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Building Permit #765-2016 - 623 TURNPIKE STREET 5/1/2018
BUILDING PERMIT NoRrH pF �,,eo �b�ti `TOWN OF NORTH ANDOVER O — APPLICATION FOR PLAN EXAMINATION " Permit No#: Date Received sSaC14U Date Issued: IWORTANT:Applicant must complete all items on this page LOCATION 623 Turnpike Street Print PROPERTY OWNER Walter Amigo Print 100 Year Structure yes a MAP 25PARCEL: ZONING DISTRICT: 1 Historic District yes no Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential 0 New Building K One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: a Commercial 0 Repair, replacement 0 Assessory Bldg ❑ Others: 0 Demolition 0 Other e 0 V11e ®� 1Eta I cs� f a DESCRIPTION OF WORK TO BE PERFORMED: Support Foundation and Structure in order to remove oil contaminated soil from beneath structure Identifieation Please Type or Print Clearly OWNER: Name: Walter Amigo Phone: 978-688-3537 Address' 623 Turnpike Street, North Andover i Contractor Name: ENPRO (TMC Environmental) Phone: 508-966-6028 Email: iconnolly@enpro.com Address: 19 National Drive, Franklin, MA 02038 Supervisor's Construction License: CS-036666 Exp. Date: 04/28/2016 Home Improvement License: 137264 Exp. Date: 10/23/2016 ARCHITECT/ENGINEER Mike Berry (Consulting Structural Engineerphone: 978-461-6100 Address: 53 Knox Trail, Suite 201, Acton, MA 01720 Reg. No. 30823 FEE SCHEDULE:BULDING PERMIT.•$92.00 PER$1000.00 OF THE TOTAL ES77MATED COSTBASED ON$125.00 PER S.F. Total Project Cost: $ 75,000.00 FEE: $ $900.00 Check No.: eipt N .: DOTE: Persons contracting with unregistered contract s d not h e ie guaranty fund M+ P - b BUILDING PERMIT of No RT b�tio s "TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION � _ " L ��o my Date Received R " ,> Permit No#: �gSsgcHus���5 Date Issued: IMPORTANT: Applicant must complete all items on this page I LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Sepic ®Gk1/l/ell ❑ I:©©'cJ R I'ar +®Wet lance- ®�,W�atershed ,®astrict, - LJ DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Email: j Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: 4 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund SianatterofAaentvTi :r =:� ._� -Sig a ur94 9f c©rtractn .� ' i Plans Submi'd6d'-C-1 Plans Waived ❑ Certified Plot flan ❑, _,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 Reviewed On Signature_ COMMENT'S _.CONSERVATtOfV.. _ Reviewed-on- I COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes P{tanning Board Decision: Comments 4 Conservation Decision: Comments i Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street E; �c-� a...+...,..., rro+r '�t+.""e t i i a •.' i 9 yfs's- HC) v �` FIRE DEPART -ME .T. Temp Dumpster on=site.r yes ,� 4, , > s�Located at 124 Main Stfeet * �. r aFRire Departmen signature/date .act `. a� "t `` � h I+cA hl.YS 4. ¢ ��:$`*�� � # �"�'"1 '"�.t.�,r is i-? t r„��..•w.�< tw�a'kk 2�x�x '�zi t�} '-t '�" :''f y 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 NOTES and DATA— (For department use) F r i ill I . I LI Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 � d Building Department I � 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 V 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 OTE: 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_Co _of_H..I._C.. And_C.S..L. Licenses � -Copy -of Of Contract Floor/Cross Section/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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 4, Building Permit Application 4. 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 i 121Location f l No,. _ � � �� � Date /� ? • _ II TOWN OF NORTH ANDOVER Certificate of Occupancy $ e Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ c Check# 3 Building Inspector X10 R TIS Town o %a ndover •`1, ti y 0L No. +� h ver, Mass o KS cocH1c"aw K �'►• RATED i"Pa��S U BOARD OF HEALTH I Food/Kitchen PERMIT 9 Septic System THIS CERTIFIES THAT ...��.. rl BUILDING INSPECTOR ................. . ........................ .............. ............... ..6.01.3 ./:� C..,. �� Foundation Cyt ....d !! ^ has permission to erect .......................... buildin son ........ ....1. .. .E........................... `) Rough to be occupied as ...............9�:7w:a�� ... ...��..�.��,' �.��: '�_ ......... .......L! ��I`���... ,��.. Chimney provided that the person accepting this per t 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 TARTS Rough Service .,....... .. .. ..yq,, ... . .. ...................... .......... Final BUILDI. . .NG 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. lr� ENPRIOn , TMC ENVIRONMENTAL 'Keeping a Check on our Environment" Cha{lenge us. Count on us. December 4, 2015 Initial Project Estimate #215.26.099 Mr. Walter Amigo 623 Turnpike Street North Andover, MA 01845 Re: Excavation of Contaminated Soil Beneath Basement Concrete Slab 623 Turnpike Street North Andover, MA 01845 Dear Mr. Amigo, TMC Environmental (hereinafter referred to as "ENPRO"), is a full service company covering all of New England and New York. ENPRO prides itself on project consistency and its logistics expertise in: environmental remediation, abatement services, emergency response, environmental construction, and industrial cleaning. ENPRO is pleased to provide this proposal to you (hereinafter referred to as the "Client"). PROJECT OBJECTIVE We understand that you are requesting ENPRO to perform remediation services associated with a petroleum release of a home heating tank in the basement of a house at the above referenced address. It is known that the oil penetrated the slab and permeated the soil and ground water beneath the concrete floor. ENPRO is pleased to provide the estimated costs necessary to perform this service at the above referenced site based on the assumptions and exclusions listed below. The following outlines ENPRO's proposed scope, assumptions and project costs. SCOPE OF WORK Preconstruction Activities Phase 1 • Contact Dig-Safe at least 72 hours prior to performing excavation activities to obtain an approval number. • ENPRO will coordinate operations and scheduling with the Client and LSP prior to mobilization • Coordinate the mobilization of resources (crew and equipment) that may include a 2k +/ gallon Frac tank for round m contaminated soil a 9 vacuum truck to vacuum ( ) 9 water, excavator to dig soil and place it into 25 cy roll-off containers and other large equipment. • Prepare site specific health and safety plan prior to start of project. • Prior to undermining the structure, conduct a video site walk of the area and the inside of the house to record current conditions prior to excavation of the basement (unless waived by the client) Initials TMC Client Page 1 of 6 24 HOUR EMERGENCY RESPONSE 1.800.223.8865 19 National Drive • Franklin,Massachusetts 02038 - tel 508.966.6000 • fax 508.966.4861 • tmcenvironmental.com ENPRO TMC ENVIRONMENTAL "Keeping a check on our Environment" Quote Number Excavation and Management of Impacted Soil Phase II: Site Preparation • Mobilize crew and equipment to the site to prepare the basement by placing poly sheeting on the walls to limit migration of odors and dust from the work area. • ENPRO crew will saw cut the concrete slab into small manageable pieces and manually remove them from the basement along the staining lines of from the oil release. Stained concrete will be disposed with the impacted soil and clean non- stained concrete will be disposed of at a local asphalt batch recycling facility. Phase III A: Excavation of Impacted Soil • The impacted material that is required to be excavated, hard clay will be removed using pneumatic hammers and electrical chipping guns in conjunction with a high volume air moving vacuum loader. • The entire designated area has been divided into two area: the front and back Petroleum contaminated soil will be removed from the areas sequentially. Based on the provided Engineers Plan to a depth around 4' below slab grade. . • The excavation will be under the guidance of the LSP using a PID meter to delineate limits of excavation. The assumption is that the excavation will go down in depth two to three feet (2-3") below the current slab level with no undermining of the current house's foundation and footings. • It is expected that ground water will be between 30"-48" below the current concrete slab level. ENPRO will install pumps and hoses to manage the ground water by pumping it out into a frac tank staged in the back alley. The ground water will be samples by the LSP for disposal determination at an approved licensed facility. • ENPRO will transport the contaminated soil in the vacuum loader and or roll-off container to Brox Industries, Dracut, MA, a state approved asphalt recycling facility. • LSP will provide all testing, laboratory analytical characterization data and waste profiling and disposal facility acceptance package • Assumptions: A favorable characterization results will allow this material to be approved at an instate asphalt batch facility. Phase 111 13: Underpinning House's Foundation/Footings • If the situation creates undermining of the foundation and or footings then ENPRO will follow the structural engineer plan provided. • If the foundation requires underpinning, the soil will be removed in accordance with the Structural Engineer's Plan using helical and or atlas pressure piers supports. Once the material has been removed from one area then it will be backfilled prior to excavating the remaining area. If this cannot be done then the task will take longer to complete using sectional underpinning techniques. • Once the entire section has been determined by the LSP to meet standards or limits of excavation based on safety, each section will be backfilled with concrete. The Initials TMC Client Quote No. 215.26.099 Page 2 of 6 ENPRO TMC ENVIRONMENTAL "Keepinga Check on our Environment" Quote Number concrete will be pumped into the space and aggressively vibrated to ensure it fills and compact the entire area. • Once a section has been completed ENPRO will repeat the operation for the remaining section until the entire section has been excavated. Phase IV: Restoration • At this time it is assumed that the excavation will be backfilled with flow fill cement or concrete unless ground water flow is determined to be impacted by such material. If ground water impacts the excavation and flow fill will increase pressure and divert the water to the lower living spaces, the excavation will be backfilled with 3/a" stone. The stone will be manually moved to the basement and placed in the excavation. To limit damage to the yard and demerge charges, Once a section has been completed ENPRO will repeat the operation for the remaining section until the entire section has been excavated. • Once a section has been completed ENPRO will repeat the operation for the remaining section until the entire section has been excavated. • Once the excavation has been backfilled, a poly barrier will be installed and concrete pumped into the basement to restore the slab floor to the same level. ASSUMPTION AND/OR EXCLUSIONS • ENPRO will have full and clear access to the work locations and space to stage equipment and/or materials. Work area must be clean and free of debris prior to the commencement of excavation activities. The parking spots in the back alley will be available to storage of the frac tank and roll-off container. Coordination of additional space maybe required which the client is assumed to coordinate and finalize any agreement. • This proposal is based on 8 hours on site from 0800 to 1600 weekdays. • All analytical testing, discharge permitting, regulatory notifications (if required) and associated engineering tasks shall be performed by others at no cost to ENPRO. • ' This proposal assumes that the client will contract an oil company to permit and remove the AST, install a temp AST in a location outside the designated work zone and to re-install the tank upon completion. • Cost of the building permit is only an estimate. The cost will be the actual cost of the permit plus 15% and any labor and equipment necessary to obtain such permit. • All disposal pricing contained herein are based on facility acceptance. • The Client will authorize and sign for disposal documentation. • Impacted material must be physically and chemically suitable for the intended facility. • LSP will conduct all analytical testing required by disposal facility for disposal acceptance. • LSP will be on-site at regular occasions when required by ENPRO to direct the excavation activities. • This proposal does not include any costs associated with excavation dewatering, management of contaminated groundwater, or contaminated soil other than those directly specified herein. Initials TMC Client Quote No. 215.26.099 Page 3 of 6 ENP TMC ENVIRONMENTAL "Keeping a Check on our Environment" Quote Number • This proposal does not include any costs associated with restoration and/or landscaping beyond backfill material of the excavation. • This proposal does not include the cost of any restoration to the exterior of the structure and property. Client must understand that heavy equipment will be used to undertake this project and some damage to the yard may occur, such as removal of shrubs, plants, the damage to grass from repeated uses/walking and possible damage to the driveway as a result of heavy equipment parking on it for the day during working hours. ENPRO will take precautions to limit and or prevent damages, but some may still occur which TMC will not be held responsible. • All engineering, testing, and reporting associated with contamination remediation and geotechnical quality control issues shall be conducted by others at no cost to ENPRO Concrete pricing is based on Graziano Concrete in Braintree. Should they not be available then another vendor may be used at cost plus 15%. • ENPRO will not be responsible for damage, associated losses, and repair costs to unmarked or inaccurately marked structures/utilities. • ENPRO has not included the cost for excavation and/or utility support/bracing in this proposal., If required, additional costs will apply. • The proposed project approach is based upon information provided by the Client (LSP) during a site walk. • Verification of any and all presumed conditions and exclusions stated herein are the sole responsibility of the Client. ESTIMATED COST AND BASIS FOR BILLINGS The cost to perform the proposed scope of work is presented in the table below. Work will be billed in accordance with the unit rates provided below. The basis for billing will be an itemized invoice reflectinq services gerformed. ExtensionPhase Task Description Units Rate EST Unit Pre-Construction 1 Activities Lump Sum $500.00 1 $500.00 1A Video Recording of Pre Lump Sum $500.00 1 $500.00 Construction 1 B Town Building Permit Lump Sum $500.00 1 $500.00 2A Crew & Equipment to Prepare the work area Day $3,425.00 1 $3,425.00 3A1 Helical/Atlas Piers Each $1,250.00 18 $22,500.00 3A3 Mobilization Demob Each $300.00 2 $600.00 Frac Tank 3A4 Dewater (Frac Tank, Day $150.00 15 $2,250.00 Pumps, Hoses etc) Initials TMC Client Quote No. 215.26.099 Page 4 of 6 1 ENPRO TMC ENVIRONMENTAL "Keeping a Check on our Environment" Quote Number Excavation for 3131 Underpinning Section Day $4,500.00 4 $18,000.00 1 3132 Excavation or Section Day $4,500.00 4 $18,000.00 3133 Concrete Pump Truck 1/2day $1,000.00 2 $2,000.00 3134 Concrete 3,000psi 3/8" Min Load $1500.00 2 $3,000.00 P-stone 10CY Backfill Crew & 4A Equipment Day $2,250.00 1 $2,250.00 5A Soil Disposal at Tons $60.00 24 $1,440.00 Asphalt Recycling TOTAL $74,965.00 Descriptions for Item No's: Disposal pricing DOES NOT include state hazardous waste taxes/fees if applicable. Pricing is based upon estimated volumes and material costs, unit rates, and market conditions. Billings will be based upon actual amounts of units required and volumes of material disposed. Actual material costs are subject to change based on unit rates and market conditions. This represents our best judgment at this time as to the effort required to achieve the stated objectives. It must be recognized that unforeseen conditions, which may become evident during the course of the project may alter the effort required. Actual charges may fluctuate depending upon the execution of work. It is understood and agreed by the Client and/or the generator (owner) owns any and all waste from cradle to grave and TMC assumes no liability for any and all waste generated or disposed. PROJECT SCHEDULE TMC can begin work within ten days of receipt of a signed proposal. TERMS AND CONDITIONS The Client agrees to submit to and abide by TMC's (ENPRO) published Standard Terms and Conditions attached hereto and made a part hereof. Thank you for allowing TMC to provide our services. Sincerely, TMC Environmental Initials TMC Client Quote No. 215.26.099 Page 5 of 6 . r ENPRO � TRIC ENVIRONMENTAL "Keeping a Check on our Environment" Quote Number V 16D� Jim Connolly Project Manager AUTHORIZATION If the Proposal is understood and accepted, please initial each page, sign, and return to TMC. By accepting and signing the above-referenced Proposal, the Client hereby accepts any and all terms and conditions set forth herein or attached hereto and herby authorizes TMC to commence services described in this proposal as defined herein and grants access, at reasonable times, to the described property. This proposal is valid for a period of thirty (30) days. Facsimile and electronic signatures shall and will be considered original signatures. Walter Amigo Name (print): Walter Amigo Signature Title: Homeowner Date 12/4/2015 Attachments: TMC (ENPRO) Standard Terms & Conditions Initials TMC Client Quote No. 215.26.099 Page 6 of 6 STANDARD TERMS&CONDITIONS These Terms and Conditions,together with the Proposal of TMC Services,Inc.dba TMC Environmental 13.Insurance.During performance of the work,TMC will maintain workers compensation,commercial general liability,automobile liability and (hereinafter referred to as'TMCJ make up the Agreement between TMC and you(hereinafter referred to as contractors pollution liability insurance in the following amounts: "Client').Before signing the Proposal,TMC strongly recommends that the Client read and understand the (a) Workers'Compensation—Statutory Standard Term-and Conditions and/or consult with legal counsel prior to signing. (b) General Liability—$2,000,000 per occurrence and aggregate 1:Services.TMC will perform the work set forth in its Proposal and any amendments or change orders signed by (c) Automobile Liability--$1,000,000 per ocarnence and aggregate both parties.Any request or direction from Client that would require extra work or additional time for performance (d) Contractors Pollution Uabifity�1,000,000 per occurrence and aggregate or would result in an increase in TMC's costs,including unanticipated meetings,will be the subject of a negotiated TMC will furnish Client certificates of such insurance on request.TMC will purchase project-speck insurance at amendment or change order mutually agreed upon and signed in advance by both parties. Client's request provided it is commercially available and Client pays the premium. It is understood and agreed that the Client and the Client's insurance company,agent,carrier,representative, 2.Warranty.TMC warrants that the work will be of good quality,free of faults and defects and in conformance successors and/or assigns waives its right,if any,to subrogation against TMC and their respective directors, with the Proposal and