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HomeMy WebLinkAboutBuilding Permit # 2/18/2016BUILDING PERMIT TOWN OF NORTH AN III,OVER. APPLICATION FOR PLAN EXAMINATION / Permit No#: ''t Date Received _ 0 Tii Date Issued: AC u 41 I) IMPORTANT: Applicant u complete all items on this page ,, 6:- LOCATION _, no no no PROPERTY OWNER a ce,;- J- t Pr'nt 11 tv n Print 100 Year MAP PARCEL: '1 ZONING DISTRICT: Historic Structure yes District ye Shop Village - Machine TYPE OF IMPROVEMENT PROPOSED ,USE Residential Non- Residential 0 New Building 0 Addition *Alteration 0 One family 0 Two or more family No. of units: 0 Industrial 0 Commercial 0 Repair, replacement 0 Demolition 0 Assessory Bldg 0 Others: 0 Other tid"' Septic Well Floodplain Wetlands Watershed )strict / 2 4/ APteRS,P r!' S , DESCRIPTION OF WORK TO BE PERFORMED: (gL,u Our 0 --", c., 6- , c,6- 0 6-r\-.. ) TA c Identification - Please Type or Print Clearly OWNER: Name:. pg tii, 10 ItNyr_ di-t Phone: L 17 — Address: „C",, u tQai: i 0 0 I 7 I 0 0 7. t" ',,,,) 6 (ii, 3, ' r (457 ti),(4. 1------ , L, LL 4: Contractor Name: N,„) V.,. L,A3449Lt Phone: k 1-7 —„S—ci 1. -- I, Email: Address: i "'4frt ",, ° ? tII Supervisor's Construction License: Home Improvement License: 1 e.......S., - .72 Lis-- Exp. Date: (I, -7 Exp. Date: -, ic-? 0.- c- ii catzglm f 10s L. ARCHITECT/ENGINEER if)fl- f WM I 'TI 6. rt._ Phone: I 'le,. ---q-ci ' - -11 9 , Address:'1() S-r- em 0 lel-Y 49 g. No. - C CI (...) . "? ii FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. ,„? .() , Total Project Cost: 4- 8 14— 0 '7 ----- FEE: Check No.: c9fr.-3-3 Receipt No.: NOTE: Persons contracting with unregistered contractors do not havelaecess contractor to the guaranty fund ' . fig pinia y CD ei as O. 11-1 cD COCO a cfl 0. CI = O = co rn y CD n 0 0' 0 CD 0 CD CD MOM cn CD N 0 CD woo o/ palmm bzi H. 210103dSNl ONIalifle m 0 co 53 co a) 0 Cn ION of the Zoning or Building Regulations Voids this Permit. CO Cl) CD n a 70 N' ®i Fri - CI) 0 CD = n' "-1 ra. Cen JK Contracting LLC 31 Richmond Street Weymouth, MA 02188 Bill To: David Steinbergh, L.com, 50 High St,2rd Floor, King painting,Suite22, N.Andover, MA 01845 Description Est. Hours/Qty. Proposal Proposal Date: 2/18/2016 Proposal #: 205 Project: Rate Total Plans and Permits 688.00 688.00 Demo 3,000.00 3,00000 General Conditions 2,000.00 2,000.00 Wall Framing 3,500.00 3,500.00 Doors & Trim 1,500.00 1,500.00 Heating & Cooling 10,000.00 10,000.00 Electrical & Lighting 4,000.00 4,000.00 Sprinkler Work 900.00 90000 tel-data 2,000.00 2,000.00 Insulation 750.00 750.00 Interior Walls 4,000.00 4,000.00 Millwork & Trim 500.00 500.00 Cabinets & Vanities [Allowance] 1,000.00 1,000.00 Floor Coverings 5,500.00 5,500.00 Painting 5,000.00 5,000.00 Cleanup & Restoration 300.00 300.00 !, Supervision 4,457.80 4,457.80 Thank you for your business. Total $49,095.80 OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: 15-0781 PROJECT TITLE: West Mill - King Painting PROJECT LOCATION: 50 High Street, N. Andover, MA NAME OF BUILDING: West Mill NATURE OF PROJECT: Tenant demising and tenant fit out ‘► 70ED ARCy/ �11 F `r��\ �p� M wq�T Fn •i 4No.953G �, 0 4 o SCITUATE. 41 0 (i it 1 Th of 1\0\ IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I, REGISTRATION NO. BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ' ARCHITECTURAL STRUCTURAL ' MECHANICAL FIRE PROTECTION ' ELECTRICAL ' OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY. PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 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 fam ar with6the progress and quality of the work and to determine, in general, if the work is bei performed in a manner consistent with the construction documents. PURSUANT TO SECTION 116.2 .2 I SHALL SUBMIT WEEKLY , A PROGRESS REP TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING I SECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO TH SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPAN SUBSCRIBED AND SWORM TO BEFORE ME THIS ) ✓ DAY OF NOTABLIC MY COMMISSI 0110 . = URKINSHAW tary Public mnwealth of Massachusetts MY March 7, 2019 JKCON-1 OP ID: HS A c R& CERTIFICATE OF LIABILITY INSURANCE DATE(MM/J 02117/20162016 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 DeSanctis Insurance Agcy, Inc. 100 Unicorn Park Drive Woburn, MA 01801 CONTACTNAME: PHONE FAX (A/C, No, Ext): (NC, No): E-MAADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Star Insurance Company 012245 INSURED JK Contracting, LLC. 4 High Street Suite 108 North Andover, MA 01845 INSURER B : Selective Insurance Company 19259 INSURER C INSURER D : INSURER E : INSURER F : • EVISION NUMBER: VV YG RMV GJ vr.�... .vr.. r.......��.-. 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. INS LTRR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DDIYYYY) POLICY EXP (MMIDD/YYYY) LIMITS B X COMMERCIAL GENERAL LIABILITY S2205113 02/10/2016 02/10/2017 EACH OCCURRENCE $ 1,000,000 pREM SES Ea occur ence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES JECT PRO-LOC PER: PRODUCTS-COMP/OPAGG $ 3,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAB O OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under N N / A WC0853742 MA 02/17/2016 02/17/2017 _ X STATUTE ER H E.L. EACH ACCIDENT $ 1 OO,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Evidence of coverage. CERTIFICATE HOLDER CANCELLATION TO WHOM TO WHOM IT MAY CONCERN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 4 f Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-066334 Construction Supervisor KIERAN T WHELAN 31 RICHMOND STR WEYMOUTH MA- 02 Commissioner Expiration: 09/26/2017