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HomeMy WebLinkAboutBuilding Permit # 2/7/2017 Of y,ORTH BUILDING PERMIT TOWN OF NORTH ANDOVER o a s APPLICATIOR PLAN EXAMINATION ' Permit NO: £-F € Date Received Date Issued: 4SSACriUgEt IMPORTANT:Applicant must complete all items on this 2age t ' LOCATION t _ Pont PROPERTY OWNER € s ? x MAP NC}. rint --!YPARCEI-: If ZONING bI TRJCT: Historic District yas nos Machin Shop Village yes no,- TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential New Building j One family Addition ( Two or more family Industrial , Alteration No.of units: Commercial Repair:replacement Assessory Bldg Others: `Demolition Other Septic We3I F osi1plain o Wetlands L Watershed biatr t; 0 Water/Sewer eL ;1t Identi&cati6n Please Type or Print Clearly) OWNER: Name , G ?Phone: ' Address: CONTRACTOR Name Rhons; 1 Address: t 2-1'2- If -. SuPervisoes Construction License 5XP` Date. a .� . Home ImprovementLicense: I�xp, iia#e. ARCH ITECTIENGINEER Phone: Address: Reg.No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON 5125.00 P€R S.F. Total Project Gast:$ y` FEE:$ Check No.: - Receipt Na.: as- r NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor Plans Submitted❑ Plans Waived Q Certified Plot Plan D Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL - Public Sewer ❑ TanningNlassage;Body Art ❑ Swimming Pools 0 Well ❑ Tobacco Sales ❑ Food PackaginglSales Private(septic tank,etc. ❑ Permanent Dumpster on Site C THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING&DEVELOPMENT ❑ ❑ COMENTS CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS 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 FliKE DEPARTMENT -Temp Dumpstertin sit7777 e Locates!at 124 Main Street FDepartment,F6signatureldate COMMENTS O T Town of t% And,� over Nolw.., Iial C' h ver, Mass, 2 - 7 4017 U BOARD OF HEALTH Food/Kitchen PE =K'& MIT T ILD Sept!,System A.;N.J.A L .0..OV BUILDING INSPECTOR THIS CERTIFIES THAT...........P I................. ................ fa vie Ilfw...... .... Foundation has permission to erect..........................buildings on............................. Rough to be occupied a,........«A!".'.. ..�" ..............0.f..r�A.Jlrl....I...... Chimney provided that the person accepting this permit 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 Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR, UN r)LESS CONSTRUCTIO T RTS Rough Service ......... .*� W-o Final BUILDING INSPECTOR GASINSPECTOR 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. PIMENTEL January 20,2017 David Haut Project Manager Dow Chemical Re: 60 Willow Street,North Andover Demolition PROPOSAL Based on drawing by Freestyle Design Services,dated 06/20116,titled North Andover Facility Map,walk through and 09/14/16 Meeting Agenda,Pimentel Construction Co.,Inc.offers this Proposal for the select demolition of assets within the 60 Willow Street,North Andover,MA Dow Chemical facility. Pimentel Construction proposes to supply labor and materials for the following scope of work. Scope of Work: • Permit • Supervision • Dumpsters • Final Clean • Labor,materials and equipment for select demolition: o Demolish,dispose of or re-claim and remove all designated gyp partition walls o Demolish,dispose of or re-claim and remove all designated act ceiling and grid a Demolish,dispose of or re-claim and remove all designated doors and frames o Demolish,dispose of or re-claim and remove all designated vct flooring/epoxy base level to floor o Demolish,dispose of or re-claim and remove all designated MEP's o Demolish,dispose of or re-claim and remove all designated millwork/casework o All areas to be left broom swept o Does not include epoxy floor removal o Based on machines used for demolition o Does not include any floor prep/glue adhesive removals • Temporary Protection in the form of dust partitions with plastic • Allowance of$10,000 to Patch/seal any penetrations caused by demolition • Allowance of$6,000 to repair acoustical ceiling as needed • Demolition of plumbing as specified,piping will be capped where appropriate,including: o Multiple eye wash stations o Cleaned acid waste piping o Hot/cold potable water lines o Nitrogen/Argon piping o All piping is assumed cleaned and ready for demo • HVAC demolition to include: o Approximately 1,000+/-feet of ductwork and diffusers and drop to ground and removal for disposal o Valve,drain and cap hot water piping on four(4)coils and remove from ceiling o Reclaim Freon from two(2)existing 5-ton unit and properly dispose of o Remove two(2)units from ceiling and cut piping back to roofline o Leave two units running to temper space for construction area Job In I$-? Rmentel Coretructen Co,Inc. •231 Andover Street.fthml.ngton.EIA 01887•Telephone(978)657-9600•Fax(978)657-9603 • Supply and install materials to modify the fire sprinkler system to include the following: o Stamped engineered drawings o Demo all branch lines below bar joist o Cap off and demo dry system at point of entry into lab area o New sprinkler grid above ceiling(cost$4,300)where dry system was removed o Install all new branch lines and upright sprinkler coverage above bar joist where applicable o Existing 6"main is to remain in place • Allowance of$3,000 for plug out of alarm system if needed • Allowance of$5,000 for fire alarm relocation • Allowance of$5,000 for fire alarm reprogramming j • Allowance of$5,000 for burglar alarm • Allowance of$4,000 for miscellaneous steel for supporting roof ladder where wall is being removed • During the demolition,if Pimentel identifies a BMS circuit with a wall or ceiling that is coming down,Pimentel will move the circuit if it is staying and disconnect and remove if the circuit is not needed. • Furnish labor and materials for the electrical work as follows: o Disconnect and remove or identify electric circuits to be removed or remain c Reinstall existing emergency lights and exit signs o Remove and reinstall existing fire alarm devices • Additional supervision and equipment rental from to being limited to normal working hours and extending project two weeks. Start date will be Monday,February 13,2017 and end of project will be Friday,March 31,2017. Price: $205,203.50 Alternate: If fresh air ductwork is required allow for$20,000 to provide conditioned make up air to one rooftop unit Assumption: Dow building will be vacant of any personnel when we can begin demolition project,with the exception of Dow Technicians who will be on site to write SWP. Mark,Paul and David may occasionally have safety walk thrus. No non-essential personnel will be on site. Anthony 1Timentel Anthony Pimentel Pimentel Construction Co.,Inc Approved 1 Excludes: Premium time,BMS system,disposing of process piping and equipment,contaminated duct and exhaust fans,fume hoods,lab benches,and process utilities;patching/sealing of and penetrations cause by Dow demolition,hazardous work;painting;and flooring. Note: This proposal may be withdrawn by us if not accepted within 30 days. Johia telxz Pimentel Constv„dion Co.Inc.<231 Andover Street,Wilmington..MA 01857+Telephone(978)657-9600•Fax(978)657=9643 — - - _ – RE V,510,14s ( I s alr Icy >m , w; C iD l 'y,= :`' ". _ r 7 EC>> Ivd Dra upd.lc Nay .uhf�r ria '14i'h- -t 13 r3 .. `s I I t } ;ry V <nx 1 t �g y� i � 1 5's _ x f 7 ` ea ,tr - ri j Sal• _ 3 3 - � V, I r. r � I g } -r z "/ 7j" l I J - ANY i ® ADVANCED MATERIALS i br OW ST,,NCRTfIArDOVEry.MA;,I&t5 • :': ='�,'i�B.orRisi9 FAX f7h.557.' fl : - F I T�3EE ` — ^ v .... . e 5 North Andover Facility Moya I DWG Jaime Nora Andover Facility Map North Andover(AA. Sit'? �ciLl 4 "}._�S H£- 0. _ . .._ r. , I t r � i i f o D i n� i Y E _.• E.A. — „ — _ _ _ —_ I � L ; F l7, si I i -0_ � - s L 5 _- i =R j i � U 1 E 1 i 4 ' y- — _ ; f ��7 F ------- — HE DOW NEMICA( GOtJPAvY ADVANCED MATERIA S 1 i LL 5.,N0 R T H A f i D 0 R A A &SS TITLE- i - North Andover Facility Map SlzT — i ! i The_Dow C mQf- ,.ani r._ ` _ NorthAndov. Ilk *lorftl h��w�!��cllf`y F+ ter — -- — - : _ �� _ y Fir. t .t " # 1_ rJr< tt,;7t.�31)2 3�h,,�l .1i 4.Jr 4�r 5 t t:(� 1t i 1 y �� t i � f i ri ss F._ ,ter Ia I c SIA L- LO-F Y _. a f i - " v r' w N a , F- 1 ' I f �/— I c r � I � t 1 r # I _ Tz _ __._._.._._-_-____-- i_.__.__..-----------_-_-----i'r.E�o�{r c�;ErnicAE coMPANv i ADVANCED MATERIALS _T Su r_A% X55 'y.-_ __- _. TI-T,- F. I tit I North Andover Facility Map I t c t ��S(i �+� 3111Mc ire e IN r r I \ The Commonwealth ofMassacltusetts Department of IndustrialAccidents i I Congress Street,Suite 100 Boston,MA 0211 4-2 01 7 W t viv.mass.govldia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE rILED WITH THE PERt1•IITTING AUTHORITY. ApplicantInfarmatiott i Please Print Le ibi Name(Basimoss/o ganizationilndividual): M, 641 Address: City/State/Zip: 1 �r Phone#: Are you an employer?Cheek the appropriate box: Type of project(required): i,Kjamaemployerwith employees(fllmxVmpart-time).• 7. []New construction 2.�I am a sots proprietor a<parinerahip attd have no employees working for me in 8. Q Remodeling any capacity.[No—kes'comp.insurance required.] 9. EJ Demolition 3.Q I am a ho reammurdoing all work myself[No workers'comp.insurance required.]t 10 E]Building addition 4.Q I am a homeowner and will be hiring counsetme to condwt all work on my property.i will re that all contractors either have workars'compensation insurance or are sole 11.[]Electrical repair&or add itions Proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed an the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance t 14.E]Boer b.n We are a corporation and its officers have exercised their right of exemption per MGL e. 152,§t(4),and we have no employees(No workers'camp.insurance required.) *Any applicant that abash box#1 must also fill outthe section below showing theirworkers'compensation golicy information t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors net submit..—affidavit indicating such. tcme..aus that check this box must attached an additional sheet shaving the name ofthe sub-comeactors and state whether e,net those entities bavo employee..Ifthe aub-cmnractma have employees,they most provide that,workers'comp.policy number. Into nit employer that is providing worlfeis'compensation insurance for nay employees.Below is the policy and job site ' information. .,�•� h.isurance Company Name: I�I{ Policy#or Self-ins.Lia#: L+gy /r��� Expiration Date: Job Site Address:l`/l / , �--�I����T City/State/Zip: ti.ilA�'�j�1�f� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c.152,§25A is a criminal violation punishable by 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under•the pains and euaIffes,o f perjury that the inforination provided above its ftrute and correct Sienatw + - Date, t�I LIQ��� e Official use only.Do nod wilte In Itis area,to be colopleted by city or town official. City or Town Permit/License# Issuing Authority(circle one): i 1.Board of Health 2.Building Department 3.CityiTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: T® DA TE IMW1.1NYYYI A�p CERTIFICATE OF LIABILITY INSURANCE 216tz17 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES - BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 endorsement(s). coNTACT PRODUCER NAME: Robert Poulin Sennott ONE E_Insurance Agency PH (978)887-4900 PAID Na (978)887-2404 16 South Main Street goorsess:robeitpoulin@sennottinsuzance.com P. 0. BOX 457 INSURERtsLAFFORMNG.COVERAGE _ PAID. Topsfield MA 01983 INsuRERA:The Travelers Indemnity Co.. INSURED INSURERD:TraVeleKs 3�odeamity Co 25658 Pimentel Construction CO Inc INSURERC TLSVBl SS P pertV CdsualtY IRS CO 38130 231 Andover Street msuRERD:Travelers Indemnit Co of CT 25682 INSURER E: _ Wilmington MA 01887 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1612694090 REVISION NUMBER: THIS IS TOCERTIFY 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, =1141 NSR DOLBR — POLICY EFF POUCY EXP LIMITS ETR TYPE OF INSURANCE POLICY NUMBER MMIOMYYYY MtODIYY 1 X 1 COMR12RCML GENERAL LIABILITY 1 EACH OCCURRENCE g 1,000,000 DAMAGE TO RENTED 300,000 A CLAIMS-MADE OCCUR PRER{IBES Ea occurcexe S i lCO 4G944425 ,12(12)20$611211212017 MED EP(Anyone Person) $ 15,000 J I i PERSONAL&ADV INJURY $ 1,000,000 GEN'" AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,CD0,000 1 POLICY PRO- LOC PRODUCTS-COMPIQP AGO $ 2,000,000 Or OTHER: I 3 COMBINED SIN LE LIMIT S 1,000,000 -FLA�UT�OMOWLE LiABfUTY i Ea acd en0__ ' IANY AUTO BODILY INJURY(Per persanl $ B --jALLONINED SCHEDUIEO AUTOS X AUTCS i BA 4.911490 12J1212016 i 22112)2017 BROLLY INJURY(Pevaccltlen) S PROPERTY DAMAGE NON-OMXHIREp AUFOS x ED AUTOS ' ' Per aaidenll I$ -X X{UMBRELLA LI AS X OCCUR EACH OCCURRENCE $ 5 Daa,000 L, ! EXCESS UAB I CEAIMSMADEi AGGREGATE S 5 000 000 DED 1 ;RETENTION I CUP 4.944425 12112J20161121$2J2017 S MRN-8 COMPENSATION I 6TATUT- EORH AND EMPLOYERS'LIABILITY YIN I ANY PROPRIETQ4/PARTNERIEXECUTIVE EL EACH ACCIDENT £_ _ 1"000_000 ,O FICE WEMHER EXCLUDED"? LN;N/A D ;(Mantlatory to NH) Ua 6G290457 112/1212016,1211212017 ELL DISEASEEAEMPLOYE S 1,000,000 ilf yes.tleacnbe urUer i i EL.DISEASE-RDtIGY LIMB $ 1 000 000 (DESCRIPTION OF OPERATIONS be'ow 4 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101,AGtlitlanal Ramarhs Schatlule,may De atta4hetl N more sFaca is requiretli 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 WITH THE POLICY PROVISIONS. North Andover, AIA 01845 AUTHORIZED REPRESENTATIVE Rob—t Sennott/RP2 ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(2 cH '.. S C3�792345 MATT PUdENTEI,"" \ 27 Boutwell Rd Andover MA 01840 `J,.L.•�CiSt ., 05/0412037