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HomeMy WebLinkAboutBuilding Permit #347-11 - 300 WILLOW STREET 10/25/2010 i NORTH BUILDING PERMIT OR TOWN OF NORTH ANDOVER o . -. :.a-` APPLICATION FOR PLAN EXAMINATION - / Date Received °�s �o �yS RWrE0 Permit NO. sacwus Date Issued: 19 IMPORTANT: Applicant must complete all items on thispag e ' - LOCATION �Ov W/C.Lo� ST /(� ANDO�t3R l�'lr4 Pnnt ill;�� c PROPERTY.OWNER i . . Pnnt _ MAP.21o. 8��5`Q PARCEL: ZONINGDISTRIGT:L Histone District yes.'.: no :. Machine Sh6p.Vi1!agP yep no TYPE OF IMPROVEMENT PROPOSED USE Non- Residential I Residential ❑ New Building ❑ One family ` _❑Addition ❑Two or more family Ig Industrial Alteration No. of units: ❑ Commercia ElRe air, replacement ❑Assessory Bldg El Others: r Repair, ❑ Other -- 'j KDemolition . - D.Septic V1/ell p Floodplain` ..d Wetjarids 0..V1%ate'rstied District. s ❑Water/Sewer. y - DESCRIPTION OF WORK TO BE PERFORMED: � O�rTt o� © 2 G 6 .SPA-C B `+- i,UO,Q �E7C�d✓�ZO,J Identification Please Type or Print Clearly) ' OWNER: Name: QX v� A4" �Pa Phone:9�8�s7-73av X�vi Address: % �IAN��Z t�vl�DiNC Ce., 3��li�lSP,uAv� W/L/�(.U�i?a,c�Ml�Qld'�7 oz- CONTRACTOR Name: Phone g7 - �730v Di.a' 7 Q �r/6 .>R/iLH! ,U.l M� ! ... p `Ex ' Date:. 'Supervisor's.Construction License:0S 397�U . . f--lome.lmprove ment License: N Exp. Date:: j 5&p* ARCHITECT/ENGINEER Phone:'— Address: hone:Address: 3.�,5/'�/� .S�X'9�/� W14dl/NG1__ZP.rJ Reg. No. &S"Q FEE SCHEDULE.BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST,,BASED� N $125.00 PER S.F. Total Project Cost: $ �� 16V FEE: $ 7411971 ` / 0 ef r e� Check No.:_- 3�.'Pz Receipt No.: �• NOTE: Persons contracting with unregistered contractors do not have access to the guar fund Signature of Agent/Own £'�!/��Signature of contractor R Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBody Art ❑ Swimming Pools "❑ 1 We ll ❑ Tobacco Sales - Food Packapintr/Sales ❑ N b b Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONL)( INTERDEPARTMENTAL SIGN OFF - U FORM - -�-'�- - DATE REJECTED DATE APPROVED PLANNING&DEVELOPM T - EJ b U `MM.ENTS -% y CONSERVATION Reviewed'on - Signature j CO M�ENTS HEALT Reviewed on - Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer ConneCti®n/Signature& Date Driveway Permit DIPW Town IEngineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes_ no- Located at 124 Mairi Street Fire Department signature/elate d4z"' COMMENTS.. - i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL- Movement of dieter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE IoITERATURE: Yes No MGL Chapter 166 Section 21A-1F and G min.$100-$1000 fine NOTES and DATA— (For department use i i F i I ® Notified for pickup - Date Doc.Building Permit Revised 2010/Oct0ber I' i Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. I� 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 i Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan _ ❑ Workers ,Comp Affidavit -❑ Photo Copy of H.I.C. And C.S.L. Licenses r_ t ❑ Copy Of Contract _ ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And d Hydraulic Calculations (If Applicable) ❑ Mass check Ener Compliance Report 9Y p p rt (If Applicable) ❑ Engineering Affidavits for Engineered products MOTE: 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 x: ❑ 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 1 '(D TRE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Iun all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals hat 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 Locatio f Avv-s! Frt_ s�—d No. Date NORT1y TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ ss ^°' < Building/Frame Permit Fee $ .. � �+cHust� Foundation Permit Fee $ Other Permit Fee $ TOTAL ${ Check # 23660 Building Inspector �T NO DTH . G rRr ,'r34CHUse4 CERTIFICATE OF USE & OCCUPANCY ' TOWN OF NORTH ANDOVER Building Permit Number 347-2011 Date: December 6, 2010 , THIS CERTIFIES THAT THE BUILDING LOCATED ON 300 Willow Street, North Andover MA 01845, Executive Center Limited Partnership MAY BE OCCUPIED AS a business IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Executive Center Limited Partnership Building Inspector Fee: 100.00 Receipt: e Date. . G. 8746 TOWN OF NORTH ANDOVER ' 0. ago PERMIT FOR PLUMBING s^'4 SA HUS This certifies that /!7.C. . . . �?