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HomeMy WebLinkAboutBuilding Permit #007 - 1 High ST-Bldg 22 7/6/2006 3r s ,..o ,eye oL TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ,SSAC Permit NO: Date Received: c�2c` Date Issued: IMPORTANT: Applicant must complete all items on this page 1 J LOCATION � 'lam H iQ k Print �A ' PROPERTY OWNER_ �LI 0_0Y 7 Pi ycc� eP1 Ti, Print MAP NO.: PARCEL: - ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential +New Building 0 One family 0 Addition= }; _ \" ❑Two or more family XIndustrial Alteration No. of units: Repair, replacement J Assessory Bldg ❑Commercial Demolition ! Moving (relocation) ❑ Other ❑ Others: ':j Foundation only DESCRIPTION OF WORK TO BE PREFORMED 4 'L � �►� �/ i�'� q hl?�D_T r 7 ZS s-�}7 Identification Please Type or Print Clearly)- 4 OWNER: Name: 0,�J V, Le"X74e4-t C Phone: Address: L® (N(?,,s-r Ail d (e,7 _& -soft-- 1Za3 CONTRACTOR--Name: t�caa - CCS - - -- -- Phone- -Z ''7 '- /`i�29? Address: 15 Afy L6-'f tl-U Jl✓tC(J'J X44 (D 1-S.-;)1 1 'j Supervisor's Construction License: tl_ Exp. Date: I` Home Improvement License: Exp. Date: ARCHITECT,'ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:~10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON 5125.00 PER S.F. Total Project Cost S �1, Q x10.00=FEE1 Check No.: LU 7 c) Receipt No.: Page Iola TYPE OF SEWARGE DISPOSAL Swinnning Pools Tanning/Massage/Body Art - Public Se\Ver Tobacco Sales - Food Packaging/Sales Well _ Pernianent DumP ster on Site Private(septic tank,etc. Electric Meter location to project NOTE: Persons contracting With wiregistered contractors do not have access to the guaranty fruid Signature of A T nt Owne 4v- Signature of Contracto li I - Plans Submitted Plans Waived J Certified Plot Plan ❑ Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE CiSE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED El& DEVELOPMENT S � 6 ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COM MENTO Lc�f S �.l ce �� 3 DATE REJECTED DATE APPROVED CONSERVATIO ❑ v G COMMENTS K t. C( m , DATE REJECTED DATE APPROVED HEALTH 'ii !^ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decisionireceipt submitted yes Planning Board Decision:___ _ Comments Conservation Decision: Comments Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Re wired Provides Required Provided Nater & Sewer connection signature& date Temp Dumpster onsite yes—no Fire Department signature/date ' I Building Pennit Approved and Issued by: Page?of DIMENSION Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area,sq. ft.:_ No"t-ES and DATA–(Far department use) �I I j i I E i I i I I Paie3 of4 ! I Doc:INS11H I R)NAL SERVICES DEPAR'Ifv ENT:1311FORN105 (h.tic. I.IC.lm-'006 I Building Department 1 The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits i ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks i � ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ' ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ 'Mass check Energy Compliance Deport (.If Applicable) C New Construction (Single and Two .Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan ' And`Hydraulic Calculations (If Applicable)-- - - - ❑ Copy of Contract ❑ Mass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DF.PAR'I'MENTMPFORM05 i Page4of4 Location 0 No. 0 Date -7'6'04 MORT01 TOWN OF NORTH ANDOVER F s A Certificate of Occupancy s�CMUs��' Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ °- TOTAL $ Check # 19494 Building Inspector i Jew L U � 1 � � � � � �3`�� ,� a° g�� Grady Associates Manufacturing Equipment Installations Robert Maida Sales/Project Manager 15 Mulberry Road Dracut,Ma 01826 Cell:978-758-1509 978-828-3662 robert.maida@comeast.net /` �►��4� � / e n \t W �yge J � r T O y� / � ►A .��-� d P m � .4. 