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Building Permit #314-14 - 1001 OSGOOD STREET 10/3/2013
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: / Date Received Date Issued: �D 1VIPORTANT:Applicant must complete all items on this page LOCATION -i 08.1 !E1 C n n n S� Print: PROPERTY OWNER d _<,.4, DJd) �i OP_ -r1 i' S 24 r Print` 1o Year Old Structure yes no MAP NO: 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: 0 Commercial 0 Repair, replacement ❑Assessory Bldg 1K Others: 0 Demolition ❑ Other �gL ❑ Septic ❑Well 0 Floodplain 0 Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WO K TO BE PERFORMED: ri h A) 1<17 UP ArM W I P-Mgi0k.6 Identification Pease Type or Print Clearly p OWNER: Name: c� SGOo� � A ene, g1/6 S C Phone: Address: CONTRACTOR Name: Phone: Address: 9'6S_ 1—dRt/y P u b .s� O � r.(/©Oi �C �1 4/64 Supervisor's Construction License: G 1 %8 U Exp. Date: toh2v1` 13 o Ex / Home Improvement License: rp� Date: ARCHITECT/ENGINEER IOM X10 t IV C, Phone: Address: 100 &� 130 RooryA 1!J 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: $ an FEE: $ ���•D� Check No.: 7 Receipt No.: !?AF 0.' NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature,of Agent/Own Slgr�ature of contractorR n L Plans Submitted ❑ Plans"Waived ElCertified Plot Plan ElStamped Plans ❑ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE'OF°:SEWERAGEDISPDSAL Public Sewer ❑ Tanning/MassageBodyArt ❑. . 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 Siqnature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments e Water& Seger Connection/Signature& Date Driveway Permit DPW Toga;: Engineer: Signature: Located 384 Osgood Street FIRE DEPARTII,EN_T --Temp Dump'ster on.site yes no Located dt;124,Mair, Street Fire De`partmt signature/date' 4 COMMENTS 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 DANCER ZONE LITERATURE: Yes No MGL Chapter-166.Section 21A=F and G min.$100-$1000.fine NOTES and DATA— (For department use El Notified for pickup - Date E i F Doe.Building Permit Revised 2010 Building Department The following is a Iist of the required.forms to be filled out for the appropriate.permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits u Building Permit Application u Workers Comp Affidavit u Photo Copy Of H.I.C. And/Or C.S.L. Licenses u Copy of Contract u Floor Plan Or Proposed Interior Work u Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application u Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) u Mass check Energy Compliance Report (If Applicable) o 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) u Building Permit Application Li Certified Proposed Plot Plan u Photo of H.I.C. And C.S.L. Licenses L3 Workers Comp Affidavit La Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report L3 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 aprral period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Building Permit Revised 2012 Location 0�� 00� No. Date !� . - TOWN OF NORTH ANDOVER end = . Certificate of Occupancy $ /0,9 oa Building/Frame Permit Fee $ � Foundation Permit Fee $ Other Permit Fee $ 'L TOTAL $ Check#26948 U Building Inspector ' Or- --.-Office _-Office of Consumer Affairs&Business Regulation ROME IMPROVEMENT CONTRACTOR registration: 113130 Type: Expiration: 5/18/2015 Private Corporatic: GRASSO CONSTRUCTION CO.,INC. JOHN GRASSO 865 TURNPIKE ST N.ANDOVER,MA 01845 Undersecretary r ; f �- —Massachusetts- Department of Public Sal'et% .Boar(I tit'Building Regulations and Standards i { Construction Supervisor License License: CS 22988 T. t JOHN GRASSO 865 TURNPIKE ST ' ' NO ANDOVER, MA•01845 "+ i I Expiration: 10/31/2013 Commissioner Tr#: 6177 i NORTH.. .. - CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 314-14 on 10/3/2013 Date: November 22, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1001 Osgood Street MAY BE OCCUPIED AS Gianna Interiors- IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate.Issued to: Osgood Properties,LLC 865 Turnpike Street North Andover,MA 01845 Building Inspe for Fee: Prepaid $100.00 Receipt: 26948 Check :1327 NORTF/ Town of O - 0 •� .yam. No. 3 int— iq Lh , ver, Mass,0 L11111 a i3 �f- COCNICNEWICR 7,95 R�rEo U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ....... .S. �.�...�:���/..':�!�,5...�...... BUILDING INSPECTOR has permission to erect ..................... buildings on .......................... t ..... ....... ....................... .......................... 0 . .... ...r.P�:',S: y to be occupied as ........ .. (. (Iq:c !:^. !! .. Z.-.�Y�l�` .... ...................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application �al ; 1/R13 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)NSPECTPRZ- VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Service BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final ��< <� is No Lathing or Dry Wall To Be Done FIRE DEPART ENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE SmokeDet.. _ /_� GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW (' POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain-pipe/stone/fabric filter/cover and outlet connection. FRAME:Fireblock-over girts/plates between floor joist Penetrations for plumbing, heat,elec, etc. WalJs at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. Ridge&Hip- Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. Girls-solid brick or steel plate bearing at foundations '/"air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses.. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams Attic Access. (min.22x30 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit). Firecode S/R wood frame of"0"clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. '/z of required glazing shall be openable. Bedrooms required min.20x24 egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber-Finish Smooth parging, clean joints, 8"solid @ combust. DECKS: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 4"on center. Over 8'above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re-inspection fee- $30.00(Be Ready). Certificate of occupancy required prior to occupying structure. NORTIi r` own of 2 . � E : �FAndover : - .. . Z No. 3 ver, Mass, _8 3 i3 cocHic«ewic� A0R�TED PP�,�'�� S U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT �.5 .6. .�..U :. ��!:?:�!4.5Z' r�.�?.. :. BUILDING INSPECTOR t. has permission to erect.......................... buildings on .......................,1.................................................. to be occupied as ........0 (..���?!.^..! ..... ?Yl :rPr.S:.... ...................................................... ney Chim provided that the person accepting this permit shall in every respect conform to the terms of the application ai 0 /a�3 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 JNSPEc R VIOLATION of the Zoning or Building Regulations Voids this Permit. ina' ;JW PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS /eL44-/ 3 Service ,+ BUILDING INSPECTOR 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 DEPART ENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det.1:- ZT.A_ SEE REVERSE SIDE y GENERAL BUILDING NOTES/CHECKLIST-NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway (L I Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain-pipe/stone/fabric filter/cover and outlet connection. FRAME:Fireblock-over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. Ridge&Hip-Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. Girts-solid brick or steel plate bearing at foundations '/"air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses.. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams Attic Access. (min.22x30 w/3'headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct-to exterior(not in soffit). Firecode S/R wood frame of"0"clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. '/z of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber-Finish Smooth parging,clean joints, 8"solid @ combust. DECKS: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 4"on center. Over 8'above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re-inspection fee- $30.00(Be Ready). Certificate of occupancy required prior to occupying structure. Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost 7, V OOr o��o o°"; m $ - $ 888.00 Plumbing Fee $ 111.00 Gas Fee 100 comm. $ 100`:00 Electrical Fee $ 111.00 Total fees collected $ 1,210.00 100,1 Osgood Street 314-14 on 10/3/2013 Tenant Fit Up Gianna Interiors t%ORTH Town of . s ndover to No. 3 q_ Iq * _ CO, h , ver, Mass, COC NI CNl WICK y1' �.9 p�R�t7ED PPP��� s V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT .......�. 4� ;rl.. /..`:? ! ,5... ..?. :................................................... BUILDING INSPECTOR has permission to erect g Foundation .......................... buildings ....................... .................................................... Rough to be occupied as ........ ..... �?!.^..! .. .. �.1!7.y1 :r.Pr> .�don .................................................... Chimney provided that the person accepting this permit shall in every respect f 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 CONSTRUCTION STARTS Rough ................... Service .......... ........... .... . .. . Final BUILDING INSPECTOR 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. SEE REVERSE SIDE r------------------------------.I I I 1 --------------------------------------------- --,I L-------------------------- i 1 I , i I 1 A-1 I ' 1 O 1 1 ti B I I I II '-------------------------------------------- I --- I 11 ' I m..,wab� r -•/---\\ I. � c 4 `tt• � ate, Pm, 1 i ix .oP.e w.'v j I I Al .e 1 j I I 1 I _ , I -------------- ---------------------------------------- ------------------------------------------ 2 Restroom Detail �levation nM.n...»m.�m 1 SCALE:3IS•= • SCALE:3/B••1'-0• I I I ---- —� L ----- ?t 1 II L --------- --A I � I , M � I I i , wea.we mn ` 1 L- O © O A-1 Construction Plan TReflected Ceiling Plan �— E ------ — /� Elevation A-2 Ref.Ceiling&Mechanical Plans scALE:J .V-0- � scALE:aa.r.g' E-1 Electrical&Switching Plans Pralac1: (D-- �wma�, © � GiannaInteriors 1001 Osgood Street North Andover,MA it II W f7 y� .we, TRW Construction Plan ® , wA Aget-attachmentipg w,enmee,. H.m..taa e.WAOg. S,2013 �� . 11� � A&Z00,Key - Wall KeyFire Alarm Key o�ke: JN ALE:NIS SCALE:NTS SCALE:Nr9 Drawn r"�■■■■NSI■■■■■■■■■■■11OQ�7 �' ., II ■O■■.■■■INON■■NOONO■11■ II , o � I ONiioioiioi an NOUN ■i ■ � ', ■O■OO■ € �!f■■N■NO�IO■■NOON■NNp � ED HER NONNGIONMEMO NNnoMEN 0 SEEM on :10N ■NON SOME Pooao �on�■�ioo���_ � I■OL■ o 0 ■■■m04 mom — � aN■NOON■I■NO (�� 10\NN - ■■■INN! si ■���� �1 - i m aiiii�� ■ooNi : 001 -II Gianna Interiors 1001 Osgood Street North Andover.MA Reflected Coiling& Mechanical Plans GIANNA DESIGN 0 0 o _ II II I� II --- IIIIIIIIIIIIIIIIIIIIIIIII%% N . Section-so 1, e ®= The Commonwealth of Massachusetts - Department of Industrial Accidents _ r Office of Investigations 600 Washington Street W. Boston,MA 02111 '- www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual): 6, A ,S Q e-:041: nC t) crL(/t711J rt) C' Address:_ S �'U 9 OJ i?l K 1: 5 City/State/Zip: IVZ � Phone #: Q79 4p0 Are you an employer?Check the appropriate box: Type of project(required): _ 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions officers have exercised their 11. Plumbing oradditions 3.❑ I am a homeowner doing all work g reairs op myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: zf`UZ A �,V Fa - _,4,4J&C& to o23/S 3 E /eO// Policy#or Self-ins.Lic.#: 4)C.,7,3/S 38'02ly &/U, Expiration Date: 91,3643 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signafore: Date: l rf a 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#: