Loading...
HomeMy WebLinkAboutBuilding Permit #902-11 - 21 HIGH STREET 6/27/2011TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: 2 7111 IMPORTANT: ADDlicant must complete all items on this Daae LOCATION L CrN �� Print PROPERTY OWNER KL Cs Cr (� •tA .Print MAP MAP NO: PARCEL: ` ZONING DISTRICT: Historic DistrictFe-s- no Machine Shop Village no TYPE OF IMPROVEMENT PROPOSED USE gLik- � . , Residential Non- Residential ❑ New Building ❑ Addition ❑ Alteration ❑ One family ❑ Two or more family No. of units: ❑ Industrial ❑ Commercial ❑ Repair, replacement PDemolition ❑ Assessory Bldg ❑ Other ❑ Others: D Septic I] ellN- 0 .,ater/Sewer ood lain Wetlands © atershed } istrict DESCRIPTION OF WORK TO BE PERFORMED: (Identification Please Type or Print Clearly) OWNER: Naive: nv.,4 fA 0'n -C %A Phone: \0 -z -;Y- — 3 J Address: ! �-+ o •n Z6t CONTRACTOR Name: Phone: Ci Z, - 6=94 Address: 2 Supervisor's Construction License: <-- 3 - Exp. Date: -L h l l Home Improvement License: Exp. Date: ARCHITECT /ENGINES Phone: �, \ --L•3 -� 4rL S Z - () 2, (*3 -­ Address.-2 6 � �yrN��-S �G E ��G1svJ . Reg. No. FEE SCHEDULE. BULDING PERMIT: $92.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: $ l 0. 0 0 0 FEE: $ l 2 �---- Check No.: C7y ''1 \ S b Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access tq the guaranty fund ignature.@fJAgenYQwne_:r„Signaturi�oftcontra gLik- � . , 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 PLANNING & DEVELOPMENT ❑ COMMENT DATE APPROVED CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS r !Y Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comm 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 V 1� 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/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 Departrrrent 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 G.S.L. Licenses ❑ Workers Comp Affidavit 1.❑ 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 DOTE: 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.Building Permit Revised 2008mi Locatio"-4/ W, �C, // -� ��,q 21 No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 24 6�-3 ru ilding Inspector W T.; O z Ou w2 E cin w q 00 w2 �2 U w w ca A. w a a �2 C/)w p w w W ci) ' U) c y- 0 .m c c o � C H O_ C O V V fl CO O C CD O CD N � C -CD B C. \ � N V E o m 3C.,$ u � m C L O � N c 'm9 \� c a m �: a =-o Co A ?Em N m = �a N d CD (3mCDZ CD = m Qom' p H N W C C', W.s.O y.. cm C.) .O 10 LU p O C CL COD A CL F= W .a OL y �_ �- 0 a m E d N M N N C 0 v cm m CM C12 O cm C •C N m Z y.r 0 Z 0 0 5 O c L O V co Q. o CO) ® C co cm CO) C C W Q •F m m CD 03 CD 0 cm CD m o a m os 4 C C_•+cc C C3 J .� CL C V y C C• CO2 0 KPM Demolition, LLC 3 Washington Square, Suite 203 Haverhill, MA 01830 1-888-KPM-DEMO Name / Address Customer Phone RCG Builders 17 ivaloo Street Shite 100 Somerville,MA 02143 617-625-7753 Customer Fax 617-625-8345 Attention Project Keiran Converse-N.A ndover,MA Proposal Date 3/19/2010 Rep DKK Description Total We are pleased to provide the following cost proposal for selective demolition for the project at 21 High 10,000.00 Street -Converse 5th Floor Renovations North Andover.MA as per walk thru with Keiran Revised scope revised pricing 6/28/10 Demo and remove (3) bays section wood planks back to -*wood trusses and carpet flooring in this area only Demo and remove GWR partitions and framing in attic area only Demo and remove all ductwork Demo and remove doors, frames and hardware Stockpile all salvaged wood planks to be moved to exterior of building thru window (window removal by others) Provide all legal disposal ol'debris generated by demolition work Quotation Conditions: I Phase, off hours/ weekend work assumed.lights to remain, able to have 100 yarder remain at loading dock thru duration of project. capping of sprinkler piping by others ALt#1 Demo and remove each mechanical room drain freon by other00.0 Alt#2 (2) Liebert Unit drain by other 9 0 Alt#3 Removal of VCT flooring in artist studio ground floor Pricing assumes able to use ride on floor 1 0 scraper (disposal by others) Exclusions: Any services related, including but not limited to salvage of any items for reuse,pennits,fees. hazardous waste, shoring & bracing, grading & compaction,layout or engineering lead, PCB, security/police/tire details.mastics_thin-set mud -set or waterproof membranes,reclaiming of freon,temp. lights,temp. partitions, Total IIf there are additional phases than noted, a mobilization charge of 52,000.00 is accrued. Not responsible for damage caused by water or dust resulting from work. Not responsible for cutting unknown wires, pipes, conduits or structual members concealed in or behind. Final Payment of the amount due KPM Demolition LLC shall be within (0) days of KPM's completion of its contracted for work. Tf payment is not made within (o) days, KPM shall be entitled to charge interest not to exceed the prime rate plus two percentage points, and, if KPM is required to pursue collection efforts, then KPM shall be entitled to recover its costs and attorneys' fees associated with that collection action. We do not accept retainage provisions or pay when/if paid clause. Our conditions must become an exhibit as part of the subject contract agreement.Notice to proceed constitutes acceptance of this proposal,lerms and conditions. E-mail Web Site 978-373-7636 978-935-9988 danakilroy(a-,Ikpmdemolition.com www.kpmdemolition.com Dana Kilroy Project Manager Customer Signature ipr--19.1 I TIT, cn ui TIT, cn n LU 59li �--, . U) TIT, cn