HomeMy WebLinkAboutBuilding Permit #260-2011 - 117 MAIN STREET 9/27/2010 NORT}�
BUILDING PERMIT o;ttAOR seq�'o
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
it
2
Q. 1011 Date Received
Permit NO: �
��SSwCHus
Date Issued: ,Z7 b
IMPORTANT:Apphcant must complete all items on this page
LOCATION 122 MaiS reet Suite G2
Print
PROPERTY OWNER San-Lau Realty Trust
Print
MAP 210 29 PARCEL: 48 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 X No. of units: Commercial X
Repair, replacement Assessory Bldg Others:
Demolition Other
Septic Well Floodplain Wetlands Watershed District
Water/Sewer
DESCRIPTION OF WORK TO BE PREFORMED:
Construct new gyp partitions, install light fixtures and switching, install store fixtures.
See attached drawings for full scope.
Identification Please Type or Print Clearly)
OWNER: Name: San-Lau Realty Trust Phone: 978-Q86-8183
Address: 115 Winter St. P. O. BOX 308 North Andover, MA 01845 j
CONTRACTOR Name:_ Maple-Leaf Construction Co., Inc. Phone: 603-882-7498 +v,
Address: _ 5 Congress St. Nashua, NH 03062
Supervisor's Construction License: CS 56615 Exp. Date: 5/23/11
Home Improvement License:_ Exp. Date:
ARCHITECT/ENGINEER Sargenti Architects Phone: 973-253-9393
Address: 461 From Road Paramus, NJ 07652 Reg. No.
FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 77,000.00 FEE: $ 1,024.00
Check No.: q Y G GG Receipt No.:_„a:K<i 57,E
NOTE: Persons contractinglvith egistered contractors do not have access to thearanty_futtd
Signature of Agent/Owne ignature of contractor
i
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
i
FwP
PE OF SEWERAGE DISPOSAL
lic SewerTanning/MassageBody Art Swimming Pools
ll 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
1�1J11/IlviCIN I S
HEALTH Reviewed on Signature
I
COMMENTS
Zoning Board of Appeals.`Variance, Petition No: Zoning Decision/receipt submitted yes
16 Planning,. award Decision: Comments
Conservation Decision: Comments
I
Water& Sewer Connection lsi nature Date
Driveway Permif
DPW Town Engineer: Signature:
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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.$10041000 fine
NOTES and DATA— (For department use)
❑ Notified for pickup - Date
I
Doc.Building Pemiit Revised 2010
i
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
o 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
❑ Ce1 uiied r oposed 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
(VOTE: 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:Buiidine Permit Revised 2008
Location -e
No. Date 2Z
MORT►, TOWN OF NORTH ANDOVER
O
F A
Certificate of Occupancy $ /b O
Building/Frame/Frame Permit Fee $
s Kwust 9
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ "��
Check #4 �'1 6 66
23450
Buil ilii g Inspector
October 15, 2010
Building Department
1600 Osgood Street
North Andover, Massachusetts 01845
Re: Converse
Community Store
115 First Main Marketplace
North Andover, Massachusetts 01845
Project Number:ALT1762
To Whom It May Concern
I certify that the building located at 115 First Main Marketplace North Andover, Massachusetts, has been
built/altered under my supervision and in accordance with the approved plans, and that such plans do conform
to all provisions of the Massachusetts State Building Code.
OF SASS
�o?d� D.J. �cyG OF
PENN Nn �o�' D.J. cyG
ELECTRICAL y PENN
No.39742 MECHANICAL
A�9FOi37EP�0�� No.39939
SS�ONAL
SS�ONAL ENG
67?a, '+7* BRANDON RAY BAWNGER (Public Notary
MY COMMISSION EXPIRES
March 10,2012
&V4 1017,0(z-
1
I My Commission Expires
ORTly
Town of And
No.
-o " dover, Mass., 7110
COC M IC HEWICK
ADRATED IP"\f �
`S BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
_ BUILDING INSPECTOR
THISCERTIFIES THAT.................................:................................"�....... ............................... ...........................................
""""' Foundation
has permission to erect........ .... ........ buildings on ....... Rough
to be occupied as............. -........ .... ......... r.' :....i�....... ................................................ Chimney
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 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 STARTS ELECTRICAL INSPECTOR
oug
.................................................. Service
BUILDING INSPECTOR
in /` /D--4:..5 �)
Occupancy Permit Required to Occupy Building GAS INSPECTOR
y 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. , - -
: SA
4 6 1 FROM ROAD
S E C O N D F L 0 0 R
PARAMUS, NJ 07652
973.253.9393 T
973.253.9390 F
WWW.SARGARCH.COM
October 15, 2010
Building Department
1600 Osgood Street
North Andover, Massachusetts 01845
Re: Converse
Community Store
115 First Main Marketplace
North Andover, Massachusetts 01845
Project Number:ALT1762
To Whom It May Concern
I certify that the building located at 115 First Main Marketplace North Andover, Massachusetts, has been
built/altered under my supervision and in accordance with the approved plans,and that such plans do conform
to all provisions of the Massachusetts State Building Code.
