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Home My WebLink AboutBuilding Permit #755 - 350 WINTHROP AVENUE 5/17/2007BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: S Date Received Date Issued: % 7 - U IMPORTANT: Applicant must complete all items on this page TYPE OF IMPROVEMENT o Residential Non- Residential ❑ New Building ❑ One family TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family Ll Addition C] Two or more family ❑Industrial ❑ Alteration No. of units: Commercial $Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other DESCRIPTION OF WORK TO BE PREI-UKMEU: Z-r.�'c6RWR Rt~i-�ovPrZ�o+�i CPRrtN'c Ft�ooRWCr R69A-�2S �Mr;Q.c�,hNo�SC- R/�ca:s i Q�6lAcA't�o� of ML-N�S FITTWCr `2ooM Gl}G-�-KOI�Z �u.�s'tG-iL R�PI�tE-M�NT Identification Please Type or Print Clearly) OWNER: Name: ZZX LN` Phone: (50%)'s 'Sy Address:` Coc�n�utarc eoc& — 7-777 O�VTF�ACTOR Name w��w t 1f R t X 14 � b 00's Address u e rtsor� Cors ru ion Lrc ►s �a z -- k W, war. �JE ARCH ITECT/ENGI NEER7A�tt.o'2 A% ocC, Phone:�gltl'o1V -0011 Address: ��- }� �oADVY�`( -�It1tzE P�-�iNS MY 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: $ FEE: $ / Receipt No.: Check No.:_CJQ NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ��, � - Signature of Agent/ mer sort Signature of contraGtar. Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans �< TYPE OF SEWERAGE DISPOSAL Temp Dur ipstet- al �slt Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ w t THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION COMMENTS DATE REJECTED DATE APPROVED ❑ ❑ DATE REJECTED DATE APPROVED H E1 LTH ❑ ❑ 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 Located at 384 Osgood Street FIRS ,DI PARTII� N1` Temp Dur ipstet- al �slt ,,. ❑ .Yew , l Coated at 124. Main Streeter w t Fire Department signature date u 7 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 ❑ Notified for pickup - Date . ......... ................. .... .... ........ .... .... .......................... ............... .... .... .... ................ ..... ....... .._..._...._........ .... .... .......... ................... ..... ......... .... ........................ ........ .... .... .... .... ........ ......... .... ........................ .... ..... .............. .... .... ............................. ..... ..._................ . Doc.Building Permit Revised 2007 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 o Copy Of Contract Li Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Li 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 o 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 DEPARTMENTMITORM07 Revised 2.2007 Location No. )-T-r— Date NORTH TOWN OF NORTH ANDOVER 3: � • o . Certificate of Occupancy $ �� s'^••� atm Nus Building/Frame Permit Fee $ r �c Foundation Permit Fee $ Other Permit Fee $ ` TOTAL $ Check # 202'18 Building Inspector CB1 COMMONWEALTH BUILDING, INC. ESTABLISHED 1979 -.... The TJX Companies, Inc 'Rem,odel Schedule of Vatues n $ 18,919.00 $ 11,410.00 $ 5,960.00 $ 5,450.00 $ 1,460.00 N/A AIA JF'tLAAL i its: $ 3,265.00 MECHANICAL: $ 10,540.00 Plumbing $ 4,940.00 Fire Protection: $ 3,100.00 GER:CwMW--1w R oErvShm LAM $ 2,500.00 ELECTRICAL: 17, $ 23,670.00 SUBTOTAL: $ 174,077.00 8% OVERHEAD & PROFIT: $ 13,926.16 EXCLUDES: FIRE ALARM WORK TAL: $ 188,003.16 265 Willard Street • Quincy, Massachusetts 02169 • 617470-0050 • Fax 617-472-4734 www.combuild.com ff3i Q g {fJ1 i mom P Plans SubmittedX Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans TYPE OF SEWERAGE DISPOSAL OPublic Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well . ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ c THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT ❑ COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS IN 7 DATE REJECTED DATE APPROVED 1-1 DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: - " 9 Comments Water & Sewer Connection/signature & Date Located at 384 Osgood Street Drivewav Permit TO: To Who It May Concern: FROM: Joe Pasquale DATE: April 17, 2007 SUBJECT: Owner Authorization TJ Maxx North Andover, MA I, Joe Pasquale, as owner representative of the subject property located at 350 Winthrop Avenue, hereby authorize: TJX Corporation and Commonwealth Building Inc. to act on my behalf, in all matters relative to work authorized by this building permit _application. The, scope of work includes a new front line check-out system., relocating an exit door with in the vestibule, reconfiguring the fitting room layout, replacing sales floor tile with new as well as cosmetic improvements (i.e. Painting) and various merchandise fixture replacements. Please contact me if you have any questions. Sincerely, Joe Pasquale RMD Inc 881 East Street Tewksbury, MA 01875 CC: TJ Maxx, CBT Client#: 71805 COMBUI ACOR& CERTIFICATE OF LIABILITY INSURANCE ) PRODUCER 0DATE 1/04/O7Dm Arthur J. Gallagher RMS, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Admin, General HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 12444 Powerscourt Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Saint Louis, MO 63131 INSURERS AFFORDING COVERAGE NAIC INSURED # Commonwealth Building Inc INSURER A: Charter Oak Fire Insurance Company 25615 265 Willard Street INSURERS: Travelers Indemnity Company 25658 Quincy, MA 02169 INSURER C: Commerce 8r Industry 19410 INSURER D: COVERAGES INSURER E 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 MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH PAID INSR DD' CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION D TE MMIDD/YY DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY C00118L63906COF 12/31/06 12/31/07 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED CLAIMS MADE a OCCUR E!BLMISES (Ea n $100,000 MED EXP (Any one person) $10,000 - PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GENt AGGREGATE LIMIT APPLIES PER: POLICY 51 SEPT PRODUCTS - COMP/OP AGG s2.00010 -0-0- 2 00O OOOA LOC A AUTOMOBILE LIABILITY 810463D507606COF 12/31/06 12/31/07 ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS X SCHEDULED AUTOS BODILY INJURY(Per person) $ X HIREDAUTOS X NON -OWNED WNED AUTOS INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGELIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ B AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY CUP463D5088061ND 12131/06 12131/07 EACH OCCURRENCE $10,000,000 X OCCUR FICLAIMS MADE AGGREGATE $10,000,000 RDEDUCTIBLE X RETENTION $10,000 $ C WORKERS COMPENSATION AND WC5311293 12/31106 12/31/07X WC STATU- I OTH- EMPLOYERS' LIABILITY -1 TORY LIMITS FR E.L. EACH ACCIDENT $500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE -EA EMPLOYEE $500,000 It yes, describe under SPECIAL PROVISIONS below OTHER E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Permit Issue rcorrcrrnrc Unr non SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Reference Certificate DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Ar^non ee ie--, --- - �� ►racisaTa[/mLtfiSU64 TAW 0 ACORD CORPORATION 1988 CONSTRUCTION CONTROL AFFIDAVIT The Sixth Edition of the Massachusetts State Building Code in accordance with Massachusetts General Law Chapter 112 requires most buildings containing a volume of 35000 cubic feet to be designed and built under the supervision of a Massachusetts Registered Architect. It is the responsibility of the Registered Professional completing this form to insure compliance with the law. ADDRESS T.J. Maxx, North Andover Mall, 350 Winthrop Ave North Andover MA 01845 PROJECT TITLE TJ Maxx ReModel NATURE OF PROJECT Minor interior ReModel SCOPE OF PROFESSIONAL WORK Architect In accordance with section 116 of the Massachusetts State Building Code and in compliance with Massachusetts General Law section 112, I hereby state that I am the Massachusetts Registered Professional Architect responsible for the preparation of the plans and specifications for the following sections of the project: ® ENTIRE PROJECT ❑ ARCHITECTURAL ❑ STRUCTURAL ❑ MECHANICAL ❑ FIRE PROTECTION ❑ ELECTRICAL ❑ OTHER To the best of my knowledge these plans conform to all of the requirements of the sixth edition of the Massachusetts State Building Code, all applicable laws and ordinances, and acceptable engineering practices. I further certify that I shall perform all of the necessary. professional services required to insure that this project is constructed in accordance with the approved plans and specifications including periodic site visits and the submission of periodic project compliance reports to this department. SEAL Architect: Jeffrey Taylor AIA Reg#: 9626 Address: 572 North Broadway CP White Plains, NY 10603 Telephone: 914-289-0011 7 2007 Y BY APR 3 0 2007 COMMONWEALTH BUILDING, INC. M a ur". DRIVER'S LICENSE ..- ' EV DDB { 1 06,20=2010 06-20-19 CUSS REST HGT SEX f;- 0 5-08 M r�i POND ROBERT F 379 HIGH ST HANSOMMA 02341-1651 0620.1l35 V � �" 1 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 090690 ;> Birthdate: 06/20/1968 �._ Expires: 06/20/2006 Tr, no: 90690 Restricted: 00 ROBERT F POND 579 HIGH ST HANSON, MA 02341 Commissioner E 1� �1 0 FM4 rA P 1�- O z •: C 0 O C Q O C O L4) O. ca CJ Hou U :"ago CL CL � lOC A m C Es O a. o R. a Ea C U w ow °A Q a G w Q d w a°' w W Q vi cn •: C 0 �•m C ;C, O C Q O C O L4) ca CJ J :"ago CL CL lOC m C Es O co �co Ea y V Q d 2 O E L 0 w z O h 0 C iW cm QSa W •� MO m m .0 O O CL L O� 3.0 O O 0 O a ca � Sa o caca C.3 0. O C Z CD CL C- y O C C C c CL 0 y W W w W U)