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HomeMy WebLinkAboutBuilding Permit #511 - 863 TURNPIKE STREET 4/1/2009BUILDING PERMIT oFttt�o ,bgti TOWN OF NORTH ANDOVER or APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received4 ��SSAc►+u51c��� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION P1 t PROPERTY OWNER C Print MAP NO. PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop 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 O`f't ! 65 / Repair, replacement Assessory Bldg Others: V Demolition Other Septic Well Floodplain Wetlands Watershed District WaterlSewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Plea"Te or Print ClearlyOWNER: Name:-: 1.1,x.�o�JPhone:g7�,6��"� Address: Ic Address: 1 TrZ►.X-lZ.�c LL( -Phone: 'IL41V,. YV) (4�4W I JI 030,,55' 5 6-7 Supervisor's Construction License: 6S'15-7757 Exp. Date: ' -16— ` OIZ. Home Improvement License:� - Exp. Date:') ARCH ITECT/1E�'NGINEER UZ>1�0 A 06)122�,'sPhone: t- �7�3�1a2�-- 00001, 9Address: 060-4.I)-61- �: }NGb�� / 0I61'5 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.: >�f Receipt No.:_;Q if �p NOTE: Persons con racglg with Jfqegistered contractors do not have access to the guaranty fund re of Aaent/Uwnet l I L -Ix I'-- A 5ionature of contractor 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 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS .n Reviewed on Signature Reviewed on Signature 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: FIRE DEPARTMENT Tldrnp-Dumpster on 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) ❑ 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) ❑ 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 2.2005 Location D/ �f✓� �nN��sr i Date No. f ~ORT" TOWN OF NORTH ANDOVER • � t 9 Certificate of Occupancy $ '�s''•a° • tt� Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ Other Permit Fee TOTAL Check # 2 1 898 Building Inspector • rA S w A a v v z � A � rra a 0.4� ep N w 0. y:ES A CD o O w � .a v Cf) .j ro p � O aG � C U co C u. Q. � O c�4 � G u. w W O c2 y cn G C7 p C a ~ o 2 C/) Q C/) Z O EMO m d a C v Z O a C ep N • rCD V 0. y:ES m o CD av C. c R e m m O h Cc C • o Q 3 E a 45 N t N 9 CO Cl cm CD cc C! c m o cm N m O Z O F. z O U G R I H CD O L- CL CD c O CD V m CL GO 0 V .a CA c O c..i O c y 0 CD QM c .O m m i- .°c 3 .o CD Q LL- CL O D. cma c cc 0 CD Z CD CL CO2 ' c LLI U) LU Y/ W W W U) v =m Cc ep N m o av _ e m m O • o Q a � _ mor 6i y Z cc m rya CD F- = m �awo a- W C r=..�t LU •ra 'az D cc OO W N E o.0��' 0 CJ a O Oe C y Ca m 5 0:5CLz moy= �- L a U m E a 45 N t N 9 CO Cl cm CD cc C! c m o cm N m O Z O F. z O U G R I H CD O L- CL CD c O CD V m CL GO 0 V .a CA c O c..i O c y 0 CD QM c .O m m i- .°c 3 .o CD Q LL- CL O D. cma c cc 0 CD Z CD CL CO2 ' c LLI U) LU Y/ W W W U) 1=19:.ti7 MAR 16, 2009' FAX NO: 678-7458 #21814 PAGE: 2/3 r`liun+±E- '3 111 A Fver`n1 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMID MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 03/18/09DIYYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eaton & Berube-CL 02 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 365 Nashua Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 37 A Milford, NH 03055 INSURERS AFFORDING COVERAGE NAIC # INSURED Evans Construction Services, LLC 18 Shady Lane Milford, NH 03055 INSURERA: Maine Mutual Group Insurance Co INSURERB: Acadia/Berkeley Risk INSURER C: INSURER D: INSURER E: X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEYOuC MM/DDIYYE POLICY MM/ D/YY EXPIRATION LIMITS A GENERAL LIABILITY SCIO940172 07/11/08 07/11/09 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR DAMMAGSE TO RENTED ccu nc $250,000 MED EXP (Any one person), $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 X POLICY PRO JECT LOC A AUTOMOBILE LIABILITY ANY AUTO KA10940172 07/11/08 07/11/09 COMBINED SINGLE LIMIT (Ea accident) $500,000 BODILY INJURY $ (Per person) X rX ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per accident) X HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ 1 ANY AUTO H AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ $ $ [DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND BINDER188368 03/17/09 03/17/10 X WC LIMITS OTRH- ORY IM S E EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $100,000 Y OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS FAX TO: J Brown @ 978-623-0088 Joseph Evans has elected to be excluded from Work Comp coverage - 3A states included NH & MA CERTIFICATE HOLDER CANCELLATION Structural Systems Inc 10 Haverhill ST Andover, MA 01810 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) 1 of 2 #35922 JDX © ACORD CORPORATION 1988 11.1 to z 0 F- C-) F- U) z o tO LO Q) C-) U) Lij z z CD < m > z W ui < -T Lu CL in (D (o LL ooh ---.) h :E I 'd 002 M £09 SNVA3 WV 1ti:M 6OH-El-M Ce) .4-1ZI Q CL C) 11.1 to z 0 F- C-) F- U) z o tO LO Q) C-) U) Lij z z CD < m > z W ui < -T Lu CL in (D (o LL ooh ---.) h :E I 'd 002 M £09 SNVA3 WV 1ti:M 6OH-El-M EVANS CONSTRUCTION SERVICES, LLC 18 Shady Lane Milford, NH 03055 Phone(603) 673-3278 Fax(603)673-2100 jevansbldr@aol.com BID PROPOSAL Date: March 8, 2009 PROPOSAL SUBMITTED TO: Jay Brown Structural Systems, Inc. 16 Haverhill St Andover MA, 01810 WORK TO BE PERFORMED AT: Structural Systems, Inc. 865 Turnpike St North Andover, MA 01845 We hereby propose to furnish all materials and necessary equipment, and perform all labor necessary to complete the followingwork: Office renovations. *The following is a preliminary estimate based on a site visit with no accurate dimensions. Actual pricing will begin when final drawings are complete. Many assumptions have been made regarding quality of materials, etc. DEMOLITION: $7200.00 • Dumpster rental. • Remove gypsum wallboard, framing, etc. • Remove flooring. Carpet, ceramic tile, Linoleum, etc. • Remove ceiling tile. • Remove doors. • Remove cabinetry. Vanities, counters, kitchen cabinets. CARPENTRY: $14800.00 • Frame new walls. Drywall and finish (3 coat system) • Install 4 new bathroom vanities and kitchen cabinetry. • Install new doors, frames and casings. All othertrim to remain. • Replace suspended ceilingtile, wash ceiling grid. PAINT::$6500.00 • Prime and paint walls and trim with 1 coat of primer and coats of finish. • Paint ceilings with 2 coats of ceilingwhite. FLOORING: $15800.00 • Install ceramic file on floor of 4 bathrooms. • Replace existing carpetwith new, commercial grade, glue down carpet. • Install Linoleum , or equivalent, sheet flooring in kitchen. ELECTRICAL: $4300.00 • Replace 2'X 2' drop in lighting in suspended ceiling area with T-8 fixtures with electronic ballasts and parabolic lenses. • Install switching and receptacles where necessary. • Replace lenses, ballasts and lamps on existing lighting in drywall ceiling. PLUMBING: $3000.00 • Replace toilets and vanity tops in 4 bathrooms. • Install kitchen sink in new location. NOT INCLUDED: • Permitting. • Stair railings. • Ceramic the on rest room walls. • Fre sprinkler work. • Any work, not listed above, that may be required by local building or Fre departments. All above mentioned work to be completed in a substantial workmanlike manner for the sum of $54560.00* Payments to be made as follows: Once subcontractor pricing is complete, Contractor will require 50% deposit for material and Subcontractors. Remaining 50% to be paid in full upon completion. Price includes a 10% mark up on subcontracts and materials. Respectfully submitted, Joseph R. Evans Joseph Evans Construction Services, LLC This proposal may be withdrawn if not accepted within 30 days. ACCEPTANCE OF PROPOSAL You are hereby authorized to furnish all material, equipment and labor required to complete the work described in the above proposal, for which the undersigned agrees to pay the amount stated in said proposal and according to the terms therefore. Date: Owner/ Contractor PROJECT NUMBER: PROJECT TITLE:__ PROJECT LOCATION: 06S NAME OF BUILDING: ��__� ,, NATURE OF PROJECT: 661( -JE: !/� Y\)edv"OLAD IN AC OR N WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING ODE, V r REGISTRATION NO. ��' , 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 0 ARCHITECTURALZ STRUCTURALIP MECHANICAL 0 FIRE PROTECTION 0 ELECTRICAL 0 OTHER (SPECIFY) FOR THE ABOVE NAMED 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 ENGINEERING 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 AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 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 materials. 3. Be present at intervals appropriate to the stage of construction 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 REPORTVAH SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR SUBSCRIBED AND SWORN TO EFOREMETHIS 12th DAYOF Ma48 1 NOTARY PU LIC ( MY COMMISSION EXPIRES 12-29-11 OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER '• �'�`` `� ++cwiM CONSTRUCTION CONTROL PROJECT NUMBER: PROJECT TITLE:__ PROJECT LOCATION: 06S NAME OF BUILDING: ��__� ,, NATURE OF PROJECT: 661( -JE: !/� Y\)edv"OLAD IN AC OR N WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING ODE, V r REGISTRATION NO. ��' , 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 0 ARCHITECTURALZ STRUCTURALIP MECHANICAL 0 FIRE PROTECTION 0 ELECTRICAL 0 OTHER (SPECIFY) FOR THE ABOVE NAMED 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 ENGINEERING 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 AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 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 materials. 3. Be present at intervals appropriate to the stage of construction 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 REPORTVAH SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR SUBSCRIBED AND SWORN TO EFOREMETHIS 12th DAYOF Ma48 1 NOTARY PU LIC ( MY COMMISSION EXPIRES 12-29-11