti; E 'ii•:; ::. expressed concerns similar to those expressed by Eric Wodlinger, ! ) ( attorney for the r ,...; iii 'H';i:, Rockwell's. I: A mot_on was made by Paul Hedstzom to .continue the hearing until August -0, 1983 public r] u a workshop; ek -_:! as as :,a :Se p h The not:an a. 1 . .'•n.�ovs.y �Y .,._sa __. _._:. , , �.:•.:..� I[i='Irl ' t. l'i. ; I •R s � �• .�� i �; ! ill. J. v:.l �► t G 346 it BK 4323 PG 347 good_ cz Page 3t `,. The Planning Board held a regular meeting on August 16, 1989 l.a %ary the Town Hall, Library/Conference Room. The following aenbers were kr andq...:;., present, George Peena, Chairman;Erich Nitzsche, Jack Graham and- Paul ;t Will4t. y,., Hedstrom Ww Y:iJ E.. Erich Nitzsche read a letter from Chris Huntress to Clifford k>>: Elias. Clifford Elias stated that the Planning Board visited the site • r-� e:-.- on July 29, 1989 as Well as the office to see a scale model of the the _ .i proposed projec�. :-+ Hr. Elias stated that the Special Permit for a common driveway _ has been filed and the Form A Plan will be filed on August 11, 1989. Members of the Planning Board expressed concerns on the 6 following, :.,'�'•j: ,yam t `-.•''T.: ;^,+ r, 1. Screening of parking ' tr. 2. safety of intersection = 3. traffic A discussion took.place between members of the Planning Board on setting up workshops. Some members expressed the need for them, others 'ad, odid not see the need. George Perna went over a letter from Choate, Hall & Stewart, attorneys for abutters, on issues and whether they were relative to planning or not, that letter is available in the file for inspection. t,• A `+ ?°` A motion was made by Paul Hedstrom to continue the public hearing until August 23, 1989 and direct the planner to draft a the .Y . ....':'. decision. The motion was seconded by Jack Graham and voted unanimously by those present. On August 24 1989 the Planning Board held a regular meeting in 5 =+" the Town Hall Library/Conference Room. The following members were „� x�.l'-:; ,., present, George Perna, Chairman; John Simons, Clerk; Erich Nitzsche and " .' Jack Graham. expressed concerns with crossing the access road. ' ;`���._ `,��r `�y k ter•.,:.::., - - ,,-t: <=::-. ,A discussion Look place on drainage. Mitigation of_run-off x111 incorporate p all off site flow to the 100 year storm event. Other issues" discussed vete: the common driveway access to the farm being used; fordsecurity •leaves; agreements with trustees. oved, iq^ t` i �• '`-° " A motion was made b John Simons to close the •';�i ;r_y �,;;. Y public hearing and Iler take the matter under advisement. The motion was seconded by Erich Nitzsche and voted unanimously by those present. �" •;.'_ On September 7, 1989 the Planning Board held a regular meeting ` in the Town Hall Selectmen's Meeting Room. The following members were present, George Perna, Chairman; John Simons, Clerk and Erich Nitzsche. Jack Graham and Paul Hedstrom were absent. z �• > } ... :� Y uS}_ i.: v BK 4323 TIG;..' Page ds A cppy of a draft decision was distributed to the Board {_ eview the draft decision and vote on at ttie members. The Board is to r September 21,-1989 meeting. `' on September 21, 1989 the Planning Board-held a regular meeting in the Town Nall, Selectmen's Heeting Room. The' following member: p'tT ;: .Y_. . presents George Perna, Chairnan; John Simons, Clerk; Brich Nitzsche arid" ! w_3 Paul Hedstron. Jack Graham was absent. ` nt ap The Board menbera added to the draft that a, its. oust be obtained prior to issuance of a building p into the decision will be concerns of D.P.N. which are addressed in a ., letter from Bill Hmurciak, D.P.N. Covenants will be attached. Easements granted to the Trustees of the Reservation. Housekeeping, in the language, was done on Conditions i5, Condition i17, and Condition # 20. Hotion was made by Paul Hedstrom to approve the Special Permit : drafts for Site Plan Review under Section 8.3; Section 13, Continuing Care Retirement Center; and 11.3, Planned Development Districts per discussion and drafts as marked up and directing the Planner, Chris Huntress to put in final form as discussed. The motion was seconded by •:t.;q-; Erich Hitzache and voted unanimously !•1Y those present. A list of those conditions are attached. Sincerely, • PLANNING BOARD 04 /Georg Perna, Chairman cck Director of Public Narks Board of Public Works L. 3 Highway Surveyor— conservation Conservation Commissions Building Inspector Board of- Health Assessors Police Chief Fire Chief Applicant Engineer File j ,sM•ii {r Vit., ..xt••.f .. nA!} Y a_y w2 W •nt' BK 4323 PG 349 a' --rte en LIFECARE. BITE PLAN REVIEW - GRANTED UNDER BWTION 8.3 OF SPEC PERMIT, � THE NORTHEANDOVER ZONING BYLAW _:. findings regarding this Board makes the following _;.,,;..:_;,. The Planning uired by section 8.3 of the Zoning Bylaw+' :'. Special Permit as req site design for this lot are The proposed use and :W.4ta`1 appropriate, due to it's location in Town. ;` ;. S, Adequate vehicular and pedestrian access into the surrounding �+;+t U site has been provided. meets the } J• 3. The landscaping plan a+ shown and reviaed, laws. k. . requirements of section 8.4 of the Zonlnp Syla"' :': stem 1s designed in accordance with the <*.ye.,., �. The site drainage system Cp.:# •':•,,; Town Eylaw requirements. ;,. applicant has met the requirement■ of the Town for Bite 3. The app Bylaw. Plan Review as stated in 8scb ion 8.3 of the Zoning Y ro rlate facilities will be provided for the Y) 6. Ad iquat■ and apP R oration of the proposed use. .;.....:.. . proper op <� Bylaw The Planning Board finds under Section comSliesof bhwibhnithe Town pd site plan perorally P that the propo _>.; Bylaw requirement: but requires minor conditions in order to be completely in complianew.with Town Bylaws, P " .r..'; :. this prop oewl compiles the planning Board finds that as the '``'''' law requirements so long `;; i •9'-.<: '' withtheTown of North Andover with. Therefore in order to following conditions ars Complied necessary to construct • comply with the apP the -` : s fully licantt err }ac!'lity as specified ranbshea Special Permit toethe■PPs� Planning Board hereby grant* are met provided the following ".'_ n detention basins shall be ^ }b. building inp ox3rs ll) A11 drainage facilities lncludi p . constructed and erosion controlled prior to AnY. yh he site. x.. .�r, cued On t 'i c+_M; permit being i• u-:a:,.; `= plan and, profile shall be submitted for review (21 An as-built P riot to the final release'of DPW bond dopey. A and approval p )t;� .' ,.:t certified interim as-built verifying that all utilities have j..,.:. lan been instarofile lled in accordance with licathe llon ofis nthe binder shall be submitted prior• to the apP ?. coat of pavement. In addition. all required inspection end n-•._,,:• sewer, and drainage facilities shall be test in of water. L,:'',;w•, , completed prior to binder course paving. wired by the North Andover (3) Any changes on the plans req 1. r ya{i'i' i �M1 It. I' BK 4323 PG 36 . Conservation Commission may be,subject to Modification under .5 Chapter 41 by the Planning Board. :` (4) All Planning Board Order of Conditions are to be placed upon z the recorded plans, ( Cover Ghost I prior to endorsement and filing with the.Reglstry of Deeds. (a) Throughout all lands, tram cutting shall We kept to a minimum in order to minimize erosion and preserve the Y3 natural features of the site. Accordingly, the developer in conjunction with a registered arborist, shall submit a tree ;ice cutting and reforestation pian consistent with the previsions of Section 5.4 of the North Andover Zoning 8 laws to be roved b the Planning Staff �•.; Bylaws, PP Y g prior to the applicant receiving a Building Permit. This Plan shall explicitly include specific trams to be retained. ' (6) The contractor shall contact Dig Safe at least 72 hours Prior to commencing any excavation. n;g; (7), gas, Telephone, Cable and Electric utilities shall be installed as specified by the respective utility companies. (B) All catch basins o all be protected and Maintained with hay balsa to Prevent siltation into the drain lines during road construction.' (9) No open burning shall tis done except as is ' '._; P permitted during •:,._`.. burning season under the Firm Department regulations. i10) No underground fuel storage shall be installed except as may be.allowed by Town Regulations. (11) All buildings shall have residential fire sprinklers installed prior to the Issuance of the Certificate of Occupancy, per order NAFD. (12) Prior to a Certificate of Occupancy being issued for any !'"'ti structures, this site shall have.received all necessary • permits and approvals from the North Andover Board of •.:�• � Health. zz• ,' (13) Bonds, in an amount to be deternined by the Planning Bcard ' shall br posted to ensure construction and/or completion of rt;;..— Sewers' roadways, site screening and -other pertinent public --_- amenities. These bonds shall be in the form of a Tr!-Party Agreement. .':ysisx "�'" (14) Prior .to • Certificate of Occupancy being Issued for any` structures, the site shall be reviewed by the Planning -Board. Any screening as May be reasonably required by the Planning Board shall be added at the owners expense. (13) Crossing of the existing Right of Way shall not interfere a ,S F -with that R.O.W.. Stop signs shall be placed in both i directions along the existing Right of-Way. i . ` (16) There shall be me construction, tram cutting or site related drainage in the area of the parcel currently zoned R-1 �f Residence Distrlet (Watershed) without Prior approval from the Planning Board. Details of the walkway, gazebo and gardening area' as shown on the approved plans shale be submitted and approved by the Planning Hoard prior to commencement of construction of said portions of the project. (1T) Edgewood Lifecars, ae any subsequent owner in few of lot 6, ` shall not subdivide the parcel. Prior to endorsement of the plans which are herein referenced, an ape nypacm' `l conservation easement shall be granted to. the Trustees of Reservations. That easement, shall include all lands in this parcel which are located within the Watershed. The extent of r ' r the easement and the accompanying documentation shall be 1,.. , i subjeet to planning Board approval. The open- space conrarvation easement shall allow walking activities by uests. �; ..... residents of the CCRC and their guests- (is) (!B) Prior to endorsieient of the'plaris', all off site utilities s)iali be submitted to, and approved by the North Andover ` DPW. (19) Prior to the Building Permit being issued for the first structure and again prior to occupancy of the first structure, the applicant shall receive a written I determination from the Conservation Commission that all work- under ork under their jurisdiction is being satisfactorily preformed ° and maintained. ed under sections 10.3, 10.31, 11.3, t special permit grant (20) The P i P _ .+�;. and 13 ( special Permit, PDD, CCRC ) for this site shall also be considered as part of this decision. ' i z (21) All construction on the parcel must conform to plans and ye y7;c. specifications herein referenced as part of this '. .. application. Any changes to the plan r'or specifications must ,. receive prior written approval from the Planning Hoard. The following plans shall be doomed as part of the deeisicno x 3. .. Plan- 6ntit1edl Town 4f North Andover Massachusetts. Stevens .: Street Proposed Water and Bewer'Facilities.• { Dated- June 6, 1989 Drawn By$ SCS Associates Inc. Plans Entitled- Topographic Plan, Dated 12/29/88 Plan of'Land, North Andover MA, Dated 4/11/89 ., i � • BK-,,',i' 4.23 P6 3 4 4 2s situ Plan (Project), Dated 6/5/89 Project Planting and Lightinp•Plan, Dated 6/2/89 Site Plan (Entry)e Dated 4/87/89 Site Plan (Project), Dated.4/87/89 an t ntr ) .Dated 4/2 Grading and DrainageP1 7/8 • Plan (Project), Dated Oradl�p and Drainage tPr � • 4/ZZ/89 � Drawn Bye Earl R. Flansburgh i Associates Inc. Plan prepared fore Edgewood Life Care Inc. 3' cee Director of Public Works Board of Public Works Highway Surveyor Building Inspector rf Board of Health Assessors Conservation Commission Police Chief Fire Chief k. f�• f.; f ApplicantgngLnear ��. 3: F File F' }� Y' •' ,fie' .3''F. `! ,y fi r =*i a n k r: L__ 3/29/2016 Town of North Andover Mail-North Andover DPW 77 No §OVEK Massachu_ Is, ._ Ray Santilli <rsantilli@northandoverma.gov> North Andover DPW 1 message John Savasta <jsavasta@cssarchitects.com> Tue, Mar 29, 2016 at 12:22 PM Reply-To: jsavasta@cssarchitects.com To: John Pierga <jpierga@blwengineers.com> Cc: rsantilli@townofnorthandover.com, Daniel Tuberty <danieltuberty@hillinti.com>, Bruce Thibodeau <bthibodeau@northandoverma.gov>, Richard Cutts <rcutts@lindeneng.com>, Kaja Savasta <ksavasta@cssarchitects.com>, John J Savasta <jsavasta@cssarchitects.com> John; Attached is our code consultant, EPM Inc.'s, review of the fire protection requirements for the existing and proposed building for the North Andover DPW. Also included in their review are the exterior wall ratings and the egress from the second floor. had to reconfigure the concept plan to allow for the two enclosed stairs from the second floor, a sketch is also attached. What's critical about the code consultant's review is, if we connect the two buildings together we will need to sprinkler the existing building. We have concluded that the new building will include sprinklers. I have a call into the code consultant to confirm if we will need sprinklers for the existing building if the addition is not attached. In order to justify which direction we should pursue I need to know about +/- how much it will cost to sprinkle the existing building. I also had to increase the size of the link to accommodate the stair redesign. Also I would like you to take a look at the mech/elec/sprinkler room to comment on the size of the space. I'm basing the room size on a VRF system. I Let me know what you think. John S CSS Architects Inc. 2 attachments 03-29-2016.pdf 1604K 03-29-2016 (2).pdf 1434K https://mai l.google.com/mai I/u/0/?ui=2&i k=f7Oe2f4909&view=pt&search=inbox&th=153c32d5286b6c27&sim l=153c32d5286b6c27 1/2 � Iris Davis From: ]ohnSavosb« > Sent Tuesday, March 29L20l68:38AM To: davis'ihs Subject: FW: North Andover DPW bui|ing From: Melucci, Ronald B. [mailto:rbm@epm-inc.com Sent: Monday, march 28, 2016 4:57 PM To: isavasta(clicssarchitects.com Subject: RE: North Andover DPW buUing Hi John, � We have reviewed the drawings and performed some code research regarding your questions based on the following information: Existing building � � Building footprint area 25,}UUsf Notsp,inWemed Group S-1 Allowable stories(without increases)—3 Allowable area—(without increases) l7,SO8 Allowable area—(with 60%frontage increases)26,250 New building Building footprint area 3'SOOsf SprinWered � Group | Allowable stories—(without increases) Z Allowable area—(without increases)Z3,5DO The existing building plus addition exceeds the,allowable area for Type IIB(unprotected steel)construction per Table GO2since the existing building isnot eprink|ered. � However,an addition would not be able to be performed without retrofit of sprinklers in the exiting building due to the � verbiage nfMassachusetts General law(K4GL)l482GG: Section 26G.Every building or structure,including any additions or major alterations thereto,which totals,in the aggregate,more than 7,500 gross square feet In floor area shall be protected throughout with an adequate system of automatic sprinklers in accordance with the provisions of the state building code. No such sprinkler system shall be required unless sufficient water and water pressure exists. For purposes ofthis section,the gross square footage ofubuilding orstructure shall include the sumtotal uf the cum�nedfloor areas for oUfloor levels,busementssub-boseme�sand addidono,inthe aggregate,measured�omtheoutside walls,irrespective of the existence of interior fire resistive walls,floors and ceilings,This section shall not apply to buildings used for � agricultural purmosesasdefined insection lAofchapter 1Z8. � . Even if a true fire wall was constructed to separate the buildings,MGL 148 26G would still require retrofit of sprinklers in � theexiotin��uUdin0 . ' � � � . \ ' 1 ! | | / | � � � | i / If the building is physically separated by more than 10feet and the facing exterior wall of the new building had afire � resistance rating of1hour with moopenings asrequired byTable 8O2 and Table 7DS.lthen the requirements ofthe | MS8Cwould bemet and nosprinkler retrofit would benecessary. A 1-hour exit passageway extension at the second floor exit stair access would allow for a reduced travel distance measurement since the horizontal exit door is considered the exit.The horizontal exit enclosure would be subject to all of the same restrictive opening and penetration limitations as a stair shaft enclosure. In a building of less than 4 stories,the stair shaft and horizontal exit are required to be 1-hour FRR fire barriers and supported by1-hourFRRconstruction. However,the second story of a Group B building is required to have 2 exits, unless the occupant load is less than 29, per Table 10I1.2(Table 1OUG.3.2(2)|nthe 2O1G|BC). TABLE 1021,2 STORIES WITH ONE EXIT MUNUM OCCUPANTS(OR OWELLING UM STORy OCCUPANCY PER FLOOR AND TRAVEL DISTANCE A- B(L Ee F&N1 U. Sd 49 occ ants and, 75 feet travel distance H-2. H-3 3 occupants and 25 feet travel distance First story or basement H-4.H-5.L R 10 occupants and 75 feet,Travel distance sa 29 occitpants.and 100 feet tmvel distance Second story Bb. F.M,S3 29 occupants mid 75 feel travel distance PI-2 4 dwelknp tinits and 50 feet travel distance plird story R--'c 4 dweUina'units and 50 feet travel distance The second exit stair is also required to be enclosed per MSBC Section 1022.1 unless the occupant load is less than 10 and open to not more than one story above the level of discharge.The 2015 IBC(to be adopted in MA later this year) similarly does not allow anopen stair when required for egress. Feel free tocall rnetodiscuss, Regards, Ron Ronald Ma}oc - P.E. | Fire Protection ConuultingEngineer | Engineering Planning and Management(DPM),Inc. ...........—````~`.,``..~`.......... / (508)-532-71.51,(Direct) From:John 5avasta � Sent: Monday, March 28, ZOl61I:38PM � To: W4e|ucci, Ronald B. / Subject: North Andover DPW bui{in8 | . Ron | � | Attached are the PDFsofthe existing and proposed DPW building for the town o[North Andover.Neare atthe concept / phase,however the town ispushing usfor adesign developmentsubmh±a| by Mid-June 2016. z ! / | / My need at this point in time is an option from you that the new two story steel framed building can be located ten(10) feet from the existing and what will the exterior wall ratings need to be. 1 have also included a concept plan showing the paths of egress on the second floor to the horizontal exit.One in red and one in blue. I would like to use the one in blue.The building is around 7000 SF.The second floor is 3500 SF and less than 50 people. ! As usual I need your option and recommendations as soon as possible. i The Best, John Savasta CSS Architects Inc. 781.245 8400 { r I E j l a a i i i I i 3 i t 4� F d t T� —71 aO dG NcertN �€���uL•R �� '� tYt d =1t'1�t �1 V ti L-80 4� 0#uz 0,01'aEt Unci � .LSA Li is too a MOM C § S' 55574 FidN. Q . ;► r E `m lip aa�� �`� � Raw / i1 R R ►\� sm ��� 1► c / � g i i 00 0V LvZwja m FIFg e p,7-1 . }.... S t\ X q\ PE x -till. le, 'rig Cc / • �,pow d�Fe IIk. r b }q ��ia. i gN I I !¢b kA o fin•i r z � z Z zD -- Z tlN� s a •4,y SITE PLAN uv � u�rE APPROVED BY THE REGISTRY USE ONLY TOWN OF NORTH ANDOVER F t s f l PLANNING BOARD EDGEWOOD RETIREMENT COMMUNITY Y IN nA,E NORTH ANDOVER MA Q ♦a P�°' RETIRED FORN wn croE: • �See EDGEWOOD RETIREMENT COMMUNITY 3 rQ^'. DOs OSGOOD STREET NOH ANDOVER.MASS4CHUSET S 01845 )A Date.......i.... ................ TOWN OF,NORTH ANDOVER 0 �-- i -0 PERMIT FOR WIRING lap'? - sSA CHU A-4 / I i"e"0-- �/ Thiscertifies that ........................................................................................................................... has permission to perforni ............................................................................................ wiring in the buildin of........... ... ...f .......Cj.................................................. at ............... .................... ........... North Andover,Mass. ELECTRICAL INSPECTOR Check# c207 -711 le e Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. 177101 — I O I — ` Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (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: O I - l'--1 -"C' City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 5 QSgcod 5( eet Owner or;Tenant.. _ {=�r . f _ Telephone No.Cj-:�tj-'T38-(nC4 1 t{ Owner's Address 5 S 3+-Ce Is this permit in conjunction with a building permdt? Yes ❑ No © (Check Appropriate Box) Purpose of Building CoYyl(Y-Lt rd j 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 A Location and Nature of Proposed Electrical Work: Ins (l t4bkyJ C�& fcLb( W(l-h -Hgee U)Cefn - o -servi Ce ce. r-ai-eci r Completion of thefollowing table may be w ived by the Inspector of Wires. No.of Recessed Luminaires No.of CeilSusp.(Paddle)Fans No.of Total : Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators I KVA t{� Above In o.o Emergency Lighting No.of Luminaires Swimming Pool rnd. ❑ rnd. ❑ BatteEy Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of Detection and InitiatinDevices No.of Ranges No.of Air Cond. TO�1 No.of Alerting Devices Tons 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❑ MunicipalE]❑ Other No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Ballasts Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications irmg: No.of Devices or Equivalent OTHER: ...rhree cn tr0.ry-c ro-+ed Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: d5,000,0® (When required by municipal policy.) Work to Start: 0(-Ib'Ito Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit fdr the perforinance 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. t CHECK ONE: INSURANCE X BOND ❑ OTHER ❑ (Specify:) Lit CLbJ i 1i l I certify,under the pains and penalties of perjury,that the informati on thi qpplication is true and compl FIRM NAME: 1~ I C i t I C }T C . C i 1-3bq-A Licensee: Cct r I CZ. MOr r i I Signature 6 C.NO.: (If applicable,enter "exempt"in the license number line.) B el.No.'q-fb'3W-J T D Address: )LID hlLlye.(hi ll lkcad , Ame<,h 5ru ; MA olq 12> I .Tel.No.:q-ffi--I;ffi FO *Per M_G.L c. 147,s.57-61,security work requires Departme of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,l hereby waive this requirement. I am the(check one)❑owner ❑owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ f.y � e ..,t on . 3 l .. }, �`_S,S TYx.-. -i. .. .� .. • ''i -<r4• F -..G ....tt. � . t��..- •�.%:.s.. `r�i'W.,yz xxtliAraR .. �5. '... S � t The Commonwealth of Massachusetts Department of IndustrialAccidents ,-- Office of Investigations 600 Washington Street r. Y y Boston,MA 02111 yY www.massg'ovIdla Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): L_-ad 6,(. Mery I I E)eancal rif-roucK;t, .1 Inc Address: Have-d 11 i l E'ccd City/State(Zip: Wi f_,S 01CW3 Phone#: C1 T(5 3158 -15 0-a Are you an employer?Check the appropriate box: Type of project(required): 1.[AI am a employer with q 4- [:] I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. 0 New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. E]Remodeling ship and have no employees These sub-contractors have 8. El Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp.insurance comp. msunrnce.1 required.] 5. E] We area corporation and its 10.®Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.El 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. tCoutractors 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-contractdrs have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name: A rbe-.!1 Cur Policy#or Self-ins.Lic.#: ;�C _30 1(o `J Expiration Date:Qt,5� Job Site Address: 05LgOCX *rC t City/State/Zip: Morfh AndoXr,, MA ai845 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 caemina!penalties of fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify unde a pa' d,p naIn of pe 'ury th a information provided above is true and correct Signature: G /� Date: l-I l(- Phone#: 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#: Location No. �� mil '" Date • - TOWN OF NORTH ANDOVER • �`' Certificate of Occupancy $ Building/Frame Permit Fee $ �►39 """'� '4 Foundation Permit Fee $ Other Permit Fee $ t; TOTAL $ Check# 015- / Building Inspector a Go"AENERATOR APPLICATION DATE: LOCATION: S+reet--- OWNERS NAME: Refi ftft-w..n t GENERATOR kw � j NO INSTALLATION OR GROUND DISTURBANCE BEFORE APPROVALS* CONTRACTOR: Earl (I . Mnrri l l C IeCt- C.1-1 COOLS6C.TU� , I�� • PHONE NUMBER: ELECTRICAL GAS RESIDENTIAL COMMERCIAL TEMPORARY LOCATION OF GENERATOR: *ZONING DISTRICT: *PLANNING APPROVAL (IF IN WATERSHED) *CONSERVATION APPROVAL , MORRI-2 OP ID:CA ��9 CERTIFICATE OF LIABILITY INSURANCE DATE01/14/201 Y) 01/14/2016 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(ies)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). NTAPRODUCER Phone:978-388-2354 NAME: Christine Amental Gould Insurance Agency,Inc. Fax:978-388-5578 PHONE 978-388-2354 FAx 7 Market Square Afc No E,1: AIC No:978-3$$-5578 Amesbury,MA 01913-2494 E-MAIL ti i chrsnea ADDRESS: @gouldinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Arbella Protection Insurance 41360 INSURED Earl G.Morrill Electrical Contractor,Inc. INSURER B: 142 Haverhill Rd INSURER C: Amesbury,MA 01913 INSURER D: INSURER E: i 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTR ADDLSUBR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM/POLICY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 8500051904 06/30/2015 06/30/2016 PREMISES Ea occurrence $ 100+00 CLAIMS-MADE FxI OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY F71 PRO LOC $EC AUTOMOBILE LIABILITY COEaMBINED ccidentSINGLE LIMIT 1,000+000 a A ANY AUTO 1020001495 06/30/2015 06/30/2016 BODILY INJURY(Per person) $ ALL OWNED Ix SCHEDULED BODILY INJURY(Per accident $ AUTOS AUTOS ) X HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X comp$500 Coll$500 $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE 4600051905 06/30/2015 06/30/2016 AGGREGATE $ 1,000,000 DED I X I RETENTION$ 10,000 $ WORKERS COMPENSATIONWC STATU- 70TH- AND EMPLOYERS'LIABILITY TORY UMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 9120830614 06/30/2015 06/30/2016 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 5009000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION TOWNNOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD i P� Zvi L,^ �Jk�� Er.. /ilY1 � ��ax"z � _,Y. �: v: '4._ s � i! �� =3� YL `A.©�• � : I Date ! '� Town of North Andover Your permit has been sent back to you for the following reasons: 1) Check amount incorrect 2) No copy of current license 3) Insurance Binder not on file or expired 4) No Workers'Compensation Insurance Affadavit Form Please call with any questions 978-688-9545. Fax 978-688-9542 Workers'Compensation Form and Schedule of Fees can be found on the Town of North Andover Website under Building Department. Mailing Address: 1600 Osgood Street, Building 20,Suite 2035, North Andover, MA 01845 fou n t had J 10Ccf-eC! on -I C�O0910 WO J 1ve- enoostd -Pua-s2 Fee-1 Cree- -It) ccu T)I r) of L c�✓�S�S ��1C IU 5�� AoC reck— .Edgewood Retirement Community - Google Maps Page 1 of 2 Google Maps Edgewood Retirement Community PPr am 0 ,, Google Imagery©2016 DigitalGlobe,MassGIS,Commonwealth of Massachusetts EDEA,Map data©2016 Google 50 ft, f k` 1 ti : .F` 4 A. - - - Edgewood Retirement Community Retirement Community https://www.google.com/maps/place/Edgewood+Retirement+Community/@42.7013198,-... 1/27/2016 Z i North Andover MIMAP January 19, 2016 F 4 d,a a it r v 4c F j s r = 4; _ rya _ �I fwr - r, r J .,, . ay, f a , , M s y i 0 MVPC So Interstates - Hodmmal Datum:MA Stateplane Coordinate System,Datum NAD83, — Meters Data Sources:The data for this map was produced by Merrimack —SR - pORT►/ Valley Planning Commission(MVPC)using data provided by the Town of -- Roads Q',.`gyp -r•'qNorth Andover.Additional data provided by the Executive Office of Easements G Environmental Affairs/MassGIS.The information depicted on this map is ❑Parcels 3' L for planning purposes only.It may not be adequate for legal boundary F -- 9 definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING i. ><. THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY ♦ s - OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT o� _ r • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF b^. .... •;,'l°� THIS INFORMATION ,SSACHUS�t - 1"=128 ft ^�° _ 1 i A BUILT ' I FINAL GRADING i 7T X6 1 r i 1 \,. �� �I I'• WETLANDnNE- He._ + ERVIOUS WALK 1581' X3 %1 ^ i_._. i� y _ 730 6 IS i6 ., 'j 5 EHH X4 I i m J1 y �� -Gla CID 'tom \� 1 ' Gig i .. 2 i ^ _- ' �I.R O'er BOTTOM .. _ _ _ _ CULVERr BO d1A _ 162 sJ p ,SZ .•'�' , \ _ n ... ._.-�..t 161 •l `� f 1 ''\..._. -._.t._ BRBERM ifip5 , . 25' OR 25'6 GUARD I 1 .. .% Ifi \ J L 1� \....... F3 1 ..C-+' 166 0 Eft L" -' F��_:..... ROLINE WA E1325 h \ B 9 -�`"3 -r' a+•s- ET}- \. /_ e A `\� CB.G3 - g CAROLI Ee WAY _ E7{ - \ t,� ✓� ' SMH-G3WADS ... 15� INV-ISSAS DMN E3 HYD UTILITY ES W PY C DMHG4 o —.SG8 CO LII 1 PEW WC6 ,OS CS CB-G9 OMHGS 60 WCS WC 80% BOX PERVIOUS aO0 E l` DRNEWAY ID 07 � ,00l , oI ,00l O�pP WCS THE MILK ,ODI OS BARN --�- .�Pp, -aP" I =155.02 yml #1 17 II-_9_ .z - 6` \•\ly�11 G440LINE 9 J m y . EXPOUND OMN CC1. Y A I ap p Rp RD p35 DAROL166.29 GAS RIM=171.02 Q \ E l o \\ -166.76 19PWETIAND t O 'i ,O ` TFND EL=18829 HETERO m INV 15•ADS=188.7) �7 \ K 154 ` SETBACK LINEEX FOUND 't _ -+ I\ rJ O.� LP'., ;;\ ELEC I - _ tl21CMOL NE WAV \ E%FOUND �,,..:';153,rr�.. METERS i� TFND EL=181.)8 SO Rp 1F4f CAROLINE y�- P.nAP 1` OO QCJ .O B ,OS\ PAT Rp MELECETER WAY GAS 64 - 41 PAVED OVER\ fiF 11 Rp I{ _•._... N SF OAS 1 \\ V f H METER Sv WETUND GAS 50' OF ERS \ 151 i 1 �.R D Y ETI3ACK LINE OMETER PATO -+ m NSTRUCTED .� O 54 S /„_ _ �\ RET WALL VST 88 PPTIO B ✓' ✓l "1 \ O \... o a ..-RET W ♦60 165 \ V/ �' BDtt V NOTCH WEIR\ ` RET WALL - C N N 157 51 OEC \ y t: O h � `7/,;_•"- BOTTOMVNOTCH 15274 53.8' 6 \64 � (SEE SHEETBOF 5S Q - ..� 924 1 +l 51' yJ O Z Z2 \' n ._- i -. �7 Bp U Z I ,1 `r�- 15� INV 531a /,..�-^' <•. \\ 'd` t 46 TLA) Z _ V 1 +T, t Vl10TCH IR O 6 O Z9 hl' 1 WETtAHD UNE <I�1323 + TOPVNOTC 1M.4S F O 3 W '••. <ti� '\ 1 152 �+' 1328 1325 5Z',. (SEE SHEETS /' O l'moi,' _%'4a 4i C��1322 13 6 t'P N F z N O :..11• Z3 .� �.' \ 028 </ -- DMH-0CG1 db / O WW U 19 31' RIM=159.58\ 1321 n ON i 00 3 W O +j 20 \. NVIN 10'A0.fi15389 \<14. �..1317 5 y4 `66 /B4aL 10 2 \ 11+,SSMHOS `(y \ CONSTRUCTED 151 )34,..\'�'','r^~ INVOUTtB'AD8:15 `,.`1320 1318 -.�-' < I �^) b / / O ¢ W I '+ IM=15243' ".\ NSTLAN - RV.IN.-144.13' 'J� O ^ e W a OPaat 4 14 B2B - 1319 \\\\ ri \ O H- p \ Nom.\ _ _ \` ^� $ f __. - �^ n n S) m VJIOTCH WEIR �\ l \\ \S TOP 4',WE{R 153.131 !.1 Cr .� ^m 1314', j 27 15i ✓ tea?; V M NO H-15141 _ y \ l' - - - 13 U Y ✓l rM h fV -•+ \ 222 ...ccc BOTTOMM611EVCH 153=15241 -r 1311 O. \ ♦ ZS 1 51 / }'� (SEE BOF 91 f5y_p%2 1� Be` 1 I h 6a wErwTo } 24 _ `� `1312 ` ............ BIO' Z6' �154�1�j3a - tl Be 4, , ,L5 6ETBACK UNE Q <� 52�! 030 e6e7 25 i^'is ❑ Z 00 I tS+ \ \\ �� 91 .1 W`134=` .135 O. - '_ 111 O .I- •� \ /�. __ _ _�. B3 ' t: 400 5a Z Q U) -25- ,�/ ..,. ^,T• 6MHa0 / �i't="'� O U A RIM=1sa.az 5� .1.. Q E- H 5 INV.INC17 .tdfl18' Q Z W O Z V O, 0, -_._.. --_, l �Ci6 ':�C2 INV.1N(GT) =149.80 5O' SMH-B Q W W Z_❑ W O N \ 1 a IW.OUT Q RIM=18424 C75! �' [WIN(q 156.99 �• Z Q a. C3 INVIN(N 15048 �i J Q a V, \ Cli INV OUT 158.29 ❑ U, so, 50' \ 50 D O QC) F a�Bi> i ! 3 INV IN 161.38 J O Z O�Z _ 5 INv our 1s3.1z LU W Q ❑ p z W W NOTES• 1.THE LOCATION OF EXISTING PIPES, CONDUITS, AND OTHER UNDERGROUND UTILITIES ARE Marchionda NOT WARRANTED TO BE CORRECT AND ARE SHOWN BASED ON CONTRACTOR'S RECORDSSEP 1 ^013 &Associates,L.P. } AND THE BEST APPROXIMATION OF THE ACTUAL LOCATION FROM A FIELD SURVEY. l[ L(J r' 2.ALL UNDERGROUND UTILITIES, CONDUITS, PIPES, ETC. SHALL BE VERIFIED AND DIGSAFE e NOTIFlEnglneefing andED PRIOR TO ANY EXCAVATIONS. NORTH ANDOVER Planning Consultants 3. AS-BUILT UTILITIES AND S, L.P. AS SHOWN ARE THE RESULT OF T FIELD SURVEY CONSERVATION COMMISSION 62 Monbale Avenue TELPBt)4386121 BY EAR E NOT E ASSOCIATES, L.P. AS OF 7-29-10. ANY IMPROVEMENTS AFTER THIS S98131 FAX(781)4389654 DATE ARE NOT REFLECTED HEREON. 4. AS-BUILT CONTOURS ARE THE RESULT OF A FIELD SURVEY BY MARCHIONDA& Stoneham,MA 02180 ASSOCIATES SUPPLEMENTED BY INFORMATION PROVIDED BY THE CONTRACTOR. Email:engineedng@marchionda.com 20 10 0 20 40 60 Website:www.rwrchionda.com 92110 A R0J 742-04 S-BUIL AL 7-14-10 SCALE: 1'=20' M.&A NO.:742-04 SCALE: 1'=20' SHEET 2 0 F 9 ! t 36°OPEN BOTTOM ' ► �. CULVER i A G 1 E 25 1 r �1 160 BIT BERM E3 f)4 ..V $MH-G2 cV �,�- N ~o CB-63SMII pS ------------ 25 A �, ;f,,�.�-��-���i �y$ t►, � � INV fi.18 CB-G4 D11:H•G� DMH-G6 1�O Wes k o� � w + '- PERVIOUS DRIVEWAY , we$ THE MILK BARN �� •� ADS \ .g *Is _ I V= 55.Q2 *' CAROLINE ®R _WAY 1. 4.Ofl'WETLAND w pot pot - !f Ex FOUND y SETBACK ZINE II21 CAROLINE WAY 6O Aot rte. ► _rte-�"- �/ TEND EL=181.76 ELEC P9 � ME31:RS ' GAS METE cP ! rY 169J r R _ ; 50.1NE LAK - _ ... _ _ ,METER r ff f pq%O ETBACK LII . At 5' �yt CTEI} 'cs WETLANDNt • tt i V" O tr„ a RET WALL 51 � / ti"," �fl j� �,. \ ,�• .`\ ka9 S8 � .+�r. t .9+ -° _ 157 , 154 / /� B26 925 ZZ1c�0 1L.1 tt7 Z9 `\ �`. ��� � � 952 � 46' `• ,�? f 'psi � f_i ''" � •�••�_ ��\ ��\ ���� � , � �, �_... .. DfAH 828 RIM 159.E NY IN IWA INV OUT I8' CONSTRUCTED E' AB29 f r SMH#5DP- V IN4 �q, G�. �t � ti �` r 000p WEIR �° �=143•E�Sl 7,5as,� TOPv�efB H15s �`�;. `[�._^ ��\\ \ \� `• ` $, c!? i'rls ATiOM 1lOTCti cc q � � \, � \ \` �J � .... �\ , �-• � \ , � 153 1 � 1� ' Earl` G. Morrill ELECTRICAL CONTRACTOR, INC. Your Full Service Electrical Contractor Serving Greater Amesbury&Newburyport Since 1979! 142 Haverhill Road Route 110 West Amesbury,MA 01913 (978) 388-1522 February 4, 2016 Fax(978) 388-6779 Town of North Andover 1600 Osgood Street North Andover, MA 01845 Attn: Maura Deems Re: Edgewood Permit Dear Maura, After speaking with Heidi Gaffney in Conservation, she has informed me that as of today, February 4, 2016, we are good to go on our end with the generator installation at Edgewood Retirement Community, 15-16 Caroline Way, North Andover, MA. Enclosed is the check#22711 in the amount of$375.00 for the electrical permit. Please feel free to call with any questions or concerns that you may have. Thank you. Sincerely, Suq Andrea Soucy Office Manager Morrill Electric Licensed Master Electrician in MA, NH, ME.Specializing in: Residential•Commercial•Industrial Cable TV Jacks•Telephone Jacks•Fire Alarm Systems/Maintenance&Repair Swimming Pools•Heating System Control Wiring•Parking Lot Lighting •Bucket Truck Rental Date.., A .................. OF tORT#q 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ,83gCHU This certifies that ....f ....................................... has permission for gas installation ... Z-. At .................................. V in the buildings of...kdq.. 4 ........ .!?.S ..'. .............................. .. ... ...... ................................................................................... North Andover, Mass. at......6... . Fee��...... Lic'No.'!.��.�7 GASINSPECTOR Check# C) 10431 -�-` MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY I is4a db MA DATE 13-d'/l° _ II PERMIT# / JOBSITE ADDRESS S? 5 QS afl vie;]OWNER'S NAME OWNER ADDRESS TEL =FAX I TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ® RESIDENTIAL PRINT CLEARLY NEW:Q RENOVATION: REPLACEMENT:Ej PLANS SUBMITTED: YES t NO D APPLIANCES 7 FLOORS-- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER r. ( �l h.. ._. I BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE _ J l _ -I -- �._ ( -.. FRYOLATOR FURNACE _ j r -( IC �� GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVENI- 1 PO'JL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER .- INSURANCE COVERAGE — - have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES I®NO E-1 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY LTJ OTHER TYPE INDEMNITY ® BOND —I OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER 0 AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in com I' ce with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ' PLUMBER-GASFITTER NAME cLICENSE# 0367 SIGNATURE MPI MGF 0 JP R'JGF LPGI© CORPORATION[j#[=PARTNERSHIP©# LLC E]# COMPANY NAME: ,,r ;C17 _ ADDRESS CITY h►ct�a�•�� _ STATE ZIP ciW7 _ FAX CELL JEMAIL T _ - 3 }� ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTIGN NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES r - +� . The Commonwealth of Massachusetts M f Department oflndustyialAccidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 sV;v;e www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information `` Please Print Legib Name(Business/Organization/Individual): 0 r oc_ Address: 50 /-77 -1 City/State/Zip:Ain csb mA ci 13 Phone#: l7 Cf-3 ?b^ c� 3..14P Are you an employer?Check the appiopriate box: Type of project(required): 1.VI a employer with employees(full and/or part-time).* 7. El New construction 2. a sole proprietor or partnership and have no employees working for me in 8. []Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑I am a homeowner doing all work myself.[No workers'compAnsurance required.]t 10 ❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.E]Electrical repairs or additions J, proprietors with no employees. 12.❑Plumbing repairs or additions ' 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ❑ 13.❑Roof repairs • These sub-contractors have employees and have workers'comp.insurance.t R 14.❑Other 6.❑We area corporation and its officers have exercised their right of exemption per MGL c. _ 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 7. *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I 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-c6jf6 ors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Dated ` / Vv Job Site Address: � � City/State/Zip: Attach a copy of the workers' compensa on policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA-for insurance coverage verification. Ido hereby certify under the pains and penalties of�erjury that the information provided above is true and correct. Signature• -•-UJ / Date: —LP-/ Phone# -2 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#: t Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract o1liire, 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 enferprise,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 j members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,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. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. #617-727-4900 ext. 7406 or 1-877-NIASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia S=MMONWEALTH OF M 9 'CHl1SE., [elk,K• MI- • • PLUMBERS ,AN GA'SF�ITT,ERS ISSUES THE 1 OLLOWI NG, L.1 GNSE L 1 CENSEl3 AS. A JOURNEYMANP,L�UMB�ER a BRETT,BURD I CK 50 MAD I tON .ST 'R1kl='SsU1Y MA 01913-320 2337 o5j0�/lb_ : tgg648 o; vrsmveridai a Sedgwick company 15 Benton Drive East Longmeadow, MA 01028 Tel: (413)739-5600 Fax: (413) 739-5700 Form of Notice of Casualty Loss to Building Under Massachusetts General Laws Chapter 139, Section 3B February 17, 2016 Building Dept. 1600 Osgood St Building 20 Suite 2035 North Andover, MA 01845 INSURED Edgewood Retirement Inc LOSS LOCATION 575 Osgood St, North Andover MA COMPANY NAME Zurich CO. CLAIM NO. 5570145186 TYPE OF LOSS Sprinkler Pipes Froze & burst DATE OF LOSS 2/15/16 OUR FILE # QCC 16470450 LSU To whom it may concern: Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. ,Cance Ubdck Signature Title: Sr. Adiuster On this date, I caused copies of this notice to be sent to the person named above at the addresses indicated above by First Class Mail. 2/17/16 Lance 2Ubd& Date & Signature lw Ng FD 1038 '1 Date .. 2'!.` ............ TOWN OF NORTH ANDOVER .. .... RECEIPT k SSOCHUSE A 7 This certifies that ...........:................................. ................. has paid .............. ........................................... 4L for......4 _,- Q .............................................................. ou. Received ........................................................................................... Department ..'Id, . .... ......7........................................................................ WHITE: Applicant CANARY:Department PINK:Treasurer Ck / 4 -772 _ 7� 6b I . 1PROFBSIONAL �. FIBS SYSTEMS - —INC.— Edgewood Retirement Communit 575 Osgood Street North Andover, MA Equipment Cuts Mechanical Tee Where Shown Schedule 10 Steel Pipe All Pipe Greater Than 1" FireLock Grooved Fittings All Pipe Greater Than 1" Schedule 40 Pipe All 1" Pipe Threaded Fittings All 111 Pipe Swivel Pipe Hangers All Hangers Beam Clamp All Hangers Victaulic Model V3802 SPendent Sprinkler All Sprinklers i y. CARBON . . E-HOLE CUT PRODUCTS 11-02 Mechanical-T° Bolted Branch Outlets �� FM u�c vds LPCB M SEE VICTAULIC PUBLICATION 10.01 FOR DETAILS vr�nro STYLES 920 AND 920N Victaulic Mechanical-T®Outlet provides a direct branch connection at any location a hole can be cut in pipe.The hole is cut oversize to receive a"holefinder"locating collar which secures ALI- the outlet in position permanently.A pressure responsive gasket seals on the pipe O.D. Cross-type connections can be achieved by utilizing two upper housings of the same style and size,with the same or differing branch size connections. NOTE:Style 920 and Style 920N housings cannot be mated to each other to achieve a Cross connection. Style 920 and Style 920N Mechanical-T outlets are available with grooved or female threaded STYLES 920 AND 920N STYLE 920 CROSS Vutle.Jpecify choice Un Order. Units are suppiled paairted voth plated bolt.Galvanized hous- ings are available,supplied with plated bolts. PATENTED All sizes of Style 920 and 920N are rated at 500psi/345OkPa working pressure on Schedule 10 and 40 carbon steel pipe.They may also be used on high density polyethylene or poly- butylene(HDPE)pipe.Pressure ratings on HDPE are dependent on the pipe rating.Contact Nict�-u!ic for ratings on other pipe.Style 920 and 920N are not recommended for use or. PVC plastic pipe. Standard piping practices dictate that the Mechanical-T Styles 920 and 920N must be installed so that the main and branch connections are a true 90°angle when permanently -ttached to th^ c`ne fac — plp� ,s„r .. Additionally,the Vic-Tap ll®hole cutting tool,which allows for hole cutting capabilities on pressurized systems,utilizes the Style 920 Mechanical-T in conjunction with the Series 726 Vic-Ball Valve to create the Stvle 931 Vic-Tap II Mechanical-T unit.See page 8 for further information. MATERIAL SPECIFICATIONS Housing/Coating:Ductile iron Conforming to ASTM A-536,grade 65-45-12,with e.orange a enamel amel coating.Ductile iron conforming to ASTM A-395,grade 65-45-15,is available upon special request. • Optional: Hut dipped gaivanlzeu - --- - - Gasket:(Specify choice*` • grade"E"EPDM 5 EPDM(Green color Code).Temperature rang e=.3Q°F.to.+230oF/-34oC to+110°C. Recommended for cold and hot water service within the specified temperature range plus a variety of dilute acids,oil-free air and many chemical services. UL Classified in accordance with ANS!/NSF 61_for cold+86°F/+30°C and hot+180'F/-82'C. NOT RECOMMENDED FOR PETROLEUM SERVICES. • Grade"T"nitrile Nitrile(Orange color code).Temperature range—20°F to+180°F/-29°C to+82°C. Rp, rn,man,1e I for net! lai;m,n 0d Ctq aiw ifh it _- - r ;.%i.annr wpnor_hlo anli mineral n I Within!hn specified temperature range.Not recommended for hot water services over+150°F/+66°C or for hot dry air over+140°F/+60°C. *Services listed are General Service Recommendations only. It should be noted that there are services IVr welch these gaske LS are IIUL[VCUITIIIIeiUCu.ReieJence snuuid-alwdys be Illdue to the latest Victaulic Gasket Selection Guide for specific gasket service recommendations and for a listing of services which are not recommended. Bolts/Nuts:Heat-treated plated carbon steel,trackhead meeting the physical and chemical requirements of.ASTM A-449 and physical requirements of ASTM A-183. CONTRACTOR ENGINEER Submitted By Spey Cert Para Date Approved Date ,<K OF VICTAULIC COMPANY.©2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. �IatauIiCr 11.02 1 CARBON STEEL PIPE-BOLE CUT PRODUCTS 11.02 Mechanical-T° Bolted Branch Outlets STYLES 920 AND 920N DIMENSIONS Max.Work Approx. �Y 4 -z� 2 ,x - <O7nN 1 500 1.50 2.00 2.53 1.61 � 5.35 ' 2.75 3.1, SO}_" "l 3450 38:1 51 64 41 135 7 � 1 S -„3/a(a))°° 47nn 500 1.50 1.97 2.53 _ 1.61 5.35 2.75 3.1 _ 20° 3450 38.1 50 64 41 136 70 r 1.5 iI{����¶II 1 ja)a 500 1.50 1.85 2.53 _ 1.61 5.35 2.75 3.0 25.. 920N 3450 38.1 47 64 41 136 70 1.4 4 - I•- - 1''/a�(a)tol 500 1 75 2.05 2.75 3.00 1.61 535 3.00 3.5 3.2 GROOVED OUTLET 970N 3450 44.5 52 76 76 4i i36 75 1.7 1.5 ;61 92AN 500 1.75 2.03 2.75 3.12 1.61 5.35 3.25 3.6 3.2 3450 44.5 52 70 79 41 136 83 1.7 1.5 Y >I z- 2'/z h(a)§° 500 1.50 2.21 2.74 - 91.82 5 64 2 75 3 0 �X 920N345 333 56 70 - - - 46 143 •" §° 500 1.50 2.18 7.74 1.82 5%64 2 75 3.0 _ V T 20, 920N 3450 38.1 55 70 46 143 70 1.4 �1(a)§°. 920N 500 1.50 2.06 2.74 _ 1.82 5.64 2.75 2.9 25 3450 38.1 52 70 46 143 70 14 VV „o-.. 1 74 t fal FI 500 1.75 2.30 3.00 3.25 1.82 6.29 3.00 3.5 4 3.2. I 920N3450 44.5 58 75 83 45 160 76 1.7 15 1' -t-(a)° 500 2.00 2.28 3.00 3.25 1.82 6.26 3.25 3.6 3 FEMALE THREADED OUTLET 920N 40- � 3450 50.8 58 76 _ 83 1 46 159 83 1.7 1.6 %z.(a) 300 1.50 2.22 2.75 _ 2.25 6.46 3.18 3.9 - bl• x 1c y. 920N 055 38.1 56 + 70 57 154 81 1.8 • Provides a direct branch connection at i ' -WW( 92oN L 300 '.50 2.19 2.75 _ 2.25 6.46 3.18 3.9 _ any location where a hole can be cut I '""`�z0"''-0 _ Y 2065 338.1 56 - 70 _ 57 164 81- 1.8 +-in the pipe ' 1-(d) 920N 301 1.50 2.07 275 _ 2.25 646 3.78 3.3 _ 25:'_ t 2065 38.1 53 7G 57 164 81 1.7 _ • A pressure responsive gasket provides .-.1 v(4p- son 1.75 2.30 3.00 3.31 1.92 6.29 3.00 3.5 32 y2ON the sea! 3450 445 58 76 84 49 160 76 1.6 1.5 1'S(a)y 500 2 00 2.28 3 CO 3 31 1.92 6.29 3.25 3.5 33 97GN Reauest Publivatlon 11.03 for �"�'^w^- 4r T 3450 5C8 >G G4 49 '60 83 Mechanica!Tcross assemblies I 3� xa)/Ota}° 920N 500 1.50 2.52 305 2.28 6.15 2.75 3.4 80 _ 15 3450 38.1 64 78 58 156 70 1.6 F + Pressure rated up to 500 psi/3450 kPa p •,e)- 920N 500 ISD 2.49 3.05 2.23 6.15 2.75 3.4 _ on steel pipe; also available for use -_ 20�- 3450 38.1 63 78 - 58 156 -70 1.6 with HDPE pipe 1(a) 920N 500 1.50 2.38 3.06 2.28 6.15 2.75 3.3 25 3450 38.1 61 78 58 156 70 1.6 • Sizes from 2 x WYK x 15 mm 1'/4(a)t° 920N 500 1.75 2.55 3.25 3.56 2.28 6.15 3.00 3.8 3.7 }hrni irrh R�(4"r70(1 v )(1(1 mm _ 32(b) 3450 44.5 65 83 90 58 156 76 1.8 1.8 W�1'k(a)t°� 920N 500 2.00 2.78 3.50 3.56 2.28 6.15 3.25 4.1 3.8 40-(b) 3450 50.8 71 89 90 58 156 83 1.9 1.8 2(a)a° o20ri 500 2.50 2.75 3.50 3.56 2.28 6.75 3.88 4.9 4.6 50 3450 63.5 70 89 90 58 172 99 2.3 2.1 500 2.50 3.00 ( 3.75 2.44 6.72 3.88 3-.8- 90 "'S0`� 1 3450 53.5 /6 i 95 62 171 99 I L8 MPORTANT NOTES: F TABLE CONTINUED ON PG.3 920 and Style 920N housings cannot be **Center of run to engaged pipe end,female threaded outlet only(dimensions approximate). to one another t Available with grooved or female threaded outlet.Specify choice on order, cross connections. t Center of run to end of fitting. # Female threaded outlets are available to NPTand BSPT specifications. @ See page 7 for Fire Protection approvals and pressure ratings. (a)British Standard female pipe threaded outlet is available as listed.Specify"BSPT"clearly on order. (b)For 76.1 mm ihreaded outlet,specify tie"BSPT clearly on order. §Vds approved for fire protection services n L PCB 2,,-roved for fire protection.services 0 Approved for use in China by Tianjin Approvals Company. OF VICTAULIC COMPANY.®2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. ✓ot U1iie REV_K ti CARBON STEEL PIPE•HOLE CUT PRODUCTS 11.02 Mechanical-°T° Bolted Branch Outlets STYLES 920 AND 920N DIMENSIONS Y -�-1 k-z-� mpg TABLE CONTINUED FROM PAGE 2 "AC7° 9201 500 1 1.50 3.03 3.56 - 2.69 7.01 2.75 3.7 100 1` 3450 38.1 77 90 68 178 70 1.8 920N 500 1.50 3.00 3.56 _ 2.69 7.01 2.75 3.7 - 203450 38.1 76 90 68 178 70 1.8 `1(a)° 920N 500 1.50 2.88 3.56 2.69 7.01 2.75 3.6 - }' --- t5- 3450 38.1 73 90 68 178 70 1.8 I r'c - GROOVED OUTLET I w `l/4� 500 1.75 3.08 3.78 4.00 2.69 7.01 3.00 4.0 3.6 920N 32-(b) 3450 44.5 78 96 102 68 178 76 1.9 1.8 1 9 2(aj to 920N 500 2.00 3.28 4.00 4.00 2.69 7.01 3.25 4.2 3.9 Y ►i r-Z-►i -= 40(b) 3450 50.8 83 102 102 68 178 83 2_0 19 -I A92nN i �1 I 2 la),1y Soo 2.50 3.25 4.60 4.00 22.6`'9 7.01 3.6 5.0 4.6 ( r C.'�a 3450 63L 83 102 102 68 178 99 2.3 2.1 V! T .a-_- 2 h(a)t- 920 r 500 2.75 2.88 4.00 4.00 2.69 7.34 4.63 5.8 5.0 quo---_-- -- 65 Y f 3450 69.9 73 102 102 68 186 118 2.6 2.3 -� +-- - + Y + --- t �Almm� Qin 500 275 2.88 _ 400 1 269 7.34 4.63 _ 6.4 VV ,1 _ 3450 69.9 73 - 102-; 68 186 118 2.9 � 3_( 500 3 50 3.31 4.50 4.12 2.69-�-773 5.12 R 4 64 _I 920 3450 88.9 84 114 105 68 196 130 3.8 20 I FEMALE THREADED OUTLET - - -'-- --�' -- 1%4(a)° 500 1.75 3.08 3.78 _ 2.63 7.64 3.05 5.0 108.0 x 32 92ON 3450 445 78 96 67 194 78 2.3 1 k ta1G 920N 500 2.00 3.28 4.00 - 2.63 7.64 325 5.0 • Provides a direct branch connection at 4o- 3450 50.8 83 102 67 194 33 23 any location where a hole can be cut ��""_'_""""2(a7 05 0 2.50 3.25 T 4.00 T 2.63 7.64 4.00 4.0 iii+ * c -� 92019 1450 63.5 83 102 - - 67 191 102 ,.9 _ in ine pipe _ `--- -- - -. - - -- 761 mm 920 500 2 75 - 2 88 4.00 4.00 2.63 7.64 V 4.29 8.0 7.8 • A pressure re-Sponsive gasket provides t 3450 69.9 73 102 102 67 194 109 3.6 3.5 the seal 500 350 3.11 i 4.50 4.50 Z63 7.53 488 5.8+5.5 80. A 920 3450 88.9 84 - 114 114 67 194 124 1L 3.0 - • Reyuesl Pubilcation 11.03,or 5- "1'M_.(a)a' Soo T2.00 v 4.03 4.75 -475-- 3.16 9.70 3.69 /4 7.6 Mechanical-T cress assemblies 125:_x40'. 5L0 3450 50.8 102 121 tzt 80 246 94 3.4 3.4 _ 4 - - ---- - -- -- 2(a)t-Y 500 2.50 4.00 4.75 4.75 316 9.70 4.38 8.2 8D • Pressure rated up to 500 psi/3450 kPa y _40 _-� 9zo 3aso r 635 102 121 121 so 246 ; 1 s.7 3.6 i on steel pipe;also available for use 2ciaTt 920 500 2.75 X3.63 l 4.75 4.75 ^3.16 9.70 4.63 8.3 79 with HDPE pipe 65 _ 3450 69.9 92 121- 121 80 246,-,-.118- 3.8 3.6 76.1 mm 920 500 T 2.75 3.75 _ 4.75 3.16 9.70 4.63 _ 8.0 • Sizes from 2 x 17z"/50 x 15 mm - 3450 69.9 95 21 80 246 118 3.6 r v�" 1 �- ---5-00- 0 -_ i _5- _.�._ 3,16 _- _-_ 4 -3.6-- ----3 _ _ -n�� _ �n n,,, �.,�._3 lal t- .0 3.50 _.81 -.00 4.6_ 3.6 9.70 5.31 8. � 88 th _.-gh 9 . ./_..0 x .M mn, _ 80` `' 3450 88.9 97 127 118 80 246 135 3.8 4.0 1 2. 500 2.50 3.75 4.50 _ 317 8.00 3.88 8.0 135:0 x -50- 920N - 50 3450 63.5 95 114 81 203 99 3.6 3 500 3.50 3.81 5.00 _ 3.00 9.46 5.31 8.0 _ 80 920 3450 88.9 97 127 76 240 135 3.6 TAKE CONtINUED ON PG.4 J IMPORTANT NOTES: **Center of run to engaged pipe end,female threaded outlet only(dimensions approximate). Style 920 and Style 920N housings cannot be t Available with grooved or female threaded outlet.Specify choice on order. mated to one another t Center of run to end of fitting. to achieve cross connections. q Female threaded outlets are available to NPT and BSPT specifications. @ See page 7 for Fire Protection approvals and pressure ratings. j (a)British Standard female pipe threaded outlet is available as listed.Specify"BSPT"clearly on order. (b)For 76.1 mm threaded outlet,specify 21/2"BSPT clearly on order. §Vds approved for fire protection services °LPCB approved for fire protection services E ANpiuveu foi use in China by Tianjin Appruvais Cuinpany. www.victaulic.com VICTAULIC IS A REGISTERED TRADEMARK OF VICTAULIC COMPANY.®2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. �Ct8U1iICfi REV-K 11.023 CARBON STEEL PIPE •HOLE CUT PRODUCTS 11.02 Mechanical-T® Bolted Branch Outlets STYLES 920 AND 520N j DIMENSIONS .-Dimensions �Y �Z TABLE CONTINUED FROM PAGE 3 500 2.00 3.78 4.50 _ 3.30 8.23 3.25 7.0 _ 1139.7 x"-40_ 920N 3450 50.8 96 114 84 209 83 3.2 Zt- 920N 500 2.50 3.75 4.50 _ 3.30 8.23 3.88 9.0 --50- 3450 63.5 95 114 84 209 99 4.1 y _6L x 1 Ya(a) ! 920N 500 1.75 4.43 513 513 3.79 9.15 3.25 5.1 4.8 -- '150'- 32.(b)` 3450 44.5 112 130 130 96 232 83 2.3 2.2 GROOVED OUTLET _ l-Sh(a)tal 500 2.00 4.40 5.13 513 3.79 9.15 3.25 5.4 5.1 Ire w4b-(6)`! 920N 3450 50.8 112 130 130 96 232 83 14 2.3 Via}t� 920N 500 2.50 4.38 5.13 513 3.79 9.15 3.88 6.0 5.6 Z 50 !I 3450 63.5 111 130 130 96 232 99 2.7 2.5 Y ►i �- -� I = - - - - - �� 920 500 2.75 4.15 5.2i 5.69 10.51 4.63 8.4 V 3450 69.9 105 132 94 257 118 3.8 - - 3(M 920 500 3.50 - 4.31 5.50 5.13 3.69 10.51 5.31 9.9 8.4_ Y 8 3450 88.9 110 140 130 94 267 35 4.5 3.8 4(aq-,n 500 4.50 3.81 5.75 5.38 3.69 r 10.51 t 6.25 10.1 10.1 \ W '��QO" "-- 3450 114.3 97 146 137 94 2b7 159 4.6 4.6 ._..`..._ _ L - v �. � 1 ia5--.a 500 ~2.00 4.41 5.13 3.63 - 9.40 T 3.25 7.8 92 159:0wri-� 40.' 920N 3450 50.8 112 130 92 239 83 3.5 FEMALE THREADED OUTLET - -- -"'--�--*-"'-^-'� - 2(a) 920N 500 2.50 4.38 513 3.63 9.40 3 88 8 0 SO- 3450 63.5 - 111_ 130 Y _ _92 239 99 36 ^�761mm 920 X00 ,- 275 4.38 550 5.13 363 940 + 4.63~. 9.5 ~9.5 • Provides a direct branch connection at --- 6 3450 69.9 ,11 140 _. 130 02 239 118 4.3 4.3 any location where a hole can be cut + ""``3 y 500 3.50 T 4.31 5.50 5.13 3.63 9.40 5.31 8.1 14.0 .'- -".7 920 3ncn 88 i inn m 239 .�:,��x:80.- _ �,�„ .....9 � 1,0 ,,,, 1..0 ,< <.,, 135 37 6.4_ in the pipe ---•--�- - ,--- -- --- ---- -- -- - - 108.0 mm 920 500 4.50 4.45 _ 5.38 3.63 940 6.12 10.0 • A pressure responsive gasket_provides I��y 3450 114.3 113 137 92 239 155 s 4.5 the seal 4, - 50 4.50 3.,1 5 3.63-� 9.40 525 18.0 _ _ - 1n0 _ 920 3450 114.3 96 80 ,,.6 92 239 1 159 8.2 • neU Ue5L Pllhllcd[i.pi 11.03 101 - .TABLE 3FiHGeD Gr r4 d Mechanical-T cross assemblies **Center of run to engaged pipe end,female threaded outlet Only(dimensions approximate). • Pressure rated up to 500 psi/3450 kPa t Available with grooved or female threaded outlet.Specify choice on order. on steel pipe;also available for use t Center of run to end of fitting. with HDPE pipe # Female threaded outlets are available to NPTand BSPT specifications. @ See page 7 for Fire Protection approvals and pressure ratings. • Sizes from 2 x lh"/50 x 15 mm (a)British Standard female pipe threaded outlet is available as listed.Specify"BSPT"clearly on order. thr0!-ah R. a"/On(t inn_M lb)For 76.1 nlD1 tnredded outlet,specify 2'yz 35P i cieariy on Order §Vds aporoved for fire protection services I_PCB approved for fire protection services 0 Approved for use in China by Tianjin Approvals Company. IMPORTANT NOTES: Style 920 and Style 920N housings cannot be mated to one another to achieve cross connections. I www.victaulic.com VICTAULIC IS A REGISTERED TRADEMARK OF VICTAULIC COMPANY.©2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. ✓ctaUllice 11.02_4 REV_K CARBON STEEL PIPE •HOLE CUT PRODUCTS 11.02 Mechanical-T° Bolted Branch Outlets STYLES 920 AND 920N DIMENSIONS Y ► �[ TABLE CONTINUED FROM PAGE 4 500 1.50 3.88 ' 4.56 3.79 9.34 2.75 8.0 b 165.1 x• 920N - 25 � 3450 38.1 99 116 96 237 70 3.6 -fl/4-d- 92ON 500 1.75 4.43 5.13 3.79 9.34 3.25 8.4 I 32 -- 3450 44.5 113 130 96 237 83 3.8 � 11h(a)t°, 920N 500 2.00 4.41 5.13 5.13 3.79 9.34 3.25 8.4 I 5.4 40 f 3450 50.8 112 130 + 130 96 237 83 3.8 2.4 2 o20PJ 500 2.5U 4.38 5.13 5.13 3.79 9.34 3.88 8.5 6.0 GROOVED OUTLET IN 5u-, -- 3450 635 111 130 130 96_ 237 99_ 3.9 2.7 j 500 2.75 4.01 5.13 5.21 3.63 10.51 4.63 8.6 76 761 mm I 920 Y 3450 69.9 110 130 132 92 267 11.8 3.9 3.4 K �� � Z-'~ -: 119 --- -- _ - _ 6 o2n 500 350 4.3i 3.50 3.i3 303 i0.51 5.31 20.2 8.4 .0 3450 3450 889 110 140 130 92 267 135 4.6 3.8 V ' 4(a)t. „ 500 4.50 3.81 5.75 5.38 3.63 10.51 6.25 10.5 8.4 T 100 920 3450 114.3 97 Y 146 137 92 267 159 + 4.8 3.8 _ ( - 8 - 2(a),t 500 275 5.44 6.19 6.25 481 1242 450 11.6 11.6 \ / 12(10., SO7 Q20 3450 09.9 '138 157 159 122 316 114 5s 5.3 �/ '7------------ ---- -------- ---------{--- I,:_..4..yL'2`(ajtd 500 275 5.07 6.19 6.19 4.81 12.42 4.50 11.6 '. 11.6 65 .1 92u 3450 69.9 129 157 157 122 316 114 5.3 53 FEMALE THREADED OUTLET ---�-+- i 500 2.75 5.25 _ 6.25 T 4.81 � 12.42 4.56 � _ �� 11.6 76.1 mm o 920 3450 69.9 133 159 122 316 116 5.3 -''3(a)to 500 350 531 6.50 6.504.81 12.42 5.31 22.6 11.6 • Provides a direct branch connection at v,,80''I 920 3450 88.9 135 165 165 j 122 316 _ 135 4__'.L 5+3 an location where a hole can be cut ' 4(a)}u'"1 500 450 4.81 T6.75 6.38 4.81 12.42 6.25 15.3 12.5 in any pipe I'- '.'`.. -�-w SCO-Z! 92Q -.50 „43 171 16_ 12 316 69 5.7 , **Center of run to engaged pipe end,female threaded outlet only(dimensions approximate). • .A pressure responsive Gasket provides t Available with grouved ui ien'iaie threaded outlet.Specify choice un order. tit Se81 # Center of run to end of fitting. • Request Publication 11.03 for 4 FeWdle threaded ou6etsafe 6vaiiabie Lo tiI Tand BS'r'i specifications. Mechanical-T cross assemblies @ See page 7 for Fire Protection approvals and pressure ratings: • Pressure rated up to 500 psi/3450 kPa (a)British Standard female pipe threaded outlet is available as listed.Specify"BSPT"clearly on order. on Steel Alpe; also available for use (b)For 76.1 mm threaded outlet,specify 2112'BSPT clearly on order. with HDPE pipe §Vds approved for fire protection services u-PCB approved for fire protection services • Sizes from 2 x '2750 x 15 mm 0 Approved for use in China by Tianjin Approvals Company. thrn„nh Q.. n^/7()n., 100 m.., IMPORTANT NOTES: Style 920 and Style 920N housings cannot be mated to each other to achieve cross connections. www.victaulic.com iCtaulllc° VICTAULIC IS A REGISTERED TRADEMARK OF VICTAULIC COMPANY.®2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. REV_K 11.02_5 CARBON STEEL PIPE •HOLE CUT PRODUCTS 11.02 Mechanical-T° Bolted Branch Outlets STYLES 920 AND 920N FLOW DATA Flow test data has shown that the total head loss between point(1)and(2)for the Style 920,920N and 929 Mechanical-TO fittings can best be expressed in terms of the pressure difference across the inlet and branch.The pressure difference can be obtained from the relationship below. U Cv and Kv Values Values for flow of water at+60°F/+16°C are shown in the table below. Formulas for Cv/K Values: AP = Q2 Where: AP - Qz Where: 0— 2 Q=Flow(GPM) K Q=Flow(m3 /h) _ AP=Pressure Drop(psi) AP=Pressure Drop(bar) Q = C,.x NAP C =Flow Coefficient Q = v x "EF n _Floor Coefficient Exaggerated for clarity 0 i1Y. .- OUTLET SIZE '. ;i -�__..........,1 0.840 1 11 15 21.3 I -. 2 9_4 .I Y _ 1.050 Ir 4 16 z��ss74 99_ 26.7 -- +- - - -- - 13 v1. 1 1.315 1 21 =[5 33.7.. 1. 8 i_8 1 firo 50 as 32 -- 42.7 _ _ -5�h _ 6 42.9 41.1 1.900 T 53 53 98 3 - - h 45,A 45.4 _-�21 2.375 I 112 104 3 „ 9 1011/z- 96 89.1 2 h 2.875 I 119 150 655 '� 73 0 20 - 121/2 102 128.5 7 - 76.1 mm �1 3.000 6* 161 1 76.1 13_8.1 3 3.500 _ --- - - 249 237 80 88.9 4 5%z 213.4 203.1 4 4.500 421 401 114.3 20 22 360.8 343.6 t Hazen-Williams coefficient of friction is 120. *Pipe with a wall thickness of 0.165in14.2mm. www.victaulic.com VICTAULIC IS A REGISTERED TRADEMARK OF VICTAULIC COMPANY.®2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. �ctaUilc�. 11.026 REV K CARBON STEEL PIPE -HOLE CUT PRODUCTS 11.02 Mechanical-T° Bolted Branch Outlets SWLES 920 AND 920N FIRE PROTECTION APPROVALS AND PRESSURE RATINGS The information provided below is based on the latest listing and approval data at the time of publication. Listings/Approvals are subject to change and/or additions by the approvals agencies.Contact Victaulic for performance on other pipe and the latest listings and approvals. Rated Working Pressures-psi/kPa .'.''r P211 "1" All 10 402155 275 200 290 232 352 400 400 755 1999 .1599 2496 - =21/2-4 "1 2.875-4.500 300 300 30C_-- 290 232 362 All DF C C O _ .-ec-mn,_,aj 73..n_p4.? 2055 205.: 2n5, , loop 15oq _4.5 21/2-4 2.875-4.500 All SF 300 300 300 y— 290 232 362 65-100 '_j 73.0-114.3 2065 2065 2065 1999 1599 2496 6.625 300 300 2,0 ----- 290 232 352 150 168.3 ''4 _ _i0 2065 2065 1724 1999 1599 2496 6 6'625 rt-- 3,4 t 30,40— 1 _ 300 300 -f- 300 — 290 .- 232 - 362 1 150 j 168.3 2065 2065 2065 -1999 1599 2496 441.0 - — -r— ='2GOa =j 2151 21/2 10.40 2755 8.625 �— z,4 10 300 250 145 _ 200 J i 219.1 2065 1724 1000 8 8.625 3,4 30,40 300 _ 300 _ 145 - 200-` 219.1 -. 2065 2065 1000 NOTES: 10 refers to Listed/Approved Schedule 10 steel sprinkler pipe. 40 refers to Listed/Approved Schedule 40 steel sprinkler pipe. DF refers to Listed/Approved Dyna-Flow steel sprinkler pipe manufactured by American Tube Company. SF refers to Listed/Approved Super-Flo steel sprinkler pipe manufactured by Allied Tube and Conduit Corporation. VIC-TAP II HOLE CUTTING TOOL FOR The Vic-Tap Ii hole cutting tool is designed for use with the Style 931 Vic-Tap Ii Mechanical-T unit, 4-8"/100-200 MM CARBON STEEL PIPE which is a combination of the Style 920 Mechanical-T and Series 726 Vic-Ball Valve.The Vic-Tap II is capable of tapping into carbon steel pipe systems under pressures up to 500 psi/3450kPa. The Stvle 931 Vic-Tap II Mechanical-T unit is a full Dort hall valve which can be mounted on 4"/100mm, 57125 mm,67150mm and 8"/200 mm diameter pipe.The Style 931 comes with a 2 x/2"/65 mm grooved outlet. The drill motor is an electric motor with ground fault circuit interrupter(GFCI)in accordance with safety codes. For more information,refer to publication 24.01. try C ` r www.victaulic.com ICtaull�i VICTAULIC IS A REGISTERED TRADEMARK OF VICTAULIC COMPANY.©2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED, REV K 11.02 7 CARBON STEEL PIPE Mechanical-r Bolted Branch Outlets STYLES 920 AND 92ON INSTALLATION Reference should always be made to the 1-100 Victaulic Field Installation Handbook for the product you are installing. Handbooks are included with each shipment of Victaulic products for complete installation and assembly data,and are available in PDF format on our website at www.victaulic.com. WARRANTY Refer to the Warranty section of the current Price List or contact Victaulic for details. NOTE This product shall be ma,ufactu,ed by Vctau:ic Gr to Victaulic specifications.A"products to be installed in accordance with current Victaulic installation/assembly instructions.victaulic reserves the right to change product specifications,designs and standard equipment without notice and without incurring obligations. I For complete contact information,visit www.victaulic.com i 11.02 1480 REV K UPDATED 4/2010 �Ctau�IL+° VICTAULIC IS A REGISTERED TRADEMARK OF VICTAULIC COMPANY.®2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. 11.U2—K Schedule- 1 015chedule-40 - ABF11 kle pi ------------ When you specify flied Sched_,!e-10/Schedu'!e-40-A,BF!I sprinkler pipe you get a UL listed and FM approved product. Although these products do not require separate approvals, Schedule-10/Schedule-40-ABFII gives you the extra quality assurance you demand. Our Sch-10(11/4"-8") pipe and Sch-40 (1"-21/2") pipe have passed the same thorough lab testing as our other listed pipe products, and receive periodic mill inspections from both UL and FM agents to ensure consistent quality. O Galvanized Pipe ' ^' ^ ' -' ` NPS Nominal LD. Wt. t(1120 filled) Schedule-1 d/Scheclule-4+0-ABFII product can be I "hot-dip" galvanized to meet FM requirements for - dry systems in accordance with the zinc coating 1" 1.049 1.680 2.05 I -1 u . 25 2 05 - specifications of ASTM A-123. 26 6 5 3. '- - I- -.-�.. .. _- - i 1A I 1.380 2.270 I 2-.93 1 Superior Coating ._" .;,_ 36 _=. 0 436 "' .o Our advanced formula mill coating offers a clean, 11/2" 1.610 2.720 3.61 1 durable surface.It is also paint-ready for custom °" . a color applications without special preparation. 2 I 2.067_ 3 650 5.13 1 54� 54 4, The internal surface of all Allied Tube&Conduit Fire ' 21n' I 2.469 5.790 7.8 1 Sprinkler pipe products up to 4.500" in diameter is 6,,_, ,, - �^-- • Qti� ,, 1 -,_ coated with our new Antibacterial Formula, "ABR".In scientific laboratory tests,.ABFiI proved to have M- M= s Wa, a,e superior resistance to microbial colonization of pipe NPS Nominal I-D. wt. Wt.(H20 Filled) CRR walls,thereby inhibiting or possibly preventing the '1LI Lbs;IFt,k rii"� 'ibvFt;kgtm _.-p' onset of Microbiologically Influenced Corrosion 11/a" 1.442 1.810 2.525 70955 (MIC)upon installation and the first 25 flushes of 32 36.6 2.7 3.75 - the fire sprinkler system.* 11/2 1.682 2.080 3.04 5.6570 40 42.7 3 1 _ U American Made 2 2.157 2.640 I 422 4.5827 Able to meet"Buy American" requirement and is 6 =TT-Q ' 8""'��' -°3"9'` '` `6.'115 ' ` available through distributors in the USA,Canada, 21/2 2.635 3.530 5.89 3.5196 nnnXir„and I otin 6•mnrira 3" 3.260 4.330 7.94 2.5550 Q Specifications &Approvals 75 82.8 6.4 11.82 �- Schedule-10/Schedule-40-ABFII pipe are in 4" 4.260 5.610 11.78 1.6020 compliance with the following:ASTM A-135,Type E it too 108.2m 8.3 Grade A,and 5" 5.295 7.77 17.33 1.4874 NFPA 13.All pipe products have a rated working125 134.5 11.56 25.80 pressure of 300 psi maximum and also meet the 6" 6.357 9.290 23.03 1.0251 stringent requirements for the following applications 150 13.8_. 34.27 - and tests: 8" 8.249 16.490 40.15 1.8365 Welded Outiet� r.--. '- " z� l;'^-TM rn=5�.-- =" :=-5y?5 • Hydrostatic Pressure Y � c@ •nvnovec *See ABFII warranty ®n~ Customer Service(800) 882-5543 Fax: (800) 659-7730 - www.alliedtube-sprinkler.com -4e TUBE = racda•tiC� z -�x�50Hat >o�. e- �2ro?' P:r2?th.A:e:: ��� '600v_a,:Sw_�.�_Pi3� .,. TUBE&CONDUIT, Harvey,IL 60426 Philadelphia,PA 19154 Phoenix,AZ 85009 Morrisville,PA 19067 02008-10 Tyco Int.,All Rights Reserved,STP-SS-3-1001 1 1 FireLock° Fittings , �c LPCB Seee Victaulic c publication 10.01 for detailsis MIIPO FireLock®products comprise a unique system specifically designed for fire protection services.FireLock full-flow elbows and tees feature CAD-developed,hydrodynamic design,affording a shorter center-to-end dimension than standard fittings.A noticeable bulge allows the water to make a smoother turn to maintain similar flow characteristics as standard full flow fittings. FireLock fittings are designed for use exclusively with Victaulic IPS-sized couplings that have been Listed or Approved for Fire Protection Services. Use of other couplings or flange adapters may result in bolt pad interference. Victaulic FireLock fittings pressure ratings conform to the ratings of Victaulic FireLock Style 005 couplings. 41011 MATERIAL SPECIFICATIONS Fitting: Ductile iron conforming to ASTM A-536,grade 65-45-12. Fitting Coating: Orange enamel. • Red Enamel in EMEA-l. • Optional: Hot dipped galvanized. JOB/OWNER CONTRACTOR ENGINEER System No. Submitted By Spec Sect Para Location Date Approved Date www.victaulic.com VICTAULIC IS A REGISTERED TRADEMARK OF VICTAULIC COMPANY.®2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. �ataUI—id RE VJ 10.031 r IPS CARBON STEEL PIPE-FIRE PROTECTION PRODUCTS 10.03 FireL®ck° Fittings DIMENSIONS wCtoE C to E 1 p CtoE p p C- f 0 �-p WE Iej �'� � lod E L ee NO.001 N0.003 NO.002 NO.006 rr . 003 No.002 No.,006 r r r r r 1 Y4 1-660 0.8 i 0.3 42.4 -- - - -- -- -- I 21 01 1.900 - - - -- - 0.82 0.4 40' 48.3 - - - - 210.2 2 2.375 2.75 1.7 2.00 1.8 2.75 2.4 0.88 0.6 50- 60.3 70 _- 0.8 i 51 0.8 i- 70 1.1 - 22 j 0.3 _ 2.875 3.00 3.1 2.25 2.2 3.00 3.6 0.88 -T_- 1.0 r 765 " ; 73.0 i 76 1.4 57 1.0 76 1.6 22 0.5 3.000 3.00 3.30 225 --- 2.4 - _s 76'imm -' 76.1 76 1.5 57 1.1 - - 3 3.500 3.38 4.0 2.50 3.1 3.38 5.3 0.88 1.2 88.9 86 1.8 64 1.4 86 2.4 22 0.5 -+- ;ywc 4.250 ~ 400 5.7 3.00 5.1 4.00 7.57 105.0 1C2 2L 76 2.3 102 3.4 - - q i.500 nnn 6' 3.00 56 4.00 87 UJO 24 -- -,300 =. _ 114.3 102_ _ _ 3.0 76 2.5 102 __ 3.9 _ _ 25 ! 1.1 5 - 5 .563 ---4.88 12.6 325 8.3 ~4.88 15.7 1.00 - - 4.1 - 125 I 141.3 124 57 83 3.8 t 124 7.1 25 1.9 _I t � 6.250 -� 5.50 ".- - 12.6 3.50 9.2 5.50 1 A9 ---. - I 49�m > 93 ?0 5' E? 4.2 140 80 i 6 _ 6-.62-5- 5.50 18.3 3.50 ! 11.7 5.50 22.7 1.00 5.9 - 50 168.3 140 8.3 89 _ 53 140 in 25 2.7 8.625 i 6.81 25.5 ^.25 20.^, bon, 'g' 1A3 - 12.7 - ,2QO 219.1 173 11.6 108 9.3 176 17.6 29 5.8 www.victaulic.com A-c-tau-lic- VICTAULIC IS A REGISTERED TRADEMARK OF VICTAULIC COMPANY.0 2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. 10.032 REV-I IPS CARBON STEEL PIPE-FIRE PROTECTION PRODUCTS 0.03 FireLock° Fittings FLOW DATA Frictional Resistancesi- Equivalent Feet/meters of Straight Pipe ttmI E660 1.5 0.8 3.7 1.5 42.4 _ 0.5 U.2 I 1.1 0.5 1.900 2.2 1.1 5.5 2.2 48.3 0.7 0.3 1.7 0.7 c 2.375 3.5 1.8 8.5 3.5 50 60.3 1.1 0.5 26 1.1 2'h "-_ 2.875 4.3 2.2 108 4.3 o5r 73.0 i3 0.7 3.3 13 I� 3.000 4.5 2.3 11.0 4.5 761 14 0.7 3.4 1.4 {I 3 3.500 5.0 2.6 13.0 5.0 839 0._2_3 4.0 1.5 108m j 4.250 6.4 3 153 6.4 1 1080 2.0 0.9 47 2.0 4 6.8 3.4 1 6.8 - 100 114.3 114.3 2.1 1.0 4.9.9 2.1 5.563 -8.5 4.2 21.0 -- 8.5 yj-...125 x 1413 .. 2.6 1.3 6.4 2.6 159mm - 6.250 9A 4.9 25.0 9.6 158.8 2.9 1.5 _ 7.6 2.9 6 6.625 10.0 5.0 25.0 10.0 150 - 168.3 3.0 1.5 7.6 3.0 8.625 13.0 5.0 333.0 I i3.0 �_`� I' t01 `y 219.1 4.0 1.5 101 4.0 t The flow data listed is based upon the pressure drop of Schedule 40 pipe. I www.victaulic.com VICTAULIC IS A REGISTERED TRADEMARK OF VICTAULIC COMPANY.®2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. ictaullc' REV_I 10.03_3 IPS CARBON STEEL PIPE—FIRE PROTECTION PRODUCTS 1Q.03 FireLock° Fittings GENERAL NOTES NOTE:When assembling FireLock EZ couplings onto end caps,take additional care to make certain the end cap is fully seated against the gasket end stop. For FireLock EZ Style 009/009WO09H couplings,use FireLock No.006 end caps containing the"EZ"marking on the inside face or No.60 end caps containing the"QV EZ"marking on the inside face. Non-Victaulic end cap products shall not be used with Style 009/009WO09H couplings. WARRANTY Refer to the Warranty section of the current Price List or contact Victaulic for details. NOTE This product Shall be manufactured by Victaulic or to Victaulic specifications.All products to be installed in accordance with current Victaulic installation/assembly instructions.Victaulic reserves the right to change product specifications,designs and standard equipment without notice and without incurring obligations. For complete contact information,visit www.vicfaulic.cnm 10.03 1539 REV I UPDATED 2/2010 �iCtal.1�IC• VICTAULIC IS A REGISTERED TRADEMARK OF VICTAULIC COMPANY.0 2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. 1U.03 Schedule-10/Schedule -40 - ABF11 LAht-U- all - When you specify Allied Schedule-1 O/Schedule-40-^.BF!! sprinkler pipe you get a UI listed and FM approved product. Although these products do not require separate approvals, Schedule-10/Schedule-40-ABFII gives you the extra quality assurance you demand. Our Sch-10 (11/4"-8") pipe and Sch-40 (1"-21/z") pipe have passed the same thorough lab testing as our other listed pipe products, and receive periodic mill inspections from both UL and FM agents to ensure consistent quality. O Galvanized Pipe nir �-�.. n nn. �.._. NPS l Nominal l.v. wt. '�1 H2O Filled 'RR `icued'ule-10/jcheuule-4u-ADrll product Can be I I ( I "hot-dip" galvanized to meet FM requirements for in-mm =An rM__ •y = - Lbs7tt,"k;lm$ - :-= t�s_� k r,;,= dry systems in accordance with the zinc coating 1" 1.049 I 1.680 2.05 1 sDecificationsofASTMA-123. 25 26.6 z.5c,5 - 1114„ -j i.3s �-~ 2.270 2.93 1 t` .. ® Superior Coating �3 � �� _� _. Our advanced formula mill coating offers a clean, 1Y2" 1.610 2.720 3.61 1 durable surface.!t is also paint-ready for custom ;---40:9- ,_ _40 �-` ,"'� v 5*�7� " color applications without special preparation. 2 � I_2.067 3.650 I L I The T.e f I i i internal surface GIC a1i Allied Tube&Conduit Fife -� 1 Sprinkler pipe products up to 4.500"in diameter is 2,, 2.4E9 5.790 7.86 Coated with our new Antibacterial Formula "ABFII' °'.•. l it ^7 =i�R r In scientific laboratory tests,ABFII oroved to have t " superior resistance to microbial colonization of pipe NPS Nominal I.D. wt. - Wt:(H20 Filled) CPR walls,thereby inhibiting or possibly preventing the tn;mm �: ! ;mm - Lb3lFfikglm, Lfis1Ft,,1c m - onset of Microbioloqically Influenced Corrosion 11/4° 1.442 1.810 2.525 7.0955 (MIC)upon installation and the first 25 flushes of , 2 36.6 2.7 3.75 the fire sprinkler system.* 1v2" 1.682 2.080 3.04 5.6570 �49. -4.2.7- American .2.7American Made 2 2.157 2.640 422 45827 Able to meet'BuyAmencan requirementand is 56� '3:!Y--- FzBF."z available through distributors in the USA,Canada, 2112 2.635 3.530 5.89 3.5196 AAeyirn 3" 3.260 4.330 7.94 2.5550 O Specifications &Approvals 75 82.8 6.4 11.82 - Schedule-10/Schedule-40-ABFII pipe are in 4" 4.260 5.610 11.78 1.6020 compliance with the following:ASTM A-135,Type E 4_ 100 ,._ 108.2 F8.3 17.53 s Grade A,and 5" 5.295 7.77 17.33 1.4874 NFPA 13.All pipe products have a rated working 125 134.5 11.56 25.80 - pressure of 300 psi maximum and also meet the 6" 6.357 9.290 23.03 1.0251 stringent requirements for the following applications 150, 161.5 _13.8 34.27 a,and tests: 8" 8.249 16.490 40.15 I 1.8365 � VVeId CU Ue LJ • Hydrostatic Pressure ��L c YL 0 .: •vvrtoveo *See ABFII warranty t L Q- 1 � � .���:�-�_._�� __ T - Customer Service(800) 882-5543 Fax (800)659-7730 www.alliedtube-sprinkler.com �� t�?%1o° L3thr9�- .--c:y'a-" Nerc rn;Rd. -2525 N-7,vti v4, TUBE&CONDUIT* Harvey,IL 60426 Philadelphia,PA 19154 Phoenix,AZ 85009 Morrisville,PA 19067 ®2008-10 Tyco Int.,All Rights Reserved,STP-S5-3-1001 • a �: t r s � Ward Ciass 150 Mall b-le Iran Fittings are are made with the most smphisti _ cateet�llvrglc�l a�ad proc sslnq-curl ii rn - trols available, fron samples are continuously-analyze-d using k 1 - - quality. This-sophisticated chemical - � �� C -- L`__ _ - riysisis-Cor»p-1er'nernfei_ty riPYoits` _ __ - - quality control-of incoming raw ni-terials - - and iroii pr-ocessi Thee final castin --_-- -prodv�d-t�r-itrFsrletar rstrr�r�� --- - �-� non-porous iron. - j LL - Qti"zloty -_.forWard-fittmgs.--F-rofn-this-front;acctxF ._.---- rate threads are machined that,com-PlY Isetiars Moped-kms thew - _ _ �--�--t8ne-ArneT°rcaa'r-Nim- `�tart�t�rxr -_.__�- - Inst.itutQ (ANSI), The threads have an - _. accurate forum, ead length and th r� - _ Stglitn6-- tc 11Q+ th m t Slly_,_. -- - -- - ragtP� ad .:ptge-frsac�ci;r. ru, + al = - fittitr h ve arcci iiarnte'reri Wprwi -to- allow faster and -easier pipe enaeinent ai fea. -m prate Min 6trads t�c� n drrrage dr> Sandin AH W6-ed-lack aft `ripzed=Class - _ - Pi;Nk- ,� � -���fd9�rlteabi� lr�vr�uttmngs ht��img-�tf�kl N, .� ;� r =_ =rarugifg from Ili'"=tKrolYt ''.are eir =.- - - -- r •�-=_ - - - - - - tested at 80 pslg. This test is part of a constant ,program to maintain the highest F I! e1 G e " • i '� a IM i � a - e --- - ----- - ----!Material= -- —ASTM A1_93_— — + ---- - .-' ----- Pressure --- - --9q ings, - --- ANSUAS'AhIEB 16,3 - -- - - - -- - - - _--- -- - -- - ---Coa,ti1ngs- - -_.AS-Th7-A IU__ — -- - --- ---- - — -- e ---- - — ---- Additional e -------- -S acification_s_Fad ga'I__Spg_p�Ayy" s21_------ LIL, ULC AND FPA, as applioaatble- --- --- <e * -- ---- 0- Iv ALLEABLE IRON, 90 - ELLS GLASS 15.0 [ Fl � URE47, Genter to Outside Dia, Take O:u L -1-gth of -4 bt 6�rd MlTlMn-07Z.t 11 .4iads A lim,m) �� mm ) .0.600 0440 1 0,250 EVO .0.840 0435 '0.-20 :0,950 tato 0.5-75 0�360 1227 1.120 1.2dO :D.MA---Io 9�4-30, -3/41 .1.310 1,460 �;Wr4t tso-o 1-.17-0 D:V.3 7 7 1.750 "21 Ma 0.A70 7 172" 1. 40 2A80. t'253 L7", joL7Q0. I z ,2" .2-.250 2-49rda. two fj"?bu 1 Q � " zno 3.590, lA33 '0:R20 2"080 0:� 8080 4' 3.790 .5.4co. Z685, .,oas MALLEABLE I HON -R E DU101-N:0 ELL-S CLASS 1 5j 0, F--1 G U Ft .E F �`` x --biiFeWF -,Cen, Odmfde 015 rldt- LRpLgtK /"TaKe 'f €e p NPS, to 6d ta-"E 'd -D(6��,Of .6ref ..df '6i Opt 00 C q and.H. Thre'ad, -1nj -d hl V i 318 x.11.4`. 0380 0.900 1.0-1-0 N, 0340 G-la?o. 0,505 17j3$35, 1.040 1 a: —1..200 Oi 0,00 0.86014 112:X 1/4" 0,970M980 1,200. 0'940, A,4;30 1'}:3200,�4 r4 1,1to 1 1.220 '1A 1 1,200%, .r 0.430, (1-SM. I 0120. W4 x.3,iS" 11.120 111180 1.1460, 1-01 D^k 6.4.500 Oloo 04556' 0-7.55 1 x314" 1.370. 1.460 lAo, `,�0,580 0,500: -0.6183 M-888 I x 1121 11, 1:364 1.770. z1t906— a 0-430 0,573 (1860 1:x 317, 11190 1270 1,170, 1.0l-0�— 0.360 OAq? 0.095 .1 114 75.1 ' 1,580 1,x;70 2:1 1;770. 0.500 O,F3.95 0:9133 1 -11.460 1 1.620 K5O— I.--..4r>D ',,V$00 0.763 1-.0,58 "8 4. 'D it iAx:1124 1,34 1.510: . i 200 i .0 67Q 1 112-)(1 114 11 380,-�/ 2,430 Lisa 0,700 0,670',, JIM_ 71193 1,B20 30 Q--. - 0,653 19 2,430 1170 -0,700 (1560 O.,q63 1-111 i 1 112 x 3I47 I /f.750 2;439 I 1,460 I 0,70a I 0.500 8�8 I�PN 1 1,2 1/2' 1,4'fri "l 1,660 1 2-430, 0,700 0.430 U.'71* i-isu 2'.x 1 112 2.. 2-1 C32,960 2-,430 0.150 OJUD 1270 1473 2)c 1 114" 00 2,10,0 SAW 2.150, 1 0.750 1 0,670 1150 413 1��739, 2OR0 2.'960 1.770. D.no 0.9.80 1',;3o�s 2.950 1: -0 0350 1 O-ROD 0.850 1 2:x T Lz970 *� 46- ax 1 t8so -2-960 1010 :1750 0,430 - 0.7-40-- 1.380 2 zx 21 .2.390 2;600. i - -g R-I960. 0.920 ..[0350 1. 53 1450- 01j2 x 1 Vat 211601. 2,510 31590 1 2.430, .0 920 1 0.70 1 1-223 1.929. 3)(:2" I Z520.. 9190. 42B0 2,960. ii 0A80 i O.M' 1.52 2-140 lR/IALUE.ASLE 1RO: NI 'STREET 450 ELLS: L4 S.S. 150 FIGURE . £ K i Q Getter Canter to Take Out Tbke pact � rt' Length of M'ax Port CJuiside I, (� I! to./End f PuaaleV.;Pri(i dr�alo.;Enr3 I :,MATO End �I E�xt,erOatl AADra Lo � um,of � I Nps c 1t '9'.'r4a r 71h-gid Fi i.�..4a.End i7Zrnd p r _ B rrriri mih). N_ H mlij: e.M: -0.3.00..._. .440, _ a.55a: a: :2a f12Q0 0"Gau 318" 0.800 1,090 - i1, _ 555: 0:360 04301 0370 1 0.880 1.150 a 0.550 OAM DMO 10 11200 3t4° 0.900 1290 0.41;8. 0.728 0.500- 0.550 "O.62i, ASO -- k910V 1120 1:47 n3O.78S 0.580 0-.,66L1 .770 0 - "1 114" 129G 0 G,603 0.71 L M0 f 11'z - f:4 1:809 O 743: - 1 1,9 -a:7Oa a,72i7' 1.390 2AWN 2" G 2220 0930- 1479- 0:75.0 047 1.790 2,960 MALLEABLE I ROiN -T-E S STRAiG -H7 QL.A ' S I 001 F1 G U RE 52 Cerktar' I Length Takdl ---- ii -- t df I aril NPS Ehd Threads. A B.Min HE 1118"' 0.690 .250 b.565 r Aafi ..t 0 ,,,.� •1R _ V.Sd A 4f Y.,VbV' '11,�1J:� 4J 540 319" 0.950:t. '�Q'-43�O [� 0475 1.010: h-A=�1 112" 1.120 0-.620 1:200314' 1 3100 Q 748 _ 1 460 G.5au it al 1.114' 1,750 0:670 1.063 2,1150 1112" 1:940 0.700 1.253 2.430 _ 2" 2.250 0.750 f.500 si: 21/2' 2.700, 0.920 1.763 l 3.590 3' 3.080 0.980 2.080 4:280 4W 3.7,90_ 1-:(1:8{1 2.6:65 5:40 _ I 1 1 i I) TOLCO' www.tolco.com ev DD: Fig. 200 - "Trimline" Adjustable Band Hanger c L O us us1Eo Fig. 2008 (Import) - "Trimline" Adjustable Band Hanger FM w/Retainer Ring Size Range — 1/2" thru 8" pipe Material — Carbon Steel, Mil. Galvanized to G90 specifications Function — For fire sprinkler and other general piping purposes. Knurled swivel nut design peri-nits hanger / `\ adjustment after installation. ® i / ----- Features • (1/2" thru 2") Flared edges ease installation for ali pipe types and protect CPV% plastic pipe from abrasion. Captured design keeps adjusting nut fror^ separating:ting with hanger. Hanger iA s euc � ily installed around pipe. A (21/2" thru 8") Spring tension on nut holds it -- secureiv in hanger before instaiiation. Adjusting I �i nut is removed. y � Fig.200 1"_?" Fig.200 2'k' 8" Approvals — Underwriters' Laboratories listed Y (1/2" thru 8") in the USA(UL)and Canada(cUL) for steel and CPUC plastic pipe and Factory Mutual Engineering Approved (3/4" thru 8"). Conforms to -A \ Federal Specifications WW-H-171 E, Type 10 and Manufacturers Standardization Society SP-69, Type 10. h6aximum Tenriperaiure — 650T Finish --- Mil. Galvanized. Stainless Steel materials will , be supplied with (2) hex nuts in place of a knurl nub. ' AOrder B — Figure number and pipe size ' Note — Figure 20OR (import)with retainer ring and A non-captured knurl nut. F 20OR 21/2"-8" -` Fig.200R 1/2"-2" Dimensions•Weights Pipe Rod Size Max.Rec. Approx. Size Inch Metric A B Load Lbs. Wt./100 1/2 3/8 8mm or 10mrT1 31A 25/8 400 11 3/4 3/8 8mm or 10mm 31/8 21h 400 11 1 3/8 8mm or 10mm 33/8 25/8 400 12 11/4 3/8 8mm or 10mm 33/4 27A 400 13 11/2 3/8 8mm or 10mm 37/8 27/8 400 14 2 3/8 8mm or 10mm 41h 3 400 15 21h 3/8 i 0mm 55A 41A 600 27 3 3/8 1Omm 57/8 4 600 29 31/2 3/8 10mm 73/8 51/4 600 34 4 3/8 10mm 73/8 5 1000 35 5 1/2 12mm 91/8 61/4 1250 66 6 1/2 12mm 101A 63/4 1250 73 8 1/2 12mm 131A 8-3,/4 1250 136 OFFICE/MANUFACTURING FACILITY•1375 SAMPSON AVE.•CORONA,CA 92879•PH: 951.737.5599•FAX: 951.737.0330 m CUSTOMER SERVICE•800.786.5266 www.tolco.com � VTOLCO' �J of NIBCO, Revision 00: Fig. 68S and 68W - 1110allea-ble, Beer aluie AVAILABLE 2009 Beam Clamps 3/4" and 1-114" Throat Openings FM C us usiEo Size Range — 3/8" thru 7/8" rod APPROVE Material — Cast Malleable Steel with hardened cup point set screw and jam nut Function — Recommended for hanging from steel beam where flange thickness (� J does not exceed 3/4" (Fig. 68S) or 1-1/4" (Fig. 68W) �® Features — May be used on top or bottom flange of the beam. Beveled lip �4 allows hanging from top flange where clearance is limited. may be installed UJitil the Set screw in the up of down position. 0fiS6t design perniit5 un;1mited rod �` 1 adjustment by allowing the rod to be threaded completely through the clamp. The rear window design permits inspection of thread engagement. Approvais — Factory iviutuai Engineering Approved. Underwriters Laboratories r Listod. Conforms to Federal Specification :nnn,/_H-171 E, Type 23 and ------------ Manufacturers --------Manufacturers Standardization Society SP-58, Type 19. Fig. 68S 3/8" is cULus Listed to support run to 4" pipe with the get screinr in the COwn pos!tion, up to 3" pipe with the set screw in the up position. Fig. 68S 1/2" is cULus Listed to �$ support up to 8" pipe with the set screw in the down position, up to 6" pipe ,.r.,ith the set screw in theu- position. Fig. 6811:1 3/8" is c:lLus Listed to support up to 4" pipe with the set screw in the down position, up to 4" pipe with the set screw in the up position. Fig. 68W 1/2" is cULus Listed to support up to 6" pipe with the set screw in the down position, up to 6" pipe with the set screw ` J in the up position. Factory Mutual Engineering approved only with the set \ t screw in the down position. Finish — Plain \"'" i✓� - . .`- Note — Available in Electro-Galvanized and HDG finish Order By — Figure number, rod size&finish ROD , Fig. 68S — SIZE Dimensions •Weights i ___� Max.Rec. Max Rec. Rod Load Lbs. Load Lbs. Approx. F —�— Size A B C D E F Set screw up Set screw Wt./100 , 3/8 3/8 1-1/2 3/4 1-1/8 7/16 7/8 610 610 32 1/2 3/8 1-5/8 3/4 1 7/16 1-1/8 750 1 130 54 5/8 1/2 1-9/16 3/4 1 9/16 1-1/8 750 1130 50 3/4 1/2 1-3/4 3/4 1-1/8 9/16 1-1/4 750 1130 81 D 7/8 1/2 1-3/4 3/4 1-1/8 9/16 1-5/16 750 1130 75 f E Fig. 68W Dimensions •Weights Max.Rec. Max Rea Rod Load Lbs. Approx. Size A B C D E F Load Lbs. Set screw Wt./100 �7! Set screw up downr 3/8 3/8 1-9i16 1-1/4 1-1/8 //16 13%16 610 610 41 1i2 1/2 1-9i16 1-i/4 i 5/8 1-1i8 750 1130 66 5/8 1/2 1-1/2 1-1/4 1 9/16 1-1/8 750 1130 68iLA o _ 3/4 1/2 1-3/4 1-1/4 1-1/8 3/8 1-1/4 750 1130 110 _ 7/8 1/2 1-3/4 1-1/4 1-1/8 9/16 1-5/16 750 1130 98 OFFICE/MANUFACTURING FACILITY•1375 SAMPSON AVE.•CORONA,CA 92879•PH: 951.737.5599•FAX: 951.737.0330 CUSTOMER SERVICE•800.786.5266 www.tolco.com FIR N PR 0.50 V87 aCJ. 4� FM @V LPCB C E rd SEE VICTAULIC PUBLICATION 10.01 FOR DETAILS Adjustable Concealed Standard Spray Pendent Standard and Quick Response V3801 STANDARD RESPONSE V3802 QUICK RESPONSE This concealed,designer style sprinkler allows up to W713 mm adjustment to accommodate concealment needs.The"standard"design provides a consistent hemispherical spray pattern. The separate two-piece mounting cup/cover plate allows easy installation and testing prior to ceiling installation.It also permits removal of suspended ceiling panels without system shut- down.The design incorporates state-of-the-art,heat responsive,frangible glass bulb design (standard or quick response)for prompt,precise operation. V3801 AND V3802 This sprinkler is available in various temperature ratings(see chart on page 2)and finishes to meet many design requirements. SPRINKLER OPERATION: The operating mechanism is a frangible glass bulb which contains a heat responsive liquid.During a fire,the ambient temperature rises causing the liquid in the bulb to expand.When the ambient temperature reaches the rated temperature of the sprinkler,the bulb shatters.As a result,the water- way is cleared of all sealing parts and water is discharged towards the deflector.The deflector is designed to distribute the water in a pattern that is most effective in controlling the fire. COVERAGE: For coverage area and sprinkler placement,refer to NFPA 13 standards. TECHNICAL SPECIFICATIONS: Models:V3801,V3802 ACCESSORIES Style:Adjustable concealed,ordinary hazard, Installation Wrench: light hazard Concealed:V38-4 or V38-5 Q ^ Nominal Orifice Size:'fz"/13mm Sprinkler Finishes: K-Factor:5.61mp./8.1 S.I.A Plain brass(only) Nominal Thread Size:'k"/15mm Cover Finishes: Max.Working Pressure:175psi/1200kPa Chrome plated Factory Hydrostatic Test: 100%@ 500 psi/ White painted 3450kPa Flat black Min.Operating Pressure:7psi/48 kPa 0 Custom painted 0 o Temperature Rating:See chart on page 2. A For K-Factor when pressure is measured in MATERIAL SPECIFICATIONS Bar,multiply S.I.units by 10.0. 0 Deflector:Bronze per UNS C22000 O Cover Plate:Fusible solder Teflon is a registered trademark of Dupont Co. Bulb:Glass with glycerin solution. Bulb Nominal Diameter: Standard:5,0 mm • Quick Response:3,0 mm Load Screw:Bronze per UNS C65100 Pip Cap:Bronze per UNS C65100 Exaggerated for clarity Spring:Stainless steel per UNS S30100 Seal:Teflon'tape Frame:Die cast brass 65-30 Pins:Stainless steel per UNS S30400 Cup:Cold rolled steel,zinc chrome plated Cover/Escutcheon:Brass per UNS C26000 Lodgement Spring:Stainless steel per UNS S30200 Protective Cap:Polyethylene JOB/OWNER CONTRACTOR ENGINEER System No. Submitted By Spec Sect Para Location Date Approved Date www.victaulic.com VICTAULIC IS A REGISTERED TRADEMARK OF VICTAULIC COMPANY.0 2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. ICtaUI_i REV.".L 40.501 FIRE PROTECTION PRODUCTS—AUTOMATIC SPRINKLERS 40.50 381 K5.6 Adjustable Concealed Standard Spray Pendent Standard and Quick Response V3801 STANDARD RESPONSE V3802 QUICK RESPONSE Orifice Size(Inches) 'h" I! 'h" ..w.,.._._d._._.- _. ..... _ _. _ ._.. ......._._ .. ._.__..._.,. Orifice Size(mm) - 13 _ - 13 . ..... _ Nominal K Factor Imperial _ 5.6 5.6 ._. .... -._._ .._..__ ....:... ...._.......: .:....z __. _ .. .... ....__ .__ .............. Nominal K Factor S.I" 8.1 8.1 Response Standard Quick# 5mm bulb 3mm bulb Deflector Type Concealed Concealed Pendent Pendent _ , _...... _ ......... Adjustment Approved Temperature Ratings F*/C'by Agencyt 135°F/57°C 1350F/570C 1550F/680C 155°F/68°C UL - 175°F/79°C 175°F/790C I 200°F/93°C 200°F/93°C 135°F/57°C 1350F/570C ULC ' " 155°F/68°C 155°F/68°C 175°F/79°C 1750F/79°C 200°F/93°C 200°F/93°C 1550F/680C# FM# 175°F/79°C# 200°F/93°C# { 1350F/57°C 1350F/570C NYC/MEA If 62-99-E .'. 1550F/680C 1550F/680C 175°F/79°C 175°F/79°C 200°F/93°C 200°F/93°C 1350F/57°C 1350F/570C CSFM#7690.0531:112 1550F/68°C 155°F/68°C 1750F/790C 175°F/790C 200°F/93°C 200°F/93°C 155°F/68°C Sprinkler/1380F/590C Cover 155°F/680C Sprinkler/138°F/59°C Cover LPCB 175°F/790C Sprinkler/1650F/74°C Cover 175°F/79°C Sprinkler/165°F/74°C Cover 200°F/93°C Sprinkler/1650F/740C Cover 200°F/93°C Sprinkler/1650F/74°C Cover t 135°F/57°C 135°F/57°C 155°F/68°C 155°F/680C VNIIPO 175°F/79°C 175°F/79°C 200°F/93°C 200°F/93°C 286°F/141°C 2860F/1410C ZSTDY CCCf 1551F/68°C NONE #Recognized by FM as standard response only 2 Listings and Approvals as of printing.All are approved open,except for areas designated"No". ^For K Factor when pressure is measured in Bar,multiply S.I.units by 10.0 www.victaulic.com VICTAULIC IS A REGISTERED TRADEMARK OF VICTAULIC COMPANY.02010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. ✓ctaiU1iCl 40.50.2 REV L FIRE PROTECTION PRODUCTS ----- -AUTOMATIC SPRINKLERS --------------- 40.JO --------------.___ .......... _ .....-....-- .._._._...._.__._._._...------ V387 K5.6 Adjustable Concealed Standard Spray Pendent Standard and Quick Response V3801 STANDARD RESPONSE V3802 QUICK RESPONSE RATINGS All glass bulbs are rated for temperatures from-67*F/-55°C to those shown in table below. Sprinkler Sprinkler-V3801,V3802 :e I - 135 100135 0 100 Ordinary A 57 38 Orange A" 5 38 Ordinary C 155 100 Red D# 165 150 68 38 74 65 ........_...... __ __ __... ... . ............ Intermediate E 79 59 Yellow ntermediate`: F 2930 5� Green *A For use with Standard or Quick Response Concealed Sprinkler 135°F/57°C or 155°F/68°C. #D For use with Standard or Quick Response Concealed Sprinkler 175°F/79°C or 200*F/93°C. Custom Finish-Customer to provide paint specification,allow 4-6 weeks for samples. 0 138°F/59°C per LPBC ORDERING INFORMATION Please specify the following when ordering: Sprinkler Model Number Style Temperature Rating K-Factor Thread Size Quantity Cover Finish: Wrench Model Number WARNING • Proper temperature rated cover must be used with the correct sprinkler rating per the Temperature Chart Ratings. • The plastic shipping cap must be removed for the sprinkler to operate properly. • If shipping cap is replaced over an installed sprinkler for purposes of painting or plaster- ing,then the fire protection system shall be considered out of service,the Authority Having Jurisdiction notified,and a firewatch is suggested. Failure to do so may result in failure of sprinkler to operate causing serious personal injury or property damage. www.victaulic.com �CtaU�iC VICTAULIC IS A REGISTERED TRADEMARK OF VICTAULIC COMPANY.®2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. REV_L 40.5013 FIRE PROTECTION PRODUCTS-AUTOMATIC SPRINKLERS 40.50 V38, K5.6 Adjustable Concealed Standard Spray Pendent Standard and Quick Response V3801 STANDARD RESPONSE V3802 QUICK RESPONSE —� _ - ---- —-- -- --- —-- - WARNING__ WARNING • Always read and understand installation,care,and maintenance instructions,supplied with each box of sprinklers,before proceeding with installation of any sprinklers. c • Always wear safety glasses and foot protection. • Depressurize and drain the piping system before attempting to install,remove,or adjust any Victaulic piping products. • Installation rules,especially those governing obstruction,must be strictly followed. • Painting,plating,or any re-coating of sprinklers(other than that sup- plied by Victaulic)is not allowed. Failure to follow these instructions could result in serious personal injury and/or property damage. The owner is responsible for maintaining the fire protection system and devices in proper operating condition.For minimum maintenance and inspection requirements,refer to the current National Fire Protection Association pamphlet that describes care and maintenance of sprinkler j systems. In addition,the authority having jurisdiction may have addi- tional maintenance,testing,and inspection requirements that must be followed. If you need additional copies of this publication,or if you have any questions about the safe installation of this product,contact Victaulic World Headquarters:P.O.Box 31, Easton,Pennsylvania 18044-0031 USA,Telephone:001-610-559-3300. --- .................------------------------------— ----------------------_._..._._ ------------ www.victaulic.com VICTAULIC IS A REGISTERED TRADEMARK OF VICTAULIC COMPANY.0 2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. ✓CtaUIiia 40.50_4 REV L FIRE PROTECTION PRODUCTS—AUTOMATIC SPRINKLERS 40.50 V387 K5.6 Adjustable Concealed Standard Spray Pendent Standard and Quick Response V3801 STANDARD RESPONSE V3802 QUICK RESPONSE DIMENSIONS Models V3801,V3802(drawings not to scale) 2%768 mm Max.Hole 2Min0 mm MiJ n.Hole _ �� II II II II 9 21V/59 mm 1 1 W/38 mm \\\Typical Ceiling Tile MINIMUM EXTENSION `Finished Surface 3Md/80 mm an 2416771 mm 2"/51 mm V2"/13 mm Adjustment Typical Ceiling Tile I 3'/a°/83 mm I ttt� Cover Plate —"'111 Finished Surface MAXIMUM EXTENSION AVAILABLE WRENCHES Sprinkler Type Recessed Concealed Pendent—V3801,V3802 V38-4 or V38-5 �— —.._._.__...-..... ------------------------------------- —---------------------- ----------- www.victaulic.com VICTAULIC IS A REGISTERED TRADEMARK OF VICTAULIC COMPANY.0 2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. ictsulid REV L 40.505 V387 K5.6 Adjustable Concealed Standard Spray Pendent Standard and Quick Response V3801 STANDARD RESPONSE V3802 QUICK RESPONSE DISTRIBUTION PATTERNS Models V3801,V3802 K5.6 standard concealed pendent distribution patterns-trajectory 10' 3.0m 8' 2.4 m 6 _ `•, . 1.8 m 4' 1.2 m 0.6 m + I 2' 4' 6' 8' 10' 12' 14' 0.6m 1.2m 1.8m 2.4 In 3.0m 3.7m 4.3 In NOTES: 1 Data shown is approximate and can vary due to differences in installation. 2 These graphs illustrate approximate trajectories,floor-wetting,and wall-wetting patterns for these specific Victaulic FireLock automatic sprinklers.They are provided as information for guidance in avoiding obstructions to sprinklers and should not be used as minimum sprinkler spacing rules for installation.Refer to the appropriate NFPA National Fire Code or the authority having jurisdiction for specific information regarding obstructions,spacing limitations and area of coverage requirements.Failure to follow these guidelines could adversely affect the perfor- mance of the sprinkler and will void all Listings,Approvals and Warranties. 3 All patterns are symmetrical to the centerline of the waterway. WARRANTY Refer to the Warranty section of the current Price List or contact Victaulic for details. NOTE This product shall be manufactured by Victaulic or to Victaulic specifications.All products to be installed in accordance with current Victaulic installation/assembly instructions.Victaulic reserves the right to change product specifications,designs and standard equipment without notice and without incurring obligations. ._._._..-..._.-------------------- ------ ----------- ...__...-..----------— For complete contact information,visit www.victaulic.com 40.50 2558 REV L UPDATED 7/2010 �[2t7:�1.1�1['r. VICTAULIC IS A REGISTERED TRADEMARK OF VICTAULIC COMPANY.0 2010 VICTAULIC COMPANY.ALL RIGHTS RESERVED. 40.50 Professional Fire Systems, Inc. 107 South St Hopkinton, MA 01748 �,�/►+"�- 10 - L5 LiL1U lT NJUW (, 115 P: (508)625-1840 F: (508)625-1831 I,■ fl{/� Q�ML STEMS www.pro-firesystems.com FIRE INC.- I DATE JOB NO. June 3, 2015 ATTENTION TO North Andover Building Department Maura Deems 1600 Osgood Street, Bid. 20 Suite 2035 RE: Edgewood Retirement Community North Andover, MA 01845 575 Osgood Street WE ARE SENDING YOU FjAttached Under separate cover via the following items: Shop drawings Prints Plans Samples Specifications Copy of letter Change Order ❑X Other COPIES DATE NO. DESCRIPTION 1 $78.00 Permit Fee THESE ARE TRANSMITTED as checked below: F1For approval El Approved as submitted FIResubmit copies for approval NX For your use ❑ Approved as noted FjSubmit copies for distribution E]As requested D Returned for corrections Return corrected prints ❑For review and comment FjFOR BIDS DUE ❑ PRINTS AFTER LOAN TO US REMARKS Please contact my office with any questions. COPY TO SIGNED: John Lawton PROFE-1 OP ID: LK '4�RSM CERTIFICATE OF LIABILITY INSURANCE DAT0 /29//YYYY) 04/29/15 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(ies) 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). CONTACT PRODUCER Phone:781-935-8480 NAME: DeSanctis Insurance Agcy,Inc. Fax:781-933-5645 PHONE FAX 100 Unicorn Park Drive A/c No Ext): AIC No): Woburn,MA 01801 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Burlington Insurance Company INSURED Professional Fire Systems, Inc INSURER B:The Commerce Insurance Company 34754 107 South Street INSURER C:Travelers 004465 Hopkinton, MA 01748 INSURER D: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DDNYYY MM/DDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AMAGE ToRENTE A X COMMERCIAL GENERAL LIABILITY HGL0040977 03/29/15 03/29/16 PREMISES Ea occur ence $ 300,000 CLAIMS-MADE � OCCUR MED EXP(Any one person) $ 5,000 A X Contractual Liab PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMITX APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY EOM�BIINEDtSINGLE LIMIT $ 1,000,000 B ANY AUTO BGGHQW 03/29/15 03/29/16 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS X AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE - AUTOS Per accident $ $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 A X EXCESS LIAB CLAIMS-MADE 5811046497 03/29/15 03/29/16 AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY T RY LIMIT ER p C ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N XNUB1923T88614 12/13/14 12/13/15 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? a N/A (Mandatory in NH) MA,CT,RI,NH,NY E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Professional Liab. HGL0040977 03/19/15 03/29/16 Agg 2,000,000 OCC 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) "ADDITIONAL INSURED LIMITS ARE NO GREATER THAN REQUIRED BY WRITTEN CONTRACT" Project: #34385, Edgewood Retirement Community, 575 Osgood Street, N. Andover, MA 01845. Chapman Construction/Design, Inc. is named as Additional Insured with respects to General and Auto Liability policies. CERTIFICATE HOLDER CANCELLATION CHAPM-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE , Chapman Construction/Desi nTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p g Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 84 Winchester Street AUTHORIZED REPRESENTATIVE .7 Newton„MA 02161 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD r Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11 :34 HYDRAULIC DESIGN INFORMATION SHEET Job Name: Edgewood Retirement Community Location: 575 Osgood Street North Andover, MA 01845 Drawing Date: 5/5/15 Remote Area Number: 1 Contractor: Professional Fire Systems, Inc. Telephone: (508) 625-1840 107 South Street Hopkinton, MA 01748 Designer: J.Lawton Calculated Ry: Spri_nkrAD www.sprinkcad.com 451 N. Cannon Ave. Lansdale, PA 19446 Construction: Steel Occupancv:Residential Reviewing Authorities :North Andover Fire Department SYSTEM DESIGN Code:NFPA 13 Hazard:Light System Type:WET Area of Sprinkler Cper.= 900 sq ftl! Sprinkler or Nozzle Density (gpm/sq ft) 0. 100 l Make: Victaul Area per Sprinkler 110. 0 sq ftl Model: V2704 Hose Allowance Inside 0 qpm l K-Factor: 5. 60 Hose Allowance Outside 100 gpm l Temperature Rating: 200 CALCULATION SUMMARY 10 Flowing Outlets gpin Required: 259. 9 psi Required: 25.2 @ Source WATER SUPPLY �- Water Flow Test l Pump Data l Date of Test 10/9/14 l Rated Capacity 0 gpm l Static Pressure 98 . 0 psi l Rated Pressure 0 . 0 psi l Residual Pres 92. 0 psi l Elevation 0 l At a Flow of 1076 gpm l Make: l Elevation 0" l Model: l •u sil.:e P oc l '- U-' ii iiii� Source of Information: Hampshire Fire Flow Test Report SYSTEM VOLUME 454 Gallons Notes: ey�'P SIRN Yo cn � IUN FtR�P 465 a�c 10 1�� ✓ Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11 :34 HYDRAULIC CALCULATION DETAILS HYDRAULIC FLOW LOSS QTY DESCRIPTION LENGTH C ID gpm psi TOTALS Hydr Ref W Required at Hyd Area 1 160 25. 6 psi 1 Pipe 6" 10x21 Allied Domestic 5' 120 6. 357 160 0.0 Elevation Change 5' 0" 2 .2 1 6" Fingd Alarm Valve Tvco Existin 32 ' 120 6. 065 160 0.0 1 6" Fingd Gate Valve Kennedy Exist 3' 120 6. 065 160 0.0 1 6" Fingd 90 Ell CI 10 ' 120 6. 065 160 0.0 Fixed Flow Outside Hose Allow. 100 gpm Pipe 6" DIx18 America DI 350 250' 140 6, 338 260 0 , 4 Hydr Ref R1 Reauired at Source 260 28.2 psi rn r- 910 . 0 n� n , ' 076 7 n Water Source pSi static, 91 . v psi residua' @ lv i 6 gpm 26v gpm 97. 6 ps- SAFETY PRESSURE 69.3 psi Available Pressure of 97. 6 psi Exceeds Required Pressure of 28.2 psi This is a safety margin of 69.3 psi or 71 % of Supply Maximum Water Velocity is 23. 3 fps i Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11 :34 Page 3 FITTING NAME TABLE ABBREV. NAME C Coupling E 90 ' Standard Elbow F 45' Elbow S Straight Flow Thru Tee T 90 ' Flow Thru Tee V Valve LEGEND HYD REF Hydraulic reference. Refer to accompanying flow diagram. _ K FACTOR Flow factor for open head or path where Flow (gpm) = K x -\/P Qa Flow added or subtracted Qt Total flow DIA Actual internal diameter of pipe C Hazen Williams pipe roughness factor Pf/ft Friction loss per foot of pipe PIPE Length of pipe FTNG'S Number of fittings. See table above. TOTAL Total 1 enrit.h (PT PF + FTNG'S j Pt Total pressure (psi) at fitting Pe Pressure due to change in elevation where Pe = 0. 433 x change in elevation Pf Friction loss (psi) to fitting where Pf = 1 x 4 .52 x (Q/C) ^1 . 85 / iD^4 . 87 Pv Velocity pressure (psi) where Pv = 0. 001123 x Q^2/ID^4 Pn Normal pressure (psi) , where Pn = Pt - Pv NOTES : - Pressures are balanced to 0 . 01 psi. Pressures are listed to 0 . 1 psi . Addition may vary by 0. 1 psi due to accumulation of round oLL. - Calculations conform to NFPA 13. - Velocity Pressures are not considered in these Calculations I Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11 :34 Page 4 NODE ELEVATION SPRINKLER PRESSURE ACTUAL MINIMUM ACTUAL NUMBER K-FACTOR FLOW FLOW DENSITY 2(FT) (GPM/ (PSI (PSI) (GPM % 1 10. 00 9. 8 1S 12 . 00 5. 60 8 . 3 16. 1 14 . 8 0. 15 2 10 . 00 9. 9 2S 12 . 00 5. 60 8 . 4 16.2 14 . 8 0. 15 3 10 . 00 9. 4 3S 12 .00 5. 60 7 . 9 15. 8 14 .8 0. 1.4 4 10. 00 10.3 4S 12 . 00 5. 60 8 . 8 16. 6 14 .8 0. 15 5 10 .00 9. 5 5S 1-2 . 00 5. 60 8 .0 15 . 9 14 .8 0. 14 6 10. 00 10. 5 6S 12 .00 5. 60 9.0 16. 8 14 .8 0. 15 7 10 .00 9. 3 7S 12 .00 5. 60 7 . 8 i5.'% 14. .8 0. 14 8 10 . 00 10. 4 8S 12 . 00 5. 60 8 . 9 16. 7 14 . 8 0. 15 9 10 . 00 9. 0 9S 12 . 00 5. 60 7 . 6 15. 4 14 . 8 0. 14 10 10 .00 8 . 4 TOS 12 . 00 5. 60 7 . 0 14 . 8 14 .8 0.13 20 10 . 00 11. 4 21 10.00 11 • 0 22 10 . 00 10 .0 23 10 , 00 8 . 9 Al 10. 00 23.7 A2 10 .00 25. 9 W 11 . 00 25. 6 Max velocity of 23 .32 occurs in the pipe from 20 TO Al Nodes with "S" indicate a node at the top of a sprig or bottom of drop pendent. The node without an "S" is on the branch. Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11:34 Tyco Fire Products Page 5 HYD. Qa DIA. FITTING PIPE Pt Pt REF "C" TYPES FTNG'S Pe Pv ******* NOTES ******* POINT Qt Pf/ft TO'T'AL Pf Pn PATH 1 FROM HYDRAULIC REFERENCE 10 TO W (PRIMARY PATH) 14 . 82 1.049 1E 2.00 7. 0 7 .0 K = 5. 60 lOS C=120 5.00 0 . 9 0 . 0 1 L 4 . 82 075 � • 0 V0 0 7 . 0 Tel = 5.55 V J / V • J 1 .049 1T 2 .26 8 .4 8 . 4 EqK = 5.11 10 C=120 5. 00 0.0 0 . 0 14 . 82 0 . 075 7 .26 0.5 8 . 4 Vel = 5.55 1. 682 8 .03 8 . 9 8 . 9 23 C=120 0..00 0 . 0 0 . 0 14 . 82 0.007 8 .03 0. 1 8 . 9 Vel = 2 . 16 15. 40 1. 682 10 . 00 9.0 9. 0 EqK = 5. 14 9 C=120 0 . 00 0.0 0 . 0 30 .22 0 .028 10. 00 0 .3 9. 0 Vel = 4 . 41 15. 67 1 . 682 lE 6. 83 9.3 9. 3 EqK = 5. 14 7 C=120 4 , 95 0. 0 0 . 0 45. 88 0 . 061 11 . 78 0 ,7 9 . 3 Vel _ 6, 69 31 . 63 1 . 682 h. 52 10 . 0 i0 . 0 22 C=12.0 0 .00 0 . 0 0 . 0 See PATH 2 77 . 52 0. 160 6. 52 1 . 0 10 .0 Vel = 11 .30 33 . 50 1. 682 1 .22 11 . 0 11 .0 21 C=120 0. 00 0.0 0 . 0 See PATH 4 111 . 01 0 .311 1 .22 0. 4 11 . 0 Vel = 16. 19 48 . 93 1 . 682 1T 10.29 11. 4 11 . 4 20 C=120 9. 90 0. 0 0 . 0 See PATH 3 159. 94 0. 611 20 . 19 12 . 3 11 . 4 Vel = 23.32 4 .260 5E 256. 67 23.7Y 23.7 Al C=120 65. 84 0 . 0 0 .0 159. 94 0.007 322.51 2 . 1 23. 7 Vel = 3. 64 6.357 2E 56. 89 25. 9 25. 9 A2 C=120 1T 72 . 93 -0 . 4 0 . 0 159. 94 0 .001 129.81 0 . 1 25. 9 Vel = 1. 63 UNITS DTDMETER (INCH) LF,nTGTN (FOOT) FLOW (rPM) PRESStIRE (PSI) i Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11:34 Tyco Fire Products Page 6 HYD. Qa DIA. FITTING PIPE Pt Pt REF "C" TYPES FTNG'S Pe Pv ******* NOTES ******* POINT Qt Pf%ft TOTAL Pf Pn W 159. 94 25. 6 K = 31. 63 15. 40 1. 049 1T 2 .00 7 . 6 7 . 6 K = 5. 60 9S C=120 5. 00 0 . 9 0 . 0 15. 40 0. 080 7 .00 0. 6 7 . 6 Vel = 5.77 9 15. 40 9. 0 K = 5. 14 15. 67 1. 049 IT 2 . 00 7 .8 7 . 8 K = 5. 60 7S C=120 5. 00 0 . 9 0 . 0 15. 67 0.083 7 . 00 0 . 6 7 . 8 Vel = 5.87 7 15. 67 9. 3 K = 5. 14 PATH 2 FROM HYDPaTJLIC P.EFEP.ENCE 3 TO 22 15. 76 1 . 049 1T 2 . 00 7 . 9 7 . 9 K. = 5. 60 3S C=120 5. 00 0. 9 0 . 0 15.76 0.084 7 . 00 0 . 6 7 . 9 Vel = 5. 91 1 . 682 13. 33 9. 4 9 . 4 EaK = 5. 15 3 C=120 0.00 0 . 0 0 . 0 15.76 0.008 13. 33 0 . 1 9. 4 Vel = 2. 30 15. 87 1 . 682 1T 6. 37 9. 5 9. 5 EqK = 5. 15 5 C=120 9. 90 0 . 0 0 . 0 31 . 63 0.030 16.27 0 . 5 9. 5 Vel = 4 . 61 22 31 . 63 10 . 0 K = 10.01 15. 87 1. 049 1T 2 . 00 8 . 0 8 . 0 K = 5. 60 5S C=120 5.00 0 . 9 0 . 0 15. 87 0.085 7 . 00 0 . 6 8 .0 Vel = 5. 95 5 15. 87 9. 5 K = 5. 15 UNITS - DIAMETER (INCH) LENGTH (FOOT) FLOW (GPM) PRESSURE (PSI) Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11 :34 Tyco Fire Products Page 7 HYD. Qa DIA. FITTING PIPE Pt Pt REF "C" TYPES FTNG'S Pe Pv ******* NOTES ******* POINT Qt Pf%ft TONAL Pf Pn PATH 3 FROM HYDRAULIC REFERENCE 1 TO 20 16. 11 1.049 1T 2 .00 8 .3 8 .3 K = 5.60 1S C=120 5.00 0. 9 0 .0 16. 11 0.087 7 .00 0. 6 8 .3 Vel = 6.04 1 . 682 14 .33 9. 8 9. 8 EqK = 5. 16 1 C=120 0 . 00 0. 0 0 . 0 1.6. 11 0 . 009 14 .33 0 . 1 9. 8 Vel = 2 .35 16.22 1 . 682 13.33 9. 9 9. 9 EqK = 5.16 2 C=120 0.00 0. 0 0 . 0 32 . 33 0 . 032 13.33 0. 4 9 . 9 Vel = 4.71 16. 60 1 . 682 1T 6. 37 10 . 3 10 .3 EqK = 5.17 4 C=120 9. 90 0. 0 0 .0 48 . 93 0.068 16.27 1 . 1 10 .3 Vel = 7. 13 20 48 . 93 11 . 4 K = 14 . 48 16.22 1 . 049 1T 1 . 00 8 . 4 8 . 4 K = 5. 60 2S C=120 5. 00 0 . 9 0 . 0 16.22 0 . 088 7 . 00 0 . 6 8 . 4 Vel = 6.08 2 16.22 9. 9 K = 5. 16 16. 60 1 . 049 1T 2 . 00 8 . 8 8 . 8 K = 5. 60 4S C=120 5. 00 0. 9 0 . 0 16. 60 0.092 7 . 00 0 . 6 8 . 8 Vel = 6.22 4 16. 60 10 . 3 K = 5. 17 PATH 4 FROM HYDRAULIC REFERENCE 8 TO 21 16. 71 1 . 049 1T 2. 00 8 . 9 8 . 9 K = 5. 60 8S C=120 5. 00 0. 9 0 . 0 16. 71 0. 093 7 . 00 0. 7 8 . 9 Vel = 6.26 UNTITS - DIAMETER (INCH) LENGTH (FOOT) FLOW (GPM) PRESSURE (PSI) i r Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11 :34 Tyco Fire Products Page 8 HYD. Qa DIA. FITTING PIPE Pt Pt REF "C" TYPES FTNG'S Pe Pv ******* NOTES ***** POINT Qt Pf%ft TOTAL Pf Pn PATH 4 FROM HYDRAULIC REFERENCE 8 TO 21 CONTINUED 1 . 682 10.00 10 . 4 10 . 4 EqK = 5. 18 8 C=120 0 . 00 0. 0 0 . 0 16.71 0. 009 10.00 0. 1 10 . 4 Vel = 2 .44 16. 79 1 . 682 1T 5. 35 10 . 5 10 . 5 EqK = 5.18 6 C=120 9. 90 0.0 0 .0 33. 50 0 ,034 15.2.5 0 . 5 10 .5 Vel = 4 . 88 21 33. 50 11 . 0 K = 10 . 08 16.79 1. 049 1T 2 . 00 9. 0 9 .0 K = 5. 60 6S C=120 5. 00 0. 9 0 . 0 16.79 0.094 7 . 00 0.7 9 . 0 Vel = 6.29 6 16. 79 10.5 K = 5. 18 UNITS - DIAMETER (INCH) LENGTH (FOOT) FLOW (GPM) PRESSURE (PSI) e 's Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11 :34 HYDRAULIC DESIGN INFORMATION SHEET Job Name: Edgewood Retirement Community Location: 575 Osgood Street North Andover, MA 01845 Drawing Date: 5/5/15 Remote Area Number: 1 Contractor: Professional Fire Systems, Inc. Telephone: (508) 625-1840 107 South Street Hopkinton, MA 01748 Designer: J.Lawton Calculated Ry:Spr -n-kCAD www. sprinkcad.com 451 N. Cannon Ave. Lansdale, PA 19446 Construction: Steel Occupanc_v:Residential R2vi2W-L Aut.iorities :P3orth AridO J2r Fire Department SYSTEM DESIGN Code:NFPA 13 Hazard:Light System Type:WET Area of Sprinkler Oper. 900 sq ft ! Sprinkler or Nozzle Density (gpm/sq ft) 0. 100 j Make: Victaul Area per Sprinkler 110. 0 sq ftj Model: V2704 Hose Allowance Inside 0 gpm j K-Factor: 5. 60 Hose Allowance Outside 100 gpm i Temperature Rating: 200 CALCULATION SUMMARY 10 Flowing Outlets gpm Required: 259. 9 psi Required: 28.2 @ Source WATER SUPPI,Y Water Flow Test j Pump' Data j Date of Test 10/9/14 I Rated Capacity 0 gpm I Static Pressure 98 . 0 psi j Rated Pressure 0. 0 psi j Residual Pres 92 . 0 psi j Elevation 0 j At a Flow of 1076 gpm I Make: j Elevation 0" j Model: j LVVation: VUl-J C LIiV J_ 3Uii�wlily Source of Information: Hampshire Fire Flow Test Report SYSTEM VOLUME 454 Gallons Notes : pf MASSgcyG o� ST E s� m v FI 4651 Q A Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11 :34 HYDRAULIC CALCULATION DETAILS HYDRAULIC FLOW LOSS QTY DESCRIPTION LENGTH C ID gpm psi TOTALS Hydr Ref W Required at Hyd Area 1 160 25.6 psi 1 Pipe 6" 10x21 Allied Domestic 5' 120 6. 357 160 0.0 Elevation Change 5' 0" 2.2 1 6" Fingd Alarm Valve Tyco Existin 32 ' 120 6. 065 160 0.0 1 6" Fingd Gate Valve Kennedy Exist 3' 120 6. 065 160 0.0 1 6" Fingd 90 Ell CI 10 ' 120 6. 065 160 0.0 Fixed Flow Outside Hose Allow. 100 gpm l Pipe 6" Dix!8 America D! 350 250 ' 140 6. 338 260 0, 4 Hydr Ref Rl Required at Source 260 28.2 psi T.,_ .. po n r� , IV 7�n -� water Source 900 .v psi static, :112 . 0 psi re S Ld'uall L iv v gpm 2.601 gp.i, S 1 .5 Psi SAFETY PRESSURE 69.3 psi Available Pressure of 97. 6 psi Exceeds Required Pressure of 28.2 psi This is a safety margin of 69.3 nisi or 71 % of Supply Maximum Water Velocity is 23. 3 fps i Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11 :34 Page 3 FITTING NAME TABLE ABBREV. NAME C Coupling E 90 ' Standard Elbow F 45' Elbow S Straight Flow Thru Tee T 90 ' Flow Thru Tee V 7a i ve i LEGEND HYD REF Hydraulic reference. Refer to accompanying flow diagram. _ K FACTOR Flow factor for open head or path where Flow (gpm) = K x -\/P Qa Flow added or subtracted Qt Total flow PIA Actual internal diameter of pipe C Hazen Williams pipe roughness factor Pf/ft Friction loss per foot of pipe PIPE Length of pipe FTNG' S Number of fittings. See table above. TOTAL Total length (PIPE + FTNG'S) Pt Total pressure (psi) at fitting Pe Pressure due to change in elevation where Pe = 0 . 433 x chance in elevation Pf Friction loss (psi) to fitting where Pf = 1 x 4 . 52 x (Q/C) ^1 . 85 / iD^4 . 87 Pv Velocity pressure (psi) where Pv = 0 . 001123 x Q^2/ID^4 Pn Normal pressure (psi) , where Pn = Pt - Pv NOTES : - Pressures are balanced to 0 . 01 psi. Pressures are listed to 0 . 1 psi . Addition may vary by 0 . 1 psi due to accumulation of rouuu off. - Calculations conform to NFPA 13. - Velocity Pressures are not considered in these Calculations y Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11 :34 Page 4 NODE ELEVATION SPRINKLER PRESSURE ACTUAL MINIMUM ACTUAL NUMBER K-FACTOR FLOW FLOW DENSITY (FT) (GPM/ (PSI''3zj j (PSI) (GPM) (GPM) (GPM/'SQ.FT) 1 10 . 00 9.8 1S 12 . 00 5. 60 8 .3 16. 1 14 .8 0 . 15 2 10 . 00 9. 9 2S 12 . 00 5. 60 8 . 4 16.2 14 . 8 0. 15 3 10. 00 9. 4 3S 12. 00 5. 60 7 . 9 15. 8 14 . 8 0 . 1.4 4 10 . 00 10 .3 4S 12 .00 5. 60 8 .8 16. 6 14 . 8 0.15 5 10. 00 9.5 5S 12 . 00 5. 60 8 .0 15. 9 14 .8 0. 14 6 10 .00 10 . 5 6S 12 .00 5. 60 9. 0 16. 8 14 .8 0. 15 7 10 . 00 9. 3 7S 12 .00 5. 60 7 . 8 15.'7 14 .8 0.14 8 10. 00 10 . 4 8S 12 . 00 5. 60 8 . 9 16.7 14 . 8 0. 15 9 10 . 00 9.0 9S 12 . 00 5. 60 7 . 6 15. 4 14 . 8 0. 14 10 10. 00 8 . 4 10S 12 .00 5. 60 7 . 0 14 .8 14 . 8 0. 13 20 10 . 00 11. 4 21 10. 00 11 - 0 22 10. 00 10 . 0 23 10. 00 8 . 9 Al 100 .00 23.7 A2 10 . 00 25. 9 W 11 . 00 25. 6 Max velocity of 23 .32 occurs in the pipe from 20 TO Al Nodes with "S" indicate a node at the top of a sprig or bottom of drop pendent. The node without an "S" is on the branch. h 1 Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11:34 Tyco Fire Products Page 5 HYD. Qa DIA. FITTING PIPE Pt Pt REF "C" TYPES FTNG'S Pe Pv ******* NOTES ******* POINT Qt Pf%ft TOTAL Pf Pn PATH 1 FROM HYDRAULIC REFERENCE 10 TO W (PRIMARY PATH) 14 . 82 1.049 1E 2.00 7 . 0 7 . 0 K = 5. 60 10S C=120 5.00 0. 9 0 . 0 1n . 87 n . 0 ��G 7 .00 G 5 7 G Vel = 5. 55 1'Y G V J J 1 .049 1T 2 .26 8 . 4 8 . 4 EqK = 5. 11 10 C=120 5.00 0. 0 0 .0 14 , 82. 0. 075 7 .26 0. 5 8 . 4 Vel = 5.55 1 . 682 8 . 03 8 . 9 8 . 9 23 C-120 0.00 0 . 0 0 . 0 14 . 82 0. 007 8 . 03 0. 1 8 . 9 Vel = 2 . 16 15. 40 1. 682 10 . 00 9. 0 9. 0 EqK = 5.14 9 C=120 0 . 00 0. 0 0 . 0 30.22 0 .028 10. 00 0. 3 9. 0 Vel = 4.41 I i 15. 67 1. 682 lE 6.83 9.3 9 .3 EqK = 5. 14 7 C=120 4 . 95 0 . 0 0 . 0 45. 88 0.061 11 .78 G. , 9.3 Vel = 6. 69 31 . 63 1 . 682 6. 52 10 . 0 10 . 0 22 C=120 0 .00 0 . 0 0 . 0 See PATH 2 77 . 52 0.160 6. 52 1 .0 10 . 0 Vel = 11.30 33 . 50 1 . 682 1.22 11 . 0 11 . 0 21 C=120 0.00 0. 0 0 . 0 See PATH 4 111 . 01 0.311 1 .22 0. 4 11 . 0 Vel = 16. 19 48 . 93 1 . 682 1T 10.29 11 . 4 11 . 4 20 C=120 9. 90 0 . 0 0 . 0 See PATH 3 159. 94 0 . 611 20 . 19 12 .3 11 . 4 Vel = 23.32 4 .260 5E 256. 67 23. 7 23.7 Al C=120 65.84 0 . 0 0 . 0 159. 94 0.007 322.51 2 . 1 23. 7 Vel = 3. 64 6. 357 2E 56. 89 25. 9 25. 9 A2 C=120 1T 72 . 93 -0 . 4 0 . 0 159. 94 0 *001 129.81 0 . 1 25. 9 Vel = 1. 63 TTNITS - DIAMETER (INCH) LENGTH (FOOT) FI,OW (CPM) PRESSTJRE (PSI) L' Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11:34 Tyco Fire Products Page 6 HYD. Qa DIA. FITTING PIPE Pt Pt REF "C" TYPES FTNGIS Pe Pv ******* NOTES ******* POINT Qt Pf%ft TOTAL Pf Pn W 159. 94 25. 6 K = 31 . 63 15. 40 1. 049 1T 2 . 00 7 . 6 7 . 6 K = 5. 60 9S C=120 5.00 0 . 9 0 . 0 15. 40 0.080 7 .00 0. 6 7 . 6 Vel = 5.77 9 15. 40 9.0 K = 5. 14 15. 67 1. 049 1T 2 . 00 7 . 8 7 . 8 K = 5. 60 7S C=120 5. 00 0 . 9 0 . 0 15. 67 0. 083 7 . 00 0. 6 7 . 8 Vel = 5.87 7 15. 67 9. 3 K = 5. 14 PATE: 2 FROM HYDRAULIC REFERENCE 3 TO 22 15.76 1. 049 1T 2 . 00 7 . 9 7 . 9 K = 5, 60 3S C=120 5. 00 0 . 9 0 . 0 15. 76 0. 084 7 .00 0 . 6 7 . 9 Vel = 5. 91 1 . 682 13.33 9. 4 9 . 4 EqK = 5. 15 3 C=120 0.00 0 . 0 0 . 0 15. 76 0 . 008 13. 33 0 . 1 9 . 4 Vel = 2.30 15. 87 1. 682 1T 6. 37 9. 5 9 . 5 EqK = 5. 15 5 C=120 9. 90 0. 0 0 . 0 31 . 63 0 . 030 16.27 0 . 5 9 . 5 Vel = 4 . 61 22 31 . 63 10. 0 K = 10. 01 15. 87 1 . 049 1T 2 .00 8 . 0 8 . 0 K = 5. 60 5S C=120 5. 00 0 . 9 0 . 0 15. 87 0. 085 7 . 00 0 . 6 8 . 0 Vel = 5. 95 5 15. 87 9.5 K = 5. 15 UNITS - DIAMETER (INCH) LENGTH (FOOT) FLOW (GPM) PRESSURE (PSI) Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11 :34 Tyco Fire Products Page 7 HYD. Qa DIA. FITTING PIPE Pt Pt REF "C" TYPES FTNG'S Pe Pv ******* NOTES ******* POINT Qt Pf%ft TOTAL Pf Pn PATH 3 FROM HYDRAULIC REFERENCE 1 TO 20 16. 11 1 .049 1T 2 .00 8 . 3 8 .3 K = 5. 60 1S C=120 5.00 0. 9 0 . 0 16. 11 0.087 7 .00 0. 6 8 . 3 Vel = 6.04 1. 682 14. 33 9. 8 9. 8 EqK = 5.16 1 C=120 0 . 00 0. 0 0 .0 16. 1.1 0 . 009 1.4 . 33 0 . 1 9. 8 Vel = 2 .35 16.22 1 . 682 13.33 9. 9 9. 9 EqK = 5.16 C=120 0. 00 C1. 0 0 . 0 32 . 33 0. 032 13. 33 0. 4 9. 9 Vel = 4 .71 16. 60 1. 682 1T 6.37 10 . 3 10 . 3 EqK = 5.17 4 C=120 9. 90 0. 0 0 . 0 48 . 93 0.068 16.27 1 . 1 10 .3 Vel = 7.13 2.0 48 . 93 11 . 4 K = 14 . 48 16. 22 1 . 049 1T 1 .00 8 . 4 8 . 4 K = 5. 60 23 C=120 5. 00 0. 9 0 .0 16. 22 0.088 7 . 00 0. 6 8 . 4 Vel = 6.08 2 16.22 9. 9 K = 5. 16 16. 60 1 . 049 1T 2. 00 8 . 8 8 . 8 K = 5. 60 4S C=120 5. 00 0 . 9 0 .0 16. 60 0 . 092 7 . 00 0 . 6 8 . 8 Vel = 6.22 4 16. 60 10 . 3 K = 5. 17 PATH 4 FROM HYDRAULIC REFERENCE 8 TO 21 16. 71 1 .049 1T 2 . 00 8 . 9 8 . 9 K = 5. 60 8S C=120 5. 00 0. 9 0 . 0 16.71 0. 093 7 . 00 0. 7 8 . 9 Vel = 6.26 r NITS _ DIAMETER (INCH) LENGTH (FOOT) FLOW (GPM) PRF.SSTJRE (PSI) Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11 :34 Tyco Fire Products Page 8 HYD. Qa DIA. FITTING PIPE Pt Pt REF "C" TYPES FTNG' S Pe Pv ******* NOTES ***** POINT Qt Pf/ft TOTAL Pf Pn PATH 4 FROM HYDRAULIC REFERENCE 8 TO 21 CONTINUED 1. 682 10.00 10 . 4 10 . 4 EqK = 5.18 8 C=120 0.00 0. 0 0 . 0 16. 71 0. 009 10 . 00 0. 1 10 .4 Vel = 2 .44 16.79 1 . 682 1T 5. 35 10. 5 10 . 5 EqK = 5.18 6 C=120 9. 90 0. 0 0 .0 33. 50 0. 034 15.25 0 . 5 10 . 5 Vel = 4 .88 21 33. 5-0 11 .0 K = 10.08 16. 79 1.049 1T 2 . 00 9. 0 9. 0 K = 5. 60 6S C=120 5. 00 0. 9 0 . 0 16. 79 0. 094 7 . 00 0.7 9 . 0 Vel = 6.29 6 16.79 10 . 5 K = 5. 18 UNITS - DIAMETER (INCH) LENGTH (FOOT) FLOW (GPM) PRESSURE (PST_) A l` Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11:34 HYDRAULIC DESIGN INFORMATION SWEET Job Name: Edgewood Retirement Community Location: 575 Osgood Street North Andover, MA 01845 Drawing Date: 5/5/15 Remote Area Number: 1 Contractor: Professional Fire Systems, Inc. Telephone: (508) 625-1840 107 South Street Hopkinton, MA 01748 Designer: J.Lawton Calculated Ry-Sp.rin kCAD www.sprinkcad.com 451 N. Cannon Ave. Lansdale, PA 19446 Construction: Steel Occupancv:Residential Reviewing Authorities:North Andover Fire Department SYSTEM DESIGN Code:NFPA 13 Hazard:Light System Type:WET Area of Sprinkler 'per. 900 sq ftj Sprinkler or Nozzle Density (gpm/sq rt) 0. 100 1 Make: Victaul Area per Sprinkler 110. 0 sq ftj Model: V2704 Hose Allowance Inside 0 gpm j K-Factor: 5. 60 Hose Allowance Outside 100 gpm I Temperature Rating: 200 CALCULATION SUMMARY 10 Flowing Outlets gpm Required: 253.9 psi Required: 28.2 @ Source - ------- -------- ----- ----- -- —--------- ------ -- ----------- WATE--- R SUPPLY Water Flow Test I Pump' Data I Date of Test 10%9/14 1 Rated Capacity 0 gpm I Static Pressure 98 .0 psi I Rated Pressure 0. 0 psi j Residual Pres 92.0 psi I Elevation 0 I At a Flow of 1076 gpm I Make: I Elevation 0" j Model: j iJV vastvi3li VIAL slIA Vol Ll.tl ll.tl lll� Source of Information: Hampshire Fire Flow Test Report SYSTEM VOLUME 454 Gallons Notes: OF MAssgc ti o`�� STEVEN E• YO NIS �iRE a TECTION pip lgg5't its i Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11:34 HYDRAULIC CALCULATION DETAILS HYDRAULIC FLOW LOSS QTY DESCRIPTION LENGTH C ID gpm psi TOTALS Hydr Ref W Required at Hyd Area 1 160 25.6 psi 1 Pipe 6" 10x21 Allied Domestic 5' 120 6.357 160 0.0 Elevation Change 5' 0" 2.2 1 6" Fingd Alarm Valve Tvco Existin 32 ' 120 6. 065 160 0. 0 1 6" Fingd Gate Valve Kennedy Exist 3 ' 120 6. 065 160 0.0 1 6" Fingd 90 Ell CI 10 ' 120 6. 065 160 0.0 Fixed Flow Outside 'nose Allow. 100 gpl[L 1 Pipe 6" Dix!8 America DI 350 250 ' 140 6. 338 260 0 = 4_ Hydr Ref R1 Reauired at Source 260 28.2 psi Water Source 98 . 0 psi s�ac, 92 psi resruual ,�� o gprL, gpm 97. 6 psi SAFETY PRESSURE 69.3 psi Available Pressure of 97. 6 psi Exceeds Required Pressure of 28.2 psi This is a safety margin of 69.3 psi or 71 % of Supply Maximum Water Velocity is 23.3 fps 15 11 :34 Edgewood Retirement Community Drawing Date:5/5/15 5/11/ page 3 FITTING NAME TABLE ABBREV. NAME C Coupling E 90 ' Standard Elbow F 45' Elbow S Straight Flow Thru Tee T 90' Flow Thru Tee V Valve LEGEND HYD REF Hydraulic reference. Refer to�accompannyFngwf�o mdiagKam.-\,P n FACTOP. Flow factor for open head o.�rp�t__ nn ere Qa Flow added or subtracted Qt Total flow DIA Actual internal diameter of pipe C Hazen Williams pipe r_oughriess Factor Pf/ft Friction loss per foot of pipe PIPE Length of pipe FTNG' S Number of fittings. See table above. TOTAL Total length (POPE + FTNGiS) Pt Total pressure (psi) at fitting Pe Pressure due to change in elevation where Pe = 0 . 433 x change in elevation pf Friction loss (psi) to fitting where Pf = 1 x 4 . 52 x (Q/C) ^1 .85 / ID^4 .87 pv Velocity pressure (psi) where Pv = 0. 001123 x Q^2/ID^4 Pn Normal pressure (psi) , where Pn = Pt - Pv NOTES: Pressures are balanced to 0.01 psi . Pressures are listed to 0 . 1 psi. Addition may vary by 0 . 1 psi due to accumulation of rouxld of . - Calculations conform to NFPA 13. - Velocity Pressures are not considered in these Calculations yA Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11 :34 Tyco Fire Products Page 5 HYD. Qa DIA. FITTING PIPE Pt Pt REF "C" TYPES FTNG' S Pe Pv ******* NOTES ******* POINT Qt Pf%ft TOTAL Pf Pn PATH 1 FROM HYDRAULIC REFERENCE 10 TO W (PRIMARY PATH) 14 . 82 1 .049 1E 2 .00 7 . 0 7 .0 K = 5. 60 10S C=120 5. 00 0. 9 0 . 0 14 . 82 0 . 075 7 00 0.5 70 Vel = 5.5 5 1 .049 1T 2 .26 8 . 4 8 . 4 EqK = 5. 11 10 C=120 5.00 0 . 0 0 .0 14 . 82 0 .075 7 .26 0 . 5 8 . 4 Vel = 5.55 1 . 682 8 . 03 8 . 9 8 . 9 23 C=120 0. 00 0. 0 0 . 0 14 . 82 0 . 007 8 . 03 0 . 1 8 . 9 Vel = 2 . 16 15. 40 1 . 682 10. 00 9.0 9. 0 EqK = 5.14 9 C=120 0. 00 0.0 0 . 0 30 . 22 0. 028 10.00 0. 3 9. 0 Vel = 4. 41 15. 67 1 . 682 lE 6. 83 9. 3 9 .3 EqK = 5. 14 7 C=120 4 . 95 0 . 0 0 . 0 45. 88 0. 061 11 . 78 0.7 9 . 3 Vel = 6. 69 31 . 63 1 , 682 6. 52 10 . 0 10 . 0 22 C=120 0.00 0 . 0 0 .0 See PATH 2 77 . 52 0.160 6. 52 1. 0 10 . 0 Vel = 11.30 33. 50 1 . 682 1 .22 11 . 0 11 . 0 21 C=120 0 . 00 0. 0 0 . 0 See PATH 4 111 . 01 0. 311 1 .22 0. 4 11 . 0 Vel = 16. 19 48 . 93 1 . 682 1T 10 .29 11 . 4 11 . 4 20 C=120 9. 90 0 . 0 0 . 0 See PATH 3 159. 94 0 . 611 20 . 19 12 . 3 11 . 4 Vel = 23. 32 4 .260 5E 256. 67 23.7 23. 7 Al C=120 65.84 0 . 0 0 . 0 159. 94 0 . 007 322 . 51 2 . 1 23. 7 Vel = 3. 64 6. 357 2E 56.89 25. 9 25. 9 A2 C=120 1T 72. 93 -0 . 4 0. 0 159. 94 0 .001 129.81 0 . 1 25. 9 Vel = 1. 63 UNITS - DIAMETER (INCH) LENGTH (FOOT) FJOW (GPM) PRESSURF (PSI) Ed ewood Retirement Community Drawing Date:5/5/15 5/11/15 11 :34 Tyco Fire Products Page 6 HYD. Qa DIA. FITTING PIPE Pt Pt REF "C" TYPES FTNG' S Pe Pv ******* NOTES ******* POINT Qt Pt j tt TOTAL Pt inn W 159. 94 25. 6 K = 31. 63 15. 40 1 . 049 1T 2.00 7.. 6 7 . 6 K = 5. 60 9S C-120 5. 00 0 . 9 O , n 15. 40 0. 080 7. 00 0 . 6 7 . 6 Vel = 5.77 9 15. 40 9. 0 K = 5. 14 15. 57 1. 049 1I` 2 . 00 7 , 8 -1 . 8 K = 5. 60 7S C=120 5. 00 0 . 9 0 . 0 15. 67 0.083 7 . 00 0. 6 7 . 8 Vel = 5.87 7 15. 67 9. 3 K = 5.14 'ATH 2 FROM HYDRAULIC REFERENCE 3 TO 22 15.76 1. 049 lT 2 : 00 7 . 9 7 . 9 K. = 5. 60 3S C=120 5. 00 0. 9 0 . 0 15. 76 0. 084 7 . 00 0. 6 7 . 9 Vel = 5. 91 1. 682 13. 33 9. 4 9 . 4 EqK = 5. 15 3 C=120 0.00 0 .0 0 . 0 15. 76 0. 008 13.33 0. 1 9 . 4 Vel = 2. 30 15. 87 1 . 682 1T 6. 37 9. 5 9 . 5 EqK = 5.15 5 C=120 9. 90 0. 0 0 . 0 31 . 63 0.030 16.27 0 . 5 9 . 5 Vel = 4 . 61 22 31 . 63 10. 0 K = 10. 01 15. 87 1 .049 1T 2 . 00 8 . 0 8 . 0 K = 5. 60 5S C=120 5. 00 0. 9 0 . 0 15. 87 0.085 7 . 00 0 . 6 8 . 0 Vel = 5. 95 5 15. 87 9. 5 K = 5.15 UNITS - DIAMETER (INCH) LENGTH (FOOT) FLOW (GPM) PRESSURE (PSI) Y Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11 :34 Tyco Fire Products Page 7 HYD. Qa DIA. FITTING PIPE Pt Pt REF "C" TYPES FTNG' S Pe Pv ******* NOTES ******* POINT Qt Pf/ft TOTAL Pf Pn PATH 3 FROM HYDRAULIC REFERENCE 1 TO 20 16. 11 1 .049 1T 2.00 8 .3 8 .3 K = 5. 60 1S C=120 5. 00 0 . 9 0 . 0 16. 11 0.V°7 7.00 0 . 6 8 . 3 Vel = 6.04 1. 682 14. 33 9. 8 9. 8 EqK = 5.16 1 C=120 0. 00 0. 0 0 . 0 J.6. 11 0. 009 14 .33 0. 1 9 .8 Vel = 2 .35 16.22 1. 682 13.33 9. 9 9. 9 EqK = 5. 16 2 C=120 0 . 00 0 . 0 0 . 0 32 .33 0. 032 13.33 0 . 4 9 . 9 Vel = 4.71 16. 60 1 . 682 1T 6.37 10 . 3 10 .3 EqK = 5.17 4 C=120 9. 90 0 . 0 0 . 0 48 . 93 0. 068 16.27 1 . 1 10 . 3 Vel = 7.13 20 48 . 93 11 . 4 K = 14.48 16.22 1 . 049 1T 2. 00 8 . 4 8 . 4 K = 5. 60 23 C=120 5. '00 0 . 9 0 . 0 16.22 0. 088 7. 00 0. 6 8 .4 Vel = 6.08 2 16.22 9. 9 K = 5.16 16. 60 1 . 049 1T 2. 00 8 . 8 8 . 8 K = 5. 60 4S C=120 5. 00 0 . 9 0 . 0 16. 60 0. 092 7 . 00 0 . 6 8 . 8 Vel = 6.22 4 16. 60 10.3 K = 5. 17 PATH 4 FROM HYDRAULIC REFERENCE 8 TO 21 16.71 1 . 049 1T 2. 00 8 . 9 8 . 9 K = 5. 60 8S C=120 5. 00 0 . 9 0 .0 16.71 0. 093 7 .00 0 .7 8 . 9 Vel = 6.26 UNITS - DIP.METER (INCH) LENGTH (FOOT) FLOW (GPM) PRESSURE (PSI) V Edgewood Retirement Community Drawing Date:5/5/15 5/11/15 11 :34 Tyco Fire Products Page 8 HYD. Qa DIA. FITTING PIPE Pt Pt REF "C" TYPES FTNG'S Pe Pv ******* NOTES ***x*** POINT Qt Pf/ft TOTAL Pf Pn PATH 4 FROM HYDRAULIC REFERENCE 8 TO 21 CONTINUED 1 . 682 10 .00 10. 4 10 . 4 EqK = 5. 18 8 C=120 0 . 00 0. 0 0 .0 16.71 0. 009 10. 00 0 .1 10 . 4 Vel = 2.44 - 16. 79 1 . 682 1T 5.35 10 . 5 10 . 5 EqK = 5. 18 6 C=120 9. 90 0. 0 0 . 0 33. 50 0 .034 15.25 0 . 5 10 . 5 Vel = 4 .88 21 33. 50 11 . 0 K = 10 . 08 16. 79 1 . 049 1T 2 . 00 9. 0 9. 0 K = 5. 60 6S C=120 5.00 0. 9 0 . 0 16. 79 0.094 7 .00 0.7 9. 0 Vel = 6.29 6 16. 79 10 .5 K = 5. 18 UNITS - DIAMETER (Ii3CH) LENGTH (FOOT) FLOW (GPM) PRESSURE (PSI) 3 5 7 Date.�. k� .�.,�.. ...... .. HORTM TOWN OF NORTH ANDOVER 3= o oL � m PERMIT FOR MECHANICAL INSTALLATION f p 0 h �9SSAC'14USES< This certifies that . : . . has permission for mechanical installation in the buildings of . ... . . . . . . . . . . . . . . . . . . . . W..,S-F . . . . . . . . . . . .. North Andover, Mass. .. . . . . . . . . . . . . . . . . . . . . GASINSPECTOR W ITE:Applicant CANARY: Building Dept. PINK:Treasurer Commonwealth of Massachusetts Sheet Metal Permit Date : - ( - �'� Permit# 7� Estimated Job Cost. -= A&A Permit Fee: $ �� Plans Submitted: YES V NO Plans Reviewed: YES NO Business License# �`'S Applicant License# 5,018,5 Business Information: Property Owner/Job Location Information: Name: /�le,7 Lnc�/C=� f <s �nc Name: rCcbo I, �O !�g / C S • Street: (, ��n cs0' S� Street: '� 15 � J' Ci �, 6Wc� � City/Town: ®r' /-oX hC� � a City/Town: A r)C Telephone: �p�5 -��0� E'-� Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES V NO Building Type: f Residential: 1-2 family Multi-family Condo/Townhouses Commercial: Office Retail Industrial Educational Institutional Building Cubic Footage: under 35,000 cu. ft. V/ over 35,000 cu. ft. Sheet metal work to be completed: New Work: Renovation: HVAC ✓ Metal Roofing Kitchen-Exhaust System Chimney/Vents Provide brief description of work to be dont: i t n 09 !�(Q i (n Sv i /' P • � t INSURANCE COVERAGE: —/ I have a current liabilityinsurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes I2' No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: 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 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box❑,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Progress Inspections Date Comments 4 a Final Inspection Date Comments Type of License: By Master Title ez, ElMaster-Restricted City/Town - ❑Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted License Number: S-1F85 Fee$ El Check at www.mass.gov/dpl Inspector Signature of Permit Approval Sheet Metal Commercial Guidelines/Life Safety/Critical Systems Inspection Checklist Yes No N/A, Set of stamped engineering documents and detailed description of mechanical system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper joumeyperson-to-apprentice ratios Fire dampers with access door properly installed and checked for operation Smoke and combination fire/smoke dampers with access doors properly installed- actuator checked for proper operation(May also be verified by fire department during fire alarm testing) Duct smoke detectors with access doors properly located (May also be verified by fire department during fire alarm testing) 4. Smoke/atrium exhaust systems installed and operation verified (May also be verified by fire department during fire alarm testing) Stair pressurization systems installed(where required)and operation verified(May also be verified by fire department during fire alarm testing) Grease/kitchen hood exhaust system installed with all seams and connections welded airtight with properly located cleanouts. Proper clea`ances,fire rated enclosures and pressure testing required: Seis .l:?ie .paints installs Ex/3iG required'ofl equipment and ?_ t1. ;: Duct penetrations in floors sealed Metal roofing systems installed watertight using proper materials and fasteners Flexible duct pins installed 6'-0"maximum length Ductwork installed using proper hanger spacing,hanger stock,threaded rod and angle iron Ductwork/plenum connections sealed substantially airtight Ductwork insulated by means of external covering or internal lining Volume dampers installed for each supply air branch duct New/clean-properly sized filters installed(final inspection) Testing and Balancing report complete(final sign-off) M - JJ� i' a Sheet Metal Residential Guidelines/Inspection Checklist Yes No N/A Detailed description and sketch of sheet metal system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper joumeyperson-to- apprentice ratios Equipment sized per heating/cooling load calculations Duct work sized per manual "D"calculations Bath/shower rooms contain mechanical exhaust fan vented outdoors f Electric dryer exhaust properly installed maximum total run 35'-0", maximum flexible run 8'-0" Flexible duct runs installed 14'-0"maximum length Volume dampers installed for each supply air branch duct Ductwork installed using proper gauges and hangers Ductwork/plenum connections sealed substantially airtight Ductwork insulated by means of external covering or internal lining New/clean-properly sized filter installed(final inspection) Testing and Balancing report complete(final sign-off) r COIV�MONWF-- OF w o o MASSACM o USErrS SHEET BARD OF " METAL WORKS I ISSUES THE FOLLOWI< G RS AS A MASTER—... . L1`CENSE" UNRES CTED 3 rRI I ROBERT J CAUDLE c`' 'ter 271 OAKR.Ib � C ) _ BE AVE aN A7TLEBORp f tW 598 o;MA 02760 418© r 3/28/1;6 187389 v CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDffM) 105/20J2015 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(ies) 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 Karl Crowell Insurance,Inc. PHONE 508 747-7744 FAX 508 747-1736 10 Cordage Park Circle E-MAIL 9 kart Crowell verizon.net Suite 239 INSURERS AFFORDING COVERAGE NAIC# Plymouth MA 02360 INSURER A:Arbella Protection Insurance Co. INSURED INSURER B: New England Air,Inc. INSURER C: 56 Leonard St.,unit#3 INSURER D, Foxborough MA 02035 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBER M DDfYYYYI (MM/DDfYYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A CLAIMS-MADE OCCUR DAMAGE TO RENTED $100,000 x x 8500006903 08/09/2014 08/09/2015 MED EXP(Any oneperson) $5,000 • PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY a JE� [__1 LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY - COMBINED1).SINGLE LIMIT $1,000,000 • .1 A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS X AUTOS X X 33124100002 04/01/2015 04/01/2016 BODILY INJURY(Per accident) $ X HIRED AUTOS X AO-OWNED PROPERTY DAMAGE $ X UMBRELLA LIAR X $ OCCUR EACH OCCURRENCE 55,000,000 A EXCESS LIAB CLAIMS-MADE z x 4600032433 08/09/2014 08/09/2015 AGGREGATE 'R5.000.000 DED I x I RETENTION 1910.000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N X ANY PROPRIETOR/PARTNER/EXECUTIVE x 9101540414 04/28/2015 04/28/2016 E.L.E EXCLUDED? A OFFICER/MEMBER EXCLUDNIA A ACH ACCIDENT $500,000 ED? � (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $SOO,000 "yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD tot,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION FOR INFORMATION PURPOSES ONLY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN NO RIGHTS CONFERRED ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE <KC> 111 W- 41141- -o ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD vrsmveridaim a sedgwick company 15 Benton Drive East Longmeadow,MA 01028 Tel: (413)739-5600 Fax: (413)739-5700 Form of Notice of Casualty Loss to Building Under Massachusetts General Laws Chapter 139, Section 3B 6/23/15 North Andover Building Inspector 1600 Osgood Street, Bldg 20, Ste 2035 North Andover, MA 01845 RE: INSURED Edgewood Retirement Community Inc LOSS LOCATION 575 Osgood Street, North Andover Ma COMPANY NAME : Philadelphia Insurance CO. CLAIM NO. 901610 TYPE OF LOSS Ice Dams DATE OF LOSS 2/4/15 OUR FILE # QCC 15355250 EWS To whom it may concern: Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Edcvmd Schad Signature Title: Sr. Adiuster On this date, I caused copies of this notice to be sent to the person named above at the addresses indicated above by First Class Mail. E&v wed Sc head o— Date 8a Signature 1w f NEW ENGLAND CLAIMS SERVICE, INC. ❑ Incorporated 1985 0 Reply To Reply To Mansfield, MA 02048 �.. � >,.�, 131 Dodge Street, Suite 6 P.O. Box 345 P, s + .. Beverly, MA 01915 TEL. (508) 337-8058 TEL. {978)927-3000 FAX{508}339-5835 `' FAX{978)927-3002 5r�'z�=�rr�_fz�=-e wrandall@newenglandclaims.co►rm Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec 3B :HDE D To: Building Commissioner or Inspector of Buildings City Hall TOWNHNL7QVER North Andover, MA 01845 HEA 'r LNT RE: Insured: Bischoff, Jerold J. &Judith B. Property Address: 575 Osgood Street, Unit 1207 Cause of Loss/Date: Mysterious Disappearance 9/7/2013 File or Claim No: BOS051769 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER 143, SECTION 6, to be applicable. If any notice under MASSACHUSETTS GENERAL LAWS CHAPTER 139 SECTION 3B is appropriate, P lease direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Section 3B. No insurer shall pay any claims (1) covering the loss, damage, or destruction to a building or other structure, amounting to one thousand dollars or more, or(2) covering any loss, damage or destruction of any amount,which causes the condition of a building or other structure to render section six of chapter one hundred and forty-three applicable, without having at least ten days previously given written notice to the building commissioner or inspector of buildings appointed pursuant to the state building code, to the fire department or arson squad of the city or town and to the board of health or board of selectmen of the city or town in which the same is located. If at any time prior to payment the said city or town notifies the insurer by certified mail of its intent to initiate proceedings designed to perfect a lien pursuant to section three A, or to section nine of chapter one hundred and forty-three, or section one hundred and twenty-seven B of chapter one hundred and eleven, the said payment shall not be made while the said proceedings are pending;provided, however, that said proceedings are initiated within thirty days of receipt of such notification. Any lien perfected pursuant to section three A, or to section nine of chapter one hundred and forty-three or section one hundred and twenty-seven B of chapter one hundred and eleven, shall extend to and may be enforced by the city or town against any casualty insurance policy or policies covering any loss, damage, or destruction pursuant to which the proceedings to perfect the lien were initiated. No insurer shall be liable to any insured owner, mortgagee, assignee, city or town, or other interested party for amounts disbursed to a city or town under the provisions of this section, or for amounts not disbursed to a city or town under the provisions of this section. Paul A. Dionne General Adjuster On this date, I caused copies of this Notice to be sent to the persons named above at the addresses indicated above by First Class Mail. Signature Date 15-113 4 i NEW ENGLAND CLAIMS SERVICE, INC. ❑ Incorporated 1985 F-1 Reply To ��.,�.�, Reply To Mansfield, MA 02048131 Dodge Street,Suite 6 P.O. Box 345 Fra Beverly, MA 01915 .s.� ..,. :x, TEL. {508} 337-8058 `{ «S% TEL. {978}927-3000 .` FAX{508}339-5835 �4: FAX{978}927-3002 wrandaVriewenglandclaims.com Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec 3B To: Building Commissioner or Inspector of Buildings City Hall North Andover, MA 01845 RE: Insured: Bischoff, Jerold J. &Judith B. Property Address: 575 Osgood Street, Unit 1207 . Cause of Loss/Date: Mysterious Disappearance 9/7/2013 i File or Claim No: BOS051769 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER 143, SECTION 6, to be applicable. If any notice tinder. MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of i loss and claim or file number. Section 3B. No insurer shall pay any claims (1) covering the loss, damage, or destruction to a building or other structure, amounting to one thousand dollars or more, or(2) covering any loss, damage or destruction of any amount,which causes the condition of a building or other structure to render section six of chapter one hundred and forty-three applicable, without having at least ten days previously given written notice to the building commissioner or inspector of buildings appointed pursuant to the state building code, to the fire department or arson squad of the city or town and to the board of health or board of selectmen of the city or town in which the same is located. If at any time prior to payment the said city or town notifies the insurer by certified mail of its intent to initiate proceedings designed to perfect a lien pursuant to section three A, or to section nine of chapter one hundred and forty-three, or section one hundred and twenty-seven B of chapter one hundred and eleven, the said payment shall not be made while the said proceedings are pending;provided, however, that said proceedings are initiated within thirty days of receipt of such notification. Any lien perfected pursuant to section three A, or to section nine of chapter one hundred and forty-three or section one hundred and twenty-seven B of chapter one hundred and eleven, shall extend to and may be enforced by the city or town against any casualty insurance policy or policies covering any loss, damage, or destruction pursuant to which the proceedings to perfect the lien were initiated. No insurer shall be liable to any insured owner, mortgagee, assignee, city or town, or other interested party for amounts disbursed to a city or town under the provisions of this section, or for amounts not disbursed to a city or town under the provisions of this section. Paul A. Dionne General Adjuster On this date, I caused copies of this Notice to be sent to the persons named above at the addresses indicated above by First Class Mail. Signature Da e I TOWN OF NORTH ANDOVER 101 OFFICE OF T a LICENSING COMMISSION 0 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 F NORTH H Richard A. Nardella, Chairman 0* TF1 William F. Gordon, o p Telephone(978)688-9500 Daniel P. Lanen * a FAX (978) 688-9557 Rosemary C. Smedile " �- -• '�' Tracy M. Watson ��SsgCHusEt Memorandum To: Building Inspector Chief of Police Fire Chief Board of Health Commission.on Disability Issues From: Jan � on, i Arg}sftqit Town Clerk i� Date: December 21, 2009 Subject: Edgewood Retirement Community 575 Osgood Street Attached please find a request to Alter the Premises at Edgewood Retirement Community, 575 Osgood Street by adding Bistro Dining Room to their All Alcoholic Beverages Club License. Please review and respond by Tuesday, January 5, 2010 as this will be a meeting of January 11, 2010. If you would like to E-mail your response, my address is jeatona,townofnorthandover.com. Thank you in advance for your immediate attention in this matter. r EDGEWAlk) 575 Osgood So-eet North Andover, Massachusetts 0 184 5-1935 December 3, 2009 Town of North Andover Office Licensing Commission 120 Main Street North Andover, MA 01845 To Whom It May Concern: i Please be advised that on November 19, 2009, Edgewood Retirement Community's Board of Trustees unanimously voted in favor of requesting a liquor license for the Bistro, located within Edgewood Retirement Community at 575 Osgood Street, North Andover, Massachusetts. Enclosed is a check in the amount of$100 made out to the Town of North Andover for the application fee and a check for$200 made out to the Alcoholic Beverages Control Commission. Also enclosed for your review, is a copy of the Bistro floor plan which includes the seating plan. If you have any questions, please feel free to contact me at 978-725-4101. i Sincerely, 4Mar e Rotering Executive Director THE Edgewood MEzk1 AWS Retirement Community ® THE HEALTH CWrM AT EDOE%= Tel. 978-725-3300 • Fax 978-725-5997 OPPORTUNITY Tel. 978-725-4100 . Fax 978-687-1338 J I I IfJ L_!1 I , I I I I J o AF AN BISTRO DINING BI LIA DS fl BAR o � t v h , ( I Porch 3u r K`tchen Open Kitchens I E - L ----- -- --- ----- E REF'R LIBRA ---------- FREEZER I I L—— — >< age' BISTRO Sto S orage STOKE El Office I Office El U L offee _ _OEM! / \ C I I7,1 E'LEV. LOBBY '~ ' COLONNADE n z DRAWING NO: BISTRO 575 Seating Layout Bistro g Edgewood Retirement DATE: 12.02.2009 = Community SCALE: none Seating MARGULIES PERRU=l ARCHITECTS 575 Osgood St. DRAWN BY: JP REF: V 308 Congress Street I Boston,MA 02210 1 617.482.3232 N. Andover, MA PROJ. NO: ERC07A.00 REFERENCE E' r ( I �) 1 1 I - in IOUI - I I r F-H Of I I 1 BISTRO DINING I - - 0 BIS BART - 7 , ( Porch Y p1� I Kitchen 1 Open Kitchen x=��� 1 Ly �_------------- LIVING ROOM KI El LIBRAR r ---�oz I L O ( ] E 9 BISTREl O c u Sto a - ' Storage U IFL ' i Cl Office , Office Bank STO E offee _ L _—J—J LEV. LOBBYI I COLONNADE I I CLUBHOUSE I I LOBBY I I I Women u s U I I u I I A B C D E BISTRO 575 Floor Plan DRAWING No: - Bistro Edgewood Retirement DATE: 12.02.2009 = Community SCALE: none Plan • MARGULIES PERRU=1 ARCHITECTS 575 Osgood St. DRAWN BY: 1P REF: 308 Congress Street I Boston,MA 02210 1 617.482.3232 N. Andover, MA PROD. NO: ERC07A.00 REFERENCE r u 1 BIG 11786 P0282 028848 14--01-2009 a 01 a Sao HISTQRIC PRESERVATION RESTRICTION TO THE TRUSTEES OF RESERVATIONS I. gRANTQ CLAUS& Edgewood Retirement Community,Inc.,a not-for-profit corporation organized under the provisions of M.G.L. c. 180, having an addre s of 575 Osgood Street7North Andover, o L- Massachusetts 01845(the "Grantor"),for nominal consideration of Ten Dollars paid,the receipt ' and sufficiency of which are hereby acknowledged, and pursuant to Sections 31, 32 and 33 of M.G.L. c. 184, does hereby grant and convey, with quitclaim covenants, to The Trustees of Reservations,a Massachusetts charitable corporation established under Chapter 352 of the Acts m of 1891,having an address of 572 Essex Street,Beverly,Massachusetts 01915(the"Grantee"),a d w historic preservation restriction (sometimes referred to as the Restriction), in perpetuity and exclusively for historic preservation purposes,upon certain land and the exterior of the structure a thereon(the"Building")located in Essex County in the Town of North Andover,Massachusetts ., consisting of the Deacon John Osgood House more particularly described in Exhibit A,attached hereto; commonly known and numbered as 547 Osgood Street, North Andover, Massachusetts 01845(the land and Building collectively referred to herein as the"Premises"). s. . For the Grantor's title see Essex North District Registry of Deeds Book 9223,Page 177. (14327164B24W IN983.6) 1 Bk 11786 Pg283 #28548 U. PURPOSE. The Building is a historically and architecturally significant residence,which stands as an example of the 18th century rural nature of North Andover,Massachusetts, illustrates aesthetics of craftsmanship and setting,and possesses integrity of materials and workmanship. The parties agree that the preservation of the exterior of the Building will contribute to the preservation and maintenance of the character of the Town of North Andover. Accordingly,it is the purpose of this Restriction to assure that the architectural,historic, cultural and associated features of the exterior of the Building be retained substantially in its current appearance (as improved by the repair and replacement activities allowed under this Restriction)for historic preservation purposes and to prevent any material change of the exterior of the Building that will significantly impair or interfere with the Building's historic preservation values. IQ. GRANTORS-COVENANTS AND CONDITIONAL AND RESERVED RIGHTS. A. Grantor's Covenant. Grantor agrees that Grantor shall not relocate the Building from its current location on the Land. In addition, and subject to the provisions of paragraph IV(C), and of the following sentence, Grantor agrees at all times to maintain the Building in sound structural condition and a good state of repair in accordance with the terms of this paragraph;it is Grantor's intent that the Building shall be maintained in a physical appearance that is reasonably similar to its current appearance and Grantor will undertake reasonable periodic maintenance and repair of the Building so as to insure its continued structural integrity. In the event that the Building suffers any type of casualty damage,or if the continued structural integrity of the Building requires maintenance or repair 11432?1 U41AOIUM.6j 2 i Bk 11786 Pg284 #28548 costing an unreasonably excessive amount, the Grantor shall provide written notification to the Grantee and to the North Andover Historical Commission of such event, and Grantor, Grantee and the North Andover Historical Commission shall reasonably confer with each other as to an appropriate course of action in view of the circumstances. After such consultation, the Grantor may either restore the Building to its previous appearances or if the Building requires maintenance or repair costing an unreasonably excessive amount, Grantor may demolish the Building, and if so demolished this Restriction shall terminate and be of no further force and effect and thereafter Grantor may use the Premises for any lawful purpose free of this Restriction. B. Grantor's Conditional Rights. 1. Conditional Rights Requiring A2=val by Grantee. Except as otherwise provided herein,without the prior express written approval of the Grantee, which approval shall not be unreasonably withheld, conditioned or delayed, Grantor shall not make any material changes to the exterior of the Building. Activities by Grantor to maintain the Building which are not intended to change the general appearance of the exterior of the Building shall not require the prior approval of Grantee. Any material changes which Grantor proposes to be made to the exterior of the Building,which would require a Building Permit to be issued by the Town of North Andover shall also require that the North Andover Historical Commission be advised of and approve any such material changes to the exterior of the Building. (14327%4M%A0188983b) 3 Bk 11786 Pg285 #28548 2. Review of Grantors Bmuests for Approval. In the event Grantee's prior approval is required,the Grantor shall submit to Grantee, for Grantee's approval, two (2) copies of information (including plans, specifications and designs) identifying the proposed activity with reasonable specificity. In connection therewith, Grantor shall also submit to Grantee a timetable for the proposed activity sufficient to permit Grantee to monitor such activity. Within thirty (30) days of receipt of Grantee's receipt of any written request for approval hereunder, Grantee shall certify in writing that: (a) it approves the request, or (b) it disapproves the request as submitted, in which case Grantee shall provide Grantor with written suggestions for modification or a written explanation for Grantee's disapproval. Any failure by Grantee to act within thirty (30) days of receipt of Grantor's submission or resubmission of requests shall be deemed to constitute approval by Grantee of the request as submitted and to permit Grantor to undertake the proposed activity in accordance with the request submitted. A certificate of such failure by Grantee to act, executed by Grantor, and including identifying information for the subject plans,specifications and designs,when and if recorded in the Essex North District Registry of Deeds prior to the recording of any contrary Certificate by Grantee,shall be conclusive evidence of such fact. 3. Standards for Review. In exercising any authority created by the Restriction to inspect the Premises, to review any construction, alteration, repair or maintenance or to review casualty damage, Grantee shall at all times act in a commercially reasonable manner. (1432716482AA0188483.6) 4 Bk 11786 Pg286 #28548 C. Grantor's Reserved R1ts. The following rights,uses,and activities of or by Grantor on,over, or under the Premises and the Building are permitted by this Restriction and by Grantee without fiurther approval by the Grantee: 1. the right to engage in all those activities and uses that:(i)are permitted by governmental statute or regulation,and(ii)are not inconsistent with the purpose of this Restriction to maintain the exterior of the Building substantially in its current condition; 2. the right to maintain and repair the Building,for the purpose of retaining in good condition the appearance of the exterior of the Building.Substantial changes in appearance,from that existing prior to the maintenance and repair require the prior approval of the Grantee in accordance with the provisions of paraBreph III(B); 3. the right to paint the exterior sheathing of the Building any of the following colors:white,off white(and any version thereof)and of the colors of the any various Cottages Constructed by Grantor under the 2008 Special Permit issued to Grantor by the North Andover Planning Board. Grantor agrees to provide written notification to the North Andover Historical Commission at such times as Grantor intends to change the exterior color of the Building,and to obtain the approval of the North Andover Historical Commission,which approval shall not be unreasonably withheld,conditioned or delayed. 4. The right to use the Land(a)for all customary uses appurtenant to a Residential Structure and(b)all uses customarily associated with a Continuing Care Retirement Community including the right to install temporary or permanent accessory structures for residential or Continuing Care Retirement Community uses IV. ENFORCEMENT, A. This Restriction shall be administered on behalf of the Grantee, jointly and severally,by its duly appointed members and agents. This Restriction shall be enforced by the Grantee in its sole discretion. Nothing herein shall impose upon the Grantee any duty to maintain or require that the Building be maintained in any particular state or condition, notwithstanding the Grantee's acceptance thereof. (14327164824b1018tM A) 5 Bk 11786 Pg287 #28548 B. In the event that a breach of this Restriction by the Grantor or by a third party comes to the attention of the Grantee,the Grantee must notify the owner of record(the"Owner") in writing of such breach and of that portion of the Premises and Building where the breach occurred. Said Owner shall have ninety (90) days after receipt of such notice to undertake actions, inehiding restoration of the Premises and Building, that are reasonably calculated to correct swiftly the conditions constituting such a breach. If the said Owner fails to take such corrective action,the Grantee may at its discretion undertake such actions, including appropriate legal proceedings,as are reasonably necessary to effect such corrections. C. Nothing contained in this Restriction shall be construed to entitle the Grantee to bring any action against the Grantor for any injury to or change in the Building or the Premises resulting from causes beyond the Grantor's control, including, but not limited to, fire, flood, storm,earth movement,and trespass on the Building or the Premises or from any action taken by the Grantor under (i) emergency conditions to prevent, abate or mitigate injury to or nuisance caused by the Building and/or the Premises resulting from such causes or(ii)direct,written order of any governmental authority(federal,state or municipal). D. The Grantor, and thereafter the record successors and assigns of the Grantor, agree to reimburse the Grantee for all reasonable costs and expenses incurred in enforcing this Restriction or in remedying or abating any violation thereof. E. By its acceptance of this Restriction,the Grantee does not undertake any liability or obligation relating to the condition of the Building or the Premises. F. Any election by the Grantee as to the manner and timing of its right to enforce this Restriction or otherwise exercise its rights hereunder shall not be deemed or construed to be a waiver of such rights. 1 14327%4824W 188983.6} 6 i Page 1 of l/ �I Brown, Gerald From: Cheney, Skip Sent: Tuesday, February 24, 2009 11:46 AM To: Bellavance, Curt; Brown, Gerald; Community Development; Willett, Tim; Willis, Gene Subject: EDGEWOOD RETIREMENT — -575 0 50 ptq� Importance: High FYI Effective July 2009(fiscal year 2010) MAP: 36 PARCELS: 17, 18, 819 will all be merged with MAP: 36 PARCEL: 3 per plan#15919 2/24/2009 * NORT}t � O �O 3`1 t g 0..; in Argo ay�5 ACHUS�� BUILDING DEPARTMENT Community Development Division January 6, 2009 The Office of the Board of Examiners of Plumbers and Gasfitters 239 Causeway Street, Suite 400 Boston, MA 02114 Re: Variance—North Andover-575 Osgood Street—Edgewood Retirement Community To Whom It May Concern: Please be advised that I have been in contact with Tim Willett, Water/Sewer Superintendent, regarding the concerns brought to light by Susan Sawyer, North Andover Health Director. Since the sewer pipe is located 17 feet underground and after conferring with a Professional Engineer, I am of the opinion that there is no undue load bearing on this sewer pipe. There is no existing regulation that I am aware of regarding the installation of SDR 35 pipe under buildings. I have expressed my decision with Tim Willett and he does not have a problem with it. I am in full support in granting a variance to,the State Plumbing and Gas Code in this matter. Regard, James L. Diozzi, Plumbing and Gas Inspector Cc: Gerald Brown, Inspector of Buildings Susan Sawyer, Health Director Cliff Rebidue, Youngblood Co., Inc. 1600 Osgood Street,Suite 2-36 North Andover,Massachusetts 01845 Phone 978.688.9545 Fax 978.688.9542 Web www.townofnorthandover.com I 2150 Washington Street Newton MA 02462 :�DFoley Buhl Roberts T 617-527-9606 F 617.527.9606 structural &ASSOCIATES INC engineers u offices in Newton MA Manchester NH Atlanta GA www.tbra.com November 11, 2008 Gerald A. Brown Inspector of Buildings 1600 Osgood Street North Andover, MA 01845 Reference: New Cottages at Edgewood Retirement Community North Andover, MA Dear Mr. Brown: This letter will serve to confirm that Foley Buhl Roberts&Associates is the structural engineer for the New Cottages at Edgewood Retirement Community.We have performed analysis and design calculations, and given structural member and connection information to the Architect for Cottages A, B, C, D and E. Part of this information includes the lateral load resisting system for the five cottages. Each cottage has a garage that is built integrally with the main body of the cottage. The perimeter walls of the cottages and garages are sheathed with plywood that resist lateral loads. The short sections of wall to either side of the garage doors of Cottages A, B, C, D and E are not used for resisting lateral loads. Please let me know if you have any questions. Very truly yours, Foley Buhl Roberts&Associates OF 0 GEOFFREY G S. CONWAY OSTRUCTURAL Geoffrey S. Conway, P.E. Cj No-A2753 H o� A9 1STE�� �FSSfONA4 I DEOTAM CORPORATION 978.470.2860 fax 978.470.1017 -s Specialty Contractors RECEIVED MAY 13 2008 TOWN OF NORTH ANDOVER May 8,2008 HEALTH DEPARTMENT North Andover Board of Health 1600 Osgood Street Building 20, Suite 2-36 North Andover, MA 01845 RE: Edgewood Retirement—Vacant Barns,575 Osgood Street,North Andover,MA 01845 (Barn Exteriors) Dear Sir or Madam: Please be advised that Dec-Tam Corporation will be performing an asbestos abatement projects at the above referenced location. This work is scheduled for May 27, 2008 thru May 30, 2008. All applicable local, state and federal agencies have been notified of this work. Please let me know if you have any questions. Since regards, 7 Craig Starkman Sales Estimator CS/cam Enclosure Environmental Remediation Services • Surface Preparation • Facilities Services 50 Concord Street • North Reading, MA 01864 • www.dectam.com • solutions@dectam.com r Commonwealth of Massachuse R CEIVEi) 305885 Please Enter Decal# Asbestos Notificatio Fc�h' n1�►t 0 1ff � � � tq N N,0 TOWN OF NORTH ANDOVER . ,�, HEALTH DEPARTMENT A. Asbestos Abatement Description ���� � ���� � Important: When filling out 1. Facility Location: forms on the computer,use Edgewood Retirement-Vacant Barns 575 Osgood Street only the tab key Name of Facility Street Address to move your North Andover MA 01845 cursor-do not use the return Citylrown State Zip Code Telephone key. Worksite Location: Barn Exteriors Building name,#,wing,floor,room. 2. Is the facility occupied? ❑ Yes ® No 3. Asbestos Contractor: Dec-'Tam Corporation 50 Concord St Name Address INSTRUCTIONS N. Reading. MA 01864 978-470-2860 1.All sections of City/Town Zip Code Telephone this form must be AC000035 completed in order DOS License# Contract Type: ®Written El Verbal to comply with Craig Starkman Business Development DEP notification requirements of Facility Contact Person Contact person's title 310 CMR 7.15 George Page AS071933 and the Division 4. Name of On-Site Supervisor/Foreman DOS Certification# of Occupational Safety(DOS) 5 notification Name of Project Monitor DOS Certification# requirements of 453 CMR 6.12 6. Name of Asbestos Analytical Lab DOS Certification# 2.Submit Original Form to: Commonwealth of 5/27/08 5/30/08 Massachusetts 7. Project Start Date End Date Asbestos Program 1 PO Box 120087 Boston MA 02112-0087 7:00am-4:00pm Work hours Mon-Fri. Work hours Sat-Sun. 8. What type of project is this? ❑ Demolition ® Renovation ❑ Repair ❑ Other, please specify: 9. Check abatement procedures: ❑ Glove bag ❑ Encapsulation ❑ Enclosure ❑ Disposal only ❑ Cleanup ® Other, specify: Wet Methods, Decon ❑ Full containment 10. Is the job being conducted: ❑ Indoors? ® Outdoors? KellyConstNAndov.doc•9/02 Rbl Asbestos Notification Form•Page 1 of 4 �, 1 Commonwealth of Massachusetts Ple e Wto eteR y. - U�# Asbestos Notification Form ANF-001 MAY 13 2008 -- -� "'"T�VVN OF NORTH A DOVER HEALTH DEPAR ENT A. Asbestos Abatement Description (cont.) j 11. Total amount of each type of Asbestos Containing Materials(ACM)to be removed, enclosed or encapsulated: 800 - -_ pipes or ducts(linear ft) other surfaces(square ft) Boiler,breaching,duct,tank surface coatingslin.ft sq.ft Insulating cement lin.ft sq.ft Corrugated or layered paper pipe / Trowel/Sprayercoatings / insulation lin.ft sq.ft lin.ft sq.ft I Spray-on fireproofing lin.ft sq.ft Transite board,wall board lin.ft sq.ft Cloths,woven fabrics lin.ft /sq.R Other,please specify: / Thermal,solid core pipe insulation lin.ft sq.ft Window Glazing /800 lin.ft sq.ft 12. Describe the decontamination system(s)to be used: Remote Decontamination Facility with Shower Basin 13. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2) (g): Material will be wetted and placed in double bags and labeled for transporatation 14. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency: Name of DEP official Title Date of Authorization Waiver# Name of DOS official Title Date of Authorization Waiver# 15. Do prevailing wage rates as per M.G.L. c. 149, §26, 27 or 27A-F apply to this project? ❑ Yes ® No B. Facility Description 1. Current or prior use of facility: Vacant Barn 2. Is the facility owner-occupied residential with 4 units or less? ❑ Yes ® No 3 Edgewood Retirement Communities 25 Osgood Street Facility Owner Name Address North Andover 01845 978-725-3300 City/Town Zip Code Telephone 4 Thomas Roy 750 East Industrial Park Drive Name of Facility Owner's On-Site Manager Address Manchester 03109 603-627-4203 City/Town Zip Code Telephone KellyConstNAndov.doc•9/02 Asbestos Notification Form•Page 2 of 4 Commonwealth of Massachusetts 305885 MAY i Please Enter Decal# ' Asbestos Notification Form ANF 2008- 001 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT B. Facility Description (cont.) 5 Kelly Construction Co., Inc. 750 East Industrial Park Drive Name of General Contractor Address Manchester 03109 603-6274203 City/Town Zip Code Telephone AIG WC5311226 12/28/08 Contractor's Worker's Comp.Insurer Policy# Exp.Date 6. What is the size of this facility? 25,000 1 Square Feet #of floors C. Asbestos Transportation and Disposal 1. Transporter of asbestos-containing material from site to temporary storage site(if necessary)to final disposal site: Note:Transfer Name of transporter Address Stations must comply with the Cityrrown Zip Code Telephone Solid Waste Division 2. Transporter of asbestos-containing waste material from removal/temporary site to final disposal site: Regulations 310 CMR 19.000 Service Transportation Group 58 Pyles Lane Name of transporter Address New Castle, DE 19720 302-778-5930 Cityrrown Zip Code Telephone 3. Refuse transfer station and owner Address City/rown Zip Code Telephone 4. Minerva Landfill n/a Final Disposal Site location name Owner's Name 9000 Minerva Road Waynesburg Address City/Town OH 44688 330-866-3435 State Zip Code Telephone D. Certification The undersigned hereby states, under the Craig Starkman afLA penalties of perjury,that he/she has read Name Authorized ig ature and Date the Commonwealth of Massachusetts Sales Dec-Tam Note:Contractor regulations for the Removal, Containment must sign this form Position/Title Representing for DOS notification or Encapsulation of Asbestos,453 CMR purposes 6.00 and 310 CMR 7.15,and that the 978470-2860 50 Concord St information contained in this notification is Telephone Address true and correct to the best of his/her N. Reading,MA 01864 knowledge and belief. City/rown Zip Code Fee exempt(city,Town,district,municipal housing authority,owner-occupied residential of four units or less?) ❑Yes ®No KellyConstNAndov.doc•9/02 Asbestos Notification Form•Page 3 of 4 Location k--5,Z-5- No. Date NG11Th TOWN OF NORTH ANDOVER ` Certificate of Occupancy $ • i ��s'•^�•E<�' Building/Frame Permit Fee $ +cavus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 8733 //I'- ---Building Inspectq�/' i 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 �; a This Section for Official Use Onl 'f P BUILDING PERMIT NUMBER: DATE ISSUED: O SIGNATURE: ' Buildin Commissioner or of Buildings Date 1.I Property Address: 1.2 Assessors Map and Parcel Number: 7J 0S6000 s✓ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS(ft) m Front Yazd Side Yard Rear Yard Required Provide R Provided ReqWmd Provided 1.7 Water S M.G.L.C.40. 54 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: uPP1Y ) Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ Historic District: es o 2.1 Owner of Record Nam Tint) Address for Service: 92,�r— X30.0 rn g/natu Telephone rv� t Nar�n �id�ress for Service: Z Telephone Z leph ne µ. 3.1 Licensed Construction Suve ►sar Not Applicable ❑ Addrpss License Number O AReg. n cti Su / � °^' � �°��0 d 2b� ���� Expiration Date Telephone ed Home Improvement Contractor Not Applicable ❑ Company Name Registration Number M r Address Expiration Date Signature Telephone G) 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 SigukA of 6Date - ;, MM Item Estimated Cost(Dollars)to be Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction from(6) 3 Plumbing Building Permit fee (a)x(b) cr b s 4 Mechanical(HVAC) 5 Fire Protection �. 6 Total (1+2+3+4+5) CIG i Check Number Xk. -;.;>at:> s.. .�., �h. :3!J}.,t �5:�-�c � ���,4 �.�,r ��1M `�lar���"<. �n ..��'•,�f z?a_r;�'.{ uu.,�..: £,�.U:- .S�t c�,r" �� s t•\,<s'y. r,..., �,vr z,�" �r",}.: : Nx�.��,x"�a:. +. ;A�J�.;r' ,�+ �1'.s. , `, :�' S ��f:zi 1�n i�.,1 '`r i'f1z� `}4f. yt� �'y^"i...;�����r ..��+n�r< tr s',,:�, 4;�^ems, '.� ��✓s' r��. t -�v CAVA K �ni s5��„��q a�;yi: n.r�fmr.�.�#Fh;R'.�_<, 1' ,,;;.T•,..<7�t?,.�ai''�. �}r,--#'t'�'lk'r"e;. �"k.... �ox.''�yt?'.�E�.,,v 7�"SY.n�t:Fz�Pt Y �h,:i'�x-?rli d'" �1� �.�.,.`" �.cd?'�+ .yN �s. 2 � f�t; NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRABERS IsT 2"D 3 SPAN DEMENSIONS OF SILLS L DEMENSIONS OF POSTS DUVIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIlVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE O Lg� u09 x i i 111 Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Si ned affidavit Attached Yea.......❑ No.......❑ 21.. ..i ,. �, ..,c..^.. ., s... ..1aS 4x.. M'.__ ..:. .Ya_.�-S. .f f�� >.a Yfefe� 1 t+• , t 5.1 Registered Architect: ,» Name: Address Signature Telephone ` Area ofAesponsibility Name: 5/rvc14 a^Cf e114rior 5 r?�✓O`t/ eoy.elow (roof 4 w'.11s) Registration Number Address: '33 /6q P9 CI 0 7 — 9 2-43 Expiration Date Signature +Ow 7-2/,0/0 1, 0-1 e 3© JZvo6 Not applicable ❑ Name: MMITjl. -= Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility, t .. Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility% Address Registration Number Signature Telephone Expiration Date .y\ V (—L' .J� /� `�U e0e119 Not Applicable ❑ % om CyName: sf �v�Sv2 / r7i Responsible in Charge of Construction J! 13� h.j New Construction ❑ Existing Building Repairs) Com— 7Alterations(s) 4--- Addition ❑ Accessory Bldg. ❑ Demolition Other ❑ Specify Brief Description of Proposed Work: -.G 4i 0-,44' USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ IA ❑ A4 ❑ A-5 0 IB ❑ B Business ❑ 2A ❑ C Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑- 2C ❑ H High Hazard ❑ 3A ❑ IInstitutional ❑ I-1 ❑ I-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING INNOVATIONS,ADDITIONS AND OR CHANGE IN USE e Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels a F 1 r Area per Floors Total Area s T tal Height ft 'Independent Structural Enjineering Structural Peer Review Rupired Yes ❑ No ❑ f 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 Location .S 7 S 0 S(© O No. 36 Date 1/—C)S 3 k �aRTh TOWN OF NORTH ANDOVER 3? � •SOL f D ` Certificate of Occupancy $ 130 ,ssAtNUSEt� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �3y Check # 3 g 7 Y 16922 Building Inspector 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 t �, This Section for Official Use Onl ~RAO BUILDING PERMIT NUMBER: c3&q DA'L'E ISSUED: � SIGNATURE: Buildin Comnlissioner/lauWor of Buildings Date l.1 Property Address: 1.2 Assessors Map and Parcel Number. 36 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 0 Zoning District Proposed Use Lot Area Frontsge(ft) m 1.6 BUILDING SETBACKS(ft) Front Yard Side Yard Rear Yard Re 'red Provide Required Provided Re red Provided ! 1.7 Water Supply M.G.L.C.Q.. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ 2 1 Owner of Record O CJ0 d Alfal N Do L/c 2 O 7 Name(Print) Address for Service: M Signature Telephone 2.2 Authorized Agent Name Print Address for Service: Z 7-4t 71 0Co O Signature Telephone imp .�., Pari.J. ;l 3.1 Licensed Construction Supervisor Not Applicable ❑ IX A . o "3 e5 OKo 2S 7 A dresss License Number O WO le"19 A40 �D Ll re,�//� -n Licensed Construction Supervisor: 2 - (p- S Expiration Date ic / 040 D r S gnature lephone Ter< 3.2 Registerea Home Improvement Contractor Not Applicable ❑ v Compan Name„ Registration Number M., Address , Expiration Date Z Signature Telephone a ? — ME 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 TWO Item Estimated Cost(Dollars)"to bemow Completed by permit applicant ¢� _ � s` 17" 1. . Building Q (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction from(6) 3 Plumbing Building Permit fee (a) x (b) , 4 Mechanical(HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number �'�` f d4.t Y lY .� a%. <.�SY [fir�f``? xS 'Fb . '£s J.4� { ! t„i�lv�S tt•s„hi`�.r ''tyr f'o`uu:-r~-'"e.' "f { rrt�Y f ;:�'Cja ks :�*'tg,,.Yy 4`t�: , t, ra 1 r z n' K ,t:, ,:.J '✓C ' f r rk a! •fw',,.H l . Sr. �}irZr 3Yi ��.y*t�i�R�,r �i#x;€�L e�dr7fNL+•i2r:.f5}}Y�f ' � ��1 ��v.:� a�,� �r���i n'Y,`+r+`..y.F,'�'. c NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sr 2 ND 3 R i SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY 4 IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE t SECTION 4 '9Vt)IiKE�iS C�' I�A'�af t�.�.i+� 2♦:�� 5� Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yea......JK No.......0 SECTION 5 IPLOFSSt©I�tAL]bEfi��I b C1SR7 °1CIt)NtRrVCS iC�I3t Almti3 StTTTI'Tt(3 ON 5.1 C"o�o .I' S`f7A1 �'TbQ 116Tfr 35,E cIET )� ?Si'A 5.1 Registered Architect: hVA Name: Address Signature Telephone � ist�red->�xraYe�st►r��sea�`, ,� "F �`�. Area of Responsibility Name: Registration Number Address: Expiration Date Signature Total i Not applicable ❑ I Name: _ Registration Number Address Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number F (Signature Telephone Expiration Date Name' - Area of Responsibility Address Registration Number Signature Telephone Expiration Date ,C• Not Applicable ❑ Company Name: I 41Mq-,-j o r me .j,tiz Responsible in Charge of Construction 6 � New Construction ❑ Existing Building ❑ Repair(s) Alterations(s) ❑ Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Worker -44A / / . C� (��?�--r 1`ANS Gw /►d►'Ae-+--v G115:5 Tk R-p& .t fCe(' _�► y t �G6 l/tfl►r�2 �N r A7- 4 C(4.cr/d t /(�or�F C7A V6-'5j USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly 0 A-1 ❑ A-2 0 A-3 ❑ ]A ❑ A4 ❑ A-5 ❑ 113 0 B Business ❑ 2A ❑ C Educational ❑ 2B 0 F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ IInstitutional 0 I-1 ❑ I-2 0 I-3 0 3B ❑ M Mercantile 0 4 ❑ R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use 0 Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: : Atom i' 2' BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property i I Hereby authorize to act on My behalf,in all matters relative two work authorized by this building permit application Signature of Owner Date l North Andover Building Department . Tel: 978-688-9545 DEBRIS DISPOSAL FORM 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 c 11, S 150 A. The debris will be disposed of in: (Z )'- T/o nl f,(),46TE -'!�O-1 7-10 0 X)el (Locatio of Fa ility) ;%--nature of Permit Applicant Z( 25 ' 022 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector I ��e Va�ra»tarzrce.2l��, a�-:�'!�traetr.�.�eudP.�o BOARD OF BUILDING REGULATIONS di, License: CONSTRUCTION SUPERVISOR. �n Number: CS 040237 Birthdate: 02/0611953 Expires: 02/06/2005 Tr.no: 7950 ' Restricted: 00 NORMAND J FOURNIER 16 CRESTVIEW DR C Es»o vi� MILLIS, MA 02054 Administrator ACCRDM CERTIFICATE OF LIABILITY INSURANCE 03/118/200 PRODUCER (603)224-2562 FAX (603)224-8012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Rowley Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 139 Loudon Road HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 511 Concord, NH 03302-0511 INSURERS AFFORDING COVERAGE NAIC# INSURED C. E. Floyd Company, Inc. INSURERA: CNA Insurance Companies 9 DeAngelo Drive INSURER B: Bedford, MA 01730-2200 INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDIN ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY C2048658989 03/24/2003 03/24/2004 EACH OCCURRENCE $ 1 F 000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 CLAIMS MADE OCCUR MED EXP(Any one person) $ 51000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY M PROJECT 7 LOC AUTOMOBILE LIABILITY 1929771 -03/24/2003 03/24/2004 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ A X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: qGG $ EXCESS/UMBRELLA LIABILITY C2048659074 03/24/2003 03/24/2004 EACH OCCURRENCE $ 10,000,000 X OCCUR O CLAIMS MADE AGGREGATE $ 10,000,000 A $ DEDUCTIBLE $ RETENTION $ 10,000 $ WORKERS COMPENSATION AND WC248659026 03/24STATU- OTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1.000,000 OTHER C2048658989 03/24/2003 03/24/2004 Limit $200,000 Leased/Rented Aqui Deductible $1,000 pm n e t DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS For Informational Purposes only. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. C. E. Floyd Company, Inc. AUTHORIZED REPRESENTATIV ACORD 25(2001/08) ©ACORD CORPORATION 1988 No-364 Y dower, Mass., /I dR r 0 3 /� COC MIC ME WICK V ADRATED PPI `s U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System t � BUILDING INSPECTOR THISCERTIFIES THAT.... ........ ............................................. ................................. ..................................... . Foundation Rhas permission to erect.... on................... buildings on .... 7.5........ . . .... ..................... Rough 9TIPA Irs y to be occupied as........ Chimney . ................ ............................................................................................................................................ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating t the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 3 (6 / 136 i PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST TS Rough ......... RA........ ..................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. Location,5"7$• c�sC.��� ST. - f3i-6(,T'. 7„ no No. -4- Date t1 -27 -cep MORT” TOWN OF NORTH ANDOVER O ,t�ao .aa h 9 CJ U `AL Certificate of Occupancy $ r, P50 -- ��s"'a°•E<� Building/Frame Permit Fee $ a5.9 9 �cMUB Foundation Permit Fee $ Other Permit Fee 27, TOTAL $ r S Check # �J 14371 t Building inspector Location S'36- 0S -c—Z> 70 No. 43+ Date MQRTN TOWN OF NORTH ANDOVER � p �0 Certificate of Occupancy $ �SswcHusE� Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee $ op TOTAL / S/0 , 948 O ea Check# 27 7 4,9 14370 IF Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT "'APPLICATION TOPCONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING 21)12-11171111M icia1Use0nI0'1.- -11--1--,11 Ms Section for Off' BUILDING PERMrr NUNOER: �f ISSUEZ6 D: commAlov,.- %AM411fluktIPJ19 1 SIGNATURE: 0 Building Commissioner/Imedor of Buildings Date 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 575 Osgood Street 35 & 36 6 Map Number Parcel Number 1.3 Zoning hiformaUon: 1.4 Property Dimensions: R-2- 2,426,800 f 150 f > Zoning District Proposed Use Lot Areas Frontage(ft) --i 1.6 WELDING SETBACKS(ft) M Front Yard Side Yard Rem Yard ReqWred Provide Raluired Provided Re red Provided 1000 ± 400 f 960 ± 1.7 Water Simply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private 0 zone- Outside Flood Zone Municipal X On Site Disposal System 0 2.1 Owner of Record rzc Rachel H-U-n—toon 575 Osgood Street, N. Andover MA 01845 0 Name(Print) Address for Service 978 725-3300 M Signature Telephone 2.2 Authorized Agent Charles H. Tobin, Jr. 9 DeAngelo Drive, Bedford MA 01730 > Name Print Address for Service: z 781 271-9006 0 Signature Telephone z M om All 3.1 Licensed Construction Supervisor Not Applicable 0 114 West Street, Pepperell, MA 01463 CS 065276 Address License Number 0 Charles H. Tobin, Jr. -n Licensed Construction Supervisor: 1-26-02 > 978 433-5929 Expiration Date Signature r Telephone 3.2 Registered Home Improvement Contractor Not Applicable [X Company Name." Registration Number M Address Expiration Date Signature Telephone G) r 1, Charles H. Tobin, Jr. 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 Charles H. Tobin, Jr. Print Name 9-27-00 Signature of Owner/Agent Date Item Estimated Cost(Dollars)to be � Completed by'pernut applicant 1. Building (a) Building Permit Fee 2,841,537 Multi lier 2 Electrical (b) Estimated Total Cost of _363,570 Construction from(6) 3 Plumbing Building Permit fee (_)X(b) 396000 = eg q¢g 4 Mechanical(HVAC) 252,000 I ob 5 Fire Protection 139,000 '2 4 6 Total (1+2+3+4+5) Check Number 3,992,107 a-i3$� 5-s t,nrFttrr�,���w v t�t�,� k} ;�, ,,i 1tS ti �S S k'v�`: 5 k ,'f>: '` ( t rT t r fi »>• ,5:-°• 4 1 y r vi. -'e-u. c°v„' .iS �yC..(( k i ,� ?J \ 't f y q1-.2 ;^"C`` ,,:G 4+' 11 a. 4'fsE{,.. 4ltRa� ✓'.h• ?�'�� ifs': 1't t t'! S N ..^51 �, (.t` i s�3v 3J.;r t {. ;f 5 ,}g: ,5 i wr=t5ya.. ��, ,3". t,yt�.f'1"Ft,�.� z dYx y�cn ' t.s v} � s,. v '� w'7•.'r xY r�' y r `'1 :.'� ry,-_.,�'-. °� �a�, a; ,� tir,it r,f.,5s.r �.s.:. swr',+•, ",cr. r.4,s c ,?,.,, r;, .v r., ',rf+r, �, s NO.OF STORIES 3 SIZE 45,000 BASEMENT OR SLAB Slab IIS SIZE OF FLOOR TIMBERS 2x4 wood trusses on all floors 3� SPAN y DEMENSIONS OF SILLS 2x4 + 2x6 DEMENSIONS OF POSTS TS 4x4 DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS � 4' u to 10' 8" to 12" SIZE OF FOOTING 24' x 12" X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND Solid IS BUILDING CONNECTED TO NATURAL GAS LINE Yes sp q s ».i -r('��Y�: tx�f >•.�, r"�' +r �-;��r�`�'� a�'S*'�"�''�,.{{ ,.:t yt,��3�jr 4a`aeu ,y...�tJx'M� s 1 P. #T ,�cl:s Y s��rlrox a001, sao � - x • f Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. —Signed affidavit Attached Yea.......7A No.......❑ SECTIUx,,S PR©1 1 SIUi AI,DESIGl )VO Axl X34 ai � ' CONSTRIfIE TTAI<ixTRQJL PJ"Alm T Car6pifs 1�+I0 'IATr ,4 C FDl�1ET1�b !'A 5.1•Registered Architect: 173V][l S_� :Sn�Pati Name , .m Flansbur h + ss Inc. 77 N. Washington Street, Boston MA 02114 Addr F ( Z_ 17 367-3970 Signa a Telephone 2,20.1 y5 2 d Prsfsa` fin Structural Engineer Jim B lmer Boston Building Consultants Area of Responsibility Name: • 79 Milk Street, Boston MA 02109 Registration Number Address: Signature Expiration Date Total dolanaoddard Not applicable ❑ Nam Electrical Engineer P.O. Box 408 Ipswich,New I swich NH 03071 28664 Registration on Number Address g 603 878-4823 Signature Telephone Expiration Date 7 Mohammed Zade Zade Company, Inc. Mechanical Engineer _ Name Area of Responsibility 140 Beach Street, Boston MA 02111 27233 Addre Registration Number M�Qalmju 617 338-4406 _6 Igo /a Z, Signature Telephone Expira ion Date Robert B. Cummings Cummings & Assoc Fire Protection Engineer Name Area of Responsibility 181 Bow Bog Road, B w NH 03304 39299 ` Address Registration Number 603 224-7453 Si Telephone Expiration Date C.E. Floyd Company, Inc. _ Not Applicable ❑ Company Name: Charles H. Tobin, Jr. Responsible in Charge of Construction r .,,��1��1��►►s�+tai c� > �� �all apgl�cabXe'� New Construction ] Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: New residential building consisting of 36 apartments USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 0 A-3 ❑ ]A ❑ A4 ❑ A-5 ❑ I B ❑ B Business ❑ 2A. C Educational ❑ 2B ❑ F Factory 0 F-1 0 F-2 ❑ 2C 0 H High Hazard ❑ 3A ❑ IInstitutional ❑ I-1 ❑ 1-2 ❑ I-3 0 3B ❑ M Mercantile ❑ 4 ❑ R residential 0 R-I 0 R-2 X R-3 0 5A ❑ S Storage ❑ . 'S-1 0 S-2 ❑ 5B IX U Utility '❑ Specify: M Mixed Use :❑; Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: N/A Proposed Use Group: N/A Existing Hazard Index 780 CMR 34: N/A Proposed Hazard Index 780 CMR 34: N/A BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels 3 Floor Area per Floors 15,000 Total Areas 45,000 Total Height ft 35 xVOMMOMM", 1- 1 1 M3 Independent Structural Engineering Structural Peer Review Required Yes EX No ❑ SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Rachel Huntoon as Owner of the subject property Hereby authorize Charles H. Tobin, Jr. to act on 4 My behalf, in all matters relative two work authorized by this building permit application 00 Signature of Owner Date 1 'I 4 1 �I i �o��usnaarrtueal�s�i o �/�'�j�e¢�` + i BOARD OF BUILDINGREGULATIONS ' license: CONSTRUCTION SUPERVISOR i i 1 Number CS 065276 t i Birthdate: 01126/ 1969 Expires:A 01f2� 6120 @2 Tr,no. 21470 Restricted To: 00 CHARLES H TOBIN JR } 114 WEST STS/ 8 PE_PPERELL, MA 01463 c Administrator - { i 1 I ori=� e � FORM - U - LOT RELEASE FORM y I INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boa-ds and Departments having jurisdiction have been obtained.This does not relieve the applicant and or landowner from compliance with any applicable requirements. low..........................................■..........l................... APPLICANT +6iIV� PHONE 791 s?71- 90400 ASSESSORS MAP NUMBER -4;eT-NVVM340 SUBDIVISION SNA-W000 AO77d6NEAff- LOT NUMBER �3 STREET Ago STREET NUMBER S?� OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS v^ DATE APPROVED C SERVATION ADMINISTRATOR DATE REJECTED _ COMMENTS �� y �% JyV ll) 2 DATE APPROVED 1 / TOWN P DATE REJECTED CONQAENTS DATE APPROVED FOOD INSPECTOR--"HEALTH DATE REJECTED DATE APPROVED SEPTIC i ECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMrr f'7 C- "DATE APPROVED FME DEPAR DATE REJECTED CONDAEN'S RECEIVED BY BUILDING INSPECTOR DATE ,o < OFFICE OF BUI XII mSPECTOR ` TOWN OF KMTN AAlooVER 0011MM M CONTROL PROJECT NUMBER PROJECT TITLE u� L "j boo PROJECT LOCATION: 7 5 HANE OF81ALDING:,3y��Ck�f& "700O NATUR OF P SECT: & 1N�1C:CORDANCE WITH ARTICLE 116 OF THE MASSACHUSE I I STATE BMIXNG CODE. TSPS_ REcISTRATIONNo. BEING A REGISTERED PROFESSIONNAAL'ENGINeMARCHTECH HER CERTIFY THAT l HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS. COMPUTATIONS AND SPECIFICATIONS CONCERNMIG: ENTIRE PR WECT 0 ARCHITECnIRAL ❑ STRI.ICTIJRAL 0- NIMIANICAL 0 FIRE PROTECTION® ELECTRICAL OTHER(SPECIFY) "M TM ABOVE WMW COhO UT TIOtA AND W%CI�lTIONS AdEET THE APPLICABLE PROVISION OF THE MA5SAChWE1T5 STATE SURDING COCe.ALL A&EXPTABLE ENGOoEERM FRATICES. AND APPLIC.1111,E MWS ANIS O I:S FOR THE PROPOSED ISE AND OCCUPANCY. I FURTHM CERTIFY THAT I SHALL PERFOM THE NECESSARY PROFESSIONAL 3SWICES AND BE TM WOW IS PROCEEa%NG INACCOWANCE WITFI THE OOt vepNprMAP ABASISPPROVE THAT TO DE�W� FOR THE WAMINr. PERW AN0 BALL SE REQ FOR VW FOLL,OWM AS SPSOPM IN SECTION 116.0 1. Revleak lbr co Voelmum m dea l concept.mopngS.Simples and other&*ft W3 "Nd atr:=*ranted by the eo r to ae-`oraenee wilA tl0 mmtWrwrwnts of the coraftuacticmdaaunentL 2 Review and app vww of air qja"eonbnt pracedt "for ail eodtN-regt&ed cwtltoBed materials. 3. Be preaut M ktl mmft mppmprto thit sbqp of cwjdMwdm a I�t�oeex.�ItNa11y tanviiar VA" tits Pcgmss and*Nft of the vim*aid to doenwitm In gent&%E the M*is being partartnad in a IRartrm txlnswo with the ooreOucgm �� PURSUANT TO SECTION 1162 2' 1 SHALL SUBMIT 5'N OF 3 S . A PROGRESS REPORT �� ���.. .� �sg...�"N. TOGETHER VATh PERTIN84T COMUAWM TO THE NOR AN�f1/ER rl$ALDING �'t".` 1J PON C.00APLEi IOM OF THE WOK $I�tAit.SUi�gW(T A t=lNAi.REPORT AS TO G SATWACTOft CCaokc-yM AM READUCin OF TM pp�T FOR -' FIRE PR07EC710N 0.39299 ISTO'9 � ass/ 7!7,14 CRI3ED AND SVWRN TO 6EFORE ME THIS a_a CAY OF NAL a, e TAR. PuiaUC MYCOtJAAISSIONEWWIEs :1. .�OU� 09/21/99 TILE 10:37 ITI/M NO 75721 Q003 ��_•;.., OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER :.t CONSTRUCTION CONTROL PROJECT NUMBER: 9939.00 PROJECT TITLE: Edgewood Phase T T T PROJECT LOCATION: Osgood Street, North Andover, MA NAME'OF BUILDING: Edgewood Building 7000 NATURE OF PROJECT: 36 Unit Residential Apartments IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, David Soleau REGISTRATION NO. 9363 BEING A REGISTERED PROFESSIONAL ENGINEERJARCHITECH HEREBY 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 ANQD ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I+SHALL PERF RM TFdlE N9CSAR`�PvOESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR ANO'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 wth- the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the constmation 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 THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR CU NCY:., iG FR SUBSCRIBED AND SWORN TO BEFORE ME THIS 9 DAY OF '�,4 a _1 �v NOTARY PUBLIC MY COMMISSION EXPIRES_'U3 ' wW J -'SEP.29.2000' ' 1: 16PM'' MAKI ELECTRICAL NO.671 P.2 10002 OFFICE OF BUILDING INSPECTOR • TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: 00021, PROJECT TITLE _ �G oozaAm 121 PROJECT LOCATION- 575 ost^�nnn NAME QF BUILDING:_- BUILDT.NG 7Q00 NATURE OF PROJECT: __ 3--ZMY PARTMERT BUILUINC„ , IN A tORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE OLAAAM r– Caoybjt 1� Se REGISTRATION NO. 2$61-,4--{ BEING A REGISTERED PROFESSIONAL ENGINEERIARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ARCHITECTURAL Q STRUCTURAL ❑ MECHANICAL Q FIRE PROTECTION 'D ELECTRICAL kZ1.1 OTHER (SPECIFY) 0 FOR THE ABOVE NAMED PR47 .l T ANO THAT, TO THE$EST OF MY KNOWLEGE. SUCH PLANS. COMPUTATIONS AND SPEC(F04..TIQNS MEET THE APPLICASL5 PROVISION OF THE MASSACHUSETTS ,�'`ATE BUILDING CODE,ALLACeEPTABLE ENGINEERING PF~ATICES. AND APPLICA6LE LAWS AND ORDINANCES FOR THE PROPOSED USE ANQ OCCUPANCY. t FURTHER CERTIFY THAT I SHALT.PERFORM THE NECESSARY PROFI=SSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION 911E ON A REGULAR ANC)'PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEGOING IHACC�RDANCE WITH THE DOCUMENTS APPROVED FOR THE BUIL!?ING PERMIT AND SHALL BE RESPONSIBt E 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 co t rector in acco rdance ' i documents. � � with the requirements of the construction 2. Review and approval of the gtuality control procedures for all code-required controlled materials. I 3. Be present at intervals appropriate to the-stage of constrvctlan to became, generally familiar with the progress and quality Of the work and to determine, in general, It Me work is being performed in a Manner consistent with the ennstmaticn documents, PURSUANT TO SECTION 118.2.2 1 SHAL�SU13MIT 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 TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. SUBS ND .S47,4F� S1cNP R>; E..� RE ME THIS �,� DAY OF 0CT_0�C-;P-61& l Y Pustic MY COMMISSION EXPIRES 09/27%00 WED 09:41 FAX Z002 OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER :'�-� •' CONSTRUCTION CONTROL PROJECT NUMBER:r PROJECT TITLE: Edgewood.Life Care Phase III PROJECT LOCATION: 575 Osgood St. , N. Andover Ma NAME OF BUILDING: Edgewood Phase III NATURE OF PROJECT: New Building with 36 Apartments IN CCOR ANCE WI ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CO DHAN 2Al2 REGISTRATION NO. 3 BEING A REGISTERED PROFESSIONAL ENG'INEERIARCHITECH HEREBY CERTIFY THAT 1 HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ❑ ARCHITECTURAL ❑ STRUCTURAL ❑ MECHANICA I)< 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 ACCEP'T'ABLE 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 BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING INACCOADANCE 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. �. i 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 the 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 CC+.,1k.ETiON OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO -rHE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT US ;TU NCY. p F.E _SUBSCRIBED AND SWORN TO BEFORE ME THIS�� , DAY OF OGT —� �a _ SSION EXP1REs NOTARY PUBLIC D MY COMMISSION EXPIRES IWH8,200r •7 OFFICE OF BUILDING INSPECTOR °' `�'• �= TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: 7- PROJECT TITLE: TT-1 PROJECT LOCATION: ' NAME OF BUILDING: r'ilJa� NATURE OF PROJECT: 1 t, /!mj t II IN AC RDANCE WITH —ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING O E, ' AYY, ff Lm CYC— REGISTRATION NO. BEING A REGISTERED PROFESSIONAL ENGINEERIARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ❑ ARCHITECTURAL ❑ STRUCTURAL)4 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 1 SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTIONA REGULAR AND'PERIODIC BASIS TO DETERMINE THAT SITE ON 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. ��P�jN OF 4f JAMES yGn 3. Be present at intervals appropriate to thP.stage of construction.to become, generally familiar g BALMER with- the progress and quality of the work and to determine, in general, if the work is being 3, No.29743 y performed in a manner consistent with the construction documents. p �0,-�G/sTf-? O' �� PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY , A PROGRESS REPORT FSc/ONAL ENG\ TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO E SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCC ;CY. �' T E SUBSCRIBED AND SWORN TO BEFORE ME THIS�� DAY OF LLC !A NOTARY ' n, MY COMMISSION EXPIRES Mam Suffolk CountyiI�Q4 &ubscrlbed and swum to bi fots the thIS LLday of The Commonwealth of Massachusetts - - / Department of Industrial Accidents Office o/%stigallons , 600 Washington Street r r� Boston,Mass. 02111 Workers' Compensation Insurance Affidavit incation- city phone# 0 I am a homeowner performing all work myself. 0 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. C:E Flo dC;omga ... _. iddress 9::.DeAngela Drive -.: ;: Bcity: edford `. :..:.. .. phone# 781 271-9006 gnyal Tridemtiily Gotnpany noTtew# .1fl0i87 insurance : C] I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: 7. nv name* it ... . 4. ... city: phone# t nolicv# company cid phone# insurance co OHM*, Attac :a aitiona Bs ettM-necnsarr 151113 Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under e pains and Pena i of per'ury that the information provided above is true and correct Signature = l . Date Print name Charles E Flovd Phone# 781 271-9006 official use only do not write in this area to be completed by city or town official Acity or town: permit/license# r—Building Department 7 oLicensing Board check if immediate response is required oSelectmen's Office 0Health Department contact person: phone#; f(Other (--d 7/9S P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law",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 :he 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 awner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the .:welling 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 section 25 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, 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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of adustrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The .tidavit 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. :r�:.��+�:.d:'it'�.4•..*=::'�::�.:%c�s''� - �. _x^..S _ - _ �j���'.'.!':�•sS '"'�'Z"'Y.a�i..t -5+. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of .he affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please )e sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to .he Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. ....r .ice•-. The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Ma. 02111 fax 9: (617) 727-7749 phone R: (617) 7274900 ext. 406, 409 or 375 Town of forth Andoveroti. TAORTH � Building Department o 27 Charles Street North Andover, Massachusetts 01845 .; (978) 688-9545 Fax 978) 688-9542 04 �SS'9CHU`�� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL 'c 40 s 54, and a condition of Building permit 9 _ 1o34- the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c1l, s150a. The debris will be disposed of in/at: Gf/ � nON-4 - 37�, �/.9�i�i�iyiTl��✓ �- , /1/.,�� r!ly o.�ol�/ Facility location figUgatlire of Applicant ._ Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. ✓' w DPW 286 Date... F ponrH TOWN OF NORTH ANDOVER o � RECEIPT 9 ++<o This certifies that.....:................. ............. �� . has paid.... ......... ........ .. ................................. for... G= m ` .. .. s ..... 7.9 .. Received by......................... ......................................................... v Department ...................... WHITE: Applicant. CANARY:Department PINK:Treasurer I • 1612 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. �? 161) Application by the undersigned is hereby made to connect with the town sewer main in Street, subject to the rules and regulations of the Division of Public Works. a The premises are known as No. Street or subdivision lot no. Owner y '7&/ z?%— 1� Address Contractor Address s Signature e I PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to to make a connection with the sewer main at `� Street subject to the rules and regulations of the Division of Public Works. t'// Division of Public Works • By / Inspected by i Date See back for rules and regulations RULES AND REGULATIONS FOR GOVERNING THE INSTALLATION OF SEWER SERVICES 1. No unauthorized person shall uncover, make any connections with or opening into, use, alter, or disturb any public sewer or appurtenance thereof without first obtaining a written permit from the Division of Public Works. 2. All costs and expense incident to the installation and connections of the building sewer shall be borne by the owner. The owner shall indemnify the (town) from any loss or damage that may directly or indirectly be occasioned by the installation of the building sewer. 3. A separate and independent building sewer shall be provided for every building; except where one building stands at the rear of another on an interior lot and no private sewer is available or can be constructed to the rear building through an adjoining alley, court, yard, or driveway, the building sewer from the front building may be extended to the rear building and the whole considered as one building sewer. 4. Old building sewers may be used in connection with new buildings only when they are found, on examination and test by the (Superintendent), to meet all requirements of this ordinance. 5. The size, slope, alignment, materials of construction of a building sewer, and the methods to be used in excavating, placing of the pipe, jointing, testing, and backfilling the trench, shall all conform to the following requirements. The sewer shall be 6"diameter SDR 35, PVC pipe. Minimum slopeshall be 1/8". per foot. The minimum depth of sewer shall be four feet below finish grade. Sewer pipe shall be installed on a stable trench bottom of hard durable crushed stone to a minimum (6) inch depth below the pipe. After the pipe has been installed, crushed stone shall be brought up to the crown of the pipe. Care shall be taken to carefully grade and compact the stone, and prevent pipe displacement. The remainder of the trench. shall then be backfilled in one foot lifts with mechanical tamping after each lift. 6. Whenever possible, the building sewer shall be brought to the building at an elevation below the basement floor. In all buildings in which any building drain is too low to permit gravity flow to the public sewer, sanitary sewage carried by such building drain shall be lifted by an approved means and discharged to the building sewer. 7. No person shall make connection of roof downspouts, exterior foundation drains, or other sources of surface runoff or ground water to a building drain which in turn is connected directly or indirectly to a public sanitary sewer. 8. The applicant for the building sewer permit shall notify the (Superintendent) when the building sewer is ready for inspection and connection to the public sewer. The connection shall be made under the supervision of the (Superintendent) or his representative. 9. All excavations for building sewer installation shall be adequately guarded with barricades and lights so as to protect the public from hazard. Streets, sidewalks, parkways, and other public property disturbed in the course of the work shall be restored in a manner satisfactory to the (town). ♦ 1018 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. (�' ' Application by the undersigned is hereby made to connect with the town water main in A ' Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. % `7? Street or subdivision lot no. i Owner ,� ( Z'7 ��06, Address ' f A Contractor Address p 's Signature t/ > PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to 4, — 1 to make a connection with the water main at `' _X Street subject to the rules and regulations of the Division of Public Works. Board of Public Works By Inspected by Date See back for rules and regulations RULES AND REGULATIONS GOVERNING THE INSTALLATION OF WATER SERVICES 1. No persons shall tap or in any way tamper with water mains which are part of the distribution system of the Town of North Andover without a valid permit from the Division of Public Works. 2. All water services shall be installed a minimum of five feet below the finish grade. 3. No water services shall be backfilled without inspection by a representative of the D.P.W.—Telephone 687-7964. 4. Service connections shall be 1" type k copper tubing. 5..All fittings shall be brass flange type Mueller or equal H 15202 Corporations H 15212 Curb stops H 15402 Three part unions H 8185 stop and waste valves 6. Curb boxes shall be installed at the _property line and shall be of the Erie Type with 4�/z foot rod and brass plug type cover. [�-11/15/OU wtv uu:ou riles s o1L!AJJYJ FRFtA SYNTH FL. �UUZ ''ii14/oo WE 17.42 PAZ L I � FLANSHURGH ASSOCIATES 14 November 2000 Architecmre Chuck Tobin Phan i Placterer Rlnnnieg Project Manager Ineertnr oasign C.E. Floyd Company Inc. Programming 9 DeAngelo Drive Bedford, MA. 01730-2200 Principals Da RB: Edgewood Phase III Kate S.soteay.AIA Kane!d.braouelly,BMPB FAI Project No. 9939.00 Alan S.It-w,AIA Duacao P.McClelland.AIA Dear Chuck: SLdnay IL.Hadea,!II The following is a summary of the information you requested regarding l?dgewood. Chairman Aatl R.Pluubti qh,FALA,NA The unit count is as follows: Phase I hes 147 units in.four residential buildings, distributed as follows: Sanlor Anociacea Samuel Bled,AIA Building 2000 - 36 Unita. Davi d A.ctaeaai,ATA Building 3000 - 39 Units Jorge M,CiLLx,AIA Building 5000 - 36 Units Anctiates Building 6000 - 36 nits Valerie X.Currie 147 Units Total Vi-cant E).Dube,AIA Katt M.vrwft Phase II has 36 units in one residential building—Building 1000 Jum A.Hiahwn.Ain Pear W.Lam" ThmU J.MucRcr,AlA Phase III will have 36 units in one residential building—Building 7000 Rob-ca g Paetca,MA Damink L PedulLa The total built units at the completion of this phase will be 219 units. The entire suwlne M.Rlvita,AIA project has been approved by the town for 250 units. junta e.'WILams,Jt.,AIA The site is 62.366 acres or 2,716,664+/-square feet. The buildings, including Building 7000 for the current phase. will cover 135,000 square feet of the site. This represents only 5% of the site. The paved areas cover another 243,000 square feet. The combined total square footage is therefore 365,000 square feet, Therefore, 14% of the site will be covered and $6% of the site will be open at the completion of this phase, Sincerely, FI-Al�i URGE ASS 1A INC, incent ub& Project Manager i i� cc: David Durden 9939/cornaewnicaUone/pha>soMPummery/ve j d Flansburgh Asa®ciaces,Ing. 77 North Washington Street geslon,MA 02114-1 9 10 T617-367-1970 F617.7-20-7073 www,fal-arch-cern ,111/15/00 WED 09:56 FAX 7812719045 Q001 A FAX TRANSMISSION C. E. Floyd Company, Inc. To: Company: Vmw AaoovoR -T.-w 8WNAw�C Fax Number: 9y0 AM AfYA Total pages: 0?- From; 2From: -TrFOw�� Voice Phone: .781271-9006 Fax: 781271-9045 Regarding: A#jo �o .mac nL' 40- YAM /s A 14-)WR ocwwyT� AW1J,1Tf47- fo- y V y general contractor/construction manager toRrh O��y1.�0 bb�a4 �r H 'S CNtf`+��� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH AMDOVER Building Permit Number 634 (11-20-00) Date October 30, 2001 THIS CERTIFIES THAT THE BUILDING LOCATED ON 575 Osgood St—Building 7000 MAY BE OCCUPIED AS 36 Unit—Residential Building IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULAT] MAY APPLY. CERTIFICATE ISSUED TO Life Care Services,Inc. ADDRESS 575 Osgood St North Andover MA Building Inspector 1S`floor— 6 one bedrooms 2 w/den 6 two bedrooms 1w/den 2°d floor—5 one bedrooms 1w/den 7 two bedrooms 2w/den 3'"floor- 5 one bedrooms 2w/den 7 two bedrooms 1w/den xAORT►y MAS - 0T0 _ _ 4 ove ARCED OR DSA �oC ,��EW� dover, Mass.,Novamg3L -22-A.ea ORATED PP���� ? S H E BOARD OF HEALTH ijERMIT T Food/Kitchen Septic System ' • THIS CERTIFIES THAT....... BUILDING INSPECTOR �,,�.P�....4R��..s�v►1�.t3���.�.4-'.��.r.:�Yo...e,���A.N`ir�.!,�►�.........:............ Foundation has permission to erect......�taka*................. buildings on.:Fj!S..0.,S.8ry.4 -.t31„�tr,"4caac;. Rough to be occupied as..........'fir! t -. C. .:..3.6.1,.t.t�.ir•.. ,.....�Sri��D�i',,�1r-.......... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERM1T EXP1 E S IN 6 !MONTHS Final UNLESS. CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT ��• t�06S 2-76 Burner Street No. SEE REVERSE SIDE Smoke Det. Location �� (�S`";�-�' c i Jl� No. J Date "I.o TN TOWN OR NORTH ANDOVER F?O.i �� ' ,'ti'OR op Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ s�cHus Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL Building Inspector 3491 01 -,;,/ 9& Div. Public Works Pr' MIT O. APPLICATION FOR PERMIT.TO BUILD'*x*****x* RTWANDOyr-,R, NIA r A tAl�,k"a0. /� ?� LOTNO. 4� 2. RECORD OFO\\'NERStitP BPOIC ��AC� ZONE SUR DIV. LOT NO. l/ i I i LOCATION S 7 S PURPOSE OF BUILDING !i O\1'NER'SNAtIE NO.OF STORIES } SIZE k O\ t� S S BASEhIENT 0R SLAB VN ER'S ADDRESS ARCHITECT'S NAME 0SIZE OF FLOOR TIMBERS' I 2N• 1 BLIILDER'SNAM E L �rQ� /(�� SPAN DISTANCE TO NEAREST BUILDING l i llIAlENS10N§OF SILLS DISTANCE FROM STREET DIAIENSIONSOFPOSI'S DISTANCE FROM LOTLINES-SIDES REAR DIAIENSIONS701'GIRDERS AREA OF LOT FRONTAGE IIEIGIITOF FOU{JDAT10N I _ TI[ICKNESS i IS BUILDING NEW } SIZE OF FOOTING.' X'' IS BUILDING ADDITION ! AIATF RIALOFCI1lpINEY IS BUILDING ALTERATION y IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE. y � � IS BUILDING CONNECTEp TO TOJVN NATER HOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOjVN SEWER P IS BUILDING CONNECTED TO NATURAL GAS LINE 1NSTUCTIONS 3. PROPERTY INFORMATION . LAND COST PACE 1 FILL OUT SECTIONS 1-3 C oxi rLloll co m gt' EST. BLDG.COST EST.BLDG.COST PER SQ. FT. EST.BLDG.COST PER ROOK! ELECTRIC Al ETERS IU UST BE ON OUTSIDE OF BUILDING SEPTIC PERAIrrNO. 'Ifl-fACIIED GARAGES 61 UST CONFORNI'r0 STATE FIRE REGULATIONS 4. APPROVED BY: c� PLANS MUST IlE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR DATE FILED OWNERS TELH CONTR.TELt{ �, Q �\ Y L CONTR.LIC# SIGNATURE OF O\VNER OR AUTHORIZED AGENT { FEE PERTIfrGRANTED 19 UJIM pan Revised 5/5/99 JAI � j a IT k Ttl?•a;i FORM U - LOT RELEASE FORM -° INSTRUCTIONS: This form is used to verify that all necessary approval /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 APPLICANT y HONE Com __ X LOCATION: Assessors Map Number PARCEL SUBDIVISION II LOT (S) _ STREET 4 'xST. NUMBER 5'?S' ********* ********* "OFFICIAL USE ONLY S RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS I TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SE)NER1WATER CONNECTIONS DRIVEWAY PERMIT 4 FIRE DEPARTMENT RECEIVED BY BUILDING iNSPECTOR DATE Revised 9197 jm BUILDING DEPARTMENT _ DEBRIS DISPOSAL FORM III,I; ry In accordance with the provisions of MGL c 40 S 54,a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as - - defined by MGL c 11, S 150A '1 The debris will be disposed of in: Location Facility Signature of Permit 4Applit �l-ll - 99 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector u,.rk i. �`� ✓�ze �aiiinzmiuuep�C�6'✓ y 4 s:♦' DEPAR ' F INENT OF PUBLIC SAM Y '1 CONSfRUCiION SUPERVISOR LICENSE q41 K _ Y m 1, . 4 Nueber ExPlres: rthdate: CS 038650 01;23/20OO , ReStrict'err.io; 01/23/1946 ' 00 t ROBERT 1G`,DAIGLE 58 4A TEP Si N ANDOVER _• �" NA 01845 ' f: ROBERTS INSURANCE AGEN TEL :508-6833147 Nov 15 '99 14 :43 No .019 P .01 r 1111Ao � . ... ..:.::...::::... .. 11/15/99 ra0oA1�1 TMS=TIRUTE IS ISSUED A8 A MATTER OF INFORMATION ONtY AND CONFER$NO RMAHT6 UPON THE CERTIFICATE HOLDER. THS COMMATE DOES NOT AiAYND, EXTEND OR ALTER THE COVERApE Ap"RDED gy,TM POLMS BE-Am. M.P. ROBERTS INS AGCY INC COMPANIES AFFORDING COVERAQE 1060 OSGOOD ST :................................................ ........................................................................................ ... NO ANDOVER MA 01845 `�.. A MERCHANTS INSURANCE CO :............................... ............... ........................ . ................................................................. ...................................1111. + 9 HANOVER INS CO ................................. . .................. ...................... ............................................ ....................... CREATIVE BUILDERS INC � C 58 WATER ST ..................................1.11...................1. NO ANDOVER MA 01845 '� D ...�'�......... ...EASTERN„•,CASUALTY..,,, ................. ................. V0MPaAWE THIS IB Tb CERTIFY THAT THE^POLICIEB OF INSURANCE LISTED BaalpW HAVE BEEN 168UE0 TO TME INSURED NAMED ABOVE FOR THE POLICY PERIOD MIWATEQ NOTM►ITHBTANOWG ANY R6QUIREMBNT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH REECT TO SPWHIG Two vY =>L.U81 A MAY BE ISSUED OR MAY PERTAIN.TMB INSURANCE AFFORDED BY THE POLICIES DESCRIBED MERLIN IS BU&IECT TO ALL THE TERMS, ..•. •.•..,,• AND CONDITIONS OF SUCH POUOIE6, LIMITS 6HOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. I.:-- .............................................. POLICY MADIEA............. OO: -11-1-111.... .......-.............. .... TYPR 0i MUItANGe POU 6PP[C71YE :10LICT EiPOIATXNI GATE PM1ipp/YY) OATa(MMIOO/Yri u n .k...' Y CMP-6147175 9/05/99 : 9/05/00 G0MRALAGGREGATE :ol,.............0,000 J( OOMMLVIAL GENERAL LL#AN V € a.Aers MADE;.(-.-`ooauL P+�ODAX7T3COMPeO►AGa... i1. 000 >.>.,>.:......... :PER80NAL A ADV.*WRY owNER>e a eoNraAOToaa pm.. ............................................1111;.......,.OCO i.C00. .rAcnu +ca ;.1,000,000 ........: ..................................................... : nRE oAMAVE/Any an.aI a100,000 ... „. �L'A” Y AFN 4343861 5/08/99 5/08/00 00baw oar4w v aS 000 E ANY AUTO : tAUT i ALi Oaa+Ec ALrroa :...............................................<.................................. .......... ..... 7( INJURY so mu.ED Aims as i 1 X:Himiii:I Ama :...................................................... 0.I Q....0....0 ....... ..x � mODDLY niLm y� w-IN ! GAnAsluaa i Q......................... . ........ ....................... :PROPERTY DAMAGE i 100 000 ^ S IaIA�Llw1t EACH OOOURRUME LIMEMLIA F*ItM .......................................... .•...,..� AGGREGATE i biz THAN UMWMAA POM w W - aMM�a C98 60 ooMPENw 2 0 2 9 TwM 3/29/99 3/29/00 X STAT..... LIMITa 1111.. ..............:::: ,1111. AMD EACH AOCIDHNT :........... .....................:.............. 10�./..Q lr1IPLOY/RO'LIAaiJtt► a &.mff-POLICY LIMB 0 0..,...,.,. 11 .... ....:.x.500 000........... VISEASE-EACH EMPLOYEE 9100 Goa CUCMMM OF OPERA,I011184 10am A p�noM FAX N0. 688-9542 V ' 2 1111 . ;111:1.. ..:: <..... ..; ::.. ;:.. : U;A1lN` SHOULD ANY OF THE ABOVE DESCRIBED POUCIE6 0E CANOE LLio eFFpRL THE M' EXPUTATIO1 DATE THEREOF, THE ISSUING COMPANY WILL ENMVOR TO TOWN OF NORTH ANDOVER MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE BDILDING DEPARTMENT T M Wo 14 IVA6 o®ueATInN OR 27 CHARLES STREET uAeum AWsAM AGWS AS REBENTATIVE6_ NORTH ANDOVER -MA 01845 A .. ,; 111::1.�>,.:.::.:.�..::.......,.�........... ..........,..... Mi e be ,�..... .. . ....�w... 11,:11., .::�.:.::.,.<,.. . .: ... .... . 1111 :.:... . .:::::.........::. P ;.�.:.�...::.:.... 1111. ...: ....:::.: .... 1111.:.. 1111. Ln 1 .f �,�i.;.: ray- n�: "• - t .9 r. •��. �-SSS � �•�•' ` .- -.1"-:.. . is � F`i��� "�'"►r' �.�5_: >- .' � `, r��l�Q1• •:.3 • �: •' .S' t �i' gid_;.l�.het - '�, , .,t •` :3({::1: x` "'s .,���.N'� �iP. Mir.. �•�3'- ). � �� LL Aoc •}` ;. � 1 ; "'". :� ars© ¢¢d e�re.� • Noah Pwir,MA 0100 t - _��«. 1.• ;,, i p66IN t�N-r gy 4 A- c COX02 II F!t.t S A G TH fSt;LoW. NO,tt- YKJ v `fs tr•t�s zoo 1 1{. 1�� Vvl�'L�.✓ r �ih!r��.+ 1�1 OF MQ'5r �iX-reNo - Q WAf-L Of- Ds r1. QOvr/ 1 � r' �GL�►-L6CA� - �` �sr/N K C�P�brJgT &W / �` ASF chit),r rpGGc(Ja /jLrlrif/s/27/,' 1/Tl,oi�,^�2vNir7 Zivc U4/01.44 10:G1 J`:1:1 +O1fOZJ17ZU "hLLY.JLh1 Vtoll_O VJUI Wellesley Design Consultants, Inc. TRANSMITTAL 66-70 Union Square,Suite 201 , Somerville,MA 02143 (617)623-1122,FAX(617)623-7720 To: - Marlene Rotering, Executive Director, Edgewood cc: Barry Movitz, Plant Services Director From: Chuck Steinman, Wellesley Design Consultants, Inc. Date: September 1, 1999 Project: Edgewood Retirement Community Subject: CLINIC FINISHES To relate the new Clinic finishes to the existing finishes in the PT area and the existing carpet, we are recommending to s-ay with the same basic finishes. The recommended finishes for the Clinic are as follows: Rums: Waiting/Reception. Office and Exam Floorins�: VCT: Armstrong Imperial Texture, Standard Excelon, 1/8" Gauge, 12"X12" two colors: VCT-3: #5`1836 Shelter White (predominate color) VCT-4 #51946 Gentian Blue (border and accent color, drawing to be provided) Base: Johnsonite 4" Cove Base, 1/8" VB-1 #CB-68 White Sand Walls: Benjamin Moore Eggshell on walls and Semi-Gloss on Trim PTZ BM #968 Plastic Laminate Cabinets: PL-5 Wilsonart #7909-60, Fusion Maple Plastic Laminate Counters: Wilsonart 4552-50 Ebony Star (can be postformed) Toilet. as above. except if you want sheet vinyl flooring: SV-3 Armstrong Translations; Commercial vinyl sheet flooring, 6'5" wide roll, Color 31779, Mint. Please call if you need further information. EDGEW@i§O November 15, 1999 Town of North Andover Building Department 120 Main Street North Andover MA 01845 Dear Sir or Madam: We have contracted with Creative Builder to build a clinic in the Commons Building on the 200 level of Edgewood. This clinic will be used by our resident for checkups and medical needs. If addition information is needed, please contact me (978) 725-3300. Sincerely, Barry Movi Plant Servic Director 575 Osgood Street, North Andover, MA 01845-1935 (978) 725-3300 EOU1l HOUSING OPPORTUNITY ® NORTH •� Town of L dover °�A COCHI E Q dover, Mass., ORATED P'P��,�S S 54 BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... ................................... ................................................................................ �� ...•••.v D D � � Foundation has permission to erect.....N...f��1O.�...... buildin s on ........ R / r Rough to be occupied as.... T ....Ol ......m �'�t S C r t 1 ,V / .......p.�.....�...... .............................I C............ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relatin to the Inspection, Final p Alteration and Construction of Buildings in the Town of North Andover. C o N•} r-0'l t co AD zt*act 10 N• PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough 1�1 3 PERMIT EXPIRES IN 6 MONTHS Final '3 UNLESS CONSTRUC ON T TS ELECTRICAL INSPECTOR r . ....... Rough .... ............... BUILDING INSPECTOR Service Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. SEE REVERSE SIDE Smoke Det. . - F —`3�-►2�'1,— `, MAP Town G�,_ . PARCEL NORTH ANDOVER CJULW4m ufcDezz BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: Z u -?Z�o� oGt Fit-Ltn• INSPECTION DATE: ' UNIT NO.: FLOOR: WING: BUILDING NO.: REMARKS: e fL LL `tv e��c Sr� 03 ' 71w ��vin 0 O3 Bo pc.� RNs - IS1 ���� b 'd/.L w/QA .L Istl LC fJl"� c�1�l�EG^ dVcnZ `r• 7J ynod� d �acv� L� iCD2 Geo NCf w�wsT Lz. C L �RfL�o�u S�►�E /='�P �� oP Uu aC��c�%�� e a 5';ZZs7� i Location No. S Date of I MORTM TOWN OF NORTH ANDOVER k n Certificate of Occupancy $ -7 + Building/Frame Permit Fee $ Ss�CMusEt� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ � 3 Building Inspector 13462 Div. Public Works BER-MIT NO. '514- APPLICATION FOR PERMIT TO BUILD********NORTH ANDOVER, MA NAP NO. 35 & 36 LOT 6 2. RECORD OFOWNERSIIIP DATE BOOK PACE roNER-2 suBnlv. LOTNp. t STRUCTEON Samuel Stevens Ro ers 2400 330-3361 ; i LOCATION 575 Osgood Street PURPOSE BU[LUwGMulti Purpose Room �x �(l&�P(. %Lbdm i pj l OWNER'S NAMENO.OF STORIES SIZE 3 000- L,ife Care Services Corp. 1 + O\1'NER'SADDRESS IA BASEAIENTORSLAB NO ''I 800 Second Ave nue, DesMoines, ARCHITECT'S NAME Earl R. Flansburgh + Associates SIZE OF FLOORTIAiBEIt$'Wood Trusses i BUILDER'S NAME C.E. Floyd Company, Inc. SPAN DISTANCE TO NEAREST BUILDING 320E DIMENSIONS OF SILLS 2X6t Z ; , DISTANCE FROM STREET 1,200± DIMENSIONS OF POSTS _, soar NZA COPY DISTANCE FROM LOT LINES-SIDES REAR 960± 8440± L 120± DIMENSIONSZFGIRDERS N/A � ._ ,J ����,�,�" AREA OF LOT 60-67acres FRONTAGE 150+ IIEIG]ITOF FOUNDATION N/A MI �RT �� A IS BUILDING NEW No SIZE OF FOOTING N/A IS BUILDING ADDITIONYes ! MATERIALOFCIIIhINEY N/A IS BUILDING ALTERATION YeS IS BUILDING ON 90LID OR FILLED LAND N/A RILL BUILDING CONFORM TO REQUIREMENTS OF CODE Yes 1S BUILDING CONNECTEp TO T01YN 1VATER. YeS BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER Yes I IS BUILDING CONNECTED TO NATURAL GAS LINE yes INSTUCTIONS 3. PROPERTY INFORMATION LAND COST N/A EST.BLDG.COST $268,000 PAGE I FILLOUTSECTIONS 1-3 EST.BLDG.COST PER SQ. FT. $90/sf EST.BLDG. COST PER ROOM ELECTRIC METERS R1UST BE ON OUTSIDE OF BUILDING SEPTIC PERMrrNo. N/A COMM ATI'ACUED GARAGES AIUSTCONFORNI TO STATE FIRE REGULATIONS 4. APPIIOVED 1 CMSTRUCTION PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR A DATE FILED OWNERS TELH (515) 245-7645 10-22-99 CONTR.TELH (781) 271-9006 SIGNATURE OF"OIVNER OR A11T110RIZEll AGENT CONTR.LICH 005296 FEE $ 1,742.00 Chuck Tobin ILLCA 111007 �Nia71 "s PERMITGRANTE -- vvyr f 19 66 Revised 5/5/99 JNI • NORTF1 'own ofdover .1` OL o � No. Sly dover, Mass., d.`,•.i1;}x. 51 �P —1:i � �V AORA-rE 1) A'01P�G\��� S 54 BOARD OF HEALTH E D Food/Kitchen FSeptic System BUILDING INSPECTOR THIS CERTIFIES THAT.... .►rr CP�rtt- St--rLJiet'S. co.e �C'.E..FL. Y+�. ( aNy �'�uC ..,.............................. has permission to erect.....4?.!�!a. ........ [Rough undation ........... buildings on .S. .S......OS(�'coa Sart rte' ..�('60.!�.. •, to be Occupied as..................�!!� �t�_..-C'u�¢'P�^sc 90o _ Chimney P o� �rvl�. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. VIOLATION of the Zoning or Building Regulations Voids this Permit. PLUMBING INSPECTOR Rough PERMIT EXPIRES IN 6 MONTHS Final �5 3L LESS CONSTRUCTION STARTS ;y ELECTRICAL INSPECTOR i41;i ;sdi.a�4 Rough ............................................ ......... .......... ................. ..... ................. Service -_ BUILDING INSPECTOR " Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner T Street No. SEE REVERSE SIDE Smoke Det. i BLUDING DEPARTMENT DEBRIS DISPOSAL FORNI In accordance with.the provisions of MGL c 40 S 54,a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: Waste Solutions, Inc. , 376 Washington Street, Norwell, MA 02061 Location of Facility Signature of Permit Applicant 10-22-99 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector i _ s ' CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER { j Buildirig Permit Number 514 Date 9/6/2000 THIS CERTIFIES THAT THE BUILDING LOCATED ON 575 Osgood Street MAY BE OCCUPIED AS „Life Care/Multi-Purpose Room 2°d Floor IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Life Care Services Cora .ADDRESS 800 Second Avenue,DesMoines,IA Building Inspector i i i • Nv r. � h Town of .l' pL ®ver No. COW O CONSTRUCTION y�C�°5 o == ��- - doves Mass. 1�0% S I gq s t4PONSTRUCPIO �'QA COCMI E \y ORATED S 54 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System L • BUILDING INSPECTOR ..' 'rtJ�ets Co.eP�C'.E.F THIS CERTIFIES THAT... ..-..`...��A� .... ............................. .............. •................. ................ !,.............................. Foundation .................. buildings on ... 1..............................�. �� .. -T� Rough has permission to erect.....4•.?.o�� S 5 OS 'C�Co , , �"(�-� M to 1.t........5lA........oSCE7' ...............A 2 N � • Chimney -7 o1�-C�O� to be occupied as............................. — R'P — d................... .............. a ..................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Fina �2 � o 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS 1 ' a5 LESS CONSTRUCTION STARTSMR Oa ELEC ICAL INSPECTOR CONYP UCS ION Rough ................. Service BUILDING INSPECTOR - Final Occupancy Permit Required to Occupy Building GAS uvsPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove F nagh No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner -a PL— Street No. 'J SEE REVERSE SIDE Smoke Det. Town of North Andover IM01f Ti• OFFICE OF °�"•` y�c COMMUNITY DEVELOPMENT AND SERVICES ♦ • 27 Charles Street North Andover,Massachusetts 01845 '► ' <` WLLLLAM J. scu'l t �sweHu4�� Director (978)688.9531 CERTIFICATE OF ENGINEERING Fax(978)688-9542 BUILDING INSPECTOR TOWN OF NORTH ANDOVER 27 CHARLES STREET NORTH ANDOVER, MA Q 1845 GENTELEMEN: I, T,4e S --f:) A L-V'-^Zr— .HEREBY CERTIFY THAT THE BUILDING CONSTRUCTEU AT • ® Vt' �VKV, DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE T.0 )OO1 '1o`r V% K.'w 010d a c/ . I AUTHORIZED SIGNATURE: l DATE: G�d REGISTRATION STAMP: 2 97 y 3 WwyGTV"L-- JAMES G BALMER R` No.29743 ai JUL 2 4 LP ' D SSIONAt FNG\ W ILD04-G, lei' i i b i J r BOARD OF APAE.ALS 683-YM1 BUn-DfNG 6138-9345 CONSCRVATTON 688-9530 HEALTH 592-9540 PT ANNr\f3 688-9535 • N�r. h Town of OL dover N& SlyCOW o� �o� ,L dover, Mass., vl� CONSTRUCTION ADa.� 'QATED P" S 5� BOARD OF HEALTH PERMIT T Food/Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT...L..'.......CF014....S�f;tt.-�S...l,'0.!ef'AgE—,..FA-.q ;�>....�R�r��q�►Y�.�A7................. Foundation has permission to erect.....�,?.o��................... buildings on .!5..7.!F.....q! C!:F a......���'� C��o� Q,C�� Rough........ to be occupied as lv'-.I.t�-...-5'A Pc!�.�...."EV . ..........!!.�•1 N ��.•............ Chimney 7 21-c�O� D p' ..... Imo/ .�a provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Fina �2 mo = o 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS ` 1 •, �s 3� LESS CONSTRUCTION STARTS COW ROL ELECWIZIAL INSPECTOR Rough .......................................... ................. ................. Service BUILDING INSPECTOR ��_ Final 7 -� �0��, Occuparwy Permit �Required to Occupy Building g GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. Burner FIRE DEPARTMENT 4– Street No. SEE REVERSE SIDE Smoke Det. 2 � 7` G S r Town of North Andover e NORTH OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES ° ' .9 i < 27 Charles Street w'� North Andover, Massachusetts 01845 ''�'°' •^''� tg �sS^cwuSEc AULIAM J. SCOTT Director 978)688.9531 ENGINEERING Fax(978)688-9543 � CERTIFICATE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER 27 CHARLES STREET NORTH ANDOVER,MA 01845 GENTLEMEN I, Roberto A. Gracilieri, HEREBY CERTIFY TO THE BEST OF MY KNOWLEDGE AND BELIEF BASED ON PERIODIC SITE VISITS, THAT THE BUILDING CONSTRUCTED AT THE Life Care Services Corporation/CE Floyd Company, Inc. for Multi-Purpose Room (2"d Floor — Pool Building), SEI #200178.00, Permit #514, DOES CONFIRM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE AS LISTED BELOW: As a Massachusetts registered professional engineer, I certify that I, or individuals working under my direct supervision, have performed the construction phase services for the referenced project in conformance with 780 CMR 1.16.2.2.1 I, or individuals under my direct supervision, have reviewed shop drawings in conformance with paragraph 1.16.2.2.1, reviewed quality control procedures in conformance with Paragraph 1.16.2.2.1, and have been present at the construction site periodically in conformance with paragraph 1.16.2.2.3. Based on these construction phase services, to the best of my knowledge, information, and belief, the work has been completed in conformance with the requirements of the construction documents; the Sixth Edition of the Massachusetts State Building Code, 780 CMR; all other pertinent laws and ordinances as modified by change orders, and incompliance with the permit issued by the Governing Building Official. c ark ROOEM JL Iv GRactt toss AUTHORIZED SIGNATURE: No,32576 DATE. Alyh, 2000 REGISTRATION STAMP: 576 MAL. * Pending completion of final punchlist items dated July 6, 2000. BOARAOF EAI $8-9541 BLUDtNG 688-9545 CONSERVATION 688-9530 HEALTH 68895�W PLANtJtNG 688A5}S 913. a; Esc\bun fda-.91 Town of North Andover r NORTH OFFICE OF ,1?0`"'.o A, COMMUNITY DEVELOPMENT AND SERVICES o . p s s 27 Charles Street :�°9 •�; North Andover, Massachusetts 01 845 `°•...° "ty WILLIAM J. SCOTT 9SS^cHus�t Director (978)688-9531 CERTIFICATE OF ENGINEERING Fax (978)688-9542 BUILDING INSPECTOR TOWN OF NORTH ANDOVER 27 CHARLES STREET NORTH ANDOVER, MA 01845 GENTELEMEN: I, Earl R. Flansburgh HEREBY CERTIFY TO THE BEST OF MY KNOWLEDGE AND BELIEF BASED ON PERIODIC SITE VISITS j THAT THE BUILDING CONSTRUCTED AT EDGEWOOD, MULTI--PURPOSE ROOM (2nd FLOOR POUL BUILDING) PERMIT #514 DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE. A/' AUTHORIZED SIGNATURE: DATE: July 7, 2000 REGISTRATION STAMP: V � OSTON MASS. ay FqC Tk or h /` BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 C.E. Floyd Company, Inc. 9 DeAngelo Drive Tel: 781.271.9006 Bedford, Massachusetts 01730-2200 Fax: 781.271.9045 Wednesday, July 12, 2000 Mr. Robert Nicetta North Andover Building Department 27 Charles Street N. Andover, MA 01845 RE: General Contractor Final Affidavit Edgewood Phase IIB - 99053 Dear Mr. Nicetta, I certify that I have observed the work associated with building permit number 514 dated November 8, 1999 relative to the property located at 575 Osgood Street. To the best of my knowledge, information and belief the work has been done in conformance with the approved plans and the provisions of the Massachusetts State Building Code and all pertinent laws, rules and regulation of the Commonwealth of Massachusetts and the Town of North Andover. Respectfully, Chuck Tobin Project Manager C. E. Floyd Company, Inc. 9 DeAngelo Drive Bedford, MA 01730 License No. CS 065276p tli"'7 IS:J �tE5 e JUL t2 '2000 3 • general contractor /construction manager I Location S 75 Date 14-46If 99 NORT1y TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ Building/Frame Permit Fee $ /49 c, Its CMUst<�' Foundation Permit Fee $ Other Permit Fee $ # Sewer Connection Fee $ Water Connection Fee $ vo I" TOTAL $ /`tea a 3074 Building Inspector 05/05/99 01:47 100.00 PAID Div. Public Works PERMIT NO. / APPLICATION ICOR PERMIT TO BUILD**"""NOR"1-11 ANDOVER, MA P111'No. 3S'f3�' 1.01.NO. co 2. HLCORUOfOWNLI(SIIII' 1)A"TE BOOK PAGE N)NL L7 z ! SJIBmV. 1.0"1No . LOI A IIONhV PURPOSE Of Bull DING C4: r ()\\NER'SNAME LXfU c.o v j No .OF S10111ES SIZE ()WNER'SADDRESS &oa S>cc�.,, O`� BASI:MENIORSI.A13 ND RD ARCI III-E('I'S NAME . n( 1�b�S�v�� U { �5,��� SIZE 01:I:I.00R 1IMBERS �� I 2 3 Iill DER'S NAME G a` Fl. -co C-0- SPAN - DISIANCETONEARESIBUILDING 6-00, DIMENSIONS 01:SIII.5 DIS I ANCE I ROM S'I REE I' C.5-0D► DIMENSRNIS OI POST S DISTANCE FROM 1.01-LINES-SIDES REAR DIMENSIONS OF GIRDERS �- AR EA OF LOT Q FROM AGE IIEIGIITIN'FOUNDATION �, THICKNESS IS BIIILDIN6 NEW ' . =a X GM_Vn ' 1 IS BUILDING ADDIIION MAIERIAL OF CIIIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID(-R-FII LED LAND N43.1.BUILDING CONFORM TO REQI)IREMENIS OF CODE IS BUILDING CONNECI ED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECIED TOTOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTIIC1IONS 3. PROPER TI'INFORNIA'FION LAND COST EST. BLIXi.COST PAGIi I FILL 0111 SEC-TIONS 1-3 EST. BLDG.COSI PER SQ. FT. ESI. BI IX'i.COS I PER R(X)t.1 EI EC-TRIC 11EI ERS hll)S F BE ON(X)TSIDE OF 13UILDIIJ(i SEPIIC PERMIT NO. AI'IACI IED GARAGES mus TCINJFOEmTO5TAIEFtREREM PLA IIONS a. --kPPR011EI)Bl': ^_ PLANS MUST BE FILED AND APPROVED 13Y III HIDING INSPECTOR BUILDING I NSP E CTO R DA IE OWNERS*1 Ct Nl l'R.l ELN 7 fs F Z'1'•• 9-00ka RECEIVED �at D CON 111. �o, Z� APR 17 1999 f`� 11(iNA I llR �)1\' li 01: NIiR()R All'I'I I(NIIZ.IiD T AGI�N � —' r• BUILDING DEPT. PI RI,IITGRANII I) • 0 � Town of ` ,.•.:.,'.;..'! .' �^ ®ver /01 -#r cocH, Qhrt dover, Mass., 111 1&L ..G_ I q 1 ORATED Pl'?L J BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System � vv BUILDING INSPECTOR THISCERTIFIES THAT..........................0. L...•.. ..�..��..I...� �.•........................................................................... Foundation has permission on -57C.... ............. Rough to be occupied as.... ......t...O F t4. '.`TIl�.l � .....� 0. qpy provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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. tJ• "NoTt'": % PLUMBING INSPECTOR VIO.y.ATION of the Zoning or Building Regulations Voids this Permit. ®wd",C&**) Yew"t F02&PA b4 x"' Rough ®Ic =SSM PEppLIT :XpMF--S IN 6_ MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ........... .......A.-N �.�,,�............ ServiceUG INSPECTOR Final Occupancy Permit Required to Occupy Bi,ciLding GAS INSPECTOR 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 InspectorBurner Street No. SEE REVERSE SIDE Smoke Det. ,w Location "No. ��' Date �aRTM TOWN OF NORTH ANDOVER O? • •• Os n Certificate of Occupancy $ ` Building/Frame Permit Fee $ t i � ,SSA�MUSEt Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ ' Building Inspector ' '0129198 09:10 39.00 F F.:1t; Div. Public Works Location c -d- - v / -No. '�/� Date I i NORTH TOWN OF NORTH ANDOVER p Certificate of Occupancy $ ` Building/Frame Permit Fee $ �i moo•+�.o'�,�4 ,SIAGMUSEt� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ M Water Connection Fee $ TOTAL $ 4� i/ `"Building Ins for 0 12 69/29/98 o9:io .ooPnIIJj Div. Public Works I 1 4 PERMIT NO. APPLICATION FOR PERMIT TO BUILD* ******NORTI-I ANDOVER, MA t NIAPNO.v" 1.O1.NO. 2. RECORUOFOwNLRSInP DATE BOOK PAGE ZONE SUB DIV. 1.0I'NO. PURPOSE OF BUILDING LOCATION `- e���� t OWNER'S NAME vv NO.OF S TORIES OWNER'S ADDRESS 2.n� BASEMENT OR SLAB L,Y G�-L b ARC'I III[Cf'S NAME SIZE OF FLOOR TIMBERS Vo 2 3 KtJ II ALDER'S NAME SPAN DIS I ANCE TO NEARESIlBBUILDING DIh1l=NSl(NJS OF SILLS DIS I*ANCE FROM SlREE.I' DIMENSIONS Of:POS IS DISTANCE FROM IAT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LAT FRONTAGE I IEIGI IT OF FOUNDATION THICKNESS IS BUILDING NEW SIZEOF-HX ZING X IS BUILDING ADDITION MATERIAL.OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND N`II.I.BUILDING CONFORM TO REQl11REME 'S OF ClA)E IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY 4MIS BUILDING C(NINECI ED TO TOWN SEWER IS BUILDING CONNECT ED TO NATURAL_GAS LINE INSTIICI'IONS 3. PROPERTY INFORMATION LAND COST ESl'.BLDG.COST t� D r PAGE.I FII.LOIffSECTIONS 1-3 EST.BLDG.COSI PER SQ.FT. EST. BLDG.COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. A 1-1 ACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS a. APPROVED BY: (perA�e PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR DAI-FPILED 9j'' OWNERSTELN f / y C(NITR.TI_"I.H / r /} !/C f r' IE�ign I �© CONTR.l.IC7l j/ i� tU_ SI(,NA TORE OF OWNER OR ALI'II It) l:1)AGENT /f F �ti r 1-1:1: j 9 SEP 2 3 1998 I'1-R1\1I1<,RANI ED +~ is*t f r :'• ^,. _ _ 1 T10RT Y Town o _ . dover No. /-/Ao * Z _ dover, Mass., -193F - s LAKE �yY '9 -C CMICMEWICK ^` V AT E (p BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......................... ........................................... . .............. ........... ..................................................... Foundation r has permission to erect........111................................ buildings on...&.7270. ...... ...,�..q ..:'.................... Rough tobe occupied as...... -�'L�..... .... . ... ... .. . ........................................................... Chimney provided that the perso�-acce�p�6nag ispermit shall in every respect nform to the terms of the application on file in Final 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough .. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TS Rough ................................. . ............................................ ............................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough P Y P� Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner ' Street No. Smoke Det. e 0 0 N O O /2-4- 17'-3 1/2- 4-0- 0' 4-0' 4'-0'- -4.-0.'--- ri t ��r ;��-EXIERIOR FACE DF FD NDATIDN WALL � I/2 E%PANS)DN MATE ]AL, BaCK£R RDD n I AN SEAlAV7 @ FDUN�Af)ON WALL �A NOT E s: � 1. 4' 3000 PS] CONC. SLAB DO 4' COMPACTED GRAVEL BASE DN �I J EDHPACTED SUBGRADE. 2. SLOP£ SLAB 1/4'/FORT AWAY ,•L HVAC FROM JU)LD)NG �, CLOSET EDGEWOOD RESIDENTIAL PATIO PLAN (Q 1/4" = 1'-0" 7/18/96 (\4 h K rl - m 1� C toDGEW(**) Unit E - Two Bedroom with Den Units 2204 2304 2404 6208 6308 6408 RESIDENT SELECTIONS: Name Unit# APARTMENT LAYOUT Clearly mark any desired modifications CHECK HERE IF THERE ARE NO REVISIONS 0.72_9 �----- m rn I q 1m` O) v X M 1 = IN O O 1 � I I _ 00 W I REF 00A0 0 \1 I I I j I ° 1 1 , 0 1 X = 0 r I 1� 1` � c� N I - c� Z i I 1 Z .o X D N p • a � w e p • v �----------T- IN -- �r I \� X(D M W Oo CD o 6 X II j Z I ` LINEN 10 j I Ica II I IM I r> Or m?� 4z 1 w NM ORa > rn � p - p M V � rn I O Scale: 1/4" [QUAL HOU91HO OPPORTUNITY Dimensions may vary. Duplex Outlet 1/2 switched �-O Emergency Call Button -Or Duplex Outlet �-G Cable TV Outlet Resident's Signature Date �GFI Outlet-6"Above Counter $ Light Switch Tm Telephone Outlet(w=wall phone) 1,111 Door Bell Accepted for Edgewood / O Junction Box $T Light Switch with Timer RESIDENT SELEC IONS: Name Unit# F ' t. ,�..r ".".."" h€`•'!"" ;e wu:gr, <-' r rM`iy+ r,� +.W''a�..• w-Jr+r'.r4'ia.w kY RA^1V C.ead?,rr+ o+•tq# 13_ ��i�.'•v ZJ DEPARTMENT OF PUBLIC SAFETY ' Restricted To: 00 t CONSTRUCTION.SUPERVISOR IICEMSE 00 35,000 Cf enclosed space I i �` r�. � NOrber Expires Birthdate: (MGL C.112 5.60L) 188--610712000 06/07/1942 1A - Masonry only 16 - 18 2 Family Homes + rR61A,rted To �' 00 Failure to possess 1, 1 P ss a.current edition of the RO$ER1 E. BROSHAtI Massachusetts State,Buildloo We t S' is cause for revocation of this license. ' SOUTH R0 E. K.INGST0N, HH 03827 t It'ion appli end to the yf•: atfi Y 1 CTeTM�o jeonuredlDt�u�daeacviuvaa i Mid r�� .. HOME IMPROVEMENT CONTRACTOR. F MegistrAt on 111969 ¢ '` ! TYPe - PRIVATE CORPORATION ¢I Ekpiration 02/11/99 DEVELOPMENT CORP 8ERCOE { 1y��tw RT.E BAF$}IAW 'jx r °S �t . 5!Fo is gxsa ;.;O�rMOX. 28/322 MRfN ST - s:. NENRURY MA.. ,, .01985 • ~ • • JF it T ��y'�° - M7 ct,T fix"t'W NIP } I a F 14 . r VetL e f t�V t L- 41 9 b--� tn64 . t —41 S5 Y i t7k rW�� a �' ; 5T .Yi � �. .. 41 Vis' �--```��.• ' ;B 4 t #� ' > .'f •�t K a r 1�'��_� s�>: 7£Y E ! � 'L`A'S ti.. - a' qq �' M A' EDGEW4*) Plaza 1060, Route 125, North Andover, Massachusetts 01845-1503 (508) 689-0202 6202 6204 6206 6208 6210 2 BR DELUXE 2 BR DELUXE 2 BR w/DEN 2 BR w/DEN 2 BR DELUXE w/DEN REV. REV. 6201 6203 6205 6207 6209 6211 6213 5212 EV 2 BR DELUXE 2 BR REV. 'REV.ER 1 BR 1 BR IBR REV DELUXE 2 BR REV. IBR ELUX 5210 1st FLOOR ELEV 2 BR DELUX 5211 REV. 2 BR REV. 5208 5209 2BR 2BR 5206 5207 IBR. IBR C175G D DELUXE 5204 5205 REV. .102 IBR IBR IBR 203 DELUXE 2nd FLOOR BEAUTY/ DELUXEIBR BARBER REV DELL) GUEST 5201 REV. SUITE i BR DELUXE • HEALTH CENTER COURTYARD GAZEBO GARDENS COMMONS BUILDING COCKTAIL ELEV LOUNGE DINING 2203 2205 2209 2211 2201 IBR IBR 2207 IBR 2BR 2213 2 BR REV. DELUXE REV. I BR REV. REV 2 BR DELUXE ELEV. 2202 2204 2206 2208 2210 3201 3203 3205 3207 3209 2BR DELUXE 2BR w/DEN 2BR./DEN 2BR DELUXE 2BR CARD 28R pELUXE 3211 REV REV. i ROOM w/DEN REV. 2 BR DELUXE 2 BR w/DEN IBR IBRD. 2BR ELEV. t 1st FLOOR 3202 3204 3206 3 321 208 0 3212 3214 • 2BR DELUXE 2BR REV. BEV 1 BR REV. DE IBR LUXE 2 RR REV. ® 2nd FLOOR ...o.,.,,. 8/95 '-.� .♦ ...ay... � .. :...�..r..� Ty�j"�:C'r"»lsiV C..YT Sivr... .—�_ Location ;' No. Sw 11iP,:! �j"'. Date ` "w 6' AORT1y TOWN .OF NORTH ANDOVER ••BOOL Certificate of Occupancy $ � + « + Building/Frame Permit Fee $ oG, °•ono•�`�'� F� cHueEt Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ IS730. 00 s p (, Building Inspector i1/8480 2� 157,900.00 PAID 11= 9328 Div. Public works S4 7 ', \ Locations '= No. M A. Date 413, /995 NaRT►, —� TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $. Foundation Permit Fee $ �cwus yatir,EiIT, ther Permit Fee-----�$�— caocxao a Sewer Connection Fee $ 111. ` Water,Connect!on Fee $ un d TOTAL $ 3�Soo hU � ((�" Buildin n5spector 3,%1 OJ/Z 09:34 Qa 9 31Mugs o9:46 61,750.00 ppDiiv. Public Works'n 'ERNtiT4RdO.6bn to rv3�-� APPLICATION FOR PERMIT TO BUILD — NORTH`ANDOVEI ` y, MAP 4,10. LOT NO. CONTROL 2 RECORD OF OWNI 6 r ZONE' I SUB DIV. LOT NO. OWS;ZMAKIluff L LoCATIO PURPOSE OF BUILDING /IT $4� 7 NSF] Osgood Street {2� OWNER'S NAME I NO. OF STORIES ./Lr Dj OWNER'S ADDRESS LifeCare SerV Ices COrpOrat lOn BASEMENT OR SLAB � i '�i•- 800 Second Avenue, Des Moines, I Ba ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1 Earl R. Flansburgh & Associates �� BUILDER'S NAMESPAN C.E. Floyd Company, Inc. Steel Joists DISTANCE TO NEAREST BUILDING320 -} DIMENSIONS OF SILLS DISTANCE FROM STREET 1,200 "' a'" ,POSTS DISTANCE FROM LOT LINES —SIDES R 440 + I - REAR 960 GIRDERS vp AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION {�� 60.67 + Acres. . 150± IS BUILDING NEW Yes � '" • SIZE OF�FOOTING � Il IS BUILDING ADDITION No MATERIAL OF CHIMNEY Sta 3 IS BUILDING ALTERATION No IS BUILDING ON SOLID OR FI LO WILL BUILDING CONFORM TO REQUIREMENTS OF CODE YeS IS BUILDING CONNECTED TO TOWN WATER Yes BOARD OF APPEALS ACTION. IF ANY IS BUILDING-CONNECTED TO TOWN SEWER Yes -- -- - IS BUILDING CONNECTED TO NATURAL GAS LINE Yes INSTRUCTIONS 3L)Ct 9oco A 3 PROPERTY INFORMATION ���n ^ _�^ �•� 5700 T3 LAND COST 'i3 SEE BOTH SIDES P Jvo EST. BLDG. COST 23.,000,000.00 �,L1�G• Ste- . 5 PAGE I FILL OUT SECTIONS I - 3 /� / DOQ� �7 ('? S-00 EST. BLDG. COST PER 8Q. FT. 83�Sri PAGE 2 FILL OUT SECTIONS I - 12 13LD¢. zo jp — rg. Soo I^ EST. BLDG. COST PER ROOM , -3 0,,c,,,— T3, P, GD I^ SEPTIC PERMIT NO. w ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING �i 4 APPROVED BY n ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS ROL Ca14STRU PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR 'DATE FILED CONTROL CON, STRUCTION I\ ■UILDING INSPECTOR SIGNATURE OF OWNER ORA THORIZED AGENT F E I- �'�� Sn� `^ + 1575 OWNER TEL.# (515) 245-7645 J PERMIT GRANTED'/ CONTR.TEL.# (617) 271-9006 !V D✓, �{ Ia g5 CONTR.LIC.# 054672 H.I.C.# 111007 1995 r --glUIIDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY _ STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES — LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS x— RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 2I3 K-CONCRETB PIQ /J 13t'" —i O BRICK OR STONE HARDW D PIERS PLASTER - . 1 DRY VJAII 1iV _x �'prytMON �L1 3� UNFIN. 3 BASEMENT �+ OL(X;7AREA FULL FIN. B M'T' AREA '/. 1/2 '/. FIN. ATTIC AREA Npcl?y� �.T= �/ _O B M'T p�5 F- FIRE PLACES �-1/ �"`�'� - HEAD ROOM MODERN KITCHEN _ ^ _ G -2-co > GARAGE x /<ESL nF f7'Z'�- t -7 pG� `�W 4 WALLS I 9 FLOORS 3 � CLAPBOARDS x B 1 2 3 �F�St'DEA)T'L14L- DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH - ASPHALT SIDING HARDVJ'D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MAS NRY ATTIC STRS. & FLOOR BRICK ON FRAME - I - CONC. OR CINDER ELK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIO! POOR ADEQUATE ONE w 5' ROOF 10 PLUMBING GABLE f I HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES A LAVATORY WOOD $HINGES KITCHEN SINK -X - SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES EIJDMTILE FLOOR TILE DADO 6 FRAMING I i l HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T-R OR VAPOR WOOD RAFTERS A AIR CONDITIONING A , RADIANT H'T'G UNIT HEATERS GAS 7 NO. OF ROOMS j OIL • BM'T 2nd _ ELECTRIC } �•� 1st 13rd NO HEATING iR 'wt"t _'ER\iIT XO.�bn Ri�'3�� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE'1 MAP 4-40. LOT NO. CONTRM 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE •I SUB DIV. LOT NO. M -I LOCATION PURPOSE Osgood Street PURPOSE OF BUILDING Retirement Community OWNER'S NAME Life• Care Services COrpor�atlon NO. OF STORIES 3 SIZE 278,000 SF OWNER'S ADDRESS 800 Second Avenue, Des Moines, IA BASEMENT OR SLAB Basement and Slab ARCHITECT'S NAME Earl R. Flansburgh & Associates SIZE OF FLOOR TIMBERS IST Precast 2PTank + 16" Weel Joists BUILDER'S NAME C.E. Floyd Company, Inc. SPAN Steel Joists 25' Precats Plank 8' to 18' DISTANCE TO NEAREST BUILDING ; ! DIMENSIONS OF SILLS 320 + 2x4 + 2x6 DISTANCE FROM STREET 1,200 + •• •• POSTS TS 4x4 ' DISTANCE FROM LOT LINES—SIDES R 440 + , REAR 960 + F GIRDERS W6x12, W8x31, W14x34, W1438 AREA OF LOT 60.67 + Acres . FRONTAGE 150+ HEIGHT OF FOUNDATION 4'&10' THICKNESS 811 & 1211 IS BUILDING NEW U Yes SIZE OF FOOTING - 2/. X 12 IS BUILDING ADDITION - NO MATERIAL OF CHIMNEY Stainless Steel or Galvanized Stack IS BUILDING ALTERATION No IS BUILDING ON SOLID OR FILLED LAND Solid & Filled WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Yes IS BUILDING CONNECTED TO TOWN WATER Yes BOARD OF APPEALS ACTION. IF ANY - "IS BUILDING CONNECTED TO TOWN SEWER Yes -- -- -- IS BUILDING CONNECTED TO NATURAL GAS LINE Yes INSTRUCTIONS 31►��. 9 p� .. 3.1�, �'vc� A 8 PROPERTY INFORMATION •IT D� ,4,��,_, �,(� SOO T3 LAND COST SEE BOTH SIDES 1'Q Ip ��� EST. BLDG. COST 23,000,000.00 'i3. PAGE 1 FILL OUT SECTIONS 1 - 3 / GOf7^ �• SOC EST. BLDG. COST PER SQ. FT. 83/SF PAGE 2 FILL OUT SECTIONS 1 - 12 P,yLI)Q-. 2occ> - Pj•e SOO EBT. BLDG. COST PER ROOM %`\n r -3 �, P Soo I' SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING �i 4 APPROVED BY ' ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS CONTROL COfNSTRU PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR 'DATE FILED CONTROL CONSTRUCTION BUILDING INSPECTOR SIGNATURE OF OWNER OR A THORIZED AGENT FEE 149 S.C=) cpi=> + 157 c7' ^ OWNER TEL.# (515) 245-7645 PERMIT GRANTED CONTR.TEL.# (617) 271-9006 I1�0✓, �� 19 9 S CONTR.LIC.# 054672 H.I.C.# 111-007 r• Cl�� 1995 _gaaS ��is79on � _ �( 3 A a -L:b Coo 0-MILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS x— RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH c CONCRETE L XX I _ 3 t 2 I' (J�4L� 1'�14 C'F/J=Ee- - C.G�C7 (�U 0 CONCRETE B . �I PINE BRICK OR STONE HARDW'D — PIERSPLASTER �t~ DRY WALL x UNFIN. $ BASEMENT I '`ES.rDCAJr=^L 1&f��( �J v— t13L P� �C y7> AREA FULL FIN. B'M'T' AREA �17 ���y '/ 1/2 1/1 IN. ATTIC AREA I`F-5rYriom/ i 13&PC7 8 M'T FIRE PLACES HEAD ROOM MODERN KITCHEN _ ��•.,A UPA�JlUhRESLflEal7','�- 13"67 - 5C-DC? 4 WALLS I 9 FLOORS CLAPBOARDS x B 1 2 3is=pF-J�7 � DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDV/'D _ ASBESTOS SIDING _ COMMCN _ VERT. SIDING ASPH. TILE ---{f_ STUCCO ON MASONRY _ f STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR ? BRICK ON FRAME I - - CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME ' SUPERIOR AI� POOR ,. _ADEQUATE NONE 5' ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET -X \ t 3n.F�r.y ASPHALT SHINGLES LAVATORY X. +-' •�. _ WOOD SHINGES- KITCHEN SINK _ SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES X , hFDM TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST A PIPELESS FURNACE FORCED HOT AIR FURN. 71 TIMBER BMS. &COLS. STEAM ' STEEL BMS. & COLS. A HOT W'T'R OR VAPOR WOOD RAFTERS —X AIR CONDITIONING • • RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B' 2nd _ ELECTRIC I$M'T 13rd NO HEATING s FORM U - IAT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT' Edgewood Retirement-Communites, Inc. phone 508-689-0202 LOCATION: Assessor's Map Number 36 Parcel Old Vs 3, 17 Ref. plan of land b Harr R. Feldman, Inc Subdivision P Y Y Lots) 6 April 11, 1989 Street Osgood Street St. Number ************************Official Use Only************************ RECON24ENDATI 9 OF WN ENTS: Date Approved Conservation Administrator Date Rejected --�- Comments S� � r,o )Aeol OP 0A� 30 J Zip. 3& 14 M" ? V05i0'Jn C& l � c{�„�• 4 ���N ► a l S �6M 1416 aim& �' 6 C' 1��� ►( w Date Approved Town Planner Date Rejected Comments 1P50N”" {Sm V)r CA r Date Approved Food Inspector-Health Date Rejected / -A A Date Approved Septic Inspector-Health Date Rejected Comments . s Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date ' 1 IIT y.._L....�.,. 1 f 'r..mte....� - Q DRIVERr 8 n�•,, LZ M IL,Ro M—RRTR$; FRAM DANE DR ! rte. 2701:-3281 MAS r - DEPARTMENT OF PUBLIC SAFETY _ `-� Massachusetts StateBsiidifig COMMONWEALTH Coda iscassa for re"ci tion ONE ASHBORTON PLACE afthislicaasa. ' OF w BOSTON,MA 02108 MASSACHUSETTSi i 4C, 9 I t r r� = JL 1 110 _ K CAUTION EXPIRATION DATE FOR PROTECTION AGAINST '� 1' 611996 EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB RESTRICTNE I7% i! PRINT IN APPROPRIATE C t — BOX ON LICENSE. � ?. �scRT n J.LL.4RD �a 'e � E BLASTING OPERATORS �A I-171 zs MUST INCLUDE PHOTO. CCC��. •m PAM PHOTO(BLASTING OPR ONLY) FEC ;1 •";:� IJ -•' q WT VALID UNTIL SIGNED'_`L:OENSEE AND OFFICIALLY HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIO I ;' AUG 943 DOB: / l 9. /1 " .03/06 I ,� SIGN NAME IN FUL N E LINE THIS DOCUMENT MUST BF S TORE OF LICENSEE r CARRIED ONHOLD PERONS THE THE HOLDER SWHEN EN IpplFr ED INTHISOCCUPATS - OTHERS-RIGHT THUMB PRINT GAG — .._. � I • w The Commonwealth of Massachusetts ARCHITECTURAL ACCESS BOARD One Ashburton Place - Room 1310 Boston, Massachusetts 02108 WILLIAM F. WELD (617) 727-0660 GOVERNOR 1-800-826-7222 DEBORAH A. RYAN Voice and TDD EXECUTIVE DIRECTOR Fax: (617) 727-0665 NOTICE OF ACTION RE: Edgewood , 1060 Osgood Street, North Andover ' 1. An application for variance was filed with the Board by David J. Durden (Applicant)on August 2, 1995 . The applicant has requested a variance from the following sections of the 1982 Rules and Regulations of the Board: 31.4 Shower control is not located on center wall adjacent to seat 2. The application was heard by the Board as an incoming case on Monday, August 21, 1995 3. After reviewing all materials submitted to the Board,the Board voted as follows: GRANT the variance to Section 31.4 to the location of the shower controls to allow the controls to be located outside the shower area due to DPH requirements NOTE: If the work being performed is reconstruction,renovation, addition,or alteration, compliance with this decision must be achieved by completion of the project and prior to final approval by the building department.Otherwise,if the work being performed is new construction, compliance with this decision must be achieved prior to the issuance of an occu an permit. t. P P Y Pe Any person aggrieved by the above decision may request an adjudicatory hearing before the Board within thirty(30)days of receipt of this decision by filing the attached request for an adjudicatory hearing. If after thirty(30)days, a request for an adjudicatory hearing is not received,the above decision becomes a fmal decision and the appeal process is through pp p g Superior Court. Date: August 22, 1995 AUG e ARCHITECTURAL ACCESS BOARD i'Chairperson cc: /Local Building Inspector Local Disability Commission Independent Living Center i 07 /f (�.t:eulrac William WcldCov Deborah A. li (ife � �Jlat e - :Jlno n !3117 De•bur-.ih.a. Its:ui Executive Director (617)727-066C • TO: Local. Building, Inspector Local Handicapped Commission Independent Living Center { s- FROM: Ar itectural Access Board SUBJECT: DATE: I Enclosed please find the following material -regarding the above pre es: Application for Variance Decision of the Board Notice of Hearing Correspondence Letter of Meeting The purpose of this memo is to advise your office of action taken or to be taken by this 43oard. If you have any information which would assist this Board in making a decision on this case you may Cal this office at (617) 727-066D or 1-800-828-7222 Voice or TDD or you may submit comments in writing to the above address. Thank you for your interest in this matter. C o j AUG T 1995 l +Er L 3 r ' EARL R. FLANSBLZRC i f INC. 28 July 1995 j✓ ' Architectural Access 8uard Earl R.Flansburgh,FAIA Ms.Deborah Ryan Michael H.Bourque,FIIDA Architectural Access Board One Ashburton Place,Room 1310 David S.Soleau,AIA Boston,MA 02108 Kate M.Brannelly,SMPS RE: Edgewood Duncan P.McClelland,AIA 1060 Osgood Street Alan S.Ross.AIA North Andover,MA 01845 Dear Ms.Ryan: Edward E.Calamari,AIA Stephen A.Casentini,AIA Enclosed is an application for variance and supporting documents for the above David A.Croteau,AIA referenced project. Peter W.Lambert Douglas P.Murray,AIA The project is a fully accessible retirement community with 147 units in 4 residential buildings and a 45 bed,level H,Long Term Care Facility,in a separate one story Louminda R..Torrbbertett, Christopher ,,AIA IIDA building. All the buildings are supported by an attached commons building which houses the main dining room,kitchen,staff offices,beauty shop, lounges and maintenance rooms. The LTCF requirements for shower controls conflict with the AAB requirements. Since all of the LTCF patients are personally attended when bathing,the controls are operated by the attendant rather than the bather and the location outside of the shower is more convenient. The variance we are seeking is for the 3 showers in the LTC only. Please refer to the attached DPH Section 151.470(B). We are looking forward to a favorable review of this application. Sincerely, { EARL,R.FLANSBURGH+ASSOCIATES,INC. Vincen .J.Dube cc: DDuncan McClelland David Durdan Joel Bleeker elcs I/dr072895/dd ' � a ARCHITECTURE/MASTER PLANNING/SPACE PLANNING/INTERIOR DESIGN , (. 