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Home My WebLink AboutBuilding Permit # 9/13/2016 BUILDING PERMIT "I L*u -r%AORT11" !4N, TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit No#:7�,aj �,b� Date Received _-- �SsacNuatic Date Issued:,.___", —----- IM 011TANT: Applicant must complete all items on this-page j LOCATION lqi&k ��vt_ Print PROPERTY OWNER g Tz Print 100 Year Structure yes no MAP PARCEL: -1—ZONING DISTRICT: Historic District ye no Machine Shop Village yes no TYPE OF IMPROVEMENTPROPOSEDUSE Residential Non- Residential E New Building E One family L Addition E Two or more family 0 Industrial VCAlteration No. of units: 1KCommercial E Repair, replacement El Assessory Bldg 11 Others: Demolition E] Other g', 7 j;� pvc, 00 //,U /hille.1 — DESCRIPTION%OF WORK TO BE PERFORMED: t_16 a v _61,—S1 e 11 OWNER: Name Identification- Please Type or Print Clearly Phone: (p -7 21 cF 01Pt (41 Addriess:S. 1.117 Contractor Name: ) -K - Czf- 7j'!n6 6-110 & ..Phone: Email: 77,t Ck� �_C_ Address:- ot-05 \k'� 4-k- �V% Kc - i, Lir, ij 15 1 4 &8 �D�!q m Supervisor's Construction License: a 6 b (3-33 L —Exp. Date: /I Home Improvement License- Exp. Date: ARCHITECT/ENGINEER Address: `2,L tol fj e, FEE SCHEDULE:BOLDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total P roj ect Cost: $ --J�L FEE: $ !W Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not/nave access to the guaranty fund Qw-fte, natur�.fi FORTH '9 Town of at. 6Andover Q 0 c� 26 11h h ver, Mass6�*-6w GOCM1t MC w,[w � ....................... S U BOARD OF HEALTH Food/Kitchen �1�� Septic System ILD THIS CERTIFIES THATQCBUILDING INSPECTOR ........................... ..,................ ........... .................................... . Foundation has permission to erect ildings on . .. . Rough tobe occupied as ....... ............... .....................+�.. ......�.... ....,................................ Chimney provided that the person accepting this rmit shall if1 every respect conform to the terms of the a lication p pp 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough c MONTHS y Final PERMIT EXPIRES I 6 MO T S ELECTRICAL INSPECTOR N LESS C®NST TION TRough Service BUILD Final NSPECT R GAS INSPECTOR - yg �y ilding ®ccu anc �e�tnit.fie erred �® ®ccu �,u ..,,,.,..�..,.... 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. JK Contracting LLC Proposal 4 High Street, Suite 108 North Andover, MA 01845 617-592-6775 (Kieran) 781-254-2862 (Judy) Proposal Date: 9/12/2016 Proposal#: 203-53 Project: 50 High St, 4th FI... Bill To: RCG West Mill NA LLC Daviid Steinbergh 17 Ivaloo Street Somerville, MA 02143 Description Est. Hours/Qty. Rate Total 4,438.00 4,438.00 Demo 50,000.00 50,000.00 General Conditions 7,000.00 7,000.00 Wall Framing 35,000.00 35,000,00 Doors &Trim 15,000.00 15,000.00 Plumbing 5,500.00 5,500.00 Heating & Cooling 25,000.00 25,000.00 Electrical & Lighting 35,000.00 ' 35,000.00 Insulation 8,000.00 8,000.00 Interior Walls, Board. 35,000.00 35,000.00 Interior Walls, Tape ,Compound ,Sand 25,000.00 25,000.00 Cabinets&Vanities, Granite tops. 6,500.00 6,500.00 Millwork& Trim, Build Island, One wood wall.