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HomeMy WebLinkAboutBuilding Permit #645 - 1600 OSGOOD STREET 4/12/2006 . r Of yORTp,N - M TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 9SSACMUSEt a7-10 Permit NO: Date Received: Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION 46 0� e 5.2 a Prinr�t PROPERTY OWNER 0,(-) c= , 7' 4 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 ❑Alteration No.of units: ❑ Repair, replacement ❑Assessory Bldg f Eo r�imercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED _ ?� / j > c z'u, -c- C' Identification Please Type or Print Clearly) , OWNER: Name: /6 6E0 Phone: ZY 2 7)V-J G r• LJ signat e Address: lac, CONTRACTOR Name: ��- J> Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: � /� Exp. Date: ARCHITECT/ENGINEER Cr Name: Phone: Address: �r �4 S �` 2� ; i Z--Heg. No. FEE SCHEDULE:BULDING PERMIT.$10.00 PER$00.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$tea 7 --;; - x10.00=FEE:$ Check No.: W,�, Receipt No.: Page I of 4 TYPE OF SEWARGE DISPOSAL ESwimming Pools El,—, Tanning/Massage/Body Art ❑ g Public Sewer 4- / Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ F1Permanent Dumpster on Site El Private(septic tank,etc. NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owne� Signature of Contractor" ----fes 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 ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ 0,)MMENTS 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 Temp Dumpster on site yes noy- Fire Department signature/date Xalp� Building Permit Approved and Issued by: Page 2 of 4 Building Setback 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.2006 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 Page 4 of 4 Location No. Date 1 � f �oRTh TOWN OF NORTH ANDOVER 9 � ` Certificate of Occupancy $ Building/Frame Permit Fee $ qq sAcNus Foundation Permit Fee $ Other Permit Fee $ ^� TOTAL $ Check #191 ,11 Building Inspector F NQRT1y Town of t gAndover 0 No. Or C' A dover, Mass., �/j COCNICKEWICK y^ ADW is- RATED C7 `s BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System C THIS CERTIFIES THAT...1.6OO........W.V . ....................... ... ............................................................. BUILDING INSPECTOR Foundation has permission to erect........................................ buildings on .......I&OP..........6 . ..6A...4C...................... Rough to be occupied as.....041..14 of...O.rr.............a/44r.........................................................�......................... 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 PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTI TARTS ELECTRICAL INSPECTOR Rough .... Service DING 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. DOWGIERT CONSTRUCTION CO. INC. 616 ESSEX STREET LAWRENCE, MA 01840 978 685-0306 fax 978 685-1290 CONTRACT ONTRA CT Name 1600 Osgood St. LLC Ozzy Property Mgmt. Date 12/10/2005 Address 1600 Osgood St. Job Loc City North Andover State MA ZIP 01845 Job Name CMI Phone Qty Description Unit Price TOTAL Supply necessary material and labor including necessary permits and build out approximately 1,800 sq ft. as per preliminary plan by GSD on 9/30/05. Price includes building of walls as per lay out, installation of electrical service, including necessary meter and electrical panels. Install parabolic lighting and electrical outlets as per Ozzy standard. Modify duct work and registers as per new lay out. Install oak doors in metal frames, Install windows as per plan. Install 2x4 suspended ceiling as per Ozzy standard. Adjust sprinkler heads as per new lay out. Install emergency lighting and hom strobes per new lay out. Paint new walls and woodwork, colors to be picked by others. Install carpet and cove base Ozzy allowance$12 per sq yard installed. TOTAL CONTRACT PRICE $49,737.00 SubTotal $0.00 Price does not include arcitectural or engineering Shipping& Handling costs, data, telephone wiring, equipment or furniture installation TOTAL $49,737.00 Office Use Only BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: GS 048040 Birthdate: 10/2911955 Expires: 10/29/2007 Tr.no: 8053.0 Restricted: 00 TADEUSZ DOWGIEERT fL 175 BRADY 03079 A SALEM, Commissioner Nov, 08 05 09: 30a 6038900192 P. 1 FROM :ROBERTS INSUIN 1`KE FAX NO. :9786833147 Nov. 68 2685 10:44AM P1/1 ACDM- CERTIFICATE OF LIABILITY INSURANCE PRODUCER THIS CIERTIMAM B I SLED AS A MATTER OF 01FORMRTION 11.P. >NOv8tRT8 INE. 11tiENCY, INC. ONLY AND CONFERS NO RIGHTS UPON TIE CEitTIFK:ATE HOLDER. THIS CERTIFICATE DOES NOTAMEND, EI(IEND OR 1060 OsCsOOD STMLPT ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, NORTR MMOWR, NL 01945 978-683-8073 _ _ _ INSURERS AFFORDING COVERAGE NAICM INSUFWD DONGIERT CAN87RUCTION CXWA T XNC. MSUAEnA�gg� INSIMM — ..� IIVDlRER B: 175 BARD? AVL !LIMNER c: --- MIAN, !t8 03079 tNSUREno MR= ii8VR1•iN GRA•. .__ ArSUREN t COVERAGES THE POLICIES OF IN.9URANCE LISTED BEIAW W vE BEEN ISSUED 10 THE*=RED NAKED ABOVE FOR THE POLICY PERIOD INDICATED.NOTNRTHSTANDING ANY REQUTAElIEN7,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W(TH RESPECT TO WMM.N THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN TME INSURANCE AFFORDED BY THE POLICIES OESCRIBEO HEREIN 18-SUWECT TO ALL THE TERMS.EXCLUSIONS AND CONDI NM OF SUCH POLICIES-AOGREGATELMi(ITSSMOWNMAY"AVE BEEN REOUCEOBYPAIDCLAN& M on ---_^- POLICYNU DER Y TIMEMN? LIMITS --— GiNERAL LtABLITY t:ACN OC.CURRENC! i 3-000,020 0 X CGMMEWAALGENERALVAMUTY Mm—Ims000rrr�a ! QMQO CtAMSW=- CC OCCUR IAEOt91PL .__...-.1..(AnyarrpeMaAl ! C A 3CP3616 10/26/05 10/26/06 PMONALSAGVMIURY I 1,_M AQO T;B�iRAL Acxs+ccA'M s 2,000,000 GCM AG.MM&TELWT APPLIES PERR PRODUCTS-CORtWAGG ! O Q O POLICY Pno LOC wuT01Ao ARTY MMNEDSMIGMMUT ! ANVAUTO ALLOWNWAUTO! BODILYMURY ! SCHEDULED AUTOS (p-PSA) NON4WWWAUTOG rRI rd) ! PROPERTY DAMAGE ! (Psroddwfl) OARM*LYALOY AVTOONLV-EAACCIOEW ! AWPAITO OTNERTeNN AUTO ONLY. AGO ! EXCESWWRGU A LL UIITY EACH OCCURRENCE ! OCCUR CI.AMBMAnE AGGREGNIE i OEDUCTALE i WORXeRSCOMilNS"MMIO TORY 8_a I� DOMCGO0548 10/26/05 10/26/06 Acc+oEkr i _ 500 000 maculaD ' EL.GWEASE-EA EMP !r.• ,5Q 000 1 ulb'r atl0� E.L.O[S&M•POUCV tIMtT 1500 000 OTHER DEWAPTIOROFOPEPATIGNB/LOCATIONS#VFJI jniVMUJSIONSAGDEGBYOMRS WWISPECMLPnOMONS 2 CERTIFICATE HOLDER CANCELLATION 08LZ PROPERTIES, LLC. &gULD ANY OF THE ABOVE nnsCMM Pnucas eE OAMMMI O IMFOSIN TK 0MATION s Dumzz PARK DATE THEREOF.THE tmjwG osURER TNLL omFwvm To AAMC 10 nms w arrm ANDOVER 24A 01810 NOMM TO TM CERnF1CATE HOLDER NAMED TO TM LEFT.BUT MUM 10 00 SO MALL RAMOSE NO OBLIGATION OR UAWUTY OF ANY KW UPON flE MsURER,,TS AGENTS OR ANNE AT ACOR025(20MMI) DACORO CORPORATION IM TOWN OF NORTH ANDOVER Construction Control Affidavit Project Number: 0412108 Project Title: CMI —Tenant Fit-up Project Location: 1600 Osgood Street, Building 20, 2nd Floor Name of Building: Osgood Landing Nature of Project: Tenant Fit-up office space. 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 PFGfessional E^^neeF/Architect, HEREBY CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Architectural _X)00C_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 ESS OF THE PROJECT FOR OCCUPANCY. 1ER.A AqC Signature and Stamp (no facsimile) / c\S '�`�T f �cV �p"Y P. Z.2�• No.fi6:�3 200(0 NORTHANiuVER, .� MA. Dy �� S SUB SC BED D S O N 0 BEFORE ME THIS,/14�, DAY OF 2006 MY COMMISSION EXPIRES NOTA C The Commonwealth of Massachusetts Department of Fire Services Office of the State Fire Marshal P.O.Box 1025 State Road,Stow,MA 01775 PERMIT Date: North Andover permit No Dig Safe Number (City of Town) (If Applicable) In accordance with the provisions of M.G_.L.114$Chapter1Q_as provided in section—U-1—CMR 34 Start Date This Permit is granted to: Full name of person,Finn or Corporation Permission to locate dumpster for construction/renovation/demolition of building Comments: dumpster must be 25 ' from structure if unable to place with required Restrictions: clearance dumpster must be covered with plywood or tarp end k of work at '/G 0 e Gi71'c C�r- c// LS i- / 11 Gni_. (Give location by street and no.,or describe in such manner as to provied adequate identification of location) Fee Paid$ 50 .00 �� ��s� Fire Chief Signature of offical granting permit it Offical granting permit (Title) This Permit will expire j i '" ( g ) g mwmm* TNI. PERMIT MI ICT RF r-nm-gPiri I(ll 1CI V P(ICTi=n I IP(1Al TNF PRFMICFC 4*� 1 :1 1