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Building Permit # 12/20/2016
BUILDING PERMIT No�aTy ' a�w T�Eo ,fi�ti TOWN OF NORTH ANDOVER APPLICATION FOR. PLAN EXAMINATION ` «{.�.....a.. ryo Permit 47 3" ,- 20 Date Received � �rATE�'s Kh` SgCH415Tc Date Issued: � ` EWORTANT:Applicant must complete all items on this page Print WNER } IOPERTY G) Pnnf100 Year Structure yes n MAP-,-, PARCEL. ; , ZONING DISTRICT:; Histone District yes Machine Shop Villa,e ye ' - - - -- TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family ❑Addition ❑Two or more family ❑ Industrial ®Alteration No. of units: El Commercial - - - — — - C] Repair, replacement EJ Assessory Bldg U Others: ❑ Demolition ❑ Other 0 Septic I] Well E Floodplain D Wetlands ❑ Watershed District Water/Sewer - DESCRIPTION OF WORK TO BE PERFORMED:: Tdentiificaixan.. Please TyTe 01,:F�-'nt�'Icarly OWNER: Name: �� Phane:�e Address. L Contr==actor Name t,K , ° to Phone: ', Address: u - ' Supe��eisor s Construction License:, . ExP. L7ate: 4e:n� ARCH ITECTIENGINEER &LJ-- ,. . Phone-Ta--L72--Ay t r Address: A; i g � � Re a. f. . FEE SCHEDULE:BULDING PERMIT:$92.00 PER.$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.4,zrota�l Project Cost: $� _ FEE: $ ` ��C Check No.: ,. Receipt Na.: � NOTE: Persons contracting with unregistered eontractor 116 not have.acees�s t0 the guc maty fund : Signature of Agerif/C)wner Signature of contractor _ i Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ [PrniVatO YP13-OF SEWERAGE DISPOSAL ublic Sewer Tamuing/MassagelBodyArt ❑ S'W'n ��gPoolseIl ❑ Tobacco SalesFood Packaging/Sales ❑(septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF # U FORM I PLANNING & DEVELOPMENT Reviewed On Signature COMMENTS /c6NSERVATION Reviewed on I' Si natures C MENTSkke� Da ,_ C1� �- 3 S`Sc ��, �- C - HEALTH Reviewed on Sicinature COMMENTS ZonfnS;Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes i PfannOng Board Decision: Comments Conservation Decision: Comments r Water 8x Settir6r Con nection/S"r ��(/nature& Date Drivewa Permit 3 DP'V'4r Tows Engineer: Signature• ��4 Lo ated 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located,at 124.Main Street Fire Department signatureldate zz COMMENT 1' css �d -)imension Number of Stories: ® Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: C {: r s;: 17 ELECTRICAL; Movement of Meter location, roast or service drop requires approval[ of EleGtrical Inspector Yes No DANGER ZONE LITERATURE: les No MGL Chapter 166 Section 21A—F and G min.$10041000 fine NOTES and DATA— (For department Use) \bv' X � Notified for pic[<up Call Emaif ate Time Contact Name Doc.Suildiug Permit Revised 2014 NORTH own o � : ndover 0 _ - No. �o h ver, Mass, 1 at, yLy e ,,.,.'Aw t coc Nlcriaw.cx Q p°RwtFn �` a,�•�5 S Ll BOARD OF HEALTH L D Food/Kitchen PERMIT T Septic System THIS CERTIFIES THAT .139:4.64b....e .00 ,,.3.4.1,... N . .........................._........... BUILLDING INSPECTOR has permission to erect.......................... buildings on .... ..(a....�s0�l1r , +i.0l A.&......&VA Foundation Rough to be occupied as ....A urw ........ON e.......�..,�itte......1.*90!!.g ............ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the ap lication Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS C®NSTRUCTI® AWS Rough ....... Service .,.... .......... . ................................... Final BUILDING INSPECTOR GAS INSPECTOR Ocey2ancy 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. Air Leakage Property Organization HERS 66 Longwood Avenue Constructive Code Consultants Projected Rating cc'>raarrua.�ivc<�9ok cc7Q+su�rn�,rs North Andover, MA 01845 508-556-0898 12/6/2016 Steve Roy RaterID:0366186 Weather.North Andover, MA 66 Longwood Avenue North Builder Andover PRE 12-6-2016 NW.blg Belford Construction Inc Whole House Infiltration Blower Door Test Heating Cooling Natural ACH 0.22 0.18 ACH @ 50 Pascals 3.00 3.00 CFM @ 25 Pascals 773 773 CFM @ 50 Pascals 1214 1214 Eff. Leakage Area (sq.in) 66.6 66.6 Specific Leakage Area 0.00016 0.00016 ELA/100 sf shell (sq.in) 1.03 1.03 Duct Leakage Leakage to Outside Units Basement Attic CFM @ 25 Pascals 69 43 CFM25 / CFMfan 0.0717 0.0447 CFM25 / CFA 0.0390 0.0388 CFM per Std 152 N/A N/A CFM per Std 152 / CFA N/A N/A CFM @ 50 Pascals 108 67 Eff. Leakage Area(sq.in) 5.94 3.70 Thermal Efficiency N/A N/A Total Duct Leakage Units CFM25/CFA CFM25/CFA Total Duct Leakage 0.0396 0.0397 Ventilation Mechanical Exhaust Only ASHRAE Sensible Recovery Eff. (%) 0.0 62.2-2010 Total Recovery Eff. 0.0 Rate (cfm) 46 59 Hours/Day 24.0 24.0 Fan Watts 15.0 Cooling Ventilation Natural Ventilation ASHRAE 62.2 - Ventilation Requirements The ASHRAE 62.2 flow rates shown above are the CONTINUOUS mechanical fresh air ventilation which will meet the'whole-building` requirement under that version of the standard. Both values incorporate any appropriate'infiltration credit'. Intermittent mechanical ventilation may be used if the flaw rate is adjusted accordingly. For example, the runtime can be reduced to 12 hours per day using a doubled flow rate, as long as the system provides ventilation at least once every 3 hours. For more detail, refer to the appropriate standard. REM/Rate- Residential Energy Analysis and Rating Software v14>6.4 This information does not constitute any warranty of energy cost or savings. c0 1985-2016 Noresco, Boulder, Colorado. HOME CERTIFIED TO MEET THE PROVISIONS OF THE 2012 INTERNATIONAL ENERGY CONSERVATION CODE This home built at 66 Longwood Avenue, North r by Belford r ciInc exceeds1mum requirements for the 2012 International Energy s Building Features Ceiling Flat;R-44.4 Duct R-8.0 Sealed Attic: NA Duct Leakage to Outside:169.00 CFM @ 25 Pascals Vaulted Ceiling R-32.5 Total Duct Leakage: 70.00 CFM G 25 Pascals Above Grade Walls i R-21.0 Infiltration: ;Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls R-0.0 Window U-Value: 0.300, SHGC: 0.300 Exposed Floor R-30.0 Heating Fuel-fired air distribution, Propane, 45.0 AFUE. Slab None Cooling Air conditioner, Electric, 13.0 SEER. i Water Heating Instant water heater, Propane, 0.82 EF, 0.0 Gal. The organization below certifies that the proposed building design described herein 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 compliance with Chapter 4 based on Climate Zone 5A and with all mandatory requirements. Name Steve Roy Signature Organization Constructive Code Consultants Date December 06, 2016 The 2012 International Energy Conservation Code is a registered trademark of the International Code Council, Inc. ( "ICC") No version of this software has been reviewed or approved by ICC or its affiliates. REM/Rate- Residential Energy Analysis and Rating Software v14.6.4 . . 2012DECC Certificate 66Longwood Avenue, North Andover, MAO1845 Building Envelope Insulation Ceiling K-44.4 Above Grade Walls R-21.0 Foundation Walls R-O.Q Exposed Floor R'30.8 Stab None Infiltration Ht8: ].OU[ig: 3.00ACH50 Duct K-O.0 Tnta\ Duct Leakage 7O.00CFM @ 25 Pascals Window Data U~Facbor SHG[ YModmw 0.300 0.300 Mechanical Equipment HEAT: Fuel-fired air distribution, Propane, Y5.OAFU[. COOL: Air conditioner, Electric, 13.0 SEER. DHYY: Instant water heater, Propane, 0.82 EF, 0.0 Gat. Builder orDesign Professional S|ynutune REM/Rate - Residential Energy Anaiysis and Rating �nftwanc 04,6.4 | | ome tner-gy Rating H = l s Property HERS � UCTIVE-OO- G R =$ Rating Type: Projected Rating Certified Energy Rater: Steve Roy 66 Longwood Avenue Rating Date: 1216/2016 Rating Number: North Andover, MA 01845 Registry ID: Based . i Estimated Annual Energy Cost Ct Rating: Plans - Diel Confirmation Use MMBtu Cost Percent HERS index: 52 Heating 34.6 $1865 58% Generallnformation Cooling 7.0 $55 2% Conditioned Area 2878 sq. ft. House Type Single-family detached Hot Water 6.9 $511 16% Conditioned Volume 24272 cubic ft. Foundation Unconditioned basement Lights/Appliances 25.0 $585 18% Bedrooms 3 Photovoltaics -0.0 $-0 -0% Service Charges $180 6910 i Mechanical Systems Features Total 73.5 $3196 100% Heating: Fuel-fired air distribution, Propane, 95.0 AFUE. Criteria Heating: Fuel fired air distribution, Propane, 95.0 AFUE. This home meets or exceeds the minimum criteria for the following: Water Heating: Instant water heater, Propane, 0.82 EF, 0.0 Gal. Duct Leakage to Outside 112.00 CFM25. Ventilation System Exhaust Only: 46 cfm, 15.0 watts. 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-32.5 Window Type U-Value: 0.300, SHGC: 0.300 Above Grade Walls R-21.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Foundation Walls R-0.0 Method Blower door test HERS Rating Company Constructive Code Consultants Lights and Appliance Features 370 Cakef Road Suite 1 Percent Interior Lighting 95.00 Range/Oven Fuel Electric Manchester, NH 03103 Percent Garage Lighting 100.00 Clothes Dryer Fuel Electric 508-556-0898 Refrigerator(kWh/yr) 709 Clothes Dryer EF 3.01 www.c3code.net Dishwasher(kWh/yr) 300 Ceiling Fan (cfm/Watt) 70.40 REQ/Nate- Resides::al Energy Analysis and Rating Software x14.6.4 This information does not constitute any warranty of energy cost or savings. D 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. . . . �� ���� �� ���� �� �� Rating,m �����m = == � Home Energy � ��~ `�~ ~ ~g, Stand������ �� �������� �� °���������� ��~�� ard�� Disclosure�~ `� �� cvwsmvcvvccooscoms"o^w,, ' � ^ ^ ^^ For home located at: 66Longwood Avenue City: North Andover State: MA 1, bH The Rater or RaLo/m employer is receiving a fee for providing the rating on this home. 2, �l In addition to the rating, the Rater orRate/semp�yer has also pmvidedthe foKuwingconsulting senices for this home. || A. Mechanical system design B. Moisture control orindoor air quality consulting C. Performance testing and/or commissioning other than required for the rating itself D. Training for sales urconstruction personnel | E. Other(specify below) 3^ DWTheRaierorRnkerspmpioyeris U A. The setter ufthis home nrtheir agent O. The mortgagor for some portion of the financial payments on this home | « | C. An employee, contractor orconsultant ofthe electric and/or natural gas utility serving this home 4. The Rater n,Rate/semployer isa supplier orinstaller ofproducts, which may include: U Installed inthis home by/ OR -.is in the business of: HVAC Systems Rater Employer Rater Emp\oycr Thermal Insulation Systems Rater Employer Rater Employer Air seating n/envelope orduct systems Rater Emp|uyer Rater Employer Windows orwindow shading systems Rater Employer Rater Employer Energy efficient appliances Rater Employer Rater Employer Construction (builder, developer, construction contractor, etc.) Rater Employer Rater Employer Other (specify below): URater UEmployer URater U Employer | attest that the above information is true and correct tothe best ofmyknowledge. As Rater or Rating Provider|abide by the rating quality control provisions of the Mortgage Industry National Home Energy Rating Standard as set forth by the Residential Energy Services Network(RESN[T). The national rating quality control provisions ofthe rating standard are contained in Chapter One 4.C.8. ufthe standard and are posted at http://msnet.us/standardo/RESNET�Mortgage_|ndust� _ _Natinnai_H�R� 5tandardn.pdf. The Home Energy Rating Standard Disclosure for this home ioavailable from the rating provider, Steve Roy 0366186 Certification Kate/sPhntedName December V6' 2U1& Ro1e/s5iQna1oro Date RESNETForm 03O8'Z � REM/Rate ' Residential Energy Anakysiearkd Rating Softwnnev14.6.4 This information does not constitute any warranty nfenergy cost orsavings. 01985-2016Noresco' Boulder, Colorado. 12/6/2016 Preliminary 2012 Code Report for 66 t_ongwood Avenue,North Andover From: C3 Info<info@c3code.net> To: markfrae<markfrae@aol.com> Cc: Steve Roy<steve@c3code.net> Subject: Preliminary 2012 Code Report for 66 Longwood Avenue,North Andover Date: Tue,Dec 6,2016 1:53 pm Attachments: 66 Longwood Avenue North Andover PRE.pdf(53K) Congratulations. Your project will meet the 2012 IECC requirements as planned. The key assumptions are, Fuel Propane Heating 95%AFUE Furnace Cooling 13 SEER AC Water Heater Tankless Wall Insulation R21 Fiberglass Ceiling Insulation R49 Blown Cellulose Windows .30 U-value & .30 SHCG Ventilation 2 speed continuous bath fan Please let us know if these assumptions are not accurate so we can adjust your energy model. Please note the following requirements; • All top, bottom plates& double studs must be sealed with caulk or an equivalent method • All rim & band joists must be insulated AND have an air barrier over them. Spray foam meets both requirements • A mandatory Thermal Bypass Inspection must be performed after insulation but before drywall. Please ca11508-558-0898 about 7 days prior to schedule. It is recommended that you print and leave a copy of this report with your building permit. Thank you for choosing Constructive Code Consultants as your HERS Rater. We look forward to working with you. Constructive Code Consultants www.G3code.net (508)556-0898 https:/Imail.aol.com/webmail-std/e€rus/PrintMessagee 111 CS Beain 2016,4.0.5 66 LONGWOOD AVE. 12-8-16 kmBcaj nbi&r 14.13.19.1 Materials Dalabasc-1548 NORTH ANDOVER 2:39pni I I of I Member Data Description: Member Type: Beam Application: Floor BEAM 1 Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 30 PLF Deflection Criteria: L/360 live, L/240 total Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 12.5 PLF Filename: BEAM 1.KYB Other Loads Type TrIb. Other Dead (Description) Side Begin End Width Start End Start End Category Replacement Uniform(PLF) Top 01 0.001, 14' 0,00" 420 140 Live Span carded:28'0.00"simple span 711 114 0 0 Q 14 0 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 01 0,0001, Wall Steel 3.500" 1.500" 3882# 2 14' 0.000" Wall Steel 3.5001, 3882# Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members Live Dead 1 2848# 1034#f 2 2848# 1034# Design spans 13' 6.769' Product: 2.0 Rigidl-arn LVL 1-3/4 x 9-1/2 3 ply PASSES DESIGN CI-Ii" CKS Connect members with 2 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 chord. Design assumes continuous lateral bracing along the bottom chord. AJ11owable Stress Design Actual Allowable Capacity Location Loading Positive Moment 13163.'# 21845.'# 60% 7' Total Load D+L Shear 3429.# 96421 350/6 0,23' Total Load D+L Max. Reaction 38821 137814 28% 01 Total Load D+L TL Deflection 0.5809" 0.6781" U280 7' Total Load D+L LL Deflection 0.4262" 0.4521 U381 7- Total Load L Control: LL Deflection DOL,s; Live=1000/6 Snow-115% Roof=1250/. Wind=160% Design assumes a repetitive member use increase In bending stress: 4% OF RMATas AM- ND.M7 Alt Product names are trademarks of their respective owners Copyright(C)2016 by Simpson Stronit-Tie company Inc.ALL RIGHTS RESERVED, "Passing is dollned as when the member,floorlold,beam or g1rd%shown on this drawing tussle applicable dodgn critshia for Loads,Loading Conditions,and Spans Rafed on this sbeei.The desan must be reviewed by a Quattlied dodanor or desinn orofasslonal aareaulred for aMsoval.This desion assumes product installation according to the fila"LlfaChIMI'S SPecificallon& CS Beam 2016.4.0.5 66 LONGWOOD AVE, 12-8-16 knBcantsiEDnagtiX q'351498.1 NORTH ANDOVER alnik'12:47pm I I of I Member Data Description: Member Type: Beam Application: Floor BEAM 2 Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 30 PLF Deflection Criteria: L/360 live, L/240 total Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 8,3 PLF Filename: BEAM 2.KYB Other Loads Type "crib. Other Dead (Description) Side Begin End Width Start End Start End Category Replacement Uniform (PLF) Top 01 0.00" 91 010011 420 140 Live Span carded:28'0,00"simple span 7N --Y 9 0 0 a 9 0 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 01 0.0001, Wall Steel 3.500" 1.500" 2433# 2 91 010001, Wall Steel 3.500" 1,5001, 2433# Maximum Load Case Reactions Used for applying point loads(arsine loads)to carrying members Live Dead 1 17M 635# 2 179" 635# Design spans 8' 6,750" Product: 2.0 Rigidl-ami LVL 1-3/4 x 9-1/2 2 ply PA, ES DESIGN 01ECKS Connect members with 2 rows of 16d common nails at 12.0"oc 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 5208.'# 14001'# 37% 4.5' Total Load D+L Shear 19831 6428M 30% 0.23' Total Load D+L Max. Reaction 2433.# 9188.# 26% 01 Total Load D+L TL Deflection 0.1374" 0.4281 U747 4.5' Total Load D+L LL Deflection 0.1016" 0,2854" 0999+ 4.5' Total Load L Control: Positive Moment DOLs: Live-100% Snow-1151% Roof-125% Wind-1600% or ROBERT MASYS No.M74 d All Product names are tradornaiksot mairrospactive owners G0PViWht(C12016 by Simpson Strang-no Company Inc,ALL RIGHTS RESERVED. "Passing Is defined as when the member,0 r Iolst,beann or glrdet shown on this drawing meals applicable design Criteria for Loads,Loading Conditions,and Spans listed on this shoo.The desirm mud be reviewed by a nuallfind dmiMI-11.d— ..—A-d f—--.1 Tht.,1.6"... CS Beam 2016A.0.5 66 LONGWOOD AVE, 12-8-16 lanBcaniEngiw4 13.19.1 Materials aalabAS"BA8 NORTH ANDOVER 2:49pin I of I Member Data Description: Member Type: Beam Application: Floor BEAM 3 Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 30 PLF Deflection Criteria: L/360 live, L/240 total Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 12.5 PLF Filename: BEAM 3.KYB Other Loads Typo Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Replacement Uniform(PLF) TOP 01 0,001, 14' 0,00" 420 140 Live SRan carded:28'0,0(Y'simple Span 0 14 0 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 01 0.0001, Wall Steel 3.500" 1.5001, 3882# 2 14' 0.000" Wall Steel 3,50011 1,5001, 3882# Maximum Load Case Reactions Used for applying point Toads(or fine loads}to carrying members Live Dead 1 2848# 1034# 2 2848# 1034# Design spans 13' 6,750" Product: 2.0 Rlgidl-am LVL 1-3/4 x 9-1/2 3 ply F )'IES DESIGN C11ECKS Connect members with 2 rows of 116d common nails at 12.0"oc NOTE:Nails must be applied from both sides 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 13163.# 21845.'# 60% 7' Total Load D+L Shear 34294 9642,# 35% 0,23' Total Load D+L Max. Reaction 3882.# 1137814 28% 01 Total Load D+L TL Deflection 0.5809" 0.6781" U280 7' Total Load D+L LL Deflection 0.4262" 0.4521 U381 7' Total Load L Control: LL Deflection DOLS: Uve-1000/6 Snow-1151% Roof-1250% Wind=1600/o Design assumes a repetitive member use Increase In banding stress: 4% or ROBERT ALAN. MASYS All product names are tradoniaiksof their respective owners copyright(G)2016 by Simpson Sliang4le Company Inc.ALL RIGHTS RESERVED, "Passing,Isdeflned aswhen the main ,!-,Jet,,,beam orqltdim;shown on thiscrawing meets applicable design ofilada for Loads,Loading Condlflons,and Spans listed on this sheet,The CS Beam 2016.4.0.5 66 LONGWOOD AVE. 12-8-16 lanBcambighid-1.13.19.1 Materials;Database 1548 NORTH ANDOVER 2:52prn I I of I Member Data Description: Member Type: Beam Application: Floor BEAM 4 Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 30 PLF Deflection Criteria: L/360 live, L/240 total Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 12.5 PLF Filename: BEAM 4,KYB Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Additional Uniform (PSF) Top 01 0.001, 12' 0,00" 14' 0.00" 50 15 Snow Replacement Uniform(PLF) Top 01 0,001, 12' 0.00" 210 70 Live Span carded:14'0,W'simple span 1421 12 0 0 (2) 12 0 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 01 0.0001, Wall Steel 3,500" 1.5001, 5738# 2 12' 0.000" Wall Steel 3.500" 1.5001, 5738# Maximum Load Case Reactions Used for applying point loads(or lino loads)to carrying members Live Snow Dead 1 1214# 404741 1691# 1214# 4047# 1691# Design spans 11' 6,750" Product: 2.0 Rigidl-arn LVL 1-3/4 x 9-1/2 3 ply PASSES DESIGN Cl'IECKS Connect members with 2 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 chord. Design assumes continuous lateral bracing along the bottom chord. I I Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 16586.'# 25122,'# 66% 6' Total Load D+S Shear 49521 110894 44% 0.23' Total Load D+S Max. Reaction 57384 137814 41% 01 Total Load D+S TL Deflection 0.5329' 0,5781" U260 6' Total Load D+S LL Deflection 0,3752" 0.3854" 0369 6' Total Load S Control: LL Deflection DOLS: Live=1000/6 Snow�115% Roof=1251/. Wind=1600/. Design assumes a repetitive member use increase In banding stress: 4% or ROBERT ALM- MASYS No'."'29174 I All product names are tradernaft of their respective own ofs, copyright(C)2016 by Simpson strong-'no company loc.ALL RIGHTS RESERVED, "Passing lsd'flnod aswhon the member,floorimst,beam or&do4 shown on thisdrayeing meets appkable design criteria for Loads,Loading conditions,and Spans listed on this shoot.'fire d000n must be mvlowed by a ouallfled da4nnA-rdA.AAn nralAssional asraouired for awroval.Thisdeslan assurnesDroduct installation accordino to the manufaclurets specifications. 12-12-16 9:09a111 I o1'1 CS Benno 4.11.26.1 kniBeamEngine 4.11,263 �d4L ► ( Qd4. MaterialsDatabasc 1516 f / Member Data Description: Member Type: Joist Application: Floor Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 40 PSF Deflection Criteria: L/480 live, L/240 total 1,000" max, LL Dead Load: 15 PSF Deck Connection: Glued ,& Nailed Filename: Beaml 246 0 a � 2460 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction uplift 1 0' 0.0001` Wali SPF Plate(425psi) N/A 1.750" 904# 2 24' 6.000" Wall SPF Plate 425 si NIA 1.750" 904# - Maximum Load Case Reactions Used forapplying point loads(or line leads)to carrying members Live Dead 1 657#(493pif) 246#(185plf) 2 6574(493PIO 246#18500 Design spans 24' 7.750" i Product: 14" RFPI-90 16.0" O.C. F'IASSES DESIGN CHECKS C Minimum 1.75"bearing required at bearing#1 Minimum 1.75"bearing required at bearing#2 Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Lateral support Is required at each bearing" Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 5568.# 121001 46% 12.25' Total Load D+L Shear 9044 2195.# 41% 0' Total Load D+L TL Deflection 0.6224" 1.2323" Ll475 12.25' Total Load D+L LL Deflection 0.4526" 0.6161" U653 12.25' Total Load L Control: LL deflection DOLS: Live=100% Snow=115°/a Roof=125% Wind=160% `o ROBERT ALAN. 0 MASMS ` No.29174 a I OIs.' Ati product names efe tmdemarksof thelrmspecllve owflors Copyright(C)2013 by Simpson Slrong•Tto Company Inc.ALL RIGHTS RESERVED, Passing is definod as when the member,0oorlolst,boom or girder,shown on this drawing meets appUcable design eriteda for Loads,Loading Conditions,and Spans listed on this shoot. to design must bo to lowed by a quafiffbd designer or design professional as required for approvW,Puts design assumes product installation according to the manufacluter's s ecincabons a. . • IS 78 , r ,ulaalan.�aM{a avne,..w►osro aUOar►MM6N0N1aYWaM � . t �c� We. 1ACK BROAD1tEAD and ROSEMARY BROADHEAD, husband and wife,, r tD.+�+ to sex cow ty,Nig ; of Horth Andover. p 1 } lrhl f ni►d.for confldeirtton Qad,wnd in Wl ax s&.tiao of .• i ' •THIRTY-CNE THOUSAND FIVE HUNDRED ($31.500.OD)DOLLAV .e a, LINDA A. LER o! 66 Longwood Avenue. Noxi And-or. Essex MaasechaaAtCr with qutttUtiWtrotvtmtda y i ! certain parcel of land, _with the buildings thereon. situated to North Andover. ? i : nas#Loota"h"eon;a piannefnland entlttedad "Pla6nn Showing Landnof Jack n f D Rosemary Broadhead, Antlov Hart et�� ceie ;" •,LO,, Aug. 1962, 1lrasaeur Aseeclates,', recorded in the rt iTesalxRaglstry of Dacds as Plays Mo. 4666. and more pattteularly bounded at►d daaeribed as fallowat ! NORTHEASTERLY byp land itow or f"Merly of Mar A. Hanneuy. 104.22 faa1. as ahovn an said plan: SOUTHEASTERLY, by land nov er formerly of Alvah H. and .Ruih C.. weaver, 115:0 fact, mote at leso, As shown an said plant 50UTHWnTl:RLY by Lot "B„y 107.41 fart, as shown on said plans and by Longwood Avanus, 117.0 feet, a► $horst on said plan. NORTHNRSTERLYE Containing 11.270 squitte feet of land; mora ar leas. according to acid , plan. i } !Wing • portion of ibe premises conveyed to pa b deed of bora 1f. Casey stated Hareh 246 1945 Worded in said Registry# mak 671. Pape 393; .. Yr.. !•40 �1 till �1...,--... r ''FN4 aatat..........Jlln4.:.... .»»192 ••• E . � yyyyr�.��,..w.uwwrM.wwwrm+!.�+.......w ar...MMS..x.Ma•uMYuwrnMu.uMnrr.w�.uMNN Wu�i•rwY � � !.' Easoxs as JKna k9, '� y ' paaoatllYappeWral aabr.araaal .JACK BOOADltiiAtl and t10$CitARY >yROAlyfl� p ��6aaKo�iatramsotMM tMte freeaAud 6t[arsana o `s !•. .. _ } � � lhiWr-�lliittFMYYaaart • u ` • � . I�IU1#•�.�f1� i<D �13� v�afadM•!N� ........�.. '} •---T• aooK i EXHIBIT A 9 6 6 Thio fa to certify that, PnC.l: 1. 1,the undersigned,amyl jR]c�..lif.........Ak�flXi#ia..flc�.oparalixe..2�nk...........W..,being the ' acme corporation which executed and delivered to ._..._.............. .............................I I Administrator of Veterans'Affairs,a deed dated..,the_t10.A%4A........day of ............... 302 I 2 Sdw&rd V. Road .................,who executed said deed on behalf of Maid corporat[on,as.....Via*........President thereof was at the time he executed the"me the duly eleeted,qualified and acting ---President of said corporation,having been so elected at a meetltl>t of the board of directors of said corporation held on the-----...5f3th.......day of.......4111............................. 3. Said officer who executed said deed was duly authorized to execute it on behalf of said corporation by virtue of,a resolution of thobgard of dies ra duly adopted on the....Mb......day of.--.XPJ...............19... x. 4. 1 have custody of,have examined said records and know the above to be true, i ,la^.fin• •"' c3::: z ;r'. 11'f ..`. arty, Clerk ' Ngyd'tb$'Fbenoy,._�gei.�le�.SnR ne�.�ne[p.ri et this Irrt.vmen,.nd ARc N6r 10 G rao�d,d Essex,sa. Recorded Aug. 31, 1962 at 55m past 9A-K. #962 ii I THE COMMONWEALTH OF MAESAC"U41UP 17 NORTH ANDOVER i err oiiiawii....................................... BOARD OF APPEALS t ...................A1!1;uSt-259L......-------------19 NOTICE OF VAFtUNCE iCouditiional or Limited Varinnoe or SpeeW Permit I , (CRatrd Iain Cha paw wA,Se Alan In w m.a8ed) Notice is herehy given that a Conditional or Limited Variance or Special Permit bas been granted To.,...•Tank.$141Rs.Rt. ..........." .. ..........'...- _...,......................................................... I Q,rR.r or P,tlllenv Address....6!?.&RMO.Rd.A."A114................................. City or Town....... ........................................................ ......... .....,........ .................................................bb 1,a od Ayenr.. . ........................................,....,.............., S ' idr.tSfr 4,.d AlleilM i .......... .................................................................................................................................».. n by the Town of.......................Nol;th,.lnrloggr................,...........Dowd of Appeals affecting die rigbts of the owner with respect to the use of premises om 66 .. ?cod Ayervex...................................................!KaA..... ....................,,..... Bt,+M IXty sr 7.bm j the record title standing in the name of "Sank Bnoadhaad st ux ........ ...........................:....................................................,............._...,..............................._,......, i 66 L Nart},Attdovnr Massae tta whose address is.............9P�;!94�,.4Y.414!>`4x...........,._.._..__ ��. F aIIW City-T.,.. am. I i by a dead duly recorded in the........................................County Registry of Deeds in Book ... Page................. Registry District of the Land Court meter into- ..........................Bo*................*W............... t The decision of said Board is on file with the papers in Decision or Case No............... S 3 in the office of the Town Clerk...........A47F'IiAA491x.*§Pr-................................................... Signed this.2r?.t43..day of...........A.V94 re.......................1962. Board of App ............Chairman sa, - ................................... ....................Clerk j Essax,es. Recorded Aug. 91, 1962 at 13m past 10A.M. #963 flA � ;i•.. ''"".` 115 �•' .'} ,�1 �g � 3 c, too i 0 89 San IV\ .4 O 33 rr7. LONG WO©D y�. u I� PLAN Suawlr.,G LAN[3 OF= J POSE MARYBQOADMEAD WOOTm ANoovER, MAss 0 SCAL-e l"--A e Aua, 1962 baAS9mArt A.$6c; IATgrp-60A $AIL.$iY Sr. NAyERHtLL MASS. Woxvr" Amoovan BoAsav ov APPEALS Dh'T'L� C» FIL-ING PR V-kcp � . rp �• �'.; DA OF 14rAti2lNG ASARFI[v r� Nn 5ugvw�`�C° DAT of APPROVAL- _ l.rri,. ''» ";1 ',. ��?fp-0.:;i+ ,tea �:jfSA`:�t�w,ylj� �S'tii.:;l'+J.: '4 _ ..5. �tS�t', 5�4 ��.�{•hv4' t �q' (' y,a ',S .,r. ,t � t r ti Y ;ti r 'S, r tf�}�L'�k,s P�'y,y„rte'.`,1�t 5..}y�f h;.y?Se r r,.v .R •'V,-;! 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S 3 ,5.,. �':ti,' ,..., :r• )' „ na.i •a �r�: ,s.•,.' 2,r t.. €• tint. ,r1 ::,. s:'�:: ::au' 4•I. i. ,:x71,$;p, •ktt:.W.A7nv, E7. r:.'1• rte- : .r r S.{. ..�- -'\', ,iQr,•'4t -,'G„ . 4h.r, - .'(:. eT ti+�'Y,I .'4 \"-7 :C•,.F.r"':, q,r ..I..h. , _{,• 7 1. ,l.' •}.a,,, r'>s..�'"r° 7r,rS 5.rT 3 '•Y; "'"': ,:4\ as" t•'"i`, i,,.., r 4sJ'r;a Y. 1 {• M.:.�A!,-,�hr +i},. .,.' ,,.�,.,c :L •s ;.:4.. -iro "L..,Ig r' 't.'. 1, �p,.,i North Andover MIMAP August 11, 2016 �%i//iv��, 4«11K71VCrWC3t7 �'hv� r� If od n IV's I 6 -00. 3 �s r' �j% t ;'� OGa.O 0 � LiV1MC7UC1 AVE O�a C OC15a r � 1 ` 3 CFiE r; y I (]MVPG Bo Inierxtates fdarizonlot Danow MA Stamplana Coordinate System,Dalum NAD(t3, I Metors 0, la Sourcas:The data for this map was produced by Menimack —SR �sdrM Valley Planning Commission(MVPG)using data provided by the Town of Roads �e �p r *'+,M North.Andover,Additional data provided by the Executive Office of Environmental Afrairs7MassGIS,Tho Information depleted on mis reap is Easements "' 4� for plannln oses and It may not be adequate legal boundary 9 gaup" y. Y t fl f Parcels F, definition or regulatory inImprolation.THE TOWN OF NORTH ANDOVER * MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING * THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY ✓K y .w # OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION w �'��ACIHus�t'L 1'"=40ft ^^ " North Andover MIMAP August 11, 2016 49 LONGaVOOD AVE 060.0-0011 so 50 LONGWOOD AVE fZ' 1 cob �. 060.0-0012 060.0-0023 NO aC 060.0-0053 060.0-0013 66 LONGUWOOD AVE , �1 i 060.0-0050 8 CHESTNUT CT 060.0-0054 «�wf �l 060.0-0051 68 LONGUV OOD AVE 60.0-00+19 „;„060.0-0014 0 MVPC So Zoning Overlay Zoning 0 municipal Boundary 13 Adult EMerlaMment Dlsuic Ruslna,s 1 District H M8011"Shop Village Ove aobhno s 2 District Horizontal Dalum:MA Staleptana Coordinate System,Datrlrn NA083, -* Rail Lino rA Watershed Protection Dist D Rubino s 3 District Meters Data Sources:The data for this map was produced by McWrnacif Inlerslates Histedc Will Area M Rushl s 4 District �QNtTH Valley Planning Coryunission(MVPC)using data provided by the.Town of Modlcal Madryuana M faefnatP Business District Of 54ip rb North Andover.Addillonai data provided by ilia Executive Office of _..SR f) low"Overlay DISIdU 0 plunne Commercial Dov ,,, ♦j wk Q� Environmental rpos sMassGI5.The i beaddiondeportedal lull map Is LL77 Hi"ofodc Disidirt Cooldo Development Dist ,y�r 4" ,IC, for planning purposes only.II may not he ederlrmle for legal boundary Roads Osgood Smad GiovAh(40 Cooido Development Dist 0 C4 definition or regulatory Interprelation,THE TOWN OF NORTH ANDOVER 4"n Easements Hydrographic Fealures tla CotfIrto Dovolepnianl Dist MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING urdustn l 1 T`4 ilia � y. THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY 0 Parcels Streams lrrdrisln d 2 Diallrict 'A '6 OF THESE DATA,THE TOWN OF NORTH ANDOVER DOES NOT ': Wetlands fadusui 13 District °¢ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE.OR MISUSE OF 0 Indoide it S District •,s 1°' �"`" THIS INFORMATION Exempt Lands Itasldd ea 1 Dlstr(cR � ownvsa.w"; b Hoskin cit 2 Disllict OSACNl9��' 11-We cir 3 District 4 D1Ir el 1" 40 ft dodo CAbBDisU9cl "vm.n a paldontlnl District The Commompearth ofMassachusetts _ Department of li dustrialAcezdents n r I Congress street, ,Srutm 100 d goston,_�Vl-�9.o2114-2017 1 ass.govldia baa sy*�~ e leers' Canapensationbsxuraxxce�dav%�:B dens/Con a Os cxaxisLl"lxxmbexs, TOBFyjLI#D`Szt']"MTJMRL'aMU �'leasezint Le 'Tul licant ax'm atioxxell -N,m (73usiness/Orgaxiizatzon/Sndividual): .Address:_, ) — Type of proiecf:(Necixxix )'_ Axeyou an emplo�*er?C�eclr tfze appznpr2atobox: 7 yT"cCiTisi�:i 6- on employees(fun and/or part time}: 1,�Iamaemployerwith _ S. �leroodlieiig 2. I am a solo proprietor or partnership andbave no employees,�ozking forme in 9. t_-t Romo itio�. any rapacity.[i*7oworkers'comp.insurance required.f 1.0 E]Building addition 3.��X am alrarrxeowner doing all work myseI#:jllo wazkars'comp.iusurancerequired.:j' 4.E]I am ahomeowner and will be hiring contracforstoconductallworlconmypropezty- 'will 1i [ E?lectxicalxepaixsor additioias enswailiat all Contractors eitherhave workers'compensatiaa insuranao or are sole nbing repairs or additiom Proprietors withna eZnpoyegs. I am a goneral cont?actp i and TPa've hircdthe sub-""tactors listed anthc attached sheet 13�,�]�Lbo f repairs These sob-contractors have employees andhaveworkers'comp.insurance. 14. C�tl�er ------ 6,L��7e are a corporatioli and ifs,officers have exezcisedtheir right ai exemption per MGL c. ' 152,§1 (4),and!we hava no Implaye�s.[Nb workerS'camp.insurance required-] -- — –; —w,<, -- their Workers compensationpolicyznfarmaiian:' k applicantthatrjj6c ;bbk4mustalsofilloutthesectionbelowshowing i Ilorneowners wlra sug such ....11 1 ai i I ft.hod'an add donde di6a6ogthqy ale doings o-W nth name of the sub contractorandthtabire outside os and state wh ither OXFottfhoseentit es�,havo fcontrectors that check-this tiox must =- emplayees. Ittho sub aoniractaxs have employees,they must provide their workars'comppalioy mtmber. i am an eyxz Zoyer that is.p1 ov8dingvro',kegs'colazpensadon invurancefov my em loyees, 3eZow i.4 the to icy alz jo `site ilzfonnation. � ExpirationDate _— :Policy g ax sel��s.'L3a.#1.�________..____.________.._________._______u__._____ - . _City/tate/Zip:,____'- lob Site Address._ _. — _ __ .. __ tfxe aXic xauxnlaer and e--piratxo-n date). A:ttac.Ex a copy a:fthe-vaox:�exs' caxnpex�satzaxxpoS�iey declaxatiaxxpage(sha�sving p y ailuxe to Secxare oa�zerage as required under MC a` es�xn�he f rad of STOP WOI ORDS and a�lr e Of-UP to $250.00 a and/or one-yeaximprisonment,as �velT as aivll penaltx day or onstthe violator.A copy ofi:his stataxnent may be-forwarded to the Ofdce of i�restxga ons a Cthe DlA fax insurance agai coverageyexffl-ratioxa. ,.__.. �____ !ie airzs ripen ties a exjusy Haat the information provided above is irve arci corn----: Phone Official US Do.not.write in t� Tais area,to he corrzPlete'�y city OF to,W12 official city or Tovvn' ATAhoxi.ty(ci`rccle one): ' :1:.S3oardaxS�ealtb Building Depar"o'ent 3.4 ityl o`van G7erlr. IectxicaTZnspectox .Z'l bzngXnspaectar fssuing G O-Lhex _____._._._._._._m.._. aELFO-1 OP ID: KM ALr ORU� DATE(MMlDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 10/27/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER ! °NME CT Peter J.Lennon,CPCU Lennon Insurance Agency,Inc. PHONE AX 78$ -937050 -939829 Main S(reet ac No Fall. Post OfficelBox 232an KESS,P lennon@lennoninsurance.com Woburn,MA01801-0332 Peter J.Lennon,CPCU INSURER(S)AFFORDING COVERAGE NAIC# i INSURER A:Lloyds of London INSURED Belford Construction,Inc. INSURER e: Mark Rae INSURER C 130 Marbleridge Road North Andover,MA 01845 INSURER p: INSURER E: INSURER 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_ ILTR TYPE OF INSURANCE D SUB POLICY NUMBER POLICY EFF PMlpp EXP LIMITS A X COMMERCIAL GENERAL LMILRYEACH OCCURRENCE $ 1,000,00 CLAIMS-MADE OCCUR XSZ74817 10/0712016 10107/2017 GE TO RE TZ PREMISES Eaoccene $ 50,00 MED EXP(Anyone person) $ EXC PERSONAL&ADV INJURY $ 1,000,00 GEWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,0011 POLICY❑JET LOC PRODUCTS-COMPIOPAGG $ EXC OTHER: Dad. $ 50 AUTOMOBILE LIABILI Y COMDINED SINGLE LIMIT $ Ea acddent ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS POT accident UMBRELLA LU46 OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER DTH- - AND EMPLOYERS'LIABILFIY YIN STATE Eft ANY PROPUT RIETORIPARTNERIEXECUTNE E.L.EACH ACCIDENT $ OFFICE EMBER EXCLUDED? N I A (Mandato, In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.QISEASt:-POLICY I.JMIT $ A BUILDING-COMPL VAL XSZ74817 10107/2016 10187/2017 BUILDING 300,00 DED. 2,50 DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES (ACORD 101,Addltlonal Remarks Schedule,may be attachad if mora space is mqulmd) 66 Longwood Ave North Andover,MA 01845 CERTIFICATE HOLDER CANCELLATION TOWNNAN 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. 11600 Osgood Street Bid 20 'North REPRESENTATIVE North Andover,MA 01845 Peter J.Lennon,CPCU ©1988 2014 ACORD CORPORATION. All rights reserved. ACORD 25'(2034101) The ACORD name and logo are registered marks of ACORD s l The Commonwealth of Massachusetts v Department of Fire Services Office of the State Fire Marshal P.Q.Box 1425 State Road,Stow,MA 41775 PERMIT hate: Permnit No Iii Safe Naber (City of`Town) (If Applicable) In accordance with the provisions of MG.Ia. Chapter 10as provided in section 5 2 7 CMR 34 / 77 Start Date This Pemut is granted fa: l `GcY Full name of person,pian or Corporation Permission to locate dumpst er for construction/renovation/demolition of structure Comruents: dum ster be 25 ' from structure or covered with tarp or plywood Restrictions: at end of workday ---..,...,. o (Gdve locati6alby street and no.,or describe in such manner as to provied adequate identification of location) Flee Paid S , 31 This Permit will expire - t! (Signa c g permlt) 15'ng permit (Title) °� THIS PPI?MIT MI RST RR r--rWAIDI,tn In[I_RI V PrIATPn 1 IIS )N TW9 PRFMICI=q �� Safety � passachu kd nRegulat ,,,,, ,>,. .„r a„w�� ottr r� rdurar mrarcQmuwwuiwoww.waw,ew;owuw�gmwry :"erf�'mv�',"n."wow�»www a aal/!^d.1/,� 1'{"11C Sent �"d.114�Standards Public %1e, `C`trrr?rrw1I(rww111I� t ✓ tP, : C Board of R y '� Office of Consumer Affairs&Business Regulation ; 4. L icense. CS-01p4197 NOME IMPROVEMENT CONTRACTOR struction Supervisor �egistration: 106025 Type: { xpiratiarr: 4i1I098 Corporation 1 MARK F RAE BELFORD CONS IMP 130 MARBLERIDGE RD r NORTH ANDOVER MA 01845 Mark Rae 55 MARBLERIDGE RD. N.ANDOVER,MA 01845Undersecretary /`— Expiration: 04!2412018 Commissioner I