HomeMy WebLinkAboutBuilding Permit #070 - 9 HIGH STREET 7/29/2008 BUILDING PERMIT °� N°RTH
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TOWN OF NORTH ANDOVER o? '` °Z.,
APPLICATION FOR PLAN EXAMINATION
Permit NO: 070 Date Received 79pD4ATED
9SSACHU`���
Date Issued:
PORTANT:Applicant must complete all items on this page
LOCATION I fir-l- 5—r' Yn l t; 4(/t G1)//I!
PROPERTY OWNER R C Print ,,S'
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
Repair, replacement Assessory Bldg Others:
Demolition Other
Septic Well Floodplain Wetlands Watershed District
Water/Sewer
DESCRIPTION OF WORK TO BE PREFORMED:
R ew Z Z ryu t r4
3 $
Ide ification Please Type or Print Clearly)
OWNER: Name: l A-G 0cl 'S /1v C Phone: `? �g r
Address: C
CONTRACTOR Name: P 4-v I Phone: Z 9
Address: t - 1 +�^.t\,j V rrm S" /V ti OV e4 r Y9
Supervisor's Construction License: C/ f Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Fty r N 0&T111 14 K C.G.,, t e:#'C s� _33
Address: l U0`7 C-*S � G� /✓f bus Ci V 401M PReg. No.
FEE SCHEDULE:BOLDING PERMIT`.!$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 7, C c� FEE: $ i 0 7(p
Check No.: l 0�1 /07 Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Signature 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 tteGo"/nom Sr
OF
CONSERVATION Reviewed on Signature
COMMENTS
�ijLu
HEALTH Reviewed on ure
COMMENTS
c
s
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 onsite yes no
Located at 124 blain Street
Fire Department signature/date
COMMENTS
f
f
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
o 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
w.
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 2.2008
Location -y
No. Date
MORT� TOWN OF NORTH ANDOVER
3 •. OG
i ; , Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ '7 a"
Check # 4 on
2 1 6 5 B ildi g Inspector
NORTH
over
ToVM of And
No.
0
over, Mass.,
14� COC MIC HE WICK V
0RATED J"'e
BOARD OF HEALTH
Food/Kitchen
Septic System
PERMIT T D
BUILDING INSPECTOR
THISCERTIFIES THAT... ......... ........... ...................................... .............. ........................................................................... Foundation
has permission to erect......................................... buildings .......S/
Rough
f7'a- C o4e. Chimney
.........................Y .. I . ........................
to be occupied as.......r........ .............................................................. '
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. se-4vo-j-"W" -,;r i PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS Rough
..................... Service
BUILDING INSPECTOR Final
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.
Stachey's Budget Version 1:64-08
Item Cost RCG Stachey's Unaccounted Revised Stachey's
Site Work
Patio Pavers $ 6,800 $ 5,800 $ -
Patio Railing $ 2,000 $ 2,000 $
$
Space Configuration $
Demo $ 2,200 $ 2,200 $
Doors and Vestibule $ 2,660 $ 2,550 $ 1'1rt
Floor Prep $ 1,900 $ 1,900 $
Painting $ 1,200 $ 1,200 $
Sprinkler Heads $ 1,100 $ 1,100 $
Water Service $ 1,600 $ 1,600 $
Clear Mechanical Room $ 900 $ 900 $
Base Electrical/Fire Alarm $ 8,000 $ 8,000 $
Interior Updates
Soundproofing $ 1,200 $ 1,200 $ $ 400 _
124on HVAC $ 10,600 $ 10,500 N/A
New interior ductwork $ 2,100 $ 2,100 N/A
Kitchen Items
Kitchen Partitions $ 1,200 $ 1,200 $
Service Counter wall $ 800 $ 800 $
Service counter laminate $ 1,000 $ 1,000 $
Countertop $ 2,000 $ 2,000 $
Drop Ceiling $ 4,000 $ 4,000 $
Rubber Flooring $ 2,000 $ 2,000 $
Stainless Steel for walls Na n/a in price for venting
FRP for walls $ 400 $ 400 $
Kitchen traffic doors $ 200 $ 200 $
Piping $ 16,000 $ 15,000 $
Kitchen venting $ 17,000 $ 17,000 $
Shaft for venting $ 1,900 $ 1,900 $
Wire Kitchen/Mech equipment $ 7,000 $ 7,000 $
Food serice equipment $ 63,000 $ 53,000 $
Bathroom items $
Tile $ 2,300 $ 2,300 $
Accessories $ 100 $ 100 $
Piping $ 4,000 $ 4,000 $
Drain Tie-in $ 1,800 $ 1,800 $
Fixtures $ 1,300 $ 1,300 $
Finishes $
Hardwood Flooring $ 4,000 $ 4,000 $
Misc Flooring $ 1,000 $ 1,000 $
Lighting Fixtures $ 600 $ 600 $ -
Install owner lighting $ 2,200 $ 2,200 $
Signage $ 1,000 $ 1,000 $ Coke will provide
Construction Management $
Permit drawings #VALUE!
Building Permit #VALUE!
General Conditions #VALUE!
Supervision/Fee #VALUE!
Contingency
Total $ 164,860 $ 54,350 $ 110,500 #VALUE!
Per Square Foot.(2,500 SF est) $ 66.94 $ 21.74 $ 44.20
Paul North Architects, P.C.
Architecture - Interiors • Project Management
1007 East Street Paul E.North,AIA,NCARB
Mansfield,Massachusetts 02048 President
508.339.5161
August 23,2008
AFFIDAVIT
ARCHITECTURE
Permit No.
TO: North Andover Inspector of Buildings
RE: Renovations and Fit-Up for Stachey's Pizzeria
High Street and Water Street
North Andover,MA
I certify to best of by knowledge, information and belief,that the plans and specifications prepared by Paul
North Architects,PC dated 11 July 2008 accompanying the application for the renovation work at the location
referenced above are in accordance with the requirements of the Massachusetts Building Code and all other
pertinent laws and ordinances in accordance with the sixth addition of the Commonwealth of Massachusetts
Building Code, 780 CMR, Section 116.2. I have been responsible for the review of drawings,samples and
submittals for items indicated on the Architectural drawings.
We have been on site and confirm that the construction is approximately 50%complete. We have been on
site to confirm that the quality of materials, in general, is in conformance with the project requirements and
that the work being performed is in a manner consistent with the constriction documents.
Sincerely,
Paul North Architects,P.C.
6�9 WARD Tt�`
9
a
Paul E.North,AIA,NCARB n No.30192
President BOSTON
MASS.
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Equipment List
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Fr>31 �uppRSssoN 22 22.'
1. One Door Cooler �C
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92�ieP MU Z. Fryer
3. Four foot Griddle I
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.79 1 T Exhaust Duct o
Item Number 2 a;
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Air Flow _° W o
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48 -- Fire Suppression Discharge Nozzle ; (0 r
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LAN N V IIIIIIIII Flexible Duct �z
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1—T ` Clean Out Door _
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Equipment SpecificationsF—]
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Exhaust Hood #1 — Rear Discharge 18 ga. Stainless steel hood, 7'-9"X 48"X-24" high, full length filter T w o
rack, all welded grease shell, removable grease cups, 6"supply plenum on rear, UL Listed Baffle t4 -Z
{`EMOVABLE �REASE HNFilters and Light Fixtures. CATCH PAN �oExhaust Hood #2— Rear Discharge 18 ga. Stainless steel Type II hood, 13'-8"'X 60"X 24" high,filter < M
rack to cover outlets only to protect shared duct, all welded shell, 6" supply plenum on rear, ULa
Listed Baffle Filters and Light Fixtures. N '�
EF-1 — 24" Upblast Exhaust Fan, with 2 hp, 30, 1 speed motor, Hinge kit, and removable grease trap. 22 x 22
LU v
6700 CFM @ 2100 FPM in an 22"X 22"welded 16 ga. Galvanized duct. Duct to be wrapped with o
Zero Clearance Duct wrap.
CLEAN OST
MU-1 — Non tempered Make-up air System with 18", 2 hp, 30, 1 speed in-line Blower- Fan. 6700 CFM =
100% returned to room.
4r(-1 F1OOR g x o
Fire Suppression —A UL-300 Fire suppression systems will be installed to cover the two hoods, Ducts, Paar o c"z,
and appliances under the hoods. z (-n u C
Notes: h
1 - Upon activation of the Fire Suppression System, the Exhaust fan shall remain on, and the -
supply system, gas feed, and any electrical outlets under the protected..area shall.shut down..
2— Fire system components in drawing are schematic only, typical for both hoods. ActualCC
a
locations of the components to be determined by installer, on-site:
3—An electrically operated gas valve on the main gas feed shall be interlocked with the exhaust '3" FLoo R
fan and shall have a bypass line around it to supply enough gas to the appliances to keep M-PcH Room
the pilots lit during hours of non operation. _rt^ V. n
4 - System is built to meet NFPA 96, NFPA 54 and all local building codes. aYcAL l ;z
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PUBLIC HEALTH DEPARTMENT
Community Development Division
July 24, 2008
Terry Holland, Owner
54 Tucker Farm Rd.
North Andover, MA 01845
Re: Stachey's 11 Inc.
21 High Street,Bldg 3,East Mill, Suite 205
Dear Mr. Holland,
This letter is in response to your application for a New Food Establishment that was initially
received by the Health Department on July 7,2008 with subsequent additions. This plan has
been approved. Please note the following.
1) Be sure all drop ceilings in food and food prep and storage areas are washable
2) Label grease trap per plumbing code If you have one or more interior grease traps please
note the plumbing code 248 CMR 10.09 (m):
1. A laminated sign shall be stenciled on or in the immediate area of the grease trap or
interceptor in letters one-inch high. The sign shall state the following in exact language:
IMPORTANT This grease trap/interceptor shall be inspected and thoroughly cleaned
on a regular and frequent basis.Failure to do so could result in damage to the piping
system, and the municipal or private drainage system(s).
3) Be sure ceramic tile coving is curved at the base in all areas
4) Toxic storage—N Andover requires MSDS sheets for all chemicals. Inspector will be
checking for a complete book of MSDS sheets to be easily accessed in an emergency.
Post construction some items needed to receive the permit to operate are:
I) The establishment will be clean
2) The handsink and bathroom will be stocked with a wall mounted paper towel and soap
dispensers
3) The ladies room will have a covered trash can for feminine-item disposal
4) Bathroom must have"employee must wash hands before returning to work" signage
5) Handsinks should be labeled"hand wash only"
6) There must be test strips for the Chlorine sanitizer on site. Your application showed
"Iodine" as an alternate sanitizer. If it is in use,please have testing capability for the
iodine as well.
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
7) Sanitizer buckets should be set up for.review of locations you are keeping them
throughout the kitchen.
8) The three-bay should be labeled"wash,rins , sanitize" in the direction of the intended
e
cleaning procedure.
9) Gloves must be on site. Please note that the state does not recommend the use of latex
gloves due to some person's sensitivity to latex that may cause them illness.
10)You must obtain copies of the state and federal
the food
k codes
any ankeep them o premises
11)At minimum, employees should be trained
Thank you for your commitment to keeping the public safe.
Sinc ely,
usan Sawyer, REHSS/�
Public Health Director
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fox 918.688.8476 Web www.townofnorthandover.com
I
ISD AF 4
ELECTRICAL DESIGN AFFIDAVIT
I
Permit No.
To the Commissioner, Inspectional Services Department.
Re: Ward
I certify that to the best of my knowledge, information and belief,the plans and
computations accompanying the attached application concerning the locus at:
Stachey's Pizzeria 21 High Street East Mill Building 3 Suite 205 North Andover Ma
Ward are in
accordance with the requirements of the Massachusetts State Building Code and all other
pertinent laws and ordinances.
Brian Wyllie—45219
of U,4
yG ENGINEER—MASS. REG. NO.
c
BRIAN M. Commercial Construction Consulting, Inc.
WYLLk
ELE 1 COMPANY
9p ISTEQ�����Q 313 Congress Street, Boston, MA 02210
FSO/ONAL�� ADDRESS
617-330-9390
PHONE
July 11 2008
Then personally appeared the above named &eI 4n/ l r/YL c iC and made
oath that the above statement by him is true.
Before me,0*
My Commission Expires:
20 C
ISD AF 3
PLUMBING DESIGN AFFIDAVIT
Permit No.
To the Commissioner, Inspectional Services Department.
Re: Ward
I certify that to the best of my knowledge, information and belief,the plans and
computations accompanying the attached application concerning the locus at:
Stachey's Pizzeria 21 High Street East Mill Building 3 Suite 205 North Andover Ma
Ward are in
accordance with the requirements of the Massachusetts State Building Code and all other
pertinent laws and ordinances.
Kenneth R. Wa ner — 40183
t°OF/y�gssq� ENGINEER—MASS. REG. NO.
g� KENNETH R. tiN
o WAGNER m Commercial Construction Consulting Inc.
MECHANICAL COMPANY
No.40183
A�o��s o/STS
NAL E��'���Q 313 Congress Street, Boston, MA 02210
ADDRESS
617-330-9390
PHONE
July 11 2008
Then personally appeared the above named and made
oath that the above statement by him is true.
Befor m ,
My Commission Expires:
�j
�0 ' 2 Q�
ARCHITECTURAL DESIGN AFFIDAVIT
Permit No.
To the Commissioner, Inspectional Services Department.
Re: Ward
I certify that to the best of my knowledge, information and belief, the plans and
computations accompanying the attached application concerning the locus at:
—Stachey's Pizzeria 21 High Street East Mill Building 3 Suite 205 North Andover Ma
Ward are in
accordance with the requirements of the Massachusetts State Building Code and all other
pertinent laws and ordinances.
Paul North —029133
Architectural—MASS. REG.NO.
AMC
cy/r
c '�ywPaotio`�o,. Paul North Architects PC.
div 9s COMPANY
CL No.3o192
g0�SN j
1007 East Street Mansfield MA 02048
Of ADDRESS
508.339.5161
PHONE
July 11, 2008
Then personally appeared the above named and made
oath that the above statement by him is true.
Before e,
Myo W/fission Expires:
7 ' 20
i
x.
. i
Ma�sachusctt - Departnicnt uf'puh,ic Safcth
Board of Buitdimx a
ujltfIls
Construction Superv�is�or� Lic nse�tndartSt .lc
License: CS 9105
-
5
Restricted to: 00
PAUL G HUTCHINS
121 FARNUM ST
NORTH ANDOVER, MA 01845
IA
Expiration: 5/5/2010
� nnmissiuuv
T r#: 28078
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