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HomeMy WebLinkAboutBuilding Permit #815 - 315 TURNPIKE STREET 6/18/2010Permit NO: s / Date Issued: 6//i//0 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received IMPORTANT: Applicant must complete all items on this nage LOCATION 15 T li'Ire v Print PROPERTY OWNER a 0� I Print MAP 210 PARCEL: ZONING DISTRICT: Historic District b... 0 Residential Non- Residential New Building One family yes nom yes Z no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Others: Repair, replacement Assessory Bldg Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer ur-OLoKir 1 IUN Ur VVUKI'K I U PKEFORMED: OWNER: Address: 3)'S -TU f N p) re 3� - I)o 7 � AyJow r" mq 0/?7G%5- CONTRACTOR Address: �)!9 Supervisor's Construction License: Exp. Date: }� Home Improvement ARCHITECT/ENGINEER LLL eSf,I, V Address:jo5c) ��%�� ,1 {c!1%1%i%��,(kM S. leg Reg. No. 90b1 Ps FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. o--, Total Project Cost: $_ �F2 '�DO FEE: $ C Check No.: _ 36� 7 ��� Receipt No..,-�23 00--; NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund -__ Signature of Agent/Owner ' , Signa#ure of contractor—= 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 DATE APPROVED Reviewed on Signature Reviewed on Signature c Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: FIRE DEPARTMENT Temp Dumpster on site Located at 124 Main Street Fire Department signature/date —44�40 COMMENTS Located 384 Usaood 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 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 - 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 ❑ 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 (Jd /ll,c c 7-4 . Location 31 t' i' e4,4 M (- No.4-1,57Date - 66- d MaRTM TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ E Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 5 7—C, 5r 0 23GL);, - 14' Building Inspector U) m m m X m v m C CO) 'v Z CD O ar d� CL �. a� O o v CL "� CD O av CD CO) CD O tv y CD 0) O y O CO) d O r* CD CD a� CO) CD CO) c ?10 C = 2 O -•tAoc y Q O :9. CD ca »® 0 m C2 C CAnC.O m Z =r'C y 0 .=r = -O m N .n CD n�CL� ro = y CD O O N O -p --1 O IE m- - m a O� G CD OCfl Sh O O ri O G H• n co oc' ..► VJ CD O N '0CD n O M _ a 1 „ CD W N w, Q ►may N d cn . cn , , ® 4 N CO � N N O C7\ CD 0 CD cm o :T Q ®o�`':C c Z FS N CD O bd C* =CD cn C2 co Com'' CD C' CA 0 t, - cn cn G� Cn 'Jd nr r rA z Pd z n pd '•17 z Cn 'r7 O d N omq 0 O C 06/17/2010 12:56 978694922E SASSO CONSTRUCTION PAGE 01/02 >/ 4 � iOWS 0R"� CONSTRUCTION CO., INC. GENERAL CONTRACTOps Merrimack College June 4, 2010 315 Turnpike St North Andover, Ma 01845 ATT: Robert Coppola Donna Tomball Re: Volpe Athletic Center J. Thomas Lawler Ice Rink Renovation PROPOSAL After FPJ.2 , P0.ng drawings T0.0, A0.1, !Cl A1.1, A1.2, A2.1, A3.1, A3.2, 50,0, S1.0, S2.0, FP0.0, FP1.1A, FP7,13, FP1.2B, Pp•tl, P1.1B, Ho,O, H1.1B H7,0, H8.0, EO.0, ED1.1A, E41.18, ED1,2A, E1,1A, E1.18, E1.2A, E2.1A, E2,1B, E2 -2A, E3 -1A, E3,1B, E3.2A and E4.0 dated 5-27-10 drawn by EDK Engineers and Scope Book dated 5-27-10 as well as drawing b13-01 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: • Supply and install (1) Garaventa "Genesis" Vertical Wheelchair lift for barrier free access only • Cutting and Patching • Fainting (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 DTII • 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 $2.0 — total of 250 pleces 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) 318" 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, (16) dull chrome hinges, (3) mortise lever lockset B flush bolts, aluminum threshold, (1) aluminum weatherstrip kit, (2) aluminum door bottom sweep doorLand (3) flat astragallosers, (4) floorl,, (1) flat • Demolition: Remove all bleachers as shown on pians, 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 %0 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. • Modify wails and existing wall patching 101 195 231 ANDOVER ST, WIL GTON Oi 887 TELEPNbi`[E (9781694 411" 1 FA�C_(978} 694-9226 Emait y ww aaysoc�tstruction,wm 06/17/2010 12:56 9786949226 SASSO CONSTRUCTION PAGE 02/02 • 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 VFO 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 ifft 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 condults 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. (Boller 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) LEO 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 CAT5 between now 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. Owners Signature ,242;e Date,(_ IJ s- Lf PRICE $489,900.00 Athozzy Timentel Anthony Pimentel Sasso Construction Co., Inc. Note: This proposal may be withdrawn by us if not accepted within 30 days. 101 195 231 ANaOVER ST. WILMINGTON MA 01887 TELEPHONE (9781 �Q4-4111 978 22G Em iJ www,sossr nstruct;v,�om \ 0 \ S � }lik| 1 �1 ' The Commonwealth of Massachusetts ^; 1 Department of Industrial Accidents a a+,...� �e i . Office of Investigations 01 t l'L '+ 4.t ; � ` 600 Washington Street Boston, MA 02111 www.nzass.gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual): ­50s5c)_ Address: 03/ City/State/Zip:j1f%%/ iQ2�E' Phone #:_. ?7-6 Are you an employer? Check the appropriate box: 1. [�3m a employer with 4. ❑ 1 am a general contractor and 1 Type of project (required): employees (full and/or part-time).* have hired the sub -contractors 6. [] New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7. ❑ Remodeling ship and. have no employees These sub -contractors have 8. Q Demolition. working for me in any capacity, [No workers' comp. insurance workers' comp. insurance. 5. 1:1We are a corporation and its g, ❑ Building addition required.] officers have exercised their 10.❑Electrical repairs or additions 3. ❑ I am a homeowner doing all work right of exemption per MGL 11.(] Plumbing repairs or additions myself. [No workers' comp. c. 152, § 1(4), and we have no 12.❑ Roof repairs insurance required.] t .employees. [No workers' 13.0 Other comp. insurance required.] Any applicant that cue.Cks bog #I 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 showing the name of the subcontractors and their workers' comp. policy information. 1 am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. r Insurance Company Name: _;�c Policy # or Self -ins. Lic. #: � / 6-'_0 4Expiration Date: I Job Site Address: n "570V i)oi /`—e _�. City/State/Zip:�a6flmWNFLJ � 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 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. 1 do hereby certify under the pains andpenalties ofperjury that the information provided above is true and correct. ,<,S Phone #: l� 62'7 %' Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # b/ /'5 1/ D 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 #: GOLDSTEIN—MILANO LLC Brent R. Goldstein P.E. Structural Engineers Christopher P. Milano P.E. 125 Main Street Reading, MA 01867 781-670-9990 (p) 781-670-9939(f) DESIGN CERTIFICATION In accordance with Section 116.2.1 of the Massachusetts State Building Code 780 CMR, 7h Edition, I, Christopher P. Milano being a registered Professional Engineer hereby certify that I, or employees of Goldstein -Milano LLC under my direct supervision, have prepared the construction documents for the project described below including plans, specifications, and computations, which are in accordance with the requirements of the Massachusetts State Building Code and all other applicable laws and ordinances. Project: Merrimack College — Volpe Athletic Center Renovations Location: North Andover, MA Construction Documents: S0.0 — General Notes Date on Plans: S 1.0 —Framing Plans and Details S2.0 — Sections and Details June 16, 2010 Signa re Structural - MA #33917 Discipline — Registration Number Professional Engineer (Original Seal) June 15, 2010 Date POLICY NUMBER Symbol: NWC Number: C4 58 07 07 1 PREVIOUS POLICY NO. Symbol: Number: Item 1.1 SASSO CONSTRUCTION COMPANY INC Named Insured 231 ANDOVER STREET WILMINGTON MA 01887 Mailing Address IN New ❑ Renewal ❑ Rewrite ❑ Individual ❑ Partnership ® Corporation ❑ 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 s 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 PRODUCER CODE: 249634 04-3296168 SML MARKETING OFFICE: ACE COMPLETE ISSUE DATE: 07/15/2009 Minimum Premium collected in MA $ 500. Total Estimated Premium $ 18202. Deposit Premium $ (A horized r�Rt'io Schramm II WC 00 00 0 1 A (06/03) Copyright 1987 National Council on Compensation Insurance 1 INSURED ISSUING COMPANY ACE PROPERTY & CASUALTY INSURANCE NCCI CARRIER CODE 12254 POLICY NUMBER Symbol: NWC Number: C4 58 07 07 1 PREVIOUS POLICY NO. Symbol: Number: Item 1.1 SASSO CONSTRUCTION COMPANY INC Named Insured 231 ANDOVER STREET WILMINGTON MA 01887 Mailing Address IN New ❑ Renewal ❑ Rewrite ❑ Individual ❑ Partnership ® Corporation ❑ 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 s 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 PRODUCER CODE: 249634 04-3296168 SML MARKETING OFFICE: ACE COMPLETE ISSUE DATE: 07/15/2009 Minimum Premium collected in MA $ 500. Total Estimated Premium $ 18202. Deposit Premium $ (A horized r�Rt'io Schramm II WC 00 00 0 1 A (06/03) Copyright 1987 National Council on Compensation Insurance 1 INSURED LU ML. MWOU'La ENGINEERS RDK Engineers 200 Brickstone Square Andover, MA 01810-1488 P 978-475-0298 F 978-475-5768 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, 7`h Edition, 1, Christopher R. Hildreth 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: HO.0, H 1.1 b, H7.0, H8.0 Date on Plans and Specifications: Specifications 05/27/10 Drawings 06-16-10 H OF MA,4s9C V CHRISTOPHER R. v HILDREfH o MECHANICAL W U No. 45228 Q �FGISiE�`kv o�FsSIONAL Professional Engineer (Original Seal) FIARIMM"' r ' Mechanical 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 RDK RDK Engineers 200 Brickstone Square Andover, MA 01810-1488 P 978-475-0298 F 978-475-5768 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`" 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: PO.0, P 1.1 b Date on Plans and Specifications: Specifications 05/27/10 Drawings 06-16-10 cym S nature RAND JOHN REFRIGERI MECHANICAL co No. 30394 q- A�O.cC'9��STE��O FSS�ONA1 EN _Plumbing 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 RDK Engineers 200 Brickstone Square Andover, MA 01810-1488 P 978-475-0298 F 978-475-5768 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, 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: FPO.0, FP 1.1 a, FP 1.1 b, FP 1.2b Date on Plans and Specifications: Specifications 05/27/10 Drawings 06-16-10 '!H OF A'b4Ss9 RANDJOHN REFRIGERI FIRE PROTECTION No. 38694 �0 9FGISTEP�� 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 Cambridge Seven Associates, Inc. DESIGN CERTIFICATION In accordance with Section 116.2.1 of the Massachusetts State Building Code 780 CMR, 6a' 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 /RED �AR ,q p. Mq,� o No. 9068 c� C'13 BOSTON,, v rte' MASS. goy TH 0f M�S 16 June 2010 ignature Architecture Discipline - Area of Responsibility M.G.L. Chapter 112, 231 CMR, 250 CMR Professional Engineer (Original Seal) 16 June 2010 Date RDK Engineers P 978-475-0298 LH up rd 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, I, Timothy J. Tyson 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: E0.0, ED 1.1 a, ED 1.1 b, ED 1.2a, E 1.1 a, E 1.1 b, E2.1 a, E2.1 b, E2.2a, E3.1 a, E3.lb, E3.2a, E4.0 Date on Plans and Specifications: Specifications 05/27/10 s06-16-10 H OF I►tigssCy q O TIMOTHY J. G TYSON ELECTRICAL y No. 43093 GIST FS810t4AL ENG Professional Engineer (Original Seal) Signature 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 RDK RDK Engineers 200 Brickstone Square Andover, MA 01810-1488 P 978-475-0298 F 978-475-5768 W www.rdkengineers.com LETTER OF TRANSMITTAL TO: Sasso Construction Co., Inc. DATE: June 16, 2010 PROJ. No: 201 231 Andover Street ATTN: Tony Pimentel Wilmington, MA 01887 RE: Merrimack College Volpe Athletic Center Attached DATE Shop drawings ❑ Specifications ❑ Other WE ARE SENDING YOU Under separate cover ❑ via Hand Delivered Prints ❑ Plans ❑ Copy of letter ❑ Change order ❑ Submittals ❑ Diskettes ❑ COPIES DATE NO. DESCRIPTION 3 