HomeMy WebLinkAboutBuilding Permit #035-2016 - 4 High Street Suite 201 7/7/2015 lS 4cu 4BUILDING PERMIT o "O RT b;�tia
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION.,
* I
Q h i
Permit No#: ` Date Received' �'°o "P`y
� f
Date Issued:
I IMPORTANT:Applicant must complete all items on;this page
LOCATION ' ~ .-fit r7f ?A �.
i Print
PROPERTY OWNER 12. CGS S ►�L w x.R. U. L _
�3 Print 100 Year Structure yes no
-MAP 1=-_ . PARCEL: (0q_ ZONING DISTRICT: Historic District no
- Machine Shop Village es no
+' TYPE OF IMPROVEMENT PROPOSED USE
r ' Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑Two or more family ❑ Industrial
'KAlteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ DemolitionElOther
❑ Septic 0 Well w ❑ Floodplain ❑Wetlands 0 Watershed District
Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED: n
9y169 8�% VA to QA
;91"Petav RVILA. r_I'tJ14f((5-C C"4�4?Vr( 019RS".
ZVENL7760
Identification- Please Type or Print Clearly
Y
OWNER: Name: rs�iID .� in 12 Phone:
Address:
Contractor Name:Lttsw- Phone:
Address: JR S ,G U-f 2 l Yt� -t IV-Ao I
Supervisor's Construction License: . `+— Exp. Date: I
Home Improvement License:_ _ _ . Exp-: Date:
-
t `
ARCHITECT/ENGINEER =,�j lfgqvtt-Phone -q �$ �'�` �� �` 3`� f
n
Address: t��� �i/MF((3� 9� t1 Reg. No;,` f 004?
i
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ES-ii MATED.CbST.BASED ON$125.00 PER S.F.
$ Ax
Total Project Cost: $ �T � V—' FEE: .$
o
Check No.: l�5 Q Receipt;N'
NOTE: Persons contracting with unregistered contractors do.not have access to the guaranty fund
Signature of Agent/Own§V Signature:-of.contr. cfor
1
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TypF 15F SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑
Food Packaging/Sales ❑
Private(septic tank,etc. ❑ permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On Signature_
COMMENTS
l CONSERVATION Reviewed on
' Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
I „ Planning Board Decision: Comments
1
J
Conservation Decision: Comments
Water & Sewer Con nection/Sicinature& Date Driveway Permit
DPW Town Engineer: Signature:
Located 384
Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site ,yes no
Located at 124 Main Street
Fire Department signature/date
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 regiuires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— For department
u
( pment se)
i
❑ Notified for pickup Call Email
i Date Time3
Contact Name -
Doc.Building Permit Revised 2014
r
I
Building Department
,i 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
I
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
❑ Building Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
u 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
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
j ❑ 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
u Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doc:Building Permit Revised 2014
. Location
No. 7— 1p Date f (�
. - TOWN OF NORTH ANDOVER
Certificate of Occupancy $
ON
Building/Frame Permit Fee seLp 7 ►,
e„
� Foundation Permit Fee $
Other Permit Fee $
TOTAL $ �CQ
�F
f.
k
I} Check#
r �, J Building Inspector
Gt HOR7M ti
32 s:-v� a•,'•O�
4
1S ES
SA[NUS
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number : 035-2016 on 7/7/2015 Date: July 30, 2015
THIS CERTIFIES THAT
THE BUILDING LOCATED at 4 High Street— Suite 201
MAY BE OCCUPIED AS a tenant fit up IN ACCORDANCE WITH THE PROVISIONS OF
THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS
MAY APPLY.
Certificate Issued to: RCG West Mills,NA LLC
4 High Street
North Andover, MA 01845
moi^
Building Inspector
Fee: PrqPaid $100.00
Receipt: 29026
Check : 2188
4t
R:
own OAf over y
No. t -
2 1�
C, h ver, MassT, % *A 2A
0
cocMic»ew�cw y1•
A�RATIE
S V
BOARD OF HEALTH
Food/Kitchen
PER IT T LD Septic System
CC C- Oest HJ
THIS CERTIFIES THAT ......................................... BUILDING INSPECTOR
has permission to erect buildings onAl `�� S� �/j" 0f Foundation
............�..f ? ..... ....... .................... ........... Rough
to be occupied as ......v ``: !:? ../...� '?� .. ............i"` ........ ..............................................
