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HomeMy WebLinkAboutBuilding Permit #504-15 - 149 MAIN STREET 11/25/2014 f �aORT#j q ` BUILDING PERMIT 3?°� �`eD o TOWN OF NORTH ANDOVER : to APPLICATION FOR PLAN EXAMINATION Permit NO• Date Received�� I A Date Issued: GHUS���I a IMPORTANT:Applicant must complete all items on this page LOCATION I�Z �/��� ` I J PROPERTY OWNER Print 5,� /U,c;✓:�� /tr,- �,/ Print MAP NO: � PARCEL: �" ZONING DISTRICT: Historic District yesno Machine Shop Village yesnn TYPE OF IMPROVEMEN PROPOSED US Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Indu I ❑Alte on No. of units: cial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑ Water/Sewer Identification Please Type Print-Clearly) OWNER: Name: =26,r/PAW/f- Phone: 617— lS , 848 Address. CONTRACTOR Name: Ph L CY Address: Supervisor's Construction License: G -7q 72 1 Exp. Date: / Home Improvement License: 'l Exp. Date: ARCHITECT/ENGINEER 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: $ �� 9(�. FEE: $ k� n 1 Check �I.q.: -b-lc' Receipt No.: 2% 30` NOTL. l Persons contracting with unregistered contractors do not have access to the guarantyj2ad Signature of Agent/Owner Signature of contractor J •-' BUILDING PERMIT of "ORTy qti TOWN OF NORTH ANDOVER 02 ytt`- o% APPLICATION FOR PLAN EXAMINATION ~ Permit No#: Date Received gSSACHU5E,�4 ATE Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands 0 Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name.- Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER 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. 1:9�1 Total project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor I 91 N q Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ ! TYPE OF SEWERAGE DISPOSAL ❑ Swimm�in Pools ElI Public Sewer Tanning/Massage/Body Art ❑ g Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ C THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM i PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature 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 DPW Town Engineer: Signature: Located 384 Osgood Street •- , FIRE D`CPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 i 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 Li Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses Li 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 2014 Location No. J Date , �� 4 1 . • TOWN OF NORTH ANDOVER • Certificate of Occupancy $ Building/Frame Permit Fee $an-C D "A Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# ' " Building Inspector � �1pRTF/ Town of A 0 '. No. 6q, ' - �` 0 AKa ver, Mass, IWO Z45 24 14 T O IA�IE �.qCOCMICNt.W1CR y�. s RATE D U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT S.V%4+* AS BUILDING INSPECTOR ........... .............................................................. ..� �..... . .... ............ Foundation has permission to erect .......................... buildigs o ....... . Rough to be occupied as ..... .... .........S.'.;. .... . . ......... ..... ................................. 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN ON H ELECTRICAL INSPECTOR UNLESS CONSTRUCT ST S Rough Service .............. ..................................... .................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. 41 Massachusetts -Department of Public Safety Board of Building Regulations and Standards I Construction Super-1-isor License: CS-074721 DEAN SECCHIA4OL1—=�, 741 ANDOVER S2' r' _ LOW ELL MA 0;52�4')� 1 Expiration 04/06/2015 Commissioner czq SAN—Roofing Projects-2014 - US-2014-WS1098554 I. Introduction The services to be provided to Santander Bank, N.A. ("Santander") shall consist of the following: I 1. Membrane Roofing System: New Firestone .060 EPDN non-reinforced roofing membrane roof or equivalent and will consist of adding Firestone 1.5" polyisocyanu rate insulation which will be fully adhered to the existing roof system 2. Shingle Roofing System: Contractor shall demolish, repair, renovate and replace, as specified, the shingle roof II. Guidelines for Membrane Roofing System Contractor shall set up site to meet OSHA fall protection requirements. This will include setup of various items including enclosed trash chute, warning lines, and guard rails at load and discharge points. Unless otherwise instructed, the new roof membrane will be installed over the existing roof systems. The roof areas will be broom cleaned prior to the application of the new roof system, in order to remove excess dirt and debris. Contractor will remove metal edge coping from the perimeter of roof system. All debris will be loaded into disposal containers and removed from the site. Wet insulation found during the roofing process should be removed. Replacement insulation should match the height of the existing system. • Contractor to furnish all labor, materials and equipment to complete the project • Contractor will flash all drains, scuppers, parapet walls, pipes and units with modified membrane • Contractor will extend roof membrane up and over the top of parapet walls, completely covering metal coping • Any product removed from site will be disposed of in accordance with all Local, State and Federal Regulations. Certificates stating such should be available upon request 1. Installation of Roofing System • Install new insulation over existing roof system membrane. New insulation will be attached as required to meet manufacturer requirements using low rise foam • Install Firestone .060 EPDN non-reinforced roofing membrane or equivalent roofing membrane onto new insulation board. New membrane will be fully adhered using bonding adhesive • Flash all roof top penetrations according to manufacturer's warranty requirements • Install new pipe boots to all vent pipes SAN_20140416_Roofing Projects—Specs REVISED 3/10 r. Z= SAN—Roofing Projects-2014 - US-2014-WS1098554 • Flash all roof curbs with Firestone .060 EPDN non-reinforced roofing membrane or equivalent • Flash all walls with Firestone .060 EPDN non-reinforced roofing membrane or equivalent • Install new aluminium gutters and downspouts. Match existing color 2. Sheet Metal • Fabricate and install 24 gauge steel metal edge onto the leading edge of the perimeter edge. The metal edge will be fabricated from steel in a color to match existing • The exterior leg of the metal edge will be secured to the building utilizing the continuous cleat • The interior leg of the metal edge will be secured with roofing nails spaced 6" on center and flashed in with the new roofing system 3. Service Level Agreements Vendor should provide a preliminary schedule with the RFP. 4. Licensing • Contractor shall be licensed as required by the jurisdiction in which the project is to be performed, and the license shall be current and in good standing • Copies of the licenses shall be attached with their proposal Y S. Inspections Upon completion of all work, the final inspection shall be conducted by a representative for Santander and a representative for the Contractor. 6. Safety The contractor and their subcontractors shall erect Temporary Safety Signs for the purposes of identification and traffic control. The Contractor shall furnish, erect, and maintain such signs as may be required by safety regulations, and as necessary to safeguard life and property. 7. Warranty • Contractor to supply a Fifteen (15) year Manufacturer's warranty on Membrane • Contractor to supply a Two (2) year installer warranty SAN-20140416—Roofing Projects—Specs REVISED 4/10 Add: Clean/ Backer rod and liquid seal pavement to sidewalk crack at ATM ADD $500.00 Proposed by: i1-e" Cell: 978-423-4006 The undersigned hereby accepts this Proposal and, intending to be legally bound hereby, agrees that this writing shall be a binding contract between the parties, subject only to the approval of credit by EAGLE which approval shall not be unr sonably withheld. Authorized Agent: By: �(/,�;aaw Title: Date: Accepted by: Date: " S 4111� Printed name:_,04gt a cG��l/L Serving the Northeast and South Florida Eastern MA office—2 Boxcar Blvd. Tewksbury, MA 01876 T 978-640-9777 F 866-825-4567 Main office - 15 Britton Drive, Bloomfield, CT 06002 T 860-953-1231 F 860-953-0619 Other offices in Danbury, CT and Fort Lauderdale, FL / Z_ Proposal EAGLE RIVET�" ROOF SERVICE CORPORATION Date 11/5/2014 File# DS-82714-01 To Santander NA Project Recover Roofing Proposal Attn. Judi Dion Street Main Street Street 5 Whittier Street City North Andover City Framingham State/Zip MA, State/Zip MA, 01701 Contact Same Cell 617-615-1068 Cell Same Voice Voice Fax Fax Email Email Same We herewith submit our proposal to provide labor, membrane roofing and related accessories for re-cover project as referenced below, System installed to be Firestone on approx. 2,500 SF on the High Roof Only: Base bid: 1. Remove existing EPDM and wood fiberboard and dispose of. Existing BUR roof to remain in place. 2. Install '/z" Polyiso ISOGARD recover board per Firestone Specifications. 3. Install adhered .060 EPDM LSFR in 10' wide sheets, flash all seams with 3" seam tape per specifications. 4. Remove existing and install new flashings to penetrations, curbs and pitch pockets. 5. Install new insert drains, flash per Firestone. 6. Remove top layer of existing edge metal and install new 22 Gauge Painted Galvanized, face and color to match existing, Bronze. 7. Clean roof of all roof related debris and into dumpster provided by ERRS. 8. Supply owner with 15 year Firestone material warranty and 2 Year ERRS Guarantee. Includes all permits,hoisting,insurances as needed to perform above mentioned work. Any electrical,structural,HVAC and plumbing not mentioned above is NOT included in this contract and is not part of this work. Price good for 30 Days Nineteen Thousand Nine Hundred Dollars ($19,900.00) Add/Alt: Inspect and make necessary repairs to lower EPDM roofs ADD ($2,000.00) Add/Alt: Install masonry joint sealant and coat with clear waterproofing ADD ($4,000.00) Serving the Northeast and South Florida Eastern MA office—2 Boxcar Blvd. Tewksbury, MA 01876 T 978-640-9777 F 866-825-4567 Main office - 15 Britton Drive, Bloomfield, CT 06002 T 860-953-1231 F 860-953-0619 Other offices in Danbury, CT and Fort Lauderdale, FL AC40 10/24/2CERTIFICATE OF LIABILITY INSURANCE DATE 10/24/2 /Y0144 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 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 endorsement(s). PRODUCER 1-312-704-0100 CONTACT NAME: Certificate Issuance Team Arthur J. Gallagher Risk Management Services, Inc. PHONE FAx 312-803-7443 C.No.Ext: A/C No 300 South Riverside Plaza E-MAIL Suite 1900 ADDRESS: Chi Certificates@AJG.com Chicago, IL 60606 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: ARCA INS CO 11150 INSURED INSURERB: COMMERCE & INDUSTRY INS CO 19410 Eagle Rivet Roof Service Corporation INSURERC: 15 Britton Drive INSURERD: Bloomfield, CT 06002 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 41928615 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. EFF POLICY EXP TR TYPE OF INSURANCE Jull SU R POLICY NUMBER MM DDY/YYYY MM DD//YYYY LIMITS A GENERAL LIABILITY ZAGLB9185200 05/01/1 05/01/15 EACH OCCURRENCE $ 11000,000 DAMAGE TO X COMMERCIAL GENERAL LIABILITY PREMISES(Ea ocRENTED rrence) $ 300,000 CLAIMS-MADE �OCCUR MED EXP(Any one person) $ 10,000 X 5,000,000 All Projects PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO XECT LOC $ A AUTOMOBILE LIABILITY ZACAT9209400 05/01/14 05/01/15 Ee BIINEDaccidentSINGLE LIMIT 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED ( ) AUTOS AUTOS accident Per BODILY INJURY $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ Physical $1,000 Physical Damage $ 1,000 Comp/Col B X UMBRELLA LIAB X OCCUR 29157246 05/01/1 05/01/15 EACHOCCURRENCE $ 51000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I X I RETENTION$10,000 $ A WORKERS COMPENSATION ZAPlCI9324000 WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN OS/O1/1 05/01/15 X I ER ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDE( N❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD drehi 41928615 Workspace Webmail :: Print Page 1 of 3 Print I Close Window Subject: RE: N.Andover Proposal#692 From: "Dion,Judi"<judi.dion@external.santander.us> Date: Mon, Nov 24, 2014 10:41 am To: "dean.secchiar "< ean.s oli@eaglerivet.com> ion,Judi"<judi.dion@external.santande . >_. Attach: N.Andover Recover Proposal.docm Please proceed (total $25900). CapEx PO#is forthcoming. Proceed th work but wait for the PO#for the inv. Thanks Dean! Judi Dion, FMP I Facilities Manager Inc. 1 ices Santander Global Facilities Mail Code: MA1-CBO-0649 i 5 Whittier Street I Framingham, MA 01701 C 617-615-1068 iudi.dion@external.santander.us I www.cbre.com From: dean.secchiaroli@eagierivet.com [mailto:dean.secchiaroli@eagierivet.com] Sent: Monday, November 10, 2014 10:27 AM To: Dion, Judi Subject: RE: N. Andover Proposal #692 Labor $15,600.00 i Material $10,300.00 Includes Sales Tax Thank You, Dean Secchiaroli Eagle Rivet Roof Services, Corp. 2 Box Car Blvd. Tewksbury, MA 01876 Office: (978) 640-9777 Fax: (978) 640-9778 Cell: (978) 423-4006 Email: dean.secchiaroli@eagierivet.com Web: eaglerivet.com I ------ Original Message -------- Subject: RE: N. Andover Proposal #692 From: "Dion, Judi" <judi.dion@external.santander.us> 1 Date: Mon, November 10, 2014 9:49 am https:Hemai114.secureserver.net/view_print_multi.php?uidArray=141INBOX.Santander.E... 1.1/25/2014 The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations ' I Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name(Business/Organization/individual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1. 1 am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E]New construction 2.Q I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition workingfor me in an capacity. employees and have workers' Y P h'• 9. E]Building addition [No workers' comp. insurance comp. insurance. required.] 5. [—] We are a corporation and its 10.E] 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' � '- comp. insurance required.] *Any applicant that checks box#l must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Cmrtractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Z� �G.�/������0 Expiration Date: / Job Site Address: �- City/State/Zip:, — Attach a copy of th workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verif ion. I do hereby certify der he pains d en er'u that the information provided above 's true and correct. Si nature: =Date=-- Phone Official use only. Do not write in this area,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#: