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HomeMy WebLinkAboutBuilding Permit #162-13 - 39 HIGH STREET 5/14/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: , / Date Received Date Issued: 5 O PORTANT:Applicant must complete all items on this page -...... ....s.. .._tea raj!''" i .. > .. .-- - ..- _ .. - > ..-,.n- - _' ", > ---....�d -.. - ... - ♦ ! .._ ..; �Rd_ 4 PRQPERTiY ®1NNER2 ��- - tp'M _ 100xYear Old�Structure: yes; MAP Nb 4PARCEL..� IN -1 fHistonc4Distnct e no 'Machinpq hopAVillage a -'no_ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial. Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other OrSepfic7 �;V1/ell f -6'F.Ioodplainj 0,Wetlands; „ ,p 111/atersf ed Dist�ict�' \/Vat&/- ewer DESCRIPTION OF WORK TO BE PERFORMED: �LVw A vs `ir —o Q w s; Q Som- !e L-�rs 1 Identification Please Type or Print Clearly) 3 , OWNER: Named i4.a%°O Zn-6 tA gy.sa.cn...t Phone: — Address: =Q^\z d z-n \ \.)L- 0 Li � ��.0 CONTRACTOR ;Name. Phone _ c _ - - Address: Superyiso.r",-'s.'Construction License: . 4Exp IDate:. Ho-et mp qv htjbcense 'Exp,., sDate: ARCHITECT/ENGINEER Phone:�► \�^X223 n p 2—L-1 0 Address: C�� ►.� tS0��T'J•.r _ r4 Reg. No. 0 U FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 1 -� 4. 8 ` ' FEE: $ If 1 qS' b ' Check No.: 3 k �Z Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund .Signature of Agerit%Owrier �3�� �S;Ignature'_of contractor.. . : Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORINT DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature I ' i COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments 7 Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Tow. Engineer: Signature: Located 384 Os ood Street FIRE DEPARTMENT - Temp Dumpste n site yes. no Located at;124 Mair1Street.- FireDpam . sa yre/dt .COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes Roo MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use ® Notified for pickup - Date i l � � Doc.Building Permit Revised 2010 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 o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks a Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building pp Permit Application o 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) o Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. one copy and proof of recording must be submAted with the building application Doc: Doc.Building Permit Revised 2012 Location _ t< No. 76 2 — 13 Date � /3 • TOWN OF NORTH ANDOVER �"' ~ • Certificate of Occupancy $ .w0""� • Building/Frame Permit Fee / T�U Foundation Permit Fee $ Other Permit Fee $ kp`'a4rr .*4��� TOTAL E i Check#OV30 r f 26390 / Building Inspector F 9 ♦1 �,SSAC HUSEt 0 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 762-13 on 5/14/2013 Date: July 31, 2013 THIS CERTIFIES THAT I THE BUILDING LOCATED ON 39 High Street MAY BE OCCUPIED AS Tenant Fit Up - Semcastin2 IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: RCG NA Mills, Inc. 39 High Street North Andover,MA 01845 Building Inspector ! Fee: PrePaid Receipt: 26390 Check :021317 r 1 NORTH - W' ' . t If v h ver, Mass,0 LAK* . �,95 1E 0„�"P �(y U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT ....................................:.: BUILDING INSPECTOR has permission to erect ....... buildings on ... ............................................................................ Foundation / ............... 9ugr. C� ;Ey/ G PA tobe occupied as Y ................................................................................................................................ Chirrrney,. , provided that the person accepting this permit shall in every respect conform to the terms of the�application on file in 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 00, VIOLATION of the Zoning or Building,Regulations Voids this Permit. Rough Final el e0" •� �J PERMIT EXPIRES IN 6 MONTHS ELECT iCAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough- Service ough Service /5. r' _, ................. ...... ....... ...... Final k 7 3 p l3 BUILDING INSPECTOR P111 GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fina' No Lathing or Dry,Wall To Be DoneFIRE DEPARTMENT `Until Inspectedand Approved by the Building Inspector. r Burner Street No. .� - Smoke Det. 7—a<-42 SEE REVE S SI E AORIN 3=�� . s r Y •off,...t::. 3r �7S�C Hl14Et4 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 043-14 on July 11, 2013 Date: July 16, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 39 High Street MAY BE OCCUPIED AS Converse Fit Up IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: RCG NA Mills,LLC 21 High Street North Andover, MA 01845 Building Inspector Fee: Pre Paid Receipt: 26614 Check : 1321 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost :! 8 X000,00 m $ - $ 1,020.00 -Plumbing Fee $ 127.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 127.50 Total fees collected $ 1,375.00 39 High Street 043-14 on 7/10/13 2 new ADA bathrooms r 'iNORT1-H W. , : i( . , ve" $0 No. ®41) 2 h , ver, Mass, COCHIC"2WICW 1• �'4ArEo S V BOARD OF HEALTH Food/Kitchen P. ERMITT. LD Septic System THIS CERTIFIES THATRBUILDING INSPECTOR ��• / has permission to erect .......................... buildings on .J..rT.1. .`j........57...................................... Foundation <. q►'".� E.r Rough to be occupied as ......... .� '� - .......... ... .6.�. �Av� .......... ..... .... rilV................. Chiprovided that the person accepting thiermit shall in every respect conform to the terms of the application on file e in this office, and to the provisions of the Codes and By-Laws relating to the Inspe ion,Alteration and Construction of Buildings in the Town of North Andover. �jy V��'S6 Co>�.,r..� , •��f' PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. .Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough .................................. Service "' BUILDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. SEE REVERSE SIDE r •, NORTH 0 NoAD41).... 1 oh , ver, Mass, LAKI COCMICHEWICK 7�A�R�tTEO PP���S S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System // BUILDING INSPECTOR THIS CERTIFIES THAT ................................... ...�../1 ......44 C............................................. • / c Foundation has permission to erect.......................... buildings on .2.. ............................... Rough to be occupied as � '�:..............! .•.............. ... Chimney provided that the person accepting thi permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspe ion,Alteration and Construction of Buildings in the Town of North Andover. �jy U �S6 �yss.�w.�/ , /,��' PLUMBING INSPECTOR:,. VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough .................................. Service "' BUILDING INSPECTOR Final 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. SEE REVERSE SIDE Massachusetts- Department of Put)lic S fete` Board of Building; Regulations and Standards Construction Supervisor License License: CS 66334 4 <tk KIERAN 7 MELAN' r " 31 RICHMONb STA WEYMOUTH MA 02188 moi-- - -� Expiration: 9/26/2013 ('omihistiunre Tr#: 6168 d. �l�+ G�►" CERTIFICATE RANCE C . tLITY N ► , ..031=13 THIS.C TIFICA?E'1S MM AS A MATTER OF INFORMATI ON 1ONLY AND COWERS NO RIGHTS UPON THE CERMCATE itt?t;FM TMIS CERT1Ft1'ATE.DOES NOT AFFIRMATIVELY OR NEGAIWELY AMEND, EOCI' OR ALTER TILE COVERAGE AFFOFM BY T�S ES BELOW., `Tt113 CERTIFICATE OF INSURANCE DOES NOT Caht5T1 UTE A CONTRACT BETWEEN THE ISSUING f�8},llt�#fQRiZED RMESE NTAT OR PRODUCED AND THE CERTIFICATE OLDER. IMPOR'IAR+IT: V B'is.csdftae Ew4dW 1s ADDiT1ONAL JNSUR FA the pottey(We)must be sndome& It SUBROGATION IS WANED,sut ied.to the-terumand corAllogm of'tieolicy,co tiin Polys#M fequh*on endonmrant. A sbAwn d on We cwWWU does not con%r rights to the wrjbcftwbokWja'§eu of such mmoom Phone:617.488.121 ;otw r=Ws irwAnance Inc Fax:6174894151 �o I750oncaft!A"Me 3afil IiSA#�tit711-3445 a..II�IELL-1 C NAIc x Mum A CotlhwUng LLC INSURERA:CdRn.Iris Co Klemn'Wheism INserlt x8.'u witual 31 RRL:Mnond St Nllaic: Weymouth,MA 02188 E OOLORER E LVIRM F• CtWERAGES CEFMFIGATE I+iUMSER: REMION NUM99R: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTM BELOW HAVE BEEN ISSUED TO THE INSURED KAMED-ASOVE FOR THE POLICY PERIOD INDICATED. NOT V%T HSTANDING ANY REQUIREMENt TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO MCH THIS CERTIFICATE WY BE ISSUED OR MAY PERTAIN„THE INSURANCE AFFORDED 6Y THE POLICIES bESMfBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSOtiS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOVY a MAY HAVE BEEN REDUCED BY PAID C AIMS— TYPE aF ROURANCE POLICY GENWALUAUUTY EACHtOGCURRENCE s 1r�+ 4 X COMEI:GAL.cENER�ALLiASKM OW0300187 02f16113 =MGR4 L ERKMWJE,"'MMgk_. a $0.00 ct,asissADE '`I oactxi asrn{Arty«t. „I $ S AM aOr"ALaAWR"M GOWAALAGMGAIE t x. WWLARC#t-GATELIWTAPPUESPEk PRODUCTS-COMPIOPAOG S � P®LICY LOC ANY AUTO BODILY#NAM(Pter Trwm) S ALL OYA*D AUTOS � BODfi Y INJIlKY{Pet U S� SCIa t)i)LFX1 AUTOS ¢PR TY DAA HM AUTO$ NOR-WWW O AUTOS s IIIIBaLELLI t LIAg OCCUR EACH OCCURRENCE S L" CLA9�AS-MLAI� AGGREGATE .S,.........�,,,.` DEDUtt TW I f �i:DAAf'EtiA+k7tOHI X WCSTATt,3- CiTH- 3 Aran Pr +R Tt1R+P Ec urtvE YIN 15386181012 02117113 02M7114 E.L.EACH ACa2t3 w s _ 1,0I Om= ExcLUDEo� E NIA -- Nltl F-L-E ME-EA EWt0YV0t A I, , N drrpttbs irnrnt6t D OPERATIONSbaiax i `VEiLDISEASE-POLIG`YLOtE#T � + nW EIF AT0&tU)CAT*W J VEHICM(Aloft ACM iOf,A*O*"fto* u FNi ,N amm space Is Me*,* Ruftt+itC"k0= ER IFICATE HOLDER CANCELLATION SHOULD ANY OF THE AWA DESCRIBEDPOLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THU MQF,I NOTICE W LL 00 DELIVERED IN JK Cord acting LLC ACCORDANCE WTHt THE PROYISIONs. 31 Richmond St oUth MA 02168 A E A OR0 CORPORATION. All rWft inserwad. WORD 2E:(14"") The ACOR D name and logo-are mgistered ma ft of ACORD Stantec Architecture Inc. 303 Congress Street,6th Floor Boston MA 0 2210 aI Tel:(617)423-4252 Fax:(617)423-4333 Stantec July 26, 2013 File: Stantec Project Number 218410083 Mr. Gerald Brown Inspector of Buildings Town of North Andover 1600 Osgood Street North Andover, MA 01845 Reference: Tenant Fit-Out for Semcasting 39 High Street East Mill, North Andover Dear Mr. Brown: The tenant fit out for Semcasting, located at 39 High Street at East Mill in North Andover, MA,was to the best of my knowledge, belief, and understanding, constructed in conformance with the construction documents issued for building permit dated May 14, 2013, Permit#762-13 in accordance with 780 CMR Commonwealth of Massachusetts building code. During the course of construction, representatives of our office made periodic visits to the site to observe the progress of the work. Respectfully, STANTEC ARCHITECTURE INC. linda.smiley@stantec.com 2013.07.26 16:52:52 -04'00' Linda Smiley, R.A. Senior Associate Tel: (978)270-3203 linda.smiley@stantec.com c. Kieran Whelan Dave Steinbergh Iss documentl Ot ORT 'Ly 3r 64+•. •.oL M J i �J 'lJ O.n°rr•i19 ,SS CHUSt CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 762-13 on 5/14/2013 Date: July 31, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 39 High Street MAY BE OCCUPIED AS Tenant Fit Up - Semcastin2 IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: RCG NA Mills, Inc. 39 High Street North Andover,MA 01845 Building Inspector Fee: PrePaid Receipt: 26390 Check :021317 r 1 V NORT1l ve,0 . No. Ah ver, Mass, - A_ coc:.:c:+ewrcw �1. 7,9 A�RgTE0 JpklrM - S U BOARD OF HEALTH Food/Kitchen .PER .1-T T LD Septic System THIS CERTIFIES THAT . BUILDING INSPECTOR has permission to erect ....... buildings on ......................................... u Fo ndation Ag A 59? to be occupied as .:...................::.:.:..::.:..:.........:....:.............................. ...........:..................:................. ney, l J , Chim' I provided that the person accepting this permit shall in every respect conform to the terms of the,application , on file in 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 . ` Rough Y VIOLATION of the Zoning or Building Regulations Voids this Permit. /p ' : !.r ,Z t Final V /j •� PERMIT EXPIRES IN 6 MONTHS ELECT ICAL INSPECTOR_ UNLESS CONSTRUCTION STARTS Rough'- 'T`'= '" al "y Service _ .......................::::... .rJ:..............._ " Final 3 �3 ............................. BUILDING INSPECTOR P111 1. ' GAS INSPECTOR OccupancyTermit Required to Occupy Building Rough Display in a Cons picuousPlace. on the Premises — Do Not Remove Final • s' �- .No Lathing o-r:Dry Wall To- Be DoneFIRE DEPARTMENT• :r."Until Inspected and Approved by the Building Inspector. Burner Street No. � Smoke Det. SEE EVE SE SI E Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 1629844.00 m $ - $ 1,954.13 Plumbing Fee $ 244.27 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 244.27 Total fees collected $ 2,542.66 39 High Street 762-13 on 5/15/13 Tenant Fit Out M.-issachusetts- Departmelet of Public S<ifet.' B0:11'(1 of Building Regulations and Standards Construction Supervisor License License: CS 66334 4�, ap KIERAN T WHELAN 31 RICHMOND ST WEYMOUTH;MA 02188 v-- � ` Expiration: 9/26/2013 ('4nuihisgioIle r- Tr#: 6168 r '1 - NORTf-1 . _ Wn E c . . ve" ,* 0 No. LAKI - �oh ver, Mass, 7,e A04ATEO S U BOARD OF HEALTH -T T D Food/Kitchen PERMI Septic System - THIS CERTIFIES THAT `` X.LBUILDING INSPECTOR ........... LY: : :... �. 1 .. :.....................................A7,. Foundation has permission to erect........................... buildings on2.�7. . .1(. ..1...........:................ .............. Rough to be occupied asL�Wil.. ^. Chimney ........ ....f:.� ......... els provided that the person accepting this permit shall in every respect conform to the terms of the plication Final on file in 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 UNLESS CONSTRUCTIO TARTS Rough Service .......... ..... ............ . ...................... Final BUILDING INSPECTOR 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. SEE REVERSE SIDE � , �..- CERTIFICATE OF LIABILITY INSURANCE ANCE Tfa$.COMRCATE-1S WliSt3 AS A MATTER.OFA7�iONLY'AND CONFER:NO RMM UPON TiF CERTit~ATE t#%Wt TM T£DM NOT AFFIRMA #Y OR 4t-GATPALY.AME 3,'NWEN t3R J*LTER'THE C.�A SW Tt�: ' T C LATE`C ,WSURANCE'Di3ES H{3T CONSTITUTE A CONTRACT BETWEEN THE WSUM lii k Alt ORt2 INKMB,EP .t4t'�'#31t��t Pte,At+�THE CEii�'�lCATE NOLDtR AUT: fie- hokler I+dam AtS MONAL.iNStJRM the Potic3 1")must tie, tf: ? t is YW►EIIE%s .to f e.ti ana.ao 'iff ply, policies maty mquim an endommeat A sUWn t on this does not+conw dow tD to Phones 6174W121 Imo. 4nsWanm inc Fax:617489-0154. No. 1T9�Ava,9te.. . �,t�182d78-3�3 -1 AFFI)FAe4 r NAIc s USSR s JK Con"o g LLC MIJIMA:Caffin.ft-4 Co. Kle�anfiARtefaut Iro; s- <.,; M RWhawndSt WeyamKift MAA 02188 mac: BOURM D: *MUREFtE: F COVERAGES CERT ATI< I . 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TOWN OF NORTH ANDOVER ;s <<�,•s CONSTRUCTION CONTROLc�S��REs ,� PROJECT NUMBER: 218410083 Na 10080 *VBURWM? PROJECT TITLE: Semcasting PROJECT LOCATION: East Mills, 43 High Street, N.Andover, MA NAME OF BUILDING: 43 High Street NATURE OF PROJECT: Corporate Fit Out IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, 1, Linda S. Smiley REGISTRATION NO. 1OQ80 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 ❑ ARCHITECTURAL © STRUCTURAL ❑ MECHANICAL ❑ I FIRE PROTECTION ❑ ELECTRICAL ❑ OTHER(SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become,generally familiar 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 REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UP "COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE W'O?,ORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. a` �.P1°sGIs 4pq�� e 0 >'Q'••U�44�'!'�Taa. �•i S. siGmATURE Sw6SEb ASVD SWORN TO BEFORE ME THIS _,_DAY OF tg X13 MY COMMISSION EXPIRES,7" 09i A .I111 Standard Form of Agreement between Owner and RCG LLC where the basis of payment is the Cost of the Work Plus a Fee without a Guaranteed Maximum Price Date: u. Owner: ra a &I s „ s = Contractor: � Y Architect: � � m; Project Name: s The Owner and Contractor agree to the terms stated by this contract. This contract supersedes any prior agreements, representations, or negotiations, oral or written. No liquidated damages shall apply to this agreement. This contract consists of the following documents: 1. Obligations of the Parties 2. Contract Sum 3. Project Schedule 4. Signatures Exhibits Exhibit A: Estimated Cost of Work Exhibit B: Project Schedule Exhibit C: Drawings Page 1 of 5 c I. Obligations of the Parties Obligations of the Contractor: The Contractor accepts the relationship of trust and confidence established by this Agreement and covenants with the Owner to cooperate with the Architect and exercise the Contractor's skill and judgment in furthering the interests of the Owner; to furnish efficient business administration and supervision; to furnish at all times an adequate supply of workers and materials; and to perform the Work in an expeditious and economical manner consistent with the Owner's interests and in compliance with all applicable governmental codes and regulations. The Contractor shall Reep full and detailed accounts and exercise such controls as may be necessary for proper financial management under this Contract. The Contractor shall keep full and detailed records of all books, records, permits, licenses, correspondence, receipts, instructions, data, and drawings associated with the Project including all Subcontractor contracts, invoices, vouchers, insurances, lien waivers, and other correspondence. The Owner and Owner's Accountants shall have access to review, audit, and copy all Contractor documentation. The Contractor shall retain these documents for a period of three years after final payment. The Contractor shall maintain insurance at the following levels with the Owner listed as a co- insured: T e of Insurance Limit of LI : bili Upon request, and_at the cost of the Owner, the Contractor shall obtain a performance bond up to the total Cost of Work. Such costs shall be added to the Construction'Volume. The Contractor understands that the Project will be financed by a construction lender and, then, by a permanent lender. The Owner may assign any of its rights under this Contract to the construction lender and the Contractor hereby consents to any such transfer provided no such assignment shall relieve the Owner of any of its obligations under this Contract, unless agreed to in writing by the Contractor. The Contractor shall execute any certificates, lien waivers, releases, receipts, and other documents as may be reasonably required by the construction lender or permanent lender including a subordination of its mechanic's lien rights to the construction lender's.and permanent lender's mortgage or deed of trust. The construction lender for the Project will be: Obligations of the Owner: The Owner agrees to furnish or approve, in a timely manner, information required by the Contractor and to make payments to the Contractor in accordance with the requirements of this Agreement. Dispute Resolution: Claims, disputes or other matters in question between the parties to this Agreement shall be resolved by mediation or by arbitration. Prior to arbitration, the parties shall endeavor to reach settlement by mediation. Page 2 of 5 2. Contract Sum Cost of Work: The Contractor shall provide a detailed estimated Cost of Work to the Owner(see Exhibit A). The sum of these costs, including the fee is as shown below: Change Orders: The Contractor does not guarantee the Contract Sum in any form. In the event of changes to the Contract Sum, the Contractor will present written changes to the owner for costs that exceed the Contract Sum in the form of a Change Order. The Contractor will review all Subcontractor Change Orders before submittal to the Owner and Architect and make a recommendation for.payment or non-payment. The Contractor's Fee will be calculated including any approved Change Orders. The Owner, Architect and Contractor will negotiate disputed Change Orders in good faith. Contractor's Fee: 10% of total construction volume. This includes pre-construction and project management services, and field personnel and associated management overhead. The fee is based on actual costs incurred, with final true up, and is billed monthly in arrears. Total Construction Volume excludes permits and fees, which shall be paid directly by the Owner. Construction management labor, standard tools and equipment, and labor-related overhead are covered within the fee. Specialty tools or equipment and any trade labor supplied by J&K personnel shall be charged separately. If a project is terminated or suspended by the Owner prior to completion, J&K shall be compensated for the actual cost of services provided prior to receipt of notice of termination or suspension from the Owner. Subcontractors: The Contractor plans to hire Subcontractors to perform the majority of construction associated with this project. The Contractor shall provide the Owner and Architect information on all of the bids received by Subcontractors and the names of the Subcontractors selected. Owner shall have the right to reject a proposed Subcontractor; however, in the event that this leads to a higher Cost of Work, the Owner shall pay for the difference. The Contractor reserves the right to reject any Subcontractor, even if it is the lowest bid, and to dismiss Subcontractors from the job that have been previously approved by the Owner. Payments: The Owner shall make progress payments on the Contract Sum according to the Requisition process described below. The Contractor shall, at the conclusion of each calendar month on the project, present to the Owner an application for payment(Requisition)for costs incurred during that month. The Requisition shall include all invoices, vouchers, partial releases of liens, expense reports, and any other evidence to support the validity of the Requisition amount. The Contractor may requisition for completed, but unpaid work based on an expectation of payment upon receipt of funds. The Owner, the Architect, or their representatives shall be afforded five (5) business days to review such application and question the Contractor about its contents. In the event there are no disputes, the Owner shall pay the Contractor within 10 business days of receipt of the Requisition. Payment by the Owner does not represent that the Owner or Architect have made a detailed examination of the documentation, inspection of the work, or verification of the accounting. Page 3 of 5 ,v At the completion of the project, the Owner shall make a final payment to the Contractor based on a final Cost of Work with a truing up of fees. If further corrections to work are required that are not covered under warranties with Subcontractors, or that are not the outcome of negligence or poor workmanship by the Contractor, the Owner shall pay the Contractor for any work associated with performing the corrections based on the hourly rate agreed to in this contract. Retainage: The Owner shall not hold back any fees to the Contractor to ensure completion of the work. The Contractor will be expected to hold back fees from Subcontractors to ensure their performance based on the terms below: MAMTermination of Contract: The Owner shall reserve the right to terminate or suspend the Contract at its sole discretion. Within 15 days of termination or suspension, the Contractor shall present an accounting of all its costs incurred for reimbursement by the Owner. If the Owner elects to proceed with the project without the Contractor, the Owner shall have the right to assume the Subcontracts and agreements related to the Project. 3. Project Schedule Date of Commencement: The Contract Time shall be measured from the date of commencement. The date of commencement of the Work shall be the date of this Agreement, unless a different date is stated below or provision is made for the date to be fixed in a notice to proceed issued by the Owner. .a Contract Time: The Contractor shall provide to the Owner a Project Schedule (see Exhibit B). This Schedule is based on assumptions reached prior to the signing of this contract, which assumptions the Contractor shall attempt to clarify in the Schedule. However, the Schedule always assumes the Owner and the Architect respond promptly to requests for information and do not request any significant changes to the construction program. In the event that the Owner or Architect find any discrepancies with the Schedule or its Assumptions, they will promptly notify the Contractor, who shall make adjustments to the Schedule as necessary. According to the attached Schedule, the Contractor shall achieve Substantial Completion of the entire Work as follows: The Contractor does not guarantee the date of completion. However, the Contractor shall not be entitled to additional fees based on delays in the project unless those delays can be shown to incur extra costs for the Contractor and were caused by the actions or requests of the Owner or Architect. The Contractor shall present an updated Project Schedule to the Owner and Architect on a weekly basis for their review. Page 4 of 5 4. Signatures The Owner's representative is: § 14.4 The Contractor's representative is: pec ' ct�n _jj This agreement is entered into as of the day and year first written above and is executed in at least three original copies, one for the Owner, one for the Contractor, and one for the Architect. Owner Contractor Si n ture i nature Printed Name and Title i Printed Name and Title Page 5 of 5 y Semcasting Estimated Cost Schedule of Values 5/3/2013 General Conditions $ 20,000.00 Demolition $ 5,000.00 Frame walls, drywall and tape $ 30,000.00 s �. v o Prime and Paint $ 11,000.00 —� Supply and install new doors $ 15,000.00 — Supply and install new flooring $ 27,540.00 Cabinetry &Countertops $ 3,000.00 Plumbing $ 2,500.00 Sprinkler Work within space $ 4,000.00 Electrical wiring within space $ 20,000.00 HVAC $ 10,000.00 Sub-total $ 148,040.00 Construction Management fee $ 14,804.00 Total $ 162,844.00 Plus Building Permit $ 1,956.00 � I'