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Building Permit #186-11 - Exception 9/2/2010
BUILDING PERMIT of NORTH 4OR H S'•r 9E:'tt •-b•t6 O TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION h Permit NO: �1 Date Received 6 �4pORArt / gSSHCHU`�� Date Issued: IMPORTANT:Ap licant must complete all items on this page :LOCATIONblei . 1 + MCOW PROPERTY OWNER -- Print.. - _ MAP 210::_ PARCEL:: ; ZONING DISTRICT: Historic.District:. yes ' :no - M achine Shoe 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 1Nell Floodplain. : Wetlands Watershed District :. Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: AunzL %w!D , kyo ZalPfiwdtI .GTS mr Enariuts 126�Ti21►slr Identification Please Type or Print Clearly) OWNER: Name: rails NTIUA i4-r— G<is-p i-A Phone: 81 6c)cf 02�-:� Address: ti X164 -Jropt ,tom _ '�_ ' �4�_1J V�+iti.� id.. _ t, r 131 ���5" �..✓� CONTRACTOR Name: l £ Phone 9;101 G196:_a 51 Address: 70 "C� iJI<+ki So��C► �J 1 5 33 Su.oervisor`s Construction.License: E�c�p.:' - Date; Home lmproyement L cerise Exp.: Date;. ARCHITECT/ENGINEER (5'>0 Phone: 9181 GBB' 5'4- i Address: ��� �ut) JJLX D �iywrcx l 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: $ r0 ( to FEE: $__tea :11' &0 G i Check No.: r � Receipt No..- NOTE: o.:NOTE: Persons contracting with unregistered contractors do not have acces o u ranty fund Signature of Agent/Owner _ Signature of contracf G� - - - - - - - J 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 Reviewed on Siqnature COMMENTS HEALTH Reviewed on &Z Signature cr COMMENTS 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 L ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 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 j 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 1 ❑ 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:Building Permit Revised 2008 R Locatio No. / �. Date l NORTN TOWN OF NORTH ANDOVER ti+ 3?O:t . o , 1'tiG L f R Certificate of-Occupancy $ CHUs<� Building!9 ra Permit Fee $ Foundation Permit Fee $ � Other Permit Fee $ TOTAL $ Check #� 2335 a Building Inspector � f r FAX COVER SHEET Cheever and Rhodes Mech.,LLC 70 Tenney Street Georgetown, MA 01833 Ph:978-352-3335 Fax:978-352-3379 Cel/:978-621-2971 SEND TO Company name From Town of North Andover Keith Rhodes Attention Date Building Department/Plumbing Inspector 2/6/2013 Office location Office location 978-688-9545 978-621-2971 Fax number Phone number 978-688-9542 Urgent Reply ASAP x❑ Please comment Please review FIFor your information Total pages,including cover: 2 COMMENTSIME ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- Ihave a customer that would like to relocate a gas water heater to a new location,see back up page faxed ----------- - -------------------------------------------------------------------------------------------------------------------- with this cover sheet.The new location would be at the top of a staircase so I wanted to know if this ----7----------------------------------------------------------------------------------------------------------------------------- is a building code issue to locate this water heater to this location before I proceed with pulling the plumbing/ ______ -------- _---gas permit for the job and do the work. -------------------------------------------------------------------------------------------- -- If acceptable could you_let meknow the cost of the permits? _____ _______ ___ ____________ _____________ -------------- ---------------------------------------------------------------------------------------------------------------------------------- Email: Krhodes235@aol.com --------------------------------------------------------------- -- ---------------------------------------.._......_..