The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #510 - 1600 OSGOOD STREET 1/16/2007 I TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION of µORTFr,t,•o 'f4• Permit NO: l Date Received/r/ ✓ * i, Date Issued: ��Ss�c o t� IMPORTANT:Applicant must complete all items on this page LOCATION P int PROPERTY OWNERecn�1 Print MAP NO.: PARCEL: ZONING DISTRICT: 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 e-06mmercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO l E PRE FO ED Identifica ion Please Type or Print Clearly) OWNER: Name: 010 hone: �T Address: CONTRACTOR Name: / Phone: Address: 7 .3 �. f Supervisor's Construction License: !Z �ZQ T;2 Exp. Date: 4,o L!a 4!:2 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Vc_co e- Name: Phone: Address: �, / � Q� eQ. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIM ON$125.00�ER S.F. Total Project Cost :$ �S`�� EE: �f Check No.: _� � Receipt No.: Page Iof4 TYPE OF SEWERAGE DISPOSAL ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ 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 guarantyfund SignatureAgen 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 ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMPENTS DATE REJECTED DATE APPROVED R HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes no Fire Department signature/date A 016 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 a -- I 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 JMC.Jan. WO 1 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 o 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 I 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 Doe:INSPECTIONAL SERVICES DEPARTMENTMFORNIN I Page 4 of 4 tAORTH T0VM Of over No. ®� '' '_ _ 70 C 0 LA dower, Mass.,/ 1566"009L E LA Co CHICHE 'C" \_ 1. 0RA'r E DC* BOARD OF HEALTH Food/Kitchen . PERMIT T D Septic System BUILDING INSPECTOR .................................................. Is . ........ .........�..�....THIS CERTIFIES THAT.......... Foundation has permission to erect........................................ buildings oni.6.0.0......&S "J.....X.r. ..... .....2.0....c)n4a Rough to beoccupied .....T-4.n.v.aA%- --r........ .. ..o'.. Y!,....... i a............... Chimney provided that the person accepting this permit shall in every respect conform to the terms oi t e 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 Final VV PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU S Rough ....I ..... Service ........................ ............. rk TS BUILDING INSPECTOR 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 _jj Smoke Det. Location U No. Date NaRTM TOWN OF NORTH ANDOVER 41 ' Certificate of Occupancy $ +Ss�CNUs t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 20656 -- Building Inspe4t& j y i s � CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 510(1/16/07) Date: March 22, 2007 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1600 Osgood Street—Oga Properties MAY BE OCCUPIED AS Commercial Fit Up for Tenant IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: KEMM Care Medical Rldg 20 2-311600 Osgood Street North Andover MA 01845 fig BWiftg Mipmor NORTH . 4 over T0VM of .w... • 1! ZO - C A E over, MA Mss.,�' • T19, COCMIC KE WICK yt ADRATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... ........ ..........e.�.... ....................................................................... . .. ............... Foundation has permission to erect........................................ buildings on i.600.....:6.S.. baJ....�...i......2........4A%4 Chim ough to be occupied aS..../ .: .. .C.*.� .......... .ML�........ ... ...�....!� �...................... ney Z provided that the person accepting this permit shall in every respect conform to the terms of t e application on file of final 6L'/. �' 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 gr Building Regulations Voids this Permit. Roush Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRU TS ELECTRICAL INSPECTOR u h �7k ..... ........... ... ..... ... .. ..... service . . .. .... . .. . .. ....... ....... ...... ......... BUILDING INSPECTOR Z `r 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 NORTH • 0 of 4 over 0 A dover, Mass., Z '2 • o COCMICMEWICK Ids RATED OPa,��Cy 1 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.........�.?.�..... ....... ....! 0............. ...... ... ............................. Foundation has permission to erect............................. ........ buildin s on �' . Rough .... '.T �.... ....... . to be occupied as.../i �lr Q chi y provided that the person accepting ' permit shall in every respect conform to the terms of the application on file in anal 0� 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. UMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MO Final UNLESS CONSTRU N ST ELECTRICAL INSPECTOR ... ... . ... Service .. .. .... ...... .. .. .. ........ ..... BUILDIN R incl kc- Occupancy Occupancy Permit Required to Ocayy 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. NORTH TONNM of . �.. � _ 4Andover. . LAdover, Mass., COCHIC NE WICK y�. ADRATED `s BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THISCERTIFIES THAT.. .... ... ....�a1�.�1�............................................................................................................... Foundation has has permission to erect........................................ buildings on . Q.... . .D ......iT.... ................................ Rough t0 be Occupied as......... r 0l 6-44-L '� • Chimney . . . . . ..... .. ................................................................................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file inFm:j) * 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. P9UMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final 30 0*0 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPEC'T'OR UNLESS CONSTRU T Rough ..... Service .... ina C BUILDIN 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. -11&jad.4e. BOARD:OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR 048040 Number: CS +. Birthdate: 10!29!1955 Expires: 1012912007 Tr.no: 8053.0 Restricted; 00 TADEUSZ DOWGIEERT / 175 BRADY AVE SALEM, NH 03079 Commissioner TOWN OF NORTH ANDOVER Construction Control Affidavit Project Number: 0612112 Project Title: KEMMcare Tenant Space— Building 20 Project Location: 1600 Osgood Street, Building 20, Second Floor- South Side Name of Building: Osgood Landing Nature of Project: Tenant Fit-up. 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 Dessiena; €flgineeF/Architect, HEREBY CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Architectural X00000(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 AND READINESS OF PROJECT FOR OCCUPANCY. Signature and Stamp(no facsimile) �\r� � ��/��✓ Mo.8688 � P. �It1R OVER, SUBRIBED AND SW RN TO BEFORE ME THISDAY OF IC�rn 2006 '` x MY COMMISSION EXPIRES NOTARY PUBLIC LINDA VANDEVOOME Notary Public..Now M mPst*8 I My CommissionEom l �� 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 1/2/2007 Address 1600 Osgood St. Job Loc City North Andover State MA ZIP 01845 Job Name KEMMCare Phone Qty Description Unit Price TOTAL Supply necessary material and labor to build out one office in existing space(previously First Choice). Build walls with metal studs and 5/8"drywall taped to a smooth finish. Install oak door in metal frame and window as per plan. Install two electrical outlets::. Install new carpet and cove base,`color picked by others. 1 TOTAL CONTRACT PRICE $7,500.00 $7,500.00 SubTotal $7,500.00 Shipping & Handling $0.00 TOTAL $7,500.00 Office Use Only ,1 I I EI I l _ Jl Pa Q BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR C r: S , 048040 Numbe Birthdate: l fl%2911955 Expires: 10/2912007 Tr.no: 8053.0 { 'Restricted: 00 TADEUSZ DOWGIEERT 4 175 BRADY AVE_ C i/ SALEM, NH 03079 Commissioner Location/'tCtI/ AeQb' 40ZZ-f1prvi� No. Date MORTIy TOWN OF NORTH ANDOVER Certificate of Occupancy $ CHus t� Building/Frame Permit Fee $ v Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �- Check # 19938 Building Inspector