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Home My WebLink AboutBuilding Permit # 1/12/2017 VIORTH BUILDING PERMIT TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION '-' Jf- L Permit No#: Date Received TED CIA use e Date issued: IMPORTANf Applicant must complete all items on tlii.s page LOCATION . Print Print i 60 y6at Structtire yes no MAP, a-5 PAR-051_-7 (6 ZONING OISTRIGT1Histone District y-es no Machine Shap,Village yds no ---------- '__fTP_E OFIMPROVEMENTPROPOSED USE Residential Non- Residential [ New Building F] One family El Addition F-I Two or more family F] Industrial 11 AlterationNo. of units: ,.__._xComrnerciaI D Repair, replacement [J Assessory Bldg 11 Others: n Demolition 11 Other i 51'st iriat El $i��ptip W61 0 Floodplain El Wetl4n s LW atOrslied 0 Waterf8ew'er DESCRIPTION OF WORK TO BE PERFORMED: 7. Identification- Please Type or Print Clearly" OWNER: Phone: RIC, Address: Contractor Narne.- CY-f).Q_' Phone; Address. k Pt�EL jAIL Supervisor's Exp. lbate,_1�,7�('3---. a Construction License: C5 ent License-, Kxp,, D�jte!. Home ImpMvern ARCHITECT/ENGINEER M ,ClNR��)Cf AZ1,* Cry)C_' Phone: Address: t PoIQ H �LIJDIZ, ffReg. Nb. Nj FEE SCHEDULE.BULDING PERMIT, $1ZOO PER$1000.00 OF THE TOTAL ESTIMATED COST BA-SED ON.$125.00 PER S.F. rotal Project Cost: $ FEE: $ C�l Check No.: Receipt No.: /`A NOTE: Persons cont ratten g- withunregistered con actors do not have:access to the gaarantj�fiind X, binature 6f- coritr5c, -eibf,Agg t 0 g_ Plans Submitted ❑ Pians Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ -TySEWERAGE DZSOSAi PubNc Sewer ❑ Tmring/Massage/BodyArt ❑ SwimmingPonls ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF a U FORM PLANNING & DEVELOPMENT Reviewed On �. Signature COMMENTS CONSERVATION Reviewed an Signature � COMMENTS �- HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decisionlreceipfsubmiaed yes Planning Board Decision: Comments Conservation Decision: Comments 'IJ><later & Sewer Connoctien/Si mature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT' - TempBumpstor on site yes no Located at 124 Main Street Fire Department signatureldate COMMENTS -)irnension Number of Stories: Total square feet of floor area, based ori Exterior dimensions. Total land area, sq. ft.: t ELECTRICAL. Movement of Meter location, mast or service drop.,requires approval of Electrical Inspector Yes NoT ®ANGER ZONE LITERATURE: Yes No MGL.Chapter 166 Section 21A--F and G rnin.$10041000 fine NOTES and DATA — (For department use) Y d `i. ® Notified for pickup Call Email r ate - Time Contact Name 1 Doc.Building Pemit Reprised 2014 VkORTH Town ofrr, Andover -,Ova h ver, Mass 1 I ' � � � s R COC HIC lW.SK V �0RATep �P¢��3 U BOARD OF HEALTH Food/Kitchen P E M LD Septic system .. BUILDING INSPECTOR THISCERTIFIES THAT . ... ........................................................... ....,.... . ., do Foundation has permission to erect ... .................. buildings an, ... ., .....I.......... Rough tobe occupied as ...,. . .` �.. . ......................................................................I...... 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN T ELECTRICAL INSPECTOR Rough UNLESSI Service �, '1:, ...,.. ......... � ..... ... Y Final BUILDING INSP, fiOR GAS INSPECTOR Qccy2ancy Permit Required to Occupy Byildin 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. i Enter construction cost for fee cal- North Andover Fee Calculation j Construction Cost 111 ,000.00 m � $ - $ 1,332.00 Plumbing Fee $ 166.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 166.50 Total fees collected $ 1,765.00 Foundation 100 351 Widow Street I 711-2017 on 1/12/17 j new building expansion i initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 81' edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project 'fitle: Bak N' Joy Process Expansion Addition Date: December 12, 2016 Property Address: 351 Willow Street South,North Andover,MA Project: Check(x)one or both as applicable: X New construction X Existing Construction race Project description: Structural design and detailing of new 12,000 square foot steel-framed process addition with a p and an office mezzanine. I , Stacy R. Flood, MA Registration Number: 42868 Expiration date: June 30,2018 ,am a registei-eddesign prqfessional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': Architectural X Structural Mechanical Other: Fire Protection Electrical nputations and for the above named project and that to the best of my knowledge, information,and belief such plans,cot provisions of the Massachusetts State Building Code, (780 CMR,),and accepted specifications meet the applicable perform the necessary engineering practices for the proposed project. I understand and agree that I periodic e)shall pestrucon a reular and basis :professional services and be present on the con 1. Review, for conformance to this code and the design concept, shop dmrawings, samples and other submittals by the contractor in accordance with the requirements of the construction docuents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. risibility regarding the provisions of 780 CMR 107. Nothing in this document relieves the contractor of its respo When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a 'Final Construction Control Document'. 3 Enter in the space to the right a"wet"or electronic signature and seal: ;fUl 01, Phone number: (978) 562-6499 Email: srflood@verizon-net 12 1211K =1luildringofflicial N=ainie: Permit No.: Date: Bnilding official use Only Note 1,Indicate with an'x'project design plans,COMPLItations and specifications that You prepared or directly stipervised,if other' is chosen, provide description, Initial Construction Control Document F Y To be submitted with the building permit application by a d Registered Design Professional r for work per the 8'11 edition of the f S�@ Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Bak N' Joy—Process Expansion Addition Date: December 12, 2016 Property Address: 351 Willow Street South,North Andover, MA Project: Check(x)one or both as applicable: X New construction X Existing Construction Project description: Structural design and detailing of new 12,000 square foot steel-framed process addition with a process and an office mezzanine. I , Stacy R. Flood, MA Registration Number: 42868 Expiration date: June 30,2018 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerningl: Architectural X Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted engineering practices for the proposed project. l understand and agree that I (or my designee) shall perforin the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, -or conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a rnanner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When requited by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'. Enter in the space to the right a"wet"or ` electronic signature and seal: r r f r 3{, � •. n � r i'01 i ! Ua Phone number: (978) 562-6499 Email: si-flood@verizon.net °- s Building Official Use Only Building Official Nance: Penn it No,: Dale: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised. 11'`other' is chosen, provide a description. Version 06 11 2013 PROGRAM OF STRUCTURAL TESTS AND INSPECTIONS F,or compliance with Chapter 17 of the 8`1 Edition Ql'the Massachusetts State Building Code Process Expansion Addition_ Project; Bake_N' jpy= Project Address: 35 Willow Street South, Andover, _MA Project Owner:_ LJo1,nc- _ Owner's Address;_ C1110w StrceLSouth .North Andover., MA Structural Engineer of Record:_Flood-Coiisu-1-ti-n-g-- Id Architect of Record: — - _CM Desi_gq:Btu,Inc. This program of Structural Tests and Inspections is submitted as a condition for permit issuance in accordance with Chapter 17 of the 8111 edition of the Massachusetts State Building Code. It includes a schedule of Structural Tests and Inspections applicable to this project as well as the names of individuals and the identity of other agencies intended to be retained for conducting these tests and inspections. The Structural Engineer of Record (SER) shall review records of all inspections and tests. These tests and inspections shall be furnished to the Building Official, Owner, and Architect of Record by the relevant agencies. The SER shall review inspections and testing reports and shall give written notice of non-conforming work to the Contractor for correction and the Owner's representative. The Program of Structural Tests and Inspections does not relieve the Contractor of his/her responsibilities and obligations to comply with the Contract Documents. Furthermore,the results of the Program of Structural Tests and Inspections do not relieve the Contractor of his/her responsibilities. Interim reports will be submitted by tile Structural Engineer of Record to the Building Official, Owner, and Architect of Record. The schedule of interim reports shall be approved by the Building Official prior to permit issuance. A final report documenting completion of all required Structural Tests and Inspections and correction of any discrepancies noted in the interim reports will be submitted by the Structural Engineer of Record to the Building Official, Owner, and Architect of Record prior to the issuance of a certificate of use and occupancy. Job site safety is solely the responsibility of the Contractor and not pail of the Program Of Structural Tests and Inspections. Material and activities to be inspected do not include the Contractor's equipment or the means, methods, and m procedures used to erect or install the materials or assemblies listed. ......... a W'A 64, ,13)1AGY 1, Prepared by the Structural Engineer of Record: Stat R. 1`1 od P.E. 1,A N 9 C11 1 At 12/12/16 f Date Registration Seal ........... lAt Signatu Owner's Authorization: Building official's Acceptance: Name(please print) Name(please print) Signature Date Date Signature Date ry,:'111 Witr4cr7n NAA 01 74.9 - TEL: (978) 562-6499 FAX: (978) 562..6246 "4ruc-U,,ir*,:fl Enginc.,ering PROGRAM OF STRUCTURAL 'FESTS AND INSPECIJONS For compliance with Chapter 17 cif the 8"'Edition q1*the Massachusetts State Building Code Project: Bake N' Joy- Process Expansion Add ition Project Address: 351 Willow Street South,North Andover, MA Project Owner:- Bake N' Joy, Inc. Owner's Address:- 351 Willow Street South North Andover, MA Structural Engineer of Record:—Flood Consulting_ Architect of Record: CIVIC Desi n-Build, Inc. This program Of Structural 'rests and Inspections is Submitted as a condition for permit issuance in accordance with Chapter 17 of the 8"' edition of the Massachusetts State Building Code. It includes a schedule Of Structural Tests and Inspections applicable to this project as well as the names of individuals and the identity of other agencies intended to be retained for conducting these tests and inspections. The Structural Engineer of Record (SER) shall review records of all inspections and tests. These tests and inspections shall be furnished to the Building Official, Owner, and Architect of Record by the relevant agencies. The SER shall review inspections and testing reports and shall give written notice of non-conforming work to the Contractor for correction and the Owner's representative. The Program of Structural 'rests and Inspections does not relieve the Contractor of his/her responsibilities and obligations to comply with the Contract Documents. Furthermore, the results of the Program Of Structural Tests and Inspections do not relieve the Contractor of his/her responsibilities. Interim reports will be Submitted by the Structural Engineer of Record to the Building Official, Owner, and Architect of Record. The schedule of interim reports shall be approved by the Building Official prior to permit issuance. A final report documenting completion of all required Structural "rests and Inspections and correction of any discrepancies noted in the interii-ri reports will be submitted by the Structural Engineer of Record to the Building Official, Owner,and Architect of Record prior to the issuance of a certificate of use and occupancy. Job site safety is solely the responsibility of the Contractor and not part of the Program 01.' Structural 'rests and Inspections. Material and activities to be inspected do not include the Contractor's equipment or the means, methods, and procedures used to erect or install the materials or assemblies listed. Prepared by the Structural Engineer of Record- SLtac R. FI od tac 0" P.E.i�v Na -r ""A Sign 12/12/16 o (11 Signatn Date Registration Seal Owner's Authorization: BtflIding Official's Acceptance: Name(please print) Name(please print) Signature Date Signature Date 56 Laui,el Drive HLICISOrl, MA 00-7/- 9 - r EL: (9 7 8) 5 6 2 6-4 9 9 - 8) 56,2 (,J24.6 The Conti'nonwealt/t of'1Massac:husetts ryw. Department of`1ndlustrial Accidents Office of' 'nvestigations 4 r 600 Washington Street - Bruton, MA 02111 www.rnass.gov1dia Workers' Compensation Insurance Affidavit: BuilderslContractors/Electricians/Plumbers Applicant Information Please Print Legibly Nance {13usint tisl{)rt;ar3i atianfindividual):_LAC — Address: 'e City/State/Zip: Phone#: Are you an employer? Check th appropriate box: Type of project(required): 1.❑ Tam a employer 4. E] .I am a general contractor and I with have hired the sub-contractors 6� E]New construction employees(full and/or part-time).,� Remodeling ?•Eli am a sole proprietor or partner- listen on the attached sheet. 7• E] g ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity, employees and have workers' 9• ❑ Building addition [No workers' comp, insurance coraap, insurance.t required]. 5. We are.a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work. officers have exercised their I i.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.F-1Roofrepairs insurance required.] c, 152, §1(4), and we have no parking lot employees, [No workers' RM Other F3 9 comp. insurance required,] `Any applicant.ihint checks box#1 must also fill scut the section below showing their'workers'compensation policy information. I lotncowncrs who submit this affidavit indicating they are doing all work and then hire outside contractors tntrA strbrnit a new affidavit indicating such, Contractors that check this box mast attachcd an additional slicet showing the iranie of the sttb-contractors acrd state whether or not those entities have cmptoyces, if the sub-contractorshave ctt3ployces,they nnrst provide their workers'comp,policy number. I trim ren employer that is providing,worker:- compensation insurance for my enapinyees. Below is the policy andjob,site irr%rrrrrrrtior'r. insurance Company Name: t* ev—& (;- Policy 4 or Self-firs.Lic, 2U 2 Expiration Date: Job Site Address:_ 351 Willow Street South City/State/Zip:j North Andover, MA 01845 ALttach a copy of the workers' compensation policy declaration page (shoving the policy number and expiration state). Fal lure to secure coverage as required tinder Section 25.A of MGL,c. 152 can lead to the imposition of criminal penalties of a line tip to$1,500.00 and/or one�year imprisonment,as well as civil penalties in the forth of a STOP WORD ORDER and a fine cif tip to $250.00 a clay against.the violator. Be advised that a.copy of this statement maybe forwarded to the Office of Investigations of the.DIA for insurance coverage verification. Ido hereby certify u er the pa' s and penalties of perjury that the information providers above is tare and correct.; i Dated October 21, 2016 Plane##: il Official rts'e only. Do not write.in this area, to be completed by City or toren official. City or Town:- Permit/License# Issuing Authority (circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4, Electrical inspector5. I'lunibing Inspector 6. Other Massachusetts Department of publicSafety Board of Building Regulations and Standards. License: CS-094656 Construction Supervisor KAREN F CURRAN F: 70 UNION ST MARSHFIELD MA 0 ;# � l� Expiration: Commissioner 1010912017