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HomeMy WebLinkAboutBuilding Permit #655-15 - 1211 OSGOOD STREET 2/17/2015 BUILDING PERMIT NORry q gtl VD 16 ti TOWN OF NORTH ANDOVER oa yE,;,,. ".`° o APPLICATION FOR PLAN EXAMINATION Permit No#: j �7 SDR • Date Received 3q ^rED I-V c5 I Date Issued: �7 /� SS'gCHus�� IMPORTANT:Applicant must complete all items on this page LOCATION 94 Print PROPERTY OWNER w1 I77oah 1-er eecn Print 100 Year Structure yes no MAP PARCEL:QGi 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: �e U 4' Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name � (-�JIO-CPP%one: Address: � {�I 7 --4�#K) CI �►1c"� C� ! ccc/ -� Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date:: /� 1 ARCHITECT/ENGINEERy Phone: Address: Reg. No:r FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �� ©� FEE: $ Check No.: Receipt No.: •5? T NOTE: Persons contracting with unregistered contractors do not have access to the tlranty fund 6ignature of Agent/Owner � T Signature of contracto' ��j r, r 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 I PLANNING & DEVELOPMENT Reviewed On '��" Signature_ / COMMENTS 6 r I fitA)On WJ 10 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on LZI-5— Signature i 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•owExderior dimensions. i 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 Call Email Date Time_ Contact Name Doc.Building Permit Revised 2014 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/Cross Section/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:Building Permit Revised 2014 Location No. (� - �� Date / 7 . - TOWN OF NORTH ANDOVER • Sk;i"�v r,� � Certificate of Occupancy $ ' Building/Frame Permit Fee $/, Foundation Permit Fee $ Other Permit Fee $ TOTAL a Check# ► dar C U i Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 144,458.00 m $ - $ 1,733.50 Plumbing Fee $ 216.69 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 216.69 Total fees collected $ 2,266.87 1211 Osgood Street 655-15 on 2/17/15 Tenant Fit Up-Thai Restaurant ! 0 a pc M � J 3,SSACIWSfi CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 655-15 ON 2/17/2015 Date: JULY 1, 2015 . THIS CERTIFIES THAT THE BUILDING LOCATED at 1211 Osgood Street MAY BE OCCUPIED AS Lots of Eats Restaurant IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: 1211 Osgood Street LLC 1211 Osgood Street North Andover,MA 01845 Building Inspector Fee: Prepaid$100.00 Receipt: 28491 Check : 6696 NO R Tliy �l own of 2 t E : ,, Andover 0 . �. - No. s = - C% ver, Mass, coc"Ic"twicw A"ATED S V BOAR OF HEALT f PERMIT T LD Food/Kitchen ' Septic System THIS CERTIFIES THAT ....... 1.�....�.:s��..4�.� '6< .......... ... BUILDING INSPECTOR G ,. jFn has permission to erect .......................... buildings on ll..�!:..C�..:S'/. �a. ............................................. to be occupied as ............:.... ... �...�. .. .................... .. !1.� ..��. fut"...f'.'6,Serovided that the erson acce tin this ermit shall in eve res ect conform to the terms of thea lication p p p g p rY p pp � � // S 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. V PLUMBING INSPE���000'''T R A` if Rough� ,�,sy" VIOLATION of the Zoning or Building Regulations Voids this Permit. � Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TARTS Rough Service ......................... G ......?--........................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in Conspicuous Place on the Premises — Do Not Remove Final 4W � p Y a p No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. ,_Smoke Det. c1ORTH Town of t E : ," ndover 0 Ch ver, Mass, % , 2� �/� cOc."ic"IwICK l,�S RgTED ►'PP�,�y U BOAR OF HEALT Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT ....... .(7......................... .......................................... BUILDING INSPECTOR .. . . jFouihas permission to erect .... ..................... buildings on l�/.�.�sf!P.R.. .............to be occupied as .............�a../...... �.T .. ................ ... !�..� ..v5.f u ,4 ... 6� 6provided 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. V RLUMBING INSPECTOR ��Rough ��„•;s” ;�"' ��'�'� `�(q��4/I VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION FARTS Rough . //< �� Service ....................... G - .:.. ............................. 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. tAORTH Town of ndover 0 No. C, h ver, - LAKE Mass, ,.P COCHICHIWICK 1' x,95 R�TEo U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System ��r �sa� THIS CERTIFIES THAT�................... .�.................................................. . BUILDING INSPECTOR ............................................. has permission to erectL Foundation p .......................... buildings on ....� Jr �lr s�/ ......................... Rough to be occupied as .................. ........ ..1.:..1. ...... .......... ........:�.. 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 Final 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 CONSTRUCT STARTS Rough ' /`�...................................... Service BUILDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. Final Construction Control Document Z To be submitted with the building permit application by a Registered Design Professional rn d for work per the 8th edition of the w Massachusetts State Building Code, 780 CMR, Section 107.6.4 Project Title: Thai Restaurant - "Lots of Eats" Date: 06/30/2015 Property Address: 1211 Osgood Street North Andover , MA 01845 Project: Check(x)one or both as applicable: [X] New construction [X] Existing Construction Project description: Interior Fit up of tenant space.Project includes removal of existing interior walls,doors, ceilings and fixtures, and construction of new walls, doors,equipment, new suspended ceiling and light fixtures, and new finishes. New mechanical ductwork and sprinkler heads will be installed. I Gregory P Smith MA Registration Number: #8688 (Architect) Expiration date: August 31, 2015, am a registered design professional, and hereby certify to the best of my knowledge, information and belief,that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning': [] Entire Project [X] Architectural [ ] Structural [] Mechanical [ ] Fire Protection [] Electrical [ ] Other: for the above named project. I certify that I, or my designee,have performed the necessary professional services, in accordance with the Professional standard of Care,and was present at the construction site on a regular and periodic basis to determine that the work proceeded in accordance with the requirements of 780 CMR and the design documents prepared by me and approved as part of the building permit and that I or my designee: 1. Have reviewed, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. Such review shall not diminish or relieve the contractor of its submittal and other responsibilities. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was performed in a manner consistent with the construction documents and this code. The contractor is responsible for the performance of the work in accordance with the contract documents and shall be exclusively responsible for its construction means, methods, sequences and procedures, and for construction safety. D AR�h,/P RY P.S�/y Cts r No.18 Enter in the space to the right a"wet"or electronic signature and seal: Phone number: cell: 978-204-4770, office 978-688-5422 x203 Ema : G mit @gsd-assoc.com Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other' is chosen, provide a description. AIA MA&Insurance Approved Version,Initial Construction Control Doc The Commonwealth of Massachusetts Department of IndustrialAccidints Office of Investigations 600 Washington Street Boston,MA 02111 U1W www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ' 6) Address:_ City/State/Zip: V 1�l Q(B�G Phone#: Are you-an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 2, 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. �• F1 Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.El Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' 13.[JOther comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. � Policy#or Self-ins.Lic.#: W c d L, �f 8� 1 o Expiration Date: Job Site Address: I I � City/State/Zip:/ r„ t� ✓�G1 t�l " �� Attach a copy of the workers'compensation olicy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one=year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cero under the p d penalties of perjury that the information provided above is true and correct. Simature: Date: 5 �7 Phone#: ! o l 5 7 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or.written." An employeiis defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or'-permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Gommonwaltb.of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA,02111 Tel.#617-727-4900 oxt 406 or 1-577rMASSAkE Revised 5-26-05 Fax#617-727-7749 www.mass.govldia Initial Construction Control Document W To be submitted with the building permit application by a Registered Design Professional ' d for work per the 8th edition of the w Massachusetts State Building Code, 780 CMR, Section 107.6.2 e� � y\ Project Title: Thai Restaurant Date: 01/09/2015 Property Address: 1211 Osgood Street North Andover, MA 01845 Project: Check(x)one or both as applicable: [] New construction X Existing Construction Project description: Interior Fit up of tenant space.Project includes removal of existing interior walls,doors, ceilings and fixtures, and construction of new walls, doors,equipment,new suspended ceiling and light fixtures, and new finishes. New mechanical ductwork and sprinkler heads will be installed. I Gregory P Smith MA Registration Number: #8688 (Architect) Expiration date: August 31, 2015, am a registered design professional, and hereby certify to the best of my knowledge, information and belief,that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerningi: [ ] Entire Project [X] Architectural [] Structural [] Mechanical [] Fire Protection [] Electrical [] Other: for the above named project and that such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services in accordance with the Professional Standard of Care, and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. Such review shall not diminish or relieve the Contractor of its submittal and other responsibilities. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. The contractor shall be responsible for performing the work in accordance with the contract documents and shall be exclusively responsible for its construction means,methods, sequences and procedures, and for construction safety. The performance of the services shall not require any special testing or inspections unless specifically stated in the Code. When required by the building official, I shall submit field/progress repo �fri�3: together with pertinent comments, in a form acceptable to the building official. �g���AY pRCy�j� Upon completion of the work, I shall submit to the building No,8688 official a `Final Construction Control Document'. CR NORTH APlDO Enter in the space to the right a"wet"or J� electronic signature and seal: Phone number: Cell: 978-204-4770, office 978-688-5422 x203 Email: gsmith@gsd-assoc.com Building Official Use Only Building Official Name: Permit No.: Date: AIA MA&Insurance Aooroved Version. Initial Construction Control Doc Initial Construction Control Document u To be submitted with the building permit application by a Registered Design Professional for work per the 8th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Thai Me Restaurant Date: January 8,2015 Property Address: 1211 Osgood Street,North Andover,MA Project: Check(x) one or both as applicable: New construction XX Existing Construction Project description: Construction of an asian food restaurant within tenant space of an existing building. I Alain A.Haddad MA Registration Number: 46666 Expiration date: 6/30/2016 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': Architectural Structural XX Mechanical XX Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a `Final Construction Co trol ocument'. "wet" O Enter in he h right ti to t space to ght a wet or o � � ALAIN A. N electronic signature and seal: o HADDAD MECHANICAL c" A No.46666 Phone number: 978-729-5250 Email: alain.haddad@verizon.net Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an `x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 11 2013 i cs-001821 6 DAVIDPGULE'LIAN , y 428 PLEASANT SP i N .VDOVER MA Olf,4. 10!02''"93 • 4p,TT dJas,. � • North Andover Health Department Community Development Division February 12,2015 Kanitta Newton 1 22 Summer St. Biddeford, ME 04005 Re: New food establishment review;"Lots of Eats", 1211 Osgood Street,North Andover,MA 01845 Dear Ms.Newton, ` The Health Department received your Plan Review application revisions for the new I establishment to be known as"Lots of Eats",located at the address above. This application has been approved. The review identified that you have a grease dumpster. Please note that a dumpster permit is required for the grease disposal containers. Also,a food permit application should be submitted. (See enclosed documents and submit with fee"). Looking forward towards pre-opening;prior to receiving your permit to operate you will, at minimum,have two Health Department inspections;a construction inspection and a final food inspection. When all equipment and structural elements are in place, a construction inspection should be requested. Please call,a few days ahead to avoid delays. At that time a complete punch list will be provided. Once completed,please call the Health Department again for re-inspection. The Building permit will be signed off by the Health Inspector when the list is satisfied. Once all other departments are satisfied with the construction,the building department will then grant you occupancy approval.As it is difficult to anticipate details at the time of this letter of approval,the next steps toward opening will be based on the specifics that exist at that time. The Health Inspector will instruct you on the next step in the process and you will discuss together when you may begin bringing in food and when food preparation may begin. Just prior to issuing the Food Establishment Permit to Operate,the inspector expects to view food properly stored; on shelves,in refrigerators,in storage closets etc. Each establishment opening is unique,so feel free to contact the Health Department at any point in the process. Below are some common pitfalls that can cause delay in opening if not complied with: All lighting over food prep,service and wash areas must be non-breakable. This includes hanging lights or pendants over the bar area.No unprotected glass can be over food areas. Also, ' any ceiling tiles over food or food prep areas must be washable and all high wash floor areas North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover,MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Lots of Eats February 12,2015 should have a curved base coving along the walls.Bathroom walls must be non-porous surface behind all fixtures and splash areas; at least 4 feet high and curved base coving along the walls. **Please submit the enclosed general food establishment application and your annual fee of$185.00.Note that a final food inspection will not be scheduled until the application is received and all permit fees are paid.** **Please complete and submit the enclosed dumpster permit and annual fee of$60.00.** Some of the items needed to receive the permit to operate are: 1)The establishment will be clean of all construction materials; floors and surfaces all cleaned. All contractors shall be complete. 2)The hand sink(s)and bathroom(s)will have immediate access to wall mounted paper towel and soap dispensers and they must be stocked. + 3)The ladies room will have a covered trash can for feminine item disposal. 4) Signage: Bathroom(s)must have"employee must wash hands before returning to work" signage; hand sinks must have signage"hand wash only"; 3-bay labeled"wash, rinse,sanitize";prep sink"food prep only" 5) Sanitizer bucket should be made up and test strips available. 6)Label grease trap per plumbing code. If you have one or more interior grease traps please note the plumbing code 248 CMR 10.09 (m): LA laminated sign shall be stenciled on or in the immediate area of the grease trap or interceptor in letters one-inch high. The sign shall state the following in exact language: IMPORTANT: This grease trap/interceptor shall be inspected and thoroughly cleaned on a regular and frequent basis. Failure to do so could result in damage to the piping system, and the municipal or private drainage system(s). i 7) Signage for allergens and disclaimers placed as required by law 8)Proper disclaimers on Restaurant menu as needed. 9)Gloves must be on site.Please note that the state does not recommend the use of latex gloves due to some person's sensitivity to latex that may cause them illness. 10)At minimum,employees should be trained on the sick policy and sanitation basic 11)Directions on mixing the sanitizer should be available to the staff. Thank you for your cooperation in this matter. If you have concerns about any of the above conditions;please contact the office. We look forward to working with you in the effort to provide safe food to our citizens. Sinc , + 1 S san Sawyer H blic Hea Dire r Cc: NA Building Dept. Property owner North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover,MA 01845 Phone: 978.688.9540 Fax: 978.688.8476