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Home My WebLink AboutBuilding Permit # 2/16/2016No#: 61 APPLICATION BUILDING TOWN OF NORTH FOR PERMIT ANDOVER PLAN EXAMINATION 4. Date Received oT OF No '"�'� b 1�o " f b:iw o,�' `y1.s i �ssacHp.usc Date Issued: ,., [Le 7Permit IMPORTANT: Applicant must complete all items on this page LOCATION U i 01-- Le iii 1 6- ti . no no no PROPERTY OWNER MAP PARCEL: I Print 1. C C-3" A' , ., I,,,16. c. t bIt S L/..U. C y Print 100 Year e el ZONING DISTRICT: Historic Structure yes District Shop Village e ` Machine TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑'New Building ❑ Addition XLAIteration ❑ One family ❑ Two or more family No. of units: ❑ Industrial ❑ Commercial ❑ Repair, replacement ❑ Demolition LI Assessory LI Other Bldg ❑ Others: f , «' x,V✓'cr `.w $�' x,,,�,y5`�ry � 'f � ..�, -'. kF '',✓r,."y �� .,,� zct �, /h ,., x��,.�, J; r , .,2 /r ❑Flood lain _, %`�, ✓.0 r r ,r r i x�;. �, rd r ..t ,. �,,.. 3.r r"F a,J �. / ¢ s' r.:�,k✓ t wd �i,_F. ...., ✓_„ n,,,/,1,,. .,. �,.-,. ,w T x / Y ❑ Wetlands., rx 1 F N �Iv� �'.+t ✓ x ;'r krL k ..,� t � �� ; ,,..WT x f .'�, ,,p. tr,.i! ur.,-xi% "a 4✓r,'/.x`��µY,; r.tv,-'�y.: , R,.:: F,. .; ,. TO BE PERFORMED: C✓6 e 64`.— % l! ✓ ✓ `rJf/i<;%s- k ,, ❑ 1Natershed istnct ;.N „��rs � '�,s '�'�kEr��• ,./r2"„�:�. :1t�s,i 5k ;: Se n Ser ttc r®1Nell al''k^zz�.�"rv*`,',',' � �', .9�'""x" S"'j..�.:e�;.�r,'' t � .; . -,. . nWater/Sewer+b'(i ,.„� „_, �„. ,� ��1 I _ DESCRIPTION OF WORK ev1`.'— `0 1.1 1 tr(-lC,43 ,s p74 �l �r tctM� tut I "el OWNER: Name: Addressru(re- Identification - Please Type or Print Clearly ` (0 - --7,.--° I r, a cT H Phone: t 1-7—t) 2- j -®-3 / )) l6O' vi Ise - .-S6ri .t ( 1. t 1`1A 41 Z-1 3 Contractor Name: Email: W. t.5 - C 5 v w' Phone: b II-- el - (. ` - . - 7 ,w/- ...- - tom t,31...^T `- i o rl , c 4 . Address: SQ, r6 i S,;5' 4-- %k ,& t S f ' , art Oki s tivl � e � . 1 Supervisor's Construction License: Home Improvement License: C' . 0 k.2V3 3 Exp. Date: at I L t Exp. Date: ARCHITECT/ENGINEERS Address: v1- a it IC) itcgi j . ev Phone: q 7, g- 18 ® f ei ii'iin J1r- ) C O O O .2. i 0 Reg. No. i 0 0 0 FEE SCHEDULE: BULDING Total Project Cost: Check No.: _ i PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. $ q 0 3 - 0 0 FEE: $ 3 1,-, 2 4 — - �... —.. i Receipt No.: a P NOTE: Persons Sir�riatrira of/laryPnt/l71NnP.r contracting with 1 ; unregistered contractors do not have access to the guaranty fundnature of contractor cn CD CD Emag co CD C. CO 5 CD 0 en ouoa ae 01 Ile WSW BI 0 0 03 0 CD 0 CD CD B. CD 0 0 CD 3 0 CD z co 210103dSNI JNIalll8 VIOLATION of the Zoning or Building Regulations Voids this Permit. .911 w S cra 0- =' s- CD CD O - < N. O 0. 0' o 0 0.. o o gy a w r- cn co 0 5 CD cn 0 0 o. 0 rt CD S1 .-f 0 Af ;oaia o} uo!sslu Wed seq 1VHl S31II12133 SIHl PROJECT NUMBS 141 OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT TITLE: 4HighStreet Suite 302 'Technical 'Training Foundation PROJECT LOCATION: 4 High Street, North Andover NAME OF BUILDING: West Mill NATURE OF PROJECT: Residential IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, REGISTRATION NO. 'I 0080 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ARCHITECTURAL E STRUCTURAL L MECHANICAL T FIRE PROTECTION C ELECTRICAL L OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor In accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with8the 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 118.2 .2 I 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 TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. SUBSCRIB)f AND SWORN TO BEFORE ME THIS DAY OF <;"' NOTARY PUBLIC MY COMMISSION PATRICIA E. BARKER Notary Public OMMONWEALTH OF MiSSACHUSETTS My Commission Expires 24, 2018 JK Contracting LLC 31 Richmond Street Weymouth, MA 02188 Bill To: David Steinbergh, Suite 302, 4 High St, NAndover, MA 01845 Description Est. Hours/Qty. Proposal Date: 2/14/2016 Proposal #: 203 Project: Rate Total Plans and Permits, Includes C of 0, 700.00 700.00 Demo 500.00 500.00 General Conditions, 1,000.00 1,000.00 Floor Coverings, Includes extensive floor prep. Carpet already stored on site. 2,030.00 2,030.00 Wall Framing, Materials and Labor 2,900.00 2,900.00 Doors & Trim, M&L,[New doors ,4 with glass,one solid keyed to tenant master]. If doors can be salvaged from building and painted , deduct $2,700.00 from this number] 4,800.00 4,800.00 Heating & Cooling 4,350.00 4,350.00 Electrical &Lighting[ estimate until have marked up set of drawings indicating locations for outlets ,etc] 3,000.00 3,000.00 Tel -data,[ estimate until marked up set of drawings] 1,500.00 1,500.00 Insulation 400.00 400.00 Interior Walls,Supply and Install whiteboard. 2,900.00 2,900.00 Tape, sand,make;paint ready 3,000.00 3,000.00 Painting, No ductwork, paint old doors or stain/varnish new doors, paint frames.[Sealing of brick an extra]. 4,200.00 4,200.00 Cleanup & Restoration 150.00 150.00 Insurance ,[1%] 300.00 300.00 Supervision [10%]. 3,173.00 3,173.00 Thank you for the opportunity to bid this work. 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Om 00 o0 .z0] m I T Q 0 m coo co a 0 ci ) c cr- ,- - client/project ‘11. RCG LLC :hitecture Summer Street WEST MILL, NORTH ANDOVER an, MA 02210 r- , 2TITION GRAPHIC 3-5/8" ME1 0 - * -6 7:11 Z 0 Z * — z 0 0 1 LAYE n 4 /01.. A "r1 I I . - 3-5/8" M /' 1 L 0] It'll' A r,e, I I -- - ."-- _ _ ... _ Z . . - . . _. A 7 10,, PARTITION SCHEDULE IDS g 16" O.C. MIN co 4 16" O.C. MIN GWB EACH SIDE. NHERE NOTED ALL ABOVE AND BELOW. IE FILLER BETWEEN BRE. AND CAULK BOTH SIDES CREW INTO MULLION. co o _, 0 o co 0 o 1,..) drawing title PARTITION SCHEDULE & DETAILS z 0 z rn z 0 z m z 0 z m z 0 z m FIRE RATING EXTEND TO DECK ABOVE PROVIDE 3-1/2" TKACOUST. INSUL. PARTITION TO BE 8" HIGH, NO INSULATI+ FINISHED GWB CAP ON TOP OF WALLS EXTEND TO DECK ABOVE, NO INSULATI EXTEND TO DECK ABOVE PROVIDE 3-1/2" TKACOUST. INSUL. NOTES date 02/05/16 scale As indicated omool4 WAJE-Ft 6THEET— 0 z 0 Z C) .1.I I (1) ''''''i L SUITES 302 BLDG BLDG 6 7-4 HIGH ST BLDG 5 KEYPLAr C) C) Ka) 304 - BLDG 14 co § . IF _ _ _ Name (Business/Organization/Individual): PK CO Kt/,tit Address: _Cu rr S 4 0 g 1-1' tit ci .-ur The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly KaM cmw6- ,-ire&( NYIN IV., l 'FvDovs City/State/Zip: Iv '.(- 0 I S - Phone #: — 5 Y 2 — ( Areou an employer? Check the appropriate box: 1. TJ I am a employer with i"'t" 4. ❑ I am a general contractor and I employees (full and/or part-time).* 2. ❑ I am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t have hired the sub -contractors listed on the attached sheet. These sub -contractors have workers' comp. insurance. 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, §1(4), and we have no employees. [No workers' comp. insurance required.] 'Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. Hri- Q t 4-r Type of project (required): 6. ❑ New construction 7. j Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.P1 Electrical repairs or additions 11.0 Plumbing repairs or additions 12. ❑ Roof repairs 13.❑ Other Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. i anz an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site 'nformation. nsurance Company Name: ja Sl j I va T J hl 1 'olicy # or Self -ins. Lic. #: Expiration Date: 2, TT ? b 2_ -CO—.AI ob Site Address: iJ i M k�+-i r4.0(r-City/State/Zip: NI - K2414 ° kl k(tyrt-- f 01, 74-8 ttach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine 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 f up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of westigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. ignature: % Date: / i hone #: P i' 7---- .7 q L _ 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 #: Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-066334 Construction Supervisor KIERAN T WHELAN 31 RICHMOND STREE WEYMOUTH MA�0215 Commissioner Expiration: 09/26/2017.