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Home My WebLink AboutBuilding Permit #684 - 1060 OSGOOD STREET 4/27/2006 f NORTp 7 3r ,S e..:. ,.... • OL I TOWN OF NORTH ANDOVER � . ,r r' APPLICATION FOR PLAN EXAMINATION 9SSACHUSEt Q' ly Permit NO: U Date Received: Date Issued: /—//,,-,7/6/-11 ( IMPORTANT: Applicant must complete all items on this page LOCATIONic)(ao oSe-,-r lbb :5-r Print PROPERTY OWNER Print MAP NO.: PARCEL: ZONI G DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑ One family 11 Addition ❑Two or more family ❑ Industrial Iteration No. of units: ❑ Repair, replacement ❑Assessory Bldg ommercial ❑ Demolition ❑Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED N 1 TANKa J G� t F1 ,eZ / v Identification Please Type or Print Clearly) IA OWNER: Name: L�� Phone: Signature a/Address: 5' -- -64q) G-✓rzS i'/�/�--1�--� �'I '- til ��a CONTRACTOR Name:_c►,��E i4-r,� M4>r'i"a4>~SbN ��vL Phone: Address: Pa 181QX 5S & WAVGAAtb /&9;rt 5 Supervisor's Construction License: ��5�/S Exp. Date: Home Improvement License: Lzn1A Exp. Date: ARCHITECT/ENGINEER ,/,gv�FA,emop �s n ame: Phone: 7A/-39 3—Q-1206 Address: Reg. No. _3�.3 �s FEE SCHEDULE:BULDING PERMIL.J10.00 PE&$1000.00 OF THE TOTAL ESTIMATED COST BASED O $12 .D R S.F. Total Project Cost :$ 1(p ., 2-CoS x10.00=FEE:$ 2 Check No.: 33 Receipt No.: ,�-7 Page 1 of 4 TYPE OF SEWARGE DISPOSAL/ Swimming Pools ❑. Irk/ Tanning/Massage/Body Art ❑ Public Sewer Tobacco Sales ❑ Food Packaging/Sales, ❑ Well ❑ ` ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. NOTE: Persons contracting with unregistered contractors do not have access to the guaran f nd X Signature of Agent/Owner Signature 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 ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection signature&date Temp Dumpster on site yes—no— Fire Department signature/date CSX //Z7.u�✓G �l Q�o CP Building Permit Approved and Issued by: .^ Page 2 of 4 t 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) x n I Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.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:BPFORM05 Page 4 of 4 Location /06 O QC'gp,� No. 6 Date I d NORTH TOWN OF NORTH ANDOVER A + + ; ; ,ertificate of Occupancy $ ;7 s�cMu5E4C' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector � NORTH Town of . over z A dover, Mass., _ 710 -wy COCMICKEWICK Iy �S RATED 4 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �4� ♦sX BUILDING INSPECTOR THIS CERTIFIES THAT.0 .. ............................. .... .............................. Foundation 9 n/+D.1.0...12 has permission to erect........................................ buildings o �j.. .. ...... %* &..................... Rough ,/ Chimney to be occupied as...... 11��! . �.................. /R�..ethl%ol It!► .................. provided that the per aptfngis permit shal in every respect conform to arms lication 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 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR mom UNLESS CONSTRUCTI STARTS Rough .......... Service BUILDIN CTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. F NpRTH Town 0 R over Ou.H' �4• r4 No. GY Y A dover, Mass., 40/a 7/6—at COCMIC.E.CK y1. 7�S RATED P? �y BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �� ♦r BUILDING INSPECTOR THIS CERTIFIES THAT.Ir••••• ••••• ••• ••• Foundation has permission to erect........................................ buildings oVIPW O...A56 .- mQ. ..................... Rough to be occupied as...... �Al .1�'...�. /s`/M� ....