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HomeMy WebLinkAboutBuilding Permit #383-12 - 1820 TURNPIKE STREET 10/28/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received Date Issued: / 0 �91t IMPORTANT: Applicant must complete all items on this page _LOCATION g�" — 13 Tit r Print PROPERTY OWNER S �''i e Q/k C e- L Unit# Print MAP N0: 1&1)6 ARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ew Building ❑ One family 11 Addition ❑Two or more family El Industrial El Alteration No. of units: ❑ Commercial ❑ Repair, replacement ElAssessory Bldg ❑ Others: ❑ Demolition ❑ Other DlSeptic� DWelh D Floodplain3 ®�W.etl dan_-N OLWatersfiedl<Distnct. DESCRIPTION OF WORKt TO BE PERFORMED: � l D 9r Jo- Y1 (Identification Please Type or Print Clearly) OWNER: Name: 0 Cc^ 6r i n,o Phone: 6// 7 7 7— 9 963 Address: 2 m in 1L� /_010 4 . 1 V 7 Oil CONTRACTOR Name: �e-o�✓� G X�0 /"s {�� Phone: 7 g' 7 7 -7-- 00 0,7 Address: 2Cj /Va ►j'J S /Vf,J)l t 7�4 1w 4 D! 9 Supervisor's Construction License: ��' �'7 `� � Exp. Date: 2 9 3 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER ROLM &0-nj-�-r�I�'�'yeyor ►S'nyi Phone: r? v�vr,�n� o%en-, 1/� ©1701 Reg. No. gX0 9 6 Address: 5? �N�� �.� �'� �� FEE SCHEDULE.13ULDING PERMIT.$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ "TOL-06(p .,90 FEE: $ Check No.: /700 Receipt No.: c� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ;Signature of Agent/Ownerignature;of-contractor _ J Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools 0 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ E f COMMENTS i CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes i Planning Board Decision: Comments Conservation Decision: Comments ` 'eater & Sewer Connection/Signature& Date Driveway Permit 1 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date . COMMENTS Dimension Number of Stories: l' _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 I I ❑ Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi 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 ❑ 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 ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ 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 ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o 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 Doc: Doc.Building Permit Revised 2008mi Location �UY/Y No. r 2 Date f /� N°RT„f TOWN OF NORTH ANDOVER � F w P • !d O as �o Certificate of Occupancy $ �'SSACMus`� Building/Frame Permit Fee $ C �U Foundation Permit Fee $ Other Permit Fee $ TOTAL $ D. Check # 24774 Building 4774Building Inspector GP ASSOCIATES. Inc Consulting Engineers Mr. Gerald Brown. Dt ; Feb28,2012 Inspector of Biildings 1600, Osgood Street. No. Andover,Ma 01845 Reg : 1820, Turnpike Street.No.Andover,Suite 10 1 Final Report. The fit up work is complete.The completed work meets the requirements of the Massachusetts Building code. Final inspection was completed on Feb 27, 2012 If you have any questions, Pl. contact our office. Sincerely. 1`tl 9 Ram Satyaprasad �atNOF � Ir � SA 9 .soar. ` o F ,p Q 29, Cresthaven Drive,Burlington, Ma 01803 Tel: 781-572-2768 E mail: run4am@comcast.net oNO.Th 3?•�'Y� R L bybnn. '�(9 SS7CHSE CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 383-12 Date: February 29, 2012 THIS CERTIFIES THAT THE BUILDING LOCATED ON 1820 Turnpike Street MAY BE OCCUPIED AS a Salon and Spa in ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: DeAnza Salon & Spa 1820 Turnpike Street North Andover,MA 01845 Building Insp ctor Fee: Prepaid$100.00 i Receipt 24774 I i i NORT#q TO" 0 over. .. An No. o , dower, Mass., LAKE COC MIC ME WICK V �oRATED �` '\� vBOARD OF HEALTH Food/Kitchen PERMIT . T. D Septic System BUILDING INSPECTOR /^..�...................................................... THIS CERTIFIES THAT......... ..