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HomeMy WebLinkAboutBuilding Permit #700-2017 - 315 TURNPIKE STREET 1/9/2017MA4-VD V V I �1 BUILDING PERMIT �2 gas,,.16 TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMINAyI +- Permit NO: �� " / Date Received Date Issued:l �9SS.vcHus���y EMPORTANT: Applicant must complete all items on this pane LOCATION 315 Turnpike Street - McQuade Library Print PROPERTY OWNER Merrimack Colle¢e Print MAP NO: PARCEL: ZONING DISTRICT Historic District y s no: Machine Shoq Villaae v s no d TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial N Alteration No. of units: id Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well © Floodplain ❑ Wetlands 0 Watershed District ❑ Water/Sewer Demo and remove shelving and select walls, build new walls for offices OWNER: Name: Ai idress:. 315 Identification Please Type or Print Clearly) Merrimack College Phone: 978-837-5459 North Andover, MA U1845 CONTRACTOR Name: Phone: (978) 657-7300 Channel Building CompM Address: 355 Middlesex Avenue, Wilmington, MA 0 188 Supervisor's Construction License: Exp. Date: CSL -053259 03/03/2018 Home' Improvement License: Exp. Date: ARCHITECT/ENGINEER Dewing Scmid Kearns Phone: (978) 731-7500 Address: 30 Monument Square #200B, Concord, MA 01742 Reg. No. 6938 FEE SCHEDULE: BULDINCa PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00.F. Total Project Cost: $ 39,765.00 FEE: $ Check No.: qW Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ( U -�' �' eph[J) W. 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 COMENTS ❑■ DATE REJECTED CONSERVATION ■ COMMENTS HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED ❑ ❑ Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10041000 fine NU 1 1--5 and UA I A — (for department use PICKUP - Doc.Building Permit Revised 2012 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: dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 39,765.00 m $ - $ 477.18 Plumbing Fee $ 59.65 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 59.65 Total fees collected $ 696.48 315 Turnpike Street 700-2017 on 1/9/17 build walls for new offices E cr O 0 3 0 H d I� <v LOW - J w _ LL 0 D O m C 4J . "0 O LL N C- N O a z Z 1 D m C LL h0 0 w rr C U N LL O a z Z J d : O oC0 K _ f0 LL O O. z V U25 J W j R' i VI f6 C LL Q u LLA CL IA Z c7 oC K fU LL W Q W LLI LL E :3 m z N i N Y O N O V � � _Lro- E °' L Q' cm Lf`—L �•tOidO. mv to) CL o S• c w Qp S E c O Z CLpo CL .20 U) c -0 rn O rL U) V W -0z wO O umi 1-- U1 C . t �O ..6- � LU E o O�Q m o > � carcw a) am *5; OV Q� Fa o W a.z Z 0 m Z Q Z Lu cn a. x Z w0 F_- V cn �W W J CL z a � 9 LE kl 0 �c Z 0 rm-7 Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 80' edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Menimack College McQuade Library Second Floor Date: 1/4/2017 Property Address. 315 Turnpike Street, North Andover, MA Project. Check (x) one or both as applicable: Project description: Second Floor Offices New construction X Existing Construction 1, Joseph G. DeMatco, MA Registration Number: 3852 Expiration date: 8/31/2017 , am a registered design profe.,rsional, and 1 have prepared or directly supervised the preparation of all design plans, computations and specifications concerning': X Architectural Structural Fire Protection Electrical Mechanical Other: for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 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 if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, l shall submit field/progress reports (sec item 3.) together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'. Enter in the space to the right a "wet" or electronic signature and seal: Phone number: 978-657-7300 Email: jgdemarco527@yahoo.com Building Official Use Only Building Official Name: Permit No.: Date: 1-1%! F.0Alol�y�C► i� Note i . tndiCate with an 'x' project design plans, computations and specifications that you prLparcd or directly supervised. if other' is chosen, provide a description. Version 06 11 2013 577788 11:10:46 a.m. 12-30-2016 CHANNEL SUB-01MG COMPANY - FAX COVER SHEET - Date: December 30, 2016 Pages: 2 (including cover page) To: Paul Hutchins Fax Number: 978-688-9542 From: Kyla McGuire Subject: Permit Application — 315 Turnpike Street (Merrimack College) Please see insurance certificate attached as requested for permit application for McQuade Library 2nd Floor Permit Application dropped off earlier this morning. Please let me know if you need anything else. Kyla McGuire 978-284-8134 kmcguire@channelbuilding.com 355 Middlesex Avenue Wilmington, MA 01887 978-657-7300 978-657-7788 Fax www.channelbuilding.com 1 /2 9786577788 �1 11:11:19 a.m. 12-30-2016 2/2 ACORL® CERTIFICATE OF LIABILITY INSURANCE `. DATE(MMIOD/YYYY) 12/30/2016 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(les) 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 endamement(s). PRODUCER CONTACT Irene Halise NAME: HOraWski Insurance PHONE (413)596-5011 FA/CX IAICANo (013)586-7973 E-MAILss:ibalise@borawskiinsurance.com ADDRE 88 Icing Street, Suite B INSURERS AFFORDING COVERAGE NAIC # EACH OCCURRENCE $ INSURERA:Travelers Indemnity Co of CT 25682 Northampton MA 01060-3257 INSURED INSURER B: INSURER C; Channel Building Co Inc INSURER D : 355 Middlesex Avenue INSURER E. - .Wilmington INSURER F: Wilmington MA 01887-2163 COVERAGES CERTIFICATE NUMBER.WC only 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 REDUCED BY PAID CLAIMS. INSRTYPE LTA OF INSURANCE ADO B POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Eaaccurrence $ MED EXP (Any oneperson) $ PERSONAL a ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [7]PRO. ❑LOC JECT OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNEDSCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT $ Me accident BODILY INJURY (Per Person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per cident $ 4EXCESS UMBRELLA LIAB UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE d/EXCLUDED? aNIA (Mandatory If yes, describe under DESCRIPTION OF OPERATIONS below UB5GB90373 1/1/2017 1/1/2018 XPER OTH- STATUTE R E.L. EACH ACCIDENT $ 500,000 EL DISEASE- EA EMPLOYEE $ 500,000 EL DISEASE- POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required) I Town of North Andover 120 Main Street North Andover, MA 01845 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORRED REPRESENTATIVE David Malek/BORIBI c2 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) I 0 1 Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supenisor License: CS -053259 JOSEPH A GAUKy$TERN ' 6 .JUNIPER DR f Qt AhIHERST NH 0031y Expiration Commissioner 03/03/2018 Unrestricted - Buildings of any use group which contain less than 35,000 cubic feet (991M) of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS MERRIMACK COLLEGE Member of MHE4C/E&I Cooperative Procurement Department • 315 Turnpike Street • North Andover, MA 01845 • (978) 837-5942 • Fax (978) 837-5229 °Enl En gbten PURCHASE ORDER #: Bill to: Merrimack College g ire MINDS F�' Accounts Payable Department EnP101VE.'Y Z1,,48 315 Turnpike Y P r�YE� Date: ` e Street *PO k must appear on all correspondence, packages, and invoices. North Andover, MA 01845 NOTE: Unnumbered, unsigned forms are invalid orders. Charge to Account Code(s)/Amount: ---------------- 2 s *A W-9 needs to be on File in Accounts Payable for all vendors. Vendor: Name: Attn: Address: Requisitioner:. rekop W Q(/f� Date: W9. Signatures: A City/State/Zip: *A Phone #: Fax or Email: Date: Date: Date: Ship to: Merrimack College rOther (Specify in Description) Attn: _. Dept. 315 Turnpike Street North Andover, MA 01845 Phone #: Fax or Email: QTY DESCRIPTION UNIT PRICE EXTENSION TOTAL Merrimack College's Tax Exem t E 042103 731 I erms ana Uonaitions are located at www.merrimack.edu - Purchasing Page, and any attachment hereto, constitutes a part of this Purchase Order and contract. Approved by: Purchasing Agent CHANNE A Full -Service Construction Company - 12/19/2016 2nd Floor Mc uade Offices, DIVISION I — GENERAL CONDITIONS I. Full time, on-site construction supervision. 2. General labor. 3. Project administration by Project Manager based at Channel office. 4. Cost of building permit. 5. Lifts and staging as required. 6. Small tools and equipment, including rentals. 7. Clean up and dumpster fees. 8. Final cleaning. 9. One (1) year material and labor warranty for all work. DIVISION 2 — DEMOLITION I. Relocate shelving to basement storage room 2. Remove and properly dispose of walls as per drawing Center for Student Success AD 102 dated 12/9/2016 by DSK. DIVISION 6 — CARPENTRY I. Furnish and install blocking as required. DIVISION 8 — DOORS AND WINDOWS I. Furnish and install (2) two knock down steel frames and (2) two prefinished wood doors with %2 glass at offices as per drawings Center for Student Success AD 102 and A 102 dated 12/9/2016 by DSK. DIVISION 9 — FINISHES I. Furnish and install Steel studs, insulation and GWB, as required to create offices as per drawings Center for Student Success AD 102 and A 102 dated 12/9/2016 by DSK. 2. Paint o All new and repaired GWB and door frames. 3. Flooring o No finish flooring is included. o Furnish and install vinyl cove base at both sides of new wall to match existing. 355 Middlesex Avenue ■ Wilmington, MAo1887-2163 ■ 978.657.7300 ■ Fax 978.657.7788 www.channelbuilding.com CHANNE A Full -Service Construction Company DIVISION IS — PLUMBING, HVAC & FIRE PROTECTION I . No HVAC, Plumbing or sprinkler work is included in this price. DIVISION 16 —ELECTRICAL . Allowance of $7,000 is included for electrical and Fire Alarm work as required. NOTE: • All hazardous materials are excluded from this proposal Total Cost for Proposed Scope $39,765.00 355 Middlesex Avenue ■ Wilmington, MA ol887-zi63 • 978.657.7300 ■ Fax 978.657.7788 www.channelbuilding.com TRAVELERSJ� WORKERS COMPENSATION ONE TOWU SQUABS AND aABTFOBD, cr 061e3 EMPLOYERS LIABILITY POLICY TYPE V INFORMATION PAGE WC 00 00 01 ( A) POLICYNUMBER: (DTEUB-SG89037-3-16) NEW -16 INSURER: THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT 1. NCCI CO CODE: 12 63 7 INSURED: CHANNEL BUILDING CO INC 355 MIDDLESEX AVENUE WILMINGTON MA 01887-2163 Insured is A CORPORATION PRODUCER: ALEXANDER W BORAWSKI INC 88 KING ST NORTHAMPTON MA 01060 Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from 01-01-16 to . 01-01-17 12:01 A.M. at the insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA B. 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: $ 500000 Each Accident Bodily Injury by Disease: $ 500000 policy Limit Bodily Injury by Disease: $ 500000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OK OR PA RI SC SD TN TX UT VA VT WI WV D. This policy includes these endorsements and schedules: SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All required information is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 01-22-16 SK OFFICE: QUINCY/AET-BOSTMA 307 DIRECT BILL PRC)nllr_FR• ns.12xsMm121) W 12MORWOrT tun The Commonwealth of Massachusetts ,Print FForm Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Channel Building Company Address:355 Middlesex Avenue Citv/State/ZiD:Wilmington, MA 01887 Phone #:978-657-7300 Are you an employer? Check the appropriate box: 1. ❑✓ I am a employer with 16 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. ship and have no employees These sub -contractors have working for me in any capacity. [No workers' comp. insurance required.] ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t employees and have workers' comp. insurance.$ 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' coma. insurance reauired.l 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 #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet 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 am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Travelers Indemnity Company Policy # or Self -ins. Lic. #:UB5G89037 Job Site Address:315 Turnpike Street Expiration Date:1 /1 /2017 City/State/Zip:North Andover MA 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 paM agd pepaltieg of Wdury that the information provided above is true and correct. Phone #:978-657-7300 v 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 #: Location 3/S—roeA)et k 15 S"/ No. 700 - ;)LQ / i Check # Date / 12 /P., TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL 1 /I/ V Building Inspector