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HomeMy WebLinkAboutBuilding Permit #515 - Building 24 Schneider 3/11/2008BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: -// Pe O• �t6eD / a'•ryO\ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic y Well Floodplain Wetlands- �� f' Watershed .District Water/Sewer = F , DESCRIPTION OF WORK TO BE PREFORMED: 1 ARCHITECT/ENGINEER &At, Mlt, ML 0-C, Phone:_ 10— �fZ�3-�ZSz Address: �S CocQLQ,.P-SS ST k�,i mor Zio Reg. No. FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ nl) FEE: $ Check No.: 11W, + Receipt No.: J0 5�`3 NOTE: Persons contracting with unregistered contractors do not have access to the guampty fund Plans Submitted Plans Waived Certified Plot Plan IStamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ��1�% COMMENTS%)Tru�,�r ...t ,S3�n9 � 4AJ fri �tn�„n,/' � csu-c.�. cr .�- �'�"'"'cv`ae,,� •�^ /�t^�rti^ �,S`�<�a a ..�i,�, �, TE REJECTED DATI�,APP VED CONSERVATION ^ f .A/2) � t,�• COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street, T FIRE DEPARTMENT - Temp. Dumpster on site yes Located at`l24'Main Street ` Fire- Department.sionaturelda"te � I x � s, u COMMENTS � � Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA — For department use ❑ Notified for pickup - Date ................................. _.__.._..--...--------............ _.... _..................................... ---...... _._..... _....................................................... ..... _.._...... __._..... __._........ _.......... ,............................................. ........ _....... --................................................... _.---.__....................................... Doc.Building Permit Revised 2007 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits m,' Building Permit Application ©' Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Er, Floor Plan Or Proposed Interior Work a' Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location'? No.Date _ ' W TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ j�g_ 7, Foundation Permit Fee $ Other Permit Fee f $ %,-TOTAL Check # �� f 20983 Building Inspector Via Hand Delivery March 5, 2008 Town of North Andover Planning Department Main Street North Andover, MA 01845 Via Hand Delivery Re: Proposed Renovations to Schneider Automation Inc. Factory Dear Sir or Madam: Schneider Automation Inc. has applied for a building permit to authorize renovations to its factory and the relocation of some of their current employees, located at One High Street. Last year our affiliate, Tour Andover Controls, relocated its factory to another facility, out of state. This resulted in the reduction/elimination of approximately 90 jobs. Based on this reduction, we will be relocating some of our current employees into this factory space, to provide them more space and to move them closer to the rest of the operation that they support. In order to do this, we need to convert some of this factory space into office space. Schneider Automation Inc. will only be relocating current employees into the newly converted office space. We have no plans to increase our current employee population. If you have any questions, please do not hesitate to call me at (91'7 8) 975-9451. Than !Otou for your prompt attention to this matter, as our contractor is eager to begin the project, in order to meet -the tight schedule that we have negotiated. Sincerely, SCHNEIDER AUTOMAT ON INC. t� J Stephen J. Laham Chief Financial Officer Schneider Automation Inc. One High Street North Andover, MA 01845-2699 Tel. (1) 978-794-0800 Fax (1) 978-975-9400 www.modicon.com Feb. 28. 2008 2:37PM No, 7486 P. i Schneider C:t Electric Page 1 of 1 M- w M1 PO number/date 4500428769/02/28/2008 Republic Building Contractors, Inc. 491 MAPLE STREET SUITE 103 Buyer: S. PIEMONTE DANVERS 01923 Schneider Automation Ino. One High Straet North Andover MA 01846-2899 Telephone: 978.975-9776 FAX: 978-725035 Supplier No.: 3100000028 Pleas deliver to: Bili to: Schneider Automation Inc. Schneider Automation Inc. One High Street One High Street North Andover MA 01845-2699 North Andover MA 01845-2699 Sea Shipping Instructions Below Attention: Accounts Payable lncoterms: EXW sp Payment Terms: A300 Within 30 days Due net Currency USD This purchase order is subject to the Schneider Auton"on 'Term and Condldons of Purchase'. The 'Germs and Conditions of Purchase" can be found via the Internet at htrp://public.modken.eamtsuppalloWeandislatts.htm, or a copy of the "Tarim and Conditions of Purchase' can be obtained by calking (978) 976.9164. from Material Ory Ord Unit Price per/unk F Net value Description Qty Recd f' Qty Hal 00010 810,218 Each 1.00/1 510,218.00 MANUFACTURING BUILDING OFFICE FIT -UP Revision Level: Tax Code: 10 - A/P Sales Tax - Tax Exempt Original Commit date: 04/15/2008 Delivery date: 04/7512008 Total net value excl. tax USD 610,218.00 --aoo-v..aa.a.vcoa=-aaa==c....:pam�Ol��aaaoascv� ADDITIONAL INFORMATION: VEND MASTER/PD HEADER: Signature: `, 1 .i V -1c, Date: 2 2 S. PIEMONTE Schneider Automation Inc. One fth super North$ -2699 cw*. MA 0784 TEL 11)879-876.9776 Fax i11 978.726.3035 WWW.ftdMdereutometion.ddrd Federal i_mdoYer Identification No. 043.211-098 W) x O O w v cn v z ,7 IS L O u. O a: ^C U G x R; 0 H U w a p w r. x a O Er w U 0..4 W p w2 M C� C it p 0 C7 p rx G w H w A a rsa ° �i cn Q O cn LU C`n f a 2 O O O � O v Z O G. O y 0 C O cm i O — CD H O O E mm C CD O i cc o a cma O r � c �cv .fl CD C d CL C.3 t/3 c C C� C c — N! 0 LU U) LLIN W W W U) 0 O y �:.0 n'o :mc :co t. o m CE... boa V`J H V : c •' y �'u� n E O �c vs C �m3 O «. y m N CA o Ca CD0 p.(A2 0 O U Cf Nz Ofp C C p � .y m Z •� v' O �. Ocm C n •O Q � : m C m.- 30 = H m o y N m D r .Go Z ac y 'E ce.+ C v C., .y Z o a m19C2CM y��1 CODco s co ��=4-ag C`n f a 2 O O O � O v Z O G. O y 0 C O cm i O — CD H O O E mm C CD O i cc o a cma O r � c �cv .fl CD C d CL C.3 t/3 c C C� C c — N! 0 LU U) LLIN W W W U) "rDD CERTIFICATE OF LIABILITY INSURANCE OP ST REPUB-1 DATE(MMlDDlYYYY) 11/07/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LTR ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE McLaughlin Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 828 Lynn Fells Parkway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Melrose MA 02176 Phone: 781-665-2775 Fax: 781-665-0295 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Ohio Casualty Group A Republic Building Contractors, Inc. 491 Maple St 103 & #104 Danvers MA 01123 INSURER B: St. PaulTravelers Ins. Co. INSURER C: Amozioan ZnL*rnat'1 Companies INSURER D: j INSURER E' I 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY] DATE (MMIDWYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1XI OCCUR PREMISES (Ea occurence) $ 100,000 MED EXP (Any one person) $ 10,000 BKK0852520527 10/01/07 10/01/08 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMPIOP AGG $2,000,000 POLICY 7 PRO- LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $1,000,000 (Ee eccident) B X ALL OWNED AUTOS SCHEDULED AUTOS BA2079C445-07 10/01/07 10/01/08 BODILY INJURY (Per person) $ B B X X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Per acciderd) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 10,000,000 A X OCCUR FCLAIMSMADE USO0852520527 10/01/07 10/01/08 AGGREGATE $10,000,000 DEDUCTIBLE $ RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS'LLABILITY ANY PROPRIETOPJPARTNERIEXECUTIVE WC6888552 10/01/07 10/01/08 X TORY LIMITS I I ER E.L. EACH ACCIDENT - $S00,000 OFFICER/MEMBER EXCLUDED? If yes, describe under EL. DISEASE - EA EMPLOYEE $S00,000 E.L. DISEASE- POLICY LIMIT $ 5OO , 000 SPECIAL PROVISIONS below OTHER A LEASED EQUIPMENT BKKO852520527 10/01/07 10/01/08 Limit $25,000. ,Special Form IREPLACEMENT COST I I I Deductibl $500. DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Evidence of insurance for operations usual to named insured C:tK I IrIL:A I t HULUEK CANCELLATION FORIN-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION FOR INFORMATION ONLY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Republic Building Contractors NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Inc. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR MA REPRESENTATIVES, ACORD 2512001/08) 6 ACORD CORPORATION 19RR The Commonwealth of Massackusefts Mme, ; Department of Industrial Accidents Office of Investigations 600 Washington Street ` Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Name (Business/Organization/Individual): ' —eo JLtr. �l1,2t l �ircl (�" (-KAL4ZSs � /- Address: 1 in�r�{'ie, ST �.�t 1C) City/State/Zip:_ Areyou an employer? Check the appy 1. I am a employer with �� r employees (full and/or part-time).* 2. ❑ I am a' sole proprietor or partner- ship and have no employees working forme in any capacity. [No workers' comp. insurance required.] . 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t P.1 tcja' Phone.#: crate box: 4. 0 I am a general contractor and I have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance.# 5. E] We are a corporation and its officers have exercised their right of exemption per MGL C. 152, § 1(4), and we have no employees. [No workers' comp. insurance reattired.l Type of project (required)4. 6. ❑ New construction 7. ( Remodeling 8. E] Demolition 9. 7 Building. addition 10.❑ Electrical repairs or additions 11.0 Plumbing repairs or additions 12.0 Roof repairs 13.❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp; policy number. I am, an employer that is providing workerscompensation insurance for my employees. Below is the policy and job site information, i r Insurance Company Name: O �'tt0 (dc•f'�'J Policy # or Self -ins. Lic. #:' (�(',f n �(S(�« Expiration Date: Sob Site AddressJ 4-14\ S . r P*j ti tZ rR 6 City/State/Zip:--AZ, AV LIZ- fty v.j Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure. to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for incuranrr rnvrraoP vPrifir�tir.,, I do hereby certify City or Town: th pain and penalties of perjury that the information provided above is true and correct Date: not write in this area, to Issuing Authority (circle one): I. Board of Health 2. Building Department 6., Other, or town official PermitlLicense 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." r i An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the .occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "ever state or local. licensing agency shall withhold the issuance or renewal of a license or permit to,operatie�a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25CO) states "'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for, the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law, or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town .Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under `.`Job Site Address" the applicant should write "all -locations in (city -or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone -and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Ogee of Investigations 600 Washington Street. Boston, MA 02111 Tel. # 617-727-4900 ext.406 or 1-877-MASSAFE ` Fax # 617-727-7749 Revised 1122-06 t www.mass.gov/dia i ✓fee i�omvnzanurv.�, Board of Building Regulations and Standards Construction Supervisor License Lacense: CS 45457 („ , Birthdate. 3/8/1964 aV Expo do 3/;$/2009 Tr# 13097 �„ .,M1,�- Restrictions 00 C JAMES H BURNS:,. 22 PARISH LN b&KPORD, MA 01921 Commissioner, ar°"'. OFFICE OF BUILDING INSPECTOR �? TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: 07830.00 PROJECT TITLE: Schneider Automation PROJECT LOCATION: One High Street, North Andover NAME OF BUILDING: Schneider Automation NATURE OF PROJECT: tenant fit -out IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDJI�?&DE, I, Linda Smiley REGISTRATION NO. BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ❑ ARCHITECTURAL ® STRUCTURAL ❑ MECHANICAL ❑ FIRE PROTECTION ❑ ELECTRICAL ❑ OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the _contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for All code -required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is ging performed in a manner consistent with the construction documents. PURSUANT TO SECTION 116.2.2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. NATURE SU§SCRIBED AND SWORN TO BEFORE ME THIS O DAY OF41-Y ,.Z. NOTARY PUBLIC MY COMMISSION EXPIRES !�— —4—" // ao*ff �ti OFFICE OF BUILDING INSPECTOR a' TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER- OJECT TITLE: Schneider Automation PROJECT LOCATION. One High Street, North Andover, MA NAME OF BUILDING: Schneider Automation MATURE OF PROJECT• Tenant Fit -Up IN ACCORDANCE WITH ;ARTICLE 118 OF THE MASSACHUSETTS STATE BUILDING CODE, I, William T. Reffner, III, P.E. REGISTRATION No. 45360 BEING A REGISTERED PROFESSIONAL EN'GINEERIARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT F1 ARCHITECTURAL STRUCTURAL MECHANICAL D 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 PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0. 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. m Be present at intervals appropriate to the stage of construction to become, generally familiar with the progress Rd quality of the work and to determine, in general, if the work being performed in a manner consistent with the construction v �9 w cuments. CD N zRSUANT TO SECTION 1162.21 SHALL SUBMIT AFTER EACH SITE VISIT, A PROGRESS REPORT ��' $° z GETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. 'a� = D R o >a' &ON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY o N m z �cO MPLETION AND READINESS OF THE PROJECT, FOR OC6UPANCY. '� zRE / o CO v Z o ci R N T < Q BEFORE!VE THIS, 2 DAYOF �e N ~MY COMMISSION EXPIRES � ..... �� o.ioti Zi c ✓�' ,i �,, 1 0` h. a c �'y, aV'�''t PROJECT TITLE: Schneider Automation PROJECT LOCATION: One High Street, North Andover, MA NAME OF BUILDING:Schneider Automation NATURE OF PROJECT- Tenant Fit -Up IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS .STATE BUILDING CODE I, William R. McGhee, P.E. JREGISTRATION NO. 35320 BEING A REGISTERED PROFESSIONAL ENGINEERI ERESY CERTIFY THAT I HAVE PREPARED:OR DIRECTLY SUPERVISED THE PREPARA'TI N OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT C FIRE PROTECTION Q ARCHITECTURAL Q ELECTRICAL El 8TRUCTURAt_ E OTHER (SPECIFY) MECHANICAL FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0. 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. o Be present at intervals appropriate to the stage of construction to become, generally familiar with the progress R g Rd quality of the work and to determine, in general, if the work being performed in a manner consistent with the construction m g * m fficuments. 53.9 RSUANT TO SECTION 1162.21 SHALL SUBMIT AFTER EACH SITE VISIT, A PROGRESS REPORT o• $� !— Z GETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. > i; mR &ON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY F C o m MPLETION AND READINESS OF THE PROJECT OCCUPANCY. CCUPANCY. Z Z SIGNATURE v B IBED A D SWO N TO BEFORE ME T; DIS D.AY OF C / /(% /©Q� ytbTY ELIC '" - MY COMMISSION EXPIRES OFFICE OF BUILDING INSPECTOR. '? y . _. • TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT TITLE: Schneider Automation PROJECT LOCATION: One High Street, North Andover, MA NAME OF BUILDING:Schneider Automation NATURE OF PROJECT- Tenant Fit -Up IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS .STATE BUILDING CODE I, William R. McGhee, P.E. JREGISTRATION NO. 35320 BEING A REGISTERED PROFESSIONAL ENGINEERI ERESY CERTIFY THAT I HAVE PREPARED:OR DIRECTLY SUPERVISED THE PREPARA'TI N OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT C FIRE PROTECTION Q ARCHITECTURAL Q ELECTRICAL El 8TRUCTURAt_ E OTHER (SPECIFY) MECHANICAL FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND BE PRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0. 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code -required controlled materials. o Be present at intervals appropriate to the stage of construction to become, generally familiar with the progress R g Rd quality of the work and to determine, in general, if the work being performed in a manner consistent with the construction m g * m fficuments. 53.9 RSUANT TO SECTION 1162.21 SHALL SUBMIT AFTER EACH SITE VISIT, A PROGRESS REPORT o• $� !— Z GETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. > i; mR &ON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY F C o m MPLETION AND READINESS OF THE PROJECT OCCUPANCY. CCUPANCY. Z Z SIGNATURE v B IBED A D SWO N TO BEFORE ME T; DIS D.AY OF C / /(% /©Q� ytbTY ELIC '" - MY COMMISSION EXPIRES