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Home My WebLink AboutBuilding Permit #417 - 384 OSGOOD STREET 11/16/2011 I TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page i LOCATION 4 Print PROPERTY OWNER '50 W N F T� o Yl D V e"l^ Unit# Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure yes no f TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family b Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ -Septi w ]F ®Rloodplain ;i®We lands `'�4 _ � 1]Va ers�edDistnN% , Water/wer DESCRIPTION OF WORK TO BE PERFORMED: lee C � Identification PI e a Type or Pringlearly OWNER: Name: Phone: 6- Address: 3944 0-96,4WCA ,_Im o AY) Q t� CONTRACTOR Name: TC7 0 Y1�AAoS-clA n.�o J Phone: Address: (5,P r i K (gy o'l ts� 1417 's Lx dl Vz Y04 Ole-) 0_(1 Supervisor's Construction License: 10C4 Exp. Date: Q L Home Improvement License: �DrNi'Ij^ r �,�� Exp. Date: - ARCHITECT/ENGINEER Phone: Address: Reg. No. r FEE SCHEDULE.BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASE ON$925.00 PER S.F. I �y Total Project Cost: $ /G� �� /� C7 FEE: $ PA'' ID a��(n � ,Check No.: NJA- Receipt No.: NO E Persons c retracting with unregistered contract s do not have access to theg my red 7 Sig atu'reofAgent/Owner � , ,Signat ____icon i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Pl?ns ❑ I TYPE OF SEWERAGE DISPOSAL y i Public Sewer ❑ Tanningwassagemody 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS I CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS 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 DPW Town Engineer: Signature: Located 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.$100-$1000 fine NOTES and DATA— For department use O C-1 o a b a �N k1V1. ❑ Notified for pickup - Date DonBuilcag Permit Revised 2011 June/mi 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 ❑ Flo or/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) I ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit i 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: Doc.Building Permit Revised 2008mi I NORTH 9 Town of 0 016/x. - ro o , dover, 1VMass., 11 %tom" Lk LAKE COCHICHEWICK • oDRATED P? CO S BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D BUILDING INSPECTOR THIS CERTIFIES THAT O��.... ,�......................d✓ � ............... Foundation has permission to erect,318............ .. Wings on � T �1.................................. Rough to be occupied as ' ........................................ Chimney C e provided that the person accepting this permit shall in respect c rm to the terms of 000'the application on file in Final 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 M NTI ELECTRICAL INSPECTOR UNLESS CONSTRUCN S Rough ........ ................................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. i PAINTING INC. 44 SPRINGVALE AVE LYNN, MA 01904 .(781) 596-2461 (978) 741-3212 FAX :( 781) 592-6339 WWW.ONEWAYTHERIGHTWAY.COM November 16,2011 i TOWN OF NORTH ANDOVER Town of Building Depart. To Whom it May Concern, I hereby certify Mr. Richard P Verrochi is a full time employee of One Way Painting and Y YY g Roofing Inc. If you have any questions or concerns,please do not hesitate to contact me. Thank you, �p/r�ka, cl��au`o6 ELVERA MOSCHOPOULOS OFFICE MANAGER Mar 31 11 07:43a one way 781-596-2461 p.2 I .� liassacbLIWU.- 1?clrartmcnt of Public Safer} Board(if Buildimt Ret!ulation.anal tiundar4IS License: CS 79204 I RICHARD P VERROCHI HC 63 80X.1039 MADISON.NH 03849 Expiration: SM9=2 i' nuni,�ian..t• Ti*: 1505 Id/07/2011 FRI 12;68 FAX 978 683 0028 RAVEL INSURANCE AGCY 9002/002 -ACORD. CERTIFICATE OF LIABILITY INSURANCE °ATEfMMroo/Y 10/7/111 PRODUCER THIS CER71F1CATEISISSUED ASA MATTER OFINFORMATION Fravel Insurance Agency ONLYAND CONFEiTi NO RIGHM ON AMEND,EXTEND OR 1B Suite 1B 231 SuStreet ALTER THE COVERAGEAFFORDEDBYTHE FOLICUS MOW. ' North Andover, MA 01845 INSURERS AFFORDING COVERAGE NAIC� INSURED INSURERA Travelers Insttra=a _^ One Way Painting Inc. INSURER>i 20 Heaths Court #208 MSUREPQ _... Lynn, MA 01905 - -- IMM,RER D: INSIlRBi E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADIrUF TVDG Ar ... .. POUCYNUMBt3t I '_IICYEF fOUt.YFXPtRIfffJN LIMITS GENERALLIABIUYY EACHOCCURRENCE 3 COMMERCIALO ME-RALUABUTY DAVIAGETORENTED 3 . PREMISES(Ea 0=wffw). — —.1CLAMS MADE OCCUR MED EXP are aun $ PEWNAL&ADVINJURY $ _ GENERALAGGREGATE $ GFN'LACaGRC-GATE JR APPLIES PER. PRDOUCTS•C0MRIOP AGG $ POLICY JE T LOC -... AUTDIAGBILE LIMUTY COMOI ANY AUTO (roapINWSINGLfiL1MtT $ AL1 O ANE 0 AUID3 BODILY INJURY SCHEDULEDAUTOS I (per P—) 3 j HIRED AUTOS BDDILY INJURY NON-O MED AUTOS fft BIx3tlBtA) _.. PROPERTY DAMA(E (Pa accdat) $ i WAGE LM AUTO ONLY-&ACCIDENT. S, ANYAUYO Om{�THAN EAACC $ AUTOONLY: AGG $ EKCESSIUI�IBRELLq UABpJTT EACH OCCURRENCE 3 i—OCCUR CLAMS MADE AGGREGATE S_ 3 DEDUCTIBLE $ RETENTION 3 3 WORKERS COMPENSATION ANDWC STATU- OTH- A EMPLOYERS•LJABILIY 1HBB 2111N59 3/18/11 3/18/12d' ANYPROPRIETORIPARTNEIWE=CUT1�E EL EACH ACCIDENT $ 100,OO HOFFICERAuEMBER EXCLU DEW EL DISEASE-EA EMPLOYEE $ 100.000 WATSPPROWSIOtlSbbw E.L.DISEASE.POLICY LIMIT S 500,000 OTHER iE D E?SCRIFTTO N OF OPERAMONS I LOCATIONV VEHICLES I EXCLUSIONS ADDED BY M CRSEMENT ISPECIAL PROVISIONS Roof Replacement at DPW salt shed roof CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DWRIMD POLICIESBE CANCELLED BEFORE THE EXPIRJQION DATE THEREOF.THE ISSUNGINSURER WILL ENDEAVOR TO MAIL. 30 DAYSWRITIM Town of North Andover NOTICETOTHE GLRTWCATEHOLDERNAMED TOTHE LEFT.BUT FAILURE TOO MSHALL 120 Haiti at IMPO$ENO OBLIGATION OR UABLLIYOF ANY IOND EWSJRMITSAGamoR North Andover, Ma 01845 RaPRE$F"NIVES, AUTHORIZED MYRESENTANVIV -- ACORD 25(2009108) _ 0 ACORD CORPORATION 1988 (2011 11:29 7815985957 DIVIRGILIO GROUP PAGE 01/01 iC0 CERTIFICATE OF LIABILITY INSURANCE 10/6/L3. T14S CERTIFICATE IS MSUED AS A MATTER OF IWORMATION ONLY Ie D CONFERS NO Rtlzk6iS UPON THE CERTIFICATE ItCLr=EK THIS Cl dTIFICAT'E DQE; NOT AFF114MATIVELY OR NEGATIVELY AM M, E)MND OR AL7ER THE COVERAGE AFFORDED BY THE POUGIES BELOW. TM CERTIFICATE OF MURANCE DOES NOT CONSTITUTE A CONTRACT 13MWEEN THE ISSUINO MURER(S), AUTHORIZEt) REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE 14OIDER. IM POWANT: If ttlrl cerItilm holder Ie an ADDITiOW INSURED,the pollcy(ies)mast be endOmed. IfISUBROGATION 19 WAIVED,subject to the terms and cOtIl ltlOrts Ofthb POGey,contain PDNsles may require an endorsement A 2121EM1 t On this bertifcato does not confer rights to the certificate holder in lieu of each endwewwnjg PRODUCER CONTACT AAE: Div:Lrgilio - Divirgilio Insurance Agoncy PIAIT812- FAX 81) -6957 5522Q (4 270 Broatbmy a al@divir iliosasttr ce.com P.O. Box $065 raQtwc�e Lyra, lA 019048600V16 NAICft INSURR INSURERA: a'SS+®x – ONE WAY PAIMING AND ROOPING, INWERS: 20 HEATH I S CT #205 Omm C: LYNN, MA, 01905INSURER D INSURgR e: INSURER IF COVERAGES CERTIFICATE NUMBER; REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BMOW HAVE BEEN ISSUED TO THE INSL42r;D NAMED ABOvE FOR THE POLICY PERnD INDICATED, NOTYI01THSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHtCH THIS CERTFICATE MAY BE ISSUM OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESMIBED HEREIN IS$UBJECT TO ALL THE TERMS, EXCLUS10N5 AND CONDITIONS OF SUQi FOUGIES.LIMITS SHOWN MAY HAVE BEEN RMLM SY PAID CLAIM$, 1R TYPE OFINBURANCE POU NBMt AMR.1IP 1m � ]LIMITS GENERALLIA8111iY I WCH OCCURRENCE $ 1.QQ0 fl00 A COMMERCIAL GENE RAL LEAD ILITY 3D(;5765 � 729/11 7/29/12 u""A ETO RENTLU CLAIM-MADE 511 OCCUR S g A-0 000 IuOExa A�nraroparsony s 1,000 PMOONAL&ADVINJURV g 11 000.000 GENERAL AGGREGATE S �.,040000 GEN'LA043REGATELIMI TAPP UE6PER; PRgpUt-rs-DDMPIOPAlit S _,QQ0,000 POLICY PRO- LOC $ AITOMO6ILE UABHM COMMINSI)SINGLE LIMIT ANYAUTD (Ep acclaenl) BObILY INJURY(Per p9mon) 1 ALL OWNED AUTOS BODILY INJURY(Per acMerd) $ SCHEDULED A VTOS HIREDAUTOS pROPERFYDAMAGE 3 (Per sotltlent) NON4 WNED AUTOS ffi* UMBRELLA LL4B OCCUR EACH OCCURRENCE S EXC�SLIAe CI-A.Ijui£r_tdUk_ � AC+GREGATF� DEDUCTIBLE RETEN ON w. $ VMKMCOWeNSATION I WC6TATU• OTW. AND EMPLOYERS,L ABILYrY YIN ANY PROPRRIETORIPARTNERlEXECUmtN A EL.EACH ACCI DENT S OFFICER&EMM CMUDED`t pulasltlabry M NH) F L,DISEASE-EA EMPLOYE $ DgydRIPTIOx- OFF EL.DI51A6E-POLKYLThAR S DESG�RIPTiON�OPERATIC S141aw CESCRIP7*NOPOPERAMONSILOCATIONS fVENOM (Ask+zd+ACORD109.AdcBgaRlelRermeinaSMnaWe.M,Worespeoetoragdeatly Painting and Rooli-na Certificate Holder is listed as an additional insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCIti9ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEIUVERED IN Town of North Andover ACCORDANCE W11K THE POLICY PAOVISIONS. 128 Main Starest North Andover, MA 01845 AUTRERIZIn REIMMSENTATNE I ebael Carlon ®1988-009 ACORD CORPORATION. All rights reserved. I',� ACOR€3 (2009" The ACORN name and logo am ragistpred matin of ACORD i THE COMMONWEALTH OF MASSACHUSETTS xY EXECUTIVE OFFICE OF LABOR AND WORKFORCE DEVELOPMENT DEPARTMENT OF LABOR STANDARDS Prevailing Wage Rates DEVAL L.PATRICK As determined by the Commissioner under the provisions of the JOANNE F.GOLDSTEIN Governor TIMOTHY P MURRAY Massachusetts General Laws,Chapter 149,Sections 26 to 27H HEATHER E.RowE Lt.Governor Director Awarding Authority:Town of North Andover Contract Number: City/Town: NORTH ANDOVER Description of Work:DPW Salt Shed Re-roofing Works;Install new 30 year architectural roof shingles in a"go-over"installation with a new cap along the ridge area for 2600 square feet. Job Location:384 Osgood Street Classification Effective Dates and Total Rates RECLAIMERS 06/01/2011 $60.940 12/01/2011 $61.560 06/01/2012 $62.120 12/01/2012 $62.740 06/01/2013 $63.510 12/01/2013 $64.290 RESIDENTIAL WOOD FRAME(All Other Work) 04/01/2011 $48.420 RESIDENTIAL WOOD FRAME CARPENTER— 04/01/2011 $36.810 •4 The Residential Wood Frame Carpenter classification applies only to the construction of new,wood frame residences that do not exceed four stories including the basement. As of 9/1/09 Carpentry work on wood-frame residential WEATHERIZATION projects shall be paid the RESIDENTIAL WOOD FRAME CARPENTER rate. APPRENTICE: CARPENTER(Residential Wood Frame)-Zone 2 Ratio Step 7 2 3 4 5 6 7 8 1:5 % 60.00 60.00 65.00 70.00 75.00 80.00 85.00 90.00 Apprentice wages shall be no less than the following: Step I$20.882$27.11/3$2833/4$2954/5$30.75/6$306/7$33.L7/8$3439 RIDE-ON MOTORIZED BUGGY OPERATOR 06/01/2011 $47.000 12/01/2011 $48.250 ROLLER/SPREADER/MULCHINGMACHINE 06/01/2011 $60.940 12/01/2011 $61.560 06/01/2012 $62.120 12/01/2012 $62.740 06/01/2013 $63.510 12/01/2013 $64.290 ROOFER(Inc.Roofer Waterproofng&RooferDamproofg) 08/01/2011 $56.860 02/01/2012 $57.860 08/01/2012 $58.860 02/01/2013 $59.860 APPRENTICE: ROOFER-Local 33 Ratio Step 1 2 3 4 5 50.00 60.00 65.00 75.00 85.00 1:5,2:6-10,the 1:10;Reroofing:1:4,then L 1 Step I is 2000 bts.;Steps 2-5 are 1000 Ins. Apprentice rates no less than:Step 1$31.71/2$42.24/3$44.06/4$47.72/5$51.38 ROOFER SLATE/TILE/PRECAST CONCRETE 08/01/2011 $57.110 02/01/2012 $58.110 08/01/2012 $59.110 02/01/2013 $60.110 APPRENTICE: ROOFER(Slate/Tile)Precast Concrete)-Local 33 Ratio Step 1 2 3 4(, 5 '• % 50.00 60.00 65.00 75.00 ; 85.00 Apprentices wages shall be paid no less than the following: )r, Step 1$31.84/2$42.39/3$4423/4$47.91/5$51.59 .. SHEETMETAL WORKER 08/01/2011 $66.740 02/01/2012 $67.990 08/01/2012 $69.240 02/01/2013 $70.490 APPRENTICE: SHEET METAL WORKER-Local 17-A Ratio Step 1 2 3 4 5 6 7 1:4 % 40.00 45.00 50.00 60.00 65.00 75.00 85.00 Apprentice wages shall be no less than the following: Steps 1-3 are I year:Steps 4-7 are 6 mos. Step 1$29.492$35.19/3$38.16/4$43.32/5$46.03/6$51.45/7$56.37 SIGN ERECTOR 06/01/2009 $37.780 This wage schedule must be posted at the work site in accordance with M.G.L.ch.149,sec.27 Failure of the employer to pay"prevailing wage rates,"which are the minimum wage rates listed above,on public works projects is a violation of M.G.L.ch.149,sec.27. Employees not receiving such rates should report the violation to the Office of Fair Labor and Business Practices,100 Cambridge Street,Boston,MA 02108;Tel: 617-727-3465. Issue Date: 08/23/2011 Wage Request Number: 20110823-010 Page 8 of 10 CERTIFICATIONS CERTIFICATE OF NON-COLLUSION The undersigned certifies under penalties of perjury that this bid or proposal has been made and submitted in good faith and without collusion or fraud with any other person_ As used in this certification, the word "person" shall mean natural person, business, partnership, corporation, committee,union,club or other organization,entity,or group of individuals. Signatur Date O Q C1E_l !1 �.OUr1 Print ame&Title Company Name CERTIFICATE OF TAX COMPLIANCE Pursuant to Chapter 62C of the Massachusetts General Laws,Section 49A(b), I 1McY�c �\oS ,authorized signatory for Or1e lac t s, o;n coq Name of individual Name of cnntrac do.hereby certify under the pains and penalties of perjury that said contractor has complied with all laws of the Commonwealth of Massachusetts, and the Town of North Andover, relating to taxes, permit or other fees, reporting of employees and contractors, and withholding and remitting child support. <i�ggnature Date Town of North Andover IFB Page 29 of 31 DPW Salt Shed Roof I r, vir APPENDIX A - PRICE PROPOSAL Q.. T T, The Contract will be awarded to the responsible, responsive bidder offering the lowest price for the work to be performed. The Town is required to award the contract to the lowest responsive responsible bidder. All prices are to retrain firm for the duration of the Contract. The contractor is required to verify all square footage prior to submitting bid** Total Lump Sum Price to furnish all labor, materials and equipment required to install new roof on DPW Salt Shed as specified: SA� Business Name ® ¢ Business Address LA L4 e C)1CiQ 4 Business Phone–t$\- Fax ��\- —ta �Q► �rn a rY1o5+c�.�� CSS Name of Person Authorized to sign Price Proposal Title of Person Authorized to sign Price Proposal Signatur�Ihov, ers Town of North Andover IFB Page S of 31 DPW Salt Shed Roof i TOWN OF NORTH ANDOVER 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 N ORTH Of 4t�eu y^1�0 Raymond T Santilli " TEL(978)688-9516 Assistant Town Manager *o e,*� FAX(978) 688-9556 SSACHUSE September 27, 2011 Mr. Jerry Moschopoulos, President One Way Painting &Roofing, Inc 44 Springvale Avenue Lynn, MA 01906 Dear Mr. Moschopoulos: The Town of North Andover has decided to award the contract to One Way Painting & Roofing, Inc to re roof the Public Works Department Salt Shed per the Invitation for Bids issued on August 31, 2011. Enclosed please find three (3) original standard Town of North Andover ' contracts for appropriate review and signature. Please return the signed contract documents and all required accompanying paperwork to my attention as soon as possible. Please ensure that all insurance certificates list the Town of North Andover as an "additional insured". If you have any questions and/or concerns, please call me. Sincerely, Raymond T. Santilli Assistant Town Manager Enclosures Location No. y Date ✓ N0R71y TOWN OF NORTH ANDOVER 3?O',t`•o !•,h0 A `4L I Certificate of Occupancy $ S�CM Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 4 8 ,f 7 f / � � Building Inspector