HomeMy WebLinkAboutBuilding Permit #811 - 315 TURNPIKE STREET 6/15/2010PERMIT
TOWN OF NIORTH ANDOVER
o/f,d cin APPLICATION FOR PLAN EXAMINATION
Permit NO: �l `' Date Received
Date Issued: '— t
IMPORTANT: Applicant must complete all items on this Daize
LOCATION 3/15
1:1001=130
Print U
MAP 210 �2 5' PARCEL: Al ZONING DISTRICT: Historic District yes
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TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New Building
One family
Addition
Two or more family
Industrial
Ateratio
No. of units:
Commercial
Repair, replacement
Assessory Bldg
Others:
Demolition
Other
` Septic Well
Floodplain Wetlands
Watershed District
Water/Sewer
OWNER: Name:
Address:
DESCRIPTION OF WORK TORE PREFORM
Pi se Type or Print
o S
/U Ah AA)
CONTRACTOR Name:b(b10,'S
#UNIbAJ Phone:
Address:
m
Supervisor's Construction License: Is ?c31115 V Exp, Date:''�1
Home
License:
Date:
ARCHITECT/ENGINEER ') Phone:
Address: I (�5b j�c ��l?�C�I�iY)�?I' )� Reg. No. (�5
FEE SCHEDULE. BULDING P RMIT.- $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost. !� /FEE: $ �d
Z t j
Check No.: �Z� . l/ Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to 4he guaranty fund
signature of Agent/Owner Signature of con#tactor
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
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
DATE REJECTED
a _ 11 .. 30*111J
Reviewed on Signature
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No:
Planning Board Decision:
Comments
Conservation Decision: Comments
Zoning Decision/receipt submitted yes
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature:
LOcatea Jt$4 VS ooa Jtreet
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 924 gain 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-$1 000 fine
NOTES and DATA — For department use
❑ Notified for pickup - Date
.... . ...... . .... . . . . . . ........ . . . ................... . ..... . . ... ........... . . . . . .................. . . .. . .................. . . . .......... . . . . .. . . . .. ..................... . . . ..................... . ................. . ... . ......
Doc.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
❑ 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
o 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: Building Permit Revised 2008
RDK Engineers P 978-475-0298
200 Brickstone Square F 978-475-5768
ENGINEERS Andover, MA 01810-1488 W www.rdkengineers.com
DESIGN CERTIFICATION
In accordance with Section 116.2.1, 901.7.1.3 and 1301.1.1 (104.4) of the Massachusetts State Building
Code 780 CMR, 7`h Edition,1, Rand Refrigeri being a registered professional engineer
hereby certify that the RDK Engineers employees, under my direct supervision, have prepared the
construction documents including plans, specifications and required computations, which are in accordance
with the requirements of the Massachusetts State Building Code and all other applicable laws and
ordinances and will perform construction observation and shop drawing review in accordance with Sections
116.2.2, 901.7.1 and 1301.1.1 (104.5).
Project: Merrimack College Volpe Athletic Center
Location: North Andover. Massachusetts
Construction Documents: P0.0, Pl.lb
Date on Plans and Specifications: Specifications 05/27/10
Drawings 06-16-10
1" OFAf4'Ss9r
S RAND JOHN p
ature
a REFRIGERI
MECHANICAL y
No. 30384
Q/STS1k � Plumbing
ccss�CNAI. �NG�� Discipline - Area of Responsibility
M.G.L. Chapter 112,231 CMR, 250 CMR
Professional Engineer (Original Seal)
June 15, 2010
Date
Andover, MA Boston, MA Amherst, MA Durham, NC Charlotte, NC
RDK Engineers P 978-475-0298
01 M Is 200 Brickstone Square F 978-475-5768
ENGINEERS Andover, MA 01810-1488 W www.rdkengineers.com
DESIGN CERTIFICATION
In accordance with Section 116.2.1, 901.7.1.3 and 13 01.1.1 (104.4) of the Massachusetts State Building
Code 780 CMR, 7d' Edition, I, Rand Refrigeri being a registered professional engineer
hereby certify that the RDK Engineers employees, under my direct supervision, have prepared the
construction documents including plans, specifications and required computations, which are in accordance
with the requirements of the Massachusetts State Building Code and all other applicable laws and
ordinances and will perform construction observation and shop drawing review in accordance with Sections
116.2.2, 901.7.1 and 1301.1.1 (104.5).
Project: Merrimack College Volpe Athletic Center
Location: North Andover, Massachusetts
Construction Documents: FP0.0, FP1.1a, FP1.1b, FP 1.2b
Date on Plans and Specifications: Specifications 05/27/10
Drawings 06-16-10
OF 414
9
RANDJOHN <,
REFRIGERI
FIRE PROTECTION
No. 38694
9F9/S7ER1;��`;
Professional Engineer (Original Seal)
Fire Protection
Discipline - Area of Responsibility
M.G.L. Chapter 112,231 CMR, 250 CMR
June 15, 2010
Date
Andover, MA Boston, MA Amherst, MA Durham, NC Charlotte, NC
X-�
IdLftwdnL AOLS`ri
? Vii►*
CONSTRUCTION CO., INC,
GENERAL CONTRACTORS
�J
Merrimack College
315 Turnpike St
North Andover, Ma 01845
ATT: Robert Coppola
Donna Tombarelli
Re: Volpe Athletic Center
J. Thomas Lawler Ice Rink Renovation
June 4, 2010
PROPOSAL
After reviewing drawings T0.0, A0.1, A0.2, A1.1, A1.2, A2.1, A3.1, A3.2, A4.1, S0.0, S1.0, S2.0, FP0.0, FP1.1A, FP1.1B,
FP1.2B, PO.0, P1.16, Ho.0, 1-11.113, H7.0, H8.0, EO.0, ED1.1A, ED1.1B, ED1.2A, E1,1A, E1.113, E1.2A, E2.1A, E2.113,
E2.2A, E3.1A, E3.113, E3.2A and E4.0 dated 5-27-10 drawn by EDK Engineers and Scope Book dated 5-27-10 as well as
drawing DB -01 dated 5-4-98 drawn by Crystaplex Arenas, Sasso Construction Co., Inc. proposed to furnish labor and
materials needed to complete the Ice Rink Renovation Located at Merrimack College.
Scope of work:
• General Conditions (Supervision, Dumpsters, Permit Fee, Final Clean)
• Supply and install (1) Garaventa "Genesis" Vertical Wheelchair lift for barrier free access only
• Cutting and Patching
• Painting (all new walls/columns to be prep primer 2 coat of paint. All new door frames to be finish paint. All
ceilings to be cleaned, sanded and spot primed, Apply 2 coats of brilliant white DTM)
• Supply and install (1) New 8x8 tube steel header beam welded in between two existing columns — prime finish.
Seismic restraint angles per details 1,2,3 on S2.0 — total of 250 pieces figures — prime finish. 100 locations of
welding existing CMU straps and welding new angle/plate — prime finish. New railings for one new stair and three
access ramps — prime finish.
• Supply and install plastic laminate counter and supports for press box. Wood wall cap, clear finished, match
existing
• Saw cut block wall for press box and boiler room door
• Supply and install stair treads, rubber flooring, vinyl floor and base
• Supply and install (1) welded single door transom/ sidelite PM frame, (3) 3/8" clear tempered glass, (1) hollow
metal flush door with full glass vision, (3) dull chrome hinges, (1) RIM exit device with outside lever trim, (1) door
closer, (1) flat aluminum threshold, (1) floor stop, (1) welded single door PM frame, (1) hollow metal flush door, (3)
dull chrome hinges, (1) mortise lever lockset, (1) floor stop, (3) welded double door PM frame, (3PR) hollow metal
flush door, (18) dull chrome hinges, (3) mortise lever lockset, (6) flush bolts, (6) door closers, (4) floor stop, (1) flat
aluminum threshold, (1) aluminum weatherstrip kit, (2) aluminum door bottom sweep, and (3) flat astragal.