-- - -- - Cs!1:978-621-2971 --------------------------------------------------------------------------------------------••------------------------------------- ----------------------------------------------------'--------------- --- ---------------------------------------------------------- ------------------------------------------------- .. -- ----- --- -------------------------------------------------- --t ---- -- ----------------------- ---------------------------------- Thanks, -------------------------------------- --------------------------- ------------------------------------------------------------ Keith ---------------------------------------------------------------------------------------------------------------------------------- I12, mCL-A •Staircase is not an emergency_staircase for the building. - Access to basement onl- r storage for Jaime's Restaurant. KITCHEN � (D MAILROOM l OFFICE OSTEss New,proposed] STATION Current location .location of of water heater. `� ,_^ water heater. C-- — qi) IV 7TH DININGr, ED IL-J THBOOTH ( 5_6510gas Polars SEMIIPRIVATEAmerican water Heaters ENTRANCE KING AREA CCompan •�airrie s Restaurant=I`25�Higfi Sfreet��NorEh Andover f ..._..�...._�' USA Cheever&Rhod, :anical 70 Tenney Street Ee Olu 31.77 Georgetown, MA 01833 "'"""° F �� �.�ms#"�s �{ 5 A140v� j ...M*-=w:"�•:�:#.s��:.w 'l��,i#�'#'t"###'�#'.#"#�#ii,l#j#t##1��!##I�#It�rr#�#�#�#slll##' 1 11111141 t1 it it 1 1 1 11 1 till 11114 S1 ttt 1t 1 ! ! s Mech l 4 Date. 7A . ... .. MORTM TOWN OF NORTH ANDOV R O � F • - PERMIT FOR GAS INSTALLATIO ♦ ,' s SACMUSES•C This certifies that has permission for gas installation .4.41-S!e& . 101�!e .�D ' •. . in the buildings of /"grjq' 1).�S�UI"Cj!'J �I,f�?• .�LG , , at t4 . .• . . . . . . . . . . . ., North ndover,, Mass. Fee 8S+AU Lic. No.I�X33. . . GASINSPECTO Check# /a3 7846 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING Building Location: 25 High Street Owner's Name: Faria Restaurant Group, LLC Map# Lot# Type of Occupancy restaurant New Renovation X Replacement Plans Submitted: Yes No X 94 H d w Z rn W W w Ew ¢O 0 7 W w Z w a d w x > W p z a w w 2 QQ O O O > O > p Q O a x 3 U w °" x Q o SUB- BASEMENT BASEMENT 1 FLOOR 1 2 FLOOR 3RD.FLOOR 4 .FLOOR 5 .FLOOR _97-FLOOR C Installing Company Name: Cheever&Rhodes Mechanical, LLC Check one: Type of Certificate Address: 70 Tenney Street Corporation Georgetown Zip Code 01833 Partnership 3208 Business Telephone:978-352-3335 fax 352-3379 cell 978-621-2971 Firm/Co. Name of Licensed Plumber or Gasfitter: Keith E. Rhodes INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes X No If you have checked Yes please indicate the type of coverage by checking the appropriate line: A liability insurance policy: X Other type of Indemnity: Bond: OWNER'S INSURANCE WAIVER: I am aware that the license does not have the insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check One: Signature of the Owner or Owner's Agent: Owner Agent I hereby certify that all of the details and information I have submitted(or entered)are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Signature of the Licensed Plumber/Gasfitter: Keith E.Rhodes Type of License: Master X Journeyman_Plumber X Gasfitter License Number 11433 This Section for Official Use Only Permit fee: Receipt#: Date Received: Received by: Permit#: Plumbing/Gas Inspector: Approved Date: n REV 8/5/08 P a � ag �. 0 ��' �> s ,, .`W i- � �� a' • av MY .� J ��.! ei 2 � � ,y�ct a r � 4, y , �� �''; �-�,� .