The URL can be used to link to this page

Home My WebLink AboutPermits - Permits - (15) i Official Use Only Permit No. TIVI Occupancy and Fee Checked / i`' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/45] (leave blank) I; APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code rQ1 527 CMR 12.00 (PLEASE PRINT IN INK OR T EALL.INFORMATION) Date: I I Izo ,0 City To the Ins ec d Wires: - Ci or Town of. P f By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 'rc a -24 Owner or Tenant Telephone No. Owner's Address ,t,� _ Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building - Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters i New Service Amps / Volts Overhead ❑ Und rd . g ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: -�, d Con letion of the ollowin table may he waived by the Inspector of Wires, No.of Recessed Luminaires No.of Ceil.-Susp.(.paddle)Fans No.of ota Transformers KVA No,of Luminaire Outlets No.of Hot Tubs Generators KVA No,of Luminaires Swimming pool Above ❑ - ❑ o.o mergency tg g rnd. grnd. Batter y Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.cif Switches No.of Gas Burners o.Innis ct Devices No.of Ranges No.of Air Cond. Total Tots No.of Alerting Devices j No.of Waste Disposers eat imp um er ons o.o e - ontarne Totals; �......�_�.-.�,...._....,.....�........_..,,.................. Detection/Alertin Devices i No.of Dishwashers Space/Area Heating KW Local[IConnlecption El other No.of Dryers Heating Appliances KW SecuritySystems:* No.of Devices or Equivalent No.o star o o o, o a Wirin : Vol Heaters ICE .____Signs Ballasts DatNo.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun cations rang: i No.of Devices otLqt OTHER: U�Valent Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of EVetrical Work: A&D--�� (When required by municipal policy.) Work to Start: IJ11169 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE. Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 9 BOND ❑ OTFIER ❑ (Specify:) I certify, under the pains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME:to 10 y L' LIC.NO.: (!f applicable enter 'ezemp Sagnatur, LIC.NO.: Licensee:� ! �. �n the a., T' " ' ease number ine.) Address: v0 Bus.Tel.No.: Alt.Tel.No.: *Security System Contractor License required for this work; i£app icable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check ono)❑owner ❑ owner's agent, Owner/Agent Sionatore To.lenham%No. PERMIT FFF- lC !�sr Commonwealth of Massachusetts Official Use Only Department of Fite Services Permit No. co, / BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Rev.9/05 Leave Blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 . (PLEASE PRINT IN INK OR T1'PE ALL INFORMATION) Date: 12/12/2009 City or Town of: North Andover To the Inspector of FVires By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 203 Turnpike Street-3rd Floor Owner or Tenant Saints Medical Center Telephone No. 978-934-8282 Owner's Address 1 Hospital Drive Lowell,MA Is this permit in conjunction with a building permit? Yes ❑X No ❑ (Check Appropriate Box) Purpose of Building Medical Offices Utility Authorization No. Existing Service 600 Amps 120 / 208 Volts Overhead ❑ Undgrd. [ No,of Meters 8 New Service Amps / Volts Overhead ❑ Undgrd. No. of Meters Number of Feeders and Ampacity One 225A feeder Location and Nature of Proposed Work 3rd floor fitout for lighting,power, and FA Cosa tetton of the OI ving table mLy be waived by the Inspector of Wires, No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle)Fans No. of Total KVA No of Lighting Outlets No. of Hot Tubs Generators KVA A ove In- No. of Emergency Lighting No. of Lighting Fixtures 150 Swimming Pool Gt-rrd. ❑ Gtxhd. ❑ No. of Receptacle Outlets 103 No. of Oil Burners FIRE ALARMS No. of Zones No of Switches 21 No. of Gas Burners No. of Detection and 35 No. of Ranges No. of Air Cond. Total Tons No of Alerting Devices 25 No of Waste Disposers Heat Pump Number Tons KW No. of Self-Contained 6 No. of Dishwashers Space/Area Heating KW Local unrcrpa X Other Connect ❑ No. of Dryers Heating Appliances KW Security Systems No.of Devices No. of Water KW No. of Signs No. of Data Wiring No. of Devices or fbo No.Hydromassage No. of Motors Total HP Telecommunications Wiring No. fbo vices or Ecii1*.ynleAiL--- Other Attach addiflolpal detailif esrre ,or as egrry e y t re aspectw'o fires Estimated Value of Electrical Work: $65,000 (When required by municipal policy.) Work to Start 12/12/2009 Inspections to be requested in accordance with MEC Rule 10,and upon completion. Insurance Coverage: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) July 2010 xpinatron ate I certify,under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Crocker Electrical Company Inc. LIC.NO.: A 20493 Licensee: Kevin Taber- _ Signature _ �t_,.�- ; ' LIC.NO.: A 20493 (If applicable, eater "exempt"in the license number litre) Bus. Tel,No.; 617-773-1030 Address: 115 Sagamore Street,Quincy,MA 02171 Alt.Tel.No.: 781-500-9457 `Security System Contractor License required for this work, if applicable,enter the licence number here: OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the liability insurance coverage nortnally required by law. By my signature below,I hereby waive this requirement. I am the (check one owner ❑ ❑owner agent Owned Agent PERMIT FEE: Signature Telephone No. NORTH TO" of T _ � over . z dover, Mass., o - LAKE A- —T COCMICMEWiCK U ADRATED P "♦y s BOARD OF HEALTH Food/Kitchen PERMIT T Septic System _ BUILDING INSPECTOR THIS CERTIFIES THAT.....�j.`.�` Gx i►s�>u �c�� ....��G�>�r° - ............... .... --- Foundation . ..... has permission to erect........................................ buildings on rf_ ' ...................................... Rough -W to be occupied asChimney ` ` provided that the person accepting this permit sC- i�m 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit.. Rough Final PERMIT EXPIRES IN b MONTHS ELECTRICAL INSPECTOR NLESS CONSTRUCTION STARTS U Rough , { 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. yoF?Ty BUILDING PERMIT N?• kb '` • '`' '6 �71 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received .},�""`"""`�"`,• r �RA7kp►Q¢ •(y . �SSAC FIus Date Issued: 0 21 0 IMPORTANT: Applicant must complete all items on this page LOCATIoiv �a GcrYt l.� Tcof Pint PROPERTY OW NER. 07 . Print MAP NO PARCEL ZONING DISTRICTHEstorac District yes no Machin Shoo,' VJllage yes do p 4 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial No. of units: ercia Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floopla�n' 1Netlands V1latershed District INaterlSewer:i DESC IPTION OF WORK TO BE PREFORMED: W i4V4-C ,�4ECTYZ-t` h1G-- f 5a ° S Identification Please T pe or Print Clearly) OWNER: Name: Phone: Address: 5 � �-- M,4 6,52, CONTRACTOR Name Phone: Address Supervisor's Construction Lcense./'�, 5 � Exp bate Home Improvement License. f'� Exp,, Date ARCHITECT/ENGINEER ' ey 0 C., Phone: (.I Address: a� '!Y!� ,___&�Lya-AAg.nzi _ Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ ,/ a7 Check No. by Receipt No.: � NOTE: Perso ns contracting with unregistered contractors do not have access to th'e guaranty',,fint Signature of Agent/Owner Signature of contract October 14, 2009 l Letter of Intent for Saints Medical Center at 203 Turnpike Ind,No. Andover, MA �fl Between Saints Medical Center And X Blackstone General Contractors 40 L Street Boston,MA 02127 This Letter of Understanding dated October 14, 2009 is conunitting Saints Medical Center and authorizing JK Blackstone to proceed with work at the 3`d floor Physicians Suite, 203 Turnpike d:'Sr The intent is that JK Blackstone will complete all work associated with the 3`d floor Physicians Suite, 203 Turnpike Rd:,C' 1. In accordance with the agreed upon proposal of Three Hundred Seventy-Five Thousand dollars ($375,00Lnotnincl,,' ed by JK Blackstone on October 14, 2009. 2, Budget dde potential change orders. This Letter of Intd into as on October 14, 2009 and is executed in three original copies. Stev n Basilicre date Saints-Medics 1 Centel- f David Marceau Da�te JK Blackstone General Co if tractors MECHANICAL DESIGN AFFIDAVIT TO: Town Of North Andover, Building Inspector's Office RE: Saints Medical Center - Physician's Office Suite 203 Turnpike Street North Andover, MA. 01845 I certify that to the best of my knowledge, information and belief,the plans and computations accompanying the attached application are in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. Richard L. Medairos, PE OF►�,�ssq Massachusetts License No. 39278 � c RICHARD L, � p � I�EDAII�os � � AKF Grou �J MECHANICAL � Company NO.39278 m T � 41 Farnsworth Street, 3`d Floor ASS/A}��t3 Address (617)737-1111 Telephone October 9, 2009 Then personally appeared the above-named Richard L. Medairos PE and made oath that the above statement by him is true. BeforeLM ' "o �,�•' . coMNO *Z%• �P JenniPU . An br ::ar c !, '%0 p a i abot N Notaryblic •t9�a�As, �•° M CommissionE ices. March26 2015 PLUMBING DESIGN AFFIDAVIT TO: Town Of North Andover, Building Inspector's Office RE: Saints Medical Center - Physician's Office Suite 203 Turnpike Street North Andover, MA. 01845 I certify that to the best of my knowledge, information and belief, the plans and computations accompanying the attached application are in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. I"OF MA Richard L. Medairos PE Massachusetts License No. 39278 RICHARD L, N MEbAlRos AKF Group MECHANICAL No.39278 Company L 41 Farnsworth Street, 3rd Floor .._ Address (617) 737-1111 Telephone October 9, 2009 Then personally appeared the above-named Richard L. Medairos PE and made oath that the above statement by him is true. Before me, o ••••••. Jennifer Ombrose 0 Notary Pub c ttHOF4�P. ••' .�°w M Cam�nission Ex ires: March 26 2015 A�?Y PU i I CONSTRUCTION CONTROL DOCUMENT Project Title: Physician Office Suite Date: 10-12.09 Project Location: 203 Turnpike St., North Andover, MA Third floor Scope of Project:Sonstructton of Business Use Group Physician Office Suite in Leased space In accordance with Section 116.0 -- 116.4.2 of the 7t" edition of the Massachusetts State Building Code: 1, Bradley Cardoso Mass. Reg.# 10747 Being a registered, professional Engineer/Architect hereby C1CRMY that I have prepared or directly supervised the preparation of all design plans, computations, and specifications concerning: { )Entire Project ( X ) Architectural ( ) Structural ( ) Mechanical { )Fire Protection ( )Electrical ( )Other(specify) for the above named project and that to the best of my knowledge, such plans, computations, and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable laws for the proposed project. Furthermore, I 111tderstand and AGR EF that I shall perform the necessary professional services and be present on the construction site on regular and periodic basis to determine that the work is proceeding in accordance with the documents approved by the building permit and shall be responsible for the following,as specified in Section 116.2.2: 1. Review of shop drawings, samples, and other submittals of the contractor, as required by the construction contract documents, as submitted for the building permit, and approval for the conformance to the design concept. 2. Review and approval of the duality control procedures for all code-required controlled inateriahs, 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, in general, If the work is being performed in a manner consistent with the construction documents. I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent comments. Upon completion of the work, I shall submit.to the building official a final report as to the satisfactory completion and readiness of Off project for occupancy. Signature and Seat of registeredprofessional: �Li Et]q y a No. I07q 7 B3 STaN ' Mass. OF M�SS�G� a ELECTRICAL DESIGN AFFIDAVIT TO: Town Of North Andover,Building Inspector's Office RE: Saints Medical Center- Physician's Office Suite 203 Turnpike Street North Andover, MA. 01845 I certify that to the best of my knowledge, information and belief, the plans and computations accompanying the attached application are in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. Brian M. Mulkerrin P.E. Massachusetts License No, 46852 ZNOF4% s9cy AKF Group BRIAN N4. Company MULKERRIN g ELLC E RiCAL N0.40052 41 Farnsworth Street, 3`a Floor — 90,,, Address (617) 737-1111 Telephone October 9, 2009 Then personally appeared the above-named Brian M. Mulkerrin PE and made oath that the above statement by him is true. ��p��o��►�+rirrr»yo+ Before me, ° Jennifer mbrose�J Notary Pu lic T�p® ' w� M Commission Expires: March 26 2015 4rrgtltt V4GRTH 0" of �.. ._ over No. dover, Mass.,. COCMSIC EwICx 4 7�AORATED `s BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System ._ 7 BUILDING INSPECTOR THIS CERTIFIES THAT----- ...`..`...... .. ��{�7"�....�C':�: --- ----------------------- Fo*aqon. ........ buildings on .....5...... / ......................................... Rou has permission to erect............................... ..... • . tobe occupied as.........—�. .. ? `� ......... ...II i....�.............................................'--------------------------------------------------------- ch,rnney 3 provided that the person accepting this permits n 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 Constructio of Buildings in the Town of North Andover. v UMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. o z� rr� PERMIT EXPIRES IN 6 MONTHS ELE C INSPECTOR - UNLESS CONSTRUCTION STARTS � � Rough ��i2 I�- .- �- - A.....------. Service BUILDING INSPECTOR 4 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 V FIRE DEPAR Until Inspected and Approved by the Building Inspector. 1 7 M `- Street No- SEE S SEE REVERSE. SIDE Det. N ATH a a �1M SICIMM+ CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOYER Building Permit Number 322(10/21/09) Date: April 1 S, 2010 THIS CERTIFIES THAT THE BUILDING LOCATED ON . 20.3 Tumpike_St_ MAY BE OCCUPIED AS Staints Medical— Third floor Ph sician's Office IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to; Saints Medical Center 203 Turnpike Street North Andover Ma 01845 Buildi g Inspector i x N tUf ApN6K, CERTIFICATE OF USE & OCCUPANCY TOM'N OF NO ,rH ANDOVER Building Permit Number 322 (10/21/09) Date: April 15,2010 THIS CERTIFIES THAT THE BUILDING LOCATED ON . 203Turnpike_St_ MAY BE OCCUPIED AS Staints Medical - Third floor Ph sician's Office IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY, Certificate Issued to: Saints Medical Center 203 Turnpike Street North Andover Ma 01845 Buildi g inspector : . 4 over of T0VM 0 dover, Mass., L A K E It, �.� COCHICHEWFCK\� , ,q a°�AYE R AQ� Cl'L BOARD OF HEALTH S' �G Food/Kitchen ERM Septic System f / BUILDING INSPECTOR �I : ��'�ue-r�+! ' 1 `<1.1r ....`..��'�:.................................. Fo tion. :,: THIS CERTIFIES THAT.......... ..... �/ V r 'Rou . . .................... buildings on ¢.--. .�- �..... has permission to erect.................. / Chimney , !G to be occupied as.. . ..................... ......... ........... ..................... 3 provided that the person accepting this permit sh 1t 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 Constructio of i7NiBING INSPECTOR Buildings in the Town of North Andover. ' ;- VIOLATION of the Zoning or Building Regulations Voids this Permit. al � 4 PERMIT" EXPIRES IN 6 MONTHS ` _ ELE C INSPECTOR � y UNLESS CONSTRUCTION START ' Rough J ............... Service ..__.................. BUILDING INSPECTOR Fin GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough p Display in a Conspicuous Place on the Premises — Do Not Remove , Final No Lathing or Dry Wall To Be Done FIRE DEP Until Inspected and Approved by the Building Inspector. rner Street No. Z ` Smoke Der_ ((( SEE REVERSE SIDE DGIORGIC) ASSOCIATES INC. BOS'"FON MAINL VIRGINIA March 15, 2010 MAR _J 2010 Mr. Gerald Butter b Y.--- PI ANNIINC', Inspector of Buildings ARCI I I I ECF I AF Town of North Andover ENUNEFAM, 1600 Osgood Street N I ERIOR DESIGN Building 20, Suite 2-36 North Andover, MAO 1845 RE: Architect's Certificate of Occupancy Affidavit Saints Medical Center—Physicians' Offices 203 Turnpike Street—3,d Floor North Andover, MA 01845 DAI Project No. 08325 1.00 Dear Mr. Butler: As Architect of Record for the above referenced project, DiGiorgio Associates Inc. (DAI) certifies that, I or my designee, have been present on the construction site on a regular and periodic basis, and to the best of our knowledge and belief, the referenced project has been constructed in substantial compliance with the approved plans and specifications. Therefore, it is our opinion that the referenced project in total is ready for its intended use. Respectfully submitted, DIGIORGIO ASSOCIATES INC. NCO .A I m No. 10747 0 BOSTON Mass, Bradley Cardoso, AIA Senior Project Architect 2 2 S FRIEND S1 REF I C: Donald Leonard DiGiorgio Associates Inc. (DAI) BOSS Tom Lam DAI MASsA(]€USH I 021H MITHONE BC/prs 617 72:17ff39 FAX 617 723 9 T 13 W8325117CAWFIDAW3251 Cert Of Occupancy Affidavit 0315 10.doc Page I of I i R1S� ff AKF BY:----_a®ao_o__my_-e_ TO: Dave Marceau FROM: John Lasofsky COMPANY: JK Blackstone General DATE: March 11, 2010 C'o�uction m m PROJECT NAME: Saints Medical Center- 40 L Street Physicians Office Suite Boston, MA 02127 PROJECT NO: B090113-000 WE ARE ENCLOSING: ❑ REPRODUCIBLES Ll VIA MAIL E3 FOR REVIEW AND COMMENTS El PRINTS I) VIA MESSENGER Q FOR APPROVAL C] REPORTS El VIA BLUEPRINTER Q AS REQUESTED d SHOP DRAWINGS I] VIA FED EX/UPS El FOR YOUR INFORMATION ❑ OTHER: 11 OTHER: Q FOR YOUR ACTION COPIES: DATE: DESCRIPTION: 1 3/11110 Final Affidavits REMARKS: COPIES TO: P:\B090000=90113-000-Saints Medlcai Center-Physicians Office Sulte\Construction Admin\Shop Drawing\Meth\Transmittal Cover Sheet 3.1 1.10.doc 41 FARNSWORTH STREET,3`D FLOOR,BOSTON,MA 02210 TEL 617.737,11 1 1 FAX 617.737.4311 WWW.AKFGROUV.COM . ARLI14GTO14-BOSTON•NEW YORK-PHILADELPHIA-PRINCETON,STAMFOR.D•MUICO CITY PLUMBING FINAL AFFIDAVIT Permit No. To the Inspectional Services Department: Re: Saints Medical Center-Physician's Office.Suite,, , _.203 Turnpike Street, North Andover,MA 01845 Ward I certify that engineers under my supervision have observed the work associated with Permit No. ,dated , locus Saints Medical Center - Physician's Office Suite, 203_ Turnpike Street, North Andover, MA 01845, and that to the best of my knowledge, information and belief the work has been done in conformance with the plumbing plans, approved by the Inspectional Services Department and with the provisions of the Massachusetts State Building Code and other pertinent laws and ordinances. Engineer's Name; Richard L.Medairos, PE Zoo" OF �$ RICHARD L. MEDIAIROS Engineer's Registration Number: 3927$ McCHAH1CN. Company Name: AKF Group LLC fON Address: 41 Farnsworth Street, 3rd Floor,Boston, MA 02210 Date: l4 aor'z..) Then personally appeared the above-named Richard L. Medairos, PE and made oath that the above statement by him is true. Before me, ,tq�lplkl Pete U,I�I�,,l/, 4ga�g4a,'f�a O Afl, 40 t :� T0,0 m: y Public S Jy: Air My Commission expires: r ••;',Atli AgO,, �° ,TgRY [' March 26, 2015 1 HVAC FINAL AFFIDAVIT Permit No. To the Inspectional Services Department: Re: Saints Medical Center-Physician's Office Suite, 203 Turnpike Street, North Andover MA 01845 Ward I certify that engineers under my supervision have observed the work associated with Permit No. ,dated , locus Saints Medical Center...-Physician's Office Suite 203 Turnpike Street,North Andover,MA 0I845,and that to the best of my knowledge, information and belief the work has bcen done in conformance with the HVAC plans approved by the Inspectional Services Department and with the provisions of the Massachusetts State Building Code and other pertinent laws and ordinances. "OF AMS �� sq�y Engineer's Name: Richard L.Medairos,PE MEDAiROS tcc��D MECWAMCAL t�0.39278JEngineer's Registration Number: 39278 4 � N t Company Name: AKF Group LLC Address: 41 Farnsworth Street, 3rd Floor,Boston, MA 02210 Date: t-'4�r-2;'t // , 0?w/0 Then personally appeared the above-named Richard L. Medairos and made oath that the above statement by him is true. Before m� c *1p11111alret ,#0. i ay. My C 11 7mission expires: ep �ff�TgRY•Pv �� March 26, 2015 ff�liflll 11 11 lllii ELECTRICAL FINAL AFFIDAVIT Permit No. To the Inspectional Services Department: Re: Saints Medical Center- Physician's Office Suite, 203 Turnpike Street North Andover MA 01845 Ward I certify that engineers under my supervision have observed the work associated with Permit No. ,dated , locus Saints Medical Center - Physician's Office Suite 203 Turnpike Street, North Andover, MA 01845, that to the best of my knowledge, information and belief the work has been done in conformance with the electrical plans approved by the Inspectional Services Department and with the provisions of the Massachusetts State Building Code and other pertinent laws and ordinances. Engineer's Name: Brian M.Mulkerrin,PE $lIULI<FRR4i�l � �,�b9 ELECTRICAL a Engineer's Registration Number: 46852 9 ty �ut3�2�°,� Company Name: AKF Group LLC Address: 41 Farnsworth Street, 3rd Floor,Boston, MA 02210 Date: Then personally appeared the above-named Brian M.Mulkerrin PE and made oath that the above statement by him is true. Be re me, ��`k{1it111H1111///j' ', MVV i �Q'I/4*AG CH ,'A®� ataty Public en = rf1 My Commission expires: cr March 26,2015 11/1/I1111111Ny11 FUNDAMENTALS OF FIU/ALARM SYSTEMS 72-33 i FIRE ALARM SYSTEM RECORD OF COMPLETION To be completed by the system installation contractor at lthe time of system acceptance and approval, 1. PROTECTED PROPERTY INFORMATION Name of property: `! rb f B�r Address: Description of property: 4 Occupancy type: Name of property representative: Address: Phone: Fax: E-mail: _ Authority having jurisdiction over this property:Nom. . DyIfa Phone' `d r0 Fax: E-mail• 2, FIRE ALARM SYSTEM INSTALLATION,SERVICE,AN TESTING INFORMATION ' i r r Installation contractor for this equipment:_ ( G<Gr F f E GT- .-c, (�J t t �+r I Address: 17 f/UC. Phone: ,7' Fax= �ol'�� C y�D E-mail: Service organization for this equipment: Address: Phone: Fax: E-mail: Location of as-built dr6mings; Location of historical test reports: Location of system ope•ation and maintenance manuals: A contract for test and inspection in accordance wiith��NFPA standards is in effect as of Contracted testing colPany:! i� l�l6 tf 'fir• i_ � � a.°L11 D Address:: 1-.. 0 Phone: 6 r 7:— Fax: E-mail- Contract expires: c Contract number: Frequency of routing inspections: 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE NPPA 72 Chapter Refe ence of System Type: Name of organization r,ceiving alarm signals with phone numbers(if applicable): Alarm: EZ `^r✓T e Phone; �2�66 Supervisory; i Phone' T � I yLI7 Phone: Trouble: Entity to which alarms aro retransmitted; Phone: Method of retransmilssion of alarms to that organization or location: F NFPA 72(p.i of 5) 0 2007 National Fire Ptoiection association FCGUItI 4,5.2,I Record odCornpledon. I ' :I 2007 Edition 0111 4 I I 72-34 NATIONAL FIRE ALARM CODE 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE (continued) If Chaptteey 8,note the means of transmission from the protected premises to the central station: 04,61gitaf alarm communicator ❑ McCulloh ❑ Multiplex ❑ 2-way radio ❑ 1-way radio ❑ NIA If Chapter 9,note the type of connection: ❑ Local energy ❑ Shunt ❑ N/A 3.1 System Software Operating system(executive)software revision level: Site-specific software revision date: Revision completed by: 4, SIGNALING LINE CIRCUITS Characteristics of signdling line circuits connected to this system(see.NFPA 72, Table 6.6.1): Quantity: Style: Z' Class: t I 5. ALARM-INITIATING DEVICES AND CIRCUITS Characteristics of initiating device circuits connected to this system (see NFPA 72, Table 6.5): quantity:Y: �.._ Style: Class: 5.1 Manual Initiating 6evlces 5.1.1 Manual Pull Stal!ions Number of manual pull stations: Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ NIA 1 5.2 Automatic Initiatl g Devices 5.2.I Area Smoke Det etors Number of smoke detectors: Type of coverage: omplete area ❑ Partial area ❑ Nonrequired partial area ❑ N/A Type of devices: dressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ NIA Type of smoke detector pensing technology: ❑ Ionization Photoelectric 5,2,2 Duct Smoke Detectors Number of duct smoke detectors: Type of coverage: Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A Type of smoke detector sensing technology: ❑ Ionization R Photoelectric 5.2,3 Heat Detectors i Number of heat detectors: Type of coverage: ❑ dompiete area ❑ Partial area ❑ Nonrequirad partial area ❑ N/A Type of devices: ❑ Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ NIA 5,2A Sprinkler Waterf ow Detectors Number of waterflow detectors: Type of devices ❑ Ad ressable 0 Conventional Ll Coded ❑ Transmitter ❑ NIA 6.2.5 Alarm Verification Number of devices subject to alarm verification: Alarm verification on this system is: 0 Enabled ❑ Disabled ❑ Set for seconds 0 2007 National Fire protection Assocfallon NFPA 72(p.2 of 5) lr'IGURE 4.5.2.1 Continued i 2007 Edition f v f 72_36 NATIONAL FIRE ALARM I CODE 1 i i 8. ALARM NOTIFICATION DEVICES AND CIRCUITS(continued) 8.4 Types and Quantliles of Nonvoice Notification Appliances Installed Bells: _ ___ With visual device:— Horns; _ With visual device: Chimes: w—� With visual device: — Bells: With visual device: Visual devices without audible devices; Other(describe): 9. EMERGENCY CONTROL FUNCTIONS ACTIVATED 0 Hold-open door releasing devices O Smoke management or smoke control 0 Door unlocking ' 0 Elevator recall Q Other 10. SYSTEM POWER SUPPLY 10,1 primary Power Nominal voltage Amps Overcurrent protection: Type Amps Location(of primary supply panelboard); Disconnecting means location: 10,2 Secondary Power Location: Type: Nominal voltage: Current rating; Number of standby ba'teries: Amp hour rating: Location of emergency enerator: Location of fuel storag Calculated capacity of econdary power to drive the system In standby mode: In alarm mode: 11, RECORD OF SYSTE INSTALLATION Fill out after all install tion is complete and wiring has been checked for opens,shorts,ground faults,and improper branching,but before c nducting operational acceptance tests. The system has been i p stalled in accordance with the following NFPA standards:(Note any or all that apply.) 0 NFPA 72 © NFPA 70,National Electrical Cade,Article 760 0 Manufacturer's published instructions 0 Other(please specify): 'System deviations from referenced NFPA standards: Signed: Printed name: Date: Organization: Title: Phone: 12. RECORD OF SYSTE OPERATION All operational feature and functions of this system were tested by or in the presence of the signer shown below,on the date shown below,�nd were found to be operating properly in accordance with the requirements of: FYNFPA 72 1 0 NFPA 70,National Electrical Code,Article 760 © Manufacturer's pub fished instructions 0 Other(please specify): 0 Documentation in a cordance with Inspection and Testing Form(Figure 10.6.2,3)is attached Signed: Printed name: / Date: Organization: Title: Phone: 0 2007 National Fire protection Assoelalion — NFPA 72(p.4 of 6) RGURB 4.5.2.1 Continued t 2007 Edition i s FUNDAMENTALS OF FIRE ALARM SYSTEMS 72-37 13. CIrRTIFICATIONS+AND APPROVALS 13.1 System Installation Contractor This sy4-M specil` herein has been installed and tested according to all N fPA standards cited herein. Signed Printed name J t' f� { Date -a 6 Organization; Title: l✓ � PhonZherein.: 13.2 System Service Contractor This system as specified herein has been installed and tested according to all NFPA standards ci Signed: Printed name: Date: Organization: Title: Phone: 13.3 Central Station This system as specified herein will be monitored according to all NFPA standards cited herein, i I Signed: i Prnted name: • Date: Organization: i Title; Phone: 13.4 Property Rep esentative I accept this system s having been installed and tested to its specifications and all NFPA standards cited herein, Signed' Printed name., Date: Organization: I Title: Phone: 13.5 Authority Hav ng Jurisdiction I have witnessed a s isfactory acceptance test of this system and find it to be installed and operating properly in accordance with it approved plans and specifications,its approved sequence of operations,and with all NPA standards cited herei . Signed: t Printed name: Date: Organization: Title: Phone: i i ®2007 Nattonaf Fire Protection A�Sodation NFPA 72(p,5 of 5) FIGURE 4.5.2.1 Continued i ��''e'� 2007 Edition s;,� F Inspection Report APA Protect lve Systems 200 High Street, Boston,Ma,02110 Tel,617-772-5900 Subscriber �, Date =2 1 6 / p Page of L. Address 10 U —� City Inspector 4 l L Number Zip inspector 42 r,a Number City Official i Time In: 6 Time Out: Total Time: Contract Number Lt�:f Box Number Panel Location L• CSli: Control!Manufacturer Number of Zones: Model# D-0 Software Rev. Battery Size Power CKT.Brkr Location Lacked+Mrkd Dedicated CKT °/a Devices Tested Under Load �_ Source G/ e n e iVa c No Condition of panel on Arrival: p Z City C ntral Station: Annunciator Location: /l Y Regular Acceptance Connection t s No INSPECTION INTERVALS f Take Over/ 100% Yes o Local FRC e-Acceptanc MP Manual Pull Station PW Protective Wire ANN Annunciator N o SSD Svstem Smoke Detector RR Rate/Rlse 131I1. Bell Horn Lights DSD Duct Smoke Detector TD Tamper Device CSC Central Station Conn. LSD Local Smoke Detector DA Dry Air Pressure Cl3 City Box Conn. HD Heal Detector FPP Firc'Pump Power LA local Alarm WWF Wet Water Flow FPR Fire Pump Running FR Elevator Recall DWF Dry Water Floc SP Sump Pump FC Fire Control Panel PAWF PreAction Water Flo", RT Room Temp S1'QY, Sland By Power FD Flame Detector FT Freezer Temp \ Other OSB Out Side Beacon PH Fire Phone Failures and System Deviation from NFPA Standards. List Details. X Customer Signature Date Devices Tested Name: Address: n of Page ` 2 t Device Location Condition vice Location Condition i L S 41 3 3 S' L c7 ss� L 3 ,,, 3 i_13 ::1? �S 1 S x J O 5 -3- C s ti ,5l L p �J t 3 Sp d t, �►(, ` 30 } 4 i ; I PI Z 612 3),2 Z Sr>1 F7t. 3 s v-u �- 3 "r� vY►s / v 3p 3 t .tea v 3� Qr.L t v 3 'S7- S t S L.)rPt c.' l 1 3Alt V S s L� / Q Z, EY61M Zen-I3 cJ a 5 p � 33-1. pa L '33 c 33 Z 7 Note : All normal conditions mark 4K any Trouble will be indicated with APPLICATION AND CERTIFICATE FOR PAYMENT A!A DOCUMENT G702 PAGE 1 -------------- TO: Saints Medical Center PROJECT: SMC NA Phys Off 3rd Flr ,Application 7 One Hospital Drive One Hospital Drive Lowell MA 01852-1311 Lowell MA 01852-1311 Period 04/15/2010 Project No. 9115 ARCHITECT'S FROM:J•K. Blackstone Construction Corp. VIA ARCHITECT: PROJECT NO: 83251.00 40 L Street Boston MA 02127 CONTRACT DATE: CONTRACT FOR: SMC NA Phys Off 3rd Fir CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment,as shown below,in connection with the Contract Continuation Sheet,AIA Document G703, is attached. CHANGE ORDER SUMMARY Change Orders approved ADDITIONS DEDUCTIONS The present status of the account for this Contract is as follows: in previous months by Owner ORIGINAL CONTRACT SUM: $510,400.00 TOTAL Net Change by Change