HomeMy WebLinkAboutBuilding Permit #704-2017 - 800 TURNPIKE STREET 1/9/201741,
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
U'Ekew Building
L�bne family
Elddition
Np wo or more family,
Tindustrial
Ulteration
No. of units:
Rommerciai
Lp)ftepair, replacement
---Nssessory Bldg
11flOthers:
Memolition
[Ebther
oshk J m bti
6,108.4, 4
Q vwl of Alf- 11
N-/ I- i I (Y) -
OWNER: Name:
Q
Identification Please Type or
— - - - C�-' - I--
-ao
(� r
ARCH ITECT/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: $ fir'( qSA I (t
0(- FEE: $
rhimrk Nn - k7) - I Klr - ' i a 7 rx
L
• NORTy
BUILDING PERMIT oF�t`Eo
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION ` #
r 0
Date Received �� �R1,Q¢�
Permit No#: SsaTEO r9D-
CHU
Date Issued: --
Ilff ORTANT Applicant must complete all items on this page -
LOCATION - } > ti r �- -� - _ _ -�-� .,� _•- �� Y .� - .� ,, �'
3 r
PROPERTY;OWNER
� r s
+Pnnt'Y no
ZONING DISTRICT�Htstortc� Distract yes no
MAP ,
..-- PARCELz
•;- �..� �-�--� � -�. - no
�= M n
aciit e.Shop,;Villa
TYPE OF IMPROVEMENT PROPOSED USE Non- Residential
Residential
❑ New Building ❑ One family
[I Addition ❑ Two or more family [I Industrial
❑Alteration No. of units: [I Commercial
El Repair, replacement [IAssessory Bldg El Others:
❑ Demolition ❑ Other _
[j Se tic p V1/e!l 0. Floodplain --Wetl ngp 1Naters}ied D�sfric$,:
Pa x k
_Water/Sewer.: �:..:.;
- DESCRIPTION OF WORK TO DE PERFORMED:
j Identification - Please Type or Print Clearly •
OWNER: Name: Phone:
Address: - -
Contractor Name: Phone:.. -- _ -
, •:Address: ... .- _ f -- ._ . _ °' y _-.._ _ ^ =4'.>`. = - • __
1 Supervisor's Construction License _. y Exp: DateE
Home Improvement: Li - _
= cense=
= a
ARCHITECT/ENGINEER Phone:
Address: Reg. Nu.
FEE SCHEDULE, BULDING PERMIT; $12,00 PER $9000,00 OF THE TOTAL ESTIMATED COST BASED ON $925,00 PER S.F.
�_ ,Total Project Cost: $ FEE: $
Check No.: Receipt No:: s
NOTE: Persons con!�-actirg with unregistered contractors do not have. access to the gcar anty fund
i
Plans Submitted ❑
Plans Waived ❑
Certified Plot Plan [I Stamped Plans ❑
[TYP13 OF SEWERAGE DISPOSAL
Public Sewer ❑
Tarming/Massage/Body Art F]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
COMMENTS
Reviewed On Signature
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH
COMMENTS
a
Reviewed on Signature
r
ZonK ,�g Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
Comments
Comments
Water res Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT' -.Temp Dumpster on site yes no
Located at 124 Maing�,freet
Fire Department signatureldate
-Nmension
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
Doc.Buffdiiag 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 Pian 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
❑ 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
14®TE: 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
act
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
10TE: 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's 1 �1 r? p�
No.. v4 r
Check # 1 3c,� 6
1,` 23
Date 1
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee
e
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
dL
b Building`Inspector
1
T
O
O
_
W
_
LL
0:
t
O
V-
Ln
i-+
a)
N
ix
O
M
Z
Z
z
?
m
++
v
c0.0
O
LL
t
O
CC
>
c
t
ULL
W
N
z
z
Z
?
J
a
t
w
0
K
c
O
N
Z
Q
u
Fu..
V
W
W
�bn
cr
a)
U
Ca)LL
U
W
Z
_
Q
C7
t
O
CC
LL
W
a
W
W
Wm
OC
L1.
ai
O
CO
O
Z
a.+
Y
N
v
a)
N
LU
am
Em
z
G
_z
cn
LLIa
W
F
W
a.
O
uj
CL
Z_
t�
Z
D
M
Q
z
CL-)
ertvIF
O
C.)
U)
W
z
w
w
ti
rJ
L
fr
01-
m m
cv �
00
5 C
t �
r
J �
O
z
CD
GOMMERCIAL
a INDUSTRIAL
AI,CON 5F�r_1'VICFS, INC
QAC 11-1 -M 5 MAI N1'F_ NANCF_ & pF_PA11:5
Proposal
October 4, 2016
Mr. Tom Beauregard,
KS Partners LLC
130 New Boston Street
Woburn, MA 01801
Page 1 of 1
RE: Dormer Exterior Trim Replacement - Vinyl Window Installation - 800 Turnpike Street
We hereby submit specification and estimates to: Provide labor, materials and equipment to carry out
installation of vinyl replacement windows and exterior PVC trim replacement as follows:
1. At subject dormer window wells, carefully remove existing deteriorated 908 casing, window sill
nosing and all other wood trim and siding elements.
2. At the exterior window frame, provide and install PVC trim boards of various width and thickness.
Install the PVC to cover the metal roof flashing and replacing the existing wood trim in kind. At the dormer
cheek walls, furnish and install PVC trim stock extending from the roof line to a point immediately under
the wood crown molding. Secure all PVC trim with Fasten -Master screw and plug assembly. Utilize
appropriate PVC glue at all board joints and connection and siliconized latex to seal all required locations.
3. At the subject dormer interior, remove the existing wood sashes and balance system, and
prepare the resulting opening ready to receive new window unit. Into the opening, provide and install one
double hung vinyl replacement window as manufactured by Harvey Building Products Inc., Waltham, MA.
Window shall be double glazed, argon filled with colonial 6/6 grid between the glass panes.
All workmanship will conform to standards and practices of the trades. All debris caused from work in
progress shall be removed by Falcon Services Inc. Any existing damage or other unacceptable
conditions, hidden or otherwise not readily visible, shall be repaired and or replaced upon written change
order, above and beyond this contract.
We will furnish materials, equipment and labor to carry out the above for the total sum of:
Three Thousand One Hundred Eighty One Dollars and 00/100 $3,181.00/single unit
Two Thousand Nine Hundred Twenty Nine Dollars and 00/100 $2,929.00/four or more
Due and payable as follows: due when complete
Authorized Signature:
All materials shall conform to Industry standards. All work to be completed In a
professional manner according to standard practices. Any alteration or deviation from the
above specifications involving extra costs will be executed only upon 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, tomado and other
necessary Insurance. Our workers are fully covered by Workers Compensation
Insurance.
ames Shetrawski, President
THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN 30 DAYS
ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and are hereby accepted. You
are authorized to do the work as specified. Payment will be made as outlined above.
OWNER OR OWNERS REPRESENTATIVE
DATE
I I 3 Wm 5fmf - 6AZPNI;V, MA 01440 - 54 PIZYAN WAY, AYM MA 01432
PHONE: 918-60-4922 - FAx: 918-632-6511 - F&coN%rvia51Nc,COM
AL
IC�NDUSTRtAL
ALCON 5F1rVICF5, INC,
rFACIL-1-M-5 IAAINTF-NANCF- & I;F_pA11;5
Proposal
October 4, 2016 page 1 of 1
Mr. Tom Beauregard,
KS Partners LLC
130 New Boston Street
Woburn, MA 01801
RE: Vinyl/Aluminum Clad Exterior Trim and Soffit - 800 Turnpike Street
We hereby submit specification and estimates to: provide labor, materials and equipment to install
approximately 560 linear feet+/- of vinyl and or aluminum exterior trim at the subject location as follows:
1. At Building 800, along the balance of exterior wood fascia, soffit and frieze not completed as
shown on the plan, secure loose and disconnected elements as may be required. Prepare the surfaces
ready to receive new vinyl and aluminum trim.
2. At the frieze molding, site fabricate and install.018" aluminum coil stock in a size and
configuration that mimics the existing profile. Install the fabrication and set each section with a minimum
'/z" lap joint over the molding, extending up 4" minimum and secure with vinyl adhesive and non -corrosive
nails and or screws. Over the coil stock, furnish and install 16' long extruded polyurethane dentil trim
detail to match the existing as close as possible. Secure and fill resulting holes as per manufacturer's
instructions.
3. At existing soffit panel, furnish and install Mastic Triple 4" vinyl soffit panel or equal. Cut and fit
the soffit into the existing wood sections and secure with vinyl adhesive and non -corrosive nails and or
screws. At the roof line furnish and install PVC crown molding in longest lengths possible. Utilize PVC
adhesive at all joints and seams and secure with appropriate fasteners.
4. At the two part fascia trim, site fabricate and install -018" aluminum coil stock in a size and
configuration that mimics the existing profile as close as possible. Provide 1" wide receiver with '/2: hem
for soffit panel end closure. Install the fabrication and set each section with a minimum'/" lap joint over
the trim and secure with vinyl adhesive and non -corrosive nails and or screws.
All workmanship will conform to standards and practices of the trades. All debris caused from work in
progress shall be removed by Falcon Services Inc. Any existing damage or other unacceptable
conditions, hidden or otherwise not readily visible, shall be repaired and or replaced upon written change
order, above and beyond this contract.
We will furnish materials, equipment and labor to carry out the above for the total sum of:
Twenty Five Thousand Six Hundred Twenty Eight Dollars and 00/100 $25,628.00
Due and payable as follows: due when complete
Authorized Signature:
fames Shetrawski, President ---
PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN 30 DAYS
All materials shall conform to industry standards. All work to be completed In a
professional manner according to standard practices. Any alteration or deviation from the
above specitrcations involving extra costs will be executed only upon written orders, and
will become an extra charge over and above the estimate. All agreements contingent upon
stakes, accidents or delays beyond our control. Owner to carry fire, tomado and other
necessary Insurance. Our workers are fully covered by Worker's Compensation
Insurance.
ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and are hereby accepted. You
are authorized to do the work as specified. Payment will be made as outlined above.
OWNER OR OWNERS REPRESENTATIVE
DATE
115 MAPLE 5ftff • 6AWN�I', MA 01440.34 PRYM WAY, Am, MA 01432
PHONE; 918-630-4922 • FAx: 918-632-6511 • FALCON5EEVICE5INC,COM
COMMERCIAL
o INDUSTRIAL
AL CON 5r �V I C� 5, INC
rFAC1L-1-nF_!5 MAINF_NANCE & PF-PA1p5
Proposal
October 4, 2016
Mr. Tom Beauregard,
KS Partners LLC
130 New Boston Street
Woburn, MA 01801
page 1 of 2
RE: Vinyl/Aluminum Clad Trim and Soffit at Front Entrance Portico 800 Turnpike Street
We hereby submit specification and estimates to: provide labor, materials and equipment to install
approximately 26 linear feet+/- of vinyl and or aluminum exterior trim at the subject location as follows:
1. At Building 800, at portico exterior wood fascia, soffit and frieze, remove wood dentil trim and
secure loose and disconnected elements as may be required. Prepare the surfaces ready to receive new
vinyl and aluminum trim.
2. At the frieze board, site fabricate and install.018" aluminum coil stock in a size and configuration
that mimics the existing profile and installs as a receiver for new ceiling panels. Over the coil stock,
furnish and install 16' long extruded polyurethane dentil trim detail to match the existing as close as
possible. Secure and fill resulting holes as per manufacturer's instructions.
3. At existing soffit panel and portico ceiling, furnish and install Mastic Triple 4" vinyl soffit panel or
equal. Cut and fit the soffit into the existing wood sections and secure with vinyl adhesive and non-
corrosive nails and or screws. At the roof line furnish and install PVC crown molding in longest lengths
possible. Utilize PVC adhesive at all joints and seams and secure with appropriate fasteners.
4. At the two part fascia trim, site fabricate and install.018" aluminum coil stock in a size and
configuration that mimics the existing profile as close as possible. Provide 1" wide receiver with %: hem
for soffit panel end closure. Install the fabrication and set each section with a minimum'/" lap joint over
the trim and secure with vinyl adhesive and non -corrosive nails and or screws.
All workmanship will conform to standards and practices of the trades. All debris caused from work in
progress shall be removed by Falcon Services Inc. Any existing damage or other unacceptable
conditions, hidden or otherwise not readily visible, shall be repaired and or replaced upon written change
order, above and beyond this contract.
We will furnish materials, equipment and labor to carry out the above for the total sum of:
Eight Thousand Eight Hundred Twenty One Dollars and 00/100 $8,821.00
Due and payable as follows: due when complete
Authorized Signature:
All materials shall conTomt to industry standards. All work to be completed in a
professional manner according to standard practices. Any alteration or deviation from the
above specifications involving extra costs will be executed only upon 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, tomado and other
necessary insurance. Our workers are fully covered by Worker's Compensation
ames WSh"etrawski, President Insurance.
THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN 30 DAYS
ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and are hereby accepted. You
are authorized to do the work as specified. Payment will be made as outlined above.
OWNER OR OWNERS REPRESENTATIVE DATE
113 MAPI r 5frz Ef • 6AROM, MA 01440.34 PRYAN WAY, AYER, MA 01432
PHONE: 918-630-4922 •FAX: 978-652-6511 • FALCON5E1?'VICE5INC,COM
October 4, 2016 Vinyl/Aluminum Clad Trim and Soffit at Front Entrance Portico page 2 of 2
Front portico to receive new vinyl and aluminum trim, soffit and ceiling panel. Existing lights will be
removed and reinstalled in new ceiling panel.
y
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Name (Business/Organization/Individual):
Address:
eA
ONA omq U Phone #:
Are you an employer? Check the appropriate
box:
1. a I am a employer with
4. ❑ I am a general contractor and I
employees (full and/or part-time).*
have hired the sub -contractors
2. ❑ I am a sole proprietor or partner-
listed on the attached sheet.
ship and have no employees
These sub -contractors have
working for me in any capacity.
employees and have workers'
[No workers' comp. insurance
comp. insurance,I
required.]
5. ❑ We are a corporation and its
3. ❑ I am a homeowner doing all work
officers have exercised their
myself. [No workers' comp.
right of exemption per MGL
insurance required.] t
c. 152, § 1(4), and we have no
employees. [No workers'
comp. insurance required.]
- U3D _ qq a
Type of project (required):
6. ❑ New construction
7. ❑ Remodeling
8. ❑ Demolition
9. ❑ Building addition
10. ❑ Electrical repairs or additions
11. [1 Plumbing repairs or additions
12.❑ Roof repairs
13. ❑ Other
*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 are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have
employees. If the sub -contractors have employees, they must provide their workers' comp. policy number.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information. _
Insurance Company Name:
Policy # or Self -ins. Lic. #: 233 Expiration Date:
Job Site Address: � qy IIAI 0 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 required under 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
of up 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.
I do he ' 7iunder the pains and penalties of perjury that the information provided above is true and correct
v40010-11
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 #:
= Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contrat for Registration
FALCON SERVICES INC.
JAMES SHETRAWSKI
113 MAPLE ST.
GARDNER, MA 01440
SCA 1 0 20M-05/11
Registration: 163030
Type: Private Corporation
Expiration: 5/4!2017 TO 266104
Jpdate Address and return card. Mark reason for change.
L] Address Lj Renewal Lj Employment 0 Lost Card
C��e ((,arrr�un�raverclf� ajCl�crJ:ta�lit;lel�.1
- Office of Consumer Affairs & Business Regulation License or registration valid for individul use only
OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
egistration: ,' ["63030 Type: Office of Consumer Affairs and Business Regulation
3/ Expiration 5/4f2 17 . Private Corporation 10 Park Plaza - Suite 5170
Boston, MA 02116
FALCON SERVICES] = ,
.._�
JAMES SHETRAWSKI
113 MAPLE ST
GARDNER, MA 09440 Undersecretary Not valid out signature
M ttMett6 - Depatb►ttw of Ptmc ft"
Bogard of $tlRdi tt[
� R� aBam 8rtd 8taftdards
cbmtmcdnn sopenisar
LARM
TAWWVAMWm m
12 CHAPMilNI
t'iARUM K&
Expifattoa
orlierim