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Home My WebLink AboutBuilding Permit #450 - 351 HOLT ROAD 12/15/2009 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION , d i Date Received Permit NO: � 9ss,� Date Issued: IMPORTANT:Applicant must complete all items on this page t 5 . t r: 1 t t S v tt a tz LOCATION fi � tcf 'PROPERTY OWNER rr A :MAP NO j r z< PARCEL ZONING'DISTRICT Historic District i w yes o v Mia Machme,'Shop Village ,.,,yes- no ` TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family industrial Alteration No. of units: Commercial 4 Repair, replacement Assessory Bldg Others: I Demolition Other I W".WFl ll . aodpla�n 1Netlarads Watershed Disti-�ct :Septic � -� _< i .NU•aterlSewer ; �:' :: : .,.:F ..: .'.. ,..<T: ,..�, '� -', DESCRIPTION OF WORK O BE PyREFOR E d ) Ide 'ficatiQpi Plea e T e or Prin Clearly) OWNER: Name: �! C Phone: Address: .......... CONTRAGTORf Name � � � Phone t r a h r �. 1 L , Address Superviso'r's ConstructionLicense ,Exp Date Home Improvernon. License. ARCHITECT/ENGINEER�o� S' I �SPhone: � �" �� Address: ff 911/ 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: $ �7 a� FEE: $ 1 '�— Check No.: 2— d Receipt No.: NOTE: Persons contra#n t u -egistered contractors do not have access to the guaranty fund r Si nature of;contractor Signature of A` t/Ow 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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 i Revised 2.2007 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 NOTES and DATA— For department use) I ❑ Notified for pickup - Date i Doc.Buildinc,Permit Revised 2007 Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL APublic 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 4 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH 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 FIRE DEPARTMENT: Temp Dumpster on site yes nb�77 s . Located at 124 Main Street Fire De artment sig natureydate j P. 9 .COMMENTS Location / 2� No. `7SC.) Date �aRT„ TOWN OF NORTH ANDOVER 3?o�,t`1O I•,h� � 9 • : ; Certificate of Occupancy $ Building/Frame Permit Fee $ s�cNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ChecjCQ LL / Ull , Building Inspector tkORTH own of : 1% Andover 0 No. T (`O _�--- LAKE - dover, Mass., O 9► COC NICHE WICK 7� ORATED I"? -`C) S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........CS-01 0........Cq.)...... ......7.. L Foundation has permission to erect........................................ buildings on ...3 ...... 4...... .. ....................................... Rough 2i d n I oa�h to be occupied as..�.....!1....1..... .....�....................s.......P�'.I.!1.�.... ......... ?.. . . '� �ltir �O Chimney provided that the person accepting this permit shall in every respecIoc nform to the terms 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. " Pc—TL p N f PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough qqb ° PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUC ST TS Rough ..................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Town of North Andover ,.ORT" OFFICE OF dao,`,,Go ',�°L COMMUNITY DEVELOPMENT AND SERVICES ° . 146 Main Street +�i ; North Andover,Massachusetts 01845 WILLIAM J.SCOTT 9Ss^emustit Director In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit .Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: (� �p 4zl - V`- Sei e-yo— (Location of Facility) Signature of Permit Applicant 12 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ' f `Please Print Legibly � � Name (Business/Organization/Individual): 5 -5 JU1�� V Address: Q ✓Iy7 City/State/Zip: I U, f Phone #: 915 (�)C/Y_ qffl Are you an employer? Check the appropriate box: Type of project(required): Im l. I am a employer with_ 4. ❑ I am a general contractor and 1 6 ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.F-1I am a sole proprietor or partner- listed on the attached sheet. $ E] Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.0 Electrical repairs or additions required.] 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: h J � �, 1 r O-e P(0Vef 1 "1 ea5u O Il N 4IV(��! Q 0 Policy#or Self-ins. Lic. #: Cq �587 Expiration Date: Job Site Address: t� 1 0J4 4 f'`J City/State/Zip:KV4�0 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date 9� Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si nature: � Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official, City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: P Board of Building Rey}ulations and StarrLJrri" Construction Supervisor License License: CS 92345 Restricted to-, 00 MATT PIMENTEL 16 SPENCER CT ' P ANDOVER, MA 01810 i Expiration: 5/4/2011 (uuu3ee.