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HomeMy WebLinkAboutBuilding Permit # 8/24/2016 BUILDING PERMIT 1 ����. O TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION A. Date Received �� p� 5 Permit No#: =Eo SSACHU$ Date Issued: ` ORTANT: A plicant must complete all items on this page LOCATIONS y Print PROPERTY OWNER_ C(— t Print 100 Year Structure yes W) MAP PARCEL: +� ZONING DISTRICT- Historic District yes Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ❑ One family Ll Addition I ,Two or more family El Industrial ❑Alteration No. of units: L4 ❑ Commercial ❑ Repair, replacement - ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other �s nc ❑Septic f❑Well � �❑ F'loodpla�n D Wetlands �]�Watershed D t �� , z"� �`;.��'���, �r�r' �'�- f �i �i° .,elr � k r� o r- ,�F'��•"'v� �� �, �„-5� �,£m-3h��" ''y�'x"�^.�J.yr ', r^� ,❑WaterJSewer� �' _ �F �,H DESCRIPTION OF W RK TO 1B PERI=ORMED: -beA"` ill i I Identifica ' n- Please Type or Print Clearly OWNER: Name: r rc ILL Phone: i I Address: k j .J J V 1 V°' S a f_L , ContractorName: l fC Phone: 5()S Email: Lor Address 9r) 15CC) Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCH ITECTIENGINEER_ ubL,�CkLC, _ Phone: v J Address: &IOn . Reg. No. FEE SCHEDULE:BULDING PERMIT.$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$725.00 PER S.F. Total Project Cost: $ _ FEE: $ Check No.: Receipt No.: �-- NOTE: Persons contracting 'hun gistered contractors do not have acces to anty fund d Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer TanningWassage/BodyArC ❑ SwimudngPoois ❑ Well ❑ ❑ Tobacco Safes Food Packaging/Sales El {selattc fa k, etc. ❑ PonnanentDumpster on Site ❑ THE FOLLOWING SECTIONS ,'AOR. OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF w U FORM PLANNING DEVELOPMENT Reviewed on �1 Z ��� Signature_ COMMENTS CONSERVATION Reviewed on [ c� !� Si nature COMMENTS 1D HEALTH Reviewed ori Si nature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decisionlreceipt submitted yes Planning Board Decision: Comments Conservation Decision: Comment Wator& Sewer Connection/31 na-turo & Cute Drivewa Permit DPW Town Engineer: Signatrxre �I Z q l6 FIRE,DEPAR=T Located 384 Osgood Street k MENTATerrmp�Dump§ter an sits, e Located at X24 Main Street Y y Erre D"epatment, rgnafiureldafie .. COh/1MEhITS '. . . FORTH Town of _ 6Andover 0 _ 0 leo• Yh % � h ver, Mass, _ 2hl [0[N1c"e WOCK y1' QoRp? C7 S U BOARD OF HEALTH Food/Kitchen ERM L D Septic System THIS CERTIFIES THAT .................... .. ..... .� ................... . .................... BUILDING INSPECTOR � has permission to erect .......................... buildings on ....... ... .. ........ ...... .... ... � Foundation 11 ....jL Rough to be occupied as ....... .,... ....�4R.... ... ...... .... . . .......... ..,... ,. Chimney provided that the person accepting this permit shall in every espect conform to the t s of th pplication 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 ® c Final PERMIT Ig E PI E 6 MONTH ELECTRICAL INSPECTOR LESS CON 10 TS Rough Service .... ,... Finai BUILDING PE OR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final Y�l No Lathing or Dry all To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. a c r BLDG "E" b, BLDG "F �3 7 �I Iu�yC �VlCr � . BLDG "D" BLDG H / BLDG "G" fir' A6 ,r w. C J�� 'a `3a �� r JBLDG"I"' (2' ( 0, , /-i f RF X I II'"l(j FU 6C!E..A4 K ��I BLDG"J" O .0, CERTIFIED PLOT PLAN NO OTHER USE INTENDED BOUNDARY LINES AND EASEMENTS SHOWN ARE BASED ON THE APPROVED, RECORDED PLANS FOR THIS PROJECT, THE FOUNDATION AS SHOWN DOES NOT VIOLATE ANY ZONING REQUIREMENTS REGARDING STRUCTURE TO PROPERTY LINE OWNER/APPLICANT] OFFSETS, ONE HUNDRED FOURTEEN THIS PLAN IS NOT TO BE USED TO ERECT FENCES, OTHER ANCILLARY TRUST STRUCTURES, OR FOR LANDSCAPING LIMITS, 51 MOUNT JOY DRIVE TEWKSBURY, MA 01876 THIS CERTIFICATION IS NON-TRANSFERRADLE, AND IS FURTHER MADE WITH THE PROVISION THAT THE INFORMATION SHOWN HAS BEEN ACCURATELY FURNISHED BY ASSESS.MAP&LOT 9t: THE OWNER TO THIS FIRM, 106D_63 PATRICK C. GARNER. PLS �1 ,�` B�" f" s k .�..�V.. 16\ll 1.[�d I(„j M,I° rt rA ROUTE 111 , NORTH ANDOVER, BASS, PROJECT NO: NAND13 SCALE, 1'°=40` PATRICK. C. �o � DRAWN BYs PCG DATEI 10/24/15 GARNER ; _.-- 9 Na 32661 CHECKED BYx SC SHTi 1 REVISED,. °Nat La6a 4 :y�a OF; 1 C}%/rr�at�rriroirraerrl/I o�'t?•l��auac/rrr�c(r� _ Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration 143758 Type. Explratlon,: 7129I2018 DBA BARLOW BUILDING TIM BARLOW 13 DEPOT ST S.GRAFTON,MA 01560 Undersecretary Massachusetts Depa;ment Of Puhllc Safety Board of Building Regulations and Standards License: CS-059359 Construction s3jpervisor TIMOTHY MICHAEL BAR OW P.O.BOX#12 SOUTH GRAFTON MA ' 15G0 Expiration: Commissioner 01/2412018 REScheck Software Version 4.6.2 Compliance Certificate Project 160714 Trust_MerrimackCondos_ Idgj_UnitsB-B-B-B_NAndover Energy Code: 2012 IIECC Location: North Andover, Massachusetts Construction Type: Multi-family Project Type: New Construction Conditioned Floor Al 2,326 ft2 Glazing Area 12% Climate Zone: 5 (6322 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Bldg J, Unit J1 North Andover, MA a a o e Compliance: 0.0%Better Than Code Maximum 1 327 Your 1 327 The%Better or Worse Than Code Index reflects haw close to compliance the house Is based an code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home, Envelope Assemblies Floor 1st Floor:All-Wood joist/Truss:Over Unconditioned Space 416 30.0 0.0 0.033 14 Wall 1st Separation: Wood Frame, 16" o.c. 96 15.0 0.0 0.077 7 Wall 1st Ext 2x6: Wood Frame, 16" o.c. 812 21.0 010 0.057 40 Window DH:Vinyl Frame:Double Pane with Low-E 32 0.290 9 Door Front Ground Fir entry: Glass 20 0.260 5 Door Back: Glass 34 0.290 10 Door Metal: Solid 18 0.160 3 Floor 2nd Over garage/entry:All-Wood Joist/Truss:Over Unconditioned Space 481 30.0 0.0 0.033 16 Floor 2nd Over entry:All-Wood Jaist/Truss:Over Outside Air 39 30.0 0.0 0.033 1 Wall 2nd Floor 2x6: Wood Frame, 16" o.c. 855 21.0 0.0 0.057 39 Window DH:Vinyl Frame:Double Pane with Low-E 100 0.290 29 Window Fix: Vinyl Frame:Double Pane with Low-E 19 0.280 5 Window CSMT:Vinyl Frame:Double Pane with Lcl 12 0.260 3 Door Slider: Glass 34 0.290 10 Wall 2nd Flr Separation:Wood Frame, 16" o.c, 279 15.0 0.0 0.077 21 Ceiling Bay Win: Flat Ceiling or Scissor Truss 6 30.0 0.0 0,035 0 Wall 3rd Floor: Wood Frame, 16" o.c. 749 21.0 0.0 0.057 36 Window DH:Vinyl Frame:Double Pane with Low-E 86 0.290 25 Project Title: 160714_Trust_MerrimackCondos_Bldgj_UnitsB-B-B-B_NAndover Report date: 08/10/16 Data filename: Page 1 of 9 \�suttonnas.corp.koopmanlumber.comlSales\Ebbeling_Ed1160714 Trust MerrimackCondos Bldgj_UnitsB- B-B-B NAndover\REScheckNl607l4 Trust—MerrimackCondos_Bldgj_UnitsB-B-B-B_NAndoverjl,rck Window Awn:Vinyl Frame:Double Pane with Low-E 7 0.270 2 DoorFrench: Glass 18 0.260 5 Wall 3rd Separation: Wood Frame, 16"o.c. 243 15.0 0.0 0.077 19 Ceiling Main: Flat Ceiling or Scissor Truss 936 38.0 0.0 0.030 28 Compliance Statement. The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck Version 4.6.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Notes: Building J, Unit J1 Project Title: 160714_Trust_Merri mackCondos_Bldgj_UnitsB-B-B-B_NAndover Report date: 08/10/16 Data filename: Page 2 of 9 1lsuttonnas.corp.koopmanlumber.com\Sales\Ebbeling_Ed1160714 Trust MerrimackCondos Bldgj_UnitsB- B-B-B NAndover\REScheck1160714 Trust_Merr!mackCondos_Bldg)_UnitsB-B-B-6_NAndoverJ1.rck RESceck Software Verson 4.6.2 Inspection Checklist Energy Code: 2012 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided, Sec#ionPlans Verified field VeY�fied # Fre lrrspection/Pilon>Review C ntplEes7 Cot"MentslAssurnptlans ' &vReCJ,I© "' Value; Value .�.. 103.1, Construction drawings and ❑Complies 103.2 'documentation demonstrate ;❑Does Not [PR1]l energy code compliance for the ,s1 building envelope. -]Not Observable ❑Not Applicable 103.1, Construction drawings and ICamplies 103.2, documentation demonstrate ❑Does Not 403.7 ;energy code compliance for [PR3]1 lighting and mechanical systems !