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HomeMy WebLinkAboutBuilding Permit #897-16 - 50 HIGH STREET 2/18/2016BUILDING PERMIT l TOWN OF NORTH ANDOVER 1 APPLICATION FOR PLAN EXAMINATION P L,50- N --t,4 Permit No#: Date Received Date Issued: TANT: A all items on this ttTJ1 D _ LS LOCATION Scl I t , 22-piPROPERTY OWNER a C-6- 6,�I 11 . N i4 • Print 100 Year Structure yes no MAP _ ` PARCEL: = ZONING DISTRICT: Historic District ye no Machine Shop Village es no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition 11 Two or more family ❑Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑Septic ❑ 1/Vell ❑ Floodplain: 01 Wetlands, [] Watershed Distract; DESCRIPTION OF WORK TO BE PERFORMED: t) >z r, C Sr -("o A C_(5- r0 d%N— s7)9*t PIS cr Iq� Identification - Please Type or Print Clearly OWNER: Name: Address: _� u i 10 L), 1-7 14 a a fl ne: t l - LE— a ,- /S 11r 0 1,14-2 L L Contractor NameW N `ll Phone: b !'7 'S� I— (� ' '� : J Email: "K c.Ow = e-1) Address S' u rnr t At Supervisor's Construction License: C'w� D 6�2 L►' Exp. Date. `Z Zb G _ Home Improvement License: Exp. Date: ARCHITECT/ENGINEER OA VL014I I Tt G 6— Phone: ` -M�4"Q ' 2—q Address: J C ® r �L5V_o14 #q S- 1" 6G"PJy4-Y o%rReg. No. l� r FEE SCHEDULE: BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Q9 Total Project Cost-.$ fit' 4" �% FEE: $ XY/ Check No.: oA� 7 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 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 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: Locate_ d 384 Osgood Street FIREDEPAR�MENiT-,TernpDumpster on, site: es }Y� ono Locatedjat;124 Mairk t�eet , � _ y b � - i {{Yt FireiDepartmtient �ignature/dale COMMENT°Se 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 ®ANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A —F and G min.$1oo-$1000 fine 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 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 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, -);o No. Date 11 1 9 - Check# TOWN OF NORTH ANDOVER Certificate Occupancy of Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL Building Inspector NOR7N of •��a. �. �H o M 9 ?o y �'SSACINSES CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 897-2016 on 2/18/2016 Date: March 30, 2016 THIS CERTIFIES THAT THE BUILDING LOCATED at 50 High Street - Suite 22 MAY BE OCCUPIED AS a tenant fit up King Painting IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: RCG West Mill NA LLC 50 High Street North Andover, MA 01845 Building Inspector Fee: PrePaid $100.00 Receipt: 30025 Cheek: 2423 .v N ~ 9 • i 7��L� M ♦ o ;a 3�SS'CHO CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 897-2016 on 2/18/2016 Date: March 30, 2016 THIS CERTIFIES THAT THE BUILDING LOCATED at 50 High Street - Suite 22 MAY BE OCCUPIED AS a tenant fit up King Painting IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: RCG West Mill -NA LLC 50 High Street North Andover, MA 01845 Building Inspector Fee: PrePaid $100.00 Receipt: 30025 Cheek: 2423 6 � Y uj rl O p � p AM 4rtj N CL i m V. N y E o� O o 1 d _ Ju ,m p V O 0O u ` }, cc �^ O �+ W ui Q W O Q LL CL Z IA Z LA Z NJ a D 0 _V .CL Z Z U 0) ? a W O a V 9cou y cc v a a l7 W \ •c m N E a, m _ J a � LU 6L � fU Q 7 O O A!i .� fU iO v O O LL N V1 O t O LL V O O K LL O O W LL O CO V1 E. V1 - uj rl O p � p AM 4rtj N CL i m V. N y E o� O o 1 d ; ,m W ` }, cc �^ O �+ V cc O O Q CL �a o 0 _V .CL J O 0) (j)z O V y cc a •c N B idpp-1: eT m r r L n Vl Cc 0 o JE * w N 0 CL CD W2ly J=JO < E Q L p `o Q. O a� .. � 1N � v L i0** d rL J U) J O g O _ -0 C O 70 � its CD z CL Cn L CL d c) O = Q L L Ri •a Q (D •� WCco Liu O m •a - O O LL N N = N •O :S :E w W •E V O V CL O d 41 N �7 N VJ m p `~ _ t o =. 0 v i 0 a 0 . m Z 0 G Z I••- Cl)LU W 0 I— V Cl) Cl) Lu W J CD ty z O `O b L O J � 0 D O N a O CL O t, U v ui J duu Q �z O 'OCL 1 U Z ,,AA v N Z N z N Z U ui a LL O p \ Vr Z J N d cOC Q Z tll m U U N Q o W � mLLO O L N a+ m C ® O J d W W +V V, ami ai O L Z 0 \ -0 U Q a Nok, L =$ - .L Op U •� co L j. is NN CU ` `1 YO O LL VI U K U- K N K LL CO VI V)• n Vl Cc 0 o JE * w N 0 CL CD W2ly J=JO < E Q L p `o Q. O a� .. � 1N � v L i0** d rL J U) J O g O _ -0 C O 70 � its CD z CL Cn L CL d c) O = Q L L Ri •a Q (D •� WCco Liu O m •a - O O LL N N = N •O :S :E w W •E V O V CL O d 41 N �7 N VJ m p `~ _ t o =. 0 v i 0 a 0 . m Z 0 G Z I••- Cl)LU W 0 I— V Cl) Cl) Lu W J CD ty z O L O � � D O CL N a O CL O t, v .v J Q �z O 'OCL 1 U ,,AA v v/ �c Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 489407.00 m $ - $ 580.88 Plumbing Fee $ 72.61 Gas Fee 100 comm. $ 100,0:0 Electrical Fee $ 72.61 Total fees collected $ 826.11 50 High Street Suite 22 897-16 on 2/18/16 Tenant Fit Up v N• C � U) 0 mo O CD n Z CO CD omo CL �• N > cc -� -a O vCD CDQ Cr CD O � m ca W CD C CD C O N• CO, C � v CA O 10 Z CD O CCD a cD M-0 m cn cn. nm O x cnZ C Cl) 12 M icO <O O'o E; 2 MU fA = < cD -a N --1 CD. 0 O CD n O rt o. 0 3 z o=r vi O� O in- CD LI). TI rt o o .« CL m N W �` 'O . CD CD 2 ; 2. = Q C n' co ttoA 0 W ( CD ' S Q --jo� o <to fft CD C O O N o 0. - a O n C. N < Q. O _— �, 7 m O < CL — Q.y O O CD O y �. C N Q.�G M W .� CD N r � CD v, • 00 N dOlMft v *�1r s'"' o . a �0 o a fix. N CD per! m a 0 N n�D a) CD -a • @ c �• =� N- O0' N (D W O M O fD T d x C. S S T N (n Ci A C an T C q T 3 () S 7 O (M 7' T C 7 Q V1 'CD p r+ n T 0 O d \ K s m D H v' rnM m C z O � W C G z z 3 WO > v O n H M rn H rn H m 2 m z z 0 n 0 0 x c JK Contracting LLC 31 Richmond Street Weymouth, MA 02188 Bill To: David Steinbergh, Lcom, 50 High St,2rd Floor, King painting,Suite22, N.Andover, MA 01845 Description Plans and Permits General -'-- c o n- d- i t i 6 n s lWall Framing Doors & Trim !Heating Cooling --- &----- - -------- ElectriqW &Liqkting Work - ------------- tel -data ;Insulation - ----------------- Interior Walls Millwork &,Trim Cabinets & Vanities [- A-'Ilow-ai ,FF1166'r Coverings Painting �;Cleanup &_Restoration Supervision Thank you for your business. Proposal Proposal Date: 2/18/2016 Proposal #: 205 Project: Est. Hours/Qty. Rate -- Total 688.00688.00 ------ ----- ----- ---- 3,000.00 2,000.00 2,000.00 3,500.00 3,500.00 1,500.00 1,500.00 ----- ---- 10,000.00 10,000.00 - - - - - ---------------------------- . . . ...... ----- - -------- 4,000.00_ 4,000.00 900.00 900.00 - ---------- 4-000.-00 2,000.00 ---------- 750.00 750.00 - - ------ -- 4,000.00 4,000.00 500.00 - ------------ 12000.00 1,000.00 5,500.M 5,500.00 5,000.00 5,000.00 . 3100.00 : ..... . ..... ........ . ... . .... 4,457.80 ----.--30-0.00-- 4,457.80 Total $49,095.80 PROJECT 15-0781 OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT TITLE: West Mill -King Painting PROJECT LOCATION: 50 High Street, N. Andover, MA NAME OF BUILDING: West Mill NATURE OF PROJECT: Tenant demising and tenant fit out .j�j��ED ARCti�\ M Iv4e '-'101 No.9536UATE o SCIT. 1 MA Ju�� p G1, pG� TH OF IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I, REGISTRATION NO. BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT e ARCHITECTURAL STRUCTURAL FIRE PROTECTION ' ELECTRICAL ' OTHER (SPECIFY) MECHANICAL 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 fa with6the progress and quality of the work and to determine, in general, if the work is be performed in a manner consistent with the construction documents. A PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPIR TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING I S ECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCL I,�rl S ATU SUBSCRIBED AND SWORM TO BEFORE ME THIS ✓ DAY OF �RRfRSHAW <4 Ks tary Public NOTAY BLIC MY COMMISSIP5�*Cornmissien*wealth of Massachusetts March 7, 2019 JKCON-1 OP ID: HS ACOR�a CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 02/17/2016 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(les) 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 DeSanctis Insurance Agcy, Inc. 100 Unicom Park Drive Woburn, MA 01801 CONTACT NAME: PHONE FAX Arc No Ext): AIC,No): ADDRESS: INSURERS AFFORDING COVERAGE NAIC # X COMMERCIAL GENERAL LIABILITY INSURER A: Star Insurance Company 012245 INSURED JK Contracting, LLC. INSURER B: Selective Insurance Company 19259 INSURER C: 4 High Street Suite 108 North Andover, MA 01845 INSURERD: INSURER E INSURER F S2205113 nnvcoen_cc /`EDTIEICATE NUMBER: REVISION NUMBER: l wYGr\f1VVV 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. IL LTR TYPE OF INSURANCE IVSD AUIJLISUB THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN POLICY NUMBER MM/DD PULICEFF POLICY M DDIYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE ❑X OCCUR S2205113 02/10/2016 02/10/2017 DAMAGE TO RENTED 100,000 (Ea occurrence $ -PREMISES MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,00 - GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 3,000,000 X POLICY jE O LOC OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB HCLAIMS-MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N� (Mandatory In NH) N / A WC0853742 MA 02/17/2016 02/17/2017 X I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE -POLICY-LIMIT $ 50(),000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Evidence of coverage. rcoTrcrrATc unI nco CANCELLATION TO WHOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TO WHOM IT MAY CONCERN ACCORDANCE WITH THE POLICY PROVISIONS. i AUTHORIZED REPRESENTATIVE /L ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS -066334 Construction Supervisor KIERAhf T WHELAIV 31 RICHMOND STR + WEYMOUTH MA, -02 = "^^ Expiration: Commissioner 09/26/2017