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HomeMy WebLinkAboutBuilding Permit # 1/26/2017 �AORT BUILDING PERMIT' TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#:— Date Received d2i 0, ACHU Date Issued. PORTANT: Applicant inust complete all items on this page i / �� � ( � ,,l � � PJ� /��� ,� /r,/�,/ �� rr,,/ f !rrr% �/ire,, ,, n �; ,7 f ;" � r'�(,f,/f lrl,rj��/, �r// ,,.1( �i6r��:/i l/�/�i„�/I,,;r����r/nll�/�f���� //i ii/� TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential -------------- 1.1 New Building 0 One family D Addition 11 Two or more family 11 Industrial [I Alteration No. of units: ❑ Cornmercial 0 Repair, replacement 0 Assessory Bldg [I Others: El Demolition u Other FrrFI dI VV-t'l and -J' 0 J DESGRIPTIONOF WO r�K� 0 BE PERFCS RMEL --ft-L ---EL-112-�LZ� CS C3 ldent7fic,4tion - Please Type or Print Clearly io OWNER: Narne: J Phone: Addres s;,SU o nc>-, Sr—i &rInw,116” 0 ............. -- ------ ------- --------------------- Phone: A(Srr ',T1*1,9'�,`,q1'11­" J �Onll/ml A/A W, A ? S 0 ARCH ITECT/ENGI Phone; Address: 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: $ I4 S— d 0 Q FEE: C-'.7), Check No.: 1121c"),Ce4 Receipt No.: NOTE: Persons contractin gL,wit 1 unregistered contractors do not have access to the guaiantyfund -- 177 ------ _ignaturq of contractors_) Plans Submitted ❑ Plans Waived.❑ Certified Plot Plan ❑ Stamped {Tans ❑ TYPE OF SEWERAGE DISPOSAL .Public Sewer ❑ Tanning/Massage/Body Art ❑ Swnl�g fools ❑ well ❑ Tobacco Sales ❑ FoodPackaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS p Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Recision: Comments 'Water&Sewer Connection/sI na��are&Dafi� Dri�ewa Permit DPW Town Engineer: Signature: Located 384 Osgood Street SIRE DPAR�TMENT Temp Dumpster oii site ,yes no Located at l24 I111ain StEeet e �reyYepartment signaturelda#e { COMMENTS; Wmension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: FLECTRIGAL: Movernent of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE. Yes filo MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA—(Fou'department use) � l 0 0 Notified for pickup Call Email ©ate Time Contact Name Doc.Building Pon-nit Reviscd 2014 ` ^ �����/�����°��� ��������- [�][Z�[��0� �m�m�^ St, tts Suite sn Structures North��� �_�^_._..__-~�_- ~...' ..- _-_ e$.av^mvr1'osam rpro.r*s+u1r / p+ra.waaoar 27January 2017 Town VfNorth Andover, &YA 120 Main Street North Andover, MAO185O Attention: Donald Belanger Reference: East Mill P8DStOCk Stabilization North Andover, K4A Dear Mr. Belanger: On Tuesday 17 January and Friday, 20 January 2017, we visited the East Mills in North Andover to do an investigation of sink hole that had formed below the first floor slab. � Sinkhole Discovery- Two 48 isC0oery-Tvv048 inch rOet8| pipes ran under the building from the retained rD\|| pond OD its east side toward Osgood Pond to west. These connected with the nli\\ pond in o large concrete chamber behind otr8Sh sor8oD and movable gates, f0r0niD0 a penstock. * The pipes met the Ch@0bo[ in two 48" diameter holes in the concrete foundation under the east wall ofthe mill. | w It had been determined that the pipes had partially rusted and caved in as their f|Ovv had bCoVnne restricted and a p|U[ne of soil had been discovered at their downstream outlet. Preparations were being made to replace the crushed | sections Ofpipe. | * When the pipes were drained and inspected directly, 8 large, 15 hoOi by 20 foot � Uy50foot cavern was discovered above the rusted holes. � to investigate 8nd h�|� stabilize the w We were promptly contacted by the owner situation. We reviewed vidoDgraphVthat had been done from below and did 8 �! quick inspection of the building, observing the following: � - The OOO[ slab dipped by G s[D8U amount over the C8VeDl, being higher @lODQ the column lines. Fromthe 8U(| images within the cavern one could see � rectilinear concrete foundation xVo||S and wide a[Cha8 that spanned over the | pipe alignment. Structures North East Mill Penstock Stabilization 27 January 2017 North Andover,MA - We could also see the underside of the slab at the top of the cavern. - We were told that the building had been constructed directly over a river that had followed the route of the penstock. - No sign of global movement had been observed in the building structure and the east wall appeared sound and plumb. • Out of concern that the floor slab could collapse into the cavern we immediately advised the owner to evacuate the office spaces that were over the subgrade disturbance. I Based upon all of the above, it appeared that the cavern had been initially created by soil sifting into the pipes when the rusted holes were created. This sifting increased to scouring as the holes enlarged. The flow was restricted after the pipes began to collapse and additional soil started to clog the flow. Because of the building foundations would have been constructed more deeply than the former river, or the pipes that replaced it, it was not plausible that the foundations would have been undermined since the disturbance was above the inverts of the pipes. The slab was assumed to partially span over the top of cavern as a catenary, and partially rely on the wedges of soil that remained arched around the sides of the cavern. The building's east foundation wall between the gate chamber and the penstock had once acted like a dam holding back pond water that had pressed against the soil below the floor slab, while at the same time holding the soil back over a vertical height of approximately 18 feet. Stabilization- It was decided that the optimal solution would be to fill the cavern with about 8 feet of concrete over the pipes and soil base and to fill the rest of the cavern with flowable fill up to the bottom of the slab. We compared the lateral outward pressure that was exerted against the east wall by the displace soil with the more concentrated fluid pressure of the concrete and flowable fill and determined that each placement would need to be limited to five feet of height would need to stiffen before the next successive lift. The concrete and the flowable fill were provided by "J.G. MacLellan Concrete Co., Inc.". The mix design of the products is attached at the end of this report. In order for the concrete mix to be poured, two openings were cut through the slab. e square foot each in area and 18 feet apart, The openings were approximately on 2 East mill Penstock Stabilization Structures North Nortli Andover,MA 27 January 2017 one of which is close to the east exterior wall adjacent to the pond and the other one is located in the storage room closer to the west elevation exterior wall. For the purposes of this report we will refer to them as opening I and opening 2, respectively. it is noteworthy that there is a wall beneath the stab, parallel to and 12 feet away from the west exterior wall. The concrete mix was poured on Monday, January 23. The volume of the poured concrete was 209 cubic yards. The flowable fill pour was designed to take place at the maximum height of 5 feet at a time. After the concrete pour, the distance from the top of the concrete to the top of the slab was 105". Deducting the average thickness of the slab (6") would suggest two pours of 48". The first pour started at 7:30 am and ended at 10:30 am. 5 feet of flow fill was poured in opening I and 5.5 feet in opening 2. A few hours had to pass for the flow fill to reach a certain strength at which it could hold its own weight and not transfer it to the surrounding wails. The second pour started at 2:00 pm and ended at 3:30 pm. 3 feet of flow fill was poured in opening 1 and 2.5 feet in opening 2. The total of 182 yrd3 of flowable fill was used. On Wednesday, January 25, 2017, we visited the building to inspect the result of the job done on the previous day. The condition of the building was satisfactory and no deformation in the walls, cracks in the flow fill and irregularities in the floor was observed and the condition was suitable for the openings to be covered with reinforced concrete. As stated in our letter 25 January letter, the necessary structural work has been completed. Should you have any questions, please feel free to contact this office. Respectfully Yours, Structures North Consulting Engineers, Inc. Sara Alinia, Preservation Engineer John M.Wathne, PE, President OF V) tit U0 0 w Structures North East Mill Penstock Stabilization North Andover,MA 27 January 2017 mV-wl.q IBM. n rm o x'u0 F1110ENIX Avf-.Nt.xr LO WVE L ,h.A/tiSSA(MUSE1 I'S 018 2,1 H (078)4513'1223,FAX(078)441.2434 I 3000 3/4" Pumpable Flowable Fill Class ol`Concrefc,psi t�+ 28 days: No Air 300 sl t 28 17a s Formula N. 30407035_ 90FF7011M b d' Cement Ib/ d-1 50 Cement lb/yd' _ ....__.400 _.._.....,_ Saxxd 1420 Sand lhl dao 2350 _ Stolle Ib/yd 1675 Al A / dx`. 6.0_,_._._._. �_ m.allY __ ...__.. _.,Walter galI. d' 36.2 WRDA trrl cX ...,._...............IS.6_..__. _ — Slim inches 4-6" Entrai red Air 0/0 _ (!-3°/r Went Ratio 0.58 Materials: Cement Lal`arge North America Co.,St.Constant,QC:;conforms lax ASTM C ISO type 11 Fly Ash:Dynegy,Inc.;'North Bend,011;Conforans to ASTM C 618 Fine anti Coarse Aggregate:Granite State Concrete Co.,Inc.;Conforms to ASTM C 33 WRDA:DaraceI;W.R.Cir,ace Co.,Cambridge,MA;Conforms to ASTM C 494 AEA:Darex 11;W.R.Grace Co„Cambridge,MA;Conforms to ASTM C 260 tt1 ADY MIXED Gt:7NGRCTU' WASf-ira SAND,riHA,Vrpw AND S'rON I_('7VVELL, (VIA - /'WSBURY, MA- VVFSTFC7nD, MA� WAKEFIELD, MA - MILFORD, NI-1 4 NORTfj Town of 2Andover _ L o 1 b� No. h * ver, Mass, U cccHac« wKX A � 1. °'tArED `s lj BOARD OF HEALTH Food/Kitchen W Q—VqA—11-- 000 Septic System BUILDING INSPECTOR PE IT T LD CERTIFIES THAT `e' ................................... ................ ie& ........................... THIS CE ... Foundation buildings . ... ,... .... .. .......... has permission to ere t....................... g Rough u led as ... ...�.tIn11� [ !!!!� .rt�? �. ....� ....,.. Chimney to be occ p .. ,. . provided that the person accept gnhis p�ern� t shall in every respect conform to the terms of the application Final on file in this office,and to the provisions of the Codes and By-Laws relating to the:Inspection,Alteration and PLUMBING INSPECTOR Construction of ildings in the Town of North d ver. a. &A Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST 10N Rough Service ...... Final BUILDING INSPE OR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Emergency Certification Form Massachusetts Wetlands protection Act M.G.L.c.131,§40 -- A. Emergency information Important: North Andover qonConservationCornqjs ion When filling out issuance Hurn. Issuing Authority forms on the 21 Street,_ eat Bu__g__ computer,use 1. Site Location: I_PAih only the tab key to move 2 Reason for Emergency: your cursor- cam_mprom concrete floor OtOffice bLflldlng---- do not use the _qoll�pe_culverts return key. RCG"o h__L 3. Applicant to perform work: -- 4. Public agency to perform work or public agency ordering the work to be performed: an attached North Andover Building _ Department �e letter Start Date: End Date*: 5. Date of Site Visit: 1120/201 212412017 7 -;– '-- -n-3—— 1/23/2017 n�o�a�ertha 0 days from start dale or 60 days Cr the case of an immediate Response Action approved by DEP to address an oilthazardous materlal release. 6. Work to be allowed*: Work already done:Trenching to install bypass pump and bypass pumping of Cochichewick Brook, vacuuming of the existing culverts to remove collapsed material, sealing of the existing culverts, r trenching to expose culverts,and stockpiling within the buffer zone Further work permitted: Installation of replacement pipes(same size as existing or slightly larger)with tie in to existing sluiceway,construction of a temporary plunge pool and or rap weir on pond bank(new pipes to prevent overtopping of pond and the need for continuous pumping).A Notice of Inten to permit the new pipes to carry the brook,sluiceway connection and new dam/weir will be submitted by January _?7 ,2017._ May not include work beyond that necessary to abate the emergency. B. signatures Certified to be an Emergency by this Issuing Authority. Signatures' -, te G!P wix.,�(Orell 6 A copy of this form must be provided to the appropril e,DEP Regional Office. '.,. bill Page ffice. page I of 2 WPA ErnergarlOY cemeallon Rev.MOM Massachusetts Department of Environmental Protection Bureau of Resource Protection-Wetlands WPO Emergency Certification Form Massachusetts wetlands Protection Act M.G.L.c.131,§40 C. General Conditions statutes and 9 Failure to measures,shall be deemed cawith all tuse to revoke oions stated rmodify his Emergenln,and with all dcy certification°or subject ter o enforcement action. 2. This Emergency Certification does not grant any property rights or any exclusive privileges;it does not authorize any injury to private property or invasion of property rights. ther person of of 3. This Emergency rgwith all theralon pplc able federal,state,orroes not relieve the Ploicant or any cal statutes,ordinances,bylaws,orreguyat ons. complying ! 4. Any work conducted beyond that described above, and any work conducted beyond that necessary to abate the emergency,shall require the filing of a Notice of Intent. 5. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Emergency Certification at reasonable hours to evaluate compliance with this Certification,and may require the submittal of any ervation Commission or the Department for that evaluation. data deemed necessary by the Cons 99 6. This Emergency Certification shall apply to any contractor or any other person performing work authorized under this Certification. 