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HomeMy WebLinkAboutBuilding Permit #901-11 - 19 High Street 6/27/2011Permit NO: /l Date Issued: (0/07 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received I I IMPORTANT: Applicant must complete all items on this nag'e LOCATION 2- k C,�K 1� -% Print -1 PROPERTY OWNER 1 C CS- Print MAP NO: PARCEL: ZONING DISTRICT: Historic District <Zel no Machine Shop Village e�) no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic .Well' Floodplain{ (] Wetl'ands� - �' Watershed District D Water/Sewers (� DESCRIPTION OF WORK TO BE PERF.RMED: l� I` 6 (L Wir4 a U i L,d- © U'0 F- 4-&- 't- 6 — :' I j j Ytd %} S )e -m 19 1JW Sy f, n i^r Tum "W-4 , (Identification Please Type or Print Clearly) OWNER: Name: '1 14. I ► 0 Sits" its" k ht 6-W Phone: Address:.rU 1`it5- to 01 7771vtq1 0 y Jai '1 S" c) rt 6Kv i 0 Z 14-• CONTRACTOR Name: KL5 966,&, W N Phone:(,, I - ? -S q Z- - 6-71 r Address k Sy lill Supervisor's Construction License: L X � b 3 3 �- Exp. Date: Home Improvement License: Exp. Date: V ARCHITECT /ENGINEER R U R -i Iq t l l Phone: 6 f 7-- L- L-3 1+-2�S Z -- Address: 0 1 it ®ZLra .- Rea. No. 10 (D 9 0 FEE SCHEDULE: BULDING PERMIT. • $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. /� (� ^ M1 Total Project Cost: $_ ` ®� l� FEE: $ 2 4— -� ry Check No.: 0 (I b Z Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fiend .Y Signature of Agent/Owner Signature of contractor—,191-6- u ✓� 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 ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM I t PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED u DATE APPROVED Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/signature & Date Driveway Permit DPW Tgwn Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Du pste on site yes f/ no Located at 124 Main Street Fire Department signature/dat M -Om 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 ® Notified for pickup - Date - - - - .IN Doc:.Building Permit Revised 2008mi 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 o 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 DOTE: 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 G.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 ❑ 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 thea 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 -7 Location Zo N o. Date *0RT#j TOWN OF NORTH ANDOVER 14(9 - Certificate of Occupancy $ MU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# �w 24693 /0 1/ IE16ilding Inspector Location --9.1 A71,1;2 ldt-� No. Date 14ORTol TOWN OF NORTH ANDOVER 0 M Certificate of Occupancy $ Building/Frame Permit Fee $ CHU Foundation Permit Fee $ Other'Permit Fe e $ 6-60 -f-- A4 TOTAL $ PA Che . ck # 24694 6 ot 4fu�ing Inspector V W 14ORT" TOWN OF NORTH ANDOVER L OFFICE OF BUILDING DEPARTMENT * r 1600 Osgood Street ''�5* Building 20 Suite 2-36 SA`""5S North Andover, Massachusetts 01845 Telephone (978) 688-9545 Gerald A. Brown Fax (978) 688-9542 Inspector of Buildings AFFIDAVIT FOR FINAL COST OF CONSTRUCTION In accordance with the provisions o the Massachusetts State Building Code, Article 1, Section 110.4 and 114.2, the total estimated cost of the construction including all related construction costs* of the building located. at �i �z-1-� ST a 1 }� `i 0 I _ I 1 amounts to $y rU <� �C�v - being the person referred to as the owner identified below, do solemn y swear that the statements made herein are strictly true and correct and made in good faith. *Related construction costs included all work done with or concurrently with the work contemplated by the Building Permit including demolition, plumbing, heating, electrical, air conditioning, painting, carpentry, landscaping, site improvement, etc. Furnishings and portable equipment are not part of the total construction. costs. COMMONWEALTH OF MASSACHUSETTS s.s. 20 Then personally appeared the able named _ Made an oath that the above statement is true. OFFICIAL USE: Final Cost: Original Estimate cost of general work: Cost Difference: Signature o ' er and Before, Me, Notary Public Additional Fee Required: TO AMEND FEE UNDER PERMIT NO.: Inspectional services Department 2005 F:\f nalcostaffidavi tfonn BOARD OF APPEALS 688-9.541 Strict code enforcement makes the town safer Be/ore baying, renting, leasing check zoning CONSERVATION 6880530 HEALTH 688-9540 PLANNING 688-9535 6 z n tt m c 01 �7 O O O v Z O d O CO) � C 03 CM CO3 O O � V2 O ..� m m co H t CL .1-0 t OA O O G O L O O C CL �Q CO2 O = C ca C CO3 ,Z CD CL LD y c C C C C. is ui LLI N 19W W w ulW N .5 c o2 9; \ O CD G O 0 v L \ Oy ::g G O V C.7 is W G CO acea = o c 01 �7 O O O v Z O d O CO) � C 03 CM CO3 O O � V2 O ..� m m co H t CL .1-0 t OA O O G O L O O C CL �Q CO2 O = C ca C CO3 ,Z CD CL LD y c C C C C. is ui LLI N 19W W w ulW N .5 c o2 CD G O 0 L \ Oy ::g G O V C.7 acea = o oo --� J: zca C3 o c. c m ISz c N�:mm a J : o� Can _D 3 �J� �+ c 'O G m . •�C O G co) CO C m O 1�`{ 0 CD _Amm Z t O Q! 3:coa G mor m C� y O . C.31 O CDi W 0 L O d Of C F- m y..m G ms,■ •G = ~ m 0Lu 03 y m w~ N m ca CD w H •N GZ G O � •� U 6mi •y O V O a p10=C Vi m� O� 0 w= C = �=�CL W c 01 �7 O O O v Z O d O CO) � C 03 CM CO3 O O � V2 O ..� m m co H t CL .1-0 t OA O O G O L O O C CL �Q CO2 O = C ca C CO3 ,Z CD CL LD y c C C C C. is ui LLI N 19W W w ulW N .5 1' CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 901-2011 Date: October 11, 2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 21 High Street, Suite 401, North Andover, MA 01845 Beyond Trust MAY BE OCCUPIED AS _tenant fit -up for Beyond Trust IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Fee: 100.00 Receipt: 24693 RCG North Andover Mills, LLC 21 High Street North Andover, MA 01845 Buil ing Ins ector October 3, 2011 Stantec Architecture Inc. 303 Congress Street, 6th Floor Boston MA 02210 Tel: (617) 423-4252 Fax: (617) 423-4333 Mr. Gerald Brown Inspector of Buildings Town of North Andover 1600 Osgood Street North Andover, MA 01845 Re: Beyond Trust Tenant Fit -Out East Mills, North Andover Stantec Project 07804.20 Dear Mr. Brown: Beyond Trust tenant fit -out, located at 21 High Street on the fourth and fifth floors, at East Mills in North Andover, MA, was to the best of my knowledge, belief, and understanding constructed in conformance with the construction documents issued for building permit dated June 27, 2011, Permit # 901-11 in accordance with 780 CMR Commonwealth of Massachusetts building code. During the course of construction, representatives of our office made periodic visits to the site to observe the progress of the work. Respectfully, STANTEC ARCHITECTURE INC. JO 4M�e Linda Smiley Senior Associate Tel: 617-654-6003 Fax: Linda.Smiley@stantec.com Attachment: c. David Steinbergh Kieran Whelan IFS dodmumt TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION mit N0: r �� �0� ��� /� Date Received Issued: 6107 Gr k V' / 0//212a // )RTANT: Applicant must `e all items on this Print 0. l DPERTY OWNER i C. Cy-�i . 1�-1,nr,o q Vyh t4 Print .P NO: _ PARCEL: ZONING DISTRICT: Historic Districtes no 0001 Machine Shop Village no r E OF IMPROVEMENT Jew Building kddition \Iteration Zepair, replacement )emolition PROPOSED USE Residential Non- Residential ❑ One family ❑ Two or more family ❑ Industrial No. of units: ❑ Commercial ❑ Assessory Bldg ❑ Others: ❑ Other r«.,) Wa VY.Lum u►r.iooa iain� u z r P _ Fe, _ antes ®} Vdatershed►Districf; DESCRIPTION OF WORK TO BE PERFRMED. w IER: 1� fl) _1V tis Please Type or Print Clearly) k2 is, d ass:_ Ua100� fwacoz �P 0. TRACTOR Name:- Y� t LS W 14 Phone: (sI "? '� q Z _ �4i S^ -ss: k &/ %5Y It0JG,1 visor's Construction License: 3 3 Exp. Date: Improvement License: Exp. Date: e% 0L1(1r, 9( Lb j t i it TEC-1/ENGINEER_ Phone: b(7-- Lt-- L-3 - 1-2 ss:,r2 0 1C0 est DZZer� � Reg. No. 10 0 9 0 SCHEDULE: BOLDING PERMIT: $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Project Cost:vt l� FEE: $ `�. 2 • Receipt No.: AhlA Persons contracting wits, unregistered contractors do not have access to the guaranty fund -"- -- ---- -. % . I A A CO) m X /mom� YI m mm y C O d CA 'O O nZ H CD O 'v CL r. F Co � O O.= y aco -0 o p co CDCL o CD CD 0 CD c CD CD =0 y �CD � v CA O 'o Z CD � o CD 0 CD C_ c��N � m _ 0 �• O Q h aocm .a y SA C C) m C7 C y"ac m Z � •�H -4 =rowed = y O O O y O N O ?m ocoo 0 _ m O O Z C.O O H C'! o CD C =yam.:, = a ~,m (/) CO 0 C C O O CO) w O C'7oQ m _ o cn a � H gymcn w: Tp o O O1 �� m is � � CD CD CA cn = CD cn . Oq C7� m C2. =m: a� co O _ CD cc w o o o z n� o c o PV rD . CDt p•. O G- O z 0 c G -T ■ J If I ��� f ■ iiwillirrr�failrr��rr �f���ii���lr���liii� iii .` �ii�i® - '�'�����' y ',;��■Ira■!��r■!rrl■rrltrwrl��wlr�rrl rtl■ �n, ��■��\�!rt7�Yr+Ei■NE;1■!�:ri��!■r�tn "`. ■�Illlllli oil�■I,��I_���1=a� -- -;��_ _ r X111111111 !,I�ir��orrr�rr�r� ��rrn■�■i �wlnw �_�_���_■_� ��w��.����■mss' �rrrr��I �����G�■��I�n� �NI111111� - = 111111111111111113 - _ - fill,a a i i E i,ll?i 9 R g R IN T r Ail rL gid' C2 pilla ' �„ oil � gY64Yl atl o ���sa s i• a fill lipill fill lil0�� Jill @ @I� d FRI a , r zsqlm O 1121111 gag � i _ n o N i S s ! � Q° i w 0 Client#• 29552 RFSntt ACORD- CERTIFICATE OF LIABILITY INSURANCEDATE(M Dom"") 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. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INSURANCE MARKETING AGENCIES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 306 MAIN STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Worcester, MA 01608 A 508 753-7233 INSURERS AFFORDING COVERAGE NAIC # INSURED RCG LLC INSURERA: Philadelphia Insurance Companie 23850 INSURER B: Wesco Insurance Company 25011 17 Ivaloo Street, Suite 100 Somerville, MA 02143-3656 INSURER 0. 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. NSR KDDIL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD" POLICY EXPIRATION DATE IMMIDDIYY) LIMITS A GENERAL LIABILITY PHPK697768 03/20/11 09/20/12 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100 000 �S')� CLAIMS MADE FX OCCUR __. MED EXP (Any one person) s5,000 PERSONAL & ADV INJURY $1.000.000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY PRO LOC CT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per accident) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ ANYAUTO AUTO ONLY: AGG $ EXCESSAIMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND W WC3021598 05/15/11 05/15/12 X WC STIITATu- 10ETH- R EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE E.L. EACH ACCIDENT $5OO OOO E.L. DISEASE - EA EMPLOYEE $500,000 OFFICER/MEMBER EXCLUDED? Ifyes describe under SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Town of North Andover 1600 Osgood Street North Andover, MA 01845 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _2p_ , DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE wwl<u ca JAUUTlws! 1 of 2 #521132721M218270 GCE o FAC;UKU GUKFUKAIwN TV55 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual): A Address:_I q '_ — I tj AL.4 c,1 � G 0 0 City/State/Zip: So "slvi t I�b U yg QZ-1 4-� Phone #: b ► Are you an employer? Check the appropriate box: l .,Er I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* 2. ❑ I have hired the sub -contractors am a sole proprietor or partner- listed on the attached sheet. t ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] 3.0 I am a homeowner doing all work officers have exercised their right of exemption per MGL myself. [No workers' comp. c. 152, § ](4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions ILEI Plumbing repairs or additions 1 Z.❑ Roof repairs 13.❑ Other • ••. •-rr••r••••• •••u� �•�ww also nu out me section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. _ Insurance Company Name. --W L25 S C p Policy # or Self -ins. Lic. #: WV C' 3 Off' k S7 CA Expiration Date: Job Site Address: °� t 1 0, 1qw+0dV0't. Tity/State/Zip:4,N.Q NU s Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of penury that the information provided above is true and correct SigLiature: '"" Date: 6 6/ Q Phone #: Oficial 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 Per son: Phone M 4 �': :• OFFICE OF BUILDING INSPECTOR 4 f TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: 07804.19 PROJECT TITLE:_ RPvand Trust PROJECT LOCATION: East Mills, 15 High Street NAME OF BUILDING: Building 1. 4th & 5th Floor NATURE OF PROJECT: Corporate Fit Out IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, 1, Linda S. Smiley REGISTRATION NO. I Q08Q BEING A REGISTERED PROFESSIONAL ENGINEERIARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ❑ FIRE PROTECTION ❑ ARCHITECTURAL ® STRUCTURAL ❑ MECHANICAL ❑ 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 1 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. PURSUANT TO SECTION 116.2.2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. 0 UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OC PANCY. SUBSCRIBED AND SWORN TO BEFORE ME THIS 010 DAY OF jlVu-01 RE 1W NOTKRY PUBLI MY COMMISSION EXPIRES —L—,�eC 0,) �o� BeyondTrust 6/15/2011 Construction Budget 21 High Street Suite 401 DIV Description Total 1 General Conditions $ 5,000.00 2 Site Work & Demolition $ 10,000.00 3 Concrete $ - 4 Masonry $ - 5 Metals $ 20,000.00 6 Wood and Plastics $ 10,000.00 7 Roofing 8 Doors and Windows $ 12,000.00 9 Finishes $ 60,000.00 10 Construction Specialties $ - 11 Equipment $ - 12 Furnishings $ - 13 Specialty Construction Systems $ - 14 Conveying Systems $ - 15 Mechanical $ 55,000.00 16 Electrical $ 25,000.00 17 Misc. Construction Trades 19 Fee $ 29,550.00 Total $ 226,550.00 Permit $ 2,724.00 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 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 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: 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: 00 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: 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. Contractor's Fee: 15% of total construction volume up to $1 million, and 10% of construction volume over $1 million. 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 booked monthly in arrears. Specifically, 1. The cost of pre -construction and construction management services provided by RCG personnel is booked monthly in arrears based on the hours reported by each employee. 2. Hours are billed at the standard hourly billing rate established from time -to -time for each employee. 3. The cost of pre -construction and construction management services provided by independent contractors is booked when invoiced and carried within the fee. 4. RCG Builders personnel functioning as tradesmen outside their management duties will be charged according to their hourly billing rate. 5. If a project is terminated or suspended by the Owner prior to completion, RCG Builders LLC is compensated for the actual cost of services provided prior to receipt of notice of termination or suspension from the Owner. 6. Total Construction Volume includes all construction trades, general requirements, insurance, bonds and miscellaneous costs deemed necessary to perform the construction of the project, but excludes permits and fees. Permits and Fees shall be paid directly by the Owner. 7. Construction management labor, standard tools and equipment, and labor -related overhead are covered "within the fee". Specialty tools or equipment, trade labor supplied by Builders personnel and approved transportation and meals costs shall be charged directly to the Owner without a fee. 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. Page 3 of 6 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. 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: 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. Working Capital: RCG Builders shall not bear the costs of Working Capital for the project. If the Owner would like the Contractor to gain beneficial pricing on its behalf by paying subcontractors ahead of the Requisition schedule, the Owner shall either (1) put on deposit with the Contractor a sufficient amount of Working Capital for the Contractor to pay these Subcontractors, or (2) make immediate payment upon request from the Contractor outside of the normal Requisition process. Provision of Working Capital shall entitle the provider to all discounts and savings associated with that capital. Page 4 of 6 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. June 19 261.."1 or such time that Ni tificat�on to,;Praceed �s3 `ire b 4wrrer ' 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 Com 1etio,n to be ri C 4. Signatures The Owner's representative is: David Stefnb V— Manager. W4 North!Ar�dover Milk LLC 7 lvaloo 5 eet, Suite.100 Somerville MA 02143 § 14.4 The Contractor's representative is: Kiteran�Whefa, n Construction S'perv�sor RCG LLC' 47 Wallop Street Suite 100' Somerville, ;MA 02143 This agreement is entered into as of the day and year first written above and is executed in at least thre original copies, one for the Owner, one for the Contractor, and one for the Architect. Owner Con actor Si ature- Signature Printed Name and tle Printed Name and Title c Page 6 of 6 .j L) r C -%W L/ 14 0l2