Robert Sargenti
(111k Not4r )
- � � - DoIu
My Commission Expires
OFFICE OF BUILDING INSPECTOR
TOWN OF NORTH ANDOVER
'•z� ��,� CONSTRUCTION CONTROL
PROJECT NUMBER: �^
PROJECT TITLE: tib VE'eGE
PROJECT LOCATION: FOC&T- 4C MP1JJ mr>re6g, P—ocig rog jjZ?
NAME OF BUILDING: C01yc.�.�lay 1 TY S to YLr
NATURE OF PROJECT: kNtiT C-+[ r- Z 12 0 ��' r�e-
N r >,Irr- k M b
INA ANCE WITH -TIGLE7.16-OF-T-HE MASSACHUSETTS STATE BUILDING CODE,
I, REGISTRATION NO.
BEING A REGIS RED PROFESSIONAL ENGINEERIARCHITECH HEREBY CERTIFY THAT I
HAVE PREPAR OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS,
COMPUTATIONS AND SPECIFICATIONS CONCERNING:
ENTIRE PROJECT 0 ARCHITECTURAL R STRUCTURAL 0 MECHANICAL 0
FIRE PROTECTION 0 ELECTRICAL OTHER(SPECIFY)
FOR-THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEGE, SUCH PLANS,
COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS
STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES.
AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY.
I FURTHER-CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B
EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT
THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING
PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0
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 stage of construction to become, generally familiar
with6the 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.
PURSUANT TO SECTION 116.2.2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT
TOGETHER WITH PERTINENT COMMENTS TO.THE NORTH ANDOVER BUILDING INSPECTOR.
UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE
SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY.
IG RLY
SUBSCRIBED AND SWORN TO BEFORE ME THISDAY OFC n C 14 W IG
Np ARY P BLIC MY COMMISSION EXPIRES Ll
09/27/2010 08:33 6035958688 MAPLELEAFCONST PAGE 02/03
Page No. 1 of 2 Pager,
Twp ead
MAPLE-LEAF CONSTRUCTION CO, INC
General Contractors & Builders
PO BOX 443
NASHUA, NEW HAMPSHIRE 03061
(603)882-7498 FAX (603)6955-8688
PROPOSAL SUBMn-MD TO PHONE DATE
Converse (978)983-3649 September 16, 2010
STREET JOB NAME
One High St. Converse Fit Up
CITY,STATE AM ZIP CODE JOB LOCATION
North Andover, MA First& Main Market Place North Andover, MA
ATTENTION DATE OF PLANS PROPOSAL# JOB PHONE
Robert Bedard 19103/10 P10-094 N/A
we hereby submit spedflcations and estimates for:
Supplying 9 labor material and equipment to complete the scopea of work below in accordance with
Converse contract documents dated 09/03/10 by Sargenti Architects.
General Conditions:
• Supervision.
Pick Up Truck.
• Permitting.
• Final Clean Up.
• Dumpsters
• Additional Dumpster for store use.
Concrete Work:
• Saw cut and remove existing concrete floor for underground electrical to cash wrap as shown.
• Place and finish concrete trench at cash wrap.
Wood &Plastics:
• Install 3/" plywood blocking at perimeter walls for new wall mounted store fixtures.
• Supply and install miscellaneous millwork frames at mirrors.
Doors&Windows:
• Supply and install (1) 3'-0"x 7'-0" ELiason double acting door from sales floor to storage space.
• Metal Stud &Gyp:
• Supply and install metal stud and 5/8" gyp for the new partitions marked B, C, D E and F shown on the contract
drawings.
Flooring:
• Installation of 4" vinyl cove base where shown on drawings.
Painting:
• Prep existing rusted "I" beams with rust inhibitive primer.
• Solvent clean exposed duct work.
• Paint existing exposed bar joists and deck with one coat acrylic dry fall flat paint.
• Existing ductwork.
• Install 3 coat latex system on gyp and masonry walls.
• Caulk and 3 coat latex system on misc. wood trim.
• 3 coat latex system on gyp ceilings.
• 3 coat latex system on doors, frames and mirror trim.
• Prep and paint 2 coat enamel system on exposed columns.
