HomeMy WebLinkAboutBuilding Permit #732 - 1600 OSGOOD STREET 5/22/2006 Ot NORTN�
�t.ao•a.1'O
p TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
,SSACHUSl�
Permit NO: 32 Date Received:
09Date Issued: ` DI
IMPORTANT: Applicant must complete all items on this page
LOCATION Q J j—'-- G C/ ►� ��'l
Print . /J
PROPERTY OWNER ��J 5 C/
Pri t _
MAP NO.: PARCEL: 1-7 ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
L New Building J One family
F2 Addition E Two or more family Industrial'
Alteration No. of units:
E Repair, replacement -i Assessory Bldg J Commercial
C Demolition
E Moving(relocation) C Other ❑ Others:
Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
P
Ido tification Please Type or Print Clea-r-1-Y),
OWNER: Name: �� �� LLPhone:
/
A'Mature "
Address: et_r �
CONTRACTOR Name: ! �-< Phone:
f
Address:
Supervisor's Construction License: Exp. Date: t
Home Improvement License: Exp. Date:
ARCHITECT;ENGINEER ,� Name: Phones"
IJ
Address: Aclr i 2 ,zz A,, No.
FEE SCHEDULE:BOLDING PERMIT:$10.00 PER$�00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost :$ / � � x10.00=FEE:$ I
Check No.: 63 ,016 Receipt No.:
Page Ior4
TYPE OF SEWARGE DISPOSAL
_I Tanning/Massage/Body Art Swimming Pools
Public Sewer ,�
Well ❑ Tobacco Sales — Food 'ack'alihg%Sales
Permanent Dumpster on Site ,
Private(septic tank,etc. L! 'El' --I I ter location to
project
NOTE: Persons contracth with it, inter o tr o . have access to the guarantyfund
Signature of Agent/Owner e of Contractor
Plans Submitted ❑ Plans Waived ❑ Certified Phi Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF- U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ I-I
❑Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION ❑ ❑
COMMENTS
i.
ti
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
•� COMMENTS
N4
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 Dempster on site yes___noY Fire Department signature.'date.
Building Permit Approved and Issued by:
Page 2 of 4
Building Setback (ft.)
Front Yard Side Yard Rear Yard
Required Provided Required Provides Required Provided
7 DIMENSION
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area,sq. ft.:
NOTES and DATA—(For de artment use)
Page 3 of 1
Dor INSPECTIONAL SLRVICES DEPAR rKIENT:r3PLORN105
C'emcd AIC,Lm_'-,)O(,
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
Dur:INSPLA"HONAL SERV ICES DEPAR'I'1IENT:13PFOR1105
Ri;_e 4 of 4
I
I
Location 4
No. 732, Date ®j
NORT1y TOWN OF NORTH ANDOVER
3:O�,t`•o •,MO
�a Certificate of Occupancy $
S,cMus� Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $ r
TOTAL
Check #
15' 2 U 1 6J(ding inspector
Location
No. /s�ja Date /O—C:p -A ,
NORTy TOWN OF NORTH ANDOVER
t •
+ , , Certificate of Occupancy $
s�cNust<�' Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
' < TOTAL $ �
Check # �
19653 L
Building Inspecor
O�MO•7�44c�
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 732 (5/22/2006) Date: September 15, 2006
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 1600 Osgood Street Blgd #20
MAY BE OCCUPIED A Commercial Tenant Fit Up - Watts Regulator
IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE
BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: Ozzy Properties
1600 Osgood street
North Andover MA 01845
Building Inspector
ti!
` NORTH 'g
TONM of
pyo
Q LAKover, Mass.,.• 32• 06
T E
COC MIC ME WICK V
°ORATE D
ti BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THISCERTIFIES THAT.. .-Ptair-4.1,04................................................................................................................................................................................................
has permission to 4el...r f.Q.lo.Q�,,.... buildings on .1.`,00...16. "d......... J ......�.... oug
to be occupied as.. ....'l...1A�i�r#ain�....�. N I ..� .............................................:.................... Chimney
�� e
provided that the person accep�mg this permit s every re ect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes anj By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover.�Y /� PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRU N STARTS ' " /�' ELECTRICAL INSPECTOR
g ~
...... ....... .................. Service
BUILDING INSPECTOR . a
Occupancy Permit Required to Occupy 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 `k,,\-
Street No.
SEE REVERSE SIDE Smoke Det.
