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HomeMy WebLinkAboutBuilding Permit #190-2011 - 2 JOHNSON STREET 9/2/2010 BUILDING-PERMIT of µORT♦{ TOWN OF NORTH ANDOVER 46 tC -*rh •6 O APPLICATION FOR PLAN EXAMINATION '- Permit NO: Date Received R Arm Date Issued: �9SSACHUSE'��� IMPORTANT:Applicant must complete all items on this page ,..�—.�?.-te•--e�.rr:•'-._ms._Ss•��.'"'�::l'.•ci._�.f4.�rryT�-"{{4�:2:m�„rr).;v;uS,�.:,F.v,_.ii.'r�.ti:=.._n�:.�--'cfii.•�C' {.,r�� ;g z-a•-_'n f- '=•_1'J'..:n':1., . >": L rM _41 - -_ 4 " .. # r - . _ 'j d.. ..Imxrr�.-S%d: '!..' -.'"K-i rd� SIL•.: - - X _-{� n g"s ^4:-�(y'z c _ 'sJ_La„ a,'.��:y�•,.. .,•t _ LJ y R n Y 10 ,..-�,��e�.y;t' _ ,.��.r-..,�.�:.�a:.y.,:`�!'•y_.'r,:'zll;� .'isl%al% - --De, .-z. x� E '.'.�-�'_...sN>0•,'�,., _rr•'.'moi= x�•�._. - r'qs`_'--"Y:r '2 3'7 � .i.,�,:1.,-ts._:5 Y ec 4 a J 4i r- n -•-�' FV Y 45 :� G 2'i• {� s=R :rte •�:�{,-,,,� ,>.. -_;::.,�,. ..,:;:�v. �"-� *�'-.�,u:' _ _ - --- -- - - - ^?V,,-,.-..lr_ '. rl,x"•.��•- ><•� ..ti. --•*^.'r� r:.ya:.: "`xa .5%�' _aac;:�.�;...z -�E:--,- -n�kL.,.Y_o. - .��iwS. .��%r:���. .,,�' �:"s :J•r l�• �LLu.'-SiS��..., -Jl:' '`�,j. �.s�i`Y� "�:�I:j'. 11�,�;i'i�'..��..,,1�Ni� T:.� F3.<:'�"L c,M1:. �q:i`'{v.%_:9A ru> '4.��'U6,Y't.�, ,tom 1�.`it�:�T i��J.uru.,<R'J..�nl•. 'mom?'_m - Jn_- ',r, 7 .;s C: ?ate•.-t-+."':;ttir�h•-;',v�x�!-�:J"--7 .:..,$_:x:�#'-L-. '��c':zl;-'o;1=- y.'fi?. �-•5:.�:r�.,L'.-:M-';-7° ^;•r'S�i❖,4 ,-�: x�a,�� ,1��:.�.Xi,wrr i{.,.;�;. s�u�"1•,��m!. _ �T�����r!1 - .1:...-r-4�•:tfiT,.Ys'u.';••sz�.•�r:�4.-__�_r.�.sr:G:�71:i,.,1 v:�:;5' t:�� _ .-'.t•1•.(L•i�" .-��.-'� r ;^Y[�r�:.�.t: s ,�•�:._t._o.;_:..._}.:��,:.::.�e..,:.r�5:,,:..—.�'.•++•..:=��-v,'!,R57�i'r�.� '}P,:"J��.D'"91�.,5�'. - TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Add' ' Two or morejamily Indus ' al- Alteration No. of units: Commercial Re ai eplacement Assessory Bldg Others: _ emolition Other OF Fi#idy6 a,:,5„p^'r. c'. ..ti *"S r a: .. .-�'°�.,•;U._ .w. s -sa ...y_,,,. s'•ur ..1 se.' Sz1''h-'(u 'A+ r<r ,h'.4'-:�i'ate-�. , ;i!� m .� a ,� a7—RA:��"VYr��'11r���'����s'Y+,%'�ak�-,r� �r� •sa��,{�5��'�,� �'J �t��:�•�'s.x �•�°a+ 3�;c'"�' iN+ �' "r•'�••+-�t°s`. z:"� zT. }^,F�it`._��.,-�:•zM . M'.,r _a v,�' rF�`.. 'S"t._� `,`��E.' _�:. z:•s�- �� 7�M1 r 'S-.�H e,4.--+1�a k r'r� -s,`�` �I.0� � 'S-."�X, r +a-. -�',��,.. <�:���f�:e, �.< .�;��c,t;� w F�� �}�r-�Lti�� r-=s- � �_ � r.;k�'•��cyz�•.���,- � `ri?r� ;� r rn•.� - � .� �. ,�':i.._i•r.J .LtF":i. -_4`.5��,{:,•Yan$G._�ec�;r ?% F_:.!Y �SJy-YP �y�_an�fi r.�`.'-aii''',H''.��',�;4;,>,`•�wF + 4�.'�.-„'a "xr{7+�i4f�r•x•L�4� ��,t�r 'ce_��;i II DESCRIPTION OF WORK TO BE PREF RMED: e -8�� �c %D, cc440cis 1' �0� � 17zb 1_ o-4-ftG��- 7�eessfwT be 0s (�90 ovt� �- Ce x�s��`� �- � ��- y3,�_ tR.,4S F0fe- 'bew a I+M.O - wo Wt identification PIease Type or not CLearIy) OWNER: Name: C"eKe kpsrt� `'e-o Phone: Address: © JBIo �Cp .->,w' r' `�-.d ,r, -Y#a�� z"JF,k''-.ri}�r "ru aas•'1'.c'xx: �. ,,rt"s.-�`.,�Y`n,t R_n�..'•��,r :5xrs+s". a •.i.��e•`Ng r ,-.i..'c�-�. '� 45;,", •4t a",. r. 't,' u •py' 1�33. 4r x ,..,�.,. ,f_zv[t s1 ^'.. y - r•g �•_ -' e,S�" " 19 1 IN y. 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'Gr,- -.,.+_.>.�-�'�a-r�'N• x"Y-%'�^"x✓�t£�__�r.'L'= _r_ ac=. .,Ew''.',`.a�t:`.�3� a:,�l:. -1...��'+�- :�.a�,Z=N.R^':kx7- "`,J)z'��G.ea ^F�rat; ..F�-s: ".�"3•l.�."?r5.,`�•�4�'t--- .-'•wTi=�'.. �"���,d.�..v,,,'�5s4 •;;�.,.�.v--. .J .a??.�, ql�,--'*.,ad�Q� „•^i.:y-,;J. -:;'si•-' ��. :..�:�!