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HomeMy WebLinkAboutBuilding Permit #185-2017 - Heritage Green Apartments 8/22/2016 BUILDING PERMIT •. oF��L�o 4,646 NORTF� ✓ '� "� �� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received • �gSSACHUs���� Date Issued: oz- g5�� IMPORTANT: Applicant must complete all items on this page LOCATION �`(� RAKM= &E. PROPERTY OWNER fE(J=J�"`/ 'r�tPRnK 465 Print 100 Year Structure yes 0 MAP PARCEL: ZONING DISTRICT: Historic District yes 0- Machine Shop Village yes TYPE OF IMPROV,EMEN;f PROROSEG;USE Residential Non- Residential ❑ New Building ❑ One family letyf ❑Addition XTwo or more ftlmilI ; 'i' �nlIndusthal ' ❑Alteration No. of units: ❑ Commdreial X Repair, replacement 0 Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: N r Q r6 P(-NC15PE)Jr O4� 15A1&7t1U6 rMtS ?O Identification- Please ype or Print Clearly OWNER- Name: ,Aff(� c , ykim Phone:,�aZ� 4R-15 Address: 65 &l&m- t! &4�7 Wsloy )w OZ!!D Contractor Name:&"JAfi E( dZM) 5NOMPone: -j Email: i'y1i /tbtpl (JN ePtJ Address: N71 1zw9C1VfW-MP_ 2 Z Supervisor's Construction License: Exp. Date: 7-y�0• Home Improvement License: Exp. Date: ARCH ITECT/ENGINEER&a6 Phone: YMumumt- 0A41AAM' Address: !&4,dL t' �• S El(�i�l 1l Reg. No. I FEE SCHEDULE:BOLDING PERMIT. $12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ %� / � „�� J FEE. $ � Check No.: Receipt No.: 7r/ NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Location i��.- r No. _ J f i— Date ~' • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $�_ TOTAL $ Check# Building Inspector ' / Plans Submitted)< Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swunming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ permanent Dumpster on Site ❑ .PP.LL,OWNG VV1OrISTAMPFYIC:f5p. ONLY INTERDEPARTMENTALYSIGN OFF e U FORM PLANNING & DEVELOPMENT Reviewed On W Signature V `V(/ COMMENTS N nit Ift�• 4 A CONSERVATION Reviewed on Signature COMMENTS` r , �, - , .. , ,,., \ • yy � • i s•, ..�1 �• vi i + ♦_ + Y�. . `.1 v� 1".',) i J e.J Ty -•Ji y��iwL. s Y HEALTH �-�� • ; Reviewwahl,�. •^:,zj.�,,•�,., ._����igtl�ture,'=��: ( •. e. .+... ,! 1J a t/ •� ` ori �; ' ``v i.y a ..� a. ., l •� t ; COMMENTS �1,1,•�`:L•�.t�•'.'..•{/ti.�'�'����\�'.r tt���i, - tet!r-'t �.•i\Z'�\' 'l-� i_ `Y 1 Zoning Board ofL�)pealV"ariance, Petition No: ZorLitigtecision/receipt submitted yes Planning Board Decision: Comments Corp$' ac�q,D ,cisior�:. .*•.�c,t,� Comments Wafter& Sewer Cort'Wection/Signature& Date Driveway Perm DPW Town Engineq.;$gnature •-s, .t,a\a L•c sated•.384'Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS ' Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DIS7X� Taming/Massage/Body Public Sewer Art ❑ Swin niug PoolsWell bacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ r ,rql .�.j,N s .• 4? •. d. �:';; ,,:SHE, ,D.�L�1141( ' 'Ifllrl " . 1 .:�PWE.;,ONLY INTERDEPARTIIlI NTAL•SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On$)&w6yo Signature _�" "0 i ` COMMENTS N nabt wfi�, r. CONSERVATION Reviewed on Sianature COMMENTS' HEALTH ; Reviewx -*oft*,•, ti,�. ,� .�:�� • � ianature?` COMMENTS 1 �.r. �.. � •� r r p`._,,,`ter, Y __ _ Zor;ing Board ofuefs.Variance, Petition No: 'r:.•' ;<Zorlingecision/receipt submitted yes Planning Board Decision: Comments Comments Wafter& Sewer Correction/signature & Date • Driveway Perm�fi DPW Town Enginee=Sigri4turiP FIRE DLPARfTMENI' abed`' 384'Osgood Street Temp Dumpster onsite ,yes. ..4 no Located,at.1�241Main:Street Fire-Departinent signature/date CdMML.NT'S ` ' 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) �Z. ❑ Notified 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 .� 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 V Copy Of Contract YA a Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) pA.4 Mass check Energy Comphance Report (If Applicable) jA4 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 .r~ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ,r. 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 NORTfh q Town of s ndover O - t* No. � 2 7 * z y ' to" h ver, Mass A6 CO[KIc Kl WICK �1' RATED LI BOARD OF HEALTH Food/Kitchen P E L D Septic System THIS CERTIFIES THAT ......... ,� �L .. BUILDING INSPECTOR ...... !!.... ................. OW .... .' ................... ............. . .. .. ...... .. . .. .. .. �.41. i�� t'.......... Foundation has permission to erect .......................... buildings on . .... ...... .......... . .... .. ............ ... . ul � Rough to be occupied as .. . .�., .7t...� ...ae ...................... Chimney provided that the person accepting this permitn eve res ect conform to the terms of thea licationp p p g pevery p pp Fina 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 CONS 10 Rough Service ..... ... .. ...... ........ .......... .... ... Final BUILDING IN ECT 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. Aug 18 2016 03:17PM HP Fax page 2 Aug 02 2016 07:21PM W Fax page 2 MEMORANDUM OF UNDERSTANDING M®rnorandum of understanding made between "Property ManagerlAgenr and the managed trip management company herein defined as business or person herein defined as`Conttracto. herein as "Owner' and the Date ofAgrsOmeM: May 24, 2016 Revised-August 2,2016 Owner: Condominium Property Address. Mailing Address:Care of Agent at Agent's Address. Property Manger/Agent Affinity Realty&Property Management, LLC 63 Atlantic Avenue Boston,Massachusetts 02110 Phone: (617)227.0893,X670 Fax: (617)227-2995 Emar1:atephen(MaMnityreafty.com Contractor. Building Restoration Services Contractor's Representative:Jahn Childs Contractor Address: 371 Dorchester Avenue, Boston, MA Phone:781-492.4355 Fax 617-464.4160 Paget: Tax ID: NA Other: Email:child4buildingrestorationservices.com The Work:perk Replacement 3941 & 103-105 Fanwood v Specs provided to BRS Avenue Wessling Architects Project# 15075 for Heritage Green Condominium Balcony Replacement. Proposal from Building Restoration Services Corporation (BRS)dated 01-21-2015- herein incorporated into sand made a part of this agreement. 2015- C:IUaacl}1giIaP%pMkt0PWRS CONTRACTOR MEMOltAMUM OF"DERSTAIV NOA, August 2.2016 P5 Aug 18 2016 03:17PM HP Fax page 3 Aug 02 2016 0721PM Fp Fax page 3 Whereas A. LICENSES AND pgRMra I, actor cam6teas fha be has all Lractor ° Y licenses sed�o Writs to eeesp Mb aa� that he shall be big fa abi . P tID required Of him � bYWa eveA"who Wncies,Offkek bureaus,aid other�a6r➢�sl local, !late sed thderol jos �tiops, B. �alr�aroties. ctiaas�their DMIRANCE I. Contractor pay msur nee a PW'idW below. �eons for in�uaW tlm e this oontt= All ueaoca is to apes y include>j matron of this contras Owner. MWW is to be primary of any applicable ooveeaWa�ed VenY 03ftned by eMINW Agemcomactor t or mnder a tt,000,00p or e00' with limits of b. aorkee mat less than SI,O�,000 for each person and �tydama�o�10G as by state jm*Mcd ms. c. �� local and/or d GenetoY losuromce wits a limit.trot lass thm$1,000,000 for each Via. e. if nutomod ms—mo—"with a limit of so less than 61,000.000. £ s not dreg 10"000 �Dmobae bodily wi* *zY amage uramaoce shall include Affm ray d s al nomad insumd asaperojou �thilm , LLC sad Owner as 63�Ati�k AAvvenuee M�u.ent.LLC Boston.MA 02110 • 2Evidence of 2. C°an!e via standard CerWWU shall be provided to the 3. ��''�Y Mice of p�Y anccllatio%non-nene+tal,or mUWW�e in eov=V meat be give.. C. WDEMNIFICATION Cootractoragtees to ind emnUl ,hold haraa)aa and deftd the the � resuhinf3 t thea oflicem and�loYees.snbcoaft�}K'�and asaaaigng,�t try mer.the .party negUM ass or°�si� of then �°°ence of its servioes, b y to tDe all claims hint. C=RC's offlm`employees.guests,mviks s and dhow hued by the d°m8 busicrosa with OTHER C014D1 o,,4S The ore of sub-contactors without the Prior written conent of Se owner isnot allowed IU Cbe boom"omma? that he will i.fa m the Pt�opMy M Provisions of mhaaoeanich Yd�afrm aL the work of the Of actor a all Minns or chmges of BTea to maintain comFliance No work of any sort may be perfimnQ equipment or tools in the in the common areas common The staage of ma areas is prohibited without adva m pemission s'dam'aupp i, The work may not interfere with the comfort and �upaMt complain about ae a corenovatio of the occupants of an Y ctivity related to Ole ttamovation;the contractor or subcontractor Should anY Ctvseayt will be +821D�°ktyp�lt5 CdNIRACTOR At 0111 p OF�OWMING.dm Augur 2.2016 Jo5 Aug 18 2016 03;17PM HP Fax page 4 Aug 02 2016 0721PM HP Fax page 4 requirrulan to immediately cease to the Werk of this aB�menL hiss&the activity. This attendant provision shell not apply to Cpng�bon related noise alten Every effort most be made to contain construction leadin®to common areas must dvblls, dust and dirt to the unit interior. Doors �. The use of the Trusts d wester for s must be ply an all common areas to protect e �P owtatruction materials and debris is prohibited. ProhiThe bititeewt uttaads,Pster Permission. . any sort in the parking area a any other common area is permission. All common arras,interior and exterior,including but not limited to hallways, elevator must be cleaned K the end of every workday. "Me swices of a sta�ve�s, 'and may be required at the sole discretion of the Trust. Professional cleaning compuy D. PAYMBIM—See attacked Proposal for Payout tt'hedule. 1. foie Contractor wknowkdges that in every instance the Contractor is po formin far Owner and not for Affinity Realty&property M g servicts or Prov' Peyaienr for say services Performed or an m i016m =tL LLC. The Cootrecoor agrees that all Affinity �h'&ftW«ty Meoagement,LLC Or its els provided is the sok .h antlbility of Owl and Dot f �ol'em,subeaotractors,heirs or assigns, E. PLACE M-ro EFVWT Thu» ndatn and the attaeW proposal embody the eatine understandiDS agreements or reprraetttations is coanoction baewitb.In wimes 'v0°0 the Duties these are no memormdum by their duly authorized rePruu�ivea ar agents who represent thru Partiess whereof the ■hereto have signed this to erg into this agreement on behalf of each party *arras autboritv BY Stephen DrNocco as Agent Date: Cantna By: Authorized Signer. Date: q C:1USerolHein8elDet►toplBRS CONrRACMR"�1'4oKWDOM 0'UNDERSTANDlNG.doc Argun 2,2o16 La 371 Dorchester Ave Boston, MA 02127 Phone: 617-464-4260 Fax: 617-464-4160 ERS Email: Icypress@buildingrestorationservices.com Buildinq Restoration Services Corp. PROPOSAL (Revised): Date: 07-26-2016 Affinity Realty &Property Management LLC 63 Atlantic Avenue Boston, MA 02110 PROJECT LOCATION: Heritage Green Condominiums BRS proposes to furnish all material, labor, and supervision to complete the following scope of work provided by Elements Management: ONE BUILDING BALCONY REPLACEMENT - General Conditions - Demolition - Site Work - Concrete & Masonry - Metal Connector - Rough Carpentry - Finish Carpentry TOTAL COST BUILDING 1............................................................................. $ 158,820.00 DEDUCT OFF SITE FABRICATION W/ STEEL COLUMN DESIGN.................. ($10,000.00) NEWTOTAL................................................................................................... $ 148,820.00 \ ADDITIONAL BUILDING 2 - 2016 .............................................................. $ 158,820.00 <-A/ ()� 1 DEDUCT QTY DISCOUNT.............................................................................. ($12,500.00)/ � / ()� NEW TOTAL................................................................................................... $ 146,320.00 ADDITIONAL BUILDING 3 —2016............................................................... $ 158,820.00 DEDUCT OFF SITE FABRICATION W/ STEEL COLUMN DESIGN.................. ($15,000.00) NEWTOTAL................................................................................................... $ 143,320.00 ADDITIONAL BUILDING 4 - 2016 ............................................................. $ 158,820.00 DEDUCT OFF SITE FABRICATION W/ STEEL COLUMN DESIGN.................. ($20,000.00) NEWTOTAL................................................................................................... $ 138,320.00 ADDITIONAL BUILDING 5 -2016................................................................. $ 158,820.00 DEDUCT OFF SITE FABRICATION W/ STEEL COLUMN DESIGN.................. ($25,000.00) NEWTOTAL................................................................................................... $ 133,320.00 ***Additional discounts can be discussed for additional buildings ;Me Commonwealth o f Massachusetts Department ofindusiWalAceidents X Congress Street,suue.100 .Boston,MA 02114-2017 + a'c www.lnass.govIdia sY. -Ga,rkers'CompensationYmuranceAffidavit.Builders/ContractorsIFIge dam/Flumbers. TO BE Yff MD WETS TBF,PERMTMG AUTIIORM bly A licant-Informa.tion Please Print Led Name(Busmess/o agwizai;rmJTndividnal): l/� 1�•!7 A J r � S Address: ��1 LA��rlilcS�C�I' City/State/Zip: '95 pt /W 42127 Phone#: lz4f Areyou an employer?Qecktii��eeeappropriaie box: Type of project(YeC�Iired).' 1.9,am a employer'w Al—i employees(fall and/or parttime).* 7.- Q Now co&trucdon 2.n lam a sole pmpdel or or parbmrsbip and have no employees woAckg forme in 8. (]Remodeling any capacity.[No worjcers'comp.insurance required.] ❑Demolition 3.Q lam ahomeownerdoing allworkmyselt[No waimrrs'comp.mince nqu'n ed.]# 9. 10[]Building addition 4.Q lam a homeownerandwrll behuing conhmdorsto conduct eR walc onmy property. Iwr71 ensure that au contractors either have woflous'compensation insurance or are sole ILE]Electrical repairs or.a dditions proprietors wi6rno eniployegs. ' 12: Plumbing repairs or additions 5.❑I am ageneral confractor and I have hired the sub-contract ors listed on the attached sheet. 13.•Q Roof repairs These sab-conitmtorsliave employees andhaveworkers'comp.msivance.; 6.0 We a-e a corporation.and its•offgers have exercisedtheirE&of'exemption perMGL c. 14. Other !l•/ 152,§1(4),andwehavenQ.employe=s.[No worl m.compinsurance required.] .... `Any applicantthat checlo h-6 1 must alsoM out$te sectionbelowshowiagtheirworkers'eompensafionpolicymfom�aiion fiHomeowners who snlimif#iis affidavith(hoatmgthey am doing all workandthenhire outside contractors m—mt-submanew affidavit indimtin such ?Co�ractor that checlethis box musE atfia hedd an additional sheet show ng 6p name ofthe sub-contractor and state whether ornottIrose entities have employees.Ifthe sub-contiachns fiave employees,&y const prandetheir workers'comp.pohoy amber.' I ain an employer tTz at is pPov.Wizg-Workers'compensation insurance for my employees.'Beloit/is theponcy acid job site information. Insurance Company Name:� � '.�/V�7y iL wop Policy#or Self-ins.110 : �A/A9r�� � �1�► Expiration Date: 7 Job Site Address: �'¢1 41���5 / �. �� Az city/State/Zip: Alf��'1 dOI�f^ /`�YJ Attach.a copy oftheworkers' c:ompep4ation policy declaration page(showk9thepolicynumber and expiration date). Failure to secure coverage as required under MGI.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 fine 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. Ido hereby certify under die,pains aand penalties ofpei jury that the information provided above is b-Mee and correct Signature: Date: Phone#: — z- Official use only. Do not-tvrzte in this area;to be completed by city or toren official• City or Town: Perndt)License# hsuhagAuffioriy(circle one): i 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plamtbingl'nspector 6.Other Contact Person: Phone#• '4� CERTIFICATE OF LIABILITY INSURANCE DATE 2,o°6YY' 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(les)must be endorsed. H SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Marjorie Sullivan NAME: Eastern Insurance Group LLC PHONE Ext), 508-923-2205 Fax No): 500 Forest Avenue E-DMAILESS:msullivan@easterninsurance.com INSURERS AFFORDING COVERAGE NAIC aK Brockton MA 02301 INSURER A km to ers Mutual Casualty INSURED INSURER B ASSOC Industries Mass Mutual Building Restoration Services INSURER C: 371 Dorchester Ave, Suite 160 INSURER D: INSURER E: .South Boston MA 02127-2454 INSURER F: COVERAGES CERTIFICATE NUMBER-CL1682282201 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 TYPE OF INSURANCE ADL UBR POLICY EFF POLICY EXP LTR POLICY NUMBER M1WDD/YYYY) (MWDDAYM LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENT 50 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ r A CLAIMS-MADE ®OCCUR SD52212 8/22/2016 /22/2017 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICYFX]JFCT PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1 000 000 ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED SZ52212 /22/2016 /22/2017 AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE R HIRED AUTOS % AUTOS Per accident $ PIP-Basic $ X UMBRELLA LIAR x OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I R I RETENTION$ 10,000 5J52212 /22/2016 /22/2017 $ WORKERS COMPENSATION WC STATU- OTH B $ AND EMPLOYERS'LIABILITY ORY LLMITSFIR ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? N/A 8008006422012016A /22/2016 /22/2017 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Equipment Policy) SCS2212 /22/2016 /22/2017 Leased/Rented 300,000 DESCRIPTION OF OPERATIONS/LOCATIONS/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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. Town Hall No Andover, MA AUTHORIZED REPRESENTATIVE John Koegel/MSULLI , ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INRA9.1;t7ninnsi ni Tha annon namn ansa Innn arra rnnicfnrarl morire of Arnon ^� IY10*bdUIIUZCIiJ LJC�/AI'U11C111 UI rUUIII:Jill Cly/ Board of Building Regulations and Standards License: CS-103045 Construction Supervisor 4 . ` .MARSLL J MI 40 HAO8.1 457 MAIN STREET a`. GROVELAND M4 0 - i I -Un CA— Expiration: I Commissioner 07/30/2017 INEL Q Building Restoration Services Corp. Roome&Guarracino LLC S RUCI'L'RAL ENGINEERS 48 Grove Street,Somerville.MA T. 617-628-1700 F:617-628-1711 EXISTING BUILDING u J J H Z W p 1 1 p 1w t� P1 P1 P1 P1 = 1 � S2.1 Z W a 2 C O O P2 O �- O S2.1 O Q a o • • • • P3 a Z a P2 P2 P2 NEW HSS 5x5x1/4 UP P2 o TYPICAL �. W TYPICAL STAIR CONSTRUCTION: Z W' a 2x12 PT STRINGERS @16" OCp p 0 uj m a PROVIDE DOUBLE STRINGER o P2 J F @FACE OF EACH STAIR UP P3 CONCRETE PIER SCHEDULE m = Z MARK TYPE P1 PILASTER 8"x18" PIER PROJ.NO.: P2 16" SONO-TUBE PIER DRAWN BY: BSMCHECKED BY:CG "' w/24 0 BELLED BASE Copyright(c)by BRS,Inc. O P3 O P2 O O P3 16"0 SONO-TUBE PIER All Rights Reserved. SHEET TITLE: P2 P3 GRADE LEVEL ` STAIR FRAMING ccii -tta OF Af,48. PART PLAN - A Cb a CARMINE Gd, SCALE: Jq- co GUARRACINO REVISION: pcSTRUCTURAL c' w NO.401 a DATE: 27 JULY 2016 CD LIJ ,eF Fel �����`� A B REFERENCE: a w SHEET NUMBER: KEY PLAN S 1 .OA 0 Building Restoration Services Corp. O Roome&Guarracino LLC STRUCTURAL ENGINEERS 48 Grow Strmt,Somerville,MA EXISTING BUIL DING T: 617-628-1700 F:617-628-1711 2. J J H Z W -2 O T 3- x10 PT ���U F3�U 3- x10 PT TYPICAL STAIR CONSTRUCTION: a 0-10 (L O 2x12 PT STRINGERS @16" OC a O a o o � o PROVIDE DOUBLE STRINGER o - o x X x a NN V 2 N I f V o W a @FACE OF EACH STAIR o N N N X N N 2. 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