77 NORTH WASHINGTON STREET BOSTON,MASSACHUSETTS 02I 14 TEL 617-367-3970 FAx 617-720-7873 F \ The Commonwealth of Massachusetts Z ARCHITECTURAL ACCESS BOARD One Ashburton Place - Room 1310 Boston, .Massachusetts 02108 WILLIAM F. WELD (617 GOVERNOR ) 727-0660 DEBORAH A. RYAN 1-800-828-7222 and TDD EXECUTIVE DIRECTOR Fax: (617) 727-0665 APPLICATION FOR VARIANCE In accordance with M.G.L., Chapter 22, Section 13A, I hereby apply for modification of or substitution for the rules and regulations of the Architectural Access Board as they apply to the facility described below on the the grounds that literal compliance with the Board's regulations is impracticable in my case. 1. State the name and address of the Qwn r of the building facility: _Edgewood Retirement Communities, inc. 100 Osgood Street, North Andover, MA 01845 Tel: 50R_(,RQ__202___ 2. State the name and address or other identification of the building/facility: Edgewood 1060 Osgood Street N Andnypr. MA 01849-11501 3. Describe the facility: (Number of floors,type of functions, use,etc.) ' 1 story nursing home with storage and laundry in basement with CCRC 4. Total square footage of the building: 18,000 SF Per floor:_ 16,000 SF a. total square footage of tenant space (if applicable): 5. Check the work performed or to be performed: X New Construction Addition Reconstruction, remodeling, alteration Change of Use 6. Briefly describe the extent and nature of the work performed or to be performed: (Use additional sheets if necessary). Build 1 story nursing home as part of a Continuing Care Retirement Community according to Massachusetts Regulations 105CMR _U1,000 - 151 900 7. State each section of the Architectural Access Board regulations for which a variance is being requested: SECTION NUMBER LOCATION OR DESCRIPTION 31-4 .f Shower Room - Controls •8. Is the building historically significant?_yes X no. If no, go to number 9. 8a. If yes, check one of the following and indicate date of listing: • National Historic Landmark Listed individually on the National Register of Historic Places Located in registered historic district Listed in the State Register of Historic Places Eligible for listing 8b. If you checked any of the abovend your variance request is based upon the historical significance of the building, you must provide a letter of determination from the Massachusetts Historical Commission, 80 Boylston Street, Boston, MA 02116. , 1995 � r P 105 CMR: DEPARTMENT OF PUBLIC HEALTH , 151.450: continued cabinet shall be equipped with a counter top and a sink with hot and cold running water. 151.460: Activity Areas-- Resident Care Units One day room, solarium, sitting room or equivalent space shall be provided in each unit. Each such room or area shall have a minimum area of 9 square feet d authorized in the corresponding nursing unit. for each be � '151.470: Patient Bathrooms and Washrooms-- Resident Care Units (A) Bathing Facilities. Leel IV bathing facilities shall be provided in a ratio of not less than 1 per 15 patients. A free-standing tub is not required within a Level IV Resident unit. (B) Shower Construction. Shower floors shall be flush and shall be without curbs. The floor shall be sloped to the center of the shower stall. Mixing 4thevaives.a.sd controis small be mounted outside shows:staili Shover enclosure shall be not less than 4 feet by 4 feet. (C) :Toilet and Handwashing Facilities. (1) All patient bedrooms shall be provided with at least one water closet and one lavatory. Each water closet and lavatory may be positioned between adjacent rooms. They shall be directly accessible from each room. (2) One water closet and one lavatory shall be provided for patients of each sex in each unit and shall be located in areas central to all patients. Such areas to be sized to accomodate wheel chair patients. Minimum dimension to be 4 feet by 5 feet. (3) One fixed or portable training toilet per nursing unit shall be provided for the training of incontinent patients. The facilities provided under 105 CMR 151.470(C)(2)may serve this purpose. (4) All common toilet facilities shall be separated by solid wall partitions or dividers. (D) Grab Bar Required for Tubs,Showers, and Toilets. All tub, shower and toilet enclosures shall be equipped with grab bars Grab bars, accessories and anchorage shall have sufficient strength to sustain a dead weight of 250 pounds for 5 minutes. (E) Hot Water Supply Maximum Temperature. Hot water supplied to fixtures patients s to ble hall be controlled to provide a maximum temperature of accessi 110 degrees Fahrenheit. 151.480: Storage Areas— Resident Care Units (A) Linen Closet. A linen closet shall be provided in each unit for the storage of daily linen needs. Each such closet shall be at least 20 square feet and shall contain non-coTbustible shelving to a maximum height of 6 feet. (B) ianitor's Closet. (1) One janitor's closet shall be provided for each unit. In no event shall there be less than-one janitor's closet per floor. (2) Each janitor's closet shall contain a service sink equipped with hot and cold running water. (3) Each janitor's closet shall be not less than 5 feet by 5 feet and shall have adequate shelving for the storage of cleaning supplies and housekeeping equipment. D (C) Genera)Storage. In each unit, a storage closet of at least 50 square feet shall be provided for the storage of supplies and equipment. i R 105 CMR-659 12/31/8& ; AUG - 7 1995 ° • SHOWER �fl 4 M S 3.� . r y 31.1 Where shower rooms are provided, they shall be able to accommodate both wheel-in and transfer use and shall comply with the following: 37.2 Stalls .shall be. thirty-six (36) inches by six ty with a thirty-six (36) inch door opening, (60) inches minimum, 31.3 Floors shall be pitched to drain within the stall at the corner farthest from the entrance. Floors shall be- carbcrundum, grit-face tile, or other non-slip surface. 31.4 Controls: Showers shall operate by a single lever with a balance mixing valve, and all controls shall be located on thprcenter wall adjacent to the hinged seat. Shower !,--.ad:: ztt zhed to a flexible metal hose with a wall mounting adjustable from forty-two (42) inches to seventy-two (72) inches above the floor line zhai: be provided. -31.5 Seat: A hinged, padded seat shall be sixteen (16) inches deep, folds u w .provided, which is at least ttached to the side wall, is set at a height of eighteen (18) inched toa athe p of the seat, and is at least twenty-four (24) inches long, 31.6 Grab bars: Two grab bars shall be long .and one forty-eightProvided, one thirty (30) inches (48) inches long. They shall be placed j horizontally at -thirty-six (36) inches above the floor line or shall be a continuous L-shaped grab-bar. a'd J lot e � W b � > a 6 a 3 , l;as naps Z \77 a • PLAN — SJHCWER ROOM SLEVATION � e 31.7 Soap trays shall not incorporate hand hold features unless they can support two hundred and fifty (250) pounds for five (5) minutes. 31.8 Gang showers shall also comply with this Section except for the provi- sions contained in Section 31.2. l ti . 1 _ AUG '� 7 1995 ° ' f Town of North Andover Of %O oT)l -1 OFFICE OF COMMUNITY' DEVELOPMENT AND SERVICES p 146 Main Street KENNETH R.MAHONY North Andover, Massachusetts 01845 9SSAcwus�� Director (508)688-9533 September 7, 1995 Clifford E. Elias Es 70 East Street Methuen, MA 01844 Re: Edg ewood Retirement Y. Communit Inc. Dear Attorney Elias, At the September 5 meeting of the Planning Board, the Board voted to extend all three special permits for the Edgewood Retirement Community for an additional six (6) months with the understanding that construction will commence in October and will therefore be substantially underway by April of 1996. Please pick up they !extension and have it recorded as soon as possible. The Planning Board also voted to set the bond for the project at twenty-five thousand ($25, 000) dollars. The bond must be in the form of a check made out to the Town of North Andover. The check will then be deposited in an interest bearing escrow account. The bond must be posted prior to any work on the site. If you have any questions please do not hesitate to call iq at 688- 9535. �: Sincerely, Kathleen Bradley Colwell Town Planner CC. J. Mahoney, Chair PB B. Nicetta, Building Inspector :F i . SEP 01995 BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D.Robert Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell Location 1016o OSCn-ooD STir11t'�( No. Date �oRTM TOWN OF NORTH ANDOVER 3? • n OL / Certificate of Occupancy $ ^ Building/Frame Permit Fee $ / 1 r� Fou do rmit Fee $ SACMU5 � X P mit Fee $ r Connection Fee $ f 11,730 p0 ater Connection Fee $ L11rZSD`= 00 wwZL'1L�S�7�rK owe f ✓' Building Inspector + N2 8872 Div. Public Works N0RTFI F c s Town of No-Soo MWeeCMIM M .�u Dbr dower, Ma; � MA- COC MIC WICK �t S PERMIT .T ... QXD...GQ.rnr� Y .. ..�....... THIS CERTIFIES THAT.,t�l ..�A. ..S� i � Foundation 5 has permission to erect&WA0C,#,00*0S'T (r buildings on .l.O�Q�....O..S.0 .o�....5 }zo�gll to be occupied as.�-H!IsM'1►!C,cw►' R.t .D�..1�.C�,tK�1aaS..BL +,4. R �1?E►aTiA�... �DQra........... Chimney provided that the person accepting this permit s�iall in every respect conform to the terms of the application on file in Final 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. - PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough CaNTROt PERMIT EXPIRES IN 6 MONTHS cr4lctuctiaN Final UNLESS CONSTRUC O TS ELECTRICAL INSPECTOR • Rough Comm Service CMISTRUM BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. - P 140RTM F � s Town of over No-Soo MPM� Cage. 0 r dover, Mass., N wicrASM3 1 qi�r CWMtp�l.IY!►ti[a COC HIC HE wICN V CWRUM ADRATED BOARD OF HEALTH Food/Kitchen PERMIT T Septic System ,BUILDING INSPEC"TOR THIS CERTIFIES THAT.s liFf� ..OAAC..Se�ll:(� .. +.�. . � ++... �QxD.. M�M''xj �" �' Foundation has permission to erectdoM EW6910 SiM.buildings on .l.O-. o�5'... Rough to be occupied as.144W.-TA.CROMM.�• �DQra........... c:l,in,ney provided that the person accepting this permit Aall In every respect conform to the terms of the application on file in Fi„ii 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. - PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. WRQL Rough PERMIT EXPIRES IN 6 MONTHS r.'014slF+uc7loN Final UNLESS CONSTRUC O TS ELECTRICAL INSPECTOR • Rough CONTROL Service COSTRUM BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. � � P NORTFy TO" Of dover 0 0 TT i r• h 'f ctlivl ++►. o r dover, Mass., AoycrNMA 3_ 1915 CViiSiku�,liUir ADRATED P' ,�C. BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D BUILDING INSPECTOR THIS CERTIFIES THAT J00 �RR .. hGk;�.. tCotro�?.. ...G�.+.l�....FtD... IMPRAtY. !�'�'.►. Foundation has permission to erectdr„ft'W,,t le 7l,.buildings on ..5' ..I ..... ` ttoUgl, to be occupied as.......1?V-rt1zrhw5-T.....t4epAl*... chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough CONTROL PERMIT EXPIRES IN 6 MONTHS Final Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough CONTROL Service BUILDING INSPECTOR COf'dSTRUCTION Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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 E Street No. ! Smoke Det. NORTH E Town of r O `,jr ti No-Tcoplb CONTROL �O ' L r N dover, Mass., NovE10M3 1974S CONSTRUCTIONCOCHICNEWICH ADRATED PPa��� 1 S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT./v; ...511 ..L1aQii . .... .. ...FYD.... Y.,.rc... Foundation has permission to erect&OeAgjy~kSbInUulldings 1.0.... t4-0.041..... ........ EiouKl, to be occupied as....... ...U4� bli*.Or..-...04440iN Q- t ...4-coc .......... Chimney provided that the person accepting this permit shall In every respect conform to the terms of the application on file in Final 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough COMTRDI' Final PERMIT EXPIRES IN 6 MONTHS (�,��slRucrlclrs UNLESS CONSTRUCTION STARTSELECTRICAL INSPECTOR • Rough CONTROL ... ................................................. Service CONSTRUCTION .............. .................. . BUILD.ING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. • NORTH 0 o over to 0 `tif:lr �'r A No.Soot ►- Y�y'� CONTROL o dover, Mass., N oymAm 3 1990 CONSTRUCTION � `°`"""`" � \ ()RATE D S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT 11.1k. i.._003drW...&j9-&d10; ?. ..�?.aoyel....Q/'!1` i .r.. .................. / Foundation has permission to erect&P. ,%?.A,.*IWt-buildings on ....Wi.. *...Q.-4*4P0.*a.... w4w. "o............... llough to be occupied as........R.d"rl.%tW.fA4r1;r...RM ...�3wi��?�i.N .-.../�. � �N.ar....�c►�,.ar.. chimney provided that the person accepting this permit shall In every respect conform to the terms of the application on file in Final 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. CONTROL Rough PERMIT EXPIRES IN 6 MONTHS CL44's"IRLICTION Final UNLESS CONSTRUC ON TARTS • ELECTRICAL INSPECTOR ` Rough CONTROL ,i ....................... CBNSTRUCTIOt .......... .............. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To .Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT t 's Burner i i Street No. P Smoke Det. ' AORTH F ovm of over O a `vr.tr ''•,;,fit:,'.;.: t-�t1 (CONTROL. o �.. ,. �rx � dover, Mass., Noyrm 3_ 199s Vl/It�J�l��V1IL�I� /�,,,'QA ClJl111C 11k WICK\� !� ORATED C 5 BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THATOMC.,SW40tFZ*YQ......dQM-139AOY..,,.X'430Foundation has permission to erecid##.0AW,.4.Vwb.%bMbuildIngs on... 1 ...QSf,0a ....5MM N.0........... Rough to be occupied as.........RW7)oa& t&,'T.....C?i �.pt i�sp,t:....i�l��Lt�:u(+ .-..A►.c. U.blk&...a�.awAV.... Chimney provided that the person accepting this permit shall In every respect conform to the terms of the application on file in Final 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. CONTROL Rough Ci>1'dSTkUCT10N Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUC TS •� ELECTRICAL INSPECTOR Rough CONTROL CONSTRUCTION ..............................0..................................................... .......................... Service BUILDING INSPECTOR Final } Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. NORTH F ToVM of over ..... 4 No5oo * CONIROL ..^, S CONSTRUCTION �ryc .� o .- � r dower, Mass., ND�lE7Y►B = Zr-199 CONSTRUCTION Q COCMICMEWICK � \ Vf J I� %AOOATED P'P�,��� BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT,4IR'..&M. ... -&RPo4#'� ... 41.4F�.f�'Yb...4.°!0�A) ¢ ' / Foundation has permission to erect ak'7 .u*& .` wUuildings on .. �1.......�S.Qr+nQ.�.....'�?' E ........ R��ugl, to be occupied as.........Re-TZ;W-M.. ...110"I•Dtu .......... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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. PLUMBING INSPECTOR VIOLATION of the toning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS RuC-1101i Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough CONTROL ...................................................................... Service COINSTRUCTION BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. 1 a_ _ Report Classic Gantt Life Care Services Corporation Report:Classic Gantt Life Care Services Corporation Report:Classic Gantt Life Care Services Corporation SureTrak Project Manager SureTrak Project Manager SureTrak Project Manager Layout:Classic Gantt Report Date:17AUG95 Layout Classic Gantt Report Date:17AUG95 Layout:Classic Gantt Report Date:17AUG95 Filter.All Activities Edgewood Life Care PagetAef7C Fltter:AllApwnies Edgewood Life Care Page to of lC Finer:An Activities Edgewood Life Care Page I of lC ...:. ._...1 ... ... .... - ...,... .,..OrYlnal .. ... ....,. ^:;.: s.:: .:::F, :..� .:,:JUN ...A: ..... ,..... ,-':. N .:': .. ..,,. ..�:: .:.,,. ......................MAY .... ._....... ;:,,....•„Lesch Ao11,.,.:. .00T:....:.... .........NOV ..............OEC ............:. .............. JA ................. ............. FEB .....:..,.: MAft..... ....MAR.. ........ ...... .APR::..,. ... ......... ...._ ,. .::,•NOV :30E0 : JAht ,. ,.. .:..: .. ... ...: ... :;:: ,,. t.r;:::, 40'ii.17 4_,. 7 ,.;,: �:�:;; : 2.:,•: .:s:. £ ... �„ .;. .». .-... , 9:..s ... 7::�r :. 3,. -:. :LT�:�. 0 ,:T.,ss::. 14;::.::. B ..... £ ... 5 ,.. 9 2. ..9..... .... ti ....78....... .... t.,,... B.....15...... �£7G Ew00.D�EdgevmAef:lfe. Site erosion 8 axes too Solo Site erosion a access oad. OR-site utirA BOd S015 ... .......... ...... ... _..... .. ........ ..,....._. ...-..„. ..........Off-site LatL4 Suip 8 sto6plee 15d 5020 Step B stockpile BuMing 4000.5000 8 15d 5030 ”'—^Building 4000.5000 8 9000 pad .? Access road 10d 5040....... Access road Building 2000.70008 15d 5050 '^'""'x.--" "”" Building 2000.300086000 pad Foundation excavation 40d sows," Foundatbn excavation 8 perimeter drain On-ste ubTides 50d 5017. .. ...........:. .... ..:.:..... On-site Wities - ' Site 300 - so�oa Site grading ._.. ______, ...:Grade roads 8 parldng 30d sow- Grade roads 8 parldng tot ' i^Curb 8 binder 20d 0090 ........... aro 8 binder :f Erderior Gamete 8 site 40d S700 ••:.�.. ........... ............... ......::..,:: Etienar concrete 8 site Mprovementa Loam B seed 15tl los-- Learn Swed Canasta i30a S72D' LaMacepinp Pavement tOd _. 5130 Pavement 14wa..44ea tenter FouMatons 25d g010�........... .....'_'.... Foundations 5d round utdines 20d 9020 Underground ublmes Slab on grade 5d 9M6=7 Slab on grade Steel. 8 15d 9040- steer sorry 8 precast Framing. 8 40d ... F2 p nmfinq 8 sdinp MEP .s Finishes I Foundations 25d 4010 Fountlatio� Underground utilities 20d 4020 Underground utilities Masantry 8 t 10d 40306 Masonry 8 Steer 10d '• Froming.roofing 8 60d Frem ng roofing 8 siding MEP 40d 4060 ,,... ... .,. .. i4F3 Finches 1204 . '.:5f90•Bar�.ig.50M F -dations 25d 5010 ....•........ -_:....::. -Foundetions Underground utilities I 15d 5020 UMergrountl ubWes '.:F 8 SOd Finahes 1204 5050 ..,.. ......:: E000-::Btiild>n-g 60M .........>- ...__ ...::..•.:..-Rnisngs . .......�::: .-Foundations FouMaucrm 2t6010. U.de,grouridl Utilities 15d 6020 UMergrountl Utilities Slab an grade Sd S=y Slab on grade -:;Elam' ,reeling 8 50dW4D --- '-'.—=sZ Framinp_roo6np8sdinp MEP 40tl 1 6050 .•. :.. .MEP . Fm rhes 120d 6060 ...,. ................ i 3000.;9ta'Idd. .?,Mg. FouMatiematleck 40d 3010 .._� .. ..:.•:.::. .........._..., ..'•.,..... :•:.,..Foundations 8tleck Underround utilities 15tl 3020Underprourd utilities Framing. 8 50d i 3030 .'....,:...FrzminA_roofing 8 siding . 3 MEP 40d - 30406"....x"..... ..:.....:..... MEP Finishes 120d ` .:,Foundat.—a deck 40C 2010.x ::...:. ., Foundations 8 deck Undeground utilities 15d 2020 Undeground utilities :i Fra.' 8 Sod 2030 _- Framing.roof g 8 ailing MEP 40d 2040 :::Finishes 1200 2056 --....,,..._. : .......:... ....,„: ,..,,,. ..... ..,.....: 3204 ._:.:..... ....:.. _, ._.. EARL R. FLANSBURGH + ASSOCIATES, INC. November 3, 1995 Earl R.Flansburgh,FAIA Mr.Robert Nicetta Michael H.Bourque,FIIDA Building Inspector Town of North Andover David S.Soleau,AIA 120 Main Street North Andover,MA 01845 Kate M.Brannelly,SMPS Duncan P.McClelland,AIA Alan S.Ross,AIA Dear Robert: Edward E.Calamari,AIA I hereby confirm that Earl R.Flansburgh+Associates,Inc. serves as the primary Stephen A.Casentini,AIA design professional and leader of the design and engineering team for the Edgewood David A.Croteau,AIA Retirement Community Project. Peter W.Lambert Douglas P.Murray,AIA Sincerely, Christopher A.Sgarzi,AIA EARL BU S I ,INC. Louminda R.Torbett,IIDA Earl R.Flansbu gh, AIA President i i els2/rn 110395/mc NOV3 ^ 19115 ARCHITECTURE/MASTER PLANNING/SPACE PLANNING/INTERIOR DESIGN 77 NORTH WASHINGTON STREET BOSTON,MASSACHUSETTS 02114 TEL 617-367-3970 FAx 617-720-7873 OFFICE OF BUILDING 1NS1'EC1OR 1*014N OF NOR'111 ANDOVER %• CONSTRUCTION CONTROL PROJECT NUHBERs t PROJECT TITLEt. Edaewood Life Care PROJECT LOCATION: Oseood Street, North Andover N� -NAME OF BUILDING: Edgewood i ..NATURE OF PROJECT: Cont inuinQ Care Retirement Community with 147 Units of Independent Living, 45 bed Level II Nursing Unit with shared common facility and staff. IN ACCORDANCE. WITH SECTION 127.0 OF THE MASSACHUSETTS STATE BUILDING CODE, . 1, Earl R. Flansburgh Registration No. 1731 Mass. BEING A REGISTERED PROFESSIONAL ENGINEER/ARCIIITECT HEREBY CERTIFY THAT 1. 11AVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICA- TIONS CONCERNING: ENTIRE PROJECT [ ARCHITECTURAL® STRUCTURAL Q MECHANICAL F___] FIRE PROTECTION Q ELECTRICAL Q OTHER (specify)= FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE'APPLICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES.' AND APPLICABLE LAWS AND ORDINANCES FOR THE PROFOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES A11D BE PRESENT ON THE COIISTRUCTIO14 SITE ON A REGULAR A17D PERIODIC BASIS TO DETER111NE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESP014SIBLE FOR THE FOLLOWING AS SPECIFIED IN .SECTION 121.2.2: 1. Review of shop drawings, samples and other sub:tittals of the contractor as required by the construction contract documents as sutsdtted for building permit, and approval for confortratxx to the design concept. 2• Review and approval of the quality control procedures for all code-required controlled materials. 3. Special arclAtectural or engineering prof essiona1 .inspect ion of critical construction ccxTx„ients requiring controlled materials or constr_r-tien specified in be accepted engineering practice standards listed in Appendix B. PURSUANT TO SECTION 127.2.3, I SHALL SUBMIT WF FKLY A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NOIZTII ANDUVF:c BUILDING INSPECTOR. UPON COMPLETION Of THE WORK, I SHALL SUBMIT A FINAL REPORT AS 0 THE S ORY COMPLETION All e?�; :;7;:f1-FS.v 'OF THE PROJECT FOR OCCUPANCY. SIGNAIURE SUBSC _ BED-AN:7 SWORN 70 "BEFORE ME THIS OF `/f 19 _ __ s a _ o. __ �Gf Commissi � on expires 1�LY'13 2 NUI BL1G MY COMMISSION EXPIRES 0011 I I� OFFICE OF BUILDING INSPEC*fOR TOWN OF -NORTH ANDOVER CONSTRUCTION CONTROL NE1%RV J. - EGGERT PROJECT NUHBERZ ERF # 8629.00 Shoosha .ain•:#893403-33 HVIAC PROJECT TITLEi Ed ewood Life Care Center p PROJECT LOCATION: Nom Arkkwer, Massachusetts •NAM$ OF BUILDING: �;:;•, -...NATURE: OF PROJECTS IN ACCORDANCE•WITH SECTION 127:0 OF THE HASSACHUSETTS �TAT�� LDING_CODE, I► Hmr= T- FgerL P.E. Regiatration No. 33273 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCIIITECT HEREBY CERIIFY THAT 1. HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, CUHPUTATIONS AND SPECIFICA— .TIONS CONCERNING: ENTIRE PROJECT (_] ARCIIITECTURAL © STRUCTURAL r----I MECHANICAL L,Xj FIRE PROTECTION (:5a ELECTRICAL OTHER (specify)C] -FOR THE ABOVE NAHED PROJECT AND THAT, TO THE BEST OF MY KNONLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS HEET THE•APPLICABLE PROVISIONS OF THE HAS 1i STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE A1I0 OCCUPAI7CY. I FURTHER CERTIFY THAT I SIiALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR A11D PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDAIICE KITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED I.N .SECTION 127.2.2: 1. Review of shop drawings, saTples and other sutrnittals of the contractor as required by tlje construction contract doc.-unm" as subrdtted for )wilding permit, and approval for conforn-acre to the design concept. 2. Review and approval of the quality control procedures for all code--required controlled rra teria ls. 3. Special architectural or engineering prof essional.inspection of critical construction cvq-ionents requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix Z. 'URSUANT TO SECTION 127.2.3, I SHALL SUBMIT WCGKLY A PROGRESS REPORT TOGETHER TITH PERTINENT COHI ENTS TO THE NORTH ANDUVEil, BUILUIfiG I EC" R. IPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPO S TILE 5A SF RY Z�_ 3 ;OHPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. i 11 URE ;UBSCRIBED AND SWORN TO BEFORE HE THIS 3rd DAY OF NOVembe 19 9 OTARY PUBLIC •HY CUMHISS1011 EXPIRES_ 9/21/2001 Nov 3 " lo',c' 11/02/95 17.28 '0617 720 7873 E R FLANSBURGH BBC Z002/002 OFFICE or- LIUALU 1[Vls70_ 11[' ANUUVER + TOWN OF. "NOTE' qy E� CONSTRUCTION CONTROL LIME :, ;' ; PROJECT NUMBER: 1 PROJECT TITLE: L e w ovD L i rROJECT LOCATION: ,NAME OF BUILDING: -NATURE OF PROJECTS IN ACCORDANCE.VITH SECTION 127.'o OE THE MASSACHUSETTS STATE BUILUiNG CODE, Ij�1� S ���-1NICf�.� Regiettatlon t1o. G. ��3 _ BEING A URCISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT I; H11VE PREPARED OR DIRECTLY SUPERVISED TUE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFlCA- VONS CONCERNING: ENTIRE FAU.]k;GT i;ZD ARCHITECTURAL r---1 STR0CTl1ttAL HEClWUCAL D ELECTRICAL OTHER (Specify) . FIRE PROTECTION [,� L� FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE'APPLICABLE PROVISIONS OF T11E MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES.' AND APPLICABLE LAWS AND ORDINANULS FOR TK$ PROPOSED USE A140 occurAa1CY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY YRufE551017AL SERVICES AND BE PRESENT Oil jHz CON31RUCTIOII SITE ON A RECULAR AND PERIODIC BAS1S TO 1) TU 11NE ?l111T THE WORK 19 PROCEEDING IN ACCORDANCE WITH THE pOcumum APPROVED FOR THE BUILDING . PERMIT AND SHALL BE RESPONSIBLE FOR THE F'OLLDWING AS SPECIFIED 114"SECTION 127.2.2: 1. geviev of strop drawings, steles grad other subndttals of the contractor as required by Ute construction contrar`r ckx►ments as subdtted for building pernd.t, and approval for conform= to the design C=ept- 2. Review and approval of the quality control procedures for all c:jxie-tequircd cantsvlled ' r�terials. . 3. Special architectural or engineering professicnal-inspection of critical construction cajxyrents requiring controlled uoter.ials or ccnstrvct;ion epeci€ied in &a accaptaii engirworing practice standards listed in Appendix B. 'puRSUANT TO SECTION 121.2.3 , I SHALL SUBMIT WEEKLY. A PROGRESS REPORT TOGETHER WITH PERTINENT COi'iMENTS TO THE NOR'lii ANIX;y il, BUILDINGS iN PE.C10R. UPON COMPLETION OF THE YORK, T SHALL SUBMIT A FINAL REYU A5 TO THE SATI,BFACIORY LUMYLEIION AIiD READINESS OF T1lL PROJECT FOR OCCUPA.1ICY. ' ifa7ATURE CRI ED AND �W,RH BEFO ME Tlt UAY O 19 � OTARY PUBLIC !SY COMHISS1014 EXPIRES wy NOV 3 hoc; EARL R. FLANSBURGH + ASSOCIATES, INC. r LIFE CARE SERVICES-EDGEWOOD ERF+A Project No. 8629.00 12 July 1995 CODE SUMMARY I. HEALTHCARE BUILDING Article 3 -Use Group Classification Use Group: Institutional I-2(Nursing home) Article 4-Types of Construction Classification Construction Classification: Type 113(Non-combustible) Table 401: Fireresistive Ratings 1. Exterior Walls(non loadbearing, sprinklered) Fire separation> 10 ft. 0 hrs. Fire separation 5 - 10 ft. 0 hrs Fire separation 0- 5 ft. 1 hr(both sides) 2. Fire Walls 2 hrs. 3. Exit access corridors(sprinklered) 0 hr. (Walls must provide smoke limiting barrier, 610.4) 4. Shafts and elevator hoistwaY s 2 hrs a. 915.3; If 3 floor or less 1 hr b. 915.5;Top of shaft must also be rated. c. 915.4; Pipes and ducts> 1 s.f.which penetrate two or more floors must be enclosed in a shaft. 5. Interior columns supporting one floor or roof 2 hrs. 6. Structural members supporting wall 2 hrs. 7. Floor construction including beams 2 hrs. 8. Roof construction(<15 ft.to lowest member) 1 '/z hrs. (combustible"decorative"roof provided above 1 '/z ft. rated concrete plank roof.) Article 5-General Building Limitations 1. Use Group 1-2-Institutional,Incapacitated Table 501 - 8 stories,90 feet, 21,600 s.£/floor allowed a.Health Center has 1 story and basement. b. Health Center has maximum floor area of 16,500 s.f. Article 6- Special Use and Occupancy Requirements 1. Section 610.0-Use Group I-2-fully sprinklered a. The following rooms must be separated by smoke resistant walls extending to rated concrete plank. Also doors require closers. • Kitchens • Storage rooms more than 50 s.f. up to 100 s.f with combustible materials b. The following rooms must be separated by 1 hr, walls with 3/4 hr. doors. • Laundry rooms more than 100 s.f. • Soiled linen room. Page 1 1 EARL R. FLANSBURGH + ASSOCIATES, INC. • Storage rooms more than 100 s.f. 2. Section 610.4.E All corridor doors must self closing except to sleeping rooms. 3. Section 610.4.2 a. Patient room doors must not have locks which restrict egress from the room. 4. Section 610.5 a. Maximum smoke compartment length and width is 150 feet. At least one smoke barrier with two compartments is required. 5. Section 610.5.1 a. 30 n.s.f. per occupant must be provided on each side of the smoke barrier. Only low hazard areas(corridors,patient rooms,treatment rooms, lounges, and dining V areas)may be counted. 6. Section 632.1 a.Nursing homes must meet the provisions of NFPA 101 Life Safety Code. ZA. `A- 7. Section 632.2 a.Nursing homes must be built only of Type I construction. Article 8-Means of Egress V'aN5 1. Table 806-Maximum floor area allowance per Occupant Institutional per occupant Inpatient treatment areas 240 g.s.f. Sleeping areas 120 g.s.f. 2. Section 807.5-Length of Exit Access Travel with fire suppression system-200 ft. max. 3. Table 808-Egress width per occupant with fire suppression system Stairs- .6 inches per person Door, corridors- .5 inches per person Note: Wider doors provided to accommodate beds. 4. Section 810.1.1 -Every patient room must have exit access door leading directly to an exit access corridor. 5. Section 810.3 -Corridors must be minimum 96"wide for movement of beds. Article 9- Fireresistive Construction 1. Section 922.6-Interior trim not in excess of 10%of wall area shall be Class 1,II or III. 2. Section 922.5 -Interior finishes can be Class II(flame spread 26-75) in a sprinklered, Type I-2 use group. This also applies to floor finish since sprinklered(Sections 922.7 and 922.7.1). II COMMONS BUILDING Article 3-Use Group classification Use Group: A-3 Assembly Article 4: Types of Construction Classification Construction classification: Type 5B(unprotected) Table 40 -Fireresistive ratings. 1. Exterior walls(non-loadbearing) Fire separation> 10 ft. 0 hrs. Fire separation 5-10 ft. 0 hrs. Fire separation 0- 5 ft. 1 hr Page 2 I EARL R. FLANSBURGH + ASSOCIATES, INC. (Note: See 906.2 and 906.2.2) 2. Fire walls and party walls 2 hrs. 3. Exits and stairways 2 hrs. a. Stairways connecting 3 floors or less 1 hr. b. Supplemental stairways 0 hr. 4. Shafts and elevator hoistways 1 hr. a. Top of shaft must be rated 1 hr. b. Pipes and ducts> 1 s.f. 1 hr. 5. Exit access corridors(sprinklered)_ 0 hr. (See 810.4.1) Article 5: General Building Limitations Table 501 1. Allowable area: Tabular area 4,200 s.f. 200% increase for sprinklers 8,400 s.f. 110% street frontage increase 4.620_ (80%accessible; 55 x 2%=110%) 17,220 s.f. maximum Actual maximum area between fire walls 9,210 s.f. 2. Area reduction for upper floors: Table 501.4-None 3. Allowable height: Table 501: 1 story,20 ft. Increase for fully sprinklered: 1 story,20 ft. Total allowed: 2 stories,40 ft. Note: North Andover zoning limits height to 35 ft. Article 6: Special Use and Occupancy Requirements 1. Section 606.3 Floor openings: A"floor opening" is provided for the unenclosed supplemental stair which is protected by smoke control and an 18"draft stop with sprinklers at 6 ft. o.c. Article 8: Means of Egress 1. Table 806-Maximum floor area allowable per occupant per occupant Assembly w/o fixed seats 15 n.s.f. Business areas 100 g.s.f. 2. Section 807.2.2-The main entrance shall provide egress for at least 1/2 occupancy load. Additional exits shall provide an egress capacity for at least two thirds of the total occupant load served by each level. 3. Table 807- Length of Exit Access Travel with fire suppression system-250 ft. max. 4. Table 808-Egress width per occupant with fire suppression system Stairs - .2 inches per person Doors,corridors- .15 inches per person 5. Section 812.4.2-Panic hardware required on doors in the means of egress with occupancy load greater than 100. 6. Section 812.4.4-Automatic horizontal sliding doors at main entrance must be capable of being operated manually with a force not to exceed 30 pounds, and Page 3 EARL R. FLANSBURGH + ASSOCIATES, INC. without any special knowledge or effort. (See other requirements.) Article 9: Fireresistive Construction 1. Table 902-Fire grading-2 hrs. 2. Section 922.6-Interior trim not in excess of 10%of wall area shall be Class I, II or III. 3. Section 922.5 - Interior finishes(sprinklered) Vertical exits and passageways Class I Exit access corridors Class I Exit lobbies Class II Assembly rooms(922.5.4) Class III Office areas Class III Flooring(all areas)(922.7.1) Doc FF-1 "pill test" III. RESIDENTIAL BUILDINGS Article 3: Use Group Classification Use Group: R-2 Residential Article 4: Types of Construction Classification Construction Classification: Type 5B(unprotected) Table 401 =Fireresistive ratings 1. Exterior walls(loadbearing) Fire separation> 10 ft. 0 hrs Fire separation 5 - 10 ft. 0 hrs. Fire separation 0- 5 ft. 0 hrs. (Note: See 906.2 and 906.2.2) 2.Fire walls and party walls 1 Yz hrs. (Note: See Table 902) 3.Exits and Stairways 2 hrs. a. Stairways connecting 3 floors or less 1 hr. 4. Shafts and elevator hoistways 1 hr. a.Top of shaft must be rated 1 hr. b. Pipes and ducts> 1 s.f. 1 hr. 5.Exit access corridor(sprinklered) Yz hr. (See 810.4.1) 6. Dwelling unit separation 1 hr. 7.Interior bearing walls and framing 0 hr. 8. Structural members supporting wall 0 hr. 9. Floor construction 0 hr. 10. Roof construction 0 hr. Article 5: -General Building Limitations Table 501: 1. Allowable area: Tabular area 4,800 s.f. 100% increase for sprinklers 4,800 s.f. 110% increase for street frontage2� 80 s.f. (80%accessible; 55 x 2%= 110%) Page 4 EARL R. FLANSBURGH + ASSOCIATES INC. Sub-Total 14,880 s.f. 20%reduction for 3 stories -2,976 s.f. Maximum Total 11,904 s.f. Actual max.area between fire walls 10,083 s.f. 2.Allowable height: Table 501: 2 story, 35 feet Increase for sprinklers: 1 story,20 feet Total allowed: 3 stories, 55 feet Note: North Andover zoning limits height to 35 ft. Article 8: Means of Egress 1. Table 806-Maximum floor area allowable per occupant Per Occupant Residential 200 g.s.f. 2.Table 807-Length of Exit Access Travel with fire suppression system-250 ft. max. 3. Table 808-Egress width per occupant with fire suppression system Stairs- .2 inches per person Doors,corridors- .15 inches per person 4. 814.2.1 -Horizontal exits. Doors at fire walls serve as a dual element of a means of egress,therefore fire doors swing in opposite directions. 5. Egress stairs minimum width 44 inches. Article 9: -Fireresistive Construction 1. Table 902-Fire Grading, Ph hrs. 2. Section 922.6-Interior trim not in excess of 10%of wall area shall be Class I,II or I1I. 3. Section 922.5 -Interior finishes(sprinklered) Vertical exits and passageways Class I Exit access corridors Class II Enclosed rooms Class III Flooring(all areas)(922.7.1) Doc FF-1 "pill test" IV. GARAGES Article 3: Use Group Classification Use Group: S-2 Storage,Low Hazard Article 4: Types of Construction Classification Construction classification: Type 2C(unprotected) Table 401 - Fireresistive ratings 1. Exterior walls(loadbearing) 0 hr. 2. Fire walls 2 hr. 3. Exits and stairways 2 hr. 4. Roof construction 0 hr. 5. Fire separation from residential 2 hr. Article 5: General Building Limitations Table 501 1.Allowable area Page 5 EARL R. FLANSBURGH + ASSOCIATES, INC. Tabular area 14,400 s.f. 100% increase for sprinklers 14,400 s.f. Total 28,800 s.f. Actual maximum area of garage 15,910 s.f. 2. Allowable height Table 501: 3 story, 40 feet Actual height: 1 story(basement) Article 6: Special Use and Occupancy Requirements 1. 609.2.4-Garage floor must be concrete and pitch to drain to oil trap. 2. 609.4-Garages must be ventilated in accordance with BOCA National Mechanical Code Article 8: Means of Egress 1. Table 806-Maximum floor area allowance per occupant Per occupant Parking garages 200 g.s.f 2. Table 807-Length of Exit Access Travel with fire suppression system-400 ft. max. 3. Table 808 -Egress width per occupant with fire suppression system. Stairs- .2 inches per person Doors- .15 inches per person Article 9: Fireresistive Construction 1. Table 902-Fire grading 2 hrs. elcs/codesum/mmg Page 6 CLIFFORD E. E LIAS COUNSELLOR AT LAW 70 EAST STREET METHUEN, MASSACHUSETTS 01844 (508)687-0151 Telecopier (508)688-7689 October 12 , 1995 Mr. Robert Nicetta, Building Inspector Town of North Andover 120 Main Street North Andover, Massachusetts 01845 Re: Edgewood Retirement Community, Inc. Dear Mr. Nicetta: In connection with the Edgewood project, at the request of David Durden, I enclose the following: 1 . Order of Conditions issued by the North Andover Conserva- tion Commission, which has been recorded at Essex North District Registry of Deeds . 2 . Decision and Notice of Decision of the North Andover Planning Board authorizing the construction and operation of a retirement center in accordance with the provisions of Section 13 and other sections of the Zoning Bylaw, recorded with the Registry of Deeds . 3 . Decision and Notice of Decision of the North Andover Planning Board in connection with site plan approval in accordance with the provisions of Section 8 .3 of the Zoning Bylaw, recorded with the Registry of Deeds . 4 . Decision and Notice of Decision of the North Andover Planning Board in connection with a common driveway in accordance with Section 2 . 30 . 1 of the Zoning Bylaw, recorded with the Registry of Deeds . Sincerely, Clifford Elias CEE vmk i Enclosures c David J. Durden OCT # 2 [9c 310 CMH Tu li�l '' �� �•• Form 5 DEP F%;6 No. 242-755 JOYCE E�'D3VAW (too wuv"' ncyUEt') TOWN CLER< ' �Commonwealth NORTH ANDOVER City-Town North Andover • ewood Life Care Ed of Massachusetts C t t �n ►t f 9J g .l Aooticant _= Osgood Street, Map 36, Parcels 3 & 17 AT 91r Order of Conditions AMrueCopy Massachusetts Wetlands Protection Act 4— O.L. c. 131 , §40 Town Clark and under the Town of North Andover's Bylaw Chapter 3.5 From NORTH ANDOVER CONSERVATION CORMISSION Edgewood Life Care Services, Inc. To c/o Judith Nitsch Engineering Samuel S. Rogers (Name of Applicant) (rJame of property owner) OCT 12 One Appleton Street 7 Abbott Street Boston, MA 02116 Address Andover MA 01810 ' Address This Order is issued and delivered as follows: G by hand deivery to applicant or representative an (date) xaX by certl * tmail. return eceipt requested on (dote) =_ Phis project is ::sated at Osgood Street, Mao 36, Parcels 3 & 17 The p,-operty is recorded at the Registry of r'n�r!IP-TI 17 r, c \ Book 1948 Page 170 and �r Boort 2363 Page 306 C� c Certificate (if re_:stered) The Notice of Invent for this project was filed on May 5, 1995 tdrttel � The public hea.,:ng was closed on July 19, 1995 (date) Findings The North Andover Conservation Commission has reviewed the abcve•reler"Iced rlettce of �1 Intent and plans and has held a public hearing on the protect. Based on ;he information avallaele to file NACC at this time. the U0Lt. _ tins determined that the area on ••vr.._n the orcoosed work is to be done is significant to the Icuowirij interests in accoranfice v.ith the Presu.mot:c:s of Sienifica�e sl 1gorth in the re^ulations for each Area Subject to Prote iQp Lender tree i Recreation Act (check as acpropriate): Ch. 178: y Prevention of Erosion & Sedimentation Ch.178_yWildlife Pubiiz ,rater supply Flood control ❑ Lind containing shellfish l Private .cater supply Storm damage orevention Fistleries Crounc water supply Prevention of pollution Protection of wildlife habitat Tc;al Fiiing F_e Submitted $2,461.25 State Scharr- 987 5Q__ --- City Town S ='e L, .50&$1,448.75 C.i: lee it nr.c�ss of .S —) Taal Refun^ _ue S CityRoy+n Portion S • State Portion S (Iii total) (Y2 total) J- t DEP FILE #242 - 755 Therefore, the North Andover Conservation Commission(hereafter the"NACC") hereby finds that the following conditions are necessary, in accordance with the Performance Standards set forth in the State Regulations, the local ByLaw and Regulations, to protect those interests noted above. The NACC orders that all work shall be performed in accordance with said conditions and with the Notice of Intent referenced above. To the extent that the following conditions modify or differ from the plans, specifications or other proposals submitted with the Notice of Intent, the conditions shall control. GENERAL CONDMONS 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 2. This Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of property rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state or local statutes, ordinances, by-laws or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this order. 5. This Order may be extended by the issuing authority for one or more periods of up to one year each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Where the Department of Environmental Protection (DEP) is requested to make a determination and to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before the Department. 7. The proposed work includes: Construction of a 250 unit (1-3 bedroom) retirement center known as "Edgewood Life Care"within the Buffer Zone of a Bordering Vegetated Wetland (BVW). A wetland crossing is required for the entrance drive and associated utilities. 8. The work shall conform to the following (except as noted in the remainder of this document where revisions may be required): Notice of Intent filed by : Edgewood Life Care Services,Inc. 800 Second Avenue,Des Moines,Iowa 50309 DATED: 5/5/95 OCT 1 2 CAWinword\00C\242-755.doc 1 NACC 3/3/95 ' DEP FILE #242-755 Plans prepared by: Life Care Services entitled"Existing Topography Plan"(cover sheet) Sheets TI-T3;C1-C4;C12;C15-C23. DATED: T1-T3 not dated C series dated 5/5/95 Judith Nitsch Eng.,Inc. " "Main Site Grading and Erosion Control Plan" Sheet C3 DATED: 7/19/95 4 Judith Nitsch Eng.,Inc. ?. "Entrance Site Grading&Erosion Control Plan" Sheet C2 DATED: 6/1/95 Judith Nitsch Eng.,Inc. I � "Civil Details 3" `} Sheet C18 DATED: 6/1/95 Judith Nitsch Eng.,Inc. "Access Road Crossing Plan"(11x17) Sheet 1of2/2of2 DATED: 5/17/95 Judith Nitsch Eng.,Inc. "Site Layout& Grading Plan"(11x17) Sheets C2,C4 DATED: 5/5/95 Reports: "Review of Edgewood Life Care Drainage Analysis" VHB,101 Walnut St.,Watertown,MA 02272 DATED: 7/14/95 "Edgewood Retirement Community Proposed Project" { NOT DATED y 9. The following wetland resource areas are affected by the proposed work: Buffer Zone,Bank,Land Under Water(LUW), and Bordering Vegetated Wetland (BVW). These resource areas are significant to the interests of the Act and Town Bylaw as noted above. These resource areas are also significant to the recreational and wildlife interests of the ByLaw. The applicant has not attempted to overcome the presumption of significance of these resource areas to the identified interests. C:\Winword\OOC\242-755.doc 2 NACC 8/3/95 i_ - . DEP FELE # 242 - 755 explanation of the revisions shall be submitted to the NACC for review and approval prior to the start of construction.No work shall begin on a project until written approval has been granted by the NACC. 24. The applicant shall contact the Conservation Office prior to site preparation or construction and shall arrange an on-site conference with an NACC representative, the contractor and the applicant to ensure that all of the Conditions of this Order are understood. This Order also shall be made a part of the contractor's written contract. The applicant or contractor shall notify the NACC in writing of the identity of the on-site construction supervisor hired to coordinate construction and to ensure compliance with this Order. 25. The applicant shall submit a construction schedule/sequence to the NACC detailing the proposed sequence of work on site to complete this project. Wetland ul flllgging shall be checked prior to start of construction and shall be re- 26. We measures can be properly laced • Q control meas P Y P missing so that erosion co P established where b and wetland impacts can be monitored. es backed by trenched siltation fence ll be 27. A row ke structiay lar as and wetlands. The erosion control barrier placed betweenn all ion onwill be all properly installed and placed as shown on the above referenced plans approved herein. The erosion control shall be inspected and approved by the NACC prior to the start of constniction and shall remain intact until all disturbed areas have been permanently stabilized to prevent erosion. All erosion prevention and sedimentation protection measures found necessary during construction shall be implemented at the direction of the NACC. 28. The applicant shall have on hand at the start of any soil disturbance, removal or stockpiling*. it minimum of 50 hay bales and sufficient stakes for staking these bales or an egciivalent amount of silt fence). Said bales shall be used only for the control of emergency erosion problems, and shall not be used for the normal control of erosion. 29. A check pa)'able to the Town of North Andover shall be provided in the amount of $5,000 winch shall be in all respects satisfactory to Town Counsel, Town Treasurer, and the NACC , and shall be posted with the North Andover Town Treasure before commeticetilent of work. Said bond or deposit of money shall be conditioned on the completion of all conditions hereof, shall be signed by a party or parties satisfactory to the NAM and Town Counsel, and shall be released after completion of the project, provided that provision, satisfactory to the NACC, has been made for performance of any conditioi1s which are of continuing nature. The applicant may propose a bond release sclicdule keyed to completion of specific portions of the project for the NACC's re\.iew and approval. This condition is issued under the authority of the local ByLaw. 5 NACC 8/3/95 ' DEP FILE #242 - 755 10. The NACC agrees with the applicant's delineation of the wetland resource areas on site and as shown on the plans referenced and approved herein Prior to the issuance of a Certificate of Compliance, the applicant will submit a plan showing the site's wetland delineation at a scale identical to the Town wetland map for this location. 11. Issuance of these Conditions does not in any way imply or certify that the site or downstream areas will not be subject to flooding or storm damage. 12. The conditions of this decision shall apply to, and be binding upon, the applicant, owner, its employees and all successors and assigns in interest or control. 13. The NACC finds that the intensive use of the upland areas and buffer zone proposed on this site to construct a retirement center, appurtenances and drive will cause further alteration of the wetland resource areas. In order to prevent any alteration of wetland resource areas beyond those proposed in the Notice of Intent (NOI) and approved herein, a twenty-five (25') foot no-disturbance zone and a fifty (50') foot no-construction zone shall be established from the edge of the adjacent wetland resource area. No disturbance of existing grade, soils or vegetation is permitted in the no-disturbance zone. (See Appendix 5 of the local Regulations). 14. The proposed location of the entrance sign is not approved. This sign shall be placed at a minimum,of fifteen (15') feet from the edge of adjacent BVW. A detailed description of specific construction techniques shall be submitted to this Department prior to initiating construction. Upon completion of sign construction, a twenty-five (25') No-Disturbance Zone shall be re-established and all disturbed areas within the buffer zone shall be loamed and seeded and subsequently approved by the Natural Resource/Land Use Planner. 15. Prior to initiating construction the applicant shall submit a report/correspondence and/or modified plans to the North Andover Conservation Department demonstrating compliance with VHB's requests with regards to drainage issues. (Refer to the enclosed report entitled "Review of Edgewood Life Care Drainage Analysis" and dated 7/14/95). 16. All catch basins shall contain oil/gasoline traps, and it shall be a continuing condition of this order, even after a Certificate of Compliance is issued, that the oil/gasoline traps in the catch basins be maintained. All catch basins shall be free of all accumulated silt and debris before a Compliance is issued and the owner or his/her agent shall so specify in the request for Compliance. 17. This Order of Conditions is issued as a substitution for those issued under File No. 242-511 and 242-515. These permits have expired. i CAWinNvord1000,242-755.doc 3 NACC 8/3/95 � DEP FILE# 242 - 755 j , 18. The NACC finds the applicant's proposal for 725 sq. ft. (2:1) of wetland replication to be adequate. The replication areas shall be constructed prior to other construction activity onsite and thissequence uence shall be reflected in the construction sequence. A I_ QUALIFIED WETLAND BIOLOGIST MUST BE ON-SITE WHILE THE REPLICATION AREA IS BEING PREPARED (i.e. GRADING)AND TO SUPERVISE PLANTING OF WETLAND SPECIES. The Natural Resource/Land Use Planner must be notified in advance so that he/she may also be present while the site is being prepared. (Refer to Section VI(E), Wetland Replacement or Restoration, of the"Wetland Regulations for the Town of North Andover" (page 13) for performance standards). 19. The sewer lines on the site, where they cross wetland resource areas, shall be tested for water tightness in accordance with North Andover DPW standards. PRIOR TO CONSTRUCTION . t ' a 20. No work shall be undertaken until all administrative appeal periods from this Order have elapsed or, if such an appeal has been filed, until all proceedings before the Department or Court have been completed. 21. This Order shall be recorded by the applicant at the Registry of Deeds immediately after the expiration of all appeal periods. No work shall be undertaken until the Final Order has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case } of recorded land, the Final Order shall also be noted in the Registry's Grantor Index r under the name of the owner of the land upon which the proposed work is to be done. In the case of registered land, the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is to be done. The recording information shall be submitted to the North Andover Conservation Commission on the form at the end of this Order prior to commencement of the work. 22. A sign shall be displayed at the site not less than two square feet or more than three square feet in size bearing the words "Massachusetts Department of Environmental Protection, File Number 242-755". ; 23. Any changes in the submitted plans caused by the applicant, another Board's decision 4 i or resulting from this Order of Conditions must be submitted to the NACC for approval prior to implementation. If the NACC finds said changes to be significant, the NACC will call for another public hearing (at the expense of the applicant). Within 21 days of the close of said public hearing the NACC will issue an amended or new Order of Conditions. Any errors found in the plans or information submitted by the applicant shall be considered as changes. The proposed project may be still under review by other local or state boards or agencies. This may result in changes to the I ` project plans or wetland impacts. If any such changes occur a revised plan and an 4 NACC 3/3/95 CAWinword\00C\242-755.doc • DEP FILE #242 - 755 DURING CONSTRUCTION 30. Upon beginning work, the applicant shall submit written progress reports every month detailing what work has been done in or near resource areas, and what work is anticipated to be done over the next period. This will update the construction sequence. 31. Any fill used in connection with this project shall be clean fill, containing no trash, refuse rubbish or debris, including but not limited to lumber, bricks, plaster, wire,lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles or parts on any of the foregoing. 32. No exposed area shall remain unfinished for more than thirty(30) days, unless approved by the NACC. 33. No regrading in the buffer zone shall have a slope steeper than 2:1 (horizontal: vertical). Slopes of steeper grade shall be rip-rapped to provide permanent stabilization. 34. There shall be no stockpiling of soil or other materials within twenty-five (25) feet of any resource area. 35. After proper grading, all disturbed areas located within a resource area which will not remain as wetland areas, shall be loamed ( minimum of 4" of quality loam), and seeded. This shall all be done in accordance with SCS guidelines. All disturbed areas located within wetland resource areas which are to be only temporarily disturbed during construction, shall be restored to their original grade, soil profile and vegetative cover. Soil used for this purpose will either be wetlands topsoil or a minimum of 4" of quality loam. 36. Washings from concrete trucks, or surplus concrete, shall not be directed to, any drainage system, or wetland resource area. I 37. All waste generated by, or associated with, the construction activity shall be contained within the construction area, and away from any wetland resource area. There shall be no burying of spent construction materials or disposal of waste on the site by any other means. The applicant shall maintain dumpsters(or other suitable means) at the site for the storage and removal of such spent construction materials off-site. 38. Accepted engineering and construction standards and procedures shall be followed In the completion of the project. 39. Members of the NACC or its agent shall have the right to enter upon and inspect the premises to evaluate and/or effect compliance with this Order of Conditions. The CAWinword\00C\242-755.doc 6 NACC 8/3/95 DEP FILE #242 - 755 NACC reserves the right to require, following field inspection, additional information - or resource protection measures. 40. During and after work on this project, there shall be no discharge or spillage off uel, or other pollutants into any wetland resource area. If there is a spill or discharge of any pollutant during any phase of construction the NACC shall be notified by the applicant within one(1) business day. No construction vehicles are to be stored within 100 feet of wetland resource areas, and no vehicle refueling, equipment lubrication, or maintenance is to be done within 100 feet of a resource area. AFTER CONSTRUCTION 41. No underground storage of fuel oils shall be allowed on any lot within one-hundred (100) feet of any wetland resource area. This condition shall survive this Order of Conditions, and shall run with the title of the property. This condition is issued under the authority of the Town's Wetland protection ByLaw. 42. Fertilizers utilized for landscaping and lawn care shall be orQ garuc and Iow-nitrogen content and shall be used in moderation. Pesticides and herbicides shall not be used within 100 feet of a wetland resource area. This condition is issued under the authority of the Town's Wetland Protection ByLaw. 43. Upon completion of construction and grading, all disturbed areas located outside resource areas shall be stabilized permanently against erosion. This shall be done either by loaming and seeding according to SCS standards. If the latter course is chosen, stabilization will be considered complete once vegetative cover has been achieved. 44. Upon completion of the project, the applicant shall submit a letter to the NACC from a Registered Professional Engineer certifying compliance with this Order of Conditions and the approved plans referenced herein (or approved revisions). A letter from a qualified wetland scientist certifying compliance with local/state/regulations is also required for the Wetland Replication/Restoration Area. A stamped "As-Built" topographic plan of all areas within the jurisdiction of the Wetlands Protection Act and ByLaw shall be submitted when a Certificate of Compliance is requested. This plan will include: A) "As-Built" elevations of all drainage structures constructed within 100 feet of any wetland resource area; B) "As-Built" elevations and grades of all filled or altered wetland resource areas; C) Distances from structures to wetland resource areas; CAWinword10001242-755.doc 7 NACC 3/3/95 5 z DEP FILE#242-755 I . D) A line showing the limit of work. "Work" includes any disturbance of soils or vegetation. 45. The following special conditions shall survive the issuance of a Certificate of Compliance(COC)for this project: 13. A 25' No-Disturbance Zone and a 50'No-Construction Zone shall be established from the edge of adjacent wetland resource areas except in those locations approved under this permit. Future work within 100' of existing wetland resource areas will require a separate filing with the NACC (refer to Section M(page 18) of the Regulations for performance standards within these zones); 16. Maintenance of catch basins; 40. Discharge of spillage of pollutants; 41. Prohibition of storage of fuels underground; 42. Limitations on the use of fertilizers, herbicides and pesticides. CAWinword\OOC\242-755.doc 8 NACC 8/3/95 I J J Osgood St. '• Edgewood Life Care ` Conservation Commission Issued BY NORTH R Signat refs} signed by a majority of the Conservation Commission. This Order must be si g 1. 9--5 _.before me 2nd day of Au ust to me known to be the On this George L. Reich � eared ;n instrument and acknowledged that he she executed personally app person described in and who executed the foregoing ame as hisiher free act and deed t;1e s - � March 22, 2002 fres Donna Mae D'Agat My commission exp No Public d work Is to be I and upon which the propose �artrnent of this Order,any owner of land abutting the a person aggrieved by nouhed of their right to mail st we delivery to the applicant.the owner,any P cerulied The aPP or town in which such land is located ace hereby within ten days Irom the date of len residents of the city superseding Order.provcd'n9117e request 310 is made by � done or any ,veering to issue a Sup rowded tit�t0 Ch1R to��tl)' to the Conservation Environmental ouatity Eng Certitted mail or hand delivery Department.with the appropriate tiling tee uest shall at the sametimebe sent by issuance of this Order.A COPY of the eq Commission and the applicantBylaw, If you wish to appeaSup � l this deciseilornCourtder he Town By a complaint must be filed in thai —1s atsrssd from dais of�°513d _scut appe Ott of an Joyce A. Town CWk RECORDING INF 0K'ATION: Comm. commencement of"'o rk Conservation __prior to comma • tri Andover �� ................................................................. bmit to the 84 u y or fine and su .................................... Detach on dotted North Andover r�,�a tl, rIt 120 Main ................................................... ........... Conser vation Commission, t. North Andover Os ood St. To and Deeds . Northern Essex advised that the Order of Conditions for the Protect at be I eb Registry o t9� Please rs P at the Reg Y has been recorded 24 2— 755 ondition 8 on�--- Fife Number in accordance with Genera IC has been noted in the chain of hate of the affected Property number whicsacUon is h identities this transaction is ---_— It recorded land. the InstrumenApnbcant ret istered land. the document number which identities this Iran 11 9 signature 5_4A 'L Taw+. ct TOWN OF NORTH ANDOVER Ncrt, -aaovs MASSACHUSETTS OCT pORTl1 a e '+ • !Si 1L' �Ssct Any appeal shall be filed SwtHu he - . Within {20� days_a#ter t -Town Clerk date of fiiin_g`is-Notice NOTICE OF DECISION in the Office'-6f the Town - Date October 5,, 1989 we elapwWnt d derision filed . �npdairs Date of Hearing , se�te�ber•21. .1989 T Petition Of Samuel S. Rocjers and Edgewood. Life•Care.Inc:. _ • . . • . . • • . .• _ .• • . . . . . . . . . . . . . .. . . . . Eastside of Osgood Street Premises affected . . . . o . . . .. . . . . . . . . . . . . . . . . . . . . East side . . . . . . . t . .. Referring to the above petition for a special-permit from the requirements of the . . . . .Norta.Amdove,r.ZvniAS AYES �p�s• �Q• �•$per} •� �•t;, Section 10.31 Conditions for Approval of Special; Section 11.3,PDD Procedures; Care Section 13, so as to permit • •• • • • the' coas�iuction'of 'a 'Corita'nuing �'e'Re�iiement'Cedfe.�: . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . . .. .. . . . . . . . . . . . . . . . r After a public hearing given on the above date, the Planning Board voted c Conditionally _ toAppzove . .. . . . . . .the .special.Permits . . . . . . . .. ... .. . . ..... . . . . . . . .. . .. . .. . . . . OCT 1 2 !O`'r, based upon the following conditions: e � cc: Director of Public Works Signed Board of Public Works Highway SurveyorGeorge. Perna Cha ma , , . , , Building Inspector Board of Health JohnSimons: Clerk. . . . . . . . . . . . . . . .. . . . . . Conservation Commission Assessors . Erich Nitzsche. • . . • . . . , , , , , ,, , , j Police Chief Fire Chief Paul. Hedstrom. . . .. . .. .. . .. . . . .. . .. . . . . . . . Applicant Engineer .. . .. . . . . . File, Interested Parties planning Board � .O1F'FICe.S OF: d Town of 120 Main Street f North Andover BUILDING ` :.' = NORTH ANDOVER tij;1sG:lc-hls(;ttS 01845 CONSERVATIONt.'�-^�•' (508)682 6483 HEALTH DIVISION OF PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR Mr. Daniel Long, 'Town Clerk Town Hall 120 Main Street North Andover, PSA 01845 •il r1. .i '( .. . .111 I:.1 � _L (,,ir.t 'i jl ,::1'T Dear Mr. Long: The North Andover Plzjlrliu�► E{ :., .c' _: 1,' r 27 , 1989 in the 'town Hall , Lihr:-Iry/Coljl of Samuel S . Rogers and Edgewood L__. . _ Andover, MA. The hearing was duly �,;! j .:(�c'• ' -: l:r �;` Citizen on July 6 and July 13 , 1'_(N_( !.• ' {: .t' ' notified. The following member_ Chairman; John Simons , Clerk; Hedstrom. The petitioner is reclue lt.iuct Section 10 . 31 ; Section 11 . 3 Ct Lii (. .. Bylaw as they relate to a Contirlui..'r ' 1 . 3, Site Plans Review. The 1.urp,.•_ construct a building 125 , 8-1L' Sci . tL . , t. .-. _ - ( _ ) units , 45 bed long term nursing f a.:•i .'.._ _ _:►'.T'-.:`_; Retirement Center on 62 . 29 acre., , Osgood Street in a Residential-1 C) ! ► tt:,cl !t _._ ic: _:'._. L : ' District and Watershed Overlay Ui!_ r__ John Simons read the le( al on the special permits . J(_hll letters and other correspondence in George Perna asked Chris_ ii ,tnl L application . Chris stated that thr, TechnicalReview Committee and t!::?'_ _ Clifford Elias , Care , presented the Board with ! - leaf book, called the Information official records r .Ll of this u•:ard visit the site and 1060 Osgood :jL _ ,_t_ t_ t.::: ,., . .i i :1 tl:!: pz:,., �o ed is being displayed. to:rell+.;L: in this application from the preliminary d. There will be town water and [� 1 .+i:`i i.: I.li,7 J.v+:•: tl.on of at ,eaes..b road. 5i.:ti_en acres of the proposed project will 1�C �1J ._ t. :_:. _.i . ut�w tr•ifl:i.: study has been done with minimal impact. Y r.� t� i rill !,.: dolic iu twi phases : i . lLe..ltll ct.ncer and dwelling units i�tst ttry building nearest the lake, the pool and the ::u:tltoriuta. unit will be around $190,000 with monthly il:•::lI1Lto :; •;:•_ iL ttl�, jcinq will be underground, 132 spaces and 236 :C�,,t...: "i;•. d.� tjr :uuci J ,�r a total of 368 parking spaces . One hundred ( 117, j p::<,t le nc-:ve signed up already with sixty percent lir Elias presented the Board with E; :-a, the circulation of the traffic flow. t1,:at. a uorb:shop would be appropriate on the a site walk to view the access road. ul. i _ ut _ _t: +,rt z;attl _c.lay, July 29 , 1989 at 8: 00 a. m. at 1060 looking at the scale model in tlla:iSill:-j . 1,aul Hedstrom asked if a Form A Plan �,:, l _, t ,. �; •., , : ;,� 1 ��: t. •i i:-.-4-,ord. 11r. Elias said , "no, not yet. " 15-,lblic input. Erich Wodlinger, attorney cj itvc_ r-ne Board a letter on issues his to be addressed as a subdivision _ . Cli•ilIl�lt��'_ s . PUhlic utJ.liLies for abutting owners _ . eaiiergency ;ccess to be maintained D . landoc.apind and screening to be done carefully. 1I� 1fuC11Ln���'1" asked that the concerns be made part of the CJi:tl t C1. 1lL ,:c:.d wiry the access road was moved. Clifford 4 ! t cilac .:-sons for the access road being moved: r X11,,• �:� �l:u 1:;,.:1. .., , pi:eser:ting the Mary Charles Estate . �: , _ .. . J+1 : Lr: ;11:111_:. c . 1.t:• elpressed by Eric Wodlinger, ;,;, . :.,..li li,_dstrom to continue the public :, up a workshop . The motion was 11_,rL1:11uusly by those present. i Page 3: The Planning Board held ci on a lenCF% It,.,i:::. !I,! f the Town Hall, Library/Corlf _ r present: George Perna, Hedstrom Erich Nitzsche read a lett , �'"°t ![t i._ :!�. ::'_._ •.,._ � ' ` ' ! Elias . Clifford Elias stated that the, 1 '' v on July 29 , 1989 as well as the ofi'i--'e proposed project. Mr. Elias stated that the 5! F:f'_•�_ ` "r[:ir � = ! - ; has been filed and the Form A Plan tri F 1 t: : tile' nn A1-1q1-,2 `- 1 ! . ! t? . Members of the Planning Board. - following: 1 . Screening of par :inu 2 . safety of illtersee•' 4 UI: 3 . traffic A discussion took place bet.,. ,�.:I setting up workshops . Some member � .:�, 'r : t_!:' n�.:' c? did not see the need. George Perna went over a attorneys for abutters, on issues ar.c! cr: '. �'. er ttl�,t- planning or not, that letter is A motion was made by Paul H� to hearing until August 24 , 198 ' decision. The motion was seconded !:% by those present. On August 24 , 1989 the F'la[Inia the Town Hall, Library/Conference n^om. 1111:+: f,:Illr:-uin:; r.: :'1'- : . •- - _ present: George Perna, Chairman; John Jack Graham. Abutters expressed concerns ::. '_!: _..'.r:.._il:�; ' ll^ "`• • A discussion took place on incorporate all off site flow to the 1(T_ �.ar r_'�r:I e1':::t • :j''= i :: -I"= discussed were: the common driveway acnes^ to the tz r n !.��: " "•- "a: security issues; agreements with trust�:e:; . A motion was made b John Simons cl,)! tt,:2 F,LOIL: take the matter under advisement. The v :_ Nitzsche and voted unanimously by On September 7 , 1989 the F1.7n:linc. Lt Ia:d '.I^! in the Town Hall Selectmen ' s present: George Perna, Chairman ; Jack Graham and Paul Hedstrom were Page 4 : A copy of a draft decision uas! members . The Board is to review the dr;ttt September 21, 1989 meeting . On September 21 , 1989 the 111anniu.-I in the Town Hall, Selectmen' s lleetincl .1. The present: George Perna, Chairman.; Jclhii Ij-i o C Paul Hedstrom. Jack Graham was ab:vreiv.. The Board members added to the drat' L11:AL ill must be obtained prior to issuance of a building perni-it--2 . -a t e(j into the decision will be concerns, of D- P -1-1 , which er:-- z�.dfll -!t letter from Bill Hmurciak, D. P .W. Covenants will C Easements granted to the Trustees of the Re::erv-ati.1211 . Housekeeping, in the languacle, w.-U: don"2 oll Condition #17, and Condition # 20 . Motion was made by Paul C7 drafts for Site Plan Review under Care Retirement Center; and 11 - 3 , discussion and drafts as marked up ---uid Huntress to put in final form as disco--:;,--d . The y Erich Nitzsche and voted unanimou,;!y by A list of those conditions CC : Director of Public Works Board of Public Works Highway Surveyor Conservation Commission Building Inspector Board of Health Assessors Police Chief Fire Chief Applicant Engineer File EDGEWOOD LIFECARE. SPECIAL PERMIT FOR A CONTINUING CARE RETIREMENT CENTER (CCRC) , AND PLANNED DEVELOPMENT DISTRICT (PDD) - GRANTED UNDER SECTIONS 10. 3 10. 31 11. 3 AND 13 OF THE NORTH ANDOVER ZONING BYLAW. The Planning Board makes the following findings regarding this Special Permit as required by sections 10. 31 10. 31, 11. 3 and 13 of the Zoning Bylaws: 1. The proposed use and site design for this lot are appropriate, due to it' s location in `Town. 2. Adequate vehicular and pedestrian access into the surrounding site has been provided. 3. The landscaping plan as shown and revised, meets the requirements of section 8. 4 of the Zoning Bylaws. 4. The site drainage system is designed in accordance with the Town Bylaw requirements. S. The applicant has met the requirements of the Town for Site Plan Review as stated in Section 8. 3 of the Zoning Bylaw. S. Adequate and appropriate facilities will be provided for the proper operation of the proposed use. The Planning Board finds under Sections 8. 30, 10. 31 10. 31, 11- 3 and 13 (CCRC and PDD) of the Zoning Bylaw that the proposed site plan generally complies with the Town Bylaw requirements but requires minor conditions in order to be completely in compliance with Town Bylaws. Finally, the Planning Board finds that this proposal complies with the Town of North Andover Bylaw requirements so long as the following conditions are complied with. Therefore, in order- to fully comply with the approval necessary to construct the facility as specified in the Special Permit before us, the Planning Board hereby grants a Special Permit to the applicant provided the following conditions are met : ( 1 ) The project may contain 192 congregate housing units without the use of the open space bonus or the affordable housing bonus. (2) If the project takes advantage of the open space bonus, then it may contain 221 congregate housing units. (3) If, in addition to the open space bonus, the applicants wish to construct more than 221 units, then the project may contain up to 250 units upon the payment to the Town of North Andover the funds referenced in section 13. 6 (a) of the Zoning Bylaw. In no event shall there be units in excess of 250. (4) The architectural style and design of the CCRC shall be of colonial design, in wood frame or lap siding construction consistent with the style and design of the nearby Edgewood Farm buildings. (5) All concerns raised b the DPW in the July 27, 198'3 letter from Mr. Wil , liam Hmurciak as listed below, must be properly addrassed and all relevant material must ' be submitted to, and approved by DPW prior to the Planning Hoard endorsing the record plans. a. Show entire water main and crossing utilities on the off site plan. b. The method of crossing the mill pond is not acceptable. The existing culverts at the pond crossings are not shown correctly on the plan. The water main as designed will block the culverts. c. The existing 12" water main stub at Pleasant Street is a plugged bell, therefore no dresser coupling is needed. d. Change the method of connection to existing water main on awa Road and to Millpond units 47 and 53. Add a 12" Har k y P gate valve on the north side of Harkaway Road. e. The existing 6" water main on Stevens Street should be eliminated. The services to house #i 120 and 135 should be connected to the new 12" main and the proposed cross connection at the 6" dead end may be eliminated. f. Show 100 foot stationing on the plan. g. The 12" - 1/8 bends at station 18 + 90 are not necessary. h. The connection to the existing 8" water main on Osgood Street at the project entrance shall be an 8" x 8" tapping sleeve and valve. A 12" stub and gate valve should be provided for future extension in a northerly direction. i. Maximum distance between sewer manholes is 300 feet. j. Provide profiles of on site roadway and utilities. k. Show all utilities on one site plan. 1. The domestic water- services should be connected to the looped 12" water- main wherever possible. m. Show details of utility crossings under buildings. n. The number of bends used in the 12" water main should be kept to a minimum. o. Show rims and inverts on drainage plan. p. Provide detail sheets of roadway and drainage facilities. q. The design of drainage from areas B-1-A and 9-1-B does not consider the potential for reduction of effective flow area of catch basins during adverse conditions. � r. Provide data showing the projected, water consumption and projected average daily sewage flow for the community. S. A D. E. P. D. W. P. C. sewer system extension permit must be obtained prior to sewer construction. t. Provide a plan for phased construction and erosion control. (6) All existing trees of greater than 12" Diameter, with 25' of the existing tree line shall be shown and labelled on the site plan. (7) The following material has been reviewed by the Planning Board and staff in this Public hearing process and shall be considered as part of this decision: ( 1 ) Packet entitled : EDGEWOOD LIFE CARE. ACONTINUING CARE RETIREMENT CENTER FOR THE TOWN OF NORTH ANDOVER. (2) Packet entitled : MEMORANDUM OF LAW AND FACTS_, presented by Samuel S. Rogers and Edgewood Life Care, Inc. (S) The Special Permit granted under section 8. 3 (Site Plan Review) of the Zoning Bylaw for this site, shall also be deemed as part of this decision. The following plans shall be deemed as part of the decision: Planis Entitled : Town of North Andover Massachusetts. Stevens Street Proposed Water and Sewer Facilities. Dated : June 51 1989 Drawn By: GCG Associates Inc. Plans Entitled : Topograghic Plan, Dated 12/29/88 Flan of Land, North Andover MA, Dated 4/ : 1/89 Site Plan (Project) , Dated 6/5/89 Project Planting and Lighting. Plan, Dated 6/2/89 Site Plan (Entry) , Dated 4/127/89 Site Plan (Project) , Dated 4/27/89 Grading and Drainage Plan (Entry) , .Dated 4/27/89 Grading and Drainage Plan (Project) , Dated 4/27/89 Plans Drawn By: Earl R. Flansburgh b Associates Inc. Plan prepared for: Edgewood Life Care Inc. cc: Director of Public Works Board of Public Works Highway Surveyor Building Inspector Board of Health Assessors Conservation Commission Police Chief Fire Chief Applicant Engineer File I i I I utitiutttu uuuttu RE"IYU TOWN OF NORTH ANDOVER DAMi:! L-34G TG—1 MASSACHUSETTS HQRT a,,` GG�ER s t MpNTq, OCT S 1 36 ,$g O ssti . Any appeal shalt be filed �cHuA Zrce Co?y within (20) days after the date of filing of this Notice NOTICE OF DECISION Town cleric in the Office of the Town ` Clerk. Date. October. 5,• 1989• _ . . . •. . . . . . . CM*ft bmtj(20)daysalapaaember 21, 1989 . d f0cm date of de=im tud Date of Hearing Se�'. t .. -JW MV d>a appear . . y 9 f .Joyce A.en dsttiaw r Town Cek Petition of • ,Samuel S.. Rog • .ersandEdg • .•ewood Lif e Care Inc.• _ • • • . . . . . • .• . . • • . • • . Premises affected .�.side of Osgood_ street_• . . . . . . . .. . . . . . . . . • . . . . . , . . . Referring to the above petition for a special permit from the requirements of the . .North.AndoQez Znni n.+ ayliww.. Section.5.3. .5ite.R1.a'1 Apzxi� . . . . . . . . . . . . . so as tormit e.const-uct�.nn �£ a. buiidiR . I25 .Uue� .(��. pe 250. dWellia4.units• .45 bid ��9: .�FR >11�S��g.����•�•��Y.4� .� .Continuing Care. . . . . . Retirement Center. After aublic hearing given on the above date the Planning Board voted P g Conditionally to A.PP.rove. . . . . . . . .the . . . .Site Plan Review . . . . . . . . . . . . . .. .. . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . . C_. 1-• s -based upon the following conditions: CC: Director of Public Works Board of Public Works Highway Y SUrve or Building Inspector Signed Board of Health Conservation Commission George.Perna. .Jr.. Cha'• , , , , i rman r� Assessors Police Chief John Simons: Clerk Fire Chief Applicant Erich Nitzsche u3 C Engineer `. File, Interested Parties Paul Hedstrom C. . . . . . . . . . . . . . .. .. . . . .. . . . . . . . . . . r acT 2 ' . • . . . . . .Pianning. Board • • . i--s r11 f, x n :1 C, -P 0 r-1 1,� 0 11 If, :-A- cs I, ZZ , ►-3 Ib O.A f ill 01 IT. q3 AD :3 3 1.) ul (-1 1 A Ij 0 (-t Lq so it :4 In cl ( '-. A I it. A AD Il. ii 0 1 CA All I 6 0 3 'L. -1 :11 I- I 1.4 All C. ILI fit v-. '-1 3 61 t I I A 0 Io 0 1 1, At Aj C-4 D 0 r, Ib 0 fu AD All I I AD L At. AD "1. US i" to 6, It. 1•' 0- ill CI VA rt. la ;z :-f I U I I I so 1A A o. 'r, All AD (o I I A , It, I A 7; Ill 1 1 ID Ll A n I,. is :3 f) A Ili is :tl Z.! ui 0 oil is it 0 ul 0 A.'n C, '.1 .1, tv b.-d it, vir 11, 1 rt fl I n- I" IS P 1.13 0 (D a. it, l-A 1, us fit at ri An ll 0 1-1 Is % I( ".) 01 t"I All (171 it) 'I Ill r.-L (is to A 1-- :3 f- All b, IJ * D G AD I (-I U-) I-' to In tit I� 1, A .1 111 1 1 UI AD 1-,) fu 1-. 0 A. I.I. A I it. AD to 10 - it, U -: t .3 tc, f� La A U to I-L C-4 '-f C) LJ I I CD ul IS, qj1.) 0 fit (tsD fit !I L.) 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I-, I I C9 0 P; H fit 'j, I A-! 171- n > a) At A In it, It, 0 so k) fill t,- I I sit t1j I I (; tj All p u- AD tit % . . ,-1. 6 11 1-& 1 1 CA Ef, 4 1 c OL U) I-, CA' C. 1 40'., A A I- (A 0 in ill sil it, it AD i's in IU I I All it, i;j t't I it, 1., 0 :1 1- 0 i's I A :�: its A I A 4 1-- Au I-, At. it, A I-I All A 1 4 0 C) A At :1 f.L A A) AD A I to (• Ili OD I tip u I'D di ul An W Elias asked that t,-- Bcard visit the s-- ,:e and 1=36a Osgood Street where a model of, the proposed is being displayed. .tae ma;or diff-arence in this application frem the pre.�m'_:^.ary plans __ ti-,e location of the access road. There will be town water and P - -ec_ w 1 _ � - proposed _o _ tocar. setae_ -by ,.ze developer. S�::ween acres of the p p p � -- - be disturb:d. A new traf=_c study has been done with minima= impact• The proposed will be done in two phases: 1 health center and dwelling units 2 . last two bui'_ding nearest t e lake, t e pco_ and t.-.e auditorium. The cos= per unit will be around 5190,000 wit.. m=r.thly -maintenance :a=s from S900 to $1400. Some o` the parking will be underg_ound, 13_ spaces ,and 230 �Maces above ground for a tot al o= 36° parking 'spa . Or_� h.:.^_dr3d �Seven' y five ( 175 ) people have signed up already W__: s_:t'y p2rce^t V ( ti pN(,•r-h Andover r2s_dents . i!r E_:as presented the _oard � samples o_ agreements . 1.}7_ __ Huntress 5�. �.{2 on tne c__CL_3 .1on of t Ie t_aC E_ _c,l :1_�_sc.".e stated that a works:op w:•,_ld be te p:07Cr2a prO'2C�. �'1C?7 s�,:ge. _ed a size walk t0 view tae aC ..55 r^cC The B,).__ _ w_Jl mee .. on Saturday. July 29 , 1909 at 2 . 00 a. m. at 1060 Osgood S=rie t. Joan Simons com-iented on looking at the scale :.ode'_ _i . - John :otic. 5d:=1 t:":e mass_^g . Paul Hedstrom asked if a =orn A P ay: existed , was it a leg- lc= of record. Mr . E' as s.._ no , not y_t. " G -_zPerna asked f Dr public 'nPllt E__ra LiOd_'nga_ , ata0r:'': _z reoresent:ngrthe Rockwell ' s , gave t:1e Board a 01- issues his client wanted addresse_: i . access issues to be addressed as a s`.:bdIvisior_ 2 . drainage 3 . public utilities for abutting owners 4 . merge..^.cy access to be maintained 5 . landscaping and screening to be done care=;;liy. Mr Wodlinger asked that the concerns be made part of the conditions . Gorge ?erna quest'oned Why the access road Was moved. C1_f_orc Elias sza_ed that there were two reasons for the access road being move : _ . conserva=ion 2 . safety Attorney Arthur Fug'.^.es , ra7rese.^.:_rg the Mary Charles Esta?e . e:r:'ressed: cc...a_ns sir.-,ji.3_ to t:'_ose expressed by Eric Wodl_ngerr, a`:c nane ROc.-we.l l ' s . Page 3 : • The Panning Board held a regular meeting on P_uy•'st 19, 1989 ii the Town Hall, Library/Conference Room. The following members were present: George Perna, Cha_rman; Erich Nitzsche, Jack Gralham and Paul. Hedstrom Erich N' tzscne read a letter from Chris Huntress to Clifford Elias . Clifford Elias stated that the Pia.^_n,--.g Board visited the site on July 29 , 1989 as well as the of--ice to see a scale, mode' of the proposed project. Por. E_ias stated that the Special Perm__ for a common driveway has beer. filed and the Form A Plan will be filed on August 11 , Members of the Planning Board expressed concerns 0-1 the following : 1 . Screening of par:-ng 2 . safety o= intersect-4 0n 3 . traf tip A d_scuss_ 7n took pbe---l-leen beleen memoe=5 of t P_c'.._nS Board O.. set 41.ng up workshopz - Some me:a-ne__ ?::^=?Sc?''_ the need f;/_ t,'1-2M, Gt.:cr5^ did not see the need . �,�r^P Perna went Ov-: a lette- --':^ C..Ga-� , Fra'__ G - rge _ o� --� __ and w.._ :..--- ,,ncv were _.. -� o�. issue- _ Planning o_ not, that let_e- is ava_'_a:_ _ _n the z-__e for lns ec __:n. _ ' _- continue *' � rub?; A motion was made by Pas_ F:eds__om to co..:._nue „n- p - - hearing until August 24, 138`? and direct the plan.-e- to d=a== a d_c_s ban . mile _ d by Jack Grana- and voted unan_^G .s y mc`ior. was s�conde L Jr -::� by those present. Or. August 24 , 19}:° the P_ann_ng Board .^.e_d a the Town Hall, Libra-y/Conference Room. The fo_lo:a_ng m tubers were present . George Perna , Cha__tan, John S_:ncns , C_erk. ?:ic `i_t_sc ha and Jack Graham. Abutters expressed concerns with crossing the access road. I . A discussion, took place on drainage . Mitiga:_on of run-o=f will incorporate all- off site f1o'•r to the leo year storm event. other issues discussed were : the common driveway access to the far:a being used; security issues ; agreements with trustees. A motion was made by John Simons to erose the public hearing and take the matte= under advisement. The motion was seconded by Erica Nitzsche and voted unanimously by talose present. On September 7 , 1989 the Planning Board held a regular meering in the Town Hall Sel ectmen ' s Ueeting Room. The LOl1O:ii;.g members w-Ire .present . George Perna, Cha:-:--an; Joan Simons , Cle_t and Er.- ch =P- -_sche . Jack Gra am and Pau' Hedstrom were absent. Pace 4 . A copy of a draft decision was distributed to the Board _ members . The Board is to review the draft decision and vote on at the September 21, 1989 meeting. On September 21, 1989 the Planning Board held a regular meeting in the Town Hall, Selectmen' s Meeting Room. The following members were present: George Perna, C;Zaizman; John Simons, Clerk; Erich Nit=sc.".e and Paul Hedstrom. Jack Graham was absent. The Board members added to the draft that all relevant approvals ; ., r ' 'to issuance of a building permits . Incorporated ..ed ..for into be odea_ P into the decision will be concerns of D.P.W. which are addressed in a letter from Bill Hmurc_ak, D. P .W. Covenants will be attached. granted ranted to the Trustees of the Reservation. _ Housekeeping, in the language, was done on Conditions Condition #17, and Condition # 20. Motion was made by Paul Hedstrom to approve the Special Pe_t:t drafts for Site Plan Review under Section 8 . 3; Sectior. 13 , Ccntinuing Care Retirement Center; and 11 . 3 , Planned Development Dis-r=c_s per discussion and drafts as marked up and directing the ?Lan-.er, Chris Huntress to put in final form as discussed. The motion was s==onded b'- Erich Nitzsche and voted unanimously by those present. A list o` those conditions are attached. Since.aly, PLANNING BOARD George Perna, Chairman CC : Director of Public Works Board of Public Works Highway Surveyor Conservation Cor.mission Building Inspector Board of Health Assessors Police Chief Fire Chief Applicant Engineer F_1 e T: RT�f�FLnnn �2F 'E..ARE. SPECIAL PERMIT, SITE PLAN REVIEW - GRANTED UNDER SECTION 8. 3 OF THE NORTH ANDOVER ZONING BYLAW the following findings regarding this The Planning Board makes Special Permit as required by section 8. 3 of the Zoning Bylaws: 1. The proposed use and site design for this lot are appropriate, due to it' s location in Town. �. rian access into the surrounding Adequate vehicular and pedest site has been provided. 3. The landscaping plan as shown and revised, meets the requirements of section 8. 4 of the Zoning Bylaws. 4. The site drainage system is designed in accordant= with the Town Bylaw requirements. E. The applicant has mgt the requirements of the Town for Site Plan Review as stated in Section 8. 3 of the Zoning Bylaw. ta facilities will be provided for the E. Adequate and appr•apr•ia proper- operation of the proposed use. The Planning Board finds under Section 8. 35 of the Zoning Bylaw that the proposed site plan generally complies with the Town Bylaw requirements but requires minor conditions in order to be completely in compliance with Town Bylaws. Finally, the Planning Board finds that this proposal complies with the Town of North Andover Bylaw requirements so long as the following conditions are complied with. Therefore, in order to fully comply with the approval necessary to construct the facility as specified in the Special Permit before us, the Planning Board hereby grants a Special Permit to the applicant provided the following conditions are met : ( 1 ) All drainage facilities including detention basins, shall be constructed and erosion controlled prior to any building permit being issued on the site. (�) An as-built plan and profile shall be submitted for review prior, to the final release of DPW bond money. A approval p , and pp es have certified interim as-built verifying that all utilities been installed in accordance with the plans and profile shall be submitted prior to the application of the binder, coat of pavement . In addition, all required inspection and testing of water, sewer, and drainage facilities shall be completed prior to binder- course paving. (3) Any charges es on the plans required by the North Andover Conservation Commission may be subject to Modification under Chapter 41 by the Planning Board. (4) All Planning Board Order of Conditions are to be placed upon P the recorded fans, ( Cover Sheet ) prior to endorsement and filing with the Registry of Deeds. M Throughout all lands, tree cutting shall be kept to a minimum in order to minimize erosion and preserve the natural features of the site. Accordingly, the developer in conjunction with a registered arborist, shall submit a tree ` cutting and reforestation plan consistent with the Section 5. 8 of the North Andover Zoning pro visions of Sec i Bylaws, to be approved by the Planning Staff prior to the applicant receiving a Building Permit. This Plan shall explicitly include specific trees to be retained. (6) The contractor shall contact Dig Safe at least 72 hours _ prior to commencing any excavation. (7) Cas, Telephone, Cable and Electric utilities shall be he installed as specified by t respective utility companies. (8) All catch basins shall be protected and maintained with hay bales to prevent siltation into the drain lines during road construct ion. (9) No open burning shall be done except as is permitted during burning season under the Fire Department regulations. ( 10) No undergroundfuel storage shall be installed except as may be allowed by Town Regulations. ( 11 ) All buildings shall have residential fire sprinklers installed prior to the issuance of the Cartificate of Occupancy, per order NAFD. (12) Prior to a Certificate of Occupancy being issued for any structures, this site shall have received all necessary permits and approvals from the North Andover Board of Health. ( 13) Bonds, in an amount to be determined by the Planning Board, shall be posted to ensure construction and/or completion of sewers, roadways, site screening and other pertinent public amenities. These bonds shall be in the form of a Tri-Party Agreement. (14) Prior to a Certificate of Occupancy being issued for any structures, the site shall be reviewed by the Planning Board. Any screening as may be reasonably required by the Planning Board shall be added at the owners expense. intarfzr= ( 15) Crossing of the existing Right of Way shall not with that R. O. W• • Stop signs shall be placed in both directions along the existing Right of Way. (16) There shall be no construction, tree cutting or site related drainage in the area of the parcel currently zonedR-1 from Residence District (Watershed) without prior zoebo and the planning Board. Details of the walkway, ga gardening area as shown on the approved plans shall be submitted and approved by the Planning Board prior to commencement of construction of said portions of the project. ` (17) Edgewood Lifecare, or any subsequent owner in fee of lot 61 shall not subdivide the parcel. Prior to endorsement of the plans which are herein referenced, an open-space conservation easement shall be granted to the Trustees of Reservations. That easement shall include all lands in this parcel which ars located within the Watershed. The extant of the easement and the accompanying documentation shall be .� open-space ac_ The o p royal. T p subject to Planning Board welkin activities by conservation easement shall a 9 residents of the CCRC and their guests. (16) Prior to endorsement of the plans, all o f site utilities shall be submitted to, and approved by the North Ar,dcver DPW. ( 19) Prior- to the Building Per being issued for the f ir•st structure and again prior to occupancy of the first structure, the applicant shall receive a written determination from the Conservation Commission that all wcrk undertheir jurisdiction is being satisfactorily preformed and maintained. i (20) The special permit granted under sections 10. 3, 10. 311 and 13 ( Special Permit, PDD, CCRC ) for this site shall also be considered as part of this decision. (21) All construction on the parcel must conform to plans and specifications herein referenced as part of this s to the plans or specifications must application. Any change receive prior written approval from the Planning Board. The following plans shall be deemed as part of the decision: Plans Entitled : Town of North Andover Massachusetts. Stevens Street Proposed Water, and Sewer Facilities- Dated: acilities.Dated: June 51 1389 Drawn by: GCG Associates Inc. Plans Entitled : Topograghic Plan, Dated 12/29/68 Plan of Land, North Andover MA, Dated 4/ il/89 a a• } Site Plan (Pro,ject) , Dated 6/5/89 Project Planting and Lighting Plan, Dated 6/2/89 Site Plan (Entry), Dated 4/27/89 Site Plan. CPro,ject) , Dated 4/27/89 Grading and Drainage Plan (Entry) % Dated 4/27/89 Grading and Drainage Plan (Project) , Dated 4/27/89 Drawn By: Earl R. Flansburgh & Associates Inc. Plan prepared for: Edgewood Life Care Inc. cc: Director of Public Works Board of Public Works Highway Surveyor Building Inspector Board of Health Assessors Conservation Commission Police Chief Fire Chief Applicant _ Engineer File I fi fll��U � llU UUIlUU REC=.IVED DANIEL LANG TOWN OF NORTH ANDOVER TOW4C! : RK X A S S A C H U S E T T S KGRTH,4i•00'4ER Nov 13 14 so AM '83 Any appeal shall be filed p �i= . . .: : . A'hne Ca?y within (20) days after the •;:,;•�:�..�y� � „Y date of filing of this Notice �ZS.CHUStt Town Clark T in the Office of the Town Clerk. NOTICE OF DECISION i i:;;(a tc car'J.]l=twenti(a'clxi j Date. No989 vember 13... .. . . .. .. . . . . . . have elapsed from date of decision filed WWUNA Ming d appe�h November.2: _1989. Date of Hearing .. TY' h A.Bmdsw , ,samuel.S S. .Rogers,. Edgewcod. Life Care. .. . . . . . . . . . . . . . .. .. . . . . . . . . Petition Of East S Premises affected . . . . .. .. ide . .. Osgood Street. . . . . . . . . . .. . ... . . . . . . . . . . . • . i i Referring to the above petition for a special permit from the requirements r gA��lcs ,By,1.a:; - Section 2.30.1 Common Drive . . of the . . . . . Nv;t-tL- do�te. .� . . . . . . . . . . . . 1 SO as to permit thf=. pph�i:'�grT4n,and use of, an, individual. . . . . .. . .. ... . .I .. . .c ess. to Lot 5 and Lot 6 on the east side of Osgood Street, Edgewood•Farm: . • . . . . � • . . • • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . After a public hearing given on the above date, the Planning Board voted Conditionally toaingq,,te . . . . . .. . .the . . . . . .Special,Per:nit . . . . . . . . . . . . . . . . . .. .. . .. ... . . . .. . . . . • - � r OCT based upon the following conditions ti cc: Director of Public Worcs Signed Board of Public Worcs Si g Highway Surveyor Conservation Commission Ge�r�e, Pernaf,Jr;,Chairman, , , , , , 42 M ' Board of Health �• Building Inspector John Simonsf•C1erk.. . .. . . . . . .. . . 00 Assessors Erich Nitzsche" ' . . . „ . . . . . . .. . . L Police Chief Fire Chief Apolicant sack .Gral•.an. . . .. . . . . . .. . . . . . . . . . . Cn En ine� g `r John Draper . 'Plannin File, Interested Parties • • • • • • • " i " g � B oarci OFFICES OF: (Sci (508) TOWn Oi 120 Main Street North Andover BUILDING : NORTH ANDOVER Massachusetts 01845 dONSERVATION 682.6483 HEALTH DIVISION OF PL.AIYNiNG PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR -� Town Hall 12,E Ma' a - er t. • �`Io=tt1 A:aCsOVe=, ] Re : ?G;c:IO��G ___- _•s-= Dear i_ Lonc �`ie \ r. tl. d0'i?= = 3:.._: �Oa=I il. Csi a reg N -. - t i c.- a::'2: ......_�r 1�v_ O._ � do ia:,,n o1 :r=a�=, �Iv_ - =:- :fie P.:c'_ C-== "' 1-:a _ale :0i_o:7:1G ^ C : We= 2 mo-s , C_er - _and Fal_ .,` c5=_17-.•'t�==e c _:.^.t. -'--_•. - u1C __ 5? __en 1�i . _ o= _^e NcDrr-h AnCave= ZC.^._:a i . `j'e Vic; l'.J-USS O. ':-e S_ �_a_ o�=' _t 1S to CO1st=_Ct d_ _'J?:•7a'r „ � S� a'_Ce_5 t0 Let 5 a_^:� Lc b O r.. : eaoL _ _o;-a- .c a w-a,_de:a=_� 5 - _-? a:c -1 - - _:CcaS =c_.. _'�3_ no=_C LJ O�cil t ? c� •_- ' -- ;ti Uc} is 1S?G t. use , a^C QeS_ �. c- Corca-ns we=e also =a_S?C a'--,-,u': L a a'-- - t: t• _ ` -'r' S?:ViCSd AIr d=.`JP_ , C:ailC S:,a� �� =2V:e?C i De:.te: 5laO:'7 a..:,e dz. Te aay in:-.) CQet'7Cod Farm. 'i AiJ`,:t=�__ from t::', is=a`.e of Ma=y Cza_1es w?-e p=2 = a1c P_ 7=?=SPO c_ce=a dbo :r t:je 4acz ..tlat they= jot S ouS i 0= a=_? ..c +== L.1? C'....: Cia Cr:'IF: , nt�.a� SO '_:: Sta_ad that their aze 11 il0 4=7aC_ •1c; ted SO .e 1,13 C' development of an abutting p=0p?'_=Y an(: - _Sly `.!'_o t a__0:•7 aCC=sS t0 _ ? C13►_=S _: _ �.. '_ Ar'o=.,2' =^_ ::==f C�==-' :J10 d=d ;lot ma.-'e Se_� a=.0''! - e : _ec =�.__ L1Py d_c net =ece_'Je p=.re no- ..-_c_ _o� e L __.. A^G :�_ °,,:II=. _ -a:i� . L1=_St_3_ S was5?: 10ti =_ _tet.'?Il to --1� .epa==m-•-- a c L:at —— it' _ _.._. _ -p')_.n .. ..'�'�.. _'I__—__2d. rlln�� «u IIUAUU RECRIVED DANIEL: LUNG TOWN OF NORTH ANDOVER TOW 4C:cRK MASSACHUSETTS HORTu ::i.00JER „ORTI. Nov 13 10 5o AM 12 Ot ,r••�•�ti0 Any appeal shall be filed p �i= ATrae�o�p j within (20) days after thea se °• • date of filing of this Notice 'ST CAUS•. Qi Town Cl.rk in the Office of the Town Clerk. NOTICE OF DECISION - i.:Q?;to car-ay that twer>t,(z�) Date, November 13 1989. .. .. . ... .. hM'9 elapsed from date of dwision Sad wittsoucmbvd appeal, Date of Hearing November 2: .1989. Dabe�U���s•;a� ���� . . . . .. doyen A.Bradshaw Tom c:ft , Petition Of ,Samuel.S: .Rogers,. Edgewood. Life.Care. . . • • • • • • East•Side of Osgood Street - Edgewood Farm Premisesaffected . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . 1 Referring to the above petition for a special permit from the requirements of the . . . . . Nor:.h.8>~cv�te, 2; Common _Dr ivewa� . _. ., , SO as to permit . ti��. �Pp�s;�4rT4n,and„usz ofan individualdrivewa , . Y.to.gain .access 1 to Lot 5 and Lot 6 on the east side of Osgood Street, Edgewood.Farm: . .. , . . . . . � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . c After a public hearing given on the above date, the Planning Board voted ` Conditionally to 489j;cge . . . . . . . . .the . . . .Special .Permit . . . . . . . . . . . . . .. . . . . .. . . . ... .. . .. . . . . • - based upon the following conditions: L cc: Director of Public Works Board of Public Works Signed HighwaySurveyor M Conservation Commission George, Pernaf.Jr;,�Chairman, , ,, , , Board of HealthM Building Inspector John Simons!.Clerk, , , ,, ,, , , , ,, , , 00 PoliceAssessoChief Erich Nitzsche. . . . . . . .. . . . . . .. . . ` L Fire Chief ` Applicant Jack .Graham. . . . . . . . . . . . . .. . . . . . . . , Engineer John Draper File, Interested Parties . . . . . . • " "g B oa" ' rci 'Planning Page 2 . A MOt10^ Was made by Erich Ni _=sche to CO nt=n-e Hearing to September 21, 1989. The motion was setanded by John Simons and votes unanimous by those present. The Planning Board 'reed a regalar meet"19 en September 21 , 1989 . The fo- lowing members were presen-. George Perna, Cha4rran, Jo n Simons, Clerk, .1I-trsche and Paul F.eds=_om. Christ-ars Huntress, Planner, spo::e to the Board on the app__cat; on. At the last meeting, the public aea__ng was continued o; the Special Permits Comaon Dr_veaay. The discuss-on was on the ai:utters concerns for use of the common driveway and tae old access road into the site. C' if_ord Elias spoke to the Board on t = ceamo: c=_ve�ra1 app_-cat*or.. Also present was Nelson Hamer. Georg Perna reviewed the puns and asked hcw t:,e �o•_ses were being serviced. Fie wants to see w'n at t.`.e cc mon driveway 1oo:f= like . The 1303_ _ reque� :ed the 1 . Show accesz 3. Si_� of. lots 4 . S:jcw rad115 5 . Sho,,-; pr„paves The plans to e: _ '__c_ _Iy shod ccn-c._ c__ eTrays . A me ::_on was made by Pau_ Hed.-_om tc con=-•^.u' t= - h ti'_ CctobP_ 5 , 1: 30 , The �ct_o rias s_.o:.ce= --_.. hear, un :• N_ .._sch,� and voted unan_:nous by t -'se present. Pt B a-d d_d not zee: on Oct-0 98'' d'-e to a The Planning BG _ .. .. J_ J 1 r T. g Spec, al ^.own ;fleeting . 0n October 19 , 1989 the Planning Board "ae_d a regular meeting. The for' ow_ng members were present: George Perna, Chairman, John Simons , Clerk, Jack Graham, Erich Nittsche and the Boards newest member, John Draper. C1-f=ord E'_ias showed the Board plans of. the ac:ess road and t;e common driveways • Accessed by the comxcr. dr-iveways were two lots . A : ct_or was made by E=- ch ;1�c_sc,,_ to erose the -public hearing and, t=ee the ma=ter under advls?^ent and d- recz the ?fanner to dra=t an approval . The mot-or. was sero^ded by Jo *: S_mcr.s and voted un___-Nous by those presenc . ?age 3: Or. Vove:abe= 2 133° the Planning Board held a re,uiar meeting. The foilowl-g memb rs were present: George Perna, Chairman, John Simons, Clerk, Erich N:tzsche, Jack Graham and John Draper. A motio, was made by John Simons to accept the condition approval to-- t e Edgewood Life Care Special Permit Common Driveraay. The motion was seconded by Jorn Drape= and voted unanimously by the Board. Sinca z e.y, Planning Board P ,_ Gaorg Perna Chairman CC : Director o: Public. Works 3oard of Public works H ,hWay Surveyor Conse_va;.on Com=--s-an Bea=d of Health Building Inspector Assessors Fl:e Ch-' er App::c'..^. F.1e Il Edgewood lifecare Conditional Special Permit Approval, Common drive. lots 5 & 6 The Planning Board makes the following findings regarding the Special Permit Application cited above: 1. The application adheres to the bylaw restriction that no more than two (2) lots be served by a common drive. 2. The specific location of the common driveway is appropriate due to its location. 3. The design and location will not. adversely affect the _ neighborhood. ` 4. Adequate standards have been placed on the design which will meet public health and safety concerns. ' 5. The purpose and intent of the regulations contained in the Zoning Bylaw are met with the Special Permit Application before us. Upon reaching the abovo findings, the Planning Board approves roves this Special Permit based upon the following conditions which shall be submitted to the Board prior to signing the documents to be filed with the North Essex Registry of Deeds. 1. Easements pertaining to the rights of access for driveways between the lots involved shall be filed with the Registry of Deeds Office prior to the issuance of the building permit for any lot served by the commondrive. 2 . All conditions relating to the common driveway issued in the approvals granted under sections 8 . 3 , 10.3 , 10.31, 11. 3 and 13 of the North Andover Zoning Bylaws, and dated 10/5/89, shall be considered as part of this decision. I The following plans shall be deemed as part of the decision: Plans Entitled: Plan & Profile, STA. 0+00 to 9+00 Edgewood Lifecare Center. Plan prepared for: Edgewood Lifecare Services Prepared by: Earl R. Flansburg & Assoc./ Thomas F. Moran Inc. Dated: 10/18/89 cc: Director of Public Works Board of Public Works Highway Surveyor Building Inspector Board of Health f Assessors Conservation Commission ` Police Chief Fire Chief Applicant Engineer File I F� s rz y '. w. ^i.`' r3• .` �� rr t _.` -.; ,..._ w�:;�.�x�«t'.c-,•s;•. �..�,� �':a� r��;'�>. 00- OF = d�'; �-+.4�V . t- ,,. •. 1 `.' a k.. . .,.. µ rt -^ � ""v c� '•' x-f 7 r F s N Tow,r � - Qf Nort S Andover _ _ w F � r. . W v s- µ fu Building Permit Number '500E" Date JUNE 4,"1997 - THIS CERTIFIES THAT THE.,BUILDING LOCATED ON 1060 OSGOOD STREET BUILDING 2000 MAY BlzOCCUPIED ASRETIREMENT RESIDE TIAL BUILDING. IN ACCORDANCE OCCUPANCY LOAD: One Bdrm. Units = 12 • Two Bdrm. Units 24 WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUIH.DING CODE AND (Tot. 3 6) SUCH OTHER REGULATIONS AS MAY APPLY. MORTIf �;.• rY.'+o CERTIFICATE ISSUED TO T.if,.r-are Services COr p. 800 Second Ave. ADDRESS Des Moines , Iowa s ` •s.K„us� Building Inspector r a OR .: N TN = F TO" Of over cANsrRucTl '� O ._ dower, Mass., Noymnzm 3 19?C COCHICHEWICK Vdr ADRATED PV C:) 7 5 BOARD OF HEAL'T'H P E RMIT T D , Food/Kitchen Septic System • BUILDING INSPECTOR HIS CERTIFIES THAT ..!.Ar.F14Y0..... M. Foundation is permission to ereclG"eAdw.wae .15 -buildings on............. ... TR. �,t .7.0"............ Rough .be occupied as.........Rdr.n* Ebtaw7 ....R �p q.�....1 l�i�t�►i�¢.-.. a�.G� Qr..v�oo,e�.... Chimney �+ ,ovided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final its office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of uildings in the Town of North Andover. PL G sPECQR IOLATION of the Zoning or Building Regulations.Voids this Permit. CONTROL ou 1z ' �}—� PERMIT EXPIRES IN 6 MONTHS CONSTRUCTION UNLESS CONSTRU S • EL TRICAL INSPECTOR u CONTROL CONSTRUCTION ........................:........................................................................................ ce BUILDING INSPECTOR 6 �� Occupancy Permit Required to Occupy Building G sP ou � C` Display in a Conspicuous Place on the Premises — Do Not Remove n s – No lathing or Dry Wall To Be Done FIRE DEP TMENT Until Inspected and Approved by the Building Inspector. - - Burner Street No. y Smoke Det.(off. t Town of North Andover � µORT► , �,:,��,��. OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover, Massachusetts O 1845 timeS 4C s'-••°'''+<r' (508)688-9533 .,F j CONTROL CONSTRUCTION - SECTION 127.0 M.S.B.C. . CERTIFICATE OF ENGINEERING . BUILDING INSPECTOR TOWN OF NORTH ANDOVER s. 146 MAIN STREET - TOWN HAr r p,iiv-��X j NORTH ANDOVER, MA 01845 GENTLEMEN: IHffn to the best of krK)Wle*J Etagert E HE BY CERTIFY THAT THE j BUILDING CONSTRUCTED AT ing 2MD- 547 DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE ?LVD APPLICABLE FEDER.a , REGU .ATTONS FOR THE FOLLOWING: AUTHORIZED SIGNATURE: DATE: REG_STRA,TT_ON STAMP • OF ktq /p HENRY J. t?� EGGERT ?� HV/AC vif;v No.332730 p�FG/S7�� aj a` e5-•''v_i'l1il�'`' ' I`��1F�1`✓4'J.V� . NOTE: ENGINEER "WET ST? M?" MUST BE AFFIXED TO THIS FORM. OUARDUFAPPIiA(.S 658.9541 IfUIIJ)(N(; 68e!9545 CONSF.ItvxnoN 688.9530 HEAU'11 643-9540 PLAXNIN(F ff15-95l5 JUN 4 1997 •.e j Town of North Andover OFFICE OF :o� .... ,•;mac COMMUNITY DEVELOPMENT AND SERVICES o 146 Main Street ' °• i• ' • North Andover, Massachusetts 01845 (508)688-9533 CONTROL CONSTRUCTION - SECTION 127.0 M.S .B.C. CERTIFICATE *.OF ENGINEERING/iLgCHITECTURE BUILDING INSPECTOR TOWN OF NORTH ANDOVER 146 MAIN STREET - TOWN �LAZLL ANNEX NORTH ANDOVER, MA 01845 GENTLEMEN: ' I i HEREBY CERTIFY THAT THE BUILDING CONSTRUCTED AT ll / �i�46L✓�c47 U� �( ,!'Q' ZOpD DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE NNID APPLICABLE FEDERAL REGL7_.ATTONS FOR THE FOLLOWING: 7 �iis✓ ec� � 7-4 S/ CliL7�Gf�lA� -5 • AUTHORIZED SIGNATURE : DATE: REGISTRATION STAMP JAMES yG i c BALMER � No. 29743 O Or ��f.��•�STE��\a�� SS�ONAL EN6 NOTE : ENGINEER "WET STA.'�2', MUST 8E t,FFIXED TO T:EIS FORM. WARD UF.1P{'I;ALS 688!)54{ 13CIIl.UINt) tiKK!)SJS CONSEllVA'rio N 696-531) HEALTH 68V)540 PI.w%NNIN(l 688-95.15 JUN 4 ia47 e + 4, Town of North Andover } OFFICE OF CNcnrM ? E` COMMUNITY DEVELOPMENT AND SERVICES 0 - o 146 Main Street • "o'er z • North Andover, Massachusetts 01845 CMU • (508) 688-9533 SA S�'S K z l� CONTROL CONSTRUCTION - SECTION 127 . 0 M.S .B .C. I 1 CERTIFICATE OF )MMII ARCHITECTURE BUILDING INSPECTOR j TOWN OF NORTH ANDOVER 146 MAIN STREET - TOWN HAT_,_, plv-V�X NORTH ANDOVER, MA 01845 GENTLEMEN: I , Earl R. Flansburgh. HEREBY CERTIFY THAT THE i BUILDING CONSTRUCTED AT Ed ewood,Building2000,547 Osgood 'Street, N. Andover, MA DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE AND APPLICABLE FEDE. REG u!A'T'IO�TS FOR TFE FOLLOW Work indicated on architectural construction documents see seperae Certifications II for mechanical, electrical, plumbing, fire protection, and structural work.) This certification is to the best of our knowledge and belief based on our periodic visits to the construction site, and is subject to completion of outstanding items noted 6n the punch list. AUTHORIZED SIGNATURE : , DATE : it f i REG_STRk r'T_ON STAMP: FLAK v G� r OF M, NOTE : ENGINEER "WET STAMP" MUS'_' BE ;FFIXED TO THIS FORM. BOARD OF APPEA" 688-9541 BUILDING rixx JSJS CONSERVATION 688'9530 HEA1_111 688.9540 PLANNING 688'95.15 JUN 4 1997 ........... . ......... ...................... C.E.Floyd Company, Inc. Tel. 617.271.9006 9 DeAngelo Drive Fax 617-,271 9045 Bedford, Massachusetts 01730-2200 June 3, 1997 Mr. Bob Nicetta Building Inspector 146 Main Street North Andover, MA. 01845 Re: Edgewood Life Care Dear Mr. Bob Nicetta, As Project Superintendent I have overseen the construction of the Edgewood Retirement Community project located on Osgood Street. (Permit#500E) To the best of my knowledge all construction has been completed in accordance with the approved plans and specifications, and is in conformance with all applicable State Building Codes. Sincerel , Robert Willard Project Superintendent JUN 4 1997 0 �• Town of North Andover ,Aoftr" OFFICE OF at tie 3r COMMUNITY DEVELOPMENT AND SERVICES ° 4 ' i 146 MainStreet .. North Andover,Massachusetts 01843 �•9Ss '•tis ACHUSE (508) 688-9533 j CONTROL CONSTRUCTION - SECTION 127 .0 M.S .B .C. CERTIFICATE OF ENGINEERING/2 r --- BUILDING INSPECTOR TOWN OF NORTH ANDOVER 14G MAIN STREET - TOWN HAIL AIN-yEX NORTH ANDOVER, MA 01845 GENTLEMEN: I Henry J. E Q E to the best of my knowledge '— � HEREBY CERTIFY THAT"16TL12 BUILDING CONSTRUCTED AT Edgammd- Wilding DOES CONFORM IN ALL RESPECTS TO TWE MASSACHUSETTS STATE BUILDING CODE AND APPLICABLE F---DER-V— R=GL-_ATIONS FOR THE 'FOLLOWING: AUTHORIZED SIGNATURE: DATE : REGISTRA•IT-ON STAMP : o HENRY J. Gq` ,f; EGGERT <' No 33273 is—TS NOTE: ENGINEER "WET ST-k. P', MUS B , A, FIXED TO T IS FORy? . WARD UFAPPEALS 658.9541 13UILDINC. 6X8 1)545 CONS F.Rv.4mo N 688-9530 HEAL:I'll 6534540 PL:\NN114G 685-93 i3 JUN 4 1997 04/24/07 THU 08:25 FAX 5087207873 E.R.Flansburgh, Inc. F13 IM002 i Town of North Andover µORTF OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street ` '•.;••:.r»--• •' ` i North Andover, Massachusetts 01845 �,�ss •,FK'� �cNu (509) 688-9533 CONTROL CONSTRUCTION - SECTION 127 .0 M.S .B.C. CERTIFICATE OF ENGINEERING/ARCHITECTURE BUILDING INSPECTOR TOWN OF NORTH ANDOVER 14G MAIN STREET - TOWN H]A.LL A�LNmEX NORTH ANDOVER MA 01845 GENTLEMEN: I Vf�/f9 iQGr�!/tk HERESY CERTIFY THAT THE BUILDIVG CONSTRUCTED c-�vkdl 2rL,Vr ZOveo DOES CONFORM IN ALL RESPECTS TO T:sE MASSACHUSETTS STATE BUILDING I CODE vD APPLICABLE FEDERAL REGDT�,TIONS FOR THE =OLLOWING: 74 C.GN`fl�i�9GY G�/G�i1sl.G.7�' V/I/LiU A AUTHORIZED SIGNATURE : DATE : / REG:-STR.aTION STAMP : oZ JAMES Oy g G N � BALMER � No.29143 y �01ST E���`�` sS�OHAt ENG !MOTE : ENGINEER "WET S77A.M?ll MUST BE t,rFIXED TO T-41CFORA . BOARD OF APPEALS 688.9541 11UILINNG 6WR-9545 CONSERVATION 698.9530 HEAl:tll 6884540 PLANNINO 688-9315 JUN 4IW7 Town of North Andover NORTH OFFICE OF of,"40 COMMUNITY DEVELOPMENT AND SERVICES ° � M a i 146 Main Street - North Andover, Massachusetts 01845 SACH SIC (508) 688-9533 CONTROL CONSTRUCTION - SECTION 127 . 0 M. S .B .C. CERTIFICATE OF /ARCHITECTURE BUILDING INSPECTOR TOWN OF NORTH ANDOVER 14G MAIN STREET - TOWN H_kL_, AN-1\4-EX NORTH ANDOVER, MA 01845 GENTLEMEN: I , Earl R. Flansburgh HEREBY CERTIFY THAT THE BUILDING CONSTRUCTED AT Edgewood,Building 2000,547 Osgood Street, N. Andover, MA DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE 27TILDING CODE AND APPLICABLE FEDER_1,L REGu��IO S FOR T: E =0+LOWING Work indicated on architectural constructionocuments see sepera�e Certifications for mechanical, electrical, plumbing, fire protection, and structural work.) This certification is to the best of our knowledge and belief based on our periodic visits to the construction site and is subject� t to completion of outstanding items noted on the punch list. AUTHORIZED SIGNATURE : DATE : 17 AA ry 1p� RE::_STRATT_ON STAMP : FLAN I � � OF M% NOTE : ENGINEER "WET STAMP" ML'S'=' BE AFFIXED TO THIS FORM . PO ARD OP APPEALS 638-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9530 Pl,..kNNING 688-9515 11IAI A 1007 . 1.^°a 5 r. ...•.-.s' x'4'"1 ..'.a :. �n NpRTFy _ F ovm . oover ATO.Soo E - �` Z dover Mass. 9s' Comm o 19 CMISTRUCtWfi COCMICMEWICK V i YYYY����YY Y�/ ��n•, ADRATE D, P'P���� 5 BOARD OF HEALTH PERM- . IT T Food/Kitchen Septic System • BUILDING INSPECTOR HIS CERTIFIES THATi .S�''1t✓t�OA .. scan?. ....d.,� .fi4�Y4.....tFoundation !Q�..R9�X . ' asermission to erectG�►e .t.a .l .buildin s on p g ............. ... -47, .mms................ Rough n be occupied as......... Q ►� aw-T... 1�Gil j} IDt�R� t� ! �iirl�.�. I�JQ Chimney rovided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final p its office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of uildings in the Town of North Andover. PLG SPEC R IOLATION of the Zoning or Building Regulations Voids this Permit. ou 7i"/CO NTROL7 PERMIT EXPIRES IN 6 MONTHS CONSTRUCTION , a r . UNLESS CONSTRUC TS • EL ICAL INSPECTOR CONTROL CONSTRUCTION - ........................:........................................................................................ ce BUILDING INSPECTOR 6 �� Occupancy Permit Required to Occupy Building G sP ou � (` Display in a Conspicuous Place on the Premises — Do Not Remove n s - - i. No Lathing or Dry Wall To BeDone FIRE DEP TMENT Until Inspected and Approved by the Building Inspector. Burner Street No. . Smoke Det.(� -• t, aw V "r _. 'g: -.ai„4 -. a.�, .: f yt - --i• '.- z.' a ,.F -s_: 1 .. .' vx . - -G _ z4 �Y..,. .+...' ., x• fix. - uff OWUPA ajDA i M - Town= t) Nrorth And'over� - $ C f Buiiding-Permit Number-.--. 500E Date DUNE 4, 1997 ' + s THIS CERTIFIES THAT - THE BEING LOCATED ON 1060 OSGOOD STREET BUILDING 2000). MAY BE �CUPIED ASRETIREMENT RESIDE TIAL BUILDING- ` IN ACCORDANCE OCCUPANCY LOAD: One Bdrm. Units = 12• Two Bdrm.. Units = 24 WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUIWING CODE AND (Tot. 3 6) ` SUCH OTHER REGULATIONS AS MAY APPLY. NORTq •�+O p CERTIFICATE ISSUED TO T.i f m r-a P Sery ices Cor p 41 ADDRESS 800 Second Des Moines,Ave. i� ..s • Building Inspector , • ° • t j CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 50OF (11-03-95) Date APRIL 29. 1997 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1060 OSGOOD STEiEET RETIREMENT MAY BE OCCUPIED AS RESIDgUTAL BUIIDING (Building #11M) IN ACCORDANCE I OCCUPANCY IDM: 18 Single Bed Units; 21 Two Bed Units WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Life Services Cora. 800 Beccond Avenue } ADDRESS Des Moines Iowa '�2 CHUSBuilding Inspector F Town of , . 10L iI>— J o c dover, Mass., 19 9s � .. . . , tet DRATED 5 BOARD OF HEALTH PERMIT T Food/Kitchen Septic System THIS CERTIFIES THAT LkW..&*9...•�F.�iCEi..l� o^ ....'0.+.r...fi40.Yb... --m"...... BUILDING INSPECTOR Foundation has permission to erecter %tC9Uuildings on ............/.Ota.....+OS.Q�o4.1a......'bT'�.E 'Y-....... Rough to be occupied as......... i 'IHS...�i? ►,D�ut��.4.../ar,�LOv ¢...-.. �.G.D�uQ-...3�Q.......... chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final off, 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. PLUM G INSP CTO VIOLATION of the Zoning or Building Regulations Voids this Permit. - Rough ina %,� PERMIT EVIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELE ICAL INSPECTOR Rough ...................... ............. ....................................................................... Service BUILDING INSPECTOR 9 Fi ` Occupant-� Permit_ fx'equi:red to Ucc-Uy Building GAS INS CTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner E FI DEPARTMENT Street No. Smoke Det. r'M 1(,Ae, 4 `2�-P 1' , w C.E.Floyd Company, Inc. Tel. 617.271.9006 9 DeAngelo Drive Fax 6179271.9045 Bedford, Massachusetts 01730-2200 I I i I I i I April 24, 1997 Mr. Bob Nicetta Building Inspector , 146 Main Street North Andover, MA. 01845 I Re: Edgewood Life Care Dear Mr. Bob Nicetta, As Project Superintendent I have overseen the construction of the Edgewood Retirement Community project located on Osgood Street. (Permit#500F) To the best of my knowledge all construction has been completed in accordance with the approved plans and specifications, and is in conformance with all applicable State Building Codes. Sincerely, Robert Willard Project Superintendent i I i I' Fits-1 f—� r wtl rJl MI'$ V t. rLur 1 l.u1•1r' . �l7Oiz>0A0o� A / . Town of North Andover „ARTH OMCE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Mala Strut ` North Andover,Massachusetts 01.845 SSACNVs�� (508) 688.9533 CONTROL CONSTRUCTION ^ ,SECTION 127 . 0 M.S ,B. C . CERTIFICATE OF ENGINEERING/ARCHITEC'TURE SUILDZNG INSPECTOR TOWN OF NORTH ANDbvER, 1.46 !MAIN STREET - TOWN HAL,: AZ,��X NonTH ANDOVER, MA 01845 GZNTLEMEN:: Z.40"A-0. HERESY CERTIFY TEAT THE BUILDING CONS_'KLJ(:TED 4,'_' GGvoap ��._ CA.0'rd �yw,y 3oav DOES CONFUlCM IN ALL RESECTS TG THE !tiIASSACHUSETTS STATE BUILDING CODE..�ID veLI/CAF5LLE FEDER_Ar REGULATIONS FOR THE FOLLOWING: -Z46 0571 Al / J 1�QGh l✓�/�ia9� V AV GGO�� �Q t9G� � �Gv�ao�1 Cd.t►o� Q /�/'oY,rG� J h� Al:ThUR12ED SIGNATURE: DATE- yy'� ZtV R ECISTRATION STPLMP: W.SH OF-, s' ES o BALMER m� No.29743 - H Q /STE�� �SS7ONAL ENG\ VOTE : ENGINEER "WET STA,",1?,, M T.S'^ R,E AF FIX9D TO THIS FOR-4. BOAR!)OF APPEALS 688-9541 BUILDING 888.9545 CONSERVA710N 99R.4510 KEALTid 698 9540 �N+.�ifJO •SSS-'v � Town of North Andover „ORrN OFFICE OF ���,.. � •. o COMMUNITY DEVELOPMENT AND SERVICES • �' � - r 146 Main Street North Andover,Massachusetts 01845 �9Ssgc141W`* y` (508) 688-9533 CONTROL CONSTRUCTION - SECTION 127.0 1`?.S.B.C- CERTIFICATE OF ENGINEERING '��.; '� BUILDING INSPECTOR TOWN OF NORTH ANDOVER 146 MAIN STREET - TOWN H-A,L AjN-L NORTH ANDOVER, MA 01845 GENTLEMEN: I, c�to the best of my knowledge 1 Fes, p F &ERS _ E c I FY T,-P ! THE BUILD T NG CONSTRUCTED ATS Building 3000, 547 Osgood Street, North Wover;, FA DOES CONFORM IN ALL RESPECTS '-rt--1 Twv MASSACHUSETTS STATE BUILDING CODE AND APPLICABLE FEDER-k:, R- ;7UT_A'T_"IONS FOR THE FOLLOWING: r O° AU'T'HORIZED SIGNATURE: DATE: 997 REG=STRA•rTON STAMP : OF M4 •\ HENRY J. Gy 4;= EGGERT � HV/ACt No.33273 ,p p �r NOTE: ENGINEER "WET ST?II?1, MUST 8E A- FIXED TO TIc AOR�r : BOARDOFAPIT"AS 698.9341 BUILDING (M-9545 CONSFRVATION 688-9530 HEAL.NI 683-9540 PLA,"ING 6$3-95.15 Town of North Andover HaRT„ OFFICE OF of � COMMUNITY (DEVELOPMENT AND SERVICES �i r 146 Main Street North Andover, Massachusetts 01845 'Iss C SSE<�� (508) 688-9533 CONTROL CON r _ STR.,C�ION SECTION 127 . 0 M. S . B .C. CERTIFICATE OF AWT MW/ARCHITECTURE BUILDING INSPECTOR TOWN OF NORTH ANDOVER 14G MAIN STREET - TOWN Nkj,,L AN-I—X NORTH AN-DOVER, MA 01845 GENTLEMEN: I, Earl R. Flansburgh HEREBY CERTIFY T-AT THE BUILDING CONSTRUCTED ATEd ewood, Building 3000,547 Osgood St- ,N. Andover,MA DOES CONFORM IN ALL RESPECTS TO T'_-rE MASSACHUSETTS STATE BJILDING CODE AND APPLICABLE FEDER-k, REGuLATTONS FOR THEFOLLOWING: Work indicated on architectural construction documents (see seperate certifications for mechanical, electrical, plumbing, fire protection, and structural work.) This certification is to the best of our knowledge and belief based on periodic visits to the construction site, and is subject o comp o of outstanding items noted on the punch list. AUTHORIZED SIGNATURE : DATE : Maxontq . RE:=ST2A'TION STAMP '47 0 131 a� MA � J OF M MOTE : ENGINEER "WET STA;^P" MUS BAFFIXED TO T:-:IS FOR` llU.\RUUP.U'TAIS 688-9541 II0I1DING ci88-9545 CONSFRV:\"HON 688-9530 HEALTH 688-9540 ITANNING 688-75.15 0412411597 13:43 6036260352 CONTROL TECHNOLOGIES PQ GE 95 f ..........., . . .•... FROM 8 - 1897 04-2�i 1 m c A? M2T3 M'.B6/�6 f fFF k MANUFACTURfNG COMPANY. )NC. i Date: - a 199 Number of Pqc*: 2 j (includ *tlds POP) TO: Cw ATTEN770M n,Qk ouimdft FROK A FAX NUMBE 0603)62OzW52 The Mowing Basch gay detector-Mods.B09-CM-1 -was oa}ibrated to the xtteched "Ubndim prtsoed=: II Serial Numbers Coill88Q 1044 9-0 W 6 GOw,u,.1 LwC- 46 Plnw aontact rmc if you need adit*%W irdornation• H. Allen wational Sale*Marager Tbuwk ym for takin8 the time to ace me last we&. It Is stw ys food to ow you. X hope you wcatha has*ctded down and the floodizg bas sub*id&L �1W orr ETr Rn.T.o.Box 2M%tkRYtJWG MElti M.Mb $300-MO �• YELEPt•OM 314,01-04(WAX 0 394 3 -OU f 04/24/1997 13:43 6036260352 CONTROL TECHNOLOGIES PAGE 04 PROMr 04-Z4 10147 1�2T3 P.04/08 t MANUFACTURING COMPANY. INC. j FAXIBANSMMMN f Data: Alnn1J9_22 Number ofPaM (40udhs this pup) TO. ATTENTION: 2ULOWMIM FROM: Jim Allen FAX N UBri sY�l97ItCT: Bre Otar� 3523x 'I'hcllovvin Brach 8 rs detector-Model BeS-CM-I -was ra 1mcd to the 4Mhed � S cai3ktrad as pt'pceduro: - Serial Number. CM 1187Q �06-k W. @ 'I�900 (94l&kl� G o wMa Ploase coatka me ify ou nW additional infornm6on. 9• I. R Allan Natiotul Sales Manager Mimic you 4br taking the time tv eve me fast vm*, It is alwzWs good to see you. I hopc your wfttber tuts fettled down and the flooding has subsided. I taco OiOAAETT RMIRCL anoc QOMAAVUWIn H1d11MM,MO 66044M 'WIAPHONE 2144M49IWAX 0 31+-241-0"6 s f I CERTIFICATE OF USE & OCCUPANCY x Town of North Andover Building Permit Number SO IF (11-03-95) Date APRIL 29+ 1997 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1060 OSGW-D STREET RETIRIIMWr MAY BE OCCUPIED AS RESIDENTIAL BUILDING--(Building #Mj IN ACCORDANCE OCCUPANCY IM: 18 Single Bed Units; 21 Wo Bed Units , WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. NOa 11Lifer-are Services Cora- o� CERTIFICATE ISSUED TO 800 Becond venue. p ADDRESS Des Miness Iowa �' b++n•✓ate '�s�CNIluilding Inspector f Town of L ower 0 0 rf No.Soo F r v� � dover, Mass., N pV93 N= 19 9S ie tl`•... ti 4+ ,:iZ18 'Q ':OC tiiC Ewicn ` �DRATED P19 CD S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THATJ401r..d4M...$� tCll:�►..l�a/QP o�R .... ... �..f ... ' �r�•+.•.. Foundation has permission to erect:tvA4#A ,,.c.�.��buildings on ............/.o.4a►.....0S. b.......S.Men .......... Rough to be occupied as.........R6jjfJ11iCJ-W. ... OW4 44.b;A*....4300.a.......... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final off, 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. PLUMhl&G INSP CTO VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough %) ma �� PERMIT EMPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELE ICAL INSPECTOR 14� • Rough It ....................................................................... Service BUILDING INSPECTOR Ft Occupancy- Permit ?=required to Occupy Building GAS INS CTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Or Il No Lathingor Dr Wall To Be Done Y Until Inspected and Approved by the Building Inspector. Burner 1`14i-DEPARTMENT Street No. Smoke Det. �` �� r- C.E.Floyd Company, Inc. Tel. 617.271.9006 9 DeAngelo Drive Fax 617.271.9045 Bedford, Massachusetts 01730-2200 April 24, 1997 Mr. Bob Nicetta Building Inspector 146 Main Street North Andover, MA. 01845 Re: Edgewood Life Care Dear Mr. Bob Nicetta, As Project Superintendent I have overseen the construction of the Edgewood Retirement Community project located on Osgood Street. (Permit#500F) To the best of my knowledge all construction has been completed in accordance with the approved plans and specifications, and is in conformance with all applicable State Building Codes. Sincerely, Robert Willard Project Superintendent Town of North Andover E t&ORT1r OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 3 o � 9 • 146 ` ' ��_ • Main Street � ..=. North Andover, Massachusetts 01845 i y o• t CNUSE� (508) 688-9533 CONTROL CONSTRUCTION - SECTION 127 . 0 M. S .B.C. CERTIFICATE ,OF IN WARCHITECTURE BUILDING INSPECTOR TOWN OF NORTH ANDOVER 146 MAIN STREET - TOWN HALL ANL- ,=X NORTH ANDOVER, MA 01845 GENTLEMEN: I, Earl R. Flansburgh HEREBY CERTIFY T1kT THE BUILDING CONSTRUCTED A, Edgewood, Building 3000,547 Osgood St N Andover,MA DOES CONFORM IN ALL RES2ECTS mn THE MASSACHUSETTS STATE BUILDING CODE AVD APPLICABLE FEDERkii REGu�T_ i ONS FOR THE FOLLOWING: Work indicated on architectural construction documents (see seperate certifications for mechanical, electrical, plumbing, fire protection, and structural work.) This certification is to the best of our knowledge and belief based on periodic visits to the construction site, and is subject o comp punch list. of outstanding items noted on the i AUTHORIZED SIGNATURE : i DATE : I RECISTRA'TT_ON STAMP : f. �.•i. ` J !COTE : ENGINEER "WET STAM?,, MUS•' BAFFIXED TO THIS =ORS?. IlU.UZI)Of,\I'I'1•:ALS 635-9511 I1011.l)IN(7 nKX-YSdS CONSERVAHON 6XX953() 11EALT11 68305.10 PLANNING 633!95.15 h 1 Town Of North Andover C �.ORTti OMCE OJF I,fuse ..COMMUNITY DEVELOPMENT AND SERVICES 0 �hcaOPC 146 Main trent . .,.:'�;. '• North Andover,Massachusetts 01845 �ss^CHVst< (508) 688.9533 CONTROL CONSTRUCTION - SECTION 127 . 0 M.S ,B.C. CURSMEICATE OF ENGINEERING/ARCH'ITECME BUILDING INSPECTOR j TOWN OF NORTH ANDOVER 146 N AIN STREET - TOWN HALL ANLT�X NORTH ANDOVER, MA 01545 GCATTLEMEN: HEREBY CERTIFY ?'RA THE 5'JILDZNCr C0NS:'Kl1(:'L'ED AT e.e,, G C•��0/�� �L,OC� 3Dl_/D DOES CONFORM IN ALL RESPECTS To THE MASSACHUSETTS STATE BUI,L,DING CODE UND APPLICAELE FEDER.r REGt7LAT?ONS FOR THE FOLLOWING: 7i 7AZ x"7 jr Arm �i 446VII Q� %e Ace lie as v �/ IAV G c ap�w.+G�. ~00W y 4 coo 44 AUTHURIZED SIGNATURE; � I DATE: yy•� REGISTRATION STAMP: p�SH OFM I ES a o BALMER m No.29743 m i y �Ss�ONAL 0rG i i I NOTE: ENGINEER "WET STA.M?° MT,S'^ RE a-FFIXED TO THIS FORM. BOA(Z)OF APPEALS 689-9341 BU=NG 688.9543 CONSERVA'rt[AA F98.4530 HEALTH i9a 934o rt-Wmriv sas-^�•� a Town of North Andover MORfN OFFICE OF �� .. •� ••1�Q COMMUNITY DEVELOPMENT AND SERVICES . - ` • 146 Main Street North Andover, Massachusetts 01845 �'ss.,CHUSF�ty (508) 688-9533 i CONTROL CONSTRUCTION - SECTION 127.0 M.S.B.C. CERTIFICATE OF ENGIHEERINVARegagme BUILDING INSPECTOR TOWN OF NORTH ANDOVER j 146 MAIN STREET - TOWN H-A?.,L A.N-NEX NORTH ANDOVER, MA 01845 GENTLEMEN: I — y..;_Fgc, t, P F h R to the best sof TyEknowl edge BUILDING CONSTRUCTED AT 7 -1M547 $tl'�eet NO1"1.h AndWel"., MA DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE AVD APPLICABLE FEDEFZA, R_CL'L•ATIONS FOR THE FOLLOWING: I i j AUTHORIZED SIGNATURE: I DATE: 997 REG=STRATTON STAMP : HENRY J. EGGERT \ HVIAC ex? No 33273 '•�1 "a��, , G►�'rE NOTE: ENGINEER "WET S'I_kmP•• MUST BE AFFIXED TO THIS BOARD 01:APPS L.S 698-9541 IJUII.DMU o8K-9545 CONSERVA'rm 688-9530 HEALA11 689.9540 P1_104NM; 649-9535 04/24/1997 13:43 6036260352 013NTROL TECHNOLOGIES PAGE 06 # ' ................ ........................................................... ...................... ................. . .............................,. ,.......,............ _ FROM IiS�J7 Ort-Z4 t 0 47 M2T3 Ir.116/�s MANUFACTURING COMPANY. INC. Date: Acuff 24, 1997 Number of Puce: (including tWs Pagrt) TO: contml lgdmalcw i ATTEIVnON: 4ok ouimeft FROM Ila FAX NC3MSE W)626-0352 $UB3rcr. Bruch Ordckr GS35232 T'he following Branch gay dstactor-Modtil.B09-CM-1 -w4$aghbrated to the xtteched talibngdon Vocedure: Saie1 Number: CMt 188Q l-o d e 3cao 6Ay . Uw A j LwE 6 Pleas awtcct me ifyou need addid"irfunnatioa. H. Aper National Saks Mamgar Thomk ym Four tekias the time to we me)lett wepl[, It&P stwgs pad to son you. I hope your wt atba has ma&d dovm&M the Gooding bu subsided. im OQti m poo.a.Box 2WMARYL#m ttL1f1 ".Mo $304a4m TEitpfON smMi444WAX a s14-tle't4W 04/24/1.997 13:43 6036260352 CONTRUL TECHNOLOGIES PACE 94 PROM L"7PO4-24 16147 *rn P.e41M MANUFACTURING COMPANY. INC. j FAXIWSMMION Dasa: ADW 24, 1947 Number ofPaM; (40udb i this par) TO; �oatml Teahott A77UNTION: FROM: AmAUM FAX NUMB$ 100 626-0352 SUBJBCT: B On* 2= Thi Wowing Basch gas detector-Model$05.Ci-1 -was calibreaed to the 4whM c4llbral9oa procedure: d Serve Number. CM1187Q 1�0WIW @ ?00 G4�y' G oLuAkd UA16 PJr P10"a aordatCt me 1f you=0 Additional information. J. x anon NtttiorW Sales!Mwimer Tbralc you f$r taidng the time tv as me laat weak. It is aiwAys good to doe you. i hope your wetttW tau wWod down and the flooding has atbs}ded. 118M OORSM FMIML NICK WMARYI„IWDHEMMM MO W414M 'APHOW 314,M444WAX 0 314-291-MG i 1 CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 500E Date FEBRUARY 20, 1997 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1060 OSGOOD STREET MAY BE OCCUPIED AS RETIREMENT WMMONS . BUILDING 4000 IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. pORTN o;,.•• •��o CERTIFICATE ISSUED TO Lifecare Services Corp. 800 Seccdd Avenue ADDRESS Des Moines Iowa s�CHU Building Inspector u NORTH o4_0 over • L .{ IsyhF �� s' CONIROI o - COC MIC ME WICK dower,,Mass., NoyEM . 3 1985 CO;lSTRUCTION ,� o ,r.5 e• k d RATED P' 7 5 BOARD OF TH RMIT TPE . - Food%KitcHe Syste s i ; �;Ief � di • r, r jBUIL'DING IN ECTORV" THIS CERTIFIES THAT.�•>! ..��ARrfi...SWit,- 5- 000 f.. * ..F4Yb'•••CaftWemyj�WC • oun atio has permission to erect&+ottE'I9vWo„rr�Satbuildings on .............10.64*...V5. t�....' 'rear-T-`......... Rough k YI to be occupied as......RIFTiwftva....00wholt u...UX.bli*.Or..-...18. XkLhm4r.-... asoma.......... imney Provided that the Parson accepting this lt shall in every respect conform to the terms of the application on file in �inal 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. P BING INSPECTOR ; VIOLATION of the Zoning or Building Regulations Voids this Permit. 0 „ CONTROL finalrO PERMIT EXPIRES IN 6 MONTHS COidSTRUCTION . fo, E CTRIC -INS � „ UNLESS CONSTRUCTION STARTS f y << .2 t CtiNIIiO1_ (;O1�SYRUCTIOrif ............. ......... ....................................................................... .. BUILDING INSPECTOR _ Occupancy Permit Required to Occupy Building GAS INSPE R - ���'J�r '� '��.3 �: •:.fit Rough Display in a Conspicuous Place on the Premises — Do Not Remove ina •7 ` ' :LL r;:a' O No Lathing or Dry Wall To Be Done IRE DEPARTMENT.Until {� ` Until Inspected and Approved by the Building Inspector. Burner Street No. /✓ Uv Smoke Det.,,a_/3-,7 &a$&, 3� -�, .. -- .. ...._........ ' C.E. Floyd Company, Inc. Tel. 617.271.9006 9 DeAngelo Drive Fax 617.271.9045 Bedford, Massachusetts 01730-2200 February 14, 1997 Mr. Bob Nicetta Building Inspector 146 Main Street North Andover, MA. 01845 Re: Edgewood Life Care Dear Mr. Bob Nicetta, As Project Superintendent I have overseen the construction of the Edgewood Retirement Community project located on Osgood Street. (Permit 9500B) To the best of my knowledge all construction has been completed in accordance with the approved plans and specifications, and is in conformance with all applicable State Building Codes. Sincerely, Robert Willard Project Superintendent i Town of North Audover �oaTk � i OFFICE OF .�tiot COMMZJMTY DEVELOPMENT AND SERVICES 146 Main Street North Andover, Ma33aahusctt3 01843 �S�Ncwusk� (308) 688-9533 CCNSTRC'CTIOD: - 92CT ION :.:2'7 . 0 M .S . 2 . C . CEp,TIF CATE OF ENGIN"XET IaN AR iTECTVRE BUILDING INSPECTOR TnWN OF WORTH ANDOVER 145 MAIN STREET - TOWN H..A.LL ANNEX NC,R TWT. ANDOVER, MA 0134a- James i,d45James A . Balmer , PE HEREBY CERTIFY T�:_AT THW I RTTTT,nTNC CONSTRUC'T'ED AT Edgewood, Byildinst 6000, 547 Oasood Strcat, N. Arndovcr, DOES C:rM7nRa`$ IN ALL RESPECTS TO T3 MISSACI�USET"r5 STATE' BUILDING CODF, Z0,M, A pLTCABLE FEDER RE.GULATZONS FOR TRZ b"OLLOWING! To the best of my knowledge the Structural Framing Systems have been installed in accordance with Code Requirements , with the exception of minor corrective work noted in last site visit of December 9 , 1996 , cony of which is attached . AUTHORI?Rr gT(,NATTTR'F WAIF.! ere ' 199.6 REC;i=TRA-7 mj .c;7AMP NOTE : EINGINEER "WE'77 STAIMP" MUST BE A.FFIXED TO THIS .FOR:Mi. BOARD Of APPEALS 689-9341 BULL-DING 688-9545 CONSERVATION 688-9530 HEALTH 688.9540 MI N NI'Q 588.9135 of North AL'dovel- OM- CE OF COMMU-Ni-fYDEIVE,LOpMENTAJ'�T) S3P,VXC ' S 146 VLwn Succt Nof-Lh Andovcf, M2-sSaCbUSC06 0 1 (508) 688-9533 CONTkOL CONSTRUCTION - SECTION 12-1 S C FICIATE Or INSPECTOR TOF"- ST Em: - TO'YTN H-P6 4 -L- -. ", NoRTi: .7kiTDOVER, MA 01845 to the best Of ,T-,y knowledge G E -�T T S M. —T—P-k—T/�T�-E 1 1 Fy T HenrONST.RUCTED J )09(-Ie-j�t P.: 1 4000, 47 D---, ATOsgood Street;°l�ortli' dover SOIL NG 1,�ASsr,.C1USSTTS STATE BUILDING DOES COI'T-t ORjN, !N ALL RESPECTS TO TI- CODE AND TkppTICA.BLE FEDER-DiL REGUMATIONCS FOR TSE -'OLLOWING: rred=-Ical/eleCtrical systems all punch List itarts by Contractor. Iiis certification. is subject tO/z6-aP n of AU-,!AORIZED SIGNS TURF : DATE : 4 REGISTiLATION STAMP :, 33 3 HENRY J. EG GLRT HVIAC �No.332730 Is-Ts r4 Al- ENGINEER ,WE'r STPM?" h1UST BE ;kF --- KZD TO THIS FOR-"+ C0�4SFRVA-nON 669-9530 KZAi,'I-H 688-9540 PLAONTNG goARo oF A-PPEALS 683-95<1 Town of. North Andover t AORT}l 1 = OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES p 146 Main Street North Andover, Massachusetts 01845 LSSA HUS"` (508) 688-9-533 CONTROL CONSTRUCTION - SEC-`ON 127 . 0, M . S - B -C . CERTIFICATE OF ARCHITECTURE BUILDING T. INSPECTOR SPECTOR TOWN OF' NORTH ANDOVER 14G MAIN STREET - TOWN 1 a L Av��X NORTH ANDOVER,, MA 018 45- G-,N, 5GEN I Earl R. Flansburgh lEREBY CERTIFY T'_�AT THE U!LDT-NC CONSTRUCTED AT Edgewood, Building 4000, 547 Osgood Street, N. Andover, MA DOES (—ONF(`R1M IN ALL RESPECTS TO THE `,:�SSACHUSETTS STATE BUILDING CODE ?` D APPLICABLE FEDERAL- REG ;AT-ONS FOR T'_-•-, FOLLOWING Work. indicated on architectural construction documents tsee .seperate certifications for mechanical, electrical, plumbing, fire protection, and structural work.) - -This i certification is to the best of our knowledge and belief based on our periodic visits to the construction site, and is subject to completion of outstanding items noted on the punch list. -'--TIHORIZED S I GNATL-R.E : ?/13/97 i i n 31 OF 10 NOTE . LiJOINE,ER "'NET STa-IMP" KUST 8- -;1-F IXED TO !HTS "'OBS`. . CSUARD(A' APITAI5 688-,)541 IlliHANNG 498-95.15 CONSkRVAHON 688-9530 HEALTH 6$3-9540 P(..:\NNTNG 6SX-9535" �AORTH 01M of L over to : dover, Mass., NovE3_1995 �p A0RATE0 1 5 BOARD OFAiffi TH Food/Kitchen Septic SystPE T T De BUILDING IN ECTOR THIS CERTIFIES THAT.l�! ... ...51 .3..�� Qa f..��.! =.. .Y.�.... nY.,.r�c... oundatio has permission to erect 'I Qo tjeK y tbuildings on .............1 A..L..a....P3. b.....��-I`.R6�.T............. Rough to be occupied as......R�Re.�Ca..... Q—K1&*M.1. ... N 1,?I.M.� ..-...�4�i1F�.t111N Or...4.coca.......... imney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in final ��® 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. P BING INSPECTOR � G VIOLATION of the Zoning or Building Regulations Voids this Permit. } o -� incl / / 51 > c PERNYTF EMPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS E CTRIC INSPECT01 ..............��....... ........................... OW , .. .. .. ........................................ BUILDING INSPECTOR / / Occupancy Permit Required to Occupy Building ZMAR-_ _ GAS INSPECT R_ . Rou — Remove Dis la in a Conspicuous Place on the Premises Do Not p Y PNo Lathing or Dry Wall To Be DoneUntil Inspected and Approved by the Building Inspector. T. Burner ' Street No. I Smoke Detda_�3'p7 Towyn of North Andover t roRT� V OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES IL ,, . 44 146 Main Street �1 ftM-1-• � �•iS+•rya dt�{°� , North Andover, Massachusetts 01845 V^ US (508)689-9533 CONTROL CONSTRUCTION - SECTION 1,37 . 0 M.S .B.C. CERTIFICATE OF ENGXNEERING/ARC'HITECTURE BUILDING INSPECTOR TOWN OF NORTH ANDOVER 145 MAIN STREET -• TOWN NATAL ANNEX NnR TK ANDOtTER, MA 07.8 4 S I CrNTTFMEN': ' IJames A. Balmer PE E REBX CERT I FY T :1LT Ti E ecrrr,n 7N(_ rr_1NSTRr3CTED A_m Edrxewood; Building 4000, 547 Ocsood Street, N. Andover, rte DOES i'.C)NFORIM IN ALL RZS2E<_'T5 TO TXZ MA.SS,ACNUSETTS STATE BUILDING CODE ANT} ARP ,ICA3LE FEDERAL REGULATIONS FOR TNS FOLLOWING! To the best of my knowledge the Structural Framing Systems have been installed in accordance with Code Requirements , with`-the exception of minor corrective work noted in last site visit of December 9 , 1996 , copy of which is attached . AUTHOR17Ft+! ST(-NATTTRR T)ATR ! eceb '"- 6 19 9 6 RfiC;T fiTR A'?';nN STA MP ?�� JAMES S`,gcyc� 4!`= BALMER j� No.29743 -o P O MAR 3 1997 ;:;3 6 NOTE : ENGINEER "WET STAIMP" MUST BE AFFIXED TO THIS FORM. BOARD OF APPEALS 6M9541 SUILDINC 668-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNNA O 688.9533 G Town of North Andover NORTH OFFICE OF °f 1tio p h COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover, Massachusetts 01845 "SSgcHusEs (508) 688-9533 CONTROL CONSTRUCTION - SECTION 127 . 0 M . S . B .C. CERTIFICATE OF IX XX=/ARCHITECTURE BUILDING INSPECTOR TOWN OF NORTH ANDOVER 146 KzA!N STREET - TOWN H_AL. 7 AN-I\1LX NORTH ANDOVER, MA 01845 GENTLEMEN: I , Earl R. Flansburgh HEREBY CERTIFY TEAT THE BUILDING CONSTRUCTED AT Edgewood, Building 4000, 547 Osgood Street, N. Andover, MA DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE AND APPLICABLE FEDER.AT, REGuL.ATTONS FOR THE, FOLLOWING: Work indicated on architectural construction documents THE, seperate certifications for mechanical, electrical, plumbing, fire protection, and structural work.) This certification is to the best of our knowledge and belief based on our periodic visits to the construction site, and is subject to completion of outstanding items noted on the punch list. AUTHORIZED SIGNATURE : DATE : 2/13/97 REG=STRAT TON STAMP : EDA 8 31 � A5gP NOTE : ENGINEER "WET ST.kMP" MUS`: BE nFFIXED TO THIS FORS. 10FM BOARD Of`APPEALS 685-9541 BUILDING 658-9545 CONSERVATION 688-9530 HEALTH 683-9540 PLANNING 688-9535 „OftTH `I Town of North Andover �� 3= aL P OMCE OF o COMMUNITY DEVELOPMENT AND SERVqCS a e 146 Main Sffect y�sS^cN�Se`�y North Andovcr, Massachusetts 01845 (508) 688-9533 CONTROL CONSTRUCTION - SECTION 127 .0 M.S -B -C. CERTIFICATE OF ENGINEER ING/ Sf I`t BUILDING INSPECTOR TOWN OF NORTH ANDOVER 140'. MAIN STREET - TOWN HALL ANNEX NORTH ANDOVER, MA 01845 GENTLEMEN: C to the best Of my knowledge T Henry J. kggertR_P.E._._ HEREBY CERTIFY TFAThTEC 5DILD?NG CONSTRUCTED AT Ed ewood Building 4000, 547 Osgood -Street;°-North Andover DOES CONFORM iN ALL RESPECTS TO T_=- t-lASSACHUSET=S STATE BUILDING COLE AND APPLICABLE FEDER-kL REGULATIONS FOR THE FOLLOWING: nechanical/electrical systens Trii-s certification.. is subject to 1 n of all Punch List item by Contractor_ AUTHORIZED SIGNATURE : DATE: 4 1 REGISTRATION STAMP : 33 3 q r•4 � HENRY J. EGGERT r�;•,, ' 0 HVIAC coil, �No.33273 O �� •QUO FGISTE��•��'G',t. NOTE: ENGINEER "WET STPM?” MUST BE AFFIXED TO THIS .FORM. PL BOARDOFAPPEAIS 688-9541 BULLD[NG 688-9343 CONSERVATION 688-9530 HEAL'll{ 688-9540 .ltQNC1`�G 68S-9375 MAR - 31097 i i CERTIFICATE OF USE & OCCUPANCY Town of North Andover ' Building Permit Number 5000 Date FEBRUARY 20, 1997 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1060 OSGOOD STREET MAY BE OCCUPIED AS RETIREMENT RESIDENTIAL BUILDING 5000 IN ACCORDANCE OCCUPANCY LOAD: 25 Single Bed Units; 11 2Bed Units WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. MORIq CERTIFICATE ISSUED TO Lifecare Services Corp. 800 Second Avenue „ ADDRESS Des Moines, Iowa Ap sA`"Usk Building Inspector -V.............. ........ ...... C.E.Floyd Company, Inc. Tel. 617.271.9006 9 DeAngelo Drive Fax 6179271 e9045 Bedford, Massachusetts 01730-2200 February 14, 1997 Mr. Bob Nicetta Building Inspector 146 Main Street North Andover, MA. 01845 Re: Edgewood Life Care Dear Mr. Bob Nicetta, As Project Superintendent I have overseen the construction of the Edgewood Retirement Community project located on Osgood Street. (Permit#500C) To the best of my knowledge all construction has been completed in accordance with the approved plans and specifications, and is in conformance with all applicable State Building Codes. Sincerel , Robert Willard Project Superintendent 4 Town of North Audovcl- O'MCE OF 10 SND SERVICEScom' MTJI�JTY D E V-ELOPMENT x.10 us'tl 6 Andover, tvLLssacbu-setu 01845 (508) 688-9533 CONSTRUCTION 2 0 T7 BUILDING TOG',, q OF NOR—R 14-0 TOY" NORTH AUNTDO'\7F, to ,ate -ic e rest of my _&j G El INTL El-',E 1\1 T ... Henry- J. 3�ert-�P,ECERTIF1 P�p NO 1:'h -do 5000, 547 0�900d S AT Ed �.Old �Bu'ld 50ILDING CONSTRUCTED ATE BUTLDIN'� DOES CcN--":'OpjM !N ALL RESPECTS To —,�:7 I-iASSACHUS-ETTS ST CODE AND a.ppLICA.?LE FEDERAL REEGUH—ATIONS FOR T-E FOLT-OWINC-: jTeC1,onjcal/electr-1ca-1 sygte-ns iters by Contractor. `finis certification, is Subject to ca-apletion Of all Punch ListI AUTHORIZED SIGNATURE, n P- HE aGjST-RAT1ON 3327 ,7, KENR EGGE T -X 0 HV/A .0.0 ND'33272,-)/1 Vv T--;IS f-70 NOTE : ENGINEER 113 S 6 Z FIXED To ,ffNr, 68S.9535 ZOARDOFA-PPF-ALS 6%E-9541 9UU-DCNU COHSERvAnON 683-9530 HLALTH 628-954-3 n Town of North Andover .,oR7N t OFFICE OF 3a "� COMMUNITY DEVELOPMENT AND SERVICES - .otp w 146IV1am' Street 4 ' "fir ''•,. h North Andover, Massachusetts 01845 9SSACHUS (508) 688-9533 CONTROL CONSTRUCTTCN - SECTION 1-27 . 0 M . S . 2 .C . I CERTIFICATE Or $� ' ; � /ARCHITEC�'URE BUILDING INSPECTOR ! TOWN OF NORTH A\TDCVER 140' MAIN STREET - TOWN HJA NORTH ANDOVER, MA 01845 GEN T '- Earl R. Flansburgh ._HEREBY CERTIFY THE BUTLDTNC CONSTRUCTED ATEdgewood, Building 5000, 547 Osgood Street, N. Andover, MA DOES CONFOR!`4 IN ALL RESPECTS TO T==E MASSACHUSETTS STATE BUILDTNG CODE, AND APPLICABLE FEEDER- REGI AI IONS FOR T'_EFOLLOWING : Work indicated on architectural construction documents (see seperate certifications for mechanical, electrical, plumbing, fire protection, and structural work. ) This certification is to be best of our knowledge and belief based on our periodic visits to the construction site, and is subject to completion of outstanding items noted on th( punch list. AUT, HORTZED STCNATURE : DATE : 2/13/97 ,� N 7 ' F tv��SSPi NOTE : ENGINEER "4dET STA,M? S7 BE :,F. _:tF.D TO T;-i S FORM . ik)ARU OF APPEALS 635-9541 IWILOING 688-95-15 CONS!iR:':\'CION 688-9530 HEALTH 683-9510 PLANN[NG 62S-9535 I J. G NORTH _ ` w 9 (GVM Of over . : O .:. 13 r No.Too Z`. ►- o � ort dower, Mass., Nowt . 3 1995 4Ji�'iv 4f;t,VT7�•. ��A COC rC HE:vic;H `� `. 1 4 oRareo 5 BOARD H ALTH PER j LJT T D Food/Kitchq ' ✓?/V Septic System B DING INSPECTOR THIS CERTIFIES THAT ;F1r..0 ...Swo .;dA th.. T/ �-��.E•F/ ....aCtln. + .. ! .• o�ndatiojhas permission to erect.tv.WA f*,oas,�STWbuildings on ......l016.....X s.�aQb....31 +................... Ro to be occupied as..........i�cT"ieQ.ew ?T..gi6S� ?? '�R.�...�r.%��. �! -.. y�.4.Z?iltl. t ...5oao......... chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in -I��'�� �@ this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final p Buildings in the Town of North Andover. PLUMBING IN§PECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. PER'N/f zT EXPIRES LN 6 MONTHS a UNI- `�� CONSTRUC I O -�-s ELECT CAL INSPECTO .......................................................................................................... .. .. ice BUILDING INSPECTOR /319 z ,�� Fina �/ Occupancy hermit Required to Occupy Building GAS JNSPECTOR Display in a Conspicuous Place on the Premises Do Not Remove 0alGh ,, No Lathing or Dry Wall To Be Done t° FIR EPARTMENT i Inspected and Approved by the Building Inspector. - �p Burner 1 � Street No. M Smoke Det. 9-7 NORTH ToVM ofTt.� °L ver 0 No. �� , °� . dowerlass., NoC 1995CONSTRUCTION COKICMEWICK Y.xY 1 ORATED APa\ �C hSFS BOARD H ALTH r. .� Food/Kitche v?/6'/ 17 ERMIT T Septic System • B DING INSPECTOR THIS CERTIFIES THAT�.1. .�•IF�I���.. PXiI/!e ..�� l�IoDC�,,E• �iO, .... R/1� 1Y.. ! . LRoug datio f has permission to erect.4#.ft0* "7aLbuildings on......M.A.*.....pS.�Q�j....� e` to be occupied as..........;CCrs e-m.�?T..�iBsl 'iA.�... ��j�� -..f34.<.�.L?tN. .G��-...5oao......... chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. I PLUMBINGIN ECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. CONIMI. � t,'OtISTRI)CTIQN PEIZMI I EXPMES IN 6 MON'll-IS UNLESS CONSTRUC O ARTS • ELECT CAL INSPECTO CONTROL 1 • "" ou WISTRUCTIOM ice BUILDING INSPECTOR Fina oZy,/ Occupancy Permit Required to Occuj>y Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove i al No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIR EPARTMENT Burner Street No. r Smoke Det. a_ 3_97 �.�? TRANSMITTAL RECORD C.E.Floyd Company,Inc. 31319 Date: 9 DeAngelo Drive Bedford, Massachusetts 01730-2200 Tel.617.271.9006 Fax617.271.9045 To: Nt�lk A�go�e� dv����ng 9epoc�c � Attn. �ohec� �i'�ce�ty 146 mo,\(\ Project: Ef �%t Life Coce n+oc��, Andy �R o��4S Subject: . 5= Via: We are sending you ❑ Enclosed ❑ Under separate cover via _the following Items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ Copies Date No. Description � Set '3131g� Cec��f�co,-�e5 0� E ��eQe�t� A�c���ec�uCe. -hoc` du�l��n sC� These are transmitted as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval by VFor your use ❑ Approved as noted ❑ Submit copies for distribution by ❑ As requested ❑ Returned for corrections ❑ Return corrected prints by ❑ For review and comment ❑ FOR BIDS DUE Return Prints by Remarks Copy To r� Signed: - 3 t997 if enclosures are not as noted,kindly notify us at once. Town of North Andover NOR7N OFFICE OF 01 1 ti O O COMMUNITY DEVELOPMENT AND SERVICES O - p x � x i 146 Main Street North Andover, Massachusetts 01845 97SACHUSE� (508) 688-9533 CONTROL CONSTRUCTION - SECTION 127 . 0 M. S . B .C. CERTIFICATE OF XK%k) I /ARCHITECTURE BUILDING INSPECTOR TOWN OF NORTH ANDOVER 146 MAIN STREET - TOWN HAL_; AiV-i1�X NORTH AN-DOVER, MA 01845 GENTLEMEN: I Earl R. Flansburgh HEREBY CERTIFY THAT THE BUILDING CONSTRUCTED AT Edgewood, Building 5000, 547 Osgood Street, N. Andover, MA DOES CONFORIM IN ALL RESPECTS TO T'---TE MASSACHUSETTS STATE BUILDING CODE ASID APPLICABLE FEDERAL REGv!:ATIONS FOR THE FOLLOWING: Work indicated on architectural construction documents (see seperate certifications for mechanical, electrical, plumbing, fire protection, and structural work.) This certification is to be best of our knowledge and belief based on our periodic visits to the construction site, and is subject to completion of outstanding items noted on the punch list. AUTHORIZED SIGNATURE : DATE : 2/13/97 REGISTRATION STAMP : iRF D A[3 FAN^ A 1 MAR - 3 1997 MS ,1 r AARP NOTE : ENGINEER "WET STAMP" MUS BE ri=FIXED TO TI S 701RM . WOFAPPEALS 688-9541 RUILIANG oNS-9515 CONS ERVA I-ION 688-9530 HEATH 688-9540 13LANNING 688-9535 i 1 Town of North Andover 0 1 NoKTk 0 OFFICE of L 2 COMMUNITY D EVELOPMENT AND SERVICES 146 Main Street y -� North Andover, Massacbusetts 0 184 5 ,SS c"use~ (508) 688-9533 CONTROL CONSTRUCTION - SECTION 127 .0 M-S .B .C. CERTIFICATE OF ENGINEERING/9ALff1 r'� y1tkt BUILDING INSPECTOR TOWN OF NORTH ANDOVER 1.466 MAIN STREET - TOWN HP-LT, ANNEX NORTH ANDOVER, MA 01845 GENTLEMEN: Cto the best of my knOwledge r , Henry_ J. dH7ggett, :PtiE. HEREBY CERTIFY TI'ATAT::E BUILDING CONSTRUCTED AT EIgeuood, Building 5000, 547 Osgood Street; NortYi Andover DOES CONFORM IN ALL RESPECTS TO T.3 mASSACHUSET_S STATE BUILDING CODE AND APPLICABLE FEDER-PIL RSGUL•ATIONS FOR THE FOLLOWING: n-e< nical/electrical system niis certification.. is subject to completion of all Punch List its by Contractor- AUTHORIZED SIGNATURE : DATE: REGISTRATION STAMP : 33274 .? i �;.�q� HENRY J. EGGERTi W HV/AC No.33273 - rvQ 4sz' �o C'ISTV- .•':a NOTE: ENGINEER "WET ST-kMP" MUST BE AFFIXED TO TEIS FORM BOARD OF APPEALS 688-9541 BULLDMG 688-95 5 CONSERVAnON 688-9530 REALTH 688-9540 PL Wt�G 68S-9335 M - 3 loQ7 FEB-19-97 WED 08 :31 AM C. E. FLOYD COMP. 5086818389 P. 22 Town of North Andover µORT►+ OMCE OF COMMUNITY DEVELOPMENT AND SERVICES 0 , p 146 Main Street r North Aadovel,Massachusetts 01.845 SacHu��t�� (508) 688.9533 CONTROL CONSTRUCTION - SECTION 127 . 0 M.S .B.C. I I CERTIFICATE OF ENGlMFR.Ij?G/nurs;rTEC" �E SUILDING INSPECTOR TOWN OF NORTU ANDOVER 146 MAIN STREET - TOWN HALL A.vLT,—L-X NOnTH ANDOVER, NIA O 1 a a 5 GZNTLEMEN: HEREBY CERTIFY TuAT THE SUILDIti1C CONS'_KUC:'I'ED AT7>Lbej Z�P� ��pUI� LIFEpYr',tj DOES CUNF0fCl IN ALL RES?ECTS TO THE MASSACHUSETTS STATE BUILDING CODE AND AVVLICARLE FEDERAL REGUILATT-ONS FOR THE ?OLLOWING: -yy- .5rizoe,-r J Y/z lal_ �' ,1gmyn. �� Ls�^a^y<. f�L/ Gfi/9f 5//07 7-3wLD/!7ev Dom`/�J?�/'✓`'T� AU'i HUR I Z E D S I GNATL'RE —7 DATE:— REGISTRATION STAiMP: o4 JAMES cyo oBALMER No.29743 Q ENG MAR - 3 1997 SS�ONAL ,NOTE -' ENGINEER "WET STA 4?I, FIXED TO THIS FOEZ_'4 90AkU)OF APPEALS 488-9541 SUILDING 588.9543 CONSERVA71ION 61g.c53o HEAL,TU 49t9540 j`[.�tftJjjJQ 533•`33� CERTIFICATE OF USE & OCCUPANCY a Town of North Andover Building Permit Number 500D (Nov. 3, 1995) Date March 21, 1997 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1060 OSGOOD STREET MAY BE OCCUPIED AS RETIREMENT RESIDENTIAL BUILDING 6000 IN ACCORDANCE OCCUPANCY LOAD: 12 Single bed Units; 24 2 Bed Units WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. ,10RTN CERTIFICATE ISSUED TO Lifecare Services Corp. 800 Second Avenue ADDRESS DesMoines, Iowa ,JSACMU Building Inspector 0_. ol� • 1�40RTH o oover 0 0 �4 _.�; rn J,a� �'� ,. � .� CONTROL " ov r M 3 9s M4STRU TIOPd oc„,cd„` K d e , Mass., ovEm 19 C A�RATE0 P•?�o-IN 5 5 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT 1„tk.our..ssia1lia...C6:g1A*60. ..�4 #QYQ...�i0../�1�1�,�•Y••M�w+?��Cr•••+•••••••••••••••• Foundati6n has permission to erectCaQe ,1, >,. .-buildings on .............IP.�ab...Q..?�c �►...sT "'............... Rough to be occupied as........R. .Tttt lv��t�+"r...R&.�iAE Ti4. ..... i�G. .?iN .-...��t� ti�l.v.l ...�=.4p.ia.. chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final O this office and to theP rovisions.of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING,INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. CONTROL PERMIT EXPIRES IN 6 MONTHS C�:s""RUCTION anal t711 it > . ELECYRICAL INSPECTOR UNLESS CONSTRUC ON TARTS eServii CONTROL � � ................................................ CONSTRUCTION ................................................................ BUILDING INSPECTOR Occupancy Permit Required to Occupy Building GAS INs s Tx (O?g Display in a Conspicuous Place on the Premises — Do Not Remove ak No Lathing or Dry Wall To Be Done nna FIR DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. t�, ix �-- � K/c�iL ! •9 1 • TRANSMITTAL RECORD C.E.Floyd Company,Inc. 3�c9 X97 Data. 9 DeAngelo Drive Bedford,Massachusetts 01730-2200 Tel.617.271.9006 Fax 617-271*9045 To: Attn: �obec� N�cc'c�g 14� Mo�� Slcee� Project: E&Y-W oa L%% P' Cgce Noce �n8o�c mA o�$`ts Subject: . �����y 6CXp Via: �� We are sending you ❑ Enclosed ❑ Under separate cover via _the following Items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ Copies Date No. Description 1 Set 3\���g? Cec�����a�eS a� E� ��c� Acchi�ec�uce for �u��c��n GoaO These are transmitted as checked below: ❑ For approval ❑Approved as submitted ❑ Resubmit copies for approval by ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution by ❑As requested ❑ Returned for corrections ❑ Returncorrected prints by ❑ For review and comment ❑ FOR BIDS DUE Return Prints by Remarks Copy To w 2 1 1997 Signed: If enclosures are not as noted,kindly notify us at once. s _...........__ _........... _....._ ....._.._ ................ ........ -- C.E.Floyd Company, Inc. Tel. 617.271.9006 9 DeAngelo Drive Fax 617.271.9045 Bedford, Massachusetts 01730-2200 March 19, 1997 Mr. Bob Nicetta Building Inspector 146 Main Street North Andover, MA. 01845 Re: Edgewood Life Care Dear Mr. Bob Nicetta, As Project Superintendent I have overseen the construction of the Edgewood Retirement Community project located on Osgood Street. (Permit#500D) To the best of my knowledge all construction has been completed in accordance with the approved plans and specifications, and is in conformance with all applicable State Building Codes. Sincere y, Robert Willard Project Superintendent _ 1 i Town of North Andover NOR71{ OFFICE OF Of COMMUNITY DEVELOPMENT AND SERVICES ° a i 146 Main Street North Andover, Massachusetts 01845 9SSACHUSES (508) 688-9533 CONTROL CONSTRUCTION - SECTION 127 . 0 M. S .B .C. CERTIFICATE OF UMNEEBMW/ARCHITECTURE BUILDING INSPECTOR TOWN OF NORTH ANDOVER 146 MAIN STREET - TOWN NA,_, AN-I X NORTH AN-DOVER, MA 0184E GENTLEMEN: I, Earl R. Flansburgh , HEREBY CEcTIFY TT:--'AT THE BUILDING CONSTRUCTED AT Edgewood, Building 6000. 547 Osgood Street, N. Andover, MA DOES CONFORM IN ALL RESPECTS 'TTO T-T7 MASSACHUSETTS STATE BJT-LDING CODE AND APPLICABLE FEDERAL REGULATIONS FOR THE =OLLOW_ING: Work indicated- on architectural construction documents (see seperate certifications for mechanical, electrical, plumbing, fire protection,and structural work.) This certification is to the best of our knowledge and belief based on our periodic visits to the construction site, and is subject to completion of outstanding items noted on the punch list. AUTHORIZED SIGNATURE : DATE : j REGSTRA'I'ION STAMP : 0 Ah \5 °�a tc,�y P FlA�l``'v wl c {r u� NOTE : ENGINEER "WET STA'^.P" MUS':' BE AFFIXED TO T:-:IS FORM . BOARD O AITFAS 688-9541 BUILDING 688-95.15 CONSERVATION 688-9530 HEALTH 688-9540 PLANNNG 688-9335 h/13/97 THIT 08:38 FAX 1617 720 7873 E R FLANSBURGH 444 BBC 2002 Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Stre+ct �.�••..,._ ��g North Andover,Massachusetts 01845 SsAc►au5� (508) 688-9533 CONTROL CONSTRUCTION - SECTION 127 , 0 M.S.S.C. CERTIFIrATE OF ENGZ'NEERYN'G/ARCXlTECTURE GUILDING INSPECTOR TOWN OF NORTH ANDOVER 146 MAIN STREET - TOWN RA?'.", A-NL'tiEX NORTR ANDOVER, MA. 01845 GENTLrEMItN: I m'r-s f,�L )) �:£RaBY CERTIFY TF THE BUILDING CONSTRUCTED AT ewab Lfer "— DOES CONFORM IN ALL RES?EC1S TC TMS MASSACHUSETTS STATE BUILDING CODE AND APPLICABLE FEDERAL REGUT-ATaONS FOR THE FO_LOWING: AUTHORIZED SIGNATURE: r77 �} DATE: RE =STRA7109 STAIMP ' W:. `h 0F Uy `�9C -AFJAMES tiN BALMER U No.29743 H .oho Q•IST �44r SS�ON E NOTE : EbTGINEER "WFT S7 A, MUS': BE AF'F IXvD TO THIS FORM , WAKE)OF AI'I-RAIS 699-9541 llUaI.DINc. 698-9545 CONSERvAvnoN 629.9530 HHAJ,'HI 699.9540 t • Town of North Andover ,.ORTh OFFICE OF 1�0 COMMUNITY DEVELOPMENT AND SERVICES ° . 146 Main Street North Andover Massachusetts 01845 �'S-TA +�cHus et-A + (508)688-9533 CONTROL CONSTRUCTION - SECTION 127 .0 M.S .B.C. CERTIFICATE OF ENGINEERING/ BUILDING INSPECTOR TOWN OF NORTH ANDOVER 146 MAIN STREET - TOWN HALL A.�V'N,zX NORTH ANDOVER, MA 01845 GENTLEMEN: #--to the best of my knowledge I3eniy J. Eggert, P.E. , HEREBY CERTIFY THE BUILDING CONSTRUCTED AT Bdgewood , Building 6000, 547 Osgood Street, No.Andover, MA DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE A.ND APPLICABLE FEDER-kL REGULATIONS FOR THE =OLLOWING: i AUTHORIZED SIGNATURE : DATE: 13 c 1 97 REG=STR-ATT-ON STA, o • 3273 OF At qs c Z� HENRY I EGGERT ,�_. HVIAC cn �No.5327 i �pc�Fg/S?f��G���• //" �i `°�tUi�IkL EN NOTE : ENGINEER "WET STAB?" MUST BE AFFIXED TO TwIS FORM. WARD OF APITALS 688.9541 BUILDING 6)18-9545 CONSFRVATION 688-9510 HEALTH 688.9540 PLANNING 688-7515 i • NORTH Town of over � o VIN No. • +.., N �/C�J/O��}�NJTTRO1L�1/�, ary. � �o � � dower, Mass., I�oyEMBb'1Z 3, 199s CMSTRUCTIONC O C M I C M E W I C K ORATED P'P' \x � 5 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ,.I.kOW. ..S I1 .. . .....4.QyCk...aivM.4.4,0.Y•• lr? •.•••••••••••••••• Foundation has permission to erectCo a F, .S?ON-buildings on .............I.o.(a.P.....i ao1►....bT# ................ Rough to be occupied as........RAm. . wm.4r9 '... + T �..... u�G. ?ill .-...l��t� 4���.t' ...(��s .;a.. chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 0/'( � 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. PLUMBING/INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. ugh U[[ �! i�l�� CON"ROL PERMIT EXPIRES IN 6 MONTHS MNSTRUCTION UNLESS CONSTRUC ON TARTS ELEC ICAL INSPECTOR t " aServic CONTROL CONSTRUCTION ...............................................................................................................BUILDING INSPECTOR Occupancy Permit Required to Occupy Building G INS ECT�{J�R o g �5� Display in a Conspicuous Place on the Premises — Do Not Remove i u a�C lir 9 No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner FIR DEPARTMENT Street No. Smoke Det. �-- r Kl trlL .a ( 9 ` CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 500A(11-03-95) Date December 20,1 996 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1060 OSGOOD STREET (Bldg. 9000) 4 MAY BE OCCUPIED AS Health Care Ctr. - 45 beds, Level II IN ACCORDANCE VWITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICA7CE ISSUED TO LIfe Care Svs Cor °� p ° 800 Second Ave. m ADDRESS Des Moines, IA cbmiu Building Inspector s V - � NORTIy TO" Of T L L over No.Ste - odover, Mass., Aoycm6m 'S_ 1915 �, i•;ly,;<l �f'v•:� �1 COCK CnEWICK fit• ORATE D P9 C2 5 BOARD OF EALTH PERMIT T Food/Kitchen Septic S Ste BUILDING INSP O THIS CERTIFIES THAT �lF<< .C��A�� , Rt�tt. . l�[Cc�t off?.. ...�. �. F �... IIJRI RAIY.xuo..... Foundation �9 I has permission to erect 'If. + .buildings on.............../Cq$.4?..... u... ................. Rough to be occupied as........'RltTi.f ehisiiT....N�¢i4lTL ...��Q�t ..�t�x'I� s.�►��. .r.�i.�'...g.a.Q ...... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. CTI )L Rough I��:KMl 1 EX�Ii ES I 6 MO THJ avi:� �vi3ii:� _ UNLESS CONSTRUCTION STARTS 0 ELECTIfICAL INSPECTOR vu ", .............'........... ........... ... ..... .................................................. . .. ..... .... BUILDING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough nal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FI E DEPARTMENT Bumeror CTECP`��lU. ••t'n' 4 e /2 7/Y V /JiLC Z s - Snn'.--:� C.E.Floyd Company, Inc. Tel. 617.271.9006 9 DeAngelo Drive Fax 617.271.9045 Bedford, Massachusetts 01730-2200 December 18, 1996 Mr. Bob Nicetta Building Inspector 146 Main Street North Andover, MA. 01845 Re: Edgewood Life Care. Dear: Bob Nicetta As Project Superintendent I have overseen the construction of the Edgewood Retirement Community project located on Osgood Street. (permit#500a) To the best of my knowledge all construction has been completed in accordance with the approved plans and specifications, and is in conformance with all applicable State Building Codes. Sincerely Robert Willard Project Superintendent DEC 1 9 9 .4 • 9 Town of North Andover Q NORTH , OFFICE OF 3r�� •° "0 COMMUNITY DEVELOPMENT AND SERVICES p 146 Main Street North Andover, Massachusetts 01845 9SS4CHUSEt (508) 688-9533 CONTROL CONSTRUCTION - SECTON =27 . 0 M. S .B .C. CERTIFICATE OF ]A7ra/I/tn4P41/ O/A_-RCHITEC'I'URE BUILDING INSPECTOR TOWN OF NORTH ANDOVER 146 MAIN STREET - TOWN FALL AIN nX NORTH ANDOVER, MA 018 4 E GENTLEMEN: Earl R. Flansburgh -ER==3Y CERTIFY T.;T TIRE BUILDING CONSTRUCTED AT Edgewood, Building 9000, 547 Osgood Street, N. Andover, MA DOES CONFORIM IN ALL RESPECTS TO T_.? MASSACHUSETTS STATE BUILDING CODE AND APPLICABLE FEDER-AL REGUI-ATIONS FOR THE =OLLOWING Work indicated on architectural construction documents (See separate certifications for mechanical, electrical, plumbing, fire protection, and structural work.) This certification is to the best of our knowledge and belief based on our periodic visits to the construction site, and is subject to co letion of outstanding items noted on the m AUTHORIZED SIGNATURE : DATE : 12-16-96 REGISTRY_ ION STAMP : SAE©gq A �� No.1731 x ,' DOSTOu, M,oss. CF 19 NOTE : ENG-NEER "WET STkMP" MUST BE ?4 Fr QED TO ,_SIS --OP-IM . BOARD OF APITA[.S 688-9541 BUILDING 688-9545 CONSERVATION ION 6880530 HEAL'I If 688-9540 PLANNING 683-9535 s r� • r Towu or North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES j 146 Main Strut Forth Andom, Massachusetts 01845 (508) 688-9533 CONTROL CONSTRUCTION - SECTION 127 , 0 M. S -8 .C- CERTIFICATE OF ENGINEERING/��� BUILDING INSPECTOR TOWN OF NORTH ANDO'V'ER 146 MAIN STREET - TOWN FALL ANNEX NORTH ANDO VER, MEL 01845 CEN'TLEMEN IJames A. Balmer , PE NERERY CERTIFY THAT THE BUILDINC CONSTRUCTED AT Bdzewood, Building 9000, 547 Osgnni1 Street-;'North-Andover., DOES CONFOMM IN ALL RESPECTS TO T_=E MASSACHUSETTS STATE BUILDING CODE = APPLICABLE FEDERAL REGULATIONS POR THE FOLLOWING: To the best of my knowledge the Structural Framing Systems have been installed in accordance with Code Requirements . AUTHORIZED SIGNATURE : DATE : D c e 199-6.- OF 99OF MASS REUsSTWNTT_ON STAMP : `� q o JAMES I BALMER C, v No.29743 y �. 0- /ST E�, SS�oroa�• [1E� 19 f� NOTE: ENGINEER "WET STAMP" MUST BE AFFIXED TO. THIS -FORM. 80ARD OF APPEALS 688-9541 BUILDING 698.9545 CONSERVATION 688.9530 HEALTH 688-9540 PL.MONO 688-9535 3 a µpR7N Town of North Andover ,1tia OFFICE OF c= oM COMMUNITY DEVELOPMENT AND SERVICESol ~ a 146 Main Street �sSACHuse North Andover, Massachusetts 01845 (508) 688-9533 CONTROL CONSTRUCTION - SECTION 127 .0 M .S .B -C• _CERTIFICATE OF ENGINEERING/bS BUILDING INSPECTOR TOWN OF NORTH ANDOVER 146. MAIN STREET - TOWN HALL Ai�NEX NORTH ANDOVER, MA 01845 GENTLEMEN; to the best of my knowledge Edward Shooshanian P.E. HEREBY ,ATHE BUILDING CONSTRUCTED AT Ed ewood Buildin 9000, 547 Osgood Stxeet;!-North Andover* DOES CONFORIM IN ALL RESPECTS TO T'-TE MASSACHUSETTS STATE BUILDING CODE AND APPLICABLE FEDERAL, REGULATIONS FOR THE :OLLOWING: mechanical/electrical systems This certification. is subject to completion of all Punch List item by Contractor. AUTHORIZED SIGNATURE : DATE: 19 December 1996 PE # 9068 REGISTRATION STAMP : v° ty�nor mV / u S U HANIAN m' P NO 9058 c ® .S1 t� NOTE: ENGINEER "WET STAMP" MUST BE AFFIXED TO T4IS FORM. BOARD OF APPEALS 688-9541 DU[LDING 688.9543 CONSERVATION 688-9530 HEALI H G88-9540 PL VrN1NG 683.9535 DEC 19 !ac; 0/Z g/I EARL R. FLANSBURGH + ASSOCIATES, INC. 3 '• 0 "—' Transmittal Date at C7M EW--K 19015 Project No.�%J -jqQ Project lm-t�--,E WOOD LIFE CAME Sent to MM Dpg N IC.rrA Company 97VII.DIN& W-spad me "To W N 6F N. &boym Address 120 MAW City,State,Zip NORM ANDOVW, M A . 01849 Transmittal of We are sending you These are transmitted as indicated ❑ Drawings Enclosed ❑ Accepted ❑ For Your Approval ❑ Specifications ❑ Under separate cover ❑ Accepted as Noted ❑ For Construction ❑ Artwork ❑ Via ❑ Revise and Resubmit XFor Your Use x ❑ ❑ Not Accepted ❑ For Your Record Copies Date DwgdSpec. No. Description &WIr nn1oN eoNriept toyi Folem 0- 6wavogS (1) r41Z armc r 0) ST1TVCTVQAt. $N6lNl 6) i4yAG 1PLymts1u6 1 pjxg pgmcpw gyrotw t (1) �1.ECT�1c�4G �.N6ia/EE�e. 7 `rNet8 FAet- ' AIDE F---yN6 KEsybmrr'EU 1N II OMIDVAL Fo12Ms 50 7?4 AT %EcypN /2-7- :2- :2 1Y3 is Aar CRollep PUr AS I'12WMW 1WSM17TED. Distribution Remarks I /+ _S,au 1TMvo'fWN STATvS JCA"dierS W14, f'I?o1 A"t, $A&/N $E/N6 SogM17TED START/NG Al LATE �t/0u 1fSF. g7 ,gits.Y f Prepared br i e T2 .1 77 NORTH WASHINGTON STREET BOSTON,MASSACHUSETTS 02I14 TEL 617-367-3970 FAX 617-720-7873 i t , FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** --APPLICANT• Edgewood Retirement Communites, Inc. Phone 508-689-0202 LOCATION: Assessor Map a p Number Parcel 36 Old Vs 3 17 Subdivision Ref. plan of land by Harry R. Feldman, IncLot(s) 6 April 11, 1989 Street Osgood Street St. Number Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date OFFICE OF BUILDING INSPECTOR TORN OF NOR'11I ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: '..PROJECT TITLES Edgewood Life Care 92 PROJECT LOCATION:_Osgood Street, North Andover 0� . ... 1 •NAHE OF BUILDING: g�gPiannri NATURE OF PROJECTsContinuing Care Retirement Community with 147 units of Independent-,Living, 45 bed Level II Nursing Unit with shared common facility and staff. 1N ACCORDANCE. WITH SECTION 127.0 OF THE MASSACHUSETTS STATE BUILDING CODE, 1, _ Earl R. Flansburgh Registration No. 1731 Mass. BEING A REGISTERED PROFESSIONAL WdYI&WARCHITECT HEREBY CERTIFY THAT 1. HAVE PREPARED i.NOR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, CUMPUTATIONS AND SPECIFICA- TIONS CONCERNING: ENTIRE PROJECT Q ARCHITECTURAL® STRUCTURAL C_1 MECHANICAL Q FIRE PROTECTION Q ELECTRICAL Q 0111ER (specify)CD FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE'APPLICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES.- AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. or myy designated representative I FURTHER CERTIFY THAT IASHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE C014STRUCTIO14 SITE ON A REGULAR AND PERIODIC BASIS TO DETEP11I11E THAT . THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN .SECTION 121.2.2: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract docunents as submitted for building permit, and approval for conformance to the design concept. 2. Review and approval of the quality ccntrol procedures for all code-required controlled arterials. 3. Special architectural or engineering professional.inspection of critical construction carpm)ents requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. of my designated reppresentative ,PURSUANT TO SECTION 127.2.3, IASHALL SUBMIT WCrK1,Y . , A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NOR'ill ANUUVEA", BUILDING INSPECTOR. o,~ my designated representative UPON COMPLETION OF THE WORK, 'ASHAL1, SUBMIT A FINAL REPORT A T11E SA I ORY COMPLETION AND READINESS OF T11 PROJEC:i F:OR OCCUPAIICY. S I G11A1 U SUBSCRIBED AND SWORN TO BEFORE .-ME T11-I'S _DAY OF (?� � 1 ommssion —_ My C xpires JULY 13,2001 NOIAPAUBLIC HY CUHMISSION EXPIRES •'~�� '' OFFICE OF BUILDING INSPEC'T'OR k� � TOWN OF NORT11 ANDOVER � •'� `' CONSTRUCTION CONTROL r t � PROJECT NUMBERS • ''''. PROJECT TITLES Z--bcrG'wmpo PROJECT LOCATION: AV,o AwoOVLK. MASS ' . NAME OF BUILDING: :...-NATURE OF PROJECTS IN ACCORDANCE, WITH SECTION 127.0 OF THE MASSACHUSETTS STATE BUILDING CODE-, I' L r"moi_ Registration No. 9 3 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT I. HAVE PREPARED ; OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICA- TIONS C0NCEF.;:ING ENTIRE PROJECT Q ARCHITECTURAL Q STRUCTURAL [j?!!r MECHANICAL Q FIRE PROTECTION Q ELECTRICAL Q OILIER (specify)[ FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, �. COMPUTATIONS AND SPECIFICATIONS MEET THE'APPLICABLE PROVISIONS OF THIE .HASSACHUSETTS ;,"STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES.- AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE •' 'PRESENT ON THE CONSTRUCTION SITE 01; A REGULAR A14D PERIODIC BASIS TO UETERt1I14ETHAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENIS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN .SECTION 127.2.2: I. Review of shop drawings, samples and other subadttals of the contractor as required by the constn)ction contract documents as subadtted for building peradt, and approval for conformance to the design concept. � . . 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Special architectural or engineering professional-inspection of critical construction cagxments requiring controlled materials or cornstnx.tion specified in the accepted ergineering practice standards listed in Appendix B. �EX/OD/cr�� PURSUANT TO SECTION 127.2.3, I SHALL SUBMIT #�(� . , A PROGRESS REPORT TOGEIHER WITH PERTINENT COMMENTS TO THE NORT11 ANDL`VFa; BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORI AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. 1 C1NAI URE 'SUBSCRIBED AND SWORN TO BEFORE ME THIS l DAY OF 19 � Ad�► t P�PJ1ARY MOM HOIAKY PUBLIC f MY CUMMISSION EnIREADH f6SA ' OFFICE OF BUILDING INSPECTOR TOWN OF NORT11 ANDOVER ' ••�:'��-•`' CONSTRUCTION CONTROL PROJECT NUMBERS ERF # 8629.00 Shooshanian # 893403-33 0 PROJECT TITLES Edgewcod.Life Care Center PROJECT LOCATIONS North Andover. Massachusetts v+ ,� A1. ,NAME OF BUILDING: 354670 '•..NATURE OF PROJECTS �p ►STti �� d� IN ACCORDANCE. WITH SECTION 127.0 OF THE MASSACHUSETTS STATE BUILDING.CODE, I, Dennis R. Julian, P.E. Registration No. 35467 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT I, HAVE PREPARED ,OR DIRECTLY. SUPERVISED THE PREPARATION OF ALL DESIGN PLA14S, COMPUTATIONS AND SPECIFICA- ..TIONS CONCERNING: ENTIRE PROJECT Q ARCHITECTURAL[ STRUCTURAL ( MECHANICAL F FIRE PROTECTION Q ELECTRICAL ® OTHER (specify)= FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE•APPLICABLE PROVISIONS OF THE 'MASSACHUSETTS ;•. .STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACIICES.• 23 AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. OCT O r my representatives I FURTHER CERTIFY THAT I^StIALZ, PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DEIER111NE THAT THE WORK IS PROCEEDING IN ACCORDANCE WIIH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPOtiSIBLE FOR THE FOLLOWING AS SPECIFIED IN .SECTION 127.2.2: 1. Review of shop drawings, samples and other subrdttals of the contractor as required by the construction contract doc=wts as subarZitted for building permit, and approval for conformance to t-.-a design concept. 2. Review and approval of the quality control procedures for all code—required controlled :raterials. 3. Special architectural or engineering profess iona1.inspect ion of critical construction caTments requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. or my representatives shall submit regularly PURSUANT TO SECTION 127.2.3, I , A PROGRESS REPORT TOGEIHER WITH PERTINENT COMMENTS TO THE NOKTIi ANDOVER BUILDING INSPECTOR. or my representatives UPON COMPLETION OF THE WORK, VSHALL SUBMIT A FINAL REPORT AS T HE SATISFACTORY ,COMPLETION AND READINESS OF THE PROJECT FOR OCCUPAJ ' S1GI7 RE SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF NOTARY PUBLIC MY COMMISSION EXPIRES_ I A.'i,_/�Z,ta / ' I °° •• OFFICE OF BUILDING INS13ECTOR s TOWN OF NUR'171 ANDOVER • ' ` f� CONSTRUCTION CONTROL �• .....fila - ' PROJECT NUMBER: ERF # 8629..00 Shooshanian # 893403-33 PROJECT TITLES Edgewcxc. Lire Care Center . PROJECT LOCATION: North Adnover, Massachusetts .NAME 0£ BUILDING: . '•.•NATURE OF PROJECT: IN ACCORDANCE. WITH SECTION 127.0 OF THE MASSACHUSETTS STATE BUI DING : ODE, . •I� _aette G. Jacksson, Jr. P.E. Registration No. 14246 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT 1. HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OcA.,L rDESIGN 1 s;,ay .. P„E'JNS, .ATIONS AND SPECIFICA- TIONS CONCERNING: HVAC ENTIRE PROJECT Q ARCHITECTURAL Q STRUCTURAL Q MECHANICAL Plumbing X FIRE PROTECTION M ELECTRICAL Q OTHER (specif )Q y FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE�APPLICABLE PROVIS1011S OF THE 'MASSACHUSETTS . .STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES.* . AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. OCT 2 or my representatives I FURTHER CERTIFY THAT ItSHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO UETERIHIINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENIS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN -SECTION 127.2.2: 1. Review of shop drawings, samples and other subndttals of the contractor as required by the construction contract documents as subudtted. for building permit, and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Special architectural or engineering profess ional.inspect ion of critical construction carponents requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. or my representatives shall submit regularly PURSUANT TO SECTION 127.2.3, I/a , A PROGRESS REPORT TOGETHER WITH PERT114ENT COMMENTS TO THE NURT11 ANDOVER, BUILDING INSPECTOR. or my representatives UPON COMPLETION OF THE WORK, IASHALL SUBMIT A FINAL REPO AS T TH SF'A ORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY ' a S I GTNAI SUBSCRIBED AND SWORN TO BEFORE ME THIS ,�p DAY OF ,���� 19 75- NOTARY PUBLIC MY COMMISSION EXPIRES_ OFFICE OF BUILDING INSPECTOR h: TO14N OF NORTiI ANDOVER �` •`' CONSTRUCTION CONTROL '' PROJECT NUMBER: `' PROJECT TITLES Ed ewood Life Care P • PROJECT LOCATION: Osgood Street, North Andover ' . -NAME OF BUILDING: Edgewood '•..NATURE OF PROJECT: Continuing Care Retirement Community with 147 Units of indep:ei`den`t ° Living,-45 bed Level II Nursing 'Unit with shared common facility and staff.:1 IN ACCORDANCE. WITH SECTION 127.0 OF THE MASSACHUSETTS STATE BUILDING .CODE, I, Earl R. Flansburgh Registration No. 1731 Mass. I' BEING A REGISTERED PROFESSIONAL RRRA 11MARCIIITECT HEREBY CERTIFY THAT .I, HAVE PREPARED DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICA– TIONS CONCERNING: ENTIRE PROJECT [ ARCHITECTURAL® STRUCTURAL Q MECHANICAL Q FIRE PROTECTION [D ELECTRICAL QOTlIER (specify)[ � 1FOR THE ABOVE NAMED PROJECT AND THAT, TO•THE BEST OF MY KIiOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE'APPLICABLE PROVISIOIIS OF THE MASSACHUSETTS ( STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACIICES.- AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCYor my . I FURTHER CERTIFY THAT IWHALL PERFe ORMTHE NECESSARYnated PROFESSIONALSERVICES AND BE PRESENT ON THE CONSTRUCTION SITE nu D PERIODIC BASIS TO DEIER11I14E THAT THE WORK IS PR( PERMIT AND SHAL � c` 'UMENTS APPROVED FOR THE BUILDING • �� Review cS �J ► 7 AS SPECIFIED IN .SECTION - 1. Sf constrvc als of the r•••-- to the d+ g ee CMS✓ �� r^e^"" .,,• �l' Q 2. Review ar � v I3oNl� – e. " 4 _ materials oZ?�o (Dn `– �xXX Rk1x� �C �- G dA � ?URSUANT TO' SECTII C& .Y , WITH PERTINENT COI ,r !PON COMPLETION OF SUBMIT A FINAL RE. :OHPLETION AND READINESS OF THE PROJECT FOR OCCUFAI7CY. ;UBSCRIBED AND SWORN TO Mr TIf S y fa UAY OF - lqLIC — _ M Y CORM I S S ION EXPIRES My Commission expires JULY 13,2001 • ° OFFICE OF BUILDING INSPECTOR TOIJN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBERS ' t PROJECT TITLES Edgewood Life Care r. , PROJECT LOCATION: Osgood Street, North Andover -NAME OF BUILDING: Edgewood :'...NATURE OF PROJECTS Continuing Care Retirement Community with 147 Units of indep. nd2nt°" Living, 45 bed Level II Nursing Unit with shared common facility and staff.` '! IN ACCORDANCE. WITH SECTION 127.0 OF THE MASSACHUSETTS STATE BUILDINC.CODE, '= Earl R. Flansburgh Ref;istration No. 1731 Mass. ' BEING A REGISTERED PROFESSIONAL F(IARANXMARCIIIIECT HEREBY CERTIFY TIIAT 4 HAVE PREPARED :!OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLAIDS, COMPUTATIONS AND SPECIFICA— .TIONS CONCERNING: ENTIRE PROJECT ( ARCHITECTURAL® STRUCTURAL r MECHANICAL Q FIRE PROTECTION Q ELECTRICAL Q OTHER (specify)[ FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE'APP.LICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES.' . AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCYor . I FURTHER CERTIFY THAT IWHALL PERdesignated ORMTHE representative ECESSARYvPROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR A11D PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENIS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN .SECTION 127.2.2: I. Review of shop drawings, samples and other subazit:tals of the contractor as required by the construction contract documents as subrnitted for building permit, and approval for conformal ce to the design concept. 2• Review and approval of the quality ccntml procedures for all code—required controlled rmterials. �xxxxSMRk4Jx=1tb10Ex1 x&VtM*1xfiyf P�It4lgcx�d:6it�F�>' rd�cxE�x PURSUANT TO' SECTION 127.2.3, I SHALL SUBMIT WGEKLY , A PROGRESS REPORT TOGETHER aITH PERTINENT COMMENTS TO THE NUKT11 ANDOVER, BUILDING INSPECTOR. ,]PON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SA S C 0 Y '01PLETION AND READINESS OF THE PROJECT FOR OCCUPA1iCY. SI(; ;UBSCRIBED AND SWORN TO BEF� IlMr T!i'1S DAY OF 19la Rte' -0IAR P3L1C My CUMM I SS I ON EXPIRES Y Comm6ssion�xoires JULY 13, 2001 L� I ./ °°• OFFICE OF BUILD-ING INSI'EC'1'Uit ,,tom Jr TOWN OF NORTH ANDOVER =• ' COtiSTRUCTION CUtiTROL PROJECT NUMBERS .•PROJECT TITLES Ed ewood Life Care r. • . PROJECT LOCATION: Osgood Street, North Andover -NAME OF BUILDING: Edgewood '•..NATURE OF PROJECTS Continuing Care Retirement Community with 147 Units of Indep.e2i't3en`t`' Livin 45 bed Level II Nurs ing nit with shared common facility and staff.' ------------- IN ACCORDANCE. WITH SECTION 127.0 OF THE 14ASSACHUSETTS STATE BUILDING_CODE, I, Earl R. Flansburgh Registration No. 1731 Mass. $EING A REGISTERED PROFESSIONAL ..---nv -_r ilAT° •.I, HAVE PREPARED :OR DIRECTLY SUPERVISED THE PREPAF ALM ?f- TIONS AND SPECIFICA- .TIONS CONCERNING., ENTIRE PROJECT [--1 ARCIiI(DQ� Ir`rJ� • •, FIRE PROTECTION Q ELECT '� _Q _ ,7�[i� MECHANICAL F � Gc FOR THE ABOVE NAMED PROJECT AND � SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS 1 /� V- fllE MASSACHUSETTS .STATE BUILDING CODE, ALL ACCEPTAI . AND APPLICABLE LAWS AND ORDINANCI NCYor my de . I FURTHER CERTIFY THAT IWHALL PJ SERVICES AliU BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR nrru rtntuui� 0 UETERtfItiE T!!AT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPO14SIBLE FOR THE FOLLOWING AS SPECIFIED IN .SECTION 127.2.2: I. Review of shop drawings, sanples and -- construction contract docunents as S E-0-6-Loce b &,Sts" sired by the to the design concept. � c`5l� for conformance 2. Review and approval of the quality cS� s` O srnterials. ntrolled hxx CvYls✓ �CJ ,,,.P /)1 a `mac. PURSUANT TO SECTION 127.2.3, I SHALL PORT TOGETHER 4.17H PERTINENT COMMENTS TO THE NORTH �7 U 1PON COMPLETION OF THE WORK, I SMALL C '—'•'� . � 0 Y :OMPLETION AND READINESS OF THE P�20JE C ;UIISCRIBED AND SWORN TO BEFffiHE TitS �`a UAY OF r , - 19 �- OT �G13L1C i MY CUHMISSION EXPIRES My Commission txDiresJULY13, 2001 LeMessurier Consultants 1033 Massachusetts Avenue, Cambridge,MA 02138 Tel: (617)868-1200 Fax: (617)661-7520 August 14, 1995 Town of North Andover Building Department 120 Main Street North Andover, MA 01845 Attention: Mr. Robert Nicetta Subject: Edgewood Life Care Project, North Andover, MA LeM File No. 95136 Reference: Structural Engineering Peer Review Dear Mr. Nicetta: We have reviewed the plan and specifications indicated on the attached list, for the proposed new Edgewood Life Care Project in North Andover, Massachusetts. Our structural engineering peer review was conducted in accordance with the Massachusetts State Building Code, Appendix I, "Independent Structural Engineer Review'. In our opinion, the structural design represented in the drawings and in the specifications is in conformance with the structural and foundation requirements of the current Massachusetts State Building Code. Very truly yours, LeMessurier Consultants i Peter heever, P.E. Vice President i PJC:pw c:Jobs\95136\n is-0814.p-r I xc: Joel Bleeker/LCS; James Balmer/BBC; Vincent Dube/ERF; M.V. Ravindra, P.R. Banning/LeM Attachment 17 ►m LeMessurier Consultants Page 2 Edgewood Life Care Project North Andover, Massachusetts LeM File No. 95136 Architectural Drawings (August 1, 1995) Al through A5 AR-1 through AR-34 AC-1 through AC-24 AH-1 through AH-17 Structural Drawings (June 30, 1995) S-1 SR-1 through SR-10 SCA through SC-5 SH-1 through SH-4 Specifications (August 1, 1995) Site Drawing (June 1, 1995) C-3 Geotechnical Engineering Report (December 1989) Prepared b Goldber -Zoino &Associates Inc.P Y 9 Letter to Boston Building Consultants dated March 7, 1990 from Goldberg-Zoino & Associates, Inc. Z KAREN H.P.NELSON �r' Town of 120 Main Street, 01845 Dimtor (508) 682-6483 ��• NORTH ANDOVER BUILDING :::::-� �- CONSERVATION +c fi M ISION OF HEALTH PLANNDII,TG PL_A,NNLNG & COMMUNITY DEVELOPMENT Memorandum To: Ken Mahony, Director of Community Development and Services From: Kathleen Bradley Colwell, Town Plannerj _ Date: April 4, 1995 Re: Edgewood Life Care Facility General Issues to Discuss: * Payment in Lieu of Taxes * Right of First Refusal to Town if project does not go forward Conditions to be met prior to building_permit issuance: Site Plan Review: * Submit copy of endorsed plans (4) * Submit tree cutting and reforestation plan (5) * Post bond for construction (13) * Details of walkway, gazebo, and gardening area to be reviewed by the Planning Board (16) * Submit copy of recorded conservation easement (17) * Written determination from Conservation Commission that work is in compliance (19) * Submit copy of recorded decision Special Permit for CCRC: * Number of units should be determined (1,2,3) * Planner to review site to make sure trees to remain are marked. (6) * Submit copy of recorded decision Common Driveway: * Submit copies of recorded easement documents concerning access and maintenance of driveway /ARENH.P.NELSON roe,.. Town of 120 Main Street, 01845 Director ; (508) 682-6483 :.: NORTH A��OVER BUILDING :::ry CONSERVATION °• ` DIS"ISIOX OF PLANNING PLANNING &- COMMUNITY DEVELOPMENT MEMORANDUM TO: Ken Mahoney, Director FROM: Michael Howard, Natural Resource/Land Use Planner DATE: April 5, 1995 RE: Edgewood Life Care Center (242-515, 511) Per your request, I have reviewed the above referenced files and offer the following comments: The Order of Conditions issued for construction of the center (DEP #242-511) and for the installation of utilities (DEP #242-515) have expired. The applicant has been scheduled to appear before the NACC on April 19, 1995. Admittedly, this is an administrative mistake on the applicant's part and should be handled as such. A worst case scenario would involve a re-filing per the direction of the NACC. I do not believe this is a likely situation. DEP #242-511 1. The Order of Conditions needs to be recorded at the Registry of Deeds and proof of such recording is required for the record; 2. A bond in the amount of$5,000.00 needs to be put in place prior to construction; ! 3. Additional pre-construction requirements as stated in the Order of Conditions. DEP#242-515 1. The Order of Conditions needs to be recorded at the Registry of Deeds and proof of such recording is required for the record; 2. A bond in the amount of$5,000.00 needs to be put in place prior to construction; 3. Additional pre-construction requirements as stated in the Order of Conditions. /at/9Z LAKESIDE OFFICE PARK 607 NORTH AVENUE, SUITE 11 vwo C S WAKEFIELD, MA 01880 781-246-8897 MARIN FAX: 781-246-8950 WWW.ECSMARIN.COM OF N V FALtH 'q / February 9, 2004 Mr. Mark Rees Town Manager �--•Y "' Town Hall - 120 Main Street North Andover, MA 01845 I RE: Edgewood Farms 575 Osgood Street North Andover,MA Dear Mr. Rees: As a requirement of the Massachusetts Contingency Plan, Mr. Samuel Rogers has enclosed a copy of the legal notice for a Phase I report and Tier II Classification submittal for the 575 Osgood Street property in North Andover, Massachusetts. If you have any questions or require any additional information, please contact me at 781-246-8897. Sincerely, ENVIRONMENTAL COMPLIANCE SERVICES, INC. Craig Ellis Senior Project Manager Cc: North Andover Board of Health - Michael A. Penzo, LSP(ECSMarin, Inc.) Massachusetts DEP HADDAM, CT TAMPA, FL AGAWAM MA SOUTHBRIDGE MA WAKEFIELD MA BOW, NH MARION, NY PLATTSBURGH, NY RICHMOND, VT BRATTLEBORO. VT , 1 SCIENTISTS t ENGINEERS ,S pos; y. GIS SPECIALISTS * 70.03. 2260 0007�66�'S 7 ._607 NORTH AVENUE, SUITE 1 1 w �� Ss ✓s r �$ WAKEFIELD, MA 01880 519 a os 6 4.. t! di�S'%�Bf.ASi£3'.""; F�;i.?!Ab^dAs�1:`rS�:�v,f�i•,� ��S �i sa� ssr Rm.CE 20 407 ICE 1.� North Andover Board of Health 27 Charles Street North Andover, MA 01845 `"t r l�11!l137111!}74f1f1S14f1}}}:1llitl'17��f111!lllliiilll!}311 L .`.:.dvti . .s. PLACE STICKER ATTOP,OF _ OF,THE RETURNADDR kyr EARL R. FLANSBURGH + ASSOCIATES, INC. Transmittal Date g• //- qs— Project No.r VY2-f• o2 Project �(pygLVVyj L,- 4*,eqA ) Sent to y- jC /� Company �jU%6!�►+h ao/ �WH o� 0►rTy� 4,joyw CJ IAddress 2,0 14At►4 g7'(2E:Cf City,State,Zip Alar 91 Au dotes fM.4 01t3¢57 ' Transmittal of We are sending you These are transmitted as indicated CKDrawings IX Enclosed ❑ Accepted ❑ For Your Approval Specifications ❑ Under separate cover ❑ Accepted as Noted ❑ For Construction ❑ Artwork LVVia )44.414, ❑ Revise and Resubmit -''For Your Use ❑ ❑ ❑ Not Accepted ❑ For Your Record Copies Date DwgdSpec. No. Description I Co114►.c& ( oV4 4� BRW! U - LD7- A&Z tWsE - o Distribution Remarks Prehared b e , z,-Le 77 NORTH WASHINGTON STREET BOSTON,MASSACHUSETTS 02114 TEL 617-.367-3970 FAx 617-720-7873 i ae? Ag gone C.E. Floyd Company' Inc Tel. 617 271 9006 9 DeAngelo Drive Fax,617 271 9045 Bedford, Massachusetts 01730-2200 TELECOPYTO: Bob Nicetia Building DepartmE,nt FROW: Chuck Floyd DATE: TIME: 10:43 SUBJECT ED(;',EWOOD- PERMIT BID DUE TIME: NUMBER OF PAGES (INCLUDING THIS PACE): 2 If difficulties occur, please call {617) 271-9006. The telephone number directly to this machine .s (617)271-9045. CO(,/INIEN`SS SSP 13 1995 r; TOO In AANVdN00 Q1101d 30 2t06 TLZ LT9 XVJ 6V:OT QdM 56/CT;"60 09/12/95 12'25 '$5152457650 LIFE CARE SERVIC IA002/002 September 12, 1995 Mr. David.Darden Project Development Manager Edgewnnd Retirement Community, Inc. c/o Life Care Services (,orporation 800 Second Avenue Des Moines, Iowa.50309 Re- Edgewood Life Care Project North Andover,Massachuset#w Dear• MT, Durdea-. The -1 own of North Andover recently completed review of the plans and specifications and confirmed approval by the public agencies having jurisdictional authority over your project. To the best of our knowledge,you satisfy the required conditions of approval for this project. The permits are available to your contractor upon submitting payment of the general permit fee,(tfor ) )X'c understand each subcontractor will be responsible for obtaining their permits where reyjired. You will ueed to satisfy additional agency conditions of approval before we issue the Certificate(s) of occupancy. Please see that your contractor is aware of these condi requirements. tions and complies withthe Sincerrely, Town of Nortb Andover Division of Community Development& services D. Robert Nic otia Bw1ding Inspectot SEP 13 190'� ZOO AAN dKOD aA011 d 2PO6 TLZ LT9 XVd 6C:OT (MA 26/CTI/60 i EARL R. FLANSBURGH + ASSOCIATES, INC. September 7, 1995 Earl R.Flansburgh,FAIA Mr. Robert Nicetta Michael H.Bourque,FIIDA Building Inspector 120 Main Street David S.Soleau,AIA North Andover,MA 01845 Kate M.Brannelly,SMPS RE: Life Care Services-Edgewood Duncan P.McClelland,AIA ERF+A Project No. 8629.00 Alan S.Ross,AIA Dear Mr.Nicetta: Edward E.Calamari,AIA This is to confirm our discussion regarding attic sprinklers in the above referenced Stephen A.Casentini,AIA project. It is our understanding that you have agreed to the following: P J g Y g g David A.Croteau,AIA Peter W.Lambert The Commons building and Healthcare building will have sprinkler systems in the Douglas P.Murray,AIA attics with access panels. The Residential buildings will no have sprinklers in the Christopher A.Sgarzi,AIA attics(under NFPA 13R)and will not have access to the attics from inside. Access will be possible through exterior louvers. Louminda R.Torbert,IIDA If you have any further questions or issues with this,please let me know ASAP. Otherwise,the project will be built as agreed. Sincerely, ---EARL— .,F ANSBURGH+ASSOCIATES,INC. c Duncan P. McClelland,AIA Senior Associate cc: Chief William Dolan,Fire Chief David Durden,Life Care Services Joel Bleeker,Life Care Services Fernand Tomaz, Shooshanian David Soleau,ERF+A Vince Dube,ERF+A I e1cs2/m090795/mmg VP I I ARCHITECTURE/MASTER PLANNING/SPACE PLANNING INTERIOR DESIGN 77 NORTH WASHINGTON STREET BOSTON,MASSACHUSETTS 02I14 TEL 617-367-3970 FAx 617-720-7873 07/,P]-/95 12:45 V617 720 7873 E R FLANSBURGH EARL R. Fl.,,kNSBTRG14 + ASSOCfA-TES, INC. C I i L t-,TF� acsimile Tu L 6 1-7 (1 To: ------ '\J C /v(C(- .FS'dr ?,-:7 Pages: Bette: 73V-!&' Rega,rdin Jb 11VD 7V) w IU J-t-j7l r,- G- 65-)t AO-J 3z cc- T LAq Co'.Li, c C,(v- JUL 1 1995 ii If troxis.miss iv ed, please call 6 17-3u 7-j 9 0. 07/,1'1/95 12 45 V617 720 7873 E R FLANSBURGH 001 EARL R.. FLANSBURGH + AS SSOCIATES, IN(-. o YZ'f I I W A S j7I.1 T T.' acsim 61- Ti, &/ J From': /V Fat-sinzileNo, Pages: ,Date: )JtAl Regarding: Comments" A 7�- 1 v A� C, voc- 6-�Z- AYF��J CC_ JUL 1 199 L - If transmission is Inuerrupted, or ail pages are not properly received, please call 617-�67-j97C). 07/11/95 12:46 V617 720 7873 E F. FLANSBURGH002 s �vu 07/11/95 09:54 '8'617 426 7358 SHOOSHANI�,N t; ::v�NcER1tvG 4"ail[;FT[5 iM1CC7RQ;:�.TGD /:i3:'CiRE55 SiicEET I-5 .1L1`i1F -I-'ZSACauS' TS fir; 9•:2'6 fa.'.617fa26735a mass?chuse-r LS Electric t.OMP6,1 x -w ll.�u7 Turnpike Stree; MIT- .T"i -.Y.:TCN: Mr, Bob 5il k- pis aL'.St. too b tit A!100%re f, .'�. SLT$JECT: ` ,geW0C7c% Life Care IM �VJ•L*1� we are writing to the regarding vassac se" �.weC`h,=- e,'a L&,ter` eY:en'rS residential building' at the above refe-canced pr0jeCt As we discussed, tze Massachusetts 5raLe Esualc-tzr cr CO 'a reauYres .nit h d dwell' g gait be .pcJ�f� osepa +� each in i.'J.QUal irl �: metering. However, the Edgewood Life. Care falcill: will bw u.^der S'ng,�e and vactl tena.�i will pay a. mon y ce t:c rtci.ude 'rh des-irpeo svgs of all ut:,2.x1j:ies .arid ser-1—ce5. It i5 u:Er�'�GC� ..i CT,,,_P c nli F,ryE'Ii Of 1::l" ... .ne3it�a.cii.dl tena�it ;retets_ __ .. - P�ease coni rm ��^. yting, MaSS�cu .rrS Elect.ic'.s agement . that •_ or each serva ce entrance is acceptable so that -'we can pv-Sue ;;` xe'nai= �a-riance a:oTr. the Buildinc Comae. _ Fre aj;�recjat.e your prompt response ori.th:s. issue! .... . 'Very - z•,-i y yours, J r •�icY `" -JAL 1 1 1995 E I 07/1f195 12:47 U617 720 7873 E R FLANSBURGH '�',i. 003 * t¢�00�4/UU4 07/11/95 09:55 0617 426 735$ SHOOS�I�NIAN Massacnuseae E'ectric company I IQ1 ivrnuik?$Veet NOM),An00vCr. M2553Ct 01845-6109 asscc lisettElecti , 1 , ! 201990 1, :'uTic .£ , -''G~ �1 hbflaN>aNIAk ` 'INEERNG ASSOC. SI;C.�-�✓ _eh t,77Cy.1.`I .y J.l•"1�¢ a W I.GfY]3'P_`35 Street- Boston, MA. 02210-1210 RE: EdoCA4md Life YA .-1 ' 6, bowers T.1 r nwe. to �;ni.0 I.t+t�r ,r ':^e 15, 19no, ::ec' � -_.eter`; l `tT 1S1 'RTvr+x u' e7'.�h , T tr3V r C,,;?t tac, �i 3.�Le your pro qd deve. cru N t Z:i. Ixrp Xt',It, rind they will i e aisca ca)-19d ttte Wi~lrxx :ii'tr"w c tGx Ln Nnrrt h xtxi.cve�-", 1. 2's no Gb��'Liors eit t'er, 1 %�3T1C ;, 1C 4 i 4:e7�s ? a law r�F:quixing that ail cor&, Units OS n fc�7_ t}� o will rte:V area ci t Z L. i£?�t 4.d.:�'": I11 � �rq 1.� I3 E 1 ": it ,> r3 �n for G:7e. M er L5r': �` 1>A Ait:J'Yj also Y'n" t ti L1 the LU?..VJ.f -rne :Sw"Iiars W' ♦.:L �E �tc m�tera� .l-�es Will � � i01130r �T obi r;, w� �� a u"yla�. requires all resters to be installer'� ,p one Lc� �trior: fox �aor,: .'di.'1g 'I et i1lem k n(-v7 t ha v;,_at ever deCis Or, Is rv?�P, a ti; n i.i A i,ix`7e tO r'!pxar-'' .fel free -to if aj-( n �J 0 ' r JUL 1995 S r'a:•h7ew En 61310 Electric rtYsfE;n COm4a,3y 07/111/95 12:48 p617 720 7873 E R FLANSBI-RGH 07/11/95 09:55 $61 7 426 7358 SHOOSHANI-AIN —E-191R.€lansburgh+ AsSOGSateS, ir9C. 77 torn rtasn,,,gtCn 5veel Boston rnaes��n�se2s 021i4 F-sru47 e(617)724.7873 Graon,c :)eslc l AiX - cen s AA r, Oa ,a 5 Sc/e1. NP_icon ^Z^,Cf 3 La. % :u: «��::C':� d . • _CUr6 ht htC.S+^�'"E .. .oma r, . 4.O:.. ,y C.r_'_c.. ....�. t ,�.. i_...,. i =, r - c• 4i®n S loss f�T. mts L�'..,,..�i} c,:,rl. ei,'«.: iii^. y.� jw'e. __ ."E t'- •C uF1tccP♦. ,". . _ ..CS El 7. Aric C-;r, 'z c. t ?- ire 7c Si@+eib } riS -AC »:._. _:..' ♦..a w'2`�E~-i .,,, -♦. ....... '.e3.� "� Y..�. i.+:4.♦<. . �:C:-... t.;�-. _l�.' �� _ .. ....:fes- jc�.r ons Vd.S t G'- r i _,. .._.._,. � �� J9.•',µ `• � JUL 0 1995 •{a LT 1' '?t1De:. ie CLQ".t» -.. - enc. ' f1 .B U S T U N B U I L D I N G CONSULTANTS 79 Milk St., Boston MA 02109 6 1 7 / 5 4 2 3 9 3 3 �'�pr L) , 1� August 28, 1996 1996 r g +.A SGC. INC. Mr. Vince Dube Earl R. Flansburgh + Associates 77 North Washington Street Boston, MA 02114 Re: Edgewood Life Care Services BBC No. 89080.02 Andover, MA i Dear Vince: This letter is to confirm to you, the Owner, and the Building Inspector of North Andover that to the best of our knowledge, the foundations for this phase of the Edgewood Life Care project have been installed in accordance with the Structural Framing Plans and approved Shop Drawings. This applies to Buildings 2000, 3000, 4000, 5000, 6000 and 9000. Sincerely yours, Boston Building Consultants JAMES 9ryG BAL r1ER Q � Ul No.29743 O I Cqjes A. Balmer, P.E. ss�oMAL Vice President JAB/j c i , /afriday.doc SP - 5 Jf/1 EARL R. FLANS BURGH + ASSOCIATES, INC. August 23, 1996 Mr.Robert Nicetta Earl R.Flansburgh,FAIA Building Inspector Town of North Andover Michael H.Bourque,FIIDA Building Office David S.Soleau,AIA 120 Main Street North Andover,MA. 01845 Kate M.Brannelly,SMPS RE: Edgewood Life Care,North Andover,MA. ERF+A Project No. 8629.00 Duncan P.McClelland,AIA Alan S.Ross,AIA Dear Mr.Nicetta: It has been brought to my attention,that you have requested a letter from us explaining the Edward E.Calamari,AIA requirements for sealing the corridor walls of the Health Center Building at the Edgewood project. John P.Campbell,AIA The Health Center Building is a nursing home and is constructed according to Article 610 of the Stephen A.Casentini,AIA Massachusetts Building Code,for Use Group I-2. Article 307.3 of the Code lists skilled nursing David A.Croteau,AlA facilities as Use Group I-2.Article 610.4 pertains to corridors of I-2 buildings and says..."In buildings equipped throughout with an approved automatic fire suppression system,the corridor Peter W.Lambert wall fireresistance rating is not required provided the corridor walls form a barrier to limit the Douglas P.Murray,AIA transfer of smoke.The walls shall extend from the floor to the underside of the floor or roof deck Christopher A.Sgarzi,AIA above or to the'underside of the fireresistance rated floor/ceiling assembly above when the ceiling membrane,is:.constructed to limit the transfer of smoke. Louminda R.Torbert,IIDA M The Health Center.Building is equipped with an NFPA 13 fire suppression system and the corridor walls are constructed from the concrete slab on grade floor,continuous,to the underside of the concrete plank roof/ceiling.Therefore,the corridor walls do not require a fire rating and therefore,likewise do not require fire seals.They are required however,to seal each penetration of the corridor walls to prevent smoke transfer. The Contractor will seal all penetrations to limit the transfer of smoke at the Health Center corridor walls. If you need any further clarification of the details for this project,please feel free to call me. Si-cerely, g ;J. LANSBURGH + ASSOCIATES, INC. �Dube',A. I. A. Project Architect cc: Duncan McClelland.' David Durden - Bob Willard _�- �•NormFournier BIsmokeseallet,veld AUG 2 3 1996 1 1 ' ARCHITECTURE/MA TER S PLANNING/SPACE PLANNING/INTERIOR DESIGN 77 NORTH WASHINGTON STREET BOSTON,MASSACHUSETTS 02I14 TEL 617-367-3970 FAX 617-720-7873 RE MASSACHUSETTS STATE BUILDING CODE �c r - r (_ l 1. Each area does not exceed 1,500 square feet; and 2. The area is located to permit supervision by the facility staff; and 3. The area is arranged so as not to obstruct any access to required exits; and 4. The area is equipped with an approved electrically supervised automatic smoke detection system; and 5. Not more than one such space is permitted in any one smoke compartment; and 6. The walls and ceilings of the space are constructed as required for corridors. I� 610.4 Corridor wails: Corridor walls shall have. a 1-hour fireresistance rating extending from the floor to t:e underside of the floor or roof deck above. In buildings equipped throughout with an approved automatic fire suppression system, the corridor wall fireresistance rating is not required provided the corridor walls form a barrier to limit the transfer of smoke. The walls shall extend from the floor to the underside of the floor or roof deck above or to the underside of the fireresistance rated floor/ceiling or roof/ceiling assembly above when the ceiling membrane is constructed to limit the transfer of smoke. 610.4.1 Corridor doors: All doors shall conform to Section 916.0. Doors to patient sleeping rooms shall be automatic-closing by smoke detection. All other doors shall be self-closing or automatic-closing by smoke detection. In buildings equipped throughout with an approved automatic fire suppression system,corridor doors other than those in a wall required to be rated by Section 610.2 or for the enclosure of a vertical opening shall not have a required fireresistance rating, but shall provide an effective barrier to limit the transfer of smoke. In buildings equipped throughout with an approved automatic fire suppression system, all doors except those to sleeping rooms shall be self-closing or automatic-closing by smoke detection. 610.4.2 Locking devices: Locking devices which restrict access to the patient room from the corridor, which are operable only by staff from the corridor side, shall not restrict egress from the patient room except for mental health patient rooms. 610.5 Smoke barrier: Each floor of a building of Use Group I-2 shall have at least one smoke barrier creating not less than two compartments per floor with a maximum compartment length and width of 150 feet. The smoke barrier shall be in accordance with Section 911.0. 610.5.1 Refuge area: At least 30 net square feet per occupant shall be provided within the aggregate area of corridors, patient rooms, treatment rooms, lounge or dining areas and other low hazard areas on each side of each smoke barrier. On floors not housing bed or litter patients at least 6 net square feet per occupant shall 6-30 780 CMR - Fifth Edition AUG 2 3 1996 ;; , 11 •,� Earl R.Flansburgh+Associates,Inc. 77 North Washington Street Boston,Massachusetts 02114 Telephone (617)367-3970 Facsimile(617)720-7873 24 May 1990 Architecture Mr. Daniel Gent Space Planning Division of Health Care Quality Interior Design 80 Boylston Street Landscape Architecture Boston MA 02116 Graphic Design i RE: Edgewood Life Care Services Earl R. Flansburgh, FAIA North Andover, MA Michael H. Bourque, FIBD ERF+A Project No. 8629.00 Denis V. Boucher, AAIA Larry R. Carr DON #3115 David S. Soleau, AIA Dear Mr. Gent: Michael English,AIA Nelson R. Hammer,ASLA In our recent submission of the specifications for the Health David R. Hocker,AIA p Duncan P. McClelland, AIA Care Center for the above noted project I failed to note one Alan S. Ross,AIA issue. In the mechanical, plumbing, fire protection and electrical sections items which do not apply to the Health Care Center are noted with an asterisk(*) . Liam Lynch, AIA Jeffrey H. Mooney As we discussed previously, this was done because the Health Laura M. McShane Care Center is part of a larger project and these sections have Cindy Reppert-Ault, SEGD been written for the entire project. The other sections of the specifications all deal with the Health Center. I have also included catalogue cuts of the patient beds. As noted before these items are being supplied by the Owner and will not be included in our specifications. I hope this clarifies these issues and if you have any questions please let me know. Sincerely, EARL R. FLANSBURGH + ASSOCIATES, INC. 4- Douglasl' Murray, IA cc: (D:—Robert--N-icetta- -- --� Paul Luthringer Mark Brauer w/enclosure Duncan McClelland David Soleau Jn)i Enclosure r�. 64ti, c-• I EARL R. FLANSBURGH + ASSOCIATES, INC. August 30, 1996 Mr. Robert Nicetta Earl R.Flansburgh,FAIA Building Inspector Michael H.Bourque,FIIDA Town of North Andover Building Office David S.Soleau,AIA 120 Main Street Kate M.Brannelly,SMPS North Andover, MA. 01845 Duncan P.McClelland,AIA RE: Edged Life Care,North Andover, MA. Alan S.Ross,AIA ERF+A Project No. 8629.00 Dear Mr.Nicetta: Edward E.Calamari,AIA John P.Campbell,AIA We have been asked by the Contractor to provide you with a letter confirming the Stephen A.Casentini,AIA foundation placement.We are submitting a letter from our structural engineer for David A.Croteau,AIA this project for the purpose of satisfying your request. Peter W.Lambert Douglas P.Murray,AIA We'have previously sent your another letter presenting our interpretation of the code Christopher A.Sgarzi,AIA related to,firesealing corridor walls. To clarify what was intended in that letter,the Louminda R.Torbett,IIDA corridor;walls;which are non-rated,which comprise most of the corridor,need only to be smokesealed. However,there are electric room walls which are rated and are on the corridor. These walls will require fireseal caulk. Also,the corridor walls in the basement area have ratings and they will also need to be firesealed. The Contractor is aware of these conditions and will be firesealing these walls. If you require anything else related to the project please let me know. Sincerely, ! EARL R. FLANSBURGH + ASSOCIATES, INC. Vincent . J. Dube', A. I. A. Project Architect cc: Duncan McClelland David Durden .Bob.Wlllard. ,.. ,. ��• ..,,� . .�,� .;-; r :;: . . �:�: .. _ _ :.Norm-.Fournier: BIfridlet,vejd'.. . ' SEP - 5 ;G5� ' • � - . ARCHITECTURE MASTER PLANNING SPACE PLANNING/INTERIOR DESIGN • 77 NORTH WASHINGTON STREET BOSTON,MASSACHUSETTS 02I14 TEL 617-367-3970 FAx 617-720-7873 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. Y,��h �� '� PAGE. i EMAP 4-40. '��I LOT'NO. 1 2 RECORD OF OWNERSHIP IODATE BOOK PAGE 7JDNE.' SUB DIV. LOT NO. I--! ee letter from Sam Rogers 11/9/89 3029 90 TO—CATION+ ` PURPOSE OF BUILDING x...:.. Osgood Street _ Health care "s OWNER•$.NAME Samuel Rogers NO. OF STORIES 1 SIZE 18,363 sf i 1'�• "OWN -,ADDRESS: USgOqd Street BASEMENT OR SLAB partial basement S1ZE OF FLOOR TIMBERS IST 1L/1 2ND WO, W� SRD Earl- R. Flansbiirgh + Assoc. .Inc. _ 1 aY aIBU1LDERS NAME The`Weitz' Company, Inc. SPAN 14-18 ft. _ a ^�"` DIMENSIONS OF SILLS ��11 —�- 4� `�AIBTANCE'I'O NEAR68T BUILDING��..,c, 3OO ft. I_ pot d } 5 DIBTANIF CE,FROM STREET €i 1480' f t POSTS 4x4 y tw ,DISTANCE FROM LOT LINESyu_ SIDES-4` 111 ft.FRONTAGE 190 ft.HEIGHT OF FOUNDATION W8x28,31 W14 THICKNESS 4 3 W6X15 - » � +YAenOF1�4? 62acresgg.is n, _ r 150 ft. 5 ft. 8 in. ya s $gj6` {I)L4IPIO N[W rlFdty ,13.:lt':. SIZE OF FOOTING 1 1 OII X 21011 x.: MATERIAL OF CHIMNEY Tond- � � ,ttllFpl A �E ATION° i°I '7`ti f.•`" IS BUILDING ON SOLID OR FILLED LAND filled -ING�CONFORM TO REQUIREMENTS OF CODE yeg IS BUILDING CONNECTED TO TOWN WATER yes m 7 tf ,� 11►.(Fwalt APP[wLs'ACTION.*'IF ANY. r(ppG IS BUILDING CONNECTED TO TOWN SEWER yes ' a,;al IS BUILDING CONNECTED TO NATURAL GAS LINE yes C? xl r kuTl 't �I} , INSTRUCTIONS 3 PROPERTY INFORMATION 'tat 2Zs Iz a �` I�tr i LAND COST � s� rF $700-000.00 f � ,t'�i Init � rs € EBT. BLDG. COST _$19960,000.00 "AN' '�eSsa bUTBtCT10Np'.f r 3 i+ O EBT. BLDG. COST PER 80. FT. $101.37 j EST. BLDG. COST PER ROOM $15,935.O 'TIFE 19 1 2 1 Iu 4". SEPTIC PERMIT NO. C " I�r Iil SYiel ON,AUTBID[OP BUILDING 4 APPROVED BY j$ �1U81"'G9F FORM'fD STATE FIRE REGULATIONS L' I w r� prJl�l APPROVE BUILDING INSPECTOR ven (990 0 BOARD OF HEALTH k r 6 y0(tAlITHO Z[DiAGENT � m41y v y t PLANNING BOARD iM4111s 4i "ptFE 6.: �s ;r BOARD OF SELECTMEN .. �`r. ` I �141,► • 1 N IN R e FORM -U r .0 TOWN OF NORTH .ANDOVER LOT RELEASE FO"I SUBDIVISION a, ASSESSORS MAP SUBDIVISION LOT(S) J PERMANENT ADDRESS (ASSIGNED BY D.P.W. -- STREET 6s 0 00 S7'TL��T APPLICANT �L�yL Lurt, t � PHONE ��/S� Z�S- 7�oa - c,� Z DATE OF APPLICATION �v EtvsT >' I Fi+- I L TOWN USE BELOW THIS LINE i` P NG BOARD DATE APPROVED TOWN PLANNR DATE REJECTED CONSERVATION COPIMISSIO DATE APPROVE ' CONSERVATION ADMIN. „ f- DATE REJECTED BOARD HEALTH ✓ ��� / DATE APPROVED HEALTH NITARIAN DATE REJECTED % DEPARTMENT OF PUBLIC WORKS DRIVEWAY PER11IT SEWER/WATER CONNECTIONS (3 FIRE DEPT. ,V Fig l7 Lo cry ► h `; `� 1GtG I lis �✓ � / RECEIVED BY BUILDING INSPECTION DATE fo This form shall be signed by the agents of the Planning and Health .Boards, the Conservation Commission prior to the issuance of any building permits - for the subject lot. This form shall not releive the applicant froin`themm` compliance of any applicable Town requirement or Bylaw. ♦ � .., .:. .. _ � ..' .....'.`. .. . � .._ ...... ..... .. .... n.... .. - �, ....... ..-t,....r_a.......�..n'a.. 41.�..h,.....s4...w�WsErkd aEu`iwr..:v:r..ai6 �_��yy,�� ' +` � y.. � .. _ _ —_—_—_ _ _.�u Y :__'.,."�'_.,=.Y_ ^�'r�Yr'Ktr__Z�;•wi;i•��--'Y',�'� —7�---' r7o., __r'rv`.•w�'S'fiCin�T --- .� ®®® CONTROL NO. 0 1 0 6 4`/�t`® 72.212 ®® - NORWEST BANK ®®O 739 CHECK NO. .1 O 6 4 4 d . LIFE CARE SERVICES CORP. CHECK DATE 800 SECOND AVENUE 7—_26-90 >; 1 I:: DES MOINES, IOWA 50309 AMOUNT t?;tiff �4N;, �•, .:T i :'�. i PAY .. _ as t: $4 ,595 . 0 TO THE ORDER OF :.• � �* TOWN OF NORTH ANDOVER, MASSACHUSETTS LIFE CARE SERVICE CORP. _+� I AuthorVSe Countersigned u'0 L064411' 1:0739021221: 12 S08 P11-77 ,. PLEASE DETACH BEFORE DEPOSITING LIFE CARE SERVICES CORP. • DES MOINES, IOWA 50309 010644 • - '•. :. .j DATE INVOICE NO. GROSS AMOUNT DISC/RET NET AMOUNT DESCRIPTION 7-26-90 Health Cent 'r permit fee r TOTALS 1 Earl R.Flansburgh+Associates,Inc. 7T North Washington Street Boston,Massachusetts 02114 . Telephone(617)367-J970 Facsimile(617)720-7873 r; _ 30 July 1990 Architecture Space Planning " D. Robert Nicetta i Interior Design North Andover Building Inspector Landscape Architecture Graphic Design 120 Main Street E North Andover, MA 01845 f Earl R. Flansburgh, FAIR RE: Edgewood Life Care Services Michael H. Bourque,FIBD ERF+A Project No. 8629.00 Denis V. Boucher,AAIA a Larry R.Carr e David S.Soleau,AIA Dear Mr. Nlcetta: `r Please find enclosed the application for Building Permit for Nelson R. Hammer,ASLA the Health Care Center at the above noted project. As we have Liam Lynch.AIA discussed, the reason for obtaining the permit at this time is Duncan P. McClelland,AIA Laura M. McShane to obtain approval from the Massachusetts Division of Health Alan S. Ross,AIA Care Quality. We are aware that because the building is part of a larger project some items may not be finalized on the submitted set of documents. We expect that you will issue the permit with a letter stating that it will be validated contingent on the issuance of the building permit for the Common's Building (Building #4000) . Daniel Gent of the Division of Health Care Quality has informed me that this is acceptable to his office. If this poses any problems or you have any questions please call me. Thank you for your assistance. Sincerely, EARL R. FLANSBURGH + ASSSOCIIATES, INC. r Douglas P. Murray, AIA cc: Daniel Gent Paul Luthringer Mark Brauer David Soleau Duncan McClelland -14 ORT --,_d i1u`�AL kown ' otAnuover 6 . OL TO 190 VE VPS Yf 4-.�.._.j y y 4 _-- 11� COC HIC riE WICK � AOR l SV BOARD OF HEALTH PERMiT T L 0 THIS CERTIFIES THAT ..... .. ....................................................... BUILDING INSPECTOR has permission to erect v151 !•go..O;;.4.Cwbuildings on Acmf �... 1 ...... Rough +A. � ••, Chimney to be occupied as.................. ........................................ Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough UNLESS CONST R GTI 'rnz •� ServCe Final ... ... ... .. . .. . .. BUILDING INSPECTO GAS INSPECTOR Rough Occupancy Permit Required to Occupy Building Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector .....__.._.�..�......_........,.��:_�+��•a...�WC°........,s::.N�.�_..._ a.°e.._.a.:s.�._.._s.�x�E.;^-" � ° ,i iS:>,�m+ ia�t". .. � ..n,,. _n ��- �- ' Earl R.Flans burgh+Associates,Inc. 77 North Washington Street .Boston,Massachusetts 02114 •Telephone"(647)3673970 . * Facs�m� 617)720 7873 15 January 1991 Architecture F Space Planning Mr. D. Robert Nicetta Interior Design Building Inspector Landscape Architecture Graphic Design 120 Main Street North Andover, MA 01845 Earl R. F!ansburgh, FAIR RE: Edgewood Life Care Michael H. Bourque, FIBD Denis V. Boucher,AAIA Dear Mr. Nicetta: Larry R.Carr David S.Soleau.AIA Please find enclosed the Building Permit for the Health Center at the above noted project. Also enclosed is a $25.00 check Nelson R. Hammer,ASLA for the fee for the extension of the permit for an additional Liam Lynch,AIA six months. Please let me know if there are any problems or if Duncan P. McClelland.AIA Laura M. McShane you have any questions. uestions. Alan S. Ross.AIA Sincerely, EARL R. FLANSBURGH + ASSOCIATES, INC. Doug Murray, ,,IA cc: David Soleau Duncan' McClelland y. : . 2Ql , ,. w Ead R.Flansburgh+Alioclat®8,Inc. 77 North Washington Street" Boston,Massachusetts 02114 {Telephone (617)367 3970 ..4 _ TRANSMITTAL Date JAIL j LwAe r 21111 go Sent to D �loblef# �iGGy t IG. Project �� l.Woc) Company Name �] n�O�►P.� 1 1�� �tts Address (20 MQ�W Sl'(CG# Project No. ��2�.0!) City/State N AHA o15�fS TRANSMITTAL OF WE ARE SENDING YOU THESE ARE TRANSMITTED AS INDICATED ❑ Drawings Enclosed Herewith ❑.Accepted ❑For Your Acceptance ❑ Revised Drawings C Specifications G Under Separate Cover -Accepted as Noted It For Your Approval ❑ For Your Records Artwork 'v'ia Revise and Resubma E!For Cost Estimates ❑ For Review ❑ Not Acceoted ❑ For Construction ❑ No.of copies Date Dwg./Spec.No. Description �_ eta►��� P�e�►_ ET -- WAA GW►rXAI. ab 1A)(11 :fig= Distribution Remarks Prepared by ' ^± !t N 1C N O R T _...�.��......... — own 01k, 6Andover e,, OL 0 No. 299 M 19 J1 V'E , ?CA*U141. �� a ::: , ,,, - Win. er, ass �r �3_ � L K COC111C 1.[wICH �A �V OPwin OARD OF HEALTH PER 1, T LD THIS CERTIFIES THATMIT 4. L.... ....................................................... A 1 BUILDING INSPECTOR has permission to erect' !ft l.g .0�.�►buildings on .`�'�•A.—O.. ....k�./...•....... Rough 1 'Qi11.� •[� y M .• Chimney � t_ .' Vvll �+'""�v^&`$�P.•:1►aP'.�':�`�Ca ...................................... Final Tw rm to the terms of the application on file in PLUMBING INSPECTOR n[ {Juj�+, M €## y°��� �, :� ,r' a Inspection, Alteration and Construction of Rough " ' 4 �` t Date N t � Final y f s�t1r 1, �����i��T}OWN OF, NORTH ANDOVER S .t • i ! 1 * t ; Certlflcate of occupancy $ MONTHS ELECTRICAL INSPECTOR , � l? jbbllding/Frame Permit Fe $ Rough k . e ''rti ►''/'�. ' Oil m" } Il f' �' S _ (1 �-'- ,F Service 1foundatlon, mrilt'Fee Final nal rmltl Fee £/rojs ....� BUILDING INSPECIOe w ,rLolon � Fee $ GAS INSPECTOR _ Wit -Phriection Fee } 4I $ Occupy Building Rough tii��, n.s. 7 a 3 iin < T TAL $ { Final t � 1 ►� ,' �}};. �---- - on the Premises Building inspector . FIRE DEPT. Burner Div.Public Works . cted and Approved by Smoke Det. Building Inspector - - - - -- - 2-01-1 2-1 CJ60 i v I _ �aUid �u`teap o dio ated, Site. ARCHITECTS - ENGINEERS - PLANNERS 105 Webster Street, Unit 1 & 2 Hanover, MA 02339 (617) 331-3480 May 9, 1990 Town Hall of No. Andover 120 Main Street J1!_ �'� It No. Andover , MA 01845 f. � __. _.,� E ' I I ..Qarw..� �� r N_.AY 1 E Attention: Bob hai cetta �I ,��- ���V �'� Building Inspector RE: Nursing & Retirement Centers of the Andovers Dear Mr-. Ni cetta: Our office is writing this letter- to clarify a concern-: that you have related to handicapped accessibility of the Nursing �4 Retirement Center- of the Andovers. Our office has designed the facility to comply with the applicable building codes. We have reviewed the Architectural. Barriers Board Code 521 CMR. and find that it applies to our project as described under- 521 CMR-Ch. T. •1 , as specifically mentioned under 521. CMR- sub-paragraph 5, ib. 2 " Institution of Buildings" . Based on this we then, proceeded to requirements for Institutional Buildings (which nursing homes are considered to be as stated in the Massachusetts State Building Code-Type I-2 and as determined by the No. Andover- Zoning Boar-d) . The Zoning Board is granting a special permit for an institutional type building to be located on this site. Under the Architectural Barrier Board Code , 521 CMR-Ch . 13, "Health Instituti.onalrFacilities" , specifically provides requirements that this facility must comply with. These requirements were used to design the facility. CHAPTER 15- HEALTH INSTITUTIONS/FACILITIES 13. 1 HEALTH INSTITUTIONS OR FACILITIES ARE BUILDINGS in which medical service or treatment is provided , and shall include , but not limited to, hospitals, clinics, dental offices , sanatoriums, alcohol and drug detoxification centers and buildings in which one or more doctors provide health services similar to those provided by any of the above. 17,. ' Where in-patient medical care is provided , all bedrooms and bathrooms shall have clear- door openings of at least thirty- four (34) inches. At least five percent (5%) or a minimum of two (2) per floor , whichever- is greater , of patient bedrooms with bathrooms shall have bathrooms fully accessible in accordance with Section 30 or 2. i • r 1 May e, 1990 page two 1. . = Where toilet rooms arc- provided , at least one water closet and one lavatory must be accessible. 1-. 4 Where showers or tubs are provided , at least one per floor must be accessible. 1=. 5 All examination and treatment rooms, and waitinq or visiting areas must comply with these Regulations. As you can see by the requir-aments of the Architectural Furriers Board , -the Summary indicates that all patient bedrooms and bathrooms shall have a clear opening of a minimum of 4" . I j believe you will find that the doors to our bathrooms are =6" wide and the doors to the patients bedrooms are 44" wide. This exceeds the requirement as stated. It further requires that 5% or a minimum of 2 patient bedrooms per floor comply with the requirements of Chapter 32 of the regulations. We exceed the requirements of the Barriers Board , as we have a minimum of 10% of the patient rooms coplying with these requirements. With the exception to the grab bars which we have placed on an angle as opposed to being parallel with the floor , as shown in the Barriers Board Code. The reason for this is that we find that the code was set up for individuals who are younger and are functioning at a higher level than the individuals who reside within a Nursing Home. Un+ortunately, most of the residents would not be able to access the water closet by a side transfer , consequently, the grab bar is used mostly for the individuals who do not occupy a wheelchair or only use the wheelchair on a temporary basis and we find that the slope grab bar is much more functional and ef+ecient for these r. individuals to utilize. We believe that the intent of the Barriers Board is to provide an easier way to access_ various parts of a building. Since the residents of a Nursing Home are in need of medical assistance and have var-ieus types of physical impairments, ., we find that a variety of handicapped toilets is better. However , if mandated , the grab bars can be relocated as shown in the Barriers Board Code. It should be noted that it is not the intent of the Barriers Board ''to require Nursing Homes to be full ;/ accessible to the handicapped --for the same reasons they do not make hospitals +.ally accessible. Individuals who need health care have a staff of nurses to assist them. The top two floor handle the less ambulatory patients. ti i { May 97 1990 pace three r If our office can provide you with any additional information in regards to the contents of this letter , please, do not hesitate to contact us at your earliest convenience. We respectfully request that the facility be approved as constructed. ;:'Sincerely yours, DAVID H. DUNLAP ASSOCIATF_S, INC. 'avid H. n`1ap , Jr. , A. ' . . F'resi dent Alan Sol omont Doug Noble Butch Hiller I I �a�id u�teap o�ddac'ted, Pvc. ARCHITECTS - ENGINEERS - PLANNERS 105 Webster Street, Unit 1 & 2 Hanover, MA 02339 Big (617) -331-3480 April 24 , 1990 Town Hall of N. Andover Office of the Building Inspector N . Andover , MA Attention : Building Inspector RE : N. Andover Nursing Home Dear Sir : It has come to our attention that you have directed the General Contractor to modify the installation of the Toilet Grab Bars , to comply with Section 32 "RESIDENTIAL BATHROOMS" of the Architectural Barriers Board 521 CMR. Since the building is classified as a Health Institution by both the State Department of Public Health and the special Zoning Building Permits issued by the Town of N . Andover , ' the Residential Section does not apply . The Department of Public Health will not approve changes in their design criteria . Sincerely yours, DAVID H. DUNLAP ASSOCIATES , INC . Rich rd EE -Crowell , PE CC : Butch Hiller ,,,IIs ; R 2 6 1990 I! L L L��.�.Q c,,,., t-F c"G'�, �° �(3. (' C'c�.� P.re.,s• r �.4L.. 'T C � �� i '. Earl R.Flansburgh+Associates,Inc. 77 North Washington Street Boston,Massachusetts 02114 Telephone(617)367-3970 Facsimile(617)720-7873 2 October 1990 Mr. John Thompson North Andover Electrical Inspector Architecture 120 Main Street Space Planning North Andover, MA 01845 Interior Design Landscape Architecture Graphic Design RE: Edgewood Life Care Osgood Street North Andover, MA Earl R. Flansburgh, FAIA ERF+A Project No. 8629.00 Michael H. Bourque. FIBD Denis V. Boucher, AAIA Dear Mr. Thompson: Larry R. Carr David S. Soleau, AIA I am writing to confirm our telephone conversation of 1 October 1990 regarding the electric metering requirements at Nelson R. Hammer. ASLA the above noted project. As we discussed, in my letter to you Liam Lynch. AIA Duncan P. McClelland.AIA dated 29 June 1990 I stated that the Massachusetts Electrical Laura M. McShane Company had agreed to meter the residential buildings Alan S. Ross,AIA individually, rather than each residential unit individually. Included with that letter was a letter from Robert Berthia ume of Massachusetts Electric to Matthew Bowers of Shooshanian Engineering Associates confirming what I have stated above. In our discussion today you stated that the Town of North Andover will accept the decision of Massachusetts Electric. We shall proceed with the design of the project based upon this decision. This letter shall serve as confirmation of the decision regarding this matter in lieu of any documents from the Town of North Andover. If you have any problems or questions concerning this matter please let me know. Sincerely, EARL R. FLANSBURGH + ASSOCIATES, INC. Douglas P. urray, AIA cc: Paul Luthringer Mark Brauer David Soleau Duncan McClelland Ed Kaitz Matt Bowers Robert Berthia.ume LD. Robert Nicetta OCT 4 1990 I3UILD!NG DEd°�<RTMIENT Earl R.Flansburgh+Associates,Inc. 77 North Washington Street Boston,Massachusetts 02114 Telephone(617)367-3970 Facsimile(617)720-7873 5 September 1990 Mr. Daniel Gent Division of Health Care Quality Architecture 80 Boylston Street Space Planning Boston, MA 02116 Interior Design Landscape Architecture Graphic Design RE: Edgewood Life Care Services ERF+A Project No. 8629.00 DON #3115 Earl R. Flansburgh, FAIA Michael H. Bourque, FIBD Dear Mr. Gent: Denis V. Boucher, AAIA Larry R.Carr David S. Soleau, AIA Please find enclosed the Building Permit for the Health Care Center at the above noted project. Also enclosed is a copy of a letter from D. Robert Nicetta, North Andover Building Nelson R. Hammer, ASLA Inspector, to myself outlining the conditions of the Permit. Liam Lynch, AIA Duncan P. McClelland, AIA As we discussed during our telephone conversation on Tuesday Laura M. McShane g P y Alan S. Ross,AIA 27 August 1990, the Health Care building is part of a larger project and some items may not be fully documented in the documents submitted to you, dated 2 May 1990 (drawings) and 15 May (Project Manual) . As we discussed, we expect that your office will review the documents submitted and notify us whether they meet with your approval by the end of September. When the full project documents have been prepared and stamped, we will submit that package to your office. At that time, we will meet with you to discuss those items that were not included in the previous documents. As discussed, we are assuming that your final approval will be granted within two week after our meeting. If these items pose any problems or you have any questions please call me. Sincerely, EARL R. FLANSBURGH + ASSOCIATES, INC. G Douglas P. Mu ay, AIA enclosures cc: Paul Luthringer Mark Brauer D. Robert Nicetta p� David Soleau LSEP Duncan McClelland 9 1990 BUILDING DFPPJ9T;f-ir SLWERPWA _ TSR_ FINALN®R T ------ Town of 6 Andover I AVEWAY n er, mass., 'Q COC HICKEWICK ooR Pa SS BOARD Of HEALTH PERMIT T LD THIS CERTIFIES THAT:3� ! uf'�. Q ....................................................... �1��`` ll .1 in BUILDING INSPECTOR has permission to erect .9,.0M .�buildings on .!`;M ....+�.. . .. .*b... ...... Rough to be occupied as.................. �r. . .��r..� Chimney .... ....................................... Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTH ELECTRICAL INSPECTOR Rough UNLESS CONSKzrt&.... 5,�. Service Final .... . . . . BUILDING INSPECT GAS INSPECTOR Rough Occupancy Permit Required to Occupy Building Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector Of .4 Town of 1 ()FFICES r�F: °0 120 Main Street ' Bt-ILD►:\G NORTH ANDOVER `Orth Andover. CU\SER%'ATIO� Massachusetts 01845 I IEALTH `+,' ,;.4r DIVISION OF (508) 682-6+83 PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR August 239 1990 Mr . Douglas P. Murray, A. I. A. Earl R. Flansburgh & Associates, Inc. 77 North Washington Street Poston, MA 02114 RE: Edgewood Life Care Services ERF & A Project No. 8629. 00 Dear Mr . Murray i Building Permit #2999 datedi August 1, 1990 and issued to Samuel Rogers for construction of the Health Care Center is conditional upon the submittal of final construction drawings for approval by the North Andover Building Department. The building Permit will be suspended if any type of construction is attempted prior to receipt of approval. Thank you for your cooperation in this matter. Yours truly, D. Robert Nicetta, Building Inspector DRN: gb c/K. Nelson, Dir. J. Gordon, Town Mgr. SAMUEL S. ROGERS r POST OFFICE BOX 111 NORTH ANDOVER, MASSACHUSETTS 01845 June 22, 1990 Mr. Robert Nicetta Building Department Town of North Andover Main Street, North Andover, MA 01845 Re: Edgewood Life Care Dear Mr. Nicetta: I understand that you have been most cooperative in agreeing to issue a Conditional Building Permit to Edgewood Life Care, Inc. , but cannot do so because I am currently the registered owner of the property. I am enclosing a "To Whom It May Concern" statement attes- ting that the property is under a legal Purchase and Sale Agree- ment between me and Edgewood Life Care, Inc. , and acknowledging that the latter has the authority to act as my agent in obtaining the necessary permits. If the statement is inadequate for your purposes , please contact me at the above address or 688-7211 or 685-1595 when you return from vacation. I will be in the office Wednesday and Thursday, June 27th and 28th. Otherwise my secretary will know where to reach me. Thank you very much for your continued cooperation in this matter. Sincerely, AMA•+i.�++ Samuel S. Rogers cc: Paul Luthringer 2 6 19 90 ,�; �, IN �� To Whom It May Concern: This letter is to verify that there is an executed Purchase Agreement in place between Edgewood Life Care, Inc. and Samuel S. Rogers for the purchase of approximately 62.9 acres of land bordering on Lake Cochichewick and Edgewood Farm, dust north of the intersection of Osgood and Stevens streets in North Andover, Massachusetts, for the development of a life care retirement community consisting of 249 apartments and 45 health center beds with extensive common facilities. 4 Samuel S. Rogers, the current landowner, hereby assign Edge-wood L ife Care, Inc. as my agent to initiate a Building Permit for the construction of the proposed life care retirement community and consent to their building permit application in this endeavor. Samuel S. Rogers �. Zai 195'0 Date i i , t " 261990 `-;J;EN 4 August 239 1990 Mr. Douglas P. Murray, A. I* A. Earl R. Flansburgh & Associates, Inc. 77 North Washington Street Boston, MA 02114 RE Edgewood Life Care Services ERF & A Project No. 8629. 00 Dear Mr. Murrayp Building Permit #2999 dateds August 19 1990 and issued to Samuel_ Rogers for construction of 'the Health Care Center is conditional upon the submittal of final construction drawings for approval by the North Andover Building Department. The Building Permit will be suspended if any type of construction is attempted prior to receipt of approval. Thank you for your cooperation in this matter. Yours truly, D. Robert Nicettal Building Inspector DRNigb c/K. Nelson, Dir. J. Gordon, Town Mgr. f s 4 s CJ'.tcir'G /A Cl g,a,CG JC7f4 o, . Michael S. Dukakis is Governor �z�.n�1�i(eu�Crz lace = llaarrz 7370 Deborah A. Ryan Executive Oirector r It (617) 727-066C DECISION RE: Edgewood Lifecare, Osgood Street, North Andover. 1 . An application for variance was filed with the Board by Paul Luthringer (Applicant) on March 9, 1990. The applicant had requested variances from the following Sections of the 1982 Rules and Regulations of the Board. Section: 8.1 - relative to the requirement of providing 5% of the residential units as fully accessible units. 2. The hearing was held on: Monday, June 23, 1990 3. The following persons appeared: Paul C. Luthringer, Project Development Manager and Duncan McClelland, Earl R. Flansburgh & Associates 4. FINDINGS AND DECISION: The Board having considered the evidence, hereby, finds and decides as follows: Th.e Chairman stated that since the project. will be new construction and as such, must fully comply with the Board's Regulations. The project is a life care retirement community consisting of three- story residential buildings; a two-story building for administration, dining, games, activities, recreation; and a single-story skilled nursing facility. The project will be built in phases. All public spaces in the facilities will be accessible. The minimum age of the residents_is, 62 and the average age is 79.6 years. I AUG 1 5 W90 4 A The petitioner was before the Board to seek a variance to Section 8.1 relative to-the requirement of providing 5% of the residential units as fully accessible handicapped units at the time of construction. The petitioner is seeking 'the Board's permission not to build 5% of the units (13 required) as wheelchair accessible, but to modify the designated units as the needs arise to avoid compromising the marketability of the units. The necessary space will be provided in the accessible units to accommodate a later retrofit. In 'partib6lar, the petitioner- is seeking _ the variance to allow the installation of conventional bathrooms and kitchens. The unit mix is as follows: The different type of units are designated on the plan as A,B,C,D,E;F In Phase I Buildings - 3 "B" units, 3 "C" units 3 D units will be provided. In Phase II - 2 C Units and 2 "D" units will be provided. Phase I will begin construction in the Spring of 1991 , and Phase II is planned two years after that. The Board inquired as to why the petitioner would want to incur additional expenses to modify the apartments, when it would be less expensive to outfit the apartments at the time of construction. Especially when the . facility will be housing an aging population -that could benefit from the fully equipped accessible kitchens and bathrooms. Testimony was given by the parties, that in their experience, with respect to this type of project, there is not a demand for accessible units, but that if an accessible unit were required, it would be modified. Further, it was stated that currently the petitioners manage 10,262 apartments and 2,296 health center beds, and it appears, from contacting all the other projects, that there are only thirteen fully equipped apartments in all. The Board advised the petitioner that there is a new Massachusetts Housing Bill of Rights relative to provisions for fully adaptable housing in new construction. The law will effect projects constructed after January 1 , 1991 . The Board stated that this law will have an impact on the proposed project, therefore-, the Board voted to take this case under W N I 2 FF� A UG advisement, and will make a decision at a later date. On August 6, 1990, the Board reviewed all the information submitted, and the Massachusetts Housing Bill of R-ights, enacted by the Legislature on January 2, 1990, and issued the following decision. The Board voted to GRANT a variance to Section 8.1 to the requirement of providing five percent (5%) of the units to be fully accessible, on condition that Edgewood Lifecare provide five percent (5%) of the newly-constructed apartments as fully adaptable units.. Fully adaptable units must provide all the space requirements as specified in the regulaticns, however grab bars, etc. need not be provided until needed, but reinforcement must be provided to accept the installation at a future date. This constitutes a final order of the Architectural Access Board, entered pursuant to G.L. c.30A. Any aggrieved person may appeal this decision to the Superior Court of the Commonwealth of Massachusetts pursuant to Section 14 of G.L. c.30A. Any appeal must be filed in court no later than thirty (30) days of receipt of this decision. DATE: August 13,1990 ARCHITECTURAL ACCESS BOARD Gerald LeBlanc Chairman cc: Local Building Inspector Local Handicapped Commission Independent Living Center 3 i 4 Y,44� Michael S. Dukakis Co-ernor �,� Deborah A. livau lice.2✓/Zkz�J�ace - /Lluirc 1310 Executive Director D / (617) 727-066C TO: Local Building Inspector ector Local Handicapped Commission _ -.. Independent Living Center . FROM: Architectural r A chltectural Access Board SUBJECT: DATE: _ \/ f�� Enclosed please find the following material regarding the above premises: Application for Variance V Decision of the Board Notice of Hearing Correspondence Letter of Meeting The purpose of this memo is to advise your office of action taken or to be taken by this Board. If you have any information which would assist this Board in making a decision on this case you may call this office at (617) 727-0660 or 1-800-828-7222 Voice or TDD or you may submit comments in writing to the above address. Thank you for your interest in this matter. I • I AUG 1 5 1990 '301 DING > c,o i if �.uN-9a � •. {tea., �5. .._1� 11 �'� � I � �������� �� OHO DTN°,H OFFICES OF: T o TOW? BUILDING , NORTH A. CONSERVATION p 'ss�ceuss� r DIVISIO PLANNING ' PLANNING & COMMUI KAREN H.P. NEL. 1 . Y rr ` r CO[y,STRU-Q I.pN_CL ' In/ accordance with Section 127. 0 c Code, I, --- - —_ professional eng i neer•/ar,ch i t ect h ti r C.sZ. CoN�% Pc-7zw :r 1=cam Co rHMo Ns CILWG-• Aq , c 1,49'2, Soo �= J� 7,4 3.✓s 1}4`T��.`t1i CW-2C 18, cco �'j 001 wo 4,500 �C`s►�t���, � (1-77) 4-,ITS) 155, 000 5, 7So, 4g 7Co Ct• ^� __ "" d13 20 144 uvo — 91/ 7 z3 C�-7g7c194-C 7 J CPO 2'11, 770 l I o 135$8� , soo �� S8� 13 r10 S8g 177 LtQLtS 8 S�o S 177 " st r Fc>m Con•, wt.ws Owe" / }LTt+ I , �, ge-t,.�a*}z, � IJ,4lt�2,_ `I-1�rP r�s Fe�2 Co�rin•o�s 154 9 3 o u' - .C=T.' tom(, LusT °(a�rsl. ���n.�'t•' 1=c�' o � kA l=lLr j e L Z� "0 � �u o� Ono 91 Soo v-v 3 �'o o ClUD Soo 60 04a crao 14 o s � 7z � I o ! Ile G, cub bO j'mo F AOD gg g, — ,.�,�� � .t•tCZ���C ��'�t �E- �,�o� ,o� �� 53(��Z, /J-vo oo\ R s�6 z -Al *.So oe x 7'Z (.e,H �S ttp '3 l000 oa lJr � t� /So6.vZ n"72 Gti, /o8 43+ — 1� i O �t� t=02 Con,nov5 /U.cX-., Gq rz.e (ILI 8 (/• fir. C�,aq� Lv i}-� T?}P (�23 Foi[ �r�otis UF 3Sg /zL -- �+-��y.L WHAT INFORMATION IS NECES- must be filed in Superior Court within 30 SARY? days of receipt of the decision. The estimated cost of the construction for the project; The Board also may reopen the hearing Written cost estimates of what it would only if you have new information or new cost to comply with the Board's regula- evidence which was not reasonably tions; available to you at the time of the hearing. You should also be prepared to show Remember, the burden of proof is on plans indicating possible alternative so- the applicant to prove his/her case. FACT SHEET #4 lutions to how compliance could be Statutorily, the Board can only grant achieved,and associated costs with each variances if compliance with the regu- solution. lations is technologically infeasible or the cost of compliance is excessive WHEN WILL I FIND OUT THE without any substantial benefit to DECISION ON MY VARIANCE? handicapped persons. VARHANCE If all material is presented,the Board will H EA R H Mur" make a decision at the end of the hearing PROCESS or take the case under advisement and 1990 make a decision later in the day or the following week. It usually takes about four weeks to receive the written deci- sion. IS THERE AN APPEAL PROCESS IF I AM AGGRIEVED BY THE Commonwealth of Massachusetts BOARD'S DECISION? ARCHITECTURAL ACCESS BOARD One Ashburton Place,Room 1310 Boston,MA 02108 Yes, however, the appeal process is 617-727-0660 or 800-828-7222 Voice/TDD through the Superior Court. An appeal 5. 6. less the Board deems more time is neces- affected by this variance should appear in Bary. You should be aware that it is the the event that the Board has questions. Board's standard procedure to send cop- ies of your application for variance, as DO I NEED LEGAL COUNSEL AT A B well as the notice of hearing and the final THE HEARING? decision, to the local building inspector, No.90%of the Board's hearings are con- local handicapped commission, and the ducted without legal counsel. However, VARIANCE Independent Living Center for the area in if you desire to be represented by legal which the building is located. counsel, that is fine. HEARING When you appear at the hearing, you WHAT TYPE OF PRESENTATION PROCESS will be sworn in by the Chairman and be SHOULD BE USED? asked to present your case. All visual material should be readable When making your presentation, you from at least 10 feet away. It is helpful to should address the areas for which you are mount drawings and photographs on The following is a step by step guide to requesting a variance. If you are submit- boards. the variance hearing process. The most ting evidence such as letters, etc., please important thing to remember is that you bring nine(9)copies so that each member It is extremely important when present- must be prepared to prove your case. has a copy. Written material of 2 or more ing, that plans are very clear. Color pages should be sent 1 week prior to the coding plans,i.e., showing areas that are hearing (9 copies). accessible in one color and inaccessible All hearings are conducted in accor- areas in another color are extremely help- dance with the procedures set forth in WHO SHOULD APPEAR AT THE ful. Also,provide the Board with 8 1/2"x Massachusetts General Laws, Chapter HEARING? 11" sheets of the presentation. 30A (available at the State House Book Store), and are open to the public. It is important for the architect to appear Photographs depicting existing condi- at the hearing as well as the owner. How- tions in specific areas of the building for You have been scheduled to appear at ever, if the architect has the authority to which variances are being requested are a specific time and are alloted approxi- act in behalf of the owner, the owner extremely helpful. mately 30 minutes to prove your case,un- need not be present. Anyone directly 2. 3. 4. Czececlurc .Jelx Michael S. Dukakis Governor7 rze zn 131A Deborah A. RN an Executive Direc•tof (617) 727-066C /,,..•,,,,,l.i'i'i TO: Local Building Inspector Local Handicapped Commission Independent Living Center FROM: Architectural Access Board i SUBJECT: SC DATE: i' i l •I I _ Enclosed please find the following material regarding the above premises: Application for Variance Decision of the Board Notice of Hearing Correspondence Letter of Meeting The purpose of this memo is to advise your office of action taken or to be taken by this Board. If you have any information which would assist this Board in making a decision on this case you may call this office at (617) 727-0660 or 1-600-828-7222 Voice or T DD or you may submit comments in writing to the above address. Thank you for your interest in this matter. 1. APR 2 0 1999 r � X - V.T,�CLGCClRP�Ci/.CCP V IAY-/-oG , Michael S. Dukakis Governor Qin.S XQ{2�Ll./�A1IL ce = �Jooiri 1. 10 Charles V. Barn . Secretary �oalai� ✓l6e0'fox (617) 727-0660 VARIANCE HEARING NOTICE RE: Edgewood Life Care, Osgood Street, North Andover You are hereby notified that an informal adjudicatory hearing before the Architectural Access Board will be held on Monday, June 25, 1990 at 2:15 p.m. in Room 1310, One Ashburton Place, Boston, MA. This hearing is upon an application made by Paul Luthringer under the provisions of G.L. c. 22, Section 13A, for modification of or substitution for the following Rules and Regulations of the Board as specified in said application: Sections: 8.1 of the 1982 Regulations. A copy of said application is available for public inspection during regular business hours. The hearing will be conducted in accordance with the procedures set forth in M.G.L. c. 30A and S. 1.02 of the Standard Rules of Practice and Procedure. At the hearing, each party may be represented by counsel, may present evidence and may cross examine opposing witnesses. Dated: April 17, 1990 Architectural Access Board Gerald LeBlanc ' / CHAIRMAN f cc: Local Building Inspector Independent Living Center Earl R.Flansburgh+Associates,Inc. 77 North Washington Street Boston,Massachusetts 02114 Telephone (617)367-3970 o" MEETING NOTES Date: 30 March 1990 Project: LCS - Edgewood Project No: 8629.00 Location: N. Andover Town Offices Present: Karen, Nelson_______,__ N. _Andover..,- Dir.. -Of—Planning & Comm Dev. Bo_b_Nicetta. N.._.Andover, Building Inspector '> Paul Luthringer Life Care Services Don Scandrett Life Care Services Larry Striebinger The Weitz Company Duncan McClelland Earl R. Flansburgh + Assoc. ° Doug Murray Earl R. Flansburgh + Assoc. Distribution: All Present Mark Brauer The Weitz Company Nelson Hammer Earl R. Flansburgh + Assoc. Frank Chang Earl R. Flansburgh + Assoc. David Soleau Earl R. Flansburgh + Assoc. John Headerle Earl R. Flansburgh + Assoc. A. Permitting 1. Paul stated that staggering of permits, or partial permits (i.e. foundations) will not assist LCS in obtaining financing. All permits must be obtained prior to getting final approval on financing. Because of time constraints, it is important that LCS and ERF+A be aware of all requirements necessary for approval of the documents. 2. Building permits will be issued individually for each residential building, the Commons, the Health Care Center and the garage. No advantage appears to be gained by issuing individual permits for the residential units. 3. The expected amount of earthwork will require a grading/excavation permit. D Ili APR 2 4 r- Meeting Notes LCS - Edgewood 30 March 1990 Page 2 4. The Order of Conditions will not be fully met by the May 1 deadline for submission of the Health Care Center contract documents. Karen felt the outstanding items would be minor and an attachment to the building permit could address these items which will allow the permit to be forwarded to the Division of Health Care Quality. Bob photocopied the memo listing the current state of permits for Karen and himself. S. Paul stated that the change in underground parking from under the buildings to the underground garage would be a modification to the Order of Conditions. Karen is to investigate if this will affect the conditions. 6. Bob Nicetta will send samples of the forms for resident architect/engineer and/or controlled construction to ERF+A. 7. Larry brought up issue of additional permits during construction: a. Temporary toilets - Town Health Inspector (if required) b. Construction trailer - 6 month permits which will have to be renewed. C. Temporary storage of gas for heating - Fire Department. d. Blasting - Fire Department. e. Work on Saturdays, Sundays and Holidays - Police Department 8. Planned Phase II work will not be shown on Phase I documents. B. Code Review 1. Doug presented a code summary of the Mass. State Building Code for the Residential, Commons and Garage structure. 2. Residential a. Bottom of stairs at lowest landing to be enclosed, no storage will be allowed in this space. b. Access to attic to be through hatch in third floor corridor. Pass through doors were proposed between attic smoke compartments. Bob stated that the Fire Department may not find this acceptable and want access to the attic from every apartment. ERF+A to investigate. l d ;• Meeting Notes LCS - Edgewood 30 March 1990 Page 3 C. Height limits on the residential buildings will be affected by a change in the zoning ordinances. Bob stated that the height is now taken from the lowest point of the grade around the building, not the average grade. This does not appear to be a problem at the main buildings but does affect the nodes between buildings. ERF+A will investigate grading at the nodes to bring them in compliance with zoning. d. Handicapped units have been designed into the project. Paul informed Bob that LCS is applying for a variance from the state barriers board to build these units on an as needed basis. 3. Commons a. ERF+A has divided this structure into two buildings of type 4B construction. Mechanical rooms and the kitchen will have 1 hour rated enclosures. b. ERF+A to forward plans and specifications of the Food Service equipment to Bob for review by the Town Health Inspector. C. Health Care Center Outstanding Issues: 1. Paul informed Bob that any expansion of the Health Care Center have not been discussed with the State and will not be addressed in the contract document submission. 2. The use of Werzalit siding was proposed for use on this Type 1B, non-combustible building. ERF+A to discuss this with the State Fire Marshall, Bob will talk to the Board of Regulations and Standards. Doug stated that Werzalit does have a siding which has been treated to obtain a class A rating, which will satisfy the requirement of non-combustibility. Bob stated that because options are available to resolve this issue, it would not hold up the permit process. D. General 1. ERF+A to submit 3 more sets of the March 26, 1990 Design Development submission drawings to North Andover for review by other departments. Comments were requested and hopefully will be sent to ERF+A before completion of construction documents on April 30. r Meeting Notes LCS - Edgewood 30 March 1990 Page 4 2. ERF+A will submit 4 sets of the Health Center construction documents to North Andover on or about May 1. The preceding meeting notes represent our interpretation of the information exchanged. Please notify us of misunderstandings or required interpretations ASAP as we will proceed on the basis that these items are as agreed to by all parties concerned. Prepared By: Douglas Murr�yl AIA