�.................. �,r.... �t/r� Chimney provided that the per accepting �is permit sha in every respect conform to a terms 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 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTI STARTS Rough Service BUILDIN CTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. IF SEE REVERSE SIDE Smoke Det. r 1 DOYLE AND MATTHESON, INC. April 3, 2006 Proposal to construct Dental Office for Dr. Charles Beliveau Located at: 1060 Osgood Street, North Andover, MA According to plans by Patterson Dental Co. and King Design Associates Drawing#25B160 sheets 1-6 and the following description of the scope of work. 1. Acoustical Ceilings: A) 2X2 reveal edge Armstrong Dune grid and tile. 2. Existing Walls: A) Sheetrock repair to new condition on exterior sheetrock walls. 3. New Interior Walls: A)Metal studs, insulation and 5/8" sheetrock to 10' height. 4. Soffits: A) Soffits at front desk and reception area. 5. Doors: A) Solid core birch doors with metal frames, and Schlage hardware. B)Door at seating area will have full glass light. 6. Flooring: A) Vinyl floors at operatories, bathrooms, lab and staff areas. B) Carpet at remaining areas. Final selection to be determined. 7. Paint: A) All wall, soffit and ceiling surfaces will receive latex primer and finish coat in color(s) selected. B)Doors and frames will be painted with oil base paint in the color selected. RO, Box 5506 - Wayland, MA 01778 - Tel. (508) 358-2993 - Fax (508) 358-4681 . 1 DOYLE AND MATTHESON, INC. 8. Heat/Air Conditioning: A)Reduct existing system with ceiling delivery system. 9. Cabinetry: A) Custom laminate cabinets as indicated on plan. 10. Concrete: A) Cut, remove, dowel and re-cement floors as needed for underground services. 11. Electrical: A)Per plan 12. Fire Alarm: A)Per plan 13. Lead: A) as indicated on plan 14. Plumbing: A)Per plan. 15. General Conditions: A)Labor B) Supervision C)Dumpsters, miscellaneous materials D)Permit and Insurance RO, Box 5506 • Wayland, MA 01778 • Tel, (508) 358-2993 • Fax (508) 358-4681 1 DOYLE AND MATTHESON, INC. Contract Amount: $ 165,265. Construction duration: 12 weeks Invoicing: I't and 15th each month Final Payment due upon issuance of occupancy permit. Accepted Doyle; Mattheson, Inc. Dr. Charles Beliveau RO. Box 5506 • Wayland, MA 01778 • Tel. (508) 358-2993 • Fax (508) 358-4681 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR { NumbertS 040515 Birthriate--07/��951 Fjz�SfrD 267 ,P,7 Tr:no: 13558 I Restr E I ROBERT A DOY fl 14 COUNTRY WAYLAND, MA 01778 Commissioner X. CONSTRUCTION CONTROL PROJECT NAME:Buildout of New Dental Offices for Dr. Charles Beliveau PROJECT OWNER: Dr. Charles Beliveau PROJECT LOCATION: 1 060 Osgood Street ARCHITECT: DAVID A FARMER OF KING DESIGN ASSOC INC., 10 HIGH ST.,MEDFORD,MA IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUILDING CODE, SIXTH EDITION,I, DAVID A.FARMER REGISTRATION NO. 8333 BEING A REGISTERED PROFESSIONAL ARCHITECT HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS,COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT XXX ARCHITECTURAL STRUCTURAL MECHANICAL FIRE PROTECTION_ELECTRICAL OTHER(Specify) FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF KNOWLEDGE,SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRACTICES AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. 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,for conformance to the design concept,shop drawings,samples and other submittals which are • submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled material. 3. Be present at intervals appropriate to the stage of construction to become,generally familiar with the progress and quality of the work and to determine,in general,if the work is being performed in a manner consistent with the construction documents. PURSUANT TO SECTION 116.4.,l SHALL SUBMIT PERIODICALLY A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE North Andover BUILDING COMMISSIONER. UPON COMPLETION OF THE WORK,I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. 0 41 NO- 8333 CONCORD, MASS. or 19, DAVID A.FARMER PERSONALLY APPEARED BEFORE ME AND SUBSCRIBED AND SWORN TO BEFORE ME THIS 1 2 th DAY OF A ri 1 2006 OFFICIAL SEAL JEFFREY P. KING NOTARY PUBLIC OOMMONM"TN OF t111KACMl1EM My Comm.E>tpilq AMr.8,2019 APR-20-2006 08 : 30 AM JOURNEAY INS 1 978 344 9620 P, 02 ACORD TM, CERTIFICATE OF LIABILITY INSURANCE �T04` 1212006" PRODUCER Phona: 078.344.8741 Far: 478.248-W20 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JOURNEAY INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 0 WEST MAIN STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR MERRIMAC MA 01880 a6TER THE INSURERS AFFORDING COVERAGE NAIL# INSURER INSURER A: National NS Orange Mutual Insurance Ca 14766 DOYLE A MATTHESON INC It _.... .. C10 BOB&LYNN DOYLE INSURER s: Amellaen International PO BOX 6606 INSURER C: WAYLAND MA 01770 INSURER D; INSURER E: COVERAGES THS POLICIES OF INSURANCE LISTED BELOW HAVE BEEN LS•9LIED TO THF INRI IRFn NAMFn ARnVF FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY R6AIIIpFMFNT, TA'RM nR I^.MWnr MN OF ANY l:nNTAACT OR UTH6R UUL:UM6NI WIIH HhWk:(;t TUWHK:H THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSLIRANCG AFFORDED SY THE POLICIES DEBGRIBEL) u1=REIN IC AlIA.ICr"T TI) Al I THF TF'RMR, EXCLUSIONS AND UONUIIIUNIS Uh STII%H POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, FL;R A00'L TYPE OF INSURANCE POLICY NUMBER P13WCY 6FREOTNE POLICY IA MAI lfAl LIMITS LTR INSR pAxis gwmo= DATE GRNERAL LIABILITY MSR40396 05111/08 45111107 EACH OCCURRENCE $ 1,goq,000 X COMMERCIAL GENERAL LIABILITY $ 50,000 OAMIN3E TO RENTED PAEA11ft$(Er o�neft)_ .._....... _I CLAIMS MADE I X 1 OCCUR MED.EXP(Any one pRr --nn-j- $ 6,000 A PERSONAL&ADV INJURY _ It 1,000,000 OENERAI.AGGREGATE S 2,000,000 I GEM%AGGREGATE LIMIT APPLIES PER: FRODUCTS•COMP/OP AGG S 2,000,000 - PRO- ... ._....... .... ..._..... _...._._........_.._ POLICY JEGT LOC AVOM00111-0 LIABILITY COMBINED SINGLE LIMIT ANY AIRO (Es accident) $ ALL OWNED AUTOS BODII Y INJURY SCHEDULED AUTOS (Per"-n) S HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Pnr axiderd) $ _..____._........_. PROPERTY DAMAGE eccldenl) GARAGE LIABILITY AUTO ON1.Y.EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC: $ AUTO ONLY --.. .. ...... .... AGG $ EXCESS I UMBRELLA LIABILITY EACI I OCCURRENCE $ OCCUR f _ CLAIMS MADE AGGREGATE ;....._.. ... DEDUCTIBLE $ RETENTION a _.. ...... .._._.......- . S WORKERS COMPENSATION AND WC-Q"-2?Q8-Q7 Obli 1108 05111107 TORY LIMIT s O'HER EMPLOYFR8'LIABILITY _..._._._. .._....... E.t F.ACH ACCIDENT I$ 600,000 g ANY PROPRIETORIPAR'FNSRIEXEC4TNE ..........,._............ -.. ... OFFICERIMMSR Erq.{rp�OT E.L.DISEASE-i=A EMPIAYEE $ 600,000 spWAL RI,ON10=8 below E L.DISEASE-POLICY LIMIT $ 500,000 OTHER: DESCRIPTION of OPERATIONSILOCATIONSIVEHICLr:SIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF 'I HE ABOVE DESCRIBED POLICIES BE CANCELLED B�FORET14E TOWN NORTH ANDOVER EXPIRATION DATC n ICRCOF, THE ISSONO INSURER WILL ENLIEAVOR TCI MAR 10 nAYS TOWN HALL WRITTEN NOTICF TO THE CERTIFICATF. HOLDER NAMED TO THF LEFT,BUT FAILURE TO NORTH ANDOVER,MA, LXJ JU yHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Ti IC INSURER,ITS AGENTS OR REPRESENTATIVES. -. AUTHORIZED REPRESENTATIVE Attention: FX:608-3584001 Derek Joumeay ACORD 25(2001108) Certificate 0 1052 @ ACORD CORPORATION 1088