Loading...
HomeMy WebLinkAboutBuilding Permit #619-14 - 5-Johnson Street 3/5/2014JD cc TOWN OF NORTH ANDOVER [APPLICATION FOR PLAN EXAMINATION (' Permit N0: 7 Date Received ©� T 'v Date Issued: IMPORTANT: Applicant must complete all items on this 'page n. LOCATION rl 8t, Print PROPERTY OWNER r -K. t- , Print 100 Year Old Structure e ' no MAP NO: PARCEL:6� ZONING DISTRICT: Historic District no Machine Shop Village yes TYPE OF IMPROVEMENT- PROPOSED USE u Residential Non= Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg 6 )thers,: ❑ Demolition ❑ Other El Septic []Well ❑ Floodplain ❑ Wetlands ❑ Watershed District %Water/Sewer DESCR ETION OF WORK TO BE PERFORMED: r OWNER: Name: f),r1e.1< 5/&& - ,Type or Print Clearly) HUU I C55. y -- CONTRACTOR Name: , L. -Pf1h:4S fir--Rhc Address: /% /. ft�►� / '1 , . _ 11C i de, Supervisor's Construction License:, Exp. Date:_ Home Improvement License: Date: ARCHITECT/ENGINEER &eOk 1 5`a C Phone: q,� �-' q16 - ✓ ��s� Address: A mJoo- e ' Reg. No. FEE SCHEDULE: BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ `S C d FEE: $ D a Check No.: S�©Z' ' Receipt No.:,,:? NOTE: Persons contracting7 n liisAeconlractors do not have access h uara fund Signature of Agent/Owner igpature of contractor I Plans Submitted � PI . s Waived ❑ Certified Plot Plan ❑ Stamped Plans. Plans SubmittedPlans Waived ❑ Certified Plot Plan ❑ Stamped Plans TYPE -,OE SEWERAGE:DiSP_OSAL ' .- Public Sewer Tanning/Massage/Body Art ❑ - Swimming Pools ❑ Well ❑ Tobacco.Sales 0 ToodPackaging/Sales ❑ Private (septic tank, :etc.-: -Permanent Dempster on Site ❑ THE. FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM - DATE REJECTED: DATE;APPR.OVED /LANNING & DEVELOPMENT ❑ J ✓ b7-7 /y COMMENTS_ �ll� %n Vc f V ie?ll�c .CONSERVATION COMMENTS HEALTH <j COMMENTS Reviewed on / Reviewed o 7Ae- 0 r\ \ .�FPP y >L00 A?Ap -e Zonipg Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Water & Sewer Connectio Comments I -Is -1k' DPW Todaa! Engineer: Signature: Located 384 Osgood Street FIRE DEPARTRE" T =Temp Dumpster on site Yes -'.no �. Located"st 124zMair, Street Fire Departmer�tsignature/date" • - t' ' - t `�-` � � � • �- Y �� 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 DANGERZONE LITERATURE: Yes No MGL -.Chapter -166 Section 21A —F and G min.$10041000..fine N®TES and DATA — (For de ® Notified for pickup - Date Doc.Building Permit Revised 2010 ent use Building Department The folk!owing'is a list of -the required -forms to belilled 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%O'r C.S.L Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All d um pster.. 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 apo.?al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subwted with the building application Doc: Doc.Buil,ding permit Revised 2012 Location No. Check # Date 2/-�-A, TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $-I Foundation Permit Fee $- Other Permit Fee $- TOTAL $ Building Inspector CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 619-14 on 3/5/2014 Date: August 13, 2014 THIS CERTIFIES THAT Cows Rock THE BUILDING LOCATED ON 5 Johnson Street MAY BE OCCUPIED AS Cows Rock Ice Cream_IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Eugene Willis 76 Boston Hill Road North Andover, MA 01845 x0" Build' nspec r Fee: PrePaid $100.00 Receipt: 27331 Check :5002 3r ••s6�. •'. of '�i1 •"�.r.o r•.'S49 SSAC NOISE CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 619-14 on 3/5/2014 Date: August 13, 2014 THIS CERTIFIES THAT Cows Rock THE BUILDING LOCATED ON 5 Johnson Street MAY BE OCCUPIED AS Cows Rock Ice Cream_IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Eugene Willis 76 Boston Hill Road North Andover, MA 01845 Build' nspec r Fee: PrePaid $100.00 Receipt: 27331 Check :5002 O` NORTH 1H . O t c r 'l1 ��O4n. .•`�19 'SSACR�SEt TEMPORARY- See Punchlist CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 619-14 on 3/5/2014 Date: May 5, 2014 THIS CERTIFIES THAT THE BUILDING LOCATED ON 5 Johnson Street MAY BE OCCUPIED AS Cows Rock Ice Cream IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Eugene Willis 76 Boston Hill Road North Andover, MA 01845 ��.�--fir,/✓ �'�---� Building Inspector Fee: Prepaid Receipt: 27331 Check :5002 I M!J is, O F- U W Z z 0 m N //^^ v, z G z co O z V W I.L. aZ X O FW- U W a z v O 'I-,' / N E G1 i z O N AAW`` AIC c W Q N �Emm CL t L C O 0 W o 0 O G. O- � Q O C M M -� .2 -J O �z O U cn� CL cv � 0 J K-\:ui t 01 LL tA Z Z .. ,y..; Z I� ujj 0 of ZLU d W m ` � LL ai N a m C `LL e... •. y:. - W J W yam' L1. Y N o a r'a �.. = E ti�4k. m ai O to _ O Z O v v Y v LL N L.L Q' U LL LL In LL .0 CC LL C m V7 N is, O F- U W Z z 0 m N //^^ v, z G z co O z V W I.L. aZ X O FW- U W a z v O 'I-,' / N E G1 i z O N AAW`` AIC c W Q N �Emm CL t L C O 0 W o 0 O G. O- � Q O C M M -� .2 -J O �z O U cn� CL cv � 0 41 TOWN OF NORTH ANDOVER MASSACHUSETTS NORTH ANDOVER OLD CENTER HISTORIC DISTRICT COMMISSION Building Inspection Town of North Andover North Andover, MA 01845 TO WHOM IT MIGHT CONCERN: Please be advised that renovations at 5 Johnson Street do not need approval of the Historical District Commission. The renovations are in the area which can not be seen from the street and therefore do not need approval from the Old Center Historical District Commission. Any questions please call me at 978 685 5000. Sincerely, George H. Schruender, Jr. Chairman North Andover Historical District Commission Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 23,500.00 m $ - $ 282.00 Plumbing Fee $ 35.25 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 35.25 Total fees collected $ 452.50 5 Johnson Street 619-14 on 3/13/2014 Tenant Fit Up r I n F-� n = J Q U. • � t t W 0uj Z O O 0 v O 0 W Z o 0 W N Z ^^E, Li. \ Q 0r O w � mQ y O O 'jn C • Z = 0 ` \ y V L � Z U yr Z 0L yam+ V o m N Y E N 0 m o cc �_ o .F+ y J °. J W J w m C�Z3 Q a C7 O� L 0 d \ O LLN u O. f6 -6 LL L 7 = N C Eu U f6 LL +�-' O O 7 ir (6 LL OM bA O K v1 (0 LL V .y h0 O C LZ 'in i : :O W CL U) ♦Z V m V) 2 n-' z �-- MZ c O Z V �W�// LL '�^ . Ii v+ XO LU U _co W a z M Z Cw G H G' a LU c w LL O N tom. `1 7 co cry • � t t C C O O 0 v O o L ^^E, Li. \ Q 0r _ � mQ y O O 'jn C • O = 0 ` \ y V L � yr 0 0L yam+ V O .r V = V ++ c R 0 .y cc �_ o .F+ y Q J m C�Z3 Q O� L 0 d O O t i : :O W CL U) ♦Z V m V) 2 n-' z �-- MZ c O Z V �W�// LL '�^ . Ii v+ XO LU U _co W a z M Z Cw G H G' a LU c w LL O N tom. `1 7 co cry • � t t 0 o ^^E, Li. \ Q 0r _ � y O O 'jn • Z O = 0 N Q ^y,+ A 0L V ++ c R 0 .y tm O C C Co I.� C�Z3 Q 0 O W O C +�-' O O LLJ r, OM F- N O y, U) C Q t O V .y W 'E 0 0 v 0CLV =z 0 � ,CL ww / y O I— t QO �t) i : :O W CL U) ♦Z V m V) 2 n-' z �-- MZ c O Z V �W�// LL '�^ . Ii v+ XO LU U _co W a z M Z Cw G H G' a LU c w LL O N tom. `1 7 co cry v UJ Y O E N ^^E, Li. 0 Z O N Q ^y,+ A Q •� C�Z3 0 O C O CL r, OM a V .y J 0 r� V =z 0 � ,CL ww / v UJ Y O E N AN :NJ Y-,7, NOOL, - A4rn�v- 17 March 2014 Gerald Brown, Inspector of Buildings North Andover Building Department 1600 Osgood Street North Andover, MA 01845 June Cowen, Executive Director Northeast Independent Living Program 20 Ballard Road Lawrence, MA 01843 Re: 5 Johnson Street, No. Andover - Variance Request: Section 3.3.1a and 7.1 Per the requirements of the Architectural Access Board, the enclosed APPLICATION FOR VARIANCE package is provided to you for your reference. Please contact me if you have any questions or comments regarding this communication Respectfully, Julianna H ch , RA 1 978-470-3675 ihoch(ccDlagrassearchitects.com One Elm Square T 978.470.3675 1420 Celebration Blvd Andover, MA 01810 F 978.470.3670 Celebration, FL 34747 www.lagrassearchitects.com AA26001333 17 March 2014 Appeals Board Architectural Access Board 1 Ashburton Place Boston, MA 02108-1618 Re: 5 Johnson Street, No. Andover - Variance Request: Section 3.3.1 a and 7.1 Dear Board Members, I am writing, on behalf of the petitioner, to request a variance from the requirements of 521 CMR Section 3.3.1a "...work performed is required to comply with 521 CMR" and Section 7.1 "Retail Establishments ... areas that must be accessible include ... the areas where the service or product of the establishment is offered to the public". The building, located in an historic district of North Andover, is a two-story, brick & wood frame structure, built in 1829, housing office & retail uses. The proposed project is a renovation of an existing first floor tenant space. The tenant is