6/16/10 Sets Drawings Signed and Stamped — Architectural, Structural, Fire Protection, Plumbing, HVAC and Electrical 1 6/15/10 Sets Design Certificates - Fire Protection, Plumbing, HVAC & Elec. 1 6/16/10 Sets Design Certificates — Architectural 1 6/15/10 Sets Design Certificates - Structural For approval ❑ For your use As requested ❑ For review and comment ❑ DUE ON: THESE ARE TRANSMITTED AS NOTED BELOW Approved as submitted ❑ Resubmit Approved as noted ❑ Submit Returned for corrections ❑ Return Prints returned after loan to us ❑ REMARKS copies for approval copies for distribution corrected prints CC: Signed: �f If enclosures are not as noted, kindly notify us at once. Ju lark Andover, MA Boston, MA Amherst, MA Durham, NC Charlotte, NC L:\Jobs\2010\20100141 - Merrimack College Lawler Ice Rink\Correspondence\Transmittals\10 Let Trans Sasso 6-15.doc 95u2 - Date....... /. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..t .. ...... ..... .. ......................... has permission to perform A1417&2.......71.. . � .... ........................... wiring in the building of../07*-.( ...... e.. � ............... I ......................... at ----, Ri-ale . ......................... . Npilh AndovpvMass. Fee.... .... Lic. No../.. e— ....... ... Rii��i (E Check # -� 0L.wn►►►u►Iwca►cn w /9aDDaLMLIZI UP --- - --- - Department of Fire Services Permit No. Occupancy and Fee Checked d M BOARD OF FIRE PREVENTION REGULATIONS [Rev -1/07] (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: C1 d City or Town of. NORTH ANDOVER To the In pect of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) Owner or Tenant Y0,01j^ 2"0 Kt` W l Telephone No. Owner's Address - Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building -Tce 9 eki Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: oes&l pi;e cY/a ki Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. rnd. 0.0Emergency Lighting Battery Units No. of Receptacle Outlets 1 No. of Oil Burners FIRE ALARMS I No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. ons Tot No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number Tons I.K.W., No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Sectio. uritof Devices or Equivalent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent / (� No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: Nd (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE OV AGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such ca is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER ❑ over(Specify:) I certify, under the aims and penalties of perjury, that the information on this application is true and complete. FIRM NAME: FeAr h At LIC. NO.: 1-1�W&1 Licensee: t/ I k &r-'1- reg I'll Signature LIC. NO.: jj03/ (If applicable, enter "exempt" in the license number line) Bus. Tel. No.: 7k/-Z415`0gz Address: Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lie. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's Owner/Agent PERMIT FEE. $ Signature Telephone No. w i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Sy www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLyibly Name (Business/Organization/Individual): 1P�r`�% -f (7014! ht°// gledlvc Address: ah,,7&T 5t" City/State/Zip: �,c%Q' r (�(� C� d(W Phone #: 7�-r' Are you an employer? Check the appropriate box: 1.I am a employer with &_ 4. ❑ I 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. ❑ I 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.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13. ❑ Other *Any applicant that checks box 41 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 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: ('f'iP /j PQL`Ots! i Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: 7-0/0 Ql'U. A- ' 100//a"A.City/State/Zip:.>'i� 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 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 under the pain penalties of perjury that the information provided above is true and correct. 7✓l,_ Date: 71 �/ t 611e 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 #: