HomeMy WebLinkAboutBuilding Permit #193-2011 - 1429 OSGOOD STREET 9/3/2012 BUILDING-PERMIT 0* tAO DTy
TOWN OF NORTH ANDOVER o�
j APPLICATION FOR PLAN EXAMINATION
Permit NO: / ' � �// Z "~
Date Received
�SSACHUSE�
Date Issued:
44t, ,ANT:Applicant must complete all items on this page
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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:
_17emolition _ Other
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DESCRIPTION OF WORK TO BE PREFORMED:
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ARCHITECT/ENGINEER l .S' Phone:
Address: !oo C� %� ��.�cr S,.
4.,.m �,,� _Reg. Na ,
FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000,00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ Z 3 , 3 FEE: $_ .3, y0 S 3 3
T�
Check No.: 0400058/0
Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to gu •anty fund
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Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanuing/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
COMMENTS
CONSERVATION
Reviewed on
Signature
COMMENTS'
vTS` - .• • . t . ,
HEALTH Reviewed on Signature
COMMENTS` - -
SII • ' .
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
''.Conservation Decision: Comments
Water& Sewer Conn ection/Signature,&`Date~ Driveway Permit
i
DPW Town Engineer: Signature:
Located 384 Osgood Street
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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)
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❑ Notified for pickup - Date
Doe.Building Permit Revised 2010
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
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
❑ 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
o 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
❑ Ce"ed 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:Building Permit Revised 2008
Location � OS oo d IMO.01
No. Date
NORTH TOWN OF NORTH ANDOVER
f �k
� 9
Certificate of Occupancy $
��Il b0
�'�s"'••°'E Building/Frame Permit Fee $
�t"us
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # /7-7
23640.. ' a
Buil6ing Inspector
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S,,CNUSE
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 193-2011 Date: November 2, 2010
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 1429 Osgood Street , North Andover, MA
Technical Training Foundation
MAY BE OCCUPIED AS office IN ACCORDANCE WITH THE PROVISIONS OF THE
MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY
APPLY.
Certificate Issued to: Technical Training Foundation -
1665 Great Pond Road
North Andover,MA 01845
Building Inspector
Fee: 100.00
Receipt: 23640
1
f
NORTH
Town of
Andover
1 No.
ti��k•'
o dover, Mass.,
LAE 1'
.�I C0""
OC HIC HEINICK �
7�AERATED PPq `,
U BOARD OF HEALTH
S
Food/Kitchen
Septic System
PERMIT TBUILTDZ IN "
e •f 1 / .x
.............
..n��.. �...`... `... . ..................... �4
THIS CERTIFIES THAT........` ;. """""' /
Foundario
..................... �io�u
has permission to erect.........�.............................
buildings on , . .... ................
', -' '' '> i� (�/ ,✓-' [—+ . .........+. ` :. :.:j...................................... nFinal
yto be occupiedas.... ; "r�'rovided that the person accepting this permit shall in every respect conform to the terms of the application on file inO
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
f Buildings in the Town of North Andover. LUMBING ll�JS�PECT(O/R
c•J',
VIOLATION of the Zoning or Building Regulations Voids this Permit.
PERMIT EXPIRES IN 6 MONTHSELECTRICAL INSPECTOR
UNLESS CONSTRUCTION ou�h�° n°� ��° � '
UNLE N STARTS -
,� - mice
..,:. Z
....................
"""" BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No. Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Bier J`I IU
i - Street No.
Smoke Det.
SEE REVERSE SIDE
GENERAL BUILDING NOTES/CHECKLIST-NOT LIMITED TO ITEMS BELOW
POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY 0K)..or no inspections
INSPECTIONS: (Minimum) Excavation,Footing, Foundation, Frame, Insulation, Final.
FOOTINGS: Continuous Full 2x4 Keyway
Continuous strip footings for interior columns
FOUNDATION: Rebar as required
Anchor bolts or straps
Damproofing
Foundation drain-pipe/stone/fabric filter/cover and outlet connection.
FRAME:Fireblock-over girts/plates between floor joist
Penetrations for plumbing, heat,elec,etc.
Walls at stair stringers.
Windbrace corners and center bearing partitions.
Size ridge to provide full bearing at rafter cuts.
Hip and Valley rafters-watch bearing at walls.
Ridge&Hip-Provide proper connections.
Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate.
Stair stringers-watch cuts and heal support.
Joist hangers-fully nailed w/hanger nails.
Sill plates 2-2X6(1 PT)w/sill seal.
Girls-solid brick or steel plate bearing at foundations
'/"air space at sides in foundation pockets.
Lateral bracing at ends. _
Certified calculations. required for Beams/LVL's Trusses.
Solid bearing support for Headers/Beams etc.
Check headroom clearances-stairways, under beams
Attic Access. (min.22x30 w/3'headroom above).
Crawl space access. (min. 18x24).
Bath exhaust fans to have metal duct to exterior(not in soffit).
Firecode S/R wood frame of"0°clearance fireplaces&stoves
Window Schedule or Every Habitable Room Must Have:
Natural light equal to 8%of floor area.
'/z of required glazing shall be openable.
Bedrooms required min. 20x24 egress window or door.
Vent attic spaces-"proper vent",soffit and required ridge vents.
Firecode under stairs if used for storage
FIREPLACES: Separate permit required.
Inspections at Footing-Smoke Chamber-Finish
Smooth parging, clean joints,8"solid@ combust.
DECKS: Lag to house, provide flashing.
Rails min. 36" high, Baluster max space 5"on center.
Over 8'above grade, use 6x6 posts w/lateral bracing.
Lag all posts and rails.
Pier footings down 48", Conc. pad at stair base.
i
FINISH: Handrails returned to wall/newall post. y..
Guardrails required alongside open cellar stairs.
Exterior grading complete.
Certificate or occupancy required prior to occupying structure.
Temporary Stairs required for inspection.
Re-inspection fee- $30.00(Be Ready).
Certificate of occupancy required prior to occupying structure
a�
0RTH
� � .�. Andover0 .
.
Town of
I No.- / 7
` LAK E O lover, Mass., �1 /�
COCKIC M EW ICK
'Li,9S RATED BOARD OF HEALTH
Food/Kitchen
PERM T T.
Septic System
TOR
T ........................./ f`.. ?rl.'�...... . ....... r�...%..� --:: .............I.................... Fou da BUILDING INSPECT
n
THIS CERTIFIES THA ..
has permission to erect.......................... . ............ buildings ........ Rough
�' C:: ?J?. '.:...........................................................................
Chimney
tobe occupied as................................ ................1......,...........
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
t
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
s . � ST —
PERMI 1.T EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION ST TS . Rough
......................,�..... ?-r. ........... .............................. ........ Service
BUILDING INSPECTOR Final
Occupancy Permit Required t0 Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
SEE REVERSE SIDE
i ,
J
GENERAL BUILDING NOTES/CHECKLIST ST-,NOT LIMITED TO ITEMS BELOW
r n inspections
IT CO
PY 0 . o o -
POST ALL LOT NUMBERS,ADDRESS, AND PERM ( K)
INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final.
FOOTINGS: Continuous Full 2x4 Keyway
Continuous strip footings for interior columns
FOUNDATION: Rebar as required
Anchor bolts or straps
Damproofing
Foundation drain-pipe/stone/fabric filter/cover and outlet connection.
FRAME:Fireblock-over girts/plates between floor joist
Penetrations for plumbing, heat,elec, etc.
Walls at stair stringers.
Windbrace corners and center bearing partitions.
Size ridge to provide full bearing at rafter cuts.
Hip and Valley rafters-watch bearing at walls.
Ridge&Hip-Provide proper connections.
Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate.
Stair stringers-watch cuts and heal support.
Joist hangers-fully nailed w/hanger nails.
Sill plates 2-2X6(1PT)w/sill seal.
Girls-solid brick or steel plate bearing at foundations
'/°air space at sides in foundation pockets.
Lateral bracing at ends.
Certified calculations..required for Beams/LVL's Trusses.
Solid bearing support for Headers/Beams etc.
Check headroom clearances-stairways, under beams
Attic Access. (min.22x30 w/3' headroom above).
Crawl space access. (min. 18x24).
Bath exhaust fans to have metal duct to exterior(not in soffit).
Firecode S/R wood frame of"0"clearance fireplaces&stoves
Window Schedule or Every Habitable Room Must Have:
Natural light equal to 8%of floor area.
'/of required glazing shall be openable.
Bedrooms required min.20x24 egress window or door.
Vent attic spaces-"proper vent", soffit and required ridge vents.
Firecode under stairs if used for storage r,
FIREPLACES: Separate permit required.
Inspections at Footing-Smoke Chamber-Finish
Smooth parging,clean joints,8"solid @ combust.
DECKS: Lag to house, provide flashing.
Rails min. 36" high, Baluster max space 5"on center.
Over 8'above grade, use 6x6 posts w/lateral bracing.
Lag all posts and rails.
Pier footings down 48", Conc. pad at stair base.
FINISH: Handrails returned to wall/newall post.
Guardrails required alongside open cellar stairs.
Exterior grading complete.
Certificate or occupancy required prior to occupying structure.
Temporary Stairs required for inspection.
Re-inspection fee- $30.00(Be Ready).
y:
Certificate of occupancy required prior to occupying structure.
".4
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CONSTRUCTION CONTROL AFFIDAVIT-Final
PROJECT LOCATION: 1429 Osgood Street,North Andover,MA
PROJECT NAME: 1429 Osgood Street Renovation
NATURE OF PROJECT: Renovate existing office space,demolish wood framed portions of the
building,remainder of building will be unoccupied
ARCHITECT: DMS design, llc
ADDRESS: 100 Cummings Center, Suite 424G,Beverly,MA 01915
TELEPHONE: 978-578-5748
In accordance with Section 110.0 and 116.0 of the Massachusetts State Building Code,I,Daniel M.
Skolski,Registration No.20038,being a registered professional Architect,hereby certify that I have
prepared or directly supervised the preparation of all design plans,computations and specifications
concerning,ARCHITECTURAL,for the above named project and that,to the best of my knowledge,
such plans,computations and specifications meet the applicable provisions of the Massachusetts State
Building Code,all accepted engineering practices and applicable laws and ordinances for the proposed
use and occupancy. To the best of my knowledge and belief,the work has proceeded in accordance with
the documents approved for the building permit and is substantially complete and ready for occupancy.
V
Signature
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Then personally appeared the above named ( and made oath that the above
statement by him is true.
Bef a e,
MICHAEL OBRIEN
NOTARY PUBLIC
—'COMMONWEALTH OF MASSACHUSETTS
My Comm.Expires Jan.17,2014
Griffin
Engineering
Group,LLC
October 22, 2010
Mr. Gerald Brown, Inspector of Buildings
North Andover Building Department
1600 Osgood Street
North Andover, MA 01845
Subject: 1429 Osgood Street, North Andover -Windover Const.
Repair of Masonry Wall at Bar Joist Support in Storage Area
Dear Mr. Brown:
At the request of Mr. Brenden Gilmore of Windover Construction, on October 21,
2010, the undersigned inspected a damaged masonry wall in the northern storage
room. The damage is located around a wall opening for an approximately 4-inch
diameter cast-iron plumbing line. The plumbing line is located approximately two
feet below the top of the approximately 12-foot tall masonry wall. The horizontal
extent of damage extends approximately two feet from the plumbing line. The wall
divides the storage room and supports bar joists extending perpendicular from the
wall. Temporary supports have been installed under two nearby bar joists, relieving
the wall of their load.
We recommend that all of the masonry wall in the vicinity of the uncontrolled opening
be inspected and removed back to sound material (see attached sketch). Replace
the damaged masonry in-kind. Place one layer of horizontal reinforcing, such as
double W1.7 wire, within 16-inches of the top of the wall. Steel angle-iron shall be
placed at the top of the masonry wall to provide a bearing surface for the existing
bar joists. The steel angle iron shall extend 24"to each side of the affected bar
joists, and shall have minimum size of 3" x 4" x 3/8"thickness, with the long leg of
the steel set vertically. We recommend that the masonry be held back from the
recently installed plumbing pipe by approximately 1/2" to allow for movement of the
pipe.
Please do not hesitate to contact the undersigned should you have any questions or
comments or require additional information.
Very truly yours, ,���.�;�o
Griffin gineerin ro p,. LC c�'� Q&
�o ROBERT �G
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GRIFFIN
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Robert H. Griffin, P.E. ": CIVIL68
Phone 978-927-5111 Fax 978-927-5103 www.griffineng.com
ItGriffin
Engineering
g g
Group,LLC
October 22, 2010
Mr. Gerald Brown, s Inspector of Buildings
g
North Andover Building Department
1600 Osgood Street
North Andover, MA 01845
Subject: 9429 Osgood Street, North Andover -Windover Construction
Metal Roof Deck Repair in Storage Area
Dear Mr. Brown:
At the request of Mr. Brenden Gilmore of Windover Construction, on October 21,
2010, the undersigned inspected the underside of the corroded portion of the metal
roof deck in the northern storage room. The corrosion appears to have been
caused by leaks in the roof membrane. You explained that roof repairs have been
undertaken so that water intrusion no longer occurs.
The roof decking supports building insulation and the roof materials. The existing
decking appears to be wide-rib style galvanized decking supported by metal bar
joists spaced 5-feet on-center. The metal decking and bar joists were generally in
very good condition, with no distress or deformities apparent, with the exception of
the following locations:
1. Northern storage room, along northern wall. The roof deck in this area has
been damaged by corrosion and the previous installation of roof-top HVAC
equipment. In the vicinity of the now-removed HVAC equipment, replacement of
approximately 10' width of roof deck spanning 5' is necessary. To the east of that
repair is a second area, measuring approximately 3' width and spanning 5'where
the decking has been dented downward, perhaps due to roof work at some
previous time.
2. Northeastern storage room, approximately middle of room. The roof
decking at this location has been damaged by corrosion along the bottom of a
single rib for a distance of approximately 20 to 30 feet. The corrosion has eaten
through the decking completely. Similar to repair area #1, the bar joists supporting
the decking at this location are spaced at 5' on-center.
At both of these locations, the damaged roof deck should be removed back to
sound material, and to the adjacent bearing lines (see attached sketch). In the case
of repair area #1, the bearing lines are the outside wall and the nearest bar joist;
and in the case of repair area #2, to the nearest bar joist outside of the corroded
decking. The damaged pieces ofIroof decking should be removed and replaced
Phone 978-927-5111 1 Fax 978-927-5103 1 www.griffineng.com
i
Mr. Gerald Brown, Inspector of Buildings October 22, 2010
Page 2
with new galvanized metal decking equal to or better than Vulcraft model 1.51322.
Mechanical fasteners or 5/8" x 1" long puddle welds at 36"on-center shall secure
the decking to the bearing surfaces. Mechanical fasteners shall be in accordance
with decking and mechanical fastener manufacturer requirements.
Cantilevered Decking at Storage Room Construction Joint. You asked that we
comment on the cantilevered metal decking which exists at approximately the
middle of the storage room. At this location, the metal roof decking cantilevers
approximately 6" or less from adjacent bar joists. Based on our review of wide-rib
decking manufacturer literature, the existing cantilever distance appears to be
significantly less than the typically-allowed distances for currently-manufactured
materials, which are approximately 24-inches and greater. We note that we do not
have exact dimensions and gauge or manufacturer data for the existing decking;
however, the existing construction in our opinion appears satisfactory.
Please do not hesitate to contact the undersigned should you have any questions or
comments or require additional information.
Very truly yours,
Griffin Engineering Grou , LLC
Robert H. Griffin, P. ����N� 0-F �tj"Jssv
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C PRODUCT 207
DECATAM 50 Concord St.North Reading,Massachusetts 01864
Phone 978-470-2860
Fax 978-470-1017
September 14, 2010
Mr. Brenden B. Gilmore
Windover Construction
13 Elm Street
Manchester, Massachusetts 01944
RE: Microbial Remediation
1429 Osgood Street
North Andover, Massachusetts
Dear Mr. Gilmore:
This proposal is submitted in accordance with your invitation to provide a quotation for
microbial remediation and decontamination at the above referenced location. The undersigned,
having carefully examined the site upon which the work is to be performed and having become
familiar, by the investigation with the various existing conditions which may affect the project,
agrees to furnish all materials, to perform all labor, furnish all equipment unless specified, and
otherwise to do all the things necessary to complete, in a professional workmanlike manner, the
contracted work, in strict accordance with all EPA, OSHA, state, federal and local regulations.
SCOPE OF WORK
MICROBIAL REMEDIATION OPTIONS
Shockwave Application:
Dec-Tam shall perform the proper application of an EPA-approved biocide (Shockwave) to
the non-porous wall and ceiling surfaces within the above referenced location. The
surfaces shall be coated with the EPA-approved biocide using an airless sprayer. Any
residual solution shall be collected from the floor surface using a wet vacuum. The area
shall be allowed to adequately dry following misting activities.
Pressure Washing Activities:
Following application of the EPA-approved biocide, Dec-Tam shall pressure wash the non-
porous ceiling and wall surfaces using a pressure washer to remove any mold, mildew, and
residual debris from the surface. Any residual solution shall be collected from the floor
surface using wet vacuums. The area shall be allowed to adequately dry following misting
activities.
www.dectam.com E-mail: solutions@dectam.com
DECATAM 50 Concord St.North Reading,Massachusetts 01864
Phone 978-470-2860
Fax 978-470-1017
IAQ 6100 Application:
Dec-Tam shall perform the proper application of IAQ 6100 to the approximately 30,000 sf
of non-porous wall and ceiling surfaces located at the above referenced site. The IAQ 6100
is applied white in color and dries to a clear coating. The area shall be well ventilated to
allow for adequate drying.
Please note that the EPA-approved biocide application (Shockwave) and the preventative
microbial inhibitor (IAQ 6100) are applied as a preventive measure to deter future mold
growth. Mold growth can re-occur if corrective measures are not taken to eliminate the
source of moisture from the affected area. Microbial growth may exist in various locations
including behind other wall and ceiling cavities, pipe and duct chases, or bathroom wet
walls where moisture and condensation may occur. Dec-Tam does not make any
guarantees or warranties that future microbial growth will not occur.
SPECIAL CONDITIONS
Owner/General Contractor Shall:
F Supply all electrical and water requirements;
F Relocate all moveable items from the immediate work area;
F Obtain any local building permits only if necessary; and
F Hire an industrial hygiene firm to performpost-abatement microbial sampling.
DEC-TAM Shall:
F perform all work during a mutually agreed upon schedule to least disrupt day to
day activities.
PRICE
The following pricing is based upon work performed during regular business hours, five days per
week. Pricing reflects five million dollars of occurrence asbestos, general liability, and worker's
compensation insurance.
Microbial Remediation
1429 Osgood Street
North Andover,Massachusetts
Shockwave Application ........................................ $ 4,600.00
Pressure Washing Activities .................................. $ 9,900.00
IAQ 6100 Application ................................................... $ 16,900.00
www.dectam.com E-mail: solutions@dectam.com
DECATAM 50 Concord St.North Reading,Massachusetts 01864
Phone 978-470-2860
Fax 978-470-1017
TERMS
Payment due upon receipt of invoice. A finance charge of one and one-half percent (1.50%) per
month will be assessed on any and all amounts past due. The invoice must be paid in full and is
not contingent of payment from insurance claims to be filed. In the event of default requiring
collection, the owner agrees to pay, in addition to the delinquent amount any finance charges
thereon, and all costs of collection including court costs and attorney fees.
Any claims arising out of work performed under this proposal must be submitted in writing to
Dec-Tam Corporation via certified mail within ten days following completion of said work.
Failure to provide such written notice will result in waiver of said claims.
DEC-TAM must receive a copy of a signed proposal/contract or purchase order prior to the
project start date. Thank you for the opportunity to submit a proposal for microbial remediation
and decontamination. If you have any questions, please feel free to contact me at (978) 470-
2860. I look forward to hearing from you soon.
Sincerest regards,
Brenton D. Morgenstern
Sales Estimator Accepted By:
Name:
Title:
Date:
www.dectam.com E-mail: solutions@dectam.com
ANDOVER
\ CONSTRUCTION 13 Elm Street
Manchester,MA 01944
WHERE TEAMWORK BUILDS RESULTS
Subcontract Change Order
Project: Subcontract: WC09030-02
WC-09-030 1429 Osgood N.Andover Change Order: 1
1429 Osgood St
g Date. 10/28/2010
N.Andover, MA
To Contractor:
Dec-Tam Corporation
50 Concord Street
North Reading, MA 01864
..
The Contract Is changed as follows
Apply EPA approved biocide to the interior of the building and leave the slabs in place
Cost Change
Code Request Description Amount
02-050-200 2 Apply EPA approved shock wave mold treatment $4,600.00
02-050-200 3 Deduct change order for non-removal of existing slabs below $-10,000.00
demolished wood structures
Total: $-5,400.00
The original Contract Amount was $39,729.00
Net change by previously authorized Change Orders $0.00
The Contract Amount prior to this Change Order was $39,729.00
The Contract will be increased by this Change Order in the amount of $-5,400.00
The new Contract Amount including this Change Order will be $34,329.00
The Contract Time will be unchanged.
The date of Substantial Completion as of the date of this Change Order therefore is
NOT VALID UNTIL SIGNED BY THE SUBCONTRACTOR.
Windover Construction, Inc. Dec-Tam Corporation
CONTRACTOR SUBCONTRACTOR
13 Elm Street 50 Concord Street
Manchester, MA 01944 North Reading, MA 01864
(Signature) (Signature)
By By
Date Date
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I of
MATERIAL SAFETY DATA SHEET
(Prepared According to 29 CFR 1910.1200)
SECTION I-PRODUCT IDENTIFICATION ShockWaveTm(8310)
Fiberlock Technologies,Inc. Date of Preparation:September 27,2002
150 Dascomb Rd. Information Telephone Number;978-623-9987
Andover,MA 01810 Emergency Telephone Numbers:
978-623-9987 Weekdays: 978-623-9987
978-475-6205 fax After hours,weekends&holidays:"CHEMTEL"
www.fiberlock.com Emergency Contact Number:800-255-3924
SECTION II-INGREDIENT INFORMATION
CHEMICALNAME CAS NO. WT.% PEL TWA-TLVSTEL-TLV
Water 7732-18-5 to 100
Dimethyl Benzyl Ammonium Chloride 68391-01-5 2.25
Dimethyl Ethylbenzyl Ammonium Chloride 68956-79-6 2.25
Nonionic Surfactant 9016-45-9 0 to 5
Sodium Carbonate 497-19-8 0 to 5
Tetrasodium EDTA 64-02-8 0 to 5
Perfume Oil N/A 0 to 5
Dye N/A 0 to 5
This product does not contains any toxic chemical(s)subject to the reporting requirements of section 313 of the Emergency Planning and Community
Right-To-Know Act of 1986 and of 40 CFR 372.
SECTION III-PHYSICAL DATA
Boiling Point("F):210 F. Vapor Density (Air-1): >1 Solubility in Water:Complete
Specific Gravity: 1.040 %Volatile:90+ Evaporation Rate(Water--1):<1
Vapor Pressure:20mm Hg @ 68 F. pH:11.5-12.0 Physical Description:Thin light blue liquid with pleasant odor.
SECTION IV-FIRE AND EXPLOSION HAZARD DATA
Flash Point(Method Used):NIA Lower Explosion Limit: N/A Special Firefighting Procedures:Non Flammable
Upper Explosion Limit:N/A Extinguishing Media:N/A Unusual Fire and Explosion Hazards:NIA
SECTION V-REACTPATY DATA
Stability:Stable Hazardous Polymerization:None
Hazards Decomposition Products:Will not occur. Incompatibility(Materials to Avoid):None
SECTION VI-STORAGEAND HANDLING INFORMATION
Keep out of reach of children. For use by trained personnel only.Keep container closed during storage. For Institutional and industrial
use only.Avoid contact with eyes,skin and clothing.Avoid breathing of mists. Use,in well-ventilated area.
SECTION VII-HEALTH HAZARDS AND FIRST AID
Effects of Overexposure: Skin:Skin irritant. Prolonged or repeated contact may cause dermatitis. Eyes:Severe eye irritant. Liquid
and mists may injure the eyes causing corneal damage.Inhalation:Mists are irritating to throat,nose and lungs.Ingestion:Irritating to
the mouth,throat,and gastrointestinal system. Burning, pain,and diarrhea expected with large doses.
First Aid Procedures:
Skin:Remove contaminated clothing. Flush affected areas with large quantities of water.Seek medical attention if irritation persists.
Eyes:Flush with large quantities of water,holding eyelids open.Seek medical attention.Inhalation:Remove victim to fresh air and
monitor.Seek medical attention if symptoms persist.Ingestion:Give large quantities of water.Seek medical attention immediately.
SECTION VIII-SPECIAL PROTECTION INFORMATION
Respiratory Protection:No special requirements.Avoid breathing mists.Ventilation Requirements:Provide local exhaust to keep TLV of
Section 2 ingredients below acceptable limit.Protective Gloves: Latex,rubber,vinyl,or nitrile Eye Protection:Chemical goggles
recommended when spraying diluted product.Other Protective Equipment: Eyewash station should be provided nearby.
SECTION IX-SPILL OR LEAK PROCEDURES
Steps to be taken in Case Material is Released or Spilled:Floors will become slippery.Avoid walking in product.Keep unessential
personnel away. Mop up or otherwise absorb and hold disposal.Avoid discharge to sewer or open waterways.
Waste Disposal Method:Any method in accordance with local,state and federal laws. Best method is to recycle or reuse for intended
purpose.Consult local authorities for disposal in public sewer. Do not dispose of into storm drain,stream,river or to ground. Rinse
container thoroughly before discarding in trash.
SECTION X-REGULATORY INFORMATION
SARA Title III-Section 311/312-Hazard Categories:
No-Fire Hazard
No-Sudden Release of Pressure Hazard
No-Reactivity Hazard
Yes-Immediate(acute)Health Hazard
No-Delayed(chronic)Health Hazard Shipping Class:Cleaning Compound
To comply with New Jersey DOH Right-To-Know
labeling law(N.J.A.C.8:59 -6.1 &5.2)
CAS.No.: CHEMICAL INGREDIENTS: HIMIS HAZARD RATING
7732-18-5 Water Health 2 Flammability 0 1 PhysicalHazard 0 J PersonalProtection B
68391-01-5 Dimethyl Benzyl Ammonium Chloride
68956-79-6 Dimethyl Ethylbenzyl Ammonium Chloride HAZAROINDEX:0 Minimal,Mght 2=Moderate,3 Serous,a severe
9016-45-9 Nonionic Surfactant
497-19-8 Sodium Carbonate
NORTH
Tovm of Andover
No. --
o lover, Mass., 11-5111
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U BOARD OF HEALTH
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Septic System
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� BUILDING INSPECTOR
THIS CERTIFIES THAT ......................................................` ! �'`�`'.......................
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has permission to erect.........................................buildin son . ...f- '' .. ............... .1. .......`............................................... Rough
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to be occupied.as................................ ................................................................�........j .................................................
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations-Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIO TARTS Rough
...................w.... ................. .... .I ............................................... Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
Location l w
No. Date0.1 3 /v
"ORT" TOWN OF NORTH ANDOVER
A 0
a
} ° Certificate of Occupancy $
Building/Frame Permit Fee $ X33
JACHUS
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
234v :�
Building Inspector