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HomeMy WebLinkAboutBuilding Permit # 11/4/2016 (2) BUILDING PERMIT of N���6 TOWN OF NORTH ANDOVER APPLICATION FOR.PLAN EXAMINATION ' Permit No##: &1ol— 17 Date Received °R�reo hp¢ �SSRCIiUS�[ Date Issued: LVOORTANT:Applicant must complete all items on this page 7777777777777777777777777.: 77 . ..... LOCATION .:. . ..N.,. . .-....ry _, � _ Pant PRDPERTY OWNER� � � `� Pr[nf ��0 Year Strucfare yes o_ MAP %PARCEL ZONING DISTRICT : Hrsforlc Dstnct yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: Commercial Il Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic 0 Well ❑ Floodplain D Wetlands 0 Watershed District [I Wate:rl.ewer DESCRIPTION OF WORK TO BE PERFORMED: ®T C V Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Adiress:�� � � 7 S 7�e 7` 7 411_442=11 Canstrucbon License:.. . 1J Exp_` Dated Home Improvem L cense Exp: Date ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDlNG PERMIT";$12,00 PER$1000.00 OF THE TOTAL ESTIMATED COSTBASED ON$125.00 PER S.F. ,__ Total Project Cost: $ .2 Z2 2 , FEE: $ t Check No.: 1 `� Receipt No,,: 3/ D NOTE: Persons contracting with unregistered contractors do not have.,access to t g ran d 5��gr ature of Ageht/Owner Sigrjature of cohfr�icto �- txORTH o q own 2 ._�r. 6 Andover Z h y LAK, ver, Mass4P, /�• Y C9CHlC HI wKN 4�. �dn �MTED ppe`�,�5 77V V BOARD OF HEALTH Food/Kitchen PERMIT . T LD Septic System S 0 THIS CERTIFIES THATC.O.W. BUILDING INSPECTOR .,. .. has permission to erect ........ buildings on ...3S.... � 1►.i�� !� _... Foundation .................. ........... .. . Rough to be occupied as ....1AS14. .6�..........1. ... ...... hl ....Villi 1�'� Chimney provided that the person accepting this permit shall in every respect conform to the terms 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 G e�'�C �!w fig L Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTORs UNLESS C®NSTRUC N STAR S Rough Service Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® OceM Buildin 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. JOB_ NEW TENANT ROOF TOP UNITS BRANAGAN ENGINEERING, INC. MARKET BASKET #12 160 OLD DERBY ST., SUITE #335 350 WINTHROP AVE. HINGHAM, MA 02043 NORTH ANDOVER, MASSACHUSETTS (781) 749-5400 DATE: OCT. 17, 2016 SKETCH NO. SK-4 A r(E) CMU WALL --- — --- ---- ----- � -�� - -- �Zt� Mq °� ss � q II I � PETER B. �yN ----------- -- - �-- -- - BRANAGAN ---- --- STRUCTURAL � No.3748 �IQ (E) CMU L4x4x1/4 UNDER CURB, TYP. N I WALL VERIFY RTU LOCATION WITH I I MECH'L. DWGS. (TYP.) ® NEW 10 TON RT I WEIGHT=1.250 I I I ---- L3x3x1/4 AROUND DUCT OPENING II (TYP.) I f l I I I 1 3 3 NEw 8. T N RTU ®I WEIGHT=1. 00 6 GENTLE DENTAL I II NAIL SALON II I I :U:jl PARTIAL EXISTING ROOF FRAMING PLAN SCALE: 1/8"=V-0" '-0" NOTES: 1.) ALL CONSTRUCTION IS NEW, EXCEPT THAT WHICH IS NOTED (E) EXISTING. 2.) COORDINATE FRAME DIMENSIONS WITH "APPROVED" RTU. 3.) SEE SK-3 FOR "NOTES" AND "TYPICAL DETAILS". 4.) NO OTHER NEW OR EXISTING MECHANICAL EQUIPMENT TO SHARE JOISTS WITH NEW RTU. 9 V C:\DRAWINGS\16129 Commonwealth of Massachusetts Sheet Metal Permit permit# Estimated Job Cost: s � Permit Fee: $ � Plans Subzni-tied: YES NO Plans Reviewed: YES NO c Applicant License# / Business License# 1 Business Jnfarmation: Property Ovmer l rob Location Information: Name: Street: O Street. F City/To w.��` o��, City/Town: Telephone: l � �`� Telephone: ` mea Photo I.D. �recluired/Copy of Photo I.D. attached: YES NO Building Type: Multi-family Condo/Townhouses Residential: 1-2 family Conamorcial: Office Ret Industrial Educational hastitutional ail under 35,000 cu. ft. Building Cubic Footage: over 35,000 cu. ft. Sheet metal work.to be completed: New Work: Renovation: i HVAC. Metal Roofng Kitchen-Exhaust System Cbimney 1 Vents Provide brief description.of work to be done: Z6 f G eN +� loe' fi f ate Commonwealth of Massachusseits _ Department offn"5trIa�Ac Id"ts L z Congress,5 reet,�5`ujter00 M .Boston,AfA-02114-2017 Mass. �v/dia �vww. go 'p re3M s yup WCs kexS'Com ensatzonbWrxRCe davits B dax /C THOT�21�1']C�Z ric[a slk''�umbexs. TON&MED W.[TJRT7EiE Pl' mNplease print Lo dlal A l[cant W(I rmatzorx n4/n eleOC L�v�.t vti� UC C Na,1e(Businesslaganatioz�l€ndividual): City/sfatelzxp. Type of ro eek{xe cff) Axe you q!eelctlxeappropriatebox: employees(full andlarpart time)- 7, Q NdW'dor�sfrizc�zoxt 1. 1 am a employer with- __— for mein &. ElRemodelifig 2.�X am asole prapriator or partnership and haveno employees vrozkirig any capacity.iNatxarkers'comp-insurance required] 9. ❑Domolition 3.�1 am ahoineowner dair+g all work myself,[Na workers'comp.insurance required] 10 Btzildix►g addition contractors to comdnctall work onmy property- 1 will 11.[]Ejeclx%cal rpp*O or additions 4.E]Iam ahonaeowner andwillbehiring bib xe airs or additiow ensurethat all contractors either have wozicers'carnpensatian insurance or are sole 'Izim. $ p pzopziefozs with nolisted onthG employees. 13'.hicedthe [ Kaof xe airs 5_❑Z am a general contractpr andnSrhS Y eaVe work rs�co Ols rnsurancea attached sheet. 13'. Qiher These sub-contractors have e,P°S' Per MOL c- 6. y1e are a cozparafion and its.affeers have exercised their right a£ xemption 152,ro a c ao r?' bare no empoye_ o workers'comp.insurance req€rired i ap]icantthatclreoksbbx#1wiust ° ouithesectianbelowshowingtheirworkers'compensatiosmuPolicytsinformation:` x p this affidavit indsca4ngtbey are doing all work andthenhire aufside contractors must submit a new afdaYit indicating such HomeownersYrhasubmit h,..., thenameofthe,sub-contractorsandstateWhgherarmot(hoseentitieshave B �Contraotors that oheckib s bob Anis attached an additional sheetshowing employees. Tf the snb-contractors have employees,they must prom their workers'camp.policy number. at rovldingtvorkeps'compensation insur�ancefor my'3MP ayees i3eraw is t7ie alicy andjo'6 site ne Z aan employer t/z p information, ;,J p `aiv2 Gl��2 w� lnsmaace CompanyNaane: !1�iJC C'D EpiratioxtDate:o�_[a �� Policy#or Self ins.Lxc.#: fi/d2! r."�S. City/Sfate/ZiP-/L/m� Job Site Address: J� Ilse olicy nunabex axtd epixatzove xs date). Attach a copy of the wail?exs' campex�saon Policy cleclarafzonE Page{shogvigsg P -00 re aired utxder N1GL o_152,§25A is a criminal violation ORDER and a�e o�up to $ZSO.i)fl a Failure to SeeUzo coverage a q Pe in the farm of a STOP WORD and/or one imprisonment,as well as civ tl p day agaixst the,violator,A copy aftbis statem at may be forwarded to the O£fica ofSnvestigafians o�tlse DSA for ixasurancs cavexage veriltcation- u e1 pains e aiti fperfary that t7ie inforrnanorcprovided abave s tare and correct. X do hereby eerta 6 Data: l � Si afar 1'7sane#: O ciaZ use ox�ly�Do notwrite in tltis area,to be corr�pleted by city ar town affzeiar Permit/License 9 City or'Po-vvn: . circle one): ' -etox 5.Plwalblug�ector Zssuing AutlZox7it3'( e axfruent 3.City/Town Clerl �.Llectxzcal�sp 1..Board oflfcalth �.Building I) p 6.Other Phone ' Contact person' 0 DATE(MMIDDNYYY) A�C)R" CERTIFICATE OF LIABILITY INSURANCE 9/19/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), 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 CONTACT Patricia Capadanno Tonry Northwest Insurance Agency, Inc. PHONE o Ext: (781)861-1800 LAfa :(701)861-1804 (AI238 Bedford Street ADDRIESS:certa@tonry.com mm INSURERS)AFFORDING COVERAGE_ NAIC q Lexington MA 02420 INSURER A:HarleysyiIle Preferred Ins. 35696 INSURED INSURER B:Harleysville Insurance 23582 Commercial Comfort Service Inc. IN_SURERC:Harleysville Worcester Ins Co 26182 1059 East Street INSURERD-AmGUARD Insurance Company 42390 tNSURER E i Tewksbury MA 01876 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1621912526 REVISION NUMBER: 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. INSR F INSURANCE ADDL SUBR ._ - POt.ICY EFF POLICY EXP TYPE O LTR O POLICY NUMBER JMMfOD1YYYY MMIDDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE ❑X OCCUR iJAMAGE TD RENTED PEa occuence � 50,000 REMISES( rr _ SPP00000029087Q 2/22/2016 2/22/2017 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X JECT LOC PRODUCTS-GOMPlOP AGG $ 2,000,000 POLICY M PRO OTHER: $ AUTOMOBILE LIABILITY COMBINED tSINGLE LIMIT $ 1,000,000 B ANY AUTO BODILY INJURY(Par person) S ALL OWNED X SCHEDULED BAD0000029086Q 2/22/2016 2/22/2017 BODILY INJURY(Peraccidenl) $ AUTOS AUTOS - X HIRED AUTOS X NON-OWNED peOracEcidentoAMAGE $ AUTOS PIP-Basic $ 8,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 10,000 000 L, EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10 090_,000 DED RETENTION$ CMB00000029085Q 2/22/2016 2/22/2017 g OTH- WORKERS COMPENSATION x PER I ER FIR AND EMPLOYERS'LIABILITY STATUTE j, _ ANY PROPRIETORIPARTNERIEXECUTWE Y!N E.L.EACH ACCIDENT $ 1 000 000 OFFICERIMEMBER EXCLUDED? n f NIA W D (Mandatory in NH) COWC700192 2/22/2016 2/22/2017 E.L.OISEASE-EA EMPLOYEd$ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS balaw E.L.DISEASE-POLICY LIMIT $ ]. 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS[VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) Certificate Holder is an Additional Insured, when required by written contract, but only to the extent provided in the Additional Insured endorsement(s) attached to the policy, a copy of which is available upon request. a CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover, MA 01845 AUTHORIZED REPRESENTATIVE L Tonry Sr./PCAPAD "" r ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 Onisnl� s 'i ZommoNWEALTH OF:MARugg T� BOAMRWO„ SHEE Ml=TAL Y�►t?tr.EsS nrKfS ISSUES 7HE FOLLOWING LICNSE A$q MASTER UNl�ES'I•RICTED < r i RAYMOND 'l $BEI.LE�/Ut4 AVEHNN DRACUT, Mq b_f828 6003 y Y 141'! I�912812Q77 '� 2288 L- ... ., Y6 Y!'Y4W a eta(,NerM+SA xWal pm W U N✓tva G5 d 'inW 'MwYMrz�PW , SWr#fiWM Y v•;COMMONWEALTH OF MAS�A..�HUSETTS .;',. r 4 y BIJJARC3 SHEET METAL WORKERS ISSUES THE FOLLOWING LIO) NS>=AS A IVMASiER UNRESTRL.CTED *'� s RANDALL E BURNS., 999 WEARE RQ ^1 ` PO BOA'687 l HENNIKER, NH 03240687 X5071 0412812018 . 30468 Fold,Then Detach Along All Perforations :. OMMONWEALTH OF MASSACHUSETTS BOARD of SHEET METAL WORKER$ .. ISSUES THE FOLLOWING LICENSE' BUSINESS DWIGHT L DAVIS C 7MMERCIAPQMFORT SERVICE INC 1059 EAST S.7REET TEWN B' URY, MA 0'1$7,6 1464 91, 10126120113. 188720 e eWWI I