HomeMy WebLinkAboutBuilding Permit #432 - 43 HIGH STREET 1/27/2009 BUILDING PERMIT Of NORTH q
TOWN OF NORTH ANDOVER or
APPLICATION FOR PLAN EXAMINATION
+F o4
Permit NO: / Date Received p�gAreo �g
�SSACH�15��
Date Issued: / 2 7 0e
IMPORTANT:Applicant must complete all items on this page
'L LOCATION_ Lr 43 t G-x �.~
PROPERTY OWNER (L e r G- . , gnt
Print
MAP NO: PARCEL: ZONING DISTRICT: Historic District es no
Machine Shop Village no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
Addition Two or more family Industrial
Alteratio No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
Septic Well Floodplain Wetlands Watershed District
Water/Sewer
DESCRIPTION OF WORK TO BE PREFORMED:
Identification Please Type or Print Clearly)
OWNER: Name:a AAy k o 6 (L C,- Phone: \o\-'l- ,o-L9
9
Address: �v 5 k QG 1 -S���� ��i S-Z'V +S .v tt_Ls B Li LA—R
CONTRACTOR Name:K\sem �!y N� t-v9�) Phone:
Address: \
Supervisor's Construction License: C-S 40\3 3 - Exp. Date: "2.b oc
Home Improvement License: t�$`t`t Exp. Date: Q� \
ARCHITECT/ENGINEER- isQ e-�_\ LPhone: b\_l
Address: 20-Z Q-04q00 IAA 0-Z-koReg. No. t o 0
FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 1-f-1 , Ll— FEE: $ s-0
Check No.: 2 M 3 Receipt No.: �/Po&
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
signature of Agent/C�ntrre Signature of contractor
Waived Certified Plot Plan ed Plans Stam
Plans Submitted Plans a p
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
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature& 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 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)
❑ Notified for pickup - Date
Doc.Building Permit Revised 2008
s,
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
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
❑ 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 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
❑ 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 Application
Revised 2.2008
Location
/'
No. `7 5'2- Date 11a,71,0 7
OfHORTN TOWN .OF NORTH ANDOVER -
t .•o ,•,hO
• ; Certificate of Occupancy $
Building/Frame Permit Fee $
s�cMus
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #0� � �
2 8Ub
Building Inspector
�10RT`j
Town of Andover,
No. Al3 °
Off' * WAN,
-
T" �O LAKE o._ * dover, Mass., � 4.
COCKICKEWICK
ATED P'P�\y�5
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
1
THIS CERTIFIES THAT....
BUILDING.INSPECTOR
.. ..C�lr^... ........ -�..... /...y .. '.
..........................J.(..................
. ...................... -
has permission to erect.... Foundation
....................... �`� ` ��
tys!/��
to be occupied as o
................. ... .' 0`.
.. ... ug
. ���
. .... ................ ....... .:..����'........ ...... . Chimney
provided that the person accepting this permit shall in every respect c orm to the terms of the application ile in
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final
Buildings in the Town of North Andover.
VIOLATION of the Zoning or Building Regulations Voids this Permit. PLUMBING INSPECTOR
Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTIO TARTS ELECTRICAL INSPECTOR
Rough
............. .... .. . ... Service
jj BUILDIN INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
No Lathing or Dry Wall To Be Done Final
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
[Burnerreet No.
SEE REVERSE SIDE Smoke Det.
3
Ong,
BUILDERS
Standard Form of Agreement between Owner and
RCG Builders LLC where the basis of payment is
the Cost of the Work Plus a Fee without a
Guaranteed Maximum Price
Date: January 21, 2007
Owner: RCG North Andover Mills LLC
C/o RCG LLC
17 Ivaloo Street, Suite 100
Somerville, MA 02143
Contractor: RCG Builders LLC
17 Ivaloo Street, Suite 100
Somerville, MA 02143
Architect: Burt Hill
Project Name: MRR Insurance
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 6
BUILDERS
1. 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 keep 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:
Type of Insurance Limit of Liability
! &,Comm'erc�al Ge6eral !a 11 t « ,E 'IOQO,OtIQO �
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.
j 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 6
l�
BUILDERS
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:
15% of total construction volume up to$1 million, and 10% of construction volume over$1
million. 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 booked monthly in arrears. Specifically,
1. The cost of pre-construction and construction management services provided by RCG
personnel is booked monthly in arrears based on the hours reported by each employee.
2. Hours are billed at the standard hourly billing rate established from time-to-time for each
employee. The hourly billing rates effective 1/1/2007 are shown below.
3. The cost of pre-construction and construction management services provided by
independent contractors is booked when invoiced and carried within the fee.
4. RCG Builders personnel functioning as tradesmen outside their management duties will
be charged according to their hourly billing rate.
5. If a project is terminated or suspended by the Owner prior to completion, RCG Builders
LLC is compensated for the actual cost of services provided prior to receipt of notice of
termination or suspension from the Owner.
6. Total Construction Volume includes all construction trades, general requirements,
insurance, bonds and miscellaneous costs deemed necessary to perform the
construction of the project, but excludes permits and fees. Permits and Fees shall be
paid directly by the Owner.
7. Construction management labor, standard tools and equipment, and labor-related
overhead are covered "within the fee". Specialty tools or equipment, trade labor supplied
by Builders personnel and approved transportation and meals costs shall be charged
directly to the Owner without a fee.
Employee Rate
David Steinber h $125/hr
Skip Rose $125/hr
Mike Bernier $125/hr
Kieran Whelan $125/hr
Ken Shea $100/hr
Jason Downing $50/hr
Page 3 of 6
j
0,.___
BUILDERS
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.
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:
2 5%,of billed costs, ynless other►tviSe,„a” rovetil b Ah'e0",'ner„
Termination 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.
Working Capital:
RCG Builders shall not bear the costs of Working Capital for the project. If the Owner would like
the Contractor to gain beneficial pricing on its behalf by paying subcontractors ahead of the
Requisition schedule, the Owner shall either(1) put on deposit with the Contractor a sufficient
amount of Working Capital for the Contractor to pay these Subcontractors, or(2) make immediate
payment upon request from the Contractor outside of the normal Requisition process. Provision of
Working Capital shall entitle the provider to all discounts and savings associated with that capital.
Page 4 of 6
BUILDERS
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.
Janua 26,.,2x09,;orsuch time,that,Alot�fication to P_roc�eed �s iv:,eti�
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:
DateflfSutistantia'lCom";le#ion"to be.no I #er#han Februa',. , 28,2009 ,. '. .
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.
i
I
Page 5 of 6
I `
• F
BUILDERS
4. Signatures
The Owner's representative is:
David Ste11 iin110ft ;"Manager
RCG ELIC,
17 00:Stre"'C'Suite 100
Someru,�lte, MA 024"3
§ 14.4 The Contractor's representative is:
i eran'Whelan
kd' 30ders LLC.
17 fvalooSt"reet,Suite 100
�1 �
Someru�Ile,MA 02143
This agreement is entered into as of the day and year first written above and is executed in at
least thre original copies, one for the Owner, one for the Contractor, and one for the Architect.
Owner Contractor
Signa e-
Signature
Printed Name and Title Printed Name and Title S rVjiq,4 N
Page 6 of 6
Michaud, Rowe and Ruscak Insurance
Tenant Fit-out
Schedule of Values
Division Description Budget
Division 1 -----General Requirements&General Conditions $ 850.00_
Division 2 Site Work/Demo $ 500.00
Division 3 Concrete $ -
Division 4 Masonry $ -
_ _ -
Division_5_ Metals $
Division 6 ^�^ Wood and Plastics $ -
Division 7 T Thermal/Moisture Protection $ -
Division 8 Doors and Windows $ 8,400.00
Division 9 Finishes $ 6,_100.00
Division 10 Construction Specialties $ -
Division 11 Equipment $ _
Division 12 Furnishings $ 6,000.00
Division 13 Special Construction Systems _ $ -
Division 14 T Conveying Systems T J $ -
Division 15 Mechanical $__ 6,400.00
Division 16 Electrical -
$ 7,500.00
Division 17 Misc. Construction Trades $ -
Total Construction Trades _ $3.5,750.00
_Division 18 CM Contractors Gen Liab Ins _ $ 429.00
Division 19 CM Fee5 2.
--_ -- $_ 36 50
Total Contract Value _ $4_1,541.50
Building Permit�- $ 4 !!
�i a �asxmoxu�l� o�.�,Ciaaa�L�rasl�h
Board of Building Regulations and Standards
Construction Supervisor License
License: CS 66334
Birth°tiff'; 912811958
i= 9/26/2009 Trot 3980
=Restriction: '00'
KIERA14 T WHELAN
31 RICHMQND STkl
WEYMOUTH,MA 02188- Commissioner
NOTICE NOTICE
To To
EMPLOYEES EMPLOYEES
The Commonwealth of Massachusetts
DEPARTMENT OF INDUSTRIAL ACCIDENTS
600 Washington Street,Boston,Massachusetts 02111
617-7274900
As required by Massachusetts General Law, Chapter 152, Sections 21,-22& 30,this will give you
notice that I(we)have provided for payment to our injured employees under the above mentioned
chapter by insuring with:
ASSOCIATED EMPLOYERS INSURANCE COMPANY
NAME OF INSURANCE COMPANY
54 THIRD AVENUE, P.O. BOX 4070,BURLINGTON--MA 01803-0970
ADDRESS OF INSURANCE COMPANY
WCC 5005531012008 _ 05110/2008 - 05/10/2009
POLICY NUMBER EFFECTIVE DATES
24 Federal Street 4th Floor
Boston Insurance Brokerage Inc Boston, MA 02110
(6171556-7000
NAME OF INSURANCE AGENT ADDRESS PHONE
RCG Builders LLC 17 lvaloo Street-Suite lou Somerville, MA 02143
EMPLOYER ADDRESS
03/10/2008
EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE
MEDICAL TREATMENT
The above named insurer is required in cases of personal injuries arising out of and in the course of em
adequate and reasonable employment to furnish
eq hospital and medical services in accordance with the provisions of the Workers Compensation Act.
A copy of the First Report of Injury must be given to the inju;ed employee. The employee may erect his or her own physician.
The reasonable cost of the services
provided by the treating physician will be paid by the insurer,iE'the treatment isnecessary
and reasonably connected to the work related i Bury. In cases requiring hospital attention,employees are hereby notsW that
the Insurer has arranged for such attention at the
P 1� y
NEAREST AND BEST MEDICAL FACILITY
NAME OF HOSPITAL ADDRESS
TO BE POSTED IR V EMPT,OVI RR
Permit Affidavit
Project Number:
Project Title: EAST MILL Mrr Insurance
Project Location: NORTH ANDOVER MA
Name of Building: FoM Three HIGH STREET
Nature of Project: COMMERCIAL TENANT FIT-OUT
In accordance with section 116.0 of the Massachusetts State Building.Code, I Alfred M. Marzullo
Registration No.IQ(66 being a Registered Professional Engineer/Architect hereby certify that I
have prepared of directly supervised the preparation of all design plans, computations and
specifications concerning:
Entire Project HVAC-X Plumbing____N__
Fire Protection-X Electrical_X Other(Specify)
For the above named project and that, to the best of my knowledge, such plans computations and
specifications meet the applicable provisions of the Massachusetts State Building Code, all
acceptable engineering practices and applicable laws and ordinances for the proposed use and
occupancy.
I further.certify that I shall perform the necessary professional services and be present on the
construction site on a regular and periodic basis to determine that the work is proceeding in
accordance with the documents approved for the building permit and shall be responsible for the
following as specified in section 116.2.2:
1. Review of shop drawings, samples and other submittals of the contractor as required by the
construction contract documents as submitted for building permit, and approval for conformance to
the design concept.
2. Review and approval of the quality control procedures for all code required controlled materials.
3. Special architectural or engineering professional inspection of critical construction components
requiring controlled materials or construction specified in the accepted engineering practice standard .
listed in Appendix B.
Pursuant to section 116.2,3 1 shall submit periodically, 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 p eirt f6r. upancy.
rn
4�
Sigma e and /amp , Date
On this 3r`�dayaf`_: 201)1 , before me, the undersigned notary public, personally
d
appeare - M e H O&Iu� o (name of document signer), proved to me through
satisfactory evidence of identification, which were k-N N A-)�) mc-- kV-�)to be the person whose
name is signed on the preceding or attached document, and acknowledged to me that he/she signed it
voluntarily for its' stat6d purpose.
My commission expires
OTARY PtT&IC Sara E.Addleg
Notary Qublic
commonwealth of Nbssachusetts
My commission Expires
October 27,2011
"':TMS OFFICE OF BUILDING INSPECTOR
3= �� TOWN OF NORTH ANDOVER
CONSTRUCTION CONTROL
PROJECT NUMBER: 07804.13
PROJECT TITLE:
MRR Insurance
PROJECT LOCATION: East Mills
NAME OF BUILDING: Building 44, Second Floor
NATURE OF PROJECT: Tenant Fit-Out
.�� LES fit..,
IN ACCORDt4C WITH ARTICLE 116 OF THE MASSA HUSETTT S STATE
N BU 1 DING ODE,
I, Linda '"'
BEING A REGISTERED PROFESSIONAL ENGINEERIARCHITECH HEREBY CERTIFY THAT I
HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS,
COMPUTATIONS AND SPECIFICATIONS CONCERNING:
ENTIRE PROJECT ❑ ARCHITECTURAL STRUCTURAL ❑ MECHANICAL El
FIRE PROTECTION ❑ ELECTRICAL ❑ OTHER(SPECIFY)
FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEGE, SUCH PLANS, ffi
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 118.0
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 constriction 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.
UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE
SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY.
SUB IBED AN SWORN TO BEFORE ME THISDAY OF�' ! IG 17" 1� 0
N RY PG1 MY COMMISSION EXPIRES 13