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HomeMy WebLinkAboutBuilding Permit #Exception - 25 HIGH STREET 5/1/2018 BUILDING PERMIT po RTI".,.- TOWN OF NORTH ANDOVER or APPLICATION FOR PLAN EXAMINATION '' ~ Permit NO: Date Received 00, 6X * � " 4 �p � A�R•t7E0 I.pRy�G Date Issued: IMPORTANT:Applicant must complete all items on this page ," Y i r r� s L i_ � .-� w � K.y, fx3' r' �,.?3',f,. @-GA[T1@N: > a� 1.�1 AJC ` I) r R.R. ► .� , xIVlAP2,1"�0�� , �� IPARCEt -: _ {ZQNJN;GDISTRICST HlstorlC DlstflCt`E n <n..�� s..,c"�-x 'a�•}� •' ``.�• � l;� � ..�C t:,� rr > a a- •¢-.z#'�"� �Ls�;t°'S'"W zy �. � f .. • �3: t �: ;. � .-,;� _ - 11/Iachlne�Shopy4Vtllage� y-es nq� _ ..a-. �•P.:.:s-x.-�./�.... ....-.+is.�.T_..,.1:5...-a.__._._�-�...,t e�..w..�z.. - �.�a��� )<_ 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 �Se`p qtr: Well: IF oodpla�r� ' 'Wetlands , _, tr#'urate hed�®istrlct t �:ls.-.s.1�._.r..._. ��-._S , �,s._r..a�...'cl... -..�. :..l:F� _..._-_. £ _ .+.._.,-:,•s. ,+..:5: � .� " k -` ax ��: tr � - DESCRIPTION OF WORK TO BE PREFORMED: Q1-'I'rRwo T7r4?AwamC x�$ —T-1 i2e�rt�lu�,r Identification Please Type or Print Clearly) I >M r OWNER: Name: k1b �R�xtuo.i�� �Lp Phone: g78I 6 0::Z Address: 6%X 0- -VIA tC®NT�yRKACT®,R� Named p tE6 > Phone' a*,t :6 a t `�_ Y7 +ry- 7 kYa-vwdr'r r {, '13h •:.-� Q,} f .• s xi sSat•c ti �Y 'Adtlress��., 71n s t :t 4a.. �Q p4 fl�ro N� * C`E'F ....Y 'ta 'eva;Sr' ..rr=.x.�fi+' saw .�-�s..r fva' r-_ .>••- e.Ty .'"r"'+''rt ari-'� sya' ,,,�. Suprvisors#Const�ucionLicemse� � '�aa t •' xp''©a#e Y �; 1 �,} :z = .` Mom i t; :. i= ,� 1 r .. r � yt f, y'. 'W rr� - ' k .{ r r -• f. �. V t.: .�.,�..�.�.3�.�P�-��. ---�_=-•� - '� .�`�.� �. Expy_�;®ate°�.���--�•�'{ ,rte �R,,.� ARCH ITECT/EN,G/INEER G SIA �S�oc lt>✓� Phone: 91®I G 88' Address: y SND ' �IItX['� ,devcc I`la Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 5b n1n FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 5gnafu o AgetOwneru� k4, ' : ,. Signature of con#ractor _F � '__� ,z �k 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 servicedroprequires approval of Electrical Inspector Yes DANGER ZONE LITERATURE: Yes No .MGL Chapter 166 section 21A-F and G min.$100-$1000 fine NOTES and DATA— (For department use) 4 /y ❑ Notified for pickup - Date I Doc.Building Permit Revised 2010 - _. _ T- ■ 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 171 HEALTH Reviewed on Lr� rl Si nature -�-� 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 "PA "15EPA ZTMEN:T '""T Dumpsteron site ;yes Located of 124 Mam';aS�taFeet & q -,artment..tr.:+f �'.^•E .rTit'� u4 t i 7�r-: y ra.�t., 11..::.. '. - w 971�fi # r C`l, �Y)•• Fix'xre Depsignatureldate� �• _ r(innnn�niTe� Wit..,{.. �•��.'_`. . . . •-�_ _.., r_. .�"����`>�� ' 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 MOTE: 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 NORTIt M L 01 �SLlC 16 6 OL O N A ��SSACHUS PUBLIC HEALTH DEPARTMENT Community Development Division September.l, 2010 Jaime's Jaime Faria, Manager 9 Luzitaria Ave., Gloucester, MA 01930 Re: Jamie's—25 High Street,North Andover Dear Mr. Faria, The Health Department received your application changes submitted on August 27, 2010 for the new food establishment to be known as"Jaime's". The plan has been approved with the following comments. Items of Deficiency noted - _ _ �'Corrective Action Page 5 Food supplies incomplete — OK ---__ _ -_ _ _ __ � --- r Page 7 #5 chemical type unclear•, is it quaternary ammonia, OK Quats chlorine or iodine Page 10 (A) sealed concrete for bar area is M not—recommended for aterial chosen meets such a high traffic area 1 minimum code standards. Will need annual check for its 1 integrity and resealing as _ _,_needed. _ --Bar interior walls *** Proposed material not FRP are suggested rather the Armorseal. _ I Page 10 (A) Good storage area with sealed concrete is not Material chosen is OK L recommended. F- Page 10 and 1-1 no mention of coving detail in all-food prep, Curved base coving will be Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Jaime's Plan_ Review September 1,2010 r bathrooms etc T �(installed where required per ; regulation r _COMPLETE all section of FINISH SCHEDULE- y j Page_12#16 grease receptacle contracted by Jaime's. 4 Application submitted—� —Page 14 2 note holder attached to machine — Covered holder OK #2 Notes from walk through inspection T Stairs to basement in disrepair -- OK as revised L Coving in disrepair ill be fixed OK �— Ceiling tiles dirty in kitchen and vents —� Clean or replace F Basement floor not cleanable 7—Resurfacing floor - Ware washing area behind sink in disrepair J JBeing repaired ok Ceiling over wait station To be installed Applicant is changing area F to include soffit. Keep reach in unit as first f _ _ _ proposed^ OK _ Floors in dining-area some areas in disrepair _„— - i; Repair as needed OK Note above the change at the wait staff area. A soffit will be installed to allow use of the area for additional tasks. All materials must meet easily cleanable, non-porous criteria. Looking forward to pre-opening, prior to receiving your permit to operate you must have 2 Health Department inspections at minimum; a construction inspection and a final inspection. When all equipment is in place a construction inspection should be requested. At that time a complete punch list will be provided. The Building permit will not be signed until the list is satisfied. Once given approval by receiving your building permit sign off, you may begin bringing in food. No cooking or serving may be conducted without Health Department permission or until you receive you final inspection and have your"Food Establishment Permit” given to you by the Health Office. Thank you for your continued cooperation. We look forward to working with you. Sincerely, Susan Sawyer, RENS. RS Cc: N. Andover Building Dept. Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476