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HomeMy WebLinkAboutBuilding Permit #438-11 - 550 TURNPIKE STREET 11/22/2010 BUILDING-PERMIT of r10RTy TOWN OF NORTH ANDOVER f APPLICATION FOR PLAN EXAMINATION i Permit NO: 3& Date Received Aren . �/w// Date Issued: r �SSgCHusZ IMPORTANT:Applicant must complete all items on this page t: b.� .:. ._.-,-......�'4-•.xlv.. ..-_n,,.._ -..2: ::,.'-2.. .._ -.v.:,._ "• ['.' 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'!: -�"�__ l;:cftz:l`f, - _ __ � _ _ _:�NSr.. =c��n�rt,FRx✓::'�''�7'a• _r�4 iii t _ _ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial eration No. of units: ommercia Repair, rep acement Assessory Bldg Others: 0110 Other - �z:2;.�'= .�=�s_ 1" _.rte�r.��•_ €,Aa r]�-�:s:5; P_� r^` �w� - 7: - .stir'i'.-,;.5'-�r✓4'. .a a.:•>fr.'.1,�.:_�i'v,�;i,,:w•-•'xr ,.{�- _ __ - � . '��i"xdo� +p,;{l-:'4' ,_r`L^s` " _•,1 ^.dr?.'3�.e"':�� y';�.a� =;.x".r :J:-; '�"�ix,•':^.€'. iii., -.$,.e �d5�a<.x::-..-:.a'C,.,x�tiy..vJ.T,^'G':irv'=-i. ��'.7•-: 4-ti..ya„=-. _ R r �;lJ�.t'Y'� r-mi,•:w •.75-..Siy6rl.5'I.c'"iy° -�:-,_. . ^ �G�.����. ..7.+_c..yya' �.�e:�e�..�� (_ - _ _ ���+�-�, _ YYlilc�/L��' :� 'S�•�Y,:.:�., ��_,�i'�����'a ,,,y- 'Y'� f3C... --`=1 :,.1,. "L";,r�;r` �' l�"i-'�,v �' r,"�-. .c�:�av,4u.��R'+�•� r'YC--s'" =+v,�i>,-•x:�� 1:. -c�,>,4d- �" .�... .�s;�{�aMJ��a7ll��^�'�.'��._ F. "YK.-^. $�. a` _.t Yt•"�-'u''i'�t� � .en•P'�ger s' E.e� tz,-�rr'i"a;r,'�'�. -^=.,d;T''rv.� y.� a' •"'.�-$., r `t' ?,"',v� � .�{�;`Yc�::r. `"cr-. �-1��y� -�'T��v'"'_'-�r3^Y wt,` �,�, 1%��' `y.'--'.e 4% -,tse:c �::�.,..r�:.''i�?'�;.k- :a?, �.�=�,r2-:..• �SA, �;-c:,� cFL_. r•ac v',- ��ru�g`�'��'s7.rr.Y►".dst,.-.x.i --�il"r-T�ir?�:^�� :%>��Y'�R?_w�.�F r'-.�9.w ,�->��a.ft'J"i.>.,�Lir��,_. �i5.sr?_....,+�xt'. .�r„-'0i :y..; :m„• _ ,�.-4 .�:-iJ�,-tY" �� �rw:i='�;.y:... .,.ri,..-rti.,�_...:.-...�.._.,._-.,!:_..,.�+j•..,.__.�.wx.C_....�� .r.w..:e>- '�:�.:.�. �,. - -i, .Yd:::_:.�c�-ial moi: c,.�*^'u�;�.•� $y7M a�•�r''i ! ,:�,h s,"._.r�i r___,S`:.a=_ .:43. -_��_,8.„�fsi.;n:ec:},S:,:i=��i:=i!F :_ :.f'.: ��3-^.-r, ;+s_ �t Q0..� ;'�`�h ��4 �'�"'••'� ? ----.JYsr.rat.:..--_ r:.'c'.-.yti..+?:�c?��.},�C;:<':="{r.�=„-�".!,T;p��'^>!'dtr.:�:i.-�I,'�___��'��Srt_��"°M.l:t.4"`.�F%�r�+.�`-`•'_.r�`-'`_2 DESCRIPTION OF WORK TO BE PREFORMED: , r ♦ `e" I • Identifica 'on PIease Type or Print CLeariy) - OWNER: Name: r /Phone: ? Address: I'; Plans Submitted Plans Waived Certified Plot Plan . Stamped Plans TYPE OF SEWERAGE DISPOSAL u lic Se I. Tanning/Massage/BodyArt Swimming-P0019X. I -Well Tobacco Sales `1 �� '• ood Packap Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE PPR VED- PLANNING & DEVELOPMENT COMMENTS__&;? 1�� �V f��cJ NSERVATION Reviewed on Signature HEALTH Reviewed on Si nature COMMENTS r ' Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments -Conservation Decision: Comments Water& Sewer Connection/Si4nature Date Driveway Permit DPW Town Engineer Signature: _ Located . 384 Osgood Street � WR _i { - '•'' ..r[] - `%c+' _<.. r: ...4¢ `.irY.- :: _µ*- - „�.-->Yg-s�rq:_.F as- w:4.. 1+r ._ .'!-:'�'..`' -.:i-,��"4�fi': - ,kS...-:: •%-'.