Orders: $1,846.40 Approved this month Number Date Approved REVISED CONTRACT SUM TO DATE: $512,246.40 TOTAL COMPLETED AND STORED TO DATE: $512,246.40 (Column G on G703) RETAINAGE 5.00 % $0.00 TOTALS TOTAL EARNED LESS RETAINAGE $512,246.40 NET CHANGE BY CHANGE ORDERS $1,846. LESS PREVIOUS CERTIFICATES FOR PAYMENT $4.87 476 40 The undersigned Contractor certifies that to the best of his knowledge,information and CURRENT PAYMENT DUE $24,770.00 belief the work covered by this Application for Payment has been complete in BALANCE TO FINISH, INCLUDING RETAINAG accordance with the Contract Documents,that all amounts have been paid by him for L.ZONA Work for which previous Certificates for Payment shown here is now due. State of Massachuse County f S c Subscribed and afore me this ��"f f2010 o ; Notary Public: Go?rmXnon�we*thofsactiusetts My Commission Expires Contractor:/ y� �Dater /� My commissi ex I s: �✓?. / f s ARCHITECT'S CERTIFICATE FOR PAYMENT AMOUNT CERTIFIED.................................................................. (Attach explanation if amount certified differs from the amount applied for) In accordance with the Contract Documents,based on on-site observation and the data ARCHITECT: comprising the above application,the Architect certifies to the Owner that the Work has progressed to the point indicated;that to the best of his knowledge, information and belief, By: Date: the quality of the Work is in accordance with the Contract Documents and that the Contractor is entitled to payment of the AMOUNT CERTIFIED. This certificate is not negotiable_The AMOUNT CERTIFIED is payable only to the Contractor named herein_Issuance,payment and acceptance of payment are without prejudice to all rights of the Owner or Contractor under this Contract. CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 AIA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractors APPLICATION NUMBER: 7 signed Certification is attached. APPLICATION DATE: 04/15/2010 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: Use column 1on Contracts where variable retainage for line items may apply_ ARCHITECT'S PROJECT NO: 83251.00 Description of Work Scheduled Changes Contract Previous Current Comp. Stored Mat. Total Comp. % Balance Retained General Conditions 27,500.00 27,500.00 27,500.00 27,500.00 100.00 Engineering 20,000.00 20,000.00 20,000.00 20,000.00 100.00 Millwork 47,700.00 47,700.00 47,700.00 47,700.00 100.00 Rough Carpentry 1,300.00 1,300.00 1,300.00 1,300.00 100.00 Sealants 700.00 700.00 700.00 700.00 100.00 Doors-Frames&Hardware 30,600.00 30,600.00 30,600.00 30,600.00 100.00 Glass&Glazing 8,600.00 8,600.00 8,600.00 8,600.00 100.00 Gypsum Drywall 37,000.00 37,000.00 37,000.00 37,000.00 100.00 Resilient Flooring 27,000.00 27,000.00 27,000.00 27,000.00 100.00 Floor Preparation 2,400.00 2,400.00 2,400.00 2,400.00 100.00 Acoustical Ceilings 15,000.00 15,000.00 15,000.00 15,000,00 100.00 Painting 8,500.00 8,500.00 8,500.00 8,500.00 100.00 Specialties 1,000.00 1,000.00 1,000.00 1,000.00 100.00 Window Treatment 2,900.00 2,900.00 2,900.00 2,900,00 100.00 Plumbing 53,400.00 53,400.00 53,400.00 53,400.00 100.00 HVAC 97,300.00 97,300.00 97,300.00 97,300.00 100.00 Testing&Balancing 1,200.00 1,200.00 1,200,00 1,200.00 100.00 Electrical 69,800.00 69,800.00 69,800.00 69,800.00 100.00 Contingency 15,000.00 -15,000.00 100.00 Building Permit 6,000.00 6,000.00 6,000.00 6,000.00 100.00 Overhead&Profit 37,500.00 37,500.00 37,500.00 37,500.00 100.00 Change Order#1 5,934.50 5,934.50 5,934.50 5,934.50 100.00 Change Order#2 478.50 478.50 478.50 478.50 100.00 Change Order#3 3,853.30 3,853.30 3,853.30 3,853.30 100.00 Change Order#4 3,145.90 3,145.90 3,145.90 3,145.90 100.00 Change Order#5 2,884.20 2,884.20 2,884.20 2,884.20 100.00 Change Order#6 550.00 550.00 550.00 550.00 100.00 Totals: 510,400.00 1,846.40 512,246.40 512,246.40 512,246.40 100.00 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.si00-$1000 fine NOTES and DATA-- (For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2009 S� MASSACHUSETTS UN IFORM ORM APPLICATION FOR PERMIT TO DO PLUNKING City/Town' �et ... MA. Date:— � ��CJ� 1'ermEt## Building Location: ( tke S' Owners Name:S/}0078, ''hcdLc'i C--._r8nJ7.., Type of Occupancy: Commercial ® Educatlonal ❑ Industriat•E] Institutional ❑ Residential❑ New: Alte:ratlon: ❑ Renovatlon: RE RePlacement: ❑ Plans Submitted: Yes❑ I`lo ❑ FIXTURES 17 7 N i v) cn e�i w 0 In X to o aA t' tt O Q-Y '¢ = w w n. N h 'U < O o. 7 a to 1-- 1-- Itl d 4 0 0 0 Q d Q j d m m a u. U �t t to cn 1- O I SUB 13SMT. - -BASEMENT FFT 9 FLOOR 2 FLOO♦Z cj j 3 FLOOR FLOOR 5 IAOR - - 6 FLOOR 7 FLOOR _ 8 FLOOR �l^ CneGK Ono Only Certificate#� Installlnc3 Company Name:AP i �OELG & HTG T.��_�- � 3046C KX Corporation Addross:l SHATTUCK ST PO BOX 466 City/Town:IAW ENCE State: MA ❑Partnership Business TM:978-688�-1755 Fax: 978-683-5933 ❑ Firm/Company Name of Llcensed Plumber: Robert M. Demers Jr. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial Aquivalnnt which meets the rerltiir•ements of A4t;i.. ^ll. 147 Yeses No❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A Ilabllity Insurance policy Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:t am aware that the licensee dons not Have the insurance coverage required by Chapter 142 of the Massachusetts General laws, and that my signature on this permit appltcation waives this requironiont. Cheep One Only Owner ❑ Agent ❑ Signature of Owner or Owner's A ent 1 hereby certify that ail of the details and information t Nave sunmittea(or en€ereq regarding this application are true and accurate to the hest or my Knvwledgo And that nil piumhing work and Instaflntlons performed underthe permit issued for thts application will tie In compliance with nil Pertlnent provision of tl►e Massachusetts Gtote Plumbing Code and Chapter 142 of -Gerterol Laws. By Type of License: -_---cam Title ❑ Plumper F-"c ature 2 of Licensed Plumber City/Town Master9737 ar+n»nvt=n mrrlrr i mp C�,Lv, []Journeymannsc! l�lttmher: ... . . ------------ -- - A._C4RD. CERTIFICATE OF LIABILITY INSURANCE OPm 1r� DATE:{MNJODFYYYY) PRODUCER I►POT,L 1 lx 24 08 THIS CF.FtTlFlCATl;IS ISSUED AS A MATTER OF INFORMATION Roblin Insurance Agency, NLY AND CONFERS NO RIGHTS UPON THIr CERTIFICATE g Y Inc.Ina. I IOLDCR.THIS CERTIFICATE DOES NOT AMEND,CXTEND OR 144 Gould Street, suite x00 ALTER THE COVCRAGE AFFORD170 13YTHr POLICIES DELOW. Needham MIL 024942321 Phonet781-455-0700 Paxt781-449-8976 INSURERS AFFORDING COVERAGE NAICN INSURED INSURE RA: 9alsol tvo Insurane� [�o of Aar 12572 Apollo Plumbing & Heating, Inc INSURERD: _ _ _ Robert Demers INSURERC: P.0, Box 466 Lawranco Mh 0104 2-096 G .._, . . .. ".... .,.,.,.. ..,,,�............. INSUR4:R R, COVERAOSS, IIit'Wit ICirAOP III ^RANT!'I III IrI11,1'1(1+;,HAV['141 It,l'�tq 1 I)TO II11' 1111'Malt IVY IIt'I'WA)PIt-11!AT 1.0.!Ir 115"11111".rAlll'It ANY 14CUUIIFLAIL'NT,ICIW OR C01111111U11 UI'ANY CUN I NAC F Olt U I1tClt t"ULN:I l l WI I'l i liCtsl'I:+ 110 WI101 TIlIS CLltl ll'ICAl t MAY lsL'IS•Wt U Olt ANY PCRTAIN,THE INSURANCE AFFORDED RY Ti IE PO1.ICif:S Ocomm ED I ICRCIN 19 SUBJECT TO AtL TIIC TERMS,EXCLUSIONS AND CONDITIONS OF SUCI I POLICIES.AUGREOATE L1M113 Sl IOWN MAV I IAVI_BEEN RfDuCrp sty PAID CLAIMS, �._. _. _.. _.I PZZTIrcr'r1'P-'A -Az i�til:t'r Y r RniR7lYlnfl�— " __. _............. ._... ... ..._ .. ..__ LIN 1N it{D YYI'E OF IN i' POLICY NIIMDCit I 11�\lf:ih+AUllEiIYY DAII? 1rSnt+llt i'/Y WHITS GENERAL LIABILITY EACH OCCURRENCE $ 10 00 0 0 0 _.r.._..._....--'..---.,,_ IL X COMMERCIAL Gra£RALLIAoaITY S 1Q4gA21 01/01/09 01/01/10 '1)AMA13FT0-RGNIfif}PHEMISES 41:11 lanca $ 100000 CLAIMS MADE FX OCCUR M_ED_GXP_(My one parson) $ 10 0 0 0 PCRSONAL&ADVINjuRY $ 3.000000 _.__.�.. .__.._ OrNERALAGGREGATE S 3000000 C1EN L AGCHCOATie LIA11T APPLH S PER; PRODUCTS•COMPIOP AGO $ 3 0 0 0 0 0 0 POLICY 51%oi 11LOC AUTOMOBILE LIABILITY COMRINED SINGLE LIMIT $ 10 00 0 0 0 A ANY AUTO A 9091247 01/01/09 01/01/1.0 (Raaccidenl) ALL OWNED AUTOS 1 BODILY INJURY' S X SCHEDtKE-OAUTOS (Pe(person) H16EO AUTOS BODILY INJURY S NON-OWNED AUTOS {Pe(accident) -- PROPERTY DAMAGE _ (Pet attidenl) GARAGE;LIABILITY AUTO ONLY•EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY; AGO S EXCESSIUMBRELLALIABILITY EACH OCCURRIINCII S 5000000 A occuR F]CIAIAISMM)r DINDRRa1040021 01/01/09 O1/O1/10 AGGREGATE s DEDUCTIBLE S X RETENTION $ S WORKERS COMPENSATION AND ' ' _ EMPLOYERS'LIABILITY �,TORYLiMI7S ER' A ANY PROPHIETORWARTHrIVEXECUTWE WC 72G4102 61/0i/09 01/01/10 1:1.VACHACCIDI•NT $ 500000 _ OFFICE11IMEMBCH[XCLUOr1Y/ E.L.DISEASE.•VA EMPLOYEE $_50 0 0 0 0 Ifyn L PROVISIONS below a under S IAAL PR E.L.DISEASI:•POLICY LIMIT S 5 0 0 0 0 0 PEC OTHER DESCRIP110N OF OPERATIONS I LOCAI IONS I V$HICLCS I EXCLUSIONS ARIICU UY CNUORSEMCNT I SPECIAL PROVISIONS Issued as evidence of Insurance. CERTIFICATE BOLDER CANCELLATION Avian SHOULD ANY OF THE ABOVE DESCRIBCD POLICIES BE CANCELLED DEFORE THE EXPIRATION DATE TNrREOP.TNC IsSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTlcv TO THE ceftwscATI HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR RE ` I ACOR❑25(2004108) 0 ACORD CORPORATION 40FtA �� _ C nmulanrunnCr;�r o� �aerrcitueeff� f)fl�cial lJ,e t)n#y Permit No. / 0 BOARD OF FIRE PREVENTION REGULATIONS [ROccupancy and Fee Checked cY. 1107� (tc.tvc t�lank} APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he pertnrnted in necordancc xvith the Massachusetts F'lectricaI Cndc(MFC). 527 C\4R 12.0O (PLEASE PRIAIT hV IAIK OR TYPE ,ILL INl'ORjl,//l I'IM) Date: City or Town of: To l C L6.1` ife Ifa,S�)c�clor n f'IJ�if e,r: BY this aPplicatiola the undersigned gives itotice of his or her intentiatt to perfor€n the electr-ical work described below. LOc•alian (Street & Number) Owner of Tenant , . Owaaer's Address 91 y r: ... c epltone No. < l..i'? f1 � Is this permit in conjunction with a building permit? Ves " No ❑ (Check Aplrt'apriate Box) Purpose of Building Utility Authorizadou No, Existing Service Amps ! Volts Overhead ❑ Undgrd ❑ No.of itetel•s New Service Atatps / Volts Overhead ❑ Ulld91-d ❑ No, of Nleters Numbe!•of 1'eedel's and Ampacity Location and Nature of Pa•oposed Electrical Wort(: r Complerion njlhe jnlloti•irr 1aGfe rxrry he ti crfred fay the fu.c sec for njff'ires, 1`0. of RecessedLumiltaires No.of Ceil,-Susll.(Paddle)T ntrs No,of 'Total "I't•ansfoa'me!'s KVA I - of Luminaire Outlets No. of Hot`I'tabs Celterators ICVA No. of Luminai!•cs r\hove In- ❑ <!nelgency ag atang Swimming Pool rtu1. rncl. Battery Units No,of Receptacle Outlets No.of Otl E3urncls FIRE ALARMS No.of Zones YYY "` ❑ No.of Switelles No. of Gas Burnet•s �'n,of Detection and 1111(lating Devices F No. of Ranges No, of Air Cortd. Total Tons No.of Ale€•ting Devices No. of Waste Disl)oscr•s Heat Purn t \tarnber Toaas....... ICl1........... No.of Self Container! Totals; Detection/Alertin Devices No.of Dishwashers Space/Area I-Ieating ICW Local❑ ivlunleapai Connection Ll Otlacr No.of Dryet•s heating Applialtces 1(w Security Systems:x } r No. of Watca• , Nn. of No.of beviecs oa E uivalcut Resters 1{N� �'o. of Data 1Viring: Si us I3sllasts No. of Devices or Ec uivaleltt i\a. Hy(laarm assagc Bathtubs Na, of tiiafnrs Total FIP Telecom anunications 1�ririatg: Devices or Erluivaleut OTHER: ----------------------------------------------------- J rtttnc•Ir errldilinrrnl deuril ijdcsrred, or nc reynrrsri ht+llr,hripccrnr nJ it rre.r. Estimated Valise of EEecn ica] 1lrork: ' ; (When requit eel h} municipal policy,) Work to Start: ;r "' Inspections to be requested in accordance with yIEC Rule 10, and upon contpletiott, INSURANCE C01rERAG t: Unless waived by tite ONN'tter, no permit for the Perforntartce of electrical work may issue unless the licensee 17roYides proof of liability Insn€'ance Including"contpletccl oPer<nion`"covcrat e or its substantial equivalent. "flte tuuler'signed certifies that such coverage is in force,:and has CNhibilcd proof of saute to the hermit issuing office. Cl-IECIC ONL ]NSURANCF [X] BOND ❑ O'fl-IFR ❑ (Specil);.) I eedVv, under the pains and pencdficts ojperjurtP, firm the infiornurlion on this applier don is tare and Complete, I:IR,11 ;NAATE: AMERICAN ,ALARM & COMMUNICATTONS G. LIC. NO.: 1212C Licensee: RICHARD L. SAMPSON Sigu;tture (!%rrpp&ahh•, eruer -exempt-in the lirerrsn nrurrGer line./ I IC. \f3,; �(32D Address: 297 BROADWAY ARLINGTON MA 02474 Bats. Tel. No.7E11-641-2000 kPer X4.G.L. c. ]47. s. 57-6 1, security wort; requires Department of Pu1)1ic Safety "S" I_ice€tse: Alt.L icl \N SS CO 000090 Off`'\'ER'S I VSIiRANCE WAIVER: ] am aware that the Licensee dues nrrt hcn,e ilae liability insurance coverage nortttally required by law. By€try signature below, I hereby waive this requirement. I arrt the(check one) ❑ owner ❑owner`s arent, Owtaea•/Agent Signatlat c Telephone No. PEIt'111IT FTE. $ MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING _ w CitylTown: C� C'.� , MA. Date: P -AA '-0'1 Permito Building Location,20 �� 5T Owners Name: k Type of Occupancy: Commerclaill Educational ❑ Industrlat-❑ institutional ❑ Residential❑ New:6 Alteratlon: ❑ Renovation: Replacement: ❑ Plans Submitted: Yes❑ No ❑ FIXTURES z _r td VJ z W o CD aW z o x o rn 12 ¢ >_u o o ,a � a z rt Y x o o I— x ¢ tL a W ¢ z ttl W w W - - U i p 0 I- 'U ? O O p z t- t- d a:� m � m u. U � Y `.� QJ + SUB 135MT. BASEMENT — - 1 FLOOR z FLOOR a FLOOR i FLOOR LOOR _ — 5"FLOOR - S FLOOR 7 FLOOR _ 8 FLOOR � Installing company Name:APa O PLG & HTG I kC�_ __ C:tlecK One Only Certificate__ �Corporation 3046C Addross.l_SMTRJCK ST PO BOX 466 City/Town:LAWRENCE State; MA ❑ Partnership Business Tel:978-688-1755 Fay,:978-683-5933 ❑I"irmlCompany Name of licensed Plumber: Robert M. Demers Jr. INSURANCE COVERAGE: I have a current liability in uranco policy or its,substantial orpiivalent which meths the rerjitirernents of Ajrl., t;,i, 142 Yeses No❑ .If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A Ilabllity Insurance policy Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of tho Massachusetts Gonoral Laws, and that my signature on this permit application waives this roquiromant. Check One Only ❑ Signature of Owner or Owner's A eat Owner Agent El t hereby certiry that ali of the details and inrormation t have submitted(nr entered)regarding this application are true acid accurate to the best of my Knowledge rind thet all plumbing worts and InsttdInttons performed under the permit issued for(tits npplicntion will tie in compliance with ,It Pertinent provision or toe massuchuse:tta shade Plumbing Code and Chapter 142 of the General Laws. By Type of License: Title _ ❑Plumber nature of Llc ;n d Plumber c;►yrroW„ Master License Number; 9737 [=}Journeyman nnnnr»rEL��nFrlrr:ii��g�Lvti �,,. i �4_C._ORD„ CERTIFICATE OF LIABILITY INSURANCE al�Ip �, DATE(MIVDDIYYYY) PRODUCER Apont 1 12 24 08 THIS CFRTIFICATE IS ISSUCD AS A MATTER OF INFORMATION Roblin Iutl"nce Age enG , Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATr. Y BOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 144 Gould Street, Suite 100 ALTER THE COVERAGE AFFORDED BYTHE POLICIES r�r_LOW. Needham Xh 024942321 Phone'I 81-455-0700 Pax1781-449-8976 INSUI2CRSAFFORDING COVRFtAGF NAM fl INSURED .__..«_ _^ INSURER A. erlrgk lvr Insurance Cb at k.rr 12 57 2 A�]O�aO Plumbing & Heating, INSURERO: Robexl+ Demers. INSURCRC: P,O, Box 466 Lawrence Mh 0104 2-0 9 6 G »._, . ... . ,....... _.. . ..v, .._.,,.»..»�. iNSURER E; COVERAGES. TIIi Ell Mirnoil itinuRAIHIr I w Irl1 CI'1!nt."firm,it,111I".:If111 T11 1111'II141.IIVI'D 11AI.q'I1 AN I'01'IlIII felt If;Y 1'1'Tfl6Mi PII+If.AtHT.tkf MVA1tW.I.•111 N111 AIIY RCUUINL'WNT,11(1(At Olt 4UItUI LION US'ANY C014I NAUT UR U I I ICI L"UI,11:ttI Will I lirtii'W I,1 O WI OCII TI113 CLi(I II!ICAI E MAY 14:IS'WLt)Vit MAY KUTAIN,THC INSURANCF WOSOCD RY TIM POLICIES DESCRIBCD HEREIN IS SUBJECT TI)AL! TI IC TCRMF,,EXCLUSIONS AND CONDITIONS OF SUCII POLICIES.A00REOATt:LIMITS SI IOWN MIAY ItAVC prC-N RCDUCCD Sly PAID CLAIMS. INS1VAOD'U'- . _.___. �._... ... "L. ... ._, «_..... _.. ............. ...._ LIRIIvtiklU TYI�EOPIN'3UIfAN48 POLICYNl1MDt?l1 �Pt11lf5flrtFf'C1i1/t!�rinl:TdYFV01n71Y1t)ti'" 0A1R MMlIIIj1YY I)A11; ht"W10V LIMITS GENERAL LlAflILtTY CACR OCCURRENCE S 3.000000 Is 01./O1/Oa01/O /10 -DAMAUE:TWnEN1r1r X COMMCRCIALCENCRALLIABILITY S 1840821 PtMisC�eaoceme s100000 . _ CLAI MS MADE X 1 OCCUR MF.D EXP(My one Pe_tson) $10 0 0 0 flERSONALAAOVINJURY s 1000000 --- AGGREGATE. s 3000000 GEN'L AGGREOATI:LIMIT APPLIES PER; PRODUCTS•COMPIOP AGO s 3 0 00 OOO POLICY ,PfiRa LOC __._._. ._ AUTOMOWLE LIAWLITY - COMPINEDSINGLELIMIT $ 1000000 A ANY AUTO A 9091247 07./03.%09 O1/bi/3.0 (raatddenl) ALL OWNED AUTOS X SCHEI M50 AUTOS AIOD INJURY, s 1116EDAUTOB � BODILY INJURY s NON.OWNEO AUTOS (Per atttdeni) PROPERTY DAMAGE! s (Per student) GARAGE ItABILITY AUTO ONLY.EA ACCIDENT s ANY AUTO OTHER THAN LTA ACC S AUTO ONLY; AGO ; _— r EXCISSA►MBRELLALIAt11LtTY EACIIOCCURRCNCE s 5000000 J1 OCCUR 1 ]CtAWSMADE! TIXNDRRS1040II21 01/01/09 . O1/01/10 AcaREQnTr: s �" RDEDUCTtBLE $ X -RITTENTiON s _ WORKERS COMPENSATION AND TO ANY RV GMPLOYERS'ttASILITY ._ �IMi13 EIt A WC 72641ti2 01/01/09 01/OX/10 E.L.EACRACCIDENT s 500000 PFtOPRIETORIPARTNERIEXF.CUTNE _ OFFICERIMEMRER EXCLUD1211Y E.E.DI5EASE•PA EMPLOYEE s Iyer,df►slxibamnder DISEASE: 500,000 OTHERLPRpVISIONSbelaw " E.L.DISEASE-POLICY LIMIT i 500000 oT11eR DESCRIPTION OF OPERA(IONS I LOCA)IONS,!VOIICLeSIEACLUSIONS ADDED BY LHIJOI/5I:MI:t1T I SPECIAL PROVISIONS Issued as evidence of xnsuranae. CERTIFICATE HOLDER i CANCELLATION \VXCI3.1: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE THE EXPIRATION 6ATE TIirnEOF,Ts IS!ISSUiNQ INSURER WILL ENDEAVOR TO MAZE. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,OUT FAILURE TO DO SO SHALL IMPOSE NO ODLIQATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AaENTS OR i . 1 E ACOR(]25(2001100) 0 ACORD CORPORATION 1gRF1 ti l Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. � i BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Rev.9/05 Leave Blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perforined in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12,00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9/25/2009 City or Town of: North Andover To the Inspector of Wires By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 203 Turnpike Street Owner or Tenant Saints Medical Center Telephone No. 978-934-8282 Owner's Address I Hospital Drive Lowell,MA Is this permit in conjunction with a building permit? Yes ❑X No ❑ (Check Appropriate Box) Purpose of Building Medical Offices/Exam Rooms Utility Authorization No. Existing Service 600 Amps 120 / 208 Volts Overhead ❑ Undgrd. No.of Meters 8 New Service 600 Amps 120 / 208 Volts Overhead ❑ Undgrd. No.of Meters 1 Number of Feeders and Ampacity 1-600A and 4-200A Location and Nature of Proposed Work 2nd floor fitout for lighting,power,FA,Nurse Call,and Sound Completion of the b ving!able may he it°nived L the Ifrs eclor o [mires. No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No. of Total KVA No of Lighting Outlets No, of Hot Tubs Generators KVA No.of Lighting Fixtures 312 Swimming Pool Above ❑ In- ❑ No. of Emergency Lighting Grnd. Grnd. nsttery I In IN, No.of Receptacle Outlets 206 No. of Oil Burners FIRE ALARMS No. of Zones No of Switches 48 No. of Gas Burners No.of Detection and 70 Iniflatinty Devices No.of ranges No.of Air Cond. Total Tons No of Alerting Devices 48 No of Waste Disposers Heat Pump Numb er Tons KW No,of Self-Contained CIIM No,of Dishwashers Space/Area Heating KW Loca AU111cipal X other Connection No.of Dryers Heating Appliances KW Security Systems No.of Devices No.of Water KW No. of Signs No.of Data Wiring No, of Devices or fbo No. Hydroniassage No. of Motors Total HP Telecommunications Wiring No. fbo e Rathfigh.qOther !lac r additional etai 1fdesired.or as required by tile Trispector o ices Estimated Value of Electrical Work: $150,000 (When required by municipal policy.) Work to Start 9/25/2009 Inspections to be requested in accordance with MEC Rule 10,and upon completion. Insurance Coverage: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent, The undersigned certifies that such coverage is in force,and has exhibited proof of same to permit issuing office, CHECK ONE: INSURANCE N BOND ❑ OTHER ❑ (Specify:) Ju!X 2010 (Expiration ate I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Crocker Electrical Comparty Inc, LIC.NO.: A 20493 Licensee: Kevin Taber Signature LIC.NO.: A 20493 (If applicable, enter "exempt"in the license number line) Bus.Tel,No.: 617-773-1030 Address: 115 Sa amore Street,Quincy,MA 02171 Alt. Tel.No.: 781-500-9457 *Security System Contractor License required for this work; if applicable,enter the licence number here: OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the liability insurance coverage normally required by law, By my signature below,I hereby waive this requirement. I am the (check one) owner ❑ El owner a ent Owner/Agent Si�mature Telephone No, PERMIT FEE: The Commonwealth of Massa(jhusetts _. Department of Industrial Accidents Office of I Investigations 600 Washington Street Boston, AIM 02111 l mm).mass,govIdia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Inforination Please Print Le ibl Name(Business/Organization/Individual): G Addt'ess: S City: 0 1 ne L4 State: Zip code:a Tel.:� Are yov tl etnplayar? enk t:he appropriate bay,: /. Type of project(rtquire#' a•entployar with_�� , '`�� ].l asn a gcrrcral enn�act❑r and I CTnplostm(full widlar have..hired the sub-conamm a -s b. 1]4�nw>ommnaiior) 1� I am a salepTnprietor ar partntt� liste an the attacht d shG L 7. R modeling ship•aiid have no mrtP to +ees These sub-nontrac'tgrs have g. ❑Demolition worl;ing for me in any!bapscity,' Mnploy=and have worlcers' Na wQrlim'comp. insurance comp,"imurnnce P. El Building acfditiorc relauired,�.' 5, 0 We are.it corporation imd-its 10.D Bleetrical rt:pstirs ar abdititms 3.❑.I am-a homaoymm doing all work afffic;rs have exercised thoir g 1.1.0 Plumtaing rtpairs ur additions mysatf. .vrnrlecrs' camp, right of Mmmption poT•MGL 12.0 Roof repairs insurance mqulmd,).t n, 152, 1"{4),and:we have na ' employees,•�13o woricars' 13.❑ Other comp,insurance required.] `Any ap-Vicar'thct chtoks he).H} must al-fill attl tho rnotion bt InwshDvd1jg their woT-kar'bompansatian policy information,. 1 Hnmeawnars who,rahrnif this afridnvil'indieaHngihoy•nrc doing all vrorl,and.thtn hire cuuiilc.contremon must cubtnit s now aifidaviindiaatingcuph, lLontrxctorf that check thii hos:muct attaohad nn addiiutmal sheet ahbving the namt+bf the sub contractors and srgte whafhcr or.not 1hau Batt sirs have cmployce SY J:f Ud o inb•eontrvotors have employees,thay must provitin their worltsrs`bump,yoiitry number, 1 am an etnpldy&thai.is providing workers'compensation insurance for pa atiformation, em I3 loyees. aiow is the policy and job site r, y Insurance Company Name; t Policy# or Self-ins.LicJ: E -- / � � :�pirati on Date: i•_„,�_! � JOB SITE ADDRESS City/statozip Attach a copy of the workers' compensation policy declaration page(showing the policy number and expirationi date) Failure to secure coverage as required under Sections 25A ofMGL a 152 can lead to the imposition of criminal penalties of a fine tip to$ 1,500.00 and/or one year imprisonment,as well as civil"pcnalties in the form of a STOP WORK OMER 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-thins and ena ies of perjury that the information provided above is true and correct. Signature: ' T Date: C� Tei. 0fi- I rxsc only, Do naf wrlte in this area,to ba cornplated by ait i or.Yawn official Ole ToRm;' � �� PrrmitlLir enscR lssu ind Author-K)l(circle one l;oa r-d of health 2?.(Buii ding,Depar trrte 3. CiiylTon+n Clerle A. E]eGtr:icsal lnspt rfor S. Plurnbieg.insl eefur CarttactpErson: ity F\TR -Y Phone#: 617-9f1-3�67 ` 1 O:T1f CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number_ 171(911109) Date: December 22 2009 THIS CERTIFIES THAT THE BUILDING LOCATED ON 203 Turn ike St Woman Health Center 2nd Floor MAY BE OCCUPIED AS Tenant Fit UP - Health Center IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Saints Medical Center 203 Turnpike St , North Andover MA 01845 Building Inspector ....... ............ ----------................. ..... ...... .......... .......... ......... ............... IAORTH over_own of ..... .... No. over, Mass.,- 0 COC HI LA ChEW WICICK 0"?A'T E 5 S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System z BUILDING INSPECTOR .... . THIS CERTIFIES THAT ......... ........................... ............... ........ Founda7d ......................... ................. has permission to erect.... ................... buildings ...... '41 ��O- - , -�e� Chimney to be occupied ..................... ... ...... -to *'No.....hig* ........... provided that the person accepting this permit shall in every.respL-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. PLUMBING I INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. fDU h c,�' D PERMIT EXPIRES IN 6 MONTHS 4, ELECTRICAL INSPEC 'It UNLESS CONSTRUCTION STARTS 0 #1,7 .......................................... Service BUILDING INSPECTOR lr-lgi�*r Ig-Z-1 Occupancy Permit Required to Occupy Building GAS INSPECTOk 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. BUILDING PERMIT o'� itb ,b Ayo TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION '' -A �• oR cu�i. .i.x• 1� Permit NO; Date Received . c SAC HUS�� Date Issued: / 0 1� IMPORTANT:Applicant must complete all items on this page LOCATION" Frmt 14 PROPERTY OWNER- a�-�-f Print "MAP NO: PARCEL, ZONING DISTRICT Historic Dstrict yes Machine Shop Village .,yes.. no" TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial , C"Alteratidn No. of units; QCommercia Repair,-replacement Assessory Bldg Ot�iers;-- Demolition Other Septic Well Floodplain Wetlands. Ullatersred District . Water/Sewer �--, DESCRIPTION OF WORK TO BE PREFORMED �.� / J -- Identification PleaNq Type or Prig (,Clearly) ]F: OWNER: Name: J.�fl w� %%�'�� C��,_ o �� Phone: "�"5'f`-- fr " Address: CONTRACTOR Namur � ",; � 1/!,ix! �Pllone /� --.,-. Address: i SaF upervisor's-Construction License. Exp Date. Home Improvement License I*xp. Date. I ARCHITECT/ENGINEER /`.%/ � �•�' :� "�!�' Phane: 6/ Address /_ /�;�r1/ � .� Re N Reg. o i FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125,00 PER S.F. Total Project Cost: $ /' F ` �' FEE: $ -- Check NOTE:NaPersor t acting with unre istered contractors do noit�have acc�e;s a�e �� g guaranty fund ;- Signature of AgentlOwneri -� Sig nature..of.contractor . oq �yoerW TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT ° = d 1600 Osgood Street Building 20 Suite 2-36 n°gATttl TpP 1� i "S$Acaaulwi North Andover, Massachusetts 01845 Telephone(978)688-9545 Gerald A.Brown Fax (978)688-9542 Inspector of Buildings AFFIDAVIT FOR FINAL COST OF CONSTRUCTION In accordance with the provisions o the Massachusetts State Building Code, Article 1, Section 110.4 and 114.2, the total estimated cost of the construction including all related construction costs* of the buildin located at a 1K)c s t f, Noa Amu-, 0I & P4 , amounts to I,h 1ia .i i 0)1.7,W k 1 ,being the person referred to as the owner identified below, do solemnly swear that the statements made herein are strictly true and correct and made in good faith, *Related construction costs included all work done with or concurrently with the work contemplated by the Building Permit including demolition, plumbing, heating, electrical, air conditioning, painting carpentry, landscaping, site improvement, etc. Furnishings and portable equipment are not par the total construction costs. Signature of Owner COMMONWEALTH OF MASSACHUSETTS i ant �$i �EYsI>.k; s.s. t ' CYYIu _r' 1` a 20.�)q . Then personally appeared the able named `I(:° (' '- r �� k and Made an'oath that the above statement is true. �1 CHRISTINE ANN LA ASSE Before, Me, Nolafry Public Ulf COO QF MASRACHUSE"S My Co mmlasion EmOra3at ft.lri J'i P l' tia darnaaxy2l,2o1d ota�lic OFFICIAL USE: Final Cost: Original Estimate cost of general work: -- Cost Difference: Additional Fee Required: ../ �J. . _ TO AMEND FEE UNDER PERMIT NO.: Inspectional services Depailment 2005 pArmalcostaffidavitfomi Strict code e,rforcement makes the loivt7 safer Before buying, ,etrling, 1"ming checkzoraing HOARD OF APPEALS 689-954I CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 088 9535 DiGIORGIO ASSOCIATES INC. BOSTON MAINE VIRGINIA December 21, 2009 PLANNING Mr, Gerald Butler APO111EC:TURL Inspector of Buildings ENCINtERING Town of North Andover INTERIOR DFS,16N 1600 Osgood Street CONS IRUCIION Building 20, Suite 2-36 North Andover, MA O 1845 RE: Architect's Certificate of Occupancy Affidavit Saints Medical Center Women's Center 203 Turnpike Street North Andover, MA Ol 845 DAI Project No. 083212.00 Dean Mr. Butler: As Architect of Record for the above referenced project, DiGiorgio Associates Inc. (DAI) certifies that, I or my designee, have been present on the construction site on a regular and periodic basis, and to the best of our knowledge and belief, the referenced project has been constructed in substantial compliance with the approved plans and specifications. Therefore, it is our opinion that the referenced project in total is ready for its intended use. Respectfully submitted, DIGIORGIO ASSOCIATES INC. ��vE�DIR�y��Fc O0 m No 10747 o 80STON Mass. Bradley Cardoso, AIA 225 {'RI[ND Senior Project Architect sTRFFr BOS1 ON C, Donald Leonard DiGiorgio Associates Inc. (DAI) ;MASSACIKPq I IS 02114 Tom Lam DAI -1 ELE f'IiC7NE 617 BC/prs 723 710D FAX G17 723 9113 ��-w�Y.cla'EIroston.cum M93212MMAFFIDAV183212 CERT OF OCCUPANCY AFFIDAVIT 12-21-09.DOC Page l of l DIGIORGiO ASSOCIATES INC, BOSTON • MAINE • V I R G I N I A . December 15, 2009 N1r. Gerald Butler Inspector of Buildings Town of North Andover 1600 Osgood Street ■ Building 20, Suite 2-36 PLANNING North Andover, MA 01845 ARCHITECTURE ENGINEERING RE: Mechanical Engineer's Final Affidavit INTERIOR DESIGN Saints Medical Center Women's Center CONSTRUCTION 203 Turnpike Street North Andover,MA 01845 DAI Project No. 083212.00 Dear Mr. Butler As Mechanical Engineer of Record for the above referenced project, DiGiorgio Associates Inc. (DAI) certifies that, I or my designee, have been present on the construction site on a regular and periodic basis, and to the best of our knowledge and belief,the referenced project has been constructed in substantial compliance with the approved plans and specifications. Therefore, it is our opinion that the referenced project in total is ready for its intended use. Respectfully submitted, 484 VA MAINE AVENUE Of DIGIORGIO ASSOCIATES INC. assAC� suITE zrs �p G�, FARMINGDALE y MICHAEL F. �^ MAINE KE'.68L8R 00 04344 MECHANICAL_ TELEPHONE No.45791 207.5E32.2400 Michael F. K69seer,PE, CPD, LEED AP �o �FUISTE00 ewe FAX Vice President of Engineering �sstoNat Ewo� C: Donald Leonard DiGiorgio Associates Inc. (DAI) 125 Tom Lam DAI STREET BOSTON MASSACHUSETTS 02114 MFK/Ieb TELEPHONE 617.723.7100 FAX 617.723,9113 www,d a3-bosion.com N:\83212\7CA\AFFIDAW32J2 Mechanical Final Affidavit 12-15-09.doc Page L of I DIGIORGIO ASSOCIATES INC , BOSTON • MAINE • V I R G I N I A . December 15, 2009 Mr, Gerald Butler Inspector of Buildings Town of North Andover 1600 Osgood Street Building 20, Suite 2-36 PLANNING North Andover, MA 01845 ARCHITECTURE ENGINEERING RE: Electrical Engineer's Final Affidavit INTERIOR DESIGN Saints Medical Center Women's Center 203 Turnpike Street CONSTRUCTION North Andover,MA 01845 DAI Project No. 083212.00 Dear Mr. Butler: As Electrical Engineer of Record for the above referenced project, DiGiorgio Associates Inc. (DAI) certifies that, I or my designee, have been present on the construction site on a regular and periodic basis, and to the best of our knowledge and belief, the referenced project has been constructed in substantial compliance with the approved plans and specifications. Therefore, it is our opinion that the referenced project in total is ready for its intended use, Respectfully submitted, 484 DIGIORGIO ASSOCIATES INC, � %AH Vast MAINE AVENUE SUITE 20 Q ANATOLY P. p FARMWG DALE f... GREGOR MAINE 04344 ELECTRICAL No,46351 TELEPHONE 207,582,2400 Anatoly Greg r, P.E. a� �faA�° w� FAX Electrical Engineer OFF$SfONAL E�4 � 207.502,8320 C: Donald Leonard DiGiorgio Associates Inc, (DAI) 225 Torn Lam DAI FRIEND STREET BOSTON MASSACHUSETTS 02114 AGlleb TELEPHONE 617.723,7100 FAX 617.723.9113 www.dai-hostonxom NM321217CA1AFFIDAV183212 electrical Final Affidavit 12-15-09.doc Page 1 of 1 I No�rH � Town of North Andover Office of the Planning Department '��'°^�f,a h•*��y Community Development and Services Division ssRcwus� Osgood Landing 1600 Osgood Sheet Building#20,Suite 2-36 North Andovey,Massachusetts 01845 P(978)688-9535 F(978)688-9542 Sultan Mediterranean Cafe Issaln Rainey 49 Kimball Road Methuen,MA 01844 December 17,2009 Dear Mr. Ramey, According to the North Andover Zoning Bylaw Section 8.3. .c.I, Waiver of Site Plan Review,the changes you are proposing to the building ocated at 164 Sutton St.will not require an application for Site Plan quest Review. The waiver re is gI nted base&bii'tlie following information: • The property use will change to restaurant, a use which is permitted in the General Business Zone, according to the Town of North Andover Zoning Bylaw section 4.131.5. • The footprint of the building will remain the salve and there will be no changes to the Barking and or to the landscaped areas. • New signage will require a sign permit froln the Building Inspector. If there are any questions,please let me know. 9 R ards, J I udith Tymon, CP cc: Jerry Brown, Inspector of Buildings BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Client#: 69184 JKBLACKSTO ACORDT11 CERTIFICATE OF LIABILITY INSURANCE 8DATE 126/20091YYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HUB Int'I New England(WILSB) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 299 Baflardvale St HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wilmington, MA 01887 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Acadia Insurance 31325 JK Blackstone Const Corp INSURER R: CIO David Marceau INSURER C: 40 L St INSURER D: South Boston, MA 02127 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICYDATE M EXPIRATION DATEMMIDDIYY MIDDIYY LIMITS A, GENERAL LIABILITY CPA024367911 02103/09 02103/10 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $250 OOO E E Ea occu a ce CLAIMS MADE Fx]OCCUR MED EXP(Any one person) $j 000 PERSONAL&ADV INJ URY $1,000,000 GENERAL AGGREGATE $2 000 000 A GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $2 000 000 POLICY X jFp X LDC A AUTOMOBILE LIABILITY MAA024368011 02103/09 02103/10 COMBINED SINGLE LIMIT $1,00©,COO ANY AUTO (Ea accldeni) ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNEDAUTOS (Peraccldenl) $ PROPERTY DAMAGE $ (Per accldenl) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESSIUMBRELLA LIABILITY CUA024368211 02/03109 02/03/10 EACH OCCURRENCE $5 000 000 X OCCUR CLAIMS MADE AGGREGATE $5 000 000 DEDUCTIBLE $ X RETENTION $10000 $ A WORKERS COMPENSATION AND WCA027562012 02103/09 02/03/10 X VICCSTATU- OTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes, cribe under SPECALSPROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Saints Medical Center Womens Healther Center North Andover MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of North Andover DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL gyp_ DAYS WRITTEN 1600 Osgood Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Building 20 Suite 2.36 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR North Andover, MA 01846 REPRESENTATIVES. AUTHORRESENTAT{VE, aattn.- / Gerald A Brown It1�r/' a��r `_ a ACORD 25(2001/08) 1 of 2 #S2908011M220170 WR001 © ACORD CORPORATION 1988 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 voider in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form 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-S(2001108) 2 of 2 #S2908011M220170 ................................ NORTH own of Andover . No. 1 over, Mass. 0 , ;"?AT F_0 C5OCHLICHEwICK 0 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR ................. ......................... THIS CERTIFIES THAT Foundation has permission to erect........................................ buildings on .'—'2Pa......7y! ....... ................... Rough to be occupied as.d.0.49 4�4....4Y414wr............... ..... A.O ...... ............ . .......A Chimney j.....- provided that the person accepting this permit shall in every respe�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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMU EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ................�,aei.w*4 •.--.. .............. 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 SIDEl Smoke Det. Client#:69184 JKBLACKSTO ACORD. CERTIFICATE OF LIABILITY INSURANCE 8DATE( 12812 09NYYYI PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION' HUB(nt'I New England(WILSB) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 299 Ballardvale St HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wilmington,MA 01887 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURE2A: Acadia Insurance 31325 JK Blackstone Const Corp INSURER B: C/O David Marceau INSURERC: 40 L St INSURER D: South Boston,MA 02127 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. POLICYEFFECTTVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DA DATE MMIDD I-IMITS A GENERAL LIABILITY CPA024367911 02103/09 02/03110 EACH OCCURRENCE $1 000 000 X COkIM£RCIAL GENERAL LIABILITY DAMAGE TO RENTED $250 000 CLAIMS MADE �OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2 00O 000 A GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMPIOPAGG s2,000,000 POLICY )( 26T X Lac A AUTOMOBILE LIABILITY MAA024368011 02/03/09 02103MO COMBINED SINGLE LIMIT $1 ODfl flOfl ANY AUTO (Ea acddenl) ALL OWNED AUTOS BODILY INJURY X SCHEDULEDAUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNI_DAUTOS (Per accident} $ PROPERTY DAMAGE $ (Per accdent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHERTHAN EA ACC $ AUTO ONLY: AGG $ A EXCESSIUMBRELLALIABILITY CUA024368211 02/03/09 02/03/10 FACH OCCURRENCE $5 000 000 X OCCUR EI CLAIMS MADE AGGREGATE $5 000 000 S ' Fx DEDUCTIBLE RETENTION $10000 $ A WORKERS COMPENSATION AND WCA027562012 02103I09 02/03110 �( W0.0 STATU- OTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $1 000 000 ANY PROPRIETORIPARTNER/FXECUTNE OFFICERWEMBER&XCLUDFD? E.L.DISEASE-EA EMPLOYEE $1 000000 '.. if yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROV15IONS ' Saints Medical Center Womens Healther Center North Andover MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION '.. Town of North Andover DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _R(I DAYS WRITTEN 1600 Osgood Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Building 20 Suite 2-36 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR North Andover,MA 01845 REPRESENTATIVES. AUTHO��RESENTATIVE, aGerald A Brown J�1�/ t1..7^/��'•-•�a'� ACORD 25(2001108)1 of 2 #S2908011M220170 WR001 © ACORD CORPORATION 1988 CONSTRUCTION CONTRACT THIS CONSTRUCTION CONTRACT ("Contract") is dated as of August a5, 2009 and is entered by and between Saints Medical Center ("Saints") and J K Blackstone Construction Corp. ("Contractor"). In consideration of the mutual covenants heieinafter set forth, Saints and Contractor agree as follows; 1. Location Contractor shall undertake the construction identified in Exhibit"A"("Work")in accordance with the Contract Documents, as identified in Section 7 of this Contract, at the property located at 203 Turnpike Road, North Andover, MA 01845 in the North Andover Office Park Condominium ("Property") and identified as Unit 200 of such Condominium (the "Condo Unit"). 2. Completion of the Work The Work will commence within seven(7) calendar days of issuance of notice to proceed from Saints, and will be completed on or before December 31, 2009 ("Completion Date"), subject to modifications hi approved Change Orders and excusable delays as set forth in Section 8.16. The actual Completion Date shall be the date when the Work is sufficiently complete in accordance with the Contract Documents so that Saints can occupy or utilize all the Condo Unit for its intended use ("Substantial Completion") and Contractor receives Certificate of Occupancy and Use from the Town of North Andover for the Condo Unit. Before starting the Work, Contractor shall submit to Saints for review an estimated progress schedule indicating the starting and completion dates of various stages of the Work. 3. Contract Price Saints shall pay to Contractor an amount equal to One Million One Hundred Eighty-five Thousand Two Hundred Thirty Dollars ($1,185,230) (the"Contract Price") for completion of the Work. 4. Change Orders ,Any increase or decrease in the Contract Price, change in the scope of the Work or change in the Completion Date must be set forth in a written change order signed by Saints and Contractor ("Change Order"). 5. Payment 5.1. Progress Payments. Contractor shall submit to Saints monthly an invoice for the fair value of Work performed during the previous month, along with a detailed statement of such Work performed, all in a form agreed to by Saints and Contractor("Monthly Invoice"). Within thirty (30) calendar days after a receipt of a Monthly Invoice, Saints shall notify Contractor if Saints has any concerns about the Monthly Invoice that Saints believes should be resolved before CONSTRUCTION CONTRACT THIS CONSTRUCTION CONTRACT ("Contract") is dated as of August Q5, 2009 and is entered by and between Saints Medical Center ("Saints") and J K Blackstone Construction Corp. ("Contractor"). In consideration of the mutual covenants hereinafter set forth, Saints and Contractor agree as follows; L Location Contractor shall undertake the construction identified in Exhibit"A" ("Work")in accordance with the Contract Documents, as identified in Section 7 of this Contract, at the property located at 203 Turnpike Road, North Andover, MA 01845 in the North Andover Office Park Condominium ("Property") and identified as Unit 200 of such Condominium (the "Condo Unit"). 2. Completion of the Work The Work will commence within seven(7) calendar days of issuance of notice to proceed from Saints, and will be completed on or before December 31, 2009 ("Completion Date"), subject to modifications in approved Change Orders and excusable delays as set forth in Section 8.16, The actual Completion Date shall be the date when the Work is sufficiently complete in accordance with the Contract Documents so that Saints can occupy or utilize all the Condo Unit for its intended use ("Substantial Completion") and Contractor receives Certificate of Occupancy and Use from the Town of North Andover for the Condo Unit. Before starling the Work, Contractor shall submit to Saints for review an estimated progress schedule indicating the starting and completion dates of various stages of the Work. 3. Contract Price Saints shall pay to Contractor an amount equal to One Million One Hundred Eighty-five Thousand Two Hundred Thirty Dollars ($1,185,230) (the"Contract Price") for completion of the Work. 4. Change Orders Any increase or decrease in the Contract Price, change in the scope of the Work or change in the Completion Date must be set forth in a written change order signed by Saints and Contractor ("Change Order"). S, Payment 5.1. Progress PM mcnts. Contractor shall submit to Saints monthly an invoice for the fair value of Work performed during the previous month, along with a detailed statement of such Work performed, all in a form agreed to by Saints and Contractor("Monthly Invoice"). Within thirty (30) calendar days after a receipt of a Monthly Invoice, Saints shall notify Contractor if Saints has any concerns about the Monthly Invoice that Saints believes should be resolved before Construction Contract Saints pays the amounts specified in the Monthly Invoice,and,in this event, Saints and Contractor shall promptly meet to address such concerns. Until fifty percent(50%)of the aggregate value of the Work is complete, Saints shall pay Contractor ninety percent (90%) of the undisputed amount covered by each Monthly Invoice, while retaining ten percent (10%) thereof, and after fifty percent(50%) of the aggregate value of the Work is complete Saints shall pay Contractor ninety percent(95%) of the undisputed amount covered by each subsequent Monthly Invoice, while retaining five percent (5%) thereof. The aggregate amount retained fiom the Monthly Invoices is referred to as the "Holdback". The undisputed amount of each Monthly Invoice will be paid within thirty(30)calendar days after the date of receipt of the Monthly Invoice,and the Holdback will be paid simultaneously with the final payment due hereunder. In addition to the Holdback, payment may be withheld for: (1) failure to perform the Work in accordance with the Contract Documents; (2) defective Work that is not corrected; or (3) failure of the Contractor to pay subcontractors or to pay for labor,materials or equipment when due. 5.2 Final Payment. Final payment of the balance of the Contract Price including the Holdback shall be made in accordance with the following procedures: a. When Contractor considers the Work substantially complete, Contractor shall notify Saints in writing. Within a reasonable time thereafter, Saints and Contractor shall inspect the Work. Promptly after such inspection,Saints shall deliver to Contractor a written punch list of the items that must be completed in order for the Work to reach final completion CFinal Completion"). If no punch list items remain to be completed, Saints shall deliver to Contractor a written statement that Final Completion. b. If Saints delivers a written punch list to Contractor, then Contractor shall deliver to Saints a written notice that the Work is finally complete when Contractor believes that the punch list items have been completed. Within a reasonable time after receipt of such notice, Saints and Contractor shall promptly inspect the Work to confirm completion of the punch list items. Promptly after such inspection, Saints shall deliver to Contractor either (i) a written statement that Final Completion has been reached or (ii) another written punch list of the items that still must be completed iu order for the Work to reach Final Completion,in which event the punch list procedure described above shall be repeated until all punch fist items have been completed. C. When Final Completion has been reached and after Contractor has delivered to Saints all maintenance and operating instructions, schedules, guarantees, certificates of inspection, marked-up record documents and other documents, Contractor may make application for final payment following the procedure for progress payments. The final Request for Advance shall be accompanied by all documentation called for in the Contract Documents,together with complete and legally effective releases or waivers (satisfactory to Saints of all potential liens arising out of or filed in connection with the Work. 6. Contractor's Representation In order to induce Saints to enter into this Contract, Contractor represents to Saints that Contractor has familiarized itself with the nature and extent of the Contract Documents, Work site, locality, and all local conditions and laws and regulations that in any manner may 2 Construction Contract Saints pays the amounts specified in the Monthly Invoice,and,in this event,Saints and Contractor shall promptly meet to address such concerns. Until fifty percent(50%)of the aggregate value of the Work is complete, Saints shall pay Contractor :ninety percent (90%) of the undisputed amount covered by each Monthly Invoice, while retaining ten percent (10%) thereof, and after fifty percent(50%) of the aggregate value of the Work is complete Saints shall pay Contractor ninety percent(95%) of the undisputed amount covered by each subsequent Monthly Invoice, while retaining five percent (5%) thereof. The aggregate amount retained from the Monthly Invoices is referred to as the"Holdback". The undisputed amount of each Monthly Invoice will be paid within thirty(30)calendar days after the date of receipt of the Monthly Invoice,and the Holdback will be paid simultaneously with the final payment due hereunder. In addition to the Holdback, payment may be withheld for: (1) failure to perform the Work in accordance with the Contract Documents; (2) defective Work that is not corrected; or (3) failure of the Contractor to pay subcontractors or to pay for labor,materials or equipment when due. 5.2 Final Patent. Final payment of the balance of the Contract Price including the Holdback shall be made in accordance with the following procedures: a. When Contractor considers the Work substantially complete, Contractor shall notify Saints in writing. Within a reasonable time thereafter, Saints and Contractor shall inspect the Work. Promptly alter such inspection,Saints shall deliver to Contractor a written punch list of the items that must be completed in order for the Work to reach final completion ("Final Completion"). If no punch list items remain to be completed, Saints shall deliver to Contractor a written statement that Final Completion. b. If Saints delivers a written punch list to Contractor, then Contractor shall deliver to Saints a written notice that the Work is finally complete when Contractor believes that the punch list items have been completed. Within a reasonable time after receipt of such notice, Saints and Contractor shall promptly inspect the Work to confirm completion of the punch list items. Promptly after such inspection, Saints shall deliver to Contractor either (i) a written statement that Final Completion has been reached or (ii) another written punch list of the items that still must be completed in order for the Work to reach Final Completion, in which event the punch list procedure described above shall be repeated until all punch list items have been completed. C. When Final Completion has been reached and after Contractor has delivered to Saints all maintenance and operating instructions, schedules, guarantees, certificates of inspection, marked-up record documents and other documents, Contractor may make application for final payment following the procedure for progress payments. The final Request for Advance shall be accompanied by all documentation called for in the Contract Documents, together with complete and legally effective releases or waivers (satisfactory to Saints of all potential liens arising out of or filed in connection with the Work. 6. Contractor's Representation In order to induce Saints to enter into this Contract, Contractor represents to Saints that Contractor has familiarized itself with the nature and extent of the Contract Documents, Work site, locality, and all local conditions and laws and regulations that in any manner may 2 Construction Contract affect cost,progress, performance or furnishing of the Work. Contractor also represents that it is duly licensed to perform the Work as required by local laws and regulations. 7. Contract Documents. The Contract Documents which comprise the entire Contract between Saints and Contractor concerning the Work consist of this Contract, Exhibit A (Construction Plans and Specifications),Exhibit B (Interior Designs and Specifications) and all Change Orders. i 8. Contractor's Responsibilities. 8.1. Performance. Contractor shall perform the Work in accordance with the Contract Documents. Contractor shall be solely responsible for the means, methods, techniques, sequences and procedures of construction. 8.2. Personnel. Contractor shall provide competent, suitable personnel to survey and lay out the Work and perform construction as required by the Contract Documents. Contractor shall at all times maintain good disciplh-ie and order at the Property. 8.3. Furnished Items. Contractor shall furnish and be fillly responsible for all materials, equipment, labor, transportation, construction equipment and machinery, tools, appliances, fuel, power, light, heat, telephone, water, sanitary facilities, temporary facilities and all other facilities and incidentals necessary for the furnishing, performance, testing, start-up and completion of the Work, except that metered electricity and water finnished by commercial or municipal utilities to the Condo Unit will be the responsibility of Saints. 8.4. Materials. All materials and equipment shall be of good quality and new, except as otherwise provided in the Contract Documents. All materials and equipment shall be applied, installed, connected, erected, used, cleaned and conditioned in accordance with the instructions of the applicable supplier. 8.5. Subcontractors. Contractor shall be fully responsible to Saints for all acts and omissions of its subcontractors, suppliers and other persons and organizations performing or Punishing any of the Work under a direct or indirect contract with Contractor just as Contractor is responsible for Contractor's own acts and omissions. Nothing in the Contract Documents shall create any contractual relationship between Saints and any such subcontractor, supplier or other person or organization, nor shall it create any obligation on the part of Saints to pay any such subcontractor, supplier or other person or organization, except as may otherwise be required by laws and regulations. 8.6. Permits; Inspections. Contractor shall obtain and shall pay for all construction permits and licenses. Saints shall assist Contractor, when necessary, in obtaining such permits and licenses. Contractor shall pay all governmental charges and inspection fees necessary for the prosecution of the Work. Contractor shall give all notices and comply with all laws and regulations applicable to furnishing and performance of the Work. Contractor will permit and facilitate inspection of the Work by Saints, its agents and public authorities at all times. Saints will be responsible for securing all permits and approvals necessary to operate its business in the Condo Unit as a medical facility, and Contractor will 3 j I Construction Contract affect cost,progress,performance or furnishing of the Work. Contractor also represents that it is duly licensed to perform the Work as required by local laws and regulations. 7. Contract Documents. The Contract Documents which comprise the entire Contract between Saints and Contractor concerning the Work consist of this Contract, Exhibit A (Construction Plans and Specifications),Exhibit B (Interior Designs and Specifications) and all Change Orders. 8. Contractor's Responsibilities. 8.1. Performance. Contractor shall perform the Work in accordance with the Contract Documents. Contractor shall be solely responsible for the means, methods, tecluuques, sequences and procedures of construction. 8.2. Personnel, Contractor shall provide competent, suitable personnel to survey and lay out the Work and perform construction as required by the Contract Documents. Contractor shall at all times maintain good discipline and order at the Property. 8.3. Furnished Items. Contractor shall furnish and be fully responsible for all materials, equipment, labor, transportation, construction equipment and machinery, tools, appliances, fuel, power, light, heat, telephone, water, sanitary facilities, temporary facilities and all other facilities and incidentals necessary for the fiunishing, performance, testing, start-up and completion of the Work, except that metered electricity and water furnished by commercial or municipal utilities to the Condo Unit will be the responsibility of Saints. 8.4. Materials. All materials and equipment shall be of good quality and new, except as otherwise provided in the Contract Documents. All materials and equipment shall be applied, installed, connected, erected, used, cleaned and conditioned in accordance with the instructions of the applicable supplier. 8.5. Subcontractors. Contractor shall be fully responsible to Saints for all acts and omissions of its subcontractors, suppliers and other persons and organizations performing or furnishing any of the Work under a direct or indirect contract with Contractor just as Contractor is responsible for Contractor's own acts and omissions. Nothing in the Contract Documents shall create any contractual relationship between Saints and any such subcontractor, supplier or other person or organization, nor shall it create any obligation on the part of Saints to pay any such subcontractor, supplier or other person or organization, except as may otherwise be requited by laws and regulations. 8.6. Permits; Ins ections, Contractor shall obtain and shall pay for all construction permits and licenses. Saints shall assist Contractor, when necessary, in obtaining such permits and licenses. Contractor shall pay all governmental charges and inspection fees necessary for the prosecution of the Work. Contractor shall give all notices and comply with all laws and regulations applicable to furnishing and performance of the Work. Contractor will permit and facilitate inspection of the Work by Saints, its agents and public authorities at all times. Saints will be responsible for securing all permits and approvals necessary to operate its business in the Condo Unit as a medical facility, and Contractor will 3 Construction Contract assist Saints in obtaining such permits and approvals. 8.7. Taxes. Contractor shall pay all sales, consumer, use and other similar taxes required to be paid by Contractor in accordance with the laws and regulations of Massachusetts which are applicable during the performance of the Work. 8.8. Use of Premises. Contractor shall confine construction equipment, the storage of materials and equipment and the operations of workers to the Condo Unit, and shall not unreasonably encumber the Property with materials or equipment. Contractor shall be fully responsible for any damage to the Condo Unit or the Property or areas contiguous thereto resulting from the performance of the Work. During the progress of the Work, Contractor shall keep the Condo Unit and the Property free from accumulations of waste materials, rubbish and other debris resulting from the Work. At the completion of the Work, Contractor shall remove all waste materials, rubbish and debris from and about the Condo Unit as well as all tools, appliances, construction equipment and machinery, and surplus materials, and shall leave the Condo Unit clean and ready for occupancy by Saints. Saints will make necessary arrangements with the Trustees of the Condominium for Contractor's use of a dumpster and storage trailer near the Property. 8.9. Record Documents. Contractor shall maintain in a safe place at the Condo Unit one record copy of all drawings, specifications, addenda, written amendments, Change Orders, and the like in good order and annotated to show all changes made during construction which will be delivered to Saints. 8.10. Safety. Contractor shall be responsible for initiating, maintaining and supervising all safety precautions and programs in connection with the Work. Contractor shall comply with all applicable laws and regulations relating to the safety of persons or property. 8.11. Continuing the Work. Contractor shall carry on the Work and adhere to the progress schedule during all disputes or disagreements with Saints. 8.12. Damage to the Work. Contractor shall repair or replace, at Contractor's sole expense, every portion of the Work that is damaged or destroyed prior to Final Completion and caused in whole or in part by the acts or omissions of Contractor, its employees, agents or subcontractors. Notwithstanding the foregoing, Saints shall bear the cost of such repair or replacement if the sole cause of the damage or destruction of the Work was Saints' negligence. 8.13. Warran . Contractor warrants and guarantees to Saints that all Work will be in accordance with the Contract Documents and will not be defective. If within one year after the date of Final Completion or such longer period of time as may be prescribed by laws or regulations or by the terms of any specific provision or applicable special guarantee in the Contract Documents, any Work is found to be defective, Contractor shall promptly, without cost to Saints and in accordance with Saints' written instructions, promptly either correct such defective Work, or, if it has been rejected by Saints, remove it from the applicable Condo Unit and replace it with non-defective Work. If Contractor does not promptly comply 4 Construction Contract assist Saints in obtaining such permits and approvals. 8.7. Taxes. Contractor shall pay all sales, consumer, use and other similar taxes required to be paid by Contractor in accordance with the laws and regulations of Massachusetts which are applicable during the performance of the Work. 8.8. Use of Premises. Contractor shall confine construction equipment, the storage of materials and equipment and the operations of workers to the Condo Unit, and shall not unreasonably encumber the Property with materials or equipment. Contractor shall be fully responsible for any damage to the Condo Unit or the Property or areas contiguous thereto resulting from the performance of the Work. During the progress of the Work, Contractor shall keep the Condo Unit and the Property free from accumulations of waste materials, rubbish and other debris resulting from the Work. At the completion of the Work, Contractor shall remove all waste materials, rubbish and debris from and about the Condo Unit as well as all tools, appliances, construction equipment and machinery, and surplus materials, and shall leave the Condo Unit clean and ready for occupancy by Saints. Saints will make necessary arrangements with the Trustees of the Condominium for Contractor's use of a dumpster and storage trailer near the Property. 8.9. Record Documents. Contractor shall maintain in a safe place at the Condo Unit one record copy of all drawings, specifications, addenda, written amendments, Change Orders, and the like in good order and annotated to show all changes made during construction which will be delivered to Saints. 8.10. Safety. Contractor shall be responsible for initiating, maintaining and supervising all safety precautions and programs in connection with the Work. Contractor shall comply with all applicable laws and regulations relating to the safety of persons or property. 8.11. Continuing the Work. Contractor shall carry on the Work and adhere to the progress schedule during all disputes or disagreements with Saints. 8.12. Damage to the Work. Contractor shall repair or replace, at Contractor's sole expense, every portion of the Work that is damaged or destroyed prior to Final Completion and caused in whole or in part by the acts or omissions of Contractor, its employees, agents or subcontractors. Notwithstanding the foregoing, Saints shall bear the cost of such repair or replacement if the sole cause of the damage or destruction of the Work was Saints' negligence. 8.13. Warranjy. Contractor warrants and guarantees to Saints that all Work will be in accordance with the Contract Documents and will not be defective. If within one year after the date of Final Completion or such longer period of time as may be prescribed by laws or regulations or by the terms of any specific provision or applicable special guarantee in the Contract Documents, any Work is found to be defective, Contractor shall promptly, without cost to Saints and in accordance with Saints' written instructions, promptly either correct such defective Work, or, if it has been rejected by Saints, remove it from the applicable Condo Unit and replace it with non-defective Work. If Contractor does not promptly comply 4 Construction Contract with the terms of such instructions, or in the case of an emergency where delay would cause serious risk of loss or damage, Saints may have the defective Work corrected or the rejected Work removed and replaced, and all direct, indirect and consequential costs of such removal and replacement (including but not limited to fees and charges of engineers, architects,attorneys and other professionals)will be paid by Contactor. 8.14. Indemnity and Hold Harmless. Contractor shall indemnify and hold harmless Saints against all loss,liability,cost expense,damage and economic detriment of any kind whatsoever that arises out of or results fi-om performance of the Work, but only to the extent caused in whole or in part by the acts or omissions of the Contractor. 8.15 Related Work at Property. Saints may perform other work at the Property which is not part of the Work, whether by Saints' own employees or through direct contracts with third party contractors. Contractor shall afford Saints' employees and each other contractor who is a party to such a direct contract proper and safe access to the Condo Unit and a reasonable opportunity for the introduction and storage of materials and equipment in the Condo Unit and the execution of their work. Contractor shall do all cutting, fitting and patching of the Work that may be required to make its several parts come together properly and integrate with the work of such third party contractors. Contractor shall not endanger any work of others by cutting, excavating or otherwise altering their work and will only cut or alter their work with the written consent of Saints and the others whose work will be affected. Notwithstanding the foregoing, Saints be responsible for the reasonable cost to repair damage to the Work to the extent caused by Saints' employees or any other contractor who is a party to a direct contract with Saints. 8.16, Construction Delays. In the event the Completion Date is delayed by acts beyond Contractor's reasonable control and without Contractor's negligence, such as acts of God, fire, flood or any other unavoidable casualties, or by neglect by Saints,the Completion Date shall be extended for the same period as the delay caused by any of the foregoing reasons. In the event the Completion Date is delayed due to neglect of the Contractor, Contractor shall pay to Saints the stun of Five Hundred Dollars ($500) per day as liquidated damages until the actual Completion Date. 9. Insurance. Contractor shall indemnify and hold Saints harmless from and against any claim of personal injury (including death) and property damage arising out of Contractor's performance of the Work hereunder. Contractor shall maintain during the term of this Contract all insurance and/or bonds required by law, including without limitation: (i) Workers Compensation and related insurance as prescribed by law in the Commonwealth of Massachusetts; (ii) Employer's Liability Insurance with limits of at least $100,000 for each occurrence; and (iii) Comprehensive general public liability insurance, and comprehensive motor vehicle liability insurance if use of a motor vehicle is required, covering claims for personal injury (including death) and property damage S Construction Contract with the terms of such instructions, or in the case of an emergency where delay would cause serious risk of loss or damage, Saints may have the defective Work corrected or the rejected Work removed and replaced, and all direct, indirect and consequential costs of such removal and replacement (including but not limited to fees and charges of engineers, architects, attorneys and other professionals)will be paid by Contractor. 8.14. Indemnity and Hold Harmless. Contractor shall indemnify and hold harmless Saints against all loss,liability,cost expense,damage and economic detriment of any kind whatsoever that arises out of or results from performance of the Work, but only to the extent caused in whole or in part by the acts or omissions of the Contractor. 8.15 Related Work at Property_. Saints may perform other work at the Property which is not part of the Work, whether by Saints' own employees or through direct contracts with third party contractors. Contractor shall afford Saints' employees and each other contractor who is a party to such a direct contract proper and safe access to the Condo Unit and a reasonable opportunity for the introduction and storage of materials and equipment in the Condo Unit and the execution of their work. Contractor shall do all cutting, fitting and patching of the Work that may be required to make its several pants come together properly and integrate with the work of such third party contractors. Contractor shall not endanger any work of others by cutting, excavating or otherwise altering their work and will only cut or alter their work with the written consent of Saints and the others whose work will be affected. Notwithstanding the foregoing, Saints be responsible for the reasonable cost to repair damage to the Work to the extent caused by Saints' employees or any other contractor who is a party to a direct contract with Saints. 8.16' Construction Delays. In the event the Completion Date is delayed by acts beyond Contractor's reasonable control and without Contractor's negligence, such as acts of God, fire, flood or any other unavoidable casualties, or by neglect by Saints,the Completion Date shall be extended for the same period as the delay caused by any of the foregoing reasons. In the event the Completion Date is delayed due to neglect of the Contractor, Contractor shall pay to Saints the sum of Five Hundred Dollats ($500) per day as liquidated damages until the actual Completion Date. 9. Insurance. Contractor shall indemnify and hold Saints harmless from and against any claim of personal injury (including death) and property damage arising out of Contractor's performance of the Work hereunder. Contractor shall maintain during the terra of this Contract all insurance and/or bonds required by law, including without limitation: (i) Workers Compensation and related insurance as prescribed by law in the Commonwealth of Massachusetts; (ii) Employer's Liability Insurance with limits of at least $100,000 for each occurrence; and (iii) Comprehensive general public liability insurance, and comprehensive motor vehicle liability insurance if use of a motor vehicle is required, covering claims for personal injury (including death) and property damage 5 Construction Contract I arising out of or in connection with the performance of the Work hereunder, with limits of at least$2,000,000 per occurrence. In the event Contractor retains the services of an engineer or other professional services provider in connection with Work, Contractor will require that such engineer or professional services provider carries Professional Liability and Errors & Omissions Liability Insurance with policy limits of not less than Two Million U.S. Dollars ($2,000,000.00), each claim with a deductible of not more than Ten Thousand Dollars ($10,000.00), that such Professional Liability and Errors & Omissions Liability Insurance retroactive coverage date will be no later than the Effective Date of this Contract, and that each such engineer or professional services provider maintains an active policy, or purchase an extended reporting period providing coverage for claims first made and reported to the insurance company within two (2) years after Saints' final payment for the Work. Contractor shall require all subcontractors engaged to perform any of the Work to maintain insurance coverages substantially the same as set forth above for Contractor. Contractor shall furnish evidence of all required insurance upon request. 10. Termination 10.1 Termination by Saints. If the Contractor breaches any of its obligations under this Agreement, then Saints may give Contractor written notification identifying such breach. If Contractor has not cured such breach within seven (7) calendar days from its receipt of Saints' written notification or if such breach cannot be cured within such seven (7) day period, then if Contractor either does not begin cure within such seven(7)day period or fails to diligently prosecute cure to completion, Saints may terminate this Contract and take possession of the Work. Alternatively, instead of terminating the Contract, Saints may cure the breach and deduct the cost thereof fiom amounts otherwise owed to the Contractor. 10.2 Termination by Contractor. If Saints breaches any of its obligations under this Agreement, then Contractor may give Saints written notification identifying such breach. If Saints has not cured such breach within seven (7) calendar days from its receipt of Contractor's written notification, or if such breach cannot be cured within such seven(7) day period,then if Saints either does not begin cure within such seven (7) day period or fails to diligently prosecute cure to completion,Contractor may terminate this Contract. 11. Record Retention For a period of not less than five(5)years after delivery of final payment to Contactor under this Contract, Contactor will maintain all files and records pertaining to its performance under this Contract, and will make such files and records available to Saints, its representatives and any government authorities as may be required by law during normal business hours upon reasonable notice. 12. MisceHaneous. 12.1 Independent Contractor. Contractor is an independent contractor and not an employee or agent of Saints, and shall have no authority to commit or create any liability 6 Constriction Contract arising out of or in connection with the performance of the Work hereunder, with limits of at least$2,000,000 per occurrence. In the event Contractor retains the services of an engineer or other professional services provider in connection with Work, Contractor will require that such engineer or professional services provider carries Professional Liability and Errors & Omissions Liability Insurance with policy limits of not less than Two Million U.S. Dollars ($2,000,000.00), each claim with a deductible of not more than Ten Thousand Dollars ($10,000.00), that such Professional Liability and Errors & Omissions Liability Insurance retroactive coverage date will be no later than the Effective Date of this Contract, and that each such engineer or professional services provider maintains an active policy, or purchase an extended reporting period providing coverage for claims first made and reported to the insurance company within two (2) years after Saints' final payment for the Work. Contractor shall require all subcontractors engaged to perform any of the Work to maintain insurance coverages substantially the same as set forth above for Contractor. Contractor shall fiunish evidence of all required insurance upon request. 10. Termination 10.1 Termination by Saints. If the Contractor breaches any of its obligations under this Agreement, then Saints may give Contractor written notification identifying such breach. If Contractor has not cured such breach within seven (7) calendar days from its receipt of Saints' written notification or if such breach cannot be cured within such seven (7) day period,then if Contractor either does not begin cute within such seven(7)day period or fails to diligently prosecute cure to completion, Saints may terminate this Contract and take possession of the Work. Alternatively, instead of terminating the Contract, Saints may cure the breach and deduct the cost thereof from amounts otherwise owed to the Contractor. 10.2 Termination by Contractor. If Saints breaches any of its obligations under this Agreement, then Contractor may give Saints written notification identifying such breach. If Saints has not cured such breach within seven (7) calendar days from its receipt of Contractor's written notification, or if such breach cannot be cured within such seven (7) day period,then if Saints either does not begin cure within such seven(7) day period or fails to diligently prosecute cure to completion,Contractor may terminate this Contract. 11. Record Retention For a period of not less than five (5)years after delivery of final payment to Contractor under this Contract, Contractor will maintain all files and records pertaining to its performance under this Contract, and will make such files and records available to Saints, its representatives and any government authorities as may be requited by law during normal business hours upon reasonable notice. 12. Miscellaneous. 12.1 Independent Contractor. Contractor is an independent contractor and not an employee or agent of Saints, and shall have no authority to commit or create any liability 6 i Consh'uction Contract on the part of Saints in any manner whatsoever. Personnel retained or assigned by Contractor to perform work hereunder shall at all times be considered employees, agents, or contractors of Contractor, and at no time employees of Saints, and Contractor shall be fully responsible for compensation, payroll taxes, workman's compensation coverage, and any other legal requirements associated with employment. 12.2 Time. Time is of the essence for the performance of the Work. 12.3 Governing Law. This Contract shall be governed and construed in accordance with the laws of the Commonwealth of Massachusetts without regard for its conflict-of- laws rules. 12A Illegality. In the event that any provision of this Contract shall be adjudged illegal or otherwise unenforceable, such provision shall be severed and the balance of this Contract shall continue in full force and effect. 12.5 Waiver. The waiver by either party of any breach of any provision of this Contract shall not operate or be construed as a waiver of any other breach. 12.6 Assignment. Contractor shall not assign this Contract and or assign or subcontract any Work hereunder without the prior written consent of Saints. 12.7 Exclusivity. The rights and remedies of the parties hereunder shall not be exclusive, and are in addition to any of other rights provided by this Contract or by law. 12.8 Entire Agreement. This is the entire Contract of the parties with respect to the performance of the Work by Contractor for and on behalf of Saints. Any additional terms or any modification to this Contract shall not be binding on either party unless in a writing duly signed by the party to be charged. For Saints ed' a •Cent - - J K Blaclyste o struction Corp. V � - Signature; Signature; Name: M lCho PI 6)ItN Name: Title: �'�S�c�er�t �nc3 MO Title; % �G/��✓�1��%`� Date: Date: 7 Construction Contract on the part of Saints in any manner whatsoever. Personnel retained or assigned by Contractor to perform work.hereunder shall at all times be considered employees, agents, or contractors of Contractor, and at no time employees of Saints, and Contractor shall be filly responsible for compensation, payroll taxes, workman's compensation coverage, and any other legal requirements associated with employment. 12.2 Time. Time is of the essence for the performance of the Work. 12.3 Governing Law. This Contract shall be governed and construed in accordance with the laws of the Commonwealth of Massachusetts without regard for its conflict-of- laws rules. 12.4 Illegality. In the event that any provision of this Contract shall be adjudged illegal or otherwise unenforceable, such provision shall be severed and the balance of this Contract shall continue in full force and effect. 12.5 Waiver. The waiver by either party of any breach of any provision of this Contract shall not operate or be construed as a waiver of any other breach. 12.6 Assi zg lment. Contractor shall not assign this Contract and or assign or subcontract any Work hereunder without the prior written consent of Saints. 12.7 Exclusivity.' The rights and remedies of the parties hereunder shall not be exclusive, and are in addition to any of other rights provided by this Contract or by law. 12.8 Entire Agreement. This is the entire Contract of the parties with respect to the performance of the Work by Contractor for and on behalf of Saints. Any additional terms or any modification to this Contract shall not be binding on either party unless in a writing duly signed by the party to be charged. For Saints ed' a Cent - J K Black uction Corp. Signature: Signature: Name: Title: TNSiAe-nA m6 C20 7- Date: IAt;g1)�A al. an Date 7 Saint's Medical Center-Women's Health Clinic 8I4/2009 SOH-rr�aCrc�►Rs Scope CHANGE Proposal Price 1,245,000.00 Vinyl Base (Rm 211 and 231) -500 -500 Paint(248, 249,219) in lieu of wallpaper -3,000 -3,000 Porcelain Tiles in lieu of stone at Rest Rooms -3,000 (1,500.00) Single Color Floor in Exam Rms -7,500 (7,500.00) Alternate Light fixtures(No Dimming) -23,000 (23,000.00) Use Stand Alone Programmable Thermostats -23,500 (23,500.00) Eliminate Duct Press.Testing Requirements -1,500 (1,500.00) PVC for heat pump loop -7,500 (7,500.00) Add Millwork in Exam Rooms per SKA- 6,500 4,000.00 Add sink at Nurses Station 500 500.00 Use 3"x12"topset bullnose base (2,426.00) Deduct waterproof membrane -3,724 (3,724.00) Utilize Armstrong Dune ACT -625 (625.00) Original 15K deduct was compare( Utilize Knock Down HM Door Frams -1,710 (1,710.00) Optima Vector through-out entire r Heavy Duty Cylindrical Locks vs. Mortise -3,485 (3,485.00) Condensate Drain Pipe to be PVC -5,000 (5,000.00) Total Accepted VE Items (80,470.00) 1,164,530.00 Add Dimming per original scope 13,200.00 Add Copper Heat Pump Loop 7,500.00 Adjusted Contract Value 1,185,230.00 Saint's Medical Center-Women's Health Clinic , BL^CKST0NIE 8/4/2009 Scope CHANGE Proposal Price 1,245,000.00 Vinyl Base (Rm 211 and 231) -500 -500 Paint(248, 249, 219) in lieu of wallpaper -3,000 -3,000 Porcelain Tiles in lieu of stone at Rest Rooms -3,000 (1,500.00) Single Color Floor in Exam Rms -7,500 (7,500.00) Alternate Light Fixtures (No Dimming) -23,000 (23,000.00) Use Stand Alone Programmable Thermostats -23,500 (23,500.00) Eliminate Duct Press.Testing Requirements -1,500 (1,500.00) PVC for heat pump loop -7,500 (7,500.00) Add Millwork in Exam Rooms per SKA- 6,500 4,000.00 Add sink at Nurses Station 500 500.00 Use 3"x12"topset bullnose base (2,426.00) Deduct waterproof membrane -3,724 (3,724.00) Utilize Armstrong Dune ACT -626 (625.00) Original 15K deduct was comparec Utilize Knock Down HM Door Frams -1,710 (1,710.00) Optima Vector through-out entire K Heavy Duty Cylindrical Locks vs. Mortise -3,485 (3,485.00) Condensate Drain Pipe to be PVC -5,000 (5,000.00) Total Accepted VE Items (80,470.00) 1,164,530.00 Add Dimming per original scope 13,200.00 Add Copper Heat Pump Loop 7,500.00 Adjusted Contract Value 1,185,230.00 Construction Contract Exhibit A Construction Plans and Specifications Construction Contract Exhibit A Construction Plans and Specifications ' ' ' . ' �• •ivw'w.m.�r�;gnv/aria • • .. wolmrs'..'C©impwissfioir Insurance A_ffidnv*,-SuilderslCon-t !iitart/ZIaetm4 im/Plumbers Anrorment Inf n intiion pleats Pz ink 'b �8�.� (8vsincsslDr��izs£iprillniiiviclual): , .. . I Address;• • , • . . ; . • • .. ' ',' , < ', • .' •. . .• City/Stilts ; Pha>?e#• Are you,an employerT Cheok•the appropriate•bbr; Type of; Zra3ezf'(re I.❑ I am acmpl6yarwith _ ❑'I am a'gonera].otarrtractor and' ; ,[]NOW, Catuction , t rrrplayees (fall a dlr r part-tirrze ,* have fiirtrd the sub-zontracton 2• ❑ I ani a sole pToprittor or partner- listed on the attached sheet 7. ❑3�madeling ; , s%p and have no employees These sirb-contra.ctars have 8, ❑'Damt)I$on- working foraxe' any capacity, workers` romp; insurance.' 9. ❑Euilding.addi#ioi� [No workers'comq..insurance are a corpnra#ian dAte 1D,❑£lecbU rtpaim z additions rtrguirad.] ` „ of�i4ers.k ave axercisedthair 3. ] I'ani.a homayvvnw doing all work right of exeiription PM, r MGL. l IZI Plumvmg repairs to adtiitioiis: mystlf. Jd workers` comp. ; e,,I52,•§1<(4), and vac have no 12 ],loaf scpdrs insurenctr rtgL' a.[No workers.' , y camp,.1pssrranca required.] 13,�] Other Any applicant:that nhukm box W1.muct2190 fill out thc'sectim'-bal4w showingthalr woriae , aoznpraisation,pnliay in£o=adow Mpmeownars who ffubml'tlhis affidavit indicating they'are daing all wort~and than'biro pvtside wont wtoss nkmt submit a new ddavh"dindmg such, ,.. Contractors that checl�6iibbxrn lstifti 1 ad.$n addifionO sboats11MingthMMMO of the srub7 uaiituoton'm;d thmi wpTImn, coais,polioy fn#mation • ', ' I.rzrn an en;*yer ii<af is providing worker 'campmrtutiptt,iriaurarzce far rriy empdoyeac, elo .is fhcpAtiej�wzd�u1ie �ursrzct Corr► atry:Naintr' . : .� �-��!'�� ,i•vf� .' .. � � : . f' , Palic3= #or 5erlf'tns Lac # ��' / > ._ ,j' j. 'Pa:.piration Date, '' • �� A � I'• ' 1, 7❑b Site Address: l : % 4 ;i<':'✓.., >,-�. r fate r ,A'C'tyf5 1Zip: Lttanh a copy of the-.wark&s? corhpansatinri policy declaration gage (shovviag'the p'ollky nunibercnd eypiradon elate), Fzd1=61o'ste=rm7age a,''required undefSection 25A of 1\415L'e,-152 can lead to the iinposition.ofcritninal pt:�alt es,of a fine.up to $1,560.00-andlor.one-y.t&'n pnsanzrzsiit-as well as civil penalties in the fan aSTOP WORTS ORDER and a fine of up to S250.DD.a 4y against thr violator. Se advised drat a copy:wf this stdzinent may be-foravardtdto the Office of lnvesfigatiarrs,of tht-DLA for insurahot-coverage verification r do hereby cett �ursJsr 3z `spa z•r and enulYi�s. , per,j fli tt`the•in urnw:ion p.rovided above b&x and Comm. . < 7 , DHttr; hone# ,�'�_. "— .. . /�'1��'�°'';, ��,� �.,. •, .. . .. • ' Qjfficid ia-s e4i Do not w&c in•f zu m,ca, he 60mplded,ly, aky or tofvn off aw, City Tay . 7D "r �� 'frrmitlLicense# Issuing kjzffiDrhy Y..Board tifffeaftlu Z, Striiag Dapsrt meat, . CitylTovan CIsr1C 4, Electrical Inspector a. Piusszhiug Inspector . Other . Contact P$rsasr,_ _ -. �, .D C�. Phone#: CONSTRUCTION CONTROL DOCUMENT Project Title: Saints Medical Center Women's Health Care Date: August 19,2009 Project Location: Saints Medical Center 203 Turnpike Street North Andover MA 01845 Scope of Project: Women's Health Care In accordance with Section 116.0 — 116.4.2 of the 71' edition of the Massachusetts State Building Code: 1, Michael F.Kessler Mass. Reg. # 45791 Being a registered, professional Engineer/Architect 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 ( )Fire Protection ( }Electrical ( X )Other(specify) Plumbing for the above named project and that to the best of my knowledge, such plans, computations, and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable laws for the proposed project. Furthermore, I understand and AGREE that I shall perform the necessary professional services and be present on the construction site on regular and periodic basis to determine that the work is proceeding in accordance with the documents approved by the building permit and shall be responsible for the following,as specified in Section It 6.2.2: 1. Review of shop drawings, samples, and other submittals of the contractor, as required by the construction contract documents, as submitted for the building permit, and approval for the conformance to the design concept. 2. Review and approval of the duality control procedures for all code-required controlled materials, 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, in general, if the work is being performed in a manner consistent with the construction documents. I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent comments. Upon completion of the work,I shall submit to the building official a final report as to the satisfactory completion and readiness of the project for occupancy. Signature and Seal of registered professional: c° i(�SSLirfit � . MECt-I kNICAL No.45791 �� Fa��tESt° ws' CONSTRUCTION CONTROL DOCUMENT Project Title; Saints Medical Center Women's Health Care Date: AuVist 19 2009 Project Location: Saints Medical Center 203 Turnpike Street North Andover,MA 01845 Scope of Project: Women's Health Care In accordance with Section 116.0 — 116.4.2 of the 7"' edition of the Massachusetts State Building Code: I, Anatoly Gregor Mass. Reg. # 46351 Being a registered, professional Engineer/Architect hereby CERTIItY that I have prepared or directly supervised the preparation of all design plans, computations, and specifications concerning: ( )Entire Project ( ) Architectural ( ) Structural ( ) Mechanical ( }Fire Protection ( X )Electrical { )Other(specify) for the above named project and that to the best of my knowledge, such plans, computations, and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable Iaws for the proposed project. Furthermore, I understand and AGREE that I shall perform the necessary professional services and be present on the construction site on regular and periodic basis to determine that the work is proceeding in accordance with the documents approved by the building permit and shall be responsible for the following,as specified in Section 116.2.2: I. Review of shop drawings, samples, and other submittals of the contractor, as required by the construction contract documents, as submitted for the building permit, and approval for the conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of 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. I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent comments. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory completion and readiness of he project for occupancy. Signature and Seal of registered professional: ,� AtyATp1.Y.P. � u GRECOR FLFCIRIGAL �p,4B35i Rai 114K Na 1 CONSTRUCTION CONTROL DOCUMENT Project Title: Saint's Medical Center Women's Health Care Date: August 19, 2009 Project Location: mSaint's Medical Center, 203 Turnpike Street,North Andover, MA 01845 Scope of Project: Women's Health Care In accordance with Section 116.0 — 116,42 of the 7"' edition of the Massachusetts State Building Code: I, Bradley Cardoso Mass. Reg. # 10747 Being a registered, professional Engincer/Architect Irereby CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations, and specifications concerning: ( ) Entire Project { X ) Architectural ( ) Structural ( } Mechanical ( ) fire Protection ( )Electrical { ) Other(specify) for the above named project and that to the best of my knowledge, such plans, computations, and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable laws for the proposed project. Furthermore, I understand and AGREE that I shall perform the necessary professional services and be present on the construction site on regular and periodic basis to determine that the work is proceeding in accordance with the documents approved by the building permit and shall be responsible for the following, as specified in Section 116.2.2: 1. Review of shop drawings, samples, and other submittals of the contractor, as required by the construction contract documents, as submitted for the building permit, and approval for the conformance to the design concept. 2. Review and approval of the duality control procedures for all code-required controlled materials, 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, in general, if the work is being performed in a manner consistent with the construction documents. I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent comments. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory completion and readiness of the project for occupancy. Signature and Seal of registered professional; .. .. . ....._.......... ..__._._ m No. X0747 a r' BOSTON Mass. mom Mr�'S�G� 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 i 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 2009 own of over 0 1131 * _ dover, Mass.,- -/49 /'J6 A,* 'D COCNICHEWICK 40 r (� BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT 4k..A.&o.4 � V� ..� ._. KDING INSPECTOR . ...... ....................•--.. BULL. .... F oundation has permission to erect... .......fir`..... �V r P1 ....... Rough to be occupied as............... -e. C. O-h-o--S I----._. q.. ....... Chimney V1 ..... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Fmal 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 E)TMES *6MO SELECTRICALIl�TSPECTOR UNLESS CONSTRUT TS Rough .... ........... ------• Service BUELDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough al No Lathing or Dry Wall To Be Done FIRE Until Inspected and Approved by the Building Inspector. DEPARTMENT Burner Street No. Smoke Det. PERM IT NO_ L APPLICATION FOR PERMIT TO BUILD********NORTH ANDOVER, MA _ - s NI%A,NO. 1 10LNt)_ Z z. Rt('E)R1)O>:O�VNFHJIiII' DATE BOOK PAGE Sllb I)IV. 1.01'140- `� PLJRNC)SE Of Will OINCi CA tI%VNER'S NANIE No.OF STORIES SIZE t tn3/NER'SADDRkS5 .� _ BASEMENT ORSLA6 KU ARCI uTECI'S NAME SIZE OF FLOOR TIMBERS 2 3 6I11I DER']NAn1E aJ +n {J L e �� L . SPAN 1)ls'rAWI:TO NEAREST BUILDING DIMENSIONSOFSII.I.S DIS I'ANCk I•ROM STREET DIMENSIONS OF POSTS DISTANCEFRCtlL.OTLJNES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE I(EIGHT OF FOUNDATION THICKNESS IS BUILDIW;NEW SIZEOF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND F\`ltl.BUILDING CONFORMTOREQLIIRE IMOFCODE � y IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION,IF ANY A IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTIIt"1"IONS 3. PROPERTY INFORNIaTION LAND COST EST.131.rX;_COST `J PAGE I Fll.i. lTr SECTIONS 1-3 EST_BLDG.COST PER SQ.FT, EST. Bl.lx COST PER R(X)M EI.ECTRIC METERS ML)ST BE ON o(JTSIDE OF BUILDING SEPTIC PERMIT NO. r A11AC'I LEI)GARAGES MUST CONFORMTO STATE FIRE REGULATIONS 4. aPPR01'EBBI': PLANS MUSTBE FILED AND APPROVED BY]BUILDING INSP4=CTOR / BUILDING INSPECTOR DATL:Fil F=11 L}fQ _ OWNERS TO.4 �� e�t 1j '-"^-h fn2 G 113 i)(I�IH�OVdNEi;2 t1R ll I[c 1Rl Zlcl)A(;LNI' l'i RNII'I BRAN 11-1) 19 ' : F�, r � es �� :'w