�! F'.................1��........ . . W........... .. Fours tion has permission to erect.................. ... .. buildings on .. .. d 64) 2 7 a t0 be occupied as .....AA1,;�,A..... ... G? ..�, ........ a ..... ..... <.?l �l+ � Chi ey 4 p .......................... ..... provided that the person accepting this permit shall in every respect conform to t e terms t e application on file'IIl ina ��- h provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of this office and to o / i s p Y 9 P Buildings in the Town of North Andover. PLUM ING SPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough el �G � �3�Z PERMIT EXPIRES IN 6 MONTHS Final 444��_- ELECTRICAL INSPECT9,R UNLESS CONSTRUCTIO TARTS u z_C� A�. ... '�, ...... Service ............. Z ......... BUILDING INSPECTOR Occupancy Permit Required to Ocatpy Building G INSP TOR Rough e27 7-" Display in a Conspicuous Place on the Premises — Do Not Remove Final � /z���z No Lathing or Dry. Wall To Be Done FIRE_DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. S E E REVERSE SIDE smoke Det. �,� V4ORTH T® oNndover . 0 .......... o , dover, Mass., LkKr C O CHI C HE WICK RATED P' �C� U BOARD OF HEALTH i Food/Kitchen Septic System PERMIT T D BUILDING INSPECTOR THIS CERTIFIES THAT........ :r? E... ���!. ....... .. . ..,+ ..........`..�..�...................................................... Foundation d has permission to erect........................................ buildings on . .. a ... ��`f J.. ... �...................... Rough Chimney to be occupied as............................�/..C......�l��.�..... ...����1..s/'........,�..f.:..... ....: ��.��-����... provided that the person accepting this permit shall in every respect conform to tk terms t application on file 111 Final 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 ' ELECTRIC AL INSPECTOR UNLESS CONSTRUCTIO TAR'T'S Rough _...... ...................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE_DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. - S E E REVERSE SIDE Smoke Det. `R'";�� OFFICE OF BUILDING INSPECTOR ° TOWN OF NORTH ANDOVER '• � °� CONSTRUCTION CONTROL =�cwus PROJECT NUMBER:e� ,/� PROJECT TITLE: !✓2. H N 'Z o n Gl ►1 CA PROJECT LOCATION: 1910 7Tv c-h p, k4, U h J # NAME OF BUILDING: S n t L.,l,q P!N C NATURE OF PROJECT: 'It na o FLA- - u � IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I, a r►� a S a S c,i cx' ,� a c'0. S %a_REGISTRATION REGISTRATION NO. 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 0 STRUCTURAL 0 MECHANICAL 0 FIRE PROTECTION 0 ELECTRICAL 0 OTHER(SPECIFY) a 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 THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the 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. P ,§DANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY , A PROGRESS REPORT W". BUILDING WITH PERTINENT COMMENTS TO THE NORTH BUILDING INSPECTOR. �Q .N .......,Op , :P'014 OF . g I r ti r � CATION OF THE WORK, I SHALL SUBMIT A FIN' TO THE A COMPLETION AND READINESS OFT ;�' C !PANC . ;77, ''� ��• $� IGNAILAE A D TO BEFORE ME THIS L 4-b 6-4 r ;2—o! � tnv n L U MY COMMISSION EXPIRES TAORTH TOVM Of z - / oo , dower, Mass., // LAKE COCWICMEWICK SORA rE.D -PERMIT T D�l U ` BOARD OF HEALTH Food/Kitchen Septic System .. .. 41 BUILDING INSPECTOR A THIS CERTIFIES THAT.....:... � ... � �....... ..�.. . .. ................................................................................ Foundation has permission to erect.................. ... .. buildings on.. .. © l�i' �,. ,.,..:,.,.,.,., Rough . ..... ....... ............. .................... �'!G� J Chimney y to be occupied as.......................... ..�'.:....�..... ...............�'�.'...s�........�..'�r!�:..... ............�.r�... ...... ......� provided that the person accepting this permit shall in every respect conform to tfie terms t .e application on fileFinal- 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 LESS COl V S 1 R V CTIO TARTS Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry. Wall To BeDone FIR_E.DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. M. E.A. Engineering Associates Inc. Consulting Mechanical Engineers 20 Felton Street, Waltham, MA 02453 781/894-6730 FAX 781/647-3542 CONSTRUCTION CONTROL AFFIDAVIT START OF PROJECT PROJECT TITLE: Salon PROJECT LOCATION: Stonewall plaza 1820 Turnpike St.North Andover MA NAME OF BUILDING: Salon In accordance with Section 116 of the Massachusetts Building Code,I, Alfred E.Muccini,Registration No. 23539, hereby certify that I am a Registered Professional Engineer. 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) PLUMBING ✓ FIRE ALARM ✓ For the above named project,and that,to the best of my knowledge, such plans,computations,and specifications meet the applicable provisions of the International building Code and Massachusetts State Building Code Amendments, all acceptable engineering practices and all applicable laws and ordinances for the proposed use and occupancy. I shall perform the necessary professional services and be present on the construction site in accordance with my contract with the owner to determine that the work is proceeding in accordance with the documents approved for the building permit,and I shall be responsible for the following: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Special engineering professional inspection if critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. 4. Periodic progress report with comments to the Building Inspector. . UP COMPLETION OF THE WORK, I T A FINAL REPORT AS TO THE S I ACT O Y C MPLETION AND REA r JECT FOR OCCUPANCY. ARD Vibtre Plo.23M Subscribed and sworn to befqre me this �� 7f�O 20� " -da i' No ary Public minis 'NS Notary Pti 11C CTH-0F MAitAtyYfEJT>s, r,CoalnbNonE■pM `hOnimll-=l;101� . M. E.A. Engineering Associates Inc. ,n Consulting Mechanical Engineers 20 Felton Street, Waltham, MA 02453 781/894-6730 FAX 781/647-3542 Document Ref. No.: Stonewall North Andover MA Salon.doc October 11, 2011 Fire Prevention Office City of North Andover Fire Prevention Department 124 Main Street North Andover, MA.01845 Attention: Fire prevention officer. Reference: Fire Alarm and Sprinkler Narrative Ise Floor Tenant Fit Up for Salon Stonewall Plaza 1820 Turnpike St. North Andover MA Dear Fire Prevention Officer: (1.a) BASIS (METHODOLOGY) OF DESIGN Section 1—Building Description a) Building "Use" group: Business b) Total footage of building: 38,430 c) Building height: d) Number of floors above grade:) 3 e) Number of floors below grade: 1 f) 1St floor tenant square area: 1153 sq.ft g) Access type of occupancies within the building: Business h) Type(s) of construction:2C Unprotected with an automatic sprinkler system i) Hazardous material usage and storage: none j) High storage of commodities within the building: none 1 k) Site access arrangement for emergency vehicles is through: Front access Type Section 2—Applicable Laws, Regulations and Standards The following is a list of reference standards that shall be used in system design, operation and maintenance. a) M.B.0 780 CMR 7th edition.). b) N.F.P.A. 13 (2007 Edition) c) 527 CMR 12.0, the Mass Electric Code 2008, N.F.P.A. 70 with Mass. Amendments. d) N.F.P.A. 72 2007 Edition e) ADA strobe meeting code reference 780 CMR N.F.P.A. 72-2007, and 521 CMR. The Massachusetts Architectural Access Code. f) Authority Having Jurisdiction —City of North Andover Section 3—Design Responsibility for Fire Protection Systems MEA Engineering associates; Inc. is responsible for 1st level only. The Fire alarm contractor shall submit complete information regarding the fire alarm notifications devices shop drawing to the engineer for approval. The Sprinkler Contractor shall submit and shop drawings and proposed sprinkler equipment to the engineer for approval. The contractor will submit all approved shop drawings and product information to the North Andover Fire Department for approval. Section 4—Fire Protection Systems to be installed The proposed new work is summarized as follows: A. Sprinklers 1. New sprinkler heads shall be utilized in all locations. (Quick response type sprinkler heads to be installed with an ordinary temperature rating.) Stonewall North Andover Salon.doc 2. New seismic support for new sprinkler piping. 3. Sprinklers shall connect to existing zone flow station currently serving space. The existing sprinkler grid shall be reused and modified for new floor plan. 4. Existing sprinkler service is provided with a backflow preventer. B. Fire Alarm System 1. The proposed first floor tenant fit up shall tie the fire alarm device to existing landlord building main fire alarm control panel. 2. Smoke detectors located in electrical, telephone equipment room and similar rooms and are provided throughout as required per code. Audible alarms in common areas shall be sized to insure maximum sound levels throughout the tenant space. 3. The existing Fire alarm system shall be activated thru new manual pull stations, and common area smoke detectors. 4. The new Notifications fire alarm devices shall meet N.F.P.A. 72, 2002 ADA and local Fire Department requirements. 5. Manual pull station shall be located at exits, ADA strobes shall be in the public common areas and horn/strobes shall be in accordance with N.F.P.A. 72 2007. 6. Common areas shall contain system smoke detectors wire to F.A.C.P Section 5—Features used in the Design Methodology A. Basis Of Design New portions of the sprinkler piping have been designed using the pipe schedule method for ordinary Hazard occupancies. B. Sequence Of Operation Upon actuation of a sprinkler head (designed to release at 155°F) water shall start to discharge from the sprinkler head and water flow switch shall signal a water flow condition to the fire alarm panel. Stonewall North Andover Salon.doc C. Testing Criteria Sprinkler System The new piping and heads shall be tested in accordance with all applicable codes. At a minimum this shall include notifying the Building Inspector and Engineer of Record of the time and date testing will be performed, completion of the contractor's material and test certificate (N.F.P.A. 13, Figures 8-1a and 8-1b). The system shall be hydrostatically tested in accordance with N.F.P.A. 13 Section 8-2.2.1 "hydrostatically tested at 200 PSI and shall maintain that pressure without loss for two (2) hours." (1.6) SEQUENCE OF OPERATION Section 1 1. The operation of a manual station or activation of any automatic alarm initiating device (system smoke, system heat detector) shall initiate a system- wide response as follows: a. Initiate the transmission of the alarm to master box and central station. b. Sound a code 3 temporal evacuation signal over all audio circuits and shall be in sync. c. Flash all visual signals throughout the building. Visual notification shall be synchronous in accordance with NFPA 72 guidelines. Synchronization shall be system-wide, and shall be subject to the N.F.P.A. 72 2007 edition adopted as Massachusetts code. The failure of one visual NAC shall not cause a failure of other NACs serving the same evacuation zone. 2. The operation of any activation of other device designated to initiate a system Supervisory condition shall cause the following to occur: a. Duct smoke detectors shall be installed in accordance with manufacturer spec's NFPA72 and NFPA90 they shall be resettable at the fire alarm control or other location approved by the local fire department. Remote duct smoke indicators shut down latching supervisory signals for all remote duct smoke indicators shall report to a central supervising station. The station shall notify the building owner. Stonewall North Andover Salon.doc (1.c) TESTING CRITERIA Section 1— Testing Criteria A. The fire alarm system shall be completely tested in accordance with N.F.P.A.-72 by the Contractor when the tenant renovation is complete in the presence of the Owner. Upon completion of a successful test, the Contractor shall so certify in writing to the Owner and General Contractor. Section 2—Equipment and Tools A. The complete fire alarm system shall be installed in accordance with manufacturer's recommendations. All necessary equipment needed for a complete installation shall be available at the site. Section 3—Approval Requirements A. Upon completion of fire alarm and fire protection system installation, the Contractor shall obtain written approval from the Owner stating that systems satisfy all operational code compliance requirements. B. Owner shall provide to the City of North Andover Fire Department, the name and address of the Fire Alarm Contractor responsible for relocation of existing equipment and installation of new equipment. If you have any questions or comments, kindly contact our office. S ntbA0 purs, RING ASSOCIATES, INC. CD MUCO D No. ini, P.E. President Stonewall North Andover Salon.doc A CORD CERTIFICATE OF LIABILITY INSURANCE 4�12/20D11 TCERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CIES BELOWCTHISATE O ERTIF CERTIFICATE OFS NOT RINSURANCEE DOES NOT CONSTITUTE A CONTRACT BETWEETIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE N E ISSUING INSURER(S), AUTVERAGE AFFORDED BY THE HORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE MOLDER. IMPORTANT: M the ce-- cate holder Is an ADDITIONAL INSURED,the pollcy(iss) must be endorsed. ff SUBROGATION IS WAIVED,subpct to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCER NAY ; Jeuusifer Dodge PHf 978)696-0007 ii c : (BTB)545-6811 Employers Insurance Group, Inc. RN 281 Main Street Suite 711 P o�� .00000185 Fitchbu MA 01420 _ INSUR AFFORCINGCOVERAGE N"• INSURED INSURER A:SSVerS Property 6 Casualty Co. Resource Management, Inc. INSURER B IAlt Employer: GFM General Contracting INSURER C: 1 281 Main Street, Suite 5 INSURER 0: INSURER E. 1Fit4CbbUv9 MA 01420 [INSURERi COVERAGES CERTIFICATE NUMBER:CL10123003276 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN TYPE OF NSURANCEINSR i= POLICY NUNKR I MMI F t M IN EXP i UNITS 11 GENERAL LNe1LlTY EACH OCCURRENCE S ~,COMMERCIAL GENERAL LIABILITY M '•o �° f CLAIMS-MADE OCCUR I MED EXP wa non) f PERSONAL 6 ADV INJURY f j I ! GENERAL AGGREGATE I S ! �GEN'L AGGREGATE LIMB APPLIES PER PRODUCTS-COMD/OP AGG S POLICY PRO• 117 Loc f AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT (Es sxd-%) f ANY AUTO I i BODILY INJURY(Pr pawn) I f ALL OVMdED AUTOSI ! ! SODILYI Y INJURY(Pr weme rt) S SCHEDULED AUTOSi PROPERTY DAMAGE S I HIRED AUTOS NON-0VMED AUTOS i f I I S I— UMBRELLA LIAB OCCUR I j EACH OCCURRENCE S ) I EXCESS LIAR CLAIMS-MADE'. AGGREGATE i DEDUCTIBLE 1 RETENTION iS WORKERSCAYPENSATION I I NCSTATU x STH-1 A AND EMPLOYERF LIABILITY ANY PROPRIETORJPARTNERIEXECUTIVE PINI N I ' L.EACH ACCIDENT I S 1 000 000 OFRCERNEMBER EXCLUDED? .NIA! 201 /1/2012 1 1 (YrwfMory In NN) �C0002526 I1/1/ E.L.DISEASE-EA EMPLOYE N S 1 000 000 yyp� rE L DISEASE-POLICY LIMB f 1 000 000 DESCR OF OPERATIONS below I i i i OESCR vraw OF OPERATIONS I LOCATIONS I VEHICLES(ASaeh ACORD 101,AOdMonAl Remerb Schad"'K mon epees b"W"d) Covers the enployees of the nasad insured leased to: =M =WPAL COWMACTMOG COP-VORMXON 1325 j=TB MOLW STRMT - UNXT 15 8 N=DLZj= MIN 01969 Job 9 L748 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. I A VTMORIZED REPRESENTATIVE Kathy Morgan/JEN ACORO 2b(2008/08) m 1988-2009 ACORD CORPORATION. All rights reserved. INS025(2000 The ACORD name and logo are registered marcs of ACORD _ t,1I+IU:4:11 co,Rl�- CERTIFICATE OF LIABILITY INSURANCE o,I.E ,d+lalllr1wrY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER- THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 9V THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT SETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR.PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: It tho eonlACate holder is an ADDITIONAL INSURED,"W P*IiCV(ieS) must be andorsed. If SUBROGATION IS WAIVED,WOjatt t0 the terms and conditions of the policy,cenam potN;les may require an endorsement. A statement on this certificate does not Confer rights to the eahfkass holder in lieu of such sndersamen a. caNTAci PROOUCEX 781.933-2626 wAre Dadgar Insurance Agenefr.Inc. 781.9326341 M, E■e AN NO 400 West Cummings Park Sude 6725 XRa m- Woburn,MA 01801 GFMCO-1 tlA1JItE S AFFORDING COVERAGE rAIG 1 RIseREe GFM ContruCting N■suRERA Holyoke Mutual Ins Co in Ssletn 14206 326 North Main St,Unit 1 SS INSURER a -- Middleton,MA 01848 MURER c YiaURER 0. WfURER E WWRlR i COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: UE0 TO THE INSURED NAMED ABOVE THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 15SFOR 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CT NMI rrPE Ot INSURANCE r R LIrNK GENERAL LIAaKITT EACH OCCURRENCE t 1,000. A X COMMERC14L GENERAL LIABILITY i iCPP70117804 i 01/0111/ 01/01!12 .pp S • r n t 100, � MED EXP IAMV One WWI t 5• 00 _ CLAIMS-MADE I :.J OCCUR ..i i I PERSONAL A ADV INJURY t 1,000. GENERAL AGGREGATE t 2,000. I PRODUCTS-CC MPrOP AGO t 2,000.00 7"POLICY AGORF,OATE LIMIT APPLIES PER I S POLICY F,PRO• LOC AVTOMOeILE uAaILITY I ' COMBINED 91NGE LIMIT t 1,000.00 1 (E••xleRm) A ANY AUTO I A90`1 2129 01/01/11 01/01/12 , BODILY Ruuar tpa penonl S I ~ALL OWNED AUTOS e001LY•IJURY(Per emdenl) X 9C►IEDULED ATOS PROPERTY DAMAGE t (Pew ewdent) X MIRED AUTOS IS j X NON-OWNED AUTOS i f ~• I EACH OCCURRENCE s 1,000.00 UMSREULA UAD �X_'OCCUR *EGAT t 1'000'00EXCFAZ LIA6 ; `C(AIMS MAGE 000008054185 01!01!11 01/01112tAOEDUCTISL6 SX RETENTION t 1O 000 - i OTpNaATIOwAND&UPLCrERS'LIABILITY r I w DENT tANY PROPOSETOfUPARTNER/EXEC0VE OFCICERAreMaER EXCLUDED^ F N l A i A EMPLOYEE S _(Mariam"M NMI MyNOeeGnnaPOLICY LIMIT t DE BCR 101 C RATIONS Oelw i DESCRIPTION Oi Di[RAf1011t I LOCATIONS r VEMICLE6 lAtlKh ACORD r01.Admuofti Re"reie aehOW16,a Mwt epee If readied) RE:JOB/L748 ABERTHAW CONSTRUCTION CO INC AND GOLF TOWN ARE ADDITIONAL MISUREDS ON dOTM "Go AND COMPIETI:D OPERATIONS ON A PRpNARr AND NONCONTRIBUTORY BAS i8 WITH RESPECT TO THE GENERAL LIABILITY.AUTO AND UMBRELt.A POLICIES• WAIVER OF SUBROGATBREIN AAVORREOF A9ERTHAW COFISTRUCTION CERTIFICATE HMOF.R CANCELLATION ADECO67 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE HALL BE DELIVERED, IN ACCORDANCE 1MTH THE POLICY PROVISIONS. AVTNORWLD RETREaENTATIVE ®1�ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The&CORD name and logo are registered marks of ACORD •i� y ) 17:►.+achu�r►r.• Dcp;/rtm�^t of Puhlic ��trt> Boord r►f Building Re- "s and se ndards Construction Superviso License: CS 17935 FRANCESCO FODERA 2 FRANKLIN ST READING,MA 01867 E:peratron: 7rW2013 /no�nu+aWar TrR' 10613 GF M Contractlfag. Cl e.� Ulb 325 North Main Street Unit 15-B Middleton, MA 01949 Office: 978-777-8007 Fax: 978-777-5004 October 26, 2011 To : Stonewall Place,LLC Contract GFM General Contacting will build tenant fit-up for De Anza Salon and spa at 1820 Turnpike Street,N. Andover,Ma Unit#101 as per plans dated October 3, 2011 from K. U. Ass. Plan# SGN-Al and from MEA Eng. Ass. Plan#SP.1,#M.1,#M.2,#E-1, #E-2, #FA-1, #FA-2, P-1,P-2 Total Contract$50,000.00 Total OC9Lp o