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Home My WebLink AboutBuilding Permit # 6/11/2015Total Project Cost: $ i TK`. Permit No#: Date Issued: N BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received 19' IMPORTANT: Applicant must complete al tJrji Aor di ,11,11111 latqtr /1277_79,/ 0'1'; ',)1)1 Joy/ 05,0pgito ;'noPm% TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building 0 Addition Alteration 0 One family 0 Two or more family No. of units: 111 Industrial 2' Commercial 0 Repair, replacement 0 Demolition 0 Assessory Bldg 0 Others: 0 Other # If 14 r ff' n. /( -t I In edit )11111riketi//// If ershed ii7/7// f". Ye " 7 'strict/ '7 I/ / 4 / ' DESCRIPTION OF I/1(0,RK TO BE PERFORMED: V-Ar.= Identification - Please Type or Print Clearly OWNER: Name:r Address: .I1 a 0 a esso / 1111r11 rs 1.1k111110110411,11000119Y0/10 ift,AP41§,g, 0 4( 7 ARCHITECT/ENGINEER --Cei )41 ri thtC-4r Address: L aaff MO &Mid „„ vmf whV • r/ Crir I 1/1/,I1 / 197/4/1( /// hone-:?? J-C(jsln-- Reg. No. f 0 0 FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. FEE $ Check No.: —1— — 0 ie Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund a ure of con rac or tU O 5. Cl) 0 C:) CD 0 z O Cam. cn z. O < ® CD CD O CD CD CD O CD CD 'U'� CQ CD I. y O A. "0 CD 0 C') —. 0 %0 CD 2 CD map of pa lmn 210103dSNI 9NIa1Ifl cn��y Mr 0 m 73 Cn 73 lit cco o ® c" V r CO VIOLATION of the Zoning or Building Regulations Voids this Permit. C)0-0 0 =: < s Q 5 5 C 0 C. wt'D� o o Q o .�=-CD CD CD oC g N: 5. o ill Cn "O CD CD szco CD CD r N O -0 0 rt C0 0 o CO rt o 2. CD C CD CD CD Cn o -. D0 DJ CD a) -a 0 gu ' CD o � o C. -., 0. 0 CD � tea) 0 CD 0 C) C, c sv Cn Coale o} uolssluued seq 1YH1S3III12130 SIHJ JK Contracting LLC 31 Richmond Street Weymouth, MA 02188 Bill To: RCG LLC SethZeren. 21 High St, Suite 2O2. N.Audove/. MoeoO184b Description Est. Hours/Qty. ��N �-m�r �~�~�� Proposal Date: 6C2/2015 Proposal #: 152 Project: Total Plans and PernnKo Demo,Remove General Conditions Wall Framing Oooro8Thrn 1 . .OD000 2,500.00 2�OOOO 3OOO�OU . 3OOOOO . � 25OOUO . � 1.000.00 2,500.00 25O0O0 3OD0.00 . 3.000-00 2.500.00 P|umbinghea�rnotal ^ —^ ng&CooUng��teba m � ''~~ ~~' Heat 4 .500.00 10.000.00 8,500.00 4.5OO. UU 10,000.00 8 5UO�OO E�cthca|&UohdnQ��trnaUa ~ [estimate] 3,000.00 . 3 OOO�OO bs|/deta�yaUma�el ^' �� ^ |Insulation1,200.00 ` 1,200.00 VVaU � tape,sand. "" "^ Drywall, ' ' � |nhaho Floor Coverings, '^ k Cabinets &VonUiee "" 8.000.00 � 12` OOO OO 3 OOU OO . � 6,500.00 6.000.00 � 1�. O0O OO 3 OOO�OO . 8 ,5OO- OO Painting, includes ductwork 500. OO 500.00 Cleanup,�no| {�|eon Sprinkler Work Supervision 1,000.00 7,630.00 1 000.00 . 7,830.00 Thank you for the opporfunity to bid this work. OFFICE OF UILDING INSPECTOR TO N OF NORTH ANDOVER CONST UCTION CONTROL PROJECT NUMBER: 14't6002.24 PROJECT TITLE: PROJECT LOCATION: 4 F i ii' Street, North An rove NAME OF BUILDING: West, NATURE OF PROJECT: T eN o r IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, REGISTRATION NO. 1�1Rt1 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 ❑ ARCHITECTU L STRUCTURAL MECHANICAL ❑ FIRE PROTECTION ❑ ELECTRICAL C 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 pr nt 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 118.2 .2 I 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 REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. SUBSCRI / / AND SWORN TO BEFORE ME THIS DAY OF iFr..7 NOT RY PUBLIC MY COMMISSION EX PATRICIA E. BARKER Notary Public COMMONWEALTh OF MASSACHUSETTS My Commission Expires 24, 2018 ACORID- CERTIFICATE OF LIABILITY INSURANCE °A'E'MI"'°°"'Y'"' 3/2/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, BELOW. THS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. AND CONFERS NO RIGHTS UPON THE CERTIFICATE EXTEND OR ALTER THE COVERAGE AFFORDED HOLDER. THS BY THE POLICIES AUTHORIZED A CONTRACT BETWEEN THE ISSUNG INSURER(S), IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the policy(ire) 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. 18 Copeland Street Quincy, MA 02169 NME:T�T Maria PHONE (a(� E N. (617) 376-0795 Nol: (617) 479-9121 E ADS: ti me@dupontinsuranceagency.com NAICA INSURERS) AFFORDING COVERAGE INSURER A:Main Street America PSURED JK Contracting, LLC 31 Richmond Street Weymouth, MA 02188 INSURER B : INSURER C : 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. NOTWTHSTANDING 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 TIE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LBViTTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AL Mg SUER MID POLICYNUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DOIYYYY) UNITS A GENERAL uTY COMLIA MERCIAL GENERAL MPT7794M 2/10/15 2/10/16 EACHOCCURRENCE $ 1,000,000 X TO RENTED PREMISE (Eacoommence) $ 500,000 CLAIMS -MADE X OCCUR MED EXP (Arty ore person) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 $ 2,000,000 GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APP UES PER POLICY n Ca Ti LOC PRODUCTS -COMP/OPAGG $ 2,000,000 $ AUTOMOBILE WIBIUTY ANY AUTO ALLOWED SCHEEDDULED TOSNON-OWNED HIRED AUTOS _ AUTOS COM3IINEDISINGLE LIMB $ BODILY INJURY (Per poison) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per acddent) $ _ $ UMB�LIALIAB EXCESSLIAB OCCUR EACH OCCURRENCE $ CLAIMS -MACE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLLDED? (Mandabry In NH) If yyees describe under DESCRIPTION CF OPERATIONS Y / N N / A WC STATU- OTH- Tr1RY I !ARTS FR E.L. EACH ACO CENT $ _j E.L. DISEASE - EA EMPLOYEE $ below E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Mach ACORD 101, Addillonal Remits Schedule Emory apace Is re qd red) CERTIFICATE HOLDER CANCELLATION • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE Bridget McGowan ACORD 25 (2010/05) Phone: Fax: @ 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD E-Mail: apedranti@erowninshield. cora 3/3/2015 7:22:03 AM PST (GMT-8) FROM: 100005-TO: 16174799121 Page: 2 of 2 INSR LTR CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS FR ALTER THE RIGHTSCUPON PON THE CERTIFIBYCATE TOE LDER. T EIS S CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, 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 polfcy(ies) must be endorsed. ff 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 18 COPELAND ST QUINCY, MA 02169 INSURED JK CONTRACTING LLC YUH0188WEMOTTMA 2 CONTACT NAME: PHONE WC. No. Exl): ADDRESS: INSURER(S) AFFORDING COVERAGE eiSURERA: LIbert/ Mutual Fire Insurance INSURERS : INSURER C INSURER D: INSURER E : I FAX (AIC. No): INSURER F: COVERAGES CERTIFICATE NUMBER: 23677622 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 FBFY P ID CCLY IMS POLICY EXP IMM/DD/YYYY) DATE(MMUDD/YYYY) 3/3/2015 NAIC # 23035 TYPE OF NSURANCE COMMERCIAL GENERAL LIABLI Y I CLAIMS -MADE E OCCUR GEML AGGREGATE LIMIT APPLIES PER: 1 POLICY ❑ JECT OTHER: AUTOMOBILE LIABLITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS — SCHEDULED AUTOS NON -OWNED AUTOS ADDLIBR INSO WYD POUCY NUMBER A UMBRELLA LIAR EXCESS LJAB DED I I RETENTION $ OCCUR CLAIMS -MADE WORKERS COMPEIBATION AND EMPLOYERS' LIABILITY ANYIPROPRIETOR A E ECUTIVE (Mandatory in NH) If yes descries under DESCRIPTION OF OPERATIONS bebw Y/N Y N/A WC2-31 S-601698-015 (MMID011'YYY) 2/17/2015 2/17/2016 wars EACH OCCURRENCE DAMAGE TO RENTED PREMISES Me occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG OMBINED1t) SOGLE LIMIT (Ea accide BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPER DAMAGE er accident) EACH OCCURRENCE AGGREGATE I STT TUTE I I ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE E.L. DISEASE • POLICY LIMIT DESORPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, AddISonal Remarks Schedule, may be attached If 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 ACORD 25 (2014/01) CERT NO.: 23677622 CLIENT CODE: 1644469 Lucy Garfield 3/3/2015 10:19:07 AM (EST) Page 1 of 1 CANCELLATION $ $ S S $ $ $ $ $ S S S $ S t 100000 $ 100000 $ 500000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Liberty Mutual Fire Insurance ®1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD J Massachusetts - Department of Public Safety 0 Board of Building Regulations and Standards Xy_ S Construction S-066334r License: CS „1 KIERAN 'r WHELAN, _ 31 RICHM MA 0 ; WEYM Commissioner ._Xpiration 09/26/2015 {