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Building Permit #003-13 - 80 MAPLE AVENUE 7/2/2012
r10RTy BUILDING PERMIT �?Oh�ZLID 6�0 TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION ~ ,�r� �DLAK. `eya Permit NO: C/o `3 Date Received Rqo rADa • �SSACHUS�� Date Issued: IMPORTANT:Applicant must complete all items on this page a"j• .,-• d yy.;r: +x�n. .�w � }{- •..s v'4 T c� '{ , .'7e' F r°`�'.-.� .'" Y'kr '� t » f. 3. ,,. , R�•=i,t Z W` ` � 'vay � 3Y L®�CjATION a . � ;� � r' `� j:' �w � x• t» uastr ">� a 3 P nt( ` a .�.. =w� f �� PROPERTsY ®W,N.ER m. *0 lien v�� AR {��'��'_"2'c,����33"!.� Po?rJ .,}���"��.�Y y".�"""�. —i5�` rr��"'t��'F'Pn,nit -„��"����_�' �1���'�' +i�ti"� �'.-'"�� ,°�Y:.r.•: - ^.T+h� ` �. `�a•'��"��•� �.,�rr'�� �, ;�t��, � ��'��z ��'�� ��; �1111achine�Shop�Village��yes� r no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Itera ion No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other V c}i v V`q, •.y +1IC�'�k'h'-.'Cf` 'Lr'R '� l i. Y�s+-+1"�` fA.. �`.'vt. 9s �+_ !+r r b-• J - '�;-1 FYval 43 � 5ept ,: W$ell £ , 'FLloodplatn '' zWetlands f �kr;£WatersletlDisf�ict; .it.�,� .+��.�e � �•g ?x'�;� t �:z.t e>�s-,` #"i�k� `�Y „t� �{. `Ai-r„��� ";'.'y,,,�r�tf�,�y_k a� W.. ,,ater/Sewer'd1<.. . , i`” rK_ 3, 'r . .' •*` - - rte'+ .i't: sl^r .Y^•'rCa d �5 ?i.�. � DESCFIPTIO OF VgRK TO BE PREFORMED: `'`�- ou` �� ���s��� I vel b�.stw, �'�t �v�s C��h+�• £ T'a Co+nSs`f �� CIt^iSS V`a©m . M-ey- v,w fl NaM1 t(kj ' 4VaioVi lee Identification Ple se Type or Print Clearly) OWNER: Name: RS Phone: Address: coos �) 6vt , A .F`'�r "•hz Yr -3 "r S tiiR-4 tY. r t .�'... ir- ^t t S�. U a� ,1 t;� may,.*•'" t t?�r �,n-�. � "c a ��A,.� ;�r--r•Il?,,, e +<< < ?`��_ r e � i#, x }. � 5�4� 'F y� •'.'�+'�',�'« �Y'F A. ✓,`; rs. CONT�I�ACTQF Nam L� O.tnS �rvp }3'» T .1� ( Phone Ii f1� ��^l/VY"V"-'� � V� 9 c `g"^'t 't37!'� k. ""�{`i'h'r; .:, , 'a?zr-ei•4.r. °rk � #yr.'y4�r `�. .J' "!t x t' )rs't` *1 ss !- �+�..,.• T 1ti .j i.Pev r vt, r i at' � N•t �: N,'� � ,�"is�'��s4 3 t 4!i �t�� 4� - r -* 45'i��^ 7 "'•����.£.. �J�"2�� * �., Supennsor''s ConstructionLicense � t�. ' { 7tr; Exp �®afelp^`�0ti '`�x ?i' '�...` 4 .. 'F it 'd '' 'i iLz`w 'G- ;a 4v'°'•x t � r'�'C. Y r?r �: e - `f y_';y�,+"r.rti rG"ra"�r-'�' ,.• ,Mr_: w.•� sY4 �4t-� l a 1" 'Sy t T � er� ray, jFi'• t°o "{� fry— t ..a ,�'i , irk ,�' meImprovementlLicense rc�" _ x !�.-,- -:". �'�': fi_ .0.y.`eC�A-dN+f.:x ZV'a Exp' Date ARCH ENGINEER I.' ec' v � ce Phone: Address:106 �ujoM S-�r �JorNh Avl v^w-MQ t1l 49- Reg. No. 14 q 0 q FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 P R S.F. �+ Cr � Total Project Cost: $ O� / �j 7�1 FEE: Check No.: Receipt No.: 2,S"417 NOTE: Persons contractin with unregistered contractors do not have access to the guaranty fund Si nature,of:A' ent/Ovvner."'-. -- - - - - -- - --- g signature:of coritracto ` c� g .' Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i 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/Crc ssection/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 N OTE: 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 VOTE: 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 DEPARTMENTMFORM07 Revised 2.2008 i Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS I HEALTH Reviewed on Signature COMMENTS a 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 i)"W Town Engineer: Signature: jjaGated 384 Osgood Street FIREDEPARTMENT Temp Dumpster on site: yes ono L ocated,at 124 Main Street a r ' '`'. Fire Departrient�signature/date ,, �'a 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 Location J6 �G,f7/E �rJF No. L*42, aDate 71211-1, i • - TOWN OF NORTH ANDOVER m . Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $� � 5 Check# 25472 Z-B ilding Inspector ti.. HVAC SANITARY McCABE ASSOCIATES ConsultingEngineers ELECTRICAL g• FIRE PROTECTION 75 GOODHUE ROAD,DERRY,NH 03038 Tel:(603)437-2002 Fax:(603)437-0123 September 6, 2012 Mr. Gerald Brown, Inspector of Buildings Town of North Andover North Andover, Massachusetts 01845 RE: St. Michael's School, Basement renovation, North Andover MA Dear Mr. Brown, This letter is to advise you that I am the engineer of record for the basement renovation at Saint Michael's School, North Andover. In accordance with section 107 of 780 CMR 8`" edition Massachusetts State Building Code. I Steven Houle Registration No 46743 being a registered professional engineer hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specification concerning Electrical, Mechanical, and Fire protection. I have periodically inspected the Electrical, Mechanical, Fire protection for the basement renovation. The total project is in compliance with the requirements of the Commonwealth of Massachusetts State Building Code, for the proposed use and occupancy. Steven R. Houle, P.E. P��NOFMassgcti STEVEN R. HOULE No.46743 Q 9�GISTFA�� �FSS10NA1. ADC ARCHITECTURAL D E S I G N C O N C E P T S I N C O R P O R A T E D 200 SUTTON STREET NO. ANDOVER, MA 01845 TELEPHONE(978)686-2112 FACSIMILE (978) 686-4344 www.ADCarchitects.com September 7,2012 Mr. Gerald Brown,Inspector of Buildings Town of North Andover North Andover,Massachusetts 01845 Re: St Michael's School,North Andover MA Dear Mr. Brown, This letter is to advise you that I have been performing periodic observations at the Saint Michael's School project at,Main Street,North Andover and based on my observations,to the best of my knowledge, information and belief,the work has been performed in accordance with the plans on record prepared by this office and the provisions of the Massachusetts State Building Code. jgard g ED Razo k AIA c� o E. A No. qg Registered Architect, Reg.No. 4909 g N• A 0 Of p 505 final architect affidavit F ^ A HuS CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 003-13 Date: September 7, 2012 THIS CERTIFIES THAT St. Michael's School THE BUILDING LOCATED ON 80 Maple Avenue MAY BE OCCUPIED AS two lower level classrooms, one music, one art, occupancy limit 46 per classroom IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: St. Michael's School 80 Maple Avenue North Anodover, MA 01845 Building Inspector Fee: PrePaid Receipt: 25472 Check :8000 NORTH Town o.ft ndover 0 "t ZO lA«E ver, Mass, 6�h, � t_ CO[NICMEWic" S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT .....'+�( '.�,x:'.C:::r..............................................'��G �` ' ``��..... '.t ..:: '.S ` � p'................ / BUILDING INSPECTOR,,,'° . -i,' , � � r /E j - Foundation has permission to erect .......................... buildings on ..: e:.:..:...;.:.::::....:.....:............... ........................ ar��(.�� � /'-A'—.. '' ` ' J :l, ✓'s Rough r/iJ�c✓/�rT/CY.? � / Al to be occupied as ....... ..: •� ... .... .... ..� .. :..... .....: ::............ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final �� O on file in this office, and to the provisions of the Codes and By-Laws relating,to the Inspection Alteration and - <—%� — " I S ECT Construction of Buildings in the Town of North Andover. _ r. ,.�J ..v.:.' � PLU I�BI VIOLATION of the Zoning or Building Regulations Voids this Permit. f` Roug �y c/�s?� �7/- , Final oma– / 91 1 PERMIT EXPIRES IN 6 MONTHS � ,� � FECTRICALINSPECT9Rr- nt� UNLESS CONSTRUCTION STARTS ug J a Z,z—/ 1, "e 7 Service ............... v:-rs� .•.:..................... Fin C9 BUILDING INSPECTOR GAS INS SECTOR Occupancy Permit Required to Occupy Building Rough ��- !� Display in a Conspicuous Place on the Premises - Do Not Remove Final /.Ig'l2� No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and. Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE OORTH oven o � T E ndover _ yt No zh ver, Mass, �- ` ,f- COC NIC Nl WICK V 7,9 AoRA E o 0'PP,`'(5 S U BOARD OF HEALTH Food/Kitchen PERMIT T Septic System THIS CERTIFIES THAT ......... :� '--V.... ...�.`.✓r .....p..........`... %?.........�.....: �'.° ...................... 1 ' '' �' ` !� ? BUILDING INSPECTOR has permission to erect buildings on . r4/ � .: Foundation �, / .......................... ...............:;................. ............... ...$................... Rou ,,V- to be occupied as ..........................° ' , v: .>r��, '� %�`°��{ ..... �, k �t'I.:: .` : ........... g / �� .................................................... 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 414Construction of Buildings in the Town of North Andover. r. �= e., J .r s"` PLu�1 BY SECT VIOLATION of the Zoning or Building Regulations Voids this Permit. Roug �, 115.147 � 7/z��L Final,!" 9/,fX Z PERMIT EXPIRES IN 6 MONTHS �: � � F� CTRICAL INSPECTPIR UNLESS CONSTRUCTION STARTS RUgh ° ' .tf g�� ............... � Service °..... .:Sva•.s..;.. .:r :::•:'rc•:�::--.i. .•.................... Fin C9f%\ ®""�� BUILDING INSPECTOR � F?77, GAS INS SECTOR Occupancy Permit Required to Occupy Building Rough �l Display in Conspicuous Place on the Premises — Do Not Remove Final p Y a p No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and. Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE NORTH Town o t E ., n over No., AR ver, Mass, / A- cocHICKIWICK 7�p°RArEo ►PP,��(5 S U BOARD OF HEALTH PERMIT T LD Food/Kitchen p / Septic System Q 6S'�0-y BUILDING INSPECTOR THIS CERTIFIES THAT ......................... .,�... �. .....: ... ............. ........... ..................................... has permission to erect buildings on . � .� �`� Foundation Rough tobe occupied as .............�...................................... .................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the In sp bion, Alteration ander Construction of Buildings in the Town of North Andover. /6 �/aes ,/,' � PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR -UNLESS CONSTRUCTION ST RTS Rough Service ............... .._05 ...... .. 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. SEE REVERSE SIDE THRE AMERICAN INSTITUTE OF ARCHITECTS Where there is no Architect/Engineer specifically designated below,the word Architect/Engineer as used throughout this document shall be interpreted as meaning the parish Pastor, Administrator, or chancery Engineering Consultant, AIA Document A101 Standard Form of Agreement Between Owner and Contractor Where the Iasis of payment is a STIPULATED SUM 1987 EDITION THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES, CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION The 1987 Edition of AIA Document A201, General Conditions of the Contract for Construction, is adopted in this document by reference. Do not use with other general conditions unless this document is modified. This document has been approved and endorsed by The Associated General Contractors of America. AGREEMENT made as of the Seventeenth day of May in the year of Two Thousand and Twelve BETWEEN the Owner: The Roman Catholic Archbishop of Boston, a Corporation Sole (Name and address) 66 Brooks Drive Braintree, MA 02184 and the Contractor: Ryan Construction, Inc. (Name and address) 505 South Street Walpole, MA 02081 The Project is: Renovation to: (Name and location) Saint Michael School 80 Maple Avenue North Andover, MA 01845 The Architect is: ADC/Architectural Design Concepts, Inc. (Name and address) 200 Sutton Street North Andover, MA 01845 The Owner and Contractor agree as set forth below. Copyright 1915. 1918. 1925, 1937. 1951. 1958. 1961, 196; 1967. 1974, 1977. @1987 by The American Institute of Archi- tects. 035 35 New York Avenue.N.W.. Washington D C. 20066.Reproduction of the material herein or substantial quotation of its provisions without written permission orthe.AIA violates the copyright laws of the united States and will be subject to Legal prosecution. AIA DOCUMENT A101.OWNER CONTRACTOR AGREEMENT.TWELFTH EDI'T'ION. AIA. @1987 THE AMERICAN INSTITUTE OF ARCHITECTS. 1735 NEW FORK AVENUE,N.W..WASHINGTON.D,C.20006 AIA-1 987 1 ARTICLE I THE CONTRACT DOCUMENTS The Contract Documents consist of this agreement,conditions of the contract (general, supplementary and other conditions), drawings, specifications, addenda issued prior to execution of this agreement, other documents listed in this agreement and modifications issued after execution of this agreement:these form the contract,and are as fully a part of the contract as if attached to this agreement or repeated herein. The contract represents the entire and integrated agreement between the parties hereto and supersedes prior negotiations,representations or agreements.either written or oral. An enumeration of the contract documents. other than modifications, appears in Article 9. ARTICLE 2 THE WORK OF THIS CONTRACT The contractor shall execute the entire work described in the contract documents, except to the extent specifically indicated in the contract documents to be the responsibility of others, or as follows: ARTICLE 3 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION 3.1 The date of commencement is the date from which the Contract Time of Paraggraph 3.2 is measured, and shall be the date of this Agreement, as first written above,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. (Insert The date of commencement,if it differs from the date of this Agreement or,if applicable,state that the date will be fixed irz a notice to proceed) Commencement date shall be the day of receipt of the building permit Unless the date of commencement is established by a notice to proceed issued by the owner, the contractor shall notify the Owner in writing not less than five days before commencing the work to permit the timely filing of mortgages, mechanic's liens and other security interests. 3.2 The Contractor shall achieve substantial completion of the entire work not later than ("Insert the calendar date or number of calendar davs after the date of commencement.Also insert am,requirements for earlier substantial completion of cer- tain portions of the ivork, if not stated elsewhere in the contract documents.) Fifty (50) days after the day of commencement subject to adjustments of this Contract Time as provided in the Contract Documents. (hrsert provisio)s: if any,for liquidated&unages relating to failure to complete on time) Ili AIA D0CUMFNT A101.OWNF,R CONTRACTOR AGREEMENT.TWELFTH EDITION.AIA,( 1987 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE.N.W.,WASHINGTON,U.C.20006 A 101'1 9087 2 � � y ARTICLE 4 CONTRACT SUM 4, 1 The Owner shall pay the Contractor in current funds for the Contractor's performance of the Contract the Contract Sum of Three hundred sixty four thousand five hundred ninety Dollars (S 364,590.00 ), subject to additions and deductions as provided in the Con- tract Documents. 4.2 The Contract Sum is based upon the following alternates, if any, which are described in the contract documents and are hereby accepted by the owner: (State the numbers or other identification of accepted alternates-if decisions on other alternates are to he made by the owner subsequent to the execution o 1 this agreement,attach a schedule of such other alternates showing the amount for each and the date until which that amount is valid.) No alternates accepted. 4.3 Unit prices; if any, are as follows: N/A AIA DOCUMENT A101.OWNER CONTRACTOR AGREEMENT.TWELFTH EDITION.AIA.(41987 A1O1 1987 3 THE AMERICAN INSTITUTE OF ARCHITECTS,.173NEN`YORK NEYORK AVENUE.NW .W.. ASHING"ION'.D.C.200015 ARTICLE 5 PROGRESS PAYMENTS 5.1 Based upon applications for payment submitted to the architect by the contractor and certificates for payment.issued by the architect, the owner shall make progress payments on account of the contract sum to the contractor as provided below and elsewhere in the contract documents. 5.2 Theperiod covered by each application for payment shall be one calendar month ending on the last day of the month. or as follows: Progress payments shall be made thirty (30) days after the receipt by the, Chancellor, of an invoice duly approved and signed by the architect and pastor/administrator. 