Loading...
HomeMy WebLinkAboutBuilding Permit #625 - 85 MAIN STREET 3/28/2007d b � BUILDING PERMIT � TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 2S Date Received 3 Ze " © -7 Date Issued: 2� d TYPE OF IMPROVEMENT PROPOSED USE ©� Phone: Residential Non- Residential - ❑ New Building ❑ One family ""('Reg. No. ❑ Addition ®'fwo or more family ❑ Industrial '&Commercial t Alteration No. of units: tS ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other e , w '" ►c aro l VltetlAnde WAte l e er DESCRIPTION OF WORK TO BE PREFORMED: AJJ- L,- '-114� Identification Please Type or Print Clearly) OWNER: Name:_ , t9, Phone: Address: — T 977 ARCHITECT/ENGINEER L�,,%� ©� Phone: & 17.& Address: aj- c,. izi i s u A, I wt -i. ""('Reg. No. 27 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: $ D s i Check No.: Receipt No.: NOTE: Persons contracting with unregistered ontractors do not have access o t e a ant f Signature of Agent/Owne Signature of contractor I Permit NO: Date Issued: BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received TYPE OF IMPROVEMENT IMPORTANT: Applicant must complete all items on this page ----------- Residential o 0 New Building 11 One family L 04,4"' 11 Addition [I Two or more family ,'OCATI Pnn t No. of units: 11 Commercial 11 Others: do, E WT, Y OWNER' El Assessory Bldg [I Demolition 11 Other 560101"QWe ands P NQ L Print A, P ZONING6 k§TRICT;�.' HIS TQRIC,/PIS w - d ,ves,,,, no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building 11 One family 11 Addition [I Two or more family 11 Industrial 11 Alteration No. of units: 11 Commercial 11 Others: 11 Repair, replacement El Assessory Bldg [I Demolition 11 Other 560101"QWe ands n�"W atershe06tri IT-Wte dSe*erT w WL -%J%. IMF- 11%0114 %iff- vv%Jrxr% 1 V Cyt rKr-1-UKMtU: Identification Please Type or Print Clearly) OWNER: Name: /—, /� -iE'e'4 (-Tl/ Phone: Address: *1 If I Al 97— R F), Na(me- 1, C. NT `CTO,1Phone 001 0! Add Sure r -V 196 r, s%o Astfacirlo fiL J cep Exp- -,t)ate:" me. Mp Dat2�-� ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT. $12.00PER $1000.00OFTHE 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 Signature of Agent/Owner Signature of contractor F —u Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ p' Std ped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED ❑ ❑ U DATE REJECTED DATE APPROVED 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 ❑ Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes e Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT Temp. Dumpster on site yes "_no lsocate4 at"124 Main Street . Fired©epartment.sgnature/date e ti COMMENTS ...,. :. :> Dimension Number of Stories Total land area, sq. ft.: Total square feet of floor area, based on Exterior dimensions. 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 ❑ Notified for pickup - Date ............................... ............................ ................. ................ .................................................... _................... .......................................................... ................ ..................................................... .......................................... . ............................................................................. Doc.Building Permit Revised 2007 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) ❑ 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 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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 7 Locaiion No. Date - - �,1_2 TOWN OF NORTH ANDOVER Check # 206*/ 'i _,4 I/ Buiiding Inspector /06 Certificate of Occupancy $ ITS CHUS k Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 206*/ 'i _,4 I/ Buiiding Inspector TEMPORARY PERMIT CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 625 Date: ,April 16- 2008 THIS CERTIFIES THAT THE BUILDING LOCATED ON 85 Main Street MAY BE OCCUPIED AS 2 Dwelling Units IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUENING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. E Certificate Issued to: LAM Realty 85 Main Street NorthAndover MA 01845 Building Inspector 'i ol rA wi 0 0 4 C2 cm .0 P4 C4 0 04 0 C.3 C.3 cc, N 'r, • CD r4t, - I A 4. CF cm u Z ca CCU N a CD 0 w CLC.) W 0 all. 