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HomeMy WebLinkAboutBuilding Permit #601-15 - 4 High Street-Suite 148 1/13/2015 BUILDING PERMIT of N°DT b�ti TOWN OF NORTH ANDOVER 0 '° o APPLICATION FOR PLAN EXAMINATION h y Permit No#: Date Received i � ii ��SSgcHus���y Date Issued: I 1� IMPORTANT:Applicant must complete all items on this page LOCATION XCsw_Sr . Q r'\5; k"-A-8 C (r \rxCa F 'n e PROPERTY OWNER �l4 �- � SZ \A\C. f .�1...-� Print 100 Year Structure yes no MAP PARCEL: b ZONING DISTRICT:.Historic District no Machine Shop Village Se no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial 16AIteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑ Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name's,P q S'-e-�Nu azo ra Phone:"tV t— t%O .`VRA Address: o VS' V00 Contractor Name: Phone: Address: (_i,C_VkAk`N� �. S'Y t-k0``-. Q'LA Supervisor's Construction License: of� bv-%TExp. Date: Home Improvement License: Exp. Date:-- ARCH ITECT/ENGI NEER ate:ARCHITECT/ENGINEER li�. A\3jtk Phone:`Ir9T —_s-i r —7 3� Address: *krsvt_ �` q��7,3 y Reg. No. t C 0 Q FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �' 4R_Z © FEE: $ `-9-1 Check No.: �� &l Receipt No.: 2_wly NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/OwnerSignature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS 1 1 V� Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments f.onservation Decision: Comments f ......Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpstej on sia 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 requires 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 use) I � I I ❑ Notified for pickup Call Email I i Date Time Contact Name Doc.Building Permit Revised 2014 F 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 a Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o Floor Plan Or Proposed Interior Work o 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 o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o 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 o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L.. Licenses Li Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract a 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 i�IC h No. Date . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ r � Building/Frame Permit Fee $�� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 2UL: i ,a Building Inspector Location No. Date �l III-) . - TOWN OF NORTH ANDOVER tx Certificate of Occupancy $ N-P Building/Frame Permit Fee $ E Foundation Permit Fee $ ! Other Permit Fee $ TOTAL $ Check 4,20c) Building Inspector t o��•orW�ti � 1 CWS CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number '601-15 on 1/13/2015 Date: January 26,2015 THIS CERTIFIES THAT THE BUILDING LOCATED ON 4 High Street— Suite 148 MAY BE OCCUPIED AS tenant fit up - Gweepi 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 Building Insp ctor Fee: $100.00 Receipt: 28455 Check : 2001 �F NORT11 Town of aFAndover Q ' 0 . No. * ,� ver, Mass CC�CMIC NlWKK �� ' U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT....... ?': ,. ^... .. ,,r��..,. ,R?4?:;....1�JY� ',�:... �.}. ... !�i:, BUILDIrINSPECTOR � - J Fo tion has permission to erec# .................... ..... buildings on . ....... ...1 .11.:��..............�.'L�..... ,C.�! ,-- r•, Roug 10 to be occupied as ....'. !! !I!L':'::' :.!............t:^:s:::':..: .. ............................................................. c y provided that the person accepting this 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 Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATIONlof the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION Service ........................ ... .................................................. �n BUILDING INSPECTOR . _ 22./, GAS INSPECTOR Occupancy Permit Required to Occupy Buildin, Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final k No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector, Burner Street o. • ,Smok Det. LC NORT#1 Town of �. : Andover O ••-�- �;`' �" to No. * - h ver, Mass, O LAKE 1, A_ COCNICMtwlClt 7a pORATE0 lS BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System 1 ( . U.e. � �� L..L..I BUILDING INSPECTOR THIS CERTIFIES THAT .......(�,-1�J. . ... . ........ ... ........... ....... ►. .. ... .. ........... F has permission to erect .......................... buildings on ..4....... ---------- 4•.......cru x�eQj— Foundation o Rough to be occupied as ..........." .. ..-..................................................•••••.•.... Chimney provided that the person accepting this 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 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 01 UNLESS CONSTRUCTION n5T. 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. NORTH Town of I�. : :• ¢ Andover No. h ver, Mass, I � o coc c«lwOCR 1 �s,9 rED S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ............. .rc. .�..�— ,..�...........I..................................................................... has permission to erect buildings on Foundation .......................... ..4.......V-m5.n..—a..............1.-10......0 ! - _ Rough to be occupied as .. c, . !'1 .......... "1+.. ..In............................................................. Chimney provided that the person accepting this 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 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 n5T..' 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. saam architecture January 26, 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 Gweepi, Suite 148; 4 High Street Dear Mr. Brown, The tenant fit-out for Gweepi, located at 4 High Street on the first floor in Suite 148 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 January 13, 2105 Permit#601-15 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 JK Contracting LLC Proposal 31 Richmond Street Weymouth, MA 02188 Proposal Date: 1/8/2015 Proposal#: 93 Project: Bill To: RCG LLC Seth Zeren, Suite 148, Gweepi, 4 High St, N.Andover, Mass 01845 Description Est. Hours/Qty. Rate Total Plans and Permits 325.00 325.00 General Conditions 800.00 800.00 Doors&Trim 530.00 530.00 Heating & Cooling 1,500.00 1,500.00 Electrical & Lighting/Tel/data 3,500.00 3,500.00 Insulation 750.00 750.00 Interior Walls, Drywall,Tape,Compound, 3,500.00 3,500.00 Carpet,base 3,350.00 3,350.00 Painting, including ductwork. 2,800.00 2,800.00 Final Clean-u_p 200.00 200.00 Supervision 1,675.50 1,675.50 i Thank you for your business. Total $18,930.50 t iJiassact usetts Department of �atety Board of Building Regulations and Standards Construction SuperNis'r +_!cense: Cs-066334 ARAN T WHEN s 31 RICHMOND _ -, WEYMOUTH MA OZ188� ,�3 �a Fxpisaticn 09/26/2015 Cornmissioner '' ?