Loading...
HomeMy WebLinkAboutBuilding Permit #775 - 100 WILLOW STREET 6/27/2008 BUILDING PERMIT Olt pT a"ti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION e Permit NO: Date Received . � rao �SSACHl15 Date issued: Z IMPORTANT: Applicant must complete all items on this-page ALO'bAT,ibN - '�.,.. 'Print n . ROPERTY OWNER - Print a IAP NO; =PARCEL -- ZONING DISTRICT. Historic Distric# Vires no Machine Shop Village, fres TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial It ration No. of units: Commercial Repair, replacement Assessory Bldg Others: - Demolition Other Septao UUeN ` -' Floodplain Wetlands' Wateeshed.District Watdf/Severer ,1^ DESCRIPTION OF WORK TO BE PREFORMED: /-z:7 `7 Identificatllease Type or Print Clearly) OWNER: Name: 42a 2611,bhone: Address: CONTRACTOR�sNa-b Phone dress:n, ' .Supervisors-Construction license: Exp. -'Date;,.AP [,',,'pme 1"mprovement iced se: .. Exp: :Date 1 ARCH ITECT/ENGINEER-JC c Phgn Y-2 Address: �{ �—� �- -Re9. No. FEE SCHEDULE:BULDING PERMIT:$1200 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. a Total Project Cost: $ 95.59," ® FEE: $ ! / Check No.: Receipt No.: NOTE: Persons contracting t e tered contractors do not have access to the guaranty fund Si `na#ure of A ent/O� ignature -f contractor f r .�g Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public SewerSwimming Pools Tanning/MassageBody Art Well. Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature i COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street 'IF]RE DEPARTMENT -Temp-IDumpster on site yes' n ` h'L�cated"at-124 Main Streut ' 'D epart. t signature/date< e . ; - , u - COI IMENTS� Q _ Dimension Number of Stories: L Total square feet of floor area, based on Exterior dimensions. own Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 Building Department 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 ❑ Building Permit Application ❑ Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE:- All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application Li 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 ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 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 DEPARTMENT:BPFORM07 i Revised 2.2008 Location /00 No. 7Date 27 °� TOWN OF NORTH ANDOVER . ' Certificate of Occupancy $ /P0 �'�J' •t<� Building/Frame Permit Nus Fee $ �c Foundation Permit Fee $ Other Permit Fee $ TOTAL $ /08 Check # y 2 ,- 280 Building Inspector NORTH 0'" 0Andover No. © ' 1/ dover, MassLA ., COCHICHE WICK ORATE `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT............... � Iry y BUILDING INSPECTOR �............. ............................................ '......................' Foundation ' 1 has permission to erect........................................ buildings on ....1L? 'cP .. ........................................... Rough to be occupied as...... ?` C?�r'i�YP.. tC�.t : �`�'! :... 'f.'� 7 its 5........ �r.'.7�i� � Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the'Codes and By-Laws relating to the Inspection, Alteration apd Construction of Buildings in the Town of North Andover. s10r PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI STARTS Rough p-� ............. ...........✓�`�.................. ...................................... Service " BUILD G INSPECTOR Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. TOWN OF NORTH ANDOVER Construction Control Affidavit Project Number: 0804039 (Architect's Job Number) Project Title: M & K Recovery Group Project Location: 100 Willow Street Name of Building: 100 Willow Street Nature of Project: Tenant Fit-Up In accordance with Section 116.0 Registered Architectural and Professional Engineering Services-Construction Control of the Massachusetts State Building Code, I, Gregory Smith Registration No. 8688 being a Registered Professional €weer/Architect, HEREBY CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Architectural XXXXXX Structural Mechanical Fire Protection Electrical Other (specify) FOR THE ABOVE-NAMED PROJECT AND THAT SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE 780 CMR MASSACHUSETTS STATE BUILDING CODE. ALL ACCEPTABLE ENGINEERING PRACTICES AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.2.2 1. Review, 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. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the state of construction to become, generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. UNDER SECTION 116.4, I SHALL PERIODICALLY SUBMIT A PROGRESS REPORT, TOGETHER WITH PERTINENT COMMENTS, TO THE BUILDING INSPECTOR UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPL EADINESS OF THE PROJECT FOR OCCUPANCY. Z ART. Si nature and Stamp facsimile) Qr�, -PLYA.0, :6, MAL �� VV VVV VVV SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF 2008 MY COMMISSION EXPIRES NOTARY PUBLIC The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations - ;;;;; 600 Washington Street \ 111 fl ! Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): e9L-/ �s Address: V1 5 City/State/Zip: ,;,� Phone #: q_17T' Are you..an employer?Check the appropriate box: Type of project(required): 1. I am a employer with CJ 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑ New construction employees(full and/or part-time). � 7. Remodeling 2.❑ 1 am a sole proprietor or partner_- listed on the attached sheet. ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their ]0.❑ Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work right of exemption per MGL ILEI.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 131-1 Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance,for my employees. Below is the policy and job site information. Insurance Company Name: C Policy#or Self-ins. Lic.#: (� Q �q,3 Expiration Date: _1,n f Job Site Address: f Grp_ `� .���1'. City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct. Si nature: t� C� Date: Phone#: g 7 S`O��4 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pen-nit or license is being requested, not the Department of industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-7274900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia 11/14/2007 14:49 FAX 19786833147 M.P.ROBERTS INSURANCE 1@002/003 OATE(hl WffYYY) AMM. CERTIFICATE OF LIABILITY INSURANCE I 11 14 20 7 PRODUCER THIS CERTIFICATE NS ISSUED AS A MATTER OF MIFORMAT(ON RIGHTS UPON THE CERTWICATE M.P. ROBERTS INS AGCY INC ONLY AND CERTIFICApE DOES NOT Ammo, EXTEND R 1060 Osgood Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Andover, HK 01845 683-8073 INSURERS AFFORDING COVBtAC�E 978 WSURED DODiGIERT CONSTRUCTION CO. , INC. INSURM A: pm NVAMLFilm um CO INSWER s 8 DUNDEE PARK MW)RERC: ANDOVER, MA 01810 1IIVJRER CaIOUB INSTR_e COVERAGES THE POLICIES OF INSURANCE UFFED BELOW HAVE BEEN ISSUED TO TME UWAW NAMM ABOVE FOR THE POLICY PERIOD SNDN'ATED.NOTV E I S ISSUED ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VM TO WHIM THIS CERTPNCATE NMAY BE 15SUE0 OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POUGES DESCRNIED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POUCHES.A(OREGATELIMITS SNOWNMAYN AVE BEEN REDUCEDBYPAIDCtAWS, mm LTR D TYPE OF POLICY T'A mm LonGt GENERAL LUMBI RY EACH 0 6 1 000 000 of r�IN o D� S 50.00 COMMERCIAL GENERAL LIABILITY CLAMAOE ®OCOW NTWIDW Gmpw Dn) S S.000 CPP0064437 10/26/07 10/26/08 PENONAL&AwI�Y S 1,000,00-0— GFNC- &ACI;REWE 6 2,000,000 OWL AGGREGATE LMr APPLIES PM PROOU rnS-COWW AOG S 1,000,000 PRO Loc AUTOMOIKEL]AS HY COMBINEDSINGLELIMIT 6 ANYAUTO ALLOWNEDAUTOB BOOILYNNARLY i � lPeraenonl WHMX LW AUTOS HIRW AUTOS L 6 NON-0WNEDAUTOS PROPEM �AMAW S GARAGELMLRY AUTOONLY-EAACCRIEMT 6 AWAUTO OTHERTHAN EAACC S AUYOONLY: AGO 6 i EXCESSkWORELLA LM8DAY EACH aCQlRREME i OI:CUR C�CLgWMADE AGGREGATE 6 s DEDUCTIBLE 6 RETENTION 5 = WONKMCOMPENGAT10NAND TORY R ER LY I �"'DYM VO� DONC703930 10/26/07 10/26/08 E-� T a 500 000 D Ya E L. E019ME-EI►EtM'L ' 500.000 ePEOaL�P'MOUMOOONsbokm EJ-WI$EASE-MUCYLMr i 500 000 OTHER MWRPMNOFOPERATIONSILOCATI)ISTVENICLMIOMLMOMSADOED81 MWRS7M@ITISPECMLPROV COVERING OPWMTIONS OF THE MWED INSURED, AS REQUIRED FOR wow P&RFOmm AT DUNDEE OFFICE PARR, 1-6 DUNDEE PARR DRIVE, ANDOVER, Nk. ADDITIONAL. INSUREDS AS RESPECTS THIS POLICY: DUNDEE OFFICE PARK, LLC AND OZZY PROPERTIES, INC 1 VRTIFNCATE HOLDER CANCBIATION SHORD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DUNDEE OVFXCE PARK, LLC DATE THEREOF.THE MSIANG INSURER WILL ENDEAVOR TO MAIL10 DAYS WRITTEN C/O OZZY PROPERTIES, INC NOWA TO THE CERTU KATE HOLDER NAMED TO THE IST.Bits FAILURE TO 00 SO SHALL 1600 OSGOOD STREET MCM no OBLIGATM OR LIABW Y OF ANY KIND UPON THE IN$VRERL ITS AGENTS OR NORTH ANDW=, MR 01845 REPRESEWUTN s AM Ef REPRESeWATTYE 1 126(2001M) CORPORATION 1906 Location No. C �It Date !SY NpRTh TOWN OF NORTH ANDOVER O'� .•° ,•,'gyp t Certificate of Occupancy $ �a6 ;�s'•^ E<� Building/Frame Permit Fee $ wCMUs Foundation Permit Fee $ �1 Other Permit Fee $ TOTAL $ Check # -C70 21- 506 Auilding Inspector NaATM i r CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 775 (6/27/08) Date: Seiltember 9. 2008 THIS CERTIFIES THAT THE BUILDING LOCATED-ON-1-00 Willow Street MAY BE OCCUPIED AS Commercial Saace IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: MK Metals Rea u Realty LLC. 100 Willow St North Andover MA 01845 BuBding Inspector i 6 r 0 NORTH `_ _ Andover TON O ° 0 No. `1 Z o. dover, Mass., Z t-�s O LA COCMICMEMCK 7,9 ADRATED S 'BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System gF ILDING.INSPECT R THIS CERTIFIES THAT� ... %. �.. /J. ,,..� ...'. � /; ' ...... -- .I ...................................... ................. .. ion has permission to erect........................................ bu dings on ....14? >.r, ��¢`. c �.., .........................................to be occu ied asf�r° c� <,e��trE �I .:.�, f�� "°�^u'M3� °, r .. �a � y p : , . :. .. 4 . Y : : ::provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration aid Construction of ' Buildings in the Town of North Andover. dg �,� ( /'� � UMBING I PECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. u ���� U�� PERMIT EXPIRES IN 6 MONTHS UNLESS C'.ONSTRUCTI®� STARTSELECTRICAL INSPECT(JR ......... 1:.'.`......°.-- "` ..... ................................... Service BUILDING INSPECTOR , Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fina, No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. SJ/� l 1636 OSGOOD STREET E(cO p Rn NORTH ANDOVER, MA 01845 lu^L�� �u'( PHONE:978.688-0606 • FAx:978-975-8464 4 2217 W.BRAKER LANE,UNIT 1 I GROUP AUSTIN,TX 78768 PRECIOUS METALS REFINING DATA DESTRUCTION ELECTRONICS RECYCLING To: North Andover Planning Board RECEIVED From: Reau Properties SEP 10 2008 NORTH ANDOVER Date: 9/8/08 PLANNING DEPARTMENT In reference to work that was done on our parking lot and entrance walkway at 100 Willow St., we were unaware of the need for permitting. The purpose of the construction was to make the building handicapped accessible. Originally, railroad ties and stairs had blocked that access and there was no handicapped parking space at all. We had the ties and stairs removed, and paved an area to include that space. As soon as we were made aware that this required an additional permit, all construction ceased. We apologize for any inconvenience this has caused the town of North Andover. Regards, careau M & K ecovery Group GOLD - SILVER - PLATINUM GROUP METALS ALUMINUM 0 COPPER 0 STAINLESS STEEL 0 NICKEL 0 SOLDERS Date....... :.�..L "'90 N°RTAt TOWN OF NORTH ANDOVER p PERMIT FOR WIRING > �,SSACMUSE� - This certifies that ...........�.'!.t�.[. G� d— '��'t ............. .................................................. has permission to perform .......... ..........U`............................................... wiring in the building of....... ... .......... C a U� �4<......................... at.....1... .......C.r.L..I-P.410.... Sr ............................ ,North Andover,Mass. { Fee..b Lic.No,I�'s..�. 1 ,O!�e f ELE R1CAL INSPECTOR Check # 826 _ Commonwealth of Massachusetts official use only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical C_od (ME ),527 CMR 12.00. (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: f 68 City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) I W<l lQ� S e fi Owner or Tenant K< e_erovtr_�K Telephone No. Pe,antt Owner's Address 0-0 W i k[p W 1 u cf Nbti� &-. o -775 Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building b W Lt /W W.L VX di Se Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity 1 -10063 1 tFw tilt Sy6 pN L- Location and Nature of Proposed Electrical Work: Frorl tLt. New J o -o-C4 '-ce$ qp4 resT fw"s Fr %it f-i61 New office I Looftle AW- ems R_I yew �%r4 AVW sY6ter-A Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- Elo.o mergency ig ng rnd. rnd. BatteryUnits No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Nuer Tons KW No.of Self-Contained Totals: ­­­­­­1­­••..••.•. Detection/Alerting Devices i No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of KW Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Ns� j /f 2,S IC 014 9CJ!�n A<4 ls�R, pNL, Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless. the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE &I BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME: i U F_leclCc . Co z o C• LIC.NO J cos Licensee:W q4 he w, S R 1ie5 Signature w.Spk/U, LIC.NO.J( 503 (If applicable, enter "exe pt"in the license n tuber lin .) Bus.Tel.No. 3"765' 7R Address:�� c3 g5oC. S�. trl tT' Alt.Tel.No.: *Per M.G.L c. 147,s. 5 =61,security work requires Department of Public Safety"S" License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ •t i r µA } \ I I Date........��:'�.`�$'a. 3 f"'..aTOWN OF NORTH ANDOVER PERMIT FOR WIRING Io This certifies that.......�.�................. ....� ��?'.......................... has permission to perform ............ ...... wiring in the building of... /00... ?. ......S� ,North Andover,Mass. s at........ ....... ...................... ..�-a. Lic.No. ..I.7.S...?. A �',°"�t`� ``Fee.... ....... .. .... ..... .. ......: ........RICAL INSPECTOR Check # 825 _ o'o �/ —=— (,/�om.monwealth of Vajaac4a4etfa Official UseOnly 77 ,n cc�� Permit No. W 2epartment of Sire Serviced Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK -\11 Nvork to be performed in accordance with the Massachusetts Electrical Code EC .5')7 CMR 12.00 !PLI:LSL PRL\T 2 ANK OR ThYRE-=ILL IVF ALL T O?�j Date: 64 16 P Cite or Town of: /U To the Inspector bf Wires: By:his application the undersigned gives not f ht pr her t itentt n to perform the electrical work described below. Location (Street&Number) I , S - Owner or Tenant Telephone\ • Owner's;address Is this permit in conjunction with a building permit? Yes F] No ❑ (Check Appropriate Bos) Purpose of Building, Utility Authorization No. Lxistin„Service Amps i Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Com letion of the following table may be waived b•the Inspector of TVires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA Above ❑ In- ❑ o.o mergency Lighting No. of Luminaires Swimming Pool Qrnd. rnd. Battery Units No:of Receptacle Outlets No. of Oil Burners FIRE ALARMS No.of Zones No.01,Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons b No.of NX"ante Disposers Heat Pump N.umber Tons KW No.of Self-Contained Totals: ............... .............•.......... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KVO% Security-Systems:" No.of Devices or Equivalent No.of WaterKWNo.of No. of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: .Attach additional detail if desired,or as required by the Inspector of Wires. t. Estimated \ alACVE] ri a Fork: (When required by municipal policy.) r i Work to Starr Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSLR.•kNCEAGE: LTnless waived by the owner,no permit for the performance of electrical work may issue unless die licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. C.'HFCh O\E: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I cer•tiji•, under the pains and penalties ofpetjurp,that the information on this application is true and complete. FIR 1 t j— LIC.NO.: i 069�4 A- Licensee: �� c Signature IC.NO.: 7s 1/ �pp'icciL/c. curer `exern r"in the lice's na tit 6e.,lit{re.} Bus.Tel.No.. - Address:,�� t kKI-11 Il k? ( G(1! lLa ftp My 9 �)/?M Alt.Tel.No. "Per yLG.L:c. 14-1.s. _,�7-61, security work requires Depa entnt of Public "S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally tequirCd b., law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's anent. Or%ner:'Agent Signature ____ Telephone No. PERMIT FEE: Date. . r— .F "oR,,, TOWN OF NORTH DOVER ? c PERMIT FOR PLUMBING ,SSACHUSE� This certifies that . . . . . . . . . . . . . . . . ` . . . . . has permission to perform .`-:. . . . . . . . . . . plumbing in the buildinjQs of . I : . . ��' �. . . . : . . at. . . !... . . . .t. . .t. . . . . . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee.h.). . . .Lic. No.A1GG.?.? . . . . . . $1. 1.- �'`'r',/�� . r PLUMBING INSPECTOR Check # /' ? 778 i L V MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) i NORTH ANDOVER,MASSACHUSETTS Dam_7 Building Location /O U LU< <1 a uv Owners Name �1 .� f'� ►fie S Permit# Amount 7 T e of Occu anc -- New Renovation Replacement " P 1:3 Plans Submitted Yes � No FIXTURES � A rz A � rn va' O rr aslc��t1 0 12- 1 MFUM 3nRIDM + 41HR sIIi)L � - 7M>L sl<FLOC R I t (Print or type) � Y-`�--� Check one: Certificate Installing Company Name +V 0 „� u. F Z Sd a Corp. Address ✓o dam—/ Partner. business 1 elephoneq7T K aK Firm/Co. K Name of Licensed Plumber: `7 L1 a•-� 'J'12 Z Insurance Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned,have been made aware that the licensee three insurance of this application does not have any one of the above signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above cation are ty� d accurate to the best of my knowledge and that all plumbing work and installations orm and ermit sue fo thi a�p ation will be in compliance with all pertinent provisions of the Massachusetts S to Plumb' g Co e d Cha ter 42 fee Gene S. By: Signature o ice e um er r Title Type of Plumbing License O Z3 I City/Town i ense umber Master ® Journeyman F1APPROVED(OFFICE USE ONLY i j Date.. . . . . . . . .. . . ... .. NORT1y TOWN. OF�(N ORTIH ANOOVER PERMIT FOR-GAS INSTALLATION 'l ACMUSESAy - - This certifies that . . . ./. . . a' .`: ?.' . . f. . . . . . . . . has permission for gas installation . . . . . . . ... in the buildings of . . . !f?; • ! • '4P . . . f. . . . . . . . . . . . . . M at . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee.4.�l%) Lic. No..J.Q G. ?. ? . . . . .�.�..•.�:-cam..:--,... . -: GA'5 INSPECTOR Check# 64,70 Ste, cry S. MASSACHUSETTS G UNIFORM APPUCATON FOR PERNUr TO DO GAS FITTING (Type or print) Date ? ~ 2 3 NORTH ANDOVER,MASSACHUSETTS Building Locations D V W, I`/0`i f Y Permit# C ell Z b Amount$ Owner's Name X4 j-� � New❑ . Renovation Replacement D Plans Submitted a I U a �; c� a WWI " wC U W Z W y > z a O w F F C7 F Z � W + F W W Z Q W Q C F E.. O > 6s E. W m w > Z 4 w W F O z w Q O x 3 p UO z > O o0. F O1 SUB -BASEMENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD . FLOOR S 4TH . FLOOR rli 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) tv� Check one: Certificate Installing Company Name-- A)y 44'. cf%O,,. Corp. Address P 2 So N 1/1, -4 Partner. �-Z•N r144.1o .f Business Telephone 7 a 3 Firm/Co. Name of Licensed Plumber'or Gas Fitter INSURANCE COVERAGE Check 1 have a current liability Insurance,policy or it's substantial equivalent. Yes "ne' No es If you have checked please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnityD Bond 1 i Owner's Insurance Waiver: 1 am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 13 Agent hereby certify that all of the details and information I have submitted(or entere bove appli tion are true and accurate to the best of my knowledge and that all plumbing work and install ti s pert ed u der P it I for this application will be in compliance with all pertinent provisions of the MassachuSt to G ode d Ch ter f the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title ® Plumber a U 7 3 City/Town, 0 GasFitter icense um er ® Master APPROVED(OFFICE USE ONLY) Journeyman 4 TOWN OF NORTH ANDOVER Final Design Affidavit Project Number: 0804039 (Architect's Job Number) Project Title: M&K Recovery Group Project Location: 100 Willow Street Name of Building: 100 Willow Street Nature of Project: Office renovation Handicapped Accessibilility and Tenant Fit-up In accordance with Section 116.0 Registered Architectural and Professional Engineering Services-Construction Control of the Massachusetts State Building Code, I, Gregory P. Smith Registration No. 8688 being a Registered Pref.".