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HomeMy WebLinkAboutBuilding Permit # 8/29/2016 Now' ,AoRTH ,9_VIL,PING PERMIT 0* TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 0 Permit No# Date Receivedz. ------ z ACHU Date Issued- IMPORTANT: Apphc�mt roust con lete all item, on Ibis page V"/ LOCATION 4 Print PROPERTY OWNER n) ri j Print100 Year Structure no MAP PARCEL:---L—,? ZONING DISTRICT.—,----,—Historic District y no Machine S Village rteV —------------ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 11 New Building 0 One family F-]Addition 0 Two or more family D Industrial 'Alteration No. of units.- _X Cm-omercial F Repair, replacement E Assessory Bldg El Others: 11 Demolition 0 Other r� Septet Wel[_ I I ,1­��/,,�, ",", ❑111PI 1 111;1 1p- aI 'i,n_I _ Q Wetlands " 11 101 1 1 , o� _ j, Pj*!' i ........ 0 W 0 6 r R ......... DESCRIPTION OF WORK TO BE PERFORMED: �r rr '65/e ............ Identification - PleaSe r -Print Clearly (L6 hype or Name: L . - -6 `2 — 6 �, OWNER Phone: 17 -S U Addressffulqz�,­ to tt CALIJ 11,S _kr pl ZJ1. 7 Contractor Name, k u-z-- Phone: L 1 9 2, k,,;`7_,- Email: et,404-Q a Address- 4- t-tk&-rt 4-97 jJ 0 1 Supervisor's Construction License: —Exp. Dater 2, F -7 Home Improvement License: Exp. Date: ARCH ITECT/ENGI NEER24 U A_ ,)L-eA'I7LZ-< I L Phone: 17 K 7 5. Address: 2-L 6 tiselqolw� M4 . C, k I &,,Pj�L UoL Y 0 VX F. Reg. No. S, ?S FEE SCHEDULE:BULDING PERMIT. $12.00 PER$1000,00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE. $ 4 Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guar-antyfund --..Pignat.pte--,O.f.Ag-eyit/Owne NORTH Town of 2 :{� 6 ndover 0 O �. ........ ... ver, Klass, _ C OC NIC Ml WtC�[ Ab �S U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT G V! ,�.,�! BUILDING INSPECTOR has permission to erect ................................,... . ... . . ...�., ._,.... ........................ ...,...._. Foundation buildings on .�.16�` Rough to be occupied a .. .� ... _. .. „�, Chimney provided that the person accepting this permit shall in every respect conform o the erms 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 16 MONTHS ELECTRICAL INSPECTOR UNLESS CONST ION S Rough Service ... .. ... . UILDING INSPE......., R Final B GAS INSPECTOR Occupancy hermit 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. JK Contracting, LLC li Sulte 108,West Mill,4 High St Plans Submitted ❑ Plans North Andover,MA 01845----- d Plans ❑ Kieran Whelan, Principal TYPE OF SEWERAGE WS.POSAL (617) 592-6775 Kieran@JKContractor.com PubJ.0 Sewer ❑ Tai --� www.JKContractor.corn ❑ Well ❑ To B. . -. ❑ Private(septic tank, etc. ❑ Pe THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM . �q1I PLANNING & DEVELOPMENT Reviewed On Signature COMMENTS5 U T) 1511 I);o 1 s. �L� ��;s .:_ NOdam_ � b 60� — /i �v�r:�r rrs c� L©ffi 1/0 13 MIT- CONSERVATION QjCONSERVATION Reviewed on. Signature _..._._.._.. COMMENTS ` }rT xff/fj WEALTH ,_. ,Re-) on Signature C0MMENTS'� — - r tom'.t• Y Zoning Board/ f Appeals: Variance, Petition No: Zoning Decisionlreceipt submitted yes Planning,Board Decision: Comments Conservation Decision: Comments Water& Sewer Conneotion/Si nature& ©ate ©rivewa Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIREDEPARTMENT Temp ��tmpster ori sit yep no .. .i. .. Located at 124 Magi Stree Fire-De artment slgnatureldafe F c: t. .►�+r i=? COMMENTS- JIB Contracting LLC Proposal 4 High Street, Suite 108 North Andover, MA 01845 617-592-6775 (Kieran) 781-2542862 (Judy) Proposal Date; 7/19/2016 Proposal #: 203-23 (R) Project: 47 High St., Loadi... Bill To: Attn: David Steinbergh RCG LLC 17 lvaloo Street Somerville, MA 02143 pascriipt on . Est,Hours Qty ante Tata[ Permits including C of O 1,660.00 1,660.00 Demo, Walls by did eleWOr;corner of office ,and small 2,000.00 2,000 00 stare,rPOM in sight rear corner General Conditions 2,500.00 2,500.00 xcavatio U Cut trench:for plumbing ins',de and outside 10,000.:00 10,0p0.00: sc:, o0tthrough wall.into Fyfe,to access caring of;5 Irick hale.or,p16i6O to bal;hrooMs by Fyfe, cutting of wallsbr.pldmbing tie tn;infill floors; inside'and exterior, infill walls and waterproof, patch and:re-paint walls after pl,Jpg Is Wrriplete Exterior Trim & Decks, Build exterior ramp. 12,300.00 12,300.00 Frame rriezzarine, iricluding.riis and stairs in wood, no 20,000.00 20,000 00 finishes Floor Framing; Infill loading docks. 2 . Leave one 15,000.00 15,000.00 loading dock operable. Plumbing, Bathroom, basic fit out 5,00000 5,D0(1.00 Windows &Trim, Install 1 inch glass panel where 1,000.00 1,000.00 louver is presently Electrical:& Lighting[.Estimate$7;500;00] 75C10.00 7; 00�0Q:;,. Floor Coverings[Allowance] 12,000.00 12,000.00 Wall FrarriirLg;. - 3;500 00` 3,5 (3rCl0 " Insulation 500.00 500.00 Door-54,76n.Hardware,locks. 4;000;00 4,400:00 Heating & Cooling 0.00 0.00 interiar 1Nails, Board, tape, sand 6,000..00 6,4:()0 00•'' Painting 5,000.00 5,000.00 Kitchen:cabi.nets,.van4. cabinet,,;granite5;000.00 &00"00';: tops(Ailowance]�; , . Plumbing, Kitchen 1,500,00 1,500.00 Spec1alfi�es; Glass walls:i[allowance] 3,400.00 3,p00.Q0 Cleanup 300.00 300.00 Si ervisior' 11;776.00` 11, 76;00 , Insurance 1,177.60 1,177,60 Total $130,713.60 hA U" jo at -r by 0 €'?(, submitted P . R,eglsten�,6- DeJjgn -t 0;"(CSs E f,-)r-work c A R, SXl�6,11 10 Cods�, 7QU C',ei ts S I ate 13,,,1 &I,S S f 1 C,1 m,; Lifetime 'Bran"1111tT 6 -)jert Title: "'uitn,47R- PY:.,.)perty Address: 21 High Strtel, itii. ,i nd()ver, I'AA pj-�iect: Clwck(x) one or kJ1 'Is, rf, cuL in nilding 'P�-oject description: Tenant jljprvvement.' t -terod des ign iona jjxcb�,t: 9536 FNpininon date: SiLU2 Walter.MA RegistTatiOn N -.- Ltions r-vnipi[tati ons and s'pCoifiel Plan" C L P] .,"Ki I have prepare.e. oi di,,odly SVIFWT-,rIsed concemingl: X ArchitectUfal t t_lrtl al Fire Protection c�1 c--;C the above named prqj ec! �Mdf-I 1hat "o fl)e. best of lily k"toN10d4,2 c,I on b""I;of`'she'll an (,o(,:-, SO OAR), ,Ind a Ma��,-)zh,,Isotu; State B�ONJJ.n�,, . s�ons of the eces I c��jt.cifjmjtjok,.s meet the applicable Prc)� -shaill jpl-�'tonn SA Y tand alld agvce th,,.,c �o r a).y dc:, COP Je(- - t ,--,,'Mic b--iL, s 10- practices f0y the'F1 Ose('P` 't. lunel the Ck)]jSj-rLjC, c) - 0 , !.ssional services and b4-�,pr' T,,;, s.,, )i�, cok'and lhw� --jCsigil CoTlcepL, ,,,(jcp s ar�cj rylxr submittals by I. Review, fOr c04QVIT',avlee to k't doc.Liments, Contractor ill accordance with t'Ot: requirement's 1)f the cowstnwtlo. g in.780 '.-MR (1111tVel- 17.. b ist"�' design Pl' -�!ith the progress 2. Perfoi in XI-Le d�1-1:-Q f ke and 3. Be present at inte�Mkls V.Pr()Fn-cj�,jtt: to (lie slag. ofC11!1StrLlCfi( 1()bee" P-"- sist I�,jjtwjth the approved .0 t I I � I quality of th�'W()rkand to (' Q-,jjin- iltilevlo;-k is construction docill.nents and this oodc. L80 CMR 107. Nothing ill this doctiment relj-eV6�,­7 I""-, contrac.tor of its �esponsltlli. -�e pj-,,,vjs.ions of 7 U si,lb-mit es,%,repL)y,4-.,; itcni 3.)to9c,1111cr Witl pel tinent ,Vlleri ir d by the bilildiilg of icial, I shall cominelits, in a form acceptable to the building Official. L I shall Sul-,rnit to the buiki'llz- "flic iclj }j C!