HomeMy WebLinkAboutBuilding Permit #970-15 - 60 COMPASS POINT ROAD 5/27/2015%AORT11
�3 Lr-- BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION 4t
0
Permit No#: Date Received
ACHU
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION (OnfY��� PC) 10+ 610 011
PROPERTY OWNER Mf( -Q LJL�L—
Print 100 Year Structure yes r�K
MAP PARCEL: D(C� ZONING DISTRICT: Historic District yes 94
Machine Shop Village yes qpC
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
El New Building
El One family
El Addition
WTwo or more f ily
0 Industrial
El Alteration
No. of units: q
El Commercial
El Repair, replacement
El Assessory Bldg
0 Others:
El Demolition
E]Other-
-'—ff��ic -
DWe-
047106d
..611ain U Wetlands
0 W@te�rshecl, District
, ewer
Oter/S -
001
OWNER: Name:
DESCRIPTION OF WORK TO BE PERFORMED:
)r Print Clearly
Address: (b LD)� �J -S,. (,�)-&&-kcsq iylLx. C-�ASaQ
phnna. a-79-)
34SIO
ARCH ITECT/ENGI NEER Phone:—
Address: Ut\Oef Reg. No. 331 k b
FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COSTBASED ON $125.00 PER S.F.
T71 01 S FEE:$ 00
Total Project Cost: $ 10 0
Check No.: Receipt No.:
NOTE: Persons contracting kithjmregktered contractors do not have access to the guaraqfyfund
Locationl� 0 eo,-A a& Jew
No. Date
Check 4t
TOWN OF NORTH ANDOVER
Certificate of Occupancy
Building/Frame Permit Fee
Foundation Permit Fee
Other Permit Fee $ ----------------
TOTAL $
Building Inspector
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans F1
TYPE OF SEWERAGE DISPOSAL
Public Sewer
TanniugfMassage/Body A -it 0
SwiDlming POOIS 0
well
Tobacco Sales 11
Food Packaging/Sales El
Private (septic tank, etc. El
Pennanent Dumpster on Site El
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On Signature'
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
Reviewed
/�) — t �--( �� r
�rj
Sianature
Reviewed on Siqnature
Zoning Board of Appeals. Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Copservation Decision: Comm�n
Water & Sewer Con nection/signature & Dat Drivewav Permit
-DP-W.-Town Engineer: SiLynature:
Located �84 Osdbod Street
j�A e
. IR, F , 1 PPIR:
FIRE-fff R,!Tk—q—
M E
4"
(1 00
it
M M E!
Dimension
Number of Stories: 3 _. Total square feet of floor area, based on Exterior dimensions. -C-)- 17S
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine
NOTES and DATA — (For department use)
0 Noti fied for pickup Call —Email
Date Time Contact Name
Doc.Building Pennit Revised 2014
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
4. Building Permit Application
4, Workers Comp Affidavit
Photo Copy Of H.I.C. And/Or C.S.L. Licenses
Copy of Contract
Floor Plan Or Proposed Interior Work
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
4. Copy Of Contract
Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (if Applicable)
4. Mass check Energy Compliance Report (if Applicable)
Engineering Affidavits for Engineered products
TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
Building Permit Application
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
IOTE: 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
Doe: Building Permit Revised 2014
41
AC
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 970-2015 on 5/27/2015 Date: November 2, 2016
THIS CERTIFIES THAT
THE BUILDING LOCATED at 60 Compass Point — Building G
MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE
PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER
REGULATIONS AS MAY APPLY.
Certificate Issued to: Berry Co. LLC
51 Mt. Joy Drive
Tewksbury, MA 01560
IN 4 11,
VT -
Building Inspector
Fee: PrePaid $100.00
Receipt: 28838
Check: 7876
45
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 970-2015 on 5/27/2015 Date: November 2, 2016
THIS CERTIFIES THAT
THE BUILDING LOCATED at 60 Compass Point — Building G
MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE
PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER
REGULATIONS AS MAY APPLY.
Certificate Issued to: Berry Co. LLC
51 Mt. Joy Drive
Tewksbury, MA 01560
ZIF-
Building Inspector
Fee: PrePaid $100.00
Receipt: 28838
Check: 7876
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APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION
ATIED
BUIELDING PERMIT # Cl'
CHUS,-
ADDRESS/LOCATION
OF PROPERTY:
Map_AQ_�o Parcel 0 63 —Lot Number-
SU13DIVISION:-,Me,(r"tfnc,,t-V- Uz)nao
DATE REQUESTED FILED/READY FOR INSPECTION:
CLOSING DATE ON PROPERTY:
FIVE(5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN TIRS TIME FRAME. A
REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE -STRUCTURE
DOES NOT MEET ALL APPLICABLE CODES.
APPLICANT SIGNATURE
Permit Issued to: -1—rusA &S�f u(±j fj
Address: V -S �vf 4 VO 7) 1
I -
ROUTING
TOWNENGINEER, SITE PLAN - DRIVE -WAY REVIEW
CONSERVATION
PLANNING F] 11111ko
DPW-WATERMETER
SEWER CONNECTION
DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST
DPW
SIGNATURE
File: Application for OC fonn revised Jan 2007/2011
CLEAResult
50 Washington Street
Westborough, MA 01581
IECC 2009 & IECC 2012 Duct Tightness Verification
Fail
Date: January 1 1th 2016
Permit No.:
Street Address: 60 Compass Point
North Andover, MA 01845
Total conditioned floor area: 2,400 SqFt
Source of Area Calculation: Builder
HERS Rater:
Nicholas Abreu
Certification Number:
8368122
Signature:
Client:
Tim Barlow
2009 IECC - New Construction
Post -construction test
El Total Leakage — 12 cfm/100 ft' maximum allowed
Leakage to outdoors — 8 CfM/100 ft2 maximum allowed
Testing result: CfM/100 ft2
Rough -in test
Total leakage
Air Handler Installed?