in a manner consistent with the level of skill,care,attention and due diligence ordinarily officers,agents,representatives,employees,and successors and assigns,which may arise by reason of any exercised by similar professionals performing comparable services.The foregoing warranty is in lieu of all payment of any claims. It is further agreed that the Client and the Client's insurance as is afforded shall be other warranties,express or implied,including warranties of marketability or fitness for a particular purpose.Client primary and non-contributory with any other insurance in force. will notify TMC with reasonable specificity of any deficiencies in the work within 30 days of discovery but in no event later than 90 days after substantial completion of the work,and Client will grant TMC a reasonable 14.Indemnification.Client agrees to hold harmless,indemnify,defend,release,discharge,acquit and forgive opportunity to correct any such deficiencies.TMC will assign to Client manufacturers'waranties,if any,of TMC and its affiliates,subcontractors and their employees,officers,directors and agents against all claims, equipment or materials purchased from others,to the extent they are assignable,and Client's sole recourse will actions,suits,demands,liabilities,judgments,fines and penalties,including mandated cleanup costs,attorneys' be against the manufacturer.Full risk of loss of materials and equipment will pass to Client upon delivery to the fees and other costs of settlement and defense,both at law and equity,arising out of or related to any Proposal, site,and Client will be responsible for insuring and otherwise protecting them against theft and damage.Client Contract,Terms&Conditions,Task Order and/or Agreement or the work The Client's duty to defend apses acknowledges that the work entails risk of personal injury and property damage(including cross-contamination) upon the assertion or filing of a claim. that cannot be avoided,even with the exercise of due care and diligence.Client also acknowledges that environmental and geotechnical conditions involve uncertainty and that TMC cannot guarantee specific results 15.Limitation of Liability.To the fullest extent permitted by law,the total liability,in the aggregate,of TMC such as the removal or remediation of all contamination or the correction of all geotechnical or environmental and its officers,directors,employees,agents and independent professional associates or consultants to the problems. Client and any one claiming by,through or under the Client for all injuries,claims,losses,expenses,or damages whatsoever arising out of or in any way related to TMC's services,the project or any Proposal, 3.Payment Client will compensate TMC for all services,labor,materials and equipment at its standard rates, Contract,Terms&Conditions,Task Order and/or Agreement or the work,from any rause or causes reimburse its expenses and pay all sales or similar taxes thereon.By Signing the Proposal and/or Contract, whatsoever,including but not limited to the gross negligence,errors,omissions,strict liability,breach of Terms&Conditions,Task Orders and/or Agreement,Client agrees to make payments to TMC in accordance contract,breach of warranty of TMC or TMC's officers,directors,employees,agents and independent with TMC standard terms of payment.Client has the option of making payment(s)in advance for services professional associates or consultants,or any of them,shall not exceed the cost of the Services provided by rendered by TMC.If Client does not make payments)in advance,TMC standard terms of payment are net TMC or the sum of$50,000.00,whichever is less.TMC may,upon the Client's written request,agree to fifteen(15)days from the date of invoice.Client agrees that in the event that Client does not make increase the limit of TMC's liability for gross negligence,errors,omissions,strict liability,breach of contract or payment(s)to TMC under the standard terms of payment,the total unpaid amount under the Proposal shall breach of warranty in consideration of payment by the Client of additional monetary and/or other become immediately due and payable.Interest shall accrue at the rate of one and one half percent(1.5%) consideration.Client agrees that Client's payment of the additional fee does not constitute a charge for per month,or at the maximum rate allowed by law,after fifteen(15)days.In the event that legal or other placement of additional insurance. action is required to collect unpaid balances or invoices,Client agrees to pay all costs of collection,litigation or settlement incurred by TMC including,but not limited to,reasonable attomeys'fees and/or other legal or 1. This limitation of liability applies all injuries,damages,claims,losses,expenses and defense collection fees allowed by law that may be incurred by TMC."Legal or other action"as used above shall costs,whether based in contract,negligence,slid liability,statutory,warranty,trespass,indemnity, include bankruptcy and insolvency proceedings.TMC may terminate the work upon ten(10)days'written notice misrepresentation any other theory liability,except intentional misconduct,collectively hereinafter to Client anytime Clients payment is overdue on any project and Client will be responsible to pay for all work referred to as the'Claim." aim."If the Claim is s covered and the Insurer acknowledges and provides coverage or automobile liability insurance policy that exceeds this through termination,plus termination costs.Client agrees and hereby assigns to TMin C all rights to insurance under TMC's commercial general liability payments and/or other third party payments that Client may or will be entitled to receive for labor,services, limitation of liability,TMC's liability will be increased to the extent of coverage afforded by the insurance equipment and/or materials provided under any Proposal,Contract,Terms&Conditions,Task Order and/or outlined in Article 13 above;provided,however,that,becoMC'smes liability shall not be increasedun the Agreement and hereby authorizes its insurance company,agent,representative and/or other third party to applicable insurance carrier is placed in receivership,becomes insolvent or is otherwise unable T fulfill pay TMC directly. Client agrees to Energy&Recovery Surcharge of 9.5%applied to the total invoice, its obligations under the applicable policy.Any claim will be deemed waived unless received by TMC within three years of substantial completion of the services or,if shorter,the applicable statute of 4.Client's Responsibilities.Client will designate to TMC in writing a person to act as Client's representative. limitations period. Client will secure the approvals,permits,licenses and consents necessary for performance of the work unless 16.Release and Covenant Not To Sue Individuals.Client agrees to hold personally harmless and to release all otherwise indicated in the Proposal,Contma Terms&Conditions,Task Order and/or Agreement,in which case daims against any director,officer,employee or agent of TMC arising from any negligent act,error or omission Client will cooperate with TMC and compensate TMC for obtaining the same. Client will provide TMC with all now existing or hereinafter arising.Client agrees that all daims for damages arising from any negligent act,error documents and/or other information that are pertinent to the work and are reasonably available to Client,including or omission shall be made against TMC directly and shall not be made personally against any of its directors, information related to hazardous materials and/or other environmental and/or geotechniral conditions at the site. officers,agents or employees.Client covenants not to sue personally any director,officer,agent or employee Before TMC performs any subsurface activities,Client will provide TMC with all plans and other information of TMC for any cause of action that may presently exist or any cause of action that may hereinafter arise or available to Client concerning underground services/utilities,conduits,pipes,tanks and other facilities and accrue from any negligent act,error or omission in connection with the performance of the Proposal, obstructions at the site.Unless otherwise indicated in wnting,TMC will be entitled to rely on documents and Contract,Terms&Conditions,Task Order and/or Agreement or otherwise.Client agrees that all claims for information Client provides. damages that currently exist or that may hereinafter arise from any negligent act,error or omission in 5.Right of Entry.Client grants TMC and its subcontractors permission to enter the site to perform the work If Client connection with the performance of the Agreement or otherwise shall be made against TMC and shall not be does not own the site,Client represents and warrants that the owner has granted permission for TMC to enter the site made personally against any of its directors,officers,agents or employees. and perform the services,and Client will provide reasonable verification of said permission on request by TMC.TMC 17 Waiver of Jury Trial. TMC and Client hereby knowingly and willingly agree that a that before a Judge is will not have responsibility for or control of the site or of operations or activities at the site other than its own. more appropriate than a trial before a jury. TMC and Client hereby waive the right to a Mal by jury in any 6.Site Restoration.Although TMC will act to limit damage to landscaping,paving,systems and structures at the suit,if any,involving the Proposals,Contracts,Terms&Conditions,Task Orders and/or Agreements or the site,Client acknowledges that some damage may occur even with the exercise of due care and diligence,and work,and provisions set forth. TMC and Client grant the Judge presiding over any such suit full power and Client agrees to compensate TMC for any restoration it is asked to perform unless otherwise indicated in the authority to determine all questions of fact and elect to have the Judge try the case without a jury. Proposal,Contract,Terms&Conditions,Task Orders and/or Agreement. 18.Disputes.All disputes between Client and TMC shall be subject to nonbinding mediation.Either party may 7.Underground Facilities.TMC will contact local governmental authorities and private firms who coordinate demand mediation by serving a written notice stating the essential nature of the dispute and the amount of time or underground utility information and TMC will review plans and information they and/or Client provide.TMC will not money claimed and requiring that the matter be mediated within forty-five(45)days of service of notice.The be liable for any damage to underground services or structures not accurately identified in such plans and mediation shall be administered by the American Arbitration Association in accordance with their most recent information,and Client agrees to indemnity TMC against all liabilities and costs arising out of such damage and its Construction Mediation Rules or by such other person or organization as the parties may agree upon in writing. repair,except to the extent caused by TMC's gross negligence. No action or suit may be commenced unless the mediation occurred but did not resolve the dispute or a statute of limitation would elapse I suit were not filed prior to forty-five(45)days after service of notice. 8.Lab Tests and Samples.TMC is entitled to rely on the results of laboratory tests using generally accepted methodologies.TMC may dispose of samples in accordance with applicable laws 30 days after submitting test 19.Severability.The provisions of these Terms and Conditions are severable.The invalidity of any part of these Terms and Conditions shall not invalidate the remainder of these Terms and Conditions nor the results to Client unless Client requests in writing that they be held longer or returned to Client,in which case Client will compensate TMC for storage beyond 30 days and/or for shipping. remainder of any portion hereof.The Client shall not assign any aspect any Proposal,Contract,Terms& Conditions,Task Order and/or Agreement between the Client and TMaC except upon the poor written consent 9.Hazardous Materials.Before any hazardous or contaminated materials are removed from the site.Client will of TMC. _ sign manifests naming Client as the generator of the waste(or,if Client is not the generator,Client will arrange for 20.GoveminglChoice of law.All Proposals,Contracts,Terms&Conditions,Task Orders and/or the generator to sign).Client will select the treatment or disposal facility to which any waste is taken.TMC will not Agreements or the work and rights and obligations hereunder,including matters of construdon,validity and be the generator or owner of,nor will it possess,take title to,or assume legal liability for,any hazardous or contaminated materials at or removed from the site.TMC will not have responsibility for or control of the site or of performance,shall be governed is the laws the the Commonwealth of Massachusetts.Client hereby agrees to operations or activities at the site other than its own.TMC will not undertake,arrange for or control the handling, accept and submit cls, to the jurisdiction of the courts of said Commonwealth for all purposes with respect to all treatment,storage,removal,shipment,transportation or disposal of any hazardous or contaminated materials at Proposals,Contracts,Terms&Conditions,Task Orders and/or Agreements or the work and rights and or removed from the site,except as may be expressly set forth in its Proposal,Contract,Terms&Conditions, obligations hereunder. Task Order and/or Agreement,and TMC will not have any responsibility or liability in connection with such 21.Non-Compete Agreement Client hereby agrees not to directly or indirectly compete with the business activities other than its responsibility to Client to perform the work in accordance with any Proposal,Contract, of TMC and/or TMC's successors and/or assigns during the period of all Proposals,Contracts,Terms& Terms&Conditions,Task Order and/or Agreement. Conditions,Task Orders and/or Agreements and for a period of one(1)year following the completion of any 10.Changed Conditions.Client recognizes the uncertainties related to environmental and geotechnical work, Proposal,Contract,Terms&Conditions,Task Order and/or Agreement,notwithstanding the cause or reason which often requires a phased or exploratory approach,whereby the need for additional work becomes apparent of termination of the same.The term non-compete as used herein shall mean that the Client shall not own, during the initial work.Client also recognizes that actual conditions encountered may vary significantly from those manage,operate,consult,use or be employed in a business substantially similar to,or competitive with,the anticipated based on existing information,that laws and regulations are subject to change and that the present business of TMC or such other business activity in which TMC may substantially engage during the requirements of regulatory authorities are often unpredictable.If changed or unanticipated conditions or delays term of any Proposal,Contract,Terms y Conditions,Task Order and/or Agreement.Client acknowledges make additional work necessary or result in additional costs or time for performance,TMC will notify Client and that TMC shall or may in reliance of any Proposal,Contract,Tome&Conditions,Task Order and/or the parties will negotiate appropriate changes to the scope of services,compensation and schedule.If the parties Agreement provide Client with or access to trade secrets,customers and/or other confidential data.Client are unable to reach agreement,TMC will be entitled to terminate its work and to be equitably compensated for agrees to retain said information as confidential and not use said information on Client's 0 milehaff or disclose the same to any third party.This non-compete Agreement shall extend for a radius of 100 miles from all work already performed.In the event of emergency,TMC may take immediate steps to protect public health and locations of TMC and shall be in full force and effect. safety and the environment and will be equitably compensated therefore.TMC will not be responsible for delays or failures to perform due to weather,labor disputes,intervention by or inability to get approvals from public 22,Miscellaneous.All Proposals,Contracts,Terms&Conditions,Task Orders and/or Agreements or the authorities,acts or omissions on Clients part or any other causes beyond TMC's reasonable control,and Client work shall be governed and enforced to the fullest extent of all applicable Local,State and Federal Laws.The will compensate TMC for any resulting increase in its costs. above Terms and Conditions regarding Limitation of Liability and Indemnification shall survive the completion of 11.Documents and Information.All documents,data,calculations and work papers prepared or furnished by the services under the Proposal,Contrail Terms&Conditions,Task Order and/or Agreement and the TMC are instruments of service and will remain TMC's property.Designs,reports,data and other work product termination of the contract for any cause.Any amendments shall be in writing and signed by both parties.These delivered to Client are for Clients use only,for the limited purposes disclosed to TMC.Any delayed use,use at Terms&Conditions supersede any contract terms,purchase orders or other documents issued by Client These another site,use on another projector use by a third party will be s the users sole risk,and Client agrees to Terms and Condifions shall govern over any inconsistent terms in any Proposal,Contract.Task Order and/or Agreement.If these Terms and Conditions have been provided rt Client,Clients verbal authorization to indemnity and defend TMC against any liabilities resulting therefrom.Any technology,methodology or technical teamed or developed by TMC will remain its property. commence services.Clients actions l Clients use of the Report or Work Product constitutes Client's acceptance information of them.The provisions of the Proposal,Contract,Task Order,Terms&Conditions and/or Agreement are 12.Confidentiality;Subpoenas.Information about this Agreement and the work and information Client provides severable;9 any provision is unenforceable,it shall be appmpriately limited and given effect to the extent it is to TMC regarding Clienfs business and the site will be maintained in confidence and will not be disclosed to enforceable.Headings in these Terms and Conditions are for convenience only and do not forth a part of the others without Client's consent except as TMC reasonably believes is necessary(a)to perform the work(b)to agreement comply with professional standards to protect public health and safety and the environment and(c)to comply with laws and court orders.TMC will make reasonable efforts to give Client prior notice of any disclosure under TMC Published Terms and Conditions 2015 (b)or(c)above.Information available to the public and information acquired from third parties without a breach of duty will not be considered confidential.Client will reimburse TMC for responding to any subpoena or10- governmental inquiry or audit related to the work,at TMC's standard rates then in effect Initials TMC Client J1' Eaual Opportunity Employer Affirmative Action 1we Commonwealth of Massachusetts Department oflndustrialAccidents X Congress Street,Suite 100 FWm-rkers, Boston,MA 02V4 20X7 www.rnassgov/dia Compensationlnsuranco Affidavit:B�ontractors/BlgctriciansmIumbers. TO BE ALF.