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HomeMy WebLinkAboutBuilding Permit #579 - 4 MAIN STREET 5/4/2009 BUILDING PERMITO� NORTH q . TOWN OF NORTH ANDOVER c? 4th:,,. .'. . =6 0° APPLICATION FOR PLAN EXAMINATION Permit NO: � g Date Received "`""" ��Q�gAT[D SSACHUS� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION " l 5th Print PROPERTY OWNER � cct Print "MAP NO:' =�;CEL: _ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT A PROPOSED USE /11/it Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: ommercia Repair,�replacerr7Assessory Bldg Others: Demolition, , ///// Other Septic Well- Floodplain Wetlands Watershed District Water/Sewer , r DESCRIPTION OF WORK TO BE PREFORMED: 6r C f rr if g _ lk�114V � aV . t Identification Please Type or Print Clearly) g OWNER: Name: NA cVwv,,iw . 1 . ^(,JM Phone: ti Address: v\. -�7 . �° AV�Jorv&r CONTRACTOR Name: irvar'� Phone:rt�I I Address: A40 6,Q�\A c,? t r 2 1-4-) Supervisor's Construction License: 1 Exp. Date: r Home Improvement License: ' Exp. Date: \JS ARCH ITECT/ENGINEER ,�/P�one: l Address: 2.wt�VL laG�Reg. No. 2�D�P�o FEE SCHEDULE:BOLDING PERMIT:$12.OUER$1000.00 OFT (E& MATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ � (� EE:e) cT g04 Check No.: 6Receipt No.: � NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund signature of Agent/Owner Signature of contra _.q.a . i 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 Revised 2.2008 Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS t COATI NSE ON Reviewed on Signature OMMENTS HEALTH Reviewed on f © f Si natur C COMMENTS i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes r Planning Board Decision: Comments • _r ,, `" Conservation Decision: mments 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 FireDepartment signature/date -COMMENTS 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 I NOTES and DATA— For department use CO /JJOI/ 14 D Notified for pickup - Date Doc.Building Permit Revised 2008 Location No. Date S `/ o g NORTh TOWN .OF NORTH ANDOVER o' • � ; , Certificate of Occupancy $ wilding/Frame Permit Fee $ 6 6 J Foundation Permit Fee $ Other Permit Fee $ TOTAL $ h Check # ( � 2 99 2 Bqila glrriipector NORTH TONM of _: over No. - z� := og C. K E dover, Mass., - /� COCMICMEWICK A�RATEO S BOARD OF HEALTH Food/Kitchen 1 y Septic System .- :,, PERMIT T D 102— BUILDING INSPECTOR THIS CERTIFIES THAT......ffil,0.4.010............. ........ .. ............ ..'.................................................... Foundation has permission to erect........................................ buildings on .. S ......... Rough ... ... ............ ................................ ................... t be occupied as..%t!!!!!!!!!+.. ..... v .�/. Chimney /............... .. .............................. provided that the person accepting this permit shalt in every r nform to the terms the pplication on file in Final this office, and to the provi . ns of the Codes and By-Laws r ting he Inspection, Alteration and Construction of Buildings in the Town of No Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or B ing Regul Voids is Pe Rough Final �QQ• P S 6 MONTHS ELECTRICAL INSPECTOR UNL S C U STARTS Rough .................... Service BUILDING TOR Final Occu ncy ermit Required to Oca cpy Building GAS INSPECTOR Rough Display in a Cons uo s Place on the Premises — Do Not Remove Final No L g or Dry Wall To Be Done FIRE DEPARTMENT' Until Inspected a pproved by the Building Inspector. Burner Street No. SEE REVERSE SIDEJ r - Smoke Det. GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain-pipe/stoneffabric filter/cover and outlet connection. FRAME:Fireblock-over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. Ridge&Hip-Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. Girls-solid brick or steel plate bearing at foundations t Y2"air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams Attic Access. (min. 22x30 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit). Firecode S/R wood frame of"0"clearance fireplaces&stoves i Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. '/of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. } Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber-Finish Smooth parging, clean joints, 8"solid @ combust. DECKS: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 5"on center. Over 8'above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. i FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. j Temporary Stairs required for inspection. Re-inspection fee- $30.00(Be Ready). Certificate of occupancy required prior to occupying structure. NORTH 04" , 0 4Andover No. S79 T Q L = over, Mass., - COC MIC ME WICK y� 7�A00ATED O'Qa` SCS. S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......�����. ............. .. .. Foundation ........ ................................................. has permission to erect........................................ buildings on ....... A S ......... Rough % .. * v /4 Chimney to be occupied as..... .................. .�.......... ........ ... .. ... .�/. ....... ........ ....... ....... provided that the person accepting this permit shag in every res ct conform to the terms�f the pplication on file in Final P P P g 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 �QQ• PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU STARTS Rough ....... ...... ...................... ...................... Service BUILDING TOR 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. RICHARD POWERS 12 MYSTIC STREET EVERETT, MA 02149 April 23,2009 Mohammed Alam 4 Main street North Andover, MA We propose to complete the construction at the above referenced project in accordance with the following scope of work.. Move existing sales counter to new location as shown. Furnish and install framing gypsum wall board as shown. Furnish and install 2x2 ceiling over Subway section only. Provide new electric as shown. Install plumbing as shown. Install FRP as shown. Install 48 inch wall.' Change location of front door. Install wall covering. Mop sink and hot water heater to remain as is. Unload and erect new equipment. EXCLUSIONS: Buildingaid b owner. Permit fee p Y Automatic grease trap if required. Fire alarm or sprinider work. Owner to acquire health dept inspection and Certificate of occupancy. COST OF ABOVE WORD.: FIFTY THOUSAND DOLLARS ($50,000.00) Respectfully submitted, Accepted by, Richard Powers Mohammed Alam Payment terms: Payment #1- $20,000.00 at,start of work. Payment#2- $20,000.00 at rough sign offs. Payment 93- $10,000.00 at completion of work. tNoer(-A A"nom i � BOar Yx� C0 nstrp �ction FW-VI �4pe i � lttcehryts°r n � se CS iceS eE tan arcs 68268 Ri `etc5:?0j p 420,6 Q(/ PDwF� 038 Qu/jv Co ini*Siohe c r I-Yi�K—Lti—Lf:1C77� 12 :47 PM G W DEM5EY L Pib AC®RD CERTIFICATE OF LIABILITY INSURANCE MurI111M1CDNYYY) 04/28/2009 PRODUCBR THIS CERTIFICATE 18 WB-UED A9 A MATTER OF INFORMATION Gerard W.Dempsey Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O.Box 67 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Pembroke MA 02359 INSURERS AFFORDING COVERAGE NAIC 9 i WEUReD Richard Powers INSURER As ATLANTIC CASUALTY INSURANCE CO 420 EAST SQUANTUM ST INSWACR 9: INSURER C: QUINCY MA 02171 INSURER D: INSURER : COVERAGES 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 IB SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INBR DD P C ER PO ICY 6PFiGT Vit POLICY I TION uMlT BNIIML LIABILITY CM OCCURREN E 1,000 OOO A X OMMERCIAL GENERAL LIABILITY L117000385 02114/2009 02114/2010 DAMAGE To RENT 1100,000 CLAIMS MADE a OCCUR MED EXP(Ary and 5.000 �^ PERSONA &ADVINJURY 6 1 L000,000 -ONZAAL AGGREGATE 01,000,000 LAGOREGATE LIMIT APPLIES PER; PRODUCT 0011,000,000 POLICY PRO• LOC LA TOMORILR LMBIUTY ANY AUTO Ea aCOMvwlISINGLE LIMIT Ilsnl8 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Pat parson! 3 HIRED AUTOS 80DILY INJURY i NON-OWNED AUTOS (Per Kdaan@ PROPERTY DAMAGE _ (Par•wleent) -2wal LIAOIUTY AUTO ONLY.EA ACCIPINT 9 ANY AUTO OTHER THAN EA ACC I AUTO ONLY: AGO XCMIUMBRSLLrA LIABILITY EACH OCCURRENCE i OCCUR CLAIMS MADE A R DEDUCTIBLE RETENTION 11 WORIUIRI CCMPINIATION AND WC 9TATU- EMPLOYER9'LIABILITY E.L. ACCIDENT/ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERtMEMSER EXCLUDIDT DISEASE•6A E PL Y it es da�atoa under E. . I -P961k LIMIT OTHER OBRCRIPTION OP OPRRATIONB I LOCATIONS/VEHICLNS I RXCLURIONI ACORC OYBNCORUMENT f SPECIAL PROVIiIONR CERTIFICATE HOLDER CANC@LLATION SHOULD ANY OP TNI ABOVE C18WIll pDPOLICNIRICANCRLLEDOEFORETMiIXPIRATION DATE TNYR<OF,TNR ISIVIN0 INSURER WILL INDIAVOR TO MAIL 10 DAYa WfU TBN 420 EAST SQUANTUM ST NOTICI TO TNI CRRTIF(CATE NOLOBR NAMRD TO THE LEFT.BUT PAILURS TO DO IO MALI QUINCY MA 02171 IMFOIR NO OEUGATION OR LIAMUTY OP ANY RIND UPON TMi IN$URRR,!TE AOINTE OR FAX P(608)879-3509 REPRE ENTATIVi9. AUTHORRIQ REPRE9i TIVR ACORD 25(2001100) a6KC'0AhjtQRPORATION 1968