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HomeMy WebLinkAboutBuilding Permit #013-15 - 16 High Street 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: W/5 Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print. PROPERTY OWNER V"— A1�1(- Print 1MYear cture y MAP NO: PARCEL: ZONING'DISTRICT: Historic Districte no: no Machine.Shop Village a no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial -WAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other El Septic D-Well ❑ Floodplain 0 Wetland's ❑ Watershed District` ❑Water/Sewer DESCRIPTIONOF WORK TO BE PERFORMED: k1 wG A qyao�l 'iN Identification Please Type or Print Clearly) OWNER: Name: pv» ��S�r� Q. - CTS Phone: �a Address:-4r,ts tG'6- \�Do' �� ���5 • 0- z L1� CONTRACTOR Name: �kz�w Phone:-\o\ Address:J\ \L t Caste ��l" 4Al �t MOJ"sll LA Supervisor's Construction License: Exp. Date: L ► L� Home Improvement License: Exp. Date- ARCHITECT/ENGINEER 11L-CK t-1*6 e-i Uric Phone: tl op Z B —3 Z D Address: .S J L°rtMtSx- fS ��' rJ t7 1.L�J Reg. No. 1 01) K , FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $6 FEE: $ :2, Check No.: ! 7 QC Receipt No.: g -7 7 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund rSignatureIT;of Agent/Owner gnature d contracto!y._�,k?�_ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans . Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE.DISPOSAL Public Sewer ❑ Tanning/MassageBodyArt ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on _ Signature COMMENTS HEALTH Reviewed on Signature COMMENTS ,Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town ]Engineer: Signature: Located 384 Osgood Street FIRE DEPAR M'E''it1T - Temp Dumpster on site yes no Located at 124 Main Street Fire Departmefit.si�natiare/date COMMENTS "' i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of fleeter 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 ® Notified for pickup - Date f t Doc.Building Permit Revised 2010 i Building Department The following is a list of the required forms to be filled out for the appropriate.permit to be obtained. Roofipg, Siding, Interior Rehabilitation Permits ❑ Building Permit Application j 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 o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) 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 apue al period is over. The applicant must then get this recorded at the Registry of Reeds. One copy and proof of recording must be subm:rted with the building application Doc: Doc.Building Permit Revised 2012 Location_Z6 No. Date 2 �/ . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $�3 "! �] 4 Foundation Permit Fee ° $ '�' Other Permit Fee $ TED#v�1� TOTAL $ 05 Check# 277 �a />E ilding Inspector ti 9 'tJ1 O4n° •M4g SSICHUSE CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 013-15 on 7/2/2014 Date: October 3, 2014 THIS CERTIFIES THAT THE BUILDING LOCATED ON 16 High Street— Third Floor MAY BE OCCUPIED AS Tenant Fit Up— Leapyear Publishing IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: RCG West Mill LLC 16 High Street North Andover MA 01845 Building Inspector Fee: Pre Paid$100.00 Receipt: 27741 Check : 1766 NORTH own of E : .. ndover o - ..�. O -71 L 646 oh ver, Mass, Ql/ cOC"Ic"IWICK y1- S U BOARD OF HEALTH Food/Kitchen PERMIT T LD�i / / Septic System THIS CERTIFIES THAT .....��.. L' S �!./!..../ �''�..-4',I .............................................. BUILDING INSPECTOR ......... ... -" Foundation has permission to erect .......................... buildings on 0............. � �-�,/&� ..,, dugh ~�, t /�s1r'/ifGa .!...! r� C%ca C2✓':.... ......................... .. to be occupied as ......... ...... ...............,1.--..... . .......... cn y provided that the person accepting this permit shall in every respect onform to a terms of the application ina C'� 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 � Ro VIOLATION of the Zoning or Building Regulations Voids this Permit. Fi PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS -9 - ...... Service ............�./ `:. .`.:`:............... in 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. Com- Smoke Det. �_2,5'> Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost $� 5'2,J8:0,01 00) m $ - $ 633.60 Plumbing Fee $ 79.20 Gas Fee 100 comm. E$3 1,00:"00] Electrical Fee $ 79.20 Total fees collected $ 892.00 16 High Street 013-15 Tenant Fit Up � I Standard Form of Agreement between Owner and RCG LLC where the basis of payment is the Cost of the Work Plus a Fee without a Guaranteed Maximum Price Date: Apr123, 2014 Owner: RCG West Mill ISA LL_C C/o ICG LLC 17 Iveloo Street; Suite 1"O0 Somerville, MA 02143 Contractor: J & K Contracting LLC ' Architect: SRAM Architecture a" Project Name: Leapyear.Publishing ' 16 High Street#301,.,'` The Owner and Contractor agree to the terms stated by this contract. This contract supersedes any prior agreements, representations, or negotiations, oral or written. No liquidated damages shall apply to this agreement. This contract consists of the following documents: 1. Obligations of the Parties 2. Contract Sum 3. Project Schedule 4. Signatures Exhibits Exhibit A: Estimated Cost of Work Exhibit B: Project Schedule Exhibit C: Drawings Page 1 of 6 NO R T1�r Town of h over, Mass, 7 3 LAKI COCNIGMt WICK S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System ( � / Y� C_ BUILDING INSPECTOR THIS CERTIFIES THAT ................................................................... ...................................................... �� has permission to erect buildings on .........��1. Foundation .......................... ............... .......................................... g Rou y 1 h yf to be occupied as ..../�` ....... � e-t.!. ............... Chimne provided that the person accepting this permit shall in every respect onform to a 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 CONSTRUCTION STARTS Rough .....,...... Service j ............ /�'J' ......... Final BUILDING INSPECTOR . GAS INSPECTOR i Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final 1 No Lathing or Dry Wall To Be Done FIRE DEPARTMENT { Until Inspected and Approved by the Building Inspector. Burner Street No. { Smoke Det. 1. Obligations of the Parties Obligations of the Contractor: The Contractor accepts the relationship of trust and confidence established by this Agreement and covenants with the Owner to cooperate with the Architect and exercise the Contractor's skill and judgment in furthering the interests of the Owner; to furnish efficient business administration and supervision; to furnish at all times an adequate supply of workers and materials; and to perform the Work in an expeditious and economical manner consistent with the Owner's interests and in compliance with all applicable governmental codes and regulations. The Contractor shall keep full and detailed accounts and exercise such controls as may be necessary for proper financial management under this Contract. The Contractor shall keep full and detailed records of all books, records, permits, licenses, correspondence, receipts, instructions, data, and drawings associated with the Project including all Subcontractor contracts, invoices, vouchers, insurances, lien waivers, and other correspondence. The Owner and Owner's Accountants shall have access to review, audit, and copy all Contractor documentation. The Contractor shall retain these documents for a period of three years after final payment. The Contractor shall maintain insurance at the following levels with the Owner listed as a co- insured: Type of Insurance Limit of Liability Commexclal Geneif Liabili >, , $7,000,00(i.00 m Upon request, and at the cost of the Owner, the Contractor shall obtain a performance bond up to the total Cost of Work. Such costs shall be added to the Construction Volume. The Contractor understands that the Project will be financed by a construction lender and, then, by a permanent lender. The Owner may assign any of its rights under this Contract to the construction lender and the Contractor hereby consents to any such transfer provided no such assignment shall relieve the Owner of any of its obligations under this Contract, unless agreed to in writing by the Contractor. The Contractor shall execute any certificates, lien waivers, releases, receipts, and other documents as may be reasonably required by the construction lender or permanent lender including a subordination of its mechanic's lien rights to the construction lender's and permanent lender's mortgage or deed of trust. The construction lender for the Project will be: Obligations of the Owner: The Owner agrees to furnish or approve, in a timely manner, information required by the Contractor and to make payments to the Contractor in accordance with the requirements of this Agreement. Dispute Resolution: Claims, disputes or other matters in question between the parties to this Agreement shall be resolved by mediation or by arbitration. Prior to arbitration, the parties shall endeavor to reach settlement by mediation. Page 2 of 6 2. Contract Sum Cost of Work: The Contractor shall provide a detailed estimated Cost of Work to the Owner(see Exhibit A). The sum of these costs, including the fee is as shown below: $52,800.00` Change Orders: The Contractor does not guarantee the Contract Sum in any form. In the event of changes to the Contract Sum, the Contractor will present written changes to the owner for costs that exceed the Contract Sum in the form of a Change Order. The Contractor will review all Subcontractor Change Orders before submittal to the Owner and Architect and make a recommendation for payment or non-payment. The Contractor's Fee will be calculated including any approved Change Orders. The Owner, Architect and Contractor will negotiate disputed Change Orders in good faith. 9 p 9 Contractor's Fee: 10%of total construction volume. This includes pre-construction and project management services, and field personnel and associated management overhead. The fee is based on actual costs incurred, with final true up, and is billed monthly in arrears. Total Construction Volume excludes permits and fees, which shall be paid directly by the Owner. Construction management labor, standard tools and equipment, and labor-related overhead are covered within the fee. Specialty tools or equipment and any trade labor supplied by J&K personnel shall be charged separately. If a project is terminated or suspended by the Owner prior to completion, J&K shall be compensated for the actual cost of services provided prior to receipt of notice of termination or suspension from the Owner. Subcontractors: The Contractor plans to hire Subcontractors to perform the majority of construction associated with this project. The Contractor shall provide the Owner and Architect information on all of the bids received by Subcontractors and the names of the Subcontractors selected. Owner shall have the right to reject a proposed Subcontractor; however, in the event that this leads to a higher Cost of Work, the Owner shall pay for the difference. The Contractor reserves the right to reject any Subcontractor, even if it is the lowest bid, and to dismiss Subcontractors from the job that have been previously approved by the Owner. Payments: The Owner shall make progress payments on the Contract Sum according to the Requisition process described below. The Contractor shall, at the conclusion of each calendar month on the project, present to the Owner an application for payment(Requisition) for costs incurred during that month. The Requisition shall include all invoices, vouchers, partial releases of liens, expense reports, and any other evidence to support the validity of the Requisition amount. The Contractor may requisition for completed, but unpaid work based on an expectation of payment upon receipt of funds. The Owner, the Architect, or their representatives shall be afforded five (5) business days to review such application and question the Contractor about its contents. In the event there are no disputes, the Owner shall pay the Contractor within 10 business days of receipt of the Requisition. Payment by the Owner does not represent that the Owner or Architect have made a detailed examination of the documentation, inspection of the work, or verification of the accounting. Page 3 of 6 { r I At the completion of the project, the Owner shall make a final payment to the Contractor based on a final Cost of Work with a truing up of fees. If further corrections to work are required that are not covered under warranties with Subcontractors, or that are not the outcome of negligence or poor workmanship by the Contractor, the Owner shall pay the Contractor for any work associated with performing the corrections based on the hourly rate agreed to in this contract. Retainage: The Owner shall not hold back any fees to the Contractor to ensure completion of the work. The Contractor will be expected to hold back fees from Subcontractors to ensure their performance based on the terms below: '10%of billed costs,", iless othervvise�a roved b the,Ow'n'er Termination of Contract: The Owner shall reserve the right to terminate or suspend the Contract at its sole discretion. Within 15 days of termination or suspension, the Contractor shall present an accounting of all its costs incurred for reimbursement by the Owner. If the Owner elects to proceed with the project without the Contractor, the Owner shall have the right to assume the Subcontracts and agreements related to the Project. 3. Project Schedule Date of Commencement: The Contract Time shall be measured from the date of commencement. The date of commencement of the Work shall be the date of this Agreement, unless a different date is stated below or provision is made for the date to be fixed in a notice to proceed issued by the Owner. Jul ''1,2014 orsuch time thAt'Notificatiahto Pro6ee0s" ven b"fJwner Contract Time: The Contractor shall provide to the Owner a Project Schedule (see Exhibit B). This Schedule is based on assumptions reached prior to the signing of this contract, which assumptions the Contractor shall attempt to clarify in the Schedule. However, the Schedule always assumes the Owner and the Architect respond promptly to requests for information and do not request any significant changes to the construction program. In the event that the Owner or Architect find any discrepancies with the Schedule or its Assumptions, they will promptly notify the Contractor, who shall make adjustments to the Schedule as necessary. According to the attached Schedule, the Contractor shall achieve Substantial Completion of the entire Work as follows: Date=of Substantial Completion to be noAater than October 1,2©1,4" The Contractor does not guarantee the date of completion. However, the Contractor shall not be entitled to additional fees based on delays in the project unless those delays can be shown to incur extra costs for the Contractor and were caused by the actions or requests of the Owner or Architect. The Contractor shall present an updated Project Schedule to the Owner and Architect on a weekly basis for their review. Page 4 of 6 I II I 4. Signatures j I The Owner's representative is: flava Steinberg_(Manager CG 71v0loo Street, bite 100 j orne ille, MA 0,2443 i § 14.4 The Contractor's representative is: ierart.�l fhelan 2rilnelpall K Contra t nc g l Rlct mond Street �Vfey�ot�th, MA 0�1�8 � This agreement is entered into as of the day and year first written above and is executed in at least three original copies, one for the Owner, one for the Contractor, and one for the Architect. Owner Contractor i i ure Signature Printed Name and Title Printed Name and Title I I I I I i Page 5 of 6 Leapyear Publishing Schedule of Values 7/1/2014 Cost General Conditions $ 5,000.00 Demolition $ 3,000.00 Frame walls,Drywall,Tape $ 4,000.00 Doors and windows $ 2,000.00 Prime and paint space $ 7,000.00 Supply,Install new flooring $ 15,000.00 Cabinetry and countertops $ 2,000.00 Plumbing $ 3,000.00 Sprinkler work $ Electrical $ 5,000.00 HVAC $ 2,000.00 Sub total $ 48,000.00 CM fee $ 4,800.00 Total $ 52,800.00 Building permit $ 1,560.00 v S u Page 6 of 6 ac�N NOTICE NOTICE TO 9 TO EMPLOYEES e� EMPLOYEES 1M see The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 1 Congress Street, Suite 100, Boston, Massachusetts 02114-201.7 617-727-4900 - http://www.state.ma.us/dia As required by Massachusetts General Law, Chapter 152, Sections 21,22&30,this will give you notice that I(we)have provided for payment to our injured employees under the above-mentioned chapter by insuring with: LIBERTY MUTUAL FIRE INSURANCE COMPANY NAME OF INSURANCE COMPANY 175 BERKELEY STREET, BOSTON,MA 02116 (617)357-9500 ADDRESS OF INSURANCE COMPANY WC2-31 S-601698-014 2/17/2014-2/17/2015 POLICY NUMBER EFFECTIVE DATES NAME OF INSURANCE AGENT ADDRESS PHONE# 31 RICHMONT STREET JK CONTRACTING LLC WEYMOUTH MA 02188 EMPLOYER ADDRESS EMPLOYER'S WORKERS' COMPENTSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her ou o physician. The.reasonable cost of the ser- vices provided by the treating physician will be paid by the insurer,if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL �sa+c.rsat PROJECT NUMBER:-1 406002.03 PROJECT TITLE: Leap Year PROJECT LOCATION: 16 High Street, North Andover NAME OF BUILDING: West Mill NATURE OF PROJECT:_Tenant Fit Out IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, 1, Linda & b5milgx _ REGISTRATION NO. I nQ81) BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT © ARCHITECTURAL ® STRUCTURAL ❑ MECHANICAL ❑ FIRE PROTECTION ❑ ELECTRICAL ❑ OTHER(SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEGE,SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE S.8 �p THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE 8 D �- PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 10M o W BURWM 1. Review,for conformance to the design concept,shop drawings,samples and other submitt Klee. which are submitted by the contractor in accordance with the requirements of the construc ti documents. )W OF 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at Intervals appropriate to the stage of construction to become,generally familiar with6the 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. PURSUANT TO SECTION 116.2.2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OC UPANCY. BED N SWORN TO BEFORE ME THIS DAY OF IaNaTURE�✓ ) " Y PU MY COMMISSION EXPIRES Massachusetts- Depailmena of Public 5�tfet}` Board of Buildini; Re;uulations and Standard~• Construction Supervisor License License: CS 66334 0" KIERAN T WHELAN 31 RICHMOND ST . WEYMOUI`H;.MA.02188 5 -- - —� j ` Expiration: 9/26/2013 ('omiiiis3ignec Tr#: 6168