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Home My WebLink AboutBuilding Permit #034-2016 - 4 HIGH STREET 7/7/2015 A41A i V� I-``� t%ORTN e q BUILDING PERMIT 0.4 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION'.... ` Permit No#: Date Received`:' ,rEp0r �5 gSSACHUs�� Date Issued: S IMPORTANT: Applicant must complete all'iterns`on this'` age LOCATION _ PROPERTY OWNER RSC�'r LM Ru ,j Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Histonc Di'sfrict a no Machine Shop Village s no 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 El Septic El Well Ei Floodplain ❑Wetlands ❑ WatershedDistrict P Water/Sewer . DESCRIPTION OF WORK TO BE PERFORMED: z 'S K,0-45 3 x k is i t�►t.- c a t#- r '(Z�i of N.n vs-Tc d`c 1 r► G— Identification- Please Type or Print Clearly 1 OWNER: Name: 1 10J.C> Smclrjady�- 14 P-1 C C_� _ Phone: 6 i7- 6 2 S'-A 31 Address:SQM5 100 , VL t -17 if 6V1v014,6 Cn/v b c' -s� Contractor Name: � Phone �`_tEi 21f -: Address-_S e, A-' l"4 2— ! 1`tit G K 4 l'!� ` Oct� � Supervisor's Construction License:.e-4 6 E. Date: / d` Home Improvement License: .. _. ; Exp. .Qate: ARCHITECT/ENGINEER SAPH-f yL Phbne::-37A) —S-1 c4' " `� 13I > Address: 1_4r-6 SV Hht � Reg' No. d 0 & 0 FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL-ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 00 ® FEE:%-$ ' L _ Check No.: Receipt No::- NOTE: Persons contracting with unregistered contractors do-not,havevccess to the guaranty fund Signature of Agent/Owne,ll ig;nature:of}contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE"`F 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 Reviewed on Signature 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 FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street - Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. 1 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.$1oo-$100o fine NOTES and DATA— (For department use) ❑ Notified for pickup Call Email Date Time Contact Name 3 Doc.Building Permit Revised 2014 i i Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application a Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses o 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 f ❑ Building Permit Application j ❑ Certified Surveyed Plot Plan I o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o 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 o 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) o Copy of Contract o Mass check Energy Compliance Report u 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 OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CQNTROL PROJECT NUMBER: 1406002.31 PROJECT TITLE: 4 High Street- Stair A- Floor 2 Modifications PROJECT LOCATION: 4 High Street, Floor t North Andover NAME OF BUILDING: West Mill NATURE OF PROJECT:_Modification to Stair IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, 1,.e.Unaa.S. SCIliley REGISTRATION NO. 10080 BEING A REGISTERED PROFESSIONAL ENGINEERIARCHITECH HEREBY 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 SHALL SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHAD.SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. *RE SUBSCRIBED D SWORN TO BEFORE ME THIS 7'ADAY OF19j E NOTARY PUBLIC MY COMMISSION EXPIRES flit.iW;A E. BARKER . Notary Public 4i COi.ih,". iJbti'EALTFi OS MASSACHUSETTS �. f9y Commission Expires - ~+ 412018 C� w JK Contracting LLC Proposal 31 Richmond Street Weymouth, MA 02188 Proposal Date: 7/6/2015 Proposal#: 159 Project: Bill To: David Steinbergh,4 High st. Stair A, Floor 2. N.Andover, MA 01845 Description Est. Hours/Qty. Rate Total Plans and Permits 12.00 12.00 Remove double doors and frames. Demo walls to 600.00 600.00 ceiling. Wall Framing- Install board at wall end , corner bead, 250.00 250.00 tape,sand. Supervision 86.20 86.20 Thank you for the opportunity to bid this work. Total $948.20 ,4co>�° CERTIFICATE OF LIABILITY INSURANCE °�'�'""�°'"�"' 3215 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEN, EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT- If the certificate holder is an ADDITIONAL.INSURED,the policypes) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the polity,certain policies may require an endorsement. A statement on this certif cels does not confer rights to the certificate holder in lieu of such endorseme FRontceR NA ACT Maria Dupont Insurance Agency, Inc. PHONE 1$ Copeland Street 17 376-0795 . (617) 479-9121 Quincy, MA 02169 15me0dupontinsuranceaaency.com INSUR£ S AFFORDING COVERAGE NAIL• INSURERA:Main Street America INSURED INSURER 8: JK Contracting, LLC INSURERC: 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. LTR TYPE OF INSURANCE INVID POLICY NUMBER AMMIYYYY1 LIMITS A GENERALLIABB.ITY MPT7794M 2/10/15 2/10/16 EACH OCCURRENCE $ 1 000 000 )( COMMERCIAL GENEPAL LIABIUTY DAMAGE RENTEDnnaw 11 500,000 CLAIFA-MADE 7 OCCUR MED E7(P(Any one person) $ 10.000 PERSONAL&ADVINJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'LAGGREGATELIMITAPPUESPER PRODUCTS-COMPJOPAM S 2,000,000 POLICY 7 P LOC $ AUTOMOBILE LIABILITY ,WE 3LELIMIT ent $ ANYAUTO BODILY INJURY(Per pesmon) $ ALTOS PED �OESDULED BODILY INJURY(Per accident) $ NON-OWNED P PERTY DAMAGE $ HIREDAUTOS _AUTO araeddent S UbBRELLALUIB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE I AGGREGATE $ DED RETENTION INORKBffi COMPENSATION WC STATU OTH- AND EMPLOYERS'LIABILITY Y 1 NI. ANY PROPRIEtORIPARTNERIEXEW""r: NIA E.L.EACH ACO DENT OFFICE P MEMBER E)CLUDED? alandatory in NN) E.L.DISEASE-EA EMPLOYEE Kyes dwalbe under DESdRIPTION CF OPERATIONS below E.L.DISEASE-POLICY LIMIT S LESMPTIONOFOPERATIONSILOCATKINS/VENCLES(Aftch CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W �.u,. ACCORDANCE WITH THE POLICY PROVISIONS. w AUTHOR®REPRESENTATIVE Brl et McGowan 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD rams and logo are registered marks of ACORD Phone: Fax: E-Mail: apedranti@crowninshield.com 3/3/201"k-;:22:03 AM PST (GMT- 9) FROM: 100005—TO: 16174799121 Page: 2 of 2 F DATE WW"M CORt7� CERTIFICATE OF LIABILITY INSURANCE 3W016 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: N the eertiflcabe holder Is an ADDITIONAL INSURED,the polley(les)must be endorsed. N SUBROGATION IS WANED,sub)ed to the to.. and conditions of the policy,certain policies may require an endorsement. A stateln 1 nt on this eartifleate does not confer rights to the aardi'lorde holder in lieu of such endomeme s. PRODUCER DUPONT INSURANCE AGENCY INCFAX 18 COPELAND ST CWTMT Not- QUINCY,MA 02169 ammom AMrA=COVERAGEPHM MU NAIL r A: LI Mutual Fire Irtsuranoe 23035 JK CONTRACTING LLC tE 31 WEYMOUTTHMA 0188 : s: COVERAGES CERTIFICATE NUMBER: 23VTO22 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 ECERTIFICATE MAY BE ISSUED XCLUS ONS D CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVDED BY THE E BEEN REDUCED 13Y�PAID CLAIMS. BED HEREIN IS SUBJECT TO ALL THE TERMS, E Lalrre TYPE OF alelAfANCa POLICY NUMBER COMMERCIAL GENERAL LLULRY EACH INCE S Cu►WMAOE ❑OCCUR nals MED Eft wy On s PERSONAL a ADv INJURY s GENERALAGGRECiATE aBi1 AGGREGATE LIMIT APPLIES PER: 7 s RO- PRODUCTS-CCrdPJOP AGG f POLICY❑•E FI LOC f CTMEP- NUL&LINT _ AUTOMOBILE UANKM BODILY INJURY(Par paean) t: ANYAUTO BODILYINJURY(Peraodderd) $ ALLOWNED SCHEDULED NOjw- AUTOS �N•OWNED $ HIRED ALTOS AUTOS s UMgfELLALUB [4t.UR EACH OCCURRENCE S EXCEEB LIAR .MADE AGGREGATE t ' S A yre� ►TION• YYC2-3 301 B 15 2/1712015 Zl1712016 AND •LiAswr?. Yr N EL.EACH ACCIDENT s 100000 ANY PROPRETOWPARTNERIEXECUTIVE �Y NAA 100000 ManSE v In EXCLUDED? EL.DISEASE-EA s Ifyyss��-dsaabe