• Demolition: Remove all bleachers as shown on plans, remove all insulation and supporting structure from bar
joists as shown on plans, remove 41 columns as shown on plans.
• Press box walls: Frame new walls with 6" 18 gauge "J" studs and track, drywall and plywood as shown on
drawings.
• Press Box Floor: Frame new floor with 6" 18 gauge studs and track, install 5 3/" plywood, as shown on plans.
• Press Box Knee Wall: Frame new walls with 6" 18 gauge studs and track, install 5/8" drywall to each side, tape
three coats ready for paint, as shown on plans.
• Press Box Stairs: Build Stairs as shown on plans.
101 195
231 ANDOVER ST. WILMINGTON, MA 01887 TELEPHONE (978) 6944111 FAX (978) 694-9226 Email www.sassoconstruction.com
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Cambridge Seven Associates, Inc.
DESIGN CERTIFICATION
In accordance with Section 116.2.1 of the Massachusetts State Building Code 780 CMR, 6'" Edition, I,
Timothy D. Mansfield, AIA being a registered professional architect,
hereby certify that the Cambridge Seven Associates, Inc. employees, under my direct supervision, have
prepared the construction documents including plans, specifications and required computations, which are
in accordance with the requirements of the Massachusetts State Building Code and all other applicable laws
and ordinances.
Project: Lawler Ice Rink Renovations
Location: Merrimack College, North Andover, MA
Construction Documents: Sheets A0.1, A0.2, A1.1, A1.2, A2.1, A3.1, A3.2, A4.1.
Date on Plans and Specifications: 16 June 2010
ignature -]
o No. 9068 m
BOSTON,
MASS.
Architecture
OI Discipline - Area of Responsibility
M.G.L. Chapter 112,231 CMR, 250 CMR
Professional Engineer (Original Seal) 16 June 2010
Date
i- www.nzass.gov/dia .
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/individual):
Address: QQ / f)N�6C (>2 <��,
City/State/Zip: UP IM X2124 Phone
Are you an employer? Check the appropriate box:
The Commonwealth of Massachusetts
,^
Department of Industrial Accidents
have hired the sub -contractors
Office of Investigations
t lit, e
600 Washington Street
These sub -contractors have
Boston, 111A 02111
i- www.nzass.gov/dia .
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/individual):
Address: QQ / f)N�6C (>2 <��,
City/State/Zip: UP IM X2124 Phone
Are you an employer? Check the appropriate box:
1.00m a employer with
4, ❑ 1 am a general contractor and I
employees (full and/or part-time).*
have hired the sub -contractors
2. ❑ I am a sole proprietor or partner-
listed on. the attached sheet t
ship and have no employees
These sub -contractors have
working for me in any capacity,
workers' comp. insurance.
[No workers' comp. insurance
5. ❑ We are a corporation and its
required.]
officers have exercised their
3. ❑ 1 am a homeowner doing all work
right of exemption per MGL
myself. [No workers' comp.
c. 152, § 1(4), and we have no
insurance required.] t
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. ❑ New construction
7. ❑ Remodeling
8. ❑ Demolition.
9. ❑ Building addition
10 -0 Electrical repairs or additions
11.0 Plumbing repairs or additions
121-1 Roof repairs
13. ❑ Other
*Any applicant that checks boz # 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.
tConlractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: O(Dsu 0 C�
Policy 4 or Self -ins. Lic. #:
/ __ 6 40� 1 Expiration D'olte: I I_C�_ �0 I
Job Site Address: City/State/Zip:4A) kT Z 7 6& - �
Attach a copy of the 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 WORT{ ORDER and a fine
of up to 5250.00 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 under the pains andpenalties ofperjury that the information provided above is true and correct
1<1S
Phone
Official use only. Do not write in this area, to be completed by city or town official
City or Town:
Permit/License #
b115-110
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Perso
Phone #:
Location
No. &r1l Date 1,4g Mz) —/lJ
O: ,
HORT#1 TOWN OF NORTH ANDOVER
S
On) LI _.-----
Certificate of Occupancy $
,s'•^ E<�
Building/Frame Permit Fee $
S cHus
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check
d "S
2 3 L t�j Building Inspector
ROK Engineers P 978-475-0298
® 200 Brickstone Square F 978475-5768
ENGINEERS Andover, MA 01810-1488 W www.rdkengineers.com
DESIGN CERTIFICATION
In accordance with Section 116.2.1, 901.7.1.3 and 1301.1.1 (104.4) of the Massachusetts State Building
Code 780 CMR, 7`h Edition, I, Timothy J. Tyson being a registered professional engineer
hereby certify that the RDI{ Engineers employees, under my direct supervision, have prepared the
construction documents including plans, specifications and required computations, which are in accordance
with the requirements of the Massachusetts State Building Code and all other applicable laws and
ordinances and will perform construction observation and shop drawing review in accordance with Sections
116.2.2, 901.7.1 and 1301.1.1 (104.5).
Project: Merrimack College Volpe Athletic Center
Location: North Andover, Massachusetts
Construction Documents: E0.0, ED1.1a, ED1.1b, ED1.2a, El.la, El.lb, E2.1a, E2.1b, E2.2a, E3.1a,
E3.1b, E3.2a, E4.0
Date on Plans and Specifications: Specifications 05/27/10
TN OF MAss�
TIMOTHYJ. G
TYSON n
v ELECTRICAL
No. 43093
Ao SFGISTE'm
`� S/0//At EN
Drawings 06-16-10
Signature
Professional Engineer (Original Seal)
Electrical
Discipline - Area of Responsibility
M.G.L. Chapter 112,231 CMR, 250 CMR
June 15, 2010
Date
Andover, MA Boston, MA Amherst, MA Durham, NC Charlotte, NC
ISSUING COMPANY
ACE PROPERTY & CASUALTY INSURANCE
NCCI CARRIER CODE
14401+-
POLICY
2254POLICY NUMBER ® New ❑ Renewal ❑ Rewrite
Symbol: NWC Number: C4 58 07 07 1
PREVIOUS POLICY NO. ❑ Individual ❑ Partnership
Symbol: Number: ® Corporation ❑
Item 1.FSASSO CONSTRUCTION COMPANY INC
Named
Insured 231 ANDOVER STREET
WILMINGTON MA 01887
Mailing
Address
Workers' Compensation
and Employers Liability
Insurance Policy
Information Page
Inter/Intrastate ID No.:
Federal Employer ID No.: 042231373
Employer's ID No.:
PIIC CODE: 1751
For other named insured see Extension of Information Page -Schedule of Named Insured, WC 99 99 99 A
For other workplaces see Extension of Information Page -Schedule of Other Workplaces, WC 99 99 99 B
Item 2. Policy period: From 10-01-2009 To 10-01-2010 12:01 A.M., standard time at the named insured's mailing address.
Item 3A. Workers' Compensation Insurance: Part One of the policy applies to the Workers' Compensation Law of the states listed here:
MA
Item 3B. Employers Liability Insurance: Part Two of the policy applies to 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 $ 1.000900 policy limit
Bodily Injury by Disease $ 1,000,000 each employee
Item 3C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here:
ALL STATES EXCEPT
ND,OH,WA,WY,
AND STATES DESIGNATED IN ITEM 3.A
Item 4. The premium for this policy will be determined by our Manual of Rules, Classifications, Rates and Rating Plans. All information
required below is subject to verification and change by audit.
SEE EXTENSION OF INFORMATION PAGE -CLASSIFICATIONS
If indicated here, interim adjustments of premium will be made:
❑ Semi -Annually ❑ Quarterly ❑ Monthly
This policy includes these endorsements and schedules:
SEE SCHEDULE OF FORMS AND ENDORSEMENTS WC999999D
PRODUCER NAME AND MAILING ADDRESS
TPA INSURANCE AGENCY INC
10 NEW ENGLAND BUSINESS CENTER
SUITE 303
ANDOVER MA 01810
Minimum Premium collected in MA $ 500.
Total Estimated Premium $ 18202.
Deposit Premium $
4
PRODUCER CODE: 249634 04-3296168 SML
MARKETING OFFICE: ACE COMPLETE
ISSUE DATE: 07/15/2009
(A horized rRgffb& Schramm If
WC 00 00 01A (06/03) Copyright 1987 National Council on Compensation Insurance
1 INSURED
• Modify walls and existing wall patching
• Frame new ceilings under press box, with 6" 16 gauge studs and track, install 5/8" drywall to one side, taped three
coats ready for paint, as shown on plans.
• Wood Platforms: Construct wood platforms around ice rink, as shown on plans.
• Install sprinkler systems, as shown on plans.
• Electrical: Supply and install the 1200 amp replacement switchboard as shown, supply and install the 5
replacement panels (LH1, LH2, PL2, PPL1 and PPL2) as shown. Supply and install new lighting as shown (note
all pendant fixtures will be supported by chain not threaded rod per the manufacturer's recommendation). Supply
and install of the new lighting control panel as shown. Electrical Demo of items as shown. Supply and install of the
new Fire Alarm (Simplex Voice System Panel) including devices as shown. Supply and install of the VFD for
pump P-5 as shown. Supply and install the HVAC and Mechanical power wiring as shown. Supply and install
power wiring to the new HC lift as shown. Supply and install the new branch wiring and devices (wiremold in the
press box etc) as shown. Supply and install new low voltage conduits sleeves to the nearest accessible ceiling as
shown. Supply and install temporary power and lighting utilizing existing power panels and light fixtures until the
new fixtures are installed. Short Circuit study per specification section 16000 page 45. Fireproofing of all
penetrations and openings. Installation of magnetic motor starters furnished by Mech Contractor.
• HVAC: Supply and install reclamation piping and pup from mechanical room, tie into the make up air unit on the
roof. Piping to be Schedule40 welded steel W 1-1/2" insulation. Insulation to increase to 3" on the roof with PVC
jacket, test, fill with glycol, start up, controls. New boiler stack, and make up air with insulation for the Patterson
Kelly boiler, Cap off old stack connection.
• Plumbing: Supply and install a new Patterson -Kelly hot water maker, relocate four existing storage tanks and
supply and install a new 4" floor drain. (Boiler start up and a 1 year 24 hr service)
• Roofing Allowance
• Remove (2) hockey scoreboard and (1) matrix display. Relocate (1) existing Daktronics hockey scoreboard, (1)
LED matrix, (1) top truss, and (1) bottom ad panel to the lobby side of ice rink. Relocate (1) existing Daktronics
scoreboard on Zamboni end of ice rink. Connect to electrical power source within 5' of displays. Connect new
message display to CAT 5 wiring within 5' of the matrix display (Installation of CATS between new matrix and
control location by others). Test all functions
• Reinstall dasher board system and glass per drawings. Athletica has been instructed by RDK to assume that all
panels will fit the new layout. Any modification to existing panels will be an extra to contract.
PRICE $ 489,900.00
Anthony Pimentef
0
Anthony Pimentel
Sasso Construction Co., Inc.
Note: This proposal may be withdrawn by us if not accepted within 30 days.
Owners Signature
Date
101 195
231 ANDOVER ST. WILMINGTON, MA 01887 TELEPHONE (978) 694-4111 FAX (978) 694-9226 Email www.sassoconstruction.com
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