Loading...
HomeMy WebLinkAboutBuilding Permit #728-15 - 4 HIGH STREET 3/23/2015BUILDING PERMIT "TOWN OF NORTH ANDOVER, til APPLICATION FOR PLAN EXAMINATION :A � •�-j 0� 1pb Permit No#..Date Received 0 Ar'D gSSACHUS�� Date Issued: J IMPORTANT: Applicant must complete all.iterhs -on this page LOCATION — �t �?-N SG— ( yrdr �l'► Y�1' , tin+ %rl Pnn PROPERTY OWNER tl`l � j Print 100 Year Structure yes no MAP O N PARCEL: ZONINGDISTRICT: Historic District no Machine Shop Village CTeD .no TYPE OF IMPROVEMENT PROPOSED USE >y Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial lK Alteration No. of units: commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain p Wetlands ❑ Watershed District ❑ Water/Sewer DESCRIPTION OF WORK TOB PERFORMED: D M rt i4 N.ri U Q GM'3��04 1 NP ell Uzi ric" / rJ-(1)01 / of= /J 6'Iy4 UVB NTVi-J X 0 0 0.1 f LX TAC-_ I i 0i S 1 r9 t !2- i"�tq 1 S _rL) fzt2r v_► G- i 0 (-a 0 L So rLeX I,& C) P,6 ���i P 9i Qrt (ro PL cs r -3C- Identification - Please Type or Print Cl arty OWNER: Name: ►4u, O �, rzrs� Phone: it 7— 6 z� 'c� - � Address: U►avr 106 t L441aQ G' Xddcrwa 6' P 14 C_`rl Contractor Name:,i5t'4jj PSwa- Phone:1,17-111 _- —6F:4-, Address:Svrr-6 QS- sq. 2-1 1"I1Cr0 Supervisor's Construction License:�fx 601tf'_ Exp. Date: Home' Improvement License:. _ _ .. _ ___ Exp.. Date; ARCHITECT/ENGINEER ,q i9 Phone: , o — Y� COAddress: b CUN K �— 1�. CSTOIJ 0 Z- t—I 0 Reg. No." d 0 9 0 • FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $. °� o S l? a FEE: Check No.: Receipt. No:'.' NOTE: Persons contracting with unregistered contractors do not:hcive;access to the guaranty fund F_ P Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TyPF OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH 4 COMMENTS_ Reviewed on Siqnature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street - -- - - Fire Department signature/date _ ENT$ Dimension Number of Stories: Total square feet of floor area- ljased:'o:n`.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 Doc.Building Permit Revised 2014 0 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 o 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/Cross Section/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 2014 Location 4 L tv W No. 2 1 Date Check #�r- 2��i TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $'i Foundation Permit Fee $ t Other Permit Fee $ TOTAL $ d Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 29,500.00 m $ - $ 354.00 Plumbing Fee $ 44.25 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 44.25 Total fees collected $ 542.50 4 High Street 728-15 on 3/23/15 Common Area Upgrade LA o % ° __MU < ( N CD_ m n f7 Q 0 � - C) 3 m O ? y. N 0 C 0m 00 D vi 0 Cl) m (D 2 C �' O „n„ r (O CL N p � n rt S O CD � CD ' 0 o O < ca z CD M D� n "3 QQ2) ON < N O O < CD U) IL • N r� a� cD : • • G O fodp p c CD CD -0 N / 0 S D m CD -0 o 0 W CL) o V1 V/ co T x T V1 x T x m n x LA T rp rD ( •* m ° D z0 N c S C cu � O c S n D z m O crQ S _ Z m 7 O c UQ S O c O- Q r ° z H m O rD Cl N O OO CL l O > O m D s � � O 0 Z c � C O Z3 ;zZ '0 CCD L r� r- m It m 2 o � Cl) D cam. cn n —I -a -� �• O m Z -0 %% � — O v CD mto CD O Z Q � �• C Vr Cr iii 4CD Z CCD o O CD O vCD _ � b -� CO CD 0 z OCD z a I CDO o % ° __MU < ( N CD_ m n f7 Q 0 � - C) 3 m O ? y. N 0 C 0m 00 D vi 0 Cl) m (D 2 C �' O „n„ r (O CL N p � n rt S O CD � CD ' 0 o O < ca z CD M D� n "3 QQ2) ON < N O O < CD U) IL • N r� a� cD : • • G O fodp p c CD CD -0 N / 0 S D m CD -0 o 0 W CL) o V1 V/ co T x T V1 x T x m n x LA T rp rD ( •* m ° D z0 N c S D > LA m = 0 cu O c S n D z m O crQ S _ Z m 7 O c UQ S O c O- Q r ° z H m O rD Cl N O OO CL l O > O m D s O 36 JK Contracting LLC 31 Richmond Street Weymouth, MA 02188 Name / Address RCG LLC Seth Zeren, Common Area Improvements, 4 High St, N.Andover, Mass 01845 Quote Date Quote # 3/22/2015 111 Rep Project Description Qty Total Permit and C of O 424.00 Trim; Remove oak guard rail on entire stairwell area to facilitate welding . 