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HomeMy WebLinkAboutBuilding Permit #888-13 - 1085 OSGOOD STREET 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION /ll FS--o 6'900yC�l . / /��7c. � icy !yl/� � _ PrinL PROPERTY OWNER / S� Print 100 Year Old Structure yes no MAP NO: PARCEL:2 ZONING DISTRICT: Historic District 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 ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) ��,✓ yfJM��� OWNER: Name: / JOL 9-401&r-4 096- ��22o�rzsa7�1v bone: Address: .4adL% r— CONTRACTOR Name: Vc1 o� —i 6 1��,,xs�.��l� c.�tsT/C —7 Phone: cj� —7 2,?Ap Address:_ CWAo ��7'�v� .� ,,�42 0)��3� Supervisor's Construction License: g j�4 kK' Exp. Date:.7 7Z? —ap�3— Home Improvement License: /a:s 0 Exp. Date: .�� 'l5 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE;BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ /2 5 FEE: $ Check No.: Receipt No.: 96.5-3 NOTE: Persons contracting with unregistered contractors do not have acce to a guaran and Signature of Agent/OwnerZ Signature of contract Plans Submitted ❑ Plans Waived Certified Plot Plan 0 Stamped Plans Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE.DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ 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 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 Tow;v Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Departinerit signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. 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 i Doe.Building Permit Revised 2010 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 ❑ 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 ❑ Building Permit Application ❑ Certified 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 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 ❑ 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 apt.al 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: Doc.Buiiding Permit Revised 2012 Location No. Be)8- t3 U Date b 1 b113 . - TOWN OF NORTH ANDOVER EII • Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 22, Check# i t e~ Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 17,525.00 m $ - $ 210.30 Plumbing Fee $ 26.29 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 26.29 Total fees collected $ 362.88 1085 Os oos Street 888-13 on 6/19/2013 Orzo Trattoria Interior Renovation NORT#1 own o .. t E 3 ndover - 0 No. * ,� h , ver, Mass, cocNic„ewrc* ADR%7ED PpP�.�y S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System /l/ GS��* //�� /�C✓�' BUILDING INSPECTOR THIS CERTIFIES THAT ....... ...��...............G.... ... ......... ........................ .. ..................................... has permission to erect buildings on Foundation .......................... ............................................................................. Rough to be occupied as .........:, �?` :c�' :..�.�.der:. ... :. �:5r�............ .........� .c! Chimney provided that the person accepting this permit shall in every respect conform to he terms of the a plication 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough _ ........................... Service .......... ...... .L�sr. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit 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. SEE REVERSE SIDE I � Kinsella Construction LLC Proposal 26 Wintergreen Circle Methuen, MA 01844 DATE ESTIMATE NO. Cell 978-857-7320 6/3/2013 159 Fax: 978-557-5490 NAME/ADDRESS Ship To Reppucci Mike Orzo Trattoria 1085 Osgood St N Andover MA 01845 PROJECT DESCRIPTION TOTAL Demo-Remove existing canvas canopy& frame. Remove Bar top.Remove soffit in service 1,750.00 area.Remove existing Millwork behind bar. Remove mouldings from front of bar& on wood veneer half wall. prep service area to install partition wall Framing& wall repair-- Patch&repair gwb where sconces & awnings are being 6,950.00 removed.Install new partition wall in service area, with cased opening&pass through opening for service. Install new partition wall with 4' cased opening in left of rear dining area.Framing members to be 3 5/8" metal studs 16" OC. Drywall of 1/2" thickness to beapplied to both sides of frame. All joints, corners 7 screw holes to be taped&covered with joint compound using a three coat process. All areas to be sanded ready for paint. Painting of these areas to be done by others TOTAL Signature Pagel I Kinsella Construction LLC Proposal 26 Wintergreen Circle Methuen, MA 01844 DATE ESTIMATE NO. Cell 978-857-7320 6/3/2013 159 Fax: 978-557-5490 NAME/ADDRESS Ship To Reppucci Mike Orzo Trattoria 1085 Osgood St N Andover MA 01845 PROJECT DESCRIPTION TOTAL Painting- 8,250.00 Vacuum all ceiling structure in preparation for spray 2 Coats Latex Dryfall on all ceiling structureWipe all drop ceiling framework and spot prime any water stains2 Coats of flat latex on grid and tiles Wipe all wainscoating with will bond Spray prime all wainscoating with Stix primerSpray 2 coats of latex satin finish coat on all wainscoating. Price does not include taping,moving of furniture or covering of floor. After discussion with Mia, it was stated that floor was going to be reworked& no tape line was needed on the walls. Debris- Remove above demo debris from site&transport to proper facility 575.00 Note---All other items not covered in this proposal will be billed at $55.00 per man hr. TOTAL $17,525.00 Signature Page 2 CJlte�aaarsuarrruea���a��C�if'LailJnc�tcJe�7`J Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR 2egistration: 124016 Type: NINE; ;1=xpiration: ..51512015.. Individual Daniel T.Kinsella Daniel Kinsella 26 Wintergreen Cir Methuen,MA 01844 Undersecretary 1 Massachusetts-Department of Public Safety i� Board of Building Regulations and Standards i Construction Supervisor License: CS-066686 DANIEL T IQNSE)I A I 26 WINTERGREEN CIRCLE s M ETIIUEN MA 61844 =xi'atioT3 Commissioner 07/18/2015 ,eco CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) 16. � 1 6/17/2013 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(S), 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 Tracy Loeschen NAME: DeAngelis Insurance PHONE (976)682-3397 A1C No:(978)681-0773 283 Merrimack Street E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# Methuen MA 01844 INSURERANational Grange Mutual Ins Co 42 INSURED INSURER B:Zurich Insurance Co. Kinsella Construction ILC INSURERC: 26 Wintergreen Circle INSURER D: INSURER E: Methuen MA 01844 INSURER F: COVERAGES CERTIFICATE NUMBER:2013 term 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 TYPE OF INSURANCE D L U POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD MM/DD GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 50,000 A CLAIMS-MADE Fx_1 OCCUR KPB28029 1/26/2012 1/26/2013 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X1 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY(Per person) $ A ANY AUTO 250,000 ALL OWNEDIx SCHEDULED 91424469 9/26/2012 9/26/2013 BODILY INJURY(Per accident) $ 500,000 AUTOS AUTOS NON-OWNPRO X HIRED AUTOS AUTOS ED ParracEadentDAMAGE $ Underinsured motorist BI split $ 250,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS I ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) 6ZZUB056ON816 /29/2013 /29/2014 E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) Certificate is issued in the interest of the named insured and holder listed below. Subject to company conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE David Segal/NNM ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 r9mnn,i n+ Tho ArriDn nnma nnel Inn^oro roniefororl mnrlra of A(,np T t A_�_------- ),to l �\ �.. L'PNTF- lea 44 1 r' N0.0900 __ i r � • r ilP CIA /17 L 1:J w r Win i r ," s • ' ,r t:*.TE=4':2s,1 ' ^ — — — — Waseca ,_