}+... X54..__. _ _ 1;.vi.'�'..:-F ' ?vf ark� n _ - 1 ( – `•:tia: — t -- _- _ If a – –_ — _ �... - T.Y. �I 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 ok MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA—(For department use) i ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 j { " 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 o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) i ❑ Ivi "ass 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 •11�-•�f:.Ct(=rt`iF'�C. 13 A �" YG�t� 'lot -Pli'S ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit a ❑ 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:Building Permit Revised 2008 b Location SJ " / /l�.Q/.�l .�7"" 7/`IPdll ^j vz1k No. �`�� Date 1Z-27d °RTM TOWN OF NORTH ANDOVER 1 • i ; : Certificate of Occupancy Building/Frame/Frame Permit Fee s,+cHusE 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # i 23729 Building Inspector ORTly ® of Andover "A No. _ iL o A K o dower, Mass., Ib - 2-7,4D COCMICMEWICK SRATED PPCl U BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..�rj�� A)- s.......................1..7.��i. ........... `.................. .................. Foundation has permission to erect........................................ buildings on ... 1 ..... 2�! ! .sS. ......:................... Rough to be occupied as p� .........../.. �. ...!� .•.........., ...../.. 4 ./ .✓.. ........ .. . Chimney provided that the person accepting this permi!'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 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 UNLESS CONSTRUCTI N ;S"S ELECTRICAL INSPECTOR O 'Rough .................. ............................................................................... Service BUILDING INSPEC R 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 J1 Smoke Det. Concrete Foundations, Inc. � t T An Authorized Dealer of Rockford Steel Building Systems General Contracting Proposal September 9,2010 Prepared For:Ram 4 LLC Job:Tripoli Pizza&Bakery 106 Common St N.Andover Crossroads Lawrence Ma 01840 820A Turnpike Street N.Andover Ma 01845 We hereby submit an estimate for:. • Demo interior walls • Remove ceiling tiles • Remove flooring and prep for floor tiles • New metal stud walls • Sheet rock and tape walls • Plumbing for new equipment • Gas lines for new equipment • Paint •' Tile flooring • Frost wall and pad for exterior cooler • HVAC Total: $40,000.00 Not Included: • Electrical • Equipment(coolers,cases,ovens,ext) AM material is guaranteed to be as specified.All work to be completed in a work like mariner according to standard practices. Any alterations or deviation from above speeifications involving extra costs will be excluded.And only completed on upon written orders,and will become extra charge over and above estimate.Our workers are fully covered by Workaten's Compensation Insurance. Payment Terms: Payment due upon receipt of invoice.Pre arranged payment rret 30 days.A finance charge of 2%per month(24Y per amrum)charged on all past due amounts.Notice:Pursuant to Authorized C Signature: Date: !—/O— d�rJ�d D. ' et Acceptance of Proposal: The above prices,specifications and conditions are hereby accept.You are authorized to do the work as specified. Signature: Date of Acceptance: P.O. Box 622 Office: 603-898-2057 38 Golden Oaks Drive Fax: 603-894-4599 Salem, NH 03079 www.p-gincorporated.com ✓I &tt�nzs st �i a L ra c iu a y OEfiee of CoaSnmer Affafrs& ltgalattua . ` HOME IMPROVEMENT GCiNTRItC t U.t k Reg' tiorf 1fi66s3. Ty - �cplrahon d6t21/�0t2` CorpoWon. THOMAS GONn1Et� SALEAi1,NH fl3a79 Uaaersecretarq . _ MRS hu.etts Department of PublWsalt�ti Boas{t of Building Regulations anti 5taqdards a° License: GS 99M Restricted to OQ THOMAS CONNELL 1 60 WHEEJLl AV8NUt= Ezporat�on: 11H4/�1a 4 �s�1� L/QLG. z 0/ 1V/ C.V.LV 111116. U. GV Cull iv eside0 Page: 002-003 QCORQ DATE(MMroDM'YY) CERTIFICATE OF LIABILITY INSURANCE 09/10/2010 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 CERTIFICATEOF 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 Neu of such endorsement(s). PRODUCER CONTACT NAME: Lakeside Insurance Agency, Inc. ,No - 603.432.3666 F"CNo:603.432.6076 Three Wall Street ADDRESS: Windham, NH 03087 CUSTOMERIDM INSURER(S)AFFORDING COVERAGE NAIL l INSURED INSURER A: Merchants Insurance Group P & G Concrete Foundations, Inc. INSURERS: Guard Insurance Company 38 Golden Oaks Dr INSURER C: Salem, NH 03079 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 09-10 & 10-11 Master 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. POLICY EXP rA TYPE OF INSURANCE (NSR MND POLICY NUMBER (MMIDDIY M (MMOD POLICYEFF LIMITS GENERALUABam CCP913758 10110/2009 1011012010 EACH OCCURRENCE $ 1 000,00 X MhA l GENERAL LIABILITY PREMISES Ea occwTence $ I00,00 CLAM&I ADE M OCCUR WED EV(Arty one person) $ 5,00 PERSONAL&ADV INJJ 2Y $ 1,000,00( GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LMT APPLIES PER PRODUCTS�COMPIOP AGG $ 2,000,000 PPOLICY PEEl LOC $ AUTOMOBILE LIABILITY CAP104866S 05129/2010 05129/2011 COMBINED SINGLE LW $ (Es accident) 1,000,000 ANY AUTO GODLY WARY(Per person) $ ALL OWNED AUrOS GODLY INJURY(Per sodded) $ A .X SCHEDLILEDAUTOS PROPERTYDAMAGE $ X HIRED AUTOS (Per sodded) X NON-0W4EDAUTOS $ UMBRELLA LM HOCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION PGWC01654 1011012009 10/10/2010 X AND EMPLOYERS'LIABILITY YIN 7 LMTS ER ANY PROPRIETOR7PARTNERIEXECUFNE N!A EL.EACHACCIDENT $ 100,00 B OFRCERIMEMBER EXCLUDED? (_( (Mandatoryint" E.L.DISEASE-EA EMPLOYEE $ 100,00 FWs.descnbeunder E.0DISEASE-POLQYLIW4T s 500,00 L rr 7 DESCRlPTON OF OPERATIONS below DESCRIPTION OF OPERATIONS 1 LOCATIONS i VEHICLES(Attach ACORD 101,Adddiona4 Remarks Schsdul*,if more apace Is required) Covering operations of the insured during the policy period. Workers Compensation coverage is statutory for NH. Denis Pinet is excluded from WC coverage. OB: Tripoli Pizza CERTIFICATE HOLDER CANCELLATION FAX: 894.4599 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED M ACCORDANCE WITH THE POLICY PROVISIONS. The Town of North Andover AUTHORIZED REPRESENTATIVE � •e, 384 Osgood Street N. Andover, MA 01845-2909 Edwin Duvall AULI ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD