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HomeMy WebLinkAboutBuilding Permit #305 - 1025 OSGOOD STREET 10/17/2006 TOWN OF NORTH ANDOVER NORTFr APPLICATION FOR PLAN EXAMINATION oF�t�Eo bq't'o o A Permit NO: Date Received A�RATEO Date Issued: # 9SSgCHuS�� IMPORTANT: Applicant must complete all items on this page LOCATION 10 1) ©s &olob Print PROPERTY OWNER kE 87 100 LJC RJ SS 1 AJ T 1, Cr Print MAP NO.: PARCEL: 02 ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑ One family Jai Addition ❑Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Repair, replacement ❑ Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED b y 1~� 0A)/,/ Identification Please Type or Print Clearly) y- OWNER: Name:_ G C A`? 16J rJ 0 -C k'oSS r !n)f �4 C Phone: S� 19-pf�� r< �t7 c t� J, N 4 Address: CONTRACTOR Name: S<; AS1. Phone: Address:_-� (�l'/� f►A'% —5'T 8, y; /1! 0 6d FPC 144 Supervisor's Construction License: to n Exp. Date: 13, /Q 7 Home Improvement License: 1 '313 0 Exp. Date: r— ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULD/NG P RMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST ON$125.00 PER S.F. Total Project Cost :$ 9 6 Q60 FEE:$ / �� Check No.: 7 Receipt No.: /f a r4 Page I of 4 TYPE OF SEWERAGE DISPOSAL Swimming Pools 11Tanning/Massage/Body Art ❑ g Public Sewer ❑ Tobacco Sales Food Packaging/Sales ❑ Well ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner ('�— Signature of contractor Plans Submitted ❑ Pla aived ❑ Certified Plot Plan ❑ Sta ped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM Com fA,v,4N..\ DATE REJECTED ATE APPROVED T jaMa 1 /11 i�/ COMMENTSei DATE REJECTED DATE APPROVED 811 Qt✓G ls e--f i 104, — COMMENTS 7�'-tlt co+� ,«., .ffMo DATE REJECTED DATE APPROVED '\ ' HEALTH/v v �9 ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes o ~ Fire Department signature/date COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Si nature& Date to g�0 Drivewa Permit OR �o�io/DG Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA— For department use) ' Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created IMC.Jan.2006 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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:RPFORM05 Page 4 of 4 Location/0?-�- Qrcaoa No. _?�5 Date NoeTM TOWN OF NORTH ANDOVER 3?Of �,r 'tt,`D ,•• � f i Certificate of Occupancy $ � Building/Frame Permit Fee $ S�CHU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ '� Check # �� �7 19698 , Building Inspector NORTH Town of s3 s L Adover, Mass., PO COCKICME WICK AERATE S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT (90VA.77100 BUILDING INSPECTOR ""' Foundation has permission to erect............... ........................ buildings on ... S ��.. .. ..................... Rough to be occupied as.............�E�,/0 � , Chimney W40.4 �. ... .... ..provided that the person accepting this permit shall very respe conft e ter -he ppl' non file m this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and onstruction of Final Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS / Final 7 ...... .... EL E CTRICAL INSPECTORUNLESS CONSTRU . N RTS Rough ••••.... ......... ......... Service aBeNnOGIUMPECTOR 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. RIVERMOOR ENGINEERING, LLC PROFESSIONAL ENGINEERS RIVERMOOR� PROGRAM FOR STRUCTURAL TESTS AND INSPECTIONS PROFESSIONAL SERVICES DATE: October 11, 2006 LOCATION: Osgood Street Retail 1025 Osgood Street North Andover MA Date on plans and/or specifications submitted for approval and issuance of the building permit: Dwg. S.100 to S.102. 5.201. S.202, S.301 10/03/06 Addendum/Revisions Date(s): - In accordance with Section 1705.0 of the Massachusetts State Building Code, 780 CMR,6'h Edition Rivermoor Engineering,being the Structural Engineer of Record(SER)for the above referenced project, is required to establish a program for Testing and Inspection. Program: 1. The selected independent testing agency shall be licensed in the Commonwealth of Massachusetts. 2. The testing agency shall review the construction documents and prepare a list of all materials that will require testing and inspection in accordance with 780 CMR 1700. 3. The agency will submit the list to the Architect/Owner &Coordinate with the General Contractor for scheduling all tests and inspections. 4. The agency shall have a representative on site conducting all testing,inspection and material sample gathering. 5. The agency shall issue written reports on all activities completed on or off site that relate to the Work. Copies of the report shall be provided to the General Contractor and SER within 24 hrs. 6. The scope of work is defined by the construction documents,the requirements of 780 CMR 1700, and,not limited to,the following: A • Fill/Compaction SH OF Mgss c • Concrete Testing 9 • Rebar Testing PETER J. tiN • Steel Shop Qualifications FALK STRUCTURAL • Structural Steel&Connection Inspection NO.43315 GO 1�' • Metal Deck and Metal Deck Connection Inspection QNALEN�\i ♦TVA _27) Professional Engineer Date 10 NEW DRIFTWAY—SUITE 101 SCITUATE,MA 02066 TEL. (781)545-2848 • FAX(781)544-7729 RIVERMOOR ENGINEERING, LLC PROFE55IONAL ENGINEERS 01 1 RIVERM02RJ STRUCTURAL DESIGN AFFIDAVIT Name of Building: Osgood Retail Building Project Location: 1025 Osgood Street North Andover, MA Scope of Project: New Building To the Building Inspector of the Town of North Andover, MA; in accordance with 780 CMR—sixth edition,I, Peter J. Falk,being a registered structural engineer, certify that in accordance with Section 116, 1 have supervised the preparation of the Structural design drawings, details and specifications issued on October 3`d of this year 2006. To the best of my knowledge, information and belief, such design, details and specifications meet the applicable provisions of the Massachusetts State Building Code, acceptable engineering practices and applicable laws and ordinances for the proposed use and occupancy. Authorized representatives of Rivermoor Engineering f will be present on the construction site periodically to determine that the work proceeds in accordance with the construction documents. Copies of our site observation reports will be submitted to the Architect of Record for forwarding to the office of the Building Inspector. ✓SAA '/ OF Mgss oy q PETER J. N g FALK t► STRUCTURAL NO.43315 A Q � �osS/ONALWLIRL 11 EN�\i�� V� Signature Seal: On this day, of ber , before me, �da Notary Public, duly aPPeare being duly sworn, deposes and Oays that the above statements by him/her are true. r` . � "i otary Public) _ My Commission expires: lqbao s s fill 1Qyl1PLACE - 5CITUATE, MA 02066 TEL. (781)545-2848 • FAX(781)544-7729 Maugel Arcl>hts Inc. Construction Control Affidavit September 11, 2006 Project Location: Treadwell's 1025 Osgood Street North Andover, MA 01845 In accordance with section 116.0 of the Massachusetts State Building Code, 780 CMR, I, Brent A. Maugel, Registration No. 5554, being a registered professional architect hereby certify that I have directly supervised the preparation of all design plans, and construction documents for the above named project and that, to the best of my knowledge, such plans meet the applicable provisions of the Massachusetts State Building Code and the Americans with Disabilities Act. All acceptable engineering practices and all applicable laws and ordinances for the proposed use and occupancy will be adhered to. I further certify that Maugel Architects, Inc. will perform the necessary professional services on the construction site to determine that the work will be done in accordance with the documents approved for the building permit. Brent A. Maugel AA.AICA. Date Maugel Architects, 200 Ayer Road, Harvard, MA 01451 Commonwealth of Massachusetts County of Worcester On this �r day of, Ae,069— 20-j!yQ,before me,the undersigned Notary Public,personally appeared Brent A. Maugel A.I.A, proved to me through satisfactory evidence of identification,which was/were personal knowledge,to be the person(s)whose name(s)is/afe signed on the preceding or attached document in my presence,and who swore or affirmed to me that the contents of the document are truthful and accurate to the best of his/14ef knowledge and belief. -14 KERRIAWE fti9. KOCHIS * Noiary Public c ommanwealfh of Wssachusei s si- g6atu a Ot Not ' w My Commission Expi;os My commission expires T— Z May 4,2012 Maugel Architects Inc. 200 Ayer Road Harvard,MA 01451 t:978-456-2800 f:978-456-2801 www.maugel.com r