Loading...
HomeMy WebLinkAboutBuilding Permit # 12/30/2015 BUILDING PERMIT 'TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION a Permit No# =r Date Received i ,SS CHUS� Date Issued: IMPORTANT:Ap2licant must complete all items on this page LOCATION 623 Turnpike Street Print PROPERTY OWNER Walter Amigo Prins 100 Year Stmcture yes o MAP 25 PARCEL: -ZONING DISTRICT: Coo 1 Historic District yes o Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential New Building Pg One family 0 Addition C Two or more family ? ❑Industrial u Alteration No.of un s: D Commercial _{ N Repair,replacement D Assessory Bldg D Others: D Demohtlon d Other _ DESCRIPTION OF WORK TO BE PERFORMED: Support Foundation and Structure in order to remove oil contaminated soil from beneath structure Identification-Please Type or Print Clearlyrt WalterAmigo o Phone: 978-688 OWNER: Name: -3537 _Address. 623 Turnpike Street,North Andover 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 137264 EX Date: 10/23/2016 � € Home improvement License P ���ttt ARCHITECT/ENGINEERMike Berry(Consulting Structural EngineerPhone: 978-461-6100 Address: 53 Knox Trail,Suite 201,Acton,MA 01720 Reg.NO.30823 FEESCHEDULE EULDING PERMIP..$12.00 PER$1000.00 OFTHETOrAL ES77MATED COST EASED ON$125.00 PER SF. Total Project Cost:$75.000.00 FEE:$$900.00 Check No > ' celpt Nq ` _t tYOTE: Persons con ratting with unregistered coAsd" o QP s ie gum antyfund yl qrV%ORT11 -town of Andover Po No. h Ver,Mass, BOARD OF HEALTH Food/Kitchen nPERMIT T ILU septi,System THIS CERTIFIES THAT..................V..9 '..X U................. ............................................ BUILDING INSPECTOR Foundation has permission to erect....................... b :Df............... Rn ugh to be occupied as.....................(��x? "i—y provided that the person accepting this p, it shall in every respect conform to the terms of the application Fml 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 6 ............... _ ......................... m.1 BUILDING INSPECTOR GAS INSPECTOR Occupanct,Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises—Do Not Remove Fm.1 No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Ingpector. Bnr— st—No. Smoke Dei. r" TMC ENVIRONMENTAL "Keeping a check on our Environment" Challenge 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 I • 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 vacuum truck to vacuum contaminated soil,a 2k(+/-)gallon Frac tank for ground 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 21 HOUR EMERGENCY RESPONSE 1.800.223.8865 19 National Drive Franklin Maseacr.s 02038 tel 508.9666000 fax 508.966 4861 tm<enr ronmental com ENPR TMC ENVIRONMENTAL "Keeping a Check on our Environment" Quote Number Excavation and Management of Impacted Soil Phase It: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 tines 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 III B: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 11 ENPR� r.