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HomeMy WebLinkAboutMiscellaneous - 1600 OSGOOD STREET 4/30/2018 (17) Emo � 3H.Q- � BUILDING FILE 61 9 Date... 3?;.�'�``°.:•�.4, TOWN OF NORTH ANDOVER p PERMIT FOR WIRING s � •�+ SSACMUSE� This certifies that ....... ,:On....................................... has permission to perform .. -'� -.r&,:w�.�.� r�- �-�Qr ......................... e, wiring in the building of....C..:,!�-t.{rr�....,;;�/� ...................... at ............. ,North Andover,Mass. Fee � ..... Lic.No.`l!�'rth.�`1�._ / s! .. Pyrs � �`�.......... ELECTRICAL INSPECTOR"— Check #f � / DEPAR MWOFPUBUC34FQT Permit No. 61q ? BQARDOFF/REPRgvnvnrUNRF�GIThO�V5517C16gZZte - Oaupanry Fees Checked /'l APPUCATTONFOR PERMITTO PERFORM ELECTRICAL WORK All.WORK TO BE PERFORMED BV ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Da d 2/05 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street tit Number) QS GB d 01 v/��/ f '010�/7 S Owner or Ten '/1 eft Owner's Address Is this permit in conjunction with a building permit Yes No [:3 (Check Appropriate Boa) p � l Purpose of Buildin F � G e s 'so r/ ��F fit' � Utility _ ` qr7 J ��i a� Utili Authorization No. g Existing Service Amps olts Overhead Underground a No.of Meters New Service Q Am17� olta Overhead Q Underground. No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work s d-? No.of Lighting Outlets No.of Hot Tubs No.of Transformers Tow KVA Na of Llgbdng Fixtmm e2e i s /N O Swinuning Poor Above Below Oeaaatars KVA re eK ground around El No.of Receptacle Outlet O No.of Oil Humes No.of Emergency Lighting Battery Units No.of Switeb Outlet No.of Gas Homan No.of Ranges No.of Air Coad. Tow FIRE ALARMS No.of Zones Tom No.of Disposals No.of Hat TOW Tow No.of Deawdon and PUMP Tons KW Initiating Devices No.of Dishwashers Space Arm Heating KW Na of SoundinS Devices Na of Self Co mbW DetectionlSouMing Devices No.of Dryers Heating Devices KW Lord Mwdcipd Others_ Connections No.of Water Heaters KW No.of No.of signs dlsds No.Hydro Massage Tubs No.of Motors Tow HP OTHER- }tstrfrtae Ai�ieRbtieregdrelrlea� Lawn IhmactustLitftl saataeFbicykEkxkAClanp* crihwbawWawhv a YM lhtfies�nttbdveSdptaof stimebtre016�Ylti rycuhat dmdlzdYEMpkmnia ettNecfao uWl)y dyeddr>glhe AISURAIVC� BOND Qlfm 1:3 ogieSp * WodclDStat / /Z/05 3; �ariD.Regzwd Ra* EsinadValiedEbcaicelWadcS S0WundA Pfau M(3fpeW find FIRMNAME /�'/��`2/ LicumNa t� Ut/�tt10I S,G•,ncl !ice• .�' L�onlaeNo s l r�d� yC �a lV Busr=TdNa h170 -e IS-729. d*m AILTdNa OWT,WSIlVSURANCEWAIVFR;IamawwdxtftLimwd�r that thein anecu�aa�ar s legiivalatarto4iedbl+Mesa3daz>�GalealLawa adds mys9ovinendispw.isest6n4imet (Please check one) Owner a Agent / 4� Telephone No. pg�FF.E S Location le-"oy No. ,/Z/ Date h r NORTh TOWN OF NORTH ANDOVER O:�«•u :•,h0 9 • : Certificate of Occupancy $ s''••°';<�'Mus Building/Frame Permit Fee $ �c Foundation Permit Fee $ Other Permit Fee $ ' TOTAL $ Check # �f Building Instor V A .TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING M OTHER THAN A ONE OR TWO FAMILY DWELLING NAM 2524SEE'l- Section for Official Use MEN BUILDING PERMIT NUMBER: DATE ISSUED. SIGNATURE: Buildiu Commissi2n�/I �or of Buildings Date 1.1Property Address: e 1.2 Assessors Map and Parcel Number v_ 0 00177 Map Nu;@ber Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 0 Zoning District Proposed Use Lot Area(sf) Frontage(f L) 1.6 WELDING SETBACKS(ft) M Front Yard Side Yard Rear Yard —Required Provide Requimd Provided Rgq*md Provided 1.5. Flood Zone Infonnation: 1.9 SewerW Disposal System 1.7 Water Supply M.GI-C.40. Public 0 Private 0 Zone Outside Flood Zone 0 Municipal On Site Disposal System 0 I 11bLur ic Uistrict: Tes—No 2.1 Owner of Record Name_(Punt) Ad-dress for Service: .......... M Si to Telephone 2.2 Autho ent 7< 11 > q NamePrintAddress for Service: z 0 Signature Telephone z M 3.1 Licensed Construction Supervisor Not Applicable 0 Address icmse Number 0 In 7 Licensed Construction Supervisor: E)qpimtidn Date _� !2 7f 7;;Z'?2 SigAat­uW:-'--': " Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 RECEIVED Company Name Registration Number M AUG 2- 6 2005 Address Expiration Date -BUILDING DEPT. Signature Telephone Q CTI. 4 � i l ' Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yea.......0 No.......❑ SECTIUPI S Pltf 'ISSI{3A ?EGt iN C� �1�"a RTL" S 1Q ` II� SiS tCIB T3 ;.G`f)NST8�3 )[ +i C� �I 'lzt "fit3ft f�iA 14 9,1 5.1 Registered Architect: Name: W-9 Address Signature�q.. Telephone z � FlVtwe R f #pN Area of Responsibility Name: Registration Number Address: Expiration Date Signature Total Not applicable ❑ Name: Registration Number Address Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number jf 4 Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date f � 7k- 62K, Not Applicable ❑ cy N M >e—e S Q l/ c, b ✓—� Responsible in ChariConstruction New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. 0 Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: e-- 6 r� J r USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ IA ❑ A-4 ❑ A-5 ❑ IB ❑ B Business ❑ 2A ❑ C Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ IInstitutional ❑ I-1 ❑ 1-2 ❑ I-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: /;; P `i• .fie}J� BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft MINIM air Independent Structural Engineering Structural Peer Review R Yes ❑ No ❑ SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, �— c as Owner of the subject property Hereby authorize to act on My behalf in all matters relative two work authorized by this building permit application Srgnature of Owne Da d r aent as Owner/Authorizedlare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury cle Print Name m of Owner/Agent Dat Item Estimated Cost(Dollars)to be Completed by permit applicant 1. Building ©., (a) Building Permit Fee Q D Multiplier 2 Electrical (b) Estimated Total Cost of Q G 'J 0 Construction from(6) 3 Plumbing Building Permit fee (a)x(b) 4 Mechanical(HVAC) O 5 Fire ProtectionJ'r P 6 Total (1+2+3+4+5) 9,Coe co Check Number -s 1r,.:c..��t...t,>:. ir'4 's.� s'� ��. boa- �. .r:tcw._rr�s3 1& �`A.,z:Fr•� t .c fa 7��,s :.r. y f � S 9� .� z '�3 ..� �^ ;�. fa; 'fi'.irr'�ri4Lr�`4a✓,.:)9 „,. ..H�TSY/�r...,.. Sq�tf^ 5� tr t .ti 1 v .�.- s ,.,Nsa '�y`f ?s� +,�r+d2`c g"1� .-....'.'i ur�s�.r,}�i$ra�.c,,'�m6u 1 n:1�,Eq 1.... ers'.x�`,:;cit inti4.� ,r NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1ST 2 MD 3 SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS M ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE c 4: w'.„` "�` �"..{t "�rP.): 9 '-�°"4 Ngv.rr.F;''' i.av��S^`Y.r3a�r"�st E•'�C '�Z�i i 10 `0 M ,N _ � NORTH Town of Andover LA p : �,o �, dover, Mass., 39' COCMICKEWICK y�• 7� ORATED `r BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System rt�+rs J, C /Q►r g 4 a BUILDING INSPECTOR THISCERTIFIES THAT......6.14. ...... ...M ................................................................................................... ... Foundation has permission to erect...1!v.1*41O r" buildings on .........1 0.3.4. .D........S Rough ..... ..... .... ..... to be occupied as........ Chimney .....1...........V..�.........A..................... .................. .......................................................................... provided that the.person accepting this permit shall in every respect conform to the terms of the application on file in Final 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. a .`/ h q PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. , Rough 1 %0 c WhR PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR �OL Rough CMSTRUCtION 00...................... ............................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. •------- Department of IndusWal Accidents Office of Invesdgadons 600 Washington Street Boston,MA 02111 www.massgov/die Workers' Compensation Insurance AflMdavit: Builders/Contractors/Electrid2lwPlumbers Aonlicant Information Plena Print Lealbly Name (Business/orpnizationtmvidual): 2C C za Address: City/State/Zip: L r_ 9 rr-,p 7 c-p �,/ Phone#: /© -��--o -2 62 Are you an employer?Check the-appropriate box: Type of project(required): I.[lam a employer with 4. ❑ I am a general contratxor and I employees(full and/or part-time).• have hired the sub-contractors 6. E] New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7. ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity. workers' comp. insurance [No workers'comp. insurance 5. Cl We are a corporation and its 9. E] Building addition required.] officers have exercised their 10.❑ Electrical repass or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. C. 152,$1(41 and we have no insurance required.]t employee'. [No workers' 12.❑ Roof repair comp. imttraace required.] 13.0 Other 'Any applicant Wirt cbecb box#1 must also 811 oat the section below aho%*Weir"tmv eea oe� sation policy imarp t Homeownen wbo wbnt Wis affi&vd adicatiog Way we doing all*Mk sod Wen hire outside eonttacton must submit a mw a8'idavit sdicaRing arch. =Conbuca n Wirt duck Ms box must Ambed m additional sheet sbow*We nnae of the wb-ooubac m and their wo&cm'CMW policy information. I am an employer that b providlna workers'compensation Insurance for my employees. Below b the popey and,job AVIa Informadwtr _ Insurance Company Name: Policy#or Self-ins.Lic.#: r Expiration Date: Job Site Address: 10 City/State2ip: Attach a copy of the workers' compensationpo8cy declaration page(showing the policy number and expiration date). Failure to secure coverage as requir�ection 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or one-year t,as wen 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 vcrification. Ida hereby eerdfy vender the pales andpcnab�es o perjury that the tnjorneation provJJid ab+vr is tris and eorr+eet izoature: ® r Phone M ,Q- n" o -3 eq Q�?clal use only. Do not write In thb area,to be completed by clq,or town o�'Iclal City or Town: Permit/Ucense# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.Cky/Town Clerk 4.Electrical Inspector s.!lambing Inspector 6.Other Contact Person: Phone M: 111111 111ativtl "JLi%i lii►7%ri Mvvav ai►+ Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an emple is defined as"...every person in the service of another under any contract of hire, . express or implied,oral or written." An employer is defined as`•an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,-association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a badness or to construct buildings in the commonweam for any applicsat w " who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,MGL chapter 152,125C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented lo the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply tb your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLQ or Limited Liabilrity Partnerships(LLP)with no employees other bran the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be an to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Departrnent of Industrial Accident. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,Place can the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the WPM--]19 a line. - City or Town Officiala please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations hes to contact you regarding the applicant Please be sure to fill in the permittlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permittlieeme applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit t�been officially stamped or marked by the city or town may be provided to the applicant 0 proof that a valid a is on file for future permits or licenses. A new affidavit mast be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The office of Investigations would bice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax numbs. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 wwwmm.gov/dia FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION**************�`******** APPLICANT AUJZ�2 / P,, ]QHONE LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT(S) STREET ST. NUMBER OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT d9la,,5 To de. y4rylG4l 6,l fiic Ocf-, RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm mom The Commonwealth of Massachusetts Y Department of Fire Services Office of the State Fire Marshal .1j P.0.Box 1025 State Road,Stow,MA 01775 PERMIT Date: 0C North Andover permit No A �licable Dig Safe Number If (City of Town) ( pp ) In accordance with the provisions of M.G..L.114 8 Chapter_LQ as provided in section 5 2 7 CMR 34 Start Date This Permit is granted to: S'Ory Full name of person,Finn or Corporation Pennissionto locate dumpster for construction/renovation/demolition of building Comments: dumpster must be 25 ' from structure if unable to place with required Restrictions: clearance dumpster must be covered with plywood or tarp end of work day (Give location by street and no.,or describe in such manner as to provied adequate identification of location) Fee Paid$ 50 .00 G�/,&, � ..� Fire Chief This Permit will expire f i = ' (Signature of offical granting permit) Offical granting permit (Title) �♦ TWIC PFRMIT MI ICT RF rnm.gPirl In[ ICI Y Pr1CTl=n I IPr)M TNF PRFMICFC ♦�� ' Workers' Compensation and Employer's Liability Policy GUARD AmGUARD Insurance Company - A Stock Company INSURANCE Policy Number DOWC542507 7` Renewal of DOWC437480 GROUP NCCI No. [21873] [1] Named Insured and Mailing Address Agency DOWGIERT CONSTRUCTION COMPANY, INC. ROBERTS INSURANCE AGENCY 616 Essex Street 1060 Osgood St. Lawrence, MA 01841 North Andover, MA 01845 Agency Code: MAROBE10 Federal Employer's ID 04-3438231 Insured is Corporation Risk ID Number 000288185 Locations Other Than Above (Ll) 8 Dundee Park, Andover, MA 01810 [2] Policy Period From October 26, 2004 to October 26, 2005, 12:01 AM, standard time at the insured's mailing address. [3] Coverage A. Workers' Compensation Insurance - Part One of this policy applies to the Workers' Compensation Law of the following states: Massachusetts B. Employer's Liability Insurance - Part Two of this policy applies to work in each of the states listed in item [3]A. The limits of our liability under Part Two are: Bodily Injury by Accident- each accident $500,000 Bodily Injury by Disease - each employee $500,000 Bodily Injury by Disease - policy limit $500,000 C. Other States Insurance - Part Three of this policy applies to all states, except any state listed in item [3]A. and the states of North Dakota, Ohio, Washington, West Virginia, and Wyoming. D. This policy includes these endorsements and schedules: See Extension of Information Page - Schedule of Endorsements [4] Premium The Premium Basis and, therefore, the premium will be determined by our Manual of Rules, Classifications, Rates, and Rating Plans. All required information is subject to verification and change by audit. (Continued on another page) Total Estimated Policy Premium $ 24,876 Total Surcharges/Assessments $ 1,311 Total Estimated Cost 26,187 INTERNAL USE 4y Page - 1 - Information Page MGA : DOWC542507 WC OOOOOlA Date : 10/27/2004 16 South River Street•P.O. Box A-H•Wilkes-Barre, PA 18703-0020•www.guard.com I ✓fie"Va�ra�ne��tr�eaf ,a�•ft'cc��ar�uae/�.a 's. BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 048040 Birthdate: 10/29!1955 }' Expires: 10/29/2005 Tr:no: 8109.0 Restricted: 00 , .TADEUSZ DOWGIEERT 171 BRADY AVE SALEM, NH 03079 Administrator TOWN OF NORTH ANDOVER Construction Control Affidavit Project Number: 0503029 Project Title:' Emoxsha Tenant Fit-up Project Location: 2nd Fir Bldg 20 South Side, 1600 Osgood Street, N. Andover, MA 01845 Name of Buidling: 1600 Osgood St. Commerce Center Nature of Project: Subdivision and Tenant fit-up in existing open office area. In accordance with Section 116.0 Registered Architectural and Professional Engineering Services-Construction Control of the Massachusetts State Building Code, I, Gregory P. Smith Registration No. 8688 being a Registered /Architect, HEREBY CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project Architectural XXX_ Structural Mechanical Fire Protection Electrical Other(specify) FOR THE ABOVE-NAMED PROJECT AND THAT SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE 780 CMR MASSACHUSETTS STATE BUILDING CODE. ALL ACCEPTABLE ENGINEERING PRACTICES AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.2.2 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the state of construction to become, generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. UNDER SECTION 116.4, I SHALL PERIODICALLY SUBMIT A PROGRESS REPORT, TOGETHER WITH PERTINENT COMMENTS, TO THE NORTH ANDOVER BUILDING INSPECTOR UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETIONREADINESS OF THE PROJECT FOR OCCUPANCY. AR_ Signature and Stam facsimile) oEzy P.' ,\ co No.��3:o �i MORIN ANt�,uVcR, MA. Offf SUBSCRIBPADRN O ORE ME THIS DAY OF 2005 NOTARY P MY COMMISSION EXPIRES N� ait i EF July 22, 2005 To Whom It May Concern: Dowgiert Construction will be doing ongoing work at our facility located at 1600 Osgood Street in North Andover, MA on a cost plus basis. Sincerely, Ellen Keller VP-Commercial Real Estate 3 Dundee Park Andover, MA 01810 Phone: (978) 475-4569 • Fax: (978) 475-4638 www.ozzyproperties.com