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Home My WebLink AboutBuilding Permit #128 - Bldg-7A-Groupe Schneider 8/17/2007 � q ep BUILDING PERMIT NORTIy o �t, a TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Ty n O Permit NO: Date Receivedpq,Too �9SSAC HU`�� Date Issued: ,d1-7157 IMPORTANT: Applicant must complete all items on this page IF / y y , TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 0 One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial pair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other pttc ( I at a d� %� � shed esti, , DESCRIPTION OF WORK TO BE PREFORMED: _. I e2 n-e �' � uJ Identification Plda4 Type or Print Clearly) OWNER: Name: [-�- � �'� -tt�s� .� Phone: �I �`x 't Address: 10 !2�J to Iu €rA / ..X ARCH ITECT/ENGINEER -- Phone: j Address: 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: $ ��., �{� 3 FEE:' $ Check No.: /2 6 7 6 Receipt No.: NOTE: Persoils contracting with unregistered contrdctorrdo not have acce s the my nd XI Signa ire of Age -Jwne` i nature-o#contr +et' �. j t 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 ❑ ❑ i COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS s DATE REJECTED DATE APPROVED �'- HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments I Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit Located at 384 Osgood Street �'fiII�NT � � p rups"0 Locatd at 124��i�n Frra�gepartmeant sig�tat l�elc , 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 21 A—F and G min.$100-$1000 fine I ' i NOTES and DATA— For department use I I I i i .o I ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 I i 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 I ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract ❑ Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit NOTE. A471 Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses I ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance rReport (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 Location /Cf No. � Date 7 M�RTN TOWN OF NORTH ANDOVER 1. 9 ` Certificate of Occupancy $ • °mob+,. �. 4 a �". Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ r TOTAL $ Check lc� 674 20503 kbui ding Inspector Board of Building Regulations a d Standards HOME IMPROVEMENT CONTRACTOR Registration: 100530 Expiration: 6X19/2008 Type Private Corporation M.J.AMBROSES:ENTERPRIS%'I,NC. Michael Ambrose 209 Walnut St. Dedham, MA 02026 Deputy Administrator j `'� ,' /e -�oryz�ZuseaLriz r��iT/laeoac�uiaetta � t-i BOARD OF BUILDING REGULATIONS icense CONSTRUCTION SUPERVISOR j. j ,, Number CS 077738 5 tairthdate 02/11/1951 Expires 02/11/2008 Tr.no: 17909. �?nncFrurtien_�CS16 Restricted,i�`00 r J MICHAEL FLAHERTY D 344 BAY ROA NORTH Town of 0 . No. /2-4 A#02 Alm 00 - LAKE o , over, Mass., Joplrl ' COCHICHEWICK ORATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THATP" Foundation • has permission to erect....... ........................... buildings o /...... ......ef. .......................................................... Rough to be occupied as �. ,..I ...d6 Rol.... ... Oa .............................................................. chimney ....... C...... .. ....... provided that the person accepting fiis permit shall in every respect conform to the terms of the application on file in Fig 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI STARTS Rough .... ........ ... .... .. Service. . ......................................... B sPECTOR 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 BeDone FIRE DEPARTMENT F Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. r T Commonwealth of Massachusetts Department of Fire Services Osco of the State Fire Marshal P O:Box 10253tate Road;Stow,MA 01775 -7 PE°} MIT Date: ��/ `y Z North Andover Permit No (Cityof Town) (if Applicable) Dig Safe Num er rn accordance.with the vi ' . pro cions of NL G.L-.l 4 8,Chap.ter�Q_.as provided in section S? 7. ('MR 34 StartD ate _This.P - ermit.is granted to:. Fult name ofperson,Firm or Corporation Permission to locate dumps.ter. for construction/renovation/demolition of building. Coniinents:.: dumpster must . be . 25 ` from structure if unable to place with required Kestrictioas'clearance dumpster must :be covered with plywood or tarp end of 'work day (Give location by street and n ',or describe in such manner-s to provic equate identification of location) Fee Paid S 50.00. �4 This Permit brill ekpire• 6 (Signa e o ca granting permit) Ofca1 granting.p'errr it Chief Fire A'0401tl0 CERTIFICATE. OFLIAB1LfiY� INSURANCE 10001 ODR FALTER CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AND CONFERS NO RIGHTS UPON THE CERTIFICATE SCHORTMANN INSURANCE AGENCY ER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 801 HIGH STREET THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 BOX 347 COMPANIES AFFORDING COVERAGE DEDHAM MA 02028 COMPANY A Amedcan Inti Group INSURED COMPANY M J Ambrose E*Mrlees Inc B 209 Walnut$I COMPANY Dedham MA 02028 C COMPANY D 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LJMTTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I LTR Do TYPE OF SCE POLICY NUifIjER POLICY EFFECTIVE POLICY EXPIRATION UMfra DATE (MMMONY) DATE (MMID01 Yi GENERAL LL48UTY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG $ CLAIMS MADE F �OCCUR PERSONAL A ADV INJURY $ OWNERS&CONTRACTORS PROT EACH OCCURRENCE $ FIRE DAMAGE(Any ene Ore) $ AUTOMOBILE LIABILITY MED EXP(Any am persm) $ ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS GODLY INJURY $ (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per-ddenl) PROPERTY DAMAGE $ GARAGE L1ABILfiY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS UABLRY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORMERS COMPENSATION ANDffi[TV A EMPLOYERS LIABILITY I A THE PROPRIETORI WC 279-36-01 10/21106 10/21/07 EL EACH ACCIDENT $ 500,000 PARTNERSIEXECUTIVE INCL EL DISEASE-POUCY LIMIT $ 500,000 OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 500,000 OTHER *WI&OCPRJR R TX)NSIVEHICLESISPECIAL ITEMS 'CERTIFICATE,14OLDEA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL I f 3d DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, �0 py BUT FAILURE TO MAL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY r OF ANY KIND UPON THE COMPANY,TTS AGENTS OR REPRESENTATIVES AUTHORIZED P0493 iTATIVE ROY M BOURELL Board of Bu-Pailding Regq ns an au HOME IMPROVEMENT CONTRACTOR -Registration.. 1005-30 Ex _Pf ahon• 6119/2008 J TYpe: ROYWe Corporation M.J.AMSROSES EN-TERPRi9ES,fNC. Michael Ambrose 209 Walnut St. Dedham, MA 02026 D'e:puty;q:dmini�traYor OARD OPj3 &WING EG R O . , I cense CONSTRjC710N SUFERSISpNS, +' ' NumbeflS� : 077738x` feittdig 8te i0?J1/1951 `> pa Ex fres Tr Res; no: 1760 ,} J Mf CHAELf Ff AHE X00 ?°t f r. 3.4 BAY C"ommissiorre, .�'� 1 . The Craftrmawhip of Yerterday... The Technology of Today. 24 River Street • Dedham, Massachusetts 02026 INDUSTRIAL&COMMERCIAL RESTORATION CONTRACTORS 781-751-9000 • Fax 781-751-9001 April 19, 2007 HDG Mansur Inc. Services Re: Roof Restoration Attn: Mr. David Clapper Schneider Electric 10 West Market St., Suite 1200 Building 5E Indianapolis, IN 46204 One High Street North Andover, MA We hereby propose to furnish the necessary labor, materials and equipment to complete the following: This work shall be conducted in strict compliance with OSHA Standards Public Law 91-596 / December 1970. 1. Steep Sloped Asphalt Shingle Section • Acquire necessary building permits. • Install pipe scaffolding system at northeast elevation. • Remove existing asphalt shingle roof system down to nail board insulation. Replacement of nail board insulation if required shall be based on a unit cost of$16.85 per sq. ft. • Install W.R. Grace Ice&Water Shield to all sloped elevations. • Remove existing wood trim and clapboards at front and rear cheek wall elevations. West gable elevation wood trim and siding shall remain until Building 5W roof system is restored. • Fabricate and install new .040 bronze aluminum rake and fascia coverage system at all eaves and gables. • Install new CertainTeed Grand Manor limited lifetime asphalt roof shingle to all steep sloped (^ sections. • Install new CertainTeed Cedar Impression sidewall system at cheek walls. Color to be determined. • Rework as required, sill flashing under monitor window system. • Upper flat monitor EPDM roof shall be reflashed in its entirety. • Clean and remove all debris. • Reflash rising wall interface areas with new copper reglet sheet metal system. 2. Low Sloped Section • Remove existing EPDM roof system down to existing built-up roof. Built-up roof to remain. • Install new Carlisle 3.3" polyisocyanurate R-20 rigid roof insulation and 1/4" pre-primed DensDeck overlayment mechanically attached to existing wood plank roof deck. Deck replacement if required shall be at the owners discretion on a time and material basis. • Install a new Carlisle .060 Fully Adhered EPDM roof system per the manufacturer's written specifications with an 80 mph extended wind warranty. • Install new Zum Z-2150 retrofit drains or equal. • Flash all penetrations, curbs and perimeter walls according to the manufacturer's latest written specifications. • Install new Carlisle walkway pads at all serviceable equipment. • Issue a 15 year Carlisle Total Systems Warranty upon payment in full. • Mechanical disconnect and reconnect by Schneider Electric. Terms: Total cost for all labor, materials and equipment is: $ 162.420.00 (One hundred sixty two thousand four hundred twenty dollars) payable upon requisition. Note: 1.) The cost for the interior protection would be an additional- Not available at this time. roposal is subject to revision or withdrawal by Contractor for any reason until communication of acceptance,and may be revised after communication of acceptance where an k,_.,itent error by Contractor has occurred.This proposal expires(30)days after the date stated above if not earlier accepted,revised or withdrawn. The undersigned,represe ' g th It,,he/she is the Owner/Customer's agent and has the authority to enter into this contract,hereby accepts this proposal and,intending to be legally bound hereby,agrees that t writing allbe a binding contract and shall constitute the entire contract between Owner/Customer and the Contractor. /Customer: —"r Accepted: M.J.AMBROSE ENTERPRISES,INC. Title: Date: Date: SUBJECT TO TERMS AND CONDITIONS OF ATTACHED PAGE