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Home My WebLink AboutBuilding Permit #615 - 1 HIGH STREET 3/23/2007 L NORTH BUILDING PERMIT 0 4'IUVD TOWN OF NORTH ANDOVER ? g ' . 0`,6 APPLICATION FOR PLAN EXAMINATION 101 Permit NO: Date Received ��Ssgc►+us��y Date Issued: IMPORTANT Applicant must complete all items on this page wAW a/ l " A, OE Y QNE 1AM ` 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 ®lett s 1t1 � 600 � i/ �flands �ter�e�bsct 1tltaterlSeue, 7i /6 E�l / / DESCRIPTION OF WORK TO BE PREFORMED: Ide ification Please Ty Print Clearly) OWNER: Name: x}'1( /1 A1C Phone: / � � f Address yl l i 40C1V�IACTOF2 Address s �Up r S Ct{ I els .941 07 It 61"1" "N"N EXp a z e H�m�e I_r �pr© �er�ient � ens Ex . Ddte� /,ss ARCHITECT/ENGINEER �1 �� Phone: X170 01"7 3 7 Address: T4' 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: $ FEE: $ 1 a S I Check No.: M ��5 Receipt No.: AO Olj NOTE: Persons contracti r,&-wittpnregistered contractors do not have access to the guaranty fund Signature of Agent/Owner LxL144Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales r ❑ Food Packaging/Sales ❑ PrivateJseptic tank,etc. ❑ Permanent Dumpster on Site ❑ 't Zoning 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 Located at 384 Osgood Street F2E'DEAR�NI �I em Durrlpste site yews to k Lac aiedt124 Mein S#reef Firy. e amer'w ii•ttANgaturelda eqi` y,'.. fNGC M NTS 2F ��SFA 21", Dimension II Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land areasq. 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 i NOTES and DATA— For department use I �I I i � I ❑ Notified for pickup - Date ............................................................................................................................................................................................................................................. .............................................................................................................................. ............................................................................................................... Doc.Building Permit Revised 2007 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 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 o 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 New Construction (Single and Two Family) ❑ Building PP 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 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 2.2007 Location"e- r eaa vim' No. � Dates " Ma�TM TOWN OF NORTH ANDOVER F ; p Certificate of Occupancy $ o �'9s'•° Eta' Building/Frame Permit Fee sAcNus Foundation Permit Fee $ ` Other Permit Fee $ TOTAL $ Check # Ike 20061 Building Inspector r Siemasko +Verbridge Architecture Ik Interior Design 16 March 2007 I 1 Office of the Building Inspector 1600 Osgood Street North Andover,MA 01845 Re: Renovations to the Converse,Inc. 2nd Floor One High Street,North Andover MA t To Whom It May Concern: l I j Siemasko+Verbridge,Inc.has reviewed the 2nd floor workstation layout designed by Office Environments for the planned renovation to the Converse office building. The layout complies 4 with Massachusetts State Building Code 780 CMR and all other applicable codes,with the exceptions noted on the attached drawing plans. 3 a , { Sincerely, y S Scy��R e a { Siemasko+Verbridge R MA O S4' Thaddeus S. Siemasko,AIAF OF rASs'`�o i www.svdesign.com 126 Dodge Street Beverly,Massachusetts 01915 t 978.927.3745 f 978.927.6365 A P:\Commercial,Current\Converse 2007\Converse 4th and 5th Floor\02-General Correspondence and Project Info\2007 03 16 Letter to Building Inspector.doc acknowledgment O F F I C E 670 North Commercial Street,Suite 203 • ENVIRONMENTS Manchester,NH 03101-1160 of New England TEL 603.668.6831 Page 1 of 5 FAX603.668.6851 www.ocne.com Manchester order# I ack date customer order# customer# account representative oro*# 782317 1 01/23/07 SQ SUSAN ROGATO CON941 HEATHER MARSHBURN TO: SUSAN ROGATO SHIP TO: SUSAN ROGATO CONVERSE INC. CONVERSE INC. ONE HIGH STREET ONE HIGH STREET NORTH ANDOVER, MA 01845 2ND FLR - DESIGN & DEVELOPMENT North Andover, MA 01845 p: 1.978.983.3508 p: 1.978.983.3508 terms: NET 10 DAYS Version: 2.0 line# auantitv unit Drice extended amount ** 2ND FLOOR - DESIGN AND DEVELOPMENT ** 1 96 TS748HF STE 49.47 4,749.12 FRAME-HORIZONTAL PACKAGE,48W BASIC :0835 BLACK (TRANS) Tag For: 48/54 2 15 TS772HF STE 82.13 1,231.95 FRAME-HORIZONTAL PACKAGE,72W 1 BASIC :0835 BLACK (TRANS) Tag For: 72/54 3 50 TS754IPJ STE 28.93 1,446.50 JUNCTION-IN LINE,54H Tag For: 54 4 50 TS754EPJ STE 46.20 2,310.00 JUNCTION-END OF RUN,54H TOP-CAP :6000 BLACK UPRIGHT :0835 BLACK (TRANS) Tag For: 54 5 10 TS754LPJ STE 69.53 695.30 JUNCTION-L,54H TOP-CAP :6000 BLACK UPRIGHT :0835 BLACK (TRANS) Tag For: 54 6 21 TS754TPJ STE 69.53 1,460.13 JUNCTION-T,54H TOP-CAP :6000 BLACK UPRIGHT :0835 BLACK (TRANS) Tag For: 54 7 14 TS743MHX STE 50.40 705.60 MODULAR HARNESS-3+1,43W This acknowledgement is subject to Office Environments of New England's standard terms and conditions which are available to the accepting party upon request. u acknowledgment O F F I C E 670 North Commercial Street,Suite 203 01EE N V I R O N M E N T S Manchester,NH 03101-1160 of New England TEL 603.668.6831 Page 2 of 5 FAX603.668.6851 www.oene.com Manchester order# I ack date 1 customer order# customer# account representative prom# 7 82 317 1 01/23/07 r SQ SUSAN ROGATO CON941 HEATHER MARSHBURN line# auantitv unitri extended o n Tag For: HM43 8 14 TS78OMHX STE 71.40 999.60 MODULAR HARNESS-3+1,80W Tag For: HM80 9 23 TS7PK48X STE 79.33 1,824.59 POWER KIT-3+1,48W Tag For: U 10 14 TS7PK72X STE 120.40 1,685.60 POWER KIT-3+1,72W Tag For: U 11 25 TS7ISSX STE 16.80 420.00 RECEPTACLE-SYSTEM GROUND,LINE 1,3+1 PLASTIC :6000 BLACK Tag For: 1 12 25 TS72SSX STE 16.80 420.00 RECEPTACLE-SYSTEM GROUND,LINE 2,3+1 PLASTIC :6000 BLACK Tag For: 2 13 25 TS73SSX STE 16.80 420.00 RECEPTACLE-SYSTEM GROUND,LINE 3,3+1 PLASTIC :6000 BLACK Tag For: 3 14 8 TS7UFPLATE STE 2.33 18.64 FACE PLATE-UNIVERSAL PLASTIC :6000 BLACK 15 25 RPXFTAKPP STE 24.27 606.75 FILLER-PROUD STEEL/PROUD WOOD FR PEDS,PTW/ANSWER/KICK PANELS BASIC :0835 BLACK (TRANS) Tag For: PF 16 25 RPF3027AP STE 361.60 9,040.00 PEDESTAL-FIXED,2 BOX/1 FILE DWR,PRD STL FR,29-1/2X15X27 BASIC :0835 BLACK (TRANS) LOCK :9201 POLISHED CHROME PULL :9211 NICKEL KEYS :SK PLUG Tag For: B/B/F 17 25 RPF3027BP STE 352.53 8,813.25 PEDESTAL-FIXED,2 FILE DRAWERS, This acknowledgement is subject to Office Environments of New England's standard terms and conditions which are available to the accepting party upon request. 6 iJ acknowledgment 91E O F F I C E 670 North Commercial Street,Suite 203 E N V I R O N M E N T S Manchester,NH 03101-1160 of New England TEL 603.668.6831 Page 3 of 5 Fnx603.668.6851 www.ocne.com 9 Manchester �i order At I ack date customer order# customer# account representative ( pro*# 7 82 317 1 01/23/07 SQ SUSAN ROGATO CON941 HEATHER MARSHBURN line# auantityi i extended moun PROUD STEEL FRONT,29-1/2X15X27 BASIC :0835 BLACK (TRANS) LOCK :9201 POLISHED CHROME PULL :9211 NICKEL KEYS :SK PLUG Tag For: F/F 18 25 TS7TIEPLATE STE 41.53 1,038.25 TIE PLATE-SIDE BY SIDE WORK SURFACE APPL,PKG 6 19 5 TS71272HS STE 80.27 401.35 PANEL SKIN-HARD SURFACE,12X72 SURFACE :4798 STERLING OPTIONS * * OPTIONS SURF OPT *OPT:SURFACE OPTIONS PERFSTL PERFORATED STEEL SURFACE Tag For: PS1272 20 5 TS71272TA STE 55.07 275.35 PANEL SKIN-PERF TACKABLE ACOUSTICAL,12X72 SURFACE :P143 BALUSTER OPTIONS * * OPTIONS FAB DIR *OPT:FABRIC DIRECTION HORZ HORIZONTAL APPLICATION O Tag For: TA1272 21 5 TS72472HS STE 121.80 609.00 PANEL SKIN-HARD SURFACE,24X72 SURFACE :4798 STERLING OPTIONS * * OPTIONS SURF OPT *OPT:SURFACE OPTIONS PERFSTL PERFORATED STEEL SURFACE Tag For: PS2472 22 50 TS71248HS STE 65.33 3,266.50 PANEL SKIN-HARD SURFACE,12X48 SURFACE :4798 STERLING OPTIONS * * OPTIONS SURF OPT *OPT:SURFACE OPTIONS PERFSTL PERFORATED STEEL SURFACE Tag For: PS1248 23 192 TS71248TA STE 45.27 8,691.84 PANEL SKIN-PERF TACKABLE ACOUSTICAL,12X48 SURFACE :P143 BALUSTER OPTIONS * * OPTIONS FAB DIR *OPT:FABRIC DIRECTION HORZ STD:HORIZONTAL APPLICATI Tag For: TA1248 24 50 TS72448HS STE 98.00 4,900.00 This acknowledgement is subject to Office Environments of New England's standard terms and conditions which are available to the accepting party upon request. n d acknowledgment 91E O F F I C E 670 North Commercial Street,Suite 203 E N V I R O N M E N T S Manchester,NH 03101-1160 of New England TEL 603.668.6831 Page 4 of 5 FAX603.668.6851 www.ocne.com Manchester order# I ack date customer order# customer# account representative pro*# 782317 1 01/23/07 SQ SUSAN ROGATO CON941 HEATHER MARSHBURN line# auantltv unitprice extended amount PANEL SKIN-HARD SURFACE,24X48 SURFACE :4798 STERLING OPTIONS * * OPTIONS SURF OPT *OPT:SURFACE OPTIONS PERFSTL PERFORATED STEEL SURFACE Tag For: PS2448 25 142 TS73648TA STE 102.67 14,579.14 PANEL SKIN-PERF TACKABLE ACOUSTICAL,36X48 SURFACE :P143 BALUSTER OPTIONS * * OPTIONS FAB DIR *OPT:FABRIC DIRECTION HORZ STD:HORIZONTAL APPLICATI Tag For: TA3648 26 25 TS71272TA STE 55.07 1,376.75 PANEL SKIN-PERF TACKABLE ACOUSTICAL,12X72 SURFACE :P143 BALUSTER OPTIONS * * OPTIONS FAB DIR *OPT:FABRIC DIRECTION HORZ HORIZONTAL APPLICATION 0 Tag For: TA1272 27 25 TS73672TA STE 130.67 3,266.75 PANEL SKIN-PERF TACKABLE ACOUSTICAL,36X72 SURFACE :P143 BALUSTER OPTIONS * * OPTIONS FAB DIR *OPT:FABRIC DIRECTION HORZ HORIZONTAL APPLICATION 0 Tag For: TA3672 28 12 TS7243060T STE 215.13 2,581.56 WORKSURFACE-TRANSITION, 24X30X60 TOP-SURF:2873 INSTANT IRON PATINA Tag For: 24/60/30 29 25 TS72436CC STE 178.27 4,456.75 WORKSURFACE-CURVED CORNER, 24X36 TOP-SURF:2873 INSTANT IRON PATINA Tag For: 24/36/36/2 30 25 TS72436S STE 78.87 1,971.75 WORKSURFACE-STRAIGHT,24X36 TOP-SURF:2873 INSTANT IRON PATINA Tag For: 36/24 31 13 TS7302460T STE 215.13 2,796.69 WORKSURFACE-TRANSITION, 30X24X60 This acknowledgement is subject to Office Environments of New England's standard terms and conditions which are available to the accepting party upon request. i acknowledgment 91E O F F I C E 670 North Commercial Street,Suite 203 ENVIRONMENT 5 Manchester,NH 03101-1160 of New England TEL 603.668.6831 Page 5 of 5 FAX603.668.6851 www.oenc.com Manchester order# ack date customer order# customer# account representative prow# 782317 01/23/07 SQ SUSAN ROGATO CON941 HEATHER MARSHBURN line# civantitv unitric extended amount TOP-SURF:2873 INSTANT IRON PATINA Tag For: 30/60/24 32 25 TS7DPL STE 146.53 3,663.25 LEG-DOUBLE POST LEGS :0835 BLACK (TRANS) Tag For: CPL 33 54 UCANT STE 44.80 2,419.20 CANTILEVER-ON MODULE,16X13 BASIC :0835 BLACK (TRANS) Tag For: UCANT 34 1 INS1 OE 6,528.00 6,528.00 OE TO DELIVER AND INSTALL (25) STEELCASE ANSWER WORKSTATIONS. AREA TAGGED - 112ND FLOOR, DESIGN AND DEVELOPMENT." 35 50 LOCK9201FR STE N/C N/C LOCK CYLINDER-FR SERIES, POLISHED CHROME LOCK :9201 POLISHED CHROME KEYS :SK SPEC 2-FR315 2-FR316 2-FR317 2-FR318 2-FR319 2-FR320 2-FR321 2-FR322 2-FR323 2-FR325 2-FR326 2-FR327 2-FR328 2-FR329 2-FR330 2-FR331 2-FR332 2-FR323 2-FR325 2-FR326 2-FR327 2-FR352 2-FR353 2-FR356 2-FR401 Sub Total 99,669.16 MASSACHUSETTS 4,657.06 Total 104,326.22 This acknowledgement is subject to Office Environments of New England's standard terms and conditions which are available to the accepting party upon request. NORTH own of Andover No. W 3 . 2 . 0 �,o 0 - over, Mass., COCHICNEWICK %AERA r E 0 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT.........C.00.r ..... .. ......................................................... BUILDING INSPECTOR Foundation has permission to erect..... .................................. building%on.../........ .......400�................................ Rough to be occupied as...... ......1W.)W.. VA... ............................................................................... Chimney provided that the persilvepling this permit shall in every respect conform to the terms of the application an 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 Z�� •q t PERMITEXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUJON T. TS Rough ................ mom Service .............. X ....... ...... ........................................ .'�n T" BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough 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.