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HomeMy WebLinkAboutBuilding Permit #253-16 - 976 TURNPIKE STREET 8/31/2015 � b t NORT '*7 O�tt�eo ,6gti0 BUILDING PERMIT �.? b - '6 o� TOWN OF NORTH ANDOVER C� APPLICATION FOR PLAN EXAMINATION Permit NO: "t Date Received 04 •a;�:.�. �9SSACHUS�t� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION 976 Turnpike St North Andover MA PROPER 'ret .,. p TY OWNER: Margaret Graveline(JEM�roperty Group I_LC) Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑ New Building ❑One family ❑Addition 0 Two or more family D Industrial ❑Alteration No. of units: ❑Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other 0 Septic 'Well D Floodplain ©Wetlands D Watershed District D Water/Sewer New deck off back of house X Identification Please Type or Print Clearly) OWNER: Name: Margaret GravelinePhone: 603-493-0992 Address: 14 Chatfield Dr Litchfield NH CONTRACTOR Name: -Vinnie Desiderio Phone: . 978-360-6952 Address: 138 River Rd Suite 107 Andover MA 01810 .Supervisor's Construction License: Exp. Date: b(, Home Improvement License: Exp, Date: ARCHITECT/ENGINEER Phone: ' Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.•MOO OO PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. 1 Total Project Cost: $ �r��� FEE: $ Check No.: Receipt No.: NOTE: Persons co tracti reregistered contractors do not have a ss to the guaranty fund 1 14 signature of Agent/Own Signature of contractor TV k c Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body.Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY , INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on <S1 1 Signature COMMENTS LO-0 HEALTH Reviewed on SiqWa' S COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Plannilig Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood F; Street IRE DEPARTMER�11 Tempbumpsteronasi e yesiiu '` t �; - n�o y • , �# Lo ated at12,4 Main Street ,F�ireD_epartments gnature%clateT I Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, avast or service drop requires approval of Electrical Inspector Yes No DANCER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use � p ) I ❑ Notified foricku Call Email p p a ! Date Time Contact Name i ..._................... ..._._..._..___..._._..----------- -- Doc.Building Permit 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 Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract 4� 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 pp 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) 4. 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) 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 j 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 Location_) No Date . - TOWN OF NORTH ANDOVER xLED � . Certificate of Occupancy $ Building/Frame Permit Fee $: Foundation Permit Fee $ Other Permit Fee $ TOTAL $ k k-. r}. F Check 2 J"3 7 Building Inspector r 1 NORT#i . ver 0 No. dj- ZOI * - 1'0h .y ver, Mass, COCMICHl WICK a• S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT w.�L.... .................................... BUILDING INSPECTOR ........ /� has permission to erect .......................... buildings on ....91......IV ........... Foundation Rough tobe occupied as ..... .x...I:L....... .. ......