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Home My WebLink AboutBuilding Permit #498 - 315 TURNPIKE STREET 3/23/2009Permit N0: AK4 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received' v tq{,cv �6*-ryO\ to TYPE OF IMPROVEMENT PROPOSED USE Y Residential Non- Residential New Building = One family Addition Two or more family Industrial AI No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic , . z ;lli'ell.., : ° :Joodplain` . 1llletlands ;aNatershed D'istr�ct �AG A� 1 Cry Y.1C�C`t ON RIP -TION OF WqRK TO BE Rei f (-?1nfrj(,-(f ec�� qu; mm+ (2'e (:qr aiz Identif}} �acti.�on Ple se Type or P 'nt Clearly) , (�Loge) OWNER: Name: 19012 1' &I I K hCone: ARCHITECT/ENGINEER (JfCCV. Phone: Address: Reg. No. 2�� FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ i3 �`oj Coo `FEE: $ �iy -3a . 00 Check No.: Receipt No.: ';; IH - NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund I Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/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 DATE REJECTED DATE APPROVED CONSERVATION COMMENTS " DATE REJECTED DATE APPROVED COQ ,51MENTS ' 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 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 MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — (For department use) M. Z' v ' V IG-eC`l ! r 664 N Grf- ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 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 ❑ 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 ❑ Certified 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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Locati� on"/��N1��''/% 1/1/G' No. qqr Date TOWN OF NORTH AN r Certificate of Occupancy $ Building/Frame Permit Fee $ s�CNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ` 2':bG3 Building Inspector 1,h;Z CONSTRUCTION CONTROL AFFIDAVIT SECTION 127.0 OF MASSACHUSETTS STATE BUILDING CODE (PRIOR TO ISSUANCE OF PERMIT) AFFIDAVIT ON THIS 6`d DAY OF March 2009 , THE UNDERSIGNED STATES THAT HE IS REGISTERED TO PRACTICE PROFESSIONAL ENGINEERING IN THE COMMONWEALTH OF MASSACHUSETTS AND THAT HE HAS SUPERVISED THE PREPARATION OF THE DESIGN PLANS AND CONSTRUCTION DOCUMENTS OF: Volpe Athletic Center, Merrimack College 315 Turnpike Road North Andover MA 01845 AND THAT SUCH PLANS CONFORM TO THE APPLICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND THE MATERIALS SPECIFIED FOR USE IN THE CONSTRUCTION CONFORM WITH THE CONTROLLED CONSTRUCTION PROCEDURE THEREIN DEFINED: AND THAT A PROFESSIONALLY QUALIFIED REPRESENTATIVE OF HIS FIRM WILL ADMINISTER THE CONSTRUCTION CONTRACT, AND THAT HE WILL, WITH THE ASSISTANCE OF HIS PROFESSIONAL CONSULTANTS, REVIEW THE SHOP DRAWINGS DETAILS FOR CONSTRUCTION, AND THAT HE WILL PROVIDE PROFESSIONAL INSPECTION OF THE CONSTRUCTION AS REQUIRED, AND THAT HE WILL INFORM THE OWNER, THE APPROVING AND PERMIT GRANTING AUTHORITY OF ANY OBSERVED DEVIATIONS FROM APPLICABLE CODES. i �5e'orgelg Peterson, PE No. 22683 Name (Business/Organization/individual): Sasso Construction Co., Inc. Address: 231 Andover Street City/State/Zip: Phone #: 978-694-4111 Are you an employer? Check the appropriate box: I . ❑ I am a employer with 11 4. ❑ I am a general contractor and I employees (full and/or part-time).* 2. ❑ 1 am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance.+ 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, §1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions I l.❑ Plumbing repairs or additions 12. ❑ Roof repai I's 13.❑ Other *Any applicant that checks box #1 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. Contractors that check this box must attached an additional sheet showina the name of tile tr e sub-conactors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp: policy number. I aiii an employer tlzat is provirlizz; workers' coiz'il)eiisatioii iiisziraizce for my enzploj%C'eS. Below is the policy and job sits information. insurance Company Name: Policy # or Self -ins. Lic. # A.I.G. Insurance Company WC 003620664 Expiration Date: 10/09 Job Site Address: IV yNIY)J� Vv[JI// �►VI City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showina the policy number and expiration clate). 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 verification. I do hereby certify uiid r d pc ' s and}peenalties of perjury that the information provided above is true and correct. SianatUre: kAIA�k Date: lfl Phone #: 97R-694-41 1 1 — Official use only. Do not write in this area, to be completed by city or town official. Citv 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 #: The Commonwealth of Massachusetts V Department of Indltstl irrl Accidetzts �� Office of Investigations �m' = # 600 Washington Street Boston, MA 0211.1 1V W W. n1l1SS.gOV1(llll Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual): Sasso Construction Co., Inc. Address: 231 Andover Street City/State/Zip: Phone #: 978-694-4111 Are you an employer? Check the appropriate box: I . ❑ I am a employer with 11 4. ❑ I am a general contractor and I employees (full and/or part-time).* 2. ❑ 1 am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance.+ 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, §1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions I l.❑ Plumbing repairs or additions 12. ❑ Roof repai I's 13.❑ Other *Any applicant that checks box #1 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. Contractors that check this box must attached an additional sheet showina the name of tile tr e sub-conactors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp: policy number. I aiii an employer tlzat is provirlizz; workers' coiz'il)eiisatioii iiisziraizce for my enzploj%C'eS. Below is the policy and job sits information. insurance Company Name: Policy # or Self -ins. Lic. # A.I.G. Insurance Company WC 003620664 Expiration Date: 10/09 Job Site Address: IV yNIY)J� Vv[JI// �►VI City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showina the policy number and expiration clate). 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 verification. I do hereby certify uiid r d pc ' s and}peenalties of perjury that the information provided above is true and correct. SianatUre: kAIA�k Date: lfl Phone #: 97R-694-41 1 1 — Official use only. Do not write in this area, to be completed by city or town official. Citv 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 #: A A**'� dLft w dLftdekS4 '"OPP CONSTRUCTION CO., IHC. GENERAL CONTRACTORS L� Merrimack College 315 Turnpike St North Andover, MA Att: Bob Coppola Re: Volpe Ice Bed Replacement PROPOSAL January 18, 2009 Sasso Construction Co., Inc. is pleased to provide this quotation for the removal & replacement of the ice refrigeration system and refrigerated cold floor. General Scope of Work: o Demolish & dispose of existing refrigeration system &refrigerated floor. o Form & pour 28' radius on entrance end of arena. o Remove Dasher Boards & Glass, Store within two mobile storage trailers. o Pump existing glycol charge into onsite holding tank for reuse. o Demolish existing electric disconnects & wiring within ref. room. o Demolish & dispose of existing concrete cold floor, insulation & headers. o Remove 6" of material & install 6" of laser graded stone dust in two lifts. o Install warm floor tubing @ 24" on center. o Core existing concrete header wall & form 42 tubing connections. o Install two 1-1/2" layers of dow board insulation with 6 mil. Poly slip sheet. o Install fused HDPE -3408 underground cold and warm floor headers. o Install 1" IPS HDPE -3408 Cold floor tubing 3.5" on center, supported by piping chairs, #4 rebar installed on a 12"x14" grid, 6X6 #10 wire mesh installed over tubing. o Install cast in place anchors for dasher boards. o Provide 5000 psi concrete (w/ super plasticizer) pour to a flatness of FP30,FL 20 cover with poly and wet cure concrete for 7 days. o Provide & Install five IKS-450 18.5 TR and 1 IKS 12.5 TR low temperature water to water heat pumps with a total of 105 tons. Each Kube will have its own evaporator & condenser injection pumps powered from within unit. o Provide & Install One Baltimore AirCoil model FXV -Q441 Fluid Cooler on outdoor stand. 081485 231 ANDOVER ST. WILMINGTON, MA 01887 TELEPHONE (978) 694-4111 FAX (978) 694-9226 Email www.sassoconstruction.com o Provide & Install (2) 15 HP cold floor pumps & interconnecting piping. (pumps to be installed on G.C. provided housekeeping pad) o Provide & Install warm floor pump & piping. o Provide & Install (1) corner pump & piping, o Insulate all refrigerated piping w/'/" armaflex. o Provide non potable water fill line to outdoor fluid cooler from onsite backflow preventer. Line to be heat traced and insulated. o Provide & Install warm floor expansion tank, pipe & reuse existing cold floor expansion tank. o Provide & Install digital control system with modem remote alarming. (phone line provided by college) o Pressure test all piping & fill systems with re -used glycol. Add additional glycol as needed to match existing glycol strength. o Provide all new'/" hardware to anchor dasher boards. o Re -install dasher boards & glass. o Re -attach netting on radius ends. o Replace existing 400 amp electrical disconnect. o Provide new disconnects for Each IKS, pumps & fan motors. o Electrically connect all equipment. o Start up & purge both cold & warm floor systems, provide expansion tanks '/2 full. o Start refrigeration plant after 28 days of concrete curing. o After successful start up perform staged pulldown of concrete cold floor. o Refrigerate floor to 15°F. o Make 3/8" cover of ice (college to provide use of zamboni) o Paint white field of ice with jet ice. o Paint logos, lines & markings to match existing rink (college to provide all stencils) o Provide %" ice cover above paint. o Provide broom swept finish & clean glass. o Turn rink over to college prior to October 1" 2009. o Provide one year guarantee on all newly installed devices. Accepted by: ag:�� Printed Name; P_GGfDP_X- COP('06 ce4 Date: 3 l 1 Fr F-6 g TOTAL PRICE: $286,000.00 Note: This proposal may be withdrawn by us if not accepted within 30 days 081485 231 ANDOVER ST. WILMINGTON, MA 01887 TELEPHONE (978)694-4111 FAX (978) 694-9226 Email www.sassoconstruction.com ISSUED BY THE STOCK INSURANCE COMPANY HEREIN CALLED THE COMPANY AGENT NUMBER POLICY NUMBER NATIONAL/N FIRE INSURANCE COMPANY OF PITTSBURGH, PA. 0069194-00 WC 003-62-0664 1 -------- 013-82-1008-00 INCORPORATED UNDER THE LAWS OF � � � � SASSITEM 1. NAMED INSURED: MAILING ADDRESS IDENTIFICATION ND.: 1 CONSTRUCTION COMPANY ANDOVER211 •-r Companies of 1 01887-0000 01M• • • EXECUTIVE OFFICES: 70 PINE STREET, NEW YORK, N.Y. 10270 SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE - WC990610 TPA INSURANCE AGENCY INC. WORKERS COMPENSATION AND EMPLOYERS 10 NEW ENGLAND BUSINESS CENTER LIABILITY POLICY INFORMATION PAGE SUITE 303 IP'U\VV YLI\ 1711 V I V IV-IU7U INSURED IS PREVIOUS POLICY NUMBER CORPORATION RFNFWAI nnArQllrn OTHER WORKPLACES NOT SHOWN ABOVE: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE - WC990610 ITEM 2 POLICY PERIOD 12:01 A.M. standard time at the insured's mailing address FROM 10/01/08 TO 10/01/09 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1 , 000, 000 each accident Bodily Injury by Disease $ 1 .000.000 policy limit Bodily Injury by Disease $ 1 .000.000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: AK AL AR AZ CO CT DC DE FL GA HI IA ID IL IN KS KY LA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OK OR PA RI SC SD TN TX UT VA VT WI WV D. This policy includes these SEE EXTENSION OF ITEM 3.D. OF THE INFORMATION PAGE - WC990612 ITEM 4 The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Code Number Estimated Total Remuneration Rate Per $100 OF Re- Estimated Premium QAnnual ❑ 3 Year muneration a Annual ❑ 3 Year SEE EXTENSION OF ITEM 4. OF THE INFORMATION PAGE - WC7754 TAXES/ASSESSMENTS/SURCHARGES $1,037 EXPENSE CONSTANT (EXCEPT WHERE APPLICABLE BY STATE) $338 MA MINIMUM PREMIUM :�hUU MA TOTAL ESTIMATED PREMIUM $17,339 If indicated below, interim adjustments of premium shall be made: ❑ Semi -Annually ❑ Quarterly ❑ Monthly DEPOSIT PREMIUM 08/19/08 PARSIPPANY Issue Date 39967 (RSV d 04/ 08) 1I Issuing Office Authorized Representilive WC 00 00 01 - .. - - - � •° it - '"7•�7 > k... .... BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 092345 Birthdate 05/04/1983 Expires 05/04/2009 Tr. nA92345t. . s ; Restiicted 003 i . MATT PIMENTEL`' 16 SPENCER CT ANDOVER, MA 01810 Commissi .v .. li i .. .' j .. 'F1.. i iii�1�A T i( .i .. I'4� G.. • .. E a oo a� G -u a� b O w v L v cn z a 2 G p w O nG v U G w w 4 pa m p c4 G w a a u w '• w p w di 5v y cn C ii p �nD p rx C w w A w v m 0 z cn Q O U) W A, O C.3 CLC •a C A C C �• LI ff 0 W; m • O0. 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