Chun
provided that the person accepting this permits II in every respect conform to the terms of the applicationFri nafi
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 CONSTRUCTION STA TS Rough
. ,,' Service
.....................-�...... �r.......:::----.- .............
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. p
Smoke Det.'Q�
scam
architecture
August 3, 2015
Mr. Gerald Brown
Inspector of Buildings
Town of North Andover
1600 Osgood Street
North Andover, MA 01845
Re: West Mill tenant fit-out for
4 High Street, Suite 201
Dear Mr. Brown,
The tenant fit-out for Suite 201 on the second floor of 4 High Street at West 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 July 7, 2105
Permit#035-2016 in accordance with 780 CMR Commonwealth of Massachusetts building
code.
During the course of construction, representatives of our office made periodic visits to the
site to observe the progress of the work.
Sincerely,
Saam Architecture
Linda Smiley, Principal
saam-arch.com (216) 496 3647 655 Summer St Boston MA 02210
saam
architecture
August 3, 2015
Mr. Gerald Brown
Inspector of Buildings
Town of North Andover
1600 Osgood Street
North Andover, MA 01845
Re: West Mill tenant fit-out for
4 High Street, Suite 205
Dear Mr. Brown,
The tenant fit-out for Suite 205 on the second floor of 4 High Street at West 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 July 15, 2105
Permit#069-2016 in accordance with 780 CMR Commonwealth of Massachusetts building
code.
During the course of construction, representatives of our office made periodic visits to the
site to observe the progress of the work.
Sincerely,
Saam Architecture
Linda Smiley, Principal
saam-arch.com (216) 496 3647 655 Summer St Boston MA 02210
i
saam
architecture
August 3, 2015
Mr. Gerald Brown
Inspector of Buildings
Town of North Andover
1600 Osgood Street
North Andover, MA 01845
Re: West Mill tenant fit-out for
4 High Street, Suite 202
Dear Mr. Brown,
The tenant fit-out for Suite 202 on the second floor of 4 High Street at West 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 June 11,
2105 Permit# 1046-15 in accordance with 780 CMR Commonwealth of Massachusetts j
building code.
During the course of construction, representatives of our office made periodic visits to the
site to observe the progress of the work.
Sincerely,
Saam Architecture
Linda Smiley, Principal
saam-arch.com (216) 496 3647 655 Summer St Boston MA 02210
1
GENERALNOTES
PATCH EXISTING PARTITIONS WHERE REQUIRED 1. ALL WORK PERFORMED ON THIS BUILDING SHALL BE IN COMPLIANCE WITH ALL
PERTINENT CODES, RULES, ORDINANCES, AND REGULATIONS OF THE LOCAL, STATE,
AND PAINT WITH PRIMER AND 2 COATS WHERE AND FEDERAL GOVERNING AUTHORITIES.
PATCHED, AND 2 FINISH COATS WHERE 2. CONTRACTOR SHALL NOTIFY THE ARCHITECT, IN WRITING, OF DISCREPANCIES
PREVIOUSLY PAINTED. FOUND ON THE\DRAWINGS OR IN THE SPECIFICATIONS.
3. THE CONTRACTOR SHALL FIELD-VERIFY ALL DIMENSIONS AND JOB CONDITIONS,
AND WILL NOTIFY THE ARCHITECT, IN WRITING, OF ANY CONFLICTS OR DEVIATIONS
__.................. ..... FROM THE DRAWINGS.
....... _.. ..... _._...__ __ _
.................
-- 4. ALL WORK PERFORMED UNDER AND IN CONNECTION WITH THESE DRAWINGS
SHALL BE IN STRICT COMPLIANCE WITH THE LATEST O.S.H.A. SAFETY AND HEALTH
—
STANDARDS.
