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Home My WebLink AboutBuilding Permit # 7/16/2015 (2) �aoaxre BUILDING PERMIT �� ma;�. ... •••° °� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION - � 1 .� / Permit NO: * � - � ate Received • � na�A os�+ia�awwa yq0 Date Issued: / ✓ ��sgcwus�� IMPORTANT: AJcant must complete all items on this awe a x . PHnt;� " PROPERTY OIJVNER ? 00 �,„„ Pdnt MAP NO �� PARCEL ZONING DISTRICT:;. Historrc District yes no 1 . Macline,Sh`opVillage yes; nb TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building 0 One family C1 Addition ❑ Two or more family 0 Industrial W-Ateration No. of units: C1 Commercial C Repair, replacement 0 Assessory Bldg 0 Others: 0 Demolition ❑ Other o;Sepfiic !Well Cl Flood " p! Wetlands; ain ;t3,VJiater/Sewer�t. D;WatershedDistrrot.; ()10 - 0C W Identification Please Type or Print Clearly) OWNER: Name: ) ' - Phone: I Address: CONTRACTOR -Name; ''"" j P one: , 1 Address e Supervisor's Construction License. Exp. Date: Jjs Name Improvement License r- Exp t D"ae:" ARCHITECT/ NG NE R Z(� I �%�F'hone: /`� 4 (�c�r' �C� Address: 1 C T---- Reg. No. FEE SCHEDULE:SULDING PERMIT.,$12.00 PER$1000.00 OF THE rOTAL ESTIMATED COST BASED ON$125.00 PER S.F. CO2) , Total Project Cyst: $ FEE: $ Cry Check No.: __ n � Receipt No.: �4 NOTE: Persalts contracting with unregistered contractors do not have access to the guaranty fiend Signature of Agent/OW �_ Signature of contractor, tAORTH ' town of ®ver p = 0% C, h ver, Mass, O LANE 1 COCNICNEWICK �.ej A°Rgr�o kPu. �,��(� S U _ BOARD OF HEALTH Food/Kitchen Septic System R T T D e. THIS CERTIFIES THAT � 1 . .. ... ..................... BUILDING INSPECTOR ........... .... ..... 00 IV... ............................... . . has permission to erect ................. buildings on ...�. .. , ,,,,,,,,,,,,,,,,,,,,, Foundation iks Rough to be occupied as ....... .... . .]t . . ...... . . ............I�o �. -.. ... .. .... ...... chimney provided that the person accepting thi permit shall in eve respect conform to the terms of tFie application p p p g p every p 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 E IR IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CTIT Rough Service ............. .................................. ......... BUILDING INSPECTOR Final 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. Initial Construction Control Document To be submitted with the building permit application by,a Registered Design Professional for work per the 81h edition of the Massachusetts State Building Code, 780 CMR, Section 107.6.2 Project Title: MERRIMACK COLLEGE—O'REILLY HALL Date: 07-09-15 Property Address: 315 TURNPIKE ST.—N. ANDOVER, MA. Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Interior renovations to first floor classroom and office space and third floor office space I Charles Cochran MA Registration Number: 6559 Expiration date: 08-31-2015 ,I am a registered design professional, and hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: X Entire Project X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that 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. 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 A official a 'Final Construction Control Document'. y 0. CHARLES &j A. Enter in the space to the right a"wet"or 47 COCHRAN C-14 electronic signature and seal: o N0,6550 WESTFORD "'A MA TPHI OF M 4 Phone number: 978-399-0240 Email: cac, covrnerstonearchitects.com Building Official Use Only Building Official Name: Permit No.: Date: Trial Version 10 09 2012 all PIMENTEL Merrimack College July 13, 2015 315 Turnpike Street North Andover, MA 01845 Attention: Felipe Schwarz Re: O'Reilly Hall CONTRACT Based upon marked up drawings, dated 07/01/15, of O'Reilly Hall (111, 2nd and 31,floors), Pimentel Construction Co., Inc. proposes to supply labor and materials to complete the renovations of O'Reilly Hall at Merrimack College. Scope of work: • Permit • Supervision • Dumpsters • Final Clean • Millwork in kitchen: Counter Top, Base and Upper Cabinets 7' p-lam • Build new walls, cut in new opening for doors and patch walls from demo. • Demo walls and remove carpet(excludes block walls) • Cut in wall 2"from ceiling and build soffits. • Furnish and install 6' P-lam Base cabinets, counter top and upper cabinets. Based on "Wilsonart" standard p-lam colors. • Furnish and install doors as follows. 