El Yes -6 CfM/100 ft2 maximum allowed
M No -4 CfM/100 ft2 maximum allowed
Testing result: CfM/100 ft2
2012 IIECC - New Construction
Post -construction test
0 Total Leakage — 4 CfM/100 ft2 maximum allowed
Testing result: CfM/100 ft2
Rough -in test - Total leakage
Air Handler Installed?
X Yes -4 CfM/100 ft2 maximum allowed
El No -3 CfM/100 ft2 maximum allowed
Testing result: 2.83 CfM/100 ft2
Results apply to the system as tested on the date above. Compliance is void if any changes are made
to the duct system.
50 Washington Street, Suite 3000
Westborough, MA 01581
IECC 2012 402.4.2.1 Testing option
Blower Door Testing
Date of test: November 1, 2016 G / Fail
Street Address: 60 Compass Point
North Andover, MA 01845
Total conditioned floor area: 2,400 Square Feet
Total conditioned volume: 21,074 Cubic Feet
Source of area and volume calculations:
Builder Rater —X Other
HERS Rater:
Nicholas Abreu
Certification Number:
8368122
Signature:
Builder:
TB Building
Builder Contact:
Tim Barlow
Tested Air Leakage
Requirement: 3 Air Changes per hour at 50 pascals (ACH50) or less
Measurement:
ACH50: 2.98
CLEAResult @ 2015
Project Title:
Final Construction Control Document
To be submitted at completion of construction by a
Registered Design Professional
for work per the 8th edition of the
Massachusetts State Building Code, 780 CMR, Section 107
MERRIMACK TOWNHOMES
Date: 10/08/16 Permit No. 805-15
Property Address: G1 - 60 COMPASS PONT, NORTH ANDOVER, MA
Project: Check one or both as applicable: X1 New construction 0 Existing Construction
Project description: Wood framed, fire sprinkled, three story town homes in a TOW Of four in the building named "G"
with u/g gas, electric, water and sewer services.
I KANAYO LALA MA Registration Number: 33710-C Expiration date: JUNE 30, 18 am a
registered design professional, and I have prepared or directly supervised the preparation of all design plans,
computations and specifications concerning:
Architectural Structural [ ] Mechanical
FireProtection Electrical [X] Other: ALL DESCIPLINES
for the above named project. I, or my designee, have performed the necessary professional services and was present at the
construction site on a regular and periodic basis. To the best of my knowledge, information, and belief the work
proceeded in accordance with the requirements of 780 CMR and the design documents approved as part of the building
permit and that I or my designee:
I . Have reviewed, for conformance to this code and the design concept, shop drawings, samples and other submittals
by the contractor in accordance with the requirements of the construction documents.
2. Have performed the duties for registered design professionals in 780 CMR Chapter 17, as applicable.
3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the
progress and quality of the work and to determine if the work was performed in a manner consistent with the
construction documents and this code.
Nothing in this document relieves the contractor of its responsibilitv regarding the provisions of 780 CMR 107.
Enter in the space to the right a "wet" or
electronic signature and seal:
Phone number: 978-337-5252
Email: kanayolala@gmail.com
Building Official Use Only
Building Official Name: Permit No.: Date:
Version 06112013
CONSTRUCTION CONTRACTOR REPORT
MASSACHUSETTS BUILDING CODE SECTION
REPORT NO: Eighteen
Bldg.G - #805-15
TO: Building Commissioner- Permit Nun-ber Bldg.H - #506-15
400 Osgood Street, N Andover, MA Bldg. I - #505-15
Bldg. J - #072-2016
Merrimack Condominiums
PROJECT NAME OR NUMBER:
,604,62, 64, & 66 Compass Point, Units GI, G2, G3, & G4
STREET ADDRESS: 52 & 50 Compass Point, Units HI & H2
48 & 46 Compass Point, Units 11 & 12
TOWN/CITY: North Andover MA
WORK:
GENERAL CONTRACTOR: TRUST CONSTRUCTION CORPORATION
CONSTRUCTION SUPERINTENDENT: Timothy Barlow LICENSE 4 CS 059359
UP DATE PREVIOUS IS S
DATES COVERED:
CONDITIONS
April 178 2015 through July 23, 2015
Partial Sunny Spring Day - 64F
Buiding "D" is 70% complete.
COMMENTS: Installation of electric & plumbing rough -ins are in progress in Building "H" & ?fill
WORKIN PROGRESS -Puilding "I" - framing is 90% complete.
Building "H" - framing is 90% complete.
Building "G" - framing is 60% complete.
In Reneral low soffit in izarage should be limited to 2' width off walls.
SITE VISITS: Inspected on July 23 for the excavation for "J" & progressing work in D, G, H & 1.
RELATED ISSUES:
ACTION REQUIRED:
ADDITIONS TO FILED PLANS:
STATUS OF COMPLETION: % 48% of the all 15 buildings
REPORTING ARCHITECT: Kanayo Lala
IN COMPLIANCE WITFI MASSACHUSETTS STATE BUILDING CODE, SECTION 107.6.4 CONSTRUCTION CONTROL AND
APPROVED PLANS Kanayo Lala ULY 23, 2015
ARCHITECT OF RECORD: .0FP--
, w __PA7E: J
Enter construction cost for fee 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
60 Compass Point
970-15 on 5/27/15
New Townhome
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FOUNDATION.AS-BUILT.BUILDING.#G*
ANam MERRIMAC CONDOMINIUMS
ROUTE 114.. NORTH ANDOVER, MASS,
Wr t.
I- PROJECT NO; NAND13 SCALE�i 1*=4(r
DRAWN BY, PCG DATEl 5/1/15
A
CHECKED BY, SC SHTo I
L- REVISED, 1 rlFs I
REScheck Software Version 4.6.1
Compliance Certificate
Project 150527—Trust—Merrimac_BldgG_UnitGl—ModelB
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:
0.0
Permit Number:
40
Construction Site: Owner/Agent: Designer/Contractor:
Bldg G, Unit Gl
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
Floor Ist Floor: All -Wood J oi stfrruss: Over Unconditioned Space
416
30.0
0.0
0.033
14
Wall Ist Separation: Wood Frame, 16" o.c.
96
15.0
0.0
0.077
7
Wall lst 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 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 J oist/Truss: Over Unconditioned Space
481
30.0
0.0
0.033
16
Floor 2nd Over entry: All -Wood JoistfTruss: 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: 150527—Trust—Merrimac—BldgG_UnitGl—modelB
Report date: 05/27/15
Data filenanne: S:\Ebbeling_Ed\150507 Trust—MerrimacCondos—BidgG_UnitsBB-
Pagel
of 9
BB—NAndoverNRescheck\150527—Trust—Merrimac—BidgG_UnitGl_ModelB.rck
I
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 4.6.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Name -
Project Notes:
Building G
Signature Date
Project Title: 150527 — Trust — Merrimac — BldgG_UnitG1 — ModelB Report date: 05/27/15
Data filename: S:\Ebbeling Ed\150507—Trust MerrimacCondos BIdgGLUnitsBB- Page 2 of 9
BB—NAndover\Rescheck\l�-0527—Trust—Merri—mac—BidgG_UnitG!_ModelB.rck
RESc eck Software Version 4.6.1
Inspection Checklist
C�J( 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.
Section
#
Plans Verified
Pre-inspection/Plan Review Value
Field Verified
Value
Complies?
Comments/Assumptions
& Req.113
103.1,
;Construction drawings and
OComplies
103.2
'documentation demonstrate
IODoes Not
[PR111
energy code compliance for the
EJNot Observable
:building envelope.
:E]Not Applicable
103.1,
;,Construction drawings and
ElComplies
103.2,
clocumentation demonstrate
ElDoes Not
403.7
(PR311
:.energy code compliance for
Jighting and mechanical systems.
EINot Observable
:Systems serving multiple
ONot Applicable
dwelling units must demonstrate
compliance with the IECC
!Commercial Provisions.
302.1,
Heating and cooling equipment is , Heating:
Heating:
ZIComplies
403.6
sized per ACCA Manual S based Btu/hr
Btu/hr
UlDoes Not
[PR2]2
on loads calculated per ACCA Cooling:
Cooling:
bNot Observable
Q)
Manual J or other methods Btu/hr
:approved by the code official.
Btu/hr
T]Not Applicable
Additional Comments/Assumptions:
111 High Impact (Tier 1) 12 1 Medium Impact (Tier 2) - 13 1 Low lmpa-c-t-(7T-ie-r-3--)--]
Project Title: 150527 - Trust-Merrimac-BldgG-UnitGl-Mode[B Report date: 05/27/15
Data filename: S:\Ebbeling_Ed\150507-Trust-MerrimacCondos-BidgG_UnitsBB- Page 3 of 9
BB-NAndover\Rescheck\150527-Trust-Merrimac-BldgG_UnitGl-ModelB.rck
2012 IECCI Foundation Inspection I Complies? Comments/Assumptions
303.2.1 A protective covering is installed to ;Ekomplies
[FO1112 protect exposed exterior insulation UDoes Not
;and extends a minimum of 6 in. below :
14 grade. UNot Observable:
UNot Applicable
403.8 �Snow- and ice -melting system controls; E]Com plies
[FO12]2 installed. E]Does Not
�,[:]Not Observable:
TINot Applicable
Additional Comments/Assumptions:
111 High Impact (Tier 1) 12 1 Medium Impact (Tier 2) 13 1 Low Impa
Project Title: 150527 — Trust J Merrimac — BldgGLUnitG1 — ModelB Report date: 05/27/15
Data filename: S:\Ebbeling Ed\150507—Trust MerrimacConclos BldgGLUnitsBB- Page 4 of 9
BB—NAndover\Rescheck\l��-0527—Trust—Merri—mac—BldgG_UnitG!_ModelB.rck
Section i
#
Framing / Rough -I
Plans Verified
Value
Field Verified
Value
Complies?
Comments/Assumptions
Req.11)
J'02.1.1,
;Door U -factor. U_
U_
LIComplies :See the Envelope Assemblies
402.3.4
Z]Does Not table for values.
(FR111
:E]Not Observable
;,E]Not Applicable
402.1.1,
:Glazing U -factor (area -weighted U-
U_
E]Complies See the Envelope Assemblies
402.3.1,
;average).
:E]Does Not table for values.
402.3.3,
402.3.6,
1
:E]Not Observable
402.5
TINot Applicable
[FR211
303.1.3
:U -factors of fenestration products
ElComplies
[FR4]1
:are determined in acc
'!E]Does Not
0
;with the NFRC test procedure
i or
E]Not Observable
Uken from the default table.
EINot Applicable
402.4.1.1
Air barrier and thermal bar�ier
Elcomplies
(FR23]1 :installed
per manufact
ElDoes Not
instructions.
�E]Not Observable
EINot Applicable
402.4.3 :,Fenestration
that is not site built
ElComplies
[FR2011
is listed and labeled as meeting
AAMA /WDMA/CSA 101/i.S.2/A440
ElDoes Not
jor
has infiltration rates per NFRC
EINot Observable
400 that do not exceed code
ONot Applicable
�Iimits.
402.4.4
k -rated recessed lighting fixtures!
�Ilcomplies
[FR16]2
� sealed at housing/interior finish
PDoes Not
9
:and labeled to indicate -s2.0 cfm
leakage at 75 Pa.
