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HomeMy WebLinkAboutBuilding Permit #122 - 25 COMMERCE WAY 8/11/2009 BUILDING PERMITo` "°RT# qti TOWN OF NORTH ANDOVER ,•2 g``*'_ "'6`° o }' e ti r APPLICATION FOR PLAN EXAMINATION Permit NO: Date Receivedw°'q 7 °R4TEo '� •(9 �SSACHUS�� Date Issued: 4MPORTANT:Applicant must complete all items on this page LOCATION W a"K%gE )Ar " IT 06, np— PROPERTY OWNER Gl� S—H1G t JjA=J4 ktM& Lok + Print MAP NO: -2E& PARCEL: ZONING DISTRICT: - Historic District yes C"off' Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial No. of units: - ommerci Repair, replacement Assessory Bldg ers: - Demolition Other Septic 14 Well t4 floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WOR TO BE PREFORMED, O�,t 4th l I 1A . ?Aiqar,h �eCa�3Tr�pr�. cadl,,�NI;.IS, I�,t-l� �'�oo'�- ��s�551r1•i�l� �o�N o _ qo?? ICt�cAt, . Identifica�t`�iggn Please Type or Print Clearly OWNER: Name: t�lJ (.. N%N Phone: 0 •Q got •beo, Address:_ ST. 'A,�� AtADWt -- %"L CONTRACTOR Name: O C6$0- qWone: 6M :A 1 60 e� Address: j Supervisor's Construction License: Exp. Date: �I t 2,-�,t Home ImprovementLicense: Exp. Date: ARCHITECT/ENGINEER C7(;P Phone: � ZZ.1' M6HOA ` Ik- �t•w.tau )tat . . Address: Reg. No. . FEE SCHEDULE:BULDING PERMIT:$12.00 PER$11l00''0.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 2� , �"1 FEE: $ _ - y Check No.: W-2t Receipt No.: 5-2-) l 7 NOTE: Persons contracting with unregistered contractors do not have acces t e guaranty fund ,Signature of Agent/Owner Signature of contract© i I Location �S i�0z?i! gle1� C No 2 Date �ORT� TOWN OF NORTH ANDOVER F? • • O� % Certificate of Occupancy $ /DD — �'�SACNUs<� Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ d 620. Check # 223,17 / building Inspector 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 CONSERVATION Reviewed on Siqnature COMMENTS HEALTH Reviewed on Signature .. COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments C, Conservation Decision: Comments `'Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street y .FIRE DEPARTMENT - Ternp Dumpster on site sPW Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: ' Total square feet of floor area, based on Exterior dimensions. �t LtM�o � Total land area, sq. ft.: i4/jk O ELECTRICAL: Movement of Meter location, mast or service dron requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No l� 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 2009 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 I 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 ❑ 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:Building Permit Revised 2008 NORTH ® of .. Andover . %I% w. _ No. dower, Mass., F If Z64 T O - LAKE COC..C...CK V ORATED �a E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System ., rr BUILDING INSPECTOR THIS CERTIFIES THAT.............. ...... � . ' 4 .. .w0 ......................:y:............No..�i. �.-`Y .C! 'Yr�� Foundation . ' /� t has permission to erect........................................ buildings on ... .. Rough .. l7......... 1., : .. ..f............ ......v!�+!.... ..... tobe occupied as............. .... .°; f............l.9........,,/d'..e... �!:,,�1151-s... ...... ,. .../ �`4 11'��„S' himney provided that the person accepting this permit shall in every respect con f6rm tohe t. rms of 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 9 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION TARTS ELECTRICAL INSPECTOR Rough ... ..Q Service B LD� PECTOR 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. SEE REVERSE SIDE Smoke Det. I up INORT" 0 NT CONSTRUCTION MANAGEMENT PROPOSAL July 1,2009 Eli Levine Brownfields Real Estate 137 Newbury Street '` Boston,MA 02116 p RE: OPTION TWO REVISED—OSI Tenant Space Only `g OSI Electronics Tenant Renovations/Improvements \t 25 Commerce Way,Unit#6 North Andover,MA 01845 J� Dear Eli, Oil N� North Point Construction Management LLC is pleased to submit our proposal to act as general contractor for the renovations and improvements at the above mentioned site. The cost associated with this work is ONE HUNDRED AND SIXTY THOUSAND FOUR HUNDRED AND FOUR DOLLARS($160,404.00). To facilitate the decision process we have provide a detailed breakdown showing the work to be performed with its related cost. Scope of Work Site Demolition: $5,270.00 • Remove all existing items within the existing and expansion space as shown on the existing conditions plan, including but not limited too: • Remove approx. (1,880)square feet of existing gypsum wallboard assemblies including demising walls, interior partitions, and soffits. • Remove approx. (2,100)square feet of existing acoustical ceiling tile and grid. Salvage existing grid for reuse/rework in this project were applicable. • Remove approx.(2,000)square feet of existing flooring materials within limit of"office"area. • Remove approx.(960)linear feet of existing cove base within limit of"office"area. • Remove(12)door and frame units at demolished walls, salvage and store for building reuse. • Remove(4)floor mounted toilets and(2)urinals sinks within Production restrooms. • Remove and rework existing lighting,power receptacles and fixtures.Make entire space safe. • The intent is to leave a clean and safe working environment for the proposed construction. Thermal and Moisture Protection: $1,200.00 • Supply and install(1)roof penetration as required for new exhaust fan located within the equipment room. Doors/Frames/Hardware: $ 1,600.00 • Relocate(1)existing 6'-0"x 6'-8"wood doors with existing hollow metal knock down frames.Reuse existing ADA lever lockset to conform to the door hardware schedule on plans and specifications. (All specialty locks and security devices will be b they y others) • Supply and Install (1)new 6'-0"x 6'-8"pre-finished birch veneer wood doors to match existing with knock down metal frames,includes new ADA lever passage sets to match existing hardware and conform to door hardware schedule on plans and specifications. (All specialty locks and security devices will be by others) 94 RIVER ROAD— HUDSON NH 03051 BB _49PHONE: 603. 546-2000 / FAx: 603. 546-2002 1BC - "j Page 1 S:INPCM-Projects Being Persued\OSI-North AndoverlProposalstNPCM Proposal 7-17-09b.doc Doors/Frames/Hardivare continued. • Relocate(4)existing 3'-0"x 6'-8"pre-finished birch veneer wood doors to match existing with knock down metal frames, includes new ADA lever passage sets to match existing hardware and conform to door hardware schedule on plans and specifications. (All specialty locks and security devices will be by others) • All existing entry and overhead doors are to remain. (All specialty locks and security devices will be by others) Glazing: • NOT APPLICABLE. Carpentry/Millwork: $250.00 • Supply and install all wood blocking/backing as required. • Relocate approx.(12)linear feet of existing Cafeteria base cabinets and counter • Supply and install approx. (3)linear feet of counter with supports to meet ADA requirements. Drywall: $23,015.00 • Supply and install approx. (3,507)square feet of new gypsum wallboard construction 6"through the existing acoustical grid as indicated on the plans(dated 6-26-09),assuming 12'-6". • An allowance of$850.00 has been carried at this time for the patching of existing walls; anything above and beyond the amount carried will be at an additional cost. • Please see Alternate No 1. Acoustical Ceilings: $2,816.00 • Supply and install approx. (1,008)square feet of new 2x2 tegular edge acoustical ceiling tile and grid to match building standards for the proposed open office area. • Reuse existing acoustical ceiling tile were applicable. • Touch-up,patch,repair and provide new ceiling tile(for damaged tiles only)in common areas were construction has affected the existing layout. • An allowance of$800 has been carried for touch-up,patch,repair and provide new ceiling tile(for damaged or stained tiles only)within office areas where construction has affected the existing layout. Flooring: $47,648.00 • Supply and install approx.(541)square yards of new carpet material per specifications,assuming a$14.00 per yard material allowance. • Flooring within Open Office area shall be removed and installed around existing systems furniture via furniture jacks. All other furniture is to be removed,relocated and reinstalled by others,NIC. • Supply and install approx. (12)square yards of new"walk off'Berber carpet material at front entrance. • Supply and install approx. (9,675)square feet of self leveling(approx. '/4")materials at entire Production area. • Supply and install approx. (9,675)square feet of new VCT flooring within the Production area,including required floor preparation. Please note that neither static dissipative tile nor wax has been included in this proposal. • Production area to be completed in two phases. • Supply and install approx.(1,724)lineal feet of new Johnsonite 4"vinyl wall base material. • Minimal floor preparation as required for carpet installations within"office area". Painting: $12,651.00 • Provide one coat of primer and two coats of finish latex paint over approx. (21,286)square feet of new and existing"office" gypsum wallboard partitions and soffits as shown on the plans. No finishes on existing walls outside the"office"area have been included. • Provide two coats of metal paint on approx.(20)KD new and existing metal frames within"office"area. • Touch up only has been included within new tenant space. Plumbing: $3,900.00 • Supply and install(1)new ADA sink and faucet within new section of counter at new Cafeteria. • Disconnect and reconnect ejector pump and hot water heater for new Cafeteria sink including new supply and waste lines. • Supply and install(4)floor mounted power flush toilets(2 ADA and 2 standard)within Production restrooms. • Supply and install(2)wall mounted"waterless"urinals within Production restrooms. 94 RIVER ROAD— HUDSON NH 03051 BBElCa PHONE: 603. 546-2000 / FAX: 603. 546-2002 1 Page 2 &\NPCM-Projects Being PerSUed\CSI-North Andover\Proposals\NPCM Proposal 7-17-09b.doc Plumbing continued. • Existing wall mounted sinks with faucets to remain. • Please note that it has been assumed that the existing "rough"plumbing is fully operational. No additional work, materials, or fixtures have been included in this proposal including but not limited to all ADA compliances. Fire Protection: $7,200.00 • Relocate existing or supply and install new sprinkler heads,if required,to achieve proper coverage within new open and private office spaces and from relocations of existing walls. • Relocate or rework any existing branch lines for the proposed changes to the space • All work will meet NFPA-13 standards. • Relocate existing fire extinguishers and cabinets as required. HVAC: $8,050.00 • Furnish all labor and materials to perform necessary sheet-metal ductwork modifications to accommodate the new architectural floor plan. Services include: • Installation of new sheet metal supplies and distribution system for the existing RTU's. • Installation of necessary return air transfers for all areas where the walls are full height from floor to underside of roof decking. • Relocated and reuse existing registers/grills/diffusers for the proposed layout to achieve the required heating and cooling loads. Supply and install new were deemed applicable. • All Existing supply air main duct to be reused were applicable. • Supply and install(1)new exhaust fan within the equipment room • Includes relocation of existing thermostat controls,and comfort balancing. • Please note the following; 1. HVAC load calculation and/or any new equipment installation have not been included in this proposal. This proposal is for distribution of the existing RTU/VAV equipment and the installation of exhaust fan as specified. 2. Start-up, inspection, necessary repairs, operational integrity and filters changes on any existing rooftop equipment has been excluded. New filters will be required prior to balancing services being performed. Electrical: see alts • Relocate existing power requirements at new Cafeteria counter. • Utilize/Rework/Relocate existing power panels;no new tubs,sub-panels or circuits have been included in this proposal. • All Grounding per National Electric Code. • Supply and install approx.(45)new duplex outlets,GFI,and misc.dedicated outlets for proposed layout. • Supply and install(5)system furniture feeds,whips by system furniture contractor • Remove existing, supply and install(20)new wall mounted occupancy sensors within existing and new"office"areas at existing switch locations. • Remove existing, supply and install(20)new ceiling mounted occupancy sensors with power packs within Manufacturing areas, 10 zones • Remove and salvage all existing 2x2,and 2x4 fluorescent and recessed can lighting fixtures from the existing space for reuse on this project. • Rework all existing emergency life safety fire alarm equipment,horn strobes,pull stations and fire alarm panels as required to achieve required signaling and annunciation per local officials and NFPA13. This will include but is not limited to the following; • EBU's • Exit Signs • Fire alarm Strobes • Horn Strobes • Pull Stations • Smoke Detectors • Heat Detectors,if applicable • Supply and install all wiring for the new exhaust fan within the equipment room. • Supply and install all wiring for the new power flush toilet fixtures. • Supply and install Voice/Data Ring,Pull String at proposed Rooms as required. Please note that all final terminations of telephone and data systems are to be by others. • Please see Alternate No.2. 