�"""': OFFICE OF BUILDING INSPECTOR 4 TOWN OF NORTH ANDOVER j <<r� CONSTRUCTION CONTROL I PROJECT NUMBER: 1406002.14 PROJECT TITLE: Suite 148 Gweepi PROJECT LOCATION: 4 High Street, North Andover NAME OF BUILDING: West Mill NATURE OF PROJECT: Tenant Fit Out IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, 1,.._Ll7�a S. S riY _REGISTRATION NO. 9().Q$(L BEING A REGISTERED PROFESSIONAL ENGINEERIARCHITECH HEREBY CERTIFY THAT 1 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) FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEGE,SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT 1 SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review,for conformance to the design concept,shop drawings,samples and other submittals which are submitted by the contractor In accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become,generally familiar witMhe 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 118.2.2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. I UPON COMPLETION OF THE WORK,I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR O UPANCY. SUBSCRIBED AND SWAN TO BEFORE ME THIS DAY OF Z4&iv4� 88_ NOTARY PUBLtC MY COMMISSION EXPIRES_yZ—, =C'FjCOMM0N"kVEALTH UGHAN licSSACHUSETTS Expires18 GENERALNOTES 1.ALL WORK PERFORMED ON THIS BUILDING SHALL BE IN COMPLIANCE WITH ALL PERTINENT Ed AqC CODES, RULES, ORDINANCES,AND REGULATIONS OF THE LOCAL, STATE, AND FEDERAL God �� GOVERNING AUTHORITIES. Qp,S.���� 2. CONTRACTOR SHALL NOTIFY THE ARCHITECT, IN WRITING,OF DISCREPANCIES FOUND ON THE 140.10080 DRAWINGS OR IN THE SPECIFICATIONS. NMURYPORT 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. 5. ALL CUTTING,DEMOLITION,AND PATCHING OF NEW CONSTRUCTION,WHICH IS NECESSARY FOR THE INSTALLATION OF NEW CONSTRUCTION OR EQUIPMENT,SHALL BE PERFORMED BY THE CONTRACTOR WHO IS TO SUPPLY AND INSTALL THE NEW CONSTRUCTION OR EQUIPMENT, UNLESS NOTED OTHERWISE. INSTALL LINTELS WHERE REQUIRED. MAINTAIN FIRE RATINGS AS REQUIRED BY APPLICABLE CODES AND AS INDICATED ON THE DRAWINGS AND SPECIFICATIONS. 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 PROJECT LOCATION WITH APPROPRIATE REQUIREMENTS. 9. ALL SURFACES SHALL BE PUT INTO PROPER CONDITION TO RECEIVE PAINT AND OTHER / FINISHES. CONTRACTOR IS RESPONSIBLE FOR DEFECTIVE WORK FROM ANY CAUSE, INCLUDING w UNSUITABLE AND IMPROPERLY PREPARED SURFACES. FOLLOW MANUFACTURER'S w RECOMMENDATIONS. co 10. REPAIR EXISTING PARTITIONS WHERE REQUIRED. AT REPAIRED AREAS AND NEW PARTITIONS, w n – PAINT WITH ONE COAT PRIMER AND ONE FINISH COAT OF BUILDING STANDARD PAINT. PAINT ALL EXISTING PARTITIONS WITH ONE FINISH COAT OF BUILDING STANDARD PAINT. COLOR TO BE AS —' SELECTED BY OWNER AND/OR TENANT. ° 11. INSTALL BUILDING STANDARD CARPETING IN NEW TENANT SPACE WHERE INDICATED ON HIGH STREET— PLAN. SELECTIONS BY OWNER AND/OR TENANT. SUITE 148 GWEEPI BUILDING 7, 1ST FLOOR 5 �M dieit/projed drawing He date drawing no. RCG LLC 01/07/15 architecture GENERAL NOTES scale /� � 655 Summer Street WEST MILL,NORTH ANDOVER AND KEYPLAN Aoo 4v Boston, MA 02210 SUITE 148-GWEEPI As indicated PARTITION NOTES 1. ALL STUD PARTITIONS SHALL HAVE DOUBLE STUDS AT ALL DOOR JAMBS,OPENINGS, AND CORNERS. 2. ALL JOINTS IN GYPSUM BOARD ARE TO BE TAPED AND JOINTS TREATED OVER THE FULL HEIGHT OF THE PARTITION. 3. ALL FIRE RATED PARTITIONS SHALL HAVE TYPE"X"FIRE RATED GYPSUM BOARD AND SHALL EXTEND FULL HEIGHT FROM TOP OF FLOOR TO MTL. DECK ABOVE. ALL VOIDS BETWEEN THE STRUCTURE AND TOP OF WALL SHALL BE PACKED WITH AN APPROVED FIRE STOPPING MATERIAL.FLOOR TRACK SHALL BE SET IN A BED OF SEALANT, PROVIDE FOR DEFLECTION AT UPPER STUD RUNNER PER STRUCTURAL FLOOR DESIGN CRITERIA. 4, AT ALL PARTITIONS WHICH INCLUDE SOUND INSULATION,CAULK W/CONTINUOUS BEAD OF USG ACOUSTICAL SEALANT(NO SUBSTITUTIONS)UNDER THE TRACK AND UNDER THE EDGE OF EACH BASE LAYER OF GWB,AND AT ALL INTERSECTIONS, PERIMETERS,AND PENETRATIONS. CAULKING PROCEDURE SHALL BE TO PLACE A HEAVY FILLET BEAD OF CAULKING ADJACENT TO THE RUNNER PRIOR TO THE INSTALLATION OF THE GWB SUCH THAT WHEN THE BOARD IS SUBSEQUENTLY INSTALLED IT COMPRESSES THE BEAD COMPLETELY FILLING THE GAP OF EACH GYPSUM BOARD LAYER. SEE PARTITION SCHEDULE FOR ADDITIONAL REQUIREMENTS. 5. ALL PARTITIONS SHALL BE SECURELY FASTENED WITH FASTENERS RECOMMENDED BY GWB MANUFACTURER. 6. PROVIDE ADDITIONAL BRACING AT PARTITIONS AS REQUIRED TO ASSURE ADEQUATE LATERAL RIGIDITY. 7. STC RATINGS ARE LABORATORY TEST RATINGS. 8. ALL GYPSUM BOARD SHALL BE 5/8"THICKNESS, UNLESS NOTED OTHERWISE OR REQUIRED TO MATCH EXISTING CONDITIONS. 9. PROVIDE FULL HEIGHT VERTICAL CONTROL JOINTS AT ALL GYPSUM BOARD PARTITIONS. SPACE CONTROL JOINTS AT A 30'-0"MAXIMUM OF HORIZONTAL RUN. PROVIDE CONTROL JOINTS AT ONE SIDE OF DOOR FRAME FROM DOOR HEAD TO CEILING IF POSSIBLE, PROVIDE CONTROL JOINTS AT COLUMN CENTER-LINES OR AS CLOSE TO COLUMN CENTER-LINE AS POSSIBLE. 10. INFILL ALL VOIDS WITH APPROVED FIRESTOPPING MATERIAL WHERE THE TOP OF PARTITIONS AND STRUCTURAL DECKS JOIN. 11. CO-ORDINATE LOCATIONS OF SPECIAL DOOR HARDWARE REQUIRING REINFORCEMENT OF PARTITIONS. 12. MINIMUM STUD GAUGE TO BE STE-25.PROVIDE HEAVIER GAUGE WHERE INDICATED OR WHERE REQUIRED BY HEIGHT. �EgED ASC PARTITION SCHEDULE �G�S Op S.S,yj y/TFo PARTITION GRAPHIC TYPE FIRE RATING NOTES No.IWW o NEWBUFtYPORT — 3-1/2"METAL STUDS @ 16"O.C. MIN A NONE EXTEND TO DECK ABOVE00 Al NONE EXTEND TO DECK ABOVE PROVIDE 3-1/2"TKACOUST.INSUL. gpl LAYER OF 5/8"GWB EACH SIDE. 3-1/2"ACOUSTIC INSUL WHERE NOTED + �� dienGproJect drawing title date drawing no. CV1� RCG LLC 01/07/15 architecture PARTITION NOTES scale 655 Summer Street WEST MILL, NORTH ANDOVER AND SCHEDULE1/8" A002 S 148 Boston, MA 02210 SUITE 148-GWEEPI 0 ,S ED ARC, N0.10080 Cj URVPORTJE NEW DOOR TO BE 36"W X 84"H SC WOOD WITH GLASS TO MATCH OTHER ADJACENT GLASS&WOOD DOORS 6" CENTER NEW PARTITION ON COLUMN SUITE 148 - GWEEPI SUITE 148 144 1 WITHIN THIS SPACE, FINISH WALLS PER GENERAL NO WORK WITHIN SUITE 144 NOTE#10 ON DRAWING A001 PROVIDE NEW CARPETING PER GENERAL NOTE#11 ON DRAWING A001 NOTE: DO NOT INSTALL GWB ON THIS SIDE OF PARTITION 37'-2" n PARTIAL FIRST FLOOR PLAN- SUITE 148 1/8" = 1'-0" S M dlent/pro]ed drawing title date drawing no. RCG LLC 01/07/15 architecture PARTIAL FIRST scale A101 S 148 655 Summer Street WEST MILL, NORTH ANDOVER FLOOR PLAN 1/8"=1'-0" Boston, MA 02210 SUITE 148-GWEEPI A co CERTIFICATE OF LIABILITY INSURANCE �M'M"I°�'"'" 1.... 7/9/)14 THIS CERTIFICATE 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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Valerie Dupont Insurance Agency, Inc. PHONE Fax 617 376-0795 / No; (617) 479-9121 18 Copeland Street ADMESS: valerie@dupontinsuranceagency.com Quincy, MA 02169 INSURERS)AFFORDING COVERAGE NAIC# INSURERA:Main Street America INSURED INSURER B: JK Contracting, LLC INSURER C: 31 Richmond Street INSURER D: Weymouth, MA 02188 INSURER E: 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 CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INR WVD POLICY NUMBER MIDDIY MMIDO'YYYY LIMITS A GENERALLIABILITY MPT7794M 2/10/14 2/10/15 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGETORENTED PREMIE Ea o ce $ 500,000 CLAIMS-MADE [K]OCCUR MED EXP(Any one person) $ 100,000 PERSONAL&ADVINJURY $ 11000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMITAPPUES PER PRODUCTS-OOMP/OP AGG $ 2,000,000 X POLICY PRO_ LOC $ AUTOMOBILE LIABILITY COMB�INEDdenfSINGLELIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS eraccident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICE RIMEMBEREXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) 16 Chauncy #43, RCG LLC, Sixteen Chauncy Street Condo Trust and Crowninshield Management Corp are listed as Additionally Insured in respect to GL by means of BPM 3105 12-07 when required by written contract. Waiver of Subrogation applies by means of BP 0497 01-06. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RCG LLC ACCORDANCE WITH THE POLICY PROVISIONS. 17 Ivaloo Street Shite 100 AUTHORIZED REPRESENTATIVE Somerville, MA 02143 BRIDGET MCGOWAN ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The AC ORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: kwhelanl23@gmail.com ACC>RV CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDiYYYY) +6.,... ' 7/10/2014 THIS CERTIFICATE 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 poticy(ies)must be endorsed. if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER DUPONT INSURANCE AGENCY INC CONTACT ONTCT 18 COPELAND ST PHONE FAX QUINCY, MA 02169 {Ar&ryo,.Exll.........._ ..,�..., w... _............ _........... E-MAIL ADDRESS: INSURER($)AFFORDING COVERAGE ! NAIC ......... . . ........ ..__..._ _ INSURER A _Liberty Mutual C_ire Insurance.____.__ 23035 INSURED INSURER B......_ JK CONTRACTING CLC 31 RICHMOND STREET INSURER C: WEYMOUTH MA 02188 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 20858191 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 CLAIMS. E INSR. s,ADDL.BUriR POi1CY EFF POLICY EXP I "M __.......,._._....._......... LTR TYPE OF INSURANCE POLICY NUMBER MM/DDfYYYY MMIDDIYYYY LIMITS ! - COMMERCIAL+3ENERALLIABILITY ( EACH OCCURRENCE $ -...._._ CLAIMS-MADE OCCUR I f PREMISESa o�uff4R.1 }... .. 1 MED_EXP(Any one parson) 5 P RSONAL&ADV INJURY $ -- GE v'LAGGREGATE LIMIT APPLIES PER i GENERAL AGGREGATE $ POLICY L__2'PRO i LCC ` > _ !ECT W ! ;PRODUCTS COMP/OP AGG $ OTHER: s AUTOMOBILE LIABILITY j : 1NED MBI SINGLE LIMIT $ COMBINED Ea iANY AUTO I BCDILY INJURY(Per person) $ i............'ALL OWNED SCHEDULED 1 ; 6061LY INJURY(Per as dent) $— „„,.__:AUTOS _ AUTOS ,.,,.....___.—....—.._._._.._—__ NON-C�1TtE0 t { PROPERTY DAMAGE-- - HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ f EXCESSUA6 €_CLAIMSMADE AGGREGATE S __.. ......__ ......... _........ .. ....._......... T DED RETENTION$ A wORKERSCOMPENSATION i IWC2-31S-601698-014 2/17/2014 2/17/2015IL .6TAPER TH- AND EMPLOYERS'UABILITY Y V N.' „ UTE ER .. ,ANY PROPRIETORIPART'ilERFEX.ECUTIVE � E.L.EACH ACC=DENT $ 100000 OFFICER,MEMBEREXCLUDED? t IINIA; i(Mandatory In NH) ( i E-L.DISEASE-EA EMPLOYEEI$ 100000 it yes.describe under ;.......».„..�. _,...„..............—-----...--__....______,.__. i GESCRIPTIONOFOPERATIONS below i 'E.L.DISEASE-POLICY LIMIT $ 500000 I I I DESCRIPTION OF OPERATIONS 1 LOCATIONS t VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. This Certificate cancels and supersedes all previously issued certificates,only as they relate to workers Compensation Coverage. i CERTIFICATE HOLDER CANCELLATION LLCSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE OGRE#16 CHAUNCY STREET#43 CAMBRIDGE MA 021 8 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 17 IVALOO STREET, SUITE 100 ACCORDANCE WITH THE POLICY PROVISIONS. SOMERVILLE MA 02143 _ AUTHORIZED REPRESENTATIVE � Liberty Mutual Fire Insurance �f .O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) -The ACORD name and logo are registered marks of ACORD CFRT W0.: 20858191 CL_ZFtST:'MME 1644469 N.-y Gar:iekd 1"10/'2018 1 0: 1