12,500.00 Fabricate and install [weld] intermediate pickets, re -attach oak rail . Extend oak rail at mid landings.fabricate and install handrails per drawings. Install new entrance door with matching sized sidelites, panic bar ,closer, keyed, 5,100.00 bronze aluminum, insulated glass. Build new wall on 3 rd floor to accept double doors.Move double doors on 3rd 1,500.00 floor to new wall. Demo existing wall. Painting; Tape prime, paint new walls on 3 rd floor, prime all new metal balusters 2,100.00 and railings on stairwell. Repaint entire stairwell to match existing color. General Conditions, floor protection etc. 750.00 Floor Coverings, Carpet removal ,storage of same, and re -install of new carpet in 4,800.00 foyer and 1 st mid -landing. Supervision 2,675.00 This is total cost of buildout including remaining common area work to date [excluding electrical. Total $29,849.00 Massachusetts - Department Gf safety Board of Fuilding Regulations and Standards Construction Supervisor i-icense' CS -066334 KOERAN,r wHEL-AN 31 RICHMOND S1 �Iwl T; WEYMOUTH �Xpivaticn 09/2612015 CC),,nissioner K Ac6RH CERTIFICATE OF LIABILITY INSURANCE fit.... DATEIMMMDNYYY) 7/10/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER DUPONT INSURANCE AGENCY INC 18 COPELAND ST QUINCY, MA 02169EAMdIL9.Exv CONTACT PHONE � I FAX _....... ..... .................. _. tArc;NoL __.._.__ .._... ADDRESS: _ INSURER�S•j_RFFp_ROLG COVERAGE _- NAIC # 7t nM-At7Z5'ER`fEiS _ PREMISES.l E oxu a-...—�.__7...._...._. NSURI R a. „Liberty Mutual Fire.lnsuranct? _ ._. _ ¢ 23035 ..... _. ......_ ......... _.._ _ ........................ ..- _ _... .., INSURED JK CONTRACTING LLC INSURER 8: .... ..... ........ ...... ....................... ............. 31 RICHMOND STREET INSURER C: INSURER D: WEYMOUTH MA 02188 ENSURER E 5 ;POLICY � SECT PRS ?LOC I L_ INSURER F COVERAGES CERTIFICATE Nt1MRFR• 7nAr%zia1 RFVMInIU !Jt IMRFR• THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR.' - iADDL'SUBRi`"�"�� POLICY EFF POLICY EXP LTR TYPE OF INSURANCE 1, POLICY NUMBER ' MMMDIYYYY MMiDOIYYYY OMITS COMMERCIAL GENERAL LIABILITY l EACH OCCURRENCE $ CLAIMS -MADE OCCUR I 7t nM-At7Z5'ER`fEiS _ PREMISES.l E oxu a-...—�.__7...._...._. S .. ... c ............................_.. .-. ......, ........._. s Prang one Person) MED EX , $ ____�, .,_ •.._ _ � j PERSONAL & ADV INJURY 1 GENIL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 5 ;POLICY � SECT PRS ?LOC I L_ PRODUCTS •COMPIOPAGG $�N�� _$...._� i OTHER: r ' AUTOMOBILE LIABILITY I - - . COMBINED SINGLE LIMIT dent S E ANY AUTO BODILY iNJt)RY IPet person) All OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) .._.__. __ $ NON -OWNED_ _ HIRED AUTOS AUTOS PROPERTY DAMAGE-- (Peraccadenf-_ _.__ .......... j 5 UMBRELLA LIAB i.... t — OCCUR ! EACH OCCURRENCE $ EXCESS LIAR CLAIMS•MAD - __...) :-AGGREGATE ............. S•........... ... ................._......_ _........ DED I i RETENTIONS l 8 A WORKERS COMPENSATION , ;- 'WC2-31S-601698-014 2/17/2014 2/1712015,: AND EMPLOYERS' LIABILITY- ,ANY PROPRIETORtPARTNERIEX,ECUTNIE Y / N OFFICEPIMEMBER EXCLUDED? N r A $ _ �f. STATUTEER_ . E.L. EACH ACCIDENT$ """' -- ---.........- 100000 --. -• {Mandatory in NH) t ' E_L. DISEASE . EA EMPLOYEE $ 100000 t yos. desc "e under DESCRIPTIG3N OF OPERATIONS belrnv E.L. DISEASE - POLICY LIMIT S 500000 ,• I i i f I DESCRIPTION OF OPERATIONS 1 LOCATIONS t VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Workers Compensation Insurance Coveragge applies only to the workers Compensation laws Of the state of MA. This certificate cancels and supersedes all previously issued certificates, only as they relate to workers compensation Coverage. RCG LLC JOB REF#16 CHAUNCY STREET #43 CAMBRIDGt MA 021 17 IVALOO STREET, SUITE 100 SOMERVILLE MA 02143 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE a 341 (01988-2014 ACORD CORPORATION. All rights reserved_ ACORD 25 (2014101) -The ACORD name and logo are registered marks of ACORD CERT No.<1,J!",'V W*)V1r�444f�,9 rm, wlcf20:4 '+ Y? PM t : `? 14age 1 of 1 V A �'® CERTIFICATE OF LIABILITY INSURANCEDATE(MMID;�)14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Dupont Insurance Agency, Inc. p g y' 18 Copeland Street Quincy MA 02169 CONTACT NAME: Valerie PHONE FA 617 376-0795 / X No: (617) 479-9121 E-MAIL ADDRESS: valerie@dupontinsuranceagency.com INSURER(S) AFFORDING COVERAGE NAIC # INWRERA:Main Street America INSURED INSURER B: JK Contracting, LLC INSURER C: 31 Richmond Street INSURERD: Weymouth, MA 02188 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INR SUBR WVD POLICY NUMBER POLICY EFF M/DDIY POLICY EXP MM/DD/YYYY LIMITS A GENERALLIABILITY MPT7794M 2/10/14 2/10/15 EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_1 OCCUR DAMAGE -C RENTED PRE ce $ 500,000 MED EXP (Any one person) $ 100,000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC JECT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident $ BODILY INJURY (Per person) $ ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIREDAUTOS _ AUTOS PROPERTY DAMAGE $ eraccident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LLABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTNE OFFICERIMEMBER EXCLUDED? N / A E.L. EACH ACO CE NT $ . E.L. DISEASE -EA EMPLOYEE $ (Mandatory in NH) If yyes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is regli red) 16 Chauncy #43, RCG LLC, Sixteen Chauncy Street Condo Trust and Crowninshield Management Corp are listed as Additionally Insured in respect to GL by means of BPM 3105 12-07 when required by written contract. Waiver of Subrogation applies by means of BP 0497 01-06. NCR I IrINA I C r1VLNCR NAIYNCLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RCG LLC ACCORDANCE WITH THE POLICY PROVISIONS. 17 Ivaloo Street Suite 100 AUTHORIZED REPRESENTATIVE Somerville, MA 02143 BRIDGET MCGOWAN © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E -Mail: kwhelan123@gmail.com "°"'"., OFFICE OF BUILDING INSPECTOR ` TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: 1406002.17 PROJECT TITLE: 4 High Street East Entry Lobby PROJECT LOCATION: 4 High Street, North Andover NAME OF BUILDING: West Mill NATURE OF PROJECT: Common Area Upgrade IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I,_Unlja,g,. WeY REGISTRATION NO. 1 QQEQ BEING A REGISTERED PROFESSIONAL ENGINEERIARCHiTECH HERESY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ❑ ARCHITECTURAL STRUCTURAL ❑ MECHANICAL ❑ FIRE PROTECTION ❑ ELECTRICAL ❑ OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 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 with6the 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. PURSUANT TO SECTION 116.2.2 1 SHAD. SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. SUBSCRI IS D AND SWORN TO BEFORE ME THDAY OF U SIGNATURE NOTARY PUBLIC MY COMMISSION EXPIRES �LN F-,tio%"IA E. BARKER * Notary Public COfdi&".CiVWcHII si Of MASSACHUSETTS My Commission Expires r :24,20118