Loading...
HomeMy WebLinkAboutBuilding Permit #955-2016 - 4 HIGH STREET 5/1/2018 �� I n�� ��� NORT►t Iv BUILDING PERMIT TOWN OF NORTH ANDOVER to o APPLICATION FOR PLAN EXAMINATION Permit NO: ��- c/6 Date Received Date Issued: �9SSACHUSF�� IMPORTANT: Applicant must complete all items on this page gym ' , ,. ^ nt PROPERTY C , MAP N0 iy�i�q�f P�IF� ONI � IST, Tr �z' 1.3istor�o.C�istr�cf �s noAI , .. �,�, t..• � �I�C�a Shqp Vtyen©'" TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building -❑ ne family ❑Addition ITwo or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑repair, replacement ❑Assessory Bldg ❑ Others: Demolition ❑ Other C Septtc I "1tVell �laoflrt Wa#+ �} fids ff t - a :x.,', t„t;.€ryE�. ,,,. af ,,,. E c„hE:• (xA' t rs L' MIR Selective removal of existing interior finishes, non-bearing walls, doors, and other miscellaneous fixtures. Identification Please Type or Print Clearly) OWNER: Name: RCG Westmill NA, LLC Phone: 617.625.8315 Address: 60 Water Street North Andover MA Ct3NTRA �C?� ��m ,� pC18; �7 ark U FE i f yh� Q <e � E Ed �., (€3�W, `' .'"' E•E€,R V� M�'haa•���� SY 'r1�j '"aC1tCtIC3J� E�1$e + �rvs� xa: . -:� "aµ. E, >3,,,, tT sit,- rt R l,t �� .__ F� EES src k _ ��g , �.�. '� t .: ': R�::����� t„x• � x� , _ � � � � 2 ARCHITECT/ENGINEER Linda Smiley Phone: 978.518.9939 Address: 655 Summer St Boston, MA 02210 Reg. No. 10080 FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED oON$125.00 PER S.F. Total Project Cost: $ 29,07Q.C, FEE: $ Check No.: 11"o Receipt No.: !Z4 t h 9. NOTE: Persons contracting with unregistered contractors do not have awes;to the guaranty fund Vjg A tj ra [r��: r�tra+ frlw Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody Art ❑ Lrwinnni g Pooh ❑ Well ❑ To Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM ..PLANNING & DEVELOPMENT Reviewed On Signature_ '-COMMENT'S CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS ! ZVing 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 DEPARRMEN iT�empjQumpstet on.,site,ayes .1� , � arri�.'��no `' `'��r `` � 1.Locat da12,4�MamStreet r� ' `4 '`. '� z . } , x �, , • t, s;< , w � ' :, ...�. 4- '1 payment si nature/dater j•� ,f Qr +g ra C, c rllr .P,ix Cl �pUr a�� }ir � £atl t Y• 1- IL l x,�l r t� a Y`!' x`Fiyl • t �jrt- ., 't�--Z,g•w .. ..,...—...z 'W`,..� ,fi � {� � �f ` '-+-♦ F�1��'. 1 L.�+tS �.fit_ t? ? ' y .. �f; 1��;r"+'}•'`, !y `.� -. COMMENTS r > ._�. , •;. ;*. 1 :y.F jrr'�+•$ �11;- - I Dimensi®n Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, rust 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 Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 ®TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks 4. Building Permit Application Certified Surveyed Plot Plan 4. 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 OTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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 No. "! � Date !I . - TOWN OF NORTH ANDOVER r Certificate of OccupancyWfe Building/Frame Permit Fee $ ) I r Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# j Building Inspector r , NORTH•� . _ . w ve" '* 0 9% hver, Mass, L^KGCOC HIC He WIC.[ yi X1,9 ADRATED S U BOARD OF HEALTH Food/Kitchen Septic System THIS CERTIFIES THAT ....PERMIT ...�� BUILDING INSPECTOR ..................... ................................................................ has permission to erect 11 Foundation .......................... buildings on A... �.,.�(...�........�!'1�!�y...�' Rough to be occupied as ............ .. . .... ...... .. .,j . '. i.... �� .. . . ...... 'Q. ... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application \ Final on file in 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 - Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO TA Rough Service .................. ... .................................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. Smoke Det. March 3, 2016 William J. Glasser, President Landmark Structures Corporation 282 Montvale Avenue Woburn, MA 01801 Re: West Mill Lofts Phase 2 Notice to Proceed Dear Bill: This letter serves as a formal Notice to Proceed for the work described in the bid documents dated February 24, 2016 provided by RCG West Mill NA LLC and the proposal dated February 26, 2016 provided by Landmark Structures Corporation. We understand work on mobilization and preliminary MEP design work has proceeded on a verbal authorization prior to this letter, and that the official Notice to Proceed date shall be recognized as�Gt Sincerely, David Steinbergh, Principal, RCG LLC West Mill lofts Phase 2 Revision 2 North Andover,MA January 20,2016 Number of units: 22 Gross SF: 19070 Value Note: Unit SF Demolition $29,070 $1,321 $1.52 Misc.Metal 92 Seismic Clips with anchors $12,780 $581 $0.67 Stair E Work(misc.metal and carpentry) $22,300 $1,014 $1.17 Delete Stairway E Handrails(by owner) -$17,000 -$773 -$0.89 Rough Carpentry $11,000 $500 $0.58 Finish Carpentry $57,000 $2,591 $2.99 Membrane Roofing $4,500 $205 $0.24 Wood Doors $45,000 $2,045 $2.36 Wood Doors(savings to 2'8") -$1,200 -$55 -$0.06 Entrances&Storefronts exclude $0 $0.00 Windows By Owner $0 $0.00 Plaster/Gyp Board Assemblies $276,000 $12,545 $14.47 Tile $49,649 $2,257 $2.60 Resilient Sheet Goods $46,180 $2,099 $2.42 Underlayment(same system as Phase 1) $172,202 $7,827 $9.03 Carpet $23,408 $1,064 $1.23 Waterproofing behind Tubs $7,500 $341 $0.39 Painting $56,000 $2,545 $2.94 Signage $770 $35 $0.04 Misc.Specialties(below) $9,800 $445 $0.51 Fire Extinguishers $0 $0.00 $0 $0.00 Toilet Accessories $0 $0.00 Closet Specialties $0 $0.00 Residential Appliances By Owner $0 $0.00 Washer and dryer By Owner $0 $0.00 Kitchen Cabinets&countertop $89,000 $4,045 $4.67 Window Treatments By Owner $0 $0.00 Elevator Work Excluded $0 $0.00 Fire Protection Piping $27,652 $1,257 $1.45 Plumbing $250,000 $11,364 $13.11 Delete two Bathrooms(plumbing) -$7,000 -$318 -$0.37 Delete two Bathrooms(other Items) -$3,000 -$136 -$0.16 HVAC $309,034 $14,047 $16.21 Electrical $310,000 see Bid Qualifications $14,091 $16.26 Electrical Service $64,506 $2,932 $3.38 Building Permit $26,000 $1,182 $1.36 General Conditions $254,000 $11,545 $13.32 O H&P adjustment 1-20-16 $6,848 $311 $0.36 O H&P adjustment 2-26-16 -$2,160 -$98 -$0.11 Overhead $102,500 $4,659 $5.37 Profit $61,500 $2,795 $3.22 Total $2,293,839 $104,265 $120.29 There is a net increase in revision 1 of$92,454 There is a net decrease in revision 2 of$-29160 Landmark Structures Corp j ,k �• ':!+ OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: 1406002.21 PROJECT TITLE: Residential Units - Phase 2 Construction PROJECT LOCATION: 4 High Street, North Andover NAME OF BUILDING' West Mill NATURE OF PROJECT; Residential ._ IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, 1, Lindg a. Smiley 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 with(Ithe 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 SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. I(3 SUBSCRIB aTURE AND SWORN TO BEFORE ME THIS DAYS OF• 19 Ul NOTARY PUBLIC MY COMMISSIOr ES PATRICIA Notary BARKER COMMONWEALTIi OF MASSACHUSETTS My Commission Expires Au--jus'24.2018 The Commonwealth of Massachusetts i Department of Industrial Accidents "s I Congress Street,Suite 100 Boston,MA 02114-2017 v�. www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print LeEibly Name(Business/Organization/Individual): Landmark Structures Corp. Address: aSAMontvale Avenue City/State/Zip:Woburn, MA p I Qp Phone#: 181-376 -10( Are you an employer?Check the appropriate box: Type of project(required): 1.[D I am a employer with A5 employees(full and/or part-time).* 7. [:]New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ✓❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3T�I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10 E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11. Electrical repairs or additions proprietors with no employees. ❑ 12.EJ Plumbing repairs or additions 5.r7 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[:]Other 152,§1(4),and we have no employees.[No workers'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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Arb'ella Insurance Policy#or Self-ins.Lic.#: 1'14 00491 os Expiration Date: 21 111 Job Site AddresO Water Street City/State/Zip:North Andover, MA Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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 thepains and penalties of perjury that the information provided above is true and correct Si ature: p Date: JJ-7//4 Phone#: _791-376— 10 01 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#: A� CERTIFICATE OF LIABILITY INSURANCE D/12/ 1015 2/12/2015 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 CONTACT Kim O-Shaughnessy G H Dunn Insurance Agency, Inc. PHONE . (508)656-1400 A No;(508)656-1499 P.O. BOX 497 E-MAIL ADDRESS: 64 Fairhaven Road INSURERS AFFORDING COVERAGE NAIC# Mattapoisett MA 02739 INSURER AArbella Protection Ins. Co. 41360 INSURED INSURER B Arbella Mutual Insurance Co. 17000 Landmark Structures Corporation INSURERC:Torus National Insurance Co. 25.496 282 Montvale Ave INSURER D: INSURER E Woburn MA 01801 INSURER F: COVERAGES CERTIFICATE NUMBER-CL1412111173 6 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD/YYYY MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES E oc.urrenc $ 300,000 A CLAIMS-MADE OCCUR 850006344 /1/2015 /1/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE. $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO X LOC $ AUTOMOBILE LIABILITY FOMaBIcaeDSINGLE LIMIT 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED 1020036348 01 /1/2015 /1/2016 BODILYINJURY(Peraccident $ AUTOS AUTOS ) X HIRED AUTOS I{ NON-0WNED PROPERTY DAMAGE AUTOS Per accident $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 L, X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,0001000 DED RETENTION 2017DI50ALI /1/2015 /1/2016 $ B WORKERS COMPENSATIONX WC STATU- OTH- AND EMPLOYERS'LIABILITY Y I NEEL ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 1,000,000 MEandatoryInNH)EXCLUDED7 N NIA 114 5501 15 /21/2015 /21/2016 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) subject to policy forms, terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FOR YOUR INFORMATION ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE David Dunn/KIM ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS02.5 oninnsi ni The ArnRn nmma nnrl lnnn arc rcnictnrorl mnrlrc of Ar.r1Rr1