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Home My WebLink AboutBuilding Permit #176 - 21 HIGH STREET 9/9/2008 pORTH BUILDING PERMIT �` TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION - � Permit NO: b Date Received �9sSgcHus��c Date Issued: T --'— '- IMPORTANT: App licant,xfiust complete all items o this-page IN � g.%,(O.I��P.,z� h EJ11 �� Aw ,,NP , PR�! P x�aE'r£�' � ��'�P d ® s�.� � - � .'.-dIwI3'iT. � : �' :•s�y-a��'" k � TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial Alteration No. of units: o Commercial ❑ Repair, replacement [IAssessory Bldg ❑ Others: [IDemolition ❑ Other IMW ;. s.r, DESCRIPTION OF WORK TO BE PREFORMED: uAk Nb`1 � L (57taP Y L.9 tSZ-- J c_ r J K ►�1 G Identification Please Type or Print Clearly) -b Z�- 8� i OWNER: Name: Phone: Address t �- v f ct cid ®2 I01 `-t- RV IRK �yy"^;,�,�,, _ s^'tE [ L v �lan. � �y. 777 Address ' MIS L ARCHITECT/ENGINEER +� ��'� l ` , Phone: L3 CJ 2`1-t V Address: ` C91 d'6V'`f Reg. No. l C) Q a FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 R S.F. Total Project Cost: $ 0 0 Q FEE: $ AN �—' Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 5lgrrattare tl �e owner .� ,�.. -58 b tore o co c or . .�. — R. y J 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 DATE REJECTED DATE APPROVED PLANNING &.-DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ 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 Located at 384 Osgood Street - Driveway Permit :a F3 c x Whp pe or� syep � q7a apc,�� L r•.mow a. �„ 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 MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NO NOTES and DATA— For department use f I ❑ Notified for pickup - Date .................... ........................................................................................................................................... ..................................................................................... ...................................................................... .................................... Doc.Building Permit Revised 2007 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 a ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products i 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 { Location No. 1716 ! Date �oRT� TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ s'••�°'E<� Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 0A 7 f O 1 490 /Building Inspector Location No. /76 Date P41 1p TOWN OF NORTH ANDOVER t�RTM pf•"•O ,•,yC • i a Certificate of Occupancy $ /d U Building/Frame Permit Fee $ SACNUSE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 0 0 756 233 , 4 Building Inspector . NQ SSACHUS CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 176 Date: August 31, 2010 THIS CERTIFIES THAT THE BUILDING LOCATED ON 21 High Street, North Andover, MA MAY BE OCCUPIED AS Leap Year Publishing IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: RCG N.A. Mills, LLC 21 High Street,North Andover,MA 01845 Building Inspector Fee: $100.00 Receipt. 23302 N OR fl �1��'P1 f�'1 Vercod o 0 o No. l A K o over, Mass., COCHICHEWICK y1. SRATED PP��.(� BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System f BUILDING.INSPECTOR THIS CERTIFIES THAT........... . ......... .. �. <.��s...... Foundation /� un ation has permission to erect....... ................................ buildings on-4f.4.41 1��....... ......................... ...................... Rough to be occupied as .....�5 ';' t �� , �/' �/�/•� < AAly �Y Chimney ?. ...... ........... . '�Z... .................. ...... provided that the person accepting this permit shall In every respect�bnform to the terms of thea lication 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 PERMIT EXPIRES IN 0 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ti... � .. .. service ................... ........ BUILDING INSPECTOR Final Ur i.�pctrl y Permit Required to Oca4py Building GAS INSPECTOR Rough Display ., onlouu Place on the Premises — Do Not Remove Final 0, �►thing or Dry Wall To Be Done FIRE DEPARTMENT until Ins,0ected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. BURT , H ILL October 31, 2008 Mr. Gerald Brown Inspector of Buildings Town of North Andover 1600 Osgood Street North Andover, MA 01845 Re: LeapYear Publishing Tenant Fit-out East Mills, North Andover Burt Hill Project 07804.10 Dear Mr. Brown: The tenant improvements for LeapYear Publishing on the second floor of Building One, at East Mills in North Andover, MA, were to the best of my knowledge, belief, and understanding, constructed in conformance with the construction documents issued for building permit dated September 9, 2008 Permit# 176 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. Sincerely, BURT HILL S-,EFtED AFC � F Linda S. Smiley,AIA NEWBU1gvp0R-r C/3y MASS. Senior Associate oy ,J5 r G Phone: 617.654.6003 OF MpSgP cc: Ken Shea Skip Rose David Steinberg Architecture Engineering Interior Design Landscape Master Planning 303 Congress Street 6"Floor Boston MA 02210-1012 tel: 617.423.4252 fax: 617.423.4333 www.burthill.com VhORTH Town over 4: 10 No. dover, Mass. C% 4( 0 '� y, a� 3 r C0CHjCHEWjC! 3%. \ 0RATED C BOARD OF HEALTH Food/Kitchen i PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ............ .............................................. ...... ... ..... Foundation has permission to erect ........ ........................ buildings on -d'I.A�.WlAt ............................... ................. Rough Chimney to be occupied as....... ......................... ....... ...vq!� ........... A provided that the person accepting this permit shall in every respect abnform to the terms of the a0lication 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 PERMIT EXPIRES IN MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS 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, b' the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. _ Y NOTICE NOTICE TOTO EMPLOYEES EMPLOYEES of MassachusettsThe Commonwealth . DEPARTMENT OF INDUSTRIA., ACCIDENTS 6W washington Street,Boston,Massachusetts 02111 617-7274900 As required by Massachusetts General Law,Chapter 152, Sections 21,12-& 30, tills will give you notice that I(we)have provided for payment to our injured employees under the above mentioned chapter by insuring with: ASSOCIATED EMPLOYERS INSURANCE COMPANY NAME OF INSURANCE COMPANY 54 THIRD AVENUE P.O.BOX 4070 BURLINGTON,MA 01803-0970 ADDRESS OF INSURANCE COMPANY woo 5005531412005 05/10/2008 - 05/10/2009 POLICY NUMBER EFFECTIVE DATES 24 Federal Street 4th Floor Boston Insurance Brokerage Inc Boston,MAA 02110 (617)W-7000 NAME OF INSURANCE AGENT ADDRESS PHONE RCC Builders LLC 17 Ivaloo Street-Suite 100 Somerville, MA 02143 EMPLOYER ADDRESS 03/10/2008 EMPLOYERS WORKERS COMPENSATIO OFFICER FFI E AN (W Y) DATE ME' The above named insurer is required is canes of personal injuries arising out of and in the course of employment to fornith adequate and reasonable bo*W 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 igju;ed employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by tl►e-insurer,if the treatment 6 necessary and reasonably connected to the work related hdary. In cases requiring hospital attesttlan,employees are hereby notiW Nut the hmmr has unma ed for such attention at the NEAREST AND BEST MEDICAL FACILITY NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER NQ, FD 5932 Dae GF NOpTH,� TOWN OF NORTH ANDOVER RECEIPT This certifies has paid...... for.0. .--�, T f.G.... f ............................. Received ................. Department ....... ................................I............... ......... WHITE. Applicant CANARY:Department PINK:Treasurer BUILDERS Leapyear 21 High Street North Andover, MA SCHEDULE OF VALUES 03-Sep-08 Spec Section Description Estimated Amount 06400 Millwork $2,000.00 08080 Doors and Windows $4,000.00 09250 Gypsum board $10,000.00 09650 Resilient flooring $1,500.00 09680 Carpet $16,000.00 09900 Painting $7,000.00 10800 Toilet and Bath Accessories $50.00 11400 Food Service Equipment $450.00 12500 Furniture&Accessories $50,000.00 15300 Fire Protection $2,000.00 15400 Plumbing $1,000.00 15500 HVAC $5,000.00 16160 Electrical $12,000.00 TOTAL PROJECT VALUE: $111,000.00 Permit Rate: 1.2% PERMIT FEE: $1,332.00 y.� BUILDER'S 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: rt Owner: !j l 3 t F¢'E �. XMA C Contractor: r : s :a arae 77 ..5 Architect: ,^ I � � '� '� t 3 ti��218 1 kf ^P€'fxY3'ia,t H- 4 ✓ s^�� .�54. �. "� nom,N...•:,:: �� Project Name: pY ;°apceaRiQVte 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 f � 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. ment. The Contractor shall maintain insurance at the following levels with the Owner listed as a co- insured: Type of Insurance Limit of Liability 0 er 4a , WWAli Qt I t t1 ,=M 5 E r , "� { q ..F �. 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 7 t BUILDERS 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: SM .'X yy 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 I 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: r0% f billeos uniestF ase,a ..r►ed3�i# ew,nxk..:.3. . . .,,f ; 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: ital: 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 7 BUILDERS 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. 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: 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 BUILDERS 4. Signatures The Owner's representative is: flad � lana RCC 5,70" -MIG x I11s N § 14.4 The Contractor's representative is: Er0 tt�se� �cle 47 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 Cpplractor n Siggnat re s / Signature ry Panted Name and Title 1 Printed Name and Title 1 Page 6 of 7 Exhibits BUILDERS Exhibit A: Estimated Cost of Work Exhibit B: Drawing Page 7 of 7 f �i4c�oazr�saouv�al�1 o ,Jl�aaaa�a� lld Board of SuiWing ftulsNon's and Standards Construction Supervisor Uasnss r Uaenss: CS 68334 i Bhthdats: 9/26/1966 Exptradon: 9/26/2009 Tro 3980 ReWotion: 00 KIERAN T WHELAN 31 RICHMOND ST' "'� WEYMOUTH,MA 02188 Commissioner Permit Affidavit Project Number: Lea ear Publishin Inc. 27300 Project Title: Lea ear Publishing Inc Project Location: North Andover Name of Building: 21 High Street,North Andover Nature of Project: Commercial Tenant Fitout In accordance with section 116.0 of the Massachusetts State Building Code, I Alfred M. Marzullo Registration No.A01a6e6 being a Registered Professional Engineer/Architect hereby certify that I will prepare or directly supervise the preparation of all design plans, computations and specifications concerning: Entire Project HVAC-X Plumbing_X Fire Protection X Electrical X Other(Specify) For the above named project and that, to the best of my knowledge, such plans computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and applicable laws and ordinances for the proposed use and occupancy. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in section 116.2.2: 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 architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standard listed in Appendix B. Pursuant to section 116.2,3 1 shall submit periodically, 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. _ A ALFRED M, o MARZULLO O iso.4066OF Siggature and V6p ,o Date ,�,tt , � On this day of SfQ�P�20 0� Me ' * dersigned notary public, personally appeared V (name o ocument signer),p oved to me through IE satisfactory evidence of identification, which were to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its' stated purpose. Sara E.Addie, Notary Public Commonwealth of Mossochusets My Commission bores My commission expiresoctober 27,2011 ARY P B C OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: 07804.02 SECT TITLE:Leapyear 2nd Floor PROJECT LOCATION-High Street, North Andover, MA NAME OF BUILDING: East Mill, North Andover NATURE OF PROJECT: Leapyear 2nd Floor IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I, Linda Smiley 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 ® STRUCTURAL ❑ MECHANICAL ❑ FIRE PROTECTION ❑ ELECTRICAL ❑ OTHER(SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE,SUCH PLANS, i 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 wont 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 OCC ANCY- SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF S GrrARE-jr- 72t NOTARY LIC MY COMMISSION EXPIRES / /"5 AW