Loading...
HomeMy WebLinkAboutBuilding Permit # 1/9/2017 %AORTfi + 6 BUILDING PERMIT TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINAJ,1'r Permit NO: Date Received T- Date Issued: IMPOR cant must complete all items on this pag ������ r, « � ,, , , 1l�111�11'J��������I,�lll� ���LI1 /� ,��%�� � �11� � �� TYPE OF IMPROVEMENT ----PROPOSED USE Residential Non- Res—ideri`fiaf­ El New Building 0 One family El Addition El Two or more family F1 Industrial N Alteration No. of units: JE Commercial L1 Repair, replacement E Assessory Bldg El Others: Ll Demolition 11 Other I JI/ 1�1 >(��1�MIMM, �77 Remo and remove shelving and select walls,build new walls for offices ----------------—-------- Identification Please Type or Print Clearly) OWNER: Name: Merrimack College Phone: 978-837-5459 Address: 315 Turnpike Street,North Andover,MA 01845 ---- imm --------- -- ................................................ �1%�� 1 � 1 � � � ,�,;; �1» � 1� � �� !, , ���°�,�>>���1l111�I� 1��11>>1' �1�11� I1l��l I��II1���,���� I>f z( � , 1 �� J � 1, i ,,,i � � � �� �1 ,r, ��'�1����� ��1°��.����� , �� �r l��r 111;',;J, ,,fJl��t'�1��III �l f� � � l �I� l,J�,��, � J,JJ1 11/111 rrl,1�� l , ARCHITECT/ENGINEER Dewing Scmid Kearns Phone: (978) 731-7500 Address: 30 Monument Square#200B,Concord,MA 01742 Reg. No. 6938 FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 39,765.00 FEE: $ Check No.: G11 L41 I Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund cis t%®RTH r Town �2 _ over '760- � o : h ver, Mass, toy W r COC"1Ce4fW$Crt y U BOARD OF HEALTH Food/Kitchen PERMIT T � Septic 5ystem THIS CERTIFIES THAT �..�.AAW elm......�l. R� BUILDING INSPECTOR has permission to erect ......... buildings on ..3.1. 7"+It► 041.........ST.. Foundation Rough dh Sj&g to be occupied as ... .�......... ........ . ,.... �. chimney. Provided that the person accepting this permit shall in every respect confom to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection_,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI AR Rough •_•••••• Service .......... . ... .. .. ... .............,.............. Final BUILDING INSPECTOR GAS INSPECTOR Occu anc Permit Required to Occu , , Building Rough Py a 13Y,,... Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional F for work per the 8th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Merrimack College McQuade Library Second Floor Date: 1/4/2017 Property Address: 315 Turnpike Street,North Andover,MA Project: Check(x)one or bath as applicable: New construction X Existing Construction Project description: Second Floor Offices 1,Joseph G. DeMarco, MA Registration Number: 3852 Expiration date: 8/3112017 , ant a regWered design profeuional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': X Architectural Structural Mechanical Fire Protection Electrical Other; for the above named project and that to the best of my knowledge,information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that 1(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the Construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding;the provisions of 780 CMR 107. When required by the building official,i shall submit fleld/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, 1 shall submit to the building official a`Final Construction Control Document'_ �.t�4tEC�Al p�k. Enter in the space to the right a"wet"or r, electronic signature and seal: ' a n5sa USOirs Phone number: 978-657»7300 Email:jgdemarco527@yahoo.com Building Official Use Only Building Official Nstne; Permit No.. Date: Note 1.[adnate with an`x'project design plans,computations aW specifications that you prepared or diitetly supervised.if gather'is chosen, provide a deegription. Vcrsi4n 06 11 201.1 '577758 11;10;46 a.m. 12-30-2016 1 12 CHANNEL LI BILOI r dGr COMPANY FAX COVER SHEET- Date: December 30, 2016 Pages: 2 (including cover page) To: Paul Hutchins Fax Number: 978-688-9542 From: Kyla McGuire Subject: Permit Application — 315 Turnpike Street (Merrimack College) Please see insurance certificate attached as requested for permit application for McQuade Library 2nd Floor Permit Application dropped off earlier this morning. Please let me know if you need anything else. Kyla McGuire 978-284-8134 kmcguire@channelbuilding.com 355 Middlesex Avenue Wilmington, MA 01887 97B-657-7300 978-657-7788 Fax www.channelbuilding.com i 3 9786577788 11,11:19 a.m. 12-30-2016 212 PATE(MM/ODfYYYY) ACOREP CERTIFICATE OF LIABILITY INSURANCE `rte 12/30/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE: DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCE=R,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemenl(s). PRODUCER C ME:NTACT Irene Balise NA aorawski Insurance PHONE (413]586-5011 AJC Nn:(413]566-7973 88 King Street, Suite B E-MAILSs:ibalise@horawskiiTtsurance.com INSURER@J AFFORDING COVERAGE NAIC q Northampton MA 01060-3257 INSURERA:Travelers Indemnity Co of CT 25682 INSURED INSURER a: Channel Building Co Inc INSURER C: 355 Middlesex Avenue INSURER D: INSURER E: Wilmington MA 01887-2163 1 INSURE COVERAGES CERTIFICATE NUMBER-WC only REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILS TYPE OF INSURANCE ADD 8 POLICY NUMBER MMS©fYYYY POLICYEXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE El OCCUR PAEA�E5O aoccuRENTEenre $ „ MED EXP(Any one person) $ PERSONALS ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY 1:1 PRO- ❑LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ COMBINED SINGLE UMIT AUTOMOBILE LIABILITY Ea accidont $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCEBB LIAS CLAIMS-MADE AGGREGATE S DEO RETENTIONS $ WORKERS COMPENSATION X I STRATUT OTH- AND EMPLOYERS'LIARILITY ANY PROPFRETORIPARTNEA/EIfECUTIVI YIN NIAEL EACH ACCIDENT $ 500,D00 OFFICERIMEMBER EXCLUDED? A (Mandatory In NH) UB5G890373 1/1/2017 1/1/2018 E.LDISEASE-EAEMPLOYE $ 500 r 000 If yyes,describe under bE6 RIPTION OF OPERATIONS below �E.I-DISEASE-POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Hemarks Schedule,may be attached If more space Is required) I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 120 Main Street ACCORDANCE WITH THE POLICY PROVISIONS, North Andover, MA, 01845 AUTHORIXED REPRESENTATIVE David Malek/BORIBI I - 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 1NS025(2014Dt) y IM Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-053258 r JOSEPH A GAIJK$TERN 6 JUNIPER DR AMHERST NH 0031 ..jW ., ': k„ Expiration Commissioner 03/03/2018 Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991nrt )of enclosed space. Failure to possess a current edition of theftAassac'husetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www-Mass-Gov/DPS ` r s MERRIMACK COLLEGE Member of MHEIC/E&I Cooperative Procurement Department• 315 Turnpike Street• North Andover,MA 01845 • (978)837-5942 • Fax(978)837-5229 ='EaliF�teYa PURCHASE ORDER #: Bill to: Merrimack College L'tj�,,,,�.M1M05 7'•E1y�Lf aWoll Date: ZG��Q� Accounts Payable Department "Y" f 6 315 Turnpike Street TO#must appear on all correspondence,packages,and invoices. North Andover, MA 01845 NOTE:Unnumbered,unsigned forms are invalid orders. Charge to Account Codes)/Amount. Requisitioner: r� WCd�/L. Date: _ - 9 -0-571 0 Signatures: Date: Date: 'A W-9 needs to be on File in Accounts Payable for all vendors.. Date: Vendor: Ship to: Name: qt4& 414 Merrimack College Other(Specify in Destripd0n) Attn: Q Q Attn: �- Address: ^� Dept. CV _ 315 Turnpike Street City/State/Zip: �� M /44 fte? North Andover, MA 01845 Phone#: Phone#: Fax or Email: Fax or Entail: QTY DESCRIPTION UNIT PRICE EXTENSION TOTAL Merrimack College's Tax Exempt#E 042103 731 Terms and Conditions are located at www.merrimack.edu-Purchasing Page,and any attachment hereto,constitutes a part of this Purchase Order and contract. Approved by: Purchasing Agent CHANNE A Full-Service Construction Company 12/19/2016 2nd Floor McQuade Offices DIVISION I — GENERAL CONDITIONS I. Full time, on-site construction supervision. 2. General labor. 3. Project administration by Project Manager based at Channel office. 4. Cost of building permit. 5. Lifts and staging as required. 6. Small tools and equipment, including rentals. 7. Clean up and dumpster fees. 8. Final cleaning. 9. One (1) year material and labor warranty for all work. DIVISION 2 — DEMOLITION I. Relocate shelving to basement storage room 2. Remove and properly dispose of walls as per drawing Center for Student Success AD 102 dated 1219/2016 by DSK. DIVISION 6 — CARPENTRY I. Furnish and install blocking as required. DIVISION 8 — DOORS AND WINDOWS I. Furnish and install (2) two knock down steel frames and (2) two prefinished wood doors with %z glass at offices as per drawings Center for Student Success AD 102 and A102 dated 12/9/2016 by DSK. DIVISION 9 — FINISHES I. Furnish and install Steel studs, insulation and GWB, as required to create offices as per drawings Center for Student Success AD 102 and A 102 dated 12/9/2016 by DSK. 2. Paint o All new and repaired GWB and door frames. 3. Flooring o No finish flooring is included. o Furnish and install vinyl cove base at both sides of new wall to match existing. 355 Middlesex Avenue Wilmington, MA o1887-2163 ■ 978.657-7300 ■ Fax 978.657.7788 www.channelbuilding.com CHANNE A Full-Service Construction Company • • • e - t DIVISION IS -- PLUMBING, HVAC & FIRE PROTECTION I. No HVAC, Plumbing or sprinkler work is included in this price. DIVISION 16 — ELECTRICAL . Allowance of$7,000 is included for electrical and Fire Alarm work as required. NOTE: • All hazardous materials are excluded from this proposal Total Cost for Proposed Scope $39,765.00 355 Middlesex Avenue Wilmington, MA o1887-z163 978.657.7300 Fax 978.657.7788 www.channelbuilding.com c C Aft TAVFLEIRS WORKERS COMPENSATION ONE TOWER SQUARE AND HUTgoRn, CT 06183 EMPLOYERS LIABILITY POLICY TYPE V INFORMATION PAGE WC 00 00 01 { A) r POLICY NUMBER: (DTEUB-SG89037-3-16) NEW-16 INSURER: THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT 1. NCCI CO CODE: 12537 INSURED: PRODUCER: CHANNEL BUILDING CO INC ALEXANDER W BORAWSKI INC 355 MIDDLESEX AVENUE 88 ICING ST WILMINGTON MA 01887-2163 NORTHAMPTON MA 01060 Insured iS A CORPORATION Other work places and identification numbers are shown in the schedule(s)attached. 2. The policy period is from 01-01-16 to 01-01-17 12:01 A.M. at the insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: $ 500000 Each Accident Bodily Injury by Disease: $ 500000 Policy Limit Bodily Injury by Disease: $ 500000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN ICS KY LA MD ME MI MN MO MS MT NC NE NE NJ NM NV NY OK OR PA RI SC SD TN TX UT VA VT WI WV D. This policy includes these endorsements and schedules: SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All required information is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 01-22-16 SK OFFICE: QUINCY/AET-BOSTMA 307 DIRECT BILL PRC)n11r1=Q• AT.RYAMM213 w 'AAb2kWQ1rT TMn nanre The Commonwealth of Massachusetts Rririt'For�n Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 wtvw.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/E lectricians/Plumbers Applicant Information Please Print Legibly 1 Name (Business00rganizattiot>/I'ndivi(lual): Channel Building Company t Address:355 Middlesex Avenue City/State/Zip:Wilmington, MA 01887 Phone 4:978-657-7300 Are you an employer?Cheek the appropriate box: Type of project(required): 1.n I am a employer with 16 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑✓ Remodeling ship and have no employees These sub-conhactars have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' Y9, E] Building addition [No workers' comp, insurance comp. insurance.t required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 ❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.© Other comp, insurance required.] *Any applicant that checks box#I must also fall out the section below showing their workers'compensation policy int'ormation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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 ain an employer that is providing workers'compensation insurance for my employees. Below is the policy and jab site information. Insurance Company Name:Travelers Indemnity Company Policy#or Self-ins.Lic,#:UB5G89037 Expiration Date:1/1/2017 Job Site Address:.315 Turnpike Street City/State/Zip:North Andover MA 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 fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine Of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerci under thegtWlaiAdnepaloe o tilt that the in brmation provided above is trite anid correct. Si nature: LO—XLILLDate: a Phone 4:978-657-7300 Official use only. Do not write in this tarett,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: