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HomeMy WebLinkAboutBuilding Permit #Exception - 575 OSGOOD STREET 5/1/2018 (10) � f NORTF� ' BUILDING PERMIT goy t,Eo '6'900 TOWN OF NORTH ANDOVER . . - APPLICATION FOR PLAN EXAMINATION x Permit No#: Date Received �I ACHU`����� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION _ Print ;PROPERTY OWNER_ Print _ 100 Year Structure yes, no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village_ yes no, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑.Floodplain O Wetlands ❑ Watershed_ District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: _- _ Phone:_. . Address: -- - ----- - i Supervisor's Construction License: Exp. Home Improvement License:_—__ __ s __ z= Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund I ig`�-nature of Age nt/Owiier`7s_ _ Si nature 0f contractor. 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/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ 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 I Doc:Building Permit Revised 2014 •� 1 Y- s Plans Submitted ❑T Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swinuning 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_ i COMMENTS CONSERVATION Reviewed on Signature COMMENTS r HEALTH Reviewed on Signature COMMENTS i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes i 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 ..Q, r COMMENTS I 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 k ❑ Notified of ied for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Location No.xl"1 J Date Cllrri4 . - TOWN OF NORTH ANDOVER. . r Certificate of Occupancy $ ' Building/Frame Permit Fee $ �- �e Foundation Permit Fee $ Other Permit Fee $ �` TOTAL $ Check o-3 28004 Building Inspector � r 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 El 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 ❑ ❑ COMENTS CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ 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 Located at 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date R COMMENTS i Enter construction cost for fee cal - North Andover Fee Cakulat/on Construction Cost $ 46,0010.00 m $ - $ 552.00 Plumbing Fee $ 69.00 Gas Fee 100 comm. $ 10:0.00 Electrical Fee $ 69.00 Total fees collected $ 790.00 575 Osgood Street 251-15 on 9/15/2015 Convert Two Existing Units to One I I I I i i I III Location .fr No. 1 Date J TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# f TM L .. U Building Inspector lam ; : '4 F a 9 ' f Y �1S 1CNpsfi CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 251-15 on 9/15/2014 Date: July 8, 2015 THIS CERTIFIES THAT THE BUILDING LOCATED ON 575 Osgood Street MAY BE OCCUPIED AS Unit 2205-2207 (Two units into one unit) IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Edgewood Retirement 575 Osgood Street North Andover,MA 01845 Buil ing Inspector Fee: $100.00 Receipt: 29031 Check : 1493 i ,t Y 4 NORTM •Town o s ndover 0 0 I L Z n o h ver, Mass, q S COCHICMCWICN X1,95 RAreo rea��5 U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ....... . . .A.. ............. . . .....1015.rQ0111..s...r............. BUILDING INSPECTOR Fou tion has permission to erect buildings on ...I�,N..1.T.'..... i�.. .�....l.Z v: ..... oU_ ............�.... .t O ewe-- to be occupied as .... n ....... ..... .......1�. ..........1.HI*.............„ ... ... . Chipzqey c provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rou ` �� UNLESS CONSTRUCTI ST S ; "Z- 1 Service 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 UntiI.Inspected and Approved by the Building Inspector. Burner r Street No. Smoke Det. Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional . z for work per the 8th edition of the Massachusetts State Building Code, 780 CMR, Section 107.6.2 Project Title: EDGEWOOD RETIREMENT COMMUNITY Date: 05-05-2015 Property Address: 575 OSGOOD ST.—NORTH ANDOVER Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Interior Renovations to combine two units 2205 and 2207 into a single unit. I Charles Cochran MA Registration Number: 6559 Expiration date: 08-31-2015 ,I am a registered design professional, and hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': X Entire Project X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. j 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the a `Final Construction Control Document'. \C CHARLESA. Q RA Enter in the space to the right a"wet"or COCHNN0.655G i electronic signature and seal: WESTFORD A MA • �s SOF a ►► . as Phone number: 978-399-0240 a . cac orners i itects.com Building Official Use Only Building Official Name: Permit No.: Date: Trial Version 10 09 2012 t%O R TF{ T Own of It E. ...'.11., ndover O M No. �0 - ,� o h ver, Mass,LAKI q S COC NIc Ml WICK y1• �i9S�RATEED) ll BOARD OF HEALTH Food/Kitchen PERM .1-T T LD Septic System THIS CERTIFIES THAT ....... .�.O..I�.. ...............r...�.�.....(�.� .Q��..�...r............. BUILDING INSPECTOR has permission to erect buildings on ...44M. ... zao'r. ...... Foundation . ........... y� T Rough to be occupied as .... ��..? !�A!..1........ ... 15......�.olmm.........0� �... 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 CONSTRUCTI ST S Rough Service ............t-b.... .......... r....................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. oRTH °f �`°° 'Town of North Andover �` Office of the Planning Department. i Community Development and Services Division 1600 Osgood Street ��ssacr+us�t r� North Andover,Massachusetts 01845 NOTICE OF DECISION—INSUBSTANTIAL CHANGE Any appeal shall be filed within (20) days after the date of filing this notice in the office of the Town Clerk. Date of Decision: Maly 16,2014 Petition of: Paul Hedstrom on behalf of Edgewood Life Care,Inc. Premises Affected: 575 Osgood Street,North Andover,Ma 01745 Assessor's Map 36,Parcel 3 and located in the Residential 1 and Residential 2 Zoning Districts. BACKGROUND On October 5, 1989,the Planning Board approved a Site Plan Review Special Permit for the construction of a building 125,812 sq. ft., three story 250 dwelling units, 45 bed long teen pursing facility of a Continuing Care Retirement Center. On June 25, 2014, the applicant requested a modification to the original site plan so as to allow the conversion of six(6)single bedroom units to three(3)two bedroom units. These modifications are reflected on the attached plan titled"Conversion Option E". FINDINGS OF FACT The proposed changes are deemed to be insubstantial changes that do not alter either the intent or the conditions of the g original Special Permit. The changes do not require a vote of the Planning g P g q o Board. CONDITIONS This Decision shall be recorded with the Registry of Deeds and evidence of recording is to be provided to the Planning Department. Curt Bellavance,Community Development Director ga t * Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen-isor License: CS-092345 MATT PEffNTEJ�` 27 Boutwell Rd Andover MA 018104 + _ J.1 ilk Expiration Commissioner 05/04/2015 i i Construction Control Progress Rough Framing Inspection To be submitted at completion of required site reviews for construction progress per the 8th edition of the Massachusetts State Building Code, 780 CMR,Section 107 Project Title: EDGEWOOD RETIREMENT COMMUNITY Date: 12-16-2014 Permit No.#251-15 Property Address:'575 OSGOOD ST.—NORTH ANDOVER 1,Charles Cochran MA Registration Number; #6559 Expiration date: 08-31-2015 am a registered design professional and,I or my designee have observed the following work,and to the best of my knowledge,information,and belief the construction work indicated below has been performed in a manner consistent with the approved plans and specifications: Required Site Review and Documentation for Portions or Phases Construction' to be performed by,the appropriate re istered ign professional or his/her designee or M.G.L.c 112$81R contractor Site Review and Documentation X I Site Review and Documentation X Soil condition and analysis I Energy Efficiency Requirements Footing and Foundation,including Reinforcement and Fire Alarm Installation Foundation attachment Concrete Floor and Under Floor J Fire Suppression Installations Lowest Floor Flood Elevation I Field Reports' Structural Frame—wall/floor/roof X Carbon Monoxide Detection S stem Lath and Plaster/Gypsum Seismic reinforcement Fire Resistant Wall/Partitions framing Smoke Control Systems(Special Ins ion per Sections 909.3 and 909.18.8) Fire Resistant Wall/Partitions finish attachments Smoke and heat Vents Above Ceiling inspection Accessibility (521 CMR) Fire Blocking/Stopping System Other:Rough Frame Inspection Emergency Lighting/Exit Signage Means of Egress Componenets Special Inspections(Section 1704): Roofing,coping/System. Venting Systems kitchen and cleanouts,chemical,fume Mechanical Systems 1.Indicate with an`x'the work you reviewed for compliance with the approved plans and specifications and describe in detail below. 2.Include NFPA 72 test and acceptance documentation 3.Include applicable NFPA 13,138, 13D,14,15,17,20,241,etc.-test and acceptance documentation 4.Include N FPA 720 Record of Completion and inspection and Test Form 5.Include field reports and related documentation 6.Nothing contained within construction cord A Ic the effect of waiving or limiting the building official's authority to enforce this code with respect to examination of the 11—MAOincluding plans,computations and specifications,and field inspections. Description of Construction Work ObseQ ' r4 ,existing walls and installation of new Ivl beams and posts as well as non load bearing partitions. w Aq Jr . �r�a 1 COC1 RAN Enter in the space to the right a"wet" No.6559 w f WESTFORD electronic signature and seal: e`�oykF MA A" QItHOF Phone number:978-399-0240 Email:cacrchitects.com Building Official Use Only Building Official Name: Date: Version 06 1 l 2012 U4µoR71 �� 3=a t�aa ••Oc * .... x ♦ `s ��O4..no••",�9 �SSHCHU., CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 251-15 on 9/15/2014 Date: July 8, 2015 THIS CERTIFIES THAT THE BUILDING LOCATED ON 575 Osgood Street MAY BE OCCUPIED AS Unit 2205-2207 (Two units into one unit) IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Edgewood Retirement 575 Osgood Street North Andover,MA 01845 6' Bui0ng Inspector Fee: $100.00 Receipt: 29031 Check : 1493 48'-0" SITTING AREA HVAC 11VAC LIVENG J DINING BEDROOM 21'-6"X 22'-3" 14'-6"X 13'-3" BEDROOM 10'-6"X 13'-3" 0 N Fill COAT Cl OSETi I I I I W/D t MASTER. i �T KITCHEN FOYER liRy O ® 11'-6"X 17'-0" I I BATH o CONVERSION OPTION "E" GRANITE STATE INSURANCE COMPANY 0076366-00 WC 051 -75-7699 13102 ----------------- --------------------------- 013-82-1013-20 • PENNSYLVANIA SASSO CONSTRUCTION CO, INC. Al G 231 ANDOVER ST WILMINGTON, MA 01887-1001 An AIG company P Y EXECUTIVE OFFICES: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE - WC990610 175 Water Street New York, NY 10038 I.D# ..., . . .,• BOSTON INSURANCE BROKERAGE, INC. WORKERS COMPENSATION AND EMPLOYERS 24 FEDERAL STREET LIABILITY POLICY INFORMATION PAGE 4TH FLOOR BOSTON MA 02110-0000 INSURED IS PREVIOUS POLICY NUMBER CORPORATION RENEWAL 051757699 OTHER WORKPLACES NOT SHOWN ABOVE: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE - WC990610 ITEM 2 POLICY PERIOD 12:01 A.M.standard time at the Insured's mailing address FROM 10/01/13 TO 10/01/14 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: CT MA NH RI I B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1 ,000,000 each accident Bodily Injury by Disease $ 1 .000.000 policy limit Bodily Injury by Disease $ 1 .000,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: AK AL AR AZ CA CO DC DE FL GA HI IA ID IL IN KS KY LA MD ME MI MN MO MS MT NC NE NJ NM NV NY OK OR PA SC SD TN TX UT VA VT WI WV D. This policy includes these endorsements and schedules: SEE EXTENSION OF ITEM 3.D. OF THE INFORMATION PAGE - WC990612 ITEM 4 The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Rate Per Estimated Oassifications Code Number Total Remuneration $loo OF Re. Premium Annual ❑3 Year muner,lioo Annual ❑3 Year SEE EXTENSION OF ITEM 4. OF THE INFORMATION PAGE - WC7754 TAXES/ASSESSMENTS/SURCHARGES $1 ,351 EXPENSE CONSTANTEXCEPT WHERE APPLICABLE CABLE BY STATE) $338 MA MINIMUM PREMIUM $750 R I TOTAL ESTIMATED ANNUAL PREMIUM $32,852 If Indicated below, Interim adjustments of premium shall be made: Semi-Annually El Quarterly Monthly DEPOSIT PREMIUM I I 07/30/13 PARSIPPA � NY 82 Issue Date Issuing Office Authorized Representative WC 00 00 OIA 39967(Rev'd 04/08) The Commonwealth of Massachusetts 3Print Formes; Department of Industrial Accidents -- Office of Investigations 1 Congress Street, Suite 100 r Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 1/ / j Please Print Legibly Name (Business/Organization/Individual): f Jnr SO �S/ U V 7�UA _ Address: 073/ AU <:Z7,�-. X� 1J111 t City/State/Zip:W Phone #: Are you an employer? Check the appropriate box: Type of project(required): 11 1 am a employer with Ll l' 4. ❑ I am a general contractor and I 0 ❑ CC employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.]ui5. ❑ We are a corporation and its 10.0 Electrical repairs or additions ] 3. I am a homeowner doing all work officers have exercised their I L EJ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[:] Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I an:an employer that is providing workers'compensation insurance for nzy employees. Below is the policy and job site information. Insurance Company Name: e �� Policy#or Self-ins. Lic. #: Wo_,_, ��1" � _465�919 Expiration Date: I � Job Site Address: City/State/Zip: 1'j`� (� .�!'�, Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerci y under the pains and penalties o er'u that the in ornzation provided above is true and correct. Si ature: _ .. - : L Date _.._. Phone#: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: AL e: j41 CONSTRUCTION ®! INCe GEkERAL CONTRACIVRS September 10, 2014 Edgewood Retirement 575 Osgood Street North Andover, MA 01845 Attn: Bob Coppola Re: Conversion Option E PROPOSAL Based on drawings Sasso Construction Co, Inc. proposes to supply labor and materials to complete the Conversion Option E (converting two apartments into one) at the above location. Scope of work: • Supervision • Dumpster • Permit • Demolition • Constuct new and patch existing interior walls • Furnish and Install-Aristokraft cabinetry in Grayson door style Maple with a Fawn finish in kitchen and 2-Baths. Wall cabinets are 36" to the ceiling with soffit and crown mold. • Install Crown Molding • Furnish and install doors, frames and hardware. • Furnish and install pad and Passageway I carpet at Entry, Living Room, Dining and Bedrooms. • Furnish and install tile at Kitchen and Baths (Brixton BX01 12x12). • Template, fabricate and install granite at Kitchen and Baths. • Relocate Tub and Shower, vanity and toilet in bathroom next to walk in closet. Plumbing will have to be done from bathroom floor. • Kitchen will be re-plumbed to center of room and will relocate ice maker. • Fixtures and finish stock will be supplied by Edgewood. • Electrical as follows: o Remove wiring in wall to be removed. o Relocate and add receptacle, cable TV and phone. o Relocate shower light and convert to LED. o Move vanity light and devices in bathroom. o Relocate thermostat wiring. o Relocate fire alarm horn/light. o Relocate electric panel 'unction boxes will be installed in ceiling to extend wiring. p (! 9 g 114208 231 ANDOVER ST. WILMINGTON.MAO 1987TELEPHONE(978)694-41 1 1 FAX(978)694-9226 1-,mail www.sassoconstruction.com i o Install eight recessed LED lights in kitchen. o Add three-way switches in entry and living room. o Add boxes for pendant lights. o Add two floor boxes. o Unit may need to be brought up to new electrical code. ® Painting completed by Edgewood. - Total Price $46,000.00 Add Alternates: Arck fault and GFCI breakers $1,440.00 Replace receptacle to tamper proof $480.00 Anthony Pimentel Anthony Pimentel Sasso Construction Co., Inc. Accepted by: Signature Printed Namc / I / / lit I Note: This proposal may be withdrawn by us if not accepted within 30 days. it 114208 231-ANDOVER ST. WILMINGTON,MA 01887'113LEPI IONG(978)694-41 1 1 FAX(978)694-9226!.'mail www.sassoconstruction.coin I AC®R® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) M 09/10/2014 PRODUCER 978,887,4900 FAX 978.887.2404 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Edward F. Sennott Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 16 South Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, P. 0. Box 457 Topsfiel d, MA 01983 INSURERS AFFORDING COVERAGE NAIC# INSURED Sasso Construction Co., Inc. INSURERA: The Netherlands Insurance Co. 24171 231 Andover St. INSURERB: Liberty Mutual Insurance Co 24198 Wilmington, MA 01887 INSURERc: Granite State Insurance Co. 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 D POLICY EFFECTIVE POLICY EXPIRATION LTR NIRN TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYYYY DATE MMDD/YYYY LIMITS GENERAL LIABILITY CBP8446449 05/16/2014 05/16/2015 EACH OCCURRENCE $ 1,000,000 NCOM MERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 CLAIMS MADE M OCCUR MED EXP(Any one person) $ 15,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- CT LOC jr AUTOMOBILE LIABILITY BA8436688 05/16/2014 05/16/2015 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ B X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY CU8449049 05/16/2014 05/16/2015 EACH OCCURRENCE $ 5,000,000 X OCCUR ElCLAIMS MADE AGGREGATE $ 5,000,000 B $ DEDUCTIBLE $ RETENTION $ $ j WORKERS COMPENSATION WC 051757699 10/01/2013 10/01/2014 X AND EMPLOYERS'LIABILITY TORY LIMITS ER Y� C ANY OFFICER/MEMBER EXCLUDED?ECUTIVEE.L.EACH ACCIDENT Is 1'000,006 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If Yes,describe under SPECIAL PROVISIONS belowE.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Town of North Andover IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 1600 Osgood Street REPRESENTATIVES. North Andover, MA AUTHORIZED REPRESENTATIVE Robert Sennott/RP ACORD 25 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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. ACORD 25(2009/01) Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 80'edition of the Y Massachusetts State Building Code, 780 CMR, Section 107.6.2 I Project Title: EDGEWOOD RETIREMENT COMMUNITY Date: 08-21-14 Property Address: 575 OSGOOD ST.—NORTH ANDOVER Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Interior Renovations to combine two units 2205 and 2207 into a single unit. I Charles Cochran MA Registration Number: 6559 Expiration date: 08-31-2015,1 am a registered design professional, and hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': X Entire Project X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit tg j"Ugtl ding official a `Final Construction Control Document'. jW3 A& v�e� CHARLES /�F r Enter in the space to the right a"wet"o g A V COCH. n� RAN electronic signature and seal: No.6559 ► A WESTFORD oa rJ a A Phone number: 978-399-0240 �ma11! rn rstonearchitects.com Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Trial Version 10 09 201'2