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HomeMy WebLinkAboutBuilding Permit #499 - 575 OSGOOD STREET 1/29/2010a BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: �qq Date Received 1-2111161?? D� �t �,NO I°7•ryO O A Date Issued: " z I • I C—) IMPORTANT: Applicant must complete all items on this page LOCATION ` Pant -PROPERTY OWNER Print MAP NO: PARCEL ZONING,DISTRtCT: Historic Distract yes no _ Machine Shop Tillage eyes Ano 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 Septic Well FloodplainWetlands Watershed lDistrict Water/Sewer nn0f1M1nr1nK1 nr TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: F Address: CONTRACTOR 'Name: �� ���1 at hone! one:'72�-- ' III Address:84 Supervisor's Construction License: Exp. [late: F Home Improvement License: T -'Exp. Date: ARCHITECT ENGINEER MO-k�-) Phone: Address: �y�� Reg. No.� FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ T50(f-o _FEE: $ l 1 , 614- 07 Check No.: l 6 O Receipt No.: D 3L*--4� NOTE: Persons contracting w �/��pgist���o((//p��p/ contractors do not have access to the guaranty fund %r1l�t lel t � signature oT conrractor 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 ❑ 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 L3 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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 C 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• t •--�, Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS b DATE REJECTED DATE APPR VED A A Reviewed on Signature Reviewed on Signature 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 USgood Street ,FIRE DEPARTMENT : Taomp Dumpsteron site yes 'no. � . t -t 1, Located at 124'Maih Street'� ,fireDepartment signatureidate 2- '0 COMMENTS - F 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 se ' op 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 l 1 ❑ Notified for pickup - Date Doe.Building Permit Revised 2008 oca o No. � Date 1,a _/v TOWN OF NORTH ANDOVER Check # ! �V it 2 2 % 6 Building Inspector Certificate of Occupancy $ �� s"•••"' E<�' AC NUS Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ! �V it 2 2 % 6 Building Inspector Location `s ° No. y S% Date 2 �/ w NORTH TOWN OF NORTH ANDOVER ` Certificate of Occupancy $ Building/Frame /Frame Permit Fee $ swCHuse 9 Foundation Permit Fee $ Other Permit Fee $ %iii TOTAL $ Check # lA 234 6 ng Inspector v Q, µORT .�N Cw. ACHUsf1 CERTIFICA'T'E OF USE & OCCUPANCY TOWN OF NORTH ANDOVER FINAL Building Permit Number 499 % o ll Date: September 24, 2010 THIS CERTIFIES THAT THE BUILDING LOCATED ON 575 Osgood Street, North Andover, MA 01845 MAY BE OCCUPIED AS MEADOW'S HEALTH CARE CENTER (phase 4) IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Fee: $14,450.74 per final cost affidavit Receipt: 23485 Edgewood Retirement Community, Inc. 575 Osgood Street, North Andover, MA 01845 Building Inspector ,S. Location 9 4/95 Date No. TOWN OF NORTH ANDOVER HORTM O F h + Certificate of Occupancy $ ---- ��; sS Building/Frame Permit Fee $ wus Foundation Permit Fee $- Other Permit Fee % $ -- /fi��r 14'TOTAL Check # f'l 23 4. /"Building Inspector Trident Project Advantage Group 155 N BROADWAY PO BOX 68 SALEM, NEW HAMPSHIRE 03079 Telephone (603) 898-6110 Facsimile (603) 890-1070 FINAL CONTRACT COST AFFIDAVIT This Affidavit is made this 22nd day of September, 2010 by Trident Project Advantage Group, a New Hampshire limited liability company ("OPM"), on behalf of Edgewood Retirement Community, the Owner, relating to the construction of the Continuum of Care expansion project (the "Project') by Eckman Construction Company of Bedford, New Hampshire (the "Contractor"), at the direct request by the Town of North Andover, Massachusetts for the contract price. 1. OPM states that the final contract price of the Contractor for the Project .is set at Ten Million Ninety Six Thousand Five Hundred - Twenty Three Dollars and 28/100 ($10,096,523.28), not including soft costs for bonding and insurance items (see attached). IN WITNESS WHEREOF this affidavit has been executed this 22nd day of September, 2010. B�Baroni ( Gino J. Owner and Managing Principal State of Massachusetts ss County of Essex On this 22nd day of September, 2010 before me, a notary public, appeared Gino J. Baroni known to me to be the person who executed the above instrument, and acknowledged that he/5,ft pXecuted the same. DEVELOPMENT CONSTRUCTION MANAGEMENT MANAGEMENT ry Public: Anita L. Morrill :ommission Expires: March 21, 2014 PROJECT MANAGEMENT O ECKMAN CONSTRUCTION CO.,~INC. w Expansion Project Final project cost analysis Original Contract Amount $ 9,023,323.00 Total Change Orders Revised Contract Amount Less insurance amount NIC in COW Less bond amount NIC in COW Adjusted Contract Amount of difference: $ 1,161,116.67 $ 10,184,439.67 $ (32,916.39) $ (55,000.00) $ 10,096,523.28 $ 1,073,200.28 0.012 Amount of additional fee to Town $ 12,878.40' CD CD c, o as CD (D y C Q' O � N q Fit. o .dCD o53 CD O w � � o a-1 C) Cn° CD H 00 0 d o o CD CD ] o E. cDD o o CD OD V 61 2^ o z N ? 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CD � C � �► 0 0 Cn CD r+ w CD y o oC, La �b CD �g Z n CA O CD w F• — 0 Z 0 CD b o ° Co o .7, CD O "S n p CD (DJ" H C 03 cp O 0- Y 0-m .b O I� p CD 00 m y' A. p C* Q N O O O a� b G � CD CD O .�CD, U CDCD il O O CCD p 4 om x`00 X0.0 z PL 3 D � (m x = o n n m oQ O G - 0 1 /yz//� (D CD_ > r+.• m � C co mK Z O Z z 0 Z n -C �g Z -� 0 C 03 cp O 0- Y 0-m .b O I� co CID D 00 m C* *, D CDr can 0 vi � ny Z -O m N in N Qo z O .�CD, U O ;z d Z CmI1 � z y C) O O r Y a b H a O O z ran W o O � w OD N O O 00 N 1 p W O 00 CO °D OD g ❑ C m m 'b a G °z o m a ® E� t � r Trident 2 Project Advantage Group 155 N BROADWAY PO BOX 68 SALEM, NEW HAMPSHIRE 03079 Telephone (603) 898-6110 Facsimile (603) 890-1070 FINAL CONTRACT COST AFFIDAVIT This Affidavit is made this 22nd day of September, 2010 by Trident Project Advantage Group, a New Hampshire limited liability company ("OPM"), on behalf of Edgewood Retirement Community, the Owner, relating to the construction of the Cottages and Milk Barn project (the "Project") by Windover Construction, Inc. of Manchester, Massachusetts(the "Contractor"), at the direct request by the Town of North Andover, Massachusetts for the contract price. OPM states that the final contract price of the Contractor for the Project is set at Eleven Million Two Hundred Three Thousand Seventy Two Dollars and 06/100 ($11,203,072.06), not including soft costs for bonding and insurance items (see attached). IN WITNESS WHEREOF this affidavit has been executed this 22nd day of September, 2010. �n Gino J. Baroni Owner and Managing Principal State of Massachusetts ss County of Essex On this 22nd day of September, 2010 before me, a notary public, appeared Gino J. Baroni known to me to be the person who executed the above instrument, and acknowledged that ` executed the same. ry Public: Anita L. Morrill =' Y' . /f �►? lay C6mmission Expires: March 21, 2014 DEVELOPMENT CONSTRUCTION PROJECT MANAGEMENT MANAGEMENT MANAGEMENT f N gym. Edgewood Retirement Community_ Cottage Project WINDOVER CONSTRUCTION, INC. Final project cost analysis Original Contract Amount $ 11,072,044.00 CO #6 - Removal of Bluestone CO #8 - Buyout savings reduction CO #14 - Breen unit changes and buyer customizations CO #15 - Contract Change Order; additional buyout savings, etc. CO #16 - Reduction in Insurance and Bond costs due to contract reduction $ (139,999.68) $ (650,000.00) $ (73,935.94) $ (589,542.00) $ (46,328.00) $ (1,499,805.62) $ 9,572,238.38 Change Orders - other pertaining to work $ 1,961,800.91 FINAL CONTRACT AMOUNT $ 11,534,039.29 Less insurance amount NIC in COW Less bond amount NIC in COW Amount of difference: $ (86,240.43) $ (244,726.80) $ 11,203,072.06 $ 131, 028.06 0.012 Amount of additional fee to Town $ 1,572.34 A 10 O -1 O, EA 65 A 00 C\ O W W O DD J N 6e U 0 0 E= o m nW o � P t o• s 0 A w ■ =i � � y A p' n > ay w w o D xz o y w w = B a 3 M y�x�Fmk Er -q �. - ^• w � coi P :•o �b nn a�F m o 0 'i7 C 00 P .n.. E 5 o n n D rrm a a w N 77 COL n 0 0o m o w a � Vn NISO IW ri-I r---p �O ISO l0 O ronnb n 0 H O H H x,00 o�.na0= 3ny0 Vc z0y� �tri •nI n Oy 'D r n -i O z D z v 0 m q ^-n m _n O X m z a a d O 1-� M z y C> O N Trident Project Advantage Group FINAL CONTRACT COST AFFIDAVIT 155 N BROADWAY PO BOX 68 SALEM, NEW HAMPSHIRE 03079 Telephone (603) 898-6110 Facsimile (603) 890-1070 This Affidavit is made this 22nd day of September, 2010 by Trident Project Advantage Group, a New Hampshire limited liability company ("OPM"), on behalf of Edgewood Retirement Community, the Owner, relating to the construction of the Continuum of Care expansion proiect (the "Project") by Eckman Construction Company of Bedford, New Hampshire (the "Contractor"), at the direct request by the Town of North Andover, Massachusetts for the contract price. OPM states that the final contract price of the Contractor for the Project Js set at Ten Million Ninety Six Thousand Five Hundred - Twenty Three Dollars and 28/100 ($10,096,523.28), not including soft costs for bonding and insurance items (see attached). IN WITNESS WHEREOF this affidavit has been executed this 22nd day of September, 2010. By,- 6�/'� (Sig at re) Gino J. Baroni Owner and Managing Principal State of Massachusetts ss County of Essex On this 22nd day of September, 2010 before me, a notary public, appeared Gino J. Baroni known to me to be the person who executed the above instrument, and acknowledged that hi %jggg ecuted the same. 0.. Qr o'er'_ DEVELOPMENT ♦ CONSTRUCTION MANAGEMENT MANAGEMENT t ry Public: Anita L. Morrill ommission Expires: March 21, 2014 PROJECT MANAGEMENT ECKMAN CONSTRUCTION CO., INC. Expansion Project Final project cost analysis Original Contract Amount $ 9,023,323.00 Total Change Orders $ 1,161,116.67 Revised Contract Amount $ 10,184,439.67 Less insurance amount NIC in COW $ (32,916.39) Less bond amount NIC in COW $ (55,000.00) Adjusted Contract $ 10,096,523.28 Amount of difference: $ 1,073,200.28 0.012 Amount of additional fee to Town $ 12,878.40 0 m 9 1 m '0 LCD. CD o CD = C. 0 q Co t0 � V 61 y .. 10 c0 0 a C z < w o -i 0 t" r' O o Q a CD 8 r > C M M ca d) con -4 8 o CJ 0 CJ w CD O M a, CD £' Cn 0 o l?7 �• � d m y D 6 a CD O D �. O Z0 CD e co o o d o + M O C Cn O C LA v r � W H CA M C) 1 O O � P � �c�o ,A ® 0 N --.a Z 0 C fry. -n M m (n v O CD a C 69 o Cl O N r m > SD COO CO3iOP O O M CA) Vp CC)V N Z Cz ffl M M tz .L 1 6s 1 O W -� N n .1 M .l 0) o -� V 00 10 O 0) O V W 0) �I O 1I 4 N O 1 N '0 LCD. CD o CD = C. 0 q Co O4. n t:j G p Co yCD ° Cr ~ 0 CCD CD L a q o -. .,7. O O 0 y CD r'y• 'C O CD O O CD vp 0 CD P. 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I� CD p CD (') Q' p' o [D ' PO «°i, CD , w oti CD w T M a Z M P, ca N zCD -4 0 C O o z o 9 Uzi O O r0 Z 1 �ID M o --j z 0 0 2-0 —I .O G] v c: C C O CD M� O a -Zi a O = � l?7 v CD O n C O r r CD 9 rfl v � M cn N o 1+ O O CW O W W M 1 O 1 0O P O W ,A W V P-4 1-"-j I CD a C N N O .,I �o V N 0 0 1 !d M M M M I O CD o w �y o n O� .'Y N ma � C) T+ CD CD �7 � M coa° 00 co 0 ]' C CD �doc, �0oL P' Q• C p r» I CD z �� CCD �� c Op��o O„dC,�o0 aC O W Ci CD fG 00 o CD 0' co 0�tvco1 coCD�o H rO3 CCD W' COD PCD 'J CD rn CD '17 S a:o b O �4 R' Irl P wpm y C C zCD -4 0 C � o z i o Y o O O r0 Z 1 �ID > M o --j D C) 4�, C J7 M 2-0 —I .O ® z m � ® :t! y O m cn D O z M n -C l?7 Z O n o co Y C 000 � o C) M �O M n 3 O C Km C -3 D C) m N to 2-0 —I .O N (n W �o y C m cn D O z M c O l?7 W O n m CD 00 N M O M cn N -1 �p > O O 0 s CS1 _ Nil C= /~ \s O v r Y a e H ZO y O z l?7 W O W CD 00 N C) O Oj N p O O CW O W W 00 �p > O s CS1 _ Nil C= /~ \s Trident 2 Project Advantage Group 155 N BROADWAY PO BOX 68 SALEM, NEW HAMPSHIRE 03079 Telephone (603) 898-6110 Facsimile (603) 890-1070 FINAL CONTRACT COST AFFIDAVIT This Affidavit is made this 22nd day of September, 2010 by Trident Project Advantage Group, a New Hampshire limited liability company ("OPM"), on behalf of Edgewood Retirement Community, the Owner, relating to the construction of the Cottages and Milk Barn proiect (the "Project") by Windover Construction, Inc. of Manchester, Massachusetts(the "Contractor"), at the direct request by the Town of North Andover, Massachusetts for the contract price. OPM states that the final contract price of the Contractor for the Project is set at Eleven Million Two Hundred Three Thousand Seventy Two Dollars and 06/100 ($11,203,072.06), not including soft costs for bonding and insurance items (see attached). IN WITNESS WHEREOF this affidavit has been executed this 22nd day of September, 2010. =aroni -r6) Gino J. Owner and Managing Principal State of Massachusetts ss County of Essex On this 22nd day of September, 2010 before me, a notary public, appeared Gino J. Baroni known to me to be the person who executed the above instrument, and acknowledged that,Ug(§hg executed the same. ary Public: Anita L. (Morrill Commission Expires: March 21, 2014 DEVELOPMENT CONSTRUCTION PROJECT MANAGEMENT MANAGEMENT MANAGEMENT Edgewood Retirement.Community Cottage Project WINDOVER CONSTRUCTION, INC. Final project cost analysis Original Contract Amount $ 11,072,044.00 CO #6 - Removal of Bluestone $ (139,999.68) CO #8 - Buyout savings reduction $ (650,000.00) CO #14 - Breen unit changes and buyer customizations $ (73,935.94) CO #15 - Contract Change Order; additional buyout savings, etc. $ (589,542.00) CO #16 - Reduction in Insurance and Bond costs due to contract reduction $ (46,328.00) $ (1,499,805.62) $ 9,572,238.38 Change Orders - other pertaining to work $ 1,961,800.91 FINAL CONTRACT AMOUNT $ 11,534,039.29 Less insurance amount NIC in COW Less bond amount NIC in COW Amount of difference: $ (86,240.43) $ (244,726.80) $ 11,203,072.06 $ 131,028.06 0.012 Amount of additional fee to Town $ 1,572.34 10 = o, A a W 0 z H C 0 a P d' N N rn °z H ZA O O lo O U A N IN N O 10 I �O \O I O a w y o, a. D o n n bJ ['I o— g' H w A ��:' offa90-.� .esn � • 0 Z� HO0.0.o H P. oP ,nofwi � � y � m =• " a oP�C n � �• � 0.n c0.�n � h7 n'G y� 13 IZG'(�o C O pto 0.F ^.4 C y w p R y y y o o —i o `D d =� o rn d cOo n° x �• Ky O C 25.'� o w P o D EL y y �oo�_ m d T_��� O P O+ O a STI o m w p �❑ a�a.0 w y x y 0 y P ;u n o w^ a .-1 �: M o? D v C)Erc 2- a 0 o yo�Oym <n n <°o P x• ^ rn z d fD `< w OR ti rn p- Ft• N .D. p o w. OP I � C y O� O vPi F 00 0 y y P• w` O V o SD � � a H O j W0 c0 Or o o azo 0 > T� z T D z v m _-n 0 m O ro m Z 2,--q -i* mommmmr-I O n• n 0 3�f0 Q° �ty7yo H n O `3 Pd 6 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 499 (1/29/10) Date: March 4.2010. THIS CERTIFIES THAT THE BUILDING LOCATED ON 575 Osgood Street MAY BE OCCUPIED AS East Corridor 2200 Rooms 2203, 2204, 2205, 2206, 2207, 2208, 2209, 2210 IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Edgewood Retirement Community 575 Osgood Street ' North Andover MA 01845 Building Inspector m m X C X CAm YI m C) C CO) Cl) 10 CD CD St Z y CD O =. n CD CZ = CO) n� v O v CD OC cl CL CT CD CD O CD C CD y� CD O CO) �CD I CO)CD O � Z O CD O C CD F� cn n O cn 5:11 H cn -•� --C2 -a O H ® a C � " s•O H � 03 M VJ =r CL. C O T r► CD _ O CD -4 O m H O --I o i co 4o a �� cCD m �•o�` OG y 0 t9 CD . CL � �m CL, r...« m O ss: �o co CD m ' o m �•�y C y ;W • O d H a � 7� H c C O—• CL. N C0 fC 7�J •-*. =i m N r CM C-0`� G CS 03C� N 03 H 9 Co '.�• �Q 51 AA ...r h O O CD O ' O g CD CD ® co, r . o . : CM CD :� ate• t CS c O o = cn O ?-0 o Ccr C-0 a o• x ° ° d. O c m m y Cl) m m X C X CAm YI m C) C CO) Cl) 10 CD CD St Z y CD O =. n CD CZ = CO) n� v O v CD OC cl CL CT CD CD O CD C CD y� CD O CO) �CD I CO)CD O � Z O CD O C CD F� cn n O cn 5:11 H cn -•� --C2 -a O H ® a C � " s•O H � 03 M VJ =r CL. C O T r► CD _ O CD -4 O m H O --I o i co 4o a �� cCD m �•o�` OG y 0 t9 CD . CL � �m CL, r...« m O ss: �o co CD m ' o m �•�y C y ;W • O d H a � 7� H c C O—• CL. N C0 fC 7�J •-*. =i m N r CM C-0`� G CS 03C� N 03 H 9 Co '.�• �Q 51 AA ...r h O O CD O ' O g CD CD ® co, r . o . : CM CD :� ate• t CS c O o = cn cn ctzo o a o• x ° ° cn b °° ° �' a'_ td ?? ?' wtz �� cn a 7 d o ...�yy 1 n r^, ivy C ��.yy r- ►� 111 W 4 M • k y 0 0 c GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW P/ POST ALL LOT NUMBERS, ADDRESS, AND PERMIT (COPY 0K)..or no inspections t 6' API -e to jVv- . INSPECTIONS: (Minimum) Excavation, Footing, Foundation, Frame, Insulation, Final.,�,,� FOOTINGS: Continuous Full 2x4 Keyway . Continuous strip footings for interior columns y FOUNDATION: Rebar as required Anchor bolts or straps r G; Damproofing Foundation drain - pipe/stone/fabric filter/cover and outlet connection. / FRAME: Fireblock - over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters - watch bearing at walls. Ridge & Hip - Provide proper connections. Cathedral roof rafters provide proper connections and use "Hurricane Clips" tie to plate. Stair stringers - watch cuts and heal support. Joist hangers - fully nailed w/ hanger nails. Sill plates 2-2X6 (1 PT) w/sill seal. -Girts - solid brick or steel plate bearing at foundations " air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances - stairways, under beams Attic Access. (min. 22x30 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior (not in soffit). Firecode S/R wood frame of "0" clearance fireplaces & stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8% of floor area. '/ of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces - "proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing - Smoke Chamber - Finish Smooth parging, clean joints, 8" solid @ combust. DECKS: Lag to house, provide flashing. Rails min. 36' high, Baluster max space 5" on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re -inspection fee - $30.00 (Be Ready). Certificate of occupancy required prior to occupying structure. 03/04/2010 11:10 FAX 6174820374 MARGULIES PERRUZZI ARCH FINAL AFFIDAVIT To the Inspector of Buildings of the TOWN of NORTH ANDOVER: In accordance with Section 116.2.2 of the Massachusetts State Building Code: 16002/002 I hereby certify, to the best of my knowledge and belief, that the construction located at Phase 2A Meadows East Wing Renovations including: East Corridor 2200 Bedroom 2203, 2204, 2205, 2206, 2207, 2208, 2209, 2210 at EDGEWOOD RETIREMENT FACILITY, 575 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS was built in accordance with the plans, specifications and computations submitted and approved for permit # , and is in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws or ordinances. ARCHITECT NAME #REGISTRATION NO. John Pearson #4841 Margulies Perruzzi Architects, 308 Congress Street, Boston, MA 02210 617-482-3232 Date: March 4, 2010 FINAL. INSPECTION AFFIDAVIT In accordance with Section 116.2.2 of the Seventh Edition of the Massachusetts State Building Code: I hereby certify that the structure/renovation was constructed under my or my agent's observation as per Section 1 16.2.2 of the Massachusetts State Building Code. John Pedrson #4841 Matgutids Perruzzi Architects, 308 Congress Street, Boston, MA 02210 617-482-3232 Date. March 4, 2010 Then personally appeared the above named __�pj... =Son has made an oath that the above statement by him/her is true. Before me, (V' e- l ` a- U H �` MELISSA y l' blit EUS �{ Notary Public (j Comm�m►rea" of Massachusetts r e roar T _4 �V t U � f'Av Commission Expires Daae My commission expires �i.i !� oew.cod keire­ .nt •-o,m,arit �. CCrA.'.i-::! !' c ,-I y\. -�, ... �.:3 A'fICZ�'It.. �f �lA.,... 2A� d:s Al";Cj?vi'.-A: Chi?eC' t't:ae 2A.doc MPA FINAL AFFIDAVIT To the Inspector of Buildings of the TOWN of NORTH ANDOVER: In accordance with Section 1] 6.2.2 of the Massachusetts State Building Code: I hereby certify, to the best of my knowledge and belief, that the construction located at Phase 2A Meadows East Wing Renovations, EDGEWOOD RETIREMENT FACILITY, 575 OSGOOD STREET, NORTH ANDOVER MASSACHUSETTS was built in accordance with the plans, specifications and computations submitted and approved for permit # , and is in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws or ordinances. ARCHITECT NAME #REGISTRATION NO. John Pearson #4841 Margulies Perruzzi Architects, 308 Congress Street, Boston, MA 02210 617-482-3232 Date: March 2,-2010 stamp FINAL INSPECTION AFFIDAVIT In accordance with Section 1 16.2.2 of the Seventh Edition of the Massachusetts State Building Code: I hereby certify that the structure/renovation was constructed under my or my agent's oTrvation as per Section 116.2.2 of the Massachusetts State Building Code. I n #4841 Mar lies Perruzzi Architects, ongress Street, Boston, MA 02210 617-482-3232 Date: March 2, 2010 Then personally appeared the above named - ohn Pcarwn has made an oath that the above statement by him/her is true. Before me, M e 1 l ssa L' H eurtoX MELISSAANN EHEURisU>t Notary Publio Tia e sd ay March a , a p i l) Comma,M►eaflh of MassaChult Date My Commission EX08111 .lily 6, 2012 My commission expires . I vy s01a J:\Edgewood Retirement Community\L. ConAdmin\L.13 Affidavits\Phase 2A\Final Affidavit -Architect Phae 2A.doc SITE PROGRESS REPORT February 2010 To: Gerald Brown, Inspector of Buildings Town Of North Andover Building Department 1600 Osgood Street North Andover, MA 01845 From: John Pearson, AIA, LEED AP, Massachusetts Registration No. 4841 Sr. Associate Margulies Perruzzi Architects Project: E'dgewood Retirement Community Continuum of Care & Bistro 575 Osgood Street, North Andover MA 01845 Report date: March 1, 2010 1. Visited the site on February 1, 2, 8, 5, 11, 12, 16, 22, 23, 25, 2010. 2. Attendees: Danny Bolduc, Eckman Construction 3. Work underway for this period: Ceramic tile completed, GWB ceilings, painting, removal of temp. Partitions, handrail and millwork installation, carpet, wallcovering, light fixtures, finish painting, final cleaning. 4. Comments: Work proceeding in compliance with Construction Documents In accordance with Section 116 of the Massachusetts State Building Code (Seventh Edition), I certify that, to the best of my knowledge, information and belief, the work on the subject project is being performed in accordance with the construction drawings and specifications and in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. Respectfully submitted, Margulies Perruzzi Architects. John Pearson, AIA LEED AP Sr. Associate Massachusetts Registration No. 4841 PC: Kevin Tremblay, EC David Mermelstein, Trident Eric Hastings, EC SITE PROGRESS REPORT January 2010 To: Gerald Brown, Inspector of Buildings Town Of North Andover Building Department 1600 Osgood Street North Andover, MA 01845 From: John Pearson, AIA, LEED AP, Massachusetts Registration No. 4841 Sr. Associate Margulies Perruzzi Architects Project: Edgewood Retirement Community Continuum of.Care & Bistro 575 Osgood Street, North Andover MA 01845 Report date: February 1, 2010 1. Visited the site on January 5, 12, 1'5, 19, 20, 26, 29, 2010. 2. Attendees: Danny Bolduc, Eckman Construction 3. Work underway for this period: Temporary partitions, electrical make safe and temp. electrical/ lighting, Selective demolition, conc. Slab cutting and removal, framing GWB ceilings, the installation, MEP roughing. 4. Comments: Work proceeding in compliance with Construction Documents In accordance with Section 116 of the Massachusetts State Building Code (Seventh Edition), I certify that, to the best of my knowledge, information and belief, the work on the subject project is being performed in accordance with the construction drawings and specifications and in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. Respectfully submitted, Margulies Perruzzi Architects John Pearson, AIA LEED AP Sr. Associate Massachusetts Registration No. 4841 PC: Kevin Tremblay, EC David Mermelstein, Trident Eric Hastings, EC 0 t/1 C � 10 Q CD C') Z y CO . n• r c nCID= Cos a� -v O ® CD CD O S �t CD �F CD C2 CD C CD y* CD CL; ov y cfl CD C7 y O � z CD O � O C CD QD C W a,=p s' �v+CDc _ w O a L t m10 y • �_ s ® o o co �Cf) QD C W a,=p s' �v+CDc _ w O a L t m10 y • �_ s ® o o co c2 C O Z CL N ®.+C m .0.. s' -C ..« n y'�g O m .n. = m O y O N O O y o O � o a o s CD s h m O �} = O•�� Q. p s s ..wtQ toCL < =r? m O a CD CL CUD) ;W : "T = w : n p • a c \ C :( �a g C cn s• _ m N o O MCD H . •a •� Cc Cl 12 ..� s' • CD o O ' J O VJ O CD HCD O: .o 3 = CD ma s c'n n C2: H O s �K ry j J i p rte., w C m iz7 i~ til C ry f o rA n n y'�g O Mi ;s v y 0 O C 0 *�"6 5 6,46 ze, d_tz - i -) P,, CA m m m m cn EP C) , y C � � F � y n 10 CD Z CO) Q O �� r � d �+ O C1 S y CD Odc v CD O Q• CD CD o CD w w 2. 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CD fm m (� :� n -o � m� .-► N o d m z O �.v O C C/) rD c(n d °� oGa a- � = c77n n• �, 6Ga �- r � °� aCn x r Z -n °= n aGa x w O. cn �^ y 9 fl z O �.v O C DESIGN AFFIDAVIT To the Inspector of Buildings of the TOWN of NORTH ANDOVER: In accordance with Section 116.2.1 of the Massachusetts State Building Code: I hereby certify that, to the best of my knowledge and belief, the Architectural plans, specifications and computations accompanying the attached application concerning EDGEWOOD RETIREMENT FACILITY, RENOVATIONS TO MEADOWS HEALTH CENTER, 575 OSGOOD STREET, NORTH ANDOVER, MASSACHUSETTS are in accordance with the requirements of the Massachusetts State Building Code, and all other pertinent laws or ordinances, including Architectural Access Board Regulations. (CMR 521) ARCHITECT NAME & REGISTRATION NO. John Pearson #4841 Architect - Massachusetts Reg. No. Margulies Perruzzi Architects, 308 Congress Street Boston, MA 02210 617-482-3232 Date: November 30, 2009 INSPECTION AFFIDAVIT In accordance with Section 116.2.2 of the Massachusetts State Building Code: I hereby certify that the structure shall be built under my or my agent's observation as per Section 116.2.2 of the Massachusetts State Building Code, and progress reports wilt be submitted periodically to the TOWN of NORTH ANDOVER. NAME & REGISTRATION NO. John Pearson #4841 Architect - Massachusetts Reg. No. Margulies Perruzzi Architects, 308 Congress Street Boston, MA 02210 617-482-3232 Date: November 30, 2009 h Then personally appeared the above named �(�H�� Sd� has made an oath that the above statement by him is true. Before me, MARIE E. CALDER 0 DQ NOTARY PUBLIC Commonwealth mmonwealth of Massachusetts My Commission Expires My commission expires September 28, 2012 J:\Edgewood Retirement Community\L. ConAdmin\L.13 Affidavits\Design Affidavit- Meadows Renovation.doc ZADE ZADE PARTNERS, LLC Consulting Engineers 140 Beach St., Boston, MA 02111 Phone: (617) 338-4406 Fax: (617) 451-2540 Email: ZadeCo(&AOL.com Mevlut S. Koymen P.E. Muzaffer Muctehitzade M.Sc., P.E. FIRE PROTECTION DESIGN & INSPECTION AFFIDAVIT To the Inspector of Buildings of the Town of North Andover: Re: EDGEWOOD RETIREMENT FACILITY MEADOWS LTC I certify that to the best of my knowledge, information and belief, the plans and computations accompanying the attached application concerning the locus at 575 OSGOOD STREET, NORTH ANDOVER, MASSACHUSETTS are in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. INSPECTION AFFIDAVIT In accordance with Section 116.2.2 of the Massachusetts State Building Code: I hereby certify that the structure shall be built under my or my agent's observation as per Section 116.2.2 of the Massachusetts State Building Code �� � OF,y Mevlut . Engineer -Mass Reg. No. N17;S. Uj og S. Zade Partners, LLC KOYMEH --j Company x'30554 ' 140 Beach Street, Boston, MA 02111 0 6/STV-0 617 338-4406 lAL �1a Phone Then personally'To-peared the above-named Mevlut S. Koymen and made oath that the above statement by him is true. My Commission expires t�.b Qt , 20 1 A- ZADE ZADE PARTNERS, LLC Consulting Engineers 140 Beach St., Boston, MA 02111 Phone: (617) 338-4406 Fax: (617) 451-2540 Email: ZadeCo(a)AOL.com Mevlut S. Koymen P.E. Muzaffer Muctehitzade M.Sc., P.E. ELECTRICAL DESIGN & INSPECTION AFFIDAVIT To the Inspector of Buildings of the Town of North Andover: Re: EDGEWOOD RETIREMENT FACILITY MEADOWS LTC I certify that to the best of my knowledge, information and belief, the plans and computations accompanying the attached application concerning the locus at 575 OSGOOD STREET, NORTH ANDOVER, MASSACHUSETTS are in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. INSPECTION AFFIDAVIT In accordance with Section 116.2.2 of the Massachusetts State Building Code: I hereby certify that the structure shall be built under my or my agent's observation as per Section 116.2.2 of the Massachusetts State Building Code Muzaffer Muctehitzade - #32579 Engineer - Mass Reg. No. MUZAFFER g, Zade Partners, LLC MUCTEHITZADE ELECTRICALCompany ,f No. 32579 "' 140 Beach Street, Boston, MA 02111 4*1 617 338-4406 �S ONAI EPhone Then personally appeared the above-named Muzaffer Muctehitzade and made oath that the above statement by him is true. `a%yus u���,�/ Before me GO isISSION - o0 N• My Commission expires 4�1 Y PU®b �2��c ```� �ec. !�.'l�014- ZADE ZADE PARTNERS, LLC Consulting Engineers 140 Beach St., Boston, MA 02111 Phone: (617) 338-4406 Fax: (617) 451-2540 Email: ZadeCo(&AOL.com Mevlut S. Koymen P.E. Muzaffer Muctehitzade M.Sc., P.E. PLUMBING DESIGN & INSPECTION AFFIDAVIT To the Inspector of Buildings of the Town of North Andover: Re: EDGEWOOD RETIREMENT FACILITY MEADOWS LTC I certify that to the best of my knowledge, information and belief, the plans and computations accompanying the attached application concerning the locus at 575 OSGOOD STREET, NORTH ANDOVER, MASSACHUSETTS are in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. INSPECTION AFFIDAVIT In accordance with Section 116.2.2 of the Massachusetts State Building Code: I hereby certify that the structure shall be built under my or my agent's observation as per Section 116.2.2 of the Massachusetts State Building Code t/ OF,y Mevlut S. Koymen - #30554 qss Engineer - Mass Reg. No. MEAUT '�yG Zade Partners, LLC S. `^ KOYMEN Company 00554 p `' 140 Beach Street, Boston, MA 02111 617 338-4406 Phone +le,40109 Then personally appeared the above-named Mevlut S. Koymen and made oath that the above statement by him is true. Before me i 1 � My Commission expires Toto E, I , to 14- O D Z a _tn cn0 _ D C 3 C) m 0 _ .. �. n .0 o o c r m ATE (MMDDNYYY) ACORD CERTIFR ,TE OF LIABILITY INSUR .NCE DATE PRODUCER 603 .224.2562 FAX 603.224.8012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Rowley Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 139 Loudon Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 511 Concord, NH 03302-0511 INSURERS AFFORDING COVERAGE NAIC # INSURED Eckman Construction Co. , Inc. INSURERA:--Firemen's$ Ins--Co--of -Wash.---DC---- 84 Palomino Lane INSURERB: Acadia Insurance Company 31325 Bedford, NH 03110 INSURER C: INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DD' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDNYYY POLICY EXPIRATION DATE MM/DDNYYY LIMITS GENERAL LIABILITY CPA012120115 09/01/2009 09/01/2010 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 250,000 CLAIMS MADEOCCUR MED EXP (Any one person) $ 5000 A X 000001 PERSONAL & ADV INJURY $ 1,000,000 X CG2503/CG2504 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2,000,000 POLICY X PRO X LOC JECT AUTOMOBILE LIABILITY CAA012120315 09/01/2009 09/01/2010 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 BODILY INJURY $ ALL OWNED AUTOS A SCHEDULED AUTOS (Per person) BODILY INJURY $ X HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY CUA012120415 09/01/2009 09/01/2010 EACH OCCURRENCE $ 10, 000, 000 X OCCUR E CLAIMS MADE AGGREGATE $ 10,000,000 B $ $ DEDUCTIBLE X RETENTION $ 0 $ WORKERS COMPENSATION WCA012120716 09/01/2009 09/01/2010 X I WC TORY LIMITS ERTI AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 500,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE(r.�-" STATES: NH, VT, ME, OFFICER/MEMBER EXCLUDED? LJ (Mandatory In NH) MA, CT E.L. DISEASE - EA EMPLOYEE $ 500,000 It yes, describe under E.L. DISEASE - POLICY LIMIT $ 500, 000 SPECIAL PROVISIONS below . ----- OTHER Leade/Rented_ CPA0121201� U,mi-t--ofL-i.abil-ity- _$200.,000- .- A Equipment Deductible- $1,000 ACV Applies DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS e: Edgewood Retirement Community, North Anodver, MA. Edgewood Retirement Community Inc., and Trident Building LLC, their subsidiaries, affiliates and parent companyes, and their respective fficers, directors, trustees, managers, building committee members and employees are added as additional insureds on all policies listed above except workers compensation for liability arising lout of the operations of Eckman Construction Co. Inc. and its subcontractors on this proiect. CERTIFICATE HOLDER CANCELLATION Edgewood Retirment Community Inc. 575 Osgood Street North Andover, MA 01845 ACORD 25 (2009101) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE Scott Dearden/SD ©1988-2009 The ACORD name and logo are registered marks of ACORD RPORATION. All riahts IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. Edgewood Retirment Community Inc. Certificate issued to Edgewood Retirment Community Inc. 08/30/2009 The Rowley Agency, Inc. 10/31/2008 Bank of America, N. A -.-is also included as an .additional insured on all liability policies except workers compensation for liability arising out of construction operations of Eckman Construction Inc. on this project