7. No work may be authorized beyond 30 days from the date of this certification without written approval of the Department. D. Special Conditions Erosion controls will be installed between all work and the pond including a srloved by the Canservai taon boom at the on i outlet and prior to construciton of the new pipe inlet.Awetland scientist,app Department,shall assess the impacts to resource areas that may have occurred due to the pipe collapse and the subsequent emergencwetland implemented cien scientist hail inspect the site to assess any t During emergency operations the designated impacts to the resource areas and provide a report to the Conservation Department summarizing the weeks activities,the condition and functionality of the required eroson controls,and any mitigation that may be required as the result of the emergency activities.Pumps should be kept on site for emergency E. Appeals The Department may,on its own mo tion or at the request of any person,review:an emergency a denial by certification issued by a conservation of a request for emergency vertif cat on mission and any workeor tkhe#allure byda conservation a conservation commission q commission to act within term lied b the emergency certification 4 hours of a request for ernergency rtufnless the Department specifically not so operate to stay the work p Y orders. The Depart ment's rcvi�wrtif cat on shall be Iden al by a conservation conducted within seven ommission of the emergency tion commission of the emergency certification;or failure by a conservation commission ror°thetwoirkEaaowed thereunder ssexcessive or not certification. if certification improperly required to protect the health and the work pety of rmitted thereunder,orof the ttake such other ract action It revoke the emergency certification,coed deems appropriate. 1. Pege 2 oQ �4 WPA Emergency Cediricallon E; Rev.01!9110 i; TOWN OF NORTH ANDOVER Office of the Building Department �oerh Community Development and Services 0�4 T��d a alloo 1600 Osgood Street,Bldg,20,Suite 2035 F a North Andover,MA 01845 978-688-9545 M�o �k4- �AAT�u �SSACNus, Donald Belanger--Inspector of Buildings/Building Commissioner January 25,2017 To:David Steinbergh Fr:Donald Belanger Re:RCG East Mill NA LLC,50 High Street, North Andover,MA Dear Mr.Steinbergh, January 23,2017 it was brought to the Building Department's attention that Mr.David On Jtioned property)had been healing with an emergency situation at the Steinbergh owner of above men East Mill Building 11. I metthe owner and his contractor on site at the above mentioned property i' where the following was revealed but not limited to: Building 11,Suite 211,had been evacuated as of Friday,January 20,2017. - A substantial sinkhole had been discovered. Mr.Steinbergh hired a structural engineer,Mr.Wathne. hich revealed the extent that the structure was Several test holes were drilled in the slab w f' undermined. On January 23,2017,Building 11,was declared an unsafe structure by Donald Belanger, inspector of Buildings/Building Commissioner and was posted State Building Code d7180 CMR Section 116ng was declared �fe in accordance with the Eighth Edition of the Massachus David Steinbergh through Mr.Wathne P.E.is malting the structure safe,and will be submitting a ur conversation. Mr.Steinbergh has been told to submit letter along with a full engineering report per o a building permit along with all associated documentation to the Building Department. Occupancy for the building will not be issued until the inspector of Buildings/Building Commissioner and ertucy andadeem Engineer and/or Structural Engineer representative have visited the aforementioned property the building safe for occupancy. you have the right to If you fees aggrieved by any actions that I have taken or failed to take,y appeal to the State Building Board of Appeals accordingly. ectful Donald Belanger Inspector of Buildings Cc:Lt.Robert Bonenfant,Fire Prevention Officer Jennifer Hughes,Conservation Administrator Brian LaGrasse,Health Director William McCarthy,Fire Chief i. 3 i. i E. ■ • HCG LLC 17 Ivalon Street Suite 100 Somerville,MA 02143 7 617 625 8315 January 24,2017 F 617 625 8345 www.RCG-LLC.com Jennifer Hughes Conservation Agent Town of North Andover 120 Main Street North Andover,MA 01845 F. Dear Ms.Hughes: I` Located at On behalf of RCG North Andover Mills LLC("RCG e suNAM the owner of the East Milt property bmit this explanation for the emergency repair I' 21 High Street In North Andover(the"Property"), work conducted at the Property,which occurred in areas within the Jurisdiction of the North Andover ur site visit on ng yo dur Conservation Commission.This letter serves as the document You requested es taken huskfar and remaining to be Monday,January 23,to provide details about the emergency act+wti performed. f the ond at East to During a recent inspection of the culvert system that runs from the edge°48' stefeiPl es located ku�nlder the outlet structure at Osgood Pond,at West Mill,we discovered that two p p pathhese pipes are the only for water Building I1 at East Mill,had failed and needed immediate repair through he Property and to Osgood E coming down the Cochichewick Brook into the Mill Pond t Panel.This wwe discovered ater ultimately flows into the Marr re,We imack River.When mediately repa engaged National Water Main Cleaning Comir the pipethe pipe suThls would pany(NWMCC}to the calve downstrearn from entail temporarily pumping down the pond Into a catch basin in culvert aegis from the system.he damage so they could enter the pipe,make repairs,and remove any ex the contions When NWNICC entered the pipe on the morning of Friday,January 20,thestabill d of the earth thakndar Building 11 to be unsafe due to the undermining of the structurendeand the operation in place until a we keep the pumping remained.NWLvICC demobilized and recom a buildding could ca use further undermining).At that time, solution could be designed(as flaw under the RCG NAM engaged a structural engineer,John Wathne of 5t1ruutCitc> eN North.piesupervised the tams by Office of the slab in Building 11 to determine whether the structure, 1 I waddles,booms and turbidity curtains in each pond,and slit sacks at the catch basins.Prior to removal of the sedimentation controls,we will enter the pipes and sluiceways to remove material that accumulated as a result of the collapse.In the future,a new inlet control structure will be designed and permitted through the local conservation commission. We trust that the details articulated in this letter clearly support the need for an emergency work permit. Thank you for your consideration and assistance. Sincerely, David Steinbergh,Manager RCG North Andover Mills LLC is i, 31 € i 3 i� t rfi,�n✓✓ { r r f I �. .y tr r " ✓)rd t,M1 J 1p d a4�, r,t 6 11.1 � wl nmw '�brh � kk '1�j1,�°r"�{3 y��11��w" � 1 �✓ Ala + D p a$ y+eA } ti'l• �jw 1 ya Jnw"" ti �, �p1#�9 �� � � �Vr7f� i1' 1 y ry�, yF9 ka r G,.. by 4j�� 14 � A rel/Y j p r r 1 ��� 1 ° 1 ri° Y y,.p G�+M✓ t �; (d�1{,,y� "�Y oaf{�1�,� ✓ r ? `t v--11" ( 4 VI t'Gi 11�r N in01 10 l, y�;�t rf fir, `�q "� ,f W P b r V b r g�` ✓/ ; it !fAg� A ¢ s7. l�k, 6k Z 'd r lllr!' v M1r a � �"cru rt 1� r �i d ]l'{�I � �trc„✓ vrP, �. 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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 INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER,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 endorsements. CONTACT PRODUCER NAME.........Ema_ly COSteallo --- PHONE (978)374-6352 FA1C No 978)521-5127 Costello Insurance Agency, Ino, (AIC No. f4 (R._ �-�.- -- EMAIL eCOBteIlO�CO3t6ll oinsu anCe.eom 2 S. Kimball St. ADDRESS _._ E _ ro anx 5248 INSURER{S}AFFORDING COVERAGE MA 01835 INSUR£RA Saf®ty Irl$ Co�any 39454 Bradford — -- INSURED INSURER a:Libsrty MU tUa _ nS Ompa -..._ ........ Madugno, Christopher, DBA: Construction Services INsuRERC: - -- 35 Brentwood Road INSUAERD: _—.._. --...- -.—_ .INSURER_E_-..._. I Methuen MA 01.844 INSURER F: COVERAGES CERTIFICATE NUR+IBER:CL1651800542 REVISION NUMBER: TI41S IS TO CERTIFY THAT THE POLICIES OF INSURANCf: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. - =O�HER7 � �. POLICYEFf PDLICA OR ~ POLICY NUMBER MIDWYYY 1D Yy TYPEOFINSURANCE 444,0 1.00 ERCIAL GENERAL LIAB10 EACH OCCURRCNGE S __oTAOE TENYED100 000 REMISE�EaOccurrerce�LAWS-MADE OCCURM4AC017209 5/13/2016 E 5/11/2017 MED EXP fn_. .-_—.. _�_—_--- RSONAI_E ADV INJURY 5 1 040 000.. ENE RAL AGGREGATE I5 _2 000 000 S PER — 2 000 000 rPRDDUf,TSCOMPrOP AGG 5 REiiGATE L]MIT ADPLY k.,_ JFR� ._i Lor, i COMBINE0 SINGLE LIMIT y - ---. AUTOMOBILE LIABILITYBODILY INJ _�� _ ...., a acrldera URY{Perpereen, 100,1100 ANY AUTO __ l — F ALL O4NIE0 SCHEDULED 6228870 5/13/2016 5/13/2017 BODILY INJURY(Par acclden! 19 300 000 fk ...... AIJTO5 ..__ AUT :i PRC7PERTY OAMAUE D r 004 10 NQN•OWNED �_IPer a Cicle(11} - 1 HIRED AUTOS I. AUTOS ._ 5,000 1 - : hied�a! a mems I II EAGF{OGCURRENCC. > _. 1 UMBRELLA LIAR - ----- OCCUR `AGGREGATE r �EXCESS LIAR -q CLAIMS•MAO£ '" - - - S I , RFTENTION s I DED 23-0A6 _ 6/21/2016 ! 6/21/2017 �:x B 5iATUTE ERH. `WORKERS COMPENSATION WC2-315-3768 AND EMPLOYERS'LIABILITY Y{N I I I [L EACHGIDCNT 3 _ __lO0 000 ANY PROPRIETORIPARTNERiln X% CUTIVi= Y I NIA! ! ! [, -_-_- ---^ - QrFICERIMEMHER£XCLLJQEQ I E L DISEASE-EA EtAPLOYEC 5 - 100 000_ (Mandatory In NH) If if yes describe under 1 I I E 1 QiSEASE•AOLICY LIM3T �:5 500,000 DESCRIPTION OF OPERATIONS below f j E � I E DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORO 101,Additional Remao(s Sthedule,may be attached If more space IS MCIUired) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. Att:en: Paul Hutchins 120 Main St AUTHORIZED REPRESENTATIVE North Andover, MA 01845 ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORCI name and logo are registered marks of ACORD INS026120140i) DANGER This Structure Is Declared Unsafe For Human Occupancy or Use. It Is Unlawful For Any Person To Use or Occupy This Building After o , z3 so/� . Any Unauthorized Person Removing This Sign WILL BE PM 2D � -,0�04- 9t0 arm s7: Va*t f9 q=V , Address of BuildingfV frjr Z71 Co e Official Code8 TM. q,0rj�rt. Sec. B�G � Date CriQ Refer to Ordinance No. 2� ����( 60 Washiaot0l)S', Skiito 401 Structures North Doo fTME sjtem, Massachuvotts 01970m3517 RO'Boy,01971-8560 T978-745.6811 I F978.745.6067 25 January 2017 Town of North Andover, MA 120 Main Street North Andover, MA 01845 Attention: Donald Belanger Reference: East Mill Penstock Stabilization North Andover, MA Dear Mr. Belanger: We arep leased to state that the emergency structural penstock stabilization work below the floor slab of the East Mill in North Andover has been successfully completed, according to the results of a field inspection by our staff that occurred earlier this morning. We are satisfied that the potential structural hazard that this unforeseen condition had created has been eliminated and that the affected portion of the building, structurally, is now safe for occupancy. Therefore theevacuationdirective that this office had made last week is hereby rescinded. We will follow up with a letter describing the encountered conditions and the completed repairs before the end of the week. Respectfully Yours, Js OF VNIATI NE John M. Wathne, PE, President 7 Structures North Consulting Engineers, Inc. TOWN OF NORTH ANDOVER Office of the Building Department %AORrH R Community Development and Services 0 t, -- .(y•rO �= bt:;•. :a �� 1600 Osgood Street, Bldg.20,Suite 2035 North Andover, MA 01845 * 978-688-9545 ��SSAC1{US���y Donald Belanger—Inspector of Buildings/Building Commissioner January 25,2017 To: David Steinbergh Fr: Donald Belanger Re: RCG East Mill NA LLC,50 High Street, North Andover, MA Dear Mr.Steinbergh, On January 23,2017 it was brought to the Building Department's attention that Mr. David Steinbergh (owner of above mentioned property) had been dealing with an emergency situation at the East Mill Building 11. 1 met the owner and his contractor an site at the above mentioned property where the following was revealed but not limited to: - Building 11, Suite 211, had been evacuated as of Friday,January 20, 2017. - A substantial sinkhole had been discovered. - Mr.Steinbergh hired a structural engineer, Mr.Wathne. - Several test holes were drilled in the slab which revealed the extent that the structure was undermined. On January 23,2017, Building 11,was declared an unsafe structure by Donald Belanger, Inspector ofBuildings/Building Commissioner and was posted as such. The building was declared unsafe Building Code 780 CMR Section 116. in accordance with the Eighth Edition of the Massachusetts State David Steinbergh through Mr.Wathne P.E.is making the structure safe, and will be submitting a letter along with a full engineering report per our conversation. Mr.Steinbergh has been told to submit a building permit along with all associated documentation to the Building Department. Occupancy for the building will not be issued until the Inspector of Buildings/Building Commissioner and Structural Engineer and/or Structural Engineer representative have visited the aforementioned property and deem the building safe for occupancy. if you feel aggrieved by any actions that I have taken or failed to take,you have the right to appeal to the State Building Board of Appeals accordingly. IeA pectfull Donald Belanger Inspector of Buildings Cc: Lt. Robert Bonenfant, Fire Prevention Officer Jennifer Hughes,Conservation Administrator Brian LaGrasse, Health Director William McCarthy, Fire Chief TOWN OF NORTH ANDOVER Office of the Building Department PORT" R Community Development and Services r6 �? tet`,•_ V �0 1600 Osgood Street, Bldg. 20,Suite 2035 A North Andover, MA 01845 978-688-9545 Donald Belanger—Inspector of Buildings/Building Commissioner January 25,2017 To: David Steinbergh Fr: Donald Belanger Re: RCG East Mill NA LLC,50 High Street, North Andover, MA s Dear Mr.Steinbergh, On January 23,2017 it was brought to the Building Department's attention that Mr. David Steinbergh(owner of above mentioned property) had been dealing with an emergency situation at the East Mill Building 11. 1 met the owner and his contractor on site at the above mentioned property where the following was revealed but not limited to: Building 11,Suite 211, had been evacuated as of Friday,January 20, 2017. - A substantial sinkhole had been discovered. Mr.Steinbergh hired a structural engineer, Mr.Wathne. Several test holes were drilled in the slab which revealed the extent that the structure was undermined. On January 23, 2017, Building 11,was declared an unsafe structure by Donald Belanger, Inspector of Buildings/Building Commissioner and was posted as such. The building was declared unsafe in accordance with the Eighth Edition of the Massachusetts State Building Code 780 CMR Section 116. David Steinbergh through Mr.Wathne P.E. is making the structure safe, and will be submitting a conversation. Mr.Steinbergh has been told to submit letter along with a full engineering report per our a building permit along with