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Building Permit #132-16 - 733 TURNPIKE STREET 7/31/2015
�� _. BUILDING PERMIT o� NoerH qw- I �t LED /6 "Y TOWN OF NORTH ANDOVER �2 h�`' _ APPLICATION FOR PLAN EXAMINATION x` O Otl Permit No#: Date Received A- 7RADR'7ED P,? el gSSACHus�4 Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION !73.3� 514• knot PROPERTY OWNER GL ,�, �j ,�,/ q. Print 100 Year Structure yes no MAP 67k k PARCEL:U6k-�% ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other �p Septic 0 Well ❑ Flood plain ❑Wetlands W-aterg h -e- DESCRIZTION OF WORK TO E PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: � _s �� .. Phone: ?,91- e?'3 Address: aCl Contractor Name`-�,,.� ,/'�.,� S',.s Phone: 403-64/- 4,Z!y2 Email: db e`tn&Wes s /� Perm ecy4 a e Address: AepS/f i Supervisor's Construction License: Z 0g3,g;, Exp. Date: S-X-gain Home Improvement License: Exp. Date: ARCHITECT/ENGINEER ,-;S �� �-�, �� Phone: � Address: 4'4 ��� �,�- Reg. No. Z 1 FEE SCHEDULE.BOLDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. I 1 Total Project Cost: $ // 0�0 — FEE: $ Check No.: /��� Receipt No.: NOTE: Persons contracting with unre-grist red contractors do not have access jt 2fund :. r 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 4, Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses 4, Copy of Contract 4� Floor Plan Or Proposed Interior Work 4. Engineering Affidavits for Engineered products OTE: 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) j Copy of Contract 2012 IECC Energy code 4� 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 i + Doe:Building Permit Revised 2014 i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL r Public Sewer ❑ Taming/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 m U FORM i PLANNING & DEVELOPMENT Reviewed On M/6 Si9 nature COMMENTS i CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed onj—�L.. Signature COMMENTS LA04% &.,i2, 142tal Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes A Planning Board Decision: Comments v Conservation Decision: Comments e Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street ;,FIREJDEPARaTTernp Dumpste� onsiteF yes ' 'o� '� ' a' -. / ' iL'ocated at124Main#Street. ,f; ,F;ire De`"agment si � nafure%date; COMMENTiS 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) CI Notified for pickup Call Email V Date N-�^ _ _ Time Contact Name Doc.Building Permit Revised 2014 "i Location U O'^ / k'r No.�'� — Date • - TOWN OF NORTH ANDOVER FD I . 4 .�L • � Certificate of Occupancy Building/Frame Permit Fee 3 cFoundation Permit Fee $ � IdNF Other Permit Fee $ ATED � TOTAL $ s Check#/00 %' 132 :B Iding Inspector �-'� I • � Qf No Dtk 9 03?•a'i•e . r•CL 1. p SSACKU— CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 132-16 Date: 10/16/15 THIS CERTIFIES THAT DOTTIE'S DELIGHTS THE BUILDING LOCATED ON 733 Turnpike Street MAY BE OCCUPIED AS DOTTIE'S DELIGHTS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Alyssa Cohen 733 Turnpike Street North Andover, MA 01845 Buildin Inspector Fee: $100.00 Receipt: 29132 Check : 1060 i NORTH Town of 11 .7', ndover 0 :. - 0 zh ver, Mass C% LIC . > > cocHicMew"« �1• �iA q�R'�TEO r.Pa��S 7S V BOARD]OF-HEALTH Food/KitchenPERMIT T Septic System I j i THIS CERTIFIES THAT ....... J �Y.,SS.� . . ....................................... BUILDING INSPECTOR ......... ........... Foundationhas permission to erect .......................... buildings on .. I .............................. Rough to be occupied as ...................................................... � �................... Chi mney provided that the person accepting this permit shall in every respect conform to the terms of the application in � � on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and �6/ / � Construction of Buildings in the Town of North Andover. PLUMBING SPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Y1 �e� Final 1 -/,�9/' PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO TARTS ;Rough'' ejJA,G �� q,- _._ .................. .... ... Service Fina '-""C� BUILDING INSPEC..TOR. G GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT I Until Inspected and Approved by the Building Inspector. �er Street No. Smoke Det. North Andover Health Department (ommunity and Economic Development Division July 24, 2015 Dotties Delights 733 Turnpike Street North Andover 01845 Re: Application approval for Dottie's Delights Dear establishment operator, The Health Department received the plan review application submitted for the establishment to be known as "Dottie's Delights"located at 733 Turnpike Street,North Andover. This application has been approved noting the following items were identified on the May 26th Health inspection. Please address these items prior to your final food inspection. 1) Label grease trap per the plumbing code requirements 2) Post all sign; hand wash, hand sink only etc. 3) Place MSDS sheets in accessible location 4) Ensure all surfaces are in good condition, easily cleanable and non-porous. When all equipment and structural elements are in place, a construction inspection should be requested. It is not expected that the equipment be up and running at this inspection. Please call the Health Department a few days ahead to avoid any delays. At that time, a complete punch list will be provided by the inspector. Once completed,please call the Health Department for re-inspection. The Building permit will be signed off by the Health Inspector when the list is satisfied. Once all other departments are satisfied with the construction,the building department will then grant you occupancy approval. Just prior to issuing the Food Establishment Permit to Operate,the inspector expects to view food properly stored; on shelves, in refrigerators, in storage closets etc. Each establishment opening is unique, so feel free to contact the Health Department at any point in the process. Below are some common pitfalls that can cause delay in opening if not complied with: All lighting over food prep, service and wash areas must be non-breakable. This includes hanging lights or pendants over the bar area.No unprotected glass can be over food areas. Also, any ceiling tiles over food or food prep areas must be washable and all high wash floor areas North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 i •'� should have a curved base coving along the walls. Bathroom walls must be non-porous surface behind all fixtures and splash areas; at least 4 feet high and curved base coving along the walls. Some of the items needed to receive the permit to operate are: t will be clean of all construction materials;1 The establishment , floors and surfaces all cleaned. All contractors shall be complete. 2)The hand sink(s) and bathroom(s)will have immediate access to wall mounted paper towel and soap dispensers and they must be stocked. 3)The ladies room will have a covered trash can for feminine item disposal 4) Signage: Bathroom(s) must have "employee must wash hands before returning to work" signage; hand sinks must have signage "hand wash only"; 3-bay labeled"wash, rinse, sanitize"; prep sink"food prep only" 5) Sanitizer bucket should be made up and test strips available. 6) Label grease trap per plumbing code If you have one or more interior grease traps please note the plumbing code 248 CMR 10.09 (m): LA laminated sign shall be stenciled on or in the immediate area of the grease trap or interceptor in letters one-inch high. The sign shall state the following in exact language: i IMPORTANT: This grease trap/interceptor shall be inspected and thoroughly cleaned on a regular and frequent basis. Failure to do so could result in damage to the piping system, and the municipal or private drainage system(s). 7) Signage for allergens and disclaimers placed as required by law 8)Proper disclaimers on Restaurant menu as needed. 9) Gloves must be on site. Please note that the state does not recommend the use of latex gloves due to some person's sensitivity to latex that may cause them illness. 10)At minimum, employees should be trained on the sick policy and sanitation basic 11) Directions on mixing the sanitizer should be available to the staff. Thank you for your cooperation in this matter. If you have concerns about any of the above conditions; please contact the office. We look forward to working with you in the effort to provide safe food to our citizens. If you have any questions,please contact our office at 1-(978)-688-9540. Sincerel Su an Sawyer, RE RS Public Health Director CC: Building Department North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 t%ORTH q Town Of t E ,, . ndover a Ah ," ver, Mass, A_ COCMIC.2WICK 7d p�R�TEO PPa,`'�9 1S tl BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System / f S BUILDING INSPECTOR THIS CERTIFIES THAT ... ..y...... :.................'�i.`:............................................................................. �/+ ` /r,- Foundation has permission to erect .......................... buildings on ...'73S..,�......... ............................ ............... . �.N • � r^" ..................... ..� /� � Rough to be occupied as ................. / ...... . .(J..�.�.�:. .. :4�:1. ��.'. S Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO ARTS Rough 4 Service Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin,:; 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. Smoke Det. PROPOSAL Dan Bernatas Construction Services 3 Foundry Street Amherst,NH 03031 603-661-4242 dbernatas@comcast.net To: Alyssa Cohen For: Dottie's Delights 261 Merrian Street 733 Turnpike Street,Unit 7 Weston,MA 02493 North Andover,MA We propose to provide all labor,material,equipment and supervision to construct the retail/kitchen fit-up at the above mentioned property from plans by GSD Associates,dated July 24, 2015 as follows: Remove partitions,ceiling tile,grid and VCT.Terminate electrical as necessary to make necessary renovations.Ceiling and flooring to be removed in retail areas only. Construct new partitions as shown on plans.Walls to be constructed from 3 5/8"metal studs with 3 W fiberglass and W drywall taped and sanded smooth. Holes through out kitchen and storage space will be patched as necessary. Electric outlets to be installed as necessary per code.Fire and smoke alarm to be reinstalled.Light switching to be reworked as necessary to facilitate new floor plan. Install new single,13/8"thick,solid core,flush,double swinging door between retail space and kitchen.Replace missing trim at front door. Install new ceiling track and tile.Track to be white the to be 2'x 4'Armstrong,model A-769.Existing ceiling light fixtures are to be reinstalled in new ceiling. Install wood flooring throughout new retail space.Flooring to be Home Depot,Legend,Model HL 189H. Install new vinyl base over wood floor.Owner to provide wood flooring materials and base. Replace any broken VCT in kitchen and storage areas. Paint all new and old walls and trim in retail space per owner provided paint. All debris will be disposed of off-site in a suitable trash facility. Exclusions: Fixtures,cash wrap,appliances and other equipment not necessary to complete the work above.Any rework necessary of the existing fire sprinkler system. All kitchen hood work not currently available including hood equipment,ducting,all gas piping,all electrical and carpentry and roofing necessary for venting. The work outlined above will be performed for a sum of$11,125.00,eleven th usand one hundred five dollars. Dan Bernatas A sa Cohen N Initial Construction Control Document Z F To be submitted with the building permit application by a Registered Design Professional d for work per the Bch edition of the Massachusetts State Building Code, 780 CMR, Section 107.6.2 W IO v�0 see Project Title: Dotties Delights - Tenant Fitup - Existing conditions Date: 07/24/2015 Property Address: Jasmine Plaza, Unit #7, 733 Turnpike Street, North Andover , MA 01845 Project: Check(x)one or both as applicable:. [] New construction [X] Existing Construction Project description: i I Gregory P Smith MA Registration Number: #8688 (Architect) Expiration date: August 31, 2015, am a registered design professional, and hereby certify to the best of my knowledge, information and belief,that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerningi: [ ] Entire Project [X] Architectural [ ] Structural [ ] Mechanical [ ] Fire Protection [] Electrical [] Other: for the above named project and that such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services in accordance with the Professional Standard of Care, and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. Such review shall not diminish or relieve the Contractor of its submittal and other responsibilities. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. The contractor shall be responsible for performing the work in accordance with the contract documents and shall be exclusively responsible for its construction means, methods, sequences and procedures, and for construction safety. 4. The performance of the services shall not require any special testing or inspections unless specifically stated in the Code. When required by the building official, I shall submit field/progress reports (see item 3.)together with pertinent comments, in a form acceptable to the building official. 1 i �► 6QR'P' Upon completion of the work, I shall submit to the building _ official a `Final Construction Control Document'. Ab.8686 ! IW1��f7NWVYGIIffY lIIi 7: !1 Enter in the space to the right a"wet" or r; pyA �, electronic signature and seal: �, s Phone number: Cell: 978-204-4770, office 978-688-5422 x203 Email: gsmith@gsd-assoc.com Building Official Use Only Building Oficial Name: Permit No.: Date: AIA MA&Insurance ADDroved Version. Initial Construction Control Doc A00RO� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYN) 7/24/2015 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(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 lieu of such endomement(s). PRODUCER CONTACT Teri Davis Foy Insurance Group - Nashua PHONE (603)883-1587 FAX o.(603)883-0997 350 Main Stn IL-AESS:teri.davis@foyinsurance.cotn INSURERS AFFORDING COVERAGE NAIC# Nashua NH 03060 INSURERA:Travelers Casualty & Surety IL 19046 INSURED INSURER B-Jiberty Mutual Daniel Bernatas INSURER C: 3 Foundry Street INSURER 0: INSURER E Amherst NH 03031 INSURER F: COVERAGES CERTIFICATE NUMBERmaster 2/2015-2016 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER -POLICY EFF POLICY DDY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300,000 A CLAIMS-MADE I—XI OCCUR 6802343N356 /25/2015 /25/2016 MED EXP(Anyone person) $ 5,000 X CGD246 8/05 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY M JFCT PRO LOC $ AUTOMOBILE LIABILITY COMBI ED INGLE LIMIT a accident ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS MADE AGGREGATE $ OED RETENTION $ B WORKERS COMPENSATION 3A State: New Hampshire WCSTATU- DTH AND EMPLOYERS'LIABILITY X YIN ANY PROPRIETOR/PARTNER/EXECUTIVEExcluded: Daniel Bernatae E.LEACHACCIDENT $ 100 000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory In NH) 5315601673-015 /13/2015 /13/2016 If es describe under E.L.DISEASE-EA EMPLOYE $ 1 r 100,000 DESCRIPTION OF OPERATIONS tow E.L.DISEASE-POLICY LIMIT 1$ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If mors space Is required) Operations usual & customary for Carpentry Contractor. CERTIFICATE HOLDER CANCELLATION dottiesdelights@gmail.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, N0110E WILL BE DELIVERED IN Dottie r s Delights LLC ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Alyssa Cohen 733 Turnpike St AUTHORIZED REPRESENTATIVE North Andover, MA 01845 Teri Davis, AAI, ACSR ACORD 25(2010/06) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 oninnFl n1 Tho annan nama and Innn aro raniaMrorl marlrc of annan Massachusetts:Department of Public Safety ' Board of Building Regulations and Standards iConstruction Supen•isof License: CS-043221 DANIEL BERNATAS 3 FOUNDRY ST Amherst NH OW1 w Expiration Commissioner 08/16/2015