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HomeMy WebLinkAboutBuilding Permit #396 - 21 HIGH STREET 11/21/2007 OORTH BUILDING PERMIT '11j-ID ,6gti TOWN OF NORTH ANDOVER �? "` �- ` vL APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received ��SSACHUS��� 1 Date Issued: • IMPORTANT Applicant must complete all items on this page LOCATION t(. N Pnnt _:PR,OPERTY OWNER t?nnt,, MAP NO,: :PARCEL;_ ZONING IhSTRICTIHistoc ct yes no Machine Shop Village yes 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 1111e11 ,:,: FJoodplair f 1Netlands Watershed Distract Nater/Sewer _., DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) 1�Q"� C OWNER: Name: Cc rr J ti b ,u .`.Phone: Address: Y�c.�n ' �� Q� l� CONTRACTOR Phone: Adclr-ess: �` .�* c+•d ''` s"Y� � 021.. t Supervisor'"s Construction L�cene \ Exp Date Home im rovementticense, '` f E p xp .Date 1 ARCHITECT/ENGINEER &iV-T � Phonedt-1 Address:2 t11 C-A04 Can s i Q _Reg. No. t Q 8 a FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. 6-4 Total Project Cost: $ 1 0 0 k,-, ck — FEE: $ \ -1-0 '— Check No.: ti \ `t' Receipt No.: za Sr NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund signature;of Agent/Owner ,gnature ofcontractor f y� Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools l 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 i DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS ening 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 Located at 384 Osgood Street :FIRE DEPARTMENT =Temp Durnpster orl.siteyes . ` : no Located of 1.24 Main Street ;Fire department signature/date. l , COMMENTS l 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 Doc.Building Permit Revised 2007 i 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 a Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) j ❑ 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 j 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 i Revised 2.2007 i _11 3 �rvv rL Location �� �C}15� � ,SDY1 �''T of {{ No. 1 Date 01 NO�TM TOWN OF NORTH ANDOVER 3? ' �0 AL F 9 • ; ; Certificate of Occupancy $ Building/Frame Permit Fee $ /� �CMU � ' S , Foundation Permit Fee $ Other Permit Fee $ a, TOTAL $ Check # 3q `q-2 208 '17 U Building Inspector Location No. 3 Date a �aRTN TOWN OF NORTH ANDOVER 9 s # Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ sAcHust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # `3a 2091 2 20912 _ �/ Building Insp&r ~ i CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 396 11/21/07) Date: Jin_un 23 2008 THIS CERTIFIES THAT THE BUILDING LOCATED ON 21 High Street MAY BE OCCUPIED AS Tenant Fit Up Commercial—Nelson 3'd floor IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Nelson 21 High Street North Andover MA 01845 Building Inspector r �i NvR � ri Town of =.- Andover No. 3 -- _ �Y C0 dover, Mass., �l • e?�� o �. If, COCKICKEWICK V ORATED i'P5 BOARD OF HEALTH PERMIT T Food/Kitchen Septic System So BUILDING.INSPECTOR PHIS CERTIFIES THAT............:. .. . ..I+ of%........................................................E WT.......N.4.1.................... Foundation ias permission to erec ......................................00P. buildings on .a.(...�.:�'1..�/1...���r.......�c.4....f�0Q4...... �jo.gh zlr�_4000 �rl� /2•� .®�" 'I'-' �..i'O C eY o be occupied as........�!�.................�.............P.... .....N�.............. 3............................................... )rovided that the person accepting this permit shall in every r ct conform to the terms of the application on file in Fin' his office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of luildings in the Town of North Andover. PLUM ING INSPECTOR rIl 110LATION of the Zoning or Building Regulations Voids this Permit. Rough ��7 �ok PERMIT EXPIRES IN 6 MOUTHS, L C CAL INSPECTOR UNLESS CONSTRU TSS - � ou �..' Service BUILDING ECTOR 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 Until Inspected and Approved by the Building Inspector. FIRE DE �'� / Burner Street No. SEE REVERSE SIDE \ Smoke Deev..'` NORTH -Townof No. 9 y 0 E o _ dover, Mass., T LAK OCKICMEWICK � ORATED f: C. BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT N40.140A.........................................................� �° S`['...:rK.��.l. .... Foundation has permission to erect ................................^. buildings on .a.I...N1. 1...&T........., �. ..... �AQ ...... Rough to be occupied as T � V N, Lsoh Chimney ti................. ... .... .......... .... ..... ..... ........................... .............................................. provided that the person accepting this permit shall in every roma conform to the ter sof the application on file in 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 120k PERMIT EXPIRES IN 6 MO THS ELECTRICAL INSPECTOR UNLESS CONSTRp TS Rough .. ............................ .�....