all associated documentation to the Building Department. Occupancy for the building will not be issued until the Inspector of Buildings/Building Commissioner and Structural Engineer and/or Structural Engineer representative have visited the aforementioned property and deem the building safe for occupancy. you have the right to if you feel aggrieved by any actions that I have taken or failed to take,y g appeal to the State Building Board of Appeals accordingly. jctfuli fRespe onald Belanger Inspector of Buildings Cc: Lt. Robert Bonenfant, Fire Prevention Officer Jennifer Hughes,Conservation Administrator Brian LaGrasse, Health Director William McCarthy, Fire Chief TOWN OF NORTH ANDOVER Office of the Building Department %ORTII q Community Development and Services OL 1600 Osgood Street, Bldg.20,Suite 2035 0- p North Andover,MA 01845 * 978-688-9545 ��SSRCHUS� Donald Belanger—Inspector of Buildings/Building Commissioner January 25, 2017 f To: David Steinbergh k' Fr: Donald Belanger Re: RCG East Mill NA LLC,50 High Street, North Andover, MA Dear Mr.Steinbergh, On January 23,2017 it was brought to the Building Department's attention that Mr. David Steinbergh (owner of above mentioned property) had been dealing with an emergency situation at the East Mill Building 11. 1 met the owner and his contractor on site at the above mentioned property where the following was revealed but not limited to: - Building 11,Suite 211,had been evacuated as of Friday,January 20,2017. - A substantial sinkhole had been discovered, - Mr.Steinbergh hired a structural engineer, Mr.Wathne. - Several test holes were drilled in the slab which revealed the extent that the structure was undermined. On January 23,2017, Building 11,was declared an unsafe structure by Donald Belanger, missioner and was posted as such. The building was declared unsafe Inspector ofBuildings/Building Com in accordance with the Eighth Edition of the Massachusetts State Building Code 780 CMR Section 116. David Steinbergh through Mr.Wathne P.E. is making the structure safe, and will be submitting a conversation. Mr.Steinbergh has been told to submit letter along with a full engineering report per our a building permit along with all associated documentation to the Building Department. Occupancy for the building will not be issued until the Inspector of Buildings/Building Commissioner and Structural Engineer and/or Structural Engineer representative have visited the aforementioned property and deem the building safe for occupancy, If you feel aggrieved by any actions that I have taken or failed to take,you have the right to appeal to the State Building Board of Appeals accordingly. pectfuil Donald Belanger Inspector of Buildings Cc: Lt. Robert Bonenfant, Fire Prevention Officer Jennifer Hughes,Conservation Administrator Brian LaGrasse, Health Director William McCarthy, Fire Chief The Commonwealth of Massachusetts �Lx Departmint of Industriql Accidents Office of-1nvestigations 600 Washington Street Boston,MA 02111 10 www.wass.govIdia -ractors/Fle,ctricians/Plumbers WQrl,,-e ,rs, Compensation Insurance Affidavit:Builders/Contractor plLeasepprint Legibly Applicant Znformatinn Narne,(Blisiness/Organlzationljndividual): I Address: — Phone :city/state/zip. 6 ..... Are you an employer?Check the appropriate box: TYPP of project(required) 1.N I am a employer with 1-- 4. ❑Fj I am a general contractor and 1 6. F1 NOW construction employees(fall and/or part-time) have hired the sub-oontractors 7. El Xernodcling listed on the attached shoot.t 2.0 1 am a solo'proprietor or partner- These sub-contractors have 8. []Demolition ship and'have no employees -1 Building addition working for me in any capacity. workers,comp.insurance. 9. n [No workers'comp.insurance 5. F1 We are a corporation and its 10.E]Electrical repairs or additions officers have exercised their I l.n Plumbing repairs or additions requiredl right of exemption per MOL 3.0 1 am a homeowner doing all work c.152,§1(4),and we have no 12,[.Roofropairs myself.[No workerscomp. employees.[No workers' Is.n Oth insurance required.]t er comp.insurance required.) - I I that checks box 41 must also fill out the section below showing their workers'compensation policy information- *Any applicant t then hire outside contractors must submit a new affidavit indicating su& f Homeowners who submit this affidavit indicating they fire doing all work and comp.policy information. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers' Im.n an employerthat isprovi(fing w0ykel'81 compensation jusuranceformy employees, Below Is the policy and job site information. ,� 0 L Insurance Company Name: Expiration Date: Policy ft or Self-ins.Lic.0: kc) H . � Job Site Address age(show Attach copy of the workers'compensation-policy declaratic age(showing the policy number and expiration date). Section 25A of MGL c.152 can lead to the imposition of orhninal penalties of a Failure,to secure coverage as requiredunder sectcivil penalties in the form of a STOP.WORK-ORDER and a fine fine up to$1,500.00 and/or one-year Imprisonment,as well as 0 of lip to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DfA for insurance coverage verification. d jj pains and penaliles of perjury that the in above is r 1 0 .formation provided ab t gant, correct. I(to hereby cer Y render �!! rYYfY Date: Si -7Z- :'hone fl: Official Use only. Do not write in flils area,to be completed by cl(V or town official City or Town: issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5.13hunbing inspector 6.Other Phone H:- Contact Person: JKCON-1 OP ID:CD DATE(MMICIvYYYYI CERTIFICATE OF LIABILITY INSURANCE I 0712612016 CONFERS NO THIS CERTIFICATDIER E IS ISSUED AS A EOI� NEGATIR OF VELY AI+�ENI� EXTEND Oft ALT R THE COVERAGE AFFORDED BY THGHTS UPON THE CERTIFICATE H 014 ONLY AND E POLICIES CERTIFICATE DOER NOT AFFIRMATIVELY BELOW. THIS CERTIFICATE OF INSURANCE DOE$ WOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOPJ ZEDJ REPRESENTATIVE OR PRODUCER,AND THE CERTIFICA71e WOLDER. IMPORTANT: If the certificatm holEfpr is an ADDi I I;". INe does not confer rights to the SURED.the poilcy(les)frust be endorsed. If SUBROGATION IS WAIVED,subJect to the terms and conditions of the policy,collain policles may repulre an endorsement. A statement on this certificat certificate holder in lieu of such endorsement s). 'ONTACF NAME „-,,.. -.. .. .-..._.........�...._ PRODUCER ., _ _.. DeSanctis insurance Agcy,Inc. PHONE LiNC.NoL rAIC ka � _xII•... _- 100 Unicorn Park Drive I :I4AIL" Woburn,MA 011341 ARUXESS: kN$URERISI AF FORDING CQVERAGE- _ NAIC .ItiSURERA.;Star insurance Company,. .,,...... :012245 p _ ..... '.. __.,...... _ _.. . 4 High Street S,LI 108 19259 JK Contracting,LLC. INsuRERB INSURED ;Selective Insurance Company I INSURER C ....,,,, ...__. ....,.,_ .. North Andover, MA 01845 INSURER D _....._-- l.INSURER E,'_...... . - ......... - ........,._. E iNSURER F COVERAGES CERTIFICATE;NUMBER: REVISION NUMBER: THIS is ED.CNOTWITH3TANDlNC ANY REQUIREMENT,T, TUU cRN OR CONDITION OF ANY CON TRACT OR OTHER DOCUMENT WITH RD TO THE INSURED MED ABOVE, OS ECE TO WHICH THIS iNDICA F CERTIFICATE EXCLUSION A A C E ISSUED Of MAY ERT guBRIES i HE S:RAN MAY HAVE BEEN By THE r O! CIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEitMS, --- BEEN REDUCED BY PAID CiAIMS CERTIFICATE OFINSU ONCE OR MAY PERyaoatNDW�7N `�C INSURANCE RFr R` aOiiCY EFF POLICY EXP" LIMITS ENSR POUC.Y NUMBER Mti11DD YYYY MMIDD,NYYY) 1,000,00 LTR ;EACH OCCURRENCE.. g_....r-._ Q x -COMMERCIAL GENERAL LfAflItATY ('AK'Viuln'I'�R NTEb 100,00 X 'OCCUR FS It'd rxF�r ante _ CLAIIvI5�hA3E - - VSD EXP SArIy,S,t�,Dsrsonl S '0,00 �z2c��11s 0211o1zn1s 02r10z P iFM15 11000.000 G, NERAL Ac0REG4 C'{v'L AGGREC+A'E I-Ir,1iT API,LIEs TIER 3 000 000 ..._ PRODUCTS•COMPIL)P nGG„..¢, R s ...._. -PRO - ..._-...... X POLICY ..... OC S {...' TITER. . . -----..•-- COMMNED SING E LMT '.5 AUTOMOMLE LIABILITY I;OU!tY INJURY{Per persan4 ..__.......,...A....—__. ANY AUTO -. aOOILY NJU.KY M. tr aw.fen-) S .-.....�.._---'-.._._._.-. i --"AtioC'IN£J SC ih:DULIeU AUTOS e _ P'YU°'LMYCAMAGEr !C� -._,.AUTOS Pof axl6ant .. V0N•0%4 hED ......_�..__ .. .. .. .. F.$.._ I HIRED A Tn5 AUTOS EACH UCOURRENCE �•--__,�_._._. �r !UMBRELLA LIAR L)CCi1R 1 2XCIiF,a LIAB _CUu4i5 M.A.UE i DC^O RETENTIONS.___..._..— ?RYORKERSCOMPENSATION -- x STRTI,Tr ER IAND EMPLOYERS'LIABILITY y;N 0211712016 02117/2017 F I EA I AQCIOENT S,_,- .- _.,. 100,00'1 WC0863742 100,00 A ANY PROPRIETORr�kR7NE„fE%EC.I N NIA DESEASF. EA EtJvi OYEG 5 ......_...„ ''OFFICERIMEMBER EXC«J7E0� ,�,,. A ;(Mandatoryin NH) r;.t. CISEASE POLICY LIAUT < 500.0D d vec dosuibo vndar DESCRIPTION OF OPERATIONS cu'low , t I DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES IACORD 141.-kla V11anai Remerhs S-hRdule,:nay be mdathed If more space is(equired) NITB ARE N GREATER THAN � �Baa iao BY WRITTEN "ADDITIONAL INSURED LI e0pIllustration of Coverage; of North Andover Ii respects to theGLpoli CANCELLATION CERTIFICATE HOLDER NORTHA- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i THE EXPIRATION DATE: THEREOF, NOTICE WILL. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 'Gown Of North Andover 1i 43 High Street N.Andover,MA 01845 AurHIORIZ PRESENTATIVE I � --�� C 1988.2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014101) The ACC RO name and logo are registered marks of ACORD Massachusetts Department of Public Safety Board of Building Regulations and Standards E License. CS-068334 _ 1I Construeion Supervisor E. I: KIERAN T WHELAN 31 RICHMOND ST6�E�7; WEYMOUTH NIA 02198;s Expiration: Commissioner 0912612017