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HomeMy WebLinkAboutBuilding Permit # 7/28/2016 NoRTill BUILDING PERMIT oF�Y�eo 6 �y TOWN OF NORTH ANDOVER o� APPLICATION FOR PLAN EXAMINATION Permit No##: Date Received �,Rq 4``5 .4 •1YEp ' ,�'t SSACi-IU$� Date Issued: IMPORTANT: Applicant must con lete all items on this page LOCATION Cao i P �," � Print PROPERTY OWNER T K -7� LLC, Print 100 Year Structure yes MAP (�DZ-- PARCEL: ZONING DISTRICT: _Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building 00ne family ❑ Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Egg. .• :'I w: DESCRIPTION OF WORK TO BE PERFORMED: R10 .1D Qf,RK�-r 61-1-7-0IT V-6v�ab*-T)op FIR Al-r 03?,-Z�)17 Identification - Please Type or Print Cleanly OWNER: Name: �,6-1 Phone: ---FB 2-- ! Address: 5�;�e K-�-t C�ff4 ', �kA- d Contractor Name: ,4.Y,a- ,, Phone: Email: zite Address: yw Supervisors Construction license. Exp. Date: Home Improvement License: ` --- Exp. Date- ARCH ITECT/ENGINEER atARCHITECTIENGINEER Phone: Address: Reg. No. FgESCHEDULE:BULDinio PERMIT.$12.00 PER$1000.00 OF THE rorat.. �'Total`Project Cost: $ 3i-l'L Czru BOO Check No.: � Receipt No ���. NOTE: Persons contracting with unregistered c tractors do not have access.to a I, Plans Submitted,U Plans Waived ❑ Certified Plot Plan ] Stamped Plans ❑ TYPE OF SEWERAGE DIS70;� Tauniug/Massageffiody Pubiic SOWer Aa-t ❑TFood ingPools'Well acco Sales ❑ cicaging/Sales ❑ Private{septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFA' e U FORM PLANNING DEVELOPMENT Reviewed On —712-7Si l eY _,,. COMMENTS 1 a. CONSERVATION Reviewed on �Si nature l COMMENTS W i r -�,-4, Q Clf 3 HEALTH view. J Signature �r COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Y Decision/recei t submitted yes S i Planning Board Decision: Comments Conservation decision: Comments Water & Sewer ConneGfion/Si nature Date Driveway Permit DPW Town Engineer: Signature. 4 Located 384 Osgood Street FIREDEPAhiTI111EyNT�k; TerrlpDumpstergn sits; es �hxu._ �p-afenjat x pariEment s,gr�aurelda�e >> h ,., ,}w , H . �V1a � j r Y -fu COMMENTS'` ,T ,: �r �,. , ,, ,�z w u � Plans Subrnitted�4 Plans Waived ❑ Certified Plot Plan ❑ Stamped Pians ❑ TYP 3 OF SEWERAGE DISP .. r PubHo Sewer ,u TaiminpMassageBodyArt ❑ Swi �Fools ❑ Well ❑ Tobacco Sales ❑ Food PackaginglSales ❑ Private(septic tank etc. ❑ Pennanent Dwnpster on Sito ❑ THE FOLLOWING SECTIONS FOR OFF U NL INTERDEPARTMENTAL SIGN OFF ',U ® M _ E PLANNING DEVELOPMENT Reviewed OnIP } .r COMMENTS CONSERV I Reviewed "1 to Sign ire r c A) OM NTS ' L,r�Sct HEALTH Reviewed on Si COMMENTS f �" Zoning Board ofAppea[s;Variance, Petition No: 20�+6-~ 001 zoning Decisionlreceipt submitted yes ' Planning Board Decision: 1 Comments W111 t4 41 Conservation Decision _ __ -Comments Water&Sewer Connecfilon/si nature&Date Drivewa Permit DPW Town E ginecr: Sigaatur e: '7' Located 384 Osgood Street _ .r Lf171 St A%ii 5f � ,� � ts'� 1REDEPAR,+�T.i�MENTjT�ern � p,�P ;� , _ Yom . _� j = Sr:rxf„1. -+?r� i;Lacaeciati�24 Mane q �r a x x FiYOM[ 1? men sign�a#uraelda# f§ z' a E � ' e[`-� r[F:�1Flz�r#t NORT#1 own of T: Andover qn No. OU-2,ailh ver Mass 4 �61 I� COCMtC"twrCA U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System i1..t... .... BUILDING INSPECTOR THIS CERTIFIES THAT ............