HomeMy WebLinkAboutBuilding Permit #107-2017 - 35 MAY STREET 8/2/2016 jr a p�NO T11 q y
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMIN
Permit NO: l Date Received a
a•
Date Issued:
�9SSACHUS��
PORTANT:Applicant must complete all items on this page
LU'CATION 'VTN�Rt'.H AN.DoV��t N?�1 d16�
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MAPflUO PARCEL: ZONING DISTRICT: Historic District yes no
Machine.Shop Village yes: 110
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Action ❑Two or more family ❑ Inostrial
Iteration No. of units: F,,G`ommerciai
4 ❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
Sepbc';° I Wel# ,, - 7 Floodplain ''ClWetlands Ci Watershed District
I f WaterlSewer f
"
sx..
err;E�-�r� �.���rrl�N s -� � w�►�c� GF ��s I�N7 �R�wls
AyJR11 W £ A PN%tH L_ Room
Identification Please Type or Print Clearly)
OWNER: Name: NE51SL C-0-
�� fi� 9 Phone:
Address: Z06 $R1 C\CsTh N 9v SQvARe ANT)6VE R MIA 61810
CUNTRfi►'3T�R Name: a fls-r imnpt�av v N a
�«rM o Phone �S S 74 4S
t'trvJ
Address �Y
,P'0 erv�sor s Construction License -Exp. Date
ilome Improvement;Lacense Exp' '. Date: r
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ : bo t tz 4 FEE: $ 2 960.00
Check No.: 2M Receipt No.:
NOTE: Persons contractinj with unregistered contractors do not have access to e g ran fund
•
ig;acture of A entlOwnerk ignature 01 contracto
Plans Submitted ❑ Pbns Waived ❑ Certified Plot Plan ❑' Stamped Plans ❑
4
TYPE OF SEWERAGE DISPOS`; r'
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 DATEAPPROVED
PLANNING & DEVELOPMENT ❑ ��! �� ��'
COMENTS �1�0 �><'T�-7t i otL- C°�'1 �C- �y(C PA-s� iC�,.�G, ;C�C�rZ�.0
CONSERVATION ❑ ❑ Vt (o
COMMENTS
DATE REJECTED DATE AP ROVED
HEALTH a ❑ <,S Iq I G
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning ecision/receipt submitted yes
f,Planning Board Decision: Comments
'*Conservation Decision: Comments
F
Water & Sewer Connection/Signature& Date Driveway Permit
Located at 384 Osgood Street
FIRE b YARTIVIENT Temp Dumpster on site yes no,
Located at``124 in.Street
Fire t3epartmpri signs#ure/date
..
V.
-------------
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
i
ELECTRICAL Movement of Meter location, mast or service drop requires approval of
Electrical Inspector lies No
DANGER ZONE LITERATURE. Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— (For department use)
y� c
6 P� l
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® Notified for pickup Call Email
Date Time Contact Name
Doc.Building Pennit Revised 2014
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
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
.4. Building Permit Application
Certified Surveyed Plot Plan
i 4 Workers Comp Affidavit
Photo Copy of H.I.C. And C.S.L. Licenses
Copy Of Contract
Floor/Cross Section/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
OTE: 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
2012 IECC Energy code
Engineering Affidavits for Engineered products _
IN OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Pe;.
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of A. is
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of ret,.,..Jipg
must be submitted with the building application
Doc:Building Permit Revised 2014
I
Location 14yf
No. l i� - G 4� Date e
A� ka
• - TOWN OF NORTH ANDOVER
. Certificate of Occupancy $
Building/Frame Permit Fee $ N _.
Foundation Permit Fee $ „
Other Permit Fee $
TOTAL $ ti
' y
Check �" -'
Building l6 pectorw
30691
00RT#j
Town of t a.. s ndover
0
No. .
2bil
soh ver, Mass, _&Ma
COCHICN/WKR
A044TE0 00*0 �S
S U
BOARD OF HEALTH
Food/Kitchen
PER T D Septic System
� \\ a ("L BUILDING INSPECTOR
THIS CERTIFIES THAT .................... .......Me....1.x...... ...A....... ................. ......614
has permission to erect . ... buildings on .. Foundation
...... ....... ... .4' ........... .. G
. .. ......
• Rough
to be occupied as ..1.1J.;....., r a/a' ►s v"�► ..................................;k ��5 Ch mney
......................................................................... .
provided that the person accepting this permit shall in every respect conform to the erms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relati to the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. �b��5 � ti, PLUMBING INSPECTOR
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit. �1�Sa ���M
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONS TION Rough
Service
.. . .............. ....... .........
Final
BUILDI INSP TOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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.
Smoke Det.
Foe
Enter construction cost for fee cal - North Andover Fee Calculation
Construction Cost
$ 6075792.00 m
$ - $ 7,293.50
Plumbing Fee $ 911.69
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 911.69
Total fees collected $ 9,216.88
140 Prescott Street
107-2017 on 8/2/2016
Interior Renovations to wing of resident rooms
a kitchen remodel and physical therapy room
PlanV ied Plot Plan ❑ Aped Plans ❑
7 SOUTH CO,&ST
TYPE'
improvement Company
Swimming Pools ❑
1 • • Penovation
0 U Dave Baldwin Food Packaging/Sales ❑
. . Project ❑
ons 727.424.7230
• . :
email: dave.baidwinCeDsouthcoastimprovement.com
FOR OFFICE USE ONLY
• - ENTAL SIGN OFF - U FORM
email:misael.sanchez@southcoastimprovement-com
_f DATE REJECTED DATE APPROVED
YPLANNING & DEVELOPMENT ❑ r1��
COMENTS �1�0 CYTt-�Li 0K-- '1k-"3 C'c- a(L-
CONSERVATION ❑ ❑ f C�
COMMENTS 1 N +of �f �� cam►- I '�/
DATE REJECTED DATE AP ROVED
HEALTH ❑ ?' f
COMMENTS
Zoning Board of Appeals:Variance, Petition No: Zoning ecision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature & Date Driveway Permit
Located at 384 Osgood Street
FIRE DEPARTMENT .-Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
d.
COMMENTS. y T"d! r �G d�1`�.c.� y/ 7 ��
NORTH '9
Town of 2 6 ndover
O
�1 4�_*.. 'h ver, Mass,-� y
coc NIc"aw8cK y1•
�d A�R4TED
S U
BOARD OF HEALTH
Food/Kitchen
PER T LD Septic System
THIS CERTIFIES THAT .......11�� �. ....... .,,;e BUILDING INSPECTOR
..........
....... .
......... ... Foundation
has permission to erect . ........................ buildings on ..��........,. .g.....................�G
A `� c Rough
tobe occupied as ..1.{J.. ......,..........r .......f........�11A.............................. . .................................. Chimney
provided that the person accepting this permit shall in every respect conform to the erms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relatirLq to the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. ~51 w rm-w4� Rough PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. �1i1S'� ''Y�obM
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONS TION Rough
1990091 Service
.. ............ .... ........ Final
BUILDI INSP TOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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.
Smoke Det.
Jordan O'Connor
0 3 & Associates
i architects
. , 6 North Main Street,2"d Floor,Petersham,MA 01366
Mailing address:57 Maple Lane,Petersham,MA 01366
Tel(978) 724-3475 Fax(978) 724-3413
wivly joaarchitects.com
June 13, 2016
Mr. Ray Mead
Senior Project Manager
Genesis Health Care
Construction Division
200 Brickstone Square
Andover, MA 0 18 10
Re: Genesis Healthcare
Prescott House First Floor Renovations
North Andover, MA 01845
Mass. State Building Code Revieiv—8th edition (IBC-2009, IEBC-2009)
and NFPA 101-2006
Dear Mr. Mead:
The following represents a summary of the applicable regulations of the Massachusetts State
Building Code (8`" edition) and NFPA 101: 2006 as they affect the above referenced project. It
is based upon the Permit Set dated 6-7-16. This summary shall also be included as part of the
building permit application via the General Contractor.
Site Information and Setbacks
Not applicable
Property Ownership/Authorized Agent
Genesis HealthCare, 200 Brickstone Square,Andover, MA 01810
Agent: Mr. Ray Mead, Senior Project Manager
Construction Services - General Contractor:
South Coast Improvement Co., 208 Wareham Rd.,Marion, MA 02738
Worker's Compensation Insurance Affidavit
Per General Contractor
Professional and Construction Services
Architectural: Jordan O'Connor&Associates, Jordan O'Connor,AIA#7655 MA
Mechanical engineering: By others on a design build basis working directly for the
selected General Contractor.
Electrical engineering: By others on a design build basis working directly for the selected
General Contractor.
Description of Proposed Work:
An interior renovation of an existing first floor Nursing Home facility. The facility
provides full sprinkler coverage and is accessible. The renovations include: upgrades of
architectural finishes, creation of a new Physical Therapy space, soiled utility,toilet
room, in unit dining, and renovations to the existing nurse station and activity space.
There are no changes to the existing building area or overall first floor occupancy load.
Use Group and Construction Type:
Existing to be partially renovated:
The original facility was designed as a Nursing Home (use group I-2). It is primarily
composed of protected steel roof trusses, concrete filled deck on floor trusses, exterior
rated concrete block walls and interior metal stud partitions. Per the original 1976 set
(H.K. Fitzgerald, Jr. and Associates,Newton, MA) it appears that the construction type is
either type IA or type 113. The use group shall remain I-2. The facility is fully
sprinklered and protected by a complete fire alarm system including horns, strobes and
pull stations.
Applicable Codes
730 CMR Massachusetts State Building Code—8t"edition
248 CMR Massachusetts State Plumbing Code
Current 1999 National Electrical Code
521 Massachusetts Architectural Access Regulations—latest edition
Guidelines for Design and Construction of Hospital and Health Care Facilities—2010
527 CMR Board of Fire Prevention Regulations, latest edition
Dept. of Public Health,Long Term Care Facilities, 105 CMR 1500.000-159.000
NFPA 101-2006
2
B. Accessibility Review:
3.2 All new construction of public building shall comply.
3.3.1 The renovation work will cost more than $100,000 but is assumed less than 30%
of the assessed value of the building.
(Note: The facility offers existing accessible parking and entrances.
11.4 Existing accessible restrooms are open to the public within the facility.
11.5 Public telephones are not provided.
13.1 The existing facility is a Nursing Home use.
13.2 All patient bedrooms within the work area will have updated architectural finishes
and new furniture. There are no changes to existing walls of resident restroom
clearances. These patient bedrooms within the indicated work area shall remain
non-accessible.
13.8 An existing common shower area shall have its finishes renovated.
17.2 The in-unit dining in room 194B shall offer accessible seating.
17.4 The kitchenette in room 194B shall offer a portion of the counter as accessible.
Note: All other areas of the kitchenette shall be serviced by staff.
26.6 All new doors shall comply with the required maneuvering clearances of this
section.
29.1 Changes in floor finish thickness(typically carpet to vinyl tile) shall be via
reducer strips that comply with the requirements of 29.2 and 29.3
36.1 A drinking fountain or a water cooler shall not be installed per the Owner.
37.1 No public telephones are to be provided.
40.1 A fire alarm system shall conform to the requirements of this section per design
build efforts by others.
C. IBC Building Code Review
3
Chapter 1 Scope and Administration
101.51
101.5.2 The compliance method used shall be via the Work Area Compliance Method.
For the purpose of this analysis the work area in question shall be confined to the
areas indicated on the attached plans.
101.5.4.0
MA
amend. "Investigation and Evaluation. For any proposed work regulated by this code and
subject to subsection 107.6 of the IBC 2009 with Massachusetts Amendments (780
CMR 107.6) as a conditons of the issuance of a building permit the building
owner shall cause the existing building(or portion thereqJ) to be investigated and
evaluated in accordance with the provisions of this code. This may include, but
be not limited to: evaluation of design gravity loads, lateral load capacity, egress
capacity,fire protection systems,fire resistive construction, interior environment,
hazardous materials and energy conservation. The investigation and evaluation
shall be in sufficient detail to ascertain the effects of the proposed work on the
work area under consideration and, the entire building or structure and its
foundations of impacted by the proposed work. The results of the investigation and
evaluation, along with any proposed compliance alternatives, shall be submitted
to the building official in written form."
101.5.4 The work area in question was originally built as an I-2 use. The renovation work
does not affect the existing structural system nor the lateral load capacity.
For investigations regarding egress capacity, fire resistive construction, interior
environment refer to analysis below. To the best of our knowledge and belief
there are no hazardous materials that will be disturbed on this project. No work
involves alterations to the thermal shell as part of this permit set(ie: energy
conservation). Sprinkler coverage shall be modified as required for the new
renovated partitions and aspects of applicable Code sections by others on a desing
build basis.
102.2.2.1
MA
amend. Means of Egress per IBC-2009, Chapter 10:
There are changes in occupancy loads—refer to existing and renovated code
plans.
Existing Code Plan:
Room 113 = 9 persons
4
Room 191 =49 persons
Room 139.1 = 39 persons
Room 139.2= 24 persons
Renovated Code Plan:
Room 113 converted to Activity= 32 persons. Net increase of 32—9=23
persons.
Room 191 converted to 194A/194B/Kitchenette= 19 + 12 + 1 = 32
persons. Net decrease of 49—32 = 17 persons.
Rooms 139.1/139.2/corridor converted to PT 139/PT Storage 139.1 = 19 +
1 =20 persons. Net decrease of(39+ 24)—(19 + 1)=43 persons.
Net change=23—(17+43)_<decrease of 37 persons*>.
* Note: Overall first floor total occupancy has not changed. Existing,
previously approved egress doors associated with Rooms 113, 194A,
194B and 139 shall remain. The new means of egress door 4139 in
Corridor 196 leading into PT 139 shall match the previously approved
width of the PT 139 exterior door. [Note: Capacity of this double door,
per 1005.1 = (34"x 2)/ .2"per person= 340 persons.] This new door shall
be non-lockable and equipped with a panic device. Due to the actual
decrease in occupant loads associated with Rooms 194A, 19413, 139 and
the limited scope of new door 139 a full review of first floor egress
capacity is assumed not required.
1005.1 Capacity of this double door, per 1005.1 =(34"x 2)/ .2"per person= 340
persons.
1005.2 Door encroachment: Doors opening into the path of egress travel shall not
reduce the required width to less than '/2 during the course of the swing.
When fully open the door shall not project more than 7" into the required
width.
1007.1 Accessible means of egress are not required in alterations to existing
buildings.
1008.1.1 New door 4139 accessing the PT Therapy area are not used for bed
transport but will offer 34"x 2 =64"clear width via a pair of 36" door
leafs.
1008.1.2 Doors serving occupancy of 49 persons or less are allowed to swing
inward.
5
1014.2.6 There is no change in travel distance between any point in the I-2 patient
sleeping room and the exit access doors.
1014.3 There is no change in the common path of travel distance.
1015.1 The sleeping areas are not arranged in a suite.
1016.1 Travel distance: no change.
1018.1 Per Table 10 18.1 for I-2 use with sprinkler: corridor rating required=0
hour.
j
1018.4 Dead end maximum allowed=20'. No dead ends provided in work area
as the existing partial height wall adjacent to Corridor 196 does not
present a visual barrier to a hazard (per commentary IBC-2009: 1002.1 -
corridor definition.
1027.6 The exits offered in the work area all discharge to a public way.
D. IEBC Building Code Review
Chapter 1: Scope and Administration
l 06.2.3 Means of Egress: Refer to means of egress review above.
107.1.2 IBC Plans shall be submitted to the local Fire Dept. for their review.
Chapter 4: Classification of Work
401.3 The work area remains an I-2 use (nursing home) per IBC-2009., 308.3 with the
PT Therapy 139, Activity/Day 113, In-Unit Dining 194B and In-Unit Sitting
194A as accessory, non-separated uses per IBC: 508.2.4.
403.1 Refer to Code Plans for the extent of Level 1 work which includes the removal
and replacement of architectural finishes(floors,wall coverings, suspended
acoustical ceilings). Note: No reconfiguration work within Level 1 areas.
403.2 Level 1 work shall comply with Chapter 6.
404.1 Level 2 reconfiguration, as depicted on the Code Plans, equals 780 sf + 964 sf+
163 sf= 1,097 sf renovated sf/ 28,302 sf overall existing=4%.
6
404.2 Level 2 alterations shall comply with both Chapters 6 and 7.
405.1 The extent of Level 2 work is less than 50% of the aggregate area of the building
therefore no Level 3 work is involved.