(-,r)stnw6on Control D tillient'. Upon completion Of tile W01'k., A ARc/,, ca` fi right a"v,-et" or Enter in the space to the electronic signature and sea!: .9536 Email: rH OF Phone number, 978 499 2-999 Bkiltdil)g Offici-Al Use Only Building OfiuJa[Name: Permit No.: Date: �Itit)jjs tjtt v L,prepant,tl or direoviv supervi-cl. [f`other' is cl)osell' mote I. Indicab-.wifl)ars `X'PrOject con)plltations anti prot,i(Ie a description, version 06 11 2013 ry The Commonwealth of Massach usetts Department oflndustriglAccidints Office of Investigations 600 Washington Street .Boston,MA 02.711 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Cont ractors/Flect ricians/Piumbe3rs �i .icalnt Information Please Print L e itly Name(Business/Organiration/ludividual): V1,11 &07 r— IN r Address: f i— I Tie-. +f o 18 4-S City/State/Zip: N 14 0 t R ir9 01 t itThono#: b 1 51 -L- Are Are you an employer?Check the appropriate box: - Typo of project(required): 1.9 I am a employer with '- I❑ I am a general contractor and I 6. ❑New construction, f employees(full and/or part-time).* have hiredthe sub-contractors 2.0 lam a.sale proprietor or partner- listed on the attached sheet � �. �ltemodeling ship and'have no employees These sub-contractors have 8. ❑I1emolition working for me in any capacity. workers'comp.insurance. g, ❑Building addition [No workers'comp.insurance 5. [J We are a corporation and its officers have exercised their la•d Electrical repairs or additions required.] 3.D I am a homeowner doing all work right of exemption per MGL I LEI Plumbing repairs or additions myself[No workers'comp. c. 152,§1(4),and we have no 12.E]Roofrepairs insurance required.]i employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also till out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they ge doingAlwork and thea lure outside contractors must submit anew affidavit indicating such, tControctors that checkthis boxmust attached an additional sheet showing the name ofthe sub-contractors and their workers'comp.policy Mormation. 1 afn tin employer that is providing workers'compensation insurance for my employees. Below is the policy and job site tnforrnation. Insurance Company Name:. 'r, -9,q N C,,?S A4 o now Lc P Circe, Policy or Sem ins. �#: �' 0 `��� � 7�~ Z"`� B:cpiratianDate: � �1 -7' Sob Site Address: atjf� JPity/State/Zip: Att ach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A ofMCL e.1.52 can lead to the imposition,of criminal penalties of 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. Be advised that.a copy of this statement maybe forwarded to the Office sof Investigations of the DIA for insurance coverage verification. X rla hereby cerfify under the pains andpenaltla ofpeiyury that the information provided above is true Rd correct S_ ipature: Date: - Official use only. Do not Write in this area,to be completed by city or town official. City or Towns: Perrnit/Llcense# 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#: n r. Massachusetts Department of Public Safety w Board of Building Regulations and Standards License: CS-066334 Construction Supervisor KIERAN T WHELAN _ 31 RICHMOND 5TR � WEYMOUTH MA;02 E jar r"jZCKCir Expiration: Commissioner 09126/2017 U � L � y