94 RIVER ROAD— HUDSON NH 03051 BBB PHONE: 603. 546-2000 / FAX: 603. 546-2002 ' Page 3 S:INPCM-Projects Being Persued\OSI-North AndoverProposals\NPCM Proposal 7-17-09b.doc A General Conditions: $ 19,372.00 • All Building Permits and inspection fees. • All Site Supervision and project management. • Progress and final clean thru the entire project • Temporary lighting, facilities,trailers and barricades • Dumpsters and debris removal. Subtotal $148,522.00 OH+Fee $ 11,882.00 TOTAL $160,404.00 Alternate Prices: 1. Supply and install(8)linear feet of"Space Labs"upper and lower cabinets including all required plumbing and electrical. Add$6,210.00 2. Supply and install all associated work with constructing the Smith&Nephew rooms. Add$8,045.00 3. Provide the following scope of work to create new tenant lease lines(Decreasing OIS and Increasing Unit 4).Wdd$49,200.00 Break Down: • Remove required building siding structures to allow for new tenant entrance.$300 • Remove required acoustical ceiling tile and grid to construct new demising wall structures. $250 • Remove approx. (720)square feet of existing drywall partitions to allow for new tenant entrance. $900 • Provided required landscape preparations and repairs to allow for new tenant entrance connecting sidewalk. $1200 • Supply and install new connecting sidewalk at new tenant entrance.$380 • Assumes no new existing ADA access ramps to parking lot. • Supply and install new masonry finished opening for new tenant entrance. $600 • Tooth in new opening and re-point new and existing CMU Supply and install new corrugated metal and metal flashing for new tenant entrance. • Supply and install new corrugated metal and metal flashing for new tenant entrance. $675 • Supply and install(1)roof penetration as required for new 5 ton HVAC unit located within the new entrance area. $1200 • Supply and install(1)new 6'-0"x 7'-0"aluminum exterior building standard entrance door and frame unit. $2138 • Supply and install(1)new 6'-0"x 7'-0"aluminum interior building standard entrance door and frame unit. $1800 • Supply and install approx. (1,550)square feet of new demising gypsum wallboard construction to underside of deck on top of existing partitions and new full height,assuming 25'0". $15300 • An allowance of$600 has been carried for touch-up,patch,repair and provide new ceiling tile(for damaged or stained tiles only)within office areas where construction has affected the existing layout. $660 • Relocate existing or supply and install new sprinkler heads,if required,to achieve proper coverage within new office spaces and from relocations of existing walls,+/-4 heads. $1000 • Supply and install(1)new 5 ton roof top unit to allow for adequate distribution for new demising tenant spaces. $12900 • Rework existing electrical service and metering to allow for new tenant demising locations,assumes no new meters. $4070 • Rework existing fire and life safety,horn strobes and enunciators to allow for new tenant demising locations, assumes no new equipment. $800 • Additional general conditions$3200 o Total$45573 +8%= $49200 4. Supply and install (1)new 6'-0"x 7'-0"fire rated pre-finished birch veneer wood doors to match existing with knock down metal frames, includes new ADA lever passage sets to match existing hardware and conform to door hardware schedule on plans and specifications. (All specialty locks and security devices will be by others) $1700 94 RIVER ROAD— HUDSON NH 03051 A` BBQ PHONE: 603. 546-2000 / FAX: 603. 546-2002 1��+ Page 4 -.- � S\NPCM-Projects Being PerSUed\OSI-North Andcuer,Proposals\NPCM Proposal'-17-09b.doc .m Assumptions/Exclusions and Clarifications: 1. Permits will be required for this work. 2. All work is to be completed during regular day hours(premium wages have not been included). 3. All work mentioned above will be completed in approx. 7 weeks,not including the permitting procedure. 