Chapter 6 Alterations—Level 1
602.1 All new interior finishes shall conform to Chapter 8 of IBC.
Per IBC Table 803.9 for I-2 use in sprinklered facility: Class B* for exit
enclosures/exit passageways and corridors; Class B** in rooms & enclosed
spaces. (* Note: Class C materials are allowed for wainscoting and paneling of
not more than 1,000 sf of applied surface in the grade lobby when applied to a
non-combustible base per 803.11.1.; "Note: Class C allowed in administrative
spaces and in rooms with occupancy of four persons or less.)
602.2 Interior floor finish: shall comply with section 804 of IBC. Per IBC 804.4.1 for I-
2 use: Floor finish shall be not less than Class 1I as allowed per exception due to
presence of sprinkler system.
602.3 Interior trim shall conform to IBC section 806.
Per 806.1 for I-2 use: all curtains, draperies, hangings and other decorative
materials shall meet the flame propagation criteria of NFPA 701 or be non-
combustible. Note: For I-2 uses combustible decorative materials shall be
allowed as long as they meet the flame propagation criteria of NFPA 701 "unless
the decorative materials, including, but not limited to,photographs and paintings,
are of such limited quantities that a hazard of fire development or spread is not
present. "
Per IBC 806.5 any trim (other than foam plastic) shall have a minimum Class C
flame spread and smoke developed index when tested in accordance with ASTM
E84 or UL 723. Combustible trim, excluding handrails and guardrails, shall not
exceed 10%of the specific wall or ceiling area in which it is attached.
603.1 The work shall maintain the level of fire protection currently provided.
604.1 The work shall maintain the level of protection provided for the means of egress.
605.1 Refer to preface for conformance to: ADA & 521 CMR for adherence to Mass.
Architectural Access Board.
606.1 No structural work is involved.
607.1 No renovation work affects the existing thermal shell environment under this
7
scope of work.
Chapter 7: Alterations—Level 2
701.3 Per exception 3 and 705.6 an I-2 use may be allowed to have a maximum of a 50'
dead end corridor. No dead ends exist in work area. Per exception 4 the minimum
ceiling height of newly created habitable and occupiable spaces and corridors
may be 7'-0".
703.2 Existing vertical openings(ie: plumbing& smoke chases) "that connect two or
more floors shall be enclosed with approved assemblies having afire resistance
rating of not less than 1 hour with approved opening protectives. " Note: We are
not aware of any definiteness associated with such chases.
703.3.1 Smoke barriers: Exist as noted on Code plans and shall be maintained.
703.3.2 Renovations(if any)to existing smoke barriers are required to maintain, at a
minimum, a 30 minute rating. Per section 715 of IBC-2009 it is assumed that such
penetrations and joints shall be sealed for 1/3 hour rating in accordance with table
715.4 [fire partitions(other)].
Note 1: Any existing horizontal plumbing and electrical penetrations found to be
not properly firestopped shall be remedially firestopped to conform to 713.3.1.2:
"Through penetrations shall be protected by an approved penetration firestop
system installed as tested in accordance with ASTMS 814 or UL 1479, with a
minimum positive pressure differential of.01 inches (2.49 Pa) of water and shall
have an F rating of not less than the required fire resistance rating of the wall
penetrated. "
Note 2: The existing smoke barriers are listed as being rated for 1 hour.
Note 3: No Level 2 work involves smoke barriers.
703.4 The interior finish of walls in exits and corridors in the work area shall comply
with the IBC—refer to discussion on Chapter 6 above.
703.4.1 No remedial work on the interior finish of the existing exits and corridors(serving
the work area)throughout the floor is required as the work area does not exceed
50%of the floor.
704.1.1 Corridor rating for sprinklered facility may be reduced per IBC. Per IBC-2009:
1018.1 for I-2 use in sprinklered facility =zero (0) hour rating.
8
704.2 The building is equipped with an automatic sprinkler system. The system shall be
modified as required to meet the IBC requirements within the work area.
704.2.1.1 Due to the work area not exceeding 50%of the first floor: no remedial sprinkler
work is required outside of the work area.
704.2.2 The occupancy load exceeds 30 persons. Sprinkler coverage is required and
provided. Other aspects of fire protection: per others on a design build basis.
705.1 The work area is part of a one tenant space. Per 705.1 the provisions of 705 do
not apply. Conformance with applicable provisions of IBC, Chapter 10 shall
apply as cited in 106.2.3 above and reviewed above.
705.2(2) "Means of egress conforming to the requirements of the building code under
which the building was constructed shall be considered compliant means of
egress if, in the opinion of the code official, they do not constitute a distinct
hazard to life."
705.6 Per exception(3) maximum dead end corridor=50' (refer to IBC-2009: 1018.4
above).
706.0 521 CMR Mass. Architectural Access Board—refer to preface.
707 No structural work is involved.
708 Electrical: by others on a design build basis.
709 Mechanical: by others on a design build basis.
710.0 Plumbing: by others on a design build basis.
Chapter 8: Alterations—Level 3
Not applicable
Chapter 9: Change of Occupancy
Not applicable.
Chapter 10: Additions
Not applicable.
9
Chapter 11: Historic Buildings
Not applicable.
Chapter 12: Relocated or Moved Buildings
Not applicable.
E. NFPA 101-2006 Code Review
19.1.1.4.1 There is no addition as part of the scope of work.
19.1.1.4.2 There is no change in overall first floor occupancy.
19.1.1.4.3.3 The existing facility is sprinklered.
19.1.1.4.4/
4.6.10 During construction adequate egress shall be maintained for occupants on
affected floors(if any) and construction personnel.
19.1.6 The existing construction appears consistent with type IB (assumed) of the Mass.
State Building Code. Per NFPA 220: IBC IB is equal to NFPA 500011(222).
The two story facility conforms to Table 19.1.6.4.
19.1.6.7 All interior walls and partitions shall be of non-combustible or limited-
combustible materials.
19.1.6.10 "... all interior stud partitions shall be firestopped to cut off all concealed draft
openings, both horizontal and vertical, between any ceiling or basement and the
first floor. Such firestopping shall ... be of non-combustible material. "
19.2.1/
Chapter 7 Means of Egress:
7.1.3.1 Exit access corridors: The existing first floor occupancy has not changed,
therefore the requirement that corridors serving more than 30 occupants be rated
for one hour is waived.
7.1.4 Interior finish in exits shall be limited to Class A or Class B per section 10.2.
7.1.5 Means of egress headroom: 7'-6"minimum allowed(typical)with 6'-8"at
projections.
7.2.1.2.4 Minimum door width when opened 90 degrees shall be 32". Per exception 44
10
existing door leaf width shall not be less than 28".
7.2.1.4.2 Doors shall swing in the direction of travel when serving an occupant load of 50
or more persons.
7.2.1.4.4 "During its swing, any door in a means of egress shall leave not less than one-
half of the required width of an aisle, corridor,passageway or landing
unobstructed and shall not project more than 7" into the required width ... ...
when fully opened. Doors shall not open directly onto a stair without a landing.
The landing shall have a width not less than the width of the door. "
7.2.12.1.2/
7.5.4.3 Area of refuge not required in facilities equipped with conforming sprinklers.
7.3.1 First floor overall occupant load capacity is unchanged. Individual room
occupancies have changed as follows:
Existing Code Plan:
Room 113 = 9 persons
Room 191 =49 persons
Room 139.1 = 39 persons
Room 139.2= 24 persons
Renovated Code Plan:
Room 113 converted to Activity= 32 persons. Net increase of 32—9=23
persons.
Room 191 converted to 194A/194B/Kitchenette= 19+ 12 + 1 = 32
persons. Net decrease of 49—32 = 17 persons.
Rooms 139.1/139.2/corridor converted to PT 139/PT Storage 139.1 = 19 +
1 =20 persons. Net decrease of(39 +24)—(19+ 1)=43 persons.
Net change=23 —(17+43)=<decrease of 37 persons*>.
Existing, previously approved egress doors associated with Rooms 113, 194A,
194B and 139 shall remain. The new means of egress door 139 in Corridor 196
leading into PT 139 shall match the previously approved width of the PT 139
exterior door. [Note: Capacity of this double door,per 1005.1 =(34"x 2)/ .2"per
person= 340 persons.] This new door shall be non-lockable and equipped with a
panic device. Due to the actual decrease in occupant loads associated with
Rooms 194A, 19413, 139 and the limited scope of new door 139 a full review of
first floor egress capacity is assumed not required.
11
7.4.1.1 Occupant load is less than 500 persons,therefore only two (2) means of egress
required from renovated areas. Refer to code plans.
7.5.4.1.3 Accessible means of egress not required in sprinklered health care faculties
7.5.1.5 Dead end corridors shall conform to NFPA 101-2006: Chapter 19 requirements.
7.7.1 All exits discharge to a public way.
7.8 Illumination of the means of egress per MEP design build efforts by others. The
emergency egress lighting will be installed to meet the requirements of 2009 IBC
1006.3
7.11 Emergency lighting per MEP design build efforts by others.
7.10.1.1 Existing signage has been previously approved and will remain.
7.12.1 No work in mechanical, equipment or furnace rooms will occur.
19.2.3.6 Existing nursing home means of egress doors may be 34"door leaf width per
19.2.3.7(1). Per exception 2 existing means of egress doors may be 28"door leaf
in corridors where not serving evacuation of beds, gurneys or wheelchairs.
Existing patient room doors are to remain.
19.2.4.1 Existing, previously approved means of egress exits shall remain—refer to code
plans.
19.2.4.4 The resident sleeping rooms in the work areas are separated into existing smoke
compartments to remain.
19.2.5.5.1 Each patient sleeping room has an exit access door leading directly to an exit
access corridor. Refer to discussion on section 7.5 above.
19.2.5.6 The existing arrangement of patient sleeping rooms is not a suite.
19.2.6.2.2 The maximum travel distance between any room door required as an exit access
remains unchanged.
19.2.6.2.3 Travel distance between any point in a room and an exit remains unchanged.
19.2.6.2.5 The travel distance between any point in a sleeping room and an exit access door
remains unchanged.
12
19.3.2.1 Hazardous areas: No work is within hazardous areas.
19.3.3.2/
10.2.2.1/
7.1.4.1/
7.1.4.2 Existing materials in a sprinkled facility: Class C.
New materials in a sprinklered facility: Class A. Exit enclosure wall and ceiling
finish may be Class A or Class B. Exit enclosure floor finish=Class II.
19.3.3.3 In sprinklered facilities the floor finish within the smoke compartment has no
finish requirements.
19.3.4 The detection, alarm and communication system shall conform as required. The
fire alarm system will be furnished and installed in accordance with 2009 IBC
907.6.2.2 on a design build basis by others.
19.3.5 Extinguishing requirements shall conform-per design build basis by others.
19.3.6
19.3.7
19.3.6.2.4 Corridor wall construction for a sprinklered facility may be non-rated but shall be
built so as to limit the passage of smoke.
19.3.6.3.2 Per exception 2 for sprinklered facilities: Corridor doors may be non-rated but
shall be solid core and be resistant to the passage of smoke.
19.3.6.3.5 Corridor doors shall be equipped with latching hardware.
19.3.6.3.13 In sprinklered facilities door frames are not required to be labeled.
19.3.7.1 Smoke Compartments exist and remain unchanged.
19.3.7.4/
19.3.7.6.1/
19.3.7.7/
19.3.7.10 Smoke barriers exist and remain unchanged.
19.7.5.1 Furnishings, beddings and Decorations: Draperies, curtains (including cubicle
curtains) loosely hanging fabrics shall conform to 10.3.1/NFPA 701. (exception is
curtains at showers and draperies in resident rooms within a smoke compartment.)
19.7.5.2
13
19.7.5.3 Upholstered furniture in sprinklered facilities not regulated.
19.7.5.6 Decorations shall be flame retardant.Note: Exception allowed for combustible
decorations, such as photographs and paintings, in limited quantities.
Very truly yours,
A.
n @ 4
0 I .T}JrJ Q
GESMEK
�t �s
Y C�
Jordan O'Connor,AIA
copy:Ms.Amanda Normandin(JOA),file
14
Initial Construction Control Document
* To be submitted with the building permit application by a
Registered Design Professional
for work per the 8th edition of the
Massachusetts State Building Code,780 CMR,Section 107
�I
Project Title:Genesis HealthCare Prescott House First Floor Renovation Date:6-13-16
Property Address: 140 Prescott Street,North Andover,MA 01845
Project: Check(x)one or both as applicable: New construction 'X Existing Construction
E Project description:Limited interior renovation of an existing Nursing Home.
I Jordan O'Connor,AIA MA Registration Number: 7655 Expiration date:8/31/16 ,am a registered design professional,
and I have repared or directly supervised the preparation of all design plans,computations and specifications
concerning
X Architectural Structural Mechanical
Fire Protection Electrical Other:
F
for the above named project and that to the best of my knowledge,information,and belief such plans,computations and
specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted
engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary
professional services and be present on the construction site on a regular and periodic basis to:
1. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the
contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and
quality of the work and to determine if the work is being performed in a manner consistent with the approved
construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official,I shall submit4dd/progress reports(see item 3.)together with pertinent
comments,in a form acceptable to the building official.
Upon completion of the work,I shall submit to the building official a`Final Construction Control Document'.
Enter in the space to the right a"wet"or
electronic signature and seal:
Q �
Na.7666 s
Phone number:978.621.2263 Email:joconnor@JOAarchitects.co
Building Official Use Only
Building Official Name: Permit No.: Date:
Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen,
provide a description.
Version 06 I 1 2013
INvAIA Document A101rM - 2007
Standard Form of Agreement Between Owner and Contractor where the basis of
payment is a Stipulated Sum
AGREEMENT made asof the 6 day of June in the year 2016
(In words, indicate day, month and year) ADDITIONS AND DELETIONS:
The author of this document has
BETWEEN the Owner: added information needed for Its
(Name, legal status, address and other information) completion.The author may also
have revised the text of the original.
Genesis Healthcare AIA standard form.An Additions and
200 Brickstone Square Deletions Report that notes added
Andover,MA 01810 information as well as revisions to
the standard form text is available
from the author and should be
and the Contractor: reviewed.A vertical line in the left
(Name, legal status, address and other information) margin of this document indicates
where the author has added
South Coast Improvement Company necessary information and where
208 Wareham Road the author has added to or deleted
n.MA 02738
Marion.
from the original AIA text.
508-748-6545 This document has important legal
consequences.Consultation with an
for the following Project: attorney is encouraged with respect
(Name, location and detailed description) to its completion or modification.
AIA Document A201 T"-2007,
Prescott House General Conditions of the Contract
11 Floor Renovation for Construction,is adopted in this
140 Prescott St. document by reference.Do not use
North Andover,MA 01845 with other general conditions unless
this document is modified.
The Architect:
(Name, legal status, address and other information)
Jordan O'Connor&Associates Architecture
90 Grove Street
31 Floor
Worcester,MA 01845
The Owner and Contractor agree as follows.
AIA Document A701T"—2007.Copyright®1915,1918,1925,1937,1951,1958,1961,1963,1967,1974,1977,1987,1991,1997 and 2007 by The American
lnit. institute of Architects.All rights reserved.WARNING:This AIAO Document is protected by U.S.Copyright Law and International Treaties.Unauthorized
reproduction or distribution of this AIAv Document,or any portion of It,may result in severe civil and criminal penalties,and will be prosecuted to
t the maximum extent possible under the law.This document was produced by AIA software at 09:36:38 on 06/06/2016 under Order No.1202269579 1 which
expires on 06/16/2017,and is not for resale.
User Notes: (2001481836)
TABLE OF ARTICLES
1 THE CONTRACT DOCUMENTS
2 THE WORK OF THIS CONTRACT
3 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION
4 CONTRACT SUM
5 PAYMENTS
6 DISPUTE RESOLUTION
7 TERMINATION OR SUSPENSION
I
8 MISCELLANEOUS PROVISIONS
8 ENUMERATION OF CONTRACT DOCUMENTS
10 INSURANCE AND BONDS
ARTICLE 1 THE CONTRACT DOCUMENTS
The Contract Documents consist of this Agreement,Conditions of the Contract(General,Supplementary and other
Conditions),Drawings,Specifications,Addenda issued prior to execution of this Agreement,other documents listed
in this Agreement and Modifications issued after execution of this Agreement,all of which form the Contract,and
are as fully a part of the Contract as if attached to this Agreement or repeated herein.The Contract represents the
entire and-integrated agreement between the parties hereto and supersedes prior negotiations,representations or
agreements,either written or oral.An enumeration of the Contract Documents,other than a Modification,appears in
Article 9.
ARTICLE 2 THE WORK OF THIS CONTRACT
The Contractor shall fully execute the Work described in the Contract Documents,except as specifically indicated in
the Contract Documents to be the responsibility of others.
ARTICLE 3 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION
§ 3.1 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.
(Insert the date of commencement if it differs from the date of this Agreement or, if applicable, state that the date
will be fixed in a notice to proceed.)
Anticipated start date July 5,2016
If,prior to the commencement of the Work,the Owner requires time to file mortgages and other security interests,
the Owner's time requirement shall be as follows:
§ 3.2 The Contract Time shall be measured from the date of commencement.
§ 3.3 The Contractor shall achieve Substantial Completion of the entire Work not later than one hundred twenty
(120)days from the date of commencement,or as follows:
(Insert number of calendar days.Alternatively, a calendar date may be used when coordinated with the date of
commencement.If appropriate, insert requirements for earlier Substantial Completion of certain portions of the
Work.)
AIA Document A101 TM—2007.Copyright®1915,1918,1925,1937,1951,1958,1961,1963,1967,1974,1977,1987,1991,1997 and 2007 by The American
Init. Institute of Architects.All rights reserved.WARNING:This AIA' Document Is protected by U.S.Copyright Law and International Treaties,Unauthorized 2
reproduction or distribution of this AIA%1 Document,or any portion of it,may result In severe civil and criminal penalties,and will be prosecuted to
t the maximum extent possible under the law.This document was produced by AIA software at 09:36:38 on 06/06/2016 under Order No.1202269579_1 which
expires on 06116/2017,and is not for resale.
User Notes: (2001481836)
Project completion date shall be 16 weeks from h
I � p the start of construction;values related to portion of work defined i
below
Portion of Work Value
General Requirements $75,700
Sitework $35,400
Wood&Plastics $57,110
Doors and Windows $15,281.18
Finishes $273,670.51
Specialties $76,330.71
Mechanical $68,000
Electrical $82,000
GC Insurance $6,834.92
Permit $10,300
GC OH&P $34,174.62
I
subject to adjustments of this Contract Time as provided in the Contract Documents.
(Insert provisions, if any,for liquidated damages relating to failure to achieve Substantial Completion on time or for
bonus payments for early completion of the Work.)
No liquid damages or bonus payment for early completion
ARTICLE 4 CONTRACT SUM
§ 4.1 The Owner shall pay the Contractor the Contract Sum in current funds for the Contractor's performance of the
Contract.The Contract Sum shall be Seven Hundred thirty-four thousand,eight hundred,one dollar and 94/100($
734,801.34),subject to additions and deductions as provided in the Contract Documents.
§ 4.2 The Contract Sum is based upon the following alternates,if any,which are described in the Contract
Documents and are hereby accepted by the Owner:
(State the numbers or other identification of accepted alternates. If the bidding or proposal documents permit the
Owner to accept other alternates subsequent to the execution of this Agreement, attach a schedule of such other
alternates showing the amount for each and the date when that amount expires.)
I0 10/o markup and overhead of change orders. No delays in project by owner. Any delays in construction due to
owner hold up may result in additional general condition costs.
§ 4.3 Unit prices,if any:
(Idents and state the unit price;state quantity limitations, if any, to which the unit price will be applicable.)
Item Units and Limitations Price Per Unit($0.00)
§ 4.4 Allowances included in the Contract Sum,if any:
(Idents allowance and state exclusions, if any,from the allowance price.)
Item Price
ARTICLE 5 PAYMENTS
§ 5.1 PROGRESS PAYMENTS
§ 5.1.1 Based upon Applications for Payment submitted to the Architect by the Contractor and Certificates for
Payment issued by the Architect,the Owner shall make progress payments on account of the Contract Sum to the
Contractor as provided below and elsewhere in the Contract Documents.
§ 5.1.2 The period covered by each Application for Payment shall be one calendar month ending on the last day of
the month,or as follows:
i
AIA Document A101 TM—2007.Copyright®1915,1918,1925,1937,1951,1958,1961,1963,1967,1974,1977,1987,1991,1997 and 2007 by The American
Init. Institute of Architects.All rights reserved.WARNING:This AIAO Document Is protected by U.S.Copyright Law and International Treaties,Unauthorized 3
reproduction or distribution of this AIAO Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to
t the maximum extent possible under the law.This document was produced by AIA software at 09:36:36 on 06/06/2016 under Order No.1202269579_t which
expires on 06/16/2017,and is not for resale.
User Notes: (2001481836)
V$-tAA
Payment application to be submitted monthly with a 30 days payment term. 10%retainage withheld
§ 5.1.3 Provided that an Application for Payment is received by the Architect not later than the last day of a month,
the Owner shall make payment of the certified amount to the Contractor not later than the last day of the following
month.If an Application for Payment is received by the Architect after the application date fixed above,payment
shall be made by the Owner not later than thirty(30)days after the Architect receives the Application for Payment.
(Federal, state or local laws may require payment within a certain period of time.)
§ 5.1.4 Each Application for Payment shall be based on the most recent schedule of values submitted by the
Contractor in accordance with the Contract Documents.The schedule of values shall allocate the entire Contract
Sum among the various portions of the Work.The schedule of values shall be prepared in such form and supported
by such data to substantiate its accuracy as the Architect may require.This schedule,unless objected to by the
Architect,shall be used as a basis for reviewing the Contractor's Applications for Payment.
§ 5.1.5 Applications for Payment shall show the percentage of completion of each portion of the Work as of the end
of the period covered by the Application for Payment.
§ 5.1.6 Subject to other provisions of the Contract Documents,the amount of each progress payment shall be
computed as follows:
.1 Take that portion of the Contract Sum properly allocable to completed Work as determined by
multiplying the percentage completion of each portion of the Work by the share of the Contract Sum
allocated to that portion of the Work in the schedule of values,less retainage of ten percent(10%).
Pending final determination of cost to the Owner of changes in the Work,amounts not in dispute
shall be included as provided in Section 7.3.9 of AIA Document A201TM-2007,General Conditions
of the Contract for Construction;
.2 Add that portion of the Contract Sum properly allocable to materials and equipment delivered and
suitably stored at the site for subsequent incorporation in the completed construction(or,if approved
in advance by the Owner,suitably stored off the site at a location agreed upon in writing),less
retainage of ten percent(10%),
.3 Subtract the aggregate of previous payments made by the Owner;and
,4 Subtract amounts,if any,for which the Architect has withheld or nullified a Certificate for Payment
as provided in Section 9.5 of AIA Document A201-2007,
§ 5.1.7 The progress payment amount determined in accordance with Section 5.1.6 shall be further modified under
the following circumstances:
.1 Add,upon Substantial Completion of the Work,a sum sufficient to increase the total payments to the
full amount of the Contract Sum,less such amounts as the Architect shall determine for incomplete
Work,retainage applicable to such work and unsettled claims;and
(Section 9.8.5 ofAL4 Document A201-2007 requires release of applicable retainage upon
Substantial Completion of Work with consent of surety, if any.)
.1 Add,if final completion of the Work is thereafter materially delayed through no fault of the
Contractor,any additional amounts payable in accordance with Section 9.10.3 of AIA Document
A201-2007.
§ 5.1.8 Reduction or limitation of retainage,if any,shall be as follows:
(If it is intended prior to Substantial Completion of the entire Work, to reduce or limit the retainage resulting from
the percentages inserted in Sections 5.1.6.1 and 5.1.6.2 above,and this is not explained elsewhere in the Contract
Documents,insert here provisions for such reduction or limitation.)
no reduction in retainage
§ 5.1.9 Except with the Owner's prior approval,the Contractor shall not make advance payments to suppliers for
materials or equipment which have not been delivered and stored at the site.
§ 5.2 FINAL PAYMENT
§ 5.2.1 Final payment,constituting the entire unpaid balance of the Contract Sum,shall be made by the Owner to the
Contractor when
AIA Document A101 Tu—2007.Copyright®1915,1918,1925,1937,1951,1958,1961,1963,1967,1974,1977,1987,1991,1997 and 2007 by The American
Init. Institute of Architects.All rights reserved.WARNING:This AIAO Document Is protected by U.S.Copyright Law and International Treaties.Unauthorized 4
reproduction or distribution of this AIA9 Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to
t the maximum extent possible under the law.This document was produced by AIA software at 09:36:38 on 06/06/2016 under Order No.1202269579_1 which
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�1M z 1/6
.1 the Contractor has fully performed the Contract except for the Contractor's responsibility to correct
Work as provided in Section 12.2.2 of AIA Document A201-2007,and to satisfy other requirements,
if any,which extend beyond final payment;and
.2 a final Certificate for Payment has been issued by the Architect.
§ 5.2.2 The Owner's final payment to the Contractor shall be made no later than 30 days after the issuance of the
Architect's final Certificate for Payment,or as follows:
ARTICLE 6 DISPUTE RESOLUTION
§ 6.1 INITIAL DECISION MAKER
The Architect will serve as Initial Decision Maker pursuant to Section 15.2 of AIA Document A201-2007,unless
the parties appoint below another individual,not a party to this Agreement,to serve as Initial Decision Maker.
(If the parties mutually agree, insert the name, address and other contact information of the Initial Decision Maker,
if other than the Architect.)
§ 6.2 BINDING DISPUTE RESOLUTION
For any Claim subject to,but not resolved by,mediation pursuant to Section 15.3 of AIA Document A201-2007,the
method of binding dispute resolution shall be as follows:
(Check the appropriate box. If the Owner and Contractor do not select a method of binding dispute resolution
below, or do not subsequently agree in writing to a binding dispute resolution method other than litigation, Claims
will be resolved by litigation in a court of competent jurisdiction.)
X
bitration Ar
[ pursuant to Section 15.4 of AIA Document A201-2007
]
[ ] Litigation in a court of competent jurisdiction
[ ] Other(Specify)
ARTICLE 7 TERMINATION OR SUSPENSION
§ 7.1 The Contract may be terminated by the Owner or the Contractor as provided in Article 14 of AIA Document
A201-2007.
§ 7.2 The Work may be suspended by the Owner as provided in Article 14 of AIA Document A201-2007.
ARTICLE 8 MISCELLANEOUS PROVISIONS
§ 8.1 Where reference is made in this Agreement to a provision of AIA Document A201-2007 or another Contract
Document,the reference refers to that provision as amended or supplemented by other provisions of the Contract
Documents.
§ 8.2 Payments due and unpaid under the Contract shall bear interest from the date payment is due at the rate stated
below,or in the absence thereof,at the legal rate prevailing from time to time at the place where the Project is
located.
(Insert rate of interest agreed upon, if any.)
2 %for all unpaid invoices 60 days past due
§ 8.3 The Owner's representative:
(Name, address and other information)
AIA Document A101 TM—2007.Copyright®1915,1918,1925,10 37,1951,1958,1961,1963,1967,1974,1977,1987,1991,1997 and 2007 by The American
Init.
Institute of Architects.All rights reserved.WARNING:This AIA Document Is protected by U.S.Copyright law and International Treaties.Unauthorized rJ
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(2001481636)
User Notes:
fC
I
Raymond Mead
200 Brickstone Square
Andover,MA 01845
§ 8.4 The Contractor's representative:
(Name, address and other information)
Thomas Quinlan
208 Wareham Road
Marion,MA 02738
§ 8.5 Neither the Owner's nor the Contractor's representative shall be changed without ten days written notice to the
other party.
§ 8.6 Other provisions:
Owner can stop construction,terminate construction or suspend the construction project temporarily or permanently
at any time for any reason. The contractor will receive all monies due up to the time of suspension for work in
place,material on order that cannot be returned and reasonable expenses to close out the project plus 10%
Occupancy is required by phase. Contractor shall apply for and provide all necessary inspections and Certificates
of Occupancy from all the necessary agencies as each phase is completed prior to starting the next phase of
construction. Certificate of Occupancy can be temporary with the full Certificate issued at the completion of the
entire project
ARTICLE 9 ENUMERATION OF CONTRACT DOCUMENTS
§ 9.1 The Contract Documents,except for Modifications issued after execution of this Agreement,are enumerated
in the sections below.
§ 9.1.1 The Agreement is this executed AIA Document A 101-2007,Standard Form of Agreement Between Owner
and Contractor.
§ 9.1.2 The.General Conditions are AIA Document A201-2007,General Conditions of the Contract for
Construction.
§ 9.1.3 The Supplementary and other Conditions of the Contract:
Document Title Date Pages
§
i 9.1.4 The Specifications:
(Either list the Specifications here or refer to an exhibit attached to this Agreement.)
Section Title Date Pages
§ 9.1.5 The Drawings:
(Either list the Drawings here or refer to an exhibit attached to this Agreement.)
Drawings by Jordan O'Connor&Associates Architecture,dated 2/25/16 and 3/3/16 revisions
AIA Document A101TM—2007.Copyright®1915,1918,1925,1937,1951,1958,1961,1963,1967,1974,1977,1987,1991,1997 and 2007 by The American
Init.
Institute of Architects.All rights reserved.WARNING:This AIAxDocument is protected by U.S.Copyright Law and international Treaties.Unauthorized 6
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User Notes:
Number Title Date
§ 9.1.6 The Addenda,if any:
Number Date Pages
i
Portions of Addenda relating to bidding requirements are not part of the Contract Documents unless the bidding
requirements are also enumerated in this Article 9.
§ 9.1.7 Additional documents,if any,forming part of the Contract Documents:
.1 AIA Document E201TM-2007,Digital Data Protocol Exhibit,if completed by the parties,or the
following:
.2 Other documents,if any, listed below:
(List here any additional documents that are intended to form part of the Contract Documents.AIA
Document A201-2007 provides that bidding requirements such as advertisement or invitation to bid
Instructions to Bidders, sample forms and the Contractor's bid are not part of the Contract
Documents unless enumerated in this Agreement. They should be listed here only if intended to be
part of the Contract Documents.)
MEP&FP plans dated 2/11/16. RFI answers from Amanda Normandin emailed 5/10/16
Attachment l —Qualifications which includes answered and unanswered RFIs(RFI Log Included)
Attachment 2—Phasing Plan
Attachment 3—Proposal
ARTICLE 10 INSURANCE AND BONDS
The Contractor shall purchase and maintain insurance and provide bonds as set forth in Article 1 I of AIA Document
A201-2007.
(State bonding requirements, if any, and limits of liabilityfor insurance required in Article I l of AL1 Document
A201-2007.)
Type of insurance or bond Limit of liability or bond amount($0.00)
Liability $1,000,000
Umbrella Liability $5,000,000
Worker's Compensation $1,000,000
Automobile $1,000,000
Equipment Floater $25,000
This eement tered into s of the day and year first written above.
6-8�16
re) CONTRACTPA(Signature)
Raymond Mead Senior Project Manager Thomas Quinlan President,
(Printed name and title) (Printed name and title)
AIA Document A101 TM—2007.Copyright®1915,1918,1925,1937,1951,1958,1961,1963,1967,1974,1977,1987,1991,1997 and 2007 by The American
Inst. Institute of Architects.All rights reserved.WARNING:This AIA° Document is protected by U.S.Copyright Law and International Treaties.Unauthorized 7
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SOUTH COAST
Construction • Renovation
i
GENESIS PRESCOTT HOUSE
QUALIFICATIONS
Division 1
General conditions
• Assumes 14 week Schedule broken over 3 phases.
• Full time site superintendent.
• 1 part time laborer.
• Administration:AIA documents, submittals,construction documentation,close out
• Assumes a field office inside the building,no outside trailer has been accounted for
• Assumes use of facilities:
o Water
o Electricity
o Sanitary
• Fire alarm test by facilities fire alarm contractor to be paid by Genesis.
• Signage—construction only.
• Field office supplies.
• Badges.
• Temporary power has not been accounted for in this quote.
• Temporary water has not been accounted for in this quote.
• Off hours security has not been accounted for in this quote.
• No preconstruction costs are reflected in this base bid.
• Any and all unforeseen conditions are not part of the base contract.
• All change orders will be assessed at cost + general conditions + 10%.
• Building permit is included.
• No new utilities into the building,reuse all existing.
• No MEP engineering has been accounted for in this quote.
• Undocumented /unforeseen MEP Code violations are not included.
• All equipment supplied / delivered by owner.
• Protection of personal items by others.
• Facility responsible to empty all kitchens /baths of nonpermanent items.
• Proposal based on Architectural plans dated 2/25/16 with 3/3/16 revisions. MEP&FP plans dated 2/11/16. RFI
answers 5/10/16.
• Quote is valid for 30 days.
Division 2
Site Construction
• Free and clear access to where work is to be performed.
• No hazardous testing has been accounted for in this quote.
208 Wareham Road, Marion, MA 02738
Toll Free 888-448-8887 • Phone 508-748-6545•Fax 508-748-6549
www,southcoastimprovement.com
I '
SOUTH COAST
Construction • Renovation
• No abatement or remediation of hazardous materials has been accounted for in this quote.
• No mold remediation has been accounted for.
• Dumpsters are for the use of SCIC and construction debris only,any other waste found in container the owner/
facility will be charged for the cost of the container.
• Genesis responsible for moving resident personal affects.
• Not responsible for any wiring modifications or MEP modifications that may be required by building inspector
above the ACT ceilings in the corridors,ie securing low voltage wires, changing of wires from romex to MC,
hanging of lighting fixtures etc....
Division 6
Woods and Plastics
• Lockers and storage room are not included and figured to be part of the FF&E.
• No new running trim is being carried besides where needed to patch due to new walls.
Division 8
Doors and Windows
• Doors to be installed per door schedule with exception of door 194 as there are (2) designations for it.We are
carrying the fire rated option.
• Installation of a HM welded burrowed lite frame is being carried at Dining room.
• Installation of storefront glazing system is being carried at PT room.
Division 9
Finishes
• Plaster veneer being carried at walls to receive paint or VWC.
• Walls to receive tile have a Dens-Shield tile backer.
• Contradictions in finishes where plans stated different items in the same rooms are being carried per RFI answered
on 5/10/16. (EG Tub Room 155 has elevation that contradicts finishes stated on plan view.)
• ACT tiles to be replaced per plans.
Division 10
Specialties
• Acrovyn wall panels are being carried as 0.040 thick standard High Impact panels.
• Acrovyn handrails are being carried.
• New restroom accessories are being carried per RFI answer 5/10/16.
1. (18) Soap Dispensers.
2. (18) Paper Towel Dispensers.
3. (18)Toilet Tissue Dispensers.
4. (18)Tempered Glass Mirrors.
5. (18) Robe Hooks.
208 Wareham Road, Marion, MA 02738
Toll Free 888-448-8887 • Phone 508-748-6545• Fax 508-748-6549
www.southcoastimprovement.com
SOUTH COAST
Improvement •
Construction • Renovation
6. (19) 42" Grab Bars.
7. (18) 18 Taymor Towel Bars.
1. Please note that Taymor does not make a towel bar that can withstand 300 pounds of pressure and
the minimum length is 18" not 16".We are quoting a standard Taymor 18" towel bar.
2. Please note that the resident restrooms seem to only show (1)grab bar in each room.We are quotir
as such.
Division 11
Equipment
• All kitchen and cafe equipment to be furnished and installed by Genesis. Including but not limited to sneeze guard,
coffee maker,re rator,steam well, late dispenser,warming drawer,ect...
, p
• All PT room equipment to be furnished and installed by Genesis.
Division 12
Furnishing
• All ceiling track and curtains to be furnished and installed by Genesis.
• All window treatments to be furnished and installed by Genesis.
• All artwork to be furnished and installed by Genesis.
• All furniture to be furnished and installed by Genesis (including lockers).
Division 15
Mechanical
• HVAC to be completed as shown on mechanical plan.
• Fire Suppression to be completed as shown on FP plan.
• No water&gas meter work.
• No garbage disposals.
• All new plumbing is figured as being tied into existing drains,vents and water lines.
• Resident restrooms are to receive new toilet and sinks per RFI answers 5/10/16.
• PT room sink location figured as shown on plumbing plan per RFI answers 5/10/16.
Division 16
Electrical
• Electrical price is budgetary and contingent on the following RFI items that are currently unanswered.
1. On E1.1,there is no indication of new lighting being placed in the resident rooms.Please confirm if this is
the intention and all existing fixtures to remain in the same place.
2. On EDA within the new PT Room it calls to remove (2) light fixtures that would fall in place of the new
Storage room.There is no indication of what new lighting we are to place within this room.Please confirm
what we are to install.
3. We discussed the requirement of new power within the resident rooms.The electrical plans do not show ar.
new power within the resident rooms.Please confirm needs.
208 Wareham Road, Marion, MA 02738
Toll Free 888-448-8887• Phone 508-748-6545• Fax 508-748-6549
www.southcoastimprovement.com { J.�
SOUTH COAST
Improvement •
Construction • Renovation
4. Scope review discussion stated that anew panel/transformer was to be installed.Plans do not reflect this.
Please confirm needs.
• Makesafe electrical as needed.
• Power wire for new HVAC.
• Provide new outlets as shown,see RFI qualification.
• Provide new lighting as shown, see RFI qualification.
• Assumes all existing service is functional.
• New fire alarm devices are being carried where new rooms would need,existing ones to remain and be reused whey.
possible.
• Security and low voltage is not included.
208 Wareham Road, Marion,MA 02738
Toll Free 888-448-8887 - Phone 508-748-6545•Fax 508-748-6549
www.southcoastimprovement.com
SOUTH COAST
Improvement Company
Construction • Renovation
GENESIS PRESCOTT HOUSE
RFI Log
Items in Red were answered by Amanda Normandin of Jordan O'Connor&Associates on 5/10/16. Items in Blue were not
answered.
• We had discussed restroom accessories and that they should be included in our pricing.So the Fixture/Accessories
u) A-0.02 has some items that state to"Veri With Owner".Are there any specs or model numbers associated
Schedule( ) fY
with these as we do need them in order to price.Alternatively,we can give an allowance for all items that are not caller
out for.I have attached a toilet accessory schedule.
• On A-1.01 it states to provide new toilets and sinks in the resident rooms.The plumbing plan does not call for new and
states they are existing on the few resident rooms we can see.Are we to carry these items as new in each resident
restroom?We originally carried new toilets and sinks,though confirmation with provided fixture schedule will need to
be done.The toilet can be American Standard model#2585.000 Champion 4 Round Front Complete 1.6 GPF Toilet and
the lavatories can be American Standard model#0321.075 Declyn Wall-Hung Lavatory with concealed arms support.
• We are assuming the tubs in all resident restrooms are to remain. Please confirm.CORRECT
• On A-1.01 it states to provide a new tub in the Tub Room 155.Again,the plumbing plans state it is existing.Are we to
carry new?If so,is there a spec?We originally carried a$5,000 fixture allowance here.The new tub will be furnished by
Owner,installed by GC.We will need the spec from Ray.
• On A-1.01 in the PT Room,the sink is located in a different location then shown on the plumbing plans.Please confirm
which is to be carried. Plumbing Plans are correct
• On A-8.01 the resident rooms do not state what floor finishes they will have.It shows the vinyl plank hatch within the
rooms but no designation as to which it is has been given.Please confirm. Field:VP-01.VP-02 within the small square.
• For the wall finishes in the Tub Room it is unclear the required wall finish.On A-1.01 it states that it is to receive Cerami(
Tile on all walls 6' H and paint above.Then on A-6.00 the plan states all walls to receive VWC-04 but on the same plan
there is an elevation (11)that shows the tub room to receive CT-09 with paint above(it is assumed the pattern is
repeated throughout).Please confirm what is correct.VWC is incorrect.Carry paint above CT-09(pattern is continuous
throughout)
• On E1.1,there is no indication of new lighting being placed in the resident rooms.Please confirm if this is the intention
and all existing fixtures to remain in the same place.
• On ED.1 within the new PT Room it calls to remove(2) light fixtures that would fall in place of the new Storage room.
There is no indication of what new lighting we are to place within this room.Please confirm what we are to install.
• We discussed the requirement of new power within the resident rooms.The electrical plans do not show any new pow
within the resident rooms.While we carry(2) new outlets per room within our original proposal,we would like to
confirm actual requirements with the electrical drawings. Please confirm needs.
• Scope review discussion stated that a new panel/transformer was to be installed. Plans do not reflect this. Please
confirm needs.
• Scope review discussion stated that there were new split systems that needed power wiring. Plans do not reflect this.
Please confirm needs.
208 Wareham Road, Marion, MA 02738
Toll Free 888-448-8887- Phone 508-748-6545• Fax 508-748-6549
www.southcoastimprovement.com
f '
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' �-, I ��''Construction•Renovation
Prescott House First Floor Renovation
Contractor= 6utWCQ0t j9 fOybm6nt CERTIFICATION:
Contact Name OaVi ':Gbdf[e /.The Bidder represents that he has read and understands the Bidding Documents/Contract Documents for which the bill,
EsUmatOf Name Brett Mello Is being submitted,Address 20.Warr3lta"rri Rd 2.The Bid is made in compliance with the Bidding Documents.
$tfBBt 3.The Bidder has visited the site,and is familiar with site conditions and local AuthoMias Having Jurisdiction and their
City,State,ZJp iJlttPion;.yl 4 0273$ requirements and has correlated the Biddees personal observations with the requirements of the proposed Contract
hone/Fax -8887 Documents.
Date of Bid 4.The&d le based upon the materiels,equipment and systems required by the bid documents without exception
gne , - a
Please list all Inclusions,Exclusions and Aftemale;on the Notes tab.Please also use the notes section on this bid form to clarity all other issues or Items Included In the bid.Please leave blank those
Items that are not applicable.Please submit letter from surety company with bid confirming that you can be bonded for the bid amount
Open Shop
Division 1 - General Requirements
Division 2 - Siteworlc 35,400.00
Division 3 - Concrete. 0.00
Division 4 - Masonry 0.00
Division 5 - Mctals 0.00
Division 6 - X'Vood&Plastics 57,110.00
Division 7 - Thermal and Moisture Protection 0.00
Division 8 - Doors&Windows 15,281.18
Division 9 - Finishes 273,670.51
Division 10 - Specialties 76,330.71
Division 11 - E ui ntent 0.00
Division 12 - Fufaishingis 0.00
Division 13 - Special Constnrction 0.00
Division 14 - Conveying Systems 0.00
Division 15 - Mechanical 68,000.00 .
Division 16 - Electrical 82,000.00
- s
Hill
FPERMIT �07�7Q7,yd.
We propose to achieve subtantial completion with construction based on the scope Identified in the bid
documents In fill In months from the date of notice to proceed.
i
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Page 1 of 1
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The Commonwealth ofMa_ssgehusetts
' f Department oflndustt'ial-Accicients
-- > X Congress Street,Suite 100
Boston,MA 02114-2017
www.rnass:gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BB FILED WITH THE UMUTTING AUTHORI'T'Y.
Applicant Information Please Print Len
Name(Business/Organization&dividual): 5 m m 4 CoA s,-f 1 wl P R0y&MS0T (0 0l PA N Y
Address: 208 0A1ZG"AV\ ft>
City/State/Zip:oPP,160 Mfl 02"4-3% Phone#:f 5o8) fit)$ �5y5
Ts
Are you an employer?Check&e appropriate box: Type of project()required):
1.❑lam a employer with employees(full and/or part-time).* 7. [l New construction
2.Q I am a sole proprietor or partnership and have no employees working for me in 8. F4emodelirig
any capacity.[No workers'comp,insurance required.]
3.F1 I am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. ❑Demolition
[�
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition
ensure that all contractors either have workers'compensation insurance or are sole I L❑Electrical repairs or additions
propne rs with no employees. 12.Q Plumbing repairs or additions
5. a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs
These sub-contractors have employees and have workers comp.insurance.t p
6.FJ We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other
152,§1(4),and we have nQ employees.[No workers'comp.insurance required.] -.
x:.
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
fContractors that check this box must•atfached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contra i&s fiave employees they must provide their workers'comp.policy number. ..
Iain an employer that is piovidiiig worfcers'compensation insurance for my employees.'.below is the policy and job site
information.
Insurance Company Name: MALCOL(M e PARS •\"SY'?1M4CE A(&Scy
Policy#or Self-ins,Lic.#: U 1 — .31 22f T R I— Cu'— Expiration Date: i La o 1 to
Job Site Address: y 0 Pg ES COTT 6-1 City/State/Zip: N• ANDoV% M6 O)$y 5
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration(late).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
Ido hereby certify under the p ins and p nalties ofperfury that the information provided above is true and correct.
Signature: Date: /
Phone#: � � 72-S 6952_
Official use only. Do not write in this area,to be completed by city or town official
City or Town: PermitfLicense#
Issuing Authority(circle one): ;
1.Boar.of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
i
DATE(MMNDrrYYY)
Aco v® CERTIFICATE OF LIABILITY INSURANCE 10/30/2015
160�
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFO
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,RMATION ONLYEAXNTEND OR ALTER TmRS NO IHE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER
IMPORTANT: if the cettEticate holder an is ADDITIONAL INSURED,the policy(ies)must be endorsed. If
SUBROGATION is certificate does not
WANED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on thot confer rights to the
certificate holder in Ileu Of such endorsement(s). CT Darlene Mulcahy
PttOWCER PRONE . (781)344-3200 FAX ('1611144-1425
Malcolm b Parsons Insurance Agency L dm@malcolmandparsons.com
713 Washington Street ADORES 8:
NSUgEgfflAFFOROINGCOV ERAGE NAIC9
P.O. Box 527
MA 02072 IN6URER A Main tial Ina Co
Stoughton INSURERS:Pil rim Insurance
INSURED
south Coast Improvement Company INSuRERCILssociated International Ins C
208 Wareham Road INsuRER D Charter Oak Fire Insurance 25615
INsuREIt E maderrrriters at L10 d'S
Marion MA 02738-1146 INSURER REViSiONNUMBER:
COVERAGES CERTIFICATE NUMBER:CL15101o2s56
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED.
ISSUED OR MAYS EURTAINE THE TERM
AFFORDED BY THE PPOR CONDITION OF ANy CONTRACT
ICES DESCRIBE Ho EREIEIN IIS US BJECT TO ALLT WITH RESPECT O THE TERMS.
CERTIFICATE MAy BE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.CIMRS SHOWN MAY HAVE BEEN REDUCED BY PAIDC EMS.
LEM
ADDL
Tvr=OFHNSURANCE POU R
EACH OCCURRENCE t 1,000,000
X COMMERCIAL GENERAL LIABILITY i5 S 9 100,000
A CLAIMS-MAGE rx I OCCUR CIP249359 4/1/2015 4/1/2016 MEG EXP(Any one ) S 5,000
PERSONAL&AIN INJURY t 110001000
GENERAL AGGREGATE S 2,000,000
GEM.AGGREGATE LIMIT AA E PER' PRODUCTS-COAPJOP AGG i 2,000,000
POLICY a LOC f
OTHER BWED SINGLE LIMIT 9 1,000,000
AUTOMOBILE LIABILITY 9001LY INJURY(Per POMM) $
B ANYAUTO
SCHEDULED 2RR00001004441 9/29/2015 9/29/2016 So ILYINJURY(Per 8001M) i
X
DAMAGE
x AUTOS NO ON O MEO r :
HIRED AUTOS AUTOSUndsrinsu�ed motoAtt 81 $ 250,000
EACH OCCURRENCE 6 51000,000
UMBRELLALIABTE x OCCUR 6 5 000 000
AGGREGA
`, X EXCESS UAB CLAIMS•MADE
INOM823915 4/1/2015 4/1/2016 6
X R 6 50 000 ^COMPENSATIONAND EMPLOYERS'LIAsiLrrY YIN gjE i 1 000 000
� N/A 1/19 201 1/19J2016 EA EMPLOY S 1 000 000
D ERIMEMBE R EXCLUDED? Y 0a-3424P91-S-is !-�-
yet, i E,pOLI $ 11000,000
oESCR O PERAT1oNa below 1/1/20 6 090 Clarion$ Egnip
E Caammrcial inland Marine
1546242 4/2/2015
DESCRIPTION OF OPERATIOns I LOCATIONS I VEHICLES(ACORD 101.AddlOonal Rem,dM Sdodute,may be attwAed 11 mora spaee Is la
do
Painting and carpentry
CL-7- 7=
RTIFICATE HOLDE CANCELLATION
/f \ S OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
TH EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
CORDANCE WITH THE POLICY PROVISIONS.
AUTHORMED REPRESENTATNE
Amne Parsons/JAIME
41988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
INS025 rx11611n
Massachusetts Department of Public Safety
Board of Building Regulations and Standards
License: CS-077271
Construction Supervisor
THOMAS M QUINLAN
208 WAREHAM RD
MARION MA 02738
CA, Expiration:
Commissioner 07/07/2018
i
4