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Miscellaneous - 1600 OSGOOD STREET 4/30/2018 (49)
J 1600 Osgood Street- Ozzy Prop ` No,viOWN Bldg 30 lameo Sysieffis lu Lit - Heating &Cooling Contractors Commercial•Residential•www.lamcosystems.com RICHARD HARTSON i President rickh@lamcosystems.com Earth Friendly Energy NOW a KNOW 6 0 Date.. . .. . .. ... ..� HpRTti TOWN OF NORTH ANDOVER pf t,�ao ,s,h0 p� �` < pm PERMIT FOR MECHANICAL INSTALLATION + s s is +► 9 �,SSACHUSEt< This certifies that . . fes/ !a./n G t-� . .r/ ��. . . . has permission for mechanical installation . ..�A).4. . . . e. . . in the buildings of ro' -. . .3o.".2... . . . . . . . . . . . . . at/. (). . tJ ` r . . . .. . . . . . . , North Andover, Mass. Fee. . . Lic. No.. jr1 ,�. . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Commonwealth of Massachusetts Sheet Metal Permit Date:1G—>Z Permit# Estimated Job Cost: $ e0da Permit Fee: $ ,( Plans Submitted: YES NO Plans Reviewed: YES NO Business License# .3 f oZ Applicant License# Business Information: Property Owner/Job Location Information: Name:_1- c eo Name: Street: LsW,j,141 S IV Street: 11,A0 v City/Town: U/I,ICity/Town: �GL �� Telephone: e93 Yg — Telephone: Photo I.D.required/Copy of Photo I.D. attached: YES NO Staff Initial J-1 unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other /Number Square Footage: under 10,000 sq.ft. over J0,000 sq.ft. of Stories: � Sheet metal work to be completed: New Work: ✓ Renovation: ✓ HVAC Metal Watershed Roofing Kitchen Exhaust System ` Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: sass lAgFe rii ovf � INSURANCE COVERAGE: I have a current liabilityinsurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 YesZN ❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy W/ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I 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. Duct inspection required prior to insulation installation:YES NO Progress Inspections Date Comments M Final Inspection Date Comments Type of License: By Master Title ❑Master-Restricted C Cityrrown ❑Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted License Number: - Fee$ El Check at www.mass.gov/dpl Inspector Signature of Permit Approval I i u I COMMONWEALTH OF MASSACHUSETTS i ,_�'' ,„.��c� ►rix ,:..-. w SHEET METAL WORKERS AS A MASTER-UNRESTRICTED, ISSUES THE ABOVE LICENSE TO: } RICHARD E HARTSON ` LAMCO SYSTEMS INC 14 CUMMINGS RD , TYNGSBORO MA 01879=1406 ` ; 934897 4015 09/28/12 1 The Commonivealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street h Boston, ,VA 02111 www.tnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name(Business/Organization/Individual): �L-G(,mco Address: Lt C.A m m i t) F-eo City/State/Zip: Oii IJ Phone #: Are you an employer?Check the appropriate box: 4. I am a eneral contractor and I Type of project(required): 1. I am a employer with. ❑ g employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' o workers' co co insurance.x 9. ❑Building addition [N comp.insurance mP• required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.[3 Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL insurance required.]t c. 152,.§1(4),and we have no 12.❑Roof repairs employees. [No workers' 13.[1 Other comp. insurance required:) "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating 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 employees. If the sub-contractors have employees,they must provide their workers'comp.policy olic number. have I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: (�A Ani of 3e idev-)(-c. a-(tti 42, Policy#or Self-ins. Lic. #: to d Loadwo Expiration Date: 3 1 Q Job Site Address: (o0O 0S ocr,/ 4. 614 �3o' 22 City/State/Zip._ 41o,Andp, m A ^ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to th Investi ations of the DIA for insurance coverage verification, y e Office of I do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct. Si i z nature: Z Phone#: -N '4o Y y - 3!�V EOther only. Do not write i�r this area,to be completed by city or town ojfcia[ n: Permit/License# hority(circle one): Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 7Plumbingor son: Phone#: WM WORKERS' COMPENION AND EMPLOYERSa SATLIABILITY`INSUxAKAR N�CEOLICY Information Page VUC o0 UU 01n Independence Casualty Insurance Company NCCI Co. No.:36835 Policy Number: WC100096901 1. INSURED: Prior Policy Number: WC100096900 Lamco Systems, Inc. Producer: 4 Cummings Road The Rowley Agency, Inc. Tyngsboro, MA 01879 Federal ID Number:042437642 PO Box 511 Risk ID Number: Concord, NH 03302 Business Type: Corporation SIC:999999 NONCLASSIFIABLE ESTABLISHMENTS Other Named Insured: Other Work Places: 2. POLICY PERIOD: The Policy Period Is From: 4/1/2012 To 4/1/2013 12:01 A.M. Standard Time at The Insured Mailing Address 3. COVERAGES: A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states liste here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000 each employee C. Other States Insured: Part Three of the policy applies to the states, if any, listed here: All states except Monopolistic State Fund States D. This policy includes these endorsements and schedules: See WCE105 4. COVERAGES: The premium for this policy will be determined by our Manual of Rules, Classifications, Rates& Rating Plans. All information required below is subject to verification and change by audit. Code Premium Basis Total Rate Per Estimated Classifications No 'Estimated Annual $100 of Annual Remuneration Remuneration Premium Y' See WC 00 00 01 Minimum Premium: Deposit Premium: $550 $6,488 Interim Adjustment: Annually Servicing Office: Total Estimated Premium $24,980 25 New Chardon Street Surcharge(s) . 7,575 Boston, MA 02114-4721 Total Premium Ind Surcharge(s) $32,555 Issue Date 04/04/2012 Countersigned By: Date Copyright 1987 National Council on Compensation Insurance Form:900m �a RECEIVE6 NOV I 0 2009 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT November 5,2009 NOTIFICATION OF ASBESTOS ABATEMENT ATTENTION: North Andover Health Department 1600 Osgood Street,Bldg 20; suite 2-36 North Andover, MA 01845 Northeast Remediation will be conducting an asbestos abatement project at the following location. Please note the site and dates listed below,with the latter being subject to changes. Do not hesitate to contact our office for more detailed scheduling information at 617-389-9188. BUILDING LOCATION: Osgood Landing 1600 Osgood Street North Andover,MA 01845 Bldg. 30 Lower Level START DATE: 11/19/09 END DATE: 11/25/2009 Asbestos signs will be clearly posted in all areas where work is being conducted. Please take the necessary precautions in the event you are required to enter the building during an emergency. If you have further questions with respect to this abatement project,please do not hesitate to contact our office at any time at(617) 389-9188. Thank you very much for your attention regarding this matter. Very truly yours, NORTHEAST R EMED-1ATION W04&t&b Wendy Carias Projects Coordinator Corporate Headquarters New England Office 462 Getty Avenue 25 Storey Avenue#256 Clifton,NJ 07011 Newburyport,MA 01950 Tel.617-389-9188 Fax 617-389-9198 Commonwealth of Massachusetts 100097397 Asbestos Notification Form ANF-001 Decal Number Important: When filling out A. Asbestos Abatement Description forms on the computer,use 1. a. Is this facility fee exempt-city, town, district, municipal housing authority,owner-occupied only the tab key residence of four units or less?❑Yes ❑✓ No to move your cursor-do not b. Provide blanket decal number if applicable: use the return Blanket Decal Number key. 2. Facility Location: OSGOOD LANDING 1600 OSGOOD STREET a.Name of Facility b.Street Address _ NORTH ANDOVER —� MA 01845 J I c.City/Town d.State e.Zip Code f.Telephone Number INSTRUCTIONS 3. Worksite Location: 1.All sections of this BUILDING 30-LOWER 1 LEVEL form must be a.Building Name/Building Location b.Building# c.Wing d.Floor e.Room completed in order to comply with 4. Is the facility occupied? ❑Yes ❑✓ No DEP notification requirements of 310 CMR 7.15 5. Asbestos Contractor: and the Division of Occupational NORTHEAST REMEDIATION 25 STOREY AVE Safety(DOS) a.Name b.Address notification NEWBURYPORT 01950 6173899188 requirements of 453 CMR 6.12 c.Cit /Town d.Zip Code e.Telephone Number AC000392 f.DOS License Number g. Contract Type: [✓, Written ❑Verbal ELLEN KELLER I JOZZY PROPERTIES REP. h.Facility Contact Person I.Contact Person's Title 6' LUIS H CARCAMO ASO40970 a.Name of On-Site Supervisor/Foreman b.Supervisor/Foreman DOS Certification Number 7' SMITH &WESSEL ASSOCIATES, INC. I IAA000161 a.Name of Project Monitor b.Project Monitor DOS Certification Number $ YEE CONSULTING GROUP AA000145 a.Name of Asbestos Analytical Lab b.Asbestos Analytical Lab DOS Certification-Number 0 9. 11/19/2009 11/25/2009 a.Project Start Date mm/dd/ t , ( yY_yY�_ � b.Fwd Date mm/ddl 0 7AM-3PM N/A N c.Work hours Mon-Fri. d.Work hours Sat-Sun. �o 10. a. What type of project is this? -�O ❑ Demolition ❑ Renovation ❑ Repair ❑ Other, please specify: b.Describe 11. a. Check abatement procedures: o ❑Glove bag F1 Encapsulation o ❑Enclosure ❑ Disposal only �LL ❑ Cleanup ❑ Other, specify: �-z ❑✓ Full containment b.Describe Q 12. Is the job being conducted: 0 Indoors? ❑Outdoors? anf001 ap.doc•10/02 Asbestos Notification Form•Page 1 of 3 �— Commonwealth of Massachusetts M -` _ 100097397 —1 Asbestos Notification Form ANF-001 Decal Number A. Asbestos Abatement Description (cont.) 13. Total amount of each type of Asbestos Containing Materials(ACM)to be removed, enclosed, or encs sulated: 0 1 15400 a.Total pipes or ducts linear ) D. I olaTotFier su aces square c.Boiler,breaching,duct,tank d.Insulating cement surface coatings Lin.ft. Sq.ft. Lin Sgl__I e.Corrugated or layered paper I � f.Trowel/Sprayer g pipe insulation Lin.ft. Sq.ft. coatings L inin•ft. Sq ft. g.Spray-on fireproofing h.Transite board,wall board L�J Lin.ft. Sq.ft. Lin.ft. L Cloths,woven fabrics Lin.ft. SSLin.ft. Sq. S ft —! j,Other,please specify: I_� (� ft. k.Thermal,solid core pipe L�J VAT/MASTIC insulation Lin.ft. Sq.ft. I.Specify 14. Describe the decontamination system(s)to be used: 3-CHAMBERED DECON W SHOWER AND/OR 2-CHAMBERED DECON W WASH STATION. 15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)(g): ACM WILL BE WET(HAND TO BAG)ACM WILL BE LABELED, PACKAGED&TRANSPORTED. 16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency: N/A a.Name of DEP Official b.Title c.Date(mm/dd/yyyy)of Authorization d.DEP Waiver# N/A L e.Name of DOS Official f.DOS Official Title N g.Date(mm/dd/yyyy)of Authorization h.DOS Waiver-#- c) aiver#0 17. Do prevailing wage rates as per M.G.L. c. 149, §26, 27 or 27A—F apply to this project? ❑Yes❑✓ No �o B. Facility Description �o 1. Current or prior use of facility: OFFICE/RETAIL �o 2. Is the facility owner-occupied residential with 4 units or less? ❑Yes 2 No 3' 1600 OSGOOD ST LLC/OZZY PROPERTIES116'OSGOOD STREET a.Facility Owner Name b.Address �o NORTH ANDOVER, MA 1978 681 5004 o c.City/Town d.Zip Code e.Telephone Number(area code and extension ln_�_u- 4 ELLEN KELLER 1600 OSGOOD STREET �� a.Name of Facility Owner's On-Site Manager b.On-Site-Manager Address Z NORTH ANDOVER, MA� 1 1 1978 681 5004 �Q c.City/Town d.Zip Code e.Telephone Number(area code and extension) anf001ap.doc-10/02 Asbestos Notification Form•Pa�e,2�of 3�� •' i i Commonwealth of Massachusetts 100097397 Asbestos Notification Form ANF-001 Decal Number B. Facility Description (cont.) N/A 5' a.Name of General Contractor b.Address c.City/Town d.Zip Code e.Telephone Number area code and extension f.Contractor's Worker's Comp.Insurer Ig.PolicyNumber h.Exp.Date(mmm/dd/ F n 6. What is the size of this facility? a.Square Feet b.Number of floors C. Asbestos Transportation and Disposal 1. Transporter of asbestos-containing material from site to temporary storage site(if necessary): NORTHEAST REMEDIATION25 STOREY AVENUE#256 Note:Transfer a.Name of Transporter b.Address Stations must CNEWBURYPORT, MA 01950 (617)389-9188 comply with the c.City/Town d.Zip Code e.Telephone Number Solid Waste Division 2. Transporter of asbestos-containing waste material from removal/temporary site to final disposal site: Regulations 310 CMR 19.000 SERVICES TRANSPORT GROUP 58 PYLES LANE a.Name of Transporter b.Address NEW CASTLE, DE —� 19720 (877) 999-9559 c.City/Town d.ZiD Code e.Telephone Number 3. INA [a�.Refuse Transfer Station and Owner � b.Address c.City/Town d.Zie Code e.Telephone Number 4. MINERVA ENTERPRISES INC a.Final Disposal Site Location Name b.Final Disposal Site Location Owner's Name 9000 MINERVA ROAD I IWAYNESBURG c Final Disposal Site Address d.City/Town ,OH — I 44688 L �M e.State f.Zip Code g.Telephone Number o �o D. Certification -N The undersigned hereby states, under the IWENDY CARIAS 't`it d V - o penalties of perjury,that he/she has read the a.Name b.Authorized Signature -o Commonwealth of Massachusetts regulations PROJECT COORDINATO 11/4/2009 for the Removal, Containment or d.Date(mm/dd/vv_ Encapsulation of Asbestos, information CMR 6.00 and c.Position/Title � �,�,) 310 CMR 7.15, and that the information (617) 389-9188 NER .�o contained in this notification is true and correct e.Telephone Number f.Representing to the best of his/her knowledge and belief. 125 STOREY AVENUE#256 o .Address �U_ INEWBURYPORT, MA 01950 �Z h.City/Town i.Zip Code 1Q anf001 ap.doc•10102 Asbestos Notification Form•Page 3 of 3 Mar 06 07 12:48p 6038900192 p.1 OATlptaNDa1Y'Mr! , At�RQ.. CERTIFICATE OF LIABfLrrY INSURANCE 1 2 TtiO;CE"FM.ATE 18 iS�SUI®ASA UKW ImFIRM= cfty RAI) comvx WT E mgt TS IN$CJR3= M. VMND OR J Xm- ALTER t T t At+rs AFFORDED BY THE MUMS BELOVr. 1060 OSGOW STRM ' Cale KOM AmDoVm z4a 01645 �flsmlvcm lasnotiLlum=cOVERAft — MOW 8 DMGI830r gms" Ri "off co-, mc- "WMA s ...... s�euRER m WUWWAL » in w .. NauaER� 9 Dmzz palm #Vito a p11DOv8R. 2O► 01,610 a itE�1 YOTME9 pl1 AlWEFORTHEPOiJCYPEN00Ii�01CATEri NOfVY:MSTA D OR lair RE01a •UFA C EDGR OF AlIY OONfRl►O7 d!Cl VoCU f'MMM RESECT 10 vrWX TMt6 CMF�N7E 1MY BE 1SS!!ED OR Aw RERUPA TME�AF!'OROW OF THE PD11CI�09 D WERM IS SNOiEECiC'TO ANNE TERIAG.M=VAD"AND CONWWW OF SUCH pMy Q( ,X11?ELNM$HOWNSUY1tlIW" Ml �VADtXA1NS �wT6 — PEAS a 1 Q aeMeRA��ue�n,r s 50 NweRMLa6wsw LLKGLXx a laEl� anpw.aeo s 0 ql, ®OCCURspaAov s 00 000 Cpp006,s39 10JzS106 1OJ26J0'i Oier-ft AGWWUX% s_2 0 00 .,,oa�c�s-cowwOrApO s 1-008-00L cam. urrt APr�rs + '► toe aeNaEtsatr s MnVAK sasuRsaar oea.ocii�nq AWAUTO _ ALOWNWAUTM wwKm.e9AVTcx SOOcrett{>«lY s I hw4pAvms 1�• A w0*01AN WIM • wroON�.-EARccioERr = GrAmo °LusLay OiMEaTMM1 CAACC a rwriwYO rWroOR�r. Ami s bVH OCCURRENCE s GRCrA4maR u tvanAr At,18RE®1►� a s . 11EfBInOn � wpeoraen>aawwnno lLMCWV a 500 OG_ eivwrws wstm a 500 00010 267 iL D ""�rwwR ocawra+ 0�7i[C703930 10/26/06 l I S o.�. elwamme-voucyUNK : 600 OG o+rtRa CANCEUAM oscFo�►.a+snOcaroWstesro�cwewas�er '�s"�'"` 10N8 • O —B — 2 .MMCATE S"aUp AM cFTW^8WE 0=lQ W POUCRl OF CAM=""2EF01E TlE ot/tRAT10P+ M.M T tMap.ne+a8ueY6 gk5Ujd R WALL 040GAMOR-m wm10 OXIM W RRTEN 0887 POppggITBS Nonc!TO nECErawmoev jynA>+av' sH&uIFT.OUT c.aaar!To 00 so awu 1500 *BMW ST MVM no OsiKi1 IM 0a UAWTV OF ANY faN011PON TM!94miIi RS/IOENrS Ok 1.g Atwmst, LO► 01845 agpc twTives SAOORD WWORATM1985 ACORD25(2WM) i ✓tie t�o�r��w?u a��� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR j Number: CS 048040 a Birthdate-. 10/291195.5 Expires:10129/2007 Tr.no. 8053.0 Restricted:- 00 TADEUSZ DOWGIEERT.: t, 175 BRADY AVE SALEM, NH 03079 commissioner TOWN OF NORTH ANDOVER Construction Control Affidavit Project Number: 0703037 Project Title: NxStage Clean Room Ceiling Installation Project Location: 1600 Osgood Street, Building 30, Second Floor- Southwest Side Name of Building: Osgood Landing Nature of Project: Install new ceiling, air filters and air curtains in existing room to provide a small clean room environment In accordance with Section 116.0 Registered Architectural and Professional Engineering Services-Construction Control of the Massachusetts State Building Code, I, Gregory Smith Registration No. 8688 being a Registered PFefessienal €ng+neer/Architect, HEREBY CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Architectural )CK)D=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. Y3 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 COMPLETION AND READIN SS QF THE PROJECT FOR OCCUPANCY. S" re and Sta facsimile) EDA RIJA Y P, C1No.X688 y AND OVEp; , Y . SUBSCRIBED AND SWORNT BEFORE ME THIS DAY OF �lZC N 2006 ����ifucJ MY COMMISSION EXPIRES c'd'E' ` NOTAR U LIC Location / 6 C)D ioS c®o (D T�143 36 ►. _ a No. Date NORTIy TOWN OF NORTH ANDOVER L 4 P Certificate of Occupancy $ us M C u E<�' Building/Frame Permit Fee $ s� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ v Check # 18416 AN �/ Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Section for Official Use OWNERS BUU,DING PERMIT NUMBER: 0 DATE ISSUED: r 7- SIGNATURE: Buildin CommissZer1l or Of Buildings Date 1.1 Property Address: 1.2 Assessors Map and Parcel Number. — 3 / 17 Map Number Parcel Number J9,C1 1.3 Zoning Information: 1.4 Property Dimensions: ZoningDistrict Proposed Use Lot Area(sf) Frontage(ft) 1.6 BUILDING SETBACKS(ft) M Front Yard Side Yard Rear Yard Required Provide Required Provided Re(pimd Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.9 Sewerage Disposal System: Zone Outside Flood Zone 0 Munigoal Disposal System ? Public y1em 2.1..Owner of Record aw Z900 A4�;t" Name(Print) Add rfeqAqfService":'/ 7k q c?-S— q-5-1 2 Signature Telephone 2.2 Authorized Agent le-1 ii. t4 r Name Print Address for Service: Z Sr 9da6re Telephone M 90 3.1 Licensed Construction Supervisor Not Applicable 0 1 cLil- Le owec qC9 Address License Number 0 Licensed on Su son. IOL2- Expiation'-Mle ic gL K-5— Aignatu e Telephonerr 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number M Address Expiration Date Z Signature Telephone G) i sEC1'I)N a ,c�MIOM Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yea.......❑ No.......❑ SEC'T'ION 5 P24I CONS`FfiUCTIQN OTTOC�tl►1111 G1 � } �NC3SEb ►� 5.1 Registered Architect: Name: Address Signature Telephone Area of Responsibility Name: Registration Number Address: Expiration Date Signature Total Not applicable ❑ Name: Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility I, tiddress Registration Number Signature Telephone Expiration Date Name Area of Responsibility e _ Address Registration Number f Signature Telephone Expiration Date Compan£}+Name: Not Applicable ❑ Responsible in Charge of Construction New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of o sed Work: pG' Q r _�"�� � P L,� (/LLQ �•G �'e-C USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ . IA ❑ A4 ❑ A-5 ❑ IB ❑ B Business ❑ 2A ❑ C Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ IInstitutional ❑ 1-1 ❑ I-2 ❑ I-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: ME BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT �"" -----,as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Date i as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury Print Name Signature of Owner/Agent Date may .: Item Estimated Cost(Dollars)to be r } w Completed b t applicant f c r rpt r P YP o PP ,.. T 1. Building (a) 'Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction from(6) 3 Plumbing Building Permit fee (a)x(b) 4 Mechanical(HVAC) (, 5 Fire Protection l//0 n us 1415 P44. � 6 Total (1+2+3+4+5) Check Number3? " ./. � L- .1.,�,5 .„�.,�f�� r•5,��v�$ lfl{.<t�� A#1.. r .e t$ +•;`r4,�� X72'\., y. -Ra Lbs} �t r£Rl, �' rr 1” /'���:x4 �-f:;k/�' ...A3�. 3 �.',r`fiN �`''.p P, 4 Y�3,rt,t; NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sr 2 ND 3iff SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING x MATERIAL OF CHIlvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE � v`a ,�.� h!" 7"�z�f5�� 4:mrn� ,t}•� x� �` ¢`per �,�. ., v ,.,� ,� x ,�. y, � ;� yr +Jt✓F•<"4 Tara F .. ! 3� ,;33� ;<.� :.`. r r.f.� �'z F� 4 4 ""�� _ ,.. ..�,.;� s�4�_.,s .:.•:�. .... ,��. x aa'�.}3>k ,P' .�,��.. �x,� - �£ �t��� .K�t2.��'<A rF� F �s� r-,^.. a > i, {L@"�0?JYlY7G��Ztll Q�1�/rQ4fQ.!.ftfltlP� 111iiF. :. BOARD OF BUILDING REGULATIONS License: DONSTRUCTION SUPERVISOR Number: CS' 048040 Birthdate: 10/29/1955 Expires: 10/29!2005 Tr.rro: 8109.0 Restricted: 00 TADEUSZ DOWGIEERT I 171 BRADY AVE a y SALEM, NH 03079 Administrator I i h Department of Industrial Accidents Office of Invesgigations 600 Washington Street Boston,MA 02111 www.massgov/die Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridans/PluInbers AvyUcant Information Please Print Leribly .�Name (Business/Orpnization/Individual): �,� � �„ _ ° � ` — Address: City/State/Zip: e,.) ee—at Phone M q r�)6i J122 Are you an employer?Check the appropriate box: Type of project(required): 1.O-I am a employer with 4. 111 am a general contractor and I employee's(full and/or part-time).' have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet t ?• ❑ Remodeling ship and have no employees These sub-contractors have s. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its 10.❑ Electrical airs or additions required.] officers have exercised their np 3.❑ l am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. C. 152,§1(4),and we have no 12.❑ Roof rept insurance required.]t employees. [No workers' camp. insurance required.] 13.❑ Other ;Any applicant that cbeda box#1 mint also fill out the section below showing**workm,sompe agion poly,in Homeowners wbo mbmit this affidavit mdkatitg they are doing all work and then hie outside cmtactm must submit a new affidavit indicating such ZConvacoors that dick this box must attached an additional sheat showing tbe uame of the sub-coutnctora and Their workers'conA.policy itfbrnmMon. 1 am an employer that is providing workerscompensation insurance for my employm& Below is the polky and fob sits Information. D Insurance Company Name: �b-„ Policy#or Self-ins.Lic. #: Expiration Date: le J, Job Site Address: m City/State/Zip: �v ,2 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as require�under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-yeartrisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under-the pains and penahla of perjury thatAe information provided above is true and correct Si Pho #: 7 2 Offlek/use only. Do not write in this area,to be completed by city or town gdkieL City or Town: Permit/License it Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cky/Town Clerk 4.Electrical inspector S.Plumbing Inspector 6.Other Contact Person: Phone N: lniormatlun anu untz u%,t,wiLam 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 receiver or trustee of all 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 of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local 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 mat produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public 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-contractors)name(s),addresses)and phone number(s)along with their certificate(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 af'Adavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Depara hent 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-insurance 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 permittlicense 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 has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid a is on file for future permits or licenses. A new affidavit must be friled 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lace to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mm.gov/dia r North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: 40 (Location of Facility) §1gnature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector ORT Town 0 4Andover y80 L No. C.. . over, Mas AKE Wsop 0 I- COCHICt...C. 0'? \ 0'r�ATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System 2 BUILDING INSPECTOR II go it * THIS CERTIFIES THAT..................................Y........N.ppjo�+rA........&A4...................................... Foundation IA'#+'@I%fo '' / has permission to wW........................................ buildings on ... 403coo 0 S �0.�.......�'1id ............................................. Rough R to be occupied as.....F!4..q.P.......... Chimney 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-jjws 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 CONSTRUCT19N S C rA Rough .......... .. ......T...........TS ...... .......... Service ..... .... ......... .... .... BUILDING iRi�ECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDESmoke Det. JI (!! 21 r Date.....? .5..'4.5 TOWN OF NORTH ANDOVER PERMIT FOR WIRING US This certifies that ......./"i/L L,........ ��'-...... e.................. has permission to perform ..... j............ wiring in the building of.........................yl....................................................... at...... .....a...... 0..............5.7 .,.......... ,North Andover,Mass. a Fee...................... Lic.No./ .... ....... ........... ELECTRICAL INSP CTOR Check # 6�.� DEAlMOMOFPVBUCSOM Permit No. � ® 2— / BOARDOFFMPREVFIVIMRDGULA770AIS527( Maio I `2g Occupancy&Net Checked APPLICATTONFOR PERMIT'TO PERFORMELEcnuC,A.L WORK M1.WORK To BE PERFORMED IN ACCORDANCE WTM THE MASSACHUSSTS M-WMK:AL CODE,527 CMR 12:00 6 1 Vq O C (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Da 1 J Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) — oo c S�e�T Owner or Tenant " (7S iee- �c ozz4 Pt,14P H AU Owner's Address is this permit in conjunction with a building permit: Yes No (Check Appropriate Bos) Purpose of Building ( c Te— W CL y S Utility Authorization No. Existing Service Amps olts Overhead Underground [:3 No.of Meters New Service Amps....�.V olts Overhead Underground M No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work t` 1 t lv �U 2 t k5ate. 101r'c° �'v°e� UCI� c�d2 No.of Lighting Outten No.of Hot Tubs No.of Transtomm Total KVA No.of Lighting Fixtures Swimming Pooh Above Below rn Oataatata KVA / nd and No.of Receptacle Outbt /„ No.ofOil suenen No.of Emergency Lighting Battery Unit O No.of Switch Outlet No.of on Bunion No.of Ranges No.of Air Cont. Total FIRE ALARMS No.of Zones Tom .{. No.of Disposals No.of Hen Total Total No.of Deb `ction uW re Crz t Pumps Tom No.of Dishwasher Space Ata Healing KW Initiating Devices l vwt'�( "l Na ot u i —_ Sounding Device. A e v i GC 1- Na of Self Contained t�ti'�—i�ialk) Detection/% N v;t e 5 No.of Dryer Heating Devices KW Local Murtidpsl Other o.of water Heuer KW No.of No.of Connections 0 sism Bailasb o.Hydro Mwage Tubs No.of Motors Total HP OTHER, huatae P1nr owd ereq�sisiz*c h6sodum LAWIhmaa W1Lia thaaa=Ft3 c.7'n3drVt7orr�itl; arlsatill"idtequiv id Y� Np 0 1txm hA&dw1dpttoafet'satteloftt7l�Y$4 lfyouhnecttad�dY135,pk=it�mlhetypecfwmVby 1�� BOodmElft WorklDSlat S a2 S IrrionDate� Rap*d Ra* T f I Ci Ilj�eledVatitedII9aeticatwcacs 5glodurt - PtnWM0fpAW.. FiRMNAME M ( LL- EL eci 2(c .� �.3 e umaeNa l 6 Se a A 1 IV w' 3,01 tz r S J450 -3 AddmBusrealTdNa OW1,Il•It'SIIVSURAICEWA1VFIi-lamawaeiabLicmw ttleitaualoe At Ib1Na � oo►aa�arictsib�elaglivalatffimc}iredb�+Me�adit�Gt�alLaWa aWtMtnrysign ncrilh'spearitapp- -- - fi wg1f r3rnt (Please check one) Owner Agent Telephone No. pmwr FEE I- lz� � Location /600 00 C/�5649©" No. J31 Datep`'�`3/S M01tTM TOWN OF NORTH ANDOVER F 9 Certificate of Occupancy $ �'�s'•'•°•Eta' Building/Frame Permit Fee $ 3 s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 360 --- Check # .5 J Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING ITI OTHER THAN A ONE OR TWO FAMILY DWELLING SeCtlOn f0I'ofriCIai USC oril BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: ` lam- Buildin Commissr a or of Buildings Date 1.1 Property Address: 1.2 Assessors Map and Parcel Number: (- _ © g20j S� V\\1 3 7 Map Number Parcel-Number 1.3 Zoning Information: v 1.4 Property Dimensions: 0 Zonin Distrid Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS(ft) M Front Yard Side Yard Rear Yard Required Provide Required Provided _LeqTmd Provided 1.7 Water S 1.5. Flood Zone Information: 1.8 Sewerage M.G L.C.40. 54) Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal On Site Disposal System ❑ I WDLUI IU LJIZ;LlIUL. 1E'b 2.1 Owner of Record 16 406 � 5� L ® Po Meo Name(Print) Address for Service: Gl 7-� M Signature Telephone 2.2 Authorized Agent / D'o C�s a t Name Print Address for Service: Z ignature Telephone m x6r t .ai � k P 3.1 Licensed Construction Supervisor Not Applicable ❑ Address /l License Number o Licensed Construction Supervisor: e �— Expiration Da _ Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable v Company Name Registration Number M r Address I' r Expiration Date � i Y i Signature Telephone G) I Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yea.......❑ No.......❑ SECTI4P1 S P)CL��SSI©T�ef�D>L�&I�°��S'll�'�f RYJC( �D��D " D 1tU£�ES��"T+D c©rrs��e�rr cx��+a>�ll*�� >�������� � ►G�.�>� �s>�s�►A > � 4 5.1 Registered Architect: Name: , Address Signature Telephone Area of Responsibility Name: Address: Registration Number Expiration Date Signature Total Not applicable ❑ Name: Address Registration Number Signature Telephone Expiration Date Na: e Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address. Registration Number { Signature Telephone Expiration Date Ch Not Applicable ❑ Company Name: Responsible in Charge of Construction New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: n ` l t - ( C c c c.0 / USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ IA ❑ A-4 ❑ A-5 ❑ IB 0 B Business ❑ 2A ❑ C Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ IInstitutional ❑ 1-1 ❑ I-2 ❑ I-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 0 S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: f-t lel"` X n5:. k BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft Independent Structural Engineering Structural Peer Review Rapired Yes ❑ No ❑ SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT QR CONTRACTOR APPLIES FOR BUILDING PERMIT 96= t � ✓ I, tGq/as Owner of the subject property Hereby authorize to act on My behalf,in all matters relative two work authorized by this building permit application s-A/A 5 Signature of Owner Dat 1' as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury Print Name Signature of Owner/Agent Date Item Estimated Cost(Dollars)to be <r d Completed by permit applicant 1. Building �+ (a) Building Permit Fee 2 Electrical Y.� Multiplier (b) Estimated Total Cost of Construction from(6) 3 Plumbing 4 Mechanical(HVAC) Building Permit fee (a)x(s) / C� 3 o o 5 Fire Protection o p i 6 Total (1+2+3+4+5) 6 © � '' Check Number "'pt1i,.2 i � r1 xn,-h�•�,4 �,;R,,�1.4 .ra rjs ,� �r : ,art X61%�::;s. �` ,�x. e<✓r �.. 1 2i 1.S.aS �?;:.;.. { x � .,3 }3' dr:si e s v a- t +.:, AM NO.OF STORIES SIZE BASEMENT OR SLAB j SIZE OF FLOOR TIMBERS OT 2 N 3 R SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FELLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE h2 `F 3 '. ��'i.4' ,� `•?& '£ x-�,`i* p� �, lLy, f r•r.,r <`:G.� ", July 22, 2005 To Whom It May Concern: Dowgiert Construction will be doing ongoing work at our facility located at 1600 Osgood Street in North Andover, MA on a cost plus basis. Sincerely, - -Q I Ellen-71'Keller VP-Commercial Real Estate 3 Dundee Park Andover, MA 01810 Phone: (978) 475-4569 • Fax: (978) 475-4638 www.ozzyproperties.com 1i r f ..�m .-�...�..�.. Ate. ---------------- - ✓�CC"f/JR9JYIJVC+fIZCCJQ{CLCiJQ�JC!�l,Z4JA.CIJCCaf'.uli�p . BOARD OF BUILDING REGULATIONS R License: PONSTRUCTION SUPERVISOR ' Number: CS 048040 Birthdate: 10/29/1955 - Explres: 10/29/2005 Tr.no: 8109.0 ri Restricted: 00 TADEUSZ DOWGIEERT _ 171 BRADY AVE e y f SALEM,.NH 03079 Administrator I i I� Department of Industrial Accidents Qfee of Invesdgadons UqF 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensadon Insurance Affidavit: Builders/Contractors/Electridans/Plumbers Aonlicant Information Please Print Le Name (Business/organization/Individual): 72,r t _ :o ��f ct �p /I, c Address• ti h City/State/Zip:_ Phone#: cT;>L� �0 3�� Are you in employer?Check the appropriate box: Type of project(required): 1.U--r am a employer with 4. 0 I am a general contractor and I employee's(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet.S 7. Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10❑ Electrical airs or additions required.] officers have exercised their nP 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. C. 152,§1(4),and we have no 12.❑ Roof rept insurance required.]t employees. [No workers' comp.insurance required.] j 1 13.❑ Other 'Any sMIrAnt that cbedm box#1 nasi also fill out the section below showing their women,�aation pow,information; t Honzowoers wbo submit this afFdevit indicating they are doing all wort and men bum outside couhactors must submit a new affidavit indicating such tContracton that died this box mut attacbed an additional sheet abowmg me Wane of me sub-oontraceton and weir worl<en'comp•policy iufornution. I am an employer that Is providing workers'compensation Insurance for my employees Brion►is the poli y andjJob site Information. _ Insurance Company Name: C sr^,p Policy#or Self-ins.Lic.M 0'10 D r'�- �� �>!!' Expiration Date: — Job Site Address: / 6 00 © a en s city/state/zip:_,d/' Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiref under Section 25A of MGL c. 152 can lead to the imposition of Cris»nal penalties of a fine up to$1,500.00 and/or one-year Julprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a Copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify ander Me pains and penahles of perjury that the Information prov d above Is true and correct Si¢nature o Date Pho #: S S Qfflclal use only. Do not write In this area,to be completed by city or town of'lcial, City or Town: Permitmeense 0 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cky/ifown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone 0: iniormatmil situ iilaiili U06LIM110 Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employeea. Pursuant to this statute, au employee is defined as"...every person in the service of another u:gder 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 rnore of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of ab 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 of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local 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 required." Additionally,MGL chapter 152,§25C( )states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public 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)uame(s),address(es)and phone number(s)along with their certificate(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 slp and date the affidavit. The affidavit should be returned 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-insurance license.nmrnber on the appropriate lime. 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 permitAicense number which will be used as a reference number. In addition, an applicant that must submit multiple permiVHcense 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=is been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid a on file for future primite or licenses. Anew 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 Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAM Revised 5-26-05 Fax#617-727-7749 www.mm.gov/dia h' GUARD Workers' Compensation and Employer's Liability Policy AmGUARD Insurance Company - A Stock Company talk INSURANCE Policy Number DOWC542507 ROUP Renewal of DOWC437480 NCCI No. [21873] [i] Named Insured and Mailing Address Agency DOWGIERT CONSTRUCTION COMPANY, INC. ROBERTS INSURANCE AGENCY 616 Essex Street 1060 Osgood St. Lawrence, MA 01841 North Andover, MA 01845 Agency Code: MAROBE10 Federal Employer's ID 04-3438231 Insured is Corporation Risk ID Number 000288185 Locations Other Than Above (Li) 8 Dundee Park, Andover, MA 01810 [2] Policy Period From October 26, 2004 to October 26, 2005, 12:01 AM, standard time at the insured's mailing address. [3] Coverage A. Workers' Compensation Insurance - Part One of this policy applies to the Workers' Compensation Law of the following states: Massachusetts B. Employer's Liability Insurance - Part Two of this policy applies to work in each of the states listed in item [3]A. The limits of our liability under Part Two are: Bodily Injury by Accident- each accident $500,000 Bodily Injury by Disease - each employee $500,000 Bodily Injury by Disease - policy limit $500,000 C. Other States Insurance - Part Three of this policy applies to all states, except any state listed in item [3]A. and the states of North Dakota, Ohio, Washington, West Virginia, and Wyoming. D. This policy includes these endorsements and schedules: See Extension of Information Page - Schedule of Endorsements [4] Premium The Premium Basis and, therefore, the premium will be determined by our Manual of Rules, Classifications, Rates, and Rating Plans. All required information is subject to verification and change by audit. (Continued on another page) Total Estimated Policy Premium $ 24,876 Total Surcharges/Assessments $ 1,311 Total Estimated Cost $ 26,187 INTERNAL USE 4V Page- 1 - MGA : DOWC542507 Information Page Date : 10/27/2004 WC 000001A -i�lilQ'�fE 16 South River Street•P.O. Box A-H•Wilkes-Barre, PA 18703-0020•www.guard.com FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION******************,**o** ** APPLICANT ` ®© � L �,,� PHONE��U l LOCATION: Assessor's Map Number '3 PARCEL /l SUBDIVISIONn LOT (S) STREET (J Z ST. NUMBER_ 0 *********OFFICIAL USE ONLY*** *******************� RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the vision of MGL c 40 S 54, a condition of Building Permit at: 0f o is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: v- y t oration of Facility Signature of Permit Applicant Fire Department Sign off �� -- Dumpster Permit Date TOWN OF NORTH ANDOVER • Construction Control Affidavit Project Number: 0506052 Project Title: NECC— Northern Essex Community College new entry hallway Project Location: 1600 Osgood Street, North Andover, MA Name of Building: 1600 Osgood Street Commerce Center Nature of Project: Construct new entry area and update exit lighting. 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 Architect, HEREBY CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Architectural X)OC_ 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. OMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPL NESS OF THE PnnR03ECT FOR OCCUPANCY. Q���Rv P.s� �, p 'v Signature and Stam facsi ile) �� P 4f 1 4 ' No.8688 WRTM ANWAR, SUBSCRIBEt�gyMjj ME THIS1(4DAY OF S 2005 MY COMMISSION EXPIRESH� 3b ?Q� , NOTARY PU C / GSD Associates, LLC 148 main Street,Building A, North Andover MA 01845 Tel:978 688 5422 Fax:978 688 5717 Web:www.gsd-assoc.com Computer Aided Design • Architecture • Planning • Interiors • Development Consulting August 15, 2005 Mr. Mike McGuire Building Inspector Town of North Andover 400 Osgood Street North Andover, MA 01845 RE: Code Review for Northern Essex Community College Space at 1600 Osgood Street Business Center. Dear Mr. McGuire, Please find the Code review for the above mentioned tenant and feel free to contact me if you have any questions or concerns with the information contained. I_ Existing Building Summary: As you are aware, the existing building is a combination of a number of different buildings that were constructed over time and are attached to one another in various ways. The area of concern for this specific project in located in the mezzanine area of Building 30 (See Attached Locus Plan). The space proposed is an existing mezzanine that is located within the floor area of the 2nd floor of the main building #30. It is my understanding and belief that the existing space was used in the same manner as is intended to be used by Northern Essex Community College (NECC)to Provide Business classes and training. In fact NECC had previously occupied this area when the entire building was used for "Lucent"to teach and train Lucent staff members. This occupancy is therefore not a change of use but a continuation of an existing use. The Building code would classify this use as B Business where Business or vocational education is taught(Section 305.2). The entire mezzanine is not going to be used by NECC and the owner wants to separate this space from the surrounding mezzanine areas. The code states that all repairs, alterations, and changes of Use to this building be subject to the requirements of 780 CMR 34,"Repair, Alteration, Addition and Change of Use of Existing Buildings. However, because the existing building is not changing its use the requirements of Section 3404.0" Requirements fir Continuation of the Same Use Group or Change to a Use Group Resulting in a change in Hazard Index of One or Less"will apply to this project. Attached is a copy of this code section. II. Building Code Requirements: 3304.4 Alterations and repairs:Alterations or repairs to existing buildings which maintain or improve the performance of the building may be made with the same or like materials, unless required otherwise by 780 CMR 3408. Alterations or repairs which have the effectof replacing a building system as a whole shall comply with 780 CMR 3404.3 Compliance: The physical changes are minimal, three exists from the space are required and provided, the new exit will be enclosed in a fire rated enclosure which is an increase to what was previously provided. All new construction work proposed will meet the current code for construction. 3404.5 Number of Means of Egress. Every floor or story of any existing building shall provide at least the number of means ofegress as required by 780 CMR 3400.4 and which are acceptable to the building official. Compliance: There are a number of interconnecting areas and stairways on the mezzanine which will be closed off to separate this space from the exits and the other tenant areas. The total area of the NECC space is approximately 26,320 sf. The code requires occupancy of B Business Use to be at 1 person per 100 sf of area. Therefore 263 people are calculated to occupy this part of the mezzanine. There are two main exits required by code based upon an occupancy of under 500 persons. Two exists are proposed. One of these exists is an existing exit and one os to be an enclosed entrance stair located by the South east entrance to the building. The new Stairwell is to be fully enclosed in a one hour rated stairwell enclosure. 3404.6 Capacity of exits:All required means of egress shall comply with 780 CMR 1009.0. Existing means ofegress may be used to contribute to the total egress capacity requirement based on the unit egress widths of 780 CMR 1009.0. Mr. Mike McGuire, Building Inspector August 15, 2005, Page 2 Compliance: Approximately 263 people are divided in half 132 to one exit and 131 to the other. This calculation defines the minimum exit widths for doors stairs and hallways.Therefore all stairs, doors and hallways will need to have a capacity of 132 or greater. Stairs: Stairs a minimum of 36" wide (36"/0.2" per person= 180)will provide for this capacity where the width of the new stair is 3'-8" minimum and the existing stair is similar in width, the capacity of the stairs is in compliance. Hallways: Hallways are approximately 5-0" to 6'-0" in width. (60"/0.15" per person = 400)A 5'-0" (60 inch) hallway provides for approximately 400 people. Doors: Doors are new 6'-0"double doors and a T-0" single door at the new stair entrance. (36"/0.15" per person = 240 people) A 36" door will provide capacity for 240 people. Therefore based upon the above information the two proposed exits including stairs, doors and hallways are adequate and in compliance with the code. 3404.7 Exit signs and Lights: Exit signs and lighting shall be provided in accordance with 780 CMR 1023.0. Compliance: The lighted exits signs are provided by luminescent signs which require a separate light source to charge the signs. These signs are allowable by code if they comply with section 1023.0 and UL-924. They do not in our opinion meet this requirement since the locations of these lights are not directly located by lights that stay on at all hours a building is occupied since the lights require approximately 1 1/2 hours to fully charge the luminescent surface and cannot meet the requirements of 1023.4 . Therefore the exit signs are to be replaced with lighted exit signs. This will also provide a higher degree of safety in this area as the signs will be significantly brighter than the luminescent signs. 3404.8 Means of egress lighting: Means of egress lighting shall be provided in accordance with 780 CMR 1024.0. Compliance: The existing mezzanine floor has an emergency light ballasts in the ceiling lighting. The existing emergency lighting is in compliance. The system should be reviewed and all bulbs checked for proper operation. 3404.9 Height and Area limitations:The height and area requirements of 780 CMR 5shall apply to existing buildings when such existing buildings are modified byaddition and/or change in use. Modifications to the height and area requirements as provided in 780 CMR 504.0 and 506.0 are permitted. Compliance: Not Applicable- No change to the Area or Height are proposed. 3404.10 Existing Fire and party walls: No More compliance is required with 780 CMR 707.0.The height above the roof of existing fire, party and exterior walls need not comply with 780 CMR 3404.0 Compliance: Not applicable- no fire walls are proposed in this scope of work. 3404.11 Fire protection Systems: Fire Protection Systems: Design, installation and maintenance of fire protection systems should be provided in accordance with 780 CMR 3404.3 and 780 CMR 3404,12 as applicable. Compliance: There is a fully functioning fire sprinkler and alarm system in the building. 3404.12 Fire protection systems are required for the following cases: 1. Additions where required by 780 CMR 9.0 for the specific use group. 2. For existing buildings and additions to existing buildings,where required by 780 CMR 9 or where required by 780 CMR 506 to satisfy height and area requirements. 3. Existing buildings,or portions thereof which are substantially altered or substantially renovated,and where otherwise required by 780 CMR 9.0 for the specific use group. Compliance: There is a fully functioning fire sprinkler and alarm system in the building. 3404.13 Enclosure of stairways: Open stairways are prohibited except in one-and two-family dwellings or unless permitted by 780 CMR 10. There shall be no minimum fire resistance rating required for an existing enclosure of a stairway. Partitions or other new construction which in order to fully and solidly enclose a stairway shall provide a minimum fire resistance rating of one hour. All doors in the enclosure shall be self-closing and tight-fitting with approved hardware. All doors in those portions of the stairway which are fire resistance rated shall comply to the applicable provisions of 780 CMR 9. Compliance: Section 505.4 exception 2 requires one exit stair from a mezzanine to be enclosed. A new stairwell is proposed to be constructed and will be enclosed in a 1-hour rated wall. The two other stairs are allowed to be open to the floor area below. Mr. Mike McGuire, Building Inspector August 15, 2005, Page 3 i 3404.14 Assembly Use Groups: Notwithstanding the provisions of 780 CMR 3404, Assembly Use Groups shall comply with the provisions of 780 CMR 3400.3, item 6. Compliance: Not Applicable- space is classrooms space and is a B Business Use Group. 3404.15 Institutional Use Groups: Notwithstanding the provisions of 780 CMR 3404, Institutional Use Groups shall comply with the provisions of 780 CMR 3400.3, item 7. Compliance: Not Applicable- space is classrooms space and is a B Business Use Group. 3404.16 Residential Use Groups: Notwithstanding the provisions of 780 CMR 3404, Residential Use Groups shall comply with the provisions of 780 CMR 3400.3, item 8. Compliance: Not Applicable - space is classrooms space and is a B Business Use Group. 3404.17 Fire hazard to adjacent buildings: Any proposed change in the use or occupancy of an existing building which has the effect of increasing the fire hazard to adjacent buildings shall comply with the requirements of Table 705.2 for exterior wall fire resistance rating requirements, or with approved compliance alternatives Compliance: Not Applicable- no change in use, 3404.18 Accessibility for Persons with Disabilities:Accessibility requirements shall be in accordance with 521 CMR as listed in Appendix A. Compliance: The existing NECC space is not being renovated, and compliance is not required. Existing space is in general conformance with the Accessability requirements including an accessible toilet. The existing accessible lift is to be relocated to a more"Front Door"location as part of the scope of work and will be in compliance with the Accessibility Code. Although not part of this scope of work, future proposed work includes a new elevator on the Southeastern entrance. 3404.19 Energy Conservation: Energy conservation requirements shall be in accordance with 780 CMR 3407.0, Compliance: Not Applicable: The existing space is not being renovated. However, all new exit lights will be in compliance with the code. III. Scope of Work: In general we have made the following revisions to the mezzanine. 1. Change the entrance location to the mezzanine space and enclose the mezzanine exit in a 1 hour rated enclosure as required for one of the exits in a mezzanine area per Section 505.4 Exception 2. This includes the area surrounding the stair so that the exist is enclosed from the top of the stair to the point that one can exit the building. 2. Relocate the existing handicapped lift to a location closer to the new entrance to the mezzanine area. 3. Create a new hallway that will allow for additional mezzanine areas to be occupied and use the same enclosed stairway. This includes a new hallway wall and ceiling grid and lights. 4. Provide additional doors in mezzanine hallways to subdivide the space for this specific tenant. 5. Replace existing luminescent exit signs with new lighted exit signs that comply with the Building Code. 6. Extend the existing sprinkler system into the new hallway. I hope you find this information in order. Please let me know if there are any questions regarding this information. Sincerely, GSD Associates, LLC or Gregory P. Smith,AIA Architect/Manager cc: Ellen Keller @ Ozzy Properties f NECC SPACE 7 7 .171 .. R-11""i � NEcG SPACE Co�ctpot� H.C. --- TOILET P.,,x . �a� EXIT .2. 1�^�'���1�100 .. . �•CJ TOTAL NET SF OF NECC SPACE NEW SPACE= 26,320 SF ENCLOSED -- ..._.._._ .-... EXIT T STAIR EXIT , GSD Associates 148 Main Street,Bldg.A ' NORTHERN ESSEX COMMUNITY COLLEGE Q '� • North Andover,MA 01845 A Z 978-688-5422 MEZZANINE AREA-BUILDING 30GO 1600 OSGOOD STREET, NORTH ANDOVER, MA 4 ;e` LOCATIONNINE August 15, 2005 o- � KEY , M 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THt I IASSACHUSETTS STATE BUILDING CODE alterations or additions, or change the use or 780 CMR 3404.0 REQUIREMENTS FOR occupancy of an existing building,and when said CONTINUATION OF THE SAME USE application proposes the use of compliance GROUP OR CHANGE TO A USE GROUP alternatives,the building official shall ensure that RESULTING IN A CHANGE IN HAZARD one copy of the proposed compliance alternatives, I OEX OF ONE OR LESS including applicable plans,test dab,or other data for evaluation, be submitted to the BBRS, 3404.1 General: The requirements of 780 CMR together with a copy of the building permit 3404.0 and applicable provisions of 780 CMR 3408 application and the building official's decision shall apply to all repairs and alterations to existing regarding the proposed compliance alternatives. buildings having a continuation of the same use group or to existing buildings changed in use group 780 CMR 3403.0 HAZARD INDEX of one or less hazard index(Table 3403). 3403.1 Hazard Index: In the implementation of the 3404.2 Requirements exceeding those required provisions of 780 CMR 34, the hazard index for new construction:Existing buildings which,in associated with a particular use group shall be-as part or as a whole, exceed the requirements of identified in table 3403 and Appendix F. In order 780 CMR may be altered, in the course of to determine the applicable provisions of 780 CMR compliance with 780 CMR 34, so as to reduce or 34 the hazard index of the existing use group shall remove,in part or completely,features not required be subtracted from the hazard index of the proposed by this code for new construction. use The algebraic difference shall be used to determine the applicable provisionsof 780 CMR 34. Exception: Pursuant to M.G.L. c. 148, § 27A, Table 3403 fire protection devices,shall not be disconnected HAZARD INDEX (temporarily or permanently), obstructed, USE DESCRIPTION removed or shut off or destroyed without first GROUPO) RD procuring a written permit from the head of the NO.t21 local fire department. A-1 Theaterwith stage 6 A-2 Night Club 6 3404.3 New building system: Any new building A-3 Theat Club our stage 5 system or portion thereof shall conform to 780 CMR for new construction to the fullest extent practical. A-3 Restaurant 5 However, individual components of an existing A-3 Lecture haus,recreations centers a building system may be repaired or replaced without museums,builUbradings s.similar requiring that system comply full �hthe code assembly buildin s eq g Y P Y Y A-4 Churches for new construction unless specifically required by B Business 2 780 CMR 3408 E Educational(K through 12) 4 .. F Facto and industrial 3 3304.4 Alterations and repairs: Alterations or repairs to existing buildings which maintain or H High hazard 8 improve the performance of the building may be 1-1,1-3 linstitutional restrained 1 5 made with the same or like materials, unless I-2 linstitutional incapacitated a required otherwise by 780 CMR 3408. Alterations M Mercantile 3 or repairs which have the effect of replacing a R-1 Hotels,motels 2 building system as a whole shall comply with R-2Multi-family 2 780 CMR 3404.3 R-3 On#and two family 2 S-1 Storage,moderate hazard 3 3404.5 Numberof Means d Egress: Everyfloor or 5-2 IStorafLe.low hazard I story of any existing building shall provide at least Notes to Table 3403: the number of means of egress as required by (1) See 780 C M R 3 and 4 and Appendix F. 780 CMR 3400.4 and which are acceptable to the (2) Hazard Index Modifier for selected construction building official types as follows: (a) When a building is classified in constructionType 3404.6 Capacity of exits: All required means cf IA,I B,2A,or 2B,subtract one from the Hawd index egress shall comply with 780 CMR 1000.0. Existing shown in Table 3403 for the applicable proposed new means cE egress may be used to contribute to the use group only, total egress capacity requirement based on the unit (b) When a buildings classified in construction7�pe egress widths of 780 CMR 1009.0. 2C or 513, add one to the Hazard index shown in Table 3403 fir the applicable proposed new use group only. Exception: PartialPreserved Historic 3404.7 Exit signs and lights:IY Partially Y >� Exit signs and Buildings(780 CMR 3409). fighting shall be provided in accordance with 780 CMR 1023.0. 448 780 CMR-Sixth Edition 2/20/98 (Effective 311/98) 780 EMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS REPAIR,ALTERATION,ADDITION AND CHANGE OF USE OF EXISTING BUILDINGS 3404.8 Means of egress lighting: Means of egress 3404.15 Institutional Use Groups:Notwithstanding lighting shall be provided in accordance with the provisions of 780 CMR 3404,Institutional Use 780 CMR 1024.0. Groups shall comply with the provisions of 780 CMR 3400.3,item 7. 3404.9 Height and Area limitations: The height and area requirementsof 780 CMR 5 shall apply to 3404.16 ResidentialUse Groups:Notwithstanding existing buildings when such existing buildings are the provisions of 780 CMR 3404,Residential Use modified by addition and/or change in use. Groups shall comply vAh the provisions of Modifications to the height and area requirements as 780 CMR 3400.3,item 8. provided in 780 CMR 504.0 and 506.0 are permitted 3404.17 Fire hazard to adjacent buildings: Any proposed change in the use or occupancy of an 3404.10 Existing Fire and party walls: No further existing building which has the effect of increasing compliance is required vdth 780 CMR 707.0.The the fire hazard to adjacent buildings shall comply height above the roof of existing fire, party and with the requirements of Table 705.2 for exterior exterior walls need not comply vkh 780 CMR wall fire resistance rating requirements, or with 3404.0 approved compliance alternatives. 3404.11 Fire Protection Systems:Fire Protection 3404.18 Accessibility for Persons with Systems: Design, installation and maintenance of Disabilities: Accessibility requirements shall be in fire protection systems shall be provided in accordance with 521 CMR as listed in Appendix A. accordance with 780 CMR 3404.3 and 780 CMR 3404.12 as applicable. 3404.19 Energy Conservation: Energy conservation requirements shall be in accordance 3404.12 Fire protection systems are required for with 780 CMR 3407.0. the following cases: 1. Additions where required by 780 CMR 9.0 for 780 CMR 3405.0 REQURU 4IENT FOR the specific use group. CHANGE IN USE GROUP TO TWO OR 2. For existing buildings and additions to existing MORE HAZARD INDICES GREATER buildings, where required by 780 CMR 9 or where required by 780 CMR 506 to satisfy height 3405.1 General: When the existing use group is and area requirements. changed to a new use group of two or more hazard 3. Existing buildings,or portions thereof which indices higher (as provided in Table 3403), the are substantially altered or substantially existing building shall conform to the requirements ' renovated, and where otherwise required by of the code for new construction,except as provided 780 CMR 9.0 for the specific use group. in 780 CMR 3408 or as otherwise allowed in 780 CMR 3407.0. Note: Notwithstanding the provisions of 780 CMR 3404.12, automatic Fire Suppression systems are required in municipalities which have 3405.2 Accessibility for Persons with Disabilities: adopted the provisions of MGL c148§26G,H or Accessibility requirements shall be in accordance 1(See Official lnterpretationNumber 45-96 listed with 521 CMR as listed in Appendix A. in Appendix B). 780 CMR 3406.0 COMPLIANCE 3404.13 Enclosure of stairways: Open stairways ALTERNATIVES are prohibited except in one- and two-family 3406.1 General: Where compliance with the otherwise provisions of the code for new construction,required dwellings or unless permitted by by 780 CMR 34, is impractical because of 780 CMR 10. There shall be no minimum construction difficulties or regulatory conflicts fireresistance rating required for an existing , enclosure of a stairway. Partitions or othernev compliance alternatives may be accepted by the construction which is added in order to fully and building official. solidly enclose a stairway shall provide a minimum Examples of compliance alternatives which have fireresistance rating of one hour. AH doors in the been used are provided in Appendix F. The enclosure shall be self-closingand tight-fittingvkh building official may accept these compliance approved hardware. All doors in those portions of alternatives or others proposed. the stairway which are fireresistance rated shall amply to the applicable provisions of 780 CMR 9. 3406.2 Documentation: In accordance with 780 CMR 3402.1.5,the building official shalt ensure 3404.14 Assembly Use Groups:Notwithstanding that the BBRS isrovided with information p the provisions of 780 CMR 3404, Assembly Use regarding compliance alternatives accepted or Groups shall comply with the provisions of rejected by the building official. 780 CMR 3400.3,item 6. 12/12/97 (Effective 8/28/97) 780 CMR-Sixth Edition 449 t NORTH '9 oAndover Town No. 3 dover, Mass., .? d 3 O Q COC MICIC ME WICK �1- ORATED C, BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System I BUILDING INSPECTOR THIS CERTIFIES THAT.......f .ZZ.. ..........PI �.P /!� , ........ .. ............................... Foundation hasp ermission to erect...�i '!I"� /! .. buildings on ........../A.10.0........ .s.��. D............... Rough to be occupied as.......I..'-t.4A...... .......mia..c.c.............................................................................. Chimney ' e 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 relatin to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 3 y �,�, Coo* $-ro / Cat ft'&4*W4 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST TS Rough ........ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. / D Date.�—A.P..7......7..... NORT1� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SS^CMUS� This certifies that ............................................................................................. has permission to perform ....— - -u- �'z.'.... :. ,,�.. SA^.................. wiring in the building of ..... . . .� lam. ..................... ......................-......r.^:..3i./.. ,North Andover,Mass. lFee4U/jE;) �.. Lic.Nol.��..<?, :.. .. ... ...... ........ ..... . .. ELECTRIEAL I CTOR t Check # /3 S q ;t i 7503 \ � Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services ' r BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cod M ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1p 07 City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his of heri tention to perform the electrical work described below. Location(Street& Number) (/S ad�_!/ S Y Owner rTenant/60Ov Sf, u.,( Q Cv,#.c VQ_ �hm.r Telephone N .��$ Owner's Address JOO 0S Od St- 6;1dM4 30 2n.4 r oon AA Is this permit in conjunction with a building permit? Yes 15 No ❑ (Check Appropriate Box) b Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: i1 i-7 30 Is T S- 24 _ t X13 - C13 RVA oys�at toz Is6-;,r s aoiJ Peed Nfw 3 's+0P Ifte-dba Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- El o.o Emergency Lighting rnd. rnd. Batte Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection-4 nd Initiating Devices No.of Ranges TonaTotal No.of Alerting Devices � g No.of Air Cond. No.of Waste Disposers Heat Pump Number ITons KW No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances Kir Security Systems: No.of Devices or Equivalent No.o WaterNo.KW No.o o. o Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: -7 10 16-1 Inspections to be requested in accordance with MEC Rule 10, and upon completion. 1 INSURANCE C VEVGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov age is in force,and has exhibited proof of same to the permit issuingoffice. CHECK ONE: INSURANCE [BOND El OTHER El (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: MILL FLecint c Co. 'ru c I I Licensee: LIC. NO.:CbS03� y►l S Jy�t Signature � _ �, z LIC. NO.:4503 (If applicable, ent r "exempt"in the icensnumber line) �3 Rrw�y Vlicense Se ✓t D3� Bus.Tel. No.:103S74- Alt.Tel. No.: *Per M.G.L c. 147,s. 57-61, securitywork regluires Department of Public Safety "S" License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, 1 hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $J p The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations = 600 Washington Street Boston, MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information r -�t-- �P(lease Print Legibly LName (Business/Organization/Individual): 1 EL( chy CO . _Nc- Address: City/State/Zip: ��v �`'( , 1y �'1 ��©� Phone #: Are u an employer? Check the appropriate box: Type of project(required): 1. 1 am a employer with 2 4. ❑ I am a general contractor and 1 6. ❑ ew construction employees(full and/or part-time).* have hired the sub-contractors 2.F-1I am a sole proprietor or partner- listed on the attached sheet. $ 7 Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers c. 152 comp. , §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cern under the pains and penalties of perjury that the information provided above is true and correct Signature: 3Date: 1 U Phone#: 4E _ 74 V 7�� Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: 1 0-1 v /. � ! � -�- f�`/ ��/, c���d �' .�fir; - /f C�y� � � � 1�S, �' /� � �' �� .. . t . . . � s E Location/6 0-0 d � No. �-� Date 3" 07 HTq o, 0R TOWN OF NORTH ANDOVER �? •� '_ ; •' OO. 9 Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ s+CHusE 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 1 Check # C�1 199'12 Building Inspector TEMPORARY 30 DAY CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number. 73 (SX-2-006) Date: Jerry 3, 2407{30 day Mgmtionsl THIS CERTIFIES THAT THE BUILDING LOCATED ON _ 1600 QA"o Street.,Building,30 MAY BE OCCUPIED AS Boiler Room .IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: OM Prop qjg 1600 Osgood Street North AndoverA 01845 0. 4 Building Inspector Y s TEMPORARY 30 DAY CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 73 { 4/2006) Date: ,December 1, 2006.__ THIS CERTIFIES THAT THE BUILDING LOCATED ON 1600 Qs&aodStreet,,BuMog 30 MAY BE OCCUPIED AS Boiler Room IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUR DING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: QMy Properties 1600 Osgood Street North Ati mr MA 01845 C9 v Buildin Inspector mg-lotmou-01mumn July 6,2007 Gerald LeBlanc Chairman Department of Public Safety—Architectural Access Board One Ashburton Place,Room 1310 Boston,MA 02108-1618 Re: Docket No.C07_018—Stipulated Order Osgood Landing,1600 Osgood Street,North Andover,MA 01845 Dear Mr.LeBlanc, As a follow up to the written plan for compliance submitted on April 12,2007,a copy of which is attached,I am hereby reporting that the work on the North Lot has been completed. I have included several photographs of the area and another copy of the architectural plan for your reference. As per the written plan,work on the South Lot is also progressing rapidly. The building permit, No.846,has been authorized by the municipality and the construction is being staged to bring the entrance into compliance. A copy of the permit is also attached along with a complete set of plans for your reference. Due to the lead times associated with some of the equipment,we expect that the work will take several months to complete. I will continue to apprise you of the progress. As stated previously,we are working very closely with our local building commissioner,Gerald Brown. Feel free to contact either one of us at any time should you require any further information. Sincerely, ;1 Ellen J Kelleia VP—Commercial Real Estate Cc: ✓Gerald Brown,North Andover Building Commissioner Robert Wilson,AAB Compliance Officer Osgood Landing 1600 Osgood Street,North Andover,MA 01845 Phone:(978)681-5004 a Fax(978)332-5440 w-ww.ozzyproperties.com July 3, 2007 Ellen Keller Ozzy Properties, Inc. 1600 Osgood Street North Andover, MA 01845 RE: REVIEW OF PARTIAL WALL COLLAPSE 1600 Osgood Street- North Andover, MA (DEI Project No.:D 1803) Dear Ellen: At your request, we visited the above mentioned site on 6/28/07 to view the partial collapse of a masonry wall that had, as we understand it, occurred the previous evening. The collapse had occurred in Building #30 in the Is' floor (basement) area in near proximity to column 'C-7'. A roughly 2' wide by 3' high area of an existing terracotta partition had fallen from the wall to the floor approximately 10'below. The failure was determined to likely be the result of years of expansion and contraction in the wall. At the location where the failure had occurred, a 6" diameter pipe ran down the inside of the wall and so the masonry had to be cut to fit. Only the face shell of the wall was extended in front of the pipe (the back of the blocks were cut away around the pipe). This created a weak point in the wall which therefore experienced the most movement due to thermal expansion and contraction. After years of movement, the wall evidently weakened enough to force this area to pop off. Because the wall in which this failure occurred is not a bearing wall, it is our professional opinion that said condition poses no threat to the structural integrity of the building or to the wall as a whole. The space in which this area is located is currently not occupied and has been cordoned off. Therefore, any possible secondary failures pose no life safety concerns. The owner was instructed to keep the area cordoned off(as it was when we arrived) until a repair can be provided. A journeyman mason shall rebuild this wall as needed to assure its safety. Feel free to call if there are any questions. Very truly, DAIGLE ENGINEERS INC. \ DAIGLFXNGINEERS INC. +0"V l o E'' 1 �. DAZ-E r AL David A. Dutil (ext. 123) Robert K. Daigle, P.E. (ext. 115) STRJ _ 3 Associate Engineer Principal/President NC 2'2' a ddutil®daigleengineers.com rda4le®daigleengineers.com DAD/dad Daigle Engineers, Inc. 1 East River Place Methuen,MA 01844-3818 Over 25 Years in Business-Est. 1979 978 682 1748 978 682 6421 fax DEI.� �.D1803Lo70307 a„ v� . gr i ol i www.daigleengineers.com OR . CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 65 (8/1/0 Date: February 5, 2007 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1600 Osgood St - Ozzy Properties (Columbia Construction) MAY BE OCCUPIED AS Tenant Fit Up —Bldg 30, 1" Floor 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 t NORTH '9 Tovm Of AKE dover, Mass.,. • • COCMICKEWICK y�. 7�S RATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT-02Z... ...... .. ............ ... d� ! ... .. . �� • Css� . BUILDING INSPECTOR ounda 'o /�jJ has permission to erect.......�. .... . ...�r�:�.�,l v . buildings on.��-0......... .3�.... � �,� to be occupied as.. c.!n ...... } e provided that the person accepting this permit shag in every respect confotm to the terms of the applicatl6n on file in i,� 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 IN PECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. p�u ° (0 QJO "�'� PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRU70Y4�j ELECTRICAL INSPECTOR Rough �vU�t........ .. Service ......... .......... ............ILDING INSPECTOR � ®k, /3 c.j• e� Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. k; U SEE REVERSE SIDE Smoke Det. CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 73 (8/4/06) Date: February 5, 2007 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1600 Osgood St - Ozzy Properties MAY BE OCCUPIED AS Tenant Fit Up— Boiler Proiect IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Qm t'ro hies 1600 Osgood Street North Andover MA 01845 Building Inspector NORTH _ r F �. Town of No. 7 3 dover, Mass., J2 COCMICMEWICN ADRATED `S BOARD OF HEALTH i PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ............... .........�. �................ ...... .... ..................... Foundation has permission to erect....................... ..... .... buildings on ...... a 0................ . ................ . ........................ Ce2vO _v' 6 rL 1L to be occupied as..........11111-44--, ,,� ... espec �!/ Chimn jt,,,v'dj9 ` provided that the person accepting this permit shall in every rt conform to the terms oft app ion on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, AReration an onstruction of Buildings in the Town of North Andover. P UMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Roush PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR -� UNLESS CONSTRUCTI START C /. ..................... Service BUILDIN SPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR RoughDisplay in a Conspicuous Place on the Premises — Do Not Remove Final O` l No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner �r�`^ Street No. SEE REVERSE SIDE j smoke Det. ez 91Q e Deval L.Patrick rU Thomas G.Gatzunis, Governor6���2�D66O 11dDD-,P2�1222 Commissioner Timothy P.Murray / /g y g /� Thomas P.Hopkin Lieutenant Governor c/�Oi/ -OD�Y Director Kevin M.Burke �Q� GJ! www.mass.gov/dp. Secretary TO: Local Building Inspector Variance Number: 07 077 Local Disability Commission Independent Living Center FROM: ARCHITECTURAL ACCESS BOARD RE: Laser Craze - Osgood Landing, Bldg 30 1600 Osgood Street North Andover Date: 6/7/2007 Enclosed please find the following material regarding the above location: Application for Variance ``, Decision of the Board Notice of Hearing Correspondence Letter of Meeting The purpose of this memo is to advise you of action taken or to be taken by this Board. If you have any information which may assist the Board, in reaching a decision in this case, you may call this office or you may submit comments in writing. e VIZI Deval L.PatrickGJOlL, Gf� O2%O�/O/6 Thomas G.Gatzunis, Governor '/GG/ OOOO/%-UOD-�.G�/GGG Commissioner Timothy P.Murray Thomas P.Hopkin Lieutenant Governor Director Kevin M.Burke www.mass.gov/dp Secretary NOTICE OF ACTION DOCKET#: 07 077 RE: Laser Craze -Osgood Landing, Bldg, 1600 Osgood Street North Andover 1. A request for a variance was filed with the Board by Gregory Hughes (Applicant) on May 14, 2007 The applicant has requested variances from the following sections of the 06 Rules and Regulations of the Board: Section: Description: 24.2.1 Applicant seeks relief from having to provide 1:12 (8.3%) ramp slopes which lead to the mezzanine play area in a newly constructed laser tag facility. Applicant proposes slopes of 1:4. 2. The application was heard by the Board as an incoming case on Monday, June 4, 2007 3. After reviewing all materials submitted to the Board, the Board voted as follows: GRANT: The variance to Section 24.2.1 for the reason that impracticability has been proven in this case and on the condition that, 1. The ground floor level of the laser tag play area and all of its amenities for the facilities i.e. toilet rooms reception counter, dining areas etc., are constructed in full compliance with 521 CMR and the applicable Sections, 2. When a person with a disability wishes to play, the ramps to the second level will be closed for any game the person is involved in so that the field of play is all at the main level. 3.Advertisements will be placed on the facilities website and in in-store brochures stating that the facility can accommodate groups of persons with disabilities for multiplayer games, with games being blocked off for special request groups. 4. and that the facility will work with the local independent living centers to offer discounted group rates to help persons with disabilities in promoting the facility. Any person aggrieved by the above decision may request an adjudicatory hearing before the Board within 30 days of receipt of this decision by filing the attached request for an adjudicatory hearing. If after 30 days, a request for an adjudicatory hearing is not received, the above decision becomes a final decision and the appeal process is through Superior Court. Date: June 7, 2007 cc: Local Disability Commission ARCHITECTURAL ACCESS BOARD Local Building Inspector Chairperson Independent Living Center Location QQ '�e2 �� 30 60 less No. 73 Date 1`3 0—06 NORTq TOWN OF NORTH ANDOVER F 9 • s ; ; Certificate of Occupancy $ Nutom Building/Frame Permit Fee $ s,+cst Foundation Permit Fee $ Other Permit Fee F%h ( $ TOTAL G 4 St $ � Check # 19844 � 1�1i ►m Building Inspector �.��-- t NoRrh TOWN OF NORTH ANDOVER ?°•"'90^•,a°� OFFICE OF ° . . p BUILDING DEPARTMENT 400 Osgood Street 4� North Andover,Massachusetts 01845 �SS�causEi `Telephone(978)688-9545 Gerald A Brown Fax (978)688-9542 Inspector of Buildings AFFIDAVIT FOR FINAL COST OF CONSTRUCTION In accordance with the provisions o the Massachusetts State Building Code, Article 1, Section 110.4 and 114.2, the total estimated cost of the construction including all related construction costs* of the building located at tcoCK-', C.r-tQ�': r *3o (( �`, s� amounts to being the.person referred to as the owner identified below, do solemnly swear that the statements made herein are strictly true and correct and made in good faith. *Related construction costs included all work done with or concurrently with the work contemplated by the Building Permit including demolition, plumbing, heating, electrical, air conditioning, painting, carpentry, landscaping, site improvement, etc. Furnishings and portable equipment are not part of the total construction costs. ture of Owner COMMONWEALTH OF MASSACHUSETTS ------- - s.s. /l Oy- /5' 20 y Then personallyappeared the able named \ PP and Made an oath that the above statement is true. MARY LEARY-IPPOLITO Before, Me, Notary Public Commonw,afth of Massachusetts My Commission Expires June 7,2007 NotaryPublic OFFICIAL USE: Final Cost: Original Estimate cost of general work: _-...,,..___._._.__....,.-.,.,......�_........_ .... ..._-... Cost Difference. _ .......... ...... Additional Fee Required: .......... TO AMEND FEE UNDER PERMIT NO.: ___...:_ .... ._...................... ..... .. ._ . . Impe lionM services Department 2005 F Tmalcostaffdavitform Strict code enforcement makes the town safer Before buying, renting,leasing check zoning a TOWN OF NORTH ANDOVER Final Design Affidavit Project Number: 0605046 Project Title: Boiler Replacement Project— Boiler Plant Project Location 1600 Osgood St. 1st floor Building 30 Name of Building: 1600 Osgood St. —Osgood Landing Nature of Project: Replacement of central boiler plant building with smaller more efficient boilers inside of the main building 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 PFefessienal Eng#te^-/Architect, HEREBY CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Architectural X)000 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. Subject to the completion of items listed in final observation report. S attached observation report. Signature and Stamp(no facsimile) �GS��REDARCHi� Q�GpRY A Nu.869� � o WMANDoVEEI, SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF m eAC 2006 MY COMMISSION GE N TARY PUBLIC NOTA4tYpUBIIC co to b Aug.7,200is My Comm Exptres Aug.7,2009 GSD Associates, LLC ' . 148 Main Street, Building A, North Andover MA 01845 Tel: 978 688 5422 Fax: 978 688 5717 Web: www.gsd-assoc.com • Computer Aided Design • Architecture • Planning • Interiors • Development Consulting To-7r—OM f3, DATE: ( 1/20010 JOB NAME AND #: Le-rz �P/Evivwr PI- I f C T'• TIME START: : TEMP- �)0tiW� ATHER: gSUV1-Atj LOCATION: Cq&4700 STS TIME END: : SITE OBSERVATION/PROJ€C-T=MEETING#R PORT,i ......... . I IE9 P f it qev - ' , I f 1 1 i _. .. ...i .I......... i... .. ..i.. .....i... _. i... ...,. .... i.. ...R. ...�......._ ..i.._ .. .. .. .......i !.......... A ......i....... 1_.......i.... A !_ '...._.... ;...... 1 .. ..i......... L.........E _A....... ` l t F 11T ;�V, 11r.� E rle k /..�r 't'Sti` ' ` •- %�'�/,� ,, ,�*'�?�� TiN� � �//`V'YS/'�l�3 ° l�'�1� TTz'' f,'�,E f �dr�r';�"��'�. I i I I I Ik i i F U;�C� v, . jqe Argy r& , GFf�i�-A=�! 5TWJr? 1�L�., S 7Z �,C' �"C� T � I/�% r-1,t2p- f ! t f 1 �. i 1 ` I i I I 1 I I 1 1 F 1 Zvi , t 1 f F i 1 t -. _,.......i........ _1... 1..........1 ....E......_i .. ..I........ ........ ..I...... .. .l t... .._._i .. ...4...... i _...t... .. _:.. .. i......... .....:...... 1 ......1... ...1.... ..._i t 1 i L t I I i t i 1 t F i I 1 1 I 1 1 E i f � 1 I 1 t i t I 1 I I I i 1 i i i i i i i f E :� i ..... .......... rVV i Recorded By -~ � Reviewed � Page No: 9 ELECTRICAL AFFIDAVIT (Excluding Remaining Punch List Items) �F Commonwealth of Massachusetts C0 County of Middlesex Sct. On this 16th day of November,2006 before me, Cheryl Lynn Casey,a Notary Public duly commissioned and qualified for the Commonwealth of Massachusetts,personally appeared Raymond J.Walsh Jr.,PE. No.45241 who,being duly sworn, on behalf of B2Q Associates,Inc.deposes and states that electrical work constructed to date on the 1St floor of 1600 Osgood Street located in North Andover Massachusetts was inspected on November 15,2006,and that to the best of his knowledge,information,and belief, there are no apparent violations of applicable laws or codes of the Commonwealth of Massachusetts,or the Town of North Andover,MA or any other regulatory agencies having jurisdiction. Based on his review on the above date,the project is built in conformance with the plans and specifications, and meets the requirements of all applicable codes and conforms to generally accepted engineering practices. Therefore,I request that the Town of North Andover issue a Certificate of Occupancy for: Project Title: Boiler Replacement Project Location: 1600 Osgood Street 1"floor North Andover,MA 01845 Name of Building: Ozzy Properties Nature of Project: Boiler Replacement Name of PE: Raymond J.Walsh Jr. Title: Electrical Engineer W OF IVjgssgcy Firm Name: B2Q Associates,Inc. RAYMOND J. GN Firm Address: 5 Arrowhead Lane WALSH JR. �a C) ELECTRICAL Beverly,MA 01915 No.45241 A�O-'9,CISTEP�O���Q Telephone: (978)969-3747 FSS�ONAL Mass PE Seal drid.Signa Subscribed and Sworn to before me this day of 2006 CHERYL LYNN CASEY Notary Public O otary Publi eal a d Signature Commonwealth of Massachua66 MyCormis nEx0resOc127,2011 y Commission Expires MECHANICAL AFFIDAVIT (Excluding Remaining Punch List Items) Commonwealth of Massachusetts On this DAY 11/16/06 before me,Brenda Duryea,a Notary Public duly commissioned and qualified for the Commonwealth of Massachusetts,personally appeared Paul Banks,PE. No. 33669 who,being duly sworn,on behalf of B2Q Associates Inc. states that Mechanical work constructed to date on the 1 st floor of 1600n Osgood Street Massachusetts were inspected on 11/15/06,and that to the best of his knowledge,information,and belief,there are no apparent violations of applicable laws or codes of the Commonwealth of Massachusetts,or the Town of Norht Andover,MA or any other regulatory agencies having jurisdiction. Based on his review on the above date,the project is built in conformance with the plans and specifications,and meets the requirements of all applicable codes and conforms to generally accepted engineering practices. Therefore,I request that the Town of North Andover issue a Certificate of Occupancy for: Project Title: Osgood Landing Boiler Replacement Project Project Location: 1600 Osgood Street North Andover MA Name of Building: BLDNG 30 Nature of Project: Bolier and low pressure steam plant Name of PE: Paul Banks Title: Mechanical Engineer Firm Name: B2Q Associates Inc. Firm Address: 5 Arrowhead Lane PAUkJ Gp BANKS Beverly,MA 01915 9 MECHAWVAL10 No;33689 Telephone: 9789693747 TC n Mass PE Seal and Si jgAtur Subscribed and Sworn to before me this t w day of t'�V ' ,2006 Notary Public Seal and Signatur Ili10 - My Commission Expires FINAL CONSTRUCTION CONTROL COMPLETION PROJECT LOCATION: 1600 Osgood Street North Andover MA NAME OF PROJECT: Boiler Plants-North and South PROJECT NO: D1609 SCOPE OF PROJECT: Design of stack and pipe supports and floor trench I Robert K. Daigle, of Daigle Engineers,Inc. submit that our office has performed the following professional ser- vices, as specified in Massachusetts State Building Code Section 116.2.2 and as related to the structural portions of the work: 1. Reviewed 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. Reviewed and approved the quality control procedures for all code-required controlled materials. 3. Been present at intervals appropriate to the stage of construction, and complexity of the project,to become generally familiar with the progress and quality of the work, and determine to the extent practical and pos- sible the work was being performed in a manner consistent with the structural construction documents. To the best of our information,knowledge, and belief,the structural work has been satisfactorily completed in substan- tial compliance with the inten e construction documents with only minor issues outstanding which will be fol- lowed to completion by t ROBERT„ KENNETH DAIGLE Signature: STRUCTURAL N0.28583 Massachusetts Registration No. 28583 Rl Our observations during site visits do not relieve the Contractor or its subcontractors of their responsibilities and obligations for qual- ity control of the work, for any design work which is included in their scope of services(i.e. design delegation),and for full compli- ance with the requirements of the Construction Documents and applicable building codes. Furthermore,the detection of,or the fail- ure to detect, deficiencies or defects in the work during our site visits does not relieve the Contractor or their subcontractors of their responsibility to correct all deficiencies or defects,whether detected or undetected,in all parts of the work, and to otherwise comply with all requirements of the Construction Documents. NOTARY STATEMENT: Subscribed and sworn to before me this day of NOTARY PUBLIC MY COMMISSION E SPIRES ON D1609 CCA 110306.doe i FIRE PROTECTION AFFIDAVIT (Excluding Remaining Punch List Items) Commonwealth of Massachusetts On this DAY 11/16/06 before me,Brenda Duryea,a Notary Public duly commissioned and qualified for the Commonwealth of Massachusetts,personally appeared Rand Refrigeri,PE. No. who, being duly sworn,on behalf of B20 Associates Inc.states that Plumbing work constructed to date on the Ist floor of 1600 Osgood Street Massachusetts were inspected on 11/09/06,and that to the best of his knowledge,information,and belief,there are no apparent violations of applicable laws or codes of the Commonwealth of Massachusetts,or the Town of North Andover,MA or any other regulatory agencies having jurisdiction. Based on his review on the above date,the project is built in conformance with the plans and specifications,and meets the requirements of all applicable codes and conforms to generally-accepted engineering practices. Therefore,I request that the Town of North Andover issue a Certificate of Occupancy for: Project Title: Osgood Landing Boiler Replacement Project Project Location: 1600 Osgood Street North Andover MA Name of Building: BLDNG 30 ,N OF MA'9 NO JOHN Nature of Project: Bolier and low pressure steam plant RAyGs g REFRIGERI a FIRE PROTECTION Name of PE: Rand Refrigeri No.38694 A9 9FGISTEP�� ``Q Title: Fire protection Engineer X'^ CSS EN�\� Firm Name: B2Q Associates Inc. Firm Address: 5 Arrowhead Lane Beverly,MA 01915 Telephone: 9789693747 PE Sea n Signature Subscribed and Sworn to before me this ✓� �� day of I p DV&'/W[0Lr,2006 "a I Notary Public S al and 'gnatur 12cp My Commission Expires PLUMBING AFFIDAVIT (Excluding Remaining Punch List Items) Commonwealth of Massachusetts On this DAY 11/16/06 before me,Brenda Duryea,a Notary Public duly commissioned and qualified for the Commonwealth of Massachusetts,personally appeared Rand Refrigeri,PE. No. who, being duly sworn,on behalf of B2Q Associates Inc. states that Plumbing work cons to to d to on the 1st floor of 1600 Osgood Street Massachusetts were inspected on 11/09/06,and that to the best of his knowledge,information,and belief,there are no apparent violations of applicable laws or codes of the Commonwealth of Massachusetts,or the Town of North Andover,MA or any other regulatory agencies having jurisdiction. Based on his review on the above date,the project is built in conformance with the plans and specifications,and meets the requirements of all applicable codes and conforms to generally-accepted engineering practices. Therefore,I request that the Town of North Andover issue a Certificate of Occupancy for: Project Title: Osgood Landing Boiler Replacement Project Project Location: 1600 Osgood Street North Andover MA Name of Building: BLDNG 30 va OF 414S. Nature of Project: Bolier and low pressure steam plant o cyG Name of PE: Rand Refrigeri RAND JOHN N o REFRIGERI Title: Mechanical Engineer MECHANICAL ,a ,9 No.30394 '30394 Firm Name: B2Q Associates Inc. �SS�ONTS AL ENG�� Firm Address: 5 Arrowhead Lane Beverly,MA 01915 Telephone: 9789693747 Mass PE Se 1 � ig/nature I �,,��� Subscribed and Sworn to before me this �r day of Y� b .14 ht' ,2006 AW-A Notary Public Seal and SigWature ( ),,) &/0T My Commission Expires NORTH Town of . t 4Andover 4A046 �3 = A dover, Mass., COC MIC ME WICK`V 7�ADRATED `S BOARD OF HEALTH PERMIT D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT . ..... ...... . Foundation has permission to erect....................... ..... buildings on ...........d.d................ ,. to be occupied as..........�...�..Q4�,, ... •• ,�! v .414 Chimn - provided that the person accepting this permit shall in every respect conform to the terms oft app tion on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration an onstruction of Buildings in the Town of North Andover. P UMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Oa a 4 11Aqo� 62 r p PERMIT EXPIRES IN 6 MONTHS ' ELECTRICAL INSPECTOR UNLESS CONSTRUCTT START . .......4iDm ......................... Service ING SPECTOR � ZL •- tea'a�' �� Occupancy Permit Required to Occupy Building GAS INSPECTOR Ro , c Display in a Conspicuous Place on the Premises — Do Not Remove Fina No Lathing or Dry (Nall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. NORTH TOWN OF NORTH ANDOVER . 90 .. 0 OFFICE OF ° p BUILDING DEPARTMENT 400 Osgood Street .r r North Andover,Massachusetts 01845 ss�cNus�. "filephone(978)688-9545 Gerald A Brown Fax (978)688-9542 Inspector of Buildings AFFIDAVIT FOR FINAL COST OF CONSTRUCTION In accordance with the provisions o the Massachusetts State Building Code, Article 1, Section 110.4 and 114.2, the total estimated cost of the construction including all related construction costs* of the building located at t koc$z� .,Cm;i QL>r S�.( „ ��, o (C „` S� amounts to $ 3 `tz-`- being the person referred to as the owner identified below, do solemnly swear that the statements made herein are strictly true and correct and made in good faith. *Related construction costs included all work done with or concurrently with the work contemplated by the Building Permit including demolition, plumbing, heating, electrical, air conditioning, painting, carpentry, landscaping, site improvement, etc. Furnishings and portable equipment are not part of the total construction costs. lure of Owner COMMONWEALTH OF MASSACHUSETTS _.._._.---_-_._ s.s. / Oy- /S 20 y Io Then personal! appeared the able named Y pP and Made an oath that the above statement is tette. MARY LEARY-IPPOLITO Before, Me, Notary Public Commorrw=_�fth of Massachusetts My Commission Expires June 7,2007 Notary Pubh( OFFICIAL USE: Final Cost: Original Estimate cost of geneto work: Cost Difference. Additional Fee Required: w_ TO AMEND FEE UNDER PERMIT NO.: lavpedional servion DepadmW 2005 F'finat�nxtaHid�vitfam Strict code enforcement makes the town safer Before buying twang,leasing check zoning NpRTp TOWN OF NORTH ANDOVER OFFICE OF ° A BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts 01845 ' _. ;,SSACHUS�'��y Telephone(978)688-9545 Fax (978)688-9542 Gerald A. Brown Inspector of Buildings AFFIDAVIT FOR FINAL COST OF CONSTRUCTION In accordance with the provisions o the Massachusetts State Building Code,Article 1, Section 110.4 and 114.2,the total estimated cost of the construction including all related construction costs* of the building located at a1(.Oy Sao s C amounts to $ �'7 1, being the person referred to as the owner identified below, do solemnl swear that the statements made herein are strictly true and correct and made in good faith. *Related construction costs included all work done with or concurrently with the work contemplated by the Building Permit including demolition, plumbing, heating, electrical, air conditioning, painting, carpentry, landscaping, site improvement, etc. Furnishings and portable equipment are not part of the total construction costs. Signature of O er COMMONWEALTH OF MASSACHUSETTS S.S. do k 20 D 6y Then personally appeared the able named k V,-"t IT Q 0,6 � and Made an oath that the above statement.is true. Before, Me, N tary Public OFFICIAL USE: Final Cost: -.-.- Original Estimate cost of general work: Cost Difference: _..._..._......_ .1../...--,/-. .._._._.. ..... Additional Fee Required: TO AMEND FEE UND PERMIT NO.: _ _...:..__....._.. . _.__._._..__ Inspectional services Department 2005 FAfinalcostaffidavilrormen ormwnt makes the town saler lar%ore hrrying.renting.leasing cheek zoning li(1;\Ill)i1f.\PPFij\Ls 688-9541 CONSFAIVArIt1N633-9530 Illi:\Lnio88-9540 PLANNING 638-053i r p <:Y' � z, Deval L.Patrick /y g y pG� yG� Thomas G.Gatzunis Governor Commissioner Timothy P.MurrayHopki Lieutenant Governor Director� G/-OD�O Thomas P. or Kevin M.Burke 2�0665 www.mass.gov/d Secretary TO: Local Building Inspector Independent Living Center Local Commission on Disability Complainant FROM: Architectural Access Board RE: North and South Parking Lots 1600 Osgood Street North Andoer, MA 01845 DATE: 7/12/2007 Enclosed please find a copy of the following material regarding the above location: Application for VarianceDecision oft e Board Notice of Hearing Correspondence Letter of Meeting Stipulated Order First Notice Second Notice The purpose of this memo is to advise you of action taken or to be taken by this Board. If you have any information which would assist the Board in this case, you may call this office, or you may submit your comments in writing to the above address. Thank you for your assistance. A , / V ! e U1M SO �V/,, Deval L.Patrick OJf�L, Thomas G.Gatzunis Governor Commissioner Timothy P.Murray Thomas P.Hopki or Lieutenant Governor /g % /Y Director Kevin M.Burke 6//-�2/-066� www.mass.gov/d Secretary William D. Raviala, Jr. Docket No. C-07 018 1600 Osgood Street Roorn 302AA3 i North Andover, MA 01845 COMPLAINT RESOLUTION RE: North and South Parking Lots , 1600 Osgood Street, North Andoer, MA On 3/22/2007 you filed a complaint with this office regarding the above premises. After reviewing all the information, the Board finds that your complaint has been resolved due to the following action: 1) Photographic evidence has been submitted that shows the North Lot appears to be in compliance. This evidence was sent as correspondence on July 10, 2007. 2) Evidence has been submitted that shows the South Lot does not appear to lead to the closest accessible entrances; therefore, when handicapped spaces are dispersed they should be dispersed among other accessible lots. Any person aggrieved by the above decision may request an adjudicatory hearing before the Board within 30 days of receipt of this decision by filing the attached request for adjudicatory hearing form. If after 30 days, a request for an adjudicatory hearing is not received, the above decision becomes a final order and the appeal process is through Superior Court. Date: July 12, 2007 ARCHITECTURAL ACCESS BOARD Chairperson VVI cc: Owner Local Building Inspector Independent Living Center Commission on Disability - p . VI I ti• , ° !s a a v �s O • AQQ •ar+w0 O 7plrtA I u Owl 1i7d 3 r T Z74 Y r,;3.16ra �� R r . I 71MT10 Scot 74.t.k.15'M.t Ca mad"*% WW1 i }i'h,Y.,tL11C. f''<S' S -0i ` I xvte '' '��no BUILDING 30 pmkvmA ``��11 nam ' 11'1 •�H"'m"' -D PARKING LOT r�aR.s i.ol�r, Gly �� Ip6 Pfd s �oor�arowrtral � ct • a7ww�owe ..tee BREEZEWAY � WLDNG 21 e r souT}i vlsr cm " ` BUILDING 20 NORTH VISITORS LOT t PAMCINO LOT CLOSED TO THE PUBLIC EAST PARKING LOT J tj k to i'%1>Rt SYAS',Z•'i •- R� i I , I I R1R1MC SREPlM •,N ``L�.S/J�/y 1 f�1s✓s Rl PR7NOIP7N 0 p1M SJev / Deval L.PatrickG� 7Z, �u!/J�'� Thomas G.Gatzunis Governor Commissioner Timothy P.Murray / / y y / Thomas P.Hopki Lieutenant Governor c/ /2/ Director Kevin M.Burke Secretary 066J!' www.mass.gov/d TO: Local Building Inspector Independent Living Center Local Commission on Disability Complainant FROM: Architectural Access Board RE: North and South Parking Lots 1600 Osgood Street North Andoer, MA 01845 DATE: 7/10/2007 Enclosed please find a copy of the following material regarding the above location: Application for Variance Decision of the Board Notice of Hearing Correspondence Letter of Meeting Stipulated Order First Notice Second Notice The purpose of this memo is to advise you of action taken or to be taken by this Board. If you have any information which would assist the Board in this case, you may call this office, or you may submit your comments in writing to the above address. Thank you for your assistance. Y 1i &•s -� `mss r� ar* y� _ July 6,2007 Gerald LeBlanc Chairman Department of Public Safety—Architectural Access Board One Ashburton Place,Room 1310 Boston,MA 02108-1618 Re: Docket No.C07018—Stipulated Order Osgood Landing, 1600 Osgood Street,North Andover,MA 01845 Dear Mir.LeBlanc, As a follow up to the written plan for compliance submitted on April 12,2007,a copy of which is attached,I am hereby reporting that the work on the North Lot has been completed. I have included several photographs of the area and another copy of the architectural plan for your reference. As per the written plan,work on the South Lot is also progressing rapidly. The building permit, No.846,has been authorized by the municipality and the construction is being staged to bring the entrance into compliance. A copy of the permit is also attached along with a complete set of plans for your reference. Due to the lead times associated with some of the equipment,we expect that the work will take several months to complete. I will continue to apprise you of the progress. As stated previously,we are working very closely with our local building commissioner,Gerald Brown. Feel free to contact either one of us at any time should you require any further information. Sincerely, Ellen J Ke-&� VP—Commercial Real Estate JUL — � 22 07 Cc: Gerald Brown,North Andover Building Commissioner Robert Wilson,AAB Compliance Officer Osgood Landing 1600 0;.avod Street;North Andover,1 cA 0184- Rhone:(978)681-3004*Fax(978)332-3440 •-.<,3�:.orz�properties,com _.s..�,.._......�.,.. ...�...a_.v rr UI AA r 1 +# y t ou t ux f� -.°'.2 I 0 ",m,".r` 4. �,s &4 t' s o�� ' +�"``i `. ,r-;yah '' 2007_0706JULY2007NORTHLOT0077.JPG 2007_0706JULY2007NORTF-9LOT0078.JPi 6Y , A AS, NY 4 HER but v _. . �= t _. 2007_0706JULY2007HORTHLOT0079.JPG 2007 0706J _ ULY2007NORTHLOTOO80.JPC t, t ® ervsa �!� amx ra , a a ren aw_•. .< N a I �EI �iNc1 t F krf M t y ,-✓5R �p 1 t.:} moi'~ -;. .:. .� t p MID , ?6 7r g 2007_0706JULY2007NORTH LOT0081 .JPG 2007_07016JULY2007NORTHLOT0082.JP( µms;:. zm• e aM �. . - f-d if moi, 111`ui �� Mit; irt t ! . t' 2007_0706JULY2007NORTHLOT0083.JPG 2007_0706JULY2007NO-'THLOT0084.JPC