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Home My WebLink AboutBuilding Permit #587-2011 - 1077 OSGOOD STREET 3/3/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: �O-RTANT: MPA licant must complete all items on this page LOCATION • Print L d PROPERTY OWNER 2 n P '9�' ' Print MAP NO:--�—�PARCEL: 2 -7 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 El Industrial El Alteration No. of units: [commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other lFloodpl � ®t�Wetlancls' r Septics ®AVijell _ _ �l `,DWatershedtDistri tJ a ,� DESCRIPTION OF WORK TO BE PERFORMED: - N Identification Please Type or Print Clearly) OWNER: Name: Y26i Phone: Address:- 1 �, �7 3 D CONTRACTOR Name: T Phone: _g 3�Q Address: N 1 1�tJ � �. VJ � Mfg _ 012143 Supervisor's Construction License: C,S g742_7_Exp. Date: 61 10 I aO I Home Improvement License: Ifo 0 1 q Exp. Date: ARCH ITECT/ENGI NEE Phone:_ al'1 g . 16 ,31416 4 Address: ( OLSEN) c� DF-A ©DU Reg. No. l FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ C)�} FEE: $ S �4; f o3 Check No.: 1'03/-Ir?-26Sy2° Receipt No.: 23 27 r NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund �Si-_natur✓e:ofAgent/Owner.-.---. y -. • - ., .. .S�gnature_ofcontractor> ,. ;< .__ -; - : � '. "• .:.--� Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody Art ❑ Swimming P°o]+s ; -,, ❑ Well ❑ Tobacco Sales ❑ 1 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 ❑ ❑ F COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS IL Zoning Board of-Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes i 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 on site yes no Located at 124 Main Street Fire Department signature/date 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 DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10041000 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 o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o Floor Plan Or Proposed Interior Work o 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) u Building Permit Application ❑ Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses a Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o Mass check Energy Compliance Report o Engineering Affidavits for Engineered products 40TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit n all cases if a variance or special permit was required the Town clerks office must stamp the decision from the Board of Appeals iat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording lust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi Location No. ..2 O// Date �aRT►, TOWN OF NORTH ANDOVER 3 F R 9 Certificate of Occupancy $ CMUs t�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ,ry/v • x/20 2392 /luilding Inspector Location No. ..AL1/� ` Date NpRT� TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ •o� ...SSS.. + a M �.� s9 s',"•''t�' Buildin /Frame Permit Fee $ a+cus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # - Y 2 4 (i 4 Building Inspector ORTN And ToIPM , o _ _ 6 over O 2v 00 dover, Mass., _Y/- / O tL. LAK COCMICHEWICK fit• 0):? TED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ...........N....... .................................. . ............................... Foundation has permission to erect...........�............................ buildings on ...:....O..7..�...............; ............... .......................�............... _ .� _ Rough / j^ to be occupied as............. ...r... ...'.. ' ...............A... ,%� :.:"' �� "'� 'ya, "le-,C, . c ney ...>:. ................................................. provided that the person accepting this permit shall 4*,every respect conform to the terms of the applicatio 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. PLUMBINGPE OR VIOLATION of the Zoning or Building Regulations Voids this Permit. o i� 5P. �� Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTO fn ,-.�%ough-la -1ws -1 ..........................3: ��. Service BUILDING INSPECTOR 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. �9" SEE REVERSE SIDE Smoke Det. �-- JAL i tS CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Nu 15er 0587-2011 D t� Apr 14, 2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1077 Osgood Street, North Andover, MA 01845 (Butcher Boy Plaza) Tran-Tran Nail Salon MAY BE OCCUPIED AS tenant fit-up IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to; Angus Realty Trust 1077 Osgood Street North Andover,MA 01845 BAding Ins ector Fee: 100.00 Receipt: 24025 ORTFj Tovm of4 6 Andover 0 No. It. dover, Mass., -3 COC MIC ME WICK V AERATED P'Pat-`C BOARD OF HEALTH Food/Kitchen .PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......... -rl.vJt�'..C!. .. ... .. <..`7� ..... /`cis.................. ........ .................... Foundation S� has permission to erect............ ........................... buildin on ... ..�. ..... Sr`OG�............................. ............... Rough to be occupied as ...� v G�/� r�'j� / �' q / /0 ADO, ........... Chimney provided that the person accepting this permit shall i very respect conform to the terms of the applicati 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 CONSTRUCTION S ARTS Rough Service ......................... . BUILDING INSPECTOR 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. OP ID:C1 '°,�RAY CERTIFICATE OF LIABILITY INSURANCE DAT02/141IYYY1� 02!14!11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ACT 978-957-3588 NA CHARLES J COUGHLIN978-957-6612 PHONE FAX INSURANCE AGENCY No _ A1C No 14 DINLEY ST.P.O.BOX 10 ADDRESS: DRACUT,MA 01826-0010 PRODUCER TRAND02 CUSTOMER ID A INSURER(S)AFFORDING COVERAGE NAIC A INSURED Dat Tran INSURER A:National Grange Ins Co 14788 45 Newton Street Apt#2 INSURER B: Lawrence„MA 01843 INSURERC: INSURER 0: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS-IS TO.CERTIFY THAT THE POLICIES-OF-INSURANCE LISTED BELOW-HAS B�N_,ISSUED TO-THE_)NSURED 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN RI ADDL SUB POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER i MM/DD MM/D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 500,00 DAMAGE TO RENTED A X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 500,00 CLAIMS-MADE Fx-1 OCCURMED EXP(Any one person) $ 10,00 MPF3379E 11126110 11/26111 PERSONAL&ADV INJURY $ 500,00 GENERAL AGGREGATE $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,0 00 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS - PROPERTY DAMAGE HIRED AUTOS (Per accident) $ NON-OWNED AUTOS ( $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ -COIrPENSATION - --- Y/N --- — ----- �- - WC STATU- AND EMPLOYERS'LIABILITY -------— —---- — - -- — - LIMITSER ANY PROPRIETORIPARTNER/EXECUTIVEElE.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) EL DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Carpentry-Remodeler CERTIFICATE HOLDER CANCELLATION WILMARO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Mr Roger Kafker THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 31 Grimmer Street Apt#5ACCORDANCE V11T7,11OLICY PR VISIONS. Boston,MA 02115 AUTHORIZED REPRES TIVE //1"42081-Mb ACOYD RP RA ON. All rights reserved. I ��ie iJamvnzovzcrr /�� pard of Building Regulations and:Standards Construction Supervisor License ;License:`CS 97487 1� Birthdate:;6/10/1968 F. -J .. o' ,E>6166 '6/10/2011 Tr# 97487, � Restr�cUon=II0 i_� DAT TRAN l 45 NEWTON STREET,NQS 'LAWRENCE,MA 01843" Commissioner J� PROPOSAL PROPOSAL NO. SHEET NO. DATE ©� Z y ' \ PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: NAME 1 / ADDRESS v ADDRESS CITY,STATE E-68 LAt= f:-J' NUT v CITY,STATE DATE OF PLANS PHONE NO. ARCHITECT We hereby propose to furnish the materials and perform the labor necessary for the completion of nr rFU t � 14 V All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of: Dollars ($ �'��i�� ) with payments to be as follows Any alteration or deviation from above specifications involving extra costs Respectfully submitted will be executed only upon written order,and will become an extra charge over andabove the estimate. All agreements contingent upon strikes, accidents,or delays beyond our control. Per Note-This proposal may be withdrawn by us if not accepted within o2A days. ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. ►�#� J SIGNATURE— DATE— IGNATURE DATE V�—Q % - SIGNATURE :sda— 9450