HomeMy WebLinkAboutBuilding Permit #338-11 - 119 MAIN STREET 10/21/2010 NORTH
BUILDING PERMIT °F��LeD '6�/
TOWN OF NORTH ,ANDOVER ti - :.
APPLICATION FOR PLAN EXAMINATION
�� Date Received DRATED °�
Permit NO: gSsacHus��
Date Issued:
IMPORTANT:Applicant mustcompleteall items on this page
LOCATION L .11
Print
PRO.PERTY.OWNER
Pnnt i
MAP'210.
PAR CEL:
/6� ZONING DISTRICT: Historic District. es.
Machine Shop.Village
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Two or more family ❑ Industrial
❑AdditionCommercial
No. of units: Q
X Alteration ❑ Others:
[I Repair, replacement Elessory Bldg
[I Demolition
❑ Other
0 Septic Well p Floodplain` _. Wetlands 0..Watershed District.
❑Wl ter/Sewer-
DESCRIPTION OF WORK TO BE PERFORMED:
CS-
Identification Please Type or Print Clearly) q,
OWNER: Name: '� r� cies �-�^c Phone: �a BAS 2S
Address iolk °
CONTRACTOR Name: m4e` 1.a3-$$a''T498 .
Address.
Supervisor's.Construction L '[cense: COA Exp: Date: :S/Z 3 I 1
Hoir e,li iprovenient License:
. . Exp. Date::
ARCHITECT/ENGINEER - Phone: euaAcy_QcQ4—,Aez-z eacD36-
Address: 389 (Y1A'�� c SAk�� a Reg. No. 44q6,
FEE SCHEDULE.BULDING PERMIT:$92.00 P $1000-00 OF TOTAL ESTIMATED COS T BASED ON
PER S.F.
FEE:
Total Project Cost: $ ?�. �� c� $ 2
�Y'-I�� Receipt No.:
Check No.:
NOTE: Persons contracting wi egis r d co tractors do not have access to the guaranty fund
Si nature of contractor PJB ,
Signature of Agent/Owner 9
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
FWe]I
WERAGE DISPOSAL
❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑
❑ Tobacco Sales ❑
Food Packaging/Sales ❑
c tank,etc. ❑ permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OF'F'ICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING � DEVELOPMENTEJ
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Sign tureZ
ZKj,::Z--.
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
ti
D-PW Town Engineeir: Signature:
Located 384 Osgood Street
FFEPARTMENT - Temp Dumpster on site yes no'
124 Main Street
artmentsignature/cla#eTS.. - --
Dimension
Number of Stories:_—Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mastor service drop requires approval of
Electrical Inspector Yes
No
DANCaER
ZO�IE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA– (For department use
5k-AU f
4
I -
I
® Notified for pickup - Date
Doc.Building Permit Revised 2010/october
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
❑ 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
❑ Co O
Copy f Contract
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic CalculationsIf Applicable)
( pp able)
❑ Mass check Energy Compliance Report (If Applicable)
❑
Engineering Affidavits for Engineered
products
All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
ee� 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
'OTE: All duniipster permits require sign off from Fire Department prior to issuance of Bldg Permit
11_n 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:Building Permit Revised 2008
E Location
No. '' Date �l/ 211-14)
Mown TOWN OF NORTH ANDOVER
0
F w
s
Certificate of Occupancy $
'�i �oo��o A``Y• a
'ssuNusttt'' Building/Frame Permit Fee $
Foundation Permit Fee $
w
Other Permit Fee $
TOTAL $
Check #
235 , 8
Building Inspector
Ad
MAPLE LEAF CONSTRUCTION
COMPANY INC.
BILL FRANCOEUR
PROJECT MANAGEf,/
ESTIMATOR
5 CONGRESS ST.
NASHUA,NH
03062
603 882-7498
FAX 603 595-8688
W Francoeur@mlccinc.com
o�No or 6�tio
TOWN OF NORTH ANDOVER
�yc
T 'ft
C.
Oq c«MICN wa. M` �` SIGN PERMIT
Arijo
C104U5
DATE: October 26, 2010
PERMIT: S017-2011
THIS CERTIFIES THAT Frederick's Pastry Susan Roberts 603-882-7725work 603-305-7123cell
has permission to erect. Wall sign 8' x 22"
on 119 Main Street, . North Andover MA 01845
provide 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 Sign Regulations in the Town of North Andover.
Violation of the Zoning of Sign Regulations, Section#6, Voids this Permit.
INTERNALLY ILLUMINATED SIGNS A E PROHIBITED
94
DDS• � .�n
Inspector of Buildings
Receipt: 23606
Paid: 30.00
ORTH
- o of
�. Andover
�`
O _--- _ LAKE _O dower, Mass.,
'QA IC OC MIC ME WICK '
�.9 DRATE D PPV��S
SS BOARD OF HEALTH
Food/Kitchen
PERMIT T Septic System
THIS CERTIFIES THATBUILDING INSPECTOR
...` ....�... ....... ... � . .j1�.�.3 ............ zjo.A. ....
Foundation
has permission to erect. ........ buildings on IN •� Rough
I ......Nuc. ......... ...........................................
tobe occupied as.......... ..b.�...........�...P' C-- .Icl Pls...............................................................
• 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 Final
Buildings in the Town of North Andover.
PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations.Voids this Permit. Rough .
000—
PERN411 EXPIRES I VFinal
6 MOI�ITT-IS
UNLESS CONSTRUS ELECTRICAL INSPECTOR
Rough
................................................................................................................ Service
BUILDING INSPECTOR
Final
Occupancy Permit Required.to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done FI
Until Inspected and Approved by the Building Inspector. RE DEPARTMENT
Burner.
Street No.
SEE REVERSE SIDE Smoke Det.
20273
�nedenic(e's°nl astnies,�� ocealv
"A Tradition of Excellence" ban r
109 Rte.101A A—, n
Amherst,NH 03031 52-143-112
(603)882-7725 l G-CN
www.pa try.net m
a
3AY
)OTHE $ 60 m
)RDEROF �'v 771(,10 A 0
f`
O�Qz) DOLLARS
U
N
8
9EM0y7 AUT IZ A U E
_ .._._...._ �!J
1100 20 2 7 30 100 1120 14 3 21: 110 340000 10 1511° �
Location /f/Alyl:;r
No. Date `='% 1, i ✓fr_)
i
O�
°"Tpl TOWN OF NORTH ANDOVER
3? • O
O
F �
9 I
a y
i Certificate of occupancy
)M4 US t� Building/Frame Permit Fee $
Foundation Permit Fee $
OtherPermit Fee $
c e TOTAL $
Check # �>v�
236L 6-
Building Inspector
Page No. 1 of 3 Pages
�r0�J0��Y
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 PHONE DATE
Frederick's Pastries (603) 882-7725 10/13/10
STREET JOB NAME
109 Route 101A Frederick's Store Fit Up
CITY,STATE and ZIP CODE JOB LOCATION
Amherst, NH 03031 First & Main Market Place
ATTENTION DATE OF PLANS PROPOSAL# JOB PHONE
Sue 10/4/10 P10-110 N/A
We hereby submit specifications and estimates for:
Supplying labor, material and equipment to fit up existing tenant space per drawings by Landry Architects, dated 10/4/10.
Drawings A1.1, F1.1, P-1 and E-1. Scope of work includes the following.
General Conditions:
■ Supervision.
■ Pick Up Truck.
■ Remove and dispose of construction debris.
■ Permitting.
■ Dumpster Charge.
■ Architectural Services.
Demolition:
■ Saw cut and remove approximately 125 SF of existing concrete floor.
■ Remove approximately 1,500 SF of existing VCT floor tile.
■ Remove drywall and studs to prepare opening for new door to stairwell. (Assumed drywall partition)
■ Hand excavate for new underground plumbing.
Concrete:
■ Dowel existing slab to trench in fills with#4 rebar dowels.
• Place and finish concrete at plumbing trenches.
Millwork:
• Fabricate and install 19 LF of open faced base cabinets with plastic laminate counter top at work area (Wilsonart
Mission Smoke#487-38.)
• Install 8'-6"and 2'open faced base cabinets with plastic laminate counter top at sales counter(Wilsonart Mission
Smoke#487-38.)
■ Install 5' of base cabinet and counter top with round brushed nickel knobs at sample counter.
Doors:
■ Install one(1) new one hour rated door and frame to the existing stairwell.
Page No. 2 of 3 Pages
Vropaol
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: Frederick's Past No: 10-110 Date: 10/13/10
Finishes:
■ Construct new gyp partitions as shown to the underside of the existing acoustical ceiling grid.
■ Install white Fiberglass Reinforced Panel at three bay sink,janitor's sink and hand sink as shown.
• Paint existing and new drywall as indicated.
■ Paint existing and new door frames and doors.
■ Supply and install 900 SF"Metroflor" Dakota Slate 18"x 18"vinyl floor tile.
■ Supply and install "Konecto Floor" Prestige floating floor system.
■ Install 4"Johnsonite vinyl floor base in work area.
■ Install 4%2"Johnsonite Millwork Mandalay Bay vinyl base in customer service area.
Plumbing:
■ Install new water, waste and vent piping for owner supplied fixtures. ( 1-grease trap, 2 hand sinks, 1 —mop sink, 1 —
hot water tank, 1 —three bay sink)
Sprinkler:
■ Relocate existing sprinkler heads for new layout.
Electrical:
■ Install new 200 AMP service.
■ Remove existing service and tie circuits into new panel.
■ Modify existing emergency lighting to current code requirements.
■ Relocate existing lighting for new floor plan.
■ Provide power refrigeration and freezer equipment.
■ Provide power for new hot water heater.
• Provide power for new convection oven.
■ Supply and install outlets and switching as shown.
■ Supply and install CAT 5 cable as shown.
I
r
Page No. 3 of 3 Pages
Vropo!gal
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: Frederick's Past No: 10-110 Date: 10/13/10
Exclusions:
■ Items not shown on drawings or itemized in our proposal that may optionally be required by code enforcement officials,
building inspectors, fire prevention bureaus, zoning boards, planning boards, historical commissions, condo
associations, lessors and/or landlords.
■ Night and weekend work.
■ Supply and installation of owner equipment. Sinks and grease trap to be provided by owner and installed as part of this
contract.
■ Installation of exhaust system.
Ve propo0e hereby to fumish material and labor—complete in accordance with above specifications,for the sum of:
SEVENTY-ONE THOUSAND EIGHT HUNDRED THREE dollars $71,803.00
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 practices. Any alteration or deviation from above specifications Authorized
involving extra costs will be executed only upon written orders, and will become an extra Signature \ [R�_ -
charge over and above the estimate. All agreements contingent upon strikes,accidents or Note: This proposal may be
delays beyond our control. Owner to carry fire,tomado and other necessary insurance. Our
workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within 30 days
01CCeptance of VroPDoal - The above prices,specifications
and conditions are satisfactory and are hereby accepted. You are authorized to Signature
do the work as specified. Payment will be made as outlined above.
Date of Acceptance: Signature
I
I
Ipolito, Mary
From: DelleChiaie, Pamela
Sent: Wednesday, October 13,2010 4:02 PM
To: Ippolito, Mary; Enright,Jean; Ciofolo,Angela
Subject: FW: Food-Plan Review Application Received-FREDERICK'S PASTRIES
Attachments: GeoTMS.rtf
FYI
-----Original Message-----
From: DelleChiaie, Pamela
Sent: Wednesday, October 13, 2010 4:01 PM
To: Sawyer, Susan
Cc: Grant, Michele; Brown, Gerald; Leathe, Brian; Tymon, Judy; Bellavance, Curt
Subject: Food - Plan Review Application Received - FREDERICK'S PASTRIES
Please note that this is a status of "red" in the Geo System. This information was submitted
to the Health Department today.
Please note that no building permits should be issued for any build outs of this unit until a
food plan review is completed by the Health Department.
Please see Susan Sawyer for any questions. In order to keep everyone in the loop, I will e-
mail plan review submissions that we receive through the Health Department so that you can
check the Geo database for any up to date notes and check the status of our review. Thank
you.
This location is proposed for Unit E1 of 119 Main Street - Messina's Shopping Plaza.
Property owned by San Lau Realty. Applicants are working with Maple Leaf Construction
Company of Nashua.
Best Regards,
Pamela DelleChiaie
Departmental Assistant lCommunity Development I Health Department Town of North Andover 1600
Osgood Street I Bldg 20 1 Suite 2-36 North Andover, MA 01845 N Office - 978-688-9540
9 Fax - 978-688-8476
9 Email - pdellechiaie(@townofnorthandover.com
Website http://wwvj.townofnorthandover.com/Pages/index
"We can never see the path of our life if we are too busy focusing on the pebbles under our
feet."--Anonymous
Please note the Massachusetts Secretary of State's office has determined that most emails to
and from municipal offices and officials are public records. For more information please
refer to: http://www.sec.state.ma.us/pre/preidx.htm.
Please consider the environment before printing this email.
1
o
ACORDTM CERTIFICATE OF LIABILITY INSURANCE _T6127D1 0�0'
PRODUCER Phone: 603-882-2766 Fax: 603-886-4230 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Eaton & Berube Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
11 Concord St. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Nashua NH 03060
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURERA:Acadia Insurance Company
Maple-Leaf Construction Co. , Inc. INSURER B:
P.O. Box 443
INSURER C:
Nashua NH 03061
INSURER D:
INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONh=-TYPE OF INSURANCE DATE INIMODMI DATE IMMMDrfY) LIMITS
A X GENERAL LIABILITY CPA150054321 4/1/2010 4/1/2011 EACHOCCURRENCE $1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $250,000
CLAIMS MADE 0 OCCUR MED EXP(Any one person) $5,000
PERSONAL&ADV INJURY $1,000,000
GENERALAGGREGATE
$2.000,000
GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $2,000,000
POLICY PRO-
F-] LOC
A X AUTOMOBILE LIABILITY CAA150054421 4/1/2010 4/1/2011 COMBINED SINGLE LIMIT
X ANY AUTO (Ea accident) $1,000,000
ALL OWNED AUTOS BODILY INJURY
SCHEDULEDAUTOS (Perperson) $
X HIREDAUTOS BODILY INJURY $
X NON-OWNEDAUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHERTHAN EAACC $
AUTO ONLY: AGG $
A EXCESS/UMBRELLA LIABILITY CUA 15 0 0 5 4 5 21 4/1/2010 4/1/2011 EACH OCCURRENCE $9,000,000
X OCCUR F_]CLAIMS MADE AGGREGATE $9,000,000
$
DEDUCTIBLE $
RETENTION $ $
JTHA
WORKERS COMPENSATION AND WPA150054621 4/1/2010 4/1/2011 }� TWCSTAMIr oR
EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $500,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE $500,000
If yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000
A OTHER CPP150054322 4/1/2010 4/1/2011 Leased Equipment $100,000
Inland Marine
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
o Executive Officers or Members are excluded from Workers Compensation coverage. States covered: MA & NH.
own of North Andover, Mass.
CERTIFICATE HOLDER CANCELLATION30
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER
Town of North Andover WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE
1600 Osgood Street, Bulding 20, Suite 2-36 CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO
North Andover MA 01845 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25(2001/08) GACORD CORPORATION 1988
r
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 26(2001/08)
Massachusetts- Department of Public SafetN
Board of Building Regulations and Standards
Construction Supervisor License
License: CS 56615
Restricted to: 00
WILLIAM W FRANCOEUR
3 MITCHELL ST
NASHUA, NH 03060
cam_ �s Expiration: 5/23/2011
('onm�i..iuner Tr##: 16139