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HomeMy WebLinkAboutMiscellaneous - 1060 OSGOOD STREET 4/30/2018 (24) - � o�� d� � - �P�� ` . _. � � �,� 5 ., �a � ��� �, .� �� � �� y � 5 � � � �� -C) Ir O 5 b Location o"`'' ti� v � No. Date l� M • • TOWN OF NORTH ANDOVER • , i" Certificate of Occupancy $ Building/Frame Permit Fee $3o — Foundation 3o "Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check Building Inspector a - y Commonwealth of Massachusetts Date Sheet Metal Permit / Permit : / 7 Estimated Job Cost: 54 Permit Fee: $ Plans Submitted: YES 1,�NO Plans Reviewed: YES NO Business License# Applicant License# J i 17Y 7 Business Information: Property Owner/Job Location/Information: Name: c, Name: Street: qa /t Street: )Q G 2 & City/Town: ,�G City/Town: N Atl.�ay6i Telephone: C/ 77- Z. Q��(—_ Telephone: `� �,P 7 7 Z I T Photo I.D. required/Copy of Photo I.D. attached: YES ;/"/ NO " Building Type: Residential: 1-2 family Multi-family Condo/Townhouses Commercial: Office Retail V,- Industrial Educational Institutional Building Cubic Footage: under 35,000 cu. ft. Ix over 35,000 cu. ft. Sheet metal work to be completed: New Work: Renovation: Gi HVAC Metal Roofing Kitchen-Exhaust System Chimney/Vents Provide brief description of work to be done: S50 rlv- k �Ct/` �� t'�G3/ CGU O� i ( r U , !✓ U! G1 i d INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes No❑ If you have checked Yes,indicate the t e of coverage by checking the appropriate box below: A liability insurance policy - Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:l am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent Signature of Owner or Owner's Agent By checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. FroLyress Inspections Date Comments Final Inspection Date Comments Type of License: By aster Title ❑ Master-Restricted 1-ity/Town " ❑Journeyperson Signature of Licensee 'ermit# / =ee$ ❑Journeyperson-Restricted License Number: Check at www.mass.elovldpl nspector Signature of Permit Approval �t< V .j Sheet Metal.Commercial Guidelines/Life Safety/Critical Systems Inspection Checklist Yes No NIA, Set of stamped engineering documents and detailed description of mechanical system to be installed has been provided All performing erforming sheet metal work onsite has valid Massachusetts sheet metal . license li All sheetmetal work being performed with proper journeyperson-to-apprentice ratios Y Fire dampers with access door properly installed and checked for operation . . (/ Smoke and combination fire/smoke dampers with access doors properly installed- actuator checked for proper operation(May also be verified by fire department during / fire alarm testing) l/ Duct smoke detectors with access doors properly located (May also be verified by fire department during fire alarm testing) 1/ Smoke/atrium exhaust systems installed and operation verified (May also be verified by fire department during fare alarm testing) v Stair pressurization systems installed(where required)and operation verified(May also be verified by fire department during fire alarm testing) z/ Grease/kitchen hood exhaust system installed with all seams and connections welded airtight with properly located cleanouts. Proper cledj`anoes,fire rated enclosures and pressure testing required: 1/: SFs ,��-=�s?�.�inf installr� =rli� required'on.equipment and d?=_:: . -,: Duet penetrations in* fi e' 4iU �asl:�and floors sealed ~ ,/Metal roofing systems installed watertight using proper materials and fasteners Flexible duct runs installed 6'-0"maximum length Ductwork installed using proper hanger spacing,hanger stock,threaded rod and angle iron Ductwork I plenum connections sealed substantially airtight G� Ductwork insulated by means of external covering or internal lining Volume dampers installed for each supply air branch duct Zxowlcican--properly sized filters installed(final inspection) ZTesting and Balancing report complete(final sign-oft) Sheet Metal Residential Guidelines/Inspection Cheeldist Yes leo N/A !/ Detailed description and sketch of sheet metal system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts / sheet metal license 1/ All sheet metalwork being performed with proper journeyperson-to- apprentice ratios Equipment sized per heating/cooling load calculations Duct work sized per manual"D"calculations Bath/shower rooms contain mechanical exhaust fan vented outdoors y Electric dryerex-exhaust roperI installed maximum total run 35 -0" maximulu flexible run 8'-0" t/FIexible duct runs installed 14'--0"maximum length —L/Volume dampers installed for each supply air branch duct Ductwork installed usinan au er ro es d hangers / g p p gauges l/ Ductwork/plenum connections sealed substantially airtight Ductwork insulated ed by means of external covering or internal lining New/clean-properly sized filter installed(final inspection) G/ Testing and Balancing report complete(final sign-off) Q _COMMONWE,gLTH yOF MASSACHUSETTS • • , � SHEET METAL�NORKERS ISSUES THE FOLLOWING LICENSE MASTER-UNRESTRICTED I¢ w KEVIN P RAYMOND as .f Z PILGRIM RD - iz LAWRENCE,MA 01843 3713 ., / ;u ' , Fw !W 11787 10128/2018 169427 t} NORTy BUILDING PERMIT OF�zt_eo ,6'�•� (o TOWN OF NORTH ANDOVER o »_ - E_ . T APPLICATION FOR PLAN EXAMINATION `' °o Permit No#: �D — t� I Date Received (a2- '7 - 2-01(o ��Q°R�rEo tee¢' s �SSAC Fit1s�� Date Issued: IMPORTANT Applicant must complete all items on this page - .}�,i t +>r'- -.... .�,.,,s ,�- e.e ti - t• Y'7 t^Tq.�`Y�.r+.".1'".`", t, r r �•� ... :.,r,.�...-t.... . _ ,LOCATI }+Nie -_ • 4 I ,PROFERT,Y=®WNER w � ..� r�^----T s�-i�-•n-..- r Pnnts 1DD,YeartiStructure A yes, no MAP' x . �� PARCEL ZONING DISTR1CTx `His#onc"®istriet t 'F ye no ` r + Mach�ne Shop Village = yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family 0 Addition 0 Two or more family 0 Industrial 0 Alteration No. of units: 0 Commercial ❑ Repair, replacement 0 Assessory Bldg ❑ Others: 0 Demolition ❑ Other 0 Septic q Well ' ❑ Floodplain Wetlands' Watershed D► Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ I YPE'OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools El Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ I i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ )Z N �A' I! COMMENTS P�l i CONSERVATION Reviewed on Signature i COMMENTS HEALTH Reviewed on Siqnature y COMMENTS e 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT' - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS limension 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 ®ANGER 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 Call Email ate Time Contact Name Doc.Bnilding Permit Revised 2014 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/Cross Section/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 o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy o CContr act o Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products DOTE: 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 Doe:Building Permit Revised 2014 Location { 060 © Sy a_ No. -& f7 ;�o, 7 Date 7 - ao/(. • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ ' TOTAL $_�. Check#G� J XZ_ 40�1 Building Inspector t%ORTH own Of 2 L ndover . No. h ver, Mass, /e'i • 7• a 0� cOCNIc MIWICM y�• �f.9s 0ATED U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ......�. fr.Ad.....#0Q�......... .....k....b&.VI.O.......S.OfftC.( BUILDING INSPECTOR has permission to erect .... buildings on .....�.�.�..�........10 �.D.Q. 10.......... Foundation ...................... .... dd Rough tobe occupied as ......1..�.... ..........1A... ........... .. ................................................... chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 CONSTRUCT S ARTS Rough Service ...... ..... ........../ .................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. NORT�y own of 2 �.. : ndover a h ver, Mass _ /e1 • 7' 0� COMIC Kl WICK �1. x.95 RATED PP���y U BOARD OF HEALTH Food/Kitchen PERMIT ' T LD Septic System THIS CERTIFIES THAT ....... 1.fr.AVS.....NOW......... .....k....46.0I.0.......5 AOR C.t BUILDING INSPECTOR has permission to erect i �,�„�, 046-04 ..�.......... Foundation p .......................... buildings on ..... .. ...... 1A .x..........�I 5.1..� Rough to be occupied as ...... .. ..... .. ..... ........... ...... ..................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 CONSTRUC S ARTS Rough Service ...... ..... .A. Ar................................... Final BUILDING INSPECTOR GAS INSPECTOR I Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fina' No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. i pORTh O�S(410 fs ~0 6 O � I ti p TOWN OF NORTH ANDOVER `«TED * SIGN PERMIT rio �SSACH�1`��� DATE: December 8, 2016 PERMIT: 014-2017 THIS CERTIFIES THAT Dr. David Samuels has permission to erect a sign on 1060 Osgood Street — 11x120 Wall Sign— "Passion Nails & Spa" provide that the person accepting this Permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover. Violation of the Zoning of Sign Regulations, Section #6, Voids this Permit. i INTERNALLY ILLUMINATED SIGNS ARE PROHIBITED Inspector of Buildings Amount Paid:$30.00 f Check 2525 Receipt 431306 h Main Building Front Sign OPTION 1 Qty: (1 ) Single-Sided 11 "x120" Carved & Painted 1 .5" Sign Foam (Colors are Dark Green & Ivory - 1 Shot Paint) n I T LS & SPA PASSION NAI 1 F D Y`Mt,�- PASSION NAILS 1 r� a RV _ f �i PC,a v ar at T � �•, nbi�f}.��i 1 xy$��'4 a.°.i`s�t 'a'.- c'a.^ �'lg �.f t�ry(� Q ,�({� orc y- 'yfA�,• E`EA�M'oSCn F'�tNt �W Y6�i. IQ RAS J.D.E4 FM v i SIGN PERMIT APPLICATION 1600 Osgood Street—Building 20, Suite 2035 TOWN OF NORTH ANDOVER Map Parcel DATE SUBMITTED J . David Samuels Charles Raz, Signs N w 603 635-2292 Site Owner Applicant Tel 1060 Osgood 11" by 120" S' Size of Proposed S Site Address p � How attached: a)Against the wallX INFERNALLY MLUAMI-TATER SIGN PROHIBITED b)Roof Illumination: a)Not illuminated c) Ground b)Externally illuminated d) Other j Materials: HDU -Sign Board and vinyl to match Proposed Colors: Background Dark Green existing signs and colors . Lettering Gold Border Gold Required Attachments: Photographs of building Note: No perman.ent/temporary sign shall be erected, or enlarged until an. Material sample application on the appropriate form f anaished by the Sign Office has been Color sample filed with the Sign Officer containing such information including Site or Plot Plan(R.equixed for all free-standing signs) photographs,plans and scale drawings, as he may require, and a permit Drawings of proposed sign . for such erection, alteration., or enlargement has been issued by him. Other, specify Such permit shall be issued only of the Sign Officer determines that the sign complies or will comply with all applicable provisions of the By- Law. Will sign overhang any public road or walkway Yes ( ) No If Yes,Name of Agency who will provide liability insurance: AN INCOMPLETE APPLICATION WILL NOT BE ACCEPTED DATE FILED: f SIGNATURE OF APPLI k CIX •'ne Commonwealth of Massaehusetts Department of IndustrialAceldents I Congress,Street,,Suite 100 �poston02Y14 2017 _ ....,F .f? ,lYll'��A.1 �< www mass.gov/dia l02M Syt ti� VVa�kers' Compensationlusux'ancd Affidavit:Builders/Contractors/Electxiciaus/l'lnmbers, TO BE FILED MIM TEE j:,Mma I'LNG A6 'ORTt1- ..Please Paint Le dbXl A 'licant Tuformation Name(Busmessiorgariizationllndividu l): Address- city/state/zip- Phona 4- Axe you an employer�Checktieappropriate box: Type of prof ect(xxeF quit_ed_) : em to ees full and/or parttime,).* 7. ❑NeOT'COT1SirLicfloTl l.[]I am aemployerwith P Y ( or artnership andhaveno employees Working forme in 8. F]Remodeling 2_❑Iam.asole proprietor P any capacity.[Noworkers'comp.insurance required] 9, C1 Demolition 3.0 lam a homeowner doing all work myself(No workers'comp.insurance required.]� 10E]Building addition. 4.F]I am a homeowner and will be hiring contractors to conduct all work on my property. I will 11.❑Electrical repairs or additions ensure that all contractbrs either have workers'compensation insurance or are sole 12QPlumbing repairs or additions proprietors with no t pibyees. 5.❑I am a general contractor and shave hired the sub-contractors listed on the attached sheet. 11 Ro6f r4airS These sub-contractors have employees and have workers'comp.insurance O 14.0 Other 6.❑vie are a corporation and its,offices have exercised their right of exemption per MGL c. LJ 152,§l(4),and Wa have no Tmpldyees.[No workers'comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information Homeowners who submitI.this affidavit indicating they are doing all work and hire outside contractors must submit a new affidavit indicating h such TContractors that check this box must attached'an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must pro:Qide their workers'comp.policy number. I am an employer that is pr'ovidingwor kers'compensation insurancefor my employees. Below is the policy and)ob site information. Insurance Company Name: Expiration Date^ Policy#or Self-ins.Lic.#:. City/State/Zip: . lob Site Address: Attach a copy of the workers' compensation policy declaration page(shownag the policy number and expixatzon date . Failure to secure coverage as requited under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties be forwarded to the Office o0£InvRK Og of the DTA fox insuxan 0 a day against the violator.A copy of this stater y coverage verification. I v hereby certify antler tlzepains andpenalties ofperjury that the information provided move is true and correct: Date: Si ature: Phone#: official use only. Do not-Nprite in this area,to he completed by city OF town offzcial. City or Town- Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk d•.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#: Contact Person: Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written.,, An employer is'defined as"an individual;partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receivdFor tt astde of an individual,partnership,association or other legal entity,employing employees.-However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because ofsuch employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage xequixed." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub=contractor(s)name(s),address(es)and phone number(s)along with their cerdRcate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retained to the city or town that the application for the permit or license is being requested,not the Department of Industrial-Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation,policy,please call the Department at the number listed below. Self-insured companies should enter their self✓insurauce license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy Information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town-may be provided to the applicant as proof that a valid affidavit is on file for fixture permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston„MA 02114-2017 Tel. # 617-727-4900 ext.7406 or 1-877-MA.SSAFE Fax# 617-727-7749 Revised 02-23-15 wwwmass.gov/dia