❑Not Observable ;Systems serving multiple ❑Not Applicable :dwelling units must demonstrate compliance with the IECC °Commercial Provisions, 3112;1 Heating and cooling equipment is', Heating: Heating; � ',ClComplies 443.':6 sized per ACCA Manual 5 based Btu/hr Btu/hr �❑Does Not on loads calculated per ACCA ` Cooling: Cooling: ❑Not Observable Manual] or other methods Btu/hr Btu/hr approved by the code official, ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1F—F2:. Medium impact{Tier 2} 3 Low Impact (Tier 3) Project Title: 160714_Trust_MerrimackCondos_Bldgj_UnitsB-B-B-3_NAndover Report date: 08/10/16 Data filename: Page 3 of 9 llsuttonnas.corp.koopmanlumber.com\SaleslEbbeling_Ed1160714 Trust MerrimackCondos Bldgj_UnitsB- B-B-B_NAndover\RE5check1160714 Trust_MerrimackCondos_BldgJ_UnitsB-B-B-B_NAndoverjl.rck Section F.oundaisIonInspection Corripiies? CornmenfslASsumptions 303,E 13A protective covering is installed to ❑Complies 101112.. i(]112 protect exposed exterior insulation ❑Does Not and extends a minimum of 6 in. below ❑Not Observable i grade. ;❑Not Applicable 40316 Snow and ice-melting system controls'❑Complies Ci o2]z ",installed. ;❑Does Not ;❑Not Observable j❑Not Applicable Additional Comments/Assumptions: : High Impact(Tier 1) 2 Medium Impact(Tier 2) : Low Impact(Tier 3)� J �� �- Project Title: 160714-Trust_MerrimackCondos_Bldgj_UnitsB-B-B-B_NAndover Report date: 08/10/16 Data filename: Page 4 of 9 llsuttennas.corp.koopmaniumber.com\SalesNEbbeling_Ed1160714_Trust MerrimackCondos Bidgj_UnitsB- B-B-B_NAndover\REScheck\16Q714_Trust_MerrimackCondos-Bidgj_UnitsB-B-B-B_NAndoveFjl.rck Section , Plans Verified Field Verifiad )craming/Rough lin inspection Compiiesh Com�nehts/Assumptia:7s i value Vafue 402,1.1, Door U Factor. U U- '❑Complies See the Envelope Assemblies 402.3.4 ❑Does Not table for values, [FRl]1 ;❑Not Observable ❑Not Applicable 402.1.1, Glazing U-factor(area-weighted U- U- ;❑Complies -see the Envelope Assemblies 402,3.1, average). ❑Does Not ;table for values. 402.3.3, Observable 402.3.6, ❑Not 402.5 ❑Not Applicable [FR2]1 303.1.3 U factors of fenestration products ;❑Complies [FR4]1 :are determined in accordance []Does Not with the NFRC test procedure or ❑Not Observable ;taken from the default table. 7❑Not Applicable 402.4,1.1 Alr barrier and thermal barrier ❑Complies [FR23]1 installed per manufacturer's :;;[]Does Not instructions. i❑Not Observable ❑Not Applicable 402.4.3 ;Fenestration that is not site built ^�-;❑Complies [FR2011 '.is listed and labeled as meeting ;❑Does Not !AAMA/WDMA/CSA 101/l.S.21A440 = ?❑Not Observable '. or has infiltration rates per NFRC 400 that do not exceed code ❑Nat Applicable limits. 442:44..:-:,'. IC-rated recessed lighting fixtures ❑Complies f�R16]. sealed at housing/interior finish Cjpoes Not I; and labeled to indicate 52,0 cfm ❑Nat Observable leakage at 75 Pa. ❑Not Applicable 403.2.1 Supply ducts in attics are R- R- Ucomplies [FR12]1 ;insulated to ?R-8.All other ducts R- R- ❑Does Not In unconditioned spaces or ❑Not Observable outside the building envelope are Insulated to ;--R-6. ❑Not Applicable 403,2,2 ;All joints and seams of air ducts, ;❑Complies [FR13]1 �alr handlers, and filter boxes are -'❑Does Not ;sealed. ;❑Not Observable ;;❑Not Applicable 403.2,3.1.._!Building cavities are not used as ❑Complies [FR1511 ,ducts or plenums. ❑Does Not i ;,° `i '-A ?❑Not Observable �'. ❑Not Applicable 443.:3 HVAC piping conveying flulds R R ❑Complies v z [FR17] above 105 °F or chilled fluids ❑hoes Nat ' below SS°F are insulated toR ❑Not Observable 3. ❑Nat Applicable 77.7.77-7 7777T777�� 4033.1 :Protection of Insulation on HVAC ©Complies [FR24]1 piping, ❑Does Not ❑Not Observable ❑Not Applicable 443;4 2 j Hot water pipes are insulated to R R- '❑Complies [FR1812 aR-3. i❑Does Not ❑Not Observable ; ❑Not Applicable 1 High Impact(Tier 1] 2- Medium Impact(Tier 2) 3` Law Impact (Tier 3) Project Title: 160714_Trust MerrimackCondos Bldgj_UnitsB-B-B-B_NAndover Report date: 08/10/16 Data filename: Page Page 5 of 9 Ilsuttonnas,corp.koopmanlumber.com\SaleslEbbeling_Ed1160714_Trust_MerrimackCondos BldgJ_UnitsB- B-B-B_NAndoverlREScheck1160714-Trust_MerrimackCondos_Bldgj_UnitsB-B-B-B_NAndoverj 1,rck ' 5ect�an �., Pta.r�s ueri,fiecl �ieid,VeC�fleci i rarning/Raugh In Inspectit►n Cornpli+as� GomtnentslAssumptions &;Iteq ID Value Value 403::5 ;Automatic or gravity dampers are }❑complies [i R19� Installed on all outdoor air =,❑Does Not ;intakes and exhausts. pNot Observable ❑Not Applicable Additional Comments/Assumptions: C High impact(Tier 1) 2 Medium Impact(Tier 2) 3. Lnw Impact(Tier 3) Project Title: 160714_Trust_Merri mackCondos_Bidgj_UnitsB-B-B-B_NAndover Report date: 08/10/16 Data filename: Page 6 of 9 llsuttonnas.carp,koopmanlumber.com\SaleslEbbeling_Ed1160714_Trust MerrimackCondos—BldgJ_UnitsB- B-B-B_NAndover\REScheck1160714 Trust_MerrimackCondos_Bldgj_UnitsB-B-B-B_NAndoverjl.rck S±bction Plans Verified "f=ield Verified Insulation inspection Campiies� ConnmentslAssumptirins & tteq ICl Vait�e Va€ue 303;1 ;AII installed Insulation is labeled ❑Compiles [1N131, or the installed R-values =❑Does Not provided. 1. s ❑Not Observable ❑Nat Applicable 402.11, !Floor insulation R-value, R- R- ;❑Complies See the Envelope Assemblies 402.2.6 ;❑ Wood ❑ Wood `❑Does Not ;table for values. [IN1]1 ;❑ steel ❑ Steel ;❑Not Observable J ;❑Not Applicable 303.2, Floor insulation installed per :❑Complies W� 402.2.7 'manufacturer's instructions,and '❑Does Not [IN2]1 ;in substantial contact with the j `underside of the subfloor, ;❑Not Observable Meg 402.1.1, ;Wall insulation R-value, if this is a. R� ;❑Complies ;sae Che Envelope Assemblies 402.2.5, �mass wall with at least 1h of the ❑ mood ❑poes Not table for values. 402.2.6 (wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable [IN3]1 exterior, the exterior insulation requirement applies (FR10). :E] Steel ❑ Steel ❑Not Applicable 303,2 'Wall insulation is installed per ❑Complies _ [iN4]1 manufacturer's instructions. ❑Does Not r ) ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: I A High Impact(Tier if---m Medium Impact(Tier 2) — 3� ow Impact(Tier 3)� Project Title: 160714_Trust_MerrimackCondos_BldgJ_Units B-B-B-B_NAndover Report date: 08/10/16 Data filename: Page 7 of 9 llsuttonnas.corp.koopmaniumber.com\Sales\Ebbeling_Ed1160714_Trust MerrimackCondos BIdgJ_UnitsB- B-B-B_NAndover\REScheck1160714 Trust_MerrimackCondos_Bid6J_UnitsB-B-B-B_NAndover_J1..rck Section pians Verified Fleltl Ver�fled # Final €nspectan Prnvlsinns`: Value Value Cnrnplles� Cammets/Assumptlans & 402.1.1, Ceiling insulation R-Value. _ R- R- ❑Complies 'See the Envelope Assemblies 402.2.1, ❑ Wood El woo '❑noes Not :table for values. 402.2.2, ❑ steel ❑ steel -]Not Observable 4()2,2.6 [F11]1 ;❑Not Applicable Vi1 3o3.1.1.1, Ceiling insulation installed per :f❑Complfes 303.2 manufacturer's instructions, €❑Dpes Not [F12]1 ;Blown insulation marked every 300 ft2. ©Not Observable ;:❑Not Applicable 4()22 3 ,;Vented attics with air permeable ❑Complies _ [F122]z. 'insulation include baffle adjacent s❑Dpes Not to soffit and eave vents that extends over Insulation. ❑N of Observable i .,❑Not Applicable 402.2,4 ^Attic access hatch and door R- R- ❑Complies [F13]1 insulation a:R-value of the ❑Does Not adjacent assembly, ❑Not Observable I ❑Not Applicable _ 402.4.1.2 Blower door test @ 50 Pa. <=5 ACM 50 = ACH 50= ❑Complies [F117]1 ach in Climate Zones 1-2, and ❑Does Not <=3 ach in Climate Zones 3-B. ° ) ❑Not Observable ❑Not Applicable 403.2.2 Duct tightness test result of<=4 cEml1 00 cfm/100 Rcomplies [F14]1 cfm/100 ft2 across the system or ft2 ft2 ;❑Does Not =3 cfm/100 ft2 without air handier @ 25 Pa, For rough-in ❑Not Observable 'tests,verification may need to ❑Not Applicable occur during Framing inspection. 