��.j.... .........�......,.......,.........A"i ..... ..........,.. has permission to erect ........................ ildings on .....16655.... t�.,.... ... �. Foundation ` Rough to be occupied as ..S1..Vj ANL�inlvery . R........................................................ Chimney provided that the person accep g this permit shall 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. 4ikA*4MU. � h,} -ao►� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit, Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST CTI T Rough Service .., ............. ........., ... ................... Final LDIN INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin 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. LOT A W 29o345 S.F. f1 _N TOP FND. =139.39 �1 Z EKISnNG FOUNDAVON 30.9' sz' 1 f bo d' c� N e N O o L01 00 O L=61 .09' 1 — 88.91' N83'45'43"W R=1 030.01 ' GREAT POND ROAD I HEREBY CERTIFY THAT THE LOCATION OF THE STRUCTURE SHOWN ON THIS PLAN WAS DETERMINED BY A FIELD SURVEY, CONFORMS TO THE SETBACK REQUIREMENTS OF THE NORTH ANDOVER ZONING BYLAW AND IS NOT LOCATED IN A FLOOD HAZARD AREA. P.\12\12-32\dwg\CERTA.dwgR G. F. LAND SURVEYOR CERTIFICATION PLAN 1665 GREAT POND ROAD �� [0 OF�'''�,�� , NORTH ANDOVER, MASS. tandover � WIW[0 consultants $ MacLEODN Prepared for Inc. 0296" p901,ESS10N�� TKZ, LLC 1 East River Place �41VO suRI Ilk- SCALE: 1"=40' DATE: 7-21--16 Methuen, Mass. rj. 777 FT ........... R50, .........-- Eli nit �iRS 7 �t—UC7l� i't�r�s� __ —.--_---.---_._.— fififffififf O �" ki 7c.iirnl � - m � 0 a 6 i yb-R85 '-�4LY, I s oe t t3[�sl o u N r N kms,-p 1'Z-A S�CV t�1D F l�0 rtZ Y 1.,4ly W GREA-1 POND ROAD Gou�.aA-'�.� se2.-rtiDaa A�cstot•�iaS 4aZ-o �,yMp�l�aa3� tDIL ; 'RPF4oX• I i !x I S � •I I 1 d 1 � I ft�P5m1• � � !? 9RcP30 �7 's coo 1.9 Pah;!d p 't—tl i r 2.. to f> S GR£AT* -ProU-]� koAD CQLl7~J T,03i PL -7kz 1 i c 'i � I i t C�Tf_rt 5 i i I 1 [ F[ o I E ! V I E 111.1 It 1011 ti I I # I I III {I 13-0 l8'-0 la-o 2.6'•P I � � 4� I a I !k I pE I` I I to 96' 7 -A)d T TP T 1 I 1 T LL -u-L- Home Energy Rating g icate� Property HERS CLEAResult G TKZ LLC Rating Type: Projected Rating Certified Energy Rater: Peter Virchick 1665 Great Pond Rd Rating Date: 7-25-16 Rating Number: North Andover,MA 01845 Registry ID: Projected Rating: Based on Pla s - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 56 Heating 37.8 $1724 47% General Information Cooling 7.6 $123 3% Conditioned Area 2684 sq. ft. House Type Single-family detached Hot Water 5.3 $433 12% Conditioned Volume 21868 cubic ft. Foundation Unconditioned basement Lights/Appliances 25.7 $1235 34% Bedrooms 4 Photovoltaics -0.0 $-0 -0% Service Charges $137 4% Mechanical Systems Features Total 76.3 $3652 100% Heating: Fuel-fired air distribution, Propane, 96.1 AFUE. Heating: Fuel-fired air distribution, Propane, 96.1 AFUE. Criteria Coaling: Air conditioner, Electric, 13.0 SEER. This home meets or exceeds the minimum criteria for the following: Duct Leakage to Outside 107.36 CFM25. Massachusetts Stretch Energy Code* Ventilation System Exhaust Only: 54 cfm, 11.0 watts. `Compliance is determined by the rater. Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat R-44.4 Slab None Sealed Attic NA Exposed Floor R-30.0 Vaulted Ceiling R-39.5 Window Type U-Value: 0.280, SHGC: 0.250 Above Grade Walls R-21.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls R-0.0 Method Blower door test Conservation Services Group 50 Washington St Lights and Appliance Features Suite 3000 Percent Interior Lighting 80.00 Range/Oven Fuel Electric Westborough,MA 01581 Percent Garage Lighting 0.00 Clothes Dryer Fuel Electric 508-836-9500 Refrigerator(kWh/yr) 637 Clothes Dryer EF 3.01 www.csgrp.com Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 Certified Energy Rater: A&Z' Rt WRate - Residential Energ/Analysi.;and Rat ng Software w14.6.3 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. 1665 Great Pond Road 7-26-16 Ney'Beam NorthAndover,MA 10:43am (D 1 of 2 cs Beam 4.17.0.2 1®BeamLirg€tte 4.13.7.1 Materials Database 1527 Member Data Description: Member Type: Beam Application: Floor Garage Door Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 40 PLF Deflection Criteria: U360 live, U240 total 1.000" max. LL Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 18.4 PLF Filename: Beams Other roads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Additional Uniform(PSF) Top 0' 0.00" 23' 6.00" a 8.00" 40 10 Live Additional Uniform (PSF) Top 23' 6.00" 38' 0.00" a 8.00" 65 15. Live Additional Uniform(PLF) Top 0' 0.00" 23' 6.00" 0 65 Live Additional Uniform(PSF) Tap 0' 0.00" 23' 6.00" 13' 0.00" 20 10 Live Additional Uniform(PSF) Top 0' 0.00" 23' 6.00" 13' 0.00" 55 15 Snow Point(LBS) Top 23' 6.00" 1857 2217 Live Point(LBS) Tap 23' 6.00" 4521 0 Snow Point(LBS) Tap 36' 0.00" 1897 2217 Live Point LBS Top 36' 0.00" 4521 0 Snow 77 © 1260 11 00 0 1260 ® 00 38 0 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall SPF Plate(425psi) 27.000" 2.326" 5190# - 2 12` 6.000" Wall SPF Plate(425psi) 18.000" 6.888" 15368# 3 23' 6.000" Wall SPF Plate(425psi) 18.000" 6.533" 14576# 4 36 0.000" Wall SPF Plate(425psi) 27.000" 3.478" 7759# Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members Live Snow Dead 1 1492# 32115# 1660# 2 4182# 9139# 5377# 3 45170 8723# 4646# 4 2570# 4201# 2372# Design spans 10' 3.875" 11' 0.000" 12' 6.000" 2' 0.000"(right cant) Product: 2.0 RigidLam LVL 1-314 x 14 3 ply PASSES DESIGN Connect members with 3 rows of 16d common nails at 12.0"oc NOTE:Nails must be applied from both sides Design assumes continuous lateral bracing along the top chard. Design assumes continuous lateral bracing along the bottom chord. ,Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 11146.# 51977'# 21% 6.31' Odd Spans D+0.75(L+S) Negative Moment 15857.# 51977:# 30% 12.5' Adjacent 1 D+0.75(L+S) Shear 6355.# 163411 38% 11.47' Adjacent 1 D+0.75(L+S) Max.Reaction 15368.# 401624 380/0 12.5' Adjacent 1 D+0.75(L+S) TL Deflection 0.0777" 0.5161" U999+ 6.82' Odd Spans D+0.75(L+S) LL Deflection 0.0584" 0.3441" U999+ 6.82' Odd Spans 0.75(L+S) TL Defl.,Rt, 0.0161" 0.2000" 2U999+ 38' Even Spans D+0.75(L+S) LL Def I.,Rt, 0.0138" 0.2009" 2U999+ 38' Even Spans 0.75(L+S) All product tramus are trademarks of their respective owners Copyright(C)2015 by Simpson Strang-Tie company Inc.ALL RIGI TS RESERVED. -Passing isdelined as when the member,800rlo{st,beam orgirdek ShGWR on this drawing meets applicable design criteria lar Loads,Loading Conditions,and Spans listed on this dreeL The daslan must ba reviewed by a guallfied designer or design professional as required_for appioval,This(lasifinassumes product installalfon accoOng to the manufacturers specificatiGns, 1665 Great Pond Road 7-26-16 MqReam Nol#h Andover,MA 10:49am loft CS Eleanc 4.17.0.2 Im BeantPngpte 4.13.7.1 Ma€erials Database 1527 Member Data Description. Member Type: Beam Application: Floor Stair Header Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 40 PLF Deflection Criteria: U360 live, L/240 total 1.000" max. LL Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 8.1 PLF Filename: Beam3 Other Loads Type Trib. Other Dead (Description) Side Begin End Width start End Start End Category Additional Uniform (PSF) Top 0' 0 00" 10' 0.00" 7' 0.00" 30 10 Live © 1000 /- 1000 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall SPF Plate(425psi) N/A 1.500" 1715# - 2 10' 0.000" Wall SPF Plate(425psi) N/A 1.500" 1715# - Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members Live Dead 1 1268# 447# 2 1268# 447# Design spans 10' 1.750" Product: 2.0 RigidLam LVL 1-314 x 9-714 2 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at 12.0"oc Minimum 1.50"bearing required at bearing#1 Minimum 1.50"bearing required at bearing#2 Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 4350.'# 13320.4 32% 5' Total Load D+L Shear 1455.# 62591 23% 9,57' Total Load D+L TL Deflection 0.1749' 0.5073" L/697 5' Total Load D+L LL Deflection 0.1291" 0.3382" 0943 5' Total Load L Control: LL Deflection DOLS: Live=10139/. Snow=115% Roof=125% Wind=160% Ali product names era tmdemarkso€their mspsctive owners Copyright(C)20€5 by Simpson Strong-Tia company WALL R OKIS RESERVED. "Passing isdefined aswhen the member,floorinist,beam orgirda5 shown on thisdmvdng meatsapplicable design criteria for Loads`Loading Conditions,and Spans listed on thisshaet The ____ �o.on„I,w,t rnrannmval.Thls desoa as mas product installation according to the menu(actaiaF's�eclficelEans 1665 Great Pond Road 7-26-16 North Andover,MA 10:50am tnt:I CS Beam 4.17.6.2 ]anBeamlingm 4.13.7.1 Mater akDalahase 1527 Member Data Description: Member Type: Beam Application: Floor Bedroom 3 Beam Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 40 PLF Deflection Criteria: U360 live, 0240 total 1.000" max. LL Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 12.2 PLF Filename: Beam4 Other Loads e 7YIb. Other Dead description) Side Begin End Width Start End Start End Category Additional Uniform(PSF) Top 0' 0.00" 14' 0.00" 10' 0.00" 30 10 Live 14 0 0 19 14 0 0 Bearings and Reactions input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall SPF Plate(425psi) WA 1.500" 3269# - 2 14' 0.000" Wall SPF Plate 425 si NIA 1.500" 3269# Maximum Load Case Reactions Used for applying point loads(orline loads)to carrying members Live Dead 1 2405# 864# 2 2405# 864# Design spans 14' 1.75a' Product: 2.0 RigidLam LVL 1-314 x 9-114 3 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at 12,0"oc NOTE:Nails must be applied from both sides Minimum 1.50"bearing required at bearing#1 Minimum 1.50"bearing required at bearing#2 Design assumes continuous lateral bracing along the top chord. Design assumes contlnuous lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 11561.'# 20780.'# 55010 7' Total Load D+L Shear 2913.# 93894 31% -0.06' Total Load D+L TL Deflection 0.6013" 0.7073" U282 T Total Load D+L LL Deflection 0.4423" 0.4715" 0383 7' Total Load L Control: LL Deflection DOLS: Live=1000% Snow=1150/ Roof=125% Wind=1601/ Design assumes a repetitive member use increase in bending stress: 4% All product names are tmdemaks of their respecfiva owners Copyright(C)2015 by Simpson Strong-Fie Company Inc.ALL AIGUTS RESERVED. "Passing le defined aswhon the member,goorj4st,beam orgirds;shown on this dmmdng meats applicable design cdteda for Loads,Loading Conditions,and Spans listed on this sheet.The A.a,..... 4 n—mwae by n nnxtified dedonerordesion omfessionet as mulred for apptavai.This design assumes pmduct installation accon lno to the manufactumes speclkagone. _- 1665 Great Pond Road 7-26-16 ]KeyBeam North Andover,MA 10:41a1n 1 Of 1 CS Beam 4.17.0.2 kmBeaniEngme 4.13.7.1 Ma(erLdsDafabase 1527 Member Data Description: Member Type: Beam Application: Floor Deck Roof Beam Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/lRC Live Load: 40 PLF Deflection Criteria: U360 live, 0240 total 1.000" max. LL Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 15.6 PLF Filename: Beam2 Other Loads De Trlb. Other Dead escription) Side Begin End Width Start End Start End Category Additional Uniform(PSF) Top 0' 0.00" 12' 6,00" 13' 0.00" 20 10 Live Additional Uniform PS TOP 0' 0.00" 12' 6,00" 13' 0.00" 55 15 Snow 12 6 0 O 12 6 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall SPF Plate(425psi) WA 3.151" 7030# 2 12' 6.000" Wall SPF Plate(425psi) N/A 3.151" 7030# Maximum Load Case Reactions Used for applying point loads(orlina loads)to carrying members Live Snow Dead 1 1897# 4521# 2217# 2 1897# 4521# 2217# Design spans 12' 7.750" Product: 2.0 Rigldl-am LVL 1-314 x 11-718 3 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at 12.0"oc NOTE:Nails must be applied from both sides Minimum 3.15"bearing required at bearing#1 Minimum 3.15"bearing required at bearing#2 Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 22225.'# 38173.'# 580/0 6.25' Total Load D+0.75(L+S) Shear 5930.# 138611 42% -0.06' Total Load D+0.75(L+S) TL Deflection 0.4366" 0.6323" U347 6.25' Total Load D+0.75(L+S) LL Deflection 0.2989" 0.4215" U507 6.25' Total Load 0.75 L+S Control: LL Deflection DOLs: Live=1000/. Snow=1150% Roof=1250/. Wind=184% Design assumes a repetitive member use increase in bending stress: 4% All product names are trademarks of lhair respective owners Copyright(C)20£5 by Simpson 5lrong-Tie Cnmpany Inc.ALL RIGHTS RESERVED. "Pang isdefined acwhen the member,fiaorioist,beam orgiide5 shown on Ihisdmwing meets applicable design crilelfa for Loads,Laeding Conditions,and Spanslleted on lhissheat.The dadnna ua ha ravlawed by a auaiified desianer ordesion omfes.Tona$as required for approval.This design assumespiudu fnstallallon acceNing to the manulacturetsapecificaWns., _ •seen Verizon LTE 10:00 AM ;S; 831 All lnboxes (2) Sent from my iPad A6Le CERTIFICATE OF LIABILITY INSURANCECIATEIGt11100YYYY) I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFUNATIVELY OR NEGATMLY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVEOR 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 ofthe pollcy,certain policies may require an endorsement. A statement on this curtificate does not confer rights to the cert)ffoate holder in lieu of such undorsoment(s). I PRODUCER CONTACT "ANE; Sandi Munroe M.P. Roberts Insurance Agency PHONE 9781 693-8073 i FAX {giR3 eR3-3147 1060 Osgood Street &gDREss: sandi@m _ro�ertsinsurance.com w-..... North Andover MA 01845 — ------ + IN5UREft(�AFFOROING COVERAGE � _ NhIC p INSURER_A.__ESSeX Insurance,Cc _ INSURED INSURER B:Associated Fmployers Insurance TKZ+ LLC FNSURERCI____ c/o TOM ZAHORUIKO INSURER o:—,--- 78 GREAT POND ROAD INSURER E-1 NORTH ANDOVER, MA 01845 INSURER F: COVERAGES _ CERTIrICATE N UMBER: REVISION NUMBER: THIS IS TO CFRTIFY THAT THE POUCID3 OF INSURANCE LISTED BELOW HAVE 13ELN ISSUED TO THE MiURED NAPAU)ABOVE FOR 71-HE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION Or ANY CONTRACT OR OTHER DOCUMENT WTftl RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY TI D POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TI IF TERMS, I EXCLUSIONS AND CONDITIONS OF SUO-I POLICIES,LIMITS SHOWN fAAY HAVE BEEN REDUCED BY PAID CLAIMS. IL7RI IAUU SUBS' POLICY EFF POLICY EXP I TYPE OF NFSURAITCE II I POUGY HUMMER 11.1mmulyYyyjI ABdRIaYTYY € L1h9Y5 A OENERALLFAHII.ITY I3DX4936 7/13/15 7/13/16 FACHCCCURRENCE 1 1,()00'000 -- I )MAGE 10 RE.NTED X'GCMIFAMI.G€llrr-mLon ITY PREMISES ca«auir,C ) C{AIA15 R1AUE )C I UCL;UR I -Ell EXP IA„fo[n 1111,11) S 5,000 -- __ PERSOA.'1LEADV IN)URY jS 1,000,000 L LNt.RAL Ac UU-CATIs 2,000,000 GFN I.AGGRFGATE I-WITAPPLIES PTR l PRODUGFS lAl:'1110F ATG 1 X POLICY I'RQF !LOC AUTOMOBILE LIARINTY I CO VERNliL1 SINGlA'-l-il.411 Ir c,orulbrl} 4 ANYAUTO i ROD 11-Y IN ILFRY(I'nr''Iron) 3 ALLOWIYO SCMDULCO - ROOII.Y INJl7RY 11 aI nnrinnik 3 AUTOS NUN OWNFO PRUPEftFY DPI:NGF S 1IIREDAUT05 ADIOS IPnraaulrnl) tURIBRE E-Lfi LIAR n[x:UR I{ II. EAG3l 0CfliA1LC N[:E I. ,. I s A MESSLIAB CLAIl�15 ATAD�j - j Gf.RE GATT: __.— ... - , I. _.- .. .... .... ... DR) ILEI EN CCUH$ I I '5 H i WORKEnSCOMPENSATION �WCC5005006517-2014AJ 10/1/I5j 14/1/161 X..1..IGELVLUi Massachusetts Department of Public Safety Board of Building regulations and Standards License: C5-055417 Construction Superv✓sor s _ THOMAS D ZAHORUIKO 4 HIGH STREET SUITE 201 ; NORTH ANDOVER MA 01845 f--J--� l� Expiration: Commissioner 04105/2018