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Building Permit #195-2017 - 42 COMPASS POINT ROAD 8/24/2016
i O� OR '14 .q BUILDING PERMIT �.�t��° �6,do � TOWN OF NORTH ANDOVER a ` APPLICATION FOR PLAN EXAMINATION * Z e o �A ._.. Permit No#• Date Received 2`I � 7 °QATED • �SSgCHUs�� Date Issued: A40RTA—NT:Applicant must complete all items on this page LOCATION `-1 pal 4 Print PROPERTY OWNER U-Z Print 100 Year Structure yes MAP _PARCEL:! ZONING DISTRICT: _Historic District yes M Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ❑ One family ' ❑Addition )(Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement- ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic D Well Ij'Fldplain, ooO'VVetlands. Watershed%Distnct _ � DESCRIPTION O W R TO B PERFORMED: t Identifica on- Please Type or Print Clearly OWNER: Name: Phone: q1 Address: 6 �Te_v�V�SbU1" 1 1 Contractor Name:��St roc. Phone: S6 . 3Qd �5 Email: Address: S• d s Supervisor's Construction License: W 05 X35 9 Exp. Date: Home Improvement License: .� Exp. Date: ARCH ITECT/ENGINEER0,M N ULG. _ Phone: 0t-M S37 �Q Address: A, UQ�( Q1 lr`Iu6c� mcj�.• Reg. No. _�;M Lb —� FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: �"I� Receipt No.: NOTE: Persons contracting 'th u egi tered contractors do not have access to the ua anty fund _ m >• acto _ _ _ T Location (/'b-efl i C7 �� 1� 3 2. No. i �U�� Date E 12->A r y- • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 6-.7, Foundation Permit Fee $ Other Permit Fee $ TOTAL $-��� Check# Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ F FSEWERAGE DISPOSALewer Tanning/MassageBody Art ❑ Swimming Pools❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Pennanent Dumpster on Site ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Z3'j� Signature_ COMMENT'S /11 o(-44J,4, CONSERVATION Reviewed on I (zn Signature y , COM(11;ENTs HEALTH Reviewed on Signature COMMENTS Ik I y Zonaing Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments I I Conservation Decision: Commen Water& Sewer Connection/si nature& Date a—a4� / Drivewa Permif DPW Town Engineer: Signature: Located 384 Osgood Street EPAR�TM ,J -k ti FIRED .�� :� E�T 'TempD.u.4.npster on.site,x.yes.�. Located MainStreet � • n f� �; _ - ,r<� 7.' Fire De tartinent� ,. � signature/date#N'-,, _ SC._ Y 1.°.:tv3 d tSCi iyl•. -�y�......-.bh.73-...�_..,. ,:.{�,.. f' ! } ��'•- tv t�• a.' 'e i •:f�J t- t, •t�1' �..i'°. ;�tri..(-`c(;✓�••�; ny! 'S•'�.}c��a i��rii ,xt.ryb,'�"'"Y' �I�Y'4': LOMMENTS" ''.•�+1 •. .. "� .. ... . . . .• ,..', ,•; *_, s :��'�'' s`x>�`t; ' 7"�' 4• M S A i 4 � L I I. Dimension f Number of Stories: j Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ' a ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No i DANCER ZONE LITERATURE: Yes No MGL Chapter 166 section 21A—F and G min.$10041000 fine NOTES and DATA-- (For department use) ❑ Notified for pickup Call Email Date Time Contact Name = Doc.Building Pen-ait Revised 2014 r Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract 1 Floor Plan Or Proposed Interior Work a. Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (if Applicable) Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 4� Building Permit Application 4� Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 i Enter construction cost for flee cal - North Andover Fee Calculation Construction Cost $ 271 ,875.00 m $ - $ 3,262.50 Plumbing Fee $ 407.81 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 407.81 Total fees collected $ 4,178.13 42 Compass Point 195-2017 on 8/24/16 single family condo NORTH Town of ? _ a ndover O to I No. +� L ver, Mass, T COCKICK/WICK �.e p�RATEO P'br S U BOARD OF HEALTH Food/Kitchen PERM Septic System THIS CERTIFIES THAT ............................ ... .... LD �- �� BUILDING INSPECTOR has permission to erect ........ ............. buildings on . . ... / ,� ,, 4 ,. . .�. Foundation . Rough 5 to be occupied as ., .... ........� �........ ..... ... .................. ........... � Chimney provided that the person accepting this ermit shall in eve es ect conform to th rms of application p p p g p � p � pp 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 CONST TIO Rough Service .. . ..... ......i ....... ..... Final BUILDING PEC R GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. CNJREScheck Software Version 4.6.2 Compliance Certificate Project 160714Trust_MerrimackCondos_Bldgj_UnitsB-B-B-B_NAndover Energy Code: 2012 IECC Location: North Andover, Massachusetts Construction Type: Multi-family Project Type: New Construction Conditioned Floor Area: 2,326 ft2 Glazing Area 12% Climate Zone: 5 (6322 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Bldg J, Unit J2 North Andover, MA Compliance: 0.0%Better Than Code Maximum UA: 327 Your UA: 327 The%Better or worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Perimeter Floor 1st Floor:'AII-Wood Jo ist/Truss:Over Unconditioned Space 416 30.0 0.0 0.033 14 Wall 1st Separation:Wood Frame, 16" D.C. 96 15.0 0.0 0.077 7 Wall 1st Ext 2x6: Wood Frame, 16" o.c. 812 21.0 0.0 0.057 40 Window DH:Vinyl Frame:Double Pane with Low-E 32 0.290 9 Door Front Ground Flr 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 Joist/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 Low-E 12 0.260 3 Door Slider: Glass 34 0.290 10 Wall 2nd Fir 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" D.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.com\Sales\Ebbeling_Ed\160714 Trust MerrimackCondos Bldgj_UnitsB- B-B-B_NAndover\REScheck\160714_Trust_MerrimackCondos_Bldgj_UnitsB-B-B-B_NAndoverj2.rck Gross Area Cavity Cont. it Pert meter 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 J2 Project Title: 160714_Trust_MerrimackCondos_Bldgj_UnitsB-B-B-B_NAndover Report date: 08/10/16 Data filename: Page 2 of 9 \\suttonnas.corp.koopmanlumber.com\Sales\Ebbeling_Ed\160714_Trust MerrimackCondos BldgJ_UnitsB- B-B-B_NAndover\REScheck\160714 Trust_MerrimackCondos_Bldg)_UnitsB-B-B-B_NAndoverj2.rck REScheck Software Version 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. 5ectwn '' Pl�r►s Veri�ted Meld-Y/,eYilfsed . i ,` .,` ' # lire-lnspettionlPlan tievtetN Cotnpl�es? bmtnents/Assumptions Valure 4 Vaitte , 103.1, Construction drawings and []Complies 103.2 'documentation demonstrate fi [PR1)1 ;energy code compliance for the = ❑Does Not []Not Observable ,building envelope. p❑Not Applicable 103.1 ;Construction drawings and I ` ❑Complies 103.2, 'documentation demonstrate M, ❑Does Not 403.7 ;energy code compliance for [PR3I1 ;lighting and mechanical systems. f❑Not Observable Systems serving multiple ❑Not Applicable dwelling units must demonstrate 4 k ;compliance with the IECCIt r , Commercial Provisions. Y 302,:1 Heating and cooling equipment is Heating: Heating: ;❑Complies 4016..," sized per ACCA Manual S based i Btu/hr Btu/hr '❑Does Not [Pi12) loads calculated per ACCA Cooling: Cooling: ❑Not Observable Manual J or other methods ; Btu/hr Btu/hr a approved by the code official. j❑Not Applicable f 1 I Additional Comments/Assumptions.- 11 omments/Assumptions:1 High Impact(Tier 1) 2 r'.Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 160714_Trust_MerrimackCondos_BldgJ_UnitsB-B-B-B_NAndover Report date: 08/10/16 Data filename: Page 3 of 9 \\suttonnas.corp.koopmanlumber.com\Sales\Ebbeling_Ed\160714 Trust MerrimackCondos BldgJ_UnitsB- B-B-B_NAndover\REScheck\160714 Trust_MerrimackCondos_Bldg)_UnitsB-B-B-B_NAndoverj2.rck # F;oundaf ion Inspection: Comipl�es7 C immeints/Assumpt110 303:2 1: ,_A protective covering is installed to ;❑Complies (F0 1]z ;protect exposed exterior insulation ❑Does Not =and extends a minimum of 6 in. below ; =grade. ,❑Not Observable ❑Not Applicable 403:8 ;Snow and ice melting system controls':❑Complies [f b32]x +installed. ;❑Does Not ❑Not Observable:. ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 160714 Trust_MerrimackCondos_BldgJ UnitsB-B-B-B_NAndover Report date: 08/10/16 Data filename: Page 4 of 9 \\suttonnas.corp.koopmanlumber.com\Sales\Ebbeling_Ed\160714 Trust MerrimackCondos BldgJ_UnitsB- B-B-B_NAndover\REScheck\160714 Trust_MerrimackCondos_BId6J_UnitsB-13-13-B_NAndoverj2.rck sektian p[as Vertfied ' . t=ietc�.Ver�fied # rairning Jtaub to inspection Calrnpliesamments/iAssiumptllans- & 402.1.1, i Door U factor. U U ❑Complies ;See the Envelope Assemblies 402.3.4 ❑Does Not table for values. [FR1]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, ❑ 402.3.6, Not Observable 402.5 ; ❑Not Applicable [FR2]1 I ; 303.1.3I LI-factors of fenestration products E❑Complies [FR4]1 are determined in accordance R ;j❑Does Not ;with the NFRC test procedure or ;taken from the default table. x ❑Not Observable f ❑Not Applicable 402.4.1.1 ;Air barrier and thermal barrierI y„ '❑Complies [FR23]1 Installed per manufacturer's ❑Does Not instructions. ❑Not Observable +❑Not Applicable 402.4.3 ;Fenestration that is not site built j. - �❑Complies [FR20]1 'is listed and labeled as meeting 1[]Does Not iAAMA/WDMA/CSA 101/l.S.2/A440 or has infiltration rates per NFRC I❑Not Observable '400 that do not exceed code ':, ❑Not Applicable limits. n 402.4 4 IC-rated recessed lighting fixtures.. ❑Complies [Fj216J 'sealed at housing/interior finish ❑Does Not ;and labeled to indicate:s2 0f leakage at 75 Pa. Oe ❑Not Observable - ,:;]❑Not Applicable 403.2.1 .Supply ducts in attics are R- R- .❑Complies [FR12]1 ;insulated to_>R-8.All other ducts ; R- R- ❑Does Not in unconditioned spaces or ❑Not Observable outside the building envelope are; I❑Not Applicable `.insulated to >_R-6. pp 403.2.2 All joints and seams of air ducts, '=``'❑Complies [FR13]1 air handlers, and filter boxes are f❑Does Not ;sealed. ❑Not Observable i ` 0❑Not Applicable 403:2 3 zBuilding cavities are not used as x : ❑Complies fFRS]3 ducts or plenums. ❑Does Not ❑Not Observable J❑Not Applicable 403';3 :HVAC piping conveying fluids R- R- ❑Complies (FFt17}a tabove 105 QF or chilled fluids EDoes Not j below 55 QF are insulated to aR- ;3 i ;❑Not Observable I❑Not Applicable 403.3.1 ;Protection of insulation on HVAC [ ;❑Complies [FR24]1 jpiping. ❑Does Not ❑Not Observable T ` �❑Not Applicable 403 41 'Hot water pipes are insulated to R R ❑Complies [FR18}2 {>_R-3. j❑Does Not ❑Not Observable ❑Not Applicable 1 JHigh Impact(Tier 1) 2]Medium Impact(Tier 2) 3 i Low Impact(Tier 3) Project Title: 160714 Trust_MerrimackCondos_Bldgj_UnitsB-B-B-B_NAndover Report date: 08/10/16 Data filename: Page 5 of 9 \\suttonnas.corp.koopmanlumber.com\Sales\Ebbeling_Ed\160714 Trust MerrimackCondos Bldgj_UnitsB- B-B-B NAndover\REScheck\160714 Trust_MerrimackCondos_Bldgj_UnitsB-B-B-B_NAndoverj2,rck Section , ns Ver'ifiec! Feld 1/ r+f�er1 #.r gaming 7!tough !n tnspetti n Complies? Commentsfrs rptWh iSe fteq.lD value 403`:5 ;Automatic or gravity dampers are ❑Complies [FR19Ja installed on all outdoor air ❑Does Not intakes and exhausts. DNot Observable `I❑Not Applicable Additional Comments/Assumptions: i i i 1 High Impact(Tier 1) 2, Medium Impact(Tier 2) 3': Low Impact(Tier 3) Project Title: 160714_Trust_MerrimackCondos Bldgj_UnitsB-B-B-B_NAndover Report date: 08/10/16 Data filename: Page 6 of 9 \\suttonnas.corp.koopmanlumber.com\Sales\Ebbeling_Ed\160714_Trust MerrimackCondos BldgJ_UnitsB- B-B-B_NAndover\REScheck\160714_Trust_MerrimackCondos_BId6j_UnitsB-B-B-B_NAndoverj2.rck 5ectiori ': flans -Field ller +�tl # .. 1»5ulatior,f Inspection Ceimplies� omments�Assulm0, ons value: Value 31)3:1 ;All installed insulation is labeled K []Complies i]tv3]2 or the installed R-values ❑Does Not provided. ?._ ❑Not Observable >❑Not Applicable 402.1.1, 'Floor insulation R-value. R- R- ;❑Complies See the Envelope Assemblies 402.2.6 i❑ Wood ;❑ Wood E❑Does Not ;table for values. [INlJl ❑ Steel ❑ Steel ❑Not Observable ❑Not Applicable i � r ' 303.2, ;Floor insulation installed per `. ❑Complies 402.2.7 manufacturer's instructions, and ❑Does Not [IN2]1 ;in substantial contact with the underside of the subfloor. ❑Not Observable A❑Not Applicable _ 402.1.1, Wall insulation R-value. If this is a, R- R- ❑Complies ;See the Envelope Assemblies 402.2.5, !mass wall with at least 1/i of the ❑ Wood ;❑ Wood tDoes Not ;table for values. 402.2,6 'wall insulation on the wall F-1mass ❑ Mass ❑Not Observable [IN3]1 :exterior,the exterior insulation requirement applies(FR10). ❑ Steel ;E] Steel "❑Not Applicable 303.2 Wall insulation is installed per $ .', ❑Complies [IN4]1 manufacturer's instructions. * ❑Does Not } j❑Not Observable i cr. ' R❑Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) 2]Medium Impact(Tier 2) Low Impact(Tier 3) Project Title: 160714_Trust_MerrimackCondos_Bldgj_UnitsB-B-B-B_NAndover Report date: 08/10/16 Data filename: Page 7 of 9 \\suttonnas.corp.koopmanlumber.com\Sales\Ebbeling_Ed\160714 Trust MerrimackCondos Bldgj_UnitsB- B-B-B_NAndover\REScheck\160714 Trust_MerrimackCondos_Bldgj_UnitsB-B-B-B_NAndoverj2.rck 5etC�on � pltiais'lrerified i:ieid Verti'wed ?; # '_ Einai tnspoctibn provisions- +Lumplies? mrn nts/AssumpCia»s: ValueVa1ue 402.1.1, ,Ceiling insulation R-value. R- R- !❑Complies ;See the Envelope Assemblies 402.2.1, ❑ Wood ❑ Wood ;❑Does Not table for values. 402.2.2, 402.2.6 ❑ Steel E] Steel ;[]Not Observable [FII]1 1.MNot Applicable f 303.1.1.1, ;Ceiling insulation installed per ❑Complies 303.2 manufacturer's instructions. ;❑Does Not [FI2]1 Blown insulation marked every ! 300 ft2. ❑Not Observable , ❑Not Applicable 402::2 3 ;Vented attics with air permeable ( ❑Complies jF.1'2 insulation include baffle adjacent E ❑Does Not to soffit and eave vents that ;extends over insulation. ❑Not Observable I ❑Not Applicable 402.2.4 ;Attic access hatch and door i R- R Complies [F13]1 ';insulation >_R-value of the UDoes Not adjacent assembly. ❑Not Observable j❑Not Applicable 402.4.1.2 '.Blower door test @ 50 Pa. <=5 ACH 50= ACH 50 = ;❑Complies [FI17]1 ;ach in Climate Zones 1-2, and ❑Does Not <=3 ach in Climate Zones 3-8. ; ❑Not Observable ❑Not Applicable 403.2.2 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies [F14]1 'cfm/100 ft2 across the system or ' ft2 i ft2 ❑Does Not <=3 cfm/100 ft2 without air handler @ 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 " ❑Complies [F124]1 ;by manufacturer at<=2%of i❑Does Not design air flow. ❑Not Observable ]❑Not Applicable 403.11 Programmable thermostats [ + ❑Complies jF19]2 r installed on forced air furnaces. g ❑ Does Not 4J•. ❑Not Observable 3 ❑Not Applicable 4.013.1-2 ;Heat pump thermostat installed ' aComplies [Fi1Q� on heat pumps. 43 Does Not 'M ❑Not Observable ❑Not Applicable 4034 1 ;Circulating service hot water ]❑Comp lies jFl1 ] systems have automatic or "•❑Does Not accessible manual controls. [ i [} ❑Not Observable j.. ..', ;❑Not Applicable 403 S Z All mechanical ventilation system p ❑Complies 10125]2 ;fans not part of tested and listed € = H ❑Does Not t HVAC equipment meet efficacy ;and air flow limits. ] ; ❑Not Observable j fit <.j❑Not Applicable ; 404.1 ' :75%of lamps in permanent ❑Complies [F16]1 fixtures or 75%of permanent f❑Does Not fixtures have high efficacy lamps 3 " ,�❑Not Observable Does not apply to low-voltage X alighting. ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 160714_Trust_Merri mackCondos_BIdgj_UnitsB-B-B-B_NAndover Report date: 08/10/16 Data filename: Page 8 of 9 \\suttonnas.corp.koopmanlumber.com\Sales\Ebbeling_Ed\160714 Trust MerrimackCondos Bldgj_UnitsB- B-B-B_NAndover\REScheck\160714_Trust_Merri mackCondos_Bldg j_Un itsB-B-B-B_NAndoverj2.rck i SectionieCfmplfe ? Gofnfnefl#sfAssumptions'_ &;Req iii" . 1i"alfre � Yatufa 404-111"'''Fuel gas lighting systems have f -❑Complies (FI23} no continuous pilot light. xl )❑Does Not i❑Not Observable "EINot Applicable 4013 Compliance certificate posted. ❑Complies CF)7z ❑ 5 Does Not j❑Not Observable ❑Not Applicable 303:3 Manufacturer manuals for ❑Complies SM }r 1i8} mechanical and water heating O ' ❑Does Not systems have been provided. M VW ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2."'Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 160714_Trust_MerrimackCondos_Bldgj_UnitsB-B-B-B_NAndover Report date: 08/10/16 Data filename: Page 9 of 9 \\suttonnas.corp.koopmanlumber.com\Sales\Ebbeling_Ed\160714 Trust MerrimackCondos BldgJ_UnitsB- B-B-B_NAndover\REScheck\160714 Trust_MerrimackCondos_Bldgj_UnitsB-B-B-B_NAndoverj2.rck 2012 IECC Energy Efficiency certificate Above-Grade Wall 27..00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): Door Rating U+actor�;�� SHGC Window 0.29 Door 0.29 .. Heating System: Cooling System: Water Heater: Name: Date: Comments BLDG"E" EXISTING FOUNDATION BLDG"F" EXISTING FOUNDATION 4 BLDG"D" o EXISTING ry EXISTING FDN OUNDATION BLDG"H" BLDG"G" 3 ti 4, QO\ .01 EXISTING CO Q� FOUNDATION �A 'p 100. BLDG"I" �,5p A EXISTING O FOUNDATION BLDG"J" 0 "O. 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, NA 01876 THIS CERTIFICATION IS NON-TRANSFERRABLE, AND IS FURTHER MADE WITH THE PROVISION THAT THE INFORMATION SHOWN HAS BEEN ACCURATELY FURNISHED BY ASSESS.MAP&LOT#.' THE OWNER TO THIS FIRM. 1060_63 a"- C fir F-DUNDATION-AS-BUIL TBUILDING "J" PATRICK C. GARNER, PLS MERRIMAC C❑ND❑MINIUMS k -M t, ROUTE 114, NORTH ANDOVER, MASS, M Of 4tq 'fig PROJECT N❑+ NAND13 SCALE: 1'=40' U PATRICK. C. DRAWN BY: PCG DATE: 10/24/15 GARNER 9 No 32661 c+ CHECKED BYi SC SHT: 1 o��ss'Q9Na�uNoo�' ►� � REVISED 1 t - Kanayo Lala, P.E. .............03103/2014 PROJECT: Merrimack Condominiums J-TYPE 36-^c^ rc c Pc'^!,4 Andover,MA DESIGN FOR-GIRDERSi.iviS TS/RMF T ERS 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 0.00 PLF Cq= 1 Cs= LIVE LaAD 30.00 PSF 429.90 PL-IF qs= 29.10 Cd= 1 TOTAL LOAD 753 PLF 1= I Cm=1- WIND SPEED 100 ^:"PH 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 10.50 PSL/LVL 11.875 IN = d Fv= 285 PSI ROOF PITCH- N:12= Fc-- 2.700 PSI Fcp= 750 PSI MOMENT= 35786 LB-FT MOMENT2= 95C6 LB-FT 246.788 =S provided OK S= 187.42 IN^3 1465.24 =I Deflection= 0.836 IN =L/ 240 For Total Load Required L1240 Deflection2= 0.139 IN =U 421 For Live Load Required 0360 Fcp'= 652 PSI OK 1.60 In Bearing Length Fv'= 123 PSI OK USE BETTER HEADER#65 (FLITCH BEAM) 2-LVLs 117/8"WITH 1/2"STEEL PLATE M of BOLTED WITH 5i8"uiAvi cu.C.IN TWO ROWS. FIANAYi} H. (.ALJ► `^ M 337140 Kanayo Lala, P.E. .............03/03/2014 PROJEi.'1. ivlerrimacK%undunliuJul lb J-TY uu IIA/ DFCIGRI P^:Z_ _- - - „r rK .r,4:gi;=innr Roam T9 Supporting Floor,Wall&Attic LOADS: DEAD LOAD 22.54 PSF 322.95 PLF Ce= 1 CF= 1.00 S", LIVE LOAD 30,00 PSF 429.90 PLF qs= 29.10 Cd= 1 tV il't-LVAD tJJ t L^ 1^ t Vttt^ WIND-SPEED 100 MPH 28.10 PSF POINT LOAD LDj F-1 f2a= 0 I.911; 6211 1_8=TOTA',,TZE TIQN TRIBUTARY WIDTH 14.33 LF E= 2000000 PSI fD!ST!(_IDnCD CDAKI 19 F It: Ch= )onn DQI WIDTH- IN 7.00 PSL/LVL 11.875 IN = d Fv= 285 PSI Fcp= 750 PSI IVIVIVICIV 1- G:JVGU LB-FT Il^OMENIT2= O L I C-FT 1 nn t !J -t.Ji -V NI V V tU G'4 VIS S= 10b.U2 114" W6.63 =I Iloflcrfinn= n RAA IN =1 1 RnR Fnr Tnta!I narl Romliratl 1-.124!0 Deflection2= 0.000 IN =Ll 540 For Live Load Required 1_1360 FC;'= Fn� w en t_ n t vat Fv'= 112 PSI OK dam"`.,. NitKANAYO H. �t 'a.r'irri NO.337140) ij�a<r�CTSSE* �._ ,::tet:,. ___ f Kanayo Lala, P.E. .............03/03/2014 MA Ff�VJLIi r. inrrriuracn wnuuuriuiunra Supporting Floor &Point Load From T1&T2 LOADS; DEAD LOAD 20.00 PSF 360.00 PLF Ce= 1 CF=1.00 LIVE LOAD ?0.00 PSF 540.00 PLF qs= 29A0 Cd= 1 W!NEI 001=1 inn ndo PSF PuiN I LOAD 164!i L13J Al Rn= 130-27 LaS 7G:i3 LU—.vTa._^._^CTiCN TRIBUTARY WIDTH 18.00 LF E= 2000000 PSI J01QT/r41QriF93 CPAAI 17 Ir Ph= 7011 PCI WIDTH- IN 14.00 PSL/LVL 11.875 IN = d Fv= 285 PSI psl Fcp= 750 PSI iv 6mEiv i- �z5 13 LB-FT p..vr�ucu S= 313.76 IN"3 1953.65 = 1 Deflection2= 0.378 IN =L/ 419 For Live Load Required L/360 inn nes ......at- Fv'= 189 PSI OK uoc oc r r crt ncmucr-wov+ kru r Un Dr-MM o-ivw r r 110 wvi i n c-oio o f ccu i-LMI c ur A/T.. 11 ?rO n nln nl"`n A e m A y.w. Nn.33110 C '�J,r•''t`CIST@�` �� Ku^u;c Lala, P.E. .............03/03/2014 .:: . ZEL Supporting Floor &Point Load From T1&T2 LOADS: nFAD I.OAD 20.00 PSF 360.00 PLF Ce= 1 CF= 1.00 LIVE LOAD 30.00 PSF 540.00 PIF qs= 2910 Cd= 1 inn nnoH 24.10 PSF VUIN I LUAU -1041f LbS 3.26 FT a= 133�L LiJJ n> L SS ' ^ Vv LD=i 3iF1L RCnVLIV IV TRIBUTARY WIDTH 18.00 LF E= 29000000 PSI lnlCT!(,IRr1i-u iZPLKl 17 1_G Fh= 7V ,;r PSI WIDTH- IN 6.60 36KSI W12X30 12.34 IN = d Fv= 16200 PSI r,•,._ nennn nol Fcp= 405 PSI IvIVIvICIV I-^ JLJ f o L- 6-FT S= 37.91 IN"3 210.00 = [,y.j'Nrilrin= n i7;;h ;i1I =I,1 .iN% Fr Thin. U240Deflection2= 0.242 IN =L/ 654 For Live Load Required L/360 1-n...L-. ocn 001 nv n nn In Rnnv;nn f nnn4� Fv'= 10,200 PSI OK VV 1Ll1.JVLlil 111—.L 4.J"t I].LYL 1'LCIIV V.li YY 1_IJ l 11—V.✓ 'YY USE L-L v LJ i 1 %10 r Ur,13LS111v1 111. jg{( ,,�S51n,AL Kancyo Lala,P.E. .............03/03/2014 1"1\VJ LV 1. IYI=I I1ttfa%rn V VIINVIIIII i14+f 1.�! Supporting Floor&Wall LOADS: DEAD LOAD 24.00 PSF 240.00 PLF Ce= 1 CF= 1.00 LIVE LOAD 30.00 PSF 300.00 PI_F qs= 29.10 Cd=1 �i ..?-H9 inn MPH 2?.49 PSF 1"61011 LVHLJ LDS 1'T Ru= 0 Lr'S 3 1Z LC=T 0 AL';"',0T;ON TRIBUTARY WIDTH 10.00 LF E= Luuuuuu r51 0N:'i il—,iRi jr-e< .4:,—I iAM 1,; 1 F Fh= 9;102) PSI WIDTH- IN 3.50 PSL/LVL 11.876 IN = d Fv= 285 PSI nnr_ nrrCu H+.4n- Gn- 77nn DCI Fcp= 750 PSI IYI VIY7LIY 1-' 1 I-TVV LU^1' 1 0 Lr—)-FT nn ne .n__ .:':d A J= 4(.zU 11,4-3 468.41 =I D (J4:•�G4ll llll= V.355 114 =L/ 43y rV. Tia....• v6JU :aG4u++Cu+../W Deflection2= 0.000 IN =L/ 790 For Live Load Required 1-/360 Cn.J- FFO DQI nv 4 Fri In Ranrinn I awnth Fv'= 127 PSI OK r No.3371" FSS/D Al r , I Kam,o Lw!a, P.E. .............03/03,2014 rf\VJ CU 1. IVICIII111d1.i�UV11V V111/I 11 UII1S 31 Supporting Floor&Wall LOADS: DEAD LOAD 24.00 PSF 240.00 PLF Ce= 1 CF= 1.00 LIME LOAD x!0.00 PSF 400.00 PLF qs= 29.10 Cd= 1 p�ln Sp!--ED 4nn 6",-r'ii 2n.'- nSF F&IV 1 LU-MU LDO r I Ra= G LBS 4100 LC-..,T..n.y 7E..^. ..CTe.` TRIBUTARY WIDTH 10.00 LF E= 2uuouuu PSI 11 1 F Fh= 99110 PSI WIDTH- IN 3.50 PSL/LVL 11.876 IN = d Fv= 285 PSI r+nnr nITn11 n1 .e7 Cn- 2790 PSI Fcp= 750 PSI r'T IVIV IVICIV I'� IJVGV LU-1'i r• 5= bb.94 IN"J 4bb.41 = I nH'llt�1:IIAYI= I}.f1/_1 lig =I_1 371 FG 1 v�u��..vu.-'.. 1cZ;- ...1.�..�. 0 Deflection2= 0.000 IN =U 593 For Live Load Required L/360 Fc^'- ?9F DCI nw 4 AA in Rcnrin`1 cnnfh Fv'= 150 PSI OK �.a+'✓ nw/ratU \tel irfiLA lust l Kanayo Lala, P.E. .............03/03/2014 PRO.iFCT' Morrimnia.:.�,."..:..:. J-TYPE BB-Compass Point,N Andover,MA DG-SIC-N FOR-GIRDERS/JOISTS/RAFTERS 2nd Floor Beam S2 1 nn.D PSF 0.11n oILF Cq= 1 CS= UVC LVHU 4V.V V ror OJ.LV t-U; q6= Lg."I V tjU- 1 TO T AL L3AD 73 PLF 1= 1 Crn= 1 WIND SPEED 100 MPH 29.10 PSF PC)ii\i 1 i ilei I b`inir i-k..q 'a 95 FT Ra= 3467 LBS 713 LB=TOTAL REACTION -rn101—A n\/IIIIIMTLf A 77 1 C C- �nnnnnn nt_'`1 JO!•ST/C-!RDER SPAN 19.5 LF Fb= 2900 PSI ROOF PITCH- N :12= Fc= 2700 PSI Fcp- IJV JI PvitiivlFivT= 3477 1 R-FT MOMENT2= 11267 LB-FT 82.26 =S provided OK e- F1 n1 IMAI naa n-1 =i Deflection= 0.244 IN =U 318 For Tota)Load 1.11 Qq Fcp'= 398 PSI OK 3.00 In Bearing Length .,, OK , P 4( Y0LA l,ALll A1n a�»n.r. Kc~-,^ I^[a,P.E. .............03!43/2014 rnvUCAlI. ;Wiwi uua%.n�.vluv/nnueTiulu$ Supporting Two Floors,Roof,Wail&point Load From T1 LOADS: DEAn LOAD 73.72 PSF 718.75 PLF Ce= 1 CF=0.96 n;r n-._ a lvr•-. LIVE.LOAD 70.00 PSF 682..50 PLF qs= ?QAO Cd= 1,15 Urv..'.c.r�r_rll nn nepH 29.10 PSF rum 1 LVHu 4yWU LDJ 6 FT RL= 311 Z LES 1C-T3-,ALC 'CN TRIBUTARY WIDTH 9.75 LF t= 20uuuuu rsI 9M;3.1 PSI WIDTH- IN 5.25 PSL/LVL 18 IN = d Fv= 285 PSI RID nlTnl,, nl .en_ Fn- 77nn DCI Fcp= 750 PSI IVIVIVILIV 1- VV`IV i LU-1. 1 D r:i�iiill = 0-631- v =L/ 246 F3.T...0 :-66 a.;Z.;D Deflection2= 0.160 IN =U 403 For Live Load Required 1-/360 Cnn- C77 DCI rll! r.(111 In Rnarinn I an.-it h Fv'= 245 PSI OK ubh G-Lvi s 11 //S"rby,jSEAM J4. J♦/gin _,,._.wa'wy�\/�Z.t_ } LALAµn lel MSTS��q�`� -•lu 111. ;.> i � . 1 K/%,%'A",-'C "^, , P.E........-03/03!2014 SPECIFIC CALCULATIOMF Fnp TWIZ IA/nnn rn?.ICTDI IrTlnhl IN Jif,40,4L&44 WMI-A66 I'IJIIV 1, IVUK 1 ri ANUVVER, MA u1Vi I J-I. .iL .i.i A.I4 26'X 36' DAOil' 1 "DS: GROUND SNn1nr I-nAD 50 PSF "V- I \r,lMlM I CAD 18 !'SF R:'.. �.'J...:n nrl ft Building width 26 ft Ri_iading Aspect Ratio= 1.38 BI~ilAin, DA + U^:. L.Ipl n♦ 1,17 DI F I UIUI rlclyl It Y3 It 4..i1 i r4-1=T A ;:T P(-i r ii," A R01 TR QIW nenrrir.nlI_nriV 1A1 �! si51 7firt 'IAB-FT ?!TH T\A/O 2X SYP PLATES T .- �` L .: ;FT is r Wind IVIOlilefli LOny VVall IU I,03L LUliy VV IVI -f UU ILO IVU Uf-Ur 1 I.E. NO UPLIFT EXISTS AT THE BASE OF THE BUILDING. SHEAR ANCHORS ARE ADEQUTE. SXIMAO tMA1 I nAnArrrV RV T4RI F?,,AnR.2,1(11 SHtAK WALL KtQUIKtMtN I by IAMLt KbUZAM.411 '/"()tiR wi TH nil nimii iJ FT CONTINUOUS SHEATHING AVAII.ARI.F AI.ONr i_On!r,WALL= 19 FT Tl - eenear.IY aI rrnn n-r TI 1r eNnr-kllelno 1Ci nroio-rr-n nv-r1kl,1r_ ear_TAi nnlll (`TlnAI DI ATL A - - - - - - - _ ... .-_ _ - -- F_ . .S vL-/nit-L-u vIv Ince.rs_nldJ. 673 LBS. A SIMPSUN P(:66 PUS I GAP-LA I LKAL UANAU I Y I ZbbLb%j-UK. TWFZ (l-Gi (-,i ii n T it-)r i,;; AMENDMENTS TO IRr.2nng IVIJ,J7/♦V'V ` fp AL "- Y _ The Commonwealth of Massachusetts z. Department oflndustrialAccidents I Congress Street,Smite 100 -''F Boston,MA 02114--2017 ,-` www mass.gov1dia sv Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE JETTED WITH THE PERIVJTTTIIVG AU'T'HORITY. Applicant InformationPlease Print Legibly Name(Business/Organization/l'ndividual): _7_ 1 e)C— Address: 9 60y- city/state/zip: 0yCity/State/Zip: j 0�G� bPhone#: C � 'A 3`S Are you an employer?Check the apliroprlate box: Type of project(1Cequired): 1.❑I am.a.employer with :.. employees(full and/or part-time).* 7..KNew cozistruction 2.0 I am a sole proprietor or partnership and have no employees Working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.Q I am a homeowner doing all work myself.[No workers'comp..insurance required.] 10 E]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.❑Electrical repairs or.additions proprietors with no employees. 12.0 Plumbing repairs or additions 5. 1 am a general contractor and I haye hired the sub-contractors listed on the attached sheet. 13.'[]RObf rep airs X'Thesb sub-contractors have employees and have workers'comp.insurance.1 14. Other 6.Q We are a corporation and its of�cers have exercised their right of exemption per MGL C. ❑ 152,§1(4),and we have no.,erriployees.