0 1 PM Casted opening frame 0 8 PM Knock down frames 0 8 Prefinished Clear maple doors ■ 6 flush tupe • 2 half glass o Hardware 0 2 full glass vision kits 0 4 half glass vision kits • Allowance of$2,750.00 to patch ceiling • Furnish and install carpet and v, base per drawings, based on $35.00 psy allowance • Furnish labor and materials to paint per plans Job-# 115 154 -- Purientel Construction Oct, Inc. + 231 Andover Sireel.v'TOmington, IVA 01887 4 Telephone (97 8)657-9600 4 Fax (978)65f-0603 • Provide plumbing for a galley kitchen, using plumbing in wet wall. • Relocate HVAC diffusers and ductwork as required. • Electrical work per plan E1.0- E1.1 • Supply and install materials to alter the sprinkler system within the existing building. This work will include fire dept permit, sprinkler drawing, pipe, sprinklers, fittings, hangers and labor to add/relocated sprinklers in a workman like manner per drawings A-2.0 and A 2.1. Price: $180,090.63 Anthony Pimentef PimentelrConstruction Co., Inc. Accepted by: .. Date: f r Excludes: Premium time and masonry work. Job# 115 154 Piiriente!Construction Co, Inc. * 231 An(lover Street,Ihlilming[on, MA 01887 + Telephone(978) 657-9600 Fax (978) 657-9603 V A I TFORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (GS60UB-2E62448-0-1 4) NEW-1 4 INSURER: HARTFORD UNDERWRITERS INSURANCE COMPANY NCCI CO CODE: 10456 1. INSURED: PRODUCER: PIMENTEL CONSTRUCTION CO INC EDWARD F SENNOTT INS 231 ANDOVER STREET PO BOX 457 WILMINGTON MA 01887 TOPSFIELD MA 01983 Insured is A CORPORATION Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from 12-20-14 to 12-20-15 12:01 A.M. at the insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in a item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: $ 1000000 Each Accident Bodily Injury by Disease: $ 1000000 Policy Limit Bodily Injury by Disease: $ 1000000 Each Employee N C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A m D. This policy includes these endorsements and schedules: SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 0 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All required information is subject to verification and change by audit to be made ANNUALLY. R DATE OF ISSUE: 01 -13-15 AK ST ASSIGN: MA OFFICE: ORLANDO DA HTFD 05G PRODUCER: EDWARD F SENNOTT INS 2562B 004286 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): h e Address: oo City/State/Zip: L-V-um�_D/M, Phone #: � . . Are you an employer? Check the appropriate box: Type of project(required): 1. am a employer with 10 4. ❑ I am a general contractor and I 6. ❑New construction employees (frill and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' g ❑Building addition [No workers' comp. insurance camp. insurance.t required.] 5. We are a corporation and its 10.❑Electrical repairs or additions ❑ � 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I 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. Iain an employer that is providing workers'compensation insurance for my employees. Below is the policy rind job site information. Insurance Company Name: Policy#or Self-ins. Lic. #:�(�,��(�.,� � ��>(,� j' �` Expiration Date: Job Site Address: r /�/�1I �./��, '�� N A) k.,1/ City/State/Zip: D/a Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required umder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties ofperjury that the inforunation provided above is trice and correct Si nature: ::t�IL-44z��s Date: ' h-�- Ll Phone#: 2 2� Official use on&. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: \- 13 rc.! of L"LJ IIUIng R) at Dn,�. n S;-ainarc�� ( �mtructin Su��r�i, r � Lic >e: CS-012453 Fr ANTHONY J PMNTEL 16 Spencer Court: v Andover MA 01810 Expiration Cornn,issioner 02/27/2016