[ I 5. ALL CUTTING, DEMOLITION, AND PATCHING OF NEW CONSTRUCTION,WHICH IS
EXISTING NECESSARY FOR THE INSTALLATION OF NEW CONSTRUCTION OR EQUIPMENT, SHALL
BE PERFORMED BY THE CONTRACTOR WHO IS TO SUPPLY AND INSTALL THE NEW
MILLWORK TO CONSTRUCTION OR EQUIPMENT, UNLESS NOTED OTHERWISE. INSTALL LINTELS
WHERE SUITE 201 ED
DEMOLISH EXISTING REMAIN AND AS INDICATED ON TIRED. IRE DIRAWINGS AND SPECIFFIRE RATINGS AS Q AIRONSY APPLICABLE CODES
PARTITIONS
` I I 6. THE CONTRACTOR SHALL PROVIDE ACCESS PANELS AS REQUIRED FOR ACCESS
TO MECHANICAL CONTROL DEVICES. CONTRACTOR SHALL COORDINATE
REQUIREMENT FOR FIRE RATED ACCESS WITH PARTITION RATING. ALL ACCESS
PANELS IN RATED PARTITIONS MUST MEET OR EXCEED CODE REQUIREMENTS. THE
CONTRACTOR SHALL COORDINATE INSTALLATION OF ACCESS PANELS WITH ALL
\ I I \\ FINISH WORK.
I;'............................ 7. CONTRACTOR SHALL PROVIDE F.R.T.WOOD OR STEEL STRIP BLOCKING BETWEEN
STUDS FOR WALL-MOUNTED EQUIPMENT.
-- 8. CONTRACTOR SHALL COORDINATE LOCATION OF BLOCKING FOR WALL-MOUNTED
ELECTRICAL EQUIPMENT WITH ELECTRICAL REQUIREMENTS AND FOR OTHER WALL-
MOUNTED EQUIPMENT WITH APPROPRIATE REQUIREMENTS.
�� .__.........______.._.._�....................... j 9. ALL SURFACES SHALL BE PUT INTO PROPER CONDITION TO RECEIVE PAINT AND
j _ OTHER FINISHES. CONTRACTOR IS RESPONSIBLE FOR DEFECTIVE WORK FROM ANY
REMOVE EXISTING CAUSE, INCLUDING UNSUITABLE AND IMPROPERLY PREPARED SURFACES. FOLLOW
FLOOR FINISH AND .........._..._ MANUFACTURER'S RECOMMENDATIONS.
INSTALL NEW I I`
-=----------------------_------ --- 10. CAREFULLY REMOVE AND SALVAGE EXISTING ITEMS SUCH AS DOORS, FRAMES,
BUILDING STANDARDRETROFIT EXISTING DOOR TO HARDWARE, ETC FOR REUSE ELSEWHERE WHERE DIRECTED BY OWNER.
11. REPAIR EXISTING PARTITIONS WHERE REQUIRED. AT REPAIRED AREAS AND NEW
CARPETING AND 4" HAVE GLASS PANEL
VINYL COVED BASE ' PARTITIONS, PAINT WITH ONE COAT PRIMER AND ONE FINISH COAT OF BUILDING
�� STANDARD PAINT. PAINT ALL EXISTING PARTITIONS WITH TWO FINISH COATS OF
AT GWB PARTITIONS BUILDING STANDARD PAINT. COLOR TO BE SELECTED BY OWNER AND/OR TENANT.
KEYPLAN
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STAIR A Q NO.10080
BLDG 37
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mm. w m BLDG 36
4 HIGH STREET FLOOR 2 SUITE 201 ss � J o BLDG 14
TOM ZAHORUIKO m HIGH STREET
U1/411 = 1'-011
. 4 HIGH ST, STE 201
s a a m client/project drawing title date drawing no
RCG LLC 06/29/15
architecture
4 HIGH ST FL 2 scale
655 Summer Street WEST MILL, NORTH ANDOVER Al 03 ST201
Boston, MA 02210 STE 201 As indicated _
+ GENERALNOTES
PATCH EXISTING PARTITIONS WHERE REQUIRED 1.ALL WORK PERFORMED ON THIS BUILDING SHALL BE IN COMPLIANCE WITH ALL
PERTINENT CODES, RULES, ORDINANCES, AND REGULATIONS OF THE LOCAL, STATE,
AND PAINT WITH PRIMER AND 2 COATS WHERE AND FEDERAL GOVERNING AUTHORITIES.
PATCHED, AND 2 FINISH COATS WHERE 2. CONTRACTOR SHALL NOTIFY THE ARCHITECT, IN WRITING, OF DISCREPANCIES
PREVIOUSLY PAINTED. FOUND ON THE DRAWINGS OR IN THE SPECIFICATIONS.
3. THE CONTRACTOR SHALL FIELD-VERIFY ALL DIMENSIONS AND JOB CONDITIONS,
AND WILL NOTIFY THE ARCHITECT, IN WRITING, OF ANY CONFLICTS OR DEVIATIONS
FROM THE DRAWINGS.
__
.. _ ...__. _._.
4. ALL WORK PERFORMED UNDER AND IN CONNECTION WITH THESE DRAWINGS
F
SHALL BE IN STRICT COMPLIANCE WITH THE LATEST O.S.H.A. SAFETY AND HEALTH
STANDARDS.
I II
5. ALL CUTTING, DEMOLITION,AND PATCHING OF NEW CONSTRUCTION, WHICH IS
EXISTING NECESSARY FOR THE INSTALLATION OF NEW CONSTRUCTION OR EQUIPMENT, SHALL
BE PERFORMED BY THE CONTRACTOR WHO IS TO SUPPLY AND INSTALL THE NEW
ICONSTRUCTION O , UNLESSINSTALL LINTELS
DEMOLISH EXISTING MILLWORK TO WHERE REQUIIR DR MAIINTA N FIRE RAT NGSOAS REQU R DI BY APPLICABLE CODES
! SUITE 201 I I REMAIN AND AS INDICATED ON THE DRAWINGS AND SPECIFICATIONS.
PARTITIONS
6. THE CONTRACTOR SHALL PROVIDE ACCESS PANELS AS REQUIRED FOR ACCESS
TO MECHANICAL CONTROL DEVICES. CONTRACTOR SHALL COORDINATE
REQUIREMENT FOR FIRE RATED ACCESS WITH PARTITION RATING. ALL ACCESS
I PANELS IN RATED PARTITIONS MUST MEET OR EXCEED CODE REQUIREMENTS. THE
I
CONTRACTOR SHALL COORDINATE INSTALLATION OF ACCESS PANELS WITH ALL
FINISH WORK.
-- 7. CONTRACTOR SHALL PROVIDE F.R.T. WOOD OR STEEL STRIP BLOCKING BETWEEN
1 STUDS FOR WALL-MOUNTED EQUIPMENT.
......................_,
- 8. CONTRACTOR SHALL COORDINATE LOCATION OF BLOCKING FOR WALL-MOUNTED
ELECTRICAL EQUIPMENT WITH ELECTRICAL REQUIREMENTS AND FOR OTHER WALL-
_ j MOUNTED EQUIPMENT WITH APPROPRIATE REQUIREMENTS.
______ i 9. ALL SURFACES SHALL BE PUT INTO PROPER CONDITION TO RECEIVE PAINT AND
i
OTHER FINISHES. CONTRACTOR IS RESPONSIBLE FOR DEFECTIVE WORK FROM ANY
REMOVE EXISTING I I - CAUSE, INCLUDING UNSUITABLE AND IMPROPERLY PREPARED SURFACES. FOLLOW
FLOOR FINISH AND I I
MANUFACTURER'S RECOMMENDATIONS.
INSTALL NEW I I --- - `---- - 10. CAREFULLY REMOVE AND SALVAGE EXISTING ITEMS SUCH AS DOORS, FRAMES,
BUILDING STANDARDRETROFIT EXISTING DOOR TO HARDWARE, ETC FOR REUSE ELSEWHERE WHERE DIRECTED BY OWNER.
CARPETING AND 4" 11. REPAIR EXISTING PARTITIONS WHERE REQUIRED. AT REPAIRED AREAS AND NEW
HAVE GLASS PANEL PARTITIONS, PAINT WITH ONE COAT PRIMER AND ONE FINISH COAT OF BUILDING
VINYL COVED BASE \ I I STANDARD PAINT. PAINT ALL EXISTING PARTITIONS WITH TWO FINISH COATS OF
AT GWB PARTITIONS % j I ❑ BUILDING STANDARD PAINT. COLOR TO BE SELECTED BY OWNER AND/OR TENANT.
�I KEYPLAN
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STAIR A NO.
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w BLDG 36
4 HIGH STREET FLOOR 2 SUITE 201
` � o o BLDG 14
TOM ZAHORUIKO m HIGH STREET
4 HIGH ST, STE 201
client/project drawing title date drawing no.
saa m RCG LLC
06/29/15
architecture
4 HIGH ST FL 2 scale
655 Summer Street WEST MILL, NORTH ANDOVER Al 03 ST201
Boston, MA 02210 STE 201 As indicated _
x
GENERAL NOTES
PATCH EXISTING PARTITIONS WHERE REQUIRED 1. ALL WORK PERFORMED ON THIS BUILDING SHALL BE IN COMPLIANCE WITH ALL
PERTINENT CODES, RULES, ORDINANCES, AND REGULATIONS OF THE LOCAL, STATE,
AND PAINT WITH PRIMER AND 2 COATS WHERE AND FEDERAL GOVERNING AUTHORITIES.
PATCHED, AND 2 FINISH COATS WHERE 2. CONTRACTOR SHALL NOTIFY THE ARCHITECT, IN WRITING, OF DISCREPANCIES
PREVIOUSLY PAINTED. FOUND ON THE DRAWINGS OR IN THE SPECIFICATIONS.
3. THE CONTRACTOR SHALL FIELD-VERIFY ALL DIMENSIONS AND JOB CONDITIONS,
AND WILL NOTIFY THE ARCHITECT, IN WRITING, OF ANY CONFLICTS OR DEVIATIONS
FROM THE DRAWINGS.
- --- - -- --i ALL WORK PERFORMED UNDER AND IN CONNECTION WITH THESE DRAWINGS
................ _ .._
_.._...... ....... - ..... ...... 4 A
F__ = SHALL BE IN STRICT COMPLIANCE WITH THE LATEST O.S.H.A. SAFETY AND HEALTH
STANDARDS.
5. ALL CUTTING, DEMOLITION,AND PATCHING OF NEW CONSTRUCTION, WHICH IS
EXISTING NECESSARY FOR THE INSTALLATION OF NEW CONSTRUCTION OR EQUIPMENT, SHALL
BE PERFORMED BY THE CONTRACTOR WHO IS TO SUPPLY AND INSTALL THE NEW
MILLWORK TO CONSTRUCTION OR EQUIPMENT, UNLESS NOTED OTHERWISE. INSTALL LINTELS
DEMOLISH EXISTING WHERE REQUIRED. MAINTAIN FIRE RATINGS AS REQUIRED BY APPLICABLE CODES
SUITE 201 I I REMAIN AND AS INDICATED ON THE DRAWINGS AND SPECIFICATIONS.
PARTITIONS
6. THE CONTRACTOR SHALL PROVIDE ACCESS PANELS AS REQUIRED FOR ACCESS
TO MECHANICAL CONTROL DEVICES. CONTRACTOR SHALL COORDINATE
REQUIREMENT FOR FIRE RATED ACCESS WITH PARTITION RATING. ALL ACCESS
PANELS IN RATED PARTITIONS MUST MEET OR EXCEED CODE REQUIREMENTS. THE
CONTRACTOR SHALL COORDINATE INSTALLATION OF ACCESS PANELS WITH ALL
— ........................... FINISH WORK.
----- 7. CONTRACTOR SHALL PROVIDE F.R.T.WOOD OR STEEL STRIP BLOCKING BETWEEN
STUDS FOR WALL-MOUNTED EQUIPMENT.
8. CONTRACTOR SHALL COORDINATE LOCATION OF BLOCKING FOR WALL-MOUNTED
ELECTRICAL EQUIPMENT WITH ELECTRICAL REQUIREMENTS AND FOR OTHER WALL-
MOUNTED EQUIPMENT WITH APPROPRIATE REQUIREMENTS.
!
1 9. ALL SURFACES SHALL BE PUT INTO PROPER CONDITION TO RECEIVE PAINT AND
OTHER FINISHES. CONTRACTOR IS RESPONSIBLE FOR DEFECTIVE WORK FROM ANY
REMOVE EXISTING `; I I CAUSE, INCLUDING UNSUITABLE AND IMPROPERLY PREPARED SURFACES. FOLLOW
FLOOR FINISH AND I ' . _..__._ MANUFACTURER'S RECOMMENDATIONS.
