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Home My WebLink AboutBuilding Permit # 7/31/2015BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION , , Permit No#: Date Received ° , • - Vk. -.4 1 6 'll• *54sacHt0. Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION "73 .- ,4 Print PROPERTY OWNER Print 100 Year MAP PARCEL: ZONING DISTRICT: Historic Structure yes no District yes no Shop Village yes no Machine TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building 0 Addition 0 Alteration 0 One family 0 Two or more family No. of units: 0 Industrial 0 Commercial D Repair, replacement 0 Demolition ' ' 0 Assessory Bldg D Others: 0 Other ' ' ' ' 1SiVel '4" .stric i 1 17 Ft/ M Pr- rgiik T'ir V' gi,, Ir i DESCRJZTIONpF ii-, - rA o i it WORK TO BE PERFORMED: Ursite: Oe.114 Identification - Please Type or Print Clearly OWNER: Name: /44, 55,4, 6,6e, Phone: 7g 1 - er3 - "4,43 Address: ac e 64 54 1.0/.41 ":04 Contractor Name,) Z.,,,,),,,.11:75 ,'/, 5;,..., Phone: 4:e3 - ezt- 4,41/2 Email: el 6 e ,,,,, Alia s. .? een..i ,,,,,,, i ,,y, I Address: 3 1:;,,,,,,, „."1,- e; A A. 4e....' ii, /Vile 0 '.ic,'5/ , Supervisor's Construction License: Home Improvement License: e 5 — o ,--13' ,-2,,,,, 1 Exp. Date: Exp. Date: ARCHITECT/ENGINEER Ks: 517 ' , i Phone: en Is - Address: pit; /itir.,,,,, 574 1, e,,,,,,e , Reg. No. 71,„,, etjej FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ /4. 0,co - FEE: $ Check No.: /06 0 Receipt No.: NOTE: Persons contracting with unre ist red contractors do not have accesskt Jp7fund ,,. na./ fili-'6aerl wner z / , ,e,/4 Sianature of contra aidt' 4,&,,, ,11-,-„:"115— Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer 1 Tanning/Massage/Body Art L Swimming Pools 0 Well — Tobacco Sales — Food Packaging/Sales 0 Private (septic tank, etc. — Permanent Dumpster on Site I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On COMMENTS CONSERVATION Reviewed on COMMENTS HEALTH Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/signature & Date Driveway Permit ]DPW Town Engineer: Signature: (RE- DEPARTMENT ,Loca,ted 38 4 Street TOrnp, Dumpster 9n site esrio Located at 124 Main Street Fire Department signature/date , , COMMENTS Cl)cn 0 0 CD cn cn ® CD CL CD0 (D cD cocci CO ▪ O • y Cl) O '0 CD 0 C) — O 71 CD a 0 210103dSNI 9NIO1lfl8 OI13fl I1SN03 SS31Nf1 rn ril /\ 55 C, Dcn VIOLATION of the Zoning or Building Regulations Voids this Permit. C) O U) rt O On = - N C. W P CD _a CD =O O .0 Q. • O �CD ° CD '0 o ar < • mrrt O o CD N 0 P— o Q- < cD 5' • < O cp W .R '< CD ✓ N O -o lD c--gD • C) - O =f' O o ,moo <D 0 _ N -0 "g CD O. �. EP >0 CD '0 0 Fi = a CD O 3' Q loam of uolsslwied seq 1VH1 S31d112130 SIHI To: Alyssa Cohen 261 Merrian Street Weston, MA 02493 PROPOSAL Dan Bernatas Construction Services 3 Foundry Street Amherst, NH 03031 603-661-4242 d b • atas2c nnciist.nelt For: Dottie's Delights 733 Turnpike Street, Unit 7 North Andover, MA We propose to provide all labor, material, equipment and supervision to construct the retail/kitchen fit -up at the above mentioned property from plans by GSD Associates, dated July 24, 2015 as follows: Remove partitions, ceiling tile, grid and VCT. Terminate electrical as necessary to make necessary renovations. Ceiling and flooring to be removed in retail areas only. Construct new partitions as shown on plans. Walls to be constructed from 3 5/8" metal studs with 3 Yz" fiberglass and IV drywall taped and sanded smooth. Holes through out kitchen and storage space will be patched as necessary. Electric outlets to be installed as necessary per code. Fire and smoke alarm to be reinstalled. Light switching to be reworked as necessary to facilitate new floor plan. Install new single, 1 3/8" thick, solid core, flush, double swinging door between retail space and kitchen. Replace missing trim at front door. Install new ceiling track and tile. Track to be white tile to be 2' x 4' Armstrong, model A-769. Existing ceiling light fixtures are to be reinstalled in new ceiling. Install wood flooring throughout new retail space. Flooring to be Home Depot, Legend, Model HI 189H. Install new vinyl base over wood floor. Owner to provide wood flooring materials and base. Replace any broken VCT in kitchen and storage areas. Paint all new and old walls and trim in retail space per owner provided paint. All debris will be disposed of off -site in a suitable trash facility. Exclusions: Fixtures, cash wrap, appliances and other equipment not necessary to complete the work above. Any rework necessary of the existing fire sprinkler system. All kitchen hood work not currently available including hood equipment, ducting, all gas piping, all electrical and carpentry and roofing necessary for venting. The work outlined above will be performed for a sum of $11,125.00, eleven th usand one hundred e//505 five dollars. Dan Bernatas Al "sa Cohen Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 8th edition of the Massachusetts State Building Code, 780 CMR, Section 107.6.2 Project Title: Dotties Delights - Tenant Fitup - Existing conditions Date: 07/24/2015 Property Address: Jasmine Plaza, Unit #7, 733 Turnpike Street, North Andover , MA 01845 Project: Check (x) one or both as applicable: [ ] New construction [x] Existing Construction Project description: 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 concerning]: [ ] Entire Project [ ] Fire Protection [X] Architectural [ ] Electrical [] Structural [ ] Other: [ ] Mechanical 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. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. 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 perfoinred 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. 4. 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 item 3.) together✓ith pertinent comments, in a form acceptable to the building official. 4 Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'. Enter in the space to the right a "wet" or electronic signature and seal: Phone number: cell: 978-204-4770, office 978-688-5422 x203 Building Official Use Only Building Official Name: Permit No.: Date: AIA MA & Insurance Aooroved Version, Initial Construction Control Doc R. rc,4,it1: itDOVE. Email: gsmith@gsd-assoc.com ..----, ® AC R CERTIFICATE LIABILITY INSU NCE DATE(MWDDYYYY) 7/ 5 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 FoyInsurance Group- Nashua 350 Main St Nashua NH 03060 CONTACT Teri Davis PHONE (603) 883-1587 FAX (603)083-0997 Est): (A/C, No): Mir, ADDRESS:teri.davis@foyinsurance.corn INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Travelers Casualty & Surety IL 19046 INSURED Daniel Bernatas 3 Foundry Street Amherst NH 03031 INSURER B :Liberty Mutual INSURER C: INSURER D : INSURER E : INSURERF: r 2/2015-2016 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 LTR TYPE OF INSURANCE ADD- INSR SUER WVD POLICY NUMBER POUCY EFF (MMIDDIYYYY) POLICY EXP IMMIDDIYYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 6802343N356 2/25/2015 2/25/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300 OOO MED EXP (Any one person) $ 5,000 CLAIMS -MADE X OCCUR PERSONAL&ADVINJURY $ 1,000,000 X CGD246 8/05 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 GEN'L AGGREGATE n l POLICY LIMIT APPLIES O- JFCT PER: LOC $ AUTOMOBILE LIABIUTY SCHEDULED COMBINEDSINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFIC(Mandatory n H)R EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y ! N Y N ! A 3A State: New Hampshire Excluded: Daniel Bernatas WC531S601673-015 2/13/2015 2/13/2016 X WCSTATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 100,000 E.L DISEASE - EA EMPLOYEE $ 100,000 $ 500,000 E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Operations usual & customary for Carpentry Contractor. dottiesdelights@gmail.com Dottie's Delights LLC Attn: Alyssa Cohen 733 Turnpike St North Andover, MA 01845 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 Teri Davis, AAI, ACM 988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) INS02519n1(nrrr n1 The Anrum name and Innn are renie*ered marks of Annan Massachusetts Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-043221 .%1 `\` DANIEL BERNAT, S 3 FOUNDRY ST �' s Amherst NH 03031 I 92,---&-estey- c-i I 151 Commissioner Expiration 08/16/2015