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HomeMy WebLinkAboutBuilding Permit #426-2011 - 820 TURNPIKE STREET 11/17/2010 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: a 1? 0// Date Received Date Issued: 7 /0 MPORTANT:Applicant must compTete all items on this page /LOCATION 820A Turnpike strew' Print /PROPERTY OWNER 820A Tunrpike Street, .LLC �,/ Print MAP NO: ARCEL: D 0' ZONING DISTRICT: Historic District yes -Ra-- Machine Shop Village e Y es TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New B 'I"ding ❑ One family ❑Ad * ion ❑Two or more family ❑ Industrial Det eration No. of units: Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other as ' FEloodplain tOrWe lands' ` ;�'WatershedjD si tr`ic ❑�SK'eptic [D:Well _ _ c ..�.❑Water/Sewer __._.T_ --- T�_.� -.._ .... ...�...� .- .. ��r ._, . ._ r....:_.��_� ._ _ DESCRIPTION OF WORK TO BE PERFORMED: � i T 1[T E44 fict C7 1+4 & T �I O 1 T-7 8C- f-b �L/4nlS Identification Please Type or Print Clearly) )TOWNER: Name: Nicholas S Guerrera Phone: 97A tiRa n800 j /Address: 820A Turnpike St--rt-Pt North Andover-,—n4 9184- CONTRACTOR Name: MOYLE A-4� v►���A�T�F��t ��c Phone: sp Address: ''p -FoX 5SCCo NAAV[_ 4+ 6 M 6,1255 oil t Supervisor's Construction License: CS -!J,®-1:, L�Exp. Date: -7� -2 co— Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Ib ST REFD'Ebni IMPS Reg. No. 8333 FEE SCHEDULE.BULDIN G PERMIT:$12.00 PER$1000. F TH TOTAL E MATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ I FEE: $ o�i 702 Check No.: `oZ� 5� Receipt No.: 741-� e i tere contractors do not have access to u an NOTE: Persons contracting with unr g s ty, u d' �( Signature ofyAgen#/Owner' : ,f. - re_ofcontractor. �. u Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody Art E] Swimming Pools ❑ Well El 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS I I CONSERVATION Reviewed on Signature COMMENTS i HEALTH Reviewed on Signature i COMMENTS 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 - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS 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 I ® Notified for pickup - Date Doc:.Building Permit Revised 2008 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 ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) p ❑ 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 Affidavits for Engineered products MOTE: 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: Doc.Building Permit Revised 2008mi Location 02/,.4 No. Date r MORTN TOWN OF NORTH ANDOVER O � • s ; ; Certificate of Occupancy $ �U Building/Frame/Frame Permit Fee $ 6 D MU 9 s, sE I Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 2 7 U=� Check # L 237 -15 Building Inspector • o �WF . ti C CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building PermitNumber 42b-2011 Date;March 3,2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 820A Turnpike Street, North Andover, MA 01845 Dr.. Brian Yoon MAY BE OCCUPIED AS view d6ntal office IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING COBE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Dr.Brian Yoon 820A Turnpike Street Nerth And9w,MA 01845 , Owner: Nicholas S. Guerrera $20A Turnpike Street NorthAndover,MA 01845 Build Inspector Fee; 100,00 pmviousiy paid Receipt: 23715 ORTH Town of ® Andove 110 No. '' ., .4: � �A 10 ti dover, Mass., COCMICHEWICK A0RATED P,P�`,c,�� S's BOARD OF HEALTH T D PERMIT�� Food/Kitchen Septic System BUILDING INSPECTOR 1� �� � .:..... ... ..... ..... ........5. ........... THIS CERTIFIES THAT....... ..............:............................... Foundation has permission to erect....................................... buildings on :..... Q a. . ". . �........T..0'4 ................. Rough to be occupied as... .. D�/s.... ...... :. .. . �! G ��576 �.... .....t (?.0... .... Z�e' y provided that the person acce tin this permit shall in eve respect conform to the terms of he I c tion on file i01 this office and to the provisions 9 h p every P pp e ° °� p o the Codes and By-Laws relating to the Inspection, Alteration and Construction of A,"q 3 �, Buildings in the Town of North Andover. PLUM INGI14§kCTO�t VIOLATION of the Zoning or Building Regulations Voids this Permit. I� �'• ��"�, ! rial �.s PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CODS UC ON ST ` S Rough` ......................... ... .. .. .................... .......... ........... Service BUILDING INSPECTOR Occupancy Permit Required t® 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 1�14 Street No. SEE REVERSE SIDE .,_yoke t.,, n � �, ORTH T0VM of An ®ver i-+ LAKE dover, Mass., i/ /z� COCHICHEWICK %S RATED S BOARD OF HEALTH Food/Kitchen PEnMIT T D Septic System THIS CERTIFIES THAT........9F..6_14BUILDING INSPECTOR ...... .....% !, �acs Sr. E .......... Foundation has permission to erect........................................ buildings on ... ............�.�.... ./a .......................................... Rough / to be occupied as....... ..... .......... ... its.I .D:.. ! G?�.....:................ !i , ��`l C ...... Chimney Q:�/.y.. Ch' e provided that the person accepting this permit shall in every respect conform to the terms of the appli tion on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construc 'on of Buildings in the Town of North Andover. — PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids tis Permit. 0 Q Rough e PERMIT EXPIRES 6 MONTHS Final UNLESS CONSTRUCTION TARTS ELECTRICAL INSPECTOR Rough 7 Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the-Premises — Do Not Remove F nal 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. A Massachusetts- Department of Public S.Jfch Burd or Buildin};Rcaulations and Construction Supervisor Licensetnd�t►ds License: cs 40515 Restricted to: 00 ROBERT A DOYLE 14 COUNTRY CORNER RD WAYLAND, MA 01778 Expiration: 7/26/2011 Curnrnissiuncr Tr#: 18788 _s CONSTRUCTION CONTROL Renovation of Existing Medical Offices into PROJECTNAME: New Dental Offices PROJECT OWNER: Dr. Brian Yoon PROJECT LOCATION: 820A Turnpike Street ARCHITECT: DAVID A.FARMER OF KING DESIGN ASSOC..INC..10 HIGH ST.,MEDFORD,MA IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUILDING CODE, SEVENTH EDITION,I, DAVID A.FARMER REGISTRATION NO. 8333 BEING A REGISTERED PROFESSIONAL ARCHITECT HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS,COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT XX ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION-ELECTRICAL-OTHER(Specify) FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF KNOWLEDGE,SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRACTICES AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.2.2: 1. Review,for conformance to the design concept,shop drawings,samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled material. 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,in general,if the work is being performed in a manner consistent with the construction documents. PURSUANT TO SECTION 116.4.,I SHALL SUBMIT PERIODICALLY A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE North Andover BUILDING COMMISSIONER. UPON COMPLETION OF THE WORK,I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. X1.8333 DAVID A.FARMER PERSONALLY APPEARED BEFORE ME AND SUBSCRIBED AND SWORN TO BEFORE ME THIS 5th DAY OF November, 2010 P P KING {ar.$V7=1 ;l € Su.14 My n.;udl E:pim{YS.2013 11/17/2010 11:35 AM FROM: Journeay Journeay Insurance Agency TO: 1-978-688-9542 PAGE: 002 OF 002 ACORD DATE(MM/DD/YYYY) --IM. CERTIFICATE OF LIABILITY INSURANCE 1 11/17/2010 PRODUCER Phone: 978-346-8761 Fax 978-346-9620 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JOURNEAY INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 8 WEST MAIN STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR MERRIMAC MA 01860 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: National Grange Mutual Insurance Co 14788 DOYLE&MATTHESON INC INSURER B: ACE Property&Casualty Insurance C/O BOB 8r LYNN DOYLE INSURER C: PO BOX 5506 INSURER D: WAYLAND MA 01778 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDT TYPE OF INSURANCEPOLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD DATE MM/DD/YY DATE(MMIDD/YYI LIMITS GENERAL LIABILITY MSR46395 05/11/10 05/11/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,000 PREMISES Ea occurence CLAIMS MADE F_X� OCCUR MED.EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 IF-- GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 2,000,000 PRO- POLICY LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR a CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ we STATU WORKERS COMPENSATION AND - 045765684 05/11/10 05/11/11 T.WLIMITS OTHER EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500,000 rrVes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER: DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Job location:820A Turnpike Street,North Andover,Ma. CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town Hall EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO North Andover,Ma. DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,IT'S AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE Attention: fx:978-688-9542Derek Journeay ACORD 25(2001/08) Certificate# 6920 ©ACORD CORPORATION 1988 DOYLE AND MATTHESON, INC. * Building Dental Offices For Over A Quarter Century Date: November 10,2010 Proposal to Construct Dental Office for Dr. Brian Yoon Located at: 820A Turnpike ST. North Andover,MA According to plans by Patterson Dental Co. Drawing#10B139 and the following description of the scope of work. 1. Acoustical Ceilings: A 2X2 reveal edge ArmstrongDd and tile. une� 2. Existing Walls: A) Sheetrock repair to new condition on exterior sheetrock walls. 3. New Interior Walls: A)Metal studs, insulation and 5/8" sheetrock to 10' height. 4. Soffits: A) Soffits at front desk and reception area. 5. Doors: A) Solid core birch doors with metal frames, and Schlage hardware. 6. Flooring: A)Vinyl floors at operatories, bathrooms, lab and staff areas. B) Carpet at remaining areas. Final selection to be determined. P.O. Box 5506 • Wayland, MA 01778 • Tel. (508) 358-2993 • Fax (508) 358-4681 r DOYLE AND MATTHESON, INC. 7. Paint: A)All wall, soffit and ceiling surfaces will receive latex primer and finish coat in color(s) selected. 13)Doors and frames will be painted with oil base paint in the color selected. 8. Heat/Air Conditioning: A) Reduct existing system with ceiling delivery system. 9. Cabinetry: A) Custom laminate cabinets as indicated on plan. 10. Concrete: A) Cut, remove, dowel and re-cement floors as needed for underground services. 11.Electrical: A)Per plan 12. Fire Alarm: A) Per plan 13.Lead: A) as indicated on plan 14. Plumbing: A)Per plan. PO,Box 5506 • Wayland, MA 01778 •Tel. (508) 358-2993 r Fax (508) 358-4681 DOYLE AND MATTH ESON, INC. 15. General Conditions: A) Labor B) Supervision C)Dumpsters,miscellaneous materials D)Permit and Insurance Contract Amount: $ 186,800. Construction duration: 14 weeks Invoicing: ls'and 15t'each month Final Payment due upon issuance of occupancy permit. cepte A Robert Doyle Doyle and Mattheson,Inc. Dr. Brian Yoon P.O.Box 5506 • Wayland,MA 01778 •Tel. (508) 358-2993 • Fax (508) 358-4681