0 cm -a 12W CD oS ccjs Z CS CLOC2 W co ui L 4D UJ .0 tea go CR CL C.3 0 Ott rA o— F= Z = :a 1-0 4- CLO. cja P -W IS 0 —co >Ul 0 Z to 0 U ca x I A cm cn C2 cm ME H is C.3 C.3 cc, N 'r, • CD r4t, - I A 4. CF cm C2 cm CD F. ME H is N 'r, cm ca CCU N a CD 0 CLC.) 0 all. 0 cm -a CD oS ccjs Z CS CLOC2 W co ui L 4D UJ .0 tea go CR CL C.3 0 Ott rA o— F= Z = :a 1-0 4- CLO. cja CD F. V 4 6 z 0 c v � c +- 1� N c • 00 CL .n d C O O F • EQ �0+ C A = v a+ N E5 CD C S O.10 O O C R • i O c O h Nva 3 � � m •: N m0 • ac3 Of p C c Q N � O = m . � f0.1 N O w Z O QCDO N C _ c~o coor0. N O rSCc LU 1�— H lco •N dt G W E 601 ; v 'N C.3 CO 0 C CO3 co Ott _ W O i L 0 Z w d *-am '•O U EW � LM Z IVA GQ 10. CA C a cm �r= m m CO CD CD Cj o a Wca Co U w a aZ a O u r cc W+ o a�' cn w cc w E cq cn cn 0 c v � c +- 1� N c • 00 CL .n d C O O F • EQ �0+ C A = v a+ N E5 CD C S O.10 O O C R • i O c O h Nva 3 � � m •: N m0 • ac3 Of p C c Q N � O = m . � f0.1 N O w Z O QCDO N C _ c~o coor0. N O rSCc LU 1�— H lco •N dt G W E 601 ; v 'N C.3 CO 0 C CO3 co Ott _ W O i L 0 Z w d *-am O .j '•O U EW � LM Z GQ 10. CA C a cm �r= m m CD CD N :O O O N O cc O d Q o cc C QQi Q. C O v m O co sa a V v! C cm c O c N C C Z � cc o Z y •� O O O .j u4aRTy NUMBER .;i��� COMMONWEALTH OF MASSACHUSETTS BHP -2007-0311 �+ North Andover FEE �'w.x*� Board of Health $60.00 "� •-*"n DATE ISSUED ------------ Central Metal Finishing, Inc. -------------------- - ----------------------------------------- January 01, 2008 - NAME -------------------------- 80 Flagship ve NORTH ANDOVER, MA 01845 ---------------------Dri- -------------- -- ---------------------------------------------------- ADDRESS IS HEREBY GRANTED A Dumpster LICENSE Dumpster This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires December 31, 2008 unless sooner suspended or revoked. RESTRICTIONS: Charles George; Tuesday & Thursday Pick -Ups ---------- --------------- -- ---------- Board of -------- ---------------------------- ---- Health NOTES: Contact: Russ Shibles; 978.685.4811 ------------------------------------------------------ ------ NUMBER COMMONWEALTH OF MASSACHUSETTS BHP-2007-0311 North Andover FEE $60.00 + Board of Health DATE ISSUED Central Metal Finishing, Inc. January 01, 2008 ----------------- ------------------------------------------ -- - NAME 80 Flagship Drive NORTH ANDOVER, MA 01845 ------------------------ - - - ----------------------------------------------- - -------- ADDRESS IS HEREBY GRANTED A Dumpster LICENSE Dumpster This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires -----_---- - December 31, 2008-_______ --unless sooner suspended or revoked. RESTRICTIONS: Charles George; Tuesday & Thursday ---------------------------------------------- --- Pick -Ups Board of - -------------------------------------------------- ------ Health NOTES: Contact: Russ Shibles; 978.685.4811 -------------------------------------------------------- r - � �` Jtze �omvn'�nr�rea�Ci �'✓(/la�acd�uaeua BOARD OF BUILDING REGULATIONS i ' License: CONSTRUCTION SUPERVISOR I 028073 Number: CS �. Birthdate: 0312011942 x fres: 03/2012008 Tr. no: 15228 Restricted: 00 ' I EDWARD J PHELAN , i 931 TURNPIKE ST N ANDOVER, MA 01845 Commissioner E _r- 82 South Broadway Street Lawrence, Massachusetts 01843 Phone: 978-687-3083 Fac 978-687-9861 Email: namech@comcastnet North Andover Mechanical Construction, Inc. Contract Agreement This agreement is being entered into this day March 20, 2007, between LAM Realty (the owner) and North Andover Mechanical Construction (the contractor) for the General Construction project at 85 Main Street, North Andover, MA 01845. The Owner: LAM Realty, 89 Main Street, North Andover, MA 01845 The Project: General Construction at 85 Main Street, North Andover, MA 01845 The Architect: G. J. Bruno and Associates, 28 Berkeley Road, North Andover, MA 01945 The Engineer: Lawrence H. Odgen, 28 Berkeley Road, North Andover, MA 01945 The contractor agrees to perform the general construction work at 85 Main Street, North Andover, MA 01845 in accordance with the drawin'g # 6787 by G. J. Bruno and Associates for the sum of Work shall be performed in accordance with all regulatory and State and Local Building codes. Owner and contractor signify their acceptance of this