�E]Not Observable
EINot Applicable
403.2.1
Supply ducts in attics are R-
R_
TIComplies
[FR1211
insulated to �t[1-8. All other ducts R-
R- :E]Does
Not
0
in unconditioned spaces or
:E]Not
Observable
;outside
the building envelope are:
:E]Not
:insulated
to a:11-6.
Applicable
403.2.2 !All
joints and seams of air ducts
�E]Complies
[FR1311
air handlers, and filter boxes ar� I
ElDoes Not
:sealed.
tlNot Observable
EINot Applicable
403.2.3 ;Building
cavities are not used as
IlComplies
[FR15]3 :ducts
or plenums.
ElDoes Not
E]Not Observable
EINot Applicable
403.3
MVAC piping conveying fluids R-_
R- ;DComplies
[FR17]2 I
above 105 QF or chilled fluids
;DDoes
Not
;below
55 QF are insulate d to a -R -
;E]Not
Observable
:3.
;E]Not
Applicable
403.3.1 :Protection
of insulation on HVAC
'ElComplies
[FR2411
piping.
j'E]Does
Not
�E]Not
Observable
�'E]Not
Applicable
403.4.2
Mot water pipes are insulated to R-
R- :E]Complies
[FR18]2 :2:11-3.
E]Does Not
�E]Not
Observable
�E]Not
Applicable
11 High Impact (Tier 1) 2 1 Medium Impact (Tier 2) 3 1 Low Impact (Tier 3)
Project Title: 150527—Trust—Merrimac — BldgGLUnitG1_Modell3 Report date: 05/27/15
Data filenarne: S:\Ebbeling_Ed\150507—Trust — MerrirnacCondos_BldgGLUnitsBB- Page 5 of 9
BB—NAndover\Rescheck\150527—Trust—Merrimac—BldgG_UnitGI—ModelB.rck
Framing / Rough -In Inspection Plans Verified Field Verified Complies? Comments/Assumptions
I I I Value Value
& Rea.11)
403.5 Automatic or gravity dampers are
[FR19]2 installed on all outdoor air
,intakes and exhausts.
Additional Comments/Assumptions:
E]Does Not
E]Not Observable
E]Not Applicable
111 High Impact (Tier 1) 12 1 Medium Impact (Tier 2) 13 1 Low Impact (Tier 3) 1
Project Title: 150527—Trust—Merrimac_BldgG—UnitG.1—ModelB Report date: 05/27/15
Data filenarne: S:\Ebbeling_Ed\150507—Trust — MerrimacCondos BldgG_UnitsBB- Page 6 of 9
BB NAndover\Rescheck\15 05 27—Trust—Merri mac—Bld gG_U n itG !_Model B. rck
Section
Insulation Inspection
�
Plans Verified
Value
Field Verified
Value
I
Complies?
Comments/Assumptions
& Req.ID
303.1
�All installed insulation is labeled
ElComplies
(IN13]2
or the installed R -values
DDoes Not
provided.
'UNot Observable
EINot Applicable
402.1.1,
Floor insulation R -value.
R-
R--
;E]Complies ;See the Envelope Assemblies
402.2.6
E] Wood
Wood
UDoes Not : table for values.
[IN111
E] Steel
E] Steel
:E]Not Observable
0
UNot Applicable
303.2,
;Floor insulation installed per
'ElComplies
402.2.7
:manufacturer's instructions, and
ElDoes Not
[IN211
� in substantial contact with the
!underside of the subfloor.
E]Not Observable
'E]Not
Applicable
402.1.1,
Vall insulation R -value. If this is a;,
R--
R-
�E]Complies 1 See the Envelope Assemblies
402.2.5,
:mass wall with at least 1/2of the
0 Wood
E] Wood
UDoes Not table for values.
402.2.6
[IN311
:wall insulation on the wall
:exterior, the exterior insulation
E] mass
0 mass
;E]Not Observable
:requirement applies (FRIO).
E] Steel
F] Steel
:E]Not Applicable
303.2
Wall insulation is installed per
�OComplies
[IN411
manufacturer's instructions.
E]Does Not
EINot Observable
ONot Applicable
Additional Comments/Assumptions:
111 High Impact (Tier 1) 12 1 Medium Impact (Tier 2) 13 1 L o w I m p a c:t::(:T:-:ie: :r =3)
Project Title: 150527 — Trust — Merrimac — BldgG_UnitGI — ModelB Report date: 05/27/15
Data filename: S:\Ebbeling Ed\150507 Trust MerrimacCondos—BidgGLUnitsBB- Page 7 of 9
BB—NAndover\Rescheck\l�-0527—Trust—Merti—mac—BidgG_UnitGl_ModelB.rck
section
#
Final Inspection Provisions
Plans Verified
Value T
Field Verified
Value
Complies?
Comments/Assumptions
& Req.ID
402.1.1,
Ceiling insulation R -value. R-
R-
ElComplies :See the Envelope Assemblies
402.2.1,
E] Wood
Wood
ODoes Not table for values.
402.2.2,
402.2.6
Steel
E] Steel
:E]Not Observable
[F1111
UNot Applicable
303.1.1.1,
;Ceiling insulation installed per 11"
�Elcomplie s
303.2
manufacturer's instructions.
ElDoes Not
(F1211
:Blown insulation marked every
300 fl:2.
�[]Not Observable
j0Not Applicable
402.2.3
Nented attics with air permeable
!E]Complies
[F122 ]2
insulation include baffle adjacent
ElDoes Not
to soffit and eave vents that
over insulation.
C]Not Observable
-extends
1EINot Applicable
402.2.4
:Attic access hatch and door , R-_
R-
;E]Complies
[F1311
"insulation �tR-value of the
ElDoes Not
:adjacent assembly.