/'�. � r,.r.�,�-,a:..:{. ,-�.? ��1�`m_:_, v x-�x». �;c. a�, �;-T�7'6,T 7�IT>e'I] Y�"}��' ;�`;_ �',> _'fit-�',.,:��[. -�;�-�;,.�_ �-���.,�. ,>�x.•-��'�- :�:�.... � ��'.�:, �'[•�sv.,.:..:.Jo* - ,r: ..r-u,_._,^°..... Y.r'k7a:::�JT i.�-�..iv. r �.i�[ .... s-.ei,.,._ ,.�Y'2..x_ r..- 4�t T �...�r�:t.T.:.;sv..,.w_...��4�. si�x a ARCHITECT/ENGINEER S'vlLAy# �IecG,� � c Phone:— Address:_- OW1 �d"B �C� �ilr r �( Reg. No. FEE SCHEDULE`BULD/NG PERMIT:$12.00 PER$1000,00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $_ 3, ,S'l/t�. '0 . FEE: $ Check No.: 7 l�� Receipt No.: _2 3�p NOTE: Persons contracting with unr ebgstered contractors do not have access to the guaranty fund a ?�.�, �_,a �� /_Oar✓ner - x=-= .5 tat'u . R— - _. Plans Submitted Plans Waived Certified Plot:Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tann ing/MassageBody 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 C�OIVIIV N I J HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments • I r Conservation Decision: Comments j 4 Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: I w- - Located 3840,5o �--•��_u�^ '•Y--r E- ?-�1]•-_.1rte:--T3_Ma-s-E#I_•. °t.�r--�;TS i-e,.;�}��'N�"=P-;i:�j�r��l_pp'�►►Iyyy_:-�L�.��ei.���t.+jfet�._._-_ - �'L•ere-,^-5<e.�.'::'� 38�4 O:._s o^�7o5.dtr..Street i r�� ,IJr ;'.• ,:-:� `=t .:n20 c_iiG'+r. -for - - - - � - _.... -r�'r.,rrr.:._.r. -��' - t -?-}'.'� d_-. - �*'S:L — - _.:] t't•i{r _,;rre"�:.�-,�:.•..�1 - " r.._:.......... ,.•.. ............... I Y _......._. .- _. ._._..•.:.. :al_`'.'�:i-:M...:�4:1:: .-.tom - a 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) i ❑ Notified for pickup - Date Doe.Building Permit Revised 2010 J 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 o 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:Building Permit Revised 2008 ' I r i Location A IV No. /�! U ` 2 o ll Date ,4011Th TOWN OF NORTH ANDOVER O P Certificate of Occupancy $ Building/Frame Permit Fee $ s�cMusE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # f Y 2 -' 4u Building Inspector NORTH Tovm of - Andover . 0 Z - :o dower, .> Mass �( Y' Q �"- LAKE /�. COCMICMEV K 7d�oRATEO P' "fitV� C� BOARD OF HEALTH Food/Kitchen PEnMIT T U Septic System I BUILDING INSPECTOR THIS CERTIFIES THAT t�?F�!!.�� �'�.. ` � � .�-s' ............... ............. Foundation has permission to erect........................................ buildings on .9... ... ...5 ................................. Rough t0 be occupied as L�"1 l �?.t/l l Gl rl ....... .c.L: 1 ..... l� � l'c.- iilf�c:��,� Chimney p ....... .... ....... . ... . . . .......... ... / ............. ..............................-.. 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 CONSTRUCTIONS TS 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. I I Massachusetts- Depai iment ol•Public Safch Board of Building Regulations and Standards Construction Supervisor License License: CS 75302 Restricted to: 00 BENJAMIN C OSGOOD 69 OLD VILLAGE LANE NO ANDOVER, MA 01845 c-- �' Expiration: QW2010 Tr#: 6955 106.90 I ' ,03A, lOAA !i m \ PAVEMENT z LANDSCAPE AREA 10-12 1 2.5 STORY WOOD 2°5 STORY WOO 2.5 STORY I FF-106.82 WOOD BU10/NG 07 CR.TE. EDGE- { 1 t HP RAMP HAtJDRAIL ° „_,� _"�• __ a= i A. New Platform aZ 107.39 NEW HP RAMP down s I.,ona Co slope r s b DOWN HP RAMP HANDRAIL ,oan ,aea s�EP Psv BRICK »sr------ L EDGE OF s. GRANITE GRANITE VGC < ar O n D - R.0b'W.75. !_NE 3 W Hp SP°ae ° $.cy NE PAVEMENTl '0`;1`�`7`�: I � O LANDSCAPE AREA ,oao > VGC ,sans IM73 NEW HP PARKING SPACE a Axa 5 PARKING SPACES , O PAVEMENT x,oaa, m PAVEMENT 1 x,Dana PAVEMENT n VGC HayScales TO JOHNSON STRE.T fzt SITE PLAN RAMP North Andover,, Mr� 2c':. :':;'ili? ;' inc. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Employers Insurance Company Burlington, Massachusetts (800)876-2765 NCCI NO 40959 POLICY NO. I WCC 5007581012009 ITEM PRIOR NO. I WCC 5007581012008 1. The Insured Key Lime Inc Mailing Address: 10 Hepatica Drive North Andover MA 01845 (No. Street Town or City County State Zip Code ❑ Individual ❑ Partnership ® Corporation ❑ Other FEIN 04-3311218 Other workplaces not shown above: 2. The policy period is frOM09/15/2009 to09/15/2010 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here; MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident$ 1,000,000 each accident Bodily Injury byDisease $ 1,000,000 policylimit Bodily Injury byDisease $ 1,000,000 eachemployee C. Other States Insurance: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06 A D. This policy includes these endorsements and schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules,Classifications,Rates and Rating plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual of Annual Remuneration Remuneration Premium INTRA 285896 SEE EXTENSION OF INFORf AATION PAGE Minimum premium$ 500.00 Total Estimated Annual Premium $ 2,846.00 As indicated,interim adjustments of premium shall be made: Deposit Premium $ 755.00 ❑ Annually ❑ Semi Annually ® Quarterly ❑ Monthly MA Assessment Chg. $2,419.86 x 7.2000% $174.00 This policy,including all endorsements,is hereby countersigned by &W, 08/25/2009 Authorized Signature Date GOV GOV KIND PLACING CLAIM NAME SAFETY STATE CLASS AUDIT OFFICE OFFICE CHECK GROUP The Fairway Agency Inc MA 15645 123 505 - 305 Forest Street WC 00 00 01 A(11-88) Bridgewater,MA 02324 Includes copyrighted material of the National Council on Compensation Insurance, used with its permission. O Location `� a' �fl- �xPe,f" No. '71 Dater/ l NOR,N TOWN OF NORTH ANDOVER O F � �a Certificate of Occupancy $ U� �b+; MuSEt�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # A, d l p ' L k �-Iuildin nspector r '•o o w 'SSACN�� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 719 Date: September 17, 2010 THIS CERTIFIES THAT Center Realty Trust, THE BUILDING LOCATED ON 2-4 Johnson Street, North Andover, MA— Cafes By Design Edible Art MAY BE OCCUPIED AS a business IN ACCORDANCE WITH THE PROVISIONS OF THE.MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Center Realty Trust 2-4 Johnson Street North Andover, MA 01845 i Building Inspector Fee: $100.00 Receipt: 23453 J _ a f � ® rMEWAI xA O ry. - ' Iown oju Andover _r ._ '' No. 711 _ -- A K E = ndover, Mass., CQC MICME WICK y�' �,Ap AQr"iYED oP�� �C S BOARD OF HEALTH MIT T D Food/Kitchen ( l (��, PER Septic System �� /✓ ,iC;�� THIS CERTIFIES THAT.........0-ou//�;,C' C��� / ` / ........................................................................ BUILDING INSPECTOR Foun ion has permission to erect...... ................................. build! gs on ...2.:.C. .. . ., o ....a....r... ................................ ough to be occupied as.............L..:`.'`.`.. �......:.......... ....... �—s. ... <' . d��� c ,� y provided that the person accepting this permit shall iii every respec conform to the tefms of the-Application on file in FinaIr �( this office, and to the provisions of the Codes and By-Laws relatingto the Inspection, Alteration and Construction p uction of Buildings in the Town of North Andover. UMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Ro gh Final € PEMvff EXPIRES IN 6 MONTHS UNLESS CONSTRUCTI N STARTS 2ELE) ICAL INSPECTOR .......... ...... ... ................ ..:.,/..........L-rte.............,............................... Service BUILDING INSPECTOR Final OccuPctng Permit Required to Occupy EuiVeing GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove F Rough al No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No SEE REVERSE St Smoke Det. xa 961 p _ z7 /G ...................... NORTH TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SCMUSE� This certifies that ..... ... .............................. has permission to perform ...... F..%............ ............. wiring in the building of.......... ��?!...../-<rf�,"S.e :.r.......�,y`--------------- at.5 '` 6-19 �'�...1.../l.LX 2:-.,North Andover,Mass. Fee..�.Z..s......... Lic.No. , ,? e�................ � .. .......... /ARICL iNSi4 e4//./. Check # -( L ©Q-r Commonwealth of Massachusetts Official Use Only M via Department of Fire Services Permit No. � 1 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WOR All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 2- City or Town of: To th NORTH ANDOVER 7 —1 d e Inspector of Wires: By this application the undersigned gives notice of his or her�intention toperform the electrical work described below. Location(Street& Number) Owner or Tenant ' G `t Telephone No. Owner's Address v Is this permit in conjunction with a building permit? Yes ❑ Noec hk A Purpose of Building_ �'� l Appropriate Box) Utility Authorization No. O 9 Existing Service �G v Amps /Z� 1 z' sfl, Volts O� ve~rhead ❑ Undgrd No.of Meters New Service Or/ Amps lw_ /Zy i Volts Overhead❑ Und d Number of Feeders and Ampacity No.of Meters ..S Location and Nature of Proposed Electrical Work: Com letion o the ollowin table ma be waived by-the Inspector of Wire. No.of Recessed Luminaires No.of CeIL-Susp.(Paddle)Fans 0.0 Total Transformers KVA No.of Luminalre Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool ove ❑ n- ❑ o.o mergency �g ng nd. rud. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection an No.of Ranges No.of Air Cond. TotalInitiating.Devices Tons No.of Alerting Devices No.of Waste Disposers No.o e ontame Totals: Detection/Alertin Devices No.of Dishwashers Space/Ares Heating KW Local❑ municipal No.of Dr ers Connection El other Y Heating Appliances KW ecurity stems: o.o Water °,o No.of Devices or Equivalent Heaters KW o.o Data Wiring: signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommumcatlons iring: OTHER•. No.of Devices or Equivalent :i Attach addition(detail i1-desired,or as required by the Inspector of Wires Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: S1-- 27—ICI Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER certify,under the pains and penalties o er ury.that the information on this application is true and complete. IP ! FIRM NAME: /,.;7 4' Licensee: LIC. NO.: q y 3 3 �l „}�— // Signature �� VC.NO.:,?I-(!f npplicuble, en .r"exempt rin the license number line.) 7.N- .LLQ f 3 3Address: S z Bus. tl. *Per M.G.L c. 147,s. S -6l,security work requires Departm of Public Sa�ety"S" License: Alt. i. �: LicNo OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, i hereby waive this requirement. i am the(check one ❑owner owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ ��(.�` ����.�� � G��c.� �� ,�. ;. ,� i