[Estimate] 6,000.00 6,000.00 Floor Coverings 25,000.00 25,000,00 Painting 30,000.00 30,000.00 Cleanup & Restoration 2,000.00 2,000.00 Sprinkler Work 10,000.00 10,000.00 Glass Door/Panel Installed 7,500.00 7,500.00. Supervision 33,293.80 33,293.80 Insurance 3,329.38 3,329.38 Estimate for your review and approval . Total $36$,561.18 OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: 15-0718 PROUECTT|TLE/ West Mill 50 High St4th R0or PROJECT LOCATION: �� i h Street, NAndover, MA NAME OF BUILDING: West Mill NATURE OF PROJECT: 4th Floor demising and tenant fit out, IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, |` REGISTRATION NO. BEING AREG|STERED PROFESSIONAL ENG|NEERA\RCH|TECH HEREBY CERTIFY THAT | HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION (}FALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: � w � ENTIRE PROJECT IRCHITECTURAL STRUCTURALm MECHANICAL w � FIRE PROTECTION ELECTRICAL OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOVVLE8E, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PNAT|CES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. | FURTHER CERTIFY THAT| 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 PRDCEEED|NG IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 110.0 1. F<evievv, 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. F{ev|evv and approval of the quality control procedures for all code-required controlled materials. 3 Bet at intervals mppropriote to the stage of construction to become, generally familiar r lcx The Commonwealth of massachusetts .department ofInclustriglAccid'ents Office of Investigations 600 Washington Street Noston,MA 021.11 www.rnass.govMa Workers' Compensation Insurance Affidavit: Builders/Contractors/Electri.cianslPlumbers Applicant Information Please print Le 'bl. Nall e(Business/Organization/fndividual): F Y Address: !M1 t 0 (+- City/State/Zip: N - 0 64 - ffft Phone It: b 'b Are you an employer?Check the appropriate box; Type of project(required): I.La; am a employer with. _ _ 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have Hired the sub-contractors 2.El am a sole proprietor or partner- 7. emodeling listed on the attached sheet.I ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.i -�� JKCON-1 OP ID:CD (MM7UDIYYYYI f CERTIFICATE OF LIABILITY INSURANCE n7r2$r2n16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE. AFFORDED BY THE POLICIES ! BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. . IMPORTANT: If the certificate hoider is an ADDITIONAL INSURED,the policy(jos) must be endorsed. if SUBROGATION IS WAIVED,subject to the terms and Conditions of the policy,certain Policies may require an endorsement. A statement on this certificate does not confer rights to the _ certificato holder in lieu of such endorsement(s), 1 CONTACT !, PRODUCER De8anctis Insurance Agcy,Inc. Pti40N� A c No 100 Unicorns Park Drive I Woburn,MA 01801 Aunt;Ess,: ... ----- r INSURER{S},AFFOROINGCOVERAGf' „-- i ,.,NAIL#.__ jiNsuRERA Star insurance Cornpan}r ............. ..,..............,. 1012245 INSURED JK 4 High Street S 9' LLC, INSURERS Selective Insurance Company 18259 alto 108 INSURE RC North Andover, MA 01845 _ INSURERE'. _......._..-..._.._..._.__.........