�= -- � �, tidy ���� �1� a y❑ r � a Q a �� �a,.. � � i� f¢ ,. .int .,�, 11 s ,i: il'� .x� W��`S�pT•T � MA. _�� S;, -;_ `d MORTk CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Permit# 005 (7/2/08) Date: Sotember 29, 2008 THIS CERTIFIES THAT THE BUILDING LOCATED ON 21 High Street 9 f M.AY BE OCCUPIED AS High Street Grill — Restaurant ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AN) $UCH OTHER REGULATIONS AS MAY APPLY. /41D Certificate Issued to: RCG No. Andover LLC 21 High Street North Andover Ma 01845 +t Building Inspector NdRTIJ _TONM of tAndover NO. O0s 0 -z rD _ "KE © over, Isef"S., 1 , SQA [OClQ[MEwKR`y �.4 DATED 1`� r(5 s � BOARDV16" N rx PERMIT T Food/KitchenC' Septic System S THIS CERTIFIES THAT......_.. ". ...:........ 1,. :...��' �l...t�!.� .�/� BUILDING INSPECTOR has Permission to Iwildin f-� roan erect. gs an...���....:.. .,.................................................................. to be WXWIed as.............................. 1,' �. ..:..... l'.:% ........................... - provided that the person accepting this ermit shill in every m:per#conform to the terms of the application on file In ;nal this offlce, and to the preWslons of the Codes and By-Laws relating to the Inspection, Alteration and Cons Ion of / Building: in Me Town of North Arnfover. if1•r 61,E , iG�i�" BING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. l�"` �h 4 kltIL PERMIT EXPMS N 6 MONTHS -;-t UNLESS CONSTRUCT�,ON ST JS ELECTRICAL IIVSPECI�OR ....� :^�.... .....1. . .. Service BUILDING IIV3PECTnR _. Om4pancy Permit Required to Occupy Building GAS INSPECTOR splay in a Conspicuous Place on the Premises — Do Not Remo Ro q./., ;I No Lathing or Dry Wail To Be Done Untif Inspected and Appr ed by the Building inspector. ButnerRE D,� ` Street No. �•� SEE REVERSE SIDE Smoke Det. i ,d ? Date.... ......!.................. 1 AORTM °fs"`° '•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING � ,SgACMUSE� I � I Thiscertifies that ......:..................................................... ................................ � A has permission to perforrnr, .._ o wiring in the building of. ... .... ... ;X.- :....... ............... ... ....... .North Andover,Mass. A Fee/.? S..f. Lic.No.............. ......... . .. . . . . .... ELECTRICAL INSPE�. Check # 8334 404 j -C\ Commonwealth of Massachusetts Official Use Only Permit No. e2 3 7 Department of Fire Services Occupancy and Fee Checked /Cb BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 527 CM .12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: d City or Town of. NORTH ANDOVER To the Insiedtor of ires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) d �� Owner or Tenant ter,ff ,,T�� 6?—L L L f- Telephone No.uj' – Pj Owner's Address 0)-4(d°!`f ST-i a/ •f�j�/j� QL,� Is this permit in conjunction ith a buil g permit? Yes No ❑ (Check Appropriate Bog) Purpose of Building -was Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: U-w Completion.of thefollowing table may be waived by the Inspector of Wires. i No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ED In- ❑ o.o Emergency Lighting rnd. nd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 11 No.of Switches No.of Gas Burners N ,of Detection and Total — Initiating Dbvices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number I Tons IKW No.of Self-Contained Totals: - ........... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water KW No.of No.of Data o%fS evices or Equivalent Heaters Signs Ballasts Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: �q Na.of Devices or E uivalent �r OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of ec 'cal Work. r (When required by municipal policy.) Work to Start:Q Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:)/k f 6L r O tK n/ j�S. � T (Stj�A A41(5'r I certify, under the pains and penalties of perjury, that the information on this application is true and complete &I) FIRM NAME: LIC.NO.: S.iceasee: tC � Signatu LIC.NO.: �/ (If applicable,,erater"exempj"in the license number line.) Bus.Tel.No.• 1�`S � *Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ /,R5— 0At, e. The Commonwealth of Massachusetts t Department of Industrial Accidents Office of Investigations k1VJ 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address:1/ 7 YFC77� City/State/Zip: . 0 81/_ Kne #: Are you an employer? Check the appropriate(lox: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6 ❑' ew construction fe�ployees(full and/or part-time).* have hired the sub-contractors 2.[g'I am a sole proprietor or partner- listed on the attached sheet. t 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doingall work right of exemption er'MGL 11. Plumbing re P p ❑ g pairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: y ( [ `li(J s' �� S Policy#or Self-ins. Lic.#: Expiration Date: 64 Job Site Address:c�Jr�'44a ` 7:0! ! City/State/Zip: r �►n Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ;,nine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of 'Investigations of the DIA for insurance coverage verification. I do hereby certify under 0,epains and penaltie perjury that the information provided�labov is true a d correct Si atu Date: d 7� d G Phone#: I al use only. Do not write in this area,to be completed by city or town officialr Town: Permit/License# g Authority(circle one): rd of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector er ct Person: Phone#: i NORTH Town of A- ndover 46 - - _ dover, Mass., Z LAKE T O •- COCMICKEWICK V 7��oRATE D Cl �7 BOARD OF HEALTH PERM .IT T D Food/Kitchen Septic System .. �� LDING INSPECTOR THIS CERTIFIES THAT... . .. —szzrsfFJ �N. ��......... .. c.. ..�. .Ct..l.�!I!l ........ .......1.......... o�n ation has permission to erect........................................ buildings on..Q3.....t--ks-h...sr..................................**................. Rough to be occupied as..... .. ��! , ..... iu.�S. ..... ....... ... .h.. Chimney . . .. . ................................ provided that the person accepting this permit shall in every respect co orm 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR l DO G:z_ UNLESS CONSTRUCTJON S TS Rough 10� ..................................... ...................... ........... .......... 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. ,� r3 NORTH Of .J.'660 169'{Q '= Town of North Andover Machine Shop Village Neighborhood Conservation District Commission 1600 Osgood Street North Andover, MA 01845 SS�cNubti Certificate to Alter Date: 26 August 2010 Contact Name&Address: James Faria 25 High Street 978-609-0252 Project Address: 25 High Street Project Description (attach additional pages,if needed) Add two black awnings and handicap ramp, relocation of gas meter per the attached drawings. Any changes to these items from the attached plans shall be subject to review by the MSV NCDC. Commission Vote: Voted 3-0 to grant Certificate to Alter on August 26, 2010. Signe1d Lize a M. Fennessy Chairman Machine Shop Village Neighborhood Conservation District Commission OF tkoRT" Town of North Andover t It Machine Shop Village Neighborhood Conservation District Commission 39�•:,.° �� 1600 Osgood Street North Andover, MA 01845 SSacHusg f �q Application For Certificate to Alter Instructions: Fill out the form below and submit to the Machine Shop Village NCD Commission Chairperson(contact info below). The goal of this application is to provide a clear understanding of the proposed alterations,and how they vary from the existing conditions. Your application must include photos or plans of the existing conditions,and plans or drawings of the proposed changes. Include product&material descriptions for both existing and proposed conditions. Discussions with the Building Dept.or MSV NCD Commission are not a substitute for filing an application. f Date: 1 6 Contact Name&%,/drreess: j Project Address: Project Description(at",dadil' ral pages,if needed): Laic mu'6 q14) #,1q 16" 31-0 &-N / &IJ iy�-d W 1e' Ad[ fL�' i) Information Provided: Photo/Drawing of Existing Conditions Photo/Drawing of Proposed Conditions Description of Existing Materials Description/Catalog Cuts of Proposed Materials to be used . i therinformation scribe): _ S r �- t/ ► -c- ngf1-1 I MSV NCDC Current Chair.Liz Fennessy,77 Elm Street,lizettafennessv@yahoo.com,978-688-2915 PURSE AG4EMENT MORGAN AWNING COMPANY 10 Atlantic Avenue Date: Woburn, MA 01 (781) 569-6311 F x81)569-6 8 Order No. u 1 Terms: C.O.D. Sold To: /'/� Z'J t_%/'Q2 , 1=� l Material $ Labor$ � // // Total Pricec /11b. ,�7jdn✓C ��i7- Down Payment$ '�(?'' Balance$ Install: cP-6 i— GSA- 2A5 Sales Tax$ Permit$ GAP Fold Line Balance$ Details of Work: Color and No. Jl cS'.97o ❑ Brick ❑ Wood ❑ stucco ❑ Asphalt � P/T ��7zSl�lC /O�• ❑ Other e / L e l �yD -3 x,4 All Orders Subject to Acceptance of Salesperson Date MORGAN AWNING COMPANY By Company Official Date Buyer Date I, t" t tet � r i,r• A ; _ . . aur q y ........... CF:' S:'. gig v� ALIGNi.- v8 IS01" 711 o toilF-7 41' FF-Li 3'-S 1/2" BB T-21/2" 3` w @ ----- s s M �-- 3 31" N jam z N. w N i - - - nt WCATo h\rYY 1—0'M.-4A.-10"M-W-WMoePr Meu,wU\M I CMtW M Am 8-4-10— G I t�ilM 0 project/owner:• sheet title: consultant.' architect.CA 1 � �► Q N'��,.�e m PROPOSED RESTAURANT FURNITURE PLAN,DETAIL GSO Aesociates,LLC 0 a a aR 25 HIGH ST PLAN,INTERIOR 148 Main SL Bldg.A V e '�afiR ELEVATIONS AND SECTIONS North Andover,MA 01&15 cqi> ■�[ii NORTH ANDOVER,MA Q hiw��a Tel'.978-NO-5422 ��OOM t� Fax 978.8885717. • ,ai9,a.i1 9 � r: Date. <".O°T TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING CHUS t f'r S This certifies that . . . . .` . has permission to perform . . . . . _: -` . . . . . . . . . . . . plumbing in the buildings of . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . at. . = .. .. . . . . . . . . . . . . . ... . . . .. , North Andover, Mass. Fee° Lic. No.. '. ` . ... PLUMBING4NSPECTOR Check # " l C" r MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSWIr S Date S,��e�f Building Location /t Owners Name ��(� j, l S Permit �— Amount / Type of Occupancy _��� New Renovation Replacement Plans Submitted Yes ❑ No ❑ FIXTURES LFC rn6.4 a � o o a F co O A A a � L5 q rq M FLOM M FIlOM 31 FIDM 4MFLOM SIIi FIJOCl2 6IH RKM - 7M FLOM SIH mom (Print or type) Check one: Certificate Installing Company Name r( �/ G-� 1� �� Corp Address o� ��- ?!iI P� �� PQ�`j� Partner. Business-Telephone / Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: a Liability insurance policyCr Other type of indemnity ❑ Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plambung Code an r 142 of the General Laws. By: igna tl o 1cense um er Title Type of Plumbing License � _ ,. I lCity/Town PROVED(OFFICE USE ONLY i�{se um er Master A +� Journeyman ❑ PPRt.._I TOWN OF NORTH ANDOVER Construction Control Affidavit Project Number: Architect's Project Number: 1005059 Project Title: Proposed Restaurant Project Location: 25 High St, North Andover Name of Building: 25 High St Nature of Project: Tenant Fit-up of Existing Restaurant In accordance with Section 116.0 Registered Architectural and Professional Engineering Services-Construction Control of the Massachusetts State Building Code, I, Gregory P. Smith Registration No. 8688 being a Registered PFefesswenal EngineeF/Architect, HEREBY CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Architectural )0= Structural Mechanical Fire Protection Electrical Other(specify) FOR THE ABOVE-NAMED PROJECT AND THAT SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE 780 CMR 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 materials. 3. Be present at intervals appropriate to the state 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. UNDER SECTION 116.4, I SHALL PERIODICALLY SUBMIT A PROGRESS REPORT, TOGETHER WITH PERTINENT COMMENTS,TO THE ANDOVER BUILDING INSPECTO P COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY ND READINESS OF THE PROJECT FOR OCCUPANCY. Signature.and Stamp(no facsimile) >sp t38� SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF Auous 2010 MY COMMISSION EXPIRES LINDA VgNDEV00RDk NOTARY PUBLIC NotarS ==ub;ir-New Hampshire My Cormisso :xpires April 15,20-14 DelleChiaie, Pamela From: Sawyer, Susan Sent: Wednesday, August 04, 2010 8:47 AM To: Bradshaw, Joyce Cc: DelleChiaie, Pamela Subject: Faria Recommendation TO: Board of Selectmen FROM: Susan Sawyer Health Director DATE: August 4,2010 SUBJECT: The Granting of"A Transfer of all alcohol,alteration of premise,entertainment license, change of manager from Bet It All LLC,from Kristi Morris to Faria Restaurant Group D/B/A Jamie's 25 High Street" This memo is in regards to the application to the Board of Selectmen as requested above for transfers from the licensee who occupied the former, "High Street Grille"to the Faria Restaurant Group. The Board of Health has no objection to the approval and granting of the request with the understanding that currently this entity holds no license with the N.Andover Health Department nor has formally applied for a license at this time.The Health Department has met the prospective applicant and has avised them of the requirements to comply fully with the State and Local food and sanitary codes. �.1� 42 St(i an Sawyet Tu6Pic NeaftP.Diud" 160C Uogaod Stwet J1&4 2C,unit 2.36 Nodh Qndaaen,✓to 0845 mice 97S 6SS-9540 fax 97S 6SS-8476 V f� All email messages and attached content sent from and to this email account are public records unless qualified as an exemption under the [ http://www.sec.state.ma.us/pre/preidx.htm ]Massachusetts Public Records Law. I i i � CERTIFICATE OF LIABILITY INSURANCE OP ID DL DATE(MM/DD7YYYY) 06/17/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. certificate holder Is an ADDRIONAL INSURED,the polis les)must be endorsed. If SUBROGATIO—N-1-S-WA-IVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: PHONE Elite Insurance Services, Inc. alc,No (AIC,No): 375 Totten Pond Rd. ADDRESS: Waltham MA 02451 CUSTOMERID#: CHEEV-1 Phone:781-895-9911 Fax:781-895-9913 INSURER(S)AFFORDING COVERAGE NAIL# INSURED INSURER A: Merchants Insurance Group Cheever 6 Rhodes Mechanical INSURER B" Travelers Insurance Co LLC Roy Cheever INSURER C. 68-70 Tennery S01833 Georgetown INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MWDWYYYY) 0WIDD/YYM LIMITS GENERAL LIABILITY EACH OCCURRENCE $1000000 A X COMMERCIAL GENERAL LIABILITY 13OP1042267 09/01/09 09/01/10 PREMISES Ea occurrence s500000 CLAIMS-MADE ❑X OCCUR MED EXP(Any one person) $1'55000 PERSONAL 8ADV INJURY $1000000 GENERAL AGGREGATE s2000000 GEMLAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 12000000 POLICY JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1000000 (Ea accident) B ANYAUTO BA9096N301 09/01/09 09/01/10 - BODILY INJURY(Per person) E ALL OWNED AUTOS BODILY INJURY(Per accident) S X SCHEDULEDAUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ $ A UMBRELLA LIAB X OCCUR CUP914241 09/01/09 09/01/10 EACH OCCURRENCE $1000000 EXCESS UAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ X RETENTION $ 10000 $ A WORKERS COMPENSATION WCA906841 09/01/09 09/01/10W X T AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETORIPARTNERIEXECUTNn +A EXPERIENCE IMOD 0.98 E.L.EACH ACCIDENT $500000 OFFICERIMEMBER EXCLUDED? 1_1 (MandatorylnNH) EL.DISEASE-EAEMPLOYEE $500000 If yes,describe under DESCRIPTION OF OPERATIONS beloW E.L.DISEASE-POLICY LIMIT $500000 A Leased Equipment BOP1042267 09/01/09 09/01/10 Blanket $115,000 Pro Ded $1000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addaional Remarks Schad^if moreui s�ce is reqred) ALL OPERATIONS USUAL AND CUSTOMARY TO THE NAMED INSURED. FARIA RESTAURANT GROUP LLC IS INCLUDED AS ADDITIONAL INSURED IN RESPECTS TO GENERAL LIABILITY AUTO LIABILITY AND UMBRELLA LIABILITY PER CONTRACT. PROJECT: 25 HIGH ST, NORTH ANDOVER MA ALTERATIONS. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE FARIARE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FARIA RESTAURANT GROUP LLC JAIME FARIA AUTHORIZED REPRESENTATIVE 25 HIGH ST NORTH ANDOVER MA 01845 Douglas Lucciano (//"/4)7 1146�� ®1988-2009 ACOR RP RA ON. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD 'Massachusett's- Department of Public SafctN, Board of Buildin- Re-ulations and Standards Construction Supervisor License License: CS 5202 i DAVID U VALLETTA PO BOX 431 ANDOVER, MA 01810 i �--G-- �� Expiration: 3/19/2012 ('unnnissioncr Tr#: 28901 0 0 CHEEVER&RHODES MECHANICAL LLC 70 Tenney Street Georgetown,Massachusetts 01833 978/352-3335 Page 2 of 3 August 1,2010 Mr. Jaime Faria Faria Restaurant Group LLC RE: GENERAL CONTRACT and SUPERVISION AGREEMENT Alterations and Additions to 25 High Street,North Andover Massachusetts 01845 Furthermore,the Work of the Project shall be defined as: a) demise existing bar area; b) provide new entry at existing 39 High Street vestibule, including handicap ramp; c) construct new bar with required appliance hook-up and connections; d) construct private dining partition; e) provide hook-up and connections for five(5)kitchen equipment appliances. COST OF THE WORK: Cost of the work shall be$50,000.00 (Fifty thousand dollars.);however, which value shall be further defined as a budget for the Work. Furthermore,the parties shall adjust the vale of the work based on the cost provided by sub-contractors; plus a fixed fee of$5,000 (Five thousand dollars.) for supervision. The project budget shall be defined as follows: 1. Demolition and Disposal $ 2,000 2. Electrical $ 5,000 3. Plumbing and Gas $ 10,000 4. Millwork $ 5,000 5. Finishes(patch flooring and painting) $ 5,000 6. Masonry $ 5,000 7. Bar Top(counter tops) $ 8,000 8. Misc. $ 5,000 TOTAL SUB-CONTRACTS $45,000 PAYMENT SCHEDULE The Work of the Project shall be billed by the General Contractor as incurred; and shall be paid to the General Contractor, by the Owner/Client,within 10 days of receipt. Sincerely, f<_'th '21�ool es Keith Rhodes Cheever and Rhodes Mechanical LLC O 0 CHEEVER&RHODES MECHANICAL LLC 70 Tenney Street Georgetown,Massachusetts 01.833 978/357-3335 Page 3 of 3 August 1,2010 Mr. Jaime Faria Faria Restaurant Group LLC RE: GENERAL CONTRACT and SUPERVISION AGREEMENT Alterations and Additions to 25 High Street,North Andover Massachusetts 01845 ACCEPTED : Faria Restaurant Group LLC i�r�e i�uz 8112110 Mr. Jaime Faria, Manager Date h CHEEVER&RHODES MECHANICAL LLC 70 Tenney Street Georgetown,Massachusetts 01833 978/352-3335 August 1,2010 Mr. Jaime Faria Faria Restaurant Group LLC 25 High Street North Andover,Massachusetts 01845 RE: GENERAL CONTRACT and SUPERVISION AGREEMENT Alterations and Additions to 25 High Street,North Andover Massachusetts 01845 Dear Mr. Faria: In connection with the project at 25 High Street in North Andover Massachusetts(the"Project")this shall serve at the agreement between the parties: GENERAL CONTRACTOR: Cheever and Rhodes Mechanical LLC 70 Tenney Street Georgetown, Massachusetts 01833 978/352-3335 OWNER/CLIENT: Mr. Jaime Faria, Manager Faria Restaurant Group LLC 25 High Street North Andover, Massachusetts 01845 978/609-0252 SCOPE OF WORK: The work shall include that of defined in the architectural drawing package by. Architect: Mr. Greg Smith GSD Associates,LLC 148 Main Street North Andover, Massachusetts 01845 978/688-5422 Which architectural drawing package shall include, sheets: D 1.0;A 1.0;A 1.1;A 1.2;A 2.1; and A 2.2 dated 07-28-10, and A 1.2 (2) dated 08-6-10 (the"Work")