:E]Not Observable
�E]Not Applicable
402.4.1.2
Blower door test @ 50 Pa. <=5 ACH 50
ACH 50
'.ElComplies
[FI17]1
ach in Climate Zones 1-2, and
UDoes Not
<=3 ach in Climate Zones 3-8.
:E]Not Observable
'E]Not Applicable
403.2.2
Duct tightness test result of <=4 cfm/100
cfm/100-E]Complies
[F1411
cfm/100 fl:2 across the system or ft2
ft2
UDoes Not
<=3 cfm/100 fl:2 without air
handier @ 25 Pa. For rough -in
1EINot Observable
;tests, verification may need to
1ONot Applicable
occur during Framing Inspection.
403.2.2.1
Air handier leakage designated
!E]Complies
[F124]1
by manufacturer at <=2% of
ElDoes Not
:design air flow.
1E]Not Observable
i
tlNot Applicable
i
403.1.1
Programmable thermostats
flComplies
[FI9]2
installed on forced air furnaces.
ElDoes Not
10)
UNot Observable
EINot Applicable
403.1.2
'Heat pump thermostat installed
ElComplies
l
F 10]2
on heat pumps.
ElDoes Not
EJNot Observable I
E]Not Applicable
403.4.1
Circulating service hot water
ElComplies
[F111]2
systems have automatic or
;E]Does Not
accessible manual controls.
E]Not Observable
IE]Not Applicable
403.5.1
All mechanical ventilation system
�,E]Complies
(F125]2
Jans not part of tested and listed
IE]Does Not
HVAC equipment meet efficacy
ONot Observable
and air flow limits.
E]Not Applicable
404.1
75% of lamps in permanent
ElComplies
[9611
fixtures or 75% of permanent
E]Does Not
I
fixtures have high efficacy lamps. I
Does not apply to low -voltage i
'lighting.
E]Not Observable
"EINot Applicable
111 High Impact. (Tier 1) 12 1 Medium Impact (Tier 2) 13 1 Low Impact (Tier 3) 1
Project Title: 150527 — Trust — Merrimac — BldgG — UnitG1 — ModelB Report date: 05/27/15
Data filename: S:\Ebbeling Ed\150507—Trust MerrimacCondos—BldgG_UnitsBB- Page 8 of 9
BB—NAndover\Rescheck\l�;-0527—Trust—Merri—mac—BidgG�_UnitGl—ModelB.rck
Section
#
Final Inspection Provisions
Plans Verified
Value
Field Verified
Value
Complies? Comments/Assumptions
& Req.ID
404.1.1
Fuel gas lighting systems have
ElComplies
fF123]3
no continuous pilot light.
E]Does Not
tlNot Observable
"E]Not Applicable
401.3
Compliance certificate posted.
ElComplies
(F17]2
UDoes Not
i[]Not Observable
1E]Not Applicable
303.3
Manufacturer manuals for
ElComplies
[FI18]3
mechanical and water heating
E]Does Not
:systems have been provided.
�E]Not Observable
EINot Applicable
Additional Comments/Assumptions:
I I I High Impact (Tier 1) 12 1 Medium Impact (Tier 2) 3 1 Low lmpaict �(Tier 3�)
Project Title: 150527 — Trust — Merrimac — BldgG_UnitGl — ModelB Report date: 05/27/15
Data filename: S:\Ebbeling—Ed\150507—Trust—MerrimacCondos—BldgGLUnitsBB- Page 9 of 9
BB—NAndover\Rescheck\150527 Trust—Merrimac—BidgG_UnitGl—ModelB.rck
0
2012 �ECC 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
Kanayo Lala, P.E . ............. 03/03/2014
PROJECT: Merrimack Condominiums
G -TYPE BB -Compass Point, N Andover, MA
DESIGN FOR - GIRDERS/JOISTS /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
0.00 PLF
Cq= 1
Cs=
LIVE LOAD 30.00 PSF
429.90 PLF
qs= 29.10
Cd= 1
TOTALLOAD
753 PLF
I= 1
Cm=1
WIND SPEED 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 10.50 PSULVL
11.875 IN = d
Fv= 285 PSI
ROOF PITCH - N:12
Fc= 2700 PSI
Fcp= 750 PSI
MOMENT= 35786 LB -FT
MOMENT2= 9506 LB -FT 246.78 =S provided OK
S= 187.42 IN A 3 1465.24 = I
Deflection 0.836 IN = U 240 For Total Load Required U240
Deflection2 0.139 IN = U 421 For Live Load Required U360
Fcp'= 652 PSI OK 1.50 In Bearing Length
Fv'= 123 PSI OK
USE BETTER HEADER#65 (FLITCH BEAM) 2-LVLs 11 7/8" WITH 1/2"STEEL PLATE
BOLTED WITH 5/8"DIA@12"O.C. IN TWO ROWS. OF
KANAYO
H.
LALA
RL
-�7 - ------- -
Kanayo Lala, P.E . ............. 03/03/2014
PROJECT: Merrimack Condominiums
G -TYPE BB -Compass Point, N Andover, MA
DESIGN FOR - GIRDERS/JOISTS /RAFTERS -Third Floor Beam T2
Supporting Floor, Wall & Attic
LOADS: DEAD LOAD
22.54 PSF
322.95 PLF
Ce= 1 CF= 1.00
SNOW LOAD
PSF
0.00 PLF
Cq= 1 Cs=
LIVE LOAD
30.00 PSF
429.90 PLF
qs= 29.10 Cd= 1
TOTALLOAD
753 PLF
I= 1 Crn=1
WIND SPEED
100 MPH
29.10 PSF
POINT LOAD
LBS
FT
Ra=
0 LBS
6211 LB =TOTAL REACTION
TRIBUTARY WIDTH
14.33 LF
E= 2000000 PSI
JOIST/GIRDER SPAN
16.5 LF
Fb= 2900 PSI
WIDTH- IN 7.00 PSULVL 11.875
IN
= d Fv= 285 PSI
ROOF PITCH - N:12
Fc= 2700 PSI
Fcp= 750 PSI
MOMENT=
25620 LB -FT
MOMENT2=
0 LB -FT
164.52 =S provided OK
S=
106.02 IN A 3
976.83 = I
Deflection
0.643 IN = L/
308
For Total Load Required L/240
Deflection2
0.000 IN = U
540
For Live Load Required U360
Fcp'=
592 PSI
OK
1.50 In Bearing Length
Fv'=
112 PSI
OK
MNAYO
H.
L&A
N0.33710 -C
Kanayo Lala, RE . ............. 03/03/2014
PROJECT: Merrimack Condominiums.
G -TYPE BB -Compass Point, N Andover, MA
DESIGN FOR - GIRDERSMOISTS /RAFTERS Third Floor Beam T3
Supporting Floor & Point Load From TI& T2
LOADS: DEAD LOAD
20.00 PSF
360.00 PLF
Ce= 1 CF= 1.00
SNOW LOAD
PSF
0.00 PLF
Cq= 1 Cs=
LIVE LOAD
30.00 PSF
540.00 PLF
qs= 29.10 Cd= 1
TOTALLOAD
900 PLF
I= 1 Crn=1
WIND SPEED
100 MPH
29.10 PSF
POINT LOAD
16477 LBS
3.25 FT
Ra=
13327 LBS
7650 LB =TOTAL REACTION
TRIBUTARY WIDTH
18.00 LF
E= 2000000 PSI
JOIST/GIRDER SPAN
17 LF
Fb= 2900 PSI
WIDTH- IN 14.00 PSULVL
11.875 IN
= d Fv= 285 PSI
ROOF PITCH - N:12
Fc= 2700 PSI
Fcp= 750 PSI
MOMENT=
32513 LB -FT
MOMENT2=
43313 LB -FT
329.04 =S provided OK
S=
313.76 IN A 3
1953.65 = I
Deflection
0.433 IN
= U 252
For Total Load Required U240
Deflection2
0.378 IN
= U 419
For Live Load Required U360
Fcp'=
499 PSI
OK
3.00 In Bearing Length
Fv'=
189 PSI
OK
USE BETTER HEADER#84 (FLITCH BEAM) 3-LVLs 11 7/8" WITH 2-3/8"STEEL PLATE
BOLTED WITH 5/8" DIA @ 112"O.C. IN TWO ROWS.
USE 2-LVLs 11 7/8" FOR BEAM T4.
Kanayo Lala, RE . ............. 03/03/2014
PROJECT: Merrimack Condominiums
G -TYPE BB -Compass Point, N Andover, MA
DESIGN FOR - GIRDERS/JOISTS /RAFTERS Third Floor Beam T3 -STEEL
Supporting Floor & Point Load From T1& T2
LOADS: DEAD LOAD
20.00 PSF
360.00 PLF
Ce= 1 CF= 1.00
SNOW LOAD
PSF
0.00 PLF
Cq= 1 Cs=
LIVE LOAD
30.00 PSF
540.00 PLF
qs= 29.10 Cd= 1
TOTALLOAD
900 PLF
I= 1 Cm=1
WIND SPEED
100 MPH
29.10 PSF
POINT LOAD
16477 LBS
3.25 FT
Ra=
13327 LBS
7650 LB =TOTAL REACTION
TRIBUTARY WIDTH
18.00 LF
E= 29000000 PSI
JOIST/GIRDER SPAN
17 LF
Fb= 24000 PSI
WIDTH- IN 6.50 36KSI W12X30
12.34 IN
= d Fv= 16200 PSI
ROOF PITCH - N:12
Fc= 24000 PSI
Fcp= 405 PSI
MOMENT=
32513 LB -FT
MOMENT2=
43313 LB -FT
38.60 =S provided OK
S=
37.91 IN A 3
210.00 =I
Deflection
0.278 IN = U
392
For Total Load Required U240
Deflection2
0.242 IN = L/
654
For Live Load Required U360
Fcp'=
359 PSI
OK
9.00 In Bearing Length
Fv'=
10,200 PSI
OK
W I 2X30, DEPTH= 12.34" AND FLANGE WIDTH=6.5
L
USE 2-LVLs 11 7/8" FOR BEAM T4. : U
3710
N
Kanayo Lala, RE . ............. 03/03/2014
PROJECT: Merrimack Condominiums
G -TYPE BB -Compass Point, N Andover, MA
DESIGN FOR - GIRDERSMOISTS /RAFTERS Third Floor Beam T5
Suwortina Floor & Wall
LOADS: DEAD LOAD
24.00 PSF
240.00 PLIF
Ce= 1 CF= 1.00
SNOW LOAD
PSF
0.00 PLF
Cq= 1 Cs=
LIVE LOAD
30.00 PSF
300.00 PLF
qs= 29.10 Cd= 1
TOTALLOAD
540 PLF
I= 1 Crn=1
WIND SPEED
100 MPH
29.10 PSF
POINT LOAD
LBS
FT
Ra=
0 LBS
3510 LB =TOTAL REACTION
TRIBUTARY WIDTH
10.00 LF
E= 2000000 PSI
JOIST/GIRDER SPAN
13 LF
Fb= 2900 PSI
WIDTH- IN 3.50 PSULVIL
11.875 IN
= d Fv= 285 PSI
ROOF PITCH - N:12
Fc= 2700 PSI
Fcp= 750 PSI
MOMENT=
11408 LB -FT
MOMENT2=
0 LB -FT
82.26 =S provided OK
S=
47.20 IN A 3
488.41 =I
Deflection
0.355 IN
= U 439
For Total Load Required L/240
Deflection2
0.000 IN
= U 790
For Live Load Required 1-1360
Fcp'=
669 PSI
OK
1.50 In Bearing Length
Fv'=
127 PSI
OK
ALSO USE 3-LVLs 11 7/8" FOR BEAM T6.
VANAY0
H.
LALA
No. 33710-C
Kanayo Lala, P.E . ............. 03/03/2014
PROJECT: Merrimack Condominiums
G -TYPE BB -Compass Point, N Andover, MA
DESIGN FOR - GIRDERSMOISTS /RAFTERS
LOADS: DEAD LOAD
24.00 PSF
SNOW LOAD
PSF
LIVE LOAD
40.00 PSF
TOTALLOAD
WIND SPEED
100 MPH
POINT LOAD
LBS
Ra=
0 LBS
TRIBUTARY WIDTH
10.00 LF
JOIST/GIRDER SPAN
13 LF
WIDTH- IN 3.50 PSL/LVL 11.875
ROOF PITCH - N:12 =
ON
2nd Floor Beam S1
SuDDortina Floor & Wall
240.00 PLIF Ce= 1
0.00 PLIF Cq= 1
400.00 PLIF qs= 29.10
640 PLF 1= 1
29.10 PSF
FT
4160 LB =TOTAL REACTION
E= 2000000 PSI
Fb= 2900 PSI
IN = d Fv= 285 PSI
Fc= 2700 PSI
Fcp= 750 PSI
CF= 1.00
Cs=
Cd= 1
Cm= 1
MOMENT= 13520 LB -FT
MOMENT2= 0 LB -FT 82.26 =S provided OK
S= 55.94 IN A 3 488.41 =I
Deflection 0.421 IN = U 371 For Total Load Required U240
Deflection2 0.000 IN = L/ 593 For Live Load Required U360
Fcp'= 396 PSI OK 3.00 In Bearing Length
Fv'= 150 PSI OK
or
KAMAVO
H
LAL'A
a. 33710-C
ST
or
Kanayo Lala, P.E . ............. 03/03/2014
PROJECT: Merrimack Condominiums
G -TYPE BB -Compass Point, N Andover, MA
DESIGN FOR - GIRDERSMOISTS /RAFTERS
LOADS: DEAD LOAD 15.00 PSF
SNOW LOAD PSF
LIVE LOAD 40.00 PSF
TOTALLOAD
WIND SPEED 100 MPH
POINT LOAD 4160 LBS
Ra= 3467 LBS
TRIBUTARY WIDTH 1.33 LF
JOIST/GIRDER SPAN 19.5 LF
WIDTH- IN 3.50 PSULVL 11.875
ROOF PITCH - N:12 =
2nd Floor Beam S2
Supporting Floor & Point Load From S1
19.95 PLF
Ce=
1
0.00 PLF
Cq=
1
53.20 PLF
qs=
29.10
73 PLF
I=
1
29.10 PSF
3.25 FT
713 LB =TOTAL
REACTION
E=
2000000 PSI
Fb=
2900 PSI
IN = d
Fv=
285 PSI
Fc=
2700 PSI
Fcp=
750 PSI
CF= 1.00
Cs=
Cd= 1
Cm= 1
MOMENT= 3477 LB -FT
MOMENT2= 11267 LB -FT 82.26 =Sprovided OK
S= 61.01 IN A 3 488.41 =I
Deflection 0.244 IN = U 318 For Total Load Required L/240
Deflection2 0.493 IN = U 437 For Live Load Required L/360
Fcp'= 398 PSI OK 3.00 In Bearing Length
Fv'= 151 PSI OK
Kanayo Lala, RE . ............. 03/03/2014
PROJECT: Merrimack Condominimums
G -TYPE -BB -Compass Ponit, N Andover, MA
DESIGN FOR - GIRDERS/JOISTS /RAFTERS Garage Door Header S3
Supporting Two Floors, Roof, Wall & Point Load From T1
LOADS: DEAD LOAD
73.72 PSF
718.75 PLF
Ce= 1 CF= 0.96
SNOW LOAD
38.50 PSF
375.38 PLF
Cq= 1 Cs=
LIVE LOAD
70.00 PSF
682.50 PLF
qs= 29.10 Cd= 1.15
TOTALLOAD
1777 PLF
I= 1 CM=1
WIND SPEED
90 MPH
29.10 PSF
POINT LOAD
4900 LBS
6 FT
Ra=
3118 LBS
14657 LB =TOTAL REACTION
TRIBUTARY WIDTH
9.75 LF
E= 2000000 PSI
JOIST/GIRDER SPAN
16.5 LF
Fb= 2900 PSI
WIDTH- IN 5.25 PSULVL
18 IN = d
Fv= 285 PSI
ROOF PITCH - N:12
Fc= 2700 PSI
Fcp= 750 PSI
MOMENT=
60461 LB -FT
MOMENT2=
18709 LB -FT
350.00 =S provided
OK
S=
284.87 IN A 3
2228.94 = I
Deflection
0.665 IN = U
240
For Total Load Required U240
Deflection2
0.160 IN = U
403
For Live Load Required U360
Fcp'=
677 PSI
OK 5.00
In Bearing Length
Fv'=
245 PSI
OK
USE 2-LVLs 117/8" FOR BEAM S4.
KANAYO LALA, P.E ........ . 03/03/2014
SPECIFIC CALCULATIONS FOR THE WOOD CONSTRUCTION IN
10OMPH WIND ZONE
60,62,64 & 66 COMPASS POINT, NORTH ANDOVER, MA
BUILDING "G" UNIT G1, G2, G3 & G4 26' X 36'
BASIC LOADS:
GROUND SNOW LOAD 50 PSF
LIVE LOAD 40 PSF
WIND LOAD 18 PSF
Building Length
36 ft
Building Width
26 ft
Building Aspect Ratio=
1.38
Building Area
936 sf
Shear End Wall=
11,664 224 PLF
Building Mean Height
36 ft
Shear Long Wall=
8,424 117 PLF
Total Height
45 ft
Dead Load of Building
65,520 lbs
1/2"A.BOLT SHEAR
801 LB
DL Moment End Wall
1,179,360 LB -FT
4
FT SPACING FOR 1/2" A.BOLTS
DL Moment Long Wall
851,760 LB -FT
WITH TWO 2X SYP PLATES
NET
Wind Moment End Wall
209,952
End Wall M -969408
NO UPLIFT
Wind Moment Long Wall
151,632
Long W M -700128
NO UPLIFT
I.E. NO UPLIFT EXISTS AT THE BASE OF THE BUILDING. SHEAR ANCHORS ARE ADEQUTE
SHEAR WALL CAPACITY BY TABLE 2306.2.1(1)
Y2" OSB / CDX PLY WITH 8D NAILS AT 6" ON EDGES AND 6" ON FIELD - 270PLF< 224 PLF
REQUIRED FOR THREE STORY HEIGHT- OK
SHEAR WALL REQUIREMENT BY TABLE R602.10.1.2(l)
Y2" OSB WITH 6D NAILS AT 6" ON EDGES AND 12" ON FIELD PER TABLE R602.3(3) 13 FT
CONTINUOUS SHEATHING AVAILABLE ALONG LONG WALL = 19 FT
THE MOMENT SHEAR AT THE OPENINGS IS RESISTED BY THE METAL CONNECTION PLATES AS
DETAILED ON THE PLANS.
FOR A TYPICAL 6'WIDE OPENING IN END WALL AT 224 PLF SHEAR: AT THE OPENING CORNER
673 LBS. A SIMPSON PC66 POST CAP - LATERAL CAPACITY 1285LBS - OK
THE CALCULATIONS ABOVE MEET THE REQUIREMENTS OF THE IRC2009 R602.10 AND 780CMR51
AMENDMENTS TO IRC2009.
A400REP CERTIFICATE OF LIABILITY INSURANCE (MMIDDIYYYY)
7 2/10/15
,
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), AUrHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERrIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(tes) must be endorsed. If SUBROGA71ON 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 endorsemengs).
PRODUCER
Coonan Insurance Agency, Inc.
267 Main Street
Oxford, MA, 01540
CONTACT
NAME:
PHONE x
(AIC.NaFAi- (508) 987-7122 ,1: (508) 987-7152
FM4VIAIL
ADDRESS: cindy@coonaninsurance.com
INSURERS) AFFORDING COVERAGE NAIC #
GENERAL LIABILITY
MERCIAL GENERAL LIABILITY
7 CLAIMS -MADE I—XI OCCUR
INSURER A: Travelers
INSURED
TJK, Inc.
PO Box 12
South Grafton, MA 01560
INSURER B:
INSURERC:
INSURERD:
INSURER E:
[INSURERF:
_
PERSONAL& ADVINJURY $ 11000,000
COVERAGES CERTIFICATE N UMBER: REVISION NUMBER -
THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INS URED 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
LTR
TYPE OF INSURANCE
ADIDL
INSR
SUM
WVD
POLICY NUMBER
POLICY EFF
(MMIDDIYYYYI
_P0_UCY EXP
(MMIDDIYYYY)
LIMITS
A
GENERAL LIABILITY
MERCIAL GENERAL LIABILITY
7 CLAIMS -MADE I—XI OCCUR
Cindy Davis
680-33SM1703-14
11/3/14
11/3/15
. EACH OCCURRENCE $ 1,000,000
—
DAMAGE TO RENTED
PREMISES (Ea occurrenc'4 $ 300,000
MED EXP (Afy one perscn) $ 5,000
_
PERSONAL& ADVINJURY $ 11000,000
GENERAL AGGREGATE $ 2.000,000
GENT AGGREGATE LIMIT APPLES PE R
7X POLICY 7 IRO- LOC
XCT
PRODUCTS - ODMPIOP AGG $ 2,000,000
$
AUTOMOBILE LIABILITY
ANYAUTO
ALLOWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIREDAUTOS AUTOS
COM13INED SINGLE Lili
(E a accide rt) $
BODILY INJURY (Per pefson) $
BODILY INJURY (Per arcident) $
PROPElg;�DAMAGE
(PL r., $
$
UAABRELLA LIM
EXCESSLIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE $
AGGREGATE $
DED RETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS' UABIUTY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? 7N
(Mandabry In NH)
Sddescribe under
RIPTION OF OPERATIONSbftw
NIA
IE—UB-9914NOl-3-15
1/26/15
1/26/16
X I TN JOTH
".C,�TATU
EfR__
E.L. EACH ACCI DENT $ 100,000
EL. DISEASE - EA EMPLOYEE $ 100,000
r= -L- DISEASE - POLICY LIMIT s 500,000
F
DESCRIPTION OFOPERATIONS I LOCATIONS /VEHICLES (Aftach ACORD 1101, AdMonal Renarks Schedule, ffmorespece isrequired)
CERTIFICATE HOLDER CANCELLATION
@ 1988-20 10 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
Phone: Fax: E -Mail: tdbuilding@aol.COM
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 PROVISIO NS.
120 Main Street
AU7HORIZED REPRESENTATIVE
North Andover, MA, 01845
Cindy Davis
@ 1988-20 10 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
Phone: Fax: E -Mail: tdbuilding@aol.COM
Massachusetts - Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor
License: CS -059359
TIMOTHY M BA"W.
P.O. BOX # 12
South Grafton.MA
Expiration
Commissioner 01124/2016
4Lness Regulation
Office of Consumer Affairs & Busi
ME IMPROVEMENT CONTRACTOR
gistration: - 1'�'3758 Type".
xpiration: 7/29/20.16- DBA
BARLOW UILDING
TIM BARLOW
13 DEPOT ST
S. GRAFTON, MA 01560
0
Undersecretary
e