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HomeMy WebLinkAboutMiscellaneous - Bldg 6-Groupe SchneiderRM C/) m m m m m :0 C/) m U) 0 m co CA CD 0 CD -0 I"t 23CD • CA co cn 0 CD a 0 CD 0 0 C-> Iasi 0 9 cn -n, cp;t In po Ix n PO cn I 0 0 a 0 r- m 00 r 0 m "a- - X- - CL z C/) C) to T > 0000 C', C) 0 > c7-0- xco� COD cn 0 9 Town of North Andover i OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street North Andover, Massachusetts 01845 WIILLIAlv1 J. SCOTT Director (978)688-9531 Fax (978)688-954? In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit IL Number s that the debris resulting from this work shall be disposed of in a properly i _used solid waste disposal facility as defined by MGL c 11, S 150 A. The debris will be disposed of in: J)iqos�'G - wg4,1g u m6 7�3 i- � 7� - OS80 (Location of Facility) j Signature of Permit Applicant 16 z (?C/ Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector M 91 POAR-D Or. 2FE.1-LS 683-9541 BLUZING 688-9545 CONSERVATION 683-9530 HEa.LTH 688-95»0 PLANNING 683-7535 0 L � The Commonwealth of Massachusetts Department of Industrial Accidents 9MC-6 91/9Yest(y1waas 600 Washington Street Boston, Mass. 03111 7T•Compensation • ayit ��' t sem, f 'ie'�:C`•tL.r,'i(ij10';, � "�' v '..!"� ::ti;•;�..r,..::r . ci. f t:,:...+.�w�...i.:.t�:lt1�!���.reGli�e�i�• N :t [1 I am a homeowner ee. rorrnins ail work myself. Ci I am a sole proorie:or and have no one working in any caoacity ❑ I am an employer providing workers' comeensacion For my emplovees working on this jab. addre!!r. ©MIJ31— S c� Gc� wG9/q(�%7d7 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: insar�nr ro. Failure :o secure coverage» required unuer Scc:ion '_Sri 0. f N1GL L: cin Icad to the imposition of criminal penalties of a fine up to 51:00.00 inc/or one yeah' imprlsonmcnt as well as civil penalties in the corm of a STOP WORK ORDER and a Fine of 5100.00 a day against me- 1 uncierncand that a copy of this statement may be forrardcd to the Orrice of lnyestigations of the DIA for coverage vcrticaaon. 1 do hereby cerijy under the pains and altirs uI prriury that the inion -nation provided above is ;rue and rre = q �igna^urc G Date �& / P^ntnes:,e <J a l Wf Pllonc,4�7R' 70— - 60� ot71C:21 use only do not wr,tc in this arca to be compic:cd by ciry or town uMcial 'J c:tY or :own: ._ Cate;( Irlmmediate re_Jonsc i] rccuirca contact person: , rc-.,,a, .,., r:.\1 phone .+": permiulic.'19e ;; r Building Department Licensing Board [Sciec:mcn'� Of1ic: [Hcaith Dcpar,mcat r-Othcr FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from. Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ** *-******************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT P��6�1 V� I�cr9 �FJ���E�CI��� PHONE "-750— 0077 LOCATION: Assessor's Map Number fjS PARCEL SUBDIVISION LOT (S) STREETQ0�9P e S� 1�% ST. NUMBER ********* *********************OFFICIAL USE RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR COMMENTS TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED_ DATE APPROVED DATE REJECTED_ DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED_ PUELIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT r./ FIRE DEPARTNIENT4 , RECEIVED EY BUILDING 1NSPECTC Revised 919; jm /_14�11�, DATE AFFIDAVIT FOR ARCHITECT AND ENGINEER THE COMMONWEALTH OF MASSACHUSETTS COMMONWEALTH OF MASSACHUSETTS SS: COUNTY OF ESSEX On this 22nd day of September A.D. 1999, before me, 1( I-) 6=13yer-- Linda S. Smiley, who, being duly sworn, deposes and says that she will review the preparation of drawings for Groupe Schneider demolition work on the fourth floor of Building 7 and the ground, first, and second floors of Building 6, in North Andover, Massachusetts; and that she will review and/or provide for the proper checking of all the working drawings and shop drawings for construction; and all modifications to the existing structures will be designed for construction in accordance with applicable provisions of Chapter 1, Section 116, Massachusetts State Building Code, and that such plans conform to all the applicable provisions of the Massachusetts State Building Code, and that all the materials used in the construction will be selected by specification by her or her registered professional Designee in accordance with the Controlled Materials Procedure therein defined. Linda/�!1 Su cribed and sworn to before me thiM�f r A.D. /999 /J! �,/.��,/ ,Notary Public My commission expires on \\Adv(s01\Projects\Projects\9982700\correspondence\DEMOLITION AFFIDAVIT.DOC ' No. 10080 HAVERHILL, MASS. , CARR) Comlic monwealth of Massachusetts My Commission Expires June 9, 2006 re p p- P/(- (e , ■Kyj Ma WE z _ z 1 O z � o _ Y z. Ca y C D n z z o z— n a � © •. O y I M rn iii Ci m m _ z z z z r o O ZLn z z O Z L m v y Ln O O z O Z z to n z 0 Z 1 m w .� rn in '� - __ ., :_. O C7 f7 C7 G _`. Z '••1 n in t* L m .—m. 0 0- d � � K r•i rn � v Z �. a CA z o ODY d _w z m n o V) CD ■Kyj Ma WE N2 19.51 Date ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....... o.i.P.i . ........ t7-J.vJ�A!J .... has permission to perform ........ ........ 5.e.-J..'4g ............................. wiring in the building of ....... ...... ............................ at ...... .... S.T ........ 0.)Aj ... North Andover Mass Fee ."}.C. ...... Lic. No.. A7��yy ............. Y, . ............... C k137 ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Office Use Only �UltlUllllltUtllltll of fi[U tI[IJ1I5ttta Poltilit No, } Ut)lucllntul u( �Dubllt 6n(tlU Occupancy d Foo Checked yr, BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 9/90 (leove blank) APPLICATION d ( ON FfORPERMIT TO PERFORM ELECTRICAL WORK All to bd P co Banco with Iho Massachusults Clucifical Coda, 527 CMR 1 :00 (PLEASE PnTo--n NK Oil TYPE /ILL INFORMATION) Dato City_ f /`�jll `% 1 Id tho Inspuclor of Wlrus: Tho udorslgnod oppllos for u porrnil to purfornlyho ju OJzIrlca work d scrlbod bolow, Location (Strout & Numborr)/) �/r !� oe -- Ownor or Tonanl / .al Ownor's Address Is this pormit In conjunction with R buildinv n Purposo of Du ildinu Cxisling Survlcu Amps _J V011s Now Sorvlco Arnps _J Volls Numbor of Feodors and Arnpaclty Location and Nuluro of Proposod Eluctrlcal Work No, of Lluhllrto outlets No. of Lfuhilno Fixtures No, of neceplecle Oullels No, of Switch Outlets No, of nanges No, of Disposals No, of Dlshweehers� No, of Dryers No. of Weler Healers No, Hydro Masesoe Ibbs OTHER: No, of liol Tobe js Q No ❑ (CAo 'qp Utility Authorization No. Ovorhoad U Undymd ❑ Ovurhuad ❑ Undgrnd ❑ Swintmino (wool Above In- -- urrul. ❑ urnd. ❑ No, of Oil Durnere No. of pas Durner• No, of Air Cond. Total lune No, of Muiura No, of Malum No, of Ilensforntere Total KVA Generator• KVA No, of 1:111srooncy Ughling Ilullsfy Unds 1`I11C ALARMS No. of Zones No, of Dolecllon and 111111r11np Devices No.of Ifual Total Total I Pumps lint• KW No, of Sourxfhtp Devices No, of Self Conjoined Space//free Hsallnp KW No. Devices FIeeIIrtQ Devices �Kyy local unlcllist CAl.-5.1 nnett Other No, of No, of Luw Vohros Stuns ballasts �I Wiring aj�jz,J,-=- No. of Motors %, j Total NP 1NS1.1I1ANCE COVCIAAUE: Pursuant to ate ruqulram•nle of Massachusatls yneral Lows 1 hove a current Liability Ineurrnce P+ullcy Inclugbko Comp stud Olwralluns Covurag• ur hs subelunllal equivalent. YES haus suondtt•J vu11J prWf of wnka to the 011lce. YC$NU O 11 you hove cbucl,uJ YC5, pl•rse Intllcul• the type u NO. O 1 chocl,lno the pp ol,rinle boo. tI✓����` g by INSURANCC BOND C1 OTHER�-y,0 (Please Spacity) � Estimated Value Off�EElle�clrlcsl Work E __Al �J � Expuullun Dalu) Work to Slsri Inspocllon Dals noquesled: flouult Signed undar tike Penalties ofr ur nnrl Pe I Y� fiflM NAME Licensee/� �L�Trc/ LIC. NO, �s-J------__. Slpnelur LIC. NO. Address w, Tul, No, s/ Ali. q Tul. No, OWNER'S INSUIIANCC WAIVCn: I em aware that the Licensee dooe no hove It's Insurance ct9verag• or Its substantial •qulvrl•nl a re (Pie asee bCheck one) wnrnMarsuchus Osrsl Luws, end "Al my 610nalura un this 116111111 upthism llcallon waives this rsllulrearkl• net Agent #a - (Please Tulophono No- PCHMIT Fff eft of U-41-1 ur Admit) _ / —f - ck� No 2092 Date .. ............................ 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING "S CHU This certifies that.. ............. has permission to perform .. ...................... wiring in the building of ........ .................... ............ at .... ....... �....... . North Andover, Mass. Fee/t,/)'6.1 .......... Lic. No .............\ . A ...... at ......................... ELECTRICAL INSPECTOR # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Office Use only 7hE09MMONWE4LTHOFAAMCffUSETIS — DFPARTAiENT0FPUBLIC&4FETY Permit No. % Y BOARD OFMEPREVF.1MONRWM4TIOAS527CUR12:00 Jam_ Occupancy & Fees Checked APPLICATION FOR PfRMlT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a -permit to perform the electrical work described below. Location (Street & Number) VA (-,A* S 1 .F_,_ T of Owner or Tenant t�='l �c c_4- P Owner's Address SA,M%S AS A-6l3.ti Is this permit in conjunction with a building permit: Yes �ot (Check Appropriate Box) Purpose of Building F 1 C_G� ZtVtpVk Utility Authorization No. 'J Existing Service Amps Volts Overhead M Underground No. of Meters New Service Amps/ Volts Overhead M Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. ofTtansformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KV_ A and ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Bumers FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local® Municipal Other No. of Dryers _ Heating Devices KW Connections _ No. of Water Heaters KW No. of No. of Si Bailasis — No. Hydro Massage Tubs No. of Motors Total HP 3 O a'%1-4 L_40,"Nat -4-4. --r SOPA) (00 A•:-'10 SJ6 D Ar i ov2' 2-er IAIJ- tiJfaxeCaerage. 10 0 Iha`E�JaEatiLia)kIM==P01 yHiJJir1gCW#1* CovaaWoritssrbst tdegdvalat YES -NO Iha%eahniWdvdhdpro bfsam 1otheofie YES NO ® Ify mu medWWYESypfemnhmfethetypeof bydxckirgthe F[RM NAME LjMWN , S 1 Lions hgLy, 11 Sigrane `-- Lie w1,b &;-3W- �' &WkssTeLNa �6-L;}fl--9�S0- 1 A1tTUN4- OVVMM'SPWRANCEWAIVFR;IamawhmdtttheLi=w dieinaaat�eoo ari�ss lecgtivilatascaltritadbyM Oe alIaws at��myaec�tltaspmrtiiwairesdtistecg�arta>< _ (Please check one) Owner Agent ID Telephone No. PERMIT FEE Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... ..................................................................................... has permission toI ....... -.1.11,-�-1-jvf I ....... I ................ wiring in the building of ............................................................ at ... ... - .......... . ........................................... *** . .. ..... .North Andover,,Mass. . 4e Fee .... 7 ....40 . ....... ............. Lic. No. ...... .... ... .. .. ELECTRICAL Check # 171,- INSPECTOR N Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3-13-08 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) One High Street Owner or Tenant Schneider Automation Telephone No. Owner's Address Same Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Office Alterations Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Change existing warehouse area to new office space Completion of thefollowing table may be waived by the Inspector of Wires. No. of Recessed Luminaires 8 No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires 155 Swimming Pool Above ❑ In- ❑ rnd. rnd. a oUnits Emergency Lighting 42 Batte Units No. of Receptacle Outlets 85 No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches 35 No. of Gas Burners No. of Detection and Initiatina Devices No. of Ranges g No. of Air Cond. Total Tons No. of Alerting Devices Heat Pum er Tons KW No. of Self -Contained No. of Waste Disposers Totals: .p [Number ............ Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW SecNotoSystems:* Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP TelecommunicationsNo. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 78,000.00 (When required by municipal policy.) Work to Start: ASAP Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I cert, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: East Coast Electrical LIC. NO.: Licensee: Robert Walker Signature LIC. NO.: 17176A (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 978-692-3232 Address: 2 Lan Drive Westford Ma 01886 Alt. Tel. No.: *Security System Contractor License required for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent [PERMIT FEE. S 765.00 Signature Telephone No. -2 Pow &ZJ ,f - I ( -o � )941 r-4-14jPA 10--Z361ae-/J� 11 I VII ra I Location No. �` Date 411 ?A0 MORTM TOWN OF NORTH ANDOVER a t ; Certificate of Occupancy $ Building/Frame Permit Fee $ ; f EMUS E•�' Foundation Permit Fee $ Other Permit Fee $ V Sewer Connection Fee $ Water Connection Fee $ TOTAL $ dulf Building Inspector 13487 Div. Public Works N - I7wi - - - _ N n n N O ..2 Z V� t•t cn •� r C. 4 � � „y '_. r,,,nW [>-' -O .� C r Nm m:; N M n o o z � t c� Ln O z cn ; O O O N .. •� „�- C.v. ca O �. v _ _ N C1 y � N_ p Z o r to to > N = Y' n a m- o_- o 0 0 5 o a .0 o z NCA m no H 0 o y m N. N N > O O_ O - Z n !z c ten. ,4, o' o > o. e cn CA v Z N N N- O Phi /a} .> {p{ p oEn g\( O V O O > I'e1.. • .•• a a i► = N x Vn_ 0<3 X n Z m cn cn 1'1� � d 0 1 � r 1'1� cn 77 O m vcn r� w r C CACAu O i © I O r• Z uC y cn rL •S C m= > a r1 cn n m v n cn CA 4j p1 ISc y vZ Zn p ro y ro m cn n n n n °z O %� ° O! z O z O r m 7y O m o c O G ^= n o ? y inm a r, H r 3C 7.7 77 cam- m ° m ro rm C C d C to ..{ -i H m t1l � cn Ix �•�• CA C �1 ' V ,m'7, A t Zi cn Do nn• N 'M 03 VM N z c N b O z cn a cn C W x n