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HomeMy WebLinkAboutBuilding Permit #65 - 21 HIGH STREET 7/25/2008Permit NO: 1p BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date ReceivedA09 F 1e 0' TYPE OF IMPROVEMENT PROPOSED USE OWNER: 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 b �W J DESCRIPTION OF WORK TO BE PREFORMED: 'SAE 7 a0e (3je Y;Plr r"Vz 6M 14"r /Voex ARCHITECT/ENGINEER I Phone: Address: Reg. No. FEE SCHEDULE: BOLDING 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.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Identification Please Type or Print Clearly) OWNER: Name: -�Au%%) GrZ1414&Gped Y Ing*'t. Phone: Address: W 7 441270 A"aee -4, A ARCHITECT/ENGINEER I Phone: Address: Reg. No. FEE SCHEDULE: BOLDING 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.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 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 COMMENTS HEALTH COMMENTS Reviewed on Signature Reviewed on Si nature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Con nection/siic nature it Date Driveway Permit DPW Town Engineer: Signature: 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 MGL Chapter 166 Section 21A—F and G min.$1oo-$100o fine No 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 ❑ 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 o 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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 A Location No. a Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL Check # 2 1 35) Building Inspector E O F=4 tt o as u w c cn O z .� � w SO w v U c L' � V a a: x x W w a mc cG cn � w Q o ci' � rs, W w � cry z � cn Q o cn a LU z U' 0 3 Q c c W 0 I co JZ F u Q Y,. ts Q 0 Q. O o O I CD cm L C y O o a LU z E CD N �f s N C CD C: Q! C m O cm C .0 N m t O Z 0 5 CDF. F-4. C/ ' >• 1 �" low 2 O co c c co m c c G3 ts CZ O o O I CD cm L C y O o •E m v V O CO CL C C3 a 4 y A O 0 C Cc O w -Jo ca O C CU o CD y C CO CD N � C C EQ s CD_ N ts zts N O = r+ O C7 Q `R N Of IS CL m m o L Z' N 3 CD �p � C_ � Cm N Cc N t h m :4.2. w � O C Q ICD cl C3�y O cc F_ Q � y 'C'L C •dol O C at N m � _� m C_ V p CO3 _ W H �- z �a$m E CD N �f s N C CD C: Q! C m O cm C .0 N m t O Z 0 5 CDF. F-4. C/ ' >• 1 �" low 2 O co 0 E co L O G3 CZ O o y c I CD cm caW o •E m O CO CL C3 a 4 y C 0 C Cc O w -Jo ca Cu Z ts C CU V y C CO _ C C cc is LLI Y/ U) ceW W 19 W U) s.� V W a z p_ � x x CO v u aG w° cn u cn O aAcio PQ a or. c w° o�G U w � ° v a c C. w a o w F .wa w a � � � w p U � a�' w w w GG w v r� o z cin v Q v o cn M. 4I C c c C m c c C. O CD O cm C N O �O CS '0 O m c� CD co V C5 Oca M� o p� C a CM4 Co A A O .0" C O O .V ;= O C G3 O cc y C O m C� Ea S i CD c .. ca :C2 a N O = c.. O O Ci mOI c N A :gym o N � =2c�, CD 3 � �p m J _m y -W C A N IS = L cC.3 N O O C Go CLC t V y O O H c N m � H N O �. W C4 A; R LL 'N O r C �dZ CuC oc �E .. v .o ��, N v m o c CO3 CL O = A C2ti O aim M. 4I C O E C L O c C. O CO) O cm �O CS '0 O m c� CD co CD Oca M� o cc a, a CM4 Co C O .0" C O O .V C3 CD Z C G3 ci y C O C� cc 0. CO) Vinwood Caterers Three Union Street Ipswich, Massachusetts 01938 (978) 356.3273 Date- July 17, 2008 To: Tracy Vogt TAC One High Street North Andover, MA r caterers' Dates Friday, August 1, 2008 Function Type: Corporate Arrival: TBD Site: 21 High St. North Andover Meal Time: TBD Guests: 100.120 estimate Final details are due fourteen days prior to function Conditions of this agreement: There is no deposit required to bind this agreement. The balance will be paid on or before the function date of Friday, August 1, 2008 by cash or certified check. One copy must be returned with your signature within seven days. Cancellation of this agreement by the customer will cause forfeiture of the deposit. Kitchen usage fee required by individual facilities are the responsibility of the client. Client Signature: , Cc All Date: TA 10_ Vinwood Signature: Tara Ranahan Date: 7/17/08 Deposit Date: Deposit Amount: N/A EAST MILL .� � % ■ NORTH ANDOVE R July 24, 2008 Tracy Vogt TAC, LLC 1 High Street North Andover, MA 01845 Dear Tracy, Hunneman Management & Development Company and the ownership of East Mill grant TAC, LLC the right to use the space next to the pond at the end of the Dental Collaborative parking lot at 21 High Street, North Andover, MA on August 1, 2008 and for the tent to be setup on July 30, 2008. Hunneman Management acknowledges the receipt of Certificates of Insurance from the only two vendors permitted to use the space, Big Top Party Rentals and Vinwood Food Services. TAC, LLC is responsible for all vendors that enter the property by their request. You are also responsible for leaving the location in the same condition and cleanliness as the property currently resides. Regards, Dbegh, Mer RCG North Andover Mills LLC 21 HIGH STREET - NORTH ANDOVER - MASSACHUSETTS ACORD,. CERTIFICATE OF LIABILITY INSURANCE D"'� 7/16 PRODUCER T I, Southmayd Insurance Agency 668 Main St, Suite 9 Wilmington, MA 01887 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEN, EXTEND OR . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE MAIC # INSURED Bobby Cooper dba Big Top Party Rentals 36 Hillman Street Tewksbury, MA 01876 msuRERA• Zurich NA msuRERB:Granite State Insurance Compa INSURER Q INSURER D: INSURER I - t_F=IR(`ATFHCN FIFR CANCR-LATIOW 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, E)CLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. tNSR D 9A NO OBLIGATION OR U OF ANY w UPON THE INSURER ITS AGENTS OR -ROLIGI(-NUMBER POLICY EI D CTIVE POLICY EXPIRATIONzmm -O FACHOCCURRENCE $ 1,000,000 Exe five GENERAL UABIUTY DAMAGET(FacmiRENTED $ 300,000 X COMMERCIAL GENERAL LIABILITY M®DCP(A arep-m) $ 5,000 A CLAIMS MADE OOCCUR PPS 02332254 5/16/08 5/16/09 PERSONAL&ADVNJURY $ 1,000,000 GENERaLAGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER*FRCDUCTS-CCMPAPAGG $ 2,000,000 PRo-T F71 Loc AUTOMOBILE LL BRM CCM B NED SN CiEUMIr $ (E3 Wit) ANYAUTO BDDILY N JURY $ ALL OWNED AUTOS SCHEDULEDAUTOS (��m) BDDILY NJUHRY $ HIREDAUTOS NON -OWNED AUTOS d� (Ftradit) FRCPERTYD4MAGE $ (Fbr acd cbnt) GARAGE LABRM AUTOON.Y-EAACCDBJT $ OTHERTHAN EAACC $ ANY AUTO AITOONLY: AGG $ DCCESSAMBRELLALIABILITY EACHOOCURRENCE $ AGGRMATE $ OCCUR CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND O � M TU- ELEACHACCIDENT $ 100,000 B EMPLOYERS' LIABILITY WC489-64-51 10/16/07 10/16/08 ANY PROPRIETORIPARTAIHRIEXECUTNE EL DISEASE -EAELPLO(EE 1$ 100,000 OFFICERI EMBER EXCLUDED? *10 day cancel ELDIS_ASE-POLICYLMIT $ 500.000 SPECIALPROMS below notice for MA WC OTHER A Property Coverage PPS002332254 5/16/08 5/16/09 Personal Prop 251,000 DESCRIPTION OF OPERATIONS I LOCATION I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS Evidence of Insurance Coverages Fax 978.933.5205 t_F=IR(`ATFHCN FIFR CANCR-LATIOW ACORD 25 (2001/08) f --'E�©ACORD CORPORATION 7988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Tour Andover Controls DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO mm 30 DAYS WRITTEN 1 High Street NOTICE TO THE CERTIFICATE HOLDER NA THE LEFT,BUT FAILURE TO DO SO SHAU North Andover, MA 01845 9A NO OBLIGATION OR U OF ANY w UPON THE INSURER ITS AGENTS OR Attn: Tracy Vogt, Exe five ACORD 25 (2001/08) f --'E�©ACORD CORPORATION 7988 "Invite us to your next party!" Big Top Party Rental 36 Hillman Street - Unit #4 Tewksbury, MA 01876 978-858-0250 978-858-0029 FAX www. bigtoppartyrental. com Agreement made on 7/16/2008 for 8/1/2008 between Big Top Party Rental, hereafter called "Lessor" and the following person and/or company hereafter called the "Lessee." Lessee: Tour Andover Controls Tracy Vogt and Dave Forni 1 High Street North Andover, MA 01845 Home Phone #: 978-975-9474 Dave Cell M 978-975-9328 Other M 978-975-9609 Work #: 978-933-5205 FAX Qty Description Price Amount 1 30' x 60' Ultra White tent 759.00 759.00 14 8 ft Banquet Table 8.75 122.50 140 Blue Folding Chair 1.10 154.00 1 7,500 watt Generator 69.00 69.00 1 Delivery Charge for North Andover, MA 55.00 55.00 Set up on Thursday. Remove on Friday after 3:00 PM or Saturday. Special Instructions: Subtotal $1,159.50 Sales Tax (5.0%) $55.23 Total $1,214.73 Delivery on or around: July 31 Recovery on or around: Aug 1-2 Delivery Address: Same for use on 8/1/2008 How Hear abt BC REP Repet Equipment to be used on: grass Delivery Address is off of: Water St A deposit or prepayment of 0.00 is required prior to installation of rental equipment. This deposit is necessary to assure availability. This amount will be deducted from your balance at delivery. COD - All Final balances must be paid on or before delivery unless otherwise stated in this agreement. Lessee is responsible for safety of items for rental period. Lessee is responsible for safety of items for rental period. RENTAL PERIOD: TMIE OF DELIVERY TO TIME OF PICK UP. Please read front and back of contract, sign, date and return the white copy to the above address as soon as possible with deposit to assure availability. Availability not guaranteed until receipt of signed contract with deposit is returned. In the event of a scheduling conflict, the fast returned contract with deposit will be honored. Please enclose directions to every site. We need 3 weeks notice on all cancellations or order adjustments, regardless of when order is placed. PLEASE READ, SIGN AND FAX BACK TO 978-858-0029. (Customer Signature) (Date) (Big Top Party Rental) (Date) 07/23/2008 14:08 FAX 9782234038 1A 001/002 .A WED. CERTIFICATE OF LIABILITY INSURANCE 7/2�" z"'°o' e' PRODUCER (978)223-4037 PAX-. (978)223-4038 Nicholao A. Coaaolee IaeWCsace Agency, Inc. Y 153 Andover Street Veit 208 Danvers Dal► 01923 THIS CERTIFICATE w ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE MAIC A INSURED vinvood Food Services, Inc 3 Union Street Ipswich KA 01938 mSuRERA:Travelers Ina Cc 39357 INSURER B:AIO INSURER c: Trumbull insurance INSURER O: INSURERS ERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TME 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 aY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, kTE LIMITS SHOWN MAY HAVE 8119 4 REDUCED BY PAID "MS. INSREM JJL IMI TYPE OF INSURANCE POLICY NUMB{BZ DATE EPP ERM" PO TE WA DD 71DN LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLA"SMADE OCCUR 68087668390 6/12/2008 6/12/2009 11000,000 DAMMGET R%2 i 300,000 MOEDExP Anv pm pqm8m)S 5,000 S 1,000,000 GENERALA 9 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: x 1 POLICYLOC MMROPAGG1 2,000,000 A AUTOMOBILE LIABILITY ANYAVTO ALL OWNED AUTOS x SCHEDULED Auras X MIRED AUTOS X NOWOWNEOAUTO$ BA2007I1111108 6/12/2008 6/12/2009 COMBINED SINGLE LIMIT 6 1,000,000 Me smWem) 80DILYINjuRr (Pel P—A) s BODILY INJURY Y (PereCCMenQ PROPERTY DAMAGE i (PerscddenQ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT 6 OTMER THAN AUTO ONLY; EMOSIUMBRELLA UABILITY OCCUR M CLAIMS MADE N RETENTION A4 S S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNE114MCUTNE OFFICERIMEMBEREXCLUDED? N& below Ayes. aeeonee undo WCE875892 6/19/2007 9/19/2008 >: �C STATu• 0 H• .li1d E EACH ACCIDENT 1 500,000 -r-A EMWyEd s 500,000 DISFJISE-POLICY Lima I E 500,000 C OTHER Liquor Law Liability VOOD05413 2/28/2009 2/26/2009 =.eh eoeeeon d,,.e $1,000,000 Ag8re8.to $1,000,000 DESCRIPTION OF OPERATIONSLOCATIONSNDIICLESIEXCWSIONS AODBO BY ENDORSEMENTI9P£CIAL PROVeIONS Re, Corporate 8130 event being hold at 21 High Btrast, north Andover, ma 01845 SHOULD ANY OF THE ABOVE D69CREED POLICIEB BE CANCELLED BEFORE THE TAC EXPIRATION DATE THEREOF, THE ISSUING INSURER HALL EN08AVOR TO MAIL 9713-975-9606 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THP LEFT, BUT one High Street FAILURE 70 Do 60 SHALL IMPOSE NO OOUG ATWN OR LIABILITY OF ANY KIND UPON THE North Andover, NA 01945 INSURER, R9 AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESFATATRA2 N Consoles/GATL sQ ACORD 25 (x001/08) a ACORD CORPORATION 1989 INSOZS (0106}p" PIN 1 of 2 Message Tracy Vogt From: Vinwood Caterers [info@vinwood.com] Sent: Wednesday, July 16, 2008 6:37 PM To: Tracy Vogt Subject: RE: August 1, 2008 Event Hi Tracy, Page 1 of 4 With our Grillin menu packages we do include tablecloths for the guest tables, high quality paper products and plastic ware and we provide the cups for the lemonade and iced tea. If you are having a bar and we are providing that service for you, we also provide cups for the bar. When we cook we use propane, sterno and charcoal and ,yes we do have insurance. Ray would like for me to set up an appointment for him to come to the event site for a walk through and go over timing, set up, etc. Would next Friday, July 25th work for you? He can come at 11:00am. I look forward to hearing back from you. Have a great evening! Regards, Tara Ranahan Client Relations Manager Vinwood Caterers info a vinwood.com (978)356-3273 Phone (978)356-0203 Fax -----Original Message ----- From: Tracy.Vogt@tac.com [mailto:Tracy.Vogt@tac.com] Sent: Tuesday, July 15, 2008 1:59 PM To: info@vinwood.com Subject: RE: August 1, 2008 Event Hi Tara - Thanks so much for looking after our event. I'm hoping that you'll be able to help me with a couple of questions too. I believe that we're expecting 126 people and we're going with the Mardi Gras menu that you have listed. I'll outline the details below. We have found a tent and tables and chairs. Do you guys supply table linens, napkins, cups, flatware ... all of those items? TAC is located at One High Street in North Andover but we have our event across the street at 21 High Street. I'd love to set up a meeting with the General Manager - let me know a time that works. Can you tell me what type of cooking fuels you'll be using and how much? Do you have insurance policies that you procure for the event or are we responsible for that? As for the menu, we'll be looking for: Vinwood Caterers Menu: Appetizer: $3.95/per person Mexican Fundido: melted Monterey jack cheese with roasted Poblano pepper and grilled onion served with warm tortillas Main Course Offerings: $44.95/per person 7/25/2008 �o a) o ,� o 5 m w CA U tez .a 5 �• m w v o� oLL Ed o E W Z 19 00. _� C a (A =E G U. O v ��o a it a+ Qm z o`wy' °' Q �... 'fl 12 �y A ea � = N wo Z > hp � �► Z LLOC V .r 'O wazvW�m.CL �W 012 L � W z E P tiE00 Via= Eoa45 � E m= a� t a H o � o r F- O a�to E Ile IA o S ��-CDz W Mo a r mn ►- d p o� ocR E z" 4 S/S:a6pd S02=68L6T:Ol :woad SS:00 8002-LZ-Nnf a C ' O AyL CL F !d V t? J V w a U E w ''CR 1° °u �a m� c _ Q, FA m � V O r m ti m V H O .2 ax dr�c�r� M C CL A: E O aaa w ag• rhami r O. 13 U. W y,. V Q. 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