4. All costs associated with additional requests and or requirements made by local municipalities having jurisdiction i.e. local building departments,fire departments,etc.have been excluded and will be an additional cost 5. All costs associated the removal,relocation and/or reinstallation of equipment within the Office Area has not been included. Including but limited to office furniture(except systems furniture within Open Office area),wall hangings,computers, phones, etc. 6. All costs associated the removal,relocation and/or reinstallation of equipment within the Production has not been included. Including but not limited to the electrical and duct work connections. 7. All costs associated purchasing and/or applying the ESD wax has not been included. 8. All test-boring and or drilling for potential ledge and oversized boulders has been excluded and will be an additional cost 9. All blasting,drilling,hammering and removal of ledge and oversized boulders if existing have been excluded and will be an additional cost. 10. The installation and or relocations of all service telephone poles,equipment and devices have been excluded and will be an additional cost(services performed and provided by town electrical utility company) 11. All gas line applications have been excluded and will be and additional cost(services performed and provided by town gas utility company) 12. All EPA monitoring and paperwork has been excluded and will be an additional cost if required. 13. All testing and removal of any contaminated soils or hazardous materials if ascertained have been excluded and will be an additional cost,priced accordingly. (Current conventional abatement methods and market unit costs) 14. All Costs associated with paving in this proposal are based on current.market costs for liquid asphalt($585 per ton). Any escalation in liquid asphalt costs have been excluded and will be an additional cost. 15. All fill to be common borrow fill if required. 16. All costs associated with material and or soil testing as required by local municipalities having jurisdiction,or state and federal agencies i.e. soils compaction and sieve analysis have been excluded and will be and additional cost 17. All Town and or State highway permits if required for sewer and water tie-in at street have been excluded and will be an additional cost 18. All costs associated with exterior logos and signage is assumed to be by others and has not been included. 19. Supply and install of all appliances indicated on the architectural drawings have not been included at this time unless otherwise noted. 20. Estimate reflects that all line items listed will be completed as an entire project. Please do not assume specific line items can be removed. 21. All final keying for locksets will be supplied and installed by others. 22. Costs associated with the additions and/or relocations of Tel/data lines,jacks and equipment and devices will be by others or an additional cost. 23. All final terminations for the voice and data system/equipment are to be by others and have not been included at this time. 24. Costs associated with liquidated damages due to circumstances beyond our control will be by others. 25. All security cameras, electronic strikes,card access units,punch pad combination lever sets,and other special security units will be by others. 26. All misc.phone equipment,data racks and telephone or data wiring, sound and paging devices,will not be included. Sincerely, Gary Thomas Managing Member 94 RIVER ROAD-- HUDSON NH 03051 BB PHONE: 603. 546-2000 / FAX: 603. 546-2002 'ABC RM Page 5 S:APCM-Projects Being Persued OSI-North AndoverTroposalsNPCtN Proposal 7-17-09b.doc } Massachusetts - Department of Public SafelN Board of Building Regulations and Standards Construction Supervisor License License: CS 69346 Restricted to: 00 JEFFREY P FFQREIRA 17 COPELAND HUDSON, NH C .051 Expiration: 3/3/2011 (' mmissigpile r Tr#: 12356 I ACORD, CERTIFICATE OF LIABILITY INSURANCE 08/06/20 9 PRODUCER (603)432-3666 FAX (603)432-6076 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lakeside Insurance Agency, Inc. & C&G Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE One Wall Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Windham, NH 03087 INSURERS AFFORDING COVERAGE NAIC# INSURED North Point Construction Management, LLC INSURERA: Central Insurance Companies 20230 94 River Road INSURER B: Hudson, NH 03051 INSURER C: 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. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR lNqRGENERAL LIABILITY CLP8456300 07/21/2009 07/21/2010 EACH OCCURRENCE $ 1,000,00( X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,00( CLAIMS MADE M OCCUR MED EXP(Any one person) $ 5,00( A PERSONAL&ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PROJECT El LOC AUTOMOBILE LIABILITY BAP845 5293 07/21/2009 07/21/2010 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,00 ALL OWNED AUTOS BODILY INJURY SCHEDULEDAUTOS (Per person) $ A HIREDAUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY CXS8456313 07/21/2009 07/21/2010 EACH OCCURRENCE $ 5,000,000 X OCCUR FICLAIMS MADE AGGREGATE $ A $ 5,000,00 DEDUCTIBLE $ X RETENTION $ 0 $ WORKERS COMPENSATION AND WC845631410 07/21/2009 07/21/2010 WC STATU- OTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 500,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS This Certificate serves as evidence of insurance coverage. For a Proper Certificate of Insurance o be issued please make a formal request to North Point Construction Management Inc. CERTIFICATE LDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Information Only OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Issued on behalf of Client AUTHORIZED REPRESENTATIVE I Edwin Duvall/LYNN ACORD 25(2001/08) ©ACORD CORPORATION 1988 PDF created with FinePrint pdfFactory Pro trial version http://www.fineprint.com TOWN OF NORTH ANDOVER Construction Control Affidavit Project Number: 0905060 Project Title: Alterations &modifications to existing space for OSI Electronics Project Location: Commerce Avenue, 1st Floor Name of Building: Commerce Avenue, 1st Floor Nature of Project: Alterations &modifications to existing space In accordance with Section 116.0 Registered Architectural and Professional Engineering Services-Construction Control of the Massachusetts State Building Code, I, Gregory P. Smith Registration No. 8688 being a Registered /Architect, HEREBY CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Architectural XXXX Structural Mechanical Fire Protection Electrical Other (specify) FOR THE ABOVE-NAMED PROJECT AND THAT SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE 780 CMR 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, 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 state of construction to become, generally familiar with the 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. UNDER SECTION 116.4, 1 SHALL PERIODICALLY SUBMIT A PROGRESS REPORT,TOGETHER WITH PERTINENT COMMENTS, TO THE ANDOVER BUILDING INSPECTOR UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COM N AND READINESS OF THE PROJECT FOR OCCUPANCY. yP Signature and Stamp(no facsimile) X"T"p Ak SUBSCRIBED ARID SWORN TO BEFORE ME THIS DAY OF 7:SULy 2009 MY COMMISSION EXPIRES 17, 0) S� TA PLELIC JANET L EATON NOTARY PUBLIC k1i COAIAIONWEAI-iH OF MASSACHUSETTS MY COMM.Expires Sept 17,2015 TOWN OF NORTH ANDOVER Construction Control Affidavit Project Number: 0905060 Project Title: Alterations & modifications to existing space for OSI Electonics Project Location: Commerce Avenue, 1st Floor Name of Building: Commerce Avenue, 1st Floor Nature of Project: Alterations & modifications to existing space In accordance with Section 116.0 Registered Architectural and Professional Engineering Services-Construction Control of the Massachusetts State Building Code, I, Steven Houle Registration No. 46743 being a Registered Professional Engineer/AFehttee , HEREBY CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Architectural Structural Mechanical XXXX Fire Protection XXXX Electrical XXXX Other(specify) FOR THE ABOVE-NAMED PROJECT AND THAT SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE 780 CMR 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, 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 state of construction to become, generally familiar with the 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. UNDER SECTION 116.4, I SHALL PERIODICALLY SUBMIT A PROGRESS REPORT, TOGETHER WITH PERTINENT COMMENTS, TO THE ANDOVER BUILD ECTOR UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE S pCt� MPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. SIs,q oma' STEVEN os `�%u1iu1111111' Signature and Stamp (no facsimile) R. V�G,��''/ My MISSION o� •. ST ER G��F' � � EXP! RES F 1ONAc EN ;Z T. 17.2012 Z• o `C '���� •••.�qAY PV®v.•���. hh''//dry" //,,`` . q�Mps, _ � SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF / lyoyJr 2009 1-1v'vM01�01V MY COMMISSION EXPIRES N TA Y PUBLIC