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HomeMy WebLinkAboutBuilding Permit #139-15 - 790 TURNPIKE STREET 5/1/2018 NORTH q t BUILDING PERMIT { " TOWN OF NORTH ANDOVER ° p / APPLICATION FOR PLAN EXAMINATION Permit NO: Date/ Date Received Date Issued: SAcm ts��� IMPORTANT:Applicant must complete all items on this page Ang LOCATION Print PROPERTY?01NNER '-'° Pont- MAP NO: PARCEL: ZONING DISTRICT • '.' Historic District yes; no MachineShop Villa o, TYPE OF IMPROVEMENT PROPOSED USE s 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 .[] Septic ❑Well ❑ Floodplain. EiWetlands 1i=Watershed District' y : El Water/Sewer ;. :... ,. f�l ai tine- Ceca- Qjftlm(p, F n. Identification Please Type or Print Clearly) Y) OWNER: Name: V110ow-AJee s hone: CR . Address: CONTRACTOR Name t � 1.Ct7�l '�If1/ n 1 Phone:- Address: -Supervisor's Construction License* Exp. Date �1 lm rovement License: ,. Exp Date Ho: ell p UP 3D 30a S lq�I t S Y ARCHITECT/ENGINEER Phone: Address: 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: $ oo FEE: $.__ _3 Check No.: :�;2&r Receipt No.: l'.-9 7 2 NOTE: Persons contracting with unregistered contractors do not have access to a guara Signature of Agent/Owner Signature of contra tor_ BUILDING PERMIT � �ytORTi q TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received TEo SPP"�5 gSSACHUs�� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION. H __ " Pnnt - - - --= a PROPERTY OWNER Fnnt k 100 Year,Structure yes ' no, { ,MAP -PARCEL= ZONING'+DISTRIff _STP_Historic District yes. no . - Machiine Sl op 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 � -. 11:40P ❑Well: ❑ Floodplain El Wetfands' 0 "w5tershediD strict El Wates/Sewer - N. f DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name:__, _ _- Phone:.__ p s Address: Supervisors Construction :License — Exp. pate- 'Home Improvement License:. Exp Date>> f j ARCHITECT/ENGINEER Phone: F � Address: 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: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signaerit/O ture of Agwner, _ -_ Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stlmp'e'a 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 I PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature i COMMENTS I HEALTH Reviewed on Signature 1 COMMENTS e Y. '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 - TempsDumpster onsite yes ._, no, _ n Located at,12411Vlain Street f irebepartment siignatur0date ,`COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. i 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 i NOTES and DATA — (For department use) l I ❑ Notified for pickup Call Email Date Time Contact Name 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 o Building Permit Application o Workers Comp Affidavit a Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract a Floor Plan Or Proposed Interior Work a Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks I o Building Permit Application ❑ Certified Surveyed Plot Plan Li Workers Comp Affidavit i ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract . ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ' 1 ❑ Mass check Energy Compliance Report (If Applicable) o 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) Li Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit Li Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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 2014 i I Location No. ! /� Date 7 Z, o - TOWN OF NORTH ANDOVER o Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# /2 © 68 Buildirtg-lnspector 'i NORTH own of � o : - .. Co h ," ver, Mass, 0917 y co"Ic"a WIcK A0R�TEO S V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ....... '' ��r' �. .� BUILDING INSPECTOR ............... .... ............................ . . ...:.............................................. has permission to erect .......................... buildings on ..71.0....7� !� .. ............A�........... Foundation Rough to be occupied as .........//-/. -..,�.��.oz;r!�!1!f ....................................................................................... 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 CONSTRUCF9N STARTS Rough .............. Service ........... . ..: ... ,?y"�_e................ Final BUILDING INSPECTOR 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 Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. c F 2 G�-2 �YW16 , ' L 4 '!� ='' Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 163030 Type: Private Corporation Expiration: 5/4/2015 Tr# 239681 FALCON SERVICES INC: JAMES SHETRAWSKI 113 MAPLE ST. = GARDNER, MA 01440 - I Update Address and return card.Mark reason for change. SCA 1 t: POM-05/11 J Address ❑ Renewal Employment n Lost Card �,� _%.IIP l<r JJr nrn.rttr:�.r./l/r e��f"�rsaac/melt• 4---- }�_.—� -- -" ---.--_.__-_----- _.... Office of Consumer Affairs&Business Regulation License or registration valid for individul use only 3 'OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: sz� #3egistration163030 Type: Office of Consumer Affairs and Business Regulation rExpiration 5!4%2.015 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 FALCON SERVICES INC JAMES SHETRAWSKI 1.13 MAPLE ST. 4 y � GARDNER,MA 01440 Undersecretary Not valid without signature i=•.a cis it 4j'J.tst. i'_.£is+Ct Sl,a,�lL i Yds• r�li. �.ct{�IiP.CS'=;tis:1" :` �� CS-071911 L JAMES SHETR.ANVSI<l . 12 CHAPMAN PK _ GARDNER MA 01 140 X 33 rnt',-or. 07110/2013 f 0" clear turd areas Existing gras<a cover to ' remain , � --Existing gra=:�s 5'-0"i ]l0'-0 " 4'-51 ' cover to remain ► 101 „ -24'_,�4„ s_te!p uP ;.. T w ri< er s i,air/s ep �'34+�ti::+a.L}n:.a.. rw• C��_ .�.iFiL._.�..^.�.�.i.. r i 1 A__- � � n...._...r.Y.. ,�. ..—..—r-.w•.—.o+-r... : ,....,. --NE?w ramp acc.es::, Jew concrete siciE?walk --New and or existing cork) Existing concrete sidewalk beyond ­ landicap curb ramp with code compliant 'cdimpled' step pad, �tp�p �o -Bituminous parking area ^ COMMERCIAL KS PAR IJ u ERS ��LJ � INDU TUMNAL ..+.�.�.na. �' 7vo OiruRNPIKE STREET TFACIM MI'M AA"VW,&COMM PROI�'�a3ED HANDICAP Rkfi�DP-reAsed IIS I ,.� 51(��'� NIO EEC AILS CAAWWR, MA 01440 COMMERCIAL ; D IN�USTR9AC { ICON SV1C5 ( IAC , FACLI'n- 5-MAINTE�:NANCF_ & Q�PAlpS Proposal> ;. t t November 11 `2013page 1 of 2 1 "e l • - f i Mr. Tom Beauregard> _ KS Partners_LLC r r. 130 New Boston-Street = Woburn, MA 01801 . _ t RE Handicap Access Ramp)and Related Work. �Jefferson Office Park "` s We hereby^submit-specification and estimates_to: ,Provide labor, materials"and y equipment to undertake the installation othandicap-:ramp and steps at rear entrance of. Building 790 as follows: 1: At the subject rear entrance saw-:cut and-•demolish the existing ramp and certain sections of the,existing.sidewalks as noted`on the plan. 'Carefully remove the concrete and related materials and dispose of off:site in an approved manner. 2. : Provide saw cuts at bituminous,concrete and remove minimum amount of this parking surface for nstalla#ion of new.-tramp: Excavate existing landscaped areas - = flanking.,the subject door to'-facilitate-construction of..new.ramp and;steps. Salvage any existing:materials onsite and store.-for reuse. 3. Assemble wood and stee(forms`for-new ste s,'landin s, sidewalks and ram as _ P 9 p _ shown on the plan: „New concrete work should conformto Massachusetts ADA codes . with appropriateslopes,A e:heights, lengths;and widths A n mix. - i � n r.`in 'd concrete n fini '4 D0# a r e t a e J �l the-form-work rovide lace a d sh 0 ' 4. nto , / p p Mix and vibrate the new concrete'to'assure proper compaction to removetrapped air and'voids: -Apply 3 edge margins.:and.light broom finish to all new flat work. b At the n`ew ramp.and steps furnish and install'one and half inch (1-1/2") schedule . 40, code compliant painted steel'hand;and ramp rails as shown on:the.plan: Set the rails with bolt-in place flange-assemblies secured to the new concrete with appropriate rust resistant fasteners. Paint finish will be one coat-rust inhibiting primer:.over prepared steelrails and two coats high gloss finish paint in customer choice of color.. s . Provide 'salvaged landscape and related materials•to finish and blend new work with existing. r Patch parking surface:around new work;with appropriate materials as may be required. Adjust trimat existing columns for new sidewalk elevations.. 113 MAPF; 51t�f•6iRVNR,:MA 01440 .3q PKYA WAY; Atz;MA 0.1 32 FHOW; 978-630-4922 .fAX: 978-632-6511 FA.c0N5MVICF51NG,c0M . - Proposal November 11; 2013 page Mr:'Tom Beauregard< KS Partners_ LC a RE: Handicap Access Ramp and Related Work: Jefferson Office Park Any existing damage or otherunacceptable conditions, hidden or otherwise not readily visible, shall be repaired and or replaced only after`a4ully detailed change order, at an agreed upon cost above and beyond-this proposal,is executed �AII'materials and* workmanship shall conform to industry'standards and practice`s. Falcon Services Inc. shall remove kali-debris caused-by work in progress We:wilLfurnish,materials, equipment.and tabor o carry ou"tf the above for the sum of.. - , - Nineteen-Thousand.Six-Hundred Sixty FouvD,ollars:d 001/00 $19,664.00 v Due and payable as-follows balance due;in,full when compete Authorized Signature All materials shall"conforrnto industry standards.- .All work to be completed in a professional manner according to sfandard i practices, Any alteration or deviation from the above specifications involving extra costs will be executed only upon +S written orders,and will become an extra charge over and above -_the estimate.-All agreements contingent upon strikes,accidents - , or delays beyond our control. Owner to carry fire,tornado and other necessary insurance.Our workers are fully covered by. Worker's Compensation Insurance. -L. James ShetraWski', President ` THIS'PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN 30 DAYS ACCEPTANCE OF PROPOSAL:The above prices,specifications and condlUons are satisfactory and are hereby accepted. You, n willbe made as outlined�above: - Payment _ ' are authorized to do the work as specified y ._, ` -OWNER OR OWNERS REPRESENTATIVE '. DATE r-" "- Plan attached 4 c I FALCO-1 OP ID: PL CERTIFICATE OF LIABILITY INSURANCE t)AT08105D/YYYY) 08105114 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 CONTACT 978-443-6530 NAME: McGlynn,Clinton&Hall 978 443-0263 PHONE Fax Insurance Agencies Nom€rl): ac,No), 365 Boston Post Road Ste E-MAIL Sudbury,MA 01776 ADDRESS: Lawrence L.McGlynn,CPIA,AAI INSURERiSLAFFORDING COVERAGE �p. T W_ NAIC a INSURER A:Arch Specialty Ins.Co. _ INSURED Falcon Services Inc. INSURERB.-Torus National Insurance ID 588035 113 Maple Street INSURER C;American international Group Gardner, MA 01440 INSURER o:Travelers Insurance _ INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. ILTR R AUDTYPE OF INSURANCE L U8 POLICY NUMBER b!M DDJYEFF YYY MtA ICY E LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1;000,00 A X COMMERCIAL GENERAL LIABILITY ACP000017300 04101114 04101/15pREMISEs jE $ 100,00 _ CLAIMS-MADE I ^ I OCCUR MED EXP(Any one person) $ 5,00 X DED 2500 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE 3 2,000,000 GEN'L AGGREGATE LIMIT'APPLIES PER: PRODUCTS-COMPIOP AGG S 2,000,00 POLICY PRO- LOC I 3 I AUTOMOBILE LIABILITY I 0 OIINEEDISINGLE LIMITI(Ea $ 1,000,00 D ANY AUTO BABE459929 08/14/14 08/14/15 BODILY INJURY(Pe,person) S ALLOWNEDSCHEDULED _ AUTOS X AUTOS BODILY INJURY(Por occidonl) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Pot accident) S _ X UMBRELLA GAB 'X OCCUR EACH OCCURRENCE is 5,000,00 B EXCESS UAS CLAIMS-MADE 17200TJ140ALI 04101/14 04/01/15 AGGREGATE $ 5,000,00 DED RETENTION 3 S WORKERS COMPENSATION WC STATU- DTH- X AND EMPLOYERS'LIABILITY YIN j RY_1.16tIII,$ C ANY PROPRIETOR/PARTNER/EXECUTIVE �W0005690133 04/01/14 04/01/15 E,L.EACH ACCIDENT S 500,00 OFFICER/MEMBER EXCLUDED? Q NIA r. .�... (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE]5 500,00 II os,desc bo under DESCRIPTION OF OPERATIONS below E,1,DISEASE-POLICY LIMIT S 500,00 DESCMP TION OF OPERATIONS I LOCATIONS 1 VEHICLES(Attach ACORD 109,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION KSPARTN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE KS PARTNERS,LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 130 NEW BOSTON STREET WOBURN,MA 01801 AUTHORIZED REPRESENTATIVE Lawrence L.McGlynn,CPIA,AAI ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD