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HomeMy WebLinkAboutBuilding Permit #169-2017 - Exception 8/18/2016 a c ? ► ORT a i • pF N�ao BIJILDING PERMIT ', pL 1 � TOWN OF NORTH ANDOVER � PPLICATION FOR PLAN EXAMINATION Permit NO: to Received �- ' i4__ {, __1?V1 TED Date Issued: I �ke ORTANT:Applicant must complete all items on this page ` - LOCATION d"(Zd C.-ht ��^� 90 a ► ��� c� ^1 ': ,� Print ► PROPERTY OWNER nd011 tr Com. Print MAP NO: Wr PARCEL: ZONING DISTRICT: Historic District yesno Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential • Non- Residential XNew Building ❑ One family r •Addition ,❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial ❑ Repair, replacement• ❑Assessory Bldg ❑ Others: ' ❑ Demolition ❑ Other ' ❑ Septic ❑Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑Water/Sewer n3 LZI� • hGW �0'C`� S ♦ 1, w Identification Please Type or Print Clearly) AJ-vo, POWNER: Name: ' o� ,. �.� Phone: ,Address: CONTRACTOR Name: t y ' r4." Phone: f` a as D� :ori i Address: 300 J0 do.? °a o,4 Q6�17 a Supervisor's Construction License_�S• ^ d.19 666 Exp. ate: �� a3- a{f Home Improvement License: Exp. Date: ARCHITECT/ENGINEER W I ntn 8WI34 Aone: Address: " ,Q[�{ Jam- M� oReg. No. Lf09�S FEE SCHEDULE:BOLDING PERMIT:$12A0 PER$1000.00 OF THE TOTAL ESTIMATED COSY BASED ON VAN PER S.F. Total Project Cost: $ �2-7i P-1 FEE: $ I r� 7 6,60 Check Noy:: L9 Receipt No.: 2z-1 NOTE: Persons contracting with unregj�tered cont ctors do not have access to the guaranty fund /� // Signature of Agent/Owner 4 1 Signature of contractor � � r Location P uG q 1 No. Date I r TOWN OF NORTH ANDOVER ta Certificate of,Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check#C3y Building Inspector- NORTy BUILDING PERMIT a 16"6 TOWN OF NORTH ANDOVER 3 - APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received �4QD gACA SSNCHUS�� Date Issued: IMPORTANT: Applicant must complete all items on this page 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 El Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic 0 Well, ❑ Floodplain 11'Wetlands -0 Watershed'District ElWater/Sewer T DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: _ Email: Address: Supervisor's Construction License: Exp. Date: + Home Improvement License: Exp. Date: 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 :: :� ' x •- A 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 4. 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 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 Copy of H.I.C. And C.S.L. Licenses Copy 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) Building Permit Application 4. Certified Proposed Plot Plan 4. 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 I ECC 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 V._ r v 1 .1 a. Plans Submitted ❑r 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 Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Siqnature 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 Wafter& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FI,REDEPAR�TMENT ,;TernpiDumpster�on±site-t�yesu �; .iz '`i off' �£ ad -c �, Loocatetljat 1g,,41 in,i treet ;f COMMENTS, "'Z 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: lies No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine i NOTES and DATA— (For department use) Notified for pickup Call Email Date Time Contact Name Doc.Buildin�-b Permit Revised 2014 T 1 Plans Submitted ❑ Plans Waived ❑ --Certified Plot Plan•❑ Stamped Plans ❑ 1 TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ r Permanent Dumpster on Site ❑ ` THE FOLLOWING SECTIONS FOR OFFICE USE ONLY. INTERDEPARTMENTAL SIGN OFF -•U FORM ' DATE REJECTED FDAE APPROVED PLANNING & DEVELOPMENT ❑ /711y Yv "'COMENTS e" s��5� l Q Al cQ DF S� S l Ix v1S f �Q.C,I. 4�n S�(� � C/u� w ANT"< 11167&4� f z'Lyr -TV s vte v CONSERVATION a ❑ ❑ 7 ' COMMENTS A c,,. A (00 W DATE REJECTED DATE APP OVED iHEALTH ❑ 6 COMMENT 4 Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments 4 z Conservation Decision: Comments Water&,Sewer Connection/Signature&Date Driveway Permit • Located at 384 Osgood Street = FIRE DEPARTMENT -Temp Dumpster onsite yes no Located at 124 Main Street Fire Department signature/date " s ' ' s COMMENTS DRAM. .xl 2; -v A' AHS-De DEDHAM COUNTRY AND POLO CLUB TONY DIBIASIO Facilities Manager Tel: (781)326-3090 ext. 160 124 Country Club Rd. Cell: (781)686-8855 Dedham,MA 02026 Fax: (781)326-0814 www.dedhamclub.org E-mail:tdibiasio@dedhamclub.org Final Construction Control Document u To be submitted at completion of construction by a Registered Design Professional for work per the 8t'edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title:North Andover Country Club Tennis Court Addition Date:April 7,2017 Permit No. 169-2017 Property Address: 500 Great Pond Road,North Andover,MA 01845 Project: Check(x)one or both as applicable: X New construction X Existing Construction Project description: Addition of new aluminum framed platform tennis court. Repair of deteriorated wood framing at the adjacent deck accessing the new court. I William H. Barry,P.E.,MA Registration Number:40985,Expiration date: 6/30/2018,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: Architectural X Structural Mechanical Fire Protection Electrical Other:Describe for the above named project. I,or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis. To the best of my knowledge,information,and belief the work proceeded in accordance with the requirements of 780 CMR and the design documents approved as part of the building permit and that I or my designee: 1. Have reviewed,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. Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Have been 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 was performed in a manner consistent with the construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. Enter in the space to the right a"wet"or ��4tx OF it, electronic signature and seal: c� WILLIAM N. a BARRY A STRUCTURAL � No.4098.5 E�SIpM�I��6 Phone number: 781-444-5156 x239 Email: wbarry@dmberg.com Building Official Use Only Building Official Name: Permit No.: Date: Version 06 11 2013 I �RNIriiA VMr. � m Srk Cr URA- EN�NEE\S CONSULTING ENGINEERS 100 Crescent Road,Suite I DtA BERG CONSULTANTS, P.C. Needham,MA SERVING THE INDUSTRY SINCE 1963 02494-1457 p 781.444.5156 f 781.444.5157 www.dmberg.com CONSTRUCTION OBSERVATION REPORT Page 1 of 2 Project Name: North Andover Country Club Platform Tennis Court Date of Visit: November 9, 2016—Follow-Up Project Address: 500 Great Road, Andover, MA 01810 Weather: Sunny and Cool Report No.: 01A The undersigned visited the above-referenced project on the date noted above. The purpose was to visit the project at an appropriate stage during construction to become generally familiar with the progress and quality of the Contractors' work and to determine if the work is proceeding in general conformance with the structural drawings and specifications prepared by DM Berg Consultants, P.C. EARTHWORK ALUMINUM FRAMING Soil Bearing Strata for Footings and Slabs-On-Grade X Installation Controlled Structural Fill for Footings and Slabs-On-Grade X Bolted Connections Perforated Drainage Systems X Welding CAST-IN-PLACE CONCRETE X Details Reinforcement Installation WOOD X FormworkeX Installation Concrete Placement X Connection Hardware Evaluation of Concrete Strength and Sampling of Concrete SPECIAL CASES Curing and Protection n Locations of observations and construction status: Open items are in bold italic format. Reviewed the completed court: • The court construction appeared to be in conformance with the Contract Documents and RPTC, LLC construction standards except as noted. This included installation of the support piers, aluminum girders and anchorage to the piers, side channels,joists, decking, uprights and inriggers, perimeter fence system, snow gates, tension system, etc. o The center girder that supported the net that was noted as not anchored to the three support piers has been anchored down per photos received via email on March 15, 2017. The center beam was anchored down using cables and turnbuckles attached to anchors to the concrete piers. • The wood framed apron around the base of the court was composed of T-111 plywood attached to the perimeter channels with vertical 2x4 stiffeners and continuous 2x4 along the base of the apron. 2x4 kickers were generally spaced at about 12'-0"on-center along the apron. o On the side adjacent to the existing court,where the kicker was about 18'-0"from the corner, Kim of RPTC has confirmed that their subcontractor has installed the requested additional kicker to reduce the unbraced length of the apron. • An issue with the wood support members at the existing walkway adjacent to the new court that was been brought to the attention of the owner has been repaired as per photo received via email on March 15, 2017. Were discrepancies with the Contract Documents noted? X Yes No Were changes/substitutions/clarifications to the Contract Documents noted? Yes X No Were any previously listed items resolved? HxYes No Discrepancies: Changes/Substitutions/Clarifications: Resolved Items: Refer to Locations of observations and construction status for information. Design•Analysis•Forensics•Construction Administration•Structural Tests and Inspections Peer Reviews•Feasibility Studies•Historical Preservation•Building Envelope•Specialty r � �� ��•J t STRUCTURAL ENGINEERS iiia CONSULTING ENGINEERS 100 Crescent Road,Suite 1A DM BERG CONSULTANTS, P.C. Needham,MA SERVING THE INDUSTRY SINCE 1083 02494-1457 p 781.444.5156 f 781.444.5157 www.dmberg.com CONSTRUCTION OBSERVATION REPORT Page 2 of 2 Project Name: North Andover Country Club Platform Tennis Court Date of Visit: November 9, 2016—Follow-Up Project Address: 500 Great Road, Andover, MA 01810 Weather: Sunny and Cool Report No.: 01A SIGNED: s COPIES TO: Chris Casiraghi &Kim Pereira—RPTC William H. Barry, P.E., Senior Associate p:\projl6\001-099\16061\cledcaPca\16061fr01a.doc DM Berg Consultants, P.C. has not been retained to make detailed inspections or to provide exhaustive or continuous project review and observation services.DM Berg Consultants,P.C.shall not,during such visits or as a result of any observations of construction,supervise,direct or have control over Contractors'work nor shall DM Berg Consultants, P.C.have authority over or responsibility for the equipment,means,methods,techniques,sequences, or procedures of construction selected by the Contractors or health and safety precautions and programs incident to the work of Contractors or any failure of Contractors to comply with laws,rules,regulations,ordinances,codes,or orders applicable to Contractors furnishing and performing their work. DM Berg Consultants,P.C.does not guarantee the performance of the construction contract by the Contractors,and does not assume responsibility for Contractors'failure to furnish and perform their work in accordance with the drawings and specifications. Design•Analysis•Forensics•Construction Administration•Structural Tests and Inspections Peer Reviews•Feasibility Studies•Historical Preservation•Building Envelope•Specialty pORTF# BUILDING PERMIT *� TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMINATION * - tl Permit NO: Date Received 6W l 4-x= tt 's9sSACHUS��� ' Date Issued: 1 ORTANT:Applicant must complete all items on this page JJ LOCATIONS' __ - Pnnt , PROPERTYOWNER d,AV 6. Print MAP NO: _-PARCEL ?), ZONING,DISTRICT: Historic District yesno Machine Shop V�Ilage_ yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential XNew Building ❑ One family r kAddition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial nc3isloa ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other O Septic EI W611 a iiSFloodplain ❑Wetlands ❑ Watershed District E Water/Sewer r Identification Please Type or Print Clearly) OWNER: Name: '�o� �d�t/iG�' ,. G�w.� Phone: . :Address: CON.TRACTFJR Name: Phone: Address- 0;09 30ft44 ;°cZ r 06q - 77 a Supervisor's Co.ConstructionLice nse _ _ x' ` ate: �- a Home"Improvement License: Exp. Date: ARCHITECT/ENGINEER Will an (3w10 4 Phone: 7 J'/17 eje 33� Address: Q[ -z byr Reg. No. 4/09�S FEE SCHEDULE.BOLDING PERMIT:MOO PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No,.: Receipt No --2-,j01L� - I NOTE: Persons contracting with unreg*jeered cont ctors do not have access tb the guaranty fund Signature of_Agent/Owner ! S1 nature of contractor Contract ' Chris J. Casiraghi ) RPTC, LLC . ) Contractor - 34)0 Bostorr Post Road ) o Orange, CT 06477 ) Mr. Stephen Kohr—General Manager ) • North Andover Country Club ) Owner 500 Great Pond Road _ ) 66 North Andover, MA 01845 ) The purpose of this document is to set forth terms and conditions for the furnishing and construction by Contractor of one new Reilly Patepted all- aluminum platform tennis court, one spectator area and one stair with double landing,and railings for Owner on Owner's property at the above address. . o 1.)Scoue of Work: Contractor will furnish all labor and materials required in the` , construction for Owner of one new Reilly Patented all-aluminum platform tennis court, one spectator area and one stairs with,double landing.and railings on Owners property. Project specifications Court 4: • Digging and pouring of 21 concrete piers to have "bigfoot"bases and be 18" in diameter to a level below frost line • Installation of seven double aluminum I-beam girders.and'joist carriage • Welded aluminum deck surface of 6:'wide by 30' long members spaced 3/16" apart, including all-aluminum joist carriage • Surface of a flood coat system-of polyamide epoxy paint, number 24 aluminum 'oxide grit, and white lines • Removable net posts, net and center strap • All aluminum black welded superstructure, with sixteen gauge galvanized screening and one entry gate • REILLY Tension System including heave duty shock absorbina tension Vnn_a for consistent tension and to prolong life of screens • Clear grain mahogany snowboards stained with Cabot's corgovan brown stain and including Posi-lock safety feature • Installation of 6— Owner supplied LED fixture using foam,encased 12/2 OF in the pole to a 4'tail under the court for connection by the Owner:* • Installation of sub-deck neoprene gasketing between spaces in deck boards to act as sound absorber • Installation,of 5/8"texture 1-11 Douglas fir plywood perimeter skirting, stained with Cabot's semi solid Cordovan brown, around base of court. Includes 2x4 framing and two access gates for average 23 sheet installation* • Travel & lodging costs of building crew and supervisor • Freight r Spectator Deck, railings and stairs Page 2 of 5 • Deck to measure approximately 10''x 30' — 300 sq ft r • Install 8 — 36" "bigfoot" piers with 12" sonotubes • Install triple 2x12 PT main girders • Install 3x8 cross joists on 36" centers • Install pre-owned aluminum decking • . • 40 lineal feet ofskirting , • One 4' x 4' platform with necessary concrete piers s • One set of stairs of approximately 6 risers • One 5' x 4' platform with two to three tread stairs to concrete'landing • Guard,railing to match spectator deck - • Graspable hand rail on one side • Pressure treated railing approximately 40' to match exiting as closely as possible but be to current code + Engineered drawings with WA stamp Heaters: • Owner to supply the heaters • Owner to supply hanging brackets or reimburse, us if we purchase these • We.will mount the three heaters on the new court at no charge • Mount 4+heaters rZ 2 Con ice The lump sumprice for performing the work here in specified shall be. 97;937_ which is inclusive of all sales taxon materials. Contract price inclu hasing materials, delivery, construction, and supervising the work as well as travel expenses for the working crew. *Contractor will run wires (12/2 UF) to bottom of light pole with a tail long enough to reach the entry door'of the court. f=inal hookup is the responsibility of the owner. This is strictly an accommodation to the club so that the club will not incur the extraordinary,expense of having the clubs electrician installing the lights after the court.is installed.. There can be no back charges whatsoever relating to this accommodation. The lump sum does not include permit fees, survey fees, expenses igcurred in clearing, excavating, other than for piers, and/or re-grading the sight, providing extra viewing platforms and/or walkways other than those outlined above, or the installation and connection of utility service lines. 3.) Local Codes: Electrical Power for Construction ' a. Any changes to the design of the Contractor's court due to local building codes are at,the Owner's expense. b. Owner will be responsible for providing electric power at the site 4J Liens Contractor agrees to keep the.job premises.free from Liens or other encumbrances originating from Contractor's purchase of materials and employment of labor for the,work, r a y Page 3 of 5 • 6) Insurance Contractor obligates himself to carry insurance in minimum amounts as follows and will forward at Owners request a certificate of insurance to Owner naming the Owner as an additional-insured. a. Workmen's Compensation—statutory—employer liability part to be $500,000 minimum ' V Public Liability-Bodily Injury/Property Damage: $1,600,000 combined - single limit Jar c. Contractor carries a $2,000,000 umbrella policy 1 REM of Loss All risks of loss or damage to materials which have been installed in the performance of the work shall be with Owner unless cause by Contractor whereby Contractor will Still be liable. All risk Iof loss or damage to materials which have not been installed as well to Contractor's supplies, construction aids and equipment located on the job sight shall be with the contractor. "Installed" is to mean once materials have been permanently attached to Owner's property. 71 Drawings Contractor has furnished their standard MA engineered stamped drawings in .pdf format.• Owner to act as GC and submit and obtain all permits. 81 Guatantee Contractor guarantees that his work will be free from defects in d workmanship and materials under normal use and service as follows: Welds for a period of'5 years from installation. applied aggregate surface fob a period of 3 years from installation for adhesion. remaining workmanship and materials from a period of 1 year from installation. f • Light fixtures as is (we will demonstrate that they work). A defect in any part of the installation shall not, when said part is capable of being renewed, repaired or replaced, operate to,condemn such installation. Guarantee is void if payment is not received as outlined.in paragraph 18. This guarantee shall not apply to any materials or equipment furnished by Contractor which shall have been repaired or altered in any way by other than Contractor so as to affect its suitability, nor to any material or equipment which has been subjected to misuse, negligence, or accident. If equipment furnished hereunder is defective, Owner shall promptly advise Contractor in writing to this effect so that Contractor shall have the opportunity to inspect, repair and/or, replace the equiprnenfin question. Contractor assumes no liability for any back charges by Owner unless Contractor has given written authorization for such work. In no event does Contractor°assume liability for delays resulting from repairs or replacement of materials. Contractor assumes no,risk for consequential damages arising out of the use or misuse of materials and/or a a Page 4 of 5 equipment furnished hereunder, and Owner undertakes to hold and save- Contractor harmless there from. w 91 Union Clause Contractor is'a non-union shop. Any interference by unions resulting in delay of the job and/or additional expenses incurred by Contractor to complete the job (including but not limited to labor, room and board)will be at Owner's expense. o 101 Satisfaction No payment by Owner or receipt by Contractor of an amount less1han the amountcontracted by Contractor shall be deemed to be other than an account of-the invoice amount, nor shall any endorsement on any check nor ' any letter accompanying such lesser payment without•prejudice to Contractor's rights to collect the balance of such invoice amount. 11,1 Access_ Contractor is familiar.with the site and.ageees that the site is ' accessible. 12) Use Constitutes Acceptance Upon completion of court by Contractor, court will be playable. Owner also agrees to inspect court upon completion and draft punch list. Contractor will make adjustments per list. Owner may withhold reasonable monies directly applicable to items on punch list that have not been corrected or addressed. Contractor will*address and direct all punch list items immediately following issuance of punch list by Owner. Owner must draft list immediately upon completion of court by Contractor while construction crew is still present so that construction crew can make any.necessary repairs. 13).Effect of Document This contract shall have the effect of superseding any previous document. Furthermore, no prior or future oral representation by any member of Contractor's employee or any representative for Owner shall supersede this contract whether implied or expressed. 141 Jurisdiction Contractor is a New York LLC and all aspects of this contract' . ` will bonform to, be administered under and governed by Massachusetts law. In the event of a-dispute Contractor and Owner agree to binding arbitration in lieu of a court hearing with the arbitration to be governed and controlled by the rules and`procedures of the American Arbitration Association. a ' 15 Taxes The prices stated in this contract do include sales.tax bn the value of the materials, but do not include use, excise, personal'property or,gross income taxes or like taxes, or taxes or fees substituted in lieu thereof, which may now or may hereafter be imposed,by federal, state,or local government by reason of our furnishing or installing this equipment. All of the forgoing levies except sales tax on the materials shall be the Owner's account and responsibility. 16Z Scheduling Contractor will schedule installation of ther courts for as soon r after the permits are issued as possible. We are estimating to be onsite to install the piers in early June. We will coordinate with the club concerning deliveries and disturbances. We anticipate that our work will largely be very quiet and unobtrusive except for the concrete and court deliveries. e Page 5 of 4 • )Additions/Del'etions - • None at the time of drafting r - . 18) Conditions.For Payment The lump sum price plus,additions shall be paid to RPTC, LLC and be paid to Contractor as follows: ' • 15% ($14,690.00) Upon acceptance • 15% ($14,690.00) Upon Installation of the concrete piers (Estimated the week of June 13, 2016). ' • 50% ($48,969.00) upon delivery of the court • 20% +/- ($19,588.73) plus any extras upon completion of the court to the site crew. Contractor and Owner shall have agreed in advance to the scheduled arrival of materials. Cost penalties (not limited to freight, labor and lodging) attributable to • Owner's change in such agreements shall be at Owner's expense. ` Contractor will furnish one final invoice at completion of the work. No.additional invoices will be drafted and are not necessary for progress payments. Contractor will provide Owner seven days' notice of when each progress payment « �t�,P Owner will deliver 'r p ogress pa ments to on-site construction foreman. Should Owner not have check available to the on-site construction foreman then Owner will at its expense overnight a check to our office within 24 hours'. 19 Acceptance If the,forgoing terms are acceptable to you, plQ.ase so indicate ' by signing where indicated. Such action on yourpart will give rise to a contract between Owner and Contractor upon the terms set forth above: This contract is acceptable as outlined. e a 0 • (name) (title) (da e) Owner Member May 9, 2016 . hrir6reen siraghi (title) (date) RPTCReitl Mountain Platform Tennis . o Y Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 8t'edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project'Tifle:North Andover Country Club Tennis Court Addition Date:July 7,2016 Property Address: 500 Great Pond Road,North Andover,MA 01845 • .Project:Check(x)one or both as applicable: ' X New construction X Existing Construction Project description:Addition of new aluminum framed platform tennis court,aluminum framed deck extension,and wood framed access stair with intermediate landing. Repair of deteriorated wood framing at the existing courts and decks.. I William H.Barry,P.E.,MA Registration Number:40985 ,Expiration date:6/30/2018,am a registered design professional, and Piave prepared or directly supervised the preparation of all design plans,computations and specifications concerning': Architectural X Structural Mechanical Fire Protection Electrical 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,I shall submit field/progress reports(see item 3.)together with pertinent comments,in a form acceptable to the building official. Upon completion of the work,I shall submit to the buildin official a`Final Construction Control Document'. • Q���'`t� OF MAaa+CyG Enter in the space to rhe right a"wet"or W1WAM H• �. u BARRY electronic signature and sea]: STRUCTURAL No.40985' A9�9FCISTEP�O�;ce'� • E 6 sarorut N / / Phone number: 781-444-5156 x239 Email:wbarry@dmberg.com s Building Official Use Only Building Official Name: Permit No.: Date: , Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 11 2013 The Commonwealth of Massachusetts , A • Department oflndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02H4-2017 www.massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. . Applicant Info mation Please Print Legibly Name(Business/Organization/Individual): YortL I rJoV frd Q Address• /00-r /Po a /lbw-KZ►- 4a A✓f!' A Phone#: ??1' City/State/Zip: �h ' Are you an employer?Check the appropriate box: • Type of project(required): • LE]I am a employer with—.—employees(full and/or part-time).* 7• XNew construction a 2.Q I am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling' ' any capacity.[No workers'comp.insurance required.] i 3.Q I am a homeowner doing all work myself.,[No workers'comp.insurance required.]t 9. 0 Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition ensure that all contractors eikr have workers'compensation insurance or are sole 11.[J Electrical repairs or additions proprietors with no employees. • _ 12.E]Plumbing repair§or additions , 5 X I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ` 13.E]Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other t 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *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. tContractors 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. . 1 ant an employer that is providing workersconrpenAtion insurance for nny employees. Belmv is the policy and job site infornnation. Insurance Company Name: y Policy#or Self-ins.Lic.#: Expiration Date: 1 y Job Site Address: City/State/Zip- Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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 j day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Idohereby.cert!9 nderdiepfllnsaid enalties of perjury that the information provided above is trine and correct Signature: Date: IFt /f/6 , Phone#: Official use only. Do not write in this area,to be completed by city or town:official. City or Town: Permit/License# Issuing Authority(circle one): ! ; 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: 1 Phone#: * �� • RPTCL-1 OP ID: PM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY). W 07/29/2016 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(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 endorsemen s. PRODUCER CONTANAME:CT Patrick McKiernan RIe Abercrombie BUS PHONE FAX McKiernan&Co.Ins.,Inc. 4 ` A/c No am:203-655-7468 A/C,No):203-656-2540 P.O.Box 1125 a E E-MAILDarien,CT 06820 SS:pmckieman@abmck.com Kevin McKiernan , INSURERS AFFORDING COVERAGE NAIC# INSURER A:Harleysville Insurance Company 23779 INSUREDRPTC, LLC,DBA INSURER B: t ,. Reilly Green Mountain INsuRERc: 300 Boston Post Road Orange,CT 06477-3505 INSURER D: s INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER4 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. 'LTR TYPE OF INSURANCE ADDL POLICY NUMBER MMDCD� MM/DDS LIMITS A X COMMERCIAL GENERAL L1ABILrTY _ EACH OCCURRENCE $, 1,000,00 CLAIMS-MADE P(I OCCUR MPA52159H r 01/18/2016 01/18/2017. DAMAGE TO RENTED 100,00 PREMISES Ea occurrence $ MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 X POLICY❑JECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED ti LIMIT Ea accident $ 1,000,00 A ANY AUTO BA51825H 01/18/2016 01/18/2017 BO ZY INJURY(Per person) $ ALCOWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X X NON-OWNED ROPER ' nDAMAGE $ HIRED AUTOS AUTOS , X UMBRELLA LIABX OCCUR EACH OCCURRENCE $ 2,000,00 A EXCESS LIAB• CLAIMS-MADE CMB56493H 01/1812016 01/18/2017 AGGREGATE $ 2,000,00 DED I RETENTION$ $ WORKERS COMPENSATION . PER 0TH- AND EMPLOYERS'LIABILITY X STATUTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE• Y/N C51870H 01/18/2016 01/18/2017 E.L.EACH ACCIDENT $. 500,00 OFFICER/MEMBER EXCLUDED? El N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE rPOLICY LIMIT $ « 500,00 • i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) ' a r CERTIFICATE HOLDER CANCELLATION SHOULD ANY'OF THE ABOVE DESCRIBED POLICIES BE.CANCELLED BEFORE North An over Count Club THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Country ACCORDANCE WITH THE POLICY PROVISIONS. 500 Great Pond Road North Andover,MA 01845 AUTHORIZED REPRESENTATIVE t ©1988-014 ACORD CORPOIkATION. All rights reserved. ACORD,25(2014/01) The ACORD name and logo are registered marks of ACORD �viassacnusel][S Ueparzrrlenx cr runlic aaresy Board of Building Regulations and Standards License: CS-079616+6 Construction Supervisor EUGENE A DIBIASIO 3 WESTViIIND ST% PLYMOUTH ,MA:'02360 � T t � Expiration: Commissioner 062392017 Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. i Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOV/DPS Plans Submitted❑ Plans Waived E _ t TYPE OF•SEWERAGE DISPOSAL DEDHAM COUNTRY AND POLO CLUB i 3 Public Sewer ❑ ...."�""""""�"�"��"�"��-" Tanning/MassI TONY DIBIASIO Well ❑ Tobacco Salej Facilities Manager Tel: (781)326-3090 ext. 160 Private(septic tank,etc. ❑ permanent Dul 124 Country Club Rd. Cell: (781)686-8855 k Dedham, MA 02026 Fax: (781)326-0814 1t www.dedhamclub.org E-mail:tdibiasio@dedhamclub.org THE FOLLOWING SECTIONS FOR OFFICE USE ONLY. INTERDEPARTMENTAL'SIGN OFF - U FORM DATE REJECTED DA E APPROVED PLANNING & DEVELOPMENT P 'COMENTS Lguf ,E-� I�i� c C it f u(sr'-Tv s tfe CONSERVATION ❑ ❑ COMMENTS � W ` ✓\ I Ot7 ` �;�. DATE REJECTED DATE APPROVED HEALTH ❑ 4�6 COMMENT - Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments L Conservation Decision: Comments Water& SeWer Connection/Signature Sz 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 - %AORT e . Zc . . ve: .. O No. 11A.- Aq - y . soh ver, Mass, V�Iffl Ilia A- cocroc«ewic« �1 7� q^ra v r`P��,� tj5 S U BOARD OF HEALTH Food/Kitchen PERITT L D Septic System THIS CERTIFIES THAT ..... ` BUILDING INSPECTOR .. . :................. h.... .... .�. !� ....... ..... .... .. .. .. ... .. .... Foundation has permission to erect .......................... buildings on . . �.� ... ...kom(f Rough to be occupied as .....W.���....C.1 .... �... .. k...�14*......................... Chimney provided that the person accepting this permit shall in every espect 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 CONST TIO S Rough Service ... .. .. .... ...... .. ............... Final BUIL NG INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinm 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. Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 973977.00 m $ - $ 1,175.72 Plumbing Fee $ 146.97 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 146.97 Total fees collected $ 1,569.66 500 Great Pond Road 169-2017 on 8/18/2016 new paddle tennis court Dimension 1 / I Number of Stories: 1 Total square feet of floor area, based on Exterior dimensions. 6o e a � Total land area, sq. ft.: t� ' f 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) A w - • D ❑ Notified for pickup- Date Doc.Building Permit Revised 2012