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Home My WebLink AboutBuilding Permit #062 - 49 ORCHARD HILL ROAD 7/25/2008 BUILDING PERMIT of "°oT" qti TOWN OF NORTH ANDOVER 3� '`�'' - 6*' ° o t Z.APPLICATION FOR PLAN EXAMINATION Permit NO: d 2- Date Received " "' ��SSACHU`+��y Date Issued: �� 04r IMPORTANT:Applicant must complete all items on this page LOCATION Qcxl- Print PROPERTY OWNER ? Print MAP NO:_,PARCEL:6? ZONING DISTRICT: Historic District yes Machine Shop Village yes 40 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercia Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: f1 f� ea,",ac/C 1-411s%4 - av W. 04"I Phone: - L-oZ .2 M Address: /L/9 � ,�� ,i� o.e` i tidovD t y Vc- CONTRACTOR Name: Ga Cy 1"1 i f A�lh GM L 1"` Phone Address: 1Vti Supervisor's Construction License:_ tea, -4ci �5 1 Exp. Date: ( I.�S Zoe Home Improvement License: Exp. Date: ARCHITECT/ENGINEER �"N\A"A CcL(-A—ee k\ Phone:_ G7 b3 o�eC1 Address: 1.10 ttxty-,\\ � � Reg. No. A FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ T9 39 O� FEE: $ Check No.: d of Receipt No.: NOTE: Persons contracting with n ed contractors do not have access to the guaranty fund Signature of Agent/Owne Signature of contractor 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 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature 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. 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 NOTES and DATA— (For department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 3�- 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 a 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 Locational No. 06 2 Date 3Z-*1 TOWN OF NORTH ANDOVER O�i �ao ,a 1h AL F?'• •a G y i i # Certificate of Occupancy $ 1�90 Building/Frame(Frame Permit Fee $ s+cMusa 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ .,x Check # ✓U v Building Inspector 37 Ted Greenlaw P.E. 183 Columbia Rd. Hanover, MA 02339 tel# 781-826-8369 fax #781-826- 8399 E-Mail tedgreenlawp.e@worldnet.att.net August 13, 2007 Keith Wentworth Dutton&Garfield 43 Gigante Drive Hampstead, NH 03841 RE: AAA Merrimack Valley 49 Orchard Hill Road No. Andover, Ma I reviewed the butler pre-engineered structure, specifically to determine that the panels, both roof, and wall have been reinstalled, properly to insure structural integrity is retained, and to insure ,in general, the structure was erected properly. I found the structure to be erected in compliance with the Butler erection drawing, including the required panel re-installation. Also, the structure is currently in compliance with the applicable portions of the 6`" edition of the Mass State Code, industry standards for erection tolerances, and workmanship. The structure should perform as designed, and corrected due to fire damage. Respec lly ed G nlaw P.E. C KJ, 20093 era. / 0 Ted Greenlaw P.E. 183 Columbia Rd. Hanover, NIA 02339 teI# 781826.8369 fax #781-826- 8399 E-Mail tedgreenlawp.e@worldnct.att.net August 13, 2007 Keith Wentworth, Dutton&Garfield 43 Gigante Drive Hampstead, NH 03841 RE: AAA Merrimack Valley 49 Orchard );Till Road No. Andover, Ma On.this date, August 7, 2007, 1 reviewed the butler pre-engineered structure, specifically to determine that the panels, both roof, and wall have been reinstalled, properly to insure structural integrity is retained, and to insure ,in general,the structure was erected properly. I found the structure to be erected in compliance with the Butler erection drawing, including the required panel re-installation. Also, the structure is currently in.compliance with the applicable portions of the 6"'edition.of the Mass State Code, industry standards for erection tolerances, and workmanship. The structure should perforin as designed, and corrected due to fire damage. Ree lly d Gr law P.E. ENtaw A rx CERTIFICATE OF LIABILITY INSURANCE 41177 08' , RM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 1d.P. ROBERTS INS AGCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1060 Aadlo'ver, MA 01845 Osgood Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR North ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, •`(978)683-8073 INSURERS AFFORDING COVERAGE NAICO .1 I C STRUCTION RISU AI THE PROV109KE MUTLA1L FIRS INS OO I C0wmr, INC. INSURER s HANOVER INSURANCE COMPANY P.O. BOR 125 tmvp a c: ! ANDOVER, NA 01810 muRER D: STAR INSURANCE CCA4PA—qx 978-475-6100 . INSURER I- COVERAGE6 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR.THE POLICY PERIOD INDICATED.NOTW(YHSTANDING 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 DESCRIBE)HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF S114H POLICIES.AGGREGATE UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAW. ��DVLLPOY EFFPOLICY LTR hfJRDTYPE OF INSURWCE POLICY NUMBER DATE EC., I DATE MNUD RATION LIMITS MERAL LIAMnY I EACH OCCURRENCE is 1,000'000 $ COMMERCIAL GENERAL LIA ILITY PREMISES Em r,nm) ,s 100-1000 CLAIMSMADE 7X OCCUR hfIEDESP(AnycASpftw) S 5 O00 A CPP 0058664 104/01/08 04/01/09 PeRsoNaLaA muRY s i r 000 000 GENERAL AGGRECATE a 2,000,0 GEKL AGGREGATE LIMB APPLIES PER: PRODUCTS-COIAPIOP AGG s 2,000,000 POLICY SwlOC ! AUTOWELELIARILITY COMBIND SINGLE LWIT is .1 t 000,000 i ALLOYHiEDALiTOB I 20DILYURY i 4 S HtREOAUT08 AMq-6424027 04/01/08 04/01/09 !SODlYIN,uX, NON.0INNEDAUT09 i(ParecsidaNl j I PROPERTY DAMAGE GARACHEUABILtTY IAUTO ONLY-EAACCr"3E4i b ANYALITO EAACC j E I OTHU rPAu -, - _, AUTO ONLY., AGG i S EXCE85nAABRE3ALIABILITY ,EACH OCCURR°4CE It 1 0�'0 DDU X OCCUR ®CLNNSMADE A(iriR'cGATc )5 UMC 0050177 04/01/08 04/01/09 A DEDUCTIBLE RX RETENnON $ 10,000 !s WORI0318COMPEN8AT10NAND ! CS AT. ; �r Pv el.." �a _ � ILITY WCO220937 04/01/08 104/01/08 E.!EACHACMDEv: ID 0 amuimm I E.L DISEASE•EA EMPLOYEE S 1,000,00p UPECIAL PRDV13tONSDebIr I I E.L DISEASE-FOLICYLlwr 1 1,000,000 OTNER ; i IPTIOII OF OP432ATIONS1LOCA71ONS I VEHICLESl EXCLUSIOM A00m EY EiDORSI!MI NTI SPECIAL FROVISIONS - RE JOB: AAA OF'F'ICE PAX:978-470-2560 CERT1FICATE HOLDER CANCELLATIONAAA MAR VAIJXY SiHOULOANY OF THE AS(74E OESCRIBED PCLICIES SE CANCELLED BEFORE l I+E F_<rJRAr-CN 1 49 ORCHARD HILL ROAD DATE THEREOF,THE!SSIANG INSURER wlna ENCF/.%JCR r0?.alb NORTH ANDOVER, MA 01845 NOTICE TC THE CERTIFICATE HOLOE.R tFAMED To-rI'.E LEF7,BUT F.'.r U?['r!7 01,so SHALL IMPOSE NO OBLIGATION CR LIABILITY OF.ANY K210 UPON THE INSURFA,ITS S(_:ENTS OR REPRFSMATNE& AUTHORIZED REPRE:ENTATTJE ACORD25MM108) (P ACORD CORPORATION 19811 4�t w The Commonwealth of Massachusetts Department of In Accidents ,K II 1�� . I�� I„ Office of Investigations 600 Washington Street Boston, MA 02111 o �' � t 1- www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): QVL�oy_( , co k CC 14—Kc Address: 0 k&KLA City/State/Zip: � Phone #: Are you an employer?Check the appropriate box: Type of project(required): 1.(Q I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. t 7• Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.F_1I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp.insurance required.] 13.❑ Other *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit!his affidavit indicating they are duiog ali work and then hire.outside comraciors must submit anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ry5 Qy t �T �-�� Policy#or Self-ins. Lic.#: `` ice'�,, \Q QQ (3 `j Expiration Date: Job Site Address:_ACI 0ZW,(I ►oda 1\ `C�, City/State/Zip: 1+�C Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that 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 the pains andpenalties ofperjury that the information provided above is true and correct. Sianature: Date: ' Phone#: fl— vt 7� �� /��j 6 1(Y) Official use only. Do not write inn this area,to be completed by city or town gfficial. 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#: CONSTRUCTION CONTROL PROJECT: �C�IIAar- RL-1101 7"IM-IS PROJECT OWNER: A A, PROJECT LOCATION: ---q.1 Al2, ! --41 U, goA.-D ARCHITECT/ENGINEER: D-'t_ifiw-" A I T 2S IN ACCORDANCE WITH SECTION 1-16.0 OF THE MASSACHUSETTS STATE BUILDING CODE, I __'.��(-�/� �' �! ZE�k� REGISTRATION NO._AZ X1,0 BEING A RI4ISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT I HAVE PREFARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATION CONCERNING: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION ELECTRICAL OTHER(Specify) 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 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 REGULAR AND PERIODIC BASIS TO DETERMINE 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 of shop drawings,samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit,and approval for conformance to the design concept. 2. Review and approval of the quality control procedure for all code required controlled materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standard listed in Appendix B. PURSUANT TO SECTION 116 23,1 SHALL SUBMIT PERIODICALLY A PROGRESS REPORT TOGETHER WITH PERTINENT COMENTS TO THE PEABODY 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. X1-1 OFFICIAL SEAL �r'-T COI. :1v ;'�.1<Os�CIDZ1EJ ,,. r # I s COMMONINEA j,I OF MASSAcausFirS �hv Ccmrri,.i ,Pfres Aug.28,2008 ' SI N TURE SUBSCRIBED AND SWORN TO BEFORE ME THIS /DAY OF 20 NOTA Y PUBLIC c J MY CO MIS ON EXPIRE 3r a Merrimack Valley July 22, 2008 Andover Construction Company .P.O. Box 125 Andover, MA 01810 Attn: Gary Belanger Re: AAA Office 49 Orchard Hill Rd. North Andover, MA 01845 Dear Gary: Attached is our OK to proceed regarding the drivers education classroom with upgrade of adjacent areas. Please give me a heads-up when you think work will start and how long it's going to take just in case we need to make any arrangements for the staff. Sincerel enneth W. Cro s Vice President KWC/eda Enclosure Haverhill Office Lawrence Office Lowell Office Newburyport Office North Andover Office Salem, NH Office 90 Kenoza Avenue 155 Parker Street 585 Pawtucket Blvd. 45 Storey Ave.Port Plaza 49 Orchard Hill Road 489 So.Broadway, Rt..28 Haverhill, MA 01830 Lawrence,MA 01843 Lowell, MA 01854 Newburyport, MA 01950 North Andover, MA 01845 Salem, NH 03079 (978) 373-3611 (978)681-9200 (978)937-3061 (978)499-4222 (978)946-0432 603-898-9953 Visit us on the web at www.AAA.com 1 53 ANDOVER CONSTRUCTION COMPANY, INC. P.O. BOX 125 ANDOVER, MASS. 01810 TELEPHONE 1-976-475-6100 FAX 1-978-470-2560 July 14, 2008 AAA Merrimack Valley 49 Orchard Hill Road North Andover, Ma. 01845 Attention: Tom O'Neil PROPOSAL FOR WORK Re: Proposed drivers education classroom with upgrade of adjacent areas. Items included: - Architects stamped drawing with associated documents. - Demolition and area preparation. - New door and hardware as required. - Associated electrical work. - New flooring in classroom, lobby, lunch room, mens and womens toilets. - Upgrade of lunch room cabinets. - New classroom ceiling with repair of other ceilings. - Touch up painting and general cleanup. - Project general conditions. Total cost for labor, equipment and materials: $34,539.00 Notes: Architect has been given the approval to start drawings and documents. Work to be completed on regular hours. Owner will service existing HVAC system. Comments or questions please call 978-479-3431. Thank You, 1 ar Be nger G� tNOR,TH T0 0 over 1 No. D (o Z * =-_ W_ - - o , dove`r, Mass.., T o - LAKE ^, 2COCHICHEWICK ORATED �7 V BOARD OF HEALTH PERMIT. T D Food/Kitchen Septic System THIS CERTIFIES THAT �^�'" d BUILDING.INSPECTOR "� � ., �.. .....�� 1� .. ............ Foundation has permission to erect........................................ buildings on ........... .. .R...�' k ............ Rough t.......... 41 to be occupied as...................A116.r1t. z ..n.. . r.0 ...................:. Cg.. Chimney provided that the person accepting this perrgd shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Ins ction, Alteration and Construction of Buildings in the Town of North Andover. r �-� ° . CQ 0 C4: PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. '� Rough Final PERMIT EXPIRES IN 6 MONTHS D ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ARTS ' Rough ... ........................ .- .............:,,,�.......... Service BUILDING INSPECT Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do, Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. 6 