�..r.............................................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 M THS ELECTRICAL INSPECTOR UNLESS CONSTRt RTS Rough Service .... .. ............. ................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired to Occupy Buildinz 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. EXISTING BUILDING VINYL RAIL OR AS APPROVED BY OWNER T.O.Existing FIRST FLOOR r 2X10 PT RIM BOARD PROVIDE BLOCKING PER 24"MAX MA BLDG CODE PER CODE 2X10 PT JOISTS COMPOSITE DECKING TRIPLE 2X12 PT BEAM N Z � 6X6 PT POST 2X10 LEDGER BOARD 1/2"O.D.LAGS STAGGERED INTO(E) T.O.Existin-qgK EXTERIOR WALL EVERY Grade 24"O.C.OR TO MA BLDG CODE 'a w z 12"CONCRETE SONOTUBE&FOOTING (TYP) i .a 02 DECK DETAIL 1/211 = 1'-0" f r Y R I. Ll t Customer. 3D VIEW 08/28/2015 Scale:fit to page EXISTING BUILDING VINYL RAIL OR AS APPROVED BY OWNER T.O.Existing FIRST FLOOR `r 2X10 PT RIM BOARD PROVIDE BLOCKING PER 24"MAX MA BLDG CODE PER CODE 2X10 PT JOISTS COMPOSITE DECKING TRIPLE 2X12 PT BEAM N Z g 6X6 PT POST 2X10 LEDGER BOARD 1/2"O.D.LAGS STAGGERED INTO(E) T.O.Existin EXTERIOR WALL EVERY Grade 24"O.C.OR TO MA BLDG CODE .a w p e Z K � C7 J "'d i m � 12"CONCRETE SONOTUBE&FOOTING ° (TYP.) a 02 DECK DETAIL 1/2" = 1'-0" i North Andover MIMAP August 28, 2015 ti R r i R � s .yy## I� , <^ T 7k ,p•' 7. t •� � „ jr S - 1 �. f:.n• W r a _ x e. . d f !t R } !I � a � �w, e, s t t tar y r i Ave 0 MVPC Bo Interstates Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, —SR Meters Data Sources:The data for this map vvas produced by Merrimack Roads40RTH Valley Planning Commission(MVPC)using data provided by the Town of O�tt�� North Andover.Additional data provided by the Executive Office of t�Easements � °t °•°�O Environmental Affairs/MassGIS.The information depicted on this map is ❑Parcels 3' for planning purposes only.It may not be adequate for legal boundary F — p definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER • MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING t y THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY i s ^ * OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Y o �° ♦ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION —4 1" 1"=33ft .�4 1 446� - BUILDING PERMIT oros`L�o '°�a�°off TOWN OF NORTH ANDOVER ,o APPLICATION FOR PLAN EXAMINATION b Permit NO: Date Received Date Issued: �9S.2 CMI! PORTANT: Applicant must complete all items on this pagP 11? LOCATION , r PROPERTY OWNER � '" rint --� ����" p" MAP NO �PARCEL: ZONING DISTRICT: Historic District yes no Y Machine Shop Village yes'Y-'no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family XAddition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial K Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other C Septic El Well ❑ Floodplain ❑Wetlands D Watersh"ad District C Water/Sewer LA r ski l s VLA- Laza, e UVA &o r Identific ion Please Type or Print Clearly) OWNER: Name: I UAR Phone: Address: CONTRACTOR Name:. Phone: Address: all na Supervisor's Construction License: " p Exp.(-bate: ,y Z � � 1 Home Improvement License:10 Exp. Date: ARCHITECT/ENGINEER ju t) Phone: Address: labom, Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ `S 006 FEE: Check No.: 14Z Receipt No.: NOTE: Per"so"nsoleontractin with unregistered contractors do not have ac� sus to tRr'g7ra-ranty fund SigrAture of Agent/ Signaturta of contractor, . 9 r Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ I TYPE OF SEWERAGE DISPOSAL } Public Sewer ❑ Tanning/Massage/Body Art ❑ Swiumming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ P ❑ ermanent Dempster on Site � THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on ) IS) IS- Si nature L COMMENTS WEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments 1 Water& Sewer Connection/signature ®ate Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street j �„�""o°`�..,.,",.- r�. Wn. a� `x"L ^a��-�- t z = X "" s•.•.. �',t �+-a�" ,:. 'fig?" `.�'Z''m`tc•tee Y'{;1 ,FIREDE_PAR�I„MENTITrnp Durripsterxon►siteay�es, j. � _� ' no (.Locatedat iee Departmentsignature/date, :� mow. .. , .�. �a.�,..:` �k �.rw� t Sti 3 ...ter'��,F W�t-►'x'-aJ ut+^f. ._f i 'l ct x•..� i� �- i ,� ft. } yc F�""-*j d y{ >, �'� t�.J f �.�a *,� Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. 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) ' E ® Notified for pickup Call Email Date Time Contact Name Doc.Building Permit 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 Building Permit Application 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 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) Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit 4. 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 Location q 7e ' rJ No. Date t� . - TOWN OF NORTH ANDOVER . L . Certificate of Occupancy $ Building/Frame Permit Fee $- ! Foundation Permit Fee $� Other Permit Fee $ • ` TOTAL $ r • Check-# Building Inspector r 1 NORTH - W" 0 ver, Mass, -7h3115- ass, h / COC NIC Mt WICK 1� RATED ►P ,`,�5 s � BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System - THIS CERTIFIES THAT ....................................................... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on .. I.�.,.�t.... �1. ................... .� .10 Rough tobe occupied as ........... d.D. .... 1 ..... ...... ............................................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO T S Rough Service .................. . .. ..................................................... Final BUILDING INSPECTOR 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. i t I CERTIFY THE LOCATIONS.ELEVATIONS.AND PES - GENERAL NOTES 6'SON.40 PVC OR 6'PVC END CAP,END PLUG LEGEND: SHOWN ON MIS PLAN RESULT FROM AN ACTUAL \ S➢R-35 PVC PIPE OR CLEANOUT v IN 3'OF FINISHED GRADE SHOWN MADE ON THE GROUND ,. 11!111C1.3 eASEO ON 1929 l- AIUM 'R'S�N -.1.,;.....TAP-r ISAFFAR FURTHER CERTIFYIPL INFILTPArOR DESfN S rnx.,�.ox _xc TaPordAPlNc xFOR ox FROM FIELD 0u .,n T SAADE 'A ALTERN A SOIL AB PION S E-LO'.-G..S as roam..• CONmACidt .A A, TAMPmC xN Y AWY init BACMU - Irh ' rHE 0 P APPROVAL.INFlL IRA .< N xT�^n'OF`P"RPAP T PRO SING GUID--F AND Ir,Cr•R 15.00' - 4 ASS ft Ni Oro nrEEs. A'- ALS O CVIwID ATESRrRE_ EiM ss�Cr1'u6is OEPARiM tNT 6r I. anarvOr/S __ cCOODE"n F5 j�o SMR ISOOO um mE NoaTM AN ORS BRAD _ TS JOHN D.SULLIVAN,IT DATEF-IIII — 5. THE EVEN . AND CaK FDa a0.`vAHVExF Sax FR Ax 6 ACTOROIISTORYERLY EoS111 v CONFIT-S iroJro)- OPAtt DOSING CHAMBER BUOYANCE CALCULATION• No,onTr,HE FNaxEER a ANr nFFERFxas INE CONTRACTOR IS AESPox98u F:Au OF ANT HORRONTAL MAS.SEAOF SONNA,_MDAATER T 11-.,A e L'MmO MPWExiSTYPICAL INFILTRATOR CNANBER NE OS_M. ADA SFALL IFI TOFCE�B0'x 51>'x 1. x624 LE.-♦ 9 NNVEESEP B LBS INSPCCTIP6'INTERNAL COUPLINGLOGOS MAP: MEmrr OF TANS(EMPIM:0.)65885 P.,07E IDS(RATES uPtsp.....OA D OMI 1135,,ND A�EASTAONCE r11 T,z.TEARS xpr m10.MS PLAI HIS BEEN INEED TYPM.AI H101NSPECliONPORTDETAIL SEPTIC TANK BUOYANCE CALCULATION: M11 USTBE AvR_.uARUR.icA,LTH, "'T's' g'—ED uxR 0.r 11. RRE NO PUBLrc ATE WELLS...TDO DESIGN ANALYSIS t CFCTMDWAR.R TAERE-B6.b' OF TRE _EAFNNco—PT. CCOMOO TE M BGNG A n AL FAKE D 5 x 1. x 4 LBS-6.03)LBsT11SOILPLICUI BACKTLLOYERTHETMATEO OMLYRELHT OF TAN'(EMPTY)611,9DO LB >e B5(WATER UPLFT)..... PMLNNISMw EA 4SAA­ RIMDER 58EOROOMHOUSE(PER ASSESSOR RECORDS)TOP4 BEDR00uS x 110 GPD/BEDROOM-'440 GPD(STATE AEG) n �b�E17 OR i0TWA`xTANK VOUME. GLEAN AIB TEF 7 SiBE DE 440 6PDL%W-440 SPD 'Wf 0 CPD EvON RAFAR MATEm. '' 880 GSL< ,500 GAL (TIRE 5 MINIMUM) L FINAL10 M/ - A r0RECOVIS W F EACNNG ARU SCOURED SAM Au of PEALOUTON R MP 11 2-DEL`-Btu S.F. MD SU a s Ave BERiEETEDEx i...-0.58 GPo/SF12LEAOHING U REQUIRED: E ES l4 2'D)-5AD S. =REEACETF W P mxV a GPD/8056CPO/SF-785)1 SFBOTTOM.3 TRdxx(�SL x±'w)_no 6.. i 5 THA NO :.ERT..- J T ` I. _ �"SO "CLLS FROM LESS THAN IHE�—DxOSURO AND No OOSAL SONG FOR CONVENTIONAL SYSTEM 11APDAD 71.1AARRC OU.D°SAM DDRAN.L H116 AREA CONTAINING S Nu EUCHIxL FIELD CONINHING INFILTRATOR OUICN4 PLUS SIANMRO LP UNLIS (NOT FOR CONSMUCTION-PROOF PLAN TO SUPPORT INFILTRATOR DES118) - 1 L aE sEKM�h TH nvpN�ucO OME.T. RDE x 28'LONG-TOTAL OF 42 INFILTRATOR UIDS - L IS RM BASE AND IS TO eE TLSMO W -NECTNE TACxNG M21-4.73 SFMA LF.OF SOLUATER(BOTTDH MY) M - LINPt SY REOUIRED/4.73 SF/LF.-166.11 LF,REWIRED 196E tum+ - , 42 INFL OR UNITS N 4 L.F./UNIT 168 LF.TOTAL.(PROVIDED) SAF P4u.r�suri4n .. J. Y 1 TERSMONa ENTS PRIORNE EFFLUENT THE O D _ 6 ak s 1 Tar p. DETER ON THE DURET sEPnc E^Kr I.Or— ALTER LxA(COAL . B.Axnu L TEN RE R RE UF - _.�-e'm 5A --;a2 r02 RA oas azimE� NsO v"°Axraa SrSREI N7r Dnw ocxwM Ido ..._ _..._...— _.—— RAPE a OWN R APPLICANT: ---- - ,vYY JEM PROPERTY GROUP z i 14 CHATFIELD DRIVE ''I•ar cAUOv- a OMr a"`+'6 a aWT z Pxc1LO I"y 98 LITCHFIEID,NH 03052 oOs RATER DONG 004NG CHAMBER - wO 0's RmBAyq rgxrLwL.zwE _ ASSESSOR INFORMATION: _._._____. - -_ 8 TA%MAP 107C LOT 44 q�yDyM�_ nr,:r ma as m s mrsrwmRo -- afarm Nr ZONING DISTRICT: - EiEva9.T.00Ewo smla"c.r�zot 96 R2 (UP 's FR0.M GRq/ND) GRaINDWATER+94.BJ' _ i cKN.n'rmxnL PxE/sraE RN :.xa n ' sxO,m rpR GVAMut cW 5' a 9 ...r.•'... ._. f, ____. __..._. 4 rq BP aLr rs rAL'.wcs x' t) E` Prm sran Sar FL.,.. EX.MMA"TANK!0 BE RIYPED ��"" J R^TER .srs.e xOAw.+ aF LYW)ENT9 AND OELW7BSSK.Wm Q � � J CREATE DRARVUSE SWALE ALMG LOT LrNE�_ t� �, Ire _ M ACCQPDNk£IRM DRE S I'MERE rLOW AREAS ARE SUDAN GALLON CQVO.SEPRCOV PROP 40 M4 HOPE BARRIER - PRaR.IrANX(Maxd7)NK) 92 -........... i0P OF BARRIER-89.50' DRC YEWS DE p BOTTpI BARRIER-9).50' 0 - - oema Mn - BHT RA`rW A9�L HSiALL 3'CIF E0C£6 MTFY N'- 2 - A¢ •• uft • )� DO ` C7 OD C ri PROP.SOIL ABSORPRON FlE1D 'I' c0-.am Roca-91 Seip 90 ...._ 1 ........ ... .... _ -... I�' O O Ca1515TINS OF 42 RAILTRATOR \ ' r/I srwr NOro Q W Q O O W1a(4 V UNITS(6 ROBS ".:`'c�L..r. FRAM s 11c, CaI RAL'1IX ro rwEn ns IAL OF l UNIR 16.9 %2B' ;a- verso[ar rorAOAnu'ro Nc sa Js \ X • - SIX a RAwB_. sW<K Wm mimAC ro 4' Pw YM A Ia aOL RRn m,[Rr ,D rr[-RR.A9' OF WRr BvoW OPE uuvwm m W Oa' 8B 2 - - -.- - /�^ (LI m v O UAIIi a , ._ _ j o o?^ fiLL MATERIAL TO MEEr r r�oas AFBrNaAa Ar rIo ARES, ` . .SPECYFIG nCM R7 sECTrtw ED - 15.155(J)OF Ri!£s m0 7 I IV I vRm. e6 M 00a m�Ecnw Pair TO wnTw - •' -, Il ^ M J-OF fMISHED(d7ADE MIO _...... I"" SA 0 J 'A' 5a00' . WJ SYSTEM PROFILE W o a I•-zp'(HDR) C GRAPHIC SCALE - - �.w,r P,^mm1- -..- _ _ _ _ _ _ _ _c- er P-m - s �� TFO suL r-z'WOCAL) TURNPIKE STREET (SEE SHEET y2 FOR DETAILED CONSTRUCTION INFORMATION) 1"=20 FEET ap June 22, :_IT,ID, I (Pu uc-1946 STATE HlcrcwAY urauT-RQurE 1A) - ( 2015 1 of 2 T- 7- 6!4" i 4' ustomer: RIGHT VIEW RAIL PEG o 1 a io 12 06/20/2015 Scale:1/4"=1' T 6'4" 4' 4' ustomer: FRONT VIEW RAIL PEG o' 1 a io iz 06/20/2015 Scale:1/4"=1' 4 12• it 4' r 12, ustomer: PLAN VIEW PEG 0' 1 4 10 12 06/20/2015 Scale:1/4"=1' ustomer: 3D VIEW PEG 06/20/2015 Scale:1/4"=1' OP ID:WC CERTIFICATE OF LIABILITY INSURANCE DAT06/04/15_ 06/04/15/15 THIS CERTIFICATE 1S 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 Nd'-,' CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICi't c 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 ondorsement(s). PRODUCER 978-975-1300.CONTACT Segreve&Hall Insur.Assoc.lnc "AME` 305 North Main St. 978-975-7596 a/c°NN e>n;978-664-4932 77777m,No Andover,MA 01810 E-MAIL Patrick D.Hall ADDRESS: PRODUCER DESIR-1 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED Desired Construction,LLC INSURER A:Arbella Protection Ins.Co. 41360 16 Stewart Road Ext INSURERB:AEIC 11104 North Reading,MA 01864 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTS-:) 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 iNSUP.ANCE POLICY NUMBER POLICY EFF MM DDIYY LICY V LIMITS GENERAL LIABILITY _ EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 18600053129 10/26/14 10/26/15 PREMITO RENTED SES Ea occurrence) ccurrence $ 100,00 CLAIMS-MADE OCCUR - - - MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY X� IEcTPRO. LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS - - (Per accident) NON-OWPIF.0 AUTOS $ 1-7 $ X UMBRELLA L14NM occur, EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,00 A -7-- 4600059151 10/26/14 10/26115 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION - WC STATU- 107- ANDEMPLOYERS'LIABILITY Y/N - TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F—] N/A - E.L.EACH ACCIDENT $ (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $ IF yes,describe under - DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATDNS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) _ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE JEM I'tDpelty LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 976 Turnpike St North Andover,MA AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD DESIR-1 PAGE 2 NOTEPAD INSURED'S NAME Desired COfS.'Aructlon,LLC OP ID:WC DATE 06/04/15 Addendum:AdditionalInsureds:Insureds: Eugene T. Sullivan Inc. 230 Lowell Street- Suite 2A Wilmington, MA 01887 Eames Street Realty Trust 7 Nelson Way Wilmington, MA 01887 Project: New Industrial Building 110 Eames Street Wilmington, Massachusetts