`.-i. nal EAg#ieef/Architect, HEREBY CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Architectural b00( Structural )0(X Mechanical Fire Protection Electrical Other(specify) FOR THE ABOVE-NAMED PROJECT, AND THAT SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE 780 CMR MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I HAVE PERFORMED THE NECESSARY PROFESSIONAL SERVICES AND EITHER MY REPRESENTATIVE OR I HAVE BEEN PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK HAS PROCEEDED IN ACCORDANCE WITH THE DOCUMENTS SUBMITTED FOR THE BUILDING PERMIT, AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.2.2 1. Review 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. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the state of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. I AM SUBMITTING THIS FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. S��@lED Ai�C Signature and Stamp (no facsimile) � �oRy Not gssu y Cl MA. r ,.SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF 2008 MY COMMISSION EXPIRESAD NOTARY PUBLIC LINDA VANDP&0'RDt- Notary Public-New Hames My Commission a Pirdi March 1o,2oCe , FE1 D A Harry R.Feldman, Inc. (, �'1/` 112 Shawmut Avenue Professional Land Surveyors Boston,MA 02118 Phone:617-357-9740 Fax:617-357-1829 www.harryrfeldman.com September 2, 2008; Matt Decareau M & K Recovery Group 1636 Osgood Street North Andover, MA 01845 Re: Pot Plan 100 Willow Street North Andover, MA Dear Matt: Pursuant to your request, we are pleased to submit our proposal to provide a Certified Plot Plan for your project located in North Andover, Massachusetts. In order to achieve your project's goals we propose the following: Perform field survey to locate the new parking lot. • Draft a plan showing the parking lot, the parcel's boundary lines along with offsets to said boundary lines. ` • Provide certified prints for your submittal to the Town. The fee for this survey will be $2500.00. . Invoices are issued monthly and will be due upon receipt. Work can be scheduled upon receipt of written authorization to proceed in accordance with the terms of this proposal. Please sign, date and return a copy of this proposal to us as your authorization to proceed. We will complete the plan by the end of the day, Friday, September 5th as long as we receive your authorization today. For your protection we maintain General Liability, Automobile Liability, Workers Compensation and Professional Liability (errors and omissions) Insurance. We look forward to working with you towards the successful completion of this project. Very truly yours, Accepted by: HARRY R. FELDMAN, INC. Title: /eea4nM c D(�o n a g P Firm: Project.Manager Date: Proposals/Willow Street-plot plan.doc Focusing on Excellence Since I N6 C�lL A i� AA Harry R.Feldman,Inc. j ��/ 112 Shawmut Avenue Professional Land Surveyors Boston,NIA 02118 Phone:617-357-9740 Fax:617-357-1829 www"ha rryrfe idman.com To Whom It May Concern: M & K Recovery Group has retained Harry R.Feldman, Inc.to prepare a plot plan for the property located at 100 Willow Street North Andover. Sinc rely Sean McDonagh NORTH TONM of Andover V VO No. A90 LA3 _ �o It. dover, Mass., %0Af COC NIC ME WICK � S RATED PY �i BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D r�_ /� U��� BUILDING .INSPECTOR THIS CERTIFIES THAT... ........./. ....(/.......:.......:............. ................................./..`............ ........1.... / ' "'/rz. .. undation has permission to erect........................................ buildings on ./ ....o...ozGLJ...U.v..................................... Rough . p �d C_ � A�J' � 12--i. . J� Gc! '; Chimney to be occu ied as.. :..�f..J......provided that the person accepting this permit shall in every respect confore terms of the application on file in Final 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 Final PERMIT EXPIRES IN 6 MONTHS ` UNLESS CONSTRUCTION T TS 1 , ELECTRICAL INSPECTOR .��� . . ........... Rough .....................................: Service BUILDING INSPECTOR Final Occupancy Permit ,Required to Ocaipy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det.