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Home My WebLink AboutBuilding Permit #99 - Exception 8/9/2006Permit NO: I � 4 Date Issued: 7fq�! TOWA=Q1fR%OVER APPLICATION FOR PLAN EXAMINATION Date Received— aalwolae� I IMPORTANT: Applicant must complete all items on this Daize I LOCA PROPERTY 116;� J-0 09J11M PARCEL: TYPE AND USE OF RITH,DING ZONING DISTRICT: MqTn-RIC nlqT-RICT V1PQ r-1 TYPE OF IN4PROVEMENT PROPOSED USE Residential Non- Residential E New Building El Addition L�,�teration [] One family 11 Two or more family No. of units: 0 Industrial El Repair, replacement 11 Demolition 11 Assessory Bldg 0 Commercial 0 Movin (relocation) 1 0 Other 0 Others: 11 Foundation only I I ljh�)Uxlr I 1UN UP W ulu�- I U Lit PKhl"UKMI�D 71 - Identification Please Type or Print Clearly) OWNER: Name: 14,01eco (9 C/,- ac Phone: 7 Address: e:D 0C e— Phone: /> CONTRACTOR Name: ag zl�� 9f 5; z Address: 61 i� ea:� �-, g2 g---- 5 c--; re e Supervisor's Construction License: io —Exp. Date: xo /09: 2Vt 2 e - -e - - Home Improvement License: Exp. Date: ARCHITECT/ENGINEER 6'�t yffa Phone: - 4 Address: Y 9' -z- 40 A�4a�Ageg. No. FEE SCHEDULE: BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost :$ IQ ZZ�0 xl2.00=FEE:$ , ,- "! 1) 3L Check No.: Receipt No.: Page I of 4 TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art Swimming Pools Public Sewer F1 Well n Tobacco Sales Food Packaging/Sales 11 Ll Permanent Dumpster on Site Private (septic tank, etc. Electric Meter location to proj ect NOTE: Persons contractin i pregistered contractors do not have access to the guarantyfund Signature of Agent/Own, Signature of contracto �2� Plans Submitted ��s aived El Certified Plot Plan El Stamped Plans El THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Water & Sewer DATE REJECTED R F1 E]Water Shed Special Permit El Site Plan Special Permit El Other DATE APPROVED DATE REJECTED DATE APPROVED F1 11 DATE REJECTED 11 Comments F01 DATE APPROVED Temp Dumpster on site yes—no— Fire Department signature/date k� Z'Z� Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total land area, sq. ft.: Total square feet of floor area, based on Exterior dimensions. 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 L3 Copy of Contract j 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 Li 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 Doe: INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Pape, 4 ol'4 Location No. Date Gof 40*Th TOWN OF NORTH ANDOVER .1 �e. 4L Certificate of Occupancy $ MU Building/Frame Permit Fee $ TI/1�2? Foundation Permit Fee $ IP Other Permit Fee $ TOTAL $ Check # L Buil in nspec 5r--'- TOWN OF NORTH ANDOVER Construction Control Affidavit Project Number: 0605037 Project Title: Access Telemarket Office Project – North Hallway Building 20 Project Location: 1600 Osgood Street, Building 20, 2 nd Floor Name of Building: Osgood Landing Nature of Project: . Renovation & Construction of New Offices 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 Prefessienal Eng#eef/Architect, HEREBY CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project . Architectural –X)=— Structural Fire Protection Electrical Other (specify) Mechanical 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 CONSTRUC71ON 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, 1 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 AND READIP&SEH�FAZHE PROJECT FOR OCCUPANCY. xca DA Signature and Stamp (no facsimile) Ry P. No. W88 N0M ANDOVER, MA. - I '*- DAY OF MY COMMISSION 2006 DOWGIERT CONSTRUCTION CO. INC. 616 ESSEX STREET LAWRENCE, MA 01840 978 685-0306 fax 978 685-1290 CONTRACT f% 6 U0 WINFUR --------- I Date 6/7/2006 Job Loc -A—ccess Telemarket Job Name Name 1600 Osgood St. LLC Ozzy Property mgmt Address 1600 Osgood St city North andover State ma ZIP Phone Qty Description Unit Price TOTAL Supply necessary material and labor including necessary permits and build out approximately 1,000 sq ft. as per preliminary plan by GSD. Price includes building of walls as per lay out, installation of electrical service, including electrical 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 windows as per plan. 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. Existing flooring to remain as is. Any patching or replacing of flooring to be done by others. Install cove base. TOTAL CONTRACT PRICE $30,140.00 *Price based on preliminary drawings and is subject to change based on final engineering plans. SubTotal $0.00 Price does not include arcitectural or engineering Shipping & Handling - costs, data, telephone wiring, equipment or furniture installation C'e --t — r-- TOTAL $30,140.00 Office Use Only DePdrftent of Indus&WAeddents Offin Of Imes4w*ns 600 WilshhWon &red Bosroo4 M4 02111 wwMaUSOVIAW Workers' Compensadon Insurance AMdavit: BufldemContractorsMedlidam/plummbers Name (Busi=worP&zstiavbdM&a4:, Address: ]Phone Are X" employer? Cbe& the appropriate box: I. ETI ED a uV16yer wilb - -�5- 4. 0 1 am a general contracw and I "Vloyeti (fan and/or part-flme).* have hired dw 2. [] I am a sole proprietor or partner- listed on dw attached sdbeet ship and have no cniployces, These sub-wntractors have working for me in any capacity. WO*M 9 CMV- , [No wo*ers' conW. 5. 0 We we a corporation and i1B requinfl officers have exacised their 3. 0 1 am a homeowner doing all work Tight Of exCIMPtion per MGL iMself [No worken'cozop. c. 152, #1 (41 and we have no insurance repired-1 t MV10yees. 040 W0*M, cMV- iwarance rapdred.] Type of Project (requirem: 6. New consMxtion 7. Remodeftg S. De=Ndm 9. 0 Building addition 10.0 Electrical np*s or additions I LC] Plun6iqg rqairs; or additions 12.0 Roonvairs 13.[] Odw 4—MM U"UW --wmg MW wwow cosqPeffindoe policy hdW=djM- t Honnownen imft� &BY SM do* 82 West Md SM him -Oft.. �Contsclon dM check dn ban naW A&" w &Mdond shoot dxnving dw =M fft submanam Md dm� W Vlof am, =UVL Policy infonnotim I am an enydaper 44M b provMhW wedlers I coxWensadox bjsuymcefvr sly exVjoyem Bdow is dwp&Vq eadjob ifts lwwzncc Conpany Policy # or Self -in. Lic. Job Site E*rAdw Date:--- 'Lo A Attacb a copy of the workera' conipeaudois polley dedarsdon Par (diowing the poney Mun*er md uWation dote). Fa&n to secare coverage a r" under Secdon 25A of MGL c. 1-52 can lad In the imposMon of criminal penW[ties of a fine up to S 1,500.00 and /or one-yearbig rig Li noi, -M, U well U civil Penalties in the ftm of a STOP WORK ORDER amd of up to $250. W a day against 1he violator. Be advised Out a copy of this sbtcnx= nmy be fiwwarded ID the Office of a fine Investigations of the DIA fbr hmumce coverage vqrificadm I do hereby cen* sinder Mepdw sapene&AM sfpedupy " &eX --------- I � W� propikd abow is vw md cwrwct Nov 08 05 09:30a FROM : FOBERTS I NSURP44CE FAX NO. :978SM147 ACORD - CERTIFICATE OF UABILITY INSUF pi�— macm H.P. Romams me. acmi=, nw. 0"LV M "Ouat 1060 ossom 9TIUM ALYM TF HORTR AHDOV=, NA 01945 6038900192 P.1 Nov. 08 28W 10-44AM Pl--1 Wksm I aftwommWWO I mr—u-se - 073 WBURERS AFFORDWO WSURW DONG32R? 0 CMWAW INC. 17S WWy AVZ waurmt C: SkTJW, = 030`19 vmamw. Tm AW VAY OF MSAWCE USTW BELOW—HAVE )THGr=REDWUWA90WF0 OTM DOCUMOff WTH RESM UM W-FdW 18 SMECT TO ALL RMV A3 A MATTER OF 0WORMAr 90 IMS UPON THE CNUW mm DOES wr AFFORDW By 4!*= V9pAas Hmcs OZZY PROMMES, LLC. IFMIDAW nascmampautme BE cmetai" WiWam Tm OPMATON a DUNDRE PARK m"Elmmor- 7w &Mmc OMMER VWLL eq*"myc SARK 2_0 DAVSVA:U..XM ANDOVER NA 01810 NOT= T0TMCfXr*VATEWQUXMMXW V07M uWr. wiTrAW&w jouoso wmLL WWE NO OKMATM Oft UAWLM OF AW XM UKW ME *ASMM ITS AOEW& OR ACOR025(200ilb�) G"mr,ft LVALPY POUCYNSUMMR EACH OCCURRe"m 1,000,000 D CAMUME O=UR A-7-55— Ono 3CP36146 10/26/05 10/26/06 uwvwuww p"" PL%otm4AGVftUW 6 1, 099 LOQO.: GBOGM ArAMMAW x 2-000-000 QWL AGGRWATE UWT APPUM FM PPMMTS-CONPAWMG 5 1-000,000 Poury M m F1 AWAUTO GuAmmanst"CLEUM 2 ALOWWDAUMB SMDVLM AMOS BMLYVUURY 3 (P -P Namxwewros 909CYNAMY PRWIEFUV LAXLBY A=0*LV-lrAA=fXNT # RAWftffo *FW MW EAA= S -A AUMONLY. � AM 6 0=66KNAHMAA UAOWW �Emx ocmavuwm OCCM 00AWMAW AGftE VIE ERWLOYEW tUOUTY AW ECwnwE DONC600549 10/26/05 10/26/06 D ORWAWW� alCU9=1 twow EL =EASE - EA r!.LMEM voucvumrr 300,000 -JMX-, GOa-1120-0192 flwmv=w-&� I OZZY PROMMES, LLC. IFMIDAW nascmampautme BE cmetai" WiWam Tm OPMATON a DUNDRE PARK m"Elmmor- 7w &Mmc OMMER VWLL eq*"myc SARK 2_0 DAVSVA:U..XM ANDOVER NA 01810 NOT= T0TMCfXr*VATEWQUXMMXW V07M uWr. wiTrAW&w jouoso wmLL WWE NO OKMATM Oft UAWLM OF AW XM UKW ME *ASMM ITS AOEW& OR ACOR025(200ilb�) The Commonwealth of Massachusetts Department of Fire Servic es Office of the State Fire Marshal P. 0. Box 1025 State Road, Stow, MA 01775 PERMIT Date: 'F 0 North Andover Permit No Dig Safe Number (City of Town) If Applicable) In accordance with the provisions of M.G.L.1 4 8 Chapter_J-0-as provided in section 5_2-7--GMR 34 Start Date This Permit is granted to: Full name of person, Firm or Corporatton Permissionto locate dumpster for construct ion/ renovation/ demolition of building Comments: dumpster must be 25' from structure if unable to I)lace with required Restrictions: clearance dumoster must be covered with plywood or tarp end of work day at CX '-s xz' - Id Give location by street and no., or describe in such manner as to provied adequate identification of location FeePaids 50-00 "/,&" I,,-- X'-�'k-' Fire Chief This Permit will expire Signature of offical granting permit ) Offical granting permit (Tide) OMMM00- TWlq Pl=PKAIT Ul 1.qT Ri= r-nm.-,Piri int vqi v PrvqTi=n i iprw TWI= PP9=Mlql=.q 4� owil. REGULA RD OF BUILDING BON CONsTP'UC*TioI',4. SjjpER\(jS0R. 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