403.2.2.1 'Air handler leakage designated i ❑Complies [FI24]1 by manufacturer at ¢=2%of ❑Does Not ;design air flow. ;[]Not Observable ❑Not Applicable _ _ 403;1 1 Programmable thermostats �ICpmplies [Fl9j2 installed on forced air furnaces, ;❑Does Not '❑Not Observable I❑Not Applicable _ rlp3=.12 Heat pump thermostat installed -,,9 Dcomplies [Filo) ion heat pumps. ❑Does Not ,❑Not Observable ❑Nat Applicable 4034 1 Circulating service hot water ❑Complies [FI1lj� ;systems have automatic or t ; ❑Does Not .,accessible manual controls. :❑Not Observable NotApplicable 403:5 2 ;All mechanical ventilation system `r. ❑Complies [FI25]z, Ifans not part of tested and listed - ❑Does Not ?HVAC equipment meet efficacy = and air flow limits. ;'❑Not Observable f❑Not Applicable 404.1 75%of lamps in permanent _ ❑Complies [F[6]1 ;fixtures or 75%of permanent ;❑Does Not ;fixtures have high efficacy lamps. ❑Nat Observable i Does not apply to low-voltage :lighting. Not Applicable 1 High Impact(Tier 1} 2.: Medium Impact(Tier 2) Low Impact(Tier 3) Project Title: 160714_Trust_MerrimackCondos_BIdgj_UnitsB-B-B-B_NAndover Report date: 08/10/16 Data filename: Page 8 of 9 llsuttonnas.corp.koopmanlumber.coml5ales\Ebbeling_Ed1160714_Trust MerrimackCondos BldgJ_UnitsB- B-B-B_NAndover\REScheck1160714_Trust_MerrimackCondos_Bldgj_Units6-B-B-B_NAndoverj 1.rck Kanayo Lala, P.EE. .............03103/2014 PROJECT; Merrimack Condominiums J-TYPE BB-Compass Poini,N Anduver,MA DESIGN FOR-GIRDERSIJOISTS/RAFTERS Third Floor Beam T1 Supporting Floor,Wall,Attic&Point Load From T5 LOADS: DEAD LOAD 22.54 PSF 323.00 PLF Ce= 1 CF= 1.00 SNOW LOAD PSF 040 PLF Cq= 1 Cs= LIVE LOAD 30.00 PSF 429.90 PLF qs= 29.10 Cd= 1 TOTAL LOAD 753 PLF I= 1 Cin=1 WIND SPI=ED 100 MPH 29.10 PSF POINT LOAD 3510 LBS 3.25 FT Ra= 2925 LBS 7341 LB=TOTAL REACTION TRIBUTARY WIDTH 14.33 LF E= 2000000 PSI JOIST/GIRDER SPAN 19.5 LF Fb= 2900 PSI WIDTH- IN 10.60 PSLILVL 11.875 IN = d I=v= 285 PSI ROOF PITCH- N :12 M. Fc= 2700 PSI Fcp= 750 PSI MOMENT= 35786 LB-FT MOMENT2= 9506 LB-FT 246.78 =S provided OK S= 187.42 IN^3 1465.24 = I Deflection= 0.836 IN =L1 240 For Total Load Required L1240 Deflection2 T 0.139 IN =Ll 421 For Live Load Requ!red 1-1360 Fcp'= 652 PSI OK 1.50 In Bearing Length FV= 123 PSI OK USE BETTER HEADER#65 (FLITCH BEAM) 2-LVLs 117/8"WITH 112"STEEL PLATE of BOLTED WITH 518"DIA@12"O.C. IN TWO ROWS. ' KANAYO H.. Nn.337><OG +`3SIO AL �' Kanbyo Lala, P.E. .............03/03/2014 J-TYi'Z: MA 141P»(-64i Third Nnnr Rant-n T9 Supporting Floor,Wall&AttI(; LOADS: DEAD LOAD 22,54 PSF 322,95 PLF Ce= 1 (;F= 'Lou LIVE LOAD 30.00 PSF 429,90 PPF 29A0 Cd= 'I W t t."DQ"P r E D 100 Mirl,1 29.10 PPF i,k,)Jvj I L.Uliu LUO I'l Rn= 0 1 RR (-,)211 1 i�=,rM'A I RFACTION I KIUU I AKY VVIL)I H '14.3'J U, L'4 zuuuuuu I-lbf OnAhl 4C, r 1 17 I:k- lonn ncll WIDTH- IN 7.00 PSULVL 111.876 IN d Fv= 286 PSI Fcp- 750 PSI 0 I-B-F-T, 164.62 �-;S provided OK luu.uz 1114-0 .- I n AAq IM I f inq r.nr TnfnI I norl pormiroff 1 1940 Detlectioi-I2 O.UOU IN =U 54U 1-or I-IVc" Load IloqUIWO LJ;JbU Fc,-' r— — -11 A 1^rl 1... r,,......'..w w I -­ AA, Fv'w: f­ Fv'=-. 112 PSI OK vt Kanayo Lala, P.E. .............0310312014 f-r-lu ir-U I. lusuri Ilak;K l.Uil[iUlIIII II611115 MA I z':ii.,iv r.... ..�r.�i r.✓�r.��,�:,�.,ii..,, II-�<:� .r.;rr1 rirmr rRonm T3 Supporting Floor &Point Load From'r1&T'2 LOADS: DE=AD LOAD 20.00 PSF 380.00 PLF Ce= 1 CF= 1,00 ....... ..... 7--7 LIVE LOAD 3n.00 PSF 54n no PLF qs= 29,10 Cd= 1 )\,J 1lLLVl1V 0 V 1"L.! I- 1 Viil" I W!ND SPEED 100 1,01P"11 20."C3jF POiN i'LUAU _W41 r LM> s.zo r'I RaM 43-0;7 LDS 7G 0 LOG-Tr;-- ,C",' N TRIBUTARY WIDTH 18.00 LF i~= 2000000 PSI WIDTH- IN 14.00 PSLILVL 11.875 IN = d Fv= 285 PSI nr�r.r nl�rn!J .1.+n.,a r•_.... nronn nC){ Fcp= 750 PSI IVIVIVI L.IV I O/D 10 LD4 I 4._ v^F1 :Ja.✓.v-r �-..i NllJvrur:U 0 5- 313.(b M113 1953.66 =i nof}Artinn= n 41111 IN =1 1 7Fi7 1-nrTnW 1 owi pofli11YN11 1-124D Detlectlor12= 0.378 IN -V 419 For Live Load Required L1360 Fci„)_ Ann nrl hl/ ?nn Fv'= 189 PSI OK Uor-qL 1 1 Gi"i Fi F-pl "€uto-! kr GI 1"1-1 l"fAlvi a -v1-o I 1 110 vvl 1 r l z,-,jju 93311 L-L-L-F-.ml L. [KOL1'-:D VVf 411 J)V+Vf1•11W, r4,V.V. If\ )'MYV 1\V YYS. ...tl ':�9fimq c.lp � j TRT''\ i _ Y Y ^f I[I!1 Y?F1Yl l�T All RTA -5�. ✓ 1 ; No, 371n �..f 6 Kanbyo Lala, RE. .............03/0312014 r'-i\VJLU1. rwrc:arlrlru1,a14.atr atavrrair ritaai:s ,., Supporting Floor &Point Load From TI T2 L«Ar)S: DFAn I_OAO 20.00 i'SF 360.00 PLF Ce-= 1 CF= 1.00 LIVE llanar 30.00 PSl'e- 5 nr3n 171„.1”; Mr- ?°.1!3 Cd 1 nrnr,I...I. 20, 0 PS r"IJiIV 1 L.VMU IU4+1 l I_L)o J.GU 1".i, rA-- 1 2 7 5,15 I..l,/""'1\✓1/^14 1\I."m/-t1.�I f�.Jl I RIEW I ARY WII.)111 1d.UU Ll- L= ZUUUUUUU f161 if 115 Y"1( 1171"7r Y CGa�f➢11 17 r r= r'�47:r ")eLrrv�u"rw'Rl WIDTH- IN 6.50 36KSI W1 2X30 12,34 IN d Fv= 162.00 PSI I--,._ nAnnn ric l Fcp= 405 PSI �Il✓Iv1,...1 V f�.. rasv,u .,.,... yt.,�..,..... .. N. ,...w.,... w. llwl�.•/,1k`Ir1 r,c fi 'Iii iral :::! ;:I if "i"(il"i i oH(,i i ofitifrorl U240 Deflection2 0,241 IN LI 654 For Live Load Rogrrired Lt360 c,.,.../.» Orn oc,>1 n nn IM, rann,.l„,,,,1 nrrn�ia Fv,= 10,200 PSI OK . .............. .................. k . UOJ.� M A.'.l A.4 //0 k'k./A\AJI-WA IV A. 1`t, (/ dy l`l V 1 R I At A era No.J37MC. b � Karmly; 'n!� P.E. .............Q.3!03/7.014 i-It4.J..A F-. r1. iW14ri 1111{I„N bn C\4✓MJtlIbAMIt IFY elball P'3 ^y^lxrw r- nn rw.,.�..... .__ r•,..,.r. + r. n . ...... aa,. 1"1"'l'l1Y\1.JL:..I\.Sr rlw..rrwr re..r It1r ar r ..r♦v YYf re a,w r a.. m,.«..nn..i r Supporting Floor&Wall I)I-A(')i 1lAD 24.00 FISF 240.00 PI..P (,e=: 1 Gl-'-- 1.UU LIVL. I..OAI') 30.1)0 P„SF 300.40 PIT rls�: 2s�.1r5 Cf1= 1 i v r 4, . ..... ......;.... Anf,.1. .. . PSI29,'( rf Lylr. 3 f� r 11.v rC r w. ... _ �.... 7J I..(✓�,:D .i”' ..0 'I RIBU I ARY WID I VI 1 O.UU LF d~;w 2(]Ul7UUU 1161 1('7i- fit..ik1'nr yr :r'pt"nW "i:; I F- phi:; 99115 1 P�)I WIiO"F'FI IN 3.60 PSL./LVL 11.876 IN d I�-v=: 286 I''SI rtinr nr"' nY .nn_. F-1. Lynn "Q1 F=cp= 750 PSI IYIV IVIC..IV 1"'° 11"'TVV i.«I,.J"I Y r'./.r 11 r) �^^ I.../ -Y./.:'J � e,rr _11'11'_i Deflcction2 U.UUU IN = L/ 790 For Live: Load Required L/360 @�`r.rrl•-• f:.G;L] 1701 fill '1 �f1 In 1'-ku}�,rrinrr I ar r�r rE17 F='vl--= 977 PSI OK ..r r'vr rrn w�. n r r rr' tt n/rxn'x",/+.ry rsr'+nb x'.TV ...Y��".."•":::A;-, .. �..,�, it v"lV "'w`;U 115"kms"°'�•'k':�,/ - Ken-,,n f?la, RE .............02/03/2044 F'F\VJt_5.J I EY}}ILII 1117U411 1sV11UV7E1 tE 11U/11❑ }t ',le �ira..r+l l afla leer,e_J,_ra,.,,rrl.fl�-,r�„r,rtl I(_i17 —t; r"flJUl �learrlSl Supporting Floor&Wail LOAD-9- DEAD I OAD 24.00 FSF 2.40.00 PIF Ce= 1 CF= 1.00 p•Ir.r n,. ..nn n nn nl r n.-..- n r.,. €IVr.. r nnn In nn C'�� 00!100 Pk,F rlcc 2COO CCI= 1 ru {'CJIkV I LO/AU LfJ.7 r I Ra- ioa 4iv.f ",--, 7:C TRIBUTARY WIDTH 10.00 LF 2UUUUUU P61 €r II-f W.;;I I...II-H \ZPi fel I.l I P F1'1,4 F'SI WIDTH- IN 3.50 PSL/LVL €1.$75 IN = d Fv= 285 PSI 1'1/lllr fllTf+f.l Al .��1_ I-n- 'MIA DSI Fcp= 7501 PSI _.......... -. IvstJivit=lv t-- i.��cir wu-�'s 17wflprtinn- 0-421 IN I_/ 371 Fqi+'!rick i_iju.; 0 Deflecfion2- U.0001 IN M L! 593 For Live Load Required L1350 FC,"I_ 120a OCZ1 nK Q nn In Rnrinn I Ann4h 150 PSI OK .. - - 4 f F - KanElyo Lala, P.E. .............0310312014 PRO,IF('T- Merriii au; J-TYPE 813-Compass Point, N Andover,MA DF-RIGN Fop_rlPnr-Pw.IntcrS IPA.PTT=RS 2nd Floor Beam S2 S,C�'♦'. ":n ^.4F v""."n " F C 1 Cs- I_IV5 r.VAL) 4u.UkJ V-61- 6J.LU i-Lr qy.� AV.IV i.u^ TGTAL L3AD 73 r LF I- 1 Cra= 1 WIND SPEED 100 MPH 29.10 PSF PC)INIT I r)AII 11A() I RA -A 7i, FT Ra= 3467 LESS 713 LB=rO'rAI_REACTION T1]fnI 1T n\/%A IF MI [-.3 h 00 [ r fr 'lnnnnnn nCl ,JCnlcTirlRnFR-PAN 19.5 LF FI)= 2900 PSI ROOF PITCH- N :12= Fc= 2700 PSI vN= r jv I- >� ........ . . ....... .. ....... .................. AMC)NIF-wT= M77 I R-FT MOMi"NT2= 11267 LB-1=1' 82.26 =S provided OK C.-. F9 !14 IAIA'� ARA A4 -I Deflection = 0.244 IN =U 318 ForT ot0 I.o9d Rprmirarl) -Mf) Fcp'= K2 PSI OK 3.06In Bearing Length 00511Zn Ta.. ' LALA ° r - Ka,-rc Lula, P,E. .............03103!2014 r-tw.r r_:�r. ivtciirn�u�n v�ieuvn�iinnti+i iii -77.7 ;........:c ,:. Supporting Two Floors, Root,Wail&Point Load From l-7 t 0A.I?S: nFAn MAD 73.72 PSF 718.75 PLF ce= 1 OF=0.96 _ �n Pt-F nom– Vin.�0 Cd= 1.15 Ll!/F I_nn,n 7n,nn wcF 6p' �_ , _. ,- , r+rn ecn,_I 29,10 PSI" I-UIN 1 LVk1U e4UUU Lba u r r 31 3 w'53 TRIBUTARY WIDTH915 LF L_ 2uc7U000 4'51 . --- -1n1�1lt-;Irtt rr-K �+-r�-+ij 'i i,_ni..F - F�1-- J�)liii f'.y WIDTH- IN 5.25 PSL/LVL 18 IN = d Fv= 286 PSI rinrlr"nf"f"I�i l Kt An._ Cn ?Inn raCl Fcp= 750 PSI ivivrvrrCav t - vv tv 1 t_L)-r i 1^r i� .-.__._... � ,.,�,.,. �� . -r r+e_. 5= zrs4.ur ii�1^3 2Lzis.:i4 M 1 Na 6, ""'Al i_oaii e:auuired U240 Defiection2= 0.160 IN ;L/ 403 For Live Load Required L/360 977 I]CI Ilv r nn In Rnarinn I nnnt Fv'= 245 PSI OK U9Ja!,-LV1_.S i l IIS"t°UfC LiLlliVl �H. Mr' '�pA � � + ,* VMM LALA �'' OWM0 14 SPECIFIC CALCU1_ T'OM9 pop THP wymn r»ars OTY ur"''PP7! 11 1 C-:.::,..:: *.::,,:_. MMIM nr urVa it it M A J4 M X IR' GROUND 9NOWMAD 50 PSF Nrniir{m l alrlrrdh RA {t BOOK(,, VV(dth 26 ft F�mql hg AVed RWW= 118 1'1rt n n nh n 117 FII.,.I VtCAi II VI�IYI "'Y:J IL 1 . .,.. a•.. .,. , ,..... ,... .». ... c 1..1 t� rrr V JI L i wt,i-f A V-'1 :4wolr (4')P 1!9" A c4c rp D! nm ,. '1 a� 1nA�n r,A �y�r dvt !,9 FT MH TWO xX SYP M Al"t':S :., 'F r,J flAr, • r 1er..n %f1n of r� �-. r. • .✓vC.r'tWV 143 h/I::'.L 1FT NW -. ...... . ....... � .._.,I ,......_,....'1 �..r r.n ....,.,Irl VVII1a uu ulIluIL u-urly vvall u ) Luny vv Ivl I Uu 140 NU Ul l'.11 I LE NO lll'LIFT F,X1MT S A.t..t.liF HASF. OF THP fail Hl NNA SHFAR Anl "J.1rM!= APF' Al)F(,)I a M J_,— ".r\,11V'r A r4l r _".r\,11V'rAr4ll ,)I()g71(1). r.r a.✓..,,r..,I �.✓a.✓r� i r-.i m ur r i i «✓", r a,1n.,1,..r r 1 r �, ,,„�r v r, ,�.,ra.,,.,e a ui-. .y ,.yr a i n i,i.. m...,.n ....w � P..,., . ._.,- k'`� ... ,,,. vr. ...e.a._L. w. ,✓1 v. �.1,.aa.ff l("- 1✓' I/'r C"t";R WITH RI)1vllAll ti A I 0 t Iry r i� I n1� (;;C)(+dIN O S 94IPA"r•t.. KYI A11AA ll n1:41 r: Al r N10 u VwAl I_ 19 Q 1 I IL.i LJ W4 ). VI\r-1111 Al.er"11...V vYI"L 4.I1 l.,.l all YL ' L,1w aur 11..1_I'ti r..r...r 1 L.1 r, ;11"1 111 ; L.. 4✓1-04rt N1...J &Z"IN(«:R 67w3 j 1-o3 l I�1r11':�;C.1(4 1--,('66 I'(X:i I C;0\I' t_hA I I CF41_Gl1h'AC l I Y1/435 l,..136-lJk°'. 'T"1-EL-'.!".M MH .t1?`ANQ /sR!"YVP ttldi'.=1.:'1"}140 Win n Iwwnilr•m i,L : rll-• fr"-G- ii4tC vi'ji m ve"f r., m fa mri /)wi mt-d61 Ananrt�unnAL.nn-r� rn IrTM>,-�%nn�. Ry �,�,.� .. .. t^ M51: �n�: a. .M4 MA LEA Sect�c�n Plans Verified Heidi VeriiFi$d # i'inal inspection Prtvisians Viue compiies� CommentslAssumptipns &.Req iD Value: a Ohl 1 ;Fuel gas lighting systems have ❑Complies lo123 3 no continuous pilot light. ODoes Not ?❑Not Observable [dot Applicable 4013Compliance certificate posted. ❑Complies [FI7.Iz ❑l]oes Not <; ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for 777Lcompiies 011:813 mechanical and water heating 'Does Nat systems have been provided. ❑Not Observable 5❑Not Applicable Additional Comments/Assumptions: I High Impact(Tier 1) t edium impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 160714_Trust_MerrimackCondos_BIdgJ_UnitsB-B-B-B_NAndover Report date; 08/10/16 Data filename: Page 9 of 9 llsuttonnas.carp.koopmanlumber.com\Sales\Ebbeling_Ed1160714 Trust MerrimackCondos BIdgJ_UnitsB- B-B-B_NAndover\REScheckn160714 Trust_MerrimackCondosrBldgJ_UnitsB-B-B-B_NAndoverjl,rck 2012 IECC Energy Efficiency Certificate Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): Window 0.29 Door 0.29 Heating System: Cooling System: Water Heater• Name: Date• Comments The Commonwealth of.Massgehusetts x Department of IndustrialAccidents I Congress Street,Suite 100 r Boston,MA 02114-20.17 ;1 .: : •wY www mass.gov/dia Sy14 1' o hers' Comp ensationinsurance Affidavit:Builders/Coutracto:rs/Elect icians/P uno�be s. TO BE YMF,D MUR TM PERMTTING AUTHORITY. A licantInforxnatiou Please print Le 'b1 Name (Business/Organizationffndividual): Address: 20 �t5 city/state/Zip: C�:� ' Are you an employer?checkt&appxopnaie box-, Type of project(Tgq*uired): •! 1.❑I am a employmz with employees(full and/or part tizue).* 7,N New coristru etlon 2,E]I am a sole proprietor or partnership and have no employees working for MO in & Remodeling any capacity.[No workers'comp.insurance required.] 9, Demolition. Q I am a homeowner doing all work myself.�No workers'comp..insurauce required.l t 10 F]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct:all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors withno employees. l2: Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 3.Q Roo£repai€s These sub-contractorsiiave employees and have workers'comp.insurance 14.❑Other S.❑We are a corporation padill officers have exercised their right of exemption per MCL e. 152,§1(4),and wahavena,enployees.iiioworkers'comp.insurancerequired.] Any applicant that oheolcs box 4l must also fdl out the section beiow showing theirworkers'compensation polioy infnrrnation. T Homeowners kho subEif this a ffrdavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must•attacfZed an additional sheet showing the name ofthe sub-contnactors and state whether or not those entities have �• r. ; s employees.. the sub-coA6ctors have empleyecs,Viet'must provide their workers'comp.policy number. arae an erraployer that isprovidingworfcers'compensation insurancefor r'ny employees',Below is thepalicy arzd job site information. Insurance Company Name: Policy#or Self-ins.Lic. Expiration.Date: Job Site Address: City/State/,dip: Attach a copy of the workers' compensation p olicy declaration.page(showing the policy number and expiration date). Failure to secure covarage as required under Sl1GL c. 152,§25A is a oriminal violation punishable by a fine up to$1,500.00 anal/or one-year imprisonment,as Well as civil penalties in the form of a STOP WORTS ORDER and a flno of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the MA for insurance coverage vorif nation. I do hereby eer ' nder th Ms and penalties ofperjr�ry that the information provided above is Lrue and car:ecL Si ature• Date: 5 Ph lie#: official rise only. Do notwritein this area,to be completed by city or town offtclaL City or Town: Permit/License# Issuing Authority(circle one): i I.Board ofMeal#h 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person Phone�: CERTIFICATE OF LIABILITY INSURANCE DATE IMM,DIl1Y0/ ACOR[]® 8110/16 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 poiicy(fes) must fie endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement{s). PRODUCER CO TACT NAME: Coonan Insurance Agency, Inc. PHONE 508 987-7122 IAAa N {5oe) 9a�-7152 267 Main Street ADDRESS: cindy@coonaninsurance.com Oxford, MA 01540 INSURE RISI:AFFORDINGCOVERAGE NAICA INSURERA:Travelers INSURED INSURER B TJK, Inc. INSURERC: - PO Box 12 INSURER o Sough Grafton, MA 01560 INSURER E; I NSU RER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. 7R ADDLSUER POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUMBER MIDOIY MMIDDIYYYY A GENERALLIABILJTY 660-335M1703-15 11/3/15 11/3/16 EACH OCCURRENCE $ 1'000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREM SEa_(E?ocr rren $ 300 000 CLAIMS-MADE [K]OCCUR MED EXP(AMO-Ears-) $ 5 000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2 000 GEN'LAGGREGATELIMITAPPLIESPER PRODUCTS-OOMPIOPAGG $$ 2,000,000 X POLICY PRO LOCaaccident $ AUTOMOBILE LIABILITY CO c eSINGLELI 1T $ 60DILY INJURY(Per person) $ ANY A UTO ALLOWI+EO SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED -PROPERTY ccieniDL-- $ HIRED AUTOS _AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESSLIAS CLAIMS-MADE AGGREGATE $ DED RETENTION$ WC STATU- OTH- A MRKERS COMPENSATION IE-LTB-99141,101-3--16 1/26/16 1/26/17 X AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE Y 1 N E,L.EACH ACgDFNI -1-100,000 OFFICERIMEMBER ECCLUDED7 :N::] N 1 A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100 000 D"ryS de-'r10" under F.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATfONs below DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is requl red) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 120 Main Street AUTHORIZED REPRESENTATIVE North Andover, MA 01845 Cind Davis ©1988-201:0 ACORD CORPORATION. All rights reserved. ACORD 25(2010106) The AC ORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: tdbuilding@aol.com