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Home My WebLink AboutBuilding Permit #604 - 1600 OSGOOD STREET 3/15/2007 BUILDING PERMIT `° NORrh Stereo 6 q�0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ° o Permit NO: p� Date Received ��SSACHUS�� Date Issued: h IMPORTANT: Applicant must complete all items on this page LOC"ATION *T4, 771 f � � ' .. z ?£� ' � � vx+r �K�II. PR,�ERTY 411 R x �,.'. - 14, tO ;:; r akRT &' 4 �: r MAP NfJ: F ARCEL Z07 STF Rqa, �HIst6R1C � ° RCCT' yds no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential Y ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial 0 Alteration No. of units: ❑ Commercial ❑ Repair, replacement 0 Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Q Septic ( n1e11 dfQadplan�;ry �etlands : terhd [ tstnct: " Cl Vlt�terlSev�ier /1 SC RIPTION OF WORK TO BE PREFORMED: entification Please Type or Print Clearly) OWNER: Name: Phone: �-5— � Address: �CJ(�D O-S �D � /VIS � =T'�INC� : Wt- CONTRACTO N.��e f Wl- .. f Address._ M^ 'Supervisbr'"s.Cor�strcfion License: ExDate . Home lmproverrie�at�L� errse: y " Exp Date ARCHITECT/°EN64NLEER GRE60(2,u sf°'Yl IPhone: 9-48 (088-51122 Address: M MAN 5T. (3Lc)&•,A N0RT>+AN0W6Z MA Reg. No. FEE SCHEDULE:BUL DING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $3� FEE: $ sd Check No.: Receipt No.: "'bo 411 14 V2 NOTE: Persons contracting with unregistered contractors do not have access the g ra ty f d Signature of Agent/Owne Signature of contracto r 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 ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS 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 ❑ Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes A: Planning Board Decision: Comments �I Conservation Decision: Comments Water & Sewer Connection/signature & Date Driv Permit Located at 384 Osgood Street PFl-4 PARTMENT ° Temp Dutnpstel`on site yes x? no E Located at 124 Main StreetF Fire Department,s�gr atureldate x ❑ 41, ::: a ' .10� COMMENTS .. ;� - � A . 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 -'2X c ri ❑ Notified for pickup - Date ..................................................................................................................................................................................... ...... ................................................... ..... .. ...................................................................................................................................................................................................................... Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i 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 ❑ Engineering Affidavits for Engineered products 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 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 Li Engineering Affidavits for Engineered products 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 i Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 i j NORTH Town of Andover dover, Mass., 3 • 1 S • y'�- COCMICMEWICK y1. 7�S RATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT.. .... ... ....car. ............................................................................................................... Foundation has permission to erect........................................ buildings on.I66o.... ............. Rough to be occU pied as......... . .iA.. ........r �� • Chimney ... ........ ................................................................................................. provided that the person accepting this permit 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final 30 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU T Rough .. Service ..... BUILIN E 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. EXISTING ELECT. ^� IPA 4EL V- 30' 30' 30' _ II 30' 30' I LO NEW OFFICE 1 1' -9 1/4" 203 95' Is 30' 30' 30" 30' 30' L1') 45' 45• 95' I 30• 01 1 12i —1 1/4n d 30• 30' 30" oo K E M M care � 30' 30• 119 01 1 LO �4 45" OPEN OFFICE AREA 30" 200 30• 30• 30' 30' 30" 45' 45• 45" Cy SERIES 9000 Li' OFFICE PARTITIONS = RE—USE EXISTING 95' I 6— AND PROVIDE 3o ADDITIONAL'm ADDITIONAL WHEN 30° 30' 30• REQUIRED. 30' 30" 45' 95' 95' CV TELE $ DATA PANELS — Ln I -1 45" _{) �4 v\S�EREO AIRF �Q�GORY y No.8688 p NORTH ANDOVER, MA EXIST. OFFICE EXIST. OFFICE Fin �P 201 202 AI.O � 1 NOTE: ALL POWER CONNECTIONS TO THE PARTITIONS ARE EXISTING AND PANELS SHALL BE CONNCTED TO THE EXISTING POWER AND DATA WHIPS ftE WCAMN: PA1600 O qo VEMMc-\,,ASPE Plm 2-15-2002.x, project/(owner sheet Me. consu tsnt: sachh0&a: 1 �. waaqOa� � .a.M �N KEMMcare Furniture Layout PROPOSED FURNITURE PLAN GSD Associates,LLC V � aga � N OSGOOD LANDING 148 Main St.Bldg.A 1600 OSGOOD ST. kD North Andover,MA 01845 CD N.ANDOVER,MA 01810 Tel:978-688-5422 5"'1 � . Q � Fax:978-688-5717 �• H'aiveawc Dow:305621307 11:37 AM Sergi WS Fax 117 StIIi ym k-xmmae A CSR AL DATE NYYy i CERTIFICATE OF LIABILITY INSURANCE ,7AM8SBR 03/05/07 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER Sullivan Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE kTA�leS Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency, . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 151 street Quincy, M;L 02171 MAIC# Phbne: 61 7-3263 8600 yax:617-32'8-6422 INSURERS AFFORDING COVERAGE [NWRED INSLA2ERA Scottsdale Insurance CO. JZEWU�ER ;9RSSS.I.3I P87I IIIS, CO- .7az5 $reaZeTRASRS INDE�IITY CO.Szeaeiwre � SOn415 Riverside DriveOIC $EACOti INSIJRANC>r CROUP 20621 ice uA 01841 COVERAGES FANYRE OF FIDE LISTEED BE'OW HRVE fs�ty 4Sz!£D.O THE R�SII6dI� foh ED ABOVE FOR THE PO:it Y PERY3�Ii i ° " W FTs STAt�NNG ANY CO*[)sTSON ANY COW TO 4ROTH ER I OaMBr'T WETS?RESPECT IO WHICH-,HS CER 1FH ATE ABY�RUED 4R FEE Mr—MP" 'E.AFFORDED BY THE 901-CES CC&MIBM HEREN r'SMIECT TO ALL THE TER-MS.'EXat!ISIONS AND C OI TILNJS OF SUCH TVT'E OIF idSZJRANGE POLSCY TANNER DATE(1i9dtDt?!YY► [SATELIASSEACHOCCURREWE $1000000 GENERAL $500{)0 cEr t r i^r O839424 42/02/07 02102.1 A7rnlsEstaHEDE�EP(AAom€ ) $1000 ;" ;,�J 0`a PERSONAL&ADt 19JURY $1000000 CEHERAL AGI34REGATE $2000000 CCWY(VAGG $1000000 j'--n&A3;-C.EGAM LaAR APPLIES PER PRO- 1149P3X7400003 L rC c-: —11,511) $1000000, x0 11./01/0'7 3Z/07/08 tEeeacx tJ 1 ALL Ams ((Pe p IN,➢-TtY $ I� P2t personl +B S ate•ikRf' I h-iREF)?kl M (Par scndertl 1 HOI k.WEDALITOS s t PROPERTY DAMAGE $ AuTOOId.T-E.A-AC c4DENT $ GARAGE UOLFTY EA ACC $ OTHI 5 i rWY mffo AAUTOTOONLY ACS S #—� EACH OCCLRREt = $ EX RELLALUABS.TIY AGGREGATE _ $ Li OCCUR El CLAIMSMAGE. S S 1 DET7,Il.T$E $ I E RETENTION $ U X TORY Laurs ER WOES COMPBCATM AM C BOILOYEWUASLny TBI 133127/07 01/27/08 ElE+cl ACCIDENT $lOflflflfl Any PRG+PRIETawAp.TNERr-xEC-m-- El DISEASE-EA EMPLOYEE $100000 OFFICERAvSEMBER EXCLUDEM AL PR VISI ECL DISEASE-PoucYUMIT $,500000 ST'ECIW.PROVLSIOSSS bePav OTHER A ';mcmuR TRUCK CARGO QgR849047 1 11104105 11/05106 PER 0 TRUCK 1000 1 OF Oi'ER1tTiONS I LOCA'TKNIS I VERMES I I'C7C4tAi5I M ADDED9YENDMSEMIWr r SPECIAL PROVISIONS CANCELLATION CERTIFICATE HOLDER .IAMPZA SHOULD ANY OF THE ABOVE DESCRIED POUC£S BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,Tiff ISSUING INSURER WILL ENDEAVOR TO MAD. 10 DAYS WRITTEN HDTICE TO THE CERWICATE HOLDER MMED TO Tiff LEFT.BUT fALURE TO DO SO SWILL WOSE NO OBLIGATION OR UABLffy OF ANt tam UPON THE RtSURER.ITS AGENTS OR TIM RF-ALTY REPRESENTATIVES. AM STEVENS IER MASS STREET T A r ADIOQA 01910 :u�rHR �t'r OACORD CORPORATION 1988 ACORD 25(2DM M) TRANSPORTATIO N IYIOVING& MA.DTE 31221 J AMES$READMORE /6v ,o Location of;,ao J."- _ No. U Date • /S 'U NORTq TOWN OF NORTH ANDOVER Of�„ c ,",h•0 Certificate of Occupancy $ ITS cNus Et�F Building/Frame Permit Fee $ —' Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 31 � r 2qt 0 _ Building Inspector