HomeMy WebLinkAboutBuilding Permit #445 - 117 MAIN STREET 10/11/2009 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
/G
Permit NO: L/ Date Received
Date Issued: 9L/--Of
IMPORTANT:Applicant must complete all items on this page
LOCATION 162
Print
PROPERTY OWNER Ya i� 5 �'` t`
Print
MAP NO: PARCEL: 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: ommercial
Repair, replacement Assessory Bldg Others:
Demolition Other
Septic Well Floodplain Wetlands Watershed District
Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
' 20 iii c) toS'
Identification Please Type or Print dearly)
OWNER: Name: SGS �v1 /UIPi et Phone:
Address:
CONTRACTOR Name: is_ A'1 kpy le, 4hone: 7 Tl 6-
Address: �Ie G X,P
Supervisor's Construction License: U S/7 Exp. Date: - `-/
Home Improvement License: 1Y)7,/t/, jr Exp. Date; — /f
ARCHITECT/ENGINEER r� ,� T— Phone: 1 l-fi '7 S'y
Address:2zl Gt��r�, zg7tott 5'7 ��� �g 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: $ o00 FEE: $ C>0 "--
Check No.: I�U�e Receipt No.: 2 "y
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty�fund
11�Signature of Agent/Owner Signature of contractor G'"
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 Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT -Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department 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
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
L-3 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 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: Doc.Buildmg Permit Revised 2008
Ir 7
LocationNo. �/�/ Date 12
NORTH TOWN OF NORTH ANDOVER
F R
A
• i ; , Certificate of Occupancy $
CMUs<� Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
C L, TOTAL $
Check # �7 7
2Glrit} /I
/Building Inspector
NORTH
Town of over .
0
No.
LA
E dover, Mass*f_
0
COCHICHEWICK
"'?
Of'�ATED
BOARD OF HEALTH
Food/Kitchen
PERMIT T Septic System
SA /V Ala I,'
BUILDING INSPECTOR
Foundation
THIS CERTIFIES THAT............................................................ .......................................................................................
........ Rough
e ney
0'�-v>him
has permission to erect.. .................. buildings on .1.O
to be occupied as.............. ... . ....
provided that the persona opting 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 'ARTS 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 Be Done FIRE DEPARTMENT
Until- Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE
Smoke Det.=j
'iias,.r;lausMs- Departmew of Public Safety
Boll il Oz Bo ldint, Rei-ulations mid Standards
Construction Supervisor License
License: CS 53176
Restricted to: 00
STEPHEN M- SMOLAK
762 DALE ST
NO ANDOVER, MA 01845
Expiration: 2/15/2011
('ununissiuncr' Tr#: 10257
STEPHEN SMOLAK BUILDERS
762 DALE STREET
NORTH ANDOVER, MA. 01845
PHONE 978 685-4141
Job location
Wine Connection
109-123 Main St.
N. Andover, Ma.01845
JOB DESCRIPTION
FRAME, SHEETROCK AND FINISH TWO 8 X 20 OFFICES, 1 CLOSET
AND 1 STAIRCASE.
BUILDER TO SUPPLY MATERIALS AND LABOR
TOTAL MATERIALS AND LABOR: SEVEN THOUSAND DOLLARS.
Custo er acc tance
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2 Scope Of UJorl, a
r
• Construct new fire-retardant stair with metal stud and gyp. wall bd. guard rad and handrails.
Underside of stags shall be unaccessdble, and Framed with metal stud wall andgyp. wall bd.
• Construct (3)- Three new 3 5/8' le I6' o.c.metal stud office demising walls with f�=13 Insulation. U
•
Install 'Typ�e k fire code gypsum wall board, screw attached each side.
Install lT8 metal hat channel s I6 o.c., horizontally on existing cmu wall. daCIS
• Paint all walls with (U- coat primer and (2)- coats firush paint. (Ben-Moore) c
• Paint all cabrigs with (U- coat primer and (2) coats finish paint. (Ben-Moore) CIS 00 '^
• Install fire retardant rug in all office areas with noise pad below. w V a� a
' • Install vinyl base (Johnsonte 085, Burgandy) all Partitions.
d.m
Install (6)- Six new electric outlets. (refer to Ian AID `� as e �
• p vqW
• Install (5)- Five computer tele/data ,lacks (refer to ALU `
• Coco
Install (I)- Cable T.V.Outlet (5'-0' a.f.0 (refer to ALU �` r`• Install lb)- 7-0' x 4'-V Flour. light fixtures (2-ea. room). ` • ei�"': M '" N a a
4 <
• Install (U- 1`-0 x 4-0 Flour. light fixture. (Closet)
• Install Baseboard heat steps all rooms.
• Install (I)- Split ryjstem for heat/ac.. (ALTERNATE Of - PRICE) ' �"`° s4
Install (3) 3/0 x 6/8 Solid core doors.
• Install (U- 6/0 x 6/8 Louvered bi-fold door. ' t ,
q
• Install (U- 3/0 x 6/8 Storefront glass panel.
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�
i[1 (P
12'-11" 13'-o"
Storage 5elow c4
'-ll/2' N
3 5/8' Metal Studs m 16'oc. o— —
w/R-13 Batt Insul and 5/8' L ;
Fre Code Gw.Wall
3/0 x 6/6 >
Data Data Data Data jr.)ata6uStore Front V4 a�
N Cab Data Data glazing
o
0 Office #3 Office *2 Office # _
/0 x 6/6LL
Bi-fold 3/0 x 6/S 3/0 x 6/8
U SNS N i
.� N
k �EQZ
12'-10" (14T 11") ;
15 iR 161 7, ;
(Steel channel stair) A In 1
FITMezzanins Floor Man (5uildirl "F 1/S" - 1'-O" „hm 08-CM (01/08)
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- -,
w rl
m
i Q •Id
Existing Roof
system Office 01 Office #2 1h Office #3 GI., 4.
�t3 y
r4aA.a
CA 140
�
at to <+' A
q
D7
New Stair, Existing Existring :a ....
4 Rails IT Room Cash Count 0 -Wrie Tasting x w G j ��
(Enclosed - Area
Beneath)
Existing Slab
1 Mezzanine Section C5ulldln lip 1 , 11 1
-
Ld
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L A m and construction shall conform to the Massachusetts State Raiding Code 80 CMR). 0 �
2. The Contractor shad secure all required perints prior to proceeding with the work c 1 n
3. The Contractor shad fled venfy all dmensions prior to proceeding with the work.
4. The Contractor shad notf the Architect of arty and all field Q)
conditions that vary from those that are shown on the drauries. ; z
5. The Contractor shall secure
in work.we kect's approval on arty andall substitutioris or changes c
0
6. All interior color selections shad be made by the tenant. E
-. The Contractor shall furnish and install temiperecl glass where reclured by the Code.
8. tAll he terror and
ct.exterior Finishes and tnm shall be approved by the Tenant and/or � `/��� '�^,�®'';� l
Cngn`��E-1s N
�^ V"I I iL
Z IL
a Aid wood blocksnq shad be fire treated as required by the Massachusetts State
i
Budding Code (10 CMR). A� ,
10. Provide Shop Draungs And Or- Cut Sheets For All euitMn Unts And Equpment., �� A1m2
Prior- To Fabati
ricon Axid Or Purchase Review Locations the Archtect
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Gene notes, n.t.s. mm 0sOOS (O,08)