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HomeMy WebLinkAboutBuilding Permit #184 - 39 HIGH STREET 9/6/2007 NORTH BUILDING PERMIT °` TOWN OF NORTH ANDOVER ,03 APPLICATION FOR PLAN EXAMINATION Date Received "�R.T[o•�'`Ry Permit NO: �ssAc►+us�� Date Issued: —0 IMPORTANT: Applicant must complete all items on this page LOCATION f 39' Hi ht St Cart }3 "Anelni' cr �.- Pnnt PROPERTY QWN- ER Pnnt M AP NO: PARCEL ZONING DISTRICT H�stanc Disfnct y7-7 es no z Machine Shop Village _Nyes, no TYPE OF IMPROVEMENT PROPOSED USE Residential Non=Residential ❑ New Building 0 One family 0 Addition 0 Two or more family ❑ Industrial Alteration No. of units: Commercial ❑ Repair, replacement ❑ Assessory Bldg [i Others: ❑ Demolition 0 Other O Septic C]`1NelT r r 0 Floodplain I] Wetlands �. Watei`shed Rastnct Wafer/.Sewer DESCRIPTION OF WORK TO BE PREFORMED I tenant fit up as per plans dated 9JC;Jn7 I Identification Please Type or Print Clearly) OWNER: Name: Aurora Imaging Truer-hnol ogies 4;nr,. Phone: 887-975-7s-n Address: 39 xi h St CQNTRACTaR Narne "Joseph Parreila Phone 47X1;:5 tiaA Address' 1"45 Chestnut st Wi3mington �Ma 01887 _ Supervisor's Cons#nact�on License �� : 1�� Exp Date: 8/1512009 Horne Irraprovement Ltcerise Exp: Date: ARCHITECT/ENGINEEPhone: 978-459-2154 Address: 635 Rosters St Lowell Ma _ Reg. No. 3280 FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ $ 114 , 000. 00 _FEE: $ $� 4 , 360— Check No.: 10240 Receipt No.: OQ � NOTE: Pei-sons contracting with unregiste ed contractors do not have asses o the gu my fund Si'gnature of Agent/Owne Sig tureo#contras or� r' r Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL - i Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ J 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 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 Located at 384 Osgood Street Driveway Permit F1RE DEPARTMENT Temp Ducnpster._en "'te yes " s no Cocated- at 124 MainStreet, :Fire Department s�griature/date W /NORTH\ 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.$100-$1000 fine No 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 Y"' Building Permit Application Y*'Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract R(' Floor Plan Or Proposed Interior Work a- 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 Revised 2.2007 Locationl� l No. Date MORTM TOWN OF NORTH ANDOVER Certificate of Occupancy $ • orb+���`� • ��s ••�°^t<�' Building/Frame Permit Fee $ JACHUS Foundation Permit Fee . $ Other Permit Fee $ P TOTAL $ Check # 20570 Building Inspector CONSTRUCTION CONTROL PROJECT TITLE: Partial tenant fit up for Aurora Imaging Technologies PROJECT LOCATION: 39 High St., N.Andover, MA OWNER Aurora Imaging Technologies PROJECT DESCRIPTION: Partial tenant fit up IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUILDING CODE, I Paul L. Davies, REGISTRATION NO. 3280 BEING A REGISTERED ARCHITECT HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ARCHITECTURAL X STRUCTURAL MECHANICAL FIRE PROTECTION ELECTRICAL OTHER: FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRACTICES AND ALL APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A PERIODIC BASIS TO DETERMINE GENERALLY, THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.2.2 1. Review for conformance to the design concept, shop drawings, samples and other submittals, which are submitted by the contractor in accordance with the requirements of the construction documents 2. Review and approval of the quality control procedures for all code- required controlled materials. 3. 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 September 5, 2007 Paul L. Davies, #3280 DATE c l�A 4 rpgpddii#i2.��R'a- 1A TH 0" . of Andover No. 0 dover, Mass., • 1�4 cc HI WICK ATED PV BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT...................Porom ......3:�*% 1 0 BUILDING INSPECTOR .... ....................... ........ .................................................................. Foundation has permission to erect........................................ buildings on ... .......s.r A................................. Rough ....... ..... . to be occupied as ..... .............r;4.....ve........ Vz7i6 40.14.0.4................................. Chimney provided that the person accepting this permit shall in every respect con 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough 344 .z Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU STARTS Rough Service ................. ...... ....... ............................................................................................ BUILDING INSPECTOR Final 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 Street No. SEE REVERSE SIDE Smoke Det. 'i ✓ire' omrnrzflr�rr ¢�fli a� iaoac�ucaalla Board of Building Regulate s and Standards Construction Supervisor License License; CS 13771 13irtkate-8/15H952 . iExpiration: 8/1512009 :T.. 1841 Restnction: 00 I JOSEPH J PARRELtA -145 CHESTNUT W►LMINGTON,MA 01887 Commissioner } �eoBo uPing #eguld/ons an Van One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Construction Supervisor License - — License CS: 13771 Restriction: 00 Birthdate: 8/15/1952 Expiration: 8/15/2009 Tr# 1841 JOSEPH J PARRELLA 145 CHESTNUT ST _ .^ ----..------- -- --- _ _ WILMINGTON, MA 01887 Update Address and return card.Mark reason for change Address Renewal Lost Card IS-CAI is 5OM-07/07-PC8490 office ellnlresUffations - 600 Washington Street, 7`t'Floor -- , Boston,Mass. 02111 Workers'Compensation Insurance Affidavit Building/Plumbing/Electrical Contractors AppTiCa'n$t.infor.-ma#lon"' � d `t. Please=P �leebly '+�' ��� �' name: �o��(.� '4� t Lc t 1/k �f�:t�fl S1�CiJ CAS e,- address: 14!S r k e 5 T_AJ T �T city Mi state: zin• h(9$J, phone# C178 =M'7- g$&(:!) worksite location(full.address): 39 Li ❑ 1 am a homeowner performing all work myWif Project Type: ❑New Construction pRi5model ❑ I am a sole propnetor and have no one working in any capacity ❑Building Addition D-am an employer providing workers'compensation for my employees working on this job. company name: Un i. r b 60.,alri-r'44y 4�b, - `L address- 'I7S CJ<i S'�T►.r St /�. �j .6-9;2 / p:C� city: W.. n:� A�h K C/7[ VT- /` nhone# .. 'f 76 ..Ca--9 / ET( g 0 insurance.co /�!' M.INYI-/ .t'N$ COpolicy# V W 600 �j Cl►!>„1 r..�_ ��'�,3�is, ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices: company-name:. address:_ city' shone# insurance ro. policy# H^i"NIM, �.4r�}!e±.. �,,.x.e`"fy£*5 .:;.„7 sT�+.�- --..: _ ..i:�°:'i a.. :t,,- 50= ie,.S company name: address: city shone#• insurance.co. policy# Failure to secure coverage as required ander Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as cl ' enalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this stateme ay be forward to the Office of Investigations of the DIA for coverage verification. I do here ify under the p nd penalties of perjury that the information provided above is true and correct. Si ature Date �/7`/� -7 ame Phone# s" official use only do not write in this area to be completed by city or town official `r �1city or town: permittliceme# OBuilding Department hi :. . r []Licensing Board w ❑check if immediate response is required ❑Selectmen's Office ? ,.,# ❑Health Department contact person: phone#; ❑Other z t tai <rev�sad sem-zoo3> 4 7� � Y-s ;� tic � s Z'�` ? .-�..,.� �� Te •y,tr"$ .