Loading...
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. -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - "- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � 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) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -, 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 -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 - - - - - - - - - - - - - 2 C-r e - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Gene notes, n.t.s. mm 0sOOS (O,08)