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HomeMy WebLinkAboutBuilding Permit #866 - 1600 OSGOOD STREET 6/29/2007 1 1 • • ♦ 1 A • ..S.t: w�.t. IM ORTANT: A's ta9se:aL�.,•+ '" ."� �:?a+'+sw'r L +r: ^*y yM Ae .X75$` '�m^ta •� a'-; r 4 t J-.� r.. ,t � Y°d°'w•.!et C 5 ko. � �` ,t`'i''"'3'a a '� t � � *y..� * .a .a �'k+ ,4 S,..xa. .5kr',�rnn3" :-.``,�^ae�,� '+�m..r✓�. fc �:. irvaa �ar�r.,a td rBa �7f�',�} >�t��+rsts-tea �": �r r- 7,7 l tr 7 i '""._ r .t -: F '� ��r � � � �. 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W�rt4�`�:t �`x .�d'dtt • • PROPOSED - •- - I Non- - •- ■ New Building ■ One family 0 - ■ •• • ■ Two or • - family ■ Industrial G-Afferation No. of ■ Commercial ■ Repair, - • - - ■ Assessory Bldg ■ • ■ Demolition ■ Other �. ���'d�kt�",�T1s x e t �,d p.. x ,�a� a ��"%¢'•'c t ,,�c.., ��i." z-..a�.�(' , ��ap' S�'�� ��g�g '� '�qg �,3erfi��; a &w,t�e,� �c,�"a°�z�+her rE WA�," y ,�'� P.pa'f�eJ'a,a 1*..F�s Ys�r...9 -aa � � �`mir.*s f^x�3r�'� •x rd�# z�^ei,! ^z�3 .�r ¢m's 1 3 ., s#.:j# h`.���4�#�-€r 1 k, -taz ti e�r+en � c"f 'a, ltr "�' rh AW A s a �s 3 ear . y�qb t n rr+*�*i .5i.�.$ " 3.r ... fA - -Pi ,,,, .<,.» .m arc {.'A"-,..a^ ''..e t'""t's^t„ '?yap.' a w d d gb 41at z f s t T f -„% F',d § $ rt✓ a ti. w r+,rf`,H, 1s°� 77 Rt �....,sgs.a . r- iu S t TM. 3t,-,� r ey 5"' 1° """ 5 a a s a " ,�,...""'">.� 1"@ z+ �sfa,,.•„„ �' .} x< -^ „*$m_t, ? " , �a a-v a..#� S _•� % a t k�' �� .�i.. 3 .bf i.,-s ;c4c°«8�.#P�' • i 1 • • - LL 1 / -• • 1 I I I /l l 1 1 • I I / I • 1 1 ' • / P MIF, - - • • • Q1 'ffi- 9Y t -c+--��'"cri'ffidiliUx'a,:�:."" �. eft v,M • ,. 3 (i++Ws .3A �' Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FORMOFFICE 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 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 x. A s �.t rrti 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.$100-$1000 fine NOTES and DATA— For department use 0 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 o 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 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) ❑ 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 ❑ 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 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 % 00 Os' Oce Sl- No. Date NORTH TOWN OF NORTH ANDOVER C •. Ow Certificate of Occupancy $ L Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # � •. 20 j g Inspector Affidavit of Occupancy State of County of �s x ) Andrew B. Clark, of lawful age,upon oath states: 1. I am the Signatory of Bradford School of Music, LLC and have entered into a Lease agreement for real property located at 1600 Osgood Street,North Andover, MA, more particularly described as follows: Osgood Landing, Building 30-2, Suite C14. 2. The Bradford School of Music is a music lesson studio and professional office space. 3. I expect that no more than 13 students will occupy the Premises at any one time. In addition to the students,there will be music teachers and possibly parents allowing for a total occupancy of no more than 25 persons at any one time. Dated: !0� [Signature o affaant] Andrew B. Clark Subscribed and swornto before me [date]. [Signature and seWof notary public] Notary Public My commission ex * SUZAN M. M®FFElT [date]. Public Commonwealth of Massachusetts My Commission Expires March 7, 2014 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations r;f;S i 600 Washington Street Boston,MA 02111 b www.mass.pov/dia l 1 Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Nagle(Busines%lorgani-r ttion/Individuui): Address: (426 City/State/Zip: ��Phone S—S 3 Are you an employer?Check the appropriate box: Type of project(required): i.Elf am a employer with_57777-� c9 4..E] I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet.t emodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers'comp.insurance. g, ❑ Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions required.] officers have exercised their 3.❑ 1 am a homeowner doing all work right of exemption per MGL I I.[] Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees.[No workers' 13.0 Other comp.insurance required.] . *Any applicant that checks lox 0 1 must also fill out the section below showing their workers compensation policy information. °Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'eompensa/ion insurance for my employee& Below is the policy and job site information. Insurance Company Name: 49 St,:-s.V` Policy#or Self-ins.Lie.#: 7D Q CI-2 C- ?2 9 3 ,D Expiration Date: O Job Site Address: d9© ©5 City/State/Zip: i- B c9 V__ -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 tine 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 o erjury that the information provided above is true and r Si nature: Date: Phone t/• 0/ -�70 ;7 47 2, - Official use only. Do not write in this area,to be completed by city or town ofeiaL 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#: ✓/�-P�,��,� ��0�11�,ciu�uaeC�i BOARD OF BUILDING REGULATIONS ,License: CONSTRUCTION SUPERVISOR � 048040 Number:'CS ` Bi date.: Expires: 10/2912007 Tr.no: 8053.0 =--—Restricted: 00 TADEUSZ DOWGIEERT 175`BRADY AVE SALEM. NH 03079 Commissioner Mar 06 07 12:48p 6038900192 p.1 Vii 1•r/iVv r i.a••ry •..ta rv.-----�-- , ACIM f1N►ZENiilDantrrrl , r. CERTIFICATE OF .LIABILITY INSURANCE s 2a iMS CERMWATE W f IPW mu AS A Upo" IM INFORMATION �ATE PRODuee-w ONLY ANO COWW s No MHrs M.p.gOWTS INSURANCE ACBE INC. ALliR T!� �p OHO NOT AMEND.po.tC�lEs BELOW. 1060 0=00 STRSST Nogg AlID0VM M 0184S lRuRM l6 COVOIAGiE 78— 9 — 7 atts�e =nwta7monmm WX luS w ,- ewutuW DWRiZ8R3 CONSTMCTICK co-, wc- Noma e plamit 8 vamnE PARK C! AWDpVM, M 01910 a ss3uwexYPeWDe T#IEfOL �dOFIl3LfAAiICE1+�� 1111YEffef�ummT0'iME4PoW jW W CERRAFCl1�MY TE TM .1ENts OR CCNi0i VN CF ANY GWTWW OR 011E1t DOS AMP-aUot m IN61RtANi'EAFtORD1Wg►711E@OWNSOWCROWWE�1ESNtliEt:?TOAt171�7Ettlw.�uS10NSANOCONORIONSt]FSuC11 LmnS iOwpitAYlY►V!!!EE`UIl�UtS Dd�f PJIM1tXAA1S awry wairPouC�►+t111t BCH a s 1 G GENWsa Umay comoeqWALft-KwALUAaLRv iseafXP oesy.i.ao s CLAWWWM aj accu. 10/26/06 10/26/07 i1101�' "` s 000 c�a05e437 vt : z .40P P„pp„Cts-CQ~Aw 1 1,O PoLm `OC r Et,wr s MYA= MLOWROAMS j scBEauoAVr= t MVttDAUPOs {I�iwrer�q s How4VAKDAUM DWAWE s — AtROONtY.�1ACC�aENr i GAVJMUASL tY OT�EtiTMAN EAACC a iwvwlRo AMONM no s eMN OW s EzcE66+V�+►iv�sam A0�1EtiAre s a=U, Fl CaAMS""m a s - REYEKnpw s wO�scoraEt+�a►+� 7F; d500D ,e�rwta+ooaDORC703930 10/26/06 10/26/07 S- 500.000£waaeucrttsul s S00,000 tmlR aNl1AnONsnDC�DN6�VaMCI��EMCW810N6�8TISPECuaPACvisK1N8 • 64 —8 2 =RMCATE a A4Nf aFTNEwaovE oescias[o POI IdEO se eAt cewan r+E eariwcnav OSRY eltop==S uor To rtE cte niw®zo�i u sur aaua�To 0o so awu ifi00 019600® ST r uo OKVGR N OR UAMATI Of ANY"MuPOw me VWUR R Yrs Abet'TSOk NORTR AMOVM, M 03.1945 pop" wurNait¢ss •�,ye �AOORD tMRPORAflO IM ACORD2S(200 M) TOWN OF NORTH ANDOVER Construction Control Affidavit Project Number: 0611100 Project Title: Music School - Project Location: 1600 Osgood Street- 2nd Floor- Building 30 Name of Building: Osgood Landing Nature of Project: Tenant fit-up for music school. In accordance with Section 116.0 Registered Architectural and Professional Engineering Services-Construction Control of the Massachusetts State Building Code, I, Gregory Smith Registration No. 8688 being a Registered PFefessienal Engineer/Architect, HEREBY CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Architectural )00000(Structural Mechanical Fire Protection Electrical Other(specify) FOR THE ABOVE-NAMED PROJECT AND THAT SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE 780 CMR 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 materials. 3. Be present at intervals appropriate to the state 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. UNDER SECTION 116.4, I SHALL PERIODICALLY SUBMIT A PROGRESS REPORT, TOGETHER WITH PERTINENT COMMENTS, TO THE BUILDING INSPECTOR UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION A S OF THE PROJECT FOR OCCUPANCY. Signature and Stamp(no facsimile) •� SUBSCRIBED AND SWORN TO BEFORE ME THIS 1 v DAY OF - . \��� 2007 (��MM CX . \����� MY COMMISSION EXPIRES ( (Js �Al NOTARY PUBLIC NORTH ONM Of No. _ .v /A As 1A ow , dover, Mass., 1$kCOCMIG EWICII �11 �S�RATEDuPa,�'�� BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �� BUILDING INSPECTOR THIS CERTIFIES THAT ' . �............... .. ...... ................ .........i*44 ....................... ........... ............ Foundation O has permission to erect........................................ buildi gs on . ......... ..... ... .... � Rough to be occupied as !/f . Ap''ea i. O I. Chimney ............ �~ Ch' e his permit shall in eve respect conform to the terms of thea application on file in � jb provided that the person accepting t p every p PP '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 thZoning or Building Regulations Voids this Permit. Rough /' ��i Final �& 4?4/ .0 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR r UNLESS CONSTRUCTI STAR Rough O ........ Service 1G BUILD SPECTOR 0001 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.