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HomeMy WebLinkAboutBuilding Permit #826-15 - 146 MAIN STREET 5/1/2018 t%O BUILDING PERMIT o� (1- 6 q+ �t LED TOWN OF NORTH ANDOVER �� ham',,- ., oL APPLICATION FOR PLAN EXAMINATION o ' � �° -/ � coC.ilciwc 0 Permit No#: Date Received �qs0 ATEDUS Date Issued: 1012( IMPORTANT: Applicant must complete all items on this page Vz LOCATION, L rhJ"� P t I. PROPERTY OWNER s / Print 100 Year Structure yes w no. MAP l PARCEL: ? ZONING DISTRICT: Historic District yes no _ _ Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ In strial El Alteration No. of units: ommercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other D Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF ORK TO BE PERFORMED: L owdJ e�}� o�.- (/�.h���S � l .S t h U� 1�er- �ztlG{ Identification- Please Type or Print Clearly OWNER: Name: Phone: �-- Address: l cx.�:c. 2- f✓� d i Contractor Name: . ` Phone: Email: Address: r2.v 11 Supervisor's Construction License: I✓5" 4 5-3 Exp. Date: ( �- 16 e Home Improvement License: Exp. Date: ARCHITECT/ENGINEER vG) C, Phone: 2--Z— Address: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ /- ()OD FEE: $ d76 Receipt No.: Check No.: p NOTE: Persons contracting 1 vitfIristered contractors do not have access tot uar nd ignature of Agent/Owner Signature of contractor I I i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Siqnature COMMENTS I HEALTH Reviewed on Signature I COMMENTS I Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments 4 Conservation Decision: Comments `'Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEP R TMENT - Temp,Durnpster on site. yes nod Located at 124 Main Street YFire Department signature/date T COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) rj)to " (-d s �-- � 49 �- ❑ Notified for pickup Call Email Date Time Contact Name ; Doc.Building Pennit Revised 2014 c Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doe:Building Permit Revised 2014 Location Ao No• Date . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ` Check# '✓ ' Building Inspector Location No. 2J Date . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# t b, ? _ / Building Inspector - J R OE ,O RTH 1 M ; i SSANUSE CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 826-15 on 4/21/2015 Date: July 13, 2015 . THIS CERTIFIES THAT THE BUILDING LOCATED at 146 Main Street MAY BE OCCUPIED AS a tenant fit up third floor— Cardinal Group IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Cardinal Group c/o Greg Smith 146 Main Street North Andover, MA 01845 Building Inspector Fee: $100.00 Receipt: 29062 Check : 1099 F NORTH S Town of ? E IT, Andover 0 - 1' ' to No. 2,6115 soh ver, Mass, COCHICNIWICII y1. OATIEED 10"? S V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System �. . BUILDING INSPECTOR THIS CERTIFIES THAT ......................... ........... .............. ... ........................................ Foundation has permission to erect .......................... buildings on ..�.. .�j......... t ..... ....... .......... � Rough . .... , to be occupied as ...... ...Q.l-. �......Verespecticonform . ..... .....��,�.................. ... . .....�.... chi provided that the person accepting this permit shall in to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. MBING INS Ell It „� VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL I SPECTOR UNLESS CONSTRUCTIONS TS ez< Service .......��...�....,...��.�...,. .�.......�.�BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Final Construction Control Document To be submitted with the building permit application by a Registered Design Professional d for work per the 8th edition of the Massachusetts State Building Code, 780 CMR, Section 107.6.4 �7M SJ6 Project Title: Third Floor Tenant Fit-Up Date: 07/09/2015 Property Address: 146 Main Street North Andover , MA 01845 Project: Check(x)one or both as applicable: [] New construction [X] Existing Construction Project description: New walls, doors, kitchen,and finishes in existing space. I Gregory P Smith MA Registration Number: #8688 (Architect) Expiration date: August 31, 2015, am a registered design professional, and hereby certify to the best of my knowledge, information and belief,that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [] Entire Project [X] Architectural [ ] Structural [] Mechanical [ ] Fire Protection [ ] Electrical [ ] Other: for the above named project. I certify that I, or my designee,have performed the necessary professional services, in accordance with the Professional standard of Care,and was present at the construction site on a regular and periodic basis to determine that the work proceeded in accordance with the requirements of 780 CMR and the design documents prepared by me and approved as part of the building permit and that I or my designee: 1. Have reviewed, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. Such review shall not diminish or relieve the contractor of its submittal and other responsibilities. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was performed in a manner consistent with the construction documents and this code. The contractor is responsible for the performance of the work in accordance with the contract documents and shall be exclusively responsible.f6r its"cofuction means, methods, sequences and procedures, and for construction safety. t y C) WRI m.�OVER. MA Enter in the space to the right a"wet"or �� electronic signature and seal: Phone number: cell: 978-204-4770, office 978-688-5422 x203 : Gsmith@gsd-assoc.com Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an `x'project design plans,computations and specifications that you prepared or directly supervised.If`other' is chosen, provide a description. AIA MA&Insurance Approved Version,Initial Construction Control Doc i EXISTING CONFERENCE ROOM 30l NEW CARPET i AND BASE i EXISTING OPEN OFFICE - --- 306 DESKS ----------- NEW WALL I NEW 3/0 DO R NEW WALL KITCHEN i nnnP FELOCATE THEKiiC6TA i AND LIGHT SWITCHES AS NEEDED. PRIVATE C FICE NEW COUNTERTOP 306 AND SINK NEW ELECTRICAL OUT ETS i T"Tz ON WALL TO BE GFCI i --- EXISTING WOMEN'S TOILET 309 EXISTING ------- --- -S Z #1 3 5 DN 0 Q JM 0Q EXISTING EXISTING STORAGE EXISTING COMMON LOB EXITING 303 STORAGE 30 MEN'S TOILET 3 2 3oI i i ,�ERED AR�hi i by NO — — — — FORTH h�'SjvER, MA. y� �J 0F P�SPG MAIN ENTRANCE PROPOSED 3RD FLOOR PLAN THE CARDINAL GROUP SCALE: 3/16" 1'-0" � GSD Associates, LLC 146 Main Street, Borth Andover, MA 01845 Tel: 978-688-542 Web. www.gsd-assoc.corn Arch;iteCture + Design + Planning + Interiors + Development Consulting EXISTING CONFERENCE ROOM i 301 i i NEW CARPET i AND BASE i J ---------- EXISTING —EXISTING OPEN OFFICE 306 ---------- DESKS NEW WALL NEW 3/0 DO R NEW WALL KITCHEN i NEW 3/O DOOR RELOCATE THERMOSTAT AND LIGHT SWITCHES AS NEEDED. PRIVATE FF`rICE NEW COUNTERTOP 306 i AND SINK NEW ELECTRICAL OUTLETS bR­ T; ON WALL TO BE GPCI i --- — i i EXISTING WOMEN'S TOILET 309 EX STI G 3 DN O i Q � Q� o � EXISTING EXISTING STORAGE EXISTING COMMON LOB 303 I� EXI TING STORAGE 3o MEN'S TOILET 30l � 3 �� ��i'��ESE� �gCtii•. - � 144 �J MAIN ENTRANCE PROPOSED 3RD FLOOR RAN THE CARDINAL GROUP SCALE: 3/16" = 1'-0" GSD Associates, LLC 146 Main .Street, North Andover, MA 01845 Tei: 978-688-5422 Web: www.gsd-assoc.com Architecture + Design + Planning + Interiors + Development Consulting I I � I I I I I I I I I I I I I I EXISTING CONFERENCE ROOM 30l I I I I � I I I I I I I I I I I I I I I j NEW CARPET AND BASE I � I I I —---------- EXISTING OPEN OFFICE -- 306 -—————————— I I I I i DESKS I I I I I I --———————— ---------- NEW WALL --- --, NEW 3/0 DO R NEW WALL KITCHEN C II I 306 i I r �y i NEW 3/O DOOP, RELOCATE THERMOSTAT AND LIGHT SWITCHES AS NEEDED. PRIVATE OF ICE NEW COUNTERTOP 306 AND SINK NEW ELECTRICAL OUTLETS T ON WALL TO BE GFCI I I I -- — EXISTING WOMEN'S TOILET 309 EX STIG S # --- - 1 3 5 DN O I I QQ I QI o I I I I EXISTING EXISTING STORAGE EXISTING COMMON LOB EXISTING 303 STORAGE 3o ME 'S TOILET I 3 2 301 o+' ED 41��, �60BY — — NORTH ANDOVER, � 91 OF MAIN ENTRANCE PROPOSED 30 FLOOR RAN THE CARDINAL GROUP SCALE. 3/16" 1'-0" GSD Associates, LLC 146 gain Street, North Andover, MA 01845 Tel 978-688-5422 Web: www.gsd-assoc.com Architecture + Design + planning + Interiors + Development Consulting NORTH own of EAndover No. 924115 , zh V) ver, Mass T O LANE .t COCNICNEWICK V �•9 A�R�rEo �P���S S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System ,� .� ...... ....... .... .. BUILDING INSPECTOR THIS CERTIFIES THAT ......................... ........... ............. .. .................. 61wr Foundation has permission to erect .......................... buildings on ..�.. .�j......... t ..... ....... .......... g . Rou h to be occupied as ...... ....�il�.r. . .. .. ... ..... .. .....I..... .. %.................. ... . .....1.... chimney provided that the person accepting this permit shall in le respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONS TS Rough 41 Service cu. ., *W� .......................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Massachusetts Home Improvement Sample Contract This form satisfies all basic requirements ofthe state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of"A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. Homeowner Information Contractor Information Name Company Name -�tc cav" "o 'Ve _S -5-x—C— Street ddress(do not use a Post Office B a dress) Contractor/Salesperson/Owner Name City o State V111,V Code Business Address(must include a street address)6 , DaytrmeP one Evening Phone City/Town State Zip CMe S zA A k -V�-"n.kLL MA- o�y3J Mailing Address(It different from above) Business Phone Federal Employer ID or S.S.Number `V3 Home Improvement Contmctorlteg.Number Expiration date loan requires that most home Improvement contmdors have [A n valid registration cumber The Contractor agrees to do the following work for the Homeowner: (D�be in detail the work to completed,specifying the type,brand, d grade of materials to be used,use additional sheets if necessary.) 1 G-�*�, �--�► t (� �>� sit Sty b CRQ:-, Required Permits-The following building permits are required Proposed Start and Completion Schedule-The following schedule will and will be secured by the contractor as the homeowner's agent: be adhere to miless circumstances beyond the contractor's control arise (Owners who secure their own permits will be excluded from the Guaranty Fund provisions ofDate when contractor will begin contracted work MGL chapter 142A.) `-f Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of (*) Payments will be made according to the following schedule: $__133 upon signing contract(not to exceed 1/3 of the total contract price a the cost of special order items,whichever is greater) s _5 by _/�/�or upon completion of fi $ c-7 by 5/ 10/__.(,�or upon completion of $ (6? upon completion of the contract. (Law forbids demanding full payment until contract is completed to both party's satisfaction) The following material/equipment must be special $ to be pa4f �_ ordered before the contracted work begins in order to meet the completion schedule.(**) $ to be pal NOTES:(*)Including all finance charges(**)Law requires that any deposit or down-payment required by the contractor before work begins may not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of an.special equipment or custom made material which must be special ordered in advance to meet the completion schedule. Express Warranty-Is an express warranty being provided by the contractors n No❑Yes(all terms of the warranty must be attached to the contract) Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor. The contractor Rather agrees to be solely responsible for all payments to all subcontractors for materials and labor trader this agreement Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices carefully before signing this contract. • Don't be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something is unclear. • Make sure the contractor has a valid Home Improvement Contractor Registration. The law requires most home improvement contractors and subcontractors to be registered with the Director of Home hnprovement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757. • Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confine coverage,or ask to see a copy of a"proof of insurance"document. • Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business,provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement. Seethe attached notice of cancellation form kr an explanation of this right. NOT SIGN THIS CONTRACT IF THERE ARE ANY SPACESM Tw denti al copies of the contract must be completed and signed.One copy should go to the homeosmer.The y o e kept by the contractor. Honleowrie gnature Contractors g<latur " Date Date Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court action)if they have a dispute with a contractor. The same right is not automatically afforded to a contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws,chapter 142A. Homeowner's Signature Contractor's Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement. However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights,contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted,or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both parties.Contracted work may not begin until both parties have received a fully executed copy of. the contract,and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However,in instances where a contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787,888-283-3757 or visit the OCABR website at http://www.mass.Rov/ocabr/ If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law,contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787,888-283-3757 or visit the HIC website at http://www.mass.Rov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: hftp://db.state.ma.us/hoineimprovementiliceiiseelist.asp For assistance with informal mediation of disputes or to register formal complaints against a business,call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800,508-755-2548 or 413-734-3114 Version 2.1-11/22/2010 GSD Associates, LLC 146 Maim Street, North Andover, MA 01845 Tel. 978-688-5422 Web: www.gsd-assoc.co,m m Architecture + Design + Punning + interiors + Development Consulting April 20, 2015 Building Department, Town of North Andover 1600 Osgood St. North Andover, MA 01845 RE: Construction permit approval for work at 146 Main Street, North Andover, MA To whom it may concern; I am the owner of the property located at 146 Main St., North Andover, MA The Cardinal Group, is authorized to pull a permit for interior renovations located on the 3rd floor of 146 Main Street per the attached plan. Renovations will include the installation of a countertop and new sink, and the construction of two small rooms within the existing office area. Associated mechanical and electrical work, new carpet and paint will also be included. If you have any questions regarding this, please do not hesitate to give me a call. Office: 978-688-5422 x203 Cell: 978-204-4770 GSD Associates, LLC 0011� Gregory P. Smith Architect / Owner cc: Bill Held The Cardinal Group Michael Sullivan The Cardinal Group Linda VanDeVoorde GSD Associates, LLC Initial Construction Control Document F To be submitted with the building permit application by a Z W Registered Design Professional ' d for work per the 8th edition of the w Massachusetts State Building Code, 780 CMR, Section 107.6.2 Project Title: The Cardinal Group Office Tenant Fit-up Date: 04/20/2015 Property Address: 146 Main Street North Andover, MA 01845 Project: Check(x) one or both as applicable: [X] New construction [X ] Existing Construction Project description: Tenant fit-up of two small rooms within existing office space on the Third Floor. Project also includes plumbing for new sink, and addition of electrical outlets at countertop. Remaining tenant space will remain and new paint and carpet will be installed. I Gregory P Smith MA Registration Number: #8688 (Architect) Expiration date: August 31, 2015, am a registered design professional, and hereby certify to the best of my knowledge, information and belief, that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerningi: [ ] Entire Project [X] Architectural [ ] Structural [] Mechanical [] Fire Protection [ ] Electrical [ ] Other: for the above named project and that such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. l understand and agree that I(or my designee) shall perform the necessary professional services in accordance with the Professional Standard of Care, and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. Such review shall not diminish or relieve the Contractor of its submittal and other responsibilities. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. The contractor shall be responsible for performing the work in accordance with the contract documents and shall be exclusively responsible for its construction means, methods, sequences and procedures, and for construction safety. The performance of the services shall not require any special testing or inspections unless specifically stated in the Code. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building U ARC official a `Final Construction Control Document'. �kG�c�RY°.s,►y�TFc�, Enter in the space to the right a"wet"or �" hORTM,� ,,,VEER, y electronic signature and seal: 6 9l � ERPF Phone number: cell: 978-204-4770, office 978-688-5422 x203 Email: S ith@gsd-assoc.com Building Official Use Only Building Official Name: Permit No.: Date: AIA MA&Insurance Anoroved Version. Initial Construction Control Doc I I I I I I I I I I I I I I I I I I EXISTING CONFERENCE ROOM 30T � I I I I I I I I I I I I I I I � I I I NEW CARPET AND BASE 5;-----------I I EXISTING OPEN OFFICE --- -- �wc� ----------- I I DESKS I I I NEW WALL NEW 3/0 DO R NEW WALL KITCHEN I ----------- I OL � I NEW 3/0 DOOR RELOCATE THERMOSTAT AND LIGHT SWITCHES AS NEEDED. PRIVATE OICE r NEW COUNTERTOP AND SINK NEW ELECTRICAL OUTLETS T'i.- ON WALL TO BE GFCI I EXISTING WOMEN'S T ILET 304 IX [G ON OI 0 EXISTING i I I I I � o I i EXISTING STORAGE DA EXISTING COMMON LOB (FN(G 30 C��� �pRY P. STORAGE 30 MEN'S TOILET �- 301 i 1 X10,8688 1 r FORTH ANDOVER, > MA. L MAIN ENTRANCE PROPOSED,=FLOORPLM THE CARDINAL GROUP 9 SCALE. 114 = 70' 9 GSD Associates,LLC 146 Main Street,North Andover,MA 01845 l Tel:978-688-5422 Web:www.gsd-assoc.cam Architecture+Design+planning+Interiors+Development Consulting I 1 I 1 I 1 I I I I I I I I I I I EXISTING CONFERENCE ROOM 3O1 I I I I I 1 I 1 I I I I I I I I NEW CARPET AND BASE I I I EXISTINTG OPEN OFFICE I I I I DESKS I I I I NEW WALL NEW 3/0 DO R NEW WALL KITCHEN I NEW 3/0 DOOR RELOCATE THERMOSTAT AND LIGHT SWITCHES AS NEEDED. PRIVATE FkE NEW COUNTERTOP AND SINK NEW ELECTRICAL OUT TS T ON WALL TO BE GFCI I EXISTING T DN i I i I I o ' OI EXISTING EXISTING STORAGE EXISTING COMMON LOB EXISTING 30 STORAGE 30 ME 'S TOILET 301 I I y I I { \ W 4 MAIN ENTRANCE pR®p®SE®IR®FLOORPUN THE CARDINAL GROUP SCALE: 1/4"= 1'-0- GSD -0GSD Associates,LLC 146 Main Street;,North Andover,MA 01845 Tel:978-688-5422 Web:www.gsd-assoc.com Architecture+Design+Planning+Interiors+Development Consulting k'rw dm,� riff k 4,hW:?l I I CONFERENCE ROOM i 301 i i I i i I I i I I i I OPEN OFFICE ------------- --- i I i 1 1 � I t v I I I I I I. I WOAI ILET 304 1411 1 1 ON O I i i I i o i STORAGE COMMON LOB i 30 STORAGE 30 MEt'STOILET 301 �— I i I � I I 4 MAIN ENTRANCE PROPOSED 3RD FLOOR PLAN � SCALE, 1/4"=1'-0- u � Ivy 1 - r G W71 I I I I I I I 1 I I I I � I I I I I I CONFERENCE ROOM 30l I I I I I I i I 1 I I I � r I I I I I I I I I 1 I I 1 I I I __________ 1 OPEN OFFICE ___ __ 3o ----------- ---------- ------------ ---------- I I I I I I I I I I I 1 iI 1 1 r I I I I 1 I I 1 1 u— WOMENST ILET 304 ON 0I I I 1 o I 1 li I STORAGE COMMON LOB i 30 STORAGE 30 ME4STOILET 301 3 1 I 1 I I 4 MAIN ENTRANCE PROPOSED 3RD FLOOR PLAN � SCALE, 1/4"=1'-0- IGSD Associates,LLC 146 Main Street,North Andover,MA 01845 Tel:978-688-5422 Web:www.gsd-assoc.com Architecture+Design+planning+Interiors+Development Consulting April 20,2015 Lid Building Department, Town of North Andover 1600 Osgood St. North Andover,MA 01845 RE:Construction permit approval for work at 146 Main Street,North Andover,MA To whom it may concern; ----------' '---------- I am the owner of the property located at 146 Main St.,North Andover,MA --- -- -- Ga— ;---------- The Cardinal Group,is authorized to pull a permit for interior renovations located on the 3rd floor , of 146 Main Street per the attached plan.Renovations will include the installation of a countertop and new sink,and the construction of two small rooms within the existing office area. Associated --------- `--- --- mechanical and electrical work,new carpet and paint will also be included. If you have any questions regarding this,please do not hesitate to give me a call. �..LL ! DRB Office:978-6B8-5422 x203 Cell:978-204-4770 —>rooaM 1 ----- GSD Associates,LLC BMW 01001T Gregory P.Smith n Architect/Owner arm OR02 cc: Bill Held The Cardinal Group �` - -- -- Michael Sullivan The Cardinal Group Linda VanDeVoorde GSD Associates,LLCM PROPOSED SWFLOOR PLAN r.wm.0 uaue r .r GSD Assadates,LLC I"Nair Street,north Md—,NA 01845 / Ardrl[edrue+ 978-688-5422 Design+Dbn+Inntedom rDevelopwnt K" AP I I The Commonwealth of Massachusetts Department of IndustrialAccidents l d I Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMTTING AUTHORITY. Applicant Information Please Print LegitblY Name(Business/Organization/Individtid): Address: o���' �J/�'�C J L/.-!J City/State/Zip: /V// X411' Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am.a employer with employees(full and/or part-time).* 7. Q New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in S. dRemodeliiig any capacity.[No workers'comp.insurance required.] 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t l0EJ 9. El Demolition Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.[]! umbing repairs or additions S.0 in a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.# 6.Q we are a corporation and its officers have exercised their right of exemption per MGL c. 14.0 Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] , *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who 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 have employees. If the sub-contractors fiave employees,they must provide their workers'comp.policy number. X aria an employer thai is providing workers'compensation insurance for my employees'.Below is the policy and job site information. Insurance Company Name: L--''17 C:�4_r 7-4,L_ Policy#or Self-ins.Lic.#: C.s y s�� Expiration Date: o l Job Site Address: �Y6 City/State/Zip: /� ��p&1-4 __..- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment;as well as civil'penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. X do hereby certify un r e p s d penalties of peiyury that the information provided ahove' true a d correct. Signature: r Date: c� Z 1 Phone#: 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#: 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 commonNVealth 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 Pleise fill-out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(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 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 reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)-and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. # 617-727-4900 ext.7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia 9/21/2015 10:97 AM FROM: John A. Pierce Insur TO: 19786889542 PAGE: 002 OF 003 ACORD DATE(MMlDDM'Y1� CERTIFICATE OF LIABILITY INSURANCE 04/21/2015 PRODUCER 781.729.8770 FAX 781.729.0053 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION John A. Pierce Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 934 Main St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Winchester, MA 01890-1994 INSURERS AFFORDING COVERAGE NAIC# INSURED SJE Landscaping Inc and Steven J Eddy INSURER A: Travelers DBA: Greenleaf Garden Center INSURER B: Travelers Casualty Ins Co Amer 19046 298 Amesbury Rd INSURER C: Utica Mutual Insurance Co 25976 Haverhill , MA 01830 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSR DATE MMlDD DATE(MMIDDrrrM GENERAL LIABILITY 660-5273X41A 04/05/2015 04/05/2016 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 100,000 CLAIMS MADE FX] OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO ECT LOC J AUTOMOBILE LIABILITY BA6095X984 04/05/2015 04/05/2016 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ B X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ IN STATU- WORKERS COMPENSATION 4420145 04/05/2015 04/05/2016 X TORY LIMITS OTH- c AND EMPLOYERS'LIABILITY C OANY FFICER/MEMBOPRIETOEXCLUDEEXECUTIVE Y❑ E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL North Andover, Town of IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 1600 Osgood Street REPRESENTATIVES. North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Kevin Pierce ACORD 25(2009/01) FAX: 978.688.9542 ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD `fir Mass^c husetts -De,:nrtrient of Public Safety ' pard of Building Regulations and Standards Construction Supervisor 4 License: CS-084453 STEVEN J EDDY -` U 298 AMESBURYRD Haverhill MA 01930 r r l �- ,` )I}41'� Expiration 712.—� � 06/27/2016 j Commissioner