5.3 Provided an application for payment is received by the architect not later than the 30th day of a month,the Owner shall make payment to the Contractor not later than the 30th day of the following month.If an Application for Payment is received by the architect after the application date fixed above, payment shall be made by the owner not later than 45 days after the Architect receives the application for Payment, 5.4 Each application for payment shall be based upon the schedule of values submitted by the contractor in accordance with the contract documents. The schedule of values shall allocate the entire contract sum among the various portions of the work and be prepared in such form and supported by such data to substantiate its accuracy as the architect may require. This schedule, unless objected to by the architect, shall be used as a basis for reviewing the contractor's applications for payment. 5.5 Applications for payment shall indicate the percentage of completion of each portion of the work as of the end of the period covered by the application for payment. 5.6 Subject to the provisions of the contract documents. the amount of each progress payment shall be computed as follows: 5.6. 1. Take that portion of the contract sum properly allocable to completed work as determined by multiplying the percentage completion of each portion of the work by the share of the total contract sum allocated to that portion of the work in the schedule of values less of Ten percent (10%) pending final determination of cost to the owner of changes in the work, amounts not in the dispute may be included as provided in Subparagraph 7.3.7 of the general conditions even though the Contract Sum has not yet been adjusted by change order; 5.6.2 Add that portion of the contract sum properly allocable to materials and equipment delivered and suitably stored at the site for subsequent incorporation in the completed construction (or,if approved in advance by the owner, suitably stored off the site at a location agreed upon in writing), less retainage of Ten percent( 10%r); (Prior written approval of owner and Architect required.Contractor must provide proof of insurance for off site materials). 5.6.3 Subtract the aggregate of previous payments made by the owner; and 5.6.4 Subtract amounts, if any. for which the architect has withheld or nullified a certificate for payment as provided in para- graph 9.5 of the general conditions. 5.7 The progress payment amount determined in accordance with paragraph 5.6 shall be further modified under the following circumstances: 5.7.1 Add, upon substantial completion of the work, a sum sufficient to increase the total payments to percent %)of the Contract Sum, less such amounts as the Architect shall determine for incomplete Work and unsettled claims; and 5.7.2 Add, if final completion of the work is thereafter materially delayed through no fault of the contractor, any additional amounts payable in accordance with subparagraph 9.10.3 of the general conditions. 5.8 Reduction or limitation of retainage. if any, shall be as follows: (If it is intended prior to substantial completion of the entire work, to reduce or limit the retainage resulting from the percentages inserted in subpara- graphs 5.6.1 and 5.6.2 above,and this is not explained elsewhere in the contract documents,insert here provisions for such reduction or limitation.) The ten (10)% retainage withheld under paragraph 5.6.1 and 5.6.2, may be reduced to five (5) % upon completion of all project work to the ninety five (95) % completion of the project and submittal by the contractor of proof of payment for labor and materials, release of all liens and approval of surety and bonding company. the Architect.. and Owner to the reduction of the retainage, AIA DOCUMENT A101.OWNER CONTRACTOR AGREEMENT.TWELFTH EDITION.AIA.@g I987 AI01-1.9 7 4 THE AMERICAN'INSTITUTE OP ARCHITECTS.1733 NEIN'FORK AVENUE. 1� N.W.N.wASHINOTON.D.C.20006 r ARTICLE 6 FINAL PAYMENT Final payment,constituting the entire unpaid balance of the contract sum, shall be made by the owner to the contractor when (1) the contract has been fully performed by the contractor except for the contractor's responsibility to correct nonconforming work as provided in subparagraph 1.2.2.2 of the general conditions and to satisfy other requirements, if any, which necessarily survive final payment: and(2)a final certificate for payment has been issued by the architect:such final payment shall be made by the owner not more than 30 days after the issuance of the architect's final certificate for payment, or as follows: 6.1 All work is to meet final and formal approval of the pastor and the facilities management department prior to final payment 6.2 Prior to receiving a final payment the contractor shall produce a waiver of liens from all sub contractors and suppliers used on the project. ARTICLE 7 MISCELLANEOUS PROVISIONS 7.1 Where reference is made in this Agreement to a provision of the general conditions or another contract document, the ref- erence refers to that provision as amended or supplemented by other provisions of the contract documents. 7.2 Payments due and unpaid under the contract shall bear interest from the date payment is due at the rate stated below, or in the absence thereof, at the legal rate prevailing from time to time at the place where the project is located. (insert rate of interest agreed upon,if any.) Not more than ten 10%per annum after forty five (45) days (Usury laws and requirements under the Federal Truth in Lending Act,similar state and local consumer credit laws and other regulations at the owner's and contractor's principal places of business,the location of the project and elsewhere may affect the validity of this provision.Legal advice should be obtained with respect to deletions or modifications,and also regarding requirements such as written disclosures or waivers.) 7.3 Other provisions: 7.3.1 Change order total mark-up shall not exceed 10 percent (10%) and will include both the general contractors markup and any sub contractor/manufacturer/supplier overhead and profit, mark up on sub work will not exceed 10% and will not be taken on subs overhead or markup totals. 7.3.2 In order for the owner to consider a reduction of retainage to 5% the owner and architect must certify the project is substantially complete and the contractor must have complied with section 5.8. ARTICLE 8 TERMINATION OR SUSPENSION 8.1 The Contract may be terminated by the Owner or the Contractor as provided in Article 14 of the General Conditions. 8.2 The Work may be suspended by the Owner as provided in Article 14 of the General Conditions. AIA DOCUMENT A101.OWNER CONTRACTOR AGREEMENT.TWELFTH EDITION.AIA. ( 1987 A101-1�g THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW PORK AVENUE,N.W.WASHINGTON,D.C.20006 ARTICLE 9 ENUMERATION OF CONTRACT DOCUMENTS 9.1 The contract documents. except for modifications issued after execution of this agreement, are enumerated as follows: 9. 1.1 The agreement is this executed standard form of agreement between owner and contractor. AIA document A101. 1987 Edition. 9.1.2 The general conditions are the general conditions of the contract for construction. AIA document A201. 1987 edition. 9.1.3 The supplementary and other conditions of the contract are those contained in the project manual dated April 2012 and are as follows: Document Title Pages See Exhibit "A" attached hereto. 9.1.4 The specifications are those contained in the project manual dated as in subparagraph 9.1-3. and are as follows: (Either list the specifications here or refer to an exhibit attached to this agreement) Section Title Pages See Exhibit "A" attached hereto. ATA DOCUMENT AI(H.OWNER CONTRACTOR AGREEMENT.TWELFTH EDITION.AIA.w 1987 p THI AMFRICAN INSTITUTE Or ARCHITECTS. 1735 NE1V YORK AVENUE.N.1V..WASHINGTON.1).C.20006 A 1 O 1-1.907 6 9.1.5 The Drawings are as follows, and are dated unless a different date is shown below: (Either list the drawings here or refer to an exhibit attached to this agreement.) Number Title Date See Exhibit"A" attached hereto. 9.1.6 The addenda, if any, are as follows: Number Date Pages Addendum No. 1 May 3, 2012 4 Addendum No. 2 May 7, 2012 1 Portions of Addenda relating to bidding requirements are not part of the contract documents unless the bidding requirements are also enumerated in this article 9. AIA I>OCUMENT A101.OWNER CONTRACTOR AGREEMENT.TWELFTH EDITION.AIA.(T1987 THE AMERICAN INSTITUTE OF ARCHITECTS, 173.5 NEW YORK AVENUE.N.w,WASHINGTON.D.C.20006 A 101'1 987 7 9.1.7 Other documents, if any. forming part of the contract documents are as follows: (List here any additional documents which are intended to form part of the contract documents; The general conditions provide that bidding requirements such as advertisement or invitation to bid Instructions to bidders; sample forms and the contractor's bid are not part of the contract Documents unless enumerated in this agreement they should be listed here only if intended to be part of the contract documents.) 1. See attached addendum no. 1 to general conditions A201 - 1987 Edition, which is hereby incorporated and made a part of this contract and the A201 1987 Edition of the A201 General Conditions of the contract. 2. The contractor shall supply all material, equipment, and labor necessary to complete the entire scope of work, as outlined in the contract documents without entitlement to additional compensation. 3. All work is to be completed by qualified workmen competent in the trade employed and all work is to be in strict compliance with all federal, state, and local codes and ordinances. 4. With reference to the owner's Tax Exempt status, the numbers are as follows: MA Exempt No. E-042-106-175 Federal Exempt No. 042-106-175 The formal certificate will be supplied upon request after the contract has been executed. 5. Copy of contractor's bid attached hereto as Exhibit "B". 6. Copy of email from Ryan Shields, Ryan Construction, dated May 9, 2012 attached hereto as Exhibit "C". This Aareement is entered into as of the day and year first written above and is executed in at least three original copies of which one is to be delivered to the contractor, one to the architect for use in the administration of the contract.and the remainder to the owner. The Roman Catholic Archbishop of Boston. OWNER A Co-poratio le C0(' RAC OR Ryan Construction, Inc. (Signature) ( ate) (Signature) (Date) John Straub, Chancellor Richard Shields.President (Printed name and title) (Printed name and title) AIA DOCUMENT A]01.OWNER CONTRACTOR AGREEMENT.TWE-LFI'H EDITION.AIA.(x'1987 THE.AMERICAN INSTITUTE OF ARCHITECTS,1 735 NER%YORK AVENUE,N.W.R'ASHINGTON,D,C.20006 A 101-1.987 8 Addendum No. 1 to General Conditions A201 -1987 Additional General Conditions to the Contract Article 15 Article 15 15.1 In reference to the provisions and articles contained in the body of the main contract agreement between the Owner and Contractor, this addendum shall supersede and take precedence over the agreement provisions wherever and whenever they may apply. 15.2 "The Contractor agrees to perform the services required to be performed hereunder by the Contractor so that the project will befit and suitable for the purposes for which the project is intended." 15.3 The Contractor shall, at all times hereunder, maintain a staff adequate and competent to perform the services required herein. 15.4 The Contractor shall attend all conferences required by the Owner, to discuss the progress and status of the required work. 15.5 The Contractor shall assure the project complies with all building Codes and other pertinent Federal, State, Local Codes and Ordinances. 15.6 The Contractor shall render all services in connection_with this agreement expeditiously and in a timely manner so as to prevent damage or loss to the Owner. 15.7 Neither the Owner's review, approval, or acceptance of, nor payment for, any of the services required under this agreement shall be construed to operate as a waiver of any rights under this agreement or of any cause of action arising out of the performance of this agreement and the Contractor shall be and remain liable to the Owner for all costs of any kind which may be incurred by the Owner as a result of the Contractor's failure to perform in conformance with the terms and conditions of this agreement any of the services required under this agreement. 15.8 The rights and remedies of the Owner provided for under this agreement are in addition to any rights and remedies provided by law. The Owner may assert its right of recovery by any appropriate means, including but not limited to, set off, suit, withholding, recoupment or counterclaim either during or after the performance of this agreement. 15.9 Delete any references to Arbitration in this contract agreement, or in the A-201-1987 General Conditions of the contract. 15.10 The Owner acknowledges and decrees that the Contractor and his employee shall have no responsibility for any consequence, loss, damage, or expense resulting from the delivery, identification, presence, handling, disposal, or removal, or exposure of a person to hazardous material pre-existing in any form at the project, including but not limited to, asbestos or asbestos products, excepting only those instances or consequences resulting from the Contractor's or his employees'failure to report hazardous materials of which the Contractor or his employees have actual knowledge. In addition, any discovery or materials or unknown origin or composition should promptly be reported to the Owner, in writing, in order that an inspection of said materials be conducted. 15.11 For final record, as built drawings shall be provided for every contract drawing issued. This shall be supplied in water erasable mylar media and shall reflect the as-built conditions and be stamped or annotated accordingly. This includes all drawings even if no change took place. One copy of as-builts shall be furnished to the parish. A disc of as-builts, clearly labeled, with drawings reflected in PDF formats shall be provided with the as-builts. Architectural Design Concepts,Inc. St Michael's School April 2012 Exhibit "A" PROJECT MANUAL, Renovations to Saint Michael' s Wilmington MA Project No: 505 April 2012 PREPARED BY: Architectural Design Concepts, Inc. Architectural Design Concepts;Inc. St Michael's School Aprl124 '12 TABLE OF CONTENTS DOCUMENT TITLE TITLE PAGE TABLE OF CONTENTS LIST OF DRAWINGS INVITATION TO BID INSTRUCTIONS TO BIDDERS CRIMINAL OFFENDER RECORD INFORMATION FORM FORM FOR GENERAL BID AGREEMENT FORM,AIA DOCUMENT A101 PERFORMANCE BOND PAYMENT BOND GENERAL CONDITIONS DIVISION 1 - GENERAL REQUIREMENTS SECTION 011000- SUMMARY SECTION 012100—ALLOWANCES SECTION 012300—ALTERNATES SECTION 012500- SUBSTITUTION PROCEDURES SECTION 012600-CONTRACT MODIF]CATION PROCEDURES SECTION 012900-PAYMENT PROCEDURES SECTION 0 13 100-PROJECT MANAGEMENT AND COORDINA"TION SECTION 013200-CONSTRUCTION PROGRESS DOCUMENTATION SECTION 013300- SUBMITTAL PROCEDURES SECTION 014000-QUALITY REQUIREMENTS SECTION 015000-TEMPORARY FACILITIES AND CONTROLS SECTION 016000—PRODUCT REQUIREMENTS SECTION 017300—EXECUTION SECTION 017419-CONSTRUCTION WASTE MANAGEMENT AND DISPOSAL SECTION 017700- CLOSEOUT PROCEDURES SECTION 017823-OPERATION AND MAINTENANCE DATA SECTION 017839-PROJECT RECORD DOCUMENTS SECTION 017900-DEMONSTRATION AND TRArNTING DIVISION 2 - EXISTINIG CONDITIONS SECTION 024119-SELECTIVE DEMOLITION DIVISION 6 - WOOD AND PLASTICS SECTION 061053—MISCELLANEOUS ROUGH CARPENTRY SECTION 062023-INTERIOR FINISIi CARPENTRY SECTION 064116-11LASTIC-1,AMINAI'E-FACED ARCHITECTURAL CABINETS SECTION 064600-WOOD TRIM SECTION 064800-WOOD FRAMES DIVISION 7 - DOORS AND WINDOWS Architectural Design Concepts,Inc. St Michael's School April 2012 SECTION 072100-THE-RMAL INSULATION SECTION 079200-JOINT SEALANTS DIVISION 8 - OPENINGS SECTION 081416—FLUSH WOOD DOORS SECTION 087100-DOOR HARDWARE SECTION 088000- GLAZING DIVISION 9 - FINISHES SECTION 092216—NON STRUCTURAL,ME`rAL FRAMING SECTION 092900—GYPSUM BOARD SECTION 093000-TILING SECTION 096513 -RESILIENT BASE AND ACCESSORIES SECTION 096519-RESILIENT TILE FLOORING SECTION 096816—SHEET CARPETING SECTION 099123 -INTERIOR PAINTING SECTION 099100-STAINING AND TRANSPARENT FINISHING DIVISION 10 - SPECIALTIES SECTION 102113—TOILET COMPARTMENTS SECTION 102800-TOILET:BATH,AND LAUNDRY ACCESSORIES Architectural Design Concepts;Inc. St Michael's School April 2012 LIST OF DRAVirE GS T 1 TITLE SHEET A 0.1 REI:. SYMBOLS.ABBREV.&GENERAL NOTES A 1.0 EXISTING FLOR PLANS A 1.1 DEMOLITION PLAN A 1.2 FLOOR PLANS A 1.3 ROOM FrNTISH SCHEDULE A 1.4 CEILING PLAN A 1.5 DOOR SCHEDULE A 1.6 TILE LAYOUT PLAN A 2.0 INTERIOR ELEVATIONS A 3.0 MISCELLANEOUS DETAILS E 1 LIGHTING PLAN AND DETAILS E 2. POWER PLAN AND DETAILS MI HVAC PLAN AND DETAILS P 1 PLUMBING PLAN AND DETAILS SP i SPR NKLER PLAN AND DETAILS FP 1 FIRE ALARM PLAN AND DETAILS 4 E x hi bill t "B 3 pages LLI—C �_frU_C_1f_Jori I See Email attachment for OF GENERAL BID bid qualification revision FORM as a result of telephone call with architect after the bid opening. as To: Pastoral Center directed by owner to Roman Catholic.Archdiocese of Boston verify total bid. 66 Brooks Drive Braintree, MA 02184 Att: Mr. Peter Moschetto, Facilities Department 'The undersigned having familiarized himself.themselves. with the local conditions affecting the cost of the work and with the project manual, drawings and specifications (including Instructions to Bidders and the Summary of Work)prepared by Architectural Design Concepts, Inc., hereby proposes to furnish all labor,materials, equipment, supplies and services necessary to complete "Renovations to Saint Michael's School, North Andover, Massachusetts" for the contract price specified below. The bid includes addenda numbered 1-2 The proposed lump sun contract price is (Base Bid) Three Hundred Sixty One Thousand Six Hundred Forty Dollars $361.640 j. add 2,950 Total $364,590 Alternate Number One: Acoustical Gypsuin Board: The an-iount to change to the base bid: ADD/DEDUCT: ADD Dollars(_$1 6.490 Time of Completion/Penalties: The undersigned agrees that iI f he is selected as Contractor that lie will conunence the work immediately, and complete the work in the shortest time. These dates are defined in the contract aareernent. TIME IS OF THE ESSENCE in the completion of this project, therefore,please state the number of calendar days to complete the work. Total time for completion shall include the normal approval time for obtaining all perinits. Total Project 50 —Days Execution of Contract and Bonds: The undersigned agrees that if he is selected as the Contractor he-will within five (5) days (Saturdays, Sundays and legal holidays excluded) after presentation thereof by the Chancery Office,execute a contract in accordance with the terms of the proposal and furnish a Performance Bond and Payment Bond of a surety company qualified to do business under the laws of the Commonwealth of Massachusetts and satisfactory to the Chancery Office, and in the face amount of 100% of the contract sum, the premiums for which are to be paid by the Contractor and included in the proposed contract.sum. The undersigned agrees not to withdraw this bid for a period of sixty(60) working days from the sclieduled time for receiving bids. Date: Wednesday. May 9. 2012 Nan2,oBider: Ryan Construction, Inc. By: Name and Title Business Addres 505 South Street City, State and Zip Code: Walpole. MA 02081 RYA N C 0 S T A V t 'T t a H 505 South Street Project: 'St.A ichaels School Classroom I itout Walpole.lvlra Locafion: North Andover,AIA Owner: Ronan Catholic Archdiocese of Foston Architect;ADC Estimate Date: 9-May-12 Ryan.Estimate n: ]2-OH 1 Consh-tact(ion Esfimat-e PROPOSAL BASIS & CLARIFICATIONS !!�*ct Specific Clarifications 1 Full time supenasion is included. 2 Insulation above acoustical ceiling is 1101 figured as Fire Rated. i 3 We have included a$300 allowance to repair leak`at existing electrical room conduit. 4 Smart Boards are not included.To be provided by owner. 5 We included a$1,t1001loor preperation allowance. - -- 6 Includes Building Permit Fee.All State,Federal&Municipal Fees are excluded unless specified below. 7 LIe included pendant heads du-u the acoustical ceilings. We do not include new upright heads above the ceiling. 8 Value of Performance&Payment Bond included in bid is 54,965.Remove from bid if not needed. 9 We have priced this project as an Open Shop job.Prevailing Wage ales erre not included 10 We do not include any fire alarm scope of work. I 1 We do not include any signage. 12 We do not.include spray fireproofing. _ 13 Tel/Data conduits to above ceiling;only.Exclude tel/data wiring and terminations. 14 Sales Tax is not included due to exemption.__ 15 We have not included the cost of'removing;abating or disposing of any hazardous materials(asbestos VAT adhesive etc.) 16 Testing of materials(soil compaction,concrete material strengQr,etc.),if required.biy owner. 17 Utility Company or Municipal utility service/connection fees are not included. 1S 'Excludes engineering&associated costs. 19 Lscludes excavation,removal&disposal of unsuitable or hazardous materials below grade. Page 1 of 1 RIM tem"i*1 bit " "I I page From: Rvan Shields Email - Clarification of qualifications in To. George Razovk bid, sprinklers added to bid arnount for Subject: St.Michaels School Proposal final contract. Date; Wednesday,May 09,2012 4:02:39 PNI Hi Butch, Per our conversation, please note the following. 1. If the schedule exceeds the 50 calendar days as we propose,there will be no additional cost incurred by the owner. 2. To install upright heads above the acoustical ceiling please add$2,950 to our proposal. We hope to work with you on this project. Feel free to call me with any additional questions. Regards, Ryan Shields Estimator Ryan Construction, Inc. (508)668-6788 Ext. 129 The Commonwealth of Massachusetts l Department of Industrial Accidents i ,I. Office of Investigations ae° to600 Washington Street 6 fiti{ iBoston, MA 02111 www.mass gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual); Q—/11" ,- t'vcf to . Address: &-US S I✓lA tti ST City/State/Zip: Q 7 Phone#: Are you an employer?Check the appropriate box: Type of project(required): 01 1. 1 am a employer with 16 4. ❑ 1 am a general contractor and I 6. E]New construction employees(fill}and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 1 7• Eglemodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for mein any acitY• workers' comp. insurance. 9. ❑Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL I I.(] Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' I3.❑Other comp. insurance required_] *Any applicant that checks boz#l 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. _ ^�-� Insurance Company Name: 1 -�-h S vro.h 1,CL, vt C . Policy#or Self-ins. Lic.#: Al C t A Dos-0.)-3[a.. Expiration Date: Job Site Address: q •C_ Ave-, /y, A v-&^- City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Sdction 25A of MGL c. 152 can leadd 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under thepains andpennaalltties ofperjury that the information provided above is true and correct Si ature eh 6 e-f ex Date: Phone#: ,�12f? 1/A�Z2AG Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/Lacense# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: RYANCON-01 KGRAHN CERTIFICATE OF LIABILITY INSURANCE DA 6/4/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: TD Insurance,Inc. PHONE $OO 723.2677 FAX PO Box 406 A1C No Est):( AIC No):(877)775-0110 Portland,ME 04112 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:ABC MA WC SELF-INSURED GROUP INSURED INSURER B: Ryan Construction Inc INSURER C: 506 South Street INSURER D: Walpole,MA 02081 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICYNUMBER MM/DD MM/DD GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE FIOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY jRa LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea a. ent $ _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY tDAMAGE $ HIRED AUTOS AUTOS Peracciden UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATIONX STATU- 0TH- AND EMPLOYERS'LIABILITY TORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVEYa NIA BCMA00502312 1/1/2012 1/1/2013 E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space is required) Job:Saint Michael's School Renovation project,Andover,MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Roman Catholic Archbishop of Boston, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN a Corporation Sole ACCORDANCE WITH THE POLICY PROVISIONS. 66 Brooks Drive Braintree,MA 02184 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD lijM Massachusetts-Department of Public Safety Board of Building Regulations and Standards C'on%truction Supervisor License:CS-043795 a KEVIN E MC iNUS 41 DEPOT St % SEMON M 02067 f d Expiration commissioner 11/20/2013 IIS McCabe Associates 75 Goodhue Rd Derry, New Hampshire 03038 603-437-2002 fax 603-437-0123 CONSTRUCTION CONTROL AFFIDAVIT DATE: 06105/12 PROJECT TITLE: St. Michaels School PROJECT LOCATION: 80 Maple Avenue, North Andover MA NAME OF BUILDING: St Michaels School NATURE OF PROJECT: Renovation In accordance with section 107 of 780 CMR, 8T" edition Massachusetts State Building Code, I, Steven R. Houle Registration No. 46743 being a registered professional engineer hereby certify that I have prepared or directly supervised the preparation of all design plans, computations, and specifications concerning: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL X MECHANICAL X3FIRE'PROTECTION""' X ELECTRICAL:gin-'` OTHER E For the above named project and that, to the best of my knowledge, such plans, computations and specifications meet the provisions of the Massachusetts State Building Code, all acceptable engineering practices and all 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 fol ecified in section 780 CMR 107.6, 811 of the Massachusetts State Building Code. ��0� ASS,�C 0 SEAL 0. 9EGf5t� c'� SIGNATURE On this 5th day of.June , 2012, before me, the undersigned notary public, personally appeared Steven Houle to!me-through satisfactory evidence of identification, which were known to me`�Q�31�%jge(Deh � .............9 whose name is signed on e preceding or attached document in my presence. Y: CpXMI SIGN.y� 9 Y = ycr17,2012 Z= K thl en Vaughan, Nota � is '.L:p y commission expires on October 17 2012 � �q G,: ADC ARCHITECTURAL D E S I G N C O N C E P T S I N C O R P O R A T E D 200 SUTTON STREET NO. ANDOVER, MA 01.845 TELEPHONE(978)686-2112 FACSIMILE (978) 686-4344 www.ADCarchitects.com June 4,2012 Mr. Gerald Brown,Inspector of Buildings Town of North Andover North Andover,Massachusetts 01845 Re: St Michael's School,North Andover MA Dear Mr. Brown, This letter is to advise that I am the architect of record for the building interior renovations at Saint Michael's School,North Andover, Massachusetts. The plans for this project,to the best of my knowledge and belief, have been designed in conformance with the Massachusetts State Building Code. I. will be making on site construction observation visits as necessary, and will be reviewing shop drawings as required. If you have any questions now or during construction please feel free to call me. ar gards, e E. Ra2 oyk AIA ED EC�jOA No. 49 N• NDO E E 505 pre construction affidavit