HomeMy WebLinkAboutMiscellaneous - 1627 OSGOOD STREET 4/30/2018 (5) BUILDIMG FILE BUILDING FILE
Location_X
No. Date -2116 Z Z
' TOWN OF NORTH ANDOVER
rs •
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee S��/V $ -3°~
TOTAL $
Check#�
25027 Bui ding Inspector
?ERMr 'APPILWATFON
1600(Osgood Street Buufldlmg 20, Sante 2-36
TbWN(11F NORTH Al`�OVER Date:
777, Name of applicant who is purchasing the sign oo 7"7 '_.,46;�'
Site Owner .v
Phone#of applicant who is purchasing the sign
Site Address Name of sign company `
hone#
' IUTatD Size ®f lir®p®sed.Si •��� �X :�1, � --� L '�„-�-�a,�
How attached: a)Against the gall ���/.�,,�/;/,�� Illumination: a�N®t illr�inated aced
b)I[�oof b
c)Ground c)LFidepnally illuminated
d)Other Materials- C"
Proposed Colors: Background 6-
Lettering
]order Cost of Si `7
l_L&eannnui°ed Attachments, T`�Tote: N®pea�aaaiaent/tenn or
Photographs of building p ary sign shall be erected, or enlarged until an
Material sample application on the appropriate form famished by the Sign Office has been filed.
Color sample with the Sign Officer containing such information incfluding photographs,plans
Site or Plot Plana(Required
Drawings of propoosedd sign
and scale.drawings, as he may require,and a permit for such erection,alteration,
signfor.all free-standing signs or enlargement has been issued by hien. Such permit shall be issued only of the
gn
®that,specSign Officer determines that the sign complies or will comply with all
ify applicable provisions,of the Tey-Law.
Will sign overhang any public road or walkway Yes ( ) No
If Yes,Name of Agency who will provide liability insurance:
AN]NCO I PL E'E APPLICATION WILL NOT BE ACCEPT.ED
DATE]FILED: /a--
Receipt# Check#
Revised 10.3 l.2®®6Form Sign Permit Application S)<O . A]C1 J] OF APPLICANT
APPROVED BY
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F NORTH qw-
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0 2 .'�. TOWN OF NORTH ANDOVER
�44 cOCNICMIwK.N%l T SIGN PE ■ \ MT
�SSACHU`-`��
DATE: February 16, 2012
PERMIT: S012-2012
THIS CERTIFIES THAT North Andover Haverhill Animal Hospital has permission to erect. "North Andover Haverhill
Animal Hospital Plastic Letters 15 x 50 ft. 62.5 sq. ft. total
on 1627 Osgood Street provide that the person accepting this Permit shall in every respect
conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the
Sign Regulations in the Town of North Andover.
Violation of the Zoning of Sign Regulations, Section #6, Voids this Permit.
INTERNALLY ILLUMINATED SIGNS ARE PROHIBITED
Inspector of Buildings
-Amount Paid: $30.00
Receipt.# 25027
NORTH qw•
o SSLED 16• "YO
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' . to TOWN OF NORTH ANDOVER
L.KQ
AtE° rP
' SIGN PERMIT
.�5
�SSACHUS��
DATE: February 16, 2012
PERMIT: S012-2012
THIS CERTIFIES THAT North Andover Haverhill Animal Hospital has permission to erect. "North Andover Haverhill
Animal Hospital Plastic Letters 15 x 50 ft. 62.5 sq. ft. total
on 1627 Osgood Street provide that the person accepting this Permit shall in every respect
conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the
Sign Regulations in the Town of North Andover.
Violation of the Zoning of Sign Regulations, Section #6, Voids this Permit.
INTERNALLY ILLUMINATED SIGNS ARE PROHIBITED
Inspe for of Buildings
Amount Paid: $30.00
Receipt# 25027
ORTil
16� Y
3� S' '' t..•t, •6 DOL
TOWN OF NORTH ANDOVER
6 "`"`' I'
TED
SIGN PERMIT
CRA 'pP
�SSACHUS��
DATE: February 16, 2012
PERMIT: S012-2012
THIS CERTIFIES THAT North Andover Haverhill Animal Hospital has permission to erect. "North Andover Haverhill
Animal Hospital Plastic Letters 15 x 50 ft. 62.5 sq. ft. total
on 1627 Osgood Street provide that the person accepting this Permit shall in every respect
conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the
Sign Regulations in the Town of North Andover.
Violation of the Zoning of Sign Regulations, Section #6, Voids this Permit.
INTERNALLY ILLUMINATED SIGNS ARE PROHIBITED
Inspe for of Buildings
Amount Paid:$30.00
Receipt#25027
Daniel J.Parker,A.I.A.
A R C H I T E C T
158 Gale Avenue
Bradford,MA 01835
Architecture ♦ Planning ♦ Project Development
Voice/Fax:978-373-2446
January 3, 2012
Doug Legare
TWOMEY & LEGARE CONTRACTING
P. O. Box 366
North Andover, MA 01845
Project:
1627 Osgood Realty Trust/Tom Murtha
1627 Osgood Street, North Andover, MA
Ramp Railings
ARCHITECT' S AFFIDAVIT
Dear Doug,
I visited the Project on Tuesday,January 3, 2012 to review the railings
installed on the existing concrete sidewalk ramp for the Project noted above.
During the visit I observed that the materials and connections for the railings
installed to be consistent with the Project specifications and the installation to be
in compliance with the details shown on the design drawing dated 12/16/2011.
It is my professional opinion that the railings and sidewalk ramp appear
complete and the work was performed in a manner consistent with the design
drawings and that it meets the applicable specifications, details and the
applicable sections of the Massachusetts State Building Code.
If you should have any questions, please feel free to give me a call and I'll
be glad to discuss them with you.
Yo'rs truly,
Dani e . Parke , I.A.
Architect,
CC:T.Murtha '
Ido.X868
WAS
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h�OFM
MA #5958
9 i 3
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
�,SSAC14U�t4
This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . .
has permission to performAwoigl"re . 'a, . . . . . . .
plumbing in the buildings of . . . . . . . . . . . . . . .
4 at. . .A�.Z.',7. .Q q�.�. . . . . . . . . . . .. North Andover, Mass.
Fee..l71,SA.Lic. No.. . . . . . . . .
r' PLUMBING�IN PECTOR
Check #
i
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
. City/Town: e
MA. Date: O/L Permit#
Building Location:
Owners Naml�(
Type of Occupancy: Commercial Educational❑ Industrial❑ Institutional❑ Residential
New:❑ Alteration:❑ Renovation:
Replacement:❑ Plans Submitted: Yes❑ No
FIXTURES
DEDICATED
SYSTEMS
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¢ m m o o u z N g S 0 x Q rz Q d Q = o r <L1 >-
-SUB BSMT. 0 Q 0
BASEMENT k
1ST FLOOR
2ND FLOOR I
3RD FLOOR
4T"FLOOR
5T"FLOOR
6T"FLOOR
7T"FLOOR
8'FLOOR
Inst-Iiiri g r
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1 m ._ r I/a •mei �� ri C;i=
Address. El Corporation
City/Town: State:
ll Business Tel ElPartnership
/irm/Company
Name of Licensed Plu er:
INSURANCE COVERAGE:
have a current Iia_ bility insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes❑ No❑
If you have checked Yes,please indicate the type of coverage by checking the appropriate box below.
A liability insurance polio Other t
ype of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER:lam aware that the licensee does not have the insurance coverage required by Chapter 942 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
Check One Only
>i nature of Owner or Owner's Agent Owner ❑ Agent ❑
I hereby certify that all of the details and information I have submitte or entered) egarding this application ar rue nd
Knowledge and that all plumbing work and installations Performed nderthe per �t issued f is
Pertinent provision of the Massachusetts State Plumbing Code a Chapter 94 f the Gen a to to the best o;my
pplicati wil in compliance with all
Type of License:
Rilourneyman
(�Ptumber g ature of censed P umber
:y/Townaster
'PROVED OFFICE U N License Nu ber:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigationg
600 Washington Street
Boston,MA 02111
www.mass gov/dia
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
App licant Information Please Print Le 'bl
Name(Business/Organizationllndividual): v
Address: Q d L x
City/State/Zip: Uy c Phone#:
FEJI
an employer?Check the appropriate box: _
a em to er with 4, Type of project(required):
p y �_ ❑ I am a general contractor and I 6, ❑New construction
loyees(full and/or part-time).* have hired the sub-contractors a sole proprietor or partner- listed on the attached shget.z 7. ❑Remodeling
,r&l . �
and have no employees These sub-contractors have8. ❑Demolition
ing for me in any capacity. workers'comp,insurance.
9. ❑Building addition
workers'comp.insurance 5. ❑ We are a corporation and its
ired.] n�cers have exercised their 10.❑Electrical repairs or additions
a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs oradditions
lf. [No workers'comp. c.152,§1(4),and we have no12.❑Roofrepairs
ance required.]f employees.[No workers'
COMP,insurance required.] 13-Elother
*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 po 'ey anti job site
information.
Insurance Company Name: -e r v ---�
Policy#or Self-ins.Life(..#: Expiration Date:
Job Site Address: l\ 1;& r �.
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 uhder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to 00 and/or one-year imprisonment,a ell as civil penalties in the form of a STOP WORK ORDER and a fine
of u o$250.00 a da amst the vi tor. Be a sed at a copy of this statement maybe forwarded to the Office of
Inv stigations of thel)j for insur a covera verifl tion.
Ido h cert y un r thep a penalty p rjury that the information provided above is true and correct.
Si nate Date:
'hone
FF0fij77cia1usee only. Do not ritein this area,to be completedby city or town official.wn: Permit/License#
hority(circle one):
. oarof Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.PIumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions"
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because 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(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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
'.V 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 confnmation of insurance coverage. AIso be sure to sign 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 number on the appropriate line.
City or Town.Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a referencd number. In addition,an applicant
that must submit multiple permit/liceiise applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)"A copy of the affidavit that has been officially stamped or marked by the city ortown may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to•any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like 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:
she Co ouweatt h Of lf'assac'ausetts
Depatbnont of hidustrzal Accidents
Office of InvesbigatlonS
_ 600 Washington Steet
Boston}.MA 021 It
Tel. #617-727-4900 ext 406 ox 1-877.MASSAFE
Revised 5-26-05 Fax#617-727-7-7-49
WWW.mas v `
�.g4 �dia
9 2 5 / �
Date. .
NORTh TOWN OF NORTH ANDOVE
t �h
PERMIT FOR PLUM ING
,SSACHUS
� j
This certifies that .` ., . .T. . . . . h.. .
`' �lv� tSihj(s�urG S /
has permission to perform . . . . . . . . . . . . . . . . .
plumbing in the buildin s of . . . . . . , . . . . . . . . . . . . . . . . . . . .
�s s'l"`
. ...
at. /G2�. . . . ... . . . . . . . . . ! . N r-th Ando r, Mass.
//�� PLUMBING INSPECTOR
Check #
i
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
s
City/Town: r?y7�/ /y�i/ MA. Date• 912-2111
Permit#
_ Building Location:_ Ael" 2 '7 4 6r fJ fT
Owners Name:
Type of Occupancy: Commercial Educational❑ Industrial❑ Institutional❑ Residential
New:❑ Alteration:❑ Renovation:0 Replacement:
❑ Plans Submitted: Yes❑ No❑
FIXTURES
DEDICATED
H
SYSTEMS
UEn Ln h
N O
N 2 Ln Z O Z w
p d d rx
D F Q W ❑ Q Z 00 rx z vNi C7 c x Q En H F-
a d H y O t- c� j Q OLL a X z N w w W df LA
O w
a m m o v LL °x te Ln o
rn w Q
'SUB BSMT. Q ( 3
BASEMENT
1ST FLOOR
2"D FLOOR
3RD FLOOR
4T"FLOOR
5T"FLOOR
6T"FLOOR
7T"FLOOR
8T"FLOOR }
Installing S ~
S iiir, ! ,til �,r}'ir�m� D�C 6�/U+5�31'..�b f �5`2��9T7/l/. Check One Onih, CC-r ifiy t r
Address:j7 CawCa2 ST Cit Town: El Corporation
y� ��'"7/tJE"�✓ Stater
Business Tel: ❑Partnership
�o
Fax:_ 97 1Y- 2��-�OS�
�]Firm/Company _
Name of Licensed Plumber: �E-ye lv
INSURANCE COVERAGE:
I have a current IiabiikinsuranCe policy or its substantial equivalent which meets the requirements of MGL.Ch. Yes ]• No❑
If you have checked Yes,please indicate the-type of coverage b checking g the appropriate box below.
A liability insurance policy-( Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee does_ not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
Check One Only
)i nature of Owner or Owner's Agent Owner ❑ Agent ❑
I hereby certify that all of the details and information I have submitted(or entered)re g this application are true and accurate Knowledge and that all p►�,mbing wor k and installations performed under the per
Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 ed for this application will be in compliance o�v with ail the besto,my
A General Laws.
r
Type of License:
;[e
Plumber Si ure of Licensed Plumber
�+
.Yrrown �r Master
'PROVED(OFFICE USE ONLY) ]s]�Journeyman License Number: �S3�.ly