--"- -I . INSURER F COVERAGES CERTIFICATE NUMBER; REVISION NUMBER: THIS IS TO CERTIFY THAW TME POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD iNOICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDIT'€ON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE IS$L:ED OR MAY ICER T AIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE N IS SUBJECT 1'O ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POL1CIFS I,:MITS SHOVN MAY HAVE BEEN REDUCED BY PAID CLAIMS -- ------�------ __..._..,.. - .�DnLSiiBR o _.-.F POLICY@XP fN R; TYPE OFINSURANCC I �p _ POL;CY NUMBER IMML7C}YY YYj (PAMlmyYYYi LIMITS ' B - X COMMERCIAL GENERAL LIAR€i.€TY -.EACH OCCi RRENCE S 1,000,00 I �._ ---.. E�AMA�E(0 RAN I S2205113 0211012015 0211012017 psi[N1"t s rr,_o o'c�, srce�_ s_-._.___ 100,00 OLAIMSAAA31 X..:OCCUR 10 04 - V'cD EXP(Ang r e Uersar I S > PERSONAL 8 ADV ------ S 1,004,00 3 004 00 GE TAGGREGA L' A9 LIi AF PLILLS.EFt - OEN RFLAGGK GA £, r s ,. .., POLICY PRO AUL P;t()DOC T8 .X. ,COMPIOP AGG c 3,000,00 JECI _._..., s OTHER --. �._ i {)A•SE31NECl SIr:Gl.F_#h11T S AUTOMOSIL€LIABILITY - ;F.a.atcasnlj ......... ...... •._......... 800'.:,`!iNJIJRY iPer oersor:i _S ANY AUTO .. ,ALL OWNED SC-4EJ€,;LEwU � - Y is 'FEY tPer au;i,lan J -.- Ali TOS I .FiQf3 r NJ4J ..._....., .- ..-'-- OS } hiRT 6At;,pS .._.:NO - �NFr _Per ac enl)AhSA�� $ t AUTOS k EA,11 OCCURRENCE � 5 I i UIIURELLA LAS I EXCESS LIAR CLAWS-V,ADE i-•.__.. OCD 1 WORKERS ' RETENTION^y � PER COMTi PENSATION ; �.X ;,TF.7LTl' - '',_FR,,,, AND EMPLOYERS'L4ASILITY Y N WC0853742 0211712016 0211712017 r i Fr. r ACCIOEN'T 5 100,01) A ;ANY PROPRIETCR'PA1TrNE ti_XF-CU"1+F. '-- _-._ _ _. N N A. 1 ;OFFFCEril.V,EMEEREXCLJ CJ's _ .MA _ EL LISLASE EAEMPLOYEE-S.. �4O,0i3 (Mandatory in Nil} ,_... � _ H yes aasdiba t,^dhr E.L.MSEASE-POLICY LIMIT `€ 600r00 DESCRIPTION OF OPERATIC"'20 U DESCRIPTION OF OPERATIONS l LOCATIONS 1 VI_I4ICLES (ACORO 10 t,Additional Rrrnarka SchadWe,may be attached if more space is raquirec4 "ADDITIONAL-INSURED LIMITS ARE NO GREATER THAN THOSE REQUIRED BY WRITTEN CONTRACT" Illustration of Coverage; Town of North Andover is add'I ir,s`d as respects to the GL policy, i CERTIFICATE HOLDER CANCELLATION NORTHA- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS, 43 High Street N.Andover, MA 01845 �AUTH:10Rg1Z :PRESFZf4TAT%VjE �1988-2014 ACORD CORPORATION, All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD [�a `. Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-066334 Construction) Supervisor 6� lef-,, KIERAN T WHELAN� I 31 RICHMOND STREET WEYMOUTH MA. 02186 b ` Cornrriissioner Expiration:. 09/25/2017 C,�Gr �Ic��irnifinrir�/�c��-y�rJJrirw.rn��l'. Office of Consumer Affairs&Business Regulation Yt '2 HOME IMPROVEMENT CONTRACTOR �W ri Registration: _.171393 Type, Expiration. -,3(1512018 Individual KIERAN WHELAN KIERAN WHELAN l 31 RICHMOND ST WEYMOUTH, MA 02188 , x. 'c Undersecretary License or registration valid for is;divid;aal use only 'before the expiration date. If found return to: Off'O of Consumet Affairs and Business Regulation. W Park Plaza-Suite 5170 86stan,iVIA 02115 F No#valid without signature C[Y/a r c/riJef Office of Co a3isrner Affairs&Business Regulat%nn 1{OME I11il�IPCON'TI RACTOR Regis#raz[on 17 f393 Type: ' tion, 3l15E20:]8 Corporatioia X CONTRACTING L�C K,IERAN WHELAN 31 RICHMOND ST WEYMOUTH,MA 02188 Undersecretary ti L s 9