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HomeMy WebLinkAboutBuilding Permit # 7/7/2015 (2) BUILDING PERMIT %Aa oT" TOWN OF NORTHV APPLICATION FOR PLAN EXAMINATION '0 v. a� h Permit No##: �C Date Received` QA°Rare°�P�y qua �SSACHUS�R Date Issued: ' i IMPORTANT:Applicant must complete all itemson this` age r' f 1rn. Ii' r Ir ,r f plwrninrrrtur, r�„wvrrum,a1va�,,Klrrd / I i mr r� � ,;/ >�. r y„ 2ti o y�,,/ ,,r, rr`r:,r% , � �,,, ��,, al✓ / � � (� �r, ��i/9. I J1J,10>(r / I (I //7�1, P"ARC.�,�f f, I�IN�I�✓ ��r J/r,. !I i. n p rr a 4G � r.I1 ,. ;.� 1 o l�/,.. 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 ❑ Ot.h�eh�>/r �� //�1 , //,�.,.❑✓/>J/,/•�,/aVl,..l1Yet��l/a//!�,d.. s/�.//,,,,/,�r�(.,r/..,/�r�///.,.r/J/r�/��r/,r./�o�,/l,/�r//!//�,..❑��//„.r.�,�//lt W'//r/a/,e..r s�I r h�,y,�/e r �"�r, //� i ,,rr< ni ..f... DESCRIPTION OF WORK TO BE PERFORMED: LV�X s �4 3 X16 V`L a 0 Z� r QVC G ” t v .._ �° Identification- Please Type or Print Clearly OWNER: Name: igs,, L'( cIr4'ad I iL c. Phone: C7-- eS;° v� C Address:SU 715 l1,�,C-,,.„/r�%,n//0,�y,I,Ir,//„r/G/r,r/r�„/�/,lli�/,,,/,./,i/.r,l��r,r/✓1//�r%.rr/ , r �I � C I ,IHrr ll�i/1/// , /� � / I / J I / NW ,4'r f rie u,�l✓�"xpr'IirA,�m,f f(OA,��iaVir✓,u`J,�)ai� _ lA��/ ARCHITECT/ENGINEER_ S 0t �'r .r . Phone:- `1 Y o y Address: 964T, Reg. No. t 0 ,Y FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ FEE:,$ Check No.: Receipt No.,: `2 NOTE: Persons contracting with unregistered contractors Flo not have.-access to the guaranty fund Signatu're of Agent/Qwne; _ igr►eature ofs,oritraeto'rr' r ' OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER PROJECT NUMBER:_ 1406002.31 PROJECT TITLE: 4 1-figh Street - Stair A - Floor 2 Modifications PROJECT LOCATION: 4 Ffigh Street, Floor IL North Andover NAME OF BUILDING: Wet Milf NATURE OF PROJECT- 5 U"fir IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, f, W I a — — j �" S , REGISTRATION NO, 0080 - ' ' e� 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 ARCHITECTURAL H STRUCTURAL 11 MECHANICAL FIRE PROTECTION 11 ELECTRICAL El OTHER(SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, ep 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 8 EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK 16 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 dravvings,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, S. Be present at Intervals appropriate to the stage of wristruction to become,generally familiar wit h6thep rogress 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 116.2.2 1 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. A URE SUBSCRIBED D SWORN TO BEFORE ME THIS�—ZLI- DAY OF 19 61 NOTARY PUBLIC MY COMMISSION EXPIRES_ " t-'A E, BARKER R KER Notary Public ALT"7�FNAASSACHUS E TTS My Commission Expires 2018 JK Contracting LLC Proposal 31 Richmond Street Weymouth, MA 02188 Proposal Date: 7/6/2015 Proposal M 159 Project: Bill To: David Steinbergh,4 High st. Stair A, Floor 2. N.Andover, MA 01845 Description Est. Hours/Qty. Rate Total Plans and Permits 12.00 12.00 Remove double doors and frames. Demo walls to 600.00 600.00 ceiling. Wall Framing- Install board at wall end , corner bead, 250.00 250.00 tape,sand. Supervision 86.20 86.20 Thank you for the opportunity to bid this work. Total $948.20 A&COR& CERTIFICATE OF LIABILITY INSURANCEDATEIMMIDDty"Y) 3215 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 banns and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer ruts to the certificate holder in lieu of such endorsement(s). PRODUCER NA : Maria Dupont Insurance Agency, Inc. PHONE 617 376-0795 Quincy, MA 02169 AD0EsFAx No,. (617) 479-9121 18 Copeland Street E L s: me@dupontinsuranceagency.com en .com INSURERS)AFFORDING COVERAGE NAICR INSURERA:Main Street America INSURED INSURER B: JK Contracting, LLC INSURERC: 31 Richmond Street INSURERD: 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 ANDCONDITIONS OFSUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPEOFINSURANCE AWVD POLICY NUMBER AWNIMM IMAM LIMITS A GEN ERALLAe1urY MPT7794M 2/10/15 2/10/16 EACH OCCURRENCE $ 1,000,000 X CCMMERCIALGENERAL LIABILITY DAMAGE RENTED $ 500,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE s 2.000.000 GEN'LAGGREGATE LIMITAPPUES PER PRODUCTS-CDMPIOPAGG $ 2,000,000 POLICY PRO• 17 LOC y AUTOMOBILE UABILITY aacddent $ ANYAUTO BODILY INJURY(Per poison) $ AUTOSNED SCHEDULED BODILY INJURY(per accident) $ AUTONON-OWNED PROPERTY DAMAGE $ HIREDAUTOS _AUTOS eraoddent s UMBRE=8 OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION WORKERS COMPENSATION I WC STATU- OTH- AND EMPLOYERS'LU MUITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACO CE NT OFFICERVEM13ER EXCLUDED? (Mandalory in NH) E.L.DISEASE-EA EMPLOYE If yyees describe under DESCRIPTION CF OPERATIONS below j E.L.DISEASE-POLICY LIMIT' $ DESCRIPTION OF OPERATIONS/LOCATIONS IVE9CLES (Attach ACORD 101,Addtflonal Rsnsea Schedule,Nrnors spa iseegdred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE Bridget McGowan ©1988,2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: apedranti@crowninshield.com �-- Page: 2 of 2 3/3/201bi-?:22:03 AM PST (GMT-8) FROM: 100005-TO: 16114799121 DATE C®R CERTIFICATE OF LIABILITY INSURANCE 31312015 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 IMSURER(S),AUTHORl2ED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. if the esrti icate holder Is an ADDITIONAL INSURED,the policy(les)mutt be endorsed. ff SUBROGATION is WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certtfieate does not confer rights to the certif ate holder in lieu of such endorseme s. ZMACT PRow;CER DUPONT INSURANCE AGENCY INC 18 COPELAND ST nowFAx NA. QUINCY,MA 0216.9 8 ARaORDD1000VERME -"C III NSIURERA: Liberty Mutual Fire Insurance 23035 Ne e: JK CONTRACTING LLC Nsureaec: 31 RICHMOND STREET NAURERD: WEYMOUTH MA 02188 NsuRERs: PMURERF 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 BY PAID CLAS.maim P TYPE OF PMRANCE wwo POLICY NUN" COAAiIERCIAL GENERAL UABLF Y EACH OCCURRENCE $ CLAW4AADE ❑OCCUR pop= ,I MED EXP One rem S PERSONAL 3 ADV INJURY s GENERAL AGGREGATE $ GEN LAGGREGATELIMrTAPPLIES PER: PRODUCTS-COMPIOPAGG S POLICY❑2604 7 LCC $ armER: SINGLE LIFAIT $ AUTOMOBILE LIA IL" 0'-- BODILY INJURY(Per Penee) $ ANY AUTO BODILY INJURY(Per aodderq S ALL OWNED SCHEDULED �- AUTOS AUTOS D S HIRED AUTOS AUrCE S EACH OCCURRENCE $ UMBRELLAUAe OCCUR AGGREGATE S EXCESSLIAB CLAOA9�+IADE S ° MMMONS WC2-3 8601696-016 2/1712015 2117/2016 A TMlose(ars PISMATION AN • D sounzym'LLMULI TY •Y/N E.L.EACH ACCIDENT $ 100000 ANY PROPRIETORIPARTNERIE)MCUTNEa NIA 100000 OFFICE RIM BE EXCLUDED? E,L,DISEASE-EA EMPLOY S If yyeess ftmv M In under E.L.DISEASE.POLICY UMIT 500000 DE�RIPTION OF OPERATIONS tsdow DESCRr-hON OF OPERATIONS I LOCATIONS 1 VOUCLES(ACORD 101,Additional Remarks Schedule,rnar be stsched If more since Is rsqulred) Workers compensation Insurance cov 9 applies only to the workers compensation mate the to �of MA.compensation coverage. This certificate cartels and supersedes all previously issued certificates,only 8Y CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE Y rrH THE POLICY PROVISIONS. :�;,,.,,•a ,.. AtrT140R{2ED REPREtET4TATNE Liberty Mutual Fire Insurance ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD CERT NO.: 23677622 CLIENT 0008: 1644469 Lucy GaslLeld 3/3/2015 10:19:07 AM (EST) Page 1 of 1 Massachusetts -Department cf i'�ubl�;; Safety Board of building Regulations and Stanciards I ('un+truction SoperN icor License: CS-066334 IMRAN'T WHEIAN 31 RICHMOND ST , WEYMOUTH MA 0912612015 commissions;