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HomeMy WebLinkAboutBuilding Permit #601 - 805 TURNPIKE STREET 2/15/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received Date Issued: IMPORTANT:A licant must complete all items on this page LOCATION Print PROPERTY OWNER RA 4�Ar Unit Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes o Machine Shop Village yes no 100 year-old structure 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 epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 4 P `- .Y ; U F oo pM�i ®Wetland's }d jam- u Well '—. , - # � `®Se tic ® �� f- -�, ` tK r. � W, atorshed F istnct f m y ®Water/S vaer¢ '. ii' ., '. >> r. r M1 v? •a is s* c/:� i .) DES TIO F WORK TO BE ERFORMED: 'n I qde tification Please Type or Print Clearly) i OWNER: Name: Phone: �7 �g� 6°� a" Address: �c�' • CONTRACTOR Name: \Cq phone: , Address: 1ss LckQ . Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: gI I� I3 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $_ q q — FEE: $ ' Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractor, not av cess t t guaranty fund ---, <.-$ Signature ofxcontractor z __ , - I 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 ❑ i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY j INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING &DEVELOPMENT ❑ ❑ i COMMENTS j CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature r 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: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMA4ENTS 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 servicedroprequires approval of Electrical Inspector Yes DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10D-$1000 fine NOTES and DATA— For department use LJ Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi 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 g 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/Crossection/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 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 ❑ 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 ❑ Mass check Energy Compliance Report ❑ Engineering rin g g 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 CIerks 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: Doc.Building Permit Revised 2008mi Location sos- �U2 w JLC..- ,�7i No. 6 Date -/r- J?--r e ' TOWN OF NORTH ANDOVER e . IN _ Certificate of Occupancy $ as Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check#� 25025 Building Inspector NORTFj f TO" of _ Andover ., . , 0 o , dower, Mass., 1 1 Q - LAKE COC MICKEWICK 0 ATED U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT....... D.601L ........�.....os"j..........� ................ ........... - Foundation has permission to erect.......... . buildings on sock....Z A! ... . ..... ........�.�� Rough _Ak woo Ir. ......... ..... ......................................................... to be occupied as...........�.�.G.. ..... Chimney provided that the person acceptingthis permit shall in every resp t conform to the terms of the application on file in this office,and to the provisions f the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final I 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 CONSTRUC TARTS Rough ............... .................. ..................................................................... Service BUILDING INSPECTOR Final . I 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 Smoke Det. • i Sheet Metal Commercial Guidelines/Life Safety/Critical Systems Inspection Checklist Yes No N/A, Set of stamped engineering documents and detailed description of mechanical system to be installed has been provided -� All workers performing sheet metal work onsite has valid Massachusetts sheet metal license Al heet metalwork being performed with proper journeyperson-to-a rentice ratios pp Fire ers with access door properly installed and checked for operation Smoke and combination fire/smoke dampers with access doors properly installed- actuator c ticked for proper operation(May also be verified by fire department during fire rm testing) Duct smoke detectors with access doors properly located (Ma also be verified by fire department during fire alarm testing) Smoke/atrium exhaust systems installed and operation verified (Ma ,-also be verified by fire department during fire alarm testing) Stair pressu ' ation systems installed(where required) and operation verified(May also be ve by fire department during fire alarm testing) Grease/kitchen hood exhaust system installed with all seams and connections welded airtight with properly located cleanouts.Proper cle';`ances, fire rated enclosures and pre ure testing required. __ :; S iBtirii res,�:aints instalit,L Fr1iF:�e required oin equipment and du t,31"K Duet penetrations in fire'ra &l--iZrali:,andfloors sealed"' Metal roofing systems installed watertight using proper materials and fasteners �Fl 'ble duct nuns installed 6'-0"maximum length Ductwork installed using proper hanger spacing,hanger stock,threaded rod and angle iron Ductwork/plenum connections sealed substantially airtight 71. uctwork insulated by means of external covering or internal lining Volume dampers installed for each supply air branch duct New/clean-properly sized filters installed(final inspection) i Testing and Balancing report complete(final sign-off) A� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/15/2012 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 endorsement(s). PRODUCER CONTANAME:CT Maureen Stephany Integrated Insurance Solutions, LLC PHONE (508)370-0002 F AICAXNo:(508)370-0758 1881 Worcester Road E-MAIL mste han @iisa enc com ADDRESS: p Y 4 Y Suite 101 INSURERS AFFORDING COVERAGE NAIC i! Framingham MA 01701 INSURERA:General Casualty Company INSURED INSURER B: Berry Mechanical Services, Inc. INSURER C: 155 Neck Road INSURER D: INSURER E: Haverhill MA 01835 INSURER F: COVERAGES CERTIFICATE NUMBER:CL121310891 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 TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 300 000 PREMISES Ea occurrence $ r A CLAIMS-MADE a OCCUR CCX0775821 /21/2012 /21/2013 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY (Ea BINEDtSINGLE LIMIT 1,000,000 A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED CCX0775821 /21/2012 /21/2013 AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION WC STATU- X DTH- AND EMPLOYERS'LIABILITY Y/N TOLIMANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) C0775824 1/1/2012 1/1/2013 E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. North Andover, MA AUTHORIZED REPRESENTATIVE Maureen Stephany/MSS ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn25l9mnn51 M Tho anno 1 nnmo nnrl Inn^nro roniefororl mnrire^f Annon I Sheet Metal Residential Guidelines/Insuection Checklist Yes No N/A 7 Detailed description and sketch of sheet metals stem to be installed y has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper journeyperson-to- apprentice ratios Equipment sized per heating/cooling load calculations Duct work sized per manual "D"calculations � Bath/shower rooms contain mechanical exhaust fan vented outdoors Electric dryer exhaust properly installed maximum total run 35'-0", maximum flexible run 8'-0" f✓ Fle He duct runs installed 14'-0"maximum length /V�oh� -dai�p`ers installed for each supply air branch duct ✓ Ductwork installed using proper gauges and hangers Ductw Ae plenum connections sealed substantially airtight Ductwork insulated by means of external covering or internal lining ��Testingand e an -properly sized filter installed (final inspection) p ) Balancing report complete(final sign-off) BERRY �y�� MECHANICAL SERVICES,INC. 155 Neck Road•Haverhill, MAS 01835 0 HEATING & AIR 978-556-0344 . 978-372-6129 fax- C O N DITIONI NG WWW.berrymechanical.com Where Your Comfort is Our Business Name DR. RICHARD LENTINI Phone# (978)686-6212 Date 2/8/2012 Address 805 Turnpike ST.ste 101 Proposal Number R1020820127247-1 City N.ANDOVER State MA. Zip 01845 Comfort Specialist ALLAN BERRY AMERICAN STANDARD AIR HANDLER HERITAGE 13 HEAT PUMP SYSTEMI System Investment I _ Base System $7,934.31 !. Optional Items Total $0.00 CUSTOMER DISCOUNT , <$1,190.15> Ilill <$0.00> 0% Sales Tax $0.00 �IIII System Total $6,744.16 eIIIIIIFinance Calculation 0 1 IIIII�., Estimated Monthly Investment $0.00 Initial Investment $0.00 III�� Balance $6,744.16 , Investment Type Finance Optional Items—(Checked items must be added Add Decline Price _ _— Description ( Initials No optional components. By signing this agreement I acknowledge that I have read and understand each page, Representative Date including the terms and conditions. Customer On Date 7' p� Approved by Date Page 1 W BERRY S7iwd"do MECHANICAL SERVICES, INC. 155 Neck Road•Haverhill, MA 01835 HEATING & AIR 978-556-0344 .978-372-6129 fax • CON DITIONI NG www.berrymechanical.com nrynrmarns. mnj+csttn,edmuarod +m Where Your Comfort is Our Business Name DR. RICHARD LENTINI Proposal Number R1020820127247-1 Date 2/8/2012 SYSTEM1 Components Qty. Model# I Description I (in Base System Investment) 1 4TEC3F30B1000AA 2.5 TON CONVERTIBLE AIR-TITE AIR HANDLER 3-SPEED WARRANTY TRANE/AMERICAN STANDARD BLOWER WITH R-41 Oa 208/230 COMMERCIAL 1 YEAR PARTS 5 YEARS HERITAGE 13 SERIES 2.5 TON 13 SEER 208/230 VOLT COMPRESSOR 5 YEARS HEAT EXCHANGER 1 4A6H3030A10006 HEAT PUMP USING R-410a WARRANTY: 1 YEAR LABOR 1 BAYHTR1415BRKA MATCHED BACK UP-SUPPLEMEMTAL HEAT STRIPS Exclusions AMERICAN STANDARD LARGE SCREEN HEAT COOL 1 ACONT602AF22MA HEAT PUMP PROGRAMABLE 5/1/1 DAY 2 COOL 2 HEAT (not included in Base System Investment) THERMOSTAT No selections. 1 CON DRAIN GRAVITY Condensate Drain FROM ATTIC A/H OR FURNACE/COIL TO OUTSIDE REPLACE EXISTING 2 TO 3.5 TON AIR HANDLER IN ATTIC 2-3.5TONA/H- OR BASEMENT. INCLUDES SECONDARY DRAIN PAN- 1 REP LACEM ENTW/PANSWITCH SAFETY SWITCH DUCT CONNECTIONS-PIPING OF DRAINS-COPPER PIPE EVACUATION-START UP AND CHECKOUT CHANGE OUTDOOR CONDENSER 1 TO 3 TON 1 MAN 1 1T03TONCOND- INCLUDES EXISTING ELECTRICAL COPPER PIPING CHANGE1 MAN EVACUATION RECLAIM REMOVAL OF OLD EQUIPMENT START UP AND CHECK OUT 1 DISCONNECTWHIPWIRE REPLACE DISCONNECT AND WHIP WITH UP TO 6 GAUGE WIRE AND UP TO 60 AMP DISCONNECT 1 R-11 FLUSH FLUSH EXISTING LINE SET WITH R-11 TO REMOVE OILS AND CONTAMINANTS. 4 HPR6 HPR6 6 INCH PUMP UP LEGS FOR CONDENSERS. NEED 4 FOR EACH CONDENSER 1 ELECTRICAL ELECTRICAL CIRCUIT PERMIT 6GAROMEX35FT- REPLACE EXISTING BREAKER WITH 60 AMP DOUBLE 1 60AMPBREAKER POLE IN PANEL AND RUN 6 GAUGE ROMEX_TO AIR HANDLER 1 67-UNISTRUT-ROD 2 TO 3.5 HANGING UNISTRUT&ROD FOR 2 TO 3.5 TON UNIT. TON INCLUDES 2-UNISTRUT 4-ROD LABOR 1 30X36 ULTRALITE PAD CLADLITE PRE-CAST PAD FOR CONDENSERS Installation Instructions REMOVE THE OLD AIR HANDLER AND CONDENSER. RUN A NEW ELECTRICAL FEED TO THE AIR HANDLERWITH NEW BREAKER TO ACCEPT A 1415 ELECTRIC HEATER. SET THE NEW CONDENSER ON NEW PUMP UP LEGS. REPLACE THE DISCONNECT AND WHIP. R-11 FLUSH THE LINESET. REPLACE THE THERMOSTAT TO A PROGRAMMABLE. Page 2 �W BERRY S7iwdwdo MECHANICAL SERVICES, INC. 155 Neck Road•Haverhill, MA 01835 HEATING & AIR 978-556-0344 . 978-372-6129 fax- C O N DITIONI NG www.berrymechanical.com V 111gWd-y .-1,—,ftlk—dFWIt— Where Your Comfort is Our Business Name DR. RICHARD LENTINI Date 2/8/2012 Phone (978)686-6212 Address 805 Turnpike ST.ste 101 Proposal Number R1020820127247-1 City N.ANDOVER State MA. Zip 01845 Comfort Specialist ALLAN BERRY . Comfort Consultant AS SPECIFIED PAYMENTS AS FOLLOWS:50%UPON ACCEPTANCE,50% UPON COMPLETION We hereby propose to furnish material and labor in complete accordance with the above specifications for the sum of: Six Thousand Seven Hundred Forty Four Dollars and Sixteen Cents $6,744.16 (Total extended Price with Tax after Discount) By signing this agreement 1 acknowledge that 1 have read and understand each page, Representative Date including the terms and conditions. Customer orl Dat �^ Approved by Date Page 3