1
FL
TOWN OF NORTH ANDOVER
Final Design Affidavit
Project Number: 0507072
Project Title: Watts Tenant Fit-up -
Project Location 1600 Osgood Street, Building 20 - 2nd Floor, South Hallway
Name of Building: Osgood Landing, 1600 Osgood Street
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 P. Smith Registration No. 8688 being a
Registered PFefccc^^a! E^g ^__./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 HAVE PERFORMED THE NECESSARY PROFESSIONAL SERVICES AND EITHER
MY REPRESENTATIVE OR I HAVE BEEN PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND
PERIODIC BASIS TO DETERMINE THAT THE WORK HAS PROCEEDED IN ACCORDANCE WITH THE
DOCUMENTS SUBMITTED 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.
I AM SUBMITTING THIS FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE
PROJECT FOR OCCUPANCY.
D ARC
Signature and Stamp(no facsimile) Q�G�GORVP.s�yr�c�
No.8688
CJ
NORTH ANDOVER,
ire
�o MA.
� J
��rlr OF 1A
SUBSC E D SW TO EFORE ME THIS 28"' DAY OF JULY 2006
MY COMMISSION EXPIRES 3 a
NOTA PU C
` NpRTH '9
To'vm Of : Andover
No. 73Z
to
_ I A K E O �` dover, Mass.,.�• .Z D
COC RICHE WICK V
�d ADRATED
7`s BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
THIS CERTIFIES THAT.. BUI
LDING INSPECTOR
i<l1.�!' . .. :�:f................:................................................
.......�........................ Foundation
has permission to 4"...Ireft�.1�� �G.... buildings on.16a... ��.... .. � ......�.... Rough
g
am
to be occupied as.. .... ... . . ....I. fit ..# ............................. Chimney
..................... .
C im
provided that the person accep ing this permd s a I m every re ect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes an4 By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover.��h
7PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations,Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRU N STARTSwv� Rough
..........
................. Service
BUILDING 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. Bumer
Street No.
SEE REVERSE SIDE Smoke Det.
C NORTH '9
01" 0 : tAndover
No.
- LAKE Ot dover, Mass.,.;•2Z• 06
COCMICKEWICK y1.
7,9 A�RgrED
`S BOARD OF HEALTH
PERMIT - T Food/Kitchen
Septic System
1 1
BUILDING INSPECTOR
THIS CERTIFIES THAT.. T
...........:.............:...............................................�,....................... Foundation
has permission to 41...itQ.�.� i�,.... buildings on .,`a "r &� �.... Rough
..
W
to be occupied as.. ....s... ....�. �.�. ..#P............................................................ Chimney
Chim
provided that the person accep mg this permd s a I m every re ect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes an4 By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover.3Y07
PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRU N STARTS Rough
.... .................. Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous IPlace 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
TO" Of sAndover
No. 7 Z
!�_7
�y` • �`y 0 o dover, Mass.,-ire Z.�•
T O -- LAKE
COCHIC.E.CK V
ADRATED PPa\ �5
`S BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
' BUILDING INSPECTOR
THIS CERTIFIES THAT.. Ytlorr+I.I.. ................................................................................................ Foundation
has permission toaW...ifft 014.... buildings on ./go 11, . fir... .. ...... .... Rough
to be occupied as.. I .............................. Chimney
provided that the person accep�mg this permit s a I m every re act conform to the terms of the application on file in Final
this office, and to the provisions of the Codes anj 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 CONSTRUCT- N STARTS ELECTRICAL INSPECTOR
Rough
.... .... .................. Service
..
.... . .. .. .... .. .... ... ..
BUILDING INSPECTOR
Final
Occupancy Permit Required to Ocaipy 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.
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number; CS 048040
Birthdate: 10(2911955 8053.0
Expires: 1012912.007 Tr.no:
Restricted: 00
1
TADEUSZ DOWGiEERT
175 BRA NH 03079 commissioner
SALEM,
Nov 08 05 09: 30a 6038900192 P. 1
FROM :ROBERTS 1NSLRANCE FAX NO. :9786833147 Nov. 08 2005 10:44AM Piii
A CERTIFICATE OF LIABILITY INSURANCE
1 8 05
PROOUClR TNS CERTIFICATE 0 HUED AS A MATTER OF INFORMATION
lf.P. ROBERTS INS. AMCY, INC. ONLY AND CONFERS NO RIGHTS UPON TIE CERTIFICATE
HOLDER. THIS CERTIFICATF- OM NOT AMEND, OR
1060 09GOOD STRLPET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
NORTR MMOM, !Q 01845
979-683-8073 _ INSURERS AFFORDING COVERAGE NAICN
INSURED DONGIERT CONSTRUCTION COWANY INC. sASURERA -
INiuksR B:
175 Il My AvL watm R c:
MM, NA 03019 smseR D: Guam IN .. , q�ppp
NNSunEN E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW NAVE SEEN ISSUED TO THE IN$iIRED NAMED ABOVE FOR THE POUCV PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFM.ATE MAY BE ISSUED OR
MAY PERTAIN.THE INSURANCE AFFaWEO BY THE POLICIE3 OESCRMED HEREIN NS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH
POUCIES.AOGREGATE LOM S_H_O_WNMAY HAVE BEEN REOUCEDBY PAO CLAN&
WHIP -TIEVOCIFINSURMICE POLICYNUMDER EMITS —_
GENERAL Lwaam CACI OcauleaENCE s 000 0 0
COMMEk"s.OEMAXLIAmmy PREMises 000rrYn)_,_ S s0"00
CIANNCo SNNDC OCCUR 1/CDEXP(MyvrtPee�oA) i
A 3CP3616 10/26/05 10/26/06 PERSONALSAmwAm s
60"AL Ar4AGGATE s 2-000-000
GM AGGAwATE LwT APpuFs pElt PRODUCTS-cawW AGG s 0 0 0
POLICY m m p LAC
AUT0M0lUU 9RITY OOMBINEO SINOLE lJ1MIT
AMAUTO {Ewatra09t11) i
ALLOrVNEDAUT08
OWLYINJURY =
SCHEDULED AUTOS (Per pown)
HUMAUTOS
80DILYINAORYi
NON4WNEDAUT08 (PrrrCCWrd)M)
-...• --- PROPERTY DAMAGE
(Parraedan)
GARAGE LIABILOY AUTOONLV-EAACCIDENTt
ANYAUTO EAACC : --....
OYNER Tom
AUTO ONLY. _ ADO
EXCE651UMBR6UJ1LIAMIITY EACM OCCURRENCE i
OCCUR CIAMMADE AGGREGKTE i
DEDUCTIBLE
i
WMNTION 6
WORAERSCOUMEMA"WANDEWLOYEW A a
AWP AMNEWB MMW DOMC000548 10/26/05 10/26/06 E.LEAWACCNDENT 6 _ 500 000
D 0 gtEaNNMEEI{MCLIAEDt 500 000 EL DISEASE-EA E#!L 2
s raneo. M
E.L.DISEASE•POLICY LIMIT i 500000
OTHEk
CElCRPTIONOFOPERATIONS!LOCATK)NS1VI*=J lEXCLUSIONSADDEDBYENDORSEMENTIVC-CIALNKIDNSIONS
EMa 2
CERTIFICATE HOLDER CANCELLATION
OBYrY FROPEMES, LLC. BMDULD ANY OF TME MOVE OESCKKO POLICES BE QMMLI"111'F05E THE E70PIMTION
s DUNDRE PAM DATE THEREOF_THE LM$WG*MURER YMLLENDEAVOR TO NMIL 3O DAYS WUT71 N
ANDOM 1`h 01810 NOTICE TO THE CERWICATE NOLOM NAMED To THE LEFT,BUT FA4.Um to vo so:MALL
DAVISE NO OBLIGATION OR UUNSUITY OF ANY NDIO Upon AE"pAMR ITS AGENT&OR
ATNF
AT
ACOR025(2001/DS) OACORD CORPORATION INS
TOWN OF NORTH ANDOVER
Construction Control Affidavit
Project Number: 0507072
Project Title: Watts—Tenant Fit-up
Project Location: 1600 Osgood Street, Building 20, 2nd Floor South Corridor
Name of Building: Osgood Landing
Nature of Project: Tenant Fit-up of 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
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 _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 COMP L D READINESS OF THE PROJECT FOR OCCUPANCY.
Signature and Stam �EREDgq�
Stamp(no facsimile) Q�G� BY P.
No.ssea ,
NORTH ANDOVER,
o M'
�J
q FAP P
SUBSCRIUB B AND W RN 0 EFORE ME THIS DAY OF 2006
NOTARY
MY COMMISSION EXPIRES hI fyyl
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 4/19/2006
Address 1600 Osgood St Job Loc
City North andover State ma ZIP Job Name Watts Regulator
Phone
Qty Description Unit Price TOTAL
Supply necessary material and labor including necessary
permits and build out approximately 5,200 sq ft. as per
preliminary plan by GSD.
Price includes building of walls as per lay out, installation
of electrical service, including 200amp electrical service
with sub panel.
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 2x4 suspended ceiling as per Ozzy standard.
Adjust sprinkler heads as per new lay out.
Install emergency lighting and horn
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.
1 TOTAL CONTRACT PRICE $124,600.00
"Price is based on preliminary drawings and is subject to
change based on final mechanical and achitectural design.
SubTotal $0.00
Price does not include arcitectural or engineering Shipping & Handling
costs, data, telephone wiring, equipment,
furniture, cubicles, installation or wiring.
TOTAL $124,600.00
Office Use Only