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Home My WebLink AboutBuilding Permit #88 - 1600 OSGOOD STREET 8/8/2006 L_ APPROVED TOWN OF NORTH ANDOVER NORTH APPLICATION ATION tLIC 1616 O p Permit NO: Date Received opcoc ATEO 11 Date Issued: ' SSACHus�� IMPORTANT: Applicant must complete all items on this page LOCATION Q / a�J- g Print PROPERTY OWNER Print MAP NO.: PARCEL: ZONING DISTRICT: '171- TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial teration No. of units: ❑Repair,replacement ❑ Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED d I(rntification fleas6 Type or Print Clearly) OWNER: Name- eeo a,&�-/ ?5 Jz Phone: q Address: 210 L2(a e CONTRACTOR Name: / �u Z Phone: Address: Supervisor's Construction License: !0 Lf Exp. Date: Home Improvement License: Exp. Date: ARCHITECUENGINEER Name: Phone: 4 Address: w Reg.No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$IOOYO OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.R Total Project Cost :$_ l��520 `�� x12.00=FEE:$ � Check No.: 'lY Receipt No.: Page I of 4 J TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ 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/Owne Signature of contractor Plans Submitted Pla aived ❑ 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 rivewa P rm' Temp Dumpster on site yes no Fire Department signature/date a10 11noe.4'nr4-- _ _ Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Re uired 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) I I Page 3 of 4 Doc:INSPECTIONALSERVICE5 DEPARTMENT:BPFORM05 Created.IMC.1an2006 t 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 Pa-e 4 of 4 — �._ Location/M' al'4 40 0/ ��G No. Date - O NORT1y TOWN OF NORTH ANDOVER 1 i Certificate of Occupancy $ 7ss,KMuSEt�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ V• Check # 9 tj Building Inspector AORTH own of tAndover Or,n..w" ,�4. �� f• No. - �`y C,= dover, Mass., T LA E COCHIC EWICK ADRATE D PPS\ �5 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT .. ......... .... ......��......................... ................................ Foundation has permission to erect....................................... buildings on/6ir. . .....O,S1t# ............. .................... Rough to be occupied as �.t. Chimney p ............. ff� i�j;lhltp ... �Ie:.....Q�j""...................................................................... provided that the person acrmit shall in every respect conform to the terms of 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. 3 q/17 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough �O a PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONS T Rough ................................. .......... ................. ....... .... Service .. . ...... ..... ...................... BUILDING INSPECTOR Final Occupancy Permit Required to Ocmpy Building GAS INSPECTOR Display in a Conspicuous -Place on the Premises — Do Not Remove RoughFinal 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. DOWGIERT CONSTRUCTION CO. INC. 616 ESSEX STREET LAWRENCE, MA 01840 978 685-0306 fax 978 685-1290 CONTRACT Customer Name 1600 Osgood St. LLC Ozzy Property Mgmt Date 7/31/2006 Address 1600 Osgood St. Job Loc City North Andover State MA ZIP 01845 Job Name Ozzy office space Phone -- Qty Description Unit Price TOTAL --------.,- Supply necessary material and labor including necessary --� permits and build out office space as per plan by GSD. Price includes building of walls as per lay out, installation of electrical service, including electrical panel. Install parabolic lighting and electrical outlets as per Ozzy standard. Modify duct work and registers as per new lay out. Install glass store front as per plan. Install oak doors in metal frames. Install windows as per plan. Install 2x4 suspended ceiling. Adjust sprinkler heads as per new layout. Install emergency lighting and horn strobes. Paint new walls and woodwork. Install carpet and cove I. base. Install kitchen with sink as per plan. TOTAL CONTRACT PRICE $105,030.00 SubTotal l $105,030.001 Shipping & Handling $0.00 TOTAL $105,030.00 �' Office Use Only TOWN OF NORTH ANDOVER Construction Control Affidavit Project Number: 0602009 Project Title: Ozzy Properties Office Relocation — East Building 30 Project Location: 1600 Osgood Street, Building 30, 1s'r Floor Name of Building: Osgood Landing Nature of Project: Renovation &Construction of New Ozzy Properties Offices In accordance with Section 116.0 Registered Architectural and Professional Engineering Services-Construction Control of the Massachusetts State Building Code, I, Gregory P. Smith,AIA Registration No. 8688 being a Registered Prefessienal Engineer/Architect, HEREBY CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Architectural _XXXX_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 COMPLETI READINESS OF THE PROJECT FOR OCCUPANCY. Signature and Stamp(no facsimile) �DA�Cyir RY P. No.8688 9 % NORTH ANDOVER, O MA. y P V SUBSCRIBE AND S R T ORE MET IS AY OF 2006 NOTARY B MY COMMISSION EXPIRES 3� Depornnent of 1ndw&W Accidents Qffia oflme tern 600 Wasbinaton&red Boston,MA 02111 www.aeRS&aov/dle Workers'Compensation Insurance Affidavit:Builders/ContractorsMectrida=/Pinnnbers AppliesAppUcaut Information Pla Print Leidblj Name(Business(orgtrizatiaa/lndivi64: i ` Address: City/State/Zip: Phone#• �J ' ) Are y employer?Check the appropriate box: 4. ❑ I am a �d projeet(�r�• I. I am a employer with�•_ general contractor a d I employees(fall and/or pwt-time).* have hired ibc cab-watraclars 6. 0 New conaanedon 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet,t 7. ❑Remweling ship and have no etnployees These sub-eolnractors have S. ❑ DemoUn working for me in airy capacity. workers'Comp.idnrancx• 9 ❑ Building addition [No workers'cam.insurancx 5. ❑ we've a corporation and its - requircd.] officers have exercised their 10•❑ Electrical repsim or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself[No workers' comp. c. 152.§1(4�and we have no 12.0 Roofrqpas ins mt bee required.]t employees.[No workers' camp•Ww=ce required.] j L 13•0 Other •My applio 0*0 cbech boX#1 mut ata tilt Cot the aeration below ion ibsn wap pommy k&MMNtioer t Honwowaen wbo MbMA In dfi&tt indicating dwy Suss doing an work cad itam ffie o0d&MOM=mamt Submit a am affidavit imdiatimmS sock tconvw ms do dwck this ban nmt st ndW as a l"onai*beet dowing the aamae of tbm abooebadm and fn woeaw,=OVL pofi•Y ti'folmug o L Ian an employer tw b prvWdtna,Nutters'eompemsdon kwurmm for my"Vloym Below b d wpo ft sxi ,job cess InfornmdNow Insurance Company Name: _ Policy#or Self-to.Lic.#: tt,;9 Expiration Date• o Job Site Address: 6cls10 Qr City/StatdZip: cjli+� Attach a copy of the workers,compensation policy dectaratioa page(showing the polay camber sae!esplMdon date). Failure to secure coverage as require#under Section 25A of MGL c.152 can lead to the imposition of caimioal penaMco of a fine up to$1,500.00 and/or one-year as well U civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violaw. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby men*ander the pdas md peeahles 00010l+r!'MW prPldad abort b curd sand do rreft S Daft: Offlchd use only. Do ear write In ddb area,to be moa pkted by ciw or mwn shkid City or Town: Permbuce ase 0 Issuing Authority(circle one): L Board of Health 2.Baltdiag Department 3.Cky/rows Clerk 4.E g.Other lectrical Inspector S.Plumbing Inspector Contact Perron: Phone#: Nov rat) 05 09:30a 6038900192 P. 1 FROM :ROBERTS IN91.RANCE FAX NO. :9786833147 Nov. 08 2095 10:44AM Pli1 ACDM CERTIFICATE OF LIABILITY INSURANCE ,Roo— a aa5 TW$cERnFK ATE A 088 As A MMATTER of owmRmnom N.P. ROOMS INS. AGIWM, INC. ONLY AND COMFEM NO RIGMTS UPON THECERTMATE NOLOW1060 OSGOOD 91TIMn TME c��DVER A�PFCROE� Po EXTEND eo w. NORTR ANDOVER, 1& 01965 978-683-8073 _ W BURERS AFFORDING COVERAGE NMCN rlsu o DOWIRRT CORS'1'SIIC'tYtfHT CONPANr YNC. --- CE MliuRr:R r 175 amy AVE MISURER C. — - SALR t N8 03019 tea RW 11: pmgD IK MASUAlA L. -• -- COVERAGN THE PCLIGES OF INSURANCE uwm saOw m vE BEEN ISSUED 7o Tm r=RED RANW ADOW FM TM POUCV PERt0 WDWATW-NOTYMWANoM MAY ERTTAIK THE NSV�RAKEOR�FORRgED W THOF EE POUT Off OTHER WIMMENT VWM OESCMID ME"(S SUBJECT RESPECT ALLLL TME TES EXGU�IONSAND CONDFTIOHSOF SUCH POUCIMAGGREGATELMPMTSSMOYiINNIAY MAVEN REDUCEDBY PADCtAVAF L _ POLICY NIlwum GW*ML UABi tMn lT7i AtACH oQQ accumemma QQ MMMEACNLOENERALUAbIL.RY ra�n111 11,11a2. 1 s OQO A3CP3616 10/26/05 10/26/06 PuspNALSADvNAAIY s j p 000 GEWMAL ALAWUI.ATE s 2 000 000 MW AGGREWnL"TAPPLES PRODUCTS-OOM!IpPAGG 5 11.10a 0,000 POLICY m LOC AVTOMOBUUA&LaY ANYAUTo tN(R:ELNR a ALOWMMAUTOS ECIEEDUMAUTOS BODILYMIIOY _ (P.PMany MREDAUM NOl4 VOIWAUTO8 { _ — PF"ERTVDAMAGE { (Mar+a�ad.n1 . OARM*LYIBIUTY I1N�OONLY_EJRACCIOEIIT i ou"THAN EAACC s PAMONLY. AM { MWECSAIMBgfCLIA WIiLw EAC.eI Qf.YxlRRENCE a CIA MNADE AC,GIIEG/1TE i MOLCTOLE AFFSNTIDN i E LwaLL� ° To Z D erA■I{II{el r�culamT DOMCGO0549 10/26/05 10/26/06 TiiEACMACC{oENT t _ 5fl0 40 e.ab.aor. EL DISEASE-EA EMROTE a� 50 OQO !»Iew olm" ELd8EASE.POLP:YLMIT i 500 pOp APTtDNOPOPERI1g1ONSlLOCATWTISIYP31lCtEgiTytCLUSION$ADDEgBYENDQgSEMENTI�ECYILPRONSI m — 2 CERTW"TF. HOLDER CANCEUAnON O8Y.Y PROPNRTZES, LLC. {HOULD ANY OF THE ADaVE DEscipiED PDUCEB Be c:AwetU kD AkxOAi T1K DDIRATATlI 8 DU=Zz PSK DATE TM MOF•7iE MIM G VUMER VwLLI awAvm TD LY&10 DAYS vjmTTEN ANOOWR MR 01810 NOTR2 To TME cENw"TE HOLOM W-M TD THE LEMS WT FALuRk to w so SMALL MADSE NO OBLIGATION OR UAWUTY OF ANY xM UPoN nE MWWL L R 3 AMW,.OR A71VEAN A7 ACOR025(20ptlOB). VAC0R0 CORPORATN3N 1lt8 The Commonwealth of Massachusetts Department of Fire Services Office of the State Fire Marshal P.O.Box 1025 State Road,Stow,MA 01775 PERMIT Dat; P North Andover Permit No Dig Safe Number (Cityof Town) (if Applicable) In accordance with the provisions of M.G.L14 8 Chapte`r_J1Q as provided in section SSM R 34 Startate / This Permit is granted to: S.�V`S I Full name of person,Firm or Corporation Permissionto locate dumpster for construction/renovation/demolition of building Comments: dumpster trust be 25' from structure if unable to place with reauir_ed Restrictions: clearance dumpster must be covered with plywood or tarn end of workday at /L(> �� C// S - /J'-/��V� (Give location by street and no.,or describe in such manner as to provied adequate identification of location) Fee Paid$ 50.00 G� o - Fire Chief This Permit will expire j (Signature of ofEical granting permit) Offical granting permit (Title) �� TWIC PPPMIT Mt ICT RF r_nNCPiri lr)i ICl V Pf1CTg=n i WnM THF PRFMICFC �u MAIM? r.oylr EGULMONS BOARDO:BuiLD STRUCT ON SURERV►SOR: License. C._ 048040 Number. C8 0 Birthdate-1012911955 Tr.no: 8053:0. Expires:10129120Q7 Restricted: 00 TADEUSZ DOWGiEER7 17. 51 79 C -� Ioner SALEM, NH 0309 Commis i