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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 i _ --_••..fit rye. 's k =3 w I 7 two lop Nr s, S is ,� -7�kuli,61?1 77i��� ��1 �n n VB f�-J F NORTH qw- 0 4t L_20 06 'IO 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 p ' . 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 �o 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 f- LU > U V) wZ N D y U FN- w O C1 5 Z in Z Q Q w C Z w F- w F- ow _Z p m v=i tr a inn O d Q w w cLLvi ►ZF x a O u Q vzi v Q z w w a o w Q a rr d ¢ cn O Q r. > O p z z r- ►— w w ¢ 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 ��fii I 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