presently permitted to renovate the space for a new ice cream shop. The previous use was Mercantile and the new tenant will continue this use. There will be no interior seating or public toilets provided. As a component of the tenant fit -out an existing window is proposed for use as a seasonal, customer service window. With a delta of +/- 30" between the exterior grade and the inside floor elevation, a new exterior customer platform is proposed at the window. Because of site constraints (limited available land around the building, above & below ground building utility services and an existing second floor fire escape) utilization of the new building entry ramp (currently under construction) as wheelchair access to the proposed customer service platform is not feasible. To comply with 521 CMR Section 7.1 some means of wheelchair access onto the platform would be required. Providing this access is proving impractical for the tenant. Construction cost for the ice cream shop build -out is estimated at $23,500. Construction of a ramp (24' long plus landings) to access the seasonal service window platform would cost, at minimum, an additional $15,000. That is more than 60% the cost of the build out itself. Review by Gerald Brown, the North Andover Inspector of Buildings and local Disability Commissioner, concurs with the impractical nature of complying with the requirements given the site constraints and cost implications. Relief from compliance is requested for this seasonal component of the project as equal, year-round service is being provided for all inside the shop, via the new accessible entry ramp. I hope the Board concludes that it is impractical for this property to provide an accessible route to the platform and grant the tenant the requested variance. Attached please find Sheet 1 - Existing Building Site Location w/ annotated Building Elevations and Sheet 2 — Existing Building First Floor Tenant Plan w/ exterior adjacencies. Please contact me if you have any questions or comments regarding this communication. Resl a J Julianna Hoch One Elm Square T 978.470.3675 1420 Celebration Blvd Andover, MA 01810 F 978.470.3670 Celebration, FL 34747 www 1agrassear it is com AA26001333 The Commonwealth of Massachusetts Department of Public Safety Docket Number Architectural Access Board One Ashburton Place, Room 1310 Boston Massachusetts 02108-1618 Phone: 617-727-0660 Fax: 617-727-0665 www.mass. APPLICATION FOR VARIANCE (Office Use Only) In accordance with M.G.L., c.22, § 13A, I hereby apply for modification of or substitution for the rules and regulations of the Architectural Access Board as they apply to the building/facility described below on the grounds that literal compliance with the Board's regulations is impracticable in my case. PLEASE ENCLOSE: 1) A filing fee of $50.00 (Check/Money Order) made payable to the "Commonwealth of Massachusetts" and all supporting documentation (e.g. plans in 11" x 17" format, photographs, etc.). In addition, the complete package (including plans, photographs and the completed "Service Notice") must be submitted to all parties via compact disc. 2) If you are a tenant seeking variance(s), a letter from the owner of the building authorizing you to apply on his or her behalf is required. 3) The completed "Service Notice" form provided at the end of this application certifying that a copy of your complete application has been received by the Local Building Inspector, Local Disability Commission (if applicable), and Local Independent Living Center for the city/town that the property in question resides in. A list of the local entities can be found by calling the Architectural Access Board Office or the Local City/Town Clerk. For a list of the Local Independent Living Centers you can either call the Architectural Access Board Office or visit the Massachusetts Statewide Independent Living Council website at http:/Iwww.maslic.org/membership/clis. 1. State the name and address of the owner of the building/facility: Brickstore Company in Andover North Parish P.O. Box 876, No. Andover, MA 01845 E-mail: brickstore(cD-verizon.net Telephone: (978) 682-5786 Page 1 of 5 Rev, 08/12 2. State the name and address of the building/facility: The Brick Store —5 Johnson Street, No. Andover, MA 01845 3. Describe the facility (i.e. number of floors, type of functions, use, etc.): The building is an existing exterior brick/wood structure, constructed circa 1829. There are 2 stories above grade and a basement. The building is used for business occupants on the second floor and business & merchantile uses on the first floor. The basement is non - habitable space. 4. Total square footage of the building: 4,740 qsf Per floor: 2,370 qsf a. total square footage of tenant space (if applicable): 970 nsf 5. Check the work performed or to be performed: New Construction X Addition — exterior platform X Reconstruction/Remodeling/Alteration Change of Use 6. Briefly describe the extent and nature of the work performed or to be performed (use additional sheets if necessary): Under construction (separate permit): -New exterior ramp providing accessible access to a first floor entry and tenant spaces. -Alteration of the existing employee toilet facility to an accessible employee toilet. Permitted for construction: -Remodeling of an existing 1000 sf mercantile tenant space for a new ice cream shop. Proposed for AAB consideration: -New platform (a)_ exterior seasonal customer service window. 7. State each section of the Architectural Access Board's Regulations for which a variance is being requested: 7a. Check appropriate regulations: 1996 Regulations 2002 Regulations X 2006 Regulations SECTION NUMBER LOCATION OR DESCRIPTION As the code applies to wheelchair access at a proposed seasonal exterior customer service platform 521 CMR 3.3.1 a Existing Buildings...work performed is required to comply with 521 CMR 521 CMR 7.1 Retail Establishments ... areas that must be accessible include... areas where the product is offered to the public. 8. Is the building historically significant? X yes no. If no, go to number 9. 8a. If yes, check one of the following and indicate date of listing: National Historic Landmark Listed individually on the National Register of Historic Places X Located in registered historic district Listed in the State Register of Historic Places Eligible for listing Page 2 of 5 Rev, 08/12 8b. If you checked any of the above and your variance request is based upon the historical significance of the building, you must provide a letter of determination from the Massachusetts Historical Commission, 220 Morrissey Boulevard, Boston, MA 02125. 9. For each variance requested, state in detail the reasons why compliance with the Board's regulations is impracticable (use additional sheets if necessary), including but not limited to: the necessary cost of the work required to achieve compliance with the regulations (i.e. written cost estimates); and plans justifying the cost of compliance. Exterior platform access: As part of a tenant fit -out for a new ice cream shop, an existing window is proposed for use as a seasonal customer service window. With a delta of +/- 30" between the exterior -grade and the inside floor elevation, a new exterior customer platform is proposed at the window. Providinq accessible access onto the proposed platform has proven to be financially imoracticle for the tenant. Installation of a new accessible entry ramp, providing access to customers of the first floor tenant spaces, is under construction at an estimated cost of $15,000 to the building owner. Because of site constraints (limited available land around the building, above & below ground building utility servicies and an existing second floor fire escape) utilization of this ramp for access to the customer service platform is not feasable. Construction cost for the ice cream shop build -out is estimated at $23,500. Construction of an additional ramp to access the seasonal service window platform would cost at minimum an additional $15,000. That is more than 60% the cost of the build out. Relief from compliance is requested for this seasonal component of the project as equal, year-round service is being provided for all inside the shop, via the new accessible entry ramp. The attached plans and existing condition photographs are provided for reference. 10. Has a building permit been applied for? Yes. Has a building permit been issued? Yes 10a. If a building permit has been issued, what date was it issued? 03-05-2014 10b. If work has been completed, state the date the building permit was issued for said work: 11. State the estimated cost of construction as stated on the above building permit: $23,500 11 a. If a building permit has not been issued, state the anticipated construction cost: 12. Have any other building permits been issued within the past 36 months? Yes 12a. If yes, state the dates that permits were issued and the estimated cost of construction for each permit: 12-17-2013 $30,000 13. Has a certificate of occupancy been issued for the facility? No. If yes, state the date: Page 3 of 5 Rev, 08/12 14. To the best of your knowledge, has a complaint ever been filed on this building relative to accessibility? yes X no 15. State the actual assessed valuation of the BUILDING ONLY, as recorded in the Assessor's Office of the municipality in which the building is located: $310,700 Is the assessment at 100%? Yes If not, what is the town's current assessment ratio? 16. State the phase of design or construction of the facility as of the date of this application: A permit for tenant fit -out construction has been issued and construction is slated to begin. Construction of the exterior platform is contingent on the AAB varience request ruling. 17. State the name and address of the architectural or engineering firm, including the name of the individual architect or engineer responsible for preparing drawings of the facility: JD LaGrasse and Associates, Inc., One Elm Square, Andover, MA 01810 Joseph D. LaGrasse, Principal Julianna Hoch, Project Architect ioe.lagrasse(d-)comcast.net ihoch _lagrassearchitects.com Telephone: 978-470-3675 18. State the name and address of the building inspector responsible for overseeing this project: North Andover Building Department, 1600 Osgood Street, North Andover MA 01845 Mr. Gerald Brown, Inspector of Buildings E-mail:_gabrown (cDtownofnorthandover.com Telephone: 978-688-9545 Date: I1 NUVzR Z 0 14., Signature of owner or auth+ized agent PLEASE PRINT: Julianna Hoch Name One Elm Square Address Andover MA 01810 City/Town State Zip Code �hocht�lagrassearchitects.com E-mail 978-470-3675 Telephone Page 4 of 5 Rev, 08/12 ARCHITECTURAL ACCESS BOARD VARIANCE APPLICATION SERVICE NOTICE I, Julianna Hoch , as Architect for the Petitioner Cynthia Sanborn, Owner, Cow's Rock submit a variance application filed with the Massachusetts Architectural Access Board on 17 March 2014 HEREBY CERTIFY UNDER THE PAINS AND PENALTIES OF PERJURY THAT I SERVED OR CAUSED TO BE SERVED, A COPY OF THIS VARIANCE APPLICATION ON THE FOLLOWING PERSON(S) IN THE FOLLOWING MANNER: NAME AND ADDRESS OF PERSON OR AGENCY METHOD OF SERVICE DATE OF SERVICE SERVED Gerald Brown, Inspector of Buildings a,"arch 2014 7-00 1 1600 Osgood Street No. Andover, MA 01845 Mail Gerald Brown, Comm. On Disability March 2014 20 2 1600 Osgood Street No. Andover, MA 01845 Mail 3 June Cowen, Executive Director, MASILC YrMarch 2014 to 20 Ballard Road, Lawrence, MA 01843 Mail AND CERTIFY UNDER THE PAINS AND PENALTIES OF PERJURY THAT THE ABOVE STATEMENTS TO THE BEST OF MY KNOWLEDGE ARE TRUE AND ACCURATE. Signature: Appellant or On the 1_ Day of NAPAoW 2014 PERSONALLY APPEARED BEFORE ME THE ABOVE NAMED Julianna Hoch (Type or Print the Name of the Appellant) ,17 OTARY PUBLIC LILA R. LaGRASSE NOTARY PUBLIC Commonwealth of Massachusetts 14C n*ftE*nM ey23,2014 MY COMMISSION EXPIRES Page 5 of 5 Rev, 08/12 17 March 2014 Appeals Board Architectural Access Board 1 Ashburton Place Boston, MA 02108-1618 Re: 5 Johnson Street, No. Andover Variance request Section 3.3.1a and 7.1 Dear Board Members, This letter, regarding the above referenced property, is to serve as authorization to Cynthia Sanborn/Cow's Rock for the application of an Architectural Access Board variance request on behalf of the building owners. Please contact me if you have any questions or comments regarding this communication. Respectfully, s ly. 0 L4.0aNazSe. Joseph D. LaGrasse Director Brickstore Company in Andover North Parish P.O. Box 876 No. Andover, MA 01845 brickstore@verizon.net Telephone: (978) 682-5786 � o 5 m v ('3 J p L- U) CO X W o W z Q N Cj 0 z cd L mo 0 LL zN P D x W Town of North Andover Office of the Planning Department Community Development and Services Division Osgood Landing 1600 Osgood Street Building #20, Suite 2-36 P (978) 688-9535 North Andover, Massachusetts 01845 F (978) 688-9542 Brick Store Company 5 Johnson St. North Andover, MA 01845 January 16, 2014 According to the North Andover Zoning Bylaw Section 8.3.2.c.i, Waiver of Site Plan Review, the new business (Ice Cream Store) that you are proposing for the building located at 5 Johnson St. will not require an application for Site Plan Review. The waiver request is granted based on the following information: • The property has been used in the past as a retail establishment, a use which is permitted in the Business 1 Zone, according to Table 1: Summary of Uses in the Zoning Bylaw. • The footprint of the building will remain the same and there will be no changes to the exterior of the building or to the landscaped areas. • No new parking spaces will be created. • New signage will require a sign permit from the Building Inspector. If there are any questions, please let me know. Regards, Judith Tymon, AICP cc: Jerry Brown, Inspector of Buildings BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to thus statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a•deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.,, MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced -acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phonenumber(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confi m.ation of insurance coverage. AIso be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain aworkers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to Min the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in . (city or town)" A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license ox permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your.cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: `rho Commonwealth ofMossacftsP, is Depadment of fadusWal ,A,cddekWs Offtce oii; avestigadons 600 washivon street Boston? MA Q2h X 1, TO. # 617-727-4900 at 406 ox 1-877,, SS.AFE Revised 5-26-05 Fax 4 617-727-7749 v wwaaagov/dia The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston, MA 02111 www.massgov/ilia Workers' Compensation Xnsurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Busin�eyss/OrganizatiorAndividual):� Address: NO - 7 r % _ Phone#' �7R_��IcJ 7� 6 Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4• JK I am a general contractor and 1 6.. ❑ New construction employees (full and/or part-time).* have hired the sub -contractors 2. r I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and'have no employees These sub -contractors have 8. ❑ Demolition worldng for me in any capacity. workers' comp. insurance. 9_ E] Building addition [No workers' comp. insurance 5. ElWe are a corporation and its 10. F1 Electrical repairs or additions required.] officers have exercised their 3. ❑ I 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 . re uiredemployees. [No workers' required.] 1311 Other comp. insurance requirel] '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 hie doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. lam an employer that is providing workers' compensation insurance for my employees Below is the policy and job site information. "'j"' f Insurance Company Name: / rq 0-t& CSIL h5 rc�V► CG Policy # or Self ias. Lia #: ' ( 'rLQ3 Expiration Date: %• 0 (j Job Site Address: �1 ��`ti�a'� Jr City/State/Zip: Attach a copy of the workers' compensation Policy declaration page (showing the policy number and expiration date). Failure to secure coverage as require funder 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 ofup 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. X do hereby ce un ai and enaltdes of perjury that the information provided above is true and correct. % Rianai-nrw �� Date_ d 0 / /�c _ % 1f 9-b 7 c�-76 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 #: (n 248 CN%: ; BOARD.OF STATE EXAMINERS .. OF PLUMBERS AND GAS FITTERS` ' 10.10: continue ... 3.. : The number of toilets and lavatories shall be provided. within reasonable access (as :.. :... defined in 248 CMR 10.10(18)0)4:) and'.: in accordancet .with .. 248 CMR:. 10.10(18):. Table_I for industrial facilities.: 4..: Distance of direct access -for industrial establishments requires that; in no case may a toilet facility be located more than 300 feetin: developed direct distance away from the regular place of daily work activity of any persons formhose use it was designed. Except. where service elevators; accessible. to the employees, are provided. 5.' Each .201inear-inches., or. 18 -inch circumference-inches,of usable sink access will be . considered the equivalent of one lavatory. :6: In industries and manufacturing facilities with departments where there is excessive' exposure to substances or liquids or where'the work performed may create dust and grit conditions,'one lavatory sink may be required for every five persons and in all cases, a potable water supply -of hot and cold water shall be provided. ,(k) Medical and Health Care Building Toilet Facilities. ' 1. Tri all medical and health care buildings there shall: be separate designated toilet: facilities on each floor for male and female patients'.and visitors. ; .2. The toilet facilides may be located in a.common or. core area on each floor: so long as the toilet facilities. are within 300 feet of all -offices... 3: Accessibility to the toilet facilities shall be -direct, -it -shall not -require going from one .. .medical office through another for access to the -toilet. facilities. 4: Handicap toilet facilities: are required on'eachfloor.... 5. A minimum of one drinking fountain shall be installed for each set of toilet facilities. (1) Covered Malls Toilet Facilities. 1 ,.:Ineallcovered.maIls there shall be'separatedesignated public toilet facilities for male andfeinales. These toilet facilities shall be centrally located in the common core area on each floor. . . " . 2.... • These facilities are in :addition to the requirements of 2.48 CMR .10.10(18)(i) regarding toilet facilities for. male and feiriale employees: . 3.. When.the occupancy exceeds 9,000, toilets shall be installed at .the rate of one per 1,50.0 for women. and one per 3,000'for men. Lavatoriesshall be installed as listed'in 248: CMR 10.10(18): Table 1: (m) Handicop Toilet Facility Requirement. Facilityfor the physically handicapped person: . 1. Plumbing,fixtures shallbe installed in conformance with 521 CMR .30.0:. Public . Toilets (for fixture dimension requirements only), 2. When public toilet facilities are to be installed, 'handicap plumbing fixtures shall . comply with the requirements of 248 CMR 10.30(18)(m). 3. Unisex handicap toilet facilities may be allowed by the Board by the variance process as outlined in 248 CMR 3.04(2): a. .A variance:is not required -if the fixtures in an existing or proposed men's and = ..:women's toilet facility and the fixtures in a unisex handicapped toilet facility meet the minimum. fixture requirements of 248 CMR10.10(18): Table 1. A.unisex toilet may be'counted only .onetime toward the total minimum fixture. requirements. .:b.: 'These toilet facilities shall be keptclearof obstructions at alltimes in accordance w' ith 105 C1v1R. . . .. Wherever drinkin fountains are r vided a drinkin fountain shall access'b t the o ileo g � g P 'physically impaired.:: . S:. Additional sanitary €acilities for the physically impaired; handicap toilet stalls placed ;. within a fully compliant 248. CMR. toilet facility may also :provide an additional accessible.handicap lavatory. within the toilet: stall •area. The lavatory- placement shall comply with therequirements of 521 CMIt. (n) .Toilet Facilities General. . ...Toilet 1. facilities accessible to the public which have two or more toilets or urinals, .or two or more thereofin any combination, shall provide a floor drain equipped with an automatic trap priming device and a valved hose connection equipped with a backflow preventer. The hose connection is for the purpose of floor cleaning.in the toiletfacility, 2.. -Floor drains shall.be installed in the vicinity of the urinal(s) and placed at a grade to -enable floor drainage to the floor drain from all directions;. 3/11/05 249 CMR = I55