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HomeMy WebLinkAboutBuilding Permit #043 - Suite 130 7/18/2008 p0RTH BUILDING PERMIT o�st��o ,6Ati TOWN OF NORTH ANDOVER 0? *6 0 APPLICATION FOR PLAN EXAMINATION 7D Permit NO: 011-5 Date Received A'Rn7f0► q5 ��SSACH�IS�� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION q rd over T�rintg' , 13C. Print PROPERTY OWNER h I A 0 P LL- - Print MAP NO: .'elf PARCEL ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 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 Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: C)10 , LLG Phone: (Old- 33a- (DV) Address: C13 UnIoOnNtwion MR OD-4 °i Sui Q' 31s CONTRACTOR Name: u 5- l 092A\j `� Phone: Address: V >C) • 1"x i j 1 Com- 4 MR ol a l Supervisor's Construction License Exp. 'Date: ` Home Improvement License: Exp, Date: _ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $9. 901 . 00 FEE: $� �( Check No.: o Receipt No.: r .S NOTE: Persons contracting with unregistered contractors do not have access to the guaran 6 d Signature'of Agent/Owner Signature of contracto Location A,,,,1-,A, -fir• J3d No. 3 Date i �ORTN TOWN OF NORTH ANDOVER 0. # • Certificate of Occupancy $ 'ss,cwusE`� Building/Frame Permit Fee $ Foundation Permit Fee $ as Other Permit Fee $ TOTAL $ Check # 21 3 5 b Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS 'toning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster n site yes no X Located at 324 Main Street Fire Department signature/date a(v OS- COMMENTS je&� ,,/t ac. Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 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 ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Joseph D . LaGrasse & Associates , Inc . One Elm Square,Andover,MA 01810 www.lagrassearchitects.com tel.978.470.3675 fax:978.470.3670 jdlai@aol.com ez, CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: #2161 PROJECT TITLE: Condominium Properties,LLC PROJECT LOCATION: 451 Andover Street,North Andover,MA NAME OF BUILDING: North Andover Office Park SCOPE OF PROJECT: Interior Suite Improvements for Suite 130 In accordance with Section 116.0 of the Massachusetts State Building Code, I, Joseph D.LaGrasse MA. Reg.# 4153 being a registered professional engineer/architect hereby certify that I have prepared or directly supervised the preparation of all design plans,computations as specifications concerning: Entire Project X Architectural Structural Mechanical Fire Protection Electrical Other For the above named project and that, to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable laws for the proposed project. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 116.2.2: 1. Review of shop drawings, samples, and other submittals of the contractor as required by the construction contract documents as submitted for building permit,and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix Pursuant to Section 116.4,1 shall submit periodically,a progress report together with pertinent comments to the 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. EO ARr— O`� � D• fac y�r No..4153 �. ANDOVER, � Y'' h �� MA S s ture cif Archite nQineer Date Of 0 F://construction control affidavit.doc Principals Joseph D.LaGrasse AIA 0 Philippe R. Thibault AIA Member of the American Institute of Architects &Boston Society of Architects NORTH Town 0 oAndover No. Oq3 W-.r-C% 0.-:7 dover, Mass., 0 LAKE/jam A. COCMIC HEWICK 0RATED BOARD OF HEALTH Food/Kitchen PERM -IT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...........//A.0 .... ..........................................................J .--.... '......•`... ........ Foundation has permission to erect .. .............................. buildings on .... ....... Rough to be occupied as................. Chimney .. . ................ ............/. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 CONSTRU=O Rough Service BUILDING i6i6i ................. ............... .................. Final Occupancy Permit Required to Occupy Building GAS INSPECTOR I 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. SEE REVERSE SIDE Smoke Det. JUL-09-2008 11:59 FIRST GENERAL REALTY CORP 617 527 4176 P.001 —rO Kirin 1�oT-rs FIRST GENERAL REALTY CORPORATION 93 Union Strec4 Suite 315 j Newton Centre,MA 02659 Phone:617.332.-6400 Fac:617-527-4176 July 9,2008 1 US Property Services Sent via facsimile:(781)319-9033 6 Pleasant Street,Sob 504 Malden,MA 02148 130 Re: 451 Andover Street,SuiteA Oemo Work Dear Frank Gomes: This is confirmation of the work to be performed at the above referenced address. We mutimlly agree the amount will not exceed nine thousand nine hundred one dollars and 00/100 901 QOJ for the work ( described on the proposal,attached as Exhibit W. Your engagement is acceptable subject to the following I conditions: Your engagement is acceptable subject to the following cond'Rions: 1. All work shall be performed in a good workman lice manner and in accordance with all town,state j and country codes and regulations. 2. Your company and personnel will clean up after completing their work. 3. Your company wig provide us with a certificate of insurance to include public general liability and workers compensation.NADP LLC and First General Realty Corporation,as additional insured. 4. Your eomparry will be responsible for obtaining all necessary pemdts if applicable. 5. If you cause a violation to the contract,we can send you written notice and remove you from the job within 72 hours of notification Err payment obligations to only the work completed. S. The project will be sdmkded on a mutually agreed upon date by Contractor and Landlord. { 7. The payment terms are as follows:$3,300.33 Deposft,$3,300.33 wok in pmgness and$3,300.34 1paid in full within 15 days completion of work I 8. Should any part of this agreement contradict EWW W.this contract shall govern or supersede. Please sign on the be provided below and the Will serve as the basis for our contract Sinoerrely, lam—IdRogers, �Y Manager i i ,1 Agreed to and accepted by: I o 6 i Frank GornesPfftident Date i I .ill U.S. Property Services Estimate P.O. Box 545 Billerica,MA 01821 Date Estimate# 6/26/2008 3536 Phone# 978-319-9033 Fax# 978-319-9033 Name/Address Ship To First General Realty,Corp. North Andover Office Park 93 Union Street,Suite 315 451 Andover St. Newton,MA 02459 Suite 130 N.Andover,MA 01810 Project 451 Andover St.,N.Andover Item Description Qty Rate Total **As specified on Proposal#3536 dated 06/26/08(last revised on 07/08/08): **All specifications according to the plans submitted Carpentry -Install demising wall in Offices 1,3,Waiting Area,& 1,200.00 1,200.00 Business Office -Install this wall above the existing wall to make the office fire-rated -Extend approximately V above the existing wall -No demo work on the existing wall Insulation -Install full-height QuietRock 525 over the existing wall 2,095.00 2,095.00 dividing the Business Office and Office 3-and to 2 walls in Office 2 -Blow insulation into walls receiving QuietRock 525 Carpentry -Demo one wall in the Waiting Area 1,500.00 1,500.00 -Build a new 39"high wall with a 12"wide oak counter in the Waiting Area -Build a wall to accommodate a new doorway in Office 1 -Use 3 5/8"metal studs and 1/2"sheetrock -Re-use existing door and frame-no sidelight Carpentry -Add fume molding panels to the exterior door 250.00 250.00 -Stain new molding to match existing stain on door Thank you for your continued business! Total Signature Page 1 J C U.S.Property Services Estimate P.O. Box 545 -- Billerica,MA 01821 Date Estimate# 6/26/2008 3536 Phone# 978-319-9033 Fax# 978-319-9033 Name/Address Ship To First General Realty,Corp. North Andover Office Park 93 Union Street,Suite 315 451 Andover St Newton,MA 02459 Suite 130 N.Andover,MA 01810 Project 451 Andover St.,N.Andover Item Description Qty Rate Total -Door will not be stripped Carpentry -Remove door,close hole,&open new 32"x80"doorway 550.00 550.00 in the Utility Area -Add an in-stock Home Depot standard kitchen countertop(42"wide)in the Utility Area Demo -Remove all cabinets in all rooms except for the Business 700.00 700.00 Office Carpentry -Add nosing and wainscoting to the existing chair rail in 956.00 956.00 the Waiting Area Painting -Remove wallpaper from designated areas 2,500.00 2,500.00 -Apply I coat of primer to the walls and woodwork in the entire suite -Apply 1 coat of finish paint to the walls and woodwork in the entire suite Demo -Remove vinyl base in Offices 1,2,&3 150.00 150.00 Thank you for your continued business! Total $9,901.00 Signature Page 2 i Board of Building Regultiti6ni and Standards Construction Supervigor License License: CS 98124 EXplrailon 1171/2011 Tr# 98124 DAVID ROWE 17 DAVIS ROAD ACTON,MA 01720 i Commissioner J TE(MMIDDNYYY) ACORD- CERTIFICATE OF LIABILITY INSURANCE 7DA4/14/08 PRODUCER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION Fravel Insurance Agency ONLYAND CONFERS NO RIGHTS UPON T HEC ERTIFICATE 6 High Street HOLDER.THIS CERTIFICATEDOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Danvers, MA 01923 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Granite State Insurance US Property Services INSURERB:Western World Ins Co Lisa Gomes DBA INSURER C: 200 Andover Street, Suite 312 INSURER D: Peabody, MA 01960 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'N POLICY NUMBER POUCYEFFECTIVE POUCYEXPIRASIDNI TR INAP TYPE OF INSURANCE LIMBS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A ET RENTED B X COMMERCIAL GENERAL LIABILITY NPP1156614 2/14/08 2/14/09 pREmAGES(Eaoccurence $ 50,000 CLAMS MADE Dx OCCUR MED EXP(Anyone Person) $ 51000 PERSONAL&ADV INJURY $ 11000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIM IT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHERTHAN EAACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLALIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WC STATU- OTH- WORKERSCOMPENSATION AND I ER A EM PLOYERS'LIABILITY 2341484 2/26/08 2/26/09 E.L.EACH ACCIDENT $ 100,000 ANY PROFR IETOR/PAR TNER/EX ECUTNE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 it des d escd be under SP EG ALPROVISONSbelow E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER D ESC RIPTIO N OF O PERATIONS/LOCATIONS I VEH IC LES I EXCL USIONS ADDED BY END CRSEMENT I SPECIAL PROVISIONS NAOP, LLC is listed as additional insured. CERTIFICATE HOLDER CANCELLATION SH OU LD ANY OF TH E ABOVE DESC RI BED POLICIE S BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER W ILL ENDEAVOR TO MAIL 30 D AYS W RITTEN NA'OP, LLC. NOTIC ETO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO D OSO SHALL 451 Andover STreet IMPOSENO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR North Andover, MA 01845 REPRESENTATI S. AUTHORIZED RE ES T IVE ACORD 25(2001108) ©ACORD CORPORATION 1988 07-17-'08 14:37 FROM-Joseph D LaGrasse 978-470-3670 T-627 P002/002 F-025 Joseph D. LaGrasse & Associates, Inc. One film Squim,AadOM,MA 01810 www.ta9rassearchitect9.com tel.918.470.3675 fax:979.470.3670 idlaiftol.corn 4z CONSTRUCTION CONTROL AMDAVIT PROJECT NUMBER: #2161 PROJECT TITLE: Condominium Properties,LLC PROJECT LOCATION: 451 Andover Street,North Andover,MA NAME OF BUILDING: North Andover Office Park SCOPE OF PROJECT: Interior Suite Improvements for Suite 130 In accordance with Section 116.0 of the Massachusetts State Building Code, 1, ,logA D.LaGrasse MA.Reg.# 4153 being a registered professional engineer/architect hereby certify that I have prepared or directly supervised the preparation of all design plans,computations as specifications concerning: Entire Project X Architectural Structural Mechanical Fire Protection Electrical Other For the above named project and that, to the best of my knowledge. such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. I further certify that 1 shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 116.2.2: 1. Review of shop drawings, samples, and other submittals of the contractor as required by the construction contract documents as submitted for building permit.acrd approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix 1. Pursuant to Section 116.4.1 shall submit periodically,a progress report together with pertinent comments to the 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. No.4153 ANnov9, MA ., S ure f ArchiteWngginecr Date N or I% F:Ucomtructioo control attiidavit.doc Principals Joseph D.LaGrasse AIA - Philippe R,Thibault AIA Member of the American Institute of Architects&Boston Society of Architects 07-17-'08 14:37 FROM-Joseph D LaGrasse 978-470-3670 T-627 P001/002 F-025 FAX COVER SHEET JDLaGrasse & Associates, Inc. Architects,Engineers&Land Planners One Rm Square Andom.MA 01810 T 978.470.3675 F 978.470.3670 E jdlai®aol.com www.logasscuchitects.com TOTAL NUMBER OF PAGES . DATE , Jv�r /7 Z"c:11 Please contact the sender immediately if less than the FRE ; �uc766 150 specified number of pages is received or if any portion '�`51 � is not legible. STATUS : FAX COPY SENT TO COMPANY/ADDRESS FAX NUMBER . 1-IOcd cl(LAIVO wUQP M.A 5 1. &3A 617 -`erZ COMMENTS : k�b C,ftEO 0. 4 ��j� / '0Cin. A / F ✓ _ Yw 4Fe_ :5r, VKe� W 09-r- 1> 9—at5 u,Lc al�C,I T(aa�u 4 xr 0 �v I TK ru 4d)P /�,� �� � " �'q atllrc')2 ��a� OG��a�(T(DN, 7K�� -rtUtOT3 Ae.6 /far AWA40.. ov a C� 7 t S /-'3 W(U- Na;r 06 �uC.IJ A- dN d ".►rll c ruK 69 r P ct Number: Sent : ►'� by Joseph D. LaGrea ve&Associates, inc. is a full s6/' ov architecturaa/, eng/neemg, and/and p/ann/ng Nrm located in Andover, Massachusetts.