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Home My WebLink AboutBuilding Permit #148 - 1600 OSGOOD STREET 8/25/2006 TOW F NORTH ANDOVER NORTI� ATION FOR PLAN EXAMINATION OF s1"D 06 q~o 3� bt '6 OL ® i /� Permit NO: �� Date Received �CJ Date Issued: w SSArno Ac►+usr`�� IMPORTANT: Applicant must complete all items on this page LOCATION — OssmD a� � A t�� C-.a d I P--4-75 Print PROPERTY OWNER&M �� ' 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 ❑ Alteration No. of units: 21 ❑ Repair, replacement ❑ Assessory Bldg ommercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only , e tf-SCRIPTION OF WO TO BE PREFORMEDM MiSDU LA2 4-) ��-��• - Identification Please Type or Print Clearly) OWNER: Name:Etc �-�J�� Ll Phone: q P)&R15nD� Address: ' MA CONTRACTOR Name: T 2t�Phone: IR Address: 7V N JA Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost S �: --t�,t, FEE:$ Check No.: /6-- Receipt No.: Page I of 4 TYPE OF SEWERAGE DISPOSAL i wmmn SiPools 11 Public Art ❑ g Public Sewer Well Tobacco Sales ❑ Food Packaging/Sales [I❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracts i t un egistered contractors do not have access to thIgua t fu Signature of Agent/Owne Signature of contract Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ d lans THE FOLLOWING SECTIONS FOR OFFIe-OUSE ON 'Awt 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 i Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer connection/Signature& Date Driveway Permit Temp Dumpster on site yes no I`F Fire Department signature/date CO �YM 9LAt 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) a d Page 3 of 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 I I Pave 4 nf4 Location ✓��°� , � _ _ No. Date L.o p MORT� TOWN OF NORTH ANDOVER s Certificate of Occupancy $ • orb+«��...A`: • sACMUSEt� Building/Frame Permit Fee $ Foundation Permit Fee $ m Other Permit Fee $ Ar-9 TOTAL $ r�: Check # 95'i 7 Bu ing Inspector 4 R-Squared Office Panels&Furniture,Inc. Town of No.Andover, MA 8/21/2006 229153 Permit to Install Office Cubes 69.00 Watts Industries. Operating-Bus Ckg II- Permit for Watts Industries 1600 Osgood St. N.A 69.00 NORTH 0 Of _ Andover 0 �Og io �AE dover, Mass., COC MIC ME WICK ADRATED P'? S BOARD OF HEALTH PERMIT Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT ......................... ................................................................. .......... Foundation has permission tom. .�j!► .ilC. ' 1 M.� .y ....off.....16-4 — ... .. � Rough to be occupied as `.. Chimney provided that the person acc p Ing 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 andB -Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 3 to/ PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough �..�....................................... Service BUILDING INSPECTOR Final 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 Street No. SEE REVERSE SIDE Smoke Det. be,-r ice Qrder R-Squared Office Panels & Furniture, Inc. 360 Merrimack St., Bldg 9 / Door B Lawrence, MA 01843 Tel: (978) 685-7600 / Fax: (978) 689-4128 SERVICE DATE: WEEK OF AUGUST 1ST To: Watts Industries, Inc. 815 Chestnut St Date: 7/25/2006 N. Andover, MA 01845-6098 S.O. #: 7585 P.O. #: Attn: Georgina Quintana Terms: Net 30 Tel: Salesmen: Balas Fax: Jobsite: Service Work: Move 40 stations Date Description TOTAL TBD Disassemble, move and reassemble 40 workstation of Steelcase $5,700.00 9000 Approximately 450 paces total from disassembly to build with passage thru elevator. Each station has 3 surfaces with supports, two drawer units and two overhead storage units with lights. - Work to be done during normal business hours on straight time. - Full access to aisle and elevator during move. - All product need will be accessable from the dissassembly of no more than 44 station with additional charge. - Landlord is providing all product to complete the project. - Any materials such as toggles, etc required to complete the project will be billable separately. These charges will be approved by Watts prior to incurring. luote Total $5,700.00 r Joseph Balas President office panels&furniture Tel:(978)685-7600,Ext.301 R-Squared Office Panels&Furniture,Inc. Cell:(978)815-0045 360 Merrimack St.,Door 9B Fax:(978)689-4128 Lawrence,MA 01843 nerican Express and Discover. email:jmbalas@r-squared.com Web:www.r-squared.com - 31dg 5. Door B/Lawrence, MA 01843 � JAN, 20, 2006 10: 261AM FIRST CARDINAL 5182131901 N0. 600 P. 2 --:- CERTIFICATE OF LIABILITY INSURANCE DATE 1;%20/06 Pronucer THIS CERTIFICATE IS ISSUED AS A MATTER OF First Cardinal Corp, INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE 10 British eric Blvd. CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT Latham,N 12110-0141 AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED @Y THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# InsuredINSURER A: MA Retail Merchants WC Group Inc, R-Squared. ckStroot ffice Pansis&Furniture,Inc INSURER Q: 360 Marrim Building s oor B INSURER C: Lawrence, A01843 INSURER D: INSURER E: COVERA ES THE POLICIE OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTVNTHSTANDING ANY REQUIRAMENTTERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN TH41IN3UPANCLAFF!ORDED BY THE POLICIESDESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.- AGOREGATEIzOMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS FOLICY A ,L EFFECTIVE DATE POLICY EXPIRATION IN7R Or IN o TYPE OF INSURANCE POLICY NUMBER MM/OD DATE(MM/OD LIMITS 0 'ERAL LIAOILITY EACH OCCURRENCE $ COMMERCIAL OENERAL LIABILITY FIRE DAMAGE(Any one fire) $ CLAIMS MADE ED OCCUR MED EXP(Any one pereon) PERSONAL&ADV INJURY $ GENERAL AGCki;aATE $ GL- AGGREGATE LIMIT APPLIES PER PRODUCTS—COMP/OP AGO $ PRO- iPOLICY JECT 0 LOC AIh'OMOBILELIABILITY COMEINED 61 NGLE LIMIT $ ANY AUTO (Ea seeldent) ALL OWNED AUT09 BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Perawident) PROPERTY DAMAGE $ (Per accidon0 G RAGE LIABILITY AUTO ONLY—EA ACCIDENT ANY AUTO OTHER THAN FA ACC $ AUTO ONLY A6(3 $ EACH OCCURRENCE ESS LIABILITY $ f OCCUR f7CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION S $ ERS COMPENSATION AND X1 WC STATU- OTP. IF LOVERS LIABILITY TO Y LIMITS ER PROPMETEWPARTNERIEXECUTIVE E.L EAAICER/MEMBER M(CLUDED7 NO 1:000,000 a,eeeMbe under 014000500654106 1 IMS 1101/07 B.L.DISEASE—EA EMPLOYEE CTAL PROVISIONS below $ 1,000,000 L.DISEASE—POL G LIMIT $ 1000,000 O HER HIEFERENCE: DESCRIPTIO OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/6FCCIAL PROVISIONS Workafs'c rnpansetion coverage b provided by contract toall ampbyaes of R-Square ffice Panels&Furniture,Inc Coverage does not appy to any amployaes not approved and assigned by R-Square Iftce Penela&Fumlture,Inc effective 01/01/1006 CERTIFI ATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ADOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1600 OS 3od Street,LLC THE EXPIRATIONDATE THEREOF,THEISSUING INSURERWILL ENDEAVORTO 1600 Oso 3od Street MAIL 35 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED North An over,MA 01946 TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE x..07/10/2006 12:27 9783697586 CONCORD ASSOCIATES PAGE 01/02 p 11CORD CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDDJYYY1� TM 07/10/2006 PROD 1: (978)369-3344 FAX (978)363-7586 THIS GERTIFI A AS A MATTER OF INFQRMATION Concord Associates Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE GOES NOT AMEND,EXTEND OR 676 Elm Street Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Concord, MA 01742 INSURERS AFFORDING COVERAGE NAIC# INSURED R-Squared Office Panels & Furniture, Inc. INSURERA: Travelers Indemnity of America 25666 360 Merrimack Street INSURER B: Travelers Indemnity Company 25658 i Building 9, Door 8 INSURER C' Lawrence, MA 01843 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTAND ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SLI POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRPOLICY LAPIRATIUR I'D TYP2 OF INSURANCE POLICY NUMBER DATE MMIDD DATE MM/DD LIMITS GENERAL LIABILITY I660634X7878TILOS 05/28/2006 05/28/2007 EACH OCCURRENCE S 1 000,000 DA tMIORENIED �( COMMERCIAL GENERAL LIABILITY PREMISES Ea occurenoe $ 100,000 CLAIMS MADE a OCCUR MED EXP(Any one pereon) S 5,000 A PERSONAL 8 ADV INJURY S 1,000,000 GENERAL AGGREGATE S 290002000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP A00 5 2,000,000 I F]POLICY JE° FILOC AUTOMOBILELIABILRY I8109052W841INDOS 05/28/2006 05/28/2007 COMBINED SINGLE LIMIT S ANY AUTO (En aooldunt) 1,000,000 000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (PerPmeon) 3 B X HIRED AUTOS BODILY INJURY X NON-0WNEO AUTOS (Per accident) PROPERTY DAMAGE $ (Ppr eocidont) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHERTHAN EAACC S AUTO ONLY: AGG $ EXCESSIUMBRELLALIABILITY ISMCUPSOOH3913INDOS OS/28/2006 05/28/2007 EACH OCCURRENCE $ 1,000,000 )( OCCUR 7 CLAIMS MADE AGGREGATE $ 1,000,000 B S OEDUCTIBLE $ RETENTION $ S WORKERS COMPENSATION AND WG STATU- EMPLOYERe,LIABILITY TORY LIMITS I I ER ANY PROPRIEfOR/PARTNER/EXECUTrVE 61.EACH ACCIDENT S OFFICERIMEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE S If yes,dascrlbc under SPECIAL PROVISIONS bnlow E.L.DISEASE-POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VENICLPS I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THte ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILENDEAVORTO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, X600 Osgood Street LLC Archer BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1600 Osgood Street OF ANY KIND UPON THE INSURZR.ITS AOENTB OR REPRE3ENTATi+IES. N Andover, MA 01845 AUTHORIZED REPRESENTATIVE �� ^ Richard Sullivan DOTSIE ACORD 25(2001108)FAX: (978)681-4520 C[ACORD CORPORATION 1988