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HomeMy WebLinkAboutTENANT FITUP - "TASTE BUDS" BUILDING PERMIT N°6r b�tid TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received .",ArED �SsgcHu5 Date Issued: wl IMPORTANT:Applicant must complete all items on this°page ,f U� I���� �I�l��!�JJ,I� ��'� ��u�r�II,�/Yl�l� �P '�III,Y���(f 1(J�� C�, '�i'➢j1AY11� 1 I'� I f!' � I'f!I / ���,�,/��/�� �� "// J©.i � /l�!/�� ����/�rJ�. 11 , 1 � , ! 1 D ' , G r , 1�vovrravdr /�y � r � ••r a v,,,�r r°tirrure ii v»unt:rrrtrvr,�urwr�r ', :,r ,.; �„��� l '� � J „ , .. u ��'N? G, ; /I1� J P1/01 �ON,GDISTRI r ll l 11 v V 1 / >���e���U����i��f/�i � TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial Iteration No, of units: -, Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other r r / r cF)" .ltt � 1 t rrt f , , r r r n /%lsr a s rr, r � �� ,'�`�, ��Vii,/�/%�/�%�✓��%//„/�/„�,///moi/�1/�%�///,i�/��/1�O ,r% DESCRIPTION OF WORK TO BE PERFORMED: --y-Z a 'rr „. Identification- Please Type or Print Clearly OWNER: Name: :, � ry .. Phone: \akltt Address: „ , „w c; `4„.°, r , rrr, , r r r , F r r / / r / o/ J ,r r• r r r // o / r r/ l III/ � t��� f r r �// 1 ,l !1// r, / / �// //0 � il✓ I!1 / A l /f r � 11 r /1/�� /,. 1�1 1, l�r�.���ll>/ ,I�r>✓�Jl�/���1�����1���,�� r�l� r � r �� rrr , ,���� � � I � „ �,�� ARCHITECT/ENGINEER G.S a , , -Phone: Address: 0 _ IAOtNS kl- Reg. No. S 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: $. It Check No.: ,4 �7Receipt No.: NOTE: Persons contracting with unregistered contractors do:not fid ve access to the guaranty fund Signature of age COwne _ Signaturepfrcortra.cto "., - Plans Submitted ❑ Plans Waived F1Certified Plot Plan ❑ Stamped Plans ❑ DISPOSAL TYPE OF SEWERAGE ❑ Swimm�ing Pools ❑ Public Sewer Tanning/MassageBody Art ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTSt fv d Signature HEALTH Reviewed on - jr y COMMENTS l� D M, Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes rI Planning Board Decision: Comments 7r. Conservation Decision: Comments rs A Driveway Permit Water & Sewer Connection/Signature& Date '' s � DPW Town Engineer: Signature: I Located 384 Osgood FIRE°DEPARTMENT rTemp Dumpster .site yes r � z ����t,��"� ��raf�, r ocafed� frT24 Main Street � F r r � r r j'�`r"rrr�"��r,�,s.✓„'��,��%��'r��...."i r�r r�+` r r.' 1 r :�r� rPr� ���i> ire Departonenf,s�gnatu,re/ ate r f � r � � � gf �' r �`�.. 7A �?� ,r� 1 � r �r o -'"lrr�r u` �°Y�� �.j'`r,-x7rr ,✓rrr'a � .. �H r d'�({a.���r1 ,rr ✓ I � t ,�� J yrkr.�.,t 1. rf� FORTH Town ol nalover 0In tae o IT Z n 11 very Mass, O a 1. COC HIC c"t H@WICK S U. IMF— BOARD OF HEALTH Food/Kitchen P E M I T L D Septic System THIS CERTIFIES THAT�..&S ... .. . 1. Re. , j,1,/ BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on ... . ...... .. . ... ► .... ................................. Rough 10 AMMO tobe occupied as ....... .. .. .......... .......... ......... ..... ....................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 E IES IN 6 ®NTH ELECTRICAL INSPECTOR ® LESS C T CTI T Rough INEW Service .............. ..... ...... ............. .................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy Building 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. Smoke Det. Initial Construction Control Document Z W To be submitted with the building permit application by a M Registered Design Professional d for work per the 8th edition of the W a Massachusetts State Building Code, 780 CMR, Section 107.6.2 Project Title: Tastebuds Kitchen Date: 03/05/2015 Property Address: 14 High Street North Andover, MA 01845 Project: Check(x) one or both as applicable: [] New construction [X ] Existing Construction Project description: Tenant fit-up into existing space. Projects consists of demo of existing interior tenant space and construction of New walls, doors, kitchen area and fixtures, new ceiling in some areas, new lighting and finished throughout. New plumbing and reconfiguration of existing HVAC_ I Gregory P Smith MA Registration Number: #8688 (Architect) Expiration date: August 31, 2015, am a registered design professional, and hereby certify to the best of my knowledge, information and belief, that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerningi: []Entire Project [X] Architectural [] Structural []Mechanical [] Fire Protection [] Electrical [] Other: for the above named project and that such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project.I understand and agree that I(or my designee) shall perform the necessary professional services in accordance with the Professional Standard of Care, and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. Such review shall not diminish or relieve the Contractor of its submittal and other responsibilities. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code.The contractor shall be responsible for performing the work in accordance with the contract documents and shall be exclusively responsible for its construction means,methods, sequences and procedures, and for construction safety. The performance of the services shall not require any special testing or inspections unless specifically stated in the Code. When required by the building official, I shall submit field/progress reports (see ' tether with pertinent comments, in a form acceptable to the building official. 0.� � /craw°Q Upon completion of the work I shall submit to the building ° � . official a `Final Construction Control Document'. wn r lA �qr rs Enter in the space to the right a"wet"or electronic signature and seal: its k" .�wwa°• d F4 N. Wy Phone number: cell: 978-204-4770, office 978-688-5422 x203 "mail: gsmith@gsd-assoc.com Building Official Use Only Building Official Name: Permit No.: Date: AIA MA&Insurance Aooroved Version. Initial Construction Control Doc EXHIBIT A:CONSTRUCTION BUDGET Taste Buds Kitchen 14 High Street Schedule of Values 1,900 SF 3/5/2015 Cost Tenant Improvements TI Total Per SF "Vanilla Boz" VB Total Per SF Notes General Conditions $ 5,000 $ 3,500 $ 184 $ 1,500 $ 0.79 Demolition $ 3,000 $ $ $ 3,000 $ 1.58 Frame,Insulate,Drywall,Tape new walls S 6,900 $ 6,900 $ 3.63 $ - $ - Drop Ceiling in bathroom $ 500 $ 500 $ 0.26 $ - $ Doors and windows $ 4,500 $ 3,500 $ 1.84 $ 1,000 $ 0.53 Storefront Masonry and Glass $ 6,000 $ - $ - $ 6,000 $ 3.16 Not including awnings or signage Prime and paint space S 6,400 $ 5,500 $ 2.89 S 900 S 0.47 Demising partion touch up to VB Supply,lnstall new flooring $ 12,740 S 12,740 S 6.71 $ - $ - Option 1-Armstong vinyl glue down product throughout•-need dimensional spec Millwork,coutertops and trim installed S 10,344 $ 10,344 $ 5.44 $ - $ - Substituted Wellborn product,countertops included Plumbing S 23,500 S 13,500 S 7.11 S 10,000 $ 5.26 Bathroom&Kitchen Tile $ 3,761 S 3,761 $ 1.98 $ - S - Includes bathroom floor&walls and kitchen wall to full height Sprinkler work $ 2,800 $ 2,800 $ 1.47 $ - $ - Electrical $ 7,500 $ 2,500 $ 1.32 $ 5,000 $ 2.63 No allowance for tel/data or security wiring Lighting Allowance $ 2,850 $ 2,850 S 1.50 $ - S - $150/fixture x 19 locations HVAC S 15,625 $ 4,625 $ 2.43 S 11,000 $ 5.79 TI includes new ductwork and equipment venting Sub total $ 111,420 $ 73,020 S 38.43 S 38,400 $ 20.21 CM fee 101% S 11,142 $ 7,302 $ 3.84 $ 3,840 S 2.02 Total S 122,562 S 80,322 $ 42.27 S 42,240 $ 22.23 Contingency 5% $ 6,128 S 4,016 $ 2.11 $ 2,112 $ 1.11 5.0% Buildinpermit $ 1,308 $ 840 S 0.44 S 468 S 0.25 Total $ 129,998 S 85,178 S 44.83 $ 44,820 $ 2359 Y 'l i I I I , I 1 RCG NORTH ANDOVER MILLS LLC s � a i Massachusetts- Dcparhncrtt or Pumic Safrh' BQar'd or Building Rea (11,1 ions and Stan Construction Supervisor License (f`tr(is • � License: CS 66334 KIERAN T IWHELAN 31 RICHMOND ST '';" s1 . WEYMOUTH, MA.02188 Expiration: 9/26/2013 f'unrrhisyiuni•r Tr#T6168 r A�V CERTIFICATE OF LIABILITY INSURANCE '°;; ,'14 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: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,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 CONTACT NAIVE• Valerie Dupont Insurance Agency, Inc. PHONE FAX 18 Copeland Street E-MAIL (617) 376-0795 No: (617) 479-9121 ADDRESS: valerie@dupontinsuranceagenov.com Quincy, MA 02169 INSURE SAFFORDINGCOVERAGE NAIC# INSURERA:Main Street America INSURED INSURER B: JK Contracting, LLC INSURERC: 31 Richmond Street INSURER D: Weymouth, MA 02188 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 OFSUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TVPE OF INSURANCE ADOL SUBR POLICY EFF POLICY EXP S POLICY NUMBER MIDDY MM/DDIYYYY LIMITS A GENERALLIABILITY MPT7794M 2/10/14 2/10/15 EACH OCCURRENCE $ 1,0 0000 �IIMERCIAL GENERALLMI6WTY DAM4GETo'ENTED REMI aoccurrence) ce $ 500 000 CLAIMS-MADE r_X1 OCCUR MED EXP(Any one person) $ 100,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 '.. GEN'LAGGREGATE LIMIT APP LIES PERPRODUCTS-OOMP/OPAGG $ 2 000 000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY ! COMBINEDSINGLELI IT '. a accident $ ANYAUTO I BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) ', NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS _AUTOS I eraccident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ i DED RETENTIONS S WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITI ER Y YIN ANY PROPRIETOR/PARTNER/EXECUTNE E.L.EACH ACOOENr S ' OFFICERIMEMBER EXCLLOECO N/A t -- (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under — DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I DESCRIPTION OFOPERATIONS ILOCATIONS/VEHICLES (Aftach ACORD 101,Additional Rene rks Schedule,If mores Pace Is re qui red) 16 Chauncy #43, RCG LLC, Sixteen Chauncy Street Condo Trust and Crowninshield Management Corp are listed as Additionally Insured in respect to GL by means of BPM 3105 12-07 when required by written contract. Waiver of Subrogation applies by means of BP 0497 01-06. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RCG LLC ACCORDANCE WITH THE POLICY PROVISIONS. 17 Ivaloo Street Suite 100 AUTHORIZED REPRESENTATIVE Somerville, MA 02143 BRIDGET MCGOWAN O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: kwhelan123@gmail.com AC V CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DD/YYYY) �..� 7/1012014 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: if the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. if SUBROGATION IS WAIVED,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 DUPONT INSURANCE AGENCY INC CONTACT - 18 COPELAND ST PHONE--v--- I FAX -- QUINCY, MA 02169 ----- E-MAIL ADDRESS: _ INSURERS j AFFORDING COVERAGE INSURERA; Liberty_Mutual Lire Insurance^� —` 2343.5 INSURED _IN_ - - - JK CONTRACTING LLC INsuRERs_____- 31 RICHMOND STREET INSURERc:. WEYMOUTH MA 02188 INSURER D: INSURERE; INSURER F: COVERAGES CERTIFICATE NUMBER: 20858191 , 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. INSR --- ...__ !Al3DL';SUBR!_—'�- ----- POLICY EFF i POLICY EXP LTR TYPE OF INSURANCE I POLICY NUMBER MMMDfYYYY I MMIDD ®LIMITS COMMERCIAL GENERAL LIABILITY I •:'EACH OCCURRENCE $ _T—i CLAIMS-MADE ) OCCUR PREMISES JEa occurrence S ----------- i MED EXP(Ary one pemon) 5 — .__i—.—_—.----___._-- - PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: ;GENERAL AGGREGATE SO _ POLICY 1 JE ?LOCPROD'JGTS•COMP!(1P AGG 5 : — --' ,. ..�,� ? t-------- --- --------------- OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S _ 1 i Ea acddenP ANY AUTO _ i ;BODILY INJURY(Per person) S ALL OWNED SCHEDULED j BODILY INJURY'Per acBdent S AUTOS AUTOS ( i } NON•OVYNED iPROPERTY DAMAGE g _ 'HIRED AUTOS AUTOS I ? Peracddent 7 - g UMBRELLA LtAB OCCUR EACH OCCURRENCE S EXCESS LIAO CLAIIAS-MADEI ( AGGREGATE S ----- - DED 1 ?RETENTIONS $ A ;WORKERS COMPENSATION IWC2-31S-601698-014 2/17/2014 2!17!2015PTER�TE ;ORTH- ;AND EMPLOYERS'LIABILITY `S Y/N ANY PROPRIETCRIPARTNERIF_XECUTIVE '-- ------- OFFICERIMEMBER EXCLUDED? ❑Y j N f A :El EACH ACCfOENT $ 100000 (Mandatory In NH) - 'if yes.describe under E.L.DISEASE•EA EMPLOYE _ `t 00l)0_0 j - '... DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500000 3 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION RCG LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN JOB REF#16 CHAUNCY STREET#43 CAMBRIDGE MA 021 8 ACCORDANCE WITH THE POLICY PROVISIONS. 17 IVALOO STREET, SUITE 100 SOMERVILLE MA 02143 AUTHORIZED REPRESENTATIVE Liberty Mutual Fire Insurance ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) -The ACORD name and logo are registered marks of ACORD CMT NC.: 20&58191 CI._EN7 CODE: 1844469 Lucy Garfield Page 1 0_ 1