�...' Service BUILDING ECTOR Final Occupancy Permit Required to Omtpy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. S' Board of Building Regdlations and Standards Consftuct on Supervisor License Lio,,# e: CS 66334 86ffidUe -.9/26/1956 e ry E p rano 872612 0 0 9 Tr# 3960 tv - I I ,F�e�t�i�Ction �lZ. KIERAN T WHELA f 31 RICHMOND ST WEYMOUTH,MA 02188 J Commissioner Client#: 35588 RCGBU ACORD,. CERTIFICATE OF LIABILITY INSUMNCE 11/12/0 Dom' 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 508 753-7233 INSURERS AFFORDING COVERAGE NAIL 0 INSURED INSURERA: Associated Employers Insurance Co. 11104 RCG Builders LLC INSURER B: c/o RCG-LLC INSURER C: 17 Ivaloo Street,Suite 100 INSURER O: Somerville,MA 02143 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 LTR N TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS _ DA GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Fa o..irrenc t $ CLAIMS MADE EIOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY E OT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea aocldenl) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per awdent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WCC5005531012007 05110/07 05/10/08 X WC STATU- OTH EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $500,000 ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500,000 IfSPyesEC,dIAL PROVIescribe under SIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION North Andover Town Offices DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN 120 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL North Andover,MA 018455 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108)1 of 2 #140620 GCE a ACORD CORPORATION 1988 t BUILDERS Standard Form of Agreement between Owner and RCG Builders LLC where the basis of payment is the Cost of the Work Plus a Fee without a Guaranteed Maximum Price Date: �ouetrt ' , fl©7 Owner: 'G—AAfiAnter Ills i�C w 8 r�7igg GVYLL Lr � p I �dtrYQr �LG 0 l Contractor: �CJ' I,fde � Architect: 44II t - 3 33� Project Name: Vicil�ls k r 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 7 s BUILDERS 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 3 ,, 13rx "' ,. "10 OT 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: tlA 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 7 BUE. 2. Contract Sum i Cost of Work: The Contractor shall provide a detailed estimated Cost of Work to the Owner(see Exhibit A). The sum of these costs, costs, including the fee is as shown below: 5 ..y:I{iM,lr7�V{I. ",f'� _;L, "� '£kx § u+:V�.wi '�._ 9a,." sd' F � ';. 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. The hourly billing rates effective 1/1/2007 are shown below. 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. Employee Rate David Steinber h $125/hr Skip Rose $125/hr Mike Bernier $125/hr Kieran Whelan $125/hr Ken Shea $100/hr Jason Downing $50/hr Page 3 of 7 BUILDERS 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. 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. 01 Page 4 of 7 e BUILOERS 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. November 25, BU °or such tr,n. that Na if ca art o Proceec is 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: =0 #e,F4f Sub$stant� l[ csm"I t11 900,4 no wrdth`i 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 5 of 7 J d BUILDERS 4. Signatures The Owner's representative is: bav-111 ictef erl11 aagO r RCGofth AndoverIris LLC, c/o R7„77 G liraHat3�5tre Mdj 1 6, § 14.4 The Contractor's representative is: E tn,l fise,re I l r+�sic e y 1XdF3 } �b"66,i I d-e0C V�hralt���' e S "mat sorinerarl104,4X214 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 Co dor Signatu Signature L 6AViz �T- �J I� YWl►dre(= Printed Name and Title Printed Name and Tile Page 6 of 7 BUILDERS Exhibits Exhibit A: Estimated Cost of Work Exhibit B: Drawings Page 7 of 7 t BUILDERS Nelson Bach Office Fit-Out 21 High Street North Andover, MA SCHEDULE OF VALUES 20-Nov-07 Spec Section Description Estimated Amount j06400 !'Millwork - - $3,333.00$5,808.00 08080 Doors and Windows - I. ------ - 1 I; 09250 iGypsum board " $32,410.00 ;09650 EResilientflooring $1,862.00 109680 Carpet $18,005.00 09900 jPainting $9,000.00 10800 Toilet and Bath Accessories Ili $50.00 ; 11400 IFood Service Equipment $500.00 15300 !Fire Protection $2,000.00 I 15400 Plumbing $1,085.00 '15500 1 HVAC I $11,250.00 16160 iElectrical N $15,390.00 TOTAL PROJECT VALUE: $100,693.00 Permit Rate: 1.2% PERMIT FEE: $1,208.00 OFFICE OF BUILDING INSPECTOR �? y TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL 's=wcwst PROJECT NUMBER: 07804.06 PROJECTTITLE: .NELSON TENANT FIT OUT PROJECT LOCATION: EAST MILLS, HIGH &WATER STREETS, NORTH ANDOVER NAME OF BUILDING: BUILDINGS ONE & THREE NATURE OF PROJECT: TENANT FIT-OUT LINDA SMILE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I, REGISTRATION NO. 10080 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 ❑ ARCHITECTURAL IN 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 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 witMhe 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 118.2.2 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 OCCUPANCY. . AIGNARE SUBSCRIBED AND SWORN 7.0 BEFORE ME THISaO� DAY OF 1UBU�� 'NOTARY PUBLIC MY COMMISSION EXPIRES Q 1 a�/f