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Building Permit #007-14 - 315 TURNPIKE STREET 7/2/2013
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 7-�4 Date Received ate Iss ed: I PORTANT:Applicant must complete all items on this page LOCATION 31 )UrnDi t � Print # PROPERTY OWNER - Print V100 Year Old Structure yes no MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family El Addition El Two or more family 11 Industrial Alteration No. of units: Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition YOther ♦P 1'11�4 ❑ Septic D Well ❑ Floodplain ❑Wetlands ❑ Watershed District 11 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: `i't�' ( _ _ uoL A-e ti 1 ,340 '5f Identification Please Type or Print Clearly) OWNER: Name: fm4 Ari ro E Phone: .�`7D�3 Address: I 1 CONTRACTOR Name: COn Phone .lo .3'-931 Address: p Q t ( ` qan 0 Supervisor's Construction License:_ AR- Exp. Date: I� I Home Improvement License: Exp. Date: ARCHITECT/ENGINEER �►� Phone:— 3S �-o`i�+roP 5 LA)Address: 9 rn6'6dnl MCI., Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. UO.Lo --C-0 Total Project Cost: $ 4.10% 11+4 4,0-45b•(q)`WFEE: Check No.: D �t�ZS Receipt No.: 7—LoG1.5 NOTE: Persons contracting wit nregistered ontr to s do not have access to e ranty fund Si nature of A ent/Owrier natufe of contrM g g g _ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan 0 Stamped Plans ❑ f� Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ or TYPE OF SEWERAGE MSPOSAL r Public Sewer ❑ Tanning/Massage/Body Art ❑. . Swimming Pools ` ,' E1*. Well ❑ Tobacco Sales ❑ Food Packaging/Sales f❑ ` 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 CONSERVATION Reviewed on Signature COMMENTS HEALTH / Reviewed on Si nature COMMENTS Zoning Board of Appeals: Variance, Petition No: —Zoning Decisionfrecei t submitted yes Planning Board Decision: Comments Conservation Decision: Comments Nater & Seder Connection/Signature& Date Driveway Permit DPW To` o Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 MainStreet Fire Departineritsignature/date �l2 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 DANCER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A-F and G min.$100-$1000 fine NOTES and DATA— (For department use i ® Notified for pickup - Date 3 - E i. Doc.Building Permit Revised 2010 I I Building Department The fol?wing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofivig, 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 a 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 y ullc Calculations (If Applicable) � ❑ Mass check Energy Compliance Report (If Applicable) o 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 o 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 apo.,al 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: Doc.BuiiJing permit Revised 2012 Location 316- f u.•_p• 4 �/f• ��ie,..,� � � �5 . /�- No. 667 /3 Date / g/' 3 • - TOWN OF NORTH ANDOVER • Certificate of Occupancy $ �� Building/Frame Permit Fee $-- v•w Foundation Permit Fee $ , Other Permit Fee $ TOTAL ' Check# euilding Inspector 146� e� Pub►v� �ar�3� "� ba. �nsr �u-cn�h lJonS . toe cam8 ocvN� 4z) a&IQ SS � proc�sst� �e ii 33.o Q Q r fro C�� �v. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK �� .... CITY MA DATE�� PERMIT# � I ; JOBSITE ADDRESS OWNER'S NAME X315 'r�.n ,�� . t POWNER ADDRESS � n SEf , TEL }FAX L TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL, E PRINTr,�n CLEARLY NEW:[J— RENOVATION:[I REPLACEMENT:ID (p, ,J-T.+4te PLANS SUBMITTED: YES NOF FIXTURES 7 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM - - - DEDICATED GAS/OWSAND SYSTEM i DEDICATED GREASE SYSTEM t DEDICATED GRAY WATER SYSTEM I DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN _..- FOOD DISPOSER €---, i_ _ _ xt._ _. . _ __. : FLOOR/AREA DRAIN „ 3 INTERCEPTOR INTERIOR) -�— ` i t _ i KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL I..,.. _.. . SERVICE 1 MOP SINK _.._ TOILET i I URINAL i -.__ _ WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPINGZX OTE: - _ INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY(] OTHER TYPE OF INDEMNITY F-1 BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER E AGENT [ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provisio of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME David Youngblood LICENSE#9264 I STOISTATURY MPM JP0 CORPORATION#4_Z PARTNERSHIP #I- _- LLC�1#LF:: COMPANY NAMES Youngblood Co.,Inc. 'ADDRESS 32 Ashland Street CITY1 Haverhill $STATEF MA ZIP 09830 - TEL 978-373-5607 FAX 978 529-9572 CELL -- EMAIL I dyoungblood@youngbloodco.com 1� G��� ��'�' `�� b i i i i 4 r r7 iJ034 7 Date . '. . . . . toTOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . . Y.c�t4Tt9 x.19 ,. �G�. �114r. . . . . . . . . . . . has permission to perform . . 74 0.4, T. . .l e r. .Q-1 . . . . . . . . . . . . . plumbing in the buildings of at . .31 1 4 .3! . . . . . . . . . . . . . . .North A dover,Mass. Fee -3�?:2 2 �6i. . Lic. No. .�. . . d . . . . . . . . PLUMBING IN PECT Check# 61 VI 7 6P v„ F) r -- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY . _ MA DATE PERMIT# i .: Vii. �.'�._:..: JOBSITE ADDRESS t £ k,.