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HomeMy WebLinkAboutBuilding Permit # 7/7/2015 (3) BUILDING PERMIT ��"��T + TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION_ °- p Permit No#: _o t Date Received �9 A�gAT@U PPP 5 �ry `SSAC HUS@ Date Issued: I 1 IMPORTANT: Applicant must complete all items on this page lolai IJ 11L��r� o �)(pl Nl . , IvIWl4 0. r 11.1 � r9 � . II➢ � ,..;� s I' � r, �,I /� 1 �i 11 �! ��i1 Jl. V /✓ ,r ,.,r f j +vrOAllgll!p,ur, r 'I)1 /I% (fi ) 1�I � / 1�� �r�/ �, r r „a,,,¢v,.I rn .r .' "r r<v + ✓.uw f,ffha111llflrµr �nls fW//r r c,�V��ni41 r gr Y"priYlllYnftll �r�/��; 1 ,1 '1 ,� � .I:. I,II,��IIYR) r �us1.a�'14�. d'rUV /larr(,INri'lJ"' II✓ IN1r�%ll�i� 'N1/Y/+l°yUr �I ,3' „r ��elf 1.1 �%��il, ,�Il�'>7a.sl�,� „,✓IIS:' � , �. y ,'f �V � I I'. I stnc� 1 SPAR r. J r ,� r� ar P1 a Iyl� y f ✓�1- I rJ1 /�. / /� .��/„i (�� l l 11�� � .I �( �/ >�, , ° � ach neSho /V I a'e✓% es,i/�no�/„�! TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial IK Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other /, f ,�r.r r ✓ u.r!/I!r ,�.c,r% / //.lr/ r 1 f ,.Jl/,/0 l/0//i//, l ,1 %,,.///,l//i ,/ ❑ ,W ters ed Distrct, ,,,,ri f // r Il �, /,/�//, � I d .Iain, ,,,❑ , Lands/ i„ DESCRIP ON OF WORK TO BE PERFORMED: $7 Identification- Please Type or Print Clearly � Address: r ,1 r,✓, .n I r /i� /./ // /J/� /Il. r.,l /1/ ,///f// /r, / 1 / / / / rG..... rrr ✓ r 1 � r) r �lr,!!��r /, r 1 i r ,1 � /� // / /� r/i�/ ,!i � �� r rJf / /!/l I i' rl/>/ � r�,,,� � ,l,I r ,��1r r!I/ /� � >li//�/ / �>f �/✓ % ��� 1 , „ I 1 J I ,1 1 f If / � a J r G ...,. _. mi,vl� �✓i.f rrm lGriciirarrM.r;;a�z ��. /�Minl9„,,,/(Olfrnml�0� ,�a//6�Otr),�m//C,,utrin,�N/nvk r,!rdrJlrM rnn�iorvfW a/✓i�cL alrt�.rr ARCHITECT/ENGINEER '” �I -Phorte` Address: 4�gk0,—.- r Reg. No.: . t 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- ,$ Check No.: Receipt,N'a- NOTE: Persons contracting with unregistered contractors do,not have access to the gualranty fund Signature of A ent/Owrre , Si nature of�cbntractor g _ g. r-Iff-111 A"' town ORTH do­&otver ® ..ti•: No. 261 o h ver, Ma 7q[ , Tx��iui 2416 Y d LAKE �• COC KIC NE W/CK � AERATED J•f' Cl S` V BOARD OF HEALTH ERMIT T Food/Kitchen Septic System THIS CERTIFIES THATBUILDING INSPECTOR ............................................................................................................................ C, has permission to erect buildings on f Foundation fF A ... .f� ... ...... Gr... .(/c�f/f�Up.�., ........... Rough to be occupied as ...... .�f? .. f. ....L,l. : ............... .`..`..........�............................................. y Chimne provided that the person accepting this permit s II 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 EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONSTA _ ,I TS ` Rough . Service ................... Y ......................................... 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. 00 ® OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER PROJECT NUMBER: 14060OZ28 4figh Street SUite 201 PROJECT TITLE, PROJECT LOCATION: 4 Ffig[i Street, Suite X1"1, 1' Andover NAME OF BUILDING: West MM NATURE OF PROJECT IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, REGISTRATION Nth. BEING A REGISTERED PROFESSIONAL ENGINEERIARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL 1-1 MECHANICAL FIRE PROTECTION ELECTRICAL ❑ 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 8 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 conforrinance 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 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 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. ��.NATU E SUBSC7Rl"BE AND SWORN TO BEFORE ME THIS DAY OF 19 j NOTARY PUBLIC MY COMMISSION EXPIRES F& PATRICIA E. BARKER W Notary Public COMMONWEALTH'J�i OF MASSACHUSETTS MY Commission Expires ult Aug:-ist 2h,2018 JK Contracting LLC Proposal 31 Richmond Street Weymouth, MA 02188 Proposal Date: 7/6/2015 Proposal#: 158 Project: Bill To: David Steinberg h,Suite 201, 4 High St N.Andover, MA 01845 Description Est. Hours/Qty. Rate Total Plans and Permits 160.00 160.00 Demo 600.00 600.00 Doors &Trim 525.00 525.00 Electrical & Lighting 1,250.00 1,250.00 Tel/data 1,000.00 1,000.00 Interior Walls, Tape, compound, sand 200.00 200.00 Painting, no ductwork or pipes. 700.00 700.00 Floor Coverings[estimate] 1,500.00 1,500.00 Cleanup & Restoration 75.00 75.00 500.00 500.00 Supervision 651.00 651.00 Thank you for the opportunity to bid this work. Total $7,161.00 ,4coR�' CERTIFICATE OF LIABILITY INSURANCE 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 policypes)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 endorsemen PRODUCER CONTACT NAME: Maria Dupont Insurance Agency, Inc. PHONE 617 INN,:; (617) 479-9121 18 Copeland Street Quincy, MA 02169 EaM�y AO 6s: me@dupontinsuranceaaencv.com INSURERS)AFFORDING COVERAGE NAIC i INSURERA:Main street America INSURED INSURERS: JK Contracting, LLC INSUREtC: 31 Richmond Street INSUREIRD: Weymouth, MA 02188 INSURERS: INSURERF: 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. DD 3UBR LTR TYPE OF INSURANCE A POLICY NUMBER M/DD MNA)MUMTS A GENERAL LIABUJTY MPT7794M 2/10/15 2/10/16 EACH OCCURRENCE $ 11000,000 XCOMMERCIAL GENERALLIABIUTY DPREMISES AM4GET(Ea rD $ 500,000 CLAIMS-MADE 7 OCCUR MED EXP(Anyone person) $ 10,000 PERSONALBADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2.000,000 GEN'LAGGREGATELIMTAPPLIESPER PRODUCT'S-COMPIOPAGG $ 2,000,000 POLICY PRO LOC y AUTOMOBILE LIABILITY OC? ....ntfINGLELIMIT $ ANYAUTO BODILY INJURY(Per person) $ LOWED UTLED BODILY INJURY(Per acddent) $ALSCHEDULED O NON-OWNED PROPERLY DAMAGE $ HIREDAUTOS —AUTOS ereeddent S UMIRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION WORKERS COMPENSATION WCSTATU- I JOTH- AND EMPLOYERV LIABILITY Y I N FR ANY PROPRIETOR/PARTNER/EKECUTiVEN/A E.L.EACH ACO DE Nr OFFICE RMIEMBER S CLUDED7 lMandabry In NH) E.L.DISEASE-EA EMPLOYE ees describe under ndesrribeRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIP'nON OF OPERAMONS/LOCATMNS/VEHICLES (Attach ACORD 101,Additional Rermft Sdo",If man age b regrlred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 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(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: apedranti@crowninshield.com 3/3/201 -?:22:03 AM PST (GMT FROM: 100005—TO: 16174799121 Page: 2 of 2 DATE pit=NYYY) CCPR CERTIFICATE OF LIABILITY INSURANCE 3/32015 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 c erthIca a holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,drtain Policies may require an endorsement. A statement on this certificate does not confer rights to the cardfaude holder in lieu of such endorsame s PRocuam DUPONT INSURANCE AGENCY INC 18 COPELAND ST PHOwra, QUINCY,MA 0216.9 8 AFFORDING COVERAGE NAIC i NOWMA--Liberty Mutual Fire Insurance 23035 Ire �JK ONTRACTING LLC NauREec; 31 RICHMOND STREET NBURERD WEYMOUTH MA 02188 NsuReeE: COVERAGES CERTIFICATE NUMBER: 23WS22 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.UMrrs SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- TYPE OF 14SURANCE POLICY NUMBER COMYERCLAL GENERAL LIABLITY EACH° OKI-ou ' S $ CIAM44ADE ❑OCCUR MED EXP one PS—MM)S PERSONAL&ADV INJURY S GENSIMAOGREGATE $ 0 1 AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG S POLICY❑,ECT ❑LOC S OTHER; LA $ AUTOMOBILE LIABILY BODILY INJURY(Per POMOM) S ANY AUTO BODILY INJURY(Per aodd*M S ALL OWNED SCHEDULED AUTOS NO -0N WNED S HIRED AUTOS AUT09 $ EACH OCCURRENCE $ UNIMLL 1LIABOCCUR AGGREGATE S EXCESS LLAB CLA=4AADE S ° wC2-3 S-601698-015 2M 7/2015 2/1712016 A vrowo3cs L�BiMT10N, ,/ nM AND EMPLOYERS'LUuNu TY -YIN El,EACH ACCIDENT S 100000 ANY PROPRIETOWARTNERIEXECIRNE 100000 OFFICEP MEMBER EXCLUDED) a N lA El.DISEASE-EA EMPLOY" S (ManeLamn u+ 500000 If gy�reess deserbe under El,DISEASE•POLICY LIMIT DESt1R0�nONOFOPEPATIONS bobw DESORPTION OF OPERATX*d/LOCATIONS I VEHICLES(ACM 101,Addleonal RerWka Schedule.my be x9achad If more at Is required) Workers compensation Insurance coverage applies only to the workers compensation�ase f the tatekers of MA.compensation coverage. This certificate cancels and supersedes e11 previously issued certificates,only they CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED M ACCORDANCE WATH THE POLICY PROVISIONS. :6w.ae AUTH0RRED REPRElENTATNE Ubwtv Mutual Fire Insurance 01NO-2014ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered merits of ACORD CERT NO.: 23677622 CLIENT COOL: 1644469 Lucy Gesfield 3/3/2015 10:19:07 AM (EST) Page I of 1 Department of Publ,.; Safety Massachusetts Board of Building Reg'uiations and Stan::ards (-,instruction Supers isor license: CS-066334 %r 31 RICHMOND ST WEYMOUTH MA % f•, axpiration O9126I2015 Commissioner