- TMC ENVIRONMENTAL 'Keeping,cheek an 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 e 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 %"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 ENPRO 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 reflectin services Conformed. Phase Task Description Units Rate EST Unit77gitl 1 Pre-Construction Lump Sum $500.00 1 $500.00 Activities 1A Video Recording of Pre Lump Sum $500.00 1 $500.00 Construction 1B Town Building Permit Lump Sum $500.00 1 $500.00 2A Crew&Equipment to Day $3,425.00 1 $3,425.00 Prepare the work area 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 TMC ENVIRONMENTAL °K-ping a check on our EW—necot° Quote Number Excavation for 3B1 Underpinning Section Day $4,500.00 4 $18,000.00 1 3132 Excavation for Section Day $4,500.00 4 $18,000.00 3133 Concrete Pump Truck '/z day $1,000.00 2 $2,000.00 3134 Concrete 3,000psi 3/8" Min Load $1500.00 2 $3,000.00 '.. P-stone 10CY 4A BackfillCrew& Day $2,250.00 1 $2,250.00 Equipment 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 71 ENPRO TMC ENVIRONMENTAL "Keeping a check on our Environment' Quote Number ,-A—'r�" � 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 - i Attachments: TMC(ENPRO)Standard Terms&Conditions Initials TMC Client Quote No.215.26.099 Page 6 of 6 (ner,ln�e�mie tee mzo'R�cj mer�uP Nea9�emeln�ree�i.veen ivcsz�lwyouln�namrrere�mes I.aN0.N anNmodlelab-fiN ane mnrmclorzP�uVonCaDuiy issuance n Na olbvnno aamaammmei 9 rel nY�.B nauneersmneue 11 ab'iulM—s�o amenemeroormen e°mumumen°remu onenes neemewenme eom exss 11 711 Ill.11 ure ana¢ula zd wlry av12 1.4 G, leameencimuanrzar nautyiMcwi nm n ncn�nl°e an oNermseance�n rorce eonlsuvureivcue axor<ea mall De unity la° mperryae end a onweas.monornlln oleaeim ereneroraereemenr ee mewrk ilrecEenl ry ¢ene amen mj) elnl(s)rn0n a nar Ih.a`,Il.lamatt cr nli lis I s paym nl cr Ina aeaioonal lee Goes nolmnsulule°morgo mr n m III TM ssanervAna mai®mainm_ eulnom Ie amimna ell uosll°ns or re¢ena elect to nav°me Jua al vesewimou�aln rano pm ose,cc nfN, s no ' r re ar.s me eels,taus mn caa rmnn tee, o sum eamaoaa r° eoa se esrrwen n°tr°e norms rs aner servoeorreure. lervle cl oliryem all n"N°e oei auens remumx_ msa cenmeemiasx oraea enNor A9 enm or uewnananentzanil rums °namom,♦u er°nwcrn aemmt °r"°rl`rn aaeNanm wimeny pmnos 1,contact neo'r it Th m vis mm masernvaa Y nresreasonaee mn m.enec en h nos of N I� aan9 neJemsan ea or num cis n omticimapsn e �'wm e es�mmmtpe T-pwesnea*ermear an m°m 2.111 y e oem(cl aewmawiy oearemlzd mineworv,atrmcs smnesm elm men melee. angor me �nitials TMC�l/Cllenf �t'li Eaual Opportunity Employer Affirmative Action ,The Cmnmonweakh dfMassl{chusetts Department offudushialAccidents I Congress Sheet,Suite 100 Boston,MA02114--2011 www.massgov/din rlcors'Campensatloar..raneaAfftd.At:Bonders/Contractors/Elgrr?3cianalPlnmbera. TORE,171'Ep�y8MTHEPEIkriIITPINGALTfII0RI1•Y Pleae Print Ler7bly Applicant7uform J1 Name(Buaiaeae/Oa/lndioTda ENPRO(TMC Environmental) rgevizeaa en: . Address: 19 National Drive, City/State/Zip: Franklin,MA 02038 Phone##: 508-966-6028 AreYov as emPtoyra7 p�eelcttieapBTopdnlaLax; TypfpmlOot(xerjo3red): I.nXX lee.,t%erwi&25„0.._: —pl%ew(LW1.oNcpwt-V,ao)•o 7.res J Naw coasWctlon 2.M,Oeae,l, ,tororpulnorehfpeaaliave no ampl%eeswarng frmein B.rQ-�Remoda fig eay r P.RY.CS.—kew come.ipaureuco rega6ed,] 9.IJ Demolition 3.�IeraahomeownardoivgaltwodcaryeelE pdowov'mra'comp.insureveerequimd.]i lo❑Bwldiagaddition <11-ahanmownereodw0laelariagcmeeatoretacandtitell �o Y�PaaY•I 11.p Electttest repairs or addition thetalleontreotaeeirhee6evowodme parse o 12:nPlumbingrepeirs or addr0cn _.... S.�I ageaeralaoolrao[acavdlhayehiredfhe 6-onhectwellated amWer.6edehaet H RnofiepeireOffoemove Contaminated -• Soil •paY.PpRemtthetcfieolssozRl maatelso 411oattlu aec6a tndgal�IwockaudBWrm6u oomide ec�brsmusuts}imkaneviatBaadkiaaiaeenaeucb. ts�anwHare"noaaumkudaaaartkwursBag+kev� . 7coArnataraWekohaokUv46oxmne{guechedenadd(tlamleheekehowivesroaaeo£Wemil.codreotmsandatefewbeWarnrpotdraeeeottHee hero. p(% Ifd bm'uheofaefieveowPtoYoes.lEoYmuetprovidethetc wml" PReQ%nrrmbor _ Imn an errrployertiratirproVldingworkers'compensoHan trrsuronceformy employees.Belmv la thepoliey andJoGsite tnformaltan. HDI Gerling America Insurance 4/21/2016 EWGCC000084915 Policy#or Sel£lns,Lt # _...� --_--- 623 Turnpike Stree City/State/Zip;Norlh Andover,MA 01845 lob Sita Address•,..,...,...--- -- Attach a Copy ofthaprorlcers'compopsntionpelicy dec]"atignpage(ehawingtha poneynamber and exphatlon dato). Failure to sedum coverage asrengidrefl�a e�uaoltlee52nth.form of$TOP WORK ORDERb and a fine ofop tto$250.00a and/or one-year Impr]s eatT'".�'gl day egainettha v]o .Aeopy of da(—cut may ba forwarded to the OMca 0fInvesdgafton oftlteD7A for]nsaranae coverage ver]fie o Ido hereby ter -de mites ofpar My that the leormotionproV7dedabove is true mrdcmrect. 3 alum: a onnoll ars_ 12/2912015 hone 08-966-6028 offiehrf"only.Donatwritein this"..,tobocompl Mdby coy oriown official. PermitMeass, City-Tow: # DeaingAuthority(circle one): 1.Board of)ffenith2.Building))ep"tnmt 3.CityrTown Clerlr 4.1';lectrical7uspectar 5.Phwbiugpnspector 6.Other Contact Person• Phone#: Information and Instructions Massachusetts Genaml Laws chapter 152 requires all employees toprovidoworkem'co npeesationforthaire�Rloyees. - Pursua¢tto this statute,an seuptoyea is defined as"...aVaryparsonintire service oPmotharmdex my conhectoklly'e, expres's crisaided,-d orwtittan." An employer is defined ee"m iudividual,partaerelpp,association,corpoiation ar AM]eget entity,or any two ar mom ofthe foregoing engagedm a joi¢t enterprise,and ineludingthe legelropresontotives-fa deceased employer,or the receiver or trustee of mfndfvtdual,partnership,association or other wgdentlty,employing employees.IIowovm•the owner ofa dwellinghouse havingmtmore dm tome apartmmts mdwhomsidw therein,oriho occupant oftho dwolltnghomo of mothwwho employe pemow to do maintmmce,construction orrepakworkonmch dwellinghome or=the grounds abuitding appurtenant thereto shall notboamse afsuch employment be deemed to bum employer." MGL chapter 152,§25C(6)also states that"every state orlocal]tearing agmay shall withhold theismanco or rmuwal of n license orpermit to operate a business or to construct buildings in the cammonsgealth for any applicantwho hasnatpraduced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL ehopter 152,§25C(7)sfates'Neithertha commamveelth aor any of ifs political subdivisions shall. '.. enter into my contract for the performance ofpublicwork-tiff acceptable evidence of compliance with the I..—. requirements ofthis chapter have beenpresentedto the contracting authority." Applicants '.. Plei me flll'out thaworkere'compensation affidavit completely,by checking fire boxes chat apply to your sltuatlon red,if necessary,supply aub=cont[actor(s)name(s),address(es)mdphonanumber(s)alongwith their carti5ents(s)of _ --insurance.Limited"LiabllityCompanies(l:I;C)orLimitedLinbllityPerinerelilps(fLP)"wltlinu eaip]oy�as otlterthautlie"--�� membem wpmtuem,azo notmquiredio carry workers'wmpensa6minsurmce.If mLLC orLLP does have employees,a policy is requhad.Be advised that this affldavitmaybe mbmitted to the Department of Thdustdal Aecidentsfoi'reef',-atimofinsumneocoveraga. Also be sure to signand date the a)fedavit.Tho'affidavit should be retumed to the city or towathsttho appllcationforthepetmit orlicrose ie beingtequavtad,notEha Deparmteat of IndustrialAcciden(a.8houldyou have any questionsregardiugthe loworifyolr'am required to obtain aworkem' compansatioA'policy,plaesacallthaDepmmmtatthonumberpaedbelow.Self-in'siaofl companies should'entertheir• self-inmererica licroso number anthe appmnriate line. ', City or Town Officials Plessabe mmthatthe affidavith complete mdprinied legibly.ThaDepnrtmenthospmvidedavwa atthebottom oftho af6devitforyouto 0 out in the evmtthe Office o£hrvestigatious has to contact you regsrdingtho appllcmt Please ba sure to 51(i¢We permit/licensanumherwhichwi7lbe used asarefere¢ca number.Inaddykao mappli—tt thatmustsubmitmultiple pwniitAiceme appllcutions in my givmyear,aced onlysubmit oae affidavit indicating current policy information(ifnecassery)mduader"lob Sita Address"the appllcmt shouldwdte"all locations I. -_,_(city or town)."A copy of the affidavit thathes been officially stumped ormarked by the city or townmay be provided to the appliomtmpmofthat avelid affidavit is onfile forfutme pemdta orllcroses.Anowaffidevitmustbafilledeuteach year,where chemo swaeror oiAznn is obtaining altcense orponaknot relatedio my business or commercial venture (i.o.a dog licroso erpermitto been leaves at.)eddperson is NOTrequhod to complete this affidavit. The Department's address,telephme and fox number: The Commonwealth ofMasmobusetbg Department ofludustrialAccidents • ',. I Congress Street,Suite 100 Boston,MA 02114-2017 Tel.#617-727-4900 ext.7406 or 1-877-NLUSAFE Fax#617-727-7749 Revised 0&23-15 www.mass.gov/dia CERTIFICATE OF LIABILITY INSURANCE a/i7�' ryl 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(ms)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 do-not confer rights to the certificate holder In lieu of such endorsement(,). Ci Denise DeLeo PRODUCER EagleInsurena Group, LLC a0.(508)659-5250 - Ten Comm rcWay s.denisedeleo@eaglein cegxoup.net6 Suite 3e rvAlca Raynham 02767 INSURERAMare American Insurance 28932 neo eHDI Gorlin American Insurance 41343__ _ wsE Ixsua6a TMC Services, Inc., DBA: TMC Environmental Ixsuaaac Navi ators B eci_a_1_t Ins. Co. 19 National Drive Franklin MA 02038 COVERAGES CERTIFICATE NUMBER:15/16-all linea F$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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAIMS, AUDLj1.U8,Rj POLICY.11 LTA 'p-"RED—C. U POLICY....SIR --Y—N—no— LIMITS LOAsiurr 11000,000 XNc RIAL CE aouvnonca S _300,000 A AOEEO 0 NE60092 9/21/2015 4/21/2016MED EXP(All PeO-I y 10,000 X rofe.Msional liability neral Liab Ded$10,000 _ g 1,000,000 X ontractor's Pollution o i Ded$25,000 5 2,000,000 c .ER'RoT .—1.u n Ded$10,000 - G S 2,000,000 yEX EP specfd w= s-$50k ded 8 59 an M49955 (broatl 1,000000 P�EURY D PIt , ineladedRrBOMLv INm—PILLS OCCOOOOB4915-othr a ate 4/21/2015 4/21/2D16 00MLY INJURY(Pe,a.c 1)AurosPaoEeRn DAMAGE x NONowvEO ccc0000esDis-nu Pe,eumem s _. ros Ccocoll-5-Na c x UMBRELLA LIAR LRJ OCCUR EAcx OccuaaervcE 5 5,000,000 A BXcass uAe cLAIMsMADE AOOREcnre s 5,000,0.00 DN B 15ErxxE60D16 4/21/2015 /21/2016 B X11 OUR ANO EMPSOYERSE CCOOOOB4915 1,000,000 (M Ln wMEI^NH;[XCWOFDi DTI[O ry ;eiO.,MA,NH,NY,VT,ME,NJ, ,4/21/2015 /21/2D16 —E 8 1 DOD DDD Ips iOm) l ?.1 1,000,00 C ExcessO Umbrella Ns 4Y15XEN0BABQONc /21/2015 /21/2016 Mexcessoi sSmil above each o M excess oras Mll above aggregate DES—PTI11 111—1 LOCATIONS Operations insureVE xIIIEs(Anech A ORDlm,Addlxunel Remarxsscneaole,ifmore spots m of the d requheal CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EVIDENCE OF INBURAN CE ACCORDANCE WITH THE POLICY PROVISIONS. � AUTHORIZED REPRISPITAT" Michael Cox/DENISE ACERB 25(2010/05) ©1988-2010 ACORD CORPORATION.All rights reserved. INSn'S_....... THe ACr1RD........... _—..1 A-- 7lAac% lal�ef,e r+ a tFrrlm0/1 ?Cr®ilerts✓a r,lrFfd Office of Consumer A11 airs and Business Regulation 111) r 10 Park Plaza-Suitt.5170 Boston,Ma56aCITLISCUS 02116 Ilome Improvement Contractor Registration Regislratlon: 137264 Type: Private Corporation Expiration: 10123/2016 TO 256524 TMC SERVICES INC. THOMAS CLARK 19 NATIONAL DRIVE FRANKLIN,MA 02038 Update Address and rewrvs cnnl.Marls reason fnr ebnnge. acme s,eano-wr„ Addruss' t- Rcn-.Il Employment '- 4nst Cnrd OFF f( - u \n rs5 nusao Itl I Li-- rugktrali-v olid Por indnidnl nee only 1� �10ME IMPROVEMENT CONTRACTOR t t the napir rnon dare If found calm tt lo: �git tl 737264 Typo: 101 kl?lruomar A[f70 and Ri liners licgnl ttion `Iu2EW.tion. 10/2312016 P!"te Corporel'o, lIl Iark Plazn Suire 5170 'sarw" III,, r.AIA 02116 TMC SERVICES INC. THOMAS CLARK 19 NATIONAL DRIVE FRANKLIN,MA 02038 Iindr t,ry \t I I rvilhn t g t el 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' O/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 N'xA4" HILT] KWIK BOLT TZ EXP. ANCHORS, 12" O/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. 1 I1 o IE�4 B N I I i 17'-0" 8'-0" FOUNDATION PLAN . 4 . I PROJECT OWNEVAPEEMAM k LOCA110N: DATE: 623 Turnpike St., N.Andover, MA ° 12-23-2015 TMC SERVICES INC. aF P DRm CHECKED BY. %4CHAELJ. MJB MJB CT QCT gy $TR 7 rn p: SCME oRAmNCTmE: URA wo aaP,zs FUEL OIL REMEDIATION �T��E SKETCH NUMBER: Consulting SrsuT A,F..201—,Enc. ° 1 SKS-1 53 Knox Tail,Stice 201 `$"��"sAi t�` A_,MA 01720 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 i 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 j 12'-0" FLOWABLE FILL IN AREA"C". 7. INSTALL TWO WlOX22 TEMPORARY SHORING BEAMS AT 3' 0/C WITH W/TWO STAGGERED ROWS Yz%A," HILT] KOK BOLT TZ EXP. ANCHORS, 12" 0/C, WITH CRIBBING AT THE ENDS 15' 0/C. , b I 8. EXCAVATE SLAB SURROUNDING AND SUBGRADE UNDER FURNACE/CHIMNEY �) PAD TO DEPTH OF 4' BELOW SLAB AND J INSTALL FLOWABLE LIN R " 9. INSTALL 4" CONCRETE FINISHSLAB OVER ALL EXCAVATED AREAS. I i � i o ARE B' v j 17'-0" 8'-0" FOUNDATION PLAN ;, £ t MECT MER/APPLICANT&LOCATION: DATE 623 Turnpike St., N.Andover, MA `' 12-23-2015 Ow+ CHECKED ft TMC SERVICES INC. MJ MJBRR ST tSCALE:DRAWTRE 31823 1 / FUEL OIL REMEDIATIONSNETCN NUNVR �tE. w Cona53K.T-9, m201.zne SKS-1 i3 Knox Trail,Snite 201 g��'rNAI E�` Acton,bSA 01720 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 i 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 'T. 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 j SHORING BEAMS AT 3' 0/C WITH W/TWO STAGGERED ROWS Y"%3Y4" 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. a I I ARE °� - �I _ � i t A i n'-o" 8'-0" i FOUNDATION PLAN : PRU�Ci OWHEA/OPPl1CPM k LOG4iWN: i pAiE: tH I 623 Turnpike St., N.Andover,MA OFP,A" 12-23-2015 s BY: TMC SERVICES INC. g� �A__LJ ��_� MJB MJB TIRERY 'a5#'-:,3CTURADRAWING l u: SCALE FUEL OIL REMEDIATION '� t F°v J SKETCx1/� Con 53K.T-fl, ne. s L SKS-1 53 Knox Txad,Since 201 ����Cr?€Rt Acro MA 01720