�itmer Tr,: 15314 I - I .n IdLft Alk dlLft dS*-, 0`%1 CONSTRUCTION CO., INC GENERAL CDNTRACI CORS July 28, 2009 Solo Cup 351 Holt Rd North Andover, Ma Att: Bob Jones Re: Warehouse Renovation PROPOSAL Prepare construction documents based on existing footprint, 2 site visits (rough and final inspections). Supply labor and materials to construct 305 lineal feet of wall to deck,fire taped and sanded. Engineered sprinkler drawings, engineers stamp, permit, hydraulic calculations, plugging off(23) upright heads, adding (46)sprinkler heads, adding (3)fire hose valves due to the new partition layout, all pipe, fittings, materials, sprinkler heads and labor to install this off of two separate sprinkler systems (shut down by owner). Supply and install (1) galvanized steel #5 flat slat, gray prime, 24 G90 galvanized hood, operation: motor, automatic drop activated by release device tied into alarm system (by owner), 3 hour rated 1 0x1 2 overhead door. Price includes construction management. PRICE$ 83,000.00 Anthony 1Timentef Anthony Pimentel Sasso Construction Co., Inc. Accepted Date: Note: This proposal may be withdrawn by us if not accepted within 30 days. 091333 231 ANDOVER ST.WILMINGTON,MA 01887 TELEPHONE(978)694-4111 FAX(978)694-9226 Email www.sassoconstruction.com ISSUING COMPANY ACE PROPERTY&CASUALTY INSURANCE Workers' Compensation NCCI CARRIER CODE and Employers Liability 12254 Insurance Policy POLICY NUMBER ® New ❑ Renewal ❑ Rewrite Information Page Symbol: NWC Number: C4 58 07 07 1 g PREVIOUS POLICY NO. ❑ Individual ❑ Partnership Symbol: Number: ® Corporation ❑ Item 1.1 SASSO CONSTRUCTION COMPANY INC Inter/Intrastate ID No.: Named Insured 231 ANDOVER STREET WILMINGTON MA 01887 Federal Employer ID No.: 042231373 Mailing Address Employer's ID No.: PIIC CODE: 1751 For other named insured see Extension of Information Page-Schedule of Named Insured, WC 99 99 99 A For other workplaces see Extension of Information Page-Schedule of Other Workplaces, WC 99 99 99 B Item 2. Policy period: From 10-01-2009 To 10-01-2010 12:01 A.M., standard time at the named insured's mailing address. Item 3A. Workers'Compensation Insurance: Part One of the policy applies to the Workers'Compensation Law of the states listed here: MA Item 3B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1.000,000 each accident Bodily Injury by Disease $ 1,900,900 policy limit Bodily Injury by Disease $ 1,000 00 each employee Item 3C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: ALL STATES EXCEPT ND,OH,WA,WY, AND STATES DESIGNATED IN ITEM 3.A Item 4. The premium for this policy will be determined by our Manual of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. SEE EXTENSION OF INFORMATION PAGE-CLASSIFICATIONS If indicated here, interim adjustments of premium will be made: Minimum Premium collected in MA$ 500. ❑Semi-Annually ❑Quarterly ❑ Monthly Total Estimated Premium $ 18202. Deposit Premium $ This policy includes these endorsements and schedules: SEE SCHEDULE OF FORMS AND ENDORSEMENTS WC999999D PRODUCER NAME AND MAILING ADDRESS TPA INSURANCE AGENCY INC 10 NEW ENGLAND BUSINESS CENTER SUITE 303 ANDOVER MA 01810 a PRODUCER CODE: 249634 04-3296168 SML MARKETING OFFICE: ACE COMPLETE ISSUE DATE: 07/15/2009 (A hor�WbVo Schramm II WC 00 00 01A (06/03) Copyright 1987 National Council on Compensation Insurance 1 INSURED CONSTRUCTION CONTROL—ARCHITECT N. ANDOVER,MASS. Project Number 0923 Project Title SOLO CUP CO. Project Location 351 HOLT RD. Name of Building SOLO CUP CO. Nature of Project: INTERIOR RENOVATIONS TO EXPAND PRINTING AND PROD. AREAS In accordance with Section 116.0 of the Massachusetts State Building Code, I, CHARLES COCHRAN Registration No. 6559 Being a registered professional architect, I have prepared or directly supervised the preparation of all design plans, computations and specifications for the above named project and that such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices, and applicable laws and ordinances for the proposed use and occupancy. I will do the following: Entire Project: Review for conformance to design concept: shop drawings, samples and other submittals which are 1. Review and approve the quality control procedures for all code-required controlled materials. 2. Be present at intervals appropriate to the stage of construction to become, generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. I will be on the construction site and/or I will send other appropriately qualified design professionals,to determine that the work is proceeding in accordance with the documents submitted with the building permit application, and the applicable provisions of the Massachusetts State Building Code as specified in Section 116. I will provide the Inspector of Buildings with an original, stamped report for each site visit, scheduled or otherwise. I understand that no Certificate of Occupancy will be issued until all reports and a Statement of Project Completion have been filed with and approved by the s for of Buil ' gs Signed X12115 Date e•eeA4 QED A%, A. �(? CHAARLES COCHRAN No.6559 ► WESTFORDMA _ • ••�A(ru FMPS`'Pa`