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
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23GL);, - 14'
Building Inspector
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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
\
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The Commonwealth of Massachusetts
^; 1
Department of Industrial Accidents
a
a+,...�
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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 #: