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Miscellaneous - 149 BERRY STREET 4/30/2018
\` i i�� ����r s-r�. `` i I � � '� E a CBui:Id:i:n8�& �Exavaiin8 NeiG R�L�icicL P.O. Box 12 So. Grafton, MA. 01560 508_ 320_ 3014 n/J�C1/7��� 1800 W Ashton Blvd. VV �V/ Lehi, UT 84043 Structural Group Jon P. Ward, SE, PE J. Matthew Walsh, SE, PE Clint C. Karren, PE Structural Engineering Manager Senior Structural Engineering Manager Structural Engineering Manager ion.wardL7a vivintsolar.com james-walshCa@vivintsolar.com clint.karrenC@vivintsolar.com June 12, 2017 Re: Post Structural Certification Cote Residence 149 Berry St, North Andover, MA S-5499685; MA-01 To Whom It May Concern: Pursuant to your request, a representative from our company conducted a post installation site visit under my supervision and provided post installation photos for the above referenced solar panel installation. As you are aware, this office initially prepared a structural assessment of the proposed solar panel installation, the adequacy of the connections for this system and identified maximum spacing of the connections. The photographs show panel support locations and spacing which conform to our structural assessment. Acceptable minor changes to the layout include panel position, support spacing less than or equal to 64", and/or additions or deletions of panels at roof locations. Based upon the post installation site visit, our office certifies the solar panel installation for this roof and that it was in conformance to our structural assessment report dated April 18, 2017, Ecolibrium Solar product installation criteria, and the layout plan as specified in our report. This letter pertains only to the panel support attachments to the roof framing and not the engineered photovoltaic panel products, components, panel positioning, or electrical related installations/connections. This certification is based on the 8th Edition Residential Code (2009 International Residential Code with Massachusetts Amendments), professional engineering assessment and judgment and covers this dwellings assessment for solar panel connections and support only. Should you have any questions regarding the above or if you require additional information do not hesitate to contact me. AA Regards, of Jon P. Ward, SE N P °sc MA License No. 52584 AR NO. sss � a STER����a�� ss/ONAL ►►► I'V�� Page 1 of i Location aj t��'"f J T No. I fin ' ` Q Date • - TOWN OF NORTH ANDOVER • -- Certificate of Occupancy $ Building/Frame Permit Fee $ jag '� Foundation Permit Fee $ Other Permit Fee TOTAL $ Check# ^f / 7 kix-1 Building Inspector AAW APPLICATION FOR PTOWN OF NORTH ANDOVER LAN EXAMINATION Permit NO; I Date Received 1 Date Issued: i/Am ORTANT.Applicant must complete all items on this page f ° , 0A 10 --AAep rO�•sr _ �_ _ __ PROPERTYi 01/VNER `A.444 ,�„�„54;gA¢ --- P.'t 1no-> MAP NQ , PARCEL-: ZONING;DISTRICT: Histonc�D�strict yes n ^ MachmekShop�Village eyes ti no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Buildingne family El Addition ❑Two or more family ❑ Industrial 'WAIteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: 0 Demolition ❑ Other I] Septic [D Well ❑ Floodplain b,Wetlands :.❑.Watershed bigtric-t-- ED - W_ ater/',Sewer: DESCRIPTION OF WORK TO BE PERFORMED: Ae-d2a ' NQw Css✓aTu fop f �cr r iZ%< Identification Please Type or Print Clearly) OWNER: Name: 44Ra1 ,o- corE Phone: 117) - 6,'G - Address: q Ae,,nrg SM-CQ— chlf�- CONTRACTOR Name:_ Phone 68'-. 7a67 . d'd�r_.: Address: '�3 f.�zSi't.��0 Cn^�/c /1/ar� kt�di•�� /1'!�' Supervisor's Construction License -..c .S-5'-o SP.- Exp Date: Home Im ps[ovement Lleense: rS•�{ 710 Ex w Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. ` FEE SCHEDULE.,BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ o? FEE: $-,9-9(0 Check No.: e' Receipt No.: q/.!q.�-- NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund _ Si -nature of contractor of.A9_ent/.O;wner- .. L: g.� ._ .,.....:.. .. .._ .--� Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stampe lans ❑ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ T YWERAGE DISPOSAL ❑ Tanning/Massage/Body Art ❑... Swimming Pools ❑ ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes - Planning Board Decision: Comments tf onservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Tow;v Engineer: Signature: Located 384 Osgood Street FIRE-DEPARTIVI.ENT -Temp Dumpster on site yes no Located at'124 Mair.,;Street Fire Departmerit signatureldate COMMENTS Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 249680.00 m $ - $ 296.16 Plumbing Fee $ 37.02 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 37.02 Total fees collected $ 470.20 149 Berry street 786-2017 on 2/17/17 master bath remodel NORTH q Town of _ a ndover O No. oh ver, Mass, • 17 OP017 COCHICNEWKK �1' -- �9S R�rEo �Pa��S V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ....... .. a..rr.a.,SS. f M ,, BUILDING INSPECTOR . .. ,,,,,,,,,,,, r ............ Foundation has permission to erect buildings onY S • . � Rough to be occupied as .....� AIDJUM..........73.wth. ........................................... 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 CONSTRUCTI STA Rough Service ........ ... ..... .. ........ ...................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required 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. Dan Brosseau office 978-664-4759 po box 266 fax 978-664-1748 North Reading,Ma 01864 dan@brosseauconstruction.com proposal proposal submitted to- address date- Aaron and Sacha Cote 149 berry street North Andover, Ma 12/13/2016 2nd floor master bathroom remodel obtain building permits and pay fees demo work -remove toilet, sinks and countertop remove shower stall and sheetrock around unit including ceiling above treat any framing members with mold cleaner and sealer as needed remove rear wall studs of shower remove sections of ceiling for new lighting/venting of new fans remove the flooring down to subfloor framing work- build a new stud wall in shower area making shower 12"deeper new size to be 4'x 5' build wall down approx. 18" across front of shower to accommodate shower door build a 3" curb at front of shower ventilation work replace existing exhaust fan in toilet room with Panasonic 110cfm exhaust fan install new insulated 4" ductwork with inline backdraft damper replace existing fan outside of shower area with a new Panasonic fan 190cfm install 6" insulated ductwork with inline backdraft damper vented to exterior,change existing 4"vent to a 6"vent cover on exterior insulation work- install new unfaced r 15 insulation with a plastic vapor barrior on shower walls add any insulation in ceiling as needed tile preparation -floor-screw down existing plywood subfloor install%2" durock cement board underlayment cemented and screwed down and seams cemented shower area - - install a rubber membrane on floor and turned up walls and over curb install plastic on all walls of shower lapped over rubber install%2 durock cement board on walls and ceiling of shower install 1 pre made tile niche apply cement on all seams and corners the - , install tile on bathroom floor with electric heat mat , install tile on shower walls and ceiling ,tile wall niche(shelf) shower floor- install concrete with a tapered floor to drain, install tiles on floor install tiles around top of Jacuzzi all tiles to be owner supplied plaster work walls- install new%2" blueboard on walls where needed and skim coat plaster ceiling—install new blueboard and skim coat with new plaster smooth finish to include toilet room plumbing work- disconnect toilet and reinstall after new floor disconnect two sinks , install new faucets and drains to sinks owner supplied sink,and faucets disconnect shower drain and valve, install new shower valve, new drain owner supplied valve,drain and shower head relocate existing vent pipe in rear wall of shower electrical work replace two fans as noted above install 4" recessed light with led trim in shower area with switch install 4- 4" recessed lights with led trims replace 2 owner supplied vanity light fixtures install 20 amp 220 volt circuit and wall thermostat for floor heat supply custom floor heat mat from nutone ( cost estimate based on standard mat pricing price could vary once rep from company comes out to measure ) price we have is $1100 carpentry work- install vanity top,towel racks and accessories all owner supplied install base board trims where needed install raised panel woodwork on face of Jacuzzi tub install wood shiplap on walls around Jacuzzi tub and vanity wall install crown moldings around perimeter of bathroom paint work- apply primer coat on all new plaster walls ,ceiling ,any new trim and shiplap wood apply 2 coats of white ceiling paint , paint walls 2 coats , paint existing woodwork and doors 1 coat, paint any new trim and shiplap 2 coats of paint shower door—install glass shower door enclosure Twide and approx.77" high total cost for this work$ 24680 owner supplied items - the materials - floor need 110 square feet shower floor need 22 square feet, shower walls 125 square feet, shower ceiling 25 sq.ft countertop, sinks,faucets mirror/medicine cabinet , any light fixtures ,towel racks and accessories shower valve, shower head ,shower drain Total cost $24680 all of the above work to be completed in a substantial and workmanlike manner according to the job specification s for the sum of-- Contract Price Twenty four thousand six hundred eighty dollars $24680 Payments of contract Price shall be made as follows- Deposit upon acceptance of this proposal $5000 When rough inspections are completed $5000 When durock work completed $5000 Upon completion of the work $5000 Upon completion of work$4680 ACCEPTANCE OF PROPOSAL- The above prices, specifications and conditions are satisfactory and are hereby accepted .you are authorized to do the work as specified .payment will be made as outlined owner Contractor Total cost $24680 all of the above work to be completed in a substantial and workmanlike manner according to the job specification s for the sum of-- Contract Price Twenty four thousand six hundred eighty dollars $ 24680 Payments of contract Price shall be made as follows- Deposit upon acceptance of this proposal $5000 When rough inspections are completed$5000 When durock work completed $5000 Upon completion of tile work $5000 Upon completion of work$4680 ACCEPTANCE OF PROPOSAL- The above prices,specifications and conditions are satisfactory and are hereby accepted .you are authorized to do the work as specified .payment will be made as outlined owner Com" Contractor l _ / Dev 1 ' r � c � ��rriv 6h l,� cG�,Q to luy ovT rl r J `D e � r r r r s 1 �= �_ �v c ��lhD✓Q' �t5 Whl ( 5 S Gua!( 7b The commonwealth of Massachaasetts Deprartuwftt of IndUst"ialAccidefats v I Congress Street,SO100 Boston,AfA 02114-2017 c www mass gov/dza -Wu kers' Comp ensationTnsurance.A-£fidavit=Builder5lContra i2T.�`Y czans/'lzmabers. TO BF Fff Xl)wffHTBE PERNEaTI. P:Iease px�nt L 'bl A licaut formation Name(Business/Oigabizationllndivi&4: Address: !19/� dl�` Phone##_ City/State,/Zip: Areyou an employer?t;4e*tlie approPriafebox: Type oi<project(requirecl); employees(full and/or parE tie). 7. ❑IrT&&`consftvbtion 1. am aemployer with 2.EI am a solo proprietor or par"'h'P andhave no employees yaorkmg for me in 8. euro deliiig any Y.jNoworkers'comp.insmmce required.] 9,TI Demolifion aP 3.01 am ahomeowner doing all workmyselt LNo Workers'comp.msurancerequired] 10 E]Building addition 4.❑jam ahomeowner aadwBl behiriag coniractorsto conduct aU work onmy proPerty- I V'A 11.❑Electrical repairs or additions ensure that-A corsixac�ois either have workers'compensation inscaance or are sole Plumbing repairs or additions propriefo,Svithno eIDgioyees. •l t S.Q �I am a general coniracto and'have hiredthe sob-contractors listed onihe attached sheet. 13'.�]Roofrepairs Thesesnb-confractorshave employees andhavewukem'comp.insuran 14.0 Other raflai and its,o:Edo6m have e=rcisedtheir ugbt of exemption per MGL c_ {_n V7e are a coipo es-jNo worker'comp.insurance required-] 152,§1(4),andv,�e have no Vmploye• *Elnyapplica�that checdo;box#1 must also fli o�the sectionbelow showmgtheirworkers'compensaiionpoficy information he are doing all work andthen hire outside contractors must submit a new affidavit indica5ng such i Homeowners who submitthis a�davif indicating Y -�name of the sub-contractors and state whether or notfhose entities have Contractors that checkthis tion riivsf attacfied'an additional shee de thein vtorkers'comp.pohcy nranber. - - employees. rfthesub-confsactorshaveemployees,theymustpr . to ee.� ,Belo7v istTiepolicy arzdjobsite �aY�z an employer that isp�'ovidingr-vo�kef's'co�rcperzscdion ir�su>�ancefop my erzzl Y . anformadon. T IZA�e G S . co Insurance CompanyNaxne: 7 ,� ExpirationDate• Policy#or Self ins.Lic.#: U City/State/Zip: fU�w� ��Dv✓�� �� o��Gy Job Site Address: Attach a copy of the workers' compensation polzcy declaration page(showing the pokey number and expiration date). is e by a ffib Failure to SeCure coverage asregau underM en��es2in§hef rrmaofaSTOPw0�RDElan �ofupto $250.00 a and/or one-year imprisonment,as well as czvI1 p . b e forwarded to the Of�tce ofTnvestigations of the DTA for insurance day against the violatorA copy of this statement may coverage verification. Ido Izereby certify under tliepains atzdpenalties ofperjury that the infor�azation provided dove is t�r-e cid correct Data:- 7? - ate:? - Y official use only. Do not-Wrzte in this area,to be completed by city or town off ciao Permit/License# City or To-vn' Issuing Authority(circle one): ' ector 1.Board of Health. 7.Biding Department 3.CityJTown Clerk �.Electrical Xuspector 5.Plumbing� 6.Other Phone#: Contact Person- Information 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 of 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 ofthe foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver"ox trustee of an individual,partnership,association or other legal entity,employing employees:•However the owner of a dwelling house having not more thau 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 dwellirig house or on the grounds or building appurtenant thereto shalt not because of such employment b6 deemed to bean employee, MGL chapter 152, §25C(6)also states that"every state or to cal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applica-At who has riotproduced-acceptable evidence of compliance with the ante coverage xegmiired.' Additionally,MGL chapter 152,§25CM 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=contractor(s)name(s),addresses)andphonenumber(s)alongwiththeircertifcate(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 au LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation ofinsurance 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•Aceldents. 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-inmredcompanies shotildenter their self✓iusuntace 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 till 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 fature permits or licenses. A new affidavit must be filed 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 burrs 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 Industrial Accidents 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.gov/dia NECROSE I K GROUP F918101H Feb 1120111W PEN s�co raR ® CERTIFICATE OF LIABILITY INSURANCE =0?J1 D/YYYY) ��' 017 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 endorsement(s). PRODUCER Tura Susan T. F WARD INSURANCE AGENCY INC. PHONE (781)665-2990 _ iFAX a& .Noll EMAIL SUB melroselns.Com ADDRESS: 403 FRANKLIN ST, _ NSURE S AFFORDINGCOVERAGE NAICII MELROSE MA 0.217.6 NSURERA: TRAVELERS INDEMNITY CO OF AMERICA 256_66 INSURED INSURER D: BROSSEAU DANIEL J DBA BROSSEAU CONSTRUCTION INSURERC: wsuRER D. _ 23 WESTWOOD CIRCLE INSURER E: NORTH READING MA 01864 INSURER F! COVERAGES CERTIFICATE NUMBER: 127846 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, EXCLU$IONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY I•IAVE BEEN REDUCE=D BY PAID CLAIMS. INSR AVD6UTYPEOFNSURANCE UBR POLICYNUMBER POLICY POLICY XP LIMITS LTRaa COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S DAMAGE CLAIMS-MADE F1 OCCUR PREMISES(Ea occurrence) $ MED ExP( ono Orson $ _ N/A PERSONAL 8 ADV INJURY $ GEN1 AGOREGAW LIMIT APPLIES PER GENERAL AGGREGATEPO- $ POLICY E JJECT 7 LOC PRODUCTS-COMP/OP AGO S y OTHER: S AUTOMOBILE LIABILITY COMBINED SN LE LIMIT $ ANY AUTO BODILY INJURY(Por Person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS NON�NEO PROPERTY DAMAGE $ HIREOAUTOS AUTOS Poraccldonl UMBRELLALIABOCCUR EACHOCCURRENCE $ EXCESS LIAO CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X /� STATUTE ER _ AND EMPLOYERS'LIABILITY - ANYPROPRIETOR/PARTNERIEXECUrNE YIN E,L,EACH ACCIOENT $ 100,000 A OFPICER/MEMBEREXCLUDED? NIA N/A NIA 6HUS5840618216 08/18/2016 08/18/2017 (Ntandatory in NH) E.L DISEASE•EA EMPLOYEE $ 100,000 _ If yes,describe under DESCRIPTION OF OPERATIONS bolaw E.L.DISEASE-POLICY LIMIT s 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schadulo,may bo attached if more space Is required) Worker*'Compcndelion benafitc will bo paid to MaCEachueetie employees only.Pursuant to Endorsement WC 20 08 OAR,nn=Mhnri7Rtinn it OivAn in pay ClAlm4 for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of Insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date VIM$ Certificate of insurance), The status Of this Coverage can be monitored daily by accessing the Proof of Coverage-Coverdpe Verification Search tool at www.mass.gov/lwd/workerscompomflon/Investigations/. Sole proprietor has not elected Coverage_ 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 PROMSIONS. 120 Main Street AUTHORIZED REPRE6ENTATIVE North Andover MA 01846 Daniel M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD B/17/2017/FRI 10: 23 ANI FAX No, P, 001/001 �® /ti DATE(MM/DDNY" CERTIFICATE OF LIABILITY INSURANCE 2/17/2017 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($), 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 endorsement S . PRODUCER CONTACTNA Hou6e Pinney-Linnane Insurance Agency PNONE (978)664-2000 (A/C.No1: (9791tl66�0190 280 ]`1x171 $t. #101 EMAIL --- PRODUCER A )004386 North Reading NA 01864 INSURFRliAFFORDING C014ERAGE .i , ,..NAIC#, INSURED INSURERA:St:at:e Auto INSURER B: _ I BROSSEAU CONSTRUCTION, DBA: BROSSEAT7', DANXEZ INSURER 0; PO BOX 266 INSURER D: — - INSURER E: North Reading NA 01.864 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1011100511 REVISION NUMBER: THIS IS TO CIERTIFY 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 I TYPE OF INSURANCE POLICY EFF POLICY EXP LIMIT8 Y LTR POLICY NUMBER MM/DD/YYYY MM/ODMfYY GENERAL LIABILITY ' EACH OCCURRENCE $ 1,000,000 I COMMERCIAL GENERAL LIABILITY ! PREMISES(Es occurrence $ 50,000 A ! CLAIMS-MADE xI OCCUR 80P2749275 /1/2015 /1/2017 MED EXP(Any one ereon $ 5,000 I PERSONAL&ADV INJURY $ 150,000 GENERAL AGGREGATE $ — 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY 17 PRO- LOC I $ F1 AUTOMOBILE LIABILITY COMBINED SINQLE LIMIT (Ea accident) - ANY AUTO i BODILY INJURY(Per person) 5 ALL OWNED AUTOS f BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) $ NON-OWNED AUYOS I S i UMBRELLA LIAR OCCUR EACH OCCURRENCE_-- (EXCESS LIA6 CLAIMS-MADE AGGREGATE — $ DEDUCTIBLE I -------- �-$ -•--. .---.- RETENTION $ g r WORKERS COMPENSATIONWC STATU- DTH- ANO EMPLOYERS'LIABILITY Y/NER OFFICER/MEANY IMBER/EXCLUDED ECUTIVE 0I N/A E.L.EACH ACCIDENT $ (Mandatory In NH) EL.DISEASE-EA EMPLOYE $ If yea,describe under i DESCRIPTION OF OPERATIONS below I EL DISEASE-POLICY LIMIT 1 S DESCRIPTION OF OPERATIONS/LOCATIONS/VI=HICLES (Attach ACORD 101,Additional Remarks Schedule,If more apace Is mqulmd) certificate Holder named as Additional 2naured only as respects work performed on their behalf by the named insured. CERTIFICATE HOLDER CANCELLATION (978) 688-9542 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. Sui lding Dept. AUTHORIZED REPRE5ENTATIVE M Linnane/LINMSI �c+ ACORD 26(2009/09) 8 1988-2009 ACORD CORPORATION. All rights reserved. INS025(200909) The ACORD name and logo are registered marks of ACORD - _, .._. __ _ ._ _-_ V12E iG6`IT2/772a)L[!/CQIIJt"6f✓l�GzfGC/2[liCf�t Office of Consumer Affairs&Business Regulation License or registration valid for iadividni use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Tom: Office of Consumer Affairs and Business Regulation 4710 eg'istration: '510 Park Plaza-Suite 5170 )Expiraliow-_4/2j2l017'_ DBA Boston,MA 02116 BROSSEAU CONTRUCT10N DANIEL BROSSEAU 240 PARK ST .� NORTH READING,MA 01854 Undersecretary t valid without signature { Massachusetts Department of Public Safety Boars!of Building Regulations and Standards License: CS-055058 Cor%truction Supervisor DANIEL J BROSSEAU 23 WESTWARD CIRCLE " N READING MA 01864 Expiration: Commissioner 09/13/2018 To the Town of North Andover: I,Aaron Cote, intend to use the closed off room in the basement at the bottom of the stairs as a gymnasium and not as an bedroom. Thank You Aaron Cottee 6i $`1S Dimension = Number of Stories: Total square feet of floor area, based on Exterior dimensions_ Total land area, sq. ft.: ELECTRICAL: Movement of Deter 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 LJ Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department "rine fol-awing 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 o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract a Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: 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/Crossection/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 1OTE: 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 ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products !Ol"E: 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; apn,al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be- subm:fted with the building application Doc: Doc.Bui!diug Permit Revised 2012 Date /00Z t .. TOWN OF NORTH ANDOVER %0 PERMIT FOR WIRING Nl� u / n�'js This certifies that . . . . . . . . . . . . . . . . . . . . .. . . . has permission to perform . 7b 4-e 41 wiring in the building of . . l�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . /.! .�. �'�`� �T: . . . . . . . ,N h Andover, Ma s. Fee . . . . . . . . . Lic. No. . . . . . . . . . . . . . . �a . . . . . .. . . . 1. ELECTRICAL INSPECTOR Check# y/ I '13 3 2 r p Official Use Only Commonwealth of Massachusetts � Permit No. Department of Fire Services _occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT WINK OR TYPE ALL INFORMATION) Date: I Inspector of City or Town of. NORTH ANDOVER To theirie By this application the undersigned gives no ice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant Telephone No.�" C _ Owner's Address L e Is this permit in conju tion with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building 6 S � evi (--6 Utility Authorization No. (�� Ams av/ Volts Overhead❑ Undgrd No.of Meters ' - Existing Service P / �� New Service Amps / Volts Overhead❑ Undgrd No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: MZg_fTm Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires '3 0 No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.o mergency ig tmg No.of Luminaires Swimming Pool rnd. rnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Detection and No.of Switches Q No.of Gas Burners Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices HeatPump Number•.Tons KW•,..••••.. No.of Self-Contained No�ofWasteDisposers Totals: Detection/Alerting Devices r Municipal Other ♦f No.of Dishwashers I Space/Area Heating KW Local❑ Connection ❑ KW FjNoEof =Device; Y No.of Dryers Heating Appliances or E uivalent No.of WaterNo.of No.of Data Wiring: KW Ballasts No.of Devices or Eq uivalent Heaters Signs Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or E uivalent OTHER: �v Attach additional detail if desired,oras required by the Inspector of Wires. Estimated Value of Electrical Work: Q (When required by municipal policy.) Work to Start:�C 01 Ins ections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cover is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE &r BOND ❑ OTHER ❑ (Specify:) Y certify,under the p/gins and penalties of perjury,that the information on this application is true and complete. FIRM NAME: . CA r LIC.NO.: jZL 1 Signature LIC:NO.: Licensee: C/�✓1 S I hrJ h� �� S Bus.Tel.No.:7�/`y��'�y� (If applicable,enter"exempt"in the license number line) Alt.Tel.No.: 3 Address: *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. Tam the(check one)[]owner ❑owner's agent. ✓" Owner/Agent Telephone No. PERMIT FEE. $ Cinn o�n rn " s C7 � ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c. 143,§3L,the r permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166, §32,an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shallbelimited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses conceming the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit❑ ❑Permit Extension Act—Permit/Date Closed: Trench Inspection Pass M Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass M Failed Re-Inspection Required($.)❑ Inspectors Comments: . Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass IN Failed Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Passu Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: J VV FINAL INSPECTION: Pass Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: v Inspectors Signature: Date: DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com J ti ` 1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): G r i -710" S Address: I (,v City/State/Zip: I 1qeQ4 J(a 1-4 Phone#: / 7 �6 6# Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a ployer with 4. ❑ I am a general contractor and I 6. E]New construction e oyees(full and/or part-time).* have hired the sub-contractors 2. am a sole proprietor or partner- listed on the attached sheet.$ E]Remodeling I g ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.❑Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.] t employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ` Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: I 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si nature: Date: Phone#: 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#: S. f -a 1 Information 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 of 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 engaged in a joint enterprise,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 commonwealth for 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." i Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(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 Industrial 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-insured 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. A new 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE .evised 5-26-05 Fax#617-727-7749 www.mass.gov/dia 4 --COMMON WEALTH.QF MAWCHUSETTS— .� t � AS A R.EG JOURNEYMAN ELECTRICIAN: ;... I5SUES.THE ABOVE LICENSE TO. f CHRI°STOP_HER P.. THOMAS a 31 T0-WER", HILL,RD 1 NORTH READING:_ •MA 0186-4 2421 11183. B W31!13 83TF35U ` _ Fold,Then Detach Along All Perforations F 4 dd i 2 1 - 09741 Date —'. ?- . . . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING IIL r This certifies that . . . . . .�.�.1. . . . �� -: U. . . . . . . . . . . has permission to perform . & YVAPJ. - plumbing in the buildings of. . .�!��:P. . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . •'•/�• t2.12. � � . . . ,North Andover, Mass. Fee` . . . . . Lie. No. �. �. . . . . . . . . . . . . . . . . . . . . . . . a PLUMBING INSPECTOR Check# MIS 1 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK a �L CITYn � I MA DATE PERMIT# 6I JOBSITE ADDRESS CC ` OWNER'S NAME POWNER ADDRESS ' ��� Ac, A�)we- ( TEL[:-____-_]FAX f TYPE OR OCCUPANCY TYPE COMMERCIAL Q EDUCATIONAL ® RESIDENTIAL 09 PRINT CLEARLY NEW: Q RENOVATION: REPLACEMENT: ® PLANS SUBMITTED: YES NO FIXTURES'l FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OILISAND SYSTEM ! DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER __I .-__ ___- - ..__-_ _^j _---f _--__._I _._I DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN _____J INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL --I ._.._.__l ______f SERVICE/MOP SINK -_-I __--__f _--I TOILET URINAL f .._. J ! i i __._._.� __..._..� ._......__.1 I � .___..P WASHING MACHINE CONNECTION WATER HEATER ALL TYPES Vk;ATERPIPING OTHER U& f --I - pp INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES Pj NO F-1 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY d OTHER TYPE OF INDEMNITY 0 BOND 0 OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER 0 AGENT SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME LICENSE# 19 f GNATURE MP© JP CORPORATION Ol#=PARTNERSHIP 0#=LLC Ek COMPANY NAME 1 +I ADDRESS CITY -(Un! STATEdt ZIP 0 1 6 `l _ _^� TEL FAX ; CELL q7�_ .� .6` 3 EMAIL tNylut-U- I-e- CAAw ROUGH PLUMBING INSPECTIO/N NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES L%—L4 �/�l.Z� (Ji. Yes No 3 THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMITeq # PLAN REVIEW NOTES y r� 1 A The Commonwealth of Massachusetts Ln Department of Industrial Accidents Office of Investigations 600 Washington Street i JF- Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Let3><bly Name (Business/Organization/Individual):_ ( � P� l In} C) Ft Address: [ 0 US City/State/Zip: A 6/g6 hone#: 9 9�_ `836 — Fv LH Are you an employer?Check the appropriate box: T;�N project(required): L[-I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. w construction2.[' I am a sole proprietor or partner- listed on the attached sheet.t 7• modeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. E]Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.E] I am a homeowner doing all work right of exemption per MGL 11.4-41 Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.❑Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this 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 their workers'comp.policy information. t am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ?olicy#or Self-ins.Lic.#: Expiration Date: rob Site Address: City/State/Zip: kttach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine 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 if up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of nvestigations of the DIA for insurance coverage verification. do hereby certify under thepains andpenalties ofperjury that the information provided above is true and correct. i nature: Date: hone#: 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#: 4 Information 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 of 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 engaged in a joint enterprise,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 commonwealth for 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-contractor(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 Industrial 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-insured 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. A new 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax# 617-727-7749 www.mass.gov/dia C COMMONWEALTH OF MASSACAUSETTS PLUMBERS AND GASFITTERS LICENSED AS A,JOARNEYMAN PLUMBER` I ISSUES THE ABOVE LICENSE TO: a MARK D POL`l TO — m y` 1 'J NICE AVE N 'READING MA 101864 141>3 21937 05/01/1L 15672;7 F d,Then Detach Along All Perforations t CERTIFIED PLAN. NO OTHER USE INTENDED BOUNDARY LINES AND EASEMENTS SHOWN BERRY STREET ARE BASED ON THE APPROVED, SD DEFINITIVE PLANS FOR THIS SUBDIVISION. THE FOUNDATION AS SHOWN DOES NOT VIOLATE ANY ZONING REQUIREMENTS REGARDING STRUCTURE TO PROPERTY LINE n OFFSETS. J S n 1 �0`'� THIS PLAN IS NOT TO BE USED TO ERECT o FENCES, OTHER ANCILLARY STRUCTURES, — OR FOR LANDSCAPING LIMITS, Z�' FRONT SEi�sK � f— --� THIS CERTIFICATION IS NON-TRANSFERRABLE, AND IS FURTHER MADE WITH THE PROVISION THAT THE INFORMATION SHOWN HAS BEEN ACCURATELY FURNISHED BY THE OWNER O THIS FIRM, ctc \PAlRia< GARNER, PLS LE-XI S T ING \ F0UINID,ATI0N J k LO 3N — A pn� a \ i ' PL;GATI� 7-D Ov F� v 1 X SE --30 FEAR UG TgprV. i i i i k ASSESS.MAP$.LOT�t LOT 3N—A 1062-44 OWNER/APPLICANT- ONE WNER/APPLICANT i ONE HUNDRED FOURTEEN L11;T /, - % 3 � FOUNDATION - AS - BUILT 51 MOUNT ,JOY DRIVE \, I y q `B E R R 6 STREET T WEKSBURY, MA 01876 -NO-PTT � ANDOVER MASS, I �o PATRICK. PROJECT NO: NA-10 SCALE: 1R=40' C. � Q � •=- I GAR:!-q :: DRAWN BY: PCC DATE, 5/27/10 CHECKED BY: SC SHT: 1 cl r OF: 1 : I� � 1 Location 17 Y No. �� 'y Z Date L//21 NORTIy TOWN OF NORTH ANDOVER 3? OL Certificate of Occupancy S `� ,ssACMUSEt Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ '� Check # 6 b S' 22 ; 6 Building Inspector TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 2 Date Received Date Issued: �v IMPORTANT:Applicant must complete all items on this page LOCATION__L4 a PROPERTY OWNER '. (" )Cj--' Print Print MAP NO: t76 ARCEL: ZONING DISTRICT:__v Historic District yes no Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential =U—n -T�r ne familmore family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other SepticWel Floodplain Wetlands Watershed District W a t Sewe DESCRIPTIO F ORK TO BE PERF RME�: 1,� �C-� c- � r Ideennttfica*on tPl,ease T e� Print Clearly) OWNER: Name: 1 L,[1 ,(e QPhone: S 13 -5 Address: C • Te!. M4. iCONTRACTOR Name: t i C. Phone: �t Address: 1ax 17-, CCakic(\ Mc. Supervisor's Construction License: Exp. Date: Zq 2-ti Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost:IJ o C FEE: $ Check No.: c�� O � Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the aranty fund Signature of Agent/Owner �v�,A_���,,,,,�,T� Signature of contracto 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 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Si nature COMMENTS '� �/� (�/ Vile 7 2 /VJ J iV � 1 J � [� HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comme t 10r e{ Water $ Sewer Connection/signature Driveway Permit I J � �•� DPW Town Engineer: Signature: Located 384 Osgood Street 'FIRE DEPARTMENT -Temp Dumpster on site yesu;//, PPS Fd.r no Located at 124 Main Street r Fire Department signature/date0 �— COMMENTSj� �crrn{ lie r ` UUUNAN INSURANCE PAGE 01 �4C0/R °D �.;.. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/D�0'ym) PROWCER Coonan Insurance Agency, Inc. A S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 267 Main Street: LDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR OxfOrd, MA 01540 IER THE COVERAGE AFFORDED BY THE POLICIES BELOW, _ ERS AFFORDING COVERAGE NAIC 0 TJK, 2nC, ►-AS9EX TNSUiNC>r _. . PO Box 12 r s: Associated IrAtnl.oyexs_Ins. Co, _ _.-- South Grafton, MA 01560 I•C� _-- F:Q COVERAGES F:I.: _ FMAYTI-IE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A13OVIEFOR THE POLICY PERIOD INDICATED.NOTWrrHSTANDI% ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SI.JSJBCT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVF_BEEN REDUCED BY PAID CLAIMS. TN STF goo -_.. .. • --_ _.._.... _....._....._ .._ POLICY NUMBER PoucY fCTNE POUCY RATION _. . _.._...____._ ....._ GENERAL LIABILITY LIMITS 71 X COMMERCIAL GENERAL LIABILITY 2CK7277 EACIlOCCURRENCE x.,.1,000,000 11l�I/O9 zJ,/3/10 PR GE TO ENTED CLAIMS MADE occuR &F Qavgence)_..,, $ 50.000 MEbE7W(nnyoroparson) S PERSON/1L&A7]v(NJL)RY $ 1,00a,000-- GEN'LAGGREGATELIMIT APPLIES Pr:R GCNFRALAGGREGA•E— $ 2 r 000,000 _ POLICY _ P O LOC PRODUCis.COMP/OP AGG 9 1-1000,000 AUTOMOBILE LIAO UTY ANYAUTO (COMBI ED SINGLE LIMIT S ALLOWNEOAIITQS ) SCHEDULEDAUrOS BODILY INJURY $ HIRED AUTOS (Por pnrmn) _ NON-OWNEb AUTOS BODILY INJURY (Pnr�tccident) S PROPERTY DAMAGE $ GARAGE LIgS(LLIABILITY (pat aacldnno ANYAUTO AUTO ONLY.EAACIZDF tR OTHER THAN .FJ1 ACC $ ffi EXCESS I UMmteLA91L11Y AUTO ONLY: AGG OCCUR CLAIMS MADE EACH OCCURRENCE S AGGREGATE g DEDUCTIBLE RETENTI „ S WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WC STATU• OThI• B ANY PROPRICTLIR/PARTNERIEXEWTIVF YIN 4PCC5007237012009 . OFRCI PJMEMBEREXCLLDEDT ��1 6/10/09 6!10/10 E.L.EACHACCIDEIyr S100 000 (Marldntury In NN) Ityna describe unddr E.L,DISEASE-FA EMPLOYE a 100.000,. SPE�IALPROVI510 Sbetow OTHER F,L.DISEA9E-POLICY LIMIT S 500 000 E9CRIPTION OF OPERATIONS I LOCAT10N8 I VEHICLES I EXCLUSIONS ADDED BY ENDOR9 EMENT I SPECIAL PROVISIONS !ERTIrICATE HOLDER CANCELLATION SHOULD'WY OFTHE ABOVE DESCRIBED POLICIES BECANCELLE D BEFORE THE EXPIRATION DATE THIMEOF,TNF-ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS W11ITTEN :L 2 0 Of North ABdOv@� NOTICR T C THE C •FIDATE HOLDER NAMED TO THE LEFT,BLIT FAILURE TO DO SO SHALL 120 Main Street IMPOSE No o G TION CR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR North Andover, MA O1B41S REPREBF'4 S, Fax; 508-839-0211, o PResr^NrA VE J CORD 25(2009101) (919$8-2009 ACORD CORPORATION. All rights reserved. Th®ACORD name and logo aro registered marks of ACORD :�I;ISS:IChUtiI'tt5- Department of Public Sitfet} Board of Building; Regulations and Standards Construction Supervisor License License: CS 59359 Restricted to: 00 TIMOTHY M BARLOW ; PO BOX 12 - S GRAFTON, MA 01560 Expiration: 1/24/2012 ('nnuuissi"Ot'� Tr#: 16494 ;�_t. . ✓!Ze-�O'IlLr7LfYlLIUP.CLU'[ of��l�ac�u.�elt Board of Building Regulations and Standards Construction Supervisor License License: CS 59359 Expiration: 1/24/2010 Tr# 15553 Restriction: 00 TIMOTHY M BARLOW PO BOX 12 S GRAFTON,MA 01560 Commissioner �� [3o:i��f�fllPtf{{f�`'17� oft�ati4T-gf��£�f43'�-� HOME IMPROVEMENT CONTRACTOR _ Registration: 143758 Expiration: 7/29/2010 ..�. Tr# p Type: DBA BARLOW BUILDING TIM BARLOW 13 DEPOT ST S. GRAFTON,MA 01560 Administrator I I . BERRY STREET VARIABLE R/W N5 ' 7 02 57 W 2, 1. ASSESS. MAP & LOT#: 5' FRO T S-E�BACK 27, 106D-44 txh DRIVE 38' OVNER/APPLICANT1 1 ` \ ONE HUNDRED FOURTEEN TRUST WELL 51 MOUNT JOY DRIVE 0) \ TVEKSBURY, MA 01876 i .1 59' o s\ , J, O co t LOT 3N - A i PAfiMOR, U GAiiN r.ry 1 . 000 AC. NO 32651 Y 90�� 9FGjsTE��° w4" 43,561 .6 S.F. / _ /0NA CERTIFIED-'L T3�0'_ REAR SETS PLAN ''' '' low \ NO OTHER USE INTENDED — SOUNDARYLINES&EASEMENTS S63°47'06"E 206.31' SHOWN ARE BASED ON THE AP- PROVED,RECORDED DEFINITIVE PLANS FOR THIS SUBDIVISION.THE PROPOSED HOUSE AS SHOWN DOES LOT 3 NOT VIOLATE ANY ZONING REQUIRE- MENTS REGARDING STRUCTURE TO PROPERTY UNE OFFSETS. ACTUAL FOUNDATION MAY VARY IN BERRY STREET DIMENSIONS,BUT IS NOT TO EXCEED THE FOOTPRINT SHOWN HEREON. NORTH AND❑VER MASS, THIS PLAN IS NOT TO BE USED TO ERECT FENCES,OTHER ANCILLARY uaes.oaFoaLANDscaPlNc LMTS. PROJECT N0: NAND 07 SCALE- 1'=40' LIMITS. THIS TTRANSFERRFlABBLE,&ISFCATIONNURRTTHERMADE DRAWN BY, PCG DATE- 2/10/10 WITH THE PROVISION THAT THE IN- FORMATION N- ATEYnR `OWN BYSEE" EDRTNISHEEDDBY1?. rnM1NCHECKED BY: SC SHT: 1 TO'MIS FIRM- REVISION, 2/22/10 OF- e; Town of North Andover Town Clerk Time.stamp ZONING BOARD OF APPEALS _ p q Albert P.Manzi III,Esq. Chairman E U Ellen P.McIntyre, Vice-Chairman NORTH Richard 1.Byers,Esq. Clerk OF ``D ' A1' Joseph D.LaGrasse 3? b` V° oL 26,01 SCP 19 F'i 8 10 David R.Webster 0 � Associate Memfiers it ♦ i i i lliomas D.Ippolito Richard M.Vaillanconrt �� n a,iS,✓ r ' ATfo ' i' Daniel S. Braese,Esq. �SSgeKUSE� FINDINGS AND DECISION Bk 10978 Ps310 0-33515 RE: Application of One Hundred Fourteen Trustl-2 - 007 08 " "'' " for Comprehensive Permit DATE: September 11, 2007 PROCEDURAL HISTORY 1. On or about February 9,2005, One Hundred Fourteen Trust, 51 Mount Joy Drive, Tewksbury, MA 01876 (hereinafter, the Applicant), applied for a comprehensive permit from the Zoning Board of Appeals (Board), pursuant to G.L. c. 40B, to construct an affordable housing project at property located off Turnpike Street in North Andover(the Application). The Applicant proposed to construct"for sale"ninety-five(95) condominium dwelling units, consisting of two structures to be called "Merrimac Condominiums" (the"Development"). As proposed, the Development would be located on a site with approximately 14.77+/- acres of land being Map 106D, Lots 63, 75, 74, and 44 (hereinafter, the Subject Property). Portions of the Subject Property are located in the B4, R2 and VR zoning districts, as set forth in the North Andover Zoning By-Law. As noted and conditioned herein, the Subject Property is proposed to be re-divided into 4 parcels, a.)Parcel A a/k/a Lot 4N-A consisting of 10.8 acres of land with frontage on Turnpike Street a/k/a Route 114; b.)parcel B a/k/a Lot IN-A consisting of 1.9 acres of land with frontage on Berry Street; c.)Parcel C a/k/a Lot 2N-A consisting of 1.0 acres of land with frontage on Berry Street; and d.)Parcel D a/k/a Lot 3N-A consisting of 1.0 acres of land with frontage on Berry Street 2. A duly advertised public hearing was opened on March 8, 2005, and continued to the following dates: March 8,2005 April 4,2005 June 7,2005 March 2,2006 April 25, 2006 June 8,2006 ATTEST: This is to poti)y that twenty(20)days June 28,2006 have elapsid from date of decision,filed A True Copy August 10,2006 without filing of an appeal. DateDr�D 0-e /D,�Cb� September 28, 2006 Joyce A.Bradshaw Towri.Clerk November 2,2006 December 19, 2006 Town Clerk January 23, 2007 March 13,2007 1600 Osgood Street,Building 20-Suite 2-36.North Andover, Massarhmetts 01845 Phone-978-688-9541 Fax-978-688-9542 Web-wwtiy.townotiiorth<uidover.com ° March 29,2007 April 10,2007 May 3,2007 May 9,2007 June 12,2007 June 28,2007 3. The public hearing was terminated on June 28, 2007. The Board discussed the decision and the requested waivers during the meetings of August 30, September 6, and September 11, 2007. 4. During the public hearing the Applicant reduced the number of dwelling units to 52 dwelling units. Three of the proposed units will be single family homes with frontage on Berry Street. The remaining 49 units are located on the 10.8 acre Parcel A with frontage on Turnpike Street in townhouse buildings proposed as a condominium. 5. The documents and exhibits listed in Exhibit B were received during the public hearing. FINDINGS 6. The Applicant submitted the following information pursuant to 760 CMR 31.01: a) it is or will become a "limited dividend corporation" as that term is used in G.L. c. 40B, s. 21 and 760 CMR 31.01 (1); b) evidence of a subsidy as indicated by the project eligibility/site approval letter of MassHousing dated January 31, 2005 pursuant to its Housing Starts Program and New England Fund Programs. C) the Applicant alleges "control of the site" as that term is used in 760 CMR 31.01, by virtue of the deed dated November 3, 1994, and recorded at the Essex County Registry of Deeds at Book 4158, Page 216. 7. The Town of North Andover, according to the DHCD, has not achieved the statutory minimum set forth in G.L. c. 40B, s. 20 and or 760 CMR 31.04 in that affordable housing does not constitute more than 10%percent of the total number of dwelling units nor is 1.5% of the Town's land area in affordable housing. The Town has a plan for production of affordable units certified by DHCD. 8. The Board retained the following consultants to assist in the review of the application: Civil Engineers: Vanasse, Hangen Brustlin, Inc., Watertown, MA Civil Engineers: Hancock Associates, Marlboro, MA Traffic Engineers: Judith Nitsch Engineering, Inc., Boston, MA Special Legal Counsel: Mark Bobrowski, Concord, MA Pro Forma: MHJ Associates, Brookline, MA 9. The proposed development was reviewed by the following municipal officers or departments: Board of Health Planning Department Building Commissioner Conservation Commission Fire Department Police Department Department of Public Works Town Manager Board of Selectmen Housing Partnership Committee 10. If developed in accordance with the conditions set forth herein, the proposed Development will be consistent with local needs. DECISION Pursuant to G.L. c. 40B, the Zoning Board of Appeals of North Andover, after public hearing and findings of fact, hereby grants a comprehensive permit to the Applicant for the construction on the Subject Property of fifty-two (52)homeownership dwelling units, consisting of three(3) single family homes and forty-nine (49) condominium units, with associated infrastructure and improvements, subject to the following conditions. The term "Applicant" as set forth herein shall mean the Applicant, its heirs, successors, transferees, and assigns. The term "Board" as set forth herein shall mean the Zoning Board of Appeals. Unless otherwise indicated herein, the Board may designate an agent or agents to review and approve matters set forth herein. Conditions 1. The Development shall be constructed in substantial conformance with the plans of record set forth below. Any change shall be governed by the provisions of 760 CMR 31.03. Prepared by Sheet Title Date Patrick C.Garner, R.P.L.S.#32661, 1 of 7 Multi-Family Units, 3/22/07 Patrick C.Garner,Company, Inc., 109 49—Chap.40B Residences, Whitney Street,Northborough, Mass. North Andover, Mass Patrick C. Garner, R.P.L.S. #32661, 2 of 7 Building Layout Plan 3/22/07 Patrick C.Garner,Company, Inc. 49—Chap.40B Residences, 3/26/07 North Andover, Mass. 4/6/07 Patrick C.Garner,R.P.L.S.#32661, 3 of 7 Building Layout Plan 3/22/07 Patrick C. Garner,Company, Inc. 49—Chap.40B Residences, North Andover, Mass. Patrick C. Garner, R.P.L.S.#32661, 4 of 7 Drainage&Util. Plan 3/22/07 Patrick C. Garner,Company, Inc. 49—Chap.40B Residences, North Andover,Mass. Patrick C.Garner, R.P.L.S.#32661, 5 of 7 Drainage& Util. Plan 3/22/07 Patrick C.Garner,Company, Inc. 49—Chap.40B Residences, 4/6/07 North Andover, Mass. 2005-003-Page 3 c Patrick C.Garner, R.P.L.S.#32661, 6 of 7 Landscaping p g Plan .i/22/07 Patrick C.Garner,Company, Inc. 49—Chap.40B Residences, 4/6/07 North Andover, Mass. Patrick C.Garner,R.P.L.S.#3 266 1, 7 of 7 Landscaping Plan 3/22/07 Patrick C.Garner,Company, Inc. 49—Chap.40B Residences, North Andover, Mass. Patrick C. Garner, R.P.L.S.#32661, 1 of 1 Proposed ANR Plan, May 30,2006 Patrick C.Garner,Company, Inc. Lots IN-A thru 4N-A, Aug 9,2006 North Andover,Mass. 3/26/07 David M.Crawley, Registered A1.01 The Merrimac Condominiums, January 15,2007 Architect#1082, David M. Rte 114 St., 1/23/07 Crawley Assoc., Inc., South North Andover Office 25 Sandwich St., Floor Plans Typical Units Plymouth, MA 02360,North Office,39 Adams St.,Acton, MA 01720 David M.Crawley,Registered A2.01 The Merrimac Condominiums, January 15,2007 Architect#1082 Rte 114 St., 1/23/07 North Andover Floor Plans Typical Units David M. Crawley, Registered A3.01 The Merrimac Condominiums, January 15,2007 Architect#1082 Rte 114 St., 1/23/07 North Andover Fiveplex Plan& Elevations David M.Crawley, Registered Typical Building Cross Section January 15,2007 Architect#1082 2. The Development shall be limited to fifty-two dwelling units on four separate parcels. On Parcel A, the Applicant shall locate not more than forty-nine attached condominium dwelling units, each unit shall contain no more than 3 bedrooms each. On Parcels B, C and D each,the Applicant shall locate not more than one single family home containing not more than 4 bedrooms per home. 3. Twenty five percent(25%)of the dwelling units, which, as proposed, is thirteen(13) of the dwelling units (the "Affordable Units"), shall be reserved in perpetuity for sale to households earning no more than eighty percent(80%) of the median household income for the Lawrence PMSA, or applicable PMSA in the event of a change. All of the Affordable Units shall be located on Parcel A; none of the Affordable Units shall be located on Parcel B, C or D. The price for such Affordable Units shall be set at a price affordable to households earning seventy percent (70%)of the median household income in the Lawrence PMSA, adjusted for household size, with a five percent (5%) down payment used to calculate such price. If the Development is funded by the New England Fund of the Federal Home Loan Bank of Boston, pricing shall be in accordance with the "Guidelines for Housing Programs in which Funding is Provided through a Nongovernmental Entity," as published by the DHCD. 4. To the extent permitted by law,preference for the sale of seventy percent(70%)of the Affordable Units in the initial round of sales shall be given to persons or families who are first- time buyers and who are either(a)persons who have made their primary residence in North Andover; and(b)employees of the Town of North Andover. The local preference shall be implemented by a Lottery Agent approved by the Board. Prior to conducting the Lottery, the w Lottery agent shall submit a final Lottery plan to the Board, or its agent for its approval. All costs associated with the Lottery shall be exclusively borne by the Applicant. 5. Prior to the issuance of any building permit for any unit located within Parcel A, the Applicant shall prepare the final draft of a Regulatory Agreement and a Deed Rider and submit same to the Board for approval with a recommendation as to form by the Board's legal counsel and for execution by and with the Board of Appeals on behalf of the Town, such determination and execution shall be completed and communicated to the Applicant in writing, specifying any objections, within sixty-five (65) days of the Applicant's submission of its proposed documents. The form of Deed Rider to be used is the so-called Universal Deed Rider, which Deed Rider has been approved by Fannie Mae and is designed to preserve the Chapter 40B Affordability Requirement in the instance of a foreclosure by a lender. Such document(s) shall contain at a minimum, the following terms: (a) The Affordable Units shall be reserved for sale in perpetuity to households earning not more than eighty percent(80%) of the median household income for the Lawrence PMSA. The price for such Affordable Unit shall be set at a price affordable to households earning seventy percent(70%)of the median household income in the Lawrence PMSA, adjusted for household size, with a five percent(5%) down payment used to calculate such price (b) The right of first refusal to purchase an Affordable Unit on resale shall be granted to the Board, or its designee. (c) The actual Affordable Units shall be identified in the Regulatory Agreement. (d) The Affordable Units shall be owner-occupied only; provided, however, that the Board may authorize the temporary rental of such unit at a price affordable to a household earning not more than 80% of area median household income where the owner demonstrates that there is a bona fide reason for same, such as military duty, or the like. (e) The Affordable Units shall remain affordable in perpetuity. Prior to the issuance of a building permit for any of the three market rate, single-family houses to be located within Parcels B, C and D, the Applicant shall submit a proper plan conforming with the Planning Board's Subdivision Rules and Regulations governing ANR endorsement under G.L. c. 41, s. 81P in order to create Parcels A, B, C and D. The Board shall complete such review and endorsement within forty five(45) days of the submission of said plan. The Applicant shall then promptly record said plan with the Registry of Deeds and provide the Board with proof of recording prior to the issuance of any building permits for Parcels B, C or D. 6. Prior to the issuance of any certificate of occupancy, the Applicant shall enter into a Monitoring Agreement, approved by the Board after a recommendation as to form by the Board's legal counsel. The Board of Appeals shall notify the Building Commissioner, in 2005-003-Page 5 x b writing, of such approval and provide to him or her copy of the Agreement. Such Agreement shall be consistent with the terms of this Decision and shall contain the following terms: a. The Monitoring Agent shall be an entity acceptable to MassHousing and the Board. b. All costs associated with monitoring shall be borne by the Applicant, and, after the first round of sales, by the sellers of the Affordable Units c. All financial information submitted by the Applicant to the Monitoring Agent for the required cost certification after the first round of sales shall be provided by certified mail to the Board at the same time. d. The final cost certification by the Monitor shall be conducted not more than ninety (90) days after conveyance of the final dwelling unit in the first round of sales. 7. The Affordable Units shall not be segregated from the market rate units. The Affordable Units shall not be substantially different in exterior appearance from the standard market rate units. The market rate, single-family units to be located within Parcels B, C and D are excluded for purposes of this provision. 8. During construction, the Applicant shall conform with all local, state and federal laws regarding noise, vibration, dust and blocking of Town roads. The Applicant shall at all times use all reasonable means to minimize inconvenience to residents in the general area. Exterior construction shall not commence on any day before 7:00 a.m. and shall not continue beyond 6:00 p.m; provided, however,that exterior construction shall not commence on Saturday before 9:00 a.m. There shall be no exterior construction on any Sunday or state or federal legal holiday. Hours of operation shall be enforced by the North Andover Police Department. 9. Prior to the issuance of a building permit for any dwelling unit to be located within Parcel A, the Applicant shall submit the following final plans for approval by the Board. The Board may distribute such plan(s)to its consultants and/or Town boards and officials for a written recommendation or report. a. Lighting plan; b. Landscaping, fencing, and planting plan; c. Grading plan; d. Erosion control plan; e. Architectural plan, including all principal and accessory structures; f. Utilities plan including water, hydrants, gas, electric, cable, and telephone; g. Signage plan, including signs during the marketing phase; ° h. Stormwater management plan; i. Open space and recreation plan; j. Snow storage and refuse disposal plan; k. Cutting plan, showing the limits of clearing; 1. Fire sprinkler plan; m. Construction management plan. The Board shall make such determination and communicate same to the Applicant in writing, specifying any objections, within seventy five (75) days of the Applicant's submission of its proposed materials. 10. The Applicant shall design such final plans with the following specifications: a. The Applicant shall conform with all pertinent requirements of the Americans with Disabilities Act and Massachusetts Architectural Access Board, if applicable. b. Except as waived, all signage, including signs to promote sales, shall comply with the Zoning By-law and shall be maintained in a sightly condition by the Unit Owners Association in conformance therewith. c. The adjacent Hagerty Property shall be screened to minimize light intrusion from vehicles on the Subject Property. d. A brick wall, eight(8) feet in height, shall be erected along the Route 114 frontage where the front yard setback has been waived to promote safety and protect from vehicle noise. e. The final design roadway shall comply, except as waived, with the standards of the Planning Board's Subdivision Rules and Regulations. f. An acceptable fence shall be installed between the Subject Property and 1980 Turnpike Street. 11. The Applicant has proposed, and the Board hereby requires, that the following aspects of the Development on Parcel A shall be and shall remain forever private, and that the Town of North Andover shall not have, now or ever, any legal responsibility for operation, maintenance, repair or replacement of same: All roadways and parking areas Storm water management facilities, including detention basins Snow plowing 2005-003-Page 7 "1 ° Landscaping Trash removal Street lighting Building repair and maintenance Water and sewer services beyond the individual meter pits 12. The roadway within the Development shall not be dedicated to or accepted by the Town Meeting. 13. The Applicant shall be responsible for the installation, operation, and maintenance of all aspects of the common orrivate facilities on Parcel A set t forth above until the final dwelling unit is conveyed. Thereafter, such facilities shall be conveyed to a Unit Owners Association and such operation and maintenance shall be the responsibility of said Association. Prior to the turnover of responsibility to the Association, the Applicant shall provide written evidence to the Board that a reserve of two months has been established to fund maintenance and operation. In the event that a management company is engaged, the Applicant or the Unit Owners Association shall provide the Board with a copy of the contract. 14. Prior to the issuance of any certificate of occupancy on Parcel A, the Applicant shall establish a Unit Owners Association for all units located within Parcel A. The units located within Parcels B, C and D shall not be included within said association. Membership in said Unit Owners Association shall be required by a deed restriction prepared by the Applicant and approved as to form by the Board's legal counsel prior to execution thereof. The Board's legal counsel shall approve such document as to form after determining that the document is consistent with this decision, such determination shall be made and communicated to the Applicant in writing, specifying any inconsistencies,within thirty (30) days of the Applicant's submission of its proposed documents. Such Unit Owners Association shall maintain the facilities set forth above in Condition 11. The Board of Appeals shall notify the Building Commissioner, in writing, of such approval and provide a copy of the approved documents. 15. The Applicant's registered professional engineer shall prepare guidelines for the operation and maintenance of the stormwater management system on Parcel A subject to the approval of the Board of Appeals or its agent, which may be the Conservation Commission. Such guidelines shall be incorporated by reference in the organizational documents of the Unit Owners Association. In the event a management company is engaged, the guidelines shall be incorporated by reference in the management contract. 16. In the event that the Applicant, its successors, or agent fails to maintain the on-site wastewater disposal system on Parcel A in accordance with applicable guidelines for operation and maintenance, the Town may conduct such emergency maintenance or repairs, and the Applicant shall permit entry onto Parcel A to implement the measures set forth in such guidelines. In the event the Town conducts such maintenance or repairs, the Applicant shall promptly reimburse the Town for all reasonable expenses associated therewith; if the Applicant fails to so reimburse the Town, the Town may place a lien on the Development or any unit therein to secure such payment, excluding Parcels B, C and D. R1-kj i a 17. All invoices generated by the Board's peer reviewers during the application stage shall be paid within thirty days of the filing of this decision with the Town Clerk, whether this decision is appealed or not. No post-permit reviews of documents or plans shall be conducted until such invoices have been paid in full. No building permit or certificate of occupancy shall be issued until such invoices have been paid in full; unless agreed to by and between the Applicant and the Board. 18. The Applicant shall promptly pay the reasonable fee of the consulting engineer and the Board's legal counsel for review of the plans or documents described herein or for inspections during the construction phase. The results of any inspections shall be provided to the Board in written format. The Board may require the establishment of an escrow account to assure such payment, with an initial deposit of$10,000.00, subject to replenishment. 19. A preconstruction conference with town departments shall be held prior to the commencement of construction: a. At such conference, the Board, Building Commissioner, and other town officials shall review the proposed construction schedule. For the purposes of this decision, "commencement of construction" shall occur when the clearing and grubbing (removal of stumps and topsoil) has been initiated. The contractor shall request such conference at least one week prior to commencing construction by contacting the Board in writing. b. At the conference, a schedule of inspections shall be agreed upon by the Applicant, the Board, and other municipal officials or boards. 20. The Board and/or its agents may enter onto and view and inspect the Property during regular business hours, without notice, to ensure compliance with the terms of this Decision, subject to applicable safety requirements. 21. The Conservation Commission's Order of Conditions pursuant to 310 CMR 10.00, or any order of the Department of Environmental Protection(DEP), either if applicable, regarding this property, shall be made a part of this comprehensive permit. If there is any inconsistency between the plan of record for this permit and the plans as may be approved by the Conservation Commission or the DEP, the Applicant shall submit an amended plan to the Zoning Board of Appeals and to the Conservation Commission and to DEP(if applicable) for approval in order that all approvals are consistent with one another. Such submittal shall be made by certified mail or in hand at a regular meeting. Said amended plan submitted to the Board shall be accompanied by a letter setting forth any and all changes from the submitted plan of record and shall include revised drainage calculations, if applicable. 22. No certificate of occupancy for any building or phase shall be issued until the infrastructure or common facilities or common improvements specified in this decision and set forth on the plans of record are constructed and installed so as to adequately serve said building or phase, or adequate security has been provided, reasonably acceptable to the Board, to ensure the completion of such improvements. The choice of performance guarantee shall be governed b . , g Y the provisions of G.L. c. 41, s. 8 1 U (excluding the statutory covenant which shall not apply in r� this matter)and shall be approved as to form by the Board's legal counsel. The Board shall notify the Building Commissioner, in writing, of such completion or performance guarantee. 2005-003-Page 9 23. Performance bonds shall be required and shall be released by the Board in accordance with the Subdivision Rules and Regulations of the Planning Board as determined by the Board. 24. In determining the amount of the bond or surety, the Board shall be guided by the following formula in setting the sum of the security: a. the Board's estimate of the cost to complete the work; plus b. a ten percent margin of error; plus c. an appropriate rate of inflation over a five year period. 25. All performance bonds shall contain the following provision: If the Principal shall fully and satisfactorily observe and perform in accordance with the qualifications and time schedule set forth herein specified all the covenants, agreements, terms and provisions set forth in the following: a. The plan of record; b. This Decision attached hereto as an exhibit with all attachments thereto; then this obligation shall be void; otherwise, it shall remain in full force and effect and the aforesaid sum shall be paid to the Town of North Andover as liquidated damages. 26. The Applicant shall provide an "as-built"plan to the Board and Building Department prior to the issuance of the final certificate of occupancy in the Development in accordance with applicable regulations, which shall be approved by the Board or its agent. The Applicant shall provide a separate as-built plan depicting the water mains and services to the Department of Public Works demonstrating compliance with the Department's rules and regulations and installation specifications. 27. The construction site shall be secured in a manner approved by the Building Department so as to prevent injury or property damage to the residents of the Town. [28. Reserved] 29. The following conditions were recommended by the Board's consulting traffic engineers, JNEI, Inc., and shall be required: * Install a Stop sign and paint a Stop line on the site driveway; * Install overhead lighting at the site driveway and Route 114; * Clear vegetation at the site driveway intersection with Route 114 to improve visibility; * Install intersection warning signs along Route 114 in advance of the site driveway; * Paint appropriate pavement markings on-site and at the internal intersections to identify circulation patterns 11N_` 30. The following conditions were recommended by the Board's consulting civil engineers, Hancock Associates, and shall be required: * The Final Design Plans and supporting computations for all drainage system underground infiltration chambers shall demonstrate a two-foot separation to estimated seasonal high groundwater. Sufficient soil testing performed by a Massachusetts Certified Soil Evaluator shall be included. * The Final Design Plans shall eliminate driveway conflicts exist between units F3 and H 1 and provide ample turning radius for cars in the area of units C2 and D4. * Final Design Plans shall depict all proposed decks, rails and stairs at the front, rear and sides of all units. * The Board finds the submission is not fully comply with the requirements of 760 CMR 31.02. The Applicant has requested the Board act based on the reduced project "concept"plans. The Board's Peer Review Civil Engineer did not fully determine if the design is a sound design conforming to standard engineering practices within the Public Hearing Process. Therefore, Final Plans shall be accompanied by a full stormwater management calculations prepared by a Massachusetts Registered Professional Engineer. The calculations shall presented summaries for flows to individual discharge points demonstrating post-development rates do not increases for the 2, 10 and 100 year 24-hour events toward the isolated wetlands and the rear main wetlands as distinct discharge points or present sufficient evidence that groundwater is more significant to sustaining both wetland systems than surface water given the subsurface soil conditions and relative elevations of the two resource areas. * The Applicant has accepted the risk uncovering technical issue that require modification to the project layout and being subject to review by the Board under substantial change provisions of 760 CMR 31.03, possibly necessitating reopening of the public hearing. The Board reserves its rights under 760 CMR 31.03 in review of the Final Plans. * The Final Plans and supporting calculation shall include provisions for providing additional pre-treatment prior to the infiltration areas. The stormwater management systems shall fully comply with DEP Stormwater Management Policy. * The ZBA's engineer shall approve the maintenance schedule for the storm water system. Documents governing maintenance shall contain a permanent guarantee by the owners, which shall provide for mandatory assessments for any necessary maintenance expenses. * The Applicant shall obtain a National Pollution Discharge Elimination System(NPDES) Permit from the United States Environmental Protection Agency (EPA). * Final grading of the site shall not direct additional runoff onto the property of others. This project shall not increase the rate of runoff, not cause flood or storm damage to abutters or the property of others. It shall be incumbent upon the applicant to assure 2005-003-Page 11 i a i compliance with this condition. The project applicant/owner shall be solely liable for any damage to other properties as a result of this construction. * The location of all utilities, including but not limited to underground electric, telephone, and cable, shall be shown on the Final Site Plans. All transformers and other electric and telecommunication system components shall be included on the Final Site Plans. * A State Highway Access Permit shall be obtained from MassHighway prior to any work or excavation within Route 114. * A STOP sign and STOP line shall be installed at the site driveway to Route 114, along with proper illumination. * Vegetation along the northern side of Route 114 shall be cleared and maintained in order to improve sight lines. The sight lines shall be of sufficient distance to meet the customary engineering standards for this location, conforming to AASHTO and MHD standards. * Any signs or landscaping adjacent to the site driveway intersection with Route 114 or within the Project shall be designed and maintained so as not to restrict lines of sight to or from the site roadway. * Garages shall be used for parking of vehicles and shall not be converted to living space. This prohibition shall clearly appear in all Condominium Documents and individual deeds. Draft copies of these documents shall be forwarded to the Board prior to Building permit for review by the Board's Counsel. * If the completed work differs from that on the original plans and/or conditions listed in this Comprehensive Permit, a report must be submitted to the Board thirty (30)days prior to application for the Final Occupancy Permit specifying how the work differs, at which time the applicant shall first request a modification to the Comprehensive Permit. Upon review by the Board, the applicant my request in writing the Final Occupancy Permit. * Not more than thirty days prior to need for the Final Occupancy permit, the applicant shall submit with their request for a Certificate of Compliance, an affidavit prepared by a professional engineer or land surveyor registered in the Commonwealth of Massachusetts, stating that the site has been developed in accordance with the requirements q s of this Comprehensive Permit and Final Plans, based upon an on-site inspection and the referenced site plan. An as-built drawing, prepared by a Professional Land Surveyor or Professional Engineer, registered in the Commonwealth of Massachusetts, and depicting the final and actual condition of all areas shall accompany such request. 31. The landscaping shown on Parcel A in the final approved plan shall be maintained in perpetuity by the Unit Owners Association. Any dead vegetation shall be removed immediately and replaced in accordance with the specifications on said plan during the life of project by Unit Owners Association. 32. Blasting, if any, shall be performed in accordance with regulations of the Commonwealth of Massachusetts 527 CMR. 13.00 , and in accordance with any existing written regulations for blasting of the Fire Department. 33. All of the dwellings on Parcel A shall have fire sprinklers in accordance with the State Building Code as determined by the Board. 34. Parking shall be allowed on Parcel A on one side only of all internal site roadways. The Applicant shall prepare a revised site plan showing not less than 14 parking spaces for visitors. The parking condition shall belaced in the organizational p g documents of the Unit Owners Association. The Applicant shall submit a signage plan for the Board's approval to ensure compliance with this condition. This condition shall be enforced by the Police Department. 35. All of the Affordable Units shall have the same package of garage, appliances, fittings, and fixtures as the base package for the market rate units. 36. The Applicant shall provide for the irrigation of the Development's landscaping and lawns. i 37. The Town of North Andover and its agents are hereby authorized to enter upon the Subject Property for the purpose of maintaining and repairing the water supply system and sewer system after the connection of the systems to the public domain. 38. The Board of Appeals hereby waives no fees associated with the Development. 39. Prior to issuance of each certificate of occupancy for a market rate dwelling unit, the Applicant shall provide the sum of five thousand dollars ($5,000.00)to the Town,pursuant to G.L. c. 44, s. 53A, or G.L. c. 40, s. 513, or other acceptable financing mechanism, for the purpose of affordable housing or other valid public purpose. The total amount of such payments shall not exceed one hundred ninety five thousand ($195,000.00) dollars. The Applicant shall not appeal this condition to the Housing Appeals Committee. 40. The Applicant has requested, and the Board has granted, the waivers from local rules set forth in Exhibit A attached hereto. In the event the Applicant or the Board's consulting engineer determines, in the final design of the Project, that additional waivers, not shown on the plans are required, the Applicant shall be required to obtain such additional waivers after written request to the Board. The Board may grant such additional waivers in accordance with applicable rules and regulations. 2005-003-Page 13 2001 SIT 19 p,.l h: 10 RECORD OF VOTE Upon a motion by Richard M. Vaillancourt, and seconded by Thomas D. Ippolito, the Zoning Board of Appeals voted 4-1, with the Chairman voting in opposition, to grant a comprehensive permit subject to the above-stated terms during the September 11, 2007 meeting: Albert P. Manzi III, Esq., Chairman Ellen P. McIntyre, Vice Chairman Joseph D. LaGrasse, Member Thomas D. Ippolito, Associate Member Richard M. Vaillancourt, Associate Memb Filed with the Town Clerk on 2007. 2005-003 -Page 14 MERRIMAC CONDOMINIUMS EXHIBIT A `1 Final Waivers Granted by the ZBA from the North Andover BY-Laws and Rules and Re ulations Section ; Criterion - — i _ Requirement_ equested Waiver&ZBA Vote: EM=Ellen P.McIntyre JL=Joseph D.LaGrasse E; I AM =Albert P.Manzi III ! TI=Thomas D. Ippolito 1 I RV=Richard M. Vaillancourt own of NorthBy-law contains 25'no-disturb zone Applicant IAndover Wetland d 50' no build zone from � requests waivers from the 25'and 50' no-disturb/no-build zones as set forth �erein and as indicated on the Site Plan of record. Protection By-law ordering Vegetative Wetland line. EM&J.L&TI&RV=GRANT;AM=DENY nd Regulations 3.1 -p hem � I eraPools +5040ot No-Disturbance Zoneplicant requests a waiver to build units, retaining walls,roads and storm water anagement devices in this zone as shown on the Site Plan of record. ---- --- -- -- _ __ �EM&JL&TI&RV=GRANT; AM-DENY _ i Ephemeral Pools 175-foot No-Build Zone pplicant requests a waiver to build units and associated items in this zone as shown on ! he Site Plan of record. __— M_&J_L_&TI&RV=GRANT; AM=DENY ;? Isolated Vegetated - - g r5-foot No-Disturbance Zone pplicant requests a waiver from this requirement. Final plans to show replication as j =and("iVW") jCompensation of 2:1 is required recommended by North Andover Conservation Commission -3-? _ —- ---- ---� ----- )'_-- .._ ._- M&JL&TI&RV=GRANT•AM=DENY Isolated Vegetated Section 6.1 50-foot No-Build Zone --- --- A licant _._....-- — ' !Wetland `IVW" � PP requests a waiver from this requirement. Final plans to show replication as (` ) Compensation of 2:1 is required `irecommended by the North Andover Conservation Commission 1i -- _ Section 6.1). iEM&JL&TI&RV=GRANT;AM=DENY 3.4 Permitt Applications 5-foot No-Disturbance Buffer Applicant requests a waiver for houses 1 N-A,2N-A and 3N-A a/k/a Parcels B,C'& D,on i 1 i ne �Oerry St.to build houses,appurtenances and a sanitary sewer through a portion of the 25-disturb zone,as well as a waiver to build all units,and associated items on Lot 4N-A hs shown on the Site Plan of record. �EM&JL&Tl&RV=GRANT;AM=DENY 3.4 jVegetated Wetland 0-foot No-Build Zone -- �Applicant requests a waiver for houses 1N-A,2N-A and 3N-A a/k/a Parcels B,C:& Don. �4lteration i Perry St.to build houses,appurtenances and a sanitary sewer through a portion ofthe 50' o-build zone,as well as a waiver to build all units, and associated items on Lot 4N-A as 1 :`shown on the Site Plan of record. -- ---- -- -- -T --- �M&JL&TI&RV=GRANT;AM=DENY AI I' T: -- - A Tvu% Cop% Exhibit A Waivcr-2005-003-Page 1 Town Clc•rl ,_Section ; Criterion � -- --- ------ Re uirement - ---- --- - �- a uested Waiver&ZBA Vote: - ji S. Vegetated Wetland Alteration of Wetlands under WPA pplieant requests a waiver from this requirement. Final plans to show replication as Alteration I hand Bylaw IS W combined not to Irecommended by the North Andover Conservation Commission. _ 'exceed 5000 SF may be meted. M&X&TI&RV=GRANT;AM=DENY_ X7.0 IStorm water - --- --- �ommission has more restrictive =TI&RV requests a waiver that applicant be held to the standards defined in WPA. Management and Flood requirements than state. =GRANT;AM=DENY i Orth Andover _—__.. --.__._ nin B law: —� 4.129 B4 Buildings and Uses Multi family structures are not Applicant requests a waiver to allow multifamily units as shown on the Site Plan of District Permitted'fable 1. permitted in B4 Lone cord. Summary of use M&JL&TI&RV=GRANT;AM=DENY egulations .123.7 ;Signs eal Estate Sign not to exceed 24" Applicant requests a waiver to allow a 2'x4' permanent sign bearing - the name f the r6 development at the entrance,as well as a 4'x8'marketing sign until all units are sold. _t_-— — TI&RV=GRANT; EM&AM=DENY I i ._ Phased Development Phased development bylaw. jApplicant requests a waiver from all phasing requirements. Maximum lots developed per year M&JL&TI&RV=GRANT;AM=DENY I — t20%of total of 56)=11 " — —.. -- Zquirements mensional able 2 I able of Dimensional —. j%one-B4— .-...Requirements j7.3 Yards(setbacks) Front setback of 100' on Rte 114 ;Applicant requests a waiver to 12'. - -- CJI L&TI&RV=GRANT; -DENY I8.4? jScreenin andeq -..._ — —.. T —._. 6 ttires a strip of 6' wide with Applicant requests a waiver to allow wooded area between units and property line to be i t.andscaping trees and shrubs and a fence of at eft natural per NHESP request that no disturbance occur in this area. Requirements abutting ;least 6' high. L&TI&RV -GRANT;EM&AM=DENY �residential district -- (ilagerty on West). Exhibit A Waiver-2005-003-Pagc 2 - -- - - q I Section L Criterion _ Requirement a uested Waiver&LBA Vote: r — LSubdivision Rules and — -- -- ---j �Fteyoatious 2.2 Limit the number of Limit one dwelling on any lot pplicant requests permission for building 49 dwellings on 10.8 acre lot wellitjgs _— M&JL&TI&RV=GRANT; AM=DENY I's treet standards--to- or -M in.Centerline Radius-225' Applicant requests a waiver to 170'as shown on Site Plan of record. unor street - '-- --. --... _ L&TI&RV=GRANT;EM&AM=DENY --- -- - :6.8.1 Street standards for Min,turnaround pave dia.100' pplicant requests a waiver to 66'as shown on Site Plan of record. minor street - - --- —. —__ _ _&TI&RV=GRANT; EM&AM=DENY Exhibit A Waiver-2005-003-Page 3 -� Merrimac Condominiums Exhibit B Item No. Document From Contents/Notes Item Date Pre-Meeting Thomas R.Gleason,Executive Letter notifying site approval,with requirements and 1-31-05 L i Director. Municipality issues about the proposed 40B �MassHouing, To 3-8-05 One Hundred Fourteen Trust, Affordable Housing Proposal—?vierrimac Town Clerk 2. 51 Mount Joy Drive, Condominiums, 1)List of Documents,2)BOA2-9-05 i Tewksbury,MA Application[Comprehensive Permit],3)Project Eligibility,4)Site Control,5)Tabular Data,6)Plans, Miscellaneous 3. Susan Sawyer,Public Health Memorandum responding to ZBA 2-10-05 memo 2-11-05 i Director,North Andover requesting BoardDepanment concerns&attached Board of Health dum ster regulations 4. North Andover Zoning Board Legal notice[Parcel 63= 10.03 ac.,95 units] Town Clerk '• of Appeals(NA ZBA) 1 _ 2-11-05 5. Atty.Thomas J.Urbelis,Town Letter responding to ZBA 2-10-05 request 2-15-05 Counsel 6. Chief William V.Dolan,NA Letter and e-mail response to ZBA 2-10-05 request 3-1-05 Fire De artment 7. Mark Rees,Town Manager, Memorandum responding for Board of Selectmen to 3-1-05 NA ZBA 2-10-05 8. One Hundred Fourteen Trust Update March 2,2005 Affordable Housing Proposal 1) ! 3-2-05 Waivers revised,2)Permits on hand,3)Curriculum Vitae 9. Dermot J.Kelly Associates, Traffic Impact&Access Study 3-2-05 Inc. 280 Main Street.North Reading,MA 10. Alison McKay,NA Memorandum response to ZBA 2-10-05 3-3-05 Conservation Administrator 11. Jack Sullivan,Director of Memorandum to ZBA 2-10-05 3-3-04 Engineering,NA DPW 12. Lincoln Daley,NA Town E-mail response to ZBA 2-10-05 3-4-05 Planner To 44-05 Lt.John Carney,NA Police Memorandum response to ZBA 2-10-05 3-16-05 13. Dept, _ 14, Nathalie. Wiles,89 Windsor Letter to Neighbors and Abutters,3-14-05, 1)North Rec'd Lane Andover clipping of 34-05,2)Letter excerpt,3)40 3-28-05 _ signatures 15. One Hundred Fourteen Trust Update April 4,2005 Affordable Housing Proposal 1) 3-30-05 Response to comments,2)Waivers updated 3) Site plane updated To 6-7-05 Ellen P.McIntyre,Chair, Letter to Heidi Griffin,Director,NA Community 4-13-05 16. North Andover Zoning Board Development re: 10.03 acres vs. 14.77 acres. of Appeals 17. Atty. Donald F.Borenstein, Letter to Sarah Hall,MassHousing re:Entirety of 4-13-05 Law Office of Mark B. applicant's property, 14.77 acres,will be included within Johnson, 12 Chestnut St., the proposed project. Andover,MA ]� Nathalie Wiles,89 Windsor Further 17 signatures for 3-14-05 petition 4-29-05 Lane _ ,v 19. NA Conservation Commission Order of Conditions for Map 106D Parcel 63 ATTEST: .o A True Copy Exhibit B-Documents-2005-003-Page 1 '? Town Clerk (.n rn , Merrimac Condominiums Exhibit B Item No. Document From Contents/Notes Item Date 20. One Hundred Fourteen Trust A. Revised application,Special Permit form pages 2&3 5-5-05 adding parcels 44,74,& 75,and changing acreage from 10.03 to 14.77 acres. jB. Plan of Land,Lots IN,2N,3N,and 4N Berry Street j and Route 114,North Andover,Mass.Plan Date 8!,3:96, Planning Board Approval under Subdivision Control, meeting held on 1'19/99,NERD Plan#13394 dated February 2, 1999. C.Assessor's map 10613 dated 6-5-0[,with added 3 parcels indicated. 21. Atty.Donald F. Borenstein Cover letter for the MassfIousing model Regulatory 5-6-05 Agreement,Deed Rider,and Monitoring Services Agreement 22. North Andover Zoning Board Amended legal notice adding 3 Berry Street parcels. Town Clerk of Appeals Now 40B is Map 106.13,Parcels 63,44,74,& 75= 5-13-05 14.77 ac. for 95 units 23. William M.Hickey,328 1.New information on the 40B development on Rt. 114 6-2-05 Campbell Road 2. Latest Petition from 40B Builder Raises More Troubling Questions pp 1-5, 5-27-05. 3. E-mail Atty. Borenstein&plan,revised boundaries 4-6-05. 4. Letter to Sarah Hall,MassHousing re Town response 9-10-04. i 15. MassHousing Application letter &information 6-29- 04. 6.Housing Starts Project Eligibility Application.7. Resume,Tab J[of application package].8-15. 8 sheets of ,.� black&white site pictures. 24. One Hundred Fourteen Trust An Update June 7,2005 booklet. A.The Merrimac 6-2-05 Condominiums Sheet 1 of 2 5-27-05.B.The Merrimac Condominiums Parking Sheet I of 15-27-05.C.Site Lighting Plan SL-1 5-27-05.D.Bent'Street Proposed Improvements Sheet 1 of 1 5-27-05. E.Dermot J.Kelly Associates,Inc. Traffic Impact&Access Stud 5-31-05. 25. One Hundred Fourteen Trust A.The Merrimac Condominiums Sheet 1 of 2 rev.6-6- Recd. 05.B.The Merrimac Condominiums Parking Sheet 1 of 6-7-05 1,rev.6-6-05.C.Site Lighting Plan SL-1,rev.6-6-05. D.Berry Street Proposed Improvements Sheet I of 1, rev.6-6-05 26. One Hundred Fourteen Trust Typical Section—Building A,3 pages. [Full elevation, Rec'd. Garage elevation,Floorplan]no date 6-7-05 27. One Hundred Fourteen Trust Typical Section—Building B,2 pages. [Garage Rec'd. elevation,Floorplan] 6-7-05 28. David M.Crawley Associates Mass State Building Code Analysis Rec'd. Inc.,North Office,4 School 6-7-05 St.,Acton,MA To 3-2-06 Stephan Hauville,Unit 1 & Letter requesting perimeter fence between 1980 6-7-05 29. ' 1 o Diorio,Unit 3, 1980 Turnpike Street and 40B property. urnpike Street 30. Susan Dennett,NA Housing e-mail Minutes of Housing Partnership meeting re: 6-8-05 PartnershipCommittee Merrimac Condominiums,3-9-05 _ 31. George Koehler,NA Housing e-mail Additional comments on Merrimac 6-8-05 Partnership Committee Condominiums,4-22-05 Exhibit B -Documents-2005-003 -Page 2 R a Merrimac Condominiums Exhibit B t Item No. Document From Contents/Notes Item Date 32• One Hundred Fourteen Trust I An update July 12,2005 booklet. 1)Letter responding to Rec'd - ! P g e d 7 6-OS June 7,2005uestions 2 q Tabular Data3 P J> Amended [ Order of Conditions, 5,13'2005,3)undated e-mail to Heidi Griffin,Jacki Byerley from Chief Dolan re: the I proposed building on Rte 114,4)David M.Crawley Assoc. Inc.Architects-The Merrimac Condominiums 7`6/05,Building A Floor Plans A1.00,A1.01,Elevations A2.01,A3.01,Building Section A4.01, Building B Floor Plan A5.00,Floor Plans A5.01,Elevations A6.01, Bu Iding A7.01,6)DJK Curbcut Permit Plan,04!05/05. 33. Patrick C.Garner,Patrick C. A)The Merrimac Condominiums,Rout-e-1 14,North Recd 7-6-05 Garner,Company,Inc., 109 1 Andover,Mass.5127.05,6/6;05,711/05,sheet 1 of 2,B) Whitney Street,Northborough, ; The Merrimac Condominiums Parking,North Side of Mass.01532&Kanayo Lala, Route 114,North Andover,Massachusetts May 27, Professional Engineer,Four 12005,6/6/05,7/01/05 sheet 1 of 1 West Road,West Actor,MA _. 01720 34• i Patrick C.Garner,Patrick C. C)Berry Street Proposed Improvements Sheet 1 of 1 Rec'd 7-6-05 __ ! Garner,Company,Inc., May 27,2005,revisions JuIX 1,2005. 35. Patrick C.Garner,Patrick C. D)The Merrimac Condominiums Site-Lighting,North Rec'd 7-6-05 Garner,Company,Inc.,& Side of Route 114,03/0805,E)The Merrimac Kanayo Lala,Professional ! Condominiums Site-Lighting,North Side of Route 114 Engineer a Be Street,07/05/05 36. David M.Crawley Associates The Merrimac Condominiums,Rte 114&Berry St, Rec'd 7-6-05 Inc. North Andover,MA,Floor Plans,7!05/05,sheets S-A.1, __§-B.1,S-ABI 37. MINCO Corporation,231�- A Fiscal Impact Study prepared for One Hundred 7-5-05 Sutton Street,North Andover, Fourteen Trust,27 p.&Addendum I- Profit Analysis MA Provided by Client&Addendum I1-Scenario 2: Number of Students at Breakeven 38. Timothy B. McIntosh,P.E., Review of Merrimac Condominiums application 7-11-05 Vanasse Hangen Brustlin,Inc., 101 Walnut Street, _I.Watertown,MA 39. P.L.Hingorani,Trustee,One Letter requesting working session with a Subcommittee 7-12-05 Hundred Fourteen Trust of the board. 40. One Hundred Fourteen Trust A.Offer Alternates to North Andover ZBA,B.Alternate 8-25-05 1 The Merrimac Condominiums Parking,May 27,2005, 6/06/05,7/01/05,Alt. 8/22-05,&C.Alternate 2 The Merrimac Condominiums Parking,May 27,2005, 6/06/05,7/01/05,Alt. 8/22-05 41. NA ZBA Memo to Peter Hingorani on first response to the 8-22- 9-8-05 05 drawin s i 42. One Hundred Fourteen Trust e-mail describing alternatives 1 through 5,with 3 PDF 1-23-06 attachments: Alternate#3 -Patrick C.Gamer,Patrick C. Garner,Company,Inc., 64- Chap.40B Residences, North Andover,Mass.Jan. 12,2006,Alternate#4-[96] Proposed Multi-Family Units,Jan.07,2006, Alternative,#5- 112 Multifamily Units,Jan. 10,2006, and I CAD 43. ; Patrick C.Gamer,Patrick C. I Single&Multi-Family Units,56•-Chap.40B Recc m Garner,Copany,Inc., 109 1 Residences North Andover,Mass.,0 Patrick C.Garner 2-23-06 j Whitney Street,Northborough. 2005,Feb. 20,2006,Feb. 22,2006. Mass.01532 Exhibit B-Documents-2005-003 -Page 3 i ' Merrimac Condominiums Exhibit B Item No. Document From Contents/Notes Item Date 44. i NA ZBA Legal notice hearing continues 3-2-06&56 units down I Town Clerk from 95 ! 2-24-06 145, L�AndrewMelnikas, NA FD e-mail: Plan needs more detail, i.e. Hydrants& 12-28-06 46. Lt. Andrew'"viclnikas,NA FD e-mail 3-1-08 meeting result: residential sprinklers& 3-1-06 hydrants every 500',FD can accept 18' roadwaX 47 Alison McKay,NA Memo re: 56 Single& Multi-family concerns about 3-1-06 Conservation Administrator bridge,building setbacks from wetlands,trail,& _ ! eroded ARAD 48.8. 1 North Andover Housing Criteria for Measuring the.Appropriateness of Chapter 3-2-06 PartnershipCommittee 40B Projects,6./1/04 49. One Hundred Fourteen Trust Letter and charts re: Replace the two,5 story buildings 3-2-06 (with parking under) ...with 56 3-bedroom,single& multi&remove 1N,2N,and 3N from theapplication... 4-25-06 Comm.of Mass. Superior Summons:Keeper of Records all documents re: 3-6-06 50. Court,Civil Action No. Variance dated 4-11-01 ESCV2002-01931 51.. Patrick C.Garner,Patrick C. Single&Multi-Family Units 56—Chap.40B Residences 3-14-06 Garner,Com any,Inc. North Andover,Mass. ,Mar. 14,2006,Sheet 1 of 1 52. One Hundred Fourteen Trust e-mail Excel worksheets: 1)Build cost$per SF- Inner 3-29-06 &End units,3/24/2006;2)Discounted Cash Flow I Analysis 3-19-06;4)Proforma 3-23-06;5)ZBA$Per 5F Builders Cost 3!192006 53. One Hundred Fourteen Trust An Update April 25,2006 Affordable Housing Proposal: Rec'd 4-18- 1)Kathleen M.Bums,MassHousing letter April 12, 06 2006 PE-267 Project Eligibility(Site Approval),2) Architecturals[5 drawings dated 3/3/06,3/17/06&n.d.], 3)Dermot J.Kelly Associates,Inc.April 14,2006 response to VHB July 11,2005 report[13 pages],4) Proforma 3-23-06[11 pages]5)Waivers 6)Patrick C. i Garner Co.,Inc.-Single&Multi-Family Units,56 Chap.40B Residences North Andover,Mass.,Mar. 14, i 2006,May 4,2006,May 30,2006,sheets 1-4,7)Patrick C.Garner Co.,Inc. -Plan for ANRAD Lots 1-N thru 4- N,3-8-06,rev.,4-18-06,5-8-06,5-10-06 sheet 1 of 1,8) DJK Route 114 Curbcut Permit Plan#457,3/15/06,sheet I 1 of 1. 54, I North Andover Housing Criteria for Measuring the Appropriateness of Chapter Rec'd Partnershi Committee 40B Projects,6/1/04 4-25-06 Exhibit B—Documents-2005-003 -Page 4 w Merrimac Condominiums Exhibit B : Item No. Document From Contents/Notes Item Date To 6� 28-06 1 One Hundred Fourteen Trust An Update June 8,2006 Affordable Housing Proposal: Rec'd 55. 1)Patrick C.Garner Co.,Inc.-Single& Multi-Family 5-30-06 Units,56 -Chap. 40B Residences North Andover, I Mass.,Mar. 14,2006, May 4,2006,May 30,2006, sheets 1-4&Proposed ANR Plan, Lots IN-A thru 3N-A, May 30,2006 2)Patrick C.Garner Co.,Inc. -Plan for I ANRAD Lots 1-N thru 4-N,3-8-06,rev.,4-18-06, 5-8- 06,5-10-06 sheet 1 of l;3)David M.Crawley Assoc. Inc.Architects,Floor Plans Typical Units 5/26/06, A1.01,A2.01,Front Elevations,4/25/06 A3.01, Elevations 5/26/06,A4.01;4)NA Conservation Commission,Order of Resource Area Delineation, 5/25i06;5)Waiver s[requested];6)Proforma 5-22-06& I 6)Kanayo Lala 21-May-06 Preliminary Bid based on Plans dated 5/11/06 7); 7)DJK letter requesting MassIIighway application curbcut 5-22-06,8)DJK Route 114 Curbeut Permit Plan#457,3/15/06,sheet I of _ 1. To 8-10-06 One hundred Fourteen Trust An Update June 8,2006,duplicate of above Recd 7-5-06 56. 57. +NAZBA llen P.McIntyre,Chair, Request Town Boards/Departments response to Update 7-6-06 ^� June 8,2006 58. Susan Sawyer,NA Health Response to Update 6-8-06 pamphlet;on sewer=no 7-10-06 Administrator Health jurisdiction 59. William V.Dolan,Chief.,NA Response to Update 6-8-06;density of the structures;all FD units should be sprinkled; some must be 60. Patricia A. Leavenworth,P.E., Letter to Dermot J.Kelly re: Merrimac Condominium 5-30-06 District Highway Director, curbcut onto State route 125,Turnpike Street MassHi hwa 61. George F. Koehler,Chair, Letter to Peter(Pribhu)L. Hingorani requesting 6-9-06 North Andover Housing inclusion of play areas for children of 3 BR - Partnershi Committee develo ment. 62. Curt Bellavance,Director, Memo to Board of Selectmen re: site located on 7-21-06 Communit Development Turnpike Street 63. Alison McKay,NA Merrimack Condominiums—Berry Street/Tumpike 8-3-06 Conservation Commission Street,Applicant—One Hundred Fourteen Trust,Notes for Scott Masse Review—NACC Chair 64. Douglas C.Prentiss,P.E., JNEI Project 6139,Traffic Peer Review,Merrimac 84-06 P.T-O.E.,Judith Nitsch Condominiums 40B,Turnpike Street(Route 114)[1") Engineering,Inc., 186 Lincoln _ Street,Suite 22, Boston,MA 65: Patrick C.Gamer,Patrick C. Hydrological Study Proposed Multi-Family Units,Route 7-27-06 Garner,Company,Inc. 114,North Andover,July 27,2006[4 pages]&26 August, 1998 132 pages+ 133, 1341,received 8-8-06 66. Patrick C.Garner,Patrick C. Cover letter to Joseph D. Peznola,PE re:Hydrology, 7-28-06 Garner,Company,Inc. Merrimac Condominiums received 8-8-06 67. Patrick C.Garner,Patrick C. I Patrick C.Garner Co., Inc.—Single&Multi-Family Rec'd 8-8-06 Gamer,Company,Inc. Units,56—Chap.40B Residences,North Andover, Mass.,July 27,2006,sheets 1,2,3,4 of 8;Pre-&Post- Watersheds,Sheet 5 of 8,Utility&Drainage Sheet, L I sheets 6,7,8 of 8 68. I Lincoln Daley,NA Town I Planning Board preliminary review Merrimac I Rec'd. Planner I Condominium 40B project[3P ages) 8-9-06 j Exhibit B—Documents-2005-003-Page 5 • I A Merrimac Condominiums Exhibit B Item No. Document From Contents/Notes Item Date 69. Dermot J.Kelly Associates, August 10,2006 Response to Traffic Peer Review 8-10-06 Inc. Memorandum, 11 pages,&Appendices: 1)Nitsch ; Traffic Peer Review 84-06,7 pages,2)Accident Data and Accident Rate Calculations,3)Background trip generation,4)Level of Service Analysis,&5)The I March 16,2006 North Andover Fire Department comment memorandum and the July 10,2006 North Andover Fire Department comment letter. To 9-28-06 NA Board of Selectmen Merrimac Condominium Comprehensive Permit i 8-14-06 70. [comments]recommending Board not waive regulatory boards and commissions right to review... 71. Joseph D. Peznola,P.E., Engineering Peer Review,The Merrimac Condominiums 8-25-06 Hancock Associates,28 Lord Road,Suite 280,Marlboro, MA i 72. Lt.John Carney,NA PD Police review:2 concerns,street lighting& 18' wide 9-11-06 roadways vs.guest parking. 73. Eugene P. Willis,P.E., Merrimac Condominiums 40B...traffic review;concurs 9-20-06 Director of Engineering,NA with Nitsch Engineering report August 4,2006, DPW s ecificall ,the LOS analysis 74. Dermot J.Kelly Associates, DJK&Proponent's answer to JNEI Traffic Peer Review 9-21-06 Inc. 75. Patrick C.Garner Company, Hancock Engineering Peer Review[response] 9-21-06 Inc. 76. One Hundred Fourteen Trust "An Update[to]September 28,2006" 1)Patrick Garner response to Con Com&Planning 8-14-06 Board. 2)Patrick Garner response to Hancock 9-22-06 Engineering Hydrology Comments 3)One Hundred Fourteen Trust Tabular Data[2 pages]4)Patrick C. 9-22-06 Garner Co.,Inc.—Single&Multi-Family Units,56— Chap.40B Residences,North Andover,Mass.,July 27, 2006,Sept 20,2006,Sept 22,2006,sheets 1,2,3,4 of 8; Pre-&Post-Watersheds,Sheet 5 of 8,Utility& Drainage Sheet,sheets 6,7,8 of 8, 77. Douglas C.Prentiss,P.E., JNEI Project 6139,Traffic Peer Review,Merrimac 9-27-06 Judith Nitsch Engineering, Condominiums[2rd] Inc. 78. Joseph D.Peznola,P.E., Engineering Peer Review,Second Review,The 9-28-06 Hancock Associates Merrimac Condominiums To 11-2-06 Joseph D.Peznola,P.E., Engineering Peer Review Third Review,The Merrimac 10-26-06 79. Hancock Associates Condominiums I I I Exhibit B - Documents-2005-003 -Page 6 I g r Merrimac Condominiums Exhibit B Item No. Document From Contents/Notes Item Date 80. One Hundred Fourteen Trust An update November 2,2006: 1) Faxed res P onse of NA Rec'd _7, Public Schools,location of bus shelter 10/24/06;2) 10-27-06 Response to Joseph Peznola peer review 9-26-06;3) David C.Crawley,I'ypical Building Cross Section,Floor Plans A1.01 &A2.01, Front Elevations A3.01, Elevations A4.01,4-2`?-06 4)Waivers,5)Proforma 10- 23-06 56 Unit Merrimac Condominium.No. Andover, MA;6)Kanavo Lala 10/25/2006 Preliminary Bid based on Plans dated 10/20/06 7);Dermot J.Kelly cover letter &Appendix A. DJK better to MassHighway 5-22-06,B. MassHighway to DJK 5-30-06&C.fire emergency vehicle graphics SU-30 accessing units 5,7,&55, 101,24/06,[3 sheets] 7 8)Patrick C.Gamer Co.,Inc.- Single&Multi-Family Units,56-Chap.40B Residences,North Andover,Mass.,July 27,2006,Sept 20,2006,Sept 22,2006,Oct 17,2006,sheets 1,2,3,4 of 8;Pre-&Post-Watersheds,Sheet 5 of 8,Utility& Draina a Sheet,sheets 6,7,8 of 8. 81. Michael H. Jacobs,Michael 1)Merrimac Condominiums Financial Analysis,North 10-27-06 Jacobs MHJ Associates,41 Andover Zoning Board of Appeals,4 pages,2)Base Pro Coolidge Street,Brookline, Forma 13 pages],3)Adjusted Pro Forma[2 pages] MA 82. Douglas C. Prentiss,P.E., Traffic Peer Review [update] 11-1-06 Judith Nitsch Engineering, Inc. To 12-19-06 One Hundred Fourteen Trust Letter to Michael Jacobs re:Draft Pro Forma eliminating 11-9-06 83. 7 townhouse units&adding three single-family houses on Berry Street[on N1,N2,&N3 [M106.DP44,74, &75 84. One Hundred Fourteen Trust Proforma 49+3 11/13/06 85. Ellen P.McIntyre,Chair,NA Memo inviting Conservation Commission to 12-19-06 11-15-06 ZBA 86. Patrick C.Garner Company, Village Concept,Version 213&Version 2C,Single& 12-15-06 Inc. Multi-Family Units,56-Chap.40B Residences,North ' Andover,Mass.,July 27,2006,Sept 20,2006,Sept 22, +� 2006,Oct 17,2006, 12/07/06, 12/11/06, 12/12/06, I 12/14/06 87. Atty. Donald F. Borenstein Letter requesting 12-19-06 be continued to 1-16 or 18-07 Town Clerk Johnson&Borenstein, 12 12-26-06 Chestnut Street,Andover,MA Exhibit B -Documents-2005-003 -Page 7 1 Merrimac Condominiums Exhibit B i Item No. Document From Contents/Notes Item Date To 1-23-07 One Hundred Fourteen Trust 1 An update January 23,2007[52 units;49 3] 1)David 1-16-07 88. I M. Crawley, Registered Architect#1082- Typical Front jElevation Five Unit Complex J1-J5,5 Unit Complex J1- J5, first floor plan,Typical unit AA,BB first&second I � floor plans,Typic tl unit CC,D D first 8 second floor plans,Typical Double Unit EE first,second,third floor plans,Typical Building Cross Section,[6 p.],January 15,2007 2)Houses on Berry Street,Integrity Design, 498 Great Road,Acton,MA Owner;Builder Trust Development,Plan 2 Federal,[8 pages]Grafton,MA November 2,2006�j'2006 3)Protbrma,4)Waivers,5) Plans,6)De mott J. Kelly-Letter 1-12-07 to D. Prentiss, 7)DJK-Route 114 Curbcut Permit Plan 01/10/07&Patrick C. Garner-Multi-Family Units 49- Chap.40B Units 1/05/07, 1/09/07 1-3 sheets,Patrick C. Garner-Landscape Plans,49-Chap.40B Units, 1-2 sheets,n.d. 89. NA ZBA NA ZBA&Conservation Commission meeting notice Town Clerk 1-18-07 To3-13-07 I Patrick C. Garner,Patrick C. Hydrological Study,Proposed Multi-Family Units, 2-23-07 90. Garner,Company,Inc. Route 114,North Andover,[10 p.],88 pages,July 27, 2006,R 2/23/07 91. One Hundred Fourteen Trust An Update March 13,2007 10 1)Proforma 04-Mar-07, Rec'd 2)David C.Crawley, 8-1/2x11 of below,3)DJK Route 3-13-07 114 Curbcut Permit Plan 34-07&4)Patrick C.Garner- Multi-family units 49 40B Units 2-23-07 sheets 1-7, Watershed Areas 2-23-07sheet 1,5)David M.Crawley- Floor Plans 1-23-07 A 1.01 &A2.01 &Fiveplex Plan& Elevations,A3.01,6)Patrick C. Garner-Proposed ANR Plan Lots 1 N-A thru 4N-A,May 30,2006,rev.Aug-9, 2006 sheet I To 3-29-07 Susan Sawyer,NA Public Response to 3-13-07 One Hundred Fourteen Trust"An 3-14-07 92. Health Director Update"show on site dum sters if private trash dis osal. 93. One Hundred Fourteen Trust e-mail&attached 3-22 Proforma&3-23-07 letter to M. 3-23-07 Jacobs 94. Timothy J.Willett&Eugene Response to 3-13-07 One Hundred Fourteen Trust 3-26-07 Willis NA DPW update, To 4-10-07 One Hundred Fourteen Trust An Update April 10,2007,Affordable Housing 3-27-07 95. Proposal: 1)Proforma,2)Kanayu Lala-Engineering Estimate, 3)Zoning Chart,Zoning District(134 for lot #N4)4)Proposal Meets the Following Criteria of the Zoning Bylaw[3 pages],5)Waivers,Permits and Exemptions to Town of No.Andover By-Laws and Rules and Regulations,7 pages,6)Patrick C.Garner- i Typical Roadway Section 10-16-06,7)Patrick C.Garner I! -Watershed Areas 3-22-07,Sheet 1,-Patrick C.Garner -Multi-family units 49 3-22-07,Sheets 1-7,Patrick C. Garner-Proposed ANR Plan,May 30,2006,Aug 9, 2007,3/26/07 Sheet I 96. t Patrick C. Garner,Patrick C. Patrick C.Gamer&Kanayo C. Lala,R.P. E.,No.33710- 3-26-07 Garner,Company,Inc.& C-Hydrological Study,July 27,2006,rev 2/23/07, Kanayo C. Lala,R.P. E.,No. 31126/07,[cover, l l pages] 128 pages. 33710-C Exhibit B-Documents-2005-003 -Page 8 i a Merrimac Condominiums Exhibit B Item No. Document From Contents/Notes Item Date 97. I One Hundred Fourteen Trust e-mail& PDP of M.Jacobs e-mail correspondence re: 3-28-07 ___ fiscal anahsis of Be Street houses 98. Douglas C. Prentiss, P.E., Nitsch Project tl6139 [3d traffic peer review,2 pages] 3 29 U7 Judith Nitsch Engineering, Inc 99• One Hundred Fourteen Trust e-mail Berry Street information& PDF of attachments 3-29-07 numbered 8,9,4,1,7,5,6&2 elevations&floor Tans _ 100. Michael H.Jacobs, Michael e-mail&PDF of Merrimac Condominiums Update to 4-2-07 Jacobs MHJ Associates Financial Analysis April 2,2007[10 pages] 101. Joseph D. Peznola,P.E., Hancock Associates Engineering Peer Review,Fourth Hancock Associates 1 review[18 pages] 102. One Hundred Fourteen'Crust Composite Updates April 10,2007[documents from 2-9- Recd 4-3-07 05 application to"An Update 4-10-07' in 3-1;2"binder] 103. Patrick C.Ganser,Patrick C. e-mailed 4-5-07 letter to J.Peznola,Hancock re: 4-5-07 Garner,Company,Inc. I Wetland Waiver Narrative&44-07 letter to NA ZBA Narrative for Wetlands By-law Waiver Issues, _ Merrimack Condominiums,5 pages. To 5-3-07 Atty. Donald F. Borenstein Letter dated 4-5-07 requesting that the public hearing be 4-5-07 104. closed. 105. j Joseph D.Peznola,P.E., Summary of Outstanding Issues[9 issues,3 pages] 4-10-07 Hancock Associates 106. One Hundred Fourteen Trust Town Comments and Consultant Reviews April 10,2007 4-10-07 com ilation booklet 107. One Hundred Fourteen Trust NHESP file 07-21329(Natural Heritage&Endangered 4-17-07 Species Program)plan booklet 108. William V.Dolan,Chief,NA e-mail—OK with last revision 4-26-07 I FD 109. Alison McKay,NA Memorandum[Response to April 17,2007]agreeing 4-26-07 Conservation Administrator with the Hancock 4-2-07&4-10-07 To 5-9-07 One Hundred Fourteen Trust 1)Multi-family units,49—Chap.40B Residences,North 1 Rec'd 511-07 110. Andover,Mass.sheet 1 of 7;3-22-07,2)Building Layout Plan,49—Chap.40B Residences,North Andover,Mass,sheet 2 of 7,4-6-07;3)Building Layout Plan,49—Chap.40B Residences,North Andover,Mass. sheet 3 of 7,3-22-07;4)Drainage&Util. Plan,49— Chap.40B Residences,North Andover,Mass.,sheet 4 of 7,3-22-07;5)Drainage&Util.Plan,49—Chap. 40B Residences,North Andover,Mass.,sheet 5 of 7,4-6-07; 6)Landscaping Plan,49—Chap.40B Residences,North Andover,Mass.,sheet 6 of 7,4-6-07;7)Landscaping Plan,49—Chap.40B Residences,North Andover,Mass., sheet 7 of 7,3-22-07; 8)Proposed ANR Plan, Lots IN-A thru 4N-A,North Andover,Mass.,sheet I of 1,3-26- 1 07&CD of the 8 plans. To 6-12-07 Lt.John Carney,NA PD Memorandum responding to 4-6-07 site plans,concerned 5-11-07 Ill. that l car garage for 3 bedrooms causes stacked parking or on-street parking:police recommend against on-street arkin . To 6-28-07 Under Advisement Exhibit B—Documents-2005-003 -Page 9 Bk 10978 Po 336 `33516 11-23-2007 a 08 28ctI EXHIBIT C D 17 HO V tai i, c• E7J TOWN OF NORTH ANDOVER ZONING BOARD OF APPEALS INSUBSTANTIAL MODIFICATION OF FINDING AND DECISION (760 CMR 31.03(3)) ATTEST: ( )) A True Copy Applicant: One hundred Fourteen Trust Town Clerk Project: Merrimac Condominiums Property: Turnpike Street cit Berry Street Map 106D9 Lots 44, 63, 74 & 75 Original Decision: Comprehensive Permit Finding And Decision dated 9/11/07, filed with the Town Clerk on 9/19/07 Date: November f ; , 2007 At a public hearing held on November., 2007, the North Andover Zoning Board of Appeals ("Board") made a finding that the Applicant's Notification of Project Change dated October 12, 2007, and filed with the Board and the Town Clerk on October 12, 2007, constituted an insubstantial change and voted to modify its Original Decision as follows: 1• Replace Proposed ANR Plan with Final ANR Plan - The Original Decision's "Plans of Record", listed at Condition No. 1 at pages 3 and 4 of the Original Decision, are amended to eliminate the eighth listed plan sheet entitled "Proposed ANR Plan, Lots 1N-A thru 4N-A, North Andover, Mass." with revisions through 3/26/07, and to replace said plan with the . Applicant's Final ANR Plan, entitled "Approval Not Required Plan, Lots IN-A thru 4N-A, North Andover, Mass.", with revisions through Oct. 11, 2007 ' ("'Final ANR Plan"). The Final ANR Plan was submitted as Exhibit D to the Applicant's Notification of Project Change dated October 12, 2007, and shall now be a part of the "Plans of Record" of the Decision, as amended. !Y M 2, aoieorporate Conservation Commission Plan into Decision - The Original Decision's "Plans of Record", listed at Condition No. 1 at pages 3 and 4 of the Original Decision, are amended to include the Applicant's plan entitled, "Proposed Houses & Assoc. Utilities, Lots IN-A Thru 3N-A, North Andover. Mass." consisting of 2 sheets, with revisions through October 2, 2007 ("Berry Street Conservation Commission Plan"). The Berry Street Conservation Commission Plan was submitted as Exhibit E to the Applicant's Notification of Project Change dated October 12, 2007, and shall now be a part of the "Plans of Record" of the Decision, as amended, and control as to work on Lots 1 N-A, 2N-A, 3N-A and along Berry Street. The vote of the Board was as follows: Affirmative- 57 Negative- , I RECEIPT Printed:11-23-2007 ® 8:29:01 Essex North Registry Robert F. Kelley Register Trans#: 157751 u;)er:KEVINA Book: 10978 Pane: 310 Inst#: 33515 Ctl#: 2 Rec:11-23-2007 ® 8:28:53a DOC DESCRIPTION TRANS AMT --------- _ - DECISION Sup•charge CFA $20.00 20.00 - - __-- -- _.-- 50.00 recording fee 50.00 5.00 1-FCH FEE 5).00 Total fees: 75.00 Book: 10978 Page: 336 Inst#: 33516 Ctl#: 3 Fec:11-23-2007 ® 8:28:53a DOC DESCRIPTION TRANS AMT --- ----------- --------- MODIFICATION - Surcharge CPA $20.00 20.00 50.00 recording fee 50.00 5.00 TECH FEE 5.00 Total fees: 75.00 - - - ** Total charges: 150.00 CHECK PM 105 150.00 Bk 11044 Ps B4 -A 1875 n- 1-25-2008 a 01 = 03;� e COVER SHEET THIS IS THE FIRST PAGE OF THIS DOCUMENT DO NOT REMOVE GRANTOR GRANTEE ADDRESS OF PROftRTY CITY/TOWN TYPE OF DOCUMENT MLC ASSIGNMENT TYPE DEED 6D MORTGAGE NOTICE TYPE DISCHARGE SUBORDINATION AFFIDAVIT CERT TYPE DEC OF HOMESTEAD UCC TYPE - DEC OF TRUST OTHER DES BE Essex North Registry of Deeds Robert F. Kelley, Register 354 Merrimack St. Suite 304 Lawrence, MA 01843 (978) 683-2745 www.lawrencedeeds.com ' Y Neal Mitchell Associates 1041 Sutton Street, Northbridge, MA 01534 Tel: 508-234-8646 Fax: 508-234-8759 e-mail: nmitchell2@aol.com February 22, 2010 Mr. Gerald Brown Inspector of Buildings Building Department 1600 Osgood Street North Andover,MA 01845 RE: Unit#2 —Barlow Buildin Dear Mr. Brown: L yr 0 IS 17 S7 I have analyzed this residential structure for wind loading resistance using the Formula Method that is specified in the Massachusetts State Building Code 780 CMR—Seventh Edition. The calculations for this study are attached for your review, along with a drawing of the first floor that illustrates the 4 foot wide panel widths that were used for analysis(5602.10.1). Analysis of this Unit required three sections (Front-Middle-Back) of the Unit, while the long dimension of 59'- 6" required the use of four sections for investigation. These investigation strips are labeled A through G on the drawing. The spreadsheet illustrates that this basic structure meets the requirements of 780 CMR in terms of shear resistance for Braced Panels that are used to resist wind loading. The panel widths that were included for consideration as bracing walls utilize Method 3 (Wood Panel Structural Panel Sheathing) for the four outside walls (A, B, C, D). The base requirement for these panels to be considered as bracing panels is a length of 48", but because of the Code permits length reductions based on wall height and window opening percentage with Method 3, this dimension could be reduced to 27" (5602.10.3). The three interior sections (E, F, G) utilize Gypsum panels (Method 5), which requires panels these interior panels to have a minimum width of 48" (5802.10.4). Only wall lengths of greater than 48"were used in this analysis. Using Table 5602.10.1 this structure can be considered as Design Case 2 which required the sum of the braced walls to be 16% of the overall wall length. The spread sheet illustrates that all of the sections met this criteria because the percentage of bracing on each rectangular strip exceeded the Code minimum requirements. The interior wall strips exceeded the more stringent requirement of 25% of the length. The Garage and the Porch(if covered)require special consideration. The easiest construction solution that can be used for the Garage would be the use of an APA Portal Frame or an NBM Portal Frame. Both details are attached for your review. If a roof is added to the back Porch,the requirement will be for the use of a continuous LVL on the front and sides, and steel connector plates (2 x 10 x 1/8" bent plates) between each side of the porch posts and the bottom of the exterior LVLs. This design provides the proper portal frame strength for this porch. Please call me if you have any questions about this analysis. Sincerely, IIIUtt��// \\\\\\,\� h OF MASsgc��////i 1"101 NEAL 8. 1 . Ao :,�rU/ �U��a2V >' Ria E �o Neal B. Mitchell,Jr. P.E. III I MA#18222 Shear Wall Review Formula Method From Massachusetts State Building Code 780 CMR - Seventh Edition Neal Mitchell Associates Structural Engineers 1041 Sutton Street Northbridge, MA 01534 Tel 508-234-8646 EXPOSURE DESIGNATION WIND ,.. f PERPENDICU�"`2. TORIDGE A B C ONE-STORY OR OR TOP STORY OF 1. Exposure A. Large City centers-with at TWO-STORY (TABLES 56,1.7(9A)OR-56„7(10A); least 50%of the buildings having.a.height.in MIN.SOLID WALLLENGTH SA+B+C L _ , ; excess of 70 feet (21 336mm). Use of this _—FIRST STORY OF TWO-STORY [TABLESSs,t.7($A)OR5 it."l(t0A); exposure category shall be limited to those W MIN.SOLID VJALLLENGTH<o.E areas for which terrain representative of Exposure A prevails in the upwind direction for a distance of at least 0.5 mile(0.8 km)or ten times the height of the building or other structure, whichever is greater. Possible ---- ONE-STORY OR TOP STORY OF channeling effects or increased velocity TWO STORY gO� pressures due to the building or structure being STABLES 5611.7(98)OR 5611,7(106}J D b ` MIN+SOLID WALL LENGTH<A+B+C located in the wake of adjacent buildings shall E; ;%%' F:, ---FIRST STORY OF TYPO-STORY be taken into-account. (1ASLES 5611:7(68)OR 5611 7(1067! MIN.SOLID WALL LENGTH<D+E+F - 2. Exposure B. Urban and suburban areas, E wooded areas,or other terrain.with numerous closely spaced obstructions having the size of WIND PARALLEL single-family dwellings or larger. Exposure B TO RIDGE shall.be assumed unlessthe site;:meets the --"'--- NOTE;.EACH WALL SEGMENT(A,8,C,D AND F) definition of another type exposure. MUST MEET THE MINIMUM SOLID WALL SEGMENT LENGTH 3. ExposureC. en terrain with:scattered IN ORDER TO BE APPLICABLE TO THE MINIMUM SOLID -- "t' . WALL LENGTH EOUATIONS ABOVE, obstructions,including surface undulations Or other irregularities;having heights generally SHEAR WALL PANEL DESIGNATIONS less than 30 feet(9144 mm)extending more than 1,500 feet(457 m)from the building site in any quadrant. This exposure shall also apply 780 CMR TABLE 5611.7.4 to any building located within Exposure type WIND'VELOCITY PRESSURE FOR terrain where the building is directly adjacent DETERMINATION OF MINIMUM SOLID to open areas of Exposure C type terrain in any WALL LENGTH' quadrant for a distance of more than 600 feet WIND VELOCITY PRESSURE(psi) SPEED Exposure (183 m). This category includes flat open (-ph)' B C D country,grasslands and shorelines in hurricane 85 14 19 23 prone regions. 90 16 21 25 1 4. Exposure D. Flat, unobstructed areas 100 19 26 3 1.10 23 32 31 exposed to wind flowing over open water 120 27 38 44 (excluding shorelines in hurricane prone 130 32 44 52 regions) for a distance of at.least one mile 140 37' 51 60 (1.61 kin Shore-lines in Exposure D include 150 43 1 59 1 69' inland waterways,the Great Lakes and coastal i areas of California, Oregon,Washington and For SI: I psf=.0.0479 kN/m ; 1 mph=1.6093 km/}u a. Table values are based on ASCE 7-98 Figure 6-4 Alaska. This exposure shall apply only to using a mean roof height of 35 ft(10.7 m). those buildings and other structures exposed to b. Exposure Categories: shall be determined in the wind coming from over the water. accordance with 780 CMR 5301.2.1.4. Exposure D extends inland from the shore-line c. Design is required in accordance with ACI 3I8 and approved manufacturer guidelines. a distance Of 1,500 feet(457 m) or ten times d. Interpolation is permitted between wind speeds. the height of the building or structure; whichever is greater. WIND PRESSURE 5602.10 Wall Bracing. 5602.10.1 Braced wall lines. Braced wall lines shall consist of braced wall panel construction methods in accordance with 780 CMR 5602.10.3. The amount and location of bracing shall be in accordance with 780 CMR Table 5602.10.1. Braced wall panels shall begin no more than 12.5 feet (3810 mm) from each end of a braced wall line. Braced wall panels that are counted as part of a braced wall line shall be in line, except that offsets out-of-plane of up to four feet (1219 mm) shall be permitted provided that the total out-to-out offset dimension in any braced wall line is not more than eight feet(2438 mm). A designed collector shall be provided if the bracing begins more than 12 feet (3658 mm) from each end of a braced wall line. 5602.10.1.1 Interior Braced Walls -Spacing. Spacing of braced wall lines shall not exceed 35 feet(10,668 mm) on center in both the longitudinal and transverse directions in each story. Exception: Spacing of braced wall lines not exceeding 50 feet shall be permitted where: 1. The wall bracing provided equals or exceeds the amount of bracing required by 780 CMR Table 5602.10.1 multiplied by a factor equal to the braced wall line spacing divided by 35 feet, and 2. The length-to-width ratio for the floor/wall diaphragm does not exceed 3:1. 5602.10.3 Braced Wall Panel Construction Methods.The construction of braced wall panels shall be in accordance with one of the following methods: 1 Nominal one-inch-by-four-inch(25.4 mm by 102 mm)continuous Diagonal Braces let in to the top and bottom plates and the intervening studs or approved metal strap devices installed in accordance with the manufacturer's specifications.The let-in bracing shall be placed at an angle not more than 60 degrees(1.06 rad)or less than 45 degrees(0.79 rad)from the horizontal. 2 Wood boards of 5/8"inch (15.9 mm) net minimum thickness applied diagonally on studs spaced a maximum of 24 inches(610mm). Diagonal boards shall be attached to studs in accordance with 780 CMR Table 5602.3(1). (Fastener Schedule) 3 Wood Structural Panel Sheathing with a thickness not less than 5/16 inch (7.9 mm)for 16-inch (406 mm) stud spacing and not less than 3/8 inch (9.5 mm)for 24-inch (610 mm)stud spacing. Wood structural panels shall be installed in accordance with 780 CMR Table 5602.3(3). (Stud Spacing) 4 1/2(12.7 mm)or 25/32-inch (19.8 mm)thick Structural Fiberboard sheathing applied vertically or horizontally on studs spaced a maximum of 16 inches(406 mm)on center. Structural fiberboard sheathing shall be installed in accordance with 780 CMR Table 5602.3(1). (Fastener Schedule) 5 Gypsum board with minimum1/2-inch (12.7 mm)thickness placed on studs spaced a maximum of 24 inches(610 mm) on center and fastened at seven inches(178 mm)on center with the size nails specified in 780 CMR Table 5602.3(1)for sheathing and 780 CMR Table 5702.5 for gypsum board. (Fastener Schedule) 6 Particleboard wall sheathing panels installed in accordance with 780 CMR Table 5602.3(4) (Stud Spacing) 7 Portland cement plaster on studs spaced a maximum of 16 inches(406 mm) on center and installed in accordance with 789 CMR 5703.6(Requirements for Exterior Plaster) 8 Hardboard panel siding when installed in accordance with 780 Table 5703.4. (Fastener Schedule) Exception: Alternate braced wall panels constructed in accordance with 780 CMR Table 5602.10.6 shall be permitted to replace any of the above methods of braced wall panels. / 780 CMR TABLE 5602.10.1 WALL BRACING DESIGN CASE BASIC WIND SPEED CONDITION TYPE OF BRACE.,b AMOUNT OF BRACING Located at each end and at least every 25 One story Top of two or Methods 1,2,3,4,5,6,7 or 8 feet on center but not less than 16%of three story braced wall line for Methods 2 through 8. Located at each end and at least every 25 First story of two story feet on center but not less than 16%of /7 Second story of three story Methods 1,2,3,4,5,6,7 or 8 braced wall line for Method 3 and 25%of L braced wall line for Methods 2,4,5,6,7 100 mph and less or 8. Minimum 48-inch-wide panels located at First story of three story Methods 2,3,4,5,6,7 or 8 each end and at least every 25 feet on center but not less than 25%of braced wall line for Method 3 and 35%of braced wall line for Methods 2,4,5,6,7 or 8. Located at each end and at least every 25 One story Top of two or feet on center but not less than 16%of three story Methods 1,2,3,4,5,6,7 or 8 braced wall line for Method 3 and 25%of braced wall line for Methods 2,4,5,6,7 or 8. Located at each end and at least every 25 Less than 110 mph First story of two story feet on center but not less than 30%of Second story of three story Methods 2,3,4,5,6,7 or 8 braced wall line for Method 3 and 45%of braced wall line for Methods 2,4,5,6,7 or 8. Located at each end and at least every 25 feet on center but not less than 45%of First story of three story Methods 2,3,4,5,6,7 or 8 braced wall line for Method 3 and 60%of braced wall line for Methods 2,4,5,6,7 or 8. Located at each end and at least every 25 One story Top of two or Methods 2 3 4 5 6 7 or 8 feet on center but not less than 20%of , , , , , three story braced wall line for Method 3 and 30%of braced wall line for Methods 2,4,5,6,7 or 8. Located at each end and not more than 25 Less than 110 mph First story of two story Methods 2,3,4,5,6,7 or 8 feet on center but not less than 45%of p Second story of three story braced wall line for Method 3 and 60%of braced wall line for Methods 2,4,5,6,7 or 8. Located at each end and not more than 25 feet on center but not less than 60%of First story of three story Methods 2,3,4,5,6,7 or 8 braced wall line for Method 3 and 85%of braced wall line for Method 2,4,5,6,7 or 8. Located at each end and at least every 25 feet on center but not less than 25%of O One story Top of two story Methods 2,3,4,5,6,7 or 8 braced wall line for Method 3 and 40%of braced wall line for Methods 2,4,5,6,7 or 8. Less than 110 mph Located at each end and not more than 25 1 1 feet on center but not less than 55%of First story of two story Methods 2,3,4,5,6,7 or 8 braced wall line for Method 3 and 75%of braced wall line for Methods 2,4,5,6,7 or 8. Located at each end and not more than 25 Cripple walls Method 3 feet on center but not less than 75%of 12 braced wall line. a.Foundation cripple wall panels shall be braced in accordance with 780 CMR 5602.10.2. b.Methods of bracing shall be as described in 780 CMR 5602.10.3. The alternate braced wall panels described in 780 CMR 5602.10.6 shall also be permitted. c.When the dead load of the roof/ceiling exceeds 15psf,the bracing amounts shall be increased in accordance with 780 CMR 5301.2.2.4. Bracing required for a site's wind speed shall not be adjusted. MINIMUM LENGTHS OF PANELS 5602.10.4 Length of Braced Panels. For 780 CMR 5602.10.3 Methods 2., 3., 4., 6., 7. and 8., each braced wall panel shall be at least 48 inches (1219 mm) in length, covering a minimum of three stud spaces where studs are spaced 16 inches (406 mm) on center and covering a minimum of two stud spaces where studs are spaced 24 inches (610 mm) on center. For 780 CMR 5602.10.3 Method 5 (Gypsum Panels). each braced wall panel shall be at least 96 inches (2438 mm) in length where applied to one face of a braced wall panel and at least 48 inches (1219 mm)where applied to both faces. Exceptions: 1 Lengths of braced wall panels for continuous wood structural panel sheathing shall be in accordance with 780 CMR 5602.10.5. 2 Lengths of alternate braced wall panels shall be in accordance with 780 CMR 5602.10.6. 5602.10.5 Continuous Stuctural Panel Sheathing. When continuous wood structural panel sheathing is provided in accordance with 780 CMR 5602.10.3 Method 3. on all sheathable areas of all exterior walls, and interior braced wall lines, where required, including areas above and below openings, braced wall panel lengths shall be in accordance with 780 CMR Table 5602.10.5. (Below) Wood structural panel sheathing shall be installed at corners in accordance with 780 CMR Figure 5602.10.5. The bracing amounts in 780 CMR Table 5602.10.1 for 780 CMR 5602.10.3 Method 3 shall be permitted to be multiplied by a factor of 0.9 for walls with a maximum opening height that does not exceed 85% of the wall height or a factor of 0.8 for walls with a maximum opening height that does not exceed 67%of the wall height. Multiply by(0.9)When the opening does not exceed 85% of the Wall Height Multiply by(0.8)When the opening does not exceed 67% of the Wall Height 5602.10.6 Alternate Braced Wall Panels. Alternate braced wall lines constructed in accordance with one of the following provisions shall be permitted to replace each four feet (1219 mm) of braced wall panel as required by 780 CMR 5602.10.4: 1. In one-story buildings, each panel shall have a length of not less than two feet, eight inches (813 mm) and a height of not more than ten feet (3048 mm). Each panel shall be sheathed on one face with d-inch minimum- thickness (9.5 mm) wood structural panel sheathing nailed with 8d common or galvanized box nails in accordance with 780 CMR Table 5602.3(1) and blocked at all wood structural panel sheathing edges. Two anchor bolts installed in accordance with 780 CMR Figure 5403.1(1) shall be provided in each panel. Anchor bolts shall be placed at panel quarter points. Each panel end stud shall have a tie-down device fastened to the foundation, capable of providing an uplift capacity of at least 1,800 pounds(816.5 kg). 2. In the first story of two-story buildings, each braced wall panel shall be in accordance with 780 CMR 5602.10.6 Item 1, except that the wood structural panel sheathing shall be provided on both faces, sheathing edge nailing spacing shall not exceed four inches on center, at least three anchor bolts shall be placed at '/s points, and tie- down device uplift capacity shall not be less than 3,000 pounds(1360.8 kg). 780 CMR TABLE 5602.10.5 LENGTH REQUMEMENTS FOR BRA CED WALL PANELS INA CONTINUOUSLY SHEATHED WALL-,b MINIMUM LENGTH OF BRACED WALL PANEL MAXIMUM OPENING HEIGHT NEXT TO THE inches BRACED WALL PANEL 8-foot wall 9-foot wall 10-foot wall (%of wall height) 48 54 60 100% 32 36 40 85% 24 27 30 1 65% For SI: 1 inch=25.4 min,1 foot=305 mm, 1 pound per square foot=0.0470kN/m'. a. Linear interpolation shall be permitted. b.Full-height sheathed wall segments to either side of garage openings that support light frame.roofs only,with roof covering dead loads of 3 psf or less shall be permitted to have a 4:1 aspect ratio. EI-6" 61� " n " 3'-0" 3'-0" V-SWI 1I-0" 41$n 714" D 4'WID 8 TOO 3-r X 'POOT IF F7 I k 15 r x •POOT s-r X 'POOT1-2"x 'POOP O e C A A DO)(®OUT WlmOW ' u —� 7 I M I771d 60" KWM WALL 60" e-s�a 52" - -�`' - 63" 4811 10 AREA KITCHEN ]•X b'RAFTEIM � 11 I ROOF PRCN O/tl e - Q 11 60 4 4 132 ING RO----------------- 19811 CA,H®RAL�LM6 I ]'X W FALOE RAMER6 ro� - N I I II fV _ KNIN WALL -- -] 11 TO I I'§ _ H-2'X 4'POOL 106 r X••WALL y4{LL _3'-0• 7011 5 31-II=IJII 11 E X GT'P6UM eo4l OO ip HQR18Q TO 6E1'ARATE THE -- -- - ------ G AND SNE PWM-LNG LMe 10'FLOOR JOIOTO N'O.C. n Q CMR 3603,5.2 20 MINUTE FIRE a o�R Y 4 56" 456" - GARAGE DOOR 11'-6n II - ------ 156 240LIVING RO 6011 4 STUDY TC 08AM Y - FOYER FLOOR -------------==°=='======__-------==°--------__ ___= OPEN TO - 48° _ § A50VE r 48" B-2'X 4'F'OOT a IIS II O" TWO CAR GARAGE o e x..CO A imm o " o OPTIONAL o Q 4 2X e•RAFTERO 10•oa 4 p 410 PrMW 40" COVERED PORCI-I 3011 oil CD �D er�Pe 1� •r X 4'POOT 44'-0n 9•2'X 4'FOOT 520 -0• DE4M 714" l'-0" 6'-10" -IOn 1'-0u 4 " 44'-0" 3g'$I' Le,-r SA AA`^1I �T• �I�11 .`�-A'"p'v 1/Wf FIRST FLOOR PLAN UNIT #2. Neal Mitchell Associates = Braced Panel MASS BUILDING CODE Structural Engineers 1041 Sutton Street SM Northbridge, MA 01534 S H EA RWA L L STUDY TEL: 508-234-8646 Neal Mitchell Associates Structural Engineers BRACED WALL LINE CALCULATIONS [5602.10] Project Location = North Andover Date=I/22/2010 Contractor's Name= Unit#2- Barlow Buil,4ng Exposure=4jOB Design Wind Speed= ',,"100 mph Wall Material From [5602.10.3] Design Pressure= 19 psf Bracing Method = 3 ft in Wall Ht 9 «.-.. 114 in Side A x`59.5 ft Wall "A"Area= 81,396 int Side B= "59.5 ft Wall "B" Area = 81,396 in2 Side C= 38 ft Wall "C"Area = 51,984 in2 Side D X34 ft Wall "D"Area = 46,512 in2 261,288.in2 Total Height Width Area Number of Window in in in2 Windows Area Window Sizes 60 -36 2160 . 10 21,600 in2 84 `" 72 6048 r 181144 in2 0 in2 0 0 in2 Average= 72 in 39,744 in2 %Window Area 15 % %Wall Area = 85 % Window Ht To Wall Ht- 63 From [5602.10.1] From [5802.10.4] Design Case = 2 Minimum Panel Size= 48 in -Typical Wall Minimum Panel Size = 96 in-Gypsum Wall From [5602.10.1] Min Bracing Length Side A= 1141 in Min Wall Percentage= 16 y6 Min Bracing Length Side B= 114 in (16%, 20%, 25%, 35%,45%,55%, 60%, 75%) Min Bracing Length Side C 73 in Min Bracing Length Side D= 65 in Check Shear Resisting Walls For Bracing Walls Provided Neal Mitchell Associates Structural Engineers FOR PANELS CONTINUOUSLY SHEATHED Maximum From f5602.10.51 Opening Panel Length Requirements 100% 57 in 114 in 85% 38 in 97 in 65% 29 in 74 in Selected Minimum Bracing Wall Section= 30'in Minimum Length Reduction(Method 3)= 38in Shear Resisting Walls - Length Of Qualifying Wall Segments(in) (NOTE: NEGLECT ANY WALL SIZES BELOW MINIMUM) Exterior Exterior Exterior Exterior Interior Interior Interior Line A B C D E F G 60 - 49 60 198 240 ; 132 300 60v 40 70 60" 156 1t 52 40 96 r..6 4, 48 52 48 41 inches 283 177 278 258 240 288 406 Min Required '- 114: 114 73 65 114 102 179 Ok Ok Ok Ok Ok Ok Ok Length of Panel Line (in) 714 ' 714 456 408 456 408 714 Percentage of Bracing 40% 25% 61% 63% 53% 71% 57% Percentage Required 16% 16% 16% 16% 16% 16a/ 16% Check of[5602.10.1] If The Spacing Between Shear Walls Exceeds 35 Feet,An Exact Analysis Is Required The Garage Face-Walls Require Either The APA Portal Frame Or The NBM Portal Frame TYPICAL CORNER DETAILS CONTINUOUS OS OVA "P 0188 OR PLYWOOD OUT CD CORNUt SHEATHING THING A URNS $ OVERLAP SHF-AINNG NAILS 1 f .. .ON ALL FRAMED M EMBEF0 NOT AT PANEL MMES(FIELDJ 8d N *SCF N ALL PANEL EDWS INSIDE OE _ ON ALL n" ltd NAILS LZ 1T 0,C',-ON WMED MEMBERS,WT AT PANEL EDGES(FIELD) .........___ Neal Mitchell Associates Engineers 1041 Sutton Street Northbridge, MA 01534 Tel: 508-234-8646 ChujtsidEl vaatio Extent of header (Iwo braced wall segments) Extent of header (ane braced wall moment) R, i 0 n 00 -- to 18 (finished width) Fasten shecthinto Meader i� T<> g at ;�.. n nails i ' cid aarti �u� i pattern its shams and o.c. in required per all framing ing (studs and sills) ty�p. R60 '� J ai t *+*� 1000 11 helader-ta-jack.,stud strop an bath sides of opening u (install an backside as shown on Max. 1, fide Flratiart f. . A24) tiii height Milt. (2) 2x4 p• If panel splice is needed it shall Braced `Moll occur within 24" of mid-height, merit r Al III- R602.10.5 Bloc ing is not required. � l Min wide ''+sed on 6:1 f nl- height-to-widthratio: For jack studs J N I " e ac ple.1 � min. far V height, per table 20 for_1 0heights, etc. 8502.5 11 2 I �►�.l ' ; ` Min. Tx2 O/l & plate washerkN Anchor bolt per Rd�03.1•gib Tip. I�III IR�kf RPH NHRROW WHI.I. BRHIIN6 METHOD FRAMING TIPS The APA Narrow Wall Bracing Method is a simple, site-built solution that allows builders to construct segments as narrow as 16 inches next to window and door openings. Be sure to check for these essential details when constructing the APA Narrow Wall Bracing Method around garage openings. For complete information on the APA Narrow Wall Bracing method and its applications in locations other than the garage,please see APA publication Narrow Walls That Work, Form D420. ;o Wall o ` sheathing must extend up over , 6 header o a a tl i MA t. iltl r p tll tl; i R OR Nail schedule 8d common EXTERIOR at 3"o.c. VIEW OF �r GARAGE OPENING Wall sheathing - must extend up over olb,r ;oia header o'o 00 z � n:o r oq. s s Sheathing °,°t joint at 6:111 p;q 7 PP a rox. mid height Nail schedule 0 ;0 I©s® �° 8d common at 3 o.c. 4 APA THE ENGINEERED WOOD ASSOCIATION yj vvu 3 Extend header to king stud LD a Nail top plate to header with two rows of 16d nails at 3"o.c. F o r%. H r INTERIOR VIEW OF l GARAGE OPENING i �% o Install o 0 1000-Ib strap 3ZZ, , d 2 anchor bolts with min. 2"x 2"x 3/16" wlate washers s o Nail corner studs together p o y� 0 2 rows of 16d at 24"o.c. i Stud optional to s support interior finish O ,, f 5 — Gypsum optional .. 0 8d at 61 O.C. z F L o r r sir; r a \� 8d at 3"o.c. e ` w (PLAN VIEW OF CORNER DETAIL) 0 2 a We have field representatives in many major U.S.cities and in Canada who DISCLAIMER can help answer questions involving APA trademarked products.For additional The information contained herein is based on APA—The Engineered Wood 0 assistance in specifying engineered wood products,contact us: Association's continuing programs of laboratory testing,product research, and 5 comprehensive field experience. Neither APA, nor its members make any war- p APA—THE ENGINEERED WOOD ASSOCIATION rant),expressed or implied,or assume any legal liability or responsibility for the HEADQUARTERS use,application of,and/or reference to opinions, findings, conclusions, or rec- 0 7011 So.19th St.-Tacoma,Washington 98466 ommendations included in this publication. Consult your local jurisdiction or 0 (253)565-6600•Fax:(253)565-7265 design professional to assure compliance with code, construction, and perfor- 3 mance requirements. Because APA has no control over quality of workmanship o I� or the conditions under which engineered wood products are used, it cannot w accept responsibility for product performance or designs as actually constructed. w77Z Z W PRODUCT SUPPORT HELP DESK (253)620-7400•E-mail Address:help@apawood.org APA i Q n¢ Form No. WOOD ASTHE SOCNEERED IATION 0o Issued January 2006006/0010 N Q N JT mood Connections Are 3-3/8" TrussLak Screwy Columns Are 3 .1/2 x 6 7/8 Anthony Paver Col' Bea�rns Are (2) 1' 75 x 11 .875 LVL 11 Connector Plates Are 14 Gauge - Except h " Thick 17 x 6 x 3/8 "L" Base Connector Y 6" M 6 7/8" 3 1/2" 1/4" Bent Capr� Plate With (+ or -) 2" ° M Height Adjustmenty � On 4 17x6x1/4" 9x67/8x9" N Bent L Plate Witl Bent U Plate9 - 3 3/8 TrussLc Screws co 4 Fou dation Anc iors 4" 1.75" zns COLUMN ANCHORS f BLUELINX CORPORATION Dan LaBastie 17 Feb 2010 3:51 pm 4300 Wildwood Parkway , Atlanta, GA. 30339-8401 (770)953-7000 FASTBeam@ Engineering Analysis @1996-2009 Georgia-Pacific Corporation Version: 10 1 Build: 10 1 0 18 Project : 100215_TRUST_LOT3BERRYSTNANDOVER.FBD Mark# : GDH Usage : Beam (Floor) Spacing (in.) : 0.0 Max Defl : LL= L/360 TL= L/240 3.5",625 psi 5.5",625 psi 5.5",625 psi 3.5",625 psi 9,. 9'3" 2'0" 9'3" 1'9" LOADS Project Design Loads:Floor. Live=40 psf, Dead=10 psf-Roof.'Live=50 psf, Dead=15 psf. Live+Dead Ld(T) Live Ld(L) LDF Location* # Shape @Start @End @Start @End Span# Starts Ends Additional Info 1 Span Carried(psf) 50 40 100% 0 0101. 24-0" 12'0"s.c.-2nd floor 2 Span Carried(psf) 65 50 115% 0 0101, 24'0" 12'0"s.c.-roof +Wall(plf) 60 0 0 0'0" 24'0" roof Uniform(plf) 11 0 0 0 24'0" Self Weight *Dimensions measured from left end when span#is 0, otherwise,from left end of the specified span. SUPPORTS(Ibs) 1 2 3 4 Max R'n 3603 5351 5352 3603 Min R'n 1272 356 356 1272 DL R'n 1272 1384 1384 1272 Min Brg(in.) 3.00 3.00 3.00 3.00 [Based on bearing stress below] Brg Str(psi) 625 625 625 625 DESIGN Value Span X Group Allow LDF Ratio V(lbs) 2589 4 0'Y 63 9080 115% 0.29 M(ft-lbs) 4764 4 010.. 63 21942 115% 0.22 IntRn(lbs) 3603 0 1191, 64 7656 0.47 See Note#4 LLDefl(in.) 0.05 4 4'8" 66 0.31 U2092 TLDefl(in.) -0.04 1 0.0.. 65 0.20 2U-1050 USE., GPLAM 2.0E 1.75x11.88"2 Plies (Grade, Depth, Plies selected by user) GP LAM tm Georgia-Pacific Wood Products, LLC NOTES : 1.Designed in accordance with National Design Specifications for Wood Construction and applicable Approvals or Research Reports. 2.Provide full depth lateral support at all bearing locations.Allowable positive moment is calculated based on top edge laterally supported @16" o.c. 3.Allowable negative moment is calculated based on bottom edge laterally unsupported between bearing locations. 4. This reaction is based on the combination of loads&duration factors that produces the highest stress ratio and may be less than maximum reaction. Therefore,when reaction values are required, use Max R'n from 'Supports'section above. 5.Bearing length(Min Brg(in.))based on allowable stress of support material(Brg Str(psi));support material capacity shall be verified(by others). 6. This engineered lumber product has been sized for residential use.A concentrated load check,per the building code,must be performed for commercial uses. 7.For beams with loads applied equally to both plies,either top or side loaded,nail plies together with 2 rows of 16d nails @ 12"o%(one row 2" from top,one row 2"from bottom). 8.For beams with loads not applied equally to all plies,refer to Fastening Recommendations for Side-Loaded,Multiple-Piece Members in the GP Engineered Lumber Residential Floor&Roof Systems Product Guide. 9.Max/Min reactions are based on the applicable load combinations outlined in the notes.Summation of max/min reactions for various DOL may not match total max/min reaction. 10.Analysis valid for dry-use only(less than 16%moisture content). 11. Company,product or brand names referenced are trademarks or registered trademarks of their respective owners. 12.Allowable upward deflection for cantilever is the greater of 0.20"or the cantilever span(inches) multiplied by 2 and divided by the factor shown in Max Dell(located above beam drawing). OF ILf,9s, 13.For explanation of GROUP,change to expanded printout. cSq 02� PAUL c FEB 17 ST W RIJCTENNE URA URAI. A '9 No. 39953 C � 9� Cts P�\�44r f � BLUELINX CORPORATION Dan LaBastie 17 Feb 2010 3:51 pm 4300 Wildwood Parkway , Atlanta, GA. 30339-8401 (770)953-7000 FASTBeam@ Engineering Analysis @1996-2009 Georgia-Pacific Corporation Version: 10.1 Build: 10.1.0.18 Project: 100215_TRUST_LOT3BERRYSTNANDOVER.FBD Mark* : 2FI31 -Over Garage Usage : Beam (Floor) Spacing (in.) : 0.0 Max Defl : LL= L/360 TL= L/240 5.5",750 psi 5.5",750 psi 24'0" LOADS Project Design Loads:Floor:Live=40 psf,Dead=10 psf,-Roof:Live=50 psf, Dead=15 psf. Live+Dead Ld(T) Live Ld(L) LDF Location* # Shape @Start @End @Start@End Span# Starts Ends Additional Info 1 Span Carried(psf) 50 40 100% 0 0'0" 24'0" 24'0"s.c.-2nd floor 2 Span Carried(psf) 30 20 100% 0 010.. 24'0" 12'0"s.c.-attic +Wall(plf) 60 0 0 0.01. 24'0" attic 3 Span Carried(psf) 65 50 115% 0 0101, 24'0" 24'0"s.c.-roof Uniform(plf) 34 0 0 0 24-0" Self Weight "Dimensions measured from left end when span#is 0 otherwise from left end of the specified span SUPPORTS(lbs) 1 2 Max R'n 16248 16248 Min R'n 5448 5448 DL R'n 5448 5448 Min Brg(in.) 4.13 4.13 (Based on bearing stress below] Brg Str(psi) 750 750 DESIGN Value Span X Group Allow LDF Ratio V(lbs) 13243 1 21'9" 61 27386 115% 0.48 M(ft-lbs) 97485 1 12'0" 61 128412 115% 0.76 LtRn(lbs) 16248 0 0.01. 61 21656 0.75 See Note#3 RtRn(lbs) 16248 0 24'0" 61 21656 0.75 See Note#3 LLDefl(in.) 0.62 1 12'0" 61 0.80 U462 TLDefl(in.) 0.94 1 12'0" 61 1.20 L/307 USE. GPLAM 2.0E 1.75x23.88" 3 Plies (Grade, Depth Plies selected by user) GP LAM tm Georgia-Pacific Wood Products, LLC NOTES : 1.Designed in accordance with National Design Specifications for Wood Construction and applicable Approvals or Research Reports. 2.Provide full depth lateral support at all bearing locations.Allowable positive moment is calculated based on top edge laterally supported @16" o.c. 3. This reaction is based on the combination of loads&duration factors that produces the highest stress ratio and may be less than maximum reaction. Therefore, when reaction values are required, use Max Rn from 'Supports'section above. 4.Bearing length(Min Brg(fn.))based on allowable stress of support material(Brg Str(psi));support material capacity shall be verified(by others). 5. This engineered lumber product has been sized for residential use.A concentrated load check,per the building code,must be performed for commercial uses. 6.For beams with loads applied equally to the top of all plies,nail plies together with 3 rows of 16d nails @ 12"o/c(one row 2"from top,one row at mid-depth,one row 2"from bottom). Specified attachment is from each side. 7.For beams with loads not applied equally to all plies,refer to Fastening Recommendations for Side-Loaded,Multiple-Piece Members in the GP Engineered Lumber Residential Floor&Roof Systems Product Guide. 8.Max/Min reactions are based on the applicable load combinations outlined in the notes. Summation of max/min reactions for various DOL may not match total max/min reaction. 9.Analysis valid for dry-use only(less than 16%moisture content). 10. Company,product or brand names referenced are trademarks or registered trademarks of their respective owners. 11.For explanation of GROUP, change to expanded printout. OF M'qS PAI,1t. FEB 7 M. WEHNER , STRUCTURAL 2 SMO. 399530 Q gp�, IST IO A .The Commonwealth of Massachusetts Department of Industrid Accidents Office of InvestIgations 600 !Kishingten Street Beston; AM 02111 r' www.mass.govAUa W6rkers° Compensation Insurance Affidavit: Baiiders/Cont actorslEtectricians/Plumbers A licant Information Please PdRtLegg bl Name(Business%organization/lttdividual): TV 16ac Address: P L� dx 1 pity/State/Zip: (Y)A Phone.#: Are you an employer?Cheek tate appr4i Tate byx: Type of ro ject(required). ' 4. [�I am a general contractor and I i.[`'�I am a employer with 6. New construction VIT19yetis(full and/or part-time).* have hired the;sub-contractors listed on the•attached sheet. 7. [1 Remodeling ship and have no employees . 2•❑ T am a sole proprietor or partner- Tlretle T.txa sub-co� ctors have S. ❑Demolition • working forme in any capacity, eaployees and have workers .9. ❑Building•arddition [No workers'comp.insurance camp.insurance.t.' 5. [� We are a corporation and its 10.Q Electrical repairs or additions required.],• officers have exercised their 11,[]Plumbing repairs or additions 3.❑ I am a homeowner doing all work GL right df exemption per M myself,[No workers comp. 12.0 Roof repairs insurance required.]t c.152,§1(4), and we have no employees.[No workers' I3.[]Other pomp.insurance required.] *Atiy applicant that cheeks box#1 must also fill out the section below showing theeir workcrs'sown motion policy information. t Harmownenn who submit this affidavit indicating they are doing all work sad then hire outside aintractora must m ibmit a new affidavit indicating.aA. $CMUSetors that check this box must unshod an additional sheet ahowing the name of the sub-contractors and stato whether or not lbose entities have employees, if the sub-eontraetor's.hatie mttployees,they must provide their workrn'eomp:policy number, ,ram,an employer drat is providing workers'compensation insurance for my employees. Below is the policy.and job due Information, (� f I �vnnlu� ffT Insurance Company lam /�S e: 3 oc'C�(fX — Policy#or Self-ins.Lic. Expiration Date: (.Zl U A C) Sob Site Addraas: _ } r lV— 8e rr S� City/Stawnp: &Ic�4, X) vt•�M.I/o i i,r Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure.to eosins coverage as required Hader Section 25A of MOL c. 152 can lead to the imposition of criminal penalf-s'of a fine up to$1,500.00 and/or one-year imprisorunent,as well as civil penalties is the form of a STOP WORK ORDER and a fine of up to 5250.00 a day against thq violator.-Be advised that a copy of this statament may be forwarded-to the Office of Investigations'rgy"ggations of the DM jbr k6guMe 29MOMe veri$ca JL fare.by c e p penalties of perjury that the information provided aboveis true and correctffl r Phone# 5 t7 };18-Cly —— useo y. o not write this area,to a comp by or town vfflclaL City or Town:• Perniit/License# Issuing Authority(circle one): I.board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector - 6.Other Contact Person; Phone#: 1' R REScheck Software Version 4.3.0 Compliance Certificate Project Title: 100112_Trust Lot39Grafton Energy Code: 2006 IECC Location: Grafton,Massachusetts Construction Type: Single Family Conditioned Floor Area: 2700 ft2 Glazing Area Percentage: 15% Heating Degree Days: 6698 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: Lot 39 Grafton,MA Compliance: Maximum UA:438 Your UA:431 Y1 . 4 5 b WOW �!7' i`P $C� ik'S p 's-8'�Cr l� ,may . a Floor 1st:All-Wood Joist/•fruss:Over Unconditioned Space 1401 30.0 0.0 46 Wall 1st fir 2x6:Wood Frame,16"o.c. 1467 19.0 0.0 69 Window 1st fir DH:Vinyl Frame:Double Pane with Low-E 150 0.340 51 SHGC:0.29 Window 1 st fir Case/Awn:Vinyl Frame:Double Pane with Low-E 11 0.310 3 SHGC:0.25 Door Slider:Glass 120 0.340 41 SHGC:0.57 Door Front Fiberglass:Solid 20 0.150 3 Door Sidelites&transom:Glass 19 0.330 6 SHGC:0.19 Wall 1 st fir 2x4:Wood Frame,16"o.c. 144 15.0 0.0 10 Door Metal:Solid 18 0.160 3 Ceiling 1st-Family Rm:Cathedral Ceiling(no attic) 336 30.0 0.0 11 Floor 2nd over garage:All-Wood Joistffruss:Over Unconditioned 288 30.0 0.0 10 Space Wall 2nd fir:Wood Frame,16"o.c. 1432 19.0 0.0 76 Window 2nd flr DH:Vinyl Frame:Double Pane with Low-E 148 0.340 50 SHGC:0.29 Window 2nd fir CSMT:Vinyl Frame:Double Pane with Low-E 14 0.310 4 SHGC:0.25 Ceiling:Flat Ceiling or Scissor Truss 1129 30.0 0.0 40 Ceiling Master:Cathedral Ceiling(no attic) 224 30.0 0.0 8 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 2006 IECC requirements in REScheck Version 4.3.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: 1001 12Trust_Lot39Grafton Report date:01/18/10 Data filename:\\Whitinsrv\sales\Ebbeling_Ed\100112_Trust_Lot39Grafton\Resck\100112_Trust_Lot39Grafton_Resck.rck Page 1 of 4 r REScheck Software Version 4.3.0 Inspection Checklist Ceilings: ❑ Ceiling 1st-Family Rm:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: ❑ Ceiling:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: ❑ Ceiling Master:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1st fir 2x6:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: ❑ Wall 1st fir 2x4:Wood Frame,16"o.c.,R-15.0 cavity insulation Comments: ❑ Wall 2nd flr:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: Windows: ❑ Window 1st flr DH:Vinyl Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes-Frame Type Thermal Break?-Yes No Comments: ❑ Window 1 st fir Case/Awn:Vinyl Frame:Double Pane with Low-E,U-factor:0.310 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?-Yes_No Comments: ❑ Window 2nd fir DH:Vinyl Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes_Frame Type Thermal Break? Yes No Comments: ❑ Window 2nd fir CSMT:Vinyl Frame:Double Pane with Low-E,U-factor:0.310 For windows without labeled U-factors,describe features: #Panes_Frame Type Thermal Break?_Yes-No Comments: Note:Up to 15 sq.ft.of glazed fenestration per dwelling is exempt from U-factor and SHGC requirements. Doors: ❑ Door Slider:Glass,U-factor:0.340 Comments: ❑ Door Front Fiberglass:Solid,U-factor:0.150 Comments: ❑ Door Sidelites&transom:Glass,U-factor:0.330 Comments: ❑ Door Metal:Solid,U-factor:0.160 Project Title: 100112_Trust_Lot39Grafton Report date:01/18/10 Data filename:\\Whitinsrv\sales\Ebbeling_Ed\100112_Trust Lot39Grafton\Resck\100112_Trust_Lot39Grafton_Resck.rck Page 2 of 4 s. Comments: Floors: ❑ Floor 1st:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. ❑ Floor 2nd over garage:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights are either 1)Type IC rated with enclosures sealed/gasketed against leaks to the ceiling,or 2)Type IC rated and ASTM E283 labeled,or 3)installed inside an air-tight assembly with a 0.5"clearance from combustible materials and a 3"clearance from insulation. Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Vapor Retarder: ❑ Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: Materials Identification and Installation: ❑ Materials and equipment are installed in accordance with the manufacturers installation instructions. ❑ Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts in unconditioned spaces or outside the building are insulated to at least R-8. ❑ Ducts in floor trusses above unconditioned spaces or above the outdoors are insulated to at least R-6. Duct Construction: ❑ Air handlers,filter boxes,and duct connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mechanically fastened. ❑ All joints,seams,and connections are made substantially airtight with tapes,gasketing,mastics(adhesives)or other approved closure systems.Tapes and mastics are rated UL 181A or UL 181 B. ❑ Building framing cavities are not used as supply ducts. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. ❑ Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliance with the International Mechanical Code. Temperature Controls: ❑ Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Circulating Service Hot Water Systems: ❑ Circulating service hot water pipes are insulated to R-2. ❑ Circulating service hot water systems include an automatic or accessible manual switch to tum off the circulating pump when the system is not in use. Certificate: ❑ A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment. NOTES TO FIELD:(Building Department Use Only) Project Title: 100112—Trust_Lot39Grafton Report date:01/18/10 Data filename:\\Whitinsrv\sales\Ebbeling_Ed\100112_Trust_Lot39Grafton\Resck\100112_Trust_Lot39Grafton_Resck.rck Page 3 of 4 Project Title: 100112—Trust_Lot39Grafton y Report date:01/18/10 Data filename:\\Whitinsrv\sales\Ebbeling_Ed\100112_Trust_Lot39Grafton\Resck\100112_Trust_Lot39Grafton_Resck.rck Page 4 of 4 w +r 2006 DECC Energy Efficiency Certificate Ceiling/Roof 30.00 Wall 19.00 Floor I Foundation 30.00 Ductwork(unconditioned spaces): R7M,3&W6hft Window 0.34 0.29 Door 0.34 0.57 Water Heater: Name: Date: Comments: NORTH TO" of _ 4Andover . No. Z'.x2, Z/ = dover, Mass., o r LA �. COCHICHEWICK �!�A any ORATED PP �y '9S E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System / BUILDING INSPECTOR THISCERTIFIES THAT..................... ............................................................................................ Cy' -°/ —" ..r.................................................. Rough has permission to erect........................................ buildings on.. ......`..................... ... to be occupied as........................... .................J ... . . . . . . . . . ......... ................................. Chimney provided that the person accepting this permit shall in every respect conf m to the terms of the application on file in Final 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 CONSTRUCTION STARTS Rough .................... ..... . ..... '.............................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to OW cpy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. t 1 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Z�7 3, 5 Total land area, sq. ft.. 3, (00 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 I NOTES and DATA— For department use lu,I❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 r I J 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 NOTE: 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/Crossection/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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of BI p p dg 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 ❑ . Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: 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: Doc.Building Permit Revised 2008 t SS4CHU CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 642-2011 Date: September 22, 2010 THIS CERTIFIES THAT THE BUILDING LOCATED ON 149 Berry Street, North Andover, MA 01845 MAY BE OCCUPIED AS a single family IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: 114 Trust, 51 Mount Joy Road Tewksbury,MA 01876 Building Inspe for Fee: 100.00 Receipt: 22958 NORTIy ... To" * of _� 4Andover '. : pC O No. o dover, Mass., LAK COCMICMEWICK ADRATED `s BOARD OF HEALTH Food/Kitchen PERMIT T D I Septic System BUILDING.INSJ?ECTOR',/ THIS CERTIFIES THAT........................ .� ............................................................ .............................................. . .r'. ..Foundation�� •� ../i� �' '� £ • y��', �7 y , �r^ .... r�wt)aF-( has permission to erect......1 � .:. .. buildings on ... .. .. ... :". , �. .....�, ....... ............................................ ... ough _=r, ";� ` s� } to be occupied as..................................................::Y1V4 . ... ....... . :.. ............................................................. Chim e provided that the person accepting this permit shall in every respect conform t e terms of the application on file in anal 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. (---PL'UMBINGJNSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. G'G�j 7 � — Fin PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS • Service BUILDING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR Rou Display in a Conspicuous Place on the Premises — Do Not Remove Fin? No Lathing or Dry Wall To Be Done FIRE DEPARTMENT' Until Inspected and Approved by the Building. Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. -IL_lLi �'�"-- f ViORTH , O 41"RD i• NO 41L !j •R4iso 1' APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Building Permit# ADDRESS/LOCATION OF PROPERTY : I L S�- Map Parcel Lot Number �p r�•, ST SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: `1/9 q A e FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS$20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. t-e-iii I.�rSueu U') ' IL� f✓i+ Address sl (��`�^� Je,, 1��. T1 �s � NIS 016074 SIGNED RO N CONSERVATION PLANNING Ul DPW-.WATER METER SEWER/WATER CONNECTION �✓ 1�� — vl NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAI OF THE OCCUPANCY/INSPECTION REQUEST D (JOPW I gnature Fife: Application for OC form revised Jan 2007 94b � Date....... ........... ....../ ? pOR7p Of t.�ao{a,4, TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ;�Ss�cHusE� This certifies that Z-.f has permission to perform ........ ..eft'.w.5.�........................... wiring in the building of........r�U.5.1......... ?�! :� % <- :t...... Go T"3'V i at........ ........ .7...cJ........ , t� ............................. North Andover,Mass. ` Fee . .. Lic.No..! .034....... . K. l / ,. , � ELECTRICAL INSPECTOR,, Check # ��z 9�� Commonwealth of Massachusetts Official Use Only Permit No. ' Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: (0t?,Z- I to City or Town of. 16 0 y 11 (P To the Inspector of Wires: By this application the undersign d gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) Owner or Tenant S UG 1 b Telephone No. Owner's Address I fI'la✓�.4- Jay za;Jc 85. L. ,- t /1!!J-- a Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building I,--J i✓C L tit., C Utility Authorization No. 93/791 Existing Service Amps _ / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Zt,,., Amps ZB/ Zlf,- Volts Overhead❑ Undgrd ©�No.of Meters r Number of Feeders and Ampacity ` Location and Nature of Proposed Electrical Work: e Completion ofthe.following table may be waived by the Inspector of Wirer. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ In- E] No.of Emergency Lighting rnd. grnd. Battety Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons ICW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal El Other Connection No.of Dryers Heating Appliances KWSecurity Systems: No.of Devices or Equivalent No.of WaterKN, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors. Tot-el HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such covera a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [r�BOND ❑ OTHER ❑ (Specify:) D/-, /^ (Expiration Date) Estimated Value of El7?jd rical Work: (When required by municipal policy.) Work to Start: & Inspections to be requested in accordance with MEC Rule 10,and upon completion. certify,under the pains andpenalties of perjury,that the information on this application is true and complete. FIRM NAME:_�'� C.Ohhu L �r� LLQ LIC.NO.: IGa 6 1 / Licensee: �C GGt w C�ns�t Signature LIC. NO.: (If applicable, enter "exempt"in the license number lin�e.) I / Bus.Tel. No.: Address: tf 1 ��_4rrn ��Sfs+ at 3 y Alt.Tel.No.: OWNER'S 1NSURAN E WAIVER: I am awaretl�he Licen ee`does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 5-6 t/ U / a 666 jo) s � 7 jO� aAf' b i i } Date. .7/��.`. . . . i � NORT1� �'. �� •��c TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING c ,SSACMUS� This certifies that . . . . . . . . . . . . . . . . . . . has permission to perform . plumbing in the buildings of . .rl 74.�: . .`. . . . . . . . . . . . . . . . . . . . . . at . . P3 c.!'.�`./. . . . . . . . . . . . . North Andover, Mass. 1 Fee. . C y. Lic. No../. ?'.(!.' .3. . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check y //G 83 , 9 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date 7 < « ' Building Location � ' Owners Name Permit# r)y1 Amount 6 y Type of Occupancy New Renovation ❑ Replacement ri Plans Submitted Yes ❑ No F1 - FIXTURES Cn z w a >' r o w � � � elE z x a a w x � w } Hw A p� a a H H w w w o SLREM I��Iv>Eru ISI:HO R 2NnFLOCR 3M FLOOR 41R FLOOR SIH FLOOR 6IH ROCR 7IFI FLOOR SIH FLOOR (Print or type) /, Check one: Certificate Installing Company Name 61- n (� Corp. Address l/ / �• vG<//' !/ Partner. Business Telephone _ - 6 Firm/Co. i Name of.Licensed Plumber: et-- i Insurance Coverage: Indicate the typ msurance coverage by checking the appropriate box: ❑ Liability insurance policy Other type of indemnity F1 Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above threeinsurance Signature Owner F1 Agent E] I hereby certify that all of the details and information I have submitted(or entered)in above application are.true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massaclmsots State Plumbm a and Chapter 142 of the General Laws. By: a oT Mcenseanumber Type of Plumb'n License Title City/Town ice e u Master Journeyman APPROVED(OFFICE USE ONLY The Commonwealth of Massachusetts Department of rndrzstrial Accidents Office ofJrivesdgadons ..600 Washington Street Boston, 3M 02.111 www_Ma&s govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers An licant-Information . Please Print Legibly Name(Business/organization/Individual); Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: I.❑ I am a employer with 4. ❑ I am a aeraType of project(required): employees(full and/or part-time).* have hired the sub-contractors ctorontractor andn and 6' ❑Nein construction 2.❑ I am a sole proprietor or partner- listed on the attached 7. ❑Remodeling ship and have no employees These sub-contractors working for mein any capacity. workers' comp.insura8. ❑Demolition [No workers' inctaranCe 5. 9. El Building addition comp- ❑ We are a corporation a 3.0 required) officers have exercised10.❑Electrical repairs or additions I am a homeowner doing all work ria f of ex empton per11.❑Plumbin r ons or additions myself [No workers'comp, c. 152,§I(4),and we hginsurance required.] t em to ees_ 12.❑Roof repairs P Y [No workecomp.insurance requir13.11 Other -M,_*R•TM---'that bo:Q Mus!aso Ml can fYe seem ce3at„ Fiorueowners who submit this affidavit indicating theym d n w=she.,; `^en wor„ers'comm-on Y„Iicy +Contractors thatl- his e.^..g a. ana the hire outside Contractors 41 st sub;-uit a new affidavit indicating such. ch ,t�box must attached ar,additional sheet showing the name of the sub-contractors and their workers'comp.PoLic1'information. Taman employer that isproviding workers'compensadon insurance for information, my employees Belowis the policy and job site Insurance Company Name: Policy#or Selff 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 Section 25A of MGL G. 152 can lead to the imposition fine up o$1,500.00 and/or one-year imprisonment,as well as civil penalties in the foof criminal penalties of a of up to$250:00 a day against the violator. Be advised that a copy of this statemand a fine ent may forwarded to the Office rm of a STOP WORK ORDER Investigations of the DIA for insurance coverage verificationof I do hereby certify under the pains andpenalties ofper,jury thmr the information.provided aboveis true and correct Siffiature: .Date:.. _ Phone#: FEOther only. Do not write in this area, to be completed bjr city or town official t n PermitUcense# thority(circle one): Health 2.Builriing-Department 3. CiWTown Clerk 4,Electrical Inspector S.PIumbiizg Inspector son: Phone#- r A Information an- d 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 of 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 engaged in a joint enterprise,and including t1ae legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association oa7 other legal entity,employing employees. However the owner of a dwelling house having not more than three apartu>t eats and who resides therein,or the occupant of the se dwelling houof another who employs persons to do mainte ice,construction or repair work on such dwelling house or on the grounds or budding 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 IP-4--al licensing'agency shall withhold the issuance or renewal of a license or permit to operate a'business or to c onstruct buildings in the commonwealth for any applicant who has not produced acceptable evidence of covmpliance 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 um-12 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-contractors)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' comp ration 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 Industrial Accidents for confirmation of insurance coverage. .Also be stare to sign and date the affidavit: The affidavit should be ivtuueu t0 the cit Gs kfvTri liars the auk uGcuuL for the pe1 T Et'or license is be r Y being. q.iesF.ed,,ieat a,WA repa*tment.of Industrial Accidents. Should you have�y gi1Ps*+o*as zegardi'<b`he law o—u you are reY�'ia'ed tz7 iibtalu a wOriier5' compensation policy,please call the Department at the number listed below. Self-insured 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 peranits or licenses. A new 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 Office of Investigations would like to than you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and•fax-mumber._.. The Commanweala of Massachusetts. Department ofEadustrial Accidents Office of Im esttaaffons 600 Washingbn Street Bostol,MA 02111 Tel. #617-727-4900 ext 440.6 or 1-8 77-MAS.SAFE Revised 5-26-05 Fay:#Fr 6.17-727-7.749 vrvrw mass.-Dov/dia Neal Mitchell Associates 1041 Sutton Street, Northbridge, MA 01534 Tel: 508-234-8646 Fax: 508-234-8759 e-mail:nmitchell2@aol.com July 3, 2010 Mr. Gerald Brown Inspector of Buildings Town Of North Andover 1600 Osgood Street North Andover, MA 01845 RE: FRAMING INSPECTION—Lot 3 Berry Street Dear Mr. Brown: 1 have visited this residential structure to inspect the building framing. The building was designed according to the requirements of 780 CMR, and the building has been constructed according to the plans. However, a Farmers Porch has been added to the front of the building and the garage has been turned 90 degrees from the base plans. These changes have not affected member sizes or structural considerations. I have checked the various member combinations that were used in this residence and I have provided the Lateral Load analysis of this structure. I can certify that the framing of this structure meets the requirements of 780 CMR 7t"Edition. Please call me if you have an concerns or questions. Y Y Sincerely, Ill l l l 111/tt��i H0 F,y tss 411 N AL B•• tiG y ITCHELL JR •:m TFJUC TURAL Nea B. Mitchell Jr. P.E. S.E. .9 8 :y MA 18222 L EN4� \`� 1111 Neal Mitchell Associates 1041 Sutton Street,Northbridge,AM 01534 Tela 508-234-8646 Fax:508-234-8759 e-mail:nnlitchell2(a;nol.com July 3,2010 Mr. Gerald Brown Inspector of Buildings Town Of North Andover 1600 Osgood Street North Andover,MA 01845 RE: FRAMING INSPECTION—Lot,3 Bern,Street Dear Mr.Brown: I have visited this residential structure to inspect the building framing. The building was designed according to the requirements of 780 CMR,and the building has been constructed according to the plans. However, a Farmers Porch has been added to the front of the building and the garage has been turned 90 degrees from the base plans. These changes have not affected member sizes or structural considerations. I have checked the various member combinations that were used in this residence and I have provided the Lateral Load analysis of this structure. I can certify that the framing of this structure meets the requirements of 780 CMR 7`"Edition. Please call me if you have any concerns or questions. Sincerely, 24 NFA' Neal B.Mitchell,Jr. P.E. S.E. MA#18222 1 CERTIFIED PLAN NO OTHER USE INTENDED BOUNDARY LINES AND EASEMENTS SHOWN BERRY STREET ARE BASED ON THE APPROVED, RECORDED DEFINITIVE PLANS FOR THIS SUBDIVISION. THE FOUNDATION AS SHOWN DOES NOT VIOLATE ANY ZONING REQUIREMENTS REGARDING STRUCTURE TO PROPERTY LINE \ATELY TS, 157'C'2;J7;,�/;� 174.95 Q PLAN IS NOT TO BE USED TO ERECT o S, OTHER ANCILLARY STRUCTURES, R LANDSCAPING LIMITS. 2S' FRONT �•EIBK _ r-- � E CERTIFICATION IS RANSFERRABLE, AND IS FURTHER WITH THE PROVISION THAT THE INFORMATIEN OFURISHEDN SHOWN SBYETHE OWNER 200' / IS FIRM, \PATRICK GARNER, PLS EXIST ING v FOUNIDA ION `v v � LOT A C--" 1 4- \ 1/ \\_ J do A"ESS.MAP&LAT�4 p LOT 3N-A 106D-44 y.} OWNER/APPLICANT- I i { n R 'ONE HUNDRED FOURTEEN Lr ❑ T 3 F ❑ V I `d D A T 1 0 A S — B V l L_ T 1 TRUST — — _ _ iii MOUNT JOY DRIVE T BERRY S i R E E WEKSDURY, MA 01876 NORTH ANDOVER MASS ``P t t41 ttF ) i 'Q; PATS,CK. PROJECT NO: NA-IO SCALE: V=40' C. E- DRAWN BY: PCG DATE, 5/27/10 NO 32P CHECKED BY; SC SHT1 I I OF. 1 CERTIFIED PLAN NO OTHER USE INTENDED i BOUNDARY LINES AND EASEMENTS SHOWN BERRY STREET ARE BASED ON THE APPROVED, RECORDED DEFINITIVE PLANS FOR THIS SUBDIVISI❑N. THE FOUNDATION AS SHOWN DOES NOT VIOLATE ANY ZONING REQUIREMENTS REGARDING STRUCTURE TO PROPERTY LINE \ ;;,\`,r I 4- 9 5� \� ATELY TS. �57'0� 5 93 �oPLAN IS NOT TO BE USED TO ERECT I o S, OTHER ANCILLARY STRUCTURES, FOR LANDSCAPING LIMITS. FRONT SEIBK _ CERTIFICATION IS RANSFERRABLE, AND IS FURTHER i WITH THE PR❑VISION THAT THE MATION SHOWN HAS BEEN FURNISHER BY THE OWNER IS FIRM, I / w \PATRICK GARNER, PLS I AXIS TIIJG FOLINDA 10N LOT 3 I 'r I v REPU�H lO "it_D 0- .- BEL)O ASSEM EMAP&LOT A LOT 3N—A 106D-44 I OWNER/APPLICANT, LCAT 3N E ❑ UNDATI ❑ N AS - BUILT ONE HUNDRED FOURTEEN — — — TRUST _ 51 MOUNT JOY DRIVE BERRY S T R E E T TWEKSBURY, MA 01876 10F NORTH ANDOVER, MASS. PATRICK. �:.; P', PROJECT NO: NA-10 SCALE: 1 -40 j o C. A CrierDRAWN BY: PCG DATE, 5/27/10 No <309 CHECKED BYY SC SHT. 1 1 v I OF. 1