HomeMy WebLinkAboutBuilding Permit #440 - 1600 OSGOOD STREET 12/19/2007 BUILDING PERMIT Of NORTH q
TOWN OF NORTH ANDOVER 02
APPLICATION FOR PLAN EXAMINATION ''
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Permit NO: `7 Date Received
f �SSACHU`�E���
Date Issued: / �?
IMPORTANT: Applicant must complete all items on this page
LOCATION 1600 O S * -,Q 0 zfu
not 1
PROPERTY OWNER tl e
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MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
Addition Two or more family Industrial
Alteration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
Septic Well Floodplain Wetlands Watershed District
Water/Sewer
D SCRIPTION OF WORK TO BE PREFORMED:
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Identification Please Type or Printearly)
OWNER: Name: lisoC �<o S �C ���7boAl,,V Phone:
Address:
CONTRACTOR Name ? Phone: 1? 7f-' 42,
Address: a(�1 _5-7Z- f1c c.,J yt-&r' c
Supervisor's Construction License: 0 f6- D,�cc) Exp. Date: a
4
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER /� 1 ssoc- Phone:
Address: / 9- i�& . K 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: $ �?,/�1�0 FEE: $
Check No.: Receipt No.:
NOTE: Persons contracti it regist ed contractors do not have access to the guaranty fund
Signature of Agent/Own Signature of contractor
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
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
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
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
Located at 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site Yes no
Located at 124 Main Street
` Fire-Department signature/date
I'1,119107
COMMENTS
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)
❑ Notified for pickup - Date
Doc.Building Permit Revised 2007
i
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
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
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
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
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
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
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:BPFORM07
Revised 2.2007
Location &
No. Date
NORTh TOWN OF NORTH ANDOVER
9
Certificate of Occupancy $ /a b
��s'•^°';<� Building/Frame Permit Fee $
AGMUS
Foundation Permit Fee $
Other Permit Fee $
TOTAL
Check #
2 0 D 1
/Building Inspector
1
m t�
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 440(12/19/OZ) Date: February 29. 2008
THIS CERTIFIES THAT
THE BUILDING LOCATED ON Ozzy_Propea LLC-F H Cann Call Center
MAY BE OCCUPIED AS Tenant Fit up IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS TATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: Ozzv Property
1600 Osgood St
North Andover MA 01845
Building Inspector
�v
tAORTW.,_
Town of RAndovet
i 0-
No. 4 AltO
dover, Mass.,—/
C OC MIC KEWICK
AD'QATED
S BOARD OF
PERMIT T D Food/Kitchen
Septic System
//C BUILDING INSPEL COR
THIS CERTIFIES THAT ,.,. ....(..................
........................�.... ��............. ... ................................. ............................................. Foundation
has permission to erect... ............. buildings on q L--
g �� v... ��t?c� ... ......... Route °_ f
to be occupied as..........�f�f':`� .....7.5��,dry....... .. n��Y....�.` . �... �,� .... Chi ey
�..e
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in in 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. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit.
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIO STARTS LlTough fjc- /?
Qernce
BUILDIN SPECTOR
final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
r
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
No Lathing or Dry Wall To Be DoneFi FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
x
Street No.
SEE REVERSE SIDE Smoke Det.
TOWN OF NORTH ANDOVER
Final Design Affidavit
Project Number: 0710129 (Architect's Job Number)
Project Title: FH CANN CALL CENTER
Project Location: 1600 Osgood St. North Andover, MA— Building 20 North Hallway Second Floor
Name of Building: Osgood Landing
Nature of Project: Tenant Fit-up for FH Cann Offices and call center
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 D..,fessienal Engineer/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.
g.�E 0 AgCy,T
Signature and Stamp (no facsimile) mak, ��aRYP.s�i F�,d
o NORTH ANDOVER, V'
�o ASA.
OF M
SUBSCRIBED AND SWORN TO BEFORE ME THIS PPIT' DAY OF 008
m r,&k MY COMMISSION EXPIRES 3 I c) ,
NOTARY PUBLIC
LINDA VANI)Iwiyjo
Nth Public-Rijn
' ►rs�c�r���h'�+',ttGh rtWr�t7�$�
I
NORTH
Town of
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w:. ti.: .
No. ill y10 ~ -
�` o �` dover, Mass.,,
LACOCKICMEWICK
7,q ADRATED PPa\y��
`S BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
,,�� BUILDING INSPECTOR
THIS CERTIFIES THAT ... ���'/'�'.... ,. C.:.
...................... ... ��........... ................................. ............................................. Foundation
has permission to erect....... on ../ ....... ............. Rough
�f/tP�ly �` SSG F � C rf L b l �'�✓'74 Chimney
tobe occupied as........................ ...... ........ ........................................................ ............. .....
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
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIO STARTS
Rough
Service
BUILI5 SPECTOR
Final
Occupancy Permit Required to Occ ipy 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 SIRLJ Smoke Det.