Toilet Accessories:
• Supply and install new toilet accessories as shown on drawings.
Fixture Installation:
• Receive and install owner supplied store shelving, wall shelving, cash wraps, padded benches, surface
mounted standards, bleachers and vinyl wall mural.
09/27/2010 08:33 6035958688 MAPLELEAFCONST PAGE 03/03
Page No. 2 of 3 Pages
..'w.po.ocd
MAPLE-LEAF CONSTRUCTION CO, INC
General Contractors & Builders
PO BOX 443
NASHUA, NEW HAMPSHIRE 03061
(603)882-7498 FAX(603) 595-8688
Proposal Submitted To: Converse No: 10-094 Date:9/16/10
Sprinkler:
• Modify existing sprinkler system at changing rooms.
Electrical:
• Installation of telephone, data back boxes and raceways as shown.
• Installation of emergency lighting.
• Installation of owner supplied light fixtures and track lighting.
• Installation of outlets and switching as shown.
EXCLUSIONS:
Items not shown on drawings or itemized in our proposal that may be required by code enforcement officials,
building inspectors, fire prevention bureaus, Zoning boards, planning boards, historical commissions, condo
associations, lessors and/or landlords.
We.9wpo6e hereby to furnish material and labor—complete in accordance with above specifications,for the sum of:
SEVENTY SEVEN THOUSAND EIGH U TY-SI dollars $77.886.00
Payment to be made as follows:
Percent of progress with final payment due upon substantial completion.
All material is guaranteed to be as specified. All work to be completed In a workmanlike
manner according to standard ptacticeg. Any alteratlon or devlatlon from above specifications Authorized
Involving extra costs will be executed only upon written orders, and will become an extra Signature
charge over and above the estimate. All agreements contingent upon strikes,accidents or
delays beyond our control. Owner to carry fire,tornado and other necessary Insurance. Our Note: This proposal maybe
workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within 30 days
a=eptptwe of ./orwpoad - The above prices.specifications
and conditions are satisfactory and are hereby accepted. You are authorized to Signature
do the work as speclfled. Payment will be made as outlined above.
Date of Acceptance- Signature
' ORTiy
o � � over
ToVM _ _
O r,M.4u l�y•M', 1 r �C
No.
oo dover, Mass., 7
1,10
I�AP coCMICMEWICK ��.
7d ADRATED P'P �
7S ` BOARD OF HEALTH
PERM IT T D Food/Kitchen
Septic System
_ BUILDING INSPECTOR
THIS CERTIFIES THAT l via
..................................................................I..... ................................................................................... Foundation
has permission to erect........................................ buildings on . ..... ........ ....... Rough
to be occupied as............ .1 !. ... � UF."1..'................................................ 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 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
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous- Place on the Premises — Do Not Remove Final
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.
d��:•�,, OFFICE OF BUILDING INSPECTOR
TOWN OF NORTH ANDOVER
CONSTRUCTION CONTROL
tj�►
PROJECT NUMBER:
PROJECT TITLE: ^kV(� Cse
PROJECT LOCATION: Foe-&-r (A M P+jJ M r>rct`fir- fl-OCE ltxj j t L'�
NAME OF BUILDING:
NATURE OF PROJECT: Rnv1 un�:z-.
IN Ac COR6ANCE WITH,,ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE,
I, l! REGISTRATION NO.
BEING A REGISTERED PROFESSIONAL ENGINEEWARCHITECH HEREBY CERTIFY THAT I
HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS,
COMPUTATIONS AND SPECIFICATIONS CONCERNING:
ENTIRE PROJECT 0 ARCHITECTURAL 0 STRUCTURAL 0 MECHANICAL 0
FIRE PROTECTION 0 ELECTRICAL OTHER(SPECIFY) i
FOR.THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEGE,SUCH PLANS,
COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS
STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES.
AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY.
1 FURTHER CERTIFY THAT 1 SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B
EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT
THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING
PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0
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 stage of construction to become, generally familiar
with6the 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.
PURSUANT TO SECTION 116.2.2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT
TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR.
UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE
SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY.
SUBSCRIBED AND SWORN TO BEFORE ME THISI DAY OF ' _s �?C 19 I)C i
N97ARY(PUBLIC I MY COMMISSION EXPIRES_D 'D 0 uj
N—lassachusctts- Department of Public Safct%
Board of Building- Re�-ulations and Standard
Construction Supervisor License
License: CS 56615
Restricted to: 00
WILLIAM W FRANCOEUR
3 MITCHELL ST .`
NASHUA, NH 03060
Expiration: 5/23/2011
p
!'ununissinncr Tr#: 16139
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