under E.L.DISEASE•POLICY UMR 500000 DESCROfTIDN OF CKRA-TIONS bal. casCRIPT1ON OF OPERATIONS 1 LOCATIONS 1 VEIGMM(ACDRD 101,Addlemol Ranaarb&*MWdR mar bs sea da+d If more space is rawdrn4 Workers cornpenselion Insurance coverage applies only to the workers camp�egbon left of the State of MA etlon coverage. This certiflralre cancels and supersedes ell previously issued cer6f•Iy a cetes,oms they^elate to workers mripera CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE AWE DESCRIBED/POLICIES BE CANCELLED BEFORE THE E>f MTION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE VM THE POLICY PROM! CNS. AUTHORIZED REPRESENTATIVE UbwW Mutual Fire Insurance y V (J ®1988.2014 ACORD CORPORATION. All rights reserved. ACORD 2S(2014101) The ACORD dime and logo ane mglst and markt of ACORD CERT 010.: 23677622 CLZSKT 0008: 1644469 Lucy GazllArld 3/3/2015 10:19:07 AK (EST) Page 1 0! 1 -Department cf atilbll,,; Safety Massachusetts ons and Standards Board of Building Regulati Construction S11pe^icor Ljcense: CS466334 I, ARAN T WHEIAN Now.� 31 RICHMOND ST , WEYMOUTH MA ` " �' r-x091251 tion o9� 2sizo0 '. commissioner ............ i I t L l i......................._.-------- i �.I 1 .... ............... .. _i I ...—__... __-- PER 2009 INTERNATIONAL 1 EXISTING BUILDING CODE _. .--------- SECTION 703.2. 1 , EXCEPTION 5.2 —1 AN OPEN STAIR IS PERMITTED IN A T\ . . ____ GROUP B OCCUPANCY IN A FULLY SPRINKLERED BUILDING. II I I I` 1........................ II ❑ REMOVE EXISTING PARTITION FROM WALL WALL TO CREATE � �� NEW CASED GWB OPENING, -�- � = FULL HEIGHT FLOOR TO DECK REMOVE EXISTING KEYPLAN DOORS AND FRAME E APR Q� ,o►,s.r�,�� BLDG 37 No.10080 Lu c� r" O? NEWS)RY W "' o �j M m W BLDG 36 3 0 o 4 HIGH STREET FLOOR 2 STAIR A BLDG 14 1 MODIFICATIONS HIGH STREET �4 HIGH ST STAIR A client/project drawing title date drawing no. s a a m RCG LLC 4 HIGH ST FL 2 06/29/15 architecture STAIR A scale Al 01 STA 655 Summer Street WEST MILL, NORTH ANDOVER Boston, MA 02210 MODIFICATIONS As indicated _ -- i 177= ____ f I [ I 1� �i 1' : i ...-....__......... ................. I PER ..._....... 009 INTERNATIONAL EXISTING BUILDING CODE, .._. I` --- SECTION 703.2.1 , EXCEPTION 5.2, J l -_............... — AN OPEN STAIR IS PERMITTED IN A -....... _, I` GROUP B OCCUPANCY IN A FULLY SPRINKLERED BUILDING. I Ij II _ ............ 1 I'- II \ ii II �I REMOVE EXISTING PARTITION FROM WALL WALL TO CREATE NEW CASED GWB OPENING, ❑ - ___. - FULL HEIGHT FLOOR TO DECK REMOVE EXISTING \ KEYPLAN DOORS AND FRAME -....: — No.1ONO BLDG 37 NEWBURYIPM Lu ^ o tun. co 9 ir m BLDG 36 4 HIGH STREET FLOOR 2 STAIR A MODIFICATIONS 3 0 o BLDG 14 1 m HIGH STREET 4H IGH ST STAIR A client/project drawing title date drawing no. sa a m RCG LLC architecture 4 HIGH ST FL 2 06/29/15 STAIR A scale 655 Summer Street WEST MILL, NORTH ANDOVER A101 —STA As indicated Boston, MA 02210 MODIFICATIONS P, ................... .................... _...... i I I� --............._...-- ..............__.- -----................. ......._ 1 ... I: �., _.. �........__--- _._.... 009 INTERNATIONAL lI EXISTING BUILDING CODE, E _...... � .. ._..... .... ..__ SECTION 703.2.1 , EXCEPTION 5.2, AN OPEN STAIR IS PERMITTED IN A GROUP B OCCUPANCY IN A FULLY iI II SPRINKLERED BUILDING. _----_.-- II El TT �` II REMOVE EXISTING PARTITION FROM WALL WALL TO CREATE NEW CASED GWB OPENING, El FULL HEIGHT FLOOR TO DECK REMOVE EXISTING \ KEYPLAN DOORS AND FRAMES. •� F ' No.10080 v BLDG 37 O *VMMVPORT w o � in BLDG 36 4 HIGH STREET FLOOR 2 STAIR A 1 MODIFICATIONS o o BLDG 14 1 HIGH STREET �4 HIGH ST STAIR A client1project drawing title date drawing no. saam RCG LLC 4 HIGH ST FL 2 06/29/15 architecture STAIR A scale 655 Summer Street WEST MILL, NORTH ANDOVER MODIFICATIONS As indicated A101 STA Boston, MA 02210 _