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HomeMy WebLinkAboutBuilding Permit #210-2017 - 47R-High Street 8/29/2016 J i NORTy ►3UILDING PERMIT ✓/ °its`` °��� (� TOWN OF NORTH ANDOVER APPLICATION FO PLAN EXAM%\TIOhJ , #�a_ 7 ate Received zz z� ' DR�CHUS �5 Permit No gSSAHus�� Date Issued-©o Z_Q IMPORTANT: Applicant must complete all items on this page A LOCATION i J + I �.... L ter— Print (°_L L PROPERTY OWNER Print loo Year Structure es no MAP _ _PARCEL:ZONING DISTRICT:�_Hist hic District Y no Machine S o V�j'yI� ge, T- no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Industrial I, ❑Addition ❑Two or more family be Commercial Iteration No. of units: ❑Assesso BI, [I Others: ❑ Repair, replacement rY g ❑ Demolition ❑ Other - - - - ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed.District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: /P ��i� Identification- Please Type or Print Clearly OWNER: Name: /�1''. ►�} . �c�� Phone: ���� Address- U)47_2� r— Contractor Name: /w0►^r trt�- Phone: Email rr Address: � o v ,( CJ (� 6 3 Lf- Exp. Date: I Supervisor's Construction License: � Home Improvement License: Exp. Date: ' r ARCHITECT/ENGINEER N'I pc c— Phone: �G �'��� dnG-Re No.q JS_ 3 � : Address:�� 0 l�S f'�`'Id`i�C � Kelm j49� FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000 00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 2 0 FEE: $ Check No.: Z5���� Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Plans Submitted ❑ Plans Waived ❑ Certified 'Plot Plan ❑ Stamped Plans � p ❑ TYPE OF SEWERAGE DISPOSAL I Public Sewer ❑ Tanning/MassageBody Art ❑ Swimling Pools ❑ } Well Private(septic tank, etc. ElTobaccoSales El � Food Packaging/Sales ❑ ❑ Pennanent Dmnpster on Site ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS bs-izrk C- NO W ti ous•-f or ,tom✓ ti l 611uq CONSERVATION Reviewed on Signature COMMENTS j HEALTH Revi wed on Si nature COMMENT.� l i Zoning Board fAppeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning, oard Decision: Comments Conservation Decision: Comments Water& Sewer Connection/signature & Date Driveway Permit DPW Town Engineer: Signature: FIRELillilEPARaTMENT`- Te Located 384 Osgood Street mpQump�ster omit ,yes! Locafed)at-+1241NIamsSt�eet Y Department,s � - . • ` ,- � - = -- -' - - - gnature/date 12-- y /,-1 ra d �'/GrYcTYj COMMENTS. r__. RTy i Dimension Number of Stories: ----_._� Total square feet of floor area, based on Exter' Total land area, sq. ft.: for dimensions. ELECTRICAL: Movement Of Meter location . Electrical Inspector mast or service drop p re quires approval of ®ANG Z®NE LITERATURE: No MGL Chapter 166 Section 2 1 A-F and G Yes min.$1o0-$1000 fine No NOTES and DATA _ (For department use) r ® Notified for pickup Call Date Email •------------____.._._._. Time Contact Name Doc.Building Permit Revised 2014 -`-- Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work products rin Affidavits for Engineered p Permit e Department prior to Issuance of Bldg Engineering OTE: All dumpster permits require sign off from Fire Departm Addition Or Decks Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses � rinkler Plan And Copy Of Contract Work Plan Of Proposed With Sp Floor/ Cross Section Hydraulic Calculations (If Applicable) Compliance Report (If Applicable) Mass check Energy, products Engineering Affidavits for n offlfrom Fire Department prior to issuance of Bldg Permit OTE: All dumpster permits requires g New Construction (Single and Two Family) Building Permit Application Certified Proposed And lot C.S.L.PIaLicenses Photo of H.I.C. Workers Comp Affidavit Plans (One To Be Returned) to Include Sprinkler Plan An Two Sets of Building Applicable) Hydraulic Calculations (If App Copy of Contract 2012 I ECC Energy code Engineering Affidavits for Engineered products Permit permits require sign off prior to issuance of Bldg. OTE: All dumpster perm from Fire Departmen qears ors ecial permit was required the Town Clerks office must gistry stamp the decision from the Board of pp of Deeds. One copy and proof of recordin i In all cases if a variance p applicant must then get this recorded at the Re that the appeal period is over. The app cantim must be submitted with the building app r' Doc:Building Permit Revised 2014 �wr Location No. � !"7"_ � .e 2D1� i ` • - FNORTH TOWN O OANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ �� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 41 1 i _ .Check# �Z. L Building Inspector f L7 Location � � � ��✓�'�'�"'I No. �/ — ..2 Date �' �' /��,• r . - TOWN OF NORTH ANDOVER • Certificate of Occupancy Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL i Check#<> / Building Inspector 2�2�� . �1L A Contracting, LLC - -- - j Suite North And West Mill,4 High St I dover,MA 01845 i Kieran Whelan,Principal (617)592-6775 Kieran@JKContractor.com wvw.JKContractor.com -ter- � r 1 t%C'`rH r .. _c . . ve" **. _ 0 No. h h ver, Mass, 6 COCNICNeAK@wrc■ A�RATEO S V BOARD OF HEALTH Food/Kitchen PERMIT T_ Septic System LD THIS CERTIFIES THAT 4", ..�..... � ...,... !l, �s,,,,,.G...L.................................. . BUILDING INSPECTOR ............. . . ........ has permission to #moi . ...................... buildings on ..... ...` ...L ... .�. .....,�.. ........,,, Foundation Pv� Ro�to be occupied .t �...Qtfl,po 5�..���. .. ��� K chi fK � �l provided that th-b person accepting this permit shall in every respect conform o the erms of the application F on file in thii4itice, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Consxructidn of Buildings in the Town of North Andover. UMBING I PEC Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. / p Final PERMIT -EXPIRES IN 6 MONTHS ELECTRICAL INSPE OR UNLESS CONST IONSRou Gt>c.cV7--z 7_ 2-1- (1 s, Service BUILDING INSPE R Final �(,L �lf'V GAS INSPECTOR Occupancy Permit Required to 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. 0® o � .c . . ve. _ No. 1 . y �o h ver, Mass, 6 coc"Ic"aw" X01. �.4 A°RATED ►Pa,�gS S V BOARD OF HEALTH Food/Kitchen PER-.M... . IT Septic System THIS CERTIFIES THAT"v: . . +..��.....VA.�... ,�..�!f,.. • • •••• •• BUILDING INSPECTOR .. ....... has permission to of . ....................... buildings on .. ... .�. •„•. ••„....... Foundation ° to be occupied.- ”' . 4'a.. #I.. , chi Rough p _ lj provided thane"person accepting this permit shall in every respect conform o the erms of the application ?WfolF on file in this-4 ice, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Cons#r6.cti0n of Buildings in the Town of North Andover. UMBINTIPEC Rough t VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPE OR UNLESS CONST IONS Rou Glc 2-I Service ... .. ... .... .. .......... ... L Final �� �ll_V BUILDING INSPE R GAS INSPECTOR Occupancy Permit Required to 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.G � � �� ;_._ n_T..,.. Final Construction Control Docncnt To be submitted at completion of construction by a Registered Design Professional for work per the 8th editio of the Massachusetts State Building Code,780 CIVM,Section 107 Project TitleWR High Street Date:11/21/16 :ersnit No.210-201', Property Address:47R High Street,N.Andover,MA Project: Check(x)one or both as applicable: New construction X Exis ng Construction Project description:Renovation of existing office space. I,Donald M Walter,MA Registration Number:9536 Expiration date:8/3 U2017 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: X Architectural Structural Mechanical Fire Protection Electrical Other:Describe for the above named project. I,or my designee,have performed the necessary profes ional services and was present at the construction site on a regular and periodic basis.To the best of my knowledge,information,and belief the work proceeded in accordance with the requirements of 780 CMR and the design documents approved as part of the building permit and that I or my designee: 1. Have reviewed,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. 2. Have performed the duties for registered design professionals in 780 CIvIR Chapter 17,as applicable. 3. Have been 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 was performed in a manner consistent with the construction documents and this code. Nothing in this document relieves the contra to A. ibil' regardi;.I the provisions of 780 CMR 107. �r GS,ERED iti®o Enter in the space to the right a"wet"or e electronic signature and seal: o No 536 'ATE. °_' ► s A. i�' rJyA THOF SPCA Phone number:(718)499-2999 Email: r dwhittier.corn Building Official Use Only — -- Building Official Name: Permit No.: Date: Version 06 11 2013 i I it Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 1293054.00 m $ - $ 1,548.65 Plumbing Fee $ 193.58 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 193.58 Total fees collected $ 2,035.81 47 R High Street 210-2017 on 8/29/2016 Tenant Fit up r , NORTH '9 w: t 6 i. -c . : ve: O ». No. o h ver, Mass, 6 A_ coc"ICNIwKw 7a ADRATED 7S U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT .....&4040%.....�! .. ...�...�.�!�!s.....��................................... BUILDING INSPECTOR has permission to erect .......................... buildings on ..... ...`I... ......... . ...�.�' .......� ...,....... Foundation Rough to be occupied as AWimp... • ��.. ���. �!� � Chimney provided that the person accepting this permit shall in every respect conform o the erms 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST ION S Rough Service ... .. ... .... .......... .. BUILDING INSPE R. Final GAS INSPECTOR Occupancy Permit Required to 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. f I JK Contracting, LLC Suite 108,West Mill,4 High St Plans Submitted ❑ Plans ti North Andover,MA 01845--- d Plans F1i Kieran Whelan, Principal TYPE OF SEWER-AGE DISPOSAL`� (617) 592-6775 El Kieran@JKContractor.com Public Sewer Tar www.JKContractor.com W ell0 ❑ To BBB. Private(septic tank, etc. ❑ Pe ' THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ '11V COMMENTS d 5 V T) 'm Gl rhos-Ror d/rN✓G .fytirNq rq*Q� g ey-trFug lonlmq 0(-c No gtdy 7!}{"kinr N(.Pt� �f D{-tic[ U5r�r�nrSSts�-' i5 M.f'i CONSERVATION Reviewed on Signature • J COMMENTS HEALTH ,' Revi'wed on Signature COMMENT{ j� f f Zoning Board f Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning,.Board Decision: Comments Conservation Decision: Comments Wafter & Sewer Connection/signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street " _ FIRE DEPA'-ff NT c iTem Dumpster on,slt es "'� •- •r•=- '� a�.t`ti �4.,... rlyr +c tt': =-.:z1 �fi Locatetl at¢124�MaintStreet�'� ,--- tre D t �i ---.v partment�s gnat a/date �` -` 4,14— I ;31 _r'a..f^.� COMMENTS, JK Contracting LLC Proposal 4 High Street, Suite 108 North Andover, MA 01845 617-592-6775 (Kieran) j 781-254-2862 (Judy) Proposal Date: 7/19/2016 Proposal#: 203-23 (R) Project: 47 High St., Loadi... Bill To: Attn: David Steinbergh RCG LLC 17 Ivaloo Street Somerville, MA 02143 Description Est.Hours/Oty. `Fate Tota!'; Permits including C of O 1,660.00 1,660.00 .Demo;,Walls;by old elevator, corner of office ,and small 2,000.00 .' 21000.00 store,room,in,right.rear corner General Conditions 2,500.00 2,500.00 Ekcavatlo`n,Cut trench for plumbing inside and outside10,000.-00 10;000:00" space, cutthrough wall in''to Fyfe to access coring of 5 .. '. inch h61e•tor piping to tia#brooms by Fyfe, cutting of , .walls fol pturnbing tie m lnftl floors;inside and exterior, infili walls and-waterproof, patch and.re-paint walls after Y, i inis:com fete Exterior Trim & Decks, Build exterior ramp. 12,300.00 12,300.00 Frame<Meaanine,.including rails and stairs in wood, no 20,000.00 ,., 20,000.00- finishes. 1 Floor Framing; Infill loading docks. 2 . Leave one 15,000.00 15,000.00 loading dock operable. Plumbing, Bathroom, basic fit out 5,000:00 y5;00000 Windows &Trim, Install 1 inch glass panel where 1,000.00 1,000.00 louver is presently Electrical&Lighting[,Estimate$7,500:00] 7,500:00 _7,500.,b0 � Floor Coverings[Allowance] 12,000.00 12,000.00 ..Wall.Framing, 3,50PA0 3,500 0.0` Insulation 500.00 500.00 Doors,&;Trim, hardware, locks. 4,000.00 :;4,000:00 Heating &Cooling 0.00 0.00 'Interior Walls, Board, tape, sand 6,000.00 46;000.100 Painting 5,000.00 5,000.00 Kitchen:cabinets, vanity cabinet, granite 5,000.00 5;000:0.0 tops.]Altowance]' Plumbing, Kitchen 1,500.60 1,500.00 Speciaities,Glass;w_alls[aliowance] C2,000,00 w, 3;400:00 Cleanup 300.00 300.00 Supervision} 11;776.00 11,776:00 Insurance 1,177.60 1,177.60 Total $130,713.60 Ci (F. C U.HUI e rt 1,,cat10,- '. rby j Registera? it ICTI, ,vor�- Coil:ic�li f le 780 CIN4R.. S�xli,-,n 10" Nli.ass3chul;etts Clg Cod(;�, lite me Brarldi nc� Date:&108/2016 )ject Title: Suit,,-47R- P):,.)perty Address: 21 High Andt)ver, IAA p;-eject: Check(x)one 01.bu.,11,,is applicablc: Nevv Zonstrucholl ID- i qect description:Te-nantimprovenient'ft CUL iTI t-Ki't I ig io a -ed des (7n pi ?f S 5 ]on 9536 E pin�uon datie: SEI" _Jstrar , I --J-— E�onaldjyl..Walter MA Reg W ons and speciricatiOns ns� se;d Prep-rLratl 0 n F 4�1 11, (.1,21s.i gn ph�, and I have prepared of din;,ctly sup- I C.Oncerning X Architectural Fire Protection and be�'Iief SUCII-I plaxls,. C'�)rnputatlons and the above named project and .tat 'o fl)�� best offnay "i-nic" ("W CTAR), ztnci accepted US-.�-MUSCIIM �jecifjeations meet the appli�-'Iable PrW.ls;ons of the Mass- I my p, n the neee s S' ngi I neering-practices for 'the.' pnoject. I unde':stand aoad a�ivCt° the" 1 -ri, b'' 'S to'. -,,-ioft.�ssional services and b,..-,prcSerlt the c0nsiTuctioli 61CC 01, a 1-cul a sjl,,jj -,ci submittalis by I-IlQ 'ji,,; code and the des-'-P c0licept, jes ').l 1. ;Cl f�)r ooliforluallce to tj Contractor in accordance w-Ith the, require-mems.oflffie con,,-, tnact:(j Sdocciments. 2Perform the duties for rcaist "ter as aqaptly ablo . uz�--;-d desigIll Profsi e.son,:,-As in 'ISO A ."..71i-111a] C ` (-, the progress and. LIT-Ct 0111 to becotne �IeT !Y -jate to the stage of const i I 3. Be present at intervals 'a PPYP -,al:,jjcr C.() .P pecforil,),2(1 il, a the approved o be-ing quality of the work and to nine Ii'I ti construction ducummts and dhis code. i,,,01, -iSO CMR 107. 'bilit ,l 1 1 t; so, I I ous- the pi contractor of I in this docurnent reo-eN el. 1-11Z together will pertinent bi fi.."Id./vTogess repon-S, Win .3 When required by the biffldlng oifiicial, I shall s A t-ill comments, in a form ace'-ptable to the build'i'ng offici,11. ('(),istniction Control D (1111101't'- I �Jjafl submit to the bufl-iing I.,pon completion of the work., A AF?C r A Enter in the space to the right a"N et" or electronic signature and seal: .9536 7E. 12 . 1- MJ� Jill 0, M Phone number: 978 499 2-999 Email: d-,valter(, doreandwhittier-Coil', 4"HOF tA QJ�)Aa BLI-111eing 0rficial Use 07.11y Building Official Name: Permit No,: Date: ns and specilicati011s that you prepued or direcily supervised. If'other' is chosen. Note. 1, indicate with ar, 'x'nn-Ject I P lans,computations pro,.,-;de a description. Version 06112013 The Commonwealth of Massachusetts Department of I'ridustrigl Accidents Office of Investigations IN 600 Washington Street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/lndividual): i Address: riv' 10 ; 4- 1 d�H lip ov T),_ +o�, 018 �YJ City/State/Zip: N - i4 04 4v s�-- 1 Ir9 iPhone#: b I Are you an employer?Check the appropriate box: Typo of project(required): 1.® I am a employer with 4• ❑ I am a general contractor and I 6. [J New construction employees(full and/or part-time).* have hired the sub-contractors 2.F] I am a sole proprietor or partner- listed on the attached sheet t 7 .Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. g, ❑Building addition [No workers'comp.insurance 5. El We are a corporation and its required.] officers have exercised their 10.E]Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roofrepairs insurance required]t employees.[No workers' 13.[J Other comp.insurance required] 'Any applicant that checks box#i must also fill outthe section below showingtheir workers'compensation policy information. T Homeowners who submit this affidavit indicating they ge doing all work and then hire outside contractors must submit a new affidavit indicating such $Contractors that check this box mast attached an additional sheet showing the name of the sub-contractors and their workers comp.policy information. . I am an employer that is providing workers'compens ation insurance for my employees. Below is the policy and job site information. n Insurance Company Name:. -gig N e+l a N,1 d now u` 19 c'rz'�'� Policy A or Self-i11' elf ins. ' .#: ° ORE 1 -7(i— _'L_ Expiration Date: L Job Site Address: rP0 J c)`— City/State/Zip: M Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of 'Investigations of the DIA for insurance coverage verification. I do hereby cerfify under the pains and penalties ofperjury that the information provided above is true nd correct. Si afore: ^• --7 Date: Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# 'Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone#: Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-066334 J Construction Supervisor ,# KIERAN T WHELANt 31 RICHMOND STR WEYMOUTH MA-02 r,�,,,C � Expiration: Commissioner 09/26/2017 V