INSTALL NEW I ' -- _............. 10. CAREFULLY REMOVE AND SALVAGE EXISTING ITEMS SUCH AS DOORS, FRAMES,
BUILDING STANDARD RETROFIT EXISTING DOOR TO HARDWARE, ETC FOR REUSE ELSEWHERE WHERE DIRECTED BY OWNER.
CARPETING AND 411 f/ HAVE GLASS PANEL 11. REPAIR EXISTING PARTITIONS WHERE REQUIRED. AT REPAIRED AREAS AND NEW
j PARTITIONS, PAINT WITH ONE COAT PRIMER AND ONE FINISH COAT OF BUILDING
VINYL COVED BASE % I I STANDARD PAINT. PAINT ALL EXISTING PARTITIONS WITH TWO FINISH COATS OF
AT GWB PARTITIONS I ❑ BUILDING STANDARD PAINT. COLOR TO BE SELECTED BY OWNER AND/OR TENANT.
1 �I KEYPLAN
AR
STAIR A NO.10080
El F1 / BLDG 37
._._._.._... ............................ \ O NMURWW w ^ o
MM. N J
w m BLDG 36
4 HIGH STREET FLOOR 2 SUITE 201 OFJ BLDG14
n TOM ZAHORUIKO m HIGH STREET
4 HIGH ST, STE 201
client/project drawing title date drawing no.
sa a m RCG LLC 06/29/15
architecture
4 HIGH ST FL 2 scale A103 ST201
655 Summer Street WEST MILL, NORTH ANDOVER
Boston, MA 02210 STE 201 As indicated _
NORTIy
Town of ., ndover
o .
h " ver, Mass,
Ib Coc"Ic"t WICK ��
�d AERATED PP�,`'�5
s` U
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
THIS CERTIFIES THATBUILDING INSPECTOR
....................................................... ................................C.�.................................
has permission to erect buildings on /l��( S� J�� f� 'q'0/ Foundation
.......................... ... ......... . .............................................................
� E Rough
to be occupied as ......�.:Y!:?�.............. .................................�...................�........................ Chimney
provided that the person accepting this permit shin 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 Inspection, Alteration and
Construction of Buildings in the Town of North Andover. 7'0- -74 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
................... :..... .rf...... .. 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.
"•"°�"'�, OFFICE OF BUILDING INSPECTOR
TOWN OF NORTH ANDOVER
CONSTRUCTION CONTROL
si�cwsa
PROJECT NUMBER: 1406002.28
PROJECT TITLE: 4 High Street Suite 201
PROJECT LOCATION: 4 High Street, Suite 201, North Andover
NAME OF BUIL4ING: West Mill
NATURE OF PROJECT:_Jenii 1t Fit Out
IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE,
1, Lipda a. fbil ,y REGISTRATION NO..IQQ80
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
FIRE PROTECTION ❑ ELECTRICAL ❑ OTHER(SPECIFY)
( FY)
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.
1 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 I$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 oode•required controlled materials.
3. Be present at intervals appropriate to the stage of construction to become,generally familiar
with6the progress and quality of the worts 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.
UPON COMPLETION OF THE WORK,I SHALL SUBMIT A FINAL REPORT AS TO THE
SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY.
SUBSCRIBER AND SWORN TO BEFORE ME THIS a L� DAY OF NAS 6 19
NOTARY PUBLIC MY COMMISSION EXPIRES
PATRiCIA E. BARKER
Notary Public
COMMONWEALTH OF MASSACHUSETTS
In My Commission Expires
4 Run_+s'24,2018
JK Contracting LLC Proposal
31 Richmond Street
Weymouth, MA 02188
Proposal Date: 7/6/2015
Proposal#: 158
Project:
Bill To:
David Steinbergh,Suite 201,
4 High St
N.Andover, MA 01845
Description Est. Hours/Qty. Rate Total
Plans and Permits 160.00 160.00
Demo 600.00 600.00
Doors&Trim 525.00 525.00
Electrical & Lighting 1,250.00 1,250.00
Tel/data 1,000.00 1,000.00
Interior Walls, Tape, compound, sand 200.00 200.00
Painting, no ductwork or pipes. 700.00 700.00
Floor Coverings[estimate] 1,500.00 1,500.00
Cleanup & Restoration 75.00 75.00
500.00 500.00
Supervision 651.00 651.00
i
Thank you for the opportunity to bid this work.
Total $7,161.00
Aco d' CERTIFICATE OF LIABILITY INSURANCEDATE("IM'°D""")
3215
THIS CER71FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE 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 certificate holder is an ADDITIONAL INSURED,the poilcypas)must be endorsed. If SUBROGATION IF-WAIVED,subject to
the berms and conditions ofthe policy,certain policies may require an endorsement A statemert onthis certificate does not confer rights to the
certificate holder in lieu of such endorsame
PROCUCER CONTACT
NAME: Maria
Dupont Insurance Agency, Inc. PHONE
18 Copeland Street 17 376-0795 . (617) 479-9121
Quincy, MA 02169 me du ntinsurancea en .com
INSURERS)AFFORDING COVERAGE NAIC 0
INSURERA:Main Street America
INS UIRED INSURERS:
JK Contracting, LLC INWRERC:
31 Richmond Street INSUREIRD:
Weymouth, MA 02188 INSURER IS:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM. �
LTR TYPE OF INSURANCE POUCY NUMBER AWRxi Lam
A eBRERALLIABILI Y MPT7794M 2/10/15 2/10/16 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GE NEPALLABIUTY DAMAGE RENTED $ 500,000
CLAIMS-LADE T OCCUR MED DP(Any one person) $ 10,000
PERSONAL&ADVINJURY $ 11000,000
GENERAL AGGREGATE $ 2.000.000
GEN'LAGGREGATELIMITAPPUESPER PRODUCTS-OOMIPIOPAGG $ 2,000,000
POLICY r7P LOC $
AUTOMOBILE LIABILITY a acddera
ANYAUTO BODILY INJURY(Per pown) S
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EXCESSLUIB CLAIMS-MADE AGGREGATE $
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DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(PAnh ACORD 101.AdMiansl Roes Ars Edo",H mon spas b ngWnd)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORED REPRESINTATM
Sri et McGowan
®1888,2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
Phone: Fax: E-Mail: apedranti@crowninshield.com
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3/3/201' 7:22:03 AM PST (GMT-8) FROM: 100005-TO: 16174799121 Page: 2 of 2
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERSALTER TME COVERATHE GE AFFORDED BY TCERTIFICATE �HEDPOLICIES
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, TEND OR
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
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IMPORTANT: Ifthe cartincew holder a an ADDITIONAL INSURED,the polky(Iee)must be endorsed. ff SUBROGATION M WANED,sabjed
the terms and conditions of the poky,certain policies may require an endormrMI. A etatsm I nt on this cwtvieats does not coder rights to ths
certifkats holder In Iieu of such enda mans s.
PIRODt w DUPONT INSURANCE AGENCY INC tAlt
18 COPELAND ST
QUINCY,MA 02169
AIW O OOVOWINBUKERNAS e
A: Li Mutual Fire insurance 23035
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INSURED
J CONTRACTING LLC .mac:
3WEYMOUTTH MSTREET
0 188
NSURER
INSURER E:
COVERAGES CERTIFICATE NUMBER: 23877622 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED B�OIN HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS.
TYPE OF NNMANCE POLICY Nua®®t
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This certfflcate cancels and supersedes ell prsv' y ,r�
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ADM DESCRIBED POUCIEs BE CANCELLED BEFORE
THE 011PIRATION DATE THEREOF, WnCE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PWVISIONS-
-41 AUTHORIZED Id3I0MMATAIE � H
jV Mutual Firs Insurancef(VT�`(�J„}
0IN8.2014 ACORD CORPORATION. All Ages reserved.
ACORD 25(2014101) The ACORD frame and logo ars registered marks of ACORD
CERT NO.: 23677622 CLIENT CODE: 1644469 Lucy Garfield 3/3/2015 10:19:07 let (CST) Page 1 of 1
Massachusetts -Department of aubl =Safety
Board of Building Regulations and Standards y
('nn.trucdon SuperN isor
License: CS4WOU
KIERAN T WHEIAN
31 RICHMOND ST ' ;
WEYMOUfHMA
091261 tics
091
2612015
commissioner