� ._ OWNER'S NAMEj{ Fr,,, ,1 POWNER ADDRESS3 JE ...... TEL ]F TYPE OR OCCUPANCYTYPE COMMERCIAL EDUCATIONAL EDUCATIONAL [] RESIDENTIALF.1 PRINT CLEARLY NEW: ENOVATION:[ REPLACEMENT:C PLANS SUBMITTED: YES E] NO[] FIXTURES Z FLOOR- BSM 1 1 2 1 3 4 5 1 6 7 1 8 9 10 11 12 1 13 14 BATHTUB ....... ( -- ... ,.. ... . �-. l T .....CROSS CONNECTION DEVICE � i....:........,: DEDICATED SPECIAL WASTE SYSTEM £ DEDICATED GAS/OIL/SAND SYSTEM �L. (- i�. { ' I ... Tf � . DEDICATED GREASE SYSTEMtI 1 J DEDICATED GRAY WATER SYSTEM f_.::. _ .' _ ._. DEDICATED WATER RECYCLE SYSTEM i_:_:_,_.:: -= DISHWASHER — .._ i-. ._ ........ _ DRINKING FOUNTAIN FOOD DISPOSER I. ._.: _ I ._ .__I(---.. i i . i I .- ; - - - FLOOR/AREA DRAIN ...... ' I INTERCEPTOR(INTERIOR) s., _:.. KITCHEN SINK ED . LAVATORY ROOF DRAIN ...'....... _ i ,:. 11... + ..1 SHOWER STALL rte. ..... ..._ .. _..� ......... ......... ^� £.,,._......... ...._.......: ..... _ _...... SERVICE I MOP SINK . ,,.�....... , ..... TOILET I _.. .. URINAL , I ... i ... � . WASHING MACHINE CONNECTION f.: ::.u.. l.._ L_...._ . .._ - 'I.. ... L t.. .. 1., ..... WATER HEATER ALL TYPES �i WATER PIPING _ 1. .: �. h._ ..._' .... OTHER —-^ ...... - - --- -- -— ...... _ _. --..... .. .......... ...... .._......._.......... _..._ _ ..... . . _ - £ I ,.� ' i l INSURANCE COVERAGE: I have a current liabili insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES E] NO E IF YOU CHECKED YES,PLEASE-INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY �. OTHER TYPE OF INDEMNITYE] BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER (3 AGENT Ej SIGNATURE OF OWNER OR AGENT. I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertine7proon of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. IV PLUMBER'S NAME __David Youngblood __._ LICENSE# 67 '—SIGNATURE MPM JP[] CORPORATION# _� jZ _.;PARTNERSHIP# LLC E3# l COMPANY NAME Youngblood Co.,Inc ADDRESS 32 Ashland Street - M CITY (i(-Hav^erhill T STATE MA ZIP!01830 i TEL 978-373 5607 i .......,5 t-.. .. ........I -. ...._....... ........... ........... .... _....._. .._._ V FAX 978 521 1572j CELLy EMAIL dyoungblood@youngbloodco.com _ Q Q GI7� Division of Professional Licensure: License Search Page 1 of 1 The Official Website of the Office of Consumer Affairs and Business Regulation(OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A-Z Topics Home>Division of Professional Licensure> — —� -- ONLINE SERVICES ..............................................................................--..................................................... ...... ................. ...........................................................................I I 1 Check a License Check A Professional License Locate a Licensed Professional By the Division of Professional Licensure 1 Online Address Change I Contact the Agency More... LICENSEE Name:DAVID A. YOUNGBLOOD REFERENCES& ATKINSON, NH RELATED INFO Disclaimer Regarding **This Licensee has additional Licenses,click here to view them.** Website License Searches _- Enforcement Process Licensing Board: PLUMBERS Et GASFITTERS Ij Glossary Glossary of License Status License Type: MASTER PLUMBER Codes j License Number: 9264 � More... Status: CURRENT i Expiration Date: 5/1/2014 Issue Date: j Exam Date: j lj School: i This web site displays disciplinary actions dating back to 1993. { This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web server on Tuesday,July 16,2013 at 11:02:46 AM. ©2007-2011 Commonwealth of Massachusetts Site Policies Contact Us http://license.reg.state.ma.us/pubLic/pubLicenseQ.asp?board_code=PL&type class=_M&1... 7/16/2013 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK 7. -- _ .. _ CITY MA DATE PERMIT# ^ ._�. JOBSITE ADDRESS � £OWNER'S NAME rr%mak e GOWNER ADDRESS TEL FAX! .. ♦,. ._ __ ..... _> ._�. TYPE OR OCCUPANCY TYPE COMMERCIAL!.^? � RESIDENTIAL:_,_, PRINT .�,_,,. EDUCATIONAL! l . �Iuis CLEARLY NEW: RENOVATION: REPLACEMENT:Ea' TKt PLANS SUBMITTED: YES F NO , APPLIANCES Z FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER ,, ` ., „ >.:. BOOSTER . ,, .. . ...:. CONVERSION BURNER 1 ._.... . COOK STOVE I DIRECT VENT HEATER ;—---.------ . „__.,. DRYER FIREPLACE FRYOLATOR . t s , FURNACE €._,......_d _ .......... GENERATOR .,. v ,.y :<,..w_ _ � `! > , .,., s GRILLE t r z .. 3 t t _ r INFRARED HEATERff 7 ... ......... ..,.l.r ,.. �, ... ,v. ...., .. w...,, . ..., LABORATORY COCKS __...__. MAKEUP AIR UNIT ' _s ^` OVEN s POOL HEATER r ` ROOM/SPACE HEATER ROOF TOP UNIT 1. _T II 1 TEST I UNIT HEATER , ,.,,.. ., ...,._ . ., ,m..,. .,,.,,, ..<... ,, i �3 n I UNVENTED ROOM HEATER =J 1 WATER HEATER ; .OTHER w. . .,, . J,... �. h .. .�. ; . z r _ 1 INSURANCE COVERAGE _ 1 have a current liabili insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ' NO S I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW S LIABILITY INSURANCE POLICYi ��1 OTHER TYPE INDEMNITY ,,.�, BOND [j. OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. f i CHECK ONE ONLY: OWNER 2...a, AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in complian with 11 Pertinent provis'on of e Massachusetts State Plumbing Code and Chapter 142 of the General Laws. _rt PLUMBER-GASFITTER NAME Dav!d Youngblood f:LICENSE#1 9264 A �. ,. NA MP"—' MGF�., JP[ JGF;`..,. LPGI CORPORATION # PARTNERSHIP'. `#i LLC r# COMPANY NAME: Youngblood Co.,Inc ADDRESS 32 Ashland Street :, Aw .�_u.. .a� ... , . CITY Haverhill STATE i MA ZIP;01830 TEL 978 373 5607 FAX 978-521-1572 CELL 'EMAIL dyoungblood@youngbloodco com 10079 Date . �G. . .�. . . . . Y At TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . . . . . � u- .s has permission to perform . .. . . .,< .,� !. . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of 1 r?✓w . . ��` . . . . . . . . . . at Y/-:57 �� . . Qac,c Qf Andover, Mass. Fee �� .��'. . Lic. No.72. `� PLUMBING INSPECTOR Check# �?� Date . 4o. . . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for,gas installation . . .�.�.r. t. :�: . . . . . . . in the buildings of. tVJ.,rJ .-0bN.J17% 0— 1" eggl.m.,�4L . . . . at . . . t 5-71 !��N�:,�-. �' . . , North Andover, Mass. �! . . D Fee .l.�.--- . . Lic. No. . . . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR Check# � c 8819 1 e' ,' Commonwealth o��YJadbace Official Use Only r Permit No. eUePartment o� ire Sewice� Occupancy and Fee Checked 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: 7/23/13 City or Town of. North Andover MA To the Inspector of Wires: k By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 315 Turnpike St OwnerorTenant Merrimack College Telephone No. 978-837-5000 Owner's Address 315 Turnpike St N Andover Ma 01845 Is this permit in conjunction with a building permit? Yes B No ❑ (Check Appropriate Box) Purpose of Building Bathrooms UtilityAuthorization No. P 1 Existing Service 10 0 0 Amps 480/ 277 Volts Overhead ❑ Undgrd® No.of Meters 2 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity � d-�C Location and Nature of Proposed Electrical Work: fi 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 M No.of Luminaire Outlets 3 No.of Hot Tubs Generators KVA AboveIn- o.o Emergency Lighting M No.of Luminaires 3 Swimming Pool rnd. ❑ rnd. ❑ Battery Units No.of Receptacle Outlets 3 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump J.K.W No,of Self-Contained \ Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal El Other Connection E No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: LHeaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: -Z Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3 0 0 0 (When required by municipal policy.) Work to Start: 7/3 0/13 Inspections to be requested in accordance with MEC Rule 10,and upon completion. \IN, INSURANCE COVERAGE: 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 �1 undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRMNAME: Stellos Electric LIC.NO.: MR-37 Licensee: Stellos Electric Signature LIC.NO.: MR-37 (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 603-882-3126 Address: 125 Northeastern Blvd Nashua NH 03061 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by y my s' na e b low,I hereby waive this requirement. I am the(check one ❑owner ❑owner's agent. Owner/ ent Signatu e — Telephone N�lr?o3 � �_3 IPERMIT FEE: $l f �' �� �� 1 3 � r� � ��.� � �_ � c��3 a w 1 '&N E' OF MiigG'"li[Ii o kVJ MIS, . . E t ft.l C I Ai� , 41-LOWIyNdk MiT OSEcSL�PI�LY .I NC ak l Z N Ol �"HrE i�°-STERN I» I 'IH A 42065 u5 p L CONTROL # J042478 IMPORTANT If your license is,lost, damaged or destroyed; is inaccurate;or needs to be corrected,visit our web site at mass.gov/dpl for instructions to ensure the proper mailing of your Renewal Application and any other correspondence. This license is subject to Massachusetts General Laws and regulations.Your license is a privilege, and cannot be lent or assigned to any person or entity under penalty of law. Keep this license on your person or posted as required by law and/or regulations. 13, I t Date...7...�J� .11 .............. NOR TOWN OF NORTH ANDOVER PERMIT FOR WIRING WU This certifies that has permission to perform .... .............................. ..................................... wiring in the building of.... .... ................................. At .....j at ... .............................................North Andover,Mass. ^j. FeJZ.5. ......Lic.No. ... . ......�LC **E'***-'* ELECTRICAL C,,AL**'* ....... Check# 'D _ Com.monweAth of WaadachuJeth Official Use Only Permit No. i 6 '7z aL.le�oartment o�,}ire�erviced Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC);527 CMR 12.00 t ' (PI-L-ASE PIZI.VT JINT JAW OR TYPE ALL INT-OR111AT1OA') Date: 7/8/2013 City or Town N. Andover of: To the Inspector of 11•ir-cs: By this application the undersigned giVes notue of his or her intention to perform the electrical work-described below. Location(Street&Number) 315 Turnpike Street \ Owner or Tenant Merrimack College Telephone No. 978-837-5000 Owner's Address 315 Turnpike Street North Andover MA 01845 Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Boz) Purpose of Building Dunkin Donuts Utility Authorization No. Both Existing Service 1200 Amps 480 /277 Volts Overhead ❑ Undgrd❑ No.of Meters 2 1000 gBD7277 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Volpe Center Dunkin Donuts power and lighting for Coffee Shop install 400 amp subpanel for Dunkin Donuts space C'Ol77 letiOn of the follotiviilg table mar•be waived br the Inspector of Fires. No.of Recessed Luminaires 5 No.of Ceil.-Susp.(Paddle)Fans 0 No.of Transformers 1 dry KV 4 112.5 No.of Luminaire Outlets No.of Hot Tubs 0 Generators 0 KVA A oIn- o.o mergency rig ing 2 No.of Luminaires 51 Swimming Pool arnd.ve ❑ arnd. El No. Units No.of Receptacle Outlets 37 No.of Oil Burners 0 FIRE ALARMS No.of Zones existing No.of Switches 3 No.of Gas Burners 0 No.of Detection and Initiating Devices 0 No.of Ranges 0 No.of Air Cond.existing Tons Total No.of Alerting Devices 2 Heat Pum Number Tons KW No.of Self-Contained No.of Waste Disposers 0 Totals: �•................................................. Detection/Alerting Devices 0 No.of Dishwashers 0 Space/Area Heating KW existing Local❑ 'Municipal Connection F-1 Other No.of Dryers 0 Heating Appliances KW Security SN-stems:* 0 No.of bevices or Equivalent No.of Nater No.of No.of Data Wiring: Heaters 0 K«• Si ns 0 Ballasts No.of Dvices or Equivalent 0 No.Hydromassaae Bathtubs 0 No.of Motors 2 Total HP 5 Telecommunications NVirin- 0 No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required br the Inspector q 'll'ires. Estimated Value of Electrical Work: $34,612.00 (When required by municipal policy.) i Work to Start: 7/9/2013 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSt;RANCE ❑x BOND ❑ OTHER ❑ (Specify:) 1 certify, under the pains and penallles of peJug,that the in ormation on Ihis application is true and complete. FIRM NAME: Stellos Electric LIC.NO.: MR-37 Licensee: Jim Stellos Signa ^ell LIC.NO.: MR-37 (If applicable.,enter "exeinpt"in the license nnntber line.) Bus.Tel.No.:603-882-3126 Address: 125 Northeastern Blvd Nashua NH 0306 Alt.Tel.No.: *Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety`S"License: Lic.No. OWNER'S INSURANCE WAIVER: I ain 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 anent. Owner/Agent Signature Telephone No. PERA11T FEE: S bD r Date.....7.'�:�..../5.... °�NCRTH�� TOWN OF NORTH ANDOVER PERMIT FOR WIRING 88ACMU5� This certifies that s TL�-�0 ��T .......................... .... .�z ................................. has permission to perform .......�l...U „ ............. ........................................... wiring in the building of..................................uvur..Z..Att... ............ at ......ST........................A.....,North Andover,Mass. .................... .. ... .. . ®© Fee�3�6 - Lic.No. 37 .. ................. ..... ............... ELECTRICAL INSPECibR Check# 2�� t / t ' r R -' GENERAL BUILDING NOTES/CHECKLIST-NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY 0K)..or no inspections INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain-pipe/stone/fabric filter/cover and outlet connection. FRAME:Fireblock-over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. WaUs at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. Ridge&Hip- Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. Girts-solid brick or steel plate bearing at foundations '/"air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams Attic Access. (min.22x30 w/3'.headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit). Firecode S/R wood frame of"0"clearance fireplaces&stoves ,ow Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. '/z of required glazing shall be openable. Bedrooms required min.20x24 egress window or door. fi .-nt attic spaces-"proper vent", soffit and required ridge vents. irecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber-Finish E Smooth parging, clean joints, 8"solid @ combust. t ( DECKS: Lag to house, provide flashing. Rails min. 36"high, Baluster max space 4"on center. Over 8'above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re-inspection fee- $30.00(Be Ready). Certificate of occupancy required prior to occupying structure. of Mo D�H1 �SSACHU`'ES CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 007-14 on 7/2/2013 Date: September 26, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 315 Turnpike Street MAY BE OCCUPIED AS a Dunkin Donuts Restaurant IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Merrimack College 315 Turnpike Street North Andover,MA 01845 Building Inspector Fee: PrePaid Receipt: 26575 Check : 125308 tkORTH Town Andover I i h ver Mass COC NIC C. V AERATED S t) BOARD OF HEALTH �'� C1 `LD ^_ Food/KitchenPERMIT T Septic System vt BUILDING INSPECTOR THIS CERTIFIES THAT .................... ..G.ti.: ....!:."..:::�.�...�:?..:.................................................................... Foundation has permission to erect ......................... buildings on ............................................................ - .... ......... Rough _ f J �' 6 L � � J L-.�-� J to be occupied as ................rr.. .,�-.:.%:..: :... ............................................................................ ..... rhnie,y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and '-; Construction of Buildings in the Town of North Andover. ` PLUMBING^INSPECTOR- VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough, Fi Blit -(i/ o PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPEC UNLESS CONSTRUCTION STARTS Rough Service ................................................................................ / Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building- Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. B her �( Street No. SEE REVERSE SIDE Smoke Det.d, Merrimack College Proposed Window Logo 67" x 38" b 711 F'x tr D � r V V V Li V�L V A � 4 ACTOK ME _ _ _ 207-477-29S6 Merrimack College Proposed Window Logo 67" x 3811 t 48 OIL AL&Ab w a It r t 5 r w �t s- v� �-•P d X53` I 1 a ACTON,Mf taU��{{IU� �v 1 a,snit a n Ut4 Location t l No. � Date • - TOWN OF NORTH ANDOVER . Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee St $ua TOTAL $ Check# J Building Inspector PRO CON , INCORPORATED Design and Construction Management September 16,2013. Gerry Brown—Inspector of Buildings North Andover Building Department 1600 Osgood Street North Andover,Ma 01845 Reference: Merrimack College-Volpe Athletic Center Expansion PCI Project#40-1346 Building Permit#007-14 Temporary Certificate of Occupancy—Dunkin Donuts Dear Mr.Brown, Per our conversation,Pro Con Inc.is requesting a.Temporary Certificate of Occupancy for the Dunkin bonuts;at the Merrimack College Athletic Center Expansion(Building Permit#007-14)., Attached to this request for a Temporary Certificate of Occupancy is the following: 1. Architectural final design affidavit Should you have any questions on this information,please call. PCI has tentatively scheduled our final walk of the Dunkin Donuts with you on Tuesday 09/17/13. Thank you very much for your continued support thru this construction process. It has been a pleasure working with you and we look forward to a successful close-out process. Sincerely, Lynn Kramer Senior Project Manager Cc: Dale Chase,file A Stebbins Company P.O.Box 4430 Manchester,NH 03108 603.623.8811 Fax 603.623.7250 www.proconinc.com O40Rlry try O � w 4 7 t .•s 49 ��8�CINSES TEMPORARY CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 007-14 on 7/2/2013 Date: September 17, 2013 Valid From September 17, 2013 to October 1, 2013 THE BUILDING LOCATED ON 315 Turnpike Street MAY BE OCCUPIED AS a Dunkin Donuts Restaurant IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Merrimack College 315 Turnpike Street North Andover, MA 01845 Building Inspector Fee: $50.00 Receipt: 26860 Check : 6312 Location I� i -1► Pi-- x No. L Date I l 1 . - TOWN OF NORTH ANDOVER . Certificate of Occupancy $ 5 Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# j Building inspector IWO" NORTH OF Stec r6�~O 6 0Z. TOWN OF NORTH ANDOVER SIGN PERMIT O coc.ii..i wcw y1' ACHUS*' � DATE: September 17, 2013 PERMIT: 014-14 THIS CERTIFIES THAT Dunkin Donuts at Merrimack College has permission to erect a sign on 315 Turnpike Street — 2 Window Logos 67"x38" — "Dunkin Donuts" provide that the person accepting this Permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover. r Violation of the Zoning of Sign Regulations, Section #6, Voids this Permit. INTERNALLY ILLUMINATED SIGNS ARE PROHIBITED Inspect6r of Buildings Amount Paid:$60.00 Check 19865 Receipt 26858 SIGN PERMIT APPLICATION All� )</ t 1600 Osgood Street–Building 20, Suite 2035 'Ooe4/ qoo TOWN OF NORTH ANDOVER Map Parcel ll . DATE SUBMITTED Site Owner �"� f c-vzz� Applicant�� — ` ;> Site Address �1� � l Size of Proposed Sign g �j'7D�� INTERNALLY ILLUMINATED SIGN PROHIBITED How attached: a)Against the wall ��// b) Roof Illumination: a)Not illuminated c) Ground b) Externally illuminated d) Other Materials: Proposed Colors: Background Lettering Border Required Attachments: Photographs of building Note: No permanent/temporary sign shall be erected, or enlarged until an Material sample application on the appropriate form furnished by the Sign Office has been Color sample filed with the Sign Officer containing such information including Site or Plot Plan (Required for all free-standing signs) photographs, plans and scale drawings, as he may require, and a permit Drawings of proposed sign for such erection, alteration, or enlargement has been issued by him. Other, specify Such permit shall be issued only of the Sign Officer determines that the sign complies or will comply with all applicable provisions of the By- Will sign overhang any public road or walkway Yes ( ) No ( Law. If Yes,Name of Agency who will provide liability insurance: AN INCOMPLETE APP 7;6A)ION WILL NOT BE ACCEPTED C DATE FILED: G SIGNATURE OF APPLICANT NORTFt Town of ndover k r No. 0%- 114 h ," ver, Mass, 19, COCMIc"aw.cm 1• 7� RgTED PP ,`'�y S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System r THIS CERTIFIES THAT .......... r..:.:!. ''�t.ss..—..1.1..... -- .!..... ...................................................... BUILDING INSPECTOR ��� Foundation has permission to erect buildings on f L / Rough to be occupied as fi'� tit.. �.. . .:. . �� '�Jf `6' Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INS CTOR UNLESS CONSTRUCTION STARTS Rough / Service Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Uughh Display in a Conspicuous Place on the Premises — Do Not Remove p Y p No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. ner Street No. ��QQ SEE REVERSE SIDE Smoke Det. own ot , Andover ver, Mass, coc"Icnew1cw v AORATEo AP�,`,45 U BOARD OF HEALTH PERMIT LD Food/Kitchen Septic System ZBUILDING INSPECTOR THISCERTIFIES THAT ....... :.... ........................................................... has permission to erect .................... buildings on .. /S'. ✓'ry, r. ••••2•••••••••••••••••••••• ... Foundation ...... ......... Rough to be occupied as ........... v/Y.4-�t �..0.:� .. , . . .............................................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough .............. Service ..... ........... .-,�. Final BUILDING INSPECTOR • GAS INSPECTOR Occupancy Perm t .Required to Occupy Bulldtn Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE • September 11,2013 James D. Smith,Architect 35 Lothrop's Ln. W.Barnstable,MA 02668 508-367-8420 Gerald Brown Inspector of Buildings Town of North Andover 1600 Osgood St. North Andover,MA 01845 RE:Final Affidavit Dunkin' Donuts Merrimack College Dear Inspector: This letter is to serve as my final affidavit that the work performed at the subject Dunkin' Donuts was performed in conformance with the plans prepared by me and with all applicable codes and that in my opinion the store is ready for occupancy. If you have any questions,please feel free to contact me anytime. Sincerely, W James D. 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W z SALES AREA •v�µD wE.s a_v ro r-°•,s/s-p+,o«La>rExr ] a a/e•A.�p•uW.PIYr)OO_ izaa� a°:D AT k AI ININ Ns`s.sro� bvN W ECEiwcu oNAWris M.Ar w wxru4 NE Tpuwxa CwWITs A.trolr iamw A.N�uxcnax BDN LWAreD BDnxD amcc ces<uv B DISPLwY.. PNO ON— NNEE°(]7 Y COXOW MM r-D•—0 AT Z ® >ocpuxc.(uxDpr Etats x BASE-TI. Q T,¢Drre„wu cAs.srwnM In wAu.ro b ® SEATING AREA c"emOcw s ro ms°XEEOr<OTA�TrrsW ro sce NEANEs, (/7 ewos ass wA°fN"r-D•NApus NW"PFD£°No Nwrvc Y3 ve Burst D.r.e EIEcwKx wW s'-a wvf.Ww 1•cwprr ry w+rL ro ABDLc W NmlWa m+reN u•oa u/••nXwncD eLDa+Nc IN wAu Em wu urr. f— ® - O� DEDreI<�-W 1IT 1 TV-d'`AN.ONE ttIBHpIE�JAIX�IN UI¢(B1° AN ��O O 0 0 6 £MS„li1'4^AT 11 &fid�cPL aid"°'NSS fE 4th PC i19�'ca =Q z `x.�OcAOivEi i A*n�Oxsr+n M.nI19 1S TOO—I-4wxTm rc ro•vD=•.0 voa+wDE,i PM Pm£cewces ANE DEpu,m g j Li Q ,s.p�wb�rsrzn mwlNµxr TMlcww> wwxD.Ax m,s An rsuuTW WNE. WITH NDNNW<B«ro NE WNpwa S O$ mlrvn Pones v,OF xE4A ITONABD u-Ir w Pw vEWn EKAAc Locwnw s rB¢w.ce NE�iApx A,m vuw. 1 a w pwEs w WAOvIl W,LLrs RE. wBBFtt m-atilt.N:- .M EpxVAI�NT� D F W LJ TABIE 069i0f°Cp,LOG1MIw aT-Oi,P61AG£ ;.M. WNL,qi OROLEW rAI EANS1vVOn<N wnL ONAL L°INNIO NE Z y(n Z I£WMDNArz ur NAT La+rxrvs xExssbr.NN wDwAL w4Wxc Mare, < O W A'r.W HDr wA,O xE/ &Axa s xm wAron xEAro+er rxxW. 1B Wpmw.> nsKKaPflOw w ars N—W NAME N d L7 4 NE TO siAN°"b 1 V-A E �O TO PAN.NOTE: w�,i iam:n�NSZDs'vs;oL("I--1,u41I•cl rM mTEE � n EWp4Exr.ce w�KNNn voar,x M,urz+s sx0.. d W. THESE DRAWINGS WERE COMPILED WITH THE MOST £ D W IPA®w9KA ua roBE NN 4hD PF wwEPM1AV +m rvsuunw ro NAAE,Own or IK aTvsw Dvw.s N11+c. sE sro rrrc r° SHEET UP TO DATE DUNKIN' SPECS AS OF 04/01/13. w'as`vama Hivasw"Pn" "O°0"O°°` EMeMrs W.cc ro PwoHce ewurlED rvuNwnn coWIW wNros res Y LElS ro Au. LL FURNITURE, FIXTURES AND EQUIPMENT SHALL a W�uN NC°"ouE Dila 3H.ce..1 p"QA�e AT BE VERIFIED WITH OWNER AND D.B.I. C.M. BEFOREE��£°n"e`naM°ce° ` AlA ORDERING. PURCHASING OR PLACING ANY z axxwN—AN eON ra4 Wuu°P f1H"euWDzaoTn DESEN JOB D13008 ELEMENTS. 4E4oN£ra£wD< DE�o».A�Bm Ev :mA,D "� bA sr.rz�°°io:i wow DATE: 07/18/13 aALL Ev].NEAws ro xAre:.Was EAw wDE PC C.M. Enter construction cost for fee cal- North Andover Fee Cakulation Construction Cost $ 204,144.00 m $ - $ 2,449.73 Plumbing Fee $ 306.22 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 306.22 Total fees collected $ 3,162.16 Foundation 100 315 Turnpike Street 007-14 on 7/1/2013 Dunkin Donuts Fitout to the Volpe Center at Merrimack College NORTH Town of tAndover O 0 No. � _ * ' t 7////-3 h , ver, Mass, LAKS COCHICHewicw �1 - S V BOARD OF HEALTH Food/KitchenPERMIT T LD . Septic System THIS CERTIFIES THAT .s �....... ✓f.�. .4::.... Z(.. � BUILDING INSPECTOR + ��" V f � Foundation has permission to erect .......................... buildings on ..�..........�... f .... ................. .......................... Rough to be occupied as ........... ..v�°.1 �.✓. .: ?..!:1�.4� :s:.............................................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough Service ................. ......... .............. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building' Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE Building Permit Fee Calculations for Tenant Fit Up 06/10/13 North Andover, MA Cost of Work $244,739 x 0.012 = $2,937 + $100 C of 0 fee Total Building Permit Fee for the Bookstore $3,037 Dunkin Donuts Building Permit Fee: Cost of Work $204,144 x 0.012 = $2,450 + $100 C of 0 fee Total Building Permit Fee for Dunkin Donuts $2,550 PILO CONeo Standard Estimate Report ' .1 Page 3 INCORPORATED Bookstore/DD REVISED 617/2013 11:11 AM Design and Constriction Mattagetnetit Total Description Quantity Amount Dunkin Donuts 00000 PROFESSIONAL SERVICES 00105 Reprographics 1,087 PROFESSIONAL SERVICES 1,087 01000 GENERAL CONDITIONS 01005 Field Superintendent 15,282 01019 Project Executive 1,280 01022 Project Manager 7,641 01025 Travel Expenses 832 01026 Project Coordinator 1,087 01040 Project Telephone Charges 435 01050 Temporary Power 01055 Temporary Water 01065 Temporary Facilities 229 GENERAL CONDITIONS 26,786 272.00 Labor hours 173.33 Equipment hours 01500 PROJECT SECURITY&SAFETY 01511 Barricades 109 PROJECT SECURITY&SAFETY 109 01600 PROJECT MAINTENANCE 01605 Daily Cleanup 1,108 01610 Waste Removal-Non Demo. 1,413 01615 Post Construction Cleanup 437 PROJECT MAINTENANCE 2,958 24.00 Labor hours 01950 DEMOLITION&ABATEMENT 01955 Selective Demolition 1,334 DEMOLITION&ABATEMENT 1,334 16.00 Labor hours 16.00 Equipment hours 02000 SITE WORK 02020 General Sitework 21,561 SITE WORK 21,561 03000 CONCRETE 03350 Concrete Finishes 06000 WOOD&PLASTICS 06005 General Tools&Equipment 1,425 06106 Plywoods 76 06125 Miscellaneous Carpentry 1,585 06400 Architectural Woodwork WOOD&PLASTICS 3,087 23.50 Labor hours 206.00 Equipment hours 07000 THERMAL&MOISTURE 07500 Membrane Roofing 3,695 07900 Caulking and Sealants 1,152 PRO CON# Standard Estimate Report 11 t Page 4A. INCORPORATED Bookstore/DD REVISED 6/7/2013 11:11 AM Design and Constriction Manage�ner�t Total Description Quantity Amount THERMAL&MOISTURE 4,847 08000 DOORS&WINDOWS 08050 Doors And Hardware 6,037 DOORS&WINDOWS 6,037 09000 FINISHES 09250 Gypsum Wallboard 12,173 09540 Ceiling Suspension System 3,641 09650 Resilient Flooring 3,826 09900 Painting 2,944 FINISHES 22,583 10000 SPECIALTIES 10400 Identifying Devices 12000 FURNISHINGS 12500 Window Treatment 12600 Furniture 15000 MECHANICAL 15301 Fire Protection 5,216 15400 Plumbing 47,273 15501 Heat,Ventilation,&Air Conditioning 27,306 MECHANICAL 79,795 16000 ELECTRICAL 16010 Electrical Systems 33,961 ELECTRICAL 33,961 Dunkin Donuts 204,144 335.50 Labor hours 395.330 Equipment hours Estimate Totals Descrintion Amount Totals Rate Labor 54,977 Material 21,284 Subcontract 359,406 Equipment 3,815 Other 9,400 Total 448,882 Massachusetts - Department of Public Safety �f Board of Building Regulations and Standards Construction Super)icor �a License: CS-050393 DALE E CHASE 17 TOBEY HILL RDl WEARENH 03291 ti Expiration Commissioner 11/06/2014 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Office of Investigations l- 600 Washington Street Boston,MA 02111 Wr�XI www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information q Please Print Legibly Name (Business/Organization/Individual): [I//_0 Address: O City/State/Zip: V PhoneAL #: Are you an employer? Check the appy priate : Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I have hired the sub-contractors 6 E]New construction employees(full and/or part-time).* 2.F-1I am a sole proprietor or partner- These on the attached sheet. ❑ Remodelin g ship and have no employees These sub-contractors have g• E] Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp.insurance comp.insurance.# 5. ❑ We are a corporation and its required.] 10.E] Electrical repairs or additions 3.F1 I required.] a homeowner doing all work officers have exercised their ILEI Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152,§1(4),and we have no �Qu employees. [ q ] No workers' 13.� Otherlii.�Fr comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infonnation. 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I ant an employer tliat isproviding wor/vers'cotttpensation insurance for my employees. Below is the policy and job site information. 01 Insurance Company Name: AJ<_-, Policy#or Self-ins.Lic.#: V 1 K)2© �, � 6�—EExpiration Date: Job Site Address: 1� f V ' City/State/Zip:,AA Attach a copy of the workers' compen ation policy declaration page(showing the policy number and expiration da e U �✓ 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 pains an penalties of perju that the inforutation provided above is true and correct. Signature: Date: Phone# 02 t'2 d 0 ` l 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#: ® DATE(MMIDDIYYYY) A�o CERTIFICATE OF LIABILITY INSURANCE 3/29/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT Danielle Rice PRODUCER NAME: THE ROWLEY AGENCY INC. PHONE Air No . (603)224-2562 FAX N0:(603)224-8012 139 Loudon Road AADDARESS:drice@rowleyagency.com P.O. BOX 511 INSURERS AFFORDING COVERAGE NAIC# Concord NH 03302-0511 INSURERA:The Travelers Inderrmity Co INSURED INSURERB:Travelers Property Casualty CO. Pro Con, Inc. INSURERC:National Union Fire Ins. P.O. BOX 4430 INSURER D: INSURER E: Manchester NH 03108 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDU CED BY PAID CLAIMS. INS R ADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR MD POLICY NUMBER MMIDDNYYY MM/DDIYYYY GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED 300,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ A CLAIMS-MADE ❑X OCCUR TC2KCO-8207A049-13 4/1/2013 4/1/2014 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 POLICY X PRO IprT X LOC $ AUTOMOBILE LIABILITY EaaacccidentSINGLELIMIT) 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED TJCAP-8207AO50-13 4/1/2013 4/1/2014 BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE NON-OWNED Per accident) $ X HIRED AUTOS X AUTOS $ X UMBRELLA LIABX OCCUR EACH OCCURRENCE $ 10,000,000 C EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED RETENTION$ 4/1/2013 4/1/2014 X 10,000 E 013612067 $ B WORKERS COMPENSATION TJUB — 8207AO62-13 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY YIN 3A States: NH, CT, MA E.L.EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? FN� NIA (Mandatory in NH) = NY ME, VT, NJ 4/1/2013 4/1/2014 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Volpe Athletic Center Expansion, Merrimack College. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The Commonwealth of Massachusetts Department Of Industrial Accidents AUTHORIZED REPRESENTATIVE 600 Washington Street Boston, MA 02111 < Danielle Rice/DJR ACORD 25(2010105) @ 1988-2010 ACORD CORPORATION. All rights reserved. INS025 r7ntnns)n1 Tha Af npn nama=nrl Inn^ara raniefararl mnrlrc of Arr1Rr1 DATE(MM/DD/YYYY) A�O CERTIFICATE OF LIABILITY INSURANCE 3/29/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTDanielle Rice NAME: THE ROWLEY AGENCY INC. PHONE (603)224-2562 C No,(603)224-8012 139 Loudon Road E-MAIL enc ADDRESS: �' g Y' drice@rowle a com P.O. BOX 511 INSURERS AFFORDING COVERAGE NAIC# Concord NH 03302-0511 INSURERA:The Travelers Indemnity Co INSURED INSURERB:Travelers Property Casualty Co. Pro Con, Inc. INSURER C:National Union Fire Ins. P.O. BOX 4430 INSURER D: INSURER E: Manchester NH 03108 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDU CED BY PAID CLAIMS. INSR ADDLSUBRPTYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DDY/YYYY EFF MM DDY EXP LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED 300,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ A CLAIMS-MADE 7OCCUR TC2KCO-8207A049-13 4/1/2013 4/1/2014 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 POLICYFX PRO X LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 11000,000 X ANY AUTO BODILY INJURY(Per person) $ B ALL OWNEDSCHEDULED TJCAP-8207AO50-13 4/1/2013 4/1/2014 AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 C EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED I X I RETENTION$ 10,000 BE 013812067 4/1/2013 4/1/2014 $ We B WORKERS COMPENSATION VTJUB - 8207AO62-13 X ORYLIMU- OTH- IIS AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N 3A States: NH, CT, MA E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA = NY, ME, VT, NJ 4/1/2013 4/1/2014 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 11000,000 If yyes,describe under DESCRIPTIONOFOPERATIONS below E.L.DISEASE-POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Volpe Athletic Center Expansion, Merrimack College. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 120 Main Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Danielle Rice/DJR ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 nntnns)m Tho Ar npn normo nnrl Innn aro ranietararl mnrlre of Arr1Rr1 . yttfceU r�� . North Andover Health Department fommunity Development Division June 11,2013 Greg Nolan Director of Development Cafua Management Company, LLC d.b.a—Dunkin Donuts 1000 Osgood Sheet North Andover, MA 01845 Re: Dunkin Donuts—Merrimack College Donuts, LLC, 315 Turnpike Street,North Andover Dear Mr. Nolan, The Health Department received your application submitted on May 21, 2013 for the construction of a new Dunkin Donuts facility to be located at 315 Turnpike Street, at Merrimack College along with a plan dated March 22,2013. The following items below were noted either missing or incomplete from your application. Once the additional items are received, the review will continue on the missing items. A letter of approval will then be generated and sent to you. Sinc y, 'an Sam` r, RE .kR- S Health Difector 1 of 2 Dunkin Donuts—Merrimack College June 11, 2013 Items of Deficient noted Corrective Action #52 the plan located 1 hand sink in the ware wash Inadequate #of hand sinks, area; separated by a door. No others noted. No dump sink on line. Inadequate areas to dispose of old beverages. Have accepted a double sink combo.in previous DD locations; dump and hand. Page 9 Spec sheet missing for Bloqet oven noted Submit spec sheet Page 10 does not note curved coving in required Note on plan/ in establishment form; curved areas coving in Kitchen; bathroom; ware wash and prep areas and other high wash areas Where are the bathrooms located for staff? Please state where bathrooms are located for staff. Page 12,#16 notes a grease receptacle under the 3 Need a spec sheet and correlating## oil plan. —bay. Not noted on plan; nospec sheet Spec/Cut sheet# 3 notes a double door refrigerator Confirm the location of dle refrigerator to unit; not found on plan? reviewer No information on lighting fixtures. All lighting Please submit information on the type of over prep and service area must be shatter proof if fixtures over these areas. they are made of glass. This includes exposed lighting and the globes or covers. No information on the walk— in refrigeration units Please submit spec sheets Page 12 ,#15 Dumpster location description does Please add information as well as a diagram not address enclosure as required by the dumpster showing where the dumpster is to be located regulation on the site. Page 16,MSDS Sheets to be on site. Reviewer Please submit the MSDS sheets for the requests a copy for the Health Dept, file. chemicals to be on site. 2 of 2 CONSTRUCTION CONTROL DOCUMENT Project Title: Oo t!k l o' p JV as Date: Q'13 Project Location: Scope of Project: In accordance with Section 116.0-116.2.4 of the 7th edition of the Massachusetts State Building Code: 1, V. M%Tj L+ytass.Reg.# 13 D 7 Being a registered,professional Engineer/Architect hereby CERTIFY tfia-t I have prepared or directly supervised the preparation of all design plans,computations,and specifications concerning: WEntire Project O Architectural ( )Structural ( )Mechanical ( )Fire Protection ( )Electrical ( ) Other(specify) for the above named project and that to the best of my knowledge,such plans,computations,and specifications meet the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. Furthermore,I understand and AGREE that I shall perform the necessary professional services and be present on the construction site on regular and periodic basis to determine that the work is proceeding in accordance with the documents approved by the building permit and shall be responsible for the following,as specified in Section 116.2.2: 1. Review of shop drawings,samples,and other submittals of the contractor,as required by the construction contract documents, as submitted for the building permit,and approval for the conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work,and to determine,in general,if the work is being performed in a manner consistent with the construction documents. I shall submit periodically,in a form acceptable to the building official,a progress report together with pertinent comments. Upon completion of the work,I shall submit to the building official a final report as to the satisfactory completion and readiness of the project for occupancy. Signature and Seal of registered professional: aA4 ` o ;o t ; e jj