agreement with the signatures below. Owner: Contracjc]h / Tom Ventura: North Andover al Construction: LAM Realty E elan 'e, ag March 20, 2007 March 20, 2007 iN-5-2008 11:01A FROM: T0:5786831153 OFFICE OF BUILDING INSPECTOR TOIf91?N OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: PROJECT TITLE: T oM u 6..NA-y{lA- PROJECT LOCATION: 195-97 S -r" t T- n, o^T-4 A•No aici' NAME OF BUILDING: P:1 NATURE OF PROJECT: F S-OovAr °^ Awo iI: oo ,-h w• to Sw t sr ^1& 8,,'% o io% 5 T IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I, LAw/`tAcc N- O'G.Der— REGISTRATION NO. 2771 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT � ARCHITECTURAL � STRUCTURALO MECHANICAL 0 FIRE PROTECTION 0 ELECTRICAL 0 OTHER (SPECIFY) FOR THE ABOVE NAMFD PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEFMNG PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. . I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT ANO SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED 1N SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals Mich 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 materials. 3. Be present at intervals appropriate to the stage of constnxtion to become, generally familiar with6the 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 116.2 .2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT . TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR, UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOP614TUR UP NCY. SUBSCRIBE[ ANDc ' E ,.Ofi?�! i0 BEFORE ME THIS 2 6 DAY OF tMa! c /_ 2— NOTARNOTARY Y PiAUC . '"`"'�"`r`- runr COMMISSION EXPIRE8„L7, do U? 03/27/2007 22:02 FAX 19786833147 H.P.ROBERTS INSURANCE fj001 ACM. CERTIFICATE OF LIABILIT) PRODUCER M.P,ROBERTS INSURANCE AGENCY INC. 1060 OSGOOD STREET NORTH ANDOVER MR 01845 ois-4Qi-Qnii NORTH ANDOVER MECHANICAL CONSTRUCTION, INC. 82 SO. BROADWAY LAWRENCE, MA 01843 nnvaM.- OATE(MANDDfYYY'D ' INSURANCE 3 28 2007 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURERA, COLONY INSURANCE CO INSURER B: HANOVER INSURANCE CO INSURER C: UNITED NATIONAL INS CO INSURER D; ASSOCIATED EMPLOYERS INS CO INSURER E: 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, LTR DL RD TYPE ANCE POLICY NUMBER Y EFFECTIVE P MNU 0 DD P Y PIRATION OA DDlYY LIMITS GENERAL LIABILITY EACH OCCURRENCE s-1,00 000 PREMISES Eao=ence 6 100,000 $ COMMERCIAL GENERAL LIABILITY MEDS XP(AnYansPerion) 6 51000 CIAIMSMADE D OCCUR PERSONAL BAOVINJURY $ 1 0 000 A GL3354111 05/12/06 05/12/07 GENERAL AGGREGATE S 2,000,000, GEN.L AGGREGATE LIMIT APPLIES PER' -COMPIOPAGO $ 1 000 000 -PRODUCTS POLICY jE T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 ANYAUTO (EsseeddeM) BODILY INJURY 6 ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY B X HIRED AUTOS AFN-8152463--02 03/24/07 03/24/08 X NON-OWNEDAUTOS (Pdf*= ,M) 6 PROPERTY DAMAGE 6 (Pereedclem) GARAGE LIABILITY AUTO ONLY -EAACCIDENT S OTHERTHAN EAACC S ANYAUTO AUTOONLY: AGG $ EXCESSIUMHRELLA LIABILITY EACH OCCURRENCE S 2,000,000 ]� OCCUR CLAIMSMADE _ AGGREGA'T'E S 2.0009000 $ CBX0000380 05/12/06 05/12/07 6 c DEDUCTIBLE III RETENTION 6 WORKERS COMPENSATION AND MR X I ER' EMPLOYERS' LIABILITY WCC5005043012006 04/24/06 04/24/07 ELEACHACCIDENT 111 500 000 PR0P RTN ANY PROPRIETORIPARTNERlIXECUl1Vfi E,L. DISEASE - EA EMPLOYE $ 500,000 p OFFICEwMWr ER E)MV0ED? 1f Ycs, defame under SPECIAL PROVISIONS below E,L.DISEASE•POUCYLIMIT 6 5004000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS FAX: 978-68,7-2861 CFRTIFICATE H01.17IFR CANCELLATION AG1)R025(2UUTIUS) JAN -10-2002 THU 11:42AM ID: QDACORD CORPORATION 1988 PAGE:1 WOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Lm REALTY 89 MAINS TREET NORTH ANDOVER, MA O1$4S DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR RURESENTATIVES, AUTHORIZED REPRESENT0IV6 AG1)R025(2UUTIUS) JAN -10-2002 THU 11:42AM ID: QDACORD CORPORATION 1988 PAGE:1 0 s a w a w a a w a A G v a U � A w rs: bl w a4 iw a4 u. rz w c0 vi cn LU z o � � o 0 A � O o o a to Y E5 '1o� 11 mi gag o Z' 3 Go O ++ m � W go 0 NZ: �, E m .ocm acs m Jma M �z=o co � 'o a �!: m or Co o CL c _ G.— p N F - h w CLL- le t r m r..�t CML w o `r O_ y CL •mm a CLE Con F. � g J E L CD Z d O y � C CD _ i cCM O•— N� 0 C MA O O r=CIO m 3.0 as 0 L Q cc � L �a c ca ev V 'p m C Z C.3 h cc c _ _ C y