}) G AUTSORUY. Please Print Legibly licant Information '����. ENPRO (TMC Environmental) ` Name(Businesslorganizaiio Address: 19 National Drive, City/State/Zip: Franklin, MA 02038 Phone#: 508-966-6028 Areyou an employer?dractliaapproprinte box: Type of project(Tequired)' 250em 1 eas full and/orpact•tima).a 7. [ New construction 1.[@1amaamployerwith._ .._ PoY 2 Q 1 am a solo proprietor or padnemblp and have no employees working forma in 8. 0 Remodeltiig any capacity.[goworkers'comp.insurance requhd.l 9. ❑Demolition 3.01 am a homeowner doing all work myself[No workers'comp.insvnmen required.)t 10 $tliiding sedition 4_Q 1 am a hoauownar and will bo hiring conbactom to conduct all work oa my proportY. Iwi71 11. Electrical repaim or additions enauro that all contractors either have workers'compensation insumace or am sola }—' pro�iielais with'no emplayacs- 12:0—PlumbingFrepairs or additions 5.E]I am a general contractor end l bays hired the sub-eoidmtors listed on the attacbed sheet Ig.O goof iepairs Adesub-contractor's d6eiupl?Ycesandbavaworlws'crmry.insu e-; 14.®D �emoveContaminated 6Q We are a corparag4n end its gMgqrs hava mmnised tbeir right ofmxamption por MaL c. Soil 152,§I(4),and vKa have nqpr:•playe gs.INo workers camR.insurance mquired j 'Any applicant that chealm b=41 moat also tyll out the section below showing theirwoAmm'compensation policy information: t$omeawners who si 19f U&of davit kmeating they are doing all work andthon hira outside cordrectors mast submit anew affidavit indicating such ched an additional sheatshowing rho name of the soh-contmotam and state whether.or not those®titles have . SrAntractors that checkthiQ bmcmus ette must provide their workers comp.policy manbar. employees ifthe sub•conhac�ois have employoas,lhay P I am an employer drat isprdvid1hgworkt rs'compensation insurance for my employees Below it thepollcy and fob site InlermatloM HDI Gerling America Insurance w� bsurance Company Name: _ /2016 policy#or Self-ins,Lic.#: E W G CC000084915 Expiration Data: 4/21--- lob Site Address• 623 Turnpike Stree City/State&ip:North Andover, MA 01845 Attach a copy of the workers'compegsation policy declaration page(showing the policy number and expiration data}. Failure to secure coverage as required under MGL o.152,§25A is a criminal violation punishable by a tine up to$1,500.00 and/or one-year impziso as as civil penalties in form of a STOP WORK ORDER and a fine of up to$250.00 a day against the vie .A copy of ' statement maybe forwarded to the Oifica of Investigatf ons of the DTA for insurance coverage ver c o I do Hereby cer and nitres o.fPerjttry that the informattoriProvided above is Eros and correct store• a onnoll Dat. 12/29/2015 Si hone k 08-966-6028 official use only. Do not write in this area,to be completed by city er town off ld . City or Town: Permit/License# Issuing Authority(circle one): 1.Board of)health 2.Building Department S.Clty/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#: Contact Person:' ..bformation and bstructions Massachusetts General Laws chapter 152 requires all eanployers to provide workers'compensation fortheir erlrployees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract 2111re, expres's or implied,oral or written:' An employer is defined as"an indliddual,pattneri4p,association,corpolation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. Hoviever the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or onthe grounds or building appurtenant thereto shall not because of such employment ba deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a licenso or permit to operate a business or to construct buildings in the commoniyealtlx for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions sball. enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." r Applicants Please till out theworkers'compensation affidavit completely,by checking the{boxes that apply to your situation and,if necessary,supply sub=coiitractbr(s)name(s),address(es)andphona number(s)along with their certificate(s)of insurance:Tyimited-viability Companies-(LLC)orLimitedL-iability-Pminerships OUX)vjithuo employ es o erthantha I'I members or ,axtaersare not required to c ' p q arty workers compensation insurance. If an LLC orLLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Depattment of Iftdustrial Accidents for confirmation of insurance coverage. Also be sure to sign,and date the aftidavih The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you*sre regrilred to obtain a workers' • compensation policy,please call the Department at the number listed below. Selfrfhi uttd companies should'entertheir self insurarca license number on the a ropriato line. City or Town Officials Please be sure thatthe affidavit is complete and printed legibly. The Department has provided a space at the bottom a of the affidavit for Y ou to fill out in the event the Office o£Investigations has to contact you regarding the pplicaat. Please be sure to fill in the permit/license number whichwill be used as a reference number. In addition,an applicant that must submit multiple permit4icense applications in any given year,need only submit one affidavit indicating current policy information(ifnecessary)and under`Job Site Address"the applicant should write"all locations in __(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant m proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street;Suite 100 Boston,MA 02114-2017 Tel.#617-727-4900 ext.7406 or 1-877 MASSAFE Fax#617-727-7749 Revised 02--23-15 www.mass.gov/(Ua ACC?RV® DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 4/17/2015 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 CONTACT Denise DeLeo NAME: Eagle Insurance Group, LLC PHOAIC.NENo, . (508)659-5250 (A No:(866)676-9319 Ten Commerce Way ADDRESS:denisedeleo@eagleinsurancegroup.net Suite 3 INSURERS AFFORDING COVERAGE NAIC# Raynham MA 02767 INSURERAMarkel American Insurance 28932 INSURED INSURERB:HDI Gerling American Insurance 41343 TMC Services, Inc. , DBA: TMC Environmental INSURER CNavl ators Specialty Ins. Co. 19 National Drive INSURER D: INSURER E: Franklin MA 02038 INSURER F: COVERAGES CERTIFICATE NUMBER:15/16-all lines-$14M Umb 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. INSR TYPE OF INSURANCE ADDL WVD UBR POLICY NUMBER MMI DIYYYY LICY EFF POLICY EXP LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ A I CLAIMS-MADE Fx_1 OCCUR 15PKGNE60042 4/21/2015 4/21/2016 MED EXP(Any one person) $ 10,000 X Professional liability *General Liab Ded $10,000 PERSONAL&ADV INJURY $ 1,000,000 X Contractor's Pollution *Prof Liab Ded $25,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: *Contr Polutn Ded $10,000 PRODUCTS-COMP/OPAGG $ 21000,000 POLICY X PRO LOC *NY specfd wrkrs-$50k ded $ AUTOMOBILE LIABILITY *MCS90 and MM9955 (broad (Ea BINEDiSINGLE LIMIT 1,000,000 XANY AUTO form pollutn) included** BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED GCC000084915-othr state 4/21/2015 4/21/2016 BODILY INJURY(Per accident) $ X AUTOS AUTOS X NON-OWNED 7GCCO00176715-NH C000085015-MA PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ 15EFXNE60016 4/21/2015 4/21/2016 $ B WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE N GCC000084915 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? NIA (Mandatory in NH) (FL,MA,NH,NY,vT,ME,NJ,RI, 4/21/2015 4/21/2016 E.L.DISEASE-EA EMPLOYE $ 1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below CT) E.L.DISEASE-POLICY LIMIT $ 1 000 000 C Excess Umbrella 15XENOBABQONC 4/21/2015 4/21/2016 $9Mexcess of$5mil above each OCC $9 M excess of$5 Mil above aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Operations of the Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EVIDENCE OF INSURANCE ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Michael Cox/DENISE ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS(I25 oninn5)n1 Tho Ar`f1Rr1 namo anell Inn^nro roniatarofl mnrkc of ArrlRn `._/' / ��`/n/V�!`C/dAe/f..�'/�lii/'ts(dJVG'/l✓ �✓' `:Wr/�����LL�J.e'�'��i1L/I WGT/��C�VJ.. i" Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 137264 Type: Private Corporation Expiration: 10/23(2016 Tr# 258524 TMC SERVICES INC. THOMAS CLARK 19 NATIONAL DRIVE - — ---- - _�_ FRANKLIN, MA 02038 ----_______.v: Update Address and return card.Mark reason for change. sent c, 2041-051111 Address Renewal F-1 Employment Lost Card �r tfn!>rlrtr.NrM 11111 r litsfrrin�t*// -"-\-- Office of Consumer Affairs S Business Regulation License or registration valid for individul use only rOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 137264 Type: Office of Consumer Affairs and Business Regulation Expiration: 10/23/2016 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 TMC SERVICES INC. THOMAS CLARK 19 NATIONAL DRIVE FRANKLIN,MA 02038 Undersecretary N t valid without signature v t Massachusetts-Department of public Safety Board:of Building regulations and Standards COnstruct.ion Sciper►ysur License, CS-036666 THOMAS S CLAP JR 19 NATIONAL DR.IVrg 0 Franklin MA 02038 �„i�,.,,. ..✓ �� 151�' Commissioner Expiration 04/28/2016 NOTES: 1. INSTALL TEMPORARY SHORING 24" FROM BOTH SIDES OF TWO LALLY COLUMNS. 2. INSTALL 18" DIA. CONCRETE PIERS TO A DEPTH OF 6' BELOW SLAB AND REPLACE COLUMNS AFTER 7 DAYS. 3. INSTALL "HELICAL OR PUSH" PIERS AT 5' 0/C TO SUPPORT CONCRETE WALL. 4. EXCAVATE SLAB AND SUBGRADE TO A DEPTH OF 4' BELOW SLAB AND INSTALL FLOWABLE FILL IN AREA "A". 5. EXCAVATE SLAB AND SUBGRADE TO A DEPTH OF 4' BELOW SLAB AND INSTALL FLOWABLE FILL IN AREA "B". 6. EXCAVATE SLAB AND. SUBGRADE TO A DEPTH OF 4' BELOW SLAB AND INSTALL 12'-0" FLOWABLE FILL IN AREA "C". 7: INSTALL TWO W10X22 TEMPORARY SHORING BEAMS AT 3' 0/C WITH W/TWO STAGGERED ROWS Y"x3Ya" HILT] KWIK BOLT TZ EXP. ANCHORS, 12" 0/C, WITH CRIBBING AT THE ENDS 15' 0/C. 0 8. EXCAVATE SLAB SURROUNDING AND N SUBGRADE UNDER FURNACE/CHIMNEY PAD TO DEPTH OF 4' BELOW SLAB AND INSTALL FLOWABLE FILL IN AREA "D". 9. INSTALL 4" CONCRETE FINISH SLAB OVER ALL EXCAVATED AREAS. 0 A E "13 I cV " 17'-0" 8'-0" FOUNDATION PLAN PROJECT OWNER/APPLICANT do LOCATION: DATE: 623 Turnpike St., N. Andover, MAMOF � �r 12-23-2015 +�+ + TMDRAWN BY: CHECKED BY: C SERVICES INC. � � MICHAEL.!. MJB MJB : .CSEBERRY No.N DRAWING TME: S1o.30823 0W3 SCALEF 1/8)f = 1 '-0» N3 FUEL OIL REMEDIATION SKETCH SKETCH NUMBER: Consulting Structural Engineer,Inc. 53 Knox Trail;Suite 201 SS/ONAL ANG Acton,MA 01720 SKS- 1 www.cse.us.com NOTES: 1. INSTALL TEMPORARY SHORING 24" FROM BOTH SIDES OF TWO LALLY COLUMNS. 2. INSTALL 18" DIA. CONCRETE PIERS TO A DEPTH OF 6' BELOW SLAB AND REPLACE COLUMNS AFTER 7 DAYS. 3. INSTALL "HELICAL OR PUSH" PIERS AT 5' 0/C TO SUPPORT CONCRETE WALL. 4. EXCAVATE SLAB AND SUBGRADE TO A DEPTH OF 4' BELOW SLAB AND INSTALL FLOWABLE FILL IN AREA "A". 5. EXCAVATE SLAB AND SUBGRADE TO A DEPTH OF 4' BELOW SLAB AND INSTALL FLOWABLE FILL IN AREA "B". 6. EXCAVATE SLAB AND SUBGRADE TO A DEPTH OF 4' BELOW SLAB AND INSTALL: 12'-0" FLOWABLE FILL IN AREA "C". 7. INSTALL TWO W1.0X22 TEMPORARY SHORING BEAMS AT 3' O/C WITH W/TWO STAGGERED ROWS Y2%3Y" HILTI KWIK BOLT TZ EXP: ANCHORS, 12" 0/C, WITH CRIBBING AT THE ENDS 15' 0/C. 0 8. EXCAVATE SLAB SURROUNDING AND CI SUBGRADE UNDER FURNACE/CHIMNEY PAD TO DEPTH OF 4' BELOW SLAB AND INSTALL FLOWABLE FILL IN AREA "D". 9. INSTALL 4" CONCRETE FINISH SLAB OVER ALL EXCAVATED AREAS. 0 AREA I CV " 17'-0" 8'-0" FOUNDATION PLAN PROJECT OWNER/APPIJCANi & LOCATION: — DATE: 623 Turnpike St., N. Andover, MA TMC SERVICES INCCSE . �NFn�as 12-23-2x15 ► ¢ DRAWN BY: CHECKED BY: � G w NCHAELJ. MJB MJB DERRY DRAWING SCALE STRUCTURAL DRAWING TMENo.30823 1/8" 1 ►—Q" FUEL OIL REMEDIATION G� P � . Consulting Structural Engineer,Inc. �.�. ST SKETCH NUMBER: � G��� 53 Knox Trail,Suite 201 NAI EN K 1 Acton,MA 01720 S www.cse.us.com NOTES: 1. INSTALL TEMPORARY SHORING 24" FROM BOTH SIDES OF TWO LALLY COLUMNS. 2. INSTALL 18" DIA. CONCRETE PIERS TO A DEPTH :OF 6' BELOW SLAB AND REPLACE COLUMNS AFTER 7 DAYS. 3. INSTALL "HELICAL OR PUSH" PIERS AT 5' 0/C TO SUPPORT CONCRETE WALL. 4. EXCAVATE SLAB AND SUBGRADE TO A DEPTH OF 4' BELOW SLAB AND INSTALL FLOWABLE FILL IN AREA "A". 5. EXCAVATE SLAB AND SUBGRADE TO A DEPTH OF 4' BELOW SLAB AND INSTALL FLOWABLE FILL IN AREA "B'.. 6. EXCAVATE SLAB AND SUBGRADE TO A. DEPTH OF 4' BELOW SLAB AND INSTALL 12'-0" FLOWABLE FILL IN AREA "C". 7. INSTALL TWO W1OX22 TEMPORARY SHORING BEAMS AT 3' 0/C WITH W/TWO STAGGERED ROWS Y2%34" HILT] KWIK BOLT TZ EXP. ANCHORS, 12" 0/G WITH CRIBBING AT THE ENDS 15' 0/C. 0 8. EXCAVATE SLAB SURROUNDING AND C--4 - SUBGRADE UNDER FURNACE/CHIMNEY PAD TO DEPTH OF 4' BELOW SLAB AND INSTALL FLOWABLE FILL IN AREA "D". 9. INSTALL 4" CONCRETE FINISH SLAB OVER ALL EXCAVATED AREAS. 0 A REA "13 rr i cV I " � A 17'-Orr 81-0" I FOUNDATION PLAN PROJECT OWNER/APPUCANT do LOCATION: DATE: 623 Turnpike St., N. Andover, MA �1°FMAssq 12-23-2015 TMDRAWN BY: CHECKED BY: C SERVICES INC. � � I CSEMdCHAELJ. MJB MJB BERRY -4 SCALE MUCTURAL DRAWING TITLE: ,�► 0 1/891 No.30823 Engineer,Inc. FUEL OIL REMEDIATION '°.� G!s �P� �Q SKErCH NUMBER: ConsultingStructural En 53 Knox Trail,Suite 201 `S`SrONAL�NC� Acton,MA 01720 SKSM www.cse.us.com