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HomeMy WebLinkAboutBuilding Permit #588 - 240 CHARLES STREET 4/2/2010 00RTH BUILDING PERMIT oF�1"D ,6�a TOWN OF NORTH ANDOVER �� s�.., •6 �0 C M1 .,ti - APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received, o �SSACHU`��t Date Issued: 1 IMPORTANT:Applicant must complete all items on this page LOCATION `PROPERTY OWNERL PEA Tc--Y?- L,41_gu R'ZWs1�y Pnnt . :`MAP 210 ` 'PARCEL ZONING DISTRICT. Histone"D�stnct yes no_' : ;Machme.Sho Villa a es n-0 r p' 9 Y 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 °' ;Floodplain Wetlands yet`X�' UVztershecl District ` %t �. _ t s Waterls@Wer DESCRIPTION OF WORK TO BE PREFORMED: POU Ccs►Y&C A- E Co/r7�zf �..��� -0-1- Identification Please Type or Print Clearly) OWNER: Name: 6426/702Liuj)QcTicc-, > y Phone: 97Y 6SS -J412 I Address: 21-M C E '3'' •- S i. �_. .!�}� a("`<' ._r^..1"� ,s_r.gsa. ' fk'"s,¢ ,-'>. ,ar�;%� �. �c +._��.-n) F. 'y _ s- w ����. .. •Fc t"`i. ,� CONTRACTOR'%ame:*LS.041iei fe �Cl [�2iC.��T+G-Phone;° J t..-r :Address �7k G/.g cYA/1rA 'QST �V�ymau77� /YID DZ% 9 T T!•.,E i -F'T" ` 'y"''1,., .X. , .N � C �d i.w rt --�,.x .�.,.• 1 �.$t :RI.. c>•i � Y • � .-., s,,., A �A .t '4 _3,r''. ..« r ..+, #'r�-„�'T y. :.�a 1, ,L'�' �s' .-'{�5d � f - _ t ,.44�.. Supervisor's;Constuctiori 'License, � aExp Date F�/25�f 7Ul Dom ' k' hiomeImprovement License l' A Exp. ARCHITECT/ENGINEER JOY\/76l4rn he)11t 1z!t Phone: (al-7- Y52- 6oe—) Address: . ® QST CetmdL&4a dj 4 Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. f_ Total Project Cost: $ 5SM�C� LYS LAlbour_�t $ �/ � Check No.:- ,?,/ Receipt No.: ).-z. /0 NOTE: Persons contracting with 19nregistered contractors do not have access to the guaranty fund Signature of Agent/Owner ' Signature of=contract r ' Location No. 7— Date Of NORTh � OWN Of NORTH AND � s OVER Certificate of Occupancy ••..... Aancy $ s�cMusEtr Budding/Frame Permit Fee $ =_ Foundation Permit Fee $ Other Permit Fee TOTAL $ Check # Idle) $ 22695 Building Ins - pector 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 Reviewed on Signature COMMENTS IEALTH Reviewed on Signature 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: ,,, On MM VA Located 384 Osgood Street FIRE DEPARTMENTL' ``Teirnp'Dur.rio. site``- ' nog . k'Fi re:Departmenf signature/date ,i> s (`/-%R AR ACA-r.c- 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.s1oo-s1000 fine NOTES and DATA— For department use) ❑ Notified for pickup - Date Doc-Building Permit Revised 2010 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 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 NORTH Town of R over . No. VIM, AK E dover, Mass., • Z • /D COC HIC NE WICK y1. �d AD'4A T E D Pk? �r� 1 S E BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR . THIS CERTIFIES THAT..... &11N� `I WMTr�r........ .........�1..� Foundation ... .................... ................ has permission to erect........................................ buildings on ..01.4.0...........ckov'%J ....... ... ...... Rough to be occupied as......1....0. .... , Q .�..'...........�...'.tihoei-t .. ...... K ............................. Chimney rovided that the erson acce tin this ermit shall in every respect con rfa ma s of the application on file inP P P g P 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 CONSTRU TS Rough .......... . ........................................................................ Service BUILDING INSPECT 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 -f Street No. 12- -3— SEE 2 -3—SEE REVERSE SIDE Smoke Det. com One Cambridge Place,50 Hampshire Street Cambridge,Massachusetts 02134 tel:+1 617 452.6000 fax:+1 617452-8000 February 25,2010 Mr.Gerald Brown Town of North Andover Building Department 400 Osgood Street North Andover,Massachusetts 01845 Subject: Greater Lawrence Sanitary District Energy Efficiency Upgrade Projects Contract No.2009-1 Dear Mr.Brown: I am writing to confirm that plans and specifications dated October,2009 for the energy efficiency upgrade project Contract No.2009-1 conforms in all respects to the Massachusetts State Building Code and applicable federal regulations. I am also writing to confirm that CDM will be providing on site resident representative services as part of the engineering services during construction on the project in accordance with the requirements of controlled construction. If you have any questions or wish to discuss this matter further please do not hesitate to contact us. Very truly yo , Edward L.Storrs Jr.,P.E. Camp Dresser&McKee Inc. cc: Richard Weare Document code consulting-engineering•construction-operations com One Cambridge Place,50 Hampshire Street Cambridge,Massachusetts 02139 tel:+1 617 452-6000 fax:+1 617 452-8000 December 22, 2010 Mr. Gerald Brown Town of North Andover Building Department 400 Osgood Street North Andover,Massachusetts 01845 Subject: Greater Lawrence Sanitary District Energy Efficiency Upgrade Projects Contract No. 2009-1 Dear Mr. Brown: I am writing to confirm that plans and specifications dated October,2009 for the energy efficien.c u-pgra0e project Contract No. 2009-1 were prepared in accordance with Massachusetts State Building Code at the time. I am also writing to confirm that CDM provided on site resident representative services as part of the engineering services during construction on the project. I hereby state,in accordance with the standards of the engineering profession,that to the best of our knowledge,the project was constructed in accordance with the contract documents. If you have any questions or wish to discuss this matter further,please do not hesitate to contact us. Very truly yo rs Edwa L.Storrs Jr., P.E. Camp Dresser&McKee Inc. ELS/rmm c ,-Richard.Weare RM6228 consulting•engineering-construction.operations FORTH Town of Andover No. = A E dover, Mass., �' 1 • D C OC MICH.WICK y1. ADRATE D P- `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..........�����1 ►... ...... ............LA.....�M!!!Iirr4........ .........08- M. W.Cm��11 Foundation has permission to erect........................................ buildings on..4R.4.0..........CakOW!`,4..........4 ...... Rough to be occupied as....... p corvqi�� O ...Is....................... .. Chimney provided that the person accepting this permit shall in every respect con rftJ m to the t ms 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 �Dq 6S PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR. UNLESS CONSTRU TS Rough .......... . ...........................�.......................................... Service _ BUILDING INSPEC Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on � T the Premises — Do Not Remove Final No Lathing or Dry Wall 1 o Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE j Smoke Det. 6 GREATER LAWRENCE SANITARY DISTRICT RICHARD S.HOGAN,EXECUTIVE DIRECTOR LAWRENCE ANDOVER THOMAS CONNORs JOI-B•r A.rETKtrs Jr. PAUL D.LAMBERT FRANK McCANN NORTH ANDOVER METHUEN December 17, 2009 LEONARD J.DEGNAN MICHAEL J.COSTA SALEM,N.H. CHARLES F.THOMPSON EVERFTT McBRIDE Fedex # 7982 3157 5050 TREASURER JOHN A.PETKUS Jr. Mr. Stephen R. LeVangie LeVangie Electric Company, Inc. 978 Washington Street Weymouth, MA 02189 Subject: Greater Lawrence Sanitary District Energy Efficiency Project, Contract 2009-1 INTENT TO AWARD Dear Mr. LeVangie: At a regular meeting held on December 16, 2009, the Board of Commissioners for the Greater Lawrence Sanitary District voted its intent to award your firm, subject to approval by the Massachusetts Department of Environmental Protection, the contract for the construction of subject project for the price of Five Hundred Eighty Thousand Four Hundred Dollars and Zero Cents ($580,400.00) which includes the base bid and all three alternate bid items. This contract will be funded, in part, utilizing a loan issued from the Massachusetts State Revolving Loan Fund. A condition of this loan is that the borrower must receive prior authorization to award the contract from the Massachusetts Department of Environmental Protection. The Greater Lawrence Sanitary District (OWNER) intends to Award the Contract to LeVangie Electric contingent upon its receipt of written authorization to do so from the Department of Environmental Protection, Division of Municipal Services— Boston. You must comply with the following conditions precedent within ten days of the date of receipt of this Notice of Award. 1. You must deliver to the OWNER six (6) fully executed counterparts of the Agreement including all the Contract Documents. Each of the Contract Documents must bear the appropriate signature(s) on the last page of the Agreement (Section 00500). These documents will be delivered to you by the District's Engineer, Camp Dresser and McKee, under separate cover. 2. You must deliver with the executed Agreement the Contract Security (Bonds) and Insurance Certificate as specified in the Information for Bidders and General Conditions. 240 CHARLES STREET • NORTH ANDOVER,MASS. 01845-1649 • TEL:978-685-1612 FAX: 978-685-7790 December 17, 2009 Stephen R. LeVangie Intent to Award Page 2 Failure to comply with these conditions within the time specified will entitle OWNER to consider your bid abandoned, to annul this Notice of Award and to declare your Bid Security forfeited. Within ten days after you comply with those conditions or within ten days of receipt of written authorization to award the contract from the Massachusetts Department of Environmental Protection, whichever is later, OWNER will return to you one fully signed counterpart of the Agreement with the Contract Documents attached. Please note that the contract requires that all work be completed with 180 calendar days commencing twenty days following the Effective Date of the contract being executed. Very truly yours, GREATER AWRENCE SANITARY DISTRICT A41LI Ji Richard S. Hogan Executive Director Cc: Lee Storrs, CDM Richard E. Weare, GLSD Capital Projects Manager File: EP01 — 001 —2.1 ® DATE(MWDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/21/2009 /Aandolph 781)986-4400 FAX: (781)963-4420 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION atitigies Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR la Park Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 0 � 02368 INSURERS AFFORDING COVERAGE NAIC# INSURER AA:Netherlands Insurance 24171 Electric CO, Inc. INSURER B:Excelsior Ins Co 11045 978 Washington Street INSURERC:Zurich Insurance Company INSURER D:Peerless Insurance Weymou NA 02189-1929 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 DWL POLICY NUMBER POLICDATE(Y EFFECTIVE POLICY EXPIRATIONTYPE OF INSURANCE LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TOX COMMERCIAL GENERAL.LIABILITY PREMISES E.Eaccurence = 100,000 A CLAIMS MADE ❑X OCCUR CBP 8450205 5/24/2009 5/24/2010 MED EXP(Any one Person) $ 10 000 PERSONAL 8 ADV INJURY $ 110 0000 GENERAL AGGREGATE 6 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 X1 POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT t 1,000,000 ANY AUTO (Ea aosdent) B ALL OWNED AUTOS RA 8457805 5/24/2009 5/24/2010 BODILY INJURY 6 X SCHEDULED AUTOS (Per ) X HIRED AUTOS BODILY INJURY 6 X NON-OWNED AUTOS (Per aoudent) PROPERTY DAMAGE i (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESS IUMBRELLA LIABILITY EACH OCCURRENCE $ 10 000 000 OCCUR CLAIMS MADE AGGREGATE $ 10,000,000 S C DEDUCTIBLE UC3748619-09 5/24/2009 5/24/2010 $ X RETENTION t 10,00 $ A WORKERS COMPENSATIONWC STATU- OTH- LIMER- AND EMPLOYERS LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) KC 8452806 5/24/2009 5/24/2010 E.L.DISEASE-EA EMPLOYE $ 1f000,000 If yes,desabe under SPECIAL PROVISIONS below El.DISEASE-POLICY LIMIT $ 1,000,000 D OTHERInstallation Floater BN6813317 12/18/2009 12/18/2010 $560,400.00 OCP 12/21/2009 12/21/2010 $1,000,000/$2,000,00 DESCRIPTION OF OPERATIONS ILOC ATIONS/VEHICLES EXCLUSIONS ADDED BY ENDO.RSEMENTISPEG AL PROVISIONS The Greater Lawrence Sanitary District and Camp Dresser a McKee Inc., and their officers, directors, partner, employees and other consultants and subcontractors are additional insured with respect to insured's General Liability and Automobile Liability. All insurers waive all rights of subrogation against The Greater Lawrence Sanitary District and Camp Dresser 6 McKee Inc., and their officers, directors, partner, employees and other consultants and subcontractors. All insurance is primary for all claim covered thereby. Commercial General Liability Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BECANCELLED BEFORE THE EXPIRATION Greater Lawrence Sanitary District DATE THEREOF,THE ISSUING INSURER WALL ENDEAVOR TO MAIL 10 DAYS WRITTEN 240 Charles Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL North Andover, 1A 01845-1649 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Michael Christian/GZ ACORD 25(2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(200900 The ACORD name and logo are registered marks of ACORD Fold,Then Detach Along All Perforations I COMMONWEALTH OF MASSACHUSETTS BOARD REGI 'RED A5TE, ELECTRICIAN EL ISSUES THIS LICENSE TO 1 TYPE LE VANGIE 'ELECTRIC CO INC hx PHILIP J LEYANGIE N - 78 WASHINGTON ST � A 9I WEYMOUTH MA 02185-•1929 285552 ', 10844 A 0731/10 285532 t - - -Fold,Then Detach Along All Perforations f� �faaaehu.ett Department of Public Safety Boat-d of Buildin-, Rc!_ulations and Stmidal-d. "r•nstructio Supervisor License 3 License: CS 3636 Restricied to: 00 STEPHEN R LEVANGIE 3 COVE CREEK LN/PO BOX 95 MARSHFIELD, MA 02059 _ ��- Expiration: 6/4/2010 ( „mrnl>,i„n•r Tr»: 27581