9 W N V Z y t {{I r va 10 I E I I 1 0Ul o 1 0 af LU 0 • � a nit Oleori ,✓'� � � ti. �• e 4 a� 3 j — 3 1 aha {8 � � ���f�Ftl •� �� �•�A'j r' _.'', N o �i fi 4 t�■ f 'e -�� �', 1 1 i � A $ $j g y •--•� G tm.aal a z # j ! � l LAJ m ell lint— !alu No5o W s n $r$g $ as o fit Al Voe In t x,57 azoo w at • All Ban $� � WonDom -gym I 6 � o • 8�' �8a s-,s � � 64 40 uj fL� dd s5 01 8 $t �' ' a all im M crow913 r� lr Rt, Q° �■ G� 1 b $d 1 aJ 1 To wig N In 77 52. • �all(gy .., t � License. OF sUl �c/z °f nse; CpNSTRU�DING REGUEgTu Number:'.CS IONSUPERVISpNs v q Bi"d 093888 R w; ate: 01/03/185 ExPrres: 6 01/p3/2010 ROBERT VRestricted ,Q� Tr•no: 93888 108 PRiN MAIDq TEvvSKBURY ST MA 01876. Co -� missroner ' r g Liberty Mutual Group Llbler PO Box 7202 Mutual. Portsmouth,NH 03802-7202 Telephone(800)653-7893 Fax(603)431-5693 May 25, 2006 CAMBRIDGE INNOVATION CENTER DBA CAMBRIDGE INCUBATOR INC ONE BROADWAY 14TH FL CAMBRIDGE, MA 02142- RE: Certificate of Workers Compensation Insurance Insured: JOHN GRADY DBA GRADY ASSOCIATES 15 MULBERRY RD DRACUT, MA 01826 Poliev Number: WC2-3]S-359176-016 Effective: 4/4/2006 Expiration: 4/4/2007 Coverage afforded under Workers Compensation Law of the follmvi,ng state(s): MA Employers Liability Bodily htjtin,By Accident: $ 100,000 Each Accident. Bodily lnjurybyDisease: $ ]00,000 Each Person Bodily Injury by Disease: $ 500,000 Policy Limits As of this date, the above-referenced policyholder is insured by Liberty Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms, exclusions and conditions, and is not altered by any requirement, term or condition of any or other documents with respect to which this certificate may be issued. This certificate is issued-as a matter of infbrriation only a,,u-confers noright-upon you:the certificateholder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such cancellation. ba AUTHORIZED REPRESENTATIVE LIBEIRTY MUTUAL INSURANCE GROUP This CertiSccae is e\ccuted by LIBERTY i\9U71JAL INS1akNCE GROUP as respects such insurance as is aflorded by those compuv ies. cc: Insured: Producer of Record: JOHN GRADY DBA GRADY ASSOCIATES BYAM BROS INSURANCE 15 MULBERRY RD 191 PA'WTUCKET BLVD DRACUT,MA 01826 LOWELL, MA 01854 5/24/2006 ACORD CERTIFICATE OF LIABILITY INSURANCE CSR KG DATE(MM/DD/YYYY) GRADY-1 1 06/06/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Byam Bros-Mahoney Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 191 Pawtucket Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lowell MA 01854 Phone: 978-454-2926 Fax:978-937-0745 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Mountain valley Indemity Co. INSURER B: Grad Associates INSURER C: 15 Mulberry Road INSURER D: Dracut MA D1826 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INtim POLICY NUMBER P LICY FE 'VIE POLICY LEXPIRATION LIMITS LTR NSR TYPE OF INSURANCE DATE MM/DD/YY DATE MM/DD/YY GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIALGENERAL LIABILITY 5200018921-03 07/22/05 07/22/06 PREMISES(Eaoccurence) $ 100000 _ . CLAIMS MADE Fx_] OCCUR MED EXP(Any one person) $ 5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2000000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 A OCCUR E] CLAIMS MADE TBD 06/05/06 06/05/07 AGGREGATE $ 1000000 DEDUCTIBLE $ X RETENTION $10000 $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY -- ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS I CERTIFICATE HOLDER CANCELLATION I EVERGR2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Evergreen Solar NOTICE •Q,7HE CER7IFIGAT, HO D R NAMED-TO E I SFT,@UT FAILURE TO DO SO SHALL Attn: Tiffany Manning �' iT^ `"�'y, tl:,iutvt�l r�aufutaMub;h( ty �t� 259 Cedar Hill Street I>{IMPOSE NO OBLIGATION OR LIABILITY OF A1JY KIND UPON'fHE INSURER,ITS AGENTS OR Marlboro MA 01752 REPRESENTATIVES.AUTHORIZED REPRESENTATIVE B am Xq )k -e ACORD 25(2001/08) ©ACORD CORPORATION 1988 J.R. GRADY ASSOCIATES June 7, 2006 Rev 4 Schneider Automation,Inc. One High St. North Andover,MA 01845-2699 Attn: Mr. Scott Fairbanks Subject: Provision and installation of Smoke Shelters Dear Scott, I am pleased to present the following revised proposal for your review. Area: Rear of Dock 1 Building on Existing Pad (1)Installation of Shelter $ 400.00 Total: $ 400.00 Area: Retention Pond Area,Directory Board Area and Courtyard (2)Installation of Shelter and Concrete Pad $1,300.00 ea $ 2,600.00 Total: $ 2,600.00 Permit: Billed at cost plus 15% $ TBD The permitting process is questionable on timing due to application and granting requirements. This could possibly take up to six weeks especially during summer schedule of permitting boards. All conditions of the previous proposals remain as a integral part of this proposal. Hopefully the above pricing is in line with your expectations and you place an order with the J.R. Grady Company. We have worked hard to squeeze our pricing to a very tight margin. We would greatly appreciate working with Schneider on another mutually satisfying and successful project. Thank you for the opportunity to present this pricing. Sincerely, 15 Mulberry Road, Dracut, MA 01826 Tel. 978-458-3662 Email: i hngrady24(a),yahoo.com J.R. GR.A►DY ASSOCIATES The smoking shelter proposed is manufactured by NBB Company in Wolcott,NY. All materials are designed to provide the longest life and lowest level and durability with staof M inl ss frame is mad he efro powder owder coated aluminum for strength nes are steel feet to resist rust and corrosion. The watt. Frame panels arlightweight eand made polycarbonate that does not yellow in sunlight. from durable 1.5 inch square aluminum and 0.25 inch clear acrylic sidee anion eh than f is te. This clear plastic is many time $ ona 0.118 inch UV-protected polycarb i glass and is exceptionally shatter and fire resistant. NB B shelters come with extensive guarantees and warranties. They will not corroand rde. Each shelter is safe, attractive, and maintenance free. They stand up to win Smoking Shelter Specifications: part#/Catalog#NBS0808FS/ A88FS Size: 98" x 89" x 86" (H x W x D) Outside Dim. Capacity: 2 - 7 smokers Weight: 517.00 Is/ each Material Color: Black struction moking shelter. Contents: 4-Sided Alumin carbon m con t panes. Instructions for construction. Includes all fittings&poly AJ-1 .... M 1826 Tel. 978-458-3662 15 Mulber Road Drac Em oohs rad 24 ahoo.com .� Schneider Electric Page 1 of 2 .................................. »::>::>::»::>::>::>: ::>:>::>::>:: ;:::>:»?:<:::::>:<i:>::: .<: PO number/date 4500360860/06/13/2006 THE NO BUTTS BIN COMPANY INCORPORATED Buyer: S. PIEMONTE 6188 WEST PORT BAY ROAD WOLCOTT NY 14590 Schneider Automation Inc. One High Street North Andover MA 01845-2699 Telephone: 978-975-9776 FAX: 978-725-3035 Supplier No.: 3100001095 Supplier Contact: GREG BURKE i Please deliver to: Bill to: Schneider Automation Inc. Schneider Automation Inc. One High Street One High Street North Andover MA 01845-2699 North Andover MA 01845-2699 See Shipping Instructions Below Attention: Accounts Payable Incoterms: EXW S/P Payment Terms: A300 Within 30 days Due net Currency USD This purchase order is subject to the Schneider Automation "Terms and Conditions of Purchase". The "Terms and Conditions of Purchase" can be found via the internet at http://public.modicon.com/support/oe/conditions.htm, or a copy of the "Terms and Conditions of Purchase" can be obtained by calling (978) 975-9154. Item Material Qty Ord Unit Price per/unit Net value Description Qty Rec'd Qty Bal 00010 3 Each 3,326.36/1 9,979.08 NBS0808FS Revision Level: Tax Code: 11 - A/P Sales Tax Taxable Original Commit date: 07/07/2006 Delivery date: 07/07/2006 Total net value excl. tax USD 9,979.08 Signature: LS P-t-� Date: (m ^ 1 a S. PIEMONTE Schneider Automation Inc. One High Street North Andover, MA 01845-2699 Tel. (1) 978-975-9776 - Fax (1) 978-725-3035 www.schneiderautomation.com Federal Employer Identification No. 043-211-095 l - K7 �` OEM 4 60d a�vw�S � 1 ■ 69 ai NMI v A7M 1■ 1 MI a '" u - 1 {° � �� F �� t 1 �° k`F� �HI� � ��■ we �� { , , - f L Elf JA 711 OL EL Jo -� � rte: P !' ..r Y@ ` �..: -.�■P own, Tt 1��Pi's. u � - r•1 '� a al fF ,