�'.G ��' v has'permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . X. . . . . . . . . . . . . . . . . . . . . . . . . . at . . . -3. t , North Andover, Mass.. . Fee l• Lic. No..07 .S.Z j ,�- 1,j!t�. . . . . . . { (PLUMBING INSPECTOR Check # . 7 I - -- SSACRUSETTS UNOORM A7PPLZCAT'OI�7 +'oPE TO Y?©PL 714�1BIl�TG iV;rA (Type or print) NORTH ANDOVER,MASSA.CHUSETIS pate LOX UVIAI S I Owners Name�°"�t��' P Permit## — - Building Location Amount T e of Occupancy Tlew F] Renovation � Replacement flans Submitted Yes No - F)XTTRES UD WOUU 1�- C P,RE+ o rr � . wLOD a H LID F � P r+ H 2 - g to J� A ►-a Sr ME M ECS sun H- CR �iFlSJCR • 7IS�1l0CR 87F[k7iDCR Check one: if Certificate (Print or type) /�� Corp. Installing CompanyName lf �1 1._1 partner. Address - ElFirm/Co. -_ Business Telephone Name ofLicens&l Plumber: Insurance Coverage: Indicate thetype o£insuranca coverage by checking the appropriate box: Bond Ziability insurance policypq Other type of indemnity n ;Insuran.ce Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one o£the above three insurance _ ign ature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)is above application are-true and accurate to the best of inylatowledge and that all plumbing work and' tallations perfoired d and Cha Chapter 142 £tfor he GeneraloLawsl be in compliaricewithallpertinentprovisions of theMassach efts teI'1 p T • By: igna keit um er ' 'I o Iamb- gLicense TitleJoume an CitylTown icense tun er Master journeyman, APPROVED(OFFICE USE ONLY - The Co mrazonwerxlth ofHamachusetts d3epat'tment a f rndustrial Accidents Of-Tce of hivemigations, ' 60.0 T' avhinb,,,tonStreet ` $ostara .1f�1 02.711 WPM Mas'.7-gow.fdia Workers' CoznpensaiionIsurance ffaAlz:�rzilrierslContractors/f+Yec is ans/P�umbers .�np7�icant Tufornzation - ' Please Print f,ecqbi� Name(Business/Ora nization/Individual): ' Address: R , City/State/Zip.- _ Phone#: - FFrD n employer?Check the appropriate box: FYpJe project(required): .a employer with 4. ❑ I am a gei�.eraj Contractor or and I oyees(frill ancl/orpar timej*' have hired the sub-contrantorsei'consfzuetion ETIa sole proprietor orpartner- listed on the attached sheet.temodeling and have no employees These sub—couiractors have emolition ing for me in any capacity. workers' comp,insurance, PTOorkers'com in�rrance 5. ilding addition p. Q Weare a corporaiaon and its w • - reafncers ha�re exercised their eoi cal'repairs oradditaons . homeowner doing ail work right of exemption per MGL mbing repairs or additions myself,[No workers' comp. c. 152, (`I).and yVehaveno of rins,t,�nce required.] t employees_ [No workers' ��p.iasoxanc@requ red-] her aero-amu a�rsn�FlC��i f.�.°.::��LnSJr�v LLt M.--also lit:va:'ti:C..�C.L��m'L. :,nv ` �t:�F..... ^�^.�T.'_'^.^r t�'CriC^.,1."s-cair } COL^ �TIo�eowaers wixo suamit'fh;c affidavit indicating h , d • �• `�`"""` f emg ail::;k ani�heu hire outside cog c±oma 4cssR a,ult.anew amdavit indicafing such. �ConhzcLnrs th i cu:Gk Los-*::•md uttaraed an addiuonai sheet showing the xrame'of the sub contractors Rud their workers'comp.porky informagm lam an employer that is providing workers'compensation irr szirance for mar employees .I�eloh,is the policy and job site. irc•fgrmdt1on. . Insurance Compiny Name: Policy#or Self--ins.Lia. : Expiration Date: t Job Site Address: City/state/Zip: Attach_a copy-of the workers'compensation policy declaraf%vn page(shaydng the policy nuutber•and expiration date. Failure to secure coverage as required under Section 25A ofMGL c. 152 can lead to the impos nition of crimirraT penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties is the form of a STOP WORK ORDER,and a at,- of up to 5250:00 a day agiainst 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 rlo h yehy certify under the pains and peiurlfies afperjur3r fit rt the inforn=ion provided above'is true and correct Siffiatore: 1Dafe Phone#: Official zcse only. Do not writd in this area, to be completed by citi,or toren official City or Tovv- P'ermitucense# Issuing A.ntboriiy(circle one): X.Board of Health 2.Buildirg Department 3. 0fVTown Clerk. 4.Electrical Inspector S.Plumbztz,luspeEtor G. Other I - Contact Person: Phone W: I i C�NOOTN') _ ' 9 �SS4CHUSEt CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 347-2011 Date: December 6, 2010 THIS CERTIFIES THAT THE BUILDING LOCATED ON 300 Willow Street, North Andover, MA 01845, Executive Center Limited Partnership MAY BE OCUPIED AS a business IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Executive Center Limited Partnership Building Inspector Fee: 100.00 Receipt: ret-Mable -657-7788 05:17:07 p.m. 12-03-2010 1 /2 FAX From: Jerry Diorio,Channel Building Company TO: Mr. Brian Leath, Mr.Gerald Brown Date: December 3,2010 Gentlemen, Attached please find Architects Final Affidavit for the work we just completed at 300 Willow Street, North Andover.We have all our inspections complete and would like to come in Monday morning for our final Occupancy Permit. It has been a pleasure working with you.Thank you. Jerry Diorio 978-657-7300 ext.212 CHANNEL Bu1LmNG COMPAKV December 3, 2010 Gerald Brown Building Inspector Town of North Andover 1600 Osgood St South North Andover, MA 01845 Re_ Renovation to Material Installation - > . 300 Willow St North Andover, MA 01845 ARCHITECT'S AFFIDAVIT Pursuant to Chapter 1: Administration — 780 CMR 116.2.2 Construction Control, to codes of the Commonwealth of Massachusetts, I hereby submit this letter as final review and approval, to the best of my knowledge, of quality control procedures for the architectural code-required materials and installations performed at the above location. If you have any questions, please do not hesitate to call. Respectfully, Jos a arco, A ., V1 resident of Desig rv11 E eg. #3852 I'. Duly swom before me on the 3rd 4ay of December, 2010. r - Collette C. Wilkinson �Ly` L`�`: My commission expires on April 20, 2012 CNANNIU SUILDINC7 W. T: 978•657.7WO 355 MIDDLESEX AVr:NIIH 1+: 978.657.7788 WILMINGTON, MA OL887 W; CHANNELSU1LD1NC*.00M TO 39dd 9NIiinSN00 008VW3Q 9L69096LZL 60:L0 600Z/0Z/T0 ec TOWN OF NORTH ANDOVER 40RTH APPLICATION FOR PLAN EXAMINATION °;•t•" h p Permit NO: Date Received + a� • 'r" AC US Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION 300 Willow St.,North Andover,MA Print PROPERTY OWNER Executive Center Limited Partnership Print MAP NO.: 025.0 PARCEL: 0027 ZONING DISTRICT: I1 TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑One family ❑Addition ❑Two or more family K Industrial Z Alteration No. of units: ❑Repair,replacement ❑Assessory Bldg ❑Commercial X Demolition ❑Moving(relocation) ❑Other ❑ Others: ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED Demolition of Interior Office space and minor renovation. 20,000 sf(+/-) See attached Plans Identification Please Type or Print Clearly) OWNER: Name: Executive Center Limited Partnership Phone: 978-657-7300 x 101 Address:c/o_Channel_Bldg. Co._355_Middlesex_Ave._Wilmington, MA 01887 CONTRACTOR Name: Channel Building Co., Inc. Phone: 978-657-7300 x 212 Address:355 Middlesex Ave., Wilmington, MA 01887 Supervisor's Construction License: CS 39770 Exp. Date: 05/29/2010 Home Improvement License: N/A Exp. Date: ARCHITECT/ENGINEER Joseph DeMarco Name: Phone: 978-657-7300 Address:355_Middlesex_Ave Wilmington, MA 0188 Reg. No. 3852 FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ 62,150 x12.00=FEE:$$ 74.80 a+4 106 be-- r Check No.: Receipt No.: �5 1 Page 1 of 4 R-� TYPE OF SEWERAGE DISPOSAL Swimming Pools 11® Tanning/Massage/Body Art ❑ Public Sewer Well F1Tobacco Sales ❑ Food Packaging/Sales 11 Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor Plans Submitted © Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING& DEVELOPMENT ❑ /D D []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS &LVWVC� ie Je i,n ---L`/ ' P� lOrldi 14 G1 L�Uc 1G5 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/Si nature&Date t Driveway Permit Temp Dumpster on site ye�(—no_ Fire Department signature/date r ORTH ® of ®,ve10r Noy 3 �. o o dover, Mass.,.o A- coc klC ME WICK V �Jd RATED P'PC BOARD OF HEALTH t' } Food/Kitchen r Septic System .PERMI i T A BUILDING INSPECTOR THIS CERTIFIES THAT......� ......... ..........� ............ ...Gl r „f Foundation has permission to erect.......................::......... .. . buildings on .., oz....... .4.�C.v ......... .......:..�.............. Rough '� c to be occupied as �” provided that the person accepting this pe shall in every respect conform to the terms of the application on file in Fi this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of ef� ,Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations.,Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS � ELECTRICAL INSPECTOR o o UNLESS CONSTRUC N ARTS Rough .......................... Service yo 1V BUILDING INSPECTOR E00/c 12 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 OM1 Until Inspected and Approved by the Building Inspector. Burner �` ) Street No. < 978-657-7788 05:17:15 p.m. 12-03-2010 2/2 CHANNEL BUILDING COMPANY December 3, 2010 Gerald Brown Building Inspector Town of North Andover 1600 Osgood St South North Andover, MA 01845 Re: Renovation to Material Installation 300 Willow St North Andover, MA 01845 ARCHITECT'S AFFIDAVIT Pursuant to Chapter 1: Administration — 780 CMR 116.2.2 Construction Control, to codes of the Commonwealth of Massachusetts, I hereby submit this letter as final review and approval, to the best of my knowledge, of quality control procedures for the architectural code-required materials and installations performed at the above location. If you have any questions, please do not hesitate to call. Respectfully, Jos a arc o, AIBs? Vi resident of Desig`i rvioesose eg. #3852 A:' om Duly sworn before me on the 3rd slay of December, 2010. Collette C. Wilkinson My commission expires on April 20, 2012 CHANNEL BLI11,DING C.O. T:978.657.7300 ;t55 MIDDLESEX AYrNUE F:97 8.657.77 88 WILMINGTON.MA 01887 W; CHANNELBUILDINC:.COM 10 39Vd SNIi-inSNOO 00NVW3Q 9L6909ELZL E0'L0 E00Z/0Z/10 d*°:T"�, OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: PROJECT TITLE: S00 •,(xJ1440�) s T X--/. zl- r PROJECT LOCATION: 3U0 lcJIMQAJS i NAME OF BUILDING: T 0tlTIVr CE7UT8"� NATURE OF PROJECT: 1�)e7-4,-*,rllON Of =zv` god ngr CB S'PAqy-WuA IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I, -7-05e5FI4 G. TiZC ,4 REGISTRATION NO. 2'48 52 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT 0 ARCHITECTURAL !'J STRUCTURAL 0 MECHANICAL 0 FIRE PROTECTION 0 ELECTRICAL 0 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 RE' OFT--, , TOGETHER WITH PERTINENT COMMENTS TO.THE NORTH ANDOVER BUILDING IN°�S.I' E1✓�bR UPON COMPLETION OF THE WORK, t», SHALL SUBMIT A FINAL REPORT AS TO TH y X32 (^A'✓Y},, SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FO CC � 'SUBSCRIBED AND SWORN TO BEFORE ME THIS ZZ DAY OF M 06,' .,'t<--NOTARY PUBLIC MY COMMISSION EXPIRE ORTH F ' Town of . Andover -- LAKE O doVel, Mass.,�� -C� �- 2 COC.,CME WICK ADRATE D `SS BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR 4 ... THIS CERTIFIES THAT ........... f •„ r........................ .. Foundation /v� �-- has permission to erect..............:................... .. . buildings on .z �1. ........ .......... ..................... ...........�............... Rough s to be occupied as.. .. . .......�.� °........ .... ... . .:. �.d ® ..... ........... chimney .................... ............... . . .. . .. .... provided that the person accepting this pe shall in every respect conform to the terms 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR L - UNLESS CONSTRUCTIQN ARTS Rough ....................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE. Smoke Det v 5< GENERAL BUILDING NOTES/CHECKLIST-NOT LIMITED TO ITEMS BELOW u b POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame,Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain-pipe/stone/fabric filter/cover and outlet connection. FRAME:Fireblock-over girts/plates between floor joist ; Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. A Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. ' Ridge&Hip- Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. Girts-solid brick or steel plate bearing at foundations '/ air:space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams , Attic Access. (min.22x30 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit). Firecode S/R wood frame of"0"clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. ' Y of required glazing shall be openable. yF Bedrooms required min.20x24.egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. g Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber- Finish Smooth parging,clean joints,8"solid @ combust. i DECKS: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 5"on center. Over 8'above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. f Re-inspection fee- $30.00(Be Ready). Certificate of occupancy required prior to occupying structure. ' . 's • r• f CHANNEL Bu���nr� coiv[Panw Standard Form of Agreement Between Owner and Contractor - Lump Sum This document has important legal consequences. Consultation with an attorney is recommended with respect to its completion or modification. This AGREEMENT is made as of the twentieth day of October 2010 by and between the following parties, for services in connection with the Project identified below. OWNER: Executive Center Limited Partnership c/o Channel Building Company, Inc. 355 Middlesex Avenue Wilmington, Massachusetts 01887 CONTRACTOR: Channel Building Company, Inc. 355 Middlesex Avenue Wilmington, Massachusetts 01887-2163 PROJECT: Landlord Work for Tenant Fit-up Executive Center 300 Willow Street North Andover, Massachusetts 01845 In consideration of the mutual covenants and obligations contained herein, Owner and Contractor agree as set forth herein. Channel Building Company,Inc. Standard Form of Agreement Between Page 1 Owner and Contractor—Lump Sum CBC 08/2008 version Article 1 Scope of Work 1.1 Contractor shall perform all construction services and provide all material, equipment, tools and labor, necessary to complete the Work described in and reasonably required from the Contract Documents. Contractor is not responsible for the design, engineering and architectural work required to complete the project. Article 2 Contract Documents 2.1 The Contract Documents are comprised of the following and by this reference incorporated herein and made a part hereof: .1 All written modifications, amendments and change orders to this Agreement issued in accordance with Channel Building Company's Standard Form of General Conditions of Contract Between Owner and Contractor(CBC 08/2008 version) ("General Conditions of Contract"); .2 This Agreement, including all exhibits and attachments, executed by Owner and Contractor; .3 Written Supplementary Conditions, if any, to the General Conditions of Contract executed, by Owner and Contractor; .4 The General Conditions of Contract; .5 Construction Documents prepared in accordance with Section 3.2.3 of the General Conditions of Contract that have been accepted by Contractor as part of the Work under this Agreement; I .6 Contractor's Proposal; and .7 The following other documents, if any: 1. Al-1 10/19/2010 Floor Plan I Channel Building Company,Inc. Standard Form of Agreement Between Page 2 Owner and Contractor—Lump Sum CBC 08/2008 version Article 3 Interpretation and Intent 3.1 The Contract Documents are intended to permit the parties to complete the Work and all obligations required by the Contract Documents within the Contract Time(s) for the Contract Price. The Contract Documents are intended to be complementary and interpreted in harmony so as to avoid conflict, with words and phrases interpreted in a manner consistent with construction industry standards. In the event of any inconsistency, conflict, or ambiguity between or among the Contract Documents, the Contract Documents shall take precedence in the order in which they are listed in Section 2.1 hereof. 3.2 Terms, words and phrases used in the Contract Documents, including this Agreement, shall have the meanings given them in the General Conditions of Contract. 3.3 The Contract Documents form the entire agreement between Owner and Contractor and by incorporation herein are as fully binding on the parties as if repeated herein. No oral representations or other agreements have been made by the parties except as specifically stated in the Contract Documents. Article 4 Ownership of Work Product 4.1 Work Product. All drawings, specifications and other documents and electronic data furnished by Contractor to Owner under this Agreement ("Work Product") are deemed to be instruments of service and Contractor shall retain the ownership and property interests therein, including the copyrights thereto. 4.2 Owner's Limited License.Upon Payment in Full. Upon Owner's payment in full for all Work performed under the Contract Documents, Contractor shall grant Owner a limited license to use the Work Product in connection with Owner's occupancy of the Project, conditioned on Owner's express understanding that its use of the Work Product is at Owner's sole risk and without liability or legal exposure to Contractor or anyone working by or through Contractor, (collectively the "Indemnified Parties"). 4.3 Owner's Limited License Upon Owner's Termination for Convenience or Contractor's Election to Terminate. If Owner terminates the Project for its convenience as set forth in Article 8 hereof, or if Contractor elects to terminate this Agreement in accordance with Section 11.4 of the General Conditions of Contract, Contractor shall, upon Owner's payment in full of the amounts due Contractor under the Contract Documents, grant Owner a limited license to use the Work Product to complete the Project and subsequently occupy the Project, conditioned on the following: .1 Use of the Work Product is at Owner's sole risk without liability or legal exposure to any Indemnified Party; and .2 Owner agrees to pay Contractor the additional sum of one hundred and 00/100 Dollars ($100.00) as compensation for the right to use the Work Product in accordance with this Article 4 if Owner resumes the Project through its employees, agents, or third parties. 4.4 Owner's Limited License Upon Contractor's Default. If this Agreement is terminated due to Contractors default pursuant to Section 11.2 of the General Conditions of Contract and (i) it is determined that Contractor was in default and (ii) Owner has fully satisfied all of its obligations under the Contract Documents, Contractor shall grant Owner a limited license to use the Work Product in connection with Owner's completion and occupancy of the Project. This limited license is conditioned on Owner's express understanding that its use of the Work Product is at Owner's sole risk and without liability or legal exposure to any Indemnified Party. Channel Building Company,Inc. Standard Form of Agreement Between Page 3 Owner and Contractor—Lump Sum CBC 08/2008 version r y 4.5 Owner's Indemnification for Use of Work Product. If Owner uses the Work Product under any of the circumstances identified in this Article 4, to the maximum extent permitted by law, the Owner shall defend, indemnify and hold harmless the Indemnified Parties from and against any and all claims, damages, liabilities, losses and expenses, including attorneys' fees, arising out of or resulting from the use of the Work Product. Article 5 Contract Time 5.1 Date of Commencement. The Work shall commence within five (5) days of Contractor's receipt of Owner's written Notice to Proceed ("Date of Commencement) provided that (i) this Agreement had been fully executed, and (ii) all necessary discretionary permits have been applied for and obtained by the Owner, and (iii) the Building Permit has been issued, unless the parties mutually agree otherwise in writing. 5.2 Substantial Completion and Final Completion 5.2.1 Substantial Completion of the entire Work shall be achieved no later than seventy-two (72) calendar days after the Date of Commencement ("Scheduled Substantial Completion Date"). 5.2.2 Intentionally Deleted Not Applicable 5.2.3 Final Completion of the Work or identified portions of the Work shall be achieved as expeditiously as reasonably practicable. 5.2.4 All of the dates set forth in this Article 5 ("Contract Time(s)") shall be subject to adjustment in accordance with the General Conditions of Contract. 5.3 Time is of the Essence. Owner and Contractor mutually agree that time is of the essence with respect to the dates and times set forth in the Contract Documents. Article 6 Contract Price 6.1 Contract Price. Owner shall pay Contractor in accordance with Article 6 of the General Conditions of Contract the sum of sixty-two thousand one hundred fifty and 00/100 Dollars ($62,150.00)-r-- ("Contract Price"), subject to adjustments made in accordance with the General Conditions of Contract. Unless otherwise provided in the Contract Documents, the Contract Price is deemed to include all sales, use, consumer and other taxes mandated by applicable Legal Requirements. 6.2 Markups for Changes. If the Contract Price requires an adjustment due to changes in the Work, and the cost of such changes is determined under Section 9.4.1 of the General Conditions of Contract, the following markups shall be allowed on such changes: Markup for Changes: Ten percent (10%) Channel Building Company,Inc. Standard Form of Agreement Between Page 4 Owner and Contractor—Lump Sum CBC 08/2008 version Article 7 Procedure for Payment 7.1 Progress Payments 7.1.1 Contractor shall submit to Owner on or about the fifth (5th) day of each month, beginning with the first month after the Date of Commencement, Contractor's Application for Payment in accordance with Article 6 of the General Conditions of Contract. 7.1.2 Owner shall make payment within ten (10) days after Owner's receipt of each properly submitted and accurate Application for Payment in accordance with Article 6 of the General Conditions of Contract, but in each case less the total of payments previously made, and less amounts properly withheld under Section 6.3 of the General Conditions of Contract. 7.2 Retainage on Progress Payments 7.2.1 Intentionally Deleted Not Applicable 7.3 Final Payment. Contractor shall submit its Final Application for Payment to Owner in accordance with Section 6.7 of the General Conditions of Contract. Owner shall make payment on Contractor's properly submitted and accurate Final Application for Payment within ten (10) days after Owner's receipt of the Final Application for Payment, provided that Contractor has satisfied the requirements for final payment set forth in Section 6.7.2 of the General Conditions of Contract. 7.4 Interest. Payments due and unpaid by Owner to Contractor, whether progress payments or final payment, shall bear interest commencing five (5) days after payment is due at the statutory rate. 7.5 Record Keeping and Finance Controls. With respect to changes in the Work performed on a cost basis by Contractor pursuant to the Contract Documents, Contractor shall keep full and detailed accounts and exercise such controls as may be necessary for proper financial management, using accounting and control systems in accordance with generally accepted accounting principles. During the performance of the Work and for a period of one (1) year after Substantial Completion, Owner and Owner's accountants shall be afforded access from time to time, upon reasonable notice, to Contractor's records, books, correspondence, receipts, subcontracts, purchase orders, vouchers, memoranda and other data relating to changes in the Work performed on a cost basis in accordance with the Contract Documents, all of which Contractor shall preserve for a period of one (1) year after Substantial Completion. OWNER:O CONTRACTOR: Executive Center Limited Partnership Channeling C p y, Inc. (Nam of Owner) (Name'770T/Contra for . � (Signature) (Signatu Robert Webster Jerry Dior1_'1 (Printed Name) (Printed Name) Partner Project Manager (Title) (Title) Date: October 20, 2010 Date: October 20, 2010 Channel Building Company,Inc. Standard Form of Agreement Between Page 5 Owner and Contractor—Lump Sum CBC 08/2008 version ` DATE(MM/DD/YYYY) �M CERTIFICATE OF LIABILITY INSURANCE 10/14/2010 PRODUCER 413.586.5011 FAX 413.586.7973 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Alexander W. Borawski , Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 88 Kin Street, Suite B HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR King ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Northampton, MA 01060-3257 INSURERS AFFORDING COVERAGE NAIC# INSURED Channel Building Co Inc. INSURERA: Mass Bay Ins Co. 22306 Astor Maintenance co Inc. INSURERB: Hanover Insurance Companies 22292 355 Middlesex Avenue INSURER C: Wilmington, MA 01887-2163 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 ADDT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY ZDN625197105 10/01/2010 10/01/2011 EACH OCCURRENCE $ 1,000,00( X I COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,00( CLAIMS MADE FX]OCCUR MED EXP(Any one person) $ 5,00( A PERSONAL&ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO JECT LOC AUTOMOBILE LIABILITY AMN-6251986 10/01/2010 10/01/2011 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 100000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ B X HIRED AUTOS BODILY INJURY $ X 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 EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WHN2375394 01/01/2010 01/01/2011 X WCSTATU- oTH- EMPLOYERS'LIABILITY DRY LIMIT,1 1 . E.L.EACH ACCIDENT $ 500 00 B 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 Project: Land Lord's Work Material Installations, 300 Willow St N.Andover MA 01845 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Executive Center Limited Partnership 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, c/o Delano Management BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 355 Middlesex Avenue OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Wilmington, MA 01887 AUTHORIZED REPRESENTATIVE David Malek/BORIBI ACORD 25(2001/08) ©ACORD CORPORATION 1988 y The Commonwealth of Massachusetts Department of IndustrialAccidents Office ofInvestigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/JElectriciansfplumbers Applicant Information n Please Print Leaibl Name(Business/Organization/Individual): C_�l41,6?7L 01-1)/Alin 1 01weAW IA4 Address: tf1 b'P4FS0 A457 City/State/Zip: WiLPfIAJ6, M) H4- D/d?S)7 Phone#: 97��� Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. 7• [ Remodeling . ❑ P p ship and have no employees These sub-contractors have 8. [Demolition working for me in any capacity. workers'comp.insurance. 9. E]Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' 13.[:] Other comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors 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: /l4A),dV ig1 ZlLESrlk.¢ 66iC CEZH,0,e-0)&S Policy#or Self-ins.Lic.#: ldl if N d3Expiration Date: cob,I X-V�r Job Site Address:3)(i) I_0f441Sr 1)•A-WLC)✓e4o-l•#:2;2 5 City/State/Zip: 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un der the pains andpenalties ofperjury that the information provided above is true and correct. Signature 0,4&& Date: �� f Phone#• 979�"'7' -&d0 tZDi Official 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.PIumbing Inspector 6.Other Contact Person: Phone#: 5 Massachusetts- Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License License: CS 39770 - GERARD'F OR:101 550 PINGREE HILL AVE AUBURN, NH 03032 Expiration: 5/29/2012 Commissioner Tr#: 28377 I