[No workers'comp.insurance required.] '•`Any applicant that checks box 41 must also'fill out the section below showing their workers'compensation policy information. i Homeowners who submit#his affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must-attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have -contractors haveemployees,they must provide their workers'comp.policy number. employees.'If the sub lam an employer tfzat is pr*oviding workers'compensation insurance for my employees.'Beloiv is the policy acid job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a flue 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 DIA for insurance coverage verification. I do hereby cer fy &zepahns andpenalties ofperjury that the information provided above is true and correct Signature: V Date: ' Phone 0�0 �13 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): ; 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Ioformati.on and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract bf hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engagedin•a joint enferprise,and including the legal representatives of a deceased employer,or the receiver-or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commom�ealth,fox any applicant who has not produced acceptable evidence of compliance with the insurance coverage required..' Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall. enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill-out-the workers' compensation affidavit completely,by checking�the'boxes that apply to your situation and,if necessary,supply sub-contractoi(s)name(s),address(es)and-phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees'other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of•fAdustrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you'are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insure_d companies should•enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. # 617-727-4900 ext.7406 or 1-877-MASSAFE Fax#617.727-7749 Revised 02-23-15 www.mass.go-v/dia t i • ] ® DATE(MM/DDIrM) ACORV CERTIFICATE OF LIABILITY INSURANCE 8/10/16 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 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 CONTACT NAME: Coonan Insurance Agency, Inc. PHONE 508 987_7122 FAx N (508) 987-7152 267 Main Street ADDRESS: cind @coonaninsurance.com Oxford, MA 01540 INSLRE.S:AFFORD/NG COVERAGE NAIL4 INSURER A:Travelers INSURED 1 NSU RER B: TJK, Inc. INSURER C: PO Box 12 INSURER 0; South Grafton, MA 01560 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVQ POLICY NUMBER M/DDIY MM/DD/YYYY LIMITS A GENERALLIABILITY 680-335MI703-15 11/3/15 11/3/16 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED ce $ 300,000 CLAIMS-MADE Fx_1 OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2_,000_,000 . GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 X POLICY JECT F7 PRO LOC $ AUTOMOBILE LIABILITY C NBINEDSINGLELIMIT a accident $ ANYAUTO BODILY INJURY(Per peison) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS _AUTOS eraccident $ UMBRELLA I OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ A WORKERS COMPENSATION IE-UB-9914N01-3-16 1/26/16 1/26/17 X OR MMMT ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE Y/NN NIA E.L.EACH ACG DENT $ 100,000 OFFICE RIME MBER(Mandatory In NH)EXCLLAED? E.L.DISEASE-EA EMPLOYEE $ 100,000 If yyes describe under DES�RIPTIONOFOPE RATIONS below E.L.DISEASE-POLICY LIMIT I $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Rema rice Schedule,If more space Is requlred) 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 North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Cindy Davis ©MB-2010 ACORD CORPORATION. Alt-rights'Peserved. ACORD 25(2010105) The AC ORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: tdbuilding@aol.com i ��e�o.�rer�rm�rranc�lf�o�C-'���r:r.l�rclrise(t Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration 143758 Tyle: Ezplratioa: 329/2018 DBA BARLOW BUILDING TIM BARLOW 13 DEPOT ST S.GRAFTON,MA 01560 Undersecretary Massachusetts Department of Public Safety Board of Building Regulations and Standards ` License: CS-059359 Construction Supervisor $ TIMOTHY MICHAEL BARJOW P.O.BOX#12 SOUTH GRAFTON MA 01560 Expiration: ' Commissioner 01/2412018 I