-:— 'r - -c y j=,,......,`., �� 4 AIA Document A105 Standard Form of Agreement Between Owner and Contractor for a Small Project where the Basis of Payment is a STIPULATED SUM 1993 SMALL PROJECTS EDITION Because this document has important legal consequences, we encourage you to consult with an attorney before signing it. Some states mandate a cancellation period or require other specific including warnin s or borne improvement contracts, when a document such as this will disclosures, znc g .f p . b' be used for Work on the Owner's personal residence. Your attorney should insert all language required by state or local law to be included in this Agreement.Such statements may be entered in the space provided below, or if required by law, above the signatures of the parties This AGREEMENT is made: (Date) September 5,2007 BETWEEN the Owner: Aurora Imaging Technology Inc. 39 High St. and the C&RFa4brAndover, Ma. 01845 United Construction Co. Inc. 145 Chestnut St Wilmington, Ma. 01887 for the following Project: Aurora / fit up The Architect is: P.1. Davies & Associates 665 Rogers St. Lowell, Ma. 01852 The Owner and Contractor agree as follows. ©Copyright 1993 by The American Institute of Architects, 1735 New York Avenue,N.W.,Washington,D.C.20006-5292.Reproduction of the material herein or substantial quotation of its provisions without the written permission of the AIA violates the copyright laws of the United States and will subject the violator to legal prosecution. AIA DOCUMENT A105 • OWNER-CONTRACTOR AGREEMENT—SMALL PROJECTS EDITION•AIA®•01993•THE AMERICAN INSTITUTE OF ARCHrrECTS,1735 NEW YORK AVENUE,N.W.,WASHINGTON,D.C.20006-5292•WARNING:Unlicensed photocopying violates U.S.copyright laws and will subject thw-violator to legal prosecution. A105-1993 1 ARTICLE 1 THE CONTRACT DOCUMENTS The Contractor shall complete the Work described in the Contract Documents for the project.The Contract Documents consist of: .1 this Agreement signed by the Owner and Contractor; .2 AIA Document A205,General Conditions of the Contract for Construction of a Small Project,current edition; .3 the Drawings and Specifications prepared by the Architect,dated September 5, 2007 and enumerated as follows: Drawings: floor plan by Paul Davies / 1 sheet Specifications: as per plan / match existing finishes .4 addenda prepared by the Architect as follows: .5 written change orders or orders for minor changes in the Work issued after execution of this Agreement;and .6 other documents,if any,identified as follows: drawings submited by Gunter Sonntag / dated 7/10/07 AIA DOCUMENT A105 • OWNER-CONTRACTOR AGREEMENT—SMALL PROJECTS EDITION•AIA®•®1993•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N.W.,WASHINGTON,D.C.20006-5292 yWARNING:Unlicensed photocopying violates U.S.copyright laws and will subject'the violator to legal prosecution. A105-1993 2 ARTICLE 2 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION DATE The date of commencement shall be the date of this Agreement unless otherwise indicated below.The Contractor shall substantially complete the Work not later than subject to adjustment by Change Order. 60 days (Insert the date or number of calendar days after the date of commencement.) ARTICLE 3 CONTRACT SUM 3.1 Subject to additions and deductions by Change Order,the Contract Sum is: One hundred fourteen thousand, four hundred dollars and 00/100 $ 114,400.00 ) 3.2 For purposes of payment,the Contract Sum includes the following values related to portions of the Work: Portion of Work Value Phase 1A $ 35,550.00 Phase 1 $ 27,473.00 Phase 2 $ 9,310.00 ._-Phase 3 $ 8, 743.00 Phase 4 20 432.00 Upgrading panel / switch gear $ 12,892.00 I I I 3.3 The Contract Sum shall include all items and services necessary for the proper execution and completion of the Work. AIA DOCUMENT A105 • OWNER-CONTRACTOR AGREEMENT—SMALL PROJECTS EDITION•AIA®•01993•THE AMERICAN INSTITUTE OF ARCHITECTS;3735 NEW YORK AVENUE,N.W.,WASHINGTON,D.C.200065292•WARNING:Unlicensed photocopying violates U.S.copyright laws and will subject the violator to legal prosecution. A105-1993 3 ARTICLE 4 PAYMENT 4.1 Based on Contractor's Applications for Payment certified by the Architect,the Owner shall pay the Contractor as follows: (Herr insert payment procedures and provisions for retainage,if any.) 25% ( $ 28, 600.00 ) plans submitted / start up / contract 25% ( $ 28, 600.00 ) Phase 1A and 1 complete 25% ( $ 28,600.00 . ) Phase 2 and 3 / swithh gear complete 25% ( $ 28,600.00 ) all phases complete / certificate of ocupancy issued Payment due within 15 days of AIA requisition 4.2 Payments due and unpaid under the Contract Documents shall bear interest from the date payment is due at the rate of ,or in the absence thereof,at the legal rate prevailing at the place of the Project. (Usury laws and requirements under the Federal Truth in Lending Act,similar state and local consumer credit laws and other regulations at the Owrier's and Con- tractor's principal places of business,the location of the Project and elsewhere may affect the validity of this provision.) ARTICLE 5 INSURANCE 5.1 The Contractor shall provide Contractor's Liability and other Insurance as follows: (insert specific insurance required by the Owner.) SEE ATTACHED 5.2 The Owner shall provide Owner's Liability and Owner's Property Insurance as follows: (Insert specific insurance furnished by the Owner.) 5.3 The Contractor shall obtain an endorsement to its general liability insurance policy to cover the Contractor's obligations under Paragraph 3.12 of AIA Document A205,General Conditions of the Contract for Construction of Small Projects. 5.4 Certificates of insurance shall be provided by each party showing their respective coverages prior to commencement of the Work. AIA DOCUMENT A105 • OWNER-CONTRACTOR AGREEMENT—SMALL PROJECTS EDITION•AIA`•01993•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N.W.,WASHINGTON,D.C.20006-5292•WARNING:Unlicensed photocopying violates U.S.copyright laws and will subject the violator to legal prosecution. A105-1993 4 ARTICLE 6 OTHER TERMS AND CONDITIONS (Insert any other terns or conditions below.) This Agreement entered into as of the day and year first written above. (If required by law,insert cancellation period,disclosures or other warning statements above the signatures.) OWNER / agent CONTRACTOR (Signature) (Signa, e) Steven James CFO osep rella P (Printed name,title and address) "nt me, " e and address) 39 High St. , N. Andover, Ma. 145 Chestnut St. Wilmington, Ma LICENSE NO. CS 13771 "`a. JURISDICTION Mass. 9 f Or s TION- You s 1oui d .sign an original SIA document Which has this caution printed in red. original assures that }n es will not e er re as may occ=ur When documents are repro �Jced. C Ss, Instruction Sheet for Limited Ucense for Reproduction of this document. AIA DOCUMENT A105 • OWNER-CONTRACTOR AGREEMENT—SMALL PROJECTS EDITION•AW•01993•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N.W.,WASHINGTON,D.C.20006.5292•WARNING:Unlicensed photocopying violates U.S.copyright laws and will subject the violator to legal prosecution. A105-1993 5 CERTIFICATE OF WSURANCE 2127/.07 127 m►vuun i► St>�sn u�� a�eois>�I.�c�lrrmcAa� IM Rogd And Hazaican oo®s Torr B'!tD1D Aill'8t ism O ,u ln®tiY Insumc a Agency Of MA LLC 1 TrAbis W Ave Suite i 100 COfi A �'S AFFQRDING COVFdIAGE Lowell,MA 41851 DgSMVXD Josepb J PWNUIJr cwApANy A. -Nautilus Insurance Co. dba United COnS ucdon Co IBlTlOt 145Qust=SUeet B. A.I.M. Mutual Ins. Co. Wilmington.MA 01887 COVVRACM . 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